hospital_name,last_updated_on,version,hospital_location,hospital_address,license_number | IL,,"To the best of its knowledge and belief, the hospital has included all applicable standard charge information in accordance with the requirements of 45 CFR 180.50, and the information encoded is true, accurate, and complete as of the date indicated.",financial_aid_policy,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Taylorville Memorial Hospital ,1/1/2025,1.0.0,"Taylorville, IL","201 Pleasant Street, Taylorville, IL 62568",0005447 (IL),,TRUE,"Memorial Health provides medical care regardless of the patient's ability to pay. If a patient cannot pay for care and is also not able to access resources from state or federal programs, we work with the patient find a financial solution, to know their options and get help from state or federal programs if they qualify. Visit https://memorial.health/financial/assistance/ for more information on financial assistance. ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
description,code|1,code|1|type,code|2,code|2|type,modifiers,setting,drug_unit_of_measurement,drug_type_of_measurement,standard_charge | gross,standard_charge | discounted_cash,standard_charge | min,standard_charge | max,standard_charge|BCBS|BCBS PPO (IP)|negotiated_dollar,standard_charge|BCBS|BCBS PPO (IP)|methodology,estimated_amount|BCBS|BCBS PPO (IP),additional_payer_notes|BCBS|BCBS PPO (IP),standard_charge|BCBS|BCBS PPO (IP)|negotiated_percentage,standard_charge|BCBS|BCBS PPO (IP)|negotiated_algorithm,standard_charge|BCBS|BCBS PPO (OP)|negotiated_dollar,standard_charge|BCBS|BCBS PPO (OP)|methodology,estimated_amount|BCBS|BCBS PPO (OP),additional_payer_notes|BCBS|BCBS PPO (OP),standard_charge|BCBS|BCBS PPO (OP)|negotiated_percentage,standard_charge|BCBS|BCBS PPO (OP)|negotiated_algorithm,standard_charge|BCBS|BCBS HMO (IP)|negotiated_dollar,standard_charge|BCBS|BCBS HMO (IP)|methodology,estimated_amount|BCBS|BCBS HMO (IP),additional_payer_notes|BCBS|BCBS HMO (IP),standard_charge|BCBS|BCBS HMO (IP)|negotiated_percentage,standard_charge|BCBS|BCBS HMO (IP)|negotiated_algorithm,standard_charge|BCBS|BCBS HMO (OP)|negotiated_dollar,standard_charge|BCBS|BCBS HMO (OP)|methodology,estimated_amount|BCBS|BCBS HMO (OP),additional_payer_notes|BCBS|BCBS HMO (OP),standard_charge|BCBS|BCBS HMO (OP)|negotiated_percentage,standard_charge|BCBS|BCBS HMO (OP)|negotiated_algorithm,standard_charge|BCBS|BCBS BlueChoice (IP)|negotiated_dollar,standard_charge|BCBS|BCBS BlueChoice (IP)|methodology,estimated_amount|BCBS|BCBS BlueChoice (IP),additional_payer_notes|BCBS|BCBS BlueChoice (IP),standard_charge|BCBS|BCBS BlueChoice (IP)|negotiated_percentage,standard_charge|BCBS|BCBS BlueChoice (IP)|negotiated_algorithm,standard_charge|BCBS|BCBS BlueChoice (OP)|negotiated_dollar,standard_charge|BCBS|BCBS BlueChoice (OP)|methodology,estimated_amount|BCBS|BCBS BlueChoice (OP),additional_payer_notes|BCBS|BCBS BlueChoice (OP),standard_charge|BCBS|BCBS BlueChoice (OP)|negotiated_percentage,standard_charge|BCBS|BCBS BlueChoice (OP)|negotiated_algorithm,standard_charge|BCBS|BCBS Indemnity (IP)|negotiated_dollar,standard_charge|BCBS|BCBS Indemnity (IP)|methodology,estimated_amount|BCBS|BCBS Indemnity (IP),additional_payer_notes|BCBS|BCBS Indemnity (IP),standard_charge|BCBS|BCBS Indemnity (IP)|negotiated_percentage,standard_charge|BCBS|BCBS Indemnity (IP)|negotiated_algorithm,standard_charge|BCBS|BCBS Indemnity (OP)|negotiated_dollar,standard_charge|BCBS|BCBS Indemnity (OP)|methodology,estimated_amount|BCBS|BCBS Indemnity (OP),additional_payer_notes|BCBS|BCBS Indemnity (OP),standard_charge|BCBS|BCBS Indemnity (OP)|negotiated_percentage,standard_charge|BCBS|BCBS Indemnity (OP)|negotiated_algorithm,standard_charge|Aetna|Aetna PPO (IP)|negotiated_dollar,standard_charge|Aetna|Aetna PPO (IP)|methodology,estimated_amount|Aetna|Aetna PPO (IP),additional_payer_notes|Aetna|Aetna PPO (IP),standard_charge|Aetna|Aetna PPO (IP)|negotiated_percentage,standard_charge|Aetna|Aetna PPO (IP)|negotiated_algorithm,standard_charge|Aetna|Aetna PPO (OP)|negotiated_dollar,standard_charge|Aetna|Aetna PPO (OP)|methodology,estimated_amount|Aetna|Aetna PPO (OP),additional_payer_notes|Aetna|Aetna PPO (OP),standard_charge|Aetna|Aetna PPO (OP)|negotiated_percentage,standard_charge|Aetna|Aetna PPO (OP)|negotiated_algorithm,standard_charge|Coventry Aetna|Coventry Aetna First Health (IP)|negotiated_dollar,standard_charge|Coventry Aetna|Coventry Aetna First Health (IP)|methodology,estimated_amount|Coventry Aetna|Coventry Aetna First Health (IP),additional_payer_notes|Coventry Aetna|Coventry Aetna First Health (IP),standard_charge|Coventry Aetna|Coventry Aetna First Health (IP)|negotiated_percentage,standard_charge|Coventry Aetna|Coventry Aetna First Health (IP)|negotiated_algorithm,standard_charge|Coventry Aetna|Coventry Aetna First Health (OP)|negotiated_dollar,standard_charge|Coventry Aetna|Coventry Aetna First Health (OP)|methodology,estimated_amount|Coventry Aetna|Coventry Aetna First Health (OP),additional_payer_notes|Coventry Aetna|Coventry Aetna First Health (OP),standard_charge|Coventry Aetna|Coventry Aetna First Health (OP)|negotiated_percentage,standard_charge|Coventry Aetna|Coventry Aetna First Health (OP)|negotiated_algorithm,standard_charge|Aetna/Coventry|Aetna/Coventry One PPO/ASA/ACA (IP)|negotiated_dollar,standard_charge|Aetna/Coventry|Aetna/Coventry One PPO/ASA/ACA (IP)|methodology,estimated_amount|Aetna/Coventry|Aetna/Coventry One PPO/ASA/ACA (IP),additional_payer_notes|Aetna/Coventry|Aetna/Coventry One PPO/ASA/ACA (IP),standard_charge|Aetna/Coventry|Aetna/Coventry One PPO/ASA/ACA (IP)|negotiated_percentage,standard_charge|Aetna/Coventry|Aetna/Coventry One PPO/ASA/ACA (IP)|negotiated_algorithm,standard_charge|Aetna/Coventry|Aetna/Coventry One PPO/AS)/ACA (OP)|negotiated_dollar,standard_charge|Aetna/Coventry|Aetna/Coventry One PPO/AS)/ACA (OP)|methodology,estimated_amount|Aetna/Coventry|Aetna/Coventry One PPO/AS)/ACA (OP),additional_payer_notes|Aetna/Coventry|Aetna/Coventry One PPO/AS)/ACA (OP),standard_charge|Aetna/Coventry|Aetna/Coventry One PPO/AS)/ACA (OP)|negotiated_percentage,standard_charge|Aetna/Coventry|Aetna/Coventry One PPO/AS)/ACA (OP)|negotiated_algorithm,standard_charge|Cigna|Cigna (IP)|negotiated_dollar,standard_charge|Cigna|Cigna (IP)|methodology,estimated_amount|Cigna|Cigna (IP),additional_payer_notes|Cigna|Cigna (IP),standard_charge|Cigna|Cigna (IP)|negotiated_percentage,standard_charge|Cigna|Cigna (IP)|negotiated_algorithm,standard_charge|Cigna|Cigna (OP)|negotiated_dollar,standard_charge|Cigna|Cigna (OP)|methodology,estimated_amount|Cigna|Cigna (OP),additional_payer_notes|Cigna|Cigna (OP),standard_charge|Cigna|Cigna (OP)|negotiated_percentage,standard_charge|Cigna|Cigna (OP)|negotiated_algorithm,standard_charge|UHC|UHC (IP)|negotiated_dollar,standard_charge|UHC|UHC (IP)|methodology,estimated_amount|UHC|UHC (IP),additional_payer_notes|UHC|UHC (IP),standard_charge|UHC|UHC (IP)|negotiated_percentage,standard_charge|UHC|UHC (IP)|negotiated_algorithm,standard_charge|UHC|UHC (OP)|negotiated_dollar,standard_charge|UHC|UHC (OP)|methodology,estimated_amount|UHC|UHC (OP),additional_payer_notes|UHC|UHC (OP),standard_charge|UHC|UHC (OP)|negotiated_percentage,standard_charge|UHC|UHC (OP)|negotiated_algorithm,standard_charge|UHC|UHC ACA (IP)|negotiated_dollar,standard_charge |UHC|UHC ACA (IP) |methodology,estimated_amount|UHC|UHC ACA (IP) ,additional_payer_notes|UHC|UHC ACA (IP),standard_charge|UHC|UHC ACA (IP)|negotiated_percentage,standard_charge|UHC|UHC ACA (IP)|negotiated_algorithm,standard_charge|UHC|UHC ACA (OP)|negotiated_dollar,standard_charge|UHC|UHC ACA (OP)|methodology,estimated_amount|UHC|UHC ACA (OP),additional_payer_notes|UHC|UHC ACA (OP),standard_charge|UHC|UHC ACA (OP)|negotiated_percentage,standard_charge|UHC|UHC ACA (OP)|negotiated_algorithm,standard_charge|Health Alliance|Health Alliance Fully Insured and Self Funded (IP)|negotiated_dollar,standard_charge|Health Alliance|Health Alliance Fully Insured and Self Funded (IP)|methodology,estimated_amount|Health Alliance|Health Alliance Fully Insured and Self Funded (IP),additional_payer_notes|Health Alliance|Health Alliance Fully Insured and Self Funded (IP),standard_charge|Health Alliance|Health Alliance Fully Insured and Self Funded (IP)|negotiated_percentage,standard_charge|Health Alliance|Health Alliance Fully Insured and Self Funded (IP)|negotiated_algorithm,standard_charge|Health Alliance|Health Alliance Fully Insured and Self Funded (OP)|negotiated_dollar,standard_charge|Health Alliance|Health Alliance Fully Insured and Self Funded (OP)|methodology,estimated_amount|Health Alliance|Health Alliance Fully Insured and Self Funded (OP),additional_payer_notes|Health Alliance|Health Alliance Fully Insured and Self Funded (OP),standard_charge|Health Alliance|Health Alliance Fully Insured and Self Funded (OP)|negotiated_percentage,standard_charge|Health Alliance|Health Alliance Fully Insured and Self Funded (OP)|negotiated_algorithm,standard_charge|HealthLink|HealthLink HMO (IP)|negotiated_dollar,standard_charge|HealthLink|HealthLink HMO (IP)|methodology,estimated_amount|HealthLink|HealthLink HMO (IP),additional_payer_notes|HealthLink|HealthLink HMO (IP),standard_charge|HealthLink|HealthLink HMO (IP)|negotiated_percentage,standard_charge|HealthLink|HealthLink HMO (IP)|negotiated_algorithm,standard_charge|HealthLink|HealthLink HMO (OP)|negotiated_dollar,standard_charge|HealthLink|HealthLink HMO (OP)|methodology,estimated_amount|HealthLink|HealthLink HMO (OP),additional_payer_notes|HealthLink|HealthLink HMO (OP),standard_charge|HealthLink|HealthLink HMO (OP)|negotiated_percentage,standard_charge|HealthLink|HealthLink HMO (OP)|negotiated_algorithm,standard_charge|HFN|HFN (IP)|negotiated_dollar,standard_charge|HFN|HFN (IP)|methodology,estimated_amount|HFN|HFN (IP),additional_payer_notes|HFN|HFN (IP),standard_charge|HFN|HFN (IP)|negotiated_percentage,standard_charge|HFN|HFN (IP)|negotiated_algorithm,standard_charge|HFN|HFN (OP)|negotiated_dollar,standard_charge|HFN|HFN (OP)|methodology,estimated_amount|HFN|HFN (OP),additional_payer_notes|HFN|HFN (OP),standard_charge|HFN|HFN (OP)|negotiated_percentage,standard_charge|HFN|HFN (OP)|negotiated_algorithm,standard_charge|Humana|Humana Choice Care (IP)|negotiated_dollar,standard_charge|Humana|Humana Choice Care (IP)|methodology,estimated_amount|Humana|Humana Choice Care (IP),additional_payer_notes|Humana|Humana Choice Care (IP),standard_charge|Humana|Humana Choice Care (IP)|negotiated_percentage,standard_charge|Humana|Humana Choice Care (IP)|negotiated_algorithm,standard_charge|Humana|Humana Choice Care (OP)|negotiated_dollar,standard_charge|Humana|Humana Choice Care (OP)|methodology,estimated_amount|Humana|Humana Choice Care (OP),additional_payer_notes|Humana|Humana Choice Care (OP),standard_charge|Humana|Humana Choice Care (OP)|negotiated_percentage,standard_charge|Humana|Humana Choice Care (OP)|negotiated_algorithm,standard_charge|IL  Workers Compensation Standard |IL Workers Compensation Standard (IP)|negotiated_dollar,standard_charge|IL  Workers Compensation Standard |IL Workers Compensation Standard (IP)|methodology,estimated_amount|IL  Workers Compensation Standard |IL Workers Compensation Standard (IP),additional_payer_notes|IL  Workers Compensation Standard |IL Workers Compensation Standard (IP),standard_charge|IL  Workers Compensation Standard |IL Workers Compensation Standard (IP)|negotiated_percentage,standard_charge|IL  Workers Compensation Standard |IL Workers Compensation Standard (IP)|negotiated_algorithm,standard_charge|IL  Workers Compensation Standard |IL Workers Compensation Trauma (IP)|negotiated_dollar,standard_charge|IL  Workers Compensation Standard |IL Workers Compensation Trauma (IP)|methodology,estimated_amount|IL  Workers Compensation Standard |IL Workers Compensation Trauma (IP),additional_payer_notes|IL  Workers Compensation Standard |IL Workers Compensation Trauma (IP),standard_charge|IL  Workers Compensation Standard |IL Workers Compensation Trauma (IP)|negotiated_percentage,standard_charge|IL  Workers Compensation Standard |IL Workers Compensation Trauma (IP)|negotiated_algorithm,standard_charge|IL  Workers Compensation Standard |IL Workers Compensation (OP)|negotiated_dollar,standard_charge|IL  Workers Compensation Standard |IL Workers Compensation (OP)|methodology,estimated_amount|IL  Workers Compensation Standard |IL Workers Compensation (OP),additional_payer_notes|IL  Workers Compensation Standard |IL Workers Compensation (OP),standard_charge|IL  Workers Compensation Standard |IL Workers Compensation (OP)|negotiated_percentage,standard_charge|IL  Workers Compensation Standard |IL Workers Compensation (OP)|negotiated_algorithm,standard_charge|Corvel|Corvel Workers Compensation Standard (IP)|negotiated_dollar,standard_charge|Corvel|Corvel Workers Compensation Standard (IP)|methodology,estimated_amount|Corvel|Corvel Workers Compensation Standard (IP),additional_payer_notes|Corvel|Corvel Workers Compensation Standard (IP),standard_charge|Corvel|Corvel Workers Compensation Standard (IP)|negotiated_percentage,standard_charge|Corvel|Corvel Workers Compensation Standard (IP)|negotiated_algorithm,standard_charge|Corvel|Corvel Workers Compensation Trauma (IP)|negotiated_dollar,standard_charge|Corvel|Corvel Workers Compensation Trauma (IP)|methodology,estimated_amount|Corvel|Corvel Workers Compensation Trauma (IP),additional_payer_notes|Corvel|Corvel Workers Compensation Trauma (IP),standard_charge|Corvel|Corvel Workers Compensation Trauma (IP)|negotiated_percentage,standard_charge|Corvel|Corvel Workers Compensation Trauma (IP)|negotiated_algorithm,standard_charge|Corvel|Corvel Workers Compensation (OP)|negotiated_dollar,standard_charge|Corvel|Corvel Workers Compensation (OP)|methodology,estimated_amount|Corvel|Corvel Workers Compensation (OP),additional_payer_notes|Corvel|Corvel Workers Compensation (OP),standard_charge|Corvel|Corvel Workers Compensation (OP)|negotiated_percentage,standard_charge|Corvel|Corvel Workers Compensation (OP)|negotiated_algorithm,standard_charge|Meridian|Meridian Medicaid Managed Care (IP)|negotiated_dollar,standard_charge|Meridian|Meridian Medicaid Managed Care (IP)|methodology,estimated_amount|Meridian|Meridian Medicaid Managed Care (IP),additional_payer_notes|Meridian|Meridian Medicaid Managed Care (IP),standard_charge|Meridian|Meridian Medicaid Managed Care (IP)|negotiated_percentage,standard_charge|Meridian|Meridian Medicaid Managed Care (IP)|negotiated_algorithm,standard_charge|Meridian|Meridian Medicaid Managed Care OP)|negotiated_dollar,standard_charge|Meridian|Meridian Medicaid Managed Care OP)|methodology,estimated_amount|Meridian|Meridian Medicaid Managed Care OP),additional_payer_notes|Meridian|Meridian Medicaid Managed Care OP),standard_charge|Meridian|Meridian Medicaid Managed Care OP)|negotiated_percentage,standard_charge|Meridian|Meridian Medicaid Managed Care OP)|negotiated_algorithm,standard_charge|Aetna|Aetna Better Health Medicaid Managed Care (IP)|negotiated_dollar,standard_charge|Aetna|Aetna Better Health Medicaid Managed Care (IP)|methodology,estimated_amount|Aetna|Aetna Better Health Medicaid Managed Care (IP),additional_payer_notes|Aetna|Aetna Better Health Medicaid Managed Care (IP),standard_charge|Aetna|Aetna Better Health Medicaid Managed Care (IP)|negotiated_percentage,standard_charge|Aetna|Aetna Better Health Medicaid Managed Care (IP)|negotiated_algorithm,standard_charge|Aetna|Aetna Better Health Medicaid Managed Care (OP)|negotiated_dollar,standard_charge|Aetna|Aetna Better Health Medicaid Managed Care (OP)|methodology,estimated_amount|Aetna|Aetna Better Health Medicaid Managed Care (OP),additional_payer_notes|Aetna|Aetna Better Health Medicaid Managed Care (OP),standard_charge|Aetna|Aetna Better Health Medicaid Managed Care (OP)|negotiated_percentage,standard_charge|Aetna|Aetna Better Health Medicaid Managed Care (OP)|negotiated_algorithm,standard_charge|BCBS|BCBS Medicaid Managed Care (IP)|negotiated_dollar,standard_charge|BCBS|BCBS Medicaid Managed Care (IP)|methodology,estimated_amount|BCBS|BCBS Medicaid Managed Care (IP),additional_payer_notes|BCBS|BCBS Medicaid Managed Care (IP),standard_charge|BCBS|BCBS Medicaid Managed Care (IP)|negotiated_percentage,standard_charge|BCBS|BCBS Medicaid Managed Care (IP)|negotiated_algorithm,standard_charge|BCBS|BCBS Medicaid Managed Care (OP)|negotiated_dollar,standard_charge|BCBS|BCBS Medicaid Managed Care (OP)|methodology,estimated_amount|BCBS|BCBS Medicaid Managed Care (OP),additional_payer_notes|BCBS|BCBS Medicaid Managed Care (OP),standard_charge|BCBS|BCBS Medicaid Managed Care (OP)|negotiated_percentage,standard_charge|BCBS|BCBS Medicaid Managed Care (OP)|negotiated_algorithm,standard_charge|Molina|Molina Medicaid Managed Care (IP)|negotiated_dollar,standard_charge|Molina|Molina Medicaid Managed Care (IP)|methodology,estimated_amount|Molina|Molina Medicaid Managed Care (IP),additional_payer_notes|Molina|Molina Medicaid Managed Care (IP),standard_charge|Molina|Molina Medicaid Managed Care (IP)|negotiated_percentage,standard_charge|Molina|Molina Medicaid Managed Care (IP)|negotiated_algorithm,standard_charge|Molina|Molina Medicaid Managed Care (OP)|negotiated_dollar,standard_charge|Molina|Molina Medicaid Managed Care (OP)|methodology,estimated_amount|Molina|Molina Medicaid Managed Care (OP),additional_payer_notes|Molina|Molina Medicaid Managed Care (OP),standard_charge|Molina|Molina Medicaid Managed Care (OP)|negotiated_percentage,standard_charge|Molina|Molina Medicaid Managed Care (OP)|negotiated_algorithm,standard_charge|HealthAlliance|HealthAlliance Medicare Advantage (IP)|negotiated_dollar,standard_charge|HealthAlliance|HealthAlliance Medicare Advantage (IP)|methodology,estimated_amount|HealthAlliance|HealthAlliance Medicare Advantage (IP),additional_payer_notes|HealthAlliance|HealthAlliance Medicare Advantage (IP),standard_charge|HealthAlliance|HealthAlliance Medicare Advantage (IP)|negotiated_percentage,standard_charge|HealthAlliance|HealthAlliance Medicare Advantage (IP)|negotiated_algorithm,standard_charge|HealthAlliance|HealthAlliance Medicare Advantage (OP)|negotiated_dollar,standard_charge|HealthAlliance|HealthAlliance Medicare Advantage (OP)|methodology,estimated_amount|HealthAlliance|HealthAlliance Medicare Advantage (OP),additional_payer_notes|HealthAlliance|HealthAlliance Medicare Advantage (OP),standard_charge|HealthAlliance|HealthAlliance Medicare Advantage (OP)|negotiated_percentage,standard_charge|HealthAlliance|HealthAlliance Medicare Advantage (OP)|negotiated_algorithm,standard_charge|Aetna/Coventry|Aetna/Coventry Medicare Advantage (IP)|negotiated_dollar,standard_charge|Aetna/Coventry|Aetna/Coventry Medicare Advantage (IP)|methodology,estimated_amount|Aetna/Coventry|Aetna/Coventry Medicare Advantage (IP),additional_payer_notes|Aetna/Coventry|Aetna/Coventry Medicare Advantage (IP),standard_charge|Aetna/Coventry|Aetna/Coventry Medicare Advantage (IP)|negotiated_percentage,standard_charge|Aetna/Coventry|Aetna/Coventry Medicare Advantage (IP)|negotiated_algorithm,standard_charge|Aetna/Coventry|Aetna/Coventry Medicare Advantage (OP)|negotiated_dollar,standard_charge|Aetna/Coventry|Aetna/Coventry Medicare Advantage (OP)|methodology,estimated_amount|Aetna/Coventry|Aetna/Coventry Medicare Advantage (OP),additional_payer_notes|Aetna/Coventry|Aetna/Coventry Medicare Advantage (OP),standard_charge|Aetna/Coventry|Aetna/Coventry Medicare Advantage (OP)|negotiated_percentage,standard_charge|Aetna/Coventry|Aetna/Coventry Medicare Advantage (OP)|negotiated_algorithm,standard_charge|Humana|Humana PPO Medicare Advantage (IP)|negotiated_dollar,standard_charge|Humana|Humana PPO Medicare Advantage (IP)|methodology,estimated_amount|Humana|Humana PPO Medicare Advantage (IP),additional_payer_notes|Humana|Humana PPO Medicare Advantage (IP),standard_charge|Humana|Humana PPO Medicare Advantage (IP)|negotiated_percentage,standard_charge|Humana|Humana PPO Medicare Advantage (IP)|negotiated_algorithm,standard_charge|Humana|Humana PPO Medicare Advantage (OP)|negotiated_dollar,standard_charge|Humana|Humana PPO Medicare Advantage (OP)|methodology,estimated_amount|Humana|Humana PPO Medicare Advantage (OP),additional_payer_notes|Humana|Humana PPO Medicare Advantage (OP),standard_charge|Humana|Humana PPO Medicare Advantage (OP)|negotiated_percentage,standard_charge|Humana|Humana PPO Medicare Advantage (OP)|negotiated_algorithm,standard_charge|UHC|UHC PPO Medicare Advantage (IP)|negotiated_dollar,standard_charge|UHC|UHC PPO Medicare Advantage (IP)|methodology,estimated_amount|UHC|UHC PPO Medicare Advantage (IP),additional_payer_notes|UHC|UHC PPO Medicare Advantage (IP),standard_charge|UHC|UHC PPO Medicare Advantage (IP)|negotiated_percentage,standard_charge|UHC|UHC PPO Medicare Advantage (IP)|negotiated_algorithm,standard_charge|UHC|UHC PPO Medicare Advantage (OP)|negotiated_dollar,standard_charge|UHC|UHC PPO Medicare Advantage (OP)|methodology,estimated_amount|UHC|UHC PPO Medicare Advantage (OP),additional_payer_notes|UHC|UHC PPO Medicare Advantage (OP),standard_charge|UHC|UHC PPO Medicare Advantage (OP)|negotiated_percentage,standard_charge|UHC|UHC PPO Medicare Advantage (OP)|negotiated_algorithm,standard_charge|BCBS|BCBS PPO/HMO Medicare Advantage (IP)|negotiated_dollar,standard_charge|BCBS|BCBS PPO/HMO Medicare Advantage (IP)|methodology,estimated_amount|BCBS|BCBS PPO/HMO Medicare Advantage (IP),additional_payer_notes|BCBS|BCBS PPO/HMO Medicare Advantage (IP),standard_charge|BCBS|BCBS PPO/HMO Medicare Advantage (IP)|negotiated_percentage,standard_charge|BCBS|BCBS PPO/HMO Medicare Advantage (IP)|negotiated_algorithm,standard_charge|BCBS|BCBS PPO/HMO Medicare Advantage (OP)|negotiated_dollar,standard_charge|BCBS|BCBS PPO/HMO Medicare Advantage (OP)|methodology,estimated_amount|BCBS|BCBS PPO/HMO Medicare Advantage (OP),additional_payer_notes|BCBS|BCBS PPO/HMO Medicare Advantage (OP),standard_charge|BCBS|BCBS PPO/HMO Medicare Advantage (OP)|negotiated_percentage,standard_charge|BCBS|BCBS PPO/HMO Medicare Advantage (OP)|negotiated_algorithm,standard_charge|WellCare|WellCare Medicare Advantage (IP)|negotiated_dollar,standard_charge|WellCare|WellCare Medicare Advantage (IP)|methodology,estimated_amount|WellCare|WellCare Medicare Advantage (IP),additional_payer_notes|WellCare|WellCare Medicare Advantage (IP),standard_charge|WellCare|WellCare Medicare Advantage (IP)|negotiated_percentage,standard_charge|WellCare|WellCare Medicare Advantage (IP)|negotiated_algorithm,standard_charge|WellCare|WellCare Medicare Advantage (OP)|negotiated_dollar,standard_charge|WellCare|WellCare Medicare Advantage (OP)|methodology,estimated_amount|WellCare|WellCare Medicare Advantage (OP),additional_payer_notes|WellCare|WellCare Medicare Advantage (OP),standard_charge|WellCare|WellCare Medicare Advantage (OP)|negotiated_percentage,standard_charge|WellCare|WellCare Medicare Advantage (OP)|negotiated_algorithm,standard_charge|Tricare|Tricare (IP)|negotiated_dollar,standard_charge|Tricare|Tricare (IP)|methodology,estimated_amount|Tricare|Tricare (IP),additional_payer_notes|Tricare|Tricare (IP),standard_charge|Tricare|Tricare (IP)|negotiated_percentage,standard_charge|Tricare|Tricare (IP)|negotiated_algorithm,standard_charge|Tricare|Tricare (OP)|negotiated_dollar,standard_charge|Tricare|Tricare (OP)|methodology,estimated_amount|Tricare|Tricare (OP),additional_payer_notes|Tricare|Tricare (OP),standard_charge|Tricare|Tricare (OP)|negotiated_percentage,standard_charge|Tricare|Tricare (OP)|negotiated_algorithm,standard_charge|Veterans Administration|Veterans Administration (IP)|negotiated_dollar,standard_charge|Veterans Administration|Veterans Administration (IP)|methodology,estimated_amount|Veterans Administration|Veterans Administration (IP),additional_payer_notes|Veterans Administration|Veterans Administration (IP),standard_charge|Veterans Administration|Veterans Administration (IP)|negotiated_percentage,standard_charge|Veterans Administration|Veterans Administration (IP)|negotiated_algorithm,standard_charge|Veterans Administration|Veterans Administration (OP)|negotiated_dollar,standard_charge|Veterans Administration|Veterans Administration (OP)|methodology,estimated_amount|Veterans Administration|Veterans Administration (OP),additional_payer_notes|Veterans Administration|Veterans Administration (OP),standard_charge|Veterans Administration|Veterans Administration (OP)|negotiated_percentage,standard_charge|Veterans Administration|Veterans Administration (OP)|negotiated_algorithm,standard_charge|BCBS |BCBS MMAI (IP)|negotiated_dollar,standard_charge|BCBS |BCBS MMAI (IP)|methodology,estimated_amount|BCBS |BCBS MMAI (IP),additional_payer_notes|BCBS |BCBS MMAI (IP),standard_charge|BCBS |BCBS MMAI (IP)|negotiated_percentage,standard_charge|BCBS |BCBS MMAI (IP)|negotiated_algorithm,standard_charge|BCBS |BCBS MMAI (OP)|negotiated_dollar,standard_charge|BCBS |BCBS MMAI (OP)|methodology,estimated_amount|BCBS |BCBS MMAI (OP),additional_payer_notes|BCBS |BCBS MMAI (OP),standard_charge|BCBS |BCBS MMAI (OP)|negotiated_percentage,standard_charge|BCBS |BCBS MMAI (OP)|negotiated_algorithm,standard_charge|Meridian|Meridian Complete MMAI (IP)|negotiated_dollar,standard_charge|Meridian|Meridian Complete MMAI (IP)|methodology,estimated_amount|Meridian|Meridian Complete MMAI (IP),additional_payer_notes|Meridian|Meridian Complete MMAI (IP),standard_charge|Meridian|Meridian Complete MMAI (IP)|negotiated_percentage,standard_charge|Meridian|Meridian Complete MMAI (IP)|negotiated_algorithm,standard_charge|Meridian|Meridian Complete MMAI (OP)|negotiated_dollar,standard_charge|Meridian|Meridian Complete MMAI (OP)|methodology,estimated_amount|Meridian|Meridian Complete MMAI (OP),additional_payer_notes|Meridian|Meridian Complete MMAI (OP),standard_charge|Meridian|Meridian Complete MMAI (OP)|negotiated_percentage,standard_charge|Meridian|Meridian Complete MMAI (OP)|negotiated_algorithm,standard_charge|Non-Contracted Payor (IP) |Non-Contracted Payor (IP)|negotiated_dollar,standard_charge|Non-Contracted Payor (IP) |Non-Contracted Payor (IP)|methodology,estimated_amount|Non-Contracted Payor (IP) |Non-Contracted Payor (IP),additional_payer_notes|Non-Contracted Payor (IP) |Non-Contracted Payor (IP),standard_charge|Non-Contracted Payor (IP) |Non-Contracted Payor (IP)|negotiated_percentage,standard_charge|Non-Contracted Payor (IP) |Non-Contracted Payor (IP)|negotiated_algorithm,standard_charge|Non-Contracted  Payor (OP) |Non-Contracted Payor (OP)|negotiated_dollar,standard_charge|Non-Contracted  Payor (OP) |Non-Contracted Payor (OP)|methodology,estimated_amount|Non-Contracted  Payor (OP) |Non-Contracted Payor (OP),additional_payer_notes|Non-Contracted  Payor (OP) |Non-Contracted Payor (OP),standard_charge|Non-Contracted  Payor (OP) |Non-Contracted Payor (OP)|negotiated_percentage,standard_charge|Non-Contracted  Payor (OP) |Non-Contracted Payor (OP)|negotiated_algorithm,additional_generic_notes
SPECIAL CARE,Local,Local,,,,inpatient,,,3375,3375,2362.5,3375,3375,percent of total billed charges,2483.107399,,,,,,,,,,3375,percent of total billed charges,2483.107399,,,,,,,,,,3375,percent of total billed charges,999999999,,,,,,,,,,3375,percent of total billed charges,2483.107399,,,,,,,,,,2406.375,percent of total billed charges,1200.825162,,,,,,,,,,2406.375,percent of total billed charges,1200.825162,,,,,,,,,,2406.375,percent of total billed charges,1200.825162,,,,,,,,,,2382.75,percent of total billed charges,2364.671428,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3209,per diem ,810.8102324,"for Medical services, $3,889 per diem for Surgical Services",,,,,,,,,2666.25,percent of total billed charges,2573.045992,,,,,,,,,,2700,percent of total billed charges,999999999,,,,,,,,,,2362.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2557.8588,per diem ,1992.170643,,,,,,,,,,2557.8588,per diem ,2121.369162,,,,,,,,,,2557.8588,per diem ,1780.445807,,,,,,,,,,2557.8588,per diem ,1708.693381,,,,,,,,,,2557.8588,per diem ,999999999,,,,,,,,,,2557.8588,per diem ,999999999,,,,,,,,,,2557.8588,per diem ,999999999,,,,,,,,,,2557.8588,per diem ,1037.023872,,,,,,,,,,2557.8588,per diem ,999999999,,,,,,,,,,2557.8588,per diem ,821.6871945,,,,,,,,,,3037.5,percent of total billed charges,,,,,,,,,,,
SPECIAL CARE ISOLATION,Local,Local,,,,inpatient,,,3480,3480,2436,3480,3480,percent of total billed charges,2560.35963,,,,,,,,,,3480,percent of total billed charges,2560.35963,,,,,,,,,,3480,percent of total billed charges,999999999,,,,,,,,,,3480,percent of total billed charges,2560.35963,,,,,,,,,,2481.24,percent of total billed charges,1238.184167,,,,,,,,,,2481.24,percent of total billed charges,1238.184167,,,,,,,,,,2481.24,percent of total billed charges,1238.184167,,,,,,,,,,2456.88,percent of total billed charges,2438.238984,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3209,per diem ,810.8102324,"for Medical services, $3,889 per diem for Surgical Services",,,,,,,,,2749.2,percent of total billed charges,2653.096312,,,,,,,,,,2784,percent of total billed charges,999999999,,,,,,,,,,2436,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2557.8588,per diem ,2054.149285,,,,,,,,,,2557.8588,per diem ,2187.367313,,,,,,,,,,2557.8588,per diem ,1835.837455,,,,,,,,,,2557.8588,per diem ,1761.852731,,,,,,,,,,2557.8588,per diem ,999999999,,,,,,,,,,2557.8588,per diem ,999999999,,,,,,,,,,2557.8588,per diem ,999999999,,,,,,,,,,2557.8588,per diem ,1069.286837,,,,,,,,,,2557.8588,per diem ,999999999,,,,,,,,,,2557.8588,per diem ,847.2507961,,,,,,,,,,3132,percent of total billed charges,,,,,,,,,,,
ICU II,Local,Local,,,,inpatient,,,3375,3375,2362.5,3375,3375,percent of total billed charges,2483.107399,,,,,,,,,,3375,percent of total billed charges,2483.107399,,,,,,,,,,3375,percent of total billed charges,999999999,,,,,,,,,,3375,percent of total billed charges,2483.107399,,,,,,,,,,2406.375,percent of total billed charges,1200.825162,,,,,,,,,,2406.375,percent of total billed charges,1200.825162,,,,,,,,,,2406.375,percent of total billed charges,1200.825162,,,,,,,,,,2382.75,percent of total billed charges,2364.671428,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3209,per diem ,810.8102324,"for Medical services, $3,889 per diem for Surgical Services",,,,,,,,,2666.25,percent of total billed charges,2573.045992,,,,,,,,,,2700,percent of total billed charges,999999999,,,,,,,,,,2362.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2557.8588,per diem ,1992.170643,,,,,,,,,,2557.8588,per diem ,2121.369162,,,,,,,,,,2557.8588,per diem ,1780.445807,,,,,,,,,,2557.8588,per diem ,1708.693381,,,,,,,,,,2557.8588,per diem ,999999999,,,,,,,,,,2557.8588,per diem ,999999999,,,,,,,,,,2557.8588,per diem ,999999999,,,,,,,,,,2557.8588,per diem ,1037.023872,,,,,,,,,,2557.8588,per diem ,999999999,,,,,,,,,,2557.8588,per diem ,821.6871945,,,,,,,,,,3037.5,percent of total billed charges,,,,,,,,,,,
SCB NEGATIVE AIRFLOW ISOL,Local,Local,,,,inpatient,,,3575,3575,2502.5,3575,3575,percent of total billed charges,2630.254504,,,,,,,,,,3575,percent of total billed charges,2630.254504,,,,,,,,,,3575,percent of total billed charges,999999999,,,,,,,,,,3575,percent of total billed charges,2630.254504,,,,,,,,,,2548.975,percent of total billed charges,1271.985171,,,,,,,,,,2548.975,percent of total billed charges,1271.985171,,,,,,,,,,2548.975,percent of total billed charges,1271.985171,,,,,,,,,,2523.95,percent of total billed charges,2504.800105,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3209,per diem ,810.8102324,"for Medical services, $3,889 per diem for Surgical Services",,,,,,,,,2824.25,percent of total billed charges,2725.522791,,,,,,,,,,2860,percent of total billed charges,999999999,,,,,,,,,,2502.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2557.8588,per diem ,2110.2252,,,,,,,,,,2557.8588,per diem ,2247.079927,,,,,,,,,,2557.8588,per diem ,1885.953707,,,,,,,,,,2557.8588,per diem ,1809.949285,,,,,,,,,,2557.8588,per diem ,999999999,,,,,,,,,,2557.8588,per diem ,999999999,,,,,,,,,,2557.8588,per diem ,999999999,,,,,,,,,,2557.8588,per diem ,1098.477138,,,,,,,,,,2557.8588,per diem ,999999999,,,,,,,,,,2557.8588,per diem ,870.379769,,,,,,,,,,3217.5,percent of total billed charges,,,,,,,,,,,
ACUTE CARE/ISOL/MONITOR,Local,Local,,,,inpatient,,,2235,2235,1564.5,3209,2235,percent of total billed charges,1644.3689,,,,,,,,,,2235,percent of total billed charges,1644.3689,,,,,,,,,,2235,percent of total billed charges,999999999,,,,,,,,,,2235,percent of total billed charges,1644.3689,,,,,,,,,,1593.555,percent of total billed charges,795.2131071,,,,,,,,,,1593.555,percent of total billed charges,795.2131071,,,,,,,,,,1593.555,percent of total billed charges,795.2131071,,,,,,,,,,1577.91,percent of total billed charges,1565.937968,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3209,per diem ,810.8102324,"for Medical services, $3,889 per diem for Surgical Services",,,,,,,,,1765.65,percent of total billed charges,1703.928235,,,,,,,,,,1788,percent of total billed charges,999999999,,,,,,,,,,1564.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2557.8588,per diem ,1319.25967,,,,,,,,,,2557.8588,per diem ,1404.8178,,,,,,,,,,2557.8588,per diem ,1179.050779,,,,,,,,,,2557.8588,per diem ,1131.534728,,,,,,,,,,2557.8588,per diem ,999999999,,,,,,,,,,2557.8588,per diem ,999999999,,,,,,,,,,2557.8588,per diem ,999999999,,,,,,,,,,2557.8588,per diem ,686.7402529,,,,,,,,,,2557.8588,per diem ,999999999,,,,,,,,,,2557.8588,per diem ,544.1395199,,,,,,,,,,2011.5,percent of total billed charges,,,,,,,,,,,
ACUTE CARE BED MONITOR,Local,Local,,,,inpatient,,,2090,2090,1463,3209,2090,percent of total billed charges,1537.687249,,,,,,,,,,2090,percent of total billed charges,1537.687249,,,,,,,,,,2090,percent of total billed charges,999999999,,,,,,,,,,2090,percent of total billed charges,1537.687249,,,,,,,,,,1490.17,percent of total billed charges,743.6221002,,,,,,,,,,1490.17,percent of total billed charges,743.6221002,,,,,,,,,,1490.17,percent of total billed charges,743.6221002,,,,,,,,,,1475.54,percent of total billed charges,1464.344677,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3209,per diem ,810.8102324,"for Medical services, $3,889 per diem for Surgical Services",,,,,,,,,1651.1,percent of total billed charges,1593.382555,,,,,,,,,,1672,percent of total billed charges,999999999,,,,,,,,,,1463,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2557.8588,per diem ,1233.670117,,,,,,,,,,2557.8588,per diem ,1313.677496,,,,,,,,,,2557.8588,per diem ,1102.557552,,,,,,,,,,2557.8588,per diem ,1058.124197,,,,,,,,,,2557.8588,per diem ,999999999,,,,,,,,,,2557.8588,per diem ,999999999,,,,,,,,,,2557.8588,per diem ,999999999,,,,,,,,,,2557.8588,per diem ,642.1866347,,,,,,,,,,2557.8588,per diem ,999999999,,,,,,,,,,2557.8588,per diem ,508.8374034,,,,,,,,,,1881,percent of total billed charges,,,,,,,,,,,
ACUTE CARE BED,Local,Local,,,,inpatient,,,1995,1995,1396.5,3209,1995,percent of total billed charges,1467.792374,,,,,,,,,,1995,percent of total billed charges,1467.792374,,,,,,,,,,1995,percent of total billed charges,999999999,,,,,,,,,,1995,percent of total billed charges,1467.792374,,,,,,,,,,1422.435,percent of total billed charges,709.8210956,,,,,,,,,,1422.435,percent of total billed charges,709.8210956,,,,,,,,,,1422.435,percent of total billed charges,709.8210956,,,,,,,,,,1408.47,percent of total billed charges,1397.783555,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3209,per diem ,810.8102324,"for Medical services, $3,889 per diem for Surgical Services",,,,,,,,,1576.05,percent of total billed charges,1520.956075,,,,,,,,,,1596,percent of total billed charges,999999999,,,,,,,,,,1396.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2557.8588,per diem ,1177.594202,,,,,,,,,,2557.8588,per diem ,1253.964882,,,,,,,,,,2557.8588,per diem ,1052.4413,,,,,,,,,,2557.8588,per diem ,1010.027643,,,,,,,,,,2557.8588,per diem ,999999999,,,,,,,,,,2557.8588,per diem ,999999999,,,,,,,,,,2557.8588,per diem ,999999999,,,,,,,,,,2557.8588,per diem ,612.9963331,,,,,,,,,,2557.8588,per diem ,999999999,,,,,,,,,,2557.8588,per diem ,485.7084305,,,,,,,,,,1795.5,percent of total billed charges,,,,,,,,,,,
ACUTE CARE BED ISOLATION,Local,Local,,,,inpatient,,,2090,2090,1463,3209,2090,percent of total billed charges,1537.687249,,,,,,,,,,2090,percent of total billed charges,1537.687249,,,,,,,,,,2090,percent of total billed charges,999999999,,,,,,,,,,2090,percent of total billed charges,1537.687249,,,,,,,,,,1490.17,percent of total billed charges,743.6221002,,,,,,,,,,1490.17,percent of total billed charges,743.6221002,,,,,,,,,,1490.17,percent of total billed charges,743.6221002,,,,,,,,,,1475.54,percent of total billed charges,1464.344677,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3209,per diem ,810.8102324,"for Medical services, $3,889 per diem for Surgical Services",,,,,,,,,1651.1,percent of total billed charges,1593.382555,,,,,,,,,,1672,percent of total billed charges,999999999,,,,,,,,,,1463,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2557.8588,per diem ,1233.670117,,,,,,,,,,2557.8588,per diem ,1313.677496,,,,,,,,,,2557.8588,per diem ,1102.557552,,,,,,,,,,2557.8588,per diem ,1058.124197,,,,,,,,,,2557.8588,per diem ,999999999,,,,,,,,,,2557.8588,per diem ,999999999,,,,,,,,,,2557.8588,per diem ,999999999,,,,,,,,,,2557.8588,per diem ,642.1866347,,,,,,,,,,2557.8588,per diem ,999999999,,,,,,,,,,2557.8588,per diem ,508.8374034,,,,,,,,,,1881,percent of total billed charges,,,,,,,,,,,
NEGATIVE AIRFLOW ISOLATIO,Local,Local,,,,inpatient,,,2195,2195,1536.5,3209,2195,percent of total billed charges,1614.939479,,,,,,,,,,2195,percent of total billed charges,1614.939479,,,,,,,,,,2195,percent of total billed charges,999999999,,,,,,,,,,2195,percent of total billed charges,1614.939479,,,,,,,,,,1565.035,percent of total billed charges,780.9811052,,,,,,,,,,1565.035,percent of total billed charges,780.9811052,,,,,,,,,,1565.035,percent of total billed charges,780.9811052,,,,,,,,,,1549.67,percent of total billed charges,1537.912232,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3209,per diem ,810.8102324,"for Medical services, $3,889 per diem for Surgical Services",,,,,,,,,1734.05,percent of total billed charges,1673.432875,,,,,,,,,,1756,percent of total billed charges,999999999,,,,,,,,,,1536.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2557.8588,per diem ,1295.648759,,,,,,,,,,2557.8588,per diem ,1379.675647,,,,,,,,,,2557.8588,per diem ,1157.949199,,,,,,,,,,2557.8588,per diem ,1111.283547,,,,,,,,,,2557.8588,per diem ,999999999,,,,,,,,,,2557.8588,per diem ,999999999,,,,,,,,,,2557.8588,per diem ,999999999,,,,,,,,,,2557.8588,per diem ,674.4495996,,,,,,,,,,2557.8588,per diem ,999999999,,,,,,,,,,2557.8588,per diem ,534.401005,,,,,,,,,,1975.5,percent of total billed charges,,,,,,,,,,,
ACUTE CARE BED SWING,Local,Local,,,,inpatient,,,1175,1175,822.5,3209,1175,percent of total billed charges,864.4892427,,,,,,,,,,1175,percent of total billed charges,864.4892427,,,,,,,,,,1175,percent of total billed charges,999999999,,,,,,,,,,1175,percent of total billed charges,864.4892427,,,,,,,,,,837.775,percent of total billed charges,418.0650563,,,,,,,,,,837.775,percent of total billed charges,418.0650563,,,,,,,,,,837.775,percent of total billed charges,418.0650563,,,,,,,,,,829.55,percent of total billed charges,823.2559786,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3209,per diem ,810.8102324,"for Medical services, $3,889 per diem for Surgical Services",,,,,,,,,928.25,percent of total billed charges,895.8011972,,,,,,,,,,940,percent of total billed charges,999999999,,,,,,,,,,822.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2219.4354,per diem ,693.5705202,,,,,,,,,,2219.4354,per diem ,738.5507451,,,,,,,,,,2219.4354,per diem ,619.8589107,,,,,,,,,,2219.4354,per diem ,594.8784363,,,,,,,,,,2219.4354,per diem ,999999999,,,,,,,,,,2219.4354,per diem ,999999999,,,,,,,,,,2219.4354,per diem ,999999999,,,,,,,,,,2219.4354,per diem ,361.0379405,,,,,,,,,,2219.4354,per diem ,999999999,,,,,,,,,,2219.4354,per diem ,286.0688751,,,,,,,,,,1057.5,percent of total billed charges,,,,,,,,,,,
ACUTE CARE BD SWING ISOLA,Local,Local,,,,inpatient,,,1280,1280,896,3209,1280,percent of total billed charges,941.7414729,,,,,,,,,,1280,percent of total billed charges,941.7414729,,,,,,,,,,1280,percent of total billed charges,999999999,,,,,,,,,,1280,percent of total billed charges,941.7414729,,,,,,,,,,912.64,percent of total billed charges,455.4240613,,,,,,,,,,912.64,percent of total billed charges,455.4240613,,,,,,,,,,912.64,percent of total billed charges,455.4240613,,,,,,,,,,903.68,percent of total billed charges,896.8235342,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3209,per diem ,810.8102324,"for Medical services, $3,889 per diem for Surgical Services",,,,,,,,,1011.2,percent of total billed charges,975.8515169,,,,,,,,,,1024,percent of total billed charges,999999999,,,,,,,,,,896,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2219.4354,per diem ,755.5491624,,,,,,,,,,2219.4354,per diem ,804.5488968,,,,,,,,,,2219.4354,per diem ,675.2505581,,,,,,,,,,2219.4354,per diem ,648.037786,,,,,,,,,,2219.4354,per diem ,999999999,,,,,,,,,,2219.4354,per diem ,999999999,,,,,,,,,,2219.4354,per diem ,999999999,,,,,,,,,,2219.4354,per diem ,393.3009054,,,,,,,,,,2219.4354,per diem ,999999999,,,,,,,,,,2219.4354,per diem ,311.6324767,,,,,,,,,,1152,percent of total billed charges,,,,,,,,,,,
ACUTE CARE BD SWING NGAIR,Local,Local,,,,inpatient,,,1485,1485,1039.5,3209,1485,percent of total billed charges,1092.567256,,,,,,,,,,1485,percent of total billed charges,1092.567256,,,,,,,,,,1485,percent of total billed charges,999999999,,,,,,,,,,1485,percent of total billed charges,1092.567256,,,,,,,,,,1058.805,percent of total billed charges,528.3630712,,,,,,,,,,1058.805,percent of total billed charges,528.3630712,,,,,,,,,,1058.805,percent of total billed charges,528.3630712,,,,,,,,,,1048.41,percent of total billed charges,1040.455428,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3209,per diem ,810.8102324,"for Medical services, $3,889 per diem for Surgical Services",,,,,,,,,1173.15,percent of total billed charges,1132.140236,,,,,,,,,,1188,percent of total billed charges,999999999,,,,,,,,,,1039.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2219.4354,per diem ,876.555083,,,,,,,,,,2219.4354,per diem ,933.4024311,,,,,,,,,,2219.4354,per diem ,783.3961553,,,,,,,,,,2219.4354,per diem ,751.8250876,,,,,,,,,,2219.4354,per diem ,999999999,,,,,,,,,,2219.4354,per diem ,999999999,,,,,,,,,,2219.4354,per diem ,999999999,,,,,,,,,,2219.4354,per diem ,456.2905036,,,,,,,,,,2219.4354,per diem ,999999999,,,,,,,,,,2219.4354,per diem ,361.5423656,,,,,,,,,,1336.5,percent of total billed charges,,,,,,,,,,,
HOSPICE BED,Local,Local,,,,inpatient,,,1995,1995,1396.5,3209,1995,percent of total billed charges,1467.792374,,,,,,,,,,1995,percent of total billed charges,1467.792374,,,,,,,,,,1995,percent of total billed charges,999999999,,,,,,,,,,1995,percent of total billed charges,1467.792374,,,,,,,,,,1422.435,percent of total billed charges,709.8210956,,,,,,,,,,1422.435,percent of total billed charges,709.8210956,,,,,,,,,,1422.435,percent of total billed charges,709.8210956,,,,,,,,,,1408.47,percent of total billed charges,1397.783555,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3209,per diem ,810.8102324,"for Medical services, $3,889 per diem for Surgical Services",,,,,,,,,1576.05,percent of total billed charges,1520.956075,,,,,,,,,,1596,percent of total billed charges,999999999,,,,,,,,,,1396.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2557.8588,per diem ,1177.594202,,,,,,,,,,2557.8588,per diem ,1253.964882,,,,,,,,,,2557.8588,per diem ,1052.4413,,,,,,,,,,2557.8588,per diem ,1010.027643,,,,,,,,,,2557.8588,per diem ,999999999,,,,,,,,,,2557.8588,per diem ,999999999,,,,,,,,,,2557.8588,per diem ,999999999,,,,,,,,,,2557.8588,per diem ,612.9963331,,,,,,,,,,2557.8588,per diem ,999999999,,,,,,,,,,2557.8588,per diem ,485.7084305,,,,,,,,,,1795.5,percent of total billed charges,,,,,,,,,,,
HOSPICE BED ISOLATION,Local,Local,,,,inpatient,,,2090,2090,1463,3209,2090,percent of total billed charges,1537.687249,,,,,,,,,,2090,percent of total billed charges,1537.687249,,,,,,,,,,2090,percent of total billed charges,999999999,,,,,,,,,,2090,percent of total billed charges,1537.687249,,,,,,,,,,1490.17,percent of total billed charges,743.6221002,,,,,,,,,,1490.17,percent of total billed charges,743.6221002,,,,,,,,,,1490.17,percent of total billed charges,743.6221002,,,,,,,,,,1475.54,percent of total billed charges,1464.344677,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3209,per diem ,810.8102324,"for Medical services, $3,889 per diem for Surgical Services",,,,,,,,,1651.1,percent of total billed charges,1593.382555,,,,,,,,,,1672,percent of total billed charges,999999999,,,,,,,,,,1463,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2557.8588,per diem ,1233.670117,,,,,,,,,,2557.8588,per diem ,1313.677496,,,,,,,,,,2557.8588,per diem ,1102.557552,,,,,,,,,,2557.8588,per diem ,1058.124197,,,,,,,,,,2557.8588,per diem ,999999999,,,,,,,,,,2557.8588,per diem ,999999999,,,,,,,,,,2557.8588,per diem ,999999999,,,,,,,,,,2557.8588,per diem ,642.1866347,,,,,,,,,,2557.8588,per diem ,999999999,,,,,,,,,,2557.8588,per diem ,508.8374034,,,,,,,,,,1881,percent of total billed charges,,,,,,,,,,,
PEDIATRIC BED,Local,Local,,,,inpatient,,,1995,1995,1396.5,3449,1995,percent of total billed charges,1467.792374,,,,,,,,,,1995,percent of total billed charges,1467.792374,,,,,,,,,,1995,percent of total billed charges,999999999,,,,,,,,,,1995,percent of total billed charges,1467.792374,,,,,,,,,,1422.435,percent of total billed charges,709.8210956,,,,,,,,,,1422.435,percent of total billed charges,709.8210956,,,,,,,,,,1422.435,percent of total billed charges,709.8210956,,,,,,,,,,1408.47,percent of total billed charges,1397.783555,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3449,per diem,871.4504492,,,,,,,,,,1576.05,percent of total billed charges,1520.956075,,,,,,,,,,1596,percent of total billed charges,999999999,,,,,,,,,,1396.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2557.8588,per diem ,1177.594202,,,,,,,,,,2557.8588,per diem ,1253.964882,,,,,,,,,,2557.8588,per diem ,1052.4413,,,,,,,,,,2557.8588,per diem ,1010.027643,,,,,,,,,,2557.8588,per diem ,999999999,,,,,,,,,,2557.8588,per diem ,999999999,,,,,,,,,,2557.8588,per diem ,999999999,,,,,,,,,,2557.8588,per diem ,612.9963331,,,,,,,,,,2557.8588,per diem ,999999999,,,,,,,,,,2557.8588,per diem ,485.7084305,,,,,,,,,,1795.5,percent of total billed charges,,,,,,,,,,,
PEDIACTRIC BED ISOLATION,Local,Local,,,,inpatient,,,2090,2090,1463,3449,2090,percent of total billed charges,1537.687249,,,,,,,,,,2090,percent of total billed charges,1537.687249,,,,,,,,,,2090,percent of total billed charges,999999999,,,,,,,,,,2090,percent of total billed charges,1537.687249,,,,,,,,,,1490.17,percent of total billed charges,743.6221002,,,,,,,,,,1490.17,percent of total billed charges,743.6221002,,,,,,,,,,1490.17,percent of total billed charges,743.6221002,,,,,,,,,,1475.54,percent of total billed charges,1464.344677,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3449,per diem,871.4504492,,,,,,,,,,1651.1,percent of total billed charges,1593.382555,,,,,,,,,,1672,percent of total billed charges,999999999,,,,,,,,,,1463,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2557.8588,per diem ,1233.670117,,,,,,,,,,2557.8588,per diem ,1313.677496,,,,,,,,,,2557.8588,per diem ,1102.557552,,,,,,,,,,2557.8588,per diem ,1058.124197,,,,,,,,,,2557.8588,per diem ,999999999,,,,,,,,,,2557.8588,per diem ,999999999,,,,,,,,,,2557.8588,per diem ,999999999,,,,,,,,,,2557.8588,per diem ,642.1866347,,,,,,,,,,2557.8588,per diem ,999999999,,,,,,,,,,2557.8588,per diem ,508.8374034,,,,,,,,,,1881,percent of total billed charges,,,,,,,,,,,
RESPITE PRIVATE,Local,Local,,,,inpatient,,,1005,1005,703.5,3209,1005,percent of total billed charges,739.4142034,,,,,,,,,,1005,percent of total billed charges,739.4142034,,,,,,,,,,1005,percent of total billed charges,999999999,,,,,,,,,,1005,percent of total billed charges,739.4142034,,,,,,,,,,716.565,percent of total billed charges,357.5790482,,,,,,,,,,716.565,percent of total billed charges,357.5790482,,,,,,,,,,716.565,percent of total billed charges,357.5790482,,,,,,,,,,709.53,percent of total billed charges,704.146603,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3209,per diem ,810.8102324,"for Medical services, $3,889 per diem for Surgical Services",,,,,,,,,793.95,percent of total billed charges,766.1959176,,,,,,,,,,804,percent of total billed charges,999999999,,,,,,,,,,703.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2557.8588,per diem ,593.2241471,,,,,,,,,,2557.8588,per diem ,631.6965948,,,,,,,,,,2557.8588,per diem ,530.177196,,,,,,,,,,2557.8588,per diem ,508.8109179,,,,,,,,,,2557.8588,per diem ,999999999,,,,,,,,,,2557.8588,per diem ,999999999,,,,,,,,,,2557.8588,per diem ,999999999,,,,,,,,,,2557.8588,per diem ,308.802664,,,,,,,,,,2557.8588,per diem ,999999999,,,,,,,,,,2557.8588,per diem ,244.6801868,,,,,,,,,,904.5,percent of total billed charges,,,,,,,,,,,
STANDARD PRIV/SEMI-PRIVAT,Local,Local,,,,inpatient,,,1995,1995,1396.5,3209,1995,percent of total billed charges,1467.792374,,,,,,,,,,1995,percent of total billed charges,1467.792374,,,,,,,,,,1995,percent of total billed charges,999999999,,,,,,,,,,1995,percent of total billed charges,1467.792374,,,,,,,,,,1422.435,percent of total billed charges,709.8210956,,,,,,,,,,1422.435,percent of total billed charges,709.8210956,,,,,,,,,,1422.435,percent of total billed charges,709.8210956,,,,,,,,,,1408.47,percent of total billed charges,1397.783555,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3209,per diem ,810.8102324,"for Medical services, $3,889 per diem for Surgical Services",,,,,,,,,1576.05,percent of total billed charges,1520.956075,,,,,,,,,,1596,percent of total billed charges,999999999,,,,,,,,,,1396.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2557.8588,per diem ,1177.594202,,,,,,,,,,2557.8588,per diem ,1253.964882,,,,,,,,,,2557.8588,per diem ,1052.4413,,,,,,,,,,2557.8588,per diem ,1010.027643,,,,,,,,,,2557.8588,per diem ,999999999,,,,,,,,,,2557.8588,per diem ,999999999,,,,,,,,,,2557.8588,per diem ,999999999,,,,,,,,,,2557.8588,per diem ,612.9963331,,,,,,,,,,2557.8588,per diem ,999999999,,,,,,,,,,2557.8588,per diem ,485.7084305,,,,,,,,,,1795.5,percent of total billed charges,,,,,,,,,,,
cloZAPine (NF) ORAL TABLET 100MG,250,RC,6068-7041-01,NDC,,both,1,EA,4.75,4.75,1.011198737,4.75,4.75,percent of total billed charges,3.494743747,,,,4.75,percent of total billed charges,3.704359273,,,,4.75,percent of total billed charges,3.494743747,,,,4.75,percent of total billed charges,3.704359273,,,,4.75,percent of total billed charges,999999999,,,,4.75,percent of total billed charges,3.619173535,,,,4.75,percent of total billed charges,3.494743747,,,,4.75,percent of total billed charges,3.704359273,,,,3.38675,percent of total billed charges,1.690050228,,,,3.38675,percent of total billed charges,1.011198737,,,,3.38675,percent of total billed charges,1.690050228,,,,3.38675,percent of total billed charges,1.011198737,,,,3.38675,percent of total billed charges,1.690050228,,,,3.38675,percent of total billed charges,1.011198737,,,,3.3535,percent of total billed charges,3.328056084,,,,3.3535,percent of total billed charges,2.295333903,,,,,,,,,,3.42,percent of total billed charges,2.22291952,,,,,,,,,,3.42,percent of total billed charges,999999999,,,,,,,,,,3.8,percent of total billed charges,3.184202469,,,,3.7525,percent of total billed charges,3.621323989,,,,3.7525,percent of total billed charges,3.199559615,,,,3.8,percent of total billed charges,999999999,,,,3.8,percent of total billed charges,999999999,,,,3.325,percent of total billed charges,999999999,,,,3.325,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2.527,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2.39875,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.1875,percent of total billed charges,1.127834527,,,,,,,,,,1.1875,percent of total billed charges,1.109073767,,,,,,,,,,1.1875,percent of total billed charges,1.105991698,,,,,,,,,,1.1875,percent of total billed charges,1.089705984,,,,,,,,,,1.1875,percent of total billed charges,1.117745721,,,,,,,,,,1.1875,percent of total billed charges,999999999,,,,,,,,,,1.1875,percent of total billed charges,0.95910454,,,,,,,,,,1.1875,percent of total billed charges,1.512574,,,,,,,,,,1.1875,percent of total billed charges,999999999,,,,,,,,,,1.1875,percent of total billed charges,1.03414926,,,,,,,,,,4.275,percent of total billed charges,,,,,
NF-BIOTIN ORAL TABLET 5MG,Local,Local,,,,both,,,0.5,0.5,0.106441972,0.5,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,999999999,,,,0.5,percent of total billed charges,0.380965635,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.353,percent of total billed charges,0.350321693,,,,0.353,percent of total billed charges,0.241614095,,,,,,,,,,0.36,percent of total billed charges,0.233991528,,,,,,,,,,0.36,percent of total billed charges,999999999,,,,,,,,,,0.4,percent of total billed charges,0.335179207,,,,0.395,percent of total billed charges,0.381191999,,,,0.395,percent of total billed charges,0.336795749,,,,0.4,percent of total billed charges,999999999,,,,0.4,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.266,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.2525,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.125,percent of total billed charges,0.118719424,,,,,,,,,,0.125,percent of total billed charges,0.116744607,,,,,,,,,,0.125,percent of total billed charges,0.116420179,,,,,,,,,,0.125,percent of total billed charges,0.114705893,,,,,,,,,,0.125,percent of total billed charges,0.117657444,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.100958373,,,,,,,,,,0.125,percent of total billed charges,0.159218316,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.108857817,,,,,,,,,,0.45,percent of total billed charges,,,,,
NF-BIOTIN ORAL TABLET 1000MCG,Local,Local,,,,both,,,2,2,0.425767889,2,2,percent of total billed charges,1.471471051,,,,2,percent of total billed charges,1.55973022,,,,2,percent of total billed charges,1.471471051,,,,2,percent of total billed charges,1.55973022,,,,2,percent of total billed charges,999999999,,,,2,percent of total billed charges,1.523862541,,,,2,percent of total billed charges,1.471471051,,,,2,percent of total billed charges,1.55973022,,,,1.426,percent of total billed charges,0.711600096,,,,1.426,percent of total billed charges,0.425767889,,,,1.426,percent of total billed charges,0.711600096,,,,1.426,percent of total billed charges,0.425767889,,,,1.426,percent of total billed charges,0.711600096,,,,1.426,percent of total billed charges,0.425767889,,,,1.412,percent of total billed charges,1.401286772,,,,1.412,percent of total billed charges,0.96645638,,,,,,,,,,1.44,percent of total billed charges,0.935966114,,,,,,,,,,1.44,percent of total billed charges,999999999,,,,,,,,,,1.6,percent of total billed charges,1.340716829,,,,1.58,percent of total billed charges,1.524767995,,,,1.58,percent of total billed charges,1.347182996,,,,1.6,percent of total billed charges,999999999,,,,1.6,percent of total billed charges,999999999,,,,1.4,percent of total billed charges,999999999,,,,1.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.064,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.01,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.5,percent of total billed charges,0.474877696,,,,,,,,,,0.5,percent of total billed charges,0.466978428,,,,,,,,,,0.5,percent of total billed charges,0.465680715,,,,,,,,,,0.5,percent of total billed charges,0.458823572,,,,,,,,,,0.5,percent of total billed charges,0.470629777,,,,,,,,,,0.5,percent of total billed charges,999999999,,,,,,,,,,0.5,percent of total billed charges,0.403833491,,,,,,,,,,0.5,percent of total billed charges,0.636873263,,,,,,,,,,0.5,percent of total billed charges,999999999,,,,,,,,,,0.5,percent of total billed charges,0.435431268,,,,,,,,,,1.8,percent of total billed charges,,,,,
NF-MYRBETRIQ ORAL TABLET 25MG,Local,Local,,,,both,,,65.41,65.41,13.92473882,65.41,65.41,percent of total billed charges,48.12446074,,,,65.41,percent of total billed charges,51.01097685,,,,65.41,percent of total billed charges,48.12446074,,,,65.41,percent of total billed charges,51.01097685,,,,65.41,percent of total billed charges,999999999,,,,65.41,percent of total billed charges,49.8379244,,,,65.41,percent of total billed charges,48.12446074,,,,65.41,percent of total billed charges,51.01097685,,,,46.63733,percent of total billed charges,23.27288113,,,,46.63733,percent of total billed charges,13.92473882,,,,46.63733,percent of total billed charges,23.27288113,,,,46.63733,percent of total billed charges,13.92473882,,,,46.63733,percent of total billed charges,23.27288113,,,,46.63733,percent of total billed charges,13.92473882,,,,46.17946,percent of total billed charges,45.82908388,,,,46.17946,percent of total billed charges,31.60795591,,,,,,,,,,47.0952,percent of total billed charges,30.61077175,,,,,,,,,,47.0952,percent of total billed charges,999999999,,,,,,,,,,52.328,percent of total billed charges,43.8481439,,,,51.6739,percent of total billed charges,49.86753728,,,,51.6739,percent of total billed charges,44.05961988,,,,52.328,percent of total billed charges,999999999,,,,52.328,percent of total billed charges,999999999,,,,45.787,percent of total billed charges,999999999,,,,45.787,percent of total billed charges,999999999,,,,,,,,,,,,,,,,34.79812,percent of total billed charges,999999999,,,,,,,,,,,,,,,,33.03205,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16.3525,percent of total billed charges,15.53087503,,,,,,,,,,16.3525,percent of total billed charges,15.27252949,,,,,,,,,,16.3525,percent of total billed charges,15.23008779,,,,,,,,,,16.3525,percent of total billed charges,15.00582493,,,,,,,,,,16.3525,percent of total billed charges,15.39194687,,,,,,,,,,16.3525,percent of total billed charges,999999999,,,,,,,,,,16.3525,percent of total billed charges,13.20737431,,,,,,,,,,16.3525,percent of total billed charges,20.82894007,,,,,,,,,,16.3525,percent of total billed charges,999999999,,,,,,,,,,16.3525,percent of total billed charges,14.2407796,,,,,,,,,,58.869,percent of total billed charges,,,,,
NF-CO Q-10 LIQUID CAPSULE 100MG,Local,Local,,,,both,,,2.68,2.68,0.570528972,2.68,2.68,percent of total billed charges,1.971771209,,,,2.68,percent of total billed charges,2.090038495,,,,2.68,percent of total billed charges,1.971771209,,,,2.68,percent of total billed charges,2.090038495,,,,2.68,percent of total billed charges,999999999,,,,2.68,percent of total billed charges,2.041975805,,,,2.68,percent of total billed charges,1.971771209,,,,2.68,percent of total billed charges,2.090038495,,,,1.91084,percent of total billed charges,0.953544128,,,,1.91084,percent of total billed charges,0.570528972,,,,1.91084,percent of total billed charges,0.953544128,,,,1.91084,percent of total billed charges,0.570528972,,,,1.91084,percent of total billed charges,0.953544128,,,,1.91084,percent of total billed charges,0.570528972,,,,1.89208,percent of total billed charges,1.877724275,,,,1.89208,percent of total billed charges,1.295051549,,,,,,,,,,1.9296,percent of total billed charges,1.254194592,,,,,,,,,,1.9296,percent of total billed charges,999999999,,,,,,,,,,2.144,percent of total billed charges,1.796560551,,,,2.1172,percent of total billed charges,2.043189114,,,,2.1172,percent of total billed charges,1.805225214,,,,2.144,percent of total billed charges,999999999,,,,2.144,percent of total billed charges,999999999,,,,1.876,percent of total billed charges,999999999,,,,1.876,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.42576,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.3534,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.67,percent of total billed charges,0.636336112,,,,,,,,,,0.67,percent of total billed charges,0.625751094,,,,,,,,,,0.67,percent of total billed charges,0.624012158,,,,,,,,,,0.67,percent of total billed charges,0.614823587,,,,,,,,,,0.67,percent of total billed charges,0.630643902,,,,,,,,,,0.67,percent of total billed charges,999999999,,,,,,,,,,0.67,percent of total billed charges,0.541136878,,,,,,,,,,0.67,percent of total billed charges,0.853410172,,,,,,,,,,0.67,percent of total billed charges,999999999,,,,,,,,,,0.67,percent of total billed charges,0.583477898,,,,,,,,,,2.412,percent of total billed charges,,,,,
NF-MAGNESIUM GLUCONATE TABLET 500MG,Local,Local,,,,both,,,1,1,0.212883945,1,1,percent of total billed charges,0.735735526,,,,1,percent of total billed charges,0.77986511,,,,1,percent of total billed charges,0.735735526,,,,1,percent of total billed charges,0.77986511,,,,1,percent of total billed charges,999999999,,,,1,percent of total billed charges,0.76193127,,,,1,percent of total billed charges,0.735735526,,,,1,percent of total billed charges,0.77986511,,,,0.713,percent of total billed charges,0.355800048,,,,0.713,percent of total billed charges,0.212883945,,,,0.713,percent of total billed charges,0.355800048,,,,0.713,percent of total billed charges,0.212883945,,,,0.713,percent of total billed charges,0.355800048,,,,0.713,percent of total billed charges,0.212883945,,,,0.706,percent of total billed charges,0.700643386,,,,0.706,percent of total billed charges,0.48322819,,,,,,,,,,0.72,percent of total billed charges,0.467983057,,,,,,,,,,0.72,percent of total billed charges,999999999,,,,,,,,,,0.8,percent of total billed charges,0.670358415,,,,0.79,percent of total billed charges,0.762383998,,,,0.79,percent of total billed charges,0.673591498,,,,0.8,percent of total billed charges,999999999,,,,0.8,percent of total billed charges,999999999,,,,0.7,percent of total billed charges,999999999,,,,0.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.532,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.505,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.25,percent of total billed charges,0.237438848,,,,,,,,,,0.25,percent of total billed charges,0.233489214,,,,,,,,,,0.25,percent of total billed charges,0.232840358,,,,,,,,,,0.25,percent of total billed charges,0.229411786,,,,,,,,,,0.25,percent of total billed charges,0.235314889,,,,,,,,,,0.25,percent of total billed charges,999999999,,,,,,,,,,0.25,percent of total billed charges,0.201916745,,,,,,,,,,0.25,percent of total billed charges,0.318436632,,,,,,,,,,0.25,percent of total billed charges,999999999,,,,,,,,,,0.25,percent of total billed charges,0.217715634,,,,,,,,,,0.9,percent of total billed charges,,,,,
NF-GLEEVEC ORAL TABLET 400MG,Local,Local,,,,both,,,2293.04,2293.04,488.1514004,2293.04,2293.04,percent of total billed charges,1687.07099,,,,2293.04,percent of total billed charges,1788.261892,,,,2293.04,percent of total billed charges,1687.07099,,,,2293.04,percent of total billed charges,1788.261892,,,,2293.04,percent of total billed charges,999999999,,,,2293.04,percent of total billed charges,1747.13888,,,,2293.04,percent of total billed charges,1687.07099,,,,2293.04,percent of total billed charges,1788.261892,,,,1634.93752,percent of total billed charges,815.8637419,,,,1634.93752,percent of total billed charges,488.1514004,,,,1634.93752,percent of total billed charges,815.8637419,,,,1634.93752,percent of total billed charges,488.1514004,,,,1634.93752,percent of total billed charges,815.8637419,,,,1634.93752,percent of total billed charges,488.1514004,,,,1618.88624,percent of total billed charges,1606.60331,,,,1618.88624,percent of total billed charges,1108.061569,,,,,,,,,,1650.9888,percent of total billed charges,1073.103869,,,,,,,,,,1650.9888,percent of total billed charges,999999999,,,,,,,,,,1834.432,percent of total billed charges,1537.158659,,,,1811.5016,percent of total billed charges,1748.177002,,,,1811.5016,percent of total billed charges,1544.572248,,,,1834.432,percent of total billed charges,999999999,,,,1834.432,percent of total billed charges,999999999,,,,1605.128,percent of total billed charges,999999999,,,,1605.128,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1219.89728,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1157.9852,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,573.26,percent of total billed charges,544.4567755,,,,,,,,,,573.26,percent of total billed charges,535.4001075,,,,,,,,,,573.26,percent of total billed charges,533.9122535,,,,,,,,,,573.26,percent of total billed charges,526.0504021,,,,,,,,,,573.26,percent of total billed charges,539.5864523,,,,,,,,,,573.26,percent of total billed charges,999999999,,,,,,,,,,573.26,percent of total billed charges,463.0031737,,,,,,,,,,573.26,percent of total billed charges,730.1879335,,,,,,,,,,573.26,percent of total billed charges,999999999,,,,,,,,,,573.26,percent of total billed charges,499.2306569,,,,,,,,,,2063.736,percent of total billed charges,,,,,
"NF-MYRBETRIQ 25MG ORAL TABLET, EXTENDED",Local,Local,,,,both,,,89.32,89.32,19.01479393,89.32,89.32,percent of total billed charges,65.71589716,,,,89.32,percent of total billed charges,69.65755163,,,,89.32,percent of total billed charges,65.71589716,,,,89.32,percent of total billed charges,69.65755163,,,,89.32,percent of total billed charges,999999999,,,,89.32,percent of total billed charges,68.05570107,,,,89.32,percent of total billed charges,65.71589716,,,,89.32,percent of total billed charges,69.65755163,,,,63.68516,percent of total billed charges,31.78006028,,,,63.68516,percent of total billed charges,19.01479393,,,,63.68516,percent of total billed charges,31.78006028,,,,63.68516,percent of total billed charges,19.01479393,,,,63.68516,percent of total billed charges,31.78006028,,,,63.68516,percent of total billed charges,19.01479393,,,,63.05992,percent of total billed charges,62.58146724,,,,63.05992,percent of total billed charges,43.16194193,,,,,,,,,,64.3104,percent of total billed charges,41.80024664,,,,,,,,,,64.3104,percent of total billed charges,999999999,,,,,,,,,,71.456,percent of total billed charges,59.87641359,,,,70.5628,percent of total billed charges,68.09613866,,,,70.5628,percent of total billed charges,60.1651926,,,,71.456,percent of total billed charges,999999999,,,,71.456,percent of total billed charges,999999999,,,,62.524,percent of total billed charges,999999999,,,,62.524,percent of total billed charges,999999999,,,,,,,,,,,,,,,,47.51824,percent of total billed charges,999999999,,,,,,,,,,,,,,,,45.1066,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,22.33,percent of total billed charges,21.20803788,,,,,,,,,,22.33,percent of total billed charges,20.8552566,,,,,,,,,,22.33,percent of total billed charges,20.79730074,,,,,,,,,,22.33,percent of total billed charges,20.49106074,,,,,,,,,,22.33,percent of total billed charges,21.01832585,,,,,,,,,,22.33,percent of total billed charges,999999999,,,,,,,,,,22.33,percent of total billed charges,18.03520369,,,,,,,,,,22.33,percent of total billed charges,28.44275993,,,,,,,,,,22.33,percent of total billed charges,999999999,,,,,,,,,,22.33,percent of total billed charges,19.44636041,,,,,,,,,,80.388,percent of total billed charges,,,,,
NF-CO-Q-10 ORAL LIQUID CAPSULE 100MG,Local,Local,,,,both,,,2,2,0.425767889,2,2,percent of total billed charges,1.471471051,,,,2,percent of total billed charges,1.55973022,,,,2,percent of total billed charges,1.471471051,,,,2,percent of total billed charges,1.55973022,,,,2,percent of total billed charges,999999999,,,,2,percent of total billed charges,1.523862541,,,,2,percent of total billed charges,1.471471051,,,,2,percent of total billed charges,1.55973022,,,,1.426,percent of total billed charges,0.711600096,,,,1.426,percent of total billed charges,0.425767889,,,,1.426,percent of total billed charges,0.711600096,,,,1.426,percent of total billed charges,0.425767889,,,,1.426,percent of total billed charges,0.711600096,,,,1.426,percent of total billed charges,0.425767889,,,,1.412,percent of total billed charges,1.401286772,,,,1.412,percent of total billed charges,0.96645638,,,,,,,,,,1.44,percent of total billed charges,0.935966114,,,,,,,,,,1.44,percent of total billed charges,999999999,,,,,,,,,,1.6,percent of total billed charges,1.340716829,,,,1.58,percent of total billed charges,1.524767995,,,,1.58,percent of total billed charges,1.347182996,,,,1.6,percent of total billed charges,999999999,,,,1.6,percent of total billed charges,999999999,,,,1.4,percent of total billed charges,999999999,,,,1.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.064,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.01,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.5,percent of total billed charges,0.474877696,,,,,,,,,,0.5,percent of total billed charges,0.466978428,,,,,,,,,,0.5,percent of total billed charges,0.465680715,,,,,,,,,,0.5,percent of total billed charges,0.458823572,,,,,,,,,,0.5,percent of total billed charges,0.470629777,,,,,,,,,,0.5,percent of total billed charges,999999999,,,,,,,,,,0.5,percent of total billed charges,0.403833491,,,,,,,,,,0.5,percent of total billed charges,0.636873263,,,,,,,,,,0.5,percent of total billed charges,999999999,,,,,,,,,,0.5,percent of total billed charges,0.435431268,,,,,,,,,,1.8,percent of total billed charges,,,,,
NF-CRANBERRY CONCENTRATE CAPSULE 500MG,Local,Local,,,,both,,,0.13,0.13,0.027674913,0.13,0.13,percent of total billed charges,0.095645618,,,,0.13,percent of total billed charges,0.101382464,,,,0.13,percent of total billed charges,0.095645618,,,,0.13,percent of total billed charges,0.101382464,,,,0.13,percent of total billed charges,999999999,,,,0.13,percent of total billed charges,0.099051065,,,,0.13,percent of total billed charges,0.095645618,,,,0.13,percent of total billed charges,0.101382464,,,,0.09269,percent of total billed charges,0.046254006,,,,0.09269,percent of total billed charges,0.027674913,,,,0.09269,percent of total billed charges,0.046254006,,,,0.09269,percent of total billed charges,0.027674913,,,,0.09269,percent of total billed charges,0.046254006,,,,0.09269,percent of total billed charges,0.027674913,,,,0.09178,percent of total billed charges,0.09108364,,,,0.09178,percent of total billed charges,0.062819665,,,,,,,,,,0.0936,percent of total billed charges,0.060837797,,,,,,,,,,0.0936,percent of total billed charges,999999999,,,,,,,,,,0.104,percent of total billed charges,0.087146594,,,,0.1027,percent of total billed charges,0.09910992,,,,0.1027,percent of total billed charges,0.087566895,,,,0.104,percent of total billed charges,999999999,,,,0.104,percent of total billed charges,999999999,,,,0.091,percent of total billed charges,999999999,,,,0.091,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.06916,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.06565,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.0325,percent of total billed charges,0.03086705,,,,,,,,,,0.0325,percent of total billed charges,0.030353598,,,,,,,,,,0.0325,percent of total billed charges,0.030269246,,,,,,,,,,0.0325,percent of total billed charges,0.029823532,,,,,,,,,,0.0325,percent of total billed charges,0.030590936,,,,,,,,,,0.0325,percent of total billed charges,999999999,,,,,,,,,,0.0325,percent of total billed charges,0.026249177,,,,,,,,,,0.0325,percent of total billed charges,0.041396762,,,,,,,,,,0.0325,percent of total billed charges,999999999,,,,,,,,,,0.0325,percent of total billed charges,0.028303032,,,,,,,,,,0.117,percent of total billed charges,,,,,
NF-BREO ELLIPTA INH PWD 100MCG-25MCG/1AC,Local,Local,,,,both,,,509.43,509.43,108.4494679,509.43,509.43,percent of total billed charges,374.8057489,,,,509.43,percent of total billed charges,397.286683,,,,509.43,percent of total billed charges,374.8057489,,,,509.43,percent of total billed charges,397.286683,,,,509.43,percent of total billed charges,999999999,,,,509.43,percent of total billed charges,388.1506471,,,,509.43,percent of total billed charges,374.8057489,,,,509.43,percent of total billed charges,397.286683,,,,363.22359,percent of total billed charges,181.2552184,,,,363.22359,percent of total billed charges,108.4494679,,,,363.22359,percent of total billed charges,181.2552184,,,,363.22359,percent of total billed charges,108.4494679,,,,363.22359,percent of total billed charges,181.2552184,,,,363.22359,percent of total billed charges,108.4494679,,,,359.65758,percent of total billed charges,356.9287602,,,,359.65758,percent of total billed charges,246.1709369,,,,,,,,,,366.7896,percent of total billed charges,238.4046087,,,,,,,,,,366.7896,percent of total billed charges,999999999,,,,,,,,,,407.544,percent of total billed charges,341.5006871,,,,402.4497,percent of total billed charges,388.3812799,,,,402.4497,percent of total billed charges,343.1477168,,,,407.544,percent of total billed charges,999999999,,,,407.544,percent of total billed charges,999999999,,,,356.601,percent of total billed charges,999999999,,,,356.601,percent of total billed charges,999999999,,,,,,,,,,,,,,,,271.01676,percent of total billed charges,999999999,,,,,,,,,,,,,,,,257.26215,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,127.3575,percent of total billed charges,120.9584722,,,,,,,,,,127.3575,percent of total billed charges,118.9464103,,,,,,,,,,127.3575,percent of total billed charges,118.6158634,,,,,,,,,,127.3575,percent of total billed charges,116.8692462,,,,,,,,,,127.3575,percent of total billed charges,119.8764637,,,,,,,,,,127.3575,percent of total billed charges,999999999,,,,,,,,,,127.3575,percent of total billed charges,102.8624476,,,,,,,,,,127.3575,percent of total billed charges,162.2211732,,,,,,,,,,127.3575,percent of total billed charges,999999999,,,,,,,,,,127.3575,percent of total billed charges,110.9108753,,,,,,,,,,458.487,percent of total billed charges,,,,,
NF-Breo Ellipta Inh Pwd 100MCG/25,Local,Local,,,,both,,,974.28,974.28,207.4085696,974.28,974.28,percent of total billed charges,716.812408,,,,974.28,percent of total billed charges,759.8069794,,,,974.28,percent of total billed charges,716.812408,,,,974.28,percent of total billed charges,759.8069794,,,,974.28,percent of total billed charges,999999999,,,,974.28,percent of total billed charges,742.3343982,,,,974.28,percent of total billed charges,716.812408,,,,974.28,percent of total billed charges,759.8069794,,,,694.66164,percent of total billed charges,346.6488707,,,,694.66164,percent of total billed charges,207.4085696,,,,694.66164,percent of total billed charges,346.6488707,,,,694.66164,percent of total billed charges,207.4085696,,,,694.66164,percent of total billed charges,346.6488707,,,,694.66164,percent of total billed charges,207.4085696,,,,687.84168,percent of total billed charges,682.6228382,,,,687.84168,percent of total billed charges,470.799561,,,,,,,,,,701.4816,percent of total billed charges,455.9465327,,,,,,,,,,701.4816,percent of total billed charges,999999999,,,,,,,,,,779.424,percent of total billed charges,653.1167962,,,,769.6812,percent of total billed charges,742.7754812,,,,769.6812,percent of total billed charges,656.2667246,,,,779.424,percent of total billed charges,999999999,,,,779.424,percent of total billed charges,999999999,,,,681.996,percent of total billed charges,999999999,,,,681.996,percent of total billed charges,999999999,,,,,,,,,,,,,,,,518.31696,percent of total billed charges,999999999,,,,,,,,,,,,,,,,492.0114,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,243.57,percent of total billed charges,231.3319206,,,,,,,,,,243.57,percent of total billed charges,227.4838715,,,,,,,,,,243.57,percent of total billed charges,226.8517036,,,,,,,,,,243.57,percent of total billed charges,223.511315,,,,,,,,,,243.57,percent of total billed charges,229.2625897,,,,,,,,,,243.57,percent of total billed charges,999999999,,,,,,,,,,243.57,percent of total billed charges,196.7234467,,,,,,,,,,243.57,percent of total billed charges,310.2464414,,,,,,,,,,243.57,percent of total billed charges,999999999,,,,,,,,,,243.57,percent of total billed charges,212.1159877,,,,,,,,,,876.852,percent of total billed charges,,,,,
NF-DULERA INH AER PWD 5MCG-200MCG/ACT,Local,Local,,,,both,,,484.5,484.5,103.1422712,484.5,484.5,percent of total billed charges,356.4638622,,,,484.5,percent of total billed charges,377.8446458,,,,484.5,percent of total billed charges,356.4638622,,,,484.5,percent of total billed charges,377.8446458,,,,484.5,percent of total billed charges,999999999,,,,484.5,percent of total billed charges,369.1557005,,,,484.5,percent of total billed charges,356.4638622,,,,484.5,percent of total billed charges,377.8446458,,,,345.4485,percent of total billed charges,172.3851232,,,,345.4485,percent of total billed charges,103.1422712,,,,345.4485,percent of total billed charges,172.3851232,,,,345.4485,percent of total billed charges,103.1422712,,,,345.4485,percent of total billed charges,172.3851232,,,,345.4485,percent of total billed charges,103.1422712,,,,342.057,percent of total billed charges,339.4617206,,,,342.057,percent of total billed charges,234.1240581,,,,,,,,,,348.84,percent of total billed charges,226.7377911,,,,,,,,,,348.84,percent of total billed charges,999999999,,,,,,,,,,387.6,percent of total billed charges,324.7886519,,,,382.755,percent of total billed charges,369.3750468,,,,382.755,percent of total billed charges,326.3550808,,,,387.6,percent of total billed charges,999999999,,,,387.6,percent of total billed charges,999999999,,,,339.15,percent of total billed charges,999999999,,,,339.15,percent of total billed charges,999999999,,,,,,,,,,,,,,,,257.754,percent of total billed charges,999999999,,,,,,,,,,,,,,,,244.6725,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,121.125,percent of total billed charges,115.0391217,,,,,,,,,,121.125,percent of total billed charges,113.1255242,,,,,,,,,,121.125,percent of total billed charges,112.8111532,,,,,,,,,,121.125,percent of total billed charges,111.1500104,,,,,,,,,,121.125,percent of total billed charges,114.0100635,,,,,,,,,,121.125,percent of total billed charges,999999999,,,,,,,,,,121.125,percent of total billed charges,97.82866312,,,,,,,,,,121.125,percent of total billed charges,154.282548,,,,,,,,,,121.125,percent of total billed charges,999999999,,,,,,,,,,121.125,percent of total billed charges,105.4832246,,,,,,,,,,436.05,percent of total billed charges,,,,,
NF-OSTEO BI-FLEX ORAL TABLET 200MG-250MG,Local,Local,,,,both,,,3.12,3.12,0.664197907,3.12,3.12,percent of total billed charges,2.29549484,,,,3.12,percent of total billed charges,2.433179143,,,,3.12,percent of total billed charges,2.29549484,,,,3.12,percent of total billed charges,2.433179143,,,,3.12,percent of total billed charges,999999999,,,,3.12,percent of total billed charges,2.377225564,,,,3.12,percent of total billed charges,2.29549484,,,,3.12,percent of total billed charges,2.433179143,,,,2.22456,percent of total billed charges,1.11009615,,,,2.22456,percent of total billed charges,0.664197907,,,,2.22456,percent of total billed charges,1.11009615,,,,2.22456,percent of total billed charges,0.664197907,,,,2.22456,percent of total billed charges,1.11009615,,,,2.22456,percent of total billed charges,0.664197907,,,,2.20272,percent of total billed charges,2.186007365,,,,2.20272,percent of total billed charges,1.507671953,,,,,,,,,,2.2464,percent of total billed charges,1.460107137,,,,,,,,,,2.2464,percent of total billed charges,999999999,,,,,,,,,,2.496,percent of total billed charges,2.091518254,,,,2.4648,percent of total billed charges,2.378638072,,,,2.4648,percent of total billed charges,2.101605474,,,,2.496,percent of total billed charges,999999999,,,,2.496,percent of total billed charges,999999999,,,,2.184,percent of total billed charges,999999999,,,,2.184,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.65984,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.5756,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.78,percent of total billed charges,0.740809205,,,,,,,,,,0.78,percent of total billed charges,0.728486348,,,,,,,,,,0.78,percent of total billed charges,0.726461916,,,,,,,,,,0.78,percent of total billed charges,0.715764773,,,,,,,,,,0.78,percent of total billed charges,0.734182453,,,,,,,,,,0.78,percent of total billed charges,999999999,,,,,,,,,,0.78,percent of total billed charges,0.629980245,,,,,,,,,,0.78,percent of total billed charges,0.99352229,,,,,,,,,,0.78,percent of total billed charges,999999999,,,,,,,,,,0.78,percent of total billed charges,0.679272777,,,,,,,,,,2.808,percent of total billed charges,,,,,
NF-INVOKANA ORAL TABLET 300MG,Local,Local,,,,both,,,99.09,99.09,21.09467007,99.09,99.09,percent of total billed charges,72.90403324,,,,99.09,percent of total billed charges,77.27683375,,,,99.09,percent of total billed charges,72.90403324,,,,99.09,percent of total billed charges,77.27683375,,,,99.09,percent of total billed charges,999999999,,,,99.09,percent of total billed charges,75.49976959,,,,99.09,percent of total billed charges,72.90403324,,,,99.09,percent of total billed charges,77.27683375,,,,70.65117,percent of total billed charges,35.25622675,,,,70.65117,percent of total billed charges,21.09467007,,,,70.65117,percent of total billed charges,35.25622675,,,,70.65117,percent of total billed charges,21.09467007,,,,70.65117,percent of total billed charges,35.25622675,,,,70.65117,percent of total billed charges,21.09467007,,,,69.95754,percent of total billed charges,69.42675313,,,,69.95754,percent of total billed charges,47.88308135,,,,,,,,,,71.3448,percent of total billed charges,46.37244111,,,,,,,,,,71.3448,percent of total billed charges,999999999,,,,,,,,,,79.272,percent of total billed charges,66.4258153,,,,78.2811,percent of total billed charges,75.54463032,,,,78.2811,percent of total billed charges,66.74618153,,,,79.272,percent of total billed charges,999999999,,,,79.272,percent of total billed charges,999999999,,,,69.363,percent of total billed charges,999999999,,,,69.363,percent of total billed charges,999999999,,,,,,,,,,,,,,,,52.71588,percent of total billed charges,999999999,,,,,,,,,,,,,,,,50.04045,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,24.7725,percent of total billed charges,23.52781542,,,,,,,,,,24.7725,percent of total billed charges,23.13644622,,,,,,,,,,24.7725,percent of total billed charges,23.07215103,,,,,,,,,,24.7725,percent of total billed charges,22.73241389,,,,,,,,,,24.7725,percent of total billed charges,23.31735232,,,,,,,,,,24.7725,percent of total billed charges,999999999,,,,,,,,,,24.7725,percent of total billed charges,20.0079303,,,,,,,,,,24.7725,percent of total billed charges,31.55388582,,,,,,,,,,24.7725,percent of total billed charges,999999999,,,,,,,,,,24.7725,percent of total billed charges,21.57344215,,,,,,,,,,89.181,percent of total billed charges,,,,,
NF-Dulera Inh Aer Pwd 5MCG-100MCG/Act,Local,Local,,,,both,,,615,615,130.9236259,615,615,percent of total billed charges,452.4773483,,,,615,percent of total billed charges,479.6170427,,,,615,percent of total billed charges,452.4773483,,,,615,percent of total billed charges,479.6170427,,,,615,percent of total billed charges,999999999,,,,615,percent of total billed charges,468.5877313,,,,615,percent of total billed charges,452.4773483,,,,615,percent of total billed charges,479.6170427,,,,438.495,percent of total billed charges,218.8170295,,,,438.495,percent of total billed charges,130.9236259,,,,438.495,percent of total billed charges,218.8170295,,,,438.495,percent of total billed charges,130.9236259,,,,438.495,percent of total billed charges,218.8170295,,,,438.495,percent of total billed charges,130.9236259,,,,434.19,percent of total billed charges,430.8956824,,,,434.19,percent of total billed charges,297.1853369,,,,,,,,,,442.8,percent of total billed charges,287.80958,,,,,,,,,,442.8,percent of total billed charges,999999999,,,,,,,,,,492,percent of total billed charges,412.270425,,,,485.85,percent of total billed charges,468.8661585,,,,485.85,percent of total billed charges,414.2587712,,,,492,percent of total billed charges,999999999,,,,492,percent of total billed charges,999999999,,,,430.5,percent of total billed charges,999999999,,,,430.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,327.18,percent of total billed charges,999999999,,,,,,,,,,,,,,,,310.575,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,153.75,percent of total billed charges,146.0248914,,,,,,,,,,153.75,percent of total billed charges,143.5958667,,,,,,,,,,153.75,percent of total billed charges,143.1968199,,,,,,,,,,153.75,percent of total billed charges,141.0882485,,,,,,,,,,153.75,percent of total billed charges,144.7186565,,,,,,,,,,153.75,percent of total billed charges,999999999,,,,,,,,,,153.75,percent of total billed charges,124.1787984,,,,,,,,,,153.75,percent of total billed charges,195.8385284,,,,,,,,,,153.75,percent of total billed charges,999999999,,,,,,,,,,153.75,percent of total billed charges,133.8951148,,,,,,,,,,553.5,percent of total billed charges,,,,,
**NF-DRONABINOL CAP 2.5MG,Local,Local,,,,both,,,35,35,7.450938062,35,35,percent of total billed charges,25.7507434,,,,35,percent of total billed charges,27.29527885,,,,35,percent of total billed charges,25.7507434,,,,35,percent of total billed charges,27.29527885,,,,35,percent of total billed charges,999999999,,,,35,percent of total billed charges,26.66759446,,,,35,percent of total billed charges,25.7507434,,,,35,percent of total billed charges,27.29527885,,,,24.955,percent of total billed charges,12.45300168,,,,24.955,percent of total billed charges,7.450938062,,,,24.955,percent of total billed charges,12.45300168,,,,24.955,percent of total billed charges,7.450938062,,,,24.955,percent of total billed charges,12.45300168,,,,24.955,percent of total billed charges,7.450938062,,,,24.71,percent of total billed charges,24.52251851,,,,24.71,percent of total billed charges,16.91298665,,,,,,,,,,25.2,percent of total billed charges,16.37940699,,,,,,,,,,25.2,percent of total billed charges,999999999,,,,,,,,,,28,percent of total billed charges,23.46254451,,,,27.65,percent of total billed charges,26.68343992,,,,27.65,percent of total billed charges,23.57570243,,,,28,percent of total billed charges,999999999,,,,28,percent of total billed charges,999999999,,,,24.5,percent of total billed charges,999999999,,,,24.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,18.62,percent of total billed charges,999999999,,,,,,,,,,,,,,,,17.675,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8.75,percent of total billed charges,8.310359672,,,,,,,,,,8.75,percent of total billed charges,8.172122493,,,,,,,,,,8.75,percent of total billed charges,8.149412515,,,,,,,,,,8.75,percent of total billed charges,8.029412515,,,,,,,,,,8.75,percent of total billed charges,8.236021103,,,,,,,,,,8.75,percent of total billed charges,999999999,,,,,,,,,,8.75,percent of total billed charges,7.067086087,,,,,,,,,,8.75,percent of total billed charges,11.1452821,,,,,,,,,,8.75,percent of total billed charges,999999999,,,,,,,,,,8.75,percent of total billed charges,7.620047182,,,,,,,,,,31.5,percent of total billed charges,,,,,
NF-VITRASE SUBCUTANEOUS SOLUTION 200U/1M,Local,Local,,,,both,,,679,679,144.5481984,679,679,percent of total billed charges,499.564422,,,,679,percent of total billed charges,529.5284097,,,,679,percent of total billed charges,499.564422,,,,679,percent of total billed charges,529.5284097,,,,679,percent of total billed charges,999999999,,,,679,percent of total billed charges,517.3513326,,,,679,percent of total billed charges,499.564422,,,,679,percent of total billed charges,529.5284097,,,,484.127,percent of total billed charges,241.5882325,,,,484.127,percent of total billed charges,144.5481984,,,,484.127,percent of total billed charges,241.5882325,,,,484.127,percent of total billed charges,144.5481984,,,,484.127,percent of total billed charges,241.5882325,,,,484.127,percent of total billed charges,144.5481984,,,,479.374,percent of total billed charges,475.7368591,,,,479.374,percent of total billed charges,328.111941,,,,,,,,,,488.88,percent of total billed charges,317.7604956,,,,,,,,,,488.88,percent of total billed charges,999999999,,,,,,,,,,543.2,percent of total billed charges,455.1733635,,,,536.41,percent of total billed charges,517.6587344,,,,536.41,percent of total billed charges,457.3686271,,,,543.2,percent of total billed charges,999999999,,,,543.2,percent of total billed charges,999999999,,,,475.3,percent of total billed charges,999999999,,,,475.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,361.228,percent of total billed charges,999999999,,,,,,,,,,,,,,,,342.895,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,169.75,percent of total billed charges,161.2209776,,,,,,,,,,169.75,percent of total billed charges,158.5391764,,,,,,,,,,169.75,percent of total billed charges,158.0986028,,,,,,,,,,169.75,percent of total billed charges,155.7706028,,,,,,,,,,169.75,percent of total billed charges,159.7788094,,,,,,,,,,169.75,percent of total billed charges,999999999,,,,,,,,,,169.75,percent of total billed charges,137.1014701,,,,,,,,,,169.75,percent of total billed charges,216.2184728,,,,,,,,,,169.75,percent of total billed charges,999999999,,,,,,,,,,169.75,percent of total billed charges,147.8289153,,,,,,,,,,611.1,percent of total billed charges,,,,,
NF-EPSOM SALT POWDER,Local,Local,,,,both,,,24.51,24.51,5.217785483,24.51,24.51,percent of total billed charges,18.03287774,,,,24.51,percent of total billed charges,19.11449385,,,,24.51,percent of total billed charges,18.03287774,,,,24.51,percent of total billed charges,19.11449385,,,,24.51,percent of total billed charges,999999999,,,,24.51,percent of total billed charges,18.67493544,,,,24.51,percent of total billed charges,18.03287774,,,,24.51,percent of total billed charges,19.11449385,,,,17.47563,percent of total billed charges,8.720659175,,,,17.47563,percent of total billed charges,5.217785483,,,,17.47563,percent of total billed charges,8.720659175,,,,17.47563,percent of total billed charges,5.217785483,,,,17.47563,percent of total billed charges,8.720659175,,,,17.47563,percent of total billed charges,5.217785483,,,,17.30406,percent of total billed charges,17.17276939,,,,17.30406,percent of total billed charges,11.84392294,,,,,,,,,,17.6472,percent of total billed charges,11.47026472,,,,,,,,,,17.6472,percent of total billed charges,999999999,,,,,,,,,,19.608,percent of total billed charges,16.43048474,,,,19.3629,percent of total billed charges,18.68603178,,,,19.3629,percent of total billed charges,16.50972761,,,,19.608,percent of total billed charges,999999999,,,,19.608,percent of total billed charges,999999999,,,,17.157,percent of total billed charges,999999999,,,,17.157,percent of total billed charges,999999999,,,,,,,,,,,,,,,,13.03932,percent of total billed charges,999999999,,,,,,,,,,,,,,,,12.37755,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6.1275,percent of total billed charges,5.819626159,,,,,,,,,,6.1275,percent of total billed charges,5.722820637,,,,,,,,,,6.1275,percent of total billed charges,5.706917164,,,,,,,,,,6.1275,percent of total billed charges,5.622882878,,,,,,,,,,6.1275,percent of total billed charges,5.767567921,,,,,,,,,,6.1275,percent of total billed charges,999999999,,,,,,,,,,6.1275,percent of total billed charges,4.948979428,,,,,,,,,,6.1275,percent of total billed charges,7.804881839,,,,,,,,,,6.1275,percent of total billed charges,999999999,,,,,,,,,,6.1275,percent of total billed charges,5.336210184,,,,,,,,,,22.059,percent of total billed charges,,,,,
NF-FAMOTIDINE 10 ORAL TABLET 10MG,Local,Local,,,,both,,,0.6,0.6,0.127730367,0.6,0.6,percent of total billed charges,0.441441315,,,,0.6,percent of total billed charges,0.467919066,,,,0.6,percent of total billed charges,0.441441315,,,,0.6,percent of total billed charges,0.467919066,,,,0.6,percent of total billed charges,999999999,,,,0.6,percent of total billed charges,0.457158762,,,,0.6,percent of total billed charges,0.441441315,,,,0.6,percent of total billed charges,0.467919066,,,,0.4278,percent of total billed charges,0.213480029,,,,0.4278,percent of total billed charges,0.127730367,,,,0.4278,percent of total billed charges,0.213480029,,,,0.4278,percent of total billed charges,0.127730367,,,,0.4278,percent of total billed charges,0.213480029,,,,0.4278,percent of total billed charges,0.127730367,,,,0.4236,percent of total billed charges,0.420386032,,,,0.4236,percent of total billed charges,0.289936914,,,,,,,,,,0.432,percent of total billed charges,0.280789834,,,,,,,,,,0.432,percent of total billed charges,999999999,,,,,,,,,,0.48,percent of total billed charges,0.402215049,,,,0.474,percent of total billed charges,0.457430399,,,,0.474,percent of total billed charges,0.404154899,,,,0.48,percent of total billed charges,999999999,,,,0.48,percent of total billed charges,999999999,,,,0.42,percent of total billed charges,999999999,,,,0.42,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.3192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.303,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.15,percent of total billed charges,0.142463309,,,,,,,,,,0.15,percent of total billed charges,0.140093528,,,,,,,,,,0.15,percent of total billed charges,0.139704215,,,,,,,,,,0.15,percent of total billed charges,0.137647072,,,,,,,,,,0.15,percent of total billed charges,0.141188933,,,,,,,,,,0.15,percent of total billed charges,999999999,,,,,,,,,,0.15,percent of total billed charges,0.121150047,,,,,,,,,,0.15,percent of total billed charges,0.191061979,,,,,,,,,,0.15,percent of total billed charges,999999999,,,,,,,,,,0.15,percent of total billed charges,0.13062938,,,,,,,,,,0.54,percent of total billed charges,,,,,
NF-LEFLUNOMIDE ORAL TABLET 20MG,Local,Local,,,,both,,,8.9,8.9,1.894667107,8.9,8.9,percent of total billed charges,6.548046179,,,,8.9,percent of total billed charges,6.940799479,,,,8.9,percent of total billed charges,6.548046179,,,,8.9,percent of total billed charges,6.940799479,,,,8.9,percent of total billed charges,999999999,,,,8.9,percent of total billed charges,6.781188307,,,,8.9,percent of total billed charges,6.548046179,,,,8.9,percent of total billed charges,6.940799479,,,,6.3457,percent of total billed charges,3.166620427,,,,6.3457,percent of total billed charges,1.894667107,,,,6.3457,percent of total billed charges,3.166620427,,,,6.3457,percent of total billed charges,1.894667107,,,,6.3457,percent of total billed charges,3.166620427,,,,6.3457,percent of total billed charges,1.894667107,,,,6.2834,percent of total billed charges,6.235726136,,,,6.2834,percent of total billed charges,4.300730891,,,,,,,,,,6.408,percent of total billed charges,4.165049206,,,,,,,,,,6.408,percent of total billed charges,999999999,,,,,,,,,,7.12,percent of total billed charges,5.96618989,,,,7.031,percent of total billed charges,6.785217578,,,,7.031,percent of total billed charges,5.994964332,,,,7.12,percent of total billed charges,999999999,,,,7.12,percent of total billed charges,999999999,,,,6.23,percent of total billed charges,999999999,,,,6.23,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.7348,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.4945,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.225,percent of total billed charges,2.113205745,,,,,,,,,,2.225,percent of total billed charges,2.078054005,,,,,,,,,,2.225,percent of total billed charges,2.072279182,,,,,,,,,,2.225,percent of total billed charges,2.041764897,,,,,,,,,,2.225,percent of total billed charges,2.094302509,,,,,,,,,,2.225,percent of total billed charges,999999999,,,,,,,,,,2.225,percent of total billed charges,1.797059034,,,,,,,,,,2.225,percent of total billed charges,2.834086021,,,,,,,,,,2.225,percent of total billed charges,999999999,,,,,,,,,,2.225,percent of total billed charges,1.937669141,,,,,,,,,,8.01,percent of total billed charges,,,,,
NF-CEFPODOXIME PROXETIL ORAL TAB 100MG,Local,Local,,,,both,,,32,32,6.812286228,32,32,percent of total billed charges,23.54353682,,,,32,percent of total billed charges,24.95568352,,,,32,percent of total billed charges,23.54353682,,,,32,percent of total billed charges,24.95568352,,,,32,percent of total billed charges,999999999,,,,32,percent of total billed charges,24.38180065,,,,32,percent of total billed charges,23.54353682,,,,32,percent of total billed charges,24.95568352,,,,22.816,percent of total billed charges,11.38560153,,,,22.816,percent of total billed charges,6.812286228,,,,22.816,percent of total billed charges,11.38560153,,,,22.816,percent of total billed charges,6.812286228,,,,22.816,percent of total billed charges,11.38560153,,,,22.816,percent of total billed charges,6.812286228,,,,22.592,percent of total billed charges,22.42058835,,,,22.592,percent of total billed charges,15.46330208,,,,,,,,,,23.04,percent of total billed charges,14.97545782,,,,,,,,,,23.04,percent of total billed charges,999999999,,,,,,,,,,25.6,percent of total billed charges,21.45146927,,,,25.28,percent of total billed charges,24.39628792,,,,25.28,percent of total billed charges,21.55492793,,,,25.6,percent of total billed charges,999999999,,,,25.6,percent of total billed charges,999999999,,,,22.4,percent of total billed charges,999999999,,,,22.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,17.024,percent of total billed charges,999999999,,,,,,,,,,,,,,,,16.16,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8,percent of total billed charges,7.598043128,,,,,,,,,,8,percent of total billed charges,7.471654851,,,,,,,,,,8,percent of total billed charges,7.450891442,,,,,,,,,,8,percent of total billed charges,7.341177156,,,,,,,,,,8,percent of total billed charges,7.530076437,,,,,,,,,,8,percent of total billed charges,999999999,,,,,,,,,,8,percent of total billed charges,6.461335851,,,,,,,,,,8,percent of total billed charges,10.18997221,,,,,,,,,,8,percent of total billed charges,999999999,,,,,,,,,,8,percent of total billed charges,6.966900281,,,,,,,,,,28.8,percent of total billed charges,,,,,
NF-Bromocriptine Mesylate Tablet 2.5MG,Local,Local,,,,both,,,30.18,30.18,6.424837449,30.18,30.18,percent of total billed charges,22.20449817,,,,30.18,percent of total billed charges,23.53632902,,,,30.18,percent of total billed charges,22.20449817,,,,30.18,percent of total billed charges,23.53632902,,,,30.18,percent of total billed charges,999999999,,,,30.18,percent of total billed charges,22.99508574,,,,30.18,percent of total billed charges,22.20449817,,,,30.18,percent of total billed charges,23.53632902,,,,21.51834,percent of total billed charges,10.73804545,,,,21.51834,percent of total billed charges,6.424837449,,,,21.51834,percent of total billed charges,10.73804545,,,,21.51834,percent of total billed charges,6.424837449,,,,21.51834,percent of total billed charges,10.73804545,,,,21.51834,percent of total billed charges,6.424837449,,,,21.30708,percent of total billed charges,21.14541739,,,,21.30708,percent of total billed charges,14.58382678,,,,,,,,,,21.7296,percent of total billed charges,14.12372866,,,,,,,,,,21.7296,percent of total billed charges,999999999,,,,,,,,,,24.144,percent of total billed charges,20.23141695,,,,23.8422,percent of total billed charges,23.00874905,,,,23.8422,percent of total billed charges,20.32899141,,,,24.144,percent of total billed charges,999999999,,,,24.144,percent of total billed charges,999999999,,,,21.126,percent of total billed charges,999999999,,,,21.126,percent of total billed charges,999999999,,,,,,,,,,,,,,,,16.05576,percent of total billed charges,999999999,,,,,,,,,,,,,,,,15.2409,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7.545,percent of total billed charges,7.165904426,,,,,,,,,,7.545,percent of total billed charges,7.046704481,,,,,,,,,,7.545,percent of total billed charges,7.027121991,,,,,,,,,,7.545,percent of total billed charges,6.923647705,,,,,,,,,,7.545,percent of total billed charges,7.101803339,,,,,,,,,,7.545,percent of total billed charges,999999999,,,,,,,,,,7.545,percent of total billed charges,6.093847374,,,,,,,,,,7.545,percent of total billed charges,9.610417539,,,,,,,,,,7.545,percent of total billed charges,999999999,,,,,,,,,,7.545,percent of total billed charges,6.570657827,,,,,,,,,,27.162,percent of total billed charges,,,,,
NF-COENZYME Q-10 LIQ CAP 100MG,Local,Local,,,,both,,,1.44,1.44,0.30655288,1.44,1.44,percent of total billed charges,1.059459157,,,,1.44,percent of total billed charges,1.123005758,,,,1.44,percent of total billed charges,1.059459157,,,,1.44,percent of total billed charges,1.123005758,,,,1.44,percent of total billed charges,999999999,,,,1.44,percent of total billed charges,1.097181029,,,,1.44,percent of total billed charges,1.059459157,,,,1.44,percent of total billed charges,1.123005758,,,,1.02672,percent of total billed charges,0.512352069,,,,1.02672,percent of total billed charges,0.30655288,,,,1.02672,percent of total billed charges,0.512352069,,,,1.02672,percent of total billed charges,0.30655288,,,,1.02672,percent of total billed charges,0.512352069,,,,1.02672,percent of total billed charges,0.30655288,,,,1.01664,percent of total billed charges,1.008926476,,,,1.01664,percent of total billed charges,0.695848594,,,,,,,,,,1.0368,percent of total billed charges,0.673895602,,,,,,,,,,1.0368,percent of total billed charges,999999999,,,,,,,,,,1.152,percent of total billed charges,0.965316117,,,,1.1376,percent of total billed charges,1.097832957,,,,1.1376,percent of total billed charges,0.969971757,,,,1.152,percent of total billed charges,999999999,,,,1.152,percent of total billed charges,999999999,,,,1.008,percent of total billed charges,999999999,,,,1.008,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.76608,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.7272,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.36,percent of total billed charges,0.341911941,,,,,,,,,,0.36,percent of total billed charges,0.336224468,,,,,,,,,,0.36,percent of total billed charges,0.335290115,,,,,,,,,,0.36,percent of total billed charges,0.330352972,,,,,,,,,,0.36,percent of total billed charges,0.33885344,,,,,,,,,,0.36,percent of total billed charges,999999999,,,,,,,,,,0.36,percent of total billed charges,0.290760113,,,,,,,,,,0.36,percent of total billed charges,0.458548749,,,,,,,,,,0.36,percent of total billed charges,999999999,,,,,,,,,,0.36,percent of total billed charges,0.313510513,,,,,,,,,,1.296,percent of total billed charges,,,,,
NF-SODIUM CHLORIDE TABLET 1GM,Local,Local,,,,both,,,1,1,0.212883945,1,1,percent of total billed charges,0.735735526,,,,1,percent of total billed charges,0.77986511,,,,1,percent of total billed charges,0.735735526,,,,1,percent of total billed charges,0.77986511,,,,1,percent of total billed charges,999999999,,,,1,percent of total billed charges,0.76193127,,,,1,percent of total billed charges,0.735735526,,,,1,percent of total billed charges,0.77986511,,,,0.713,percent of total billed charges,0.355800048,,,,0.713,percent of total billed charges,0.212883945,,,,0.713,percent of total billed charges,0.355800048,,,,0.713,percent of total billed charges,0.212883945,,,,0.713,percent of total billed charges,0.355800048,,,,0.713,percent of total billed charges,0.212883945,,,,0.706,percent of total billed charges,0.700643386,,,,0.706,percent of total billed charges,0.48322819,,,,,,,,,,0.72,percent of total billed charges,0.467983057,,,,,,,,,,0.72,percent of total billed charges,999999999,,,,,,,,,,0.8,percent of total billed charges,0.670358415,,,,0.79,percent of total billed charges,0.762383998,,,,0.79,percent of total billed charges,0.673591498,,,,0.8,percent of total billed charges,999999999,,,,0.8,percent of total billed charges,999999999,,,,0.7,percent of total billed charges,999999999,,,,0.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.532,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.505,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.25,percent of total billed charges,0.237438848,,,,,,,,,,0.25,percent of total billed charges,0.233489214,,,,,,,,,,0.25,percent of total billed charges,0.232840358,,,,,,,,,,0.25,percent of total billed charges,0.229411786,,,,,,,,,,0.25,percent of total billed charges,0.235314889,,,,,,,,,,0.25,percent of total billed charges,999999999,,,,,,,,,,0.25,percent of total billed charges,0.201916745,,,,,,,,,,0.25,percent of total billed charges,0.318436632,,,,,,,,,,0.25,percent of total billed charges,999999999,,,,,,,,,,0.25,percent of total billed charges,0.217715634,,,,,,,,,,0.9,percent of total billed charges,,,,,
NF-DESIPRAMINE HCL ORAL TABLET 25MG,Local,Local,,,,both,,,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
NF-CALCIUM MAGNESIUM ZINC W/VITAMIN D TA,Local,Local,,,,both,,,2,2,0.425767889,2,2,percent of total billed charges,1.471471051,,,,2,percent of total billed charges,1.55973022,,,,2,percent of total billed charges,1.471471051,,,,2,percent of total billed charges,1.55973022,,,,2,percent of total billed charges,999999999,,,,2,percent of total billed charges,1.523862541,,,,2,percent of total billed charges,1.471471051,,,,2,percent of total billed charges,1.55973022,,,,1.426,percent of total billed charges,0.711600096,,,,1.426,percent of total billed charges,0.425767889,,,,1.426,percent of total billed charges,0.711600096,,,,1.426,percent of total billed charges,0.425767889,,,,1.426,percent of total billed charges,0.711600096,,,,1.426,percent of total billed charges,0.425767889,,,,1.412,percent of total billed charges,1.401286772,,,,1.412,percent of total billed charges,0.96645638,,,,,,,,,,1.44,percent of total billed charges,0.935966114,,,,,,,,,,1.44,percent of total billed charges,999999999,,,,,,,,,,1.6,percent of total billed charges,1.340716829,,,,1.58,percent of total billed charges,1.524767995,,,,1.58,percent of total billed charges,1.347182996,,,,1.6,percent of total billed charges,999999999,,,,1.6,percent of total billed charges,999999999,,,,1.4,percent of total billed charges,999999999,,,,1.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.064,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.01,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.5,percent of total billed charges,0.474877696,,,,,,,,,,0.5,percent of total billed charges,0.466978428,,,,,,,,,,0.5,percent of total billed charges,0.465680715,,,,,,,,,,0.5,percent of total billed charges,0.458823572,,,,,,,,,,0.5,percent of total billed charges,0.470629777,,,,,,,,,,0.5,percent of total billed charges,999999999,,,,,,,,,,0.5,percent of total billed charges,0.403833491,,,,,,,,,,0.5,percent of total billed charges,0.636873263,,,,,,,,,,0.5,percent of total billed charges,999999999,,,,,,,,,,0.5,percent of total billed charges,0.435431268,,,,,,,,,,1.8,percent of total billed charges,,,,,
NF-FLUNISOLIDE SPRAY 0.025MG/ACT,Local,Local,,,,both,,,342.43,342.43,72.89784916,342.43,342.43,percent of total billed charges,251.9379161,,,,342.43,percent of total billed charges,267.0492096,,,,342.43,percent of total billed charges,251.9379161,,,,342.43,percent of total billed charges,267.0492096,,,,342.43,percent of total billed charges,999999999,,,,342.43,percent of total billed charges,260.9081249,,,,342.43,percent of total billed charges,251.9379161,,,,342.43,percent of total billed charges,267.0492096,,,,244.15259,percent of total billed charges,121.8366104,,,,244.15259,percent of total billed charges,72.89784916,,,,244.15259,percent of total billed charges,121.8366104,,,,244.15259,percent of total billed charges,72.89784916,,,,244.15259,percent of total billed charges,121.8366104,,,,244.15259,percent of total billed charges,72.89784916,,,,241.75558,percent of total billed charges,239.9213147,,,,241.75558,percent of total billed charges,165.4718291,,,,,,,,,,246.5496,percent of total billed charges,160.2514382,,,,,,,,,,246.5496,percent of total billed charges,999999999,,,,,,,,,,273.944,percent of total billed charges,229.5508319,,,,270.5197,percent of total billed charges,261.0631523,,,,270.5197,percent of total billed charges,230.6579366,,,,273.944,percent of total billed charges,999999999,,,,273.944,percent of total billed charges,999999999,,,,239.701,percent of total billed charges,999999999,,,,239.701,percent of total billed charges,999999999,,,,,,,,,,,,,,,,182.17276,percent of total billed charges,999999999,,,,,,,,,,,,,,,,172.92715,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,85.6075,percent of total billed charges,81.30618464,,,,,,,,,,85.6075,percent of total billed charges,79.95371158,,,,,,,,,,85.6075,percent of total billed charges,79.73152364,,,,,,,,,,85.6075,percent of total billed charges,78.55747793,,,,,,,,,,85.6075,percent of total billed charges,80.57887732,,,,,,,,,,85.6075,percent of total billed charges,999999999,,,,,,,,,,85.6075,percent of total billed charges,69.14235111,,,,,,,,,,85.6075,percent of total billed charges,109.0422557,,,,,,,,,,85.6075,percent of total billed charges,999999999,,,,,,,,,,85.6075,percent of total billed charges,74.55236447,,,,,,,,,,308.187,percent of total billed charges,,,,,
NF-TEGRETOL TAB 200MG,Local,Local,,,,both,,,13.87,13.87,2.952700312,13.87,13.87,percent of total billed charges,10.20465174,,,,13.87,percent of total billed charges,10.81672908,,,,13.87,percent of total billed charges,10.20465174,,,,13.87,percent of total billed charges,10.81672908,,,,13.87,percent of total billed charges,999999999,,,,13.87,percent of total billed charges,10.56798672,,,,13.87,percent of total billed charges,10.20465174,,,,13.87,percent of total billed charges,10.81672908,,,,9.88931,percent of total billed charges,4.934946665,,,,9.88931,percent of total billed charges,2.952700312,,,,9.88931,percent of total billed charges,4.934946665,,,,9.88931,percent of total billed charges,2.952700312,,,,9.88931,percent of total billed charges,4.934946665,,,,9.88931,percent of total billed charges,2.952700312,,,,9.79222,percent of total billed charges,9.717923765,,,,9.79222,percent of total billed charges,6.702374996,,,,,,,,,,9.9864,percent of total billed charges,6.490924999,,,,,,,,,,9.9864,percent of total billed charges,999999999,,,,,,,,,,11.096,percent of total billed charges,9.29787121,,,,10.9573,percent of total billed charges,10.57426605,,,,10.9573,percent of total billed charges,9.342714076,,,,11.096,percent of total billed charges,999999999,,,,11.096,percent of total billed charges,999999999,,,,9.709,percent of total billed charges,999999999,,,,9.709,percent of total billed charges,999999999,,,,,,,,,,,,,,,,7.37884,percent of total billed charges,999999999,,,,,,,,,,,,,,,,7.00435,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3.4675,percent of total billed charges,3.293276818,,,,,,,,,,3.4675,percent of total billed charges,3.238495399,,,,,,,,,,3.4675,percent of total billed charges,3.229495759,,,,,,,,,,3.4675,percent of total billed charges,3.181941474,,,,,,,,,,3.4675,percent of total billed charges,3.263817506,,,,,,,,,,3.4675,percent of total billed charges,999999999,,,,,,,,,,3.4675,percent of total billed charges,2.800585258,,,,,,,,,,3.4675,percent of total billed charges,4.416716079,,,,,,,,,,3.4675,percent of total billed charges,999999999,,,,,,,,,,3.4675,percent of total billed charges,3.01971584,,,,,,,,,,12.483,percent of total billed charges,,,,,
NF-DEPAKOTE DR ORAL TAB DR 500MG,Local,Local,,,,both,,,35.21,35.21,7.49564369,35.21,35.21,percent of total billed charges,25.90524786,,,,35.21,percent of total billed charges,27.45905052,,,,35.21,percent of total billed charges,25.90524786,,,,35.21,percent of total billed charges,27.45905052,,,,35.21,percent of total billed charges,999999999,,,,35.21,percent of total billed charges,26.82760003,,,,35.21,percent of total billed charges,25.90524786,,,,35.21,percent of total billed charges,27.45905052,,,,25.10473,percent of total billed charges,12.52771969,,,,25.10473,percent of total billed charges,7.49564369,,,,25.10473,percent of total billed charges,12.52771969,,,,25.10473,percent of total billed charges,7.49564369,,,,25.10473,percent of total billed charges,12.52771969,,,,25.10473,percent of total billed charges,7.49564369,,,,24.85826,percent of total billed charges,24.66965362,,,,24.85826,percent of total billed charges,17.01446457,,,,,,,,,,25.3512,percent of total billed charges,16.47768343,,,,,,,,,,25.3512,percent of total billed charges,999999999,,,,,,,,,,28.168,percent of total billed charges,23.60331978,,,,27.8159,percent of total billed charges,26.84354055,,,,27.8159,percent of total billed charges,23.71715664,,,,28.168,percent of total billed charges,999999999,,,,28.168,percent of total billed charges,999999999,,,,24.647,percent of total billed charges,999999999,,,,24.647,percent of total billed charges,999999999,,,,,,,,,,,,,,,,18.73172,percent of total billed charges,999999999,,,,,,,,,,,,,,,,17.78105,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8.8025,percent of total billed charges,8.36022183,,,,,,,,,,8.8025,percent of total billed charges,8.221155228,,,,,,,,,,8.8025,percent of total billed charges,8.19830899,,,,,,,,,,8.8025,percent of total billed charges,8.07758899,,,,,,,,,,8.8025,percent of total billed charges,8.285437229,,,,,,,,,,8.8025,percent of total billed charges,999999999,,,,,,,,,,8.8025,percent of total billed charges,7.109488604,,,,,,,,,,8.8025,percent of total billed charges,11.2121538,,,,,,,,,,8.8025,percent of total billed charges,999999999,,,,,,,,,,8.8025,percent of total billed charges,7.665767465,,,,,,,,,,31.689,percent of total billed charges,,,,,
NF-NAMZARIC CAP ER 28MG-10MG,Local,Local,,,,both,,,92.52,92.52,19.69602256,92.52,92.52,percent of total billed charges,68.07025084,,,,92.52,percent of total billed charges,72.15311998,,,,92.52,percent of total billed charges,68.07025084,,,,92.52,percent of total billed charges,72.15311998,,,,92.52,percent of total billed charges,999999999,,,,92.52,percent of total billed charges,70.49388114,,,,92.52,percent of total billed charges,68.07025084,,,,92.52,percent of total billed charges,72.15311998,,,,65.96676,percent of total billed charges,32.91862043,,,,65.96676,percent of total billed charges,19.69602256,,,,65.96676,percent of total billed charges,32.91862043,,,,65.96676,percent of total billed charges,19.69602256,,,,65.96676,percent of total billed charges,32.91862043,,,,65.96676,percent of total billed charges,19.69602256,,,,65.31912,percent of total billed charges,64.82352608,,,,65.31912,percent of total billed charges,44.70827214,,,,,,,,,,66.6144,percent of total billed charges,43.29779242,,,,,,,,,,66.6144,percent of total billed charges,999999999,,,,,,,,,,74.016,percent of total billed charges,62.02156052,,,,73.0908,percent of total billed charges,70.53576746,,,,73.0908,percent of total billed charges,62.32068539,,,,74.016,percent of total billed charges,999999999,,,,74.016,percent of total billed charges,999999999,,,,64.764,percent of total billed charges,999999999,,,,64.764,percent of total billed charges,999999999,,,,,,,,,,,,,,,,49.22064,percent of total billed charges,999999999,,,,,,,,,,,,,,,,46.7226,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23.13,percent of total billed charges,21.9678422,,,,,,,,,,23.13,percent of total billed charges,21.60242209,,,,,,,,,,23.13,percent of total billed charges,21.54238988,,,,,,,,,,23.13,percent of total billed charges,21.22517845,,,,,,,,,,23.13,percent of total billed charges,21.7713335,,,,,,,,,,23.13,percent of total billed charges,999999999,,,,,,,,,,23.13,percent of total billed charges,18.68133728,,,,,,,,,,23.13,percent of total billed charges,29.46175715,,,,,,,,,,23.13,percent of total billed charges,999999999,,,,,,,,,,23.13,percent of total billed charges,20.14305044,,,,,,,,,,83.268,percent of total billed charges,,,,,
NF-Voriconazole Oral Tablet 200MG,Local,Local,,,,both,,,67.71,67.71,14.41437189,67.71,67.71,percent of total billed charges,49.81665245,,,,67.71,percent of total billed charges,52.8046666,,,,67.71,percent of total billed charges,49.81665245,,,,67.71,percent of total billed charges,52.8046666,,,,67.71,percent of total billed charges,999999999,,,,67.71,percent of total billed charges,51.59036632,,,,67.71,percent of total billed charges,49.81665245,,,,67.71,percent of total billed charges,52.8046666,,,,48.27723,percent of total billed charges,24.09122125,,,,48.27723,percent of total billed charges,14.41437189,,,,48.27723,percent of total billed charges,24.09122125,,,,48.27723,percent of total billed charges,14.41437189,,,,48.27723,percent of total billed charges,24.09122125,,,,48.27723,percent of total billed charges,14.41437189,,,,47.80326,percent of total billed charges,47.44056367,,,,47.80326,percent of total billed charges,32.71938075,,,,,,,,,,48.7512,percent of total billed charges,31.68713278,,,,,,,,,,48.7512,percent of total billed charges,999999999,,,,,,,,,,54.168,percent of total billed charges,45.38996825,,,,53.4909,percent of total billed charges,51.62102048,,,,53.4909,percent of total billed charges,45.60888033,,,,54.168,percent of total billed charges,999999999,,,,54.168,percent of total billed charges,999999999,,,,47.397,percent of total billed charges,999999999,,,,47.397,percent of total billed charges,999999999,,,,,,,,,,,,,,,,36.02172,percent of total billed charges,999999999,,,,,,,,,,,,,,,,34.19355,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16.9275,percent of total billed charges,16.07698438,,,,,,,,,,16.9275,percent of total billed charges,15.80955469,,,,,,,,,,16.9275,percent of total billed charges,15.76562061,,,,,,,,,,16.9275,percent of total billed charges,15.53347204,,,,,,,,,,16.9275,percent of total billed charges,15.93317111,,,,,,,,,,16.9275,percent of total billed charges,999999999,,,,,,,,,,16.9275,percent of total billed charges,13.67178283,,,,,,,,,,16.9275,percent of total billed charges,21.56134432,,,,,,,,,,16.9275,percent of total billed charges,999999999,,,,,,,,,,16.9275,percent of total billed charges,14.74152556,,,,,,,,,,60.939,percent of total billed charges,,,,,
NF-Simbrinza Ophthalmic Suspension 0.2%-,Local,Local,,,,both,,,483.85,483.85,103.0038966,483.85,483.85,percent of total billed charges,355.9856341,,,,483.85,percent of total billed charges,377.3377335,,,,483.85,percent of total billed charges,355.9856341,,,,483.85,percent of total billed charges,377.3377335,,,,483.85,percent of total billed charges,999999999,,,,483.85,percent of total billed charges,368.6604452,,,,483.85,percent of total billed charges,355.9856341,,,,483.85,percent of total billed charges,377.3377335,,,,344.98505,percent of total billed charges,172.1538532,,,,344.98505,percent of total billed charges,103.0038966,,,,344.98505,percent of total billed charges,172.1538532,,,,344.98505,percent of total billed charges,103.0038966,,,,344.98505,percent of total billed charges,172.1538532,,,,344.98505,percent of total billed charges,103.0038966,,,,341.5981,percent of total billed charges,339.0063024,,,,341.5981,percent of total billed charges,233.8099598,,,,,,,,,,348.372,percent of total billed charges,226.4336021,,,,,,,,,,348.372,percent of total billed charges,999999999,,,,,,,,,,387.08,percent of total billed charges,324.3529189,,,,382.2415,percent of total billed charges,368.8794972,,,,382.2415,percent of total billed charges,325.9172463,,,,387.08,percent of total billed charges,999999999,,,,387.08,percent of total billed charges,999999999,,,,338.695,percent of total billed charges,999999999,,,,338.695,percent of total billed charges,999999999,,,,,,,,,,,,,,,,257.4082,percent of total billed charges,999999999,,,,,,,,,,,,,,,,244.34425,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,120.9625,percent of total billed charges,114.8847865,,,,,,,,,,120.9625,percent of total billed charges,112.9737562,,,,,,,,,,120.9625,percent of total billed charges,112.659807,,,,,,,,,,120.9625,percent of total billed charges,111.0008927,,,,,,,,,,120.9625,percent of total billed charges,113.8571089,,,,,,,,,,120.9625,percent of total billed charges,999999999,,,,,,,,,,120.9625,percent of total billed charges,97.69741723,,,,,,,,,,120.9625,percent of total billed charges,154.0755642,,,,,,,,,,120.9625,percent of total billed charges,999999999,,,,,,,,,,120.9625,percent of total billed charges,105.3417094,,,,,,,,,,435.465,percent of total billed charges,,,,,
NF-AXIRON SOLN 30MG/1.5ML,Local,Local,,,,both,,,1619.08,1619.08,344.6761371,1619.08,1619.08,percent of total billed charges,1191.214675,,,,1619.08,percent of total billed charges,1262.664002,,,,1619.08,percent of total billed charges,1191.214675,,,,1619.08,percent of total billed charges,1262.664002,,,,1619.08,percent of total billed charges,999999999,,,,1619.08,percent of total billed charges,1233.627681,,,,1619.08,percent of total billed charges,1191.214675,,,,1619.08,percent of total billed charges,1262.664002,,,,1154.40404,percent of total billed charges,576.0687416,,,,1154.40404,percent of total billed charges,344.6761371,,,,1154.40404,percent of total billed charges,576.0687416,,,,1154.40404,percent of total billed charges,344.6761371,,,,1154.40404,percent of total billed charges,576.0687416,,,,1154.40404,percent of total billed charges,344.6761371,,,,1143.07048,percent of total billed charges,1134.397694,,,,1143.07048,percent of total billed charges,782.3850979,,,,,,,,,,1165.7376,percent of total billed charges,757.7020077,,,,,,,,,,1165.7376,percent of total billed charges,999999999,,,,,,,,,,1295.264,percent of total billed charges,1085.363902,,,,1279.0732,percent of total billed charges,1234.360683,,,,1279.0732,percent of total billed charges,1090.598522,,,,1295.264,percent of total billed charges,999999999,,,,1295.264,percent of total billed charges,999999999,,,,1133.356,percent of total billed charges,999999999,,,,1133.356,percent of total billed charges,999999999,,,,,,,,,,,,,,,,861.35056,percent of total billed charges,999999999,,,,,,,,,,,,,,,,817.6354,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,404.77,percent of total billed charges,384.4324896,,,,,,,,,,404.77,percent of total billed charges,378.0377168,,,,,,,,,,404.77,percent of total billed charges,376.9871661,,,,,,,,,,404.77,percent of total billed charges,371.4360347,,,,,,,,,,404.77,percent of total billed charges,380.9936299,,,,,,,,,,404.77,percent of total billed charges,999999999,,,,,,,,,,404.77,percent of total billed charges,326.9193641,,,,,,,,,,404.77,percent of total billed charges,515.5743814,,,,,,,,,,404.77,percent of total billed charges,999999999,,,,,,,,,,404.77,percent of total billed charges,352.4990283,,,,,,,,,,1457.172,percent of total billed charges,,,,,
NF-Invokana Oral Tablet 300MG,Local,Local,,,,both,,,85.32,85.32,18.16325816,85.32,85.32,percent of total billed charges,62.77295505,,,,85.32,percent of total billed charges,66.53809119,,,,85.32,percent of total billed charges,62.77295505,,,,85.32,percent of total billed charges,66.53809119,,,,85.32,percent of total billed charges,999999999,,,,85.32,percent of total billed charges,65.00797599,,,,85.32,percent of total billed charges,62.77295505,,,,85.32,percent of total billed charges,66.53809119,,,,60.83316,percent of total billed charges,30.35686009,,,,60.83316,percent of total billed charges,18.16325816,,,,60.83316,percent of total billed charges,30.35686009,,,,60.83316,percent of total billed charges,18.16325816,,,,60.83316,percent of total billed charges,30.35686009,,,,60.83316,percent of total billed charges,18.16325816,,,,60.23592,percent of total billed charges,59.7788937,,,,60.23592,percent of total billed charges,41.22902917,,,,,,,,,,61.4304,percent of total billed charges,39.92831441,,,,,,,,,,61.4304,percent of total billed charges,999999999,,,,,,,,,,68.256,percent of total billed charges,57.19497993,,,,67.4028,percent of total billed charges,65.04660267,,,,67.4028,percent of total billed charges,57.4708266,,,,68.256,percent of total billed charges,999999999,,,,68.256,percent of total billed charges,999999999,,,,59.724,percent of total billed charges,999999999,,,,59.724,percent of total billed charges,999999999,,,,,,,,,,,,,,,,45.39024,percent of total billed charges,999999999,,,,,,,,,,,,,,,,43.0866,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21.33,percent of total billed charges,20.25828249,,,,,,,,,,21.33,percent of total billed charges,19.92129975,,,,,,,,,,21.33,percent of total billed charges,19.86593931,,,,,,,,,,21.33,percent of total billed charges,19.57341359,,,,,,,,,,21.33,percent of total billed charges,20.0770663,,,,,,,,,,21.33,percent of total billed charges,999999999,,,,,,,,,,21.33,percent of total billed charges,17.22753671,,,,,,,,,,21.33,percent of total billed charges,27.1690134,,,,,,,,,,21.33,percent of total billed charges,999999999,,,,,,,,,,21.33,percent of total billed charges,18.57549787,,,,,,,,,,76.788,percent of total billed charges,,,,,
NF-GABAPENTIN ORAL SOLUTION 250MG/5ML,Local,Local,,,,both,,,2.39,2.39,0.508792628,2.39,2.39,percent of total billed charges,1.758407906,,,,2.39,percent of total billed charges,1.863877613,,,,2.39,percent of total billed charges,1.758407906,,,,2.39,percent of total billed charges,1.863877613,,,,2.39,percent of total billed charges,999999999,,,,2.39,percent of total billed charges,1.821015736,,,,2.39,percent of total billed charges,1.758407906,,,,2.39,percent of total billed charges,1.863877613,,,,1.70407,percent of total billed charges,0.850362115,,,,1.70407,percent of total billed charges,0.508792628,,,,1.70407,percent of total billed charges,0.850362115,,,,1.70407,percent of total billed charges,0.508792628,,,,1.70407,percent of total billed charges,0.850362115,,,,1.70407,percent of total billed charges,0.508792628,,,,1.68734,percent of total billed charges,1.674537693,,,,1.68734,percent of total billed charges,1.154915374,,,,,,,,,,1.7208,percent of total billed charges,1.118479506,,,,,,,,,,1.7208,percent of total billed charges,999999999,,,,,,,,,,1.912,percent of total billed charges,1.602156611,,,,1.8881,percent of total billed charges,1.822097754,,,,1.8881,percent of total billed charges,1.60988368,,,,1.912,percent of total billed charges,999999999,,,,1.912,percent of total billed charges,999999999,,,,1.673,percent of total billed charges,999999999,,,,1.673,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.27148,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.20695,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.5975,percent of total billed charges,0.567478846,,,,,,,,,,0.5975,percent of total billed charges,0.558039222,,,,,,,,,,0.5975,percent of total billed charges,0.556488455,,,,,,,,,,0.5975,percent of total billed charges,0.548294169,,,,,,,,,,0.5975,percent of total billed charges,0.562402584,,,,,,,,,,0.5975,percent of total billed charges,999999999,,,,,,,,,,0.5975,percent of total billed charges,0.482581021,,,,,,,,,,0.5975,percent of total billed charges,0.761063549,,,,,,,,,,0.5975,percent of total billed charges,999999999,,,,,,,,,,0.5975,percent of total billed charges,0.520340365,,,,,,,,,,2.151,percent of total billed charges,,,,,
NF-Co Q-10 Liquid Capsule 100MG,Local,Local,,,,both,,,2.46,2.46,0.523694504,2.46,2.46,percent of total billed charges,1.809909393,,,,2.46,percent of total billed charges,1.918468171,,,,2.46,percent of total billed charges,1.809909393,,,,2.46,percent of total billed charges,1.918468171,,,,2.46,percent of total billed charges,999999999,,,,2.46,percent of total billed charges,1.874350925,,,,2.46,percent of total billed charges,1.809909393,,,,2.46,percent of total billed charges,1.918468171,,,,1.75398,percent of total billed charges,0.875268118,,,,1.75398,percent of total billed charges,0.523694504,,,,1.75398,percent of total billed charges,0.875268118,,,,1.75398,percent of total billed charges,0.523694504,,,,1.75398,percent of total billed charges,0.875268118,,,,1.75398,percent of total billed charges,0.523694504,,,,1.73676,percent of total billed charges,1.72358273,,,,1.73676,percent of total billed charges,1.188741347,,,,,,,,,,1.7712,percent of total billed charges,1.15123832,,,,,,,,,,1.7712,percent of total billed charges,999999999,,,,,,,,,,1.968,percent of total billed charges,1.6490817,,,,1.9434,percent of total billed charges,1.875464634,,,,1.9434,percent of total billed charges,1.657035085,,,,1.968,percent of total billed charges,999999999,,,,1.968,percent of total billed charges,999999999,,,,1.722,percent of total billed charges,999999999,,,,1.722,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.30872,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.2423,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.615,percent of total billed charges,0.584099565,,,,,,,,,,0.615,percent of total billed charges,0.574383467,,,,,,,,,,0.615,percent of total billed charges,0.57278728,,,,,,,,,,0.615,percent of total billed charges,0.564352994,,,,,,,,,,0.615,percent of total billed charges,0.578874626,,,,,,,,,,0.615,percent of total billed charges,999999999,,,,,,,,,,0.615,percent of total billed charges,0.496715194,,,,,,,,,,0.615,percent of total billed charges,0.783354114,,,,,,,,,,0.615,percent of total billed charges,999999999,,,,,,,,,,0.615,percent of total billed charges,0.535580459,,,,,,,,,,2.214,percent of total billed charges,,,,,
NF-Breo Ellipta Inh Pwd 100MCG/1Actuatio,Local,Local,,,,both,,,974.28,974.28,207.4085696,974.28,974.28,percent of total billed charges,716.812408,,,,974.28,percent of total billed charges,759.8069794,,,,974.28,percent of total billed charges,716.812408,,,,974.28,percent of total billed charges,759.8069794,,,,974.28,percent of total billed charges,999999999,,,,974.28,percent of total billed charges,742.3343982,,,,974.28,percent of total billed charges,716.812408,,,,974.28,percent of total billed charges,759.8069794,,,,694.66164,percent of total billed charges,346.6488707,,,,694.66164,percent of total billed charges,207.4085696,,,,694.66164,percent of total billed charges,346.6488707,,,,694.66164,percent of total billed charges,207.4085696,,,,694.66164,percent of total billed charges,346.6488707,,,,694.66164,percent of total billed charges,207.4085696,,,,687.84168,percent of total billed charges,682.6228382,,,,687.84168,percent of total billed charges,470.799561,,,,,,,,,,701.4816,percent of total billed charges,455.9465327,,,,,,,,,,701.4816,percent of total billed charges,999999999,,,,,,,,,,779.424,percent of total billed charges,653.1167962,,,,769.6812,percent of total billed charges,742.7754812,,,,769.6812,percent of total billed charges,656.2667246,,,,779.424,percent of total billed charges,999999999,,,,779.424,percent of total billed charges,999999999,,,,681.996,percent of total billed charges,999999999,,,,681.996,percent of total billed charges,999999999,,,,,,,,,,,,,,,,518.31696,percent of total billed charges,999999999,,,,,,,,,,,,,,,,492.0114,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,243.57,percent of total billed charges,231.3319206,,,,,,,,,,243.57,percent of total billed charges,227.4838715,,,,,,,,,,243.57,percent of total billed charges,226.8517036,,,,,,,,,,243.57,percent of total billed charges,223.511315,,,,,,,,,,243.57,percent of total billed charges,229.2625897,,,,,,,,,,243.57,percent of total billed charges,999999999,,,,,,,,,,243.57,percent of total billed charges,196.7234467,,,,,,,,,,243.57,percent of total billed charges,310.2464414,,,,,,,,,,243.57,percent of total billed charges,999999999,,,,,,,,,,243.57,percent of total billed charges,212.1159877,,,,,,,,,,876.852,percent of total billed charges,,,,,
NF-Estrace Vaginal Cream 0.1MG/1GM,Local,Local,,,,both,,,101.88,101.88,21.68861628,101.88,101.88,percent of total billed charges,74.95673536,,,,101.88,percent of total billed charges,79.45265741,,,,101.88,percent of total billed charges,74.95673536,,,,101.88,percent of total billed charges,79.45265741,,,,101.88,percent of total billed charges,999999999,,,,101.88,percent of total billed charges,77.62555783,,,,101.88,percent of total billed charges,74.95673536,,,,101.88,percent of total billed charges,79.45265741,,,,72.64044,percent of total billed charges,36.24890888,,,,72.64044,percent of total billed charges,21.68861628,,,,72.64044,percent of total billed charges,36.24890888,,,,72.64044,percent of total billed charges,21.68861628,,,,72.64044,percent of total billed charges,36.24890888,,,,72.64044,percent of total billed charges,21.68861628,,,,71.92728,percent of total billed charges,71.38154817,,,,71.92728,percent of total billed charges,49.231288,,,,,,,,,,73.3536,percent of total billed charges,47.67811383,,,,,,,,,,73.3536,percent of total billed charges,999999999,,,,,,,,,,81.504,percent of total billed charges,68.29611528,,,,80.4852,percent of total billed charges,77.67168167,,,,80.4852,percent of total billed charges,68.62550181,,,,81.504,percent of total billed charges,999999999,,,,81.504,percent of total billed charges,999999999,,,,71.316,percent of total billed charges,999999999,,,,71.316,percent of total billed charges,999999999,,,,,,,,,,,,,,,,54.20016,percent of total billed charges,999999999,,,,,,,,,,,,,,,,51.4494,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,25.47,percent of total billed charges,24.19026981,,,,,,,,,,25.47,percent of total billed charges,23.78788113,,,,,,,,,,25.47,percent of total billed charges,23.72177563,,,,,,,,,,25.47,percent of total billed charges,23.37247277,,,,,,,,,,25.47,percent of total billed charges,23.97388086,,,,,,,,,,25.47,percent of total billed charges,999999999,,,,,,,,,,25.47,percent of total billed charges,20.57127802,,,,,,,,,,25.47,percent of total billed charges,32.44232402,,,,,,,,,,25.47,percent of total billed charges,999999999,,,,,,,,,,25.47,percent of total billed charges,22.18086877,,,,,,,,,,91.692,percent of total billed charges,,,,,
NF-AndroGel Topical Gel 1.62%,Local,Local,,,,both,,,1238.74,1238.74,263.7078576,1238.74,1238.74,percent of total billed charges,911.3850251,,,,1238.74,percent of total billed charges,966.0501064,,,,1238.74,percent of total billed charges,911.3850251,,,,1238.74,percent of total billed charges,966.0501064,,,,1238.74,percent of total billed charges,999999999,,,,1238.74,percent of total billed charges,943.8347419,,,,1238.74,percent of total billed charges,911.3850251,,,,1238.74,percent of total billed charges,966.0501064,,,,883.22162,percent of total billed charges,440.7437514,,,,883.22162,percent of total billed charges,263.7078576,,,,883.22162,percent of total billed charges,440.7437514,,,,883.22162,percent of total billed charges,263.7078576,,,,883.22162,percent of total billed charges,440.7437514,,,,883.22162,percent of total billed charges,263.7078576,,,,874.55044,percent of total billed charges,867.9149881,,,,874.55044,percent of total billed charges,598.5940881,,,,,,,,,,891.8928,percent of total billed charges,579.7093319,,,,,,,,,,891.8928,percent of total billed charges,999999999,,,,,,,,,,990.992,percent of total billed charges,830.3997825,,,,978.6046,percent of total billed charges,944.3955532,,,,978.6046,percent of total billed charges,834.4047322,,,,990.992,percent of total billed charges,999999999,,,,990.992,percent of total billed charges,999999999,,,,867.118,percent of total billed charges,999999999,,,,867.118,percent of total billed charges,999999999,,,,,,,,,,,,,,,,659.00968,percent of total billed charges,999999999,,,,,,,,,,,,,,,,625.5637,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,309.685,percent of total billed charges,294.1249983,,,,,,,,,,309.685,percent of total billed charges,289.2324291,,,,,,,,,,309.685,percent of total billed charges,288.4286645,,,,,,,,,,309.685,percent of total billed charges,284.181556,,,,,,,,,,309.685,percent of total billed charges,291.4939652,,,,,,,,,,309.685,percent of total billed charges,999999999,,,,,,,,,,309.685,percent of total billed charges,250.1223491,,,,,,,,,,309.685,percent of total billed charges,394.4601929,,,,,,,,,,309.685,percent of total billed charges,999999999,,,,,,,,,,309.685,percent of total billed charges,269.6930642,,,,,,,,,,1114.866,percent of total billed charges,,,,,
NF-Apriso ER 0.375 GM  CAP,Local,Local,,,,both,,,13.02,13.02,2.771748959,13.02,13.02,percent of total billed charges,9.579276545,,,,13.02,percent of total billed charges,10.15384373,,,,13.02,percent of total billed charges,9.579276545,,,,13.02,percent of total billed charges,10.15384373,,,,13.02,percent of total billed charges,999999999,,,,13.02,percent of total billed charges,9.920345141,,,,13.02,percent of total billed charges,9.579276545,,,,13.02,percent of total billed charges,10.15384373,,,,9.28326,percent of total billed charges,4.632516624,,,,9.28326,percent of total billed charges,2.771748959,,,,9.28326,percent of total billed charges,4.632516624,,,,9.28326,percent of total billed charges,2.771748959,,,,9.28326,percent of total billed charges,4.632516624,,,,9.28326,percent of total billed charges,2.771748959,,,,9.19212,percent of total billed charges,9.122376887,,,,9.19212,percent of total billed charges,6.291631034,,,,,,,,,,9.3744,percent of total billed charges,6.093139401,,,,,,,,,,9.3744,percent of total billed charges,999999999,,,,,,,,,,10.416,percent of total billed charges,8.728066558,,,,10.2858,percent of total billed charges,9.926239649,,,,10.2858,percent of total billed charges,8.770161303,,,,10.416,percent of total billed charges,999999999,,,,10.416,percent of total billed charges,999999999,,,,9.114,percent of total billed charges,999999999,,,,9.114,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.92664,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.5751,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3.255,percent of total billed charges,3.091453798,,,,,,,,,,3.255,percent of total billed charges,3.040029567,,,,,,,,,,3.255,percent of total billed charges,3.031581455,,,,,,,,,,3.255,percent of total billed charges,2.986941455,,,,,,,,,,3.255,percent of total billed charges,3.06379985,,,,,,,,,,3.255,percent of total billed charges,999999999,,,,,,,,,,3.255,percent of total billed charges,2.628956024,,,,,,,,,,3.255,percent of total billed charges,4.146044942,,,,,,,,,,3.255,percent of total billed charges,999999999,,,,,,,,,,3.255,percent of total billed charges,2.834657552,,,,,,,,,,11.718,percent of total billed charges,,,,,
NF-Rytary Extended Release Cap 23.75MG-9,Local,Local,,,,both,,,7.16,7.16,1.524249044,7.16,7.16,percent of total billed charges,5.267866364,,,,7.16,percent of total billed charges,5.583834188,,,,7.16,percent of total billed charges,5.267866364,,,,7.16,percent of total billed charges,5.583834188,,,,7.16,percent of total billed charges,999999999,,,,7.16,percent of total billed charges,5.455427896,,,,7.16,percent of total billed charges,5.267866364,,,,7.16,percent of total billed charges,5.583834188,,,,5.10508,percent of total billed charges,2.547528343,,,,5.10508,percent of total billed charges,1.524249044,,,,5.10508,percent of total billed charges,2.547528343,,,,5.10508,percent of total billed charges,1.524249044,,,,5.10508,percent of total billed charges,2.547528343,,,,5.10508,percent of total billed charges,1.524249044,,,,5.05496,percent of total billed charges,5.016606644,,,,5.05496,percent of total billed charges,3.459913841,,,,,,,,,,5.1552,percent of total billed charges,3.350758687,,,,,,,,,,5.1552,percent of total billed charges,999999999,,,,,,,,,,5.728,percent of total billed charges,4.799766248,,,,5.6564,percent of total billed charges,5.458669423,,,,5.6564,percent of total billed charges,4.822915125,,,,5.728,percent of total billed charges,999999999,,,,5.728,percent of total billed charges,999999999,,,,5.012,percent of total billed charges,999999999,,,,5.012,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.80912,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.6158,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.79,percent of total billed charges,1.70006215,,,,,,,,,,1.79,percent of total billed charges,1.671782773,,,,,,,,,,1.79,percent of total billed charges,1.66713696,,,,,,,,,,1.79,percent of total billed charges,1.642588389,,,,,,,,,,1.79,percent of total billed charges,1.684854603,,,,,,,,,,1.79,percent of total billed charges,999999999,,,,,,,,,,1.79,percent of total billed charges,1.445723897,,,,,,,,,,1.79,percent of total billed charges,2.280006282,,,,,,,,,,1.79,percent of total billed charges,999999999,,,,,,,,,,1.79,percent of total billed charges,1.558843938,,,,,,,,,,6.444,percent of total billed charges,,,,,
NF-Rytary Extended Release Cap 23.75MG-9,Local,Local,,,,both,,,5.42,5.42,1.15383098,5.42,5.42,percent of total billed charges,3.987686549,,,,5.42,percent of total billed charges,4.226868896,,,,5.42,percent of total billed charges,3.987686549,,,,5.42,percent of total billed charges,4.226868896,,,,5.42,percent of total billed charges,999999999,,,,5.42,percent of total billed charges,4.129667486,,,,5.42,percent of total billed charges,3.987686549,,,,5.42,percent of total billed charges,4.226868896,,,,3.86446,percent of total billed charges,1.92843626,,,,3.86446,percent of total billed charges,1.15383098,,,,3.86446,percent of total billed charges,1.92843626,,,,3.86446,percent of total billed charges,1.15383098,,,,3.86446,percent of total billed charges,1.92843626,,,,3.86446,percent of total billed charges,1.15383098,,,,3.82652,percent of total billed charges,3.797487153,,,,3.82652,percent of total billed charges,2.61909679,,,,,,,,,,3.9024,percent of total billed charges,2.536468168,,,,,,,,,,3.9024,percent of total billed charges,999999999,,,,,,,,,,4.336,percent of total billed charges,3.633342607,,,,4.2818,percent of total billed charges,4.132121267,,,,4.2818,percent of total billed charges,3.650865919,,,,4.336,percent of total billed charges,999999999,,,,4.336,percent of total billed charges,999999999,,,,3.794,percent of total billed charges,999999999,,,,3.794,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2.88344,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2.7371,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.355,percent of total billed charges,1.286918555,,,,,,,,,,1.355,percent of total billed charges,1.26551154,,,,,,,,,,1.355,percent of total billed charges,1.261994738,,,,,,,,,,1.355,percent of total billed charges,1.243411881,,,,,,,,,,1.355,percent of total billed charges,1.275406696,,,,,,,,,,1.355,percent of total billed charges,999999999,,,,,,,,,,1.355,percent of total billed charges,1.09438876,,,,,,,,,,1.355,percent of total billed charges,1.725926543,,,,,,,,,,1.355,percent of total billed charges,999999999,,,,,,,,,,1.355,percent of total billed charges,1.180018735,,,,,,,,,,4.878,percent of total billed charges,,,,,
NF-Itraconazole Capsule 100MG,Local,Local,,,,both,,,9.1,9.1,1.937243896,9.1,9.1,percent of total billed charges,6.695193284,,,,9.1,percent of total billed charges,7.096772501,,,,9.1,percent of total billed charges,6.695193284,,,,9.1,percent of total billed charges,7.096772501,,,,9.1,percent of total billed charges,999999999,,,,9.1,percent of total billed charges,6.933574561,,,,9.1,percent of total billed charges,6.695193284,,,,9.1,percent of total billed charges,7.096772501,,,,6.4883,percent of total billed charges,3.237780436,,,,6.4883,percent of total billed charges,1.937243896,,,,6.4883,percent of total billed charges,3.237780436,,,,6.4883,percent of total billed charges,1.937243896,,,,6.4883,percent of total billed charges,3.237780436,,,,6.4883,percent of total billed charges,1.937243896,,,,6.4246,percent of total billed charges,6.375854813,,,,6.4246,percent of total billed charges,4.397376529,,,,,,,,,,6.552,percent of total billed charges,4.258645818,,,,,,,,,,6.552,percent of total billed charges,999999999,,,,,,,,,,7.28,percent of total billed charges,6.100261573,,,,7.189,percent of total billed charges,6.937694378,,,,7.189,percent of total billed charges,6.129682631,,,,7.28,percent of total billed charges,999999999,,,,7.28,percent of total billed charges,999999999,,,,6.37,percent of total billed charges,999999999,,,,6.37,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.8412,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.5955,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.275,percent of total billed charges,2.160693515,,,,,,,,,,2.275,percent of total billed charges,2.124751848,,,,,,,,,,2.275,percent of total billed charges,2.118847254,,,,,,,,,,2.275,percent of total billed charges,2.087647254,,,,,,,,,,2.275,percent of total billed charges,2.141365487,,,,,,,,,,2.275,percent of total billed charges,999999999,,,,,,,,,,2.275,percent of total billed charges,1.837442383,,,,,,,,,,2.275,percent of total billed charges,2.897773347,,,,,,,,,,2.275,percent of total billed charges,999999999,,,,,,,,,,2.275,percent of total billed charges,1.981212267,,,,,,,,,,8.19,percent of total billed charges,,,,,
NF-Itraconazole Capsule 100MG,Local,Local,,,,both,,,9.1,9.1,1.937243896,9.1,9.1,percent of total billed charges,6.695193284,,,,9.1,percent of total billed charges,7.096772501,,,,9.1,percent of total billed charges,6.695193284,,,,9.1,percent of total billed charges,7.096772501,,,,9.1,percent of total billed charges,999999999,,,,9.1,percent of total billed charges,6.933574561,,,,9.1,percent of total billed charges,6.695193284,,,,9.1,percent of total billed charges,7.096772501,,,,6.4883,percent of total billed charges,3.237780436,,,,6.4883,percent of total billed charges,1.937243896,,,,6.4883,percent of total billed charges,3.237780436,,,,6.4883,percent of total billed charges,1.937243896,,,,6.4883,percent of total billed charges,3.237780436,,,,6.4883,percent of total billed charges,1.937243896,,,,6.4246,percent of total billed charges,6.375854813,,,,6.4246,percent of total billed charges,4.397376529,,,,,,,,,,6.552,percent of total billed charges,4.258645818,,,,,,,,,,6.552,percent of total billed charges,999999999,,,,,,,,,,7.28,percent of total billed charges,6.100261573,,,,7.189,percent of total billed charges,6.937694378,,,,7.189,percent of total billed charges,6.129682631,,,,7.28,percent of total billed charges,999999999,,,,7.28,percent of total billed charges,999999999,,,,6.37,percent of total billed charges,999999999,,,,6.37,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.8412,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.5955,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.275,percent of total billed charges,2.160693515,,,,,,,,,,2.275,percent of total billed charges,2.124751848,,,,,,,,,,2.275,percent of total billed charges,2.118847254,,,,,,,,,,2.275,percent of total billed charges,2.087647254,,,,,,,,,,2.275,percent of total billed charges,2.141365487,,,,,,,,,,2.275,percent of total billed charges,999999999,,,,,,,,,,2.275,percent of total billed charges,1.837442383,,,,,,,,,,2.275,percent of total billed charges,2.897773347,,,,,,,,,,2.275,percent of total billed charges,999999999,,,,,,,,,,2.275,percent of total billed charges,1.981212267,,,,,,,,,,8.19,percent of total billed charges,,,,,
NF-MESALAMINE DELAYED RELEASE TABLET 1.2,Local,Local,,,,both,,,45.77,45.77,9.743698145,45.77,45.77,percent of total billed charges,33.67461501,,,,45.77,percent of total billed charges,35.69442608,,,,45.77,percent of total billed charges,33.67461501,,,,45.77,percent of total billed charges,35.69442608,,,,45.77,percent of total billed charges,999999999,,,,45.77,percent of total billed charges,34.87359425,,,,45.77,percent of total billed charges,33.67461501,,,,45.77,percent of total billed charges,35.69442608,,,,32.63401,percent of total billed charges,16.28496819,,,,32.63401,percent of total billed charges,9.743698145,,,,32.63401,percent of total billed charges,16.28496819,,,,32.63401,percent of total billed charges,9.743698145,,,,32.63401,percent of total billed charges,16.28496819,,,,32.63401,percent of total billed charges,9.743698145,,,,32.31362,percent of total billed charges,32.06844778,,,,32.31362,percent of total billed charges,22.11735426,,,,,,,,,,32.9544,percent of total billed charges,21.41958451,,,,,,,,,,32.9544,percent of total billed charges,999999999,,,,,,,,,,36.616,percent of total billed charges,30.68230464,,,,36.1583,percent of total billed charges,34.89431557,,,,36.1583,percent of total billed charges,30.83028286,,,,36.616,percent of total billed charges,999999999,,,,36.616,percent of total billed charges,999999999,,,,32.039,percent of total billed charges,999999999,,,,32.039,percent of total billed charges,999999999,,,,,,,,,,,,,,,,24.34964,percent of total billed charges,999999999,,,,,,,,,,,,,,,,23.11385,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11.4425,percent of total billed charges,10.86757606,,,,,,,,,,11.4425,percent of total billed charges,10.68680133,,,,,,,,,,11.4425,percent of total billed charges,10.65710317,,,,,,,,,,11.4425,percent of total billed charges,10.50017745,,,,,,,,,,11.4425,percent of total billed charges,10.77036245,,,,,,,,,,11.4425,percent of total billed charges,999999999,,,,,,,,,,11.4425,percent of total billed charges,9.241729434,,,,,,,,,,11.4425,percent of total billed charges,14.57484462,,,,,,,,,,11.4425,percent of total billed charges,999999999,,,,,,,,,,11.4425,percent of total billed charges,9.964844557,,,,,,,,,,41.193,percent of total billed charges,,,,,
NF-Mesalamine Delayed Release Tablet 1.2,Local,Local,,,,both,,,24.15,24.15,5.141147263,24.15,24.15,percent of total billed charges,17.76801295,,,,24.15,percent of total billed charges,18.83374241,,,,24.15,percent of total billed charges,17.76801295,,,,24.15,percent of total billed charges,18.83374241,,,,24.15,percent of total billed charges,999999999,,,,24.15,percent of total billed charges,18.40064018,,,,24.15,percent of total billed charges,17.76801295,,,,24.15,percent of total billed charges,18.83374241,,,,17.21895,percent of total billed charges,8.592571157,,,,17.21895,percent of total billed charges,5.141147263,,,,17.21895,percent of total billed charges,8.592571157,,,,17.21895,percent of total billed charges,5.141147263,,,,17.21895,percent of total billed charges,8.592571157,,,,17.21895,percent of total billed charges,5.141147263,,,,17.0499,percent of total billed charges,16.92053777,,,,17.0499,percent of total billed charges,11.66996079,,,,,,,,,,17.388,percent of total billed charges,11.30179082,,,,,,,,,,17.388,percent of total billed charges,999999999,,,,,,,,,,19.32,percent of total billed charges,16.18915571,,,,19.0785,percent of total billed charges,18.41157354,,,,19.0785,percent of total billed charges,16.26723468,,,,19.32,percent of total billed charges,999999999,,,,19.32,percent of total billed charges,999999999,,,,16.905,percent of total billed charges,999999999,,,,16.905,percent of total billed charges,999999999,,,,,,,,,,,,,,,,12.8478,percent of total billed charges,999999999,,,,,,,,,,,,,,,,12.19575,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6.0375,percent of total billed charges,5.734148174,,,,,,,,,,6.0375,percent of total billed charges,5.63876452,,,,,,,,,,6.0375,percent of total billed charges,5.623094635,,,,,,,,,,6.0375,percent of total billed charges,5.540294635,,,,,,,,,,6.0375,percent of total billed charges,5.682854561,,,,,,,,,,6.0375,percent of total billed charges,999999999,,,,,,,,,,6.0375,percent of total billed charges,4.8762894,,,,,,,,,,6.0375,percent of total billed charges,7.690244651,,,,,,,,,,6.0375,percent of total billed charges,999999999,,,,,,,,,,6.0375,percent of total billed charges,5.257832555,,,,,,,,,,21.735,percent of total billed charges,,,,,
NF-Mesalamine Delayed-Release Tablet 1.2,Local,Local,,,,both,,,20.8,20.8,4.427986048,20.8,20.8,percent of total billed charges,15.30329894,,,,20.8,percent of total billed charges,16.22119429,,,,20.8,percent of total billed charges,15.30329894,,,,20.8,percent of total billed charges,16.22119429,,,,20.8,percent of total billed charges,999999999,,,,20.8,percent of total billed charges,15.84817042,,,,20.8,percent of total billed charges,15.30329894,,,,20.8,percent of total billed charges,16.22119429,,,,14.8304,percent of total billed charges,7.400640997,,,,14.8304,percent of total billed charges,4.427986048,,,,14.8304,percent of total billed charges,7.400640997,,,,14.8304,percent of total billed charges,4.427986048,,,,14.8304,percent of total billed charges,7.400640997,,,,14.8304,percent of total billed charges,4.427986048,,,,14.6848,percent of total billed charges,14.57338243,,,,14.6848,percent of total billed charges,10.05114635,,,,,,,,,,14.976,percent of total billed charges,9.734047583,,,,,,,,,,14.976,percent of total billed charges,999999999,,,,,,,,,,16.64,percent of total billed charges,13.94345502,,,,16.432,percent of total billed charges,15.85758715,,,,16.432,percent of total billed charges,14.01070316,,,,16.64,percent of total billed charges,999999999,,,,16.64,percent of total billed charges,999999999,,,,14.56,percent of total billed charges,999999999,,,,14.56,percent of total billed charges,999999999,,,,,,,,,,,,,,,,11.0656,percent of total billed charges,999999999,,,,,,,,,,,,,,,,10.504,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5.2,percent of total billed charges,4.938728033,,,,,,,,,,5.2,percent of total billed charges,4.856575653,,,,,,,,,,5.2,percent of total billed charges,4.843079437,,,,,,,,,,5.2,percent of total billed charges,4.771765152,,,,,,,,,,5.2,percent of total billed charges,4.894549684,,,,,,,,,,5.2,percent of total billed charges,999999999,,,,,,,,,,5.2,percent of total billed charges,4.199868303,,,,,,,,,,5.2,percent of total billed charges,6.623481936,,,,,,,,,,5.2,percent of total billed charges,999999999,,,,,,,,,,5.2,percent of total billed charges,4.528485182,,,,,,,,,,18.72,percent of total billed charges,,,,,
"NF-ITRACONAZOLE ORAL SOLN 10MG/ML, 20ML",Local,Local,,,,both,,,72.12,72.12,15.35319009,72.12,72.12,percent of total billed charges,53.06124612,,,,72.12,percent of total billed charges,56.24387173,,,,72.12,percent of total billed charges,53.06124612,,,,72.12,percent of total billed charges,56.24387173,,,,72.12,percent of total billed charges,999999999,,,,72.12,percent of total billed charges,54.95048322,,,,72.12,percent of total billed charges,53.06124612,,,,72.12,percent of total billed charges,56.24387173,,,,51.42156,percent of total billed charges,25.66029946,,,,51.42156,percent of total billed charges,15.35319009,,,,51.42156,percent of total billed charges,25.66029946,,,,51.42156,percent of total billed charges,15.35319009,,,,51.42156,percent of total billed charges,25.66029946,,,,51.42156,percent of total billed charges,15.35319009,,,,50.91672,percent of total billed charges,50.530401,,,,50.91672,percent of total billed charges,34.85041707,,,,,,,,,,51.9264,percent of total billed charges,33.75093806,,,,,,,,,,51.9264,percent of total billed charges,999999999,,,,,,,,,,57.696,percent of total billed charges,48.34624886,,,,56.9748,percent of total billed charges,54.98313391,,,,56.9748,percent of total billed charges,48.57941883,,,,57.696,percent of total billed charges,999999999,,,,57.696,percent of total billed charges,999999999,,,,50.484,percent of total billed charges,999999999,,,,50.484,percent of total billed charges,999999999,,,,,,,,,,,,,,,,38.36784,percent of total billed charges,999999999,,,,,,,,,,,,,,,,36.4206,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18.03,percent of total billed charges,17.1240897,,,,,,,,,,18.03,percent of total billed charges,16.83924212,,,,,,,,,,18.03,percent of total billed charges,16.79244659,,,,,,,,,,18.03,percent of total billed charges,16.54517802,,,,,,,,,,18.03,percent of total billed charges,16.97090977,,,,,,,,,,18.03,percent of total billed charges,999999999,,,,,,,,,,18.03,percent of total billed charges,14.56223567,,,,,,,,,,18.03,percent of total billed charges,22.96564987,,,,,,,,,,18.03,percent of total billed charges,999999999,,,,,,,,,,18.03,percent of total billed charges,15.70165151,,,,,,,,,,64.908,percent of total billed charges,,,,,
NF-Atovaquone (MEPRON) O/S 750MG/5ML,Local,Local,,,,both,,,80.16,80.16,17.064777,80.16,80.16,percent of total billed charges,58.97655974,,,,80.16,percent of total billed charges,62.51398722,,,,80.16,percent of total billed charges,58.97655974,,,,80.16,percent of total billed charges,62.51398722,,,,80.16,percent of total billed charges,999999999,,,,80.16,percent of total billed charges,61.07641064,,,,80.16,percent of total billed charges,58.97655974,,,,80.16,percent of total billed charges,62.51398722,,,,57.15408,percent of total billed charges,28.52093184,,,,57.15408,percent of total billed charges,17.064777,,,,57.15408,percent of total billed charges,28.52093184,,,,57.15408,percent of total billed charges,17.064777,,,,57.15408,percent of total billed charges,28.52093184,,,,57.15408,percent of total billed charges,17.064777,,,,56.59296,percent of total billed charges,56.16357383,,,,56.59296,percent of total billed charges,38.73557171,,,,,,,,,,57.7152,percent of total billed charges,37.51352184,,,,,,,,,,57.7152,percent of total billed charges,999999999,,,,,,,,,,64.128,percent of total billed charges,53.73593051,,,,63.3264,percent of total billed charges,61.11270125,,,,63.3264,percent of total billed charges,53.99509448,,,,64.128,percent of total billed charges,999999999,,,,64.128,percent of total billed charges,999999999,,,,56.112,percent of total billed charges,999999999,,,,56.112,percent of total billed charges,999999999,,,,,,,,,,,,,,,,42.64512,percent of total billed charges,999999999,,,,,,,,,,,,,,,,40.4808,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20.04,percent of total billed charges,19.03309804,,,,,,,,,,20.04,percent of total billed charges,18.7164954,,,,,,,,,,20.04,percent of total billed charges,18.66448306,,,,,,,,,,20.04,percent of total billed charges,18.38964878,,,,,,,,,,20.04,percent of total billed charges,18.86284147,,,,,,,,,,20.04,percent of total billed charges,999999999,,,,,,,,,,20.04,percent of total billed charges,16.18564631,,,,,,,,,,20.04,percent of total billed charges,25.52588038,,,,,,,,,,20.04,percent of total billed charges,999999999,,,,,,,,,,20.04,percent of total billed charges,17.4520852,,,,,,,,,,72.144,percent of total billed charges,,,,,
NF-MISOPROST ORAL TABLET 100MCG,Local,Local,,,,both,,,4.05,4.05,0.862179976,4.05,4.05,percent of total billed charges,2.979728879,,,,4.05,percent of total billed charges,3.158453696,,,,4.05,percent of total billed charges,2.979728879,,,,4.05,percent of total billed charges,3.158453696,,,,4.05,percent of total billed charges,999999999,,,,4.05,percent of total billed charges,3.085821645,,,,4.05,percent of total billed charges,2.979728879,,,,4.05,percent of total billed charges,3.158453696,,,,2.88765,percent of total billed charges,1.440990194,,,,2.88765,percent of total billed charges,0.862179976,,,,2.88765,percent of total billed charges,1.440990194,,,,2.88765,percent of total billed charges,0.862179976,,,,2.88765,percent of total billed charges,1.440990194,,,,2.88765,percent of total billed charges,0.862179976,,,,2.8593,percent of total billed charges,2.837605714,,,,2.8593,percent of total billed charges,1.95707417,,,,,,,,,,2.916,percent of total billed charges,1.89533138,,,,,,,,,,2.916,percent of total billed charges,999999999,,,,,,,,,,3.24,percent of total billed charges,2.714951579,,,,3.1995,percent of total billed charges,3.08765519,,,,3.1995,percent of total billed charges,2.728045567,,,,3.24,percent of total billed charges,999999999,,,,3.24,percent of total billed charges,999999999,,,,2.835,percent of total billed charges,999999999,,,,2.835,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2.1546,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2.04525,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.0125,percent of total billed charges,0.961627333,,,,,,,,,,1.0125,percent of total billed charges,0.945631317,,,,,,,,,,1.0125,percent of total billed charges,0.943003448,,,,,,,,,,1.0125,percent of total billed charges,0.929117734,,,,,,,,,,1.0125,percent of total billed charges,0.953025299,,,,,,,,,,1.0125,percent of total billed charges,999999999,,,,,,,,,,1.0125,percent of total billed charges,0.817762819,,,,,,,,,,1.0125,percent of total billed charges,1.289668358,,,,,,,,,,1.0125,percent of total billed charges,999999999,,,,,,,,,,1.0125,percent of total billed charges,0.881748317,,,,,,,,,,3.645,percent of total billed charges,,,,,
NF-buPROPion HCl Oral Tab ER 100MG,Local,Local,,,,both,,,4.05,4.05,0.862179976,4.05,4.05,percent of total billed charges,2.979728879,,,,4.05,percent of total billed charges,3.158453696,,,,4.05,percent of total billed charges,2.979728879,,,,4.05,percent of total billed charges,3.158453696,,,,4.05,percent of total billed charges,999999999,,,,4.05,percent of total billed charges,3.085821645,,,,4.05,percent of total billed charges,2.979728879,,,,4.05,percent of total billed charges,3.158453696,,,,2.88765,percent of total billed charges,1.440990194,,,,2.88765,percent of total billed charges,0.862179976,,,,2.88765,percent of total billed charges,1.440990194,,,,2.88765,percent of total billed charges,0.862179976,,,,2.88765,percent of total billed charges,1.440990194,,,,2.88765,percent of total billed charges,0.862179976,,,,2.8593,percent of total billed charges,2.837605714,,,,2.8593,percent of total billed charges,1.95707417,,,,,,,,,,2.916,percent of total billed charges,1.89533138,,,,,,,,,,2.916,percent of total billed charges,999999999,,,,,,,,,,3.24,percent of total billed charges,2.714951579,,,,3.1995,percent of total billed charges,3.08765519,,,,3.1995,percent of total billed charges,2.728045567,,,,3.24,percent of total billed charges,999999999,,,,3.24,percent of total billed charges,999999999,,,,2.835,percent of total billed charges,999999999,,,,2.835,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2.1546,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2.04525,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.0125,percent of total billed charges,0.961627333,,,,,,,,,,1.0125,percent of total billed charges,0.945631317,,,,,,,,,,1.0125,percent of total billed charges,0.943003448,,,,,,,,,,1.0125,percent of total billed charges,0.929117734,,,,,,,,,,1.0125,percent of total billed charges,0.953025299,,,,,,,,,,1.0125,percent of total billed charges,999999999,,,,,,,,,,1.0125,percent of total billed charges,0.817762819,,,,,,,,,,1.0125,percent of total billed charges,1.289668358,,,,,,,,,,1.0125,percent of total billed charges,999999999,,,,,,,,,,1.0125,percent of total billed charges,0.881748317,,,,,,,,,,3.645,percent of total billed charges,,,,,
NF-Amoxapine Tablet 50mg,Local,Local,,,,both,,,3.78,3.78,0.804701311,3.78,3.78,percent of total billed charges,2.781080287,,,,3.78,percent of total billed charges,2.947890116,,,,3.78,percent of total billed charges,2.781080287,,,,3.78,percent of total billed charges,2.947890116,,,,3.78,percent of total billed charges,999999999,,,,3.78,percent of total billed charges,2.880100202,,,,3.78,percent of total billed charges,2.781080287,,,,3.78,percent of total billed charges,2.947890116,,,,2.69514,percent of total billed charges,1.344924181,,,,2.69514,percent of total billed charges,0.804701311,,,,2.69514,percent of total billed charges,1.344924181,,,,2.69514,percent of total billed charges,0.804701311,,,,2.69514,percent of total billed charges,1.344924181,,,,2.69514,percent of total billed charges,0.804701311,,,,2.66868,percent of total billed charges,2.648431999,,,,2.66868,percent of total billed charges,1.826602558,,,,,,,,,,2.7216,percent of total billed charges,1.768975955,,,,,,,,,,2.7216,percent of total billed charges,999999999,,,,,,,,,,3.024,percent of total billed charges,2.533954807,,,,2.9862,percent of total billed charges,2.881811511,,,,2.9862,percent of total billed charges,2.546175862,,,,3.024,percent of total billed charges,999999999,,,,3.024,percent of total billed charges,999999999,,,,2.646,percent of total billed charges,999999999,,,,2.646,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2.01096,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.9089,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.945,percent of total billed charges,0.897518845,,,,,,,,,,0.945,percent of total billed charges,0.882589229,,,,,,,,,,0.945,percent of total billed charges,0.880136552,,,,,,,,,,0.945,percent of total billed charges,0.867176552,,,,,,,,,,0.945,percent of total billed charges,0.889490279,,,,,,,,,,0.945,percent of total billed charges,999999999,,,,,,,,,,0.945,percent of total billed charges,0.763245297,,,,,,,,,,0.945,percent of total billed charges,1.203690467,,,,,,,,,,0.945,percent of total billed charges,999999999,,,,,,,,,,0.945,percent of total billed charges,0.822965096,,,,,,,,,,3.402,percent of total billed charges,,,,,
NF-Clarithromycin Oral Tablet 250MG,Local,Local,,,,both,,,2.08,2.08,0.442798605,2.08,2.08,percent of total billed charges,1.530329894,,,,2.08,percent of total billed charges,1.622119429,,,,2.08,percent of total billed charges,1.530329894,,,,2.08,percent of total billed charges,1.622119429,,,,2.08,percent of total billed charges,999999999,,,,2.08,percent of total billed charges,1.584817042,,,,2.08,percent of total billed charges,1.530329894,,,,2.08,percent of total billed charges,1.622119429,,,,1.48304,percent of total billed charges,0.7400641,,,,1.48304,percent of total billed charges,0.442798605,,,,1.48304,percent of total billed charges,0.7400641,,,,1.48304,percent of total billed charges,0.442798605,,,,1.48304,percent of total billed charges,0.7400641,,,,1.48304,percent of total billed charges,0.442798605,,,,1.46848,percent of total billed charges,1.457338243,,,,1.46848,percent of total billed charges,1.005114635,,,,,,,,,,1.4976,percent of total billed charges,0.973404758,,,,,,,,,,1.4976,percent of total billed charges,999999999,,,,,,,,,,1.664,percent of total billed charges,1.394345502,,,,1.6432,percent of total billed charges,1.585758715,,,,1.6432,percent of total billed charges,1.401070316,,,,1.664,percent of total billed charges,999999999,,,,1.664,percent of total billed charges,999999999,,,,1.456,percent of total billed charges,999999999,,,,1.456,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.10656,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.0504,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.52,percent of total billed charges,0.493872803,,,,,,,,,,0.52,percent of total billed charges,0.485657565,,,,,,,,,,0.52,percent of total billed charges,0.484307944,,,,,,,,,,0.52,percent of total billed charges,0.477176515,,,,,,,,,,0.52,percent of total billed charges,0.489454968,,,,,,,,,,0.52,percent of total billed charges,999999999,,,,,,,,,,0.52,percent of total billed charges,0.41998683,,,,,,,,,,0.52,percent of total billed charges,0.662348194,,,,,,,,,,0.52,percent of total billed charges,999999999,,,,,,,,,,0.52,percent of total billed charges,0.452848518,,,,,,,,,,1.872,percent of total billed charges,,,,,
NF-Chlorpheniramine Maleate Oral Tablet,Local,Local,,,,both,,,0.5,0.5,0.106441972,0.5,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,999999999,,,,0.5,percent of total billed charges,0.380965635,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.353,percent of total billed charges,0.350321693,,,,0.353,percent of total billed charges,0.241614095,,,,,,,,,,0.36,percent of total billed charges,0.233991528,,,,,,,,,,0.36,percent of total billed charges,999999999,,,,,,,,,,0.4,percent of total billed charges,0.335179207,,,,0.395,percent of total billed charges,0.381191999,,,,0.395,percent of total billed charges,0.336795749,,,,0.4,percent of total billed charges,999999999,,,,0.4,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.266,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.2525,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.125,percent of total billed charges,0.118719424,,,,,,,,,,0.125,percent of total billed charges,0.116744607,,,,,,,,,,0.125,percent of total billed charges,0.116420179,,,,,,,,,,0.125,percent of total billed charges,0.114705893,,,,,,,,,,0.125,percent of total billed charges,0.117657444,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.100958373,,,,,,,,,,0.125,percent of total billed charges,0.159218316,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.108857817,,,,,,,,,,0.45,percent of total billed charges,,,,,
NF-CHLORPHENIRAMINE MALEATE ORAL TABLET,Local,Local,,,,both,,,0.5,0.5,0.106441972,0.5,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,999999999,,,,0.5,percent of total billed charges,0.380965635,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.353,percent of total billed charges,0.350321693,,,,0.353,percent of total billed charges,0.241614095,,,,,,,,,,0.36,percent of total billed charges,0.233991528,,,,,,,,,,0.36,percent of total billed charges,999999999,,,,,,,,,,0.4,percent of total billed charges,0.335179207,,,,0.395,percent of total billed charges,0.381191999,,,,0.395,percent of total billed charges,0.336795749,,,,0.4,percent of total billed charges,999999999,,,,0.4,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.266,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.2525,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.125,percent of total billed charges,0.118719424,,,,,,,,,,0.125,percent of total billed charges,0.116744607,,,,,,,,,,0.125,percent of total billed charges,0.116420179,,,,,,,,,,0.125,percent of total billed charges,0.114705893,,,,,,,,,,0.125,percent of total billed charges,0.117657444,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.100958373,,,,,,,,,,0.125,percent of total billed charges,0.159218316,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.108857817,,,,,,,,,,0.45,percent of total billed charges,,,,,
NF-Adcirca Oral Tablet 20MG,Local,Local,,,,both,,,368.34,368.34,78.41367216,368.34,368.34,percent of total billed charges,271.0008235,,,,368.34,percent of total billed charges,287.2555146,,,,368.34,percent of total billed charges,271.0008235,,,,368.34,percent of total billed charges,287.2555146,,,,368.34,percent of total billed charges,999999999,,,,368.34,percent of total billed charges,280.6497641,,,,368.34,percent of total billed charges,271.0008235,,,,368.34,percent of total billed charges,287.2555146,,,,262.62642,percent of total billed charges,131.0553897,,,,262.62642,percent of total billed charges,78.41367216,,,,262.62642,percent of total billed charges,131.0553897,,,,262.62642,percent of total billed charges,78.41367216,,,,262.62642,percent of total billed charges,131.0553897,,,,262.62642,percent of total billed charges,78.41367216,,,,260.04804,percent of total billed charges,258.0749848,,,,260.04804,percent of total billed charges,177.9922715,,,,,,,,,,265.2048,percent of total billed charges,172.3768792,,,,,,,,,,265.2048,percent of total billed charges,999999999,,,,,,,,,,294.672,percent of total billed charges,246.9198184,,,,290.9886,percent of total billed charges,280.8165217,,,,290.9886,percent of total billed charges,248.1106924,,,,294.672,percent of total billed charges,999999999,,,,294.672,percent of total billed charges,999999999,,,,257.838,percent of total billed charges,999999999,,,,257.838,percent of total billed charges,999999999,,,,,,,,,,,,,,,,195.95688,percent of total billed charges,999999999,,,,,,,,,,,,,,,,186.0117,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,92.085,percent of total billed charges,87.45822519,,,,,,,,,,92.085,percent of total billed charges,86.00341712,,,,,,,,,,92.085,percent of total billed charges,85.7644173,,,,,,,,,,92.085,percent of total billed charges,84.5015373,,,,,,,,,,92.085,percent of total billed charges,86.67588608,,,,,,,,,,92.085,percent of total billed charges,999999999,,,,,,,,,,92.085,percent of total billed charges,74.37401398,,,,,,,,,,92.085,percent of total billed charges,117.2929489,,,,,,,,,,92.085,percent of total billed charges,999999999,,,,,,,,,,92.085,percent of total billed charges,80.19337654,,,,,,,,,,331.506,percent of total billed charges,,,,,
NF-Tarceva Tablet 100MG,Local,Local,,,,both,,,1373.4,1373.4,292.3748095,1373.4,1373.4,percent of total billed charges,1010.459171,,,,1373.4,percent of total billed charges,1071.066742,,,,1373.4,percent of total billed charges,1010.459171,,,,1373.4,percent of total billed charges,1071.066742,,,,1373.4,percent of total billed charges,999999999,,,,1373.4,percent of total billed charges,1046.436407,,,,1373.4,percent of total billed charges,1010.459171,,,,1373.4,percent of total billed charges,1071.066742,,,,979.2342,percent of total billed charges,488.6557858,,,,979.2342,percent of total billed charges,292.3748095,,,,979.2342,percent of total billed charges,488.6557858,,,,979.2342,percent of total billed charges,292.3748095,,,,979.2342,percent of total billed charges,488.6557858,,,,979.2342,percent of total billed charges,292.3748095,,,,969.6204,percent of total billed charges,962.2636264,,,,969.6204,percent of total billed charges,663.6655962,,,,,,,,,,988.848,percent of total billed charges,642.7279303,,,,,,,,,,988.848,percent of total billed charges,999999999,,,,,,,,,,1098.72,percent of total billed charges,920.6702466,,,,1084.986,percent of total billed charges,1047.058182,,,,1084.986,percent of total billed charges,925.1105633,,,,1098.72,percent of total billed charges,999999999,,,,1098.72,percent of total billed charges,999999999,,,,961.38,percent of total billed charges,999999999,,,,961.38,percent of total billed charges,999999999,,,,,,,,,,,,,,,,730.6488,percent of total billed charges,999999999,,,,,,,,,,,,,,,,693.567,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,343.35,percent of total billed charges,326.0985135,,,,,,,,,,343.35,percent of total billed charges,320.6740866,,,,,,,,,,343.35,percent of total billed charges,319.7829471,,,,,,,,,,343.35,percent of total billed charges,315.0741471,,,,,,,,,,343.35,percent of total billed charges,323.1814681,,,,,,,,,,343.35,percent of total billed charges,999999999,,,,,,,,,,343.35,percent of total billed charges,277.3124581,,,,,,,,,,343.35,percent of total billed charges,437.3408697,,,,,,,,,,343.35,percent of total billed charges,999999999,,,,,,,,,,343.35,percent of total billed charges,299.0106514,,,,,,,,,,1236.06,percent of total billed charges,,,,,
NF-Cranberry Oral Capsule 500MG,Local,Local,,,,both,,,0.5,0.5,0.106441972,0.5,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,999999999,,,,0.5,percent of total billed charges,0.380965635,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.353,percent of total billed charges,0.350321693,,,,0.353,percent of total billed charges,0.241614095,,,,,,,,,,0.36,percent of total billed charges,0.233991528,,,,,,,,,,0.36,percent of total billed charges,999999999,,,,,,,,,,0.4,percent of total billed charges,0.335179207,,,,0.395,percent of total billed charges,0.381191999,,,,0.395,percent of total billed charges,0.336795749,,,,0.4,percent of total billed charges,999999999,,,,0.4,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.266,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.2525,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.125,percent of total billed charges,0.118719424,,,,,,,,,,0.125,percent of total billed charges,0.116744607,,,,,,,,,,0.125,percent of total billed charges,0.116420179,,,,,,,,,,0.125,percent of total billed charges,0.114705893,,,,,,,,,,0.125,percent of total billed charges,0.117657444,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.100958373,,,,,,,,,,0.125,percent of total billed charges,0.159218316,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.108857817,,,,,,,,,,0.45,percent of total billed charges,,,,,
NF-Modafinil Oral Tablet 100MG,Local,Local,,,,both,,,28.48,28.48,6.062934743,28.48,28.48,percent of total billed charges,20.95374777,,,,28.48,percent of total billed charges,22.21055833,,,,28.48,percent of total billed charges,20.95374777,,,,28.48,percent of total billed charges,22.21055833,,,,28.48,percent of total billed charges,999999999,,,,28.48,percent of total billed charges,21.69980258,,,,28.48,percent of total billed charges,20.95374777,,,,28.48,percent of total billed charges,22.21055833,,,,20.30624,percent of total billed charges,10.13318536,,,,20.30624,percent of total billed charges,6.062934743,,,,20.30624,percent of total billed charges,10.13318536,,,,20.30624,percent of total billed charges,6.062934743,,,,20.30624,percent of total billed charges,10.13318536,,,,20.30624,percent of total billed charges,6.062934743,,,,20.10688,percent of total billed charges,19.95432364,,,,20.10688,percent of total billed charges,13.76233885,,,,,,,,,,20.5056,percent of total billed charges,13.32815746,,,,,,,,,,20.5056,percent of total billed charges,999999999,,,,,,,,,,22.784,percent of total billed charges,19.09180765,,,,22.4992,percent of total billed charges,21.71269625,,,,22.4992,percent of total billed charges,19.18388586,,,,22.784,percent of total billed charges,999999999,,,,22.784,percent of total billed charges,999999999,,,,19.936,percent of total billed charges,999999999,,,,19.936,percent of total billed charges,999999999,,,,,,,,,,,,,,,,15.15136,percent of total billed charges,999999999,,,,,,,,,,,,,,,,14.3824,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7.12,percent of total billed charges,6.762258384,,,,,,,,,,7.12,percent of total billed charges,6.649772817,,,,,,,,,,7.12,percent of total billed charges,6.631293383,,,,,,,,,,7.12,percent of total billed charges,6.533647669,,,,,,,,,,7.12,percent of total billed charges,6.701768029,,,,,,,,,,7.12,percent of total billed charges,999999999,,,,,,,,,,7.12,percent of total billed charges,5.750588907,,,,,,,,,,7.12,percent of total billed charges,9.069075266,,,,,,,,,,7.12,percent of total billed charges,999999999,,,,,,,,,,7.12,percent of total billed charges,6.20054125,,,,,,,,,,25.632,percent of total billed charges,,,,,
NF-Toviaz Oral Extended Release Tablet 4,Local,Local,,,,both,,,60.95,60.95,12.97527642,60.95,60.95,percent of total billed charges,44.84308029,,,,60.95,percent of total billed charges,47.53277845,,,,60.95,percent of total billed charges,44.84308029,,,,60.95,percent of total billed charges,47.53277845,,,,60.95,percent of total billed charges,999999999,,,,60.95,percent of total billed charges,46.43971093,,,,60.95,percent of total billed charges,44.84308029,,,,60.95,percent of total billed charges,47.53277845,,,,43.45735,percent of total billed charges,21.68601292,,,,43.45735,percent of total billed charges,12.97527642,,,,43.45735,percent of total billed charges,21.68601292,,,,43.45735,percent of total billed charges,12.97527642,,,,43.45735,percent of total billed charges,21.68601292,,,,43.45735,percent of total billed charges,12.97527642,,,,43.0307,percent of total billed charges,42.70421438,,,,43.0307,percent of total billed charges,29.45275818,,,,,,,,,,43.884,percent of total billed charges,28.52356732,,,,,,,,,,43.884,percent of total billed charges,999999999,,,,,,,,,,48.76,percent of total billed charges,40.85834537,,,,48.1505,percent of total billed charges,46.46730465,,,,48.1505,percent of total billed charges,41.0554018,,,,48.76,percent of total billed charges,999999999,,,,48.76,percent of total billed charges,999999999,,,,42.665,percent of total billed charges,999999999,,,,42.665,percent of total billed charges,999999999,,,,,,,,,,,,,,,,32.4254,percent of total billed charges,999999999,,,,,,,,,,,,,,,,30.77975,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15.2375,percent of total billed charges,14.47189777,,,,,,,,,,15.2375,percent of total billed charges,14.2311676,,,,,,,,,,15.2375,percent of total billed charges,14.19161979,,,,,,,,,,15.2375,percent of total billed charges,13.98264836,,,,,,,,,,15.2375,percent of total billed charges,14.34244246,,,,,,,,,,15.2375,percent of total billed charges,999999999,,,,,,,,,,15.2375,percent of total billed charges,12.30682563,,,,,,,,,,15.2375,percent of total billed charges,19.40871269,,,,,,,,,,15.2375,percent of total billed charges,999999999,,,,,,,,,,15.2375,percent of total billed charges,13.26976788,,,,,,,,,,54.855,percent of total billed charges,,,,,
NF-ZANAFLEX CAP 2MG,Local,Local,,,,both,,,3.39,3.39,0.721676572,3.39,3.39,percent of total billed charges,2.494143432,,,,3.39,percent of total billed charges,2.643742723,,,,3.39,percent of total billed charges,2.494143432,,,,3.39,percent of total billed charges,2.643742723,,,,3.39,percent of total billed charges,999999999,,,,3.39,percent of total billed charges,2.582947007,,,,3.39,percent of total billed charges,2.494143432,,,,3.39,percent of total billed charges,2.643742723,,,,2.41707,percent of total billed charges,1.206162162,,,,2.41707,percent of total billed charges,0.721676572,,,,2.41707,percent of total billed charges,1.206162162,,,,2.41707,percent of total billed charges,0.721676572,,,,2.41707,percent of total billed charges,1.206162162,,,,2.41707,percent of total billed charges,0.721676572,,,,2.39334,percent of total billed charges,2.375181079,,,,2.39334,percent of total billed charges,1.638143564,,,,,,,,,,2.4408,percent of total billed charges,1.586462563,,,,,,,,,,2.4408,percent of total billed charges,999999999,,,,,,,,,,2.712,percent of total billed charges,2.272515025,,,,2.6781,percent of total billed charges,2.584481752,,,,2.6781,percent of total billed charges,2.283475178,,,,2.712,percent of total billed charges,999999999,,,,2.712,percent of total billed charges,999999999,,,,2.373,percent of total billed charges,999999999,,,,2.373,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.80348,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.71195,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.8475,percent of total billed charges,0.804917694,,,,,,,,,,0.8475,percent of total billed charges,0.791528436,,,,,,,,,,0.8475,percent of total billed charges,0.789328812,,,,,,,,,,0.8475,percent of total billed charges,0.777705955,,,,,,,,,,0.8475,percent of total billed charges,0.797717473,,,,,,,,,,0.8475,percent of total billed charges,999999999,,,,,,,,,,0.8475,percent of total billed charges,0.684497767,,,,,,,,,,0.8475,percent of total billed charges,1.079500181,,,,,,,,,,0.8475,percent of total billed charges,999999999,,,,,,,,,,0.8475,percent of total billed charges,0.738055998,,,,,,,,,,3.051,percent of total billed charges,,,,,
NF-Livalo Oral Tablet 1MG,Local,Local,,,,both,,,54.34,54.34,11.56811355,54.34,54.34,percent of total billed charges,39.97986847,,,,54.34,percent of total billed charges,42.37787008,,,,54.34,percent of total billed charges,39.97986847,,,,54.34,percent of total billed charges,42.37787008,,,,54.34,percent of total billed charges,999999999,,,,54.34,percent of total billed charges,41.40334523,,,,54.34,percent of total billed charges,39.97986847,,,,54.34,percent of total billed charges,42.37787008,,,,38.74442,percent of total billed charges,19.3341746,,,,38.74442,percent of total billed charges,11.56811355,,,,38.74442,percent of total billed charges,19.3341746,,,,38.74442,percent of total billed charges,11.56811355,,,,38.74442,percent of total billed charges,19.3341746,,,,38.74442,percent of total billed charges,11.56811355,,,,38.36404,percent of total billed charges,38.0729616,,,,38.36404,percent of total billed charges,26.25861985,,,,,,,,,,39.1248,percent of total billed charges,25.43019931,,,,,,,,,,39.1248,percent of total billed charges,999999999,,,,,,,,,,43.472,percent of total billed charges,36.42727625,,,,42.9286,percent of total billed charges,41.42794643,,,,42.9286,percent of total billed charges,36.602962,,,,43.472,percent of total billed charges,999999999,,,,43.472,percent of total billed charges,999999999,,,,38.038,percent of total billed charges,999999999,,,,38.038,percent of total billed charges,999999999,,,,,,,,,,,,,,,,28.90888,percent of total billed charges,999999999,,,,,,,,,,,,,,,,27.4417,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13.585,percent of total billed charges,12.90242699,,,,,,,,,,13.585,percent of total billed charges,12.68780389,,,,,,,,,,13.585,percent of total billed charges,12.65254503,,,,,,,,,,13.585,percent of total billed charges,12.46623646,,,,,,,,,,13.585,percent of total billed charges,12.78701105,,,,,,,,,,13.585,percent of total billed charges,999999999,,,,,,,,,,13.585,percent of total billed charges,10.97215594,,,,,,,,,,13.585,percent of total billed charges,17.30384656,,,,,,,,,,13.585,percent of total billed charges,999999999,,,,,,,,,,13.585,percent of total billed charges,11.83066754,,,,,,,,,,48.906,percent of total billed charges,,,,,
NF-Ferrous Sulfate Oral Solution 15MG/1M,Local,Local,,,,both,,,41.45,41.45,8.824039505,41.45,41.45,percent of total billed charges,30.49623754,,,,41.45,percent of total billed charges,32.32540881,,,,41.45,percent of total billed charges,30.49623754,,,,41.45,percent of total billed charges,32.32540881,,,,41.45,percent of total billed charges,999999999,,,,41.45,percent of total billed charges,31.58205116,,,,41.45,percent of total billed charges,30.49623754,,,,41.45,percent of total billed charges,32.32540881,,,,29.55385,percent of total billed charges,14.74791199,,,,29.55385,percent of total billed charges,8.824039505,,,,29.55385,percent of total billed charges,14.74791199,,,,29.55385,percent of total billed charges,8.824039505,,,,29.55385,percent of total billed charges,14.74791199,,,,29.55385,percent of total billed charges,8.824039505,,,,29.2637,percent of total billed charges,29.04166835,,,,29.2637,percent of total billed charges,20.02980848,,,,,,,,,,29.844,percent of total billed charges,19.39789771,,,,,,,,,,29.844,percent of total billed charges,999999999,,,,,,,,,,33.16,percent of total billed charges,27.78635628,,,,32.7455,percent of total billed charges,31.6008167,,,,32.7455,percent of total billed charges,27.92036759,,,,33.16,percent of total billed charges,999999999,,,,33.16,percent of total billed charges,999999999,,,,29.015,percent of total billed charges,999999999,,,,29.015,percent of total billed charges,999999999,,,,,,,,,,,,,,,,22.0514,percent of total billed charges,999999999,,,,,,,,,,,,,,,,20.93225,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10.3625,percent of total billed charges,9.84184024,,,,,,,,,,10.3625,percent of total billed charges,9.678127924,,,,,,,,,,10.3625,percent of total billed charges,9.651232821,,,,,,,,,,10.3625,percent of total billed charges,9.509118535,,,,,,,,,,10.3625,percent of total billed charges,9.753802134,,,,,,,,,,10.3625,percent of total billed charges,999999999,,,,,,,,,,10.3625,percent of total billed charges,8.369449095,,,,,,,,,,10.3625,percent of total billed charges,13.19919838,,,,,,,,,,10.3625,percent of total billed charges,999999999,,,,,,,,,,10.3625,percent of total billed charges,9.02431302,,,,,,,,,,37.305,percent of total billed charges,,,,,
NF-Pristiq Oral Tablet ER 25MG,Local,Local,,,,both,,,42.97,42.97,9.1476231,42.97,42.97,percent of total billed charges,31.61455554,,,,42.97,percent of total billed charges,33.51080378,,,,42.97,percent of total billed charges,31.61455554,,,,42.97,percent of total billed charges,33.51080378,,,,42.97,percent of total billed charges,999999999,,,,42.97,percent of total billed charges,32.74018669,,,,42.97,percent of total billed charges,31.61455554,,,,42.97,percent of total billed charges,33.51080378,,,,30.63761,percent of total billed charges,15.28872806,,,,30.63761,percent of total billed charges,9.1476231,,,,30.63761,percent of total billed charges,15.28872806,,,,30.63761,percent of total billed charges,9.1476231,,,,30.63761,percent of total billed charges,15.28872806,,,,30.63761,percent of total billed charges,9.1476231,,,,30.33682,percent of total billed charges,30.1066463,,,,30.33682,percent of total billed charges,20.76431533,,,,,,,,,,30.9384,percent of total billed charges,20.10923195,,,,,,,,,,30.9384,percent of total billed charges,999999999,,,,,,,,,,34.376,percent of total billed charges,28.80530108,,,,33.9463,percent of total billed charges,32.75964038,,,,33.9463,percent of total billed charges,28.94422667,,,,34.376,percent of total billed charges,999999999,,,,34.376,percent of total billed charges,999999999,,,,30.079,percent of total billed charges,999999999,,,,30.079,percent of total billed charges,999999999,,,,,,,,,,,,,,,,22.86004,percent of total billed charges,999999999,,,,,,,,,,,,,,,,21.69985,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10.7425,percent of total billed charges,10.20274729,,,,,,,,,,10.7425,percent of total billed charges,10.03303153,,,,,,,,,,10.7425,percent of total billed charges,10.00515016,,,,,,,,,,10.7425,percent of total billed charges,9.85782445,,,,,,,,,,10.7425,percent of total billed charges,10.11148077,,,,,,,,,,10.7425,percent of total billed charges,999999999,,,,,,,,,,10.7425,percent of total billed charges,8.676362547,,,,,,,,,,10.7425,percent of total billed charges,13.68322206,,,,,,,,,,10.7425,percent of total billed charges,999999999,,,,,,,,,,10.7425,percent of total billed charges,9.355240783,,,,,,,,,,38.673,percent of total billed charges,,,,,
NF-Janumet Oral Tablet 50MG-500MG,Local,Local,,,,both,,,37.32,37.32,7.944828813,37.32,37.32,percent of total billed charges,27.45764982,,,,37.32,percent of total billed charges,29.10456591,,,,37.32,percent of total billed charges,27.45764982,,,,37.32,percent of total billed charges,29.10456591,,,,37.32,percent of total billed charges,999999999,,,,37.32,percent of total billed charges,28.43527501,,,,37.32,percent of total billed charges,27.45764982,,,,37.32,percent of total billed charges,29.10456591,,,,26.60916,percent of total billed charges,13.27845779,,,,26.60916,percent of total billed charges,7.944828813,,,,26.60916,percent of total billed charges,13.27845779,,,,26.60916,percent of total billed charges,7.944828813,,,,26.60916,percent of total billed charges,13.27845779,,,,26.60916,percent of total billed charges,7.944828813,,,,26.34792,percent of total billed charges,26.14801117,,,,26.34792,percent of total billed charges,18.03407605,,,,,,,,,,26.8704,percent of total billed charges,17.46512768,,,,,,,,,,26.8704,percent of total billed charges,999999999,,,,,,,,,,29.856,percent of total billed charges,25.01777603,,,,29.4828,percent of total billed charges,28.45217079,,,,29.4828,percent of total billed charges,25.1384347,,,,29.856,percent of total billed charges,999999999,,,,29.856,percent of total billed charges,999999999,,,,26.124,percent of total billed charges,999999999,,,,26.124,percent of total billed charges,999999999,,,,,,,,,,,,,,,,19.85424,percent of total billed charges,999999999,,,,,,,,,,,,,,,,18.8466,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9.33,percent of total billed charges,8.861217799,,,,,,,,,,9.33,percent of total billed charges,8.71381747,,,,,,,,,,9.33,percent of total billed charges,8.689602144,,,,,,,,,,9.33,percent of total billed charges,8.561647858,,,,,,,,,,9.33,percent of total billed charges,8.781951644,,,,,,,,,,9.33,percent of total billed charges,999999999,,,,,,,,,,9.33,percent of total billed charges,7.535532936,,,,,,,,,,9.33,percent of total billed charges,11.88405509,,,,,,,,,,9.33,percent of total billed charges,999999999,,,,,,,,,,9.33,percent of total billed charges,8.125147452,,,,,,,,,,33.588,percent of total billed charges,,,,,
NF-Ferrous Sulfate Oral Solution 15MG/1M,Local,Local,,,,both,,,17.64,17.64,3.755272783,17.64,17.64,percent of total billed charges,12.97837467,,,,17.64,percent of total billed charges,13.75682054,,,,17.64,percent of total billed charges,12.97837467,,,,17.64,percent of total billed charges,13.75682054,,,,17.64,percent of total billed charges,999999999,,,,17.64,percent of total billed charges,13.44046761,,,,17.64,percent of total billed charges,12.97837467,,,,17.64,percent of total billed charges,13.75682054,,,,12.57732,percent of total billed charges,6.276312845,,,,12.57732,percent of total billed charges,3.755272783,,,,12.57732,percent of total billed charges,6.276312845,,,,12.57732,percent of total billed charges,3.755272783,,,,12.57732,percent of total billed charges,6.276312845,,,,12.57732,percent of total billed charges,3.755272783,,,,12.45384,percent of total billed charges,12.35934933,,,,12.45384,percent of total billed charges,8.524145272,,,,,,,,,,12.7008,percent of total billed charges,8.255221123,,,,,,,,,,12.7008,percent of total billed charges,999999999,,,,,,,,,,14.112,percent of total billed charges,11.82512243,,,,13.9356,percent of total billed charges,13.44845372,,,,13.9356,percent of total billed charges,11.88215402,,,,14.112,percent of total billed charges,999999999,,,,14.112,percent of total billed charges,999999999,,,,12.348,percent of total billed charges,999999999,,,,12.348,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.38448,percent of total billed charges,999999999,,,,,,,,,,,,,,,,8.9082,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4.41,percent of total billed charges,4.188421275,,,,,,,,,,4.41,percent of total billed charges,4.118749737,,,,,,,,,,4.41,percent of total billed charges,4.107303907,,,,,,,,,,4.41,percent of total billed charges,4.046823907,,,,,,,,,,4.41,percent of total billed charges,4.150954636,,,,,,,,,,4.41,percent of total billed charges,999999999,,,,,,,,,,4.41,percent of total billed charges,3.561811388,,,,,,,,,,4.41,percent of total billed charges,5.61722218,,,,,,,,,,4.41,percent of total billed charges,999999999,,,,,,,,,,4.41,percent of total billed charges,3.84050378,,,,,,,,,,15.876,percent of total billed charges,,,,,
NF-Ferrous Sulfate Oral Solution 15MG/1M,Local,Local,,,,both,,,17.64,17.64,3.755272783,17.64,17.64,percent of total billed charges,12.97837467,,,,17.64,percent of total billed charges,13.75682054,,,,17.64,percent of total billed charges,12.97837467,,,,17.64,percent of total billed charges,13.75682054,,,,17.64,percent of total billed charges,999999999,,,,17.64,percent of total billed charges,13.44046761,,,,17.64,percent of total billed charges,12.97837467,,,,17.64,percent of total billed charges,13.75682054,,,,12.57732,percent of total billed charges,6.276312845,,,,12.57732,percent of total billed charges,3.755272783,,,,12.57732,percent of total billed charges,6.276312845,,,,12.57732,percent of total billed charges,3.755272783,,,,12.57732,percent of total billed charges,6.276312845,,,,12.57732,percent of total billed charges,3.755272783,,,,12.45384,percent of total billed charges,12.35934933,,,,12.45384,percent of total billed charges,8.524145272,,,,,,,,,,12.7008,percent of total billed charges,8.255221123,,,,,,,,,,12.7008,percent of total billed charges,999999999,,,,,,,,,,14.112,percent of total billed charges,11.82512243,,,,13.9356,percent of total billed charges,13.44845372,,,,13.9356,percent of total billed charges,11.88215402,,,,14.112,percent of total billed charges,999999999,,,,14.112,percent of total billed charges,999999999,,,,12.348,percent of total billed charges,999999999,,,,12.348,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.38448,percent of total billed charges,999999999,,,,,,,,,,,,,,,,8.9082,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4.41,percent of total billed charges,4.188421275,,,,,,,,,,4.41,percent of total billed charges,4.118749737,,,,,,,,,,4.41,percent of total billed charges,4.107303907,,,,,,,,,,4.41,percent of total billed charges,4.046823907,,,,,,,,,,4.41,percent of total billed charges,4.150954636,,,,,,,,,,4.41,percent of total billed charges,999999999,,,,,,,,,,4.41,percent of total billed charges,3.561811388,,,,,,,,,,4.41,percent of total billed charges,5.61722218,,,,,,,,,,4.41,percent of total billed charges,999999999,,,,,,,,,,4.41,percent of total billed charges,3.84050378,,,,,,,,,,15.876,percent of total billed charges,,,,,
NF-Itraconazole Capsule 100MG,Local,Local,,,,both,,,9.1,9.1,1.937243896,9.1,9.1,percent of total billed charges,6.695193284,,,,9.1,percent of total billed charges,7.096772501,,,,9.1,percent of total billed charges,6.695193284,,,,9.1,percent of total billed charges,7.096772501,,,,9.1,percent of total billed charges,999999999,,,,9.1,percent of total billed charges,6.933574561,,,,9.1,percent of total billed charges,6.695193284,,,,9.1,percent of total billed charges,7.096772501,,,,6.4883,percent of total billed charges,3.237780436,,,,6.4883,percent of total billed charges,1.937243896,,,,6.4883,percent of total billed charges,3.237780436,,,,6.4883,percent of total billed charges,1.937243896,,,,6.4883,percent of total billed charges,3.237780436,,,,6.4883,percent of total billed charges,1.937243896,,,,6.4246,percent of total billed charges,6.375854813,,,,6.4246,percent of total billed charges,4.397376529,,,,,,,,,,6.552,percent of total billed charges,4.258645818,,,,,,,,,,6.552,percent of total billed charges,999999999,,,,,,,,,,7.28,percent of total billed charges,6.100261573,,,,7.189,percent of total billed charges,6.937694378,,,,7.189,percent of total billed charges,6.129682631,,,,7.28,percent of total billed charges,999999999,,,,7.28,percent of total billed charges,999999999,,,,6.37,percent of total billed charges,999999999,,,,6.37,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.8412,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.5955,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.275,percent of total billed charges,2.160693515,,,,,,,,,,2.275,percent of total billed charges,2.124751848,,,,,,,,,,2.275,percent of total billed charges,2.118847254,,,,,,,,,,2.275,percent of total billed charges,2.087647254,,,,,,,,,,2.275,percent of total billed charges,2.141365487,,,,,,,,,,2.275,percent of total billed charges,999999999,,,,,,,,,,2.275,percent of total billed charges,1.837442383,,,,,,,,,,2.275,percent of total billed charges,2.897773347,,,,,,,,,,2.275,percent of total billed charges,999999999,,,,,,,,,,2.275,percent of total billed charges,1.981212267,,,,,,,,,,8.19,percent of total billed charges,,,,,
NF-Itraconazole Capsule 100MG,Local,Local,,,,both,,,9.1,9.1,1.937243896,9.1,9.1,percent of total billed charges,6.695193284,,,,9.1,percent of total billed charges,7.096772501,,,,9.1,percent of total billed charges,6.695193284,,,,9.1,percent of total billed charges,7.096772501,,,,9.1,percent of total billed charges,999999999,,,,9.1,percent of total billed charges,6.933574561,,,,9.1,percent of total billed charges,6.695193284,,,,9.1,percent of total billed charges,7.096772501,,,,6.4883,percent of total billed charges,3.237780436,,,,6.4883,percent of total billed charges,1.937243896,,,,6.4883,percent of total billed charges,3.237780436,,,,6.4883,percent of total billed charges,1.937243896,,,,6.4883,percent of total billed charges,3.237780436,,,,6.4883,percent of total billed charges,1.937243896,,,,6.4246,percent of total billed charges,6.375854813,,,,6.4246,percent of total billed charges,4.397376529,,,,,,,,,,6.552,percent of total billed charges,4.258645818,,,,,,,,,,6.552,percent of total billed charges,999999999,,,,,,,,,,7.28,percent of total billed charges,6.100261573,,,,7.189,percent of total billed charges,6.937694378,,,,7.189,percent of total billed charges,6.129682631,,,,7.28,percent of total billed charges,999999999,,,,7.28,percent of total billed charges,999999999,,,,6.37,percent of total billed charges,999999999,,,,6.37,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.8412,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.5955,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.275,percent of total billed charges,2.160693515,,,,,,,,,,2.275,percent of total billed charges,2.124751848,,,,,,,,,,2.275,percent of total billed charges,2.118847254,,,,,,,,,,2.275,percent of total billed charges,2.087647254,,,,,,,,,,2.275,percent of total billed charges,2.141365487,,,,,,,,,,2.275,percent of total billed charges,999999999,,,,,,,,,,2.275,percent of total billed charges,1.837442383,,,,,,,,,,2.275,percent of total billed charges,2.897773347,,,,,,,,,,2.275,percent of total billed charges,999999999,,,,,,,,,,2.275,percent of total billed charges,1.981212267,,,,,,,,,,8.19,percent of total billed charges,,,,,
NF-IVERMECTIN 3MG TAB,Local,Local,,,,both,,,19.51,19.51,4.15336576,19.51,19.51,percent of total billed charges,14.35420011,,,,19.51,percent of total billed charges,15.2151683,,,,19.51,percent of total billed charges,14.35420011,,,,19.51,percent of total billed charges,15.2151683,,,,19.51,percent of total billed charges,999999999,,,,19.51,percent of total billed charges,14.86527909,,,,19.51,percent of total billed charges,14.35420011,,,,19.51,percent of total billed charges,15.2151683,,,,13.91063,percent of total billed charges,6.941658935,,,,13.91063,percent of total billed charges,4.15336576,,,,13.91063,percent of total billed charges,6.941658935,,,,13.91063,percent of total billed charges,4.15336576,,,,13.91063,percent of total billed charges,6.941658935,,,,13.91063,percent of total billed charges,4.15336576,,,,13.77406,percent of total billed charges,13.66955246,,,,13.77406,percent of total billed charges,9.427781988,,,,,,,,,,14.0472,percent of total billed charges,9.13034944,,,,,,,,,,14.0472,percent of total billed charges,999999999,,,,,,,,,,15.608,percent of total billed charges,13.07869267,,,,15.4129,percent of total billed charges,14.87411179,,,,15.4129,percent of total billed charges,13.14177012,,,,15.608,percent of total billed charges,999999999,,,,15.608,percent of total billed charges,999999999,,,,13.657,percent of total billed charges,999999999,,,,13.657,percent of total billed charges,999999999,,,,,,,,,,,,,,,,10.37932,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.85255,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4.8775,percent of total billed charges,4.63243192,,,,,,,,,,4.8775,percent of total billed charges,4.555374567,,,,,,,,,,4.8775,percent of total billed charges,4.542715376,,,,,,,,,,4.8775,percent of total billed charges,4.475823947,,,,,,,,,,4.8775,percent of total billed charges,4.590993477,,,,,,,,,,4.8775,percent of total billed charges,999999999,,,,,,,,,,4.8775,percent of total billed charges,3.939395702,,,,,,,,,,4.8775,percent of total billed charges,6.212698681,,,,,,,,,,4.8775,percent of total billed charges,999999999,,,,,,,,,,4.8775,percent of total billed charges,4.247632015,,,,,,,,,,17.559,percent of total billed charges,,,,,
NF-Sarna Sensitive Anti-Itch Topical Lot,Local,Local,,,,both,,,55.98,55.98,11.91724322,55.98,55.98,percent of total billed charges,41.18647473,,,,55.98,percent of total billed charges,43.65684886,,,,55.98,percent of total billed charges,41.18647473,,,,55.98,percent of total billed charges,43.65684886,,,,55.98,percent of total billed charges,999999999,,,,55.98,percent of total billed charges,42.65291252,,,,55.98,percent of total billed charges,41.18647473,,,,55.98,percent of total billed charges,43.65684886,,,,39.91374,percent of total billed charges,19.91768668,,,,39.91374,percent of total billed charges,11.91724322,,,,39.91374,percent of total billed charges,19.91768668,,,,39.91374,percent of total billed charges,11.91724322,,,,39.91374,percent of total billed charges,19.91768668,,,,39.91374,percent of total billed charges,11.91724322,,,,39.52188,percent of total billed charges,39.22201675,,,,39.52188,percent of total billed charges,27.05111408,,,,,,,,,,40.3056,percent of total billed charges,26.19769152,,,,,,,,,,40.3056,percent of total billed charges,999999999,,,,,,,,,,44.784,percent of total billed charges,37.52666405,,,,44.2242,percent of total billed charges,42.67825618,,,,44.2242,percent of total billed charges,37.70765205,,,,44.784,percent of total billed charges,999999999,,,,44.784,percent of total billed charges,999999999,,,,39.186,percent of total billed charges,999999999,,,,39.186,percent of total billed charges,999999999,,,,,,,,,,,,,,,,29.78136,percent of total billed charges,999999999,,,,,,,,,,,,,,,,28.2699,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13.995,percent of total billed charges,13.2918267,,,,,,,,,,13.995,percent of total billed charges,13.0707262,,,,,,,,,,13.995,percent of total billed charges,13.03440322,,,,,,,,,,13.995,percent of total billed charges,12.84247179,,,,,,,,,,13.995,percent of total billed charges,13.17292747,,,,,,,,,,13.995,percent of total billed charges,999999999,,,,,,,,,,13.995,percent of total billed charges,11.3032994,,,,,,,,,,13.995,percent of total billed charges,17.82608263,,,,,,,,,,13.995,percent of total billed charges,999999999,,,,,,,,,,13.995,percent of total billed charges,12.18772118,,,,,,,,,,50.382,percent of total billed charges,,,,,
NF-Auryxia Oral Tablet 1GM,Local,Local,,,,both,,,18.33,18.33,3.902162705,18.33,18.33,percent of total billed charges,13.48603219,,,,18.33,percent of total billed charges,14.29492747,,,,18.33,percent of total billed charges,13.48603219,,,,18.33,percent of total billed charges,14.29492747,,,,18.33,percent of total billed charges,999999999,,,,18.33,percent of total billed charges,13.96620019,,,,18.33,percent of total billed charges,13.48603219,,,,18.33,percent of total billed charges,14.29492747,,,,13.06929,percent of total billed charges,6.521814879,,,,13.06929,percent of total billed charges,3.902162705,,,,13.06929,percent of total billed charges,6.521814879,,,,13.06929,percent of total billed charges,3.902162705,,,,13.06929,percent of total billed charges,6.521814879,,,,13.06929,percent of total billed charges,3.902162705,,,,12.94098,percent of total billed charges,12.84279327,,,,12.94098,percent of total billed charges,8.857572723,,,,,,,,,,13.1976,percent of total billed charges,8.578129433,,,,,,,,,,13.1976,percent of total billed charges,999999999,,,,,,,,,,14.664,percent of total billed charges,12.28766974,,,,14.4807,percent of total billed charges,13.97449868,,,,14.4807,percent of total billed charges,12.34693216,,,,14.664,percent of total billed charges,999999999,,,,14.664,percent of total billed charges,999999999,,,,12.831,percent of total billed charges,999999999,,,,12.831,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.75156,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.25665,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4.5825,percent of total billed charges,4.35225408,,,,,,,,,,4.5825,percent of total billed charges,4.279857294,,,,,,,,,,4.5825,percent of total billed charges,4.267963754,,,,,,,,,,4.5825,percent of total billed charges,4.20511804,,,,,,,,,,4.5825,percent of total billed charges,4.313321909,,,,,,,,,,4.5825,percent of total billed charges,999999999,,,,,,,,,,4.5825,percent of total billed charges,3.701133942,,,,,,,,,,4.5825,percent of total billed charges,5.836943456,,,,,,,,,,4.5825,percent of total billed charges,999999999,,,,,,,,,,4.5825,percent of total billed charges,3.990727567,,,,,,,,,,16.497,percent of total billed charges,,,,,
NF-Auryxia Oral Tablet 1GM,Local,Local,,,,both,,,18.33,18.33,3.902162705,18.33,18.33,percent of total billed charges,13.48603219,,,,18.33,percent of total billed charges,14.29492747,,,,18.33,percent of total billed charges,13.48603219,,,,18.33,percent of total billed charges,14.29492747,,,,18.33,percent of total billed charges,999999999,,,,18.33,percent of total billed charges,13.96620019,,,,18.33,percent of total billed charges,13.48603219,,,,18.33,percent of total billed charges,14.29492747,,,,13.06929,percent of total billed charges,6.521814879,,,,13.06929,percent of total billed charges,3.902162705,,,,13.06929,percent of total billed charges,6.521814879,,,,13.06929,percent of total billed charges,3.902162705,,,,13.06929,percent of total billed charges,6.521814879,,,,13.06929,percent of total billed charges,3.902162705,,,,12.94098,percent of total billed charges,12.84279327,,,,12.94098,percent of total billed charges,8.857572723,,,,,,,,,,13.1976,percent of total billed charges,8.578129433,,,,,,,,,,13.1976,percent of total billed charges,999999999,,,,,,,,,,14.664,percent of total billed charges,12.28766974,,,,14.4807,percent of total billed charges,13.97449868,,,,14.4807,percent of total billed charges,12.34693216,,,,14.664,percent of total billed charges,999999999,,,,14.664,percent of total billed charges,999999999,,,,12.831,percent of total billed charges,999999999,,,,12.831,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.75156,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.25665,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4.5825,percent of total billed charges,4.35225408,,,,,,,,,,4.5825,percent of total billed charges,4.279857294,,,,,,,,,,4.5825,percent of total billed charges,4.267963754,,,,,,,,,,4.5825,percent of total billed charges,4.20511804,,,,,,,,,,4.5825,percent of total billed charges,4.313321909,,,,,,,,,,4.5825,percent of total billed charges,999999999,,,,,,,,,,4.5825,percent of total billed charges,3.701133942,,,,,,,,,,4.5825,percent of total billed charges,5.836943456,,,,,,,,,,4.5825,percent of total billed charges,999999999,,,,,,,,,,4.5825,percent of total billed charges,3.990727567,,,,,,,,,,16.497,percent of total billed charges,,,,,
NF-Pantoprazole Sodium Tablet DR 20MG,Local,Local,,,,both,,,1.04,1.04,0.221399302,1.04,1.04,percent of total billed charges,0.765164947,,,,1.04,percent of total billed charges,0.811059714,,,,1.04,percent of total billed charges,0.765164947,,,,1.04,percent of total billed charges,0.811059714,,,,1.04,percent of total billed charges,999999999,,,,1.04,percent of total billed charges,0.792408521,,,,1.04,percent of total billed charges,0.765164947,,,,1.04,percent of total billed charges,0.811059714,,,,0.74152,percent of total billed charges,0.37003205,,,,0.74152,percent of total billed charges,0.221399302,,,,0.74152,percent of total billed charges,0.37003205,,,,0.74152,percent of total billed charges,0.221399302,,,,0.74152,percent of total billed charges,0.37003205,,,,0.74152,percent of total billed charges,0.221399302,,,,0.73424,percent of total billed charges,0.728669122,,,,0.73424,percent of total billed charges,0.502557318,,,,,,,,,,0.7488,percent of total billed charges,0.486702379,,,,,,,,,,0.7488,percent of total billed charges,999999999,,,,,,,,,,0.832,percent of total billed charges,0.697172751,,,,0.8216,percent of total billed charges,0.792879357,,,,0.8216,percent of total billed charges,0.700535158,,,,0.832,percent of total billed charges,999999999,,,,0.832,percent of total billed charges,999999999,,,,0.728,percent of total billed charges,999999999,,,,0.728,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.55328,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.5252,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.26,percent of total billed charges,0.246936402,,,,,,,,,,0.26,percent of total billed charges,0.242828783,,,,,,,,,,0.26,percent of total billed charges,0.242153972,,,,,,,,,,0.26,percent of total billed charges,0.238588258,,,,,,,,,,0.26,percent of total billed charges,0.244727484,,,,,,,,,,0.26,percent of total billed charges,999999999,,,,,,,,,,0.26,percent of total billed charges,0.209993415,,,,,,,,,,0.26,percent of total billed charges,0.331174097,,,,,,,,,,0.26,percent of total billed charges,999999999,,,,,,,,,,0.26,percent of total billed charges,0.226424259,,,,,,,,,,0.936,percent of total billed charges,,,,,
NF-Itraconazole Oral Solution 10MG/ML,Local,Local,,,,both,,,231.42,231.42,49.26560246,231.42,231.42,percent of total billed charges,170.2639154,,,,231.42,percent of total billed charges,180.4763838,,,,231.42,percent of total billed charges,170.2639154,,,,231.42,percent of total billed charges,180.4763838,,,,231.42,percent of total billed charges,999999999,,,,231.42,percent of total billed charges,176.3261346,,,,231.42,percent of total billed charges,170.2639154,,,,231.42,percent of total billed charges,180.4763838,,,,165.00246,percent of total billed charges,82.33924709,,,,165.00246,percent of total billed charges,49.26560246,,,,165.00246,percent of total billed charges,82.33924709,,,,165.00246,percent of total billed charges,49.26560246,,,,165.00246,percent of total billed charges,82.33924709,,,,165.00246,percent of total billed charges,49.26560246,,,,163.38252,percent of total billed charges,162.1428924,,,,163.38252,percent of total billed charges,111.8286677,,,,,,,,,,166.6224,percent of total billed charges,108.300639,,,,,,,,,,166.6224,percent of total billed charges,999999999,,,,,,,,,,185.136,percent of total billed charges,155.1343443,,,,182.8218,percent of total billed charges,176.4309047,,,,182.8218,percent of total billed charges,155.8825445,,,,185.136,percent of total billed charges,999999999,,,,185.136,percent of total billed charges,999999999,,,,161.994,percent of total billed charges,999999999,,,,161.994,percent of total billed charges,999999999,,,,,,,,,,,,,,,,123.11544,percent of total billed charges,999999999,,,,,,,,,,,,,,,,116.8671,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,57.855,percent of total billed charges,54.94809815,,,,,,,,,,57.855,percent of total billed charges,54.03407393,,,,,,,,,,57.855,percent of total billed charges,53.88391555,,,,,,,,,,57.855,percent of total billed charges,53.09047555,,,,,,,,,,57.855,percent of total billed charges,54.45657153,,,,,,,,,,57.855,percent of total billed charges,999999999,,,,,,,,,,57.855,percent of total billed charges,46.72757321,,,,,,,,,,57.855,percent of total billed charges,73.69260527,,,,,,,,,,57.855,percent of total billed charges,999999999,,,,,,,,,,57.855,percent of total billed charges,50.38375197,,,,,,,,,,208.278,percent of total billed charges,,,,,
NF-Itraconazole Oral Solution 10MG/ML,Local,Local,,,,both,,,146.65,146.65,31.21943048,146.65,146.65,percent of total billed charges,107.8956148,,,,146.65,percent of total billed charges,114.3672184,,,,146.65,percent of total billed charges,107.8956148,,,,146.65,percent of total billed charges,114.3672184,,,,146.65,percent of total billed charges,999999999,,,,146.65,percent of total billed charges,111.7372208,,,,146.65,percent of total billed charges,107.8956148,,,,146.65,percent of total billed charges,114.3672184,,,,104.56145,percent of total billed charges,52.17807703,,,,104.56145,percent of total billed charges,31.21943048,,,,104.56145,percent of total billed charges,52.17807703,,,,104.56145,percent of total billed charges,31.21943048,,,,104.56145,percent of total billed charges,52.17807703,,,,104.56145,percent of total billed charges,31.21943048,,,,103.5349,percent of total billed charges,102.7493526,,,,103.5349,percent of total billed charges,70.86541407,,,,,,,,,,105.588,percent of total billed charges,68.62971529,,,,,,,,,,105.588,percent of total billed charges,999999999,,,,,,,,,,117.32,percent of total billed charges,98.3080615,,,,115.8535,percent of total billed charges,111.8036132,,,,115.8535,percent of total billed charges,98.78219317,,,,117.32,percent of total billed charges,999999999,,,,117.32,percent of total billed charges,999999999,,,,102.655,percent of total billed charges,999999999,,,,102.655,percent of total billed charges,999999999,,,,,,,,,,,,,,,,78.0178,percent of total billed charges,999999999,,,,,,,,,,,,,,,,74.05825,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,36.6625,percent of total billed charges,34.82040702,,,,,,,,,,36.6625,percent of total billed charges,34.24119325,,,,,,,,,,36.6625,percent of total billed charges,34.14603844,,,,,,,,,,36.6625,percent of total billed charges,33.64323844,,,,,,,,,,36.6625,percent of total billed charges,34.50892842,,,,,,,,,,36.6625,percent of total billed charges,999999999,,,,,,,,,,36.6625,percent of total billed charges,29.6110907,,,,,,,,,,36.6625,percent of total billed charges,46.69873201,,,,,,,,,,36.6625,percent of total billed charges,999999999,,,,,,,,,,36.6625,percent of total billed charges,31.92799769,,,,,,,,,,131.985,percent of total billed charges,,,,,
NF-Potassium Citrate Oral Tablet ER 10ME,Local,Local,,,,both,,,11.28,11.28,2.401330895,11.28,11.28,percent of total billed charges,8.29909673,,,,11.28,percent of total billed charges,8.796878441,,,,11.28,percent of total billed charges,8.29909673,,,,11.28,percent of total billed charges,8.796878441,,,,11.28,percent of total billed charges,999999999,,,,11.28,percent of total billed charges,8.59458473,,,,11.28,percent of total billed charges,8.29909673,,,,11.28,percent of total billed charges,8.796878441,,,,8.04264,percent of total billed charges,4.013424541,,,,8.04264,percent of total billed charges,2.401330895,,,,8.04264,percent of total billed charges,4.013424541,,,,8.04264,percent of total billed charges,2.401330895,,,,8.04264,percent of total billed charges,4.013424541,,,,8.04264,percent of total billed charges,2.401330895,,,,7.96368,percent of total billed charges,7.903257395,,,,7.96368,percent of total billed charges,5.450813984,,,,,,,,,,8.1216,percent of total billed charges,5.278848882,,,,,,,,,,8.1216,percent of total billed charges,999999999,,,,,,,,,,9.024,percent of total billed charges,7.561642917,,,,8.9112,percent of total billed charges,8.599691493,,,,8.9112,percent of total billed charges,7.598112097,,,,9.024,percent of total billed charges,999999999,,,,9.024,percent of total billed charges,999999999,,,,7.896,percent of total billed charges,999999999,,,,7.896,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.00096,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.6964,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.82,percent of total billed charges,2.678310203,,,,,,,,,,2.82,percent of total billed charges,2.633758335,,,,,,,,,,2.82,percent of total billed charges,2.626439233,,,,,,,,,,2.82,percent of total billed charges,2.587764948,,,,,,,,,,2.82,percent of total billed charges,2.654351944,,,,,,,,,,2.82,percent of total billed charges,999999999,,,,,,,,,,2.82,percent of total billed charges,2.277620887,,,,,,,,,,2.82,percent of total billed charges,3.591965204,,,,,,,,,,2.82,percent of total billed charges,999999999,,,,,,,,,,2.82,percent of total billed charges,2.455832349,,,,,,,,,,10.152,percent of total billed charges,,,,,
NF-Viread Oral Tablet 300MG (Tenofovir),Local,Local,,,,both,,,19.9,19.9,4.236390498,19.9,19.9,percent of total billed charges,14.64113696,,,,19.9,percent of total billed charges,15.51931569,,,,19.9,percent of total billed charges,14.64113696,,,,19.9,percent of total billed charges,15.51931569,,,,19.9,percent of total billed charges,999999999,,,,19.9,percent of total billed charges,15.16243228,,,,19.9,percent of total billed charges,14.64113696,,,,19.9,percent of total billed charges,15.51931569,,,,14.1887,percent of total billed charges,7.080420954,,,,14.1887,percent of total billed charges,4.236390498,,,,14.1887,percent of total billed charges,7.080420954,,,,14.1887,percent of total billed charges,4.236390498,,,,14.1887,percent of total billed charges,7.080420954,,,,14.1887,percent of total billed charges,4.236390498,,,,14.0494,percent of total billed charges,13.94280338,,,,14.0494,percent of total billed charges,9.616240982,,,,,,,,,,14.328,percent of total billed charges,9.312862832,,,,,,,,,,14.328,percent of total billed charges,999999999,,,,,,,,,,15.92,percent of total billed charges,13.34013245,,,,15.721,percent of total billed charges,15.17144155,,,,15.721,percent of total billed charges,13.40447081,,,,15.92,percent of total billed charges,999999999,,,,15.92,percent of total billed charges,999999999,,,,13.93,percent of total billed charges,999999999,,,,13.93,percent of total billed charges,999999999,,,,,,,,,,,,,,,,10.5868,percent of total billed charges,999999999,,,,,,,,,,,,,,,,10.0495,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4.975,percent of total billed charges,4.725033071,,,,,,,,,,4.975,percent of total billed charges,4.64643536,,,,,,,,,,4.975,percent of total billed charges,4.633523116,,,,,,,,,,4.975,percent of total billed charges,4.565294544,,,,,,,,,,4.975,percent of total billed charges,4.682766284,,,,,,,,,,4.975,percent of total billed charges,999999999,,,,,,,,,,4.975,percent of total billed charges,4.018143232,,,,,,,,,,4.975,percent of total billed charges,6.336888967,,,,,,,,,,4.975,percent of total billed charges,999999999,,,,,,,,,,4.975,percent of total billed charges,4.332541112,,,,,,,,,,17.91,percent of total billed charges,,,,,
NF-Dexilant Delayed-Release Capsule 60MG,Local,Local,,,,both,,,51.28,51.28,10.91668868,51.28,51.28,percent of total billed charges,37.72851776,,,,51.28,percent of total billed charges,39.99148284,,,,51.28,percent of total billed charges,37.72851776,,,,51.28,percent of total billed charges,39.99148284,,,,51.28,percent of total billed charges,999999999,,,,51.28,percent of total billed charges,39.07183555,,,,51.28,percent of total billed charges,37.72851776,,,,51.28,percent of total billed charges,39.99148284,,,,36.56264,percent of total billed charges,18.24542646,,,,36.56264,percent of total billed charges,10.91668868,,,,36.56264,percent of total billed charges,18.24542646,,,,36.56264,percent of total billed charges,10.91668868,,,,36.56264,percent of total billed charges,18.24542646,,,,36.56264,percent of total billed charges,10.91668868,,,,36.20368,percent of total billed charges,35.92899284,,,,36.20368,percent of total billed charges,24.77994159,,,,,,,,,,36.9216,percent of total billed charges,23.99817116,,,,,,,,,,36.9216,percent of total billed charges,999999999,,,,,,,,,,41.024,percent of total billed charges,34.3759795,,,,40.5112,percent of total billed charges,39.0950514,,,,40.5112,percent of total billed charges,34.54177201,,,,41.024,percent of total billed charges,999999999,,,,41.024,percent of total billed charges,999999999,,,,35.896,percent of total billed charges,999999999,,,,35.896,percent of total billed charges,999999999,,,,,,,,,,,,,,,,27.28096,percent of total billed charges,999999999,,,,,,,,,,,,,,,,25.8964,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12.82,percent of total billed charges,12.17586411,,,,,,,,,,12.82,percent of total billed charges,11.9733269,,,,,,,,,,12.82,percent of total billed charges,11.94005354,,,,,,,,,,12.82,percent of total billed charges,11.76423639,,,,,,,,,,12.82,percent of total billed charges,12.06694749,,,,,,,,,,12.82,percent of total billed charges,999999999,,,,,,,,,,12.82,percent of total billed charges,10.3542907,,,,,,,,,,12.82,percent of total billed charges,16.32943046,,,,,,,,,,12.82,percent of total billed charges,999999999,,,,,,,,,,12.82,percent of total billed charges,11.1644577,,,,,,,,,,46.152,percent of total billed charges,,,,,
NF-rOPINIRole Oral Extended Release Tab,Local,Local,,,,both,,,4.05,4.05,0.862179976,4.05,4.05,percent of total billed charges,2.979728879,,,,4.05,percent of total billed charges,3.158453696,,,,4.05,percent of total billed charges,2.979728879,,,,4.05,percent of total billed charges,3.158453696,,,,4.05,percent of total billed charges,999999999,,,,4.05,percent of total billed charges,3.085821645,,,,4.05,percent of total billed charges,2.979728879,,,,4.05,percent of total billed charges,3.158453696,,,,2.88765,percent of total billed charges,1.440990194,,,,2.88765,percent of total billed charges,0.862179976,,,,2.88765,percent of total billed charges,1.440990194,,,,2.88765,percent of total billed charges,0.862179976,,,,2.88765,percent of total billed charges,1.440990194,,,,2.88765,percent of total billed charges,0.862179976,,,,2.8593,percent of total billed charges,2.837605714,,,,2.8593,percent of total billed charges,1.95707417,,,,,,,,,,2.916,percent of total billed charges,1.89533138,,,,,,,,,,2.916,percent of total billed charges,999999999,,,,,,,,,,3.24,percent of total billed charges,2.714951579,,,,3.1995,percent of total billed charges,3.08765519,,,,3.1995,percent of total billed charges,2.728045567,,,,3.24,percent of total billed charges,999999999,,,,3.24,percent of total billed charges,999999999,,,,2.835,percent of total billed charges,999999999,,,,2.835,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2.1546,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2.04525,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.0125,percent of total billed charges,0.961627333,,,,,,,,,,1.0125,percent of total billed charges,0.945631317,,,,,,,,,,1.0125,percent of total billed charges,0.943003448,,,,,,,,,,1.0125,percent of total billed charges,0.929117734,,,,,,,,,,1.0125,percent of total billed charges,0.953025299,,,,,,,,,,1.0125,percent of total billed charges,999999999,,,,,,,,,,1.0125,percent of total billed charges,0.817762819,,,,,,,,,,1.0125,percent of total billed charges,1.289668358,,,,,,,,,,1.0125,percent of total billed charges,999999999,,,,,,,,,,1.0125,percent of total billed charges,0.881748317,,,,,,,,,,3.645,percent of total billed charges,,,,,
NF-Aranesp Injection Solution 60 MCG/1ML,J0882,CDM,,,,both,,,1757.55,1757.55,374.1541769,1757.55,1757.55,percent of total billed charges,1293.091973,,,,1757.55,percent of total billed charges,1370.651924,,,,1757.55,percent of total billed charges,1293.091973,,,,1757.55,percent of total billed charges,1370.651924,,,,1757.55,percent of total billed charges,999999999,,,,1757.55,percent of total billed charges,1339.132304,,,,1757.55,percent of total billed charges,1293.091973,,,,1757.55,percent of total billed charges,1370.651924,,,,1253.13315,percent of total billed charges,625.3363742,,,,1253.13315,percent of total billed charges,374.1541769,,,,1253.13315,percent of total billed charges,625.3363742,,,,1253.13315,percent of total billed charges,374.1541769,,,,1253.13315,percent of total billed charges,625.3363742,,,,1253.13315,percent of total billed charges,374.1541769,,,,1240.8303,percent of total billed charges,1231.415783,,,,1240.8303,percent of total billed charges,849.2977054,,,,,,,,,,1265.436,percent of total billed charges,822.5036216,,,,,,,,,,1265.436,percent of total billed charges,999999999,,,,,,,,,,1406.04,percent of total billed charges,1178.188432,,,,1388.4645,percent of total billed charges,1339.927995,,,,1388.4645,percent of total billed charges,1183.870737,,,,1406.04,percent of total billed charges,999999999,,,,1406.04,percent of total billed charges,999999999,,,,1230.285,percent of total billed charges,999999999,,,,1230.285,percent of total billed charges,999999999,,,,,,,,,,,,,,,,935.0166,percent of total billed charges,999999999,,,,,,,,,,,,,,,,887.56275,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,439.3875,percent of total billed charges,417.3106469,,,,,,,,,,439.3875,percent of total billed charges,410.3689682,,,,,,,,,,439.3875,percent of total billed charges,409.2285704,,,,,,,,,,439.3875,percent of total billed charges,403.2026847,,,,,,,,,,439.3875,percent of total billed charges,413.5776825,,,,,,,,,,439.3875,percent of total billed charges,999999999,,,,,,,,,,439.3875,percent of total billed charges,354.8787758,,,,,,,,,,439.3875,percent of total billed charges,559.6683017,,,,,,,,,,439.3875,percent of total billed charges,999999999,,,,,,,,,,439.3875,percent of total billed charges,382.6461121,,,,,,,,,,1581.795,percent of total billed charges,,,,,
NF-Coenzyme Q-10 Liq Cap 100MG,Local,Local,,,,both,,,1.94,1.94,0.412994853,1.94,1.94,percent of total billed charges,1.42732692,,,,1.94,percent of total billed charges,1.512938313,,,,1.94,percent of total billed charges,1.42732692,,,,1.94,percent of total billed charges,1.512938313,,,,1.94,percent of total billed charges,999999999,,,,1.94,percent of total billed charges,1.478146665,,,,1.94,percent of total billed charges,1.42732692,,,,1.94,percent of total billed charges,1.512938313,,,,1.38322,percent of total billed charges,0.690252093,,,,1.38322,percent of total billed charges,0.412994853,,,,1.38322,percent of total billed charges,0.690252093,,,,1.38322,percent of total billed charges,0.412994853,,,,1.38322,percent of total billed charges,0.690252093,,,,1.38322,percent of total billed charges,0.412994853,,,,1.36964,percent of total billed charges,1.359248169,,,,1.36964,percent of total billed charges,0.937462689,,,,,,,,,,1.3968,percent of total billed charges,0.90788713,,,,,,,,,,1.3968,percent of total billed charges,999999999,,,,,,,,,,1.552,percent of total billed charges,1.300495324,,,,1.5326,percent of total billed charges,1.479024955,,,,1.5326,percent of total billed charges,1.306767506,,,,1.552,percent of total billed charges,999999999,,,,1.552,percent of total billed charges,999999999,,,,1.358,percent of total billed charges,999999999,,,,1.358,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.03208,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.9797,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.485,percent of total billed charges,0.460631365,,,,,,,,,,0.485,percent of total billed charges,0.452969075,,,,,,,,,,0.485,percent of total billed charges,0.451710294,,,,,,,,,,0.485,percent of total billed charges,0.445058865,,,,,,,,,,0.485,percent of total billed charges,0.456510884,,,,,,,,,,0.485,percent of total billed charges,999999999,,,,,,,,,,0.485,percent of total billed charges,0.391718486,,,,,,,,,,0.485,percent of total billed charges,0.617767065,,,,,,,,,,0.485,percent of total billed charges,999999999,,,,,,,,,,0.485,percent of total billed charges,0.42236833,,,,,,,,,,1.746,percent of total billed charges,,,,,
NF-Neupro TD Patch ER 4MG/24HR,Local,Local,,,,both,,,123.3,123.3,26.24859037,123.3,123.3,percent of total billed charges,90.71619032,,,,123.3,percent of total billed charges,96.15736806,,,,123.3,percent of total billed charges,90.71619032,,,,123.3,percent of total billed charges,96.15736806,,,,123.3,percent of total billed charges,999999999,,,,123.3,percent of total billed charges,93.94612564,,,,123.3,percent of total billed charges,90.71619032,,,,123.3,percent of total billed charges,96.15736806,,,,87.9129,percent of total billed charges,43.87014591,,,,87.9129,percent of total billed charges,26.24859037,,,,87.9129,percent of total billed charges,43.87014591,,,,87.9129,percent of total billed charges,26.24859037,,,,87.9129,percent of total billed charges,43.87014591,,,,87.9129,percent of total billed charges,26.24859037,,,,87.0498,percent of total billed charges,86.3893295,,,,87.0498,percent of total billed charges,59.58203583,,,,,,,,,,88.776,percent of total billed charges,57.70231091,,,,,,,,,,88.776,percent of total billed charges,999999999,,,,,,,,,,98.64,percent of total billed charges,82.65519252,,,,97.407,percent of total billed charges,94.0019469,,,,97.407,percent of total billed charges,83.0538317,,,,98.64,percent of total billed charges,999999999,,,,98.64,percent of total billed charges,999999999,,,,86.31,percent of total billed charges,999999999,,,,86.31,percent of total billed charges,999999999,,,,,,,,,,,,,,,,65.5956,percent of total billed charges,999999999,,,,,,,,,,,,,,,,62.2665,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,30.825,percent of total billed charges,29.27620993,,,,,,,,,,30.825,percent of total billed charges,28.7892201,,,,,,,,,,30.825,percent of total billed charges,28.70921609,,,,,,,,,,30.825,percent of total billed charges,28.28647323,,,,,,,,,,30.825,percent of total billed charges,29.01432577,,,,,,,,,,30.825,percent of total billed charges,999999999,,,,,,,,,,30.825,percent of total billed charges,24.8963347,,,,,,,,,,30.825,percent of total billed charges,39.26323667,,,,,,,,,,30.825,percent of total billed charges,999999999,,,,,,,,,,30.825,percent of total billed charges,26.84433764,,,,,,,,,,110.97,percent of total billed charges,,,,,
NF-rivastigmine TD Patch ER 13.3MG/24HR,Local,Local,,,,both,,,29.71,29.71,6.324781995,29.71,29.71,percent of total billed charges,21.85870247,,,,29.71,percent of total billed charges,23.16979242,,,,29.71,percent of total billed charges,21.85870247,,,,29.71,percent of total billed charges,23.16979242,,,,29.71,percent of total billed charges,999999999,,,,29.71,percent of total billed charges,22.63697804,,,,29.71,percent of total billed charges,21.85870247,,,,29.71,percent of total billed charges,23.16979242,,,,21.18323,percent of total billed charges,10.57081942,,,,21.18323,percent of total billed charges,6.324781995,,,,21.18323,percent of total billed charges,10.57081942,,,,21.18323,percent of total billed charges,6.324781995,,,,21.18323,percent of total billed charges,10.57081942,,,,21.18323,percent of total billed charges,6.324781995,,,,20.97526,percent of total billed charges,20.816115,,,,20.97526,percent of total billed charges,14.35670953,,,,,,,,,,21.3912,percent of total billed charges,13.90377662,,,,,,,,,,21.3912,percent of total billed charges,999999999,,,,,,,,,,23.768,percent of total billed charges,19.9163485,,,,23.4709,percent of total billed charges,22.65042857,,,,23.4709,percent of total billed charges,20.0124034,,,,23.768,percent of total billed charges,999999999,,,,23.768,percent of total billed charges,999999999,,,,20.797,percent of total billed charges,999999999,,,,20.797,percent of total billed charges,999999999,,,,,,,,,,,,,,,,15.80572,percent of total billed charges,999999999,,,,,,,,,,,,,,,,15.00355,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7.4275,percent of total billed charges,7.054308167,,,,,,,,,,7.4275,percent of total billed charges,6.936964551,,,,,,,,,,7.4275,percent of total billed charges,6.917687023,,,,,,,,,,7.4275,percent of total billed charges,6.815824166,,,,,,,,,,7.4275,percent of total billed charges,6.991205342,,,,,,,,,,7.4275,percent of total billed charges,999999999,,,,,,,,,,7.4275,percent of total billed charges,5.998946504,,,,,,,,,,7.4275,percent of total billed charges,9.460752322,,,,,,,,,,7.4275,percent of total billed charges,999999999,,,,,,,,,,7.4275,percent of total billed charges,6.468331479,,,,,,,,,,26.739,percent of total billed charges,,,,,
NF-Avelox Oral Tablet 400MG,Local,Local,,,,both,,,26.47,26.47,5.635038014,26.47,26.47,percent of total billed charges,19.47491937,,,,26.47,percent of total billed charges,20.64302946,,,,26.47,percent of total billed charges,19.47491937,,,,26.47,percent of total billed charges,20.64302946,,,,26.47,percent of total billed charges,999999999,,,,26.47,percent of total billed charges,20.16832073,,,,26.47,percent of total billed charges,19.47491937,,,,26.47,percent of total billed charges,20.64302946,,,,18.87311,percent of total billed charges,9.418027269,,,,18.87311,percent of total billed charges,5.635038014,,,,18.87311,percent of total billed charges,9.418027269,,,,18.87311,percent of total billed charges,5.635038014,,,,18.87311,percent of total billed charges,9.418027269,,,,18.87311,percent of total billed charges,5.635038014,,,,18.68782,percent of total billed charges,18.54603043,,,,18.68782,percent of total billed charges,12.79105019,,,,,,,,,,19.0584,percent of total billed charges,12.38751152,,,,,,,,,,19.0584,percent of total billed charges,999999999,,,,,,,,,,21.176,percent of total billed charges,17.74438723,,,,20.9113,percent of total billed charges,20.18030442,,,,20.9113,percent of total billed charges,17.82996695,,,,21.176,percent of total billed charges,999999999,,,,21.176,percent of total billed charges,999999999,,,,18.529,percent of total billed charges,999999999,,,,18.529,percent of total billed charges,999999999,,,,,,,,,,,,,,,,14.08204,percent of total billed charges,999999999,,,,,,,,,,,,,,,,13.36735,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6.6175,percent of total billed charges,6.2850063,,,,,,,,,,6.6175,percent of total billed charges,6.180459497,,,,,,,,,,6.6175,percent of total billed charges,6.163284265,,,,,,,,,,6.6175,percent of total billed charges,6.072529979,,,,,,,,,,6.6175,percent of total billed charges,6.228785102,,,,,,,,,,6.6175,percent of total billed charges,999999999,,,,,,,,,,6.6175,percent of total billed charges,5.344736249,,,,,,,,,,6.6175,percent of total billed charges,8.429017636,,,,,,,,,,6.6175,percent of total billed charges,999999999,,,,,,,,,,6.6175,percent of total billed charges,5.762932826,,,,,,,,,,23.823,percent of total billed charges,,,,,
NF-Incruse Ellipta Inh Pwd 62.5MCG/1ACT,Local,Local,,,,both,,,291.9,291.9,62.14082344,291.9,291.9,percent of total billed charges,214.7612,,,,291.9,percent of total billed charges,227.6426256,,,,291.9,percent of total billed charges,214.7612,,,,291.9,percent of total billed charges,227.6426256,,,,291.9,percent of total billed charges,999999999,,,,291.9,percent of total billed charges,222.4077378,,,,291.9,percent of total billed charges,214.7612,,,,291.9,percent of total billed charges,227.6426256,,,,208.1247,percent of total billed charges,103.858034,,,,208.1247,percent of total billed charges,62.14082344,,,,208.1247,percent of total billed charges,103.858034,,,,208.1247,percent of total billed charges,62.14082344,,,,208.1247,percent of total billed charges,103.858034,,,,208.1247,percent of total billed charges,62.14082344,,,,206.0814,percent of total billed charges,204.5178044,,,,206.0814,percent of total billed charges,141.0543087,,,,,,,,,,210.168,percent of total billed charges,136.6042543,,,,,,,,,,210.168,percent of total billed charges,999999999,,,,,,,,,,233.52,percent of total billed charges,195.6776212,,,,230.601,percent of total billed charges,222.5398889,,,,230.601,percent of total billed charges,196.6213582,,,,233.52,percent of total billed charges,999999999,,,,233.52,percent of total billed charges,999999999,,,,204.33,percent of total billed charges,999999999,,,,204.33,percent of total billed charges,999999999,,,,,,,,,,,,,,,,155.2908,percent of total billed charges,999999999,,,,,,,,,,,,,,,,147.4095,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,72.975,percent of total billed charges,69.30839966,,,,,,,,,,72.975,percent of total billed charges,68.15550159,,,,,,,,,,72.975,percent of total billed charges,67.96610037,,,,,,,,,,72.975,percent of total billed charges,66.96530037,,,,,,,,,,72.975,percent of total billed charges,68.688416,,,,,,,,,,72.975,percent of total billed charges,999999999,,,,,,,,,,72.975,percent of total billed charges,58.93949797,,,,,,,,,,72.975,percent of total billed charges,92.95165274,,,,,,,,,,72.975,percent of total billed charges,999999999,,,,,,,,,,72.975,percent of total billed charges,63.5511935,,,,,,,,,,262.71,percent of total billed charges,,,,,
NF-DIFLUNISAL ORAL TABLET 500MG,Local,Local,,,,both,,,12.91,12.91,2.748331725,12.91,12.91,percent of total billed charges,9.498345637,,,,12.91,percent of total billed charges,10.06805857,,,,12.91,percent of total billed charges,9.498345637,,,,12.91,percent of total billed charges,10.06805857,,,,12.91,percent of total billed charges,999999999,,,,12.91,percent of total billed charges,9.836532701,,,,12.91,percent of total billed charges,9.498345637,,,,12.91,percent of total billed charges,10.06805857,,,,9.20483,percent of total billed charges,4.593378619,,,,9.20483,percent of total billed charges,2.748331725,,,,9.20483,percent of total billed charges,4.593378619,,,,9.20483,percent of total billed charges,2.748331725,,,,9.20483,percent of total billed charges,4.593378619,,,,9.20483,percent of total billed charges,2.748331725,,,,9.11446,percent of total billed charges,9.045306114,,,,9.11446,percent of total billed charges,6.238475933,,,,,,,,,,9.2952,percent of total billed charges,6.041661264,,,,,,,,,,9.2952,percent of total billed charges,999999999,,,,,,,,,,10.328,percent of total billed charges,8.654327132,,,,10.1989,percent of total billed charges,9.842377409,,,,10.1989,percent of total billed charges,8.696066238,,,,10.328,percent of total billed charges,999999999,,,,10.328,percent of total billed charges,999999999,,,,9.037,percent of total billed charges,999999999,,,,9.037,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.86812,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.51955,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3.2275,percent of total billed charges,3.065335525,,,,,,,,,,3.2275,percent of total billed charges,3.014345754,,,,,,,,,,3.2275,percent of total billed charges,3.005969016,,,,,,,,,,3.2275,percent of total billed charges,2.961706159,,,,,,,,,,3.2275,percent of total billed charges,3.037915212,,,,,,,,,,3.2275,percent of total billed charges,999999999,,,,,,,,,,3.2275,percent of total billed charges,2.606745182,,,,,,,,,,3.2275,percent of total billed charges,4.111016913,,,,,,,,,,3.2275,percent of total billed charges,999999999,,,,,,,,,,3.2275,percent of total billed charges,2.810708832,,,,,,,,,,11.619,percent of total billed charges,,,,,
NF-Alendronate Sodium Oral Tablet 70MG,Local,Local,,,,both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
NF-Breo Ellipta Inhalation Powder,Local,Local,,,,both,,,595.56,595.56,126.7851621,595.56,595.56,percent of total billed charges,438.1746497,,,,595.56,percent of total billed charges,464.4564649,,,,595.56,percent of total billed charges,438.1746497,,,,595.56,percent of total billed charges,464.4564649,,,,595.56,percent of total billed charges,999999999,,,,595.56,percent of total billed charges,453.7757874,,,,595.56,percent of total billed charges,438.1746497,,,,595.56,percent of total billed charges,464.4564649,,,,424.63428,percent of total billed charges,211.9002765,,,,424.63428,percent of total billed charges,126.7851621,,,,424.63428,percent of total billed charges,211.9002765,,,,424.63428,percent of total billed charges,126.7851621,,,,424.63428,percent of total billed charges,211.9002765,,,,424.63428,percent of total billed charges,126.7851621,,,,420.46536,percent of total billed charges,417.275175,,,,420.46536,percent of total billed charges,287.7913809,,,,,,,,,,428.8032,percent of total billed charges,278.7119894,,,,,,,,,,428.8032,percent of total billed charges,999999999,,,,,,,,,,476.448,percent of total billed charges,399.2386574,,,,470.4924,percent of total billed charges,454.0454136,,,,470.4924,percent of total billed charges,401.1641525,,,,476.448,percent of total billed charges,999999999,,,,476.448,percent of total billed charges,999999999,,,,416.892,percent of total billed charges,999999999,,,,416.892,percent of total billed charges,999999999,,,,,,,,,,,,,,,,316.83792,percent of total billed charges,999999999,,,,,,,,,,,,,,,,300.7578,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,148.89,percent of total billed charges,141.4090802,,,,,,,,,,148.89,percent of total billed charges,139.0568363,,,,,,,,,,148.89,percent of total billed charges,138.6704034,,,,,,,,,,148.89,percent of total billed charges,136.6284833,,,,,,,,,,148.89,percent of total billed charges,140.1441351,,,,,,,,,,148.89,percent of total billed charges,999999999,,,,,,,,,,148.89,percent of total billed charges,120.2535369,,,,,,,,,,148.89,percent of total billed charges,189.6481203,,,,,,,,,,148.89,percent of total billed charges,999999999,,,,,,,,,,148.89,percent of total billed charges,129.6627228,,,,,,,,,,536.004,percent of total billed charges,,,,,
NF-Methocarbamol  Tab  750MG,Local,Local,,,,both,,,0.6,0.6,0.127730367,0.6,0.6,percent of total billed charges,0.441441315,,,,0.6,percent of total billed charges,0.467919066,,,,0.6,percent of total billed charges,0.441441315,,,,0.6,percent of total billed charges,0.467919066,,,,0.6,percent of total billed charges,999999999,,,,0.6,percent of total billed charges,0.457158762,,,,0.6,percent of total billed charges,0.441441315,,,,0.6,percent of total billed charges,0.467919066,,,,0.4278,percent of total billed charges,0.213480029,,,,0.4278,percent of total billed charges,0.127730367,,,,0.4278,percent of total billed charges,0.213480029,,,,0.4278,percent of total billed charges,0.127730367,,,,0.4278,percent of total billed charges,0.213480029,,,,0.4278,percent of total billed charges,0.127730367,,,,0.4236,percent of total billed charges,0.420386032,,,,0.4236,percent of total billed charges,0.289936914,,,,,,,,,,0.432,percent of total billed charges,0.280789834,,,,,,,,,,0.432,percent of total billed charges,999999999,,,,,,,,,,0.48,percent of total billed charges,0.402215049,,,,0.474,percent of total billed charges,0.457430399,,,,0.474,percent of total billed charges,0.404154899,,,,0.48,percent of total billed charges,999999999,,,,0.48,percent of total billed charges,999999999,,,,0.42,percent of total billed charges,999999999,,,,0.42,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.3192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.303,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.15,percent of total billed charges,0.142463309,,,,,,,,,,0.15,percent of total billed charges,0.140093528,,,,,,,,,,0.15,percent of total billed charges,0.139704215,,,,,,,,,,0.15,percent of total billed charges,0.137647072,,,,,,,,,,0.15,percent of total billed charges,0.141188933,,,,,,,,,,0.15,percent of total billed charges,999999999,,,,,,,,,,0.15,percent of total billed charges,0.121150047,,,,,,,,,,0.15,percent of total billed charges,0.191061979,,,,,,,,,,0.15,percent of total billed charges,999999999,,,,,,,,,,0.15,percent of total billed charges,0.13062938,,,,,,,,,,0.54,percent of total billed charges,,,,,
NF-ZANAFLEX ORAL TABLET 2MG,Local,Local,,,,both,,,2,2,0.425767889,2,2,percent of total billed charges,1.471471051,,,,2,percent of total billed charges,1.55973022,,,,2,percent of total billed charges,1.471471051,,,,2,percent of total billed charges,1.55973022,,,,2,percent of total billed charges,999999999,,,,2,percent of total billed charges,1.523862541,,,,2,percent of total billed charges,1.471471051,,,,2,percent of total billed charges,1.55973022,,,,1.426,percent of total billed charges,0.711600096,,,,1.426,percent of total billed charges,0.425767889,,,,1.426,percent of total billed charges,0.711600096,,,,1.426,percent of total billed charges,0.425767889,,,,1.426,percent of total billed charges,0.711600096,,,,1.426,percent of total billed charges,0.425767889,,,,1.412,percent of total billed charges,1.401286772,,,,1.412,percent of total billed charges,0.96645638,,,,,,,,,,1.44,percent of total billed charges,0.935966114,,,,,,,,,,1.44,percent of total billed charges,999999999,,,,,,,,,,1.6,percent of total billed charges,1.340716829,,,,1.58,percent of total billed charges,1.524767995,,,,1.58,percent of total billed charges,1.347182996,,,,1.6,percent of total billed charges,999999999,,,,1.6,percent of total billed charges,999999999,,,,1.4,percent of total billed charges,999999999,,,,1.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.064,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.01,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.5,percent of total billed charges,0.474877696,,,,,,,,,,0.5,percent of total billed charges,0.466978428,,,,,,,,,,0.5,percent of total billed charges,0.465680715,,,,,,,,,,0.5,percent of total billed charges,0.458823572,,,,,,,,,,0.5,percent of total billed charges,0.470629777,,,,,,,,,,0.5,percent of total billed charges,999999999,,,,,,,,,,0.5,percent of total billed charges,0.403833491,,,,,,,,,,0.5,percent of total billed charges,0.636873263,,,,,,,,,,0.5,percent of total billed charges,999999999,,,,,,,,,,0.5,percent of total billed charges,0.435431268,,,,,,,,,,1.8,percent of total billed charges,,,,,
NF-Jardiance Oral Tablet 10MG,Local,Local,,,,both,,,81.19,81.19,17.28404746,81.19,81.19,percent of total billed charges,59.73436733,,,,81.19,percent of total billed charges,63.31724828,,,,81.19,percent of total billed charges,59.73436733,,,,81.19,percent of total billed charges,63.31724828,,,,81.19,percent of total billed charges,999999999,,,,81.19,percent of total billed charges,61.86119985,,,,81.19,percent of total billed charges,59.73436733,,,,81.19,percent of total billed charges,63.31724828,,,,57.88847,percent of total billed charges,28.88740589,,,,57.88847,percent of total billed charges,17.28404746,,,,57.88847,percent of total billed charges,28.88740589,,,,57.88847,percent of total billed charges,17.28404746,,,,57.88847,percent of total billed charges,28.88740589,,,,57.88847,percent of total billed charges,17.28404746,,,,57.32014,percent of total billed charges,56.88523652,,,,57.32014,percent of total billed charges,39.23329675,,,,,,,,,,58.4568,percent of total billed charges,37.99554439,,,,,,,,,,58.4568,percent of total billed charges,999999999,,,,,,,,,,64.952,percent of total billed charges,54.42639968,,,,64.1401,percent of total billed charges,61.89795676,,,,64.1401,percent of total billed charges,54.68889372,,,,64.952,percent of total billed charges,999999999,,,,64.952,percent of total billed charges,999999999,,,,56.833,percent of total billed charges,999999999,,,,56.833,percent of total billed charges,999999999,,,,,,,,,,,,,,,,43.19308,percent of total billed charges,999999999,,,,,,,,,,,,,,,,41.00095,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20.2975,percent of total billed charges,19.27766005,,,,,,,,,,20.2975,percent of total billed charges,18.95698929,,,,,,,,,,20.2975,percent of total billed charges,18.90430863,,,,,,,,,,20.2975,percent of total billed charges,18.62594292,,,,,,,,,,20.2975,percent of total billed charges,19.10521581,,,,,,,,,,20.2975,percent of total billed charges,999999999,,,,,,,,,,20.2975,percent of total billed charges,16.39362055,,,,,,,,,,20.2975,percent of total billed charges,25.85387011,,,,,,,,,,20.2975,percent of total billed charges,999999999,,,,,,,,,,20.2975,percent of total billed charges,17.67633231,,,,,,,,,,73.071,percent of total billed charges,,,,,
NF-Invokana Oral Tablet 100MG,Local,Local,,,,both,,,99.09,99.09,21.09467007,99.09,99.09,percent of total billed charges,72.90403324,,,,99.09,percent of total billed charges,77.27683375,,,,99.09,percent of total billed charges,72.90403324,,,,99.09,percent of total billed charges,77.27683375,,,,99.09,percent of total billed charges,999999999,,,,99.09,percent of total billed charges,75.49976959,,,,99.09,percent of total billed charges,72.90403324,,,,99.09,percent of total billed charges,77.27683375,,,,70.65117,percent of total billed charges,35.25622675,,,,70.65117,percent of total billed charges,21.09467007,,,,70.65117,percent of total billed charges,35.25622675,,,,70.65117,percent of total billed charges,21.09467007,,,,70.65117,percent of total billed charges,35.25622675,,,,70.65117,percent of total billed charges,21.09467007,,,,69.95754,percent of total billed charges,69.42675313,,,,69.95754,percent of total billed charges,47.88308135,,,,,,,,,,71.3448,percent of total billed charges,46.37244111,,,,,,,,,,71.3448,percent of total billed charges,999999999,,,,,,,,,,79.272,percent of total billed charges,66.4258153,,,,78.2811,percent of total billed charges,75.54463032,,,,78.2811,percent of total billed charges,66.74618153,,,,79.272,percent of total billed charges,999999999,,,,79.272,percent of total billed charges,999999999,,,,69.363,percent of total billed charges,999999999,,,,69.363,percent of total billed charges,999999999,,,,,,,,,,,,,,,,52.71588,percent of total billed charges,999999999,,,,,,,,,,,,,,,,50.04045,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,24.7725,percent of total billed charges,23.52781542,,,,,,,,,,24.7725,percent of total billed charges,23.13644622,,,,,,,,,,24.7725,percent of total billed charges,23.07215103,,,,,,,,,,24.7725,percent of total billed charges,22.73241389,,,,,,,,,,24.7725,percent of total billed charges,23.31735232,,,,,,,,,,24.7725,percent of total billed charges,999999999,,,,,,,,,,24.7725,percent of total billed charges,20.0079303,,,,,,,,,,24.7725,percent of total billed charges,31.55388582,,,,,,,,,,24.7725,percent of total billed charges,999999999,,,,,,,,,,24.7725,percent of total billed charges,21.57344215,,,,,,,,,,89.181,percent of total billed charges,,,,,
NF-Exelon TD Patch ER 13.3MG/24HR,Local,Local,,,,both,,,29.64,29.64,6.309880119,29.64,29.64,percent of total billed charges,21.80720098,,,,29.64,percent of total billed charges,23.11520186,,,,29.64,percent of total billed charges,21.80720098,,,,29.64,percent of total billed charges,23.11520186,,,,29.64,percent of total billed charges,999999999,,,,29.64,percent of total billed charges,22.58364286,,,,29.64,percent of total billed charges,21.80720098,,,,29.64,percent of total billed charges,23.11520186,,,,21.13332,percent of total billed charges,10.54591342,,,,21.13332,percent of total billed charges,6.309880119,,,,21.13332,percent of total billed charges,10.54591342,,,,21.13332,percent of total billed charges,6.309880119,,,,21.13332,percent of total billed charges,10.54591342,,,,21.13332,percent of total billed charges,6.309880119,,,,20.92584,percent of total billed charges,20.76706996,,,,20.92584,percent of total billed charges,14.32288355,,,,,,,,,,21.3408,percent of total billed charges,13.87101781,,,,,,,,,,21.3408,percent of total billed charges,999999999,,,,,,,,,,23.712,percent of total billed charges,19.86942341,,,,23.4156,percent of total billed charges,22.59706169,,,,23.4156,percent of total billed charges,19.965252,,,,23.712,percent of total billed charges,999999999,,,,23.712,percent of total billed charges,999999999,,,,20.748,percent of total billed charges,999999999,,,,20.748,percent of total billed charges,999999999,,,,,,,,,,,,,,,,15.76848,percent of total billed charges,999999999,,,,,,,,,,,,,,,,14.9682,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7.41,percent of total billed charges,7.037687448,,,,,,,,,,7.41,percent of total billed charges,6.920620306,,,,,,,,,,7.41,percent of total billed charges,6.901388198,,,,,,,,,,7.41,percent of total billed charges,6.799765341,,,,,,,,,,7.41,percent of total billed charges,6.974733299,,,,,,,,,,7.41,percent of total billed charges,999999999,,,,,,,,,,7.41,percent of total billed charges,5.984812332,,,,,,,,,,7.41,percent of total billed charges,9.438461758,,,,,,,,,,7.41,percent of total billed charges,999999999,,,,,,,,,,7.41,percent of total billed charges,6.453091385,,,,,,,,,,26.676,percent of total billed charges,,,,,
NF-Effer-K Oral Tab Eff 20MEQ,Local,Local,,,,both,,,2.56,2.56,0.544982898,2.56,2.56,percent of total billed charges,1.883482946,,,,2.56,percent of total billed charges,1.996454682,,,,2.56,percent of total billed charges,1.883482946,,,,2.56,percent of total billed charges,1.996454682,,,,2.56,percent of total billed charges,999999999,,,,2.56,percent of total billed charges,1.950544052,,,,2.56,percent of total billed charges,1.883482946,,,,2.56,percent of total billed charges,1.996454682,,,,1.82528,percent of total billed charges,0.910848123,,,,1.82528,percent of total billed charges,0.544982898,,,,1.82528,percent of total billed charges,0.910848123,,,,1.82528,percent of total billed charges,0.544982898,,,,1.82528,percent of total billed charges,0.910848123,,,,1.82528,percent of total billed charges,0.544982898,,,,1.80736,percent of total billed charges,1.793647068,,,,1.80736,percent of total billed charges,1.237064167,,,,,,,,,,1.8432,percent of total billed charges,1.198036626,,,,,,,,,,1.8432,percent of total billed charges,999999999,,,,,,,,,,2.048,percent of total billed charges,1.716117541,,,,2.0224,percent of total billed charges,1.951703034,,,,2.0224,percent of total billed charges,1.724394235,,,,2.048,percent of total billed charges,999999999,,,,2.048,percent of total billed charges,999999999,,,,1.792,percent of total billed charges,999999999,,,,1.792,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.36192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.2928,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.64,percent of total billed charges,0.60784345,,,,,,,,,,0.64,percent of total billed charges,0.597732388,,,,,,,,,,0.64,percent of total billed charges,0.596071315,,,,,,,,,,0.64,percent of total billed charges,0.587294172,,,,,,,,,,0.64,percent of total billed charges,0.602406115,,,,,,,,,,0.64,percent of total billed charges,999999999,,,,,,,,,,0.64,percent of total billed charges,0.516906868,,,,,,,,,,0.64,percent of total billed charges,0.815197777,,,,,,,,,,0.64,percent of total billed charges,999999999,,,,,,,,,,0.64,percent of total billed charges,0.557352022,,,,,,,,,,2.304,percent of total billed charges,,,,,
NF-Incruse Ellipta Inh Pwd 62.5MCG/1ACT,Local,Local,,,,both,,,291.06,291.06,61.96200092,291.06,291.06,percent of total billed charges,214.1431821,,,,291.06,percent of total billed charges,226.9875389,,,,291.06,percent of total billed charges,214.1431821,,,,291.06,percent of total billed charges,226.9875389,,,,291.06,percent of total billed charges,999999999,,,,291.06,percent of total billed charges,221.7677156,,,,291.06,percent of total billed charges,214.1431821,,,,291.06,percent of total billed charges,226.9875389,,,,207.52578,percent of total billed charges,103.5591619,,,,207.52578,percent of total billed charges,61.96200092,,,,207.52578,percent of total billed charges,103.5591619,,,,207.52578,percent of total billed charges,61.96200092,,,,207.52578,percent of total billed charges,103.5591619,,,,207.52578,percent of total billed charges,61.96200092,,,,205.48836,percent of total billed charges,203.929264,,,,205.48836,percent of total billed charges,140.648397,,,,,,,,,,209.5632,percent of total billed charges,136.2111485,,,,,,,,,,209.5632,percent of total billed charges,999999999,,,,,,,,,,232.848,percent of total billed charges,195.1145202,,,,229.9374,percent of total billed charges,221.8994863,,,,229.9374,percent of total billed charges,196.0555414,,,,232.848,percent of total billed charges,999999999,,,,232.848,percent of total billed charges,999999999,,,,203.742,percent of total billed charges,999999999,,,,203.742,percent of total billed charges,999999999,,,,,,,,,,,,,,,,154.84392,percent of total billed charges,999999999,,,,,,,,,,,,,,,,146.9853,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,72.765,percent of total billed charges,69.10895103,,,,,,,,,,72.765,percent of total billed charges,67.95937065,,,,,,,,,,72.765,percent of total billed charges,67.77051447,,,,,,,,,,72.765,percent of total billed charges,66.77259447,,,,,,,,,,72.765,percent of total billed charges,68.49075149,,,,,,,,,,72.765,percent of total billed charges,999999999,,,,,,,,,,72.765,percent of total billed charges,58.7698879,,,,,,,,,,72.765,percent of total billed charges,92.68416597,,,,,,,,,,72.765,percent of total billed charges,999999999,,,,,,,,,,72.765,percent of total billed charges,63.36831236,,,,,,,,,,261.954,percent of total billed charges,,,,,
NF-Orphenadrine Citrate Oral Tab ER 100M,Local,Local,,,,both,,,4.94,4.94,1.051646686,4.94,4.94,percent of total billed charges,3.634533497,,,,4.94,percent of total billed charges,3.852533643,,,,4.94,percent of total billed charges,3.634533497,,,,4.94,percent of total billed charges,3.852533643,,,,4.94,percent of total billed charges,999999999,,,,4.94,percent of total billed charges,3.763940476,,,,4.94,percent of total billed charges,3.634533497,,,,4.94,percent of total billed charges,3.852533643,,,,3.52222,percent of total billed charges,1.757652237,,,,3.52222,percent of total billed charges,1.051646686,,,,3.52222,percent of total billed charges,1.757652237,,,,3.52222,percent of total billed charges,1.051646686,,,,3.52222,percent of total billed charges,1.757652237,,,,3.52222,percent of total billed charges,1.051646686,,,,3.48764,percent of total billed charges,3.461178327,,,,3.48764,percent of total billed charges,2.387147259,,,,,,,,,,3.5568,percent of total billed charges,2.311836301,,,,,,,,,,3.5568,percent of total billed charges,999999999,,,,,,,,,,3.952,percent of total billed charges,3.311570568,,,,3.9026,percent of total billed charges,3.766176948,,,,3.9026,percent of total billed charges,3.327542,,,,3.952,percent of total billed charges,999999999,,,,3.952,percent of total billed charges,999999999,,,,3.458,percent of total billed charges,999999999,,,,3.458,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2.62808,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2.4947,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.235,percent of total billed charges,1.172947908,,,,,,,,,,1.235,percent of total billed charges,1.153436718,,,,,,,,,,1.235,percent of total billed charges,1.150231366,,,,,,,,,,1.235,percent of total billed charges,1.133294223,,,,,,,,,,1.235,percent of total billed charges,1.16245555,,,,,,,,,,1.235,percent of total billed charges,999999999,,,,,,,,,,1.235,percent of total billed charges,0.997468722,,,,,,,,,,1.235,percent of total billed charges,1.57307696,,,,,,,,,,1.235,percent of total billed charges,999999999,,,,,,,,,,1.235,percent of total billed charges,1.075515231,,,,,,,,,,4.446,percent of total billed charges,,,,,
NF-MICONAZOLE 3 VAGINAL CREAM 4%-2%,Local,Local,,,,both,,,100.98,100.98,21.49702073,100.98,100.98,percent of total billed charges,74.29457339,,,,100.98,percent of total billed charges,78.75077881,,,,100.98,percent of total billed charges,74.29457339,,,,100.98,percent of total billed charges,78.75077881,,,,100.98,percent of total billed charges,999999999,,,,100.98,percent of total billed charges,76.93981969,,,,100.98,percent of total billed charges,74.29457339,,,,100.98,percent of total billed charges,78.75077881,,,,71.99874,percent of total billed charges,35.92868884,,,,71.99874,percent of total billed charges,21.49702073,,,,71.99874,percent of total billed charges,35.92868884,,,,71.99874,percent of total billed charges,21.49702073,,,,71.99874,percent of total billed charges,35.92868884,,,,71.99874,percent of total billed charges,21.49702073,,,,71.29188,percent of total billed charges,70.75096913,,,,71.29188,percent of total billed charges,48.79638263,,,,,,,,,,72.7056,percent of total billed charges,47.25692908,,,,,,,,,,72.7056,percent of total billed charges,999999999,,,,,,,,,,80.784,percent of total billed charges,67.69279271,,,,79.7742,percent of total billed charges,76.98553608,,,,79.7742,percent of total billed charges,68.01926946,,,,80.784,percent of total billed charges,999999999,,,,80.784,percent of total billed charges,999999999,,,,70.686,percent of total billed charges,999999999,,,,70.686,percent of total billed charges,999999999,,,,,,,,,,,,,,,,53.72136,percent of total billed charges,999999999,,,,,,,,,,,,,,,,50.9949,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,25.245,percent of total billed charges,23.97657485,,,,,,,,,,25.245,percent of total billed charges,23.57774084,,,,,,,,,,25.245,percent of total billed charges,23.51221931,,,,,,,,,,25.245,percent of total billed charges,23.16600216,,,,,,,,,,25.245,percent of total billed charges,23.76209746,,,,,,,,,,25.245,percent of total billed charges,999999999,,,,,,,,,,25.245,percent of total billed charges,20.38955294,,,,,,,,,,25.245,percent of total billed charges,32.15573105,,,,,,,,,,25.245,percent of total billed charges,999999999,,,,,,,,,,25.245,percent of total billed charges,21.9849247,,,,,,,,,,90.882,percent of total billed charges,,,,,
NF-TELMISARTAN ORAL TABLET 20MG,Local,Local,,,,both,,,1.65,1.65,0.351258509,1.65,1.65,percent of total billed charges,1.213963617,,,,1.65,percent of total billed charges,1.286777432,,,,1.65,percent of total billed charges,1.213963617,,,,1.65,percent of total billed charges,1.286777432,,,,1.65,percent of total billed charges,999999999,,,,1.65,percent of total billed charges,1.257186596,,,,1.65,percent of total billed charges,1.213963617,,,,1.65,percent of total billed charges,1.286777432,,,,1.17645,percent of total billed charges,0.587070079,,,,1.17645,percent of total billed charges,0.351258509,,,,1.17645,percent of total billed charges,0.587070079,,,,1.17645,percent of total billed charges,0.351258509,,,,1.17645,percent of total billed charges,0.587070079,,,,1.17645,percent of total billed charges,0.351258509,,,,1.1649,percent of total billed charges,1.156061587,,,,1.1649,percent of total billed charges,0.797326514,,,,,,,,,,1.188,percent of total billed charges,0.772172044,,,,,,,,,,1.188,percent of total billed charges,999999999,,,,,,,,,,1.32,percent of total billed charges,1.106091384,,,,1.3035,percent of total billed charges,1.257933596,,,,1.3035,percent of total billed charges,1.111425972,,,,1.32,percent of total billed charges,999999999,,,,1.32,percent of total billed charges,999999999,,,,1.155,percent of total billed charges,999999999,,,,1.155,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.8778,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.83325,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.4125,percent of total billed charges,0.391774099,,,,,,,,,,0.4125,percent of total billed charges,0.385257203,,,,,,,,,,0.4125,percent of total billed charges,0.38418659,,,,,,,,,,0.4125,percent of total billed charges,0.378529447,,,,,,,,,,0.4125,percent of total billed charges,0.388269566,,,,,,,,,,0.4125,percent of total billed charges,999999999,,,,,,,,,,0.4125,percent of total billed charges,0.33316263,,,,,,,,,,0.4125,percent of total billed charges,0.525420442,,,,,,,,,,0.4125,percent of total billed charges,999999999,,,,,,,,,,0.4125,percent of total billed charges,0.359230796,,,,,,,,,,1.485,percent of total billed charges,,,,,
NF-Cranberry Concentrate Capsule 500MG,Local,Local,,,,both,,,1,1,0.212883945,1,1,percent of total billed charges,0.735735526,,,,1,percent of total billed charges,0.77986511,,,,1,percent of total billed charges,0.735735526,,,,1,percent of total billed charges,0.77986511,,,,1,percent of total billed charges,999999999,,,,1,percent of total billed charges,0.76193127,,,,1,percent of total billed charges,0.735735526,,,,1,percent of total billed charges,0.77986511,,,,0.713,percent of total billed charges,0.355800048,,,,0.713,percent of total billed charges,0.212883945,,,,0.713,percent of total billed charges,0.355800048,,,,0.713,percent of total billed charges,0.212883945,,,,0.713,percent of total billed charges,0.355800048,,,,0.713,percent of total billed charges,0.212883945,,,,0.706,percent of total billed charges,0.700643386,,,,0.706,percent of total billed charges,0.48322819,,,,,,,,,,0.72,percent of total billed charges,0.467983057,,,,,,,,,,0.72,percent of total billed charges,999999999,,,,,,,,,,0.8,percent of total billed charges,0.670358415,,,,0.79,percent of total billed charges,0.762383998,,,,0.79,percent of total billed charges,0.673591498,,,,0.8,percent of total billed charges,999999999,,,,0.8,percent of total billed charges,999999999,,,,0.7,percent of total billed charges,999999999,,,,0.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.532,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.505,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.25,percent of total billed charges,0.237438848,,,,,,,,,,0.25,percent of total billed charges,0.233489214,,,,,,,,,,0.25,percent of total billed charges,0.232840358,,,,,,,,,,0.25,percent of total billed charges,0.229411786,,,,,,,,,,0.25,percent of total billed charges,0.235314889,,,,,,,,,,0.25,percent of total billed charges,999999999,,,,,,,,,,0.25,percent of total billed charges,0.201916745,,,,,,,,,,0.25,percent of total billed charges,0.318436632,,,,,,,,,,0.25,percent of total billed charges,999999999,,,,,,,,,,0.25,percent of total billed charges,0.217715634,,,,,,,,,,0.9,percent of total billed charges,,,,,
NF-MEMANTINE HCL ORAL CAPSULE ER 7MG,Local,Local,,,,both,,,6.63,6.63,1.411420553,6.63,6.63,percent of total billed charges,4.877926536,,,,6.63,percent of total billed charges,5.170505679,,,,6.63,percent of total billed charges,4.877926536,,,,6.63,percent of total billed charges,5.170505679,,,,6.63,percent of total billed charges,999999999,,,,6.63,percent of total billed charges,5.051604323,,,,6.63,percent of total billed charges,4.877926536,,,,6.63,percent of total billed charges,5.170505679,,,,4.72719,percent of total billed charges,2.358954318,,,,4.72719,percent of total billed charges,1.411420553,,,,4.72719,percent of total billed charges,2.358954318,,,,4.72719,percent of total billed charges,1.411420553,,,,4.72719,percent of total billed charges,2.358954318,,,,4.72719,percent of total billed charges,1.411420553,,,,4.68078,percent of total billed charges,4.64526565,,,,4.68078,percent of total billed charges,3.2038029,,,,,,,,,,4.7736,percent of total billed charges,3.102727667,,,,,,,,,,4.7736,percent of total billed charges,999999999,,,,,,,,,,5.304,percent of total billed charges,4.444476289,,,,5.2377,percent of total billed charges,5.054605904,,,,5.2377,percent of total billed charges,4.465911631,,,,5.304,percent of total billed charges,999999999,,,,5.304,percent of total billed charges,999999999,,,,4.641,percent of total billed charges,999999999,,,,4.641,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.52716,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.34815,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.6575,percent of total billed charges,1.574219561,,,,,,,,,,1.6575,percent of total billed charges,1.548033489,,,,,,,,,,1.6575,percent of total billed charges,1.543731571,,,,,,,,,,1.6575,percent of total billed charges,1.521000142,,,,,,,,,,1.6575,percent of total billed charges,1.560137712,,,,,,,,,,1.6575,percent of total billed charges,999999999,,,,,,,,,,1.6575,percent of total billed charges,1.338708022,,,,,,,,,,1.6575,percent of total billed charges,2.111234867,,,,,,,,,,1.6575,percent of total billed charges,999999999,,,,,,,,,,1.6575,percent of total billed charges,1.443454652,,,,,,,,,,5.967,percent of total billed charges,,,,,
NF-Telmisartan Oral Tablet 20MG,Local,Local,,,,both,,,4.36,4.36,0.928173999,4.36,4.36,percent of total billed charges,3.207806892,,,,4.36,percent of total billed charges,3.40021188,,,,4.36,percent of total billed charges,3.207806892,,,,4.36,percent of total billed charges,3.40021188,,,,4.36,percent of total billed charges,999999999,,,,4.36,percent of total billed charges,3.322020339,,,,4.36,percent of total billed charges,3.207806892,,,,4.36,percent of total billed charges,3.40021188,,,,3.10868,percent of total billed charges,1.551288209,,,,3.10868,percent of total billed charges,0.928173999,,,,3.10868,percent of total billed charges,1.551288209,,,,3.10868,percent of total billed charges,0.928173999,,,,3.10868,percent of total billed charges,1.551288209,,,,3.10868,percent of total billed charges,0.928173999,,,,3.07816,percent of total billed charges,3.054805163,,,,3.07816,percent of total billed charges,2.106874909,,,,,,,,,,3.1392,percent of total billed charges,2.040406128,,,,,,,,,,3.1392,percent of total billed charges,999999999,,,,,,,,,,3.488,percent of total billed charges,2.922762688,,,,3.4444,percent of total billed charges,3.323994229,,,,3.4444,percent of total billed charges,2.936858931,,,,3.488,percent of total billed charges,999999999,,,,3.488,percent of total billed charges,999999999,,,,3.052,percent of total billed charges,999999999,,,,3.052,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2.31952,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2.2018,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.09,percent of total billed charges,1.035233376,,,,,,,,,,1.09,percent of total billed charges,1.018012973,,,,,,,,,,1.09,percent of total billed charges,1.015183959,,,,,,,,,,1.09,percent of total billed charges,1.000235388,,,,,,,,,,1.09,percent of total billed charges,1.025972914,,,,,,,,,,1.09,percent of total billed charges,999999999,,,,,,,,,,1.09,percent of total billed charges,0.88035701,,,,,,,,,,1.09,percent of total billed charges,1.388383713,,,,,,,,,,1.09,percent of total billed charges,999999999,,,,,,,,,,1.09,percent of total billed charges,0.949240163,,,,,,,,,,3.924,percent of total billed charges,,,,,
NF-Lialda Oral Delayed-Release Tablet 1.,Local,Local,,,,both,,,58.5,58.5,12.45371076,58.5,58.5,percent of total billed charges,43.04052825,,,,58.5,percent of total billed charges,45.62210894,,,,58.5,percent of total billed charges,43.04052825,,,,58.5,percent of total billed charges,45.62210894,,,,58.5,percent of total billed charges,999999999,,,,58.5,percent of total billed charges,44.57297932,,,,58.5,percent of total billed charges,43.04052825,,,,58.5,percent of total billed charges,45.62210894,,,,41.7105,percent of total billed charges,20.8143028,,,,41.7105,percent of total billed charges,12.45371076,,,,41.7105,percent of total billed charges,20.8143028,,,,41.7105,percent of total billed charges,12.45371076,,,,41.7105,percent of total billed charges,20.8143028,,,,41.7105,percent of total billed charges,12.45371076,,,,41.301,percent of total billed charges,40.98763809,,,,41.301,percent of total billed charges,28.26884912,,,,,,,,,,42.12,percent of total billed charges,27.37700883,,,,,,,,,,42.12,percent of total billed charges,999999999,,,,,,,,,,46.8,percent of total billed charges,39.21596725,,,,46.215,percent of total billed charges,44.59946386,,,,46.215,percent of total billed charges,39.40510263,,,,46.8,percent of total billed charges,999999999,,,,46.8,percent of total billed charges,999999999,,,,40.95,percent of total billed charges,999999999,,,,40.95,percent of total billed charges,999999999,,,,,,,,,,,,,,,,31.122,percent of total billed charges,999999999,,,,,,,,,,,,,,,,29.5425,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14.625,percent of total billed charges,13.89017259,,,,,,,,,,14.625,percent of total billed charges,13.65911902,,,,,,,,,,14.625,percent of total billed charges,13.62116092,,,,,,,,,,14.625,percent of total billed charges,13.42058949,,,,,,,,,,14.625,percent of total billed charges,13.76592099,,,,,,,,,,14.625,percent of total billed charges,999999999,,,,,,,,,,14.625,percent of total billed charges,11.8121296,,,,,,,,,,14.625,percent of total billed charges,18.62854294,,,,,,,,,,14.625,percent of total billed charges,999999999,,,,,,,,,,14.625,percent of total billed charges,12.73636458,,,,,,,,,,52.65,percent of total billed charges,,,,,
NF-Super B50 Complex Capsule,Local,Local,,,,both,,,0.56,0.56,0.119215009,0.56,0.56,percent of total billed charges,0.412011894,,,,0.56,percent of total billed charges,0.436724462,,,,0.56,percent of total billed charges,0.412011894,,,,0.56,percent of total billed charges,0.436724462,,,,0.56,percent of total billed charges,999999999,,,,0.56,percent of total billed charges,0.426681511,,,,0.56,percent of total billed charges,0.412011894,,,,0.56,percent of total billed charges,0.436724462,,,,0.39928,percent of total billed charges,0.199248027,,,,0.39928,percent of total billed charges,0.119215009,,,,0.39928,percent of total billed charges,0.199248027,,,,0.39928,percent of total billed charges,0.119215009,,,,0.39928,percent of total billed charges,0.199248027,,,,0.39928,percent of total billed charges,0.119215009,,,,0.39536,percent of total billed charges,0.392360296,,,,0.39536,percent of total billed charges,0.270607786,,,,,,,,,,0.4032,percent of total billed charges,0.262070512,,,,,,,,,,0.4032,percent of total billed charges,999999999,,,,,,,,,,0.448,percent of total billed charges,0.375400712,,,,0.4424,percent of total billed charges,0.426935039,,,,0.4424,percent of total billed charges,0.377211239,,,,0.448,percent of total billed charges,999999999,,,,0.448,percent of total billed charges,999999999,,,,0.392,percent of total billed charges,999999999,,,,0.392,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.29792,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.2828,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,0.132965755,,,,,,,,,,0.14,percent of total billed charges,0.13075396,,,,,,,,,,0.14,percent of total billed charges,0.1303906,,,,,,,,,,0.14,percent of total billed charges,0.1284706,,,,,,,,,,0.14,percent of total billed charges,0.131776338,,,,,,,,,,0.14,percent of total billed charges,999999999,,,,,,,,,,0.14,percent of total billed charges,0.113073377,,,,,,,,,,0.14,percent of total billed charges,0.178324514,,,,,,,,,,0.14,percent of total billed charges,999999999,,,,,,,,,,0.14,percent of total billed charges,0.121920755,,,,,,,,,,0.504,percent of total billed charges,,,,,
NF-Noxafil Intravenous Solution 18MG/1ML,Local,Local,,,,both,,,2085.97,2085.97,444.069522,2085.97,2085.97,percent of total billed charges,1534.722235,,,,2085.97,percent of total billed charges,1626.775224,,,,2085.97,percent of total billed charges,1534.722235,,,,2085.97,percent of total billed charges,1626.775224,,,,2085.97,percent of total billed charges,999999999,,,,2085.97,percent of total billed charges,1589.365772,,,,2085.97,percent of total billed charges,1534.722235,,,,2085.97,percent of total billed charges,1626.775224,,,,1487.29661,percent of total billed charges,742.188226,,,,1487.29661,percent of total billed charges,444.069522,,,,1487.29661,percent of total billed charges,742.188226,,,,1487.29661,percent of total billed charges,444.069522,,,,1487.29661,percent of total billed charges,742.188226,,,,1487.29661,percent of total billed charges,444.069522,,,,1472.69482,percent of total billed charges,1461.521084,,,,1472.69482,percent of total billed charges,1007.999508,,,,,,,,,,1501.8984,percent of total billed charges,976.1986172,,,,,,,,,,1501.8984,percent of total billed charges,999999999,,,,,,,,,,1668.776,percent of total billed charges,1398.347542,,,,1647.9163,percent of total billed charges,1590.310147,,,,1647.9163,percent of total billed charges,1405.091657,,,,1668.776,percent of total billed charges,999999999,,,,1668.776,percent of total billed charges,999999999,,,,1460.179,percent of total billed charges,999999999,,,,1460.179,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1109.73604,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1053.41485,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,521.4925,percent of total billed charges,495.2903133,,,,,,,,,,521.4925,percent of total billed charges,487.0514959,,,,,,,,,,521.4925,percent of total billed charges,485.6980007,,,,,,,,,,521.4925,percent of total billed charges,478.5461035,,,,,,,,,,521.4925,percent of total billed charges,490.8597983,,,,,,,,,,521.4925,percent of total billed charges,999999999,,,,,,,,,,521.4925,percent of total billed charges,421.1922733,,,,,,,,,,521.4925,percent of total billed charges,664.2492602,,,,,,,,,,521.4925,percent of total billed charges,999999999,,,,,,,,,,521.4925,percent of total billed charges,454.1482806,,,,,,,,,,1877.373,percent of total billed charges,,,,,
NF-Pazeo Ophthalmic Solution 0.7%,Local,Local,,,,both,,,1107.5,1107.5,235.7689687,1107.5,1107.5,percent of total billed charges,814.8270947,,,,1107.5,percent of total billed charges,863.7006093,,,,1107.5,percent of total billed charges,814.8270947,,,,1107.5,percent of total billed charges,863.7006093,,,,1107.5,percent of total billed charges,999999999,,,,1107.5,percent of total billed charges,843.838882,,,,1107.5,percent of total billed charges,814.8270947,,,,1107.5,percent of total billed charges,863.7006093,,,,789.6475,percent of total billed charges,394.0485531,,,,789.6475,percent of total billed charges,235.7689687,,,,789.6475,percent of total billed charges,394.0485531,,,,789.6475,percent of total billed charges,235.7689687,,,,789.6475,percent of total billed charges,394.0485531,,,,789.6475,percent of total billed charges,235.7689687,,,,781.895,percent of total billed charges,775.9625501,,,,781.895,percent of total billed charges,535.1752205,,,,,,,,,,797.4,percent of total billed charges,518.2912355,,,,,,,,,,797.4,percent of total billed charges,999999999,,,,,,,,,,886,percent of total billed charges,742.4219442,,,,874.925,percent of total billed charges,844.3402773,,,,874.925,percent of total billed charges,746.002584,,,,886,percent of total billed charges,999999999,,,,886,percent of total billed charges,999999999,,,,775.25,percent of total billed charges,999999999,,,,775.25,percent of total billed charges,999999999,,,,,,,,,,,,,,,,589.19,percent of total billed charges,999999999,,,,,,,,,,,,,,,,559.2875,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,276.875,percent of total billed charges,262.9635239,,,,,,,,,,276.875,percent of total billed charges,258.5893046,,,,,,,,,,276.875,percent of total billed charges,257.870696,,,,,,,,,,276.875,percent of total billed charges,254.0735531,,,,,,,,,,276.875,percent of total billed charges,260.6112392,,,,,,,,,,276.875,percent of total billed charges,999999999,,,,,,,,,,276.875,percent of total billed charges,223.6227955,,,,,,,,,,276.875,percent of total billed charges,352.6685694,,,,,,,,,,276.875,percent of total billed charges,999999999,,,,,,,,,,276.875,percent of total billed charges,241.1200644,,,,,,,,,,996.75,percent of total billed charges,,,,,
NF-PRALUENT SUBCUTANEOUS SOLUTION 75MG/1,Local,Local,,,,both,,,2723.72,2723.72,579.8362577,2723.72,2723.72,percent of total billed charges,2003.937566,,,,2723.72,percent of total billed charges,2124.134197,,,,2723.72,percent of total billed charges,2003.937566,,,,2723.72,percent of total billed charges,2124.134197,,,,2723.72,percent of total billed charges,999999999,,,,2723.72,percent of total billed charges,2075.28744,,,,2723.72,percent of total billed charges,2003.937566,,,,2723.72,percent of total billed charges,2124.134197,,,,1942.01236,percent of total billed charges,969.0997065,,,,1942.01236,percent of total billed charges,579.8362577,,,,1942.01236,percent of total billed charges,969.0997065,,,,1942.01236,percent of total billed charges,579.8362577,,,,1942.01236,percent of total billed charges,969.0997065,,,,1942.01236,percent of total billed charges,579.8362577,,,,1922.94632,percent of total billed charges,1908.356404,,,,1922.94632,percent of total billed charges,1316.178286,,,,,,,,,,1961.0784,percent of total billed charges,1274.654812,,,,,,,,,,1961.0784,percent of total billed charges,999999999,,,,,,,,,,2178.976,percent of total billed charges,1825.868621,,,,2151.7388,percent of total billed charges,2076.520542,,,,2151.7388,percent of total billed charges,1834.674635,,,,2178.976,percent of total billed charges,999999999,,,,2178.976,percent of total billed charges,999999999,,,,1906.604,percent of total billed charges,999999999,,,,1906.604,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1449.01904,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1375.4786,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,680.93,percent of total billed charges,646.7169384,,,,,,,,,,680.93,percent of total billed charges,635.9592422,,,,,,,,,,680.93,percent of total billed charges,634.1919387,,,,,,,,,,680.93,percent of total billed charges,624.8534701,,,,,,,,,,680.93,percent of total billed charges,640.9318685,,,,,,,,,,680.93,percent of total billed charges,999999999,,,,,,,,,,680.93,percent of total billed charges,549.9646776,,,,,,,,,,680.93,percent of total billed charges,867.332222,,,,,,,,,,680.93,percent of total billed charges,999999999,,,,,,,,,,680.93,percent of total billed charges,592.996426,,,,,,,,,,2451.348,percent of total billed charges,,,,,
NF-Moxifloxacin HCl AvPak Tablet 400MG,Local,Local,,,,both,,,27.57,27.57,5.869210353,27.57,27.57,percent of total billed charges,20.28422844,,,,27.57,percent of total billed charges,21.50088108,,,,27.57,percent of total billed charges,20.28422844,,,,27.57,percent of total billed charges,21.50088108,,,,27.57,percent of total billed charges,999999999,,,,27.57,percent of total billed charges,21.00644513,,,,27.57,percent of total billed charges,20.28422844,,,,27.57,percent of total billed charges,21.50088108,,,,19.65741,percent of total billed charges,9.809407321,,,,19.65741,percent of total billed charges,5.869210353,,,,19.65741,percent of total billed charges,9.809407321,,,,19.65741,percent of total billed charges,5.869210353,,,,19.65741,percent of total billed charges,9.809407321,,,,19.65741,percent of total billed charges,5.869210353,,,,19.46442,percent of total billed charges,19.31673815,,,,19.46442,percent of total billed charges,13.3226012,,,,,,,,,,19.8504,percent of total billed charges,12.90229288,,,,,,,,,,19.8504,percent of total billed charges,999999999,,,,,,,,,,22.056,percent of total billed charges,18.48178149,,,,21.7803,percent of total billed charges,21.01892681,,,,21.7803,percent of total billed charges,18.5709176,,,,22.056,percent of total billed charges,999999999,,,,22.056,percent of total billed charges,999999999,,,,19.299,percent of total billed charges,999999999,,,,19.299,percent of total billed charges,999999999,,,,,,,,,,,,,,,,14.66724,percent of total billed charges,999999999,,,,,,,,,,,,,,,,13.92285,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6.8925,percent of total billed charges,6.546189033,,,,,,,,,,6.8925,percent of total billed charges,6.437297633,,,,,,,,,,6.8925,percent of total billed charges,6.419408658,,,,,,,,,,6.8925,percent of total billed charges,6.324882944,,,,,,,,,,6.8925,percent of total billed charges,6.48763148,,,,,,,,,,6.8925,percent of total billed charges,999999999,,,,,,,,,,6.8925,percent of total billed charges,5.566844669,,,,,,,,,,6.8925,percent of total billed charges,8.779297931,,,,,,,,,,6.8925,percent of total billed charges,999999999,,,,,,,,,,6.8925,percent of total billed charges,6.002420023,,,,,,,,,,24.813,percent of total billed charges,,,,,
NF-Dexilant Delayed-Release Capsule 60MG,Local,Local,,,,both,,,51.28,51.28,10.91668868,51.28,51.28,percent of total billed charges,37.72851776,,,,51.28,percent of total billed charges,39.99148284,,,,51.28,percent of total billed charges,37.72851776,,,,51.28,percent of total billed charges,39.99148284,,,,51.28,percent of total billed charges,999999999,,,,51.28,percent of total billed charges,39.07183555,,,,51.28,percent of total billed charges,37.72851776,,,,51.28,percent of total billed charges,39.99148284,,,,36.56264,percent of total billed charges,18.24542646,,,,36.56264,percent of total billed charges,10.91668868,,,,36.56264,percent of total billed charges,18.24542646,,,,36.56264,percent of total billed charges,10.91668868,,,,36.56264,percent of total billed charges,18.24542646,,,,36.56264,percent of total billed charges,10.91668868,,,,36.20368,percent of total billed charges,35.92899284,,,,36.20368,percent of total billed charges,24.77994159,,,,,,,,,,36.9216,percent of total billed charges,23.99817116,,,,,,,,,,36.9216,percent of total billed charges,999999999,,,,,,,,,,41.024,percent of total billed charges,34.3759795,,,,40.5112,percent of total billed charges,39.0950514,,,,40.5112,percent of total billed charges,34.54177201,,,,41.024,percent of total billed charges,999999999,,,,41.024,percent of total billed charges,999999999,,,,35.896,percent of total billed charges,999999999,,,,35.896,percent of total billed charges,999999999,,,,,,,,,,,,,,,,27.28096,percent of total billed charges,999999999,,,,,,,,,,,,,,,,25.8964,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12.82,percent of total billed charges,12.17586411,,,,,,,,,,12.82,percent of total billed charges,11.9733269,,,,,,,,,,12.82,percent of total billed charges,11.94005354,,,,,,,,,,12.82,percent of total billed charges,11.76423639,,,,,,,,,,12.82,percent of total billed charges,12.06694749,,,,,,,,,,12.82,percent of total billed charges,999999999,,,,,,,,,,12.82,percent of total billed charges,10.3542907,,,,,,,,,,12.82,percent of total billed charges,16.32943046,,,,,,,,,,12.82,percent of total billed charges,999999999,,,,,,,,,,12.82,percent of total billed charges,11.1644577,,,,,,,,,,46.152,percent of total billed charges,,,,,
NF-Dexilant Delayed-Release Capsule 60MG,Local,Local,,,,both,,,18,18,3.831911003,18,18,percent of total billed charges,13.24323946,,,,18,percent of total billed charges,14.03757198,,,,18,percent of total billed charges,13.24323946,,,,18,percent of total billed charges,14.03757198,,,,18,percent of total billed charges,999999999,,,,18,percent of total billed charges,13.71476287,,,,18,percent of total billed charges,13.24323946,,,,18,percent of total billed charges,14.03757198,,,,12.834,percent of total billed charges,6.404400863,,,,12.834,percent of total billed charges,3.831911003,,,,12.834,percent of total billed charges,6.404400863,,,,12.834,percent of total billed charges,3.831911003,,,,12.834,percent of total billed charges,6.404400863,,,,12.834,percent of total billed charges,3.831911003,,,,12.708,percent of total billed charges,12.61158095,,,,12.708,percent of total billed charges,8.698107421,,,,,,,,,,12.96,percent of total billed charges,8.423695024,,,,,,,,,,12.96,percent of total billed charges,999999999,,,,,,,,,,14.4,percent of total billed charges,12.06645146,,,,14.22,percent of total billed charges,13.72291196,,,,14.22,percent of total billed charges,12.12464696,,,,14.4,percent of total billed charges,999999999,,,,14.4,percent of total billed charges,999999999,,,,12.6,percent of total billed charges,999999999,,,,12.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.576,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.09,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4.5,percent of total billed charges,4.27389926,,,,,,,,,,4.5,percent of total billed charges,4.202805854,,,,,,,,,,4.5,percent of total billed charges,4.191126436,,,,,,,,,,4.5,percent of total billed charges,4.12941215,,,,,,,,,,4.5,percent of total billed charges,4.235667996,,,,,,,,,,4.5,percent of total billed charges,999999999,,,,,,,,,,4.5,percent of total billed charges,3.634501416,,,,,,,,,,4.5,percent of total billed charges,5.731859367,,,,,,,,,,4.5,percent of total billed charges,999999999,,,,,,,,,,4.5,percent of total billed charges,3.918881408,,,,,,,,,,16.2,percent of total billed charges,,,,,
NF-Farxiga Oral Tablet 5MG,Local,Local,,,,both,,,96.35,96.35,20.51136806,96.35,96.35,percent of total billed charges,70.8881179,,,,96.35,percent of total billed charges,75.14000335,,,,96.35,percent of total billed charges,70.8881179,,,,96.35,percent of total billed charges,75.14000335,,,,96.35,percent of total billed charges,999999999,,,,96.35,percent of total billed charges,73.41207791,,,,96.35,percent of total billed charges,70.8881179,,,,96.35,percent of total billed charges,75.14000335,,,,68.69755,percent of total billed charges,34.28133462,,,,68.69755,percent of total billed charges,20.51136806,,,,68.69755,percent of total billed charges,34.28133462,,,,68.69755,percent of total billed charges,20.51136806,,,,68.69755,percent of total billed charges,34.28133462,,,,68.69755,percent of total billed charges,20.51136806,,,,68.0231,percent of total billed charges,67.50699025,,,,68.0231,percent of total billed charges,46.55903611,,,,,,,,,,69.372,percent of total billed charges,45.09016753,,,,,,,,,,69.372,percent of total billed charges,999999999,,,,,,,,,,77.08,percent of total billed charges,64.58903325,,,,76.1165,percent of total billed charges,73.45569817,,,,76.1165,percent of total billed charges,64.90054083,,,,77.08,percent of total billed charges,999999999,,,,77.08,percent of total billed charges,999999999,,,,67.445,percent of total billed charges,999999999,,,,67.445,percent of total billed charges,999999999,,,,,,,,,,,,,,,,51.2582,percent of total billed charges,999999999,,,,,,,,,,,,,,,,48.65675,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,24.0875,percent of total billed charges,22.87723298,,,,,,,,,,24.0875,percent of total billed charges,22.49668578,,,,,,,,,,24.0875,percent of total billed charges,22.43416845,,,,,,,,,,24.0875,percent of total billed charges,22.10382559,,,,,,,,,,24.0875,percent of total billed charges,22.67258952,,,,,,,,,,24.0875,percent of total billed charges,999999999,,,,,,,,,,24.0875,percent of total billed charges,19.45467841,,,,,,,,,,24.0875,percent of total billed charges,30.68136945,,,,,,,,,,24.0875,percent of total billed charges,999999999,,,,,,,,,,24.0875,percent of total billed charges,20.97690131,,,,,,,,,,86.715,percent of total billed charges,,,,,
NF-Vitamin C Oral Tablet ER 500MG,Local,Local,,,,both,,,0.5,0.5,0.106441972,0.5,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,999999999,,,,0.5,percent of total billed charges,0.380965635,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.353,percent of total billed charges,0.350321693,,,,0.353,percent of total billed charges,0.241614095,,,,,,,,,,0.36,percent of total billed charges,0.233991528,,,,,,,,,,0.36,percent of total billed charges,999999999,,,,,,,,,,0.4,percent of total billed charges,0.335179207,,,,0.395,percent of total billed charges,0.381191999,,,,0.395,percent of total billed charges,0.336795749,,,,0.4,percent of total billed charges,999999999,,,,0.4,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.266,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.2525,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.125,percent of total billed charges,0.118719424,,,,,,,,,,0.125,percent of total billed charges,0.116744607,,,,,,,,,,0.125,percent of total billed charges,0.116420179,,,,,,,,,,0.125,percent of total billed charges,0.114705893,,,,,,,,,,0.125,percent of total billed charges,0.117657444,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.100958373,,,,,,,,,,0.125,percent of total billed charges,0.159218316,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.108857817,,,,,,,,,,0.45,percent of total billed charges,,,,,
NF-Cefpodoxime Proxetil Oral Tab 100MG,Local,Local,,,,both,,,18.75,18.75,3.991573962,18.75,18.75,percent of total billed charges,13.79504111,,,,18.75,percent of total billed charges,14.62247081,,,,18.75,percent of total billed charges,13.79504111,,,,18.75,percent of total billed charges,14.62247081,,,,18.75,percent of total billed charges,999999999,,,,18.75,percent of total billed charges,14.28621132,,,,18.75,percent of total billed charges,13.79504111,,,,18.75,percent of total billed charges,14.62247081,,,,13.36875,percent of total billed charges,6.671250899,,,,13.36875,percent of total billed charges,3.991573962,,,,13.36875,percent of total billed charges,6.671250899,,,,13.36875,percent of total billed charges,3.991573962,,,,13.36875,percent of total billed charges,6.671250899,,,,13.36875,percent of total billed charges,3.991573962,,,,13.2375,percent of total billed charges,13.13706349,,,,13.2375,percent of total billed charges,9.060528563,,,,,,,,,,13.5,percent of total billed charges,8.774682316,,,,,,,,,,13.5,percent of total billed charges,999999999,,,,,,,,,,15,percent of total billed charges,12.56922027,,,,14.8125,percent of total billed charges,14.29469995,,,,14.8125,percent of total billed charges,12.62984059,,,,15,percent of total billed charges,999999999,,,,15,percent of total billed charges,999999999,,,,13.125,percent of total billed charges,999999999,,,,13.125,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.975,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.46875,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4.6875,percent of total billed charges,4.451978396,,,,,,,,,,4.6875,percent of total billed charges,4.377922764,,,,,,,,,,4.6875,percent of total billed charges,4.365756704,,,,,,,,,,4.6875,percent of total billed charges,4.30147099,,,,,,,,,,4.6875,percent of total billed charges,4.412154162,,,,,,,,,,4.6875,percent of total billed charges,999999999,,,,,,,,,,4.6875,percent of total billed charges,3.785938975,,,,,,,,,,4.6875,percent of total billed charges,5.970686841,,,,,,,,,,4.6875,percent of total billed charges,999999999,,,,,,,,,,4.6875,percent of total billed charges,4.082168133,,,,,,,,,,16.875,percent of total billed charges,,,,,
NF-Rytary ExtendedRelease Cap 61.25MG-24,Local,Local,,,,both,,,19.79,19.79,4.212973264,19.79,19.79,percent of total billed charges,14.56020605,,,,19.79,percent of total billed charges,15.43353053,,,,19.79,percent of total billed charges,14.56020605,,,,19.79,percent of total billed charges,15.43353053,,,,19.79,percent of total billed charges,999999999,,,,19.79,percent of total billed charges,15.07861984,,,,19.79,percent of total billed charges,14.56020605,,,,19.79,percent of total billed charges,15.43353053,,,,14.11027,percent of total billed charges,7.041282948,,,,14.11027,percent of total billed charges,4.212973264,,,,14.11027,percent of total billed charges,7.041282948,,,,14.11027,percent of total billed charges,4.212973264,,,,14.11027,percent of total billed charges,7.041282948,,,,14.11027,percent of total billed charges,4.212973264,,,,13.97174,percent of total billed charges,13.86573261,,,,13.97174,percent of total billed charges,9.563085881,,,,,,,,,,14.2488,percent of total billed charges,9.261384696,,,,,,,,,,14.2488,percent of total billed charges,999999999,,,,,,,,,,15.832,percent of total billed charges,13.26639302,,,,15.6341,percent of total billed charges,15.08757931,,,,15.6341,percent of total billed charges,13.33037574,,,,15.832,percent of total billed charges,999999999,,,,15.832,percent of total billed charges,999999999,,,,13.853,percent of total billed charges,999999999,,,,13.853,percent of total billed charges,999999999,,,,,,,,,,,,,,,,10.52828,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.99395,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4.9475,percent of total billed charges,4.698914797,,,,,,,,,,4.9475,percent of total billed charges,4.620751547,,,,,,,,,,4.9475,percent of total billed charges,4.607910676,,,,,,,,,,4.9475,percent of total billed charges,4.540059248,,,,,,,,,,4.9475,percent of total billed charges,4.656881646,,,,,,,,,,4.9475,percent of total billed charges,999999999,,,,,,,,,,4.9475,percent of total billed charges,3.99593239,,,,,,,,,,4.9475,percent of total billed charges,6.301860938,,,,,,,,,,4.9475,percent of total billed charges,999999999,,,,,,,,,,4.9475,percent of total billed charges,4.308592392,,,,,,,,,,17.811,percent of total billed charges,,,,,
NF-Cranberry Oral Capsule 500MG,Local,Local,,,,both,,,1,1,0.212883945,1,1,percent of total billed charges,0.735735526,,,,1,percent of total billed charges,0.77986511,,,,1,percent of total billed charges,0.735735526,,,,1,percent of total billed charges,0.77986511,,,,1,percent of total billed charges,999999999,,,,1,percent of total billed charges,0.76193127,,,,1,percent of total billed charges,0.735735526,,,,1,percent of total billed charges,0.77986511,,,,0.713,percent of total billed charges,0.355800048,,,,0.713,percent of total billed charges,0.212883945,,,,0.713,percent of total billed charges,0.355800048,,,,0.713,percent of total billed charges,0.212883945,,,,0.713,percent of total billed charges,0.355800048,,,,0.713,percent of total billed charges,0.212883945,,,,0.706,percent of total billed charges,0.700643386,,,,0.706,percent of total billed charges,0.48322819,,,,,,,,,,0.72,percent of total billed charges,0.467983057,,,,,,,,,,0.72,percent of total billed charges,999999999,,,,,,,,,,0.8,percent of total billed charges,0.670358415,,,,0.79,percent of total billed charges,0.762383998,,,,0.79,percent of total billed charges,0.673591498,,,,0.8,percent of total billed charges,999999999,,,,0.8,percent of total billed charges,999999999,,,,0.7,percent of total billed charges,999999999,,,,0.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.532,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.505,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.25,percent of total billed charges,0.237438848,,,,,,,,,,0.25,percent of total billed charges,0.233489214,,,,,,,,,,0.25,percent of total billed charges,0.232840358,,,,,,,,,,0.25,percent of total billed charges,0.229411786,,,,,,,,,,0.25,percent of total billed charges,0.235314889,,,,,,,,,,0.25,percent of total billed charges,999999999,,,,,,,,,,0.25,percent of total billed charges,0.201916745,,,,,,,,,,0.25,percent of total billed charges,0.318436632,,,,,,,,,,0.25,percent of total billed charges,999999999,,,,,,,,,,0.25,percent of total billed charges,0.217715634,,,,,,,,,,0.9,percent of total billed charges,,,,,
NF-JANUVIA ORAL TABLET 50MG,Local,Local,,,,both,,,43.54,43.54,9.268966949,43.54,43.54,percent of total billed charges,32.03392479,,,,43.54,percent of total billed charges,33.95532689,,,,43.54,percent of total billed charges,32.03392479,,,,43.54,percent of total billed charges,33.95532689,,,,43.54,percent of total billed charges,999999999,,,,43.54,percent of total billed charges,33.17448751,,,,43.54,percent of total billed charges,32.03392479,,,,43.54,percent of total billed charges,33.95532689,,,,31.04402,percent of total billed charges,15.49153409,,,,31.04402,percent of total billed charges,9.268966949,,,,31.04402,percent of total billed charges,15.49153409,,,,31.04402,percent of total billed charges,9.268966949,,,,31.04402,percent of total billed charges,15.49153409,,,,31.04402,percent of total billed charges,9.268966949,,,,30.73924,percent of total billed charges,30.50601303,,,,30.73924,percent of total billed charges,21.03975539,,,,,,,,,,31.3488,percent of total billed charges,20.3759823,,,,,,,,,,31.3488,percent of total billed charges,999999999,,,,,,,,,,34.832,percent of total billed charges,29.18740537,,,,34.3966,percent of total billed charges,33.19419925,,,,34.3966,percent of total billed charges,29.32817382,,,,34.832,percent of total billed charges,999999999,,,,34.832,percent of total billed charges,999999999,,,,30.478,percent of total billed charges,999999999,,,,30.478,percent of total billed charges,999999999,,,,,,,,,,,,,,,,23.16328,percent of total billed charges,999999999,,,,,,,,,,,,,,,,21.9877,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10.885,percent of total billed charges,10.33808743,,,,,,,,,,10.885,percent of total billed charges,10.16612038,,,,,,,,,,10.885,percent of total billed charges,10.13786917,,,,,,,,,,10.885,percent of total billed charges,9.988589168,,,,,,,,,,10.885,percent of total billed charges,10.24561025,,,,,,,,,,10.885,percent of total billed charges,999999999,,,,,,,,,,10.885,percent of total billed charges,8.791455092,,,,,,,,,,10.885,percent of total billed charges,13.86473094,,,,,,,,,,10.885,percent of total billed charges,999999999,,,,,,,,,,10.885,percent of total billed charges,9.479338694,,,,,,,,,,39.186,percent of total billed charges,,,,,
NF-Co-Q-10 Oral Liquid Capsule 100MG,Local,Local,,,,both,,,1.93,1.93,0.410866013,1.93,1.93,percent of total billed charges,1.419969565,,,,1.93,percent of total billed charges,1.505139662,,,,1.93,percent of total billed charges,1.419969565,,,,1.93,percent of total billed charges,1.505139662,,,,1.93,percent of total billed charges,999999999,,,,1.93,percent of total billed charges,1.470527352,,,,1.93,percent of total billed charges,1.419969565,,,,1.93,percent of total billed charges,1.505139662,,,,1.37609,percent of total billed charges,0.686694092,,,,1.37609,percent of total billed charges,0.410866013,,,,1.37609,percent of total billed charges,0.686694092,,,,1.37609,percent of total billed charges,0.410866013,,,,1.37609,percent of total billed charges,0.686694092,,,,1.37609,percent of total billed charges,0.410866013,,,,1.36258,percent of total billed charges,1.352241735,,,,1.36258,percent of total billed charges,0.932630407,,,,,,,,,,1.3896,percent of total billed charges,0.9032073,,,,,,,,,,1.3896,percent of total billed charges,999999999,,,,,,,,,,1.544,percent of total billed charges,1.29379174,,,,1.5247,percent of total billed charges,1.471401115,,,,1.5247,percent of total billed charges,1.300031591,,,,1.544,percent of total billed charges,999999999,,,,1.544,percent of total billed charges,999999999,,,,1.351,percent of total billed charges,999999999,,,,1.351,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.02676,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.97465,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.4825,percent of total billed charges,0.458256976,,,,,,,,,,0.4825,percent of total billed charges,0.450634183,,,,,,,,,,0.4825,percent of total billed charges,0.44938189,,,,,,,,,,0.4825,percent of total billed charges,0.442764747,,,,,,,,,,0.4825,percent of total billed charges,0.454157735,,,,,,,,,,0.4825,percent of total billed charges,999999999,,,,,,,,,,0.4825,percent of total billed charges,0.389699319,,,,,,,,,,0.4825,percent of total billed charges,0.614582699,,,,,,,,,,0.4825,percent of total billed charges,999999999,,,,,,,,,,0.4825,percent of total billed charges,0.420191173,,,,,,,,,,1.737,percent of total billed charges,,,,,
NF-REMEDY W/OLIVAMINE SKIN REPAIR CREAM,Local,Local,,,,both,,,40.45,40.45,8.61115556,40.45,40.45,percent of total billed charges,29.76050202,,,,40.45,percent of total billed charges,31.5455437,,,,40.45,percent of total billed charges,29.76050202,,,,40.45,percent of total billed charges,31.5455437,,,,40.45,percent of total billed charges,999999999,,,,40.45,percent of total billed charges,30.82011989,,,,40.45,percent of total billed charges,29.76050202,,,,40.45,percent of total billed charges,31.5455437,,,,28.84085,percent of total billed charges,14.39211194,,,,28.84085,percent of total billed charges,8.61115556,,,,28.84085,percent of total billed charges,14.39211194,,,,28.84085,percent of total billed charges,8.61115556,,,,28.84085,percent of total billed charges,14.39211194,,,,28.84085,percent of total billed charges,8.61115556,,,,28.5577,percent of total billed charges,28.34102497,,,,28.5577,percent of total billed charges,19.54658029,,,,,,,,,,29.124,percent of total billed charges,18.92991465,,,,,,,,,,29.124,percent of total billed charges,999999999,,,,,,,,,,32.36,percent of total billed charges,27.11599787,,,,31.9555,percent of total billed charges,30.8384327,,,,31.9555,percent of total billed charges,27.24677609,,,,32.36,percent of total billed charges,999999999,,,,32.36,percent of total billed charges,999999999,,,,28.315,percent of total billed charges,999999999,,,,28.315,percent of total billed charges,999999999,,,,,,,,,,,,,,,,21.5194,percent of total billed charges,999999999,,,,,,,,,,,,,,,,20.42725,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10.1125,percent of total billed charges,9.604401392,,,,,,,,,,10.1125,percent of total billed charges,9.44463871,,,,,,,,,,10.1125,percent of total billed charges,9.418392463,,,,,,,,,,10.1125,percent of total billed charges,9.279706749,,,,,,,,,,10.1125,percent of total billed charges,9.518487246,,,,,,,,,,10.1125,percent of total billed charges,999999999,,,,,,,,,,10.1125,percent of total billed charges,8.167532349,,,,,,,,,,10.1125,percent of total billed charges,12.88076174,,,,,,,,,,10.1125,percent of total billed charges,999999999,,,,,,,,,,10.1125,percent of total billed charges,8.806597386,,,,,,,,,,36.405,percent of total billed charges,,,,,
NF-OLANZAPINE DISINTEGRATING TAB 15MG,Local,Local,,,,both,,,4.68,4.68,0.996296861,4.68,4.68,percent of total billed charges,3.44324226,,,,4.68,percent of total billed charges,3.649768715,,,,4.68,percent of total billed charges,3.44324226,,,,4.68,percent of total billed charges,3.649768715,,,,4.68,percent of total billed charges,999999999,,,,4.68,percent of total billed charges,3.565838346,,,,4.68,percent of total billed charges,3.44324226,,,,4.68,percent of total billed charges,3.649768715,,,,3.33684,percent of total billed charges,1.665144224,,,,3.33684,percent of total billed charges,0.996296861,,,,3.33684,percent of total billed charges,1.665144224,,,,3.33684,percent of total billed charges,0.996296861,,,,3.33684,percent of total billed charges,1.665144224,,,,3.33684,percent of total billed charges,0.996296861,,,,3.30408,percent of total billed charges,3.279011047,,,,3.30408,percent of total billed charges,2.261507929,,,,,,,,,,3.3696,percent of total billed charges,2.190160706,,,,,,,,,,3.3696,percent of total billed charges,999999999,,,,,,,,,,3.744,percent of total billed charges,3.13727738,,,,3.6972,percent of total billed charges,3.567957109,,,,3.6972,percent of total billed charges,3.15240821,,,,3.744,percent of total billed charges,999999999,,,,3.744,percent of total billed charges,999999999,,,,3.276,percent of total billed charges,999999999,,,,3.276,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2.48976,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2.3634,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.17,percent of total billed charges,1.111213808,,,,,,,,,,1.17,percent of total billed charges,1.092729522,,,,,,,,,,1.17,percent of total billed charges,1.089692873,,,,,,,,,,1.17,percent of total billed charges,1.073647159,,,,,,,,,,1.17,percent of total billed charges,1.101273679,,,,,,,,,,1.17,percent of total billed charges,999999999,,,,,,,,,,1.17,percent of total billed charges,0.944970368,,,,,,,,,,1.17,percent of total billed charges,1.490283436,,,,,,,,,,1.17,percent of total billed charges,999999999,,,,,,,,,,1.17,percent of total billed charges,1.018909166,,,,,,,,,,4.212,percent of total billed charges,,,,,
NF-BIOTIN CAP 5000MCG,Local,Local,,,,both,,,0.5,0.5,0.106441972,0.5,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,999999999,,,,0.5,percent of total billed charges,0.380965635,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.353,percent of total billed charges,0.350321693,,,,0.353,percent of total billed charges,0.241614095,,,,,,,,,,0.36,percent of total billed charges,0.233991528,,,,,,,,,,0.36,percent of total billed charges,999999999,,,,,,,,,,0.4,percent of total billed charges,0.335179207,,,,0.395,percent of total billed charges,0.381191999,,,,0.395,percent of total billed charges,0.336795749,,,,0.4,percent of total billed charges,999999999,,,,0.4,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.266,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.2525,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.125,percent of total billed charges,0.118719424,,,,,,,,,,0.125,percent of total billed charges,0.116744607,,,,,,,,,,0.125,percent of total billed charges,0.116420179,,,,,,,,,,0.125,percent of total billed charges,0.114705893,,,,,,,,,,0.125,percent of total billed charges,0.117657444,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.100958373,,,,,,,,,,0.125,percent of total billed charges,0.159218316,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.108857817,,,,,,,,,,0.45,percent of total billed charges,,,,,
NF-Pantoprazole Sodium Oral Tablet EC 20,Local,Local,,,,both,,,1,1,0.212883945,1,1,percent of total billed charges,0.735735526,,,,1,percent of total billed charges,0.77986511,,,,1,percent of total billed charges,0.735735526,,,,1,percent of total billed charges,0.77986511,,,,1,percent of total billed charges,999999999,,,,1,percent of total billed charges,0.76193127,,,,1,percent of total billed charges,0.735735526,,,,1,percent of total billed charges,0.77986511,,,,0.713,percent of total billed charges,0.355800048,,,,0.713,percent of total billed charges,0.212883945,,,,0.713,percent of total billed charges,0.355800048,,,,0.713,percent of total billed charges,0.212883945,,,,0.713,percent of total billed charges,0.355800048,,,,0.713,percent of total billed charges,0.212883945,,,,0.706,percent of total billed charges,0.700643386,,,,0.706,percent of total billed charges,0.48322819,,,,,,,,,,0.72,percent of total billed charges,0.467983057,,,,,,,,,,0.72,percent of total billed charges,999999999,,,,,,,,,,0.8,percent of total billed charges,0.670358415,,,,0.79,percent of total billed charges,0.762383998,,,,0.79,percent of total billed charges,0.673591498,,,,0.8,percent of total billed charges,999999999,,,,0.8,percent of total billed charges,999999999,,,,0.7,percent of total billed charges,999999999,,,,0.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.532,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.505,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.25,percent of total billed charges,0.237438848,,,,,,,,,,0.25,percent of total billed charges,0.233489214,,,,,,,,,,0.25,percent of total billed charges,0.232840358,,,,,,,,,,0.25,percent of total billed charges,0.229411786,,,,,,,,,,0.25,percent of total billed charges,0.235314889,,,,,,,,,,0.25,percent of total billed charges,999999999,,,,,,,,,,0.25,percent of total billed charges,0.201916745,,,,,,,,,,0.25,percent of total billed charges,0.318436632,,,,,,,,,,0.25,percent of total billed charges,999999999,,,,,,,,,,0.25,percent of total billed charges,0.217715634,,,,,,,,,,0.9,percent of total billed charges,,,,,
NF-Estradiol Vaginal Cream 0.1MG/1GM,Local,Local,,,,both,,,430.56,430.56,91.6593112,430.56,430.56,percent of total billed charges,316.778288,,,,430.56,percent of total billed charges,335.7787218,,,,430.56,percent of total billed charges,316.778288,,,,430.56,percent of total billed charges,335.7787218,,,,430.56,percent of total billed charges,999999999,,,,430.56,percent of total billed charges,328.0571278,,,,430.56,percent of total billed charges,316.778288,,,,430.56,percent of total billed charges,335.7787218,,,,306.98928,percent of total billed charges,153.1932686,,,,306.98928,percent of total billed charges,91.6593112,,,,306.98928,percent of total billed charges,153.1932686,,,,306.98928,percent of total billed charges,91.6593112,,,,306.98928,percent of total billed charges,153.1932686,,,,306.98928,percent of total billed charges,91.6593112,,,,303.97536,percent of total billed charges,301.6690163,,,,303.97536,percent of total billed charges,208.0587295,,,,,,,,,,310.0032,percent of total billed charges,201.494785,,,,,,,,,,310.0032,percent of total billed charges,999999999,,,,,,,,,,344.448,percent of total billed charges,288.629519,,,,340.1424,percent of total billed charges,328.252054,,,,340.1424,percent of total billed charges,290.0215554,,,,344.448,percent of total billed charges,999999999,,,,344.448,percent of total billed charges,999999999,,,,301.392,percent of total billed charges,999999999,,,,301.392,percent of total billed charges,999999999,,,,,,,,,,,,,,,,229.05792,percent of total billed charges,999999999,,,,,,,,,,,,,,,,217.4328,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,107.64,percent of total billed charges,102.2316703,,,,,,,,,,107.64,percent of total billed charges,100.531116,,,,,,,,,,107.64,percent of total billed charges,100.2517444,,,,,,,,,,107.64,percent of total billed charges,98.77553864,,,,,,,,,,107.64,percent of total billed charges,101.3171785,,,,,,,,,,107.64,percent of total billed charges,999999999,,,,,,,,,,107.64,percent of total billed charges,86.93727388,,,,,,,,,,107.64,percent of total billed charges,137.1060761,,,,,,,,,,107.64,percent of total billed charges,999999999,,,,,,,,,,107.64,percent of total billed charges,93.73964327,,,,,,,,,,387.504,percent of total billed charges,,,,,
NF-aMILoride HCl AvPak Tablet 5MG,Local,Local,,,,both,,,1.16,1.16,0.246945376,1.16,1.16,percent of total billed charges,0.85345321,,,,1.16,percent of total billed charges,0.904643528,,,,1.16,percent of total billed charges,0.85345321,,,,1.16,percent of total billed charges,0.904643528,,,,1.16,percent of total billed charges,999999999,,,,1.16,percent of total billed charges,0.883840274,,,,1.16,percent of total billed charges,0.85345321,,,,1.16,percent of total billed charges,0.904643528,,,,0.82708,percent of total billed charges,0.412728056,,,,0.82708,percent of total billed charges,0.246945376,,,,0.82708,percent of total billed charges,0.412728056,,,,0.82708,percent of total billed charges,0.246945376,,,,0.82708,percent of total billed charges,0.412728056,,,,0.82708,percent of total billed charges,0.246945376,,,,0.81896,percent of total billed charges,0.812746328,,,,0.81896,percent of total billed charges,0.5605447,,,,,,,,,,0.8352,percent of total billed charges,0.542860346,,,,,,,,,,0.8352,percent of total billed charges,999999999,,,,,,,,,,0.928,percent of total billed charges,0.777615761,,,,0.9164,percent of total billed charges,0.884365437,,,,0.9164,percent of total billed charges,0.781366138,,,,0.928,percent of total billed charges,999999999,,,,0.928,percent of total billed charges,999999999,,,,0.812,percent of total billed charges,999999999,,,,0.812,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.61712,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.5858,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.29,percent of total billed charges,0.275429063,,,,,,,,,,0.29,percent of total billed charges,0.270847488,,,,,,,,,,0.29,percent of total billed charges,0.270094815,,,,,,,,,,0.29,percent of total billed charges,0.266117672,,,,,,,,,,0.29,percent of total billed charges,0.272965271,,,,,,,,,,0.29,percent of total billed charges,999999999,,,,,,,,,,0.29,percent of total billed charges,0.234223425,,,,,,,,,,0.29,percent of total billed charges,0.369386493,,,,,,,,,,0.29,percent of total billed charges,999999999,,,,,,,,,,0.29,percent of total billed charges,0.252550135,,,,,,,,,,1.044,percent of total billed charges,,,,,
NF-Selenium Capsule 200mcg,Local,Local,,,,both,,,0.5,0.5,0.106441972,0.5,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,999999999,,,,0.5,percent of total billed charges,0.380965635,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.353,percent of total billed charges,0.350321693,,,,0.353,percent of total billed charges,0.241614095,,,,,,,,,,0.36,percent of total billed charges,0.233991528,,,,,,,,,,0.36,percent of total billed charges,999999999,,,,,,,,,,0.4,percent of total billed charges,0.335179207,,,,0.395,percent of total billed charges,0.381191999,,,,0.395,percent of total billed charges,0.336795749,,,,0.4,percent of total billed charges,999999999,,,,0.4,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.266,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.2525,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.125,percent of total billed charges,0.118719424,,,,,,,,,,0.125,percent of total billed charges,0.116744607,,,,,,,,,,0.125,percent of total billed charges,0.116420179,,,,,,,,,,0.125,percent of total billed charges,0.114705893,,,,,,,,,,0.125,percent of total billed charges,0.117657444,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.100958373,,,,,,,,,,0.125,percent of total billed charges,0.159218316,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.108857817,,,,,,,,,,0.45,percent of total billed charges,,,,,
NF-Dibucaine Ointment 1%,Local,Local,,,,both,,,30,30,6.386518339,30,30,percent of total billed charges,22.07206577,,,,30,percent of total billed charges,23.3959533,,,,30,percent of total billed charges,22.07206577,,,,30,percent of total billed charges,23.3959533,,,,30,percent of total billed charges,999999999,,,,30,percent of total billed charges,22.85793811,,,,30,percent of total billed charges,22.07206577,,,,30,percent of total billed charges,23.3959533,,,,21.39,percent of total billed charges,10.67400144,,,,21.39,percent of total billed charges,6.386518339,,,,21.39,percent of total billed charges,10.67400144,,,,21.39,percent of total billed charges,6.386518339,,,,21.39,percent of total billed charges,10.67400144,,,,21.39,percent of total billed charges,6.386518339,,,,21.18,percent of total billed charges,21.01930158,,,,21.18,percent of total billed charges,14.4968457,,,,,,,,,,21.6,percent of total billed charges,14.03949171,,,,,,,,,,21.6,percent of total billed charges,999999999,,,,,,,,,,24,percent of total billed charges,20.11075244,,,,23.7,percent of total billed charges,22.87151993,,,,23.7,percent of total billed charges,20.20774494,,,,24,percent of total billed charges,999999999,,,,24,percent of total billed charges,999999999,,,,21,percent of total billed charges,999999999,,,,21,percent of total billed charges,999999999,,,,,,,,,,,,,,,,15.96,percent of total billed charges,999999999,,,,,,,,,,,,,,,,15.15,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7.5,percent of total billed charges,7.123165433,,,,,,,,,,7.5,percent of total billed charges,7.004676423,,,,,,,,,,7.5,percent of total billed charges,6.985210727,,,,,,,,,,7.5,percent of total billed charges,6.882353584,,,,,,,,,,7.5,percent of total billed charges,7.059446659,,,,,,,,,,7.5,percent of total billed charges,999999999,,,,,,,,,,7.5,percent of total billed charges,6.05750236,,,,,,,,,,7.5,percent of total billed charges,9.553098946,,,,,,,,,,7.5,percent of total billed charges,999999999,,,,,,,,,,7.5,percent of total billed charges,6.531469013,,,,,,,,,,27,percent of total billed charges,,,,,
NF-Coenzyme Q-10 Liquid Capsule 100MG,Local,Local,,,,both,,,1.93,1.93,0.410866013,1.93,1.93,percent of total billed charges,1.419969565,,,,1.93,percent of total billed charges,1.505139662,,,,1.93,percent of total billed charges,1.419969565,,,,1.93,percent of total billed charges,1.505139662,,,,1.93,percent of total billed charges,999999999,,,,1.93,percent of total billed charges,1.470527352,,,,1.93,percent of total billed charges,1.419969565,,,,1.93,percent of total billed charges,1.505139662,,,,1.37609,percent of total billed charges,0.686694092,,,,1.37609,percent of total billed charges,0.410866013,,,,1.37609,percent of total billed charges,0.686694092,,,,1.37609,percent of total billed charges,0.410866013,,,,1.37609,percent of total billed charges,0.686694092,,,,1.37609,percent of total billed charges,0.410866013,,,,1.36258,percent of total billed charges,1.352241735,,,,1.36258,percent of total billed charges,0.932630407,,,,,,,,,,1.3896,percent of total billed charges,0.9032073,,,,,,,,,,1.3896,percent of total billed charges,999999999,,,,,,,,,,1.544,percent of total billed charges,1.29379174,,,,1.5247,percent of total billed charges,1.471401115,,,,1.5247,percent of total billed charges,1.300031591,,,,1.544,percent of total billed charges,999999999,,,,1.544,percent of total billed charges,999999999,,,,1.351,percent of total billed charges,999999999,,,,1.351,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.02676,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.97465,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.4825,percent of total billed charges,0.458256976,,,,,,,,,,0.4825,percent of total billed charges,0.450634183,,,,,,,,,,0.4825,percent of total billed charges,0.44938189,,,,,,,,,,0.4825,percent of total billed charges,0.442764747,,,,,,,,,,0.4825,percent of total billed charges,0.454157735,,,,,,,,,,0.4825,percent of total billed charges,999999999,,,,,,,,,,0.4825,percent of total billed charges,0.389699319,,,,,,,,,,0.4825,percent of total billed charges,0.614582699,,,,,,,,,,0.4825,percent of total billed charges,999999999,,,,,,,,,,0.4825,percent of total billed charges,0.420191173,,,,,,,,,,1.737,percent of total billed charges,,,,,
NF-Cranberry Concentrate Capsule 500MG,Local,Local,,,,both,,,0.5,0.5,0.106441972,0.5,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,999999999,,,,0.5,percent of total billed charges,0.380965635,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.353,percent of total billed charges,0.350321693,,,,0.353,percent of total billed charges,0.241614095,,,,,,,,,,0.36,percent of total billed charges,0.233991528,,,,,,,,,,0.36,percent of total billed charges,999999999,,,,,,,,,,0.4,percent of total billed charges,0.335179207,,,,0.395,percent of total billed charges,0.381191999,,,,0.395,percent of total billed charges,0.336795749,,,,0.4,percent of total billed charges,999999999,,,,0.4,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.266,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.2525,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.125,percent of total billed charges,0.118719424,,,,,,,,,,0.125,percent of total billed charges,0.116744607,,,,,,,,,,0.125,percent of total billed charges,0.116420179,,,,,,,,,,0.125,percent of total billed charges,0.114705893,,,,,,,,,,0.125,percent of total billed charges,0.117657444,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.100958373,,,,,,,,,,0.125,percent of total billed charges,0.159218316,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.108857817,,,,,,,,,,0.45,percent of total billed charges,,,,,
NF-Xyzal Allergy 24HR Oral Tablet 5MG,Local,Local,,,,both,,,4,4,0.851535778,4,4,percent of total billed charges,2.942942103,,,,4,percent of total billed charges,3.11946044,,,,4,percent of total billed charges,2.942942103,,,,4,percent of total billed charges,3.11946044,,,,4,percent of total billed charges,999999999,,,,4,percent of total billed charges,3.047725082,,,,4,percent of total billed charges,2.942942103,,,,4,percent of total billed charges,3.11946044,,,,2.852,percent of total billed charges,1.423200192,,,,2.852,percent of total billed charges,0.851535778,,,,2.852,percent of total billed charges,1.423200192,,,,2.852,percent of total billed charges,0.851535778,,,,2.852,percent of total billed charges,1.423200192,,,,2.852,percent of total billed charges,0.851535778,,,,2.824,percent of total billed charges,2.802573544,,,,2.824,percent of total billed charges,1.93291276,,,,,,,,,,2.88,percent of total billed charges,1.871932228,,,,,,,,,,2.88,percent of total billed charges,999999999,,,,,,,,,,3.2,percent of total billed charges,2.681433658,,,,3.16,percent of total billed charges,3.04953599,,,,3.16,percent of total billed charges,2.694365992,,,,3.2,percent of total billed charges,999999999,,,,3.2,percent of total billed charges,999999999,,,,2.8,percent of total billed charges,999999999,,,,2.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2.128,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2.02,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1,percent of total billed charges,0.949755391,,,,,,,,,,1,percent of total billed charges,0.933956856,,,,,,,,,,1,percent of total billed charges,0.93136143,,,,,,,,,,1,percent of total billed charges,0.917647145,,,,,,,,,,1,percent of total billed charges,0.941259555,,,,,,,,,,1,percent of total billed charges,999999999,,,,,,,,,,1,percent of total billed charges,0.807666981,,,,,,,,,,1,percent of total billed charges,1.273746526,,,,,,,,,,1,percent of total billed charges,999999999,,,,,,,,,,1,percent of total billed charges,0.870862535,,,,,,,,,,3.6,percent of total billed charges,,,,,
NF-Tadalafil Oral Tablet 5MG,Local,Local,,,,both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
NF-First-Omeprazole Pwd for Susp 2MG/1ML,Local,Local,,,,both,,,2.19,2.19,0.466215839,2.19,2.19,percent of total billed charges,1.611260801,,,,2.19,percent of total billed charges,1.707904591,,,,2.19,percent of total billed charges,1.611260801,,,,2.19,percent of total billed charges,1.707904591,,,,2.19,percent of total billed charges,999999999,,,,2.19,percent of total billed charges,1.668629482,,,,2.19,percent of total billed charges,1.611260801,,,,2.19,percent of total billed charges,1.707904591,,,,1.56147,percent of total billed charges,0.779202105,,,,1.56147,percent of total billed charges,0.466215839,,,,1.56147,percent of total billed charges,0.779202105,,,,1.56147,percent of total billed charges,0.466215839,,,,1.56147,percent of total billed charges,0.779202105,,,,1.56147,percent of total billed charges,0.466215839,,,,1.54614,percent of total billed charges,1.534409015,,,,1.54614,percent of total billed charges,1.058269736,,,,,,,,,,1.5768,percent of total billed charges,1.024882895,,,,,,,,,,1.5768,percent of total billed charges,999999999,,,,,,,,,,1.752,percent of total billed charges,1.468084928,,,,1.7301,percent of total billed charges,1.669620955,,,,1.7301,percent of total billed charges,1.47516538,,,,1.752,percent of total billed charges,999999999,,,,1.752,percent of total billed charges,999999999,,,,1.533,percent of total billed charges,999999999,,,,1.533,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.16508,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.10595,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.5475,percent of total billed charges,0.519991077,,,,,,,,,,0.5475,percent of total billed charges,0.511341379,,,,,,,,,,0.5475,percent of total billed charges,0.509920383,,,,,,,,,,0.5475,percent of total billed charges,0.502411812,,,,,,,,,,0.5475,percent of total billed charges,0.515339606,,,,,,,,,,0.5475,percent of total billed charges,999999999,,,,,,,,,,0.5475,percent of total billed charges,0.442197672,,,,,,,,,,0.5475,percent of total billed charges,0.697376223,,,,,,,,,,0.5475,percent of total billed charges,999999999,,,,,,,,,,0.5475,percent of total billed charges,0.476797238,,,,,,,,,,1.971,percent of total billed charges,,,,,
NF-GABAPENTIN SOLN 500MG/10ML,Local,Local,,,,both,,,2.39,2.39,0.508792628,2.39,2.39,percent of total billed charges,1.758407906,,,,2.39,percent of total billed charges,1.863877613,,,,2.39,percent of total billed charges,1.758407906,,,,2.39,percent of total billed charges,1.863877613,,,,2.39,percent of total billed charges,999999999,,,,2.39,percent of total billed charges,1.821015736,,,,2.39,percent of total billed charges,1.758407906,,,,2.39,percent of total billed charges,1.863877613,,,,1.70407,percent of total billed charges,0.850362115,,,,1.70407,percent of total billed charges,0.508792628,,,,1.70407,percent of total billed charges,0.850362115,,,,1.70407,percent of total billed charges,0.508792628,,,,1.70407,percent of total billed charges,0.850362115,,,,1.70407,percent of total billed charges,0.508792628,,,,1.68734,percent of total billed charges,1.674537693,,,,1.68734,percent of total billed charges,1.154915374,,,,,,,,,,1.7208,percent of total billed charges,1.118479506,,,,,,,,,,1.7208,percent of total billed charges,999999999,,,,,,,,,,1.912,percent of total billed charges,1.602156611,,,,1.8881,percent of total billed charges,1.822097754,,,,1.8881,percent of total billed charges,1.60988368,,,,1.912,percent of total billed charges,999999999,,,,1.912,percent of total billed charges,999999999,,,,1.673,percent of total billed charges,999999999,,,,1.673,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.27148,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.20695,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.5975,percent of total billed charges,0.567478846,,,,,,,,,,0.5975,percent of total billed charges,0.558039222,,,,,,,,,,0.5975,percent of total billed charges,0.556488455,,,,,,,,,,0.5975,percent of total billed charges,0.548294169,,,,,,,,,,0.5975,percent of total billed charges,0.562402584,,,,,,,,,,0.5975,percent of total billed charges,999999999,,,,,,,,,,0.5975,percent of total billed charges,0.482581021,,,,,,,,,,0.5975,percent of total billed charges,0.761063549,,,,,,,,,,0.5975,percent of total billed charges,999999999,,,,,,,,,,0.5975,percent of total billed charges,0.520340365,,,,,,,,,,2.151,percent of total billed charges,,,,,
NF-Cranberry Oral Capsule 500MG,Local,Local,,,,both,,,1,1,0.212883945,1,1,percent of total billed charges,0.735735526,,,,1,percent of total billed charges,0.77986511,,,,1,percent of total billed charges,0.735735526,,,,1,percent of total billed charges,0.77986511,,,,1,percent of total billed charges,999999999,,,,1,percent of total billed charges,0.76193127,,,,1,percent of total billed charges,0.735735526,,,,1,percent of total billed charges,0.77986511,,,,0.713,percent of total billed charges,0.355800048,,,,0.713,percent of total billed charges,0.212883945,,,,0.713,percent of total billed charges,0.355800048,,,,0.713,percent of total billed charges,0.212883945,,,,0.713,percent of total billed charges,0.355800048,,,,0.713,percent of total billed charges,0.212883945,,,,0.706,percent of total billed charges,0.700643386,,,,0.706,percent of total billed charges,0.48322819,,,,,,,,,,0.72,percent of total billed charges,0.467983057,,,,,,,,,,0.72,percent of total billed charges,999999999,,,,,,,,,,0.8,percent of total billed charges,0.670358415,,,,0.79,percent of total billed charges,0.762383998,,,,0.79,percent of total billed charges,0.673591498,,,,0.8,percent of total billed charges,999999999,,,,0.8,percent of total billed charges,999999999,,,,0.7,percent of total billed charges,999999999,,,,0.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.532,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.505,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.25,percent of total billed charges,0.237438848,,,,,,,,,,0.25,percent of total billed charges,0.233489214,,,,,,,,,,0.25,percent of total billed charges,0.232840358,,,,,,,,,,0.25,percent of total billed charges,0.229411786,,,,,,,,,,0.25,percent of total billed charges,0.235314889,,,,,,,,,,0.25,percent of total billed charges,999999999,,,,,,,,,,0.25,percent of total billed charges,0.201916745,,,,,,,,,,0.25,percent of total billed charges,0.318436632,,,,,,,,,,0.25,percent of total billed charges,999999999,,,,,,,,,,0.25,percent of total billed charges,0.217715634,,,,,,,,,,0.9,percent of total billed charges,,,,,
NF-Nuplazid Oral Capsule 34MG,Local,Local,,,,both,,,679.6,679.6,144.6759288,679.6,679.6,percent of total billed charges,500.0058633,,,,679.6,percent of total billed charges,529.9963288,,,,679.6,percent of total billed charges,500.0058633,,,,679.6,percent of total billed charges,529.9963288,,,,679.6,percent of total billed charges,999999999,,,,679.6,percent of total billed charges,517.8084914,,,,679.6,percent of total billed charges,500.0058633,,,,679.6,percent of total billed charges,529.9963288,,,,484.5548,percent of total billed charges,241.8017126,,,,484.5548,percent of total billed charges,144.6759288,,,,484.5548,percent of total billed charges,241.8017126,,,,484.5548,percent of total billed charges,144.6759288,,,,484.5548,percent of total billed charges,241.8017126,,,,484.5548,percent of total billed charges,144.6759288,,,,479.7976,percent of total billed charges,476.1572452,,,,479.7976,percent of total billed charges,328.401878,,,,,,,,,,489.312,percent of total billed charges,318.0412855,,,,,,,,,,489.312,percent of total billed charges,999999999,,,,,,,,,,543.68,percent of total billed charges,455.5755786,,,,536.884,percent of total billed charges,518.1161648,,,,536.884,percent of total billed charges,457.772782,,,,543.68,percent of total billed charges,999999999,,,,543.68,percent of total billed charges,999999999,,,,475.72,percent of total billed charges,999999999,,,,475.72,percent of total billed charges,999999999,,,,,,,,,,,,,,,,361.5472,percent of total billed charges,999999999,,,,,,,,,,,,,,,,343.198,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,169.9,percent of total billed charges,161.3634409,,,,,,,,,,169.9,percent of total billed charges,158.6792699,,,,,,,,,,169.9,percent of total billed charges,158.238307,,,,,,,,,,169.9,percent of total billed charges,155.9082499,,,,,,,,,,169.9,percent of total billed charges,159.9199983,,,,,,,,,,169.9,percent of total billed charges,999999999,,,,,,,,,,169.9,percent of total billed charges,137.2226201,,,,,,,,,,169.9,percent of total billed charges,216.4095348,,,,,,,,,,169.9,percent of total billed charges,999999999,,,,,,,,,,169.9,percent of total billed charges,147.9595447,,,,,,,,,,611.64,percent of total billed charges,,,,,
NF-Rasagiline Mesylate Oral Tablet 1MG,Local,Local,,,,both,,,166.28,166.28,35.39834231,166.28,166.28,percent of total billed charges,122.3381032,,,,166.28,percent of total billed charges,129.6759705,,,,166.28,percent of total billed charges,122.3381032,,,,166.28,percent of total billed charges,129.6759705,,,,166.28,percent of total billed charges,999999999,,,,166.28,percent of total billed charges,126.6939316,,,,166.28,percent of total billed charges,122.3381032,,,,166.28,percent of total billed charges,129.6759705,,,,118.55764,percent of total billed charges,59.16243197,,,,118.55764,percent of total billed charges,35.39834231,,,,118.55764,percent of total billed charges,59.16243197,,,,118.55764,percent of total billed charges,35.39834231,,,,118.55764,percent of total billed charges,59.16243197,,,,118.55764,percent of total billed charges,35.39834231,,,,117.39368,percent of total billed charges,116.5029822,,,,117.39368,percent of total billed charges,80.35118344,,,,,,,,,,119.7216,percent of total billed charges,77.8162227,,,,,,,,,,119.7216,percent of total billed charges,999999999,,,,,,,,,,133.024,percent of total billed charges,111.4671972,,,,131.3612,percent of total billed charges,126.7692111,,,,131.3612,percent of total billed charges,112.0047943,,,,133.024,percent of total billed charges,999999999,,,,133.024,percent of total billed charges,999999999,,,,116.396,percent of total billed charges,999999999,,,,116.396,percent of total billed charges,999999999,,,,,,,,,,,,,,,,88.46096,percent of total billed charges,999999999,,,,,,,,,,,,,,,,83.9714,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,41.57,percent of total billed charges,39.48133161,,,,,,,,,,41.57,percent of total billed charges,38.82458652,,,,,,,,,,41.57,percent of total billed charges,38.71669466,,,,,,,,,,41.57,percent of total billed charges,38.1465918,,,,,,,,,,41.57,percent of total billed charges,39.12815968,,,,,,,,,,41.57,percent of total billed charges,999999999,,,,,,,,,,41.57,percent of total billed charges,33.57471642,,,,,,,,,,41.57,percent of total billed charges,52.94964309,,,,,,,,,,41.57,percent of total billed charges,999999999,,,,,,,,,,41.57,percent of total billed charges,36.20175558,,,,,,,,,,149.652,percent of total billed charges,,,,,
NF-Rytary ExtendedRelease Cap 48.75MG-19,Local,Local,,,,both,,,28.14,28.14,5.990554202,28.14,28.14,percent of total billed charges,20.70359769,,,,28.14,percent of total billed charges,21.9454042,,,,28.14,percent of total billed charges,20.70359769,,,,28.14,percent of total billed charges,21.9454042,,,,28.14,percent of total billed charges,999999999,,,,28.14,percent of total billed charges,21.44074595,,,,28.14,percent of total billed charges,20.70359769,,,,28.14,percent of total billed charges,21.9454042,,,,20.06382,percent of total billed charges,10.01221335,,,,20.06382,percent of total billed charges,5.990554202,,,,20.06382,percent of total billed charges,10.01221335,,,,20.06382,percent of total billed charges,5.990554202,,,,20.06382,percent of total billed charges,10.01221335,,,,20.06382,percent of total billed charges,5.990554202,,,,19.86684,percent of total billed charges,19.71610488,,,,19.86684,percent of total billed charges,13.59804127,,,,,,,,,,20.2608,percent of total billed charges,13.16904322,,,,,,,,,,20.2608,percent of total billed charges,999999999,,,,,,,,,,22.512,percent of total billed charges,18.86388579,,,,22.2306,percent of total billed charges,21.45348569,,,,22.2306,percent of total billed charges,18.95486475,,,,22.512,percent of total billed charges,999999999,,,,22.512,percent of total billed charges,999999999,,,,19.698,percent of total billed charges,999999999,,,,19.698,percent of total billed charges,999999999,,,,,,,,,,,,,,,,14.97048,percent of total billed charges,999999999,,,,,,,,,,,,,,,,14.2107,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7.035,percent of total billed charges,6.681529176,,,,,,,,,,7.035,percent of total billed charges,6.570386485,,,,,,,,,,7.035,percent of total billed charges,6.552127662,,,,,,,,,,7.035,percent of total billed charges,6.455647662,,,,,,,,,,7.035,percent of total billed charges,6.621760967,,,,,,,,,,7.035,percent of total billed charges,999999999,,,,,,,,,,7.035,percent of total billed charges,5.681937214,,,,,,,,,,7.035,percent of total billed charges,8.960806811,,,,,,,,,,7.035,percent of total billed charges,999999999,,,,,,,,,,7.035,percent of total billed charges,6.126517934,,,,,,,,,,25.326,percent of total billed charges,,,,,
NF-Ingrezza Oral Capsule 80MG,Local,Local,,,,both,,,1346.6,1346.6,286.6695198,1346.6,1346.6,percent of total billed charges,990.7414589,,,,1346.6,percent of total billed charges,1050.166357,,,,1346.6,percent of total billed charges,990.7414589,,,,1346.6,percent of total billed charges,1050.166357,,,,1346.6,percent of total billed charges,999999999,,,,1346.6,percent of total billed charges,1026.016649,,,,1346.6,percent of total billed charges,990.7414589,,,,1346.6,percent of total billed charges,1050.166357,,,,960.1258,percent of total billed charges,479.1203445,,,,960.1258,percent of total billed charges,286.6695198,,,,960.1258,percent of total billed charges,479.1203445,,,,960.1258,percent of total billed charges,286.6695198,,,,960.1258,percent of total billed charges,479.1203445,,,,960.1258,percent of total billed charges,286.6695198,,,,950.6996,percent of total billed charges,943.4863837,,,,950.6996,percent of total billed charges,650.7150807,,,,,,,,,,969.552,percent of total billed charges,630.1859844,,,,,,,,,,969.552,percent of total billed charges,999999999,,,,,,,,,,1077.28,percent of total billed charges,902.7046411,,,,1063.814,percent of total billed charges,1026.626291,,,,1063.814,percent of total billed charges,907.0583111,,,,1077.28,percent of total billed charges,999999999,,,,1077.28,percent of total billed charges,999999999,,,,942.62,percent of total billed charges,999999999,,,,942.62,percent of total billed charges,999999999,,,,,,,,,,,,,,,,716.3912,percent of total billed charges,999999999,,,,,,,,,,,,,,,,680.033,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,336.65,percent of total billed charges,319.7351524,,,,,,,,,,336.65,percent of total billed charges,314.4165757,,,,,,,,,,336.65,percent of total billed charges,313.5428255,,,,,,,,,,336.65,percent of total billed charges,308.9259112,,,,,,,,,,336.65,percent of total billed charges,316.8750291,,,,,,,,,,336.65,percent of total billed charges,999999999,,,,,,,,,,336.65,percent of total billed charges,271.9010893,,,,,,,,,,336.65,percent of total billed charges,428.806768,,,,,,,,,,336.65,percent of total billed charges,999999999,,,,,,,,,,336.65,percent of total billed charges,293.1758724,,,,,,,,,,1211.94,percent of total billed charges,,,,,
NF-Alendronate Sod Oral Tablet 35MG,Local,Local,,,,both,,,10.29,10.29,2.19057579,10.29,10.29,percent of total billed charges,7.57071856,,,,10.29,percent of total billed charges,8.024811982,,,,10.29,percent of total billed charges,7.57071856,,,,10.29,percent of total billed charges,8.024811982,,,,10.29,percent of total billed charges,999999999,,,,10.29,percent of total billed charges,7.840272773,,,,10.29,percent of total billed charges,7.57071856,,,,10.29,percent of total billed charges,8.024811982,,,,7.33677,percent of total billed charges,3.661182493,,,,7.33677,percent of total billed charges,2.19057579,,,,7.33677,percent of total billed charges,3.661182493,,,,7.33677,percent of total billed charges,2.19057579,,,,7.33677,percent of total billed charges,3.661182493,,,,7.33677,percent of total billed charges,2.19057579,,,,7.26474,percent of total billed charges,7.209620443,,,,7.26474,percent of total billed charges,4.972418076,,,,,,,,,,7.4088,percent of total billed charges,4.815545655,,,,,,,,,,7.4088,percent of total billed charges,999999999,,,,,,,,,,8.232,percent of total billed charges,6.897988086,,,,8.1291,percent of total billed charges,7.844931335,,,,8.1291,percent of total billed charges,6.931256514,,,,8.232,percent of total billed charges,999999999,,,,8.232,percent of total billed charges,999999999,,,,7.203,percent of total billed charges,999999999,,,,7.203,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.47428,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.19645,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.5725,percent of total billed charges,2.443245743,,,,,,,,,,2.5725,percent of total billed charges,2.402604013,,,,,,,,,,2.5725,percent of total billed charges,2.395927279,,,,,,,,,,2.5725,percent of total billed charges,2.360647279,,,,,,,,,,2.5725,percent of total billed charges,2.421390204,,,,,,,,,,2.5725,percent of total billed charges,999999999,,,,,,,,,,2.5725,percent of total billed charges,2.07772331,,,,,,,,,,2.5725,percent of total billed charges,3.276712938,,,,,,,,,,2.5725,percent of total billed charges,999999999,,,,,,,,,,2.5725,percent of total billed charges,2.240293871,,,,,,,,,,9.261,percent of total billed charges,,,,,
NF-Daliresp Oral Tablet 250MCG,Local,Local,,,,both,,,64.2,64.2,13.66714924,64.2,64.2,percent of total billed charges,47.23422075,,,,64.2,percent of total billed charges,50.06734006,,,,64.2,percent of total billed charges,47.23422075,,,,64.2,percent of total billed charges,50.06734006,,,,64.2,percent of total billed charges,999999999,,,,64.2,percent of total billed charges,48.91598756,,,,64.2,percent of total billed charges,47.23422075,,,,64.2,percent of total billed charges,50.06734006,,,,45.7746,percent of total billed charges,22.84236308,,,,45.7746,percent of total billed charges,13.66714924,,,,45.7746,percent of total billed charges,22.84236308,,,,45.7746,percent of total billed charges,13.66714924,,,,45.7746,percent of total billed charges,22.84236308,,,,45.7746,percent of total billed charges,13.66714924,,,,45.3252,percent of total billed charges,44.98130539,,,,45.3252,percent of total billed charges,31.0232498,,,,,,,,,,46.224,percent of total billed charges,30.04451225,,,,,,,,,,46.224,percent of total billed charges,999999999,,,,,,,,,,51.36,percent of total billed charges,43.03701022,,,,50.718,percent of total billed charges,48.94505264,,,,50.718,percent of total billed charges,43.24457417,,,,51.36,percent of total billed charges,999999999,,,,51.36,percent of total billed charges,999999999,,,,44.94,percent of total billed charges,999999999,,,,44.94,percent of total billed charges,999999999,,,,,,,,,,,,,,,,34.1544,percent of total billed charges,999999999,,,,,,,,,,,,,,,,32.421,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16.05,percent of total billed charges,15.24357403,,,,,,,,,,16.05,percent of total billed charges,14.99000754,,,,,,,,,,16.05,percent of total billed charges,14.94835096,,,,,,,,,,16.05,percent of total billed charges,14.72823667,,,,,,,,,,16.05,percent of total billed charges,15.10721585,,,,,,,,,,16.05,percent of total billed charges,999999999,,,,,,,,,,16.05,percent of total billed charges,12.96305505,,,,,,,,,,16.05,percent of total billed charges,20.44363174,,,,,,,,,,16.05,percent of total billed charges,999999999,,,,,,,,,,16.05,percent of total billed charges,13.97734369,,,,,,,,,,57.78,percent of total billed charges,,,,,
NF-Psyllium Oral Capsule,Local,Local,,,,both,,,0.63,0.63,0.134116885,0.63,0.63,percent of total billed charges,0.463513381,,,,0.63,percent of total billed charges,0.491315019,,,,0.63,percent of total billed charges,0.463513381,,,,0.63,percent of total billed charges,0.491315019,,,,0.63,percent of total billed charges,999999999,,,,0.63,percent of total billed charges,0.4800167,,,,0.63,percent of total billed charges,0.463513381,,,,0.63,percent of total billed charges,0.491315019,,,,0.44919,percent of total billed charges,0.22415403,,,,0.44919,percent of total billed charges,0.134116885,,,,0.44919,percent of total billed charges,0.22415403,,,,0.44919,percent of total billed charges,0.134116885,,,,0.44919,percent of total billed charges,0.22415403,,,,0.44919,percent of total billed charges,0.134116885,,,,0.44478,percent of total billed charges,0.441405333,,,,0.44478,percent of total billed charges,0.30443376,,,,,,,,,,0.4536,percent of total billed charges,0.294829326,,,,,,,,,,0.4536,percent of total billed charges,999999999,,,,,,,,,,0.504,percent of total billed charges,0.422325801,,,,0.4977,percent of total billed charges,0.480301918,,,,0.4977,percent of total billed charges,0.424362644,,,,0.504,percent of total billed charges,999999999,,,,0.504,percent of total billed charges,999999999,,,,0.441,percent of total billed charges,999999999,,,,0.441,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.33516,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.31815,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.1575,percent of total billed charges,0.149586474,,,,,,,,,,0.1575,percent of total billed charges,0.147098205,,,,,,,,,,0.1575,percent of total billed charges,0.146689425,,,,,,,,,,0.1575,percent of total billed charges,0.144529425,,,,,,,,,,0.1575,percent of total billed charges,0.14824838,,,,,,,,,,0.1575,percent of total billed charges,999999999,,,,,,,,,,0.1575,percent of total billed charges,0.12720755,,,,,,,,,,0.1575,percent of total billed charges,0.200615078,,,,,,,,,,0.1575,percent of total billed charges,999999999,,,,,,,,,,0.1575,percent of total billed charges,0.137160849,,,,,,,,,,0.567,percent of total billed charges,,,,,
NF-PSYLLIUM HUSK CAPSULE,Local,Local,,,,both,,,0.65,0.65,0.138374564,0.65,0.65,percent of total billed charges,0.478228092,,,,0.65,percent of total billed charges,0.506912322,,,,0.65,percent of total billed charges,0.478228092,,,,0.65,percent of total billed charges,0.506912322,,,,0.65,percent of total billed charges,999999999,,,,0.65,percent of total billed charges,0.495255326,,,,0.65,percent of total billed charges,0.478228092,,,,0.65,percent of total billed charges,0.506912322,,,,0.46345,percent of total billed charges,0.231270031,,,,0.46345,percent of total billed charges,0.138374564,,,,0.46345,percent of total billed charges,0.231270031,,,,0.46345,percent of total billed charges,0.138374564,,,,0.46345,percent of total billed charges,0.231270031,,,,0.46345,percent of total billed charges,0.138374564,,,,0.4589,percent of total billed charges,0.455418201,,,,0.4589,percent of total billed charges,0.314098324,,,,,,,,,,0.468,percent of total billed charges,0.304188987,,,,,,,,,,0.468,percent of total billed charges,999999999,,,,,,,,,,0.52,percent of total billed charges,0.435732969,,,,0.5135,percent of total billed charges,0.495549598,,,,0.5135,percent of total billed charges,0.437834474,,,,0.52,percent of total billed charges,999999999,,,,0.52,percent of total billed charges,999999999,,,,0.455,percent of total billed charges,999999999,,,,0.455,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.3458,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.32825,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.1625,percent of total billed charges,0.154335251,,,,,,,,,,0.1625,percent of total billed charges,0.151767989,,,,,,,,,,0.1625,percent of total billed charges,0.151346232,,,,,,,,,,0.1625,percent of total billed charges,0.149117661,,,,,,,,,,0.1625,percent of total billed charges,0.152954678,,,,,,,,,,0.1625,percent of total billed charges,999999999,,,,,,,,,,0.1625,percent of total billed charges,0.131245884,,,,,,,,,,0.1625,percent of total billed charges,0.20698381,,,,,,,,,,0.1625,percent of total billed charges,999999999,,,,,,,,,,0.1625,percent of total billed charges,0.141515162,,,,,,,,,,0.585,percent of total billed charges,,,,,
NF-rOPINIRole HCL ER Oral Tab 2MG,Local,Local,,,,both,,,3.86,3.86,0.821732026,3.86,3.86,percent of total billed charges,2.839939129,,,,3.86,percent of total billed charges,3.010279325,,,,3.86,percent of total billed charges,2.839939129,,,,3.86,percent of total billed charges,3.010279325,,,,3.86,percent of total billed charges,999999999,,,,3.86,percent of total billed charges,2.941054704,,,,3.86,percent of total billed charges,2.839939129,,,,3.86,percent of total billed charges,3.010279325,,,,2.75218,percent of total billed charges,1.373388185,,,,2.75218,percent of total billed charges,0.821732026,,,,2.75218,percent of total billed charges,1.373388185,,,,2.75218,percent of total billed charges,0.821732026,,,,2.75218,percent of total billed charges,1.373388185,,,,2.75218,percent of total billed charges,0.821732026,,,,2.72516,percent of total billed charges,2.70448347,,,,2.72516,percent of total billed charges,1.865260814,,,,,,,,,,2.7792,percent of total billed charges,1.8064146,,,,,,,,,,2.7792,percent of total billed charges,999999999,,,,,,,,,,3.088,percent of total billed charges,2.58758348,,,,3.0494,percent of total billed charges,2.942802231,,,,3.0494,percent of total billed charges,2.600063182,,,,3.088,percent of total billed charges,999999999,,,,3.088,percent of total billed charges,999999999,,,,2.702,percent of total billed charges,999999999,,,,2.702,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2.05352,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.9493,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.965,percent of total billed charges,0.916513952,,,,,,,,,,0.965,percent of total billed charges,0.901268366,,,,,,,,,,0.965,percent of total billed charges,0.89876378,,,,,,,,,,0.965,percent of total billed charges,0.885529494,,,,,,,,,,0.965,percent of total billed charges,0.90831547,,,,,,,,,,0.965,percent of total billed charges,999999999,,,,,,,,,,0.965,percent of total billed charges,0.779398637,,,,,,,,,,0.965,percent of total billed charges,1.229165398,,,,,,,,,,0.965,percent of total billed charges,999999999,,,,,,,,,,0.965,percent of total billed charges,0.840382346,,,,,,,,,,3.474,percent of total billed charges,,,,,
NF-Leflunomide Oral Tablet 20MG,Local,Local,,,,both,,,31.25,31.25,6.652623269,31.25,31.25,percent of total billed charges,22.99173518,,,,31.25,percent of total billed charges,24.37078469,,,,31.25,percent of total billed charges,22.99173518,,,,31.25,percent of total billed charges,24.37078469,,,,31.25,percent of total billed charges,999999999,,,,31.25,percent of total billed charges,23.8103522,,,,31.25,percent of total billed charges,22.99173518,,,,31.25,percent of total billed charges,24.37078469,,,,22.28125,percent of total billed charges,11.1187515,,,,22.28125,percent of total billed charges,6.652623269,,,,22.28125,percent of total billed charges,11.1187515,,,,22.28125,percent of total billed charges,6.652623269,,,,22.28125,percent of total billed charges,11.1187515,,,,22.28125,percent of total billed charges,6.652623269,,,,22.0625,percent of total billed charges,21.89510581,,,,22.0625,percent of total billed charges,15.10088094,,,,,,,,,,22.5,percent of total billed charges,14.62447053,,,,,,,,,,22.5,percent of total billed charges,999999999,,,,,,,,,,25,percent of total billed charges,20.94870046,,,,24.6875,percent of total billed charges,23.82449992,,,,24.6875,percent of total billed charges,21.04973431,,,,25,percent of total billed charges,999999999,,,,25,percent of total billed charges,999999999,,,,21.875,percent of total billed charges,999999999,,,,21.875,percent of total billed charges,999999999,,,,,,,,,,,,,,,,16.625,percent of total billed charges,999999999,,,,,,,,,,,,,,,,15.78125,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7.8125,percent of total billed charges,7.419963993,,,,,,,,,,7.8125,percent of total billed charges,7.29653794,,,,,,,,,,7.8125,percent of total billed charges,7.276261174,,,,,,,,,,7.8125,percent of total billed charges,7.169118317,,,,,,,,,,7.8125,percent of total billed charges,7.35359027,,,,,,,,,,7.8125,percent of total billed charges,999999999,,,,,,,,,,7.8125,percent of total billed charges,6.309898292,,,,,,,,,,7.8125,percent of total billed charges,9.951144735,,,,,,,,,,7.8125,percent of total billed charges,999999999,,,,,,,,,,7.8125,percent of total billed charges,6.803613555,,,,,,,,,,28.125,percent of total billed charges,,,,,
NF-Blink Gel Tears Ophth Soln 0.25%,Local,Local,,,,both,,,43.75,43.75,9.313672577,43.75,43.75,percent of total billed charges,32.18842925,,,,43.75,percent of total billed charges,34.11909856,,,,43.75,percent of total billed charges,32.18842925,,,,43.75,percent of total billed charges,34.11909856,,,,43.75,percent of total billed charges,999999999,,,,43.75,percent of total billed charges,33.33449308,,,,43.75,percent of total billed charges,32.18842925,,,,43.75,percent of total billed charges,34.11909856,,,,31.19375,percent of total billed charges,15.5662521,,,,31.19375,percent of total billed charges,9.313672577,,,,31.19375,percent of total billed charges,15.5662521,,,,31.19375,percent of total billed charges,9.313672577,,,,31.19375,percent of total billed charges,15.5662521,,,,31.19375,percent of total billed charges,9.313672577,,,,30.8875,percent of total billed charges,30.65314814,,,,30.8875,percent of total billed charges,21.14123331,,,,,,,,,,31.5,percent of total billed charges,20.47425874,,,,,,,,,,31.5,percent of total billed charges,999999999,,,,,,,,,,35,percent of total billed charges,29.32818064,,,,34.5625,percent of total billed charges,33.35429989,,,,34.5625,percent of total billed charges,29.46962803,,,,35,percent of total billed charges,999999999,,,,35,percent of total billed charges,999999999,,,,30.625,percent of total billed charges,999999999,,,,30.625,percent of total billed charges,999999999,,,,,,,,,,,,,,,,23.275,percent of total billed charges,999999999,,,,,,,,,,,,,,,,22.09375,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10.9375,percent of total billed charges,10.38794959,,,,,,,,,,10.9375,percent of total billed charges,10.21515312,,,,,,,,,,10.9375,percent of total billed charges,10.18676564,,,,,,,,,,10.9375,percent of total billed charges,10.03676564,,,,,,,,,,10.9375,percent of total billed charges,10.29502638,,,,,,,,,,10.9375,percent of total billed charges,999999999,,,,,,,,,,10.9375,percent of total billed charges,8.833857609,,,,,,,,,,10.9375,percent of total billed charges,13.93160263,,,,,,,,,,10.9375,percent of total billed charges,999999999,,,,,,,,,,10.9375,percent of total billed charges,9.525058977,,,,,,,,,,39.375,percent of total billed charges,,,,,
NF-Requip XL Oral Tab ER 2MG,Local,Local,,,,both,,,17.1,17.1,3.640315453,17.1,17.1,percent of total billed charges,12.58107749,,,,17.1,percent of total billed charges,13.33569338,,,,17.1,percent of total billed charges,12.58107749,,,,17.1,percent of total billed charges,13.33569338,,,,17.1,percent of total billed charges,999999999,,,,17.1,percent of total billed charges,13.02902472,,,,17.1,percent of total billed charges,12.58107749,,,,17.1,percent of total billed charges,13.33569338,,,,12.1923,percent of total billed charges,6.08418082,,,,12.1923,percent of total billed charges,3.640315453,,,,12.1923,percent of total billed charges,6.08418082,,,,12.1923,percent of total billed charges,3.640315453,,,,12.1923,percent of total billed charges,6.08418082,,,,12.1923,percent of total billed charges,3.640315453,,,,12.0726,percent of total billed charges,11.9810019,,,,12.0726,percent of total billed charges,8.26320205,,,,,,,,,,12.312,percent of total billed charges,8.002510273,,,,,,,,,,12.312,percent of total billed charges,999999999,,,,,,,,,,13.68,percent of total billed charges,11.46312889,,,,13.509,percent of total billed charges,13.03676636,,,,13.509,percent of total billed charges,11.51841461,,,,13.68,percent of total billed charges,999999999,,,,13.68,percent of total billed charges,999999999,,,,11.97,percent of total billed charges,999999999,,,,11.97,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.0972,percent of total billed charges,999999999,,,,,,,,,,,,,,,,8.6355,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4.275,percent of total billed charges,4.060204297,,,,,,,,,,4.275,percent of total billed charges,3.992665561,,,,,,,,,,4.275,percent of total billed charges,3.981570114,,,,,,,,,,4.275,percent of total billed charges,3.922941543,,,,,,,,,,4.275,percent of total billed charges,4.023884596,,,,,,,,,,4.275,percent of total billed charges,999999999,,,,,,,,,,4.275,percent of total billed charges,3.452776345,,,,,,,,,,4.275,percent of total billed charges,5.445266399,,,,,,,,,,4.275,percent of total billed charges,999999999,,,,,,,,,,4.275,percent of total billed charges,3.722937337,,,,,,,,,,15.39,percent of total billed charges,,,,,
NF-Requip XL Oral Tab ER 2MG,Local,Local,,,,both,,,17.1,17.1,3.640315453,17.1,17.1,percent of total billed charges,12.58107749,,,,17.1,percent of total billed charges,13.33569338,,,,17.1,percent of total billed charges,12.58107749,,,,17.1,percent of total billed charges,13.33569338,,,,17.1,percent of total billed charges,999999999,,,,17.1,percent of total billed charges,13.02902472,,,,17.1,percent of total billed charges,12.58107749,,,,17.1,percent of total billed charges,13.33569338,,,,12.1923,percent of total billed charges,6.08418082,,,,12.1923,percent of total billed charges,3.640315453,,,,12.1923,percent of total billed charges,6.08418082,,,,12.1923,percent of total billed charges,3.640315453,,,,12.1923,percent of total billed charges,6.08418082,,,,12.1923,percent of total billed charges,3.640315453,,,,12.0726,percent of total billed charges,11.9810019,,,,12.0726,percent of total billed charges,8.26320205,,,,,,,,,,12.312,percent of total billed charges,8.002510273,,,,,,,,,,12.312,percent of total billed charges,999999999,,,,,,,,,,13.68,percent of total billed charges,11.46312889,,,,13.509,percent of total billed charges,13.03676636,,,,13.509,percent of total billed charges,11.51841461,,,,13.68,percent of total billed charges,999999999,,,,13.68,percent of total billed charges,999999999,,,,11.97,percent of total billed charges,999999999,,,,11.97,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.0972,percent of total billed charges,999999999,,,,,,,,,,,,,,,,8.6355,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4.275,percent of total billed charges,4.060204297,,,,,,,,,,4.275,percent of total billed charges,3.992665561,,,,,,,,,,4.275,percent of total billed charges,3.981570114,,,,,,,,,,4.275,percent of total billed charges,3.922941543,,,,,,,,,,4.275,percent of total billed charges,4.023884596,,,,,,,,,,4.275,percent of total billed charges,999999999,,,,,,,,,,4.275,percent of total billed charges,3.452776345,,,,,,,,,,4.275,percent of total billed charges,5.445266399,,,,,,,,,,4.275,percent of total billed charges,999999999,,,,,,,,,,4.275,percent of total billed charges,3.722937337,,,,,,,,,,15.39,percent of total billed charges,,,,,
NF-Clobetasol Propionate Shampoo 0.05%,Local,Local,,,,both,,,354.33,354.33,75.4311681,354.33,354.33,percent of total billed charges,260.6931688,,,,354.33,percent of total billed charges,276.3296044,,,,354.33,percent of total billed charges,260.6931688,,,,354.33,percent of total billed charges,276.3296044,,,,354.33,percent of total billed charges,999999999,,,,354.33,percent of total billed charges,269.9751071,,,,354.33,percent of total billed charges,260.6931688,,,,354.33,percent of total billed charges,276.3296044,,,,252.63729,percent of total billed charges,126.070631,,,,252.63729,percent of total billed charges,75.4311681,,,,252.63729,percent of total billed charges,126.070631,,,,252.63729,percent of total billed charges,75.4311681,,,,252.63729,percent of total billed charges,126.070631,,,,252.63729,percent of total billed charges,75.4311681,,,,250.15698,percent of total billed charges,248.258971,,,,250.15698,percent of total billed charges,171.2222446,,,,,,,,,,255.1176,percent of total billed charges,165.8204365,,,,,,,,,,255.1176,percent of total billed charges,999999999,,,,,,,,,,283.464,percent of total billed charges,237.528097,,,,279.9207,percent of total billed charges,270.1355219,,,,279.9207,percent of total billed charges,238.6736755,,,,283.464,percent of total billed charges,999999999,,,,283.464,percent of total billed charges,999999999,,,,248.031,percent of total billed charges,999999999,,,,248.031,percent of total billed charges,999999999,,,,,,,,,,,,,,,,188.50356,percent of total billed charges,999999999,,,,,,,,,,,,,,,,178.93665,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,88.5825,percent of total billed charges,84.13170693,,,,,,,,,,88.5825,percent of total billed charges,82.73223323,,,,,,,,,,88.5825,percent of total billed charges,82.5023239,,,,,,,,,,88.5825,percent of total billed charges,81.28747818,,,,,,,,,,88.5825,percent of total billed charges,83.37912449,,,,,,,,,,88.5825,percent of total billed charges,999999999,,,,,,,,,,88.5825,percent of total billed charges,71.54516038,,,,,,,,,,88.5825,percent of total billed charges,112.8316516,,,,,,,,,,88.5825,percent of total billed charges,999999999,,,,,,,,,,88.5825,percent of total billed charges,77.14318051,,,,,,,,,,318.897,percent of total billed charges,,,,,
NF-Aspercreme Topical Cream 4%,Local,Local,,,,both,,,33.15,33.15,7.057102764,33.15,33.15,percent of total billed charges,24.38963268,,,,33.15,percent of total billed charges,25.8525284,,,,33.15,percent of total billed charges,24.38963268,,,,33.15,percent of total billed charges,25.8525284,,,,33.15,percent of total billed charges,999999999,,,,33.15,percent of total billed charges,25.25802161,,,,33.15,percent of total billed charges,24.38963268,,,,33.15,percent of total billed charges,25.8525284,,,,23.63595,percent of total billed charges,11.79477159,,,,23.63595,percent of total billed charges,7.057102764,,,,23.63595,percent of total billed charges,11.79477159,,,,23.63595,percent of total billed charges,7.057102764,,,,23.63595,percent of total billed charges,11.79477159,,,,23.63595,percent of total billed charges,7.057102764,,,,23.4039,percent of total billed charges,23.22632825,,,,23.4039,percent of total billed charges,16.0190145,,,,,,,,,,23.868,percent of total billed charges,15.51363834,,,,,,,,,,23.868,percent of total billed charges,999999999,,,,,,,,,,26.52,percent of total billed charges,22.22238144,,,,26.1885,percent of total billed charges,25.27302952,,,,26.1885,percent of total billed charges,22.32955816,,,,26.52,percent of total billed charges,999999999,,,,26.52,percent of total billed charges,999999999,,,,23.205,percent of total billed charges,999999999,,,,23.205,percent of total billed charges,999999999,,,,,,,,,,,,,,,,17.6358,percent of total billed charges,999999999,,,,,,,,,,,,,,,,16.74075,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8.2875,percent of total billed charges,7.871097803,,,,,,,,,,8.2875,percent of total billed charges,7.740167447,,,,,,,,,,8.2875,percent of total billed charges,7.718657853,,,,,,,,,,8.2875,percent of total billed charges,7.60500071,,,,,,,,,,8.2875,percent of total billed charges,7.800688559,,,,,,,,,,8.2875,percent of total billed charges,999999999,,,,,,,,,,8.2875,percent of total billed charges,6.693540108,,,,,,,,,,8.2875,percent of total billed charges,10.55617433,,,,,,,,,,8.2875,percent of total billed charges,999999999,,,,,,,,,,8.2875,percent of total billed charges,7.217273259,,,,,,,,,,29.835,percent of total billed charges,,,,,
NF-Bethanechol Chloride Oral Tablet 10MG,Local,Local,,,,both,,,3.1,3.1,0.659940228,3.1,3.1,percent of total billed charges,2.28078013,,,,3.1,percent of total billed charges,2.417581841,,,,3.1,percent of total billed charges,2.28078013,,,,3.1,percent of total billed charges,2.417581841,,,,3.1,percent of total billed charges,999999999,,,,3.1,percent of total billed charges,2.361986938,,,,3.1,percent of total billed charges,2.28078013,,,,3.1,percent of total billed charges,2.417581841,,,,2.2103,percent of total billed charges,1.102980149,,,,2.2103,percent of total billed charges,0.659940228,,,,2.2103,percent of total billed charges,1.102980149,,,,2.2103,percent of total billed charges,0.659940228,,,,2.2103,percent of total billed charges,1.102980149,,,,2.2103,percent of total billed charges,0.659940228,,,,2.1886,percent of total billed charges,2.171994497,,,,2.1886,percent of total billed charges,1.498007389,,,,,,,,,,2.232,percent of total billed charges,1.450747476,,,,,,,,,,2.232,percent of total billed charges,999999999,,,,,,,,,,2.48,percent of total billed charges,2.078111085,,,,2.449,percent of total billed charges,2.363390393,,,,2.449,percent of total billed charges,2.088133644,,,,2.48,percent of total billed charges,999999999,,,,2.48,percent of total billed charges,999999999,,,,2.17,percent of total billed charges,999999999,,,,2.17,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.6492,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.5655,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.775,percent of total billed charges,0.736060428,,,,,,,,,,0.775,percent of total billed charges,0.723816564,,,,,,,,,,0.775,percent of total billed charges,0.721805108,,,,,,,,,,0.775,percent of total billed charges,0.711176537,,,,,,,,,,0.775,percent of total billed charges,0.729476155,,,,,,,,,,0.775,percent of total billed charges,999999999,,,,,,,,,,0.775,percent of total billed charges,0.625941911,,,,,,,,,,0.775,percent of total billed charges,0.987153558,,,,,,,,,,0.775,percent of total billed charges,999999999,,,,,,,,,,0.775,percent of total billed charges,0.674918465,,,,,,,,,,2.79,percent of total billed charges,,,,,
NF-Ramelteon Oral Tablet 8MG,Local,Local,,,,both,,,10.98,10.98,2.337465712,10.98,10.98,percent of total billed charges,8.078376072,,,,10.98,percent of total billed charges,8.562918908,,,,10.98,percent of total billed charges,8.078376072,,,,10.98,percent of total billed charges,8.562918908,,,,10.98,percent of total billed charges,999999999,,,,10.98,percent of total billed charges,8.366005349,,,,10.98,percent of total billed charges,8.078376072,,,,10.98,percent of total billed charges,8.562918908,,,,7.82874,percent of total billed charges,3.906684526,,,,7.82874,percent of total billed charges,2.337465712,,,,7.82874,percent of total billed charges,3.906684526,,,,7.82874,percent of total billed charges,2.337465712,,,,7.82874,percent of total billed charges,3.906684526,,,,7.82874,percent of total billed charges,2.337465712,,,,7.75188,percent of total billed charges,7.693064379,,,,7.75188,percent of total billed charges,5.305845527,,,,,,,,,,7.9056,percent of total billed charges,5.138453965,,,,,,,,,,7.9056,percent of total billed charges,999999999,,,,,,,,,,8.784,percent of total billed charges,7.360535392,,,,8.6742,percent of total billed charges,8.370976293,,,,8.6742,percent of total billed charges,7.396034647,,,,8.784,percent of total billed charges,999999999,,,,8.784,percent of total billed charges,999999999,,,,7.686,percent of total billed charges,999999999,,,,7.686,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.84136,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.5449,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.745,percent of total billed charges,2.607078548,,,,,,,,,,2.745,percent of total billed charges,2.563711571,,,,,,,,,,2.745,percent of total billed charges,2.556587126,,,,,,,,,,2.745,percent of total billed charges,2.518941412,,,,,,,,,,2.745,percent of total billed charges,2.583757477,,,,,,,,,,2.745,percent of total billed charges,999999999,,,,,,,,,,2.745,percent of total billed charges,2.217045864,,,,,,,,,,2.745,percent of total billed charges,3.496434214,,,,,,,,,,2.745,percent of total billed charges,999999999,,,,,,,,,,2.745,percent of total billed charges,2.390517659,,,,,,,,,,9.882,percent of total billed charges,,,,,
NF-Myrbetriq Oral Tablet ER 25MG,Local,Local,,,,both,,,74.02,74.02,15.75766958,74.02,74.02,percent of total billed charges,54.45914361,,,,74.02,percent of total billed charges,57.72561544,,,,74.02,percent of total billed charges,54.45914361,,,,74.02,percent of total billed charges,57.72561544,,,,74.02,percent of total billed charges,999999999,,,,74.02,percent of total billed charges,56.39815264,,,,74.02,percent of total billed charges,54.45914361,,,,74.02,percent of total billed charges,57.72561544,,,,52.77626,percent of total billed charges,26.33631955,,,,52.77626,percent of total billed charges,15.75766958,,,,52.77626,percent of total billed charges,26.33631955,,,,52.77626,percent of total billed charges,15.75766958,,,,52.77626,percent of total billed charges,26.33631955,,,,52.77626,percent of total billed charges,15.75766958,,,,52.25812,percent of total billed charges,51.86162344,,,,52.25812,percent of total billed charges,35.76855063,,,,,,,,,,53.2944,percent of total billed charges,34.64010587,,,,,,,,,,53.2944,percent of total billed charges,999999999,,,,,,,,,,59.216,percent of total billed charges,49.61992985,,,,58.4758,percent of total billed charges,56.4316635,,,,58.4758,percent of total billed charges,49.85924268,,,,59.216,percent of total billed charges,999999999,,,,59.216,percent of total billed charges,999999999,,,,51.814,percent of total billed charges,999999999,,,,51.814,percent of total billed charges,999999999,,,,,,,,,,,,,,,,39.37864,percent of total billed charges,999999999,,,,,,,,,,,,,,,,37.3801,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18.505,percent of total billed charges,17.57522351,,,,,,,,,,18.505,percent of total billed charges,17.28287163,,,,,,,,,,18.505,percent of total billed charges,17.23484327,,,,,,,,,,18.505,percent of total billed charges,16.98106041,,,,,,,,,,18.505,percent of total billed charges,17.41800806,,,,,,,,,,18.505,percent of total billed charges,999999999,,,,,,,,,,18.505,percent of total billed charges,14.94587749,,,,,,,,,,18.505,percent of total billed charges,23.57067946,,,,,,,,,,18.505,percent of total billed charges,999999999,,,,,,,,,,18.505,percent of total billed charges,16.11531121,,,,,,,,,,66.618,percent of total billed charges,,,,,
NF-K-Phos Neutral Tablet,Local,Local,,,,both,,,3.71,3.71,0.789799435,3.71,3.71,percent of total billed charges,2.7295788,,,,3.71,percent of total billed charges,2.893299558,,,,3.71,percent of total billed charges,2.7295788,,,,3.71,percent of total billed charges,2.893299558,,,,3.71,percent of total billed charges,999999999,,,,3.71,percent of total billed charges,2.826765013,,,,3.71,percent of total billed charges,2.7295788,,,,3.71,percent of total billed charges,2.893299558,,,,2.64523,percent of total billed charges,1.320018178,,,,2.64523,percent of total billed charges,0.789799435,,,,2.64523,percent of total billed charges,1.320018178,,,,2.64523,percent of total billed charges,0.789799435,,,,2.64523,percent of total billed charges,1.320018178,,,,2.64523,percent of total billed charges,0.789799435,,,,2.61926,percent of total billed charges,2.599386962,,,,2.61926,percent of total billed charges,1.792776585,,,,,,,,,,2.6712,percent of total billed charges,1.736217141,,,,,,,,,,2.6712,percent of total billed charges,999999999,,,,,,,,,,2.968,percent of total billed charges,2.487029718,,,,2.9309,percent of total billed charges,2.828444631,,,,2.9309,percent of total billed charges,2.499024457,,,,2.968,percent of total billed charges,999999999,,,,2.968,percent of total billed charges,999999999,,,,2.597,percent of total billed charges,999999999,,,,2.597,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.97372,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.87355,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.9275,percent of total billed charges,0.880898125,,,,,,,,,,0.9275,percent of total billed charges,0.866244984,,,,,,,,,,0.9275,percent of total billed charges,0.863837727,,,,,,,,,,0.9275,percent of total billed charges,0.851117727,,,,,,,,,,0.9275,percent of total billed charges,0.873018237,,,,,,,,,,0.9275,percent of total billed charges,999999999,,,,,,,,,,0.9275,percent of total billed charges,0.749111125,,,,,,,,,,0.9275,percent of total billed charges,1.181399903,,,,,,,,,,0.9275,percent of total billed charges,999999999,,,,,,,,,,0.9275,percent of total billed charges,0.807725001,,,,,,,,,,3.339,percent of total billed charges,,,,,
NF-Fluorometholone Ophth Suspension 0.1%,Local,Local,,,,both,,,402.41,402.41,85.66662816,402.41,402.41,percent of total billed charges,296.0673329,,,,402.41,percent of total billed charges,313.8255189,,,,402.41,percent of total billed charges,296.0673329,,,,402.41,percent of total billed charges,313.8255189,,,,402.41,percent of total billed charges,999999999,,,,402.41,percent of total billed charges,306.6087625,,,,402.41,percent of total billed charges,296.0673329,,,,402.41,percent of total billed charges,313.8255189,,,,286.91833,percent of total billed charges,143.1774973,,,,286.91833,percent of total billed charges,85.66662816,,,,286.91833,percent of total billed charges,143.1774973,,,,286.91833,percent of total billed charges,85.66662816,,,,286.91833,percent of total billed charges,143.1774973,,,,286.91833,percent of total billed charges,85.66662816,,,,284.10146,percent of total billed charges,281.945905,,,,284.10146,percent of total billed charges,194.455856,,,,,,,,,,289.7352,percent of total billed charges,188.3210619,,,,,,,,,,289.7352,percent of total billed charges,999999999,,,,,,,,,,321.928,percent of total billed charges,269.7589296,,,,317.9039,percent of total billed charges,306.7909445,,,,317.9039,percent of total billed charges,271.0599547,,,,321.928,percent of total billed charges,999999999,,,,321.928,percent of total billed charges,999999999,,,,281.687,percent of total billed charges,999999999,,,,281.687,percent of total billed charges,999999999,,,,,,,,,,,,,,,,214.08212,percent of total billed charges,999999999,,,,,,,,,,,,,,,,203.21705,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,100.6025,percent of total billed charges,95.54776673,,,,,,,,,,100.6025,percent of total billed charges,93.95839464,,,,,,,,,,100.6025,percent of total billed charges,93.69728829,,,,,,,,,,100.6025,percent of total billed charges,92.31759686,,,,,,,,,,100.6025,percent of total billed charges,94.69306434,,,,,,,,,,100.6025,percent of total billed charges,999999999,,,,,,,,,,100.6025,percent of total billed charges,81.25331749,,,,,,,,,,100.6025,percent of total billed charges,128.1420849,,,,,,,,,,100.6025,percent of total billed charges,999999999,,,,,,,,,,100.6025,percent of total billed charges,87.61094818,,,,,,,,,,362.169,percent of total billed charges,,,,,
NF-Veltassa PowderforSuspension 8.4GM/1P,Local,Local,,,,both,,,219.27,219.27,46.67906254,219.27,219.27,percent of total billed charges,161.3247287,,,,219.27,percent of total billed charges,171.0010227,,,,219.27,percent of total billed charges,161.3247287,,,,219.27,percent of total billed charges,171.0010227,,,,219.27,percent of total billed charges,999999999,,,,219.27,percent of total billed charges,167.0686697,,,,219.27,percent of total billed charges,161.3247287,,,,219.27,percent of total billed charges,171.0010227,,,,156.33951,percent of total billed charges,78.01627651,,,,156.33951,percent of total billed charges,46.67906254,,,,156.33951,percent of total billed charges,78.01627651,,,,156.33951,percent of total billed charges,46.67906254,,,,156.33951,percent of total billed charges,78.01627651,,,,156.33951,percent of total billed charges,46.67906254,,,,154.80462,percent of total billed charges,153.6300753,,,,154.80462,percent of total billed charges,105.9574452,,,,,,,,,,157.8744,percent of total billed charges,102.6146449,,,,,,,,,,157.8744,percent of total billed charges,999999999,,,,,,,,,,175.416,percent of total billed charges,146.9894896,,,,173.2233,percent of total billed charges,167.1679392,,,,173.2233,percent of total billed charges,147.6984078,,,,175.416,percent of total billed charges,999999999,,,,175.416,percent of total billed charges,999999999,,,,153.489,percent of total billed charges,999999999,,,,153.489,percent of total billed charges,999999999,,,,,,,,,,,,,,,,116.65164,percent of total billed charges,999999999,,,,,,,,,,,,,,,,110.73135,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,54.8175,percent of total billed charges,52.06321615,,,,,,,,,,54.8175,percent of total billed charges,51.19717997,,,,,,,,,,54.8175,percent of total billed charges,51.0549052,,,,,,,,,,54.8175,percent of total billed charges,50.30312235,,,,,,,,,,54.8175,percent of total billed charges,51.59749563,,,,,,,,,,54.8175,percent of total billed charges,999999999,,,,,,,,,,54.8175,percent of total billed charges,44.27428475,,,,,,,,,,54.8175,percent of total billed charges,69.82360019,,,,,,,,,,54.8175,percent of total billed charges,999999999,,,,,,,,,,54.8175,percent of total billed charges,47.73850702,,,,,,,,,,197.343,percent of total billed charges,,,,,
NF-Biotin Oral Tablet 5MG,Local,Local,,,,both,,,1,1,0.212883945,1,1,percent of total billed charges,0.735735526,,,,1,percent of total billed charges,0.77986511,,,,1,percent of total billed charges,0.735735526,,,,1,percent of total billed charges,0.77986511,,,,1,percent of total billed charges,999999999,,,,1,percent of total billed charges,0.76193127,,,,1,percent of total billed charges,0.735735526,,,,1,percent of total billed charges,0.77986511,,,,0.713,percent of total billed charges,0.355800048,,,,0.713,percent of total billed charges,0.212883945,,,,0.713,percent of total billed charges,0.355800048,,,,0.713,percent of total billed charges,0.212883945,,,,0.713,percent of total billed charges,0.355800048,,,,0.713,percent of total billed charges,0.212883945,,,,0.706,percent of total billed charges,0.700643386,,,,0.706,percent of total billed charges,0.48322819,,,,,,,,,,0.72,percent of total billed charges,0.467983057,,,,,,,,,,0.72,percent of total billed charges,999999999,,,,,,,,,,0.8,percent of total billed charges,0.670358415,,,,0.79,percent of total billed charges,0.762383998,,,,0.79,percent of total billed charges,0.673591498,,,,0.8,percent of total billed charges,999999999,,,,0.8,percent of total billed charges,999999999,,,,0.7,percent of total billed charges,999999999,,,,0.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.532,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.505,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.25,percent of total billed charges,0.237438848,,,,,,,,,,0.25,percent of total billed charges,0.233489214,,,,,,,,,,0.25,percent of total billed charges,0.232840358,,,,,,,,,,0.25,percent of total billed charges,0.229411786,,,,,,,,,,0.25,percent of total billed charges,0.235314889,,,,,,,,,,0.25,percent of total billed charges,999999999,,,,,,,,,,0.25,percent of total billed charges,0.201916745,,,,,,,,,,0.25,percent of total billed charges,0.318436632,,,,,,,,,,0.25,percent of total billed charges,999999999,,,,,,,,,,0.25,percent of total billed charges,0.217715634,,,,,,,,,,0.9,percent of total billed charges,,,,,
NF-Praluent Subcutaneous Solution 75MG/1,Local,Local,,,,both,,,955.86,955.86,203.4872473,955.86,955.86,percent of total billed charges,703.2601596,,,,955.86,percent of total billed charges,745.441864,,,,955.86,percent of total billed charges,703.2601596,,,,955.86,percent of total billed charges,745.441864,,,,955.86,percent of total billed charges,999999999,,,,955.86,percent of total billed charges,728.2996241,,,,955.86,percent of total billed charges,703.2601596,,,,955.86,percent of total billed charges,745.441864,,,,681.52818,percent of total billed charges,340.0950338,,,,681.52818,percent of total billed charges,203.4872473,,,,681.52818,percent of total billed charges,340.0950338,,,,681.52818,percent of total billed charges,203.4872473,,,,681.52818,percent of total billed charges,340.0950338,,,,681.52818,percent of total billed charges,203.4872473,,,,674.83716,percent of total billed charges,669.716987,,,,674.83716,percent of total billed charges,461.8984977,,,,,,,,,,688.2192,percent of total billed charges,447.3262847,,,,,,,,,,688.2192,percent of total billed charges,999999999,,,,,,,,,,764.688,percent of total billed charges,640.7687942,,,,755.1294,percent of total billed charges,728.7323679,,,,755.1294,percent of total billed charges,643.8591692,,,,764.688,percent of total billed charges,999999999,,,,764.688,percent of total billed charges,999999999,,,,669.102,percent of total billed charges,999999999,,,,669.102,percent of total billed charges,999999999,,,,,,,,,,,,,,,,508.51752,percent of total billed charges,999999999,,,,,,,,,,,,,,,,482.7093,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,238.965,percent of total billed charges,226.958297,,,,,,,,,,238.965,percent of total billed charges,223.1830002,,,,,,,,,,238.965,percent of total billed charges,222.5627842,,,,,,,,,,238.965,percent of total billed charges,219.2855499,,,,,,,,,,238.965,percent of total billed charges,224.9280895,,,,,,,,,,238.965,percent of total billed charges,999999999,,,,,,,,,,238.965,percent of total billed charges,193.0041402,,,,,,,,,,238.965,percent of total billed charges,304.3808386,,,,,,,,,,238.965,percent of total billed charges,999999999,,,,,,,,,,238.965,percent of total billed charges,208.1056657,,,,,,,,,,860.274,percent of total billed charges,,,,,
NF-Arixtra SubQ Solution 2.5MG/0.5ML,Local,Local,,,,both,,,199.26,199.26,42.41925481,199.26,199.26,percent of total billed charges,146.6026609,,,,199.26,percent of total billed charges,155.3959218,,,,199.26,percent of total billed charges,146.6026609,,,,199.26,percent of total billed charges,155.3959218,,,,199.26,percent of total billed charges,999999999,,,,199.26,percent of total billed charges,151.8224249,,,,199.26,percent of total billed charges,146.6026609,,,,199.26,percent of total billed charges,155.3959218,,,,142.07238,percent of total billed charges,70.89671755,,,,142.07238,percent of total billed charges,42.41925481,,,,142.07238,percent of total billed charges,70.89671755,,,,142.07238,percent of total billed charges,42.41925481,,,,142.07238,percent of total billed charges,70.89671755,,,,142.07238,percent of total billed charges,42.41925481,,,,140.67756,percent of total billed charges,139.6102011,,,,140.67756,percent of total billed charges,96.28804915,,,,,,,,,,143.4672,percent of total billed charges,93.25030391,,,,,,,,,,143.4672,percent of total billed charges,999999999,,,,,,,,,,159.408,percent of total billed charges,133.5756177,,,,157.4154,percent of total billed charges,151.9126354,,,,157.4154,percent of total billed charges,134.2198419,,,,159.408,percent of total billed charges,999999999,,,,159.408,percent of total billed charges,999999999,,,,139.482,percent of total billed charges,999999999,,,,139.482,percent of total billed charges,999999999,,,,,,,,,,,,,,,,106.00632,percent of total billed charges,999999999,,,,,,,,,,,,,,,,100.6263,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,49.815,percent of total billed charges,47.31206481,,,,,,,,,,49.815,percent of total billed charges,46.5250608,,,,,,,,,,49.815,percent of total billed charges,46.39576965,,,,,,,,,,49.815,percent of total billed charges,45.7125925,,,,,,,,,,49.815,percent of total billed charges,46.88884471,,,,,,,,,,49.815,percent of total billed charges,999999999,,,,,,,,,,49.815,percent of total billed charges,40.23393068,,,,,,,,,,49.815,percent of total billed charges,63.4516832,,,,,,,,,,49.815,percent of total billed charges,999999999,,,,,,,,,,49.815,percent of total billed charges,43.38201718,,,,,,,,,,179.334,percent of total billed charges,,,,,
NF-Alendronate Sod Oral Tablet 70MG,Local,Local,,,,both,,,2,2,0.425767889,2,2,percent of total billed charges,1.471471051,,,,2,percent of total billed charges,1.55973022,,,,2,percent of total billed charges,1.471471051,,,,2,percent of total billed charges,1.55973022,,,,2,percent of total billed charges,999999999,,,,2,percent of total billed charges,1.523862541,,,,2,percent of total billed charges,1.471471051,,,,2,percent of total billed charges,1.55973022,,,,1.426,percent of total billed charges,0.711600096,,,,1.426,percent of total billed charges,0.425767889,,,,1.426,percent of total billed charges,0.711600096,,,,1.426,percent of total billed charges,0.425767889,,,,1.426,percent of total billed charges,0.711600096,,,,1.426,percent of total billed charges,0.425767889,,,,1.412,percent of total billed charges,1.401286772,,,,1.412,percent of total billed charges,0.96645638,,,,,,,,,,1.44,percent of total billed charges,0.935966114,,,,,,,,,,1.44,percent of total billed charges,999999999,,,,,,,,,,1.6,percent of total billed charges,1.340716829,,,,1.58,percent of total billed charges,1.524767995,,,,1.58,percent of total billed charges,1.347182996,,,,1.6,percent of total billed charges,999999999,,,,1.6,percent of total billed charges,999999999,,,,1.4,percent of total billed charges,999999999,,,,1.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.064,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.01,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.5,percent of total billed charges,0.474877696,,,,,,,,,,0.5,percent of total billed charges,0.466978428,,,,,,,,,,0.5,percent of total billed charges,0.465680715,,,,,,,,,,0.5,percent of total billed charges,0.458823572,,,,,,,,,,0.5,percent of total billed charges,0.470629777,,,,,,,,,,0.5,percent of total billed charges,999999999,,,,,,,,,,0.5,percent of total billed charges,0.403833491,,,,,,,,,,0.5,percent of total billed charges,0.636873263,,,,,,,,,,0.5,percent of total billed charges,999999999,,,,,,,,,,0.5,percent of total billed charges,0.435431268,,,,,,,,,,1.8,percent of total billed charges,,,,,
NF-Namenda XR Oral Capsule ER 7MG,Local,Local,,,,both,,,9.48,9.48,2.018139795,9.48,9.48,percent of total billed charges,6.974772784,,,,9.48,percent of total billed charges,7.393121243,,,,9.48,percent of total billed charges,6.974772784,,,,9.48,percent of total billed charges,7.393121243,,,,9.48,percent of total billed charges,999999999,,,,9.48,percent of total billed charges,7.223108444,,,,9.48,percent of total billed charges,6.974772784,,,,9.48,percent of total billed charges,7.393121243,,,,6.75924,percent of total billed charges,3.372984454,,,,6.75924,percent of total billed charges,2.018139795,,,,6.75924,percent of total billed charges,3.372984454,,,,6.75924,percent of total billed charges,2.018139795,,,,6.75924,percent of total billed charges,3.372984454,,,,6.75924,percent of total billed charges,2.018139795,,,,6.69288,percent of total billed charges,6.6420993,,,,6.69288,percent of total billed charges,4.581003242,,,,,,,,,,6.8256,percent of total billed charges,4.436479379,,,,,,,,,,6.8256,percent of total billed charges,999999999,,,,,,,,,,7.584,percent of total billed charges,6.35499777,,,,7.4892,percent of total billed charges,7.227400297,,,,7.4892,percent of total billed charges,6.3856474,,,,7.584,percent of total billed charges,999999999,,,,7.584,percent of total billed charges,999999999,,,,6.636,percent of total billed charges,999999999,,,,6.636,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.04336,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.7874,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.37,percent of total billed charges,2.250920277,,,,,,,,,,2.37,percent of total billed charges,2.21347775,,,,,,,,,,2.37,percent of total billed charges,2.20732659,,,,,,,,,,2.37,percent of total billed charges,2.174823733,,,,,,,,,,2.37,percent of total billed charges,2.230785144,,,,,,,,,,2.37,percent of total billed charges,999999999,,,,,,,,,,2.37,percent of total billed charges,1.914170746,,,,,,,,,,2.37,percent of total billed charges,3.018779267,,,,,,,,,,2.37,percent of total billed charges,999999999,,,,,,,,,,2.37,percent of total billed charges,2.063944208,,,,,,,,,,8.532,percent of total billed charges,,,,,
NF-LOKELMA ORAL PWD FOR SUSP 10GM/1PACKE,Local,Local,,,,both,,,102.26,102.26,21.76951218,102.26,102.26,percent of total billed charges,75.23631486,,,,102.26,percent of total billed charges,79.74900615,,,,102.26,percent of total billed charges,75.23631486,,,,102.26,percent of total billed charges,79.74900615,,,,102.26,percent of total billed charges,999999999,,,,102.26,percent of total billed charges,77.91509171,,,,102.26,percent of total billed charges,75.23631486,,,,102.26,percent of total billed charges,79.74900615,,,,72.91138,percent of total billed charges,36.3841129,,,,72.91138,percent of total billed charges,21.76951218,,,,72.91138,percent of total billed charges,36.3841129,,,,72.91138,percent of total billed charges,21.76951218,,,,72.91138,percent of total billed charges,36.3841129,,,,72.91138,percent of total billed charges,21.76951218,,,,72.19556,percent of total billed charges,71.64779266,,,,72.19556,percent of total billed charges,49.41491471,,,,,,,,,,73.6272,percent of total billed charges,47.8559474,,,,,,,,,,73.6272,percent of total billed charges,999999999,,,,,,,,,,81.808,percent of total billed charges,68.55085148,,,,80.7854,percent of total billed charges,77.96138759,,,,80.7854,percent of total billed charges,68.88146658,,,,81.808,percent of total billed charges,999999999,,,,81.808,percent of total billed charges,999999999,,,,71.582,percent of total billed charges,999999999,,,,71.582,percent of total billed charges,999999999,,,,,,,,,,,,,,,,54.40232,percent of total billed charges,999999999,,,,,,,,,,,,,,,,51.6413,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,25.565,percent of total billed charges,24.28049657,,,,,,,,,,25.565,percent of total billed charges,23.87660703,,,,,,,,,,25.565,percent of total billed charges,23.81025496,,,,,,,,,,25.565,percent of total billed charges,23.45964925,,,,,,,,,,25.565,percent of total billed charges,24.06330051,,,,,,,,,,25.565,percent of total billed charges,999999999,,,,,,,,,,25.565,percent of total billed charges,20.64800638,,,,,,,,,,25.565,percent of total billed charges,32.56332994,,,,,,,,,,25.565,percent of total billed charges,999999999,,,,,,,,,,25.565,percent of total billed charges,22.26360071,,,,,,,,,,92.034,percent of total billed charges,,,,,
NF-fluvoxaMINE Maleate Tablet 50MG,Local,Local,,,,both,,,1.38,1.38,0.293779844,1.38,1.38,percent of total billed charges,1.015315025,,,,1.38,percent of total billed charges,1.076213852,,,,1.38,percent of total billed charges,1.015315025,,,,1.38,percent of total billed charges,1.076213852,,,,1.38,percent of total billed charges,999999999,,,,1.38,percent of total billed charges,1.051465153,,,,1.38,percent of total billed charges,1.015315025,,,,1.38,percent of total billed charges,1.076213852,,,,0.98394,percent of total billed charges,0.491004066,,,,0.98394,percent of total billed charges,0.293779844,,,,0.98394,percent of total billed charges,0.491004066,,,,0.98394,percent of total billed charges,0.293779844,,,,0.98394,percent of total billed charges,0.491004066,,,,0.98394,percent of total billed charges,0.293779844,,,,0.97428,percent of total billed charges,0.966887873,,,,0.97428,percent of total billed charges,0.666854902,,,,,,,,,,0.9936,percent of total billed charges,0.645816618,,,,,,,,,,0.9936,percent of total billed charges,999999999,,,,,,,,,,1.104,percent of total billed charges,0.925094612,,,,1.0902,percent of total billed charges,1.052089917,,,,1.0902,percent of total billed charges,0.929556267,,,,1.104,percent of total billed charges,999999999,,,,1.104,percent of total billed charges,999999999,,,,0.966,percent of total billed charges,999999999,,,,0.966,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.73416,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.6969,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.345,percent of total billed charges,0.32766561,,,,,,,,,,0.345,percent of total billed charges,0.322215115,,,,,,,,,,0.345,percent of total billed charges,0.321319693,,,,,,,,,,0.345,percent of total billed charges,0.316588265,,,,,,,,,,0.345,percent of total billed charges,0.324734546,,,,,,,,,,0.345,percent of total billed charges,999999999,,,,,,,,,,0.345,percent of total billed charges,0.278645109,,,,,,,,,,0.345,percent of total billed charges,0.439442551,,,,,,,,,,0.345,percent of total billed charges,999999999,,,,,,,,,,0.345,percent of total billed charges,0.300447575,,,,,,,,,,1.242,percent of total billed charges,,,,,
NF-HUMIRA SUBCUTANEOUS SOLUTION 40MG/0.4,Local,Local,,,,both,,,17884.2,17884.2,3807.259042,17884.2,17884.2,percent of total billed charges,13158.04129,,,,17884.2,percent of total billed charges,13947.2636,,,,17884.2,percent of total billed charges,13158.04129,,,,17884.2,percent of total billed charges,13947.2636,,,,17884.2,percent of total billed charges,999999999,,,,17884.2,percent of total billed charges,13626.53123,,,,17884.2,percent of total billed charges,13158.04129,,,,17884.2,percent of total billed charges,13947.2636,,,,12751.4346,percent of total billed charges,6363.199217,,,,12751.4346,percent of total billed charges,3807.259042,,,,12751.4346,percent of total billed charges,6363.199217,,,,12751.4346,percent of total billed charges,3807.259042,,,,12751.4346,percent of total billed charges,6363.199217,,,,12751.4346,percent of total billed charges,3807.259042,,,,12626.2452,percent of total billed charges,12530.44645,,,,12626.2452,percent of total billed charges,8642.149596,,,,,,,,,,12876.624,percent of total billed charges,8369.502586,,,,,,,,,,12876.624,percent of total billed charges,999999999,,,,,,,,,,14307.36,percent of total billed charges,11988.82396,,,,14128.518,percent of total billed charges,13634.62789,,,,14128.518,percent of total billed charges,12046.64507,,,,14307.36,percent of total billed charges,999999999,,,,14307.36,percent of total billed charges,999999999,,,,12518.94,percent of total billed charges,999999999,,,,12518.94,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9514.3944,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9031.521,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4471.05,percent of total billed charges,4246.403841,,,,,,,,,,4471.05,percent of total billed charges,4175.767803,,,,,,,,,,4471.05,percent of total billed charges,4164.163523,,,,,,,,,,4471.05,percent of total billed charges,4102.846266,,,,,,,,,,4471.05,percent of total billed charges,4208.418532,,,,,,,,,,4471.05,percent of total billed charges,999999999,,,,,,,,,,4471.05,percent of total billed charges,3611.119457,,,,,,,,,,4471.05,percent of total billed charges,5694.984405,,,,,,,,,,4471.05,percent of total billed charges,999999999,,,,,,,,,,4471.05,percent of total billed charges,3893.669937,,,,,,,,,,16095.78,percent of total billed charges,,,,,
NF-SPRYCEL ORAL TABLET 50MG,Local,Local,,,,both,,,542,542,115.383098,542,542,percent of total billed charges,398.7686549,,,,542,percent of total billed charges,422.6868896,,,,542,percent of total billed charges,398.7686549,,,,542,percent of total billed charges,422.6868896,,,,542,percent of total billed charges,999999999,,,,542,percent of total billed charges,412.9667486,,,,542,percent of total billed charges,398.7686549,,,,542,percent of total billed charges,422.6868896,,,,386.446,percent of total billed charges,192.843626,,,,386.446,percent of total billed charges,115.383098,,,,386.446,percent of total billed charges,192.843626,,,,386.446,percent of total billed charges,115.383098,,,,386.446,percent of total billed charges,192.843626,,,,386.446,percent of total billed charges,115.383098,,,,382.652,percent of total billed charges,379.7487153,,,,382.652,percent of total billed charges,261.909679,,,,,,,,,,390.24,percent of total billed charges,253.6468168,,,,,,,,,,390.24,percent of total billed charges,999999999,,,,,,,,,,433.6,percent of total billed charges,363.3342607,,,,428.18,percent of total billed charges,413.2121267,,,,428.18,percent of total billed charges,365.0865919,,,,433.6,percent of total billed charges,999999999,,,,433.6,percent of total billed charges,999999999,,,,379.4,percent of total billed charges,999999999,,,,379.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,288.344,percent of total billed charges,999999999,,,,,,,,,,,,,,,,273.71,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,135.5,percent of total billed charges,128.6918555,,,,,,,,,,135.5,percent of total billed charges,126.551154,,,,,,,,,,135.5,percent of total billed charges,126.1994738,,,,,,,,,,135.5,percent of total billed charges,124.3411881,,,,,,,,,,135.5,percent of total billed charges,127.5406696,,,,,,,,,,135.5,percent of total billed charges,999999999,,,,,,,,,,135.5,percent of total billed charges,109.438876,,,,,,,,,,135.5,percent of total billed charges,172.5926543,,,,,,,,,,135.5,percent of total billed charges,999999999,,,,,,,,,,135.5,percent of total billed charges,118.0018735,,,,,,,,,,487.8,percent of total billed charges,,,,,
NF-VALACYCLOVIR HCL ORAL TABLET 1GM,Local,Local,,,,both,,,2.39,2.39,0.508792628,2.39,2.39,percent of total billed charges,1.758407906,,,,2.39,percent of total billed charges,1.863877613,,,,2.39,percent of total billed charges,1.758407906,,,,2.39,percent of total billed charges,1.863877613,,,,2.39,percent of total billed charges,999999999,,,,2.39,percent of total billed charges,1.821015736,,,,2.39,percent of total billed charges,1.758407906,,,,2.39,percent of total billed charges,1.863877613,,,,1.70407,percent of total billed charges,0.850362115,,,,1.70407,percent of total billed charges,0.508792628,,,,1.70407,percent of total billed charges,0.850362115,,,,1.70407,percent of total billed charges,0.508792628,,,,1.70407,percent of total billed charges,0.850362115,,,,1.70407,percent of total billed charges,0.508792628,,,,1.68734,percent of total billed charges,1.674537693,,,,1.68734,percent of total billed charges,1.154915374,,,,,,,,,,1.7208,percent of total billed charges,1.118479506,,,,,,,,,,1.7208,percent of total billed charges,999999999,,,,,,,,,,1.912,percent of total billed charges,1.602156611,,,,1.8881,percent of total billed charges,1.822097754,,,,1.8881,percent of total billed charges,1.60988368,,,,1.912,percent of total billed charges,999999999,,,,1.912,percent of total billed charges,999999999,,,,1.673,percent of total billed charges,999999999,,,,1.673,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.27148,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.20695,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.5975,percent of total billed charges,0.567478846,,,,,,,,,,0.5975,percent of total billed charges,0.558039222,,,,,,,,,,0.5975,percent of total billed charges,0.556488455,,,,,,,,,,0.5975,percent of total billed charges,0.548294169,,,,,,,,,,0.5975,percent of total billed charges,0.562402584,,,,,,,,,,0.5975,percent of total billed charges,999999999,,,,,,,,,,0.5975,percent of total billed charges,0.482581021,,,,,,,,,,0.5975,percent of total billed charges,0.761063549,,,,,,,,,,0.5975,percent of total billed charges,999999999,,,,,,,,,,0.5975,percent of total billed charges,0.520340365,,,,,,,,,,2.151,percent of total billed charges,,,,,
NF-Lokelma PwdforSusp 10GM/1Packet,Local,Local,,,,both,,,102.26,102.26,21.76951218,102.26,102.26,percent of total billed charges,75.23631486,,,,102.26,percent of total billed charges,79.74900615,,,,102.26,percent of total billed charges,75.23631486,,,,102.26,percent of total billed charges,79.74900615,,,,102.26,percent of total billed charges,999999999,,,,102.26,percent of total billed charges,77.91509171,,,,102.26,percent of total billed charges,75.23631486,,,,102.26,percent of total billed charges,79.74900615,,,,72.91138,percent of total billed charges,36.3841129,,,,72.91138,percent of total billed charges,21.76951218,,,,72.91138,percent of total billed charges,36.3841129,,,,72.91138,percent of total billed charges,21.76951218,,,,72.91138,percent of total billed charges,36.3841129,,,,72.91138,percent of total billed charges,21.76951218,,,,72.19556,percent of total billed charges,71.64779266,,,,72.19556,percent of total billed charges,49.41491471,,,,,,,,,,73.6272,percent of total billed charges,47.8559474,,,,,,,,,,73.6272,percent of total billed charges,999999999,,,,,,,,,,81.808,percent of total billed charges,68.55085148,,,,80.7854,percent of total billed charges,77.96138759,,,,80.7854,percent of total billed charges,68.88146658,,,,81.808,percent of total billed charges,999999999,,,,81.808,percent of total billed charges,999999999,,,,71.582,percent of total billed charges,999999999,,,,71.582,percent of total billed charges,999999999,,,,,,,,,,,,,,,,54.40232,percent of total billed charges,999999999,,,,,,,,,,,,,,,,51.6413,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,25.565,percent of total billed charges,24.28049657,,,,,,,,,,25.565,percent of total billed charges,23.87660703,,,,,,,,,,25.565,percent of total billed charges,23.81025496,,,,,,,,,,25.565,percent of total billed charges,23.45964925,,,,,,,,,,25.565,percent of total billed charges,24.06330051,,,,,,,,,,25.565,percent of total billed charges,999999999,,,,,,,,,,25.565,percent of total billed charges,20.64800638,,,,,,,,,,25.565,percent of total billed charges,32.56332994,,,,,,,,,,25.565,percent of total billed charges,999999999,,,,,,,,,,25.565,percent of total billed charges,22.26360071,,,,,,,,,,92.034,percent of total billed charges,,,,,
NF-Tacrolimus Oral Capsule 5MG,Local,Local,,,,both,,,8.27,8.27,1.760550222,8.27,8.27,percent of total billed charges,6.084532798,,,,8.27,percent of total billed charges,6.44948446,,,,8.27,percent of total billed charges,6.084532798,,,,8.27,percent of total billed charges,6.44948446,,,,8.27,percent of total billed charges,999999999,,,,8.27,percent of total billed charges,6.301171606,,,,8.27,percent of total billed charges,6.084532798,,,,8.27,percent of total billed charges,6.44948446,,,,5.89651,percent of total billed charges,2.942466396,,,,5.89651,percent of total billed charges,1.760550222,,,,5.89651,percent of total billed charges,2.942466396,,,,5.89651,percent of total billed charges,1.760550222,,,,5.89651,percent of total billed charges,2.942466396,,,,5.89651,percent of total billed charges,1.760550222,,,,5.83862,percent of total billed charges,5.794320803,,,,5.83862,percent of total billed charges,3.996297132,,,,,,,,,,5.9544,percent of total billed charges,3.87021988,,,,,,,,,,5.9544,percent of total billed charges,999999999,,,,,,,,,,6.616,percent of total billed charges,5.543864089,,,,6.5333,percent of total billed charges,6.30491566,,,,6.5333,percent of total billed charges,5.570601688,,,,6.616,percent of total billed charges,999999999,,,,6.616,percent of total billed charges,999999999,,,,5.789,percent of total billed charges,999999999,,,,5.789,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.39964,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.17635,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.0675,percent of total billed charges,1.963619271,,,,,,,,,,2.0675,percent of total billed charges,1.930955801,,,,,,,,,,2.0675,percent of total billed charges,1.925589757,,,,,,,,,,2.0675,percent of total billed charges,1.897235471,,,,,,,,,,2.0675,percent of total billed charges,1.946054129,,,,,,,,,,2.0675,percent of total billed charges,999999999,,,,,,,,,,2.0675,percent of total billed charges,1.669851484,,,,,,,,,,2.0675,percent of total billed charges,2.633470943,,,,,,,,,,2.0675,percent of total billed charges,999999999,,,,,,,,,,2.0675,percent of total billed charges,1.800508291,,,,,,,,,,7.443,percent of total billed charges,,,,,
NF-Asenapine Sublingual Tablet 10MG,Local,Local,,,,both,,,18.16,18.16,3.865972434,18.16,18.16,percent of total billed charges,13.36095715,,,,18.16,percent of total billed charges,14.1623504,,,,18.16,percent of total billed charges,13.36095715,,,,18.16,percent of total billed charges,14.1623504,,,,18.16,percent of total billed charges,999999999,,,,18.16,percent of total billed charges,13.83667187,,,,18.16,percent of total billed charges,13.36095715,,,,18.16,percent of total billed charges,14.1623504,,,,12.94808,percent of total billed charges,6.46132887,,,,12.94808,percent of total billed charges,3.865972434,,,,12.94808,percent of total billed charges,6.46132887,,,,12.94808,percent of total billed charges,3.865972434,,,,12.94808,percent of total billed charges,6.46132887,,,,12.94808,percent of total billed charges,3.865972434,,,,12.82096,percent of total billed charges,12.72368389,,,,12.82096,percent of total billed charges,8.775423931,,,,,,,,,,13.0752,percent of total billed charges,8.498572313,,,,,,,,,,13.0752,percent of total billed charges,999999999,,,,,,,,,,14.528,percent of total billed charges,12.17370881,,,,14.3464,percent of total billed charges,13.8448934,,,,14.3464,percent of total billed charges,12.2324216,,,,14.528,percent of total billed charges,999999999,,,,14.528,percent of total billed charges,999999999,,,,12.712,percent of total billed charges,999999999,,,,12.712,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.66112,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.1708,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4.54,percent of total billed charges,4.311889475,,,,,,,,,,4.54,percent of total billed charges,4.240164128,,,,,,,,,,4.54,percent of total billed charges,4.228380893,,,,,,,,,,4.54,percent of total billed charges,4.166118036,,,,,,,,,,4.54,percent of total billed charges,4.273318378,,,,,,,,,,4.54,percent of total billed charges,999999999,,,,,,,,,,4.54,percent of total billed charges,3.666808095,,,,,,,,,,4.54,percent of total billed charges,5.782809228,,,,,,,,,,4.54,percent of total billed charges,999999999,,,,,,,,,,4.54,percent of total billed charges,3.953715909,,,,,,,,,,16.344,percent of total billed charges,,,,,
NF-Myrbetriq Oral Tablet ER 25MG,Local,Local,,,,both,,,76.11,76.11,16.20259703,76.11,76.11,percent of total billed charges,55.99683086,,,,76.11,percent of total billed charges,59.35553352,,,,76.11,percent of total billed charges,55.99683086,,,,76.11,percent of total billed charges,59.35553352,,,,76.11,percent of total billed charges,999999999,,,,76.11,percent of total billed charges,57.99058899,,,,76.11,percent of total billed charges,55.99683086,,,,76.11,percent of total billed charges,59.35553352,,,,54.26643,percent of total billed charges,27.07994165,,,,54.26643,percent of total billed charges,16.20259703,,,,54.26643,percent of total billed charges,27.07994165,,,,54.26643,percent of total billed charges,16.20259703,,,,54.26643,percent of total billed charges,27.07994165,,,,54.26643,percent of total billed charges,16.20259703,,,,53.73366,percent of total billed charges,53.32596811,,,,53.73366,percent of total billed charges,36.77849754,,,,,,,,,,54.7992,percent of total billed charges,35.61819046,,,,,,,,,,54.7992,percent of total billed charges,999999999,,,,,,,,,,60.888,percent of total billed charges,51.02097893,,,,60.1269,percent of total billed charges,58.02504606,,,,60.1269,percent of total billed charges,51.26704891,,,,60.888,percent of total billed charges,999999999,,,,60.888,percent of total billed charges,999999999,,,,53.277,percent of total billed charges,999999999,,,,53.277,percent of total billed charges,999999999,,,,,,,,,,,,,,,,40.49052,percent of total billed charges,999999999,,,,,,,,,,,,,,,,38.43555,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19.0275,percent of total billed charges,18.0714707,,,,,,,,,,19.0275,percent of total billed charges,17.77086408,,,,,,,,,,19.0275,percent of total billed charges,17.72147961,,,,,,,,,,19.0275,percent of total billed charges,17.46053104,,,,,,,,,,19.0275,percent of total billed charges,17.90981617,,,,,,,,,,19.0275,percent of total billed charges,999999999,,,,,,,,,,19.0275,percent of total billed charges,15.36788349,,,,,,,,,,19.0275,percent of total billed charges,24.23621202,,,,,,,,,,19.0275,percent of total billed charges,999999999,,,,,,,,,,19.0275,percent of total billed charges,16.57033689,,,,,,,,,,68.499,percent of total billed charges,,,,,
NF-Myrbetriq Oral Tablet ER 25MG,Local,Local,,,,both,,,3,3,0.638651834,3,3,percent of total billed charges,2.207206577,,,,3,percent of total billed charges,2.33959533,,,,3,percent of total billed charges,2.207206577,,,,3,percent of total billed charges,2.33959533,,,,3,percent of total billed charges,999999999,,,,3,percent of total billed charges,2.285793811,,,,3,percent of total billed charges,2.207206577,,,,3,percent of total billed charges,2.33959533,,,,2.139,percent of total billed charges,1.067400144,,,,2.139,percent of total billed charges,0.638651834,,,,2.139,percent of total billed charges,1.067400144,,,,2.139,percent of total billed charges,0.638651834,,,,2.139,percent of total billed charges,1.067400144,,,,2.139,percent of total billed charges,0.638651834,,,,2.118,percent of total billed charges,2.101930158,,,,2.118,percent of total billed charges,1.44968457,,,,,,,,,,2.16,percent of total billed charges,1.403949171,,,,,,,,,,2.16,percent of total billed charges,999999999,,,,,,,,,,2.4,percent of total billed charges,2.011075244,,,,2.37,percent of total billed charges,2.287151993,,,,2.37,percent of total billed charges,2.020774494,,,,2.4,percent of total billed charges,999999999,,,,2.4,percent of total billed charges,999999999,,,,2.1,percent of total billed charges,999999999,,,,2.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.596,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.515,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.75,percent of total billed charges,0.712316543,,,,,,,,,,0.75,percent of total billed charges,0.700467642,,,,,,,,,,0.75,percent of total billed charges,0.698521073,,,,,,,,,,0.75,percent of total billed charges,0.688235358,,,,,,,,,,0.75,percent of total billed charges,0.705944666,,,,,,,,,,0.75,percent of total billed charges,999999999,,,,,,,,,,0.75,percent of total billed charges,0.605750236,,,,,,,,,,0.75,percent of total billed charges,0.955309895,,,,,,,,,,0.75,percent of total billed charges,999999999,,,,,,,,,,0.75,percent of total billed charges,0.653146901,,,,,,,,,,2.7,percent of total billed charges,,,,,
NF-SULFACETAMIDE SOD/SULFUR TOP SOAP 10%,Local,Local,,,,both,,,225.29,225.29,47.96062388,225.29,225.29,percent of total billed charges,165.7538566,,,,225.29,percent of total billed charges,175.6958106,,,,225.29,percent of total billed charges,165.7538566,,,,225.29,percent of total billed charges,175.6958106,,,,225.29,percent of total billed charges,999999999,,,,225.29,percent of total billed charges,171.6554959,,,,225.29,percent of total billed charges,165.7538566,,,,225.29,percent of total billed charges,175.6958106,,,,160.63177,percent of total billed charges,80.1581928,,,,160.63177,percent of total billed charges,47.96062388,,,,160.63177,percent of total billed charges,80.1581928,,,,160.63177,percent of total billed charges,47.96062388,,,,160.63177,percent of total billed charges,80.1581928,,,,160.63177,percent of total billed charges,47.96062388,,,,159.05474,percent of total billed charges,157.8479484,,,,159.05474,percent of total billed charges,108.8664789,,,,,,,,,,162.2088,percent of total billed charges,105.4319029,,,,,,,,,,162.2088,percent of total billed charges,999999999,,,,,,,,,,180.232,percent of total billed charges,151.0250472,,,,177.9791,percent of total billed charges,171.7574908,,,,177.9791,percent of total billed charges,151.7534286,,,,180.232,percent of total billed charges,999999999,,,,180.232,percent of total billed charges,999999999,,,,157.703,percent of total billed charges,999999999,,,,157.703,percent of total billed charges,999999999,,,,,,,,,,,,,,,,119.85428,percent of total billed charges,999999999,,,,,,,,,,,,,,,,113.77145,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,56.3225,percent of total billed charges,53.49259801,,,,,,,,,,56.3225,percent of total billed charges,52.60278504,,,,,,,,,,56.3225,percent of total billed charges,52.45660416,,,,,,,,,,56.3225,percent of total billed charges,51.6841813,,,,,,,,,,56.3225,percent of total billed charges,53.01409126,,,,,,,,,,56.3225,percent of total billed charges,999999999,,,,,,,,,,56.3225,percent of total billed charges,45.48982356,,,,,,,,,,56.3225,percent of total billed charges,71.74058871,,,,,,,,,,56.3225,percent of total billed charges,999999999,,,,,,,,,,56.3225,percent of total billed charges,49.04915513,,,,,,,,,,202.761,percent of total billed charges,,,,,
NF-hydroCHLOROthiazide Oral Tab 12.5MG,Local,Local,,,,both,,,1,1,0.212883945,1,1,percent of total billed charges,0.735735526,,,,1,percent of total billed charges,0.77986511,,,,1,percent of total billed charges,0.735735526,,,,1,percent of total billed charges,0.77986511,,,,1,percent of total billed charges,999999999,,,,1,percent of total billed charges,0.76193127,,,,1,percent of total billed charges,0.735735526,,,,1,percent of total billed charges,0.77986511,,,,0.713,percent of total billed charges,0.355800048,,,,0.713,percent of total billed charges,0.212883945,,,,0.713,percent of total billed charges,0.355800048,,,,0.713,percent of total billed charges,0.212883945,,,,0.713,percent of total billed charges,0.355800048,,,,0.713,percent of total billed charges,0.212883945,,,,0.706,percent of total billed charges,0.700643386,,,,0.706,percent of total billed charges,0.48322819,,,,,,,,,,0.72,percent of total billed charges,0.467983057,,,,,,,,,,0.72,percent of total billed charges,999999999,,,,,,,,,,0.8,percent of total billed charges,0.670358415,,,,0.79,percent of total billed charges,0.762383998,,,,0.79,percent of total billed charges,0.673591498,,,,0.8,percent of total billed charges,999999999,,,,0.8,percent of total billed charges,999999999,,,,0.7,percent of total billed charges,999999999,,,,0.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.532,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.505,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.25,percent of total billed charges,0.237438848,,,,,,,,,,0.25,percent of total billed charges,0.233489214,,,,,,,,,,0.25,percent of total billed charges,0.232840358,,,,,,,,,,0.25,percent of total billed charges,0.229411786,,,,,,,,,,0.25,percent of total billed charges,0.235314889,,,,,,,,,,0.25,percent of total billed charges,999999999,,,,,,,,,,0.25,percent of total billed charges,0.201916745,,,,,,,,,,0.25,percent of total billed charges,0.318436632,,,,,,,,,,0.25,percent of total billed charges,999999999,,,,,,,,,,0.25,percent of total billed charges,0.217715634,,,,,,,,,,0.9,percent of total billed charges,,,,,
NF-Myrbetriq Oral Tablet ER 25MG,Local,Local,,,,both,,,76.11,76.11,16.20259703,76.11,76.11,percent of total billed charges,55.99683086,,,,76.11,percent of total billed charges,59.35553352,,,,76.11,percent of total billed charges,55.99683086,,,,76.11,percent of total billed charges,59.35553352,,,,76.11,percent of total billed charges,999999999,,,,76.11,percent of total billed charges,57.99058899,,,,76.11,percent of total billed charges,55.99683086,,,,76.11,percent of total billed charges,59.35553352,,,,54.26643,percent of total billed charges,27.07994165,,,,54.26643,percent of total billed charges,16.20259703,,,,54.26643,percent of total billed charges,27.07994165,,,,54.26643,percent of total billed charges,16.20259703,,,,54.26643,percent of total billed charges,27.07994165,,,,54.26643,percent of total billed charges,16.20259703,,,,53.73366,percent of total billed charges,53.32596811,,,,53.73366,percent of total billed charges,36.77849754,,,,,,,,,,54.7992,percent of total billed charges,35.61819046,,,,,,,,,,54.7992,percent of total billed charges,999999999,,,,,,,,,,60.888,percent of total billed charges,51.02097893,,,,60.1269,percent of total billed charges,58.02504606,,,,60.1269,percent of total billed charges,51.26704891,,,,60.888,percent of total billed charges,999999999,,,,60.888,percent of total billed charges,999999999,,,,53.277,percent of total billed charges,999999999,,,,53.277,percent of total billed charges,999999999,,,,,,,,,,,,,,,,40.49052,percent of total billed charges,999999999,,,,,,,,,,,,,,,,38.43555,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19.0275,percent of total billed charges,18.0714707,,,,,,,,,,19.0275,percent of total billed charges,17.77086408,,,,,,,,,,19.0275,percent of total billed charges,17.72147961,,,,,,,,,,19.0275,percent of total billed charges,17.46053104,,,,,,,,,,19.0275,percent of total billed charges,17.90981617,,,,,,,,,,19.0275,percent of total billed charges,999999999,,,,,,,,,,19.0275,percent of total billed charges,15.36788349,,,,,,,,,,19.0275,percent of total billed charges,24.23621202,,,,,,,,,,19.0275,percent of total billed charges,999999999,,,,,,,,,,19.0275,percent of total billed charges,16.57033689,,,,,,,,,,68.499,percent of total billed charges,,,,,
NF-Galantamine HBr Capsule ER 8MG,Local,Local,,,,both,,,7.72,7.72,1.643464052,7.72,7.72,percent of total billed charges,5.679878259,,,,7.72,percent of total billed charges,6.020558649,,,,7.72,percent of total billed charges,5.679878259,,,,7.72,percent of total billed charges,6.020558649,,,,7.72,percent of total billed charges,999999999,,,,7.72,percent of total billed charges,5.882109408,,,,7.72,percent of total billed charges,5.679878259,,,,7.72,percent of total billed charges,6.020558649,,,,5.50436,percent of total billed charges,2.74677637,,,,5.50436,percent of total billed charges,1.643464052,,,,5.50436,percent of total billed charges,2.74677637,,,,5.50436,percent of total billed charges,1.643464052,,,,5.50436,percent of total billed charges,2.74677637,,,,5.50436,percent of total billed charges,1.643464052,,,,5.45032,percent of total billed charges,5.40896694,,,,5.45032,percent of total billed charges,3.730521627,,,,,,,,,,5.5584,percent of total billed charges,3.612829199,,,,,,,,,,5.5584,percent of total billed charges,999999999,,,,,,,,,,6.176,percent of total billed charges,5.175166961,,,,6.0988,percent of total billed charges,5.885604461,,,,6.0988,percent of total billed charges,5.200126364,,,,6.176,percent of total billed charges,999999999,,,,6.176,percent of total billed charges,999999999,,,,5.404,percent of total billed charges,999999999,,,,5.404,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.10704,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.8986,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.93,percent of total billed charges,1.833027905,,,,,,,,,,1.93,percent of total billed charges,1.802536733,,,,,,,,,,1.93,percent of total billed charges,1.79752756,,,,,,,,,,1.93,percent of total billed charges,1.771058989,,,,,,,,,,1.93,percent of total billed charges,1.81663094,,,,,,,,,,1.93,percent of total billed charges,999999999,,,,,,,,,,1.93,percent of total billed charges,1.558797274,,,,,,,,,,1.93,percent of total billed charges,2.458330795,,,,,,,,,,1.93,percent of total billed charges,999999999,,,,,,,,,,1.93,percent of total billed charges,1.680764693,,,,,,,,,,6.948,percent of total billed charges,,,,,
NF-BIKTARVY ORAL TAB 50MG-200MG-25MG,Local,Local,,,,both,,,645.31,645.31,137.3761383,645.31,645.31,percent of total billed charges,474.7774921,,,,645.31,percent of total billed charges,503.2547541,,,,645.31,percent of total billed charges,474.7774921,,,,645.31,percent of total billed charges,503.2547541,,,,645.31,percent of total billed charges,999999999,,,,645.31,percent of total billed charges,491.6818681,,,,645.31,percent of total billed charges,474.7774921,,,,645.31,percent of total billed charges,503.2547541,,,,460.10603,percent of total billed charges,229.6013289,,,,460.10603,percent of total billed charges,137.3761383,,,,460.10603,percent of total billed charges,229.6013289,,,,460.10603,percent of total billed charges,137.3761383,,,,460.10603,percent of total billed charges,229.6013289,,,,460.10603,percent of total billed charges,137.3761383,,,,455.58886,percent of total billed charges,452.1321835,,,,455.58886,percent of total billed charges,311.8319833,,,,,,,,,,464.6232,percent of total billed charges,301.9941464,,,,,,,,,,464.6232,percent of total billed charges,999999999,,,,,,,,,,516.248,percent of total billed charges,432.5889885,,,,509.7949,percent of total billed charges,491.9740175,,,,509.7949,percent of total billed charges,434.6753295,,,,516.248,percent of total billed charges,999999999,,,,516.248,percent of total billed charges,999999999,,,,451.717,percent of total billed charges,999999999,,,,451.717,percent of total billed charges,999999999,,,,,,,,,,,,,,,,343.30492,percent of total billed charges,999999999,,,,,,,,,,,,,,,,325.88155,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,161.3275,percent of total billed charges,153.2216629,,,,,,,,,,161.3275,percent of total billed charges,150.6729247,,,,,,,,,,161.3275,percent of total billed charges,150.2542111,,,,,,,,,,161.3275,percent of total billed charges,148.0417197,,,,,,,,,,161.3275,percent of total billed charges,151.8510508,,,,,,,,,,161.3275,percent of total billed charges,999999999,,,,,,,,,,161.3275,percent of total billed charges,130.2988949,,,,,,,,,,161.3275,percent of total billed charges,205.4903427,,,,,,,,,,161.3275,percent of total billed charges,999999999,,,,,,,,,,161.3275,percent of total billed charges,140.4940756,,,,,,,,,,580.779,percent of total billed charges,,,,,
NF-Lutein Tablet 20MG,Local,Local,,,,both,,,1.47,1.47,0.312939399,1.47,1.47,percent of total billed charges,1.081531223,,,,1.47,percent of total billed charges,1.146401712,,,,1.47,percent of total billed charges,1.081531223,,,,1.47,percent of total billed charges,1.146401712,,,,1.47,percent of total billed charges,999999999,,,,1.47,percent of total billed charges,1.120038968,,,,1.47,percent of total billed charges,1.081531223,,,,1.47,percent of total billed charges,1.146401712,,,,1.04811,percent of total billed charges,0.52302607,,,,1.04811,percent of total billed charges,0.312939399,,,,1.04811,percent of total billed charges,0.52302607,,,,1.04811,percent of total billed charges,0.312939399,,,,1.04811,percent of total billed charges,0.52302607,,,,1.04811,percent of total billed charges,0.312939399,,,,1.03782,percent of total billed charges,1.029945778,,,,1.03782,percent of total billed charges,0.710345439,,,,,,,,,,1.0584,percent of total billed charges,0.687935094,,,,,,,,,,1.0584,percent of total billed charges,999999999,,,,,,,,,,1.176,percent of total billed charges,0.985426869,,,,1.1613,percent of total billed charges,1.120704476,,,,1.1613,percent of total billed charges,0.990179502,,,,1.176,percent of total billed charges,999999999,,,,1.176,percent of total billed charges,999999999,,,,1.029,percent of total billed charges,999999999,,,,1.029,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.78204,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.74235,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.3675,percent of total billed charges,0.349035106,,,,,,,,,,0.3675,percent of total billed charges,0.343229145,,,,,,,,,,0.3675,percent of total billed charges,0.342275326,,,,,,,,,,0.3675,percent of total billed charges,0.337235326,,,,,,,,,,0.3675,percent of total billed charges,0.345912886,,,,,,,,,,0.3675,percent of total billed charges,999999999,,,,,,,,,,0.3675,percent of total billed charges,0.296817616,,,,,,,,,,0.3675,percent of total billed charges,0.468101848,,,,,,,,,,0.3675,percent of total billed charges,999999999,,,,,,,,,,0.3675,percent of total billed charges,0.320041982,,,,,,,,,,1.323,percent of total billed charges,,,,,
NF-Dakin's Solution Full Strength Soluti,Local,Local,,,,both,,,54,54,11.49573301,54,54,percent of total billed charges,39.72971839,,,,54,percent of total billed charges,42.11271594,,,,54,percent of total billed charges,39.72971839,,,,54,percent of total billed charges,42.11271594,,,,54,percent of total billed charges,999999999,,,,54,percent of total billed charges,41.1442886,,,,54,percent of total billed charges,39.72971839,,,,54,percent of total billed charges,42.11271594,,,,38.502,percent of total billed charges,19.21320259,,,,38.502,percent of total billed charges,11.49573301,,,,38.502,percent of total billed charges,19.21320259,,,,38.502,percent of total billed charges,11.49573301,,,,38.502,percent of total billed charges,19.21320259,,,,38.502,percent of total billed charges,11.49573301,,,,38.124,percent of total billed charges,37.83474285,,,,38.124,percent of total billed charges,26.09432226,,,,,,,,,,38.88,percent of total billed charges,25.27108507,,,,,,,,,,38.88,percent of total billed charges,999999999,,,,,,,,,,43.2,percent of total billed charges,36.19935439,,,,42.66,percent of total billed charges,41.16873587,,,,42.66,percent of total billed charges,36.37394089,,,,43.2,percent of total billed charges,999999999,,,,43.2,percent of total billed charges,999999999,,,,37.8,percent of total billed charges,999999999,,,,37.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,28.728,percent of total billed charges,999999999,,,,,,,,,,,,,,,,27.27,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13.5,percent of total billed charges,12.82169778,,,,,,,,,,13.5,percent of total billed charges,12.60841756,,,,,,,,,,13.5,percent of total billed charges,12.57337931,,,,,,,,,,13.5,percent of total billed charges,12.38823645,,,,,,,,,,13.5,percent of total billed charges,12.70700399,,,,,,,,,,13.5,percent of total billed charges,999999999,,,,,,,,,,13.5,percent of total billed charges,10.90350425,,,,,,,,,,13.5,percent of total billed charges,17.1955781,,,,,,,,,,13.5,percent of total billed charges,999999999,,,,,,,,,,13.5,percent of total billed charges,11.75664422,,,,,,,,,,48.6,percent of total billed charges,,,,,
NF-Methocarbamol Oral Tablet 750MG,Local,Local,,,,both,,,0.6,0.6,0.127730367,0.6,0.6,percent of total billed charges,0.441441315,,,,0.6,percent of total billed charges,0.467919066,,,,0.6,percent of total billed charges,0.441441315,,,,0.6,percent of total billed charges,0.467919066,,,,0.6,percent of total billed charges,999999999,,,,0.6,percent of total billed charges,0.457158762,,,,0.6,percent of total billed charges,0.441441315,,,,0.6,percent of total billed charges,0.467919066,,,,0.4278,percent of total billed charges,0.213480029,,,,0.4278,percent of total billed charges,0.127730367,,,,0.4278,percent of total billed charges,0.213480029,,,,0.4278,percent of total billed charges,0.127730367,,,,0.4278,percent of total billed charges,0.213480029,,,,0.4278,percent of total billed charges,0.127730367,,,,0.4236,percent of total billed charges,0.420386032,,,,0.4236,percent of total billed charges,0.289936914,,,,,,,,,,0.432,percent of total billed charges,0.280789834,,,,,,,,,,0.432,percent of total billed charges,999999999,,,,,,,,,,0.48,percent of total billed charges,0.402215049,,,,0.474,percent of total billed charges,0.457430399,,,,0.474,percent of total billed charges,0.404154899,,,,0.48,percent of total billed charges,999999999,,,,0.48,percent of total billed charges,999999999,,,,0.42,percent of total billed charges,999999999,,,,0.42,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.3192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.303,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.15,percent of total billed charges,0.142463309,,,,,,,,,,0.15,percent of total billed charges,0.140093528,,,,,,,,,,0.15,percent of total billed charges,0.139704215,,,,,,,,,,0.15,percent of total billed charges,0.137647072,,,,,,,,,,0.15,percent of total billed charges,0.141188933,,,,,,,,,,0.15,percent of total billed charges,999999999,,,,,,,,,,0.15,percent of total billed charges,0.121150047,,,,,,,,,,0.15,percent of total billed charges,0.191061979,,,,,,,,,,0.15,percent of total billed charges,999999999,,,,,,,,,,0.15,percent of total billed charges,0.13062938,,,,,,,,,,0.54,percent of total billed charges,,,,,
NF-Cevimeline Hydrochloride Capsule 30MG,Local,Local,,,,both,,,2.67,2.67,0.568400132,2.67,2.67,percent of total billed charges,1.964413854,,,,2.67,percent of total billed charges,2.082239844,,,,2.67,percent of total billed charges,1.964413854,,,,2.67,percent of total billed charges,2.082239844,,,,2.67,percent of total billed charges,999999999,,,,2.67,percent of total billed charges,2.034356492,,,,2.67,percent of total billed charges,1.964413854,,,,2.67,percent of total billed charges,2.082239844,,,,1.90371,percent of total billed charges,0.949986128,,,,1.90371,percent of total billed charges,0.568400132,,,,1.90371,percent of total billed charges,0.949986128,,,,1.90371,percent of total billed charges,0.568400132,,,,1.90371,percent of total billed charges,0.949986128,,,,1.90371,percent of total billed charges,0.568400132,,,,1.88502,percent of total billed charges,1.870717841,,,,1.88502,percent of total billed charges,1.290219267,,,,,,,,,,1.9224,percent of total billed charges,1.249514762,,,,,,,,,,1.9224,percent of total billed charges,999999999,,,,,,,,,,2.136,percent of total billed charges,1.789856967,,,,2.1093,percent of total billed charges,2.035565274,,,,2.1093,percent of total billed charges,1.7984893,,,,2.136,percent of total billed charges,999999999,,,,2.136,percent of total billed charges,999999999,,,,1.869,percent of total billed charges,999999999,,,,1.869,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.42044,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.34835,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.6675,percent of total billed charges,0.633961724,,,,,,,,,,0.6675,percent of total billed charges,0.623416202,,,,,,,,,,0.6675,percent of total billed charges,0.621683755,,,,,,,,,,0.6675,percent of total billed charges,0.612529469,,,,,,,,,,0.6675,percent of total billed charges,0.628290753,,,,,,,,,,0.6675,percent of total billed charges,999999999,,,,,,,,,,0.6675,percent of total billed charges,0.53911771,,,,,,,,,,0.6675,percent of total billed charges,0.850225806,,,,,,,,,,0.6675,percent of total billed charges,999999999,,,,,,,,,,0.6675,percent of total billed charges,0.581300742,,,,,,,,,,2.403,percent of total billed charges,,,,,
NF-Mason Natural B-12 SL Tablet 5000MCG,Local,Local,,,,both,,,1,1,0.212883945,1,1,percent of total billed charges,0.735735526,,,,1,percent of total billed charges,0.77986511,,,,1,percent of total billed charges,0.735735526,,,,1,percent of total billed charges,0.77986511,,,,1,percent of total billed charges,999999999,,,,1,percent of total billed charges,0.76193127,,,,1,percent of total billed charges,0.735735526,,,,1,percent of total billed charges,0.77986511,,,,0.713,percent of total billed charges,0.355800048,,,,0.713,percent of total billed charges,0.212883945,,,,0.713,percent of total billed charges,0.355800048,,,,0.713,percent of total billed charges,0.212883945,,,,0.713,percent of total billed charges,0.355800048,,,,0.713,percent of total billed charges,0.212883945,,,,0.706,percent of total billed charges,0.700643386,,,,0.706,percent of total billed charges,0.48322819,,,,,,,,,,0.72,percent of total billed charges,0.467983057,,,,,,,,,,0.72,percent of total billed charges,999999999,,,,,,,,,,0.8,percent of total billed charges,0.670358415,,,,0.79,percent of total billed charges,0.762383998,,,,0.79,percent of total billed charges,0.673591498,,,,0.8,percent of total billed charges,999999999,,,,0.8,percent of total billed charges,999999999,,,,0.7,percent of total billed charges,999999999,,,,0.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.532,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.505,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.25,percent of total billed charges,0.237438848,,,,,,,,,,0.25,percent of total billed charges,0.233489214,,,,,,,,,,0.25,percent of total billed charges,0.232840358,,,,,,,,,,0.25,percent of total billed charges,0.229411786,,,,,,,,,,0.25,percent of total billed charges,0.235314889,,,,,,,,,,0.25,percent of total billed charges,999999999,,,,,,,,,,0.25,percent of total billed charges,0.201916745,,,,,,,,,,0.25,percent of total billed charges,0.318436632,,,,,,,,,,0.25,percent of total billed charges,999999999,,,,,,,,,,0.25,percent of total billed charges,0.217715634,,,,,,,,,,0.9,percent of total billed charges,,,,,
NF-Latuda Oral Tablet 80MG,Local,Local,,,,both,,,321.38,321.38,68.41664212,321.38,321.38,percent of total billed charges,236.4506833,,,,321.38,percent of total billed charges,250.6330491,,,,321.38,percent of total billed charges,236.4506833,,,,321.38,percent of total billed charges,250.6330491,,,,321.38,percent of total billed charges,999999999,,,,321.38,percent of total billed charges,244.8694717,,,,321.38,percent of total billed charges,236.4506833,,,,321.38,percent of total billed charges,250.6330491,,,,229.14394,percent of total billed charges,114.3470194,,,,229.14394,percent of total billed charges,68.41664212,,,,229.14394,percent of total billed charges,114.3470194,,,,229.14394,percent of total billed charges,68.41664212,,,,229.14394,percent of total billed charges,114.3470194,,,,229.14394,percent of total billed charges,68.41664212,,,,226.89428,percent of total billed charges,225.1727714,,,,226.89428,percent of total billed charges,155.2998757,,,,,,,,,,231.3936,percent of total billed charges,150.4003948,,,,,,,,,,231.3936,percent of total billed charges,999999999,,,,,,,,,,257.104,percent of total billed charges,215.4397873,,,,253.8902,percent of total billed charges,245.0149691,,,,253.8902,percent of total billed charges,216.4788356,,,,257.104,percent of total billed charges,999999999,,,,257.104,percent of total billed charges,999999999,,,,224.966,percent of total billed charges,999999999,,,,224.966,percent of total billed charges,999999999,,,,,,,,,,,,,,,,170.97416,percent of total billed charges,999999999,,,,,,,,,,,,,,,,162.2969,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,80.345,percent of total billed charges,76.30809689,,,,,,,,,,80.345,percent of total billed charges,75.03876362,,,,,,,,,,80.345,percent of total billed charges,74.83023411,,,,,,,,,,80.345,percent of total billed charges,73.72835983,,,,,,,,,,80.345,percent of total billed charges,75.62549891,,,,,,,,,,80.345,percent of total billed charges,999999999,,,,,,,,,,80.345,percent of total billed charges,64.89200362,,,,,,,,,,80.345,percent of total billed charges,102.3391646,,,,,,,,,,80.345,percent of total billed charges,999999999,,,,,,,,,,80.345,percent of total billed charges,69.96945038,,,,,,,,,,289.242,percent of total billed charges,,,,,
NF-Valerian Oral Capsule 450MG,Local,Local,,,,both,,,0.65,0.65,0.138374564,0.65,0.65,percent of total billed charges,0.478228092,,,,0.65,percent of total billed charges,0.506912322,,,,0.65,percent of total billed charges,0.478228092,,,,0.65,percent of total billed charges,0.506912322,,,,0.65,percent of total billed charges,999999999,,,,0.65,percent of total billed charges,0.495255326,,,,0.65,percent of total billed charges,0.478228092,,,,0.65,percent of total billed charges,0.506912322,,,,0.46345,percent of total billed charges,0.231270031,,,,0.46345,percent of total billed charges,0.138374564,,,,0.46345,percent of total billed charges,0.231270031,,,,0.46345,percent of total billed charges,0.138374564,,,,0.46345,percent of total billed charges,0.231270031,,,,0.46345,percent of total billed charges,0.138374564,,,,0.4589,percent of total billed charges,0.455418201,,,,0.4589,percent of total billed charges,0.314098324,,,,,,,,,,0.468,percent of total billed charges,0.304188987,,,,,,,,,,0.468,percent of total billed charges,999999999,,,,,,,,,,0.52,percent of total billed charges,0.435732969,,,,0.5135,percent of total billed charges,0.495549598,,,,0.5135,percent of total billed charges,0.437834474,,,,0.52,percent of total billed charges,999999999,,,,0.52,percent of total billed charges,999999999,,,,0.455,percent of total billed charges,999999999,,,,0.455,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.3458,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.32825,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.1625,percent of total billed charges,0.154335251,,,,,,,,,,0.1625,percent of total billed charges,0.151767989,,,,,,,,,,0.1625,percent of total billed charges,0.151346232,,,,,,,,,,0.1625,percent of total billed charges,0.149117661,,,,,,,,,,0.1625,percent of total billed charges,0.152954678,,,,,,,,,,0.1625,percent of total billed charges,999999999,,,,,,,,,,0.1625,percent of total billed charges,0.131245884,,,,,,,,,,0.1625,percent of total billed charges,0.20698381,,,,,,,,,,0.1625,percent of total billed charges,999999999,,,,,,,,,,0.1625,percent of total billed charges,0.141515162,,,,,,,,,,0.585,percent of total billed charges,,,,,
NF-buPROPion HCL SR Tab ER 12Hr 200MG,Local,Local,,,,both,,,0.5,0.5,0.106441972,0.5,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,999999999,,,,0.5,percent of total billed charges,0.380965635,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.353,percent of total billed charges,0.350321693,,,,0.353,percent of total billed charges,0.241614095,,,,,,,,,,0.36,percent of total billed charges,0.233991528,,,,,,,,,,0.36,percent of total billed charges,999999999,,,,,,,,,,0.4,percent of total billed charges,0.335179207,,,,0.395,percent of total billed charges,0.381191999,,,,0.395,percent of total billed charges,0.336795749,,,,0.4,percent of total billed charges,999999999,,,,0.4,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.266,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.2525,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.125,percent of total billed charges,0.118719424,,,,,,,,,,0.125,percent of total billed charges,0.116744607,,,,,,,,,,0.125,percent of total billed charges,0.116420179,,,,,,,,,,0.125,percent of total billed charges,0.114705893,,,,,,,,,,0.125,percent of total billed charges,0.117657444,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.100958373,,,,,,,,,,0.125,percent of total billed charges,0.159218316,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.108857817,,,,,,,,,,0.45,percent of total billed charges,,,,,
NF-tiZANidine HCl AvPak Tablet 2MG,Local,Local,,,,both,,,1,1,0.212883945,1,1,percent of total billed charges,0.735735526,,,,1,percent of total billed charges,0.77986511,,,,1,percent of total billed charges,0.735735526,,,,1,percent of total billed charges,0.77986511,,,,1,percent of total billed charges,999999999,,,,1,percent of total billed charges,0.76193127,,,,1,percent of total billed charges,0.735735526,,,,1,percent of total billed charges,0.77986511,,,,0.713,percent of total billed charges,0.355800048,,,,0.713,percent of total billed charges,0.212883945,,,,0.713,percent of total billed charges,0.355800048,,,,0.713,percent of total billed charges,0.212883945,,,,0.713,percent of total billed charges,0.355800048,,,,0.713,percent of total billed charges,0.212883945,,,,0.706,percent of total billed charges,0.700643386,,,,0.706,percent of total billed charges,0.48322819,,,,,,,,,,0.72,percent of total billed charges,0.467983057,,,,,,,,,,0.72,percent of total billed charges,999999999,,,,,,,,,,0.8,percent of total billed charges,0.670358415,,,,0.79,percent of total billed charges,0.762383998,,,,0.79,percent of total billed charges,0.673591498,,,,0.8,percent of total billed charges,999999999,,,,0.8,percent of total billed charges,999999999,,,,0.7,percent of total billed charges,999999999,,,,0.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.532,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.505,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.25,percent of total billed charges,0.237438848,,,,,,,,,,0.25,percent of total billed charges,0.233489214,,,,,,,,,,0.25,percent of total billed charges,0.232840358,,,,,,,,,,0.25,percent of total billed charges,0.229411786,,,,,,,,,,0.25,percent of total billed charges,0.235314889,,,,,,,,,,0.25,percent of total billed charges,999999999,,,,,,,,,,0.25,percent of total billed charges,0.201916745,,,,,,,,,,0.25,percent of total billed charges,0.318436632,,,,,,,,,,0.25,percent of total billed charges,999999999,,,,,,,,,,0.25,percent of total billed charges,0.217715634,,,,,,,,,,0.9,percent of total billed charges,,,,,
NF-Vitamin B2 Tablet 50MG,Local,Local,,,,both,,,1,1,0.212883945,1,1,percent of total billed charges,0.735735526,,,,1,percent of total billed charges,0.77986511,,,,1,percent of total billed charges,0.735735526,,,,1,percent of total billed charges,0.77986511,,,,1,percent of total billed charges,999999999,,,,1,percent of total billed charges,0.76193127,,,,1,percent of total billed charges,0.735735526,,,,1,percent of total billed charges,0.77986511,,,,0.713,percent of total billed charges,0.355800048,,,,0.713,percent of total billed charges,0.212883945,,,,0.713,percent of total billed charges,0.355800048,,,,0.713,percent of total billed charges,0.212883945,,,,0.713,percent of total billed charges,0.355800048,,,,0.713,percent of total billed charges,0.212883945,,,,0.706,percent of total billed charges,0.700643386,,,,0.706,percent of total billed charges,0.48322819,,,,,,,,,,0.72,percent of total billed charges,0.467983057,,,,,,,,,,0.72,percent of total billed charges,999999999,,,,,,,,,,0.8,percent of total billed charges,0.670358415,,,,0.79,percent of total billed charges,0.762383998,,,,0.79,percent of total billed charges,0.673591498,,,,0.8,percent of total billed charges,999999999,,,,0.8,percent of total billed charges,999999999,,,,0.7,percent of total billed charges,999999999,,,,0.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.532,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.505,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.25,percent of total billed charges,0.237438848,,,,,,,,,,0.25,percent of total billed charges,0.233489214,,,,,,,,,,0.25,percent of total billed charges,0.232840358,,,,,,,,,,0.25,percent of total billed charges,0.229411786,,,,,,,,,,0.25,percent of total billed charges,0.235314889,,,,,,,,,,0.25,percent of total billed charges,999999999,,,,,,,,,,0.25,percent of total billed charges,0.201916745,,,,,,,,,,0.25,percent of total billed charges,0.318436632,,,,,,,,,,0.25,percent of total billed charges,999999999,,,,,,,,,,0.25,percent of total billed charges,0.217715634,,,,,,,,,,0.9,percent of total billed charges,,,,,
NF-VItron-C Tab 125MG-65MG,Local,Local,,,,both,,,1.01,1.01,0.215012784,1.01,1.01,percent of total billed charges,0.743092881,,,,1.01,percent of total billed charges,0.787663761,,,,1.01,percent of total billed charges,0.743092881,,,,1.01,percent of total billed charges,0.787663761,,,,1.01,percent of total billed charges,999999999,,,,1.01,percent of total billed charges,0.769550583,,,,1.01,percent of total billed charges,0.743092881,,,,1.01,percent of total billed charges,0.787663761,,,,0.72013,percent of total billed charges,0.359358048,,,,0.72013,percent of total billed charges,0.215012784,,,,0.72013,percent of total billed charges,0.359358048,,,,0.72013,percent of total billed charges,0.215012784,,,,0.72013,percent of total billed charges,0.359358048,,,,0.72013,percent of total billed charges,0.215012784,,,,0.71306,percent of total billed charges,0.70764982,,,,0.71306,percent of total billed charges,0.488060472,,,,,,,,,,0.7272,percent of total billed charges,0.472662887,,,,,,,,,,0.7272,percent of total billed charges,999999999,,,,,,,,,,0.808,percent of total billed charges,0.677061999,,,,0.7979,percent of total billed charges,0.770007838,,,,0.7979,percent of total billed charges,0.680327413,,,,0.808,percent of total billed charges,999999999,,,,0.808,percent of total billed charges,999999999,,,,0.707,percent of total billed charges,999999999,,,,0.707,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.53732,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.51005,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.2525,percent of total billed charges,0.239813236,,,,,,,,,,0.2525,percent of total billed charges,0.235824106,,,,,,,,,,0.2525,percent of total billed charges,0.235168761,,,,,,,,,,0.2525,percent of total billed charges,0.231705904,,,,,,,,,,0.2525,percent of total billed charges,0.237668038,,,,,,,,,,0.2525,percent of total billed charges,999999999,,,,,,,,,,0.2525,percent of total billed charges,0.203935913,,,,,,,,,,0.2525,percent of total billed charges,0.321620998,,,,,,,,,,0.2525,percent of total billed charges,999999999,,,,,,,,,,0.2525,percent of total billed charges,0.21989279,,,,,,,,,,0.909,percent of total billed charges,,,,,
NF-Linzess Oral Capsule 145MCG,Local,Local,,,,both,,,85.34,85.34,18.16751583,85.34,85.34,percent of total billed charges,62.78766977,,,,85.34,percent of total billed charges,66.55368849,,,,85.34,percent of total billed charges,62.78766977,,,,85.34,percent of total billed charges,66.55368849,,,,85.34,percent of total billed charges,999999999,,,,85.34,percent of total billed charges,65.02321462,,,,85.34,percent of total billed charges,62.78766977,,,,85.34,percent of total billed charges,66.55368849,,,,60.84742,percent of total billed charges,30.36397609,,,,60.84742,percent of total billed charges,18.16751583,,,,60.84742,percent of total billed charges,30.36397609,,,,60.84742,percent of total billed charges,18.16751583,,,,60.84742,percent of total billed charges,30.36397609,,,,60.84742,percent of total billed charges,18.16751583,,,,60.25004,percent of total billed charges,59.79290657,,,,60.25004,percent of total billed charges,41.23869374,,,,,,,,,,61.4448,percent of total billed charges,39.93767407,,,,,,,,,,61.4448,percent of total billed charges,999999999,,,,,,,,,,68.272,percent of total billed charges,57.2083871,,,,67.4186,percent of total billed charges,65.06185035,,,,67.4186,percent of total billed charges,57.48429843,,,,68.272,percent of total billed charges,999999999,,,,68.272,percent of total billed charges,999999999,,,,59.738,percent of total billed charges,999999999,,,,59.738,percent of total billed charges,999999999,,,,,,,,,,,,,,,,45.40088,percent of total billed charges,999999999,,,,,,,,,,,,,,,,43.0967,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21.335,percent of total billed charges,20.26303127,,,,,,,,,,21.335,percent of total billed charges,19.92596953,,,,,,,,,,21.335,percent of total billed charges,19.87059611,,,,,,,,,,21.335,percent of total billed charges,19.57800183,,,,,,,,,,21.335,percent of total billed charges,20.0817726,,,,,,,,,,21.335,percent of total billed charges,999999999,,,,,,,,,,21.335,percent of total billed charges,17.23157505,,,,,,,,,,21.335,percent of total billed charges,27.17538213,,,,,,,,,,21.335,percent of total billed charges,999999999,,,,,,,,,,21.335,percent of total billed charges,18.57985219,,,,,,,,,,76.806,percent of total billed charges,,,,,
NF-Corlanor Oral Tablet 5MG,Local,Local,,,,both,,,49.15,49.15,10.46324588,49.15,49.15,percent of total billed charges,36.16140109,,,,49.15,percent of total billed charges,38.33037016,,,,49.15,percent of total billed charges,36.16140109,,,,49.15,percent of total billed charges,38.33037016,,,,49.15,percent of total billed charges,999999999,,,,49.15,percent of total billed charges,37.44892194,,,,49.15,percent of total billed charges,36.16140109,,,,49.15,percent of total billed charges,38.33037016,,,,35.04395,percent of total billed charges,17.48757236,,,,35.04395,percent of total billed charges,10.46324588,,,,35.04395,percent of total billed charges,17.48757236,,,,35.04395,percent of total billed charges,10.46324588,,,,35.04395,percent of total billed charges,17.48757236,,,,35.04395,percent of total billed charges,10.46324588,,,,34.6999,percent of total billed charges,34.43662243,,,,34.6999,percent of total billed charges,23.75066554,,,,,,,,,,35.388,percent of total billed charges,23.00136725,,,,,,,,,,35.388,percent of total billed charges,999999999,,,,,,,,,,39.32,percent of total billed charges,32.94811608,,,,38.8285,percent of total billed charges,37.47117348,,,,38.8285,percent of total billed charges,33.10702212,,,,39.32,percent of total billed charges,999999999,,,,39.32,percent of total billed charges,999999999,,,,34.405,percent of total billed charges,999999999,,,,34.405,percent of total billed charges,999999999,,,,,,,,,,,,,,,,26.1478,percent of total billed charges,999999999,,,,,,,,,,,,,,,,24.82075,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12.2875,percent of total billed charges,11.67011937,,,,,,,,,,12.2875,percent of total billed charges,11.47599487,,,,,,,,,,12.2875,percent of total billed charges,11.44410357,,,,,,,,,,12.2875,percent of total billed charges,11.27558929,,,,,,,,,,12.2875,percent of total billed charges,11.56572678,,,,,,,,,,12.2875,percent of total billed charges,999999999,,,,,,,,,,12.2875,percent of total billed charges,9.924208034,,,,,,,,,,12.2875,percent of total billed charges,15.65116044,,,,,,,,,,12.2875,percent of total billed charges,999999999,,,,,,,,,,12.2875,percent of total billed charges,10.7007234,,,,,,,,,,44.235,percent of total billed charges,,,,,
Myrbetriq (NF) Oral Tablet ER 25MG,Local,Local,,,,both,,,106.98,106.98,22.7743244,106.98,106.98,percent of total billed charges,78.70898654,,,,106.98,percent of total billed charges,83.42996947,,,,106.98,percent of total billed charges,78.70898654,,,,106.98,percent of total billed charges,83.42996947,,,,106.98,percent of total billed charges,999999999,,,,106.98,percent of total billed charges,81.51140731,,,,106.98,percent of total billed charges,78.70898654,,,,106.98,percent of total billed charges,83.42996947,,,,76.27674,percent of total billed charges,38.06348913,,,,76.27674,percent of total billed charges,22.7743244,,,,76.27674,percent of total billed charges,38.06348913,,,,76.27674,percent of total billed charges,22.7743244,,,,76.27674,percent of total billed charges,38.06348913,,,,76.27674,percent of total billed charges,22.7743244,,,,75.52788,percent of total billed charges,74.95482944,,,,75.52788,percent of total billed charges,51.69575177,,,,,,,,,,77.0256,percent of total billed charges,50.06482742,,,,,,,,,,77.0256,percent of total billed charges,999999999,,,,,,,,,,85.584,percent of total billed charges,71.71494319,,,,84.5142,percent of total billed charges,81.55984006,,,,84.5142,percent of total billed charges,72.06081845,,,,85.584,percent of total billed charges,999999999,,,,85.584,percent of total billed charges,999999999,,,,74.886,percent of total billed charges,999999999,,,,74.886,percent of total billed charges,999999999,,,,,,,,,,,,,,,,56.91336,percent of total billed charges,999999999,,,,,,,,,,,,,,,,54.0249,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,26.745,percent of total billed charges,25.40120793,,,,,,,,,,26.745,percent of total billed charges,24.97867612,,,,,,,,,,26.745,percent of total billed charges,24.90926145,,,,,,,,,,26.745,percent of total billed charges,24.54247288,,,,,,,,,,26.745,percent of total billed charges,25.17398679,,,,,,,,,,26.745,percent of total billed charges,999999999,,,,,,,,,,26.745,percent of total billed charges,21.60105342,,,,,,,,,,26.745,percent of total billed charges,34.06635084,,,,,,,,,,26.745,percent of total billed charges,999999999,,,,,,,,,,26.745,percent of total billed charges,23.2912185,,,,,,,,,,96.282,percent of total billed charges,,,,,
NF-Yuvafem Vaginal Tablet 10MCG,Local,Local,,,,both,,,106.34,106.34,22.63807867,106.34,106.34,percent of total billed charges,78.23811581,,,,106.34,percent of total billed charges,82.9308558,,,,106.34,percent of total billed charges,78.23811581,,,,106.34,percent of total billed charges,82.9308558,,,,106.34,percent of total billed charges,999999999,,,,106.34,percent of total billed charges,81.0237713,,,,106.34,percent of total billed charges,78.23811581,,,,106.34,percent of total billed charges,82.9308558,,,,75.82042,percent of total billed charges,37.8357771,,,,75.82042,percent of total billed charges,22.63807867,,,,75.82042,percent of total billed charges,37.8357771,,,,75.82042,percent of total billed charges,22.63807867,,,,75.82042,percent of total billed charges,37.8357771,,,,75.82042,percent of total billed charges,22.63807867,,,,75.07604,percent of total billed charges,74.50641767,,,,75.07604,percent of total billed charges,51.38648573,,,,,,,,,,76.5648,percent of total billed charges,49.76531827,,,,,,,,,,76.5648,percent of total billed charges,999999999,,,,,,,,,,85.072,percent of total billed charges,71.28591381,,,,84.0086,percent of total billed charges,81.0719143,,,,84.0086,percent of total billed charges,71.62971989,,,,85.072,percent of total billed charges,999999999,,,,85.072,percent of total billed charges,999999999,,,,74.438,percent of total billed charges,999999999,,,,74.438,percent of total billed charges,999999999,,,,,,,,,,,,,,,,56.57288,percent of total billed charges,999999999,,,,,,,,,,,,,,,,53.7017,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,26.585,percent of total billed charges,25.24924707,,,,,,,,,,26.585,percent of total billed charges,24.82924303,,,,,,,,,,26.585,percent of total billed charges,24.76024362,,,,,,,,,,26.585,percent of total billed charges,24.39564934,,,,,,,,,,26.585,percent of total billed charges,25.02338526,,,,,,,,,,26.585,percent of total billed charges,999999999,,,,,,,,,,26.585,percent of total billed charges,21.4718267,,,,,,,,,,26.585,percent of total billed charges,33.8625514,,,,,,,,,,26.585,percent of total billed charges,999999999,,,,,,,,,,26.585,percent of total billed charges,23.15188049,,,,,,,,,,95.706,percent of total billed charges,,,,,
NF-Olumiant Oral Tablet 1MG,Local,Local,,,,both,,,491.95,491.95,104.7282566,491.95,491.95,percent of total billed charges,361.9450919,,,,491.95,percent of total billed charges,383.6546409,,,,491.95,percent of total billed charges,361.9450919,,,,491.95,percent of total billed charges,383.6546409,,,,491.95,percent of total billed charges,999999999,,,,491.95,percent of total billed charges,374.8320885,,,,491.95,percent of total billed charges,361.9450919,,,,491.95,percent of total billed charges,383.6546409,,,,350.76035,percent of total billed charges,175.0358336,,,,350.76035,percent of total billed charges,104.7282566,,,,350.76035,percent of total billed charges,175.0358336,,,,350.76035,percent of total billed charges,104.7282566,,,,350.76035,percent of total billed charges,175.0358336,,,,350.76035,percent of total billed charges,104.7282566,,,,347.3167,percent of total billed charges,344.6815138,,,,347.3167,percent of total billed charges,237.7241081,,,,,,,,,,354.204,percent of total billed charges,230.2242648,,,,,,,,,,354.204,percent of total billed charges,999999999,,,,,,,,,,393.56,percent of total billed charges,329.7828221,,,,388.6405,percent of total billed charges,375.0548076,,,,388.6405,percent of total billed charges,331.3733374,,,,393.56,percent of total billed charges,999999999,,,,393.56,percent of total billed charges,999999999,,,,344.365,percent of total billed charges,999999999,,,,344.365,percent of total billed charges,999999999,,,,,,,,,,,,,,,,261.7174,percent of total billed charges,999999999,,,,,,,,,,,,,,,,248.43475,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,122.9875,percent of total billed charges,116.8080412,,,,,,,,,,122.9875,percent of total billed charges,114.8650189,,,,,,,,,,122.9875,percent of total billed charges,114.5458139,,,,,,,,,,122.9875,percent of total billed charges,112.8591282,,,,,,,,,,122.9875,percent of total billed charges,115.7631595,,,,,,,,,,122.9875,percent of total billed charges,999999999,,,,,,,,,,122.9875,percent of total billed charges,99.33294287,,,,,,,,,,122.9875,percent of total billed charges,156.6549009,,,,,,,,,,122.9875,percent of total billed charges,999999999,,,,,,,,,,122.9875,percent of total billed charges,107.105206,,,,,,,,,,442.755,percent of total billed charges,,,,,
NF-Revlimid Oral Capsule 15MG,Local,Local,,,,both,,,5857.57,5857.57,1246.982608,5857.57,5857.57,percent of total billed charges,4309.622343,,,,5857.57,percent of total billed charges,4568.114472,,,,5857.57,percent of total billed charges,4309.622343,,,,5857.57,percent of total billed charges,4568.114472,,,,5857.57,percent of total billed charges,999999999,,,,5857.57,percent of total billed charges,4463.065752,,,,5857.57,percent of total billed charges,4309.622343,,,,5857.57,percent of total billed charges,4568.114472,,,,4176.44741,percent of total billed charges,2084.123687,,,,4176.44741,percent of total billed charges,1246.982608,,,,4176.44741,percent of total billed charges,2084.123687,,,,4176.44741,percent of total billed charges,1246.982608,,,,4176.44741,percent of total billed charges,2084.123687,,,,4176.44741,percent of total billed charges,1246.982608,,,,4135.44442,percent of total billed charges,4104.067679,,,,4135.44442,percent of total billed charges,2830.542949,,,,,,,,,,4217.4504,percent of total billed charges,2741.243514,,,,,,,,,,4217.4504,percent of total billed charges,999999999,,,,,,,,,,4686.056,percent of total billed charges,3926.671339,,,,4627.4803,percent of total billed charges,4465.717633,,,,4627.4803,percent of total billed charges,3945.609351,,,,4686.056,percent of total billed charges,999999999,,,,4686.056,percent of total billed charges,999999999,,,,4100.299,percent of total billed charges,999999999,,,,4100.299,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3116.22724,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2958.07285,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1464.3925,percent of total billed charges,1390.814671,,,,,,,,,,1464.3925,percent of total billed charges,1367.679416,,,,,,,,,,1464.3925,percent of total billed charges,1363.878693,,,,,,,,,,1464.3925,percent of total billed charges,1343.795596,,,,,,,,,,1464.3925,percent of total billed charges,1378.373432,,,,,,,,,,1464.3925,percent of total billed charges,999999999,,,,,,,,,,1464.3925,percent of total billed charges,1182.74147,,,,,,,,,,1464.3925,percent of total billed charges,1865.26486,,,,,,,,,,1464.3925,percent of total billed charges,999999999,,,,,,,,,,1464.3925,percent of total billed charges,1275.284565,,,,,,,,,,5271.813,percent of total billed charges,,,,,
NF-DIFLUPREDNATE OPHTH EMUL 0.05%,Local,Local,,,,both,,,1094.29,1094.29,232.9567718,1094.29,1094.29,percent of total billed charges,805.1080284,,,,1094.29,percent of total billed charges,853.3985912,,,,1094.29,percent of total billed charges,805.1080284,,,,1094.29,percent of total billed charges,853.3985912,,,,1094.29,percent of total billed charges,999999999,,,,1094.29,percent of total billed charges,833.7737699,,,,1094.29,percent of total billed charges,805.1080284,,,,1094.29,percent of total billed charges,853.3985912,,,,780.22877,percent of total billed charges,389.3484344,,,,780.22877,percent of total billed charges,232.9567718,,,,780.22877,percent of total billed charges,389.3484344,,,,780.22877,percent of total billed charges,232.9567718,,,,780.22877,percent of total billed charges,389.3484344,,,,780.22877,percent of total billed charges,232.9567718,,,,772.56874,percent of total billed charges,766.7070509,,,,772.56874,percent of total billed charges,528.7917761,,,,,,,,,,787.8888,percent of total billed charges,512.1091793,,,,,,,,,,787.8888,percent of total billed charges,999999999,,,,,,,,,,875.432,percent of total billed charges,733.5665095,,,,864.4891,percent of total billed charges,834.2691847,,,,864.4891,percent of total billed charges,737.1044403,,,,875.432,percent of total billed charges,999999999,,,,875.432,percent of total billed charges,999999999,,,,766.003,percent of total billed charges,999999999,,,,766.003,percent of total billed charges,999999999,,,,,,,,,,,,,,,,582.16228,percent of total billed charges,999999999,,,,,,,,,,,,,,,,552.61645,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,273.5725,percent of total billed charges,259.8269567,,,,,,,,,,273.5725,percent of total billed charges,255.5049121,,,,,,,,,,273.5725,percent of total billed charges,254.7948749,,,,,,,,,,273.5725,percent of total billed charges,251.0430234,,,,,,,,,,273.5725,percent of total billed charges,257.5027295,,,,,,,,,,273.5725,percent of total billed charges,999999999,,,,,,,,,,273.5725,percent of total billed charges,220.9554753,,,,,,,,,,273.5725,percent of total billed charges,348.4620215,,,,,,,,,,273.5725,percent of total billed charges,999999999,,,,,,,,,,273.5725,percent of total billed charges,238.2440409,,,,,,,,,,984.861,percent of total billed charges,,,,,
NF-TRULICITY SUBQ SOLN 0.75MG/0.5ML,Local,Local,,,,both,,,1422.64,1422.64,302.857215,1422.64,1422.64,percent of total billed charges,1046.686788,,,,1422.64,percent of total billed charges,1109.4673,,,,1422.64,percent of total billed charges,1046.686788,,,,1422.64,percent of total billed charges,1109.4673,,,,1422.64,percent of total billed charges,999999999,,,,1422.64,percent of total billed charges,1083.953903,,,,1422.64,percent of total billed charges,1046.686788,,,,1422.64,percent of total billed charges,1109.4673,,,,1014.34232,percent of total billed charges,506.1753802,,,,1014.34232,percent of total billed charges,302.857215,,,,1014.34232,percent of total billed charges,506.1753802,,,,1014.34232,percent of total billed charges,302.857215,,,,1014.34232,percent of total billed charges,506.1753802,,,,1014.34232,percent of total billed charges,302.857215,,,,1004.38384,percent of total billed charges,996.7633068,,,,1004.38384,percent of total billed charges,687.4597523,,,,,,,,,,1024.3008,percent of total billed charges,665.771416,,,,,,,,,,1024.3008,percent of total billed charges,999999999,,,,,,,,,,1138.112,percent of total billed charges,953.6786949,,,,1123.8856,percent of total billed charges,1084.59797,,,,1123.8856,percent of total billed charges,958.2782086,,,,1138.112,percent of total billed charges,999999999,,,,1138.112,percent of total billed charges,999999999,,,,995.848,percent of total billed charges,999999999,,,,995.848,percent of total billed charges,999999999,,,,,,,,,,,,,,,,756.84448,percent of total billed charges,999999999,,,,,,,,,,,,,,,,718.4332,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,355.66,percent of total billed charges,337.7900024,,,,,,,,,,355.66,percent of total billed charges,332.1710955,,,,,,,,,,355.66,percent of total billed charges,331.2480063,,,,,,,,,,355.66,percent of total billed charges,326.3703834,,,,,,,,,,355.66,percent of total billed charges,334.7683732,,,,,,,,,,355.66,percent of total billed charges,999999999,,,,,,,,,,355.66,percent of total billed charges,287.2548386,,,,,,,,,,355.66,percent of total billed charges,453.0206895,,,,,,,,,,355.66,percent of total billed charges,999999999,,,,,,,,,,355.66,percent of total billed charges,309.7309692,,,,,,,,,,1280.376,percent of total billed charges,,,,,
NF-BUPROPION HCL ORAL TAB ER 12HR 100MG,Local,Local,,,,both,,,4,4,0.851535778,4,4,percent of total billed charges,2.942942103,,,,4,percent of total billed charges,3.11946044,,,,4,percent of total billed charges,2.942942103,,,,4,percent of total billed charges,3.11946044,,,,4,percent of total billed charges,999999999,,,,4,percent of total billed charges,3.047725082,,,,4,percent of total billed charges,2.942942103,,,,4,percent of total billed charges,3.11946044,,,,2.852,percent of total billed charges,1.423200192,,,,2.852,percent of total billed charges,0.851535778,,,,2.852,percent of total billed charges,1.423200192,,,,2.852,percent of total billed charges,0.851535778,,,,2.852,percent of total billed charges,1.423200192,,,,2.852,percent of total billed charges,0.851535778,,,,2.824,percent of total billed charges,2.802573544,,,,2.824,percent of total billed charges,1.93291276,,,,,,,,,,2.88,percent of total billed charges,1.871932228,,,,,,,,,,2.88,percent of total billed charges,999999999,,,,,,,,,,3.2,percent of total billed charges,2.681433658,,,,3.16,percent of total billed charges,3.04953599,,,,3.16,percent of total billed charges,2.694365992,,,,3.2,percent of total billed charges,999999999,,,,3.2,percent of total billed charges,999999999,,,,2.8,percent of total billed charges,999999999,,,,2.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2.128,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2.02,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1,percent of total billed charges,0.949755391,,,,,,,,,,1,percent of total billed charges,0.933956856,,,,,,,,,,1,percent of total billed charges,0.93136143,,,,,,,,,,1,percent of total billed charges,0.917647145,,,,,,,,,,1,percent of total billed charges,0.941259555,,,,,,,,,,1,percent of total billed charges,999999999,,,,,,,,,,1,percent of total billed charges,0.807666981,,,,,,,,,,1,percent of total billed charges,1.273746526,,,,,,,,,,1,percent of total billed charges,999999999,,,,,,,,,,1,percent of total billed charges,0.870862535,,,,,,,,,,3.6,percent of total billed charges,,,,,
NF-Cefadroxil Capsule 500MG,Local,Local,,,,both,,,0.7,0.7,0.149018761,0.7,0.7,percent of total billed charges,0.515014868,,,,0.7,percent of total billed charges,0.545905577,,,,0.7,percent of total billed charges,0.515014868,,,,0.7,percent of total billed charges,0.545905577,,,,0.7,percent of total billed charges,999999999,,,,0.7,percent of total billed charges,0.533351889,,,,0.7,percent of total billed charges,0.515014868,,,,0.7,percent of total billed charges,0.545905577,,,,0.4991,percent of total billed charges,0.249060034,,,,0.4991,percent of total billed charges,0.149018761,,,,0.4991,percent of total billed charges,0.249060034,,,,0.4991,percent of total billed charges,0.149018761,,,,0.4991,percent of total billed charges,0.249060034,,,,0.4991,percent of total billed charges,0.149018761,,,,0.4942,percent of total billed charges,0.49045037,,,,0.4942,percent of total billed charges,0.338259733,,,,,,,,,,0.504,percent of total billed charges,0.32758814,,,,,,,,,,0.504,percent of total billed charges,999999999,,,,,,,,,,0.56,percent of total billed charges,0.46925089,,,,0.553,percent of total billed charges,0.533668798,,,,0.553,percent of total billed charges,0.471514049,,,,0.56,percent of total billed charges,999999999,,,,0.56,percent of total billed charges,999999999,,,,0.49,percent of total billed charges,999999999,,,,0.49,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.3724,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.3535,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.175,percent of total billed charges,0.166207193,,,,,,,,,,0.175,percent of total billed charges,0.16344245,,,,,,,,,,0.175,percent of total billed charges,0.16298825,,,,,,,,,,0.175,percent of total billed charges,0.16058825,,,,,,,,,,0.175,percent of total billed charges,0.164720422,,,,,,,,,,0.175,percent of total billed charges,999999999,,,,,,,,,,0.175,percent of total billed charges,0.141341722,,,,,,,,,,0.175,percent of total billed charges,0.222905642,,,,,,,,,,0.175,percent of total billed charges,999999999,,,,,,,,,,0.175,percent of total billed charges,0.152400944,,,,,,,,,,0.63,percent of total billed charges,,,,,
NF-ANALPRAM HC CRM 2.5%-1%,Local,Local,,,,both,,,294.54,294.54,62.70283705,294.54,294.54,percent of total billed charges,216.7035417,,,,294.54,percent of total billed charges,229.7014695,,,,294.54,percent of total billed charges,216.7035417,,,,294.54,percent of total billed charges,229.7014695,,,,294.54,percent of total billed charges,999999999,,,,294.54,percent of total billed charges,224.4192364,,,,294.54,percent of total billed charges,216.7035417,,,,294.54,percent of total billed charges,229.7014695,,,,210.00702,percent of total billed charges,104.7973461,,,,210.00702,percent of total billed charges,62.70283705,,,,210.00702,percent of total billed charges,104.7973461,,,,210.00702,percent of total billed charges,62.70283705,,,,210.00702,percent of total billed charges,104.7973461,,,,210.00702,percent of total billed charges,62.70283705,,,,207.94524,percent of total billed charges,206.3675029,,,,207.94524,percent of total billed charges,142.3300311,,,,,,,,,,212.0688,percent of total billed charges,137.8397296,,,,,,,,,,212.0688,percent of total billed charges,999999999,,,,,,,,,,235.632,percent of total billed charges,197.4473674,,,,232.6866,percent of total billed charges,224.5525826,,,,232.6866,percent of total billed charges,198.3996398,,,,235.632,percent of total billed charges,999999999,,,,235.632,percent of total billed charges,999999999,,,,206.178,percent of total billed charges,999999999,,,,206.178,percent of total billed charges,999999999,,,,,,,,,,,,,,,,156.69528,percent of total billed charges,999999999,,,,,,,,,,,,,,,,148.7427,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,73.635,percent of total billed charges,69.93523822,,,,,,,,,,73.635,percent of total billed charges,68.77191312,,,,,,,,,,73.635,percent of total billed charges,68.58079892,,,,,,,,,,73.635,percent of total billed charges,67.57094749,,,,,,,,,,73.635,percent of total billed charges,69.3096473,,,,,,,,,,73.635,percent of total billed charges,999999999,,,,,,,,,,73.635,percent of total billed charges,59.47255817,,,,,,,,,,73.635,percent of total billed charges,93.79232545,,,,,,,,,,73.635,percent of total billed charges,999999999,,,,,,,,,,73.635,percent of total billed charges,64.12596277,,,,,,,,,,265.086,percent of total billed charges,,,,,
NF-Methylphenidate HCl Oral Tab ER 27MG,Local,Local,,,,both,,,34.4,34.4,7.323207695,34.4,34.4,percent of total billed charges,25.30930208,,,,34.4,percent of total billed charges,26.82735978,,,,34.4,percent of total billed charges,25.30930208,,,,34.4,percent of total billed charges,26.82735978,,,,34.4,percent of total billed charges,999999999,,,,34.4,percent of total billed charges,26.2104357,,,,34.4,percent of total billed charges,25.30930208,,,,34.4,percent of total billed charges,26.82735978,,,,24.5272,percent of total billed charges,12.23952165,,,,24.5272,percent of total billed charges,7.323207695,,,,24.5272,percent of total billed charges,12.23952165,,,,24.5272,percent of total billed charges,7.323207695,,,,24.5272,percent of total billed charges,12.23952165,,,,24.5272,percent of total billed charges,7.323207695,,,,24.2864,percent of total billed charges,24.10213248,,,,24.2864,percent of total billed charges,16.62304974,,,,,,,,,,24.768,percent of total billed charges,16.09861716,,,,,,,,,,24.768,percent of total billed charges,999999999,,,,,,,,,,27.52,percent of total billed charges,23.06032946,,,,27.176,percent of total billed charges,26.22600952,,,,27.176,percent of total billed charges,23.17154753,,,,27.52,percent of total billed charges,999999999,,,,27.52,percent of total billed charges,999999999,,,,24.08,percent of total billed charges,999999999,,,,24.08,percent of total billed charges,999999999,,,,,,,,,,,,,,,,18.3008,percent of total billed charges,999999999,,,,,,,,,,,,,,,,17.372,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8.6,percent of total billed charges,8.167896363,,,,,,,,,,8.6,percent of total billed charges,8.032028965,,,,,,,,,,8.6,percent of total billed charges,8.0097083,,,,,,,,,,8.6,percent of total billed charges,7.891765443,,,,,,,,,,8.6,percent of total billed charges,8.094832169,,,,,,,,,,8.6,percent of total billed charges,999999999,,,,,,,,,,8.6,percent of total billed charges,6.94593604,,,,,,,,,,8.6,percent of total billed charges,10.95422012,,,,,,,,,,8.6,percent of total billed charges,999999999,,,,,,,,,,8.6,percent of total billed charges,7.489417802,,,,,,,,,,30.96,percent of total billed charges,,,,,
***PERFLUTREN PROTEIN-TYPEA(OPTISON) 3mL,Q9956,CDM,,,,both,,,825.6,825.6,175.7569847,825.6,825.6,percent of total billed charges,607.42325,,,,825.6,percent of total billed charges,643.8566348,,,,825.6,percent of total billed charges,607.42325,,,,825.6,percent of total billed charges,643.8566348,,,,825.6,percent of total billed charges,999999999,,,,825.6,percent of total billed charges,629.0504569,,,,825.6,percent of total billed charges,607.42325,,,,825.6,percent of total billed charges,643.8566348,,,,588.6528,percent of total billed charges,293.7485196,,,,588.6528,percent of total billed charges,175.7569847,,,,588.6528,percent of total billed charges,293.7485196,,,,588.6528,percent of total billed charges,175.7569847,,,,588.6528,percent of total billed charges,293.7485196,,,,588.6528,percent of total billed charges,175.7569847,,,,582.8736,percent of total billed charges,578.4511795,,,,582.8736,percent of total billed charges,398.9531937,,,,,,,,,,594.432,percent of total billed charges,386.3668118,,,,,,,,,,594.432,percent of total billed charges,999999999,,,,,,,,,,660.48,percent of total billed charges,553.4479071,,,,652.224,percent of total billed charges,629.4242284,,,,652.224,percent of total billed charges,556.1171407,,,,660.48,percent of total billed charges,999999999,,,,660.48,percent of total billed charges,999999999,,,,577.92,percent of total billed charges,999999999,,,,577.92,percent of total billed charges,999999999,,,,,,,,,,,,,,,,439.2192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,416.928,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,206.4,percent of total billed charges,196.0295127,,,,,,,,,,206.4,percent of total billed charges,192.7686952,,,,,,,,,,206.4,percent of total billed charges,192.2329992,,,,,,,,,,206.4,percent of total billed charges,189.4023706,,,,,,,,,,206.4,percent of total billed charges,194.2759721,,,,,,,,,,206.4,percent of total billed charges,999999999,,,,,,,,,,206.4,percent of total billed charges,166.702465,,,,,,,,,,206.4,percent of total billed charges,262.901283,,,,,,,,,,206.4,percent of total billed charges,999999999,,,,,,,,,,206.4,percent of total billed charges,179.7460272,,,,,,,,,,743.04,percent of total billed charges,,,,,
NF-Descovy Oral Tablet 200MG-25MG,Local,Local,,,,both,,,435.82,435.82,92.77908075,435.82,435.82,percent of total billed charges,320.6482568,,,,435.82,percent of total billed charges,339.8808122,,,,435.82,percent of total billed charges,320.6482568,,,,435.82,percent of total billed charges,339.8808122,,,,435.82,percent of total billed charges,999999999,,,,435.82,percent of total billed charges,332.0648863,,,,435.82,percent of total billed charges,320.6482568,,,,435.82,percent of total billed charges,339.8808122,,,,310.73966,percent of total billed charges,155.0647769,,,,310.73966,percent of total billed charges,92.77908075,,,,310.73966,percent of total billed charges,155.0647769,,,,310.73966,percent of total billed charges,92.77908075,,,,310.73966,percent of total billed charges,155.0647769,,,,310.73966,percent of total billed charges,92.77908075,,,,307.68892,percent of total billed charges,305.3544005,,,,307.68892,percent of total billed charges,210.6005098,,,,,,,,,,313.7904,percent of total billed charges,203.9563758,,,,,,,,,,313.7904,percent of total billed charges,999999999,,,,,,,,,,348.656,percent of total billed charges,292.1556042,,,,344.2978,percent of total billed charges,332.2621938,,,,344.2978,percent of total billed charges,293.5646466,,,,348.656,percent of total billed charges,999999999,,,,348.656,percent of total billed charges,999999999,,,,305.074,percent of total billed charges,999999999,,,,305.074,percent of total billed charges,999999999,,,,,,,,,,,,,,,,231.85624,percent of total billed charges,999999999,,,,,,,,,,,,,,,,220.0891,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,108.955,percent of total billed charges,103.4805986,,,,,,,,,,108.955,percent of total billed charges,101.7592693,,,,,,,,,,108.955,percent of total billed charges,101.4764846,,,,,,,,,,108.955,percent of total billed charges,99.98224463,,,,,,,,,,108.955,percent of total billed charges,102.5549348,,,,,,,,,,108.955,percent of total billed charges,999999999,,,,,,,,,,108.955,percent of total billed charges,87.99935596,,,,,,,,,,108.955,percent of total billed charges,138.7810527,,,,,,,,,,108.955,percent of total billed charges,999999999,,,,,,,,,,108.955,percent of total billed charges,94.88482751,,,,,,,,,,392.238,percent of total billed charges,,,,,
NF-Tivicay Oral Tablet 50MG,Local,Local,,,,both,,,429.95,429.95,91.52945199,429.95,429.95,percent of total billed charges,316.3294893,,,,429.95,percent of total billed charges,335.303004,,,,429.95,percent of total billed charges,316.3294893,,,,429.95,percent of total billed charges,335.303004,,,,429.95,percent of total billed charges,999999999,,,,429.95,percent of total billed charges,327.5923497,,,,429.95,percent of total billed charges,316.3294893,,,,429.95,percent of total billed charges,335.303004,,,,306.55435,percent of total billed charges,152.9762306,,,,306.55435,percent of total billed charges,91.52945199,,,,306.55435,percent of total billed charges,152.9762306,,,,306.55435,percent of total billed charges,91.52945199,,,,306.55435,percent of total billed charges,152.9762306,,,,306.55435,percent of total billed charges,91.52945199,,,,303.5447,percent of total billed charges,301.2416238,,,,303.5447,percent of total billed charges,207.7639603,,,,,,,,,,309.564,percent of total billed charges,201.2093153,,,,,,,,,,309.564,percent of total billed charges,999999999,,,,,,,,,,343.96,percent of total billed charges,288.2206004,,,,339.6605,percent of total billed charges,327.7869998,,,,339.6605,percent of total billed charges,289.6106645,,,,343.96,percent of total billed charges,999999999,,,,343.96,percent of total billed charges,999999999,,,,300.965,percent of total billed charges,999999999,,,,300.965,percent of total billed charges,999999999,,,,,,,,,,,,,,,,228.7334,percent of total billed charges,999999999,,,,,,,,,,,,,,,,217.12475,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,107.4875,percent of total billed charges,102.0868326,,,,,,,,,,107.4875,percent of total billed charges,100.3886876,,,,,,,,,,107.4875,percent of total billed charges,100.1097117,,,,,,,,,,107.4875,percent of total billed charges,98.63559745,,,,,,,,,,107.4875,percent of total billed charges,101.1736364,,,,,,,,,,107.4875,percent of total billed charges,999999999,,,,,,,,,,107.4875,percent of total billed charges,86.81410466,,,,,,,,,,107.4875,percent of total billed charges,136.9118297,,,,,,,,,,107.4875,percent of total billed charges,999999999,,,,,,,,,,107.4875,percent of total billed charges,93.60683674,,,,,,,,,,386.955,percent of total billed charges,,,,,
NF-VICTOZA SUBCUTANEOUS SOLUTION 6MG/1ML,Local,Local,,,,both,,,2275.72,2275.72,484.4642505,2275.72,2275.72,percent of total billed charges,1674.328051,,,,2275.72,percent of total billed charges,1774.754628,,,,2275.72,percent of total billed charges,1674.328051,,,,2275.72,percent of total billed charges,1774.754628,,,,2275.72,percent of total billed charges,999999999,,,,2275.72,percent of total billed charges,1733.942231,,,,2275.72,percent of total billed charges,1674.328051,,,,2275.72,percent of total billed charges,1774.754628,,,,1622.58836,percent of total billed charges,809.7012851,,,,1622.58836,percent of total billed charges,484.4642505,,,,1622.58836,percent of total billed charges,809.7012851,,,,1622.58836,percent of total billed charges,484.4642505,,,,1622.58836,percent of total billed charges,809.7012851,,,,1622.58836,percent of total billed charges,484.4642505,,,,1606.65832,percent of total billed charges,1594.468167,,,,1606.65832,percent of total billed charges,1099.692057,,,,,,,,,,1638.5184,percent of total billed charges,1064.998402,,,,,,,,,,1638.5184,percent of total billed charges,999999999,,,,,,,,,,1820.576,percent of total billed charges,1525.548051,,,,1797.8188,percent of total billed charges,1734.972511,,,,1797.8188,percent of total billed charges,1532.905644,,,,1820.576,percent of total billed charges,999999999,,,,1820.576,percent of total billed charges,999999999,,,,1593.004,percent of total billed charges,999999999,,,,1593.004,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1210.68304,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1149.2386,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,568.93,percent of total billed charges,540.3443346,,,,,,,,,,568.93,percent of total billed charges,531.3560743,,,,,,,,,,568.93,percent of total billed charges,529.8794585,,,,,,,,,,568.93,percent of total billed charges,522.0769899,,,,,,,,,,568.93,percent of total billed charges,535.5107984,,,,,,,,,,568.93,percent of total billed charges,999999999,,,,,,,,,,568.93,percent of total billed charges,459.5059757,,,,,,,,,,568.93,percent of total billed charges,724.6726111,,,,,,,,,,568.93,percent of total billed charges,999999999,,,,,,,,,,568.93,percent of total billed charges,495.4598221,,,,,,,,,,2048.148,percent of total billed charges,,,,,
NF-Rhopressa Ophthalmic Solution 0.02%,Local,Local,,,,both,,,1905.27,1905.27,405.6013932,1905.27,1905.27,percent of total billed charges,1401.774825,,,,1905.27,percent of total billed charges,1485.853598,,,,1905.27,percent of total billed charges,1401.774825,,,,1905.27,percent of total billed charges,1485.853598,,,,1905.27,percent of total billed charges,999999999,,,,1905.27,percent of total billed charges,1451.684792,,,,1905.27,percent of total billed charges,1401.774825,,,,1905.27,percent of total billed charges,1485.853598,,,,1358.45751,percent of total billed charges,677.8951573,,,,1358.45751,percent of total billed charges,405.6013932,,,,1358.45751,percent of total billed charges,677.8951573,,,,1358.45751,percent of total billed charges,405.6013932,,,,1358.45751,percent of total billed charges,677.8951573,,,,1358.45751,percent of total billed charges,405.6013932,,,,1345.12062,percent of total billed charges,1334.914824,,,,1345.12062,percent of total billed charges,920.6801736,,,,,,,,,,1371.7944,percent of total billed charges,891.6340788,,,,,,,,,,1371.7944,percent of total billed charges,999999999,,,,,,,,,,1524.216,percent of total billed charges,1277.213777,,,,1505.1633,percent of total billed charges,1452.547359,,,,1505.1633,percent of total billed charges,1283.373673,,,,1524.216,percent of total billed charges,999999999,,,,1524.216,percent of total billed charges,999999999,,,,1333.689,percent of total billed charges,999999999,,,,1333.689,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1013.60364,percent of total billed charges,999999999,,,,,,,,,,,,,,,,962.16135,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,476.3175,percent of total billed charges,452.3851135,,,,,,,,,,476.3175,percent of total billed charges,444.8599949,,,,,,,,,,476.3175,percent of total billed charges,443.6237481,,,,,,,,,,476.3175,percent of total billed charges,437.0913938,,,,,,,,,,476.3175,percent of total billed charges,448.3383979,,,,,,,,,,476.3175,percent of total billed charges,999999999,,,,,,,,,,476.3175,percent of total billed charges,384.7059174,,,,,,,,,,476.3175,percent of total billed charges,606.7077609,,,,,,,,,,476.3175,percent of total billed charges,999999999,,,,,,,,,,476.3175,percent of total billed charges,414.8070655,,,,,,,,,,1714.743,percent of total billed charges,,,,,
NF-Simbrinza Ophthalmic Susp 0.2%-1%,Local,Local,,,,both,,,1216.96,1216.96,259.0712452,1216.96,1216.96,percent of total billed charges,895.3607054,,,,1216.96,percent of total billed charges,949.0646443,,,,1216.96,percent of total billed charges,895.3607054,,,,1216.96,percent of total billed charges,949.0646443,,,,1216.96,percent of total billed charges,999999999,,,,1216.96,percent of total billed charges,927.2398789,,,,1216.96,percent of total billed charges,895.3607054,,,,1216.96,percent of total billed charges,949.0646443,,,,867.69248,percent of total billed charges,432.9944263,,,,867.69248,percent of total billed charges,259.0712452,,,,867.69248,percent of total billed charges,432.9944263,,,,867.69248,percent of total billed charges,259.0712452,,,,867.69248,percent of total billed charges,432.9944263,,,,867.69248,percent of total billed charges,259.0712452,,,,859.17376,percent of total billed charges,852.6549751,,,,859.17376,percent of total billed charges,588.0693782,,,,,,,,,,876.2112,percent of total billed charges,569.5166609,,,,,,,,,,876.2112,percent of total billed charges,999999999,,,,,,,,,,973.568,percent of total billed charges,815.7993762,,,,961.3984,percent of total billed charges,927.7908297,,,,961.3984,percent of total billed charges,819.7339093,,,,973.568,percent of total billed charges,999999999,,,,973.568,percent of total billed charges,999999999,,,,851.872,percent of total billed charges,999999999,,,,851.872,percent of total billed charges,999999999,,,,,,,,,,,,,,,,647.42272,percent of total billed charges,999999999,,,,,,,,,,,,,,,,614.5648,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,304.24,percent of total billed charges,288.9535802,,,,,,,,,,304.24,percent of total billed charges,284.147034,,,,,,,,,,304.24,percent of total billed charges,283.3574015,,,,,,,,,,304.24,percent of total billed charges,279.1849673,,,,,,,,,,304.24,percent of total billed charges,286.3688069,,,,,,,,,,304.24,percent of total billed charges,999999999,,,,,,,,,,304.24,percent of total billed charges,245.7246024,,,,,,,,,,304.24,percent of total billed charges,387.5246431,,,,,,,,,,304.24,percent of total billed charges,999999999,,,,,,,,,,304.24,percent of total billed charges,264.9512177,,,,,,,,,,1095.264,percent of total billed charges,,,,,
NF-clonazePAM ODT 0.25MG,Local,Local,,,,both,,,3.04,3.04,0.647167192,3.04,3.04,percent of total billed charges,2.236635998,,,,3.04,percent of total billed charges,2.370789934,,,,3.04,percent of total billed charges,2.236635998,,,,3.04,percent of total billed charges,2.370789934,,,,3.04,percent of total billed charges,999999999,,,,3.04,percent of total billed charges,2.316271062,,,,3.04,percent of total billed charges,2.236635998,,,,3.04,percent of total billed charges,2.370789934,,,,2.16752,percent of total billed charges,1.081632146,,,,2.16752,percent of total billed charges,0.647167192,,,,2.16752,percent of total billed charges,1.081632146,,,,2.16752,percent of total billed charges,0.647167192,,,,2.16752,percent of total billed charges,1.081632146,,,,2.16752,percent of total billed charges,0.647167192,,,,2.14624,percent of total billed charges,2.129955894,,,,2.14624,percent of total billed charges,1.469013698,,,,,,,,,,2.1888,percent of total billed charges,1.422668493,,,,,,,,,,2.1888,percent of total billed charges,999999999,,,,,,,,,,2.432,percent of total billed charges,2.03788958,,,,2.4016,percent of total billed charges,2.317647353,,,,2.4016,percent of total billed charges,2.047718154,,,,2.432,percent of total billed charges,999999999,,,,2.432,percent of total billed charges,999999999,,,,2.128,percent of total billed charges,999999999,,,,2.128,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.61728,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.5352,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.76,percent of total billed charges,0.721814097,,,,,,,,,,0.76,percent of total billed charges,0.709807211,,,,,,,,,,0.76,percent of total billed charges,0.707834687,,,,,,,,,,0.76,percent of total billed charges,0.69741183,,,,,,,,,,0.76,percent of total billed charges,0.715357261,,,,,,,,,,0.76,percent of total billed charges,999999999,,,,,,,,,,0.76,percent of total billed charges,0.613826906,,,,,,,,,,0.76,percent of total billed charges,0.96804736,,,,,,,,,,0.76,percent of total billed charges,999999999,,,,,,,,,,0.76,percent of total billed charges,0.661855527,,,,,,,,,,2.736,percent of total billed charges,,,,,
NF- Moxifloxacin HCl Oral Tablet 400MG,Local,Local,,,,both,,,78.24,78.24,16.65603983,78.24,78.24,percent of total billed charges,57.56394753,,,,78.24,percent of total billed charges,61.01664621,,,,78.24,percent of total billed charges,57.56394753,,,,78.24,percent of total billed charges,61.01664621,,,,78.24,percent of total billed charges,999999999,,,,78.24,percent of total billed charges,59.6135026,,,,78.24,percent of total billed charges,57.56394753,,,,78.24,percent of total billed charges,61.01664621,,,,55.78512,percent of total billed charges,27.83779575,,,,55.78512,percent of total billed charges,16.65603983,,,,55.78512,percent of total billed charges,27.83779575,,,,55.78512,percent of total billed charges,16.65603983,,,,55.78512,percent of total billed charges,27.83779575,,,,55.78512,percent of total billed charges,16.65603983,,,,55.23744,percent of total billed charges,54.81833853,,,,55.23744,percent of total billed charges,37.80777359,,,,,,,,,,56.3328,percent of total billed charges,36.61499437,,,,,,,,,,56.3328,percent of total billed charges,999999999,,,,,,,,,,62.592,percent of total billed charges,52.44884236,,,,61.8096,percent of total billed charges,59.64892397,,,,61.8096,percent of total billed charges,52.7017988,,,,62.592,percent of total billed charges,999999999,,,,62.592,percent of total billed charges,999999999,,,,54.768,percent of total billed charges,999999999,,,,54.768,percent of total billed charges,999999999,,,,,,,,,,,,,,,,41.62368,percent of total billed charges,999999999,,,,,,,,,,,,,,,,39.5112,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19.56,percent of total billed charges,18.57721545,,,,,,,,,,19.56,percent of total billed charges,18.26819611,,,,,,,,,,19.56,percent of total billed charges,18.21742958,,,,,,,,,,19.56,percent of total billed charges,17.94917815,,,,,,,,,,19.56,percent of total billed charges,18.41103689,,,,,,,,,,19.56,percent of total billed charges,999999999,,,,,,,,,,19.56,percent of total billed charges,15.79796616,,,,,,,,,,19.56,percent of total billed charges,24.91448205,,,,,,,,,,19.56,percent of total billed charges,999999999,,,,,,,,,,19.56,percent of total billed charges,17.03407119,,,,,,,,,,70.416,percent of total billed charges,,,,,
DOFETILIDE (TIKOSYN) Oral Cap 125MCG,Local,Local,,,,both,,,10.87,10.87,2.314048478,10.87,10.87,percent of total billed charges,7.997445165,,,,10.87,percent of total billed charges,8.477133746,,,,10.87,percent of total billed charges,7.997445165,,,,10.87,percent of total billed charges,8.477133746,,,,10.87,percent of total billed charges,999999999,,,,10.87,percent of total billed charges,8.28219291,,,,10.87,percent of total billed charges,7.997445165,,,,10.87,percent of total billed charges,8.477133746,,,,7.75031,percent of total billed charges,3.867546521,,,,7.75031,percent of total billed charges,2.314048478,,,,7.75031,percent of total billed charges,3.867546521,,,,7.75031,percent of total billed charges,2.314048478,,,,7.75031,percent of total billed charges,3.867546521,,,,7.75031,percent of total billed charges,2.314048478,,,,7.67422,percent of total billed charges,7.615993607,,,,7.67422,percent of total billed charges,5.252690426,,,,,,,,,,7.8264,percent of total billed charges,5.086975828,,,,,,,,,,7.8264,percent of total billed charges,999999999,,,,,,,,,,8.696,percent of total billed charges,7.286795967,,,,8.5873,percent of total billed charges,8.287114054,,,,8.5873,percent of total billed charges,7.321939583,,,,8.696,percent of total billed charges,999999999,,,,8.696,percent of total billed charges,999999999,,,,7.609,percent of total billed charges,999999999,,,,7.609,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.78284,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.48935,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.7175,percent of total billed charges,2.580960275,,,,,,,,,,2.7175,percent of total billed charges,2.538027757,,,,,,,,,,2.7175,percent of total billed charges,2.530974687,,,,,,,,,,2.7175,percent of total billed charges,2.493706115,,,,,,,,,,2.7175,percent of total billed charges,2.55787284,,,,,,,,,,2.7175,percent of total billed charges,999999999,,,,,,,,,,2.7175,percent of total billed charges,2.194835022,,,,,,,,,,2.7175,percent of total billed charges,3.461406185,,,,,,,,,,2.7175,percent of total billed charges,999999999,,,,,,,,,,2.7175,percent of total billed charges,2.366568939,,,,,,,,,,9.783,percent of total billed charges,,,,,
NF-Ozempic 2MG Doses SubQ Soln 8MG/3ML,Local,Local,,,,both,,,2839.95,2839.95,604.5797585,2839.95,2839.95,percent of total billed charges,2089.452106,,,,2839.95,percent of total billed charges,2214.777919,,,,2839.95,percent of total billed charges,2089.452106,,,,2839.95,percent of total billed charges,2214.777919,,,,2839.95,percent of total billed charges,999999999,,,,2839.95,percent of total billed charges,2163.846711,,,,2839.95,percent of total billed charges,2089.452106,,,,2839.95,percent of total billed charges,2214.777919,,,,2024.88435,percent of total billed charges,1010.454346,,,,2024.88435,percent of total billed charges,604.5797585,,,,2024.88435,percent of total billed charges,1010.454346,,,,2024.88435,percent of total billed charges,604.5797585,,,,2024.88435,percent of total billed charges,1010.454346,,,,2024.88435,percent of total billed charges,604.5797585,,,,2005.0047,percent of total billed charges,1989.792184,,,,2005.0047,percent of total billed charges,1372.343898,,,,,,,,,,2044.764,percent of total billed charges,1329.048482,,,,,,,,,,2044.764,percent of total billed charges,999999999,,,,,,,,,,2271.96,percent of total billed charges,1903.78438,,,,2243.5605,percent of total billed charges,2165.132434,,,,2243.5605,percent of total billed charges,1912.966175,,,,2271.96,percent of total billed charges,999999999,,,,2271.96,percent of total billed charges,999999999,,,,1987.965,percent of total billed charges,999999999,,,,1987.965,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1510.8534,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1434.17475,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,709.9875,percent of total billed charges,674.3144557,,,,,,,,,,709.9875,percent of total billed charges,663.0976936,,,,,,,,,,709.9875,percent of total billed charges,661.2549735,,,,,,,,,,709.9875,percent of total billed charges,651.518002,,,,,,,,,,709.9875,percent of total billed charges,668.282518,,,,,,,,,,709.9875,percent of total billed charges,999999999,,,,,,,,,,709.9875,percent of total billed charges,573.4334609,,,,,,,,,,709.9875,percent of total billed charges,904.3441117,,,,,,,,,,709.9875,percent of total billed charges,999999999,,,,,,,,,,709.9875,percent of total billed charges,618.3015141,,,,,,,,,,2555.955,percent of total billed charges,,,,,
NF-Voriconazole Oral Tablet 200MG,Local,Local,,,,both,,,11.87,11.87,2.526932423,11.87,11.87,percent of total billed charges,8.73318069,,,,11.87,percent of total billed charges,9.256998856,,,,11.87,percent of total billed charges,8.73318069,,,,11.87,percent of total billed charges,9.256998856,,,,11.87,percent of total billed charges,999999999,,,,11.87,percent of total billed charges,9.04412418,,,,11.87,percent of total billed charges,8.73318069,,,,11.87,percent of total billed charges,9.256998856,,,,8.46331,percent of total billed charges,4.223346569,,,,8.46331,percent of total billed charges,2.526932423,,,,8.46331,percent of total billed charges,4.223346569,,,,8.46331,percent of total billed charges,2.526932423,,,,8.46331,percent of total billed charges,4.223346569,,,,8.46331,percent of total billed charges,2.526932423,,,,8.38022,percent of total billed charges,8.316636993,,,,8.38022,percent of total billed charges,5.735918616,,,,,,,,,,8.5464,percent of total billed charges,5.554958885,,,,,,,,,,8.5464,percent of total billed charges,999999999,,,,,,,,,,9.496,percent of total billed charges,7.957154381,,,,9.3773,percent of total billed charges,9.049498051,,,,9.3773,percent of total billed charges,7.995531081,,,,9.496,percent of total billed charges,999999999,,,,9.496,percent of total billed charges,999999999,,,,8.309,percent of total billed charges,999999999,,,,8.309,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.31484,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.99435,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.9675,percent of total billed charges,2.818399123,,,,,,,,,,2.9675,percent of total billed charges,2.771516971,,,,,,,,,,2.9675,percent of total billed charges,2.763815044,,,,,,,,,,2.9675,percent of total billed charges,2.723117901,,,,,,,,,,2.9675,percent of total billed charges,2.793187728,,,,,,,,,,2.9675,percent of total billed charges,999999999,,,,,,,,,,2.9675,percent of total billed charges,2.396751767,,,,,,,,,,2.9675,percent of total billed charges,3.779842816,,,,,,,,,,2.9675,percent of total billed charges,999999999,,,,,,,,,,2.9675,percent of total billed charges,2.584284573,,,,,,,,,,10.683,percent of total billed charges,,,,,
NF-Trulicity SubQ Soln 1.5MG/0.5ML,Local,Local,,,,both,,,1421.34,1421.34,302.5804659,1421.34,1421.34,percent of total billed charges,1045.730332,,,,1421.34,percent of total billed charges,1108.453475,,,,1421.34,percent of total billed charges,1045.730332,,,,1421.34,percent of total billed charges,1108.453475,,,,1421.34,percent of total billed charges,999999999,,,,1421.34,percent of total billed charges,1082.963392,,,,1421.34,percent of total billed charges,1045.730332,,,,1421.34,percent of total billed charges,1108.453475,,,,1013.41542,percent of total billed charges,505.7128401,,,,1013.41542,percent of total billed charges,302.5804659,,,,1013.41542,percent of total billed charges,505.7128401,,,,1013.41542,percent of total billed charges,302.5804659,,,,1013.41542,percent of total billed charges,505.7128401,,,,1013.41542,percent of total billed charges,302.5804659,,,,1003.46604,percent of total billed charges,995.8524704,,,,1003.46604,percent of total billed charges,686.8315556,,,,,,,,,,1023.3648,percent of total billed charges,665.1630381,,,,,,,,,,1023.3648,percent of total billed charges,999999999,,,,,,,,,,1137.072,percent of total billed charges,952.807229,,,,1122.8586,percent of total billed charges,1083.606871,,,,1122.8586,percent of total billed charges,957.4025397,,,,1137.072,percent of total billed charges,999999999,,,,1137.072,percent of total billed charges,999999999,,,,994.938,percent of total billed charges,999999999,,,,994.938,percent of total billed charges,999999999,,,,,,,,,,,,,,,,756.15288,percent of total billed charges,999999999,,,,,,,,,,,,,,,,717.7767,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,355.335,percent of total billed charges,337.4813319,,,,,,,,,,355.335,percent of total billed charges,331.8675596,,,,,,,,,,355.335,percent of total billed charges,330.9453138,,,,,,,,,,355.335,percent of total billed charges,326.0721481,,,,,,,,,,355.335,percent of total billed charges,334.4624638,,,,,,,,,,355.335,percent of total billed charges,999999999,,,,,,,,,,355.335,percent of total billed charges,286.9923468,,,,,,,,,,355.335,percent of total billed charges,452.6067218,,,,,,,,,,355.335,percent of total billed charges,999999999,,,,,,,,,,355.335,percent of total billed charges,309.4479389,,,,,,,,,,1279.206,percent of total billed charges,,,,,
NF-Lialda Oral Delayed-Release Tablet 1.,Local,Local,,,,both,,,57.66,57.66,12.27488825,57.66,57.66,percent of total billed charges,42.42251041,,,,57.66,percent of total billed charges,44.96702224,,,,57.66,percent of total billed charges,42.42251041,,,,57.66,percent of total billed charges,44.96702224,,,,57.66,percent of total billed charges,999999999,,,,57.66,percent of total billed charges,43.93295705,,,,57.66,percent of total billed charges,42.42251041,,,,57.66,percent of total billed charges,44.96702224,,,,41.11158,percent of total billed charges,20.51543076,,,,41.11158,percent of total billed charges,12.27488825,,,,41.11158,percent of total billed charges,20.51543076,,,,41.11158,percent of total billed charges,12.27488825,,,,41.11158,percent of total billed charges,20.51543076,,,,41.11158,percent of total billed charges,12.27488825,,,,40.70796,percent of total billed charges,40.39909764,,,,40.70796,percent of total billed charges,27.86293744,,,,,,,,,,41.5152,percent of total billed charges,26.98390306,,,,,,,,,,41.5152,percent of total billed charges,999999999,,,,,,,,,,46.128,percent of total billed charges,38.65286619,,,,45.5514,percent of total billed charges,43.9590613,,,,45.5514,percent of total billed charges,38.83928577,,,,46.128,percent of total billed charges,999999999,,,,46.128,percent of total billed charges,999999999,,,,40.362,percent of total billed charges,999999999,,,,40.362,percent of total billed charges,999999999,,,,,,,,,,,,,,,,30.67512,percent of total billed charges,999999999,,,,,,,,,,,,,,,,29.1183,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14.415,percent of total billed charges,13.69072396,,,,,,,,,,14.415,percent of total billed charges,13.46298808,,,,,,,,,,14.415,percent of total billed charges,13.42557502,,,,,,,,,,14.415,percent of total billed charges,13.22788359,,,,,,,,,,14.415,percent of total billed charges,13.56825648,,,,,,,,,,14.415,percent of total billed charges,999999999,,,,,,,,,,14.415,percent of total billed charges,11.64251954,,,,,,,,,,14.415,percent of total billed charges,18.36105617,,,,,,,,,,14.415,percent of total billed charges,999999999,,,,,,,,,,14.415,percent of total billed charges,12.55348344,,,,,,,,,,51.894,percent of total billed charges,,,,,
NF-Selenium Sulfide Topical Shampoo 2.25,Local,Local,,,,both,,,228.86,228.86,48.72061957,228.86,228.86,percent of total billed charges,168.3804324,,,,228.86,percent of total billed charges,178.4799291,,,,228.86,percent of total billed charges,168.3804324,,,,228.86,percent of total billed charges,178.4799291,,,,228.86,percent of total billed charges,999999999,,,,228.86,percent of total billed charges,174.3755905,,,,228.86,percent of total billed charges,168.3804324,,,,228.86,percent of total billed charges,178.4799291,,,,163.17718,percent of total billed charges,81.42839897,,,,163.17718,percent of total billed charges,48.72061957,,,,163.17718,percent of total billed charges,81.42839897,,,,163.17718,percent of total billed charges,48.72061957,,,,163.17718,percent of total billed charges,81.42839897,,,,163.17718,percent of total billed charges,48.72061957,,,,161.57516,percent of total billed charges,160.3492453,,,,161.57516,percent of total billed charges,110.5916036,,,,,,,,,,164.7792,percent of total billed charges,107.1026024,,,,,,,,,,164.7792,percent of total billed charges,999999999,,,,,,,,,,183.088,percent of total billed charges,153.4182268,,,,180.7994,percent of total billed charges,174.4792017,,,,180.7994,percent of total billed charges,154.1581502,,,,183.088,percent of total billed charges,999999999,,,,183.088,percent of total billed charges,999999999,,,,160.202,percent of total billed charges,999999999,,,,160.202,percent of total billed charges,999999999,,,,,,,,,,,,,,,,121.75352,percent of total billed charges,999999999,,,,,,,,,,,,,,,,115.5743,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,57.215,percent of total billed charges,54.3402547,,,,,,,,,,57.215,percent of total billed charges,53.43634154,,,,,,,,,,57.215,percent of total billed charges,53.28784423,,,,,,,,,,57.215,percent of total billed charges,52.50318137,,,,,,,,,,57.215,percent of total billed charges,53.85416542,,,,,,,,,,57.215,percent of total billed charges,999999999,,,,,,,,,,57.215,percent of total billed charges,46.21066634,,,,,,,,,,57.215,percent of total billed charges,72.87740749,,,,,,,,,,57.215,percent of total billed charges,999999999,,,,,,,,,,57.215,percent of total billed charges,49.82639994,,,,,,,,,,205.974,percent of total billed charges,,,,,
NF-Entacapone Oral Tablet 200MG,Local,Local,,,,both,,,3.65,3.65,0.777026398,3.65,3.65,percent of total billed charges,2.685434669,,,,3.65,percent of total billed charges,2.846507652,,,,3.65,percent of total billed charges,2.685434669,,,,3.65,percent of total billed charges,2.846507652,,,,3.65,percent of total billed charges,999999999,,,,3.65,percent of total billed charges,2.781049137,,,,3.65,percent of total billed charges,2.685434669,,,,3.65,percent of total billed charges,2.846507652,,,,2.60245,percent of total billed charges,1.298670175,,,,2.60245,percent of total billed charges,0.777026398,,,,2.60245,percent of total billed charges,1.298670175,,,,2.60245,percent of total billed charges,0.777026398,,,,2.60245,percent of total billed charges,1.298670175,,,,2.60245,percent of total billed charges,0.777026398,,,,2.5769,percent of total billed charges,2.557348359,,,,2.5769,percent of total billed charges,1.763782894,,,,,,,,,,2.628,percent of total billed charges,1.708138158,,,,,,,,,,2.628,percent of total billed charges,999999999,,,,,,,,,,2.92,percent of total billed charges,2.446808213,,,,2.8835,percent of total billed charges,2.782701591,,,,2.8835,percent of total billed charges,2.458608967,,,,2.92,percent of total billed charges,999999999,,,,2.92,percent of total billed charges,999999999,,,,2.555,percent of total billed charges,999999999,,,,2.555,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.9418,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.84325,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.9125,percent of total billed charges,0.866651794,,,,,,,,,,0.9125,percent of total billed charges,0.852235631,,,,,,,,,,0.9125,percent of total billed charges,0.849867305,,,,,,,,,,0.9125,percent of total billed charges,0.837353019,,,,,,,,,,0.9125,percent of total billed charges,0.858899344,,,,,,,,,,0.9125,percent of total billed charges,999999999,,,,,,,,,,0.9125,percent of total billed charges,0.736996121,,,,,,,,,,0.9125,percent of total billed charges,1.162293705,,,,,,,,,,0.9125,percent of total billed charges,999999999,,,,,,,,,,0.9125,percent of total billed charges,0.794662063,,,,,,,,,,3.285,percent of total billed charges,,,,,
NF-Medihoney Topical Gel 100%,Local,Local,,,,both,,,96.4,96.4,20.52201226,96.4,96.4,percent of total billed charges,70.92490468,,,,96.4,percent of total billed charges,75.1789966,,,,96.4,percent of total billed charges,70.92490468,,,,96.4,percent of total billed charges,75.1789966,,,,96.4,percent of total billed charges,999999999,,,,96.4,percent of total billed charges,73.45017447,,,,96.4,percent of total billed charges,70.92490468,,,,96.4,percent of total billed charges,75.1789966,,,,68.7332,percent of total billed charges,34.29912462,,,,68.7332,percent of total billed charges,20.52201226,,,,68.7332,percent of total billed charges,34.29912462,,,,68.7332,percent of total billed charges,20.52201226,,,,68.7332,percent of total billed charges,34.29912462,,,,68.7332,percent of total billed charges,20.52201226,,,,68.0584,percent of total billed charges,67.54202242,,,,68.0584,percent of total billed charges,46.58319752,,,,,,,,,,69.408,percent of total billed charges,45.11356668,,,,,,,,,,69.408,percent of total billed charges,999999999,,,,,,,,,,77.12,percent of total billed charges,64.62255117,,,,76.156,percent of total billed charges,73.49381737,,,,76.156,percent of total billed charges,64.9342204,,,,77.12,percent of total billed charges,999999999,,,,77.12,percent of total billed charges,999999999,,,,67.48,percent of total billed charges,999999999,,,,67.48,percent of total billed charges,999999999,,,,,,,,,,,,,,,,51.2848,percent of total billed charges,999999999,,,,,,,,,,,,,,,,48.682,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,24.1,percent of total billed charges,22.88910492,,,,,,,,,,24.1,percent of total billed charges,22.50836024,,,,,,,,,,24.1,percent of total billed charges,22.44581047,,,,,,,,,,24.1,percent of total billed charges,22.11529618,,,,,,,,,,24.1,percent of total billed charges,22.68435527,,,,,,,,,,24.1,percent of total billed charges,999999999,,,,,,,,,,24.1,percent of total billed charges,19.46477425,,,,,,,,,,24.1,percent of total billed charges,30.69729128,,,,,,,,,,24.1,percent of total billed charges,999999999,,,,,,,,,,24.1,percent of total billed charges,20.9877871,,,,,,,,,,86.76,percent of total billed charges,,,,,
NF-Sarna Topical Lotion,Local,Local,,,,both,,,44.63,44.63,9.501010449,44.63,44.63,percent of total billed charges,32.83587651,,,,44.63,percent of total billed charges,34.80537986,,,,44.63,percent of total billed charges,32.83587651,,,,44.63,percent of total billed charges,34.80537986,,,,44.63,percent of total billed charges,999999999,,,,44.63,percent of total billed charges,34.0049926,,,,44.63,percent of total billed charges,32.83587651,,,,44.63,percent of total billed charges,34.80537986,,,,31.82119,percent of total billed charges,15.87935614,,,,31.82119,percent of total billed charges,9.501010449,,,,31.82119,percent of total billed charges,15.87935614,,,,31.82119,percent of total billed charges,9.501010449,,,,31.82119,percent of total billed charges,15.87935614,,,,31.82119,percent of total billed charges,9.501010449,,,,31.50878,percent of total billed charges,31.26971432,,,,31.50878,percent of total billed charges,21.56647412,,,,,,,,,,32.1336,percent of total billed charges,20.88608383,,,,,,,,,,32.1336,percent of total billed charges,999999999,,,,,,,,,,35.704,percent of total billed charges,29.91809604,,,,35.2577,percent of total billed charges,34.02519781,,,,35.2577,percent of total billed charges,30.06238855,,,,35.704,percent of total billed charges,999999999,,,,35.704,percent of total billed charges,999999999,,,,31.241,percent of total billed charges,999999999,,,,31.241,percent of total billed charges,999999999,,,,,,,,,,,,,,,,23.74316,percent of total billed charges,999999999,,,,,,,,,,,,,,,,22.53815,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11.1575,percent of total billed charges,10.59689578,,,,,,,,,,11.1575,percent of total billed charges,10.42062362,,,,,,,,,,11.1575,percent of total billed charges,10.39166516,,,,,,,,,,11.1575,percent of total billed charges,10.23864802,,,,,,,,,,11.1575,percent of total billed charges,10.50210348,,,,,,,,,,11.1575,percent of total billed charges,999999999,,,,,,,,,,11.1575,percent of total billed charges,9.011544345,,,,,,,,,,11.1575,percent of total billed charges,14.21182686,,,,,,,,,,11.1575,percent of total billed charges,999999999,,,,,,,,,,11.1575,percent of total billed charges,9.716648735,,,,,,,,,,40.167,percent of total billed charges,,,,,
NF-Methenamine Hippurate 1GM Tablet,Local,Local,,,,both,,,22.01,22.01,4.685575621,22.01,22.01,percent of total billed charges,16.19353892,,,,22.01,percent of total billed charges,17.16483107,,,,22.01,percent of total billed charges,16.19353892,,,,22.01,percent of total billed charges,17.16483107,,,,22.01,percent of total billed charges,999999999,,,,22.01,percent of total billed charges,16.77010726,,,,22.01,percent of total billed charges,16.19353892,,,,22.01,percent of total billed charges,17.16483107,,,,15.69313,percent of total billed charges,7.831159055,,,,15.69313,percent of total billed charges,4.685575621,,,,15.69313,percent of total billed charges,7.831159055,,,,15.69313,percent of total billed charges,4.685575621,,,,15.69313,percent of total billed charges,7.831159055,,,,15.69313,percent of total billed charges,4.685575621,,,,15.53906,percent of total billed charges,15.42116093,,,,15.53906,percent of total billed charges,10.63585246,,,,,,,,,,15.8472,percent of total billed charges,10.30030708,,,,,,,,,,15.8472,percent of total billed charges,999999999,,,,,,,,,,17.608,percent of total billed charges,14.75458871,,,,17.3879,percent of total billed charges,16.78007179,,,,17.3879,percent of total billed charges,14.82574887,,,,17.608,percent of total billed charges,999999999,,,,17.608,percent of total billed charges,999999999,,,,15.407,percent of total billed charges,999999999,,,,15.407,percent of total billed charges,999999999,,,,,,,,,,,,,,,,11.70932,percent of total billed charges,999999999,,,,,,,,,,,,,,,,11.11505,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5.5025,percent of total billed charges,5.226029039,,,,,,,,,,5.5025,percent of total billed charges,5.139097602,,,,,,,,,,5.5025,percent of total billed charges,5.12481627,,,,,,,,,,5.5025,percent of total billed charges,5.049353413,,,,,,,,,,5.5025,percent of total billed charges,5.179280699,,,,,,,,,,5.5025,percent of total billed charges,999999999,,,,,,,,,,5.5025,percent of total billed charges,4.444187565,,,,,,,,,,5.5025,percent of total billed charges,7.00879026,,,,,,,,,,5.5025,percent of total billed charges,999999999,,,,,,,,,,5.5025,percent of total billed charges,4.791921099,,,,,,,,,,19.809,percent of total billed charges,,,,,
NF-Amantadine HCl Syrup 50MG/5ML,Local,Local,,,,both,,,0.13,0.13,0.027674913,0.13,0.13,percent of total billed charges,0.095645618,,,,0.13,percent of total billed charges,0.101382464,,,,0.13,percent of total billed charges,0.095645618,,,,0.13,percent of total billed charges,0.101382464,,,,0.13,percent of total billed charges,999999999,,,,0.13,percent of total billed charges,0.099051065,,,,0.13,percent of total billed charges,0.095645618,,,,0.13,percent of total billed charges,0.101382464,,,,0.09269,percent of total billed charges,0.046254006,,,,0.09269,percent of total billed charges,0.027674913,,,,0.09269,percent of total billed charges,0.046254006,,,,0.09269,percent of total billed charges,0.027674913,,,,0.09269,percent of total billed charges,0.046254006,,,,0.09269,percent of total billed charges,0.027674913,,,,0.09178,percent of total billed charges,0.09108364,,,,0.09178,percent of total billed charges,0.062819665,,,,,,,,,,0.0936,percent of total billed charges,0.060837797,,,,,,,,,,0.0936,percent of total billed charges,999999999,,,,,,,,,,0.104,percent of total billed charges,0.087146594,,,,0.1027,percent of total billed charges,0.09910992,,,,0.1027,percent of total billed charges,0.087566895,,,,0.104,percent of total billed charges,999999999,,,,0.104,percent of total billed charges,999999999,,,,0.091,percent of total billed charges,999999999,,,,0.091,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.06916,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.06565,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.0325,percent of total billed charges,0.03086705,,,,,,,,,,0.0325,percent of total billed charges,0.030353598,,,,,,,,,,0.0325,percent of total billed charges,0.030269246,,,,,,,,,,0.0325,percent of total billed charges,0.029823532,,,,,,,,,,0.0325,percent of total billed charges,0.030590936,,,,,,,,,,0.0325,percent of total billed charges,999999999,,,,,,,,,,0.0325,percent of total billed charges,0.026249177,,,,,,,,,,0.0325,percent of total billed charges,0.041396762,,,,,,,,,,0.0325,percent of total billed charges,999999999,,,,,,,,,,0.0325,percent of total billed charges,0.028303032,,,,,,,,,,0.117,percent of total billed charges,,,,,
NF-CARIPRAZINE (VRAYLAR) 4.5MG CAP,Local,Local,,,,both,,,311.93,311.93,66.40488885,311.93,311.93,percent of total billed charges,229.4979825,,,,311.93,percent of total billed charges,243.2633238,,,,311.93,percent of total billed charges,229.4979825,,,,311.93,percent of total billed charges,243.2633238,,,,311.93,percent of total billed charges,999999999,,,,311.93,percent of total billed charges,237.6692212,,,,311.93,percent of total billed charges,229.4979825,,,,311.93,percent of total billed charges,243.2633238,,,,222.40609,percent of total billed charges,110.9847089,,,,222.40609,percent of total billed charges,66.40488885,,,,222.40609,percent of total billed charges,110.9847089,,,,222.40609,percent of total billed charges,66.40488885,,,,222.40609,percent of total billed charges,110.9847089,,,,222.40609,percent of total billed charges,66.40488885,,,,220.22258,percent of total billed charges,218.5516914,,,,220.22258,percent of total billed charges,150.7333693,,,,,,,,,,224.5896,percent of total billed charges,145.9779549,,,,,,,,,,224.5896,percent of total billed charges,999999999,,,,,,,,,,249.544,percent of total billed charges,209.1049003,,,,246.4247,percent of total billed charges,237.8104404,,,,246.4247,percent of total billed charges,210.113396,,,,249.544,percent of total billed charges,999999999,,,,249.544,percent of total billed charges,999999999,,,,218.351,percent of total billed charges,999999999,,,,218.351,percent of total billed charges,999999999,,,,,,,,,,,,,,,,165.94676,percent of total billed charges,999999999,,,,,,,,,,,,,,,,157.52465,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,77.9825,percent of total billed charges,74.06429978,,,,,,,,,,77.9825,percent of total billed charges,72.83229055,,,,,,,,,,77.9825,percent of total billed charges,72.62989273,,,,,,,,,,77.9825,percent of total billed charges,71.56041845,,,,,,,,,,77.9825,percent of total billed charges,73.40177322,,,,,,,,,,77.9825,percent of total billed charges,999999999,,,,,,,,,,77.9825,percent of total billed charges,62.98389038,,,,,,,,,,77.9825,percent of total billed charges,99.32993847,,,,,,,,,,77.9825,percent of total billed charges,999999999,,,,,,,,,,77.9825,percent of total billed charges,67.91203764,,,,,,,,,,280.737,percent of total billed charges,,,,,
NF-TEDIZOLID (SIVEXTRO) 200 MG TAB,Local,Local,,,,both,,,2283.72,2283.72,486.167322,2283.72,2283.72,percent of total billed charges,1680.213935,,,,2283.72,percent of total billed charges,1780.993549,,,,2283.72,percent of total billed charges,1680.213935,,,,2283.72,percent of total billed charges,1780.993549,,,,2283.72,percent of total billed charges,999999999,,,,2283.72,percent of total billed charges,1740.037681,,,,2283.72,percent of total billed charges,1680.213935,,,,2283.72,percent of total billed charges,1780.993549,,,,1628.29236,percent of total billed charges,812.5476855,,,,1628.29236,percent of total billed charges,486.167322,,,,1628.29236,percent of total billed charges,812.5476855,,,,1628.29236,percent of total billed charges,486.167322,,,,1628.29236,percent of total billed charges,812.5476855,,,,1628.29236,percent of total billed charges,486.167322,,,,1612.30632,percent of total billed charges,1600.073314,,,,1612.30632,percent of total billed charges,1103.557882,,,,,,,,,,1644.2784,percent of total billed charges,1068.742267,,,,,,,,,,1644.2784,percent of total billed charges,999999999,,,,,,,,,,1826.976,percent of total billed charges,1530.910919,,,,1804.1388,percent of total billed charges,1741.071583,,,,1804.1388,percent of total billed charges,1538.294376,,,,1826.976,percent of total billed charges,999999999,,,,1826.976,percent of total billed charges,999999999,,,,1598.604,percent of total billed charges,999999999,,,,1598.604,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1214.93904,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1153.2786,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,570.93,percent of total billed charges,542.2438454,,,,,,,,,,570.93,percent of total billed charges,533.223988,,,,,,,,,,570.93,percent of total billed charges,531.7421814,,,,,,,,,,570.93,percent of total billed charges,523.9122842,,,,,,,,,,570.93,percent of total billed charges,537.3933175,,,,,,,,,,570.93,percent of total billed charges,999999999,,,,,,,,,,570.93,percent of total billed charges,461.1213097,,,,,,,,,,570.93,percent of total billed charges,727.2201041,,,,,,,,,,570.93,percent of total billed charges,999999999,,,,,,,,,,570.93,percent of total billed charges,497.2015471,,,,,,,,,,2055.348,percent of total billed charges,,,,,
NF-Estradiol Vaginal Insert 10MCG,Local,Local,,,,both,,,75.24,75.24,16.01738799,75.24,75.24,percent of total billed charges,55.35674096,,,,75.24,percent of total billed charges,58.67705088,,,,75.24,percent of total billed charges,55.35674096,,,,75.24,percent of total billed charges,58.67705088,,,,75.24,percent of total billed charges,999999999,,,,75.24,percent of total billed charges,57.32770879,,,,75.24,percent of total billed charges,55.35674096,,,,75.24,percent of total billed charges,58.67705088,,,,53.64612,percent of total billed charges,26.77039561,,,,53.64612,percent of total billed charges,16.01738799,,,,53.64612,percent of total billed charges,26.77039561,,,,53.64612,percent of total billed charges,16.01738799,,,,53.64612,percent of total billed charges,26.77039561,,,,53.64612,percent of total billed charges,16.01738799,,,,53.11944,percent of total billed charges,52.71640837,,,,53.11944,percent of total billed charges,36.35808902,,,,,,,,,,54.1728,percent of total billed charges,35.2110452,,,,,,,,,,54.1728,percent of total billed charges,999999999,,,,,,,,,,60.192,percent of total billed charges,50.43776711,,,,59.4396,percent of total billed charges,57.36177198,,,,59.4396,percent of total billed charges,50.68102431,,,,60.192,percent of total billed charges,999999999,,,,60.192,percent of total billed charges,999999999,,,,52.668,percent of total billed charges,999999999,,,,52.668,percent of total billed charges,999999999,,,,,,,,,,,,,,,,40.02768,percent of total billed charges,999999999,,,,,,,,,,,,,,,,37.9962,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18.81,percent of total billed charges,17.86489891,,,,,,,,,,18.81,percent of total billed charges,17.56772847,,,,,,,,,,18.81,percent of total billed charges,17.5189085,,,,,,,,,,18.81,percent of total billed charges,17.26094279,,,,,,,,,,18.81,percent of total billed charges,17.70509222,,,,,,,,,,18.81,percent of total billed charges,999999999,,,,,,,,,,18.81,percent of total billed charges,15.19221592,,,,,,,,,,18.81,percent of total billed charges,23.95917216,,,,,,,,,,18.81,percent of total billed charges,999999999,,,,,,,,,,18.81,percent of total billed charges,16.38092428,,,,,,,,,,67.716,percent of total billed charges,,,,,
NF-Tagrisso Oral Tablet 80MG,Local,Local,,,,both,,,4006.76,4006.76,852.974874,4006.76,4006.76,percent of total billed charges,2947.915675,,,,4006.76,percent of total billed charges,3124.732328,,,,4006.76,percent of total billed charges,2947.915675,,,,4006.76,percent of total billed charges,3124.732328,,,,4006.76,percent of total billed charges,999999999,,,,4006.76,percent of total billed charges,3052.875737,,,,4006.76,percent of total billed charges,2947.915675,,,,4006.76,percent of total billed charges,3124.732328,,,,2856.81988,percent of total billed charges,1425.6054,,,,2856.81988,percent of total billed charges,852.974874,,,,2856.81988,percent of total billed charges,1425.6054,,,,2856.81988,percent of total billed charges,852.974874,,,,2856.81988,percent of total billed charges,1425.6054,,,,2856.81988,percent of total billed charges,852.974874,,,,2828.77256,percent of total billed charges,2807.309894,,,,2828.77256,percent of total billed charges,1936.179383,,,,,,,,,,2884.8672,percent of total billed charges,1875.095793,,,,,,,,,,2884.8672,percent of total billed charges,999999999,,,,,,,,,,3205.408,percent of total billed charges,2685.965281,,,,3165.3404,percent of total billed charges,3054.689706,,,,3165.3404,percent of total billed charges,2698.91947,,,,3205.408,percent of total billed charges,999999999,,,,3205.408,percent of total billed charges,999999999,,,,2804.732,percent of total billed charges,999999999,,,,2804.732,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2131.59632,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2023.4138,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1001.69,percent of total billed charges,951.3604777,,,,,,,,,,1001.69,percent of total billed charges,935.5352435,,,,,,,,,,1001.69,percent of total billed charges,932.9354311,,,,,,,,,,1001.69,percent of total billed charges,919.1979682,,,,,,,,,,1001.69,percent of total billed charges,942.8502832,,,,,,,,,,1001.69,percent of total billed charges,999999999,,,,,,,,,,1001.69,percent of total billed charges,809.0319386,,,,,,,,,,1001.69,percent of total billed charges,1275.899158,,,,,,,,,,1001.69,percent of total billed charges,999999999,,,,,,,,,,1001.69,percent of total billed charges,872.3342927,,,,,,,,,,3606.084,percent of total billed charges,,,,,
NF-Theophylline Oral Solution 80MG/15ML,Local,Local,,,,both,,,9.6,9.6,2.043685868,9.6,9.6,percent of total billed charges,7.063061047,,,,9.6,percent of total billed charges,7.486705056,,,,9.6,percent of total billed charges,7.063061047,,,,9.6,percent of total billed charges,7.486705056,,,,9.6,percent of total billed charges,999999999,,,,9.6,percent of total billed charges,7.314540196,,,,9.6,percent of total billed charges,7.063061047,,,,9.6,percent of total billed charges,7.486705056,,,,6.8448,percent of total billed charges,3.41568046,,,,6.8448,percent of total billed charges,2.043685868,,,,6.8448,percent of total billed charges,3.41568046,,,,6.8448,percent of total billed charges,2.043685868,,,,6.8448,percent of total billed charges,3.41568046,,,,6.8448,percent of total billed charges,2.043685868,,,,6.7776,percent of total billed charges,6.726176506,,,,6.7776,percent of total billed charges,4.638990624,,,,,,,,,,6.912,percent of total billed charges,4.492637346,,,,,,,,,,6.912,percent of total billed charges,999999999,,,,,,,,,,7.68,percent of total billed charges,6.43544078,,,,7.584,percent of total billed charges,7.318886377,,,,7.584,percent of total billed charges,6.46647838,,,,7.68,percent of total billed charges,999999999,,,,7.68,percent of total billed charges,999999999,,,,6.72,percent of total billed charges,999999999,,,,6.72,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.1072,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.848,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.4,percent of total billed charges,2.279412939,,,,,,,,,,2.4,percent of total billed charges,2.241496455,,,,,,,,,,2.4,percent of total billed charges,2.235267433,,,,,,,,,,2.4,percent of total billed charges,2.202353147,,,,,,,,,,2.4,percent of total billed charges,2.259022931,,,,,,,,,,2.4,percent of total billed charges,999999999,,,,,,,,,,2.4,percent of total billed charges,1.938400755,,,,,,,,,,2.4,percent of total billed charges,3.056991663,,,,,,,,,,2.4,percent of total billed charges,999999999,,,,,,,,,,2.4,percent of total billed charges,2.090070084,,,,,,,,,,8.64,percent of total billed charges,,,,,
NF-Voriconazole Oral Tablet 50MG,Local,Local,,,,both,,,87.66,87.66,18.66140659,87.66,87.66,percent of total billed charges,64.49457618,,,,87.66,percent of total billed charges,68.36297554,,,,87.66,percent of total billed charges,64.49457618,,,,87.66,percent of total billed charges,68.36297554,,,,87.66,percent of total billed charges,999999999,,,,87.66,percent of total billed charges,66.79089517,,,,87.66,percent of total billed charges,64.49457618,,,,87.66,percent of total billed charges,68.36297554,,,,62.50158,percent of total billed charges,31.1894322,,,,62.50158,percent of total billed charges,18.66140659,,,,62.50158,percent of total billed charges,31.1894322,,,,62.50158,percent of total billed charges,18.66140659,,,,62.50158,percent of total billed charges,31.1894322,,,,62.50158,percent of total billed charges,18.66140659,,,,61.88796,percent of total billed charges,61.41839922,,,,61.88796,percent of total billed charges,42.35978314,,,,,,,,,,63.1152,percent of total billed charges,41.02339477,,,,,,,,,,63.1152,percent of total billed charges,999999999,,,,,,,,,,70.128,percent of total billed charges,58.76361862,,,,69.2514,percent of total billed charges,66.83058123,,,,69.2514,percent of total billed charges,59.04703071,,,,70.128,percent of total billed charges,999999999,,,,70.128,percent of total billed charges,999999999,,,,61.362,percent of total billed charges,999999999,,,,61.362,percent of total billed charges,999999999,,,,,,,,,,,,,,,,46.63512,percent of total billed charges,999999999,,,,,,,,,,,,,,,,44.2683,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21.915,percent of total billed charges,20.81388939,,,,,,,,,,21.915,percent of total billed charges,20.46766451,,,,,,,,,,21.915,percent of total billed charges,20.41078574,,,,,,,,,,21.915,percent of total billed charges,20.11023717,,,,,,,,,,21.915,percent of total billed charges,20.62770314,,,,,,,,,,21.915,percent of total billed charges,999999999,,,,,,,,,,21.915,percent of total billed charges,17.7000219,,,,,,,,,,21.915,percent of total billed charges,27.91415512,,,,,,,,,,21.915,percent of total billed charges,999999999,,,,,,,,,,21.915,percent of total billed charges,19.08495246,,,,,,,,,,78.894,percent of total billed charges,,,,,
NF-Mesalamine Rectal Suppository 1000MG,Local,Local,,,,both,,,15.42,15.42,3.282670426,15.42,15.42,percent of total billed charges,11.34504181,,,,15.42,percent of total billed charges,12.02552,,,,15.42,percent of total billed charges,11.34504181,,,,15.42,percent of total billed charges,12.02552,,,,15.42,percent of total billed charges,999999999,,,,15.42,percent of total billed charges,11.74898019,,,,15.42,percent of total billed charges,11.34504181,,,,15.42,percent of total billed charges,12.02552,,,,10.99446,percent of total billed charges,5.486436739,,,,10.99446,percent of total billed charges,3.282670426,,,,10.99446,percent of total billed charges,5.486436739,,,,10.99446,percent of total billed charges,3.282670426,,,,10.99446,percent of total billed charges,5.486436739,,,,10.99446,percent of total billed charges,3.282670426,,,,10.88652,percent of total billed charges,10.80392101,,,,10.88652,percent of total billed charges,7.45137869,,,,,,,,,,11.1024,percent of total billed charges,7.216298737,,,,,,,,,,11.1024,percent of total billed charges,999999999,,,,,,,,,,12.336,percent of total billed charges,10.33692675,,,,12.1818,percent of total billed charges,11.75596124,,,,12.1818,percent of total billed charges,10.3867809,,,,12.336,percent of total billed charges,999999999,,,,12.336,percent of total billed charges,999999999,,,,10.794,percent of total billed charges,999999999,,,,10.794,percent of total billed charges,999999999,,,,,,,,,,,,,,,,8.20344,percent of total billed charges,999999999,,,,,,,,,,,,,,,,7.7871,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3.855,percent of total billed charges,3.661307033,,,,,,,,,,3.855,percent of total billed charges,3.600403681,,,,,,,,,,3.855,percent of total billed charges,3.590398314,,,,,,,,,,3.855,percent of total billed charges,3.537529742,,,,,,,,,,3.855,percent of total billed charges,3.628555583,,,,,,,,,,3.855,percent of total billed charges,999999999,,,,,,,,,,3.855,percent of total billed charges,3.113556213,,,,,,,,,,3.855,percent of total billed charges,4.910292858,,,,,,,,,,3.855,percent of total billed charges,999999999,,,,,,,,,,3.855,percent of total billed charges,3.357175073,,,,,,,,,,13.878,percent of total billed charges,,,,,
NF-Creon Oral Cap DR 36000U-114000U-1800,Local,Local,,,,both,,,84.86,84.86,18.06533154,84.86,84.86,percent of total billed charges,62.43451671,,,,84.86,percent of total billed charges,66.17935324,,,,84.86,percent of total billed charges,62.43451671,,,,84.86,percent of total billed charges,66.17935324,,,,84.86,percent of total billed charges,999999999,,,,84.86,percent of total billed charges,64.65748761,,,,84.86,percent of total billed charges,62.43451671,,,,84.86,percent of total billed charges,66.17935324,,,,60.50518,percent of total billed charges,30.19319207,,,,60.50518,percent of total billed charges,18.06533154,,,,60.50518,percent of total billed charges,30.19319207,,,,60.50518,percent of total billed charges,18.06533154,,,,60.50518,percent of total billed charges,30.19319207,,,,60.50518,percent of total billed charges,18.06533154,,,,59.91116,percent of total billed charges,59.45659774,,,,59.91116,percent of total billed charges,41.00674421,,,,,,,,,,61.0992,percent of total billed charges,39.71304221,,,,,,,,,,61.0992,percent of total billed charges,999999999,,,,,,,,,,67.888,percent of total billed charges,56.88661506,,,,67.0394,percent of total billed charges,64.69590603,,,,67.0394,percent of total billed charges,57.16097452,,,,67.888,percent of total billed charges,999999999,,,,67.888,percent of total billed charges,999999999,,,,59.402,percent of total billed charges,999999999,,,,59.402,percent of total billed charges,999999999,,,,,,,,,,,,,,,,45.14552,percent of total billed charges,999999999,,,,,,,,,,,,,,,,42.8543,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21.215,percent of total billed charges,20.14906062,,,,,,,,,,21.215,percent of total billed charges,19.81389471,,,,,,,,,,21.215,percent of total billed charges,19.75883274,,,,,,,,,,21.215,percent of total billed charges,19.46788417,,,,,,,,,,21.215,percent of total billed charges,19.96882145,,,,,,,,,,21.215,percent of total billed charges,999999999,,,,,,,,,,21.215,percent of total billed charges,17.13465501,,,,,,,,,,21.215,percent of total billed charges,27.02253255,,,,,,,,,,21.215,percent of total billed charges,999999999,,,,,,,,,,21.215,percent of total billed charges,18.47534868,,,,,,,,,,76.374,percent of total billed charges,,,,,
NF-Lacosamide Oral Solution 10MG/1ML,Local,Local,,,,both,,,1.08,1.08,0.22991466,1.08,1.08,percent of total billed charges,0.794594368,,,,1.08,percent of total billed charges,0.842254319,,,,1.08,percent of total billed charges,0.794594368,,,,1.08,percent of total billed charges,0.842254319,,,,1.08,percent of total billed charges,999999999,,,,1.08,percent of total billed charges,0.822885772,,,,1.08,percent of total billed charges,0.794594368,,,,1.08,percent of total billed charges,0.842254319,,,,0.77004,percent of total billed charges,0.384264052,,,,0.77004,percent of total billed charges,0.22991466,,,,0.77004,percent of total billed charges,0.384264052,,,,0.77004,percent of total billed charges,0.22991466,,,,0.77004,percent of total billed charges,0.384264052,,,,0.77004,percent of total billed charges,0.22991466,,,,0.76248,percent of total billed charges,0.756694857,,,,0.76248,percent of total billed charges,0.521886445,,,,,,,,,,0.7776,percent of total billed charges,0.505421701,,,,,,,,,,0.7776,percent of total billed charges,999999999,,,,,,,,,,0.864,percent of total billed charges,0.723987088,,,,0.8532,percent of total billed charges,0.823374717,,,,0.8532,percent of total billed charges,0.727478818,,,,0.864,percent of total billed charges,999999999,,,,0.864,percent of total billed charges,999999999,,,,0.756,percent of total billed charges,999999999,,,,0.756,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.57456,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.5454,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.27,percent of total billed charges,0.256433956,,,,,,,,,,0.27,percent of total billed charges,0.252168351,,,,,,,,,,0.27,percent of total billed charges,0.251467586,,,,,,,,,,0.27,percent of total billed charges,0.247764729,,,,,,,,,,0.27,percent of total billed charges,0.25414008,,,,,,,,,,0.27,percent of total billed charges,999999999,,,,,,,,,,0.27,percent of total billed charges,0.218070085,,,,,,,,,,0.27,percent of total billed charges,0.343911562,,,,,,,,,,0.27,percent of total billed charges,999999999,,,,,,,,,,0.27,percent of total billed charges,0.235132884,,,,,,,,,,0.972,percent of total billed charges,,,,,
NF-Mexiletine HCl Capsule 250MG,Local,Local,,,,both,,,4.5,4.5,0.957977751,4.5,4.5,percent of total billed charges,3.310809866,,,,4.5,percent of total billed charges,3.509392995,,,,4.5,percent of total billed charges,3.310809866,,,,4.5,percent of total billed charges,3.509392995,,,,4.5,percent of total billed charges,999999999,,,,4.5,percent of total billed charges,3.428690717,,,,4.5,percent of total billed charges,3.310809866,,,,4.5,percent of total billed charges,3.509392995,,,,3.2085,percent of total billed charges,1.601100216,,,,3.2085,percent of total billed charges,0.957977751,,,,3.2085,percent of total billed charges,1.601100216,,,,3.2085,percent of total billed charges,0.957977751,,,,3.2085,percent of total billed charges,1.601100216,,,,3.2085,percent of total billed charges,0.957977751,,,,3.177,percent of total billed charges,3.152895237,,,,3.177,percent of total billed charges,2.174526855,,,,,,,,,,3.24,percent of total billed charges,2.105923756,,,,,,,,,,3.24,percent of total billed charges,999999999,,,,,,,,,,3.6,percent of total billed charges,3.016612866,,,,3.555,percent of total billed charges,3.430727989,,,,3.555,percent of total billed charges,3.031161741,,,,3.6,percent of total billed charges,999999999,,,,3.6,percent of total billed charges,999999999,,,,3.15,percent of total billed charges,999999999,,,,3.15,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2.394,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2.2725,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.125,percent of total billed charges,1.068474815,,,,,,,,,,1.125,percent of total billed charges,1.050701463,,,,,,,,,,1.125,percent of total billed charges,1.047781609,,,,,,,,,,1.125,percent of total billed charges,1.032353038,,,,,,,,,,1.125,percent of total billed charges,1.058916999,,,,,,,,,,1.125,percent of total billed charges,999999999,,,,,,,,,,1.125,percent of total billed charges,0.908625354,,,,,,,,,,1.125,percent of total billed charges,1.432964842,,,,,,,,,,1.125,percent of total billed charges,999999999,,,,,,,,,,1.125,percent of total billed charges,0.979720352,,,,,,,,,,4.05,percent of total billed charges,,,,,
NF-Rasuvo Subcutaneous Solution 15MG/0.3,Local,Local,,,,both,,,921,921,196.066113,921,921,percent of total billed charges,677.6124192,,,,921,percent of total billed charges,718.2557663,,,,921,percent of total billed charges,677.6124192,,,,921,percent of total billed charges,718.2557663,,,,921,percent of total billed charges,999999999,,,,921,percent of total billed charges,701.7387001,,,,921,percent of total billed charges,677.6124192,,,,921,percent of total billed charges,718.2557663,,,,656.673,percent of total billed charges,327.6918441,,,,656.673,percent of total billed charges,196.066113,,,,656.673,percent of total billed charges,327.6918441,,,,656.673,percent of total billed charges,196.066113,,,,656.673,percent of total billed charges,327.6918441,,,,656.673,percent of total billed charges,196.066113,,,,650.226,percent of total billed charges,645.2925586,,,,650.226,percent of total billed charges,445.053163,,,,,,,,,,663.12,percent of total billed charges,431.0123954,,,,,,,,,,663.12,percent of total billed charges,999999999,,,,,,,,,,736.8,percent of total billed charges,617.4000998,,,,727.59,percent of total billed charges,702.1556618,,,,727.59,percent of total billed charges,620.3777696,,,,736.8,percent of total billed charges,999999999,,,,736.8,percent of total billed charges,999999999,,,,644.7,percent of total billed charges,999999999,,,,644.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,489.972,percent of total billed charges,999999999,,,,,,,,,,,,,,,,465.105,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,230.25,percent of total billed charges,218.6811788,,,,,,,,,,230.25,percent of total billed charges,215.0435662,,,,,,,,,,230.25,percent of total billed charges,214.4459693,,,,,,,,,,230.25,percent of total billed charges,211.288255,,,,,,,,,,230.25,percent of total billed charges,216.7250124,,,,,,,,,,230.25,percent of total billed charges,999999999,,,,,,,,,,230.25,percent of total billed charges,185.9653225,,,,,,,,,,230.25,percent of total billed charges,293.2801376,,,,,,,,,,230.25,percent of total billed charges,999999999,,,,,,,,,,230.25,percent of total billed charges,200.5160987,,,,,,,,,,828.9,percent of total billed charges,,,,,
NF-Besivance Ophthalmic Suspension 0.6%,Local,Local,,,,both,,,1447.91,1447.91,308.2367923,1447.91,1447.91,percent of total billed charges,1065.278825,,,,1447.91,percent of total billed charges,1129.174491,,,,1447.91,percent of total billed charges,1065.278825,,,,1447.91,percent of total billed charges,1129.174491,,,,1447.91,percent of total billed charges,999999999,,,,1447.91,percent of total billed charges,1103.207906,,,,1447.91,percent of total billed charges,1065.278825,,,,1447.91,percent of total billed charges,1129.174491,,,,1032.35983,percent of total billed charges,515.1664474,,,,1032.35983,percent of total billed charges,308.2367923,,,,1032.35983,percent of total billed charges,515.1664474,,,,1032.35983,percent of total billed charges,308.2367923,,,,1032.35983,percent of total billed charges,515.1664474,,,,1032.35983,percent of total billed charges,308.2367923,,,,1022.22446,percent of total billed charges,1014.468565,,,,1022.22446,percent of total billed charges,699.6709286,,,,,,,,,,1042.4952,percent of total billed charges,677.5973479,,,,,,,,,,1042.4952,percent of total billed charges,999999999,,,,,,,,,,1158.328,percent of total billed charges,970.6186521,,,,1143.8489,percent of total billed charges,1103.863414,,,,1143.8489,percent of total billed charges,975.2998658,,,,1158.328,percent of total billed charges,999999999,,,,1158.328,percent of total billed charges,999999999,,,,1013.537,percent of total billed charges,999999999,,,,1013.537,percent of total billed charges,999999999,,,,,,,,,,,,,,,,770.28812,percent of total billed charges,999999999,,,,,,,,,,,,,,,,731.19455,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,361.9775,percent of total billed charges,343.7900821,,,,,,,,,,361.9775,percent of total billed charges,338.071368,,,,,,,,,,361.9775,percent of total billed charges,337.1318821,,,,,,,,,,361.9775,percent of total billed charges,332.1676193,,,,,,,,,,361.9775,percent of total billed charges,340.7147804,,,,,,,,,,361.9775,percent of total billed charges,999999999,,,,,,,,,,361.9775,percent of total billed charges,292.3572748,,,,,,,,,,361.9775,percent of total billed charges,461.0675831,,,,,,,,,,361.9775,percent of total billed charges,999999999,,,,,,,,,,361.9775,percent of total billed charges,315.2326433,,,,,,,,,,1303.119,percent of total billed charges,,,,,
NF-Rifabutin Oral Capsule 150MG,Local,Local,,,,both,,,46.02,46.02,9.796919132,46.02,46.02,percent of total billed charges,33.85854889,,,,46.02,percent of total billed charges,35.88939236,,,,46.02,percent of total billed charges,33.85854889,,,,46.02,percent of total billed charges,35.88939236,,,,46.02,percent of total billed charges,999999999,,,,46.02,percent of total billed charges,35.06407707,,,,46.02,percent of total billed charges,33.85854889,,,,46.02,percent of total billed charges,35.88939236,,,,32.81226,percent of total billed charges,16.37391821,,,,32.81226,percent of total billed charges,9.796919132,,,,32.81226,percent of total billed charges,16.37391821,,,,32.81226,percent of total billed charges,9.796919132,,,,32.81226,percent of total billed charges,16.37391821,,,,32.81226,percent of total billed charges,9.796919132,,,,32.49012,percent of total billed charges,32.24360863,,,,32.49012,percent of total billed charges,22.23816131,,,,,,,,,,33.1344,percent of total billed charges,21.53658028,,,,,,,,,,33.1344,percent of total billed charges,999999999,,,,,,,,,,36.816,percent of total billed charges,30.84989424,,,,36.3558,percent of total billed charges,35.08491157,,,,36.3558,percent of total billed charges,30.99868074,,,,36.816,percent of total billed charges,999999999,,,,36.816,percent of total billed charges,999999999,,,,32.214,percent of total billed charges,999999999,,,,32.214,percent of total billed charges,999999999,,,,,,,,,,,,,,,,24.48264,percent of total billed charges,999999999,,,,,,,,,,,,,,,,23.2401,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11.505,percent of total billed charges,10.92693577,,,,,,,,,,11.505,percent of total billed charges,10.74517363,,,,,,,,,,11.505,percent of total billed charges,10.71531326,,,,,,,,,,11.505,percent of total billed charges,10.5575304,,,,,,,,,,11.505,percent of total billed charges,10.82919118,,,,,,,,,,11.505,percent of total billed charges,999999999,,,,,,,,,,11.505,percent of total billed charges,9.292208621,,,,,,,,,,11.505,percent of total billed charges,14.65445378,,,,,,,,,,11.505,percent of total billed charges,999999999,,,,,,,,,,11.505,percent of total billed charges,10.01927347,,,,,,,,,,41.418,percent of total billed charges,,,,,
NF-Teriflunomide Oral Tablet 14MG,Local,Local,,,,both,,,7.5,7.5,1.596629585,7.5,7.5,percent of total billed charges,5.518016443,,,,7.5,percent of total billed charges,5.848988325,,,,7.5,percent of total billed charges,5.518016443,,,,7.5,percent of total billed charges,5.848988325,,,,7.5,percent of total billed charges,999999999,,,,7.5,percent of total billed charges,5.714484528,,,,7.5,percent of total billed charges,5.518016443,,,,7.5,percent of total billed charges,5.848988325,,,,5.3475,percent of total billed charges,2.668500359,,,,5.3475,percent of total billed charges,1.596629585,,,,5.3475,percent of total billed charges,2.668500359,,,,5.3475,percent of total billed charges,1.596629585,,,,5.3475,percent of total billed charges,2.668500359,,,,5.3475,percent of total billed charges,1.596629585,,,,5.295,percent of total billed charges,5.254825396,,,,5.295,percent of total billed charges,3.624211425,,,,,,,,,,5.4,percent of total billed charges,3.509872927,,,,,,,,,,5.4,percent of total billed charges,999999999,,,,,,,,,,6,percent of total billed charges,5.027688109,,,,5.925,percent of total billed charges,5.717879982,,,,5.925,percent of total billed charges,5.051936235,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,999999999,,,,5.25,percent of total billed charges,999999999,,,,5.25,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.99,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.7875,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.875,percent of total billed charges,1.780791358,,,,,,,,,,1.875,percent of total billed charges,1.751169106,,,,,,,,,,1.875,percent of total billed charges,1.746302682,,,,,,,,,,1.875,percent of total billed charges,1.720588396,,,,,,,,,,1.875,percent of total billed charges,1.764861665,,,,,,,,,,1.875,percent of total billed charges,999999999,,,,,,,,,,1.875,percent of total billed charges,1.51437559,,,,,,,,,,1.875,percent of total billed charges,2.388274736,,,,,,,,,,1.875,percent of total billed charges,999999999,,,,,,,,,,1.875,percent of total billed charges,1.632867253,,,,,,,,,,6.75,percent of total billed charges,,,,,
NF-CoEnyzyme Q10 Oral Cap 100MG,Local,Local,,,,both,,,0.25,0.25,0.053220986,0.25,0.25,percent of total billed charges,0.183933881,,,,0.25,percent of total billed charges,0.194966278,,,,0.25,percent of total billed charges,0.183933881,,,,0.25,percent of total billed charges,0.194966278,,,,0.25,percent of total billed charges,999999999,,,,0.25,percent of total billed charges,0.190482818,,,,0.25,percent of total billed charges,0.183933881,,,,0.25,percent of total billed charges,0.194966278,,,,0.17825,percent of total billed charges,0.088950012,,,,0.17825,percent of total billed charges,0.053220986,,,,0.17825,percent of total billed charges,0.088950012,,,,0.17825,percent of total billed charges,0.053220986,,,,0.17825,percent of total billed charges,0.088950012,,,,0.17825,percent of total billed charges,0.053220986,,,,0.1765,percent of total billed charges,0.175160847,,,,0.1765,percent of total billed charges,0.120807048,,,,,,,,,,0.18,percent of total billed charges,0.116995764,,,,,,,,,,0.18,percent of total billed charges,999999999,,,,,,,,,,0.2,percent of total billed charges,0.167589604,,,,0.1975,percent of total billed charges,0.190595999,,,,0.1975,percent of total billed charges,0.168397874,,,,0.2,percent of total billed charges,999999999,,,,0.2,percent of total billed charges,999999999,,,,0.175,percent of total billed charges,999999999,,,,0.175,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.133,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.12625,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.0625,percent of total billed charges,0.059359712,,,,,,,,,,0.0625,percent of total billed charges,0.058372304,,,,,,,,,,0.0625,percent of total billed charges,0.058210089,,,,,,,,,,0.0625,percent of total billed charges,0.057352947,,,,,,,,,,0.0625,percent of total billed charges,0.058828722,,,,,,,,,,0.0625,percent of total billed charges,999999999,,,,,,,,,,0.0625,percent of total billed charges,0.050479186,,,,,,,,,,0.0625,percent of total billed charges,0.079609158,,,,,,,,,,0.0625,percent of total billed charges,999999999,,,,,,,,,,0.0625,percent of total billed charges,0.054428908,,,,,,,,,,0.225,percent of total billed charges,,,,,
NF-ARIPiprazole Oral Tablet 5MG,Local,Local,,,,both,,,0.45,0.45,0.095797775,0.45,0.45,percent of total billed charges,0.331080987,,,,0.45,percent of total billed charges,0.3509393,,,,0.45,percent of total billed charges,0.331080987,,,,0.45,percent of total billed charges,0.3509393,,,,0.45,percent of total billed charges,999999999,,,,0.45,percent of total billed charges,0.342869072,,,,0.45,percent of total billed charges,0.331080987,,,,0.45,percent of total billed charges,0.3509393,,,,0.32085,percent of total billed charges,0.160110022,,,,0.32085,percent of total billed charges,0.095797775,,,,0.32085,percent of total billed charges,0.160110022,,,,0.32085,percent of total billed charges,0.095797775,,,,0.32085,percent of total billed charges,0.160110022,,,,0.32085,percent of total billed charges,0.095797775,,,,0.3177,percent of total billed charges,0.315289524,,,,0.3177,percent of total billed charges,0.217452686,,,,,,,,,,0.324,percent of total billed charges,0.210592376,,,,,,,,,,0.324,percent of total billed charges,999999999,,,,,,,,,,0.36,percent of total billed charges,0.301661287,,,,0.3555,percent of total billed charges,0.343072799,,,,0.3555,percent of total billed charges,0.303116174,,,,0.36,percent of total billed charges,999999999,,,,0.36,percent of total billed charges,999999999,,,,0.315,percent of total billed charges,999999999,,,,0.315,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.2394,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.22725,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.1125,percent of total billed charges,0.106847481,,,,,,,,,,0.1125,percent of total billed charges,0.105070146,,,,,,,,,,0.1125,percent of total billed charges,0.104778161,,,,,,,,,,0.1125,percent of total billed charges,0.103235304,,,,,,,,,,0.1125,percent of total billed charges,0.1058917,,,,,,,,,,0.1125,percent of total billed charges,999999999,,,,,,,,,,0.1125,percent of total billed charges,0.090862535,,,,,,,,,,0.1125,percent of total billed charges,0.143296484,,,,,,,,,,0.1125,percent of total billed charges,999999999,,,,,,,,,,0.1125,percent of total billed charges,0.097972035,,,,,,,,,,0.405,percent of total billed charges,,,,,
NF-Ciclopirox Topical Solution 8%,Local,Local,,,,both,,,114.8,114.8,24.43907684,114.8,114.8,percent of total billed charges,84.46243835,,,,114.8,percent of total billed charges,89.52851463,,,,114.8,percent of total billed charges,84.46243835,,,,114.8,percent of total billed charges,89.52851463,,,,114.8,percent of total billed charges,999999999,,,,114.8,percent of total billed charges,87.46970984,,,,114.8,percent of total billed charges,84.46243835,,,,114.8,percent of total billed charges,89.52851463,,,,81.8524,percent of total billed charges,40.8458455,,,,81.8524,percent of total billed charges,24.43907684,,,,81.8524,percent of total billed charges,40.8458455,,,,81.8524,percent of total billed charges,24.43907684,,,,81.8524,percent of total billed charges,40.8458455,,,,81.8524,percent of total billed charges,24.43907684,,,,81.0488,percent of total billed charges,80.43386072,,,,81.0488,percent of total billed charges,55.47459622,,,,,,,,,,82.656,percent of total billed charges,53.72445493,,,,,,,,,,82.656,percent of total billed charges,999999999,,,,,,,,,,91.84,percent of total billed charges,76.957146,,,,90.692,percent of total billed charges,87.52168292,,,,90.692,percent of total billed charges,77.32830396,,,,91.84,percent of total billed charges,999999999,,,,91.84,percent of total billed charges,999999999,,,,80.36,percent of total billed charges,999999999,,,,80.36,percent of total billed charges,999999999,,,,,,,,,,,,,,,,61.0736,percent of total billed charges,999999999,,,,,,,,,,,,,,,,57.974,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,28.7,percent of total billed charges,27.25797972,,,,,,,,,,28.7,percent of total billed charges,26.80456178,,,,,,,,,,28.7,percent of total billed charges,26.73007305,,,,,,,,,,28.7,percent of total billed charges,26.33647305,,,,,,,,,,28.7,percent of total billed charges,27.01414922,,,,,,,,,,28.7,percent of total billed charges,999999999,,,,,,,,,,28.7,percent of total billed charges,23.18004237,,,,,,,,,,28.7,percent of total billed charges,36.5565253,,,,,,,,,,28.7,percent of total billed charges,999999999,,,,,,,,,,28.7,percent of total billed charges,24.99375476,,,,,,,,,,103.32,percent of total billed charges,,,,,
NF-Doxepin Oral Tablet 6MG,Local,Local,,,,both,,,26,26,5.53498256,26,26,percent of total billed charges,19.12912367,,,,26,percent of total billed charges,20.27649286,,,,26,percent of total billed charges,19.12912367,,,,26,percent of total billed charges,20.27649286,,,,26,percent of total billed charges,999999999,,,,26,percent of total billed charges,19.81021303,,,,26,percent of total billed charges,19.12912367,,,,26,percent of total billed charges,20.27649286,,,,18.538,percent of total billed charges,9.250801246,,,,18.538,percent of total billed charges,5.53498256,,,,18.538,percent of total billed charges,9.250801246,,,,18.538,percent of total billed charges,5.53498256,,,,18.538,percent of total billed charges,9.250801246,,,,18.538,percent of total billed charges,5.53498256,,,,18.356,percent of total billed charges,18.21672804,,,,18.356,percent of total billed charges,12.56393294,,,,,,,,,,18.72,percent of total billed charges,12.16755948,,,,,,,,,,18.72,percent of total billed charges,999999999,,,,,,,,,,20.8,percent of total billed charges,17.42931878,,,,20.54,percent of total billed charges,19.82198394,,,,20.54,percent of total billed charges,17.51337895,,,,20.8,percent of total billed charges,999999999,,,,20.8,percent of total billed charges,999999999,,,,18.2,percent of total billed charges,999999999,,,,18.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,13.832,percent of total billed charges,999999999,,,,,,,,,,,,,,,,13.13,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6.5,percent of total billed charges,6.173410042,,,,,,,,,,6.5,percent of total billed charges,6.070719566,,,,,,,,,,6.5,percent of total billed charges,6.053849297,,,,,,,,,,6.5,percent of total billed charges,5.964706439,,,,,,,,,,6.5,percent of total billed charges,6.118187105,,,,,,,,,,6.5,percent of total billed charges,999999999,,,,,,,,,,6.5,percent of total billed charges,5.249835379,,,,,,,,,,6.5,percent of total billed charges,8.279352419,,,,,,,,,,6.5,percent of total billed charges,999999999,,,,,,,,,,6.5,percent of total billed charges,5.660606478,,,,,,,,,,23.4,percent of total billed charges,,,,,
NF-Lurasidone Hydrochloride Tablet 80MG,Local,Local,,,,both,,,2.03,2.03,0.432154408,2.03,2.03,percent of total billed charges,1.493543117,,,,2.03,percent of total billed charges,1.583126173,,,,2.03,percent of total billed charges,1.493543117,,,,2.03,percent of total billed charges,1.583126173,,,,2.03,percent of total billed charges,999999999,,,,2.03,percent of total billed charges,1.546720479,,,,2.03,percent of total billed charges,1.493543117,,,,2.03,percent of total billed charges,1.583126173,,,,1.44739,percent of total billed charges,0.722274097,,,,1.44739,percent of total billed charges,0.432154408,,,,1.44739,percent of total billed charges,0.722274097,,,,1.44739,percent of total billed charges,0.432154408,,,,1.44739,percent of total billed charges,0.722274097,,,,1.44739,percent of total billed charges,0.432154408,,,,1.43318,percent of total billed charges,1.422306074,,,,1.43318,percent of total billed charges,0.980953226,,,,,,,,,,1.4616,percent of total billed charges,0.950005605,,,,,,,,,,1.4616,percent of total billed charges,999999999,,,,,,,,,,1.624,percent of total billed charges,1.360827582,,,,1.6037,percent of total billed charges,1.547639515,,,,1.6037,percent of total billed charges,1.367390741,,,,1.624,percent of total billed charges,999999999,,,,1.624,percent of total billed charges,999999999,,,,1.421,percent of total billed charges,999999999,,,,1.421,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.07996,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.02515,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.5075,percent of total billed charges,0.482000861,,,,,,,,,,0.5075,percent of total billed charges,0.473983105,,,,,,,,,,0.5075,percent of total billed charges,0.472665926,,,,,,,,,,0.5075,percent of total billed charges,0.465705926,,,,,,,,,,0.5075,percent of total billed charges,0.477689224,,,,,,,,,,0.5075,percent of total billed charges,999999999,,,,,,,,,,0.5075,percent of total billed charges,0.409890993,,,,,,,,,,0.5075,percent of total billed charges,0.646426362,,,,,,,,,,0.5075,percent of total billed charges,999999999,,,,,,,,,,0.5075,percent of total billed charges,0.441962737,,,,,,,,,,1.827,percent of total billed charges,,,,,
NF-Imipramine HCl Tablet 50MG,Local,Local,,,,both,,,0.58,0.58,0.123472688,0.58,0.58,percent of total billed charges,0.426726605,,,,0.58,percent of total billed charges,0.452321764,,,,0.58,percent of total billed charges,0.426726605,,,,0.58,percent of total billed charges,0.452321764,,,,0.58,percent of total billed charges,999999999,,,,0.58,percent of total billed charges,0.441920137,,,,0.58,percent of total billed charges,0.426726605,,,,0.58,percent of total billed charges,0.452321764,,,,0.41354,percent of total billed charges,0.206364028,,,,0.41354,percent of total billed charges,0.123472688,,,,0.41354,percent of total billed charges,0.206364028,,,,0.41354,percent of total billed charges,0.123472688,,,,0.41354,percent of total billed charges,0.206364028,,,,0.41354,percent of total billed charges,0.123472688,,,,0.40948,percent of total billed charges,0.406373164,,,,0.40948,percent of total billed charges,0.28027235,,,,,,,,,,0.4176,percent of total billed charges,0.271430173,,,,,,,,,,0.4176,percent of total billed charges,999999999,,,,,,,,,,0.464,percent of total billed charges,0.38880788,,,,0.4582,percent of total billed charges,0.442182719,,,,0.4582,percent of total billed charges,0.390683069,,,,0.464,percent of total billed charges,999999999,,,,0.464,percent of total billed charges,999999999,,,,0.406,percent of total billed charges,999999999,,,,0.406,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.30856,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.2929,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.145,percent of total billed charges,0.137714532,,,,,,,,,,0.145,percent of total billed charges,0.135423744,,,,,,,,,,0.145,percent of total billed charges,0.135047407,,,,,,,,,,0.145,percent of total billed charges,0.133058836,,,,,,,,,,0.145,percent of total billed charges,0.136482635,,,,,,,,,,0.145,percent of total billed charges,999999999,,,,,,,,,,0.145,percent of total billed charges,0.117111712,,,,,,,,,,0.145,percent of total billed charges,0.184693246,,,,,,,,,,0.145,percent of total billed charges,999999999,,,,,,,,,,0.145,percent of total billed charges,0.126275068,,,,,,,,,,0.522,percent of total billed charges,,,,,
NF-Lurasidone Hydrochloride Tablet 40MG,Local,Local,,,,both,,,1.76,1.76,0.374675743,1.76,1.76,percent of total billed charges,1.294894525,,,,1.76,percent of total billed charges,1.372562594,,,,1.76,percent of total billed charges,1.294894525,,,,1.76,percent of total billed charges,1.372562594,,,,1.76,percent of total billed charges,999999999,,,,1.76,percent of total billed charges,1.340999036,,,,1.76,percent of total billed charges,1.294894525,,,,1.76,percent of total billed charges,1.372562594,,,,1.25488,percent of total billed charges,0.626208084,,,,1.25488,percent of total billed charges,0.374675743,,,,1.25488,percent of total billed charges,0.626208084,,,,1.25488,percent of total billed charges,0.374675743,,,,1.25488,percent of total billed charges,0.626208084,,,,1.25488,percent of total billed charges,0.374675743,,,,1.24256,percent of total billed charges,1.233132359,,,,1.24256,percent of total billed charges,0.850481614,,,,,,,,,,1.2672,percent of total billed charges,0.82365018,,,,,,,,,,1.2672,percent of total billed charges,999999999,,,,,,,,,,1.408,percent of total billed charges,1.17983081,,,,1.3904,percent of total billed charges,1.341795836,,,,1.3904,percent of total billed charges,1.185521036,,,,1.408,percent of total billed charges,999999999,,,,1.408,percent of total billed charges,999999999,,,,1.232,percent of total billed charges,999999999,,,,1.232,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.93632,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.8888,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.44,percent of total billed charges,0.417892372,,,,,,,,,,0.44,percent of total billed charges,0.410941017,,,,,,,,,,0.44,percent of total billed charges,0.409799029,,,,,,,,,,0.44,percent of total billed charges,0.403764744,,,,,,,,,,0.44,percent of total billed charges,0.414154204,,,,,,,,,,0.44,percent of total billed charges,999999999,,,,,,,,,,0.44,percent of total billed charges,0.355373472,,,,,,,,,,0.44,percent of total billed charges,0.560448471,,,,,,,,,,0.44,percent of total billed charges,999999999,,,,,,,,,,0.44,percent of total billed charges,0.383179515,,,,,,,,,,1.584,percent of total billed charges,,,,,
ORTHOPOXVIRUS,87498,CDM,,,,both,,,514,514,109.4223475,514,514,percent of total billed charges,378.1680602,,,,514,percent of total billed charges,400.8506665,,,,514,percent of total billed charges,378.1680602,,,,514,percent of total billed charges,400.8506665,,,,514,percent of total billed charges,999999999,,,,514,percent of total billed charges,391.632673,,,,514,percent of total billed charges,378.1680602,,,,514,percent of total billed charges,400.8506665,,,,366.482,percent of total billed charges,182.8812246,,,,366.482,percent of total billed charges,109.4223475,,,,366.482,percent of total billed charges,182.8812246,,,,366.482,percent of total billed charges,109.4223475,,,,366.482,percent of total billed charges,182.8812246,,,,366.482,percent of total billed charges,109.4223475,,,,362.884,percent of total billed charges,360.1307004,,,,362.884,percent of total billed charges,248.3792897,,,,,,,,,,370.08,percent of total billed charges,240.5432912,,,,,,,,,,370.08,percent of total billed charges,999999999,,,,,,,,,,411.2,percent of total billed charges,344.5642251,,,,406.06,percent of total billed charges,391.8653748,,,,406.06,percent of total billed charges,346.2260299,,,,411.2,percent of total billed charges,999999999,,,,411.2,percent of total billed charges,999999999,,,,359.8,percent of total billed charges,999999999,,,,359.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,273.448,percent of total billed charges,999999999,,,,,,,,,,,,,,,,259.57,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,128.5,percent of total billed charges,122.0435678,,,,,,,,,,128.5,percent of total billed charges,120.013456,,,,,,,,,,128.5,percent of total billed charges,119.6799438,,,,,,,,,,128.5,percent of total billed charges,117.9176581,,,,,,,,,,128.5,percent of total billed charges,120.9518528,,,,,,,,,,128.5,percent of total billed charges,999999999,,,,,,,,,,128.5,percent of total billed charges,103.7852071,,,,,,,,,,128.5,percent of total billed charges,163.6764286,,,,,,,,,,128.5,percent of total billed charges,999999999,,,,,,,,,,128.5,percent of total billed charges,111.9058358,,,,,,,,,,462.6,percent of total billed charges,,,,,
**WEEKLY WEIGHT CHECK MONITOR,Local,Local,,,,both,,,24,24,5.109214671,24,24,percent of total billed charges,17.65765262,,,,24,percent of total billed charges,18.71676264,,,,24,percent of total billed charges,17.65765262,,,,24,percent of total billed charges,18.71676264,,,,24,percent of total billed charges,999999999,,,,24,percent of total billed charges,18.28635049,,,,24,percent of total billed charges,17.65765262,,,,24,percent of total billed charges,18.71676264,,,,17.112,percent of total billed charges,8.53920115,,,,17.112,percent of total billed charges,5.109214671,,,,17.112,percent of total billed charges,8.53920115,,,,17.112,percent of total billed charges,5.109214671,,,,17.112,percent of total billed charges,8.53920115,,,,17.112,percent of total billed charges,5.109214671,,,,16.944,percent of total billed charges,16.81544127,,,,16.944,percent of total billed charges,11.59747656,,,,,,,,,,17.28,percent of total billed charges,11.23159337,,,,,,,,,,17.28,percent of total billed charges,999999999,,,,,,,,,,19.2,percent of total billed charges,16.08860195,,,,18.96,percent of total billed charges,18.29721594,,,,18.96,percent of total billed charges,16.16619595,,,,19.2,percent of total billed charges,999999999,,,,19.2,percent of total billed charges,999999999,,,,16.8,percent of total billed charges,999999999,,,,16.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,12.768,percent of total billed charges,999999999,,,,,,,,,,,,,,,,12.12,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6,percent of total billed charges,5.698532346,,,,,,,,,,6,percent of total billed charges,5.603741138,,,,,,,,,,6,percent of total billed charges,5.588168582,,,,,,,,,,6,percent of total billed charges,5.505882867,,,,,,,,,,6,percent of total billed charges,5.647557328,,,,,,,,,,6,percent of total billed charges,999999999,,,,,,,,,,6,percent of total billed charges,4.846001888,,,,,,,,,,6,percent of total billed charges,7.642479156,,,,,,,,,,6,percent of total billed charges,999999999,,,,,,,,,,6,percent of total billed charges,5.22517521,,,,,,,,,,21.6,percent of total billed charges,,,,,
**MEDICAL NUTRITION THERAPY 60 MIN,Local,Local,,,,both,,,102,102,21.71416235,102,102,percent of total billed charges,75.04502362,,,,102,percent of total billed charges,79.54624122,,,,102,percent of total billed charges,75.04502362,,,,102,percent of total billed charges,79.54624122,,,,102,percent of total billed charges,999999999,,,,102,percent of total billed charges,77.71698958,,,,102,percent of total billed charges,75.04502362,,,,102,percent of total billed charges,79.54624122,,,,72.726,percent of total billed charges,36.29160489,,,,72.726,percent of total billed charges,21.71416235,,,,72.726,percent of total billed charges,36.29160489,,,,72.726,percent of total billed charges,21.71416235,,,,72.726,percent of total billed charges,36.29160489,,,,72.726,percent of total billed charges,21.71416235,,,,72.012,percent of total billed charges,71.46562538,,,,72.012,percent of total billed charges,49.28927538,,,,,,,,,,73.44,percent of total billed charges,47.7342718,,,,,,,,,,73.44,percent of total billed charges,999999999,,,,,,,,,,81.6,percent of total billed charges,68.37655829,,,,80.58,percent of total billed charges,77.76316775,,,,80.58,percent of total billed charges,68.70633279,,,,81.6,percent of total billed charges,999999999,,,,81.6,percent of total billed charges,999999999,,,,71.4,percent of total billed charges,999999999,,,,71.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,54.264,percent of total billed charges,999999999,,,,,,,,,,,,,,,,51.51,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,25.5,percent of total billed charges,24.21876247,,,,,,,,,,25.5,percent of total billed charges,23.81589984,,,,,,,,,,25.5,percent of total billed charges,23.74971647,,,,,,,,,,25.5,percent of total billed charges,23.40000219,,,,,,,,,,25.5,percent of total billed charges,24.00211864,,,,,,,,,,25.5,percent of total billed charges,999999999,,,,,,,,,,25.5,percent of total billed charges,20.59550803,,,,,,,,,,25.5,percent of total billed charges,32.48053641,,,,,,,,,,25.5,percent of total billed charges,999999999,,,,,,,,,,25.5,percent of total billed charges,22.20699464,,,,,,,,,,91.8,percent of total billed charges,,,,,
**MEDICAL NUTRITION THERAPY 30 MIN,Local,Local,,,,both,,,53,53,11.28284907,53,53,percent of total billed charges,38.99398286,,,,53,percent of total billed charges,41.33285083,,,,53,percent of total billed charges,38.99398286,,,,53,percent of total billed charges,41.33285083,,,,53,percent of total billed charges,999999999,,,,53,percent of total billed charges,40.38235733,,,,53,percent of total billed charges,38.99398286,,,,53,percent of total billed charges,41.33285083,,,,37.789,percent of total billed charges,18.85740254,,,,37.789,percent of total billed charges,11.28284907,,,,37.789,percent of total billed charges,18.85740254,,,,37.789,percent of total billed charges,11.28284907,,,,37.789,percent of total billed charges,18.85740254,,,,37.789,percent of total billed charges,11.28284907,,,,37.418,percent of total billed charges,37.13409946,,,,37.418,percent of total billed charges,25.61109407,,,,,,,,,,38.16,percent of total billed charges,24.80310201,,,,,,,,,,38.16,percent of total billed charges,999999999,,,,,,,,,,42.4,percent of total billed charges,35.52899597,,,,41.87,percent of total billed charges,40.40635187,,,,41.87,percent of total billed charges,35.70034939,,,,42.4,percent of total billed charges,999999999,,,,42.4,percent of total billed charges,999999999,,,,37.1,percent of total billed charges,999999999,,,,37.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,28.196,percent of total billed charges,999999999,,,,,,,,,,,,,,,,26.765,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13.25,percent of total billed charges,12.58425893,,,,,,,,,,13.25,percent of total billed charges,12.37492835,,,,,,,,,,13.25,percent of total billed charges,12.34053895,,,,,,,,,,13.25,percent of total billed charges,12.15882466,,,,,,,,,,13.25,percent of total billed charges,12.4716891,,,,,,,,,,13.25,percent of total billed charges,999999999,,,,,,,,,,13.25,percent of total billed charges,10.7015875,,,,,,,,,,13.25,percent of total billed charges,16.87714147,,,,,,,,,,13.25,percent of total billed charges,999999999,,,,,,,,,,13.25,percent of total billed charges,11.53892859,,,,,,,,,,47.7,percent of total billed charges,,,,,
**GUARD MEAL,Local,Local,,,,both,,,16,16,3.406143114,16,16,percent of total billed charges,11.77176841,,,,16,percent of total billed charges,12.47784176,,,,16,percent of total billed charges,11.77176841,,,,16,percent of total billed charges,12.47784176,,,,16,percent of total billed charges,999999999,,,,16,percent of total billed charges,12.19090033,,,,16,percent of total billed charges,11.77176841,,,,16,percent of total billed charges,12.47784176,,,,11.408,percent of total billed charges,5.692800767,,,,11.408,percent of total billed charges,3.406143114,,,,11.408,percent of total billed charges,5.692800767,,,,11.408,percent of total billed charges,3.406143114,,,,11.408,percent of total billed charges,5.692800767,,,,11.408,percent of total billed charges,3.406143114,,,,11.296,percent of total billed charges,11.21029418,,,,11.296,percent of total billed charges,7.731651041,,,,,,,,,,11.52,percent of total billed charges,7.48772891,,,,,,,,,,11.52,percent of total billed charges,999999999,,,,,,,,,,12.8,percent of total billed charges,10.72573463,,,,12.64,percent of total billed charges,12.19814396,,,,12.64,percent of total billed charges,10.77746397,,,,12.8,percent of total billed charges,999999999,,,,12.8,percent of total billed charges,999999999,,,,11.2,percent of total billed charges,999999999,,,,11.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,8.512,percent of total billed charges,999999999,,,,,,,,,,,,,,,,8.08,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4,percent of total billed charges,3.799021564,,,,,,,,,,4,percent of total billed charges,3.735827425,,,,,,,,,,4,percent of total billed charges,3.725445721,,,,,,,,,,4,percent of total billed charges,3.670588578,,,,,,,,,,4,percent of total billed charges,3.765038218,,,,,,,,,,4,percent of total billed charges,999999999,,,,,,,,,,4,percent of total billed charges,3.230667926,,,,,,,,,,4,percent of total billed charges,5.094986104,,,,,,,,,,4,percent of total billed charges,999999999,,,,,,,,,,4,percent of total billed charges,3.48345014,,,,,,,,,,14.4,percent of total billed charges,,,,,
**GUEST MEAL,Local,Local,,,,both,,,19,19,4.044794948,19,19,percent of total billed charges,13.97897499,,,,19,percent of total billed charges,14.81743709,,,,19,percent of total billed charges,13.97897499,,,,19,percent of total billed charges,14.81743709,,,,19,percent of total billed charges,999999999,,,,19,percent of total billed charges,14.47669414,,,,19,percent of total billed charges,13.97897499,,,,19,percent of total billed charges,14.81743709,,,,13.547,percent of total billed charges,6.760200911,,,,13.547,percent of total billed charges,4.044794948,,,,13.547,percent of total billed charges,6.760200911,,,,13.547,percent of total billed charges,4.044794948,,,,13.547,percent of total billed charges,6.760200911,,,,13.547,percent of total billed charges,4.044794948,,,,13.414,percent of total billed charges,13.31222434,,,,13.414,percent of total billed charges,9.181335611,,,,,,,,,,13.68,percent of total billed charges,8.891678081,,,,,,,,,,13.68,percent of total billed charges,999999999,,,,,,,,,,15.2,percent of total billed charges,12.73680988,,,,15.01,percent of total billed charges,14.48529595,,,,15.01,percent of total billed charges,12.79823846,,,,15.2,percent of total billed charges,999999999,,,,15.2,percent of total billed charges,999999999,,,,13.3,percent of total billed charges,999999999,,,,13.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,10.108,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.595,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4.75,percent of total billed charges,4.511338108,,,,,,,,,,4.75,percent of total billed charges,4.436295068,,,,,,,,,,4.75,percent of total billed charges,4.423966794,,,,,,,,,,4.75,percent of total billed charges,4.358823937,,,,,,,,,,4.75,percent of total billed charges,4.470982884,,,,,,,,,,4.75,percent of total billed charges,999999999,,,,,,,,,,4.75,percent of total billed charges,3.836418162,,,,,,,,,,4.75,percent of total billed charges,6.050295999,,,,,,,,,,4.75,percent of total billed charges,999999999,,,,,,,,,,4.75,percent of total billed charges,4.136597042,,,,,,,,,,17.1,percent of total billed charges,,,,,
**S N F PERSONAL LINEN,Local,Local,,,,both,,,13,13,2.76749128,13,13,percent of total billed charges,9.564561834,,,,13,percent of total billed charges,10.13824643,,,,13,percent of total billed charges,9.564561834,,,,13,percent of total billed charges,10.13824643,,,,13,percent of total billed charges,999999999,,,,13,percent of total billed charges,9.905106516,,,,13,percent of total billed charges,9.564561834,,,,13,percent of total billed charges,10.13824643,,,,9.269,percent of total billed charges,4.625400623,,,,9.269,percent of total billed charges,2.76749128,,,,9.269,percent of total billed charges,4.625400623,,,,9.269,percent of total billed charges,2.76749128,,,,9.269,percent of total billed charges,4.625400623,,,,9.269,percent of total billed charges,2.76749128,,,,9.178,percent of total billed charges,9.108364019,,,,9.178,percent of total billed charges,6.281966471,,,,,,,,,,9.36,percent of total billed charges,6.083779739,,,,,,,,,,9.36,percent of total billed charges,999999999,,,,,,,,,,10.4,percent of total billed charges,8.71465939,,,,10.27,percent of total billed charges,9.910991969,,,,10.27,percent of total billed charges,8.756689473,,,,10.4,percent of total billed charges,999999999,,,,10.4,percent of total billed charges,999999999,,,,9.1,percent of total billed charges,999999999,,,,9.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.916,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.565,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3.25,percent of total billed charges,3.086705021,,,,,,,,,,3.25,percent of total billed charges,3.035359783,,,,,,,,,,3.25,percent of total billed charges,3.026924648,,,,,,,,,,3.25,percent of total billed charges,2.98235322,,,,,,,,,,3.25,percent of total billed charges,3.059093552,,,,,,,,,,3.25,percent of total billed charges,999999999,,,,,,,,,,3.25,percent of total billed charges,2.624917689,,,,,,,,,,3.25,percent of total billed charges,4.13967621,,,,,,,,,,3.25,percent of total billed charges,999999999,,,,,,,,,,3.25,percent of total billed charges,2.830303239,,,,,,,,,,11.7,percent of total billed charges,,,,,
**CCMC HK LINEN,Local,Local,,,,both,,,13,13,2.76749128,13,13,percent of total billed charges,9.564561834,,,,13,percent of total billed charges,10.13824643,,,,13,percent of total billed charges,9.564561834,,,,13,percent of total billed charges,10.13824643,,,,13,percent of total billed charges,999999999,,,,13,percent of total billed charges,9.905106516,,,,13,percent of total billed charges,9.564561834,,,,13,percent of total billed charges,10.13824643,,,,9.269,percent of total billed charges,4.625400623,,,,9.269,percent of total billed charges,2.76749128,,,,9.269,percent of total billed charges,4.625400623,,,,9.269,percent of total billed charges,2.76749128,,,,9.269,percent of total billed charges,4.625400623,,,,9.269,percent of total billed charges,2.76749128,,,,9.178,percent of total billed charges,9.108364019,,,,9.178,percent of total billed charges,6.281966471,,,,,,,,,,9.36,percent of total billed charges,6.083779739,,,,,,,,,,9.36,percent of total billed charges,999999999,,,,,,,,,,10.4,percent of total billed charges,8.71465939,,,,10.27,percent of total billed charges,9.910991969,,,,10.27,percent of total billed charges,8.756689473,,,,10.4,percent of total billed charges,999999999,,,,10.4,percent of total billed charges,999999999,,,,9.1,percent of total billed charges,999999999,,,,9.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.916,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.565,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3.25,percent of total billed charges,3.086705021,,,,,,,,,,3.25,percent of total billed charges,3.035359783,,,,,,,,,,3.25,percent of total billed charges,3.026924648,,,,,,,,,,3.25,percent of total billed charges,2.98235322,,,,,,,,,,3.25,percent of total billed charges,3.059093552,,,,,,,,,,3.25,percent of total billed charges,999999999,,,,,,,,,,3.25,percent of total billed charges,2.624917689,,,,,,,,,,3.25,percent of total billed charges,4.13967621,,,,,,,,,,3.25,percent of total billed charges,999999999,,,,,,,,,,3.25,percent of total billed charges,2.830303239,,,,,,,,,,11.7,percent of total billed charges,,,,,
**DR HARDING LINEN,Local,Local,,,,both,,,13,13,2.76749128,13,13,percent of total billed charges,9.564561834,,,,13,percent of total billed charges,10.13824643,,,,13,percent of total billed charges,9.564561834,,,,13,percent of total billed charges,10.13824643,,,,13,percent of total billed charges,999999999,,,,13,percent of total billed charges,9.905106516,,,,13,percent of total billed charges,9.564561834,,,,13,percent of total billed charges,10.13824643,,,,9.269,percent of total billed charges,4.625400623,,,,9.269,percent of total billed charges,2.76749128,,,,9.269,percent of total billed charges,4.625400623,,,,9.269,percent of total billed charges,2.76749128,,,,9.269,percent of total billed charges,4.625400623,,,,9.269,percent of total billed charges,2.76749128,,,,9.178,percent of total billed charges,9.108364019,,,,9.178,percent of total billed charges,6.281966471,,,,,,,,,,9.36,percent of total billed charges,6.083779739,,,,,,,,,,9.36,percent of total billed charges,999999999,,,,,,,,,,10.4,percent of total billed charges,8.71465939,,,,10.27,percent of total billed charges,9.910991969,,,,10.27,percent of total billed charges,8.756689473,,,,10.4,percent of total billed charges,999999999,,,,10.4,percent of total billed charges,999999999,,,,9.1,percent of total billed charges,999999999,,,,9.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.916,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.565,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3.25,percent of total billed charges,3.086705021,,,,,,,,,,3.25,percent of total billed charges,3.035359783,,,,,,,,,,3.25,percent of total billed charges,3.026924648,,,,,,,,,,3.25,percent of total billed charges,2.98235322,,,,,,,,,,3.25,percent of total billed charges,3.059093552,,,,,,,,,,3.25,percent of total billed charges,999999999,,,,,,,,,,3.25,percent of total billed charges,2.624917689,,,,,,,,,,3.25,percent of total billed charges,4.13967621,,,,,,,,,,3.25,percent of total billed charges,999999999,,,,,,,,,,3.25,percent of total billed charges,2.830303239,,,,,,,,,,11.7,percent of total billed charges,,,,,
**ADVANTAGE 55 MEMBERSHIP,Local,Local,,,,both,,,19,19,4.044794948,19,19,percent of total billed charges,13.97897499,,,,19,percent of total billed charges,14.81743709,,,,19,percent of total billed charges,13.97897499,,,,19,percent of total billed charges,14.81743709,,,,19,percent of total billed charges,999999999,,,,19,percent of total billed charges,14.47669414,,,,19,percent of total billed charges,13.97897499,,,,19,percent of total billed charges,14.81743709,,,,13.547,percent of total billed charges,6.760200911,,,,13.547,percent of total billed charges,4.044794948,,,,13.547,percent of total billed charges,6.760200911,,,,13.547,percent of total billed charges,4.044794948,,,,13.547,percent of total billed charges,6.760200911,,,,13.547,percent of total billed charges,4.044794948,,,,13.414,percent of total billed charges,13.31222434,,,,13.414,percent of total billed charges,9.181335611,,,,,,,,,,13.68,percent of total billed charges,8.891678081,,,,,,,,,,13.68,percent of total billed charges,999999999,,,,,,,,,,15.2,percent of total billed charges,12.73680988,,,,15.01,percent of total billed charges,14.48529595,,,,15.01,percent of total billed charges,12.79823846,,,,15.2,percent of total billed charges,999999999,,,,15.2,percent of total billed charges,999999999,,,,13.3,percent of total billed charges,999999999,,,,13.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,10.108,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.595,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4.75,percent of total billed charges,4.511338108,,,,,,,,,,4.75,percent of total billed charges,4.436295068,,,,,,,,,,4.75,percent of total billed charges,4.423966794,,,,,,,,,,4.75,percent of total billed charges,4.358823937,,,,,,,,,,4.75,percent of total billed charges,4.470982884,,,,,,,,,,4.75,percent of total billed charges,999999999,,,,,,,,,,4.75,percent of total billed charges,3.836418162,,,,,,,,,,4.75,percent of total billed charges,6.050295999,,,,,,,,,,4.75,percent of total billed charges,999999999,,,,,,,,,,4.75,percent of total billed charges,4.136597042,,,,,,,,,,17.1,percent of total billed charges,,,,,
VACCINE ADMIN-PNEUMOCOCCAL,G0009,CDM,,,,both,,,119,119,25.33318941,119,119,percent of total billed charges,87.55252756,,,,119,percent of total billed charges,92.80394809,,,,119,percent of total billed charges,87.55252756,,,,119,percent of total billed charges,92.80394809,,,,119,percent of total billed charges,999999999,,,,119,percent of total billed charges,90.66982118,,,,119,percent of total billed charges,87.55252756,,,,119,percent of total billed charges,92.80394809,,,,84.847,percent of total billed charges,42.3402057,,,,84.847,percent of total billed charges,25.33318941,,,,84.847,percent of total billed charges,42.3402057,,,,84.847,percent of total billed charges,25.33318941,,,,84.847,percent of total billed charges,42.3402057,,,,84.847,percent of total billed charges,25.33318941,,,,84.014,percent of total billed charges,83.37656294,,,,84.014,percent of total billed charges,57.50415461,,,,,,,,,,85.68,percent of total billed charges,55.68998377,,,,,,,,,,85.68,percent of total billed charges,999999999,,,,,,,,,,95.2,percent of total billed charges,79.77265134,,,,94.01,percent of total billed charges,90.72369571,,,,94.01,percent of total billed charges,80.15738826,,,,95.2,percent of total billed charges,999999999,,,,95.2,percent of total billed charges,999999999,,,,83.3,percent of total billed charges,999999999,,,,83.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,63.308,percent of total billed charges,999999999,,,,,,,,,,,,,,,,60.095,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,29.75,percent of total billed charges,28.25522288,,,,,,,,,,29.75,percent of total billed charges,27.78521648,,,,,,,,,,29.75,percent of total billed charges,27.70800255,,,,,,,,,,29.75,percent of total billed charges,27.30000255,,,,,,,,,,29.75,percent of total billed charges,28.00247175,,,,,,,,,,29.75,percent of total billed charges,999999999,,,,,,,,,,29.75,percent of total billed charges,24.0280927,,,,,,,,,,29.75,percent of total billed charges,37.89395915,,,,,,,,,,29.75,percent of total billed charges,999999999,,,,,,,,,,29.75,percent of total billed charges,25.90816042,,,,,,,,,,107.1,percent of total billed charges,,,,,
VACCINE ADMIN-INFLUENZA,G0008,CDM,,,,both,,,78,78,16.60494768,78,78,percent of total billed charges,57.38737101,,,,78,percent of total billed charges,60.82947858,,,,78,percent of total billed charges,57.38737101,,,,78,percent of total billed charges,60.82947858,,,,78,percent of total billed charges,999999999,,,,78,percent of total billed charges,59.43063909,,,,78,percent of total billed charges,57.38737101,,,,78,percent of total billed charges,60.82947858,,,,55.614,percent of total billed charges,27.75240374,,,,55.614,percent of total billed charges,16.60494768,,,,55.614,percent of total billed charges,27.75240374,,,,55.614,percent of total billed charges,16.60494768,,,,55.614,percent of total billed charges,27.75240374,,,,55.614,percent of total billed charges,16.60494768,,,,55.068,percent of total billed charges,54.65018411,,,,55.068,percent of total billed charges,37.69179882,,,,,,,,,,56.16,percent of total billed charges,36.50267844,,,,,,,,,,56.16,percent of total billed charges,999999999,,,,,,,,,,62.4,percent of total billed charges,52.28795634,,,,61.62,percent of total billed charges,59.46595181,,,,61.62,percent of total billed charges,52.54013684,,,,62.4,percent of total billed charges,999999999,,,,62.4,percent of total billed charges,999999999,,,,54.6,percent of total billed charges,999999999,,,,54.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,41.496,percent of total billed charges,999999999,,,,,,,,,,,,,,,,39.39,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19.5,percent of total billed charges,18.52023013,,,,,,,,,,19.5,percent of total billed charges,18.2121587,,,,,,,,,,19.5,percent of total billed charges,18.16154789,,,,,,,,,,19.5,percent of total billed charges,17.89411932,,,,,,,,,,19.5,percent of total billed charges,18.35456131,,,,,,,,,,19.5,percent of total billed charges,999999999,,,,,,,,,,19.5,percent of total billed charges,15.74950614,,,,,,,,,,19.5,percent of total billed charges,24.83805726,,,,,,,,,,19.5,percent of total billed charges,999999999,,,,,,,,,,19.5,percent of total billed charges,16.98181943,,,,,,,,,,70.2,percent of total billed charges,,,,,
**INTRAVENOUS INJ THERAP OR DX CPT,96374,CDM,,,,both,,,209,209,44.49274443,209,209,percent of total billed charges,153.7687249,,,,209,percent of total billed charges,162.991808,,,,209,percent of total billed charges,153.7687249,,,,209,percent of total billed charges,162.991808,,,,209,percent of total billed charges,999999999,,,,209,percent of total billed charges,159.2436355,,,,209,percent of total billed charges,153.7687249,,,,209,percent of total billed charges,162.991808,,,,149.017,percent of total billed charges,74.36221002,,,,149.017,percent of total billed charges,44.49274443,,,,149.017,percent of total billed charges,74.36221002,,,,149.017,percent of total billed charges,44.49274443,,,,149.017,percent of total billed charges,74.36221002,,,,149.017,percent of total billed charges,44.49274443,,,,147.554,percent of total billed charges,146.4344677,,,,147.554,percent of total billed charges,100.9946917,,,,,,,,,,150.48,percent of total billed charges,97.80845889,,,,,,,,,,150.48,percent of total billed charges,999999999,,,,,,,,,,167.2,percent of total billed charges,140.1049087,,,,165.11,percent of total billed charges,159.3382555,,,,165.11,percent of total billed charges,140.7806231,,,,167.2,percent of total billed charges,999999999,,,,167.2,percent of total billed charges,999999999,,,,146.3,percent of total billed charges,999999999,,,,146.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,111.188,percent of total billed charges,999999999,,,,,,,,,,,,,,,,105.545,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,52.25,percent of total billed charges,49.62471918,,,,,,,,,,52.25,percent of total billed charges,48.79924575,,,,,,,,,,52.25,percent of total billed charges,48.66363473,,,,,,,,,,52.25,percent of total billed charges,47.9470633,,,,,,,,,,52.25,percent of total billed charges,49.18081173,,,,,,,,,,52.25,percent of total billed charges,999999999,,,,,,,,,,52.25,percent of total billed charges,42.20059978,,,,,,,,,,52.25,percent of total billed charges,66.55325599,,,,,,,,,,52.25,percent of total billed charges,999999999,,,,,,,,,,52.25,percent of total billed charges,45.50256746,,,,,,,,,,188.1,percent of total billed charges,,,,,
**INTRAVENOUS INJ SEQ THERAPY OR DX CPT,96375,CDM,,,,both,,,209,209,44.49274443,209,209,percent of total billed charges,153.7687249,,,,209,percent of total billed charges,162.991808,,,,209,percent of total billed charges,153.7687249,,,,209,percent of total billed charges,162.991808,,,,209,percent of total billed charges,999999999,,,,209,percent of total billed charges,159.2436355,,,,209,percent of total billed charges,153.7687249,,,,209,percent of total billed charges,162.991808,,,,149.017,percent of total billed charges,74.36221002,,,,149.017,percent of total billed charges,44.49274443,,,,149.017,percent of total billed charges,74.36221002,,,,149.017,percent of total billed charges,44.49274443,,,,149.017,percent of total billed charges,74.36221002,,,,149.017,percent of total billed charges,44.49274443,,,,147.554,percent of total billed charges,146.4344677,,,,147.554,percent of total billed charges,100.9946917,,,,,,,,,,150.48,percent of total billed charges,97.80845889,,,,,,,,,,150.48,percent of total billed charges,999999999,,,,,,,,,,167.2,percent of total billed charges,140.1049087,,,,165.11,percent of total billed charges,159.3382555,,,,165.11,percent of total billed charges,140.7806231,,,,167.2,percent of total billed charges,999999999,,,,167.2,percent of total billed charges,999999999,,,,146.3,percent of total billed charges,999999999,,,,146.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,111.188,percent of total billed charges,999999999,,,,,,,,,,,,,,,,105.545,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,52.25,percent of total billed charges,49.62471918,,,,,,,,,,52.25,percent of total billed charges,48.79924575,,,,,,,,,,52.25,percent of total billed charges,48.66363473,,,,,,,,,,52.25,percent of total billed charges,47.9470633,,,,,,,,,,52.25,percent of total billed charges,49.18081173,,,,,,,,,,52.25,percent of total billed charges,999999999,,,,,,,,,,52.25,percent of total billed charges,42.20059978,,,,,,,,,,52.25,percent of total billed charges,66.55325599,,,,,,,,,,52.25,percent of total billed charges,999999999,,,,,,,,,,52.25,percent of total billed charges,45.50256746,,,,,,,,,,188.1,percent of total billed charges,,,,,
**IV INFUS HYDRATION UP TO 1 HOUR CPT,96360,CDM,,,,both,,,380,380,80.89589896,380,380,percent of total billed charges,279.5794998,,,,380,percent of total billed charges,296.3487418,,,,380,percent of total billed charges,279.5794998,,,,380,percent of total billed charges,296.3487418,,,,380,percent of total billed charges,999999999,,,,380,percent of total billed charges,289.5338828,,,,380,percent of total billed charges,279.5794998,,,,380,percent of total billed charges,296.3487418,,,,270.94,percent of total billed charges,135.2040182,,,,270.94,percent of total billed charges,80.89589896,,,,270.94,percent of total billed charges,135.2040182,,,,270.94,percent of total billed charges,80.89589896,,,,270.94,percent of total billed charges,135.2040182,,,,270.94,percent of total billed charges,80.89589896,,,,268.28,percent of total billed charges,266.2444867,,,,268.28,percent of total billed charges,183.6267122,,,,,,,,,,273.6,percent of total billed charges,177.8335616,,,,,,,,,,273.6,percent of total billed charges,999999999,,,,,,,,,,304,percent of total billed charges,254.7361975,,,,300.2,percent of total billed charges,289.7059191,,,,300.2,percent of total billed charges,255.9647692,,,,304,percent of total billed charges,999999999,,,,304,percent of total billed charges,999999999,,,,266,percent of total billed charges,999999999,,,,266,percent of total billed charges,999999999,,,,,,,,,,,,,,,,202.16,percent of total billed charges,999999999,,,,,,,,,,,,,,,,191.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,95,percent of total billed charges,90.22676215,,,,,,,,,,95,percent of total billed charges,88.72590135,,,,,,,,,,95,percent of total billed charges,88.47933587,,,,,,,,,,95,percent of total billed charges,87.17647873,,,,,,,,,,95,percent of total billed charges,89.41965769,,,,,,,,,,95,percent of total billed charges,999999999,,,,,,,,,,95,percent of total billed charges,76.72836323,,,,,,,,,,95,percent of total billed charges,121.00592,,,,,,,,,,95,percent of total billed charges,999999999,,,,,,,,,,95,percent of total billed charges,82.73194083,,,,,,,,,,342,percent of total billed charges,,,,,
**IV INFUSION HYDRATE ADD ON,96361,CDM,,,,both,,,380,380,80.89589896,380,380,percent of total billed charges,279.5794998,,,,380,percent of total billed charges,296.3487418,,,,380,percent of total billed charges,279.5794998,,,,380,percent of total billed charges,296.3487418,,,,380,percent of total billed charges,999999999,,,,380,percent of total billed charges,289.5338828,,,,380,percent of total billed charges,279.5794998,,,,380,percent of total billed charges,296.3487418,,,,270.94,percent of total billed charges,135.2040182,,,,270.94,percent of total billed charges,80.89589896,,,,270.94,percent of total billed charges,135.2040182,,,,270.94,percent of total billed charges,80.89589896,,,,270.94,percent of total billed charges,135.2040182,,,,270.94,percent of total billed charges,80.89589896,,,,268.28,percent of total billed charges,266.2444867,,,,268.28,percent of total billed charges,183.6267122,,,,,,,,,,273.6,percent of total billed charges,177.8335616,,,,,,,,,,273.6,percent of total billed charges,999999999,,,,,,,,,,304,percent of total billed charges,254.7361975,,,,300.2,percent of total billed charges,289.7059191,,,,300.2,percent of total billed charges,255.9647692,,,,304,percent of total billed charges,999999999,,,,304,percent of total billed charges,999999999,,,,266,percent of total billed charges,999999999,,,,266,percent of total billed charges,999999999,,,,,,,,,,,,,,,,202.16,percent of total billed charges,999999999,,,,,,,,,,,,,,,,191.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,95,percent of total billed charges,90.22676215,,,,,,,,,,95,percent of total billed charges,88.72590135,,,,,,,,,,95,percent of total billed charges,88.47933587,,,,,,,,,,95,percent of total billed charges,87.17647873,,,,,,,,,,95,percent of total billed charges,89.41965769,,,,,,,,,,95,percent of total billed charges,999999999,,,,,,,,,,95,percent of total billed charges,76.72836323,,,,,,,,,,95,percent of total billed charges,121.00592,,,,,,,,,,95,percent of total billed charges,999999999,,,,,,,,,,95,percent of total billed charges,82.73194083,,,,,,,,,,342,percent of total billed charges,,,,,
**IV INFUS THERAPY UP TO 1 HOUR CPT,96365,CDM,,,,both,,,380,380,80.89589896,380,380,percent of total billed charges,279.5794998,,,,380,percent of total billed charges,296.3487418,,,,380,percent of total billed charges,279.5794998,,,,380,percent of total billed charges,296.3487418,,,,380,percent of total billed charges,999999999,,,,380,percent of total billed charges,289.5338828,,,,380,percent of total billed charges,279.5794998,,,,380,percent of total billed charges,296.3487418,,,,270.94,percent of total billed charges,135.2040182,,,,270.94,percent of total billed charges,80.89589896,,,,270.94,percent of total billed charges,135.2040182,,,,270.94,percent of total billed charges,80.89589896,,,,270.94,percent of total billed charges,135.2040182,,,,270.94,percent of total billed charges,80.89589896,,,,268.28,percent of total billed charges,266.2444867,,,,268.28,percent of total billed charges,183.6267122,,,,,,,,,,273.6,percent of total billed charges,177.8335616,,,,,,,,,,273.6,percent of total billed charges,999999999,,,,,,,,,,304,percent of total billed charges,254.7361975,,,,300.2,percent of total billed charges,289.7059191,,,,300.2,percent of total billed charges,255.9647692,,,,304,percent of total billed charges,999999999,,,,304,percent of total billed charges,999999999,,,,266,percent of total billed charges,999999999,,,,266,percent of total billed charges,999999999,,,,,,,,,,,,,,,,202.16,percent of total billed charges,999999999,,,,,,,,,,,,,,,,191.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,95,percent of total billed charges,90.22676215,,,,,,,,,,95,percent of total billed charges,88.72590135,,,,,,,,,,95,percent of total billed charges,88.47933587,,,,,,,,,,95,percent of total billed charges,87.17647873,,,,,,,,,,95,percent of total billed charges,89.41965769,,,,,,,,,,95,percent of total billed charges,999999999,,,,,,,,,,95,percent of total billed charges,76.72836323,,,,,,,,,,95,percent of total billed charges,121.00592,,,,,,,,,,95,percent of total billed charges,999999999,,,,,,,,,,95,percent of total billed charges,82.73194083,,,,,,,,,,342,percent of total billed charges,,,,,
**IV INF THER/PROPH/DG ADD ON,96366,CDM,,,,both,,,380,380,80.89589896,380,380,percent of total billed charges,279.5794998,,,,380,percent of total billed charges,296.3487418,,,,380,percent of total billed charges,279.5794998,,,,380,percent of total billed charges,296.3487418,,,,380,percent of total billed charges,999999999,,,,380,percent of total billed charges,289.5338828,,,,380,percent of total billed charges,279.5794998,,,,380,percent of total billed charges,296.3487418,,,,270.94,percent of total billed charges,135.2040182,,,,270.94,percent of total billed charges,80.89589896,,,,270.94,percent of total billed charges,135.2040182,,,,270.94,percent of total billed charges,80.89589896,,,,270.94,percent of total billed charges,135.2040182,,,,270.94,percent of total billed charges,80.89589896,,,,268.28,percent of total billed charges,266.2444867,,,,268.28,percent of total billed charges,183.6267122,,,,,,,,,,273.6,percent of total billed charges,177.8335616,,,,,,,,,,273.6,percent of total billed charges,999999999,,,,,,,,,,304,percent of total billed charges,254.7361975,,,,300.2,percent of total billed charges,289.7059191,,,,300.2,percent of total billed charges,255.9647692,,,,304,percent of total billed charges,999999999,,,,304,percent of total billed charges,999999999,,,,266,percent of total billed charges,999999999,,,,266,percent of total billed charges,999999999,,,,,,,,,,,,,,,,202.16,percent of total billed charges,999999999,,,,,,,,,,,,,,,,191.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,95,percent of total billed charges,90.22676215,,,,,,,,,,95,percent of total billed charges,88.72590135,,,,,,,,,,95,percent of total billed charges,88.47933587,,,,,,,,,,95,percent of total billed charges,87.17647873,,,,,,,,,,95,percent of total billed charges,89.41965769,,,,,,,,,,95,percent of total billed charges,999999999,,,,,,,,,,95,percent of total billed charges,76.72836323,,,,,,,,,,95,percent of total billed charges,121.00592,,,,,,,,,,95,percent of total billed charges,999999999,,,,,,,,,,95,percent of total billed charges,82.73194083,,,,,,,,,,342,percent of total billed charges,,,,,
**IV INFUS THERAPY SEQ UP TO 1HR CPT,96367,CDM,,,,both,,,380,380,80.89589896,380,380,percent of total billed charges,279.5794998,,,,380,percent of total billed charges,296.3487418,,,,380,percent of total billed charges,279.5794998,,,,380,percent of total billed charges,296.3487418,,,,380,percent of total billed charges,999999999,,,,380,percent of total billed charges,289.5338828,,,,380,percent of total billed charges,279.5794998,,,,380,percent of total billed charges,296.3487418,,,,270.94,percent of total billed charges,135.2040182,,,,270.94,percent of total billed charges,80.89589896,,,,270.94,percent of total billed charges,135.2040182,,,,270.94,percent of total billed charges,80.89589896,,,,270.94,percent of total billed charges,135.2040182,,,,270.94,percent of total billed charges,80.89589896,,,,268.28,percent of total billed charges,266.2444867,,,,268.28,percent of total billed charges,183.6267122,,,,,,,,,,273.6,percent of total billed charges,177.8335616,,,,,,,,,,273.6,percent of total billed charges,999999999,,,,,,,,,,304,percent of total billed charges,254.7361975,,,,300.2,percent of total billed charges,289.7059191,,,,300.2,percent of total billed charges,255.9647692,,,,304,percent of total billed charges,999999999,,,,304,percent of total billed charges,999999999,,,,266,percent of total billed charges,999999999,,,,266,percent of total billed charges,999999999,,,,,,,,,,,,,,,,202.16,percent of total billed charges,999999999,,,,,,,,,,,,,,,,191.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,95,percent of total billed charges,90.22676215,,,,,,,,,,95,percent of total billed charges,88.72590135,,,,,,,,,,95,percent of total billed charges,88.47933587,,,,,,,,,,95,percent of total billed charges,87.17647873,,,,,,,,,,95,percent of total billed charges,89.41965769,,,,,,,,,,95,percent of total billed charges,999999999,,,,,,,,,,95,percent of total billed charges,76.72836323,,,,,,,,,,95,percent of total billed charges,121.00592,,,,,,,,,,95,percent of total billed charges,999999999,,,,,,,,,,95,percent of total billed charges,82.73194083,,,,,,,,,,342,percent of total billed charges,,,,,
**IV INFUS THERAPY CON UP TO 1HR CPT,96368,CDM,,,,both,,,380,380,80.89589896,380,380,percent of total billed charges,279.5794998,,,,380,percent of total billed charges,296.3487418,,,,380,percent of total billed charges,279.5794998,,,,380,percent of total billed charges,296.3487418,,,,380,percent of total billed charges,999999999,,,,380,percent of total billed charges,289.5338828,,,,380,percent of total billed charges,279.5794998,,,,380,percent of total billed charges,296.3487418,,,,270.94,percent of total billed charges,135.2040182,,,,270.94,percent of total billed charges,80.89589896,,,,270.94,percent of total billed charges,135.2040182,,,,270.94,percent of total billed charges,80.89589896,,,,270.94,percent of total billed charges,135.2040182,,,,270.94,percent of total billed charges,80.89589896,,,,268.28,percent of total billed charges,266.2444867,,,,268.28,percent of total billed charges,183.6267122,,,,,,,,,,273.6,percent of total billed charges,177.8335616,,,,,,,,,,273.6,percent of total billed charges,999999999,,,,,,,,,,304,percent of total billed charges,254.7361975,,,,300.2,percent of total billed charges,289.7059191,,,,300.2,percent of total billed charges,255.9647692,,,,304,percent of total billed charges,999999999,,,,304,percent of total billed charges,999999999,,,,266,percent of total billed charges,999999999,,,,266,percent of total billed charges,999999999,,,,,,,,,,,,,,,,202.16,percent of total billed charges,999999999,,,,,,,,,,,,,,,,191.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,95,percent of total billed charges,90.22676215,,,,,,,,,,95,percent of total billed charges,88.72590135,,,,,,,,,,95,percent of total billed charges,88.47933587,,,,,,,,,,95,percent of total billed charges,87.17647873,,,,,,,,,,95,percent of total billed charges,89.41965769,,,,,,,,,,95,percent of total billed charges,999999999,,,,,,,,,,95,percent of total billed charges,76.72836323,,,,,,,,,,95,percent of total billed charges,121.00592,,,,,,,,,,95,percent of total billed charges,999999999,,,,,,,,,,95,percent of total billed charges,82.73194083,,,,,,,,,,342,percent of total billed charges,,,,,
**RBC ANTIBODY ELUTION,86860,CDM,,,,both,,,281,281,59.82038844,281,281,percent of total billed charges,206.7416827,,,,281,percent of total billed charges,219.1420959,,,,281,percent of total billed charges,206.7416827,,,,281,percent of total billed charges,219.1420959,,,,281,percent of total billed charges,999999999,,,,281,percent of total billed charges,214.102687,,,,281,percent of total billed charges,206.7416827,,,,281,percent of total billed charges,219.1420959,,,,200.353,percent of total billed charges,99.97981347,,,,200.353,percent of total billed charges,59.82038844,,,,200.353,percent of total billed charges,99.97981347,,,,200.353,percent of total billed charges,59.82038844,,,,200.353,percent of total billed charges,99.97981347,,,,200.353,percent of total billed charges,59.82038844,,,,198.386,percent of total billed charges,196.8807915,,,,198.386,percent of total billed charges,135.7871214,,,,,,,,,,202.32,percent of total billed charges,131.503239,,,,,,,,,,202.32,percent of total billed charges,999999999,,,,,,,,,,224.8,percent of total billed charges,188.3707145,,,,221.99,percent of total billed charges,214.2299033,,,,221.99,percent of total billed charges,189.2792109,,,,224.8,percent of total billed charges,999999999,,,,224.8,percent of total billed charges,999999999,,,,196.7,percent of total billed charges,999999999,,,,196.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,149.492,percent of total billed charges,999999999,,,,,,,,,,,,,,,,141.905,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,70.25,percent of total billed charges,66.72031622,,,,,,,,,,70.25,percent of total billed charges,65.61046916,,,,,,,,,,70.25,percent of total billed charges,65.42814048,,,,,,,,,,70.25,percent of total billed charges,64.4647119,,,,,,,,,,70.25,percent of total billed charges,66.12348371,,,,,,,,,,70.25,percent of total billed charges,999999999,,,,,,,,,,70.25,percent of total billed charges,56.73860544,,,,,,,,,,70.25,percent of total billed charges,89.48069346,,,,,,,,,,70.25,percent of total billed charges,999999999,,,,,,,,,,70.25,percent of total billed charges,61.17809309,,,,,,,,,,252.9,percent of total billed charges,,,,,
**AMOXICILLIN SUSP 200 MG:,Local,Local,,,,both,,,27,27,5.747866505,27,27,percent of total billed charges,19.86485919,,,,27,percent of total billed charges,21.05635797,,,,27,percent of total billed charges,19.86485919,,,,27,percent of total billed charges,21.05635797,,,,27,percent of total billed charges,999999999,,,,27,percent of total billed charges,20.5721443,,,,27,percent of total billed charges,19.86485919,,,,27,percent of total billed charges,21.05635797,,,,19.251,percent of total billed charges,9.606601294,,,,19.251,percent of total billed charges,5.747866505,,,,19.251,percent of total billed charges,9.606601294,,,,19.251,percent of total billed charges,5.747866505,,,,19.251,percent of total billed charges,9.606601294,,,,19.251,percent of total billed charges,5.747866505,,,,19.062,percent of total billed charges,18.91737142,,,,19.062,percent of total billed charges,13.04716113,,,,,,,,,,19.44,percent of total billed charges,12.63554254,,,,,,,,,,19.44,percent of total billed charges,999999999,,,,,,,,,,21.6,percent of total billed charges,18.09967719,,,,21.33,percent of total billed charges,20.58436793,,,,21.33,percent of total billed charges,18.18697044,,,,21.6,percent of total billed charges,999999999,,,,21.6,percent of total billed charges,999999999,,,,18.9,percent of total billed charges,999999999,,,,18.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,14.364,percent of total billed charges,999999999,,,,,,,,,,,,,,,,13.635,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6.75,percent of total billed charges,6.41084889,,,,,,,,,,6.75,percent of total billed charges,6.30420878,,,,,,,,,,6.75,percent of total billed charges,6.286689654,,,,,,,,,,6.75,percent of total billed charges,6.194118226,,,,,,,,,,6.75,percent of total billed charges,6.353501993,,,,,,,,,,6.75,percent of total billed charges,999999999,,,,,,,,,,6.75,percent of total billed charges,5.451752124,,,,,,,,,,6.75,percent of total billed charges,8.597789051,,,,,,,,,,6.75,percent of total billed charges,999999999,,,,,,,,,,6.75,percent of total billed charges,5.878322112,,,,,,,,,,24.3,percent of total billed charges,,,,,
**IBUPROFEN(MOTRIN) SUSP: 100MG,Local,Local,,,,both,,,24,24,5.109214671,24,24,percent of total billed charges,17.65765262,,,,24,percent of total billed charges,18.71676264,,,,24,percent of total billed charges,17.65765262,,,,24,percent of total billed charges,18.71676264,,,,24,percent of total billed charges,999999999,,,,24,percent of total billed charges,18.28635049,,,,24,percent of total billed charges,17.65765262,,,,24,percent of total billed charges,18.71676264,,,,17.112,percent of total billed charges,8.53920115,,,,17.112,percent of total billed charges,5.109214671,,,,17.112,percent of total billed charges,8.53920115,,,,17.112,percent of total billed charges,5.109214671,,,,17.112,percent of total billed charges,8.53920115,,,,17.112,percent of total billed charges,5.109214671,,,,16.944,percent of total billed charges,16.81544127,,,,16.944,percent of total billed charges,11.59747656,,,,,,,,,,17.28,percent of total billed charges,11.23159337,,,,,,,,,,17.28,percent of total billed charges,999999999,,,,,,,,,,19.2,percent of total billed charges,16.08860195,,,,18.96,percent of total billed charges,18.29721594,,,,18.96,percent of total billed charges,16.16619595,,,,19.2,percent of total billed charges,999999999,,,,19.2,percent of total billed charges,999999999,,,,16.8,percent of total billed charges,999999999,,,,16.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,12.768,percent of total billed charges,999999999,,,,,,,,,,,,,,,,12.12,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6,percent of total billed charges,5.698532346,,,,,,,,,,6,percent of total billed charges,5.603741138,,,,,,,,,,6,percent of total billed charges,5.588168582,,,,,,,,,,6,percent of total billed charges,5.505882867,,,,,,,,,,6,percent of total billed charges,5.647557328,,,,,,,,,,6,percent of total billed charges,999999999,,,,,,,,,,6,percent of total billed charges,4.846001888,,,,,,,,,,6,percent of total billed charges,7.642479156,,,,,,,,,,6,percent of total billed charges,999999999,,,,,,,,,,6,percent of total billed charges,5.22517521,,,,,,,,,,21.6,percent of total billed charges,,,,,
**INFLUENZA VACCINE (FLUMIST) 2016 - 17,90672,CDM,,,,both,,,108,108,22.99146602,108,108,percent of total billed charges,79.45943678,,,,108,percent of total billed charges,84.22543188,,,,108,percent of total billed charges,79.45943678,,,,108,percent of total billed charges,84.22543188,,,,108,percent of total billed charges,999999999,,,,108,percent of total billed charges,82.28857721,,,,108,percent of total billed charges,79.45943678,,,,108,percent of total billed charges,84.22543188,,,,77.004,percent of total billed charges,38.42640518,,,,77.004,percent of total billed charges,22.99146602,,,,77.004,percent of total billed charges,38.42640518,,,,77.004,percent of total billed charges,22.99146602,,,,77.004,percent of total billed charges,38.42640518,,,,77.004,percent of total billed charges,22.99146602,,,,76.248,percent of total billed charges,75.6694857,,,,76.248,percent of total billed charges,52.18864452,,,,,,,,,,77.76,percent of total billed charges,50.54217014,,,,,,,,,,77.76,percent of total billed charges,999999999,,,,,,,,,,86.4,percent of total billed charges,72.39870878,,,,85.32,percent of total billed charges,82.33747174,,,,85.32,percent of total billed charges,72.74788178,,,,86.4,percent of total billed charges,999999999,,,,86.4,percent of total billed charges,999999999,,,,75.6,percent of total billed charges,999999999,,,,75.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,57.456,percent of total billed charges,999999999,,,,,,,,,,,,,,,,54.54,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,27,percent of total billed charges,25.64339556,,,,,,,,,,27,percent of total billed charges,25.21683512,,,,,,,,,,27,percent of total billed charges,25.14675862,,,,,,,,,,27,percent of total billed charges,24.7764729,,,,,,,,,,27,percent of total billed charges,25.41400797,,,,,,,,,,27,percent of total billed charges,999999999,,,,,,,,,,27,percent of total billed charges,21.8070085,,,,,,,,,,27,percent of total billed charges,34.3911562,,,,,,,,,,27,percent of total billed charges,999999999,,,,,,,,,,27,percent of total billed charges,23.51328845,,,,,,,,,,97.2,percent of total billed charges,,,,,
**IV INFUS HYDRATION UP TO 8HRS CPT,96361,CDM,,,,both,,,380,380,80.89589896,380,380,percent of total billed charges,279.5794998,,,,380,percent of total billed charges,296.3487418,,,,380,percent of total billed charges,279.5794998,,,,380,percent of total billed charges,296.3487418,,,,380,percent of total billed charges,999999999,,,,380,percent of total billed charges,289.5338828,,,,380,percent of total billed charges,279.5794998,,,,380,percent of total billed charges,296.3487418,,,,270.94,percent of total billed charges,135.2040182,,,,270.94,percent of total billed charges,80.89589896,,,,270.94,percent of total billed charges,135.2040182,,,,270.94,percent of total billed charges,80.89589896,,,,270.94,percent of total billed charges,135.2040182,,,,270.94,percent of total billed charges,80.89589896,,,,268.28,percent of total billed charges,266.2444867,,,,268.28,percent of total billed charges,183.6267122,,,,,,,,,,273.6,percent of total billed charges,177.8335616,,,,,,,,,,273.6,percent of total billed charges,999999999,,,,,,,,,,304,percent of total billed charges,254.7361975,,,,300.2,percent of total billed charges,289.7059191,,,,300.2,percent of total billed charges,255.9647692,,,,304,percent of total billed charges,999999999,,,,304,percent of total billed charges,999999999,,,,266,percent of total billed charges,999999999,,,,266,percent of total billed charges,999999999,,,,,,,,,,,,,,,,202.16,percent of total billed charges,999999999,,,,,,,,,,,,,,,,191.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,95,percent of total billed charges,90.22676215,,,,,,,,,,95,percent of total billed charges,88.72590135,,,,,,,,,,95,percent of total billed charges,88.47933587,,,,,,,,,,95,percent of total billed charges,87.17647873,,,,,,,,,,95,percent of total billed charges,89.41965769,,,,,,,,,,95,percent of total billed charges,999999999,,,,,,,,,,95,percent of total billed charges,76.72836323,,,,,,,,,,95,percent of total billed charges,121.00592,,,,,,,,,,95,percent of total billed charges,999999999,,,,,,,,,,95,percent of total billed charges,82.73194083,,,,,,,,,,342,percent of total billed charges,,,,,
**NURSING SERVICES CHEST TUBE INSERTION,Local,Local,,,,both,,,338,338,71.95477328,338,338,percent of total billed charges,248.6786077,,,,338,percent of total billed charges,263.5944072,,,,338,percent of total billed charges,248.6786077,,,,338,percent of total billed charges,263.5944072,,,,338,percent of total billed charges,999999999,,,,338,percent of total billed charges,257.5327694,,,,338,percent of total billed charges,248.6786077,,,,338,percent of total billed charges,263.5944072,,,,240.994,percent of total billed charges,120.2604162,,,,240.994,percent of total billed charges,71.95477328,,,,240.994,percent of total billed charges,120.2604162,,,,240.994,percent of total billed charges,71.95477328,,,,240.994,percent of total billed charges,120.2604162,,,,240.994,percent of total billed charges,71.95477328,,,,238.628,percent of total billed charges,236.8174645,,,,238.628,percent of total billed charges,163.3311282,,,,,,,,,,243.36,percent of total billed charges,158.1782732,,,,,,,,,,243.36,percent of total billed charges,999999999,,,,,,,,,,270.4,percent of total billed charges,226.5811441,,,,267.02,percent of total billed charges,257.6857912,,,,267.02,percent of total billed charges,227.6739263,,,,270.4,percent of total billed charges,999999999,,,,270.4,percent of total billed charges,999999999,,,,236.6,percent of total billed charges,999999999,,,,236.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,179.816,percent of total billed charges,999999999,,,,,,,,,,,,,,,,170.69,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,84.5,percent of total billed charges,80.25433054,,,,,,,,,,84.5,percent of total billed charges,78.91935436,,,,,,,,,,84.5,percent of total billed charges,78.70004086,,,,,,,,,,84.5,percent of total billed charges,77.54118371,,,,,,,,,,84.5,percent of total billed charges,79.53643236,,,,,,,,,,84.5,percent of total billed charges,999999999,,,,,,,,,,84.5,percent of total billed charges,68.24785993,,,,,,,,,,84.5,percent of total billed charges,107.6315815,,,,,,,,,,84.5,percent of total billed charges,999999999,,,,,,,,,,84.5,percent of total billed charges,73.58788421,,,,,,,,,,304.2,percent of total billed charges,,,,,
**INTRAVENOUS INJ TH OR DX SEQ CPT,96375,CDM,,,,both,,,209,209,44.49274443,209,209,percent of total billed charges,153.7687249,,,,209,percent of total billed charges,162.991808,,,,209,percent of total billed charges,153.7687249,,,,209,percent of total billed charges,162.991808,,,,209,percent of total billed charges,999999999,,,,209,percent of total billed charges,159.2436355,,,,209,percent of total billed charges,153.7687249,,,,209,percent of total billed charges,162.991808,,,,149.017,percent of total billed charges,74.36221002,,,,149.017,percent of total billed charges,44.49274443,,,,149.017,percent of total billed charges,74.36221002,,,,149.017,percent of total billed charges,44.49274443,,,,149.017,percent of total billed charges,74.36221002,,,,149.017,percent of total billed charges,44.49274443,,,,147.554,percent of total billed charges,146.4344677,,,,147.554,percent of total billed charges,100.9946917,,,,,,,,,,150.48,percent of total billed charges,97.80845889,,,,,,,,,,150.48,percent of total billed charges,999999999,,,,,,,,,,167.2,percent of total billed charges,140.1049087,,,,165.11,percent of total billed charges,159.3382555,,,,165.11,percent of total billed charges,140.7806231,,,,167.2,percent of total billed charges,999999999,,,,167.2,percent of total billed charges,999999999,,,,146.3,percent of total billed charges,999999999,,,,146.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,111.188,percent of total billed charges,999999999,,,,,,,,,,,,,,,,105.545,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,52.25,percent of total billed charges,49.62471918,,,,,,,,,,52.25,percent of total billed charges,48.79924575,,,,,,,,,,52.25,percent of total billed charges,48.66363473,,,,,,,,,,52.25,percent of total billed charges,47.9470633,,,,,,,,,,52.25,percent of total billed charges,49.18081173,,,,,,,,,,52.25,percent of total billed charges,999999999,,,,,,,,,,52.25,percent of total billed charges,42.20059978,,,,,,,,,,52.25,percent of total billed charges,66.55325599,,,,,,,,,,52.25,percent of total billed charges,999999999,,,,,,,,,,52.25,percent of total billed charges,45.50256746,,,,,,,,,,188.1,percent of total billed charges,,,,,
**ICU RN TRANSFER PER HR,Local,Local,,,,both,,,535,535,113.8929104,535,535,percent of total billed charges,393.6185063,,,,535,percent of total billed charges,417.2278339,,,,535,percent of total billed charges,393.6185063,,,,535,percent of total billed charges,417.2278339,,,,535,percent of total billed charges,999999999,,,,535,percent of total billed charges,407.6332297,,,,535,percent of total billed charges,393.6185063,,,,535,percent of total billed charges,417.2278339,,,,381.455,percent of total billed charges,190.3530256,,,,381.455,percent of total billed charges,113.8929104,,,,381.455,percent of total billed charges,190.3530256,,,,381.455,percent of total billed charges,113.8929104,,,,381.455,percent of total billed charges,190.3530256,,,,381.455,percent of total billed charges,113.8929104,,,,377.71,percent of total billed charges,374.8442115,,,,377.71,percent of total billed charges,258.5270817,,,,,,,,,,385.2,percent of total billed charges,250.3709354,,,,,,,,,,385.2,percent of total billed charges,999999999,,,,,,,,,,428,percent of total billed charges,358.6417518,,,,422.65,percent of total billed charges,407.8754387,,,,422.65,percent of total billed charges,360.3714514,,,,428,percent of total billed charges,999999999,,,,428,percent of total billed charges,999999999,,,,374.5,percent of total billed charges,999999999,,,,374.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,284.62,percent of total billed charges,999999999,,,,,,,,,,,,,,,,270.175,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,133.75,percent of total billed charges,127.0297836,,,,,,,,,,133.75,percent of total billed charges,124.9167295,,,,,,,,,,133.75,percent of total billed charges,124.5695913,,,,,,,,,,133.75,percent of total billed charges,122.7353056,,,,,,,,,,133.75,percent of total billed charges,125.8934654,,,,,,,,,,133.75,percent of total billed charges,999999999,,,,,,,,,,133.75,percent of total billed charges,108.0254588,,,,,,,,,,133.75,percent of total billed charges,170.3635979,,,,,,,,,,133.75,percent of total billed charges,999999999,,,,,,,,,,133.75,percent of total billed charges,116.4778641,,,,,,,,,,481.5,percent of total billed charges,,,,,
**ICU LPN TRANSFER PER HR,Local,Local,,,,both,,,402,402,85.57934574,402,402,percent of total billed charges,295.7656813,,,,402,percent of total billed charges,313.5057742,,,,402,percent of total billed charges,295.7656813,,,,402,percent of total billed charges,313.5057742,,,,402,percent of total billed charges,999999999,,,,402,percent of total billed charges,306.2963707,,,,402,percent of total billed charges,295.7656813,,,,402,percent of total billed charges,313.5057742,,,,286.626,percent of total billed charges,143.0316193,,,,286.626,percent of total billed charges,85.57934574,,,,286.626,percent of total billed charges,143.0316193,,,,286.626,percent of total billed charges,85.57934574,,,,286.626,percent of total billed charges,143.0316193,,,,286.626,percent of total billed charges,85.57934574,,,,283.812,percent of total billed charges,281.6586412,,,,283.812,percent of total billed charges,194.2577324,,,,,,,,,,289.44,percent of total billed charges,188.1291889,,,,,,,,,,289.44,percent of total billed charges,999999999,,,,,,,,,,321.6,percent of total billed charges,269.4840827,,,,317.58,percent of total billed charges,306.478367,,,,317.58,percent of total billed charges,270.7837822,,,,321.6,percent of total billed charges,999999999,,,,321.6,percent of total billed charges,999999999,,,,281.4,percent of total billed charges,999999999,,,,281.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,213.864,percent of total billed charges,999999999,,,,,,,,,,,,,,,,203.01,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,100.5,percent of total billed charges,95.4504168,,,,,,,,,,100.5,percent of total billed charges,93.86266406,,,,,,,,,,100.5,percent of total billed charges,93.60182374,,,,,,,,,,100.5,percent of total billed charges,92.22353803,,,,,,,,,,100.5,percent of total billed charges,94.59658524,,,,,,,,,,100.5,percent of total billed charges,999999999,,,,,,,,,,100.5,percent of total billed charges,81.17053163,,,,,,,,,,100.5,percent of total billed charges,128.0115259,,,,,,,,,,100.5,percent of total billed charges,999999999,,,,,,,,,,100.5,percent of total billed charges,87.52168477,,,,,,,,,,361.8,percent of total billed charges,,,,,
"**TRANSBROCHIAL LUNG BIOPSY, 1 LOBE",31628,CDM,,,,both,,,2597,2597,552.8596042,2597,2597,percent of total billed charges,1910.70516,,,,2597,percent of total billed charges,2025.309691,,,,2597,percent of total billed charges,1910.70516,,,,2597,percent of total billed charges,2025.309691,,,,2597,percent of total billed charges,999999999,,,,2597,percent of total billed charges,1978.735509,,,,2597,percent of total billed charges,1910.70516,,,,2597,percent of total billed charges,2025.309691,,,,1851.661,percent of total billed charges,924.0127245,,,,1851.661,percent of total billed charges,552.8596042,,,,1851.661,percent of total billed charges,924.0127245,,,,1851.661,percent of total billed charges,552.8596042,,,,1851.661,percent of total billed charges,924.0127245,,,,1851.661,percent of total billed charges,552.8596042,,,,1833.482,percent of total billed charges,1819.570874,,,,1833.482,percent of total billed charges,1254.94361,,,,,,,,,,1869.84,percent of total billed charges,1215.351999,,,,,,,,,,1869.84,percent of total billed charges,999999999,,,,,,,,,,2077.6,percent of total billed charges,1740.920803,,,,2051.63,percent of total billed charges,1979.911242,,,,2051.63,percent of total billed charges,1749.31712,,,,2077.6,percent of total billed charges,999999999,,,,2077.6,percent of total billed charges,999999999,,,,1817.9,percent of total billed charges,999999999,,,,1817.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1381.604,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1311.485,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,649.25,percent of total billed charges,616.6286876,,,,,,,,,,649.25,percent of total billed charges,606.371489,,,,,,,,,,649.25,percent of total billed charges,604.6864086,,,,,,,,,,649.25,percent of total billed charges,595.7824086,,,,,,,,,,649.25,percent of total billed charges,611.1127658,,,,,,,,,,649.25,percent of total billed charges,999999999,,,,,,,,,,649.25,percent of total billed charges,524.3777877,,,,,,,,,,649.25,percent of total billed charges,826.9799321,,,,,,,,,,649.25,percent of total billed charges,999999999,,,,,,,,,,649.25,percent of total billed charges,565.4075009,,,,,,,,,,2337.3,percent of total billed charges,,,,,
**DIAGNOSTIC BRONCHOSCOPY,31622,CDM,,,,both,,,1603,1603,341.2529632,1603,1603,percent of total billed charges,1179.384048,,,,1603,percent of total billed charges,1250.123771,,,,1603,percent of total billed charges,1179.384048,,,,1603,percent of total billed charges,1250.123771,,,,1603,percent of total billed charges,999999999,,,,1603,percent of total billed charges,1221.375826,,,,1603,percent of total billed charges,1179.384048,,,,1603,percent of total billed charges,1250.123771,,,,1142.939,percent of total billed charges,570.3474768,,,,1142.939,percent of total billed charges,341.2529632,,,,1142.939,percent of total billed charges,570.3474768,,,,1142.939,percent of total billed charges,341.2529632,,,,1142.939,percent of total billed charges,570.3474768,,,,1142.939,percent of total billed charges,341.2529632,,,,1131.718,percent of total billed charges,1123.131348,,,,1131.718,percent of total billed charges,774.6147886,,,,,,,,,,1154.16,percent of total billed charges,750.1768402,,,,,,,,,,1154.16,percent of total billed charges,999999999,,,,,,,,,,1282.4,percent of total billed charges,1074.584539,,,,1266.37,percent of total billed charges,1222.101548,,,,1266.37,percent of total billed charges,1079.767171,,,,1282.4,percent of total billed charges,999999999,,,,1282.4,percent of total billed charges,999999999,,,,1122.1,percent of total billed charges,999999999,,,,1122.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,852.796,percent of total billed charges,999999999,,,,,,,,,,,,,,,,809.515,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,400.75,percent of total billed charges,380.614473,,,,,,,,,,400.75,percent of total billed charges,374.2832102,,,,,,,,,,400.75,percent of total billed charges,373.2430932,,,,,,,,,,400.75,percent of total billed charges,367.7470932,,,,,,,,,,400.75,percent of total billed charges,377.2097665,,,,,,,,,,400.75,percent of total billed charges,999999999,,,,,,,,,,400.75,percent of total billed charges,323.6725428,,,,,,,,,,400.75,percent of total billed charges,510.4539203,,,,,,,,,,400.75,percent of total billed charges,999999999,,,,,,,,,,400.75,percent of total billed charges,348.9981609,,,,,,,,,,1442.7,percent of total billed charges,,,,,
**CAPNOGRAPHY MOUTHPIECE-DISP,Local,Local,,,,both,,,366,366,77.91552373,366,366,percent of total billed charges,269.2792024,,,,366,percent of total billed charges,285.4306303,,,,366,percent of total billed charges,269.2792024,,,,366,percent of total billed charges,285.4306303,,,,366,percent of total billed charges,999999999,,,,366,percent of total billed charges,278.866845,,,,366,percent of total billed charges,269.2792024,,,,366,percent of total billed charges,285.4306303,,,,260.958,percent of total billed charges,130.2228175,,,,260.958,percent of total billed charges,77.91552373,,,,260.958,percent of total billed charges,130.2228175,,,,260.958,percent of total billed charges,77.91552373,,,,260.958,percent of total billed charges,130.2228175,,,,260.958,percent of total billed charges,77.91552373,,,,258.396,percent of total billed charges,256.4354793,,,,258.396,percent of total billed charges,176.8615176,,,,,,,,,,263.52,percent of total billed charges,171.2817988,,,,,,,,,,263.52,percent of total billed charges,999999999,,,,,,,,,,292.8,percent of total billed charges,245.3511797,,,,289.14,percent of total billed charges,279.0325431,,,,289.14,percent of total billed charges,246.5344882,,,,292.8,percent of total billed charges,999999999,,,,292.8,percent of total billed charges,999999999,,,,256.2,percent of total billed charges,999999999,,,,256.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,194.712,percent of total billed charges,999999999,,,,,,,,,,,,,,,,184.83,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,91.5,percent of total billed charges,86.90261828,,,,,,,,,,91.5,percent of total billed charges,85.45705236,,,,,,,,,,91.5,percent of total billed charges,85.21957087,,,,,,,,,,91.5,percent of total billed charges,83.96471372,,,,,,,,,,91.5,percent of total billed charges,86.12524924,,,,,,,,,,91.5,percent of total billed charges,999999999,,,,,,,,,,91.5,percent of total billed charges,73.9015288,,,,,,,,,,91.5,percent of total billed charges,116.5478071,,,,,,,,,,91.5,percent of total billed charges,999999999,,,,,,,,,,91.5,percent of total billed charges,79.68392196,,,,,,,,,,329.4,percent of total billed charges,,,,,
**CAPNOGRAPHY MONITOR PROCEDURE,94799,CDM,,,,both,,,169,169,35.97738664,169,169,percent of total billed charges,124.3393038,,,,169,percent of total billed charges,131.7972036,,,,169,percent of total billed charges,124.3393038,,,,169,percent of total billed charges,131.7972036,,,,169,percent of total billed charges,999999999,,,,169,percent of total billed charges,128.7663847,,,,169,percent of total billed charges,124.3393038,,,,169,percent of total billed charges,131.7972036,,,,120.497,percent of total billed charges,60.1302081,,,,120.497,percent of total billed charges,35.97738664,,,,120.497,percent of total billed charges,60.1302081,,,,120.497,percent of total billed charges,35.97738664,,,,120.497,percent of total billed charges,60.1302081,,,,120.497,percent of total billed charges,35.97738664,,,,119.314,percent of total billed charges,118.4087322,,,,119.314,percent of total billed charges,81.66556412,,,,,,,,,,121.68,percent of total billed charges,79.08913661,,,,,,,,,,121.68,percent of total billed charges,999999999,,,,,,,,,,135.2,percent of total billed charges,113.2905721,,,,133.51,percent of total billed charges,128.8428956,,,,133.51,percent of total billed charges,113.8369632,,,,135.2,percent of total billed charges,999999999,,,,135.2,percent of total billed charges,999999999,,,,118.3,percent of total billed charges,999999999,,,,118.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,89.908,percent of total billed charges,999999999,,,,,,,,,,,,,,,,85.345,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,42.25,percent of total billed charges,40.12716527,,,,,,,,,,42.25,percent of total billed charges,39.45967718,,,,,,,,,,42.25,percent of total billed charges,39.35002043,,,,,,,,,,42.25,percent of total billed charges,38.77059186,,,,,,,,,,42.25,percent of total billed charges,39.76821618,,,,,,,,,,42.25,percent of total billed charges,999999999,,,,,,,,,,42.25,percent of total billed charges,34.12392996,,,,,,,,,,42.25,percent of total billed charges,53.81579073,,,,,,,,,,42.25,percent of total billed charges,999999999,,,,,,,,,,42.25,percent of total billed charges,36.79394211,,,,,,,,,,152.1,percent of total billed charges,,,,,
**BRONCHOSCOPY WITH BIOPSY,31625,CDM,,,,both,,,1446,1446,307.8301839,1446,1446,percent of total billed charges,1063.87357,,,,1446,percent of total billed charges,1127.684949,,,,1446,percent of total billed charges,1063.87357,,,,1446,percent of total billed charges,1127.684949,,,,1446,percent of total billed charges,999999999,,,,1446,percent of total billed charges,1101.752617,,,,1446,percent of total billed charges,1063.87357,,,,1446,percent of total billed charges,1127.684949,,,,1030.998,percent of total billed charges,514.4868693,,,,1030.998,percent of total billed charges,307.8301839,,,,1030.998,percent of total billed charges,514.4868693,,,,1030.998,percent of total billed charges,307.8301839,,,,1030.998,percent of total billed charges,514.4868693,,,,1030.998,percent of total billed charges,307.8301839,,,,1020.876,percent of total billed charges,1013.130336,,,,1020.876,percent of total billed charges,698.7479628,,,,,,,,,,1041.12,percent of total billed charges,676.7035002,,,,,,,,,,1041.12,percent of total billed charges,999999999,,,,,,,,,,1156.8,percent of total billed charges,969.3382675,,,,1142.34,percent of total billed charges,1102.407261,,,,1142.34,percent of total billed charges,974.013306,,,,1156.8,percent of total billed charges,999999999,,,,1156.8,percent of total billed charges,999999999,,,,1012.2,percent of total billed charges,999999999,,,,1012.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,769.272,percent of total billed charges,999999999,,,,,,,,,,,,,,,,730.23,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,361.5,percent of total billed charges,343.3365739,,,,,,,,,,361.5,percent of total billed charges,337.6254036,,,,,,,,,,361.5,percent of total billed charges,336.687157,,,,,,,,,,361.5,percent of total billed charges,331.7294427,,,,,,,,,,361.5,percent of total billed charges,340.265329,,,,,,,,,,361.5,percent of total billed charges,999999999,,,,,,,,,,361.5,percent of total billed charges,291.9716138,,,,,,,,,,361.5,percent of total billed charges,460.4593692,,,,,,,,,,361.5,percent of total billed charges,999999999,,,,,,,,,,361.5,percent of total billed charges,314.8168064,,,,,,,,,,1301.4,percent of total billed charges,,,,,
**MONITOR FOR TRANSFER,93236,CDM,,,,both,,,822,822,174.9906025,822,822,percent of total billed charges,604.7746021,,,,822,percent of total billed charges,641.0491204,,,,822,percent of total billed charges,604.7746021,,,,822,percent of total billed charges,641.0491204,,,,822,percent of total billed charges,999999999,,,,822,percent of total billed charges,626.3075043,,,,822,percent of total billed charges,604.7746021,,,,822,percent of total billed charges,641.0491204,,,,586.086,percent of total billed charges,292.4676394,,,,586.086,percent of total billed charges,174.9906025,,,,586.086,percent of total billed charges,292.4676394,,,,586.086,percent of total billed charges,174.9906025,,,,586.086,percent of total billed charges,292.4676394,,,,586.086,percent of total billed charges,174.9906025,,,,580.332,percent of total billed charges,575.9288634,,,,580.332,percent of total billed charges,397.2135722,,,,,,,,,,591.84,percent of total billed charges,384.6820728,,,,,,,,,,591.84,percent of total billed charges,999999999,,,,,,,,,,657.6,percent of total billed charges,551.0346168,,,,649.38,percent of total billed charges,626.679646,,,,649.38,percent of total billed charges,553.6922113,,,,657.6,percent of total billed charges,999999999,,,,657.6,percent of total billed charges,999999999,,,,575.4,percent of total billed charges,999999999,,,,575.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,437.304,percent of total billed charges,999999999,,,,,,,,,,,,,,,,415.11,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,205.5,percent of total billed charges,195.1747329,,,,,,,,,,205.5,percent of total billed charges,191.928134,,,,,,,,,,205.5,percent of total billed charges,191.3947739,,,,,,,,,,205.5,percent of total billed charges,188.5764882,,,,,,,,,,205.5,percent of total billed charges,193.4288385,,,,,,,,,,205.5,percent of total billed charges,999999999,,,,,,,,,,205.5,percent of total billed charges,165.9755647,,,,,,,,,,205.5,percent of total billed charges,261.7549111,,,,,,,,,,205.5,percent of total billed charges,999999999,,,,,,,,,,205.5,percent of total billed charges,178.962251,,,,,,,,,,739.8,percent of total billed charges,,,,,
**CARDIOPULMONARY RESUSCITATION,92950,CDM,,,,both,,,530,530,112.8284907,530,530,percent of total billed charges,389.9398286,,,,530,percent of total billed charges,413.3285083,,,,530,percent of total billed charges,389.9398286,,,,530,percent of total billed charges,413.3285083,,,,530,percent of total billed charges,999999999,,,,530,percent of total billed charges,403.8235733,,,,530,percent of total billed charges,389.9398286,,,,530,percent of total billed charges,413.3285083,,,,377.89,percent of total billed charges,188.5740254,,,,377.89,percent of total billed charges,112.8284907,,,,377.89,percent of total billed charges,188.5740254,,,,377.89,percent of total billed charges,112.8284907,,,,377.89,percent of total billed charges,188.5740254,,,,377.89,percent of total billed charges,112.8284907,,,,374.18,percent of total billed charges,371.3409946,,,,374.18,percent of total billed charges,256.1109407,,,,,,,,,,381.6,percent of total billed charges,248.0310201,,,,,,,,,,381.6,percent of total billed charges,999999999,,,,,,,,,,424,percent of total billed charges,355.2899597,,,,418.7,percent of total billed charges,404.0635187,,,,418.7,percent of total billed charges,357.0034939,,,,424,percent of total billed charges,999999999,,,,424,percent of total billed charges,999999999,,,,371,percent of total billed charges,999999999,,,,371,percent of total billed charges,999999999,,,,,,,,,,,,,,,,281.96,percent of total billed charges,999999999,,,,,,,,,,,,,,,,267.65,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,132.5,percent of total billed charges,125.8425893,,,,,,,,,,132.5,percent of total billed charges,123.7492835,,,,,,,,,,132.5,percent of total billed charges,123.4053895,,,,,,,,,,132.5,percent of total billed charges,121.5882466,,,,,,,,,,132.5,percent of total billed charges,124.716891,,,,,,,,,,132.5,percent of total billed charges,999999999,,,,,,,,,,132.5,percent of total billed charges,107.015875,,,,,,,,,,132.5,percent of total billed charges,168.7714147,,,,,,,,,,132.5,percent of total billed charges,999999999,,,,,,,,,,132.5,percent of total billed charges,115.3892859,,,,,,,,,,477,percent of total billed charges,,,,,
**PACER ELECTRODES-DISP,Local,Local,,,,both,,,573,573,121.9825003,573,573,percent of total billed charges,421.5764562,,,,573,percent of total billed charges,446.862708,,,,573,percent of total billed charges,421.5764562,,,,573,percent of total billed charges,446.862708,,,,573,percent of total billed charges,999999999,,,,573,percent of total billed charges,436.586618,,,,573,percent of total billed charges,421.5764562,,,,573,percent of total billed charges,446.862708,,,,408.549,percent of total billed charges,203.8734275,,,,408.549,percent of total billed charges,121.9825003,,,,408.549,percent of total billed charges,203.8734275,,,,408.549,percent of total billed charges,121.9825003,,,,408.549,percent of total billed charges,203.8734275,,,,408.549,percent of total billed charges,121.9825003,,,,404.538,percent of total billed charges,401.4686602,,,,404.538,percent of total billed charges,276.8897529,,,,,,,,,,412.56,percent of total billed charges,268.1542916,,,,,,,,,,412.56,percent of total billed charges,999999999,,,,,,,,,,458.4,percent of total billed charges,384.1153716,,,,452.67,percent of total billed charges,436.8460306,,,,452.67,percent of total billed charges,385.9679283,,,,458.4,percent of total billed charges,999999999,,,,458.4,percent of total billed charges,999999999,,,,401.1,percent of total billed charges,999999999,,,,401.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,304.836,percent of total billed charges,999999999,,,,,,,,,,,,,,,,289.365,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,143.25,percent of total billed charges,136.0524598,,,,,,,,,,143.25,percent of total billed charges,133.7893197,,,,,,,,,,143.25,percent of total billed charges,133.4175249,,,,,,,,,,143.25,percent of total billed charges,131.4529535,,,,,,,,,,143.25,percent of total billed charges,134.8354312,,,,,,,,,,143.25,percent of total billed charges,999999999,,,,,,,,,,143.25,percent of total billed charges,115.6982951,,,,,,,,,,143.25,percent of total billed charges,182.4641899,,,,,,,,,,143.25,percent of total billed charges,999999999,,,,,,,,,,143.25,percent of total billed charges,124.7510581,,,,,,,,,,515.7,percent of total billed charges,,,,,
TRANSCUTANEOUS PACEMAKER,92953,CDM,,,,both,,,490,490,104.3131329,490,490,percent of total billed charges,360.5104076,,,,490,percent of total billed charges,382.1339039,,,,490,percent of total billed charges,360.5104076,,,,490,percent of total billed charges,382.1339039,,,,490,percent of total billed charges,999999999,,,,490,percent of total billed charges,373.3463225,,,,490,percent of total billed charges,360.5104076,,,,490,percent of total billed charges,382.1339039,,,,349.37,percent of total billed charges,174.3420235,,,,349.37,percent of total billed charges,104.3131329,,,,349.37,percent of total billed charges,174.3420235,,,,349.37,percent of total billed charges,104.3131329,,,,349.37,percent of total billed charges,174.3420235,,,,349.37,percent of total billed charges,104.3131329,,,,345.94,percent of total billed charges,343.3152592,,,,345.94,percent of total billed charges,236.7818131,,,,,,,,,,352.8,percent of total billed charges,229.3116979,,,,,,,,,,352.8,percent of total billed charges,999999999,,,,,,,,,,392,percent of total billed charges,328.4756232,,,,387.1,percent of total billed charges,373.5681588,,,,387.1,percent of total billed charges,330.059834,,,,392,percent of total billed charges,999999999,,,,392,percent of total billed charges,999999999,,,,343,percent of total billed charges,999999999,,,,343,percent of total billed charges,999999999,,,,,,,,,,,,,,,,260.68,percent of total billed charges,999999999,,,,,,,,,,,,,,,,247.45,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,122.5,percent of total billed charges,116.3450354,,,,,,,,,,122.5,percent of total billed charges,114.4097149,,,,,,,,,,122.5,percent of total billed charges,114.0917752,,,,,,,,,,122.5,percent of total billed charges,112.4117752,,,,,,,,,,122.5,percent of total billed charges,115.3042954,,,,,,,,,,122.5,percent of total billed charges,999999999,,,,,,,,,,122.5,percent of total billed charges,98.93920522,,,,,,,,,,122.5,percent of total billed charges,156.0339494,,,,,,,,,,122.5,percent of total billed charges,999999999,,,,,,,,,,122.5,percent of total billed charges,106.6806605,,,,,,,,,,441,percent of total billed charges,,,,,
**TRANSVENOUS PACEMAKER INSERTION,33210,CDM,,,,both,,,486,486,103.4615971,486,486,percent of total billed charges,357.5674655,,,,486,percent of total billed charges,379.0144435,,,,486,percent of total billed charges,357.5674655,,,,486,percent of total billed charges,379.0144435,,,,486,percent of total billed charges,999999999,,,,486,percent of total billed charges,370.2985974,,,,486,percent of total billed charges,357.5674655,,,,486,percent of total billed charges,379.0144435,,,,346.518,percent of total billed charges,172.9188233,,,,346.518,percent of total billed charges,103.4615971,,,,346.518,percent of total billed charges,172.9188233,,,,346.518,percent of total billed charges,103.4615971,,,,346.518,percent of total billed charges,172.9188233,,,,346.518,percent of total billed charges,103.4615971,,,,343.116,percent of total billed charges,340.5126856,,,,343.116,percent of total billed charges,234.8489004,,,,,,,,,,349.92,percent of total billed charges,227.4397656,,,,,,,,,,349.92,percent of total billed charges,999999999,,,,,,,,,,388.8,percent of total billed charges,325.7941895,,,,383.94,percent of total billed charges,370.5186228,,,,383.94,percent of total billed charges,327.365468,,,,388.8,percent of total billed charges,999999999,,,,388.8,percent of total billed charges,999999999,,,,340.2,percent of total billed charges,999999999,,,,340.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,258.552,percent of total billed charges,999999999,,,,,,,,,,,,,,,,245.43,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,121.5,percent of total billed charges,115.39528,,,,,,,,,,121.5,percent of total billed charges,113.475758,,,,,,,,,,121.5,percent of total billed charges,113.1604138,,,,,,,,,,121.5,percent of total billed charges,111.4941281,,,,,,,,,,121.5,percent of total billed charges,114.3630359,,,,,,,,,,121.5,percent of total billed charges,999999999,,,,,,,,,,121.5,percent of total billed charges,98.13153824,,,,,,,,,,121.5,percent of total billed charges,154.7602029,,,,,,,,,,121.5,percent of total billed charges,999999999,,,,,,,,,,121.5,percent of total billed charges,105.809798,,,,,,,,,,437.4,percent of total billed charges,,,,,
**HARDWIRE SET UP,Local,Local,,,,both,,,500,500,106.4419723,500,500,percent of total billed charges,367.8677629,,,,500,percent of total billed charges,389.932555,,,,500,percent of total billed charges,367.8677629,,,,500,percent of total billed charges,389.932555,,,,500,percent of total billed charges,999999999,,,,500,percent of total billed charges,380.9656352,,,,500,percent of total billed charges,367.8677629,,,,500,percent of total billed charges,389.932555,,,,356.5,percent of total billed charges,177.900024,,,,356.5,percent of total billed charges,106.4419723,,,,356.5,percent of total billed charges,177.900024,,,,356.5,percent of total billed charges,106.4419723,,,,356.5,percent of total billed charges,177.900024,,,,356.5,percent of total billed charges,106.4419723,,,,353,percent of total billed charges,350.321693,,,,353,percent of total billed charges,241.614095,,,,,,,,,,360,percent of total billed charges,233.9915284,,,,,,,,,,360,percent of total billed charges,999999999,,,,,,,,,,400,percent of total billed charges,335.1792073,,,,395,percent of total billed charges,381.1919988,,,,395,percent of total billed charges,336.795749,,,,400,percent of total billed charges,999999999,,,,400,percent of total billed charges,999999999,,,,350,percent of total billed charges,999999999,,,,350,percent of total billed charges,999999999,,,,,,,,,,,,,,,,266,percent of total billed charges,999999999,,,,,,,,,,,,,,,,252.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,125,percent of total billed charges,118.7194239,,,,,,,,,,125,percent of total billed charges,116.744607,,,,,,,,,,125,percent of total billed charges,116.4201788,,,,,,,,,,125,percent of total billed charges,114.7058931,,,,,,,,,,125,percent of total billed charges,117.6574443,,,,,,,,,,125,percent of total billed charges,999999999,,,,,,,,,,125,percent of total billed charges,100.9583727,,,,,,,,,,125,percent of total billed charges,159.2183158,,,,,,,,,,125,percent of total billed charges,999999999,,,,,,,,,,125,percent of total billed charges,108.8578169,,,,,,,,,,450,percent of total billed charges,,,,,
**HARDWIRE MONITORING-DAILY,93041,CDM,,,,both,,,951,951,202.4526313,951,951,percent of total billed charges,699.684485,,,,951,percent of total billed charges,741.6517196,,,,951,percent of total billed charges,699.684485,,,,951,percent of total billed charges,741.6517196,,,,951,percent of total billed charges,999999999,,,,951,percent of total billed charges,724.5966382,,,,951,percent of total billed charges,699.684485,,,,951,percent of total billed charges,741.6517196,,,,678.063,percent of total billed charges,338.3658456,,,,678.063,percent of total billed charges,202.4526313,,,,678.063,percent of total billed charges,338.3658456,,,,678.063,percent of total billed charges,202.4526313,,,,678.063,percent of total billed charges,338.3658456,,,,678.063,percent of total billed charges,202.4526313,,,,671.406,percent of total billed charges,666.3118602,,,,671.406,percent of total billed charges,459.5500087,,,,,,,,,,684.72,percent of total billed charges,445.0518871,,,,,,,,,,684.72,percent of total billed charges,999999999,,,,,,,,,,760.8,percent of total billed charges,637.5108523,,,,751.29,percent of total billed charges,725.0271817,,,,751.29,percent of total billed charges,640.5855145,,,,760.8,percent of total billed charges,999999999,,,,760.8,percent of total billed charges,999999999,,,,665.7,percent of total billed charges,999999999,,,,665.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,505.932,percent of total billed charges,999999999,,,,,,,,,,,,,,,,480.255,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,237.75,percent of total billed charges,225.8043442,,,,,,,,,,237.75,percent of total billed charges,222.0482426,,,,,,,,,,237.75,percent of total billed charges,221.43118,,,,,,,,,,237.75,percent of total billed charges,218.1706086,,,,,,,,,,237.75,percent of total billed charges,223.7844591,,,,,,,,,,237.75,percent of total billed charges,999999999,,,,,,,,,,237.75,percent of total billed charges,192.0228248,,,,,,,,,,237.75,percent of total billed charges,302.8332366,,,,,,,,,,237.75,percent of total billed charges,999999999,,,,,,,,,,237.75,percent of total billed charges,207.0475677,,,,,,,,,,855.9,percent of total billed charges,,,,,
**FAST PATCH DEFIB PADS-DISP,Local,Local,,,,both,,,227,227,48.32465543,227,227,percent of total billed charges,167.0119643,,,,227,percent of total billed charges,177.02938,,,,227,percent of total billed charges,167.0119643,,,,227,percent of total billed charges,177.02938,,,,227,percent of total billed charges,999999999,,,,227,percent of total billed charges,172.9583984,,,,227,percent of total billed charges,167.0119643,,,,227,percent of total billed charges,177.02938,,,,161.851,percent of total billed charges,80.76661088,,,,161.851,percent of total billed charges,48.32465543,,,,161.851,percent of total billed charges,80.76661088,,,,161.851,percent of total billed charges,48.32465543,,,,161.851,percent of total billed charges,80.76661088,,,,161.851,percent of total billed charges,48.32465543,,,,160.262,percent of total billed charges,159.0460486,,,,160.262,percent of total billed charges,109.6927991,,,,,,,,,,163.44,percent of total billed charges,106.2321539,,,,,,,,,,163.44,percent of total billed charges,999999999,,,,,,,,,,181.6,percent of total billed charges,152.1713601,,,,179.33,percent of total billed charges,173.0611675,,,,179.33,percent of total billed charges,152.90527,,,,181.6,percent of total billed charges,999999999,,,,181.6,percent of total billed charges,999999999,,,,158.9,percent of total billed charges,999999999,,,,158.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,120.764,percent of total billed charges,999999999,,,,,,,,,,,,,,,,114.635,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,56.75,percent of total billed charges,53.89861844,,,,,,,,,,56.75,percent of total billed charges,53.0020516,,,,,,,,,,56.75,percent of total billed charges,52.85476117,,,,,,,,,,56.75,percent of total billed charges,52.07647545,,,,,,,,,,56.75,percent of total billed charges,53.41647972,,,,,,,,,,56.75,percent of total billed charges,999999999,,,,,,,,,,56.75,percent of total billed charges,45.83510119,,,,,,,,,,56.75,percent of total billed charges,72.28511535,,,,,,,,,,56.75,percent of total billed charges,999999999,,,,,,,,,,56.75,percent of total billed charges,49.42144886,,,,,,,,,,204.3,percent of total billed charges,,,,,
**CARDIOVERSION,92960,CDM,,,,both,,,1006,1006,214.1612483,1006,1006,percent of total billed charges,740.1499389,,,,1006,percent of total billed charges,784.5443007,,,,1006,percent of total billed charges,740.1499389,,,,1006,percent of total billed charges,784.5443007,,,,1006,percent of total billed charges,999999999,,,,1006,percent of total billed charges,766.502858,,,,1006,percent of total billed charges,740.1499389,,,,1006,percent of total billed charges,784.5443007,,,,717.278,percent of total billed charges,357.9348482,,,,717.278,percent of total billed charges,214.1612483,,,,717.278,percent of total billed charges,357.9348482,,,,717.278,percent of total billed charges,214.1612483,,,,717.278,percent of total billed charges,357.9348482,,,,717.278,percent of total billed charges,214.1612483,,,,710.236,percent of total billed charges,704.8472464,,,,710.236,percent of total billed charges,486.1275592,,,,,,,,,,724.32,percent of total billed charges,470.7909552,,,,,,,,,,724.32,percent of total billed charges,999999999,,,,,,,,,,804.8,percent of total billed charges,674.3805651,,,,794.74,percent of total billed charges,766.9583016,,,,794.74,percent of total billed charges,677.6330469,,,,804.8,percent of total billed charges,999999999,,,,804.8,percent of total billed charges,999999999,,,,704.2,percent of total billed charges,999999999,,,,704.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,535.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,508.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,251.5,percent of total billed charges,238.8634809,,,,,,,,,,251.5,percent of total billed charges,234.8901494,,,,,,,,,,251.5,percent of total billed charges,234.2373997,,,,,,,,,,251.5,percent of total billed charges,230.7882568,,,,,,,,,,251.5,percent of total billed charges,236.726778,,,,,,,,,,251.5,percent of total billed charges,999999999,,,,,,,,,,251.5,percent of total billed charges,203.1282458,,,,,,,,,,251.5,percent of total billed charges,320.3472513,,,,,,,,,,251.5,percent of total billed charges,999999999,,,,,,,,,,251.5,percent of total billed charges,219.0219276,,,,,,,,,,905.4,percent of total billed charges,,,,,
**WAKE UP (1ST HOUR),Local,Local,,,,both,,,1105,1105,235.2367588,1105,1105,percent of total billed charges,812.9877559,,,,1105,percent of total billed charges,861.7509466,,,,1105,percent of total billed charges,812.9877559,,,,1105,percent of total billed charges,861.7509466,,,,1105,percent of total billed charges,999999999,,,,1105,percent of total billed charges,841.9340538,,,,1105,percent of total billed charges,812.9877559,,,,1105,percent of total billed charges,861.7509466,,,,787.865,percent of total billed charges,393.159053,,,,787.865,percent of total billed charges,235.2367588,,,,787.865,percent of total billed charges,393.159053,,,,787.865,percent of total billed charges,235.2367588,,,,787.865,percent of total billed charges,393.159053,,,,787.865,percent of total billed charges,235.2367588,,,,780.13,percent of total billed charges,774.2109416,,,,780.13,percent of total billed charges,533.96715,,,,,,,,,,795.6,percent of total billed charges,517.1212779,,,,,,,,,,795.6,percent of total billed charges,999999999,,,,,,,,,,884,percent of total billed charges,740.7460481,,,,872.95,percent of total billed charges,842.4343173,,,,872.95,percent of total billed charges,744.3186052,,,,884,percent of total billed charges,999999999,,,,884,percent of total billed charges,999999999,,,,773.5,percent of total billed charges,999999999,,,,773.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,587.86,percent of total billed charges,999999999,,,,,,,,,,,,,,,,558.025,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,276.25,percent of total billed charges,262.3699268,,,,,,,,,,276.25,percent of total billed charges,258.0055816,,,,,,,,,,276.25,percent of total billed charges,257.2885951,,,,,,,,,,276.25,percent of total billed charges,253.5000237,,,,,,,,,,276.25,percent of total billed charges,260.022952,,,,,,,,,,276.25,percent of total billed charges,999999999,,,,,,,,,,276.25,percent of total billed charges,223.1180036,,,,,,,,,,276.25,percent of total billed charges,351.8724778,,,,,,,,,,276.25,percent of total billed charges,999999999,,,,,,,,,,276.25,percent of total billed charges,240.5757753,,,,,,,,,,994.5,percent of total billed charges,,,,,
**WAKE UP (15 MIN),Local,Local,,,,both,,,325,325,69.187282,325,325,percent of total billed charges,239.1140459,,,,325,percent of total billed charges,253.4561608,,,,325,percent of total billed charges,239.1140459,,,,325,percent of total billed charges,253.4561608,,,,325,percent of total billed charges,999999999,,,,325,percent of total billed charges,247.6276629,,,,325,percent of total billed charges,239.1140459,,,,325,percent of total billed charges,253.4561608,,,,231.725,percent of total billed charges,115.6350156,,,,231.725,percent of total billed charges,69.187282,,,,231.725,percent of total billed charges,115.6350156,,,,231.725,percent of total billed charges,69.187282,,,,231.725,percent of total billed charges,115.6350156,,,,231.725,percent of total billed charges,69.187282,,,,229.45,percent of total billed charges,227.7091005,,,,229.45,percent of total billed charges,157.0491618,,,,,,,,,,234,percent of total billed charges,152.0944935,,,,,,,,,,234,percent of total billed charges,999999999,,,,,,,,,,260,percent of total billed charges,217.8664847,,,,256.75,percent of total billed charges,247.7747992,,,,256.75,percent of total billed charges,218.9172368,,,,260,percent of total billed charges,999999999,,,,260,percent of total billed charges,999999999,,,,227.5,percent of total billed charges,999999999,,,,227.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,172.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,164.125,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,81.25,percent of total billed charges,77.16762552,,,,,,,,,,81.25,percent of total billed charges,75.88399458,,,,,,,,,,81.25,percent of total billed charges,75.67311621,,,,,,,,,,81.25,percent of total billed charges,74.55883049,,,,,,,,,,81.25,percent of total billed charges,76.47733881,,,,,,,,,,81.25,percent of total billed charges,999999999,,,,,,,,,,81.25,percent of total billed charges,65.62294224,,,,,,,,,,81.25,percent of total billed charges,103.4919052,,,,,,,,,,81.25,percent of total billed charges,999999999,,,,,,,,,,81.25,percent of total billed charges,70.75758097,,,,,,,,,,292.5,percent of total billed charges,,,,,
**TELEMETRY SET UP,Local,Local,,,,both,,,333,333,70.89035356,333,333,percent of total billed charges,244.9999301,,,,333,percent of total billed charges,259.6950816,,,,333,percent of total billed charges,244.9999301,,,,333,percent of total billed charges,259.6950816,,,,333,percent of total billed charges,999999999,,,,333,percent of total billed charges,253.7231131,,,,333,percent of total billed charges,244.9999301,,,,333,percent of total billed charges,259.6950816,,,,237.429,percent of total billed charges,118.481416,,,,237.429,percent of total billed charges,70.89035356,,,,237.429,percent of total billed charges,118.481416,,,,237.429,percent of total billed charges,70.89035356,,,,237.429,percent of total billed charges,118.481416,,,,237.429,percent of total billed charges,70.89035356,,,,235.098,percent of total billed charges,233.3142476,,,,235.098,percent of total billed charges,160.9149873,,,,,,,,,,239.76,percent of total billed charges,155.8383579,,,,,,,,,,239.76,percent of total billed charges,999999999,,,,,,,,,,266.4,percent of total billed charges,223.2293521,,,,263.07,percent of total billed charges,253.8738712,,,,263.07,percent of total billed charges,224.3059688,,,,266.4,percent of total billed charges,999999999,,,,266.4,percent of total billed charges,999999999,,,,233.1,percent of total billed charges,999999999,,,,233.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,177.156,percent of total billed charges,999999999,,,,,,,,,,,,,,,,168.165,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,83.25,percent of total billed charges,79.06713631,,,,,,,,,,83.25,percent of total billed charges,77.75190829,,,,,,,,,,83.25,percent of total billed charges,77.53583907,,,,,,,,,,83.25,percent of total billed charges,76.39412478,,,,,,,,,,83.25,percent of total billed charges,78.35985792,,,,,,,,,,83.25,percent of total billed charges,999999999,,,,,,,,,,83.25,percent of total billed charges,67.2382762,,,,,,,,,,83.25,percent of total billed charges,106.0393983,,,,,,,,,,83.25,percent of total billed charges,999999999,,,,,,,,,,83.25,percent of total billed charges,72.49930604,,,,,,,,,,299.7,percent of total billed charges,,,,,
**HOURLY TELEMETRY,93012,CDM,,,,both,,,67,67,14.26322429,67,67,percent of total billed charges,49.29428022,,,,67,percent of total billed charges,52.25096237,,,,67,percent of total billed charges,49.29428022,,,,67,percent of total billed charges,52.25096237,,,,67,percent of total billed charges,999999999,,,,67,percent of total billed charges,51.04939512,,,,67,percent of total billed charges,49.29428022,,,,67,percent of total billed charges,52.25096237,,,,47.771,percent of total billed charges,23.83860321,,,,47.771,percent of total billed charges,14.26322429,,,,47.771,percent of total billed charges,23.83860321,,,,47.771,percent of total billed charges,14.26322429,,,,47.771,percent of total billed charges,23.83860321,,,,47.771,percent of total billed charges,14.26322429,,,,47.302,percent of total billed charges,46.94310687,,,,47.302,percent of total billed charges,32.37628873,,,,,,,,,,48.24,percent of total billed charges,31.35486481,,,,,,,,,,48.24,percent of total billed charges,999999999,,,,,,,,,,53.6,percent of total billed charges,44.91401378,,,,52.93,percent of total billed charges,51.07972784,,,,52.93,percent of total billed charges,45.13063036,,,,53.6,percent of total billed charges,999999999,,,,53.6,percent of total billed charges,999999999,,,,46.9,percent of total billed charges,999999999,,,,46.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,35.644,percent of total billed charges,999999999,,,,,,,,,,,,,,,,33.835,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16.75,percent of total billed charges,15.9084028,,,,,,,,,,16.75,percent of total billed charges,15.64377734,,,,,,,,,,16.75,percent of total billed charges,15.60030396,,,,,,,,,,16.75,percent of total billed charges,15.37058967,,,,,,,,,,16.75,percent of total billed charges,15.76609754,,,,,,,,,,16.75,percent of total billed charges,999999999,,,,,,,,,,16.75,percent of total billed charges,13.52842194,,,,,,,,,,16.75,percent of total billed charges,21.33525431,,,,,,,,,,16.75,percent of total billed charges,999999999,,,,,,,,,,16.75,percent of total billed charges,14.58694746,,,,,,,,,,60.3,percent of total billed charges,,,,,
**OXIMETRY-SINGLE,94760,CDM,,,,both,,,105,105,22.35281419,105,105,percent of total billed charges,77.2522302,,,,105,percent of total billed charges,81.88583655,,,,105,percent of total billed charges,77.2522302,,,,105,percent of total billed charges,81.88583655,,,,105,percent of total billed charges,999999999,,,,105,percent of total billed charges,80.00278339,,,,105,percent of total billed charges,77.2522302,,,,105,percent of total billed charges,81.88583655,,,,74.865,percent of total billed charges,37.35900503,,,,74.865,percent of total billed charges,22.35281419,,,,74.865,percent of total billed charges,37.35900503,,,,74.865,percent of total billed charges,22.35281419,,,,74.865,percent of total billed charges,37.35900503,,,,74.865,percent of total billed charges,22.35281419,,,,74.13,percent of total billed charges,73.56755554,,,,74.13,percent of total billed charges,50.73895995,,,,,,,,,,75.6,percent of total billed charges,49.13822097,,,,,,,,,,75.6,percent of total billed charges,999999999,,,,,,,,,,84,percent of total billed charges,70.38763353,,,,82.95,percent of total billed charges,80.05031975,,,,82.95,percent of total billed charges,70.72710728,,,,84,percent of total billed charges,999999999,,,,84,percent of total billed charges,999999999,,,,73.5,percent of total billed charges,999999999,,,,73.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,55.86,percent of total billed charges,999999999,,,,,,,,,,,,,,,,53.025,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,26.25,percent of total billed charges,24.93107902,,,,,,,,,,26.25,percent of total billed charges,24.51636748,,,,,,,,,,26.25,percent of total billed charges,24.44823754,,,,,,,,,,26.25,percent of total billed charges,24.08823754,,,,,,,,,,26.25,percent of total billed charges,24.70806331,,,,,,,,,,26.25,percent of total billed charges,999999999,,,,,,,,,,26.25,percent of total billed charges,21.20125826,,,,,,,,,,26.25,percent of total billed charges,33.43584631,,,,,,,,,,26.25,percent of total billed charges,999999999,,,,,,,,,,26.25,percent of total billed charges,22.86014155,,,,,,,,,,94.5,percent of total billed charges,,,,,
**OXIMETRY PROBE-DISP,Local,Local,,,,both,,,250,250,53.22098616,250,250,percent of total billed charges,183.9338814,,,,250,percent of total billed charges,194.9662775,,,,250,percent of total billed charges,183.9338814,,,,250,percent of total billed charges,194.9662775,,,,250,percent of total billed charges,999999999,,,,250,percent of total billed charges,190.4828176,,,,250,percent of total billed charges,183.9338814,,,,250,percent of total billed charges,194.9662775,,,,178.25,percent of total billed charges,88.95001198,,,,178.25,percent of total billed charges,53.22098616,,,,178.25,percent of total billed charges,88.95001198,,,,178.25,percent of total billed charges,53.22098616,,,,178.25,percent of total billed charges,88.95001198,,,,178.25,percent of total billed charges,53.22098616,,,,176.5,percent of total billed charges,175.1608465,,,,176.5,percent of total billed charges,120.8070475,,,,,,,,,,180,percent of total billed charges,116.9957642,,,,,,,,,,180,percent of total billed charges,999999999,,,,,,,,,,200,percent of total billed charges,167.5896036,,,,197.5,percent of total billed charges,190.5959994,,,,197.5,percent of total billed charges,168.3978745,,,,200,percent of total billed charges,999999999,,,,200,percent of total billed charges,999999999,,,,175,percent of total billed charges,999999999,,,,175,percent of total billed charges,999999999,,,,,,,,,,,,,,,,133,percent of total billed charges,999999999,,,,,,,,,,,,,,,,126.25,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,62.5,percent of total billed charges,59.35971194,,,,,,,,,,62.5,percent of total billed charges,58.37230352,,,,,,,,,,62.5,percent of total billed charges,58.21008939,,,,,,,,,,62.5,percent of total billed charges,57.35294653,,,,,,,,,,62.5,percent of total billed charges,58.82872216,,,,,,,,,,62.5,percent of total billed charges,999999999,,,,,,,,,,62.5,percent of total billed charges,50.47918634,,,,,,,,,,62.5,percent of total billed charges,79.60915788,,,,,,,,,,62.5,percent of total billed charges,999999999,,,,,,,,,,62.5,percent of total billed charges,54.42890844,,,,,,,,,,225,percent of total billed charges,,,,,
**OXIMETRY CONTINUOUS OVERNIGHT (IP),94762,CDM,,,,both,,,209,209,44.49274443,209,209,percent of total billed charges,153.7687249,,,,209,percent of total billed charges,162.991808,,,,209,percent of total billed charges,153.7687249,,,,209,percent of total billed charges,162.991808,,,,209,percent of total billed charges,999999999,,,,209,percent of total billed charges,159.2436355,,,,209,percent of total billed charges,153.7687249,,,,209,percent of total billed charges,162.991808,,,,149.017,percent of total billed charges,74.36221002,,,,149.017,percent of total billed charges,44.49274443,,,,149.017,percent of total billed charges,74.36221002,,,,149.017,percent of total billed charges,44.49274443,,,,149.017,percent of total billed charges,74.36221002,,,,149.017,percent of total billed charges,44.49274443,,,,147.554,percent of total billed charges,146.4344677,,,,147.554,percent of total billed charges,100.9946917,,,,,,,,,,150.48,percent of total billed charges,97.80845889,,,,,,,,,,150.48,percent of total billed charges,999999999,,,,,,,,,,167.2,percent of total billed charges,140.1049087,,,,165.11,percent of total billed charges,159.3382555,,,,165.11,percent of total billed charges,140.7806231,,,,167.2,percent of total billed charges,999999999,,,,167.2,percent of total billed charges,999999999,,,,146.3,percent of total billed charges,999999999,,,,146.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,111.188,percent of total billed charges,999999999,,,,,,,,,,,,,,,,105.545,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,52.25,percent of total billed charges,49.62471918,,,,,,,,,,52.25,percent of total billed charges,48.79924575,,,,,,,,,,52.25,percent of total billed charges,48.66363473,,,,,,,,,,52.25,percent of total billed charges,47.9470633,,,,,,,,,,52.25,percent of total billed charges,49.18081173,,,,,,,,,,52.25,percent of total billed charges,999999999,,,,,,,,,,52.25,percent of total billed charges,42.20059978,,,,,,,,,,52.25,percent of total billed charges,66.55325599,,,,,,,,,,52.25,percent of total billed charges,999999999,,,,,,,,,,52.25,percent of total billed charges,45.50256746,,,,,,,,,,188.1,percent of total billed charges,,,,,
**CONT/INTER SUCTION SETUP,Local,Local,,,,both,,,255,255,54.28540588,255,255,percent of total billed charges,187.6125591,,,,255,percent of total billed charges,198.8656031,,,,255,percent of total billed charges,187.6125591,,,,255,percent of total billed charges,198.8656031,,,,255,percent of total billed charges,999999999,,,,255,percent of total billed charges,194.292474,,,,255,percent of total billed charges,187.6125591,,,,255,percent of total billed charges,198.8656031,,,,181.815,percent of total billed charges,90.72901222,,,,181.815,percent of total billed charges,54.28540588,,,,181.815,percent of total billed charges,90.72901222,,,,181.815,percent of total billed charges,54.28540588,,,,181.815,percent of total billed charges,90.72901222,,,,181.815,percent of total billed charges,54.28540588,,,,180.03,percent of total billed charges,178.6640634,,,,180.03,percent of total billed charges,123.2231885,,,,,,,,,,183.6,percent of total billed charges,119.3356795,,,,,,,,,,183.6,percent of total billed charges,999999999,,,,,,,,,,204,percent of total billed charges,170.9413957,,,,201.45,percent of total billed charges,194.4079194,,,,201.45,percent of total billed charges,171.765832,,,,204,percent of total billed charges,999999999,,,,204,percent of total billed charges,999999999,,,,178.5,percent of total billed charges,999999999,,,,178.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,135.66,percent of total billed charges,999999999,,,,,,,,,,,,,,,,128.775,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,63.75,percent of total billed charges,60.54690618,,,,,,,,,,63.75,percent of total billed charges,59.53974959,,,,,,,,,,63.75,percent of total billed charges,59.37429118,,,,,,,,,,63.75,percent of total billed charges,58.50000546,,,,,,,,,,63.75,percent of total billed charges,60.0052966,,,,,,,,,,63.75,percent of total billed charges,999999999,,,,,,,,,,63.75,percent of total billed charges,51.48877006,,,,,,,,,,63.75,percent of total billed charges,81.20134104,,,,,,,,,,63.75,percent of total billed charges,999999999,,,,,,,,,,63.75,percent of total billed charges,55.51748661,,,,,,,,,,229.5,percent of total billed charges,,,,,
**CONT/INTER SUCTION DISP SUPPLIES,Local,Local,,,,both,,,232,232,49.38907515,232,232,percent of total billed charges,170.690642,,,,232,percent of total billed charges,180.9287055,,,,232,percent of total billed charges,170.690642,,,,232,percent of total billed charges,180.9287055,,,,232,percent of total billed charges,999999999,,,,232,percent of total billed charges,176.7680547,,,,232,percent of total billed charges,170.690642,,,,232,percent of total billed charges,180.9287055,,,,165.416,percent of total billed charges,82.54561112,,,,165.416,percent of total billed charges,49.38907515,,,,165.416,percent of total billed charges,82.54561112,,,,165.416,percent of total billed charges,49.38907515,,,,165.416,percent of total billed charges,82.54561112,,,,165.416,percent of total billed charges,49.38907515,,,,163.792,percent of total billed charges,162.5492656,,,,163.792,percent of total billed charges,112.1089401,,,,,,,,,,167.04,percent of total billed charges,108.5720692,,,,,,,,,,167.04,percent of total billed charges,999999999,,,,,,,,,,185.6,percent of total billed charges,155.5231522,,,,183.28,percent of total billed charges,176.8730874,,,,183.28,percent of total billed charges,156.2732275,,,,185.6,percent of total billed charges,999999999,,,,185.6,percent of total billed charges,999999999,,,,162.4,percent of total billed charges,999999999,,,,162.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,123.424,percent of total billed charges,999999999,,,,,,,,,,,,,,,,117.16,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,58,percent of total billed charges,55.08581268,,,,,,,,,,58,percent of total billed charges,54.16949767,,,,,,,,,,58,percent of total billed charges,54.01896295,,,,,,,,,,58,percent of total billed charges,53.22353438,,,,,,,,,,58,percent of total billed charges,54.59305417,,,,,,,,,,58,percent of total billed charges,999999999,,,,,,,,,,58,percent of total billed charges,46.84468492,,,,,,,,,,58,percent of total billed charges,73.87729851,,,,,,,,,,58,percent of total billed charges,999999999,,,,,,,,,,58,percent of total billed charges,50.51002703,,,,,,,,,,208.8,percent of total billed charges,,,,,
**PORTABLE SUCTION,E0600,CDM,,,,both,,,284,284,60.45904027,284,284,percent of total billed charges,208.9488893,,,,284,percent of total billed charges,221.4816912,,,,284,percent of total billed charges,208.9488893,,,,284,percent of total billed charges,221.4816912,,,,284,percent of total billed charges,999999999,,,,284,percent of total billed charges,216.3884808,,,,284,percent of total billed charges,208.9488893,,,,284,percent of total billed charges,221.4816912,,,,202.492,percent of total billed charges,101.0472136,,,,202.492,percent of total billed charges,60.45904027,,,,202.492,percent of total billed charges,101.0472136,,,,202.492,percent of total billed charges,60.45904027,,,,202.492,percent of total billed charges,101.0472136,,,,202.492,percent of total billed charges,60.45904027,,,,200.504,percent of total billed charges,198.9827216,,,,200.504,percent of total billed charges,137.236806,,,,,,,,,,204.48,percent of total billed charges,132.9071882,,,,,,,,,,204.48,percent of total billed charges,999999999,,,,,,,,,,227.2,percent of total billed charges,190.3817897,,,,224.36,percent of total billed charges,216.5170553,,,,224.36,percent of total billed charges,191.2999854,,,,227.2,percent of total billed charges,999999999,,,,227.2,percent of total billed charges,999999999,,,,198.8,percent of total billed charges,999999999,,,,198.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,151.088,percent of total billed charges,999999999,,,,,,,,,,,,,,,,143.42,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,71,percent of total billed charges,67.43263276,,,,,,,,,,71,percent of total billed charges,66.3109368,,,,,,,,,,71,percent of total billed charges,66.12666155,,,,,,,,,,71,percent of total billed charges,65.15294726,,,,,,,,,,71,percent of total billed charges,66.82942838,,,,,,,,,,71,percent of total billed charges,999999999,,,,,,,,,,71,percent of total billed charges,57.34435568,,,,,,,,,,71,percent of total billed charges,90.43600335,,,,,,,,,,71,percent of total billed charges,999999999,,,,,,,,,,71,percent of total billed charges,61.83123999,,,,,,,,,,255.6,percent of total billed charges,,,,,
**ART CATH PRO INSERTION,36620,CDM,,,,both,,,439,439,93.45605169,439,439,percent of total billed charges,322.9878958,,,,439,percent of total billed charges,342.3607833,,,,439,percent of total billed charges,322.9878958,,,,439,percent of total billed charges,342.3607833,,,,439,percent of total billed charges,999999999,,,,439,percent of total billed charges,334.4878277,,,,439,percent of total billed charges,322.9878958,,,,439,percent of total billed charges,342.3607833,,,,313.007,percent of total billed charges,156.196221,,,,313.007,percent of total billed charges,93.45605169,,,,313.007,percent of total billed charges,156.196221,,,,313.007,percent of total billed charges,93.45605169,,,,313.007,percent of total billed charges,156.196221,,,,313.007,percent of total billed charges,93.45605169,,,,309.934,percent of total billed charges,307.5824465,,,,309.934,percent of total billed charges,212.1371754,,,,,,,,,,316.08,percent of total billed charges,205.444562,,,,,,,,,,316.08,percent of total billed charges,999999999,,,,,,,,,,351.2,percent of total billed charges,294.287344,,,,346.81,percent of total billed charges,334.6865749,,,,346.81,percent of total billed charges,295.7066676,,,,351.2,percent of total billed charges,999999999,,,,351.2,percent of total billed charges,999999999,,,,307.3,percent of total billed charges,999999999,,,,307.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,233.548,percent of total billed charges,999999999,,,,,,,,,,,,,,,,221.695,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,109.75,percent of total billed charges,104.2356542,,,,,,,,,,109.75,percent of total billed charges,102.501765,,,,,,,,,,109.75,percent of total billed charges,102.216917,,,,,,,,,,109.75,percent of total billed charges,100.7117741,,,,,,,,,,109.75,percent of total billed charges,103.3032361,,,,,,,,,,109.75,percent of total billed charges,999999999,,,,,,,,,,109.75,percent of total billed charges,88.64145121,,,,,,,,,,109.75,percent of total billed charges,139.7936812,,,,,,,,,,109.75,percent of total billed charges,999999999,,,,,,,,,,109.75,percent of total billed charges,95.57716322,,,,,,,,,,395.1,percent of total billed charges,,,,,
**PRESSURE MONITORING,Local,Local,,,,both,,,873,873,185.8476837,873,873,percent of total billed charges,642.297114,,,,873,percent of total billed charges,680.822241,,,,873,percent of total billed charges,642.297114,,,,873,percent of total billed charges,680.822241,,,,873,percent of total billed charges,999999999,,,,873,percent of total billed charges,665.1659991,,,,873,percent of total billed charges,642.297114,,,,873,percent of total billed charges,680.822241,,,,622.449,percent of total billed charges,310.6134418,,,,622.449,percent of total billed charges,185.8476837,,,,622.449,percent of total billed charges,310.6134418,,,,622.449,percent of total billed charges,185.8476837,,,,622.449,percent of total billed charges,310.6134418,,,,622.449,percent of total billed charges,185.8476837,,,,616.338,percent of total billed charges,611.661676,,,,616.338,percent of total billed charges,421.8582099,,,,,,,,,,628.56,percent of total billed charges,408.5492087,,,,,,,,,,628.56,percent of total billed charges,999999999,,,,,,,,,,698.4,percent of total billed charges,585.2228959,,,,689.67,percent of total billed charges,665.5612299,,,,689.67,percent of total billed charges,588.0453777,,,,698.4,percent of total billed charges,999999999,,,,698.4,percent of total billed charges,999999999,,,,611.1,percent of total billed charges,999999999,,,,611.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,464.436,percent of total billed charges,999999999,,,,,,,,,,,,,,,,440.865,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,218.25,percent of total billed charges,207.2841141,,,,,,,,,,218.25,percent of total billed charges,203.8360839,,,,,,,,,,218.25,percent of total billed charges,203.2696322,,,,,,,,,,218.25,percent of total billed charges,200.2764893,,,,,,,,,,218.25,percent of total billed charges,205.4298978,,,,,,,,,,218.25,percent of total billed charges,999999999,,,,,,,,,,218.25,percent of total billed charges,176.2733187,,,,,,,,,,218.25,percent of total billed charges,277.9951793,,,,,,,,,,218.25,percent of total billed charges,999999999,,,,,,,,,,218.25,percent of total billed charges,190.0657483,,,,,,,,,,785.7,percent of total billed charges,,,,,
**ART CATH PRO 1ST HOUR,36620,CDM,,,,both,,,1353,1353,288.0319771,1353,1353,percent of total billed charges,995.4501663,,,,1353,percent of total billed charges,1055.157494,,,,1353,percent of total billed charges,995.4501663,,,,1353,percent of total billed charges,1055.157494,,,,1353,percent of total billed charges,999999999,,,,1353,percent of total billed charges,1030.893009,,,,1353,percent of total billed charges,995.4501663,,,,1353,percent of total billed charges,1055.157494,,,,964.689,percent of total billed charges,481.3974648,,,,964.689,percent of total billed charges,288.0319771,,,,964.689,percent of total billed charges,481.3974648,,,,964.689,percent of total billed charges,288.0319771,,,,964.689,percent of total billed charges,481.3974648,,,,964.689,percent of total billed charges,288.0319771,,,,955.218,percent of total billed charges,947.9705014,,,,955.218,percent of total billed charges,653.8077411,,,,,,,,,,974.16,percent of total billed charges,633.181076,,,,,,,,,,974.16,percent of total billed charges,999999999,,,,,,,,,,1082.4,percent of total billed charges,906.9949349,,,,1068.87,percent of total billed charges,1031.505549,,,,1068.87,percent of total billed charges,911.3692967,,,,1082.4,percent of total billed charges,999999999,,,,1082.4,percent of total billed charges,999999999,,,,947.1,percent of total billed charges,999999999,,,,947.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,719.796,percent of total billed charges,999999999,,,,,,,,,,,,,,,,683.265,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,338.25,percent of total billed charges,321.254761,,,,,,,,,,338.25,percent of total billed charges,315.9109067,,,,,,,,,,338.25,percent of total billed charges,315.0330038,,,,,,,,,,338.25,percent of total billed charges,310.3941466,,,,,,,,,,338.25,percent of total billed charges,318.3810443,,,,,,,,,,338.25,percent of total billed charges,999999999,,,,,,,,,,338.25,percent of total billed charges,273.1933565,,,,,,,,,,338.25,percent of total billed charges,430.8447624,,,,,,,,,,338.25,percent of total billed charges,999999999,,,,,,,,,,338.25,percent of total billed charges,294.5692525,,,,,,,,,,1217.7,percent of total billed charges,,,,,
**BABY MAGIC BABY BATH,Local,Local,,,,both,,,21,21,4.470562837,21,21,percent of total billed charges,15.45044604,,,,21,percent of total billed charges,16.37716731,,,,21,percent of total billed charges,15.45044604,,,,21,percent of total billed charges,16.37716731,,,,21,percent of total billed charges,999999999,,,,21,percent of total billed charges,16.00055668,,,,21,percent of total billed charges,15.45044604,,,,21,percent of total billed charges,16.37716731,,,,14.973,percent of total billed charges,7.471801006,,,,14.973,percent of total billed charges,4.470562837,,,,14.973,percent of total billed charges,7.471801006,,,,14.973,percent of total billed charges,4.470562837,,,,14.973,percent of total billed charges,7.471801006,,,,14.973,percent of total billed charges,4.470562837,,,,14.826,percent of total billed charges,14.71351111,,,,14.826,percent of total billed charges,10.14779199,,,,,,,,,,15.12,percent of total billed charges,9.827644194,,,,,,,,,,15.12,percent of total billed charges,999999999,,,,,,,,,,16.8,percent of total billed charges,14.07752671,,,,16.59,percent of total billed charges,16.01006395,,,,16.59,percent of total billed charges,14.14542146,,,,16.8,percent of total billed charges,999999999,,,,16.8,percent of total billed charges,999999999,,,,14.7,percent of total billed charges,999999999,,,,14.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,11.172,percent of total billed charges,999999999,,,,,,,,,,,,,,,,10.605,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5.25,percent of total billed charges,4.986215803,,,,,,,,,,5.25,percent of total billed charges,4.903273496,,,,,,,,,,5.25,percent of total billed charges,4.889647509,,,,,,,,,,5.25,percent of total billed charges,4.817647509,,,,,,,,,,5.25,percent of total billed charges,4.941612662,,,,,,,,,,5.25,percent of total billed charges,999999999,,,,,,,,,,5.25,percent of total billed charges,4.240251652,,,,,,,,,,5.25,percent of total billed charges,6.687169262,,,,,,,,,,5.25,percent of total billed charges,999999999,,,,,,,,,,5.25,percent of total billed charges,4.572028309,,,,,,,,,,18.9,percent of total billed charges,,,,,
PEDS RN TRANSFER PER HR,Local,Local,,,,both,,,535,535,113.8929104,535,535,percent of total billed charges,393.6185063,,,,535,percent of total billed charges,417.2278339,,,,535,percent of total billed charges,393.6185063,,,,535,percent of total billed charges,417.2278339,,,,535,percent of total billed charges,999999999,,,,535,percent of total billed charges,407.6332297,,,,535,percent of total billed charges,393.6185063,,,,535,percent of total billed charges,417.2278339,,,,381.455,percent of total billed charges,190.3530256,,,,381.455,percent of total billed charges,113.8929104,,,,381.455,percent of total billed charges,190.3530256,,,,381.455,percent of total billed charges,113.8929104,,,,381.455,percent of total billed charges,190.3530256,,,,381.455,percent of total billed charges,113.8929104,,,,377.71,percent of total billed charges,374.8442115,,,,377.71,percent of total billed charges,258.5270817,,,,,,,,,,385.2,percent of total billed charges,250.3709354,,,,,,,,,,385.2,percent of total billed charges,999999999,,,,,,,,,,428,percent of total billed charges,358.6417518,,,,422.65,percent of total billed charges,407.8754387,,,,422.65,percent of total billed charges,360.3714514,,,,428,percent of total billed charges,999999999,,,,428,percent of total billed charges,999999999,,,,374.5,percent of total billed charges,999999999,,,,374.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,284.62,percent of total billed charges,999999999,,,,,,,,,,,,,,,,270.175,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,133.75,percent of total billed charges,127.0297836,,,,,,,,,,133.75,percent of total billed charges,124.9167295,,,,,,,,,,133.75,percent of total billed charges,124.5695913,,,,,,,,,,133.75,percent of total billed charges,122.7353056,,,,,,,,,,133.75,percent of total billed charges,125.8934654,,,,,,,,,,133.75,percent of total billed charges,999999999,,,,,,,,,,133.75,percent of total billed charges,108.0254588,,,,,,,,,,133.75,percent of total billed charges,170.3635979,,,,,,,,,,133.75,percent of total billed charges,999999999,,,,,,,,,,133.75,percent of total billed charges,116.4778641,,,,,,,,,,481.5,percent of total billed charges,,,,,
PEDS LPN TRANSFER PER HR,Local,Local,,,,both,,,382,382,81.32166685,382,382,percent of total billed charges,281.0509708,,,,382,percent of total billed charges,297.908472,,,,382,percent of total billed charges,281.0509708,,,,382,percent of total billed charges,297.908472,,,,382,percent of total billed charges,999999999,,,,382,percent of total billed charges,291.0577453,,,,382,percent of total billed charges,281.0509708,,,,382,percent of total billed charges,297.908472,,,,272.366,percent of total billed charges,135.9156183,,,,272.366,percent of total billed charges,81.32166685,,,,272.366,percent of total billed charges,135.9156183,,,,272.366,percent of total billed charges,81.32166685,,,,272.366,percent of total billed charges,135.9156183,,,,272.366,percent of total billed charges,81.32166685,,,,269.692,percent of total billed charges,267.6457735,,,,269.692,percent of total billed charges,184.5931686,,,,,,,,,,275.04,percent of total billed charges,178.7695277,,,,,,,,,,275.04,percent of total billed charges,999999999,,,,,,,,,,305.6,percent of total billed charges,256.0769144,,,,301.78,percent of total billed charges,291.2306871,,,,301.78,percent of total billed charges,257.3119522,,,,305.6,percent of total billed charges,999999999,,,,305.6,percent of total billed charges,999999999,,,,267.4,percent of total billed charges,999999999,,,,267.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,203.224,percent of total billed charges,999999999,,,,,,,,,,,,,,,,192.91,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,95.5,percent of total billed charges,90.70163985,,,,,,,,,,95.5,percent of total billed charges,89.19287978,,,,,,,,,,95.5,percent of total billed charges,88.94501659,,,,,,,,,,95.5,percent of total billed charges,87.6353023,,,,,,,,,,95.5,percent of total billed charges,89.89028746,,,,,,,,,,95.5,percent of total billed charges,999999999,,,,,,,,,,95.5,percent of total billed charges,77.13219672,,,,,,,,,,95.5,percent of total billed charges,121.6427932,,,,,,,,,,95.5,percent of total billed charges,999999999,,,,,,,,,,95.5,percent of total billed charges,83.1673721,,,,,,,,,,343.8,percent of total billed charges,,,,,
**Y-SENSOR APPLIC NEONATAL SIZE,Local,Local,,,,both,,,11,11,2.341723391,11,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,11,percent of total billed charges,999999999,,,,11,percent of total billed charges,8.381243975,,,,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.766,percent of total billed charges,7.707077247,,,,7.766,percent of total billed charges,5.31551009,,,,,,,,,,7.92,percent of total billed charges,5.147813626,,,,,,,,,,7.92,percent of total billed charges,999999999,,,,,,,,,,8.8,percent of total billed charges,7.373942561,,,,8.69,percent of total billed charges,8.386223973,,,,8.69,percent of total billed charges,7.409506477,,,,8.8,percent of total billed charges,999999999,,,,8.8,percent of total billed charges,999999999,,,,7.7,percent of total billed charges,999999999,,,,7.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.852,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.555,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.75,percent of total billed charges,2.611827325,,,,,,,,,,2.75,percent of total billed charges,2.568381355,,,,,,,,,,2.75,percent of total billed charges,2.561243933,,,,,,,,,,2.75,percent of total billed charges,2.523529647,,,,,,,,,,2.75,percent of total billed charges,2.588463775,,,,,,,,,,2.75,percent of total billed charges,999999999,,,,,,,,,,2.75,percent of total billed charges,2.221084199,,,,,,,,,,2.75,percent of total billed charges,3.502802947,,,,,,,,,,2.75,percent of total billed charges,999999999,,,,,,,,,,2.75,percent of total billed charges,2.394871971,,,,,,,,,,9.9,percent of total billed charges,,,,,
**Y-SENSOR APPLIC PED SIZE,Local,Local,,,,both,,,11,11,2.341723391,11,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,11,percent of total billed charges,999999999,,,,11,percent of total billed charges,8.381243975,,,,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.766,percent of total billed charges,7.707077247,,,,7.766,percent of total billed charges,5.31551009,,,,,,,,,,7.92,percent of total billed charges,5.147813626,,,,,,,,,,7.92,percent of total billed charges,999999999,,,,,,,,,,8.8,percent of total billed charges,7.373942561,,,,8.69,percent of total billed charges,8.386223973,,,,8.69,percent of total billed charges,7.409506477,,,,8.8,percent of total billed charges,999999999,,,,8.8,percent of total billed charges,999999999,,,,7.7,percent of total billed charges,999999999,,,,7.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.852,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.555,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.75,percent of total billed charges,2.611827325,,,,,,,,,,2.75,percent of total billed charges,2.568381355,,,,,,,,,,2.75,percent of total billed charges,2.561243933,,,,,,,,,,2.75,percent of total billed charges,2.523529647,,,,,,,,,,2.75,percent of total billed charges,2.588463775,,,,,,,,,,2.75,percent of total billed charges,999999999,,,,,,,,,,2.75,percent of total billed charges,2.221084199,,,,,,,,,,2.75,percent of total billed charges,3.502802947,,,,,,,,,,2.75,percent of total billed charges,999999999,,,,,,,,,,2.75,percent of total billed charges,2.394871971,,,,,,,,,,9.9,percent of total billed charges,,,,,
**OX PROBE DISP NOVAMETRIX,Local,Local,,,,both,,,261,261,55.56270955,261,261,percent of total billed charges,192.0269722,,,,261,percent of total billed charges,203.5447937,,,,261,percent of total billed charges,192.0269722,,,,261,percent of total billed charges,203.5447937,,,,261,percent of total billed charges,999999999,,,,261,percent of total billed charges,198.8640616,,,,261,percent of total billed charges,192.0269722,,,,261,percent of total billed charges,203.5447937,,,,186.093,percent of total billed charges,92.86381251,,,,186.093,percent of total billed charges,55.56270955,,,,186.093,percent of total billed charges,92.86381251,,,,186.093,percent of total billed charges,55.56270955,,,,186.093,percent of total billed charges,92.86381251,,,,186.093,percent of total billed charges,55.56270955,,,,184.266,percent of total billed charges,182.8679238,,,,184.266,percent of total billed charges,126.1225576,,,,,,,,,,187.92,percent of total billed charges,122.1435778,,,,,,,,,,187.92,percent of total billed charges,999999999,,,,,,,,,,208.8,percent of total billed charges,174.9635462,,,,206.19,percent of total billed charges,198.9822234,,,,206.19,percent of total billed charges,175.807381,,,,208.8,percent of total billed charges,999999999,,,,208.8,percent of total billed charges,999999999,,,,182.7,percent of total billed charges,999999999,,,,182.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,138.852,percent of total billed charges,999999999,,,,,,,,,,,,,,,,131.805,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,65.25,percent of total billed charges,61.97153927,,,,,,,,,,65.25,percent of total billed charges,60.94068488,,,,,,,,,,65.25,percent of total billed charges,60.77133332,,,,,,,,,,65.25,percent of total billed charges,59.87647618,,,,,,,,,,65.25,percent of total billed charges,61.41718594,,,,,,,,,,65.25,percent of total billed charges,999999999,,,,,,,,,,65.25,percent of total billed charges,52.70027053,,,,,,,,,,65.25,percent of total billed charges,83.11196083,,,,,,,,,,65.25,percent of total billed charges,999999999,,,,,,,,,,65.25,percent of total billed charges,56.82378041,,,,,,,,,,234.9,percent of total billed charges,,,,,
**PEDIALYTE 4 OUNCE SIZE,Local,Local,,,,both,,,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
NASAL WASHING - RSV,86756,CDM,,,,both,,,50,50,10.64419723,50,50,percent of total billed charges,36.78677629,,,,50,percent of total billed charges,38.9932555,,,,50,percent of total billed charges,36.78677629,,,,50,percent of total billed charges,38.9932555,,,,50,percent of total billed charges,999999999,,,,50,percent of total billed charges,38.09656352,,,,50,percent of total billed charges,36.78677629,,,,50,percent of total billed charges,38.9932555,,,,35.65,percent of total billed charges,17.7900024,,,,35.65,percent of total billed charges,10.64419723,,,,35.65,percent of total billed charges,17.7900024,,,,35.65,percent of total billed charges,10.64419723,,,,35.65,percent of total billed charges,17.7900024,,,,35.65,percent of total billed charges,10.64419723,,,,35.3,percent of total billed charges,35.0321693,,,,35.3,percent of total billed charges,24.1614095,,,,,,,,,,36,percent of total billed charges,23.39915284,,,,,,,,,,36,percent of total billed charges,999999999,,,,,,,,,,40,percent of total billed charges,33.51792073,,,,39.5,percent of total billed charges,38.11919988,,,,39.5,percent of total billed charges,33.6795749,,,,40,percent of total billed charges,999999999,,,,40,percent of total billed charges,999999999,,,,35,percent of total billed charges,999999999,,,,35,percent of total billed charges,999999999,,,,,,,,,,,,,,,,26.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,25.25,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12.5,percent of total billed charges,11.87194239,,,,,,,,,,12.5,percent of total billed charges,11.6744607,,,,,,,,,,12.5,percent of total billed charges,11.64201788,,,,,,,,,,12.5,percent of total billed charges,11.47058931,,,,,,,,,,12.5,percent of total billed charges,11.76574443,,,,,,,,,,12.5,percent of total billed charges,999999999,,,,,,,,,,12.5,percent of total billed charges,10.09583727,,,,,,,,,,12.5,percent of total billed charges,15.92183158,,,,,,,,,,12.5,percent of total billed charges,999999999,,,,,,,,,,12.5,percent of total billed charges,10.88578169,,,,,,,,,,45,percent of total billed charges,,,,,
**CARDIAC MONITOR,93224,CDM,,,,both,,,215,215,45.77004809,215,215,percent of total billed charges,158.183138,,,,215,percent of total billed charges,167.6709987,,,,215,percent of total billed charges,158.183138,,,,215,percent of total billed charges,167.6709987,,,,215,percent of total billed charges,999999999,,,,215,percent of total billed charges,163.8152231,,,,215,percent of total billed charges,158.183138,,,,215,percent of total billed charges,167.6709987,,,,153.295,percent of total billed charges,76.4970103,,,,153.295,percent of total billed charges,45.77004809,,,,153.295,percent of total billed charges,76.4970103,,,,153.295,percent of total billed charges,45.77004809,,,,153.295,percent of total billed charges,76.4970103,,,,153.295,percent of total billed charges,45.77004809,,,,151.79,percent of total billed charges,150.638328,,,,151.79,percent of total billed charges,103.8940609,,,,,,,,,,154.8,percent of total billed charges,100.6163572,,,,,,,,,,154.8,percent of total billed charges,999999999,,,,,,,,,,172,percent of total billed charges,144.1270591,,,,169.85,percent of total billed charges,163.9125595,,,,169.85,percent of total billed charges,144.8221721,,,,172,percent of total billed charges,999999999,,,,172,percent of total billed charges,999999999,,,,150.5,percent of total billed charges,999999999,,,,150.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,114.38,percent of total billed charges,999999999,,,,,,,,,,,,,,,,108.575,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.75,percent of total billed charges,51.04935227,,,,,,,,,,53.75,percent of total billed charges,50.20018103,,,,,,,,,,53.75,percent of total billed charges,50.06067688,,,,,,,,,,53.75,percent of total billed charges,49.32353402,,,,,,,,,,53.75,percent of total billed charges,50.59270106,,,,,,,,,,53.75,percent of total billed charges,999999999,,,,,,,,,,53.75,percent of total billed charges,43.41210025,,,,,,,,,,53.75,percent of total billed charges,68.46387578,,,,,,,,,,53.75,percent of total billed charges,999999999,,,,,,,,,,53.75,percent of total billed charges,46.80886126,,,,,,,,,,193.5,percent of total billed charges,,,,,
APNEA MONITOR SETUP,Local,Local,,,,both,,,119,119,25.33318941,119,119,percent of total billed charges,87.55252756,,,,119,percent of total billed charges,92.80394809,,,,119,percent of total billed charges,87.55252756,,,,119,percent of total billed charges,92.80394809,,,,119,percent of total billed charges,999999999,,,,119,percent of total billed charges,90.66982118,,,,119,percent of total billed charges,87.55252756,,,,119,percent of total billed charges,92.80394809,,,,84.847,percent of total billed charges,42.3402057,,,,84.847,percent of total billed charges,25.33318941,,,,84.847,percent of total billed charges,42.3402057,,,,84.847,percent of total billed charges,25.33318941,,,,84.847,percent of total billed charges,42.3402057,,,,84.847,percent of total billed charges,25.33318941,,,,84.014,percent of total billed charges,83.37656294,,,,84.014,percent of total billed charges,57.50415461,,,,,,,,,,85.68,percent of total billed charges,55.68998377,,,,,,,,,,85.68,percent of total billed charges,999999999,,,,,,,,,,95.2,percent of total billed charges,79.77265134,,,,94.01,percent of total billed charges,90.72369571,,,,94.01,percent of total billed charges,80.15738826,,,,95.2,percent of total billed charges,999999999,,,,95.2,percent of total billed charges,999999999,,,,83.3,percent of total billed charges,999999999,,,,83.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,63.308,percent of total billed charges,999999999,,,,,,,,,,,,,,,,60.095,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,29.75,percent of total billed charges,28.25522288,,,,,,,,,,29.75,percent of total billed charges,27.78521648,,,,,,,,,,29.75,percent of total billed charges,27.70800255,,,,,,,,,,29.75,percent of total billed charges,27.30000255,,,,,,,,,,29.75,percent of total billed charges,28.00247175,,,,,,,,,,29.75,percent of total billed charges,999999999,,,,,,,,,,29.75,percent of total billed charges,24.0280927,,,,,,,,,,29.75,percent of total billed charges,37.89395915,,,,,,,,,,29.75,percent of total billed charges,999999999,,,,,,,,,,29.75,percent of total billed charges,25.90816042,,,,,,,,,,107.1,percent of total billed charges,,,,,
APNEA MONITOR PER HOUR,Local,Local,,,,both,,,50,50,10.64419723,50,50,percent of total billed charges,36.78677629,,,,50,percent of total billed charges,38.9932555,,,,50,percent of total billed charges,36.78677629,,,,50,percent of total billed charges,38.9932555,,,,50,percent of total billed charges,999999999,,,,50,percent of total billed charges,38.09656352,,,,50,percent of total billed charges,36.78677629,,,,50,percent of total billed charges,38.9932555,,,,35.65,percent of total billed charges,17.7900024,,,,35.65,percent of total billed charges,10.64419723,,,,35.65,percent of total billed charges,17.7900024,,,,35.65,percent of total billed charges,10.64419723,,,,35.65,percent of total billed charges,17.7900024,,,,35.65,percent of total billed charges,10.64419723,,,,35.3,percent of total billed charges,35.0321693,,,,35.3,percent of total billed charges,24.1614095,,,,,,,,,,36,percent of total billed charges,23.39915284,,,,,,,,,,36,percent of total billed charges,999999999,,,,,,,,,,40,percent of total billed charges,33.51792073,,,,39.5,percent of total billed charges,38.11919988,,,,39.5,percent of total billed charges,33.6795749,,,,40,percent of total billed charges,999999999,,,,40,percent of total billed charges,999999999,,,,35,percent of total billed charges,999999999,,,,35,percent of total billed charges,999999999,,,,,,,,,,,,,,,,26.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,25.25,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12.5,percent of total billed charges,11.87194239,,,,,,,,,,12.5,percent of total billed charges,11.6744607,,,,,,,,,,12.5,percent of total billed charges,11.64201788,,,,,,,,,,12.5,percent of total billed charges,11.47058931,,,,,,,,,,12.5,percent of total billed charges,11.76574443,,,,,,,,,,12.5,percent of total billed charges,999999999,,,,,,,,,,12.5,percent of total billed charges,10.09583727,,,,,,,,,,12.5,percent of total billed charges,15.92183158,,,,,,,,,,12.5,percent of total billed charges,999999999,,,,,,,,,,12.5,percent of total billed charges,10.88578169,,,,,,,,,,45,percent of total billed charges,,,,,
IV HYDR 31 MIN TO 1 HOUR,96360,CDM,,,,both,,,679,679,144.5481984,679,679,percent of total billed charges,499.564422,,,,679,percent of total billed charges,529.5284097,,,,679,percent of total billed charges,499.564422,,,,679,percent of total billed charges,529.5284097,,,,679,percent of total billed charges,999999999,,,,679,percent of total billed charges,517.3513326,,,,679,percent of total billed charges,499.564422,,,,679,percent of total billed charges,529.5284097,,,,484.127,percent of total billed charges,241.5882325,,,,484.127,percent of total billed charges,144.5481984,,,,484.127,percent of total billed charges,241.5882325,,,,484.127,percent of total billed charges,144.5481984,,,,484.127,percent of total billed charges,241.5882325,,,,484.127,percent of total billed charges,144.5481984,,,,479.374,percent of total billed charges,475.7368591,,,,479.374,percent of total billed charges,328.111941,,,,,,,,,,488.88,percent of total billed charges,317.7604956,,,,,,,,,,488.88,percent of total billed charges,999999999,,,,,,,,,,543.2,percent of total billed charges,455.1733635,,,,536.41,percent of total billed charges,517.6587344,,,,536.41,percent of total billed charges,457.3686271,,,,543.2,percent of total billed charges,999999999,,,,543.2,percent of total billed charges,999999999,,,,475.3,percent of total billed charges,999999999,,,,475.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,361.228,percent of total billed charges,999999999,,,,,,,,,,,,,,,,342.895,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,169.75,percent of total billed charges,161.2209776,,,,,,,,,,169.75,percent of total billed charges,158.5391764,,,,,,,,,,169.75,percent of total billed charges,158.0986028,,,,,,,,,,169.75,percent of total billed charges,155.7706028,,,,,,,,,,169.75,percent of total billed charges,159.7788094,,,,,,,,,,169.75,percent of total billed charges,999999999,,,,,,,,,,169.75,percent of total billed charges,137.1014701,,,,,,,,,,169.75,percent of total billed charges,216.2184728,,,,,,,,,,169.75,percent of total billed charges,999999999,,,,,,,,,,169.75,percent of total billed charges,147.8289153,,,,,,,,,,611.1,percent of total billed charges,,,,,
"IM, SQ, THERAPEUTIC INJECTION",96372,CDM,,,,both,,,219,219,46.62158387,219,219,percent of total billed charges,161.1260801,,,,219,percent of total billed charges,170.7904591,,,,219,percent of total billed charges,161.1260801,,,,219,percent of total billed charges,170.7904591,,,,219,percent of total billed charges,999999999,,,,219,percent of total billed charges,166.8629482,,,,219,percent of total billed charges,161.1260801,,,,219,percent of total billed charges,170.7904591,,,,156.147,percent of total billed charges,77.9202105,,,,156.147,percent of total billed charges,46.62158387,,,,156.147,percent of total billed charges,77.9202105,,,,156.147,percent of total billed charges,46.62158387,,,,156.147,percent of total billed charges,77.9202105,,,,156.147,percent of total billed charges,46.62158387,,,,154.614,percent of total billed charges,153.4409015,,,,154.614,percent of total billed charges,105.8269736,,,,,,,,,,157.68,percent of total billed charges,102.4882895,,,,,,,,,,157.68,percent of total billed charges,999999999,,,,,,,,,,175.2,percent of total billed charges,146.8084928,,,,173.01,percent of total billed charges,166.9620955,,,,173.01,percent of total billed charges,147.516538,,,,175.2,percent of total billed charges,999999999,,,,175.2,percent of total billed charges,999999999,,,,153.3,percent of total billed charges,999999999,,,,153.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,116.508,percent of total billed charges,999999999,,,,,,,,,,,,,,,,110.595,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,54.75,percent of total billed charges,51.99910766,,,,,,,,,,54.75,percent of total billed charges,51.13413789,,,,,,,,,,54.75,percent of total billed charges,50.99203831,,,,,,,,,,54.75,percent of total billed charges,50.24118116,,,,,,,,,,54.75,percent of total billed charges,51.53396061,,,,,,,,,,54.75,percent of total billed charges,999999999,,,,,,,,,,54.75,percent of total billed charges,44.21976723,,,,,,,,,,54.75,percent of total billed charges,69.7376223,,,,,,,,,,54.75,percent of total billed charges,999999999,,,,,,,,,,54.75,percent of total billed charges,47.67972379,,,,,,,,,,197.1,percent of total billed charges,,,,,
**INTRAMUSCULAR/SUBCU INJECT  THERAP DX,96372,CDM,,,,both,,,209,209,44.49274443,209,209,percent of total billed charges,153.7687249,,,,209,percent of total billed charges,162.991808,,,,209,percent of total billed charges,153.7687249,,,,209,percent of total billed charges,162.991808,,,,209,percent of total billed charges,999999999,,,,209,percent of total billed charges,159.2436355,,,,209,percent of total billed charges,153.7687249,,,,209,percent of total billed charges,162.991808,,,,149.017,percent of total billed charges,74.36221002,,,,149.017,percent of total billed charges,44.49274443,,,,149.017,percent of total billed charges,74.36221002,,,,149.017,percent of total billed charges,44.49274443,,,,149.017,percent of total billed charges,74.36221002,,,,149.017,percent of total billed charges,44.49274443,,,,147.554,percent of total billed charges,146.4344677,,,,147.554,percent of total billed charges,100.9946917,,,,,,,,,,150.48,percent of total billed charges,97.80845889,,,,,,,,,,150.48,percent of total billed charges,999999999,,,,,,,,,,167.2,percent of total billed charges,140.1049087,,,,165.11,percent of total billed charges,159.3382555,,,,165.11,percent of total billed charges,140.7806231,,,,167.2,percent of total billed charges,999999999,,,,167.2,percent of total billed charges,999999999,,,,146.3,percent of total billed charges,999999999,,,,146.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,111.188,percent of total billed charges,999999999,,,,,,,,,,,,,,,,105.545,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,52.25,percent of total billed charges,49.62471918,,,,,,,,,,52.25,percent of total billed charges,48.79924575,,,,,,,,,,52.25,percent of total billed charges,48.66363473,,,,,,,,,,52.25,percent of total billed charges,47.9470633,,,,,,,,,,52.25,percent of total billed charges,49.18081173,,,,,,,,,,52.25,percent of total billed charges,999999999,,,,,,,,,,52.25,percent of total billed charges,42.20059978,,,,,,,,,,52.25,percent of total billed charges,66.55325599,,,,,,,,,,52.25,percent of total billed charges,999999999,,,,,,,,,,52.25,percent of total billed charges,45.50256746,,,,,,,,,,188.1,percent of total billed charges,,,,,
IV PUSH OR IV 15 MIN INITIAL SEP SITE,96374,CDM,,,,both,,,361,361,76.85110401,361,361,percent of total billed charges,265.6005248,,,,361,percent of total billed charges,281.5313047,,,,361,percent of total billed charges,265.6005248,,,,361,percent of total billed charges,281.5313047,,,,361,percent of total billed charges,999999999,,,,361,percent of total billed charges,275.0571886,,,,361,percent of total billed charges,265.6005248,,,,361,percent of total billed charges,281.5313047,,,,257.393,percent of total billed charges,128.4438173,,,,257.393,percent of total billed charges,76.85110401,,,,257.393,percent of total billed charges,128.4438173,,,,257.393,percent of total billed charges,76.85110401,,,,257.393,percent of total billed charges,128.4438173,,,,257.393,percent of total billed charges,76.85110401,,,,254.866,percent of total billed charges,252.9322624,,,,254.866,percent of total billed charges,174.4453766,,,,,,,,,,259.92,percent of total billed charges,168.9418835,,,,,,,,,,259.92,percent of total billed charges,999999999,,,,,,,,,,288.8,percent of total billed charges,241.9993877,,,,285.19,percent of total billed charges,275.2206231,,,,285.19,percent of total billed charges,243.1665308,,,,288.8,percent of total billed charges,999999999,,,,288.8,percent of total billed charges,999999999,,,,252.7,percent of total billed charges,999999999,,,,252.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,192.052,percent of total billed charges,999999999,,,,,,,,,,,,,,,,182.305,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,90.25,percent of total billed charges,85.71542404,,,,,,,,,,90.25,percent of total billed charges,84.28960629,,,,,,,,,,90.25,percent of total billed charges,84.05536908,,,,,,,,,,90.25,percent of total billed charges,82.81765479,,,,,,,,,,90.25,percent of total billed charges,84.9486748,,,,,,,,,,90.25,percent of total billed charges,999999999,,,,,,,,,,90.25,percent of total billed charges,72.89194507,,,,,,,,,,90.25,percent of total billed charges,114.955624,,,,,,,,,,90.25,percent of total billed charges,999999999,,,,,,,,,,90.25,percent of total billed charges,78.59534379,,,,,,,,,,324.9,percent of total billed charges,,,,,
MED/SURG RN TRANSFER PER HR,Local,Local,,,,both,,,535,535,113.8929104,535,535,percent of total billed charges,393.6185063,,,,535,percent of total billed charges,417.2278339,,,,535,percent of total billed charges,393.6185063,,,,535,percent of total billed charges,417.2278339,,,,535,percent of total billed charges,999999999,,,,535,percent of total billed charges,407.6332297,,,,535,percent of total billed charges,393.6185063,,,,535,percent of total billed charges,417.2278339,,,,381.455,percent of total billed charges,190.3530256,,,,381.455,percent of total billed charges,113.8929104,,,,381.455,percent of total billed charges,190.3530256,,,,381.455,percent of total billed charges,113.8929104,,,,381.455,percent of total billed charges,190.3530256,,,,381.455,percent of total billed charges,113.8929104,,,,377.71,percent of total billed charges,374.8442115,,,,377.71,percent of total billed charges,258.5270817,,,,,,,,,,385.2,percent of total billed charges,250.3709354,,,,,,,,,,385.2,percent of total billed charges,999999999,,,,,,,,,,428,percent of total billed charges,358.6417518,,,,422.65,percent of total billed charges,407.8754387,,,,422.65,percent of total billed charges,360.3714514,,,,428,percent of total billed charges,999999999,,,,428,percent of total billed charges,999999999,,,,374.5,percent of total billed charges,999999999,,,,374.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,284.62,percent of total billed charges,999999999,,,,,,,,,,,,,,,,270.175,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,133.75,percent of total billed charges,127.0297836,,,,,,,,,,133.75,percent of total billed charges,124.9167295,,,,,,,,,,133.75,percent of total billed charges,124.5695913,,,,,,,,,,133.75,percent of total billed charges,122.7353056,,,,,,,,,,133.75,percent of total billed charges,125.8934654,,,,,,,,,,133.75,percent of total billed charges,999999999,,,,,,,,,,133.75,percent of total billed charges,108.0254588,,,,,,,,,,133.75,percent of total billed charges,170.3635979,,,,,,,,,,133.75,percent of total billed charges,999999999,,,,,,,,,,133.75,percent of total billed charges,116.4778641,,,,,,,,,,481.5,percent of total billed charges,,,,,
MED/SURG LPN TRANSFER PER HR,Local,Local,,,,both,,,402,402,85.57934574,402,402,percent of total billed charges,295.7656813,,,,402,percent of total billed charges,313.5057742,,,,402,percent of total billed charges,295.7656813,,,,402,percent of total billed charges,313.5057742,,,,402,percent of total billed charges,999999999,,,,402,percent of total billed charges,306.2963707,,,,402,percent of total billed charges,295.7656813,,,,402,percent of total billed charges,313.5057742,,,,286.626,percent of total billed charges,143.0316193,,,,286.626,percent of total billed charges,85.57934574,,,,286.626,percent of total billed charges,143.0316193,,,,286.626,percent of total billed charges,85.57934574,,,,286.626,percent of total billed charges,143.0316193,,,,286.626,percent of total billed charges,85.57934574,,,,283.812,percent of total billed charges,281.6586412,,,,283.812,percent of total billed charges,194.2577324,,,,,,,,,,289.44,percent of total billed charges,188.1291889,,,,,,,,,,289.44,percent of total billed charges,999999999,,,,,,,,,,321.6,percent of total billed charges,269.4840827,,,,317.58,percent of total billed charges,306.478367,,,,317.58,percent of total billed charges,270.7837822,,,,321.6,percent of total billed charges,999999999,,,,321.6,percent of total billed charges,999999999,,,,281.4,percent of total billed charges,999999999,,,,281.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,213.864,percent of total billed charges,999999999,,,,,,,,,,,,,,,,203.01,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,100.5,percent of total billed charges,95.4504168,,,,,,,,,,100.5,percent of total billed charges,93.86266406,,,,,,,,,,100.5,percent of total billed charges,93.60182374,,,,,,,,,,100.5,percent of total billed charges,92.22353803,,,,,,,,,,100.5,percent of total billed charges,94.59658524,,,,,,,,,,100.5,percent of total billed charges,999999999,,,,,,,,,,100.5,percent of total billed charges,81.17053163,,,,,,,,,,100.5,percent of total billed charges,128.0115259,,,,,,,,,,100.5,percent of total billed charges,999999999,,,,,,,,,,100.5,percent of total billed charges,87.52168477,,,,,,,,,,361.8,percent of total billed charges,,,,,
REMOVAL OF FECAL IMPACTION OR FOREIG,45915,CDM,,,,both,,,5941,5941,1264.743515,5941,5941,percent of total billed charges,4371.004758,,,,5941,percent of total billed charges,4633.178619,,,,5941,percent of total billed charges,4371.004758,,,,5941,percent of total billed charges,4633.178619,,,,5941,percent of total billed charges,999999999,,,,5941,percent of total billed charges,4526.633678,,,,5941,percent of total billed charges,4371.004758,,,,5941,percent of total billed charges,4633.178619,,,,4235.933,percent of total billed charges,2113.808085,,,,4235.933,percent of total billed charges,1264.743515,,,,4235.933,percent of total billed charges,2113.808085,,,,4235.933,percent of total billed charges,1264.743515,,,,4235.933,percent of total billed charges,2113.808085,,,,4235.933,percent of total billed charges,1264.743515,,,,4194.346,percent of total billed charges,4162.522357,,,,4194.346,percent of total billed charges,2870.858677,,,,,,,,,,4277.52,percent of total billed charges,2780.287341,,,,,,,,,,4277.52,percent of total billed charges,999999999,,,,,,,,,,4752.8,percent of total billed charges,3982.599341,,,,4693.39,percent of total billed charges,4529.32333,,,,4693.39,percent of total billed charges,4001.807089,,,,4752.8,percent of total billed charges,999999999,,,,4752.8,percent of total billed charges,999999999,,,,4158.7,percent of total billed charges,999999999,,,,4158.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3160.612,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3000.205,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1485.25,percent of total billed charges,1410.624195,,,,,,,,,,1485.25,percent of total billed charges,1387.159421,,,,,,,,,,1485.25,percent of total billed charges,1383.304564,,,,,,,,,,1485.25,percent of total billed charges,1362.935421,,,,,,,,,,1485.25,percent of total billed charges,1398.005753,,,,,,,,,,1485.25,percent of total billed charges,999999999,,,,,,,,,,1485.25,percent of total billed charges,1199.587384,,,,,,,,,,1485.25,percent of total billed charges,1891.832028,,,,,,,,,,1485.25,percent of total billed charges,999999999,,,,,,,,,,1485.25,percent of total billed charges,1293.44858,,,,,,,,,,5346.9,percent of total billed charges,,,,,
**NURSING SERVICE O/P,Local,Local,,,,both,,,80,80,17.03071557,80,80,percent of total billed charges,58.85884206,,,,80,percent of total billed charges,62.3892088,,,,80,percent of total billed charges,58.85884206,,,,80,percent of total billed charges,62.3892088,,,,80,percent of total billed charges,999999999,,,,80,percent of total billed charges,60.95450163,,,,80,percent of total billed charges,58.85884206,,,,80,percent of total billed charges,62.3892088,,,,57.04,percent of total billed charges,28.46400383,,,,57.04,percent of total billed charges,17.03071557,,,,57.04,percent of total billed charges,28.46400383,,,,57.04,percent of total billed charges,17.03071557,,,,57.04,percent of total billed charges,28.46400383,,,,57.04,percent of total billed charges,17.03071557,,,,56.48,percent of total billed charges,56.05147089,,,,56.48,percent of total billed charges,38.6582552,,,,,,,,,,57.6,percent of total billed charges,37.43864455,,,,,,,,,,57.6,percent of total billed charges,999999999,,,,,,,,,,64,percent of total billed charges,53.62867317,,,,63.2,percent of total billed charges,60.99071981,,,,63.2,percent of total billed charges,53.88731984,,,,64,percent of total billed charges,999999999,,,,64,percent of total billed charges,999999999,,,,56,percent of total billed charges,999999999,,,,56,percent of total billed charges,999999999,,,,,,,,,,,,,,,,42.56,percent of total billed charges,999999999,,,,,,,,,,,,,,,,40.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20,percent of total billed charges,18.99510782,,,,,,,,,,20,percent of total billed charges,18.67913713,,,,,,,,,,20,percent of total billed charges,18.62722861,,,,,,,,,,20,percent of total billed charges,18.35294289,,,,,,,,,,20,percent of total billed charges,18.82519109,,,,,,,,,,20,percent of total billed charges,999999999,,,,,,,,,,20,percent of total billed charges,16.15333963,,,,,,,,,,20,percent of total billed charges,25.47493052,,,,,,,,,,20,percent of total billed charges,999999999,,,,,,,,,,20,percent of total billed charges,17.4172507,,,,,,,,,,72,percent of total billed charges,,,,,
**TRACTION BOOT- DISP,Local,Local,,,,both,,,153,153,32.57124353,153,153,percent of total billed charges,112.5675354,,,,153,percent of total billed charges,119.3193618,,,,153,percent of total billed charges,112.5675354,,,,153,percent of total billed charges,119.3193618,,,,153,percent of total billed charges,999999999,,,,153,percent of total billed charges,116.5754844,,,,153,percent of total billed charges,112.5675354,,,,153,percent of total billed charges,119.3193618,,,,109.089,percent of total billed charges,54.43740733,,,,109.089,percent of total billed charges,32.57124353,,,,109.089,percent of total billed charges,54.43740733,,,,109.089,percent of total billed charges,32.57124353,,,,109.089,percent of total billed charges,54.43740733,,,,109.089,percent of total billed charges,32.57124353,,,,108.018,percent of total billed charges,107.1984381,,,,108.018,percent of total billed charges,73.93391308,,,,,,,,,,110.16,percent of total billed charges,71.6014077,,,,,,,,,,110.16,percent of total billed charges,999999999,,,,,,,,,,122.4,percent of total billed charges,102.5648374,,,,120.87,percent of total billed charges,116.6447516,,,,120.87,percent of total billed charges,103.0594992,,,,122.4,percent of total billed charges,999999999,,,,122.4,percent of total billed charges,999999999,,,,107.1,percent of total billed charges,999999999,,,,107.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,81.396,percent of total billed charges,999999999,,,,,,,,,,,,,,,,77.265,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,38.25,percent of total billed charges,36.32814371,,,,,,,,,,38.25,percent of total billed charges,35.72384976,,,,,,,,,,38.25,percent of total billed charges,35.62457471,,,,,,,,,,38.25,percent of total billed charges,35.10000328,,,,,,,,,,38.25,percent of total billed charges,36.00317796,,,,,,,,,,38.25,percent of total billed charges,999999999,,,,,,,,,,38.25,percent of total billed charges,30.89326204,,,,,,,,,,38.25,percent of total billed charges,48.72080462,,,,,,,,,,38.25,percent of total billed charges,999999999,,,,,,,,,,38.25,percent of total billed charges,33.31049197,,,,,,,,,,137.7,percent of total billed charges,,,,,
**IV INFUS HYDRATION UP TO 8HRS CPT,96361,CDM,,,,both,,,209,209,44.49274443,209,209,percent of total billed charges,153.7687249,,,,209,percent of total billed charges,162.991808,,,,209,percent of total billed charges,153.7687249,,,,209,percent of total billed charges,162.991808,,,,209,percent of total billed charges,999999999,,,,209,percent of total billed charges,159.2436355,,,,209,percent of total billed charges,153.7687249,,,,209,percent of total billed charges,162.991808,,,,149.017,percent of total billed charges,74.36221002,,,,149.017,percent of total billed charges,44.49274443,,,,149.017,percent of total billed charges,74.36221002,,,,149.017,percent of total billed charges,44.49274443,,,,149.017,percent of total billed charges,74.36221002,,,,149.017,percent of total billed charges,44.49274443,,,,147.554,percent of total billed charges,146.4344677,,,,147.554,percent of total billed charges,100.9946917,,,,,,,,,,150.48,percent of total billed charges,97.80845889,,,,,,,,,,150.48,percent of total billed charges,999999999,,,,,,,,,,167.2,percent of total billed charges,140.1049087,,,,165.11,percent of total billed charges,159.3382555,,,,165.11,percent of total billed charges,140.7806231,,,,167.2,percent of total billed charges,999999999,,,,167.2,percent of total billed charges,999999999,,,,146.3,percent of total billed charges,999999999,,,,146.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,111.188,percent of total billed charges,999999999,,,,,,,,,,,,,,,,105.545,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,52.25,percent of total billed charges,49.62471918,,,,,,,,,,52.25,percent of total billed charges,48.79924575,,,,,,,,,,52.25,percent of total billed charges,48.66363473,,,,,,,,,,52.25,percent of total billed charges,47.9470633,,,,,,,,,,52.25,percent of total billed charges,49.18081173,,,,,,,,,,52.25,percent of total billed charges,999999999,,,,,,,,,,52.25,percent of total billed charges,42.20059978,,,,,,,,,,52.25,percent of total billed charges,66.55325599,,,,,,,,,,52.25,percent of total billed charges,999999999,,,,,,,,,,52.25,percent of total billed charges,45.50256746,,,,,,,,,,188.1,percent of total billed charges,,,,,
**PHLEBOTOMY THERAPUTIC,99195,CDM,,,,both,,,201,201,42.78967287,201,201,percent of total billed charges,147.8828407,,,,201,percent of total billed charges,156.7528871,,,,201,percent of total billed charges,147.8828407,,,,201,percent of total billed charges,156.7528871,,,,201,percent of total billed charges,999999999,,,,201,percent of total billed charges,153.1481854,,,,201,percent of total billed charges,147.8828407,,,,201,percent of total billed charges,156.7528871,,,,143.313,percent of total billed charges,71.51580963,,,,143.313,percent of total billed charges,42.78967287,,,,143.313,percent of total billed charges,71.51580963,,,,143.313,percent of total billed charges,42.78967287,,,,143.313,percent of total billed charges,71.51580963,,,,143.313,percent of total billed charges,42.78967287,,,,141.906,percent of total billed charges,140.8293206,,,,141.906,percent of total billed charges,97.1288662,,,,,,,,,,144.72,percent of total billed charges,94.06459443,,,,,,,,,,144.72,percent of total billed charges,999999999,,,,,,,,,,160.8,percent of total billed charges,134.7420413,,,,158.79,percent of total billed charges,153.2391835,,,,158.79,percent of total billed charges,135.3918911,,,,160.8,percent of total billed charges,999999999,,,,160.8,percent of total billed charges,999999999,,,,140.7,percent of total billed charges,999999999,,,,140.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,106.932,percent of total billed charges,999999999,,,,,,,,,,,,,,,,101.505,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,50.25,percent of total billed charges,47.7252084,,,,,,,,,,50.25,percent of total billed charges,46.93133203,,,,,,,,,,50.25,percent of total billed charges,46.80091187,,,,,,,,,,50.25,percent of total billed charges,46.11176901,,,,,,,,,,50.25,percent of total billed charges,47.29829262,,,,,,,,,,50.25,percent of total billed charges,999999999,,,,,,,,,,50.25,percent of total billed charges,40.58526581,,,,,,,,,,50.25,percent of total billed charges,64.00576294,,,,,,,,,,50.25,percent of total billed charges,999999999,,,,,,,,,,50.25,percent of total billed charges,43.76084239,,,,,,,,,,180.9,percent of total billed charges,,,,,
.DAVITA HEMODIALYSIS,90999,CDM,,,,both,,,5948,5948,1266.233703,5948,5948,percent of total billed charges,4376.154907,,,,5948,percent of total billed charges,4638.637674,,,,5948,percent of total billed charges,4376.154907,,,,5948,percent of total billed charges,4638.637674,,,,5948,percent of total billed charges,999999999,,,,5948,percent of total billed charges,4531.967196,,,,5948,percent of total billed charges,4376.154907,,,,5948,percent of total billed charges,4638.637674,,,,4240.924,percent of total billed charges,2116.298685,,,,4240.924,percent of total billed charges,1266.233703,,,,4240.924,percent of total billed charges,2116.298685,,,,4240.924,percent of total billed charges,1266.233703,,,,4240.924,percent of total billed charges,2116.298685,,,,4240.924,percent of total billed charges,1266.233703,,,,4199.288,percent of total billed charges,4167.42686,,,,4199.288,percent of total billed charges,2874.241274,,,,,,,,,,4282.56,percent of total billed charges,2783.563222,,,,,,,,,,4282.56,percent of total billed charges,999999999,,,,,,,,,,4758.4,percent of total billed charges,3987.29185,,,,4698.92,percent of total billed charges,4534.660018,,,,4698.92,percent of total billed charges,4006.52223,,,,4758.4,percent of total billed charges,999999999,,,,4758.4,percent of total billed charges,999999999,,,,4163.6,percent of total billed charges,999999999,,,,4163.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3164.336,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3003.74,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1487,percent of total billed charges,1412.286267,,,,,,,,,,1487,percent of total billed charges,1388.793845,,,,,,,,,,1487,percent of total billed charges,1384.934447,,,,,,,,,,1487,percent of total billed charges,1364.541304,,,,,,,,,,1487,percent of total billed charges,1399.652958,,,,,,,,,,1487,percent of total billed charges,999999999,,,,,,,,,,1487,percent of total billed charges,1201.000801,,,,,,,,,,1487,percent of total billed charges,1894.061084,,,,,,,,,,1487,percent of total billed charges,999999999,,,,,,,,,,1487,percent of total billed charges,1294.97259,,,,,,,,,,5353.2,percent of total billed charges,,,,,
**OUTPATIENT ENEMA,99211,CDM,,,,both,,,304,304,64.71671917,304,304,percent of total billed charges,223.6635998,,,,304,percent of total billed charges,237.0789934,,,,304,percent of total billed charges,223.6635998,,,,304,percent of total billed charges,237.0789934,,,,304,percent of total billed charges,999999999,,,,304,percent of total billed charges,231.6271062,,,,304,percent of total billed charges,223.6635998,,,,304,percent of total billed charges,237.0789934,,,,216.752,percent of total billed charges,108.1632146,,,,216.752,percent of total billed charges,64.71671917,,,,216.752,percent of total billed charges,108.1632146,,,,216.752,percent of total billed charges,64.71671917,,,,216.752,percent of total billed charges,108.1632146,,,,216.752,percent of total billed charges,64.71671917,,,,214.624,percent of total billed charges,212.9955894,,,,214.624,percent of total billed charges,146.9013698,,,,,,,,,,218.88,percent of total billed charges,142.2668493,,,,,,,,,,218.88,percent of total billed charges,999999999,,,,,,,,,,243.2,percent of total billed charges,203.788958,,,,240.16,percent of total billed charges,231.7647353,,,,240.16,percent of total billed charges,204.7718154,,,,243.2,percent of total billed charges,999999999,,,,243.2,percent of total billed charges,999999999,,,,212.8,percent of total billed charges,999999999,,,,212.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,161.728,percent of total billed charges,999999999,,,,,,,,,,,,,,,,153.52,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,76,percent of total billed charges,72.18140972,,,,,,,,,,76,percent of total billed charges,70.98072108,,,,,,,,,,76,percent of total billed charges,70.7834687,,,,,,,,,,76,percent of total billed charges,69.74118298,,,,,,,,,,76,percent of total billed charges,71.53572615,,,,,,,,,,76,percent of total billed charges,999999999,,,,,,,,,,76,percent of total billed charges,61.38269058,,,,,,,,,,76,percent of total billed charges,96.80473598,,,,,,,,,,76,percent of total billed charges,999999999,,,,,,,,,,76,percent of total billed charges,66.18555266,,,,,,,,,,273.6,percent of total billed charges,,,,,
**PARACENTESIS,49083,CDM,,,,both,,,1701,1701,362.1155898,1701,1701,percent of total billed charges,1251.486129,,,,1701,percent of total billed charges,1326.550552,,,,1701,percent of total billed charges,1251.486129,,,,1701,percent of total billed charges,1326.550552,,,,1701,percent of total billed charges,999999999,,,,1701,percent of total billed charges,1296.045091,,,,1701,percent of total billed charges,1251.486129,,,,1701,percent of total billed charges,1326.550552,,,,1212.813,percent of total billed charges,605.2158815,,,,1212.813,percent of total billed charges,362.1155898,,,,1212.813,percent of total billed charges,605.2158815,,,,1212.813,percent of total billed charges,362.1155898,,,,1212.813,percent of total billed charges,605.2158815,,,,1212.813,percent of total billed charges,362.1155898,,,,1200.906,percent of total billed charges,1191.7944,,,,1200.906,percent of total billed charges,821.9711513,,,,,,,,,,1224.72,percent of total billed charges,796.0391798,,,,,,,,,,1224.72,percent of total billed charges,999999999,,,,,,,,,,1360.8,percent of total billed charges,1140.279663,,,,1343.79,percent of total billed charges,1296.81518,,,,1343.79,percent of total billed charges,1145.779138,,,,1360.8,percent of total billed charges,999999999,,,,1360.8,percent of total billed charges,999999999,,,,1190.7,percent of total billed charges,999999999,,,,1190.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,904.932,percent of total billed charges,999999999,,,,,,,,,,,,,,,,859.005,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,425.25,percent of total billed charges,403.88348,,,,,,,,,,425.25,percent of total billed charges,397.1651532,,,,,,,,,,425.25,percent of total billed charges,396.0614482,,,,,,,,,,425.25,percent of total billed charges,390.2294482,,,,,,,,,,425.25,percent of total billed charges,400.2706256,,,,,,,,,,425.25,percent of total billed charges,999999999,,,,,,,,,,425.25,percent of total billed charges,343.4603838,,,,,,,,,,425.25,percent of total billed charges,541.6607102,,,,,,,,,,425.25,percent of total billed charges,999999999,,,,,,,,,,425.25,percent of total billed charges,370.334293,,,,,,,,,,1530.9,percent of total billed charges,,,,,
**DRESSING CHANGE,99211,CDM,,,,both,,,245,245,52.15656643,245,245,percent of total billed charges,180.2552038,,,,245,percent of total billed charges,191.066952,,,,245,percent of total billed charges,180.2552038,,,,245,percent of total billed charges,191.066952,,,,245,percent of total billed charges,999999999,,,,245,percent of total billed charges,186.6731613,,,,245,percent of total billed charges,180.2552038,,,,245,percent of total billed charges,191.066952,,,,174.685,percent of total billed charges,87.17101174,,,,174.685,percent of total billed charges,52.15656643,,,,174.685,percent of total billed charges,87.17101174,,,,174.685,percent of total billed charges,52.15656643,,,,174.685,percent of total billed charges,87.17101174,,,,174.685,percent of total billed charges,52.15656643,,,,172.97,percent of total billed charges,171.6576296,,,,172.97,percent of total billed charges,118.3909066,,,,,,,,,,176.4,percent of total billed charges,114.6558489,,,,,,,,,,176.4,percent of total billed charges,999999999,,,,,,,,,,196,percent of total billed charges,164.2378116,,,,193.55,percent of total billed charges,186.7840794,,,,193.55,percent of total billed charges,165.029917,,,,196,percent of total billed charges,999999999,,,,196,percent of total billed charges,999999999,,,,171.5,percent of total billed charges,999999999,,,,171.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,130.34,percent of total billed charges,999999999,,,,,,,,,,,,,,,,123.725,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,61.25,percent of total billed charges,58.1725177,,,,,,,,,,61.25,percent of total billed charges,57.20485745,,,,,,,,,,61.25,percent of total billed charges,57.0458876,,,,,,,,,,61.25,percent of total billed charges,56.2058876,,,,,,,,,,61.25,percent of total billed charges,57.65214772,,,,,,,,,,61.25,percent of total billed charges,999999999,,,,,,,,,,61.25,percent of total billed charges,49.46960261,,,,,,,,,,61.25,percent of total billed charges,78.01697472,,,,,,,,,,61.25,percent of total billed charges,999999999,,,,,,,,,,61.25,percent of total billed charges,53.34033027,,,,,,,,,,220.5,percent of total billed charges,,,,,
IV PUSH OR IV 15 MIN INITIAL SEP SITE,96374,CDM,,,59,both,,,211,211,44.91851232,211,211,percent of total billed charges,155.2401959,,,,211,percent of total billed charges,164.5515382,,,,211,percent of total billed charges,155.2401959,,,,211,percent of total billed charges,164.5515382,,,,211,percent of total billed charges,999999999,,,,211,percent of total billed charges,160.7674981,,,,211,percent of total billed charges,155.2401959,,,,211,percent of total billed charges,164.5515382,,,,150.443,percent of total billed charges,75.07381011,,,,150.443,percent of total billed charges,44.91851232,,,,150.443,percent of total billed charges,75.07381011,,,,150.443,percent of total billed charges,44.91851232,,,,150.443,percent of total billed charges,75.07381011,,,,150.443,percent of total billed charges,44.91851232,,,,148.966,percent of total billed charges,147.8357545,,,,148.966,percent of total billed charges,101.9611481,,,,,,,,,,151.92,percent of total billed charges,98.744425,,,,,,,,,,151.92,percent of total billed charges,999999999,,,,,,,,,,168.8,percent of total billed charges,141.4456255,,,,166.69,percent of total billed charges,160.8630235,,,,166.69,percent of total billed charges,142.1278061,,,,168.8,percent of total billed charges,999999999,,,,168.8,percent of total billed charges,999999999,,,,147.7,percent of total billed charges,999999999,,,,147.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,112.252,percent of total billed charges,999999999,,,,,,,,,,,,,,,,106.555,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,52.75,percent of total billed charges,50.09959688,,,,,,,,,,52.75,percent of total billed charges,49.26622417,,,,,,,,,,52.75,percent of total billed charges,49.12931545,,,,,,,,,,52.75,percent of total billed charges,48.40588687,,,,,,,,,,52.75,percent of total billed charges,49.6514415,,,,,,,,,,52.75,percent of total billed charges,999999999,,,,,,,,,,52.75,percent of total billed charges,42.60443327,,,,,,,,,,52.75,percent of total billed charges,67.19012925,,,,,,,,,,52.75,percent of total billed charges,999999999,,,,,,,,,,52.75,percent of total billed charges,45.93799872,,,,,,,,,,189.9,percent of total billed charges,,,,,
**CAT 18 BONE MARROW ASPIRATION ONLY,38220,CDM,,,,both,,,939,939,199.898024,939,939,percent of total billed charges,690.8556587,,,,939,percent of total billed charges,732.2933383,,,,939,percent of total billed charges,690.8556587,,,,939,percent of total billed charges,732.2933383,,,,939,percent of total billed charges,999999999,,,,939,percent of total billed charges,715.4534629,,,,939,percent of total billed charges,690.8556587,,,,939,percent of total billed charges,732.2933383,,,,669.507,percent of total billed charges,334.096245,,,,669.507,percent of total billed charges,199.898024,,,,669.507,percent of total billed charges,334.096245,,,,669.507,percent of total billed charges,199.898024,,,,669.507,percent of total billed charges,334.096245,,,,669.507,percent of total billed charges,199.898024,,,,662.934,percent of total billed charges,657.9041395,,,,662.934,percent of total billed charges,453.7512704,,,,,,,,,,676.08,percent of total billed charges,439.4360904,,,,,,,,,,676.08,percent of total billed charges,999999999,,,,,,,,,,751.2,percent of total billed charges,629.4665513,,,,741.81,percent of total billed charges,715.8785737,,,,741.81,percent of total billed charges,632.5024166,,,,751.2,percent of total billed charges,999999999,,,,751.2,percent of total billed charges,999999999,,,,657.3,percent of total billed charges,999999999,,,,657.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,499.548,percent of total billed charges,999999999,,,,,,,,,,,,,,,,474.195,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,234.75,percent of total billed charges,222.9550781,,,,,,,,,,234.75,percent of total billed charges,219.246372,,,,,,,,,,234.75,percent of total billed charges,218.6370958,,,,,,,,,,234.75,percent of total billed charges,215.4176672,,,,,,,,,,234.75,percent of total billed charges,220.9606804,,,,,,,,,,234.75,percent of total billed charges,999999999,,,,,,,,,,234.75,percent of total billed charges,189.5998239,,,,,,,,,,234.75,percent of total billed charges,299.011997,,,,,,,,,,234.75,percent of total billed charges,999999999,,,,,,,,,,234.75,percent of total billed charges,204.4349801,,,,,,,,,,845.1,percent of total billed charges,,,,,
IV INJ ADD SEQ IVP SAME DRUG,96376,CDM,,,,both,,,290,290,61.73634394,290,290,percent of total billed charges,213.3633025,,,,290,percent of total billed charges,226.1608819,,,,290,percent of total billed charges,213.3633025,,,,290,percent of total billed charges,226.1608819,,,,290,percent of total billed charges,999999999,,,,290,percent of total billed charges,220.9600684,,,,290,percent of total billed charges,213.3633025,,,,290,percent of total billed charges,226.1608819,,,,206.77,percent of total billed charges,103.1820139,,,,206.77,percent of total billed charges,61.73634394,,,,206.77,percent of total billed charges,103.1820139,,,,206.77,percent of total billed charges,61.73634394,,,,206.77,percent of total billed charges,103.1820139,,,,206.77,percent of total billed charges,61.73634394,,,,204.74,percent of total billed charges,203.186582,,,,204.74,percent of total billed charges,140.1361751,,,,,,,,,,208.8,percent of total billed charges,135.7150865,,,,,,,,,,208.8,percent of total billed charges,999999999,,,,,,,,,,232,percent of total billed charges,194.4039402,,,,229.1,percent of total billed charges,221.0913593,,,,229.1,percent of total billed charges,195.3415344,,,,232,percent of total billed charges,999999999,,,,232,percent of total billed charges,999999999,,,,203,percent of total billed charges,999999999,,,,203,percent of total billed charges,999999999,,,,,,,,,,,,,,,,154.28,percent of total billed charges,999999999,,,,,,,,,,,,,,,,146.45,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,72.5,percent of total billed charges,68.85726585,,,,,,,,,,72.5,percent of total billed charges,67.71187209,,,,,,,,,,72.5,percent of total billed charges,67.52370369,,,,,,,,,,72.5,percent of total billed charges,66.52941798,,,,,,,,,,72.5,percent of total billed charges,68.24131771,,,,,,,,,,72.5,percent of total billed charges,999999999,,,,,,,,,,72.5,percent of total billed charges,58.55585615,,,,,,,,,,72.5,percent of total billed charges,92.34662314,,,,,,,,,,72.5,percent of total billed charges,999999999,,,,,,,,,,72.5,percent of total billed charges,63.13753379,,,,,,,,,,261,percent of total billed charges,,,,,
CHEMO ADMIN IV INFUS UP TO 1 HR,96413,CDM,,,,both,,,1155,1155,245.880956,1155,1155,percent of total billed charges,849.7745322,,,,1155,percent of total billed charges,900.7442021,,,,1155,percent of total billed charges,849.7745322,,,,1155,percent of total billed charges,900.7442021,,,,1155,percent of total billed charges,999999999,,,,1155,percent of total billed charges,880.0306173,,,,1155,percent of total billed charges,849.7745322,,,,1155,percent of total billed charges,900.7442021,,,,823.515,percent of total billed charges,410.9490554,,,,823.515,percent of total billed charges,245.880956,,,,823.515,percent of total billed charges,410.9490554,,,,823.515,percent of total billed charges,245.880956,,,,823.515,percent of total billed charges,410.9490554,,,,823.515,percent of total billed charges,245.880956,,,,815.43,percent of total billed charges,809.2431109,,,,815.43,percent of total billed charges,558.1285595,,,,,,,,,,831.6,percent of total billed charges,540.5204307,,,,,,,,,,831.6,percent of total billed charges,999999999,,,,,,,,,,924,percent of total billed charges,774.2639689,,,,912.45,percent of total billed charges,880.5535172,,,,912.45,percent of total billed charges,777.9981801,,,,924,percent of total billed charges,999999999,,,,924,percent of total billed charges,999999999,,,,808.5,percent of total billed charges,999999999,,,,808.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,614.46,percent of total billed charges,999999999,,,,,,,,,,,,,,,,583.275,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,288.75,percent of total billed charges,274.2418692,,,,,,,,,,288.75,percent of total billed charges,269.6800423,,,,,,,,,,288.75,percent of total billed charges,268.930613,,,,,,,,,,288.75,percent of total billed charges,264.970613,,,,,,,,,,288.75,percent of total billed charges,271.7886964,,,,,,,,,,288.75,percent of total billed charges,999999999,,,,,,,,,,288.75,percent of total billed charges,233.2138409,,,,,,,,,,288.75,percent of total billed charges,367.7943094,,,,,,,,,,288.75,percent of total billed charges,999999999,,,,,,,,,,288.75,percent of total billed charges,251.461557,,,,,,,,,,1039.5,percent of total billed charges,,,,,
CHEMO ADMIN IV INFUS ADD HOUR,96415,CDM,,,,both,,,211,211,44.91851232,211,211,percent of total billed charges,155.2401959,,,,211,percent of total billed charges,164.5515382,,,,211,percent of total billed charges,155.2401959,,,,211,percent of total billed charges,164.5515382,,,,211,percent of total billed charges,999999999,,,,211,percent of total billed charges,160.7674981,,,,211,percent of total billed charges,155.2401959,,,,211,percent of total billed charges,164.5515382,,,,150.443,percent of total billed charges,75.07381011,,,,150.443,percent of total billed charges,44.91851232,,,,150.443,percent of total billed charges,75.07381011,,,,150.443,percent of total billed charges,44.91851232,,,,150.443,percent of total billed charges,75.07381011,,,,150.443,percent of total billed charges,44.91851232,,,,148.966,percent of total billed charges,147.8357545,,,,148.966,percent of total billed charges,101.9611481,,,,,,,,,,151.92,percent of total billed charges,98.744425,,,,,,,,,,151.92,percent of total billed charges,999999999,,,,,,,,,,168.8,percent of total billed charges,141.4456255,,,,166.69,percent of total billed charges,160.8630235,,,,166.69,percent of total billed charges,142.1278061,,,,168.8,percent of total billed charges,999999999,,,,168.8,percent of total billed charges,999999999,,,,147.7,percent of total billed charges,999999999,,,,147.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,112.252,percent of total billed charges,999999999,,,,,,,,,,,,,,,,106.555,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,52.75,percent of total billed charges,50.09959688,,,,,,,,,,52.75,percent of total billed charges,49.26622417,,,,,,,,,,52.75,percent of total billed charges,49.12931545,,,,,,,,,,52.75,percent of total billed charges,48.40588687,,,,,,,,,,52.75,percent of total billed charges,49.6514415,,,,,,,,,,52.75,percent of total billed charges,999999999,,,,,,,,,,52.75,percent of total billed charges,42.60443327,,,,,,,,,,52.75,percent of total billed charges,67.19012925,,,,,,,,,,52.75,percent of total billed charges,999999999,,,,,,,,,,52.75,percent of total billed charges,45.93799872,,,,,,,,,,189.9,percent of total billed charges,,,,,
IV HYDR 31 MIN TO 1 HOUR SEP SITE,96360,CDM,,,59,both,,,385,385,81.96031868,385,385,percent of total billed charges,283.2581774,,,,385,percent of total billed charges,300.2480674,,,,385,percent of total billed charges,283.2581774,,,,385,percent of total billed charges,300.2480674,,,,385,percent of total billed charges,999999999,,,,385,percent of total billed charges,293.3435391,,,,385,percent of total billed charges,283.2581774,,,,385,percent of total billed charges,300.2480674,,,,274.505,percent of total billed charges,136.9830185,,,,274.505,percent of total billed charges,81.96031868,,,,274.505,percent of total billed charges,136.9830185,,,,274.505,percent of total billed charges,81.96031868,,,,274.505,percent of total billed charges,136.9830185,,,,274.505,percent of total billed charges,81.96031868,,,,271.81,percent of total billed charges,269.7477036,,,,271.81,percent of total billed charges,186.0428532,,,,,,,,,,277.2,percent of total billed charges,180.1734769,,,,,,,,,,277.2,percent of total billed charges,999999999,,,,,,,,,,308,percent of total billed charges,258.0879896,,,,304.15,percent of total billed charges,293.5178391,,,,304.15,percent of total billed charges,259.3327267,,,,308,percent of total billed charges,999999999,,,,308,percent of total billed charges,999999999,,,,269.5,percent of total billed charges,999999999,,,,269.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,204.82,percent of total billed charges,999999999,,,,,,,,,,,,,,,,194.425,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,96.25,percent of total billed charges,91.41395639,,,,,,,,,,96.25,percent of total billed charges,89.89334743,,,,,,,,,,96.25,percent of total billed charges,89.64353766,,,,,,,,,,96.25,percent of total billed charges,88.32353766,,,,,,,,,,96.25,percent of total billed charges,90.59623213,,,,,,,,,,96.25,percent of total billed charges,999999999,,,,,,,,,,96.25,percent of total billed charges,77.73794696,,,,,,,,,,96.25,percent of total billed charges,122.5981031,,,,,,,,,,96.25,percent of total billed charges,999999999,,,,,,,,,,96.25,percent of total billed charges,83.820519,,,,,,,,,,346.5,percent of total billed charges,,,,,
IMMUNIZATION ADMINISTRATION,90471,CDM,,,,both,,,146,146,31.08105592,146,146,percent of total billed charges,107.4173868,,,,146,percent of total billed charges,113.8603061,,,,146,percent of total billed charges,107.4173868,,,,146,percent of total billed charges,113.8603061,,,,146,percent of total billed charges,999999999,,,,146,percent of total billed charges,111.2419655,,,,146,percent of total billed charges,107.4173868,,,,146,percent of total billed charges,113.8603061,,,,104.098,percent of total billed charges,51.946807,,,,104.098,percent of total billed charges,31.08105592,,,,104.098,percent of total billed charges,51.946807,,,,104.098,percent of total billed charges,31.08105592,,,,104.098,percent of total billed charges,51.946807,,,,104.098,percent of total billed charges,31.08105592,,,,103.076,percent of total billed charges,102.2939344,,,,103.076,percent of total billed charges,70.55131575,,,,,,,,,,105.12,percent of total billed charges,68.3255263,,,,,,,,,,105.12,percent of total billed charges,999999999,,,,,,,,,,116.8,percent of total billed charges,97.87232853,,,,115.34,percent of total billed charges,111.3080636,,,,115.34,percent of total billed charges,98.3443587,,,,116.8,percent of total billed charges,999999999,,,,116.8,percent of total billed charges,999999999,,,,102.2,percent of total billed charges,999999999,,,,102.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,77.672,percent of total billed charges,999999999,,,,,,,,,,,,,,,,73.73,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,36.5,percent of total billed charges,34.66607177,,,,,,,,,,36.5,percent of total billed charges,34.08942526,,,,,,,,,,36.5,percent of total billed charges,33.9946922,,,,,,,,,,36.5,percent of total billed charges,33.49412078,,,,,,,,,,36.5,percent of total billed charges,34.35597374,,,,,,,,,,36.5,percent of total billed charges,999999999,,,,,,,,,,36.5,percent of total billed charges,29.47984482,,,,,,,,,,36.5,percent of total billed charges,46.4917482,,,,,,,,,,36.5,percent of total billed charges,999999999,,,,,,,,,,36.5,percent of total billed charges,31.78648253,,,,,,,,,,131.4,percent of total billed charges,,,,,
**PNEUMOGRAM-ADULT IP,Local,Local,,,,both,,,1016,1016,216.2900877,1016,1016,percent of total billed charges,747.5072941,,,,1016,percent of total billed charges,792.3429518,,,,1016,percent of total billed charges,747.5072941,,,,1016,percent of total billed charges,792.3429518,,,,1016,percent of total billed charges,999999999,,,,1016,percent of total billed charges,774.1221708,,,,1016,percent of total billed charges,747.5072941,,,,1016,percent of total billed charges,792.3429518,,,,724.408,percent of total billed charges,361.4928487,,,,724.408,percent of total billed charges,216.2900877,,,,724.408,percent of total billed charges,361.4928487,,,,724.408,percent of total billed charges,216.2900877,,,,724.408,percent of total billed charges,361.4928487,,,,724.408,percent of total billed charges,216.2900877,,,,717.296,percent of total billed charges,711.8536802,,,,717.296,percent of total billed charges,490.9598411,,,,,,,,,,731.52,percent of total billed charges,475.4707858,,,,,,,,,,731.52,percent of total billed charges,999999999,,,,,,,,,,812.8,percent of total billed charges,681.0841492,,,,802.64,percent of total billed charges,774.5821415,,,,802.64,percent of total billed charges,684.3689619,,,,812.8,percent of total billed charges,999999999,,,,812.8,percent of total billed charges,999999999,,,,711.2,percent of total billed charges,999999999,,,,711.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,540.512,percent of total billed charges,999999999,,,,,,,,,,,,,,,,513.08,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,254,percent of total billed charges,241.2378693,,,,,,,,,,254,percent of total billed charges,237.2250415,,,,,,,,,,254,percent of total billed charges,236.5658033,,,,,,,,,,254,percent of total billed charges,233.0823747,,,,,,,,,,254,percent of total billed charges,239.0799269,,,,,,,,,,254,percent of total billed charges,999999999,,,,,,,,,,254,percent of total billed charges,205.1474133,,,,,,,,,,254,percent of total billed charges,323.5316176,,,,,,,,,,254,percent of total billed charges,999999999,,,,,,,,,,254,percent of total billed charges,221.1990839,,,,,,,,,,914.4,percent of total billed charges,,,,,
**TELEMETRY SET UP,Local,Local,,,,both,,,333,333,70.89035356,333,333,percent of total billed charges,244.9999301,,,,333,percent of total billed charges,259.6950816,,,,333,percent of total billed charges,244.9999301,,,,333,percent of total billed charges,259.6950816,,,,333,percent of total billed charges,999999999,,,,333,percent of total billed charges,253.7231131,,,,333,percent of total billed charges,244.9999301,,,,333,percent of total billed charges,259.6950816,,,,237.429,percent of total billed charges,118.481416,,,,237.429,percent of total billed charges,70.89035356,,,,237.429,percent of total billed charges,118.481416,,,,237.429,percent of total billed charges,70.89035356,,,,237.429,percent of total billed charges,118.481416,,,,237.429,percent of total billed charges,70.89035356,,,,235.098,percent of total billed charges,233.3142476,,,,235.098,percent of total billed charges,160.9149873,,,,,,,,,,239.76,percent of total billed charges,155.8383579,,,,,,,,,,239.76,percent of total billed charges,999999999,,,,,,,,,,266.4,percent of total billed charges,223.2293521,,,,263.07,percent of total billed charges,253.8738712,,,,263.07,percent of total billed charges,224.3059688,,,,266.4,percent of total billed charges,999999999,,,,266.4,percent of total billed charges,999999999,,,,233.1,percent of total billed charges,999999999,,,,233.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,177.156,percent of total billed charges,999999999,,,,,,,,,,,,,,,,168.165,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,83.25,percent of total billed charges,79.06713631,,,,,,,,,,83.25,percent of total billed charges,77.75190829,,,,,,,,,,83.25,percent of total billed charges,77.53583907,,,,,,,,,,83.25,percent of total billed charges,76.39412478,,,,,,,,,,83.25,percent of total billed charges,78.35985792,,,,,,,,,,83.25,percent of total billed charges,999999999,,,,,,,,,,83.25,percent of total billed charges,67.2382762,,,,,,,,,,83.25,percent of total billed charges,106.0393983,,,,,,,,,,83.25,percent of total billed charges,999999999,,,,,,,,,,83.25,percent of total billed charges,72.49930604,,,,,,,,,,299.7,percent of total billed charges,,,,,
**CONT/INTER SUCTION SETUP,Local,Local,,,,both,,,255,255,54.28540588,255,255,percent of total billed charges,187.6125591,,,,255,percent of total billed charges,198.8656031,,,,255,percent of total billed charges,187.6125591,,,,255,percent of total billed charges,198.8656031,,,,255,percent of total billed charges,999999999,,,,255,percent of total billed charges,194.292474,,,,255,percent of total billed charges,187.6125591,,,,255,percent of total billed charges,198.8656031,,,,181.815,percent of total billed charges,90.72901222,,,,181.815,percent of total billed charges,54.28540588,,,,181.815,percent of total billed charges,90.72901222,,,,181.815,percent of total billed charges,54.28540588,,,,181.815,percent of total billed charges,90.72901222,,,,181.815,percent of total billed charges,54.28540588,,,,180.03,percent of total billed charges,178.6640634,,,,180.03,percent of total billed charges,123.2231885,,,,,,,,,,183.6,percent of total billed charges,119.3356795,,,,,,,,,,183.6,percent of total billed charges,999999999,,,,,,,,,,204,percent of total billed charges,170.9413957,,,,201.45,percent of total billed charges,194.4079194,,,,201.45,percent of total billed charges,171.765832,,,,204,percent of total billed charges,999999999,,,,204,percent of total billed charges,999999999,,,,178.5,percent of total billed charges,999999999,,,,178.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,135.66,percent of total billed charges,999999999,,,,,,,,,,,,,,,,128.775,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,63.75,percent of total billed charges,60.54690618,,,,,,,,,,63.75,percent of total billed charges,59.53974959,,,,,,,,,,63.75,percent of total billed charges,59.37429118,,,,,,,,,,63.75,percent of total billed charges,58.50000546,,,,,,,,,,63.75,percent of total billed charges,60.0052966,,,,,,,,,,63.75,percent of total billed charges,999999999,,,,,,,,,,63.75,percent of total billed charges,51.48877006,,,,,,,,,,63.75,percent of total billed charges,81.20134104,,,,,,,,,,63.75,percent of total billed charges,999999999,,,,,,,,,,63.75,percent of total billed charges,55.51748661,,,,,,,,,,229.5,percent of total billed charges,,,,,
EXTENDED RECOVERY,Local,Local,,,,both,,,877,877,186.6992194,877,877,percent of total billed charges,645.2400561,,,,877,percent of total billed charges,683.9417015,,,,877,percent of total billed charges,645.2400561,,,,877,percent of total billed charges,683.9417015,,,,877,percent of total billed charges,999999999,,,,877,percent of total billed charges,668.2137242,,,,877,percent of total billed charges,645.2400561,,,,877,percent of total billed charges,683.9417015,,,,625.301,percent of total billed charges,312.036642,,,,625.301,percent of total billed charges,186.6992194,,,,625.301,percent of total billed charges,312.036642,,,,625.301,percent of total billed charges,186.6992194,,,,625.301,percent of total billed charges,312.036642,,,,625.301,percent of total billed charges,186.6992194,,,,619.162,percent of total billed charges,614.4642496,,,,619.162,percent of total billed charges,423.7911227,,,,,,,,,,631.44,percent of total billed charges,410.4211409,,,,,,,,,,631.44,percent of total billed charges,999999999,,,,,,,,,,701.6,percent of total billed charges,587.9043296,,,,692.83,percent of total billed charges,668.6107659,,,,692.83,percent of total billed charges,590.7397437,,,,701.6,percent of total billed charges,999999999,,,,701.6,percent of total billed charges,999999999,,,,613.9,percent of total billed charges,999999999,,,,613.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,466.564,percent of total billed charges,999999999,,,,,,,,,,,,,,,,442.885,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,219.25,percent of total billed charges,208.2338695,,,,,,,,,,219.25,percent of total billed charges,204.7700408,,,,,,,,,,219.25,percent of total billed charges,204.2009936,,,,,,,,,,219.25,percent of total billed charges,201.1941364,,,,,,,,,,219.25,percent of total billed charges,206.3711573,,,,,,,,,,219.25,percent of total billed charges,999999999,,,,,,,,,,219.25,percent of total billed charges,177.0809857,,,,,,,,,,219.25,percent of total billed charges,279.2689258,,,,,,,,,,219.25,percent of total billed charges,999999999,,,,,,,,,,219.25,percent of total billed charges,190.9366108,,,,,,,,,,789.3,percent of total billed charges,,,,,
**POST OP OBSERVATION 1ST HOUR,Local,Local,,,,both,,,144,144,30.65528803,144,144,percent of total billed charges,105.9459157,,,,144,percent of total billed charges,112.3005758,,,,144,percent of total billed charges,105.9459157,,,,144,percent of total billed charges,112.3005758,,,,144,percent of total billed charges,999999999,,,,144,percent of total billed charges,109.7181029,,,,144,percent of total billed charges,105.9459157,,,,144,percent of total billed charges,112.3005758,,,,102.672,percent of total billed charges,51.2352069,,,,102.672,percent of total billed charges,30.65528803,,,,102.672,percent of total billed charges,51.2352069,,,,102.672,percent of total billed charges,30.65528803,,,,102.672,percent of total billed charges,51.2352069,,,,102.672,percent of total billed charges,30.65528803,,,,101.664,percent of total billed charges,100.8926476,,,,101.664,percent of total billed charges,69.58485937,,,,,,,,,,103.68,percent of total billed charges,67.38956019,,,,,,,,,,103.68,percent of total billed charges,999999999,,,,,,,,,,115.2,percent of total billed charges,96.5316117,,,,113.76,percent of total billed charges,109.7832957,,,,113.76,percent of total billed charges,96.9971757,,,,115.2,percent of total billed charges,999999999,,,,115.2,percent of total billed charges,999999999,,,,100.8,percent of total billed charges,999999999,,,,100.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,76.608,percent of total billed charges,999999999,,,,,,,,,,,,,,,,72.72,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,36,percent of total billed charges,34.19119408,,,,,,,,,,36,percent of total billed charges,33.62244683,,,,,,,,,,36,percent of total billed charges,33.52901149,,,,,,,,,,36,percent of total billed charges,33.0352972,,,,,,,,,,36,percent of total billed charges,33.88534397,,,,,,,,,,36,percent of total billed charges,999999999,,,,,,,,,,36,percent of total billed charges,29.07601133,,,,,,,,,,36,percent of total billed charges,45.85487494,,,,,,,,,,36,percent of total billed charges,999999999,,,,,,,,,,36,percent of total billed charges,31.35105126,,,,,,,,,,129.6,percent of total billed charges,,,,,
**POST OP OBSERVATION ADD'L HOUR,Local,Local,,,,both,,,78,78,16.60494768,78,78,percent of total billed charges,57.38737101,,,,78,percent of total billed charges,60.82947858,,,,78,percent of total billed charges,57.38737101,,,,78,percent of total billed charges,60.82947858,,,,78,percent of total billed charges,999999999,,,,78,percent of total billed charges,59.43063909,,,,78,percent of total billed charges,57.38737101,,,,78,percent of total billed charges,60.82947858,,,,55.614,percent of total billed charges,27.75240374,,,,55.614,percent of total billed charges,16.60494768,,,,55.614,percent of total billed charges,27.75240374,,,,55.614,percent of total billed charges,16.60494768,,,,55.614,percent of total billed charges,27.75240374,,,,55.614,percent of total billed charges,16.60494768,,,,55.068,percent of total billed charges,54.65018411,,,,55.068,percent of total billed charges,37.69179882,,,,,,,,,,56.16,percent of total billed charges,36.50267844,,,,,,,,,,56.16,percent of total billed charges,999999999,,,,,,,,,,62.4,percent of total billed charges,52.28795634,,,,61.62,percent of total billed charges,59.46595181,,,,61.62,percent of total billed charges,52.54013684,,,,62.4,percent of total billed charges,999999999,,,,62.4,percent of total billed charges,999999999,,,,54.6,percent of total billed charges,999999999,,,,54.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,41.496,percent of total billed charges,999999999,,,,,,,,,,,,,,,,39.39,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19.5,percent of total billed charges,18.52023013,,,,,,,,,,19.5,percent of total billed charges,18.2121587,,,,,,,,,,19.5,percent of total billed charges,18.16154789,,,,,,,,,,19.5,percent of total billed charges,17.89411932,,,,,,,,,,19.5,percent of total billed charges,18.35456131,,,,,,,,,,19.5,percent of total billed charges,999999999,,,,,,,,,,19.5,percent of total billed charges,15.74950614,,,,,,,,,,19.5,percent of total billed charges,24.83805726,,,,,,,,,,19.5,percent of total billed charges,999999999,,,,,,,,,,19.5,percent of total billed charges,16.98181943,,,,,,,,,,70.2,percent of total billed charges,,,,,
**SPINAL PUNCTURE LUMBAR DIAGNOSTIC,62270,CDM,,,,both,,,394,394,83.87627418,394,394,percent of total billed charges,289.8797971,,,,394,percent of total billed charges,307.2668533,,,,394,percent of total billed charges,289.8797971,,,,394,percent of total billed charges,307.2668533,,,,394,percent of total billed charges,999999999,,,,394,percent of total billed charges,300.2009205,,,,394,percent of total billed charges,289.8797971,,,,394,percent of total billed charges,307.2668533,,,,280.922,percent of total billed charges,140.1852189,,,,280.922,percent of total billed charges,83.87627418,,,,280.922,percent of total billed charges,140.1852189,,,,280.922,percent of total billed charges,83.87627418,,,,280.922,percent of total billed charges,140.1852189,,,,280.922,percent of total billed charges,83.87627418,,,,278.164,percent of total billed charges,276.0534941,,,,278.164,percent of total billed charges,190.3919069,,,,,,,,,,283.68,percent of total billed charges,184.3853244,,,,,,,,,,283.68,percent of total billed charges,999999999,,,,,,,,,,315.2,percent of total billed charges,264.1212154,,,,311.26,percent of total billed charges,300.379295,,,,311.26,percent of total billed charges,265.3950502,,,,315.2,percent of total billed charges,999999999,,,,315.2,percent of total billed charges,999999999,,,,275.8,percent of total billed charges,999999999,,,,275.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,209.608,percent of total billed charges,999999999,,,,,,,,,,,,,,,,198.97,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,98.5,percent of total billed charges,93.55090602,,,,,,,,,,98.5,percent of total billed charges,91.99475035,,,,,,,,,,98.5,percent of total billed charges,91.73910088,,,,,,,,,,98.5,percent of total billed charges,90.38824374,,,,,,,,,,98.5,percent of total billed charges,92.71406613,,,,,,,,,,98.5,percent of total billed charges,999999999,,,,,,,,,,98.5,percent of total billed charges,79.55519767,,,,,,,,,,98.5,percent of total billed charges,125.4640328,,,,,,,,,,98.5,percent of total billed charges,999999999,,,,,,,,,,98.5,percent of total billed charges,85.7799597,,,,,,,,,,354.6,percent of total billed charges,,,,,
**OXIMETRY CONTINUOUS OVERNIGHT (IP),94762,CDM,,,,both,,,209,209,44.49274443,209,209,percent of total billed charges,153.7687249,,,,209,percent of total billed charges,162.991808,,,,209,percent of total billed charges,153.7687249,,,,209,percent of total billed charges,162.991808,,,,209,percent of total billed charges,999999999,,,,209,percent of total billed charges,159.2436355,,,,209,percent of total billed charges,153.7687249,,,,209,percent of total billed charges,162.991808,,,,149.017,percent of total billed charges,74.36221002,,,,149.017,percent of total billed charges,44.49274443,,,,149.017,percent of total billed charges,74.36221002,,,,149.017,percent of total billed charges,44.49274443,,,,149.017,percent of total billed charges,74.36221002,,,,149.017,percent of total billed charges,44.49274443,,,,147.554,percent of total billed charges,146.4344677,,,,147.554,percent of total billed charges,100.9946917,,,,,,,,,,150.48,percent of total billed charges,97.80845889,,,,,,,,,,150.48,percent of total billed charges,999999999,,,,,,,,,,167.2,percent of total billed charges,140.1049087,,,,165.11,percent of total billed charges,159.3382555,,,,165.11,percent of total billed charges,140.7806231,,,,167.2,percent of total billed charges,999999999,,,,167.2,percent of total billed charges,999999999,,,,146.3,percent of total billed charges,999999999,,,,146.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,111.188,percent of total billed charges,999999999,,,,,,,,,,,,,,,,105.545,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,52.25,percent of total billed charges,49.62471918,,,,,,,,,,52.25,percent of total billed charges,48.79924575,,,,,,,,,,52.25,percent of total billed charges,48.66363473,,,,,,,,,,52.25,percent of total billed charges,47.9470633,,,,,,,,,,52.25,percent of total billed charges,49.18081173,,,,,,,,,,52.25,percent of total billed charges,999999999,,,,,,,,,,52.25,percent of total billed charges,42.20059978,,,,,,,,,,52.25,percent of total billed charges,66.55325599,,,,,,,,,,52.25,percent of total billed charges,999999999,,,,,,,,,,52.25,percent of total billed charges,45.50256746,,,,,,,,,,188.1,percent of total billed charges,,,,,
COLLECT BLOOD INFUSAPORT,36591,CDM,,,,both,,,251,251,53.4338701,251,251,percent of total billed charges,184.669617,,,,251,percent of total billed charges,195.7461426,,,,251,percent of total billed charges,184.669617,,,,251,percent of total billed charges,195.7461426,,,,251,percent of total billed charges,999999999,,,,251,percent of total billed charges,191.2447489,,,,251,percent of total billed charges,184.669617,,,,251,percent of total billed charges,195.7461426,,,,178.963,percent of total billed charges,89.30581203,,,,178.963,percent of total billed charges,53.4338701,,,,178.963,percent of total billed charges,89.30581203,,,,178.963,percent of total billed charges,53.4338701,,,,178.963,percent of total billed charges,89.30581203,,,,178.963,percent of total billed charges,53.4338701,,,,177.206,percent of total billed charges,175.8614899,,,,177.206,percent of total billed charges,121.2902757,,,,,,,,,,180.72,percent of total billed charges,117.4637473,,,,,,,,,,180.72,percent of total billed charges,999999999,,,,,,,,,,200.8,percent of total billed charges,168.2599621,,,,198.29,percent of total billed charges,191.3583834,,,,198.29,percent of total billed charges,169.071466,,,,200.8,percent of total billed charges,999999999,,,,200.8,percent of total billed charges,999999999,,,,175.7,percent of total billed charges,999999999,,,,175.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,133.532,percent of total billed charges,999999999,,,,,,,,,,,,,,,,126.755,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,62.75,percent of total billed charges,59.59715079,,,,,,,,,,62.75,percent of total billed charges,58.60579274,,,,,,,,,,62.75,percent of total billed charges,58.44292975,,,,,,,,,,62.75,percent of total billed charges,57.58235832,,,,,,,,,,62.75,percent of total billed charges,59.06403705,,,,,,,,,,62.75,percent of total billed charges,999999999,,,,,,,,,,62.75,percent of total billed charges,50.68110308,,,,,,,,,,62.75,percent of total billed charges,79.92759451,,,,,,,,,,62.75,percent of total billed charges,999999999,,,,,,,,,,62.75,percent of total billed charges,54.64662408,,,,,,,,,,225.9,percent of total billed charges,,,,,
**HEMOCULT,82270,CDM,,,,both,,,93,93,19.79820685,93,93,percent of total billed charges,68.42340389,,,,93,percent of total billed charges,72.52745523,,,,93,percent of total billed charges,68.42340389,,,,93,percent of total billed charges,72.52745523,,,,93,percent of total billed charges,999999999,,,,93,percent of total billed charges,70.85960815,,,,93,percent of total billed charges,68.42340389,,,,93,percent of total billed charges,72.52745523,,,,66.309,percent of total billed charges,33.08940446,,,,66.309,percent of total billed charges,19.79820685,,,,66.309,percent of total billed charges,33.08940446,,,,66.309,percent of total billed charges,19.79820685,,,,66.309,percent of total billed charges,33.08940446,,,,66.309,percent of total billed charges,19.79820685,,,,65.658,percent of total billed charges,65.1598349,,,,65.658,percent of total billed charges,44.94022167,,,,,,,,,,66.96,percent of total billed charges,43.52242429,,,,,,,,,,66.96,percent of total billed charges,999999999,,,,,,,,,,74.4,percent of total billed charges,62.34333256,,,,73.47,percent of total billed charges,70.90171178,,,,73.47,percent of total billed charges,62.64400931,,,,74.4,percent of total billed charges,999999999,,,,74.4,percent of total billed charges,999999999,,,,65.1,percent of total billed charges,999999999,,,,65.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,49.476,percent of total billed charges,999999999,,,,,,,,,,,,,,,,46.965,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23.25,percent of total billed charges,22.08181284,,,,,,,,,,23.25,percent of total billed charges,21.71449691,,,,,,,,,,23.25,percent of total billed charges,21.65415325,,,,,,,,,,23.25,percent of total billed charges,21.33529611,,,,,,,,,,23.25,percent of total billed charges,21.88428464,,,,,,,,,,23.25,percent of total billed charges,999999999,,,,,,,,,,23.25,percent of total billed charges,18.77825732,,,,,,,,,,23.25,percent of total billed charges,29.61460673,,,,,,,,,,23.25,percent of total billed charges,999999999,,,,,,,,,,23.25,percent of total billed charges,20.24755394,,,,,,,,,,83.7,percent of total billed charges,,,,,
IV INTRAVENOUS/PORT FLUSH,96523,CDM,,,,both,,,264,264,56.20136138,264,264,percent of total billed charges,194.2341788,,,,264,percent of total billed charges,205.884389,,,,264,percent of total billed charges,194.2341788,,,,264,percent of total billed charges,205.884389,,,,264,percent of total billed charges,999999999,,,,264,percent of total billed charges,201.1498554,,,,264,percent of total billed charges,194.2341788,,,,264,percent of total billed charges,205.884389,,,,188.232,percent of total billed charges,93.93121265,,,,188.232,percent of total billed charges,56.20136138,,,,188.232,percent of total billed charges,93.93121265,,,,188.232,percent of total billed charges,56.20136138,,,,188.232,percent of total billed charges,93.93121265,,,,188.232,percent of total billed charges,56.20136138,,,,186.384,percent of total billed charges,184.9698539,,,,186.384,percent of total billed charges,127.5722422,,,,,,,,,,190.08,percent of total billed charges,123.547527,,,,,,,,,,190.08,percent of total billed charges,999999999,,,,,,,,,,211.2,percent of total billed charges,176.9746215,,,,208.56,percent of total billed charges,201.2693754,,,,208.56,percent of total billed charges,177.8281555,,,,211.2,percent of total billed charges,999999999,,,,211.2,percent of total billed charges,999999999,,,,184.8,percent of total billed charges,999999999,,,,184.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,140.448,percent of total billed charges,999999999,,,,,,,,,,,,,,,,133.32,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,66,percent of total billed charges,62.68385581,,,,,,,,,,66,percent of total billed charges,61.64115252,,,,,,,,,,66,percent of total billed charges,61.4698544,,,,,,,,,,66,percent of total billed charges,60.56471154,,,,,,,,,,66,percent of total billed charges,62.1231306,,,,,,,,,,66,percent of total billed charges,999999999,,,,,,,,,,66,percent of total billed charges,53.30602077,,,,,,,,,,66,percent of total billed charges,84.06727072,,,,,,,,,,66,percent of total billed charges,999999999,,,,,,,,,,66,percent of total billed charges,57.47692731,,,,,,,,,,237.6,percent of total billed charges,,,,,
FLUSH INFUSAPORT,96523,CDM,,,,both,,,264,264,56.20136138,264,264,percent of total billed charges,194.2341788,,,,264,percent of total billed charges,205.884389,,,,264,percent of total billed charges,194.2341788,,,,264,percent of total billed charges,205.884389,,,,264,percent of total billed charges,999999999,,,,264,percent of total billed charges,201.1498554,,,,264,percent of total billed charges,194.2341788,,,,264,percent of total billed charges,205.884389,,,,188.232,percent of total billed charges,93.93121265,,,,188.232,percent of total billed charges,56.20136138,,,,188.232,percent of total billed charges,93.93121265,,,,188.232,percent of total billed charges,56.20136138,,,,188.232,percent of total billed charges,93.93121265,,,,188.232,percent of total billed charges,56.20136138,,,,186.384,percent of total billed charges,184.9698539,,,,186.384,percent of total billed charges,127.5722422,,,,,,,,,,190.08,percent of total billed charges,123.547527,,,,,,,,,,190.08,percent of total billed charges,999999999,,,,,,,,,,211.2,percent of total billed charges,176.9746215,,,,208.56,percent of total billed charges,201.2693754,,,,208.56,percent of total billed charges,177.8281555,,,,211.2,percent of total billed charges,999999999,,,,211.2,percent of total billed charges,999999999,,,,184.8,percent of total billed charges,999999999,,,,184.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,140.448,percent of total billed charges,999999999,,,,,,,,,,,,,,,,133.32,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,66,percent of total billed charges,62.68385581,,,,,,,,,,66,percent of total billed charges,61.64115252,,,,,,,,,,66,percent of total billed charges,61.4698544,,,,,,,,,,66,percent of total billed charges,60.56471154,,,,,,,,,,66,percent of total billed charges,62.1231306,,,,,,,,,,66,percent of total billed charges,999999999,,,,,,,,,,66,percent of total billed charges,53.30602077,,,,,,,,,,66,percent of total billed charges,84.06727072,,,,,,,,,,66,percent of total billed charges,999999999,,,,,,,,,,66,percent of total billed charges,57.47692731,,,,,,,,,,237.6,percent of total billed charges,,,,,
TR PICC REMOVAL,99211,CDM,,,,both,,,281,281,59.82038844,281,281,percent of total billed charges,206.7416827,,,,281,percent of total billed charges,219.1420959,,,,281,percent of total billed charges,206.7416827,,,,281,percent of total billed charges,219.1420959,,,,281,percent of total billed charges,999999999,,,,281,percent of total billed charges,214.102687,,,,281,percent of total billed charges,206.7416827,,,,281,percent of total billed charges,219.1420959,,,,200.353,percent of total billed charges,99.97981347,,,,200.353,percent of total billed charges,59.82038844,,,,200.353,percent of total billed charges,99.97981347,,,,200.353,percent of total billed charges,59.82038844,,,,200.353,percent of total billed charges,99.97981347,,,,200.353,percent of total billed charges,59.82038844,,,,198.386,percent of total billed charges,196.8807915,,,,198.386,percent of total billed charges,135.7871214,,,,,,,,,,202.32,percent of total billed charges,131.503239,,,,,,,,,,202.32,percent of total billed charges,999999999,,,,,,,,,,224.8,percent of total billed charges,188.3707145,,,,221.99,percent of total billed charges,214.2299033,,,,221.99,percent of total billed charges,189.2792109,,,,224.8,percent of total billed charges,999999999,,,,224.8,percent of total billed charges,999999999,,,,196.7,percent of total billed charges,999999999,,,,196.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,149.492,percent of total billed charges,999999999,,,,,,,,,,,,,,,,141.905,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,70.25,percent of total billed charges,66.72031622,,,,,,,,,,70.25,percent of total billed charges,65.61046916,,,,,,,,,,70.25,percent of total billed charges,65.42814048,,,,,,,,,,70.25,percent of total billed charges,64.4647119,,,,,,,,,,70.25,percent of total billed charges,66.12348371,,,,,,,,,,70.25,percent of total billed charges,999999999,,,,,,,,,,70.25,percent of total billed charges,56.73860544,,,,,,,,,,70.25,percent of total billed charges,89.48069346,,,,,,,,,,70.25,percent of total billed charges,999999999,,,,,,,,,,70.25,percent of total billed charges,61.17809309,,,,,,,,,,252.9,percent of total billed charges,,,,,
TREATMENT ROOM LEVEL 1,99211,CDM,,,,both,,,211,211,44.91851232,211,211,percent of total billed charges,155.2401959,,,,211,percent of total billed charges,164.5515382,,,,211,percent of total billed charges,155.2401959,,,,211,percent of total billed charges,164.5515382,,,,211,percent of total billed charges,999999999,,,,211,percent of total billed charges,160.7674981,,,,211,percent of total billed charges,155.2401959,,,,211,percent of total billed charges,164.5515382,,,,150.443,percent of total billed charges,75.07381011,,,,150.443,percent of total billed charges,44.91851232,,,,150.443,percent of total billed charges,75.07381011,,,,150.443,percent of total billed charges,44.91851232,,,,150.443,percent of total billed charges,75.07381011,,,,150.443,percent of total billed charges,44.91851232,,,,148.966,percent of total billed charges,147.8357545,,,,148.966,percent of total billed charges,101.9611481,,,,,,,,,,151.92,percent of total billed charges,98.744425,,,,,,,,,,151.92,percent of total billed charges,999999999,,,,,,,,,,168.8,percent of total billed charges,141.4456255,,,,166.69,percent of total billed charges,160.8630235,,,,166.69,percent of total billed charges,142.1278061,,,,168.8,percent of total billed charges,999999999,,,,168.8,percent of total billed charges,999999999,,,,147.7,percent of total billed charges,999999999,,,,147.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,112.252,percent of total billed charges,999999999,,,,,,,,,,,,,,,,106.555,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,52.75,percent of total billed charges,50.09959688,,,,,,,,,,52.75,percent of total billed charges,49.26622417,,,,,,,,,,52.75,percent of total billed charges,49.12931545,,,,,,,,,,52.75,percent of total billed charges,48.40588687,,,,,,,,,,52.75,percent of total billed charges,49.6514415,,,,,,,,,,52.75,percent of total billed charges,999999999,,,,,,,,,,52.75,percent of total billed charges,42.60443327,,,,,,,,,,52.75,percent of total billed charges,67.19012925,,,,,,,,,,52.75,percent of total billed charges,999999999,,,,,,,,,,52.75,percent of total billed charges,45.93799872,,,,,,,,,,189.9,percent of total billed charges,,,,,
OBSERVATION DIRECT ADMIT,G0379,CDM,,,,both,,,590,590,125.6015273,590,590,percent of total billed charges,434.0839602,,,,590,percent of total billed charges,460.1204149,,,,590,percent of total billed charges,434.0839602,,,,590,percent of total billed charges,460.1204149,,,,590,percent of total billed charges,999999999,,,,590,percent of total billed charges,449.5394496,,,,590,percent of total billed charges,434.0839602,,,,590,percent of total billed charges,460.1204149,,,,420.67,percent of total billed charges,209.9220283,,,,420.67,percent of total billed charges,125.6015273,,,,420.67,percent of total billed charges,209.9220283,,,,420.67,percent of total billed charges,125.6015273,,,,420.67,percent of total billed charges,209.9220283,,,,420.67,percent of total billed charges,125.6015273,,,,416.54,percent of total billed charges,413.3795978,,,,416.54,percent of total billed charges,285.1046321,,,,,,,,,,424.8,percent of total billed charges,276.1100036,,,,,,,,,,424.8,percent of total billed charges,999999999,,,,,,,,,,472,percent of total billed charges,395.5114646,,,,466.1,percent of total billed charges,449.8065586,,,,466.1,percent of total billed charges,397.4189838,,,,472,percent of total billed charges,999999999,,,,472,percent of total billed charges,999999999,,,,413,percent of total billed charges,999999999,,,,413,percent of total billed charges,999999999,,,,,,,,,,,,,,,,313.88,percent of total billed charges,999999999,,,,,,,,,,,,,,,,297.95,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,147.5,percent of total billed charges,140.0889202,,,,,,,,,,147.5,percent of total billed charges,137.7586363,,,,,,,,,,147.5,percent of total billed charges,137.375811,,,,,,,,,,147.5,percent of total billed charges,135.3529538,,,,,,,,,,147.5,percent of total billed charges,138.8357843,,,,,,,,,,147.5,percent of total billed charges,999999999,,,,,,,,,,147.5,percent of total billed charges,119.1308798,,,,,,,,,,147.5,percent of total billed charges,187.8776126,,,,,,,,,,147.5,percent of total billed charges,999999999,,,,,,,,,,147.5,percent of total billed charges,128.4522239,,,,,,,,,,531,percent of total billed charges,,,,,
IRRIGATION OF BLADDER,51700,CDM,,,,both,,,840,840,178.8225135,840,840,percent of total billed charges,618.0178416,,,,840,percent of total billed charges,655.0866924,,,,840,percent of total billed charges,618.0178416,,,,840,percent of total billed charges,655.0866924,,,,840,percent of total billed charges,999999999,,,,840,percent of total billed charges,640.0222672,,,,840,percent of total billed charges,618.0178416,,,,840,percent of total billed charges,655.0866924,,,,598.92,percent of total billed charges,298.8720403,,,,598.92,percent of total billed charges,178.8225135,,,,598.92,percent of total billed charges,298.8720403,,,,598.92,percent of total billed charges,178.8225135,,,,598.92,percent of total billed charges,298.8720403,,,,598.92,percent of total billed charges,178.8225135,,,,593.04,percent of total billed charges,588.5404443,,,,593.04,percent of total billed charges,405.9116796,,,,,,,,,,604.8,percent of total billed charges,393.1057678,,,,,,,,,,604.8,percent of total billed charges,999999999,,,,,,,,,,672,percent of total billed charges,563.1010683,,,,663.6,percent of total billed charges,640.402558,,,,663.6,percent of total billed charges,565.8168583,,,,672,percent of total billed charges,999999999,,,,672,percent of total billed charges,999999999,,,,588,percent of total billed charges,999999999,,,,588,percent of total billed charges,999999999,,,,,,,,,,,,,,,,446.88,percent of total billed charges,999999999,,,,,,,,,,,,,,,,424.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,210,percent of total billed charges,199.4486321,,,,,,,,,,210,percent of total billed charges,196.1309398,,,,,,,,,,210,percent of total billed charges,195.5859004,,,,,,,,,,210,percent of total billed charges,192.7059004,,,,,,,,,,210,percent of total billed charges,197.6645065,,,,,,,,,,210,percent of total billed charges,999999999,,,,,,,,,,210,percent of total billed charges,169.6100661,,,,,,,,,,210,percent of total billed charges,267.4867705,,,,,,,,,,210,percent of total billed charges,999999999,,,,,,,,,,210,percent of total billed charges,182.8811324,,,,,,,,,,756,percent of total billed charges,,,,,
INSERTION OF NON INDWELLING CATH,51701,CDM,,,,both,,,343,343,73.01919301,343,343,percent of total billed charges,252.3572853,,,,343,percent of total billed charges,267.4937327,,,,343,percent of total billed charges,252.3572853,,,,343,percent of total billed charges,267.4937327,,,,343,percent of total billed charges,999999999,,,,343,percent of total billed charges,261.3424258,,,,343,percent of total billed charges,252.3572853,,,,343,percent of total billed charges,267.4937327,,,,244.559,percent of total billed charges,122.0394164,,,,244.559,percent of total billed charges,73.01919301,,,,244.559,percent of total billed charges,122.0394164,,,,244.559,percent of total billed charges,73.01919301,,,,244.559,percent of total billed charges,122.0394164,,,,244.559,percent of total billed charges,73.01919301,,,,242.158,percent of total billed charges,240.3206814,,,,242.158,percent of total billed charges,165.7472692,,,,,,,,,,246.96,percent of total billed charges,160.5181885,,,,,,,,,,246.96,percent of total billed charges,999999999,,,,,,,,,,274.4,percent of total billed charges,229.9329362,,,,270.97,percent of total billed charges,261.4977112,,,,270.97,percent of total billed charges,231.0418838,,,,274.4,percent of total billed charges,999999999,,,,274.4,percent of total billed charges,999999999,,,,240.1,percent of total billed charges,999999999,,,,240.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,182.476,percent of total billed charges,999999999,,,,,,,,,,,,,,,,173.215,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,85.75,percent of total billed charges,81.44152478,,,,,,,,,,85.75,percent of total billed charges,80.08680043,,,,,,,,,,85.75,percent of total billed charges,79.86424264,,,,,,,,,,85.75,percent of total billed charges,78.68824264,,,,,,,,,,85.75,percent of total billed charges,80.71300681,,,,,,,,,,85.75,percent of total billed charges,999999999,,,,,,,,,,85.75,percent of total billed charges,69.25744365,,,,,,,,,,85.75,percent of total billed charges,109.2237646,,,,,,,,,,85.75,percent of total billed charges,999999999,,,,,,,,,,85.75,percent of total billed charges,74.67646238,,,,,,,,,,308.7,percent of total billed charges,,,,,
INSERTION OF TEMP INDWELLING CATH,51702,CDM,,,,both,,,456,456,97.07507875,456,456,percent of total billed charges,335.4953997,,,,456,percent of total billed charges,355.6184902,,,,456,percent of total billed charges,335.4953997,,,,456,percent of total billed charges,355.6184902,,,,456,percent of total billed charges,999999999,,,,456,percent of total billed charges,347.4406593,,,,456,percent of total billed charges,335.4953997,,,,456,percent of total billed charges,355.6184902,,,,325.128,percent of total billed charges,162.2448219,,,,325.128,percent of total billed charges,97.07507875,,,,325.128,percent of total billed charges,162.2448219,,,,325.128,percent of total billed charges,97.07507875,,,,325.128,percent of total billed charges,162.2448219,,,,325.128,percent of total billed charges,97.07507875,,,,321.936,percent of total billed charges,319.493384,,,,321.936,percent of total billed charges,220.3520547,,,,,,,,,,328.32,percent of total billed charges,213.4002739,,,,,,,,,,328.32,percent of total billed charges,999999999,,,,,,,,,,364.8,percent of total billed charges,305.6834371,,,,360.24,percent of total billed charges,347.6471029,,,,360.24,percent of total billed charges,307.1577231,,,,364.8,percent of total billed charges,999999999,,,,364.8,percent of total billed charges,999999999,,,,319.2,percent of total billed charges,999999999,,,,319.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,242.592,percent of total billed charges,999999999,,,,,,,,,,,,,,,,230.28,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,114,percent of total billed charges,108.2721146,,,,,,,,,,114,percent of total billed charges,106.4710816,,,,,,,,,,114,percent of total billed charges,106.175203,,,,,,,,,,114,percent of total billed charges,104.6117745,,,,,,,,,,114,percent of total billed charges,107.3035892,,,,,,,,,,114,percent of total billed charges,999999999,,,,,,,,,,114,percent of total billed charges,92.07403588,,,,,,,,,,114,percent of total billed charges,145.207104,,,,,,,,,,114,percent of total billed charges,999999999,,,,,,,,,,114,percent of total billed charges,99.278329,,,,,,,,,,410.4,percent of total billed charges,,,,,
STRAIGHT CATH URINE SPECIMEN,99211,CDM,,,,both,,,166,166,35.33873481,166,166,percent of total billed charges,122.1320973,,,,166,percent of total billed charges,129.4576083,,,,166,percent of total billed charges,122.1320973,,,,166,percent of total billed charges,129.4576083,,,,166,percent of total billed charges,999999999,,,,166,percent of total billed charges,126.4805909,,,,166,percent of total billed charges,122.1320973,,,,166,percent of total billed charges,129.4576083,,,,118.358,percent of total billed charges,59.06280796,,,,118.358,percent of total billed charges,35.33873481,,,,118.358,percent of total billed charges,59.06280796,,,,118.358,percent of total billed charges,35.33873481,,,,118.358,percent of total billed charges,59.06280796,,,,118.358,percent of total billed charges,35.33873481,,,,117.196,percent of total billed charges,116.3068021,,,,117.196,percent of total billed charges,80.21587955,,,,,,,,,,119.52,percent of total billed charges,77.68518744,,,,,,,,,,119.52,percent of total billed charges,999999999,,,,,,,,,,132.8,percent of total billed charges,111.2794968,,,,131.14,percent of total billed charges,126.5557436,,,,131.14,percent of total billed charges,111.8161887,,,,132.8,percent of total billed charges,999999999,,,,132.8,percent of total billed charges,999999999,,,,116.2,percent of total billed charges,999999999,,,,116.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,88.312,percent of total billed charges,999999999,,,,,,,,,,,,,,,,83.83,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,41.5,percent of total billed charges,39.41484873,,,,,,,,,,41.5,percent of total billed charges,38.75920954,,,,,,,,,,41.5,percent of total billed charges,38.65149936,,,,,,,,,,41.5,percent of total billed charges,38.0823565,,,,,,,,,,41.5,percent of total billed charges,39.06227152,,,,,,,,,,41.5,percent of total billed charges,999999999,,,,,,,,,,41.5,percent of total billed charges,33.51817973,,,,,,,,,,41.5,percent of total billed charges,52.86048083,,,,,,,,,,41.5,percent of total billed charges,999999999,,,,,,,,,,41.5,percent of total billed charges,36.14079521,,,,,,,,,,149.4,percent of total billed charges,,,,,
CRITICAL CARE 30-74 MIN,99291,CDM,,,,both,,,2271,2271,483.4594382,2271,2271,percent of total billed charges,1670.855379,,,,2271,percent of total billed charges,1771.073665,,,,2271,percent of total billed charges,1670.855379,,,,2271,percent of total billed charges,1771.073665,,,,2271,percent of total billed charges,999999999,,,,2271,percent of total billed charges,1730.345915,,,,2271,percent of total billed charges,1670.855379,,,,2271,percent of total billed charges,1771.073665,,,,1619.223,percent of total billed charges,808.0219088,,,,1619.223,percent of total billed charges,483.4594382,,,,1619.223,percent of total billed charges,808.0219088,,,,1619.223,percent of total billed charges,483.4594382,,,,1619.223,percent of total billed charges,808.0219088,,,,1619.223,percent of total billed charges,483.4594382,,,,1603.326,percent of total billed charges,1591.16113,,,,1603.326,percent of total billed charges,1097.41122,,,,,,,,,,1635.12,percent of total billed charges,1062.789522,,,,,,,,,,1635.12,percent of total billed charges,999999999,,,,,,,,,,1816.8,percent of total billed charges,1522.38396,,,,1794.09,percent of total billed charges,1731.374059,,,,1794.09,percent of total billed charges,1529.726292,,,,1816.8,percent of total billed charges,999999999,,,,1816.8,percent of total billed charges,999999999,,,,1589.7,percent of total billed charges,999999999,,,,1589.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1208.172,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1146.855,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,567.75,percent of total billed charges,539.2236233,,,,,,,,,,567.75,percent of total billed charges,530.2540052,,,,,,,,,,567.75,percent of total billed charges,528.780452,,,,,,,,,,567.75,percent of total billed charges,520.9941663,,,,,,,,,,567.75,percent of total billed charges,534.4001121,,,,,,,,,,567.75,percent of total billed charges,999999999,,,,,,,,,,567.75,percent of total billed charges,458.5529287,,,,,,,,,,567.75,percent of total billed charges,723.1695902,,,,,,,,,,567.75,percent of total billed charges,999999999,,,,,,,,,,567.75,percent of total billed charges,494.4322043,,,,,,,,,,2043.9,percent of total billed charges,,,,,
CRITICAL CARE ADD'L 30 MIN,99292,CDM,,,,both,,,837,837,178.1838617,837,837,percent of total billed charges,615.810635,,,,837,percent of total billed charges,652.7470971,,,,837,percent of total billed charges,615.810635,,,,837,percent of total billed charges,652.7470971,,,,837,percent of total billed charges,999999999,,,,837,percent of total billed charges,637.7364733,,,,837,percent of total billed charges,615.810635,,,,837,percent of total billed charges,652.7470971,,,,596.781,percent of total billed charges,297.8046401,,,,596.781,percent of total billed charges,178.1838617,,,,596.781,percent of total billed charges,297.8046401,,,,596.781,percent of total billed charges,178.1838617,,,,596.781,percent of total billed charges,297.8046401,,,,596.781,percent of total billed charges,178.1838617,,,,590.922,percent of total billed charges,586.4385141,,,,590.922,percent of total billed charges,404.4619951,,,,,,,,,,602.64,percent of total billed charges,391.7018186,,,,,,,,,,602.64,percent of total billed charges,999999999,,,,,,,,,,669.6,percent of total billed charges,561.089993,,,,661.23,percent of total billed charges,638.115406,,,,661.23,percent of total billed charges,563.7960838,,,,669.6,percent of total billed charges,999999999,,,,669.6,percent of total billed charges,999999999,,,,585.9,percent of total billed charges,999999999,,,,585.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,445.284,percent of total billed charges,999999999,,,,,,,,,,,,,,,,422.685,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,209.25,percent of total billed charges,198.7363156,,,,,,,,,,209.25,percent of total billed charges,195.4304722,,,,,,,,,,209.25,percent of total billed charges,194.8873793,,,,,,,,,,209.25,percent of total billed charges,192.017665,,,,,,,,,,209.25,percent of total billed charges,196.9585618,,,,,,,,,,209.25,percent of total billed charges,999999999,,,,,,,,,,209.25,percent of total billed charges,169.0043159,,,,,,,,,,209.25,percent of total billed charges,266.5314606,,,,,,,,,,209.25,percent of total billed charges,999999999,,,,,,,,,,209.25,percent of total billed charges,182.2279855,,,,,,,,,,753.3,percent of total billed charges,,,,,
INTUBATION,31500,CDM,,,,both,,,1321,1321,281.2196908,1321,1321,percent of total billed charges,971.9066295,,,,1321,percent of total billed charges,1030.20181,,,,1321,percent of total billed charges,971.9066295,,,,1321,percent of total billed charges,1030.20181,,,,1321,percent of total billed charges,999999999,,,,1321,percent of total billed charges,1006.511208,,,,1321,percent of total billed charges,971.9066295,,,,1321,percent of total billed charges,1030.20181,,,,941.873,percent of total billed charges,470.0118633,,,,941.873,percent of total billed charges,281.2196908,,,,941.873,percent of total billed charges,470.0118633,,,,941.873,percent of total billed charges,281.2196908,,,,941.873,percent of total billed charges,470.0118633,,,,941.873,percent of total billed charges,281.2196908,,,,932.626,percent of total billed charges,925.549913,,,,932.626,percent of total billed charges,638.344439,,,,,,,,,,951.12,percent of total billed charges,618.2056181,,,,,,,,,,951.12,percent of total billed charges,999999999,,,,,,,,,,1056.8,percent of total billed charges,885.5434657,,,,1043.59,percent of total billed charges,1007.109261,,,,1043.59,percent of total billed charges,889.8143688,,,,1056.8,percent of total billed charges,999999999,,,,1056.8,percent of total billed charges,999999999,,,,924.7,percent of total billed charges,999999999,,,,924.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,702.772,percent of total billed charges,999999999,,,,,,,,,,,,,,,,667.105,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,330.25,percent of total billed charges,313.6567179,,,,,,,,,,330.25,percent of total billed charges,308.4392518,,,,,,,,,,330.25,percent of total billed charges,307.5821123,,,,,,,,,,330.25,percent of total billed charges,303.0529695,,,,,,,,,,330.25,percent of total billed charges,310.8509679,,,,,,,,,,330.25,percent of total billed charges,999999999,,,,,,,,,,330.25,percent of total billed charges,266.7320206,,,,,,,,,,330.25,percent of total billed charges,420.6547902,,,,,,,,,,330.25,percent of total billed charges,999999999,,,,,,,,,,330.25,percent of total billed charges,287.6023522,,,,,,,,,,1188.9,percent of total billed charges,,,,,
WOUND VAC 50SQ CM OR <,97605,CDM,,,,both,,,434,434,92.39163197,434,434,percent of total billed charges,319.3092182,,,,434,percent of total billed charges,338.4614577,,,,434,percent of total billed charges,319.3092182,,,,434,percent of total billed charges,338.4614577,,,,434,percent of total billed charges,999999999,,,,434,percent of total billed charges,330.6781714,,,,434,percent of total billed charges,319.3092182,,,,434,percent of total billed charges,338.4614577,,,,309.442,percent of total billed charges,154.4172208,,,,309.442,percent of total billed charges,92.39163197,,,,309.442,percent of total billed charges,154.4172208,,,,309.442,percent of total billed charges,92.39163197,,,,309.442,percent of total billed charges,154.4172208,,,,309.442,percent of total billed charges,92.39163197,,,,306.404,percent of total billed charges,304.0792296,,,,306.404,percent of total billed charges,209.7210345,,,,,,,,,,312.48,percent of total billed charges,203.1046467,,,,,,,,,,312.48,percent of total billed charges,999999999,,,,,,,,,,347.2,percent of total billed charges,290.9355519,,,,342.86,percent of total billed charges,330.874655,,,,342.86,percent of total billed charges,292.3387101,,,,347.2,percent of total billed charges,999999999,,,,347.2,percent of total billed charges,999999999,,,,303.8,percent of total billed charges,999999999,,,,303.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,230.888,percent of total billed charges,999999999,,,,,,,,,,,,,,,,219.17,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,108.5,percent of total billed charges,103.0484599,,,,,,,,,,108.5,percent of total billed charges,101.3343189,,,,,,,,,,108.5,percent of total billed charges,101.0527152,,,,,,,,,,108.5,percent of total billed charges,99.56471518,,,,,,,,,,108.5,percent of total billed charges,102.1266617,,,,,,,,,,108.5,percent of total billed charges,999999999,,,,,,,,,,108.5,percent of total billed charges,87.63186748,,,,,,,,,,108.5,percent of total billed charges,138.2014981,,,,,,,,,,108.5,percent of total billed charges,999999999,,,,,,,,,,108.5,percent of total billed charges,94.48858505,,,,,,,,,,390.6,percent of total billed charges,,,,,
WOUND VAC > 50SQ CM,97606,CDM,,,,both,,,599,599,127.5174828,599,599,percent of total billed charges,440.7055799,,,,599,percent of total billed charges,467.1392009,,,,599,percent of total billed charges,440.7055799,,,,599,percent of total billed charges,467.1392009,,,,599,percent of total billed charges,999999999,,,,599,percent of total billed charges,456.396831,,,,599,percent of total billed charges,440.7055799,,,,599,percent of total billed charges,467.1392009,,,,427.087,percent of total billed charges,213.1242287,,,,427.087,percent of total billed charges,127.5174828,,,,427.087,percent of total billed charges,213.1242287,,,,427.087,percent of total billed charges,127.5174828,,,,427.087,percent of total billed charges,213.1242287,,,,427.087,percent of total billed charges,127.5174828,,,,422.894,percent of total billed charges,419.6853883,,,,422.894,percent of total billed charges,289.4536858,,,,,,,,,,431.28,percent of total billed charges,280.3218511,,,,,,,,,,431.28,percent of total billed charges,999999999,,,,,,,,,,479.2,percent of total billed charges,401.5446903,,,,473.21,percent of total billed charges,456.6680146,,,,473.21,percent of total billed charges,403.4813073,,,,479.2,percent of total billed charges,999999999,,,,479.2,percent of total billed charges,999999999,,,,419.3,percent of total billed charges,999999999,,,,419.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,318.668,percent of total billed charges,999999999,,,,,,,,,,,,,,,,302.495,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,149.75,percent of total billed charges,142.2258698,,,,,,,,,,149.75,percent of total billed charges,139.8600392,,,,,,,,,,149.75,percent of total billed charges,139.4713742,,,,,,,,,,149.75,percent of total billed charges,137.4176599,,,,,,,,,,149.75,percent of total billed charges,140.9536183,,,,,,,,,,149.75,percent of total billed charges,999999999,,,,,,,,,,149.75,percent of total billed charges,120.9481305,,,,,,,,,,149.75,percent of total billed charges,190.7435423,,,,,,,,,,149.75,percent of total billed charges,999999999,,,,,,,,,,149.75,percent of total billed charges,130.4116646,,,,,,,,,,539.1,percent of total billed charges,,,,,
THORACENTESIS,97606,CDM,,,,both,,,2143,2143,456.2102933,2143,2143,percent of total billed charges,1576.681232,,,,2143,percent of total billed charges,1671.250931,,,,2143,percent of total billed charges,1576.681232,,,,2143,percent of total billed charges,1671.250931,,,,2143,percent of total billed charges,999999999,,,,2143,percent of total billed charges,1632.818713,,,,2143,percent of total billed charges,1576.681232,,,,2143,percent of total billed charges,1671.250931,,,,1527.959,percent of total billed charges,762.4795027,,,,1527.959,percent of total billed charges,456.2102933,,,,1527.959,percent of total billed charges,762.4795027,,,,1527.959,percent of total billed charges,456.2102933,,,,1527.959,percent of total billed charges,762.4795027,,,,1527.959,percent of total billed charges,456.2102933,,,,1512.958,percent of total billed charges,1501.478776,,,,1512.958,percent of total billed charges,1035.558011,,,,,,,,,,1542.96,percent of total billed charges,1002.887691,,,,,,,,,,1542.96,percent of total billed charges,999999999,,,,,,,,,,1714.4,percent of total billed charges,1436.578082,,,,1692.97,percent of total billed charges,1633.788907,,,,1692.97,percent of total billed charges,1443.50658,,,,1714.4,percent of total billed charges,999999999,,,,1714.4,percent of total billed charges,999999999,,,,1500.1,percent of total billed charges,999999999,,,,1500.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1140.076,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1082.215,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,535.75,percent of total billed charges,508.8314508,,,,,,,,,,535.75,percent of total billed charges,500.3673858,,,,,,,,,,535.75,percent of total billed charges,498.9768863,,,,,,,,,,535.75,percent of total billed charges,491.6294577,,,,,,,,,,535.75,percent of total billed charges,504.2798064,,,,,,,,,,535.75,percent of total billed charges,999999999,,,,,,,,,,535.75,percent of total billed charges,432.7075853,,,,,,,,,,535.75,percent of total billed charges,682.4097013,,,,,,,,,,535.75,percent of total billed charges,999999999,,,,,,,,,,535.75,percent of total billed charges,466.5646032,,,,,,,,,,1928.7,percent of total billed charges,,,,,
CENTRAL LINE INSERTION,36555,CDM,,,,both,,,3226,3226,686.7636054,3226,3226,percent of total billed charges,2373.482806,,,,3226,percent of total billed charges,2515.844845,,,,3226,percent of total billed charges,2373.482806,,,,3226,percent of total billed charges,2515.844845,,,,3226,percent of total billed charges,999999999,,,,3226,percent of total billed charges,2457.990278,,,,3226,percent of total billed charges,2373.482806,,,,3226,percent of total billed charges,2515.844845,,,,2300.138,percent of total billed charges,1147.810955,,,,2300.138,percent of total billed charges,686.7636054,,,,2300.138,percent of total billed charges,1147.810955,,,,2300.138,percent of total billed charges,686.7636054,,,,2300.138,percent of total billed charges,1147.810955,,,,2300.138,percent of total billed charges,686.7636054,,,,2277.556,percent of total billed charges,2260.275563,,,,2277.556,percent of total billed charges,1558.894141,,,,,,,,,,2322.72,percent of total billed charges,1509.713341,,,,,,,,,,2322.72,percent of total billed charges,999999999,,,,,,,,,,2580.8,percent of total billed charges,2162.576245,,,,2548.54,percent of total billed charges,2459.450776,,,,2548.54,percent of total billed charges,2173.006172,,,,2580.8,percent of total billed charges,999999999,,,,2580.8,percent of total billed charges,999999999,,,,2258.2,percent of total billed charges,999999999,,,,2258.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1716.232,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1629.13,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,806.5,percent of total billed charges,765.9777229,,,,,,,,,,806.5,percent of total billed charges,753.2362047,,,,,,,,,,806.5,percent of total billed charges,751.1429935,,,,,,,,,,806.5,percent of total billed charges,740.0824221,,,,,,,,,,806.5,percent of total billed charges,759.1258308,,,,,,,,,,806.5,percent of total billed charges,999999999,,,,,,,,,,806.5,percent of total billed charges,651.3834205,,,,,,,,,,806.5,percent of total billed charges,1027.276573,,,,,,,,,,806.5,percent of total billed charges,999999999,,,,,,,,,,806.5,percent of total billed charges,702.3506345,,,,,,,,,,2903.4,percent of total billed charges,,,,,
CHEMICAL PLEURODESIS,32560,CDM,,,,both,,,2170,2170,461.9581598,2170,2170,percent of total billed charges,1596.546091,,,,2170,percent of total billed charges,1692.307289,,,,2170,percent of total billed charges,1596.546091,,,,2170,percent of total billed charges,1692.307289,,,,2170,percent of total billed charges,999999999,,,,2170,percent of total billed charges,1653.390857,,,,2170,percent of total billed charges,1596.546091,,,,2170,percent of total billed charges,1692.307289,,,,1547.21,percent of total billed charges,772.086104,,,,1547.21,percent of total billed charges,461.9581598,,,,1547.21,percent of total billed charges,772.086104,,,,1547.21,percent of total billed charges,461.9581598,,,,1547.21,percent of total billed charges,772.086104,,,,1547.21,percent of total billed charges,461.9581598,,,,1532.02,percent of total billed charges,1520.396148,,,,1532.02,percent of total billed charges,1048.605172,,,,,,,,,,1562.4,percent of total billed charges,1015.523233,,,,,,,,,,1562.4,percent of total billed charges,999999999,,,,,,,,,,1736,percent of total billed charges,1454.67776,,,,1714.3,percent of total billed charges,1654.373275,,,,1714.3,percent of total billed charges,1461.693551,,,,1736,percent of total billed charges,999999999,,,,1736,percent of total billed charges,999999999,,,,1519,percent of total billed charges,999999999,,,,1519,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1154.44,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1095.85,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,542.5,percent of total billed charges,515.2422996,,,,,,,,,,542.5,percent of total billed charges,506.6715946,,,,,,,,,,542.5,percent of total billed charges,505.2635759,,,,,,,,,,542.5,percent of total billed charges,497.8235759,,,,,,,,,,542.5,percent of total billed charges,510.6333084,,,,,,,,,,542.5,percent of total billed charges,999999999,,,,,,,,,,542.5,percent of total billed charges,438.1593374,,,,,,,,,,542.5,percent of total billed charges,691.0074904,,,,,,,,,,542.5,percent of total billed charges,999999999,,,,,,,,,,542.5,percent of total billed charges,472.4429253,,,,,,,,,,1953,percent of total billed charges,,,,,
CARDIOPULMONARY RESUSCITATION,92950,CDM,,,,both,,,1545,1545,328.9056944,1545,1545,percent of total billed charges,1136.711387,,,,1545,percent of total billed charges,1204.891595,,,,1545,percent of total billed charges,1136.711387,,,,1545,percent of total billed charges,1204.891595,,,,1545,percent of total billed charges,999999999,,,,1545,percent of total billed charges,1177.183813,,,,1545,percent of total billed charges,1136.711387,,,,1545,percent of total billed charges,1204.891595,,,,1101.585,percent of total billed charges,549.711074,,,,1101.585,percent of total billed charges,328.9056944,,,,1101.585,percent of total billed charges,549.711074,,,,1101.585,percent of total billed charges,328.9056944,,,,1101.585,percent of total billed charges,549.711074,,,,1101.585,percent of total billed charges,328.9056944,,,,1090.77,percent of total billed charges,1082.494031,,,,1090.77,percent of total billed charges,746.5875536,,,,,,,,,,1112.4,percent of total billed charges,723.0338229,,,,,,,,,,1112.4,percent of total billed charges,999999999,,,,,,,,,,1236,percent of total billed charges,1035.703751,,,,1220.55,percent of total billed charges,1177.883276,,,,1220.55,percent of total billed charges,1040.698864,,,,1236,percent of total billed charges,999999999,,,,1236,percent of total billed charges,999999999,,,,1081.5,percent of total billed charges,999999999,,,,1081.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,821.94,percent of total billed charges,999999999,,,,,,,,,,,,,,,,780.225,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,386.25,percent of total billed charges,366.8430198,,,,,,,,,,386.25,percent of total billed charges,360.7408358,,,,,,,,,,386.25,percent of total billed charges,359.7383524,,,,,,,,,,386.25,percent of total billed charges,354.4412096,,,,,,,,,,386.25,percent of total billed charges,363.561503,,,,,,,,,,386.25,percent of total billed charges,999999999,,,,,,,,,,386.25,percent of total billed charges,311.9613716,,,,,,,,,,386.25,percent of total billed charges,491.9845957,,,,,,,,,,386.25,percent of total billed charges,999999999,,,,,,,,,,386.25,percent of total billed charges,336.3706542,,,,,,,,,,1390.5,percent of total billed charges,,,,,
BLOOD PATCH,62273,CDM,,,,both,,,2328,2328,495.5938231,2328,2328,percent of total billed charges,1712.792304,,,,2328,percent of total billed charges,1815.525976,,,,2328,percent of total billed charges,1712.792304,,,,2328,percent of total billed charges,1815.525976,,,,2328,percent of total billed charges,999999999,,,,2328,percent of total billed charges,1773.775998,,,,2328,percent of total billed charges,1712.792304,,,,2328,percent of total billed charges,1815.525976,,,,1659.864,percent of total billed charges,828.3025116,,,,1659.864,percent of total billed charges,495.5938231,,,,1659.864,percent of total billed charges,828.3025116,,,,1659.864,percent of total billed charges,495.5938231,,,,1659.864,percent of total billed charges,828.3025116,,,,1659.864,percent of total billed charges,495.5938231,,,,1643.568,percent of total billed charges,1631.097803,,,,1643.568,percent of total billed charges,1124.955226,,,,,,,,,,1676.16,percent of total billed charges,1089.464556,,,,,,,,,,1676.16,percent of total billed charges,999999999,,,,,,,,,,1862.4,percent of total billed charges,1560.594389,,,,1839.12,percent of total billed charges,1774.829946,,,,1839.12,percent of total billed charges,1568.121007,,,,1862.4,percent of total billed charges,999999999,,,,1862.4,percent of total billed charges,999999999,,,,1629.6,percent of total billed charges,999999999,,,,1629.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1238.496,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1175.64,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,582,percent of total billed charges,552.7576376,,,,,,,,,,582,percent of total billed charges,543.5628904,,,,,,,,,,582,percent of total billed charges,542.0523524,,,,,,,,,,582,percent of total billed charges,534.0706381,,,,,,,,,,582,percent of total billed charges,547.8130608,,,,,,,,,,582,percent of total billed charges,999999999,,,,,,,,,,582,percent of total billed charges,470.0621832,,,,,,,,,,582,percent of total billed charges,741.3204782,,,,,,,,,,582,percent of total billed charges,999999999,,,,,,,,,,582,percent of total billed charges,506.8419954,,,,,,,,,,2095.2,percent of total billed charges,,,,,
NON SELECTIVE DEBRIDEMENT,97602,CDM,,,,both,,,375,375,79.83147923,375,375,percent of total billed charges,275.9008221,,,,375,percent of total billed charges,292.4494163,,,,375,percent of total billed charges,275.9008221,,,,375,percent of total billed charges,292.4494163,,,,375,percent of total billed charges,999999999,,,,375,percent of total billed charges,285.7242264,,,,375,percent of total billed charges,275.9008221,,,,375,percent of total billed charges,292.4494163,,,,267.375,percent of total billed charges,133.425018,,,,267.375,percent of total billed charges,79.83147923,,,,267.375,percent of total billed charges,133.425018,,,,267.375,percent of total billed charges,79.83147923,,,,267.375,percent of total billed charges,133.425018,,,,267.375,percent of total billed charges,79.83147923,,,,264.75,percent of total billed charges,262.7412698,,,,264.75,percent of total billed charges,181.2105713,,,,,,,,,,270,percent of total billed charges,175.4936463,,,,,,,,,,270,percent of total billed charges,999999999,,,,,,,,,,300,percent of total billed charges,251.3844055,,,,296.25,percent of total billed charges,285.8939991,,,,296.25,percent of total billed charges,252.5968117,,,,300,percent of total billed charges,999999999,,,,300,percent of total billed charges,999999999,,,,262.5,percent of total billed charges,999999999,,,,262.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,199.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,189.375,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,93.75,percent of total billed charges,89.03956791,,,,,,,,,,93.75,percent of total billed charges,87.55845528,,,,,,,,,,93.75,percent of total billed charges,87.31513409,,,,,,,,,,93.75,percent of total billed charges,86.0294198,,,,,,,,,,93.75,percent of total billed charges,88.24308324,,,,,,,,,,93.75,percent of total billed charges,999999999,,,,,,,,,,93.75,percent of total billed charges,75.7187795,,,,,,,,,,93.75,percent of total billed charges,119.4137368,,,,,,,,,,93.75,percent of total billed charges,999999999,,,,,,,,,,93.75,percent of total billed charges,81.64336266,,,,,,,,,,337.5,percent of total billed charges,,,,,
TEMPORARY TRANCUTANEOUS PACING,92953,CDM,,,,both,,,1284,1284,273.3429849,1284,1284,percent of total billed charges,944.684415,,,,1284,percent of total billed charges,1001.346801,,,,1284,percent of total billed charges,944.684415,,,,1284,percent of total billed charges,1001.346801,,,,1284,percent of total billed charges,999999999,,,,1284,percent of total billed charges,978.3197512,,,,1284,percent of total billed charges,944.684415,,,,1284,percent of total billed charges,1001.346801,,,,915.492,percent of total billed charges,456.8472615,,,,915.492,percent of total billed charges,273.3429849,,,,915.492,percent of total billed charges,456.8472615,,,,915.492,percent of total billed charges,273.3429849,,,,915.492,percent of total billed charges,456.8472615,,,,915.492,percent of total billed charges,273.3429849,,,,906.504,percent of total billed charges,899.6261077,,,,906.504,percent of total billed charges,620.464996,,,,,,,,,,924.48,percent of total billed charges,600.890245,,,,,,,,,,924.48,percent of total billed charges,999999999,,,,,,,,,,1027.2,percent of total billed charges,860.7402043,,,,1014.36,percent of total billed charges,978.9010529,,,,1014.36,percent of total billed charges,864.8914834,,,,1027.2,percent of total billed charges,999999999,,,,1027.2,percent of total billed charges,999999999,,,,898.8,percent of total billed charges,999999999,,,,898.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,683.088,percent of total billed charges,999999999,,,,,,,,,,,,,,,,648.42,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,321,percent of total billed charges,304.8714805,,,,,,,,,,321,percent of total billed charges,299.8001509,,,,,,,,,,321,percent of total billed charges,298.9670191,,,,,,,,,,321,percent of total billed charges,294.5647334,,,,,,,,,,321,percent of total billed charges,302.144317,,,,,,,,,,321,percent of total billed charges,999999999,,,,,,,,,,321,percent of total billed charges,259.261101,,,,,,,,,,321,percent of total billed charges,408.8726349,,,,,,,,,,321,percent of total billed charges,999999999,,,,,,,,,,321,percent of total billed charges,279.5468738,,,,,,,,,,1155.6,percent of total billed charges,,,,,
DIABETES OP SELF-MGMT INDIVIDUAL 30 MINS,G0108,CDM,,,,both,,,190,190,40.44794948,190,190,percent of total billed charges,139.7897499,,,,190,percent of total billed charges,148.1743709,,,,190,percent of total billed charges,139.7897499,,,,190,percent of total billed charges,148.1743709,,,,190,percent of total billed charges,999999999,,,,190,percent of total billed charges,144.7669414,,,,190,percent of total billed charges,139.7897499,,,,190,percent of total billed charges,148.1743709,,,,135.47,percent of total billed charges,67.60200911,,,,135.47,percent of total billed charges,40.44794948,,,,135.47,percent of total billed charges,67.60200911,,,,135.47,percent of total billed charges,40.44794948,,,,135.47,percent of total billed charges,67.60200911,,,,135.47,percent of total billed charges,40.44794948,,,,134.14,percent of total billed charges,133.1222434,,,,134.14,percent of total billed charges,91.81335611,,,,,,,,,,136.8,percent of total billed charges,88.91678081,,,,,,,,,,136.8,percent of total billed charges,999999999,,,,,,,,,,152,percent of total billed charges,127.3680988,,,,150.1,percent of total billed charges,144.8529595,,,,150.1,percent of total billed charges,127.9823846,,,,152,percent of total billed charges,999999999,,,,152,percent of total billed charges,999999999,,,,133,percent of total billed charges,999999999,,,,133,percent of total billed charges,999999999,,,,,,,,,,,,,,,,101.08,percent of total billed charges,999999999,,,,,,,,,,,,,,,,95.95,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,47.5,percent of total billed charges,45.11338108,,,,,,,,,,47.5,percent of total billed charges,44.36295068,,,,,,,,,,47.5,percent of total billed charges,44.23966794,,,,,,,,,,47.5,percent of total billed charges,43.58823937,,,,,,,,,,47.5,percent of total billed charges,44.70982884,,,,,,,,,,47.5,percent of total billed charges,999999999,,,,,,,,,,47.5,percent of total billed charges,38.36418162,,,,,,,,,,47.5,percent of total billed charges,60.50295999,,,,,,,,,,47.5,percent of total billed charges,999999999,,,,,,,,,,47.5,percent of total billed charges,41.36597042,,,,,,,,,,171,percent of total billed charges,,,,,
DIABETES OP SELF-MGMT GRP (2+) 30 MINS,G0109,CDM,,,,both,,,122,122,25.97184124,122,122,percent of total billed charges,89.75973414,,,,122,percent of total billed charges,95.14354342,,,,122,percent of total billed charges,89.75973414,,,,122,percent of total billed charges,95.14354342,,,,122,percent of total billed charges,999999999,,,,122,percent of total billed charges,92.95561499,,,,122,percent of total billed charges,89.75973414,,,,122,percent of total billed charges,95.14354342,,,,86.986,percent of total billed charges,43.40760585,,,,86.986,percent of total billed charges,25.97184124,,,,86.986,percent of total billed charges,43.40760585,,,,86.986,percent of total billed charges,25.97184124,,,,86.986,percent of total billed charges,43.40760585,,,,86.986,percent of total billed charges,25.97184124,,,,86.132,percent of total billed charges,85.4784931,,,,86.132,percent of total billed charges,58.95383918,,,,,,,,,,87.84,percent of total billed charges,57.09393294,,,,,,,,,,87.84,percent of total billed charges,999999999,,,,,,,,,,97.6,percent of total billed charges,81.78372658,,,,96.38,percent of total billed charges,93.01084771,,,,96.38,percent of total billed charges,82.17816275,,,,97.6,percent of total billed charges,999999999,,,,97.6,percent of total billed charges,999999999,,,,85.4,percent of total billed charges,999999999,,,,85.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,64.904,percent of total billed charges,999999999,,,,,,,,,,,,,,,,61.61,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,30.5,percent of total billed charges,28.96753943,,,,,,,,,,30.5,percent of total billed charges,28.48568412,,,,,,,,,,30.5,percent of total billed charges,28.40652362,,,,,,,,,,30.5,percent of total billed charges,27.98823791,,,,,,,,,,30.5,percent of total billed charges,28.70841641,,,,,,,,,,30.5,percent of total billed charges,999999999,,,,,,,,,,30.5,percent of total billed charges,24.63384293,,,,,,,,,,30.5,percent of total billed charges,38.84926905,,,,,,,,,,30.5,percent of total billed charges,999999999,,,,,,,,,,30.5,percent of total billed charges,26.56130732,,,,,,,,,,109.8,percent of total billed charges,,,,,
**PICC LINE INSERTION,36573,CDM,,,,both,,,4689,4689,998.2128163,4689,4689,percent of total billed charges,3449.86388,,,,4689,percent of total billed charges,3656.787501,,,,4689,percent of total billed charges,3449.86388,,,,4689,percent of total billed charges,3656.787501,,,,4689,percent of total billed charges,999999999,,,,4689,percent of total billed charges,3572.695727,,,,4689,percent of total billed charges,3449.86388,,,,4689,percent of total billed charges,3656.787501,,,,3343.257,percent of total billed charges,1668.346425,,,,3343.257,percent of total billed charges,998.2128163,,,,3343.257,percent of total billed charges,1668.346425,,,,3343.257,percent of total billed charges,998.2128163,,,,3343.257,percent of total billed charges,1668.346425,,,,3343.257,percent of total billed charges,998.2128163,,,,3310.434,percent of total billed charges,3285.316837,,,,3310.434,percent of total billed charges,2265.856983,,,,,,,,,,3376.08,percent of total billed charges,2194.372554,,,,,,,,,,3376.08,percent of total billed charges,999999999,,,,,,,,,,3751.2,percent of total billed charges,3143.310606,,,,3704.31,percent of total billed charges,3574.818565,,,,3704.31,percent of total billed charges,3158.470534,,,,3751.2,percent of total billed charges,999999999,,,,3751.2,percent of total billed charges,999999999,,,,3282.3,percent of total billed charges,999999999,,,,3282.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2494.548,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2367.945,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1172.25,percent of total billed charges,1113.350757,,,,,,,,,,1172.25,percent of total billed charges,1094.830925,,,,,,,,,,1172.25,percent of total billed charges,1091.788437,,,,,,,,,,1172.25,percent of total billed charges,1075.711865,,,,,,,,,,1172.25,percent of total billed charges,1103.391513,,,,,,,,,,1172.25,percent of total billed charges,999999999,,,,,,,,,,1172.25,percent of total billed charges,946.7876189,,,,,,,,,,1172.25,percent of total billed charges,1493.149365,,,,,,,,,,1172.25,percent of total billed charges,999999999,,,,,,,,,,1172.25,percent of total billed charges,1020.868607,,,,,,,,,,4220.1,percent of total billed charges,,,,,
**UNILATERAL BUCKS,Local,Local,,,,both,,,547,547,116.4475177,547,547,percent of total billed charges,402.4473326,,,,547,percent of total billed charges,426.5862152,,,,547,percent of total billed charges,402.4473326,,,,547,percent of total billed charges,426.5862152,,,,547,percent of total billed charges,999999999,,,,547,percent of total billed charges,416.7764049,,,,547,percent of total billed charges,402.4473326,,,,547,percent of total billed charges,426.5862152,,,,390.011,percent of total billed charges,194.6226262,,,,390.011,percent of total billed charges,116.4475177,,,,390.011,percent of total billed charges,194.6226262,,,,390.011,percent of total billed charges,116.4475177,,,,390.011,percent of total billed charges,194.6226262,,,,390.011,percent of total billed charges,116.4475177,,,,386.182,percent of total billed charges,383.2519322,,,,386.182,percent of total billed charges,264.32582,,,,,,,,,,393.84,percent of total billed charges,255.9867321,,,,,,,,,,393.84,percent of total billed charges,999999999,,,,,,,,,,437.6,percent of total billed charges,366.6860528,,,,432.13,percent of total billed charges,417.0240467,,,,432.13,percent of total billed charges,368.4545494,,,,437.6,percent of total billed charges,999999999,,,,437.6,percent of total billed charges,999999999,,,,382.9,percent of total billed charges,999999999,,,,382.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,291.004,percent of total billed charges,999999999,,,,,,,,,,,,,,,,276.235,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,136.75,percent of total billed charges,129.8790497,,,,,,,,,,136.75,percent of total billed charges,127.7186001,,,,,,,,,,136.75,percent of total billed charges,127.3636756,,,,,,,,,,136.75,percent of total billed charges,125.488247,,,,,,,,,,136.75,percent of total billed charges,128.7172441,,,,,,,,,,136.75,percent of total billed charges,999999999,,,,,,,,,,136.75,percent of total billed charges,110.4484597,,,,,,,,,,136.75,percent of total billed charges,174.1848374,,,,,,,,,,136.75,percent of total billed charges,999999999,,,,,,,,,,136.75,percent of total billed charges,119.0904517,,,,,,,,,,492.3,percent of total billed charges,,,,,
**BILATERAL BUCKS,Local,Local,,,,both,,,872,872,185.6347997,872,872,percent of total billed charges,641.5613784,,,,872,percent of total billed charges,680.0423759,,,,872,percent of total billed charges,641.5613784,,,,872,percent of total billed charges,680.0423759,,,,872,percent of total billed charges,999999999,,,,872,percent of total billed charges,664.4040678,,,,872,percent of total billed charges,641.5613784,,,,872,percent of total billed charges,680.0423759,,,,621.736,percent of total billed charges,310.2576418,,,,621.736,percent of total billed charges,185.6347997,,,,621.736,percent of total billed charges,310.2576418,,,,621.736,percent of total billed charges,185.6347997,,,,621.736,percent of total billed charges,310.2576418,,,,621.736,percent of total billed charges,185.6347997,,,,615.632,percent of total billed charges,610.9610327,,,,615.632,percent of total billed charges,421.3749817,,,,,,,,,,627.84,percent of total billed charges,408.0812256,,,,,,,,,,627.84,percent of total billed charges,999999999,,,,,,,,,,697.6,percent of total billed charges,584.5525375,,,,688.88,percent of total billed charges,664.7988459,,,,688.88,percent of total billed charges,587.3717862,,,,697.6,percent of total billed charges,999999999,,,,697.6,percent of total billed charges,999999999,,,,610.4,percent of total billed charges,999999999,,,,610.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,463.904,percent of total billed charges,999999999,,,,,,,,,,,,,,,,440.36,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,218,percent of total billed charges,207.0466753,,,,,,,,,,218,percent of total billed charges,203.6025947,,,,,,,,,,218,percent of total billed charges,203.0367918,,,,,,,,,,218,percent of total billed charges,200.0470775,,,,,,,,,,218,percent of total billed charges,205.1945829,,,,,,,,,,218,percent of total billed charges,999999999,,,,,,,,,,218,percent of total billed charges,176.0714019,,,,,,,,,,218,percent of total billed charges,277.6767427,,,,,,,,,,218,percent of total billed charges,999999999,,,,,,,,,,218,percent of total billed charges,189.8480326,,,,,,,,,,784.8,percent of total billed charges,,,,,
**OVERHEAD,Local,Local,,,,both,,,437,437,93.0302838,437,437,percent of total billed charges,321.5164247,,,,437,percent of total billed charges,340.8010531,,,,437,percent of total billed charges,321.5164247,,,,437,percent of total billed charges,340.8010531,,,,437,percent of total billed charges,999999999,,,,437,percent of total billed charges,332.9639652,,,,437,percent of total billed charges,321.5164247,,,,437,percent of total billed charges,340.8010531,,,,311.581,percent of total billed charges,155.4846209,,,,311.581,percent of total billed charges,93.0302838,,,,311.581,percent of total billed charges,155.4846209,,,,311.581,percent of total billed charges,93.0302838,,,,311.581,percent of total billed charges,155.4846209,,,,311.581,percent of total billed charges,93.0302838,,,,308.522,percent of total billed charges,306.1811597,,,,308.522,percent of total billed charges,211.170719,,,,,,,,,,314.64,percent of total billed charges,204.5085959,,,,,,,,,,314.64,percent of total billed charges,999999999,,,,,,,,,,349.6,percent of total billed charges,292.9466272,,,,345.23,percent of total billed charges,333.1618069,,,,345.23,percent of total billed charges,294.3594846,,,,349.6,percent of total billed charges,999999999,,,,349.6,percent of total billed charges,999999999,,,,305.9,percent of total billed charges,999999999,,,,305.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,232.484,percent of total billed charges,999999999,,,,,,,,,,,,,,,,220.685,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,109.25,percent of total billed charges,103.7607765,,,,,,,,,,109.25,percent of total billed charges,102.0347866,,,,,,,,,,109.25,percent of total billed charges,101.7512363,,,,,,,,,,109.25,percent of total billed charges,100.2529505,,,,,,,,,,109.25,percent of total billed charges,102.8326063,,,,,,,,,,109.25,percent of total billed charges,999999999,,,,,,,,,,109.25,percent of total billed charges,88.23761772,,,,,,,,,,109.25,percent of total billed charges,139.156808,,,,,,,,,,109.25,percent of total billed charges,999999999,,,,,,,,,,109.25,percent of total billed charges,95.14173196,,,,,,,,,,393.3,percent of total billed charges,,,,,
**PELVIC BELT,Local,Local,,,,both,,,401,401,85.36646179,401,401,percent of total billed charges,295.0299458,,,,401,percent of total billed charges,312.7259091,,,,401,percent of total billed charges,295.0299458,,,,401,percent of total billed charges,312.7259091,,,,401,percent of total billed charges,999999999,,,,401,percent of total billed charges,305.5344394,,,,401,percent of total billed charges,295.0299458,,,,401,percent of total billed charges,312.7259091,,,,285.913,percent of total billed charges,142.6758192,,,,285.913,percent of total billed charges,85.36646179,,,,285.913,percent of total billed charges,142.6758192,,,,285.913,percent of total billed charges,85.36646179,,,,285.913,percent of total billed charges,142.6758192,,,,285.913,percent of total billed charges,85.36646179,,,,283.106,percent of total billed charges,280.9579978,,,,283.106,percent of total billed charges,193.7745042,,,,,,,,,,288.72,percent of total billed charges,187.6612058,,,,,,,,,,288.72,percent of total billed charges,999999999,,,,,,,,,,320.8,percent of total billed charges,268.8137243,,,,316.79,percent of total billed charges,305.715983,,,,316.79,percent of total billed charges,270.1101907,,,,320.8,percent of total billed charges,999999999,,,,320.8,percent of total billed charges,999999999,,,,280.7,percent of total billed charges,999999999,,,,280.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,213.332,percent of total billed charges,999999999,,,,,,,,,,,,,,,,202.505,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,100.25,percent of total billed charges,95.21297795,,,,,,,,,,100.25,percent of total billed charges,93.62917485,,,,,,,,,,100.25,percent of total billed charges,93.36898338,,,,,,,,,,100.25,percent of total billed charges,91.99412624,,,,,,,,,,100.25,percent of total billed charges,94.36127035,,,,,,,,,,100.25,percent of total billed charges,999999999,,,,,,,,,,100.25,percent of total billed charges,80.96861488,,,,,,,,,,100.25,percent of total billed charges,127.6930892,,,,,,,,,,100.25,percent of total billed charges,999999999,,,,,,,,,,100.25,percent of total billed charges,87.30396914,,,,,,,,,,360.9,percent of total billed charges,,,,,
**CRADLE BOOT,Local,Local,,,,both,,,325,325,69.187282,325,325,percent of total billed charges,239.1140459,,,,325,percent of total billed charges,253.4561608,,,,325,percent of total billed charges,239.1140459,,,,325,percent of total billed charges,253.4561608,,,,325,percent of total billed charges,999999999,,,,325,percent of total billed charges,247.6276629,,,,325,percent of total billed charges,239.1140459,,,,325,percent of total billed charges,253.4561608,,,,231.725,percent of total billed charges,115.6350156,,,,231.725,percent of total billed charges,69.187282,,,,231.725,percent of total billed charges,115.6350156,,,,231.725,percent of total billed charges,69.187282,,,,231.725,percent of total billed charges,115.6350156,,,,231.725,percent of total billed charges,69.187282,,,,229.45,percent of total billed charges,227.7091005,,,,229.45,percent of total billed charges,157.0491618,,,,,,,,,,234,percent of total billed charges,152.0944935,,,,,,,,,,234,percent of total billed charges,999999999,,,,,,,,,,260,percent of total billed charges,217.8664847,,,,256.75,percent of total billed charges,247.7747992,,,,256.75,percent of total billed charges,218.9172368,,,,260,percent of total billed charges,999999999,,,,260,percent of total billed charges,999999999,,,,227.5,percent of total billed charges,999999999,,,,227.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,172.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,164.125,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,81.25,percent of total billed charges,77.16762552,,,,,,,,,,81.25,percent of total billed charges,75.88399458,,,,,,,,,,81.25,percent of total billed charges,75.67311621,,,,,,,,,,81.25,percent of total billed charges,74.55883049,,,,,,,,,,81.25,percent of total billed charges,76.47733881,,,,,,,,,,81.25,percent of total billed charges,999999999,,,,,,,,,,81.25,percent of total billed charges,65.62294224,,,,,,,,,,81.25,percent of total billed charges,103.4919052,,,,,,,,,,81.25,percent of total billed charges,999999999,,,,,,,,,,81.25,percent of total billed charges,70.75758097,,,,,,,,,,292.5,percent of total billed charges,,,,,
**OB RN TRANSFER,Local,Local,,,,both,,,535,535,113.8929104,535,535,percent of total billed charges,393.6185063,,,,535,percent of total billed charges,417.2278339,,,,535,percent of total billed charges,393.6185063,,,,535,percent of total billed charges,417.2278339,,,,535,percent of total billed charges,999999999,,,,535,percent of total billed charges,407.6332297,,,,535,percent of total billed charges,393.6185063,,,,535,percent of total billed charges,417.2278339,,,,381.455,percent of total billed charges,190.3530256,,,,381.455,percent of total billed charges,113.8929104,,,,381.455,percent of total billed charges,190.3530256,,,,381.455,percent of total billed charges,113.8929104,,,,381.455,percent of total billed charges,190.3530256,,,,381.455,percent of total billed charges,113.8929104,,,,377.71,percent of total billed charges,374.8442115,,,,377.71,percent of total billed charges,258.5270817,,,,,,,,,,385.2,percent of total billed charges,250.3709354,,,,,,,,,,385.2,percent of total billed charges,999999999,,,,,,,,,,428,percent of total billed charges,358.6417518,,,,422.65,percent of total billed charges,407.8754387,,,,422.65,percent of total billed charges,360.3714514,,,,428,percent of total billed charges,999999999,,,,428,percent of total billed charges,999999999,,,,374.5,percent of total billed charges,999999999,,,,374.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,284.62,percent of total billed charges,999999999,,,,,,,,,,,,,,,,270.175,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,133.75,percent of total billed charges,127.0297836,,,,,,,,,,133.75,percent of total billed charges,124.9167295,,,,,,,,,,133.75,percent of total billed charges,124.5695913,,,,,,,,,,133.75,percent of total billed charges,122.7353056,,,,,,,,,,133.75,percent of total billed charges,125.8934654,,,,,,,,,,133.75,percent of total billed charges,999999999,,,,,,,,,,133.75,percent of total billed charges,108.0254588,,,,,,,,,,133.75,percent of total billed charges,170.3635979,,,,,,,,,,133.75,percent of total billed charges,999999999,,,,,,,,,,133.75,percent of total billed charges,116.4778641,,,,,,,,,,481.5,percent of total billed charges,,,,,
**INTRAMUSCULAR/SUBCU INJECT THERAPY OR,96372,CDM,,,,both,,,209,209,44.49274443,209,209,percent of total billed charges,153.7687249,,,,209,percent of total billed charges,162.991808,,,,209,percent of total billed charges,153.7687249,,,,209,percent of total billed charges,162.991808,,,,209,percent of total billed charges,999999999,,,,209,percent of total billed charges,159.2436355,,,,209,percent of total billed charges,153.7687249,,,,209,percent of total billed charges,162.991808,,,,149.017,percent of total billed charges,74.36221002,,,,149.017,percent of total billed charges,44.49274443,,,,149.017,percent of total billed charges,74.36221002,,,,149.017,percent of total billed charges,44.49274443,,,,149.017,percent of total billed charges,74.36221002,,,,149.017,percent of total billed charges,44.49274443,,,,147.554,percent of total billed charges,146.4344677,,,,147.554,percent of total billed charges,100.9946917,,,,,,,,,,150.48,percent of total billed charges,97.80845889,,,,,,,,,,150.48,percent of total billed charges,999999999,,,,,,,,,,167.2,percent of total billed charges,140.1049087,,,,165.11,percent of total billed charges,159.3382555,,,,165.11,percent of total billed charges,140.7806231,,,,167.2,percent of total billed charges,999999999,,,,167.2,percent of total billed charges,999999999,,,,146.3,percent of total billed charges,999999999,,,,146.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,111.188,percent of total billed charges,999999999,,,,,,,,,,,,,,,,105.545,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,52.25,percent of total billed charges,49.62471918,,,,,,,,,,52.25,percent of total billed charges,48.79924575,,,,,,,,,,52.25,percent of total billed charges,48.66363473,,,,,,,,,,52.25,percent of total billed charges,47.9470633,,,,,,,,,,52.25,percent of total billed charges,49.18081173,,,,,,,,,,52.25,percent of total billed charges,999999999,,,,,,,,,,52.25,percent of total billed charges,42.20059978,,,,,,,,,,52.25,percent of total billed charges,66.55325599,,,,,,,,,,52.25,percent of total billed charges,999999999,,,,,,,,,,52.25,percent of total billed charges,45.50256746,,,,,,,,,,188.1,percent of total billed charges,,,,,
**LACTATION CONSULTATION 15MIN,Local,Local,,,,both,,,88,88,18.73378713,88,88,percent of total billed charges,64.74472626,,,,88,percent of total billed charges,68.62812968,,,,88,percent of total billed charges,64.74472626,,,,88,percent of total billed charges,68.62812968,,,,88,percent of total billed charges,999999999,,,,88,percent of total billed charges,67.0499518,,,,88,percent of total billed charges,64.74472626,,,,88,percent of total billed charges,68.62812968,,,,62.744,percent of total billed charges,31.31040422,,,,62.744,percent of total billed charges,18.73378713,,,,62.744,percent of total billed charges,31.31040422,,,,62.744,percent of total billed charges,18.73378713,,,,62.744,percent of total billed charges,31.31040422,,,,62.744,percent of total billed charges,18.73378713,,,,62.128,percent of total billed charges,61.65661797,,,,62.128,percent of total billed charges,42.52408072,,,,,,,,,,63.36,percent of total billed charges,41.18250901,,,,,,,,,,63.36,percent of total billed charges,999999999,,,,,,,,,,70.4,percent of total billed charges,58.99154048,,,,69.52,percent of total billed charges,67.08979179,,,,69.52,percent of total billed charges,59.27605182,,,,70.4,percent of total billed charges,999999999,,,,70.4,percent of total billed charges,999999999,,,,61.6,percent of total billed charges,999999999,,,,61.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,46.816,percent of total billed charges,999999999,,,,,,,,,,,,,,,,44.44,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,22,percent of total billed charges,20.8946186,,,,,,,,,,22,percent of total billed charges,20.54705084,,,,,,,,,,22,percent of total billed charges,20.48995147,,,,,,,,,,22,percent of total billed charges,20.18823718,,,,,,,,,,22,percent of total billed charges,20.7077102,,,,,,,,,,22,percent of total billed charges,999999999,,,,,,,,,,22,percent of total billed charges,17.76867359,,,,,,,,,,22,percent of total billed charges,28.02242357,,,,,,,,,,22,percent of total billed charges,999999999,,,,,,,,,,22,percent of total billed charges,19.15897577,,,,,,,,,,79.2,percent of total billed charges,,,,,
**LACTATION CONSULTATION 30 MIN,Local,Local,,,,both,,,166,166,35.33873481,166,166,percent of total billed charges,122.1320973,,,,166,percent of total billed charges,129.4576083,,,,166,percent of total billed charges,122.1320973,,,,166,percent of total billed charges,129.4576083,,,,166,percent of total billed charges,999999999,,,,166,percent of total billed charges,126.4805909,,,,166,percent of total billed charges,122.1320973,,,,166,percent of total billed charges,129.4576083,,,,118.358,percent of total billed charges,59.06280796,,,,118.358,percent of total billed charges,35.33873481,,,,118.358,percent of total billed charges,59.06280796,,,,118.358,percent of total billed charges,35.33873481,,,,118.358,percent of total billed charges,59.06280796,,,,118.358,percent of total billed charges,35.33873481,,,,117.196,percent of total billed charges,116.3068021,,,,117.196,percent of total billed charges,80.21587955,,,,,,,,,,119.52,percent of total billed charges,77.68518744,,,,,,,,,,119.52,percent of total billed charges,999999999,,,,,,,,,,132.8,percent of total billed charges,111.2794968,,,,131.14,percent of total billed charges,126.5557436,,,,131.14,percent of total billed charges,111.8161887,,,,132.8,percent of total billed charges,999999999,,,,132.8,percent of total billed charges,999999999,,,,116.2,percent of total billed charges,999999999,,,,116.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,88.312,percent of total billed charges,999999999,,,,,,,,,,,,,,,,83.83,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,41.5,percent of total billed charges,39.41484873,,,,,,,,,,41.5,percent of total billed charges,38.75920954,,,,,,,,,,41.5,percent of total billed charges,38.65149936,,,,,,,,,,41.5,percent of total billed charges,38.0823565,,,,,,,,,,41.5,percent of total billed charges,39.06227152,,,,,,,,,,41.5,percent of total billed charges,999999999,,,,,,,,,,41.5,percent of total billed charges,33.51817973,,,,,,,,,,41.5,percent of total billed charges,52.86048083,,,,,,,,,,41.5,percent of total billed charges,999999999,,,,,,,,,,41.5,percent of total billed charges,36.14079521,,,,,,,,,,149.4,percent of total billed charges,,,,,
**LACTATION CONSULTATION 45 MIN,Local,Local,,,,both,,,247,247,52.58233432,247,247,percent of total billed charges,181.7266749,,,,247,percent of total billed charges,192.6266822,,,,247,percent of total billed charges,181.7266749,,,,247,percent of total billed charges,192.6266822,,,,247,percent of total billed charges,999999999,,,,247,percent of total billed charges,188.1970238,,,,247,percent of total billed charges,181.7266749,,,,247,percent of total billed charges,192.6266822,,,,176.111,percent of total billed charges,87.88261184,,,,176.111,percent of total billed charges,52.58233432,,,,176.111,percent of total billed charges,87.88261184,,,,176.111,percent of total billed charges,52.58233432,,,,176.111,percent of total billed charges,87.88261184,,,,176.111,percent of total billed charges,52.58233432,,,,174.382,percent of total billed charges,173.0589164,,,,174.382,percent of total billed charges,119.3573629,,,,,,,,,,177.84,percent of total billed charges,115.591815,,,,,,,,,,177.84,percent of total billed charges,999999999,,,,,,,,,,197.6,percent of total billed charges,165.5785284,,,,195.13,percent of total billed charges,188.3088474,,,,195.13,percent of total billed charges,166.3771,,,,197.6,percent of total billed charges,999999999,,,,197.6,percent of total billed charges,999999999,,,,172.9,percent of total billed charges,999999999,,,,172.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,131.404,percent of total billed charges,999999999,,,,,,,,,,,,,,,,124.735,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,61.75,percent of total billed charges,58.6473954,,,,,,,,,,61.75,percent of total billed charges,57.67183588,,,,,,,,,,61.75,percent of total billed charges,57.51156832,,,,,,,,,,61.75,percent of total billed charges,56.66471117,,,,,,,,,,61.75,percent of total billed charges,58.1227775,,,,,,,,,,61.75,percent of total billed charges,999999999,,,,,,,,,,61.75,percent of total billed charges,49.8734361,,,,,,,,,,61.75,percent of total billed charges,78.65384799,,,,,,,,,,61.75,percent of total billed charges,999999999,,,,,,,,,,61.75,percent of total billed charges,53.77576154,,,,,,,,,,222.3,percent of total billed charges,,,,,
**LACTATION CONSULTATION 60 MIN,Local,Local,,,,both,,,325,325,69.187282,325,325,percent of total billed charges,239.1140459,,,,325,percent of total billed charges,253.4561608,,,,325,percent of total billed charges,239.1140459,,,,325,percent of total billed charges,253.4561608,,,,325,percent of total billed charges,999999999,,,,325,percent of total billed charges,247.6276629,,,,325,percent of total billed charges,239.1140459,,,,325,percent of total billed charges,253.4561608,,,,231.725,percent of total billed charges,115.6350156,,,,231.725,percent of total billed charges,69.187282,,,,231.725,percent of total billed charges,115.6350156,,,,231.725,percent of total billed charges,69.187282,,,,231.725,percent of total billed charges,115.6350156,,,,231.725,percent of total billed charges,69.187282,,,,229.45,percent of total billed charges,227.7091005,,,,229.45,percent of total billed charges,157.0491618,,,,,,,,,,234,percent of total billed charges,152.0944935,,,,,,,,,,234,percent of total billed charges,999999999,,,,,,,,,,260,percent of total billed charges,217.8664847,,,,256.75,percent of total billed charges,247.7747992,,,,256.75,percent of total billed charges,218.9172368,,,,260,percent of total billed charges,999999999,,,,260,percent of total billed charges,999999999,,,,227.5,percent of total billed charges,999999999,,,,227.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,172.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,164.125,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,81.25,percent of total billed charges,77.16762552,,,,,,,,,,81.25,percent of total billed charges,75.88399458,,,,,,,,,,81.25,percent of total billed charges,75.67311621,,,,,,,,,,81.25,percent of total billed charges,74.55883049,,,,,,,,,,81.25,percent of total billed charges,76.47733881,,,,,,,,,,81.25,percent of total billed charges,999999999,,,,,,,,,,81.25,percent of total billed charges,65.62294224,,,,,,,,,,81.25,percent of total billed charges,103.4919052,,,,,,,,,,81.25,percent of total billed charges,999999999,,,,,,,,,,81.25,percent of total billed charges,70.75758097,,,,,,,,,,292.5,percent of total billed charges,,,,,
**UNIVERSAL PUMPING SYSTEM DISP,Local,Local,,,,both,,,385,385,81.96031868,385,385,percent of total billed charges,283.2581774,,,,385,percent of total billed charges,300.2480674,,,,385,percent of total billed charges,283.2581774,,,,385,percent of total billed charges,300.2480674,,,,385,percent of total billed charges,999999999,,,,385,percent of total billed charges,293.3435391,,,,385,percent of total billed charges,283.2581774,,,,385,percent of total billed charges,300.2480674,,,,274.505,percent of total billed charges,136.9830185,,,,274.505,percent of total billed charges,81.96031868,,,,274.505,percent of total billed charges,136.9830185,,,,274.505,percent of total billed charges,81.96031868,,,,274.505,percent of total billed charges,136.9830185,,,,274.505,percent of total billed charges,81.96031868,,,,271.81,percent of total billed charges,269.7477036,,,,271.81,percent of total billed charges,186.0428532,,,,,,,,,,277.2,percent of total billed charges,180.1734769,,,,,,,,,,277.2,percent of total billed charges,999999999,,,,,,,,,,308,percent of total billed charges,258.0879896,,,,304.15,percent of total billed charges,293.5178391,,,,304.15,percent of total billed charges,259.3327267,,,,308,percent of total billed charges,999999999,,,,308,percent of total billed charges,999999999,,,,269.5,percent of total billed charges,999999999,,,,269.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,204.82,percent of total billed charges,999999999,,,,,,,,,,,,,,,,194.425,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,96.25,percent of total billed charges,91.41395639,,,,,,,,,,96.25,percent of total billed charges,89.89334743,,,,,,,,,,96.25,percent of total billed charges,89.64353766,,,,,,,,,,96.25,percent of total billed charges,88.32353766,,,,,,,,,,96.25,percent of total billed charges,90.59623213,,,,,,,,,,96.25,percent of total billed charges,999999999,,,,,,,,,,96.25,percent of total billed charges,77.73794696,,,,,,,,,,96.25,percent of total billed charges,122.5981031,,,,,,,,,,96.25,percent of total billed charges,999999999,,,,,,,,,,96.25,percent of total billed charges,83.820519,,,,,,,,,,346.5,percent of total billed charges,,,,,
**BURETTE PUMP SET-OL NONVENTED,Local,Local,,,,both,,,137,137,29.16510041,137,137,percent of total billed charges,100.795767,,,,137,percent of total billed charges,106.8415201,,,,137,percent of total billed charges,100.795767,,,,137,percent of total billed charges,106.8415201,,,,137,percent of total billed charges,999999999,,,,137,percent of total billed charges,104.384584,,,,137,percent of total billed charges,100.795767,,,,137,percent of total billed charges,106.8415201,,,,97.681,percent of total billed charges,48.74460657,,,,97.681,percent of total billed charges,29.16510041,,,,97.681,percent of total billed charges,48.74460657,,,,97.681,percent of total billed charges,29.16510041,,,,97.681,percent of total billed charges,48.74460657,,,,97.681,percent of total billed charges,29.16510041,,,,96.722,percent of total billed charges,95.98814389,,,,96.722,percent of total billed charges,66.20226204,,,,,,,,,,98.64,percent of total billed charges,64.11367879,,,,,,,,,,98.64,percent of total billed charges,999999999,,,,,,,,,,109.6,percent of total billed charges,91.8391028,,,,108.23,percent of total billed charges,104.4466077,,,,108.23,percent of total billed charges,92.28203522,,,,109.6,percent of total billed charges,999999999,,,,109.6,percent of total billed charges,999999999,,,,95.9,percent of total billed charges,999999999,,,,95.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,72.884,percent of total billed charges,999999999,,,,,,,,,,,,,,,,69.185,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,34.25,percent of total billed charges,32.52912214,,,,,,,,,,34.25,percent of total billed charges,31.98802233,,,,,,,,,,34.25,percent of total billed charges,31.89912899,,,,,,,,,,34.25,percent of total billed charges,31.4294147,,,,,,,,,,34.25,percent of total billed charges,32.23813974,,,,,,,,,,34.25,percent of total billed charges,999999999,,,,,,,,,,34.25,percent of total billed charges,27.66259411,,,,,,,,,,34.25,percent of total billed charges,43.62581852,,,,,,,,,,34.25,percent of total billed charges,999999999,,,,,,,,,,34.25,percent of total billed charges,29.82704183,,,,,,,,,,123.3,percent of total billed charges,,,,,
**MESH BRIEF-DISP,Local,Local,,,,both,,,23,23,4.896330726,23,23,percent of total billed charges,16.92191709,,,,23,percent of total billed charges,17.93689753,,,,23,percent of total billed charges,16.92191709,,,,23,percent of total billed charges,17.93689753,,,,23,percent of total billed charges,999999999,,,,23,percent of total billed charges,17.52441922,,,,23,percent of total billed charges,16.92191709,,,,23,percent of total billed charges,17.93689753,,,,16.399,percent of total billed charges,8.183401102,,,,16.399,percent of total billed charges,4.896330726,,,,16.399,percent of total billed charges,8.183401102,,,,16.399,percent of total billed charges,4.896330726,,,,16.399,percent of total billed charges,8.183401102,,,,16.399,percent of total billed charges,4.896330726,,,,16.238,percent of total billed charges,16.11479788,,,,16.238,percent of total billed charges,11.11424837,,,,,,,,,,16.56,percent of total billed charges,10.76361031,,,,,,,,,,16.56,percent of total billed charges,999999999,,,,,,,,,,18.4,percent of total billed charges,15.41824354,,,,18.17,percent of total billed charges,17.53483194,,,,18.17,percent of total billed charges,15.49260445,,,,18.4,percent of total billed charges,999999999,,,,18.4,percent of total billed charges,999999999,,,,16.1,percent of total billed charges,999999999,,,,16.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,12.236,percent of total billed charges,999999999,,,,,,,,,,,,,,,,11.615,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5.75,percent of total billed charges,5.461093499,,,,,,,,,,5.75,percent of total billed charges,5.370251924,,,,,,,,,,5.75,percent of total billed charges,5.355328224,,,,,,,,,,5.75,percent of total billed charges,5.276471081,,,,,,,,,,5.75,percent of total billed charges,5.412242439,,,,,,,,,,5.75,percent of total billed charges,999999999,,,,,,,,,,5.75,percent of total billed charges,4.644085143,,,,,,,,,,5.75,percent of total billed charges,7.324042525,,,,,,,,,,5.75,percent of total billed charges,999999999,,,,,,,,,,5.75,percent of total billed charges,5.007459577,,,,,,,,,,20.7,percent of total billed charges,,,,,
**NURSERY,Local,Local,,,,both,,,99,99,21.07551052,99,99,percent of total billed charges,72.83781705,,,,99,percent of total billed charges,77.20664589,,,,99,percent of total billed charges,72.83781705,,,,99,percent of total billed charges,77.20664589,,,,99,percent of total billed charges,999999999,,,,99,percent of total billed charges,75.43119577,,,,99,percent of total billed charges,72.83781705,,,,99,percent of total billed charges,77.20664589,,,,70.587,percent of total billed charges,35.22420474,,,,70.587,percent of total billed charges,21.07551052,,,,70.587,percent of total billed charges,35.22420474,,,,70.587,percent of total billed charges,21.07551052,,,,70.587,percent of total billed charges,35.22420474,,,,70.587,percent of total billed charges,21.07551052,,,,69.894,percent of total billed charges,69.36369522,,,,69.894,percent of total billed charges,47.83959081,,,,,,,,,,71.28,percent of total billed charges,46.33032263,,,,,,,,,,71.28,percent of total billed charges,999999999,,,,,,,,,,79.2,percent of total billed charges,66.36548304,,,,78.21,percent of total billed charges,75.47601576,,,,78.21,percent of total billed charges,66.6855583,,,,79.2,percent of total billed charges,999999999,,,,79.2,percent of total billed charges,999999999,,,,69.3,percent of total billed charges,999999999,,,,69.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,52.668,percent of total billed charges,999999999,,,,,,,,,,,,,,,,49.995,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,24.75,percent of total billed charges,23.50644593,,,,,,,,,,24.75,percent of total billed charges,23.1154322,,,,,,,,,,24.75,percent of total billed charges,23.0511954,,,,,,,,,,24.75,percent of total billed charges,22.71176683,,,,,,,,,,24.75,percent of total billed charges,23.29617398,,,,,,,,,,24.75,percent of total billed charges,999999999,,,,,,,,,,24.75,percent of total billed charges,19.98975779,,,,,,,,,,24.75,percent of total billed charges,31.52522652,,,,,,,,,,24.75,percent of total billed charges,999999999,,,,,,,,,,24.75,percent of total billed charges,21.55384774,,,,,,,,,,89.1,percent of total billed charges,,,,,
**BETADINE WING GRIP SPONGES,Local,Local,,,,both,,,34,34,7.238054117,34,34,percent of total billed charges,25.01500787,,,,34,percent of total billed charges,26.51541374,,,,34,percent of total billed charges,25.01500787,,,,34,percent of total billed charges,26.51541374,,,,34,percent of total billed charges,999999999,,,,34,percent of total billed charges,25.90566319,,,,34,percent of total billed charges,25.01500787,,,,34,percent of total billed charges,26.51541374,,,,24.242,percent of total billed charges,12.09720163,,,,24.242,percent of total billed charges,7.238054117,,,,24.242,percent of total billed charges,12.09720163,,,,24.242,percent of total billed charges,7.238054117,,,,24.242,percent of total billed charges,12.09720163,,,,24.242,percent of total billed charges,7.238054117,,,,24.004,percent of total billed charges,23.82187513,,,,24.004,percent of total billed charges,16.42975846,,,,,,,,,,24.48,percent of total billed charges,15.91142393,,,,,,,,,,24.48,percent of total billed charges,999999999,,,,,,,,,,27.2,percent of total billed charges,22.7921861,,,,26.86,percent of total billed charges,25.92105592,,,,26.86,percent of total billed charges,22.90211093,,,,27.2,percent of total billed charges,999999999,,,,27.2,percent of total billed charges,999999999,,,,23.8,percent of total billed charges,999999999,,,,23.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,18.088,percent of total billed charges,999999999,,,,,,,,,,,,,,,,17.17,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8.5,percent of total billed charges,8.072920824,,,,,,,,,,8.5,percent of total billed charges,7.938633279,,,,,,,,,,8.5,percent of total billed charges,7.916572157,,,,,,,,,,8.5,percent of total billed charges,7.800000728,,,,,,,,,,8.5,percent of total billed charges,8.000706214,,,,,,,,,,8.5,percent of total billed charges,999999999,,,,,,,,,,8.5,percent of total billed charges,6.865169342,,,,,,,,,,8.5,percent of total billed charges,10.82684547,,,,,,,,,,8.5,percent of total billed charges,999999999,,,,,,,,,,8.5,percent of total billed charges,7.402331548,,,,,,,,,,30.6,percent of total billed charges,,,,,
**INTRAVENOUS INJ TH OR DX SEQ CPT,96375,CDM,,,,both,,,209,209,44.49274443,209,209,percent of total billed charges,153.7687249,,,,209,percent of total billed charges,162.991808,,,,209,percent of total billed charges,153.7687249,,,,209,percent of total billed charges,162.991808,,,,209,percent of total billed charges,999999999,,,,209,percent of total billed charges,159.2436355,,,,209,percent of total billed charges,153.7687249,,,,209,percent of total billed charges,162.991808,,,,149.017,percent of total billed charges,74.36221002,,,,149.017,percent of total billed charges,44.49274443,,,,149.017,percent of total billed charges,74.36221002,,,,149.017,percent of total billed charges,44.49274443,,,,149.017,percent of total billed charges,74.36221002,,,,149.017,percent of total billed charges,44.49274443,,,,147.554,percent of total billed charges,146.4344677,,,,147.554,percent of total billed charges,100.9946917,,,,,,,,,,150.48,percent of total billed charges,97.80845889,,,,,,,,,,150.48,percent of total billed charges,999999999,,,,,,,,,,167.2,percent of total billed charges,140.1049087,,,,165.11,percent of total billed charges,159.3382555,,,,165.11,percent of total billed charges,140.7806231,,,,167.2,percent of total billed charges,999999999,,,,167.2,percent of total billed charges,999999999,,,,146.3,percent of total billed charges,999999999,,,,146.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,111.188,percent of total billed charges,999999999,,,,,,,,,,,,,,,,105.545,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,52.25,percent of total billed charges,49.62471918,,,,,,,,,,52.25,percent of total billed charges,48.79924575,,,,,,,,,,52.25,percent of total billed charges,48.66363473,,,,,,,,,,52.25,percent of total billed charges,47.9470633,,,,,,,,,,52.25,percent of total billed charges,49.18081173,,,,,,,,,,52.25,percent of total billed charges,999999999,,,,,,,,,,52.25,percent of total billed charges,42.20059978,,,,,,,,,,52.25,percent of total billed charges,66.55325599,,,,,,,,,,52.25,percent of total billed charges,999999999,,,,,,,,,,52.25,percent of total billed charges,45.50256746,,,,,,,,,,188.1,percent of total billed charges,,,,,
**REMVL OF FECAL IMPCTN OR FOREIGN BDY,45915,CDM,,,,both,,,470,470,100.055454,470,470,percent of total billed charges,345.7956971,,,,470,percent of total billed charges,366.5366017,,,,470,percent of total billed charges,345.7956971,,,,470,percent of total billed charges,366.5366017,,,,470,percent of total billed charges,999999999,,,,470,percent of total billed charges,358.1076971,,,,470,percent of total billed charges,345.7956971,,,,470,percent of total billed charges,366.5366017,,,,335.11,percent of total billed charges,167.2260225,,,,335.11,percent of total billed charges,100.055454,,,,335.11,percent of total billed charges,167.2260225,,,,335.11,percent of total billed charges,100.055454,,,,335.11,percent of total billed charges,167.2260225,,,,335.11,percent of total billed charges,100.055454,,,,331.82,percent of total billed charges,329.3023915,,,,331.82,percent of total billed charges,227.1172493,,,,,,,,,,338.4,percent of total billed charges,219.9520367,,,,,,,,,,338.4,percent of total billed charges,999999999,,,,,,,,,,376,percent of total billed charges,315.0684549,,,,371.3,percent of total billed charges,358.3204789,,,,371.3,percent of total billed charges,316.588004,,,,376,percent of total billed charges,999999999,,,,376,percent of total billed charges,999999999,,,,329,percent of total billed charges,999999999,,,,329,percent of total billed charges,999999999,,,,,,,,,,,,,,,,250.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,237.35,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,117.5,percent of total billed charges,111.5962584,,,,,,,,,,117.5,percent of total billed charges,109.7399306,,,,,,,,,,117.5,percent of total billed charges,109.4349681,,,,,,,,,,117.5,percent of total billed charges,107.8235395,,,,,,,,,,117.5,percent of total billed charges,110.5979977,,,,,,,,,,117.5,percent of total billed charges,999999999,,,,,,,,,,117.5,percent of total billed charges,94.90087031,,,,,,,,,,117.5,percent of total billed charges,149.6652168,,,,,,,,,,117.5,percent of total billed charges,999999999,,,,,,,,,,117.5,percent of total billed charges,102.3263479,,,,,,,,,,423,percent of total billed charges,,,,,
**IV INFUS HYDRATION UP TO 1 HOUR CPT,96360,CDM,,,,both,,,380,380,80.89589896,380,380,percent of total billed charges,279.5794998,,,,380,percent of total billed charges,296.3487418,,,,380,percent of total billed charges,279.5794998,,,,380,percent of total billed charges,296.3487418,,,,380,percent of total billed charges,999999999,,,,380,percent of total billed charges,289.5338828,,,,380,percent of total billed charges,279.5794998,,,,380,percent of total billed charges,296.3487418,,,,270.94,percent of total billed charges,135.2040182,,,,270.94,percent of total billed charges,80.89589896,,,,270.94,percent of total billed charges,135.2040182,,,,270.94,percent of total billed charges,80.89589896,,,,270.94,percent of total billed charges,135.2040182,,,,270.94,percent of total billed charges,80.89589896,,,,268.28,percent of total billed charges,266.2444867,,,,268.28,percent of total billed charges,183.6267122,,,,,,,,,,273.6,percent of total billed charges,177.8335616,,,,,,,,,,273.6,percent of total billed charges,999999999,,,,,,,,,,304,percent of total billed charges,254.7361975,,,,300.2,percent of total billed charges,289.7059191,,,,300.2,percent of total billed charges,255.9647692,,,,304,percent of total billed charges,999999999,,,,304,percent of total billed charges,999999999,,,,266,percent of total billed charges,999999999,,,,266,percent of total billed charges,999999999,,,,,,,,,,,,,,,,202.16,percent of total billed charges,999999999,,,,,,,,,,,,,,,,191.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,95,percent of total billed charges,90.22676215,,,,,,,,,,95,percent of total billed charges,88.72590135,,,,,,,,,,95,percent of total billed charges,88.47933587,,,,,,,,,,95,percent of total billed charges,87.17647873,,,,,,,,,,95,percent of total billed charges,89.41965769,,,,,,,,,,95,percent of total billed charges,999999999,,,,,,,,,,95,percent of total billed charges,76.72836323,,,,,,,,,,95,percent of total billed charges,121.00592,,,,,,,,,,95,percent of total billed charges,999999999,,,,,,,,,,95,percent of total billed charges,82.73194083,,,,,,,,,,342,percent of total billed charges,,,,,
**IV INFUS HYDRATION UP TO 8HRS CPT,96361,CDM,,,,both,,,380,380,80.89589896,380,380,percent of total billed charges,279.5794998,,,,380,percent of total billed charges,296.3487418,,,,380,percent of total billed charges,279.5794998,,,,380,percent of total billed charges,296.3487418,,,,380,percent of total billed charges,999999999,,,,380,percent of total billed charges,289.5338828,,,,380,percent of total billed charges,279.5794998,,,,380,percent of total billed charges,296.3487418,,,,270.94,percent of total billed charges,135.2040182,,,,270.94,percent of total billed charges,80.89589896,,,,270.94,percent of total billed charges,135.2040182,,,,270.94,percent of total billed charges,80.89589896,,,,270.94,percent of total billed charges,135.2040182,,,,270.94,percent of total billed charges,80.89589896,,,,268.28,percent of total billed charges,266.2444867,,,,268.28,percent of total billed charges,183.6267122,,,,,,,,,,273.6,percent of total billed charges,177.8335616,,,,,,,,,,273.6,percent of total billed charges,999999999,,,,,,,,,,304,percent of total billed charges,254.7361975,,,,300.2,percent of total billed charges,289.7059191,,,,300.2,percent of total billed charges,255.9647692,,,,304,percent of total billed charges,999999999,,,,304,percent of total billed charges,999999999,,,,266,percent of total billed charges,999999999,,,,266,percent of total billed charges,999999999,,,,,,,,,,,,,,,,202.16,percent of total billed charges,999999999,,,,,,,,,,,,,,,,191.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,95,percent of total billed charges,90.22676215,,,,,,,,,,95,percent of total billed charges,88.72590135,,,,,,,,,,95,percent of total billed charges,88.47933587,,,,,,,,,,95,percent of total billed charges,87.17647873,,,,,,,,,,95,percent of total billed charges,89.41965769,,,,,,,,,,95,percent of total billed charges,999999999,,,,,,,,,,95,percent of total billed charges,76.72836323,,,,,,,,,,95,percent of total billed charges,121.00592,,,,,,,,,,95,percent of total billed charges,999999999,,,,,,,,,,95,percent of total billed charges,82.73194083,,,,,,,,,,342,percent of total billed charges,,,,,
**AMNIOINFUSION,Local,Local,,,,both,,,492,492,104.7389008,492,492,percent of total billed charges,361.9818787,,,,492,percent of total billed charges,383.6936341,,,,492,percent of total billed charges,361.9818787,,,,492,percent of total billed charges,383.6936341,,,,492,percent of total billed charges,999999999,,,,492,percent of total billed charges,374.870185,,,,492,percent of total billed charges,361.9818787,,,,492,percent of total billed charges,383.6936341,,,,350.796,percent of total billed charges,175.0536236,,,,350.796,percent of total billed charges,104.7389008,,,,350.796,percent of total billed charges,175.0536236,,,,350.796,percent of total billed charges,104.7389008,,,,350.796,percent of total billed charges,175.0536236,,,,350.796,percent of total billed charges,104.7389008,,,,347.352,percent of total billed charges,344.7165459,,,,347.352,percent of total billed charges,237.7482695,,,,,,,,,,354.24,percent of total billed charges,230.247664,,,,,,,,,,354.24,percent of total billed charges,999999999,,,,,,,,,,393.6,percent of total billed charges,329.81634,,,,388.68,percent of total billed charges,375.0929268,,,,388.68,percent of total billed charges,331.407017,,,,393.6,percent of total billed charges,999999999,,,,393.6,percent of total billed charges,999999999,,,,344.4,percent of total billed charges,999999999,,,,344.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,261.744,percent of total billed charges,999999999,,,,,,,,,,,,,,,,248.46,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,123,percent of total billed charges,116.8199131,,,,,,,,,,123,percent of total billed charges,114.8766933,,,,,,,,,,123,percent of total billed charges,114.5574559,,,,,,,,,,123,percent of total billed charges,112.8705988,,,,,,,,,,123,percent of total billed charges,115.7749252,,,,,,,,,,123,percent of total billed charges,999999999,,,,,,,,,,123,percent of total billed charges,99.34303871,,,,,,,,,,123,percent of total billed charges,156.6708227,,,,,,,,,,123,percent of total billed charges,999999999,,,,,,,,,,123,percent of total billed charges,107.1160918,,,,,,,,,,442.8,percent of total billed charges,,,,,
**IV INFUS THERAPY UP TO 1 HOUR CPT,96365,CDM,,,,both,,,380,380,80.89589896,380,380,percent of total billed charges,279.5794998,,,,380,percent of total billed charges,296.3487418,,,,380,percent of total billed charges,279.5794998,,,,380,percent of total billed charges,296.3487418,,,,380,percent of total billed charges,999999999,,,,380,percent of total billed charges,289.5338828,,,,380,percent of total billed charges,279.5794998,,,,380,percent of total billed charges,296.3487418,,,,270.94,percent of total billed charges,135.2040182,,,,270.94,percent of total billed charges,80.89589896,,,,270.94,percent of total billed charges,135.2040182,,,,270.94,percent of total billed charges,80.89589896,,,,270.94,percent of total billed charges,135.2040182,,,,270.94,percent of total billed charges,80.89589896,,,,268.28,percent of total billed charges,266.2444867,,,,268.28,percent of total billed charges,183.6267122,,,,,,,,,,273.6,percent of total billed charges,177.8335616,,,,,,,,,,273.6,percent of total billed charges,999999999,,,,,,,,,,304,percent of total billed charges,254.7361975,,,,300.2,percent of total billed charges,289.7059191,,,,300.2,percent of total billed charges,255.9647692,,,,304,percent of total billed charges,999999999,,,,304,percent of total billed charges,999999999,,,,266,percent of total billed charges,999999999,,,,266,percent of total billed charges,999999999,,,,,,,,,,,,,,,,202.16,percent of total billed charges,999999999,,,,,,,,,,,,,,,,191.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,95,percent of total billed charges,90.22676215,,,,,,,,,,95,percent of total billed charges,88.72590135,,,,,,,,,,95,percent of total billed charges,88.47933587,,,,,,,,,,95,percent of total billed charges,87.17647873,,,,,,,,,,95,percent of total billed charges,89.41965769,,,,,,,,,,95,percent of total billed charges,999999999,,,,,,,,,,95,percent of total billed charges,76.72836323,,,,,,,,,,95,percent of total billed charges,121.00592,,,,,,,,,,95,percent of total billed charges,999999999,,,,,,,,,,95,percent of total billed charges,82.73194083,,,,,,,,,,342,percent of total billed charges,,,,,
**IV INFUS THERAPY UP TO 8 HOUR CPT,96366,CDM,,,,both,,,380,380,80.89589896,380,380,percent of total billed charges,279.5794998,,,,380,percent of total billed charges,296.3487418,,,,380,percent of total billed charges,279.5794998,,,,380,percent of total billed charges,296.3487418,,,,380,percent of total billed charges,999999999,,,,380,percent of total billed charges,289.5338828,,,,380,percent of total billed charges,279.5794998,,,,380,percent of total billed charges,296.3487418,,,,270.94,percent of total billed charges,135.2040182,,,,270.94,percent of total billed charges,80.89589896,,,,270.94,percent of total billed charges,135.2040182,,,,270.94,percent of total billed charges,80.89589896,,,,270.94,percent of total billed charges,135.2040182,,,,270.94,percent of total billed charges,80.89589896,,,,268.28,percent of total billed charges,266.2444867,,,,268.28,percent of total billed charges,183.6267122,,,,,,,,,,273.6,percent of total billed charges,177.8335616,,,,,,,,,,273.6,percent of total billed charges,999999999,,,,,,,,,,304,percent of total billed charges,254.7361975,,,,300.2,percent of total billed charges,289.7059191,,,,300.2,percent of total billed charges,255.9647692,,,,304,percent of total billed charges,999999999,,,,304,percent of total billed charges,999999999,,,,266,percent of total billed charges,999999999,,,,266,percent of total billed charges,999999999,,,,,,,,,,,,,,,,202.16,percent of total billed charges,999999999,,,,,,,,,,,,,,,,191.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,95,percent of total billed charges,90.22676215,,,,,,,,,,95,percent of total billed charges,88.72590135,,,,,,,,,,95,percent of total billed charges,88.47933587,,,,,,,,,,95,percent of total billed charges,87.17647873,,,,,,,,,,95,percent of total billed charges,89.41965769,,,,,,,,,,95,percent of total billed charges,999999999,,,,,,,,,,95,percent of total billed charges,76.72836323,,,,,,,,,,95,percent of total billed charges,121.00592,,,,,,,,,,95,percent of total billed charges,999999999,,,,,,,,,,95,percent of total billed charges,82.73194083,,,,,,,,,,342,percent of total billed charges,,,,,
**IV INFUS THERAPY SEQ UP TO 1 HOUR CPT,96367,CDM,,,,both,,,380,380,80.89589896,380,380,percent of total billed charges,279.5794998,,,,380,percent of total billed charges,296.3487418,,,,380,percent of total billed charges,279.5794998,,,,380,percent of total billed charges,296.3487418,,,,380,percent of total billed charges,999999999,,,,380,percent of total billed charges,289.5338828,,,,380,percent of total billed charges,279.5794998,,,,380,percent of total billed charges,296.3487418,,,,270.94,percent of total billed charges,135.2040182,,,,270.94,percent of total billed charges,80.89589896,,,,270.94,percent of total billed charges,135.2040182,,,,270.94,percent of total billed charges,80.89589896,,,,270.94,percent of total billed charges,135.2040182,,,,270.94,percent of total billed charges,80.89589896,,,,268.28,percent of total billed charges,266.2444867,,,,268.28,percent of total billed charges,183.6267122,,,,,,,,,,273.6,percent of total billed charges,177.8335616,,,,,,,,,,273.6,percent of total billed charges,999999999,,,,,,,,,,304,percent of total billed charges,254.7361975,,,,300.2,percent of total billed charges,289.7059191,,,,300.2,percent of total billed charges,255.9647692,,,,304,percent of total billed charges,999999999,,,,304,percent of total billed charges,999999999,,,,266,percent of total billed charges,999999999,,,,266,percent of total billed charges,999999999,,,,,,,,,,,,,,,,202.16,percent of total billed charges,999999999,,,,,,,,,,,,,,,,191.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,95,percent of total billed charges,90.22676215,,,,,,,,,,95,percent of total billed charges,88.72590135,,,,,,,,,,95,percent of total billed charges,88.47933587,,,,,,,,,,95,percent of total billed charges,87.17647873,,,,,,,,,,95,percent of total billed charges,89.41965769,,,,,,,,,,95,percent of total billed charges,999999999,,,,,,,,,,95,percent of total billed charges,76.72836323,,,,,,,,,,95,percent of total billed charges,121.00592,,,,,,,,,,95,percent of total billed charges,999999999,,,,,,,,,,95,percent of total billed charges,82.73194083,,,,,,,,,,342,percent of total billed charges,,,,,
**IV INFUS THERAPY CON UP TO 1 HOUR CPT,96368,CDM,,,,both,,,380,380,80.89589896,380,380,percent of total billed charges,279.5794998,,,,380,percent of total billed charges,296.3487418,,,,380,percent of total billed charges,279.5794998,,,,380,percent of total billed charges,296.3487418,,,,380,percent of total billed charges,999999999,,,,380,percent of total billed charges,289.5338828,,,,380,percent of total billed charges,279.5794998,,,,380,percent of total billed charges,296.3487418,,,,270.94,percent of total billed charges,135.2040182,,,,270.94,percent of total billed charges,80.89589896,,,,270.94,percent of total billed charges,135.2040182,,,,270.94,percent of total billed charges,80.89589896,,,,270.94,percent of total billed charges,135.2040182,,,,270.94,percent of total billed charges,80.89589896,,,,268.28,percent of total billed charges,266.2444867,,,,268.28,percent of total billed charges,183.6267122,,,,,,,,,,273.6,percent of total billed charges,177.8335616,,,,,,,,,,273.6,percent of total billed charges,999999999,,,,,,,,,,304,percent of total billed charges,254.7361975,,,,300.2,percent of total billed charges,289.7059191,,,,300.2,percent of total billed charges,255.9647692,,,,304,percent of total billed charges,999999999,,,,304,percent of total billed charges,999999999,,,,266,percent of total billed charges,999999999,,,,266,percent of total billed charges,999999999,,,,,,,,,,,,,,,,202.16,percent of total billed charges,999999999,,,,,,,,,,,,,,,,191.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,95,percent of total billed charges,90.22676215,,,,,,,,,,95,percent of total billed charges,88.72590135,,,,,,,,,,95,percent of total billed charges,88.47933587,,,,,,,,,,95,percent of total billed charges,87.17647873,,,,,,,,,,95,percent of total billed charges,89.41965769,,,,,,,,,,95,percent of total billed charges,999999999,,,,,,,,,,95,percent of total billed charges,76.72836323,,,,,,,,,,95,percent of total billed charges,121.00592,,,,,,,,,,95,percent of total billed charges,999999999,,,,,,,,,,95,percent of total billed charges,82.73194083,,,,,,,,,,342,percent of total billed charges,,,,,
**O/P EVALUATION - 1ST 6 HRS,Local,Local,,,,both,,,854,854,181.8028887,854,854,percent of total billed charges,628.318139,,,,854,percent of total billed charges,666.0048039,,,,854,percent of total billed charges,628.318139,,,,854,percent of total billed charges,666.0048039,,,,854,percent of total billed charges,999999999,,,,854,percent of total billed charges,650.6893049,,,,854,percent of total billed charges,628.318139,,,,854,percent of total billed charges,666.0048039,,,,608.902,percent of total billed charges,303.8532409,,,,608.902,percent of total billed charges,181.8028887,,,,608.902,percent of total billed charges,303.8532409,,,,608.902,percent of total billed charges,181.8028887,,,,608.902,percent of total billed charges,303.8532409,,,,608.902,percent of total billed charges,181.8028887,,,,602.924,percent of total billed charges,598.3494517,,,,602.924,percent of total billed charges,412.6768743,,,,,,,,,,614.88,percent of total billed charges,399.6575306,,,,,,,,,,614.88,percent of total billed charges,999999999,,,,,,,,,,683.2,percent of total billed charges,572.4860861,,,,674.66,percent of total billed charges,651.0759339,,,,674.66,percent of total billed charges,575.2471392,,,,683.2,percent of total billed charges,999999999,,,,683.2,percent of total billed charges,999999999,,,,597.8,percent of total billed charges,999999999,,,,597.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,454.328,percent of total billed charges,999999999,,,,,,,,,,,,,,,,431.27,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,213.5,percent of total billed charges,202.772776,,,,,,,,,,213.5,percent of total billed charges,199.3997888,,,,,,,,,,213.5,percent of total billed charges,198.8456654,,,,,,,,,,213.5,percent of total billed charges,195.9176654,,,,,,,,,,213.5,percent of total billed charges,200.9589149,,,,,,,,,,213.5,percent of total billed charges,999999999,,,,,,,,,,213.5,percent of total billed charges,172.4369005,,,,,,,,,,213.5,percent of total billed charges,271.9448833,,,,,,,,,,213.5,percent of total billed charges,999999999,,,,,,,,,,213.5,percent of total billed charges,185.9291512,,,,,,,,,,768.6,percent of total billed charges,,,,,
**DELIVERY ROOM SERVICE,Local,Local,,,,both,,,2282,2282,485.8011616,2282,2282,percent of total billed charges,1678.94847,,,,2282,percent of total billed charges,1779.652181,,,,2282,percent of total billed charges,1678.94847,,,,2282,percent of total billed charges,1779.652181,,,,2282,percent of total billed charges,999999999,,,,2282,percent of total billed charges,1738.727159,,,,2282,percent of total billed charges,1678.94847,,,,2282,percent of total billed charges,1779.652181,,,,1627.066,percent of total billed charges,811.9357094,,,,1627.066,percent of total billed charges,485.8011616,,,,1627.066,percent of total billed charges,811.9357094,,,,1627.066,percent of total billed charges,485.8011616,,,,1627.066,percent of total billed charges,811.9357094,,,,1627.066,percent of total billed charges,485.8011616,,,,1611.092,percent of total billed charges,1598.868207,,,,1611.092,percent of total billed charges,1102.72673,,,,,,,,,,1643.04,percent of total billed charges,1067.937336,,,,,,,,,,1643.04,percent of total billed charges,999999999,,,,,,,,,,1825.6,percent of total billed charges,1529.757902,,,,1802.78,percent of total billed charges,1739.760282,,,,1802.78,percent of total billed charges,1537.135798,,,,1825.6,percent of total billed charges,999999999,,,,1825.6,percent of total billed charges,999999999,,,,1597.4,percent of total billed charges,999999999,,,,1597.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1214.024,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1152.41,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,570.5,percent of total billed charges,541.8354506,,,,,,,,,,570.5,percent of total billed charges,532.8223866,,,,,,,,,,570.5,percent of total billed charges,531.341696,,,,,,,,,,570.5,percent of total billed charges,523.517696,,,,,,,,,,570.5,percent of total billed charges,536.9885759,,,,,,,,,,570.5,percent of total billed charges,999999999,,,,,,,,,,570.5,percent of total billed charges,460.7740129,,,,,,,,,,570.5,percent of total billed charges,726.6723931,,,,,,,,,,570.5,percent of total billed charges,999999999,,,,,,,,,,570.5,percent of total billed charges,496.8270763,,,,,,,,,,2053.8,percent of total billed charges,,,,,
**RECOVERY,Local,Local,,,,both,,,1243,1243,264.6147432,1243,1243,percent of total billed charges,914.5192585,,,,1243,percent of total billed charges,969.3723317,,,,1243,percent of total billed charges,914.5192585,,,,1243,percent of total billed charges,969.3723317,,,,1243,percent of total billed charges,999999999,,,,1243,percent of total billed charges,947.0805691,,,,1243,percent of total billed charges,914.5192585,,,,1243,percent of total billed charges,969.3723317,,,,886.259,percent of total billed charges,442.2594596,,,,886.259,percent of total billed charges,264.6147432,,,,886.259,percent of total billed charges,442.2594596,,,,886.259,percent of total billed charges,264.6147432,,,,886.259,percent of total billed charges,442.2594596,,,,886.259,percent of total billed charges,264.6147432,,,,877.558,percent of total billed charges,870.8997289,,,,877.558,percent of total billed charges,600.6526402,,,,,,,,,,894.96,percent of total billed charges,581.7029397,,,,,,,,,,894.96,percent of total billed charges,999999999,,,,,,,,,,994.4,percent of total billed charges,833.2555093,,,,981.97,percent of total billed charges,947.643309,,,,981.97,percent of total billed charges,837.2742319,,,,994.4,percent of total billed charges,999999999,,,,994.4,percent of total billed charges,999999999,,,,870.1,percent of total billed charges,999999999,,,,870.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,661.276,percent of total billed charges,999999999,,,,,,,,,,,,,,,,627.715,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,310.75,percent of total billed charges,295.1364878,,,,,,,,,,310.75,percent of total billed charges,290.2270931,,,,,,,,,,310.75,percent of total billed charges,289.4205645,,,,,,,,,,310.75,percent of total billed charges,285.1588502,,,,,,,,,,310.75,percent of total billed charges,292.4964066,,,,,,,,,,310.75,percent of total billed charges,999999999,,,,,,,,,,310.75,percent of total billed charges,250.9825145,,,,,,,,,,310.75,percent of total billed charges,395.816733,,,,,,,,,,310.75,percent of total billed charges,999999999,,,,,,,,,,310.75,percent of total billed charges,270.6205328,,,,,,,,,,1118.7,percent of total billed charges,,,,,
**IMPERVIOUS DOCTOR'S GOWN,Local,Local,,,,both,,,78,78,16.60494768,78,78,percent of total billed charges,57.38737101,,,,78,percent of total billed charges,60.82947858,,,,78,percent of total billed charges,57.38737101,,,,78,percent of total billed charges,60.82947858,,,,78,percent of total billed charges,999999999,,,,78,percent of total billed charges,59.43063909,,,,78,percent of total billed charges,57.38737101,,,,78,percent of total billed charges,60.82947858,,,,55.614,percent of total billed charges,27.75240374,,,,55.614,percent of total billed charges,16.60494768,,,,55.614,percent of total billed charges,27.75240374,,,,55.614,percent of total billed charges,16.60494768,,,,55.614,percent of total billed charges,27.75240374,,,,55.614,percent of total billed charges,16.60494768,,,,55.068,percent of total billed charges,54.65018411,,,,55.068,percent of total billed charges,37.69179882,,,,,,,,,,56.16,percent of total billed charges,36.50267844,,,,,,,,,,56.16,percent of total billed charges,999999999,,,,,,,,,,62.4,percent of total billed charges,52.28795634,,,,61.62,percent of total billed charges,59.46595181,,,,61.62,percent of total billed charges,52.54013684,,,,62.4,percent of total billed charges,999999999,,,,62.4,percent of total billed charges,999999999,,,,54.6,percent of total billed charges,999999999,,,,54.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,41.496,percent of total billed charges,999999999,,,,,,,,,,,,,,,,39.39,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19.5,percent of total billed charges,18.52023013,,,,,,,,,,19.5,percent of total billed charges,18.2121587,,,,,,,,,,19.5,percent of total billed charges,18.16154789,,,,,,,,,,19.5,percent of total billed charges,17.89411932,,,,,,,,,,19.5,percent of total billed charges,18.35456131,,,,,,,,,,19.5,percent of total billed charges,999999999,,,,,,,,,,19.5,percent of total billed charges,15.74950614,,,,,,,,,,19.5,percent of total billed charges,24.83805726,,,,,,,,,,19.5,percent of total billed charges,999999999,,,,,,,,,,19.5,percent of total billed charges,16.98181943,,,,,,,,,,70.2,percent of total billed charges,,,,,
**PMR BAG,Local,Local,,,,both,,,177,177,37.6804582,177,177,percent of total billed charges,130.2251881,,,,177,percent of total billed charges,138.0361245,,,,177,percent of total billed charges,130.2251881,,,,177,percent of total billed charges,138.0361245,,,,177,percent of total billed charges,999999999,,,,177,percent of total billed charges,134.8618349,,,,177,percent of total billed charges,130.2251881,,,,177,percent of total billed charges,138.0361245,,,,126.201,percent of total billed charges,62.97660848,,,,126.201,percent of total billed charges,37.6804582,,,,126.201,percent of total billed charges,62.97660848,,,,126.201,percent of total billed charges,37.6804582,,,,126.201,percent of total billed charges,62.97660848,,,,126.201,percent of total billed charges,37.6804582,,,,124.962,percent of total billed charges,124.0138793,,,,124.962,percent of total billed charges,85.53138964,,,,,,,,,,127.44,percent of total billed charges,82.83300107,,,,,,,,,,127.44,percent of total billed charges,999999999,,,,,,,,,,141.6,percent of total billed charges,118.6534394,,,,139.83,percent of total billed charges,134.9419676,,,,139.83,percent of total billed charges,119.2256951,,,,141.6,percent of total billed charges,999999999,,,,141.6,percent of total billed charges,999999999,,,,123.9,percent of total billed charges,999999999,,,,123.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,94.164,percent of total billed charges,999999999,,,,,,,,,,,,,,,,89.385,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,44.25,percent of total billed charges,42.02667605,,,,,,,,,,44.25,percent of total billed charges,41.32759089,,,,,,,,,,44.25,percent of total billed charges,41.21274329,,,,,,,,,,44.25,percent of total billed charges,40.60588615,,,,,,,,,,44.25,percent of total billed charges,41.65073529,,,,,,,,,,44.25,percent of total billed charges,999999999,,,,,,,,,,44.25,percent of total billed charges,35.73926393,,,,,,,,,,44.25,percent of total billed charges,56.36328378,,,,,,,,,,44.25,percent of total billed charges,999999999,,,,,,,,,,44.25,percent of total billed charges,38.53566718,,,,,,,,,,159.3,percent of total billed charges,,,,,
**02 TUBING,Local,Local,,,,both,,,43,43,9.154009619,43,43,percent of total billed charges,31.63662761,,,,43,percent of total billed charges,33.53419973,,,,43,percent of total billed charges,31.63662761,,,,43,percent of total billed charges,33.53419973,,,,43,percent of total billed charges,999999999,,,,43,percent of total billed charges,32.76304463,,,,43,percent of total billed charges,31.63662761,,,,43,percent of total billed charges,33.53419973,,,,30.659,percent of total billed charges,15.29940206,,,,30.659,percent of total billed charges,9.154009619,,,,30.659,percent of total billed charges,15.29940206,,,,30.659,percent of total billed charges,9.154009619,,,,30.659,percent of total billed charges,15.29940206,,,,30.659,percent of total billed charges,9.154009619,,,,30.358,percent of total billed charges,30.1276656,,,,30.358,percent of total billed charges,20.77881217,,,,,,,,,,30.96,percent of total billed charges,20.12327145,,,,,,,,,,30.96,percent of total billed charges,999999999,,,,,,,,,,34.4,percent of total billed charges,28.82541183,,,,33.97,percent of total billed charges,32.7825119,,,,33.97,percent of total billed charges,28.96443441,,,,34.4,percent of total billed charges,999999999,,,,34.4,percent of total billed charges,999999999,,,,30.1,percent of total billed charges,999999999,,,,30.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,22.876,percent of total billed charges,999999999,,,,,,,,,,,,,,,,21.715,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10.75,percent of total billed charges,10.20987045,,,,,,,,,,10.75,percent of total billed charges,10.04003621,,,,,,,,,,10.75,percent of total billed charges,10.01213538,,,,,,,,,,10.75,percent of total billed charges,9.864706804,,,,,,,,,,10.75,percent of total billed charges,10.11854021,,,,,,,,,,10.75,percent of total billed charges,999999999,,,,,,,,,,10.75,percent of total billed charges,8.68242005,,,,,,,,,,10.75,percent of total billed charges,13.69277516,,,,,,,,,,10.75,percent of total billed charges,999999999,,,,,,,,,,10.75,percent of total billed charges,9.361772252,,,,,,,,,,38.7,percent of total billed charges,,,,,
**CANISTER-WARMER,Local,Local,,,,both,,,133,133,28.31356463,133,133,percent of total billed charges,97.85282492,,,,133,percent of total billed charges,103.7220596,,,,133,percent of total billed charges,97.85282492,,,,133,percent of total billed charges,103.7220596,,,,133,percent of total billed charges,999999999,,,,133,percent of total billed charges,101.336859,,,,133,percent of total billed charges,97.85282492,,,,133,percent of total billed charges,103.7220596,,,,94.829,percent of total billed charges,47.32140637,,,,94.829,percent of total billed charges,28.31356463,,,,94.829,percent of total billed charges,47.32140637,,,,94.829,percent of total billed charges,28.31356463,,,,94.829,percent of total billed charges,47.32140637,,,,94.829,percent of total billed charges,28.31356463,,,,93.898,percent of total billed charges,93.18557035,,,,93.898,percent of total billed charges,64.26934928,,,,,,,,,,95.76,percent of total billed charges,62.24174656,,,,,,,,,,95.76,percent of total billed charges,999999999,,,,,,,,,,106.4,percent of total billed charges,89.15766914,,,,105.07,percent of total billed charges,101.3970717,,,,105.07,percent of total billed charges,89.58766923,,,,106.4,percent of total billed charges,999999999,,,,106.4,percent of total billed charges,999999999,,,,93.1,percent of total billed charges,999999999,,,,93.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,70.756,percent of total billed charges,999999999,,,,,,,,,,,,,,,,67.165,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,33.25,percent of total billed charges,31.57936675,,,,,,,,,,33.25,percent of total billed charges,31.05406547,,,,,,,,,,33.25,percent of total billed charges,30.96776756,,,,,,,,,,33.25,percent of total billed charges,30.51176756,,,,,,,,,,33.25,percent of total billed charges,31.29688019,,,,,,,,,,33.25,percent of total billed charges,999999999,,,,,,,,,,33.25,percent of total billed charges,26.85492713,,,,,,,,,,33.25,percent of total billed charges,42.35207199,,,,,,,,,,33.25,percent of total billed charges,999999999,,,,,,,,,,33.25,percent of total billed charges,28.95617929,,,,,,,,,,119.7,percent of total billed charges,,,,,
**AMNIOCENTESIS,59000,CDM,,,,both,,,594,594,126.4530631,594,594,percent of total billed charges,437.0269023,,,,594,percent of total billed charges,463.2398753,,,,594,percent of total billed charges,437.0269023,,,,594,percent of total billed charges,463.2398753,,,,594,percent of total billed charges,999999999,,,,594,percent of total billed charges,452.5871746,,,,594,percent of total billed charges,437.0269023,,,,594,percent of total billed charges,463.2398753,,,,423.522,percent of total billed charges,211.3452285,,,,423.522,percent of total billed charges,126.4530631,,,,423.522,percent of total billed charges,211.3452285,,,,423.522,percent of total billed charges,126.4530631,,,,423.522,percent of total billed charges,211.3452285,,,,423.522,percent of total billed charges,126.4530631,,,,419.364,percent of total billed charges,416.1821713,,,,419.364,percent of total billed charges,287.0375449,,,,,,,,,,427.68,percent of total billed charges,277.9819358,,,,,,,,,,427.68,percent of total billed charges,999999999,,,,,,,,,,475.2,percent of total billed charges,398.1928983,,,,469.26,percent of total billed charges,452.8560946,,,,469.26,percent of total billed charges,400.1133498,,,,475.2,percent of total billed charges,999999999,,,,475.2,percent of total billed charges,999999999,,,,415.8,percent of total billed charges,999999999,,,,415.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,316.008,percent of total billed charges,999999999,,,,,,,,,,,,,,,,299.97,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,148.5,percent of total billed charges,141.0386756,,,,,,,,,,148.5,percent of total billed charges,138.6925932,,,,,,,,,,148.5,percent of total billed charges,138.3071724,,,,,,,,,,148.5,percent of total billed charges,136.270601,,,,,,,,,,148.5,percent of total billed charges,139.7770439,,,,,,,,,,148.5,percent of total billed charges,999999999,,,,,,,,,,148.5,percent of total billed charges,119.9385467,,,,,,,,,,148.5,percent of total billed charges,189.1513591,,,,,,,,,,148.5,percent of total billed charges,999999999,,,,,,,,,,148.5,percent of total billed charges,129.3230865,,,,,,,,,,534.6,percent of total billed charges,,,,,
**BIRTHING ROOM SERVICE,Local,Local,,,,both,,,2282,2282,485.8011616,2282,2282,percent of total billed charges,1678.94847,,,,2282,percent of total billed charges,1779.652181,,,,2282,percent of total billed charges,1678.94847,,,,2282,percent of total billed charges,1779.652181,,,,2282,percent of total billed charges,999999999,,,,2282,percent of total billed charges,1738.727159,,,,2282,percent of total billed charges,1678.94847,,,,2282,percent of total billed charges,1779.652181,,,,1627.066,percent of total billed charges,811.9357094,,,,1627.066,percent of total billed charges,485.8011616,,,,1627.066,percent of total billed charges,811.9357094,,,,1627.066,percent of total billed charges,485.8011616,,,,1627.066,percent of total billed charges,811.9357094,,,,1627.066,percent of total billed charges,485.8011616,,,,1611.092,percent of total billed charges,1598.868207,,,,1611.092,percent of total billed charges,1102.72673,,,,,,,,,,1643.04,percent of total billed charges,1067.937336,,,,,,,,,,1643.04,percent of total billed charges,999999999,,,,,,,,,,1825.6,percent of total billed charges,1529.757902,,,,1802.78,percent of total billed charges,1739.760282,,,,1802.78,percent of total billed charges,1537.135798,,,,1825.6,percent of total billed charges,999999999,,,,1825.6,percent of total billed charges,999999999,,,,1597.4,percent of total billed charges,999999999,,,,1597.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1214.024,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1152.41,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,570.5,percent of total billed charges,541.8354506,,,,,,,,,,570.5,percent of total billed charges,532.8223866,,,,,,,,,,570.5,percent of total billed charges,531.341696,,,,,,,,,,570.5,percent of total billed charges,523.517696,,,,,,,,,,570.5,percent of total billed charges,536.9885759,,,,,,,,,,570.5,percent of total billed charges,999999999,,,,,,,,,,570.5,percent of total billed charges,460.7740129,,,,,,,,,,570.5,percent of total billed charges,726.6723931,,,,,,,,,,570.5,percent of total billed charges,999999999,,,,,,,,,,570.5,percent of total billed charges,496.8270763,,,,,,,,,,2053.8,percent of total billed charges,,,,,
**MECONIUM ASPIRATORS,Local,Local,,,,both,,,52,52,11.06996512,52,52,percent of total billed charges,38.25824734,,,,52,percent of total billed charges,40.55298572,,,,52,percent of total billed charges,38.25824734,,,,52,percent of total billed charges,40.55298572,,,,52,percent of total billed charges,999999999,,,,52,percent of total billed charges,39.62042606,,,,52,percent of total billed charges,38.25824734,,,,52,percent of total billed charges,40.55298572,,,,37.076,percent of total billed charges,18.50160249,,,,37.076,percent of total billed charges,11.06996512,,,,37.076,percent of total billed charges,18.50160249,,,,37.076,percent of total billed charges,11.06996512,,,,37.076,percent of total billed charges,18.50160249,,,,37.076,percent of total billed charges,11.06996512,,,,36.712,percent of total billed charges,36.43345608,,,,36.712,percent of total billed charges,25.12786588,,,,,,,,,,37.44,percent of total billed charges,24.33511896,,,,,,,,,,37.44,percent of total billed charges,999999999,,,,,,,,,,41.6,percent of total billed charges,34.85863756,,,,41.08,percent of total billed charges,39.64396787,,,,41.08,percent of total billed charges,35.02675789,,,,41.6,percent of total billed charges,999999999,,,,41.6,percent of total billed charges,999999999,,,,36.4,percent of total billed charges,999999999,,,,36.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,27.664,percent of total billed charges,999999999,,,,,,,,,,,,,,,,26.26,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13,percent of total billed charges,12.34682008,,,,,,,,,,13,percent of total billed charges,12.14143913,,,,,,,,,,13,percent of total billed charges,12.10769859,,,,,,,,,,13,percent of total billed charges,11.92941288,,,,,,,,,,13,percent of total billed charges,12.23637421,,,,,,,,,,13,percent of total billed charges,999999999,,,,,,,,,,13,percent of total billed charges,10.49967076,,,,,,,,,,13,percent of total billed charges,16.55870484,,,,,,,,,,13,percent of total billed charges,999999999,,,,,,,,,,13,percent of total billed charges,11.32121296,,,,,,,,,,46.8,percent of total billed charges,,,,,
**FIRST HOUR CHARGE,Local,Local,,,,both,,,492,492,104.7389008,492,492,percent of total billed charges,361.9818787,,,,492,percent of total billed charges,383.6936341,,,,492,percent of total billed charges,361.9818787,,,,492,percent of total billed charges,383.6936341,,,,492,percent of total billed charges,999999999,,,,492,percent of total billed charges,374.870185,,,,492,percent of total billed charges,361.9818787,,,,492,percent of total billed charges,383.6936341,,,,350.796,percent of total billed charges,175.0536236,,,,350.796,percent of total billed charges,104.7389008,,,,350.796,percent of total billed charges,175.0536236,,,,350.796,percent of total billed charges,104.7389008,,,,350.796,percent of total billed charges,175.0536236,,,,350.796,percent of total billed charges,104.7389008,,,,347.352,percent of total billed charges,344.7165459,,,,347.352,percent of total billed charges,237.7482695,,,,,,,,,,354.24,percent of total billed charges,230.247664,,,,,,,,,,354.24,percent of total billed charges,999999999,,,,,,,,,,393.6,percent of total billed charges,329.81634,,,,388.68,percent of total billed charges,375.0929268,,,,388.68,percent of total billed charges,331.407017,,,,393.6,percent of total billed charges,999999999,,,,393.6,percent of total billed charges,999999999,,,,344.4,percent of total billed charges,999999999,,,,344.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,261.744,percent of total billed charges,999999999,,,,,,,,,,,,,,,,248.46,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,123,percent of total billed charges,116.8199131,,,,,,,,,,123,percent of total billed charges,114.8766933,,,,,,,,,,123,percent of total billed charges,114.5574559,,,,,,,,,,123,percent of total billed charges,112.8705988,,,,,,,,,,123,percent of total billed charges,115.7749252,,,,,,,,,,123,percent of total billed charges,999999999,,,,,,,,,,123,percent of total billed charges,99.34303871,,,,,,,,,,123,percent of total billed charges,156.6708227,,,,,,,,,,123,percent of total billed charges,999999999,,,,,,,,,,123,percent of total billed charges,107.1160918,,,,,,,,,,442.8,percent of total billed charges,,,,,
**LABOR ROOM-HOURLY,Local,Local,,,,both,,,233,233,49.6019591,233,233,percent of total billed charges,171.4263775,,,,233,percent of total billed charges,181.7085706,,,,233,percent of total billed charges,171.4263775,,,,233,percent of total billed charges,181.7085706,,,,233,percent of total billed charges,999999999,,,,233,percent of total billed charges,177.529986,,,,233,percent of total billed charges,171.4263775,,,,233,percent of total billed charges,181.7085706,,,,166.129,percent of total billed charges,82.90141117,,,,166.129,percent of total billed charges,49.6019591,,,,166.129,percent of total billed charges,82.90141117,,,,166.129,percent of total billed charges,49.6019591,,,,166.129,percent of total billed charges,82.90141117,,,,166.129,percent of total billed charges,49.6019591,,,,164.498,percent of total billed charges,163.249909,,,,164.498,percent of total billed charges,112.5921683,,,,,,,,,,167.76,percent of total billed charges,109.0400523,,,,,,,,,,167.76,percent of total billed charges,999999999,,,,,,,,,,186.4,percent of total billed charges,156.1935106,,,,184.07,percent of total billed charges,177.6354714,,,,184.07,percent of total billed charges,156.946819,,,,186.4,percent of total billed charges,999999999,,,,186.4,percent of total billed charges,999999999,,,,163.1,percent of total billed charges,999999999,,,,163.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,123.956,percent of total billed charges,999999999,,,,,,,,,,,,,,,,117.665,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,58.25,percent of total billed charges,55.32325153,,,,,,,,,,58.25,percent of total billed charges,54.40298688,,,,,,,,,,58.25,percent of total billed charges,54.25180331,,,,,,,,,,58.25,percent of total billed charges,53.45294617,,,,,,,,,,58.25,percent of total billed charges,54.82836905,,,,,,,,,,58.25,percent of total billed charges,999999999,,,,,,,,,,58.25,percent of total billed charges,47.04660167,,,,,,,,,,58.25,percent of total billed charges,74.19573514,,,,,,,,,,58.25,percent of total billed charges,999999999,,,,,,,,,,58.25,percent of total billed charges,50.72774267,,,,,,,,,,209.7,percent of total billed charges,,,,,
**DELIVERY PACK-DISP,Local,Local,,,,both,,,569,569,121.1309645,569,569,percent of total billed charges,418.6335141,,,,569,percent of total billed charges,443.7432476,,,,569,percent of total billed charges,418.6335141,,,,569,percent of total billed charges,443.7432476,,,,569,percent of total billed charges,999999999,,,,569,percent of total billed charges,433.5388929,,,,569,percent of total billed charges,418.6335141,,,,569,percent of total billed charges,443.7432476,,,,405.697,percent of total billed charges,202.4502273,,,,405.697,percent of total billed charges,121.1309645,,,,405.697,percent of total billed charges,202.4502273,,,,405.697,percent of total billed charges,121.1309645,,,,405.697,percent of total billed charges,202.4502273,,,,405.697,percent of total billed charges,121.1309645,,,,401.714,percent of total billed charges,398.6660867,,,,401.714,percent of total billed charges,274.9568401,,,,,,,,,,409.68,percent of total billed charges,266.2823594,,,,,,,,,,409.68,percent of total billed charges,999999999,,,,,,,,,,455.2,percent of total billed charges,381.4339379,,,,449.51,percent of total billed charges,433.7964946,,,,449.51,percent of total billed charges,383.2735623,,,,455.2,percent of total billed charges,999999999,,,,455.2,percent of total billed charges,999999999,,,,398.3,percent of total billed charges,999999999,,,,398.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,302.708,percent of total billed charges,999999999,,,,,,,,,,,,,,,,287.345,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,142.25,percent of total billed charges,135.1027044,,,,,,,,,,142.25,percent of total billed charges,132.8553628,,,,,,,,,,142.25,percent of total billed charges,132.4861635,,,,,,,,,,142.25,percent of total billed charges,130.5353063,,,,,,,,,,142.25,percent of total billed charges,133.8941716,,,,,,,,,,142.25,percent of total billed charges,999999999,,,,,,,,,,142.25,percent of total billed charges,114.8906281,,,,,,,,,,142.25,percent of total billed charges,181.1904433,,,,,,,,,,142.25,percent of total billed charges,999999999,,,,,,,,,,142.25,percent of total billed charges,123.8801956,,,,,,,,,,512.1,percent of total billed charges,,,,,
**PARA CERVICAL BLOCK DISP,Local,Local,,,,both,,,233,233,49.6019591,233,233,percent of total billed charges,171.4263775,,,,233,percent of total billed charges,181.7085706,,,,233,percent of total billed charges,171.4263775,,,,233,percent of total billed charges,181.7085706,,,,233,percent of total billed charges,999999999,,,,233,percent of total billed charges,177.529986,,,,233,percent of total billed charges,171.4263775,,,,233,percent of total billed charges,181.7085706,,,,166.129,percent of total billed charges,82.90141117,,,,166.129,percent of total billed charges,49.6019591,,,,166.129,percent of total billed charges,82.90141117,,,,166.129,percent of total billed charges,49.6019591,,,,166.129,percent of total billed charges,82.90141117,,,,166.129,percent of total billed charges,49.6019591,,,,164.498,percent of total billed charges,163.249909,,,,164.498,percent of total billed charges,112.5921683,,,,,,,,,,167.76,percent of total billed charges,109.0400523,,,,,,,,,,167.76,percent of total billed charges,999999999,,,,,,,,,,186.4,percent of total billed charges,156.1935106,,,,184.07,percent of total billed charges,177.6354714,,,,184.07,percent of total billed charges,156.946819,,,,186.4,percent of total billed charges,999999999,,,,186.4,percent of total billed charges,999999999,,,,163.1,percent of total billed charges,999999999,,,,163.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,123.956,percent of total billed charges,999999999,,,,,,,,,,,,,,,,117.665,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,58.25,percent of total billed charges,55.32325153,,,,,,,,,,58.25,percent of total billed charges,54.40298688,,,,,,,,,,58.25,percent of total billed charges,54.25180331,,,,,,,,,,58.25,percent of total billed charges,53.45294617,,,,,,,,,,58.25,percent of total billed charges,54.82836905,,,,,,,,,,58.25,percent of total billed charges,999999999,,,,,,,,,,58.25,percent of total billed charges,47.04660167,,,,,,,,,,58.25,percent of total billed charges,74.19573514,,,,,,,,,,58.25,percent of total billed charges,999999999,,,,,,,,,,58.25,percent of total billed charges,50.72774267,,,,,,,,,,209.7,percent of total billed charges,,,,,
**AMNIOTOMY SET-DISP,Local,Local,,,,both,,,85,85,18.09513529,85,85,percent of total billed charges,62.53751969,,,,85,percent of total billed charges,66.28853435,,,,85,percent of total billed charges,62.53751969,,,,85,percent of total billed charges,66.28853435,,,,85,percent of total billed charges,999999999,,,,85,percent of total billed charges,64.76415799,,,,85,percent of total billed charges,62.53751969,,,,85,percent of total billed charges,66.28853435,,,,60.605,percent of total billed charges,30.24300407,,,,60.605,percent of total billed charges,18.09513529,,,,60.605,percent of total billed charges,30.24300407,,,,60.605,percent of total billed charges,18.09513529,,,,60.605,percent of total billed charges,30.24300407,,,,60.605,percent of total billed charges,18.09513529,,,,60.01,percent of total billed charges,59.55468782,,,,60.01,percent of total billed charges,41.07439615,,,,,,,,,,61.2,percent of total billed charges,39.77855983,,,,,,,,,,61.2,percent of total billed charges,999999999,,,,,,,,,,68,percent of total billed charges,56.98046524,,,,67.15,percent of total billed charges,64.80263979,,,,67.15,percent of total billed charges,57.25527733,,,,68,percent of total billed charges,999999999,,,,68,percent of total billed charges,999999999,,,,59.5,percent of total billed charges,999999999,,,,59.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,45.22,percent of total billed charges,999999999,,,,,,,,,,,,,,,,42.925,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21.25,percent of total billed charges,20.18230206,,,,,,,,,,21.25,percent of total billed charges,19.8465832,,,,,,,,,,21.25,percent of total billed charges,19.79143039,,,,,,,,,,21.25,percent of total billed charges,19.50000182,,,,,,,,,,21.25,percent of total billed charges,20.00176553,,,,,,,,,,21.25,percent of total billed charges,999999999,,,,,,,,,,21.25,percent of total billed charges,17.16292335,,,,,,,,,,21.25,percent of total billed charges,27.06711368,,,,,,,,,,21.25,percent of total billed charges,999999999,,,,,,,,,,21.25,percent of total billed charges,18.50582887,,,,,,,,,,76.5,percent of total billed charges,,,,,
**I V PUMP,Local,Local,,,,both,,,175,175,37.25469031,175,175,percent of total billed charges,128.753717,,,,175,percent of total billed charges,136.4763943,,,,175,percent of total billed charges,128.753717,,,,175,percent of total billed charges,136.4763943,,,,175,percent of total billed charges,999999999,,,,175,percent of total billed charges,133.3379723,,,,175,percent of total billed charges,128.753717,,,,175,percent of total billed charges,136.4763943,,,,124.775,percent of total billed charges,62.26500839,,,,124.775,percent of total billed charges,37.25469031,,,,124.775,percent of total billed charges,62.26500839,,,,124.775,percent of total billed charges,37.25469031,,,,124.775,percent of total billed charges,62.26500839,,,,124.775,percent of total billed charges,37.25469031,,,,123.55,percent of total billed charges,122.6125926,,,,123.55,percent of total billed charges,84.56493326,,,,,,,,,,126,percent of total billed charges,81.89703495,,,,,,,,,,126,percent of total billed charges,999999999,,,,,,,,,,140,percent of total billed charges,117.3127226,,,,138.25,percent of total billed charges,133.4171996,,,,138.25,percent of total billed charges,117.8785121,,,,140,percent of total billed charges,999999999,,,,140,percent of total billed charges,999999999,,,,122.5,percent of total billed charges,999999999,,,,122.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,93.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,88.375,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,43.75,percent of total billed charges,41.55179836,,,,,,,,,,43.75,percent of total billed charges,40.86061247,,,,,,,,,,43.75,percent of total billed charges,40.74706257,,,,,,,,,,43.75,percent of total billed charges,40.14706257,,,,,,,,,,43.75,percent of total billed charges,41.18010551,,,,,,,,,,43.75,percent of total billed charges,999999999,,,,,,,,,,43.75,percent of total billed charges,35.33543044,,,,,,,,,,43.75,percent of total billed charges,55.72641052,,,,,,,,,,43.75,percent of total billed charges,999999999,,,,,,,,,,43.75,percent of total billed charges,38.10023591,,,,,,,,,,157.5,percent of total billed charges,,,,,
**C SECTION,Local,Local,,,,both,,,785,785,167.1138965,785,785,percent of total billed charges,577.5523877,,,,785,percent of total billed charges,612.1941114,,,,785,percent of total billed charges,577.5523877,,,,785,percent of total billed charges,612.1941114,,,,785,percent of total billed charges,999999999,,,,785,percent of total billed charges,598.1160473,,,,785,percent of total billed charges,577.5523877,,,,785,percent of total billed charges,612.1941114,,,,559.705,percent of total billed charges,279.3030376,,,,559.705,percent of total billed charges,167.1138965,,,,559.705,percent of total billed charges,279.3030376,,,,559.705,percent of total billed charges,167.1138965,,,,559.705,percent of total billed charges,279.3030376,,,,559.705,percent of total billed charges,167.1138965,,,,554.21,percent of total billed charges,550.0050581,,,,554.21,percent of total billed charges,379.3341292,,,,,,,,,,565.2,percent of total billed charges,367.3666996,,,,,,,,,,565.2,percent of total billed charges,999999999,,,,,,,,,,628,percent of total billed charges,526.2313555,,,,620.15,percent of total billed charges,598.4714381,,,,620.15,percent of total billed charges,528.7693259,,,,628,percent of total billed charges,999999999,,,,628,percent of total billed charges,999999999,,,,549.5,percent of total billed charges,999999999,,,,549.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,417.62,percent of total billed charges,999999999,,,,,,,,,,,,,,,,396.425,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,196.25,percent of total billed charges,186.3894955,,,,,,,,,,196.25,percent of total billed charges,183.2890331,,,,,,,,,,196.25,percent of total billed charges,182.7796807,,,,,,,,,,196.25,percent of total billed charges,180.0882521,,,,,,,,,,196.25,percent of total billed charges,184.7221876,,,,,,,,,,196.25,percent of total billed charges,999999999,,,,,,,,,,196.25,percent of total billed charges,158.5046451,,,,,,,,,,196.25,percent of total billed charges,249.9727557,,,,,,,,,,196.25,percent of total billed charges,999999999,,,,,,,,,,196.25,percent of total billed charges,170.9067725,,,,,,,,,,706.5,percent of total billed charges,,,,,
**PUDENDAL BLOCK KIT-DISP,Local,Local,,,,both,,,156,156,33.20989536,156,156,percent of total billed charges,114.774742,,,,156,percent of total billed charges,121.6589572,,,,156,percent of total billed charges,114.774742,,,,156,percent of total billed charges,121.6589572,,,,156,percent of total billed charges,999999999,,,,156,percent of total billed charges,118.8612782,,,,156,percent of total billed charges,114.774742,,,,156,percent of total billed charges,121.6589572,,,,111.228,percent of total billed charges,55.50480748,,,,111.228,percent of total billed charges,33.20989536,,,,111.228,percent of total billed charges,55.50480748,,,,111.228,percent of total billed charges,33.20989536,,,,111.228,percent of total billed charges,55.50480748,,,,111.228,percent of total billed charges,33.20989536,,,,110.136,percent of total billed charges,109.3003682,,,,110.136,percent of total billed charges,75.38359765,,,,,,,,,,112.32,percent of total billed charges,73.00535687,,,,,,,,,,112.32,percent of total billed charges,999999999,,,,,,,,,,124.8,percent of total billed charges,104.5759127,,,,123.24,percent of total billed charges,118.9319036,,,,123.24,percent of total billed charges,105.0802737,,,,124.8,percent of total billed charges,999999999,,,,124.8,percent of total billed charges,999999999,,,,109.2,percent of total billed charges,999999999,,,,109.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,82.992,percent of total billed charges,999999999,,,,,,,,,,,,,,,,78.78,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,39,percent of total billed charges,37.04046025,,,,,,,,,,39,percent of total billed charges,36.4243174,,,,,,,,,,39,percent of total billed charges,36.32309578,,,,,,,,,,39,percent of total billed charges,35.78823864,,,,,,,,,,39,percent of total billed charges,36.70912263,,,,,,,,,,39,percent of total billed charges,999999999,,,,,,,,,,39,percent of total billed charges,31.49901227,,,,,,,,,,39,percent of total billed charges,49.67611452,,,,,,,,,,39,percent of total billed charges,999999999,,,,,,,,,,39,percent of total billed charges,33.96363887,,,,,,,,,,140.4,percent of total billed charges,,,,,
**LABOR DETERMINATION,59025,CDM,,,,both,,,355,355,75.57380034,355,355,percent of total billed charges,261.1861116,,,,355,percent of total billed charges,276.8521141,,,,355,percent of total billed charges,261.1861116,,,,355,percent of total billed charges,276.8521141,,,,355,percent of total billed charges,999999999,,,,355,percent of total billed charges,270.485601,,,,355,percent of total billed charges,261.1861116,,,,355,percent of total billed charges,276.8521141,,,,253.115,percent of total billed charges,126.309017,,,,253.115,percent of total billed charges,75.57380034,,,,253.115,percent of total billed charges,126.309017,,,,253.115,percent of total billed charges,75.57380034,,,,253.115,percent of total billed charges,126.309017,,,,253.115,percent of total billed charges,75.57380034,,,,250.63,percent of total billed charges,248.7284021,,,,250.63,percent of total billed charges,171.5460075,,,,,,,,,,255.6,percent of total billed charges,166.1339852,,,,,,,,,,255.6,percent of total billed charges,999999999,,,,,,,,,,284,percent of total billed charges,237.9772372,,,,280.45,percent of total billed charges,270.6463191,,,,280.45,percent of total billed charges,239.1249818,,,,284,percent of total billed charges,999999999,,,,284,percent of total billed charges,999999999,,,,248.5,percent of total billed charges,999999999,,,,248.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,188.86,percent of total billed charges,999999999,,,,,,,,,,,,,,,,179.275,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,88.75,percent of total billed charges,84.29079096,,,,,,,,,,88.75,percent of total billed charges,82.888671,,,,,,,,,,88.75,percent of total billed charges,82.65832694,,,,,,,,,,88.75,percent of total billed charges,81.44118408,,,,,,,,,,88.75,percent of total billed charges,83.53678547,,,,,,,,,,88.75,percent of total billed charges,999999999,,,,,,,,,,88.75,percent of total billed charges,71.6804446,,,,,,,,,,88.75,percent of total billed charges,113.0450042,,,,,,,,,,88.75,percent of total billed charges,999999999,,,,,,,,,,88.75,percent of total billed charges,77.28904999,,,,,,,,,,319.5,percent of total billed charges,,,,,
**NON STRESS TEST FETA,59025,CDM,,,,both,,,450,450,95.79777508,450,450,percent of total billed charges,331.0809866,,,,450,percent of total billed charges,350.9392995,,,,450,percent of total billed charges,331.0809866,,,,450,percent of total billed charges,350.9392995,,,,450,percent of total billed charges,999999999,,,,450,percent of total billed charges,342.8690717,,,,450,percent of total billed charges,331.0809866,,,,450,percent of total billed charges,350.9392995,,,,320.85,percent of total billed charges,160.1100216,,,,320.85,percent of total billed charges,95.79777508,,,,320.85,percent of total billed charges,160.1100216,,,,320.85,percent of total billed charges,95.79777508,,,,320.85,percent of total billed charges,160.1100216,,,,320.85,percent of total billed charges,95.79777508,,,,317.7,percent of total billed charges,315.2895237,,,,317.7,percent of total billed charges,217.4526855,,,,,,,,,,324,percent of total billed charges,210.5923756,,,,,,,,,,324,percent of total billed charges,999999999,,,,,,,,,,360,percent of total billed charges,301.6612866,,,,355.5,percent of total billed charges,343.0727989,,,,355.5,percent of total billed charges,303.1161741,,,,360,percent of total billed charges,999999999,,,,360,percent of total billed charges,999999999,,,,315,percent of total billed charges,999999999,,,,315,percent of total billed charges,999999999,,,,,,,,,,,,,,,,239.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,227.25,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,112.5,percent of total billed charges,106.8474815,,,,,,,,,,112.5,percent of total billed charges,105.0701463,,,,,,,,,,112.5,percent of total billed charges,104.7781609,,,,,,,,,,112.5,percent of total billed charges,103.2353038,,,,,,,,,,112.5,percent of total billed charges,105.8916999,,,,,,,,,,112.5,percent of total billed charges,999999999,,,,,,,,,,112.5,percent of total billed charges,90.8625354,,,,,,,,,,112.5,percent of total billed charges,143.2964842,,,,,,,,,,112.5,percent of total billed charges,999999999,,,,,,,,,,112.5,percent of total billed charges,97.97203519,,,,,,,,,,405,percent of total billed charges,,,,,
**STRESS TEST FET MON,59020,CDM,,,,both,,,418,418,88.98548885,418,418,percent of total billed charges,307.5374498,,,,418,percent of total billed charges,325.983616,,,,418,percent of total billed charges,307.5374498,,,,418,percent of total billed charges,325.983616,,,,418,percent of total billed charges,999999999,,,,418,percent of total billed charges,318.487271,,,,418,percent of total billed charges,307.5374498,,,,418,percent of total billed charges,325.983616,,,,298.034,percent of total billed charges,148.72442,,,,298.034,percent of total billed charges,88.98548885,,,,298.034,percent of total billed charges,148.72442,,,,298.034,percent of total billed charges,88.98548885,,,,298.034,percent of total billed charges,148.72442,,,,298.034,percent of total billed charges,88.98548885,,,,295.108,percent of total billed charges,292.8689354,,,,295.108,percent of total billed charges,201.9893834,,,,,,,,,,300.96,percent of total billed charges,195.6169178,,,,,,,,,,300.96,percent of total billed charges,999999999,,,,,,,,,,334.4,percent of total billed charges,280.2098173,,,,330.22,percent of total billed charges,318.676511,,,,330.22,percent of total billed charges,281.5612461,,,,334.4,percent of total billed charges,999999999,,,,334.4,percent of total billed charges,999999999,,,,292.6,percent of total billed charges,999999999,,,,292.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,222.376,percent of total billed charges,999999999,,,,,,,,,,,,,,,,211.09,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,104.5,percent of total billed charges,99.24943837,,,,,,,,,,104.5,percent of total billed charges,97.59849149,,,,,,,,,,104.5,percent of total billed charges,97.32726946,,,,,,,,,,104.5,percent of total billed charges,95.8941266,,,,,,,,,,104.5,percent of total billed charges,98.36162345,,,,,,,,,,104.5,percent of total billed charges,999999999,,,,,,,,,,104.5,percent of total billed charges,84.40119955,,,,,,,,,,104.5,percent of total billed charges,133.106512,,,,,,,,,,104.5,percent of total billed charges,999999999,,,,,,,,,,104.5,percent of total billed charges,91.00513491,,,,,,,,,,376.2,percent of total billed charges,,,,,
**EXTERNAL FETAL MONIT,59050,CDM,,,,both,,,537,537,114.3186783,537,537,percent of total billed charges,395.0899773,,,,537,percent of total billed charges,418.7875641,,,,537,percent of total billed charges,395.0899773,,,,537,percent of total billed charges,418.7875641,,,,537,percent of total billed charges,999999999,,,,537,percent of total billed charges,409.1570922,,,,537,percent of total billed charges,395.0899773,,,,537,percent of total billed charges,418.7875641,,,,382.881,percent of total billed charges,191.0646257,,,,382.881,percent of total billed charges,114.3186783,,,,382.881,percent of total billed charges,191.0646257,,,,382.881,percent of total billed charges,114.3186783,,,,382.881,percent of total billed charges,191.0646257,,,,382.881,percent of total billed charges,114.3186783,,,,379.122,percent of total billed charges,376.2454983,,,,379.122,percent of total billed charges,259.4935381,,,,,,,,,,386.64,percent of total billed charges,251.3069015,,,,,,,,,,386.64,percent of total billed charges,999999999,,,,,,,,,,429.6,percent of total billed charges,359.9824686,,,,424.23,percent of total billed charges,409.4002067,,,,424.23,percent of total billed charges,361.7186344,,,,429.6,percent of total billed charges,999999999,,,,429.6,percent of total billed charges,999999999,,,,375.9,percent of total billed charges,999999999,,,,375.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,285.684,percent of total billed charges,999999999,,,,,,,,,,,,,,,,271.185,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,134.25,percent of total billed charges,127.5046612,,,,,,,,,,134.25,percent of total billed charges,125.383708,,,,,,,,,,134.25,percent of total billed charges,125.035272,,,,,,,,,,134.25,percent of total billed charges,123.1941292,,,,,,,,,,134.25,percent of total billed charges,126.3640952,,,,,,,,,,134.25,percent of total billed charges,999999999,,,,,,,,,,134.25,percent of total billed charges,108.4292922,,,,,,,,,,134.25,percent of total billed charges,171.0004711,,,,,,,,,,134.25,percent of total billed charges,999999999,,,,,,,,,,134.25,percent of total billed charges,116.9132953,,,,,,,,,,483.3,percent of total billed charges,,,,,
**INTERNAL FETAL MONIT-DISP,Local,Local,,,,both,,,471,471,100.2683379,471,471,percent of total billed charges,346.5314326,,,,471,percent of total billed charges,367.3164668,,,,471,percent of total billed charges,346.5314326,,,,471,percent of total billed charges,367.3164668,,,,471,percent of total billed charges,999999999,,,,471,percent of total billed charges,358.8696284,,,,471,percent of total billed charges,346.5314326,,,,471,percent of total billed charges,367.3164668,,,,335.823,percent of total billed charges,167.5818226,,,,335.823,percent of total billed charges,100.2683379,,,,335.823,percent of total billed charges,167.5818226,,,,335.823,percent of total billed charges,100.2683379,,,,335.823,percent of total billed charges,167.5818226,,,,335.823,percent of total billed charges,100.2683379,,,,332.526,percent of total billed charges,330.0030348,,,,332.526,percent of total billed charges,227.6004775,,,,,,,,,,339.12,percent of total billed charges,220.4200198,,,,,,,,,,339.12,percent of total billed charges,999999999,,,,,,,,,,376.8,percent of total billed charges,315.7388133,,,,372.09,percent of total billed charges,359.0828629,,,,372.09,percent of total billed charges,317.2615955,,,,376.8,percent of total billed charges,999999999,,,,376.8,percent of total billed charges,999999999,,,,329.7,percent of total billed charges,999999999,,,,329.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,250.572,percent of total billed charges,999999999,,,,,,,,,,,,,,,,237.855,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,117.75,percent of total billed charges,111.8336973,,,,,,,,,,117.75,percent of total billed charges,109.9734198,,,,,,,,,,117.75,percent of total billed charges,109.6678084,,,,,,,,,,117.75,percent of total billed charges,108.0529513,,,,,,,,,,117.75,percent of total billed charges,110.8333126,,,,,,,,,,117.75,percent of total billed charges,999999999,,,,,,,,,,117.75,percent of total billed charges,95.10278706,,,,,,,,,,117.75,percent of total billed charges,149.9836534,,,,,,,,,,117.75,percent of total billed charges,999999999,,,,,,,,,,117.75,percent of total billed charges,102.5440635,,,,,,,,,,423.9,percent of total billed charges,,,,,
**INTERNAL UTERINE PRESSURE CATH,Local,Local,,,,both,,,353,353,75.14803245,353,353,percent of total billed charges,259.7146406,,,,353,percent of total billed charges,275.2923838,,,,353,percent of total billed charges,259.7146406,,,,353,percent of total billed charges,275.2923838,,,,353,percent of total billed charges,999999999,,,,353,percent of total billed charges,268.9617385,,,,353,percent of total billed charges,259.7146406,,,,353,percent of total billed charges,275.2923838,,,,251.689,percent of total billed charges,125.5974169,,,,251.689,percent of total billed charges,75.14803245,,,,251.689,percent of total billed charges,125.5974169,,,,251.689,percent of total billed charges,75.14803245,,,,251.689,percent of total billed charges,125.5974169,,,,251.689,percent of total billed charges,75.14803245,,,,249.218,percent of total billed charges,247.3271153,,,,249.218,percent of total billed charges,170.5795511,,,,,,,,,,254.16,percent of total billed charges,165.1980191,,,,,,,,,,254.16,percent of total billed charges,999999999,,,,,,,,,,282.4,percent of total billed charges,236.6365204,,,,278.87,percent of total billed charges,269.1215511,,,,278.87,percent of total billed charges,237.7777988,,,,282.4,percent of total billed charges,999999999,,,,282.4,percent of total billed charges,999999999,,,,247.1,percent of total billed charges,999999999,,,,247.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,187.796,percent of total billed charges,999999999,,,,,,,,,,,,,,,,178.265,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,88.25,percent of total billed charges,83.81591326,,,,,,,,,,88.25,percent of total billed charges,82.42169257,,,,,,,,,,88.25,percent of total billed charges,82.19264622,,,,,,,,,,88.25,percent of total billed charges,80.9823605,,,,,,,,,,88.25,percent of total billed charges,83.06615569,,,,,,,,,,88.25,percent of total billed charges,999999999,,,,,,,,,,88.25,percent of total billed charges,71.27661111,,,,,,,,,,88.25,percent of total billed charges,112.4081309,,,,,,,,,,88.25,percent of total billed charges,999999999,,,,,,,,,,88.25,percent of total billed charges,76.85361872,,,,,,,,,,317.7,percent of total billed charges,,,,,
**CIRCUMCISION,Local,Local,,,,both,,,294,294,62.58787972,294,294,percent of total billed charges,216.3062446,,,,294,percent of total billed charges,229.2803423,,,,294,percent of total billed charges,216.3062446,,,,294,percent of total billed charges,229.2803423,,,,294,percent of total billed charges,999999999,,,,294,percent of total billed charges,224.0077935,,,,294,percent of total billed charges,216.3062446,,,,294,percent of total billed charges,229.2803423,,,,209.622,percent of total billed charges,104.6052141,,,,209.622,percent of total billed charges,62.58787972,,,,209.622,percent of total billed charges,104.6052141,,,,209.622,percent of total billed charges,62.58787972,,,,209.622,percent of total billed charges,104.6052141,,,,209.622,percent of total billed charges,62.58787972,,,,207.564,percent of total billed charges,205.9891555,,,,207.564,percent of total billed charges,142.0690879,,,,,,,,,,211.68,percent of total billed charges,137.5870187,,,,,,,,,,211.68,percent of total billed charges,999999999,,,,,,,,,,235.2,percent of total billed charges,197.0853739,,,,232.26,percent of total billed charges,224.1408953,,,,232.26,percent of total billed charges,198.0359004,,,,235.2,percent of total billed charges,999999999,,,,235.2,percent of total billed charges,999999999,,,,205.8,percent of total billed charges,999999999,,,,205.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,156.408,percent of total billed charges,999999999,,,,,,,,,,,,,,,,148.47,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,73.5,percent of total billed charges,69.80702124,,,,,,,,,,73.5,percent of total billed charges,68.64582894,,,,,,,,,,73.5,percent of total billed charges,68.45506512,,,,,,,,,,73.5,percent of total billed charges,67.44706512,,,,,,,,,,73.5,percent of total billed charges,69.18257726,,,,,,,,,,73.5,percent of total billed charges,999999999,,,,,,,,,,73.5,percent of total billed charges,59.36352313,,,,,,,,,,73.5,percent of total billed charges,93.62036967,,,,,,,,,,73.5,percent of total billed charges,999999999,,,,,,,,,,73.5,percent of total billed charges,64.00839633,,,,,,,,,,264.6,percent of total billed charges,,,,,
**CARDIOPULMONARY RESUSCITATION INFA,92950,CDM,,,,both,,,947,947,201.6010956,947,947,percent of total billed charges,696.7415429,,,,947,percent of total billed charges,738.5322592,,,,947,percent of total billed charges,696.7415429,,,,947,percent of total billed charges,738.5322592,,,,947,percent of total billed charges,999999999,,,,947,percent of total billed charges,721.5489131,,,,947,percent of total billed charges,696.7415429,,,,947,percent of total billed charges,738.5322592,,,,675.211,percent of total billed charges,336.9426454,,,,675.211,percent of total billed charges,201.6010956,,,,675.211,percent of total billed charges,336.9426454,,,,675.211,percent of total billed charges,201.6010956,,,,675.211,percent of total billed charges,336.9426454,,,,675.211,percent of total billed charges,201.6010956,,,,668.582,percent of total billed charges,663.5092866,,,,668.582,percent of total billed charges,457.617096,,,,,,,,,,681.84,percent of total billed charges,443.1799549,,,,,,,,,,681.84,percent of total billed charges,999999999,,,,,,,,,,757.6,percent of total billed charges,634.8294186,,,,748.13,percent of total billed charges,721.9776457,,,,748.13,percent of total billed charges,637.8911486,,,,757.6,percent of total billed charges,999999999,,,,757.6,percent of total billed charges,999999999,,,,662.9,percent of total billed charges,999999999,,,,662.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,503.804,percent of total billed charges,999999999,,,,,,,,,,,,,,,,478.235,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,236.75,percent of total billed charges,224.8545888,,,,,,,,,,236.75,percent of total billed charges,221.1142857,,,,,,,,,,236.75,percent of total billed charges,220.4998186,,,,,,,,,,236.75,percent of total billed charges,217.2529615,,,,,,,,,,236.75,percent of total billed charges,222.8431995,,,,,,,,,,236.75,percent of total billed charges,999999999,,,,,,,,,,236.75,percent of total billed charges,191.2151578,,,,,,,,,,236.75,percent of total billed charges,301.55949,,,,,,,,,,236.75,percent of total billed charges,999999999,,,,,,,,,,236.75,percent of total billed charges,206.1767052,,,,,,,,,,852.3,percent of total billed charges,,,,,
**NEWBORN HEARING SCREENING (1 EAR),92586,CDM,,,52,both,,,257,257,54.71117377,257,257,percent of total billed charges,189.0840301,,,,257,percent of total billed charges,200.4253333,,,,257,percent of total billed charges,189.0840301,,,,257,percent of total billed charges,200.4253333,,,,257,percent of total billed charges,999999999,,,,257,percent of total billed charges,195.8163365,,,,257,percent of total billed charges,189.0840301,,,,257,percent of total billed charges,200.4253333,,,,183.241,percent of total billed charges,91.44061232,,,,183.241,percent of total billed charges,54.71117377,,,,183.241,percent of total billed charges,91.44061232,,,,183.241,percent of total billed charges,54.71117377,,,,183.241,percent of total billed charges,91.44061232,,,,183.241,percent of total billed charges,54.71117377,,,,181.442,percent of total billed charges,180.0653502,,,,181.442,percent of total billed charges,124.1896448,,,,,,,,,,185.04,percent of total billed charges,120.2716456,,,,,,,,,,185.04,percent of total billed charges,999999999,,,,,,,,,,205.6,percent of total billed charges,172.2821126,,,,203.03,percent of total billed charges,195.9326874,,,,203.03,percent of total billed charges,173.113015,,,,205.6,percent of total billed charges,999999999,,,,205.6,percent of total billed charges,999999999,,,,179.9,percent of total billed charges,999999999,,,,179.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,136.724,percent of total billed charges,999999999,,,,,,,,,,,,,,,,129.785,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,64.25,percent of total billed charges,61.02178388,,,,,,,,,,64.25,percent of total billed charges,60.00672802,,,,,,,,,,64.25,percent of total billed charges,59.83997189,,,,,,,,,,64.25,percent of total billed charges,58.95882904,,,,,,,,,,64.25,percent of total billed charges,60.47592638,,,,,,,,,,64.25,percent of total billed charges,999999999,,,,,,,,,,64.25,percent of total billed charges,51.89260355,,,,,,,,,,64.25,percent of total billed charges,81.8382143,,,,,,,,,,64.25,percent of total billed charges,999999999,,,,,,,,,,64.25,percent of total billed charges,55.95291788,,,,,,,,,,231.3,percent of total billed charges,,,,,
**NEWBORN HEARING SCREENING (2 EARS),92586,CDM,,,,both,,,257,257,54.71117377,257,257,percent of total billed charges,189.0840301,,,,257,percent of total billed charges,200.4253333,,,,257,percent of total billed charges,189.0840301,,,,257,percent of total billed charges,200.4253333,,,,257,percent of total billed charges,999999999,,,,257,percent of total billed charges,195.8163365,,,,257,percent of total billed charges,189.0840301,,,,257,percent of total billed charges,200.4253333,,,,183.241,percent of total billed charges,91.44061232,,,,183.241,percent of total billed charges,54.71117377,,,,183.241,percent of total billed charges,91.44061232,,,,183.241,percent of total billed charges,54.71117377,,,,183.241,percent of total billed charges,91.44061232,,,,183.241,percent of total billed charges,54.71117377,,,,181.442,percent of total billed charges,180.0653502,,,,181.442,percent of total billed charges,124.1896448,,,,,,,,,,185.04,percent of total billed charges,120.2716456,,,,,,,,,,185.04,percent of total billed charges,999999999,,,,,,,,,,205.6,percent of total billed charges,172.2821126,,,,203.03,percent of total billed charges,195.9326874,,,,203.03,percent of total billed charges,173.113015,,,,205.6,percent of total billed charges,999999999,,,,205.6,percent of total billed charges,999999999,,,,179.9,percent of total billed charges,999999999,,,,179.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,136.724,percent of total billed charges,999999999,,,,,,,,,,,,,,,,129.785,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,64.25,percent of total billed charges,61.02178388,,,,,,,,,,64.25,percent of total billed charges,60.00672802,,,,,,,,,,64.25,percent of total billed charges,59.83997189,,,,,,,,,,64.25,percent of total billed charges,58.95882904,,,,,,,,,,64.25,percent of total billed charges,60.47592638,,,,,,,,,,64.25,percent of total billed charges,999999999,,,,,,,,,,64.25,percent of total billed charges,51.89260355,,,,,,,,,,64.25,percent of total billed charges,81.8382143,,,,,,,,,,64.25,percent of total billed charges,999999999,,,,,,,,,,64.25,percent of total billed charges,55.95291788,,,,,,,,,,231.3,percent of total billed charges,,,,,
**WALLABY BILI LIGHT,Local,Local,,,,both,,,382,382,81.32166685,382,382,percent of total billed charges,281.0509708,,,,382,percent of total billed charges,297.908472,,,,382,percent of total billed charges,281.0509708,,,,382,percent of total billed charges,297.908472,,,,382,percent of total billed charges,999999999,,,,382,percent of total billed charges,291.0577453,,,,382,percent of total billed charges,281.0509708,,,,382,percent of total billed charges,297.908472,,,,272.366,percent of total billed charges,135.9156183,,,,272.366,percent of total billed charges,81.32166685,,,,272.366,percent of total billed charges,135.9156183,,,,272.366,percent of total billed charges,81.32166685,,,,272.366,percent of total billed charges,135.9156183,,,,272.366,percent of total billed charges,81.32166685,,,,269.692,percent of total billed charges,267.6457735,,,,269.692,percent of total billed charges,184.5931686,,,,,,,,,,275.04,percent of total billed charges,178.7695277,,,,,,,,,,275.04,percent of total billed charges,999999999,,,,,,,,,,305.6,percent of total billed charges,256.0769144,,,,301.78,percent of total billed charges,291.2306871,,,,301.78,percent of total billed charges,257.3119522,,,,305.6,percent of total billed charges,999999999,,,,305.6,percent of total billed charges,999999999,,,,267.4,percent of total billed charges,999999999,,,,267.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,203.224,percent of total billed charges,999999999,,,,,,,,,,,,,,,,192.91,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,95.5,percent of total billed charges,90.70163985,,,,,,,,,,95.5,percent of total billed charges,89.19287978,,,,,,,,,,95.5,percent of total billed charges,88.94501659,,,,,,,,,,95.5,percent of total billed charges,87.6353023,,,,,,,,,,95.5,percent of total billed charges,89.89028746,,,,,,,,,,95.5,percent of total billed charges,999999999,,,,,,,,,,95.5,percent of total billed charges,77.13219672,,,,,,,,,,95.5,percent of total billed charges,121.6427932,,,,,,,,,,95.5,percent of total billed charges,999999999,,,,,,,,,,95.5,percent of total billed charges,83.1673721,,,,,,,,,,343.8,percent of total billed charges,,,,,
**LAVAGE,Local,Local,,,,both,,,86,86,18.30801924,86,86,percent of total billed charges,63.27325521,,,,86,percent of total billed charges,67.06839946,,,,86,percent of total billed charges,63.27325521,,,,86,percent of total billed charges,67.06839946,,,,86,percent of total billed charges,999999999,,,,86,percent of total billed charges,65.52608926,,,,86,percent of total billed charges,63.27325521,,,,86,percent of total billed charges,67.06839946,,,,61.318,percent of total billed charges,30.59880412,,,,61.318,percent of total billed charges,18.30801924,,,,61.318,percent of total billed charges,30.59880412,,,,61.318,percent of total billed charges,18.30801924,,,,61.318,percent of total billed charges,30.59880412,,,,61.318,percent of total billed charges,18.30801924,,,,60.716,percent of total billed charges,60.2553312,,,,60.716,percent of total billed charges,41.55762434,,,,,,,,,,61.92,percent of total billed charges,40.24654289,,,,,,,,,,61.92,percent of total billed charges,999999999,,,,,,,,,,68.8,percent of total billed charges,57.65082366,,,,67.94,percent of total billed charges,65.56502379,,,,67.94,percent of total billed charges,57.92886882,,,,68.8,percent of total billed charges,999999999,,,,68.8,percent of total billed charges,999999999,,,,60.2,percent of total billed charges,999999999,,,,60.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,45.752,percent of total billed charges,999999999,,,,,,,,,,,,,,,,43.43,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21.5,percent of total billed charges,20.41974091,,,,,,,,,,21.5,percent of total billed charges,20.08007241,,,,,,,,,,21.5,percent of total billed charges,20.02427075,,,,,,,,,,21.5,percent of total billed charges,19.72941361,,,,,,,,,,21.5,percent of total billed charges,20.23708042,,,,,,,,,,21.5,percent of total billed charges,999999999,,,,,,,,,,21.5,percent of total billed charges,17.3648401,,,,,,,,,,21.5,percent of total billed charges,27.38555031,,,,,,,,,,21.5,percent of total billed charges,999999999,,,,,,,,,,21.5,percent of total billed charges,18.7235445,,,,,,,,,,77.4,percent of total billed charges,,,,,
**NEO NATAL MONITOR 0,93041,CDM,,,,both,,,131,131,27.88779675,131,131,percent of total billed charges,96.38135387,,,,131,percent of total billed charges,102.1623294,,,,131,percent of total billed charges,96.38135387,,,,131,percent of total billed charges,102.1623294,,,,131,percent of total billed charges,999999999,,,,131,percent of total billed charges,99.81299643,,,,131,percent of total billed charges,96.38135387,,,,131,percent of total billed charges,102.1623294,,,,93.403,percent of total billed charges,46.60980628,,,,93.403,percent of total billed charges,27.88779675,,,,93.403,percent of total billed charges,46.60980628,,,,93.403,percent of total billed charges,27.88779675,,,,93.403,percent of total billed charges,46.60980628,,,,93.403,percent of total billed charges,27.88779675,,,,92.486,percent of total billed charges,91.78428358,,,,92.486,percent of total billed charges,63.3028929,,,,,,,,,,94.32,percent of total billed charges,61.30578045,,,,,,,,,,94.32,percent of total billed charges,999999999,,,,,,,,,,104.8,percent of total billed charges,87.81695231,,,,103.49,percent of total billed charges,99.87230368,,,,103.49,percent of total billed charges,88.24048623,,,,104.8,percent of total billed charges,999999999,,,,104.8,percent of total billed charges,999999999,,,,91.7,percent of total billed charges,999999999,,,,91.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,69.692,percent of total billed charges,999999999,,,,,,,,,,,,,,,,66.155,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,32.75,percent of total billed charges,31.10448906,,,,,,,,,,32.75,percent of total billed charges,30.58708705,,,,,,,,,,32.75,percent of total billed charges,30.50208684,,,,,,,,,,32.75,percent of total billed charges,30.05294398,,,,,,,,,,32.75,percent of total billed charges,30.82625041,,,,,,,,,,32.75,percent of total billed charges,999999999,,,,,,,,,,32.75,percent of total billed charges,26.45109364,,,,,,,,,,32.75,percent of total billed charges,41.71519873,,,,,,,,,,32.75,percent of total billed charges,999999999,,,,,,,,,,32.75,percent of total billed charges,28.52074802,,,,,,,,,,117.9,percent of total billed charges,,,,,
**NEO NATAL MONITOR PER HOUR,93041,CDM,,,,both,,,27,27,5.747866505,27,27,percent of total billed charges,19.86485919,,,,27,percent of total billed charges,21.05635797,,,,27,percent of total billed charges,19.86485919,,,,27,percent of total billed charges,21.05635797,,,,27,percent of total billed charges,999999999,,,,27,percent of total billed charges,20.5721443,,,,27,percent of total billed charges,19.86485919,,,,27,percent of total billed charges,21.05635797,,,,19.251,percent of total billed charges,9.606601294,,,,19.251,percent of total billed charges,5.747866505,,,,19.251,percent of total billed charges,9.606601294,,,,19.251,percent of total billed charges,5.747866505,,,,19.251,percent of total billed charges,9.606601294,,,,19.251,percent of total billed charges,5.747866505,,,,19.062,percent of total billed charges,18.91737142,,,,19.062,percent of total billed charges,13.04716113,,,,,,,,,,19.44,percent of total billed charges,12.63554254,,,,,,,,,,19.44,percent of total billed charges,999999999,,,,,,,,,,21.6,percent of total billed charges,18.09967719,,,,21.33,percent of total billed charges,20.58436793,,,,21.33,percent of total billed charges,18.18697044,,,,21.6,percent of total billed charges,999999999,,,,21.6,percent of total billed charges,999999999,,,,18.9,percent of total billed charges,999999999,,,,18.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,14.364,percent of total billed charges,999999999,,,,,,,,,,,,,,,,13.635,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6.75,percent of total billed charges,6.41084889,,,,,,,,,,6.75,percent of total billed charges,6.30420878,,,,,,,,,,6.75,percent of total billed charges,6.286689654,,,,,,,,,,6.75,percent of total billed charges,6.194118226,,,,,,,,,,6.75,percent of total billed charges,6.353501993,,,,,,,,,,6.75,percent of total billed charges,999999999,,,,,,,,,,6.75,percent of total billed charges,5.451752124,,,,,,,,,,6.75,percent of total billed charges,8.597789051,,,,,,,,,,6.75,percent of total billed charges,999999999,,,,,,,,,,6.75,percent of total billed charges,5.878322112,,,,,,,,,,24.3,percent of total billed charges,,,,,
**DRAW PKU T4,Local,Local,,,,both,,,156,156,33.20989536,156,156,percent of total billed charges,114.774742,,,,156,percent of total billed charges,121.6589572,,,,156,percent of total billed charges,114.774742,,,,156,percent of total billed charges,121.6589572,,,,156,percent of total billed charges,999999999,,,,156,percent of total billed charges,118.8612782,,,,156,percent of total billed charges,114.774742,,,,156,percent of total billed charges,121.6589572,,,,111.228,percent of total billed charges,55.50480748,,,,111.228,percent of total billed charges,33.20989536,,,,111.228,percent of total billed charges,55.50480748,,,,111.228,percent of total billed charges,33.20989536,,,,111.228,percent of total billed charges,55.50480748,,,,111.228,percent of total billed charges,33.20989536,,,,110.136,percent of total billed charges,109.3003682,,,,110.136,percent of total billed charges,75.38359765,,,,,,,,,,112.32,percent of total billed charges,73.00535687,,,,,,,,,,112.32,percent of total billed charges,999999999,,,,,,,,,,124.8,percent of total billed charges,104.5759127,,,,123.24,percent of total billed charges,118.9319036,,,,123.24,percent of total billed charges,105.0802737,,,,124.8,percent of total billed charges,999999999,,,,124.8,percent of total billed charges,999999999,,,,109.2,percent of total billed charges,999999999,,,,109.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,82.992,percent of total billed charges,999999999,,,,,,,,,,,,,,,,78.78,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,39,percent of total billed charges,37.04046025,,,,,,,,,,39,percent of total billed charges,36.4243174,,,,,,,,,,39,percent of total billed charges,36.32309578,,,,,,,,,,39,percent of total billed charges,35.78823864,,,,,,,,,,39,percent of total billed charges,36.70912263,,,,,,,,,,39,percent of total billed charges,999999999,,,,,,,,,,39,percent of total billed charges,31.49901227,,,,,,,,,,39,percent of total billed charges,49.67611452,,,,,,,,,,39,percent of total billed charges,999999999,,,,,,,,,,39,percent of total billed charges,33.96363887,,,,,,,,,,140.4,percent of total billed charges,,,,,
**RADIANT WARMER,Local,Local,,,,both,,,541,541,115.170214,541,541,percent of total billed charges,398.0329194,,,,541,percent of total billed charges,421.9070245,,,,541,percent of total billed charges,398.0329194,,,,541,percent of total billed charges,421.9070245,,,,541,percent of total billed charges,999999999,,,,541,percent of total billed charges,412.2048173,,,,541,percent of total billed charges,398.0329194,,,,541,percent of total billed charges,421.9070245,,,,385.733,percent of total billed charges,192.4878259,,,,385.733,percent of total billed charges,115.170214,,,,385.733,percent of total billed charges,192.4878259,,,,385.733,percent of total billed charges,115.170214,,,,385.733,percent of total billed charges,192.4878259,,,,385.733,percent of total billed charges,115.170214,,,,381.946,percent of total billed charges,379.0480719,,,,381.946,percent of total billed charges,261.4264508,,,,,,,,,,389.52,percent of total billed charges,253.1788338,,,,,,,,,,389.52,percent of total billed charges,999999999,,,,,,,,,,432.8,percent of total billed charges,362.6639023,,,,427.39,percent of total billed charges,412.4497427,,,,427.39,percent of total billed charges,364.4130004,,,,432.8,percent of total billed charges,999999999,,,,432.8,percent of total billed charges,999999999,,,,378.7,percent of total billed charges,999999999,,,,378.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,287.812,percent of total billed charges,999999999,,,,,,,,,,,,,,,,273.205,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,135.25,percent of total billed charges,128.4544166,,,,,,,,,,135.25,percent of total billed charges,126.3176648,,,,,,,,,,135.25,percent of total billed charges,125.9666334,,,,,,,,,,135.25,percent of total billed charges,124.1117763,,,,,,,,,,135.25,percent of total billed charges,127.3053548,,,,,,,,,,135.25,percent of total billed charges,999999999,,,,,,,,,,135.25,percent of total billed charges,109.2369592,,,,,,,,,,135.25,percent of total billed charges,172.2742177,,,,,,,,,,135.25,percent of total billed charges,999999999,,,,,,,,,,135.25,percent of total billed charges,117.7841579,,,,,,,,,,486.9,percent of total billed charges,,,,,
**ISOLETTE 4 HRS,Local,Local,,,,both,,,243,243,51.73079854,243,243,percent of total billed charges,178.7837328,,,,243,percent of total billed charges,189.5072217,,,,243,percent of total billed charges,178.7837328,,,,243,percent of total billed charges,189.5072217,,,,243,percent of total billed charges,999999999,,,,243,percent of total billed charges,185.1492987,,,,243,percent of total billed charges,178.7837328,,,,243,percent of total billed charges,189.5072217,,,,173.259,percent of total billed charges,86.45941165,,,,173.259,percent of total billed charges,51.73079854,,,,173.259,percent of total billed charges,86.45941165,,,,173.259,percent of total billed charges,51.73079854,,,,173.259,percent of total billed charges,86.45941165,,,,173.259,percent of total billed charges,51.73079854,,,,171.558,percent of total billed charges,170.2563428,,,,171.558,percent of total billed charges,117.4244502,,,,,,,,,,174.96,percent of total billed charges,113.7198828,,,,,,,,,,174.96,percent of total billed charges,999999999,,,,,,,,,,194.4,percent of total billed charges,162.8970947,,,,191.97,percent of total billed charges,185.2593114,,,,191.97,percent of total billed charges,163.682734,,,,194.4,percent of total billed charges,999999999,,,,194.4,percent of total billed charges,999999999,,,,170.1,percent of total billed charges,999999999,,,,170.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,129.276,percent of total billed charges,999999999,,,,,,,,,,,,,,,,122.715,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,60.75,percent of total billed charges,57.69764001,,,,,,,,,,60.75,percent of total billed charges,56.73787902,,,,,,,,,,60.75,percent of total billed charges,56.58020689,,,,,,,,,,60.75,percent of total billed charges,55.74706403,,,,,,,,,,60.75,percent of total billed charges,57.18151794,,,,,,,,,,60.75,percent of total billed charges,999999999,,,,,,,,,,60.75,percent of total billed charges,49.06576912,,,,,,,,,,60.75,percent of total billed charges,77.38010146,,,,,,,,,,60.75,percent of total billed charges,999999999,,,,,,,,,,60.75,percent of total billed charges,52.90489901,,,,,,,,,,218.7,percent of total billed charges,,,,,
**I V PUMP,Local,Local,,,,both,,,175,175,37.25469031,175,175,percent of total billed charges,128.753717,,,,175,percent of total billed charges,136.4763943,,,,175,percent of total billed charges,128.753717,,,,175,percent of total billed charges,136.4763943,,,,175,percent of total billed charges,999999999,,,,175,percent of total billed charges,133.3379723,,,,175,percent of total billed charges,128.753717,,,,175,percent of total billed charges,136.4763943,,,,124.775,percent of total billed charges,62.26500839,,,,124.775,percent of total billed charges,37.25469031,,,,124.775,percent of total billed charges,62.26500839,,,,124.775,percent of total billed charges,37.25469031,,,,124.775,percent of total billed charges,62.26500839,,,,124.775,percent of total billed charges,37.25469031,,,,123.55,percent of total billed charges,122.6125926,,,,123.55,percent of total billed charges,84.56493326,,,,,,,,,,126,percent of total billed charges,81.89703495,,,,,,,,,,126,percent of total billed charges,999999999,,,,,,,,,,140,percent of total billed charges,117.3127226,,,,138.25,percent of total billed charges,133.4171996,,,,138.25,percent of total billed charges,117.8785121,,,,140,percent of total billed charges,999999999,,,,140,percent of total billed charges,999999999,,,,122.5,percent of total billed charges,999999999,,,,122.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,93.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,88.375,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,43.75,percent of total billed charges,41.55179836,,,,,,,,,,43.75,percent of total billed charges,40.86061247,,,,,,,,,,43.75,percent of total billed charges,40.74706257,,,,,,,,,,43.75,percent of total billed charges,40.14706257,,,,,,,,,,43.75,percent of total billed charges,41.18010551,,,,,,,,,,43.75,percent of total billed charges,999999999,,,,,,,,,,43.75,percent of total billed charges,35.33543044,,,,,,,,,,43.75,percent of total billed charges,55.72641052,,,,,,,,,,43.75,percent of total billed charges,999999999,,,,,,,,,,43.75,percent of total billed charges,38.10023591,,,,,,,,,,157.5,percent of total billed charges,,,,,
**SOFT CUP INFANT FEEDER-DISP,Local,Local,,,,both,,,201,201,42.78967287,201,201,percent of total billed charges,147.8828407,,,,201,percent of total billed charges,156.7528871,,,,201,percent of total billed charges,147.8828407,,,,201,percent of total billed charges,156.7528871,,,,201,percent of total billed charges,999999999,,,,201,percent of total billed charges,153.1481854,,,,201,percent of total billed charges,147.8828407,,,,201,percent of total billed charges,156.7528871,,,,143.313,percent of total billed charges,71.51580963,,,,143.313,percent of total billed charges,42.78967287,,,,143.313,percent of total billed charges,71.51580963,,,,143.313,percent of total billed charges,42.78967287,,,,143.313,percent of total billed charges,71.51580963,,,,143.313,percent of total billed charges,42.78967287,,,,141.906,percent of total billed charges,140.8293206,,,,141.906,percent of total billed charges,97.1288662,,,,,,,,,,144.72,percent of total billed charges,94.06459443,,,,,,,,,,144.72,percent of total billed charges,999999999,,,,,,,,,,160.8,percent of total billed charges,134.7420413,,,,158.79,percent of total billed charges,153.2391835,,,,158.79,percent of total billed charges,135.3918911,,,,160.8,percent of total billed charges,999999999,,,,160.8,percent of total billed charges,999999999,,,,140.7,percent of total billed charges,999999999,,,,140.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,106.932,percent of total billed charges,999999999,,,,,,,,,,,,,,,,101.505,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,50.25,percent of total billed charges,47.7252084,,,,,,,,,,50.25,percent of total billed charges,46.93133203,,,,,,,,,,50.25,percent of total billed charges,46.80091187,,,,,,,,,,50.25,percent of total billed charges,46.11176901,,,,,,,,,,50.25,percent of total billed charges,47.29829262,,,,,,,,,,50.25,percent of total billed charges,999999999,,,,,,,,,,50.25,percent of total billed charges,40.58526581,,,,,,,,,,50.25,percent of total billed charges,64.00576294,,,,,,,,,,50.25,percent of total billed charges,999999999,,,,,,,,,,50.25,percent of total billed charges,43.76084239,,,,,,,,,,180.9,percent of total billed charges,,,,,
**UMBILICAL CATH TRAY,Local,Local,,,,both,,,962,962,204.7943547,962,962,percent of total billed charges,707.7775757,,,,962,percent of total billed charges,750.2302358,,,,962,percent of total billed charges,707.7775757,,,,962,percent of total billed charges,750.2302358,,,,962,percent of total billed charges,999999999,,,,962,percent of total billed charges,732.9778821,,,,962,percent of total billed charges,707.7775757,,,,962,percent of total billed charges,750.2302358,,,,685.906,percent of total billed charges,342.2796461,,,,685.906,percent of total billed charges,204.7943547,,,,685.906,percent of total billed charges,342.2796461,,,,685.906,percent of total billed charges,204.7943547,,,,685.906,percent of total billed charges,342.2796461,,,,685.906,percent of total billed charges,204.7943547,,,,679.172,percent of total billed charges,674.0189374,,,,679.172,percent of total billed charges,464.8655188,,,,,,,,,,692.64,percent of total billed charges,450.1997007,,,,,,,,,,692.64,percent of total billed charges,999999999,,,,,,,,,,769.6,percent of total billed charges,644.8847948,,,,759.98,percent of total billed charges,733.4134057,,,,759.98,percent of total billed charges,647.995021,,,,769.6,percent of total billed charges,999999999,,,,769.6,percent of total billed charges,999999999,,,,673.4,percent of total billed charges,999999999,,,,673.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,511.784,percent of total billed charges,999999999,,,,,,,,,,,,,,,,485.81,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,240.5,percent of total billed charges,228.4161715,,,,,,,,,,240.5,percent of total billed charges,224.616624,,,,,,,,,,240.5,percent of total billed charges,223.992424,,,,,,,,,,240.5,percent of total billed charges,220.6941383,,,,,,,,,,240.5,percent of total billed charges,226.3729229,,,,,,,,,,240.5,percent of total billed charges,999999999,,,,,,,,,,240.5,percent of total billed charges,194.243909,,,,,,,,,,240.5,percent of total billed charges,306.3360395,,,,,,,,,,240.5,percent of total billed charges,999999999,,,,,,,,,,240.5,percent of total billed charges,209.4424397,,,,,,,,,,865.8,percent of total billed charges,,,,,
**LANCET TENDERFOOT,Local,Local,,,,both,,,50,50,10.64419723,50,50,percent of total billed charges,36.78677629,,,,50,percent of total billed charges,38.9932555,,,,50,percent of total billed charges,36.78677629,,,,50,percent of total billed charges,38.9932555,,,,50,percent of total billed charges,999999999,,,,50,percent of total billed charges,38.09656352,,,,50,percent of total billed charges,36.78677629,,,,50,percent of total billed charges,38.9932555,,,,35.65,percent of total billed charges,17.7900024,,,,35.65,percent of total billed charges,10.64419723,,,,35.65,percent of total billed charges,17.7900024,,,,35.65,percent of total billed charges,10.64419723,,,,35.65,percent of total billed charges,17.7900024,,,,35.65,percent of total billed charges,10.64419723,,,,35.3,percent of total billed charges,35.0321693,,,,35.3,percent of total billed charges,24.1614095,,,,,,,,,,36,percent of total billed charges,23.39915284,,,,,,,,,,36,percent of total billed charges,999999999,,,,,,,,,,40,percent of total billed charges,33.51792073,,,,39.5,percent of total billed charges,38.11919988,,,,39.5,percent of total billed charges,33.6795749,,,,40,percent of total billed charges,999999999,,,,40,percent of total billed charges,999999999,,,,35,percent of total billed charges,999999999,,,,35,percent of total billed charges,999999999,,,,,,,,,,,,,,,,26.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,25.25,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12.5,percent of total billed charges,11.87194239,,,,,,,,,,12.5,percent of total billed charges,11.6744607,,,,,,,,,,12.5,percent of total billed charges,11.64201788,,,,,,,,,,12.5,percent of total billed charges,11.47058931,,,,,,,,,,12.5,percent of total billed charges,11.76574443,,,,,,,,,,12.5,percent of total billed charges,999999999,,,,,,,,,,12.5,percent of total billed charges,10.09583727,,,,,,,,,,12.5,percent of total billed charges,15.92183158,,,,,,,,,,12.5,percent of total billed charges,999999999,,,,,,,,,,12.5,percent of total billed charges,10.88578169,,,,,,,,,,45,percent of total billed charges,,,,,
**DATASCOPE SENSOR DISPOSABLE,Local,Local,,,,both,,,730,730,155.4052796,730,730,percent of total billed charges,537.0869338,,,,730,percent of total billed charges,569.3015303,,,,730,percent of total billed charges,537.0869338,,,,730,percent of total billed charges,569.3015303,,,,730,percent of total billed charges,999999999,,,,730,percent of total billed charges,556.2098274,,,,730,percent of total billed charges,537.0869338,,,,730,percent of total billed charges,569.3015303,,,,520.49,percent of total billed charges,259.734035,,,,520.49,percent of total billed charges,155.4052796,,,,520.49,percent of total billed charges,259.734035,,,,520.49,percent of total billed charges,155.4052796,,,,520.49,percent of total billed charges,259.734035,,,,520.49,percent of total billed charges,155.4052796,,,,515.38,percent of total billed charges,511.4696718,,,,515.38,percent of total billed charges,352.7565787,,,,,,,,,,525.6,percent of total billed charges,341.6276315,,,,,,,,,,525.6,percent of total billed charges,999999999,,,,,,,,,,584,percent of total billed charges,489.3616427,,,,576.7,percent of total billed charges,556.5403182,,,,576.7,percent of total billed charges,491.7217935,,,,584,percent of total billed charges,999999999,,,,584,percent of total billed charges,999999999,,,,511,percent of total billed charges,999999999,,,,511,percent of total billed charges,999999999,,,,,,,,,,,,,,,,388.36,percent of total billed charges,999999999,,,,,,,,,,,,,,,,368.65,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,182.5,percent of total billed charges,173.3303589,,,,,,,,,,182.5,percent of total billed charges,170.4471263,,,,,,,,,,182.5,percent of total billed charges,169.973461,,,,,,,,,,182.5,percent of total billed charges,167.4706039,,,,,,,,,,182.5,percent of total billed charges,171.7798687,,,,,,,,,,182.5,percent of total billed charges,999999999,,,,,,,,,,182.5,percent of total billed charges,147.3992241,,,,,,,,,,182.5,percent of total billed charges,232.458741,,,,,,,,,,182.5,percent of total billed charges,999999999,,,,,,,,,,182.5,percent of total billed charges,158.9324126,,,,,,,,,,657,percent of total billed charges,,,,,
**OXYHOOD,Local,Local,,,,both,,,137,137,29.16510041,137,137,percent of total billed charges,100.795767,,,,137,percent of total billed charges,106.8415201,,,,137,percent of total billed charges,100.795767,,,,137,percent of total billed charges,106.8415201,,,,137,percent of total billed charges,999999999,,,,137,percent of total billed charges,104.384584,,,,137,percent of total billed charges,100.795767,,,,137,percent of total billed charges,106.8415201,,,,97.681,percent of total billed charges,48.74460657,,,,97.681,percent of total billed charges,29.16510041,,,,97.681,percent of total billed charges,48.74460657,,,,97.681,percent of total billed charges,29.16510041,,,,97.681,percent of total billed charges,48.74460657,,,,97.681,percent of total billed charges,29.16510041,,,,96.722,percent of total billed charges,95.98814389,,,,96.722,percent of total billed charges,66.20226204,,,,,,,,,,98.64,percent of total billed charges,64.11367879,,,,,,,,,,98.64,percent of total billed charges,999999999,,,,,,,,,,109.6,percent of total billed charges,91.8391028,,,,108.23,percent of total billed charges,104.4466077,,,,108.23,percent of total billed charges,92.28203522,,,,109.6,percent of total billed charges,999999999,,,,109.6,percent of total billed charges,999999999,,,,95.9,percent of total billed charges,999999999,,,,95.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,72.884,percent of total billed charges,999999999,,,,,,,,,,,,,,,,69.185,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,34.25,percent of total billed charges,32.52912214,,,,,,,,,,34.25,percent of total billed charges,31.98802233,,,,,,,,,,34.25,percent of total billed charges,31.89912899,,,,,,,,,,34.25,percent of total billed charges,31.4294147,,,,,,,,,,34.25,percent of total billed charges,32.23813974,,,,,,,,,,34.25,percent of total billed charges,999999999,,,,,,,,,,34.25,percent of total billed charges,27.66259411,,,,,,,,,,34.25,percent of total billed charges,43.62581852,,,,,,,,,,34.25,percent of total billed charges,999999999,,,,,,,,,,34.25,percent of total billed charges,29.82704183,,,,,,,,,,123.3,percent of total billed charges,,,,,
**CR EVALUATION- PH 2 CARDIAC REHAB,99201,CDM,,,,both,,,214,214,45.55716415,214,214,percent of total billed charges,157.4474025,,,,214,percent of total billed charges,166.8911335,,,,214,percent of total billed charges,157.4474025,,,,214,percent of total billed charges,166.8911335,,,,214,percent of total billed charges,999999999,,,,214,percent of total billed charges,163.0532919,,,,214,percent of total billed charges,157.4474025,,,,214,percent of total billed charges,166.8911335,,,,152.582,percent of total billed charges,76.14121026,,,,152.582,percent of total billed charges,45.55716415,,,,152.582,percent of total billed charges,76.14121026,,,,152.582,percent of total billed charges,45.55716415,,,,152.582,percent of total billed charges,76.14121026,,,,152.582,percent of total billed charges,45.55716415,,,,151.084,percent of total billed charges,149.9376846,,,,151.084,percent of total billed charges,103.4108327,,,,,,,,,,154.08,percent of total billed charges,100.1483742,,,,,,,,,,154.08,percent of total billed charges,999999999,,,,,,,,,,171.2,percent of total billed charges,143.4567007,,,,169.06,percent of total billed charges,163.1501755,,,,169.06,percent of total billed charges,144.1485806,,,,171.2,percent of total billed charges,999999999,,,,171.2,percent of total billed charges,999999999,,,,149.8,percent of total billed charges,999999999,,,,149.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,113.848,percent of total billed charges,999999999,,,,,,,,,,,,,,,,108.07,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.5,percent of total billed charges,50.81191342,,,,,,,,,,53.5,percent of total billed charges,49.96669182,,,,,,,,,,53.5,percent of total billed charges,49.82783652,,,,,,,,,,53.5,percent of total billed charges,49.09412223,,,,,,,,,,53.5,percent of total billed charges,50.35738617,,,,,,,,,,53.5,percent of total billed charges,999999999,,,,,,,,,,53.5,percent of total billed charges,43.2101835,,,,,,,,,,53.5,percent of total billed charges,68.14543914,,,,,,,,,,53.5,percent of total billed charges,999999999,,,,,,,,,,53.5,percent of total billed charges,46.59114563,,,,,,,,,,192.6,percent of total billed charges,,,,,
**CR EXERCISE-PH2 CARDIAC REHAB,93798,CDM,,,,both,,,134,134,28.52644858,134,134,percent of total billed charges,98.58856045,,,,134,percent of total billed charges,104.5019247,,,,134,percent of total billed charges,98.58856045,,,,134,percent of total billed charges,104.5019247,,,,134,percent of total billed charges,999999999,,,,134,percent of total billed charges,102.0987902,,,,134,percent of total billed charges,98.58856045,,,,134,percent of total billed charges,104.5019247,,,,95.542,percent of total billed charges,47.67720642,,,,95.542,percent of total billed charges,28.52644858,,,,95.542,percent of total billed charges,47.67720642,,,,95.542,percent of total billed charges,28.52644858,,,,95.542,percent of total billed charges,47.67720642,,,,95.542,percent of total billed charges,28.52644858,,,,94.604,percent of total billed charges,93.88621373,,,,94.604,percent of total billed charges,64.75257747,,,,,,,,,,96.48,percent of total billed charges,62.70972962,,,,,,,,,,96.48,percent of total billed charges,999999999,,,,,,,,,,107.2,percent of total billed charges,89.82802756,,,,105.86,percent of total billed charges,102.1594557,,,,105.86,percent of total billed charges,90.26126072,,,,107.2,percent of total billed charges,999999999,,,,107.2,percent of total billed charges,999999999,,,,93.8,percent of total billed charges,999999999,,,,93.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,71.288,percent of total billed charges,999999999,,,,,,,,,,,,,,,,67.67,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,33.5,percent of total billed charges,31.8168056,,,,,,,,,,33.5,percent of total billed charges,31.28755469,,,,,,,,,,33.5,percent of total billed charges,31.20060791,,,,,,,,,,33.5,percent of total billed charges,30.74117934,,,,,,,,,,33.5,percent of total billed charges,31.53219508,,,,,,,,,,33.5,percent of total billed charges,999999999,,,,,,,,,,33.5,percent of total billed charges,27.05684388,,,,,,,,,,33.5,percent of total billed charges,42.67050862,,,,,,,,,,33.5,percent of total billed charges,999999999,,,,,,,,,,33.5,percent of total billed charges,29.17389492,,,,,,,,,,120.6,percent of total billed charges,,,,,
**CR EXERCISE-PH 1 CARDIAC REHAB,Local,Local,,,,both,,,103,103,21.9270463,103,103,percent of total billed charges,75.78075915,,,,103,percent of total billed charges,80.32610633,,,,103,percent of total billed charges,75.78075915,,,,103,percent of total billed charges,80.32610633,,,,103,percent of total billed charges,999999999,,,,103,percent of total billed charges,78.47892085,,,,103,percent of total billed charges,75.78075915,,,,103,percent of total billed charges,80.32610633,,,,73.439,percent of total billed charges,36.64740494,,,,73.439,percent of total billed charges,21.9270463,,,,73.439,percent of total billed charges,36.64740494,,,,73.439,percent of total billed charges,21.9270463,,,,73.439,percent of total billed charges,36.64740494,,,,73.439,percent of total billed charges,21.9270463,,,,72.718,percent of total billed charges,72.16626877,,,,72.718,percent of total billed charges,49.77250357,,,,,,,,,,74.16,percent of total billed charges,48.20225486,,,,,,,,,,74.16,percent of total billed charges,999999999,,,,,,,,,,82.4,percent of total billed charges,69.0469167,,,,81.37,percent of total billed charges,78.52555175,,,,81.37,percent of total billed charges,69.37992429,,,,82.4,percent of total billed charges,999999999,,,,82.4,percent of total billed charges,999999999,,,,72.1,percent of total billed charges,999999999,,,,72.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,54.796,percent of total billed charges,999999999,,,,,,,,,,,,,,,,52.015,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,25.75,percent of total billed charges,24.45620132,,,,,,,,,,25.75,percent of total billed charges,24.04938905,,,,,,,,,,25.75,percent of total billed charges,23.98255683,,,,,,,,,,25.75,percent of total billed charges,23.62941397,,,,,,,,,,25.75,percent of total billed charges,24.23743353,,,,,,,,,,25.75,percent of total billed charges,999999999,,,,,,,,,,25.75,percent of total billed charges,20.79742477,,,,,,,,,,25.75,percent of total billed charges,32.79897305,,,,,,,,,,25.75,percent of total billed charges,999999999,,,,,,,,,,25.75,percent of total billed charges,22.42471028,,,,,,,,,,92.7,percent of total billed charges,,,,,
**CARDIAC REHAB PHASE I,93799,CDM,,,,both,,,227,227,48.32465543,227,227,percent of total billed charges,167.0119643,,,,227,percent of total billed charges,177.02938,,,,227,percent of total billed charges,167.0119643,,,,227,percent of total billed charges,177.02938,,,,227,percent of total billed charges,999999999,,,,227,percent of total billed charges,172.9583984,,,,227,percent of total billed charges,167.0119643,,,,227,percent of total billed charges,177.02938,,,,161.851,percent of total billed charges,80.76661088,,,,161.851,percent of total billed charges,48.32465543,,,,161.851,percent of total billed charges,80.76661088,,,,161.851,percent of total billed charges,48.32465543,,,,161.851,percent of total billed charges,80.76661088,,,,161.851,percent of total billed charges,48.32465543,,,,160.262,percent of total billed charges,159.0460486,,,,160.262,percent of total billed charges,109.6927991,,,,,,,,,,163.44,percent of total billed charges,106.2321539,,,,,,,,,,163.44,percent of total billed charges,999999999,,,,,,,,,,181.6,percent of total billed charges,152.1713601,,,,179.33,percent of total billed charges,173.0611675,,,,179.33,percent of total billed charges,152.90527,,,,181.6,percent of total billed charges,999999999,,,,181.6,percent of total billed charges,999999999,,,,158.9,percent of total billed charges,999999999,,,,158.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,120.764,percent of total billed charges,999999999,,,,,,,,,,,,,,,,114.635,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,56.75,percent of total billed charges,53.89861844,,,,,,,,,,56.75,percent of total billed charges,53.0020516,,,,,,,,,,56.75,percent of total billed charges,52.85476117,,,,,,,,,,56.75,percent of total billed charges,52.07647545,,,,,,,,,,56.75,percent of total billed charges,53.41647972,,,,,,,,,,56.75,percent of total billed charges,999999999,,,,,,,,,,56.75,percent of total billed charges,45.83510119,,,,,,,,,,56.75,percent of total billed charges,72.28511535,,,,,,,,,,56.75,percent of total billed charges,999999999,,,,,,,,,,56.75,percent of total billed charges,49.42144886,,,,,,,,,,204.3,percent of total billed charges,,,,,
**CARDIAC REHAB PHASE II,93798,CDM,,,,both,,,211,211,44.91851232,211,211,percent of total billed charges,155.2401959,,,,211,percent of total billed charges,164.5515382,,,,211,percent of total billed charges,155.2401959,,,,211,percent of total billed charges,164.5515382,,,,211,percent of total billed charges,999999999,,,,211,percent of total billed charges,160.7674981,,,,211,percent of total billed charges,155.2401959,,,,211,percent of total billed charges,164.5515382,,,,150.443,percent of total billed charges,75.07381011,,,,150.443,percent of total billed charges,44.91851232,,,,150.443,percent of total billed charges,75.07381011,,,,150.443,percent of total billed charges,44.91851232,,,,150.443,percent of total billed charges,75.07381011,,,,150.443,percent of total billed charges,44.91851232,,,,148.966,percent of total billed charges,147.8357545,,,,148.966,percent of total billed charges,101.9611481,,,,,,,,,,151.92,percent of total billed charges,98.744425,,,,,,,,,,151.92,percent of total billed charges,999999999,,,,,,,,,,168.8,percent of total billed charges,141.4456255,,,,166.69,percent of total billed charges,160.8630235,,,,166.69,percent of total billed charges,142.1278061,,,,168.8,percent of total billed charges,999999999,,,,168.8,percent of total billed charges,999999999,,,,147.7,percent of total billed charges,999999999,,,,147.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,112.252,percent of total billed charges,999999999,,,,,,,,,,,,,,,,106.555,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,52.75,percent of total billed charges,50.09959688,,,,,,,,,,52.75,percent of total billed charges,49.26622417,,,,,,,,,,52.75,percent of total billed charges,49.12931545,,,,,,,,,,52.75,percent of total billed charges,48.40588687,,,,,,,,,,52.75,percent of total billed charges,49.6514415,,,,,,,,,,52.75,percent of total billed charges,999999999,,,,,,,,,,52.75,percent of total billed charges,42.60443327,,,,,,,,,,52.75,percent of total billed charges,67.19012925,,,,,,,,,,52.75,percent of total billed charges,999999999,,,,,,,,,,52.75,percent of total billed charges,45.93799872,,,,,,,,,,189.9,percent of total billed charges,,,,,
CARDIAC REHAB PHASE 3,Local,Local,,,,both,,,40,40,8.515357785,40,40,percent of total billed charges,29.42942103,,,,40,percent of total billed charges,31.1946044,,,,40,percent of total billed charges,29.42942103,,,,40,percent of total billed charges,31.1946044,,,,40,percent of total billed charges,999999999,,,,40,percent of total billed charges,30.47725082,,,,40,percent of total billed charges,29.42942103,,,,40,percent of total billed charges,31.1946044,,,,28.52,percent of total billed charges,14.23200192,,,,28.52,percent of total billed charges,8.515357785,,,,28.52,percent of total billed charges,14.23200192,,,,28.52,percent of total billed charges,8.515357785,,,,28.52,percent of total billed charges,14.23200192,,,,28.52,percent of total billed charges,8.515357785,,,,28.24,percent of total billed charges,28.02573544,,,,28.24,percent of total billed charges,19.3291276,,,,,,,,,,28.8,percent of total billed charges,18.71932228,,,,,,,,,,28.8,percent of total billed charges,999999999,,,,,,,,,,32,percent of total billed charges,26.81433658,,,,31.6,percent of total billed charges,30.4953599,,,,31.6,percent of total billed charges,26.94365992,,,,32,percent of total billed charges,999999999,,,,32,percent of total billed charges,999999999,,,,28,percent of total billed charges,999999999,,,,28,percent of total billed charges,999999999,,,,,,,,,,,,,,,,21.28,percent of total billed charges,999999999,,,,,,,,,,,,,,,,20.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10,percent of total billed charges,9.497553911,,,,,,,,,,10,percent of total billed charges,9.339568564,,,,,,,,,,10,percent of total billed charges,9.313614303,,,,,,,,,,10,percent of total billed charges,9.176471445,,,,,,,,,,10,percent of total billed charges,9.412595546,,,,,,,,,,10,percent of total billed charges,999999999,,,,,,,,,,10,percent of total billed charges,8.076669814,,,,,,,,,,10,percent of total billed charges,12.73746526,,,,,,,,,,10,percent of total billed charges,999999999,,,,,,,,,,10,percent of total billed charges,8.708625351,,,,,,,,,,36,percent of total billed charges,,,,,
**CR EXERCISE BRIEF PH1,Local,Local,,,,both,,,46,46,9.792661453,46,46,percent of total billed charges,33.84383418,,,,46,percent of total billed charges,35.87379506,,,,46,percent of total billed charges,33.84383418,,,,46,percent of total billed charges,35.87379506,,,,46,percent of total billed charges,999999999,,,,46,percent of total billed charges,35.04883844,,,,46,percent of total billed charges,33.84383418,,,,46,percent of total billed charges,35.87379506,,,,32.798,percent of total billed charges,16.3668022,,,,32.798,percent of total billed charges,9.792661453,,,,32.798,percent of total billed charges,16.3668022,,,,32.798,percent of total billed charges,9.792661453,,,,32.798,percent of total billed charges,16.3668022,,,,32.798,percent of total billed charges,9.792661453,,,,32.476,percent of total billed charges,32.22959576,,,,32.476,percent of total billed charges,22.22849674,,,,,,,,,,33.12,percent of total billed charges,21.52722062,,,,,,,,,,33.12,percent of total billed charges,999999999,,,,,,,,,,36.8,percent of total billed charges,30.83648707,,,,36.34,percent of total billed charges,35.06966389,,,,36.34,percent of total billed charges,30.98520891,,,,36.8,percent of total billed charges,999999999,,,,36.8,percent of total billed charges,999999999,,,,32.2,percent of total billed charges,999999999,,,,32.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,24.472,percent of total billed charges,999999999,,,,,,,,,,,,,,,,23.23,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11.5,percent of total billed charges,10.922187,,,,,,,,,,11.5,percent of total billed charges,10.74050385,,,,,,,,,,11.5,percent of total billed charges,10.71065645,,,,,,,,,,11.5,percent of total billed charges,10.55294216,,,,,,,,,,11.5,percent of total billed charges,10.82448488,,,,,,,,,,11.5,percent of total billed charges,999999999,,,,,,,,,,11.5,percent of total billed charges,9.288170286,,,,,,,,,,11.5,percent of total billed charges,14.64808505,,,,,,,,,,11.5,percent of total billed charges,999999999,,,,,,,,,,11.5,percent of total billed charges,10.01491915,,,,,,,,,,41.4,percent of total billed charges,,,,,
**CR CARDIAC REHAB PH 3 /INDIVIDUAL,93797,CDM,,,,both,,,13,13,2.76749128,13,13,percent of total billed charges,9.564561834,,,,13,percent of total billed charges,10.13824643,,,,13,percent of total billed charges,9.564561834,,,,13,percent of total billed charges,10.13824643,,,,13,percent of total billed charges,999999999,,,,13,percent of total billed charges,9.905106516,,,,13,percent of total billed charges,9.564561834,,,,13,percent of total billed charges,10.13824643,,,,9.269,percent of total billed charges,4.625400623,,,,9.269,percent of total billed charges,2.76749128,,,,9.269,percent of total billed charges,4.625400623,,,,9.269,percent of total billed charges,2.76749128,,,,9.269,percent of total billed charges,4.625400623,,,,9.269,percent of total billed charges,2.76749128,,,,9.178,percent of total billed charges,9.108364019,,,,9.178,percent of total billed charges,6.281966471,,,,,,,,,,9.36,percent of total billed charges,6.083779739,,,,,,,,,,9.36,percent of total billed charges,999999999,,,,,,,,,,10.4,percent of total billed charges,8.71465939,,,,10.27,percent of total billed charges,9.910991969,,,,10.27,percent of total billed charges,8.756689473,,,,10.4,percent of total billed charges,999999999,,,,10.4,percent of total billed charges,999999999,,,,9.1,percent of total billed charges,999999999,,,,9.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.916,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.565,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3.25,percent of total billed charges,3.086705021,,,,,,,,,,3.25,percent of total billed charges,3.035359783,,,,,,,,,,3.25,percent of total billed charges,3.026924648,,,,,,,,,,3.25,percent of total billed charges,2.98235322,,,,,,,,,,3.25,percent of total billed charges,3.059093552,,,,,,,,,,3.25,percent of total billed charges,999999999,,,,,,,,,,3.25,percent of total billed charges,2.624917689,,,,,,,,,,3.25,percent of total billed charges,4.13967621,,,,,,,,,,3.25,percent of total billed charges,999999999,,,,,,,,,,3.25,percent of total billed charges,2.830303239,,,,,,,,,,11.7,percent of total billed charges,,,,,
**CR EXERCISE-PH3 CARDIAC REHAB,94799,CDM,,,,both,,,12,12,2.554607335,12,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,12,percent of total billed charges,999999999,,,,12,percent of total billed charges,9.143175245,,,,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.472,percent of total billed charges,8.407720633,,,,8.472,percent of total billed charges,5.79873828,,,,,,,,,,8.64,percent of total billed charges,5.615796683,,,,,,,,,,8.64,percent of total billed charges,999999999,,,,,,,,,,9.6,percent of total billed charges,8.044300975,,,,9.48,percent of total billed charges,9.148607971,,,,9.48,percent of total billed charges,8.083097975,,,,9.6,percent of total billed charges,999999999,,,,9.6,percent of total billed charges,999999999,,,,8.4,percent of total billed charges,999999999,,,,8.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.384,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.06,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3,percent of total billed charges,2.849266173,,,,,,,,,,3,percent of total billed charges,2.801870569,,,,,,,,,,3,percent of total billed charges,2.794084291,,,,,,,,,,3,percent of total billed charges,2.752941434,,,,,,,,,,3,percent of total billed charges,2.823778664,,,,,,,,,,3,percent of total billed charges,999999999,,,,,,,,,,3,percent of total billed charges,2.423000944,,,,,,,,,,3,percent of total billed charges,3.821239578,,,,,,,,,,3,percent of total billed charges,999999999,,,,,,,,,,3,percent of total billed charges,2.612587605,,,,,,,,,,10.8,percent of total billed charges,,,,,
PAD EXERCISE,93668,CDM,,,,both,,,83,83,17.6693674,83,83,percent of total billed charges,61.06604863,,,,83,percent of total billed charges,64.72880413,,,,83,percent of total billed charges,61.06604863,,,,83,percent of total billed charges,64.72880413,,,,83,percent of total billed charges,999999999,,,,83,percent of total billed charges,63.24029545,,,,83,percent of total billed charges,61.06604863,,,,83,percent of total billed charges,64.72880413,,,,59.179,percent of total billed charges,29.53140398,,,,59.179,percent of total billed charges,17.6693674,,,,59.179,percent of total billed charges,29.53140398,,,,59.179,percent of total billed charges,17.6693674,,,,59.179,percent of total billed charges,29.53140398,,,,59.179,percent of total billed charges,17.6693674,,,,58.598,percent of total billed charges,58.15340104,,,,58.598,percent of total billed charges,40.10793977,,,,,,,,,,59.76,percent of total billed charges,38.84259372,,,,,,,,,,59.76,percent of total billed charges,999999999,,,,,,,,,,66.4,percent of total billed charges,55.63974841,,,,65.57,percent of total billed charges,63.2778718,,,,65.57,percent of total billed charges,55.90809433,,,,66.4,percent of total billed charges,999999999,,,,66.4,percent of total billed charges,999999999,,,,58.1,percent of total billed charges,999999999,,,,58.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,44.156,percent of total billed charges,999999999,,,,,,,,,,,,,,,,41.915,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20.75,percent of total billed charges,19.70742436,,,,,,,,,,20.75,percent of total billed charges,19.37960477,,,,,,,,,,20.75,percent of total billed charges,19.32574968,,,,,,,,,,20.75,percent of total billed charges,19.04117825,,,,,,,,,,20.75,percent of total billed charges,19.53113576,,,,,,,,,,20.75,percent of total billed charges,999999999,,,,,,,,,,20.75,percent of total billed charges,16.75908986,,,,,,,,,,20.75,percent of total billed charges,26.43024042,,,,,,,,,,20.75,percent of total billed charges,999999999,,,,,,,,,,20.75,percent of total billed charges,18.0703976,,,,,,,,,,74.7,percent of total billed charges,,,,,
**OCCUCOAT,Local,Local,,,,both,,,464,464,98.77815031,464,464,percent of total billed charges,341.3812839,,,,464,percent of total billed charges,361.857411,,,,464,percent of total billed charges,341.3812839,,,,464,percent of total billed charges,361.857411,,,,464,percent of total billed charges,999999999,,,,464,percent of total billed charges,353.5361095,,,,464,percent of total billed charges,341.3812839,,,,464,percent of total billed charges,361.857411,,,,330.832,percent of total billed charges,165.0912222,,,,330.832,percent of total billed charges,98.77815031,,,,330.832,percent of total billed charges,165.0912222,,,,330.832,percent of total billed charges,98.77815031,,,,330.832,percent of total billed charges,165.0912222,,,,330.832,percent of total billed charges,98.77815031,,,,327.584,percent of total billed charges,325.0985311,,,,327.584,percent of total billed charges,224.2178802,,,,,,,,,,334.08,percent of total billed charges,217.1441384,,,,,,,,,,334.08,percent of total billed charges,999999999,,,,,,,,,,371.2,percent of total billed charges,311.0463044,,,,366.56,percent of total billed charges,353.7461749,,,,366.56,percent of total billed charges,312.546455,,,,371.2,percent of total billed charges,999999999,,,,371.2,percent of total billed charges,999999999,,,,324.8,percent of total billed charges,999999999,,,,324.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,246.848,percent of total billed charges,999999999,,,,,,,,,,,,,,,,234.32,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,116,percent of total billed charges,110.1716254,,,,,,,,,,116,percent of total billed charges,108.3389953,,,,,,,,,,116,percent of total billed charges,108.0379259,,,,,,,,,,116,percent of total billed charges,106.4470688,,,,,,,,,,116,percent of total billed charges,109.1861083,,,,,,,,,,116,percent of total billed charges,999999999,,,,,,,,,,116,percent of total billed charges,93.68936984,,,,,,,,,,116,percent of total billed charges,147.754597,,,,,,,,,,116,percent of total billed charges,999999999,,,,,,,,,,116,percent of total billed charges,101.0200541,,,,,,,,,,417.6,percent of total billed charges,,,,,
**TUBING OUT FLOW AQL 111S,Local,Local,,,,both,,,221,221,47.04735176,221,221,percent of total billed charges,162.5975512,,,,221,percent of total billed charges,172.3501893,,,,221,percent of total billed charges,162.5975512,,,,221,percent of total billed charges,172.3501893,,,,221,percent of total billed charges,999999999,,,,221,percent of total billed charges,168.3868108,,,,221,percent of total billed charges,162.5975512,,,,221,percent of total billed charges,172.3501893,,,,157.573,percent of total billed charges,78.63181059,,,,157.573,percent of total billed charges,47.04735176,,,,157.573,percent of total billed charges,78.63181059,,,,157.573,percent of total billed charges,47.04735176,,,,157.573,percent of total billed charges,78.63181059,,,,157.573,percent of total billed charges,47.04735176,,,,156.026,percent of total billed charges,154.8421883,,,,156.026,percent of total billed charges,106.79343,,,,,,,,,,159.12,percent of total billed charges,103.4242556,,,,,,,,,,159.12,percent of total billed charges,999999999,,,,,,,,,,176.8,percent of total billed charges,148.1492096,,,,174.59,percent of total billed charges,168.4868635,,,,174.59,percent of total billed charges,148.863721,,,,176.8,percent of total billed charges,999999999,,,,176.8,percent of total billed charges,999999999,,,,154.7,percent of total billed charges,999999999,,,,154.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,117.572,percent of total billed charges,999999999,,,,,,,,,,,,,,,,111.605,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,55.25,percent of total billed charges,52.47398536,,,,,,,,,,55.25,percent of total billed charges,51.60111631,,,,,,,,,,55.25,percent of total billed charges,51.45771902,,,,,,,,,,55.25,percent of total billed charges,50.70000474,,,,,,,,,,55.25,percent of total billed charges,52.00459039,,,,,,,,,,55.25,percent of total billed charges,999999999,,,,,,,,,,55.25,percent of total billed charges,44.62360072,,,,,,,,,,55.25,percent of total billed charges,70.37449557,,,,,,,,,,55.25,percent of total billed charges,999999999,,,,,,,,,,55.25,percent of total billed charges,48.11515506,,,,,,,,,,198.9,percent of total billed charges,,,,,
**TUBING IN FLOW AQL 110S,Local,Local,,,,both,,,1040,1040,221.3993024,1040,1040,percent of total billed charges,765.1649468,,,,1040,percent of total billed charges,811.0597144,,,,1040,percent of total billed charges,765.1649468,,,,1040,percent of total billed charges,811.0597144,,,,1040,percent of total billed charges,999999999,,,,1040,percent of total billed charges,792.4085212,,,,1040,percent of total billed charges,765.1649468,,,,1040,percent of total billed charges,811.0597144,,,,741.52,percent of total billed charges,370.0320498,,,,741.52,percent of total billed charges,221.3993024,,,,741.52,percent of total billed charges,370.0320498,,,,741.52,percent of total billed charges,221.3993024,,,,741.52,percent of total billed charges,370.0320498,,,,741.52,percent of total billed charges,221.3993024,,,,734.24,percent of total billed charges,728.6691215,,,,734.24,percent of total billed charges,502.5573176,,,,,,,,,,748.8,percent of total billed charges,486.7023792,,,,,,,,,,748.8,percent of total billed charges,999999999,,,,,,,,,,832,percent of total billed charges,697.1727512,,,,821.6,percent of total billed charges,792.8793575,,,,821.6,percent of total billed charges,700.5351579,,,,832,percent of total billed charges,999999999,,,,832,percent of total billed charges,999999999,,,,728,percent of total billed charges,999999999,,,,728,percent of total billed charges,999999999,,,,,,,,,,,,,,,,553.28,percent of total billed charges,999999999,,,,,,,,,,,,,,,,525.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,260,percent of total billed charges,246.9364017,,,,,,,,,,260,percent of total billed charges,242.8287827,,,,,,,,,,260,percent of total billed charges,242.1539719,,,,,,,,,,260,percent of total billed charges,238.5882576,,,,,,,,,,260,percent of total billed charges,244.7274842,,,,,,,,,,260,percent of total billed charges,999999999,,,,,,,,,,260,percent of total billed charges,209.9934152,,,,,,,,,,260,percent of total billed charges,331.1740968,,,,,,,,,,260,percent of total billed charges,999999999,,,,,,,,,,260,percent of total billed charges,226.4242591,,,,,,,,,,936,percent of total billed charges,,,,,
**MYOSURE 10-401,Local,Local,,,,both,,,9498,9498,2021.971706,9498,9498,percent of total billed charges,6988.016023,,,,9498,percent of total billed charges,7407.158815,,,,9498,percent of total billed charges,6988.016023,,,,9498,percent of total billed charges,7407.158815,,,,9498,percent of total billed charges,999999999,,,,9498,percent of total billed charges,7236.823207,,,,9498,percent of total billed charges,6988.016023,,,,9498,percent of total billed charges,7407.158815,,,,6772.074,percent of total billed charges,3379.388855,,,,6772.074,percent of total billed charges,2021.971706,,,,6772.074,percent of total billed charges,3379.388855,,,,6772.074,percent of total billed charges,2021.971706,,,,6772.074,percent of total billed charges,3379.388855,,,,6772.074,percent of total billed charges,2021.971706,,,,6705.588,percent of total billed charges,6654.710881,,,,6705.588,percent of total billed charges,4589.701349,,,,,,,,,,6838.56,percent of total billed charges,4444.903074,,,,,,,,,,6838.56,percent of total billed charges,999999999,,,,,,,,,,7598.4,percent of total billed charges,6367.064222,,,,7503.42,percent of total billed charges,7241.123209,,,,7503.42,percent of total billed charges,6397.772047,,,,7598.4,percent of total billed charges,999999999,,,,7598.4,percent of total billed charges,999999999,,,,6648.6,percent of total billed charges,999999999,,,,6648.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5052.936,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4796.49,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2374.5,percent of total billed charges,2255.194176,,,,,,,,,,2374.5,percent of total billed charges,2217.680555,,,,,,,,,,2374.5,percent of total billed charges,2211.517716,,,,,,,,,,2374.5,percent of total billed charges,2178.953145,,,,,,,,,,2374.5,percent of total billed charges,2235.020812,,,,,,,,,,2374.5,percent of total billed charges,999999999,,,,,,,,,,2374.5,percent of total billed charges,1917.805247,,,,,,,,,,2374.5,percent of total billed charges,3024.511126,,,,,,,,,,2374.5,percent of total billed charges,999999999,,,,,,,,,,2374.5,percent of total billed charges,2067.86309,,,,,,,,,,8548.2,percent of total billed charges,,,,,
**SHORT STAY SURGERY 1 HOUR,Local,Local,,,,both,,,266,266,56.62712927,266,266,percent of total billed charges,195.7056498,,,,266,percent of total billed charges,207.4441193,,,,266,percent of total billed charges,195.7056498,,,,266,percent of total billed charges,207.4441193,,,,266,percent of total billed charges,999999999,,,,266,percent of total billed charges,202.6737179,,,,266,percent of total billed charges,195.7056498,,,,266,percent of total billed charges,207.4441193,,,,189.658,percent of total billed charges,94.64281275,,,,189.658,percent of total billed charges,56.62712927,,,,189.658,percent of total billed charges,94.64281275,,,,189.658,percent of total billed charges,56.62712927,,,,189.658,percent of total billed charges,94.64281275,,,,189.658,percent of total billed charges,56.62712927,,,,187.796,percent of total billed charges,186.3711407,,,,187.796,percent of total billed charges,128.5386986,,,,,,,,,,191.52,percent of total billed charges,124.4834931,,,,,,,,,,191.52,percent of total billed charges,999999999,,,,,,,,,,212.8,percent of total billed charges,178.3153383,,,,210.14,percent of total billed charges,202.7941434,,,,210.14,percent of total billed charges,179.1753385,,,,212.8,percent of total billed charges,999999999,,,,212.8,percent of total billed charges,999999999,,,,186.2,percent of total billed charges,999999999,,,,186.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,141.512,percent of total billed charges,999999999,,,,,,,,,,,,,,,,134.33,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,66.5,percent of total billed charges,63.15873351,,,,,,,,,,66.5,percent of total billed charges,62.10813095,,,,,,,,,,66.5,percent of total billed charges,61.93553511,,,,,,,,,,66.5,percent of total billed charges,61.02353511,,,,,,,,,,66.5,percent of total billed charges,62.59376038,,,,,,,,,,66.5,percent of total billed charges,999999999,,,,,,,,,,66.5,percent of total billed charges,53.70985426,,,,,,,,,,66.5,percent of total billed charges,84.70414398,,,,,,,,,,66.5,percent of total billed charges,999999999,,,,,,,,,,66.5,percent of total billed charges,57.91235858,,,,,,,,,,239.4,percent of total billed charges,,,,,
**MODERATE (CONSCIOUS) SED 1ST 30 MIN IN,99144,CDM,,,,both,,,153,153,32.57124353,153,153,percent of total billed charges,112.5675354,,,,153,percent of total billed charges,119.3193618,,,,153,percent of total billed charges,112.5675354,,,,153,percent of total billed charges,119.3193618,,,,153,percent of total billed charges,999999999,,,,153,percent of total billed charges,116.5754844,,,,153,percent of total billed charges,112.5675354,,,,153,percent of total billed charges,119.3193618,,,,109.089,percent of total billed charges,54.43740733,,,,109.089,percent of total billed charges,32.57124353,,,,109.089,percent of total billed charges,54.43740733,,,,109.089,percent of total billed charges,32.57124353,,,,109.089,percent of total billed charges,54.43740733,,,,109.089,percent of total billed charges,32.57124353,,,,108.018,percent of total billed charges,107.1984381,,,,108.018,percent of total billed charges,73.93391308,,,,,,,,,,110.16,percent of total billed charges,71.6014077,,,,,,,,,,110.16,percent of total billed charges,999999999,,,,,,,,,,122.4,percent of total billed charges,102.5648374,,,,120.87,percent of total billed charges,116.6447516,,,,120.87,percent of total billed charges,103.0594992,,,,122.4,percent of total billed charges,999999999,,,,122.4,percent of total billed charges,999999999,,,,107.1,percent of total billed charges,999999999,,,,107.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,81.396,percent of total billed charges,999999999,,,,,,,,,,,,,,,,77.265,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,38.25,percent of total billed charges,36.32814371,,,,,,,,,,38.25,percent of total billed charges,35.72384976,,,,,,,,,,38.25,percent of total billed charges,35.62457471,,,,,,,,,,38.25,percent of total billed charges,35.10000328,,,,,,,,,,38.25,percent of total billed charges,36.00317796,,,,,,,,,,38.25,percent of total billed charges,999999999,,,,,,,,,,38.25,percent of total billed charges,30.89326204,,,,,,,,,,38.25,percent of total billed charges,48.72080462,,,,,,,,,,38.25,percent of total billed charges,999999999,,,,,,,,,,38.25,percent of total billed charges,33.31049197,,,,,,,,,,137.7,percent of total billed charges,,,,,
**MODERATE(CONSCIOUS)SEDATION 1ST 30  OU,99144,CDM,,,,both,,,153,153,32.57124353,153,153,percent of total billed charges,112.5675354,,,,153,percent of total billed charges,119.3193618,,,,153,percent of total billed charges,112.5675354,,,,153,percent of total billed charges,119.3193618,,,,153,percent of total billed charges,999999999,,,,153,percent of total billed charges,116.5754844,,,,153,percent of total billed charges,112.5675354,,,,153,percent of total billed charges,119.3193618,,,,109.089,percent of total billed charges,54.43740733,,,,109.089,percent of total billed charges,32.57124353,,,,109.089,percent of total billed charges,54.43740733,,,,109.089,percent of total billed charges,32.57124353,,,,109.089,percent of total billed charges,54.43740733,,,,109.089,percent of total billed charges,32.57124353,,,,108.018,percent of total billed charges,107.1984381,,,,108.018,percent of total billed charges,73.93391308,,,,,,,,,,110.16,percent of total billed charges,71.6014077,,,,,,,,,,110.16,percent of total billed charges,999999999,,,,,,,,,,122.4,percent of total billed charges,102.5648374,,,,120.87,percent of total billed charges,116.6447516,,,,120.87,percent of total billed charges,103.0594992,,,,122.4,percent of total billed charges,999999999,,,,122.4,percent of total billed charges,999999999,,,,107.1,percent of total billed charges,999999999,,,,107.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,81.396,percent of total billed charges,999999999,,,,,,,,,,,,,,,,77.265,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,38.25,percent of total billed charges,36.32814371,,,,,,,,,,38.25,percent of total billed charges,35.72384976,,,,,,,,,,38.25,percent of total billed charges,35.62457471,,,,,,,,,,38.25,percent of total billed charges,35.10000328,,,,,,,,,,38.25,percent of total billed charges,36.00317796,,,,,,,,,,38.25,percent of total billed charges,999999999,,,,,,,,,,38.25,percent of total billed charges,30.89326204,,,,,,,,,,38.25,percent of total billed charges,48.72080462,,,,,,,,,,38.25,percent of total billed charges,999999999,,,,,,,,,,38.25,percent of total billed charges,33.31049197,,,,,,,,,,137.7,percent of total billed charges,,,,,
**DECLOTNG BY THROMBOLYTC AGNT INPLNT CA,36550,CDM,,,,both,,,175,175,37.25469031,175,175,percent of total billed charges,128.753717,,,,175,percent of total billed charges,136.4763943,,,,175,percent of total billed charges,128.753717,,,,175,percent of total billed charges,136.4763943,,,,175,percent of total billed charges,999999999,,,,175,percent of total billed charges,133.3379723,,,,175,percent of total billed charges,128.753717,,,,175,percent of total billed charges,136.4763943,,,,124.775,percent of total billed charges,62.26500839,,,,124.775,percent of total billed charges,37.25469031,,,,124.775,percent of total billed charges,62.26500839,,,,124.775,percent of total billed charges,37.25469031,,,,124.775,percent of total billed charges,62.26500839,,,,124.775,percent of total billed charges,37.25469031,,,,123.55,percent of total billed charges,122.6125926,,,,123.55,percent of total billed charges,84.56493326,,,,,,,,,,126,percent of total billed charges,81.89703495,,,,,,,,,,126,percent of total billed charges,999999999,,,,,,,,,,140,percent of total billed charges,117.3127226,,,,138.25,percent of total billed charges,133.4171996,,,,138.25,percent of total billed charges,117.8785121,,,,140,percent of total billed charges,999999999,,,,140,percent of total billed charges,999999999,,,,122.5,percent of total billed charges,999999999,,,,122.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,93.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,88.375,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,43.75,percent of total billed charges,41.55179836,,,,,,,,,,43.75,percent of total billed charges,40.86061247,,,,,,,,,,43.75,percent of total billed charges,40.74706257,,,,,,,,,,43.75,percent of total billed charges,40.14706257,,,,,,,,,,43.75,percent of total billed charges,41.18010551,,,,,,,,,,43.75,percent of total billed charges,999999999,,,,,,,,,,43.75,percent of total billed charges,35.33543044,,,,,,,,,,43.75,percent of total billed charges,55.72641052,,,,,,,,,,43.75,percent of total billed charges,999999999,,,,,,,,,,43.75,percent of total billed charges,38.10023591,,,,,,,,,,157.5,percent of total billed charges,,,,,
**SHORT STAY 30 MIN,Local,Local,,,,both,,,133,133,28.31356463,133,133,percent of total billed charges,97.85282492,,,,133,percent of total billed charges,103.7220596,,,,133,percent of total billed charges,97.85282492,,,,133,percent of total billed charges,103.7220596,,,,133,percent of total billed charges,999999999,,,,133,percent of total billed charges,101.336859,,,,133,percent of total billed charges,97.85282492,,,,133,percent of total billed charges,103.7220596,,,,94.829,percent of total billed charges,47.32140637,,,,94.829,percent of total billed charges,28.31356463,,,,94.829,percent of total billed charges,47.32140637,,,,94.829,percent of total billed charges,28.31356463,,,,94.829,percent of total billed charges,47.32140637,,,,94.829,percent of total billed charges,28.31356463,,,,93.898,percent of total billed charges,93.18557035,,,,93.898,percent of total billed charges,64.26934928,,,,,,,,,,95.76,percent of total billed charges,62.24174656,,,,,,,,,,95.76,percent of total billed charges,999999999,,,,,,,,,,106.4,percent of total billed charges,89.15766914,,,,105.07,percent of total billed charges,101.3970717,,,,105.07,percent of total billed charges,89.58766923,,,,106.4,percent of total billed charges,999999999,,,,106.4,percent of total billed charges,999999999,,,,93.1,percent of total billed charges,999999999,,,,93.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,70.756,percent of total billed charges,999999999,,,,,,,,,,,,,,,,67.165,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,33.25,percent of total billed charges,31.57936675,,,,,,,,,,33.25,percent of total billed charges,31.05406547,,,,,,,,,,33.25,percent of total billed charges,30.96776756,,,,,,,,,,33.25,percent of total billed charges,30.51176756,,,,,,,,,,33.25,percent of total billed charges,31.29688019,,,,,,,,,,33.25,percent of total billed charges,999999999,,,,,,,,,,33.25,percent of total billed charges,26.85492713,,,,,,,,,,33.25,percent of total billed charges,42.35207199,,,,,,,,,,33.25,percent of total billed charges,999999999,,,,,,,,,,33.25,percent of total billed charges,28.95617929,,,,,,,,,,119.7,percent of total billed charges,,,,,
**MODERATE(CONSCIOUS)EA ADDITL 15MIN IN,99145,CDM,,,,both,,,80,80,17.03071557,80,80,percent of total billed charges,58.85884206,,,,80,percent of total billed charges,62.3892088,,,,80,percent of total billed charges,58.85884206,,,,80,percent of total billed charges,62.3892088,,,,80,percent of total billed charges,999999999,,,,80,percent of total billed charges,60.95450163,,,,80,percent of total billed charges,58.85884206,,,,80,percent of total billed charges,62.3892088,,,,57.04,percent of total billed charges,28.46400383,,,,57.04,percent of total billed charges,17.03071557,,,,57.04,percent of total billed charges,28.46400383,,,,57.04,percent of total billed charges,17.03071557,,,,57.04,percent of total billed charges,28.46400383,,,,57.04,percent of total billed charges,17.03071557,,,,56.48,percent of total billed charges,56.05147089,,,,56.48,percent of total billed charges,38.6582552,,,,,,,,,,57.6,percent of total billed charges,37.43864455,,,,,,,,,,57.6,percent of total billed charges,999999999,,,,,,,,,,64,percent of total billed charges,53.62867317,,,,63.2,percent of total billed charges,60.99071981,,,,63.2,percent of total billed charges,53.88731984,,,,64,percent of total billed charges,999999999,,,,64,percent of total billed charges,999999999,,,,56,percent of total billed charges,999999999,,,,56,percent of total billed charges,999999999,,,,,,,,,,,,,,,,42.56,percent of total billed charges,999999999,,,,,,,,,,,,,,,,40.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20,percent of total billed charges,18.99510782,,,,,,,,,,20,percent of total billed charges,18.67913713,,,,,,,,,,20,percent of total billed charges,18.62722861,,,,,,,,,,20,percent of total billed charges,18.35294289,,,,,,,,,,20,percent of total billed charges,18.82519109,,,,,,,,,,20,percent of total billed charges,999999999,,,,,,,,,,20,percent of total billed charges,16.15333963,,,,,,,,,,20,percent of total billed charges,25.47493052,,,,,,,,,,20,percent of total billed charges,999999999,,,,,,,,,,20,percent of total billed charges,17.4172507,,,,,,,,,,72,percent of total billed charges,,,,,
**MOD(CONSCIOUS)SED EA ADDTL 15MIN OUT,99145,CDM,,,,both,,,80,80,17.03071557,80,80,percent of total billed charges,58.85884206,,,,80,percent of total billed charges,62.3892088,,,,80,percent of total billed charges,58.85884206,,,,80,percent of total billed charges,62.3892088,,,,80,percent of total billed charges,999999999,,,,80,percent of total billed charges,60.95450163,,,,80,percent of total billed charges,58.85884206,,,,80,percent of total billed charges,62.3892088,,,,57.04,percent of total billed charges,28.46400383,,,,57.04,percent of total billed charges,17.03071557,,,,57.04,percent of total billed charges,28.46400383,,,,57.04,percent of total billed charges,17.03071557,,,,57.04,percent of total billed charges,28.46400383,,,,57.04,percent of total billed charges,17.03071557,,,,56.48,percent of total billed charges,56.05147089,,,,56.48,percent of total billed charges,38.6582552,,,,,,,,,,57.6,percent of total billed charges,37.43864455,,,,,,,,,,57.6,percent of total billed charges,999999999,,,,,,,,,,64,percent of total billed charges,53.62867317,,,,63.2,percent of total billed charges,60.99071981,,,,63.2,percent of total billed charges,53.88731984,,,,64,percent of total billed charges,999999999,,,,64,percent of total billed charges,999999999,,,,56,percent of total billed charges,999999999,,,,56,percent of total billed charges,999999999,,,,,,,,,,,,,,,,42.56,percent of total billed charges,999999999,,,,,,,,,,,,,,,,40.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20,percent of total billed charges,18.99510782,,,,,,,,,,20,percent of total billed charges,18.67913713,,,,,,,,,,20,percent of total billed charges,18.62722861,,,,,,,,,,20,percent of total billed charges,18.35294289,,,,,,,,,,20,percent of total billed charges,18.82519109,,,,,,,,,,20,percent of total billed charges,999999999,,,,,,,,,,20,percent of total billed charges,16.15333963,,,,,,,,,,20,percent of total billed charges,25.47493052,,,,,,,,,,20,percent of total billed charges,999999999,,,,,,,,,,20,percent of total billed charges,17.4172507,,,,,,,,,,72,percent of total billed charges,,,,,
**SURGERY 1 UNIT,Local,Local,,,,both,,,1118,1118,238.0042501,1118,1118,percent of total billed charges,822.5523178,,,,1118,percent of total billed charges,871.889193,,,,1118,percent of total billed charges,822.5523178,,,,1118,percent of total billed charges,871.889193,,,,1118,percent of total billed charges,999999999,,,,1118,percent of total billed charges,851.8391603,,,,1118,percent of total billed charges,822.5523178,,,,1118,percent of total billed charges,871.889193,,,,797.134,percent of total billed charges,397.7844536,,,,797.134,percent of total billed charges,238.0042501,,,,797.134,percent of total billed charges,397.7844536,,,,797.134,percent of total billed charges,238.0042501,,,,797.134,percent of total billed charges,397.7844536,,,,797.134,percent of total billed charges,238.0042501,,,,789.308,percent of total billed charges,783.3193056,,,,789.308,percent of total billed charges,540.2491165,,,,,,,,,,804.96,percent of total billed charges,523.2050576,,,,,,,,,,804.96,percent of total billed charges,999999999,,,,,,,,,,894.4,percent of total billed charges,749.4607075,,,,883.22,percent of total billed charges,852.3453093,,,,883.22,percent of total billed charges,753.0752947,,,,894.4,percent of total billed charges,999999999,,,,894.4,percent of total billed charges,999999999,,,,782.6,percent of total billed charges,999999999,,,,782.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,594.776,percent of total billed charges,999999999,,,,,,,,,,,,,,,,564.59,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,279.5,percent of total billed charges,265.4566318,,,,,,,,,,279.5,percent of total billed charges,261.0409414,,,,,,,,,,279.5,percent of total billed charges,260.3155198,,,,,,,,,,279.5,percent of total billed charges,256.4823769,,,,,,,,,,279.5,percent of total billed charges,263.0820455,,,,,,,,,,279.5,percent of total billed charges,999999999,,,,,,,,,,279.5,percent of total billed charges,225.7429213,,,,,,,,,,279.5,percent of total billed charges,356.012154,,,,,,,,,,279.5,percent of total billed charges,999999999,,,,,,,,,,279.5,percent of total billed charges,243.4060786,,,,,,,,,,1006.2,percent of total billed charges,,,,,
**SURGERY CLASS 1,Local,Local,,,,both,,,1841,1841,391.9193421,1841,1841,percent of total billed charges,1354.489103,,,,1841,percent of total billed charges,1435.731668,,,,1841,percent of total billed charges,1354.489103,,,,1841,percent of total billed charges,1435.731668,,,,1841,percent of total billed charges,999999999,,,,1841,percent of total billed charges,1402.715469,,,,1841,percent of total billed charges,1354.489103,,,,1841,percent of total billed charges,1435.731668,,,,1312.633,percent of total billed charges,655.0278882,,,,1312.633,percent of total billed charges,391.9193421,,,,1312.633,percent of total billed charges,655.0278882,,,,1312.633,percent of total billed charges,391.9193421,,,,1312.633,percent of total billed charges,655.0278882,,,,1312.633,percent of total billed charges,391.9193421,,,,1299.746,percent of total billed charges,1289.884474,,,,1299.746,percent of total billed charges,889.6230979,,,,,,,,,,1325.52,percent of total billed charges,861.5568077,,,,,,,,,,1325.52,percent of total billed charges,999999999,,,,,,,,,,1472.8,percent of total billed charges,1234.129841,,,,1454.39,percent of total billed charges,1403.54894,,,,1454.39,percent of total billed charges,1240.081948,,,,1472.8,percent of total billed charges,999999999,,,,1472.8,percent of total billed charges,999999999,,,,1288.7,percent of total billed charges,999999999,,,,1288.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,979.412,percent of total billed charges,999999999,,,,,,,,,,,,,,,,929.705,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,460.25,percent of total billed charges,437.1249187,,,,,,,,,,460.25,percent of total billed charges,429.8536431,,,,,,,,,,460.25,percent of total billed charges,428.6590983,,,,,,,,,,460.25,percent of total billed charges,422.3470983,,,,,,,,,,460.25,percent of total billed charges,433.21471,,,,,,,,,,460.25,percent of total billed charges,999999999,,,,,,,,,,460.25,percent of total billed charges,371.7287282,,,,,,,,,,460.25,percent of total billed charges,586.2418386,,,,,,,,,,460.25,percent of total billed charges,999999999,,,,,,,,,,460.25,percent of total billed charges,400.8144818,,,,,,,,,,1656.9,percent of total billed charges,,,,,
**PROCTOSCOPY - PROCEDURE,Local,Local,,,,both,,,719,719,153.0635562,719,719,percent of total billed charges,528.993843,,,,719,percent of total billed charges,560.7230141,,,,719,percent of total billed charges,528.993843,,,,719,percent of total billed charges,560.7230141,,,,719,percent of total billed charges,999999999,,,,719,percent of total billed charges,547.8285834,,,,719,percent of total billed charges,528.993843,,,,719,percent of total billed charges,560.7230141,,,,512.647,percent of total billed charges,255.8202345,,,,512.647,percent of total billed charges,153.0635562,,,,512.647,percent of total billed charges,255.8202345,,,,512.647,percent of total billed charges,153.0635562,,,,512.647,percent of total billed charges,255.8202345,,,,512.647,percent of total billed charges,153.0635562,,,,507.614,percent of total billed charges,503.7625946,,,,507.614,percent of total billed charges,347.4410686,,,,,,,,,,517.68,percent of total billed charges,336.4798179,,,,,,,,,,517.68,percent of total billed charges,999999999,,,,,,,,,,575.2,percent of total billed charges,481.9877001,,,,568.01,percent of total billed charges,548.1540943,,,,568.01,percent of total billed charges,484.312287,,,,575.2,percent of total billed charges,999999999,,,,575.2,percent of total billed charges,999999999,,,,503.3,percent of total billed charges,999999999,,,,503.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,382.508,percent of total billed charges,999999999,,,,,,,,,,,,,,,,363.095,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,179.75,percent of total billed charges,170.7185315,,,,,,,,,,179.75,percent of total billed charges,167.8787449,,,,,,,,,,179.75,percent of total billed charges,167.4122171,,,,,,,,,,179.75,percent of total billed charges,164.9470742,,,,,,,,,,179.75,percent of total billed charges,169.1914049,,,,,,,,,,179.75,percent of total billed charges,999999999,,,,,,,,,,179.75,percent of total billed charges,145.1781399,,,,,,,,,,179.75,percent of total billed charges,228.9559381,,,,,,,,,,179.75,percent of total billed charges,999999999,,,,,,,,,,179.75,percent of total billed charges,156.5375407,,,,,,,,,,647.1,percent of total billed charges,,,,,
**SURGERY 2 UNITS,Local,Local,,,,both,,,1425,1425,303.3596211,1425,1425,percent of total billed charges,1048.423124,,,,1425,percent of total billed charges,1111.307782,,,,1425,percent of total billed charges,1048.423124,,,,1425,percent of total billed charges,1111.307782,,,,1425,percent of total billed charges,999999999,,,,1425,percent of total billed charges,1085.75206,,,,1425,percent of total billed charges,1048.423124,,,,1425,percent of total billed charges,1111.307782,,,,1016.025,percent of total billed charges,507.0150683,,,,1016.025,percent of total billed charges,303.3596211,,,,1016.025,percent of total billed charges,507.0150683,,,,1016.025,percent of total billed charges,303.3596211,,,,1016.025,percent of total billed charges,507.0150683,,,,1016.025,percent of total billed charges,303.3596211,,,,1006.05,percent of total billed charges,998.4168252,,,,1006.05,percent of total billed charges,688.6001708,,,,,,,,,,1026,percent of total billed charges,666.8758561,,,,,,,,,,1026,percent of total billed charges,999999999,,,,,,,,,,1140,percent of total billed charges,955.2607408,,,,1125.75,percent of total billed charges,1086.397197,,,,1125.75,percent of total billed charges,959.8678846,,,,1140,percent of total billed charges,999999999,,,,1140,percent of total billed charges,999999999,,,,997.5,percent of total billed charges,999999999,,,,997.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,758.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,719.625,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,356.25,percent of total billed charges,338.3503581,,,,,,,,,,356.25,percent of total billed charges,332.7221301,,,,,,,,,,356.25,percent of total billed charges,331.7975095,,,,,,,,,,356.25,percent of total billed charges,326.9117952,,,,,,,,,,356.25,percent of total billed charges,335.3237163,,,,,,,,,,356.25,percent of total billed charges,999999999,,,,,,,,,,356.25,percent of total billed charges,287.7313621,,,,,,,,,,356.25,percent of total billed charges,453.7721999,,,,,,,,,,356.25,percent of total billed charges,999999999,,,,,,,,,,356.25,percent of total billed charges,310.2447781,,,,,,,,,,1282.5,percent of total billed charges,,,,,
**SURGERY CLASS 2,Local,Local,,,,both,,,2134,2134,454.2943378,2134,2134,percent of total billed charges,1570.059612,,,,2134,percent of total billed charges,1664.232145,,,,2134,percent of total billed charges,1570.059612,,,,2134,percent of total billed charges,1664.232145,,,,2134,percent of total billed charges,999999999,,,,2134,percent of total billed charges,1625.961331,,,,2134,percent of total billed charges,1570.059612,,,,2134,percent of total billed charges,1664.232145,,,,1521.542,percent of total billed charges,759.2773023,,,,1521.542,percent of total billed charges,454.2943378,,,,1521.542,percent of total billed charges,759.2773023,,,,1521.542,percent of total billed charges,454.2943378,,,,1521.542,percent of total billed charges,759.2773023,,,,1521.542,percent of total billed charges,454.2943378,,,,1506.604,percent of total billed charges,1495.172986,,,,1506.604,percent of total billed charges,1031.208958,,,,,,,,,,1536.48,percent of total billed charges,998.6758434,,,,,,,,,,1536.48,percent of total billed charges,999999999,,,,,,,,,,1707.2,percent of total billed charges,1430.544857,,,,1685.86,percent of total billed charges,1626.927451,,,,1685.86,percent of total billed charges,1437.444257,,,,1707.2,percent of total billed charges,999999999,,,,1707.2,percent of total billed charges,999999999,,,,1493.8,percent of total billed charges,999999999,,,,1493.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1135.288,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1077.67,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,533.5,percent of total billed charges,506.6945011,,,,,,,,,,533.5,percent of total billed charges,498.2659829,,,,,,,,,,533.5,percent of total billed charges,496.881323,,,,,,,,,,533.5,percent of total billed charges,489.5647516,,,,,,,,,,533.5,percent of total billed charges,502.1619724,,,,,,,,,,533.5,percent of total billed charges,999999999,,,,,,,,,,533.5,percent of total billed charges,430.8903346,,,,,,,,,,533.5,percent of total billed charges,679.5437717,,,,,,,,,,533.5,percent of total billed charges,999999999,,,,,,,,,,533.5,percent of total billed charges,464.6051625,,,,,,,,,,1920.6,percent of total billed charges,,,,,
**SURGERY 3 UNITS,Local,Local,,,,both,,,1901,1901,404.6923787,1901,1901,percent of total billed charges,1398.633234,,,,1901,percent of total billed charges,1482.523574,,,,1901,percent of total billed charges,1398.633234,,,,1901,percent of total billed charges,1482.523574,,,,1901,percent of total billed charges,999999999,,,,1901,percent of total billed charges,1448.431345,,,,1901,percent of total billed charges,1398.633234,,,,1901,percent of total billed charges,1482.523574,,,,1355.413,percent of total billed charges,676.3758911,,,,1355.413,percent of total billed charges,404.6923787,,,,1355.413,percent of total billed charges,676.3758911,,,,1355.413,percent of total billed charges,404.6923787,,,,1355.413,percent of total billed charges,676.3758911,,,,1355.413,percent of total billed charges,404.6923787,,,,1342.106,percent of total billed charges,1331.923077,,,,1342.106,percent of total billed charges,918.6167893,,,,,,,,,,1368.72,percent of total billed charges,889.6357911,,,,,,,,,,1368.72,percent of total billed charges,999999999,,,,,,,,,,1520.8,percent of total billed charges,1274.351346,,,,1501.79,percent of total billed charges,1449.291979,,,,1501.79,percent of total billed charges,1280.497438,,,,1520.8,percent of total billed charges,999999999,,,,1520.8,percent of total billed charges,999999999,,,,1330.7,percent of total billed charges,999999999,,,,1330.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1011.332,percent of total billed charges,999999999,,,,,,,,,,,,,,,,960.005,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,475.25,percent of total billed charges,451.3712496,,,,,,,,,,475.25,percent of total billed charges,443.862996,,,,,,,,,,475.25,percent of total billed charges,442.6295197,,,,,,,,,,475.25,percent of total billed charges,436.1118054,,,,,,,,,,475.25,percent of total billed charges,447.3336033,,,,,,,,,,475.25,percent of total billed charges,999999999,,,,,,,,,,475.25,percent of total billed charges,383.8437329,,,,,,,,,,475.25,percent of total billed charges,605.3480365,,,,,,,,,,475.25,percent of total billed charges,999999999,,,,,,,,,,475.25,percent of total billed charges,413.8774198,,,,,,,,,,1710.9,percent of total billed charges,,,,,
**SURGERY CLASS 3,Local,Local,,,,both,,,2738,2738,582.8762404,2738,2738,percent of total billed charges,2014.443869,,,,2738,percent of total billed charges,2135.270671,,,,2738,percent of total billed charges,2014.443869,,,,2738,percent of total billed charges,2135.270671,,,,2738,percent of total billed charges,999999999,,,,2738,percent of total billed charges,2086.167818,,,,2738,percent of total billed charges,2014.443869,,,,2738,percent of total billed charges,2135.270671,,,,1952.194,percent of total billed charges,974.1805312,,,,1952.194,percent of total billed charges,582.8762404,,,,1952.194,percent of total billed charges,974.1805312,,,,1952.194,percent of total billed charges,582.8762404,,,,1952.194,percent of total billed charges,974.1805312,,,,1952.194,percent of total billed charges,582.8762404,,,,1933.028,percent of total billed charges,1918.361591,,,,1933.028,percent of total billed charges,1323.078784,,,,,,,,,,1971.36,percent of total billed charges,1281.33761,,,,,,,,,,1971.36,percent of total billed charges,999999999,,,,,,,,,,2190.4,percent of total billed charges,1835.441339,,,,2163.02,percent of total billed charges,2087.407385,,,,2163.02,percent of total billed charges,1844.293521,,,,2190.4,percent of total billed charges,999999999,,,,2190.4,percent of total billed charges,999999999,,,,1916.6,percent of total billed charges,999999999,,,,1916.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1456.616,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1382.69,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,684.5,percent of total billed charges,650.1075652,,,,,,,,,,684.5,percent of total billed charges,639.2934682,,,,,,,,,,684.5,percent of total billed charges,637.516899,,,,,,,,,,684.5,percent of total billed charges,628.1294704,,,,,,,,,,684.5,percent of total billed charges,644.2921651,,,,,,,,,,684.5,percent of total billed charges,999999999,,,,,,,,,,684.5,percent of total billed charges,552.8480488,,,,,,,,,,684.5,percent of total billed charges,871.8794971,,,,,,,,,,684.5,percent of total billed charges,999999999,,,,,,,,,,684.5,percent of total billed charges,596.1054053,,,,,,,,,,2464.2,percent of total billed charges,,,,,
**SURGERY 4 UNITS,Local,Local,,,,both,,,1914,1914,407.45987,1914,1914,percent of total billed charges,1408.197796,,,,1914,percent of total billed charges,1492.661821,,,,1914,percent of total billed charges,1408.197796,,,,1914,percent of total billed charges,1492.661821,,,,1914,percent of total billed charges,999999999,,,,1914,percent of total billed charges,1458.336452,,,,1914,percent of total billed charges,1408.197796,,,,1914,percent of total billed charges,1492.661821,,,,1364.682,percent of total billed charges,681.0012917,,,,1364.682,percent of total billed charges,407.45987,,,,1364.682,percent of total billed charges,681.0012917,,,,1364.682,percent of total billed charges,407.45987,,,,1364.682,percent of total billed charges,681.0012917,,,,1364.682,percent of total billed charges,407.45987,,,,1351.284,percent of total billed charges,1341.031441,,,,1351.284,percent of total billed charges,924.8987557,,,,,,,,,,1378.08,percent of total billed charges,895.7195709,,,,,,,,,,1378.08,percent of total billed charges,999999999,,,,,,,,,,1531.2,percent of total billed charges,1283.066006,,,,1512.06,percent of total billed charges,1459.202971,,,,1512.06,percent of total billed charges,1289.254127,,,,1531.2,percent of total billed charges,999999999,,,,1531.2,percent of total billed charges,999999999,,,,1339.8,percent of total billed charges,999999999,,,,1339.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1018.248,percent of total billed charges,999999999,,,,,,,,,,,,,,,,966.57,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,478.5,percent of total billed charges,454.4579546,,,,,,,,,,478.5,percent of total billed charges,446.8983558,,,,,,,,,,478.5,percent of total billed charges,445.6564444,,,,,,,,,,478.5,percent of total billed charges,439.0941587,,,,,,,,,,478.5,percent of total billed charges,450.3926969,,,,,,,,,,478.5,percent of total billed charges,999999999,,,,,,,,,,478.5,percent of total billed charges,386.4686506,,,,,,,,,,478.5,percent of total billed charges,609.4877127,,,,,,,,,,478.5,percent of total billed charges,999999999,,,,,,,,,,478.5,percent of total billed charges,416.707723,,,,,,,,,,1722.6,percent of total billed charges,,,,,
**SURGERY CLASS 4,Local,Local,,,,both,,,3203,3203,681.8672746,3203,3203,percent of total billed charges,2356.560889,,,,3203,percent of total billed charges,2497.907947,,,,3203,percent of total billed charges,2356.560889,,,,3203,percent of total billed charges,2497.907947,,,,3203,percent of total billed charges,999999999,,,,3203,percent of total billed charges,2440.465859,,,,3203,percent of total billed charges,2356.560889,,,,3203,percent of total billed charges,2497.907947,,,,2283.739,percent of total billed charges,1139.627554,,,,2283.739,percent of total billed charges,681.8672746,,,,2283.739,percent of total billed charges,1139.627554,,,,2283.739,percent of total billed charges,681.8672746,,,,2283.739,percent of total billed charges,1139.627554,,,,2283.739,percent of total billed charges,681.8672746,,,,2261.318,percent of total billed charges,2244.160766,,,,2261.318,percent of total billed charges,1547.779893,,,,,,,,,,2306.16,percent of total billed charges,1498.949731,,,,,,,,,,2306.16,percent of total billed charges,999999999,,,,,,,,,,2562.4,percent of total billed charges,2147.158002,,,,2530.37,percent of total billed charges,2441.915944,,,,2530.37,percent of total billed charges,2157.513568,,,,2562.4,percent of total billed charges,999999999,,,,2562.4,percent of total billed charges,999999999,,,,2242.1,percent of total billed charges,999999999,,,,2242.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1703.996,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1617.515,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,800.75,percent of total billed charges,760.5166294,,,,,,,,,,800.75,percent of total billed charges,747.8659527,,,,,,,,,,800.75,percent of total billed charges,745.7876653,,,,,,,,,,800.75,percent of total billed charges,734.805951,,,,,,,,,,800.75,percent of total billed charges,753.7135883,,,,,,,,,,800.75,percent of total billed charges,999999999,,,,,,,,,,800.75,percent of total billed charges,646.7393353,,,,,,,,,,800.75,percent of total billed charges,1019.952531,,,,,,,,,,800.75,percent of total billed charges,999999999,,,,,,,,,,800.75,percent of total billed charges,697.343175,,,,,,,,,,2882.7,percent of total billed charges,,,,,
**SURGERY 5 UNITS,Local,Local,,,,both,,,2134,2134,454.2943378,2134,2134,percent of total billed charges,1570.059612,,,,2134,percent of total billed charges,1664.232145,,,,2134,percent of total billed charges,1570.059612,,,,2134,percent of total billed charges,1664.232145,,,,2134,percent of total billed charges,999999999,,,,2134,percent of total billed charges,1625.961331,,,,2134,percent of total billed charges,1570.059612,,,,2134,percent of total billed charges,1664.232145,,,,1521.542,percent of total billed charges,759.2773023,,,,1521.542,percent of total billed charges,454.2943378,,,,1521.542,percent of total billed charges,759.2773023,,,,1521.542,percent of total billed charges,454.2943378,,,,1521.542,percent of total billed charges,759.2773023,,,,1521.542,percent of total billed charges,454.2943378,,,,1506.604,percent of total billed charges,1495.172986,,,,1506.604,percent of total billed charges,1031.208958,,,,,,,,,,1536.48,percent of total billed charges,998.6758434,,,,,,,,,,1536.48,percent of total billed charges,999999999,,,,,,,,,,1707.2,percent of total billed charges,1430.544857,,,,1685.86,percent of total billed charges,1626.927451,,,,1685.86,percent of total billed charges,1437.444257,,,,1707.2,percent of total billed charges,999999999,,,,1707.2,percent of total billed charges,999999999,,,,1493.8,percent of total billed charges,999999999,,,,1493.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1135.288,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1077.67,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,533.5,percent of total billed charges,506.6945011,,,,,,,,,,533.5,percent of total billed charges,498.2659829,,,,,,,,,,533.5,percent of total billed charges,496.881323,,,,,,,,,,533.5,percent of total billed charges,489.5647516,,,,,,,,,,533.5,percent of total billed charges,502.1619724,,,,,,,,,,533.5,percent of total billed charges,999999999,,,,,,,,,,533.5,percent of total billed charges,430.8903346,,,,,,,,,,533.5,percent of total billed charges,679.5437717,,,,,,,,,,533.5,percent of total billed charges,999999999,,,,,,,,,,533.5,percent of total billed charges,464.6051625,,,,,,,,,,1920.6,percent of total billed charges,,,,,
**SURGERY CLASS 5,Local,Local,,,,both,,,3736,3736,795.3344171,3736,3736,percent of total billed charges,2748.707924,,,,3736,percent of total billed charges,2913.576051,,,,3736,percent of total billed charges,2748.707924,,,,3736,percent of total billed charges,2913.576051,,,,3736,percent of total billed charges,999999999,,,,3736,percent of total billed charges,2846.575226,,,,3736,percent of total billed charges,2748.707924,,,,3736,percent of total billed charges,2913.576051,,,,2663.768,percent of total billed charges,1329.268979,,,,2663.768,percent of total billed charges,795.3344171,,,,2663.768,percent of total billed charges,1329.268979,,,,2663.768,percent of total billed charges,795.3344171,,,,2663.768,percent of total billed charges,1329.268979,,,,2663.768,percent of total billed charges,795.3344171,,,,2637.616,percent of total billed charges,2617.60369,,,,2637.616,percent of total billed charges,1805.340518,,,,,,,,,,2689.92,percent of total billed charges,1748.3847,,,,,,,,,,2689.92,percent of total billed charges,999999999,,,,,,,,,,2988.8,percent of total billed charges,2504.459037,,,,2951.44,percent of total billed charges,2848.266615,,,,2951.44,percent of total billed charges,2516.537836,,,,2988.8,percent of total billed charges,999999999,,,,2988.8,percent of total billed charges,999999999,,,,2615.2,percent of total billed charges,999999999,,,,2615.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1987.552,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1886.68,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,934,percent of total billed charges,887.0715352,,,,,,,,,,934,percent of total billed charges,872.3157038,,,,,,,,,,934,percent of total billed charges,869.8915759,,,,,,,,,,934,percent of total billed charges,857.082433,,,,,,,,,,934,percent of total billed charges,879.136424,,,,,,,,,,934,percent of total billed charges,999999999,,,,,,,,,,934,percent of total billed charges,754.3609606,,,,,,,,,,934,percent of total billed charges,1189.679255,,,,,,,,,,934,percent of total billed charges,999999999,,,,,,,,,,934,percent of total billed charges,813.3856077,,,,,,,,,,3362.4,percent of total billed charges,,,,,
GASTRO LEVEL 1  1.0 HR,Local,Local,,,,both,,,6163,6163,1312.003751,6163,6163,percent of total billed charges,4534.338045,,,,6163,percent of total billed charges,4806.308673,,,,6163,percent of total billed charges,4534.338045,,,,6163,percent of total billed charges,4806.308673,,,,6163,percent of total billed charges,999999999,,,,6163,percent of total billed charges,4695.78242,,,,6163,percent of total billed charges,4534.338045,,,,6163,percent of total billed charges,4806.308673,,,,4394.219,percent of total billed charges,2192.795695,,,,4394.219,percent of total billed charges,1312.003751,,,,4394.219,percent of total billed charges,2192.795695,,,,4394.219,percent of total billed charges,1312.003751,,,,4394.219,percent of total billed charges,2192.795695,,,,4394.219,percent of total billed charges,1312.003751,,,,4351.078,percent of total billed charges,4318.065188,,,,4351.078,percent of total billed charges,2978.135335,,,,,,,,,,4437.36,percent of total billed charges,2884.17958,,,,,,,,,,4437.36,percent of total billed charges,999999999,,,,,,,,,,4930.4,percent of total billed charges,4131.418909,,,,4868.77,percent of total billed charges,4698.572577,,,,4868.77,percent of total billed charges,4151.344402,,,,4930.4,percent of total billed charges,999999999,,,,4930.4,percent of total billed charges,999999999,,,,4314.1,percent of total billed charges,999999999,,,,4314.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3278.716,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3112.315,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1540.75,percent of total billed charges,1463.335619,,,,,,,,,,1540.75,percent of total billed charges,1438.994026,,,,,,,,,,1540.75,percent of total billed charges,1434.995124,,,,,,,,,,1540.75,percent of total billed charges,1413.864838,,,,,,,,,,1540.75,percent of total billed charges,1450.245659,,,,,,,,,,1540.75,percent of total billed charges,999999999,,,,,,,,,,1540.75,percent of total billed charges,1244.412902,,,,,,,,,,1540.75,percent of total billed charges,1962.52496,,,,,,,,,,1540.75,percent of total billed charges,999999999,,,,,,,,,,1540.75,percent of total billed charges,1341.781451,,,,,,,,,,5546.7,percent of total billed charges,,,,,
GASTRO LEVEL 2  1.5 HR,Local,Local,,,,both,,,8386,8386,1785.24476,8386,8386,percent of total billed charges,6169.878119,,,,8386,percent of total billed charges,6539.948813,,,,8386,percent of total billed charges,6169.878119,,,,8386,percent of total billed charges,6539.948813,,,,8386,percent of total billed charges,999999999,,,,8386,percent of total billed charges,6389.555634,,,,8386,percent of total billed charges,6169.878119,,,,8386,percent of total billed charges,6539.948813,,,,5979.218,percent of total billed charges,2983.739202,,,,5979.218,percent of total billed charges,1785.24476,,,,5979.218,percent of total billed charges,2983.739202,,,,5979.218,percent of total billed charges,1785.24476,,,,5979.218,percent of total billed charges,2983.739202,,,,5979.218,percent of total billed charges,1785.24476,,,,5920.516,percent of total billed charges,5875.595436,,,,5920.516,percent of total billed charges,4052.351602,,,,,,,,,,6037.92,percent of total billed charges,3924.505915,,,,,,,,,,6037.92,percent of total billed charges,999999999,,,,,,,,,,6708.8,percent of total billed charges,5621.625665,,,,6624.94,percent of total billed charges,6393.352204,,,,6624.94,percent of total billed charges,5648.738302,,,,6708.8,percent of total billed charges,999999999,,,,6708.8,percent of total billed charges,999999999,,,,5870.2,percent of total billed charges,999999999,,,,5870.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4461.352,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4234.93,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2096.5,percent of total billed charges,1991.162177,,,,,,,,,,2096.5,percent of total billed charges,1958.040549,,,,,,,,,,2096.5,percent of total billed charges,1952.599239,,,,,,,,,,2096.5,percent of total billed charges,1923.847239,,,,,,,,,,2096.5,percent of total billed charges,1973.350656,,,,,,,,,,2096.5,percent of total billed charges,999999999,,,,,,,,,,2096.5,percent of total billed charges,1693.273826,,,,,,,,,,2096.5,percent of total billed charges,2670.409592,,,,,,,,,,2096.5,percent of total billed charges,999999999,,,,,,,,,,2096.5,percent of total billed charges,1825.763305,,,,,,,,,,7547.4,percent of total billed charges,,,,,
GASTRO LEVEL 3  2.5 HR,Local,Local,,,,both,,,9672,9672,2059.013512,9672,9672,percent of total billed charges,7116.034005,,,,9672,percent of total billed charges,7542.855344,,,,9672,percent of total billed charges,7116.034005,,,,9672,percent of total billed charges,7542.855344,,,,9672,percent of total billed charges,999999999,,,,9672,percent of total billed charges,7369.399248,,,,9672,percent of total billed charges,7116.034005,,,,9672,percent of total billed charges,7542.855344,,,,6896.136,percent of total billed charges,3441.298064,,,,6896.136,percent of total billed charges,2059.013512,,,,6896.136,percent of total billed charges,3441.298064,,,,6896.136,percent of total billed charges,2059.013512,,,,6896.136,percent of total billed charges,3441.298064,,,,6896.136,percent of total billed charges,2059.013512,,,,6828.432,percent of total billed charges,6776.62283,,,,6828.432,percent of total billed charges,4673.783054,,,,,,,,,,6963.84,percent of total billed charges,4526.332126,,,,,,,,,,6963.84,percent of total billed charges,999999999,,,,,,,,,,7737.6,percent of total billed charges,6483.706586,,,,7640.88,percent of total billed charges,7373.778025,,,,7640.88,percent of total billed charges,6514.976968,,,,7737.6,percent of total billed charges,999999999,,,,7737.6,percent of total billed charges,999999999,,,,6770.4,percent of total billed charges,999999999,,,,6770.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5145.504,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4884.36,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2418,percent of total billed charges,2296.508536,,,,,,,,,,2418,percent of total billed charges,2258.307679,,,,,,,,,,2418,percent of total billed charges,2252.031938,,,,,,,,,,2418,percent of total billed charges,2218.870795,,,,,,,,,,2418,percent of total billed charges,2275.965603,,,,,,,,,,2418,percent of total billed charges,999999999,,,,,,,,,,2418,percent of total billed charges,1952.938761,,,,,,,,,,2418,percent of total billed charges,3079.9191,,,,,,,,,,2418,percent of total billed charges,999999999,,,,,,,,,,2418,percent of total billed charges,2105.74561,,,,,,,,,,8704.8,percent of total billed charges,,,,,
GASTRO LEVEL 4  2.0 HR,Local,Local,,,,both,,,15365,15365,3270.961809,15365,15365,percent of total billed charges,11304.57635,,,,15365,percent of total billed charges,11982.62742,,,,15365,percent of total billed charges,11304.57635,,,,15365,percent of total billed charges,11982.62742,,,,15365,percent of total billed charges,999999999,,,,15365,percent of total billed charges,11707.07397,,,,15365,percent of total billed charges,11304.57635,,,,15365,percent of total billed charges,11982.62742,,,,10955.245,percent of total billed charges,5466.867736,,,,10955.245,percent of total billed charges,3270.961809,,,,10955.245,percent of total billed charges,5466.867736,,,,10955.245,percent of total billed charges,3270.961809,,,,10955.245,percent of total billed charges,5466.867736,,,,10955.245,percent of total billed charges,3270.961809,,,,10847.69,percent of total billed charges,10765.38563,,,,10847.69,percent of total billed charges,7424.80114,,,,,,,,,,11062.8,percent of total billed charges,7190.559669,,,,,,,,,,11062.8,percent of total billed charges,999999999,,,,,,,,,,12292,percent of total billed charges,10300.05704,,,,12138.35,percent of total billed charges,11714.03012,,,,12138.35,percent of total billed charges,10349.73337,,,,12292,percent of total billed charges,999999999,,,,12292,percent of total billed charges,999999999,,,,10755.5,percent of total billed charges,999999999,,,,10755.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,8174.18,percent of total billed charges,999999999,,,,,,,,,,,,,,,,7759.325,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3841.25,percent of total billed charges,3648.247896,,,,,,,,,,3841.25,percent of total billed charges,3587.561775,,,,,,,,,,3841.25,percent of total billed charges,3577.592094,,,,,,,,,,3841.25,percent of total billed charges,3524.912094,,,,,,,,,,3841.25,percent of total billed charges,3615.613264,,,,,,,,,,3841.25,percent of total billed charges,999999999,,,,,,,,,,3841.25,percent of total billed charges,3102.450792,,,,,,,,,,3841.25,percent of total billed charges,4892.778843,,,,,,,,,,3841.25,percent of total billed charges,999999999,,,,,,,,,,3841.25,percent of total billed charges,3345.200713,,,,,,,,,,13828.5,percent of total billed charges,,,,,
ENT LEVEL 1  0.5 HR,Local,Local,,,,both,,,5592,5592,1190.447018,5592,5592,percent of total billed charges,4114.23306,,,,5592,percent of total billed charges,4361.005695,,,,5592,percent of total billed charges,4114.23306,,,,5592,percent of total billed charges,4361.005695,,,,5592,percent of total billed charges,999999999,,,,5592,percent of total billed charges,4260.719664,,,,5592,percent of total billed charges,4114.23306,,,,5592,percent of total billed charges,4361.005695,,,,3987.096,percent of total billed charges,1989.633868,,,,3987.096,percent of total billed charges,1190.447018,,,,3987.096,percent of total billed charges,1989.633868,,,,3987.096,percent of total billed charges,1190.447018,,,,3987.096,percent of total billed charges,1989.633868,,,,3987.096,percent of total billed charges,1190.447018,,,,3947.952,percent of total billed charges,3917.997815,,,,3947.952,percent of total billed charges,2702.212039,,,,,,,,,,4026.24,percent of total billed charges,2616.961254,,,,,,,,,,4026.24,percent of total billed charges,999999999,,,,,,,,,,4473.6,percent of total billed charges,3748.644254,,,,4417.68,percent of total billed charges,4263.251314,,,,4417.68,percent of total billed charges,3766.723656,,,,4473.6,percent of total billed charges,999999999,,,,4473.6,percent of total billed charges,999999999,,,,3914.4,percent of total billed charges,999999999,,,,3914.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2974.944,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2823.96,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1398,percent of total billed charges,1327.758037,,,,,,,,,,1398,percent of total billed charges,1305.671685,,,,,,,,,,1398,percent of total billed charges,1302.043279,,,,,,,,,,1398,percent of total billed charges,1282.870708,,,,,,,,,,1398,percent of total billed charges,1315.880857,,,,,,,,,,1398,percent of total billed charges,999999999,,,,,,,,,,1398,percent of total billed charges,1129.11844,,,,,,,,,,1398,percent of total billed charges,1780.697643,,,,,,,,,,1398,percent of total billed charges,999999999,,,,,,,,,,1398,percent of total billed charges,1217.465824,,,,,,,,,,5032.8,percent of total billed charges,,,,,
ENT LEVEL 2  1.0 HR,Local,Local,,,,both,,,6566,6566,1397.79598,6566,6566,percent of total billed charges,4830.839462,,,,6566,percent of total billed charges,5120.594312,,,,6566,percent of total billed charges,4830.839462,,,,6566,percent of total billed charges,5120.594312,,,,6566,percent of total billed charges,999999999,,,,6566,percent of total billed charges,5002.840722,,,,6566,percent of total billed charges,4830.839462,,,,6566,percent of total billed charges,5120.594312,,,,4681.558,percent of total billed charges,2336.183115,,,,4681.558,percent of total billed charges,1397.79598,,,,4681.558,percent of total billed charges,2336.183115,,,,4681.558,percent of total billed charges,1397.79598,,,,4681.558,percent of total billed charges,2336.183115,,,,4681.558,percent of total billed charges,1397.79598,,,,4635.596,percent of total billed charges,4600.424473,,,,4635.596,percent of total billed charges,3172.876296,,,,,,,,,,4727.52,percent of total billed charges,3072.776751,,,,,,,,,,4727.52,percent of total billed charges,999999999,,,,,,,,,,5252.8,percent of total billed charges,4401.57335,,,,5187.14,percent of total billed charges,5005.813328,,,,5187.14,percent of total billed charges,4422.801775,,,,5252.8,percent of total billed charges,999999999,,,,5252.8,percent of total billed charges,999999999,,,,4596.2,percent of total billed charges,999999999,,,,4596.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3493.112,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3315.83,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1641.5,percent of total billed charges,1559.023474,,,,,,,,,,1641.5,percent of total billed charges,1533.09018,,,,,,,,,,1641.5,percent of total billed charges,1528.829788,,,,,,,,,,1641.5,percent of total billed charges,1506.317788,,,,,,,,,,1641.5,percent of total billed charges,1545.077559,,,,,,,,,,1641.5,percent of total billed charges,999999999,,,,,,,,,,1641.5,percent of total billed charges,1325.78535,,,,,,,,,,1641.5,percent of total billed charges,2090.854923,,,,,,,,,,1641.5,percent of total billed charges,999999999,,,,,,,,,,1641.5,percent of total billed charges,1429.520851,,,,,,,,,,5909.4,percent of total billed charges,,,,,
ENDO LEVEL 1,Local,Local,,,,both,,,3907,3907,831.7375716,3907,3907,percent of total billed charges,2874.518699,,,,3907,percent of total billed charges,3046.932985,,,,3907,percent of total billed charges,2874.518699,,,,3907,percent of total billed charges,3046.932985,,,,3907,percent of total billed charges,999999999,,,,3907,percent of total billed charges,2976.865474,,,,3907,percent of total billed charges,2874.518699,,,,3907,percent of total billed charges,3046.932985,,,,2785.691,percent of total billed charges,1390.110787,,,,2785.691,percent of total billed charges,831.7375716,,,,2785.691,percent of total billed charges,1390.110787,,,,2785.691,percent of total billed charges,831.7375716,,,,2785.691,percent of total billed charges,1390.110787,,,,2785.691,percent of total billed charges,831.7375716,,,,2758.342,percent of total billed charges,2737.413709,,,,2758.342,percent of total billed charges,1887.972538,,,,,,,,,,2813.04,percent of total billed charges,1828.409803,,,,,,,,,,2813.04,percent of total billed charges,999999999,,,,,,,,,,3125.6,percent of total billed charges,2619.090326,,,,3086.53,percent of total billed charges,2978.634279,,,,3086.53,percent of total billed charges,2631.721982,,,,3125.6,percent of total billed charges,999999999,,,,3125.6,percent of total billed charges,999999999,,,,2734.9,percent of total billed charges,999999999,,,,2734.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2078.524,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1973.035,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,976.75,percent of total billed charges,927.6735782,,,,,,,,,,976.75,percent of total billed charges,912.2423595,,,,,,,,,,976.75,percent of total billed charges,909.707277,,,,,,,,,,976.75,percent of total billed charges,896.3118484,,,,,,,,,,976.75,percent of total billed charges,919.3752699,,,,,,,,,,976.75,percent of total billed charges,999999999,,,,,,,,,,976.75,percent of total billed charges,788.8887241,,,,,,,,,,976.75,percent of total billed charges,1244.131919,,,,,,,,,,976.75,percent of total billed charges,999999999,,,,,,,,,,976.75,percent of total billed charges,850.6149811,,,,,,,,,,3516.3,percent of total billed charges,,,,,
ENDO LEVEL 2,Local,Local,,,,both,,,4949,4949,1053.562642,4949,4949,percent of total billed charges,3641.155117,,,,4949,percent of total billed charges,3859.552429,,,,4949,percent of total billed charges,3641.155117,,,,4949,percent of total billed charges,3859.552429,,,,4949,percent of total billed charges,999999999,,,,4949,percent of total billed charges,3770.797857,,,,4949,percent of total billed charges,3641.155117,,,,4949,percent of total billed charges,3859.552429,,,,3528.637,percent of total billed charges,1760.854437,,,,3528.637,percent of total billed charges,1053.562642,,,,3528.637,percent of total billed charges,1760.854437,,,,3528.637,percent of total billed charges,1053.562642,,,,3528.637,percent of total billed charges,1760.854437,,,,3528.637,percent of total billed charges,1053.562642,,,,3493.994,percent of total billed charges,3467.484118,,,,3493.994,percent of total billed charges,2391.496313,,,,,,,,,,3563.28,percent of total billed charges,2316.048148,,,,,,,,,,3563.28,percent of total billed charges,999999999,,,,,,,,,,3959.2,percent of total billed charges,3317.603794,,,,3909.71,percent of total billed charges,3773.038404,,,,3909.71,percent of total billed charges,3333.604323,,,,3959.2,percent of total billed charges,999999999,,,,3959.2,percent of total billed charges,999999999,,,,3464.3,percent of total billed charges,999999999,,,,3464.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2632.868,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2499.245,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1237.25,percent of total billed charges,1175.084858,,,,,,,,,,1237.25,percent of total billed charges,1155.538121,,,,,,,,,,1237.25,percent of total billed charges,1152.32693,,,,,,,,,,1237.25,percent of total billed charges,1135.35893,,,,,,,,,,1237.25,percent of total billed charges,1164.573384,,,,,,,,,,1237.25,percent of total billed charges,999999999,,,,,,,,,,1237.25,percent of total billed charges,999.2859727,,,,,,,,,,1237.25,percent of total billed charges,1575.942889,,,,,,,,,,1237.25,percent of total billed charges,999999999,,,,,,,,,,1237.25,percent of total billed charges,1077.474672,,,,,,,,,,4454.1,percent of total billed charges,,,,,
ENDO LEVEL 3,Local,Local,,,,both,,,6477,6477,1378.849309,6477,6477,percent of total billed charges,4765.359,,,,6477,percent of total billed charges,5051.186318,,,,6477,percent of total billed charges,4765.359,,,,6477,percent of total billed charges,5051.186318,,,,6477,percent of total billed charges,999999999,,,,6477,percent of total billed charges,4935.028839,,,,6477,percent of total billed charges,4765.359,,,,6477,percent of total billed charges,5051.186318,,,,4618.101,percent of total billed charges,2304.51691,,,,4618.101,percent of total billed charges,1378.849309,,,,4618.101,percent of total billed charges,2304.51691,,,,4618.101,percent of total billed charges,1378.849309,,,,4618.101,percent of total billed charges,2304.51691,,,,4618.101,percent of total billed charges,1378.849309,,,,4572.762,percent of total billed charges,4538.067212,,,,4572.762,percent of total billed charges,3129.868987,,,,,,,,,,4663.44,percent of total billed charges,3031.126259,,,,,,,,,,4663.44,percent of total billed charges,999999999,,,,,,,,,,5181.6,percent of total billed charges,4341.911451,,,,5116.83,percent of total billed charges,4937.961152,,,,5116.83,percent of total billed charges,4362.852132,,,,5181.6,percent of total billed charges,999999999,,,,5181.6,percent of total billed charges,999999999,,,,4533.9,percent of total billed charges,999999999,,,,4533.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3445.764,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3270.885,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1619.25,percent of total billed charges,1537.891417,,,,,,,,,,1619.25,percent of total billed charges,1512.30964,,,,,,,,,,1619.25,percent of total billed charges,1508.106996,,,,,,,,,,1619.25,percent of total billed charges,1485.900139,,,,,,,,,,1619.25,percent of total billed charges,1524.134534,,,,,,,,,,1619.25,percent of total billed charges,999999999,,,,,,,,,,1619.25,percent of total billed charges,1307.81476,,,,,,,,,,1619.25,percent of total billed charges,2062.514062,,,,,,,,,,1619.25,percent of total billed charges,999999999,,,,,,,,,,1619.25,percent of total billed charges,1410.14416,,,,,,,,,,5829.3,percent of total billed charges,,,,,
ORTHO-ARTHRO LEVEL 1    1.5 HR,Local,Local,,,,both,,,9995,9995,2127.775027,9995,9995,percent of total billed charges,7353.67658,,,,9995,percent of total billed charges,7794.751775,,,,9995,percent of total billed charges,7353.67658,,,,9995,percent of total billed charges,7794.751775,,,,9995,percent of total billed charges,999999999,,,,9995,percent of total billed charges,7615.503048,,,,9995,percent of total billed charges,7353.67658,,,,9995,percent of total billed charges,7794.751775,,,,7126.435,percent of total billed charges,3556.221479,,,,7126.435,percent of total billed charges,2127.775027,,,,7126.435,percent of total billed charges,3556.221479,,,,7126.435,percent of total billed charges,2127.775027,,,,7126.435,percent of total billed charges,3556.221479,,,,7126.435,percent of total billed charges,2127.775027,,,,7056.47,percent of total billed charges,7002.930644,,,,7056.47,percent of total billed charges,4829.865759,,,,,,,,,,7196.4,percent of total billed charges,4677.490654,,,,,,,,,,7196.4,percent of total billed charges,999999999,,,,,,,,,,7996,percent of total billed charges,6700.232354,,,,7896.05,percent of total billed charges,7620.028056,,,,7896.05,percent of total billed charges,6732.547022,,,,7996,percent of total billed charges,999999999,,,,7996,percent of total billed charges,999999999,,,,6996.5,percent of total billed charges,999999999,,,,6996.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5317.34,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5047.475,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2498.75,percent of total billed charges,2373.201283,,,,,,,,,,2498.75,percent of total billed charges,2333.724695,,,,,,,,,,2498.75,percent of total billed charges,2327.239374,,,,,,,,,,2498.75,percent of total billed charges,2292.970802,,,,,,,,,,2498.75,percent of total billed charges,2351.972312,,,,,,,,,,2498.75,percent of total billed charges,999999999,,,,,,,,,,2498.75,percent of total billed charges,2018.15787,,,,,,,,,,2498.75,percent of total billed charges,3182.774132,,,,,,,,,,2498.75,percent of total billed charges,999999999,,,,,,,,,,2498.75,percent of total billed charges,2176.067759,,,,,,,,,,8995.5,percent of total billed charges,,,,,
ORTHO-ARTHRO LEVEL 2    2.5 HR,Local,Local,,,,both,,,14791,14791,3148.766425,14791,14791,percent of total billed charges,10882.26416,,,,14791,percent of total billed charges,11534.98484,,,,14791,percent of total billed charges,10882.26416,,,,14791,percent of total billed charges,11534.98484,,,,14791,percent of total billed charges,999999999,,,,14791,percent of total billed charges,11269.72542,,,,14791,percent of total billed charges,10882.26416,,,,14791,percent of total billed charges,11534.98484,,,,10545.983,percent of total billed charges,5262.638509,,,,10545.983,percent of total billed charges,3148.766425,,,,10545.983,percent of total billed charges,5262.638509,,,,10545.983,percent of total billed charges,3148.766425,,,,10545.983,percent of total billed charges,5262.638509,,,,10545.983,percent of total billed charges,3148.766425,,,,10442.446,percent of total billed charges,10363.21632,,,,10442.446,percent of total billed charges,7147.428159,,,,,,,,,,10649.52,percent of total billed charges,6921.937394,,,,,,,,,,10649.52,percent of total billed charges,999999999,,,,,,,,,,11832.8,percent of total billed charges,9915.27131,,,,11684.89,percent of total billed charges,11276.42171,,,,11684.89,percent of total billed charges,9963.091846,,,,11832.8,percent of total billed charges,999999999,,,,11832.8,percent of total billed charges,999999999,,,,10353.7,percent of total billed charges,999999999,,,,10353.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,7868.812,percent of total billed charges,999999999,,,,,,,,,,,,,,,,7469.455,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3697.75,percent of total billed charges,3511.957997,,,,,,,,,,3697.75,percent of total billed charges,3453.538966,,,,,,,,,,3697.75,percent of total billed charges,3443.941729,,,,,,,,,,3697.75,percent of total billed charges,3393.229729,,,,,,,,,,3697.75,percent of total billed charges,3480.542518,,,,,,,,,,3697.75,percent of total billed charges,999999999,,,,,,,,,,3697.75,percent of total billed charges,2986.55058,,,,,,,,,,3697.75,percent of total billed charges,4709.996217,,,,,,,,,,3697.75,percent of total billed charges,999999999,,,,,,,,,,3697.75,percent of total billed charges,3220.231939,,,,,,,,,,13311.9,percent of total billed charges,,,,,
ORTHO-ARTHRO LEVEL 3    2.5 HR,Local,Local,,,,both,,,18752,18752,3991.99973,18752,18752,percent of total billed charges,13796.51258,,,,18752,percent of total billed charges,14624.03054,,,,18752,percent of total billed charges,13796.51258,,,,18752,percent of total billed charges,14624.03054,,,,18752,percent of total billed charges,999999999,,,,18752,percent of total billed charges,14287.73518,,,,18752,percent of total billed charges,13796.51258,,,,18752,percent of total billed charges,14624.03054,,,,13370.176,percent of total billed charges,6671.962499,,,,13370.176,percent of total billed charges,3991.99973,,,,13370.176,percent of total billed charges,6671.962499,,,,13370.176,percent of total billed charges,3991.99973,,,,13370.176,percent of total billed charges,6671.962499,,,,13370.176,percent of total billed charges,3991.99973,,,,13238.912,percent of total billed charges,13138.46478,,,,13238.912,percent of total billed charges,9061.49502,,,,,,,,,,13501.44,percent of total billed charges,8775.618283,,,,,,,,,,13501.44,percent of total billed charges,999999999,,,,,,,,,,15001.6,percent of total billed charges,12570.56099,,,,14814.08,percent of total billed charges,14296.22472,,,,14814.08,percent of total billed charges,12631.18777,,,,15001.6,percent of total billed charges,999999999,,,,15001.6,percent of total billed charges,999999999,,,,13126.4,percent of total billed charges,999999999,,,,13126.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9976.064,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9469.76,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4688,percent of total billed charges,4452.453273,,,,,,,,,,4688,percent of total billed charges,4378.389743,,,,,,,,,,4688,percent of total billed charges,4366.222385,,,,,,,,,,4688,percent of total billed charges,4301.929814,,,,,,,,,,4688,percent of total billed charges,4412.624792,,,,,,,,,,4688,percent of total billed charges,999999999,,,,,,,,,,4688,percent of total billed charges,3786.342809,,,,,,,,,,4688,percent of total billed charges,5971.323714,,,,,,,,,,4688,percent of total billed charges,999999999,,,,,,,,,,4688,percent of total billed charges,4082.603564,,,,,,,,,,16876.8,percent of total billed charges,,,,,
**SURGERY STANDBY VBAC - HOURLY,Local,Local,,,,both,,,256,256,54.49828982,256,256,percent of total billed charges,188.3482946,,,,256,percent of total billed charges,199.6454682,,,,256,percent of total billed charges,188.3482946,,,,256,percent of total billed charges,199.6454682,,,,256,percent of total billed charges,999999999,,,,256,percent of total billed charges,195.0544052,,,,256,percent of total billed charges,188.3482946,,,,256,percent of total billed charges,199.6454682,,,,182.528,percent of total billed charges,91.08481227,,,,182.528,percent of total billed charges,54.49828982,,,,182.528,percent of total billed charges,91.08481227,,,,182.528,percent of total billed charges,54.49828982,,,,182.528,percent of total billed charges,91.08481227,,,,182.528,percent of total billed charges,54.49828982,,,,180.736,percent of total billed charges,179.3647068,,,,180.736,percent of total billed charges,123.7064167,,,,,,,,,,184.32,percent of total billed charges,119.8036626,,,,,,,,,,184.32,percent of total billed charges,999999999,,,,,,,,,,204.8,percent of total billed charges,171.6117541,,,,202.24,percent of total billed charges,195.1703034,,,,202.24,percent of total billed charges,172.4394235,,,,204.8,percent of total billed charges,999999999,,,,204.8,percent of total billed charges,999999999,,,,179.2,percent of total billed charges,999999999,,,,179.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,136.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,129.28,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,64,percent of total billed charges,60.78434503,,,,,,,,,,64,percent of total billed charges,59.77323881,,,,,,,,,,64,percent of total billed charges,59.60713154,,,,,,,,,,64,percent of total billed charges,58.72941725,,,,,,,,,,64,percent of total billed charges,60.24061149,,,,,,,,,,64,percent of total billed charges,999999999,,,,,,,,,,64,percent of total billed charges,51.69068681,,,,,,,,,,64,percent of total billed charges,81.51977767,,,,,,,,,,64,percent of total billed charges,999999999,,,,,,,,,,64,percent of total billed charges,55.73520224,,,,,,,,,,230.4,percent of total billed charges,,,,,
ORTHO-BONE LEVEL 2    1.0 HR,Local,Local,,,,both,,,8416,8416,1791.631278,8416,8416,percent of total billed charges,6191.950184,,,,8416,percent of total billed charges,6563.344766,,,,8416,percent of total billed charges,6191.950184,,,,8416,percent of total billed charges,6563.344766,,,,8416,percent of total billed charges,999999999,,,,8416,percent of total billed charges,6412.413572,,,,8416,percent of total billed charges,6191.950184,,,,8416,percent of total billed charges,6563.344766,,,,6000.608,percent of total billed charges,2994.413203,,,,6000.608,percent of total billed charges,1791.631278,,,,6000.608,percent of total billed charges,2994.413203,,,,6000.608,percent of total billed charges,1791.631278,,,,6000.608,percent of total billed charges,2994.413203,,,,6000.608,percent of total billed charges,1791.631278,,,,5941.696,percent of total billed charges,5896.614737,,,,5941.696,percent of total billed charges,4066.848447,,,,,,,,,,6059.52,percent of total billed charges,3938.545407,,,,,,,,,,6059.52,percent of total billed charges,999999999,,,,,,,,,,6732.8,percent of total billed charges,5641.736417,,,,6648.64,percent of total billed charges,6416.223724,,,,6648.64,percent of total billed charges,5668.946047,,,,6732.8,percent of total billed charges,999999999,,,,6732.8,percent of total billed charges,999999999,,,,5891.2,percent of total billed charges,999999999,,,,5891.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4477.312,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4250.08,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2104,percent of total billed charges,1998.285343,,,,,,,,,,2104,percent of total billed charges,1965.045226,,,,,,,,,,2104,percent of total billed charges,1959.584449,,,,,,,,,,2104,percent of total billed charges,1930.729592,,,,,,,,,,2104,percent of total billed charges,1980.410103,,,,,,,,,,2104,percent of total billed charges,999999999,,,,,,,,,,2104,percent of total billed charges,1699.331329,,,,,,,,,,2104,percent of total billed charges,2679.962691,,,,,,,,,,2104,percent of total billed charges,999999999,,,,,,,,,,2104,percent of total billed charges,1832.294774,,,,,,,,,,7574.4,percent of total billed charges,,,,,
ORTHO-BONE LEVEL 1    .75 HR,Local,Local,,,,both,,,6861,6861,1460.596744,6861,6861,percent of total billed charges,5047.881442,,,,6861,percent of total billed charges,5350.65452,,,,6861,percent of total billed charges,5047.881442,,,,6861,percent of total billed charges,5350.65452,,,,6861,percent of total billed charges,999999999,,,,6861,percent of total billed charges,5227.610446,,,,6861,percent of total billed charges,5047.881442,,,,6861,percent of total billed charges,5350.65452,,,,4891.893,percent of total billed charges,2441.144129,,,,4891.893,percent of total billed charges,1460.596744,,,,4891.893,percent of total billed charges,2441.144129,,,,4891.893,percent of total billed charges,1460.596744,,,,4891.893,percent of total billed charges,2441.144129,,,,4891.893,percent of total billed charges,1460.596744,,,,4843.866,percent of total billed charges,4807.114272,,,,4843.866,percent of total billed charges,3315.428612,,,,,,,,,,4939.92,percent of total billed charges,3210.831753,,,,,,,,,,4939.92,percent of total billed charges,999999999,,,,,,,,,,5488.8,percent of total billed charges,4599.329083,,,,5420.19,percent of total billed charges,5230.716607,,,,5420.19,percent of total billed charges,4621.511267,,,,5488.8,percent of total billed charges,999999999,,,,5488.8,percent of total billed charges,999999999,,,,4802.7,percent of total billed charges,999999999,,,,4802.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3650.052,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3464.805,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1715.25,percent of total billed charges,1629.067935,,,,,,,,,,1715.25,percent of total billed charges,1601.969498,,,,,,,,,,1715.25,percent of total billed charges,1597.517693,,,,,,,,,,1715.25,percent of total billed charges,1573.994265,,,,,,,,,,1715.25,percent of total billed charges,1614.495451,,,,,,,,,,1715.25,percent of total billed charges,999999999,,,,,,,,,,1715.25,percent of total billed charges,1385.35079,,,,,,,,,,1715.25,percent of total billed charges,2184.793729,,,,,,,,,,1715.25,percent of total billed charges,999999999,,,,,,,,,,1715.25,percent of total billed charges,1493.746963,,,,,,,,,,6174.9,percent of total billed charges,,,,,
ORTHO-BONE LEVEL 3    2.0 HR,Local,Local,,,,both,,,8823,8823,1878.275043,8823,8823,percent of total billed charges,6491.394543,,,,8823,percent of total billed charges,6880.749866,,,,8823,percent of total billed charges,6491.394543,,,,8823,percent of total billed charges,6880.749866,,,,8823,percent of total billed charges,999999999,,,,8823,percent of total billed charges,6722.519599,,,,8823,percent of total billed charges,6491.394543,,,,8823,percent of total billed charges,6880.749866,,,,6290.799,percent of total billed charges,3139.223823,,,,6290.799,percent of total billed charges,1878.275043,,,,6290.799,percent of total billed charges,3139.223823,,,,6290.799,percent of total billed charges,1878.275043,,,,6290.799,percent of total billed charges,3139.223823,,,,6290.799,percent of total billed charges,1878.275043,,,,6229.038,percent of total billed charges,6181.776595,,,,6229.038,percent of total billed charges,4263.522321,,,,,,,,,,6352.56,percent of total billed charges,4129.014511,,,,,,,,,,6352.56,percent of total billed charges,999999999,,,,,,,,,,7058.4,percent of total billed charges,5914.572292,,,,6970.17,percent of total billed charges,6726.514011,,,,6970.17,percent of total billed charges,5943.097786,,,,7058.4,percent of total billed charges,999999999,,,,7058.4,percent of total billed charges,999999999,,,,6176.1,percent of total billed charges,999999999,,,,6176.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4693.836,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4455.615,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2205.75,percent of total billed charges,2094.922954,,,,,,,,,,2205.75,percent of total billed charges,2060.075336,,,,,,,,,,2205.75,percent of total billed charges,2054.350475,,,,,,,,,,2205.75,percent of total billed charges,2024.100189,,,,,,,,,,2205.75,percent of total billed charges,2076.183263,,,,,,,,,,2205.75,percent of total billed charges,999999999,,,,,,,,,,2205.75,percent of total billed charges,1781.511444,,,,,,,,,,2205.75,percent of total billed charges,2809.5664,,,,,,,,,,2205.75,percent of total billed charges,999999999,,,,,,,,,,2205.75,percent of total billed charges,1920.905037,,,,,,,,,,7940.7,percent of total billed charges,,,,,
ORTHO-BONE LEVEL 4    3.0 HR,Local,Local,,,,both,,,9616,9616,2047.092012,9616,9616,percent of total billed charges,7074.832815,,,,9616,percent of total billed charges,7499.182898,,,,9616,percent of total billed charges,7074.832815,,,,9616,percent of total billed charges,7499.182898,,,,9616,percent of total billed charges,999999999,,,,9616,percent of total billed charges,7326.731096,,,,9616,percent of total billed charges,7074.832815,,,,9616,percent of total billed charges,7499.182898,,,,6856.208,percent of total billed charges,3421.373261,,,,6856.208,percent of total billed charges,2047.092012,,,,6856.208,percent of total billed charges,3421.373261,,,,6856.208,percent of total billed charges,2047.092012,,,,6856.208,percent of total billed charges,3421.373261,,,,6856.208,percent of total billed charges,2047.092012,,,,6788.896,percent of total billed charges,6737.3868,,,,6788.896,percent of total billed charges,4646.722275,,,,,,,,,,6923.52,percent of total billed charges,4500.125075,,,,,,,,,,6923.52,percent of total billed charges,999999999,,,,,,,,,,7692.8,percent of total billed charges,6446.166515,,,,7596.64,percent of total billed charges,7331.084521,,,,7596.64,percent of total billed charges,6477.255844,,,,7692.8,percent of total billed charges,999999999,,,,7692.8,percent of total billed charges,999999999,,,,6731.2,percent of total billed charges,999999999,,,,6731.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5115.712,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4856.08,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2404,percent of total billed charges,2283.21196,,,,,,,,,,2404,percent of total billed charges,2245.232283,,,,,,,,,,2404,percent of total billed charges,2238.992878,,,,,,,,,,2404,percent of total billed charges,2206.023735,,,,,,,,,,2404,percent of total billed charges,2262.787969,,,,,,,,,,2404,percent of total billed charges,999999999,,,,,,,,,,2404,percent of total billed charges,1941.631423,,,,,,,,,,2404,percent of total billed charges,3062.086649,,,,,,,,,,2404,percent of total billed charges,999999999,,,,,,,,,,2404,percent of total billed charges,2093.553534,,,,,,,,,,8654.4,percent of total billed charges,,,,,
EYE LEVEL 1  0.5HR,Local,Local,,,,both,,,4737,4737,1008.431246,4737,4737,percent of total billed charges,3485.179185,,,,4737,percent of total billed charges,3694.221026,,,,4737,percent of total billed charges,3485.179185,,,,4737,percent of total billed charges,3694.221026,,,,4737,percent of total billed charges,999999999,,,,4737,percent of total billed charges,3609.268428,,,,4737,percent of total billed charges,3485.179185,,,,4737,percent of total billed charges,3694.221026,,,,3377.481,percent of total billed charges,1685.424827,,,,3377.481,percent of total billed charges,1008.431246,,,,3377.481,percent of total billed charges,1685.424827,,,,3377.481,percent of total billed charges,1008.431246,,,,3377.481,percent of total billed charges,1685.424827,,,,3377.481,percent of total billed charges,1008.431246,,,,3344.322,percent of total billed charges,3318.94772,,,,3344.322,percent of total billed charges,2289.051936,,,,,,,,,,3410.64,percent of total billed charges,2216.83574,,,,,,,,,,3410.64,percent of total billed charges,999999999,,,,,,,,,,3789.6,percent of total billed charges,3175.48781,,,,3742.23,percent of total billed charges,3611.412997,,,,3742.23,percent of total billed charges,3190.802926,,,,3789.6,percent of total billed charges,999999999,,,,3789.6,percent of total billed charges,999999999,,,,3315.9,percent of total billed charges,999999999,,,,3315.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2520.084,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2392.185,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1184.25,percent of total billed charges,1124.747822,,,,,,,,,,1184.25,percent of total billed charges,1106.038407,,,,,,,,,,1184.25,percent of total billed charges,1102.964774,,,,,,,,,,1184.25,percent of total billed charges,1086.723631,,,,,,,,,,1184.25,percent of total billed charges,1114.686628,,,,,,,,,,1184.25,percent of total billed charges,999999999,,,,,,,,,,1184.25,percent of total billed charges,956.4796227,,,,,,,,,,1184.25,percent of total billed charges,1508.434324,,,,,,,,,,1184.25,percent of total billed charges,999999999,,,,,,,,,,1184.25,percent of total billed charges,1031.318957,,,,,,,,,,4263.3,percent of total billed charges,,,,,
EYE LEVEL 2  0.5HR,Local,Local,,,,both,,,6581,6581,1400.98924,6581,6581,percent of total billed charges,4841.875495,,,,6581,percent of total billed charges,5132.292289,,,,6581,percent of total billed charges,4841.875495,,,,6581,percent of total billed charges,5132.292289,,,,6581,percent of total billed charges,999999999,,,,6581,percent of total billed charges,5014.269691,,,,6581,percent of total billed charges,4841.875495,,,,6581,percent of total billed charges,5132.292289,,,,4692.253,percent of total billed charges,2341.520115,,,,4692.253,percent of total billed charges,1400.98924,,,,4692.253,percent of total billed charges,2341.520115,,,,4692.253,percent of total billed charges,1400.98924,,,,4692.253,percent of total billed charges,2341.520115,,,,4692.253,percent of total billed charges,1400.98924,,,,4646.186,percent of total billed charges,4610.934124,,,,4646.186,percent of total billed charges,3180.124719,,,,,,,,,,4738.32,percent of total billed charges,3079.796497,,,,,,,,,,4738.32,percent of total billed charges,999999999,,,,,,,,,,5264.8,percent of total billed charges,4411.628726,,,,5198.99,percent of total billed charges,5017.249088,,,,5198.99,percent of total billed charges,4432.905648,,,,5264.8,percent of total billed charges,999999999,,,,5264.8,percent of total billed charges,999999999,,,,4606.7,percent of total billed charges,999999999,,,,4606.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3501.092,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3323.405,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1645.25,percent of total billed charges,1562.585057,,,,,,,,,,1645.25,percent of total billed charges,1536.592518,,,,,,,,,,1645.25,percent of total billed charges,1532.322393,,,,,,,,,,1645.25,percent of total billed charges,1509.758965,,,,,,,,,,1645.25,percent of total billed charges,1548.607282,,,,,,,,,,1645.25,percent of total billed charges,999999999,,,,,,,,,,1645.25,percent of total billed charges,1328.814101,,,,,,,,,,1645.25,percent of total billed charges,2095.631472,,,,,,,,,,1645.25,percent of total billed charges,999999999,,,,,,,,,,1645.25,percent of total billed charges,1432.786586,,,,,,,,,,5922.9,percent of total billed charges,,,,,
EYE LEVEL 4,Local,Local,,,,both,,,7105,7105,1512.540427,7105,7105,percent of total billed charges,5227.40091,,,,7105,percent of total billed charges,5540.941607,,,,7105,percent of total billed charges,5227.40091,,,,7105,percent of total billed charges,5540.941607,,,,7105,percent of total billed charges,999999999,,,,7105,percent of total billed charges,5413.521676,,,,7105,percent of total billed charges,5227.40091,,,,7105,percent of total billed charges,5540.941607,,,,5065.865,percent of total billed charges,2527.959341,,,,5065.865,percent of total billed charges,1512.540427,,,,5065.865,percent of total billed charges,2527.959341,,,,5065.865,percent of total billed charges,1512.540427,,,,5065.865,percent of total billed charges,2527.959341,,,,5065.865,percent of total billed charges,1512.540427,,,,5016.13,percent of total billed charges,4978.071258,,,,5016.13,percent of total billed charges,3433.33629,,,,,,,,,,5115.6,percent of total billed charges,3325.019619,,,,,,,,,,5115.6,percent of total billed charges,999999999,,,,,,,,,,5684,percent of total billed charges,4762.896536,,,,5612.95,percent of total billed charges,5416.738303,,,,5612.95,percent of total billed charges,4785.867593,,,,5684,percent of total billed charges,999999999,,,,5684,percent of total billed charges,999999999,,,,4973.5,percent of total billed charges,999999999,,,,4973.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3779.86,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3588.025,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1776.25,percent of total billed charges,1687.003013,,,,,,,,,,1776.25,percent of total billed charges,1658.940866,,,,,,,,,,1776.25,percent of total billed charges,1654.33074,,,,,,,,,,1776.25,percent of total billed charges,1629.97074,,,,,,,,,,1776.25,percent of total billed charges,1671.912284,,,,,,,,,,1776.25,percent of total billed charges,999999999,,,,,,,,,,1776.25,percent of total billed charges,1434.618476,,,,,,,,,,1776.25,percent of total billed charges,2262.492267,,,,,,,,,,1776.25,percent of total billed charges,999999999,,,,,,,,,,1776.25,percent of total billed charges,1546.869578,,,,,,,,,,6394.5,percent of total billed charges,,,,,
**COLONOSCOPY - PROCEDURE,Local,Local,,,,both,,,1542,1542,328.2670426,1542,1542,percent of total billed charges,1134.504181,,,,1542,percent of total billed charges,1202.552,,,,1542,percent of total billed charges,1134.504181,,,,1542,percent of total billed charges,1202.552,,,,1542,percent of total billed charges,999999999,,,,1542,percent of total billed charges,1174.898019,,,,1542,percent of total billed charges,1134.504181,,,,1542,percent of total billed charges,1202.552,,,,1099.446,percent of total billed charges,548.6436739,,,,1099.446,percent of total billed charges,328.2670426,,,,1099.446,percent of total billed charges,548.6436739,,,,1099.446,percent of total billed charges,328.2670426,,,,1099.446,percent of total billed charges,548.6436739,,,,1099.446,percent of total billed charges,328.2670426,,,,1088.652,percent of total billed charges,1080.392101,,,,1088.652,percent of total billed charges,745.137869,,,,,,,,,,1110.24,percent of total billed charges,721.6298737,,,,,,,,,,1110.24,percent of total billed charges,999999999,,,,,,,,,,1233.6,percent of total billed charges,1033.692675,,,,1218.18,percent of total billed charges,1175.596124,,,,1218.18,percent of total billed charges,1038.67809,,,,1233.6,percent of total billed charges,999999999,,,,1233.6,percent of total billed charges,999999999,,,,1079.4,percent of total billed charges,999999999,,,,1079.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,820.344,percent of total billed charges,999999999,,,,,,,,,,,,,,,,778.71,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,385.5,percent of total billed charges,366.1307033,,,,,,,,,,385.5,percent of total billed charges,360.0403681,,,,,,,,,,385.5,percent of total billed charges,359.0398314,,,,,,,,,,385.5,percent of total billed charges,353.7529742,,,,,,,,,,385.5,percent of total billed charges,362.8555583,,,,,,,,,,385.5,percent of total billed charges,999999999,,,,,,,,,,385.5,percent of total billed charges,311.3556213,,,,,,,,,,385.5,percent of total billed charges,491.0292858,,,,,,,,,,385.5,percent of total billed charges,999999999,,,,,,,,,,385.5,percent of total billed charges,335.7175073,,,,,,,,,,1387.8,percent of total billed charges,,,,,
VITRECTOMY - PROCEDURE,Local,Local,,,,both,,,1495,1495,318.2614972,1495,1495,percent of total billed charges,1099.924611,,,,1495,percent of total billed charges,1165.898339,,,,1495,percent of total billed charges,1099.924611,,,,1495,percent of total billed charges,1165.898339,,,,1495,percent of total billed charges,999999999,,,,1495,percent of total billed charges,1139.087249,,,,1495,percent of total billed charges,1099.924611,,,,1495,percent of total billed charges,1165.898339,,,,1065.935,percent of total billed charges,531.9210717,,,,1065.935,percent of total billed charges,318.2614972,,,,1065.935,percent of total billed charges,531.9210717,,,,1065.935,percent of total billed charges,318.2614972,,,,1065.935,percent of total billed charges,531.9210717,,,,1065.935,percent of total billed charges,318.2614972,,,,1055.47,percent of total billed charges,1047.461862,,,,1055.47,percent of total billed charges,722.4261441,,,,,,,,,,1076.4,percent of total billed charges,699.63467,,,,,,,,,,1076.4,percent of total billed charges,999999999,,,,,,,,,,1196,percent of total billed charges,1002.18583,,,,1181.05,percent of total billed charges,1139.764076,,,,1181.05,percent of total billed charges,1007.019289,,,,1196,percent of total billed charges,999999999,,,,1196,percent of total billed charges,999999999,,,,1046.5,percent of total billed charges,999999999,,,,1046.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,795.34,percent of total billed charges,999999999,,,,,,,,,,,,,,,,754.975,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,373.75,percent of total billed charges,354.9710774,,,,,,,,,,373.75,percent of total billed charges,349.0663751,,,,,,,,,,373.75,percent of total billed charges,348.0963346,,,,,,,,,,373.75,percent of total billed charges,342.9706203,,,,,,,,,,373.75,percent of total billed charges,351.7957585,,,,,,,,,,373.75,percent of total billed charges,999999999,,,,,,,,,,373.75,percent of total billed charges,301.8655343,,,,,,,,,,373.75,percent of total billed charges,476.0627641,,,,,,,,,,373.75,percent of total billed charges,999999999,,,,,,,,,,373.75,percent of total billed charges,325.4848725,,,,,,,,,,1345.5,percent of total billed charges,,,,,
**GASTROSCOPY-PROCEDURE,Local,Local,,,,both,,,2148,2148,457.2747131,2148,2148,percent of total billed charges,1580.359909,,,,2148,percent of total billed charges,1675.150256,,,,2148,percent of total billed charges,1580.359909,,,,2148,percent of total billed charges,1675.150256,,,,2148,percent of total billed charges,999999999,,,,2148,percent of total billed charges,1636.628369,,,,2148,percent of total billed charges,1580.359909,,,,2148,percent of total billed charges,1675.150256,,,,1531.524,percent of total billed charges,764.2585029,,,,1531.524,percent of total billed charges,457.2747131,,,,1531.524,percent of total billed charges,764.2585029,,,,1531.524,percent of total billed charges,457.2747131,,,,1531.524,percent of total billed charges,764.2585029,,,,1531.524,percent of total billed charges,457.2747131,,,,1516.488,percent of total billed charges,1504.981993,,,,1516.488,percent of total billed charges,1037.974152,,,,,,,,,,1546.56,percent of total billed charges,1005.227606,,,,,,,,,,1546.56,percent of total billed charges,999999999,,,,,,,,,,1718.4,percent of total billed charges,1439.929875,,,,1696.92,percent of total billed charges,1637.600827,,,,1696.92,percent of total billed charges,1446.874538,,,,1718.4,percent of total billed charges,999999999,,,,1718.4,percent of total billed charges,999999999,,,,1503.6,percent of total billed charges,999999999,,,,1503.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1142.736,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1084.74,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,537,percent of total billed charges,510.018645,,,,,,,,,,537,percent of total billed charges,501.5348319,,,,,,,,,,537,percent of total billed charges,500.141088,,,,,,,,,,537,percent of total billed charges,492.7765166,,,,,,,,,,537,percent of total billed charges,505.4563808,,,,,,,,,,537,percent of total billed charges,999999999,,,,,,,,,,537,percent of total billed charges,433.717169,,,,,,,,,,537,percent of total billed charges,684.0018845,,,,,,,,,,537,percent of total billed charges,999999999,,,,,,,,,,537,percent of total billed charges,467.6531813,,,,,,,,,,1933.2,percent of total billed charges,,,,,
DENTAL - 1ST 1/2 HOUR,Local,Local,,,,both,,,696,696,148.1672255,696,696,percent of total billed charges,512.0719259,,,,696,percent of total billed charges,542.7861166,,,,696,percent of total billed charges,512.0719259,,,,696,percent of total billed charges,542.7861166,,,,696,percent of total billed charges,999999999,,,,696,percent of total billed charges,530.3041642,,,,696,percent of total billed charges,512.0719259,,,,696,percent of total billed charges,542.7861166,,,,496.248,percent of total billed charges,247.6368334,,,,496.248,percent of total billed charges,148.1672255,,,,496.248,percent of total billed charges,247.6368334,,,,496.248,percent of total billed charges,148.1672255,,,,496.248,percent of total billed charges,247.6368334,,,,496.248,percent of total billed charges,148.1672255,,,,491.376,percent of total billed charges,487.6477967,,,,491.376,percent of total billed charges,336.3268203,,,,,,,,,,501.12,percent of total billed charges,325.7162076,,,,,,,,,,501.12,percent of total billed charges,999999999,,,,,,,,,,556.8,percent of total billed charges,466.5694566,,,,549.84,percent of total billed charges,530.6192623,,,,549.84,percent of total billed charges,468.8196826,,,,556.8,percent of total billed charges,999999999,,,,556.8,percent of total billed charges,999999999,,,,487.2,percent of total billed charges,999999999,,,,487.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,370.272,percent of total billed charges,999999999,,,,,,,,,,,,,,,,351.48,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,174,percent of total billed charges,165.257438,,,,,,,,,,174,percent of total billed charges,162.508493,,,,,,,,,,174,percent of total billed charges,162.0568889,,,,,,,,,,174,percent of total billed charges,159.6706031,,,,,,,,,,174,percent of total billed charges,163.7791625,,,,,,,,,,174,percent of total billed charges,999999999,,,,,,,,,,174,percent of total billed charges,140.5340548,,,,,,,,,,174,percent of total billed charges,221.6318955,,,,,,,,,,174,percent of total billed charges,999999999,,,,,,,,,,174,percent of total billed charges,151.5300811,,,,,,,,,,626.4,percent of total billed charges,,,,,
DENTAL UNITS - 15 MIN,Local,Local,,,,both,,,696,696,148.1672255,696,696,percent of total billed charges,512.0719259,,,,696,percent of total billed charges,542.7861166,,,,696,percent of total billed charges,512.0719259,,,,696,percent of total billed charges,542.7861166,,,,696,percent of total billed charges,999999999,,,,696,percent of total billed charges,530.3041642,,,,696,percent of total billed charges,512.0719259,,,,696,percent of total billed charges,542.7861166,,,,496.248,percent of total billed charges,247.6368334,,,,496.248,percent of total billed charges,148.1672255,,,,496.248,percent of total billed charges,247.6368334,,,,496.248,percent of total billed charges,148.1672255,,,,496.248,percent of total billed charges,247.6368334,,,,496.248,percent of total billed charges,148.1672255,,,,491.376,percent of total billed charges,487.6477967,,,,491.376,percent of total billed charges,336.3268203,,,,,,,,,,501.12,percent of total billed charges,325.7162076,,,,,,,,,,501.12,percent of total billed charges,999999999,,,,,,,,,,556.8,percent of total billed charges,466.5694566,,,,549.84,percent of total billed charges,530.6192623,,,,549.84,percent of total billed charges,468.8196826,,,,556.8,percent of total billed charges,999999999,,,,556.8,percent of total billed charges,999999999,,,,487.2,percent of total billed charges,999999999,,,,487.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,370.272,percent of total billed charges,999999999,,,,,,,,,,,,,,,,351.48,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,174,percent of total billed charges,165.257438,,,,,,,,,,174,percent of total billed charges,162.508493,,,,,,,,,,174,percent of total billed charges,162.0568889,,,,,,,,,,174,percent of total billed charges,159.6706031,,,,,,,,,,174,percent of total billed charges,163.7791625,,,,,,,,,,174,percent of total billed charges,999999999,,,,,,,,,,174,percent of total billed charges,140.5340548,,,,,,,,,,174,percent of total billed charges,221.6318955,,,,,,,,,,174,percent of total billed charges,999999999,,,,,,,,,,174,percent of total billed charges,151.5300811,,,,,,,,,,626.4,percent of total billed charges,,,,,
ORTHO-COMPLEX LEVEL 1  1.5 HR,Local,Local,,,,both,,,9934,9934,2114.789106,9934,9934,percent of total billed charges,7308.796713,,,,9934,percent of total billed charges,7747.180003,,,,9934,percent of total billed charges,7308.796713,,,,9934,percent of total billed charges,7747.180003,,,,9934,percent of total billed charges,999999999,,,,9934,percent of total billed charges,7569.02524,,,,9934,percent of total billed charges,7308.796713,,,,9934,percent of total billed charges,7747.180003,,,,7082.942,percent of total billed charges,3534.517676,,,,7082.942,percent of total billed charges,2114.789106,,,,7082.942,percent of total billed charges,3534.517676,,,,7082.942,percent of total billed charges,2114.789106,,,,7082.942,percent of total billed charges,3534.517676,,,,7082.942,percent of total billed charges,2114.789106,,,,7013.404,percent of total billed charges,6960.191397,,,,7013.404,percent of total billed charges,4800.38884,,,,,,,,,,7152.48,percent of total billed charges,4648.943687,,,,,,,,,,7152.48,percent of total billed charges,999999999,,,,,,,,,,7947.2,percent of total billed charges,6659.340491,,,,7847.86,percent of total billed charges,7573.522632,,,,7847.86,percent of total billed charges,6691.457941,,,,7947.2,percent of total billed charges,999999999,,,,7947.2,percent of total billed charges,999999999,,,,6953.8,percent of total billed charges,999999999,,,,6953.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5284.888,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5016.67,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2483.5,percent of total billed charges,2358.717514,,,,,,,,,,2483.5,percent of total billed charges,2319.481853,,,,,,,,,,2483.5,percent of total billed charges,2313.036112,,,,,,,,,,2483.5,percent of total billed charges,2278.976683,,,,,,,,,,2483.5,percent of total billed charges,2337.618104,,,,,,,,,,2483.5,percent of total billed charges,999999999,,,,,,,,,,2483.5,percent of total billed charges,2005.840948,,,,,,,,,,2483.5,percent of total billed charges,3163.349498,,,,,,,,,,2483.5,percent of total billed charges,999999999,,,,,,,,,,2483.5,percent of total billed charges,2162.787106,,,,,,,,,,8940.6,percent of total billed charges,,,,,
ORTHO-COMPLEX LEVEL 2,Local,Local,,,,both,,,15270,15270,3250.737834,15270,15270,percent of total billed charges,11234.68148,,,,15270,percent of total billed charges,11908.54023,,,,15270,percent of total billed charges,11234.68148,,,,15270,percent of total billed charges,11908.54023,,,,15270,percent of total billed charges,999999999,,,,15270,percent of total billed charges,11634.6905,,,,15270,percent of total billed charges,11234.68148,,,,15270,percent of total billed charges,11908.54023,,,,10887.51,percent of total billed charges,5433.066732,,,,10887.51,percent of total billed charges,3250.737834,,,,10887.51,percent of total billed charges,5433.066732,,,,10887.51,percent of total billed charges,3250.737834,,,,10887.51,percent of total billed charges,5433.066732,,,,10887.51,percent of total billed charges,3250.737834,,,,10780.62,percent of total billed charges,10698.82451,,,,10780.62,percent of total billed charges,7378.894462,,,,,,,,,,10994.4,percent of total billed charges,7146.101279,,,,,,,,,,10994.4,percent of total billed charges,999999999,,,,,,,,,,12216,percent of total billed charges,10236.37299,,,,12063.3,percent of total billed charges,11641.60364,,,,12063.3,percent of total billed charges,10285.74217,,,,12216,percent of total billed charges,999999999,,,,12216,percent of total billed charges,999999999,,,,10689,percent of total billed charges,999999999,,,,10689,percent of total billed charges,999999999,,,,,,,,,,,,,,,,8123.64,percent of total billed charges,999999999,,,,,,,,,,,,,,,,7711.35,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3817.5,percent of total billed charges,3625.691205,,,,,,,,,,3817.5,percent of total billed charges,3565.380299,,,,,,,,,,3817.5,percent of total billed charges,3555.47226,,,,,,,,,,3817.5,percent of total billed charges,3503.117974,,,,,,,,,,3817.5,percent of total billed charges,3593.25835,,,,,,,,,,3817.5,percent of total billed charges,999999999,,,,,,,,,,3817.5,percent of total billed charges,3083.268701,,,,,,,,,,3817.5,percent of total billed charges,4862.527363,,,,,,,,,,3817.5,percent of total billed charges,999999999,,,,,,,,,,3817.5,percent of total billed charges,3324.517728,,,,,,,,,,13743,percent of total billed charges,,,,,
HERNIA LEVEL 1  1.0 HR,Local,Local,,,,both,,,9200,9200,1958.532291,9200,9200,percent of total billed charges,6768.766837,,,,9200,percent of total billed charges,7174.759012,,,,9200,percent of total billed charges,6768.766837,,,,9200,percent of total billed charges,7174.759012,,,,9200,percent of total billed charges,999999999,,,,9200,percent of total billed charges,7009.767688,,,,9200,percent of total billed charges,6768.766837,,,,9200,percent of total billed charges,7174.759012,,,,6559.6,percent of total billed charges,3273.360441,,,,6559.6,percent of total billed charges,1958.532291,,,,6559.6,percent of total billed charges,3273.360441,,,,6559.6,percent of total billed charges,1958.532291,,,,6559.6,percent of total billed charges,3273.360441,,,,6559.6,percent of total billed charges,1958.532291,,,,6495.2,percent of total billed charges,6445.919152,,,,6495.2,percent of total billed charges,4445.699348,,,,,,,,,,6624,percent of total billed charges,4305.444123,,,,,,,,,,6624,percent of total billed charges,999999999,,,,,,,,,,7360,percent of total billed charges,6167.297414,,,,7268,percent of total billed charges,7013.932778,,,,7268,percent of total billed charges,6197.041781,,,,7360,percent of total billed charges,999999999,,,,7360,percent of total billed charges,999999999,,,,6440,percent of total billed charges,999999999,,,,6440,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4894.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4646,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2300,percent of total billed charges,2184.437399,,,,,,,,,,2300,percent of total billed charges,2148.10077,,,,,,,,,,2300,percent of total billed charges,2142.13129,,,,,,,,,,2300,percent of total billed charges,2110.588432,,,,,,,,,,2300,percent of total billed charges,2164.896976,,,,,,,,,,2300,percent of total billed charges,999999999,,,,,,,,,,2300,percent of total billed charges,1857.634057,,,,,,,,,,2300,percent of total billed charges,2929.61701,,,,,,,,,,2300,percent of total billed charges,999999999,,,,,,,,,,2300,percent of total billed charges,2002.983831,,,,,,,,,,8280,percent of total billed charges,,,,,
HERNIA LEVEL 2  1.5 HR,Local,Local,,,,both,,,11697,11697,2490.1035,11697,11697,percent of total billed charges,8605.898444,,,,11697,percent of total billed charges,9122.082192,,,,11697,percent of total billed charges,8605.898444,,,,11697,percent of total billed charges,9122.082192,,,,11697,percent of total billed charges,999999999,,,,11697,percent of total billed charges,8912.31007,,,,11697,percent of total billed charges,8605.898444,,,,11697,percent of total billed charges,9122.082192,,,,8339.961,percent of total billed charges,4161.793161,,,,8339.961,percent of total billed charges,2490.1035,,,,8339.961,percent of total billed charges,4161.793161,,,,8339.961,percent of total billed charges,2490.1035,,,,8339.961,percent of total billed charges,4161.793161,,,,8339.961,percent of total billed charges,2490.1035,,,,8258.082,percent of total billed charges,8195.425687,,,,8258.082,percent of total billed charges,5652.320139,,,,,,,,,,8421.84,percent of total billed charges,5473.997816,,,,,,,,,,8421.84,percent of total billed charges,999999999,,,,,,,,,,9357.6,percent of total billed charges,7841.182376,,,,9240.63,percent of total billed charges,8917.60562,,,,9240.63,percent of total billed charges,7878.999751,,,,9357.6,percent of total billed charges,999999999,,,,9357.6,percent of total billed charges,999999999,,,,8187.9,percent of total billed charges,999999999,,,,8187.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6222.804,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5906.985,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2924.25,percent of total billed charges,2777.322202,,,,,,,,,,2924.25,percent of total billed charges,2731.123337,,,,,,,,,,2924.25,percent of total billed charges,2723.533662,,,,,,,,,,2924.25,percent of total billed charges,2683.429662,,,,,,,,,,2924.25,percent of total billed charges,2752.478253,,,,,,,,,,2924.25,percent of total billed charges,999999999,,,,,,,,,,2924.25,percent of total billed charges,2361.82017,,,,,,,,,,2924.25,percent of total billed charges,3724.753279,,,,,,,,,,2924.25,percent of total billed charges,999999999,,,,,,,,,,2924.25,percent of total billed charges,2546.619768,,,,,,,,,,10527.3,percent of total billed charges,,,,,
HERNIA LEVEL 3  2.0 HR,Local,Local,,,,both,,,12778,12778,2720.231044,12778,12778,percent of total billed charges,9401.228548,,,,12778,percent of total billed charges,9965.116376,,,,12778,percent of total billed charges,9401.228548,,,,12778,percent of total billed charges,9965.116376,,,,12778,percent of total billed charges,999999999,,,,12778,percent of total billed charges,9735.957774,,,,12778,percent of total billed charges,9401.228548,,,,12778,percent of total billed charges,9965.116376,,,,9110.714,percent of total billed charges,4546.413012,,,,9110.714,percent of total billed charges,2720.231044,,,,9110.714,percent of total billed charges,4546.413012,,,,9110.714,percent of total billed charges,2720.231044,,,,9110.714,percent of total billed charges,4546.413012,,,,9110.714,percent of total billed charges,2720.231044,,,,9021.268,percent of total billed charges,8952.821187,,,,9021.268,percent of total billed charges,6174.689812,,,,,,,,,,9200.16,percent of total billed charges,5979.887501,,,,,,,,,,9200.16,percent of total billed charges,999999999,,,,,,,,,,10222.4,percent of total billed charges,8565.839822,,,,10094.62,percent of total billed charges,9741.742721,,,,10094.62,percent of total billed charges,8607.152161,,,,10222.4,percent of total billed charges,999999999,,,,10222.4,percent of total billed charges,999999999,,,,8944.6,percent of total billed charges,999999999,,,,8944.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6797.896,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6452.89,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3194.5,percent of total billed charges,3033.993597,,,,,,,,,,3194.5,percent of total billed charges,2983.525178,,,,,,,,,,3194.5,percent of total billed charges,2975.234089,,,,,,,,,,3194.5,percent of total billed charges,2931.423803,,,,,,,,,,3194.5,percent of total billed charges,3006.853647,,,,,,,,,,3194.5,percent of total billed charges,999999999,,,,,,,,,,3194.5,percent of total billed charges,2580.092172,,,,,,,,,,3194.5,percent of total billed charges,4068.983278,,,,,,,,,,3194.5,percent of total billed charges,999999999,,,,,,,,,,3194.5,percent of total billed charges,2781.970368,,,,,,,,,,11500.2,percent of total billed charges,,,,,
ORTHO-NEURO LEVEL 1  1.0,Local,Local,,,,both,,,6786,6786,1444.630448,6786,6786,percent of total billed charges,4992.701278,,,,6786,percent of total billed charges,5292.164636,,,,6786,percent of total billed charges,4992.701278,,,,6786,percent of total billed charges,5292.164636,,,,6786,percent of total billed charges,999999999,,,,6786,percent of total billed charges,5170.465601,,,,6786,percent of total billed charges,4992.701278,,,,6786,percent of total billed charges,5292.164636,,,,4838.418,percent of total billed charges,2414.459125,,,,4838.418,percent of total billed charges,1444.630448,,,,4838.418,percent of total billed charges,2414.459125,,,,4838.418,percent of total billed charges,1444.630448,,,,4838.418,percent of total billed charges,2414.459125,,,,4838.418,percent of total billed charges,1444.630448,,,,4790.916,percent of total billed charges,4754.566018,,,,4790.916,percent of total billed charges,3279.186498,,,,,,,,,,4885.92,percent of total billed charges,3175.733024,,,,,,,,,,4885.92,percent of total billed charges,999999999,,,,,,,,,,5428.8,percent of total billed charges,4549.052201,,,,5360.94,percent of total billed charges,5173.537808,,,,5360.94,percent of total billed charges,4570.991905,,,,5428.8,percent of total billed charges,999999999,,,,5428.8,percent of total billed charges,999999999,,,,4750.2,percent of total billed charges,999999999,,,,4750.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3610.152,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3426.93,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1696.5,percent of total billed charges,1611.260021,,,,,,,,,,1696.5,percent of total billed charges,1584.457807,,,,,,,,,,1696.5,percent of total billed charges,1580.054666,,,,,,,,,,1696.5,percent of total billed charges,1556.788381,,,,,,,,,,1696.5,percent of total billed charges,1596.846834,,,,,,,,,,1696.5,percent of total billed charges,999999999,,,,,,,,,,1696.5,percent of total billed charges,1370.207034,,,,,,,,,,1696.5,percent of total billed charges,2160.910981,,,,,,,,,,1696.5,percent of total billed charges,999999999,,,,,,,,,,1696.5,percent of total billed charges,1477.418291,,,,,,,,,,6107.4,percent of total billed charges,,,,,
ORTHO-NEURO LEVEL 2  1.5 HR,Local,Local,,,,both,,,8754,8754,1863.586051,8754,8754,percent of total billed charges,6440.628792,,,,8754,percent of total billed charges,6826.939173,,,,8754,percent of total billed charges,6440.628792,,,,8754,percent of total billed charges,6826.939173,,,,8754,percent of total billed charges,999999999,,,,8754,percent of total billed charges,6669.946341,,,,8754,percent of total billed charges,6440.628792,,,,8754,percent of total billed charges,6826.939173,,,,6241.602,percent of total billed charges,3114.67362,,,,6241.602,percent of total billed charges,1863.586051,,,,6241.602,percent of total billed charges,3114.67362,,,,6241.602,percent of total billed charges,1863.586051,,,,6241.602,percent of total billed charges,3114.67362,,,,6241.602,percent of total billed charges,1863.586051,,,,6180.324,percent of total billed charges,6133.432202,,,,6180.324,percent of total billed charges,4230.179576,,,,,,,,,,6302.88,percent of total billed charges,4096.72368,,,,,,,,,,6302.88,percent of total billed charges,999999999,,,,,,,,,,7003.2,percent of total billed charges,5868.317561,,,,6915.66,percent of total billed charges,6673.909515,,,,6915.66,percent of total billed charges,5896.619973,,,,7003.2,percent of total billed charges,999999999,,,,7003.2,percent of total billed charges,999999999,,,,6127.8,percent of total billed charges,999999999,,,,6127.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4657.128,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4420.77,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2188.5,percent of total billed charges,2078.539673,,,,,,,,,,2188.5,percent of total billed charges,2043.96458,,,,,,,,,,2188.5,percent of total billed charges,2038.28449,,,,,,,,,,2188.5,percent of total billed charges,2008.270776,,,,,,,,,,2188.5,percent of total billed charges,2059.946535,,,,,,,,,,2188.5,percent of total billed charges,999999999,,,,,,,,,,2188.5,percent of total billed charges,1767.579189,,,,,,,,,,2188.5,percent of total billed charges,2787.594272,,,,,,,,,,2188.5,percent of total billed charges,999999999,,,,,,,,,,2188.5,percent of total billed charges,1905.882658,,,,,,,,,,7878.6,percent of total billed charges,,,,,
TISSUE LEVEL 1  1 HR,Local,Local,,,,both,,,5775,5775,1229.40478,5775,5775,percent of total billed charges,4248.872661,,,,5775,percent of total billed charges,4503.72101,,,,5775,percent of total billed charges,4248.872661,,,,5775,percent of total billed charges,4503.72101,,,,5775,percent of total billed charges,999999999,,,,5775,percent of total billed charges,4400.153087,,,,5775,percent of total billed charges,4248.872661,,,,5775,percent of total billed charges,4503.72101,,,,4117.575,percent of total billed charges,2054.745277,,,,4117.575,percent of total billed charges,1229.40478,,,,4117.575,percent of total billed charges,2054.745277,,,,4117.575,percent of total billed charges,1229.40478,,,,4117.575,percent of total billed charges,2054.745277,,,,4117.575,percent of total billed charges,1229.40478,,,,4077.15,percent of total billed charges,4046.215555,,,,4077.15,percent of total billed charges,2790.642797,,,,,,,,,,4158,percent of total billed charges,2702.602153,,,,,,,,,,4158,percent of total billed charges,999999999,,,,,,,,,,4620,percent of total billed charges,3871.319844,,,,4562.25,percent of total billed charges,4402.767586,,,,4562.25,percent of total billed charges,3889.990901,,,,4620,percent of total billed charges,999999999,,,,4620,percent of total billed charges,999999999,,,,4042.5,percent of total billed charges,999999999,,,,4042.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3072.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2916.375,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1443.75,percent of total billed charges,1371.209346,,,,,,,,,,1443.75,percent of total billed charges,1348.400211,,,,,,,,,,1443.75,percent of total billed charges,1344.653065,,,,,,,,,,1443.75,percent of total billed charges,1324.853065,,,,,,,,,,1443.75,percent of total billed charges,1358.943482,,,,,,,,,,1443.75,percent of total billed charges,999999999,,,,,,,,,,1443.75,percent of total billed charges,1166.069204,,,,,,,,,,1443.75,percent of total billed charges,1838.971547,,,,,,,,,,1443.75,percent of total billed charges,999999999,,,,,,,,,,1443.75,percent of total billed charges,1257.307785,,,,,,,,,,5197.5,percent of total billed charges,,,,,
TISSUE LEVEL 2  1.5 HR,Local,Local,,,,both,,,7003,7003,1490.826264,7003,7003,percent of total billed charges,5152.355887,,,,7003,percent of total billed charges,5461.395365,,,,7003,percent of total billed charges,5152.355887,,,,7003,percent of total billed charges,5461.395365,,,,7003,percent of total billed charges,999999999,,,,7003,percent of total billed charges,5335.804687,,,,7003,percent of total billed charges,5152.355887,,,,7003,percent of total billed charges,5461.395365,,,,4993.139,percent of total billed charges,2491.667736,,,,4993.139,percent of total billed charges,1490.826264,,,,4993.139,percent of total billed charges,2491.667736,,,,4993.139,percent of total billed charges,1490.826264,,,,4993.139,percent of total billed charges,2491.667736,,,,4993.139,percent of total billed charges,1490.826264,,,,4944.118,percent of total billed charges,4906.605633,,,,4944.118,percent of total billed charges,3384.047015,,,,,,,,,,5042.16,percent of total billed charges,3277.285347,,,,,,,,,,5042.16,percent of total billed charges,999999999,,,,,,,,,,5602.4,percent of total billed charges,4694.519977,,,,5532.37,percent of total billed charges,5338.975135,,,,5532.37,percent of total billed charges,4717.16126,,,,5602.4,percent of total billed charges,999999999,,,,5602.4,percent of total billed charges,999999999,,,,4902.1,percent of total billed charges,999999999,,,,4902.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3725.596,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3536.515,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1750.75,percent of total billed charges,1662.784251,,,,,,,,,,1750.75,percent of total billed charges,1635.124966,,,,,,,,,,1750.75,percent of total billed charges,1630.581024,,,,,,,,,,1750.75,percent of total billed charges,1606.570738,,,,,,,,,,1750.75,percent of total billed charges,1647.910165,,,,,,,,,,1750.75,percent of total billed charges,999999999,,,,,,,,,,1750.75,percent of total billed charges,1414.022968,,,,,,,,,,1750.75,percent of total billed charges,2230.011731,,,,,,,,,,1750.75,percent of total billed charges,999999999,,,,,,,,,,1750.75,percent of total billed charges,1524.662583,,,,,,,,,,6302.7,percent of total billed charges,,,,,
TISSUE LEVEL 3  2 HR,Local,Local,,,,both,,,7611,7611,1620.259703,7611,7611,percent of total billed charges,5599.683086,,,,7611,percent of total billed charges,5935.553352,,,,7611,percent of total billed charges,5599.683086,,,,7611,percent of total billed charges,5935.553352,,,,7611,percent of total billed charges,999999999,,,,7611,percent of total billed charges,5799.058899,,,,7611,percent of total billed charges,5599.683086,,,,7611,percent of total billed charges,5935.553352,,,,5426.643,percent of total billed charges,2707.994165,,,,5426.643,percent of total billed charges,1620.259703,,,,5426.643,percent of total billed charges,2707.994165,,,,5426.643,percent of total billed charges,1620.259703,,,,5426.643,percent of total billed charges,2707.994165,,,,5426.643,percent of total billed charges,1620.259703,,,,5373.366,percent of total billed charges,5332.596811,,,,5373.366,percent of total billed charges,3677.849754,,,,,,,,,,5479.92,percent of total billed charges,3561.819046,,,,,,,,,,5479.92,percent of total billed charges,999999999,,,,,,,,,,6088.8,percent of total billed charges,5102.097893,,,,6012.69,percent of total billed charges,5802.504606,,,,6012.69,percent of total billed charges,5126.704891,,,,6088.8,percent of total billed charges,999999999,,,,6088.8,percent of total billed charges,999999999,,,,5327.7,percent of total billed charges,999999999,,,,5327.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4049.052,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3843.555,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1902.75,percent of total billed charges,1807.14707,,,,,,,,,,1902.75,percent of total billed charges,1777.086408,,,,,,,,,,1902.75,percent of total billed charges,1772.147961,,,,,,,,,,1902.75,percent of total billed charges,1746.053104,,,,,,,,,,1902.75,percent of total billed charges,1790.981617,,,,,,,,,,1902.75,percent of total billed charges,999999999,,,,,,,,,,1902.75,percent of total billed charges,1536.788349,,,,,,,,,,1902.75,percent of total billed charges,2423.621202,,,,,,,,,,1902.75,percent of total billed charges,999999999,,,,,,,,,,1902.75,percent of total billed charges,1657.033689,,,,,,,,,,6849.9,percent of total billed charges,,,,,
GENERAL LEVEL 1  1 HR,Local,Local,,,,both,,,4905,4905,1044.195748,4905,4905,percent of total billed charges,3608.782754,,,,4905,percent of total billed charges,3825.238365,,,,4905,percent of total billed charges,3608.782754,,,,4905,percent of total billed charges,3825.238365,,,,4905,percent of total billed charges,999999999,,,,4905,percent of total billed charges,3737.272881,,,,4905,percent of total billed charges,3608.782754,,,,4905,percent of total billed charges,3825.238365,,,,3497.265,percent of total billed charges,1745.199235,,,,3497.265,percent of total billed charges,1044.195748,,,,3497.265,percent of total billed charges,1745.199235,,,,3497.265,percent of total billed charges,1044.195748,,,,3497.265,percent of total billed charges,1745.199235,,,,3497.265,percent of total billed charges,1044.195748,,,,3462.93,percent of total billed charges,3436.655809,,,,3462.93,percent of total billed charges,2370.234272,,,,,,,,,,3531.6,percent of total billed charges,2295.456894,,,,,,,,,,3531.6,percent of total billed charges,999999999,,,,,,,,,,3924,percent of total billed charges,3288.108024,,,,3874.95,percent of total billed charges,3739.493508,,,,3874.95,percent of total billed charges,3303.966297,,,,3924,percent of total billed charges,999999999,,,,3924,percent of total billed charges,999999999,,,,3433.5,percent of total billed charges,999999999,,,,3433.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2609.46,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2477.025,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1226.25,percent of total billed charges,1164.637548,,,,,,,,,,1226.25,percent of total billed charges,1145.264595,,,,,,,,,,1226.25,percent of total billed charges,1142.081954,,,,,,,,,,1226.25,percent of total billed charges,1125.264811,,,,,,,,,,1226.25,percent of total billed charges,1154.219529,,,,,,,,,,1226.25,percent of total billed charges,999999999,,,,,,,,,,1226.25,percent of total billed charges,990.4016359,,,,,,,,,,1226.25,percent of total billed charges,1561.931678,,,,,,,,,,1226.25,percent of total billed charges,999999999,,,,,,,,,,1226.25,percent of total billed charges,1067.895184,,,,,,,,,,4414.5,percent of total billed charges,,,,,
GENERAL LEVEL 2  1 HR,Local,Local,,,,both,,,7294,7294,1552.775492,7294,7294,percent of total billed charges,5366.454925,,,,7294,percent of total billed charges,5688.336112,,,,7294,percent of total billed charges,5366.454925,,,,7294,percent of total billed charges,5688.336112,,,,7294,percent of total billed charges,999999999,,,,7294,percent of total billed charges,5557.526686,,,,7294,percent of total billed charges,5366.454925,,,,7294,percent of total billed charges,5688.336112,,,,5200.622,percent of total billed charges,2595.20555,,,,5200.622,percent of total billed charges,1552.775492,,,,5200.622,percent of total billed charges,2595.20555,,,,5200.622,percent of total billed charges,1552.775492,,,,5200.622,percent of total billed charges,2595.20555,,,,5200.622,percent of total billed charges,1552.775492,,,,5149.564,percent of total billed charges,5110.492858,,,,5149.564,percent of total billed charges,3524.666418,,,,,,,,,,5251.68,percent of total billed charges,3413.468417,,,,,,,,,,5251.68,percent of total billed charges,999999999,,,,,,,,,,5835.2,percent of total billed charges,4889.594276,,,,5762.26,percent of total billed charges,5560.828878,,,,5762.26,percent of total billed charges,4913.176386,,,,5835.2,percent of total billed charges,999999999,,,,5835.2,percent of total billed charges,999999999,,,,5105.8,percent of total billed charges,999999999,,,,5105.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3880.408,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3683.47,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1823.5,percent of total billed charges,1731.878956,,,,,,,,,,1823.5,percent of total billed charges,1703.070328,,,,,,,,,,1823.5,percent of total billed charges,1698.337568,,,,,,,,,,1823.5,percent of total billed charges,1673.329568,,,,,,,,,,1823.5,percent of total billed charges,1716.386798,,,,,,,,,,1823.5,percent of total billed charges,999999999,,,,,,,,,,1823.5,percent of total billed charges,1472.780741,,,,,,,,,,1823.5,percent of total billed charges,2322.67679,,,,,,,,,,1823.5,percent of total billed charges,999999999,,,,,,,,,,1823.5,percent of total billed charges,1588.017833,,,,,,,,,,6564.6,percent of total billed charges,,,,,
GENERAL LEVEL 3  1.5 HR,Local,Local,,,,both,,,9899,9899,2107.338168,9899,9899,percent of total billed charges,7283.045969,,,,9899,percent of total billed charges,7719.884724,,,,9899,percent of total billed charges,7283.045969,,,,9899,percent of total billed charges,7719.884724,,,,9899,percent of total billed charges,999999999,,,,9899,percent of total billed charges,7542.357646,,,,9899,percent of total billed charges,7283.045969,,,,9899,percent of total billed charges,7719.884724,,,,7057.987,percent of total billed charges,3522.064674,,,,7057.987,percent of total billed charges,2107.338168,,,,7057.987,percent of total billed charges,3522.064674,,,,7057.987,percent of total billed charges,2107.338168,,,,7057.987,percent of total billed charges,3522.064674,,,,7057.987,percent of total billed charges,2107.338168,,,,6988.694,percent of total billed charges,6935.668879,,,,6988.694,percent of total billed charges,4783.475853,,,,,,,,,,7127.28,percent of total billed charges,4632.56428,,,,,,,,,,7127.28,percent of total billed charges,999999999,,,,,,,,,,7919.2,percent of total billed charges,6635.877946,,,,7820.21,percent of total billed charges,7546.839192,,,,7820.21,percent of total billed charges,6667.882238,,,,7919.2,percent of total billed charges,999999999,,,,7919.2,percent of total billed charges,999999999,,,,6929.3,percent of total billed charges,999999999,,,,6929.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5266.268,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4998.995,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2474.75,percent of total billed charges,2350.407154,,,,,,,,,,2474.75,percent of total billed charges,2311.30973,,,,,,,,,,2474.75,percent of total billed charges,2304.8867,,,,,,,,,,2474.75,percent of total billed charges,2270.947271,,,,,,,,,,2474.75,percent of total billed charges,2329.382083,,,,,,,,,,2474.75,percent of total billed charges,999999999,,,,,,,,,,2474.75,percent of total billed charges,1998.773862,,,,,,,,,,2474.75,percent of total billed charges,3152.204215,,,,,,,,,,2474.75,percent of total billed charges,999999999,,,,,,,,,,2474.75,percent of total billed charges,2155.167059,,,,,,,,,,8909.1,percent of total billed charges,,,,,
GYN LEVEL 1  0.5 HR,Local,Local,,,,both,,,4693,4693,999.0643521,4693,4693,percent of total billed charges,3452.806822,,,,4693,percent of total billed charges,3659.906961,,,,4693,percent of total billed charges,3452.806822,,,,4693,percent of total billed charges,3659.906961,,,,4693,percent of total billed charges,999999999,,,,4693,percent of total billed charges,3575.743452,,,,4693,percent of total billed charges,3452.806822,,,,4693,percent of total billed charges,3659.906961,,,,3346.109,percent of total billed charges,1669.769625,,,,3346.109,percent of total billed charges,999.0643521,,,,3346.109,percent of total billed charges,1669.769625,,,,3346.109,percent of total billed charges,999.0643521,,,,3346.109,percent of total billed charges,1669.769625,,,,3346.109,percent of total billed charges,999.0643521,,,,3313.258,percent of total billed charges,3288.119411,,,,3313.258,percent of total billed charges,2267.789896,,,,,,,,,,3378.96,percent of total billed charges,2196.244486,,,,,,,,,,3378.96,percent of total billed charges,999999999,,,,,,,,,,3754.4,percent of total billed charges,3145.99204,,,,3707.47,percent of total billed charges,3577.868101,,,,3707.47,percent of total billed charges,3161.1649,,,,3754.4,percent of total billed charges,999999999,,,,3754.4,percent of total billed charges,999999999,,,,3285.1,percent of total billed charges,999999999,,,,3285.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2496.676,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2369.965,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1173.25,percent of total billed charges,1114.300513,,,,,,,,,,1173.25,percent of total billed charges,1095.764882,,,,,,,,,,1173.25,percent of total billed charges,1092.719798,,,,,,,,,,1173.25,percent of total billed charges,1076.629512,,,,,,,,,,1173.25,percent of total billed charges,1104.332772,,,,,,,,,,1173.25,percent of total billed charges,999999999,,,,,,,,,,1173.25,percent of total billed charges,947.5952859,,,,,,,,,,1173.25,percent of total billed charges,1494.423112,,,,,,,,,,1173.25,percent of total billed charges,999999999,,,,,,,,,,1173.25,percent of total billed charges,1021.739469,,,,,,,,,,4223.7,percent of total billed charges,,,,,
GYN LEVEL 2  1 HR,Local,Local,,,,both,,,8014,8014,1706.051932,8014,8014,percent of total billed charges,5896.184503,,,,8014,percent of total billed charges,6249.838992,,,,8014,percent of total billed charges,5896.184503,,,,8014,percent of total billed charges,6249.838992,,,,8014,percent of total billed charges,999999999,,,,8014,percent of total billed charges,6106.117201,,,,8014,percent of total billed charges,5896.184503,,,,8014,percent of total billed charges,6249.838992,,,,5713.982,percent of total billed charges,2851.381584,,,,5713.982,percent of total billed charges,1706.051932,,,,5713.982,percent of total billed charges,2851.381584,,,,5713.982,percent of total billed charges,1706.051932,,,,5713.982,percent of total billed charges,2851.381584,,,,5713.982,percent of total billed charges,1706.051932,,,,5657.884,percent of total billed charges,5614.956096,,,,5657.884,percent of total billed charges,3872.590715,,,,,,,,,,5770.08,percent of total billed charges,3750.416218,,,,,,,,,,5770.08,percent of total billed charges,999999999,,,,,,,,,,6411.2,percent of total billed charges,5372.252335,,,,6331.06,percent of total billed charges,6109.745357,,,,6331.06,percent of total billed charges,5398.162265,,,,6411.2,percent of total billed charges,999999999,,,,6411.2,percent of total billed charges,999999999,,,,5609.8,percent of total billed charges,999999999,,,,5609.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4263.448,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4047.07,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2003.5,percent of total billed charges,1902.834926,,,,,,,,,,2003.5,percent of total billed charges,1871.182562,,,,,,,,,,2003.5,percent of total billed charges,1865.982626,,,,,,,,,,2003.5,percent of total billed charges,1838.506054,,,,,,,,,,2003.5,percent of total billed charges,1885.813518,,,,,,,,,,2003.5,percent of total billed charges,999999999,,,,,,,,,,2003.5,percent of total billed charges,1618.160797,,,,,,,,,,2003.5,percent of total billed charges,2551.951165,,,,,,,,,,2003.5,percent of total billed charges,999999999,,,,,,,,,,2003.5,percent of total billed charges,1744.773089,,,,,,,,,,7212.6,percent of total billed charges,,,,,
GYN LEVEL 3  2 HR,Local,Local,,,,both,,,9282,9282,1975.988774,9282,9282,percent of total billed charges,6829.09715,,,,9282,percent of total billed charges,7238.707951,,,,9282,percent of total billed charges,6829.09715,,,,9282,percent of total billed charges,7238.707951,,,,9282,percent of total billed charges,999999999,,,,9282,percent of total billed charges,7072.246052,,,,9282,percent of total billed charges,6829.09715,,,,9282,percent of total billed charges,7238.707951,,,,6618.066,percent of total billed charges,3302.536045,,,,6618.066,percent of total billed charges,1975.988774,,,,6618.066,percent of total billed charges,3302.536045,,,,6618.066,percent of total billed charges,1975.988774,,,,6618.066,percent of total billed charges,3302.536045,,,,6618.066,percent of total billed charges,1975.988774,,,,6553.092,percent of total billed charges,6503.37191,,,,6553.092,percent of total billed charges,4485.32406,,,,,,,,,,6683.04,percent of total billed charges,4343.818734,,,,,,,,,,6683.04,percent of total billed charges,999999999,,,,,,,,,,7425.6,percent of total billed charges,6222.266804,,,,7332.78,percent of total billed charges,7076.448266,,,,7332.78,percent of total billed charges,6252.276284,,,,7425.6,percent of total billed charges,999999999,,,,7425.6,percent of total billed charges,999999999,,,,6497.4,percent of total billed charges,999999999,,,,6497.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4938.024,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4687.41,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2320.5,percent of total billed charges,2203.907385,,,,,,,,,,2320.5,percent of total billed charges,2167.246885,,,,,,,,,,2320.5,percent of total billed charges,2161.224199,,,,,,,,,,2320.5,percent of total billed charges,2129.400199,,,,,,,,,,2320.5,percent of total billed charges,2184.192796,,,,,,,,,,2320.5,percent of total billed charges,999999999,,,,,,,,,,2320.5,percent of total billed charges,1874.19123,,,,,,,,,,2320.5,percent of total billed charges,2955.728814,,,,,,,,,,2320.5,percent of total billed charges,999999999,,,,,,,,,,2320.5,percent of total billed charges,2020.836513,,,,,,,,,,8353.8,percent of total billed charges,,,,,
GYN LEVEL 4  1 HR,Local,Local,,,,both,,,10461,10461,2226.978945,10461,10461,percent of total billed charges,7696.529335,,,,10461,percent of total billed charges,8158.168916,,,,10461,percent of total billed charges,7696.529335,,,,10461,percent of total billed charges,8158.168916,,,,10461,percent of total billed charges,999999999,,,,10461,percent of total billed charges,7970.56302,,,,10461,percent of total billed charges,7696.529335,,,,10461,percent of total billed charges,8158.168916,,,,7458.693,percent of total billed charges,3722.024301,,,,7458.693,percent of total billed charges,2226.978945,,,,7458.693,percent of total billed charges,3722.024301,,,,7458.693,percent of total billed charges,2226.978945,,,,7458.693,percent of total billed charges,3722.024301,,,,7458.693,percent of total billed charges,2226.978945,,,,7385.466,percent of total billed charges,7329.430462,,,,7385.466,percent of total billed charges,5055.050096,,,,,,,,,,7531.92,percent of total billed charges,4895.570758,,,,,,,,,,7531.92,percent of total billed charges,999999999,,,,,,,,,,8368.8,percent of total billed charges,7012.619375,,,,8264.19,percent of total billed charges,7975.298999,,,,8264.19,percent of total billed charges,7046.44066,,,,8368.8,percent of total billed charges,999999999,,,,8368.8,percent of total billed charges,999999999,,,,7322.7,percent of total billed charges,999999999,,,,7322.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5565.252,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5282.805,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2615.25,percent of total billed charges,2483.847786,,,,,,,,,,2615.25,percent of total billed charges,2442.530669,,,,,,,,,,2615.25,percent of total billed charges,2435.74298,,,,,,,,,,2615.25,percent of total billed charges,2399.876695,,,,,,,,,,2615.25,percent of total billed charges,2461.62905,,,,,,,,,,2615.25,percent of total billed charges,999999999,,,,,,,,,,2615.25,percent of total billed charges,2112.251073,,,,,,,,,,2615.25,percent of total billed charges,3331.165602,,,,,,,,,,2615.25,percent of total billed charges,999999999,,,,,,,,,,2615.25,percent of total billed charges,2277.523245,,,,,,,,,,9414.9,percent of total billed charges,,,,,
GYN LEVEL 5  1 HR,Local,Local,,,,both,,,11093,11093,2361.521598,11093,11093,percent of total billed charges,8161.514187,,,,11093,percent of total billed charges,8651.043665,,,,11093,percent of total billed charges,8161.514187,,,,11093,percent of total billed charges,8651.043665,,,,11093,percent of total billed charges,999999999,,,,11093,percent of total billed charges,8452.103583,,,,11093,percent of total billed charges,8161.514187,,,,11093,percent of total billed charges,8651.043665,,,,7909.309,percent of total billed charges,3946.889932,,,,7909.309,percent of total billed charges,2361.521598,,,,7909.309,percent of total billed charges,3946.889932,,,,7909.309,percent of total billed charges,2361.521598,,,,7909.309,percent of total billed charges,3946.889932,,,,7909.309,percent of total billed charges,2361.521598,,,,7831.658,percent of total billed charges,7772.237082,,,,7831.658,percent of total billed charges,5360.450312,,,,,,,,,,7986.96,percent of total billed charges,5191.33605,,,,,,,,,,7986.96,percent of total billed charges,999999999,,,,,,,,,,8874.4,percent of total billed charges,7436.285893,,,,8763.47,percent of total billed charges,8457.125685,,,,8763.47,percent of total billed charges,7472.150487,,,,8874.4,percent of total billed charges,999999999,,,,8874.4,percent of total billed charges,999999999,,,,7765.1,percent of total billed charges,999999999,,,,7765.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5901.476,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5601.965,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2773.25,percent of total billed charges,2633.909138,,,,,,,,,,2773.25,percent of total billed charges,2590.095852,,,,,,,,,,2773.25,percent of total billed charges,2582.898086,,,,,,,,,,2773.25,percent of total billed charges,2544.864944,,,,,,,,,,2773.25,percent of total billed charges,2610.34806,,,,,,,,,,2773.25,percent of total billed charges,999999999,,,,,,,,,,2773.25,percent of total billed charges,2239.862456,,,,,,,,,,2773.25,percent of total billed charges,3532.417553,,,,,,,,,,2773.25,percent of total billed charges,999999999,,,,,,,,,,2773.25,percent of total billed charges,2415.119525,,,,,,,,,,9983.7,percent of total billed charges,,,,,
URO LEVEL 1 0.5 HR,Local,Local,,,,both,,,6621,6621,1409.504597,6621,6621,percent of total billed charges,4871.304916,,,,6621,percent of total billed charges,5163.486893,,,,6621,percent of total billed charges,4871.304916,,,,6621,percent of total billed charges,5163.486893,,,,6621,percent of total billed charges,999999999,,,,6621,percent of total billed charges,5044.746941,,,,6621,percent of total billed charges,4871.304916,,,,6621,percent of total billed charges,5163.486893,,,,4720.773,percent of total billed charges,2355.752117,,,,4720.773,percent of total billed charges,1409.504597,,,,4720.773,percent of total billed charges,2355.752117,,,,4720.773,percent of total billed charges,1409.504597,,,,4720.773,percent of total billed charges,2355.752117,,,,4720.773,percent of total billed charges,1409.504597,,,,4674.426,percent of total billed charges,4638.959859,,,,4674.426,percent of total billed charges,3199.453846,,,,,,,,,,4767.12,percent of total billed charges,3098.51582,,,,,,,,,,4767.12,percent of total billed charges,999999999,,,,,,,,,,5296.8,percent of total billed charges,4438.443063,,,,5230.59,percent of total billed charges,5047.744448,,,,5230.59,percent of total billed charges,4459.849308,,,,5296.8,percent of total billed charges,999999999,,,,5296.8,percent of total billed charges,999999999,,,,4634.7,percent of total billed charges,999999999,,,,4634.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3522.372,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3343.605,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1655.25,percent of total billed charges,1572.082611,,,,,,,,,,1655.25,percent of total billed charges,1545.932086,,,,,,,,,,1655.25,percent of total billed charges,1541.636007,,,,,,,,,,1655.25,percent of total billed charges,1518.935436,,,,,,,,,,1655.25,percent of total billed charges,1558.019878,,,,,,,,,,1655.25,percent of total billed charges,999999999,,,,,,,,,,1655.25,percent of total billed charges,1336.890771,,,,,,,,,,1655.25,percent of total billed charges,2108.368937,,,,,,,,,,1655.25,percent of total billed charges,999999999,,,,,,,,,,1655.25,percent of total billed charges,1441.495211,,,,,,,,,,5958.9,percent of total billed charges,,,,,
URO LEVEL 2,Local,Local,,,,both,,,7031,7031,1496.787015,7031,7031,percent of total billed charges,5172.956481,,,,7031,percent of total billed charges,5483.231588,,,,7031,percent of total billed charges,5172.956481,,,,7031,percent of total billed charges,5483.231588,,,,7031,percent of total billed charges,999999999,,,,7031,percent of total billed charges,5357.138762,,,,7031,percent of total billed charges,5172.956481,,,,7031,percent of total billed charges,5483.231588,,,,5013.103,percent of total billed charges,2501.630137,,,,5013.103,percent of total billed charges,1496.787015,,,,5013.103,percent of total billed charges,2501.630137,,,,5013.103,percent of total billed charges,1496.787015,,,,5013.103,percent of total billed charges,2501.630137,,,,5013.103,percent of total billed charges,1496.787015,,,,4963.886,percent of total billed charges,4926.223647,,,,4963.886,percent of total billed charges,3397.577404,,,,,,,,,,5062.32,percent of total billed charges,3290.388873,,,,,,,,,,5062.32,percent of total billed charges,999999999,,,,,,,,,,5624.8,percent of total billed charges,4713.290013,,,,5554.49,percent of total billed charges,5360.321887,,,,5554.49,percent of total billed charges,4736.021822,,,,5624.8,percent of total billed charges,999999999,,,,5624.8,percent of total billed charges,999999999,,,,4921.7,percent of total billed charges,999999999,,,,4921.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3740.492,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3550.655,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1757.75,percent of total billed charges,1669.432539,,,,,,,,,,1757.75,percent of total billed charges,1641.662664,,,,,,,,,,1757.75,percent of total billed charges,1637.100554,,,,,,,,,,1757.75,percent of total billed charges,1612.994268,,,,,,,,,,1757.75,percent of total billed charges,1654.498982,,,,,,,,,,1757.75,percent of total billed charges,999999999,,,,,,,,,,1757.75,percent of total billed charges,1419.676637,,,,,,,,,,1757.75,percent of total billed charges,2238.927956,,,,,,,,,,1757.75,percent of total billed charges,999999999,,,,,,,,,,1757.75,percent of total billed charges,1530.758621,,,,,,,,,,6327.9,percent of total billed charges,,,,,
URO LEVEL 3  1.0 HR,Local,Local,,,,both,,,7253,7253,1544.04725,7253,7253,percent of total billed charges,5336.289768,,,,7253,percent of total billed charges,5656.361643,,,,7253,percent of total billed charges,5336.289768,,,,7253,percent of total billed charges,5656.361643,,,,7253,percent of total billed charges,999999999,,,,7253,percent of total billed charges,5526.287504,,,,7253,percent of total billed charges,5336.289768,,,,7253,percent of total billed charges,5656.361643,,,,5171.389,percent of total billed charges,2580.617748,,,,5171.389,percent of total billed charges,1544.04725,,,,5171.389,percent of total billed charges,2580.617748,,,,5171.389,percent of total billed charges,1544.04725,,,,5171.389,percent of total billed charges,2580.617748,,,,5171.389,percent of total billed charges,1544.04725,,,,5120.618,percent of total billed charges,5081.766479,,,,5120.618,percent of total billed charges,3504.854062,,,,,,,,,,5222.16,percent of total billed charges,3394.281112,,,,,,,,,,5222.16,percent of total billed charges,999999999,,,,,,,,,,5802.4,percent of total billed charges,4862.109581,,,,5729.87,percent of total billed charges,5529.571134,,,,5729.87,percent of total billed charges,4885.559135,,,,5802.4,percent of total billed charges,999999999,,,,5802.4,percent of total billed charges,999999999,,,,5077.1,percent of total billed charges,999999999,,,,5077.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3858.596,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3662.765,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1813.25,percent of total billed charges,1722.143963,,,,,,,,,,1813.25,percent of total billed charges,1693.49727,,,,,,,,,,1813.25,percent of total billed charges,1688.791113,,,,,,,,,,1813.25,percent of total billed charges,1663.923685,,,,,,,,,,1813.25,percent of total billed charges,1706.738887,,,,,,,,,,1813.25,percent of total billed charges,999999999,,,,,,,,,,1813.25,percent of total billed charges,1464.502154,,,,,,,,,,1813.25,percent of total billed charges,2309.620888,,,,,,,,,,1813.25,percent of total billed charges,999999999,,,,,,,,,,1813.25,percent of total billed charges,1579.091492,,,,,,,,,,6527.7,percent of total billed charges,,,,,
BLOOD PATCH,62273,CDM,,,,both,,,2478,2478,527.5264148,2478,2478,percent of total billed charges,1823.152633,,,,2478,percent of total billed charges,1932.505743,,,,2478,percent of total billed charges,1823.152633,,,,2478,percent of total billed charges,1932.505743,,,,2478,percent of total billed charges,999999999,,,,2478,percent of total billed charges,1888.065688,,,,2478,percent of total billed charges,1823.152633,,,,2478,percent of total billed charges,1932.505743,,,,1766.814,percent of total billed charges,881.6725188,,,,1766.814,percent of total billed charges,527.5264148,,,,1766.814,percent of total billed charges,881.6725188,,,,1766.814,percent of total billed charges,527.5264148,,,,1766.814,percent of total billed charges,881.6725188,,,,1766.814,percent of total billed charges,527.5264148,,,,1749.468,percent of total billed charges,1736.194311,,,,1749.468,percent of total billed charges,1197.439455,,,,,,,,,,1784.16,percent of total billed charges,1159.662015,,,,,,,,,,1784.16,percent of total billed charges,999999999,,,,,,,,,,1982.4,percent of total billed charges,1661.148151,,,,1957.62,percent of total billed charges,1889.187546,,,,1957.62,percent of total billed charges,1669.159732,,,,1982.4,percent of total billed charges,999999999,,,,1982.4,percent of total billed charges,999999999,,,,1734.6,percent of total billed charges,999999999,,,,1734.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1318.296,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1251.39,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,619.5,percent of total billed charges,588.3734648,,,,,,,,,,619.5,percent of total billed charges,578.5862725,,,,,,,,,,619.5,percent of total billed charges,576.978406,,,,,,,,,,619.5,percent of total billed charges,568.482406,,,,,,,,,,619.5,percent of total billed charges,583.1102941,,,,,,,,,,619.5,percent of total billed charges,999999999,,,,,,,,,,619.5,percent of total billed charges,500.349695,,,,,,,,,,619.5,percent of total billed charges,789.0859729,,,,,,,,,,619.5,percent of total billed charges,999999999,,,,,,,,,,619.5,percent of total billed charges,539.4993405,,,,,,,,,,2230.2,percent of total billed charges,,,,,
NERVE ROOT/GANGLION BLOCK INJ,64520,CDM,,,,both,,,3151,3151,670.7973095,3151,3151,percent of total billed charges,2318.302642,,,,3151,percent of total billed charges,2457.354962,,,,3151,percent of total billed charges,2318.302642,,,,3151,percent of total billed charges,2457.354962,,,,3151,percent of total billed charges,999999999,,,,3151,percent of total billed charges,2400.845433,,,,3151,percent of total billed charges,2318.302642,,,,3151,percent of total billed charges,2457.354962,,,,2246.663,percent of total billed charges,1121.125951,,,,2246.663,percent of total billed charges,670.7973095,,,,2246.663,percent of total billed charges,1121.125951,,,,2246.663,percent of total billed charges,670.7973095,,,,2246.663,percent of total billed charges,1121.125951,,,,2246.663,percent of total billed charges,670.7973095,,,,2224.606,percent of total billed charges,2207.72731,,,,2224.606,percent of total billed charges,1522.652027,,,,,,,,,,2268.72,percent of total billed charges,1474.614612,,,,,,,,,,2268.72,percent of total billed charges,999999999,,,,,,,,,,2520.8,percent of total billed charges,2112.299364,,,,2489.29,percent of total billed charges,2402.271976,,,,2489.29,percent of total billed charges,2122.48681,,,,2520.8,percent of total billed charges,999999999,,,,2520.8,percent of total billed charges,999999999,,,,2205.7,percent of total billed charges,999999999,,,,2205.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1676.332,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1591.255,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,787.75,percent of total billed charges,748.1698093,,,,,,,,,,787.75,percent of total billed charges,735.7245136,,,,,,,,,,787.75,percent of total billed charges,733.6799667,,,,,,,,,,787.75,percent of total billed charges,722.8765381,,,,,,,,,,787.75,percent of total billed charges,741.4772141,,,,,,,,,,787.75,percent of total billed charges,999999999,,,,,,,,,,787.75,percent of total billed charges,636.2396646,,,,,,,,,,787.75,percent of total billed charges,1003.393826,,,,,,,,,,787.75,percent of total billed charges,999999999,,,,,,,,,,787.75,percent of total billed charges,686.021962,,,,,,,,,,2835.9,percent of total billed charges,,,,,
FACET INJ/ LUMBAR/ MEDIANS/ SACRAL,64493,CDM,,,,both,,,3063,3063,652.0635224,3063,3063,percent of total billed charges,2253.557915,,,,3063,percent of total billed charges,2388.726832,,,,3063,percent of total billed charges,2253.557915,,,,3063,percent of total billed charges,2388.726832,,,,3063,percent of total billed charges,999999999,,,,3063,percent of total billed charges,2333.795481,,,,3063,percent of total billed charges,2253.557915,,,,3063,percent of total billed charges,2388.726832,,,,2183.919,percent of total billed charges,1089.815547,,,,2183.919,percent of total billed charges,652.0635224,,,,2183.919,percent of total billed charges,1089.815547,,,,2183.919,percent of total billed charges,652.0635224,,,,2183.919,percent of total billed charges,1089.815547,,,,2183.919,percent of total billed charges,652.0635224,,,,2162.478,percent of total billed charges,2146.070692,,,,2162.478,percent of total billed charges,1480.127946,,,,,,,,,,2205.36,percent of total billed charges,1433.432103,,,,,,,,,,2205.36,percent of total billed charges,999999999,,,,,,,,,,2450.4,percent of total billed charges,2053.307824,,,,2419.77,percent of total billed charges,2335.182185,,,,2419.77,percent of total billed charges,2063.210758,,,,2450.4,percent of total billed charges,999999999,,,,2450.4,percent of total billed charges,999999999,,,,2144.1,percent of total billed charges,999999999,,,,2144.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1629.516,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1546.815,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,765.75,percent of total billed charges,727.2751907,,,,,,,,,,765.75,percent of total billed charges,715.1774628,,,,,,,,,,765.75,percent of total billed charges,713.1900152,,,,,,,,,,765.75,percent of total billed charges,702.6883009,,,,,,,,,,765.75,percent of total billed charges,720.7695039,,,,,,,,,,765.75,percent of total billed charges,999999999,,,,,,,,,,765.75,percent of total billed charges,618.470991,,,,,,,,,,765.75,percent of total billed charges,975.3714023,,,,,,,,,,765.75,percent of total billed charges,999999999,,,,,,,,,,765.75,percent of total billed charges,666.8629862,,,,,,,,,,2756.7,percent of total billed charges,,,,,
EPIDURAL INJ/ LUMBAR/ SACR/CAUD W/O IMAG,62322,CDM,,,,both,,,2767,2767,589.0498748,2767,2767,percent of total billed charges,2035.7802,,,,2767,percent of total billed charges,2157.886759,,,,2767,percent of total billed charges,2035.7802,,,,2767,percent of total billed charges,2157.886759,,,,2767,percent of total billed charges,999999999,,,,2767,percent of total billed charges,2108.263825,,,,2767,percent of total billed charges,2035.7802,,,,2767,percent of total billed charges,2157.886759,,,,1972.871,percent of total billed charges,984.4987326,,,,1972.871,percent of total billed charges,589.0498748,,,,1972.871,percent of total billed charges,984.4987326,,,,1972.871,percent of total billed charges,589.0498748,,,,1972.871,percent of total billed charges,984.4987326,,,,1972.871,percent of total billed charges,589.0498748,,,,1953.502,percent of total billed charges,1938.680249,,,,1953.502,percent of total billed charges,1337.092402,,,,,,,,,,1992.24,percent of total billed charges,1294.909118,,,,,,,,,,1992.24,percent of total billed charges,999999999,,,,,,,,,,2213.6,percent of total billed charges,1854.881733,,,,2185.93,percent of total billed charges,2109.516521,,,,2185.93,percent of total billed charges,1863.827675,,,,2213.6,percent of total billed charges,999999999,,,,2213.6,percent of total billed charges,999999999,,,,1936.9,percent of total billed charges,999999999,,,,1936.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1472.044,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1397.335,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,691.75,percent of total billed charges,656.9932918,,,,,,,,,,691.75,percent of total billed charges,646.0646554,,,,,,,,,,691.75,percent of total billed charges,644.2692694,,,,,,,,,,691.75,percent of total billed charges,634.7824122,,,,,,,,,,691.75,percent of total billed charges,651.1162969,,,,,,,,,,691.75,percent of total billed charges,999999999,,,,,,,,,,691.75,percent of total billed charges,558.7036344,,,,,,,,,,691.75,percent of total billed charges,881.1141594,,,,,,,,,,691.75,percent of total billed charges,999999999,,,,,,,,,,691.75,percent of total billed charges,602.4191586,,,,,,,,,,2490.3,percent of total billed charges,,,,,
TRIGGER POINT INJ,20550,CDM,,,,both,,,1862,1862,396.3899049,1862,1862,percent of total billed charges,1369.939549,,,,1862,percent of total billed charges,1452.108835,,,,1862,percent of total billed charges,1369.939549,,,,1862,percent of total billed charges,1452.108835,,,,1862,percent of total billed charges,999999999,,,,1862,percent of total billed charges,1418.716026,,,,1862,percent of total billed charges,1369.939549,,,,1862,percent of total billed charges,1452.108835,,,,1327.606,percent of total billed charges,662.4996892,,,,1327.606,percent of total billed charges,396.3899049,,,,1327.606,percent of total billed charges,662.4996892,,,,1327.606,percent of total billed charges,396.3899049,,,,1327.606,percent of total billed charges,662.4996892,,,,1327.606,percent of total billed charges,396.3899049,,,,1314.572,percent of total billed charges,1304.597985,,,,1314.572,percent of total billed charges,899.7708899,,,,,,,,,,1340.64,percent of total billed charges,871.3844519,,,,,,,,,,1340.64,percent of total billed charges,999999999,,,,,,,,,,1489.6,percent of total billed charges,1248.207368,,,,1470.98,percent of total billed charges,1419.559003,,,,1470.98,percent of total billed charges,1254.227369,,,,1489.6,percent of total billed charges,999999999,,,,1489.6,percent of total billed charges,999999999,,,,1303.4,percent of total billed charges,999999999,,,,1303.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,990.584,percent of total billed charges,999999999,,,,,,,,,,,,,,,,940.31,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,465.5,percent of total billed charges,442.1111345,,,,,,,,,,465.5,percent of total billed charges,434.7569166,,,,,,,,,,465.5,percent of total billed charges,433.5487458,,,,,,,,,,465.5,percent of total billed charges,427.1647458,,,,,,,,,,465.5,percent of total billed charges,438.1563227,,,,,,,,,,465.5,percent of total billed charges,999999999,,,,,,,,,,465.5,percent of total billed charges,375.9689798,,,,,,,,,,465.5,percent of total billed charges,592.9290079,,,,,,,,,,465.5,percent of total billed charges,999999999,,,,,,,,,,465.5,percent of total billed charges,405.3865101,,,,,,,,,,1675.8,percent of total billed charges,,,,,
SELECTIVE NERVE BLK/ LUB/ SACR,64483,CDM,,,,both,,,3172,3172,675.2678723,3172,3172,percent of total billed charges,2333.753088,,,,3172,percent of total billed charges,2473.732129,,,,3172,percent of total billed charges,2333.753088,,,,3172,percent of total billed charges,2473.732129,,,,3172,percent of total billed charges,999999999,,,,3172,percent of total billed charges,2416.84599,,,,3172,percent of total billed charges,2333.753088,,,,3172,percent of total billed charges,2473.732129,,,,2261.636,percent of total billed charges,1128.597752,,,,2261.636,percent of total billed charges,675.2678723,,,,2261.636,percent of total billed charges,1128.597752,,,,2261.636,percent of total billed charges,675.2678723,,,,2261.636,percent of total billed charges,1128.597752,,,,2261.636,percent of total billed charges,675.2678723,,,,2239.432,percent of total billed charges,2222.440821,,,,2239.432,percent of total billed charges,1532.799819,,,,,,,,,,2283.84,percent of total billed charges,1484.442256,,,,,,,,,,2283.84,percent of total billed charges,999999999,,,,,,,,,,2537.6,percent of total billed charges,2126.376891,,,,2505.88,percent of total billed charges,2418.28204,,,,2505.88,percent of total billed charges,2136.632231,,,,2537.6,percent of total billed charges,999999999,,,,2537.6,percent of total billed charges,999999999,,,,2220.4,percent of total billed charges,999999999,,,,2220.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1687.504,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1601.86,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,793,percent of total billed charges,753.1560251,,,,,,,,,,793,percent of total billed charges,740.6277871,,,,,,,,,,793,percent of total billed charges,738.5696142,,,,,,,,,,793,percent of total billed charges,727.6941856,,,,,,,,,,793,percent of total billed charges,746.4188268,,,,,,,,,,793,percent of total billed charges,999999999,,,,,,,,,,793,percent of total billed charges,640.4799162,,,,,,,,,,793,percent of total billed charges,1010.080995,,,,,,,,,,793,percent of total billed charges,999999999,,,,,,,,,,793,percent of total billed charges,690.5939903,,,,,,,,,,2854.8,percent of total billed charges,,,,,
SACROLIAC INJ,27096,CDM,,,,both,,,2071,2071,440.8826493,2071,2071,percent of total billed charges,1523.708274,,,,2071,percent of total billed charges,1615.100643,,,,2071,percent of total billed charges,1523.708274,,,,2071,percent of total billed charges,1615.100643,,,,2071,percent of total billed charges,999999999,,,,2071,percent of total billed charges,1577.959661,,,,2071,percent of total billed charges,1523.708274,,,,2071,percent of total billed charges,1615.100643,,,,1476.623,percent of total billed charges,736.8618993,,,,1476.623,percent of total billed charges,440.8826493,,,,1476.623,percent of total billed charges,736.8618993,,,,1476.623,percent of total billed charges,440.8826493,,,,1476.623,percent of total billed charges,736.8618993,,,,1476.623,percent of total billed charges,440.8826493,,,,1462.126,percent of total billed charges,1451.032453,,,,1462.126,percent of total billed charges,1000.765582,,,,,,,,,,1491.12,percent of total billed charges,969.1929108,,,,,,,,,,1491.12,percent of total billed charges,999999999,,,,,,,,,,1656.8,percent of total billed charges,1388.312277,,,,1636.09,percent of total billed charges,1578.897259,,,,1636.09,percent of total billed charges,1395.007992,,,,1656.8,percent of total billed charges,999999999,,,,1656.8,percent of total billed charges,999999999,,,,1449.7,percent of total billed charges,999999999,,,,1449.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1101.772,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1045.855,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,517.75,percent of total billed charges,491.7358537,,,,,,,,,,517.75,percent of total billed charges,483.5561624,,,,,,,,,,517.75,percent of total billed charges,482.2123805,,,,,,,,,,517.75,percent of total billed charges,475.1118091,,,,,,,,,,517.75,percent of total billed charges,487.3371344,,,,,,,,,,517.75,percent of total billed charges,999999999,,,,,,,,,,517.75,percent of total billed charges,418.1695796,,,,,,,,,,517.75,percent of total billed charges,659.4822639,,,,,,,,,,517.75,percent of total billed charges,999999999,,,,,,,,,,517.75,percent of total billed charges,450.8890775,,,,,,,,,,1863.9,percent of total billed charges,,,,,
LUMBAR PUNCTURE,62270,CDM,,,,both,,,1980,1980,421.5102104,1980,1980,percent of total billed charges,1456.756341,,,,1980,percent of total billed charges,1544.132918,,,,1980,percent of total billed charges,1456.756341,,,,1980,percent of total billed charges,1544.132918,,,,1980,percent of total billed charges,999999999,,,,1980,percent of total billed charges,1508.623915,,,,1980,percent of total billed charges,1456.756341,,,,1980,percent of total billed charges,1544.132918,,,,1411.74,percent of total billed charges,704.4840949,,,,1411.74,percent of total billed charges,421.5102104,,,,1411.74,percent of total billed charges,704.4840949,,,,1411.74,percent of total billed charges,421.5102104,,,,1411.74,percent of total billed charges,704.4840949,,,,1411.74,percent of total billed charges,421.5102104,,,,1397.88,percent of total billed charges,1387.273904,,,,1397.88,percent of total billed charges,956.7918163,,,,,,,,,,1425.6,percent of total billed charges,926.6064526,,,,,,,,,,1425.6,percent of total billed charges,999999999,,,,,,,,,,1584,percent of total billed charges,1327.309661,,,,1564.2,percent of total billed charges,1509.520315,,,,1564.2,percent of total billed charges,1333.711166,,,,1584,percent of total billed charges,999999999,,,,1584,percent of total billed charges,999999999,,,,1386,percent of total billed charges,999999999,,,,1386,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1053.36,percent of total billed charges,999999999,,,,,,,,,,,,,,,,999.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,495,percent of total billed charges,470.1289186,,,,,,,,,,495,percent of total billed charges,462.3086439,,,,,,,,,,495,percent of total billed charges,461.023908,,,,,,,,,,495,percent of total billed charges,454.2353365,,,,,,,,,,495,percent of total billed charges,465.9234795,,,,,,,,,,495,percent of total billed charges,999999999,,,,,,,,,,495,percent of total billed charges,399.7951558,,,,,,,,,,495,percent of total billed charges,630.5045304,,,,,,,,,,495,percent of total billed charges,999999999,,,,,,,,,,495,percent of total billed charges,431.0769549,,,,,,,,,,1782,percent of total billed charges,,,,,
OCIPITAL NERVE BLOCK,64450,CDM,,,,both,,,2135,2135,454.5072218,2135,2135,percent of total billed charges,1570.795347,,,,2135,percent of total billed charges,1665.01201,,,,2135,percent of total billed charges,1570.795347,,,,2135,percent of total billed charges,1665.01201,,,,2135,percent of total billed charges,999999999,,,,2135,percent of total billed charges,1626.723262,,,,2135,percent of total billed charges,1570.795347,,,,2135,percent of total billed charges,1665.01201,,,,1522.255,percent of total billed charges,759.6331023,,,,1522.255,percent of total billed charges,454.5072218,,,,1522.255,percent of total billed charges,759.6331023,,,,1522.255,percent of total billed charges,454.5072218,,,,1522.255,percent of total billed charges,759.6331023,,,,1522.255,percent of total billed charges,454.5072218,,,,1507.31,percent of total billed charges,1495.873629,,,,1507.31,percent of total billed charges,1031.692186,,,,,,,,,,1537.2,percent of total billed charges,999.1438264,,,,,,,,,,1537.2,percent of total billed charges,999999999,,,,,,,,,,1708,percent of total billed charges,1431.215215,,,,1686.65,percent of total billed charges,1627.689835,,,,1686.65,percent of total billed charges,1438.117848,,,,1708,percent of total billed charges,999999999,,,,1708,percent of total billed charges,999999999,,,,1494.5,percent of total billed charges,999999999,,,,1494.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1135.82,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1078.175,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,533.75,percent of total billed charges,506.93194,,,,,,,,,,533.75,percent of total billed charges,498.4994721,,,,,,,,,,533.75,percent of total billed charges,497.1141634,,,,,,,,,,533.75,percent of total billed charges,489.7941634,,,,,,,,,,533.75,percent of total billed charges,502.3972873,,,,,,,,,,533.75,percent of total billed charges,999999999,,,,,,,,,,533.75,percent of total billed charges,431.0922513,,,,,,,,,,533.75,percent of total billed charges,679.8622083,,,,,,,,,,533.75,percent of total billed charges,999999999,,,,,,,,,,533.75,percent of total billed charges,464.8228781,,,,,,,,,,1921.5,percent of total billed charges,,,,,
INJECTION INTO SMALL JOINT BURS,20600,CDM,,,,both,,,1285,1285,273.5558688,1285,1285,percent of total billed charges,945.4201506,,,,1285,percent of total billed charges,1002.126666,,,,1285,percent of total billed charges,945.4201506,,,,1285,percent of total billed charges,1002.126666,,,,1285,percent of total billed charges,999999999,,,,1285,percent of total billed charges,979.0816825,,,,1285,percent of total billed charges,945.4201506,,,,1285,percent of total billed charges,1002.126666,,,,916.205,percent of total billed charges,457.2030616,,,,916.205,percent of total billed charges,273.5558688,,,,916.205,percent of total billed charges,457.2030616,,,,916.205,percent of total billed charges,273.5558688,,,,916.205,percent of total billed charges,457.2030616,,,,916.205,percent of total billed charges,273.5558688,,,,907.21,percent of total billed charges,900.3267511,,,,907.21,percent of total billed charges,620.9482242,,,,,,,,,,925.2,percent of total billed charges,601.3582281,,,,,,,,,,925.2,percent of total billed charges,999999999,,,,,,,,,,1028,percent of total billed charges,861.4105628,,,,1015.15,percent of total billed charges,979.6634369,,,,1015.15,percent of total billed charges,865.5650749,,,,1028,percent of total billed charges,999999999,,,,1028,percent of total billed charges,999999999,,,,899.5,percent of total billed charges,999999999,,,,899.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,683.62,percent of total billed charges,999999999,,,,,,,,,,,,,,,,648.925,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,321.25,percent of total billed charges,305.1089194,,,,,,,,,,321.25,percent of total billed charges,300.0336401,,,,,,,,,,321.25,percent of total billed charges,299.1998595,,,,,,,,,,321.25,percent of total billed charges,294.7941452,,,,,,,,,,321.25,percent of total billed charges,302.3796319,,,,,,,,,,321.25,percent of total billed charges,999999999,,,,,,,,,,321.25,percent of total billed charges,259.4630178,,,,,,,,,,321.25,percent of total billed charges,409.1910715,,,,,,,,,,321.25,percent of total billed charges,999999999,,,,,,,,,,321.25,percent of total billed charges,279.7645894,,,,,,,,,,1156.5,percent of total billed charges,,,,,
TRIGGER PTS-ONE OR TWO,20552,CDM,,,,both,,,907,907,193.0857378,907,907,percent of total billed charges,667.3121218,,,,907,percent of total billed charges,707.3376548,,,,907,percent of total billed charges,667.3121218,,,,907,percent of total billed charges,707.3376548,,,,907,percent of total billed charges,999999999,,,,907,percent of total billed charges,691.0716623,,,,907,percent of total billed charges,667.3121218,,,,907,percent of total billed charges,707.3376548,,,,646.691,percent of total billed charges,322.7106435,,,,646.691,percent of total billed charges,193.0857378,,,,646.691,percent of total billed charges,322.7106435,,,,646.691,percent of total billed charges,193.0857378,,,,646.691,percent of total billed charges,322.7106435,,,,646.691,percent of total billed charges,193.0857378,,,,640.342,percent of total billed charges,635.4835512,,,,640.342,percent of total billed charges,438.2879684,,,,,,,,,,653.04,percent of total billed charges,424.4606326,,,,,,,,,,653.04,percent of total billed charges,999999999,,,,,,,,,,725.6,percent of total billed charges,608.015082,,,,716.53,percent of total billed charges,691.4822858,,,,716.53,percent of total billed charges,610.9474886,,,,725.6,percent of total billed charges,999999999,,,,725.6,percent of total billed charges,999999999,,,,634.9,percent of total billed charges,999999999,,,,634.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,482.524,percent of total billed charges,999999999,,,,,,,,,,,,,,,,458.035,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,226.75,percent of total billed charges,215.3570349,,,,,,,,,,226.75,percent of total billed charges,211.7747172,,,,,,,,,,226.75,percent of total billed charges,211.1862043,,,,,,,,,,226.75,percent of total billed charges,208.07649,,,,,,,,,,226.75,percent of total billed charges,213.430604,,,,,,,,,,226.75,percent of total billed charges,999999999,,,,,,,,,,226.75,percent of total billed charges,183.138488,,,,,,,,,,226.75,percent of total billed charges,288.8220248,,,,,,,,,,226.75,percent of total billed charges,999999999,,,,,,,,,,226.75,percent of total billed charges,197.4680798,,,,,,,,,,816.3,percent of total billed charges,,,,,
TRIGGER PTS THREE/MORE,20553,CDM,,,,both,,,1122,1122,238.8557859,1122,1122,percent of total billed charges,825.4952599,,,,1122,percent of total billed charges,875.0086534,,,,1122,percent of total billed charges,825.4952599,,,,1122,percent of total billed charges,875.0086534,,,,1122,percent of total billed charges,999999999,,,,1122,percent of total billed charges,854.8868854,,,,1122,percent of total billed charges,825.4952599,,,,1122,percent of total billed charges,875.0086534,,,,799.986,percent of total billed charges,399.2076538,,,,799.986,percent of total billed charges,238.8557859,,,,799.986,percent of total billed charges,399.2076538,,,,799.986,percent of total billed charges,238.8557859,,,,799.986,percent of total billed charges,399.2076538,,,,799.986,percent of total billed charges,238.8557859,,,,792.132,percent of total billed charges,786.1218792,,,,792.132,percent of total billed charges,542.1820292,,,,,,,,,,807.84,percent of total billed charges,525.0769898,,,,,,,,,,807.84,percent of total billed charges,999999999,,,,,,,,,,897.6,percent of total billed charges,752.1421412,,,,886.38,percent of total billed charges,855.3948453,,,,886.38,percent of total billed charges,755.7696607,,,,897.6,percent of total billed charges,999999999,,,,897.6,percent of total billed charges,999999999,,,,785.4,percent of total billed charges,999999999,,,,785.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,596.904,percent of total billed charges,999999999,,,,,,,,,,,,,,,,566.61,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,280.5,percent of total billed charges,266.4063872,,,,,,,,,,280.5,percent of total billed charges,261.9748982,,,,,,,,,,280.5,percent of total billed charges,261.2468812,,,,,,,,,,280.5,percent of total billed charges,257.400024,,,,,,,,,,280.5,percent of total billed charges,264.0233051,,,,,,,,,,280.5,percent of total billed charges,999999999,,,,,,,,,,280.5,percent of total billed charges,226.5505883,,,,,,,,,,280.5,percent of total billed charges,357.2859006,,,,,,,,,,280.5,percent of total billed charges,999999999,,,,,,,,,,280.5,percent of total billed charges,244.2769411,,,,,,,,,,1009.8,percent of total billed charges,,,,,
2ND LEVEL FACET INJ LUMBAR/SACRAL,64494,CDM,,,,both,,,1570,1570,334.2277931,1570,1570,percent of total billed charges,1155.104775,,,,1570,percent of total billed charges,1224.388223,,,,1570,percent of total billed charges,1155.104775,,,,1570,percent of total billed charges,1224.388223,,,,1570,percent of total billed charges,999999999,,,,1570,percent of total billed charges,1196.232095,,,,1570,percent of total billed charges,1155.104775,,,,1570,percent of total billed charges,1224.388223,,,,1119.41,percent of total billed charges,558.6060752,,,,1119.41,percent of total billed charges,334.2277931,,,,1119.41,percent of total billed charges,558.6060752,,,,1119.41,percent of total billed charges,334.2277931,,,,1119.41,percent of total billed charges,558.6060752,,,,1119.41,percent of total billed charges,334.2277931,,,,1108.42,percent of total billed charges,1100.010116,,,,1108.42,percent of total billed charges,758.6682584,,,,,,,,,,1130.4,percent of total billed charges,734.7333993,,,,,,,,,,1130.4,percent of total billed charges,999999999,,,,,,,,,,1256,percent of total billed charges,1052.462711,,,,1240.3,percent of total billed charges,1196.942876,,,,1240.3,percent of total billed charges,1057.538652,,,,1256,percent of total billed charges,999999999,,,,1256,percent of total billed charges,999999999,,,,1099,percent of total billed charges,999999999,,,,1099,percent of total billed charges,999999999,,,,,,,,,,,,,,,,835.24,percent of total billed charges,999999999,,,,,,,,,,,,,,,,792.85,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,392.5,percent of total billed charges,372.778991,,,,,,,,,,392.5,percent of total billed charges,366.5780661,,,,,,,,,,392.5,percent of total billed charges,365.5593614,,,,,,,,,,392.5,percent of total billed charges,360.1765042,,,,,,,,,,392.5,percent of total billed charges,369.4443752,,,,,,,,,,392.5,percent of total billed charges,999999999,,,,,,,,,,392.5,percent of total billed charges,317.0092902,,,,,,,,,,392.5,percent of total billed charges,499.9455115,,,,,,,,,,392.5,percent of total billed charges,999999999,,,,,,,,,,392.5,percent of total billed charges,341.813545,,,,,,,,,,1413,percent of total billed charges,,,,,
3 + LEVEL FACET INJ LUMBAR/SACRAL,64495,CDM,,,,both,,,1542,1542,328.2670426,1542,1542,percent of total billed charges,1134.504181,,,,1542,percent of total billed charges,1202.552,,,,1542,percent of total billed charges,1134.504181,,,,1542,percent of total billed charges,1202.552,,,,1542,percent of total billed charges,999999999,,,,1542,percent of total billed charges,1174.898019,,,,1542,percent of total billed charges,1134.504181,,,,1542,percent of total billed charges,1202.552,,,,1099.446,percent of total billed charges,548.6436739,,,,1099.446,percent of total billed charges,328.2670426,,,,1099.446,percent of total billed charges,548.6436739,,,,1099.446,percent of total billed charges,328.2670426,,,,1099.446,percent of total billed charges,548.6436739,,,,1099.446,percent of total billed charges,328.2670426,,,,1088.652,percent of total billed charges,1080.392101,,,,1088.652,percent of total billed charges,745.137869,,,,,,,,,,1110.24,percent of total billed charges,721.6298737,,,,,,,,,,1110.24,percent of total billed charges,999999999,,,,,,,,,,1233.6,percent of total billed charges,1033.692675,,,,1218.18,percent of total billed charges,1175.596124,,,,1218.18,percent of total billed charges,1038.67809,,,,1233.6,percent of total billed charges,999999999,,,,1233.6,percent of total billed charges,999999999,,,,1079.4,percent of total billed charges,999999999,,,,1079.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,820.344,percent of total billed charges,999999999,,,,,,,,,,,,,,,,778.71,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,385.5,percent of total billed charges,366.1307033,,,,,,,,,,385.5,percent of total billed charges,360.0403681,,,,,,,,,,385.5,percent of total billed charges,359.0398314,,,,,,,,,,385.5,percent of total billed charges,353.7529742,,,,,,,,,,385.5,percent of total billed charges,362.8555583,,,,,,,,,,385.5,percent of total billed charges,999999999,,,,,,,,,,385.5,percent of total billed charges,311.3556213,,,,,,,,,,385.5,percent of total billed charges,491.0292858,,,,,,,,,,385.5,percent of total billed charges,999999999,,,,,,,,,,385.5,percent of total billed charges,335.7175073,,,,,,,,,,1387.8,percent of total billed charges,,,,,
LUMBAR PUNCTURE W FLUOROSCOPY,62328,CDM,,,,both,,,2601,2601,553.71114,2601,2601,percent of total billed charges,1913.648102,,,,2601,percent of total billed charges,2028.429151,,,,2601,percent of total billed charges,1913.648102,,,,2601,percent of total billed charges,2028.429151,,,,2601,percent of total billed charges,999999999,,,,2601,percent of total billed charges,1981.783234,,,,2601,percent of total billed charges,1913.648102,,,,2601,percent of total billed charges,2028.429151,,,,1854.513,percent of total billed charges,925.4359247,,,,1854.513,percent of total billed charges,553.71114,,,,1854.513,percent of total billed charges,925.4359247,,,,1854.513,percent of total billed charges,553.71114,,,,1854.513,percent of total billed charges,925.4359247,,,,1854.513,percent of total billed charges,553.71114,,,,1836.306,percent of total billed charges,1822.373447,,,,1836.306,percent of total billed charges,1256.876522,,,,,,,,,,1872.72,percent of total billed charges,1217.223931,,,,,,,,,,1872.72,percent of total billed charges,999999999,,,,,,,,,,2080.8,percent of total billed charges,1743.602236,,,,2054.79,percent of total billed charges,1982.960778,,,,2054.79,percent of total billed charges,1752.011486,,,,2080.8,percent of total billed charges,999999999,,,,2080.8,percent of total billed charges,999999999,,,,1820.7,percent of total billed charges,999999999,,,,1820.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1383.732,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1313.505,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,650.25,percent of total billed charges,617.578443,,,,,,,,,,650.25,percent of total billed charges,607.3054459,,,,,,,,,,650.25,percent of total billed charges,605.61777,,,,,,,,,,650.25,percent of total billed charges,596.7000557,,,,,,,,,,650.25,percent of total billed charges,612.0540254,,,,,,,,,,650.25,percent of total billed charges,999999999,,,,,,,,,,650.25,percent of total billed charges,525.1854546,,,,,,,,,,650.25,percent of total billed charges,828.2536786,,,,,,,,,,650.25,percent of total billed charges,999999999,,,,,,,,,,650.25,percent of total billed charges,566.2783634,,,,,,,,,,2340.9,percent of total billed charges,,,,,
PYRIFORMIS MUSCLE INJECTION,20552,CDM,,,,both,,,1192,1192,253.757662,1192,1192,percent of total billed charges,876.9967467,,,,1192,percent of total billed charges,929.5992111,,,,1192,percent of total billed charges,876.9967467,,,,1192,percent of total billed charges,929.5992111,,,,1192,percent of total billed charges,999999999,,,,1192,percent of total billed charges,908.2220743,,,,1192,percent of total billed charges,876.9967467,,,,1192,percent of total billed charges,929.5992111,,,,849.896,percent of total billed charges,424.1136571,,,,849.896,percent of total billed charges,253.757662,,,,849.896,percent of total billed charges,424.1136571,,,,849.896,percent of total billed charges,253.757662,,,,849.896,percent of total billed charges,424.1136571,,,,849.896,percent of total billed charges,253.757662,,,,841.552,percent of total billed charges,835.1669162,,,,841.552,percent of total billed charges,576.0080025,,,,,,,,,,858.24,percent of total billed charges,557.8358038,,,,,,,,,,858.24,percent of total billed charges,999999999,,,,,,,,,,953.6,percent of total billed charges,799.0672302,,,,941.68,percent of total billed charges,908.7617251,,,,941.68,percent of total billed charges,802.9210655,,,,953.6,percent of total billed charges,999999999,,,,953.6,percent of total billed charges,999999999,,,,834.4,percent of total billed charges,999999999,,,,834.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,634.144,percent of total billed charges,999999999,,,,,,,,,,,,,,,,601.96,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,298,percent of total billed charges,283.0271065,,,,,,,,,,298,percent of total billed charges,278.3191432,,,,,,,,,,298,percent of total billed charges,277.5457062,,,,,,,,,,298,percent of total billed charges,273.4588491,,,,,,,,,,298,percent of total billed charges,280.4953473,,,,,,,,,,298,percent of total billed charges,999999999,,,,,,,,,,298,percent of total billed charges,240.6847605,,,,,,,,,,298,percent of total billed charges,379.5764648,,,,,,,,,,298,percent of total billed charges,999999999,,,,,,,,,,298,percent of total billed charges,259.5170354,,,,,,,,,,1072.8,percent of total billed charges,,,,,
CARPAL TUNNEL INJECTION,20526,CDM,,,,both,,,962,962,204.7943547,962,962,percent of total billed charges,707.7775757,,,,962,percent of total billed charges,750.2302358,,,,962,percent of total billed charges,707.7775757,,,,962,percent of total billed charges,750.2302358,,,,962,percent of total billed charges,999999999,,,,962,percent of total billed charges,732.9778821,,,,962,percent of total billed charges,707.7775757,,,,962,percent of total billed charges,750.2302358,,,,685.906,percent of total billed charges,342.2796461,,,,685.906,percent of total billed charges,204.7943547,,,,685.906,percent of total billed charges,342.2796461,,,,685.906,percent of total billed charges,204.7943547,,,,685.906,percent of total billed charges,342.2796461,,,,685.906,percent of total billed charges,204.7943547,,,,679.172,percent of total billed charges,674.0189374,,,,679.172,percent of total billed charges,464.8655188,,,,,,,,,,692.64,percent of total billed charges,450.1997007,,,,,,,,,,692.64,percent of total billed charges,999999999,,,,,,,,,,769.6,percent of total billed charges,644.8847948,,,,759.98,percent of total billed charges,733.4134057,,,,759.98,percent of total billed charges,647.995021,,,,769.6,percent of total billed charges,999999999,,,,769.6,percent of total billed charges,999999999,,,,673.4,percent of total billed charges,999999999,,,,673.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,511.784,percent of total billed charges,999999999,,,,,,,,,,,,,,,,485.81,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,240.5,percent of total billed charges,228.4161715,,,,,,,,,,240.5,percent of total billed charges,224.616624,,,,,,,,,,240.5,percent of total billed charges,223.992424,,,,,,,,,,240.5,percent of total billed charges,220.6941383,,,,,,,,,,240.5,percent of total billed charges,226.3729229,,,,,,,,,,240.5,percent of total billed charges,999999999,,,,,,,,,,240.5,percent of total billed charges,194.243909,,,,,,,,,,240.5,percent of total billed charges,306.3360395,,,,,,,,,,240.5,percent of total billed charges,999999999,,,,,,,,,,240.5,percent of total billed charges,209.4424397,,,,,,,,,,865.8,percent of total billed charges,,,,,
AVULSION NAIL PLATE PARTIAL/COMPLETE,11730,CDM,,,,both,,,799,799,170.0942718,799,799,percent of total billed charges,587.8526851,,,,799,percent of total billed charges,623.1122229,,,,799,percent of total billed charges,587.8526851,,,,799,percent of total billed charges,623.1122229,,,,799,percent of total billed charges,999999999,,,,799,percent of total billed charges,608.7830851,,,,799,percent of total billed charges,587.8526851,,,,799,percent of total billed charges,623.1122229,,,,569.687,percent of total billed charges,284.2842383,,,,569.687,percent of total billed charges,170.0942718,,,,569.687,percent of total billed charges,284.2842383,,,,569.687,percent of total billed charges,170.0942718,,,,569.687,percent of total billed charges,284.2842383,,,,569.687,percent of total billed charges,170.0942718,,,,564.094,percent of total billed charges,559.8140655,,,,564.094,percent of total billed charges,386.0993238,,,,,,,,,,575.28,percent of total billed charges,373.9184624,,,,,,,,,,575.28,percent of total billed charges,999999999,,,,,,,,,,639.2,percent of total billed charges,535.6163733,,,,631.21,percent of total billed charges,609.1448141,,,,631.21,percent of total billed charges,538.1996069,,,,639.2,percent of total billed charges,999999999,,,,639.2,percent of total billed charges,999999999,,,,559.3,percent of total billed charges,999999999,,,,559.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,425.068,percent of total billed charges,999999999,,,,,,,,,,,,,,,,403.495,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,199.75,percent of total billed charges,189.7136394,,,,,,,,,,199.75,percent of total billed charges,186.5578821,,,,,,,,,,199.75,percent of total billed charges,186.0394457,,,,,,,,,,199.75,percent of total billed charges,183.3000171,,,,,,,,,,199.75,percent of total billed charges,188.016596,,,,,,,,,,199.75,percent of total billed charges,999999999,,,,,,,,,,199.75,percent of total billed charges,161.3314795,,,,,,,,,,199.75,percent of total billed charges,254.4308686,,,,,,,,,,199.75,percent of total billed charges,999999999,,,,,,,,,,199.75,percent of total billed charges,173.9547914,,,,,,,,,,719.1,percent of total billed charges,,,,,
DEBRIDEMENT SUBCUTANEOUS TISSUE,11730,CDM,,,,both,,,2033,2033,432.7930594,2033,2033,percent of total billed charges,1495.750324,,,,2033,percent of total billed charges,1585.465769,,,,2033,percent of total billed charges,1495.750324,,,,2033,percent of total billed charges,1585.465769,,,,2033,percent of total billed charges,999999999,,,,2033,percent of total billed charges,1549.006273,,,,2033,percent of total billed charges,1495.750324,,,,2033,percent of total billed charges,1585.465769,,,,1449.529,percent of total billed charges,723.3414974,,,,1449.529,percent of total billed charges,432.7930594,,,,1449.529,percent of total billed charges,723.3414974,,,,1449.529,percent of total billed charges,432.7930594,,,,1449.529,percent of total billed charges,723.3414974,,,,1449.529,percent of total billed charges,432.7930594,,,,1435.298,percent of total billed charges,1424.408004,,,,1435.298,percent of total billed charges,982.4029104,,,,,,,,,,1463.76,percent of total billed charges,951.4095546,,,,,,,,,,1463.76,percent of total billed charges,999999999,,,,,,,,,,1626.4,percent of total billed charges,1362.838657,,,,1606.07,percent of total billed charges,1549.926667,,,,1606.07,percent of total billed charges,1369.411515,,,,1626.4,percent of total billed charges,999999999,,,,1626.4,percent of total billed charges,999999999,,,,1423.1,percent of total billed charges,999999999,,,,1423.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1081.556,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1026.665,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,508.25,percent of total billed charges,482.7131775,,,,,,,,,,508.25,percent of total billed charges,474.6835722,,,,,,,,,,508.25,percent of total billed charges,473.3644469,,,,,,,,,,508.25,percent of total billed charges,466.3941612,,,,,,,,,,508.25,percent of total billed charges,478.3951686,,,,,,,,,,508.25,percent of total billed charges,999999999,,,,,,,,,,508.25,percent of total billed charges,410.4967433,,,,,,,,,,508.25,percent of total billed charges,647.3816719,,,,,,,,,,508.25,percent of total billed charges,999999999,,,,,,,,,,508.25,percent of total billed charges,442.6158834,,,,,,,,,,1829.7,percent of total billed charges,,,,,
YAG LASER,Local,Local,,,,both,,,4377,4377,931.7930256,4377,4377,percent of total billed charges,3220.314396,,,,4377,percent of total billed charges,3413.469586,,,,4377,percent of total billed charges,3220.314396,,,,4377,percent of total billed charges,3413.469586,,,,4377,percent of total billed charges,999999999,,,,4377,percent of total billed charges,3334.973171,,,,4377,percent of total billed charges,3220.314396,,,,4377,percent of total billed charges,3413.469586,,,,3120.801,percent of total billed charges,1557.33681,,,,3120.801,percent of total billed charges,931.7930256,,,,3120.801,percent of total billed charges,1557.33681,,,,3120.801,percent of total billed charges,931.7930256,,,,3120.801,percent of total billed charges,1557.33681,,,,3120.801,percent of total billed charges,931.7930256,,,,3090.162,percent of total billed charges,3066.716101,,,,3090.162,percent of total billed charges,2115.089788,,,,,,,,,,3151.44,percent of total billed charges,2048.36184,,,,,,,,,,3151.44,percent of total billed charges,999999999,,,,,,,,,,3501.6,percent of total billed charges,2934.158781,,,,3457.83,percent of total billed charges,3336.954757,,,,3457.83,percent of total billed charges,2948.309986,,,,3501.6,percent of total billed charges,999999999,,,,3501.6,percent of total billed charges,999999999,,,,3063.9,percent of total billed charges,999999999,,,,3063.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2328.564,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2210.385,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1094.25,percent of total billed charges,1039.269837,,,,,,,,,,1094.25,percent of total billed charges,1021.98229,,,,,,,,,,1094.25,percent of total billed charges,1019.142245,,,,,,,,,,1094.25,percent of total billed charges,1004.135388,,,,,,,,,,1094.25,percent of total billed charges,1029.973268,,,,,,,,,,1094.25,percent of total billed charges,999999999,,,,,,,,,,1094.25,percent of total billed charges,883.7895944,,,,,,,,,,1094.25,percent of total billed charges,1393.797136,,,,,,,,,,1094.25,percent of total billed charges,999999999,,,,,,,,,,1094.25,percent of total billed charges,952.941329,,,,,,,,,,3939.3,percent of total billed charges,,,,,
HIP INJECTION/ASPIRATION DR CAPECCI,20610,CDM,,,,both,,,1380,1380,293.7798436,1380,1380,percent of total billed charges,1015.315025,,,,1380,percent of total billed charges,1076.213852,,,,1380,percent of total billed charges,1015.315025,,,,1380,percent of total billed charges,1076.213852,,,,1380,percent of total billed charges,999999999,,,,1380,percent of total billed charges,1051.465153,,,,1380,percent of total billed charges,1015.315025,,,,1380,percent of total billed charges,1076.213852,,,,983.94,percent of total billed charges,491.0040661,,,,983.94,percent of total billed charges,293.7798436,,,,983.94,percent of total billed charges,491.0040661,,,,983.94,percent of total billed charges,293.7798436,,,,983.94,percent of total billed charges,491.0040661,,,,983.94,percent of total billed charges,293.7798436,,,,974.28,percent of total billed charges,966.8878728,,,,974.28,percent of total billed charges,666.8549023,,,,,,,,,,993.6,percent of total billed charges,645.8166185,,,,,,,,,,993.6,percent of total billed charges,999999999,,,,,,,,,,1104,percent of total billed charges,925.0946121,,,,1090.2,percent of total billed charges,1052.089917,,,,1090.2,percent of total billed charges,929.5562672,,,,1104,percent of total billed charges,999999999,,,,1104,percent of total billed charges,999999999,,,,966,percent of total billed charges,999999999,,,,966,percent of total billed charges,999999999,,,,,,,,,,,,,,,,734.16,percent of total billed charges,999999999,,,,,,,,,,,,,,,,696.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,345,percent of total billed charges,327.6656099,,,,,,,,,,345,percent of total billed charges,322.2151154,,,,,,,,,,345,percent of total billed charges,321.3196934,,,,,,,,,,345,percent of total billed charges,316.5882649,,,,,,,,,,345,percent of total billed charges,324.7345463,,,,,,,,,,345,percent of total billed charges,999999999,,,,,,,,,,345,percent of total billed charges,278.6451086,,,,,,,,,,345,percent of total billed charges,439.4425515,,,,,,,,,,345,percent of total billed charges,999999999,,,,,,,,,,345,percent of total billed charges,300.4475746,,,,,,,,,,1242,percent of total billed charges,,,,,
EPIDURAL INJ/ CERVICAL/THORACIC,62320,CDM,,,,both,,,2961,2961,630.34936,2961,2961,percent of total billed charges,2178.512892,,,,2961,percent of total billed charges,2309.180591,,,,2961,percent of total billed charges,2178.512892,,,,2961,percent of total billed charges,2309.180591,,,,2961,percent of total billed charges,999999999,,,,2961,percent of total billed charges,2256.078492,,,,2961,percent of total billed charges,2178.512892,,,,2961,percent of total billed charges,2309.180591,,,,2111.193,percent of total billed charges,1053.523942,,,,2111.193,percent of total billed charges,630.34936,,,,2111.193,percent of total billed charges,1053.523942,,,,2111.193,percent of total billed charges,630.34936,,,,2111.193,percent of total billed charges,1053.523942,,,,2111.193,percent of total billed charges,630.34936,,,,2090.466,percent of total billed charges,2074.605066,,,,2090.466,percent of total billed charges,1430.838671,,,,,,,,,,2131.92,percent of total billed charges,1385.697831,,,,,,,,,,2131.92,percent of total billed charges,999999999,,,,,,,,,,2368.8,percent of total billed charges,1984.931266,,,,2339.19,percent of total billed charges,2257.419017,,,,2339.19,percent of total billed charges,1994.504425,,,,2368.8,percent of total billed charges,999999999,,,,2368.8,percent of total billed charges,999999999,,,,2072.7,percent of total billed charges,999999999,,,,2072.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1575.252,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1495.305,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,740.25,percent of total billed charges,703.0564282,,,,,,,,,,740.25,percent of total billed charges,691.3615629,,,,,,,,,,740.25,percent of total billed charges,689.4402987,,,,,,,,,,740.25,percent of total billed charges,679.2882987,,,,,,,,,,740.25,percent of total billed charges,696.7673853,,,,,,,,,,740.25,percent of total billed charges,999999999,,,,,,,,,,740.25,percent of total billed charges,597.875483,,,,,,,,,,740.25,percent of total billed charges,942.8908659,,,,,,,,,,740.25,percent of total billed charges,999999999,,,,,,,,,,740.25,percent of total billed charges,644.6559916,,,,,,,,,,2664.9,percent of total billed charges,,,,,
EPIDURAL INJ/ LUMBAR/ SACR/CAUD W/IMAGIN,62323,CDM,,,,both,,,2779,2779,591.6044821,2779,2779,percent of total billed charges,2044.609026,,,,2779,percent of total billed charges,2167.245141,,,,2779,percent of total billed charges,2044.609026,,,,2779,percent of total billed charges,2167.245141,,,,2779,percent of total billed charges,999999999,,,,2779,percent of total billed charges,2117.407001,,,,2779,percent of total billed charges,2044.609026,,,,2779,percent of total billed charges,2167.245141,,,,1981.427,percent of total billed charges,988.7683332,,,,1981.427,percent of total billed charges,591.6044821,,,,1981.427,percent of total billed charges,988.7683332,,,,1981.427,percent of total billed charges,591.6044821,,,,1981.427,percent of total billed charges,988.7683332,,,,1981.427,percent of total billed charges,591.6044821,,,,1961.974,percent of total billed charges,1947.08797,,,,1961.974,percent of total billed charges,1342.89114,,,,,,,,,,2000.88,percent of total billed charges,1300.524915,,,,,,,,,,2000.88,percent of total billed charges,999999999,,,,,,,,,,2223.2,percent of total billed charges,1862.926034,,,,2195.41,percent of total billed charges,2118.665129,,,,2195.41,percent of total billed charges,1871.910773,,,,2223.2,percent of total billed charges,999999999,,,,2223.2,percent of total billed charges,999999999,,,,1945.3,percent of total billed charges,999999999,,,,1945.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1478.428,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1403.395,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,694.75,percent of total billed charges,659.8425579,,,,,,,,,,694.75,percent of total billed charges,648.866526,,,,,,,,,,694.75,percent of total billed charges,647.0633537,,,,,,,,,,694.75,percent of total billed charges,637.5353537,,,,,,,,,,694.75,percent of total billed charges,653.9400755,,,,,,,,,,694.75,percent of total billed charges,999999999,,,,,,,,,,694.75,percent of total billed charges,561.1266353,,,,,,,,,,694.75,percent of total billed charges,884.935399,,,,,,,,,,694.75,percent of total billed charges,999999999,,,,,,,,,,694.75,percent of total billed charges,605.0317462,,,,,,,,,,2501.1,percent of total billed charges,,,,,
EPIDURAL INJ/ CERVICAL/THORACIC W/IMG GD,62321,CDM,,,,both,,,2961,2961,630.34936,2961,2961,percent of total billed charges,2178.512892,,,,2961,percent of total billed charges,2309.180591,,,,2961,percent of total billed charges,2178.512892,,,,2961,percent of total billed charges,2309.180591,,,,2961,percent of total billed charges,999999999,,,,2961,percent of total billed charges,2256.078492,,,,2961,percent of total billed charges,2178.512892,,,,2961,percent of total billed charges,2309.180591,,,,2111.193,percent of total billed charges,1053.523942,,,,2111.193,percent of total billed charges,630.34936,,,,2111.193,percent of total billed charges,1053.523942,,,,2111.193,percent of total billed charges,630.34936,,,,2111.193,percent of total billed charges,1053.523942,,,,2111.193,percent of total billed charges,630.34936,,,,2090.466,percent of total billed charges,2074.605066,,,,2090.466,percent of total billed charges,1430.838671,,,,,,,,,,2131.92,percent of total billed charges,1385.697831,,,,,,,,,,2131.92,percent of total billed charges,999999999,,,,,,,,,,2368.8,percent of total billed charges,1984.931266,,,,2339.19,percent of total billed charges,2257.419017,,,,2339.19,percent of total billed charges,1994.504425,,,,2368.8,percent of total billed charges,999999999,,,,2368.8,percent of total billed charges,999999999,,,,2072.7,percent of total billed charges,999999999,,,,2072.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1575.252,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1495.305,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,740.25,percent of total billed charges,703.0564282,,,,,,,,,,740.25,percent of total billed charges,691.3615629,,,,,,,,,,740.25,percent of total billed charges,689.4402987,,,,,,,,,,740.25,percent of total billed charges,679.2882987,,,,,,,,,,740.25,percent of total billed charges,696.7673853,,,,,,,,,,740.25,percent of total billed charges,999999999,,,,,,,,,,740.25,percent of total billed charges,597.875483,,,,,,,,,,740.25,percent of total billed charges,942.8908659,,,,,,,,,,740.25,percent of total billed charges,999999999,,,,,,,,,,740.25,percent of total billed charges,644.6559916,,,,,,,,,,2664.9,percent of total billed charges,,,,,
"FACET INJ/ CERVICAL OR THORACIC, W/IMAGE",64490,CDM,,,,both,,,3303,3303,703.1556691,3303,3303,percent of total billed charges,2430.134441,,,,3303,percent of total billed charges,2575.894458,,,,3303,percent of total billed charges,2430.134441,,,,3303,percent of total billed charges,2575.894458,,,,3303,percent of total billed charges,999999999,,,,3303,percent of total billed charges,2516.658986,,,,3303,percent of total billed charges,2430.134441,,,,3303,percent of total billed charges,2575.894458,,,,2355.039,percent of total billed charges,1175.207558,,,,2355.039,percent of total billed charges,703.1556691,,,,2355.039,percent of total billed charges,1175.207558,,,,2355.039,percent of total billed charges,703.1556691,,,,2355.039,percent of total billed charges,1175.207558,,,,2355.039,percent of total billed charges,703.1556691,,,,2331.918,percent of total billed charges,2314.225104,,,,2331.918,percent of total billed charges,1596.102712,,,,,,,,,,2378.16,percent of total billed charges,1545.748037,,,,,,,,,,2378.16,percent of total billed charges,999999999,,,,,,,,,,2642.4,percent of total billed charges,2214.193843,,,,2609.37,percent of total billed charges,2518.154344,,,,2609.37,percent of total billed charges,2224.872718,,,,2642.4,percent of total billed charges,999999999,,,,2642.4,percent of total billed charges,999999999,,,,2312.1,percent of total billed charges,999999999,,,,2312.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1757.196,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1668.015,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,825.75,percent of total billed charges,784.2605142,,,,,,,,,,825.75,percent of total billed charges,771.2148741,,,,,,,,,,825.75,percent of total billed charges,769.071701,,,,,,,,,,825.75,percent of total billed charges,757.7471296,,,,,,,,,,825.75,percent of total billed charges,777.2450772,,,,,,,,,,825.75,percent of total billed charges,999999999,,,,,,,,,,825.75,percent of total billed charges,666.9310099,,,,,,,,,,825.75,percent of total billed charges,1051.796194,,,,,,,,,,825.75,percent of total billed charges,999999999,,,,,,,,,,825.75,percent of total billed charges,719.1147383,,,,,,,,,,2972.7,percent of total billed charges,,,,,
**150680006 ATTUNE RP TIB BASE SZ6 CEM,C1776,CDM,,,,both,,,9439,9439,2009.411553,9439,9439,percent of total billed charges,6944.607627,,,,9439,percent of total billed charges,7361.146773,,,,9439,percent of total billed charges,6944.607627,,,,9439,percent of total billed charges,7361.146773,,,,9439,percent of total billed charges,999999999,,,,9439,percent of total billed charges,7191.869262,,,,9439,percent of total billed charges,6944.607627,,,,9439,percent of total billed charges,7361.146773,,,,6730.007,percent of total billed charges,3358.396652,,,,6730.007,percent of total billed charges,2009.411553,,,,6730.007,percent of total billed charges,3358.396652,,,,6730.007,percent of total billed charges,2009.411553,,,,6730.007,percent of total billed charges,3358.396652,,,,6730.007,percent of total billed charges,2009.411553,,,,6663.934,percent of total billed charges,6613.372921,,,,6663.934,percent of total billed charges,4561.190886,,,,,,,,,,6796.08,percent of total billed charges,4417.292074,,,,,,,,,,6796.08,percent of total billed charges,999999999,,,,,,,,,,7551.2,percent of total billed charges,6327.513075,,,,7456.81,percent of total billed charges,7196.142553,,,,7456.81,percent of total billed charges,6358.030149,,,,7551.2,percent of total billed charges,999999999,,,,7551.2,percent of total billed charges,999999999,,,,6607.3,percent of total billed charges,999999999,,,,6607.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5021.548,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4766.695,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2359.75,percent of total billed charges,2241.185284,,,,,,,,,,2359.75,percent of total billed charges,2203.904692,,,,,,,,,,2359.75,percent of total billed charges,2197.780135,,,,,,,,,,2359.75,percent of total billed charges,2165.417849,,,,,,,,,,2359.75,percent of total billed charges,2221.137234,,,,,,,,,,2359.75,percent of total billed charges,999999999,,,,,,,,,,2359.75,percent of total billed charges,1905.892159,,,,,,,,,,2359.75,percent of total billed charges,3005.723365,,,,,,,,,,2359.75,percent of total billed charges,999999999,,,,,,,,,,2359.75,percent of total billed charges,2055.017867,,,,,,,,,,8495.1,percent of total billed charges,,,,,
4.5MM T25 CRTX SCRW 28MM 73826028 SN,C1713,CDM,,,,both,,,313,313,66.63267467,313,313,percent of total billed charges,230.2852196,,,,313,percent of total billed charges,244.0977794,,,,313,percent of total billed charges,230.2852196,,,,313,percent of total billed charges,244.0977794,,,,313,percent of total billed charges,999999999,,,,313,percent of total billed charges,238.4844876,,,,313,percent of total billed charges,230.2852196,,,,313,percent of total billed charges,244.0977794,,,,223.169,percent of total billed charges,111.365415,,,,223.169,percent of total billed charges,66.63267467,,,,223.169,percent of total billed charges,111.365415,,,,223.169,percent of total billed charges,66.63267467,,,,223.169,percent of total billed charges,111.365415,,,,223.169,percent of total billed charges,66.63267467,,,,220.978,percent of total billed charges,219.3013798,,,,220.978,percent of total billed charges,151.2504235,,,,,,,,,,225.36,percent of total billed charges,146.4786968,,,,,,,,,,225.36,percent of total billed charges,999999999,,,,,,,,,,250.4,percent of total billed charges,209.8221838,,,,247.27,percent of total billed charges,238.6261912,,,,247.27,percent of total billed charges,210.8341389,,,,250.4,percent of total billed charges,999999999,,,,250.4,percent of total billed charges,999999999,,,,219.1,percent of total billed charges,999999999,,,,219.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,166.516,percent of total billed charges,999999999,,,,,,,,,,,,,,,,158.065,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,78.25,percent of total billed charges,74.31835935,,,,,,,,,,78.25,percent of total billed charges,73.08212401,,,,,,,,,,78.25,percent of total billed charges,72.87903192,,,,,,,,,,78.25,percent of total billed charges,71.80588906,,,,,,,,,,78.25,percent of total billed charges,73.65356015,,,,,,,,,,78.25,percent of total billed charges,999999999,,,,,,,,,,78.25,percent of total billed charges,63.19994129,,,,,,,,,,78.25,percent of total billed charges,99.67066567,,,,,,,,,,78.25,percent of total billed charges,999999999,,,,,,,,,,78.25,percent of total billed charges,68.14499337,,,,,,,,,,281.7,percent of total billed charges,,,,,
4.5MM T25 CRTX SCRW 14MM 73826014,C1713,CDM,,,,both,,,310,310,65.99402283,310,310,percent of total billed charges,228.078013,,,,310,percent of total billed charges,241.7581841,,,,310,percent of total billed charges,228.078013,,,,310,percent of total billed charges,241.7581841,,,,310,percent of total billed charges,999999999,,,,310,percent of total billed charges,236.1986938,,,,310,percent of total billed charges,228.078013,,,,310,percent of total billed charges,241.7581841,,,,221.03,percent of total billed charges,110.2980149,,,,221.03,percent of total billed charges,65.99402283,,,,221.03,percent of total billed charges,110.2980149,,,,221.03,percent of total billed charges,65.99402283,,,,221.03,percent of total billed charges,110.2980149,,,,221.03,percent of total billed charges,65.99402283,,,,218.86,percent of total billed charges,217.1994497,,,,218.86,percent of total billed charges,149.8007389,,,,,,,,,,223.2,percent of total billed charges,145.0747476,,,,,,,,,,223.2,percent of total billed charges,999999999,,,,,,,,,,248,percent of total billed charges,207.8111085,,,,244.9,percent of total billed charges,236.3390393,,,,244.9,percent of total billed charges,208.8133644,,,,248,percent of total billed charges,999999999,,,,248,percent of total billed charges,999999999,,,,217,percent of total billed charges,999999999,,,,217,percent of total billed charges,999999999,,,,,,,,,,,,,,,,164.92,percent of total billed charges,999999999,,,,,,,,,,,,,,,,156.55,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,77.5,percent of total billed charges,73.60604281,,,,,,,,,,77.5,percent of total billed charges,72.38165637,,,,,,,,,,77.5,percent of total billed charges,72.18051084,,,,,,,,,,77.5,percent of total billed charges,71.1176537,,,,,,,,,,77.5,percent of total billed charges,72.94761548,,,,,,,,,,77.5,percent of total billed charges,999999999,,,,,,,,,,77.5,percent of total billed charges,62.59419106,,,,,,,,,,77.5,percent of total billed charges,98.71535577,,,,,,,,,,77.5,percent of total billed charges,999999999,,,,,,,,,,77.5,percent of total billed charges,67.49184647,,,,,,,,,,279,percent of total billed charges,,,,,
PRPL DILATATION BALLOON 6-8 M00558330,C1726,CDM,,,,both,,,1833,1833,390.2162705,1833,1833,percent of total billed charges,1348.603219,,,,1833,percent of total billed charges,1429.492747,,,,1833,percent of total billed charges,1348.603219,,,,1833,percent of total billed charges,1429.492747,,,,1833,percent of total billed charges,999999999,,,,1833,percent of total billed charges,1396.620019,,,,1833,percent of total billed charges,1348.603219,,,,1833,percent of total billed charges,1429.492747,,,,1306.929,percent of total billed charges,652.1814879,,,,1306.929,percent of total billed charges,390.2162705,,,,1306.929,percent of total billed charges,652.1814879,,,,1306.929,percent of total billed charges,390.2162705,,,,1306.929,percent of total billed charges,652.1814879,,,,1306.929,percent of total billed charges,390.2162705,,,,1294.098,percent of total billed charges,1284.279327,,,,1294.098,percent of total billed charges,885.7572723,,,,,,,,,,1319.76,percent of total billed charges,857.8129433,,,,,,,,,,1319.76,percent of total billed charges,999999999,,,,,,,,,,1466.4,percent of total billed charges,1228.766974,,,,1448.07,percent of total billed charges,1397.449868,,,,1448.07,percent of total billed charges,1234.693216,,,,1466.4,percent of total billed charges,999999999,,,,1466.4,percent of total billed charges,999999999,,,,1283.1,percent of total billed charges,999999999,,,,1283.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,975.156,percent of total billed charges,999999999,,,,,,,,,,,,,,,,925.665,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,458.25,percent of total billed charges,435.225408,,,,,,,,,,458.25,percent of total billed charges,427.9857294,,,,,,,,,,458.25,percent of total billed charges,426.7963754,,,,,,,,,,458.25,percent of total billed charges,420.511804,,,,,,,,,,458.25,percent of total billed charges,431.3321909,,,,,,,,,,458.25,percent of total billed charges,999999999,,,,,,,,,,458.25,percent of total billed charges,370.1133942,,,,,,,,,,458.25,percent of total billed charges,583.6943456,,,,,,,,,,458.25,percent of total billed charges,999999999,,,,,,,,,,458.25,percent of total billed charges,399.0727567,,,,,,,,,,1649.7,percent of total billed charges,,,,,
PRPL DILATATION BALLOON 8-10 M00558340,C1726,CDM,,,,both,,,1833,1833,390.2162705,1833,1833,percent of total billed charges,1348.603219,,,,1833,percent of total billed charges,1429.492747,,,,1833,percent of total billed charges,1348.603219,,,,1833,percent of total billed charges,1429.492747,,,,1833,percent of total billed charges,999999999,,,,1833,percent of total billed charges,1396.620019,,,,1833,percent of total billed charges,1348.603219,,,,1833,percent of total billed charges,1429.492747,,,,1306.929,percent of total billed charges,652.1814879,,,,1306.929,percent of total billed charges,390.2162705,,,,1306.929,percent of total billed charges,652.1814879,,,,1306.929,percent of total billed charges,390.2162705,,,,1306.929,percent of total billed charges,652.1814879,,,,1306.929,percent of total billed charges,390.2162705,,,,1294.098,percent of total billed charges,1284.279327,,,,1294.098,percent of total billed charges,885.7572723,,,,,,,,,,1319.76,percent of total billed charges,857.8129433,,,,,,,,,,1319.76,percent of total billed charges,999999999,,,,,,,,,,1466.4,percent of total billed charges,1228.766974,,,,1448.07,percent of total billed charges,1397.449868,,,,1448.07,percent of total billed charges,1234.693216,,,,1466.4,percent of total billed charges,999999999,,,,1466.4,percent of total billed charges,999999999,,,,1283.1,percent of total billed charges,999999999,,,,1283.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,975.156,percent of total billed charges,999999999,,,,,,,,,,,,,,,,925.665,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,458.25,percent of total billed charges,435.225408,,,,,,,,,,458.25,percent of total billed charges,427.9857294,,,,,,,,,,458.25,percent of total billed charges,426.7963754,,,,,,,,,,458.25,percent of total billed charges,420.511804,,,,,,,,,,458.25,percent of total billed charges,431.3321909,,,,,,,,,,458.25,percent of total billed charges,999999999,,,,,,,,,,458.25,percent of total billed charges,370.1133942,,,,,,,,,,458.25,percent of total billed charges,583.6943456,,,,,,,,,,458.25,percent of total billed charges,999999999,,,,,,,,,,458.25,percent of total billed charges,399.0727567,,,,,,,,,,1649.7,percent of total billed charges,,,,,
PRPL DILATATION BALLOON 8-10 M00558340,C1726,CDM,,,,both,,,1833,1833,390.2162705,1833,1833,percent of total billed charges,1348.603219,,,,1833,percent of total billed charges,1429.492747,,,,1833,percent of total billed charges,1348.603219,,,,1833,percent of total billed charges,1429.492747,,,,1833,percent of total billed charges,999999999,,,,1833,percent of total billed charges,1396.620019,,,,1833,percent of total billed charges,1348.603219,,,,1833,percent of total billed charges,1429.492747,,,,1306.929,percent of total billed charges,652.1814879,,,,1306.929,percent of total billed charges,390.2162705,,,,1306.929,percent of total billed charges,652.1814879,,,,1306.929,percent of total billed charges,390.2162705,,,,1306.929,percent of total billed charges,652.1814879,,,,1306.929,percent of total billed charges,390.2162705,,,,1294.098,percent of total billed charges,1284.279327,,,,1294.098,percent of total billed charges,885.7572723,,,,,,,,,,1319.76,percent of total billed charges,857.8129433,,,,,,,,,,1319.76,percent of total billed charges,999999999,,,,,,,,,,1466.4,percent of total billed charges,1228.766974,,,,1448.07,percent of total billed charges,1397.449868,,,,1448.07,percent of total billed charges,1234.693216,,,,1466.4,percent of total billed charges,999999999,,,,1466.4,percent of total billed charges,999999999,,,,1283.1,percent of total billed charges,999999999,,,,1283.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,975.156,percent of total billed charges,999999999,,,,,,,,,,,,,,,,925.665,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,458.25,percent of total billed charges,435.225408,,,,,,,,,,458.25,percent of total billed charges,427.9857294,,,,,,,,,,458.25,percent of total billed charges,426.7963754,,,,,,,,,,458.25,percent of total billed charges,420.511804,,,,,,,,,,458.25,percent of total billed charges,431.3321909,,,,,,,,,,458.25,percent of total billed charges,999999999,,,,,,,,,,458.25,percent of total billed charges,370.1133942,,,,,,,,,,458.25,percent of total billed charges,583.6943456,,,,,,,,,,458.25,percent of total billed charges,999999999,,,,,,,,,,458.25,percent of total billed charges,399.0727567,,,,,,,,,,1649.7,percent of total billed charges,,,,,
PRPL DILATATION BALLOON 12-15 M00558360,C1726,CDM,,,,both,,,1633,1633,347.6394816,1633,1633,percent of total billed charges,1201.456114,,,,1633,percent of total billed charges,1273.519725,,,,1633,percent of total billed charges,1201.456114,,,,1633,percent of total billed charges,1273.519725,,,,1633,percent of total billed charges,999999999,,,,1633,percent of total billed charges,1244.233765,,,,1633,percent of total billed charges,1201.456114,,,,1633,percent of total billed charges,1273.519725,,,,1164.329,percent of total billed charges,581.0214783,,,,1164.329,percent of total billed charges,347.6394816,,,,1164.329,percent of total billed charges,581.0214783,,,,1164.329,percent of total billed charges,347.6394816,,,,1164.329,percent of total billed charges,581.0214783,,,,1164.329,percent of total billed charges,347.6394816,,,,1152.898,percent of total billed charges,1144.150649,,,,1152.898,percent of total billed charges,789.1116343,,,,,,,,,,1175.76,percent of total billed charges,764.2163319,,,,,,,,,,1175.76,percent of total billed charges,999999999,,,,,,,,,,1306.4,percent of total billed charges,1094.695291,,,,1290.07,percent of total billed charges,1244.973068,,,,1290.07,percent of total billed charges,1099.974916,,,,1306.4,percent of total billed charges,999999999,,,,1306.4,percent of total billed charges,999999999,,,,1143.1,percent of total billed charges,999999999,,,,1143.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,868.756,percent of total billed charges,999999999,,,,,,,,,,,,,,,,824.665,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,408.25,percent of total billed charges,387.7376384,,,,,,,,,,408.25,percent of total billed charges,381.2878866,,,,,,,,,,408.25,percent of total billed charges,380.2283039,,,,,,,,,,408.25,percent of total billed charges,374.6294468,,,,,,,,,,408.25,percent of total billed charges,384.2692132,,,,,,,,,,408.25,percent of total billed charges,999999999,,,,,,,,,,408.25,percent of total billed charges,329.7300451,,,,,,,,,,408.25,percent of total billed charges,520.0070193,,,,,,,,,,408.25,percent of total billed charges,999999999,,,,,,,,,,408.25,percent of total billed charges,355.5296299,,,,,,,,,,1469.7,percent of total billed charges,,,,,
PRPL DILATATION BALLOON 12-15 M00558360,C1726,CDM,,,,both,,,1633,1633,347.6394816,1633,1633,percent of total billed charges,1201.456114,,,,1633,percent of total billed charges,1273.519725,,,,1633,percent of total billed charges,1201.456114,,,,1633,percent of total billed charges,1273.519725,,,,1633,percent of total billed charges,999999999,,,,1633,percent of total billed charges,1244.233765,,,,1633,percent of total billed charges,1201.456114,,,,1633,percent of total billed charges,1273.519725,,,,1164.329,percent of total billed charges,581.0214783,,,,1164.329,percent of total billed charges,347.6394816,,,,1164.329,percent of total billed charges,581.0214783,,,,1164.329,percent of total billed charges,347.6394816,,,,1164.329,percent of total billed charges,581.0214783,,,,1164.329,percent of total billed charges,347.6394816,,,,1152.898,percent of total billed charges,1144.150649,,,,1152.898,percent of total billed charges,789.1116343,,,,,,,,,,1175.76,percent of total billed charges,764.2163319,,,,,,,,,,1175.76,percent of total billed charges,999999999,,,,,,,,,,1306.4,percent of total billed charges,1094.695291,,,,1290.07,percent of total billed charges,1244.973068,,,,1290.07,percent of total billed charges,1099.974916,,,,1306.4,percent of total billed charges,999999999,,,,1306.4,percent of total billed charges,999999999,,,,1143.1,percent of total billed charges,999999999,,,,1143.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,868.756,percent of total billed charges,999999999,,,,,,,,,,,,,,,,824.665,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,408.25,percent of total billed charges,387.7376384,,,,,,,,,,408.25,percent of total billed charges,381.2878866,,,,,,,,,,408.25,percent of total billed charges,380.2283039,,,,,,,,,,408.25,percent of total billed charges,374.6294468,,,,,,,,,,408.25,percent of total billed charges,384.2692132,,,,,,,,,,408.25,percent of total billed charges,999999999,,,,,,,,,,408.25,percent of total billed charges,329.7300451,,,,,,,,,,408.25,percent of total billed charges,520.0070193,,,,,,,,,,408.25,percent of total billed charges,999999999,,,,,,,,,,408.25,percent of total billed charges,355.5296299,,,,,,,,,,1469.7,percent of total billed charges,,,,,
PRPL DILATATION BALLOON 18-20 M00558380,C1726,CDM,,,,both,,,1633,1633,347.6394816,1633,1633,percent of total billed charges,1201.456114,,,,1633,percent of total billed charges,1273.519725,,,,1633,percent of total billed charges,1201.456114,,,,1633,percent of total billed charges,1273.519725,,,,1633,percent of total billed charges,999999999,,,,1633,percent of total billed charges,1244.233765,,,,1633,percent of total billed charges,1201.456114,,,,1633,percent of total billed charges,1273.519725,,,,1164.329,percent of total billed charges,581.0214783,,,,1164.329,percent of total billed charges,347.6394816,,,,1164.329,percent of total billed charges,581.0214783,,,,1164.329,percent of total billed charges,347.6394816,,,,1164.329,percent of total billed charges,581.0214783,,,,1164.329,percent of total billed charges,347.6394816,,,,1152.898,percent of total billed charges,1144.150649,,,,1152.898,percent of total billed charges,789.1116343,,,,,,,,,,1175.76,percent of total billed charges,764.2163319,,,,,,,,,,1175.76,percent of total billed charges,999999999,,,,,,,,,,1306.4,percent of total billed charges,1094.695291,,,,1290.07,percent of total billed charges,1244.973068,,,,1290.07,percent of total billed charges,1099.974916,,,,1306.4,percent of total billed charges,999999999,,,,1306.4,percent of total billed charges,999999999,,,,1143.1,percent of total billed charges,999999999,,,,1143.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,868.756,percent of total billed charges,999999999,,,,,,,,,,,,,,,,824.665,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,408.25,percent of total billed charges,387.7376384,,,,,,,,,,408.25,percent of total billed charges,381.2878866,,,,,,,,,,408.25,percent of total billed charges,380.2283039,,,,,,,,,,408.25,percent of total billed charges,374.6294468,,,,,,,,,,408.25,percent of total billed charges,384.2692132,,,,,,,,,,408.25,percent of total billed charges,999999999,,,,,,,,,,408.25,percent of total billed charges,329.7300451,,,,,,,,,,408.25,percent of total billed charges,520.0070193,,,,,,,,,,408.25,percent of total billed charges,999999999,,,,,,,,,,408.25,percent of total billed charges,355.5296299,,,,,,,,,,1469.7,percent of total billed charges,,,,,
**COMP RVS 2.7MM DIA DRL 405889,Local,Local,,,,both,,,1772,1772,377.2303499,1772,1772,percent of total billed charges,1303.723352,,,,1772,percent of total billed charges,1381.920975,,,,1772,percent of total billed charges,1303.723352,,,,1772,percent of total billed charges,1381.920975,,,,1772,percent of total billed charges,999999999,,,,1772,percent of total billed charges,1350.142211,,,,1772,percent of total billed charges,1303.723352,,,,1772,percent of total billed charges,1381.920975,,,,1263.436,percent of total billed charges,630.4776849,,,,1263.436,percent of total billed charges,377.2303499,,,,1263.436,percent of total billed charges,630.4776849,,,,1263.436,percent of total billed charges,377.2303499,,,,1263.436,percent of total billed charges,630.4776849,,,,1263.436,percent of total billed charges,377.2303499,,,,1251.032,percent of total billed charges,1241.54008,,,,1251.032,percent of total billed charges,856.2803528,,,,,,,,,,1275.84,percent of total billed charges,829.2659768,,,,,,,,,,1275.84,percent of total billed charges,999999999,,,,,,,,,,1417.6,percent of total billed charges,1187.875111,,,,1399.88,percent of total billed charges,1350.944444,,,,1399.88,percent of total billed charges,1193.604134,,,,1417.6,percent of total billed charges,999999999,,,,1417.6,percent of total billed charges,999999999,,,,1240.4,percent of total billed charges,999999999,,,,1240.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,942.704,percent of total billed charges,999999999,,,,,,,,,,,,,,,,894.86,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,443,percent of total billed charges,420.7416382,,,,,,,,,,443,percent of total billed charges,413.7428874,,,,,,,,,,443,percent of total billed charges,412.5931136,,,,,,,,,,443,percent of total billed charges,406.517685,,,,,,,,,,443,percent of total billed charges,416.9779827,,,,,,,,,,443,percent of total billed charges,999999999,,,,,,,,,,443,percent of total billed charges,357.7964727,,,,,,,,,,443,percent of total billed charges,564.2697111,,,,,,,,,,443,percent of total billed charges,999999999,,,,,,,,,,443,percent of total billed charges,385.792103,,,,,,,,,,1594.8,percent of total billed charges,,,,,
**CLO TEST STRIP,Local,Local,,,,both,,,87,87,18.52090318,87,87,percent of total billed charges,64.00899074,,,,87,percent of total billed charges,67.84826457,,,,87,percent of total billed charges,64.00899074,,,,87,percent of total billed charges,67.84826457,,,,87,percent of total billed charges,999999999,,,,87,percent of total billed charges,66.28802053,,,,87,percent of total billed charges,64.00899074,,,,87,percent of total billed charges,67.84826457,,,,62.031,percent of total billed charges,30.95460417,,,,62.031,percent of total billed charges,18.52090318,,,,62.031,percent of total billed charges,30.95460417,,,,62.031,percent of total billed charges,18.52090318,,,,62.031,percent of total billed charges,30.95460417,,,,62.031,percent of total billed charges,18.52090318,,,,61.422,percent of total billed charges,60.95597459,,,,61.422,percent of total billed charges,42.04085253,,,,,,,,,,62.64,percent of total billed charges,40.71452595,,,,,,,,,,62.64,percent of total billed charges,999999999,,,,,,,,,,69.6,percent of total billed charges,58.32118207,,,,68.73,percent of total billed charges,66.32740779,,,,68.73,percent of total billed charges,58.60246032,,,,69.6,percent of total billed charges,999999999,,,,69.6,percent of total billed charges,999999999,,,,60.9,percent of total billed charges,999999999,,,,60.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,46.284,percent of total billed charges,999999999,,,,,,,,,,,,,,,,43.935,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21.75,percent of total billed charges,20.65717976,,,,,,,,,,21.75,percent of total billed charges,20.31356163,,,,,,,,,,21.75,percent of total billed charges,20.25711111,,,,,,,,,,21.75,percent of total billed charges,19.95882539,,,,,,,,,,21.75,percent of total billed charges,20.47239531,,,,,,,,,,21.75,percent of total billed charges,999999999,,,,,,,,,,21.75,percent of total billed charges,17.56675684,,,,,,,,,,21.75,percent of total billed charges,27.70398694,,,,,,,,,,21.75,percent of total billed charges,999999999,,,,,,,,,,21.75,percent of total billed charges,18.94126014,,,,,,,,,,78.3,percent of total billed charges,,,,,
DCB00 LENS TECHNIX ACRYLIC PRELOADED,Local,Local,,,,both,,,1645,1645,350.1940889,1645,1645,percent of total billed charges,1210.28494,,,,1645,percent of total billed charges,1282.878106,,,,1645,percent of total billed charges,1210.28494,,,,1645,percent of total billed charges,1282.878106,,,,1645,percent of total billed charges,999999999,,,,1645,percent of total billed charges,1253.37694,,,,1645,percent of total billed charges,1210.28494,,,,1645,percent of total billed charges,1282.878106,,,,1172.885,percent of total billed charges,585.2910788,,,,1172.885,percent of total billed charges,350.1940889,,,,1172.885,percent of total billed charges,585.2910788,,,,1172.885,percent of total billed charges,350.1940889,,,,1172.885,percent of total billed charges,585.2910788,,,,1172.885,percent of total billed charges,350.1940889,,,,1161.37,percent of total billed charges,1152.55837,,,,1161.37,percent of total billed charges,794.9103726,,,,,,,,,,1184.4,percent of total billed charges,769.8321286,,,,,,,,,,1184.4,percent of total billed charges,999999999,,,,,,,,,,1316,percent of total billed charges,1102.739592,,,,1299.55,percent of total billed charges,1254.121676,,,,1299.55,percent of total billed charges,1108.058014,,,,1316,percent of total billed charges,999999999,,,,1316,percent of total billed charges,999999999,,,,1151.5,percent of total billed charges,999999999,,,,1151.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,875.14,percent of total billed charges,999999999,,,,,,,,,,,,,,,,830.725,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,411.25,percent of total billed charges,390.5869046,,,,,,,,,,411.25,percent of total billed charges,384.0897572,,,,,,,,,,411.25,percent of total billed charges,383.0223882,,,,,,,,,,411.25,percent of total billed charges,377.3823882,,,,,,,,,,411.25,percent of total billed charges,387.0929918,,,,,,,,,,411.25,percent of total billed charges,999999999,,,,,,,,,,411.25,percent of total billed charges,332.1530461,,,,,,,,,,411.25,percent of total billed charges,523.8282588,,,,,,,,,,411.25,percent of total billed charges,999999999,,,,,,,,,,411.25,percent of total billed charges,358.1422175,,,,,,,,,,1480.5,percent of total billed charges,,,,,
DYNJ382581 SDI CUSTOM EYE TRAY,Local,Local,,,,both,,,349,349,74.29649667,349,349,percent of total billed charges,256.7716985,,,,349,percent of total billed charges,272.1729234,,,,349,percent of total billed charges,256.7716985,,,,349,percent of total billed charges,272.1729234,,,,349,percent of total billed charges,999999999,,,,349,percent of total billed charges,265.9140134,,,,349,percent of total billed charges,256.7716985,,,,349,percent of total billed charges,272.1729234,,,,248.837,percent of total billed charges,124.1742167,,,,248.837,percent of total billed charges,74.29649667,,,,248.837,percent of total billed charges,124.1742167,,,,248.837,percent of total billed charges,74.29649667,,,,248.837,percent of total billed charges,124.1742167,,,,248.837,percent of total billed charges,74.29649667,,,,246.394,percent of total billed charges,244.5245417,,,,246.394,percent of total billed charges,168.6466383,,,,,,,,,,251.28,percent of total billed charges,163.3260869,,,,,,,,,,251.28,percent of total billed charges,999999999,,,,,,,,,,279.2,percent of total billed charges,233.9550867,,,,275.71,percent of total billed charges,266.0720152,,,,275.71,percent of total billed charges,235.0834328,,,,279.2,percent of total billed charges,999999999,,,,279.2,percent of total billed charges,999999999,,,,244.3,percent of total billed charges,999999999,,,,244.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,185.668,percent of total billed charges,999999999,,,,,,,,,,,,,,,,176.245,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,87.25,percent of total billed charges,82.86615787,,,,,,,,,,87.25,percent of total billed charges,81.48773572,,,,,,,,,,87.25,percent of total billed charges,81.26128479,,,,,,,,,,87.25,percent of total billed charges,80.06471336,,,,,,,,,,87.25,percent of total billed charges,82.12489614,,,,,,,,,,87.25,percent of total billed charges,999999999,,,,,,,,,,87.25,percent of total billed charges,70.46894413,,,,,,,,,,87.25,percent of total billed charges,111.1343844,,,,,,,,,,87.25,percent of total billed charges,999999999,,,,,,,,,,87.25,percent of total billed charges,75.98275618,,,,,,,,,,314.1,percent of total billed charges,,,,,
MAL-1001 6.25MM MALYUGIN RING MST,Local,Local,,,,both,,,1711,1711,364.2444293,1711,1711,percent of total billed charges,1258.843485,,,,1711,percent of total billed charges,1334.349203,,,,1711,percent of total billed charges,1258.843485,,,,1711,percent of total billed charges,1334.349203,,,,1711,percent of total billed charges,999999999,,,,1711,percent of total billed charges,1303.664404,,,,1711,percent of total billed charges,1258.843485,,,,1711,percent of total billed charges,1334.349203,,,,1219.943,percent of total billed charges,608.773882,,,,1219.943,percent of total billed charges,364.2444293,,,,1219.943,percent of total billed charges,608.773882,,,,1219.943,percent of total billed charges,364.2444293,,,,1219.943,percent of total billed charges,608.773882,,,,1219.943,percent of total billed charges,364.2444293,,,,1207.966,percent of total billed charges,1198.800834,,,,1207.966,percent of total billed charges,826.8034332,,,,,,,,,,1231.92,percent of total billed charges,800.7190103,,,,,,,,,,1231.92,percent of total billed charges,999999999,,,,,,,,,,1368.8,percent of total billed charges,1146.983247,,,,1351.69,percent of total billed charges,1304.43902,,,,1351.69,percent of total billed charges,1152.515053,,,,1368.8,percent of total billed charges,999999999,,,,1368.8,percent of total billed charges,999999999,,,,1197.7,percent of total billed charges,999999999,,,,1197.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,910.252,percent of total billed charges,999999999,,,,,,,,,,,,,,,,864.055,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,427.75,percent of total billed charges,406.2578685,,,,,,,,,,427.75,percent of total billed charges,399.5000453,,,,,,,,,,427.75,percent of total billed charges,398.3898518,,,,,,,,,,427.75,percent of total billed charges,392.5235661,,,,,,,,,,427.75,percent of total billed charges,402.6237745,,,,,,,,,,427.75,percent of total billed charges,999999999,,,,,,,,,,427.75,percent of total billed charges,345.4795513,,,,,,,,,,427.75,percent of total billed charges,544.8450765,,,,,,,,,,427.75,percent of total billed charges,999999999,,,,,,,,,,427.75,percent of total billed charges,372.5114494,,,,,,,,,,1539.9,percent of total billed charges,,,,,
MLR60 LRI KNIFE CRESTPOINT 600UM,Local,Local,,,,both,,,169,169,35.97738664,169,169,percent of total billed charges,124.3393038,,,,169,percent of total billed charges,131.7972036,,,,169,percent of total billed charges,124.3393038,,,,169,percent of total billed charges,131.7972036,,,,169,percent of total billed charges,999999999,,,,169,percent of total billed charges,128.7663847,,,,169,percent of total billed charges,124.3393038,,,,169,percent of total billed charges,131.7972036,,,,120.497,percent of total billed charges,60.1302081,,,,120.497,percent of total billed charges,35.97738664,,,,120.497,percent of total billed charges,60.1302081,,,,120.497,percent of total billed charges,35.97738664,,,,120.497,percent of total billed charges,60.1302081,,,,120.497,percent of total billed charges,35.97738664,,,,119.314,percent of total billed charges,118.4087322,,,,119.314,percent of total billed charges,81.66556412,,,,,,,,,,121.68,percent of total billed charges,79.08913661,,,,,,,,,,121.68,percent of total billed charges,999999999,,,,,,,,,,135.2,percent of total billed charges,113.2905721,,,,133.51,percent of total billed charges,128.8428956,,,,133.51,percent of total billed charges,113.8369632,,,,135.2,percent of total billed charges,999999999,,,,135.2,percent of total billed charges,999999999,,,,118.3,percent of total billed charges,999999999,,,,118.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,89.908,percent of total billed charges,999999999,,,,,,,,,,,,,,,,85.345,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,42.25,percent of total billed charges,40.12716527,,,,,,,,,,42.25,percent of total billed charges,39.45967718,,,,,,,,,,42.25,percent of total billed charges,39.35002043,,,,,,,,,,42.25,percent of total billed charges,38.77059186,,,,,,,,,,42.25,percent of total billed charges,39.76821618,,,,,,,,,,42.25,percent of total billed charges,999999999,,,,,,,,,,42.25,percent of total billed charges,34.12392996,,,,,,,,,,42.25,percent of total billed charges,53.81579073,,,,,,,,,,42.25,percent of total billed charges,999999999,,,,,,,,,,42.25,percent of total billed charges,36.79394211,,,,,,,,,,152.1,percent of total billed charges,,,,,
8065990002 2.3MM CRESCENT KNIFE ALCON,Local,Local,,,,both,,,249,249,53.00810221,249,249,percent of total billed charges,183.1981459,,,,249,percent of total billed charges,194.1864124,,,,249,percent of total billed charges,183.1981459,,,,249,percent of total billed charges,194.1864124,,,,249,percent of total billed charges,999999999,,,,249,percent of total billed charges,189.7208863,,,,249,percent of total billed charges,183.1981459,,,,249,percent of total billed charges,194.1864124,,,,177.537,percent of total billed charges,88.59421193,,,,177.537,percent of total billed charges,53.00810221,,,,177.537,percent of total billed charges,88.59421193,,,,177.537,percent of total billed charges,53.00810221,,,,177.537,percent of total billed charges,88.59421193,,,,177.537,percent of total billed charges,53.00810221,,,,175.794,percent of total billed charges,174.4602031,,,,175.794,percent of total billed charges,120.3238193,,,,,,,,,,179.28,percent of total billed charges,116.5277812,,,,,,,,,,179.28,percent of total billed charges,999999999,,,,,,,,,,199.2,percent of total billed charges,166.9192452,,,,196.71,percent of total billed charges,189.8336154,,,,196.71,percent of total billed charges,167.724283,,,,199.2,percent of total billed charges,999999999,,,,199.2,percent of total billed charges,999999999,,,,174.3,percent of total billed charges,999999999,,,,174.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,132.468,percent of total billed charges,999999999,,,,,,,,,,,,,,,,125.745,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,62.25,percent of total billed charges,59.12227309,,,,,,,,,,62.25,percent of total billed charges,58.13881431,,,,,,,,,,62.25,percent of total billed charges,57.97724903,,,,,,,,,,62.25,percent of total billed charges,57.12353475,,,,,,,,,,62.25,percent of total billed charges,58.59340727,,,,,,,,,,62.25,percent of total billed charges,999999999,,,,,,,,,,62.25,percent of total billed charges,50.27726959,,,,,,,,,,62.25,percent of total billed charges,79.29072125,,,,,,,,,,62.25,percent of total billed charges,999999999,,,,,,,,,,62.25,percent of total billed charges,54.21119281,,,,,,,,,,224.1,percent of total billed charges,,,,,
MSP10 1.0MM SIDEPORT KNIFE CRESTPOINT,Local,Local,,,,both,,,169,169,35.97738664,169,169,percent of total billed charges,124.3393038,,,,169,percent of total billed charges,131.7972036,,,,169,percent of total billed charges,124.3393038,,,,169,percent of total billed charges,131.7972036,,,,169,percent of total billed charges,999999999,,,,169,percent of total billed charges,128.7663847,,,,169,percent of total billed charges,124.3393038,,,,169,percent of total billed charges,131.7972036,,,,120.497,percent of total billed charges,60.1302081,,,,120.497,percent of total billed charges,35.97738664,,,,120.497,percent of total billed charges,60.1302081,,,,120.497,percent of total billed charges,35.97738664,,,,120.497,percent of total billed charges,60.1302081,,,,120.497,percent of total billed charges,35.97738664,,,,119.314,percent of total billed charges,118.4087322,,,,119.314,percent of total billed charges,81.66556412,,,,,,,,,,121.68,percent of total billed charges,79.08913661,,,,,,,,,,121.68,percent of total billed charges,999999999,,,,,,,,,,135.2,percent of total billed charges,113.2905721,,,,133.51,percent of total billed charges,128.8428956,,,,133.51,percent of total billed charges,113.8369632,,,,135.2,percent of total billed charges,999999999,,,,135.2,percent of total billed charges,999999999,,,,118.3,percent of total billed charges,999999999,,,,118.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,89.908,percent of total billed charges,999999999,,,,,,,,,,,,,,,,85.345,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,42.25,percent of total billed charges,40.12716527,,,,,,,,,,42.25,percent of total billed charges,39.45967718,,,,,,,,,,42.25,percent of total billed charges,39.35002043,,,,,,,,,,42.25,percent of total billed charges,38.77059186,,,,,,,,,,42.25,percent of total billed charges,39.76821618,,,,,,,,,,42.25,percent of total billed charges,999999999,,,,,,,,,,42.25,percent of total billed charges,34.12392996,,,,,,,,,,42.25,percent of total billed charges,53.81579073,,,,,,,,,,42.25,percent of total billed charges,999999999,,,,,,,,,,42.25,percent of total billed charges,36.79394211,,,,,,,,,,152.1,percent of total billed charges,,,,,
MSL24-50 2.4MM DBL BVL KERATOME,Local,Local,,,,both,,,169,169,35.97738664,169,169,percent of total billed charges,124.3393038,,,,169,percent of total billed charges,131.7972036,,,,169,percent of total billed charges,124.3393038,,,,169,percent of total billed charges,131.7972036,,,,169,percent of total billed charges,999999999,,,,169,percent of total billed charges,128.7663847,,,,169,percent of total billed charges,124.3393038,,,,169,percent of total billed charges,131.7972036,,,,120.497,percent of total billed charges,60.1302081,,,,120.497,percent of total billed charges,35.97738664,,,,120.497,percent of total billed charges,60.1302081,,,,120.497,percent of total billed charges,35.97738664,,,,120.497,percent of total billed charges,60.1302081,,,,120.497,percent of total billed charges,35.97738664,,,,119.314,percent of total billed charges,118.4087322,,,,119.314,percent of total billed charges,81.66556412,,,,,,,,,,121.68,percent of total billed charges,79.08913661,,,,,,,,,,121.68,percent of total billed charges,999999999,,,,,,,,,,135.2,percent of total billed charges,113.2905721,,,,133.51,percent of total billed charges,128.8428956,,,,133.51,percent of total billed charges,113.8369632,,,,135.2,percent of total billed charges,999999999,,,,135.2,percent of total billed charges,999999999,,,,118.3,percent of total billed charges,999999999,,,,118.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,89.908,percent of total billed charges,999999999,,,,,,,,,,,,,,,,85.345,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,42.25,percent of total billed charges,40.12716527,,,,,,,,,,42.25,percent of total billed charges,39.45967718,,,,,,,,,,42.25,percent of total billed charges,39.35002043,,,,,,,,,,42.25,percent of total billed charges,38.77059186,,,,,,,,,,42.25,percent of total billed charges,39.76821618,,,,,,,,,,42.25,percent of total billed charges,999999999,,,,,,,,,,42.25,percent of total billed charges,34.12392996,,,,,,,,,,42.25,percent of total billed charges,53.81579073,,,,,,,,,,42.25,percent of total billed charges,999999999,,,,,,,,,,42.25,percent of total billed charges,36.79394211,,,,,,,,,,152.1,percent of total billed charges,,,,,
ZCU 150 TORIC LENS,V2787,CDM,,,,both,,,4675,4675,995.2324411,4675,4675,percent of total billed charges,3439.563583,,,,4675,percent of total billed charges,3645.869389,,,,4675,percent of total billed charges,3439.563583,,,,4675,percent of total billed charges,3645.869389,,,,4675,percent of total billed charges,999999999,,,,4675,percent of total billed charges,3562.028689,,,,4675,percent of total billed charges,3439.563583,,,,4675,percent of total billed charges,3645.869389,,,,3333.275,percent of total billed charges,1663.365224,,,,3333.275,percent of total billed charges,995.2324411,,,,3333.275,percent of total billed charges,1663.365224,,,,3333.275,percent of total billed charges,995.2324411,,,,3333.275,percent of total billed charges,1663.365224,,,,3333.275,percent of total billed charges,995.2324411,,,,3300.55,percent of total billed charges,3275.50783,,,,3300.55,percent of total billed charges,2259.091788,,,,,,,,,,3366,percent of total billed charges,2187.820791,,,,,,,,,,3366,percent of total billed charges,999999999,,,,,,,,,,3740,percent of total billed charges,3133.925588,,,,3693.25,percent of total billed charges,3564.145189,,,,3693.25,percent of total billed charges,3149.040253,,,,3740,percent of total billed charges,999999999,,,,3740,percent of total billed charges,999999999,,,,3272.5,percent of total billed charges,999999999,,,,3272.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2487.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2360.875,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1168.75,percent of total billed charges,1110.026613,,,,,,,,,,1168.75,percent of total billed charges,1091.562076,,,,,,,,,,1168.75,percent of total billed charges,1088.528672,,,,,,,,,,1168.75,percent of total billed charges,1072.5001,,,,,,,,,,1168.75,percent of total billed charges,1100.097104,,,,,,,,,,1168.75,percent of total billed charges,999999999,,,,,,,,,,1168.75,percent of total billed charges,943.9607845,,,,,,,,,,1168.75,percent of total billed charges,1488.691252,,,,,,,,,,1168.75,percent of total billed charges,999999999,,,,,,,,,,1168.75,percent of total billed charges,1017.820588,,,,,,,,,,4207.5,percent of total billed charges,,,,,
ZCU 300 TORIC LENS,V2787,CDM,,,,both,,,4675,4675,995.2324411,4675,4675,percent of total billed charges,3439.563583,,,,4675,percent of total billed charges,3645.869389,,,,4675,percent of total billed charges,3439.563583,,,,4675,percent of total billed charges,3645.869389,,,,4675,percent of total billed charges,999999999,,,,4675,percent of total billed charges,3562.028689,,,,4675,percent of total billed charges,3439.563583,,,,4675,percent of total billed charges,3645.869389,,,,3333.275,percent of total billed charges,1663.365224,,,,3333.275,percent of total billed charges,995.2324411,,,,3333.275,percent of total billed charges,1663.365224,,,,3333.275,percent of total billed charges,995.2324411,,,,3333.275,percent of total billed charges,1663.365224,,,,3333.275,percent of total billed charges,995.2324411,,,,3300.55,percent of total billed charges,3275.50783,,,,3300.55,percent of total billed charges,2259.091788,,,,,,,,,,3366,percent of total billed charges,2187.820791,,,,,,,,,,3366,percent of total billed charges,999999999,,,,,,,,,,3740,percent of total billed charges,3133.925588,,,,3693.25,percent of total billed charges,3564.145189,,,,3693.25,percent of total billed charges,3149.040253,,,,3740,percent of total billed charges,999999999,,,,3740,percent of total billed charges,999999999,,,,3272.5,percent of total billed charges,999999999,,,,3272.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2487.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2360.875,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1168.75,percent of total billed charges,1110.026613,,,,,,,,,,1168.75,percent of total billed charges,1091.562076,,,,,,,,,,1168.75,percent of total billed charges,1088.528672,,,,,,,,,,1168.75,percent of total billed charges,1072.5001,,,,,,,,,,1168.75,percent of total billed charges,1100.097104,,,,,,,,,,1168.75,percent of total billed charges,999999999,,,,,,,,,,1168.75,percent of total billed charges,943.9607845,,,,,,,,,,1168.75,percent of total billed charges,1488.691252,,,,,,,,,,1168.75,percent of total billed charges,999999999,,,,,,,,,,1168.75,percent of total billed charges,1017.820588,,,,,,,,,,4207.5,percent of total billed charges,,,,,
ZCU 225 TORIC LENS,V2787,CDM,,,,both,,,4675,4675,995.2324411,4675,4675,percent of total billed charges,3439.563583,,,,4675,percent of total billed charges,3645.869389,,,,4675,percent of total billed charges,3439.563583,,,,4675,percent of total billed charges,3645.869389,,,,4675,percent of total billed charges,999999999,,,,4675,percent of total billed charges,3562.028689,,,,4675,percent of total billed charges,3439.563583,,,,4675,percent of total billed charges,3645.869389,,,,3333.275,percent of total billed charges,1663.365224,,,,3333.275,percent of total billed charges,995.2324411,,,,3333.275,percent of total billed charges,1663.365224,,,,3333.275,percent of total billed charges,995.2324411,,,,3333.275,percent of total billed charges,1663.365224,,,,3333.275,percent of total billed charges,995.2324411,,,,3300.55,percent of total billed charges,3275.50783,,,,3300.55,percent of total billed charges,2259.091788,,,,,,,,,,3366,percent of total billed charges,2187.820791,,,,,,,,,,3366,percent of total billed charges,999999999,,,,,,,,,,3740,percent of total billed charges,3133.925588,,,,3693.25,percent of total billed charges,3564.145189,,,,3693.25,percent of total billed charges,3149.040253,,,,3740,percent of total billed charges,999999999,,,,3740,percent of total billed charges,999999999,,,,3272.5,percent of total billed charges,999999999,,,,3272.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2487.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2360.875,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1168.75,percent of total billed charges,1110.026613,,,,,,,,,,1168.75,percent of total billed charges,1091.562076,,,,,,,,,,1168.75,percent of total billed charges,1088.528672,,,,,,,,,,1168.75,percent of total billed charges,1072.5001,,,,,,,,,,1168.75,percent of total billed charges,1100.097104,,,,,,,,,,1168.75,percent of total billed charges,999999999,,,,,,,,,,1168.75,percent of total billed charges,943.9607845,,,,,,,,,,1168.75,percent of total billed charges,1488.691252,,,,,,,,,,1168.75,percent of total billed charges,999999999,,,,,,,,,,1168.75,percent of total billed charges,1017.820588,,,,,,,,,,4207.5,percent of total billed charges,,,,,
DIB00 EYHANCE LENS J&J,Local,Local,,,,both,,,2082,2082,443.2243727,2082,2082,percent of total billed charges,1531.801365,,,,2082,percent of total billed charges,1623.679159,,,,2082,percent of total billed charges,1531.801365,,,,2082,percent of total billed charges,1623.679159,,,,2082,percent of total billed charges,999999999,,,,2082,percent of total billed charges,1586.340905,,,,2082,percent of total billed charges,1531.801365,,,,2082,percent of total billed charges,1623.679159,,,,1484.466,percent of total billed charges,740.7756998,,,,1484.466,percent of total billed charges,443.2243727,,,,1484.466,percent of total billed charges,740.7756998,,,,1484.466,percent of total billed charges,443.2243727,,,,1484.466,percent of total billed charges,740.7756998,,,,1484.466,percent of total billed charges,443.2243727,,,,1469.892,percent of total billed charges,1458.73953,,,,1469.892,percent of total billed charges,1006.081092,,,,,,,,,,1499.04,percent of total billed charges,974.3407244,,,,,,,,,,1499.04,percent of total billed charges,999999999,,,,,,,,,,1665.6,percent of total billed charges,1395.686219,,,,1644.78,percent of total billed charges,1587.283483,,,,1644.78,percent of total billed charges,1402.417499,,,,1665.6,percent of total billed charges,999999999,,,,1665.6,percent of total billed charges,999999999,,,,1457.4,percent of total billed charges,999999999,,,,1457.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1107.624,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1051.41,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,520.5,percent of total billed charges,494.347681,,,,,,,,,,520.5,percent of total billed charges,486.1245437,,,,,,,,,,520.5,percent of total billed charges,484.7736244,,,,,,,,,,520.5,percent of total billed charges,477.6353387,,,,,,,,,,520.5,percent of total billed charges,489.9255982,,,,,,,,,,520.5,percent of total billed charges,999999999,,,,,,,,,,520.5,percent of total billed charges,420.3906638,,,,,,,,,,520.5,percent of total billed charges,662.9850668,,,,,,,,,,520.5,percent of total billed charges,999999999,,,,,,,,,,520.5,percent of total billed charges,453.2839495,,,,,,,,,,1873.8,percent of total billed charges,,,,,
DIU450 TORIC II ACRYLIC 1 PC PRELD LENS,V2787,CDM,,,,both,,,5915,5915,1259.208532,5915,5915,percent of total billed charges,4351.875635,,,,5915,percent of total billed charges,4612.902126,,,,5915,percent of total billed charges,4351.875635,,,,5915,percent of total billed charges,4612.902126,,,,5915,percent of total billed charges,999999999,,,,5915,percent of total billed charges,4506.823465,,,,5915,percent of total billed charges,4351.875635,,,,5915,percent of total billed charges,4612.902126,,,,4217.395,percent of total billed charges,2104.557283,,,,4217.395,percent of total billed charges,1259.208532,,,,4217.395,percent of total billed charges,2104.557283,,,,4217.395,percent of total billed charges,1259.208532,,,,4217.395,percent of total billed charges,2104.557283,,,,4217.395,percent of total billed charges,1259.208532,,,,4175.99,percent of total billed charges,4144.305629,,,,4175.99,percent of total billed charges,2858.294744,,,,,,,,,,4258.8,percent of total billed charges,2768.119781,,,,,,,,,,4258.8,percent of total billed charges,999999999,,,,,,,,,,4732,percent of total billed charges,3965.170022,,,,4672.85,percent of total billed charges,4509.501346,,,,4672.85,percent of total billed charges,3984.29371,,,,4732,percent of total billed charges,999999999,,,,4732,percent of total billed charges,999999999,,,,4140.5,percent of total billed charges,999999999,,,,4140.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3146.78,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2987.075,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1478.75,percent of total billed charges,1404.450785,,,,,,,,,,1478.75,percent of total billed charges,1381.088701,,,,,,,,,,1478.75,percent of total billed charges,1377.250715,,,,,,,,,,1478.75,percent of total billed charges,1356.970715,,,,,,,,,,1478.75,percent of total billed charges,1391.887566,,,,,,,,,,1478.75,percent of total billed charges,999999999,,,,,,,,,,1478.75,percent of total billed charges,1194.337549,,,,,,,,,,1478.75,percent of total billed charges,1883.552675,,,,,,,,,,1478.75,percent of total billed charges,999999999,,,,,,,,,,1478.75,percent of total billed charges,1287.787974,,,,,,,,,,5323.5,percent of total billed charges,,,,,
MX60ET 125 ENVISTA TORIC LENS B&L,V2787,CDM,,,,both,,,4961,4961,1056.117249,4961,4961,percent of total billed charges,3649.983943,,,,4961,percent of total billed charges,3868.910811,,,,4961,percent of total billed charges,3649.983943,,,,4961,percent of total billed charges,3868.910811,,,,4961,percent of total billed charges,999999999,,,,4961,percent of total billed charges,3779.941033,,,,4961,percent of total billed charges,3649.983943,,,,4961,percent of total billed charges,3868.910811,,,,3537.193,percent of total billed charges,1765.124038,,,,3537.193,percent of total billed charges,1056.117249,,,,3537.193,percent of total billed charges,1765.124038,,,,3537.193,percent of total billed charges,1056.117249,,,,3537.193,percent of total billed charges,1765.124038,,,,3537.193,percent of total billed charges,1056.117249,,,,3502.466,percent of total billed charges,3475.891838,,,,3502.466,percent of total billed charges,2397.295051,,,,,,,,,,3571.92,percent of total billed charges,2321.663945,,,,,,,,,,3571.92,percent of total billed charges,999999999,,,,,,,,,,3968.8,percent of total billed charges,3325.648095,,,,3919.19,percent of total billed charges,3782.187012,,,,3919.19,percent of total billed charges,3341.687421,,,,3968.8,percent of total billed charges,999999999,,,,3968.8,percent of total billed charges,999999999,,,,3472.7,percent of total billed charges,999999999,,,,3472.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2639.252,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2505.305,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1240.25,percent of total billed charges,1177.934124,,,,,,,,,,1240.25,percent of total billed charges,1158.339991,,,,,,,,,,1240.25,percent of total billed charges,1155.121014,,,,,,,,,,1240.25,percent of total billed charges,1138.111871,,,,,,,,,,1240.25,percent of total billed charges,1167.397163,,,,,,,,,,1240.25,percent of total billed charges,999999999,,,,,,,,,,1240.25,percent of total billed charges,1001.708974,,,,,,,,,,1240.25,percent of total billed charges,1579.764129,,,,,,,,,,1240.25,percent of total billed charges,999999999,,,,,,,,,,1240.25,percent of total billed charges,1080.087259,,,,,,,,,,4464.9,percent of total billed charges,,,,,
ETAU125 ASPIRE TORIC LENS B&L,V2787,CDM,,,,both,,,5915,5915,1259.208532,5915,5915,percent of total billed charges,4351.875635,,,,5915,percent of total billed charges,4612.902126,,,,5915,percent of total billed charges,4351.875635,,,,5915,percent of total billed charges,4612.902126,,,,5915,percent of total billed charges,999999999,,,,5915,percent of total billed charges,4506.823465,,,,5915,percent of total billed charges,4351.875635,,,,5915,percent of total billed charges,4612.902126,,,,4217.395,percent of total billed charges,2104.557283,,,,4217.395,percent of total billed charges,1259.208532,,,,4217.395,percent of total billed charges,2104.557283,,,,4217.395,percent of total billed charges,1259.208532,,,,4217.395,percent of total billed charges,2104.557283,,,,4217.395,percent of total billed charges,1259.208532,,,,4175.99,percent of total billed charges,4144.305629,,,,4175.99,percent of total billed charges,2858.294744,,,,,,,,,,4258.8,percent of total billed charges,2768.119781,,,,,,,,,,4258.8,percent of total billed charges,999999999,,,,,,,,,,4732,percent of total billed charges,3965.170022,,,,4672.85,percent of total billed charges,4509.501346,,,,4672.85,percent of total billed charges,3984.29371,,,,4732,percent of total billed charges,999999999,,,,4732,percent of total billed charges,999999999,,,,4140.5,percent of total billed charges,999999999,,,,4140.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3146.78,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2987.075,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1478.75,percent of total billed charges,1404.450785,,,,,,,,,,1478.75,percent of total billed charges,1381.088701,,,,,,,,,,1478.75,percent of total billed charges,1377.250715,,,,,,,,,,1478.75,percent of total billed charges,1356.970715,,,,,,,,,,1478.75,percent of total billed charges,1391.887566,,,,,,,,,,1478.75,percent of total billed charges,999999999,,,,,,,,,,1478.75,percent of total billed charges,1194.337549,,,,,,,,,,1478.75,percent of total billed charges,1883.552675,,,,,,,,,,1478.75,percent of total billed charges,999999999,,,,,,,,,,1478.75,percent of total billed charges,1287.787974,,,,,,,,,,5323.5,percent of total billed charges,,,,,
DIU300 TORIC II ACRYLIC 1 PC PRELD LENSS,V2787,CDM,,,,both,,,5915,5915,1259.208532,5915,5915,percent of total billed charges,4351.875635,,,,5915,percent of total billed charges,4612.902126,,,,5915,percent of total billed charges,4351.875635,,,,5915,percent of total billed charges,4612.902126,,,,5915,percent of total billed charges,999999999,,,,5915,percent of total billed charges,4506.823465,,,,5915,percent of total billed charges,4351.875635,,,,5915,percent of total billed charges,4612.902126,,,,4217.395,percent of total billed charges,2104.557283,,,,4217.395,percent of total billed charges,1259.208532,,,,4217.395,percent of total billed charges,2104.557283,,,,4217.395,percent of total billed charges,1259.208532,,,,4217.395,percent of total billed charges,2104.557283,,,,4217.395,percent of total billed charges,1259.208532,,,,4175.99,percent of total billed charges,4144.305629,,,,4175.99,percent of total billed charges,2858.294744,,,,,,,,,,4258.8,percent of total billed charges,2768.119781,,,,,,,,,,4258.8,percent of total billed charges,999999999,,,,,,,,,,4732,percent of total billed charges,3965.170022,,,,4672.85,percent of total billed charges,4509.501346,,,,4672.85,percent of total billed charges,3984.29371,,,,4732,percent of total billed charges,999999999,,,,4732,percent of total billed charges,999999999,,,,4140.5,percent of total billed charges,999999999,,,,4140.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3146.78,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2987.075,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1478.75,percent of total billed charges,1404.450785,,,,,,,,,,1478.75,percent of total billed charges,1381.088701,,,,,,,,,,1478.75,percent of total billed charges,1377.250715,,,,,,,,,,1478.75,percent of total billed charges,1356.970715,,,,,,,,,,1478.75,percent of total billed charges,1391.887566,,,,,,,,,,1478.75,percent of total billed charges,999999999,,,,,,,,,,1478.75,percent of total billed charges,1194.337549,,,,,,,,,,1478.75,percent of total billed charges,1883.552675,,,,,,,,,,1478.75,percent of total billed charges,999999999,,,,,,,,,,1478.75,percent of total billed charges,1287.787974,,,,,,,,,,5323.5,percent of total billed charges,,,,,
EA LENS ASPIRE MONOFOCAL LENS B&L,Local,Local,,,,both,,,1470,1470,312.9393986,1470,1470,percent of total billed charges,1081.531223,,,,1470,percent of total billed charges,1146.401712,,,,1470,percent of total billed charges,1081.531223,,,,1470,percent of total billed charges,1146.401712,,,,1470,percent of total billed charges,999999999,,,,1470,percent of total billed charges,1120.038968,,,,1470,percent of total billed charges,1081.531223,,,,1470,percent of total billed charges,1146.401712,,,,1048.11,percent of total billed charges,523.0260705,,,,1048.11,percent of total billed charges,312.9393986,,,,1048.11,percent of total billed charges,523.0260705,,,,1048.11,percent of total billed charges,312.9393986,,,,1048.11,percent of total billed charges,523.0260705,,,,1048.11,percent of total billed charges,312.9393986,,,,1037.82,percent of total billed charges,1029.945778,,,,1037.82,percent of total billed charges,710.3454394,,,,,,,,,,1058.4,percent of total billed charges,687.9350936,,,,,,,,,,1058.4,percent of total billed charges,999999999,,,,,,,,,,1176,percent of total billed charges,985.4268695,,,,1161.3,percent of total billed charges,1120.704476,,,,1161.3,percent of total billed charges,990.179502,,,,1176,percent of total billed charges,999999999,,,,1176,percent of total billed charges,999999999,,,,1029,percent of total billed charges,999999999,,,,1029,percent of total billed charges,999999999,,,,,,,,,,,,,,,,782.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,742.35,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,367.5,percent of total billed charges,349.0351062,,,,,,,,,,367.5,percent of total billed charges,343.2291447,,,,,,,,,,367.5,percent of total billed charges,342.2753256,,,,,,,,,,367.5,percent of total billed charges,337.2353256,,,,,,,,,,367.5,percent of total billed charges,345.9128863,,,,,,,,,,367.5,percent of total billed charges,999999999,,,,,,,,,,367.5,percent of total billed charges,296.8176157,,,,,,,,,,367.5,percent of total billed charges,468.1018483,,,,,,,,,,367.5,percent of total billed charges,999999999,,,,,,,,,,367.5,percent of total billed charges,320.0419816,,,,,,,,,,1323,percent of total billed charges,,,,,
VISCOAT ALCON 8065183905,Local,Local,,,,both,,,582,582,123.8984558,582,582,percent of total billed charges,428.198076,,,,582,percent of total billed charges,453.881494,,,,582,percent of total billed charges,428.198076,,,,582,percent of total billed charges,453.881494,,,,582,percent of total billed charges,999999999,,,,582,percent of total billed charges,443.4439994,,,,582,percent of total billed charges,428.198076,,,,582,percent of total billed charges,453.881494,,,,414.966,percent of total billed charges,207.0756279,,,,414.966,percent of total billed charges,123.8984558,,,,414.966,percent of total billed charges,207.0756279,,,,414.966,percent of total billed charges,123.8984558,,,,414.966,percent of total billed charges,207.0756279,,,,414.966,percent of total billed charges,123.8984558,,,,410.892,percent of total billed charges,407.7744507,,,,410.892,percent of total billed charges,281.2388066,,,,,,,,,,419.04,percent of total billed charges,272.3661391,,,,,,,,,,419.04,percent of total billed charges,999999999,,,,,,,,,,465.6,percent of total billed charges,390.1485973,,,,459.78,percent of total billed charges,443.7074866,,,,459.78,percent of total billed charges,392.0302518,,,,465.6,percent of total billed charges,999999999,,,,465.6,percent of total billed charges,999999999,,,,407.4,percent of total billed charges,999999999,,,,407.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,309.624,percent of total billed charges,999999999,,,,,,,,,,,,,,,,293.91,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,145.5,percent of total billed charges,138.1894094,,,,,,,,,,145.5,percent of total billed charges,135.8907226,,,,,,,,,,145.5,percent of total billed charges,135.5130881,,,,,,,,,,145.5,percent of total billed charges,133.5176595,,,,,,,,,,145.5,percent of total billed charges,136.9532652,,,,,,,,,,145.5,percent of total billed charges,999999999,,,,,,,,,,145.5,percent of total billed charges,117.5155458,,,,,,,,,,145.5,percent of total billed charges,185.3301195,,,,,,,,,,145.5,percent of total billed charges,999999999,,,,,,,,,,145.5,percent of total billed charges,126.7104989,,,,,,,,,,523.8,percent of total billed charges,,,,,
ETE200 ENVISTA TORIC LENS B&L,V2787,CDM,,,,both,,,4961,4961,1056.117249,4961,4961,percent of total billed charges,3649.983943,,,,4961,percent of total billed charges,3868.910811,,,,4961,percent of total billed charges,3649.983943,,,,4961,percent of total billed charges,3868.910811,,,,4961,percent of total billed charges,999999999,,,,4961,percent of total billed charges,3779.941033,,,,4961,percent of total billed charges,3649.983943,,,,4961,percent of total billed charges,3868.910811,,,,3537.193,percent of total billed charges,1765.124038,,,,3537.193,percent of total billed charges,1056.117249,,,,3537.193,percent of total billed charges,1765.124038,,,,3537.193,percent of total billed charges,1056.117249,,,,3537.193,percent of total billed charges,1765.124038,,,,3537.193,percent of total billed charges,1056.117249,,,,3502.466,percent of total billed charges,3475.891838,,,,3502.466,percent of total billed charges,2397.295051,,,,,,,,,,3571.92,percent of total billed charges,2321.663945,,,,,,,,,,3571.92,percent of total billed charges,999999999,,,,,,,,,,3968.8,percent of total billed charges,3325.648095,,,,3919.19,percent of total billed charges,3782.187012,,,,3919.19,percent of total billed charges,3341.687421,,,,3968.8,percent of total billed charges,999999999,,,,3968.8,percent of total billed charges,999999999,,,,3472.7,percent of total billed charges,999999999,,,,3472.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2639.252,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2505.305,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1240.25,percent of total billed charges,1177.934124,,,,,,,,,,1240.25,percent of total billed charges,1158.339991,,,,,,,,,,1240.25,percent of total billed charges,1155.121014,,,,,,,,,,1240.25,percent of total billed charges,1138.111871,,,,,,,,,,1240.25,percent of total billed charges,1167.397163,,,,,,,,,,1240.25,percent of total billed charges,999999999,,,,,,,,,,1240.25,percent of total billed charges,1001.708974,,,,,,,,,,1240.25,percent of total billed charges,1579.764129,,,,,,,,,,1240.25,percent of total billed charges,999999999,,,,,,,,,,1240.25,percent of total billed charges,1080.087259,,,,,,,,,,4464.9,percent of total billed charges,,,,,
ETE275 ENVISTA TORIC LENS B&L,V2787,CDM,,,,both,,,4961,4961,1056.117249,4961,4961,percent of total billed charges,3649.983943,,,,4961,percent of total billed charges,3868.910811,,,,4961,percent of total billed charges,3649.983943,,,,4961,percent of total billed charges,3868.910811,,,,4961,percent of total billed charges,999999999,,,,4961,percent of total billed charges,3779.941033,,,,4961,percent of total billed charges,3649.983943,,,,4961,percent of total billed charges,3868.910811,,,,3537.193,percent of total billed charges,1765.124038,,,,3537.193,percent of total billed charges,1056.117249,,,,3537.193,percent of total billed charges,1765.124038,,,,3537.193,percent of total billed charges,1056.117249,,,,3537.193,percent of total billed charges,1765.124038,,,,3537.193,percent of total billed charges,1056.117249,,,,3502.466,percent of total billed charges,3475.891838,,,,3502.466,percent of total billed charges,2397.295051,,,,,,,,,,3571.92,percent of total billed charges,2321.663945,,,,,,,,,,3571.92,percent of total billed charges,999999999,,,,,,,,,,3968.8,percent of total billed charges,3325.648095,,,,3919.19,percent of total billed charges,3782.187012,,,,3919.19,percent of total billed charges,3341.687421,,,,3968.8,percent of total billed charges,999999999,,,,3968.8,percent of total billed charges,999999999,,,,3472.7,percent of total billed charges,999999999,,,,3472.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2639.252,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2505.305,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1240.25,percent of total billed charges,1177.934124,,,,,,,,,,1240.25,percent of total billed charges,1158.339991,,,,,,,,,,1240.25,percent of total billed charges,1155.121014,,,,,,,,,,1240.25,percent of total billed charges,1138.111871,,,,,,,,,,1240.25,percent of total billed charges,1167.397163,,,,,,,,,,1240.25,percent of total billed charges,999999999,,,,,,,,,,1240.25,percent of total billed charges,1001.708974,,,,,,,,,,1240.25,percent of total billed charges,1579.764129,,,,,,,,,,1240.25,percent of total billed charges,999999999,,,,,,,,,,1240.25,percent of total billed charges,1080.087259,,,,,,,,,,4464.9,percent of total billed charges,,,,,
LENS DERANIAN,C1780,CDM,,,,both,,,2661,2661,566.4841766,2661,2661,percent of total billed charges,1957.792234,,,,2661,percent of total billed charges,2075.221058,,,,2661,percent of total billed charges,1957.792234,,,,2661,percent of total billed charges,2075.221058,,,,2661,percent of total billed charges,999999999,,,,2661,percent of total billed charges,2027.499111,,,,2661,percent of total billed charges,1957.792234,,,,2661,percent of total billed charges,2075.221058,,,,1897.293,percent of total billed charges,946.7839275,,,,1897.293,percent of total billed charges,566.4841766,,,,1897.293,percent of total billed charges,946.7839275,,,,1897.293,percent of total billed charges,566.4841766,,,,1897.293,percent of total billed charges,946.7839275,,,,1897.293,percent of total billed charges,566.4841766,,,,1878.666,percent of total billed charges,1864.41205,,,,1878.666,percent of total billed charges,1285.870214,,,,,,,,,,1915.92,percent of total billed charges,1245.302914,,,,,,,,,,1915.92,percent of total billed charges,999999999,,,,,,,,,,2128.8,percent of total billed charges,1783.823741,,,,2102.19,percent of total billed charges,2028.703818,,,,2102.19,percent of total billed charges,1792.426976,,,,2128.8,percent of total billed charges,999999999,,,,2128.8,percent of total billed charges,999999999,,,,1862.7,percent of total billed charges,999999999,,,,1862.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1415.652,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1343.805,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,665.25,percent of total billed charges,631.8247739,,,,,,,,,,665.25,percent of total billed charges,621.3147987,,,,,,,,,,665.25,percent of total billed charges,619.5881915,,,,,,,,,,665.25,percent of total billed charges,610.4647629,,,,,,,,,,665.25,percent of total billed charges,626.1729187,,,,,,,,,,665.25,percent of total billed charges,999999999,,,,,,,,,,665.25,percent of total billed charges,537.3004594,,,,,,,,,,665.25,percent of total billed charges,847.3598765,,,,,,,,,,665.25,percent of total billed charges,999999999,,,,,,,,,,665.25,percent of total billed charges,579.3413015,,,,,,,,,,2394.9,percent of total billed charges,,,,,
**LENS PACK,V2632,CDM,,,,both,,,1603,1603,341.2529632,1603,1603,percent of total billed charges,1179.384048,,,,1603,percent of total billed charges,1250.123771,,,,1603,percent of total billed charges,1179.384048,,,,1603,percent of total billed charges,1250.123771,,,,1603,percent of total billed charges,999999999,,,,1603,percent of total billed charges,1221.375826,,,,1603,percent of total billed charges,1179.384048,,,,1603,percent of total billed charges,1250.123771,,,,1142.939,percent of total billed charges,570.3474768,,,,1142.939,percent of total billed charges,341.2529632,,,,1142.939,percent of total billed charges,570.3474768,,,,1142.939,percent of total billed charges,341.2529632,,,,1142.939,percent of total billed charges,570.3474768,,,,1142.939,percent of total billed charges,341.2529632,,,,1131.718,percent of total billed charges,1123.131348,,,,1131.718,percent of total billed charges,774.6147886,,,,,,,,,,1154.16,percent of total billed charges,750.1768402,,,,,,,,,,1154.16,percent of total billed charges,999999999,,,,,,,,,,1282.4,percent of total billed charges,1074.584539,,,,1266.37,percent of total billed charges,1222.101548,,,,1266.37,percent of total billed charges,1079.767171,,,,1282.4,percent of total billed charges,999999999,,,,1282.4,percent of total billed charges,999999999,,,,1122.1,percent of total billed charges,999999999,,,,1122.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,852.796,percent of total billed charges,999999999,,,,,,,,,,,,,,,,809.515,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,400.75,percent of total billed charges,380.614473,,,,,,,,,,400.75,percent of total billed charges,374.2832102,,,,,,,,,,400.75,percent of total billed charges,373.2430932,,,,,,,,,,400.75,percent of total billed charges,367.7470932,,,,,,,,,,400.75,percent of total billed charges,377.2097665,,,,,,,,,,400.75,percent of total billed charges,999999999,,,,,,,,,,400.75,percent of total billed charges,323.6725428,,,,,,,,,,400.75,percent of total billed charges,510.4539203,,,,,,,,,,400.75,percent of total billed charges,999999999,,,,,,,,,,400.75,percent of total billed charges,348.9981609,,,,,,,,,,1442.7,percent of total billed charges,,,,,
**TORIC LENS FOR IOL / DR BUTLER,V2787,CDM,,,,both,,,5846,5846,1244.51954,5846,5846,percent of total billed charges,4301.109883,,,,5846,percent of total billed charges,4559.091433,,,,5846,percent of total billed charges,4301.109883,,,,5846,percent of total billed charges,4559.091433,,,,5846,percent of total billed charges,999999999,,,,5846,percent of total billed charges,4454.250207,,,,5846,percent of total billed charges,4301.109883,,,,5846,percent of total billed charges,4559.091433,,,,4168.198,percent of total billed charges,2080.00708,,,,4168.198,percent of total billed charges,1244.51954,,,,4168.198,percent of total billed charges,2080.00708,,,,4168.198,percent of total billed charges,1244.51954,,,,4168.198,percent of total billed charges,2080.00708,,,,4168.198,percent of total billed charges,1244.51954,,,,4127.276,percent of total billed charges,4095.961235,,,,4127.276,percent of total billed charges,2824.951999,,,,,,,,,,4209.12,percent of total billed charges,2735.828951,,,,,,,,,,4209.12,percent of total billed charges,999999999,,,,,,,,,,4676.8,percent of total billed charges,3918.915292,,,,4618.34,percent of total billed charges,4456.89685,,,,4618.34,percent of total billed charges,3937.815897,,,,4676.8,percent of total billed charges,999999999,,,,4676.8,percent of total billed charges,999999999,,,,4092.2,percent of total billed charges,999999999,,,,4092.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3110.072,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2952.23,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1461.5,percent of total billed charges,1388.067504,,,,,,,,,,1461.5,percent of total billed charges,1364.977946,,,,,,,,,,1461.5,percent of total billed charges,1361.18473,,,,,,,,,,1461.5,percent of total billed charges,1341.141302,,,,,,,,,,1461.5,percent of total billed charges,1375.650839,,,,,,,,,,1461.5,percent of total billed charges,999999999,,,,,,,,,,1461.5,percent of total billed charges,1180.405293,,,,,,,,,,1461.5,percent of total billed charges,1861.580548,,,,,,,,,,1461.5,percent of total billed charges,999999999,,,,,,,,,,1461.5,percent of total billed charges,1272.765595,,,,,,,,,,5261.4,percent of total billed charges,,,,,
**PICC LINE DISPOSABLE KIT,Local,Local,,,,both,,,575,575,122.4082682,575,575,percent of total billed charges,423.0479273,,,,575,percent of total billed charges,448.4224383,,,,575,percent of total billed charges,423.0479273,,,,575,percent of total billed charges,448.4224383,,,,575,percent of total billed charges,999999999,,,,575,percent of total billed charges,438.1104805,,,,575,percent of total billed charges,423.0479273,,,,575,percent of total billed charges,448.4224383,,,,409.975,percent of total billed charges,204.5850276,,,,409.975,percent of total billed charges,122.4082682,,,,409.975,percent of total billed charges,204.5850276,,,,409.975,percent of total billed charges,122.4082682,,,,409.975,percent of total billed charges,204.5850276,,,,409.975,percent of total billed charges,122.4082682,,,,405.95,percent of total billed charges,402.869947,,,,405.95,percent of total billed charges,277.8562093,,,,,,,,,,414,percent of total billed charges,269.0902577,,,,,,,,,,414,percent of total billed charges,999999999,,,,,,,,,,460,percent of total billed charges,385.4560884,,,,454.25,percent of total billed charges,438.3707986,,,,454.25,percent of total billed charges,387.3151113,,,,460,percent of total billed charges,999999999,,,,460,percent of total billed charges,999999999,,,,402.5,percent of total billed charges,999999999,,,,402.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,305.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,290.375,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,143.75,percent of total billed charges,136.5273375,,,,,,,,,,143.75,percent of total billed charges,134.2562981,,,,,,,,,,143.75,percent of total billed charges,133.8832056,,,,,,,,,,143.75,percent of total billed charges,131.911777,,,,,,,,,,143.75,percent of total billed charges,135.306061,,,,,,,,,,143.75,percent of total billed charges,999999999,,,,,,,,,,143.75,percent of total billed charges,116.1021286,,,,,,,,,,143.75,percent of total billed charges,183.1010631,,,,,,,,,,143.75,percent of total billed charges,999999999,,,,,,,,,,143.75,percent of total billed charges,125.1864894,,,,,,,,,,517.5,percent of total billed charges,,,,,
PET BALLOON DILATOR-DISP CRE,C1726,CDM,,,,both,,,2045,2045,435.3476668,2045,2045,percent of total billed charges,1504.57915,,,,2045,percent of total billed charges,1594.82415,,,,2045,percent of total billed charges,1504.57915,,,,2045,percent of total billed charges,1594.82415,,,,2045,percent of total billed charges,999999999,,,,2045,percent of total billed charges,1558.149448,,,,2045,percent of total billed charges,1504.57915,,,,2045,percent of total billed charges,1594.82415,,,,1458.085,percent of total billed charges,727.611098,,,,1458.085,percent of total billed charges,435.3476668,,,,1458.085,percent of total billed charges,727.611098,,,,1458.085,percent of total billed charges,435.3476668,,,,1458.085,percent of total billed charges,727.611098,,,,1458.085,percent of total billed charges,435.3476668,,,,1443.77,percent of total billed charges,1432.815725,,,,1443.77,percent of total billed charges,988.2016486,,,,,,,,,,1472.4,percent of total billed charges,957.0253513,,,,,,,,,,1472.4,percent of total billed charges,999999999,,,,,,,,,,1636,percent of total billed charges,1370.882958,,,,1615.55,percent of total billed charges,1559.075275,,,,1615.55,percent of total billed charges,1377.494613,,,,1636,percent of total billed charges,999999999,,,,1636,percent of total billed charges,999999999,,,,1431.5,percent of total billed charges,999999999,,,,1431.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1087.94,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1032.725,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,511.25,percent of total billed charges,485.5624437,,,,,,,,,,511.25,percent of total billed charges,477.4854428,,,,,,,,,,511.25,percent of total billed charges,476.1585312,,,,,,,,,,511.25,percent of total billed charges,469.1471026,,,,,,,,,,511.25,percent of total billed charges,481.2189473,,,,,,,,,,511.25,percent of total billed charges,999999999,,,,,,,,,,511.25,percent of total billed charges,412.9197442,,,,,,,,,,511.25,percent of total billed charges,651.2029115,,,,,,,,,,511.25,percent of total billed charges,999999999,,,,,,,,,,511.25,percent of total billed charges,445.2284711,,,,,,,,,,1840.5,percent of total billed charges,,,,,
**C-SECTION PACK - DISP,Local,Local,,,,both,,,387,387,82.38608657,387,387,percent of total billed charges,284.7296485,,,,387,percent of total billed charges,301.8077976,,,,387,percent of total billed charges,284.7296485,,,,387,percent of total billed charges,301.8077976,,,,387,percent of total billed charges,999999999,,,,387,percent of total billed charges,294.8674017,,,,387,percent of total billed charges,284.7296485,,,,387,percent of total billed charges,301.8077976,,,,275.931,percent of total billed charges,137.6946185,,,,275.931,percent of total billed charges,82.38608657,,,,275.931,percent of total billed charges,137.6946185,,,,275.931,percent of total billed charges,82.38608657,,,,275.931,percent of total billed charges,137.6946185,,,,275.931,percent of total billed charges,82.38608657,,,,273.222,percent of total billed charges,271.1489904,,,,273.222,percent of total billed charges,187.0093095,,,,,,,,,,278.64,percent of total billed charges,181.109443,,,,,,,,,,278.64,percent of total billed charges,999999999,,,,,,,,,,309.6,percent of total billed charges,259.4287064,,,,305.73,percent of total billed charges,295.0426071,,,,305.73,percent of total billed charges,260.6799097,,,,309.6,percent of total billed charges,999999999,,,,309.6,percent of total billed charges,999999999,,,,270.9,percent of total billed charges,999999999,,,,270.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,205.884,percent of total billed charges,999999999,,,,,,,,,,,,,,,,195.435,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,96.75,percent of total billed charges,91.88883408,,,,,,,,,,96.75,percent of total billed charges,90.36032585,,,,,,,,,,96.75,percent of total billed charges,90.10921838,,,,,,,,,,96.75,percent of total billed charges,88.78236123,,,,,,,,,,96.75,percent of total billed charges,91.06686191,,,,,,,,,,96.75,percent of total billed charges,999999999,,,,,,,,,,96.75,percent of total billed charges,78.14178045,,,,,,,,,,96.75,percent of total billed charges,123.2349764,,,,,,,,,,96.75,percent of total billed charges,999999999,,,,,,,,,,96.75,percent of total billed charges,84.25595027,,,,,,,,,,348.3,percent of total billed charges,,,,,
**CONTROL SYRINGE,Local,Local,,,,both,,,13,13,2.76749128,13,13,percent of total billed charges,9.564561834,,,,13,percent of total billed charges,10.13824643,,,,13,percent of total billed charges,9.564561834,,,,13,percent of total billed charges,10.13824643,,,,13,percent of total billed charges,999999999,,,,13,percent of total billed charges,9.905106516,,,,13,percent of total billed charges,9.564561834,,,,13,percent of total billed charges,10.13824643,,,,9.269,percent of total billed charges,4.625400623,,,,9.269,percent of total billed charges,2.76749128,,,,9.269,percent of total billed charges,4.625400623,,,,9.269,percent of total billed charges,2.76749128,,,,9.269,percent of total billed charges,4.625400623,,,,9.269,percent of total billed charges,2.76749128,,,,9.178,percent of total billed charges,9.108364019,,,,9.178,percent of total billed charges,6.281966471,,,,,,,,,,9.36,percent of total billed charges,6.083779739,,,,,,,,,,9.36,percent of total billed charges,999999999,,,,,,,,,,10.4,percent of total billed charges,8.71465939,,,,10.27,percent of total billed charges,9.910991969,,,,10.27,percent of total billed charges,8.756689473,,,,10.4,percent of total billed charges,999999999,,,,10.4,percent of total billed charges,999999999,,,,9.1,percent of total billed charges,999999999,,,,9.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.916,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.565,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3.25,percent of total billed charges,3.086705021,,,,,,,,,,3.25,percent of total billed charges,3.035359783,,,,,,,,,,3.25,percent of total billed charges,3.026924648,,,,,,,,,,3.25,percent of total billed charges,2.98235322,,,,,,,,,,3.25,percent of total billed charges,3.059093552,,,,,,,,,,3.25,percent of total billed charges,999999999,,,,,,,,,,3.25,percent of total billed charges,2.624917689,,,,,,,,,,3.25,percent of total billed charges,4.13967621,,,,,,,,,,3.25,percent of total billed charges,999999999,,,,,,,,,,3.25,percent of total billed charges,2.830303239,,,,,,,,,,11.7,percent of total billed charges,,,,,
**CATARACT PACK VANTAGE A&D - DISP,Local,Local,,,,both,,,491,491,104.5260168,491,491,percent of total billed charges,361.2461431,,,,491,percent of total billed charges,382.913769,,,,491,percent of total billed charges,361.2461431,,,,491,percent of total billed charges,382.913769,,,,491,percent of total billed charges,999999999,,,,491,percent of total billed charges,374.1082538,,,,491,percent of total billed charges,361.2461431,,,,491,percent of total billed charges,382.913769,,,,350.083,percent of total billed charges,174.6978235,,,,350.083,percent of total billed charges,104.5260168,,,,350.083,percent of total billed charges,174.6978235,,,,350.083,percent of total billed charges,104.5260168,,,,350.083,percent of total billed charges,174.6978235,,,,350.083,percent of total billed charges,104.5260168,,,,346.646,percent of total billed charges,344.0159026,,,,346.646,percent of total billed charges,237.2650413,,,,,,,,,,353.52,percent of total billed charges,229.7796809,,,,,,,,,,353.52,percent of total billed charges,999999999,,,,,,,,,,392.8,percent of total billed charges,329.1459816,,,,387.89,percent of total billed charges,374.3305428,,,,387.89,percent of total billed charges,330.7334255,,,,392.8,percent of total billed charges,999999999,,,,392.8,percent of total billed charges,999999999,,,,343.7,percent of total billed charges,999999999,,,,343.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,261.212,percent of total billed charges,999999999,,,,,,,,,,,,,,,,247.955,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,122.75,percent of total billed charges,116.5824743,,,,,,,,,,122.75,percent of total billed charges,114.6432041,,,,,,,,,,122.75,percent of total billed charges,114.3246156,,,,,,,,,,122.75,percent of total billed charges,112.641187,,,,,,,,,,122.75,percent of total billed charges,115.5396103,,,,,,,,,,122.75,percent of total billed charges,999999999,,,,,,,,,,122.75,percent of total billed charges,99.14112196,,,,,,,,,,122.75,percent of total billed charges,156.3523861,,,,,,,,,,122.75,percent of total billed charges,999999999,,,,,,,,,,122.75,percent of total billed charges,106.8983762,,,,,,,,,,441.9,percent of total billed charges,,,,,
**EYE PAD OVAL-DISP,Local,Local,,,,both,,,13,13,2.76749128,13,13,percent of total billed charges,9.564561834,,,,13,percent of total billed charges,10.13824643,,,,13,percent of total billed charges,9.564561834,,,,13,percent of total billed charges,10.13824643,,,,13,percent of total billed charges,999999999,,,,13,percent of total billed charges,9.905106516,,,,13,percent of total billed charges,9.564561834,,,,13,percent of total billed charges,10.13824643,,,,9.269,percent of total billed charges,4.625400623,,,,9.269,percent of total billed charges,2.76749128,,,,9.269,percent of total billed charges,4.625400623,,,,9.269,percent of total billed charges,2.76749128,,,,9.269,percent of total billed charges,4.625400623,,,,9.269,percent of total billed charges,2.76749128,,,,9.178,percent of total billed charges,9.108364019,,,,9.178,percent of total billed charges,6.281966471,,,,,,,,,,9.36,percent of total billed charges,6.083779739,,,,,,,,,,9.36,percent of total billed charges,999999999,,,,,,,,,,10.4,percent of total billed charges,8.71465939,,,,10.27,percent of total billed charges,9.910991969,,,,10.27,percent of total billed charges,8.756689473,,,,10.4,percent of total billed charges,999999999,,,,10.4,percent of total billed charges,999999999,,,,9.1,percent of total billed charges,999999999,,,,9.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.916,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.565,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3.25,percent of total billed charges,3.086705021,,,,,,,,,,3.25,percent of total billed charges,3.035359783,,,,,,,,,,3.25,percent of total billed charges,3.026924648,,,,,,,,,,3.25,percent of total billed charges,2.98235322,,,,,,,,,,3.25,percent of total billed charges,3.059093552,,,,,,,,,,3.25,percent of total billed charges,999999999,,,,,,,,,,3.25,percent of total billed charges,2.624917689,,,,,,,,,,3.25,percent of total billed charges,4.13967621,,,,,,,,,,3.25,percent of total billed charges,999999999,,,,,,,,,,3.25,percent of total billed charges,2.830303239,,,,,,,,,,11.7,percent of total billed charges,,,,,
**EYE PHACO PACK,Local,Local,,,,both,,,1558,1558,331.6731857,1558,1558,percent of total billed charges,1146.275949,,,,1558,percent of total billed charges,1215.029841,,,,1558,percent of total billed charges,1146.275949,,,,1558,percent of total billed charges,1215.029841,,,,1558,percent of total billed charges,999999999,,,,1558,percent of total billed charges,1187.088919,,,,1558,percent of total billed charges,1146.275949,,,,1558,percent of total billed charges,1215.029841,,,,1110.854,percent of total billed charges,554.3364747,,,,1110.854,percent of total billed charges,331.6731857,,,,1110.854,percent of total billed charges,554.3364747,,,,1110.854,percent of total billed charges,331.6731857,,,,1110.854,percent of total billed charges,554.3364747,,,,1110.854,percent of total billed charges,331.6731857,,,,1099.948,percent of total billed charges,1091.602396,,,,1099.948,percent of total billed charges,752.8695201,,,,,,,,,,1121.76,percent of total billed charges,729.1176026,,,,,,,,,,1121.76,percent of total billed charges,999999999,,,,,,,,,,1246.4,percent of total billed charges,1044.41841,,,,1230.82,percent of total billed charges,1187.794268,,,,1230.82,percent of total billed charges,1049.455554,,,,1246.4,percent of total billed charges,999999999,,,,1246.4,percent of total billed charges,999999999,,,,1090.6,percent of total billed charges,999999999,,,,1090.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,828.856,percent of total billed charges,999999999,,,,,,,,,,,,,,,,786.79,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,389.5,percent of total billed charges,369.9297248,,,,,,,,,,389.5,percent of total billed charges,363.7761956,,,,,,,,,,389.5,percent of total billed charges,362.7652771,,,,,,,,,,389.5,percent of total billed charges,357.4235628,,,,,,,,,,389.5,percent of total billed charges,366.6205965,,,,,,,,,,389.5,percent of total billed charges,999999999,,,,,,,,,,389.5,percent of total billed charges,314.5862892,,,,,,,,,,389.5,percent of total billed charges,496.1242719,,,,,,,,,,389.5,percent of total billed charges,999999999,,,,,,,,,,389.5,percent of total billed charges,339.2009574,,,,,,,,,,1402.2,percent of total billed charges,,,,,
**EYE PACK,Local,Local,,,,both,,,447,447,95.15912325,447,447,percent of total billed charges,328.87378,,,,447,percent of total billed charges,348.5997042,,,,447,percent of total billed charges,328.87378,,,,447,percent of total billed charges,348.5997042,,,,447,percent of total billed charges,999999999,,,,447,percent of total billed charges,340.5832779,,,,447,percent of total billed charges,328.87378,,,,447,percent of total billed charges,348.5997042,,,,318.711,percent of total billed charges,159.0426214,,,,318.711,percent of total billed charges,95.15912325,,,,318.711,percent of total billed charges,159.0426214,,,,318.711,percent of total billed charges,95.15912325,,,,318.711,percent of total billed charges,159.0426214,,,,318.711,percent of total billed charges,95.15912325,,,,315.582,percent of total billed charges,313.1875936,,,,315.582,percent of total billed charges,216.0030009,,,,,,,,,,321.84,percent of total billed charges,209.1884264,,,,,,,,,,321.84,percent of total billed charges,999999999,,,,,,,,,,357.6,percent of total billed charges,299.6502113,,,,353.13,percent of total billed charges,340.7856469,,,,353.13,percent of total billed charges,301.0953996,,,,357.6,percent of total billed charges,999999999,,,,357.6,percent of total billed charges,999999999,,,,312.9,percent of total billed charges,999999999,,,,312.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,237.804,percent of total billed charges,999999999,,,,,,,,,,,,,,,,225.735,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,111.75,percent of total billed charges,106.135165,,,,,,,,,,111.75,percent of total billed charges,104.3696787,,,,,,,,,,111.75,percent of total billed charges,104.0796398,,,,,,,,,,111.75,percent of total billed charges,102.5470684,,,,,,,,,,111.75,percent of total billed charges,105.1857552,,,,,,,,,,111.75,percent of total billed charges,999999999,,,,,,,,,,111.75,percent of total billed charges,90.25678517,,,,,,,,,,111.75,percent of total billed charges,142.3411743,,,,,,,,,,111.75,percent of total billed charges,999999999,,,,,,,,,,111.75,percent of total billed charges,97.31888829,,,,,,,,,,402.3,percent of total billed charges,,,,,
**AVITENE SHEETS,Local,Local,,,,both,,,757,757,161.1531461,757,757,percent of total billed charges,556.951793,,,,757,percent of total billed charges,590.3578883,,,,757,percent of total billed charges,556.951793,,,,757,percent of total billed charges,590.3578883,,,,757,percent of total billed charges,999999999,,,,757,percent of total billed charges,576.7819717,,,,757,percent of total billed charges,556.951793,,,,757,percent of total billed charges,590.3578883,,,,539.741,percent of total billed charges,269.3406363,,,,539.741,percent of total billed charges,161.1531461,,,,539.741,percent of total billed charges,269.3406363,,,,539.741,percent of total billed charges,161.1531461,,,,539.741,percent of total billed charges,269.3406363,,,,539.741,percent of total billed charges,161.1531461,,,,534.442,percent of total billed charges,530.3870433,,,,534.442,percent of total billed charges,365.8037399,,,,,,,,,,545.04,percent of total billed charges,354.2631741,,,,,,,,,,545.04,percent of total billed charges,999999999,,,,,,,,,,605.6,percent of total billed charges,507.4613198,,,,598.03,percent of total billed charges,577.1246862,,,,598.03,percent of total billed charges,509.9087639,,,,605.6,percent of total billed charges,999999999,,,,605.6,percent of total billed charges,999999999,,,,529.9,percent of total billed charges,999999999,,,,529.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,402.724,percent of total billed charges,999999999,,,,,,,,,,,,,,,,382.285,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,189.25,percent of total billed charges,179.7412078,,,,,,,,,,189.25,percent of total billed charges,176.7513351,,,,,,,,,,189.25,percent of total billed charges,176.2601507,,,,,,,,,,189.25,percent of total billed charges,173.6647221,,,,,,,,,,189.25,percent of total billed charges,178.1333707,,,,,,,,,,189.25,percent of total billed charges,999999999,,,,,,,,,,189.25,percent of total billed charges,152.8509762,,,,,,,,,,189.25,percent of total billed charges,241.0565301,,,,,,,,,,189.25,percent of total billed charges,999999999,,,,,,,,,,189.25,percent of total billed charges,164.8107348,,,,,,,,,,681.3,percent of total billed charges,,,,,
**BRUSHES-CYTOLOGY  BRONCH-DISP,Local,Local,,,,both,,,166,166,35.33873481,166,166,percent of total billed charges,122.1320973,,,,166,percent of total billed charges,129.4576083,,,,166,percent of total billed charges,122.1320973,,,,166,percent of total billed charges,129.4576083,,,,166,percent of total billed charges,999999999,,,,166,percent of total billed charges,126.4805909,,,,166,percent of total billed charges,122.1320973,,,,166,percent of total billed charges,129.4576083,,,,118.358,percent of total billed charges,59.06280796,,,,118.358,percent of total billed charges,35.33873481,,,,118.358,percent of total billed charges,59.06280796,,,,118.358,percent of total billed charges,35.33873481,,,,118.358,percent of total billed charges,59.06280796,,,,118.358,percent of total billed charges,35.33873481,,,,117.196,percent of total billed charges,116.3068021,,,,117.196,percent of total billed charges,80.21587955,,,,,,,,,,119.52,percent of total billed charges,77.68518744,,,,,,,,,,119.52,percent of total billed charges,999999999,,,,,,,,,,132.8,percent of total billed charges,111.2794968,,,,131.14,percent of total billed charges,126.5557436,,,,131.14,percent of total billed charges,111.8161887,,,,132.8,percent of total billed charges,999999999,,,,132.8,percent of total billed charges,999999999,,,,116.2,percent of total billed charges,999999999,,,,116.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,88.312,percent of total billed charges,999999999,,,,,,,,,,,,,,,,83.83,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,41.5,percent of total billed charges,39.41484873,,,,,,,,,,41.5,percent of total billed charges,38.75920954,,,,,,,,,,41.5,percent of total billed charges,38.65149936,,,,,,,,,,41.5,percent of total billed charges,38.0823565,,,,,,,,,,41.5,percent of total billed charges,39.06227152,,,,,,,,,,41.5,percent of total billed charges,999999999,,,,,,,,,,41.5,percent of total billed charges,33.51817973,,,,,,,,,,41.5,percent of total billed charges,52.86048083,,,,,,,,,,41.5,percent of total billed charges,999999999,,,,,,,,,,41.5,percent of total billed charges,36.14079521,,,,,,,,,,149.4,percent of total billed charges,,,,,
**CYSTO DRAPES,Local,Local,,,,both,,,126,126,26.82337702,126,126,percent of total billed charges,92.70267624,,,,126,percent of total billed charges,98.26300386,,,,126,percent of total billed charges,92.70267624,,,,126,percent of total billed charges,98.26300386,,,,126,percent of total billed charges,999999999,,,,126,percent of total billed charges,96.00334007,,,,126,percent of total billed charges,92.70267624,,,,126,percent of total billed charges,98.26300386,,,,89.838,percent of total billed charges,44.83080604,,,,89.838,percent of total billed charges,26.82337702,,,,89.838,percent of total billed charges,44.83080604,,,,89.838,percent of total billed charges,26.82337702,,,,89.838,percent of total billed charges,44.83080604,,,,89.838,percent of total billed charges,26.82337702,,,,88.956,percent of total billed charges,88.28106665,,,,88.956,percent of total billed charges,60.88675195,,,,,,,,,,90.72,percent of total billed charges,58.96586517,,,,,,,,,,90.72,percent of total billed charges,999999999,,,,,,,,,,100.8,percent of total billed charges,84.46516024,,,,99.54,percent of total billed charges,96.0603837,,,,99.54,percent of total billed charges,84.87252874,,,,100.8,percent of total billed charges,999999999,,,,100.8,percent of total billed charges,999999999,,,,88.2,percent of total billed charges,999999999,,,,88.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,67.032,percent of total billed charges,999999999,,,,,,,,,,,,,,,,63.63,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,31.5,percent of total billed charges,29.91729482,,,,,,,,,,31.5,percent of total billed charges,29.41964098,,,,,,,,,,31.5,percent of total billed charges,29.33788505,,,,,,,,,,31.5,percent of total billed charges,28.90588505,,,,,,,,,,31.5,percent of total billed charges,29.64967597,,,,,,,,,,31.5,percent of total billed charges,999999999,,,,,,,,,,31.5,percent of total billed charges,25.44150991,,,,,,,,,,31.5,percent of total billed charges,40.12301557,,,,,,,,,,31.5,percent of total billed charges,999999999,,,,,,,,,,31.5,percent of total billed charges,27.43216985,,,,,,,,,,113.4,percent of total billed charges,,,,,
**CRESCENT KNIFE-DISP,Local,Local,,,,both,,,170,170,36.19027059,170,170,percent of total billed charges,125.0750394,,,,170,percent of total billed charges,132.5770687,,,,170,percent of total billed charges,125.0750394,,,,170,percent of total billed charges,132.5770687,,,,170,percent of total billed charges,999999999,,,,170,percent of total billed charges,129.528316,,,,170,percent of total billed charges,125.0750394,,,,170,percent of total billed charges,132.5770687,,,,121.21,percent of total billed charges,60.48600815,,,,121.21,percent of total billed charges,36.19027059,,,,121.21,percent of total billed charges,60.48600815,,,,121.21,percent of total billed charges,36.19027059,,,,121.21,percent of total billed charges,60.48600815,,,,121.21,percent of total billed charges,36.19027059,,,,120.02,percent of total billed charges,119.1093756,,,,120.02,percent of total billed charges,82.14879231,,,,,,,,,,122.4,percent of total billed charges,79.55711967,,,,,,,,,,122.4,percent of total billed charges,999999999,,,,,,,,,,136,percent of total billed charges,113.9609305,,,,134.3,percent of total billed charges,129.6052796,,,,134.3,percent of total billed charges,114.5105547,,,,136,percent of total billed charges,999999999,,,,136,percent of total billed charges,999999999,,,,119,percent of total billed charges,999999999,,,,119,percent of total billed charges,999999999,,,,,,,,,,,,,,,,90.44,percent of total billed charges,999999999,,,,,,,,,,,,,,,,85.85,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,42.5,percent of total billed charges,40.36460412,,,,,,,,,,42.5,percent of total billed charges,39.6931664,,,,,,,,,,42.5,percent of total billed charges,39.58286079,,,,,,,,,,42.5,percent of total billed charges,39.00000364,,,,,,,,,,42.5,percent of total billed charges,40.00353107,,,,,,,,,,42.5,percent of total billed charges,999999999,,,,,,,,,,42.5,percent of total billed charges,34.32584671,,,,,,,,,,42.5,percent of total billed charges,54.13422736,,,,,,,,,,42.5,percent of total billed charges,999999999,,,,,,,,,,42.5,percent of total billed charges,37.01165774,,,,,,,,,,153,percent of total billed charges,,,,,
**SUCTION/COAGULATOR,Local,Local,,,,both,,,85,85,18.09513529,85,85,percent of total billed charges,62.53751969,,,,85,percent of total billed charges,66.28853435,,,,85,percent of total billed charges,62.53751969,,,,85,percent of total billed charges,66.28853435,,,,85,percent of total billed charges,999999999,,,,85,percent of total billed charges,64.76415799,,,,85,percent of total billed charges,62.53751969,,,,85,percent of total billed charges,66.28853435,,,,60.605,percent of total billed charges,30.24300407,,,,60.605,percent of total billed charges,18.09513529,,,,60.605,percent of total billed charges,30.24300407,,,,60.605,percent of total billed charges,18.09513529,,,,60.605,percent of total billed charges,30.24300407,,,,60.605,percent of total billed charges,18.09513529,,,,60.01,percent of total billed charges,59.55468782,,,,60.01,percent of total billed charges,41.07439615,,,,,,,,,,61.2,percent of total billed charges,39.77855983,,,,,,,,,,61.2,percent of total billed charges,999999999,,,,,,,,,,68,percent of total billed charges,56.98046524,,,,67.15,percent of total billed charges,64.80263979,,,,67.15,percent of total billed charges,57.25527733,,,,68,percent of total billed charges,999999999,,,,68,percent of total billed charges,999999999,,,,59.5,percent of total billed charges,999999999,,,,59.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,45.22,percent of total billed charges,999999999,,,,,,,,,,,,,,,,42.925,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21.25,percent of total billed charges,20.18230206,,,,,,,,,,21.25,percent of total billed charges,19.8465832,,,,,,,,,,21.25,percent of total billed charges,19.79143039,,,,,,,,,,21.25,percent of total billed charges,19.50000182,,,,,,,,,,21.25,percent of total billed charges,20.00176553,,,,,,,,,,21.25,percent of total billed charges,999999999,,,,,,,,,,21.25,percent of total billed charges,17.16292335,,,,,,,,,,21.25,percent of total billed charges,27.06711368,,,,,,,,,,21.25,percent of total billed charges,999999999,,,,,,,,,,21.25,percent of total billed charges,18.50582887,,,,,,,,,,76.5,percent of total billed charges,,,,,
**IOBAN DRAPE #6648,Local,Local,,,,both,,,99,99,21.07551052,99,99,percent of total billed charges,72.83781705,,,,99,percent of total billed charges,77.20664589,,,,99,percent of total billed charges,72.83781705,,,,99,percent of total billed charges,77.20664589,,,,99,percent of total billed charges,999999999,,,,99,percent of total billed charges,75.43119577,,,,99,percent of total billed charges,72.83781705,,,,99,percent of total billed charges,77.20664589,,,,70.587,percent of total billed charges,35.22420474,,,,70.587,percent of total billed charges,21.07551052,,,,70.587,percent of total billed charges,35.22420474,,,,70.587,percent of total billed charges,21.07551052,,,,70.587,percent of total billed charges,35.22420474,,,,70.587,percent of total billed charges,21.07551052,,,,69.894,percent of total billed charges,69.36369522,,,,69.894,percent of total billed charges,47.83959081,,,,,,,,,,71.28,percent of total billed charges,46.33032263,,,,,,,,,,71.28,percent of total billed charges,999999999,,,,,,,,,,79.2,percent of total billed charges,66.36548304,,,,78.21,percent of total billed charges,75.47601576,,,,78.21,percent of total billed charges,66.6855583,,,,79.2,percent of total billed charges,999999999,,,,79.2,percent of total billed charges,999999999,,,,69.3,percent of total billed charges,999999999,,,,69.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,52.668,percent of total billed charges,999999999,,,,,,,,,,,,,,,,49.995,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,24.75,percent of total billed charges,23.50644593,,,,,,,,,,24.75,percent of total billed charges,23.1154322,,,,,,,,,,24.75,percent of total billed charges,23.0511954,,,,,,,,,,24.75,percent of total billed charges,22.71176683,,,,,,,,,,24.75,percent of total billed charges,23.29617398,,,,,,,,,,24.75,percent of total billed charges,999999999,,,,,,,,,,24.75,percent of total billed charges,19.98975779,,,,,,,,,,24.75,percent of total billed charges,31.52522652,,,,,,,,,,24.75,percent of total billed charges,999999999,,,,,,,,,,24.75,percent of total billed charges,21.55384774,,,,,,,,,,89.1,percent of total billed charges,,,,,
**OR COLOSTOMY BAG,Local,Local,,,,both,,,213,213,45.3442802,213,213,percent of total billed charges,156.711667,,,,213,percent of total billed charges,166.1112684,,,,213,percent of total billed charges,156.711667,,,,213,percent of total billed charges,166.1112684,,,,213,percent of total billed charges,999999999,,,,213,percent of total billed charges,162.2913606,,,,213,percent of total billed charges,156.711667,,,,213,percent of total billed charges,166.1112684,,,,151.869,percent of total billed charges,75.78541021,,,,151.869,percent of total billed charges,45.3442802,,,,151.869,percent of total billed charges,75.78541021,,,,151.869,percent of total billed charges,45.3442802,,,,151.869,percent of total billed charges,75.78541021,,,,151.869,percent of total billed charges,45.3442802,,,,150.378,percent of total billed charges,149.2370412,,,,150.378,percent of total billed charges,102.9276045,,,,,,,,,,153.36,percent of total billed charges,99.68039112,,,,,,,,,,153.36,percent of total billed charges,999999999,,,,,,,,,,170.4,percent of total billed charges,142.7863423,,,,168.27,percent of total billed charges,162.3877915,,,,168.27,percent of total billed charges,143.4749891,,,,170.4,percent of total billed charges,999999999,,,,170.4,percent of total billed charges,999999999,,,,149.1,percent of total billed charges,999999999,,,,149.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,113.316,percent of total billed charges,999999999,,,,,,,,,,,,,,,,107.565,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.25,percent of total billed charges,50.57447457,,,,,,,,,,53.25,percent of total billed charges,49.7332026,,,,,,,,,,53.25,percent of total billed charges,49.59499616,,,,,,,,,,53.25,percent of total billed charges,48.86471045,,,,,,,,,,53.25,percent of total billed charges,50.12207128,,,,,,,,,,53.25,percent of total billed charges,999999999,,,,,,,,,,53.25,percent of total billed charges,43.00826676,,,,,,,,,,53.25,percent of total billed charges,67.82700251,,,,,,,,,,53.25,percent of total billed charges,999999999,,,,,,,,,,53.25,percent of total billed charges,46.37342999,,,,,,,,,,191.7,percent of total billed charges,,,,,
**PERI CARDIUM PATCH GRAFT,Local,Local,,,,both,,,1842,1842,392.132226,1842,1842,percent of total billed charges,1355.224838,,,,1842,percent of total billed charges,1436.511533,,,,1842,percent of total billed charges,1355.224838,,,,1842,percent of total billed charges,1436.511533,,,,1842,percent of total billed charges,999999999,,,,1842,percent of total billed charges,1403.4774,,,,1842,percent of total billed charges,1355.224838,,,,1842,percent of total billed charges,1436.511533,,,,1313.346,percent of total billed charges,655.3836883,,,,1313.346,percent of total billed charges,392.132226,,,,1313.346,percent of total billed charges,655.3836883,,,,1313.346,percent of total billed charges,392.132226,,,,1313.346,percent of total billed charges,655.3836883,,,,1313.346,percent of total billed charges,392.132226,,,,1300.452,percent of total billed charges,1290.585117,,,,1300.452,percent of total billed charges,890.1063261,,,,,,,,,,1326.24,percent of total billed charges,862.0247908,,,,,,,,,,1326.24,percent of total billed charges,999999999,,,,,,,,,,1473.6,percent of total billed charges,1234.8002,,,,1455.18,percent of total billed charges,1404.311324,,,,1455.18,percent of total billed charges,1240.755539,,,,1473.6,percent of total billed charges,999999999,,,,1473.6,percent of total billed charges,999999999,,,,1289.4,percent of total billed charges,999999999,,,,1289.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,979.944,percent of total billed charges,999999999,,,,,,,,,,,,,,,,930.21,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,460.5,percent of total billed charges,437.3623576,,,,,,,,,,460.5,percent of total billed charges,430.0871324,,,,,,,,,,460.5,percent of total billed charges,428.8919386,,,,,,,,,,460.5,percent of total billed charges,422.5765101,,,,,,,,,,460.5,percent of total billed charges,433.4500249,,,,,,,,,,460.5,percent of total billed charges,999999999,,,,,,,,,,460.5,percent of total billed charges,371.9306449,,,,,,,,,,460.5,percent of total billed charges,586.5602753,,,,,,,,,,460.5,percent of total billed charges,999999999,,,,,,,,,,460.5,percent of total billed charges,401.0321974,,,,,,,,,,1657.8,percent of total billed charges,,,,,
**PROLENE MESH-PHSL LARGE,C1781,CDM,,,,both,,,663,663,141.1420553,663,663,percent of total billed charges,487.7926536,,,,663,percent of total billed charges,517.0505679,,,,663,percent of total billed charges,487.7926536,,,,663,percent of total billed charges,517.0505679,,,,663,percent of total billed charges,999999999,,,,663,percent of total billed charges,505.1604323,,,,663,percent of total billed charges,487.7926536,,,,663,percent of total billed charges,517.0505679,,,,472.719,percent of total billed charges,235.8954318,,,,472.719,percent of total billed charges,141.1420553,,,,472.719,percent of total billed charges,235.8954318,,,,472.719,percent of total billed charges,141.1420553,,,,472.719,percent of total billed charges,235.8954318,,,,472.719,percent of total billed charges,141.1420553,,,,468.078,percent of total billed charges,464.526565,,,,468.078,percent of total billed charges,320.38029,,,,,,,,,,477.36,percent of total billed charges,310.2727667,,,,,,,,,,477.36,percent of total billed charges,999999999,,,,,,,,,,530.4,percent of total billed charges,444.4476289,,,,523.77,percent of total billed charges,505.4605904,,,,523.77,percent of total billed charges,446.5911631,,,,530.4,percent of total billed charges,999999999,,,,530.4,percent of total billed charges,999999999,,,,464.1,percent of total billed charges,999999999,,,,464.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,352.716,percent of total billed charges,999999999,,,,,,,,,,,,,,,,334.815,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,165.75,percent of total billed charges,157.4219561,,,,,,,,,,165.75,percent of total billed charges,154.8033489,,,,,,,,,,165.75,percent of total billed charges,154.3731571,,,,,,,,,,165.75,percent of total billed charges,152.1000142,,,,,,,,,,165.75,percent of total billed charges,156.0137712,,,,,,,,,,165.75,percent of total billed charges,999999999,,,,,,,,,,165.75,percent of total billed charges,133.8708022,,,,,,,,,,165.75,percent of total billed charges,211.1234867,,,,,,,,,,165.75,percent of total billed charges,999999999,,,,,,,,,,165.75,percent of total billed charges,144.3454652,,,,,,,,,,596.7,percent of total billed charges,,,,,
**J P BULB ONLY,Local,Local,,,,both,,,43,43,9.154009619,43,43,percent of total billed charges,31.63662761,,,,43,percent of total billed charges,33.53419973,,,,43,percent of total billed charges,31.63662761,,,,43,percent of total billed charges,33.53419973,,,,43,percent of total billed charges,999999999,,,,43,percent of total billed charges,32.76304463,,,,43,percent of total billed charges,31.63662761,,,,43,percent of total billed charges,33.53419973,,,,30.659,percent of total billed charges,15.29940206,,,,30.659,percent of total billed charges,9.154009619,,,,30.659,percent of total billed charges,15.29940206,,,,30.659,percent of total billed charges,9.154009619,,,,30.659,percent of total billed charges,15.29940206,,,,30.659,percent of total billed charges,9.154009619,,,,30.358,percent of total billed charges,30.1276656,,,,30.358,percent of total billed charges,20.77881217,,,,,,,,,,30.96,percent of total billed charges,20.12327145,,,,,,,,,,30.96,percent of total billed charges,999999999,,,,,,,,,,34.4,percent of total billed charges,28.82541183,,,,33.97,percent of total billed charges,32.7825119,,,,33.97,percent of total billed charges,28.96443441,,,,34.4,percent of total billed charges,999999999,,,,34.4,percent of total billed charges,999999999,,,,30.1,percent of total billed charges,999999999,,,,30.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,22.876,percent of total billed charges,999999999,,,,,,,,,,,,,,,,21.715,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10.75,percent of total billed charges,10.20987045,,,,,,,,,,10.75,percent of total billed charges,10.04003621,,,,,,,,,,10.75,percent of total billed charges,10.01213538,,,,,,,,,,10.75,percent of total billed charges,9.864706804,,,,,,,,,,10.75,percent of total billed charges,10.11854021,,,,,,,,,,10.75,percent of total billed charges,999999999,,,,,,,,,,10.75,percent of total billed charges,8.68242005,,,,,,,,,,10.75,percent of total billed charges,13.69277516,,,,,,,,,,10.75,percent of total billed charges,999999999,,,,,,,,,,10.75,percent of total billed charges,9.361772252,,,,,,,,,,38.7,percent of total billed charges,,,,,
**AHMED VALVE,Local,Local,,,,both,,,2992,2992,636.9487623,2992,2992,percent of total billed charges,2201.320693,,,,2992,percent of total billed charges,2333.356409,,,,2992,percent of total billed charges,2201.320693,,,,2992,percent of total billed charges,2333.356409,,,,2992,percent of total billed charges,999999999,,,,2992,percent of total billed charges,2279.698361,,,,2992,percent of total billed charges,2201.320693,,,,2992,percent of total billed charges,2333.356409,,,,2133.296,percent of total billed charges,1064.553743,,,,2133.296,percent of total billed charges,636.9487623,,,,2133.296,percent of total billed charges,1064.553743,,,,2133.296,percent of total billed charges,636.9487623,,,,2133.296,percent of total billed charges,1064.553743,,,,2133.296,percent of total billed charges,636.9487623,,,,2112.352,percent of total billed charges,2096.325011,,,,2112.352,percent of total billed charges,1445.818745,,,,,,,,,,2154.24,percent of total billed charges,1400.205306,,,,,,,,,,2154.24,percent of total billed charges,999999999,,,,,,,,,,2393.6,percent of total billed charges,2005.712376,,,,2363.68,percent of total billed charges,2281.052921,,,,2363.68,percent of total billed charges,2015.385762,,,,2393.6,percent of total billed charges,999999999,,,,2393.6,percent of total billed charges,999999999,,,,2094.4,percent of total billed charges,999999999,,,,2094.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1591.744,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1510.96,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,748,percent of total billed charges,710.4170325,,,,,,,,,,748,percent of total billed charges,698.5997286,,,,,,,,,,748,percent of total billed charges,696.6583498,,,,,,,,,,748,percent of total billed charges,686.4000641,,,,,,,,,,748,percent of total billed charges,704.0621468,,,,,,,,,,748,percent of total billed charges,999999999,,,,,,,,,,748,percent of total billed charges,604.1349021,,,,,,,,,,748,percent of total billed charges,952.7624015,,,,,,,,,,748,percent of total billed charges,999999999,,,,,,,,,,748,percent of total billed charges,651.4051762,,,,,,,,,,2692.8,percent of total billed charges,,,,,
**LOADING UNITS (GIA 60)-DISP,Local,Local,,,,both,,,1535,1535,326.776855,1535,1535,percent of total billed charges,1129.354032,,,,1535,percent of total billed charges,1197.092944,,,,1535,percent of total billed charges,1129.354032,,,,1535,percent of total billed charges,1197.092944,,,,1535,percent of total billed charges,999999999,,,,1535,percent of total billed charges,1169.5645,,,,1535,percent of total billed charges,1129.354032,,,,1535,percent of total billed charges,1197.092944,,,,1094.455,percent of total billed charges,546.1530736,,,,1094.455,percent of total billed charges,326.776855,,,,1094.455,percent of total billed charges,546.1530736,,,,1094.455,percent of total billed charges,326.776855,,,,1094.455,percent of total billed charges,546.1530736,,,,1094.455,percent of total billed charges,326.776855,,,,1083.71,percent of total billed charges,1075.487598,,,,1083.71,percent of total billed charges,741.7552717,,,,,,,,,,1105.2,percent of total billed charges,718.3539923,,,,,,,,,,1105.2,percent of total billed charges,999999999,,,,,,,,,,1228,percent of total billed charges,1029.000166,,,,1212.65,percent of total billed charges,1170.259436,,,,1212.65,percent of total billed charges,1033.962949,,,,1228,percent of total billed charges,999999999,,,,1228,percent of total billed charges,999999999,,,,1074.5,percent of total billed charges,999999999,,,,1074.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,816.62,percent of total billed charges,999999999,,,,,,,,,,,,,,,,775.175,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,383.75,percent of total billed charges,364.4686313,,,,,,,,,,383.75,percent of total billed charges,358.4059436,,,,,,,,,,383.75,percent of total billed charges,357.4099489,,,,,,,,,,383.75,percent of total billed charges,352.1470917,,,,,,,,,,383.75,percent of total billed charges,361.2083541,,,,,,,,,,383.75,percent of total billed charges,999999999,,,,,,,,,,383.75,percent of total billed charges,309.9422041,,,,,,,,,,383.75,percent of total billed charges,488.8002294,,,,,,,,,,383.75,percent of total billed charges,999999999,,,,,,,,,,383.75,percent of total billed charges,334.1934978,,,,,,,,,,1381.5,percent of total billed charges,,,,,
**MULTIFIRE GIA 60 (DISP),Local,Local,,,,both,,,2442,2442,519.8625928,2442,2442,percent of total billed charges,1796.666154,,,,2442,percent of total billed charges,1904.430599,,,,2442,percent of total billed charges,1796.666154,,,,2442,percent of total billed charges,1904.430599,,,,2442,percent of total billed charges,999999999,,,,2442,percent of total billed charges,1860.636162,,,,2442,percent of total billed charges,1796.666154,,,,2442,percent of total billed charges,1904.430599,,,,1741.146,percent of total billed charges,868.863717,,,,1741.146,percent of total billed charges,519.8625928,,,,1741.146,percent of total billed charges,868.863717,,,,1741.146,percent of total billed charges,519.8625928,,,,1741.146,percent of total billed charges,868.863717,,,,1741.146,percent of total billed charges,519.8625928,,,,1724.052,percent of total billed charges,1710.971149,,,,1724.052,percent of total billed charges,1180.04324,,,,,,,,,,1758.24,percent of total billed charges,1142.814625,,,,,,,,,,1758.24,percent of total billed charges,999999999,,,,,,,,,,1953.6,percent of total billed charges,1637.015248,,,,1929.18,percent of total billed charges,1861.741722,,,,1929.18,percent of total billed charges,1644.910438,,,,1953.6,percent of total billed charges,999999999,,,,1953.6,percent of total billed charges,999999999,,,,1709.4,percent of total billed charges,999999999,,,,1709.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1299.144,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1233.21,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,610.5,percent of total billed charges,579.8256662,,,,,,,,,,610.5,percent of total billed charges,570.1806608,,,,,,,,,,610.5,percent of total billed charges,568.5961532,,,,,,,,,,610.5,percent of total billed charges,560.2235817,,,,,,,,,,610.5,percent of total billed charges,574.6389581,,,,,,,,,,610.5,percent of total billed charges,999999999,,,,,,,,,,610.5,percent of total billed charges,493.0806921,,,,,,,,,,610.5,percent of total billed charges,777.6222542,,,,,,,,,,610.5,percent of total billed charges,999999999,,,,,,,,,,610.5,percent of total billed charges,531.6615777,,,,,,,,,,2197.8,percent of total billed charges,,,,,
**KLING-DISP,Local,Local,,,,both,,,178,178,37.89334214,178,178,percent of total billed charges,130.9609236,,,,178,percent of total billed charges,138.8159896,,,,178,percent of total billed charges,130.9609236,,,,178,percent of total billed charges,138.8159896,,,,178,percent of total billed charges,999999999,,,,178,percent of total billed charges,135.6237661,,,,178,percent of total billed charges,130.9609236,,,,178,percent of total billed charges,138.8159896,,,,126.914,percent of total billed charges,63.33240853,,,,126.914,percent of total billed charges,37.89334214,,,,126.914,percent of total billed charges,63.33240853,,,,126.914,percent of total billed charges,37.89334214,,,,126.914,percent of total billed charges,63.33240853,,,,126.914,percent of total billed charges,37.89334214,,,,125.668,percent of total billed charges,124.7145227,,,,125.668,percent of total billed charges,86.01461783,,,,,,,,,,128.16,percent of total billed charges,83.30098412,,,,,,,,,,128.16,percent of total billed charges,999999999,,,,,,,,,,142.4,percent of total billed charges,119.3237978,,,,140.62,percent of total billed charges,135.7043516,,,,140.62,percent of total billed charges,119.8992866,,,,142.4,percent of total billed charges,999999999,,,,142.4,percent of total billed charges,999999999,,,,124.6,percent of total billed charges,999999999,,,,124.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,94.696,percent of total billed charges,999999999,,,,,,,,,,,,,,,,89.89,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,44.5,percent of total billed charges,42.2641149,,,,,,,,,,44.5,percent of total billed charges,41.56108011,,,,,,,,,,44.5,percent of total billed charges,41.44558365,,,,,,,,,,44.5,percent of total billed charges,40.83529793,,,,,,,,,,44.5,percent of total billed charges,41.88605018,,,,,,,,,,44.5,percent of total billed charges,999999999,,,,,,,,,,44.5,percent of total billed charges,35.94118067,,,,,,,,,,44.5,percent of total billed charges,56.68172041,,,,,,,,,,44.5,percent of total billed charges,999999999,,,,,,,,,,44.5,percent of total billed charges,38.75338281,,,,,,,,,,160.2,percent of total billed charges,,,,,
**CYSTOMANOMETER - DISP,Local,Local,,,,both,,,185,185,39.38352976,185,185,percent of total billed charges,136.1110723,,,,185,percent of total billed charges,144.2750454,,,,185,percent of total billed charges,136.1110723,,,,185,percent of total billed charges,144.2750454,,,,185,percent of total billed charges,999999999,,,,185,percent of total billed charges,140.957285,,,,185,percent of total billed charges,136.1110723,,,,185,percent of total billed charges,144.2750454,,,,131.905,percent of total billed charges,65.82300887,,,,131.905,percent of total billed charges,39.38352976,,,,131.905,percent of total billed charges,65.82300887,,,,131.905,percent of total billed charges,39.38352976,,,,131.905,percent of total billed charges,65.82300887,,,,131.905,percent of total billed charges,39.38352976,,,,130.61,percent of total billed charges,129.6190264,,,,130.61,percent of total billed charges,89.39721516,,,,,,,,,,133.2,percent of total billed charges,86.57686552,,,,,,,,,,133.2,percent of total billed charges,999999999,,,,,,,,,,148,percent of total billed charges,124.0163067,,,,146.15,percent of total billed charges,141.0410396,,,,146.15,percent of total billed charges,124.6144271,,,,148,percent of total billed charges,999999999,,,,148,percent of total billed charges,999999999,,,,129.5,percent of total billed charges,999999999,,,,129.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,98.42,percent of total billed charges,999999999,,,,,,,,,,,,,,,,93.425,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,46.25,percent of total billed charges,43.92618684,,,,,,,,,,46.25,percent of total billed charges,43.19550461,,,,,,,,,,46.25,percent of total billed charges,43.07546615,,,,,,,,,,46.25,percent of total billed charges,42.44118043,,,,,,,,,,46.25,percent of total billed charges,43.5332544,,,,,,,,,,46.25,percent of total billed charges,999999999,,,,,,,,,,46.25,percent of total billed charges,37.35459789,,,,,,,,,,46.25,percent of total billed charges,58.91077683,,,,,,,,,,46.25,percent of total billed charges,999999999,,,,,,,,,,46.25,percent of total billed charges,40.27739225,,,,,,,,,,166.5,percent of total billed charges,,,,,
**ENDO BAG (DEXIDE)-DISP,Local,Local,,,,both,,,173,173,36.82892242,173,173,percent of total billed charges,127.2822459,,,,173,percent of total billed charges,134.916664,,,,173,percent of total billed charges,127.2822459,,,,173,percent of total billed charges,134.916664,,,,173,percent of total billed charges,999999999,,,,173,percent of total billed charges,131.8141098,,,,173,percent of total billed charges,127.2822459,,,,173,percent of total billed charges,134.916664,,,,123.349,percent of total billed charges,61.55340829,,,,123.349,percent of total billed charges,36.82892242,,,,123.349,percent of total billed charges,61.55340829,,,,123.349,percent of total billed charges,36.82892242,,,,123.349,percent of total billed charges,61.55340829,,,,123.349,percent of total billed charges,36.82892242,,,,122.138,percent of total billed charges,121.2113058,,,,122.138,percent of total billed charges,83.59847688,,,,,,,,,,124.56,percent of total billed charges,80.96106884,,,,,,,,,,124.56,percent of total billed charges,999999999,,,,,,,,,,138.4,percent of total billed charges,115.9720057,,,,136.67,percent of total billed charges,131.8924316,,,,136.67,percent of total billed charges,116.5313291,,,,138.4,percent of total billed charges,999999999,,,,138.4,percent of total billed charges,999999999,,,,121.1,percent of total billed charges,999999999,,,,121.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,92.036,percent of total billed charges,999999999,,,,,,,,,,,,,,,,87.365,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,43.25,percent of total billed charges,41.07692066,,,,,,,,,,43.25,percent of total billed charges,40.39363404,,,,,,,,,,43.25,percent of total billed charges,40.28138186,,,,,,,,,,43.25,percent of total billed charges,39.688239,,,,,,,,,,43.25,percent of total billed charges,40.70947574,,,,,,,,,,43.25,percent of total billed charges,999999999,,,,,,,,,,43.25,percent of total billed charges,34.93159694,,,,,,,,,,43.25,percent of total billed charges,55.08953725,,,,,,,,,,43.25,percent of total billed charges,999999999,,,,,,,,,,43.25,percent of total billed charges,37.66480464,,,,,,,,,,155.7,percent of total billed charges,,,,,
**TUR Y TUBING,Local,Local,,,,both,,,50,50,10.64419723,50,50,percent of total billed charges,36.78677629,,,,50,percent of total billed charges,38.9932555,,,,50,percent of total billed charges,36.78677629,,,,50,percent of total billed charges,38.9932555,,,,50,percent of total billed charges,999999999,,,,50,percent of total billed charges,38.09656352,,,,50,percent of total billed charges,36.78677629,,,,50,percent of total billed charges,38.9932555,,,,35.65,percent of total billed charges,17.7900024,,,,35.65,percent of total billed charges,10.64419723,,,,35.65,percent of total billed charges,17.7900024,,,,35.65,percent of total billed charges,10.64419723,,,,35.65,percent of total billed charges,17.7900024,,,,35.65,percent of total billed charges,10.64419723,,,,35.3,percent of total billed charges,35.0321693,,,,35.3,percent of total billed charges,24.1614095,,,,,,,,,,36,percent of total billed charges,23.39915284,,,,,,,,,,36,percent of total billed charges,999999999,,,,,,,,,,40,percent of total billed charges,33.51792073,,,,39.5,percent of total billed charges,38.11919988,,,,39.5,percent of total billed charges,33.6795749,,,,40,percent of total billed charges,999999999,,,,40,percent of total billed charges,999999999,,,,35,percent of total billed charges,999999999,,,,35,percent of total billed charges,999999999,,,,,,,,,,,,,,,,26.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,25.25,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12.5,percent of total billed charges,11.87194239,,,,,,,,,,12.5,percent of total billed charges,11.6744607,,,,,,,,,,12.5,percent of total billed charges,11.64201788,,,,,,,,,,12.5,percent of total billed charges,11.47058931,,,,,,,,,,12.5,percent of total billed charges,11.76574443,,,,,,,,,,12.5,percent of total billed charges,999999999,,,,,,,,,,12.5,percent of total billed charges,10.09583727,,,,,,,,,,12.5,percent of total billed charges,15.92183158,,,,,,,,,,12.5,percent of total billed charges,999999999,,,,,,,,,,12.5,percent of total billed charges,10.88578169,,,,,,,,,,45,percent of total billed charges,,,,,
**SECONDARY IRRIG SET,Local,Local,,,,both,,,27,27,5.747866505,27,27,percent of total billed charges,19.86485919,,,,27,percent of total billed charges,21.05635797,,,,27,percent of total billed charges,19.86485919,,,,27,percent of total billed charges,21.05635797,,,,27,percent of total billed charges,999999999,,,,27,percent of total billed charges,20.5721443,,,,27,percent of total billed charges,19.86485919,,,,27,percent of total billed charges,21.05635797,,,,19.251,percent of total billed charges,9.606601294,,,,19.251,percent of total billed charges,5.747866505,,,,19.251,percent of total billed charges,9.606601294,,,,19.251,percent of total billed charges,5.747866505,,,,19.251,percent of total billed charges,9.606601294,,,,19.251,percent of total billed charges,5.747866505,,,,19.062,percent of total billed charges,18.91737142,,,,19.062,percent of total billed charges,13.04716113,,,,,,,,,,19.44,percent of total billed charges,12.63554254,,,,,,,,,,19.44,percent of total billed charges,999999999,,,,,,,,,,21.6,percent of total billed charges,18.09967719,,,,21.33,percent of total billed charges,20.58436793,,,,21.33,percent of total billed charges,18.18697044,,,,21.6,percent of total billed charges,999999999,,,,21.6,percent of total billed charges,999999999,,,,18.9,percent of total billed charges,999999999,,,,18.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,14.364,percent of total billed charges,999999999,,,,,,,,,,,,,,,,13.635,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6.75,percent of total billed charges,6.41084889,,,,,,,,,,6.75,percent of total billed charges,6.30420878,,,,,,,,,,6.75,percent of total billed charges,6.286689654,,,,,,,,,,6.75,percent of total billed charges,6.194118226,,,,,,,,,,6.75,percent of total billed charges,6.353501993,,,,,,,,,,6.75,percent of total billed charges,999999999,,,,,,,,,,6.75,percent of total billed charges,5.451752124,,,,,,,,,,6.75,percent of total billed charges,8.597789051,,,,,,,,,,6.75,percent of total billed charges,999999999,,,,,,,,,,6.75,percent of total billed charges,5.878322112,,,,,,,,,,24.3,percent of total billed charges,,,,,
**PERITONEAL CATHETER,C1892,CDM,,,,both,,,556,556,118.3634732,556,556,percent of total billed charges,409.0689523,,,,556,percent of total billed charges,433.6050012,,,,556,percent of total billed charges,409.0689523,,,,556,percent of total billed charges,433.6050012,,,,556,percent of total billed charges,999999999,,,,556,percent of total billed charges,423.6337864,,,,556,percent of total billed charges,409.0689523,,,,556,percent of total billed charges,433.6050012,,,,396.428,percent of total billed charges,197.8248266,,,,396.428,percent of total billed charges,118.3634732,,,,396.428,percent of total billed charges,197.8248266,,,,396.428,percent of total billed charges,118.3634732,,,,396.428,percent of total billed charges,197.8248266,,,,396.428,percent of total billed charges,118.3634732,,,,392.536,percent of total billed charges,389.5577227,,,,392.536,percent of total billed charges,268.6748737,,,,,,,,,,400.32,percent of total billed charges,260.1985796,,,,,,,,,,400.32,percent of total billed charges,999999999,,,,,,,,,,444.8,percent of total billed charges,372.7192785,,,,439.24,percent of total billed charges,423.8855027,,,,439.24,percent of total billed charges,374.5168729,,,,444.8,percent of total billed charges,999999999,,,,444.8,percent of total billed charges,999999999,,,,389.2,percent of total billed charges,999999999,,,,389.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,295.792,percent of total billed charges,999999999,,,,,,,,,,,,,,,,280.78,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,139,percent of total billed charges,132.0159994,,,,,,,,,,139,percent of total billed charges,129.820003,,,,,,,,,,139,percent of total billed charges,129.4592388,,,,,,,,,,139,percent of total billed charges,127.5529531,,,,,,,,,,139,percent of total billed charges,130.8350781,,,,,,,,,,139,percent of total billed charges,999999999,,,,,,,,,,139,percent of total billed charges,112.2657104,,,,,,,,,,139,percent of total billed charges,177.0507671,,,,,,,,,,139,percent of total billed charges,999999999,,,,,,,,,,139,percent of total billed charges,121.0498924,,,,,,,,,,500.4,percent of total billed charges,,,,,
**ENDOSAC,Local,Local,,,,both,,,260,260,55.3498256,260,260,percent of total billed charges,191.2912367,,,,260,percent of total billed charges,202.7649286,,,,260,percent of total billed charges,191.2912367,,,,260,percent of total billed charges,202.7649286,,,,260,percent of total billed charges,999999999,,,,260,percent of total billed charges,198.1021303,,,,260,percent of total billed charges,191.2912367,,,,260,percent of total billed charges,202.7649286,,,,185.38,percent of total billed charges,92.50801246,,,,185.38,percent of total billed charges,55.3498256,,,,185.38,percent of total billed charges,92.50801246,,,,185.38,percent of total billed charges,55.3498256,,,,185.38,percent of total billed charges,92.50801246,,,,185.38,percent of total billed charges,55.3498256,,,,183.56,percent of total billed charges,182.1672804,,,,183.56,percent of total billed charges,125.6393294,,,,,,,,,,187.2,percent of total billed charges,121.6755948,,,,,,,,,,187.2,percent of total billed charges,999999999,,,,,,,,,,208,percent of total billed charges,174.2931878,,,,205.4,percent of total billed charges,198.2198394,,,,205.4,percent of total billed charges,175.1337895,,,,208,percent of total billed charges,999999999,,,,208,percent of total billed charges,999999999,,,,182,percent of total billed charges,999999999,,,,182,percent of total billed charges,999999999,,,,,,,,,,,,,,,,138.32,percent of total billed charges,999999999,,,,,,,,,,,,,,,,131.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,65,percent of total billed charges,61.73410042,,,,,,,,,,65,percent of total billed charges,60.70719566,,,,,,,,,,65,percent of total billed charges,60.53849297,,,,,,,,,,65,percent of total billed charges,59.64706439,,,,,,,,,,65,percent of total billed charges,61.18187105,,,,,,,,,,65,percent of total billed charges,999999999,,,,,,,,,,65,percent of total billed charges,52.49835379,,,,,,,,,,65,percent of total billed charges,82.79352419,,,,,,,,,,65,percent of total billed charges,999999999,,,,,,,,,,65,percent of total billed charges,56.60606478,,,,,,,,,,234,percent of total billed charges,,,,,
**NASAL SPLINT EXTERNAL XOMED,Local,Local,,,,both,,,315,315,67.05844256,315,315,percent of total billed charges,231.7566906,,,,315,percent of total billed charges,245.6575097,,,,315,percent of total billed charges,231.7566906,,,,315,percent of total billed charges,245.6575097,,,,315,percent of total billed charges,999999999,,,,315,percent of total billed charges,240.0083502,,,,315,percent of total billed charges,231.7566906,,,,315,percent of total billed charges,245.6575097,,,,224.595,percent of total billed charges,112.0770151,,,,224.595,percent of total billed charges,67.05844256,,,,224.595,percent of total billed charges,112.0770151,,,,224.595,percent of total billed charges,67.05844256,,,,224.595,percent of total billed charges,112.0770151,,,,224.595,percent of total billed charges,67.05844256,,,,222.39,percent of total billed charges,220.7026666,,,,222.39,percent of total billed charges,152.2168799,,,,,,,,,,226.8,percent of total billed charges,147.4146629,,,,,,,,,,226.8,percent of total billed charges,999999999,,,,,,,,,,252,percent of total billed charges,211.1629006,,,,248.85,percent of total billed charges,240.1509592,,,,248.85,percent of total billed charges,212.1813219,,,,252,percent of total billed charges,999999999,,,,252,percent of total billed charges,999999999,,,,220.5,percent of total billed charges,999999999,,,,220.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,167.58,percent of total billed charges,999999999,,,,,,,,,,,,,,,,159.075,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,78.75,percent of total billed charges,74.79323705,,,,,,,,,,78.75,percent of total billed charges,73.54910244,,,,,,,,,,78.75,percent of total billed charges,73.34471263,,,,,,,,,,78.75,percent of total billed charges,72.26471263,,,,,,,,,,78.75,percent of total billed charges,74.12418992,,,,,,,,,,78.75,percent of total billed charges,999999999,,,,,,,,,,78.75,percent of total billed charges,63.60377478,,,,,,,,,,78.75,percent of total billed charges,100.3075389,,,,,,,,,,78.75,percent of total billed charges,999999999,,,,,,,,,,78.75,percent of total billed charges,68.58042464,,,,,,,,,,283.5,percent of total billed charges,,,,,
**XOMED NASAL SPLINT,Local,Local,,,,both,,,286,286,60.88480816,286,286,percent of total billed charges,210.4203604,,,,286,percent of total billed charges,223.0414215,,,,286,percent of total billed charges,210.4203604,,,,286,percent of total billed charges,223.0414215,,,,286,percent of total billed charges,999999999,,,,286,percent of total billed charges,217.9123433,,,,286,percent of total billed charges,210.4203604,,,,286,percent of total billed charges,223.0414215,,,,203.918,percent of total billed charges,101.7588137,,,,203.918,percent of total billed charges,60.88480816,,,,203.918,percent of total billed charges,101.7588137,,,,203.918,percent of total billed charges,60.88480816,,,,203.918,percent of total billed charges,101.7588137,,,,203.918,percent of total billed charges,60.88480816,,,,201.916,percent of total billed charges,200.3840084,,,,201.916,percent of total billed charges,138.2032624,,,,,,,,,,205.92,percent of total billed charges,133.8431543,,,,,,,,,,205.92,percent of total billed charges,999999999,,,,,,,,,,228.8,percent of total billed charges,191.7225066,,,,225.94,percent of total billed charges,218.0418233,,,,225.94,percent of total billed charges,192.6471684,,,,228.8,percent of total billed charges,999999999,,,,228.8,percent of total billed charges,999999999,,,,200.2,percent of total billed charges,999999999,,,,200.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,152.152,percent of total billed charges,999999999,,,,,,,,,,,,,,,,144.43,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,71.5,percent of total billed charges,67.90751046,,,,,,,,,,71.5,percent of total billed charges,66.77791523,,,,,,,,,,71.5,percent of total billed charges,66.59234226,,,,,,,,,,71.5,percent of total billed charges,65.61177083,,,,,,,,,,71.5,percent of total billed charges,67.30005815,,,,,,,,,,71.5,percent of total billed charges,999999999,,,,,,,,,,71.5,percent of total billed charges,57.74818917,,,,,,,,,,71.5,percent of total billed charges,91.07287661,,,,,,,,,,71.5,percent of total billed charges,999999999,,,,,,,,,,71.5,percent of total billed charges,62.26667126,,,,,,,,,,257.4,percent of total billed charges,,,,,
**PDSLL & STP-10 NEEDLE Z997G 2-0,Local,Local,,,,both,,,315,315,67.05844256,315,315,percent of total billed charges,231.7566906,,,,315,percent of total billed charges,245.6575097,,,,315,percent of total billed charges,231.7566906,,,,315,percent of total billed charges,245.6575097,,,,315,percent of total billed charges,999999999,,,,315,percent of total billed charges,240.0083502,,,,315,percent of total billed charges,231.7566906,,,,315,percent of total billed charges,245.6575097,,,,224.595,percent of total billed charges,112.0770151,,,,224.595,percent of total billed charges,67.05844256,,,,224.595,percent of total billed charges,112.0770151,,,,224.595,percent of total billed charges,67.05844256,,,,224.595,percent of total billed charges,112.0770151,,,,224.595,percent of total billed charges,67.05844256,,,,222.39,percent of total billed charges,220.7026666,,,,222.39,percent of total billed charges,152.2168799,,,,,,,,,,226.8,percent of total billed charges,147.4146629,,,,,,,,,,226.8,percent of total billed charges,999999999,,,,,,,,,,252,percent of total billed charges,211.1629006,,,,248.85,percent of total billed charges,240.1509592,,,,248.85,percent of total billed charges,212.1813219,,,,252,percent of total billed charges,999999999,,,,252,percent of total billed charges,999999999,,,,220.5,percent of total billed charges,999999999,,,,220.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,167.58,percent of total billed charges,999999999,,,,,,,,,,,,,,,,159.075,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,78.75,percent of total billed charges,74.79323705,,,,,,,,,,78.75,percent of total billed charges,73.54910244,,,,,,,,,,78.75,percent of total billed charges,73.34471263,,,,,,,,,,78.75,percent of total billed charges,72.26471263,,,,,,,,,,78.75,percent of total billed charges,74.12418992,,,,,,,,,,78.75,percent of total billed charges,999999999,,,,,,,,,,78.75,percent of total billed charges,63.60377478,,,,,,,,,,78.75,percent of total billed charges,100.3075389,,,,,,,,,,78.75,percent of total billed charges,999999999,,,,,,,,,,78.75,percent of total billed charges,68.58042464,,,,,,,,,,283.5,percent of total billed charges,,,,,
**IOL ALCON MA30 BA,Local,Local,,,,both,,,1053,1053,224.1667937,1053,1053,percent of total billed charges,774.7295086,,,,1053,percent of total billed charges,821.1979608,,,,1053,percent of total billed charges,774.7295086,,,,1053,percent of total billed charges,821.1979608,,,,1053,percent of total billed charges,999999999,,,,1053,percent of total billed charges,802.3136278,,,,1053,percent of total billed charges,774.7295086,,,,1053,percent of total billed charges,821.1979608,,,,750.789,percent of total billed charges,374.6574505,,,,750.789,percent of total billed charges,224.1667937,,,,750.789,percent of total billed charges,374.6574505,,,,750.789,percent of total billed charges,224.1667937,,,,750.789,percent of total billed charges,374.6574505,,,,750.789,percent of total billed charges,224.1667937,,,,743.418,percent of total billed charges,737.7774855,,,,743.418,percent of total billed charges,508.8392841,,,,,,,,,,758.16,percent of total billed charges,492.7861589,,,,,,,,,,758.16,percent of total billed charges,999999999,,,,,,,,,,842.4,percent of total billed charges,705.8874106,,,,831.87,percent of total billed charges,802.7903495,,,,831.87,percent of total billed charges,709.2918473,,,,842.4,percent of total billed charges,999999999,,,,842.4,percent of total billed charges,999999999,,,,737.1,percent of total billed charges,999999999,,,,737.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,560.196,percent of total billed charges,999999999,,,,,,,,,,,,,,,,531.765,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,263.25,percent of total billed charges,250.0231067,,,,,,,,,,263.25,percent of total billed charges,245.8641424,,,,,,,,,,263.25,percent of total billed charges,245.1808965,,,,,,,,,,263.25,percent of total billed charges,241.5706108,,,,,,,,,,263.25,percent of total billed charges,247.7865777,,,,,,,,,,263.25,percent of total billed charges,999999999,,,,,,,,,,263.25,percent of total billed charges,212.6183328,,,,,,,,,,263.25,percent of total billed charges,335.313773,,,,,,,,,,263.25,percent of total billed charges,999999999,,,,,,,,,,263.25,percent of total billed charges,229.2545624,,,,,,,,,,947.7,percent of total billed charges,,,,,
**GILL BRUSH BIOPSY,Local,Local,,,,both,,,1079,1079,229.7017762,1079,1079,percent of total billed charges,793.8586323,,,,1079,percent of total billed charges,841.4744537,,,,1079,percent of total billed charges,793.8586323,,,,1079,percent of total billed charges,841.4744537,,,,1079,percent of total billed charges,999999999,,,,1079,percent of total billed charges,822.1238408,,,,1079,percent of total billed charges,793.8586323,,,,1079,percent of total billed charges,841.4744537,,,,769.327,percent of total billed charges,383.9082517,,,,769.327,percent of total billed charges,229.7017762,,,,769.327,percent of total billed charges,383.9082517,,,,769.327,percent of total billed charges,229.7017762,,,,769.327,percent of total billed charges,383.9082517,,,,769.327,percent of total billed charges,229.7017762,,,,761.774,percent of total billed charges,755.9942136,,,,761.774,percent of total billed charges,521.4032171,,,,,,,,,,776.88,percent of total billed charges,504.9537184,,,,,,,,,,776.88,percent of total billed charges,999999999,,,,,,,,,,863.2,percent of total billed charges,723.3167293,,,,852.41,percent of total billed charges,822.6123334,,,,852.41,percent of total billed charges,726.8052263,,,,863.2,percent of total billed charges,999999999,,,,863.2,percent of total billed charges,999999999,,,,755.3,percent of total billed charges,999999999,,,,755.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,574.028,percent of total billed charges,999999999,,,,,,,,,,,,,,,,544.895,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,269.75,percent of total billed charges,256.1965167,,,,,,,,,,269.75,percent of total billed charges,251.934862,,,,,,,,,,269.75,percent of total billed charges,251.2347458,,,,,,,,,,269.75,percent of total billed charges,247.5353172,,,,,,,,,,269.75,percent of total billed charges,253.9047648,,,,,,,,,,269.75,percent of total billed charges,999999999,,,,,,,,,,269.75,percent of total billed charges,217.8681682,,,,,,,,,,269.75,percent of total billed charges,343.5931254,,,,,,,,,,269.75,percent of total billed charges,999999999,,,,,,,,,,269.75,percent of total billed charges,234.9151688,,,,,,,,,,971.1,percent of total billed charges,,,,,
**WILTEK BALLOON CHOLE CATH,Local,Local,,,,both,,,751,751,159.8758424,751,751,percent of total billed charges,552.5373798,,,,751,percent of total billed charges,585.6786976,,,,751,percent of total billed charges,552.5373798,,,,751,percent of total billed charges,585.6786976,,,,751,percent of total billed charges,999999999,,,,751,percent of total billed charges,572.2103841,,,,751,percent of total billed charges,552.5373798,,,,751,percent of total billed charges,585.6786976,,,,535.463,percent of total billed charges,267.205836,,,,535.463,percent of total billed charges,159.8758424,,,,535.463,percent of total billed charges,267.205836,,,,535.463,percent of total billed charges,159.8758424,,,,535.463,percent of total billed charges,267.205836,,,,535.463,percent of total billed charges,159.8758424,,,,530.206,percent of total billed charges,526.1831829,,,,530.206,percent of total billed charges,362.9043707,,,,,,,,,,540.72,percent of total billed charges,351.4552757,,,,,,,,,,540.72,percent of total billed charges,999999999,,,,,,,,,,600.8,percent of total billed charges,503.4391694,,,,593.29,percent of total billed charges,572.5503822,,,,593.29,percent of total billed charges,505.867215,,,,600.8,percent of total billed charges,999999999,,,,600.8,percent of total billed charges,999999999,,,,525.7,percent of total billed charges,999999999,,,,525.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,399.532,percent of total billed charges,999999999,,,,,,,,,,,,,,,,379.255,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,187.75,percent of total billed charges,178.3165747,,,,,,,,,,187.75,percent of total billed charges,175.3503998,,,,,,,,,,187.75,percent of total billed charges,174.8631085,,,,,,,,,,187.75,percent of total billed charges,172.2882514,,,,,,,,,,187.75,percent of total billed charges,176.7214814,,,,,,,,,,187.75,percent of total billed charges,999999999,,,,,,,,,,187.75,percent of total billed charges,151.6394758,,,,,,,,,,187.75,percent of total billed charges,239.1459103,,,,,,,,,,187.75,percent of total billed charges,999999999,,,,,,,,,,187.75,percent of total billed charges,163.504441,,,,,,,,,,675.9,percent of total billed charges,,,,,
**STIRRUP STRAPS PR DISP,Local,Local,,,,both,,,67,67,14.26322429,67,67,percent of total billed charges,49.29428022,,,,67,percent of total billed charges,52.25096237,,,,67,percent of total billed charges,49.29428022,,,,67,percent of total billed charges,52.25096237,,,,67,percent of total billed charges,999999999,,,,67,percent of total billed charges,51.04939512,,,,67,percent of total billed charges,49.29428022,,,,67,percent of total billed charges,52.25096237,,,,47.771,percent of total billed charges,23.83860321,,,,47.771,percent of total billed charges,14.26322429,,,,47.771,percent of total billed charges,23.83860321,,,,47.771,percent of total billed charges,14.26322429,,,,47.771,percent of total billed charges,23.83860321,,,,47.771,percent of total billed charges,14.26322429,,,,47.302,percent of total billed charges,46.94310687,,,,47.302,percent of total billed charges,32.37628873,,,,,,,,,,48.24,percent of total billed charges,31.35486481,,,,,,,,,,48.24,percent of total billed charges,999999999,,,,,,,,,,53.6,percent of total billed charges,44.91401378,,,,52.93,percent of total billed charges,51.07972784,,,,52.93,percent of total billed charges,45.13063036,,,,53.6,percent of total billed charges,999999999,,,,53.6,percent of total billed charges,999999999,,,,46.9,percent of total billed charges,999999999,,,,46.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,35.644,percent of total billed charges,999999999,,,,,,,,,,,,,,,,33.835,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16.75,percent of total billed charges,15.9084028,,,,,,,,,,16.75,percent of total billed charges,15.64377734,,,,,,,,,,16.75,percent of total billed charges,15.60030396,,,,,,,,,,16.75,percent of total billed charges,15.37058967,,,,,,,,,,16.75,percent of total billed charges,15.76609754,,,,,,,,,,16.75,percent of total billed charges,999999999,,,,,,,,,,16.75,percent of total billed charges,13.52842194,,,,,,,,,,16.75,percent of total billed charges,21.33525431,,,,,,,,,,16.75,percent of total billed charges,999999999,,,,,,,,,,16.75,percent of total billed charges,14.58694746,,,,,,,,,,60.3,percent of total billed charges,,,,,
**STERILE IV TUBING,Local,Local,,,,both,,,33,33,7.025170173,33,33,percent of total billed charges,24.27927235,,,,33,percent of total billed charges,25.73554863,,,,33,percent of total billed charges,24.27927235,,,,33,percent of total billed charges,25.73554863,,,,33,percent of total billed charges,999999999,,,,33,percent of total billed charges,25.14373192,,,,33,percent of total billed charges,24.27927235,,,,33,percent of total billed charges,25.73554863,,,,23.529,percent of total billed charges,11.74140158,,,,23.529,percent of total billed charges,7.025170173,,,,23.529,percent of total billed charges,11.74140158,,,,23.529,percent of total billed charges,7.025170173,,,,23.529,percent of total billed charges,11.74140158,,,,23.529,percent of total billed charges,7.025170173,,,,23.298,percent of total billed charges,23.12123174,,,,23.298,percent of total billed charges,15.94653027,,,,,,,,,,23.76,percent of total billed charges,15.44344088,,,,,,,,,,23.76,percent of total billed charges,999999999,,,,,,,,,,26.4,percent of total billed charges,22.12182768,,,,26.07,percent of total billed charges,25.15867192,,,,26.07,percent of total billed charges,22.22851943,,,,26.4,percent of total billed charges,999999999,,,,26.4,percent of total billed charges,999999999,,,,23.1,percent of total billed charges,999999999,,,,23.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,17.556,percent of total billed charges,999999999,,,,,,,,,,,,,,,,16.665,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8.25,percent of total billed charges,7.835481976,,,,,,,,,,8.25,percent of total billed charges,7.705144065,,,,,,,,,,8.25,percent of total billed charges,7.6837318,,,,,,,,,,8.25,percent of total billed charges,7.570588942,,,,,,,,,,8.25,percent of total billed charges,7.765391325,,,,,,,,,,8.25,percent of total billed charges,999999999,,,,,,,,,,8.25,percent of total billed charges,6.663252596,,,,,,,,,,8.25,percent of total billed charges,10.50840884,,,,,,,,,,8.25,percent of total billed charges,999999999,,,,,,,,,,8.25,percent of total billed charges,7.184615914,,,,,,,,,,29.7,percent of total billed charges,,,,,
**3M AREA DRAPE,Local,Local,,,,both,,,82,82,17.45648346,82,82,percent of total billed charges,60.33031311,,,,82,percent of total billed charges,63.94893902,,,,82,percent of total billed charges,60.33031311,,,,82,percent of total billed charges,63.94893902,,,,82,percent of total billed charges,999999999,,,,82,percent of total billed charges,62.47836417,,,,82,percent of total billed charges,60.33031311,,,,82,percent of total billed charges,63.94893902,,,,58.466,percent of total billed charges,29.17560393,,,,58.466,percent of total billed charges,17.45648346,,,,58.466,percent of total billed charges,29.17560393,,,,58.466,percent of total billed charges,17.45648346,,,,58.466,percent of total billed charges,29.17560393,,,,58.466,percent of total billed charges,17.45648346,,,,57.892,percent of total billed charges,57.45275766,,,,57.892,percent of total billed charges,39.62471158,,,,,,,,,,59.04,percent of total billed charges,38.37461066,,,,,,,,,,59.04,percent of total billed charges,999999999,,,,,,,,,,65.6,percent of total billed charges,54.96939,,,,64.78,percent of total billed charges,62.5154878,,,,64.78,percent of total billed charges,55.23450283,,,,65.6,percent of total billed charges,999999999,,,,65.6,percent of total billed charges,999999999,,,,57.4,percent of total billed charges,999999999,,,,57.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,43.624,percent of total billed charges,999999999,,,,,,,,,,,,,,,,41.41,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20.5,percent of total billed charges,19.46998552,,,,,,,,,,20.5,percent of total billed charges,19.14611556,,,,,,,,,,20.5,percent of total billed charges,19.09290932,,,,,,,,,,20.5,percent of total billed charges,18.81176646,,,,,,,,,,20.5,percent of total billed charges,19.29582087,,,,,,,,,,20.5,percent of total billed charges,999999999,,,,,,,,,,20.5,percent of total billed charges,16.55717312,,,,,,,,,,20.5,percent of total billed charges,26.11180378,,,,,,,,,,20.5,percent of total billed charges,999999999,,,,,,,,,,20.5,percent of total billed charges,17.85268197,,,,,,,,,,73.8,percent of total billed charges,,,,,
**BETADINE PAINT STICKS,Local,Local,,,,both,,,23,23,4.896330726,23,23,percent of total billed charges,16.92191709,,,,23,percent of total billed charges,17.93689753,,,,23,percent of total billed charges,16.92191709,,,,23,percent of total billed charges,17.93689753,,,,23,percent of total billed charges,999999999,,,,23,percent of total billed charges,17.52441922,,,,23,percent of total billed charges,16.92191709,,,,23,percent of total billed charges,17.93689753,,,,16.399,percent of total billed charges,8.183401102,,,,16.399,percent of total billed charges,4.896330726,,,,16.399,percent of total billed charges,8.183401102,,,,16.399,percent of total billed charges,4.896330726,,,,16.399,percent of total billed charges,8.183401102,,,,16.399,percent of total billed charges,4.896330726,,,,16.238,percent of total billed charges,16.11479788,,,,16.238,percent of total billed charges,11.11424837,,,,,,,,,,16.56,percent of total billed charges,10.76361031,,,,,,,,,,16.56,percent of total billed charges,999999999,,,,,,,,,,18.4,percent of total billed charges,15.41824354,,,,18.17,percent of total billed charges,17.53483194,,,,18.17,percent of total billed charges,15.49260445,,,,18.4,percent of total billed charges,999999999,,,,18.4,percent of total billed charges,999999999,,,,16.1,percent of total billed charges,999999999,,,,16.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,12.236,percent of total billed charges,999999999,,,,,,,,,,,,,,,,11.615,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5.75,percent of total billed charges,5.461093499,,,,,,,,,,5.75,percent of total billed charges,5.370251924,,,,,,,,,,5.75,percent of total billed charges,5.355328224,,,,,,,,,,5.75,percent of total billed charges,5.276471081,,,,,,,,,,5.75,percent of total billed charges,5.412242439,,,,,,,,,,5.75,percent of total billed charges,999999999,,,,,,,,,,5.75,percent of total billed charges,4.644085143,,,,,,,,,,5.75,percent of total billed charges,7.324042525,,,,,,,,,,5.75,percent of total billed charges,999999999,,,,,,,,,,5.75,percent of total billed charges,5.007459577,,,,,,,,,,20.7,percent of total billed charges,,,,,
**ENDO CUTTER RELOAD TR45W,Local,Local,,,,both,,,931,931,198.1949524,931,931,percent of total billed charges,684.9697744,,,,931,percent of total billed charges,726.0544174,,,,931,percent of total billed charges,684.9697744,,,,931,percent of total billed charges,726.0544174,,,,931,percent of total billed charges,999999999,,,,931,percent of total billed charges,709.3580128,,,,931,percent of total billed charges,684.9697744,,,,931,percent of total billed charges,726.0544174,,,,663.803,percent of total billed charges,331.2498446,,,,663.803,percent of total billed charges,198.1949524,,,,663.803,percent of total billed charges,331.2498446,,,,663.803,percent of total billed charges,198.1949524,,,,663.803,percent of total billed charges,331.2498446,,,,663.803,percent of total billed charges,198.1949524,,,,657.286,percent of total billed charges,652.2989924,,,,657.286,percent of total billed charges,449.8854449,,,,,,,,,,670.32,percent of total billed charges,435.692226,,,,,,,,,,670.32,percent of total billed charges,999999999,,,,,,,,,,744.8,percent of total billed charges,624.103684,,,,735.49,percent of total billed charges,709.7795017,,,,735.49,percent of total billed charges,627.1136846,,,,744.8,percent of total billed charges,999999999,,,,744.8,percent of total billed charges,999999999,,,,651.7,percent of total billed charges,999999999,,,,651.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,495.292,percent of total billed charges,999999999,,,,,,,,,,,,,,,,470.155,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,232.75,percent of total billed charges,221.0555673,,,,,,,,,,232.75,percent of total billed charges,217.3784583,,,,,,,,,,232.75,percent of total billed charges,216.7743729,,,,,,,,,,232.75,percent of total billed charges,213.5823729,,,,,,,,,,232.75,percent of total billed charges,219.0781613,,,,,,,,,,232.75,percent of total billed charges,999999999,,,,,,,,,,232.75,percent of total billed charges,187.9844899,,,,,,,,,,232.75,percent of total billed charges,296.4645039,,,,,,,,,,232.75,percent of total billed charges,999999999,,,,,,,,,,232.75,percent of total billed charges,202.693255,,,,,,,,,,837.9,percent of total billed charges,,,,,
**ENDO LINEER CUTTER TSW45,Local,Local,,,,both,,,2009,2009,427.6838447,2009,2009,percent of total billed charges,1478.092671,,,,2009,percent of total billed charges,1566.749006,,,,2009,percent of total billed charges,1478.092671,,,,2009,percent of total billed charges,1566.749006,,,,2009,percent of total billed charges,999999999,,,,2009,percent of total billed charges,1530.719922,,,,2009,percent of total billed charges,1478.092671,,,,2009,percent of total billed charges,1566.749006,,,,1432.417,percent of total billed charges,714.8022963,,,,1432.417,percent of total billed charges,427.6838447,,,,1432.417,percent of total billed charges,714.8022963,,,,1432.417,percent of total billed charges,427.6838447,,,,1432.417,percent of total billed charges,714.8022963,,,,1432.417,percent of total billed charges,427.6838447,,,,1418.354,percent of total billed charges,1407.592563,,,,1418.354,percent of total billed charges,970.8054338,,,,,,,,,,1446.48,percent of total billed charges,940.1779613,,,,,,,,,,1446.48,percent of total billed charges,999999999,,,,,,,,,,1607.2,percent of total billed charges,1346.750055,,,,1587.11,percent of total billed charges,1531.629451,,,,1587.11,percent of total billed charges,1353.245319,,,,1607.2,percent of total billed charges,999999999,,,,1607.2,percent of total billed charges,999999999,,,,1406.3,percent of total billed charges,999999999,,,,1406.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1068.788,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1014.545,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,502.25,percent of total billed charges,477.0146452,,,,,,,,,,502.25,percent of total billed charges,469.0798311,,,,,,,,,,502.25,percent of total billed charges,467.7762783,,,,,,,,,,502.25,percent of total billed charges,460.8882783,,,,,,,,,,502.25,percent of total billed charges,472.7476113,,,,,,,,,,502.25,percent of total billed charges,999999999,,,,,,,,,,502.25,percent of total billed charges,405.6507414,,,,,,,,,,502.25,percent of total billed charges,639.7391927,,,,,,,,,,502.25,percent of total billed charges,999999999,,,,,,,,,,502.25,percent of total billed charges,437.3907082,,,,,,,,,,1808.1,percent of total billed charges,,,,,
**SURGIPORT 3.5MM CONVERTER,Local,Local,,,,both,,,71,71,15.11476007,71,71,percent of total billed charges,52.23722233,,,,71,percent of total billed charges,55.37042281,,,,71,percent of total billed charges,52.23722233,,,,71,percent of total billed charges,55.37042281,,,,71,percent of total billed charges,999999999,,,,71,percent of total billed charges,54.0971202,,,,71,percent of total billed charges,52.23722233,,,,71,percent of total billed charges,55.37042281,,,,50.623,percent of total billed charges,25.2618034,,,,50.623,percent of total billed charges,15.11476007,,,,50.623,percent of total billed charges,25.2618034,,,,50.623,percent of total billed charges,15.11476007,,,,50.623,percent of total billed charges,25.2618034,,,,50.623,percent of total billed charges,15.11476007,,,,50.126,percent of total billed charges,49.74568041,,,,50.126,percent of total billed charges,34.30920149,,,,,,,,,,51.12,percent of total billed charges,33.22679704,,,,,,,,,,51.12,percent of total billed charges,999999999,,,,,,,,,,56.8,percent of total billed charges,47.59544744,,,,56.09,percent of total billed charges,54.12926383,,,,56.09,percent of total billed charges,47.82499635,,,,56.8,percent of total billed charges,999999999,,,,56.8,percent of total billed charges,999999999,,,,49.7,percent of total billed charges,999999999,,,,49.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,37.772,percent of total billed charges,999999999,,,,,,,,,,,,,,,,35.855,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17.75,percent of total billed charges,16.85815819,,,,,,,,,,17.75,percent of total billed charges,16.5777342,,,,,,,,,,17.75,percent of total billed charges,16.53166539,,,,,,,,,,17.75,percent of total billed charges,16.28823682,,,,,,,,,,17.75,percent of total billed charges,16.70735709,,,,,,,,,,17.75,percent of total billed charges,999999999,,,,,,,,,,17.75,percent of total billed charges,14.33608892,,,,,,,,,,17.75,percent of total billed charges,22.60900084,,,,,,,,,,17.75,percent of total billed charges,999999999,,,,,,,,,,17.75,percent of total billed charges,15.45781,,,,,,,,,,63.9,percent of total billed charges,,,,,
**SURGIPORT 5.5MM CONVERTER,Local,Local,,,,both,,,71,71,15.11476007,71,71,percent of total billed charges,52.23722233,,,,71,percent of total billed charges,55.37042281,,,,71,percent of total billed charges,52.23722233,,,,71,percent of total billed charges,55.37042281,,,,71,percent of total billed charges,999999999,,,,71,percent of total billed charges,54.0971202,,,,71,percent of total billed charges,52.23722233,,,,71,percent of total billed charges,55.37042281,,,,50.623,percent of total billed charges,25.2618034,,,,50.623,percent of total billed charges,15.11476007,,,,50.623,percent of total billed charges,25.2618034,,,,50.623,percent of total billed charges,15.11476007,,,,50.623,percent of total billed charges,25.2618034,,,,50.623,percent of total billed charges,15.11476007,,,,50.126,percent of total billed charges,49.74568041,,,,50.126,percent of total billed charges,34.30920149,,,,,,,,,,51.12,percent of total billed charges,33.22679704,,,,,,,,,,51.12,percent of total billed charges,999999999,,,,,,,,,,56.8,percent of total billed charges,47.59544744,,,,56.09,percent of total billed charges,54.12926383,,,,56.09,percent of total billed charges,47.82499635,,,,56.8,percent of total billed charges,999999999,,,,56.8,percent of total billed charges,999999999,,,,49.7,percent of total billed charges,999999999,,,,49.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,37.772,percent of total billed charges,999999999,,,,,,,,,,,,,,,,35.855,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17.75,percent of total billed charges,16.85815819,,,,,,,,,,17.75,percent of total billed charges,16.5777342,,,,,,,,,,17.75,percent of total billed charges,16.53166539,,,,,,,,,,17.75,percent of total billed charges,16.28823682,,,,,,,,,,17.75,percent of total billed charges,16.70735709,,,,,,,,,,17.75,percent of total billed charges,999999999,,,,,,,,,,17.75,percent of total billed charges,14.33608892,,,,,,,,,,17.75,percent of total billed charges,22.60900084,,,,,,,,,,17.75,percent of total billed charges,999999999,,,,,,,,,,17.75,percent of total billed charges,15.45781,,,,,,,,,,63.9,percent of total billed charges,,,,,
**SURGIGRIP 5MM TROCAR SLEEVE,Local,Local,,,,both,,,110,110,23.41723391,110,110,percent of total billed charges,80.93090783,,,,110,percent of total billed charges,85.7851621,,,,110,percent of total billed charges,80.93090783,,,,110,percent of total billed charges,85.7851621,,,,110,percent of total billed charges,999999999,,,,110,percent of total billed charges,83.81243975,,,,110,percent of total billed charges,80.93090783,,,,110,percent of total billed charges,85.7851621,,,,78.43,percent of total billed charges,39.13800527,,,,78.43,percent of total billed charges,23.41723391,,,,78.43,percent of total billed charges,39.13800527,,,,78.43,percent of total billed charges,23.41723391,,,,78.43,percent of total billed charges,39.13800527,,,,78.43,percent of total billed charges,23.41723391,,,,77.66,percent of total billed charges,77.07077247,,,,77.66,percent of total billed charges,53.1551009,,,,,,,,,,79.2,percent of total billed charges,51.47813626,,,,,,,,,,79.2,percent of total billed charges,999999999,,,,,,,,,,88,percent of total billed charges,73.73942561,,,,86.9,percent of total billed charges,83.86223973,,,,86.9,percent of total billed charges,74.09506477,,,,88,percent of total billed charges,999999999,,,,88,percent of total billed charges,999999999,,,,77,percent of total billed charges,999999999,,,,77,percent of total billed charges,999999999,,,,,,,,,,,,,,,,58.52,percent of total billed charges,999999999,,,,,,,,,,,,,,,,55.55,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,27.5,percent of total billed charges,26.11827325,,,,,,,,,,27.5,percent of total billed charges,25.68381355,,,,,,,,,,27.5,percent of total billed charges,25.61243933,,,,,,,,,,27.5,percent of total billed charges,25.23529647,,,,,,,,,,27.5,percent of total billed charges,25.88463775,,,,,,,,,,27.5,percent of total billed charges,999999999,,,,,,,,,,27.5,percent of total billed charges,22.21084199,,,,,,,,,,27.5,percent of total billed charges,35.02802947,,,,,,,,,,27.5,percent of total billed charges,999999999,,,,,,,,,,27.5,percent of total billed charges,23.94871971,,,,,,,,,,99,percent of total billed charges,,,,,
**SURGIGRIP 10MM TROCAR SLEEVE,Local,Local,,,,both,,,110,110,23.41723391,110,110,percent of total billed charges,80.93090783,,,,110,percent of total billed charges,85.7851621,,,,110,percent of total billed charges,80.93090783,,,,110,percent of total billed charges,85.7851621,,,,110,percent of total billed charges,999999999,,,,110,percent of total billed charges,83.81243975,,,,110,percent of total billed charges,80.93090783,,,,110,percent of total billed charges,85.7851621,,,,78.43,percent of total billed charges,39.13800527,,,,78.43,percent of total billed charges,23.41723391,,,,78.43,percent of total billed charges,39.13800527,,,,78.43,percent of total billed charges,23.41723391,,,,78.43,percent of total billed charges,39.13800527,,,,78.43,percent of total billed charges,23.41723391,,,,77.66,percent of total billed charges,77.07077247,,,,77.66,percent of total billed charges,53.1551009,,,,,,,,,,79.2,percent of total billed charges,51.47813626,,,,,,,,,,79.2,percent of total billed charges,999999999,,,,,,,,,,88,percent of total billed charges,73.73942561,,,,86.9,percent of total billed charges,83.86223973,,,,86.9,percent of total billed charges,74.09506477,,,,88,percent of total billed charges,999999999,,,,88,percent of total billed charges,999999999,,,,77,percent of total billed charges,999999999,,,,77,percent of total billed charges,999999999,,,,,,,,,,,,,,,,58.52,percent of total billed charges,999999999,,,,,,,,,,,,,,,,55.55,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,27.5,percent of total billed charges,26.11827325,,,,,,,,,,27.5,percent of total billed charges,25.68381355,,,,,,,,,,27.5,percent of total billed charges,25.61243933,,,,,,,,,,27.5,percent of total billed charges,25.23529647,,,,,,,,,,27.5,percent of total billed charges,25.88463775,,,,,,,,,,27.5,percent of total billed charges,999999999,,,,,,,,,,27.5,percent of total billed charges,22.21084199,,,,,,,,,,27.5,percent of total billed charges,35.02802947,,,,,,,,,,27.5,percent of total billed charges,999999999,,,,,,,,,,27.5,percent of total billed charges,23.94871971,,,,,,,,,,99,percent of total billed charges,,,,,
**SILASTIC SHEETING FOR NASAL SURGERY,Local,Local,,,,both,,,390,390,83.0247384,390,390,percent of total billed charges,286.936855,,,,390,percent of total billed charges,304.1473929,,,,390,percent of total billed charges,286.936855,,,,390,percent of total billed charges,304.1473929,,,,390,percent of total billed charges,999999999,,,,390,percent of total billed charges,297.1531955,,,,390,percent of total billed charges,286.936855,,,,390,percent of total billed charges,304.1473929,,,,278.07,percent of total billed charges,138.7620187,,,,278.07,percent of total billed charges,83.0247384,,,,278.07,percent of total billed charges,138.7620187,,,,278.07,percent of total billed charges,83.0247384,,,,278.07,percent of total billed charges,138.7620187,,,,278.07,percent of total billed charges,83.0247384,,,,275.34,percent of total billed charges,273.2509206,,,,275.34,percent of total billed charges,188.4589941,,,,,,,,,,280.8,percent of total billed charges,182.5133922,,,,,,,,,,280.8,percent of total billed charges,999999999,,,,,,,,,,312,percent of total billed charges,261.4397817,,,,308.1,percent of total billed charges,297.3297591,,,,308.1,percent of total billed charges,262.7006842,,,,312,percent of total billed charges,999999999,,,,312,percent of total billed charges,999999999,,,,273,percent of total billed charges,999999999,,,,273,percent of total billed charges,999999999,,,,,,,,,,,,,,,,207.48,percent of total billed charges,999999999,,,,,,,,,,,,,,,,196.95,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,97.5,percent of total billed charges,92.60115063,,,,,,,,,,97.5,percent of total billed charges,91.0607935,,,,,,,,,,97.5,percent of total billed charges,90.80773945,,,,,,,,,,97.5,percent of total billed charges,89.47059659,,,,,,,,,,97.5,percent of total billed charges,91.77280657,,,,,,,,,,97.5,percent of total billed charges,999999999,,,,,,,,,,97.5,percent of total billed charges,78.74753068,,,,,,,,,,97.5,percent of total billed charges,124.1902863,,,,,,,,,,97.5,percent of total billed charges,999999999,,,,,,,,,,97.5,percent of total billed charges,84.90909717,,,,,,,,,,351,percent of total billed charges,,,,,
**INTRODUCER SET 10 FR,Local,Local,,,,both,,,322,322,68.54863017,322,322,percent of total billed charges,236.9068393,,,,322,percent of total billed charges,251.1165654,,,,322,percent of total billed charges,236.9068393,,,,322,percent of total billed charges,251.1165654,,,,322,percent of total billed charges,999999999,,,,322,percent of total billed charges,245.3418691,,,,322,percent of total billed charges,236.9068393,,,,322,percent of total billed charges,251.1165654,,,,229.586,percent of total billed charges,114.5676154,,,,229.586,percent of total billed charges,68.54863017,,,,229.586,percent of total billed charges,114.5676154,,,,229.586,percent of total billed charges,68.54863017,,,,229.586,percent of total billed charges,114.5676154,,,,229.586,percent of total billed charges,68.54863017,,,,227.332,percent of total billed charges,225.6071703,,,,227.332,percent of total billed charges,155.5994772,,,,,,,,,,231.84,percent of total billed charges,150.6905443,,,,,,,,,,231.84,percent of total billed charges,999999999,,,,,,,,,,257.6,percent of total billed charges,215.8554095,,,,254.38,percent of total billed charges,245.4876472,,,,254.38,percent of total billed charges,216.8964623,,,,257.6,percent of total billed charges,999999999,,,,257.6,percent of total billed charges,999999999,,,,225.4,percent of total billed charges,999999999,,,,225.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,171.304,percent of total billed charges,999999999,,,,,,,,,,,,,,,,162.61,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,80.5,percent of total billed charges,76.45530898,,,,,,,,,,80.5,percent of total billed charges,75.18352694,,,,,,,,,,80.5,percent of total billed charges,74.97459514,,,,,,,,,,80.5,percent of total billed charges,73.87059513,,,,,,,,,,80.5,percent of total billed charges,75.77139414,,,,,,,,,,80.5,percent of total billed charges,999999999,,,,,,,,,,80.5,percent of total billed charges,65.017192,,,,,,,,,,80.5,percent of total billed charges,102.5365953,,,,,,,,,,80.5,percent of total billed charges,999999999,,,,,,,,,,80.5,percent of total billed charges,70.10443407,,,,,,,,,,289.8,percent of total billed charges,,,,,
**INTRODUCER SET 8.0,C1892,CDM,,,,both,,,379,379,80.68301501,379,379,percent of total billed charges,278.8437642,,,,379,percent of total billed charges,295.5688767,,,,379,percent of total billed charges,278.8437642,,,,379,percent of total billed charges,295.5688767,,,,379,percent of total billed charges,999999999,,,,379,percent of total billed charges,288.7719515,,,,379,percent of total billed charges,278.8437642,,,,379,percent of total billed charges,295.5688767,,,,270.227,percent of total billed charges,134.8482182,,,,270.227,percent of total billed charges,80.68301501,,,,270.227,percent of total billed charges,134.8482182,,,,270.227,percent of total billed charges,80.68301501,,,,270.227,percent of total billed charges,134.8482182,,,,270.227,percent of total billed charges,80.68301501,,,,267.574,percent of total billed charges,265.5438433,,,,267.574,percent of total billed charges,183.143484,,,,,,,,,,272.88,percent of total billed charges,177.3655786,,,,,,,,,,272.88,percent of total billed charges,999999999,,,,,,,,,,303.2,percent of total billed charges,254.0658391,,,,299.41,percent of total billed charges,288.9435351,,,,299.41,percent of total billed charges,255.2911777,,,,303.2,percent of total billed charges,999999999,,,,303.2,percent of total billed charges,999999999,,,,265.3,percent of total billed charges,999999999,,,,265.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,201.628,percent of total billed charges,999999999,,,,,,,,,,,,,,,,191.395,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,94.75,percent of total billed charges,89.9893233,,,,,,,,,,94.75,percent of total billed charges,88.49241214,,,,,,,,,,94.75,percent of total billed charges,88.24649552,,,,,,,,,,94.75,percent of total billed charges,86.94706694,,,,,,,,,,94.75,percent of total billed charges,89.1843428,,,,,,,,,,94.75,percent of total billed charges,999999999,,,,,,,,,,94.75,percent of total billed charges,76.52644649,,,,,,,,,,94.75,percent of total billed charges,120.6874833,,,,,,,,,,94.75,percent of total billed charges,999999999,,,,,,,,,,94.75,percent of total billed charges,82.5142252,,,,,,,,,,341.1,percent of total billed charges,,,,,
**AKER CATHETER,Local,Local,,,,both,,,1478,1478,314.6424702,1478,1478,percent of total billed charges,1087.417107,,,,1478,percent of total billed charges,1152.640633,,,,1478,percent of total billed charges,1087.417107,,,,1478,percent of total billed charges,1152.640633,,,,1478,percent of total billed charges,999999999,,,,1478,percent of total billed charges,1126.134418,,,,1478,percent of total billed charges,1087.417107,,,,1478,percent of total billed charges,1152.640633,,,,1053.814,percent of total billed charges,525.8724708,,,,1053.814,percent of total billed charges,314.6424702,,,,1053.814,percent of total billed charges,525.8724708,,,,1053.814,percent of total billed charges,314.6424702,,,,1053.814,percent of total billed charges,525.8724708,,,,1053.814,percent of total billed charges,314.6424702,,,,1043.468,percent of total billed charges,1035.550925,,,,1043.468,percent of total billed charges,714.2112649,,,,,,,,,,1064.16,percent of total billed charges,691.6789581,,,,,,,,,,1064.16,percent of total billed charges,999999999,,,,,,,,,,1182.4,percent of total billed charges,990.7897368,,,,1167.62,percent of total billed charges,1126.803548,,,,1167.62,percent of total billed charges,995.568234,,,,1182.4,percent of total billed charges,999999999,,,,1182.4,percent of total billed charges,999999999,,,,1034.6,percent of total billed charges,999999999,,,,1034.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,786.296,percent of total billed charges,999999999,,,,,,,,,,,,,,,,746.39,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,369.5,percent of total billed charges,350.934617,,,,,,,,,,369.5,percent of total billed charges,345.0970584,,,,,,,,,,369.5,percent of total billed charges,344.1380485,,,,,,,,,,369.5,percent of total billed charges,339.0706199,,,,,,,,,,369.5,percent of total billed charges,347.7954054,,,,,,,,,,369.5,percent of total billed charges,999999999,,,,,,,,,,369.5,percent of total billed charges,298.4329496,,,,,,,,,,369.5,percent of total billed charges,470.6493414,,,,,,,,,,369.5,percent of total billed charges,999999999,,,,,,,,,,369.5,percent of total billed charges,321.7837067,,,,,,,,,,1330.2,percent of total billed charges,,,,,
**FRED (FOG REDUCTION ELIMINATION DEV),Local,Local,,,,both,,,43,43,9.154009619,43,43,percent of total billed charges,31.63662761,,,,43,percent of total billed charges,33.53419973,,,,43,percent of total billed charges,31.63662761,,,,43,percent of total billed charges,33.53419973,,,,43,percent of total billed charges,999999999,,,,43,percent of total billed charges,32.76304463,,,,43,percent of total billed charges,31.63662761,,,,43,percent of total billed charges,33.53419973,,,,30.659,percent of total billed charges,15.29940206,,,,30.659,percent of total billed charges,9.154009619,,,,30.659,percent of total billed charges,15.29940206,,,,30.659,percent of total billed charges,9.154009619,,,,30.659,percent of total billed charges,15.29940206,,,,30.659,percent of total billed charges,9.154009619,,,,30.358,percent of total billed charges,30.1276656,,,,30.358,percent of total billed charges,20.77881217,,,,,,,,,,30.96,percent of total billed charges,20.12327145,,,,,,,,,,30.96,percent of total billed charges,999999999,,,,,,,,,,34.4,percent of total billed charges,28.82541183,,,,33.97,percent of total billed charges,32.7825119,,,,33.97,percent of total billed charges,28.96443441,,,,34.4,percent of total billed charges,999999999,,,,34.4,percent of total billed charges,999999999,,,,30.1,percent of total billed charges,999999999,,,,30.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,22.876,percent of total billed charges,999999999,,,,,,,,,,,,,,,,21.715,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10.75,percent of total billed charges,10.20987045,,,,,,,,,,10.75,percent of total billed charges,10.04003621,,,,,,,,,,10.75,percent of total billed charges,10.01213538,,,,,,,,,,10.75,percent of total billed charges,9.864706804,,,,,,,,,,10.75,percent of total billed charges,10.11854021,,,,,,,,,,10.75,percent of total billed charges,999999999,,,,,,,,,,10.75,percent of total billed charges,8.68242005,,,,,,,,,,10.75,percent of total billed charges,13.69277516,,,,,,,,,,10.75,percent of total billed charges,999999999,,,,,,,,,,10.75,percent of total billed charges,9.361772252,,,,,,,,,,38.7,percent of total billed charges,,,,,
**ESMARCH III 30-198,Local,Local,,,,both,,,76,76,16.17917979,76,76,percent of total billed charges,55.91589995,,,,76,percent of total billed charges,59.26974836,,,,76,percent of total billed charges,55.91589995,,,,76,percent of total billed charges,59.26974836,,,,76,percent of total billed charges,999999999,,,,76,percent of total billed charges,57.90677655,,,,76,percent of total billed charges,55.91589995,,,,76,percent of total billed charges,59.26974836,,,,54.188,percent of total billed charges,27.04080364,,,,54.188,percent of total billed charges,16.17917979,,,,54.188,percent of total billed charges,27.04080364,,,,54.188,percent of total billed charges,16.17917979,,,,54.188,percent of total billed charges,27.04080364,,,,54.188,percent of total billed charges,16.17917979,,,,53.656,percent of total billed charges,53.24889734,,,,53.656,percent of total billed charges,36.72534244,,,,,,,,,,54.72,percent of total billed charges,35.56671232,,,,,,,,,,54.72,percent of total billed charges,999999999,,,,,,,,,,60.8,percent of total billed charges,50.94723951,,,,60.04,percent of total billed charges,57.94118382,,,,60.04,percent of total billed charges,51.19295384,,,,60.8,percent of total billed charges,999999999,,,,60.8,percent of total billed charges,999999999,,,,53.2,percent of total billed charges,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,40.432,percent of total billed charges,999999999,,,,,,,,,,,,,,,,38.38,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19,percent of total billed charges,18.04535243,,,,,,,,,,19,percent of total billed charges,17.74518027,,,,,,,,,,19,percent of total billed charges,17.69586717,,,,,,,,,,19,percent of total billed charges,17.43529575,,,,,,,,,,19,percent of total billed charges,17.88393154,,,,,,,,,,19,percent of total billed charges,999999999,,,,,,,,,,19,percent of total billed charges,15.34567265,,,,,,,,,,19,percent of total billed charges,24.201184,,,,,,,,,,19,percent of total billed charges,999999999,,,,,,,,,,19,percent of total billed charges,16.54638817,,,,,,,,,,68.4,percent of total billed charges,,,,,
**FLEX MASTER 3775-22-000,Local,Local,,,,both,,,100,100,21.28839446,100,100,percent of total billed charges,73.57355257,,,,100,percent of total billed charges,77.986511,,,,100,percent of total billed charges,73.57355257,,,,100,percent of total billed charges,77.986511,,,,100,percent of total billed charges,999999999,,,,100,percent of total billed charges,76.19312704,,,,100,percent of total billed charges,73.57355257,,,,100,percent of total billed charges,77.986511,,,,71.3,percent of total billed charges,35.58000479,,,,71.3,percent of total billed charges,21.28839446,,,,71.3,percent of total billed charges,35.58000479,,,,71.3,percent of total billed charges,21.28839446,,,,71.3,percent of total billed charges,35.58000479,,,,71.3,percent of total billed charges,21.28839446,,,,70.6,percent of total billed charges,70.06433861,,,,70.6,percent of total billed charges,48.322819,,,,,,,,,,72,percent of total billed charges,46.79830569,,,,,,,,,,72,percent of total billed charges,999999999,,,,,,,,,,80,percent of total billed charges,67.03584146,,,,79,percent of total billed charges,76.23839976,,,,79,percent of total billed charges,67.35914979,,,,80,percent of total billed charges,999999999,,,,80,percent of total billed charges,999999999,,,,70,percent of total billed charges,999999999,,,,70,percent of total billed charges,999999999,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,25,percent of total billed charges,23.74388478,,,,,,,,,,25,percent of total billed charges,23.34892141,,,,,,,,,,25,percent of total billed charges,23.28403576,,,,,,,,,,25,percent of total billed charges,22.94117861,,,,,,,,,,25,percent of total billed charges,23.53148886,,,,,,,,,,25,percent of total billed charges,999999999,,,,,,,,,,25,percent of total billed charges,20.19167453,,,,,,,,,,25,percent of total billed charges,31.84366315,,,,,,,,,,25,percent of total billed charges,999999999,,,,,,,,,,25,percent of total billed charges,21.77156338,,,,,,,,,,90,percent of total billed charges,,,,,
**ARTHROKNIFE BANANA ST SERRATED,Local,Local,,,,both,,,571,571,121.5567324,571,571,percent of total billed charges,420.1049852,,,,571,percent of total billed charges,445.3029778,,,,571,percent of total billed charges,420.1049852,,,,571,percent of total billed charges,445.3029778,,,,571,percent of total billed charges,999999999,,,,571,percent of total billed charges,435.0627554,,,,571,percent of total billed charges,420.1049852,,,,571,percent of total billed charges,445.3029778,,,,407.123,percent of total billed charges,203.1618274,,,,407.123,percent of total billed charges,121.5567324,,,,407.123,percent of total billed charges,203.1618274,,,,407.123,percent of total billed charges,121.5567324,,,,407.123,percent of total billed charges,203.1618274,,,,407.123,percent of total billed charges,121.5567324,,,,403.126,percent of total billed charges,400.0673734,,,,403.126,percent of total billed charges,275.9232965,,,,,,,,,,411.12,percent of total billed charges,267.2183255,,,,,,,,,,411.12,percent of total billed charges,999999999,,,,,,,,,,456.8,percent of total billed charges,382.7746547,,,,451.09,percent of total billed charges,435.3212626,,,,451.09,percent of total billed charges,384.6207453,,,,456.8,percent of total billed charges,999999999,,,,456.8,percent of total billed charges,999999999,,,,399.7,percent of total billed charges,999999999,,,,399.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,303.772,percent of total billed charges,999999999,,,,,,,,,,,,,,,,288.355,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,142.75,percent of total billed charges,135.5775821,,,,,,,,,,142.75,percent of total billed charges,133.3223412,,,,,,,,,,142.75,percent of total billed charges,132.9518442,,,,,,,,,,142.75,percent of total billed charges,130.9941299,,,,,,,,,,142.75,percent of total billed charges,134.3648014,,,,,,,,,,142.75,percent of total billed charges,999999999,,,,,,,,,,142.75,percent of total billed charges,115.2944616,,,,,,,,,,142.75,percent of total billed charges,181.8273166,,,,,,,,,,142.75,percent of total billed charges,999999999,,,,,,,,,,142.75,percent of total billed charges,124.3156269,,,,,,,,,,513.9,percent of total billed charges,,,,,
**ANTERIOR CHAMBER IRRIGATORS,Local,Local,,,,both,,,25,25,5.322098616,25,25,percent of total billed charges,18.39338814,,,,25,percent of total billed charges,19.49662775,,,,25,percent of total billed charges,18.39338814,,,,25,percent of total billed charges,19.49662775,,,,25,percent of total billed charges,999999999,,,,25,percent of total billed charges,19.04828176,,,,25,percent of total billed charges,18.39338814,,,,25,percent of total billed charges,19.49662775,,,,17.825,percent of total billed charges,8.895001198,,,,17.825,percent of total billed charges,5.322098616,,,,17.825,percent of total billed charges,8.895001198,,,,17.825,percent of total billed charges,5.322098616,,,,17.825,percent of total billed charges,8.895001198,,,,17.825,percent of total billed charges,5.322098616,,,,17.65,percent of total billed charges,17.51608465,,,,17.65,percent of total billed charges,12.08070475,,,,,,,,,,18,percent of total billed charges,11.69957642,,,,,,,,,,18,percent of total billed charges,999999999,,,,,,,,,,20,percent of total billed charges,16.75896036,,,,19.75,percent of total billed charges,19.05959994,,,,19.75,percent of total billed charges,16.83978745,,,,20,percent of total billed charges,999999999,,,,20,percent of total billed charges,999999999,,,,17.5,percent of total billed charges,999999999,,,,17.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,13.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,12.625,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6.25,percent of total billed charges,5.935971194,,,,,,,,,,6.25,percent of total billed charges,5.837230352,,,,,,,,,,6.25,percent of total billed charges,5.821008939,,,,,,,,,,6.25,percent of total billed charges,5.735294653,,,,,,,,,,6.25,percent of total billed charges,5.882872216,,,,,,,,,,6.25,percent of total billed charges,999999999,,,,,,,,,,6.25,percent of total billed charges,5.047918634,,,,,,,,,,6.25,percent of total billed charges,7.960915788,,,,,,,,,,6.25,percent of total billed charges,999999999,,,,,,,,,,6.25,percent of total billed charges,5.442890844,,,,,,,,,,22.5,percent of total billed charges,,,,,
**BALANCED SALT SOLUTION 500CC,Local,Local,,,,both,,,295,295,62.80076366,295,295,percent of total billed charges,217.0419801,,,,295,percent of total billed charges,230.0602075,,,,295,percent of total billed charges,217.0419801,,,,295,percent of total billed charges,230.0602075,,,,295,percent of total billed charges,999999999,,,,295,percent of total billed charges,224.7697248,,,,295,percent of total billed charges,217.0419801,,,,295,percent of total billed charges,230.0602075,,,,210.335,percent of total billed charges,104.9610141,,,,210.335,percent of total billed charges,62.80076366,,,,210.335,percent of total billed charges,104.9610141,,,,210.335,percent of total billed charges,62.80076366,,,,210.335,percent of total billed charges,104.9610141,,,,210.335,percent of total billed charges,62.80076366,,,,208.27,percent of total billed charges,206.6897989,,,,208.27,percent of total billed charges,142.5523161,,,,,,,,,,212.4,percent of total billed charges,138.0550018,,,,,,,,,,212.4,percent of total billed charges,999999999,,,,,,,,,,236,percent of total billed charges,197.7557323,,,,233.05,percent of total billed charges,224.9032793,,,,233.05,percent of total billed charges,198.7094919,,,,236,percent of total billed charges,999999999,,,,236,percent of total billed charges,999999999,,,,206.5,percent of total billed charges,999999999,,,,206.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,156.94,percent of total billed charges,999999999,,,,,,,,,,,,,,,,148.975,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,73.75,percent of total billed charges,70.04446009,,,,,,,,,,73.75,percent of total billed charges,68.87931816,,,,,,,,,,73.75,percent of total billed charges,68.68790548,,,,,,,,,,73.75,percent of total billed charges,67.67647691,,,,,,,,,,73.75,percent of total billed charges,69.41789215,,,,,,,,,,73.75,percent of total billed charges,999999999,,,,,,,,,,73.75,percent of total billed charges,59.56543988,,,,,,,,,,73.75,percent of total billed charges,93.9388063,,,,,,,,,,73.75,percent of total billed charges,999999999,,,,,,,,,,73.75,percent of total billed charges,64.22611196,,,,,,,,,,265.5,percent of total billed charges,,,,,
**DOUBLE J STENT,C2617,CDM,,,,both,,,2499,2499,531.9969776,2499,2499,percent of total billed charges,1838.603079,,,,2499,percent of total billed charges,1948.88291,,,,2499,percent of total billed charges,1838.603079,,,,2499,percent of total billed charges,1948.88291,,,,2499,percent of total billed charges,999999999,,,,2499,percent of total billed charges,1904.066245,,,,2499,percent of total billed charges,1838.603079,,,,2499,percent of total billed charges,1948.88291,,,,1781.787,percent of total billed charges,889.1443198,,,,1781.787,percent of total billed charges,531.9969776,,,,1781.787,percent of total billed charges,889.1443198,,,,1781.787,percent of total billed charges,531.9969776,,,,1781.787,percent of total billed charges,889.1443198,,,,1781.787,percent of total billed charges,531.9969776,,,,1764.294,percent of total billed charges,1750.907822,,,,1764.294,percent of total billed charges,1207.587247,,,,,,,,,,1799.28,percent of total billed charges,1169.489659,,,,,,,,,,1799.28,percent of total billed charges,999999999,,,,,,,,,,1999.2,percent of total billed charges,1675.225678,,,,1974.21,percent of total billed charges,1905.19761,,,,1974.21,percent of total billed charges,1683.305153,,,,1999.2,percent of total billed charges,999999999,,,,1999.2,percent of total billed charges,999999999,,,,1749.3,percent of total billed charges,999999999,,,,1749.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1329.468,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1261.995,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,624.75,percent of total billed charges,593.3596806,,,,,,,,,,624.75,percent of total billed charges,583.489546,,,,,,,,,,624.75,percent of total billed charges,581.8680536,,,,,,,,,,624.75,percent of total billed charges,573.3000535,,,,,,,,,,624.75,percent of total billed charges,588.0519067,,,,,,,,,,624.75,percent of total billed charges,999999999,,,,,,,,,,624.75,percent of total billed charges,504.5899466,,,,,,,,,,624.75,percent of total billed charges,795.7731422,,,,,,,,,,624.75,percent of total billed charges,999999999,,,,,,,,,,624.75,percent of total billed charges,544.0713688,,,,,,,,,,2249.1,percent of total billed charges,,,,,
**EYE SUTURE,Local,Local,,,,both,,,197,197,41.93813709,197,197,percent of total billed charges,144.9398986,,,,197,percent of total billed charges,153.6334267,,,,197,percent of total billed charges,144.9398986,,,,197,percent of total billed charges,153.6334267,,,,197,percent of total billed charges,999999999,,,,197,percent of total billed charges,150.1004603,,,,197,percent of total billed charges,144.9398986,,,,197,percent of total billed charges,153.6334267,,,,140.461,percent of total billed charges,70.09260944,,,,140.461,percent of total billed charges,41.93813709,,,,140.461,percent of total billed charges,70.09260944,,,,140.461,percent of total billed charges,41.93813709,,,,140.461,percent of total billed charges,70.09260944,,,,140.461,percent of total billed charges,41.93813709,,,,139.082,percent of total billed charges,138.0267471,,,,139.082,percent of total billed charges,95.19595344,,,,,,,,,,141.84,percent of total billed charges,92.19266221,,,,,,,,,,141.84,percent of total billed charges,999999999,,,,,,,,,,157.6,percent of total billed charges,132.0606077,,,,155.63,percent of total billed charges,150.1896475,,,,155.63,percent of total billed charges,132.6975251,,,,157.6,percent of total billed charges,999999999,,,,157.6,percent of total billed charges,999999999,,,,137.9,percent of total billed charges,999999999,,,,137.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,104.804,percent of total billed charges,999999999,,,,,,,,,,,,,,,,99.485,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,49.25,percent of total billed charges,46.77545301,,,,,,,,,,49.25,percent of total billed charges,45.99737518,,,,,,,,,,49.25,percent of total billed charges,45.86955044,,,,,,,,,,49.25,percent of total billed charges,45.19412187,,,,,,,,,,49.25,percent of total billed charges,46.35703306,,,,,,,,,,49.25,percent of total billed charges,999999999,,,,,,,,,,49.25,percent of total billed charges,39.77759883,,,,,,,,,,49.25,percent of total billed charges,62.73201641,,,,,,,,,,49.25,percent of total billed charges,999999999,,,,,,,,,,49.25,percent of total billed charges,42.88997985,,,,,,,,,,177.3,percent of total billed charges,,,,,
**BSS P  US 500CC,Local,Local,,,,both,,,500,500,106.4419723,500,500,percent of total billed charges,367.8677629,,,,500,percent of total billed charges,389.932555,,,,500,percent of total billed charges,367.8677629,,,,500,percent of total billed charges,389.932555,,,,500,percent of total billed charges,999999999,,,,500,percent of total billed charges,380.9656352,,,,500,percent of total billed charges,367.8677629,,,,500,percent of total billed charges,389.932555,,,,356.5,percent of total billed charges,177.900024,,,,356.5,percent of total billed charges,106.4419723,,,,356.5,percent of total billed charges,177.900024,,,,356.5,percent of total billed charges,106.4419723,,,,356.5,percent of total billed charges,177.900024,,,,356.5,percent of total billed charges,106.4419723,,,,353,percent of total billed charges,350.321693,,,,353,percent of total billed charges,241.614095,,,,,,,,,,360,percent of total billed charges,233.9915284,,,,,,,,,,360,percent of total billed charges,999999999,,,,,,,,,,400,percent of total billed charges,335.1792073,,,,395,percent of total billed charges,381.1919988,,,,395,percent of total billed charges,336.795749,,,,400,percent of total billed charges,999999999,,,,400,percent of total billed charges,999999999,,,,350,percent of total billed charges,999999999,,,,350,percent of total billed charges,999999999,,,,,,,,,,,,,,,,266,percent of total billed charges,999999999,,,,,,,,,,,,,,,,252.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,125,percent of total billed charges,118.7194239,,,,,,,,,,125,percent of total billed charges,116.744607,,,,,,,,,,125,percent of total billed charges,116.4201788,,,,,,,,,,125,percent of total billed charges,114.7058931,,,,,,,,,,125,percent of total billed charges,117.6574443,,,,,,,,,,125,percent of total billed charges,999999999,,,,,,,,,,125,percent of total billed charges,100.9583727,,,,,,,,,,125,percent of total billed charges,159.2183158,,,,,,,,,,125,percent of total billed charges,999999999,,,,,,,,,,125,percent of total billed charges,108.8578169,,,,,,,,,,450,percent of total billed charges,,,,,
**EYE MALYUGIN PUPIL EXPANSION RING,Local,Local,,,,both,,,2573,2573,547.7503895,2573,2573,percent of total billed charges,1893.047508,,,,2573,percent of total billed charges,2006.592928,,,,2573,percent of total billed charges,1893.047508,,,,2573,percent of total billed charges,2006.592928,,,,2573,percent of total billed charges,999999999,,,,2573,percent of total billed charges,1960.449159,,,,2573,percent of total billed charges,1893.047508,,,,2573,percent of total billed charges,2006.592928,,,,1834.549,percent of total billed charges,915.4735233,,,,1834.549,percent of total billed charges,547.7503895,,,,1834.549,percent of total billed charges,915.4735233,,,,1834.549,percent of total billed charges,547.7503895,,,,1834.549,percent of total billed charges,915.4735233,,,,1834.549,percent of total billed charges,547.7503895,,,,1816.538,percent of total billed charges,1802.755432,,,,1816.538,percent of total billed charges,1243.346133,,,,,,,,,,1852.56,percent of total billed charges,1204.120405,,,,,,,,,,1852.56,percent of total billed charges,999999999,,,,,,,,,,2058.4,percent of total billed charges,1724.832201,,,,2032.67,percent of total billed charges,1961.614026,,,,2032.67,percent of total billed charges,1733.150924,,,,2058.4,percent of total billed charges,999999999,,,,2058.4,percent of total billed charges,999999999,,,,1801.1,percent of total billed charges,999999999,,,,1801.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1368.836,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1299.365,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,643.25,percent of total billed charges,610.9301553,,,,,,,,,,643.25,percent of total billed charges,600.7677479,,,,,,,,,,643.25,percent of total billed charges,599.09824,,,,,,,,,,643.25,percent of total billed charges,590.2765257,,,,,,,,,,643.25,percent of total billed charges,605.4652085,,,,,,,,,,643.25,percent of total billed charges,999999999,,,,,,,,,,643.25,percent of total billed charges,519.5317858,,,,,,,,,,643.25,percent of total billed charges,819.3374529,,,,,,,,,,643.25,percent of total billed charges,999999999,,,,,,,,,,643.25,percent of total billed charges,560.1823257,,,,,,,,,,2315.7,percent of total billed charges,,,,,
**IOL ALLERGAN AC21B,Local,Local,,,,both,,,976,976,207.77473,976,976,percent of total billed charges,718.0778731,,,,976,percent of total billed charges,761.1483474,,,,976,percent of total billed charges,718.0778731,,,,976,percent of total billed charges,761.1483474,,,,976,percent of total billed charges,999999999,,,,976,percent of total billed charges,743.6449199,,,,976,percent of total billed charges,718.0778731,,,,976,percent of total billed charges,761.1483474,,,,695.888,percent of total billed charges,347.2608468,,,,695.888,percent of total billed charges,207.77473,,,,695.888,percent of total billed charges,347.2608468,,,,695.888,percent of total billed charges,207.77473,,,,695.888,percent of total billed charges,347.2608468,,,,695.888,percent of total billed charges,207.77473,,,,689.056,percent of total billed charges,683.8279448,,,,689.056,percent of total billed charges,471.6307135,,,,,,,,,,702.72,percent of total billed charges,456.7514635,,,,,,,,,,702.72,percent of total billed charges,999999999,,,,,,,,,,780.8,percent of total billed charges,654.2698126,,,,771.04,percent of total billed charges,744.0867816,,,,771.04,percent of total billed charges,657.425302,,,,780.8,percent of total billed charges,999999999,,,,780.8,percent of total billed charges,999999999,,,,683.2,percent of total billed charges,999999999,,,,683.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,519.232,percent of total billed charges,999999999,,,,,,,,,,,,,,,,492.88,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,244,percent of total billed charges,231.7403154,,,,,,,,,,244,percent of total billed charges,227.885473,,,,,,,,,,244,percent of total billed charges,227.252189,,,,,,,,,,244,percent of total billed charges,223.9059033,,,,,,,,,,244,percent of total billed charges,229.6673313,,,,,,,,,,244,percent of total billed charges,999999999,,,,,,,,,,244,percent of total billed charges,197.0707435,,,,,,,,,,244,percent of total billed charges,310.7941524,,,,,,,,,,244,percent of total billed charges,999999999,,,,,,,,,,244,percent of total billed charges,212.4904586,,,,,,,,,,878.4,percent of total billed charges,,,,,
**IOL ALCON CZ60BD,Local,Local,,,,both,,,1507,1507,320.8161045,1507,1507,percent of total billed charges,1108.753437,,,,1507,percent of total billed charges,1175.256721,,,,1507,percent of total billed charges,1108.753437,,,,1507,percent of total billed charges,1175.256721,,,,1507,percent of total billed charges,999999999,,,,1507,percent of total billed charges,1148.230425,,,,1507,percent of total billed charges,1108.753437,,,,1507,percent of total billed charges,1175.256721,,,,1074.491,percent of total billed charges,536.1906722,,,,1074.491,percent of total billed charges,320.8161045,,,,1074.491,percent of total billed charges,536.1906722,,,,1074.491,percent of total billed charges,320.8161045,,,,1074.491,percent of total billed charges,536.1906722,,,,1074.491,percent of total billed charges,320.8161045,,,,1063.942,percent of total billed charges,1055.869583,,,,1063.942,percent of total billed charges,728.2248824,,,,,,,,,,1085.04,percent of total billed charges,705.2504667,,,,,,,,,,1085.04,percent of total billed charges,999999999,,,,,,,,,,1205.6,percent of total billed charges,1010.230131,,,,1190.53,percent of total billed charges,1148.912684,,,,1190.53,percent of total billed charges,1015.102387,,,,1205.6,percent of total billed charges,999999999,,,,1205.6,percent of total billed charges,999999999,,,,1054.9,percent of total billed charges,999999999,,,,1054.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,801.724,percent of total billed charges,999999999,,,,,,,,,,,,,,,,761.035,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,376.75,percent of total billed charges,357.8203436,,,,,,,,,,376.75,percent of total billed charges,351.8682456,,,,,,,,,,376.75,percent of total billed charges,350.8904188,,,,,,,,,,376.75,percent of total billed charges,345.7235617,,,,,,,,,,376.75,percent of total billed charges,354.6195372,,,,,,,,,,376.75,percent of total billed charges,999999999,,,,,,,,,,376.75,percent of total billed charges,304.2885352,,,,,,,,,,376.75,percent of total billed charges,479.8840037,,,,,,,,,,376.75,percent of total billed charges,999999999,,,,,,,,,,376.75,percent of total billed charges,328.0974601,,,,,,,,,,1356.3,percent of total billed charges,,,,,
**IOL STORZ PO47UV,Local,Local,,,,both,,,976,976,207.77473,976,976,percent of total billed charges,718.0778731,,,,976,percent of total billed charges,761.1483474,,,,976,percent of total billed charges,718.0778731,,,,976,percent of total billed charges,761.1483474,,,,976,percent of total billed charges,999999999,,,,976,percent of total billed charges,743.6449199,,,,976,percent of total billed charges,718.0778731,,,,976,percent of total billed charges,761.1483474,,,,695.888,percent of total billed charges,347.2608468,,,,695.888,percent of total billed charges,207.77473,,,,695.888,percent of total billed charges,347.2608468,,,,695.888,percent of total billed charges,207.77473,,,,695.888,percent of total billed charges,347.2608468,,,,695.888,percent of total billed charges,207.77473,,,,689.056,percent of total billed charges,683.8279448,,,,689.056,percent of total billed charges,471.6307135,,,,,,,,,,702.72,percent of total billed charges,456.7514635,,,,,,,,,,702.72,percent of total billed charges,999999999,,,,,,,,,,780.8,percent of total billed charges,654.2698126,,,,771.04,percent of total billed charges,744.0867816,,,,771.04,percent of total billed charges,657.425302,,,,780.8,percent of total billed charges,999999999,,,,780.8,percent of total billed charges,999999999,,,,683.2,percent of total billed charges,999999999,,,,683.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,519.232,percent of total billed charges,999999999,,,,,,,,,,,,,,,,492.88,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,244,percent of total billed charges,231.7403154,,,,,,,,,,244,percent of total billed charges,227.885473,,,,,,,,,,244,percent of total billed charges,227.252189,,,,,,,,,,244,percent of total billed charges,223.9059033,,,,,,,,,,244,percent of total billed charges,229.6673313,,,,,,,,,,244,percent of total billed charges,999999999,,,,,,,,,,244,percent of total billed charges,197.0707435,,,,,,,,,,244,percent of total billed charges,310.7941524,,,,,,,,,,244,percent of total billed charges,999999999,,,,,,,,,,244,percent of total billed charges,212.4904586,,,,,,,,,,878.4,percent of total billed charges,,,,,
**KNOWLES PINS,C1713,CDM,,,,both,,,244,244,51.94368249,244,244,percent of total billed charges,179.5194683,,,,244,percent of total billed charges,190.2870868,,,,244,percent of total billed charges,179.5194683,,,,244,percent of total billed charges,190.2870868,,,,244,percent of total billed charges,999999999,,,,244,percent of total billed charges,185.91123,,,,244,percent of total billed charges,179.5194683,,,,244,percent of total billed charges,190.2870868,,,,173.972,percent of total billed charges,86.81521169,,,,173.972,percent of total billed charges,51.94368249,,,,173.972,percent of total billed charges,86.81521169,,,,173.972,percent of total billed charges,51.94368249,,,,173.972,percent of total billed charges,86.81521169,,,,173.972,percent of total billed charges,51.94368249,,,,172.264,percent of total billed charges,170.9569862,,,,172.264,percent of total billed charges,117.9076784,,,,,,,,,,175.68,percent of total billed charges,114.1878659,,,,,,,,,,175.68,percent of total billed charges,999999999,,,,,,,,,,195.2,percent of total billed charges,163.5674532,,,,192.76,percent of total billed charges,186.0216954,,,,192.76,percent of total billed charges,164.3563255,,,,195.2,percent of total billed charges,999999999,,,,195.2,percent of total billed charges,999999999,,,,170.8,percent of total billed charges,999999999,,,,170.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,129.808,percent of total billed charges,999999999,,,,,,,,,,,,,,,,123.22,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,61,percent of total billed charges,57.93507885,,,,,,,,,,61,percent of total billed charges,56.97136824,,,,,,,,,,61,percent of total billed charges,56.81304725,,,,,,,,,,61,percent of total billed charges,55.97647582,,,,,,,,,,61,percent of total billed charges,57.41683283,,,,,,,,,,61,percent of total billed charges,999999999,,,,,,,,,,61,percent of total billed charges,49.26768586,,,,,,,,,,61,percent of total billed charges,77.69853809,,,,,,,,,,61,percent of total billed charges,999999999,,,,,,,,,,61,percent of total billed charges,53.12261464,,,,,,,,,,219.6,percent of total billed charges,,,,,
**IOL STORZ P389UV,Local,Local,,,,both,,,976,976,207.77473,976,976,percent of total billed charges,718.0778731,,,,976,percent of total billed charges,761.1483474,,,,976,percent of total billed charges,718.0778731,,,,976,percent of total billed charges,761.1483474,,,,976,percent of total billed charges,999999999,,,,976,percent of total billed charges,743.6449199,,,,976,percent of total billed charges,718.0778731,,,,976,percent of total billed charges,761.1483474,,,,695.888,percent of total billed charges,347.2608468,,,,695.888,percent of total billed charges,207.77473,,,,695.888,percent of total billed charges,347.2608468,,,,695.888,percent of total billed charges,207.77473,,,,695.888,percent of total billed charges,347.2608468,,,,695.888,percent of total billed charges,207.77473,,,,689.056,percent of total billed charges,683.8279448,,,,689.056,percent of total billed charges,471.6307135,,,,,,,,,,702.72,percent of total billed charges,456.7514635,,,,,,,,,,702.72,percent of total billed charges,999999999,,,,,,,,,,780.8,percent of total billed charges,654.2698126,,,,771.04,percent of total billed charges,744.0867816,,,,771.04,percent of total billed charges,657.425302,,,,780.8,percent of total billed charges,999999999,,,,780.8,percent of total billed charges,999999999,,,,683.2,percent of total billed charges,999999999,,,,683.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,519.232,percent of total billed charges,999999999,,,,,,,,,,,,,,,,492.88,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,244,percent of total billed charges,231.7403154,,,,,,,,,,244,percent of total billed charges,227.885473,,,,,,,,,,244,percent of total billed charges,227.252189,,,,,,,,,,244,percent of total billed charges,223.9059033,,,,,,,,,,244,percent of total billed charges,229.6673313,,,,,,,,,,244,percent of total billed charges,999999999,,,,,,,,,,244,percent of total billed charges,197.0707435,,,,,,,,,,244,percent of total billed charges,310.7941524,,,,,,,,,,244,percent of total billed charges,999999999,,,,,,,,,,244,percent of total billed charges,212.4904586,,,,,,,,,,878.4,percent of total billed charges,,,,,
**MALECOT CATHETER,Local,Local,,,,both,,,52,52,11.06996512,52,52,percent of total billed charges,38.25824734,,,,52,percent of total billed charges,40.55298572,,,,52,percent of total billed charges,38.25824734,,,,52,percent of total billed charges,40.55298572,,,,52,percent of total billed charges,999999999,,,,52,percent of total billed charges,39.62042606,,,,52,percent of total billed charges,38.25824734,,,,52,percent of total billed charges,40.55298572,,,,37.076,percent of total billed charges,18.50160249,,,,37.076,percent of total billed charges,11.06996512,,,,37.076,percent of total billed charges,18.50160249,,,,37.076,percent of total billed charges,11.06996512,,,,37.076,percent of total billed charges,18.50160249,,,,37.076,percent of total billed charges,11.06996512,,,,36.712,percent of total billed charges,36.43345608,,,,36.712,percent of total billed charges,25.12786588,,,,,,,,,,37.44,percent of total billed charges,24.33511896,,,,,,,,,,37.44,percent of total billed charges,999999999,,,,,,,,,,41.6,percent of total billed charges,34.85863756,,,,41.08,percent of total billed charges,39.64396787,,,,41.08,percent of total billed charges,35.02675789,,,,41.6,percent of total billed charges,999999999,,,,41.6,percent of total billed charges,999999999,,,,36.4,percent of total billed charges,999999999,,,,36.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,27.664,percent of total billed charges,999999999,,,,,,,,,,,,,,,,26.26,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13,percent of total billed charges,12.34682008,,,,,,,,,,13,percent of total billed charges,12.14143913,,,,,,,,,,13,percent of total billed charges,12.10769859,,,,,,,,,,13,percent of total billed charges,11.92941288,,,,,,,,,,13,percent of total billed charges,12.23637421,,,,,,,,,,13,percent of total billed charges,999999999,,,,,,,,,,13,percent of total billed charges,10.49967076,,,,,,,,,,13,percent of total billed charges,16.55870484,,,,,,,,,,13,percent of total billed charges,999999999,,,,,,,,,,13,percent of total billed charges,11.32121296,,,,,,,,,,46.8,percent of total billed charges,,,,,
**IOL ALLERGAN S130NB,Local,Local,,,,both,,,1375,1375,292.7154239,1375,1375,percent of total billed charges,1011.636348,,,,1375,percent of total billed charges,1072.314526,,,,1375,percent of total billed charges,1011.636348,,,,1375,percent of total billed charges,1072.314526,,,,1375,percent of total billed charges,999999999,,,,1375,percent of total billed charges,1047.655497,,,,1375,percent of total billed charges,1011.636348,,,,1375,percent of total billed charges,1072.314526,,,,980.375,percent of total billed charges,489.2250659,,,,980.375,percent of total billed charges,292.7154239,,,,980.375,percent of total billed charges,489.2250659,,,,980.375,percent of total billed charges,292.7154239,,,,980.375,percent of total billed charges,489.2250659,,,,980.375,percent of total billed charges,292.7154239,,,,970.75,percent of total billed charges,963.3846558,,,,970.75,percent of total billed charges,664.4387613,,,,,,,,,,990,percent of total billed charges,643.4767032,,,,,,,,,,990,percent of total billed charges,999999999,,,,,,,,,,1100,percent of total billed charges,921.7428201,,,,1086.25,percent of total billed charges,1048.277997,,,,1086.25,percent of total billed charges,926.1883097,,,,1100,percent of total billed charges,999999999,,,,1100,percent of total billed charges,999999999,,,,962.5,percent of total billed charges,999999999,,,,962.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,731.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,694.375,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,343.75,percent of total billed charges,326.4784157,,,,,,,,,,343.75,percent of total billed charges,321.0476694,,,,,,,,,,343.75,percent of total billed charges,320.1554916,,,,,,,,,,343.75,percent of total billed charges,315.4412059,,,,,,,,,,343.75,percent of total billed charges,323.5579719,,,,,,,,,,343.75,percent of total billed charges,999999999,,,,,,,,,,343.75,percent of total billed charges,277.6355248,,,,,,,,,,343.75,percent of total billed charges,437.8503683,,,,,,,,,,343.75,percent of total billed charges,999999999,,,,,,,,,,343.75,percent of total billed charges,299.3589964,,,,,,,,,,1237.5,percent of total billed charges,,,,,
**MILLER GS FILTER (MILLIPORE),Local,Local,,,,both,,,27,27,5.747866505,27,27,percent of total billed charges,19.86485919,,,,27,percent of total billed charges,21.05635797,,,,27,percent of total billed charges,19.86485919,,,,27,percent of total billed charges,21.05635797,,,,27,percent of total billed charges,999999999,,,,27,percent of total billed charges,20.5721443,,,,27,percent of total billed charges,19.86485919,,,,27,percent of total billed charges,21.05635797,,,,19.251,percent of total billed charges,9.606601294,,,,19.251,percent of total billed charges,5.747866505,,,,19.251,percent of total billed charges,9.606601294,,,,19.251,percent of total billed charges,5.747866505,,,,19.251,percent of total billed charges,9.606601294,,,,19.251,percent of total billed charges,5.747866505,,,,19.062,percent of total billed charges,18.91737142,,,,19.062,percent of total billed charges,13.04716113,,,,,,,,,,19.44,percent of total billed charges,12.63554254,,,,,,,,,,19.44,percent of total billed charges,999999999,,,,,,,,,,21.6,percent of total billed charges,18.09967719,,,,21.33,percent of total billed charges,20.58436793,,,,21.33,percent of total billed charges,18.18697044,,,,21.6,percent of total billed charges,999999999,,,,21.6,percent of total billed charges,999999999,,,,18.9,percent of total billed charges,999999999,,,,18.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,14.364,percent of total billed charges,999999999,,,,,,,,,,,,,,,,13.635,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6.75,percent of total billed charges,6.41084889,,,,,,,,,,6.75,percent of total billed charges,6.30420878,,,,,,,,,,6.75,percent of total billed charges,6.286689654,,,,,,,,,,6.75,percent of total billed charges,6.194118226,,,,,,,,,,6.75,percent of total billed charges,6.353501993,,,,,,,,,,6.75,percent of total billed charges,999999999,,,,,,,,,,6.75,percent of total billed charges,5.451752124,,,,,,,,,,6.75,percent of total billed charges,8.597789051,,,,,,,,,,6.75,percent of total billed charges,999999999,,,,,,,,,,6.75,percent of total billed charges,5.878322112,,,,,,,,,,24.3,percent of total billed charges,,,,,
**ESOPHOGEAL LIGATOR,Local,Local,,,,both,,,3227,3227,686.9764893,3227,3227,percent of total billed charges,2374.218542,,,,3227,percent of total billed charges,2516.62471,,,,3227,percent of total billed charges,2374.218542,,,,3227,percent of total billed charges,2516.62471,,,,3227,percent of total billed charges,999999999,,,,3227,percent of total billed charges,2458.75221,,,,3227,percent of total billed charges,2374.218542,,,,3227,percent of total billed charges,2516.62471,,,,2300.851,percent of total billed charges,1148.166755,,,,2300.851,percent of total billed charges,686.9764893,,,,2300.851,percent of total billed charges,1148.166755,,,,2300.851,percent of total billed charges,686.9764893,,,,2300.851,percent of total billed charges,1148.166755,,,,2300.851,percent of total billed charges,686.9764893,,,,2278.262,percent of total billed charges,2260.976207,,,,2278.262,percent of total billed charges,1559.377369,,,,,,,,,,2323.44,percent of total billed charges,1510.181325,,,,,,,,,,2323.44,percent of total billed charges,999999999,,,,,,,,,,2581.6,percent of total billed charges,2163.246604,,,,2549.33,percent of total billed charges,2460.21316,,,,2549.33,percent of total billed charges,2173.679764,,,,2581.6,percent of total billed charges,999999999,,,,2581.6,percent of total billed charges,999999999,,,,2258.9,percent of total billed charges,999999999,,,,2258.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1716.764,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1629.635,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,806.75,percent of total billed charges,766.2151617,,,,,,,,,,806.75,percent of total billed charges,753.4696939,,,,,,,,,,806.75,percent of total billed charges,751.3758339,,,,,,,,,,806.75,percent of total billed charges,740.3118338,,,,,,,,,,806.75,percent of total billed charges,759.3611457,,,,,,,,,,806.75,percent of total billed charges,999999999,,,,,,,,,,806.75,percent of total billed charges,651.5853372,,,,,,,,,,806.75,percent of total billed charges,1027.59501,,,,,,,,,,806.75,percent of total billed charges,999999999,,,,,,,,,,806.75,percent of total billed charges,702.5683502,,,,,,,,,,2904.3,percent of total billed charges,,,,,
**MICROSCOPE,Local,Local,,,,both,,,186,186,39.5964137,186,186,percent of total billed charges,136.8468078,,,,186,percent of total billed charges,145.0549105,,,,186,percent of total billed charges,136.8468078,,,,186,percent of total billed charges,145.0549105,,,,186,percent of total billed charges,999999999,,,,186,percent of total billed charges,141.7192163,,,,186,percent of total billed charges,136.8468078,,,,186,percent of total billed charges,145.0549105,,,,132.618,percent of total billed charges,66.17880891,,,,132.618,percent of total billed charges,39.5964137,,,,132.618,percent of total billed charges,66.17880891,,,,132.618,percent of total billed charges,39.5964137,,,,132.618,percent of total billed charges,66.17880891,,,,132.618,percent of total billed charges,39.5964137,,,,131.316,percent of total billed charges,130.3196698,,,,131.316,percent of total billed charges,89.88044335,,,,,,,,,,133.92,percent of total billed charges,87.04484858,,,,,,,,,,133.92,percent of total billed charges,999999999,,,,,,,,,,148.8,percent of total billed charges,124.6866651,,,,146.94,percent of total billed charges,141.8034236,,,,146.94,percent of total billed charges,125.2880186,,,,148.8,percent of total billed charges,999999999,,,,148.8,percent of total billed charges,999999999,,,,130.2,percent of total billed charges,999999999,,,,130.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,98.952,percent of total billed charges,999999999,,,,,,,,,,,,,,,,93.93,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,46.5,percent of total billed charges,44.16362568,,,,,,,,,,46.5,percent of total billed charges,43.42899382,,,,,,,,,,46.5,percent of total billed charges,43.30830651,,,,,,,,,,46.5,percent of total billed charges,42.67059222,,,,,,,,,,46.5,percent of total billed charges,43.76856929,,,,,,,,,,46.5,percent of total billed charges,999999999,,,,,,,,,,46.5,percent of total billed charges,37.55651463,,,,,,,,,,46.5,percent of total billed charges,59.22921346,,,,,,,,,,46.5,percent of total billed charges,999999999,,,,,,,,,,46.5,percent of total billed charges,40.49510788,,,,,,,,,,167.4,percent of total billed charges,,,,,
**MICROSCOPE DRAPE,Local,Local,,,,both,,,191,191,40.66083342,191,191,percent of total billed charges,140.5254854,,,,191,percent of total billed charges,148.954236,,,,191,percent of total billed charges,140.5254854,,,,191,percent of total billed charges,148.954236,,,,191,percent of total billed charges,999999999,,,,191,percent of total billed charges,145.5288727,,,,191,percent of total billed charges,140.5254854,,,,191,percent of total billed charges,148.954236,,,,136.183,percent of total billed charges,67.95780915,,,,136.183,percent of total billed charges,40.66083342,,,,136.183,percent of total billed charges,67.95780915,,,,136.183,percent of total billed charges,40.66083342,,,,136.183,percent of total billed charges,67.95780915,,,,136.183,percent of total billed charges,40.66083342,,,,134.846,percent of total billed charges,133.8228867,,,,134.846,percent of total billed charges,92.2965843,,,,,,,,,,137.52,percent of total billed charges,89.38476386,,,,,,,,,,137.52,percent of total billed charges,999999999,,,,,,,,,,152.8,percent of total billed charges,128.0384572,,,,150.89,percent of total billed charges,145.6153435,,,,150.89,percent of total billed charges,128.6559761,,,,152.8,percent of total billed charges,999999999,,,,152.8,percent of total billed charges,999999999,,,,133.7,percent of total billed charges,999999999,,,,133.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,101.612,percent of total billed charges,999999999,,,,,,,,,,,,,,,,96.455,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,47.75,percent of total billed charges,45.35081992,,,,,,,,,,47.75,percent of total billed charges,44.59643989,,,,,,,,,,47.75,percent of total billed charges,44.47250829,,,,,,,,,,47.75,percent of total billed charges,43.81765115,,,,,,,,,,47.75,percent of total billed charges,44.94514373,,,,,,,,,,47.75,percent of total billed charges,999999999,,,,,,,,,,47.75,percent of total billed charges,38.56609836,,,,,,,,,,47.75,percent of total billed charges,60.82139662,,,,,,,,,,47.75,percent of total billed charges,999999999,,,,,,,,,,47.75,percent of total billed charges,41.58368605,,,,,,,,,,171.9,percent of total billed charges,,,,,
**MANNITOL 3000,Local,Local,,,,both,,,116,116,24.69453758,116,116,percent of total billed charges,85.34532098,,,,116,percent of total billed charges,90.46435276,,,,116,percent of total billed charges,85.34532098,,,,116,percent of total billed charges,90.46435276,,,,116,percent of total billed charges,999999999,,,,116,percent of total billed charges,88.38402737,,,,116,percent of total billed charges,85.34532098,,,,116,percent of total billed charges,90.46435276,,,,82.708,percent of total billed charges,41.27280556,,,,82.708,percent of total billed charges,24.69453758,,,,82.708,percent of total billed charges,41.27280556,,,,82.708,percent of total billed charges,24.69453758,,,,82.708,percent of total billed charges,41.27280556,,,,82.708,percent of total billed charges,24.69453758,,,,81.896,percent of total billed charges,81.27463278,,,,81.896,percent of total billed charges,56.05447004,,,,,,,,,,83.52,percent of total billed charges,54.2860346,,,,,,,,,,83.52,percent of total billed charges,999999999,,,,,,,,,,92.8,percent of total billed charges,77.76157609,,,,91.64,percent of total billed charges,88.43654372,,,,91.64,percent of total billed charges,78.13661376,,,,92.8,percent of total billed charges,999999999,,,,92.8,percent of total billed charges,999999999,,,,81.2,percent of total billed charges,999999999,,,,81.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,61.712,percent of total billed charges,999999999,,,,,,,,,,,,,,,,58.58,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,29,percent of total billed charges,27.54290634,,,,,,,,,,29,percent of total billed charges,27.08474883,,,,,,,,,,29,percent of total billed charges,27.00948148,,,,,,,,,,29,percent of total billed charges,26.61176719,,,,,,,,,,29,percent of total billed charges,27.29652708,,,,,,,,,,29,percent of total billed charges,999999999,,,,,,,,,,29,percent of total billed charges,23.42234246,,,,,,,,,,29,percent of total billed charges,36.93864926,,,,,,,,,,29,percent of total billed charges,999999999,,,,,,,,,,29,percent of total billed charges,25.25501352,,,,,,,,,,104.4,percent of total billed charges,,,,,
**IOL PHARMACIA UV65B,Local,Local,,,,both,,,1507,1507,320.8161045,1507,1507,percent of total billed charges,1108.753437,,,,1507,percent of total billed charges,1175.256721,,,,1507,percent of total billed charges,1108.753437,,,,1507,percent of total billed charges,1175.256721,,,,1507,percent of total billed charges,999999999,,,,1507,percent of total billed charges,1148.230425,,,,1507,percent of total billed charges,1108.753437,,,,1507,percent of total billed charges,1175.256721,,,,1074.491,percent of total billed charges,536.1906722,,,,1074.491,percent of total billed charges,320.8161045,,,,1074.491,percent of total billed charges,536.1906722,,,,1074.491,percent of total billed charges,320.8161045,,,,1074.491,percent of total billed charges,536.1906722,,,,1074.491,percent of total billed charges,320.8161045,,,,1063.942,percent of total billed charges,1055.869583,,,,1063.942,percent of total billed charges,728.2248824,,,,,,,,,,1085.04,percent of total billed charges,705.2504667,,,,,,,,,,1085.04,percent of total billed charges,999999999,,,,,,,,,,1205.6,percent of total billed charges,1010.230131,,,,1190.53,percent of total billed charges,1148.912684,,,,1190.53,percent of total billed charges,1015.102387,,,,1205.6,percent of total billed charges,999999999,,,,1205.6,percent of total billed charges,999999999,,,,1054.9,percent of total billed charges,999999999,,,,1054.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,801.724,percent of total billed charges,999999999,,,,,,,,,,,,,,,,761.035,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,376.75,percent of total billed charges,357.8203436,,,,,,,,,,376.75,percent of total billed charges,351.8682456,,,,,,,,,,376.75,percent of total billed charges,350.8904188,,,,,,,,,,376.75,percent of total billed charges,345.7235617,,,,,,,,,,376.75,percent of total billed charges,354.6195372,,,,,,,,,,376.75,percent of total billed charges,999999999,,,,,,,,,,376.75,percent of total billed charges,304.2885352,,,,,,,,,,376.75,percent of total billed charges,479.8840037,,,,,,,,,,376.75,percent of total billed charges,999999999,,,,,,,,,,376.75,percent of total billed charges,328.0974601,,,,,,,,,,1356.3,percent of total billed charges,,,,,
**IOL STORZ P534UV,Local,Local,,,,both,,,976,976,207.77473,976,976,percent of total billed charges,718.0778731,,,,976,percent of total billed charges,761.1483474,,,,976,percent of total billed charges,718.0778731,,,,976,percent of total billed charges,761.1483474,,,,976,percent of total billed charges,999999999,,,,976,percent of total billed charges,743.6449199,,,,976,percent of total billed charges,718.0778731,,,,976,percent of total billed charges,761.1483474,,,,695.888,percent of total billed charges,347.2608468,,,,695.888,percent of total billed charges,207.77473,,,,695.888,percent of total billed charges,347.2608468,,,,695.888,percent of total billed charges,207.77473,,,,695.888,percent of total billed charges,347.2608468,,,,695.888,percent of total billed charges,207.77473,,,,689.056,percent of total billed charges,683.8279448,,,,689.056,percent of total billed charges,471.6307135,,,,,,,,,,702.72,percent of total billed charges,456.7514635,,,,,,,,,,702.72,percent of total billed charges,999999999,,,,,,,,,,780.8,percent of total billed charges,654.2698126,,,,771.04,percent of total billed charges,744.0867816,,,,771.04,percent of total billed charges,657.425302,,,,780.8,percent of total billed charges,999999999,,,,780.8,percent of total billed charges,999999999,,,,683.2,percent of total billed charges,999999999,,,,683.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,519.232,percent of total billed charges,999999999,,,,,,,,,,,,,,,,492.88,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,244,percent of total billed charges,231.7403154,,,,,,,,,,244,percent of total billed charges,227.885473,,,,,,,,,,244,percent of total billed charges,227.252189,,,,,,,,,,244,percent of total billed charges,223.9059033,,,,,,,,,,244,percent of total billed charges,229.6673313,,,,,,,,,,244,percent of total billed charges,999999999,,,,,,,,,,244,percent of total billed charges,197.0707435,,,,,,,,,,244,percent of total billed charges,310.7941524,,,,,,,,,,244,percent of total billed charges,999999999,,,,,,,,,,244,percent of total billed charges,212.4904586,,,,,,,,,,878.4,percent of total billed charges,,,,,
**STONE BASKET PFISTER,Local,Local,,,,both,,,543,543,115.5959819,543,543,percent of total billed charges,399.5043905,,,,543,percent of total billed charges,423.4667547,,,,543,percent of total billed charges,399.5043905,,,,543,percent of total billed charges,423.4667547,,,,543,percent of total billed charges,999999999,,,,543,percent of total billed charges,413.7286798,,,,543,percent of total billed charges,399.5043905,,,,543,percent of total billed charges,423.4667547,,,,387.159,percent of total billed charges,193.199426,,,,387.159,percent of total billed charges,115.5959819,,,,387.159,percent of total billed charges,193.199426,,,,387.159,percent of total billed charges,115.5959819,,,,387.159,percent of total billed charges,193.199426,,,,387.159,percent of total billed charges,115.5959819,,,,383.358,percent of total billed charges,380.4493586,,,,383.358,percent of total billed charges,262.3929072,,,,,,,,,,390.96,percent of total billed charges,254.1147999,,,,,,,,,,390.96,percent of total billed charges,999999999,,,,,,,,,,434.4,percent of total billed charges,364.0046191,,,,428.97,percent of total billed charges,413.9745107,,,,428.97,percent of total billed charges,365.7601834,,,,434.4,percent of total billed charges,999999999,,,,434.4,percent of total billed charges,999999999,,,,380.1,percent of total billed charges,999999999,,,,380.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,288.876,percent of total billed charges,999999999,,,,,,,,,,,,,,,,274.215,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,135.75,percent of total billed charges,128.9292943,,,,,,,,,,135.75,percent of total billed charges,126.7846433,,,,,,,,,,135.75,percent of total billed charges,126.4323142,,,,,,,,,,135.75,percent of total billed charges,124.5705999,,,,,,,,,,135.75,percent of total billed charges,127.7759845,,,,,,,,,,135.75,percent of total billed charges,999999999,,,,,,,,,,135.75,percent of total billed charges,109.6407927,,,,,,,,,,135.75,percent of total billed charges,172.9110909,,,,,,,,,,135.75,percent of total billed charges,999999999,,,,,,,,,,135.75,percent of total billed charges,118.2195891,,,,,,,,,,488.7,percent of total billed charges,,,,,
**MESH SURGIPRO 3X5,C1781,CDM,,,,both,,,446,446,94.9462393,446,446,percent of total billed charges,328.1380445,,,,446,percent of total billed charges,347.8198391,,,,446,percent of total billed charges,328.1380445,,,,446,percent of total billed charges,347.8198391,,,,446,percent of total billed charges,999999999,,,,446,percent of total billed charges,339.8213466,,,,446,percent of total billed charges,328.1380445,,,,446,percent of total billed charges,347.8198391,,,,317.998,percent of total billed charges,158.6868214,,,,317.998,percent of total billed charges,94.9462393,,,,317.998,percent of total billed charges,158.6868214,,,,317.998,percent of total billed charges,94.9462393,,,,317.998,percent of total billed charges,158.6868214,,,,317.998,percent of total billed charges,94.9462393,,,,314.876,percent of total billed charges,312.4869502,,,,314.876,percent of total billed charges,215.5197728,,,,,,,,,,321.12,percent of total billed charges,208.7204434,,,,,,,,,,321.12,percent of total billed charges,999999999,,,,,,,,,,356.8,percent of total billed charges,298.9798529,,,,352.34,percent of total billed charges,340.0232629,,,,352.34,percent of total billed charges,300.4218081,,,,356.8,percent of total billed charges,999999999,,,,356.8,percent of total billed charges,999999999,,,,312.2,percent of total billed charges,999999999,,,,312.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,237.272,percent of total billed charges,999999999,,,,,,,,,,,,,,,,225.23,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,111.5,percent of total billed charges,105.8977261,,,,,,,,,,111.5,percent of total billed charges,104.1361895,,,,,,,,,,111.5,percent of total billed charges,103.8467995,,,,,,,,,,111.5,percent of total billed charges,102.3176566,,,,,,,,,,111.5,percent of total billed charges,104.9504403,,,,,,,,,,111.5,percent of total billed charges,999999999,,,,,,,,,,111.5,percent of total billed charges,90.05486842,,,,,,,,,,111.5,percent of total billed charges,142.0227377,,,,,,,,,,111.5,percent of total billed charges,999999999,,,,,,,,,,111.5,percent of total billed charges,97.10117266,,,,,,,,,,401.4,percent of total billed charges,,,,,
**INSUFFLATER TUBING,Local,Local,,,,both,,,54,54,11.49573301,54,54,percent of total billed charges,39.72971839,,,,54,percent of total billed charges,42.11271594,,,,54,percent of total billed charges,39.72971839,,,,54,percent of total billed charges,42.11271594,,,,54,percent of total billed charges,999999999,,,,54,percent of total billed charges,41.1442886,,,,54,percent of total billed charges,39.72971839,,,,54,percent of total billed charges,42.11271594,,,,38.502,percent of total billed charges,19.21320259,,,,38.502,percent of total billed charges,11.49573301,,,,38.502,percent of total billed charges,19.21320259,,,,38.502,percent of total billed charges,11.49573301,,,,38.502,percent of total billed charges,19.21320259,,,,38.502,percent of total billed charges,11.49573301,,,,38.124,percent of total billed charges,37.83474285,,,,38.124,percent of total billed charges,26.09432226,,,,,,,,,,38.88,percent of total billed charges,25.27108507,,,,,,,,,,38.88,percent of total billed charges,999999999,,,,,,,,,,43.2,percent of total billed charges,36.19935439,,,,42.66,percent of total billed charges,41.16873587,,,,42.66,percent of total billed charges,36.37394089,,,,43.2,percent of total billed charges,999999999,,,,43.2,percent of total billed charges,999999999,,,,37.8,percent of total billed charges,999999999,,,,37.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,28.728,percent of total billed charges,999999999,,,,,,,,,,,,,,,,27.27,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13.5,percent of total billed charges,12.82169778,,,,,,,,,,13.5,percent of total billed charges,12.60841756,,,,,,,,,,13.5,percent of total billed charges,12.57337931,,,,,,,,,,13.5,percent of total billed charges,12.38823645,,,,,,,,,,13.5,percent of total billed charges,12.70700399,,,,,,,,,,13.5,percent of total billed charges,999999999,,,,,,,,,,13.5,percent of total billed charges,10.90350425,,,,,,,,,,13.5,percent of total billed charges,17.1955781,,,,,,,,,,13.5,percent of total billed charges,999999999,,,,,,,,,,13.5,percent of total billed charges,11.75664422,,,,,,,,,,48.6,percent of total billed charges,,,,,
**PROLENE MESH-PHSE EXTENDED,C1781,CDM,,,,both,,,1044,1044,222.2508382,1044,1044,percent of total billed charges,768.1078889,,,,1044,percent of total billed charges,814.1791748,,,,1044,percent of total billed charges,768.1078889,,,,1044,percent of total billed charges,814.1791748,,,,1044,percent of total billed charges,999999999,,,,1044,percent of total billed charges,795.4562463,,,,1044,percent of total billed charges,768.1078889,,,,1044,percent of total billed charges,814.1791748,,,,744.372,percent of total billed charges,371.45525,,,,744.372,percent of total billed charges,222.2508382,,,,744.372,percent of total billed charges,371.45525,,,,744.372,percent of total billed charges,222.2508382,,,,744.372,percent of total billed charges,371.45525,,,,744.372,percent of total billed charges,222.2508382,,,,737.064,percent of total billed charges,731.4716951,,,,737.064,percent of total billed charges,504.4902304,,,,,,,,,,751.68,percent of total billed charges,488.5743114,,,,,,,,,,751.68,percent of total billed charges,999999999,,,,,,,,,,835.2,percent of total billed charges,699.8541848,,,,824.76,percent of total billed charges,795.9288935,,,,824.76,percent of total billed charges,703.2295239,,,,835.2,percent of total billed charges,999999999,,,,835.2,percent of total billed charges,999999999,,,,730.8,percent of total billed charges,999999999,,,,730.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,555.408,percent of total billed charges,999999999,,,,,,,,,,,,,,,,527.22,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,261,percent of total billed charges,247.8861571,,,,,,,,,,261,percent of total billed charges,243.7627395,,,,,,,,,,261,percent of total billed charges,243.0853333,,,,,,,,,,261,percent of total billed charges,239.5059047,,,,,,,,,,261,percent of total billed charges,245.6687437,,,,,,,,,,261,percent of total billed charges,999999999,,,,,,,,,,261,percent of total billed charges,210.8010821,,,,,,,,,,261,percent of total billed charges,332.4478433,,,,,,,,,,261,percent of total billed charges,999999999,,,,,,,,,,261,percent of total billed charges,227.2951217,,,,,,,,,,939.6,percent of total billed charges,,,,,
**OR STANDBY VBAC SUPPLIES,Local,Local,,,,both,,,344,344,73.23207695,344,344,percent of total billed charges,253.0930208,,,,344,percent of total billed charges,268.2735978,,,,344,percent of total billed charges,253.0930208,,,,344,percent of total billed charges,268.2735978,,,,344,percent of total billed charges,999999999,,,,344,percent of total billed charges,262.104357,,,,344,percent of total billed charges,253.0930208,,,,344,percent of total billed charges,268.2735978,,,,245.272,percent of total billed charges,122.3952165,,,,245.272,percent of total billed charges,73.23207695,,,,245.272,percent of total billed charges,122.3952165,,,,245.272,percent of total billed charges,73.23207695,,,,245.272,percent of total billed charges,122.3952165,,,,245.272,percent of total billed charges,73.23207695,,,,242.864,percent of total billed charges,241.0213248,,,,242.864,percent of total billed charges,166.2304974,,,,,,,,,,247.68,percent of total billed charges,160.9861716,,,,,,,,,,247.68,percent of total billed charges,999999999,,,,,,,,,,275.2,percent of total billed charges,230.6032946,,,,271.76,percent of total billed charges,262.2600952,,,,271.76,percent of total billed charges,231.7154753,,,,275.2,percent of total billed charges,999999999,,,,275.2,percent of total billed charges,999999999,,,,240.8,percent of total billed charges,999999999,,,,240.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,183.008,percent of total billed charges,999999999,,,,,,,,,,,,,,,,173.72,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,86,percent of total billed charges,81.67896363,,,,,,,,,,86,percent of total billed charges,80.32028965,,,,,,,,,,86,percent of total billed charges,80.097083,,,,,,,,,,86,percent of total billed charges,78.91765443,,,,,,,,,,86,percent of total billed charges,80.94832169,,,,,,,,,,86,percent of total billed charges,999999999,,,,,,,,,,86,percent of total billed charges,69.4593604,,,,,,,,,,86,percent of total billed charges,109.5422012,,,,,,,,,,86,percent of total billed charges,999999999,,,,,,,,,,86,percent of total billed charges,74.89417802,,,,,,,,,,309.6,percent of total billed charges,,,,,
**ROSS PEG,Local,Local,,,,both,,,1295,1295,275.6847083,1295,1295,percent of total billed charges,952.7775058,,,,1295,percent of total billed charges,1009.925317,,,,1295,percent of total billed charges,952.7775058,,,,1295,percent of total billed charges,1009.925317,,,,1295,percent of total billed charges,999999999,,,,1295,percent of total billed charges,986.7009952,,,,1295,percent of total billed charges,952.7775058,,,,1295,percent of total billed charges,1009.925317,,,,923.335,percent of total billed charges,460.7610621,,,,923.335,percent of total billed charges,275.6847083,,,,923.335,percent of total billed charges,460.7610621,,,,923.335,percent of total billed charges,275.6847083,,,,923.335,percent of total billed charges,460.7610621,,,,923.335,percent of total billed charges,275.6847083,,,,914.27,percent of total billed charges,907.333185,,,,914.27,percent of total billed charges,625.7805061,,,,,,,,,,932.4,percent of total billed charges,606.0380587,,,,,,,,,,932.4,percent of total billed charges,999999999,,,,,,,,,,1036,percent of total billed charges,868.1141469,,,,1023.05,percent of total billed charges,987.2872769,,,,1023.05,percent of total billed charges,872.3009898,,,,1036,percent of total billed charges,999999999,,,,1036,percent of total billed charges,999999999,,,,906.5,percent of total billed charges,999999999,,,,906.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,688.94,percent of total billed charges,999999999,,,,,,,,,,,,,,,,653.975,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,323.75,percent of total billed charges,307.4833079,,,,,,,,,,323.75,percent of total billed charges,302.3685322,,,,,,,,,,323.75,percent of total billed charges,301.528263,,,,,,,,,,323.75,percent of total billed charges,297.088263,,,,,,,,,,323.75,percent of total billed charges,304.7327808,,,,,,,,,,323.75,percent of total billed charges,999999999,,,,,,,,,,323.75,percent of total billed charges,261.4821852,,,,,,,,,,323.75,percent of total billed charges,412.3754378,,,,,,,,,,323.75,percent of total billed charges,999999999,,,,,,,,,,323.75,percent of total billed charges,281.9417457,,,,,,,,,,1165.5,percent of total billed charges,,,,,
**CRESCENT KNIFE-ANG,Local,Local,,,,both,,,234,234,49.81484304,234,234,percent of total billed charges,172.162113,,,,234,percent of total billed charges,182.4884357,,,,234,percent of total billed charges,172.162113,,,,234,percent of total billed charges,182.4884357,,,,234,percent of total billed charges,999999999,,,,234,percent of total billed charges,178.2919173,,,,234,percent of total billed charges,172.162113,,,,234,percent of total billed charges,182.4884357,,,,166.842,percent of total billed charges,83.25721121,,,,166.842,percent of total billed charges,49.81484304,,,,166.842,percent of total billed charges,83.25721121,,,,166.842,percent of total billed charges,49.81484304,,,,166.842,percent of total billed charges,83.25721121,,,,166.842,percent of total billed charges,49.81484304,,,,165.204,percent of total billed charges,163.9505523,,,,165.204,percent of total billed charges,113.0753965,,,,,,,,,,168.48,percent of total billed charges,109.5080353,,,,,,,,,,168.48,percent of total billed charges,999999999,,,,,,,,,,187.2,percent of total billed charges,156.863869,,,,184.86,percent of total billed charges,178.3978554,,,,184.86,percent of total billed charges,157.6204105,,,,187.2,percent of total billed charges,999999999,,,,187.2,percent of total billed charges,999999999,,,,163.8,percent of total billed charges,999999999,,,,163.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,124.488,percent of total billed charges,999999999,,,,,,,,,,,,,,,,118.17,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,58.5,percent of total billed charges,55.56069038,,,,,,,,,,58.5,percent of total billed charges,54.6364761,,,,,,,,,,58.5,percent of total billed charges,54.48464367,,,,,,,,,,58.5,percent of total billed charges,53.68235795,,,,,,,,,,58.5,percent of total billed charges,55.06368394,,,,,,,,,,58.5,percent of total billed charges,999999999,,,,,,,,,,58.5,percent of total billed charges,47.24851841,,,,,,,,,,58.5,percent of total billed charges,74.51417178,,,,,,,,,,58.5,percent of total billed charges,999999999,,,,,,,,,,58.5,percent of total billed charges,50.9454583,,,,,,,,,,210.6,percent of total billed charges,,,,,
**SLIT KNIFE 3.2 ST,Local,Local,,,,both,,,226,226,48.11177148,226,226,percent of total billed charges,166.2762288,,,,226,percent of total billed charges,176.2495149,,,,226,percent of total billed charges,166.2762288,,,,226,percent of total billed charges,176.2495149,,,,226,percent of total billed charges,999999999,,,,226,percent of total billed charges,172.1964671,,,,226,percent of total billed charges,166.2762288,,,,226,percent of total billed charges,176.2495149,,,,161.138,percent of total billed charges,80.41081083,,,,161.138,percent of total billed charges,48.11177148,,,,161.138,percent of total billed charges,80.41081083,,,,161.138,percent of total billed charges,48.11177148,,,,161.138,percent of total billed charges,80.41081083,,,,161.138,percent of total billed charges,48.11177148,,,,159.556,percent of total billed charges,158.3454053,,,,159.556,percent of total billed charges,109.2095709,,,,,,,,,,162.72,percent of total billed charges,105.7641709,,,,,,,,,,162.72,percent of total billed charges,999999999,,,,,,,,,,180.8,percent of total billed charges,151.5010017,,,,178.54,percent of total billed charges,172.2987835,,,,178.54,percent of total billed charges,152.2316785,,,,180.8,percent of total billed charges,999999999,,,,180.8,percent of total billed charges,999999999,,,,158.2,percent of total billed charges,999999999,,,,158.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,120.232,percent of total billed charges,999999999,,,,,,,,,,,,,,,,114.13,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,56.5,percent of total billed charges,53.66117959,,,,,,,,,,56.5,percent of total billed charges,52.76856238,,,,,,,,,,56.5,percent of total billed charges,52.62192081,,,,,,,,,,56.5,percent of total billed charges,51.84706367,,,,,,,,,,56.5,percent of total billed charges,53.18116483,,,,,,,,,,56.5,percent of total billed charges,999999999,,,,,,,,,,56.5,percent of total billed charges,45.63318445,,,,,,,,,,56.5,percent of total billed charges,71.96667872,,,,,,,,,,56.5,percent of total billed charges,999999999,,,,,,,,,,56.5,percent of total billed charges,49.20373323,,,,,,,,,,203.4,percent of total billed charges,,,,,
**SLIT KNIFE 3.2 ANG,Local,Local,,,,both,,,217,217,46.19581598,217,217,percent of total billed charges,159.6546091,,,,217,percent of total billed charges,169.2307289,,,,217,percent of total billed charges,159.6546091,,,,217,percent of total billed charges,169.2307289,,,,217,percent of total billed charges,999999999,,,,217,percent of total billed charges,165.3390857,,,,217,percent of total billed charges,159.6546091,,,,217,percent of total billed charges,169.2307289,,,,154.721,percent of total billed charges,77.2086104,,,,154.721,percent of total billed charges,46.19581598,,,,154.721,percent of total billed charges,77.2086104,,,,154.721,percent of total billed charges,46.19581598,,,,154.721,percent of total billed charges,77.2086104,,,,154.721,percent of total billed charges,46.19581598,,,,153.202,percent of total billed charges,152.0396148,,,,153.202,percent of total billed charges,104.8605172,,,,,,,,,,156.24,percent of total billed charges,101.5523233,,,,,,,,,,156.24,percent of total billed charges,999999999,,,,,,,,,,173.6,percent of total billed charges,145.467776,,,,171.43,percent of total billed charges,165.4373275,,,,171.43,percent of total billed charges,146.1693551,,,,173.6,percent of total billed charges,999999999,,,,173.6,percent of total billed charges,999999999,,,,151.9,percent of total billed charges,999999999,,,,151.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,115.444,percent of total billed charges,999999999,,,,,,,,,,,,,,,,109.585,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,54.25,percent of total billed charges,51.52422996,,,,,,,,,,54.25,percent of total billed charges,50.66715946,,,,,,,,,,54.25,percent of total billed charges,50.52635759,,,,,,,,,,54.25,percent of total billed charges,49.78235759,,,,,,,,,,54.25,percent of total billed charges,51.06333084,,,,,,,,,,54.25,percent of total billed charges,999999999,,,,,,,,,,54.25,percent of total billed charges,43.81593374,,,,,,,,,,54.25,percent of total billed charges,69.10074904,,,,,,,,,,54.25,percent of total billed charges,999999999,,,,,,,,,,54.25,percent of total billed charges,47.24429253,,,,,,,,,,195.3,percent of total billed charges,,,,,
**SLIT KNIFE 2.75 ANG,Local,Local,,,,both,,,226,226,48.11177148,226,226,percent of total billed charges,166.2762288,,,,226,percent of total billed charges,176.2495149,,,,226,percent of total billed charges,166.2762288,,,,226,percent of total billed charges,176.2495149,,,,226,percent of total billed charges,999999999,,,,226,percent of total billed charges,172.1964671,,,,226,percent of total billed charges,166.2762288,,,,226,percent of total billed charges,176.2495149,,,,161.138,percent of total billed charges,80.41081083,,,,161.138,percent of total billed charges,48.11177148,,,,161.138,percent of total billed charges,80.41081083,,,,161.138,percent of total billed charges,48.11177148,,,,161.138,percent of total billed charges,80.41081083,,,,161.138,percent of total billed charges,48.11177148,,,,159.556,percent of total billed charges,158.3454053,,,,159.556,percent of total billed charges,109.2095709,,,,,,,,,,162.72,percent of total billed charges,105.7641709,,,,,,,,,,162.72,percent of total billed charges,999999999,,,,,,,,,,180.8,percent of total billed charges,151.5010017,,,,178.54,percent of total billed charges,172.2987835,,,,178.54,percent of total billed charges,152.2316785,,,,180.8,percent of total billed charges,999999999,,,,180.8,percent of total billed charges,999999999,,,,158.2,percent of total billed charges,999999999,,,,158.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,120.232,percent of total billed charges,999999999,,,,,,,,,,,,,,,,114.13,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,56.5,percent of total billed charges,53.66117959,,,,,,,,,,56.5,percent of total billed charges,52.76856238,,,,,,,,,,56.5,percent of total billed charges,52.62192081,,,,,,,,,,56.5,percent of total billed charges,51.84706367,,,,,,,,,,56.5,percent of total billed charges,53.18116483,,,,,,,,,,56.5,percent of total billed charges,999999999,,,,,,,,,,56.5,percent of total billed charges,45.63318445,,,,,,,,,,56.5,percent of total billed charges,71.96667872,,,,,,,,,,56.5,percent of total billed charges,999999999,,,,,,,,,,56.5,percent of total billed charges,49.20373323,,,,,,,,,,203.4,percent of total billed charges,,,,,
**GRIESHABER KNIFE,Local,Local,,,,both,,,340,340,72.38054117,340,340,percent of total billed charges,250.1500787,,,,340,percent of total billed charges,265.1541374,,,,340,percent of total billed charges,250.1500787,,,,340,percent of total billed charges,265.1541374,,,,340,percent of total billed charges,999999999,,,,340,percent of total billed charges,259.0566319,,,,340,percent of total billed charges,250.1500787,,,,340,percent of total billed charges,265.1541374,,,,242.42,percent of total billed charges,120.9720163,,,,242.42,percent of total billed charges,72.38054117,,,,242.42,percent of total billed charges,120.9720163,,,,242.42,percent of total billed charges,72.38054117,,,,242.42,percent of total billed charges,120.9720163,,,,242.42,percent of total billed charges,72.38054117,,,,240.04,percent of total billed charges,238.2187513,,,,240.04,percent of total billed charges,164.2975846,,,,,,,,,,244.8,percent of total billed charges,159.1142393,,,,,,,,,,244.8,percent of total billed charges,999999999,,,,,,,,,,272,percent of total billed charges,227.921861,,,,268.6,percent of total billed charges,259.2105592,,,,268.6,percent of total billed charges,229.0211093,,,,272,percent of total billed charges,999999999,,,,272,percent of total billed charges,999999999,,,,238,percent of total billed charges,999999999,,,,238,percent of total billed charges,999999999,,,,,,,,,,,,,,,,180.88,percent of total billed charges,999999999,,,,,,,,,,,,,,,,171.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,85,percent of total billed charges,80.72920824,,,,,,,,,,85,percent of total billed charges,79.38633279,,,,,,,,,,85,percent of total billed charges,79.16572157,,,,,,,,,,85,percent of total billed charges,78.00000728,,,,,,,,,,85,percent of total billed charges,80.00706214,,,,,,,,,,85,percent of total billed charges,999999999,,,,,,,,,,85,percent of total billed charges,68.65169342,,,,,,,,,,85,percent of total billed charges,108.2684547,,,,,,,,,,85,percent of total billed charges,999999999,,,,,,,,,,85,percent of total billed charges,74.02331548,,,,,,,,,,306,percent of total billed charges,,,,,
**T EXTREMITY DRAPE,Local,Local,,,,both,,,201,201,42.78967287,201,201,percent of total billed charges,147.8828407,,,,201,percent of total billed charges,156.7528871,,,,201,percent of total billed charges,147.8828407,,,,201,percent of total billed charges,156.7528871,,,,201,percent of total billed charges,999999999,,,,201,percent of total billed charges,153.1481854,,,,201,percent of total billed charges,147.8828407,,,,201,percent of total billed charges,156.7528871,,,,143.313,percent of total billed charges,71.51580963,,,,143.313,percent of total billed charges,42.78967287,,,,143.313,percent of total billed charges,71.51580963,,,,143.313,percent of total billed charges,42.78967287,,,,143.313,percent of total billed charges,71.51580963,,,,143.313,percent of total billed charges,42.78967287,,,,141.906,percent of total billed charges,140.8293206,,,,141.906,percent of total billed charges,97.1288662,,,,,,,,,,144.72,percent of total billed charges,94.06459443,,,,,,,,,,144.72,percent of total billed charges,999999999,,,,,,,,,,160.8,percent of total billed charges,134.7420413,,,,158.79,percent of total billed charges,153.2391835,,,,158.79,percent of total billed charges,135.3918911,,,,160.8,percent of total billed charges,999999999,,,,160.8,percent of total billed charges,999999999,,,,140.7,percent of total billed charges,999999999,,,,140.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,106.932,percent of total billed charges,999999999,,,,,,,,,,,,,,,,101.505,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,50.25,percent of total billed charges,47.7252084,,,,,,,,,,50.25,percent of total billed charges,46.93133203,,,,,,,,,,50.25,percent of total billed charges,46.80091187,,,,,,,,,,50.25,percent of total billed charges,46.11176901,,,,,,,,,,50.25,percent of total billed charges,47.29829262,,,,,,,,,,50.25,percent of total billed charges,999999999,,,,,,,,,,50.25,percent of total billed charges,40.58526581,,,,,,,,,,50.25,percent of total billed charges,64.00576294,,,,,,,,,,50.25,percent of total billed charges,999999999,,,,,,,,,,50.25,percent of total billed charges,43.76084239,,,,,,,,,,180.9,percent of total billed charges,,,,,
**OMNI JUG,Local,Local,,,,both,,,260,260,55.3498256,260,260,percent of total billed charges,191.2912367,,,,260,percent of total billed charges,202.7649286,,,,260,percent of total billed charges,191.2912367,,,,260,percent of total billed charges,202.7649286,,,,260,percent of total billed charges,999999999,,,,260,percent of total billed charges,198.1021303,,,,260,percent of total billed charges,191.2912367,,,,260,percent of total billed charges,202.7649286,,,,185.38,percent of total billed charges,92.50801246,,,,185.38,percent of total billed charges,55.3498256,,,,185.38,percent of total billed charges,92.50801246,,,,185.38,percent of total billed charges,55.3498256,,,,185.38,percent of total billed charges,92.50801246,,,,185.38,percent of total billed charges,55.3498256,,,,183.56,percent of total billed charges,182.1672804,,,,183.56,percent of total billed charges,125.6393294,,,,,,,,,,187.2,percent of total billed charges,121.6755948,,,,,,,,,,187.2,percent of total billed charges,999999999,,,,,,,,,,208,percent of total billed charges,174.2931878,,,,205.4,percent of total billed charges,198.2198394,,,,205.4,percent of total billed charges,175.1337895,,,,208,percent of total billed charges,999999999,,,,208,percent of total billed charges,999999999,,,,182,percent of total billed charges,999999999,,,,182,percent of total billed charges,999999999,,,,,,,,,,,,,,,,138.32,percent of total billed charges,999999999,,,,,,,,,,,,,,,,131.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,65,percent of total billed charges,61.73410042,,,,,,,,,,65,percent of total billed charges,60.70719566,,,,,,,,,,65,percent of total billed charges,60.53849297,,,,,,,,,,65,percent of total billed charges,59.64706439,,,,,,,,,,65,percent of total billed charges,61.18187105,,,,,,,,,,65,percent of total billed charges,999999999,,,,,,,,,,65,percent of total billed charges,52.49835379,,,,,,,,,,65,percent of total billed charges,82.79352419,,,,,,,,,,65,percent of total billed charges,999999999,,,,,,,,,,65,percent of total billed charges,56.60606478,,,,,,,,,,234,percent of total billed charges,,,,,
**CORNEAL PROTECTOR,Local,Local,,,,both,,,70,70,14.90187612,70,70,percent of total billed charges,51.5014868,,,,70,percent of total billed charges,54.5905577,,,,70,percent of total billed charges,51.5014868,,,,70,percent of total billed charges,54.5905577,,,,70,percent of total billed charges,999999999,,,,70,percent of total billed charges,53.33518893,,,,70,percent of total billed charges,51.5014868,,,,70,percent of total billed charges,54.5905577,,,,49.91,percent of total billed charges,24.90600335,,,,49.91,percent of total billed charges,14.90187612,,,,49.91,percent of total billed charges,24.90600335,,,,49.91,percent of total billed charges,14.90187612,,,,49.91,percent of total billed charges,24.90600335,,,,49.91,percent of total billed charges,14.90187612,,,,49.42,percent of total billed charges,49.04503703,,,,49.42,percent of total billed charges,33.8259733,,,,,,,,,,50.4,percent of total billed charges,32.75881398,,,,,,,,,,50.4,percent of total billed charges,999999999,,,,,,,,,,56,percent of total billed charges,46.92508902,,,,55.3,percent of total billed charges,53.36687983,,,,55.3,percent of total billed charges,47.15140486,,,,56,percent of total billed charges,999999999,,,,56,percent of total billed charges,999999999,,,,49,percent of total billed charges,999999999,,,,49,percent of total billed charges,999999999,,,,,,,,,,,,,,,,37.24,percent of total billed charges,999999999,,,,,,,,,,,,,,,,35.35,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17.5,percent of total billed charges,16.62071934,,,,,,,,,,17.5,percent of total billed charges,16.34424499,,,,,,,,,,17.5,percent of total billed charges,16.29882503,,,,,,,,,,17.5,percent of total billed charges,16.05882503,,,,,,,,,,17.5,percent of total billed charges,16.47204221,,,,,,,,,,17.5,percent of total billed charges,999999999,,,,,,,,,,17.5,percent of total billed charges,14.13417217,,,,,,,,,,17.5,percent of total billed charges,22.29056421,,,,,,,,,,17.5,percent of total billed charges,999999999,,,,,,,,,,17.5,percent of total billed charges,15.24009436,,,,,,,,,,63,percent of total billed charges,,,,,
**NEURO SPONGE 1X3,Local,Local,,,,both,,,34,34,7.238054117,34,34,percent of total billed charges,25.01500787,,,,34,percent of total billed charges,26.51541374,,,,34,percent of total billed charges,25.01500787,,,,34,percent of total billed charges,26.51541374,,,,34,percent of total billed charges,999999999,,,,34,percent of total billed charges,25.90566319,,,,34,percent of total billed charges,25.01500787,,,,34,percent of total billed charges,26.51541374,,,,24.242,percent of total billed charges,12.09720163,,,,24.242,percent of total billed charges,7.238054117,,,,24.242,percent of total billed charges,12.09720163,,,,24.242,percent of total billed charges,7.238054117,,,,24.242,percent of total billed charges,12.09720163,,,,24.242,percent of total billed charges,7.238054117,,,,24.004,percent of total billed charges,23.82187513,,,,24.004,percent of total billed charges,16.42975846,,,,,,,,,,24.48,percent of total billed charges,15.91142393,,,,,,,,,,24.48,percent of total billed charges,999999999,,,,,,,,,,27.2,percent of total billed charges,22.7921861,,,,26.86,percent of total billed charges,25.92105592,,,,26.86,percent of total billed charges,22.90211093,,,,27.2,percent of total billed charges,999999999,,,,27.2,percent of total billed charges,999999999,,,,23.8,percent of total billed charges,999999999,,,,23.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,18.088,percent of total billed charges,999999999,,,,,,,,,,,,,,,,17.17,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8.5,percent of total billed charges,8.072920824,,,,,,,,,,8.5,percent of total billed charges,7.938633279,,,,,,,,,,8.5,percent of total billed charges,7.916572157,,,,,,,,,,8.5,percent of total billed charges,7.800000728,,,,,,,,,,8.5,percent of total billed charges,8.000706214,,,,,,,,,,8.5,percent of total billed charges,999999999,,,,,,,,,,8.5,percent of total billed charges,6.865169342,,,,,,,,,,8.5,percent of total billed charges,10.82684547,,,,,,,,,,8.5,percent of total billed charges,999999999,,,,,,,,,,8.5,percent of total billed charges,7.402331548,,,,,,,,,,30.6,percent of total billed charges,,,,,
**DOYLE SPLINTS -PR,Local,Local,,,,both,,,337,337,71.74188934,337,337,percent of total billed charges,247.9428722,,,,337,percent of total billed charges,262.8145421,,,,337,percent of total billed charges,247.9428722,,,,337,percent of total billed charges,262.8145421,,,,337,percent of total billed charges,999999999,,,,337,percent of total billed charges,256.7708381,,,,337,percent of total billed charges,247.9428722,,,,337,percent of total billed charges,262.8145421,,,,240.281,percent of total billed charges,119.9046162,,,,240.281,percent of total billed charges,71.74188934,,,,240.281,percent of total billed charges,119.9046162,,,,240.281,percent of total billed charges,71.74188934,,,,240.281,percent of total billed charges,119.9046162,,,,240.281,percent of total billed charges,71.74188934,,,,237.922,percent of total billed charges,236.1168211,,,,237.922,percent of total billed charges,162.8479,,,,,,,,,,242.64,percent of total billed charges,157.7102902,,,,,,,,,,242.64,percent of total billed charges,999999999,,,,,,,,,,269.6,percent of total billed charges,225.9107857,,,,266.23,percent of total billed charges,256.9234072,,,,266.23,percent of total billed charges,227.0003348,,,,269.6,percent of total billed charges,999999999,,,,269.6,percent of total billed charges,999999999,,,,235.9,percent of total billed charges,999999999,,,,235.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,179.284,percent of total billed charges,999999999,,,,,,,,,,,,,,,,170.185,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,84.25,percent of total billed charges,80.0168917,,,,,,,,,,84.25,percent of total billed charges,78.68586515,,,,,,,,,,84.25,percent of total billed charges,78.4672005,,,,,,,,,,84.25,percent of total billed charges,77.31177193,,,,,,,,,,84.25,percent of total billed charges,79.30111747,,,,,,,,,,84.25,percent of total billed charges,999999999,,,,,,,,,,84.25,percent of total billed charges,68.04594318,,,,,,,,,,84.25,percent of total billed charges,107.3131448,,,,,,,,,,84.25,percent of total billed charges,999999999,,,,,,,,,,84.25,percent of total billed charges,73.37016858,,,,,,,,,,303.3,percent of total billed charges,,,,,
**BASIC PACK 6,Local,Local,,,,both,,,125,125,26.61049308,125,125,percent of total billed charges,91.96694072,,,,125,percent of total billed charges,97.48313875,,,,125,percent of total billed charges,91.96694072,,,,125,percent of total billed charges,97.48313875,,,,125,percent of total billed charges,999999999,,,,125,percent of total billed charges,95.2414088,,,,125,percent of total billed charges,91.96694072,,,,125,percent of total billed charges,97.48313875,,,,89.125,percent of total billed charges,44.47500599,,,,89.125,percent of total billed charges,26.61049308,,,,89.125,percent of total billed charges,44.47500599,,,,89.125,percent of total billed charges,26.61049308,,,,89.125,percent of total billed charges,44.47500599,,,,89.125,percent of total billed charges,26.61049308,,,,88.25,percent of total billed charges,87.58042326,,,,88.25,percent of total billed charges,60.40352376,,,,,,,,,,90,percent of total billed charges,58.49788211,,,,,,,,,,90,percent of total billed charges,999999999,,,,,,,,,,100,percent of total billed charges,83.79480182,,,,98.75,percent of total billed charges,95.2979997,,,,98.75,percent of total billed charges,84.19893724,,,,100,percent of total billed charges,999999999,,,,100,percent of total billed charges,999999999,,,,87.5,percent of total billed charges,999999999,,,,87.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,66.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,63.125,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,31.25,percent of total billed charges,29.67985597,,,,,,,,,,31.25,percent of total billed charges,29.18615176,,,,,,,,,,31.25,percent of total billed charges,29.1050447,,,,,,,,,,31.25,percent of total billed charges,28.67647327,,,,,,,,,,31.25,percent of total billed charges,29.41436108,,,,,,,,,,31.25,percent of total billed charges,999999999,,,,,,,,,,31.25,percent of total billed charges,25.23959317,,,,,,,,,,31.25,percent of total billed charges,39.80457894,,,,,,,,,,31.25,percent of total billed charges,999999999,,,,,,,,,,31.25,percent of total billed charges,27.21445422,,,,,,,,,,112.5,percent of total billed charges,,,,,
**GRAFT CARRIERS,Local,Local,,,,both,,,217,217,46.19581598,217,217,percent of total billed charges,159.6546091,,,,217,percent of total billed charges,169.2307289,,,,217,percent of total billed charges,159.6546091,,,,217,percent of total billed charges,169.2307289,,,,217,percent of total billed charges,999999999,,,,217,percent of total billed charges,165.3390857,,,,217,percent of total billed charges,159.6546091,,,,217,percent of total billed charges,169.2307289,,,,154.721,percent of total billed charges,77.2086104,,,,154.721,percent of total billed charges,46.19581598,,,,154.721,percent of total billed charges,77.2086104,,,,154.721,percent of total billed charges,46.19581598,,,,154.721,percent of total billed charges,77.2086104,,,,154.721,percent of total billed charges,46.19581598,,,,153.202,percent of total billed charges,152.0396148,,,,153.202,percent of total billed charges,104.8605172,,,,,,,,,,156.24,percent of total billed charges,101.5523233,,,,,,,,,,156.24,percent of total billed charges,999999999,,,,,,,,,,173.6,percent of total billed charges,145.467776,,,,171.43,percent of total billed charges,165.4373275,,,,171.43,percent of total billed charges,146.1693551,,,,173.6,percent of total billed charges,999999999,,,,173.6,percent of total billed charges,999999999,,,,151.9,percent of total billed charges,999999999,,,,151.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,115.444,percent of total billed charges,999999999,,,,,,,,,,,,,,,,109.585,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,54.25,percent of total billed charges,51.52422996,,,,,,,,,,54.25,percent of total billed charges,50.66715946,,,,,,,,,,54.25,percent of total billed charges,50.52635759,,,,,,,,,,54.25,percent of total billed charges,49.78235759,,,,,,,,,,54.25,percent of total billed charges,51.06333084,,,,,,,,,,54.25,percent of total billed charges,999999999,,,,,,,,,,54.25,percent of total billed charges,43.81593374,,,,,,,,,,54.25,percent of total billed charges,69.10074904,,,,,,,,,,54.25,percent of total billed charges,999999999,,,,,,,,,,54.25,percent of total billed charges,47.24429253,,,,,,,,,,195.3,percent of total billed charges,,,,,
**FLUID CATCH BAG,Local,Local,,,,both,,,52,52,11.06996512,52,52,percent of total billed charges,38.25824734,,,,52,percent of total billed charges,40.55298572,,,,52,percent of total billed charges,38.25824734,,,,52,percent of total billed charges,40.55298572,,,,52,percent of total billed charges,999999999,,,,52,percent of total billed charges,39.62042606,,,,52,percent of total billed charges,38.25824734,,,,52,percent of total billed charges,40.55298572,,,,37.076,percent of total billed charges,18.50160249,,,,37.076,percent of total billed charges,11.06996512,,,,37.076,percent of total billed charges,18.50160249,,,,37.076,percent of total billed charges,11.06996512,,,,37.076,percent of total billed charges,18.50160249,,,,37.076,percent of total billed charges,11.06996512,,,,36.712,percent of total billed charges,36.43345608,,,,36.712,percent of total billed charges,25.12786588,,,,,,,,,,37.44,percent of total billed charges,24.33511896,,,,,,,,,,37.44,percent of total billed charges,999999999,,,,,,,,,,41.6,percent of total billed charges,34.85863756,,,,41.08,percent of total billed charges,39.64396787,,,,41.08,percent of total billed charges,35.02675789,,,,41.6,percent of total billed charges,999999999,,,,41.6,percent of total billed charges,999999999,,,,36.4,percent of total billed charges,999999999,,,,36.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,27.664,percent of total billed charges,999999999,,,,,,,,,,,,,,,,26.26,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13,percent of total billed charges,12.34682008,,,,,,,,,,13,percent of total billed charges,12.14143913,,,,,,,,,,13,percent of total billed charges,12.10769859,,,,,,,,,,13,percent of total billed charges,11.92941288,,,,,,,,,,13,percent of total billed charges,12.23637421,,,,,,,,,,13,percent of total billed charges,999999999,,,,,,,,,,13,percent of total billed charges,10.49967076,,,,,,,,,,13,percent of total billed charges,16.55870484,,,,,,,,,,13,percent of total billed charges,999999999,,,,,,,,,,13,percent of total billed charges,11.32121296,,,,,,,,,,46.8,percent of total billed charges,,,,,
**MENTOR TIP,Local,Local,,,,both,,,41,41,8.72824173,41,41,percent of total billed charges,30.16515655,,,,41,percent of total billed charges,31.97446951,,,,41,percent of total billed charges,30.16515655,,,,41,percent of total billed charges,31.97446951,,,,41,percent of total billed charges,999999999,,,,41,percent of total billed charges,31.23918209,,,,41,percent of total billed charges,30.16515655,,,,41,percent of total billed charges,31.97446951,,,,29.233,percent of total billed charges,14.58780197,,,,29.233,percent of total billed charges,8.72824173,,,,29.233,percent of total billed charges,14.58780197,,,,29.233,percent of total billed charges,8.72824173,,,,29.233,percent of total billed charges,14.58780197,,,,29.233,percent of total billed charges,8.72824173,,,,28.946,percent of total billed charges,28.72637883,,,,28.946,percent of total billed charges,19.81235579,,,,,,,,,,29.52,percent of total billed charges,19.18730533,,,,,,,,,,29.52,percent of total billed charges,999999999,,,,,,,,,,32.8,percent of total billed charges,27.484695,,,,32.39,percent of total billed charges,31.2577439,,,,32.39,percent of total billed charges,27.61725142,,,,32.8,percent of total billed charges,999999999,,,,32.8,percent of total billed charges,999999999,,,,28.7,percent of total billed charges,999999999,,,,28.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,21.812,percent of total billed charges,999999999,,,,,,,,,,,,,,,,20.705,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10.25,percent of total billed charges,9.734992758,,,,,,,,,,10.25,percent of total billed charges,9.573057778,,,,,,,,,,10.25,percent of total billed charges,9.54645466,,,,,,,,,,10.25,percent of total billed charges,9.405883231,,,,,,,,,,10.25,percent of total billed charges,9.647910435,,,,,,,,,,10.25,percent of total billed charges,999999999,,,,,,,,,,10.25,percent of total billed charges,8.278586559,,,,,,,,,,10.25,percent of total billed charges,13.05590189,,,,,,,,,,10.25,percent of total billed charges,999999999,,,,,,,,,,10.25,percent of total billed charges,8.926340984,,,,,,,,,,36.9,percent of total billed charges,,,,,
**URETERAL DRAIN BAG,Local,Local,,,,both,,,169,169,35.97738664,169,169,percent of total billed charges,124.3393038,,,,169,percent of total billed charges,131.7972036,,,,169,percent of total billed charges,124.3393038,,,,169,percent of total billed charges,131.7972036,,,,169,percent of total billed charges,999999999,,,,169,percent of total billed charges,128.7663847,,,,169,percent of total billed charges,124.3393038,,,,169,percent of total billed charges,131.7972036,,,,120.497,percent of total billed charges,60.1302081,,,,120.497,percent of total billed charges,35.97738664,,,,120.497,percent of total billed charges,60.1302081,,,,120.497,percent of total billed charges,35.97738664,,,,120.497,percent of total billed charges,60.1302081,,,,120.497,percent of total billed charges,35.97738664,,,,119.314,percent of total billed charges,118.4087322,,,,119.314,percent of total billed charges,81.66556412,,,,,,,,,,121.68,percent of total billed charges,79.08913661,,,,,,,,,,121.68,percent of total billed charges,999999999,,,,,,,,,,135.2,percent of total billed charges,113.2905721,,,,133.51,percent of total billed charges,128.8428956,,,,133.51,percent of total billed charges,113.8369632,,,,135.2,percent of total billed charges,999999999,,,,135.2,percent of total billed charges,999999999,,,,118.3,percent of total billed charges,999999999,,,,118.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,89.908,percent of total billed charges,999999999,,,,,,,,,,,,,,,,85.345,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,42.25,percent of total billed charges,40.12716527,,,,,,,,,,42.25,percent of total billed charges,39.45967718,,,,,,,,,,42.25,percent of total billed charges,39.35002043,,,,,,,,,,42.25,percent of total billed charges,38.77059186,,,,,,,,,,42.25,percent of total billed charges,39.76821618,,,,,,,,,,42.25,percent of total billed charges,999999999,,,,,,,,,,42.25,percent of total billed charges,34.12392996,,,,,,,,,,42.25,percent of total billed charges,53.81579073,,,,,,,,,,42.25,percent of total billed charges,999999999,,,,,,,,,,42.25,percent of total billed charges,36.79394211,,,,,,,,,,152.1,percent of total billed charges,,,,,
**RESECTOR FULL RADUIS 9247A,Local,Local,,,,both,,,789,789,167.9654323,789,789,percent of total billed charges,580.4953298,,,,789,percent of total billed charges,615.3135718,,,,789,percent of total billed charges,580.4953298,,,,789,percent of total billed charges,615.3135718,,,,789,percent of total billed charges,999999999,,,,789,percent of total billed charges,601.1637724,,,,789,percent of total billed charges,580.4953298,,,,789,percent of total billed charges,615.3135718,,,,562.557,percent of total billed charges,280.7262378,,,,562.557,percent of total billed charges,167.9654323,,,,562.557,percent of total billed charges,280.7262378,,,,562.557,percent of total billed charges,167.9654323,,,,562.557,percent of total billed charges,280.7262378,,,,562.557,percent of total billed charges,167.9654323,,,,557.034,percent of total billed charges,552.8076316,,,,557.034,percent of total billed charges,381.2670419,,,,,,,,,,568.08,percent of total billed charges,369.2386319,,,,,,,,,,568.08,percent of total billed charges,999999999,,,,,,,,,,631.2,percent of total billed charges,528.9127891,,,,623.31,percent of total billed charges,601.5209741,,,,623.31,percent of total billed charges,531.4636919,,,,631.2,percent of total billed charges,999999999,,,,631.2,percent of total billed charges,999999999,,,,552.3,percent of total billed charges,999999999,,,,552.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,419.748,percent of total billed charges,999999999,,,,,,,,,,,,,,,,398.445,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,197.25,percent of total billed charges,187.3392509,,,,,,,,,,197.25,percent of total billed charges,184.2229899,,,,,,,,,,197.25,percent of total billed charges,183.7110421,,,,,,,,,,197.25,percent of total billed charges,181.0058993,,,,,,,,,,197.25,percent of total billed charges,185.6634471,,,,,,,,,,197.25,percent of total billed charges,999999999,,,,,,,,,,197.25,percent of total billed charges,159.3123121,,,,,,,,,,197.25,percent of total billed charges,251.2465023,,,,,,,,,,197.25,percent of total billed charges,999999999,,,,,,,,,,197.25,percent of total billed charges,171.777635,,,,,,,,,,710.1,percent of total billed charges,,,,,
**CANNULA OBTURATOR  9718,Local,Local,,,,both,,,231,231,49.17619121,231,231,percent of total billed charges,169.9549064,,,,231,percent of total billed charges,180.1488404,,,,231,percent of total billed charges,169.9549064,,,,231,percent of total billed charges,180.1488404,,,,231,percent of total billed charges,999999999,,,,231,percent of total billed charges,176.0061235,,,,231,percent of total billed charges,169.9549064,,,,231,percent of total billed charges,180.1488404,,,,164.703,percent of total billed charges,82.18981107,,,,164.703,percent of total billed charges,49.17619121,,,,164.703,percent of total billed charges,82.18981107,,,,164.703,percent of total billed charges,49.17619121,,,,164.703,percent of total billed charges,82.18981107,,,,164.703,percent of total billed charges,49.17619121,,,,163.086,percent of total billed charges,161.8486222,,,,163.086,percent of total billed charges,111.6257119,,,,,,,,,,166.32,percent of total billed charges,108.1040861,,,,,,,,,,166.32,percent of total billed charges,999999999,,,,,,,,,,184.8,percent of total billed charges,154.8527938,,,,182.49,percent of total billed charges,176.1107034,,,,182.49,percent of total billed charges,155.599636,,,,184.8,percent of total billed charges,999999999,,,,184.8,percent of total billed charges,999999999,,,,161.7,percent of total billed charges,999999999,,,,161.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,122.892,percent of total billed charges,999999999,,,,,,,,,,,,,,,,116.655,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,57.75,percent of total billed charges,54.84837383,,,,,,,,,,57.75,percent of total billed charges,53.93600846,,,,,,,,,,57.75,percent of total billed charges,53.7861226,,,,,,,,,,57.75,percent of total billed charges,52.9941226,,,,,,,,,,57.75,percent of total billed charges,54.35773928,,,,,,,,,,57.75,percent of total billed charges,999999999,,,,,,,,,,57.75,percent of total billed charges,46.64276817,,,,,,,,,,57.75,percent of total billed charges,73.55886188,,,,,,,,,,57.75,percent of total billed charges,999999999,,,,,,,,,,57.75,percent of total billed charges,50.2923114,,,,,,,,,,207.9,percent of total billed charges,,,,,
**ACE BANDAGE 2 IN,Local,Local,,,,both,,,11,11,2.341723391,11,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,11,percent of total billed charges,999999999,,,,11,percent of total billed charges,8.381243975,,,,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.766,percent of total billed charges,7.707077247,,,,7.766,percent of total billed charges,5.31551009,,,,,,,,,,7.92,percent of total billed charges,5.147813626,,,,,,,,,,7.92,percent of total billed charges,999999999,,,,,,,,,,8.8,percent of total billed charges,7.373942561,,,,8.69,percent of total billed charges,8.386223973,,,,8.69,percent of total billed charges,7.409506477,,,,8.8,percent of total billed charges,999999999,,,,8.8,percent of total billed charges,999999999,,,,7.7,percent of total billed charges,999999999,,,,7.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.852,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.555,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.75,percent of total billed charges,2.611827325,,,,,,,,,,2.75,percent of total billed charges,2.568381355,,,,,,,,,,2.75,percent of total billed charges,2.561243933,,,,,,,,,,2.75,percent of total billed charges,2.523529647,,,,,,,,,,2.75,percent of total billed charges,2.588463775,,,,,,,,,,2.75,percent of total billed charges,999999999,,,,,,,,,,2.75,percent of total billed charges,2.221084199,,,,,,,,,,2.75,percent of total billed charges,3.502802947,,,,,,,,,,2.75,percent of total billed charges,999999999,,,,,,,,,,2.75,percent of total billed charges,2.394871971,,,,,,,,,,9.9,percent of total billed charges,,,,,
**ADHESIVE TAPE 3 IN ROLL,Local,Local,,,,both,,,21,21,4.470562837,21,21,percent of total billed charges,15.45044604,,,,21,percent of total billed charges,16.37716731,,,,21,percent of total billed charges,15.45044604,,,,21,percent of total billed charges,16.37716731,,,,21,percent of total billed charges,999999999,,,,21,percent of total billed charges,16.00055668,,,,21,percent of total billed charges,15.45044604,,,,21,percent of total billed charges,16.37716731,,,,14.973,percent of total billed charges,7.471801006,,,,14.973,percent of total billed charges,4.470562837,,,,14.973,percent of total billed charges,7.471801006,,,,14.973,percent of total billed charges,4.470562837,,,,14.973,percent of total billed charges,7.471801006,,,,14.973,percent of total billed charges,4.470562837,,,,14.826,percent of total billed charges,14.71351111,,,,14.826,percent of total billed charges,10.14779199,,,,,,,,,,15.12,percent of total billed charges,9.827644194,,,,,,,,,,15.12,percent of total billed charges,999999999,,,,,,,,,,16.8,percent of total billed charges,14.07752671,,,,16.59,percent of total billed charges,16.01006395,,,,16.59,percent of total billed charges,14.14542146,,,,16.8,percent of total billed charges,999999999,,,,16.8,percent of total billed charges,999999999,,,,14.7,percent of total billed charges,999999999,,,,14.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,11.172,percent of total billed charges,999999999,,,,,,,,,,,,,,,,10.605,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5.25,percent of total billed charges,4.986215803,,,,,,,,,,5.25,percent of total billed charges,4.903273496,,,,,,,,,,5.25,percent of total billed charges,4.889647509,,,,,,,,,,5.25,percent of total billed charges,4.817647509,,,,,,,,,,5.25,percent of total billed charges,4.941612662,,,,,,,,,,5.25,percent of total billed charges,999999999,,,,,,,,,,5.25,percent of total billed charges,4.240251652,,,,,,,,,,5.25,percent of total billed charges,6.687169262,,,,,,,,,,5.25,percent of total billed charges,999999999,,,,,,,,,,5.25,percent of total billed charges,4.572028309,,,,,,,,,,18.9,percent of total billed charges,,,,,
**STOCKINETTE,Local,Local,,,,both,,,93,93,19.79820685,93,93,percent of total billed charges,68.42340389,,,,93,percent of total billed charges,72.52745523,,,,93,percent of total billed charges,68.42340389,,,,93,percent of total billed charges,72.52745523,,,,93,percent of total billed charges,999999999,,,,93,percent of total billed charges,70.85960815,,,,93,percent of total billed charges,68.42340389,,,,93,percent of total billed charges,72.52745523,,,,66.309,percent of total billed charges,33.08940446,,,,66.309,percent of total billed charges,19.79820685,,,,66.309,percent of total billed charges,33.08940446,,,,66.309,percent of total billed charges,19.79820685,,,,66.309,percent of total billed charges,33.08940446,,,,66.309,percent of total billed charges,19.79820685,,,,65.658,percent of total billed charges,65.1598349,,,,65.658,percent of total billed charges,44.94022167,,,,,,,,,,66.96,percent of total billed charges,43.52242429,,,,,,,,,,66.96,percent of total billed charges,999999999,,,,,,,,,,74.4,percent of total billed charges,62.34333256,,,,73.47,percent of total billed charges,70.90171178,,,,73.47,percent of total billed charges,62.64400931,,,,74.4,percent of total billed charges,999999999,,,,74.4,percent of total billed charges,999999999,,,,65.1,percent of total billed charges,999999999,,,,65.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,49.476,percent of total billed charges,999999999,,,,,,,,,,,,,,,,46.965,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23.25,percent of total billed charges,22.08181284,,,,,,,,,,23.25,percent of total billed charges,21.71449691,,,,,,,,,,23.25,percent of total billed charges,21.65415325,,,,,,,,,,23.25,percent of total billed charges,21.33529611,,,,,,,,,,23.25,percent of total billed charges,21.88428464,,,,,,,,,,23.25,percent of total billed charges,999999999,,,,,,,,,,23.25,percent of total billed charges,18.77825732,,,,,,,,,,23.25,percent of total billed charges,29.61460673,,,,,,,,,,23.25,percent of total billed charges,999999999,,,,,,,,,,23.25,percent of total billed charges,20.24755394,,,,,,,,,,83.7,percent of total billed charges,,,,,
**SPHERICAL BURR C9111 4.5 MM,Local,Local,,,,both,,,789,789,167.9654323,789,789,percent of total billed charges,580.4953298,,,,789,percent of total billed charges,615.3135718,,,,789,percent of total billed charges,580.4953298,,,,789,percent of total billed charges,615.3135718,,,,789,percent of total billed charges,999999999,,,,789,percent of total billed charges,601.1637724,,,,789,percent of total billed charges,580.4953298,,,,789,percent of total billed charges,615.3135718,,,,562.557,percent of total billed charges,280.7262378,,,,562.557,percent of total billed charges,167.9654323,,,,562.557,percent of total billed charges,280.7262378,,,,562.557,percent of total billed charges,167.9654323,,,,562.557,percent of total billed charges,280.7262378,,,,562.557,percent of total billed charges,167.9654323,,,,557.034,percent of total billed charges,552.8076316,,,,557.034,percent of total billed charges,381.2670419,,,,,,,,,,568.08,percent of total billed charges,369.2386319,,,,,,,,,,568.08,percent of total billed charges,999999999,,,,,,,,,,631.2,percent of total billed charges,528.9127891,,,,623.31,percent of total billed charges,601.5209741,,,,623.31,percent of total billed charges,531.4636919,,,,631.2,percent of total billed charges,999999999,,,,631.2,percent of total billed charges,999999999,,,,552.3,percent of total billed charges,999999999,,,,552.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,419.748,percent of total billed charges,999999999,,,,,,,,,,,,,,,,398.445,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,197.25,percent of total billed charges,187.3392509,,,,,,,,,,197.25,percent of total billed charges,184.2229899,,,,,,,,,,197.25,percent of total billed charges,183.7110421,,,,,,,,,,197.25,percent of total billed charges,181.0058993,,,,,,,,,,197.25,percent of total billed charges,185.6634471,,,,,,,,,,197.25,percent of total billed charges,999999999,,,,,,,,,,197.25,percent of total billed charges,159.3123121,,,,,,,,,,197.25,percent of total billed charges,251.2465023,,,,,,,,,,197.25,percent of total billed charges,999999999,,,,,,,,,,197.25,percent of total billed charges,171.777635,,,,,,,,,,710.1,percent of total billed charges,,,,,
**SUCTION TUBING TIP,Local,Local,,,,both,,,275,275,58.54308477,275,275,percent of total billed charges,202.3272696,,,,275,percent of total billed charges,214.4629053,,,,275,percent of total billed charges,202.3272696,,,,275,percent of total billed charges,214.4629053,,,,275,percent of total billed charges,999999999,,,,275,percent of total billed charges,209.5310994,,,,275,percent of total billed charges,202.3272696,,,,275,percent of total billed charges,214.4629053,,,,196.075,percent of total billed charges,97.84501318,,,,196.075,percent of total billed charges,58.54308477,,,,196.075,percent of total billed charges,97.84501318,,,,196.075,percent of total billed charges,58.54308477,,,,196.075,percent of total billed charges,97.84501318,,,,196.075,percent of total billed charges,58.54308477,,,,194.15,percent of total billed charges,192.6769312,,,,194.15,percent of total billed charges,132.8877523,,,,,,,,,,198,percent of total billed charges,128.6953406,,,,,,,,,,198,percent of total billed charges,999999999,,,,,,,,,,220,percent of total billed charges,184.348564,,,,217.25,percent of total billed charges,209.6555993,,,,217.25,percent of total billed charges,185.2376619,,,,220,percent of total billed charges,999999999,,,,220,percent of total billed charges,999999999,,,,192.5,percent of total billed charges,999999999,,,,192.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,146.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,138.875,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,68.75,percent of total billed charges,65.29568314,,,,,,,,,,68.75,percent of total billed charges,64.20953388,,,,,,,,,,68.75,percent of total billed charges,64.03109833,,,,,,,,,,68.75,percent of total billed charges,63.08824119,,,,,,,,,,68.75,percent of total billed charges,64.71159438,,,,,,,,,,68.75,percent of total billed charges,999999999,,,,,,,,,,68.75,percent of total billed charges,55.52710497,,,,,,,,,,68.75,percent of total billed charges,87.57007367,,,,,,,,,,68.75,percent of total billed charges,999999999,,,,,,,,,,68.75,percent of total billed charges,59.87179929,,,,,,,,,,247.5,percent of total billed charges,,,,,
**INT MEATOTOMY KNIFE,Local,Local,,,,both,,,545,545,116.0217498,545,545,percent of total billed charges,400.9758615,,,,545,percent of total billed charges,425.026485,,,,545,percent of total billed charges,400.9758615,,,,545,percent of total billed charges,425.026485,,,,545,percent of total billed charges,999999999,,,,545,percent of total billed charges,415.2525424,,,,545,percent of total billed charges,400.9758615,,,,545,percent of total billed charges,425.026485,,,,388.585,percent of total billed charges,193.9110261,,,,388.585,percent of total billed charges,116.0217498,,,,388.585,percent of total billed charges,193.9110261,,,,388.585,percent of total billed charges,116.0217498,,,,388.585,percent of total billed charges,193.9110261,,,,388.585,percent of total billed charges,116.0217498,,,,384.77,percent of total billed charges,381.8506454,,,,384.77,percent of total billed charges,263.3593636,,,,,,,,,,392.4,percent of total billed charges,255.050766,,,,,,,,,,392.4,percent of total billed charges,999999999,,,,,,,,,,436,percent of total billed charges,365.345336,,,,430.55,percent of total billed charges,415.4992787,,,,430.55,percent of total billed charges,367.1073664,,,,436,percent of total billed charges,999999999,,,,436,percent of total billed charges,999999999,,,,381.5,percent of total billed charges,999999999,,,,381.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,289.94,percent of total billed charges,999999999,,,,,,,,,,,,,,,,275.225,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,136.25,percent of total billed charges,129.404172,,,,,,,,,,136.25,percent of total billed charges,127.2516217,,,,,,,,,,136.25,percent of total billed charges,126.8979949,,,,,,,,,,136.25,percent of total billed charges,125.0294234,,,,,,,,,,136.25,percent of total billed charges,128.2466143,,,,,,,,,,136.25,percent of total billed charges,999999999,,,,,,,,,,136.25,percent of total billed charges,110.0446262,,,,,,,,,,136.25,percent of total billed charges,173.5479642,,,,,,,,,,136.25,percent of total billed charges,999999999,,,,,,,,,,136.25,percent of total billed charges,118.6550204,,,,,,,,,,490.5,percent of total billed charges,,,,,
**AUTOMATIC TOURNIQUET,Local,Local,,,,both,,,243,243,51.73079854,243,243,percent of total billed charges,178.7837328,,,,243,percent of total billed charges,189.5072217,,,,243,percent of total billed charges,178.7837328,,,,243,percent of total billed charges,189.5072217,,,,243,percent of total billed charges,999999999,,,,243,percent of total billed charges,185.1492987,,,,243,percent of total billed charges,178.7837328,,,,243,percent of total billed charges,189.5072217,,,,173.259,percent of total billed charges,86.45941165,,,,173.259,percent of total billed charges,51.73079854,,,,173.259,percent of total billed charges,86.45941165,,,,173.259,percent of total billed charges,51.73079854,,,,173.259,percent of total billed charges,86.45941165,,,,173.259,percent of total billed charges,51.73079854,,,,171.558,percent of total billed charges,170.2563428,,,,171.558,percent of total billed charges,117.4244502,,,,,,,,,,174.96,percent of total billed charges,113.7198828,,,,,,,,,,174.96,percent of total billed charges,999999999,,,,,,,,,,194.4,percent of total billed charges,162.8970947,,,,191.97,percent of total billed charges,185.2593114,,,,191.97,percent of total billed charges,163.682734,,,,194.4,percent of total billed charges,999999999,,,,194.4,percent of total billed charges,999999999,,,,170.1,percent of total billed charges,999999999,,,,170.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,129.276,percent of total billed charges,999999999,,,,,,,,,,,,,,,,122.715,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,60.75,percent of total billed charges,57.69764001,,,,,,,,,,60.75,percent of total billed charges,56.73787902,,,,,,,,,,60.75,percent of total billed charges,56.58020689,,,,,,,,,,60.75,percent of total billed charges,55.74706403,,,,,,,,,,60.75,percent of total billed charges,57.18151794,,,,,,,,,,60.75,percent of total billed charges,999999999,,,,,,,,,,60.75,percent of total billed charges,49.06576912,,,,,,,,,,60.75,percent of total billed charges,77.38010146,,,,,,,,,,60.75,percent of total billed charges,999999999,,,,,,,,,,60.75,percent of total billed charges,52.90489901,,,,,,,,,,218.7,percent of total billed charges,,,,,
**X RAY COVERS,Local,Local,,,,both,,,59,59,12.56015273,59,59,percent of total billed charges,43.40839602,,,,59,percent of total billed charges,46.01204149,,,,59,percent of total billed charges,43.40839602,,,,59,percent of total billed charges,46.01204149,,,,59,percent of total billed charges,999999999,,,,59,percent of total billed charges,44.95394496,,,,59,percent of total billed charges,43.40839602,,,,59,percent of total billed charges,46.01204149,,,,42.067,percent of total billed charges,20.99220283,,,,42.067,percent of total billed charges,12.56015273,,,,42.067,percent of total billed charges,20.99220283,,,,42.067,percent of total billed charges,12.56015273,,,,42.067,percent of total billed charges,20.99220283,,,,42.067,percent of total billed charges,12.56015273,,,,41.654,percent of total billed charges,41.33795978,,,,41.654,percent of total billed charges,28.51046321,,,,,,,,,,42.48,percent of total billed charges,27.61100036,,,,,,,,,,42.48,percent of total billed charges,999999999,,,,,,,,,,47.2,percent of total billed charges,39.55114646,,,,46.61,percent of total billed charges,44.98065586,,,,46.61,percent of total billed charges,39.74189838,,,,47.2,percent of total billed charges,999999999,,,,47.2,percent of total billed charges,999999999,,,,41.3,percent of total billed charges,999999999,,,,41.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,31.388,percent of total billed charges,999999999,,,,,,,,,,,,,,,,29.795,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14.75,percent of total billed charges,14.00889202,,,,,,,,,,14.75,percent of total billed charges,13.77586363,,,,,,,,,,14.75,percent of total billed charges,13.7375811,,,,,,,,,,14.75,percent of total billed charges,13.53529538,,,,,,,,,,14.75,percent of total billed charges,13.88357843,,,,,,,,,,14.75,percent of total billed charges,999999999,,,,,,,,,,14.75,percent of total billed charges,11.91308798,,,,,,,,,,14.75,percent of total billed charges,18.78776126,,,,,,,,,,14.75,percent of total billed charges,999999999,,,,,,,,,,14.75,percent of total billed charges,12.84522239,,,,,,,,,,53.1,percent of total billed charges,,,,,
**ARM CAST (SHORT),Local,Local,,,,both,,,334,334,71.1032375,334,334,percent of total billed charges,245.7356656,,,,334,percent of total billed charges,260.4749467,,,,334,percent of total billed charges,245.7356656,,,,334,percent of total billed charges,260.4749467,,,,334,percent of total billed charges,999999999,,,,334,percent of total billed charges,254.4850443,,,,334,percent of total billed charges,245.7356656,,,,334,percent of total billed charges,260.4749467,,,,238.142,percent of total billed charges,118.837216,,,,238.142,percent of total billed charges,71.1032375,,,,238.142,percent of total billed charges,118.837216,,,,238.142,percent of total billed charges,71.1032375,,,,238.142,percent of total billed charges,118.837216,,,,238.142,percent of total billed charges,71.1032375,,,,235.804,percent of total billed charges,234.0148909,,,,235.804,percent of total billed charges,161.3982155,,,,,,,,,,240.48,percent of total billed charges,156.306341,,,,,,,,,,240.48,percent of total billed charges,999999999,,,,,,,,,,267.2,percent of total billed charges,223.8997105,,,,263.86,percent of total billed charges,254.6362552,,,,263.86,percent of total billed charges,224.9795603,,,,267.2,percent of total billed charges,999999999,,,,267.2,percent of total billed charges,999999999,,,,233.8,percent of total billed charges,999999999,,,,233.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,177.688,percent of total billed charges,999999999,,,,,,,,,,,,,,,,168.67,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,83.5,percent of total billed charges,79.30457515,,,,,,,,,,83.5,percent of total billed charges,77.98539751,,,,,,,,,,83.5,percent of total billed charges,77.76867943,,,,,,,,,,83.5,percent of total billed charges,76.62353657,,,,,,,,,,83.5,percent of total billed charges,78.59517281,,,,,,,,,,83.5,percent of total billed charges,999999999,,,,,,,,,,83.5,percent of total billed charges,67.44019294,,,,,,,,,,83.5,percent of total billed charges,106.3578349,,,,,,,,,,83.5,percent of total billed charges,999999999,,,,,,,,,,83.5,percent of total billed charges,72.71702168,,,,,,,,,,300.6,percent of total billed charges,,,,,
**ARM CAST (LONG),Local,Local,,,,both,,,396,396,84.30204207,396,396,percent of total billed charges,291.3512682,,,,396,percent of total billed charges,308.8265836,,,,396,percent of total billed charges,291.3512682,,,,396,percent of total billed charges,308.8265836,,,,396,percent of total billed charges,999999999,,,,396,percent of total billed charges,301.7247831,,,,396,percent of total billed charges,291.3512682,,,,396,percent of total billed charges,308.8265836,,,,282.348,percent of total billed charges,140.896819,,,,282.348,percent of total billed charges,84.30204207,,,,282.348,percent of total billed charges,140.896819,,,,282.348,percent of total billed charges,84.30204207,,,,282.348,percent of total billed charges,140.896819,,,,282.348,percent of total billed charges,84.30204207,,,,279.576,percent of total billed charges,277.4547809,,,,279.576,percent of total billed charges,191.3583633,,,,,,,,,,285.12,percent of total billed charges,185.3212905,,,,,,,,,,285.12,percent of total billed charges,999999999,,,,,,,,,,316.8,percent of total billed charges,265.4619322,,,,312.84,percent of total billed charges,301.904063,,,,312.84,percent of total billed charges,266.7422332,,,,316.8,percent of total billed charges,999999999,,,,316.8,percent of total billed charges,999999999,,,,277.2,percent of total billed charges,999999999,,,,277.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,210.672,percent of total billed charges,999999999,,,,,,,,,,,,,,,,199.98,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,99,percent of total billed charges,94.02578371,,,,,,,,,,99,percent of total billed charges,92.46172878,,,,,,,,,,99,percent of total billed charges,92.2047816,,,,,,,,,,99,percent of total billed charges,90.84706731,,,,,,,,,,99,percent of total billed charges,93.1846959,,,,,,,,,,99,percent of total billed charges,999999999,,,,,,,,,,99,percent of total billed charges,79.95903116,,,,,,,,,,99,percent of total billed charges,126.1009061,,,,,,,,,,99,percent of total billed charges,999999999,,,,,,,,,,99,percent of total billed charges,86.21539097,,,,,,,,,,356.4,percent of total billed charges,,,,,
**HAND CAST,Local,Local,,,,both,,,203,203,43.21544076,203,203,percent of total billed charges,149.3543117,,,,203,percent of total billed charges,158.3126173,,,,203,percent of total billed charges,149.3543117,,,,203,percent of total billed charges,158.3126173,,,,203,percent of total billed charges,999999999,,,,203,percent of total billed charges,154.6720479,,,,203,percent of total billed charges,149.3543117,,,,203,percent of total billed charges,158.3126173,,,,144.739,percent of total billed charges,72.22740973,,,,144.739,percent of total billed charges,43.21544076,,,,144.739,percent of total billed charges,72.22740973,,,,144.739,percent of total billed charges,43.21544076,,,,144.739,percent of total billed charges,72.22740973,,,,144.739,percent of total billed charges,43.21544076,,,,143.318,percent of total billed charges,142.2306074,,,,143.318,percent of total billed charges,98.09532258,,,,,,,,,,146.16,percent of total billed charges,95.00056055,,,,,,,,,,146.16,percent of total billed charges,999999999,,,,,,,,,,162.4,percent of total billed charges,136.0827582,,,,160.37,percent of total billed charges,154.7639515,,,,160.37,percent of total billed charges,136.7390741,,,,162.4,percent of total billed charges,999999999,,,,162.4,percent of total billed charges,999999999,,,,142.1,percent of total billed charges,999999999,,,,142.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,107.996,percent of total billed charges,999999999,,,,,,,,,,,,,,,,102.515,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,50.75,percent of total billed charges,48.2000861,,,,,,,,,,50.75,percent of total billed charges,47.39831046,,,,,,,,,,50.75,percent of total billed charges,47.26659259,,,,,,,,,,50.75,percent of total billed charges,46.57059258,,,,,,,,,,50.75,percent of total billed charges,47.7689224,,,,,,,,,,50.75,percent of total billed charges,999999999,,,,,,,,,,50.75,percent of total billed charges,40.9890993,,,,,,,,,,50.75,percent of total billed charges,64.6426362,,,,,,,,,,50.75,percent of total billed charges,999999999,,,,,,,,,,50.75,percent of total billed charges,44.19627365,,,,,,,,,,182.7,percent of total billed charges,,,,,
**HANGING CAST,Local,Local,,,,both,,,396,396,84.30204207,396,396,percent of total billed charges,291.3512682,,,,396,percent of total billed charges,308.8265836,,,,396,percent of total billed charges,291.3512682,,,,396,percent of total billed charges,308.8265836,,,,396,percent of total billed charges,999999999,,,,396,percent of total billed charges,301.7247831,,,,396,percent of total billed charges,291.3512682,,,,396,percent of total billed charges,308.8265836,,,,282.348,percent of total billed charges,140.896819,,,,282.348,percent of total billed charges,84.30204207,,,,282.348,percent of total billed charges,140.896819,,,,282.348,percent of total billed charges,84.30204207,,,,282.348,percent of total billed charges,140.896819,,,,282.348,percent of total billed charges,84.30204207,,,,279.576,percent of total billed charges,277.4547809,,,,279.576,percent of total billed charges,191.3583633,,,,,,,,,,285.12,percent of total billed charges,185.3212905,,,,,,,,,,285.12,percent of total billed charges,999999999,,,,,,,,,,316.8,percent of total billed charges,265.4619322,,,,312.84,percent of total billed charges,301.904063,,,,312.84,percent of total billed charges,266.7422332,,,,316.8,percent of total billed charges,999999999,,,,316.8,percent of total billed charges,999999999,,,,277.2,percent of total billed charges,999999999,,,,277.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,210.672,percent of total billed charges,999999999,,,,,,,,,,,,,,,,199.98,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,99,percent of total billed charges,94.02578371,,,,,,,,,,99,percent of total billed charges,92.46172878,,,,,,,,,,99,percent of total billed charges,92.2047816,,,,,,,,,,99,percent of total billed charges,90.84706731,,,,,,,,,,99,percent of total billed charges,93.1846959,,,,,,,,,,99,percent of total billed charges,999999999,,,,,,,,,,99,percent of total billed charges,79.95903116,,,,,,,,,,99,percent of total billed charges,126.1009061,,,,,,,,,,99,percent of total billed charges,999999999,,,,,,,,,,99,percent of total billed charges,86.21539097,,,,,,,,,,356.4,percent of total billed charges,,,,,
**LEG CAST (SHORT),Local,Local,,,,both,,,396,396,84.30204207,396,396,percent of total billed charges,291.3512682,,,,396,percent of total billed charges,308.8265836,,,,396,percent of total billed charges,291.3512682,,,,396,percent of total billed charges,308.8265836,,,,396,percent of total billed charges,999999999,,,,396,percent of total billed charges,301.7247831,,,,396,percent of total billed charges,291.3512682,,,,396,percent of total billed charges,308.8265836,,,,282.348,percent of total billed charges,140.896819,,,,282.348,percent of total billed charges,84.30204207,,,,282.348,percent of total billed charges,140.896819,,,,282.348,percent of total billed charges,84.30204207,,,,282.348,percent of total billed charges,140.896819,,,,282.348,percent of total billed charges,84.30204207,,,,279.576,percent of total billed charges,277.4547809,,,,279.576,percent of total billed charges,191.3583633,,,,,,,,,,285.12,percent of total billed charges,185.3212905,,,,,,,,,,285.12,percent of total billed charges,999999999,,,,,,,,,,316.8,percent of total billed charges,265.4619322,,,,312.84,percent of total billed charges,301.904063,,,,312.84,percent of total billed charges,266.7422332,,,,316.8,percent of total billed charges,999999999,,,,316.8,percent of total billed charges,999999999,,,,277.2,percent of total billed charges,999999999,,,,277.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,210.672,percent of total billed charges,999999999,,,,,,,,,,,,,,,,199.98,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,99,percent of total billed charges,94.02578371,,,,,,,,,,99,percent of total billed charges,92.46172878,,,,,,,,,,99,percent of total billed charges,92.2047816,,,,,,,,,,99,percent of total billed charges,90.84706731,,,,,,,,,,99,percent of total billed charges,93.1846959,,,,,,,,,,99,percent of total billed charges,999999999,,,,,,,,,,99,percent of total billed charges,79.95903116,,,,,,,,,,99,percent of total billed charges,126.1009061,,,,,,,,,,99,percent of total billed charges,999999999,,,,,,,,,,99,percent of total billed charges,86.21539097,,,,,,,,,,356.4,percent of total billed charges,,,,,
**RUBBER WALKING HEEL,Local,Local,,,,both,,,63,63,13.41168851,63,63,percent of total billed charges,46.35133812,,,,63,percent of total billed charges,49.13150193,,,,63,percent of total billed charges,46.35133812,,,,63,percent of total billed charges,49.13150193,,,,63,percent of total billed charges,999999999,,,,63,percent of total billed charges,48.00167004,,,,63,percent of total billed charges,46.35133812,,,,63,percent of total billed charges,49.13150193,,,,44.919,percent of total billed charges,22.41540302,,,,44.919,percent of total billed charges,13.41168851,,,,44.919,percent of total billed charges,22.41540302,,,,44.919,percent of total billed charges,13.41168851,,,,44.919,percent of total billed charges,22.41540302,,,,44.919,percent of total billed charges,13.41168851,,,,44.478,percent of total billed charges,44.14053332,,,,44.478,percent of total billed charges,30.44337597,,,,,,,,,,45.36,percent of total billed charges,29.48293258,,,,,,,,,,45.36,percent of total billed charges,999999999,,,,,,,,,,50.4,percent of total billed charges,42.23258012,,,,49.77,percent of total billed charges,48.03019185,,,,49.77,percent of total billed charges,42.43626437,,,,50.4,percent of total billed charges,999999999,,,,50.4,percent of total billed charges,999999999,,,,44.1,percent of total billed charges,999999999,,,,44.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,33.516,percent of total billed charges,999999999,,,,,,,,,,,,,,,,31.815,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15.75,percent of total billed charges,14.95864741,,,,,,,,,,15.75,percent of total billed charges,14.70982049,,,,,,,,,,15.75,percent of total billed charges,14.66894253,,,,,,,,,,15.75,percent of total billed charges,14.45294253,,,,,,,,,,15.75,percent of total billed charges,14.82483798,,,,,,,,,,15.75,percent of total billed charges,999999999,,,,,,,,,,15.75,percent of total billed charges,12.72075496,,,,,,,,,,15.75,percent of total billed charges,20.06150779,,,,,,,,,,15.75,percent of total billed charges,999999999,,,,,,,,,,15.75,percent of total billed charges,13.71608493,,,,,,,,,,56.7,percent of total billed charges,,,,,
**WALKING IRON,Local,Local,,,,both,,,132,132,28.10068069,132,132,percent of total billed charges,97.1170894,,,,132,percent of total billed charges,102.9421945,,,,132,percent of total billed charges,97.1170894,,,,132,percent of total billed charges,102.9421945,,,,132,percent of total billed charges,999999999,,,,132,percent of total billed charges,100.5749277,,,,132,percent of total billed charges,97.1170894,,,,132,percent of total billed charges,102.9421945,,,,94.116,percent of total billed charges,46.96560633,,,,94.116,percent of total billed charges,28.10068069,,,,94.116,percent of total billed charges,46.96560633,,,,94.116,percent of total billed charges,28.10068069,,,,94.116,percent of total billed charges,46.96560633,,,,94.116,percent of total billed charges,28.10068069,,,,93.192,percent of total billed charges,92.48492696,,,,93.192,percent of total billed charges,63.78612109,,,,,,,,,,95.04,percent of total billed charges,61.77376351,,,,,,,,,,95.04,percent of total billed charges,999999999,,,,,,,,,,105.6,percent of total billed charges,88.48731073,,,,104.28,percent of total billed charges,100.6346877,,,,104.28,percent of total billed charges,88.91407773,,,,105.6,percent of total billed charges,999999999,,,,105.6,percent of total billed charges,999999999,,,,92.4,percent of total billed charges,999999999,,,,92.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,70.224,percent of total billed charges,999999999,,,,,,,,,,,,,,,,66.66,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,33,percent of total billed charges,31.3419279,,,,,,,,,,33,percent of total billed charges,30.82057626,,,,,,,,,,33,percent of total billed charges,30.7349272,,,,,,,,,,33,percent of total billed charges,30.28235577,,,,,,,,,,33,percent of total billed charges,31.0615653,,,,,,,,,,33,percent of total billed charges,999999999,,,,,,,,,,33,percent of total billed charges,26.65301039,,,,,,,,,,33,percent of total billed charges,42.03363536,,,,,,,,,,33,percent of total billed charges,999999999,,,,,,,,,,33,percent of total billed charges,28.73846366,,,,,,,,,,118.8,percent of total billed charges,,,,,
**CAST SHOE,Local,Local,,,,both,,,139,139,29.5908683,139,139,percent of total billed charges,102.2672381,,,,139,percent of total billed charges,108.4012503,,,,139,percent of total billed charges,102.2672381,,,,139,percent of total billed charges,108.4012503,,,,139,percent of total billed charges,999999999,,,,139,percent of total billed charges,105.9084466,,,,139,percent of total billed charges,102.2672381,,,,139,percent of total billed charges,108.4012503,,,,99.107,percent of total billed charges,49.45620666,,,,99.107,percent of total billed charges,29.5908683,,,,99.107,percent of total billed charges,49.45620666,,,,99.107,percent of total billed charges,29.5908683,,,,99.107,percent of total billed charges,49.45620666,,,,99.107,percent of total billed charges,29.5908683,,,,98.134,percent of total billed charges,97.38943066,,,,98.134,percent of total billed charges,67.16871842,,,,,,,,,,100.08,percent of total billed charges,65.04964491,,,,,,,,,,100.08,percent of total billed charges,999999999,,,,,,,,,,111.2,percent of total billed charges,93.17981963,,,,109.81,percent of total billed charges,105.9713757,,,,109.81,percent of total billed charges,93.62921821,,,,111.2,percent of total billed charges,999999999,,,,111.2,percent of total billed charges,999999999,,,,97.3,percent of total billed charges,999999999,,,,97.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,73.948,percent of total billed charges,999999999,,,,,,,,,,,,,,,,70.195,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,34.75,percent of total billed charges,33.00399984,,,,,,,,,,34.75,percent of total billed charges,32.45500076,,,,,,,,,,34.75,percent of total billed charges,32.3648097,,,,,,,,,,34.75,percent of total billed charges,31.88823827,,,,,,,,,,34.75,percent of total billed charges,32.70876952,,,,,,,,,,34.75,percent of total billed charges,999999999,,,,,,,,,,34.75,percent of total billed charges,28.0664276,,,,,,,,,,34.75,percent of total billed charges,44.26269178,,,,,,,,,,34.75,percent of total billed charges,999999999,,,,,,,,,,34.75,percent of total billed charges,30.26247309,,,,,,,,,,125.1,percent of total billed charges,,,,,
**COLOSTOMY ROD,Local,Local,,,,both,,,24,24,5.109214671,24,24,percent of total billed charges,17.65765262,,,,24,percent of total billed charges,18.71676264,,,,24,percent of total billed charges,17.65765262,,,,24,percent of total billed charges,18.71676264,,,,24,percent of total billed charges,999999999,,,,24,percent of total billed charges,18.28635049,,,,24,percent of total billed charges,17.65765262,,,,24,percent of total billed charges,18.71676264,,,,17.112,percent of total billed charges,8.53920115,,,,17.112,percent of total billed charges,5.109214671,,,,17.112,percent of total billed charges,8.53920115,,,,17.112,percent of total billed charges,5.109214671,,,,17.112,percent of total billed charges,8.53920115,,,,17.112,percent of total billed charges,5.109214671,,,,16.944,percent of total billed charges,16.81544127,,,,16.944,percent of total billed charges,11.59747656,,,,,,,,,,17.28,percent of total billed charges,11.23159337,,,,,,,,,,17.28,percent of total billed charges,999999999,,,,,,,,,,19.2,percent of total billed charges,16.08860195,,,,18.96,percent of total billed charges,18.29721594,,,,18.96,percent of total billed charges,16.16619595,,,,19.2,percent of total billed charges,999999999,,,,19.2,percent of total billed charges,999999999,,,,16.8,percent of total billed charges,999999999,,,,16.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,12.768,percent of total billed charges,999999999,,,,,,,,,,,,,,,,12.12,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6,percent of total billed charges,5.698532346,,,,,,,,,,6,percent of total billed charges,5.603741138,,,,,,,,,,6,percent of total billed charges,5.588168582,,,,,,,,,,6,percent of total billed charges,5.505882867,,,,,,,,,,6,percent of total billed charges,5.647557328,,,,,,,,,,6,percent of total billed charges,999999999,,,,,,,,,,6,percent of total billed charges,4.846001888,,,,,,,,,,6,percent of total billed charges,7.642479156,,,,,,,,,,6,percent of total billed charges,999999999,,,,,,,,,,6,percent of total billed charges,5.22517521,,,,,,,,,,21.6,percent of total billed charges,,,,,
**GELFOAM DENTAL,Local,Local,,,,both,,,23,23,4.896330726,23,23,percent of total billed charges,16.92191709,,,,23,percent of total billed charges,17.93689753,,,,23,percent of total billed charges,16.92191709,,,,23,percent of total billed charges,17.93689753,,,,23,percent of total billed charges,999999999,,,,23,percent of total billed charges,17.52441922,,,,23,percent of total billed charges,16.92191709,,,,23,percent of total billed charges,17.93689753,,,,16.399,percent of total billed charges,8.183401102,,,,16.399,percent of total billed charges,4.896330726,,,,16.399,percent of total billed charges,8.183401102,,,,16.399,percent of total billed charges,4.896330726,,,,16.399,percent of total billed charges,8.183401102,,,,16.399,percent of total billed charges,4.896330726,,,,16.238,percent of total billed charges,16.11479788,,,,16.238,percent of total billed charges,11.11424837,,,,,,,,,,16.56,percent of total billed charges,10.76361031,,,,,,,,,,16.56,percent of total billed charges,999999999,,,,,,,,,,18.4,percent of total billed charges,15.41824354,,,,18.17,percent of total billed charges,17.53483194,,,,18.17,percent of total billed charges,15.49260445,,,,18.4,percent of total billed charges,999999999,,,,18.4,percent of total billed charges,999999999,,,,16.1,percent of total billed charges,999999999,,,,16.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,12.236,percent of total billed charges,999999999,,,,,,,,,,,,,,,,11.615,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5.75,percent of total billed charges,5.461093499,,,,,,,,,,5.75,percent of total billed charges,5.370251924,,,,,,,,,,5.75,percent of total billed charges,5.355328224,,,,,,,,,,5.75,percent of total billed charges,5.276471081,,,,,,,,,,5.75,percent of total billed charges,5.412242439,,,,,,,,,,5.75,percent of total billed charges,999999999,,,,,,,,,,5.75,percent of total billed charges,4.644085143,,,,,,,,,,5.75,percent of total billed charges,7.324042525,,,,,,,,,,5.75,percent of total billed charges,999999999,,,,,,,,,,5.75,percent of total billed charges,5.007459577,,,,,,,,,,20.7,percent of total billed charges,,,,,
**COCK UP WRIST SPLINT,L3908,CDM,,,,both,,,114,114,24.26876969,114,114,percent of total billed charges,83.87384993,,,,114,percent of total billed charges,88.90462254,,,,114,percent of total billed charges,83.87384993,,,,114,percent of total billed charges,88.90462254,,,,114,percent of total billed charges,999999999,,,,114,percent of total billed charges,86.86016483,,,,114,percent of total billed charges,83.87384993,,,,114,percent of total billed charges,88.90462254,,,,81.282,percent of total billed charges,40.56120546,,,,81.282,percent of total billed charges,24.26876969,,,,81.282,percent of total billed charges,40.56120546,,,,81.282,percent of total billed charges,24.26876969,,,,81.282,percent of total billed charges,40.56120546,,,,81.282,percent of total billed charges,24.26876969,,,,80.484,percent of total billed charges,79.87334601,,,,80.484,percent of total billed charges,55.08801366,,,,,,,,,,82.08,percent of total billed charges,53.35006848,,,,,,,,,,82.08,percent of total billed charges,999999999,,,,,,,,,,91.2,percent of total billed charges,76.42085926,,,,90.06,percent of total billed charges,86.91177572,,,,90.06,percent of total billed charges,76.78943077,,,,91.2,percent of total billed charges,999999999,,,,91.2,percent of total billed charges,999999999,,,,79.8,percent of total billed charges,999999999,,,,79.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,60.648,percent of total billed charges,999999999,,,,,,,,,,,,,,,,57.57,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,28.5,percent of total billed charges,27.06802865,,,,,,,,,,28.5,percent of total billed charges,26.61777041,,,,,,,,,,28.5,percent of total billed charges,26.54380076,,,,,,,,,,28.5,percent of total billed charges,26.15294362,,,,,,,,,,28.5,percent of total billed charges,26.82589731,,,,,,,,,,28.5,percent of total billed charges,999999999,,,,,,,,,,28.5,percent of total billed charges,23.01850897,,,,,,,,,,28.5,percent of total billed charges,36.30177599,,,,,,,,,,28.5,percent of total billed charges,999999999,,,,,,,,,,28.5,percent of total billed charges,24.81958225,,,,,,,,,,102.6,percent of total billed charges,,,,,
**TRANVERSE LAP SHEET,Local,Local,,,,both,,,71,71,15.11476007,71,71,percent of total billed charges,52.23722233,,,,71,percent of total billed charges,55.37042281,,,,71,percent of total billed charges,52.23722233,,,,71,percent of total billed charges,55.37042281,,,,71,percent of total billed charges,999999999,,,,71,percent of total billed charges,54.0971202,,,,71,percent of total billed charges,52.23722233,,,,71,percent of total billed charges,55.37042281,,,,50.623,percent of total billed charges,25.2618034,,,,50.623,percent of total billed charges,15.11476007,,,,50.623,percent of total billed charges,25.2618034,,,,50.623,percent of total billed charges,15.11476007,,,,50.623,percent of total billed charges,25.2618034,,,,50.623,percent of total billed charges,15.11476007,,,,50.126,percent of total billed charges,49.74568041,,,,50.126,percent of total billed charges,34.30920149,,,,,,,,,,51.12,percent of total billed charges,33.22679704,,,,,,,,,,51.12,percent of total billed charges,999999999,,,,,,,,,,56.8,percent of total billed charges,47.59544744,,,,56.09,percent of total billed charges,54.12926383,,,,56.09,percent of total billed charges,47.82499635,,,,56.8,percent of total billed charges,999999999,,,,56.8,percent of total billed charges,999999999,,,,49.7,percent of total billed charges,999999999,,,,49.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,37.772,percent of total billed charges,999999999,,,,,,,,,,,,,,,,35.855,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17.75,percent of total billed charges,16.85815819,,,,,,,,,,17.75,percent of total billed charges,16.5777342,,,,,,,,,,17.75,percent of total billed charges,16.53166539,,,,,,,,,,17.75,percent of total billed charges,16.28823682,,,,,,,,,,17.75,percent of total billed charges,16.70735709,,,,,,,,,,17.75,percent of total billed charges,999999999,,,,,,,,,,17.75,percent of total billed charges,14.33608892,,,,,,,,,,17.75,percent of total billed charges,22.60900084,,,,,,,,,,17.75,percent of total billed charges,999999999,,,,,,,,,,17.75,percent of total billed charges,15.45781,,,,,,,,,,63.9,percent of total billed charges,,,,,
**T-TUBES,Local,Local,,,,both,,,72,72,15.32764401,72,72,percent of total billed charges,52.97295785,,,,72,percent of total billed charges,56.15028792,,,,72,percent of total billed charges,52.97295785,,,,72,percent of total billed charges,56.15028792,,,,72,percent of total billed charges,999999999,,,,72,percent of total billed charges,54.85905147,,,,72,percent of total billed charges,52.97295785,,,,72,percent of total billed charges,56.15028792,,,,51.336,percent of total billed charges,25.61760345,,,,51.336,percent of total billed charges,15.32764401,,,,51.336,percent of total billed charges,25.61760345,,,,51.336,percent of total billed charges,15.32764401,,,,51.336,percent of total billed charges,25.61760345,,,,51.336,percent of total billed charges,15.32764401,,,,50.832,percent of total billed charges,50.4463238,,,,50.832,percent of total billed charges,34.79242968,,,,,,,,,,51.84,percent of total billed charges,33.6947801,,,,,,,,,,51.84,percent of total billed charges,999999999,,,,,,,,,,57.6,percent of total billed charges,48.26580585,,,,56.88,percent of total billed charges,54.89164783,,,,56.88,percent of total billed charges,48.49858785,,,,57.6,percent of total billed charges,999999999,,,,57.6,percent of total billed charges,999999999,,,,50.4,percent of total billed charges,999999999,,,,50.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,38.304,percent of total billed charges,999999999,,,,,,,,,,,,,,,,36.36,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18,percent of total billed charges,17.09559704,,,,,,,,,,18,percent of total billed charges,16.81122341,,,,,,,,,,18,percent of total billed charges,16.76450574,,,,,,,,,,18,percent of total billed charges,16.5176486,,,,,,,,,,18,percent of total billed charges,16.94267198,,,,,,,,,,18,percent of total billed charges,999999999,,,,,,,,,,18,percent of total billed charges,14.53800566,,,,,,,,,,18,percent of total billed charges,22.92743747,,,,,,,,,,18,percent of total billed charges,999999999,,,,,,,,,,18,percent of total billed charges,15.67552563,,,,,,,,,,64.8,percent of total billed charges,,,,,
**BILE BAG,Local,Local,,,,both,,,90,90,19.15955502,90,90,percent of total billed charges,66.21619731,,,,90,percent of total billed charges,70.1878599,,,,90,percent of total billed charges,66.21619731,,,,90,percent of total billed charges,70.1878599,,,,90,percent of total billed charges,999999999,,,,90,percent of total billed charges,68.57381434,,,,90,percent of total billed charges,66.21619731,,,,90,percent of total billed charges,70.1878599,,,,64.17,percent of total billed charges,32.02200431,,,,64.17,percent of total billed charges,19.15955502,,,,64.17,percent of total billed charges,32.02200431,,,,64.17,percent of total billed charges,19.15955502,,,,64.17,percent of total billed charges,32.02200431,,,,64.17,percent of total billed charges,19.15955502,,,,63.54,percent of total billed charges,63.05790475,,,,63.54,percent of total billed charges,43.4905371,,,,,,,,,,64.8,percent of total billed charges,42.11847512,,,,,,,,,,64.8,percent of total billed charges,999999999,,,,,,,,,,72,percent of total billed charges,60.33225731,,,,71.1,percent of total billed charges,68.61455978,,,,71.1,percent of total billed charges,60.62323481,,,,72,percent of total billed charges,999999999,,,,72,percent of total billed charges,999999999,,,,63,percent of total billed charges,999999999,,,,63,percent of total billed charges,999999999,,,,,,,,,,,,,,,,47.88,percent of total billed charges,999999999,,,,,,,,,,,,,,,,45.45,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,22.5,percent of total billed charges,21.3694963,,,,,,,,,,22.5,percent of total billed charges,21.01402927,,,,,,,,,,22.5,percent of total billed charges,20.95563218,,,,,,,,,,22.5,percent of total billed charges,20.64706075,,,,,,,,,,22.5,percent of total billed charges,21.17833998,,,,,,,,,,22.5,percent of total billed charges,999999999,,,,,,,,,,22.5,percent of total billed charges,18.17250708,,,,,,,,,,22.5,percent of total billed charges,28.65929684,,,,,,,,,,22.5,percent of total billed charges,999999999,,,,,,,,,,22.5,percent of total billed charges,19.59440704,,,,,,,,,,81,percent of total billed charges,,,,,
**ARTERIAL GRAFTS,Local,Local,,,,both,,,5337,5337,1136.161612,5337,5337,percent of total billed charges,3926.620501,,,,5337,percent of total billed charges,4162.140092,,,,5337,percent of total billed charges,3926.620501,,,,5337,percent of total billed charges,4162.140092,,,,5337,percent of total billed charges,999999999,,,,5337,percent of total billed charges,4066.42719,,,,5337,percent of total billed charges,3926.620501,,,,5337,percent of total billed charges,4162.140092,,,,3805.281,percent of total billed charges,1898.904856,,,,3805.281,percent of total billed charges,1136.161612,,,,3805.281,percent of total billed charges,1898.904856,,,,3805.281,percent of total billed charges,1136.161612,,,,3805.281,percent of total billed charges,1898.904856,,,,3805.281,percent of total billed charges,1136.161612,,,,3767.922,percent of total billed charges,3739.333751,,,,3767.922,percent of total billed charges,2578.98885,,,,,,,,,,3842.64,percent of total billed charges,2497.625575,,,,,,,,,,3842.64,percent of total billed charges,999999999,,,,,,,,,,4269.6,percent of total billed charges,3577.702859,,,,4216.23,percent of total billed charges,4068.843395,,,,4216.23,percent of total billed charges,3594.957825,,,,4269.6,percent of total billed charges,999999999,,,,4269.6,percent of total billed charges,999999999,,,,3735.9,percent of total billed charges,999999999,,,,3735.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2839.284,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2695.185,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1334.25,percent of total billed charges,1267.211131,,,,,,,,,,1334.25,percent of total billed charges,1246.131936,,,,,,,,,,1334.25,percent of total billed charges,1242.668988,,,,,,,,,,1334.25,percent of total billed charges,1224.370703,,,,,,,,,,1334.25,percent of total billed charges,1255.875561,,,,,,,,,,1334.25,percent of total billed charges,999999999,,,,,,,,,,1334.25,percent of total billed charges,1077.62967,,,,,,,,,,1334.25,percent of total billed charges,1699.496302,,,,,,,,,,1334.25,percent of total billed charges,999999999,,,,,,,,,,1334.25,percent of total billed charges,1161.948337,,,,,,,,,,4803.3,percent of total billed charges,,,,,
**BOVIE TIP POLISHER   KLEENIT,Local,Local,,,,both,,,18,18,3.831911003,18,18,percent of total billed charges,13.24323946,,,,18,percent of total billed charges,14.03757198,,,,18,percent of total billed charges,13.24323946,,,,18,percent of total billed charges,14.03757198,,,,18,percent of total billed charges,999999999,,,,18,percent of total billed charges,13.71476287,,,,18,percent of total billed charges,13.24323946,,,,18,percent of total billed charges,14.03757198,,,,12.834,percent of total billed charges,6.404400863,,,,12.834,percent of total billed charges,3.831911003,,,,12.834,percent of total billed charges,6.404400863,,,,12.834,percent of total billed charges,3.831911003,,,,12.834,percent of total billed charges,6.404400863,,,,12.834,percent of total billed charges,3.831911003,,,,12.708,percent of total billed charges,12.61158095,,,,12.708,percent of total billed charges,8.698107421,,,,,,,,,,12.96,percent of total billed charges,8.423695024,,,,,,,,,,12.96,percent of total billed charges,999999999,,,,,,,,,,14.4,percent of total billed charges,12.06645146,,,,14.22,percent of total billed charges,13.72291196,,,,14.22,percent of total billed charges,12.12464696,,,,14.4,percent of total billed charges,999999999,,,,14.4,percent of total billed charges,999999999,,,,12.6,percent of total billed charges,999999999,,,,12.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.576,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.09,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4.5,percent of total billed charges,4.27389926,,,,,,,,,,4.5,percent of total billed charges,4.202805854,,,,,,,,,,4.5,percent of total billed charges,4.191126436,,,,,,,,,,4.5,percent of total billed charges,4.12941215,,,,,,,,,,4.5,percent of total billed charges,4.235667996,,,,,,,,,,4.5,percent of total billed charges,999999999,,,,,,,,,,4.5,percent of total billed charges,3.634501416,,,,,,,,,,4.5,percent of total billed charges,5.731859367,,,,,,,,,,4.5,percent of total billed charges,999999999,,,,,,,,,,4.5,percent of total billed charges,3.918881408,,,,,,,,,,16.2,percent of total billed charges,,,,,
**BOVIE CORD,Local,Local,,,,both,,,69,69,14.68899218,69,69,percent of total billed charges,50.76575127,,,,69,percent of total billed charges,53.81069259,,,,69,percent of total billed charges,50.76575127,,,,69,percent of total billed charges,53.81069259,,,,69,percent of total billed charges,999999999,,,,69,percent of total billed charges,52.57325766,,,,69,percent of total billed charges,50.76575127,,,,69,percent of total billed charges,53.81069259,,,,49.197,percent of total billed charges,24.55020331,,,,49.197,percent of total billed charges,14.68899218,,,,49.197,percent of total billed charges,24.55020331,,,,49.197,percent of total billed charges,14.68899218,,,,49.197,percent of total billed charges,24.55020331,,,,49.197,percent of total billed charges,14.68899218,,,,48.714,percent of total billed charges,48.34439364,,,,48.714,percent of total billed charges,33.34274511,,,,,,,,,,49.68,percent of total billed charges,32.29083092,,,,,,,,,,49.68,percent of total billed charges,999999999,,,,,,,,,,55.2,percent of total billed charges,46.25473061,,,,54.51,percent of total billed charges,52.60449583,,,,54.51,percent of total billed charges,46.47781336,,,,55.2,percent of total billed charges,999999999,,,,55.2,percent of total billed charges,999999999,,,,48.3,percent of total billed charges,999999999,,,,48.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,36.708,percent of total billed charges,999999999,,,,,,,,,,,,,,,,34.845,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17.25,percent of total billed charges,16.3832805,,,,,,,,,,17.25,percent of total billed charges,16.11075577,,,,,,,,,,17.25,percent of total billed charges,16.06598467,,,,,,,,,,17.25,percent of total billed charges,15.82941324,,,,,,,,,,17.25,percent of total billed charges,16.23672732,,,,,,,,,,17.25,percent of total billed charges,999999999,,,,,,,,,,17.25,percent of total billed charges,13.93225543,,,,,,,,,,17.25,percent of total billed charges,21.97212757,,,,,,,,,,17.25,percent of total billed charges,999999999,,,,,,,,,,17.25,percent of total billed charges,15.02237873,,,,,,,,,,62.1,percent of total billed charges,,,,,
**VAGINAL SPECULUM,Local,Local,,,,both,,,32,32,6.812286228,32,32,percent of total billed charges,23.54353682,,,,32,percent of total billed charges,24.95568352,,,,32,percent of total billed charges,23.54353682,,,,32,percent of total billed charges,24.95568352,,,,32,percent of total billed charges,999999999,,,,32,percent of total billed charges,24.38180065,,,,32,percent of total billed charges,23.54353682,,,,32,percent of total billed charges,24.95568352,,,,22.816,percent of total billed charges,11.38560153,,,,22.816,percent of total billed charges,6.812286228,,,,22.816,percent of total billed charges,11.38560153,,,,22.816,percent of total billed charges,6.812286228,,,,22.816,percent of total billed charges,11.38560153,,,,22.816,percent of total billed charges,6.812286228,,,,22.592,percent of total billed charges,22.42058835,,,,22.592,percent of total billed charges,15.46330208,,,,,,,,,,23.04,percent of total billed charges,14.97545782,,,,,,,,,,23.04,percent of total billed charges,999999999,,,,,,,,,,25.6,percent of total billed charges,21.45146927,,,,25.28,percent of total billed charges,24.39628792,,,,25.28,percent of total billed charges,21.55492793,,,,25.6,percent of total billed charges,999999999,,,,25.6,percent of total billed charges,999999999,,,,22.4,percent of total billed charges,999999999,,,,22.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,17.024,percent of total billed charges,999999999,,,,,,,,,,,,,,,,16.16,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8,percent of total billed charges,7.598043128,,,,,,,,,,8,percent of total billed charges,7.471654851,,,,,,,,,,8,percent of total billed charges,7.450891442,,,,,,,,,,8,percent of total billed charges,7.341177156,,,,,,,,,,8,percent of total billed charges,7.530076437,,,,,,,,,,8,percent of total billed charges,999999999,,,,,,,,,,8,percent of total billed charges,6.461335851,,,,,,,,,,8,percent of total billed charges,10.18997221,,,,,,,,,,8,percent of total billed charges,999999999,,,,,,,,,,8,percent of total billed charges,6.966900281,,,,,,,,,,28.8,percent of total billed charges,,,,,
**DERMATONE BLADE,Local,Local,,,,both,,,278,278,59.18173661,278,278,percent of total billed charges,204.5344762,,,,278,percent of total billed charges,216.8025006,,,,278,percent of total billed charges,204.5344762,,,,278,percent of total billed charges,216.8025006,,,,278,percent of total billed charges,999999999,,,,278,percent of total billed charges,211.8168932,,,,278,percent of total billed charges,204.5344762,,,,278,percent of total billed charges,216.8025006,,,,198.214,percent of total billed charges,98.91241332,,,,198.214,percent of total billed charges,59.18173661,,,,198.214,percent of total billed charges,98.91241332,,,,198.214,percent of total billed charges,59.18173661,,,,198.214,percent of total billed charges,98.91241332,,,,198.214,percent of total billed charges,59.18173661,,,,196.268,percent of total billed charges,194.7788613,,,,196.268,percent of total billed charges,134.3374368,,,,,,,,,,200.16,percent of total billed charges,130.0992898,,,,,,,,,,200.16,percent of total billed charges,999999999,,,,,,,,,,222.4,percent of total billed charges,186.3596393,,,,219.62,percent of total billed charges,211.9427513,,,,219.62,percent of total billed charges,187.2584364,,,,222.4,percent of total billed charges,999999999,,,,222.4,percent of total billed charges,999999999,,,,194.6,percent of total billed charges,999999999,,,,194.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,147.896,percent of total billed charges,999999999,,,,,,,,,,,,,,,,140.39,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,69.5,percent of total billed charges,66.00799968,,,,,,,,,,69.5,percent of total billed charges,64.91000152,,,,,,,,,,69.5,percent of total billed charges,64.7296194,,,,,,,,,,69.5,percent of total billed charges,63.77647654,,,,,,,,,,69.5,percent of total billed charges,65.41753904,,,,,,,,,,69.5,percent of total billed charges,999999999,,,,,,,,,,69.5,percent of total billed charges,56.13285521,,,,,,,,,,69.5,percent of total billed charges,88.52538356,,,,,,,,,,69.5,percent of total billed charges,999999999,,,,,,,,,,69.5,percent of total billed charges,60.52494619,,,,,,,,,,250.2,percent of total billed charges,,,,,
**BLADE,Local,Local,,,,both,,,53,53,11.28284907,53,53,percent of total billed charges,38.99398286,,,,53,percent of total billed charges,41.33285083,,,,53,percent of total billed charges,38.99398286,,,,53,percent of total billed charges,41.33285083,,,,53,percent of total billed charges,999999999,,,,53,percent of total billed charges,40.38235733,,,,53,percent of total billed charges,38.99398286,,,,53,percent of total billed charges,41.33285083,,,,37.789,percent of total billed charges,18.85740254,,,,37.789,percent of total billed charges,11.28284907,,,,37.789,percent of total billed charges,18.85740254,,,,37.789,percent of total billed charges,11.28284907,,,,37.789,percent of total billed charges,18.85740254,,,,37.789,percent of total billed charges,11.28284907,,,,37.418,percent of total billed charges,37.13409946,,,,37.418,percent of total billed charges,25.61109407,,,,,,,,,,38.16,percent of total billed charges,24.80310201,,,,,,,,,,38.16,percent of total billed charges,999999999,,,,,,,,,,42.4,percent of total billed charges,35.52899597,,,,41.87,percent of total billed charges,40.40635187,,,,41.87,percent of total billed charges,35.70034939,,,,42.4,percent of total billed charges,999999999,,,,42.4,percent of total billed charges,999999999,,,,37.1,percent of total billed charges,999999999,,,,37.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,28.196,percent of total billed charges,999999999,,,,,,,,,,,,,,,,26.765,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13.25,percent of total billed charges,12.58425893,,,,,,,,,,13.25,percent of total billed charges,12.37492835,,,,,,,,,,13.25,percent of total billed charges,12.34053895,,,,,,,,,,13.25,percent of total billed charges,12.15882466,,,,,,,,,,13.25,percent of total billed charges,12.4716891,,,,,,,,,,13.25,percent of total billed charges,999999999,,,,,,,,,,13.25,percent of total billed charges,10.7015875,,,,,,,,,,13.25,percent of total billed charges,16.87714147,,,,,,,,,,13.25,percent of total billed charges,999999999,,,,,,,,,,13.25,percent of total billed charges,11.53892859,,,,,,,,,,47.7,percent of total billed charges,,,,,
**ARTERIAL IRRIG CATH,Local,Local,,,,both,,,144,144,30.65528803,144,144,percent of total billed charges,105.9459157,,,,144,percent of total billed charges,112.3005758,,,,144,percent of total billed charges,105.9459157,,,,144,percent of total billed charges,112.3005758,,,,144,percent of total billed charges,999999999,,,,144,percent of total billed charges,109.7181029,,,,144,percent of total billed charges,105.9459157,,,,144,percent of total billed charges,112.3005758,,,,102.672,percent of total billed charges,51.2352069,,,,102.672,percent of total billed charges,30.65528803,,,,102.672,percent of total billed charges,51.2352069,,,,102.672,percent of total billed charges,30.65528803,,,,102.672,percent of total billed charges,51.2352069,,,,102.672,percent of total billed charges,30.65528803,,,,101.664,percent of total billed charges,100.8926476,,,,101.664,percent of total billed charges,69.58485937,,,,,,,,,,103.68,percent of total billed charges,67.38956019,,,,,,,,,,103.68,percent of total billed charges,999999999,,,,,,,,,,115.2,percent of total billed charges,96.5316117,,,,113.76,percent of total billed charges,109.7832957,,,,113.76,percent of total billed charges,96.9971757,,,,115.2,percent of total billed charges,999999999,,,,115.2,percent of total billed charges,999999999,,,,100.8,percent of total billed charges,999999999,,,,100.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,76.608,percent of total billed charges,999999999,,,,,,,,,,,,,,,,72.72,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,36,percent of total billed charges,34.19119408,,,,,,,,,,36,percent of total billed charges,33.62244683,,,,,,,,,,36,percent of total billed charges,33.52901149,,,,,,,,,,36,percent of total billed charges,33.0352972,,,,,,,,,,36,percent of total billed charges,33.88534397,,,,,,,,,,36,percent of total billed charges,999999999,,,,,,,,,,36,percent of total billed charges,29.07601133,,,,,,,,,,36,percent of total billed charges,45.85487494,,,,,,,,,,36,percent of total billed charges,999999999,,,,,,,,,,36,percent of total billed charges,31.35105126,,,,,,,,,,129.6,percent of total billed charges,,,,,
**BILIARY BALLOON PROBE,Local,Local,,,,both,,,275,275,58.54308477,275,275,percent of total billed charges,202.3272696,,,,275,percent of total billed charges,214.4629053,,,,275,percent of total billed charges,202.3272696,,,,275,percent of total billed charges,214.4629053,,,,275,percent of total billed charges,999999999,,,,275,percent of total billed charges,209.5310994,,,,275,percent of total billed charges,202.3272696,,,,275,percent of total billed charges,214.4629053,,,,196.075,percent of total billed charges,97.84501318,,,,196.075,percent of total billed charges,58.54308477,,,,196.075,percent of total billed charges,97.84501318,,,,196.075,percent of total billed charges,58.54308477,,,,196.075,percent of total billed charges,97.84501318,,,,196.075,percent of total billed charges,58.54308477,,,,194.15,percent of total billed charges,192.6769312,,,,194.15,percent of total billed charges,132.8877523,,,,,,,,,,198,percent of total billed charges,128.6953406,,,,,,,,,,198,percent of total billed charges,999999999,,,,,,,,,,220,percent of total billed charges,184.348564,,,,217.25,percent of total billed charges,209.6555993,,,,217.25,percent of total billed charges,185.2376619,,,,220,percent of total billed charges,999999999,,,,220,percent of total billed charges,999999999,,,,192.5,percent of total billed charges,999999999,,,,192.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,146.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,138.875,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,68.75,percent of total billed charges,65.29568314,,,,,,,,,,68.75,percent of total billed charges,64.20953388,,,,,,,,,,68.75,percent of total billed charges,64.03109833,,,,,,,,,,68.75,percent of total billed charges,63.08824119,,,,,,,,,,68.75,percent of total billed charges,64.71159438,,,,,,,,,,68.75,percent of total billed charges,999999999,,,,,,,,,,68.75,percent of total billed charges,55.52710497,,,,,,,,,,68.75,percent of total billed charges,87.57007367,,,,,,,,,,68.75,percent of total billed charges,999999999,,,,,,,,,,68.75,percent of total billed charges,59.87179929,,,,,,,,,,247.5,percent of total billed charges,,,,,
**VENOUS IRRIG CATH,Local,Local,,,,both,,,100,100,21.28839446,100,100,percent of total billed charges,73.57355257,,,,100,percent of total billed charges,77.986511,,,,100,percent of total billed charges,73.57355257,,,,100,percent of total billed charges,77.986511,,,,100,percent of total billed charges,999999999,,,,100,percent of total billed charges,76.19312704,,,,100,percent of total billed charges,73.57355257,,,,100,percent of total billed charges,77.986511,,,,71.3,percent of total billed charges,35.58000479,,,,71.3,percent of total billed charges,21.28839446,,,,71.3,percent of total billed charges,35.58000479,,,,71.3,percent of total billed charges,21.28839446,,,,71.3,percent of total billed charges,35.58000479,,,,71.3,percent of total billed charges,21.28839446,,,,70.6,percent of total billed charges,70.06433861,,,,70.6,percent of total billed charges,48.322819,,,,,,,,,,72,percent of total billed charges,46.79830569,,,,,,,,,,72,percent of total billed charges,999999999,,,,,,,,,,80,percent of total billed charges,67.03584146,,,,79,percent of total billed charges,76.23839976,,,,79,percent of total billed charges,67.35914979,,,,80,percent of total billed charges,999999999,,,,80,percent of total billed charges,999999999,,,,70,percent of total billed charges,999999999,,,,70,percent of total billed charges,999999999,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,25,percent of total billed charges,23.74388478,,,,,,,,,,25,percent of total billed charges,23.34892141,,,,,,,,,,25,percent of total billed charges,23.28403576,,,,,,,,,,25,percent of total billed charges,22.94117861,,,,,,,,,,25,percent of total billed charges,23.53148886,,,,,,,,,,25,percent of total billed charges,999999999,,,,,,,,,,25,percent of total billed charges,20.19167453,,,,,,,,,,25,percent of total billed charges,31.84366315,,,,,,,,,,25,percent of total billed charges,999999999,,,,,,,,,,25,percent of total billed charges,21.77156338,,,,,,,,,,90,percent of total billed charges,,,,,
**VENOUS THROMB CATH,Local,Local,,,,both,,,328,328,69.82593384,328,328,percent of total billed charges,241.3212524,,,,328,percent of total billed charges,255.7957561,,,,328,percent of total billed charges,241.3212524,,,,328,percent of total billed charges,255.7957561,,,,328,percent of total billed charges,999999999,,,,328,percent of total billed charges,249.9134567,,,,328,percent of total billed charges,241.3212524,,,,328,percent of total billed charges,255.7957561,,,,233.864,percent of total billed charges,116.7024157,,,,233.864,percent of total billed charges,69.82593384,,,,233.864,percent of total billed charges,116.7024157,,,,233.864,percent of total billed charges,69.82593384,,,,233.864,percent of total billed charges,116.7024157,,,,233.864,percent of total billed charges,69.82593384,,,,231.568,percent of total billed charges,229.8110306,,,,231.568,percent of total billed charges,158.4988463,,,,,,,,,,236.16,percent of total billed charges,153.4984427,,,,,,,,,,236.16,percent of total billed charges,999999999,,,,,,,,,,262.4,percent of total billed charges,219.87756,,,,259.12,percent of total billed charges,250.0619512,,,,259.12,percent of total billed charges,220.9380113,,,,262.4,percent of total billed charges,999999999,,,,262.4,percent of total billed charges,999999999,,,,229.6,percent of total billed charges,999999999,,,,229.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,174.496,percent of total billed charges,999999999,,,,,,,,,,,,,,,,165.64,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,82,percent of total billed charges,77.87994207,,,,,,,,,,82,percent of total billed charges,76.58446222,,,,,,,,,,82,percent of total billed charges,76.37163728,,,,,,,,,,82,percent of total billed charges,75.24706585,,,,,,,,,,82,percent of total billed charges,77.18328348,,,,,,,,,,82,percent of total billed charges,999999999,,,,,,,,,,82,percent of total billed charges,66.22869247,,,,,,,,,,82,percent of total billed charges,104.4472151,,,,,,,,,,82,percent of total billed charges,999999999,,,,,,,,,,82,percent of total billed charges,71.41072788,,,,,,,,,,295.2,percent of total billed charges,,,,,
**THORACIC CATH,Local,Local,,,,both,,,49,49,10.43131329,49,49,percent of total billed charges,36.05104076,,,,49,percent of total billed charges,38.21339039,,,,49,percent of total billed charges,36.05104076,,,,49,percent of total billed charges,38.21339039,,,,49,percent of total billed charges,999999999,,,,49,percent of total billed charges,37.33463225,,,,49,percent of total billed charges,36.05104076,,,,49,percent of total billed charges,38.21339039,,,,34.937,percent of total billed charges,17.43420235,,,,34.937,percent of total billed charges,10.43131329,,,,34.937,percent of total billed charges,17.43420235,,,,34.937,percent of total billed charges,10.43131329,,,,34.937,percent of total billed charges,17.43420235,,,,34.937,percent of total billed charges,10.43131329,,,,34.594,percent of total billed charges,34.33152592,,,,34.594,percent of total billed charges,23.67818131,,,,,,,,,,35.28,percent of total billed charges,22.93116979,,,,,,,,,,35.28,percent of total billed charges,999999999,,,,,,,,,,39.2,percent of total billed charges,32.84756232,,,,38.71,percent of total billed charges,37.35681588,,,,38.71,percent of total billed charges,33.0059834,,,,39.2,percent of total billed charges,999999999,,,,39.2,percent of total billed charges,999999999,,,,34.3,percent of total billed charges,999999999,,,,34.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,26.068,percent of total billed charges,999999999,,,,,,,,,,,,,,,,24.745,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12.25,percent of total billed charges,11.63450354,,,,,,,,,,12.25,percent of total billed charges,11.44097149,,,,,,,,,,12.25,percent of total billed charges,11.40917752,,,,,,,,,,12.25,percent of total billed charges,11.24117752,,,,,,,,,,12.25,percent of total billed charges,11.53042954,,,,,,,,,,12.25,percent of total billed charges,999999999,,,,,,,,,,12.25,percent of total billed charges,9.893920522,,,,,,,,,,12.25,percent of total billed charges,15.60339494,,,,,,,,,,12.25,percent of total billed charges,999999999,,,,,,,,,,12.25,percent of total billed charges,10.66806605,,,,,,,,,,44.1,percent of total billed charges,,,,,
**HEATER PROBE UNIT,Local,Local,,,,both,,,681,681,144.9739663,681,681,percent of total billed charges,501.035893,,,,681,percent of total billed charges,531.0881399,,,,681,percent of total billed charges,501.035893,,,,681,percent of total billed charges,531.0881399,,,,681,percent of total billed charges,999999999,,,,681,percent of total billed charges,518.8751952,,,,681,percent of total billed charges,501.035893,,,,681,percent of total billed charges,531.0881399,,,,485.553,percent of total billed charges,242.2998326,,,,485.553,percent of total billed charges,144.9739663,,,,485.553,percent of total billed charges,242.2998326,,,,485.553,percent of total billed charges,144.9739663,,,,485.553,percent of total billed charges,242.2998326,,,,485.553,percent of total billed charges,144.9739663,,,,480.786,percent of total billed charges,477.1381459,,,,480.786,percent of total billed charges,329.0783974,,,,,,,,,,490.32,percent of total billed charges,318.6964617,,,,,,,,,,490.32,percent of total billed charges,999999999,,,,,,,,,,544.8,percent of total billed charges,456.5140803,,,,537.99,percent of total billed charges,519.1835024,,,,537.99,percent of total billed charges,458.7158101,,,,544.8,percent of total billed charges,999999999,,,,544.8,percent of total billed charges,999999999,,,,476.7,percent of total billed charges,999999999,,,,476.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,362.292,percent of total billed charges,999999999,,,,,,,,,,,,,,,,343.905,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,170.25,percent of total billed charges,161.6958553,,,,,,,,,,170.25,percent of total billed charges,159.0061548,,,,,,,,,,170.25,percent of total billed charges,158.5642835,,,,,,,,,,170.25,percent of total billed charges,156.2294264,,,,,,,,,,170.25,percent of total billed charges,160.2494392,,,,,,,,,,170.25,percent of total billed charges,999999999,,,,,,,,,,170.25,percent of total billed charges,137.5053036,,,,,,,,,,170.25,percent of total billed charges,216.8553461,,,,,,,,,,170.25,percent of total billed charges,999999999,,,,,,,,,,170.25,percent of total billed charges,148.2643466,,,,,,,,,,612.9,percent of total billed charges,,,,,
**LAP BUNDLE,Local,Local,,,,both,,,389,389,82.81185446,389,389,percent of total billed charges,286.2011195,,,,389,percent of total billed charges,303.3675278,,,,389,percent of total billed charges,286.2011195,,,,389,percent of total billed charges,303.3675278,,,,389,percent of total billed charges,999999999,,,,389,percent of total billed charges,296.3912642,,,,389,percent of total billed charges,286.2011195,,,,389,percent of total billed charges,303.3675278,,,,277.357,percent of total billed charges,138.4062186,,,,277.357,percent of total billed charges,82.81185446,,,,277.357,percent of total billed charges,138.4062186,,,,277.357,percent of total billed charges,82.81185446,,,,277.357,percent of total billed charges,138.4062186,,,,277.357,percent of total billed charges,82.81185446,,,,274.634,percent of total billed charges,272.5502772,,,,274.634,percent of total billed charges,187.9757659,,,,,,,,,,280.08,percent of total billed charges,182.0454091,,,,,,,,,,280.08,percent of total billed charges,999999999,,,,,,,,,,311.2,percent of total billed charges,260.7694233,,,,307.31,percent of total billed charges,296.5673751,,,,307.31,percent of total billed charges,262.0270927,,,,311.2,percent of total billed charges,999999999,,,,311.2,percent of total billed charges,999999999,,,,272.3,percent of total billed charges,999999999,,,,272.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,206.948,percent of total billed charges,999999999,,,,,,,,,,,,,,,,196.445,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,97.25,percent of total billed charges,92.36371178,,,,,,,,,,97.25,percent of total billed charges,90.82730428,,,,,,,,,,97.25,percent of total billed charges,90.57489909,,,,,,,,,,97.25,percent of total billed charges,89.24118481,,,,,,,,,,97.25,percent of total billed charges,91.53749168,,,,,,,,,,97.25,percent of total billed charges,999999999,,,,,,,,,,97.25,percent of total billed charges,78.54561394,,,,,,,,,,97.25,percent of total billed charges,123.8718497,,,,,,,,,,97.25,percent of total billed charges,999999999,,,,,,,,,,97.25,percent of total billed charges,84.69138153,,,,,,,,,,350.1,percent of total billed charges,,,,,
**LITH BUNDLE,Local,Local,,,,both,,,129,129,27.46202886,129,129,percent of total billed charges,94.90988282,,,,129,percent of total billed charges,100.6025992,,,,129,percent of total billed charges,94.90988282,,,,129,percent of total billed charges,100.6025992,,,,129,percent of total billed charges,999999999,,,,129,percent of total billed charges,98.28913388,,,,129,percent of total billed charges,94.90988282,,,,129,percent of total billed charges,100.6025992,,,,91.977,percent of total billed charges,45.89820618,,,,91.977,percent of total billed charges,27.46202886,,,,91.977,percent of total billed charges,45.89820618,,,,91.977,percent of total billed charges,27.46202886,,,,91.977,percent of total billed charges,45.89820618,,,,91.977,percent of total billed charges,27.46202886,,,,91.074,percent of total billed charges,90.3829968,,,,91.074,percent of total billed charges,62.33643652,,,,,,,,,,92.88,percent of total billed charges,60.36981434,,,,,,,,,,92.88,percent of total billed charges,999999999,,,,,,,,,,103.2,percent of total billed charges,86.47623548,,,,101.91,percent of total billed charges,98.34753569,,,,101.91,percent of total billed charges,86.89330323,,,,103.2,percent of total billed charges,999999999,,,,103.2,percent of total billed charges,999999999,,,,90.3,percent of total billed charges,999999999,,,,90.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,68.628,percent of total billed charges,999999999,,,,,,,,,,,,,,,,65.145,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,32.25,percent of total billed charges,30.62961136,,,,,,,,,,32.25,percent of total billed charges,30.12010862,,,,,,,,,,32.25,percent of total billed charges,30.03640613,,,,,,,,,,32.25,percent of total billed charges,29.59412041,,,,,,,,,,32.25,percent of total billed charges,30.35562064,,,,,,,,,,32.25,percent of total billed charges,999999999,,,,,,,,,,32.25,percent of total billed charges,26.04726015,,,,,,,,,,32.25,percent of total billed charges,41.07832547,,,,,,,,,,32.25,percent of total billed charges,999999999,,,,,,,,,,32.25,percent of total billed charges,28.08531676,,,,,,,,,,116.1,percent of total billed charges,,,,,
**VENE CLIP,Local,Local,,,,both,,,236,236,50.24061093,236,236,percent of total billed charges,173.6335841,,,,236,percent of total billed charges,184.048166,,,,236,percent of total billed charges,173.6335841,,,,236,percent of total billed charges,184.048166,,,,236,percent of total billed charges,999999999,,,,236,percent of total billed charges,179.8157798,,,,236,percent of total billed charges,173.6335841,,,,236,percent of total billed charges,184.048166,,,,168.268,percent of total billed charges,83.96881131,,,,168.268,percent of total billed charges,50.24061093,,,,168.268,percent of total billed charges,83.96881131,,,,168.268,percent of total billed charges,50.24061093,,,,168.268,percent of total billed charges,83.96881131,,,,168.268,percent of total billed charges,50.24061093,,,,166.616,percent of total billed charges,165.3518391,,,,166.616,percent of total billed charges,114.0418528,,,,,,,,,,169.92,percent of total billed charges,110.4440014,,,,,,,,,,169.92,percent of total billed charges,999999999,,,,,,,,,,188.8,percent of total billed charges,158.2045858,,,,186.44,percent of total billed charges,179.9226234,,,,186.44,percent of total billed charges,158.9675935,,,,188.8,percent of total billed charges,999999999,,,,188.8,percent of total billed charges,999999999,,,,165.2,percent of total billed charges,999999999,,,,165.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,125.552,percent of total billed charges,999999999,,,,,,,,,,,,,,,,119.18,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,59,percent of total billed charges,56.03556807,,,,,,,,,,59,percent of total billed charges,55.10345453,,,,,,,,,,59,percent of total billed charges,54.95032438,,,,,,,,,,59,percent of total billed charges,54.14118153,,,,,,,,,,59,percent of total billed charges,55.53431372,,,,,,,,,,59,percent of total billed charges,999999999,,,,,,,,,,59,percent of total billed charges,47.6523519,,,,,,,,,,59,percent of total billed charges,75.15104504,,,,,,,,,,59,percent of total billed charges,999999999,,,,,,,,,,59,percent of total billed charges,51.38088957,,,,,,,,,,212.4,percent of total billed charges,,,,,
**HANSEN ST NAIL,Local,Local,,,,both,,,375,375,79.83147923,375,375,percent of total billed charges,275.9008221,,,,375,percent of total billed charges,292.4494163,,,,375,percent of total billed charges,275.9008221,,,,375,percent of total billed charges,292.4494163,,,,375,percent of total billed charges,999999999,,,,375,percent of total billed charges,285.7242264,,,,375,percent of total billed charges,275.9008221,,,,375,percent of total billed charges,292.4494163,,,,267.375,percent of total billed charges,133.425018,,,,267.375,percent of total billed charges,79.83147923,,,,267.375,percent of total billed charges,133.425018,,,,267.375,percent of total billed charges,79.83147923,,,,267.375,percent of total billed charges,133.425018,,,,267.375,percent of total billed charges,79.83147923,,,,264.75,percent of total billed charges,262.7412698,,,,264.75,percent of total billed charges,181.2105713,,,,,,,,,,270,percent of total billed charges,175.4936463,,,,,,,,,,270,percent of total billed charges,999999999,,,,,,,,,,300,percent of total billed charges,251.3844055,,,,296.25,percent of total billed charges,285.8939991,,,,296.25,percent of total billed charges,252.5968117,,,,300,percent of total billed charges,999999999,,,,300,percent of total billed charges,999999999,,,,262.5,percent of total billed charges,999999999,,,,262.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,199.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,189.375,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,93.75,percent of total billed charges,89.03956791,,,,,,,,,,93.75,percent of total billed charges,87.55845528,,,,,,,,,,93.75,percent of total billed charges,87.31513409,,,,,,,,,,93.75,percent of total billed charges,86.0294198,,,,,,,,,,93.75,percent of total billed charges,88.24308324,,,,,,,,,,93.75,percent of total billed charges,999999999,,,,,,,,,,93.75,percent of total billed charges,75.7187795,,,,,,,,,,93.75,percent of total billed charges,119.4137368,,,,,,,,,,93.75,percent of total billed charges,999999999,,,,,,,,,,93.75,percent of total billed charges,81.64336266,,,,,,,,,,337.5,percent of total billed charges,,,,,
**FOGARTY CHOLANGIOCATH,Local,Local,,,,both,,,211,211,44.91851232,211,211,percent of total billed charges,155.2401959,,,,211,percent of total billed charges,164.5515382,,,,211,percent of total billed charges,155.2401959,,,,211,percent of total billed charges,164.5515382,,,,211,percent of total billed charges,999999999,,,,211,percent of total billed charges,160.7674981,,,,211,percent of total billed charges,155.2401959,,,,211,percent of total billed charges,164.5515382,,,,150.443,percent of total billed charges,75.07381011,,,,150.443,percent of total billed charges,44.91851232,,,,150.443,percent of total billed charges,75.07381011,,,,150.443,percent of total billed charges,44.91851232,,,,150.443,percent of total billed charges,75.07381011,,,,150.443,percent of total billed charges,44.91851232,,,,148.966,percent of total billed charges,147.8357545,,,,148.966,percent of total billed charges,101.9611481,,,,,,,,,,151.92,percent of total billed charges,98.744425,,,,,,,,,,151.92,percent of total billed charges,999999999,,,,,,,,,,168.8,percent of total billed charges,141.4456255,,,,166.69,percent of total billed charges,160.8630235,,,,166.69,percent of total billed charges,142.1278061,,,,168.8,percent of total billed charges,999999999,,,,168.8,percent of total billed charges,999999999,,,,147.7,percent of total billed charges,999999999,,,,147.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,112.252,percent of total billed charges,999999999,,,,,,,,,,,,,,,,106.555,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,52.75,percent of total billed charges,50.09959688,,,,,,,,,,52.75,percent of total billed charges,49.26622417,,,,,,,,,,52.75,percent of total billed charges,49.12931545,,,,,,,,,,52.75,percent of total billed charges,48.40588687,,,,,,,,,,52.75,percent of total billed charges,49.6514415,,,,,,,,,,52.75,percent of total billed charges,999999999,,,,,,,,,,52.75,percent of total billed charges,42.60443327,,,,,,,,,,52.75,percent of total billed charges,67.19012925,,,,,,,,,,52.75,percent of total billed charges,999999999,,,,,,,,,,52.75,percent of total billed charges,45.93799872,,,,,,,,,,189.9,percent of total billed charges,,,,,
**JEWETT NAIL,C1713,CDM,,,,both,,,781,781,166.2623608,781,781,percent of total billed charges,574.6094456,,,,781,percent of total billed charges,609.0746509,,,,781,percent of total billed charges,574.6094456,,,,781,percent of total billed charges,609.0746509,,,,781,percent of total billed charges,999999999,,,,781,percent of total billed charges,595.0683222,,,,781,percent of total billed charges,574.6094456,,,,781,percent of total billed charges,609.0746509,,,,556.853,percent of total billed charges,277.8798374,,,,556.853,percent of total billed charges,166.2623608,,,,556.853,percent of total billed charges,277.8798374,,,,556.853,percent of total billed charges,166.2623608,,,,556.853,percent of total billed charges,277.8798374,,,,556.853,percent of total billed charges,166.2623608,,,,551.386,percent of total billed charges,547.2024845,,,,551.386,percent of total billed charges,377.4012164,,,,,,,,,,562.32,percent of total billed charges,365.4947674,,,,,,,,,,562.32,percent of total billed charges,999999999,,,,,,,,,,624.8,percent of total billed charges,523.5499218,,,,616.99,percent of total billed charges,595.4219021,,,,616.99,percent of total billed charges,526.0749599,,,,624.8,percent of total billed charges,999999999,,,,624.8,percent of total billed charges,999999999,,,,546.7,percent of total billed charges,999999999,,,,546.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,415.492,percent of total billed charges,999999999,,,,,,,,,,,,,,,,394.405,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,195.25,percent of total billed charges,185.4397401,,,,,,,,,,195.25,percent of total billed charges,182.3550762,,,,,,,,,,195.25,percent of total billed charges,181.8483193,,,,,,,,,,195.25,percent of total billed charges,179.170605,,,,,,,,,,195.25,percent of total billed charges,183.780928,,,,,,,,,,195.25,percent of total billed charges,999999999,,,,,,,,,,195.25,percent of total billed charges,157.6969781,,,,,,,,,,195.25,percent of total billed charges,248.6990092,,,,,,,,,,195.25,percent of total billed charges,999999999,,,,,,,,,,195.25,percent of total billed charges,170.03591,,,,,,,,,,702.9,percent of total billed charges,,,,,
**JEWETT NAIL 7-9 IN P,C1713,CDM,,,,both,,,931,931,198.1949524,931,931,percent of total billed charges,684.9697744,,,,931,percent of total billed charges,726.0544174,,,,931,percent of total billed charges,684.9697744,,,,931,percent of total billed charges,726.0544174,,,,931,percent of total billed charges,999999999,,,,931,percent of total billed charges,709.3580128,,,,931,percent of total billed charges,684.9697744,,,,931,percent of total billed charges,726.0544174,,,,663.803,percent of total billed charges,331.2498446,,,,663.803,percent of total billed charges,198.1949524,,,,663.803,percent of total billed charges,331.2498446,,,,663.803,percent of total billed charges,198.1949524,,,,663.803,percent of total billed charges,331.2498446,,,,663.803,percent of total billed charges,198.1949524,,,,657.286,percent of total billed charges,652.2989924,,,,657.286,percent of total billed charges,449.8854449,,,,,,,,,,670.32,percent of total billed charges,435.692226,,,,,,,,,,670.32,percent of total billed charges,999999999,,,,,,,,,,744.8,percent of total billed charges,624.103684,,,,735.49,percent of total billed charges,709.7795017,,,,735.49,percent of total billed charges,627.1136846,,,,744.8,percent of total billed charges,999999999,,,,744.8,percent of total billed charges,999999999,,,,651.7,percent of total billed charges,999999999,,,,651.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,495.292,percent of total billed charges,999999999,,,,,,,,,,,,,,,,470.155,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,232.75,percent of total billed charges,221.0555673,,,,,,,,,,232.75,percent of total billed charges,217.3784583,,,,,,,,,,232.75,percent of total billed charges,216.7743729,,,,,,,,,,232.75,percent of total billed charges,213.5823729,,,,,,,,,,232.75,percent of total billed charges,219.0781613,,,,,,,,,,232.75,percent of total billed charges,999999999,,,,,,,,,,232.75,percent of total billed charges,187.9844899,,,,,,,,,,232.75,percent of total billed charges,296.4645039,,,,,,,,,,232.75,percent of total billed charges,999999999,,,,,,,,,,232.75,percent of total billed charges,202.693255,,,,,,,,,,837.9,percent of total billed charges,,,,,
**LOTTES NAIL,Local,Local,,,,both,,,450,450,95.79777508,450,450,percent of total billed charges,331.0809866,,,,450,percent of total billed charges,350.9392995,,,,450,percent of total billed charges,331.0809866,,,,450,percent of total billed charges,350.9392995,,,,450,percent of total billed charges,999999999,,,,450,percent of total billed charges,342.8690717,,,,450,percent of total billed charges,331.0809866,,,,450,percent of total billed charges,350.9392995,,,,320.85,percent of total billed charges,160.1100216,,,,320.85,percent of total billed charges,95.79777508,,,,320.85,percent of total billed charges,160.1100216,,,,320.85,percent of total billed charges,95.79777508,,,,320.85,percent of total billed charges,160.1100216,,,,320.85,percent of total billed charges,95.79777508,,,,317.7,percent of total billed charges,315.2895237,,,,317.7,percent of total billed charges,217.4526855,,,,,,,,,,324,percent of total billed charges,210.5923756,,,,,,,,,,324,percent of total billed charges,999999999,,,,,,,,,,360,percent of total billed charges,301.6612866,,,,355.5,percent of total billed charges,343.0727989,,,,355.5,percent of total billed charges,303.1161741,,,,360,percent of total billed charges,999999999,,,,360,percent of total billed charges,999999999,,,,315,percent of total billed charges,999999999,,,,315,percent of total billed charges,999999999,,,,,,,,,,,,,,,,239.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,227.25,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,112.5,percent of total billed charges,106.8474815,,,,,,,,,,112.5,percent of total billed charges,105.0701463,,,,,,,,,,112.5,percent of total billed charges,104.7781609,,,,,,,,,,112.5,percent of total billed charges,103.2353038,,,,,,,,,,112.5,percent of total billed charges,105.8916999,,,,,,,,,,112.5,percent of total billed charges,999999999,,,,,,,,,,112.5,percent of total billed charges,90.8625354,,,,,,,,,,112.5,percent of total billed charges,143.2964842,,,,,,,,,,112.5,percent of total billed charges,999999999,,,,,,,,,,112.5,percent of total billed charges,97.97203519,,,,,,,,,,405,percent of total billed charges,,,,,
**ORTOPEDIC TABLE,Local,Local,,,,both,,,238,238,50.66637882,238,238,percent of total billed charges,175.1050551,,,,238,percent of total billed charges,185.6078962,,,,238,percent of total billed charges,175.1050551,,,,238,percent of total billed charges,185.6078962,,,,238,percent of total billed charges,999999999,,,,238,percent of total billed charges,181.3396424,,,,238,percent of total billed charges,175.1050551,,,,238,percent of total billed charges,185.6078962,,,,169.694,percent of total billed charges,84.68041141,,,,169.694,percent of total billed charges,50.66637882,,,,169.694,percent of total billed charges,84.68041141,,,,169.694,percent of total billed charges,50.66637882,,,,169.694,percent of total billed charges,84.68041141,,,,169.694,percent of total billed charges,50.66637882,,,,168.028,percent of total billed charges,166.7531259,,,,168.028,percent of total billed charges,115.0083092,,,,,,,,,,171.36,percent of total billed charges,111.3799675,,,,,,,,,,171.36,percent of total billed charges,999999999,,,,,,,,,,190.4,percent of total billed charges,159.5453027,,,,188.02,percent of total billed charges,181.4473914,,,,188.02,percent of total billed charges,160.3147765,,,,190.4,percent of total billed charges,999999999,,,,190.4,percent of total billed charges,999999999,,,,166.6,percent of total billed charges,999999999,,,,166.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,126.616,percent of total billed charges,999999999,,,,,,,,,,,,,,,,120.19,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,59.5,percent of total billed charges,56.51044577,,,,,,,,,,59.5,percent of total billed charges,55.57043295,,,,,,,,,,59.5,percent of total billed charges,55.4160051,,,,,,,,,,59.5,percent of total billed charges,54.6000051,,,,,,,,,,59.5,percent of total billed charges,56.0049435,,,,,,,,,,59.5,percent of total billed charges,999999999,,,,,,,,,,59.5,percent of total billed charges,48.05618539,,,,,,,,,,59.5,percent of total billed charges,75.7879183,,,,,,,,,,59.5,percent of total billed charges,999999999,,,,,,,,,,59.5,percent of total billed charges,51.81632084,,,,,,,,,,214.2,percent of total billed charges,,,,,
**RIORDAN FIXATION PIN,C1713,CDM,,,,both,,,49,49,10.43131329,49,49,percent of total billed charges,36.05104076,,,,49,percent of total billed charges,38.21339039,,,,49,percent of total billed charges,36.05104076,,,,49,percent of total billed charges,38.21339039,,,,49,percent of total billed charges,999999999,,,,49,percent of total billed charges,37.33463225,,,,49,percent of total billed charges,36.05104076,,,,49,percent of total billed charges,38.21339039,,,,34.937,percent of total billed charges,17.43420235,,,,34.937,percent of total billed charges,10.43131329,,,,34.937,percent of total billed charges,17.43420235,,,,34.937,percent of total billed charges,10.43131329,,,,34.937,percent of total billed charges,17.43420235,,,,34.937,percent of total billed charges,10.43131329,,,,34.594,percent of total billed charges,34.33152592,,,,34.594,percent of total billed charges,23.67818131,,,,,,,,,,35.28,percent of total billed charges,22.93116979,,,,,,,,,,35.28,percent of total billed charges,999999999,,,,,,,,,,39.2,percent of total billed charges,32.84756232,,,,38.71,percent of total billed charges,37.35681588,,,,38.71,percent of total billed charges,33.0059834,,,,39.2,percent of total billed charges,999999999,,,,39.2,percent of total billed charges,999999999,,,,34.3,percent of total billed charges,999999999,,,,34.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,26.068,percent of total billed charges,999999999,,,,,,,,,,,,,,,,24.745,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12.25,percent of total billed charges,11.63450354,,,,,,,,,,12.25,percent of total billed charges,11.44097149,,,,,,,,,,12.25,percent of total billed charges,11.40917752,,,,,,,,,,12.25,percent of total billed charges,11.24117752,,,,,,,,,,12.25,percent of total billed charges,11.53042954,,,,,,,,,,12.25,percent of total billed charges,999999999,,,,,,,,,,12.25,percent of total billed charges,9.893920522,,,,,,,,,,12.25,percent of total billed charges,15.60339494,,,,,,,,,,12.25,percent of total billed charges,999999999,,,,,,,,,,12.25,percent of total billed charges,10.66806605,,,,,,,,,,44.1,percent of total billed charges,,,,,
**RUSH PINS,C1713,CDM,,,,both,,,277,277,58.96885266,277,277,percent of total billed charges,203.7987406,,,,277,percent of total billed charges,216.0226355,,,,277,percent of total billed charges,203.7987406,,,,277,percent of total billed charges,216.0226355,,,,277,percent of total billed charges,999999999,,,,277,percent of total billed charges,211.0549619,,,,277,percent of total billed charges,203.7987406,,,,277,percent of total billed charges,216.0226355,,,,197.501,percent of total billed charges,98.55661328,,,,197.501,percent of total billed charges,58.96885266,,,,197.501,percent of total billed charges,98.55661328,,,,197.501,percent of total billed charges,58.96885266,,,,197.501,percent of total billed charges,98.55661328,,,,197.501,percent of total billed charges,58.96885266,,,,195.562,percent of total billed charges,194.0782179,,,,195.562,percent of total billed charges,133.8542086,,,,,,,,,,199.44,percent of total billed charges,129.6313068,,,,,,,,,,199.44,percent of total billed charges,999999999,,,,,,,,,,221.6,percent of total billed charges,185.6892808,,,,218.83,percent of total billed charges,211.1803673,,,,218.83,percent of total billed charges,186.5848449,,,,221.6,percent of total billed charges,999999999,,,,221.6,percent of total billed charges,999999999,,,,193.9,percent of total billed charges,999999999,,,,193.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,147.364,percent of total billed charges,999999999,,,,,,,,,,,,,,,,139.885,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,69.25,percent of total billed charges,65.77056083,,,,,,,,,,69.25,percent of total billed charges,64.6765123,,,,,,,,,,69.25,percent of total billed charges,64.49677905,,,,,,,,,,69.25,percent of total billed charges,63.54706476,,,,,,,,,,69.25,percent of total billed charges,65.18222416,,,,,,,,,,69.25,percent of total billed charges,999999999,,,,,,,,,,69.25,percent of total billed charges,55.93093846,,,,,,,,,,69.25,percent of total billed charges,88.20694693,,,,,,,,,,69.25,percent of total billed charges,999999999,,,,,,,,,,69.25,percent of total billed charges,60.30723055,,,,,,,,,,249.3,percent of total billed charges,,,,,
**SMITH-PETERSON BAR,C1713,CDM,,,,both,,,328,328,69.82593384,328,328,percent of total billed charges,241.3212524,,,,328,percent of total billed charges,255.7957561,,,,328,percent of total billed charges,241.3212524,,,,328,percent of total billed charges,255.7957561,,,,328,percent of total billed charges,999999999,,,,328,percent of total billed charges,249.9134567,,,,328,percent of total billed charges,241.3212524,,,,328,percent of total billed charges,255.7957561,,,,233.864,percent of total billed charges,116.7024157,,,,233.864,percent of total billed charges,69.82593384,,,,233.864,percent of total billed charges,116.7024157,,,,233.864,percent of total billed charges,69.82593384,,,,233.864,percent of total billed charges,116.7024157,,,,233.864,percent of total billed charges,69.82593384,,,,231.568,percent of total billed charges,229.8110306,,,,231.568,percent of total billed charges,158.4988463,,,,,,,,,,236.16,percent of total billed charges,153.4984427,,,,,,,,,,236.16,percent of total billed charges,999999999,,,,,,,,,,262.4,percent of total billed charges,219.87756,,,,259.12,percent of total billed charges,250.0619512,,,,259.12,percent of total billed charges,220.9380113,,,,262.4,percent of total billed charges,999999999,,,,262.4,percent of total billed charges,999999999,,,,229.6,percent of total billed charges,999999999,,,,229.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,174.496,percent of total billed charges,999999999,,,,,,,,,,,,,,,,165.64,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,82,percent of total billed charges,77.87994207,,,,,,,,,,82,percent of total billed charges,76.58446222,,,,,,,,,,82,percent of total billed charges,76.37163728,,,,,,,,,,82,percent of total billed charges,75.24706585,,,,,,,,,,82,percent of total billed charges,77.18328348,,,,,,,,,,82,percent of total billed charges,999999999,,,,,,,,,,82,percent of total billed charges,66.22869247,,,,,,,,,,82,percent of total billed charges,104.4472151,,,,,,,,,,82,percent of total billed charges,999999999,,,,,,,,,,82,percent of total billed charges,71.41072788,,,,,,,,,,295.2,percent of total billed charges,,,,,
**SMITH-PETERSON NAILS,C1713,CDM,,,,both,,,522,522,111.1254191,522,522,percent of total billed charges,384.0539444,,,,522,percent of total billed charges,407.0895874,,,,522,percent of total billed charges,384.0539444,,,,522,percent of total billed charges,407.0895874,,,,522,percent of total billed charges,999999999,,,,522,percent of total billed charges,397.7281232,,,,522,percent of total billed charges,384.0539444,,,,522,percent of total billed charges,407.0895874,,,,372.186,percent of total billed charges,185.727625,,,,372.186,percent of total billed charges,111.1254191,,,,372.186,percent of total billed charges,185.727625,,,,372.186,percent of total billed charges,111.1254191,,,,372.186,percent of total billed charges,185.727625,,,,372.186,percent of total billed charges,111.1254191,,,,368.532,percent of total billed charges,365.7358475,,,,368.532,percent of total billed charges,252.2451152,,,,,,,,,,375.84,percent of total billed charges,244.2871557,,,,,,,,,,375.84,percent of total billed charges,999999999,,,,,,,,,,417.6,percent of total billed charges,349.9270924,,,,412.38,percent of total billed charges,397.9644467,,,,412.38,percent of total billed charges,351.6147619,,,,417.6,percent of total billed charges,999999999,,,,417.6,percent of total billed charges,999999999,,,,365.4,percent of total billed charges,999999999,,,,365.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,277.704,percent of total billed charges,999999999,,,,,,,,,,,,,,,,263.61,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,130.5,percent of total billed charges,123.9430785,,,,,,,,,,130.5,percent of total billed charges,121.8813698,,,,,,,,,,130.5,percent of total billed charges,121.5426666,,,,,,,,,,130.5,percent of total billed charges,119.7529524,,,,,,,,,,130.5,percent of total billed charges,122.8343719,,,,,,,,,,130.5,percent of total billed charges,999999999,,,,,,,,,,130.5,percent of total billed charges,105.4005411,,,,,,,,,,130.5,percent of total billed charges,166.2239217,,,,,,,,,,130.5,percent of total billed charges,999999999,,,,,,,,,,130.5,percent of total billed charges,113.6475608,,,,,,,,,,469.8,percent of total billed charges,,,,,
K-WIRE,C1713,CDM,,,,both,,,72,72,15.32764401,72,72,percent of total billed charges,52.97295785,,,,72,percent of total billed charges,56.15028792,,,,72,percent of total billed charges,52.97295785,,,,72,percent of total billed charges,56.15028792,,,,72,percent of total billed charges,999999999,,,,72,percent of total billed charges,54.85905147,,,,72,percent of total billed charges,52.97295785,,,,72,percent of total billed charges,56.15028792,,,,51.336,percent of total billed charges,25.61760345,,,,51.336,percent of total billed charges,15.32764401,,,,51.336,percent of total billed charges,25.61760345,,,,51.336,percent of total billed charges,15.32764401,,,,51.336,percent of total billed charges,25.61760345,,,,51.336,percent of total billed charges,15.32764401,,,,50.832,percent of total billed charges,50.4463238,,,,50.832,percent of total billed charges,34.79242968,,,,,,,,,,51.84,percent of total billed charges,33.6947801,,,,,,,,,,51.84,percent of total billed charges,999999999,,,,,,,,,,57.6,percent of total billed charges,48.26580585,,,,56.88,percent of total billed charges,54.89164783,,,,56.88,percent of total billed charges,48.49858785,,,,57.6,percent of total billed charges,999999999,,,,57.6,percent of total billed charges,999999999,,,,50.4,percent of total billed charges,999999999,,,,50.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,38.304,percent of total billed charges,999999999,,,,,,,,,,,,,,,,36.36,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18,percent of total billed charges,17.09559704,,,,,,,,,,18,percent of total billed charges,16.81122341,,,,,,,,,,18,percent of total billed charges,16.76450574,,,,,,,,,,18,percent of total billed charges,16.5176486,,,,,,,,,,18,percent of total billed charges,16.94267198,,,,,,,,,,18,percent of total billed charges,999999999,,,,,,,,,,18,percent of total billed charges,14.53800566,,,,,,,,,,18,percent of total billed charges,22.92743747,,,,,,,,,,18,percent of total billed charges,999999999,,,,,,,,,,18,percent of total billed charges,15.67552563,,,,,,,,,,64.8,percent of total billed charges,,,,,
**FLAT PLATE,Local,Local,,,,both,,,873,873,185.8476837,873,873,percent of total billed charges,642.297114,,,,873,percent of total billed charges,680.822241,,,,873,percent of total billed charges,642.297114,,,,873,percent of total billed charges,680.822241,,,,873,percent of total billed charges,999999999,,,,873,percent of total billed charges,665.1659991,,,,873,percent of total billed charges,642.297114,,,,873,percent of total billed charges,680.822241,,,,622.449,percent of total billed charges,310.6134418,,,,622.449,percent of total billed charges,185.8476837,,,,622.449,percent of total billed charges,310.6134418,,,,622.449,percent of total billed charges,185.8476837,,,,622.449,percent of total billed charges,310.6134418,,,,622.449,percent of total billed charges,185.8476837,,,,616.338,percent of total billed charges,611.661676,,,,616.338,percent of total billed charges,421.8582099,,,,,,,,,,628.56,percent of total billed charges,408.5492087,,,,,,,,,,628.56,percent of total billed charges,999999999,,,,,,,,,,698.4,percent of total billed charges,585.2228959,,,,689.67,percent of total billed charges,665.5612299,,,,689.67,percent of total billed charges,588.0453777,,,,698.4,percent of total billed charges,999999999,,,,698.4,percent of total billed charges,999999999,,,,611.1,percent of total billed charges,999999999,,,,611.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,464.436,percent of total billed charges,999999999,,,,,,,,,,,,,,,,440.865,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,218.25,percent of total billed charges,207.2841141,,,,,,,,,,218.25,percent of total billed charges,203.8360839,,,,,,,,,,218.25,percent of total billed charges,203.2696322,,,,,,,,,,218.25,percent of total billed charges,200.2764893,,,,,,,,,,218.25,percent of total billed charges,205.4298978,,,,,,,,,,218.25,percent of total billed charges,999999999,,,,,,,,,,218.25,percent of total billed charges,176.2733187,,,,,,,,,,218.25,percent of total billed charges,277.9951793,,,,,,,,,,218.25,percent of total billed charges,999999999,,,,,,,,,,218.25,percent of total billed charges,190.0657483,,,,,,,,,,785.7,percent of total billed charges,,,,,
**V-DRAPE INTESTINAL,Local,Local,,,,both,,,71,71,15.11476007,71,71,percent of total billed charges,52.23722233,,,,71,percent of total billed charges,55.37042281,,,,71,percent of total billed charges,52.23722233,,,,71,percent of total billed charges,55.37042281,,,,71,percent of total billed charges,999999999,,,,71,percent of total billed charges,54.0971202,,,,71,percent of total billed charges,52.23722233,,,,71,percent of total billed charges,55.37042281,,,,50.623,percent of total billed charges,25.2618034,,,,50.623,percent of total billed charges,15.11476007,,,,50.623,percent of total billed charges,25.2618034,,,,50.623,percent of total billed charges,15.11476007,,,,50.623,percent of total billed charges,25.2618034,,,,50.623,percent of total billed charges,15.11476007,,,,50.126,percent of total billed charges,49.74568041,,,,50.126,percent of total billed charges,34.30920149,,,,,,,,,,51.12,percent of total billed charges,33.22679704,,,,,,,,,,51.12,percent of total billed charges,999999999,,,,,,,,,,56.8,percent of total billed charges,47.59544744,,,,56.09,percent of total billed charges,54.12926383,,,,56.09,percent of total billed charges,47.82499635,,,,56.8,percent of total billed charges,999999999,,,,56.8,percent of total billed charges,999999999,,,,49.7,percent of total billed charges,999999999,,,,49.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,37.772,percent of total billed charges,999999999,,,,,,,,,,,,,,,,35.855,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17.75,percent of total billed charges,16.85815819,,,,,,,,,,17.75,percent of total billed charges,16.5777342,,,,,,,,,,17.75,percent of total billed charges,16.53166539,,,,,,,,,,17.75,percent of total billed charges,16.28823682,,,,,,,,,,17.75,percent of total billed charges,16.70735709,,,,,,,,,,17.75,percent of total billed charges,999999999,,,,,,,,,,17.75,percent of total billed charges,14.33608892,,,,,,,,,,17.75,percent of total billed charges,22.60900084,,,,,,,,,,17.75,percent of total billed charges,999999999,,,,,,,,,,17.75,percent of total billed charges,15.45781,,,,,,,,,,63.9,percent of total billed charges,,,,,
**INDIGO CARMINE,Local,Local,,,,both,,,45,45,9.579777508,45,45,percent of total billed charges,33.10809866,,,,45,percent of total billed charges,35.09392995,,,,45,percent of total billed charges,33.10809866,,,,45,percent of total billed charges,35.09392995,,,,45,percent of total billed charges,999999999,,,,45,percent of total billed charges,34.28690717,,,,45,percent of total billed charges,33.10809866,,,,45,percent of total billed charges,35.09392995,,,,32.085,percent of total billed charges,16.01100216,,,,32.085,percent of total billed charges,9.579777508,,,,32.085,percent of total billed charges,16.01100216,,,,32.085,percent of total billed charges,9.579777508,,,,32.085,percent of total billed charges,16.01100216,,,,32.085,percent of total billed charges,9.579777508,,,,31.77,percent of total billed charges,31.52895237,,,,31.77,percent of total billed charges,21.74526855,,,,,,,,,,32.4,percent of total billed charges,21.05923756,,,,,,,,,,32.4,percent of total billed charges,999999999,,,,,,,,,,36,percent of total billed charges,30.16612866,,,,35.55,percent of total billed charges,34.30727989,,,,35.55,percent of total billed charges,30.31161741,,,,36,percent of total billed charges,999999999,,,,36,percent of total billed charges,999999999,,,,31.5,percent of total billed charges,999999999,,,,31.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,23.94,percent of total billed charges,999999999,,,,,,,,,,,,,,,,22.725,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11.25,percent of total billed charges,10.68474815,,,,,,,,,,11.25,percent of total billed charges,10.50701463,,,,,,,,,,11.25,percent of total billed charges,10.47781609,,,,,,,,,,11.25,percent of total billed charges,10.32353038,,,,,,,,,,11.25,percent of total billed charges,10.58916999,,,,,,,,,,11.25,percent of total billed charges,999999999,,,,,,,,,,11.25,percent of total billed charges,9.08625354,,,,,,,,,,11.25,percent of total billed charges,14.32964842,,,,,,,,,,11.25,percent of total billed charges,999999999,,,,,,,,,,11.25,percent of total billed charges,9.797203519,,,,,,,,,,40.5,percent of total billed charges,,,,,
MULTISTRAND 3,Local,Local,,,,both,,,59,59,12.56015273,59,59,percent of total billed charges,43.40839602,,,,59,percent of total billed charges,46.01204149,,,,59,percent of total billed charges,43.40839602,,,,59,percent of total billed charges,46.01204149,,,,59,percent of total billed charges,999999999,,,,59,percent of total billed charges,44.95394496,,,,59,percent of total billed charges,43.40839602,,,,59,percent of total billed charges,46.01204149,,,,42.067,percent of total billed charges,20.99220283,,,,42.067,percent of total billed charges,12.56015273,,,,42.067,percent of total billed charges,20.99220283,,,,42.067,percent of total billed charges,12.56015273,,,,42.067,percent of total billed charges,20.99220283,,,,42.067,percent of total billed charges,12.56015273,,,,41.654,percent of total billed charges,41.33795978,,,,41.654,percent of total billed charges,28.51046321,,,,,,,,,,42.48,percent of total billed charges,27.61100036,,,,,,,,,,42.48,percent of total billed charges,999999999,,,,,,,,,,47.2,percent of total billed charges,39.55114646,,,,46.61,percent of total billed charges,44.98065586,,,,46.61,percent of total billed charges,39.74189838,,,,47.2,percent of total billed charges,999999999,,,,47.2,percent of total billed charges,999999999,,,,41.3,percent of total billed charges,999999999,,,,41.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,31.388,percent of total billed charges,999999999,,,,,,,,,,,,,,,,29.795,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14.75,percent of total billed charges,14.00889202,,,,,,,,,,14.75,percent of total billed charges,13.77586363,,,,,,,,,,14.75,percent of total billed charges,13.7375811,,,,,,,,,,14.75,percent of total billed charges,13.53529538,,,,,,,,,,14.75,percent of total billed charges,13.88357843,,,,,,,,,,14.75,percent of total billed charges,999999999,,,,,,,,,,14.75,percent of total billed charges,11.91308798,,,,,,,,,,14.75,percent of total billed charges,18.78776126,,,,,,,,,,14.75,percent of total billed charges,999999999,,,,,,,,,,14.75,percent of total billed charges,12.84522239,,,,,,,,,,53.1,percent of total billed charges,,,,,
**CATHETER GROSHON,Local,Local,,,,both,,,2755,2755,586.4952674,2755,2755,percent of total billed charges,2026.951373,,,,2755,percent of total billed charges,2148.528378,,,,2755,percent of total billed charges,2026.951373,,,,2755,percent of total billed charges,2148.528378,,,,2755,percent of total billed charges,999999999,,,,2755,percent of total billed charges,2099.12065,,,,2755,percent of total billed charges,2026.951373,,,,2755,percent of total billed charges,2148.528378,,,,1964.315,percent of total billed charges,980.229132,,,,1964.315,percent of total billed charges,586.4952674,,,,1964.315,percent of total billed charges,980.229132,,,,1964.315,percent of total billed charges,586.4952674,,,,1964.315,percent of total billed charges,980.229132,,,,1964.315,percent of total billed charges,586.4952674,,,,1945.03,percent of total billed charges,1930.272529,,,,1945.03,percent of total billed charges,1331.293664,,,,,,,,,,1983.6,percent of total billed charges,1289.293322,,,,,,,,,,1983.6,percent of total billed charges,999999999,,,,,,,,,,2204,percent of total billed charges,1846.837432,,,,2176.45,percent of total billed charges,2100.367913,,,,2176.45,percent of total billed charges,1855.744577,,,,2204,percent of total billed charges,999999999,,,,2204,percent of total billed charges,999999999,,,,1928.5,percent of total billed charges,999999999,,,,1928.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1465.66,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1391.275,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,688.75,percent of total billed charges,654.1440256,,,,,,,,,,688.75,percent of total billed charges,643.2627848,,,,,,,,,,688.75,percent of total billed charges,641.4751851,,,,,,,,,,688.75,percent of total billed charges,632.0294708,,,,,,,,,,688.75,percent of total billed charges,648.2925182,,,,,,,,,,688.75,percent of total billed charges,999999999,,,,,,,,,,688.75,percent of total billed charges,556.2806334,,,,,,,,,,688.75,percent of total billed charges,877.2929198,,,,,,,,,,688.75,percent of total billed charges,999999999,,,,,,,,,,688.75,percent of total billed charges,599.806571,,,,,,,,,,2479.5,percent of total billed charges,,,,,
**PHACO PAK,Local,Local,,,,both,,,834,834,177.5452098,834,834,percent of total billed charges,613.6034285,,,,834,percent of total billed charges,650.4075017,,,,834,percent of total billed charges,613.6034285,,,,834,percent of total billed charges,650.4075017,,,,834,percent of total billed charges,999999999,,,,834,percent of total billed charges,635.4506795,,,,834,percent of total billed charges,613.6034285,,,,834,percent of total billed charges,650.4075017,,,,594.642,percent of total billed charges,296.73724,,,,594.642,percent of total billed charges,177.5452098,,,,594.642,percent of total billed charges,296.73724,,,,594.642,percent of total billed charges,177.5452098,,,,594.642,percent of total billed charges,296.73724,,,,594.642,percent of total billed charges,177.5452098,,,,588.804,percent of total billed charges,584.336584,,,,588.804,percent of total billed charges,403.0123105,,,,,,,,,,600.48,percent of total billed charges,390.2978694,,,,,,,,,,600.48,percent of total billed charges,999999999,,,,,,,,,,667.2,percent of total billed charges,559.0789178,,,,658.86,percent of total billed charges,635.828254,,,,658.86,percent of total billed charges,561.7753093,,,,667.2,percent of total billed charges,999999999,,,,667.2,percent of total billed charges,999999999,,,,583.8,percent of total billed charges,999999999,,,,583.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,443.688,percent of total billed charges,999999999,,,,,,,,,,,,,,,,421.17,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,208.5,percent of total billed charges,198.023999,,,,,,,,,,208.5,percent of total billed charges,194.7300046,,,,,,,,,,208.5,percent of total billed charges,194.1888582,,,,,,,,,,208.5,percent of total billed charges,191.3294296,,,,,,,,,,208.5,percent of total billed charges,196.2526171,,,,,,,,,,208.5,percent of total billed charges,999999999,,,,,,,,,,208.5,percent of total billed charges,168.3985656,,,,,,,,,,208.5,percent of total billed charges,265.5761507,,,,,,,,,,208.5,percent of total billed charges,999999999,,,,,,,,,,208.5,percent of total billed charges,181.5748386,,,,,,,,,,750.6,percent of total billed charges,,,,,
**PHACO STORZ PREMIER,Local,Local,,,,both,,,3776,3776,803.8497749,3776,3776,percent of total billed charges,2778.137345,,,,3776,percent of total billed charges,2944.770655,,,,3776,percent of total billed charges,2778.137345,,,,3776,percent of total billed charges,2944.770655,,,,3776,percent of total billed charges,999999999,,,,3776,percent of total billed charges,2877.052477,,,,3776,percent of total billed charges,2778.137345,,,,3776,percent of total billed charges,2944.770655,,,,2692.288,percent of total billed charges,1343.500981,,,,2692.288,percent of total billed charges,803.8497749,,,,2692.288,percent of total billed charges,1343.500981,,,,2692.288,percent of total billed charges,803.8497749,,,,2692.288,percent of total billed charges,1343.500981,,,,2692.288,percent of total billed charges,803.8497749,,,,2665.856,percent of total billed charges,2645.629426,,,,2665.856,percent of total billed charges,1824.669646,,,,,,,,,,2718.72,percent of total billed charges,1767.104023,,,,,,,,,,2718.72,percent of total billed charges,999999999,,,,,,,,,,3020.8,percent of total billed charges,2531.273374,,,,2983.04,percent of total billed charges,2878.761975,,,,2983.04,percent of total billed charges,2543.481496,,,,3020.8,percent of total billed charges,999999999,,,,3020.8,percent of total billed charges,999999999,,,,2643.2,percent of total billed charges,999999999,,,,2643.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2008.832,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1906.88,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,944,percent of total billed charges,896.5690892,,,,,,,,,,944,percent of total billed charges,881.6552724,,,,,,,,,,944,percent of total billed charges,879.2051902,,,,,,,,,,944,percent of total billed charges,866.2589044,,,,,,,,,,944,percent of total billed charges,888.5490195,,,,,,,,,,944,percent of total billed charges,999999999,,,,,,,,,,944,percent of total billed charges,762.4376304,,,,,,,,,,944,percent of total billed charges,1202.416721,,,,,,,,,,944,percent of total billed charges,999999999,,,,,,,,,,944,percent of total billed charges,822.0942331,,,,,,,,,,3398.4,percent of total billed charges,,,,,
**PREP DRY SET,Local,Local,,,,both,,,53,53,11.28284907,53,53,percent of total billed charges,38.99398286,,,,53,percent of total billed charges,41.33285083,,,,53,percent of total billed charges,38.99398286,,,,53,percent of total billed charges,41.33285083,,,,53,percent of total billed charges,999999999,,,,53,percent of total billed charges,40.38235733,,,,53,percent of total billed charges,38.99398286,,,,53,percent of total billed charges,41.33285083,,,,37.789,percent of total billed charges,18.85740254,,,,37.789,percent of total billed charges,11.28284907,,,,37.789,percent of total billed charges,18.85740254,,,,37.789,percent of total billed charges,11.28284907,,,,37.789,percent of total billed charges,18.85740254,,,,37.789,percent of total billed charges,11.28284907,,,,37.418,percent of total billed charges,37.13409946,,,,37.418,percent of total billed charges,25.61109407,,,,,,,,,,38.16,percent of total billed charges,24.80310201,,,,,,,,,,38.16,percent of total billed charges,999999999,,,,,,,,,,42.4,percent of total billed charges,35.52899597,,,,41.87,percent of total billed charges,40.40635187,,,,41.87,percent of total billed charges,35.70034939,,,,42.4,percent of total billed charges,999999999,,,,42.4,percent of total billed charges,999999999,,,,37.1,percent of total billed charges,999999999,,,,37.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,28.196,percent of total billed charges,999999999,,,,,,,,,,,,,,,,26.765,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13.25,percent of total billed charges,12.58425893,,,,,,,,,,13.25,percent of total billed charges,12.37492835,,,,,,,,,,13.25,percent of total billed charges,12.34053895,,,,,,,,,,13.25,percent of total billed charges,12.15882466,,,,,,,,,,13.25,percent of total billed charges,12.4716891,,,,,,,,,,13.25,percent of total billed charges,999999999,,,,,,,,,,13.25,percent of total billed charges,10.7015875,,,,,,,,,,13.25,percent of total billed charges,16.87714147,,,,,,,,,,13.25,percent of total billed charges,999999999,,,,,,,,,,13.25,percent of total billed charges,11.53892859,,,,,,,,,,47.7,percent of total billed charges,,,,,
**PREP DURAPREP,Local,Local,,,,both,,,68,68,14.47610823,68,68,percent of total billed charges,50.03001575,,,,68,percent of total billed charges,53.03082748,,,,68,percent of total billed charges,50.03001575,,,,68,percent of total billed charges,53.03082748,,,,68,percent of total billed charges,999999999,,,,68,percent of total billed charges,51.81132639,,,,68,percent of total billed charges,50.03001575,,,,68,percent of total billed charges,53.03082748,,,,48.484,percent of total billed charges,24.19440326,,,,48.484,percent of total billed charges,14.47610823,,,,48.484,percent of total billed charges,24.19440326,,,,48.484,percent of total billed charges,14.47610823,,,,48.484,percent of total billed charges,24.19440326,,,,48.484,percent of total billed charges,14.47610823,,,,48.008,percent of total billed charges,47.64375025,,,,48.008,percent of total billed charges,32.85951692,,,,,,,,,,48.96,percent of total billed charges,31.82284787,,,,,,,,,,48.96,percent of total billed charges,999999999,,,,,,,,,,54.4,percent of total billed charges,45.58437219,,,,53.72,percent of total billed charges,51.84211184,,,,53.72,percent of total billed charges,45.80422186,,,,54.4,percent of total billed charges,999999999,,,,54.4,percent of total billed charges,999999999,,,,47.6,percent of total billed charges,999999999,,,,47.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,36.176,percent of total billed charges,999999999,,,,,,,,,,,,,,,,34.34,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17,percent of total billed charges,16.14584165,,,,,,,,,,17,percent of total billed charges,15.87726656,,,,,,,,,,17,percent of total billed charges,15.83314431,,,,,,,,,,17,percent of total billed charges,15.60000146,,,,,,,,,,17,percent of total billed charges,16.00141243,,,,,,,,,,17,percent of total billed charges,999999999,,,,,,,,,,17,percent of total billed charges,13.73033868,,,,,,,,,,17,percent of total billed charges,21.65369094,,,,,,,,,,17,percent of total billed charges,999999999,,,,,,,,,,17,percent of total billed charges,14.8046631,,,,,,,,,,61.2,percent of total billed charges,,,,,
**RETENTION SUTURES,Local,Local,,,,both,,,102,102,21.71416235,102,102,percent of total billed charges,75.04502362,,,,102,percent of total billed charges,79.54624122,,,,102,percent of total billed charges,75.04502362,,,,102,percent of total billed charges,79.54624122,,,,102,percent of total billed charges,999999999,,,,102,percent of total billed charges,77.71698958,,,,102,percent of total billed charges,75.04502362,,,,102,percent of total billed charges,79.54624122,,,,72.726,percent of total billed charges,36.29160489,,,,72.726,percent of total billed charges,21.71416235,,,,72.726,percent of total billed charges,36.29160489,,,,72.726,percent of total billed charges,21.71416235,,,,72.726,percent of total billed charges,36.29160489,,,,72.726,percent of total billed charges,21.71416235,,,,72.012,percent of total billed charges,71.46562538,,,,72.012,percent of total billed charges,49.28927538,,,,,,,,,,73.44,percent of total billed charges,47.7342718,,,,,,,,,,73.44,percent of total billed charges,999999999,,,,,,,,,,81.6,percent of total billed charges,68.37655829,,,,80.58,percent of total billed charges,77.76316775,,,,80.58,percent of total billed charges,68.70633279,,,,81.6,percent of total billed charges,999999999,,,,81.6,percent of total billed charges,999999999,,,,71.4,percent of total billed charges,999999999,,,,71.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,54.264,percent of total billed charges,999999999,,,,,,,,,,,,,,,,51.51,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,25.5,percent of total billed charges,24.21876247,,,,,,,,,,25.5,percent of total billed charges,23.81589984,,,,,,,,,,25.5,percent of total billed charges,23.74971647,,,,,,,,,,25.5,percent of total billed charges,23.40000219,,,,,,,,,,25.5,percent of total billed charges,24.00211864,,,,,,,,,,25.5,percent of total billed charges,999999999,,,,,,,,,,25.5,percent of total billed charges,20.59550803,,,,,,,,,,25.5,percent of total billed charges,32.48053641,,,,,,,,,,25.5,percent of total billed charges,999999999,,,,,,,,,,25.5,percent of total billed charges,22.20699464,,,,,,,,,,91.8,percent of total billed charges,,,,,
**URETERAL BRUSH KIT,Local,Local,,,,both,,,554,554,117.9377053,554,554,percent of total billed charges,407.5974812,,,,554,percent of total billed charges,432.0452709,,,,554,percent of total billed charges,407.5974812,,,,554,percent of total billed charges,432.0452709,,,,554,percent of total billed charges,999999999,,,,554,percent of total billed charges,422.1099238,,,,554,percent of total billed charges,407.5974812,,,,554,percent of total billed charges,432.0452709,,,,395.002,percent of total billed charges,197.1132266,,,,395.002,percent of total billed charges,117.9377053,,,,395.002,percent of total billed charges,197.1132266,,,,395.002,percent of total billed charges,117.9377053,,,,395.002,percent of total billed charges,197.1132266,,,,395.002,percent of total billed charges,117.9377053,,,,391.124,percent of total billed charges,388.1564359,,,,391.124,percent of total billed charges,267.7084173,,,,,,,,,,398.88,percent of total billed charges,259.2626135,,,,,,,,,,398.88,percent of total billed charges,999999999,,,,,,,,,,443.2,percent of total billed charges,371.3785617,,,,437.66,percent of total billed charges,422.3607347,,,,437.66,percent of total billed charges,373.1696899,,,,443.2,percent of total billed charges,999999999,,,,443.2,percent of total billed charges,999999999,,,,387.8,percent of total billed charges,999999999,,,,387.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,294.728,percent of total billed charges,999999999,,,,,,,,,,,,,,,,279.77,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,138.5,percent of total billed charges,131.5411217,,,,,,,,,,138.5,percent of total billed charges,129.3530246,,,,,,,,,,138.5,percent of total billed charges,128.9935581,,,,,,,,,,138.5,percent of total billed charges,127.0941295,,,,,,,,,,138.5,percent of total billed charges,130.3644483,,,,,,,,,,138.5,percent of total billed charges,999999999,,,,,,,,,,138.5,percent of total billed charges,111.8618769,,,,,,,,,,138.5,percent of total billed charges,176.4138939,,,,,,,,,,138.5,percent of total billed charges,999999999,,,,,,,,,,138.5,percent of total billed charges,120.6144611,,,,,,,,,,498.6,percent of total billed charges,,,,,
**HUMI (UTERINE MANIPULATOR),Local,Local,,,,both,,,274,274,58.33020083,274,274,percent of total billed charges,201.591534,,,,274,percent of total billed charges,213.6830401,,,,274,percent of total billed charges,201.591534,,,,274,percent of total billed charges,213.6830401,,,,274,percent of total billed charges,999999999,,,,274,percent of total billed charges,208.7691681,,,,274,percent of total billed charges,201.591534,,,,274,percent of total billed charges,213.6830401,,,,195.362,percent of total billed charges,97.48921313,,,,195.362,percent of total billed charges,58.33020083,,,,195.362,percent of total billed charges,97.48921313,,,,195.362,percent of total billed charges,58.33020083,,,,195.362,percent of total billed charges,97.48921313,,,,195.362,percent of total billed charges,58.33020083,,,,193.444,percent of total billed charges,191.9762878,,,,193.444,percent of total billed charges,132.4045241,,,,,,,,,,197.28,percent of total billed charges,128.2273576,,,,,,,,,,197.28,percent of total billed charges,999999999,,,,,,,,,,219.2,percent of total billed charges,183.6782056,,,,216.46,percent of total billed charges,208.8932153,,,,216.46,percent of total billed charges,184.5640704,,,,219.2,percent of total billed charges,999999999,,,,219.2,percent of total billed charges,999999999,,,,191.8,percent of total billed charges,999999999,,,,191.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,145.768,percent of total billed charges,999999999,,,,,,,,,,,,,,,,138.37,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,68.5,percent of total billed charges,65.05824429,,,,,,,,,,68.5,percent of total billed charges,63.97604466,,,,,,,,,,68.5,percent of total billed charges,63.79825797,,,,,,,,,,68.5,percent of total billed charges,62.8588294,,,,,,,,,,68.5,percent of total billed charges,64.47627949,,,,,,,,,,68.5,percent of total billed charges,999999999,,,,,,,,,,68.5,percent of total billed charges,55.32518822,,,,,,,,,,68.5,percent of total billed charges,87.25163704,,,,,,,,,,68.5,percent of total billed charges,999999999,,,,,,,,,,68.5,percent of total billed charges,59.65408365,,,,,,,,,,246.6,percent of total billed charges,,,,,
**URO - JET,Local,Local,,,,both,,,45,45,9.579777508,45,45,percent of total billed charges,33.10809866,,,,45,percent of total billed charges,35.09392995,,,,45,percent of total billed charges,33.10809866,,,,45,percent of total billed charges,35.09392995,,,,45,percent of total billed charges,999999999,,,,45,percent of total billed charges,34.28690717,,,,45,percent of total billed charges,33.10809866,,,,45,percent of total billed charges,35.09392995,,,,32.085,percent of total billed charges,16.01100216,,,,32.085,percent of total billed charges,9.579777508,,,,32.085,percent of total billed charges,16.01100216,,,,32.085,percent of total billed charges,9.579777508,,,,32.085,percent of total billed charges,16.01100216,,,,32.085,percent of total billed charges,9.579777508,,,,31.77,percent of total billed charges,31.52895237,,,,31.77,percent of total billed charges,21.74526855,,,,,,,,,,32.4,percent of total billed charges,21.05923756,,,,,,,,,,32.4,percent of total billed charges,999999999,,,,,,,,,,36,percent of total billed charges,30.16612866,,,,35.55,percent of total billed charges,34.30727989,,,,35.55,percent of total billed charges,30.31161741,,,,36,percent of total billed charges,999999999,,,,36,percent of total billed charges,999999999,,,,31.5,percent of total billed charges,999999999,,,,31.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,23.94,percent of total billed charges,999999999,,,,,,,,,,,,,,,,22.725,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11.25,percent of total billed charges,10.68474815,,,,,,,,,,11.25,percent of total billed charges,10.50701463,,,,,,,,,,11.25,percent of total billed charges,10.47781609,,,,,,,,,,11.25,percent of total billed charges,10.32353038,,,,,,,,,,11.25,percent of total billed charges,10.58916999,,,,,,,,,,11.25,percent of total billed charges,999999999,,,,,,,,,,11.25,percent of total billed charges,9.08625354,,,,,,,,,,11.25,percent of total billed charges,14.32964842,,,,,,,,,,11.25,percent of total billed charges,999999999,,,,,,,,,,11.25,percent of total billed charges,9.797203519,,,,,,,,,,40.5,percent of total billed charges,,,,,
**GIGLI SAW-DISPOSABLE,Local,Local,,,,both,,,87,87,18.52090318,87,87,percent of total billed charges,64.00899074,,,,87,percent of total billed charges,67.84826457,,,,87,percent of total billed charges,64.00899074,,,,87,percent of total billed charges,67.84826457,,,,87,percent of total billed charges,999999999,,,,87,percent of total billed charges,66.28802053,,,,87,percent of total billed charges,64.00899074,,,,87,percent of total billed charges,67.84826457,,,,62.031,percent of total billed charges,30.95460417,,,,62.031,percent of total billed charges,18.52090318,,,,62.031,percent of total billed charges,30.95460417,,,,62.031,percent of total billed charges,18.52090318,,,,62.031,percent of total billed charges,30.95460417,,,,62.031,percent of total billed charges,18.52090318,,,,61.422,percent of total billed charges,60.95597459,,,,61.422,percent of total billed charges,42.04085253,,,,,,,,,,62.64,percent of total billed charges,40.71452595,,,,,,,,,,62.64,percent of total billed charges,999999999,,,,,,,,,,69.6,percent of total billed charges,58.32118207,,,,68.73,percent of total billed charges,66.32740779,,,,68.73,percent of total billed charges,58.60246032,,,,69.6,percent of total billed charges,999999999,,,,69.6,percent of total billed charges,999999999,,,,60.9,percent of total billed charges,999999999,,,,60.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,46.284,percent of total billed charges,999999999,,,,,,,,,,,,,,,,43.935,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21.75,percent of total billed charges,20.65717976,,,,,,,,,,21.75,percent of total billed charges,20.31356163,,,,,,,,,,21.75,percent of total billed charges,20.25711111,,,,,,,,,,21.75,percent of total billed charges,19.95882539,,,,,,,,,,21.75,percent of total billed charges,20.47239531,,,,,,,,,,21.75,percent of total billed charges,999999999,,,,,,,,,,21.75,percent of total billed charges,17.56675684,,,,,,,,,,21.75,percent of total billed charges,27.70398694,,,,,,,,,,21.75,percent of total billed charges,999999999,,,,,,,,,,21.75,percent of total billed charges,18.94126014,,,,,,,,,,78.3,percent of total billed charges,,,,,
**MARLEX MESH,C1781,CDM,,,,both,,,1038,1038,220.9735345,1038,1038,percent of total billed charges,763.6934757,,,,1038,percent of total billed charges,809.4999842,,,,1038,percent of total billed charges,763.6934757,,,,1038,percent of total billed charges,809.4999842,,,,1038,percent of total billed charges,999999999,,,,1038,percent of total billed charges,790.8846587,,,,1038,percent of total billed charges,763.6934757,,,,1038,percent of total billed charges,809.4999842,,,,740.094,percent of total billed charges,369.3204497,,,,740.094,percent of total billed charges,220.9735345,,,,740.094,percent of total billed charges,369.3204497,,,,740.094,percent of total billed charges,220.9735345,,,,740.094,percent of total billed charges,369.3204497,,,,740.094,percent of total billed charges,220.9735345,,,,732.828,percent of total billed charges,727.2678347,,,,732.828,percent of total billed charges,501.5908613,,,,,,,,,,747.36,percent of total billed charges,485.766413,,,,,,,,,,747.36,percent of total billed charges,999999999,,,,,,,,,,830.4,percent of total billed charges,695.8320343,,,,820.02,percent of total billed charges,791.3545895,,,,820.02,percent of total billed charges,699.1879749,,,,830.4,percent of total billed charges,999999999,,,,830.4,percent of total billed charges,999999999,,,,726.6,percent of total billed charges,999999999,,,,726.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,552.216,percent of total billed charges,999999999,,,,,,,,,,,,,,,,524.19,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,259.5,percent of total billed charges,246.461524,,,,,,,,,,259.5,percent of total billed charges,242.3618042,,,,,,,,,,259.5,percent of total billed charges,241.6882912,,,,,,,,,,259.5,percent of total billed charges,238.129434,,,,,,,,,,259.5,percent of total billed charges,244.2568544,,,,,,,,,,259.5,percent of total billed charges,999999999,,,,,,,,,,259.5,percent of total billed charges,209.5895817,,,,,,,,,,259.5,percent of total billed charges,330.5372235,,,,,,,,,,259.5,percent of total billed charges,999999999,,,,,,,,,,259.5,percent of total billed charges,225.9888278,,,,,,,,,,934.2,percent of total billed charges,,,,,
**ELLIOTT BLADE-6 IN,Local,Local,,,,both,,,1814,1814,386.1714755,1814,1814,percent of total billed charges,1334.624244,,,,1814,percent of total billed charges,1414.67531,,,,1814,percent of total billed charges,1334.624244,,,,1814,percent of total billed charges,1414.67531,,,,1814,percent of total billed charges,999999999,,,,1814,percent of total billed charges,1382.143325,,,,1814,percent of total billed charges,1334.624244,,,,1814,percent of total billed charges,1414.67531,,,,1293.382,percent of total billed charges,645.4212869,,,,1293.382,percent of total billed charges,386.1714755,,,,1293.382,percent of total billed charges,645.4212869,,,,1293.382,percent of total billed charges,386.1714755,,,,1293.382,percent of total billed charges,645.4212869,,,,1293.382,percent of total billed charges,386.1714755,,,,1280.684,percent of total billed charges,1270.967102,,,,1280.684,percent of total billed charges,876.5759367,,,,,,,,,,1306.08,percent of total billed charges,848.9212652,,,,,,,,,,1306.08,percent of total billed charges,999999999,,,,,,,,,,1451.2,percent of total billed charges,1216.030164,,,,1433.06,percent of total billed charges,1382.964572,,,,1433.06,percent of total billed charges,1221.894977,,,,1451.2,percent of total billed charges,999999999,,,,1451.2,percent of total billed charges,999999999,,,,1269.8,percent of total billed charges,999999999,,,,1269.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,965.048,percent of total billed charges,999999999,,,,,,,,,,,,,,,,916.07,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,453.5,percent of total billed charges,430.7140698,,,,,,,,,,453.5,percent of total billed charges,423.5494344,,,,,,,,,,453.5,percent of total billed charges,422.3724086,,,,,,,,,,453.5,percent of total billed charges,416.15298,,,,,,,,,,453.5,percent of total billed charges,426.861208,,,,,,,,,,453.5,percent of total billed charges,999999999,,,,,,,,,,453.5,percent of total billed charges,366.2769761,,,,,,,,,,453.5,percent of total billed charges,577.6440496,,,,,,,,,,453.5,percent of total billed charges,999999999,,,,,,,,,,453.5,percent of total billed charges,394.9361597,,,,,,,,,,1632.6,percent of total billed charges,,,,,
**ELLIOTT BLADE-8 IN,Local,Local,,,,both,,,1904,1904,405.3310306,1904,1904,percent of total billed charges,1400.840441,,,,1904,percent of total billed charges,1484.863169,,,,1904,percent of total billed charges,1400.840441,,,,1904,percent of total billed charges,1484.863169,,,,1904,percent of total billed charges,999999999,,,,1904,percent of total billed charges,1450.717139,,,,1904,percent of total billed charges,1400.840441,,,,1904,percent of total billed charges,1484.863169,,,,1357.552,percent of total billed charges,677.4432913,,,,1357.552,percent of total billed charges,405.3310306,,,,1357.552,percent of total billed charges,677.4432913,,,,1357.552,percent of total billed charges,405.3310306,,,,1357.552,percent of total billed charges,677.4432913,,,,1357.552,percent of total billed charges,405.3310306,,,,1344.224,percent of total billed charges,1334.025007,,,,1344.224,percent of total billed charges,920.0664738,,,,,,,,,,1370.88,percent of total billed charges,891.0397403,,,,,,,,,,1370.88,percent of total billed charges,999999999,,,,,,,,,,1523.2,percent of total billed charges,1276.362421,,,,1504.16,percent of total billed charges,1451.579131,,,,1504.16,percent of total billed charges,1282.518212,,,,1523.2,percent of total billed charges,999999999,,,,1523.2,percent of total billed charges,999999999,,,,1332.8,percent of total billed charges,999999999,,,,1332.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1012.928,percent of total billed charges,999999999,,,,,,,,,,,,,,,,961.52,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,476,percent of total billed charges,452.0835661,,,,,,,,,,476,percent of total billed charges,444.5634636,,,,,,,,,,476,percent of total billed charges,443.3280408,,,,,,,,,,476,percent of total billed charges,436.8000408,,,,,,,,,,476,percent of total billed charges,448.039548,,,,,,,,,,476,percent of total billed charges,999999999,,,,,,,,,,476,percent of total billed charges,384.4494831,,,,,,,,,,476,percent of total billed charges,606.3033464,,,,,,,,,,476,percent of total billed charges,999999999,,,,,,,,,,476,percent of total billed charges,414.5305667,,,,,,,,,,1713.6,percent of total billed charges,,,,,
**JEJUNOSTOMY,Local,Local,,,,both,,,578,578,123.04692,578,578,percent of total billed charges,425.2551339,,,,578,percent of total billed charges,450.7620336,,,,578,percent of total billed charges,425.2551339,,,,578,percent of total billed charges,450.7620336,,,,578,percent of total billed charges,999999999,,,,578,percent of total billed charges,440.3962743,,,,578,percent of total billed charges,425.2551339,,,,578,percent of total billed charges,450.7620336,,,,412.114,percent of total billed charges,205.6524277,,,,412.114,percent of total billed charges,123.04692,,,,412.114,percent of total billed charges,205.6524277,,,,412.114,percent of total billed charges,123.04692,,,,412.114,percent of total billed charges,205.6524277,,,,412.114,percent of total billed charges,123.04692,,,,408.068,percent of total billed charges,404.9718771,,,,408.068,percent of total billed charges,279.3058938,,,,,,,,,,416.16,percent of total billed charges,270.4942069,,,,,,,,,,416.16,percent of total billed charges,999999999,,,,,,,,,,462.4,percent of total billed charges,387.4671636,,,,456.62,percent of total billed charges,440.6579506,,,,456.62,percent of total billed charges,389.3358858,,,,462.4,percent of total billed charges,999999999,,,,462.4,percent of total billed charges,999999999,,,,404.6,percent of total billed charges,999999999,,,,404.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,307.496,percent of total billed charges,999999999,,,,,,,,,,,,,,,,291.89,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,144.5,percent of total billed charges,137.239654,,,,,,,,,,144.5,percent of total billed charges,134.9567657,,,,,,,,,,144.5,percent of total billed charges,134.5817267,,,,,,,,,,144.5,percent of total billed charges,132.6000124,,,,,,,,,,144.5,percent of total billed charges,136.0120056,,,,,,,,,,144.5,percent of total billed charges,999999999,,,,,,,,,,144.5,percent of total billed charges,116.7078788,,,,,,,,,,144.5,percent of total billed charges,184.056373,,,,,,,,,,144.5,percent of total billed charges,999999999,,,,,,,,,,144.5,percent of total billed charges,125.8396363,,,,,,,,,,520.2,percent of total billed charges,,,,,
**TRIPLE LUMEN DRAIN,Local,Local,,,,both,,,334,334,71.1032375,334,334,percent of total billed charges,245.7356656,,,,334,percent of total billed charges,260.4749467,,,,334,percent of total billed charges,245.7356656,,,,334,percent of total billed charges,260.4749467,,,,334,percent of total billed charges,999999999,,,,334,percent of total billed charges,254.4850443,,,,334,percent of total billed charges,245.7356656,,,,334,percent of total billed charges,260.4749467,,,,238.142,percent of total billed charges,118.837216,,,,238.142,percent of total billed charges,71.1032375,,,,238.142,percent of total billed charges,118.837216,,,,238.142,percent of total billed charges,71.1032375,,,,238.142,percent of total billed charges,118.837216,,,,238.142,percent of total billed charges,71.1032375,,,,235.804,percent of total billed charges,234.0148909,,,,235.804,percent of total billed charges,161.3982155,,,,,,,,,,240.48,percent of total billed charges,156.306341,,,,,,,,,,240.48,percent of total billed charges,999999999,,,,,,,,,,267.2,percent of total billed charges,223.8997105,,,,263.86,percent of total billed charges,254.6362552,,,,263.86,percent of total billed charges,224.9795603,,,,267.2,percent of total billed charges,999999999,,,,267.2,percent of total billed charges,999999999,,,,233.8,percent of total billed charges,999999999,,,,233.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,177.688,percent of total billed charges,999999999,,,,,,,,,,,,,,,,168.67,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,83.5,percent of total billed charges,79.30457515,,,,,,,,,,83.5,percent of total billed charges,77.98539751,,,,,,,,,,83.5,percent of total billed charges,77.76867943,,,,,,,,,,83.5,percent of total billed charges,76.62353657,,,,,,,,,,83.5,percent of total billed charges,78.59517281,,,,,,,,,,83.5,percent of total billed charges,999999999,,,,,,,,,,83.5,percent of total billed charges,67.44019294,,,,,,,,,,83.5,percent of total billed charges,106.3578349,,,,,,,,,,83.5,percent of total billed charges,999999999,,,,,,,,,,83.5,percent of total billed charges,72.71702168,,,,,,,,,,300.6,percent of total billed charges,,,,,
**VEIN STRIPPER (DISP),Local,Local,,,,both,,,69,69,14.68899218,69,69,percent of total billed charges,50.76575127,,,,69,percent of total billed charges,53.81069259,,,,69,percent of total billed charges,50.76575127,,,,69,percent of total billed charges,53.81069259,,,,69,percent of total billed charges,999999999,,,,69,percent of total billed charges,52.57325766,,,,69,percent of total billed charges,50.76575127,,,,69,percent of total billed charges,53.81069259,,,,49.197,percent of total billed charges,24.55020331,,,,49.197,percent of total billed charges,14.68899218,,,,49.197,percent of total billed charges,24.55020331,,,,49.197,percent of total billed charges,14.68899218,,,,49.197,percent of total billed charges,24.55020331,,,,49.197,percent of total billed charges,14.68899218,,,,48.714,percent of total billed charges,48.34439364,,,,48.714,percent of total billed charges,33.34274511,,,,,,,,,,49.68,percent of total billed charges,32.29083092,,,,,,,,,,49.68,percent of total billed charges,999999999,,,,,,,,,,55.2,percent of total billed charges,46.25473061,,,,54.51,percent of total billed charges,52.60449583,,,,54.51,percent of total billed charges,46.47781336,,,,55.2,percent of total billed charges,999999999,,,,55.2,percent of total billed charges,999999999,,,,48.3,percent of total billed charges,999999999,,,,48.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,36.708,percent of total billed charges,999999999,,,,,,,,,,,,,,,,34.845,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17.25,percent of total billed charges,16.3832805,,,,,,,,,,17.25,percent of total billed charges,16.11075577,,,,,,,,,,17.25,percent of total billed charges,16.06598467,,,,,,,,,,17.25,percent of total billed charges,15.82941324,,,,,,,,,,17.25,percent of total billed charges,16.23672732,,,,,,,,,,17.25,percent of total billed charges,999999999,,,,,,,,,,17.25,percent of total billed charges,13.93225543,,,,,,,,,,17.25,percent of total billed charges,21.97212757,,,,,,,,,,17.25,percent of total billed charges,999999999,,,,,,,,,,17.25,percent of total billed charges,15.02237873,,,,,,,,,,62.1,percent of total billed charges,,,,,
10-0 NYLON SUTURE ALCON,Local,Local,,,,both,,,216,216,45.98293204,216,216,percent of total billed charges,158.9188736,,,,216,percent of total billed charges,168.4508638,,,,216,percent of total billed charges,158.9188736,,,,216,percent of total billed charges,168.4508638,,,,216,percent of total billed charges,999999999,,,,216,percent of total billed charges,164.5771544,,,,216,percent of total billed charges,158.9188736,,,,216,percent of total billed charges,168.4508638,,,,154.008,percent of total billed charges,76.85281035,,,,154.008,percent of total billed charges,45.98293204,,,,154.008,percent of total billed charges,76.85281035,,,,154.008,percent of total billed charges,45.98293204,,,,154.008,percent of total billed charges,76.85281035,,,,154.008,percent of total billed charges,45.98293204,,,,152.496,percent of total billed charges,151.3389714,,,,152.496,percent of total billed charges,104.377289,,,,,,,,,,155.52,percent of total billed charges,101.0843403,,,,,,,,,,155.52,percent of total billed charges,999999999,,,,,,,,,,172.8,percent of total billed charges,144.7974176,,,,170.64,percent of total billed charges,164.6749435,,,,170.64,percent of total billed charges,145.4957636,,,,172.8,percent of total billed charges,999999999,,,,172.8,percent of total billed charges,999999999,,,,151.2,percent of total billed charges,999999999,,,,151.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,114.912,percent of total billed charges,999999999,,,,,,,,,,,,,,,,109.08,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,54,percent of total billed charges,51.28679112,,,,,,,,,,54,percent of total billed charges,50.43367024,,,,,,,,,,54,percent of total billed charges,50.29351723,,,,,,,,,,54,percent of total billed charges,49.5529458,,,,,,,,,,54,percent of total billed charges,50.82801595,,,,,,,,,,54,percent of total billed charges,999999999,,,,,,,,,,54,percent of total billed charges,43.61401699,,,,,,,,,,54,percent of total billed charges,68.78231241,,,,,,,,,,54,percent of total billed charges,999999999,,,,,,,,,,54,percent of total billed charges,47.02657689,,,,,,,,,,194.4,percent of total billed charges,,,,,
**THOW TUBE,Local,Local,,,,both,,,931,931,198.1949524,931,931,percent of total billed charges,684.9697744,,,,931,percent of total billed charges,726.0544174,,,,931,percent of total billed charges,684.9697744,,,,931,percent of total billed charges,726.0544174,,,,931,percent of total billed charges,999999999,,,,931,percent of total billed charges,709.3580128,,,,931,percent of total billed charges,684.9697744,,,,931,percent of total billed charges,726.0544174,,,,663.803,percent of total billed charges,331.2498446,,,,663.803,percent of total billed charges,198.1949524,,,,663.803,percent of total billed charges,331.2498446,,,,663.803,percent of total billed charges,198.1949524,,,,663.803,percent of total billed charges,331.2498446,,,,663.803,percent of total billed charges,198.1949524,,,,657.286,percent of total billed charges,652.2989924,,,,657.286,percent of total billed charges,449.8854449,,,,,,,,,,670.32,percent of total billed charges,435.692226,,,,,,,,,,670.32,percent of total billed charges,999999999,,,,,,,,,,744.8,percent of total billed charges,624.103684,,,,735.49,percent of total billed charges,709.7795017,,,,735.49,percent of total billed charges,627.1136846,,,,744.8,percent of total billed charges,999999999,,,,744.8,percent of total billed charges,999999999,,,,651.7,percent of total billed charges,999999999,,,,651.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,495.292,percent of total billed charges,999999999,,,,,,,,,,,,,,,,470.155,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,232.75,percent of total billed charges,221.0555673,,,,,,,,,,232.75,percent of total billed charges,217.3784583,,,,,,,,,,232.75,percent of total billed charges,216.7743729,,,,,,,,,,232.75,percent of total billed charges,213.5823729,,,,,,,,,,232.75,percent of total billed charges,219.0781613,,,,,,,,,,232.75,percent of total billed charges,999999999,,,,,,,,,,232.75,percent of total billed charges,187.9844899,,,,,,,,,,232.75,percent of total billed charges,296.4645039,,,,,,,,,,232.75,percent of total billed charges,999999999,,,,,,,,,,232.75,percent of total billed charges,202.693255,,,,,,,,,,837.9,percent of total billed charges,,,,,
**LDS STAPLER,Local,Local,,,,both,,,1358,1358,289.0963968,1358,1358,percent of total billed charges,999.1288439,,,,1358,percent of total billed charges,1059.056819,,,,1358,percent of total billed charges,999.1288439,,,,1358,percent of total billed charges,1059.056819,,,,1358,percent of total billed charges,999999999,,,,1358,percent of total billed charges,1034.702665,,,,1358,percent of total billed charges,999.1288439,,,,1358,percent of total billed charges,1059.056819,,,,968.254,percent of total billed charges,483.1764651,,,,968.254,percent of total billed charges,289.0963968,,,,968.254,percent of total billed charges,483.1764651,,,,968.254,percent of total billed charges,289.0963968,,,,968.254,percent of total billed charges,483.1764651,,,,968.254,percent of total billed charges,289.0963968,,,,958.748,percent of total billed charges,951.4737183,,,,958.748,percent of total billed charges,656.2238821,,,,,,,,,,977.76,percent of total billed charges,635.5209912,,,,,,,,,,977.76,percent of total billed charges,999999999,,,,,,,,,,1086.4,percent of total billed charges,910.346727,,,,1072.82,percent of total billed charges,1035.317469,,,,1072.82,percent of total billed charges,914.7372542,,,,1086.4,percent of total billed charges,999999999,,,,1086.4,percent of total billed charges,999999999,,,,950.6,percent of total billed charges,999999999,,,,950.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,722.456,percent of total billed charges,999999999,,,,,,,,,,,,,,,,685.79,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,339.5,percent of total billed charges,322.4419553,,,,,,,,,,339.5,percent of total billed charges,317.0783527,,,,,,,,,,339.5,percent of total billed charges,316.1972056,,,,,,,,,,339.5,percent of total billed charges,311.5412056,,,,,,,,,,339.5,percent of total billed charges,319.5576188,,,,,,,,,,339.5,percent of total billed charges,999999999,,,,,,,,,,339.5,percent of total billed charges,274.2029402,,,,,,,,,,339.5,percent of total billed charges,432.4369456,,,,,,,,,,339.5,percent of total billed charges,999999999,,,,,,,,,,339.5,percent of total billed charges,295.6578307,,,,,,,,,,1222.2,percent of total billed charges,,,,,
**LAPRO CHOLECYSTECTOMY ACCESS KIT,Local,Local,,,,both,,,4374,4374,931.1543738,4374,4374,percent of total billed charges,3218.10719,,,,4374,percent of total billed charges,3411.129991,,,,4374,percent of total billed charges,3218.10719,,,,4374,percent of total billed charges,3411.129991,,,,4374,percent of total billed charges,999999999,,,,4374,percent of total billed charges,3332.687377,,,,4374,percent of total billed charges,3218.10719,,,,4374,percent of total billed charges,3411.129991,,,,3118.662,percent of total billed charges,1556.26941,,,,3118.662,percent of total billed charges,931.1543738,,,,3118.662,percent of total billed charges,1556.26941,,,,3118.662,percent of total billed charges,931.1543738,,,,3118.662,percent of total billed charges,1556.26941,,,,3118.662,percent of total billed charges,931.1543738,,,,3088.044,percent of total billed charges,3064.614171,,,,3088.044,percent of total billed charges,2113.640103,,,,,,,,,,3149.28,percent of total billed charges,2046.957891,,,,,,,,,,3149.28,percent of total billed charges,999999999,,,,,,,,,,3499.2,percent of total billed charges,2932.147705,,,,3455.46,percent of total billed charges,3334.667605,,,,3455.46,percent of total billed charges,2946.289212,,,,3499.2,percent of total billed charges,999999999,,,,3499.2,percent of total billed charges,999999999,,,,3061.8,percent of total billed charges,999999999,,,,3061.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2326.968,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2208.87,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1093.5,percent of total billed charges,1038.55752,,,,,,,,,,1093.5,percent of total billed charges,1021.281822,,,,,,,,,,1093.5,percent of total billed charges,1018.443724,,,,,,,,,,1093.5,percent of total billed charges,1003.447153,,,,,,,,,,1093.5,percent of total billed charges,1029.267323,,,,,,,,,,1093.5,percent of total billed charges,999999999,,,,,,,,,,1093.5,percent of total billed charges,883.1838441,,,,,,,,,,1093.5,percent of total billed charges,1392.841826,,,,,,,,,,1093.5,percent of total billed charges,999999999,,,,,,,,,,1093.5,percent of total billed charges,952.2881821,,,,,,,,,,3936.6,percent of total billed charges,,,,,
**KRONNER (UTERINE MANIPULATOR),Local,Local,,,,both,,,263,263,55.98847744,263,263,percent of total billed charges,193.4984433,,,,263,percent of total billed charges,205.1045239,,,,263,percent of total billed charges,193.4984433,,,,263,percent of total billed charges,205.1045239,,,,263,percent of total billed charges,999999999,,,,263,percent of total billed charges,200.3879241,,,,263,percent of total billed charges,193.4984433,,,,263,percent of total billed charges,205.1045239,,,,187.519,percent of total billed charges,93.5754126,,,,187.519,percent of total billed charges,55.98847744,,,,187.519,percent of total billed charges,93.5754126,,,,187.519,percent of total billed charges,55.98847744,,,,187.519,percent of total billed charges,93.5754126,,,,187.519,percent of total billed charges,55.98847744,,,,185.678,percent of total billed charges,184.2692105,,,,185.678,percent of total billed charges,127.089014,,,,,,,,,,189.36,percent of total billed charges,123.079544,,,,,,,,,,189.36,percent of total billed charges,999999999,,,,,,,,,,210.4,percent of total billed charges,176.304263,,,,207.77,percent of total billed charges,200.5069914,,,,207.77,percent of total billed charges,177.154564,,,,210.4,percent of total billed charges,999999999,,,,210.4,percent of total billed charges,999999999,,,,184.1,percent of total billed charges,999999999,,,,184.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,139.916,percent of total billed charges,999999999,,,,,,,,,,,,,,,,132.815,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,65.75,percent of total billed charges,62.44641696,,,,,,,,,,65.75,percent of total billed charges,61.40766331,,,,,,,,,,65.75,percent of total billed charges,61.23701404,,,,,,,,,,65.75,percent of total billed charges,60.33529975,,,,,,,,,,65.75,percent of total billed charges,61.88781571,,,,,,,,,,65.75,percent of total billed charges,999999999,,,,,,,,,,65.75,percent of total billed charges,53.10410403,,,,,,,,,,65.75,percent of total billed charges,83.74883409,,,,,,,,,,65.75,percent of total billed charges,999999999,,,,,,,,,,65.75,percent of total billed charges,57.25921168,,,,,,,,,,236.7,percent of total billed charges,,,,,
**DENTURE CUP,Local,Local,,,,both,,,16,16,3.406143114,16,16,percent of total billed charges,11.77176841,,,,16,percent of total billed charges,12.47784176,,,,16,percent of total billed charges,11.77176841,,,,16,percent of total billed charges,12.47784176,,,,16,percent of total billed charges,999999999,,,,16,percent of total billed charges,12.19090033,,,,16,percent of total billed charges,11.77176841,,,,16,percent of total billed charges,12.47784176,,,,11.408,percent of total billed charges,5.692800767,,,,11.408,percent of total billed charges,3.406143114,,,,11.408,percent of total billed charges,5.692800767,,,,11.408,percent of total billed charges,3.406143114,,,,11.408,percent of total billed charges,5.692800767,,,,11.408,percent of total billed charges,3.406143114,,,,11.296,percent of total billed charges,11.21029418,,,,11.296,percent of total billed charges,7.731651041,,,,,,,,,,11.52,percent of total billed charges,7.48772891,,,,,,,,,,11.52,percent of total billed charges,999999999,,,,,,,,,,12.8,percent of total billed charges,10.72573463,,,,12.64,percent of total billed charges,12.19814396,,,,12.64,percent of total billed charges,10.77746397,,,,12.8,percent of total billed charges,999999999,,,,12.8,percent of total billed charges,999999999,,,,11.2,percent of total billed charges,999999999,,,,11.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,8.512,percent of total billed charges,999999999,,,,,,,,,,,,,,,,8.08,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4,percent of total billed charges,3.799021564,,,,,,,,,,4,percent of total billed charges,3.735827425,,,,,,,,,,4,percent of total billed charges,3.725445721,,,,,,,,,,4,percent of total billed charges,3.670588578,,,,,,,,,,4,percent of total billed charges,3.765038218,,,,,,,,,,4,percent of total billed charges,999999999,,,,,,,,,,4,percent of total billed charges,3.230667926,,,,,,,,,,4,percent of total billed charges,5.094986104,,,,,,,,,,4,percent of total billed charges,999999999,,,,,,,,,,4,percent of total billed charges,3.48345014,,,,,,,,,,14.4,percent of total billed charges,,,,,
RECOVERY RM HOUR,Local,Local,,,,both,,,1195,1195,254.3963138,1195,1195,percent of total billed charges,879.2039532,,,,1195,percent of total billed charges,931.9388065,,,,1195,percent of total billed charges,879.2039532,,,,1195,percent of total billed charges,931.9388065,,,,1195,percent of total billed charges,999999999,,,,1195,percent of total billed charges,910.5078682,,,,1195,percent of total billed charges,879.2039532,,,,1195,percent of total billed charges,931.9388065,,,,852.035,percent of total billed charges,425.1810573,,,,852.035,percent of total billed charges,254.3963138,,,,852.035,percent of total billed charges,425.1810573,,,,852.035,percent of total billed charges,254.3963138,,,,852.035,percent of total billed charges,425.1810573,,,,852.035,percent of total billed charges,254.3963138,,,,843.67,percent of total billed charges,837.2688464,,,,843.67,percent of total billed charges,577.4576871,,,,,,,,,,860.4,percent of total billed charges,559.239753,,,,,,,,,,860.4,percent of total billed charges,999999999,,,,,,,,,,956,percent of total billed charges,801.0783054,,,,944.05,percent of total billed charges,911.0488771,,,,944.05,percent of total billed charges,804.94184,,,,956,percent of total billed charges,999999999,,,,956,percent of total billed charges,999999999,,,,836.5,percent of total billed charges,999999999,,,,836.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,635.74,percent of total billed charges,999999999,,,,,,,,,,,,,,,,603.475,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,298.75,percent of total billed charges,283.7394231,,,,,,,,,,298.75,percent of total billed charges,279.0196108,,,,,,,,,,298.75,percent of total billed charges,278.2442273,,,,,,,,,,298.75,percent of total billed charges,274.1470844,,,,,,,,,,298.75,percent of total billed charges,281.2012919,,,,,,,,,,298.75,percent of total billed charges,999999999,,,,,,,,,,298.75,percent of total billed charges,241.2905107,,,,,,,,,,298.75,percent of total billed charges,380.5317747,,,,,,,,,,298.75,percent of total billed charges,999999999,,,,,,,,,,298.75,percent of total billed charges,260.1701824,,,,,,,,,,1075.5,percent of total billed charges,,,,,
RECOVERY RM 15 MIN,Local,Local,,,,both,,,305,305,64.92960311,305,305,percent of total billed charges,224.3993353,,,,305,percent of total billed charges,237.8588586,,,,305,percent of total billed charges,224.3993353,,,,305,percent of total billed charges,237.8588586,,,,305,percent of total billed charges,999999999,,,,305,percent of total billed charges,232.3890375,,,,305,percent of total billed charges,224.3993353,,,,305,percent of total billed charges,237.8588586,,,,217.465,percent of total billed charges,108.5190146,,,,217.465,percent of total billed charges,64.92960311,,,,217.465,percent of total billed charges,108.5190146,,,,217.465,percent of total billed charges,64.92960311,,,,217.465,percent of total billed charges,108.5190146,,,,217.465,percent of total billed charges,64.92960311,,,,215.33,percent of total billed charges,213.6962328,,,,215.33,percent of total billed charges,147.384598,,,,,,,,,,219.6,percent of total billed charges,142.7348323,,,,,,,,,,219.6,percent of total billed charges,999999999,,,,,,,,,,244,percent of total billed charges,204.4593165,,,,240.95,percent of total billed charges,232.5271193,,,,240.95,percent of total billed charges,205.4454069,,,,244,percent of total billed charges,999999999,,,,244,percent of total billed charges,999999999,,,,213.5,percent of total billed charges,999999999,,,,213.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,162.26,percent of total billed charges,999999999,,,,,,,,,,,,,,,,154.025,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,76.25,percent of total billed charges,72.41884857,,,,,,,,,,76.25,percent of total billed charges,71.2142103,,,,,,,,,,76.25,percent of total billed charges,71.01630906,,,,,,,,,,76.25,percent of total billed charges,69.97059477,,,,,,,,,,76.25,percent of total billed charges,71.77104104,,,,,,,,,,76.25,percent of total billed charges,999999999,,,,,,,,,,76.25,percent of total billed charges,61.58460733,,,,,,,,,,76.25,percent of total billed charges,97.12317261,,,,,,,,,,76.25,percent of total billed charges,999999999,,,,,,,,,,76.25,percent of total billed charges,66.4032683,,,,,,,,,,274.5,percent of total billed charges,,,,,
RECOVERY RM 6 HRS,Local,Local,,,,both,,,3571,3571,760.2085663,3571,3571,percent of total billed charges,2627.311562,,,,3571,percent of total billed charges,2784.898308,,,,3571,percent of total billed charges,2627.311562,,,,3571,percent of total billed charges,2784.898308,,,,3571,percent of total billed charges,999999999,,,,3571,percent of total billed charges,2720.856567,,,,3571,percent of total billed charges,2627.311562,,,,3571,percent of total billed charges,2784.898308,,,,2546.123,percent of total billed charges,1270.561971,,,,2546.123,percent of total billed charges,760.2085663,,,,2546.123,percent of total billed charges,1270.561971,,,,2546.123,percent of total billed charges,760.2085663,,,,2546.123,percent of total billed charges,1270.561971,,,,2546.123,percent of total billed charges,760.2085663,,,,2521.126,percent of total billed charges,2501.997532,,,,2521.126,percent of total billed charges,1725.607867,,,,,,,,,,2571.12,percent of total billed charges,1671.167496,,,,,,,,,,2571.12,percent of total billed charges,999999999,,,,,,,,,,2856.8,percent of total billed charges,2393.849899,,,,2821.09,percent of total billed charges,2722.473255,,,,2821.09,percent of total billed charges,2405.395239,,,,2856.8,percent of total billed charges,999999999,,,,2856.8,percent of total billed charges,999999999,,,,2499.7,percent of total billed charges,999999999,,,,2499.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1899.772,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1803.355,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,892.75,percent of total billed charges,847.8941254,,,,,,,,,,892.75,percent of total billed charges,833.7899835,,,,,,,,,,892.75,percent of total billed charges,831.4729169,,,,,,,,,,892.75,percent of total billed charges,819.2294883,,,,,,,,,,892.75,percent of total billed charges,840.3094674,,,,,,,,,,892.75,percent of total billed charges,999999999,,,,,,,,,,892.75,percent of total billed charges,721.0446976,,,,,,,,,,892.75,percent of total billed charges,1137.137211,,,,,,,,,,892.75,percent of total billed charges,999999999,,,,,,,,,,892.75,percent of total billed charges,777.4625282,,,,,,,,,,3213.9,percent of total billed charges,,,,,
ER LEVEL 1,99281,CDM,,,,both,,,265,265,56.41424533,925,265,percent of total billed charges,194.9699143,,,,265,percent of total billed charges,206.6642542,,,,265,percent of total billed charges,194.9699143,,,,265,percent of total billed charges,206.6642542,,,,265,percent of total billed charges,999999999,,,,265,percent of total billed charges,201.9117867,,,,265,percent of total billed charges,194.9699143,,,,265,percent of total billed charges,206.6642542,,,,188.945,percent of total billed charges,94.2870127,,,,188.945,percent of total billed charges,56.41424533,,,,188.945,percent of total billed charges,94.2870127,,,,188.945,percent of total billed charges,56.41424533,,,,188.945,percent of total billed charges,94.2870127,,,,188.945,percent of total billed charges,56.41424533,,,,187.09,percent of total billed charges,185.6704973,,,,187.09,percent of total billed charges,128.0554704,,,,,,,,,,925,case rate,124.0155101,,,,,,,,,,925,case rate,999999999,,,,,,,,,,212,percent of total billed charges,177.6449799,,,,209.35,percent of total billed charges,202.0317594,,,,209.35,percent of total billed charges,178.501747,,,,212,percent of total billed charges,999999999,,,,212,percent of total billed charges,999999999,,,,185.5,percent of total billed charges,999999999,,,,185.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,140.98,percent of total billed charges,999999999,,,,,,,,,,,,,,,,133.825,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,66.25,percent of total billed charges,62.92129466,,,,,,,,,,66.25,percent of total billed charges,61.87464173,,,,,,,,,,66.25,percent of total billed charges,61.70269475,,,,,,,,,,66.25,percent of total billed charges,60.79412332,,,,,,,,,,66.25,percent of total billed charges,62.35844549,,,,,,,,,,66.25,percent of total billed charges,999999999,,,,,,,,,,66.25,percent of total billed charges,53.50793752,,,,,,,,,,66.25,percent of total billed charges,84.38570735,,,,,,,,,,66.25,percent of total billed charges,999999999,,,,,,,,,,66.25,percent of total billed charges,57.69464295,,,,,,,,,,238.5,percent of total billed charges,,,,,
ER LEVEL 2,99282,CDM,,,,both,,,477,477,101.5456416,1350,477,percent of total billed charges,350.9458458,,,,477,percent of total billed charges,371.9956575,,,,477,percent of total billed charges,350.9458458,,,,477,percent of total billed charges,371.9956575,,,,477,percent of total billed charges,999999999,,,,477,percent of total billed charges,363.441216,,,,477,percent of total billed charges,350.9458458,,,,477,percent of total billed charges,371.9956575,,,,340.101,percent of total billed charges,169.7166229,,,,340.101,percent of total billed charges,101.5456416,,,,340.101,percent of total billed charges,169.7166229,,,,340.101,percent of total billed charges,101.5456416,,,,340.101,percent of total billed charges,169.7166229,,,,340.101,percent of total billed charges,101.5456416,,,,336.762,percent of total billed charges,334.2068952,,,,336.762,percent of total billed charges,230.4998466,,,,,,,,,,1350,case rate,223.2279181,,,,,,,,,,1350,case rate,999999999,,,,,,,,,,381.6,percent of total billed charges,319.7609638,,,,376.83,percent of total billed charges,363.6571668,,,,376.83,percent of total billed charges,321.3031445,,,,381.6,percent of total billed charges,999999999,,,,381.6,percent of total billed charges,999999999,,,,333.9,percent of total billed charges,999999999,,,,333.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,253.764,percent of total billed charges,999999999,,,,,,,,,,,,,,,,240.885,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,119.25,percent of total billed charges,113.2583304,,,,,,,,,,119.25,percent of total billed charges,111.3743551,,,,,,,,,,119.25,percent of total billed charges,111.0648506,,,,,,,,,,119.25,percent of total billed charges,109.429422,,,,,,,,,,119.25,percent of total billed charges,112.2452019,,,,,,,,,,119.25,percent of total billed charges,999999999,,,,,,,,,,119.25,percent of total billed charges,96.31428753,,,,,,,,,,119.25,percent of total billed charges,151.8942732,,,,,,,,,,119.25,percent of total billed charges,999999999,,,,,,,,,,119.25,percent of total billed charges,103.8503573,,,,,,,,,,429.3,percent of total billed charges,,,,,
ER LEVEL 3,99283,CDM,,,,both,,,1007,1007,214.3741322,2400,1007,percent of total billed charges,740.8856744,,,,1007,percent of total billed charges,785.3241658,,,,1007,percent of total billed charges,740.8856744,,,,1007,percent of total billed charges,785.3241658,,,,1007,percent of total billed charges,999999999,,,,1007,percent of total billed charges,767.2647893,,,,1007,percent of total billed charges,740.8856744,,,,1007,percent of total billed charges,785.3241658,,,,717.991,percent of total billed charges,358.2906483,,,,717.991,percent of total billed charges,214.3741322,,,,717.991,percent of total billed charges,358.2906483,,,,717.991,percent of total billed charges,214.3741322,,,,717.991,percent of total billed charges,358.2906483,,,,717.991,percent of total billed charges,214.3741322,,,,710.942,percent of total billed charges,705.5478898,,,,710.942,percent of total billed charges,486.6107874,,,,,,,,,,2400,case rate,471.2589383,,,,,,,,,,2400,case rate,999999999,,,,,,,,,,805.6,percent of total billed charges,675.0509235,,,,795.53,percent of total billed charges,767.7206856,,,,795.53,percent of total billed charges,678.3066384,,,,805.6,percent of total billed charges,999999999,,,,805.6,percent of total billed charges,999999999,,,,704.9,percent of total billed charges,999999999,,,,704.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,535.724,percent of total billed charges,999999999,,,,,,,,,,,,,,,,508.535,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,251.75,percent of total billed charges,239.1009197,,,,,,,,,,251.75,percent of total billed charges,235.1236386,,,,,,,,,,251.75,percent of total billed charges,234.4702401,,,,,,,,,,251.75,percent of total billed charges,231.0176686,,,,,,,,,,251.75,percent of total billed charges,236.9620929,,,,,,,,,,251.75,percent of total billed charges,999999999,,,,,,,,,,251.75,percent of total billed charges,203.3301626,,,,,,,,,,251.75,percent of total billed charges,320.6656879,,,,,,,,,,251.75,percent of total billed charges,999999999,,,,,,,,,,251.75,percent of total billed charges,219.2396432,,,,,,,,,,906.3,percent of total billed charges,,,,,
**MONITER FOR TRANSFER,93236,CDM,,,,both,,,912,912,194.1501575,912,912,percent of total billed charges,670.9907995,,,,912,percent of total billed charges,711.2369803,,,,912,percent of total billed charges,670.9907995,,,,912,percent of total billed charges,711.2369803,,,,912,percent of total billed charges,999999999,,,,912,percent of total billed charges,694.8813186,,,,912,percent of total billed charges,670.9907995,,,,912,percent of total billed charges,711.2369803,,,,650.256,percent of total billed charges,324.4896437,,,,650.256,percent of total billed charges,194.1501575,,,,650.256,percent of total billed charges,324.4896437,,,,650.256,percent of total billed charges,194.1501575,,,,650.256,percent of total billed charges,324.4896437,,,,650.256,percent of total billed charges,194.1501575,,,,643.872,percent of total billed charges,638.9867681,,,,643.872,percent of total billed charges,440.7041093,,,,,,,,,,656.64,percent of total billed charges,426.8005479,,,,,,,,,,656.64,percent of total billed charges,999999999,,,,,,,,,,729.6,percent of total billed charges,611.3668741,,,,720.48,percent of total billed charges,695.2942058,,,,720.48,percent of total billed charges,614.3154461,,,,729.6,percent of total billed charges,999999999,,,,729.6,percent of total billed charges,999999999,,,,638.4,percent of total billed charges,999999999,,,,638.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,485.184,percent of total billed charges,999999999,,,,,,,,,,,,,,,,460.56,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,228,percent of total billed charges,216.5442292,,,,,,,,,,228,percent of total billed charges,212.9421633,,,,,,,,,,228,percent of total billed charges,212.3504061,,,,,,,,,,228,percent of total billed charges,209.223549,,,,,,,,,,228,percent of total billed charges,214.6071784,,,,,,,,,,228,percent of total billed charges,999999999,,,,,,,,,,228,percent of total billed charges,184.1480718,,,,,,,,,,228,percent of total billed charges,290.4142079,,,,,,,,,,228,percent of total billed charges,999999999,,,,,,,,,,228,percent of total billed charges,198.556658,,,,,,,,,,820.8,percent of total billed charges,,,,,
ER LEVEL 4,99284,CDM,,,,both,,,1431,1431,304.6369248,4550,1431,percent of total billed charges,1052.837537,,,,1431,percent of total billed charges,1115.986972,,,,1431,percent of total billed charges,1052.837537,,,,1431,percent of total billed charges,1115.986972,,,,1431,percent of total billed charges,999999999,,,,1431,percent of total billed charges,1090.323648,,,,1431,percent of total billed charges,1052.837537,,,,1431,percent of total billed charges,1115.986972,,,,1020.303,percent of total billed charges,509.1498686,,,,1020.303,percent of total billed charges,304.6369248,,,,1020.303,percent of total billed charges,509.1498686,,,,1020.303,percent of total billed charges,304.6369248,,,,1020.303,percent of total billed charges,509.1498686,,,,1020.303,percent of total billed charges,304.6369248,,,,1010.286,percent of total billed charges,1002.620685,,,,1010.286,percent of total billed charges,691.4995399,,,,,,,,,,4550,case rate,669.6837544,,,,,,,,,,4550,case rate,999999999,,,,,,,,,,1144.8,percent of total billed charges,959.2828913,,,,1130.49,percent of total billed charges,1090.971501,,,,1130.49,percent of total billed charges,963.9094336,,,,1144.8,percent of total billed charges,999999999,,,,1144.8,percent of total billed charges,999999999,,,,1001.7,percent of total billed charges,999999999,,,,1001.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,761.292,percent of total billed charges,999999999,,,,,,,,,,,,,,,,722.655,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,357.75,percent of total billed charges,339.7749912,,,,,,,,,,357.75,percent of total billed charges,334.1230654,,,,,,,,,,357.75,percent of total billed charges,333.1945517,,,,,,,,,,357.75,percent of total billed charges,328.288266,,,,,,,,,,357.75,percent of total billed charges,336.7356057,,,,,,,,,,357.75,percent of total billed charges,999999999,,,,,,,,,,357.75,percent of total billed charges,288.9428626,,,,,,,,,,357.75,percent of total billed charges,455.6828197,,,,,,,,,,357.75,percent of total billed charges,999999999,,,,,,,,,,357.75,percent of total billed charges,311.5510719,,,,,,,,,,1287.9,percent of total billed charges,,,,,
ER LEVEL 5,99285,CDM,,,,both,,,1855,1855,394.8997173,6600,1855,percent of total billed charges,1364.7894,,,,1855,percent of total billed charges,1446.649779,,,,1855,percent of total billed charges,1364.7894,,,,1855,percent of total billed charges,1446.649779,,,,1855,percent of total billed charges,999999999,,,,1855,percent of total billed charges,1413.382507,,,,1855,percent of total billed charges,1364.7894,,,,1855,percent of total billed charges,1446.649779,,,,1322.615,percent of total billed charges,660.0090889,,,,1322.615,percent of total billed charges,394.8997173,,,,1322.615,percent of total billed charges,660.0090889,,,,1322.615,percent of total billed charges,394.8997173,,,,1322.615,percent of total billed charges,660.0090889,,,,1322.615,percent of total billed charges,394.8997173,,,,1309.63,percent of total billed charges,1299.693481,,,,1309.63,percent of total billed charges,896.3882925,,,,,,,,,,6600,case rate,868.1085705,,,,,,,,,,6600,case rate,999999999,,,,,,,,,,1484,percent of total billed charges,1243.514859,,,,1465.45,percent of total billed charges,1414.222316,,,,1465.45,percent of total billed charges,1249.512229,,,,1484,percent of total billed charges,999999999,,,,1484,percent of total billed charges,999999999,,,,1298.5,percent of total billed charges,999999999,,,,1298.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,986.86,percent of total billed charges,999999999,,,,,,,,,,,,,,,,936.775,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,463.75,percent of total billed charges,440.4490626,,,,,,,,,,463.75,percent of total billed charges,433.1224921,,,,,,,,,,463.75,percent of total billed charges,431.9188633,,,,,,,,,,463.75,percent of total billed charges,425.5588633,,,,,,,,,,463.75,percent of total billed charges,436.5091184,,,,,,,,,,463.75,percent of total billed charges,999999999,,,,,,,,,,463.75,percent of total billed charges,374.5555626,,,,,,,,,,463.75,percent of total billed charges,590.6999515,,,,,,,,,,463.75,percent of total billed charges,999999999,,,,,,,,,,463.75,percent of total billed charges,403.8625006,,,,,,,,,,1669.5,percent of total billed charges,,,,,
**OCCULT BLOOD COLORECTAL NEO SCREEN,82270,CDM,,,,both,,,73,73,15.54052796,73,73,percent of total billed charges,53.70869338,,,,73,percent of total billed charges,56.93015303,,,,73,percent of total billed charges,53.70869338,,,,73,percent of total billed charges,56.93015303,,,,73,percent of total billed charges,999999999,,,,73,percent of total billed charges,55.62098274,,,,73,percent of total billed charges,53.70869338,,,,73,percent of total billed charges,56.93015303,,,,52.049,percent of total billed charges,25.9734035,,,,52.049,percent of total billed charges,15.54052796,,,,52.049,percent of total billed charges,25.9734035,,,,52.049,percent of total billed charges,15.54052796,,,,52.049,percent of total billed charges,25.9734035,,,,52.049,percent of total billed charges,15.54052796,,,,51.538,percent of total billed charges,51.14696718,,,,51.538,percent of total billed charges,35.27565787,,,,,,,,,,52.56,percent of total billed charges,34.16276315,,,,,,,,,,52.56,percent of total billed charges,999999999,,,,,,,,,,58.4,percent of total billed charges,48.93616427,,,,57.67,percent of total billed charges,55.65403182,,,,57.67,percent of total billed charges,49.17217935,,,,58.4,percent of total billed charges,999999999,,,,58.4,percent of total billed charges,999999999,,,,51.1,percent of total billed charges,999999999,,,,51.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,38.836,percent of total billed charges,999999999,,,,,,,,,,,,,,,,36.865,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18.25,percent of total billed charges,17.33303589,,,,,,,,,,18.25,percent of total billed charges,17.04471263,,,,,,,,,,18.25,percent of total billed charges,16.9973461,,,,,,,,,,18.25,percent of total billed charges,16.74706039,,,,,,,,,,18.25,percent of total billed charges,17.17798687,,,,,,,,,,18.25,percent of total billed charges,999999999,,,,,,,,,,18.25,percent of total billed charges,14.73992241,,,,,,,,,,18.25,percent of total billed charges,23.2458741,,,,,,,,,,18.25,percent of total billed charges,999999999,,,,,,,,,,18.25,percent of total billed charges,15.89324126,,,,,,,,,,65.7,percent of total billed charges,,,,,
OCCULT BLOOD OTH THAN COLOREC NEO SCREEN,82272,CDM,,,,both,,,94,94,20.01109079,94,94,percent of total billed charges,69.15913942,,,,94,percent of total billed charges,73.30732034,,,,94,percent of total billed charges,69.15913942,,,,94,percent of total billed charges,73.30732034,,,,94,percent of total billed charges,999999999,,,,94,percent of total billed charges,71.62153942,,,,94,percent of total billed charges,69.15913942,,,,94,percent of total billed charges,73.30732034,,,,67.022,percent of total billed charges,33.44520451,,,,67.022,percent of total billed charges,20.01109079,,,,67.022,percent of total billed charges,33.44520451,,,,67.022,percent of total billed charges,20.01109079,,,,67.022,percent of total billed charges,33.44520451,,,,67.022,percent of total billed charges,20.01109079,,,,66.364,percent of total billed charges,65.86047829,,,,66.364,percent of total billed charges,45.42344986,,,,,,,,,,67.68,percent of total billed charges,43.99040735,,,,,,,,,,67.68,percent of total billed charges,999999999,,,,,,,,,,75.2,percent of total billed charges,63.01369097,,,,74.26,percent of total billed charges,71.66409577,,,,74.26,percent of total billed charges,63.31760081,,,,75.2,percent of total billed charges,999999999,,,,75.2,percent of total billed charges,999999999,,,,65.8,percent of total billed charges,999999999,,,,65.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,50.008,percent of total billed charges,999999999,,,,,,,,,,,,,,,,47.47,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23.5,percent of total billed charges,22.31925169,,,,,,,,,,23.5,percent of total billed charges,21.94798612,,,,,,,,,,23.5,percent of total billed charges,21.88699361,,,,,,,,,,23.5,percent of total billed charges,21.5647079,,,,,,,,,,23.5,percent of total billed charges,22.11959953,,,,,,,,,,23.5,percent of total billed charges,999999999,,,,,,,,,,23.5,percent of total billed charges,18.98017406,,,,,,,,,,23.5,percent of total billed charges,29.93304336,,,,,,,,,,23.5,percent of total billed charges,999999999,,,,,,,,,,23.5,percent of total billed charges,20.46526957,,,,,,,,,,84.6,percent of total billed charges,,,,,
MOD SED SAME PHYS/QHP <5 YRS 15 MIN,99151,CDM,,,,both,,,735,735,156.4696993,735,735,percent of total billed charges,540.7656114,,,,735,percent of total billed charges,573.2008559,,,,735,percent of total billed charges,540.7656114,,,,735,percent of total billed charges,573.2008559,,,,735,percent of total billed charges,999999999,,,,735,percent of total billed charges,560.0194838,,,,735,percent of total billed charges,540.7656114,,,,735,percent of total billed charges,573.2008559,,,,524.055,percent of total billed charges,261.5130352,,,,524.055,percent of total billed charges,156.4696993,,,,524.055,percent of total billed charges,261.5130352,,,,524.055,percent of total billed charges,156.4696993,,,,524.055,percent of total billed charges,261.5130352,,,,524.055,percent of total billed charges,156.4696993,,,,518.91,percent of total billed charges,514.9728888,,,,518.91,percent of total billed charges,355.1727197,,,,,,,,,,529.2,percent of total billed charges,343.9675468,,,,,,,,,,529.2,percent of total billed charges,999999999,,,,,,,,,,588,percent of total billed charges,492.7134347,,,,580.65,percent of total billed charges,560.3522382,,,,580.65,percent of total billed charges,495.089751,,,,588,percent of total billed charges,999999999,,,,588,percent of total billed charges,999999999,,,,514.5,percent of total billed charges,999999999,,,,514.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,391.02,percent of total billed charges,999999999,,,,,,,,,,,,,,,,371.175,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,183.75,percent of total billed charges,174.5175531,,,,,,,,,,183.75,percent of total billed charges,171.6145724,,,,,,,,,,183.75,percent of total billed charges,171.1376628,,,,,,,,,,183.75,percent of total billed charges,168.6176628,,,,,,,,,,183.75,percent of total billed charges,172.9564432,,,,,,,,,,183.75,percent of total billed charges,999999999,,,,,,,,,,183.75,percent of total billed charges,148.4088078,,,,,,,,,,183.75,percent of total billed charges,234.0509242,,,,,,,,,,183.75,percent of total billed charges,999999999,,,,,,,,,,183.75,percent of total billed charges,160.0209908,,,,,,,,,,661.5,percent of total billed charges,,,,,
MOD SED SAME PHYS/QHP<5YRS EACH ADD 15,99153,CDM,,,,both,,,313,313,66.63267467,313,313,percent of total billed charges,230.2852196,,,,313,percent of total billed charges,244.0977794,,,,313,percent of total billed charges,230.2852196,,,,313,percent of total billed charges,244.0977794,,,,313,percent of total billed charges,999999999,,,,313,percent of total billed charges,238.4844876,,,,313,percent of total billed charges,230.2852196,,,,313,percent of total billed charges,244.0977794,,,,223.169,percent of total billed charges,111.365415,,,,223.169,percent of total billed charges,66.63267467,,,,223.169,percent of total billed charges,111.365415,,,,223.169,percent of total billed charges,66.63267467,,,,223.169,percent of total billed charges,111.365415,,,,223.169,percent of total billed charges,66.63267467,,,,220.978,percent of total billed charges,219.3013798,,,,220.978,percent of total billed charges,151.2504235,,,,,,,,,,225.36,percent of total billed charges,146.4786968,,,,,,,,,,225.36,percent of total billed charges,999999999,,,,,,,,,,250.4,percent of total billed charges,209.8221838,,,,247.27,percent of total billed charges,238.6261912,,,,247.27,percent of total billed charges,210.8341389,,,,250.4,percent of total billed charges,999999999,,,,250.4,percent of total billed charges,999999999,,,,219.1,percent of total billed charges,999999999,,,,219.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,166.516,percent of total billed charges,999999999,,,,,,,,,,,,,,,,158.065,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,78.25,percent of total billed charges,74.31835935,,,,,,,,,,78.25,percent of total billed charges,73.08212401,,,,,,,,,,78.25,percent of total billed charges,72.87903192,,,,,,,,,,78.25,percent of total billed charges,71.80588906,,,,,,,,,,78.25,percent of total billed charges,73.65356015,,,,,,,,,,78.25,percent of total billed charges,999999999,,,,,,,,,,78.25,percent of total billed charges,63.19994129,,,,,,,,,,78.25,percent of total billed charges,99.67066567,,,,,,,,,,78.25,percent of total billed charges,999999999,,,,,,,,,,78.25,percent of total billed charges,68.14499337,,,,,,,,,,281.7,percent of total billed charges,,,,,
DRAINAGE ABCESS/HEMATOMA NASAL INT APPRO,30000,CDM,,,,both,,,1478,1478,314.6424702,1478,1478,percent of total billed charges,1087.417107,,,,1478,percent of total billed charges,1152.640633,,,,1478,percent of total billed charges,1087.417107,,,,1478,percent of total billed charges,1152.640633,,,,1478,percent of total billed charges,999999999,,,,1478,percent of total billed charges,1126.134418,,,,1478,percent of total billed charges,1087.417107,,,,1478,percent of total billed charges,1152.640633,,,,1053.814,percent of total billed charges,525.8724708,,,,1053.814,percent of total billed charges,314.6424702,,,,1053.814,percent of total billed charges,525.8724708,,,,1053.814,percent of total billed charges,314.6424702,,,,1053.814,percent of total billed charges,525.8724708,,,,1053.814,percent of total billed charges,314.6424702,,,,1043.468,percent of total billed charges,1035.550925,,,,1043.468,percent of total billed charges,714.2112649,,,,,,,,,,1064.16,percent of total billed charges,691.6789581,,,,,,,,,,1064.16,percent of total billed charges,999999999,,,,,,,,,,1182.4,percent of total billed charges,990.7897368,,,,1167.62,percent of total billed charges,1126.803548,,,,1167.62,percent of total billed charges,995.568234,,,,1182.4,percent of total billed charges,999999999,,,,1182.4,percent of total billed charges,999999999,,,,1034.6,percent of total billed charges,999999999,,,,1034.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,786.296,percent of total billed charges,999999999,,,,,,,,,,,,,,,,746.39,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,369.5,percent of total billed charges,350.934617,,,,,,,,,,369.5,percent of total billed charges,345.0970584,,,,,,,,,,369.5,percent of total billed charges,344.1380485,,,,,,,,,,369.5,percent of total billed charges,339.0706199,,,,,,,,,,369.5,percent of total billed charges,347.7954054,,,,,,,,,,369.5,percent of total billed charges,999999999,,,,,,,,,,369.5,percent of total billed charges,298.4329496,,,,,,,,,,369.5,percent of total billed charges,470.6493414,,,,,,,,,,369.5,percent of total billed charges,999999999,,,,,,,,,,369.5,percent of total billed charges,321.7837067,,,,,,,,,,1330.2,percent of total billed charges,,,,,
DRAINAGE ABSCESS/HEMATOMA NASAL INT APPR,30000,CDM,,,,both,,,579,579,123.2598039,579,579,percent of total billed charges,425.9908694,,,,579,percent of total billed charges,451.5418987,,,,579,percent of total billed charges,425.9908694,,,,579,percent of total billed charges,451.5418987,,,,579,percent of total billed charges,999999999,,,,579,percent of total billed charges,441.1582056,,,,579,percent of total billed charges,425.9908694,,,,579,percent of total billed charges,451.5418987,,,,412.827,percent of total billed charges,206.0082277,,,,412.827,percent of total billed charges,123.2598039,,,,412.827,percent of total billed charges,206.0082277,,,,412.827,percent of total billed charges,123.2598039,,,,412.827,percent of total billed charges,206.0082277,,,,412.827,percent of total billed charges,123.2598039,,,,408.774,percent of total billed charges,405.6725205,,,,408.774,percent of total billed charges,279.789122,,,,,,,,,,416.88,percent of total billed charges,270.9621899,,,,,,,,,,416.88,percent of total billed charges,999999999,,,,,,,,,,463.2,percent of total billed charges,388.1375221,,,,457.41,percent of total billed charges,441.4203346,,,,457.41,percent of total billed charges,390.0094773,,,,463.2,percent of total billed charges,999999999,,,,463.2,percent of total billed charges,999999999,,,,405.3,percent of total billed charges,999999999,,,,405.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,308.028,percent of total billed charges,999999999,,,,,,,,,,,,,,,,292.395,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,144.75,percent of total billed charges,137.4770929,,,,,,,,,,144.75,percent of total billed charges,135.190255,,,,,,,,,,144.75,percent of total billed charges,134.814567,,,,,,,,,,144.75,percent of total billed charges,132.8294242,,,,,,,,,,144.75,percent of total billed charges,136.2473205,,,,,,,,,,144.75,percent of total billed charges,999999999,,,,,,,,,,144.75,percent of total billed charges,116.9097956,,,,,,,,,,144.75,percent of total billed charges,184.3748096,,,,,,,,,,144.75,percent of total billed charges,999999999,,,,,,,,,,144.75,percent of total billed charges,126.057352,,,,,,,,,,521.1,percent of total billed charges,,,,,
**ER MINOR LEVEL 1,99211,CDM,,,,both,,,153,153,32.57124353,153,153,percent of total billed charges,112.5675354,,,,153,percent of total billed charges,119.3193618,,,,153,percent of total billed charges,112.5675354,,,,153,percent of total billed charges,119.3193618,,,,153,percent of total billed charges,999999999,,,,153,percent of total billed charges,116.5754844,,,,153,percent of total billed charges,112.5675354,,,,153,percent of total billed charges,119.3193618,,,,109.089,percent of total billed charges,54.43740733,,,,109.089,percent of total billed charges,32.57124353,,,,109.089,percent of total billed charges,54.43740733,,,,109.089,percent of total billed charges,32.57124353,,,,109.089,percent of total billed charges,54.43740733,,,,109.089,percent of total billed charges,32.57124353,,,,108.018,percent of total billed charges,107.1984381,,,,108.018,percent of total billed charges,73.93391308,,,,,,,,,,110.16,percent of total billed charges,71.6014077,,,,,,,,,,110.16,percent of total billed charges,999999999,,,,,,,,,,122.4,percent of total billed charges,102.5648374,,,,120.87,percent of total billed charges,116.6447516,,,,120.87,percent of total billed charges,103.0594992,,,,122.4,percent of total billed charges,999999999,,,,122.4,percent of total billed charges,999999999,,,,107.1,percent of total billed charges,999999999,,,,107.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,81.396,percent of total billed charges,999999999,,,,,,,,,,,,,,,,77.265,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,38.25,percent of total billed charges,36.32814371,,,,,,,,,,38.25,percent of total billed charges,35.72384976,,,,,,,,,,38.25,percent of total billed charges,35.62457471,,,,,,,,,,38.25,percent of total billed charges,35.10000328,,,,,,,,,,38.25,percent of total billed charges,36.00317796,,,,,,,,,,38.25,percent of total billed charges,999999999,,,,,,,,,,38.25,percent of total billed charges,30.89326204,,,,,,,,,,38.25,percent of total billed charges,48.72080462,,,,,,,,,,38.25,percent of total billed charges,999999999,,,,,,,,,,38.25,percent of total billed charges,33.31049197,,,,,,,,,,137.7,percent of total billed charges,,,,,
**ER MINOR LEVEL 2,99212,CDM,,,,both,,,201,201,42.78967287,201,201,percent of total billed charges,147.8828407,,,,201,percent of total billed charges,156.7528871,,,,201,percent of total billed charges,147.8828407,,,,201,percent of total billed charges,156.7528871,,,,201,percent of total billed charges,999999999,,,,201,percent of total billed charges,153.1481854,,,,201,percent of total billed charges,147.8828407,,,,201,percent of total billed charges,156.7528871,,,,143.313,percent of total billed charges,71.51580963,,,,143.313,percent of total billed charges,42.78967287,,,,143.313,percent of total billed charges,71.51580963,,,,143.313,percent of total billed charges,42.78967287,,,,143.313,percent of total billed charges,71.51580963,,,,143.313,percent of total billed charges,42.78967287,,,,141.906,percent of total billed charges,140.8293206,,,,141.906,percent of total billed charges,97.1288662,,,,,,,,,,144.72,percent of total billed charges,94.06459443,,,,,,,,,,144.72,percent of total billed charges,999999999,,,,,,,,,,160.8,percent of total billed charges,134.7420413,,,,158.79,percent of total billed charges,153.2391835,,,,158.79,percent of total billed charges,135.3918911,,,,160.8,percent of total billed charges,999999999,,,,160.8,percent of total billed charges,999999999,,,,140.7,percent of total billed charges,999999999,,,,140.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,106.932,percent of total billed charges,999999999,,,,,,,,,,,,,,,,101.505,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,50.25,percent of total billed charges,47.7252084,,,,,,,,,,50.25,percent of total billed charges,46.93133203,,,,,,,,,,50.25,percent of total billed charges,46.80091187,,,,,,,,,,50.25,percent of total billed charges,46.11176901,,,,,,,,,,50.25,percent of total billed charges,47.29829262,,,,,,,,,,50.25,percent of total billed charges,999999999,,,,,,,,,,50.25,percent of total billed charges,40.58526581,,,,,,,,,,50.25,percent of total billed charges,64.00576294,,,,,,,,,,50.25,percent of total billed charges,999999999,,,,,,,,,,50.25,percent of total billed charges,43.76084239,,,,,,,,,,180.9,percent of total billed charges,,,,,
**ER MINOR LEVEL 3,99213,CDM,,,,both,,,249,249,53.00810221,249,249,percent of total billed charges,183.1981459,,,,249,percent of total billed charges,194.1864124,,,,249,percent of total billed charges,183.1981459,,,,249,percent of total billed charges,194.1864124,,,,249,percent of total billed charges,999999999,,,,249,percent of total billed charges,189.7208863,,,,249,percent of total billed charges,183.1981459,,,,249,percent of total billed charges,194.1864124,,,,177.537,percent of total billed charges,88.59421193,,,,177.537,percent of total billed charges,53.00810221,,,,177.537,percent of total billed charges,88.59421193,,,,177.537,percent of total billed charges,53.00810221,,,,177.537,percent of total billed charges,88.59421193,,,,177.537,percent of total billed charges,53.00810221,,,,175.794,percent of total billed charges,174.4602031,,,,175.794,percent of total billed charges,120.3238193,,,,,,,,,,179.28,percent of total billed charges,116.5277812,,,,,,,,,,179.28,percent of total billed charges,999999999,,,,,,,,,,199.2,percent of total billed charges,166.9192452,,,,196.71,percent of total billed charges,189.8336154,,,,196.71,percent of total billed charges,167.724283,,,,199.2,percent of total billed charges,999999999,,,,199.2,percent of total billed charges,999999999,,,,174.3,percent of total billed charges,999999999,,,,174.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,132.468,percent of total billed charges,999999999,,,,,,,,,,,,,,,,125.745,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,62.25,percent of total billed charges,59.12227309,,,,,,,,,,62.25,percent of total billed charges,58.13881431,,,,,,,,,,62.25,percent of total billed charges,57.97724903,,,,,,,,,,62.25,percent of total billed charges,57.12353475,,,,,,,,,,62.25,percent of total billed charges,58.59340727,,,,,,,,,,62.25,percent of total billed charges,999999999,,,,,,,,,,62.25,percent of total billed charges,50.27726959,,,,,,,,,,62.25,percent of total billed charges,79.29072125,,,,,,,,,,62.25,percent of total billed charges,999999999,,,,,,,,,,62.25,percent of total billed charges,54.21119281,,,,,,,,,,224.1,percent of total billed charges,,,,,
**CHEMICAL PLEURODESIS,32560,CDM,,,,both,,,437,437,93.0302838,437,437,percent of total billed charges,321.5164247,,,,437,percent of total billed charges,340.8010531,,,,437,percent of total billed charges,321.5164247,,,,437,percent of total billed charges,340.8010531,,,,437,percent of total billed charges,999999999,,,,437,percent of total billed charges,332.9639652,,,,437,percent of total billed charges,321.5164247,,,,437,percent of total billed charges,340.8010531,,,,311.581,percent of total billed charges,155.4846209,,,,311.581,percent of total billed charges,93.0302838,,,,311.581,percent of total billed charges,155.4846209,,,,311.581,percent of total billed charges,93.0302838,,,,311.581,percent of total billed charges,155.4846209,,,,311.581,percent of total billed charges,93.0302838,,,,308.522,percent of total billed charges,306.1811597,,,,308.522,percent of total billed charges,211.170719,,,,,,,,,,314.64,percent of total billed charges,204.5085959,,,,,,,,,,314.64,percent of total billed charges,999999999,,,,,,,,,,349.6,percent of total billed charges,292.9466272,,,,345.23,percent of total billed charges,333.1618069,,,,345.23,percent of total billed charges,294.3594846,,,,349.6,percent of total billed charges,999999999,,,,349.6,percent of total billed charges,999999999,,,,305.9,percent of total billed charges,999999999,,,,305.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,232.484,percent of total billed charges,999999999,,,,,,,,,,,,,,,,220.685,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,109.25,percent of total billed charges,103.7607765,,,,,,,,,,109.25,percent of total billed charges,102.0347866,,,,,,,,,,109.25,percent of total billed charges,101.7512363,,,,,,,,,,109.25,percent of total billed charges,100.2529505,,,,,,,,,,109.25,percent of total billed charges,102.8326063,,,,,,,,,,109.25,percent of total billed charges,999999999,,,,,,,,,,109.25,percent of total billed charges,88.23761772,,,,,,,,,,109.25,percent of total billed charges,139.156808,,,,,,,,,,109.25,percent of total billed charges,999999999,,,,,,,,,,109.25,percent of total billed charges,95.14173196,,,,,,,,,,393.3,percent of total billed charges,,,,,
**CONSCIOUS SEDATION-OP,99141,CDM,,,,both,,,117,117,24.90742152,117,117,percent of total billed charges,86.08105651,,,,117,percent of total billed charges,91.24421787,,,,117,percent of total billed charges,86.08105651,,,,117,percent of total billed charges,91.24421787,,,,117,percent of total billed charges,999999999,,,,117,percent of total billed charges,89.14595864,,,,117,percent of total billed charges,86.08105651,,,,117,percent of total billed charges,91.24421787,,,,83.421,percent of total billed charges,41.62860561,,,,83.421,percent of total billed charges,24.90742152,,,,83.421,percent of total billed charges,41.62860561,,,,83.421,percent of total billed charges,24.90742152,,,,83.421,percent of total billed charges,41.62860561,,,,83.421,percent of total billed charges,24.90742152,,,,82.602,percent of total billed charges,81.97527617,,,,82.602,percent of total billed charges,56.53769823,,,,,,,,,,84.24,percent of total billed charges,54.75401765,,,,,,,,,,84.24,percent of total billed charges,999999999,,,,,,,,,,93.6,percent of total billed charges,78.43193451,,,,92.43,percent of total billed charges,89.19892772,,,,92.43,percent of total billed charges,78.81020526,,,,93.6,percent of total billed charges,999999999,,,,93.6,percent of total billed charges,999999999,,,,81.9,percent of total billed charges,999999999,,,,81.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,62.244,percent of total billed charges,999999999,,,,,,,,,,,,,,,,59.085,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,29.25,percent of total billed charges,27.78034519,,,,,,,,,,29.25,percent of total billed charges,27.31823805,,,,,,,,,,29.25,percent of total billed charges,27.24232183,,,,,,,,,,29.25,percent of total billed charges,26.84117898,,,,,,,,,,29.25,percent of total billed charges,27.53184197,,,,,,,,,,29.25,percent of total billed charges,999999999,,,,,,,,,,29.25,percent of total billed charges,23.62425921,,,,,,,,,,29.25,percent of total billed charges,37.25708589,,,,,,,,,,29.25,percent of total billed charges,999999999,,,,,,,,,,29.25,percent of total billed charges,25.47272915,,,,,,,,,,105.3,percent of total billed charges,,,,,
**I&D ABSCESS SIMPLE OR SINGLE,10060,CDM,,,,both,,,115,115,24.48165363,115,115,percent of total billed charges,84.60958546,,,,115,percent of total billed charges,89.68448765,,,,115,percent of total billed charges,84.60958546,,,,115,percent of total billed charges,89.68448765,,,,115,percent of total billed charges,999999999,,,,115,percent of total billed charges,87.6220961,,,,115,percent of total billed charges,84.60958546,,,,115,percent of total billed charges,89.68448765,,,,81.995,percent of total billed charges,40.91700551,,,,81.995,percent of total billed charges,24.48165363,,,,81.995,percent of total billed charges,40.91700551,,,,81.995,percent of total billed charges,24.48165363,,,,81.995,percent of total billed charges,40.91700551,,,,81.995,percent of total billed charges,24.48165363,,,,81.19,percent of total billed charges,80.5739894,,,,81.19,percent of total billed charges,55.57124185,,,,,,,,,,82.8,percent of total billed charges,53.81805154,,,,,,,,,,82.8,percent of total billed charges,999999999,,,,,,,,,,92,percent of total billed charges,77.09121768,,,,90.85,percent of total billed charges,87.67415972,,,,90.85,percent of total billed charges,77.46302226,,,,92,percent of total billed charges,999999999,,,,92,percent of total billed charges,999999999,,,,80.5,percent of total billed charges,999999999,,,,80.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,61.18,percent of total billed charges,999999999,,,,,,,,,,,,,,,,58.075,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,28.75,percent of total billed charges,27.30546749,,,,,,,,,,28.75,percent of total billed charges,26.85125962,,,,,,,,,,28.75,percent of total billed charges,26.77664112,,,,,,,,,,28.75,percent of total billed charges,26.38235541,,,,,,,,,,28.75,percent of total billed charges,27.06121219,,,,,,,,,,28.75,percent of total billed charges,999999999,,,,,,,,,,28.75,percent of total billed charges,23.22042571,,,,,,,,,,28.75,percent of total billed charges,36.62021262,,,,,,,,,,28.75,percent of total billed charges,999999999,,,,,,,,,,28.75,percent of total billed charges,25.03729788,,,,,,,,,,103.5,percent of total billed charges,,,,,
I&D ABSCESS SIMPLE OR SINGLE,10060,CDM,,,,both,,,803,803,170.9458075,803,803,percent of total billed charges,590.7956272,,,,803,percent of total billed charges,626.2316833,,,,803,percent of total billed charges,590.7956272,,,,803,percent of total billed charges,626.2316833,,,,803,percent of total billed charges,999999999,,,,803,percent of total billed charges,611.8308102,,,,803,percent of total billed charges,590.7956272,,,,803,percent of total billed charges,626.2316833,,,,572.539,percent of total billed charges,285.7074385,,,,572.539,percent of total billed charges,170.9458075,,,,572.539,percent of total billed charges,285.7074385,,,,572.539,percent of total billed charges,170.9458075,,,,572.539,percent of total billed charges,285.7074385,,,,572.539,percent of total billed charges,170.9458075,,,,566.918,percent of total billed charges,562.616639,,,,566.918,percent of total billed charges,388.0322366,,,,,,,,,,578.16,percent of total billed charges,375.7903947,,,,,,,,,,578.16,percent of total billed charges,999999999,,,,,,,,,,642.4,percent of total billed charges,538.2978069,,,,634.37,percent of total billed charges,612.1943501,,,,634.37,percent of total billed charges,540.8939728,,,,642.4,percent of total billed charges,999999999,,,,642.4,percent of total billed charges,999999999,,,,562.1,percent of total billed charges,999999999,,,,562.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,427.196,percent of total billed charges,999999999,,,,,,,,,,,,,,,,405.515,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,200.75,percent of total billed charges,190.6633948,,,,,,,,,,200.75,percent of total billed charges,187.4918389,,,,,,,,,,200.75,percent of total billed charges,186.9708071,,,,,,,,,,200.75,percent of total billed charges,184.2176643,,,,,,,,,,200.75,percent of total billed charges,188.9578556,,,,,,,,,,200.75,percent of total billed charges,999999999,,,,,,,,,,200.75,percent of total billed charges,162.1391465,,,,,,,,,,200.75,percent of total billed charges,255.7046151,,,,,,,,,,200.75,percent of total billed charges,999999999,,,,,,,,,,200.75,percent of total billed charges,174.8256539,,,,,,,,,,722.7,percent of total billed charges,,,,,
**I&D ABSCESS COMPLIC OR MULTIPLE,10061,CDM,,,,both,,,275,275,58.54308477,275,275,percent of total billed charges,202.3272696,,,,275,percent of total billed charges,214.4629053,,,,275,percent of total billed charges,202.3272696,,,,275,percent of total billed charges,214.4629053,,,,275,percent of total billed charges,999999999,,,,275,percent of total billed charges,209.5310994,,,,275,percent of total billed charges,202.3272696,,,,275,percent of total billed charges,214.4629053,,,,196.075,percent of total billed charges,97.84501318,,,,196.075,percent of total billed charges,58.54308477,,,,196.075,percent of total billed charges,97.84501318,,,,196.075,percent of total billed charges,58.54308477,,,,196.075,percent of total billed charges,97.84501318,,,,196.075,percent of total billed charges,58.54308477,,,,194.15,percent of total billed charges,192.6769312,,,,194.15,percent of total billed charges,132.8877523,,,,,,,,,,198,percent of total billed charges,128.6953406,,,,,,,,,,198,percent of total billed charges,999999999,,,,,,,,,,220,percent of total billed charges,184.348564,,,,217.25,percent of total billed charges,209.6555993,,,,217.25,percent of total billed charges,185.2376619,,,,220,percent of total billed charges,999999999,,,,220,percent of total billed charges,999999999,,,,192.5,percent of total billed charges,999999999,,,,192.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,146.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,138.875,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,68.75,percent of total billed charges,65.29568314,,,,,,,,,,68.75,percent of total billed charges,64.20953388,,,,,,,,,,68.75,percent of total billed charges,64.03109833,,,,,,,,,,68.75,percent of total billed charges,63.08824119,,,,,,,,,,68.75,percent of total billed charges,64.71159438,,,,,,,,,,68.75,percent of total billed charges,999999999,,,,,,,,,,68.75,percent of total billed charges,55.52710497,,,,,,,,,,68.75,percent of total billed charges,87.57007367,,,,,,,,,,68.75,percent of total billed charges,999999999,,,,,,,,,,68.75,percent of total billed charges,59.87179929,,,,,,,,,,247.5,percent of total billed charges,,,,,
I&D ABSCESS COMPLIC OR MULTIPLE,10061,CDM,,,,both,,,275,275,58.54308477,275,275,percent of total billed charges,202.3272696,,,,275,percent of total billed charges,214.4629053,,,,275,percent of total billed charges,202.3272696,,,,275,percent of total billed charges,214.4629053,,,,275,percent of total billed charges,999999999,,,,275,percent of total billed charges,209.5310994,,,,275,percent of total billed charges,202.3272696,,,,275,percent of total billed charges,214.4629053,,,,196.075,percent of total billed charges,97.84501318,,,,196.075,percent of total billed charges,58.54308477,,,,196.075,percent of total billed charges,97.84501318,,,,196.075,percent of total billed charges,58.54308477,,,,196.075,percent of total billed charges,97.84501318,,,,196.075,percent of total billed charges,58.54308477,,,,194.15,percent of total billed charges,192.6769312,,,,194.15,percent of total billed charges,132.8877523,,,,,,,,,,198,percent of total billed charges,128.6953406,,,,,,,,,,198,percent of total billed charges,999999999,,,,,,,,,,220,percent of total billed charges,184.348564,,,,217.25,percent of total billed charges,209.6555993,,,,217.25,percent of total billed charges,185.2376619,,,,220,percent of total billed charges,999999999,,,,220,percent of total billed charges,999999999,,,,192.5,percent of total billed charges,999999999,,,,192.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,146.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,138.875,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,68.75,percent of total billed charges,65.29568314,,,,,,,,,,68.75,percent of total billed charges,64.20953388,,,,,,,,,,68.75,percent of total billed charges,64.03109833,,,,,,,,,,68.75,percent of total billed charges,63.08824119,,,,,,,,,,68.75,percent of total billed charges,64.71159438,,,,,,,,,,68.75,percent of total billed charges,999999999,,,,,,,,,,68.75,percent of total billed charges,55.52710497,,,,,,,,,,68.75,percent of total billed charges,87.57007367,,,,,,,,,,68.75,percent of total billed charges,999999999,,,,,,,,,,68.75,percent of total billed charges,59.87179929,,,,,,,,,,247.5,percent of total billed charges,,,,,
I&D PILONIDAL CYST SIMPLE,10080,CDM,,,,both,,,169,169,35.97738664,169,169,percent of total billed charges,124.3393038,,,,169,percent of total billed charges,131.7972036,,,,169,percent of total billed charges,124.3393038,,,,169,percent of total billed charges,131.7972036,,,,169,percent of total billed charges,999999999,,,,169,percent of total billed charges,128.7663847,,,,169,percent of total billed charges,124.3393038,,,,169,percent of total billed charges,131.7972036,,,,120.497,percent of total billed charges,60.1302081,,,,120.497,percent of total billed charges,35.97738664,,,,120.497,percent of total billed charges,60.1302081,,,,120.497,percent of total billed charges,35.97738664,,,,120.497,percent of total billed charges,60.1302081,,,,120.497,percent of total billed charges,35.97738664,,,,119.314,percent of total billed charges,118.4087322,,,,119.314,percent of total billed charges,81.66556412,,,,,,,,,,121.68,percent of total billed charges,79.08913661,,,,,,,,,,121.68,percent of total billed charges,999999999,,,,,,,,,,135.2,percent of total billed charges,113.2905721,,,,133.51,percent of total billed charges,128.8428956,,,,133.51,percent of total billed charges,113.8369632,,,,135.2,percent of total billed charges,999999999,,,,135.2,percent of total billed charges,999999999,,,,118.3,percent of total billed charges,999999999,,,,118.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,89.908,percent of total billed charges,999999999,,,,,,,,,,,,,,,,85.345,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,42.25,percent of total billed charges,40.12716527,,,,,,,,,,42.25,percent of total billed charges,39.45967718,,,,,,,,,,42.25,percent of total billed charges,39.35002043,,,,,,,,,,42.25,percent of total billed charges,38.77059186,,,,,,,,,,42.25,percent of total billed charges,39.76821618,,,,,,,,,,42.25,percent of total billed charges,999999999,,,,,,,,,,42.25,percent of total billed charges,34.12392996,,,,,,,,,,42.25,percent of total billed charges,53.81579073,,,,,,,,,,42.25,percent of total billed charges,999999999,,,,,,,,,,42.25,percent of total billed charges,36.79394211,,,,,,,,,,152.1,percent of total billed charges,,,,,
INCISION FOREIGN BODY SUBCUT TISS SIMPL,10120,CDM,,,,both,,,180,180,38.31911003,180,180,percent of total billed charges,132.4323946,,,,180,percent of total billed charges,140.3757198,,,,180,percent of total billed charges,132.4323946,,,,180,percent of total billed charges,140.3757198,,,,180,percent of total billed charges,999999999,,,,180,percent of total billed charges,137.1476287,,,,180,percent of total billed charges,132.4323946,,,,180,percent of total billed charges,140.3757198,,,,128.34,percent of total billed charges,64.04400863,,,,128.34,percent of total billed charges,38.31911003,,,,128.34,percent of total billed charges,64.04400863,,,,128.34,percent of total billed charges,38.31911003,,,,128.34,percent of total billed charges,64.04400863,,,,128.34,percent of total billed charges,38.31911003,,,,127.08,percent of total billed charges,126.1158095,,,,127.08,percent of total billed charges,86.98107421,,,,,,,,,,129.6,percent of total billed charges,84.23695024,,,,,,,,,,129.6,percent of total billed charges,999999999,,,,,,,,,,144,percent of total billed charges,120.6645146,,,,142.2,percent of total billed charges,137.2291196,,,,142.2,percent of total billed charges,121.2464696,,,,144,percent of total billed charges,999999999,,,,144,percent of total billed charges,999999999,,,,126,percent of total billed charges,999999999,,,,126,percent of total billed charges,999999999,,,,,,,,,,,,,,,,95.76,percent of total billed charges,999999999,,,,,,,,,,,,,,,,90.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,percent of total billed charges,42.7389926,,,,,,,,,,45,percent of total billed charges,42.02805854,,,,,,,,,,45,percent of total billed charges,41.91126436,,,,,,,,,,45,percent of total billed charges,41.2941215,,,,,,,,,,45,percent of total billed charges,42.35667996,,,,,,,,,,45,percent of total billed charges,999999999,,,,,,,,,,45,percent of total billed charges,36.34501416,,,,,,,,,,45,percent of total billed charges,57.31859367,,,,,,,,,,45,percent of total billed charges,999999999,,,,,,,,,,45,percent of total billed charges,39.18881408,,,,,,,,,,162,percent of total billed charges,,,,,
**O/P NURSING SERVICE-15 MIN,0,CDM,,,,both,,,60,60,12.77303668,60,60,percent of total billed charges,44.14413154,,,,60,percent of total billed charges,46.7919066,,,,60,percent of total billed charges,44.14413154,,,,60,percent of total billed charges,46.7919066,,,,60,percent of total billed charges,999999999,,,,60,percent of total billed charges,45.71587623,,,,60,percent of total billed charges,44.14413154,,,,60,percent of total billed charges,46.7919066,,,,42.78,percent of total billed charges,21.34800288,,,,42.78,percent of total billed charges,12.77303668,,,,42.78,percent of total billed charges,21.34800288,,,,42.78,percent of total billed charges,12.77303668,,,,42.78,percent of total billed charges,21.34800288,,,,42.78,percent of total billed charges,12.77303668,,,,42.36,percent of total billed charges,42.03860316,,,,42.36,percent of total billed charges,28.9936914,,,,,,,,,,43.2,percent of total billed charges,28.07898341,,,,,,,,,,43.2,percent of total billed charges,999999999,,,,,,,,,,48,percent of total billed charges,40.22150488,,,,47.4,percent of total billed charges,45.74303985,,,,47.4,percent of total billed charges,40.41548988,,,,48,percent of total billed charges,999999999,,,,48,percent of total billed charges,999999999,,,,42,percent of total billed charges,999999999,,,,42,percent of total billed charges,999999999,,,,,,,,,,,,,,,,31.92,percent of total billed charges,999999999,,,,,,,,,,,,,,,,30.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15,percent of total billed charges,14.24633087,,,,,,,,,,15,percent of total billed charges,14.00935285,,,,,,,,,,15,percent of total billed charges,13.97042145,,,,,,,,,,15,percent of total billed charges,13.76470717,,,,,,,,,,15,percent of total billed charges,14.11889332,,,,,,,,,,15,percent of total billed charges,999999999,,,,,,,,,,15,percent of total billed charges,12.11500472,,,,,,,,,,15,percent of total billed charges,19.10619789,,,,,,,,,,15,percent of total billed charges,999999999,,,,,,,,,,15,percent of total billed charges,13.06293803,,,,,,,,,,54,percent of total billed charges,,,,,
I&R FOREIGN BODY SUBCUT TISS COMPLI,10121,CDM,,,,both,,,6921,6921,1473.369781,6921,6921,percent of total billed charges,5092.025574,,,,6921,percent of total billed charges,5397.446426,,,,6921,percent of total billed charges,5092.025574,,,,6921,percent of total billed charges,5397.446426,,,,6921,percent of total billed charges,999999999,,,,6921,percent of total billed charges,5273.326323,,,,6921,percent of total billed charges,5092.025574,,,,6921,percent of total billed charges,5397.446426,,,,4934.673,percent of total billed charges,2462.492132,,,,4934.673,percent of total billed charges,1473.369781,,,,4934.673,percent of total billed charges,2462.492132,,,,4934.673,percent of total billed charges,1473.369781,,,,4934.673,percent of total billed charges,2462.492132,,,,4934.673,percent of total billed charges,1473.369781,,,,4886.226,percent of total billed charges,4849.152875,,,,4886.226,percent of total billed charges,3344.422303,,,,,,,,,,4983.12,percent of total billed charges,3238.910737,,,,,,,,,,4983.12,percent of total billed charges,999999999,,,,,,,,,,5536.8,percent of total billed charges,4639.550587,,,,5467.59,percent of total billed charges,5276.459647,,,,5467.59,percent of total billed charges,4661.926757,,,,5536.8,percent of total billed charges,999999999,,,,5536.8,percent of total billed charges,999999999,,,,4844.7,percent of total billed charges,999999999,,,,4844.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3681.972,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3495.105,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1730.25,percent of total billed charges,1643.314265,,,,,,,,,,1730.25,percent of total billed charges,1615.978851,,,,,,,,,,1730.25,percent of total billed charges,1611.488115,,,,,,,,,,1730.25,percent of total billed charges,1587.758972,,,,,,,,,,1730.25,percent of total billed charges,1628.614344,,,,,,,,,,1730.25,percent of total billed charges,999999999,,,,,,,,,,1730.25,percent of total billed charges,1397.465795,,,,,,,,,,1730.25,percent of total billed charges,2203.899927,,,,,,,,,,1730.25,percent of total billed charges,999999999,,,,,,,,,,1730.25,percent of total billed charges,1506.809901,,,,,,,,,,6228.9,percent of total billed charges,,,,,
I&D HEMATOMA SEROMA/FLUID COLLECTION,10140,CDM,,,,both,,,751,751,159.8758424,751,751,percent of total billed charges,552.5373798,,,,751,percent of total billed charges,585.6786976,,,,751,percent of total billed charges,552.5373798,,,,751,percent of total billed charges,585.6786976,,,,751,percent of total billed charges,999999999,,,,751,percent of total billed charges,572.2103841,,,,751,percent of total billed charges,552.5373798,,,,751,percent of total billed charges,585.6786976,,,,535.463,percent of total billed charges,267.205836,,,,535.463,percent of total billed charges,159.8758424,,,,535.463,percent of total billed charges,267.205836,,,,535.463,percent of total billed charges,159.8758424,,,,535.463,percent of total billed charges,267.205836,,,,535.463,percent of total billed charges,159.8758424,,,,530.206,percent of total billed charges,526.1831829,,,,530.206,percent of total billed charges,362.9043707,,,,,,,,,,540.72,percent of total billed charges,351.4552757,,,,,,,,,,540.72,percent of total billed charges,999999999,,,,,,,,,,600.8,percent of total billed charges,503.4391694,,,,593.29,percent of total billed charges,572.5503822,,,,593.29,percent of total billed charges,505.867215,,,,600.8,percent of total billed charges,999999999,,,,600.8,percent of total billed charges,999999999,,,,525.7,percent of total billed charges,999999999,,,,525.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,399.532,percent of total billed charges,999999999,,,,,,,,,,,,,,,,379.255,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,187.75,percent of total billed charges,178.3165747,,,,,,,,,,187.75,percent of total billed charges,175.3503998,,,,,,,,,,187.75,percent of total billed charges,174.8631085,,,,,,,,,,187.75,percent of total billed charges,172.2882514,,,,,,,,,,187.75,percent of total billed charges,176.7214814,,,,,,,,,,187.75,percent of total billed charges,999999999,,,,,,,,,,187.75,percent of total billed charges,151.6394758,,,,,,,,,,187.75,percent of total billed charges,239.1459103,,,,,,,,,,187.75,percent of total billed charges,999999999,,,,,,,,,,187.75,percent of total billed charges,163.504441,,,,,,,,,,675.9,percent of total billed charges,,,,,
**I&D HEMATOMA SEROMA OR FLUID COLLEC,10140,CDM,,,,both,,,1093,1093,232.6821515,1093,1093,percent of total billed charges,804.1589296,,,,1093,percent of total billed charges,852.3925652,,,,1093,percent of total billed charges,804.1589296,,,,1093,percent of total billed charges,852.3925652,,,,1093,percent of total billed charges,999999999,,,,1093,percent of total billed charges,832.7908786,,,,1093,percent of total billed charges,804.1589296,,,,1093,percent of total billed charges,852.3925652,,,,779.309,percent of total billed charges,388.8894524,,,,779.309,percent of total billed charges,232.6821515,,,,779.309,percent of total billed charges,388.8894524,,,,779.309,percent of total billed charges,232.6821515,,,,779.309,percent of total billed charges,388.8894524,,,,779.309,percent of total billed charges,232.6821515,,,,771.658,percent of total billed charges,765.803221,,,,771.658,percent of total billed charges,528.1684117,,,,,,,,,,786.96,percent of total billed charges,511.5054812,,,,,,,,,,786.96,percent of total billed charges,999999999,,,,,,,,,,874.4,percent of total billed charges,732.7017472,,,,863.47,percent of total billed charges,833.2857094,,,,863.47,percent of total billed charges,736.2355073,,,,874.4,percent of total billed charges,999999999,,,,874.4,percent of total billed charges,999999999,,,,765.1,percent of total billed charges,999999999,,,,765.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,581.476,percent of total billed charges,999999999,,,,,,,,,,,,,,,,551.965,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,273.25,percent of total billed charges,259.5206606,,,,,,,,,,273.25,percent of total billed charges,255.203711,,,,,,,,,,273.25,percent of total billed charges,254.4945108,,,,,,,,,,273.25,percent of total billed charges,250.7470822,,,,,,,,,,273.25,percent of total billed charges,257.1991733,,,,,,,,,,273.25,percent of total billed charges,999999999,,,,,,,,,,273.25,percent of total billed charges,220.6950027,,,,,,,,,,273.25,percent of total billed charges,348.0512382,,,,,,,,,,273.25,percent of total billed charges,999999999,,,,,,,,,,273.25,percent of total billed charges,237.9631877,,,,,,,,,,983.7,percent of total billed charges,,,,,
PUNCT ASPIR ABSC HEMATOMA BULLA CYST,10160,CDM,,,,both,,,56,56,11.9215009,56,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,56,percent of total billed charges,999999999,,,,56,percent of total billed charges,42.66815114,,,,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.536,percent of total billed charges,39.23602962,,,,39.536,percent of total billed charges,27.06077864,,,,,,,,,,40.32,percent of total billed charges,26.20705119,,,,,,,,,,40.32,percent of total billed charges,999999999,,,,,,,,,,44.8,percent of total billed charges,37.54007122,,,,44.24,percent of total billed charges,42.69350386,,,,44.24,percent of total billed charges,37.72112388,,,,44.8,percent of total billed charges,999999999,,,,44.8,percent of total billed charges,999999999,,,,39.2,percent of total billed charges,999999999,,,,39.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,29.792,percent of total billed charges,999999999,,,,,,,,,,,,,,,,28.28,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14,percent of total billed charges,13.29657547,,,,,,,,,,14,percent of total billed charges,13.07539599,,,,,,,,,,14,percent of total billed charges,13.03906002,,,,,,,,,,14,percent of total billed charges,12.84706002,,,,,,,,,,14,percent of total billed charges,13.17763376,,,,,,,,,,14,percent of total billed charges,999999999,,,,,,,,,,14,percent of total billed charges,11.30733774,,,,,,,,,,14,percent of total billed charges,17.83245137,,,,,,,,,,14,percent of total billed charges,999999999,,,,,,,,,,14,percent of total billed charges,12.19207549,,,,,,,,,,50.4,percent of total billed charges,,,,,
MOD SED OTH PHYS/QHP EA ADDL 15MINS FAC,99157,CDM,,,,both,,,313,313,66.63267467,313,313,percent of total billed charges,230.2852196,,,,313,percent of total billed charges,244.0977794,,,,313,percent of total billed charges,230.2852196,,,,313,percent of total billed charges,244.0977794,,,,313,percent of total billed charges,999999999,,,,313,percent of total billed charges,238.4844876,,,,313,percent of total billed charges,230.2852196,,,,313,percent of total billed charges,244.0977794,,,,223.169,percent of total billed charges,111.365415,,,,223.169,percent of total billed charges,66.63267467,,,,223.169,percent of total billed charges,111.365415,,,,223.169,percent of total billed charges,66.63267467,,,,223.169,percent of total billed charges,111.365415,,,,223.169,percent of total billed charges,66.63267467,,,,220.978,percent of total billed charges,219.3013798,,,,220.978,percent of total billed charges,151.2504235,,,,,,,,,,225.36,percent of total billed charges,146.4786968,,,,,,,,,,225.36,percent of total billed charges,999999999,,,,,,,,,,250.4,percent of total billed charges,209.8221838,,,,247.27,percent of total billed charges,238.6261912,,,,247.27,percent of total billed charges,210.8341389,,,,250.4,percent of total billed charges,999999999,,,,250.4,percent of total billed charges,999999999,,,,219.1,percent of total billed charges,999999999,,,,219.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,166.516,percent of total billed charges,999999999,,,,,,,,,,,,,,,,158.065,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,78.25,percent of total billed charges,74.31835935,,,,,,,,,,78.25,percent of total billed charges,73.08212401,,,,,,,,,,78.25,percent of total billed charges,72.87903192,,,,,,,,,,78.25,percent of total billed charges,71.80588906,,,,,,,,,,78.25,percent of total billed charges,73.65356015,,,,,,,,,,78.25,percent of total billed charges,999999999,,,,,,,,,,78.25,percent of total billed charges,63.19994129,,,,,,,,,,78.25,percent of total billed charges,99.67066567,,,,,,,,,,78.25,percent of total billed charges,999999999,,,,,,,,,,78.25,percent of total billed charges,68.14499337,,,,,,,,,,281.7,percent of total billed charges,,,,,
RMVL FOREIGN BODY MUSCLE/TENDON,20525,CDM,,,,both,,,7380,7380,1571.083511,7380,7380,percent of total billed charges,5429.72818,,,,7380,percent of total billed charges,5755.404512,,,,7380,percent of total billed charges,5429.72818,,,,7380,percent of total billed charges,5755.404512,,,,7380,percent of total billed charges,999999999,,,,7380,percent of total billed charges,5623.052776,,,,7380,percent of total billed charges,5429.72818,,,,7380,percent of total billed charges,5755.404512,,,,5261.94,percent of total billed charges,2625.804354,,,,5261.94,percent of total billed charges,1571.083511,,,,5261.94,percent of total billed charges,2625.804354,,,,5261.94,percent of total billed charges,1571.083511,,,,5261.94,percent of total billed charges,2625.804354,,,,5261.94,percent of total billed charges,1571.083511,,,,5210.28,percent of total billed charges,5170.748189,,,,5210.28,percent of total billed charges,3566.224042,,,,,,,,,,5313.6,percent of total billed charges,3453.71496,,,,,,,,,,5313.6,percent of total billed charges,999999999,,,,,,,,,,5904,percent of total billed charges,4947.2451,,,,5830.2,percent of total billed charges,5626.393902,,,,5830.2,percent of total billed charges,4971.105255,,,,5904,percent of total billed charges,999999999,,,,5904,percent of total billed charges,999999999,,,,5166,percent of total billed charges,999999999,,,,5166,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3926.16,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3726.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1845,percent of total billed charges,1752.298696,,,,,,,,,,1845,percent of total billed charges,1723.1504,,,,,,,,,,1845,percent of total billed charges,1718.361839,,,,,,,,,,1845,percent of total billed charges,1693.058982,,,,,,,,,,1845,percent of total billed charges,1736.623878,,,,,,,,,,1845,percent of total billed charges,999999999,,,,,,,,,,1845,percent of total billed charges,1490.145581,,,,,,,,,,1845,percent of total billed charges,2350.062341,,,,,,,,,,1845,percent of total billed charges,999999999,,,,,,,,,,1845,percent of total billed charges,1606.741377,,,,,,,,,,6642,percent of total billed charges,,,,,
DEBRID EXT ECZEMA UP TO 10% OF BODY,11000,CDM,,,,both,,,56,56,11.9215009,56,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,56,percent of total billed charges,999999999,,,,56,percent of total billed charges,42.66815114,,,,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.536,percent of total billed charges,39.23602962,,,,39.536,percent of total billed charges,27.06077864,,,,,,,,,,40.32,percent of total billed charges,26.20705119,,,,,,,,,,40.32,percent of total billed charges,999999999,,,,,,,,,,44.8,percent of total billed charges,37.54007122,,,,44.24,percent of total billed charges,42.69350386,,,,44.24,percent of total billed charges,37.72112388,,,,44.8,percent of total billed charges,999999999,,,,44.8,percent of total billed charges,999999999,,,,39.2,percent of total billed charges,999999999,,,,39.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,29.792,percent of total billed charges,999999999,,,,,,,,,,,,,,,,28.28,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14,percent of total billed charges,13.29657547,,,,,,,,,,14,percent of total billed charges,13.07539599,,,,,,,,,,14,percent of total billed charges,13.03906002,,,,,,,,,,14,percent of total billed charges,12.84706002,,,,,,,,,,14,percent of total billed charges,13.17763376,,,,,,,,,,14,percent of total billed charges,999999999,,,,,,,,,,14,percent of total billed charges,11.30733774,,,,,,,,,,14,percent of total billed charges,17.83245137,,,,,,,,,,14,percent of total billed charges,999999999,,,,,,,,,,14,percent of total billed charges,12.19207549,,,,,,,,,,50.4,percent of total billed charges,,,,,
DEBRID EXT ECZEMA EACH ADD 10% BODY,11001,CDM,,,,both,,,56,56,11.9215009,56,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,56,percent of total billed charges,999999999,,,,56,percent of total billed charges,42.66815114,,,,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.536,percent of total billed charges,39.23602962,,,,39.536,percent of total billed charges,27.06077864,,,,,,,,,,40.32,percent of total billed charges,26.20705119,,,,,,,,,,40.32,percent of total billed charges,999999999,,,,,,,,,,44.8,percent of total billed charges,37.54007122,,,,44.24,percent of total billed charges,42.69350386,,,,44.24,percent of total billed charges,37.72112388,,,,44.8,percent of total billed charges,999999999,,,,44.8,percent of total billed charges,999999999,,,,39.2,percent of total billed charges,999999999,,,,39.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,29.792,percent of total billed charges,999999999,,,,,,,,,,,,,,,,28.28,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14,percent of total billed charges,13.29657547,,,,,,,,,,14,percent of total billed charges,13.07539599,,,,,,,,,,14,percent of total billed charges,13.03906002,,,,,,,,,,14,percent of total billed charges,12.84706002,,,,,,,,,,14,percent of total billed charges,13.17763376,,,,,,,,,,14,percent of total billed charges,999999999,,,,,,,,,,14,percent of total billed charges,11.30733774,,,,,,,,,,14,percent of total billed charges,17.83245137,,,,,,,,,,14,percent of total billed charges,999999999,,,,,,,,,,14,percent of total billed charges,12.19207549,,,,,,,,,,50.4,percent of total billed charges,,,,,
**DEBRID SKIN PARTIAL THICKNESS,11040,CDM,,,,both,,,86,86,18.30801924,86,86,percent of total billed charges,63.27325521,,,,86,percent of total billed charges,67.06839946,,,,86,percent of total billed charges,63.27325521,,,,86,percent of total billed charges,67.06839946,,,,86,percent of total billed charges,999999999,,,,86,percent of total billed charges,65.52608926,,,,86,percent of total billed charges,63.27325521,,,,86,percent of total billed charges,67.06839946,,,,61.318,percent of total billed charges,30.59880412,,,,61.318,percent of total billed charges,18.30801924,,,,61.318,percent of total billed charges,30.59880412,,,,61.318,percent of total billed charges,18.30801924,,,,61.318,percent of total billed charges,30.59880412,,,,61.318,percent of total billed charges,18.30801924,,,,60.716,percent of total billed charges,60.2553312,,,,60.716,percent of total billed charges,41.55762434,,,,,,,,,,61.92,percent of total billed charges,40.24654289,,,,,,,,,,61.92,percent of total billed charges,999999999,,,,,,,,,,68.8,percent of total billed charges,57.65082366,,,,67.94,percent of total billed charges,65.56502379,,,,67.94,percent of total billed charges,57.92886882,,,,68.8,percent of total billed charges,999999999,,,,68.8,percent of total billed charges,999999999,,,,60.2,percent of total billed charges,999999999,,,,60.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,45.752,percent of total billed charges,999999999,,,,,,,,,,,,,,,,43.43,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21.5,percent of total billed charges,20.41974091,,,,,,,,,,21.5,percent of total billed charges,20.08007241,,,,,,,,,,21.5,percent of total billed charges,20.02427075,,,,,,,,,,21.5,percent of total billed charges,19.72941361,,,,,,,,,,21.5,percent of total billed charges,20.23708042,,,,,,,,,,21.5,percent of total billed charges,999999999,,,,,,,,,,21.5,percent of total billed charges,17.3648401,,,,,,,,,,21.5,percent of total billed charges,27.38555031,,,,,,,,,,21.5,percent of total billed charges,999999999,,,,,,,,,,21.5,percent of total billed charges,18.7235445,,,,,,,,,,77.4,percent of total billed charges,,,,,
**DEBRID SKIN PARTIAL THICKNESS,11040,CDM,,,,both,,,86,86,18.30801924,86,86,percent of total billed charges,63.27325521,,,,86,percent of total billed charges,67.06839946,,,,86,percent of total billed charges,63.27325521,,,,86,percent of total billed charges,67.06839946,,,,86,percent of total billed charges,999999999,,,,86,percent of total billed charges,65.52608926,,,,86,percent of total billed charges,63.27325521,,,,86,percent of total billed charges,67.06839946,,,,61.318,percent of total billed charges,30.59880412,,,,61.318,percent of total billed charges,18.30801924,,,,61.318,percent of total billed charges,30.59880412,,,,61.318,percent of total billed charges,18.30801924,,,,61.318,percent of total billed charges,30.59880412,,,,61.318,percent of total billed charges,18.30801924,,,,60.716,percent of total billed charges,60.2553312,,,,60.716,percent of total billed charges,41.55762434,,,,,,,,,,61.92,percent of total billed charges,40.24654289,,,,,,,,,,61.92,percent of total billed charges,999999999,,,,,,,,,,68.8,percent of total billed charges,57.65082366,,,,67.94,percent of total billed charges,65.56502379,,,,67.94,percent of total billed charges,57.92886882,,,,68.8,percent of total billed charges,999999999,,,,68.8,percent of total billed charges,999999999,,,,60.2,percent of total billed charges,999999999,,,,60.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,45.752,percent of total billed charges,999999999,,,,,,,,,,,,,,,,43.43,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21.5,percent of total billed charges,20.41974091,,,,,,,,,,21.5,percent of total billed charges,20.08007241,,,,,,,,,,21.5,percent of total billed charges,20.02427075,,,,,,,,,,21.5,percent of total billed charges,19.72941361,,,,,,,,,,21.5,percent of total billed charges,20.23708042,,,,,,,,,,21.5,percent of total billed charges,999999999,,,,,,,,,,21.5,percent of total billed charges,17.3648401,,,,,,,,,,21.5,percent of total billed charges,27.38555031,,,,,,,,,,21.5,percent of total billed charges,999999999,,,,,,,,,,21.5,percent of total billed charges,18.7235445,,,,,,,,,,77.4,percent of total billed charges,,,,,
**DEBRID SKIN FULL THICKNESS,11041,CDM,,,,both,,,177,177,37.6804582,177,177,percent of total billed charges,130.2251881,,,,177,percent of total billed charges,138.0361245,,,,177,percent of total billed charges,130.2251881,,,,177,percent of total billed charges,138.0361245,,,,177,percent of total billed charges,999999999,,,,177,percent of total billed charges,134.8618349,,,,177,percent of total billed charges,130.2251881,,,,177,percent of total billed charges,138.0361245,,,,126.201,percent of total billed charges,62.97660848,,,,126.201,percent of total billed charges,37.6804582,,,,126.201,percent of total billed charges,62.97660848,,,,126.201,percent of total billed charges,37.6804582,,,,126.201,percent of total billed charges,62.97660848,,,,126.201,percent of total billed charges,37.6804582,,,,124.962,percent of total billed charges,124.0138793,,,,124.962,percent of total billed charges,85.53138964,,,,,,,,,,127.44,percent of total billed charges,82.83300107,,,,,,,,,,127.44,percent of total billed charges,999999999,,,,,,,,,,141.6,percent of total billed charges,118.6534394,,,,139.83,percent of total billed charges,134.9419676,,,,139.83,percent of total billed charges,119.2256951,,,,141.6,percent of total billed charges,999999999,,,,141.6,percent of total billed charges,999999999,,,,123.9,percent of total billed charges,999999999,,,,123.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,94.164,percent of total billed charges,999999999,,,,,,,,,,,,,,,,89.385,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,44.25,percent of total billed charges,42.02667605,,,,,,,,,,44.25,percent of total billed charges,41.32759089,,,,,,,,,,44.25,percent of total billed charges,41.21274329,,,,,,,,,,44.25,percent of total billed charges,40.60588615,,,,,,,,,,44.25,percent of total billed charges,41.65073529,,,,,,,,,,44.25,percent of total billed charges,999999999,,,,,,,,,,44.25,percent of total billed charges,35.73926393,,,,,,,,,,44.25,percent of total billed charges,56.36328378,,,,,,,,,,44.25,percent of total billed charges,999999999,,,,,,,,,,44.25,percent of total billed charges,38.53566718,,,,,,,,,,159.3,percent of total billed charges,,,,,
**DEBRID SKIN SUBCUT TISSUE,11042,CDM,,,,both,,,754,754,160.5144942,754,754,percent of total billed charges,554.7445864,,,,754,percent of total billed charges,588.0182929,,,,754,percent of total billed charges,554.7445864,,,,754,percent of total billed charges,588.0182929,,,,754,percent of total billed charges,999999999,,,,754,percent of total billed charges,574.4961779,,,,754,percent of total billed charges,554.7445864,,,,754,percent of total billed charges,588.0182929,,,,537.602,percent of total billed charges,268.2732361,,,,537.602,percent of total billed charges,160.5144942,,,,537.602,percent of total billed charges,268.2732361,,,,537.602,percent of total billed charges,160.5144942,,,,537.602,percent of total billed charges,268.2732361,,,,537.602,percent of total billed charges,160.5144942,,,,532.324,percent of total billed charges,528.2851131,,,,532.324,percent of total billed charges,364.3540553,,,,,,,,,,542.88,percent of total billed charges,352.8592249,,,,,,,,,,542.88,percent of total billed charges,999999999,,,,,,,,,,603.2,percent of total billed charges,505.4502446,,,,595.66,percent of total billed charges,574.8375342,,,,595.66,percent of total billed charges,507.8879894,,,,603.2,percent of total billed charges,999999999,,,,603.2,percent of total billed charges,999999999,,,,527.8,percent of total billed charges,999999999,,,,527.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,401.128,percent of total billed charges,999999999,,,,,,,,,,,,,,,,380.77,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,188.5,percent of total billed charges,179.0288912,,,,,,,,,,188.5,percent of total billed charges,176.0508674,,,,,,,,,,188.5,percent of total billed charges,175.5616296,,,,,,,,,,188.5,percent of total billed charges,172.9764867,,,,,,,,,,188.5,percent of total billed charges,177.427426,,,,,,,,,,188.5,percent of total billed charges,999999999,,,,,,,,,,188.5,percent of total billed charges,152.245226,,,,,,,,,,188.5,percent of total billed charges,240.1012202,,,,,,,,,,188.5,percent of total billed charges,999999999,,,,,,,,,,188.5,percent of total billed charges,164.1575879,,,,,,,,,,678.6,percent of total billed charges,,,,,
DEBRID SKIN SUBCUT TISSUE,11042,CDM,,,,both,,,754,754,160.5144942,754,754,percent of total billed charges,554.7445864,,,,754,percent of total billed charges,588.0182929,,,,754,percent of total billed charges,554.7445864,,,,754,percent of total billed charges,588.0182929,,,,754,percent of total billed charges,999999999,,,,754,percent of total billed charges,574.4961779,,,,754,percent of total billed charges,554.7445864,,,,754,percent of total billed charges,588.0182929,,,,537.602,percent of total billed charges,268.2732361,,,,537.602,percent of total billed charges,160.5144942,,,,537.602,percent of total billed charges,268.2732361,,,,537.602,percent of total billed charges,160.5144942,,,,537.602,percent of total billed charges,268.2732361,,,,537.602,percent of total billed charges,160.5144942,,,,532.324,percent of total billed charges,528.2851131,,,,532.324,percent of total billed charges,364.3540553,,,,,,,,,,542.88,percent of total billed charges,352.8592249,,,,,,,,,,542.88,percent of total billed charges,999999999,,,,,,,,,,603.2,percent of total billed charges,505.4502446,,,,595.66,percent of total billed charges,574.8375342,,,,595.66,percent of total billed charges,507.8879894,,,,603.2,percent of total billed charges,999999999,,,,603.2,percent of total billed charges,999999999,,,,527.8,percent of total billed charges,999999999,,,,527.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,401.128,percent of total billed charges,999999999,,,,,,,,,,,,,,,,380.77,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,188.5,percent of total billed charges,179.0288912,,,,,,,,,,188.5,percent of total billed charges,176.0508674,,,,,,,,,,188.5,percent of total billed charges,175.5616296,,,,,,,,,,188.5,percent of total billed charges,172.9764867,,,,,,,,,,188.5,percent of total billed charges,177.427426,,,,,,,,,,188.5,percent of total billed charges,999999999,,,,,,,,,,188.5,percent of total billed charges,152.245226,,,,,,,,,,188.5,percent of total billed charges,240.1012202,,,,,,,,,,188.5,percent of total billed charges,999999999,,,,,,,,,,188.5,percent of total billed charges,164.1575879,,,,,,,,,,678.6,percent of total billed charges,,,,,
AVULSION NAIL PLATE PARTL/COMPL SIMP,11730,CDM,,,,both,,,56,56,11.9215009,56,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,56,percent of total billed charges,999999999,,,,56,percent of total billed charges,42.66815114,,,,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.536,percent of total billed charges,39.23602962,,,,39.536,percent of total billed charges,27.06077864,,,,,,,,,,40.32,percent of total billed charges,26.20705119,,,,,,,,,,40.32,percent of total billed charges,999999999,,,,,,,,,,44.8,percent of total billed charges,37.54007122,,,,44.24,percent of total billed charges,42.69350386,,,,44.24,percent of total billed charges,37.72112388,,,,44.8,percent of total billed charges,999999999,,,,44.8,percent of total billed charges,999999999,,,,39.2,percent of total billed charges,999999999,,,,39.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,29.792,percent of total billed charges,999999999,,,,,,,,,,,,,,,,28.28,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14,percent of total billed charges,13.29657547,,,,,,,,,,14,percent of total billed charges,13.07539599,,,,,,,,,,14,percent of total billed charges,13.03906002,,,,,,,,,,14,percent of total billed charges,12.84706002,,,,,,,,,,14,percent of total billed charges,13.17763376,,,,,,,,,,14,percent of total billed charges,999999999,,,,,,,,,,14,percent of total billed charges,11.30733774,,,,,,,,,,14,percent of total billed charges,17.83245137,,,,,,,,,,14,percent of total billed charges,999999999,,,,,,,,,,14,percent of total billed charges,12.19207549,,,,,,,,,,50.4,percent of total billed charges,,,,,
AVUL NAIL PLATE PART/COMPL EA ADD PL,11732,CDM,,,,both,,,56,56,11.9215009,56,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,56,percent of total billed charges,999999999,,,,56,percent of total billed charges,42.66815114,,,,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.536,percent of total billed charges,39.23602962,,,,39.536,percent of total billed charges,27.06077864,,,,,,,,,,40.32,percent of total billed charges,26.20705119,,,,,,,,,,40.32,percent of total billed charges,999999999,,,,,,,,,,44.8,percent of total billed charges,37.54007122,,,,44.24,percent of total billed charges,42.69350386,,,,44.24,percent of total billed charges,37.72112388,,,,44.8,percent of total billed charges,999999999,,,,44.8,percent of total billed charges,999999999,,,,39.2,percent of total billed charges,999999999,,,,39.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,29.792,percent of total billed charges,999999999,,,,,,,,,,,,,,,,28.28,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14,percent of total billed charges,13.29657547,,,,,,,,,,14,percent of total billed charges,13.07539599,,,,,,,,,,14,percent of total billed charges,13.03906002,,,,,,,,,,14,percent of total billed charges,12.84706002,,,,,,,,,,14,percent of total billed charges,13.17763376,,,,,,,,,,14,percent of total billed charges,999999999,,,,,,,,,,14,percent of total billed charges,11.30733774,,,,,,,,,,14,percent of total billed charges,17.83245137,,,,,,,,,,14,percent of total billed charges,999999999,,,,,,,,,,14,percent of total billed charges,12.19207549,,,,,,,,,,50.4,percent of total billed charges,,,,,
**EVAC SUBUNGUAL HEMATOMA,11740,CDM,,,,both,,,56,56,11.9215009,56,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,56,percent of total billed charges,999999999,,,,56,percent of total billed charges,42.66815114,,,,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.536,percent of total billed charges,39.23602962,,,,39.536,percent of total billed charges,27.06077864,,,,,,,,,,40.32,percent of total billed charges,26.20705119,,,,,,,,,,40.32,percent of total billed charges,999999999,,,,,,,,,,44.8,percent of total billed charges,37.54007122,,,,44.24,percent of total billed charges,42.69350386,,,,44.24,percent of total billed charges,37.72112388,,,,44.8,percent of total billed charges,999999999,,,,44.8,percent of total billed charges,999999999,,,,39.2,percent of total billed charges,999999999,,,,39.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,29.792,percent of total billed charges,999999999,,,,,,,,,,,,,,,,28.28,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14,percent of total billed charges,13.29657547,,,,,,,,,,14,percent of total billed charges,13.07539599,,,,,,,,,,14,percent of total billed charges,13.03906002,,,,,,,,,,14,percent of total billed charges,12.84706002,,,,,,,,,,14,percent of total billed charges,13.17763376,,,,,,,,,,14,percent of total billed charges,999999999,,,,,,,,,,14,percent of total billed charges,11.30733774,,,,,,,,,,14,percent of total billed charges,17.83245137,,,,,,,,,,14,percent of total billed charges,999999999,,,,,,,,,,14,percent of total billed charges,12.19207549,,,,,,,,,,50.4,percent of total billed charges,,,,,
EVAC SUBUNGUAL HEMATOMA,11740,CDM,,,,both,,,56,56,11.9215009,56,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,56,percent of total billed charges,999999999,,,,56,percent of total billed charges,42.66815114,,,,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.536,percent of total billed charges,39.23602962,,,,39.536,percent of total billed charges,27.06077864,,,,,,,,,,40.32,percent of total billed charges,26.20705119,,,,,,,,,,40.32,percent of total billed charges,999999999,,,,,,,,,,44.8,percent of total billed charges,37.54007122,,,,44.24,percent of total billed charges,42.69350386,,,,44.24,percent of total billed charges,37.72112388,,,,44.8,percent of total billed charges,999999999,,,,44.8,percent of total billed charges,999999999,,,,39.2,percent of total billed charges,999999999,,,,39.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,29.792,percent of total billed charges,999999999,,,,,,,,,,,,,,,,28.28,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14,percent of total billed charges,13.29657547,,,,,,,,,,14,percent of total billed charges,13.07539599,,,,,,,,,,14,percent of total billed charges,13.03906002,,,,,,,,,,14,percent of total billed charges,12.84706002,,,,,,,,,,14,percent of total billed charges,13.17763376,,,,,,,,,,14,percent of total billed charges,999999999,,,,,,,,,,14,percent of total billed charges,11.30733774,,,,,,,,,,14,percent of total billed charges,17.83245137,,,,,,,,,,14,percent of total billed charges,999999999,,,,,,,,,,14,percent of total billed charges,12.19207549,,,,,,,,,,50.4,percent of total billed charges,,,,,
**EXCISION NAIL PART/COMP PERM REMOVE,11750,CDM,,,,both,,,483,483,102.8229453,483,483,percent of total billed charges,355.3602589,,,,483,percent of total billed charges,376.6748481,,,,483,percent of total billed charges,355.3602589,,,,483,percent of total billed charges,376.6748481,,,,483,percent of total billed charges,999999999,,,,483,percent of total billed charges,368.0128036,,,,483,percent of total billed charges,355.3602589,,,,483,percent of total billed charges,376.6748481,,,,344.379,percent of total billed charges,171.8514231,,,,344.379,percent of total billed charges,102.8229453,,,,344.379,percent of total billed charges,171.8514231,,,,344.379,percent of total billed charges,102.8229453,,,,344.379,percent of total billed charges,171.8514231,,,,344.379,percent of total billed charges,102.8229453,,,,340.998,percent of total billed charges,338.4107555,,,,340.998,percent of total billed charges,233.3992158,,,,,,,,,,347.76,percent of total billed charges,226.0358165,,,,,,,,,,347.76,percent of total billed charges,999999999,,,,,,,,,,386.4,percent of total billed charges,323.7831142,,,,381.57,percent of total billed charges,368.2314708,,,,381.57,percent of total billed charges,325.3446935,,,,386.4,percent of total billed charges,999999999,,,,386.4,percent of total billed charges,999999999,,,,338.1,percent of total billed charges,999999999,,,,338.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,256.956,percent of total billed charges,999999999,,,,,,,,,,,,,,,,243.915,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,120.75,percent of total billed charges,114.6829635,,,,,,,,,,120.75,percent of total billed charges,112.7752904,,,,,,,,,,120.75,percent of total billed charges,112.4618927,,,,,,,,,,120.75,percent of total billed charges,110.8058927,,,,,,,,,,120.75,percent of total billed charges,113.6570912,,,,,,,,,,120.75,percent of total billed charges,999999999,,,,,,,,,,120.75,percent of total billed charges,97.525788,,,,,,,,,,120.75,percent of total billed charges,153.804893,,,,,,,,,,120.75,percent of total billed charges,999999999,,,,,,,,,,120.75,percent of total billed charges,105.1566511,,,,,,,,,,434.7,percent of total billed charges,,,,,
EXCISION PILONIDAL CYST/SINUS SIMPLE,11770,CDM,,,,both,,,9507,9507,2023.887662,9507,9507,percent of total billed charges,6994.637643,,,,9507,percent of total billed charges,7414.177601,,,,9507,percent of total billed charges,6994.637643,,,,9507,percent of total billed charges,7414.177601,,,,9507,percent of total billed charges,999999999,,,,9507,percent of total billed charges,7243.680588,,,,9507,percent of total billed charges,6994.637643,,,,9507,percent of total billed charges,7414.177601,,,,6778.491,percent of total billed charges,3382.591056,,,,6778.491,percent of total billed charges,2023.887662,,,,6778.491,percent of total billed charges,3382.591056,,,,6778.491,percent of total billed charges,2023.887662,,,,6778.491,percent of total billed charges,3382.591056,,,,6778.491,percent of total billed charges,2023.887662,,,,6711.942,percent of total billed charges,6661.016671,,,,6711.942,percent of total billed charges,4594.050403,,,,,,,,,,6845.04,percent of total billed charges,4449.114922,,,,,,,,,,6845.04,percent of total billed charges,999999999,,,,,,,,,,7605.6,percent of total billed charges,6373.097448,,,,7510.53,percent of total billed charges,7247.984665,,,,7510.53,percent of total billed charges,6403.834371,,,,7605.6,percent of total billed charges,999999999,,,,7605.6,percent of total billed charges,999999999,,,,6654.9,percent of total billed charges,999999999,,,,6654.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5057.724,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4801.035,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2376.75,percent of total billed charges,2257.331126,,,,,,,,,,2376.75,percent of total billed charges,2219.781958,,,,,,,,,,2376.75,percent of total billed charges,2213.613279,,,,,,,,,,2376.75,percent of total billed charges,2181.017851,,,,,,,,,,2376.75,percent of total billed charges,2237.138646,,,,,,,,,,2376.75,percent of total billed charges,999999999,,,,,,,,,,2376.75,percent of total billed charges,1919.622498,,,,,,,,,,2376.75,percent of total billed charges,3027.377056,,,,,,,,,,2376.75,percent of total billed charges,999999999,,,,,,,,,,2376.75,percent of total billed charges,2069.82253,,,,,,,,,,8556.3,percent of total billed charges,,,,,
**SIMP REPR SUPERFICIAL WND 2.5CM OR <,12001,CDM,,,,both,,,126,126,26.82337702,126,126,percent of total billed charges,92.70267624,,,,126,percent of total billed charges,98.26300386,,,,126,percent of total billed charges,92.70267624,,,,126,percent of total billed charges,98.26300386,,,,126,percent of total billed charges,999999999,,,,126,percent of total billed charges,96.00334007,,,,126,percent of total billed charges,92.70267624,,,,126,percent of total billed charges,98.26300386,,,,89.838,percent of total billed charges,44.83080604,,,,89.838,percent of total billed charges,26.82337702,,,,89.838,percent of total billed charges,44.83080604,,,,89.838,percent of total billed charges,26.82337702,,,,89.838,percent of total billed charges,44.83080604,,,,89.838,percent of total billed charges,26.82337702,,,,88.956,percent of total billed charges,88.28106665,,,,88.956,percent of total billed charges,60.88675195,,,,,,,,,,90.72,percent of total billed charges,58.96586517,,,,,,,,,,90.72,percent of total billed charges,999999999,,,,,,,,,,100.8,percent of total billed charges,84.46516024,,,,99.54,percent of total billed charges,96.0603837,,,,99.54,percent of total billed charges,84.87252874,,,,100.8,percent of total billed charges,999999999,,,,100.8,percent of total billed charges,999999999,,,,88.2,percent of total billed charges,999999999,,,,88.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,67.032,percent of total billed charges,999999999,,,,,,,,,,,,,,,,63.63,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,31.5,percent of total billed charges,29.91729482,,,,,,,,,,31.5,percent of total billed charges,29.41964098,,,,,,,,,,31.5,percent of total billed charges,29.33788505,,,,,,,,,,31.5,percent of total billed charges,28.90588505,,,,,,,,,,31.5,percent of total billed charges,29.64967597,,,,,,,,,,31.5,percent of total billed charges,999999999,,,,,,,,,,31.5,percent of total billed charges,25.44150991,,,,,,,,,,31.5,percent of total billed charges,40.12301557,,,,,,,,,,31.5,percent of total billed charges,999999999,,,,,,,,,,31.5,percent of total billed charges,27.43216985,,,,,,,,,,113.4,percent of total billed charges,,,,,
SIMP REPR SUPERFICIAL WND 2.5CM OR <,12001,CDM,,,,both,,,674,674,143.4837787,674,674,percent of total billed charges,495.8857443,,,,674,percent of total billed charges,525.6290841,,,,674,percent of total billed charges,495.8857443,,,,674,percent of total billed charges,525.6290841,,,,674,percent of total billed charges,999999999,,,,674,percent of total billed charges,513.5416763,,,,674,percent of total billed charges,495.8857443,,,,674,percent of total billed charges,525.6290841,,,,480.562,percent of total billed charges,239.8092323,,,,480.562,percent of total billed charges,143.4837787,,,,480.562,percent of total billed charges,239.8092323,,,,480.562,percent of total billed charges,143.4837787,,,,480.562,percent of total billed charges,239.8092323,,,,480.562,percent of total billed charges,143.4837787,,,,475.844,percent of total billed charges,472.2336422,,,,475.844,percent of total billed charges,325.6958001,,,,,,,,,,485.28,percent of total billed charges,315.4205803,,,,,,,,,,485.28,percent of total billed charges,999999999,,,,,,,,,,539.2,percent of total billed charges,451.8215714,,,,532.46,percent of total billed charges,513.8468144,,,,532.46,percent of total billed charges,454.0006696,,,,539.2,percent of total billed charges,999999999,,,,539.2,percent of total billed charges,999999999,,,,471.8,percent of total billed charges,999999999,,,,471.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,358.568,percent of total billed charges,999999999,,,,,,,,,,,,,,,,340.37,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,168.5,percent of total billed charges,160.0337834,,,,,,,,,,168.5,percent of total billed charges,157.3717303,,,,,,,,,,168.5,percent of total billed charges,156.934401,,,,,,,,,,168.5,percent of total billed charges,154.6235439,,,,,,,,,,168.5,percent of total billed charges,158.6022349,,,,,,,,,,168.5,percent of total billed charges,999999999,,,,,,,,,,168.5,percent of total billed charges,136.0918864,,,,,,,,,,168.5,percent of total billed charges,214.6262896,,,,,,,,,,168.5,percent of total billed charges,999999999,,,,,,,,,,168.5,percent of total billed charges,146.7403372,,,,,,,,,,606.6,percent of total billed charges,,,,,
**SIMP REPR SUPERFCL WND 2.6-7.5CM,12002,CDM,,,,both,,,146,146,31.08105592,146,146,percent of total billed charges,107.4173868,,,,146,percent of total billed charges,113.8603061,,,,146,percent of total billed charges,107.4173868,,,,146,percent of total billed charges,113.8603061,,,,146,percent of total billed charges,999999999,,,,146,percent of total billed charges,111.2419655,,,,146,percent of total billed charges,107.4173868,,,,146,percent of total billed charges,113.8603061,,,,104.098,percent of total billed charges,51.946807,,,,104.098,percent of total billed charges,31.08105592,,,,104.098,percent of total billed charges,51.946807,,,,104.098,percent of total billed charges,31.08105592,,,,104.098,percent of total billed charges,51.946807,,,,104.098,percent of total billed charges,31.08105592,,,,103.076,percent of total billed charges,102.2939344,,,,103.076,percent of total billed charges,70.55131575,,,,,,,,,,105.12,percent of total billed charges,68.3255263,,,,,,,,,,105.12,percent of total billed charges,999999999,,,,,,,,,,116.8,percent of total billed charges,97.87232853,,,,115.34,percent of total billed charges,111.3080636,,,,115.34,percent of total billed charges,98.3443587,,,,116.8,percent of total billed charges,999999999,,,,116.8,percent of total billed charges,999999999,,,,102.2,percent of total billed charges,999999999,,,,102.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,77.672,percent of total billed charges,999999999,,,,,,,,,,,,,,,,73.73,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,36.5,percent of total billed charges,34.66607177,,,,,,,,,,36.5,percent of total billed charges,34.08942526,,,,,,,,,,36.5,percent of total billed charges,33.9946922,,,,,,,,,,36.5,percent of total billed charges,33.49412078,,,,,,,,,,36.5,percent of total billed charges,34.35597374,,,,,,,,,,36.5,percent of total billed charges,999999999,,,,,,,,,,36.5,percent of total billed charges,29.47984482,,,,,,,,,,36.5,percent of total billed charges,46.4917482,,,,,,,,,,36.5,percent of total billed charges,999999999,,,,,,,,,,36.5,percent of total billed charges,31.78648253,,,,,,,,,,131.4,percent of total billed charges,,,,,
SIMP REPR SUPERFCL WND 2.6-7.5CM,12002,CDM,,,,both,,,607,607,129.2205544,607,607,percent of total billed charges,446.5914641,,,,607,percent of total billed charges,473.3781218,,,,607,percent of total billed charges,446.5914641,,,,607,percent of total billed charges,473.3781218,,,,607,percent of total billed charges,999999999,,,,607,percent of total billed charges,462.4922811,,,,607,percent of total billed charges,446.5914641,,,,607,percent of total billed charges,473.3781218,,,,432.791,percent of total billed charges,215.9706291,,,,432.791,percent of total billed charges,129.2205544,,,,432.791,percent of total billed charges,215.9706291,,,,432.791,percent of total billed charges,129.2205544,,,,432.791,percent of total billed charges,215.9706291,,,,432.791,percent of total billed charges,129.2205544,,,,428.542,percent of total billed charges,425.2905353,,,,428.542,percent of total billed charges,293.3195114,,,,,,,,,,437.04,percent of total billed charges,284.0657155,,,,,,,,,,437.04,percent of total billed charges,999999999,,,,,,,,,,485.6,percent of total billed charges,406.9075577,,,,479.53,percent of total billed charges,462.7670865,,,,479.53,percent of total billed charges,408.8700393,,,,485.6,percent of total billed charges,999999999,,,,485.6,percent of total billed charges,999999999,,,,424.9,percent of total billed charges,999999999,,,,424.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,322.924,percent of total billed charges,999999999,,,,,,,,,,,,,,,,306.535,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,151.75,percent of total billed charges,144.1253806,,,,,,,,,,151.75,percent of total billed charges,141.727953,,,,,,,,,,151.75,percent of total billed charges,141.334097,,,,,,,,,,151.75,percent of total billed charges,139.2529542,,,,,,,,,,151.75,percent of total billed charges,142.8361374,,,,,,,,,,151.75,percent of total billed charges,999999999,,,,,,,,,,151.75,percent of total billed charges,122.5634644,,,,,,,,,,151.75,percent of total billed charges,193.2910353,,,,,,,,,,151.75,percent of total billed charges,999999999,,,,,,,,,,151.75,percent of total billed charges,132.1533897,,,,,,,,,,546.3,percent of total billed charges,,,,,
**SIMPLE REPR SUPERFCL WND 7.6-12.5CM,12004,CDM,,,,both,,,197,197,41.93813709,197,197,percent of total billed charges,144.9398986,,,,197,percent of total billed charges,153.6334267,,,,197,percent of total billed charges,144.9398986,,,,197,percent of total billed charges,153.6334267,,,,197,percent of total billed charges,999999999,,,,197,percent of total billed charges,150.1004603,,,,197,percent of total billed charges,144.9398986,,,,197,percent of total billed charges,153.6334267,,,,140.461,percent of total billed charges,70.09260944,,,,140.461,percent of total billed charges,41.93813709,,,,140.461,percent of total billed charges,70.09260944,,,,140.461,percent of total billed charges,41.93813709,,,,140.461,percent of total billed charges,70.09260944,,,,140.461,percent of total billed charges,41.93813709,,,,139.082,percent of total billed charges,138.0267471,,,,139.082,percent of total billed charges,95.19595344,,,,,,,,,,141.84,percent of total billed charges,92.19266221,,,,,,,,,,141.84,percent of total billed charges,999999999,,,,,,,,,,157.6,percent of total billed charges,132.0606077,,,,155.63,percent of total billed charges,150.1896475,,,,155.63,percent of total billed charges,132.6975251,,,,157.6,percent of total billed charges,999999999,,,,157.6,percent of total billed charges,999999999,,,,137.9,percent of total billed charges,999999999,,,,137.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,104.804,percent of total billed charges,999999999,,,,,,,,,,,,,,,,99.485,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,49.25,percent of total billed charges,46.77545301,,,,,,,,,,49.25,percent of total billed charges,45.99737518,,,,,,,,,,49.25,percent of total billed charges,45.86955044,,,,,,,,,,49.25,percent of total billed charges,45.19412187,,,,,,,,,,49.25,percent of total billed charges,46.35703306,,,,,,,,,,49.25,percent of total billed charges,999999999,,,,,,,,,,49.25,percent of total billed charges,39.77759883,,,,,,,,,,49.25,percent of total billed charges,62.73201641,,,,,,,,,,49.25,percent of total billed charges,999999999,,,,,,,,,,49.25,percent of total billed charges,42.88997985,,,,,,,,,,177.3,percent of total billed charges,,,,,
SIMPLE REPR SUPERFCL WND 7.6-12.5CM,12004,CDM,,,,both,,,197,197,41.93813709,197,197,percent of total billed charges,144.9398986,,,,197,percent of total billed charges,153.6334267,,,,197,percent of total billed charges,144.9398986,,,,197,percent of total billed charges,153.6334267,,,,197,percent of total billed charges,999999999,,,,197,percent of total billed charges,150.1004603,,,,197,percent of total billed charges,144.9398986,,,,197,percent of total billed charges,153.6334267,,,,140.461,percent of total billed charges,70.09260944,,,,140.461,percent of total billed charges,41.93813709,,,,140.461,percent of total billed charges,70.09260944,,,,140.461,percent of total billed charges,41.93813709,,,,140.461,percent of total billed charges,70.09260944,,,,140.461,percent of total billed charges,41.93813709,,,,139.082,percent of total billed charges,138.0267471,,,,139.082,percent of total billed charges,95.19595344,,,,,,,,,,141.84,percent of total billed charges,92.19266221,,,,,,,,,,141.84,percent of total billed charges,999999999,,,,,,,,,,157.6,percent of total billed charges,132.0606077,,,,155.63,percent of total billed charges,150.1896475,,,,155.63,percent of total billed charges,132.6975251,,,,157.6,percent of total billed charges,999999999,,,,157.6,percent of total billed charges,999999999,,,,137.9,percent of total billed charges,999999999,,,,137.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,104.804,percent of total billed charges,999999999,,,,,,,,,,,,,,,,99.485,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,49.25,percent of total billed charges,46.77545301,,,,,,,,,,49.25,percent of total billed charges,45.99737518,,,,,,,,,,49.25,percent of total billed charges,45.86955044,,,,,,,,,,49.25,percent of total billed charges,45.19412187,,,,,,,,,,49.25,percent of total billed charges,46.35703306,,,,,,,,,,49.25,percent of total billed charges,999999999,,,,,,,,,,49.25,percent of total billed charges,39.77759883,,,,,,,,,,49.25,percent of total billed charges,62.73201641,,,,,,,,,,49.25,percent of total billed charges,999999999,,,,,,,,,,49.25,percent of total billed charges,42.88997985,,,,,,,,,,177.3,percent of total billed charges,,,,,
SIMP RPR SUPERFCL WND 12.6-20.0 CM,12005,CDM,,,,both,,,231,231,49.17619121,231,231,percent of total billed charges,169.9549064,,,,231,percent of total billed charges,180.1488404,,,,231,percent of total billed charges,169.9549064,,,,231,percent of total billed charges,180.1488404,,,,231,percent of total billed charges,999999999,,,,231,percent of total billed charges,176.0061235,,,,231,percent of total billed charges,169.9549064,,,,231,percent of total billed charges,180.1488404,,,,164.703,percent of total billed charges,82.18981107,,,,164.703,percent of total billed charges,49.17619121,,,,164.703,percent of total billed charges,82.18981107,,,,164.703,percent of total billed charges,49.17619121,,,,164.703,percent of total billed charges,82.18981107,,,,164.703,percent of total billed charges,49.17619121,,,,163.086,percent of total billed charges,161.8486222,,,,163.086,percent of total billed charges,111.6257119,,,,,,,,,,166.32,percent of total billed charges,108.1040861,,,,,,,,,,166.32,percent of total billed charges,999999999,,,,,,,,,,184.8,percent of total billed charges,154.8527938,,,,182.49,percent of total billed charges,176.1107034,,,,182.49,percent of total billed charges,155.599636,,,,184.8,percent of total billed charges,999999999,,,,184.8,percent of total billed charges,999999999,,,,161.7,percent of total billed charges,999999999,,,,161.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,122.892,percent of total billed charges,999999999,,,,,,,,,,,,,,,,116.655,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,57.75,percent of total billed charges,54.84837383,,,,,,,,,,57.75,percent of total billed charges,53.93600846,,,,,,,,,,57.75,percent of total billed charges,53.7861226,,,,,,,,,,57.75,percent of total billed charges,52.9941226,,,,,,,,,,57.75,percent of total billed charges,54.35773928,,,,,,,,,,57.75,percent of total billed charges,999999999,,,,,,,,,,57.75,percent of total billed charges,46.64276817,,,,,,,,,,57.75,percent of total billed charges,73.55886188,,,,,,,,,,57.75,percent of total billed charges,999999999,,,,,,,,,,57.75,percent of total billed charges,50.2923114,,,,,,,,,,207.9,percent of total billed charges,,,,,
SIMPLE REP SUPERFCL WND 20.1-30.0CM,12006,CDM,,,,both,,,245,245,52.15656643,245,245,percent of total billed charges,180.2552038,,,,245,percent of total billed charges,191.066952,,,,245,percent of total billed charges,180.2552038,,,,245,percent of total billed charges,191.066952,,,,245,percent of total billed charges,999999999,,,,245,percent of total billed charges,186.6731613,,,,245,percent of total billed charges,180.2552038,,,,245,percent of total billed charges,191.066952,,,,174.685,percent of total billed charges,87.17101174,,,,174.685,percent of total billed charges,52.15656643,,,,174.685,percent of total billed charges,87.17101174,,,,174.685,percent of total billed charges,52.15656643,,,,174.685,percent of total billed charges,87.17101174,,,,174.685,percent of total billed charges,52.15656643,,,,172.97,percent of total billed charges,171.6576296,,,,172.97,percent of total billed charges,118.3909066,,,,,,,,,,176.4,percent of total billed charges,114.6558489,,,,,,,,,,176.4,percent of total billed charges,999999999,,,,,,,,,,196,percent of total billed charges,164.2378116,,,,193.55,percent of total billed charges,186.7840794,,,,193.55,percent of total billed charges,165.029917,,,,196,percent of total billed charges,999999999,,,,196,percent of total billed charges,999999999,,,,171.5,percent of total billed charges,999999999,,,,171.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,130.34,percent of total billed charges,999999999,,,,,,,,,,,,,,,,123.725,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,61.25,percent of total billed charges,58.1725177,,,,,,,,,,61.25,percent of total billed charges,57.20485745,,,,,,,,,,61.25,percent of total billed charges,57.0458876,,,,,,,,,,61.25,percent of total billed charges,56.2058876,,,,,,,,,,61.25,percent of total billed charges,57.65214772,,,,,,,,,,61.25,percent of total billed charges,999999999,,,,,,,,,,61.25,percent of total billed charges,49.46960261,,,,,,,,,,61.25,percent of total billed charges,78.01697472,,,,,,,,,,61.25,percent of total billed charges,999999999,,,,,,,,,,61.25,percent of total billed charges,53.34033027,,,,,,,,,,220.5,percent of total billed charges,,,,,
SIMPLE REPAIR > 30.0CM,12007,CDM,,,,both,,,209,209,44.49274443,209,209,percent of total billed charges,153.7687249,,,,209,percent of total billed charges,162.991808,,,,209,percent of total billed charges,153.7687249,,,,209,percent of total billed charges,162.991808,,,,209,percent of total billed charges,999999999,,,,209,percent of total billed charges,159.2436355,,,,209,percent of total billed charges,153.7687249,,,,209,percent of total billed charges,162.991808,,,,149.017,percent of total billed charges,74.36221002,,,,149.017,percent of total billed charges,44.49274443,,,,149.017,percent of total billed charges,74.36221002,,,,149.017,percent of total billed charges,44.49274443,,,,149.017,percent of total billed charges,74.36221002,,,,149.017,percent of total billed charges,44.49274443,,,,147.554,percent of total billed charges,146.4344677,,,,147.554,percent of total billed charges,100.9946917,,,,,,,,,,150.48,percent of total billed charges,97.80845889,,,,,,,,,,150.48,percent of total billed charges,999999999,,,,,,,,,,167.2,percent of total billed charges,140.1049087,,,,165.11,percent of total billed charges,159.3382555,,,,165.11,percent of total billed charges,140.7806231,,,,167.2,percent of total billed charges,999999999,,,,167.2,percent of total billed charges,999999999,,,,146.3,percent of total billed charges,999999999,,,,146.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,111.188,percent of total billed charges,999999999,,,,,,,,,,,,,,,,105.545,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,52.25,percent of total billed charges,49.62471918,,,,,,,,,,52.25,percent of total billed charges,48.79924575,,,,,,,,,,52.25,percent of total billed charges,48.66363473,,,,,,,,,,52.25,percent of total billed charges,47.9470633,,,,,,,,,,52.25,percent of total billed charges,49.18081173,,,,,,,,,,52.25,percent of total billed charges,999999999,,,,,,,,,,52.25,percent of total billed charges,42.20059978,,,,,,,,,,52.25,percent of total billed charges,66.55325599,,,,,,,,,,52.25,percent of total billed charges,999999999,,,,,,,,,,52.25,percent of total billed charges,45.50256746,,,,,,,,,,188.1,percent of total billed charges,,,,,
SIMPLE REP 2.5CM OR <FACE EAR EYELI,12011,CDM,,,,both,,,703,703,149.6574131,703,703,percent of total billed charges,517.2220746,,,,703,percent of total billed charges,548.2451723,,,,703,percent of total billed charges,517.2220746,,,,703,percent of total billed charges,548.2451723,,,,703,percent of total billed charges,999999999,,,,703,percent of total billed charges,535.6376831,,,,703,percent of total billed charges,517.2220746,,,,703,percent of total billed charges,548.2451723,,,,501.239,percent of total billed charges,250.1274337,,,,501.239,percent of total billed charges,149.6574131,,,,501.239,percent of total billed charges,250.1274337,,,,501.239,percent of total billed charges,149.6574131,,,,501.239,percent of total billed charges,250.1274337,,,,501.239,percent of total billed charges,149.6574131,,,,496.318,percent of total billed charges,492.5523004,,,,496.318,percent of total billed charges,339.7094176,,,,,,,,,,506.16,percent of total billed charges,328.992089,,,,,,,,,,506.16,percent of total billed charges,999999999,,,,,,,,,,562.4,percent of total billed charges,471.2619655,,,,555.37,percent of total billed charges,535.9559503,,,,555.37,percent of total billed charges,473.5348231,,,,562.4,percent of total billed charges,999999999,,,,562.4,percent of total billed charges,999999999,,,,492.1,percent of total billed charges,999999999,,,,492.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,373.996,percent of total billed charges,999999999,,,,,,,,,,,,,,,,355.015,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,175.75,percent of total billed charges,166.91951,,,,,,,,,,175.75,percent of total billed charges,164.1429175,,,,,,,,,,175.75,percent of total billed charges,163.6867714,,,,,,,,,,175.75,percent of total billed charges,161.2764857,,,,,,,,,,175.75,percent of total billed charges,165.4263667,,,,,,,,,,175.75,percent of total billed charges,999999999,,,,,,,,,,175.75,percent of total billed charges,141.947472,,,,,,,,,,175.75,percent of total billed charges,223.860952,,,,,,,,,,175.75,percent of total billed charges,999999999,,,,,,,,,,175.75,percent of total billed charges,153.0540905,,,,,,,,,,632.7,percent of total billed charges,,,,,
**SIMPLE REP 2.5 CM OR <FACE EAR EYE,12011,CDM,,,,both,,,141,141,30.01663619,141,141,percent of total billed charges,103.7387091,,,,141,percent of total billed charges,109.9609805,,,,141,percent of total billed charges,103.7387091,,,,141,percent of total billed charges,109.9609805,,,,141,percent of total billed charges,999999999,,,,141,percent of total billed charges,107.4323091,,,,141,percent of total billed charges,103.7387091,,,,141,percent of total billed charges,109.9609805,,,,100.533,percent of total billed charges,50.16780676,,,,100.533,percent of total billed charges,30.01663619,,,,100.533,percent of total billed charges,50.16780676,,,,100.533,percent of total billed charges,30.01663619,,,,100.533,percent of total billed charges,50.16780676,,,,100.533,percent of total billed charges,30.01663619,,,,99.546,percent of total billed charges,98.79071744,,,,99.546,percent of total billed charges,68.1351748,,,,,,,,,,101.52,percent of total billed charges,65.98561102,,,,,,,,,,101.52,percent of total billed charges,999999999,,,,,,,,,,112.8,percent of total billed charges,94.52053646,,,,111.39,percent of total billed charges,107.4961437,,,,111.39,percent of total billed charges,94.97640121,,,,112.8,percent of total billed charges,999999999,,,,112.8,percent of total billed charges,999999999,,,,98.7,percent of total billed charges,999999999,,,,98.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,75.012,percent of total billed charges,999999999,,,,,,,,,,,,,,,,71.205,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,35.25,percent of total billed charges,33.47887753,,,,,,,,,,35.25,percent of total billed charges,32.92197919,,,,,,,,,,35.25,percent of total billed charges,32.83049042,,,,,,,,,,35.25,percent of total billed charges,32.34706184,,,,,,,,,,35.25,percent of total billed charges,33.1793993,,,,,,,,,,35.25,percent of total billed charges,999999999,,,,,,,,,,35.25,percent of total billed charges,28.47026109,,,,,,,,,,35.25,percent of total billed charges,44.89956504,,,,,,,,,,35.25,percent of total billed charges,999999999,,,,,,,,,,35.25,percent of total billed charges,30.69790436,,,,,,,,,,126.9,percent of total billed charges,,,,,
**SIMPLE REP 2.6-5.0CM FACE EAR EYELID,12013,CDM,,,,both,,,169,169,35.97738664,169,169,percent of total billed charges,124.3393038,,,,169,percent of total billed charges,131.7972036,,,,169,percent of total billed charges,124.3393038,,,,169,percent of total billed charges,131.7972036,,,,169,percent of total billed charges,999999999,,,,169,percent of total billed charges,128.7663847,,,,169,percent of total billed charges,124.3393038,,,,169,percent of total billed charges,131.7972036,,,,120.497,percent of total billed charges,60.1302081,,,,120.497,percent of total billed charges,35.97738664,,,,120.497,percent of total billed charges,60.1302081,,,,120.497,percent of total billed charges,35.97738664,,,,120.497,percent of total billed charges,60.1302081,,,,120.497,percent of total billed charges,35.97738664,,,,119.314,percent of total billed charges,118.4087322,,,,119.314,percent of total billed charges,81.66556412,,,,,,,,,,121.68,percent of total billed charges,79.08913661,,,,,,,,,,121.68,percent of total billed charges,999999999,,,,,,,,,,135.2,percent of total billed charges,113.2905721,,,,133.51,percent of total billed charges,128.8428956,,,,133.51,percent of total billed charges,113.8369632,,,,135.2,percent of total billed charges,999999999,,,,135.2,percent of total billed charges,999999999,,,,118.3,percent of total billed charges,999999999,,,,118.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,89.908,percent of total billed charges,999999999,,,,,,,,,,,,,,,,85.345,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,42.25,percent of total billed charges,40.12716527,,,,,,,,,,42.25,percent of total billed charges,39.45967718,,,,,,,,,,42.25,percent of total billed charges,39.35002043,,,,,,,,,,42.25,percent of total billed charges,38.77059186,,,,,,,,,,42.25,percent of total billed charges,39.76821618,,,,,,,,,,42.25,percent of total billed charges,999999999,,,,,,,,,,42.25,percent of total billed charges,34.12392996,,,,,,,,,,42.25,percent of total billed charges,53.81579073,,,,,,,,,,42.25,percent of total billed charges,999999999,,,,,,,,,,42.25,percent of total billed charges,36.79394211,,,,,,,,,,152.1,percent of total billed charges,,,,,
SIMPLE REP 2.6-5.0CM FACE EAR EYELID,12013,CDM,,,,both,,,748,748,159.2371906,748,748,percent of total billed charges,550.3301732,,,,748,percent of total billed charges,583.3391023,,,,748,percent of total billed charges,550.3301732,,,,748,percent of total billed charges,583.3391023,,,,748,percent of total billed charges,999999999,,,,748,percent of total billed charges,569.9245903,,,,748,percent of total billed charges,550.3301732,,,,748,percent of total billed charges,583.3391023,,,,533.324,percent of total billed charges,266.1384358,,,,533.324,percent of total billed charges,159.2371906,,,,533.324,percent of total billed charges,266.1384358,,,,533.324,percent of total billed charges,159.2371906,,,,533.324,percent of total billed charges,266.1384358,,,,533.324,percent of total billed charges,159.2371906,,,,528.088,percent of total billed charges,524.0812528,,,,528.088,percent of total billed charges,361.4546862,,,,,,,,,,538.56,percent of total billed charges,350.0513265,,,,,,,,,,538.56,percent of total billed charges,999999999,,,,,,,,,,598.4,percent of total billed charges,501.4280941,,,,590.92,percent of total billed charges,570.2632302,,,,590.92,percent of total billed charges,503.8464405,,,,598.4,percent of total billed charges,999999999,,,,598.4,percent of total billed charges,999999999,,,,523.6,percent of total billed charges,999999999,,,,523.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,397.936,percent of total billed charges,999999999,,,,,,,,,,,,,,,,377.74,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,187,percent of total billed charges,177.6042581,,,,,,,,,,187,percent of total billed charges,174.6499321,,,,,,,,,,187,percent of total billed charges,174.1645875,,,,,,,,,,187,percent of total billed charges,171.600016,,,,,,,,,,187,percent of total billed charges,176.0155367,,,,,,,,,,187,percent of total billed charges,999999999,,,,,,,,,,187,percent of total billed charges,151.0337255,,,,,,,,,,187,percent of total billed charges,238.1906004,,,,,,,,,,187,percent of total billed charges,999999999,,,,,,,,,,187,percent of total billed charges,162.8512941,,,,,,,,,,673.2,percent of total billed charges,,,,,
SIMP REP 5.1-7.5CM FACE EAR EYELID N,12014,CDM,,,,both,,,198,198,42.15102104,198,198,percent of total billed charges,145.6756341,,,,198,percent of total billed charges,154.4132918,,,,198,percent of total billed charges,145.6756341,,,,198,percent of total billed charges,154.4132918,,,,198,percent of total billed charges,999999999,,,,198,percent of total billed charges,150.8623915,,,,198,percent of total billed charges,145.6756341,,,,198,percent of total billed charges,154.4132918,,,,141.174,percent of total billed charges,70.44840949,,,,141.174,percent of total billed charges,42.15102104,,,,141.174,percent of total billed charges,70.44840949,,,,141.174,percent of total billed charges,42.15102104,,,,141.174,percent of total billed charges,70.44840949,,,,141.174,percent of total billed charges,42.15102104,,,,139.788,percent of total billed charges,138.7273904,,,,139.788,percent of total billed charges,95.67918163,,,,,,,,,,142.56,percent of total billed charges,92.66064526,,,,,,,,,,142.56,percent of total billed charges,999999999,,,,,,,,,,158.4,percent of total billed charges,132.7309661,,,,156.42,percent of total billed charges,150.9520315,,,,156.42,percent of total billed charges,133.3711166,,,,158.4,percent of total billed charges,999999999,,,,158.4,percent of total billed charges,999999999,,,,138.6,percent of total billed charges,999999999,,,,138.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,105.336,percent of total billed charges,999999999,,,,,,,,,,,,,,,,99.99,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,49.5,percent of total billed charges,47.01289186,,,,,,,,,,49.5,percent of total billed charges,46.23086439,,,,,,,,,,49.5,percent of total billed charges,46.1023908,,,,,,,,,,49.5,percent of total billed charges,45.42353365,,,,,,,,,,49.5,percent of total billed charges,46.59234795,,,,,,,,,,49.5,percent of total billed charges,999999999,,,,,,,,,,49.5,percent of total billed charges,39.97951558,,,,,,,,,,49.5,percent of total billed charges,63.05045304,,,,,,,,,,49.5,percent of total billed charges,999999999,,,,,,,,,,49.5,percent of total billed charges,43.10769549,,,,,,,,,,178.2,percent of total billed charges,,,,,
**SIMPLE REP 5.1-7.5CM FACE EAR EYELID,12014,CDM,,,,both,,,198,198,42.15102104,198,198,percent of total billed charges,145.6756341,,,,198,percent of total billed charges,154.4132918,,,,198,percent of total billed charges,145.6756341,,,,198,percent of total billed charges,154.4132918,,,,198,percent of total billed charges,999999999,,,,198,percent of total billed charges,150.8623915,,,,198,percent of total billed charges,145.6756341,,,,198,percent of total billed charges,154.4132918,,,,141.174,percent of total billed charges,70.44840949,,,,141.174,percent of total billed charges,42.15102104,,,,141.174,percent of total billed charges,70.44840949,,,,141.174,percent of total billed charges,42.15102104,,,,141.174,percent of total billed charges,70.44840949,,,,141.174,percent of total billed charges,42.15102104,,,,139.788,percent of total billed charges,138.7273904,,,,139.788,percent of total billed charges,95.67918163,,,,,,,,,,142.56,percent of total billed charges,92.66064526,,,,,,,,,,142.56,percent of total billed charges,999999999,,,,,,,,,,158.4,percent of total billed charges,132.7309661,,,,156.42,percent of total billed charges,150.9520315,,,,156.42,percent of total billed charges,133.3711166,,,,158.4,percent of total billed charges,999999999,,,,158.4,percent of total billed charges,999999999,,,,138.6,percent of total billed charges,999999999,,,,138.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,105.336,percent of total billed charges,999999999,,,,,,,,,,,,,,,,99.99,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,49.5,percent of total billed charges,47.01289186,,,,,,,,,,49.5,percent of total billed charges,46.23086439,,,,,,,,,,49.5,percent of total billed charges,46.1023908,,,,,,,,,,49.5,percent of total billed charges,45.42353365,,,,,,,,,,49.5,percent of total billed charges,46.59234795,,,,,,,,,,49.5,percent of total billed charges,999999999,,,,,,,,,,49.5,percent of total billed charges,39.97951558,,,,,,,,,,49.5,percent of total billed charges,63.05045304,,,,,,,,,,49.5,percent of total billed charges,999999999,,,,,,,,,,49.5,percent of total billed charges,43.10769549,,,,,,,,,,178.2,percent of total billed charges,,,,,
SIMPLE REP 7.6-12.5CM FACE EAR EYELI,12015,CDM,,,,both,,,203,203,43.21544076,203,203,percent of total billed charges,149.3543117,,,,203,percent of total billed charges,158.3126173,,,,203,percent of total billed charges,149.3543117,,,,203,percent of total billed charges,158.3126173,,,,203,percent of total billed charges,999999999,,,,203,percent of total billed charges,154.6720479,,,,203,percent of total billed charges,149.3543117,,,,203,percent of total billed charges,158.3126173,,,,144.739,percent of total billed charges,72.22740973,,,,144.739,percent of total billed charges,43.21544076,,,,144.739,percent of total billed charges,72.22740973,,,,144.739,percent of total billed charges,43.21544076,,,,144.739,percent of total billed charges,72.22740973,,,,144.739,percent of total billed charges,43.21544076,,,,143.318,percent of total billed charges,142.2306074,,,,143.318,percent of total billed charges,98.09532258,,,,,,,,,,146.16,percent of total billed charges,95.00056055,,,,,,,,,,146.16,percent of total billed charges,999999999,,,,,,,,,,162.4,percent of total billed charges,136.0827582,,,,160.37,percent of total billed charges,154.7639515,,,,160.37,percent of total billed charges,136.7390741,,,,162.4,percent of total billed charges,999999999,,,,162.4,percent of total billed charges,999999999,,,,142.1,percent of total billed charges,999999999,,,,142.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,107.996,percent of total billed charges,999999999,,,,,,,,,,,,,,,,102.515,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,50.75,percent of total billed charges,48.2000861,,,,,,,,,,50.75,percent of total billed charges,47.39831046,,,,,,,,,,50.75,percent of total billed charges,47.26659259,,,,,,,,,,50.75,percent of total billed charges,46.57059258,,,,,,,,,,50.75,percent of total billed charges,47.7689224,,,,,,,,,,50.75,percent of total billed charges,999999999,,,,,,,,,,50.75,percent of total billed charges,40.9890993,,,,,,,,,,50.75,percent of total billed charges,64.6426362,,,,,,,,,,50.75,percent of total billed charges,999999999,,,,,,,,,,50.75,percent of total billed charges,44.19627365,,,,,,,,,,182.7,percent of total billed charges,,,,,
**SIMPLE REP 12.6-20.0CM FACE EAR EYEL,12016,CDM,,,,both,,,291,291,61.94922789,291,291,percent of total billed charges,214.099038,,,,291,percent of total billed charges,226.940747,,,,291,percent of total billed charges,214.099038,,,,291,percent of total billed charges,226.940747,,,,291,percent of total billed charges,999999999,,,,291,percent of total billed charges,221.7219997,,,,291,percent of total billed charges,214.099038,,,,291,percent of total billed charges,226.940747,,,,207.483,percent of total billed charges,103.5378139,,,,207.483,percent of total billed charges,61.94922789,,,,207.483,percent of total billed charges,103.5378139,,,,207.483,percent of total billed charges,61.94922789,,,,207.483,percent of total billed charges,103.5378139,,,,207.483,percent of total billed charges,61.94922789,,,,205.446,percent of total billed charges,203.8872253,,,,205.446,percent of total billed charges,140.6194033,,,,,,,,,,209.52,percent of total billed charges,136.1830696,,,,,,,,,,209.52,percent of total billed charges,999999999,,,,,,,,,,232.8,percent of total billed charges,195.0742986,,,,229.89,percent of total billed charges,221.8537433,,,,229.89,percent of total billed charges,196.0151259,,,,232.8,percent of total billed charges,999999999,,,,232.8,percent of total billed charges,999999999,,,,203.7,percent of total billed charges,999999999,,,,203.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,154.812,percent of total billed charges,999999999,,,,,,,,,,,,,,,,146.955,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,72.75,percent of total billed charges,69.0947047,,,,,,,,,,72.75,percent of total billed charges,67.9453613,,,,,,,,,,72.75,percent of total billed charges,67.75654405,,,,,,,,,,72.75,percent of total billed charges,66.75882976,,,,,,,,,,72.75,percent of total billed charges,68.4766326,,,,,,,,,,72.75,percent of total billed charges,999999999,,,,,,,,,,72.75,percent of total billed charges,58.7577729,,,,,,,,,,72.75,percent of total billed charges,92.66505977,,,,,,,,,,72.75,percent of total billed charges,999999999,,,,,,,,,,72.75,percent of total billed charges,63.35524943,,,,,,,,,,261.9,percent of total billed charges,,,,,
SIMPLE REP 12.6-20.0CM FACE EAR EYEL,12016,CDM,,,,both,,,291,291,61.94922789,291,291,percent of total billed charges,214.099038,,,,291,percent of total billed charges,226.940747,,,,291,percent of total billed charges,214.099038,,,,291,percent of total billed charges,226.940747,,,,291,percent of total billed charges,999999999,,,,291,percent of total billed charges,221.7219997,,,,291,percent of total billed charges,214.099038,,,,291,percent of total billed charges,226.940747,,,,207.483,percent of total billed charges,103.5378139,,,,207.483,percent of total billed charges,61.94922789,,,,207.483,percent of total billed charges,103.5378139,,,,207.483,percent of total billed charges,61.94922789,,,,207.483,percent of total billed charges,103.5378139,,,,207.483,percent of total billed charges,61.94922789,,,,205.446,percent of total billed charges,203.8872253,,,,205.446,percent of total billed charges,140.6194033,,,,,,,,,,209.52,percent of total billed charges,136.1830696,,,,,,,,,,209.52,percent of total billed charges,999999999,,,,,,,,,,232.8,percent of total billed charges,195.0742986,,,,229.89,percent of total billed charges,221.8537433,,,,229.89,percent of total billed charges,196.0151259,,,,232.8,percent of total billed charges,999999999,,,,232.8,percent of total billed charges,999999999,,,,203.7,percent of total billed charges,999999999,,,,203.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,154.812,percent of total billed charges,999999999,,,,,,,,,,,,,,,,146.955,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,72.75,percent of total billed charges,69.0947047,,,,,,,,,,72.75,percent of total billed charges,67.9453613,,,,,,,,,,72.75,percent of total billed charges,67.75654405,,,,,,,,,,72.75,percent of total billed charges,66.75882976,,,,,,,,,,72.75,percent of total billed charges,68.4766326,,,,,,,,,,72.75,percent of total billed charges,999999999,,,,,,,,,,72.75,percent of total billed charges,58.7577729,,,,,,,,,,72.75,percent of total billed charges,92.66505977,,,,,,,,,,72.75,percent of total billed charges,999999999,,,,,,,,,,72.75,percent of total billed charges,63.35524943,,,,,,,,,,261.9,percent of total billed charges,,,,,
SIMPLE REP 20.1-30CM FACE EAR EYELID,12017,CDM,,,,both,,,1320,1320,281.0068069,1320,1320,percent of total billed charges,971.170894,,,,1320,percent of total billed charges,1029.421945,,,,1320,percent of total billed charges,971.170894,,,,1320,percent of total billed charges,1029.421945,,,,1320,percent of total billed charges,999999999,,,,1320,percent of total billed charges,1005.749277,,,,1320,percent of total billed charges,971.170894,,,,1320,percent of total billed charges,1029.421945,,,,941.16,percent of total billed charges,469.6560633,,,,941.16,percent of total billed charges,281.0068069,,,,941.16,percent of total billed charges,469.6560633,,,,941.16,percent of total billed charges,281.0068069,,,,941.16,percent of total billed charges,469.6560633,,,,941.16,percent of total billed charges,281.0068069,,,,931.92,percent of total billed charges,924.8492696,,,,931.92,percent of total billed charges,637.8612109,,,,,,,,,,950.4,percent of total billed charges,617.7376351,,,,,,,,,,950.4,percent of total billed charges,999999999,,,,,,,,,,1056,percent of total billed charges,884.8731073,,,,1042.8,percent of total billed charges,1006.346877,,,,1042.8,percent of total billed charges,889.1407773,,,,1056,percent of total billed charges,999999999,,,,1056,percent of total billed charges,999999999,,,,924,percent of total billed charges,999999999,,,,924,percent of total billed charges,999999999,,,,,,,,,,,,,,,,702.24,percent of total billed charges,999999999,,,,,,,,,,,,,,,,666.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,330,percent of total billed charges,313.419279,,,,,,,,,,330,percent of total billed charges,308.2057626,,,,,,,,,,330,percent of total billed charges,307.349272,,,,,,,,,,330,percent of total billed charges,302.8235577,,,,,,,,,,330,percent of total billed charges,310.615653,,,,,,,,,,330,percent of total billed charges,999999999,,,,,,,,,,330,percent of total billed charges,266.5301039,,,,,,,,,,330,percent of total billed charges,420.3363536,,,,,,,,,,330,percent of total billed charges,999999999,,,,,,,,,,330,percent of total billed charges,287.3846366,,,,,,,,,,1188,percent of total billed charges,,,,,
SIMPLE REP >30CM FACE EAR EYELID NO,12018,CDM,,,,both,,,417,417,88.77260491,417,417,percent of total billed charges,306.8017142,,,,417,percent of total billed charges,325.2037509,,,,417,percent of total billed charges,306.8017142,,,,417,percent of total billed charges,325.2037509,,,,417,percent of total billed charges,999999999,,,,417,percent of total billed charges,317.7253398,,,,417,percent of total billed charges,306.8017142,,,,417,percent of total billed charges,325.2037509,,,,297.321,percent of total billed charges,148.36862,,,,297.321,percent of total billed charges,88.77260491,,,,297.321,percent of total billed charges,148.36862,,,,297.321,percent of total billed charges,88.77260491,,,,297.321,percent of total billed charges,148.36862,,,,297.321,percent of total billed charges,88.77260491,,,,294.402,percent of total billed charges,292.168292,,,,294.402,percent of total billed charges,201.5061552,,,,,,,,,,300.24,percent of total billed charges,195.1489347,,,,,,,,,,300.24,percent of total billed charges,999999999,,,,,,,,,,333.6,percent of total billed charges,279.5394589,,,,329.43,percent of total billed charges,317.914127,,,,329.43,percent of total billed charges,280.8876546,,,,333.6,percent of total billed charges,999999999,,,,333.6,percent of total billed charges,999999999,,,,291.9,percent of total billed charges,999999999,,,,291.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,221.844,percent of total billed charges,999999999,,,,,,,,,,,,,,,,210.585,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,104.25,percent of total billed charges,99.01199952,,,,,,,,,,104.25,percent of total billed charges,97.36500228,,,,,,,,,,104.25,percent of total billed charges,97.0944291,,,,,,,,,,104.25,percent of total billed charges,95.66471482,,,,,,,,,,104.25,percent of total billed charges,98.12630857,,,,,,,,,,104.25,percent of total billed charges,999999999,,,,,,,,,,104.25,percent of total billed charges,84.19928281,,,,,,,,,,104.25,percent of total billed charges,132.7880753,,,,,,,,,,104.25,percent of total billed charges,999999999,,,,,,,,,,104.25,percent of total billed charges,90.78741928,,,,,,,,,,375.3,percent of total billed charges,,,,,
SIMPLE CLSR SUPERFICL WND DEHISCENCE,12020,CDM,,,,both,,,3889,3889,827.9056606,3889,3889,percent of total billed charges,2861.27546,,,,3889,percent of total billed charges,3032.895413,,,,3889,percent of total billed charges,2861.27546,,,,3889,percent of total billed charges,3032.895413,,,,3889,percent of total billed charges,999999999,,,,3889,percent of total billed charges,2963.150711,,,,3889,percent of total billed charges,2861.27546,,,,3889,percent of total billed charges,3032.895413,,,,2772.857,percent of total billed charges,1383.706386,,,,2772.857,percent of total billed charges,827.9056606,,,,2772.857,percent of total billed charges,1383.706386,,,,2772.857,percent of total billed charges,827.9056606,,,,2772.857,percent of total billed charges,1383.706386,,,,2772.857,percent of total billed charges,827.9056606,,,,2745.634,percent of total billed charges,2724.802128,,,,2745.634,percent of total billed charges,1879.274431,,,,,,,,,,2800.08,percent of total billed charges,1819.986108,,,,,,,,,,2800.08,percent of total billed charges,999999999,,,,,,,,,,3111.2,percent of total billed charges,2607.023874,,,,3072.31,percent of total billed charges,2964.911367,,,,3072.31,percent of total billed charges,2619.597335,,,,3111.2,percent of total billed charges,999999999,,,,3111.2,percent of total billed charges,999999999,,,,2722.3,percent of total billed charges,999999999,,,,2722.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2068.948,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1963.945,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,972.25,percent of total billed charges,923.399679,,,,,,,,,,972.25,percent of total billed charges,908.0395536,,,,,,,,,,972.25,percent of total billed charges,905.5161506,,,,,,,,,,972.25,percent of total billed charges,892.1824363,,,,,,,,,,972.25,percent of total billed charges,915.1396019,,,,,,,,,,972.25,percent of total billed charges,999999999,,,,,,,,,,972.25,percent of total billed charges,785.2542226,,,,,,,,,,972.25,percent of total billed charges,1238.40006,,,,,,,,,,972.25,percent of total billed charges,999999999,,,,,,,,,,972.25,percent of total billed charges,846.6960997,,,,,,,,,,3500.1,percent of total billed charges,,,,,
SUPERFCL WND DEHISCENCE W/PACKING,12021,CDM,,,,both,,,328,328,69.82593384,328,328,percent of total billed charges,241.3212524,,,,328,percent of total billed charges,255.7957561,,,,328,percent of total billed charges,241.3212524,,,,328,percent of total billed charges,255.7957561,,,,328,percent of total billed charges,999999999,,,,328,percent of total billed charges,249.9134567,,,,328,percent of total billed charges,241.3212524,,,,328,percent of total billed charges,255.7957561,,,,233.864,percent of total billed charges,116.7024157,,,,233.864,percent of total billed charges,69.82593384,,,,233.864,percent of total billed charges,116.7024157,,,,233.864,percent of total billed charges,69.82593384,,,,233.864,percent of total billed charges,116.7024157,,,,233.864,percent of total billed charges,69.82593384,,,,231.568,percent of total billed charges,229.8110306,,,,231.568,percent of total billed charges,158.4988463,,,,,,,,,,236.16,percent of total billed charges,153.4984427,,,,,,,,,,236.16,percent of total billed charges,999999999,,,,,,,,,,262.4,percent of total billed charges,219.87756,,,,259.12,percent of total billed charges,250.0619512,,,,259.12,percent of total billed charges,220.9380113,,,,262.4,percent of total billed charges,999999999,,,,262.4,percent of total billed charges,999999999,,,,229.6,percent of total billed charges,999999999,,,,229.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,174.496,percent of total billed charges,999999999,,,,,,,,,,,,,,,,165.64,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,82,percent of total billed charges,77.87994207,,,,,,,,,,82,percent of total billed charges,76.58446222,,,,,,,,,,82,percent of total billed charges,76.37163728,,,,,,,,,,82,percent of total billed charges,75.24706585,,,,,,,,,,82,percent of total billed charges,77.18328348,,,,,,,,,,82,percent of total billed charges,999999999,,,,,,,,,,82,percent of total billed charges,66.22869247,,,,,,,,,,82,percent of total billed charges,104.4472151,,,,,,,,,,82,percent of total billed charges,999999999,,,,,,,,,,82,percent of total billed charges,71.41072788,,,,,,,,,,295.2,percent of total billed charges,,,,,
LAYER CLSR WND 2.5CM OR<SCALP AXILL,12031,CDM,,,,both,,,126,126,26.82337702,126,126,percent of total billed charges,92.70267624,,,,126,percent of total billed charges,98.26300386,,,,126,percent of total billed charges,92.70267624,,,,126,percent of total billed charges,98.26300386,,,,126,percent of total billed charges,999999999,,,,126,percent of total billed charges,96.00334007,,,,126,percent of total billed charges,92.70267624,,,,126,percent of total billed charges,98.26300386,,,,89.838,percent of total billed charges,44.83080604,,,,89.838,percent of total billed charges,26.82337702,,,,89.838,percent of total billed charges,44.83080604,,,,89.838,percent of total billed charges,26.82337702,,,,89.838,percent of total billed charges,44.83080604,,,,89.838,percent of total billed charges,26.82337702,,,,88.956,percent of total billed charges,88.28106665,,,,88.956,percent of total billed charges,60.88675195,,,,,,,,,,90.72,percent of total billed charges,58.96586517,,,,,,,,,,90.72,percent of total billed charges,999999999,,,,,,,,,,100.8,percent of total billed charges,84.46516024,,,,99.54,percent of total billed charges,96.0603837,,,,99.54,percent of total billed charges,84.87252874,,,,100.8,percent of total billed charges,999999999,,,,100.8,percent of total billed charges,999999999,,,,88.2,percent of total billed charges,999999999,,,,88.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,67.032,percent of total billed charges,999999999,,,,,,,,,,,,,,,,63.63,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,31.5,percent of total billed charges,29.91729482,,,,,,,,,,31.5,percent of total billed charges,29.41964098,,,,,,,,,,31.5,percent of total billed charges,29.33788505,,,,,,,,,,31.5,percent of total billed charges,28.90588505,,,,,,,,,,31.5,percent of total billed charges,29.64967597,,,,,,,,,,31.5,percent of total billed charges,999999999,,,,,,,,,,31.5,percent of total billed charges,25.44150991,,,,,,,,,,31.5,percent of total billed charges,40.12301557,,,,,,,,,,31.5,percent of total billed charges,999999999,,,,,,,,,,31.5,percent of total billed charges,27.43216985,,,,,,,,,,113.4,percent of total billed charges,,,,,
**LAYER CLOSR WND SCALP AXI TRUNK,12032,CDM,,,,both,,,119,119,25.33318941,119,119,percent of total billed charges,87.55252756,,,,119,percent of total billed charges,92.80394809,,,,119,percent of total billed charges,87.55252756,,,,119,percent of total billed charges,92.80394809,,,,119,percent of total billed charges,999999999,,,,119,percent of total billed charges,90.66982118,,,,119,percent of total billed charges,87.55252756,,,,119,percent of total billed charges,92.80394809,,,,84.847,percent of total billed charges,42.3402057,,,,84.847,percent of total billed charges,25.33318941,,,,84.847,percent of total billed charges,42.3402057,,,,84.847,percent of total billed charges,25.33318941,,,,84.847,percent of total billed charges,42.3402057,,,,84.847,percent of total billed charges,25.33318941,,,,84.014,percent of total billed charges,83.37656294,,,,84.014,percent of total billed charges,57.50415461,,,,,,,,,,85.68,percent of total billed charges,55.68998377,,,,,,,,,,85.68,percent of total billed charges,999999999,,,,,,,,,,95.2,percent of total billed charges,79.77265134,,,,94.01,percent of total billed charges,90.72369571,,,,94.01,percent of total billed charges,80.15738826,,,,95.2,percent of total billed charges,999999999,,,,95.2,percent of total billed charges,999999999,,,,83.3,percent of total billed charges,999999999,,,,83.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,63.308,percent of total billed charges,999999999,,,,,,,,,,,,,,,,60.095,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,29.75,percent of total billed charges,28.25522288,,,,,,,,,,29.75,percent of total billed charges,27.78521648,,,,,,,,,,29.75,percent of total billed charges,27.70800255,,,,,,,,,,29.75,percent of total billed charges,27.30000255,,,,,,,,,,29.75,percent of total billed charges,28.00247175,,,,,,,,,,29.75,percent of total billed charges,999999999,,,,,,,,,,29.75,percent of total billed charges,24.0280927,,,,,,,,,,29.75,percent of total billed charges,37.89395915,,,,,,,,,,29.75,percent of total billed charges,999999999,,,,,,,,,,29.75,percent of total billed charges,25.90816042,,,,,,,,,,107.1,percent of total billed charges,,,,,
LAYER CLOSR WND SCALP AXI TRUNK,12032,CDM,,,,both,,,1122,1122,238.8557859,1122,1122,percent of total billed charges,825.4952599,,,,1122,percent of total billed charges,875.0086534,,,,1122,percent of total billed charges,825.4952599,,,,1122,percent of total billed charges,875.0086534,,,,1122,percent of total billed charges,999999999,,,,1122,percent of total billed charges,854.8868854,,,,1122,percent of total billed charges,825.4952599,,,,1122,percent of total billed charges,875.0086534,,,,799.986,percent of total billed charges,399.2076538,,,,799.986,percent of total billed charges,238.8557859,,,,799.986,percent of total billed charges,399.2076538,,,,799.986,percent of total billed charges,238.8557859,,,,799.986,percent of total billed charges,399.2076538,,,,799.986,percent of total billed charges,238.8557859,,,,792.132,percent of total billed charges,786.1218792,,,,792.132,percent of total billed charges,542.1820292,,,,,,,,,,807.84,percent of total billed charges,525.0769898,,,,,,,,,,807.84,percent of total billed charges,999999999,,,,,,,,,,897.6,percent of total billed charges,752.1421412,,,,886.38,percent of total billed charges,855.3948453,,,,886.38,percent of total billed charges,755.7696607,,,,897.6,percent of total billed charges,999999999,,,,897.6,percent of total billed charges,999999999,,,,785.4,percent of total billed charges,999999999,,,,785.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,596.904,percent of total billed charges,999999999,,,,,,,,,,,,,,,,566.61,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,280.5,percent of total billed charges,266.4063872,,,,,,,,,,280.5,percent of total billed charges,261.9748982,,,,,,,,,,280.5,percent of total billed charges,261.2468812,,,,,,,,,,280.5,percent of total billed charges,257.400024,,,,,,,,,,280.5,percent of total billed charges,264.0233051,,,,,,,,,,280.5,percent of total billed charges,999999999,,,,,,,,,,280.5,percent of total billed charges,226.5505883,,,,,,,,,,280.5,percent of total billed charges,357.2859006,,,,,,,,,,280.5,percent of total billed charges,999999999,,,,,,,,,,280.5,percent of total billed charges,244.2769411,,,,,,,,,,1009.8,percent of total billed charges,,,,,
**LAYER CLSR WND 7.6CM-12.5CM SCALP AX,12034,CDM,,,,both,,,180,180,38.31911003,180,180,percent of total billed charges,132.4323946,,,,180,percent of total billed charges,140.3757198,,,,180,percent of total billed charges,132.4323946,,,,180,percent of total billed charges,140.3757198,,,,180,percent of total billed charges,999999999,,,,180,percent of total billed charges,137.1476287,,,,180,percent of total billed charges,132.4323946,,,,180,percent of total billed charges,140.3757198,,,,128.34,percent of total billed charges,64.04400863,,,,128.34,percent of total billed charges,38.31911003,,,,128.34,percent of total billed charges,64.04400863,,,,128.34,percent of total billed charges,38.31911003,,,,128.34,percent of total billed charges,64.04400863,,,,128.34,percent of total billed charges,38.31911003,,,,127.08,percent of total billed charges,126.1158095,,,,127.08,percent of total billed charges,86.98107421,,,,,,,,,,129.6,percent of total billed charges,84.23695024,,,,,,,,,,129.6,percent of total billed charges,999999999,,,,,,,,,,144,percent of total billed charges,120.6645146,,,,142.2,percent of total billed charges,137.2291196,,,,142.2,percent of total billed charges,121.2464696,,,,144,percent of total billed charges,999999999,,,,144,percent of total billed charges,999999999,,,,126,percent of total billed charges,999999999,,,,126,percent of total billed charges,999999999,,,,,,,,,,,,,,,,95.76,percent of total billed charges,999999999,,,,,,,,,,,,,,,,90.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,percent of total billed charges,42.7389926,,,,,,,,,,45,percent of total billed charges,42.02805854,,,,,,,,,,45,percent of total billed charges,41.91126436,,,,,,,,,,45,percent of total billed charges,41.2941215,,,,,,,,,,45,percent of total billed charges,42.35667996,,,,,,,,,,45,percent of total billed charges,999999999,,,,,,,,,,45,percent of total billed charges,36.34501416,,,,,,,,,,45,percent of total billed charges,57.31859367,,,,,,,,,,45,percent of total billed charges,999999999,,,,,,,,,,45,percent of total billed charges,39.18881408,,,,,,,,,,162,percent of total billed charges,,,,,
LAYER CLOSR WND 7.6 CM-12.5CM SCALP,12034,CDM,,,,both,,,180,180,38.31911003,180,180,percent of total billed charges,132.4323946,,,,180,percent of total billed charges,140.3757198,,,,180,percent of total billed charges,132.4323946,,,,180,percent of total billed charges,140.3757198,,,,180,percent of total billed charges,999999999,,,,180,percent of total billed charges,137.1476287,,,,180,percent of total billed charges,132.4323946,,,,180,percent of total billed charges,140.3757198,,,,128.34,percent of total billed charges,64.04400863,,,,128.34,percent of total billed charges,38.31911003,,,,128.34,percent of total billed charges,64.04400863,,,,128.34,percent of total billed charges,38.31911003,,,,128.34,percent of total billed charges,64.04400863,,,,128.34,percent of total billed charges,38.31911003,,,,127.08,percent of total billed charges,126.1158095,,,,127.08,percent of total billed charges,86.98107421,,,,,,,,,,129.6,percent of total billed charges,84.23695024,,,,,,,,,,129.6,percent of total billed charges,999999999,,,,,,,,,,144,percent of total billed charges,120.6645146,,,,142.2,percent of total billed charges,137.2291196,,,,142.2,percent of total billed charges,121.2464696,,,,144,percent of total billed charges,999999999,,,,144,percent of total billed charges,999999999,,,,126,percent of total billed charges,999999999,,,,126,percent of total billed charges,999999999,,,,,,,,,,,,,,,,95.76,percent of total billed charges,999999999,,,,,,,,,,,,,,,,90.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,percent of total billed charges,42.7389926,,,,,,,,,,45,percent of total billed charges,42.02805854,,,,,,,,,,45,percent of total billed charges,41.91126436,,,,,,,,,,45,percent of total billed charges,41.2941215,,,,,,,,,,45,percent of total billed charges,42.35667996,,,,,,,,,,45,percent of total billed charges,999999999,,,,,,,,,,45,percent of total billed charges,36.34501416,,,,,,,,,,45,percent of total billed charges,57.31859367,,,,,,,,,,45,percent of total billed charges,999999999,,,,,,,,,,45,percent of total billed charges,39.18881408,,,,,,,,,,162,percent of total billed charges,,,,,
LAYER CLSR WND 12.6-20.0CM SCALP AXI,12035,CDM,,,,both,,,231,231,49.17619121,231,231,percent of total billed charges,169.9549064,,,,231,percent of total billed charges,180.1488404,,,,231,percent of total billed charges,169.9549064,,,,231,percent of total billed charges,180.1488404,,,,231,percent of total billed charges,999999999,,,,231,percent of total billed charges,176.0061235,,,,231,percent of total billed charges,169.9549064,,,,231,percent of total billed charges,180.1488404,,,,164.703,percent of total billed charges,82.18981107,,,,164.703,percent of total billed charges,49.17619121,,,,164.703,percent of total billed charges,82.18981107,,,,164.703,percent of total billed charges,49.17619121,,,,164.703,percent of total billed charges,82.18981107,,,,164.703,percent of total billed charges,49.17619121,,,,163.086,percent of total billed charges,161.8486222,,,,163.086,percent of total billed charges,111.6257119,,,,,,,,,,166.32,percent of total billed charges,108.1040861,,,,,,,,,,166.32,percent of total billed charges,999999999,,,,,,,,,,184.8,percent of total billed charges,154.8527938,,,,182.49,percent of total billed charges,176.1107034,,,,182.49,percent of total billed charges,155.599636,,,,184.8,percent of total billed charges,999999999,,,,184.8,percent of total billed charges,999999999,,,,161.7,percent of total billed charges,999999999,,,,161.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,122.892,percent of total billed charges,999999999,,,,,,,,,,,,,,,,116.655,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,57.75,percent of total billed charges,54.84837383,,,,,,,,,,57.75,percent of total billed charges,53.93600846,,,,,,,,,,57.75,percent of total billed charges,53.7861226,,,,,,,,,,57.75,percent of total billed charges,52.9941226,,,,,,,,,,57.75,percent of total billed charges,54.35773928,,,,,,,,,,57.75,percent of total billed charges,999999999,,,,,,,,,,57.75,percent of total billed charges,46.64276817,,,,,,,,,,57.75,percent of total billed charges,73.55886188,,,,,,,,,,57.75,percent of total billed charges,999999999,,,,,,,,,,57.75,percent of total billed charges,50.2923114,,,,,,,,,,207.9,percent of total billed charges,,,,,
LAYER CLOS WND 20.1-30.0 CM SCALP AX,12036,CDM,,,,both,,,125,125,26.61049308,125,125,percent of total billed charges,91.96694072,,,,125,percent of total billed charges,97.48313875,,,,125,percent of total billed charges,91.96694072,,,,125,percent of total billed charges,97.48313875,,,,125,percent of total billed charges,999999999,,,,125,percent of total billed charges,95.2414088,,,,125,percent of total billed charges,91.96694072,,,,125,percent of total billed charges,97.48313875,,,,89.125,percent of total billed charges,44.47500599,,,,89.125,percent of total billed charges,26.61049308,,,,89.125,percent of total billed charges,44.47500599,,,,89.125,percent of total billed charges,26.61049308,,,,89.125,percent of total billed charges,44.47500599,,,,89.125,percent of total billed charges,26.61049308,,,,88.25,percent of total billed charges,87.58042326,,,,88.25,percent of total billed charges,60.40352376,,,,,,,,,,90,percent of total billed charges,58.49788211,,,,,,,,,,90,percent of total billed charges,999999999,,,,,,,,,,100,percent of total billed charges,83.79480182,,,,98.75,percent of total billed charges,95.2979997,,,,98.75,percent of total billed charges,84.19893724,,,,100,percent of total billed charges,999999999,,,,100,percent of total billed charges,999999999,,,,87.5,percent of total billed charges,999999999,,,,87.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,66.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,63.125,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,31.25,percent of total billed charges,29.67985597,,,,,,,,,,31.25,percent of total billed charges,29.18615176,,,,,,,,,,31.25,percent of total billed charges,29.1050447,,,,,,,,,,31.25,percent of total billed charges,28.67647327,,,,,,,,,,31.25,percent of total billed charges,29.41436108,,,,,,,,,,31.25,percent of total billed charges,999999999,,,,,,,,,,31.25,percent of total billed charges,25.23959317,,,,,,,,,,31.25,percent of total billed charges,39.80457894,,,,,,,,,,31.25,percent of total billed charges,999999999,,,,,,,,,,31.25,percent of total billed charges,27.21445422,,,,,,,,,,112.5,percent of total billed charges,,,,,
LAYER CLOS WND OVER 30.0 SCALP AXI,12037,CDM,,,,both,,,3361,3361,715.5029379,3361,3361,percent of total billed charges,2472.807102,,,,3361,percent of total billed charges,2621.126635,,,,3361,percent of total billed charges,2472.807102,,,,3361,percent of total billed charges,2621.126635,,,,3361,percent of total billed charges,999999999,,,,3361,percent of total billed charges,2560.851,,,,3361,percent of total billed charges,2472.807102,,,,3361,percent of total billed charges,2621.126635,,,,2396.393,percent of total billed charges,1195.843961,,,,2396.393,percent of total billed charges,715.5029379,,,,2396.393,percent of total billed charges,1195.843961,,,,2396.393,percent of total billed charges,715.5029379,,,,2396.393,percent of total billed charges,1195.843961,,,,2396.393,percent of total billed charges,715.5029379,,,,2372.866,percent of total billed charges,2354.862421,,,,2372.866,percent of total billed charges,1624.129947,,,,,,,,,,2419.92,percent of total billed charges,1572.891054,,,,,,,,,,2419.92,percent of total billed charges,999999999,,,,,,,,,,2688.8,percent of total billed charges,2253.074631,,,,2655.19,percent of total billed charges,2562.372616,,,,2655.19,percent of total billed charges,2263.941025,,,,2688.8,percent of total billed charges,999999999,,,,2688.8,percent of total billed charges,999999999,,,,2352.7,percent of total billed charges,999999999,,,,2352.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1788.052,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1697.305,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,840.25,percent of total billed charges,798.0319673,,,,,,,,,,840.25,percent of total billed charges,784.7572486,,,,,,,,,,840.25,percent of total billed charges,782.5764418,,,,,,,,,,840.25,percent of total billed charges,771.0530132,,,,,,,,,,840.25,percent of total billed charges,790.8933407,,,,,,,,,,840.25,percent of total billed charges,999999999,,,,,,,,,,840.25,percent of total billed charges,678.6421811,,,,,,,,,,840.25,percent of total billed charges,1070.265519,,,,,,,,,,840.25,percent of total billed charges,999999999,,,,,,,,,,840.25,percent of total billed charges,731.7422451,,,,,,,,,,3024.9,percent of total billed charges,,,,,
LAYER CLOS WND 2.5CM< NECK HANDS FT,12041,CDM,,,,both,,,123,123,26.18472519,123,123,percent of total billed charges,90.49546966,,,,123,percent of total billed charges,95.92340853,,,,123,percent of total billed charges,90.49546966,,,,123,percent of total billed charges,95.92340853,,,,123,percent of total billed charges,999999999,,,,123,percent of total billed charges,93.71754626,,,,123,percent of total billed charges,90.49546966,,,,123,percent of total billed charges,95.92340853,,,,87.699,percent of total billed charges,43.7634059,,,,87.699,percent of total billed charges,26.18472519,,,,87.699,percent of total billed charges,43.7634059,,,,87.699,percent of total billed charges,26.18472519,,,,87.699,percent of total billed charges,43.7634059,,,,87.699,percent of total billed charges,26.18472519,,,,86.838,percent of total billed charges,86.17913649,,,,86.838,percent of total billed charges,59.43706737,,,,,,,,,,88.56,percent of total billed charges,57.561916,,,,,,,,,,88.56,percent of total billed charges,999999999,,,,,,,,,,98.4,percent of total billed charges,82.454085,,,,97.17,percent of total billed charges,93.7732317,,,,97.17,percent of total billed charges,82.85175425,,,,98.4,percent of total billed charges,999999999,,,,98.4,percent of total billed charges,999999999,,,,86.1,percent of total billed charges,999999999,,,,86.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,65.436,percent of total billed charges,999999999,,,,,,,,,,,,,,,,62.115,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,30.75,percent of total billed charges,29.20497827,,,,,,,,,,30.75,percent of total billed charges,28.71917333,,,,,,,,,,30.75,percent of total billed charges,28.63936398,,,,,,,,,,30.75,percent of total billed charges,28.21764969,,,,,,,,,,30.75,percent of total billed charges,28.9437313,,,,,,,,,,30.75,percent of total billed charges,999999999,,,,,,,,,,30.75,percent of total billed charges,24.83575968,,,,,,,,,,30.75,percent of total billed charges,39.16770568,,,,,,,,,,30.75,percent of total billed charges,999999999,,,,,,,,,,30.75,percent of total billed charges,26.77902295,,,,,,,,,,110.7,percent of total billed charges,,,,,
**LAYER CLSR WND 2.5 OR < NECK HAND FT,12041,CDM,,,,both,,,123,123,26.18472519,123,123,percent of total billed charges,90.49546966,,,,123,percent of total billed charges,95.92340853,,,,123,percent of total billed charges,90.49546966,,,,123,percent of total billed charges,95.92340853,,,,123,percent of total billed charges,999999999,,,,123,percent of total billed charges,93.71754626,,,,123,percent of total billed charges,90.49546966,,,,123,percent of total billed charges,95.92340853,,,,87.699,percent of total billed charges,43.7634059,,,,87.699,percent of total billed charges,26.18472519,,,,87.699,percent of total billed charges,43.7634059,,,,87.699,percent of total billed charges,26.18472519,,,,87.699,percent of total billed charges,43.7634059,,,,87.699,percent of total billed charges,26.18472519,,,,86.838,percent of total billed charges,86.17913649,,,,86.838,percent of total billed charges,59.43706737,,,,,,,,,,88.56,percent of total billed charges,57.561916,,,,,,,,,,88.56,percent of total billed charges,999999999,,,,,,,,,,98.4,percent of total billed charges,82.454085,,,,97.17,percent of total billed charges,93.7732317,,,,97.17,percent of total billed charges,82.85175425,,,,98.4,percent of total billed charges,999999999,,,,98.4,percent of total billed charges,999999999,,,,86.1,percent of total billed charges,999999999,,,,86.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,65.436,percent of total billed charges,999999999,,,,,,,,,,,,,,,,62.115,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,30.75,percent of total billed charges,29.20497827,,,,,,,,,,30.75,percent of total billed charges,28.71917333,,,,,,,,,,30.75,percent of total billed charges,28.63936398,,,,,,,,,,30.75,percent of total billed charges,28.21764969,,,,,,,,,,30.75,percent of total billed charges,28.9437313,,,,,,,,,,30.75,percent of total billed charges,999999999,,,,,,,,,,30.75,percent of total billed charges,24.83575968,,,,,,,,,,30.75,percent of total billed charges,39.16770568,,,,,,,,,,30.75,percent of total billed charges,999999999,,,,,,,,,,30.75,percent of total billed charges,26.77902295,,,,,,,,,,110.7,percent of total billed charges,,,,,
**LAYER CLOS WND 2.6-7.5 CM NECK HAND,12042,CDM,,,,both,,,116,116,24.69453758,116,116,percent of total billed charges,85.34532098,,,,116,percent of total billed charges,90.46435276,,,,116,percent of total billed charges,85.34532098,,,,116,percent of total billed charges,90.46435276,,,,116,percent of total billed charges,999999999,,,,116,percent of total billed charges,88.38402737,,,,116,percent of total billed charges,85.34532098,,,,116,percent of total billed charges,90.46435276,,,,82.708,percent of total billed charges,41.27280556,,,,82.708,percent of total billed charges,24.69453758,,,,82.708,percent of total billed charges,41.27280556,,,,82.708,percent of total billed charges,24.69453758,,,,82.708,percent of total billed charges,41.27280556,,,,82.708,percent of total billed charges,24.69453758,,,,81.896,percent of total billed charges,81.27463278,,,,81.896,percent of total billed charges,56.05447004,,,,,,,,,,83.52,percent of total billed charges,54.2860346,,,,,,,,,,83.52,percent of total billed charges,999999999,,,,,,,,,,92.8,percent of total billed charges,77.76157609,,,,91.64,percent of total billed charges,88.43654372,,,,91.64,percent of total billed charges,78.13661376,,,,92.8,percent of total billed charges,999999999,,,,92.8,percent of total billed charges,999999999,,,,81.2,percent of total billed charges,999999999,,,,81.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,61.712,percent of total billed charges,999999999,,,,,,,,,,,,,,,,58.58,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,29,percent of total billed charges,27.54290634,,,,,,,,,,29,percent of total billed charges,27.08474883,,,,,,,,,,29,percent of total billed charges,27.00948148,,,,,,,,,,29,percent of total billed charges,26.61176719,,,,,,,,,,29,percent of total billed charges,27.29652708,,,,,,,,,,29,percent of total billed charges,999999999,,,,,,,,,,29,percent of total billed charges,23.42234246,,,,,,,,,,29,percent of total billed charges,36.93864926,,,,,,,,,,29,percent of total billed charges,999999999,,,,,,,,,,29,percent of total billed charges,25.25501352,,,,,,,,,,104.4,percent of total billed charges,,,,,
LAYER CLOS WND 2.6-7.5 CM NECK HAND,12042,CDM,,,,both,,,116,116,24.69453758,116,116,percent of total billed charges,85.34532098,,,,116,percent of total billed charges,90.46435276,,,,116,percent of total billed charges,85.34532098,,,,116,percent of total billed charges,90.46435276,,,,116,percent of total billed charges,999999999,,,,116,percent of total billed charges,88.38402737,,,,116,percent of total billed charges,85.34532098,,,,116,percent of total billed charges,90.46435276,,,,82.708,percent of total billed charges,41.27280556,,,,82.708,percent of total billed charges,24.69453758,,,,82.708,percent of total billed charges,41.27280556,,,,82.708,percent of total billed charges,24.69453758,,,,82.708,percent of total billed charges,41.27280556,,,,82.708,percent of total billed charges,24.69453758,,,,81.896,percent of total billed charges,81.27463278,,,,81.896,percent of total billed charges,56.05447004,,,,,,,,,,83.52,percent of total billed charges,54.2860346,,,,,,,,,,83.52,percent of total billed charges,999999999,,,,,,,,,,92.8,percent of total billed charges,77.76157609,,,,91.64,percent of total billed charges,88.43654372,,,,91.64,percent of total billed charges,78.13661376,,,,92.8,percent of total billed charges,999999999,,,,92.8,percent of total billed charges,999999999,,,,81.2,percent of total billed charges,999999999,,,,81.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,61.712,percent of total billed charges,999999999,,,,,,,,,,,,,,,,58.58,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,29,percent of total billed charges,27.54290634,,,,,,,,,,29,percent of total billed charges,27.08474883,,,,,,,,,,29,percent of total billed charges,27.00948148,,,,,,,,,,29,percent of total billed charges,26.61176719,,,,,,,,,,29,percent of total billed charges,27.29652708,,,,,,,,,,29,percent of total billed charges,999999999,,,,,,,,,,29,percent of total billed charges,23.42234246,,,,,,,,,,29,percent of total billed charges,36.93864926,,,,,,,,,,29,percent of total billed charges,999999999,,,,,,,,,,29,percent of total billed charges,25.25501352,,,,,,,,,,104.4,percent of total billed charges,,,,,
**LAYER CLSR WND 7.6-12.5CM NECK HAND,12044,CDM,,,,both,,,198,198,42.15102104,198,198,percent of total billed charges,145.6756341,,,,198,percent of total billed charges,154.4132918,,,,198,percent of total billed charges,145.6756341,,,,198,percent of total billed charges,154.4132918,,,,198,percent of total billed charges,999999999,,,,198,percent of total billed charges,150.8623915,,,,198,percent of total billed charges,145.6756341,,,,198,percent of total billed charges,154.4132918,,,,141.174,percent of total billed charges,70.44840949,,,,141.174,percent of total billed charges,42.15102104,,,,141.174,percent of total billed charges,70.44840949,,,,141.174,percent of total billed charges,42.15102104,,,,141.174,percent of total billed charges,70.44840949,,,,141.174,percent of total billed charges,42.15102104,,,,139.788,percent of total billed charges,138.7273904,,,,139.788,percent of total billed charges,95.67918163,,,,,,,,,,142.56,percent of total billed charges,92.66064526,,,,,,,,,,142.56,percent of total billed charges,999999999,,,,,,,,,,158.4,percent of total billed charges,132.7309661,,,,156.42,percent of total billed charges,150.9520315,,,,156.42,percent of total billed charges,133.3711166,,,,158.4,percent of total billed charges,999999999,,,,158.4,percent of total billed charges,999999999,,,,138.6,percent of total billed charges,999999999,,,,138.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,105.336,percent of total billed charges,999999999,,,,,,,,,,,,,,,,99.99,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,49.5,percent of total billed charges,47.01289186,,,,,,,,,,49.5,percent of total billed charges,46.23086439,,,,,,,,,,49.5,percent of total billed charges,46.1023908,,,,,,,,,,49.5,percent of total billed charges,45.42353365,,,,,,,,,,49.5,percent of total billed charges,46.59234795,,,,,,,,,,49.5,percent of total billed charges,999999999,,,,,,,,,,49.5,percent of total billed charges,39.97951558,,,,,,,,,,49.5,percent of total billed charges,63.05045304,,,,,,,,,,49.5,percent of total billed charges,999999999,,,,,,,,,,49.5,percent of total billed charges,43.10769549,,,,,,,,,,178.2,percent of total billed charges,,,,,
LAYER CLOSR WND 7.6-12.5CM NECK HAND,12044,CDM,,,,both,,,198,198,42.15102104,198,198,percent of total billed charges,145.6756341,,,,198,percent of total billed charges,154.4132918,,,,198,percent of total billed charges,145.6756341,,,,198,percent of total billed charges,154.4132918,,,,198,percent of total billed charges,999999999,,,,198,percent of total billed charges,150.8623915,,,,198,percent of total billed charges,145.6756341,,,,198,percent of total billed charges,154.4132918,,,,141.174,percent of total billed charges,70.44840949,,,,141.174,percent of total billed charges,42.15102104,,,,141.174,percent of total billed charges,70.44840949,,,,141.174,percent of total billed charges,42.15102104,,,,141.174,percent of total billed charges,70.44840949,,,,141.174,percent of total billed charges,42.15102104,,,,139.788,percent of total billed charges,138.7273904,,,,139.788,percent of total billed charges,95.67918163,,,,,,,,,,142.56,percent of total billed charges,92.66064526,,,,,,,,,,142.56,percent of total billed charges,999999999,,,,,,,,,,158.4,percent of total billed charges,132.7309661,,,,156.42,percent of total billed charges,150.9520315,,,,156.42,percent of total billed charges,133.3711166,,,,158.4,percent of total billed charges,999999999,,,,158.4,percent of total billed charges,999999999,,,,138.6,percent of total billed charges,999999999,,,,138.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,105.336,percent of total billed charges,999999999,,,,,,,,,,,,,,,,99.99,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,49.5,percent of total billed charges,47.01289186,,,,,,,,,,49.5,percent of total billed charges,46.23086439,,,,,,,,,,49.5,percent of total billed charges,46.1023908,,,,,,,,,,49.5,percent of total billed charges,45.42353365,,,,,,,,,,49.5,percent of total billed charges,46.59234795,,,,,,,,,,49.5,percent of total billed charges,999999999,,,,,,,,,,49.5,percent of total billed charges,39.97951558,,,,,,,,,,49.5,percent of total billed charges,63.05045304,,,,,,,,,,49.5,percent of total billed charges,999999999,,,,,,,,,,49.5,percent of total billed charges,43.10769549,,,,,,,,,,178.2,percent of total billed charges,,,,,
**LAYER CLSR 12.6-20.0CM NECK HAND FT,12045,CDM,,,,both,,,91,91,19.37243896,91,91,percent of total billed charges,66.95193284,,,,91,percent of total billed charges,70.96772501,,,,91,percent of total billed charges,66.95193284,,,,91,percent of total billed charges,70.96772501,,,,91,percent of total billed charges,999999999,,,,91,percent of total billed charges,69.33574561,,,,91,percent of total billed charges,66.95193284,,,,91,percent of total billed charges,70.96772501,,,,64.883,percent of total billed charges,32.37780436,,,,64.883,percent of total billed charges,19.37243896,,,,64.883,percent of total billed charges,32.37780436,,,,64.883,percent of total billed charges,19.37243896,,,,64.883,percent of total billed charges,32.37780436,,,,64.883,percent of total billed charges,19.37243896,,,,64.246,percent of total billed charges,63.75854813,,,,64.246,percent of total billed charges,43.97376529,,,,,,,,,,65.52,percent of total billed charges,42.58645818,,,,,,,,,,65.52,percent of total billed charges,999999999,,,,,,,,,,72.8,percent of total billed charges,61.00261573,,,,71.89,percent of total billed charges,69.37694378,,,,71.89,percent of total billed charges,61.29682631,,,,72.8,percent of total billed charges,999999999,,,,72.8,percent of total billed charges,999999999,,,,63.7,percent of total billed charges,999999999,,,,63.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,48.412,percent of total billed charges,999999999,,,,,,,,,,,,,,,,45.955,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,22.75,percent of total billed charges,21.60693515,,,,,,,,,,22.75,percent of total billed charges,21.24751848,,,,,,,,,,22.75,percent of total billed charges,21.18847254,,,,,,,,,,22.75,percent of total billed charges,20.87647254,,,,,,,,,,22.75,percent of total billed charges,21.41365487,,,,,,,,,,22.75,percent of total billed charges,999999999,,,,,,,,,,22.75,percent of total billed charges,18.37442383,,,,,,,,,,22.75,percent of total billed charges,28.97773347,,,,,,,,,,22.75,percent of total billed charges,999999999,,,,,,,,,,22.75,percent of total billed charges,19.81212267,,,,,,,,,,81.9,percent of total billed charges,,,,,
LAYER CLOS 12.6-20.0 CM NECK HAND FT,12045,CDM,,,,both,,,94,94,20.01109079,94,94,percent of total billed charges,69.15913942,,,,94,percent of total billed charges,73.30732034,,,,94,percent of total billed charges,69.15913942,,,,94,percent of total billed charges,73.30732034,,,,94,percent of total billed charges,999999999,,,,94,percent of total billed charges,71.62153942,,,,94,percent of total billed charges,69.15913942,,,,94,percent of total billed charges,73.30732034,,,,67.022,percent of total billed charges,33.44520451,,,,67.022,percent of total billed charges,20.01109079,,,,67.022,percent of total billed charges,33.44520451,,,,67.022,percent of total billed charges,20.01109079,,,,67.022,percent of total billed charges,33.44520451,,,,67.022,percent of total billed charges,20.01109079,,,,66.364,percent of total billed charges,65.86047829,,,,66.364,percent of total billed charges,45.42344986,,,,,,,,,,67.68,percent of total billed charges,43.99040735,,,,,,,,,,67.68,percent of total billed charges,999999999,,,,,,,,,,75.2,percent of total billed charges,63.01369097,,,,74.26,percent of total billed charges,71.66409577,,,,74.26,percent of total billed charges,63.31760081,,,,75.2,percent of total billed charges,999999999,,,,75.2,percent of total billed charges,999999999,,,,65.8,percent of total billed charges,999999999,,,,65.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,50.008,percent of total billed charges,999999999,,,,,,,,,,,,,,,,47.47,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23.5,percent of total billed charges,22.31925169,,,,,,,,,,23.5,percent of total billed charges,21.94798612,,,,,,,,,,23.5,percent of total billed charges,21.88699361,,,,,,,,,,23.5,percent of total billed charges,21.5647079,,,,,,,,,,23.5,percent of total billed charges,22.11959953,,,,,,,,,,23.5,percent of total billed charges,999999999,,,,,,,,,,23.5,percent of total billed charges,18.98017406,,,,,,,,,,23.5,percent of total billed charges,29.93304336,,,,,,,,,,23.5,percent of total billed charges,999999999,,,,,,,,,,23.5,percent of total billed charges,20.46526957,,,,,,,,,,84.6,percent of total billed charges,,,,,
LAYER CLOS WND OVER 30.0CM NECK HAND,12047,CDM,,,,both,,,650,650,138.374564,650,650,percent of total billed charges,478.2280917,,,,650,percent of total billed charges,506.9123215,,,,650,percent of total billed charges,478.2280917,,,,650,percent of total billed charges,506.9123215,,,,650,percent of total billed charges,999999999,,,,650,percent of total billed charges,495.2553258,,,,650,percent of total billed charges,478.2280917,,,,650,percent of total billed charges,506.9123215,,,,463.45,percent of total billed charges,231.2700312,,,,463.45,percent of total billed charges,138.374564,,,,463.45,percent of total billed charges,231.2700312,,,,463.45,percent of total billed charges,138.374564,,,,463.45,percent of total billed charges,231.2700312,,,,463.45,percent of total billed charges,138.374564,,,,458.9,percent of total billed charges,455.4182009,,,,458.9,percent of total billed charges,314.0983235,,,,,,,,,,468,percent of total billed charges,304.188987,,,,,,,,,,468,percent of total billed charges,999999999,,,,,,,,,,520,percent of total billed charges,435.7329695,,,,513.5,percent of total billed charges,495.5495984,,,,513.5,percent of total billed charges,437.8344737,,,,520,percent of total billed charges,999999999,,,,520,percent of total billed charges,999999999,,,,455,percent of total billed charges,999999999,,,,455,percent of total billed charges,999999999,,,,,,,,,,,,,,,,345.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,328.25,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,162.5,percent of total billed charges,154.335251,,,,,,,,,,162.5,percent of total billed charges,151.7679892,,,,,,,,,,162.5,percent of total billed charges,151.3462324,,,,,,,,,,162.5,percent of total billed charges,149.117661,,,,,,,,,,162.5,percent of total billed charges,152.9546776,,,,,,,,,,162.5,percent of total billed charges,999999999,,,,,,,,,,162.5,percent of total billed charges,131.2458845,,,,,,,,,,162.5,percent of total billed charges,206.9838105,,,,,,,,,,162.5,percent of total billed charges,999999999,,,,,,,,,,162.5,percent of total billed charges,141.5151619,,,,,,,,,,585,percent of total billed charges,,,,,
LAYER CLS WND 2.5 CM OR < FACE EARS,12051,CDM,,,,both,,,126,126,26.82337702,126,126,percent of total billed charges,92.70267624,,,,126,percent of total billed charges,98.26300386,,,,126,percent of total billed charges,92.70267624,,,,126,percent of total billed charges,98.26300386,,,,126,percent of total billed charges,999999999,,,,126,percent of total billed charges,96.00334007,,,,126,percent of total billed charges,92.70267624,,,,126,percent of total billed charges,98.26300386,,,,89.838,percent of total billed charges,44.83080604,,,,89.838,percent of total billed charges,26.82337702,,,,89.838,percent of total billed charges,44.83080604,,,,89.838,percent of total billed charges,26.82337702,,,,89.838,percent of total billed charges,44.83080604,,,,89.838,percent of total billed charges,26.82337702,,,,88.956,percent of total billed charges,88.28106665,,,,88.956,percent of total billed charges,60.88675195,,,,,,,,,,90.72,percent of total billed charges,58.96586517,,,,,,,,,,90.72,percent of total billed charges,999999999,,,,,,,,,,100.8,percent of total billed charges,84.46516024,,,,99.54,percent of total billed charges,96.0603837,,,,99.54,percent of total billed charges,84.87252874,,,,100.8,percent of total billed charges,999999999,,,,100.8,percent of total billed charges,999999999,,,,88.2,percent of total billed charges,999999999,,,,88.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,67.032,percent of total billed charges,999999999,,,,,,,,,,,,,,,,63.63,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,31.5,percent of total billed charges,29.91729482,,,,,,,,,,31.5,percent of total billed charges,29.41964098,,,,,,,,,,31.5,percent of total billed charges,29.33788505,,,,,,,,,,31.5,percent of total billed charges,28.90588505,,,,,,,,,,31.5,percent of total billed charges,29.64967597,,,,,,,,,,31.5,percent of total billed charges,999999999,,,,,,,,,,31.5,percent of total billed charges,25.44150991,,,,,,,,,,31.5,percent of total billed charges,40.12301557,,,,,,,,,,31.5,percent of total billed charges,999999999,,,,,,,,,,31.5,percent of total billed charges,27.43216985,,,,,,,,,,113.4,percent of total billed charges,,,,,
LAYER CLS WND 2.6-5.0 CM FACE ARS,12052,CDM,,,,both,,,178,178,37.89334214,178,178,percent of total billed charges,130.9609236,,,,178,percent of total billed charges,138.8159896,,,,178,percent of total billed charges,130.9609236,,,,178,percent of total billed charges,138.8159896,,,,178,percent of total billed charges,999999999,,,,178,percent of total billed charges,135.6237661,,,,178,percent of total billed charges,130.9609236,,,,178,percent of total billed charges,138.8159896,,,,126.914,percent of total billed charges,63.33240853,,,,126.914,percent of total billed charges,37.89334214,,,,126.914,percent of total billed charges,63.33240853,,,,126.914,percent of total billed charges,37.89334214,,,,126.914,percent of total billed charges,63.33240853,,,,126.914,percent of total billed charges,37.89334214,,,,125.668,percent of total billed charges,124.7145227,,,,125.668,percent of total billed charges,86.01461783,,,,,,,,,,128.16,percent of total billed charges,83.30098412,,,,,,,,,,128.16,percent of total billed charges,999999999,,,,,,,,,,142.4,percent of total billed charges,119.3237978,,,,140.62,percent of total billed charges,135.7043516,,,,140.62,percent of total billed charges,119.8992866,,,,142.4,percent of total billed charges,999999999,,,,142.4,percent of total billed charges,999999999,,,,124.6,percent of total billed charges,999999999,,,,124.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,94.696,percent of total billed charges,999999999,,,,,,,,,,,,,,,,89.89,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,44.5,percent of total billed charges,42.2641149,,,,,,,,,,44.5,percent of total billed charges,41.56108011,,,,,,,,,,44.5,percent of total billed charges,41.44558365,,,,,,,,,,44.5,percent of total billed charges,40.83529793,,,,,,,,,,44.5,percent of total billed charges,41.88605018,,,,,,,,,,44.5,percent of total billed charges,999999999,,,,,,,,,,44.5,percent of total billed charges,35.94118067,,,,,,,,,,44.5,percent of total billed charges,56.68172041,,,,,,,,,,44.5,percent of total billed charges,999999999,,,,,,,,,,44.5,percent of total billed charges,38.75338281,,,,,,,,,,160.2,percent of total billed charges,,,,,
**LAYER CLS WND 2.6-5.0 CM FACE EARS,12052,CDM,,,,both,,,178,178,37.89334214,178,178,percent of total billed charges,130.9609236,,,,178,percent of total billed charges,138.8159896,,,,178,percent of total billed charges,130.9609236,,,,178,percent of total billed charges,138.8159896,,,,178,percent of total billed charges,999999999,,,,178,percent of total billed charges,135.6237661,,,,178,percent of total billed charges,130.9609236,,,,178,percent of total billed charges,138.8159896,,,,126.914,percent of total billed charges,63.33240853,,,,126.914,percent of total billed charges,37.89334214,,,,126.914,percent of total billed charges,63.33240853,,,,126.914,percent of total billed charges,37.89334214,,,,126.914,percent of total billed charges,63.33240853,,,,126.914,percent of total billed charges,37.89334214,,,,125.668,percent of total billed charges,124.7145227,,,,125.668,percent of total billed charges,86.01461783,,,,,,,,,,128.16,percent of total billed charges,83.30098412,,,,,,,,,,128.16,percent of total billed charges,999999999,,,,,,,,,,142.4,percent of total billed charges,119.3237978,,,,140.62,percent of total billed charges,135.7043516,,,,140.62,percent of total billed charges,119.8992866,,,,142.4,percent of total billed charges,999999999,,,,142.4,percent of total billed charges,999999999,,,,124.6,percent of total billed charges,999999999,,,,124.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,94.696,percent of total billed charges,999999999,,,,,,,,,,,,,,,,89.89,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,44.5,percent of total billed charges,42.2641149,,,,,,,,,,44.5,percent of total billed charges,41.56108011,,,,,,,,,,44.5,percent of total billed charges,41.44558365,,,,,,,,,,44.5,percent of total billed charges,40.83529793,,,,,,,,,,44.5,percent of total billed charges,41.88605018,,,,,,,,,,44.5,percent of total billed charges,999999999,,,,,,,,,,44.5,percent of total billed charges,35.94118067,,,,,,,,,,44.5,percent of total billed charges,56.68172041,,,,,,,,,,44.5,percent of total billed charges,999999999,,,,,,,,,,44.5,percent of total billed charges,38.75338281,,,,,,,,,,160.2,percent of total billed charges,,,,,
LAYER CLS WND 5.1-7.5 CM FACE EAR,12053,CDM,,,,both,,,182,182,38.74487792,182,182,percent of total billed charges,133.9038657,,,,182,percent of total billed charges,141.93545,,,,182,percent of total billed charges,133.9038657,,,,182,percent of total billed charges,141.93545,,,,182,percent of total billed charges,999999999,,,,182,percent of total billed charges,138.6714912,,,,182,percent of total billed charges,133.9038657,,,,182,percent of total billed charges,141.93545,,,,129.766,percent of total billed charges,64.75560872,,,,129.766,percent of total billed charges,38.74487792,,,,129.766,percent of total billed charges,64.75560872,,,,129.766,percent of total billed charges,38.74487792,,,,129.766,percent of total billed charges,64.75560872,,,,129.766,percent of total billed charges,38.74487792,,,,128.492,percent of total billed charges,127.5170963,,,,128.492,percent of total billed charges,87.94753059,,,,,,,,,,131.04,percent of total billed charges,85.17291635,,,,,,,,,,131.04,percent of total billed charges,999999999,,,,,,,,,,145.6,percent of total billed charges,122.0052315,,,,143.78,percent of total billed charges,138.7538876,,,,143.78,percent of total billed charges,122.5936526,,,,145.6,percent of total billed charges,999999999,,,,145.6,percent of total billed charges,999999999,,,,127.4,percent of total billed charges,999999999,,,,127.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,96.824,percent of total billed charges,999999999,,,,,,,,,,,,,,,,91.91,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45.5,percent of total billed charges,43.21387029,,,,,,,,,,45.5,percent of total billed charges,42.49503696,,,,,,,,,,45.5,percent of total billed charges,42.37694508,,,,,,,,,,45.5,percent of total billed charges,41.75294508,,,,,,,,,,45.5,percent of total billed charges,42.82730973,,,,,,,,,,45.5,percent of total billed charges,999999999,,,,,,,,,,45.5,percent of total billed charges,36.74884765,,,,,,,,,,45.5,percent of total billed charges,57.95546694,,,,,,,,,,45.5,percent of total billed charges,999999999,,,,,,,,,,45.5,percent of total billed charges,39.62424535,,,,,,,,,,163.8,percent of total billed charges,,,,,
LAYER CLS WND 7.6-12.5CM FACE EAR,12054,CDM,,,,both,,,256,256,54.49828982,256,256,percent of total billed charges,188.3482946,,,,256,percent of total billed charges,199.6454682,,,,256,percent of total billed charges,188.3482946,,,,256,percent of total billed charges,199.6454682,,,,256,percent of total billed charges,999999999,,,,256,percent of total billed charges,195.0544052,,,,256,percent of total billed charges,188.3482946,,,,256,percent of total billed charges,199.6454682,,,,182.528,percent of total billed charges,91.08481227,,,,182.528,percent of total billed charges,54.49828982,,,,182.528,percent of total billed charges,91.08481227,,,,182.528,percent of total billed charges,54.49828982,,,,182.528,percent of total billed charges,91.08481227,,,,182.528,percent of total billed charges,54.49828982,,,,180.736,percent of total billed charges,179.3647068,,,,180.736,percent of total billed charges,123.7064167,,,,,,,,,,184.32,percent of total billed charges,119.8036626,,,,,,,,,,184.32,percent of total billed charges,999999999,,,,,,,,,,204.8,percent of total billed charges,171.6117541,,,,202.24,percent of total billed charges,195.1703034,,,,202.24,percent of total billed charges,172.4394235,,,,204.8,percent of total billed charges,999999999,,,,204.8,percent of total billed charges,999999999,,,,179.2,percent of total billed charges,999999999,,,,179.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,136.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,129.28,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,64,percent of total billed charges,60.78434503,,,,,,,,,,64,percent of total billed charges,59.77323881,,,,,,,,,,64,percent of total billed charges,59.60713154,,,,,,,,,,64,percent of total billed charges,58.72941725,,,,,,,,,,64,percent of total billed charges,60.24061149,,,,,,,,,,64,percent of total billed charges,999999999,,,,,,,,,,64,percent of total billed charges,51.69068681,,,,,,,,,,64,percent of total billed charges,81.51977767,,,,,,,,,,64,percent of total billed charges,999999999,,,,,,,,,,64,percent of total billed charges,55.73520224,,,,,,,,,,230.4,percent of total billed charges,,,,,
LAYER CLS WND 12.6-20.0CM FACE EARS,12055,CDM,,,,both,,,237,237,50.45349488,237,237,percent of total billed charges,174.3693196,,,,237,percent of total billed charges,184.8280311,,,,237,percent of total billed charges,174.3693196,,,,237,percent of total billed charges,184.8280311,,,,237,percent of total billed charges,999999999,,,,237,percent of total billed charges,180.5777111,,,,237,percent of total billed charges,174.3693196,,,,237,percent of total billed charges,184.8280311,,,,168.981,percent of total billed charges,84.32461136,,,,168.981,percent of total billed charges,50.45349488,,,,168.981,percent of total billed charges,84.32461136,,,,168.981,percent of total billed charges,50.45349488,,,,168.981,percent of total billed charges,84.32461136,,,,168.981,percent of total billed charges,50.45349488,,,,167.322,percent of total billed charges,166.0524825,,,,167.322,percent of total billed charges,114.525081,,,,,,,,,,170.64,percent of total billed charges,110.9119845,,,,,,,,,,170.64,percent of total billed charges,999999999,,,,,,,,,,189.6,percent of total billed charges,158.8749443,,,,187.23,percent of total billed charges,180.6850074,,,,187.23,percent of total billed charges,159.641185,,,,189.6,percent of total billed charges,999999999,,,,189.6,percent of total billed charges,999999999,,,,165.9,percent of total billed charges,999999999,,,,165.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,126.084,percent of total billed charges,999999999,,,,,,,,,,,,,,,,119.685,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,59.25,percent of total billed charges,56.27300692,,,,,,,,,,59.25,percent of total billed charges,55.33694374,,,,,,,,,,59.25,percent of total billed charges,55.18316474,,,,,,,,,,59.25,percent of total billed charges,54.37059331,,,,,,,,,,59.25,percent of total billed charges,55.76962861,,,,,,,,,,59.25,percent of total billed charges,999999999,,,,,,,,,,59.25,percent of total billed charges,47.85426865,,,,,,,,,,59.25,percent of total billed charges,75.46948167,,,,,,,,,,59.25,percent of total billed charges,999999999,,,,,,,,,,59.25,percent of total billed charges,51.5986052,,,,,,,,,,213.3,percent of total billed charges,,,,,
LAYER CLS WND 20.1-30.0CM FACE EAR,12056,CDM,,,,both,,,149,149,31.71970775,149,149,percent of total billed charges,109.6245933,,,,149,percent of total billed charges,116.1999014,,,,149,percent of total billed charges,109.6245933,,,,149,percent of total billed charges,116.1999014,,,,149,percent of total billed charges,999999999,,,,149,percent of total billed charges,113.5277593,,,,149,percent of total billed charges,109.6245933,,,,149,percent of total billed charges,116.1999014,,,,106.237,percent of total billed charges,53.01420714,,,,106.237,percent of total billed charges,31.71970775,,,,106.237,percent of total billed charges,53.01420714,,,,106.237,percent of total billed charges,31.71970775,,,,106.237,percent of total billed charges,53.01420714,,,,106.237,percent of total billed charges,31.71970775,,,,105.194,percent of total billed charges,104.3958645,,,,105.194,percent of total billed charges,72.00100032,,,,,,,,,,107.28,percent of total billed charges,69.72947547,,,,,,,,,,107.28,percent of total billed charges,999999999,,,,,,,,,,119.2,percent of total billed charges,99.88340377,,,,117.71,percent of total billed charges,113.5952156,,,,117.71,percent of total billed charges,100.3651332,,,,119.2,percent of total billed charges,999999999,,,,119.2,percent of total billed charges,999999999,,,,104.3,percent of total billed charges,999999999,,,,104.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,79.268,percent of total billed charges,999999999,,,,,,,,,,,,,,,,75.245,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,37.25,percent of total billed charges,35.37838832,,,,,,,,,,37.25,percent of total billed charges,34.7898929,,,,,,,,,,37.25,percent of total billed charges,34.69321328,,,,,,,,,,37.25,percent of total billed charges,34.18235613,,,,,,,,,,37.25,percent of total billed charges,35.06191841,,,,,,,,,,37.25,percent of total billed charges,999999999,,,,,,,,,,37.25,percent of total billed charges,30.08559506,,,,,,,,,,37.25,percent of total billed charges,47.4470581,,,,,,,,,,37.25,percent of total billed charges,999999999,,,,,,,,,,37.25,percent of total billed charges,32.43962943,,,,,,,,,,134.1,percent of total billed charges,,,,,
LAYER CLS WND >30.0CM FACE EARS NO,12057,CDM,,,,both,,,2148,2148,457.2747131,2148,2148,percent of total billed charges,1580.359909,,,,2148,percent of total billed charges,1675.150256,,,,2148,percent of total billed charges,1580.359909,,,,2148,percent of total billed charges,1675.150256,,,,2148,percent of total billed charges,999999999,,,,2148,percent of total billed charges,1636.628369,,,,2148,percent of total billed charges,1580.359909,,,,2148,percent of total billed charges,1675.150256,,,,1531.524,percent of total billed charges,764.2585029,,,,1531.524,percent of total billed charges,457.2747131,,,,1531.524,percent of total billed charges,764.2585029,,,,1531.524,percent of total billed charges,457.2747131,,,,1531.524,percent of total billed charges,764.2585029,,,,1531.524,percent of total billed charges,457.2747131,,,,1516.488,percent of total billed charges,1504.981993,,,,1516.488,percent of total billed charges,1037.974152,,,,,,,,,,1546.56,percent of total billed charges,1005.227606,,,,,,,,,,1546.56,percent of total billed charges,999999999,,,,,,,,,,1718.4,percent of total billed charges,1439.929875,,,,1696.92,percent of total billed charges,1637.600827,,,,1696.92,percent of total billed charges,1446.874538,,,,1718.4,percent of total billed charges,999999999,,,,1718.4,percent of total billed charges,999999999,,,,1503.6,percent of total billed charges,999999999,,,,1503.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1142.736,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1084.74,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,537,percent of total billed charges,510.018645,,,,,,,,,,537,percent of total billed charges,501.5348319,,,,,,,,,,537,percent of total billed charges,500.141088,,,,,,,,,,537,percent of total billed charges,492.7765166,,,,,,,,,,537,percent of total billed charges,505.4563808,,,,,,,,,,537,percent of total billed charges,999999999,,,,,,,,,,537,percent of total billed charges,433.717169,,,,,,,,,,537,percent of total billed charges,684.0018845,,,,,,,,,,537,percent of total billed charges,999999999,,,,,,,,,,537,percent of total billed charges,467.6531813,,,,,,,,,,1933.2,percent of total billed charges,,,,,
REPAIR COMPLEX TRUNK 1.1-2.5CM,13100,CDM,,,,both,,,629,629,133.9040012,629,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,629,percent of total billed charges,999999999,,,,629,percent of total billed charges,479.2547691,,,,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,444.074,percent of total billed charges,440.7046898,,,,444.074,percent of total billed charges,303.9505315,,,,,,,,,,452.88,percent of total billed charges,294.3613428,,,,,,,,,,452.88,percent of total billed charges,999999999,,,,,,,,,,503.2,percent of total billed charges,421.6554428,,,,496.91,percent of total billed charges,479.5395345,,,,496.91,percent of total billed charges,423.6890522,,,,503.2,percent of total billed charges,999999999,,,,503.2,percent of total billed charges,999999999,,,,440.3,percent of total billed charges,999999999,,,,440.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,334.628,percent of total billed charges,999999999,,,,,,,,,,,,,,,,317.645,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,157.25,percent of total billed charges,149.3490352,,,,,,,,,,157.25,percent of total billed charges,146.8647157,,,,,,,,,,157.25,percent of total billed charges,146.4565849,,,,,,,,,,157.25,percent of total billed charges,144.3000135,,,,,,,,,,157.25,percent of total billed charges,148.013065,,,,,,,,,,157.25,percent of total billed charges,999999999,,,,,,,,,,157.25,percent of total billed charges,127.0056328,,,,,,,,,,157.25,percent of total billed charges,200.2966412,,,,,,,,,,157.25,percent of total billed charges,999999999,,,,,,,,,,157.25,percent of total billed charges,136.9431336,,,,,,,,,,566.1,percent of total billed charges,,,,,
REPAIR COMPLEX TRUNK 2.6-7.5CM,13101,CDM,,,,both,,,838,838,178.3967456,838,838,percent of total billed charges,616.5463706,,,,838,percent of total billed charges,653.5269622,,,,838,percent of total billed charges,616.5463706,,,,838,percent of total billed charges,653.5269622,,,,838,percent of total billed charges,999999999,,,,838,percent of total billed charges,638.4984046,,,,838,percent of total billed charges,616.5463706,,,,838,percent of total billed charges,653.5269622,,,,597.494,percent of total billed charges,298.1604402,,,,597.494,percent of total billed charges,178.3967456,,,,597.494,percent of total billed charges,298.1604402,,,,597.494,percent of total billed charges,178.3967456,,,,597.494,percent of total billed charges,298.1604402,,,,597.494,percent of total billed charges,178.3967456,,,,591.628,percent of total billed charges,587.1391575,,,,591.628,percent of total billed charges,404.9452233,,,,,,,,,,603.36,percent of total billed charges,392.1698017,,,,,,,,,,603.36,percent of total billed charges,999999999,,,,,,,,,,670.4,percent of total billed charges,561.7603514,,,,662.02,percent of total billed charges,638.87779,,,,662.02,percent of total billed charges,564.4696753,,,,670.4,percent of total billed charges,999999999,,,,670.4,percent of total billed charges,999999999,,,,586.6,percent of total billed charges,999999999,,,,586.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,445.816,percent of total billed charges,999999999,,,,,,,,,,,,,,,,423.19,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,209.5,percent of total billed charges,198.9737544,,,,,,,,,,209.5,percent of total billed charges,195.6639614,,,,,,,,,,209.5,percent of total billed charges,195.1202196,,,,,,,,,,209.5,percent of total billed charges,192.2470768,,,,,,,,,,209.5,percent of total billed charges,197.1938767,,,,,,,,,,209.5,percent of total billed charges,999999999,,,,,,,,,,209.5,percent of total billed charges,169.2062326,,,,,,,,,,209.5,percent of total billed charges,266.8498972,,,,,,,,,,209.5,percent of total billed charges,999999999,,,,,,,,,,209.5,percent of total billed charges,182.4457011,,,,,,,,,,754.2,percent of total billed charges,,,,,
REPR COMPLX 1.1-2.5CM SCALP ARM LEG,13120,CDM,,,,both,,,334,334,71.1032375,334,334,percent of total billed charges,245.7356656,,,,334,percent of total billed charges,260.4749467,,,,334,percent of total billed charges,245.7356656,,,,334,percent of total billed charges,260.4749467,,,,334,percent of total billed charges,999999999,,,,334,percent of total billed charges,254.4850443,,,,334,percent of total billed charges,245.7356656,,,,334,percent of total billed charges,260.4749467,,,,238.142,percent of total billed charges,118.837216,,,,238.142,percent of total billed charges,71.1032375,,,,238.142,percent of total billed charges,118.837216,,,,238.142,percent of total billed charges,71.1032375,,,,238.142,percent of total billed charges,118.837216,,,,238.142,percent of total billed charges,71.1032375,,,,235.804,percent of total billed charges,234.0148909,,,,235.804,percent of total billed charges,161.3982155,,,,,,,,,,240.48,percent of total billed charges,156.306341,,,,,,,,,,240.48,percent of total billed charges,999999999,,,,,,,,,,267.2,percent of total billed charges,223.8997105,,,,263.86,percent of total billed charges,254.6362552,,,,263.86,percent of total billed charges,224.9795603,,,,267.2,percent of total billed charges,999999999,,,,267.2,percent of total billed charges,999999999,,,,233.8,percent of total billed charges,999999999,,,,233.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,177.688,percent of total billed charges,999999999,,,,,,,,,,,,,,,,168.67,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,83.5,percent of total billed charges,79.30457515,,,,,,,,,,83.5,percent of total billed charges,77.98539751,,,,,,,,,,83.5,percent of total billed charges,77.76867943,,,,,,,,,,83.5,percent of total billed charges,76.62353657,,,,,,,,,,83.5,percent of total billed charges,78.59517281,,,,,,,,,,83.5,percent of total billed charges,999999999,,,,,,,,,,83.5,percent of total billed charges,67.44019294,,,,,,,,,,83.5,percent of total billed charges,106.3578349,,,,,,,,,,83.5,percent of total billed charges,999999999,,,,,,,,,,83.5,percent of total billed charges,72.71702168,,,,,,,,,,300.6,percent of total billed charges,,,,,
**REPR COMPLX 2.6-7.5 CM SCALP ARM LEG,13121,CDM,,,,both,,,325,325,69.187282,325,325,percent of total billed charges,239.1140459,,,,325,percent of total billed charges,253.4561608,,,,325,percent of total billed charges,239.1140459,,,,325,percent of total billed charges,253.4561608,,,,325,percent of total billed charges,999999999,,,,325,percent of total billed charges,247.6276629,,,,325,percent of total billed charges,239.1140459,,,,325,percent of total billed charges,253.4561608,,,,231.725,percent of total billed charges,115.6350156,,,,231.725,percent of total billed charges,69.187282,,,,231.725,percent of total billed charges,115.6350156,,,,231.725,percent of total billed charges,69.187282,,,,231.725,percent of total billed charges,115.6350156,,,,231.725,percent of total billed charges,69.187282,,,,229.45,percent of total billed charges,227.7091005,,,,229.45,percent of total billed charges,157.0491618,,,,,,,,,,234,percent of total billed charges,152.0944935,,,,,,,,,,234,percent of total billed charges,999999999,,,,,,,,,,260,percent of total billed charges,217.8664847,,,,256.75,percent of total billed charges,247.7747992,,,,256.75,percent of total billed charges,218.9172368,,,,260,percent of total billed charges,999999999,,,,260,percent of total billed charges,999999999,,,,227.5,percent of total billed charges,999999999,,,,227.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,172.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,164.125,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,81.25,percent of total billed charges,77.16762552,,,,,,,,,,81.25,percent of total billed charges,75.88399458,,,,,,,,,,81.25,percent of total billed charges,75.67311621,,,,,,,,,,81.25,percent of total billed charges,74.55883049,,,,,,,,,,81.25,percent of total billed charges,76.47733881,,,,,,,,,,81.25,percent of total billed charges,999999999,,,,,,,,,,81.25,percent of total billed charges,65.62294224,,,,,,,,,,81.25,percent of total billed charges,103.4919052,,,,,,,,,,81.25,percent of total billed charges,999999999,,,,,,,,,,81.25,percent of total billed charges,70.75758097,,,,,,,,,,292.5,percent of total billed charges,,,,,
REPR COMPLX 2.6-7.5 CM SCALP ARM LEG,13121,CDM,,,,both,,,325,325,69.187282,325,325,percent of total billed charges,239.1140459,,,,325,percent of total billed charges,253.4561608,,,,325,percent of total billed charges,239.1140459,,,,325,percent of total billed charges,253.4561608,,,,325,percent of total billed charges,999999999,,,,325,percent of total billed charges,247.6276629,,,,325,percent of total billed charges,239.1140459,,,,325,percent of total billed charges,253.4561608,,,,231.725,percent of total billed charges,115.6350156,,,,231.725,percent of total billed charges,69.187282,,,,231.725,percent of total billed charges,115.6350156,,,,231.725,percent of total billed charges,69.187282,,,,231.725,percent of total billed charges,115.6350156,,,,231.725,percent of total billed charges,69.187282,,,,229.45,percent of total billed charges,227.7091005,,,,229.45,percent of total billed charges,157.0491618,,,,,,,,,,234,percent of total billed charges,152.0944935,,,,,,,,,,234,percent of total billed charges,999999999,,,,,,,,,,260,percent of total billed charges,217.8664847,,,,256.75,percent of total billed charges,247.7747992,,,,256.75,percent of total billed charges,218.9172368,,,,260,percent of total billed charges,999999999,,,,260,percent of total billed charges,999999999,,,,227.5,percent of total billed charges,999999999,,,,227.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,172.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,164.125,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,81.25,percent of total billed charges,77.16762552,,,,,,,,,,81.25,percent of total billed charges,75.88399458,,,,,,,,,,81.25,percent of total billed charges,75.67311621,,,,,,,,,,81.25,percent of total billed charges,74.55883049,,,,,,,,,,81.25,percent of total billed charges,76.47733881,,,,,,,,,,81.25,percent of total billed charges,999999999,,,,,,,,,,81.25,percent of total billed charges,65.62294224,,,,,,,,,,81.25,percent of total billed charges,103.4919052,,,,,,,,,,81.25,percent of total billed charges,999999999,,,,,,,,,,81.25,percent of total billed charges,70.75758097,,,,,,,,,,292.5,percent of total billed charges,,,,,
**REP COMPLX 1.1-2.5CM FACE AXI HAND,13131,CDM,,,,both,,,315,315,67.05844256,315,315,percent of total billed charges,231.7566906,,,,315,percent of total billed charges,245.6575097,,,,315,percent of total billed charges,231.7566906,,,,315,percent of total billed charges,245.6575097,,,,315,percent of total billed charges,999999999,,,,315,percent of total billed charges,240.0083502,,,,315,percent of total billed charges,231.7566906,,,,315,percent of total billed charges,245.6575097,,,,224.595,percent of total billed charges,112.0770151,,,,224.595,percent of total billed charges,67.05844256,,,,224.595,percent of total billed charges,112.0770151,,,,224.595,percent of total billed charges,67.05844256,,,,224.595,percent of total billed charges,112.0770151,,,,224.595,percent of total billed charges,67.05844256,,,,222.39,percent of total billed charges,220.7026666,,,,222.39,percent of total billed charges,152.2168799,,,,,,,,,,226.8,percent of total billed charges,147.4146629,,,,,,,,,,226.8,percent of total billed charges,999999999,,,,,,,,,,252,percent of total billed charges,211.1629006,,,,248.85,percent of total billed charges,240.1509592,,,,248.85,percent of total billed charges,212.1813219,,,,252,percent of total billed charges,999999999,,,,252,percent of total billed charges,999999999,,,,220.5,percent of total billed charges,999999999,,,,220.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,167.58,percent of total billed charges,999999999,,,,,,,,,,,,,,,,159.075,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,78.75,percent of total billed charges,74.79323705,,,,,,,,,,78.75,percent of total billed charges,73.54910244,,,,,,,,,,78.75,percent of total billed charges,73.34471263,,,,,,,,,,78.75,percent of total billed charges,72.26471263,,,,,,,,,,78.75,percent of total billed charges,74.12418992,,,,,,,,,,78.75,percent of total billed charges,999999999,,,,,,,,,,78.75,percent of total billed charges,63.60377478,,,,,,,,,,78.75,percent of total billed charges,100.3075389,,,,,,,,,,78.75,percent of total billed charges,999999999,,,,,,,,,,78.75,percent of total billed charges,68.58042464,,,,,,,,,,283.5,percent of total billed charges,,,,,
REP COMPLX 1.1-2.5CM FACE AXI HAND,13131,CDM,,,,both,,,315,315,67.05844256,315,315,percent of total billed charges,231.7566906,,,,315,percent of total billed charges,245.6575097,,,,315,percent of total billed charges,231.7566906,,,,315,percent of total billed charges,245.6575097,,,,315,percent of total billed charges,999999999,,,,315,percent of total billed charges,240.0083502,,,,315,percent of total billed charges,231.7566906,,,,315,percent of total billed charges,245.6575097,,,,224.595,percent of total billed charges,112.0770151,,,,224.595,percent of total billed charges,67.05844256,,,,224.595,percent of total billed charges,112.0770151,,,,224.595,percent of total billed charges,67.05844256,,,,224.595,percent of total billed charges,112.0770151,,,,224.595,percent of total billed charges,67.05844256,,,,222.39,percent of total billed charges,220.7026666,,,,222.39,percent of total billed charges,152.2168799,,,,,,,,,,226.8,percent of total billed charges,147.4146629,,,,,,,,,,226.8,percent of total billed charges,999999999,,,,,,,,,,252,percent of total billed charges,211.1629006,,,,248.85,percent of total billed charges,240.1509592,,,,248.85,percent of total billed charges,212.1813219,,,,252,percent of total billed charges,999999999,,,,252,percent of total billed charges,999999999,,,,220.5,percent of total billed charges,999999999,,,,220.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,167.58,percent of total billed charges,999999999,,,,,,,,,,,,,,,,159.075,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,78.75,percent of total billed charges,74.79323705,,,,,,,,,,78.75,percent of total billed charges,73.54910244,,,,,,,,,,78.75,percent of total billed charges,73.34471263,,,,,,,,,,78.75,percent of total billed charges,72.26471263,,,,,,,,,,78.75,percent of total billed charges,74.12418992,,,,,,,,,,78.75,percent of total billed charges,999999999,,,,,,,,,,78.75,percent of total billed charges,63.60377478,,,,,,,,,,78.75,percent of total billed charges,100.3075389,,,,,,,,,,78.75,percent of total billed charges,999999999,,,,,,,,,,78.75,percent of total billed charges,68.58042464,,,,,,,,,,283.5,percent of total billed charges,,,,,
REPR COMPLX 2.6-7.5 CM FACE AXI HAND,13132,CDM,,,,both,,,375,375,79.83147923,375,375,percent of total billed charges,275.9008221,,,,375,percent of total billed charges,292.4494163,,,,375,percent of total billed charges,275.9008221,,,,375,percent of total billed charges,292.4494163,,,,375,percent of total billed charges,999999999,,,,375,percent of total billed charges,285.7242264,,,,375,percent of total billed charges,275.9008221,,,,375,percent of total billed charges,292.4494163,,,,267.375,percent of total billed charges,133.425018,,,,267.375,percent of total billed charges,79.83147923,,,,267.375,percent of total billed charges,133.425018,,,,267.375,percent of total billed charges,79.83147923,,,,267.375,percent of total billed charges,133.425018,,,,267.375,percent of total billed charges,79.83147923,,,,264.75,percent of total billed charges,262.7412698,,,,264.75,percent of total billed charges,181.2105713,,,,,,,,,,270,percent of total billed charges,175.4936463,,,,,,,,,,270,percent of total billed charges,999999999,,,,,,,,,,300,percent of total billed charges,251.3844055,,,,296.25,percent of total billed charges,285.8939991,,,,296.25,percent of total billed charges,252.5968117,,,,300,percent of total billed charges,999999999,,,,300,percent of total billed charges,999999999,,,,262.5,percent of total billed charges,999999999,,,,262.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,199.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,189.375,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,93.75,percent of total billed charges,89.03956791,,,,,,,,,,93.75,percent of total billed charges,87.55845528,,,,,,,,,,93.75,percent of total billed charges,87.31513409,,,,,,,,,,93.75,percent of total billed charges,86.0294198,,,,,,,,,,93.75,percent of total billed charges,88.24308324,,,,,,,,,,93.75,percent of total billed charges,999999999,,,,,,,,,,93.75,percent of total billed charges,75.7187795,,,,,,,,,,93.75,percent of total billed charges,119.4137368,,,,,,,,,,93.75,percent of total billed charges,999999999,,,,,,,,,,93.75,percent of total billed charges,81.64336266,,,,,,,,,,337.5,percent of total billed charges,,,,,
**REPR COMPLX 1.0CM OR < EYELID/NOSE/E,12011,CDM,,,,both,,,1000,1000,212.8839446,1000,1000,percent of total billed charges,735.7355257,,,,1000,percent of total billed charges,779.86511,,,,1000,percent of total billed charges,735.7355257,,,,1000,percent of total billed charges,779.86511,,,,1000,percent of total billed charges,999999999,,,,1000,percent of total billed charges,761.9312704,,,,1000,percent of total billed charges,735.7355257,,,,1000,percent of total billed charges,779.86511,,,,713,percent of total billed charges,355.8000479,,,,713,percent of total billed charges,212.8839446,,,,713,percent of total billed charges,355.8000479,,,,713,percent of total billed charges,212.8839446,,,,713,percent of total billed charges,355.8000479,,,,713,percent of total billed charges,212.8839446,,,,706,percent of total billed charges,700.6433861,,,,706,percent of total billed charges,483.22819,,,,,,,,,,720,percent of total billed charges,467.9830569,,,,,,,,,,720,percent of total billed charges,999999999,,,,,,,,,,800,percent of total billed charges,670.3584146,,,,790,percent of total billed charges,762.3839976,,,,790,percent of total billed charges,673.5914979,,,,800,percent of total billed charges,999999999,,,,800,percent of total billed charges,999999999,,,,700,percent of total billed charges,999999999,,,,700,percent of total billed charges,999999999,,,,,,,,,,,,,,,,532,percent of total billed charges,999999999,,,,,,,,,,,,,,,,505,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,250,percent of total billed charges,237.4388478,,,,,,,,,,250,percent of total billed charges,233.4892141,,,,,,,,,,250,percent of total billed charges,232.8403576,,,,,,,,,,250,percent of total billed charges,229.4117861,,,,,,,,,,250,percent of total billed charges,235.3148886,,,,,,,,,,250,percent of total billed charges,999999999,,,,,,,,,,250,percent of total billed charges,201.9167453,,,,,,,,,,250,percent of total billed charges,318.4366315,,,,,,,,,,250,percent of total billed charges,999999999,,,,,,,,,,250,percent of total billed charges,217.7156338,,,,,,,,,,900,percent of total billed charges,,,,,
REPR COMPLX 1.1-2.5CM EYES/NOSE/EAR,13151,CDM,,,,both,,,312,312,66.41979072,312,312,percent of total billed charges,229.549484,,,,312,percent of total billed charges,243.3179143,,,,312,percent of total billed charges,229.549484,,,,312,percent of total billed charges,243.3179143,,,,312,percent of total billed charges,999999999,,,,312,percent of total billed charges,237.7225564,,,,312,percent of total billed charges,229.549484,,,,312,percent of total billed charges,243.3179143,,,,222.456,percent of total billed charges,111.009615,,,,222.456,percent of total billed charges,66.41979072,,,,222.456,percent of total billed charges,111.009615,,,,222.456,percent of total billed charges,66.41979072,,,,222.456,percent of total billed charges,111.009615,,,,222.456,percent of total billed charges,66.41979072,,,,220.272,percent of total billed charges,218.6007365,,,,220.272,percent of total billed charges,150.7671953,,,,,,,,,,224.64,percent of total billed charges,146.0107137,,,,,,,,,,224.64,percent of total billed charges,999999999,,,,,,,,,,249.6,percent of total billed charges,209.1518254,,,,246.48,percent of total billed charges,237.8638072,,,,246.48,percent of total billed charges,210.1605474,,,,249.6,percent of total billed charges,999999999,,,,249.6,percent of total billed charges,999999999,,,,218.4,percent of total billed charges,999999999,,,,218.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,165.984,percent of total billed charges,999999999,,,,,,,,,,,,,,,,157.56,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,78,percent of total billed charges,74.0809205,,,,,,,,,,78,percent of total billed charges,72.8486348,,,,,,,,,,78,percent of total billed charges,72.64619156,,,,,,,,,,78,percent of total billed charges,71.57647727,,,,,,,,,,78,percent of total billed charges,73.41824526,,,,,,,,,,78,percent of total billed charges,999999999,,,,,,,,,,78,percent of total billed charges,62.99802455,,,,,,,,,,78,percent of total billed charges,99.35222903,,,,,,,,,,78,percent of total billed charges,999999999,,,,,,,,,,78,percent of total billed charges,67.92727773,,,,,,,,,,280.8,percent of total billed charges,,,,,
**REPR COMPLX 2.6-7.5CM EYES/NOSE/EARS,13152,CDM,,,,both,,,808,808,172.0102273,808,808,percent of total billed charges,594.4743048,,,,808,percent of total billed charges,630.1310089,,,,808,percent of total billed charges,594.4743048,,,,808,percent of total billed charges,630.1310089,,,,808,percent of total billed charges,999999999,,,,808,percent of total billed charges,615.6404665,,,,808,percent of total billed charges,594.4743048,,,,808,percent of total billed charges,630.1310089,,,,576.104,percent of total billed charges,287.4864387,,,,576.104,percent of total billed charges,172.0102273,,,,576.104,percent of total billed charges,287.4864387,,,,576.104,percent of total billed charges,172.0102273,,,,576.104,percent of total billed charges,287.4864387,,,,576.104,percent of total billed charges,172.0102273,,,,570.448,percent of total billed charges,566.1198559,,,,570.448,percent of total billed charges,390.4483776,,,,,,,,,,581.76,percent of total billed charges,378.13031,,,,,,,,,,581.76,percent of total billed charges,999999999,,,,,,,,,,646.4,percent of total billed charges,541.649599,,,,638.32,percent of total billed charges,616.00627,,,,638.32,percent of total billed charges,544.2619303,,,,646.4,percent of total billed charges,999999999,,,,646.4,percent of total billed charges,999999999,,,,565.6,percent of total billed charges,999999999,,,,565.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,429.856,percent of total billed charges,999999999,,,,,,,,,,,,,,,,408.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,202,percent of total billed charges,191.850589,,,,,,,,,,202,percent of total billed charges,188.659285,,,,,,,,,,202,percent of total billed charges,188.1350089,,,,,,,,,,202,percent of total billed charges,185.3647232,,,,,,,,,,202,percent of total billed charges,190.13443,,,,,,,,,,202,percent of total billed charges,999999999,,,,,,,,,,202,percent of total billed charges,163.1487302,,,,,,,,,,202,percent of total billed charges,257.2967983,,,,,,,,,,202,percent of total billed charges,999999999,,,,,,,,,,202,percent of total billed charges,175.9142321,,,,,,,,,,727.2,percent of total billed charges,,,,,
REPR COMPLX 2.6-7.5 CM EYES/NOSE/EAR,13152,CDM,,,,both,,,808,808,172.0102273,808,808,percent of total billed charges,594.4743048,,,,808,percent of total billed charges,630.1310089,,,,808,percent of total billed charges,594.4743048,,,,808,percent of total billed charges,630.1310089,,,,808,percent of total billed charges,999999999,,,,808,percent of total billed charges,615.6404665,,,,808,percent of total billed charges,594.4743048,,,,808,percent of total billed charges,630.1310089,,,,576.104,percent of total billed charges,287.4864387,,,,576.104,percent of total billed charges,172.0102273,,,,576.104,percent of total billed charges,287.4864387,,,,576.104,percent of total billed charges,172.0102273,,,,576.104,percent of total billed charges,287.4864387,,,,576.104,percent of total billed charges,172.0102273,,,,570.448,percent of total billed charges,566.1198559,,,,570.448,percent of total billed charges,390.4483776,,,,,,,,,,581.76,percent of total billed charges,378.13031,,,,,,,,,,581.76,percent of total billed charges,999999999,,,,,,,,,,646.4,percent of total billed charges,541.649599,,,,638.32,percent of total billed charges,616.00627,,,,638.32,percent of total billed charges,544.2619303,,,,646.4,percent of total billed charges,999999999,,,,646.4,percent of total billed charges,999999999,,,,565.6,percent of total billed charges,999999999,,,,565.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,429.856,percent of total billed charges,999999999,,,,,,,,,,,,,,,,408.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,202,percent of total billed charges,191.850589,,,,,,,,,,202,percent of total billed charges,188.659285,,,,,,,,,,202,percent of total billed charges,188.1350089,,,,,,,,,,202,percent of total billed charges,185.3647232,,,,,,,,,,202,percent of total billed charges,190.13443,,,,,,,,,,202,percent of total billed charges,999999999,,,,,,,,,,202,percent of total billed charges,163.1487302,,,,,,,,,,202,percent of total billed charges,257.2967983,,,,,,,,,,202,percent of total billed charges,999999999,,,,,,,,,,202,percent of total billed charges,175.9142321,,,,,,,,,,727.2,percent of total billed charges,,,,,
2NDARY CLS SURG WND/DEHISC EXT/COMPL,13160,CDM,,,,both,,,11454,11454,2438.372702,11454,11454,percent of total billed charges,8427.114712,,,,11454,percent of total billed charges,8932.57497,,,,11454,percent of total billed charges,8427.114712,,,,11454,percent of total billed charges,8932.57497,,,,11454,percent of total billed charges,999999999,,,,11454,percent of total billed charges,8727.160771,,,,11454,percent of total billed charges,8427.114712,,,,11454,percent of total billed charges,8932.57497,,,,8166.702,percent of total billed charges,4075.333749,,,,8166.702,percent of total billed charges,2438.372702,,,,8166.702,percent of total billed charges,4075.333749,,,,8166.702,percent of total billed charges,2438.372702,,,,8166.702,percent of total billed charges,4075.333749,,,,8166.702,percent of total billed charges,2438.372702,,,,8086.524,percent of total billed charges,8025.169344,,,,8086.524,percent of total billed charges,5534.895689,,,,,,,,,,8246.88,percent of total billed charges,5360.277933,,,,,,,,,,8246.88,percent of total billed charges,999999999,,,,,,,,,,9163.2,percent of total billed charges,7678.285281,,,,9048.66,percent of total billed charges,8732.346308,,,,9048.66,percent of total billed charges,7715.317017,,,,9163.2,percent of total billed charges,999999999,,,,9163.2,percent of total billed charges,999999999,,,,8017.8,percent of total billed charges,999999999,,,,8017.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6093.528,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5784.27,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2863.5,percent of total billed charges,2719.624562,,,,,,,,,,2863.5,percent of total billed charges,2674.385458,,,,,,,,,,2863.5,percent of total billed charges,2666.953456,,,,,,,,,,2863.5,percent of total billed charges,2627.682598,,,,,,,,,,2863.5,percent of total billed charges,2695.296735,,,,,,,,,,2863.5,percent of total billed charges,999999999,,,,,,,,,,2863.5,percent of total billed charges,2312.754401,,,,,,,,,,2863.5,percent of total billed charges,3647.373177,,,,,,,,,,2863.5,percent of total billed charges,999999999,,,,,,,,,,2863.5,percent of total billed charges,2493.714869,,,,,,,,,,10308.6,percent of total billed charges,,,,,
**DRESS/DEBRID INITL/SUBSQ WO ANES SML,16020,CDM,,,,both,,,56,56,11.9215009,56,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,56,percent of total billed charges,999999999,,,,56,percent of total billed charges,42.66815114,,,,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.536,percent of total billed charges,39.23602962,,,,39.536,percent of total billed charges,27.06077864,,,,,,,,,,40.32,percent of total billed charges,26.20705119,,,,,,,,,,40.32,percent of total billed charges,999999999,,,,,,,,,,44.8,percent of total billed charges,37.54007122,,,,44.24,percent of total billed charges,42.69350386,,,,44.24,percent of total billed charges,37.72112388,,,,44.8,percent of total billed charges,999999999,,,,44.8,percent of total billed charges,999999999,,,,39.2,percent of total billed charges,999999999,,,,39.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,29.792,percent of total billed charges,999999999,,,,,,,,,,,,,,,,28.28,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14,percent of total billed charges,13.29657547,,,,,,,,,,14,percent of total billed charges,13.07539599,,,,,,,,,,14,percent of total billed charges,13.03906002,,,,,,,,,,14,percent of total billed charges,12.84706002,,,,,,,,,,14,percent of total billed charges,13.17763376,,,,,,,,,,14,percent of total billed charges,999999999,,,,,,,,,,14,percent of total billed charges,11.30733774,,,,,,,,,,14,percent of total billed charges,17.83245137,,,,,,,,,,14,percent of total billed charges,999999999,,,,,,,,,,14,percent of total billed charges,12.19207549,,,,,,,,,,50.4,percent of total billed charges,,,,,
DRESS/DEBRID INITL/SUBSQ WO ANES SML,16020,CDM,,,,both,,,745,745,158.5985387,745,745,percent of total billed charges,548.1229667,,,,745,percent of total billed charges,580.999507,,,,745,percent of total billed charges,548.1229667,,,,745,percent of total billed charges,580.999507,,,,745,percent of total billed charges,999999999,,,,745,percent of total billed charges,567.6387965,,,,745,percent of total billed charges,548.1229667,,,,745,percent of total billed charges,580.999507,,,,531.185,percent of total billed charges,265.0710357,,,,531.185,percent of total billed charges,158.5985387,,,,531.185,percent of total billed charges,265.0710357,,,,531.185,percent of total billed charges,158.5985387,,,,531.185,percent of total billed charges,265.0710357,,,,531.185,percent of total billed charges,158.5985387,,,,525.97,percent of total billed charges,521.9793226,,,,525.97,percent of total billed charges,360.0050016,,,,,,,,,,536.4,percent of total billed charges,348.6473774,,,,,,,,,,536.4,percent of total billed charges,999999999,,,,,,,,,,596,percent of total billed charges,499.4170189,,,,588.55,percent of total billed charges,567.9760782,,,,588.55,percent of total billed charges,501.825666,,,,596,percent of total billed charges,999999999,,,,596,percent of total billed charges,999999999,,,,521.5,percent of total billed charges,999999999,,,,521.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,396.34,percent of total billed charges,999999999,,,,,,,,,,,,,,,,376.225,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,186.25,percent of total billed charges,176.8919416,,,,,,,,,,186.25,percent of total billed charges,173.9494645,,,,,,,,,,186.25,percent of total billed charges,173.4660664,,,,,,,,,,186.25,percent of total billed charges,170.9117807,,,,,,,,,,186.25,percent of total billed charges,175.309592,,,,,,,,,,186.25,percent of total billed charges,999999999,,,,,,,,,,186.25,percent of total billed charges,150.4279753,,,,,,,,,,186.25,percent of total billed charges,237.2352905,,,,,,,,,,186.25,percent of total billed charges,999999999,,,,,,,,,,186.25,percent of total billed charges,162.1981472,,,,,,,,,,670.5,percent of total billed charges,,,,,
DRESS/DEBRID INITL/SUBSQ WO ANES MED,16025,CDM,,,,both,,,56,56,11.9215009,56,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,56,percent of total billed charges,999999999,,,,56,percent of total billed charges,42.66815114,,,,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.536,percent of total billed charges,39.23602962,,,,39.536,percent of total billed charges,27.06077864,,,,,,,,,,40.32,percent of total billed charges,26.20705119,,,,,,,,,,40.32,percent of total billed charges,999999999,,,,,,,,,,44.8,percent of total billed charges,37.54007122,,,,44.24,percent of total billed charges,42.69350386,,,,44.24,percent of total billed charges,37.72112388,,,,44.8,percent of total billed charges,999999999,,,,44.8,percent of total billed charges,999999999,,,,39.2,percent of total billed charges,999999999,,,,39.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,29.792,percent of total billed charges,999999999,,,,,,,,,,,,,,,,28.28,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14,percent of total billed charges,13.29657547,,,,,,,,,,14,percent of total billed charges,13.07539599,,,,,,,,,,14,percent of total billed charges,13.03906002,,,,,,,,,,14,percent of total billed charges,12.84706002,,,,,,,,,,14,percent of total billed charges,13.17763376,,,,,,,,,,14,percent of total billed charges,999999999,,,,,,,,,,14,percent of total billed charges,11.30733774,,,,,,,,,,14,percent of total billed charges,17.83245137,,,,,,,,,,14,percent of total billed charges,999999999,,,,,,,,,,14,percent of total billed charges,12.19207549,,,,,,,,,,50.4,percent of total billed charges,,,,,
DRESS/DEBRID INITL/SUBSQ WO ANES LRG,16030,CDM,,,,both,,,56,56,11.9215009,56,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,56,percent of total billed charges,999999999,,,,56,percent of total billed charges,42.66815114,,,,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.536,percent of total billed charges,39.23602962,,,,39.536,percent of total billed charges,27.06077864,,,,,,,,,,40.32,percent of total billed charges,26.20705119,,,,,,,,,,40.32,percent of total billed charges,999999999,,,,,,,,,,44.8,percent of total billed charges,37.54007122,,,,44.24,percent of total billed charges,42.69350386,,,,44.24,percent of total billed charges,37.72112388,,,,44.8,percent of total billed charges,999999999,,,,44.8,percent of total billed charges,999999999,,,,39.2,percent of total billed charges,999999999,,,,39.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,29.792,percent of total billed charges,999999999,,,,,,,,,,,,,,,,28.28,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14,percent of total billed charges,13.29657547,,,,,,,,,,14,percent of total billed charges,13.07539599,,,,,,,,,,14,percent of total billed charges,13.03906002,,,,,,,,,,14,percent of total billed charges,12.84706002,,,,,,,,,,14,percent of total billed charges,13.17763376,,,,,,,,,,14,percent of total billed charges,999999999,,,,,,,,,,14,percent of total billed charges,11.30733774,,,,,,,,,,14,percent of total billed charges,17.83245137,,,,,,,,,,14,percent of total billed charges,999999999,,,,,,,,,,14,percent of total billed charges,12.19207549,,,,,,,,,,50.4,percent of total billed charges,,,,,
EXPLR PENETRATING WND ABD/FLANK/BACK,20102,CDM,,,,both,,,3439,3439,732.1078856,3439,3439,percent of total billed charges,2530.194473,,,,3439,percent of total billed charges,2681.956113,,,,3439,percent of total billed charges,2530.194473,,,,3439,percent of total billed charges,2681.956113,,,,3439,percent of total billed charges,999999999,,,,3439,percent of total billed charges,2620.281639,,,,3439,percent of total billed charges,2530.194473,,,,3439,percent of total billed charges,2681.956113,,,,2452.007,percent of total billed charges,1223.596365,,,,2452.007,percent of total billed charges,732.1078856,,,,2452.007,percent of total billed charges,1223.596365,,,,2452.007,percent of total billed charges,732.1078856,,,,2452.007,percent of total billed charges,1223.596365,,,,2452.007,percent of total billed charges,732.1078856,,,,2427.934,percent of total billed charges,2409.512605,,,,2427.934,percent of total billed charges,1661.821746,,,,,,,,,,2476.08,percent of total billed charges,1609.393733,,,,,,,,,,2476.08,percent of total billed charges,999999999,,,,,,,,,,2751.2,percent of total billed charges,2305.362588,,,,2716.81,percent of total billed charges,2621.838568,,,,2716.81,percent of total billed charges,2316.481161,,,,2751.2,percent of total billed charges,999999999,,,,2751.2,percent of total billed charges,999999999,,,,2407.3,percent of total billed charges,999999999,,,,2407.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1829.548,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1736.695,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,859.75,percent of total billed charges,816.5521975,,,,,,,,,,859.75,percent of total billed charges,802.9694073,,,,,,,,,,859.75,percent of total billed charges,800.7379897,,,,,,,,,,859.75,percent of total billed charges,788.9471325,,,,,,,,,,859.75,percent of total billed charges,809.2479021,,,,,,,,,,859.75,percent of total billed charges,999999999,,,,,,,,,,859.75,percent of total billed charges,694.3916872,,,,,,,,,,859.75,percent of total billed charges,1095.103576,,,,,,,,,,859.75,percent of total billed charges,999999999,,,,,,,,,,859.75,percent of total billed charges,748.7240645,,,,,,,,,,3095.1,percent of total billed charges,,,,,
EXPLORATION OF PENETRATING WOUND,20101,CDM,,,,both,,,575,575,122.4082682,575,575,percent of total billed charges,423.0479273,,,,575,percent of total billed charges,448.4224383,,,,575,percent of total billed charges,423.0479273,,,,575,percent of total billed charges,448.4224383,,,,575,percent of total billed charges,999999999,,,,575,percent of total billed charges,438.1104805,,,,575,percent of total billed charges,423.0479273,,,,575,percent of total billed charges,448.4224383,,,,409.975,percent of total billed charges,204.5850276,,,,409.975,percent of total billed charges,122.4082682,,,,409.975,percent of total billed charges,204.5850276,,,,409.975,percent of total billed charges,122.4082682,,,,409.975,percent of total billed charges,204.5850276,,,,409.975,percent of total billed charges,122.4082682,,,,405.95,percent of total billed charges,402.869947,,,,405.95,percent of total billed charges,277.8562093,,,,,,,,,,414,percent of total billed charges,269.0902577,,,,,,,,,,414,percent of total billed charges,999999999,,,,,,,,,,460,percent of total billed charges,385.4560884,,,,454.25,percent of total billed charges,438.3707986,,,,454.25,percent of total billed charges,387.3151113,,,,460,percent of total billed charges,999999999,,,,460,percent of total billed charges,999999999,,,,402.5,percent of total billed charges,999999999,,,,402.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,305.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,290.375,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,143.75,percent of total billed charges,136.5273375,,,,,,,,,,143.75,percent of total billed charges,134.2562981,,,,,,,,,,143.75,percent of total billed charges,133.8832056,,,,,,,,,,143.75,percent of total billed charges,131.911777,,,,,,,,,,143.75,percent of total billed charges,135.306061,,,,,,,,,,143.75,percent of total billed charges,999999999,,,,,,,,,,143.75,percent of total billed charges,116.1021286,,,,,,,,,,143.75,percent of total billed charges,183.1010631,,,,,,,,,,143.75,percent of total billed charges,999999999,,,,,,,,,,143.75,percent of total billed charges,125.1864894,,,,,,,,,,517.5,percent of total billed charges,,,,,
EXPLOR PENETRATING WND EXTREMITY,20103,CDM,,,,both,,,3593,3593,764.892013,3593,3593,percent of total billed charges,2643.497744,,,,3593,percent of total billed charges,2802.05534,,,,3593,percent of total billed charges,2643.497744,,,,3593,percent of total billed charges,2802.05534,,,,3593,percent of total billed charges,999999999,,,,3593,percent of total billed charges,2737.619055,,,,3593,percent of total billed charges,2643.497744,,,,3593,percent of total billed charges,2802.05534,,,,2561.809,percent of total billed charges,1278.389572,,,,2561.809,percent of total billed charges,764.892013,,,,2561.809,percent of total billed charges,1278.389572,,,,2561.809,percent of total billed charges,764.892013,,,,2561.809,percent of total billed charges,1278.389572,,,,2561.809,percent of total billed charges,764.892013,,,,2536.658,percent of total billed charges,2517.411686,,,,2536.658,percent of total billed charges,1736.238887,,,,,,,,,,2586.96,percent of total billed charges,1681.463123,,,,,,,,,,2586.96,percent of total billed charges,999999999,,,,,,,,,,2874.4,percent of total billed charges,2408.597784,,,,2838.47,percent of total billed charges,2739.245703,,,,2838.47,percent of total billed charges,2420.214252,,,,2874.4,percent of total billed charges,999999999,,,,2874.4,percent of total billed charges,999999999,,,,2515.1,percent of total billed charges,999999999,,,,2515.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1911.476,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1814.465,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,898.25,percent of total billed charges,853.11778,,,,,,,,,,898.25,percent of total billed charges,838.9267462,,,,,,,,,,898.25,percent of total billed charges,836.5954047,,,,,,,,,,898.25,percent of total billed charges,824.2765476,,,,,,,,,,898.25,percent of total billed charges,845.4863949,,,,,,,,,,898.25,percent of total billed charges,999999999,,,,,,,,,,898.25,percent of total billed charges,725.486866,,,,,,,,,,898.25,percent of total billed charges,1144.142817,,,,,,,,,,898.25,percent of total billed charges,999999999,,,,,,,,,,898.25,percent of total billed charges,782.2522721,,,,,,,,,,3233.7,percent of total billed charges,,,,,
REMOVE FORGN BODY MUSCLE/TENDON SIMP,20520,CDM,,,,both,,,5427,5427,1155.321167,5427,5427,percent of total billed charges,3992.836698,,,,5427,percent of total billed charges,4232.327952,,,,5427,percent of total billed charges,3992.836698,,,,5427,percent of total billed charges,4232.327952,,,,5427,percent of total billed charges,999999999,,,,5427,percent of total billed charges,4135.001005,,,,5427,percent of total billed charges,3992.836698,,,,5427,percent of total billed charges,4232.327952,,,,3869.451,percent of total billed charges,1930.92686,,,,3869.451,percent of total billed charges,1155.321167,,,,3869.451,percent of total billed charges,1930.92686,,,,3869.451,percent of total billed charges,1155.321167,,,,3869.451,percent of total billed charges,1930.92686,,,,3869.451,percent of total billed charges,1155.321167,,,,3831.462,percent of total billed charges,3802.391656,,,,3831.462,percent of total billed charges,2622.479387,,,,,,,,,,3907.44,percent of total billed charges,2539.74405,,,,,,,,,,3907.44,percent of total billed charges,999999999,,,,,,,,,,4341.6,percent of total billed charges,3638.035116,,,,4287.33,percent of total billed charges,4137.457955,,,,4287.33,percent of total billed charges,3655.581059,,,,4341.6,percent of total billed charges,999999999,,,,4341.6,percent of total billed charges,999999999,,,,3798.9,percent of total billed charges,999999999,,,,3798.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2887.164,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2740.635,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1356.75,percent of total billed charges,1288.580627,,,,,,,,,,1356.75,percent of total billed charges,1267.145965,,,,,,,,,,1356.75,percent of total billed charges,1263.62462,,,,,,,,,,1356.75,percent of total billed charges,1245.017763,,,,,,,,,,1356.75,percent of total billed charges,1277.053901,,,,,,,,,,1356.75,percent of total billed charges,999999999,,,,,,,,,,1356.75,percent of total billed charges,1095.802177,,,,,,,,,,1356.75,percent of total billed charges,1728.155599,,,,,,,,,,1356.75,percent of total billed charges,999999999,,,,,,,,,,1356.75,percent of total billed charges,1181.542744,,,,,,,,,,4884.3,percent of total billed charges,,,,,
**ARTHRCENT ASPIRA &/OR INJ SML JT CYS,20600,CDM,,,,both,,,56,56,11.9215009,56,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,56,percent of total billed charges,999999999,,,,56,percent of total billed charges,42.66815114,,,,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.536,percent of total billed charges,39.23602962,,,,39.536,percent of total billed charges,27.06077864,,,,,,,,,,40.32,percent of total billed charges,26.20705119,,,,,,,,,,40.32,percent of total billed charges,999999999,,,,,,,,,,44.8,percent of total billed charges,37.54007122,,,,44.24,percent of total billed charges,42.69350386,,,,44.24,percent of total billed charges,37.72112388,,,,44.8,percent of total billed charges,999999999,,,,44.8,percent of total billed charges,999999999,,,,39.2,percent of total billed charges,999999999,,,,39.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,29.792,percent of total billed charges,999999999,,,,,,,,,,,,,,,,28.28,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14,percent of total billed charges,13.29657547,,,,,,,,,,14,percent of total billed charges,13.07539599,,,,,,,,,,14,percent of total billed charges,13.03906002,,,,,,,,,,14,percent of total billed charges,12.84706002,,,,,,,,,,14,percent of total billed charges,13.17763376,,,,,,,,,,14,percent of total billed charges,999999999,,,,,,,,,,14,percent of total billed charges,11.30733774,,,,,,,,,,14,percent of total billed charges,17.83245137,,,,,,,,,,14,percent of total billed charges,999999999,,,,,,,,,,14,percent of total billed charges,12.19207549,,,,,,,,,,50.4,percent of total billed charges,,,,,
ARTHRCENT ASPIRA &/OR INJ SML JT CYS,20600,CDM,,,,both,,,56,56,11.9215009,56,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,56,percent of total billed charges,999999999,,,,56,percent of total billed charges,42.66815114,,,,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.536,percent of total billed charges,39.23602962,,,,39.536,percent of total billed charges,27.06077864,,,,,,,,,,40.32,percent of total billed charges,26.20705119,,,,,,,,,,40.32,percent of total billed charges,999999999,,,,,,,,,,44.8,percent of total billed charges,37.54007122,,,,44.24,percent of total billed charges,42.69350386,,,,44.24,percent of total billed charges,37.72112388,,,,44.8,percent of total billed charges,999999999,,,,44.8,percent of total billed charges,999999999,,,,39.2,percent of total billed charges,999999999,,,,39.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,29.792,percent of total billed charges,999999999,,,,,,,,,,,,,,,,28.28,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14,percent of total billed charges,13.29657547,,,,,,,,,,14,percent of total billed charges,13.07539599,,,,,,,,,,14,percent of total billed charges,13.03906002,,,,,,,,,,14,percent of total billed charges,12.84706002,,,,,,,,,,14,percent of total billed charges,13.17763376,,,,,,,,,,14,percent of total billed charges,999999999,,,,,,,,,,14,percent of total billed charges,11.30733774,,,,,,,,,,14,percent of total billed charges,17.83245137,,,,,,,,,,14,percent of total billed charges,999999999,,,,,,,,,,14,percent of total billed charges,12.19207549,,,,,,,,,,50.4,percent of total billed charges,,,,,
**INTRA MUSCULAR INJ OF ANTIBIOTIC ER,96372,CDM,,,,both,,,211,211,44.91851232,211,211,percent of total billed charges,155.2401959,,,,211,percent of total billed charges,164.5515382,,,,211,percent of total billed charges,155.2401959,,,,211,percent of total billed charges,164.5515382,,,,211,percent of total billed charges,999999999,,,,211,percent of total billed charges,160.7674981,,,,211,percent of total billed charges,155.2401959,,,,211,percent of total billed charges,164.5515382,,,,150.443,percent of total billed charges,75.07381011,,,,150.443,percent of total billed charges,44.91851232,,,,150.443,percent of total billed charges,75.07381011,,,,150.443,percent of total billed charges,44.91851232,,,,150.443,percent of total billed charges,75.07381011,,,,150.443,percent of total billed charges,44.91851232,,,,148.966,percent of total billed charges,147.8357545,,,,148.966,percent of total billed charges,101.9611481,,,,,,,,,,151.92,percent of total billed charges,98.744425,,,,,,,,,,151.92,percent of total billed charges,999999999,,,,,,,,,,168.8,percent of total billed charges,141.4456255,,,,166.69,percent of total billed charges,160.8630235,,,,166.69,percent of total billed charges,142.1278061,,,,168.8,percent of total billed charges,999999999,,,,168.8,percent of total billed charges,999999999,,,,147.7,percent of total billed charges,999999999,,,,147.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,112.252,percent of total billed charges,999999999,,,,,,,,,,,,,,,,106.555,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,52.75,percent of total billed charges,50.09959688,,,,,,,,,,52.75,percent of total billed charges,49.26622417,,,,,,,,,,52.75,percent of total billed charges,49.12931545,,,,,,,,,,52.75,percent of total billed charges,48.40588687,,,,,,,,,,52.75,percent of total billed charges,49.6514415,,,,,,,,,,52.75,percent of total billed charges,999999999,,,,,,,,,,52.75,percent of total billed charges,42.60443327,,,,,,,,,,52.75,percent of total billed charges,67.19012925,,,,,,,,,,52.75,percent of total billed charges,999999999,,,,,,,,,,52.75,percent of total billed charges,45.93799872,,,,,,,,,,189.9,percent of total billed charges,,,,,
IV PUSH OR IV 15 MIN INITIAL SEP SITE,96374,CDM,,,,both,,,490,490,104.3131329,490,490,percent of total billed charges,360.5104076,,,,490,percent of total billed charges,382.1339039,,,,490,percent of total billed charges,360.5104076,,,,490,percent of total billed charges,382.1339039,,,,490,percent of total billed charges,999999999,,,,490,percent of total billed charges,373.3463225,,,,490,percent of total billed charges,360.5104076,,,,490,percent of total billed charges,382.1339039,,,,349.37,percent of total billed charges,174.3420235,,,,349.37,percent of total billed charges,104.3131329,,,,349.37,percent of total billed charges,174.3420235,,,,349.37,percent of total billed charges,104.3131329,,,,349.37,percent of total billed charges,174.3420235,,,,349.37,percent of total billed charges,104.3131329,,,,345.94,percent of total billed charges,343.3152592,,,,345.94,percent of total billed charges,236.7818131,,,,,,,,,,352.8,percent of total billed charges,229.3116979,,,,,,,,,,352.8,percent of total billed charges,999999999,,,,,,,,,,392,percent of total billed charges,328.4756232,,,,387.1,percent of total billed charges,373.5681588,,,,387.1,percent of total billed charges,330.059834,,,,392,percent of total billed charges,999999999,,,,392,percent of total billed charges,999999999,,,,343,percent of total billed charges,999999999,,,,343,percent of total billed charges,999999999,,,,,,,,,,,,,,,,260.68,percent of total billed charges,999999999,,,,,,,,,,,,,,,,247.45,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,122.5,percent of total billed charges,116.3450354,,,,,,,,,,122.5,percent of total billed charges,114.4097149,,,,,,,,,,122.5,percent of total billed charges,114.0917752,,,,,,,,,,122.5,percent of total billed charges,112.4117752,,,,,,,,,,122.5,percent of total billed charges,115.3042954,,,,,,,,,,122.5,percent of total billed charges,999999999,,,,,,,,,,122.5,percent of total billed charges,98.93920522,,,,,,,,,,122.5,percent of total billed charges,156.0339494,,,,,,,,,,122.5,percent of total billed charges,999999999,,,,,,,,,,122.5,percent of total billed charges,106.6806605,,,,,,,,,,441,percent of total billed charges,,,,,
REMOVAL OF FECAL IMPACTION OR FB,45915,CDM,,,,both,,,5941,5941,1264.743515,5941,5941,percent of total billed charges,4371.004758,,,,5941,percent of total billed charges,4633.178619,,,,5941,percent of total billed charges,4371.004758,,,,5941,percent of total billed charges,4633.178619,,,,5941,percent of total billed charges,999999999,,,,5941,percent of total billed charges,4526.633678,,,,5941,percent of total billed charges,4371.004758,,,,5941,percent of total billed charges,4633.178619,,,,4235.933,percent of total billed charges,2113.808085,,,,4235.933,percent of total billed charges,1264.743515,,,,4235.933,percent of total billed charges,2113.808085,,,,4235.933,percent of total billed charges,1264.743515,,,,4235.933,percent of total billed charges,2113.808085,,,,4235.933,percent of total billed charges,1264.743515,,,,4194.346,percent of total billed charges,4162.522357,,,,4194.346,percent of total billed charges,2870.858677,,,,,,,,,,4277.52,percent of total billed charges,2780.287341,,,,,,,,,,4277.52,percent of total billed charges,999999999,,,,,,,,,,4752.8,percent of total billed charges,3982.599341,,,,4693.39,percent of total billed charges,4529.32333,,,,4693.39,percent of total billed charges,4001.807089,,,,4752.8,percent of total billed charges,999999999,,,,4752.8,percent of total billed charges,999999999,,,,4158.7,percent of total billed charges,999999999,,,,4158.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3160.612,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3000.205,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1485.25,percent of total billed charges,1410.624195,,,,,,,,,,1485.25,percent of total billed charges,1387.159421,,,,,,,,,,1485.25,percent of total billed charges,1383.304564,,,,,,,,,,1485.25,percent of total billed charges,1362.935421,,,,,,,,,,1485.25,percent of total billed charges,1398.005753,,,,,,,,,,1485.25,percent of total billed charges,999999999,,,,,,,,,,1485.25,percent of total billed charges,1199.587384,,,,,,,,,,1485.25,percent of total billed charges,1891.832028,,,,,,,,,,1485.25,percent of total billed charges,999999999,,,,,,,,,,1485.25,percent of total billed charges,1293.44858,,,,,,,,,,5346.9,percent of total billed charges,,,,,
IV INF HYDR 31 MIN TO 1 HR,96360,CDM,,,,both,,,679,679,144.5481984,679,679,percent of total billed charges,499.564422,,,,679,percent of total billed charges,529.5284097,,,,679,percent of total billed charges,499.564422,,,,679,percent of total billed charges,529.5284097,,,,679,percent of total billed charges,999999999,,,,679,percent of total billed charges,517.3513326,,,,679,percent of total billed charges,499.564422,,,,679,percent of total billed charges,529.5284097,,,,484.127,percent of total billed charges,241.5882325,,,,484.127,percent of total billed charges,144.5481984,,,,484.127,percent of total billed charges,241.5882325,,,,484.127,percent of total billed charges,144.5481984,,,,484.127,percent of total billed charges,241.5882325,,,,484.127,percent of total billed charges,144.5481984,,,,479.374,percent of total billed charges,475.7368591,,,,479.374,percent of total billed charges,328.111941,,,,,,,,,,488.88,percent of total billed charges,317.7604956,,,,,,,,,,488.88,percent of total billed charges,999999999,,,,,,,,,,543.2,percent of total billed charges,455.1733635,,,,536.41,percent of total billed charges,517.6587344,,,,536.41,percent of total billed charges,457.3686271,,,,543.2,percent of total billed charges,999999999,,,,543.2,percent of total billed charges,999999999,,,,475.3,percent of total billed charges,999999999,,,,475.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,361.228,percent of total billed charges,999999999,,,,,,,,,,,,,,,,342.895,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,169.75,percent of total billed charges,161.2209776,,,,,,,,,,169.75,percent of total billed charges,158.5391764,,,,,,,,,,169.75,percent of total billed charges,158.0986028,,,,,,,,,,169.75,percent of total billed charges,155.7706028,,,,,,,,,,169.75,percent of total billed charges,159.7788094,,,,,,,,,,169.75,percent of total billed charges,999999999,,,,,,,,,,169.75,percent of total billed charges,137.1014701,,,,,,,,,,169.75,percent of total billed charges,216.2184728,,,,,,,,,,169.75,percent of total billed charges,999999999,,,,,,,,,,169.75,percent of total billed charges,147.8289153,,,,,,,,,,611.1,percent of total billed charges,,,,,
ARTHROC ASPIRA/INJ INTERMED JT CYST,20605,CDM,,,,both,,,56,56,11.9215009,56,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,56,percent of total billed charges,999999999,,,,56,percent of total billed charges,42.66815114,,,,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.536,percent of total billed charges,39.23602962,,,,39.536,percent of total billed charges,27.06077864,,,,,,,,,,40.32,percent of total billed charges,26.20705119,,,,,,,,,,40.32,percent of total billed charges,999999999,,,,,,,,,,44.8,percent of total billed charges,37.54007122,,,,44.24,percent of total billed charges,42.69350386,,,,44.24,percent of total billed charges,37.72112388,,,,44.8,percent of total billed charges,999999999,,,,44.8,percent of total billed charges,999999999,,,,39.2,percent of total billed charges,999999999,,,,39.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,29.792,percent of total billed charges,999999999,,,,,,,,,,,,,,,,28.28,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14,percent of total billed charges,13.29657547,,,,,,,,,,14,percent of total billed charges,13.07539599,,,,,,,,,,14,percent of total billed charges,13.03906002,,,,,,,,,,14,percent of total billed charges,12.84706002,,,,,,,,,,14,percent of total billed charges,13.17763376,,,,,,,,,,14,percent of total billed charges,999999999,,,,,,,,,,14,percent of total billed charges,11.30733774,,,,,,,,,,14,percent of total billed charges,17.83245137,,,,,,,,,,14,percent of total billed charges,999999999,,,,,,,,,,14,percent of total billed charges,12.19207549,,,,,,,,,,50.4,percent of total billed charges,,,,,
IV PUSH OR IV 15 MIN INITIAL SEP SITE,96374,CDM,,,59,both,,,400,400,85.15357785,400,400,percent of total billed charges,294.2942103,,,,400,percent of total billed charges,311.946044,,,,400,percent of total billed charges,294.2942103,,,,400,percent of total billed charges,311.946044,,,,400,percent of total billed charges,999999999,,,,400,percent of total billed charges,304.7725082,,,,400,percent of total billed charges,294.2942103,,,,400,percent of total billed charges,311.946044,,,,285.2,percent of total billed charges,142.3200192,,,,285.2,percent of total billed charges,85.15357785,,,,285.2,percent of total billed charges,142.3200192,,,,285.2,percent of total billed charges,85.15357785,,,,285.2,percent of total billed charges,142.3200192,,,,285.2,percent of total billed charges,85.15357785,,,,282.4,percent of total billed charges,280.2573544,,,,282.4,percent of total billed charges,193.291276,,,,,,,,,,288,percent of total billed charges,187.1932228,,,,,,,,,,288,percent of total billed charges,999999999,,,,,,,,,,320,percent of total billed charges,268.1433658,,,,316,percent of total billed charges,304.953599,,,,316,percent of total billed charges,269.4365992,,,,320,percent of total billed charges,999999999,,,,320,percent of total billed charges,999999999,,,,280,percent of total billed charges,999999999,,,,280,percent of total billed charges,999999999,,,,,,,,,,,,,,,,212.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,202,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,100,percent of total billed charges,94.97553911,,,,,,,,,,100,percent of total billed charges,93.39568564,,,,,,,,,,100,percent of total billed charges,93.13614303,,,,,,,,,,100,percent of total billed charges,91.76471445,,,,,,,,,,100,percent of total billed charges,94.12595546,,,,,,,,,,100,percent of total billed charges,999999999,,,,,,,,,,100,percent of total billed charges,80.76669814,,,,,,,,,,100,percent of total billed charges,127.3746526,,,,,,,,,,100,percent of total billed charges,999999999,,,,,,,,,,100,percent of total billed charges,87.08625351,,,,,,,,,,360,percent of total billed charges,,,,,
IV HYDR 31 MIN TO 1 HR SEPAR SITE,96360,CDM,,,59,both,,,679,679,144.5481984,679,679,percent of total billed charges,499.564422,,,,679,percent of total billed charges,529.5284097,,,,679,percent of total billed charges,499.564422,,,,679,percent of total billed charges,529.5284097,,,,679,percent of total billed charges,999999999,,,,679,percent of total billed charges,517.3513326,,,,679,percent of total billed charges,499.564422,,,,679,percent of total billed charges,529.5284097,,,,484.127,percent of total billed charges,241.5882325,,,,484.127,percent of total billed charges,144.5481984,,,,484.127,percent of total billed charges,241.5882325,,,,484.127,percent of total billed charges,144.5481984,,,,484.127,percent of total billed charges,241.5882325,,,,484.127,percent of total billed charges,144.5481984,,,,479.374,percent of total billed charges,475.7368591,,,,479.374,percent of total billed charges,328.111941,,,,,,,,,,488.88,percent of total billed charges,317.7604956,,,,,,,,,,488.88,percent of total billed charges,999999999,,,,,,,,,,543.2,percent of total billed charges,455.1733635,,,,536.41,percent of total billed charges,517.6587344,,,,536.41,percent of total billed charges,457.3686271,,,,543.2,percent of total billed charges,999999999,,,,543.2,percent of total billed charges,999999999,,,,475.3,percent of total billed charges,999999999,,,,475.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,361.228,percent of total billed charges,999999999,,,,,,,,,,,,,,,,342.895,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,169.75,percent of total billed charges,161.2209776,,,,,,,,,,169.75,percent of total billed charges,158.5391764,,,,,,,,,,169.75,percent of total billed charges,158.0986028,,,,,,,,,,169.75,percent of total billed charges,155.7706028,,,,,,,,,,169.75,percent of total billed charges,159.7788094,,,,,,,,,,169.75,percent of total billed charges,999999999,,,,,,,,,,169.75,percent of total billed charges,137.1014701,,,,,,,,,,169.75,percent of total billed charges,216.2184728,,,,,,,,,,169.75,percent of total billed charges,999999999,,,,,,,,,,169.75,percent of total billed charges,147.8289153,,,,,,,,,,611.1,percent of total billed charges,,,,,
ARTHROC ASPIR/INJ MAJOR JT OR BURSA,20610,CDM,,,,both,,,1380,1380,293.7798436,1380,1380,percent of total billed charges,1015.315025,,,,1380,percent of total billed charges,1076.213852,,,,1380,percent of total billed charges,1015.315025,,,,1380,percent of total billed charges,1076.213852,,,,1380,percent of total billed charges,999999999,,,,1380,percent of total billed charges,1051.465153,,,,1380,percent of total billed charges,1015.315025,,,,1380,percent of total billed charges,1076.213852,,,,983.94,percent of total billed charges,491.0040661,,,,983.94,percent of total billed charges,293.7798436,,,,983.94,percent of total billed charges,491.0040661,,,,983.94,percent of total billed charges,293.7798436,,,,983.94,percent of total billed charges,491.0040661,,,,983.94,percent of total billed charges,293.7798436,,,,974.28,percent of total billed charges,966.8878728,,,,974.28,percent of total billed charges,666.8549023,,,,,,,,,,993.6,percent of total billed charges,645.8166185,,,,,,,,,,993.6,percent of total billed charges,999999999,,,,,,,,,,1104,percent of total billed charges,925.0946121,,,,1090.2,percent of total billed charges,1052.089917,,,,1090.2,percent of total billed charges,929.5562672,,,,1104,percent of total billed charges,999999999,,,,1104,percent of total billed charges,999999999,,,,966,percent of total billed charges,999999999,,,,966,percent of total billed charges,999999999,,,,,,,,,,,,,,,,734.16,percent of total billed charges,999999999,,,,,,,,,,,,,,,,696.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,345,percent of total billed charges,327.6656099,,,,,,,,,,345,percent of total billed charges,322.2151154,,,,,,,,,,345,percent of total billed charges,321.3196934,,,,,,,,,,345,percent of total billed charges,316.5882649,,,,,,,,,,345,percent of total billed charges,324.7345463,,,,,,,,,,345,percent of total billed charges,999999999,,,,,,,,,,345,percent of total billed charges,278.6451086,,,,,,,,,,345,percent of total billed charges,439.4425515,,,,,,,,,,345,percent of total billed charges,999999999,,,,,,,,,,345,percent of total billed charges,300.4475746,,,,,,,,,,1242,percent of total billed charges,,,,,
THROMBOLYSIS CEREBRAL BY IV INFUSION,37195,CDM,,,,both,,,779,779,165.8365929,779,779,percent of total billed charges,573.1379745,,,,779,percent of total billed charges,607.5149207,,,,779,percent of total billed charges,573.1379745,,,,779,percent of total billed charges,607.5149207,,,,779,percent of total billed charges,999999999,,,,779,percent of total billed charges,593.5444597,,,,779,percent of total billed charges,573.1379745,,,,779,percent of total billed charges,607.5149207,,,,555.427,percent of total billed charges,277.1682373,,,,555.427,percent of total billed charges,165.8365929,,,,555.427,percent of total billed charges,277.1682373,,,,555.427,percent of total billed charges,165.8365929,,,,555.427,percent of total billed charges,277.1682373,,,,555.427,percent of total billed charges,165.8365929,,,,549.974,percent of total billed charges,545.8011978,,,,549.974,percent of total billed charges,376.43476,,,,,,,,,,560.88,percent of total billed charges,364.5588013,,,,,,,,,,560.88,percent of total billed charges,999999999,,,,,,,,,,623.2,percent of total billed charges,522.209205,,,,615.41,percent of total billed charges,593.8971341,,,,615.41,percent of total billed charges,524.7277769,,,,623.2,percent of total billed charges,999999999,,,,623.2,percent of total billed charges,999999999,,,,545.3,percent of total billed charges,999999999,,,,545.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,414.428,percent of total billed charges,999999999,,,,,,,,,,,,,,,,393.395,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,194.75,percent of total billed charges,184.9648624,,,,,,,,,,194.75,percent of total billed charges,181.8880978,,,,,,,,,,194.75,percent of total billed charges,181.3826385,,,,,,,,,,194.75,percent of total billed charges,178.7117814,,,,,,,,,,194.75,percent of total billed charges,183.3102983,,,,,,,,,,194.75,percent of total billed charges,999999999,,,,,,,,,,194.75,percent of total billed charges,157.2931446,,,,,,,,,,194.75,percent of total billed charges,248.062136,,,,,,,,,,194.75,percent of total billed charges,999999999,,,,,,,,,,194.75,percent of total billed charges,169.6004787,,,,,,,,,,701.1,percent of total billed charges,,,,,
CLOSED TRTMT NASAL BONE FX WO MANIP,21310,CDM,,,,both,,,201,201,42.78967287,201,201,percent of total billed charges,147.8828407,,,,201,percent of total billed charges,156.7528871,,,,201,percent of total billed charges,147.8828407,,,,201,percent of total billed charges,156.7528871,,,,201,percent of total billed charges,999999999,,,,201,percent of total billed charges,153.1481854,,,,201,percent of total billed charges,147.8828407,,,,201,percent of total billed charges,156.7528871,,,,143.313,percent of total billed charges,71.51580963,,,,143.313,percent of total billed charges,42.78967287,,,,143.313,percent of total billed charges,71.51580963,,,,143.313,percent of total billed charges,42.78967287,,,,143.313,percent of total billed charges,71.51580963,,,,143.313,percent of total billed charges,42.78967287,,,,141.906,percent of total billed charges,140.8293206,,,,141.906,percent of total billed charges,97.1288662,,,,,,,,,,144.72,percent of total billed charges,94.06459443,,,,,,,,,,144.72,percent of total billed charges,999999999,,,,,,,,,,160.8,percent of total billed charges,134.7420413,,,,158.79,percent of total billed charges,153.2391835,,,,158.79,percent of total billed charges,135.3918911,,,,160.8,percent of total billed charges,999999999,,,,160.8,percent of total billed charges,999999999,,,,140.7,percent of total billed charges,999999999,,,,140.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,106.932,percent of total billed charges,999999999,,,,,,,,,,,,,,,,101.505,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,50.25,percent of total billed charges,47.7252084,,,,,,,,,,50.25,percent of total billed charges,46.93133203,,,,,,,,,,50.25,percent of total billed charges,46.80091187,,,,,,,,,,50.25,percent of total billed charges,46.11176901,,,,,,,,,,50.25,percent of total billed charges,47.29829262,,,,,,,,,,50.25,percent of total billed charges,999999999,,,,,,,,,,50.25,percent of total billed charges,40.58526581,,,,,,,,,,50.25,percent of total billed charges,64.00576294,,,,,,,,,,50.25,percent of total billed charges,999999999,,,,,,,,,,50.25,percent of total billed charges,43.76084239,,,,,,,,,,180.9,percent of total billed charges,,,,,
CLOSED TRTMT NASAL BONE FX WO STABLI,21315,CDM,,,,both,,,2913,2913,620.1309307,2913,2913,percent of total billed charges,2143.197586,,,,2913,percent of total billed charges,2271.747065,,,,2913,percent of total billed charges,2143.197586,,,,2913,percent of total billed charges,2271.747065,,,,2913,percent of total billed charges,999999999,,,,2913,percent of total billed charges,2219.505791,,,,2913,percent of total billed charges,2143.197586,,,,2913,percent of total billed charges,2271.747065,,,,2076.969,percent of total billed charges,1036.44554,,,,2076.969,percent of total billed charges,620.1309307,,,,2076.969,percent of total billed charges,1036.44554,,,,2076.969,percent of total billed charges,620.1309307,,,,2076.969,percent of total billed charges,1036.44554,,,,2076.969,percent of total billed charges,620.1309307,,,,2056.578,percent of total billed charges,2040.974184,,,,2056.578,percent of total billed charges,1407.643718,,,,,,,,,,2097.36,percent of total billed charges,1363.234645,,,,,,,,,,2097.36,percent of total billed charges,999999999,,,,,,,,,,2330.4,percent of total billed charges,1952.754062,,,,2301.27,percent of total billed charges,2220.824585,,,,2301.27,percent of total billed charges,1962.172034,,,,2330.4,percent of total billed charges,999999999,,,,2330.4,percent of total billed charges,999999999,,,,2039.1,percent of total billed charges,999999999,,,,2039.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1549.716,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1471.065,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,728.25,percent of total billed charges,691.6593635,,,,,,,,,,728.25,percent of total billed charges,680.1540806,,,,,,,,,,728.25,percent of total billed charges,678.2639616,,,,,,,,,,728.25,percent of total billed charges,668.276533,,,,,,,,,,728.25,percent of total billed charges,685.4722706,,,,,,,,,,728.25,percent of total billed charges,999999999,,,,,,,,,,728.25,percent of total billed charges,588.1834792,,,,,,,,,,728.25,percent of total billed charges,927.6059076,,,,,,,,,,728.25,percent of total billed charges,999999999,,,,,,,,,,728.25,percent of total billed charges,634.2056412,,,,,,,,,,2621.7,percent of total billed charges,,,,,
CLSD TRMT TEMPORMAN DISLOC INIT/SUBS,21480,CDM,,,,both,,,156,156,33.20989536,156,156,percent of total billed charges,114.774742,,,,156,percent of total billed charges,121.6589572,,,,156,percent of total billed charges,114.774742,,,,156,percent of total billed charges,121.6589572,,,,156,percent of total billed charges,999999999,,,,156,percent of total billed charges,118.8612782,,,,156,percent of total billed charges,114.774742,,,,156,percent of total billed charges,121.6589572,,,,111.228,percent of total billed charges,55.50480748,,,,111.228,percent of total billed charges,33.20989536,,,,111.228,percent of total billed charges,55.50480748,,,,111.228,percent of total billed charges,33.20989536,,,,111.228,percent of total billed charges,55.50480748,,,,111.228,percent of total billed charges,33.20989536,,,,110.136,percent of total billed charges,109.3003682,,,,110.136,percent of total billed charges,75.38359765,,,,,,,,,,112.32,percent of total billed charges,73.00535687,,,,,,,,,,112.32,percent of total billed charges,999999999,,,,,,,,,,124.8,percent of total billed charges,104.5759127,,,,123.24,percent of total billed charges,118.9319036,,,,123.24,percent of total billed charges,105.0802737,,,,124.8,percent of total billed charges,999999999,,,,124.8,percent of total billed charges,999999999,,,,109.2,percent of total billed charges,999999999,,,,109.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,82.992,percent of total billed charges,999999999,,,,,,,,,,,,,,,,78.78,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,39,percent of total billed charges,37.04046025,,,,,,,,,,39,percent of total billed charges,36.4243174,,,,,,,,,,39,percent of total billed charges,36.32309578,,,,,,,,,,39,percent of total billed charges,35.78823864,,,,,,,,,,39,percent of total billed charges,36.70912263,,,,,,,,,,39,percent of total billed charges,999999999,,,,,,,,,,39,percent of total billed charges,31.49901227,,,,,,,,,,39,percent of total billed charges,49.67611452,,,,,,,,,,39,percent of total billed charges,999999999,,,,,,,,,,39,percent of total billed charges,33.96363887,,,,,,,,,,140.4,percent of total billed charges,,,,,
**CLOSD TRMT RIB FX UNCOMPLIC EACH,21800,CDM,,,,both,,,86,86,18.30801924,86,86,percent of total billed charges,63.27325521,,,,86,percent of total billed charges,67.06839946,,,,86,percent of total billed charges,63.27325521,,,,86,percent of total billed charges,67.06839946,,,,86,percent of total billed charges,999999999,,,,86,percent of total billed charges,65.52608926,,,,86,percent of total billed charges,63.27325521,,,,86,percent of total billed charges,67.06839946,,,,61.318,percent of total billed charges,30.59880412,,,,61.318,percent of total billed charges,18.30801924,,,,61.318,percent of total billed charges,30.59880412,,,,61.318,percent of total billed charges,18.30801924,,,,61.318,percent of total billed charges,30.59880412,,,,61.318,percent of total billed charges,18.30801924,,,,60.716,percent of total billed charges,60.2553312,,,,60.716,percent of total billed charges,41.55762434,,,,,,,,,,61.92,percent of total billed charges,40.24654289,,,,,,,,,,61.92,percent of total billed charges,999999999,,,,,,,,,,68.8,percent of total billed charges,57.65082366,,,,67.94,percent of total billed charges,65.56502379,,,,67.94,percent of total billed charges,57.92886882,,,,68.8,percent of total billed charges,999999999,,,,68.8,percent of total billed charges,999999999,,,,60.2,percent of total billed charges,999999999,,,,60.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,45.752,percent of total billed charges,999999999,,,,,,,,,,,,,,,,43.43,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21.5,percent of total billed charges,20.41974091,,,,,,,,,,21.5,percent of total billed charges,20.08007241,,,,,,,,,,21.5,percent of total billed charges,20.02427075,,,,,,,,,,21.5,percent of total billed charges,19.72941361,,,,,,,,,,21.5,percent of total billed charges,20.23708042,,,,,,,,,,21.5,percent of total billed charges,999999999,,,,,,,,,,21.5,percent of total billed charges,17.3648401,,,,,,,,,,21.5,percent of total billed charges,27.38555031,,,,,,,,,,21.5,percent of total billed charges,999999999,,,,,,,,,,21.5,percent of total billed charges,18.7235445,,,,,,,,,,77.4,percent of total billed charges,,,,,
**CLOSD TRMT VERTEBRAL PROCESS FX,22305,CDM,,,,both,,,227,227,48.32465543,227,227,percent of total billed charges,167.0119643,,,,227,percent of total billed charges,177.02938,,,,227,percent of total billed charges,167.0119643,,,,227,percent of total billed charges,177.02938,,,,227,percent of total billed charges,999999999,,,,227,percent of total billed charges,172.9583984,,,,227,percent of total billed charges,167.0119643,,,,227,percent of total billed charges,177.02938,,,,161.851,percent of total billed charges,80.76661088,,,,161.851,percent of total billed charges,48.32465543,,,,161.851,percent of total billed charges,80.76661088,,,,161.851,percent of total billed charges,48.32465543,,,,161.851,percent of total billed charges,80.76661088,,,,161.851,percent of total billed charges,48.32465543,,,,160.262,percent of total billed charges,159.0460486,,,,160.262,percent of total billed charges,109.6927991,,,,,,,,,,163.44,percent of total billed charges,106.2321539,,,,,,,,,,163.44,percent of total billed charges,999999999,,,,,,,,,,181.6,percent of total billed charges,152.1713601,,,,179.33,percent of total billed charges,173.0611675,,,,179.33,percent of total billed charges,152.90527,,,,181.6,percent of total billed charges,999999999,,,,181.6,percent of total billed charges,999999999,,,,158.9,percent of total billed charges,999999999,,,,158.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,120.764,percent of total billed charges,999999999,,,,,,,,,,,,,,,,114.635,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,56.75,percent of total billed charges,53.89861844,,,,,,,,,,56.75,percent of total billed charges,53.0020516,,,,,,,,,,56.75,percent of total billed charges,52.85476117,,,,,,,,,,56.75,percent of total billed charges,52.07647545,,,,,,,,,,56.75,percent of total billed charges,53.41647972,,,,,,,,,,56.75,percent of total billed charges,999999999,,,,,,,,,,56.75,percent of total billed charges,45.83510119,,,,,,,,,,56.75,percent of total billed charges,72.28511535,,,,,,,,,,56.75,percent of total billed charges,999999999,,,,,,,,,,56.75,percent of total billed charges,49.42144886,,,,,,,,,,204.3,percent of total billed charges,,,,,
CLSD VERTEB BDY FX WO MANIP CAST/BRA,22310,CDM,,,,both,,,165,165,35.12585086,165,165,percent of total billed charges,121.3963617,,,,165,percent of total billed charges,128.6777432,,,,165,percent of total billed charges,121.3963617,,,,165,percent of total billed charges,128.6777432,,,,165,percent of total billed charges,999999999,,,,165,percent of total billed charges,125.7186596,,,,165,percent of total billed charges,121.3963617,,,,165,percent of total billed charges,128.6777432,,,,117.645,percent of total billed charges,58.70700791,,,,117.645,percent of total billed charges,35.12585086,,,,117.645,percent of total billed charges,58.70700791,,,,117.645,percent of total billed charges,35.12585086,,,,117.645,percent of total billed charges,58.70700791,,,,117.645,percent of total billed charges,35.12585086,,,,116.49,percent of total billed charges,115.6061587,,,,116.49,percent of total billed charges,79.73265136,,,,,,,,,,118.8,percent of total billed charges,77.21720438,,,,,,,,,,118.8,percent of total billed charges,999999999,,,,,,,,,,132,percent of total billed charges,110.6091384,,,,130.35,percent of total billed charges,125.7933596,,,,130.35,percent of total billed charges,111.1425972,,,,132,percent of total billed charges,999999999,,,,132,percent of total billed charges,999999999,,,,115.5,percent of total billed charges,999999999,,,,115.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,87.78,percent of total billed charges,999999999,,,,,,,,,,,,,,,,83.325,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,41.25,percent of total billed charges,39.17740988,,,,,,,,,,41.25,percent of total billed charges,38.52572033,,,,,,,,,,41.25,percent of total billed charges,38.418659,,,,,,,,,,41.25,percent of total billed charges,37.85294471,,,,,,,,,,41.25,percent of total billed charges,38.82695663,,,,,,,,,,41.25,percent of total billed charges,999999999,,,,,,,,,,41.25,percent of total billed charges,33.31626298,,,,,,,,,,41.25,percent of total billed charges,52.5420442,,,,,,,,,,41.25,percent of total billed charges,999999999,,,,,,,,,,41.25,percent of total billed charges,35.92307957,,,,,,,,,,148.5,percent of total billed charges,,,,,
**CLOSD TRMT CLAVICLE FX WO MANIP,23500,CDM,,,,both,,,176,176,37.46757425,176,176,percent of total billed charges,129.4894525,,,,176,percent of total billed charges,137.2562594,,,,176,percent of total billed charges,129.4894525,,,,176,percent of total billed charges,137.2562594,,,,176,percent of total billed charges,999999999,,,,176,percent of total billed charges,134.0999036,,,,176,percent of total billed charges,129.4894525,,,,176,percent of total billed charges,137.2562594,,,,125.488,percent of total billed charges,62.62080844,,,,125.488,percent of total billed charges,37.46757425,,,,125.488,percent of total billed charges,62.62080844,,,,125.488,percent of total billed charges,37.46757425,,,,125.488,percent of total billed charges,62.62080844,,,,125.488,percent of total billed charges,37.46757425,,,,124.256,percent of total billed charges,123.3132359,,,,124.256,percent of total billed charges,85.04816145,,,,,,,,,,126.72,percent of total billed charges,82.36501801,,,,,,,,,,126.72,percent of total billed charges,999999999,,,,,,,,,,140.8,percent of total billed charges,117.983081,,,,139.04,percent of total billed charges,134.1795836,,,,139.04,percent of total billed charges,118.5521036,,,,140.8,percent of total billed charges,999999999,,,,140.8,percent of total billed charges,999999999,,,,123.2,percent of total billed charges,999999999,,,,123.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,93.632,percent of total billed charges,999999999,,,,,,,,,,,,,,,,88.88,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,44,percent of total billed charges,41.78923721,,,,,,,,,,44,percent of total billed charges,41.09410168,,,,,,,,,,44,percent of total billed charges,40.97990293,,,,,,,,,,44,percent of total billed charges,40.37647436,,,,,,,,,,44,percent of total billed charges,41.4154204,,,,,,,,,,44,percent of total billed charges,999999999,,,,,,,,,,44,percent of total billed charges,35.53734718,,,,,,,,,,44,percent of total billed charges,56.04484715,,,,,,,,,,44,percent of total billed charges,999999999,,,,,,,,,,44,percent of total billed charges,38.31795154,,,,,,,,,,158.4,percent of total billed charges,,,,,
CLOSD FX CLAV WO MANIP,23500,CDM,,,,both,,,176,176,37.46757425,176,176,percent of total billed charges,129.4894525,,,,176,percent of total billed charges,137.2562594,,,,176,percent of total billed charges,129.4894525,,,,176,percent of total billed charges,137.2562594,,,,176,percent of total billed charges,999999999,,,,176,percent of total billed charges,134.0999036,,,,176,percent of total billed charges,129.4894525,,,,176,percent of total billed charges,137.2562594,,,,125.488,percent of total billed charges,62.62080844,,,,125.488,percent of total billed charges,37.46757425,,,,125.488,percent of total billed charges,62.62080844,,,,125.488,percent of total billed charges,37.46757425,,,,125.488,percent of total billed charges,62.62080844,,,,125.488,percent of total billed charges,37.46757425,,,,124.256,percent of total billed charges,123.3132359,,,,124.256,percent of total billed charges,85.04816145,,,,,,,,,,126.72,percent of total billed charges,82.36501801,,,,,,,,,,126.72,percent of total billed charges,999999999,,,,,,,,,,140.8,percent of total billed charges,117.983081,,,,139.04,percent of total billed charges,134.1795836,,,,139.04,percent of total billed charges,118.5521036,,,,140.8,percent of total billed charges,999999999,,,,140.8,percent of total billed charges,999999999,,,,123.2,percent of total billed charges,999999999,,,,123.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,93.632,percent of total billed charges,999999999,,,,,,,,,,,,,,,,88.88,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,44,percent of total billed charges,41.78923721,,,,,,,,,,44,percent of total billed charges,41.09410168,,,,,,,,,,44,percent of total billed charges,40.97990293,,,,,,,,,,44,percent of total billed charges,40.37647436,,,,,,,,,,44,percent of total billed charges,41.4154204,,,,,,,,,,44,percent of total billed charges,999999999,,,,,,,,,,44,percent of total billed charges,35.53734718,,,,,,,,,,44,percent of total billed charges,56.04484715,,,,,,,,,,44,percent of total billed charges,999999999,,,,,,,,,,44,percent of total billed charges,38.31795154,,,,,,,,,,158.4,percent of total billed charges,,,,,
CLOSD TRMT CLAVICLE FX W/MANIP,23505,CDM,,,,both,,,247,247,52.58233432,247,247,percent of total billed charges,181.7266749,,,,247,percent of total billed charges,192.6266822,,,,247,percent of total billed charges,181.7266749,,,,247,percent of total billed charges,192.6266822,,,,247,percent of total billed charges,999999999,,,,247,percent of total billed charges,188.1970238,,,,247,percent of total billed charges,181.7266749,,,,247,percent of total billed charges,192.6266822,,,,176.111,percent of total billed charges,87.88261184,,,,176.111,percent of total billed charges,52.58233432,,,,176.111,percent of total billed charges,87.88261184,,,,176.111,percent of total billed charges,52.58233432,,,,176.111,percent of total billed charges,87.88261184,,,,176.111,percent of total billed charges,52.58233432,,,,174.382,percent of total billed charges,173.0589164,,,,174.382,percent of total billed charges,119.3573629,,,,,,,,,,177.84,percent of total billed charges,115.591815,,,,,,,,,,177.84,percent of total billed charges,999999999,,,,,,,,,,197.6,percent of total billed charges,165.5785284,,,,195.13,percent of total billed charges,188.3088474,,,,195.13,percent of total billed charges,166.3771,,,,197.6,percent of total billed charges,999999999,,,,197.6,percent of total billed charges,999999999,,,,172.9,percent of total billed charges,999999999,,,,172.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,131.404,percent of total billed charges,999999999,,,,,,,,,,,,,,,,124.735,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,61.75,percent of total billed charges,58.6473954,,,,,,,,,,61.75,percent of total billed charges,57.67183588,,,,,,,,,,61.75,percent of total billed charges,57.51156832,,,,,,,,,,61.75,percent of total billed charges,56.66471117,,,,,,,,,,61.75,percent of total billed charges,58.1227775,,,,,,,,,,61.75,percent of total billed charges,999999999,,,,,,,,,,61.75,percent of total billed charges,49.8734361,,,,,,,,,,61.75,percent of total billed charges,78.65384799,,,,,,,,,,61.75,percent of total billed charges,999999999,,,,,,,,,,61.75,percent of total billed charges,53.77576154,,,,,,,,,,222.3,percent of total billed charges,,,,,
**CLSD TRMT ACROMIOCLAV DISLOC WO MANI,23540,CDM,,,,both,,,56,56,11.9215009,56,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,56,percent of total billed charges,999999999,,,,56,percent of total billed charges,42.66815114,,,,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.536,percent of total billed charges,39.23602962,,,,39.536,percent of total billed charges,27.06077864,,,,,,,,,,40.32,percent of total billed charges,26.20705119,,,,,,,,,,40.32,percent of total billed charges,999999999,,,,,,,,,,44.8,percent of total billed charges,37.54007122,,,,44.24,percent of total billed charges,42.69350386,,,,44.24,percent of total billed charges,37.72112388,,,,44.8,percent of total billed charges,999999999,,,,44.8,percent of total billed charges,999999999,,,,39.2,percent of total billed charges,999999999,,,,39.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,29.792,percent of total billed charges,999999999,,,,,,,,,,,,,,,,28.28,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14,percent of total billed charges,13.29657547,,,,,,,,,,14,percent of total billed charges,13.07539599,,,,,,,,,,14,percent of total billed charges,13.03906002,,,,,,,,,,14,percent of total billed charges,12.84706002,,,,,,,,,,14,percent of total billed charges,13.17763376,,,,,,,,,,14,percent of total billed charges,999999999,,,,,,,,,,14,percent of total billed charges,11.30733774,,,,,,,,,,14,percent of total billed charges,17.83245137,,,,,,,,,,14,percent of total billed charges,999999999,,,,,,,,,,14,percent of total billed charges,12.19207549,,,,,,,,,,50.4,percent of total billed charges,,,,,
CLOSD TRMT ACROMIOCLAV DISLOC WO MAN,23540,CDM,,,,both,,,56,56,11.9215009,56,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,56,percent of total billed charges,999999999,,,,56,percent of total billed charges,42.66815114,,,,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.536,percent of total billed charges,39.23602962,,,,39.536,percent of total billed charges,27.06077864,,,,,,,,,,40.32,percent of total billed charges,26.20705119,,,,,,,,,,40.32,percent of total billed charges,999999999,,,,,,,,,,44.8,percent of total billed charges,37.54007122,,,,44.24,percent of total billed charges,42.69350386,,,,44.24,percent of total billed charges,37.72112388,,,,44.8,percent of total billed charges,999999999,,,,44.8,percent of total billed charges,999999999,,,,39.2,percent of total billed charges,999999999,,,,39.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,29.792,percent of total billed charges,999999999,,,,,,,,,,,,,,,,28.28,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14,percent of total billed charges,13.29657547,,,,,,,,,,14,percent of total billed charges,13.07539599,,,,,,,,,,14,percent of total billed charges,13.03906002,,,,,,,,,,14,percent of total billed charges,12.84706002,,,,,,,,,,14,percent of total billed charges,13.17763376,,,,,,,,,,14,percent of total billed charges,999999999,,,,,,,,,,14,percent of total billed charges,11.30733774,,,,,,,,,,14,percent of total billed charges,17.83245137,,,,,,,,,,14,percent of total billed charges,999999999,,,,,,,,,,14,percent of total billed charges,12.19207549,,,,,,,,,,50.4,percent of total billed charges,,,,,
CLOSD TRMT ACROMIOCLAV DISLOC W/MANI,23545,CDM,,,,both,,,217,217,46.19581598,217,217,percent of total billed charges,159.6546091,,,,217,percent of total billed charges,169.2307289,,,,217,percent of total billed charges,159.6546091,,,,217,percent of total billed charges,169.2307289,,,,217,percent of total billed charges,999999999,,,,217,percent of total billed charges,165.3390857,,,,217,percent of total billed charges,159.6546091,,,,217,percent of total billed charges,169.2307289,,,,154.721,percent of total billed charges,77.2086104,,,,154.721,percent of total billed charges,46.19581598,,,,154.721,percent of total billed charges,77.2086104,,,,154.721,percent of total billed charges,46.19581598,,,,154.721,percent of total billed charges,77.2086104,,,,154.721,percent of total billed charges,46.19581598,,,,153.202,percent of total billed charges,152.0396148,,,,153.202,percent of total billed charges,104.8605172,,,,,,,,,,156.24,percent of total billed charges,101.5523233,,,,,,,,,,156.24,percent of total billed charges,999999999,,,,,,,,,,173.6,percent of total billed charges,145.467776,,,,171.43,percent of total billed charges,165.4373275,,,,171.43,percent of total billed charges,146.1693551,,,,173.6,percent of total billed charges,999999999,,,,173.6,percent of total billed charges,999999999,,,,151.9,percent of total billed charges,999999999,,,,151.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,115.444,percent of total billed charges,999999999,,,,,,,,,,,,,,,,109.585,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,54.25,percent of total billed charges,51.52422996,,,,,,,,,,54.25,percent of total billed charges,50.66715946,,,,,,,,,,54.25,percent of total billed charges,50.52635759,,,,,,,,,,54.25,percent of total billed charges,49.78235759,,,,,,,,,,54.25,percent of total billed charges,51.06333084,,,,,,,,,,54.25,percent of total billed charges,999999999,,,,,,,,,,54.25,percent of total billed charges,43.81593374,,,,,,,,,,54.25,percent of total billed charges,69.10074904,,,,,,,,,,54.25,percent of total billed charges,999999999,,,,,,,,,,54.25,percent of total billed charges,47.24429253,,,,,,,,,,195.3,percent of total billed charges,,,,,
CLOSD TRMT ANKLE DISLOCATION W ANES,27842,CDM,,,,both,,,2521,2521,536.6804244,2521,2521,percent of total billed charges,1854.78926,,,,2521,percent of total billed charges,1966.039942,,,,2521,percent of total billed charges,1854.78926,,,,2521,percent of total billed charges,1966.039942,,,,2521,percent of total billed charges,999999999,,,,2521,percent of total billed charges,1920.828733,,,,2521,percent of total billed charges,1854.78926,,,,2521,percent of total billed charges,1966.039942,,,,1797.473,percent of total billed charges,896.9719208,,,,1797.473,percent of total billed charges,536.6804244,,,,1797.473,percent of total billed charges,896.9719208,,,,1797.473,percent of total billed charges,536.6804244,,,,1797.473,percent of total billed charges,896.9719208,,,,1797.473,percent of total billed charges,536.6804244,,,,1779.826,percent of total billed charges,1766.321976,,,,1779.826,percent of total billed charges,1218.218267,,,,,,,,,,1815.12,percent of total billed charges,1179.785286,,,,,,,,,,1815.12,percent of total billed charges,999999999,,,,,,,,,,2016.8,percent of total billed charges,1689.973563,,,,1991.59,percent of total billed charges,1921.970058,,,,1991.59,percent of total billed charges,1698.124166,,,,2016.8,percent of total billed charges,999999999,,,,2016.8,percent of total billed charges,999999999,,,,1764.7,percent of total billed charges,999999999,,,,1764.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1341.172,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1273.105,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,630.25,percent of total billed charges,598.5833352,,,,,,,,,,630.25,percent of total billed charges,588.6263087,,,,,,,,,,630.25,percent of total billed charges,586.9905414,,,,,,,,,,630.25,percent of total billed charges,578.3471128,,,,,,,,,,630.25,percent of total billed charges,593.2288343,,,,,,,,,,630.25,percent of total billed charges,999999999,,,,,,,,,,630.25,percent of total billed charges,509.032115,,,,,,,,,,630.25,percent of total billed charges,802.7787481,,,,,,,,,,630.25,percent of total billed charges,999999999,,,,,,,,,,630.25,percent of total billed charges,548.8611127,,,,,,,,,,2268.9,percent of total billed charges,,,,,
CLOSD TRMT SCAPULAR FX WO MANIP,23570,CDM,,,,both,,,211,211,44.91851232,211,211,percent of total billed charges,155.2401959,,,,211,percent of total billed charges,164.5515382,,,,211,percent of total billed charges,155.2401959,,,,211,percent of total billed charges,164.5515382,,,,211,percent of total billed charges,999999999,,,,211,percent of total billed charges,160.7674981,,,,211,percent of total billed charges,155.2401959,,,,211,percent of total billed charges,164.5515382,,,,150.443,percent of total billed charges,75.07381011,,,,150.443,percent of total billed charges,44.91851232,,,,150.443,percent of total billed charges,75.07381011,,,,150.443,percent of total billed charges,44.91851232,,,,150.443,percent of total billed charges,75.07381011,,,,150.443,percent of total billed charges,44.91851232,,,,148.966,percent of total billed charges,147.8357545,,,,148.966,percent of total billed charges,101.9611481,,,,,,,,,,151.92,percent of total billed charges,98.744425,,,,,,,,,,151.92,percent of total billed charges,999999999,,,,,,,,,,168.8,percent of total billed charges,141.4456255,,,,166.69,percent of total billed charges,160.8630235,,,,166.69,percent of total billed charges,142.1278061,,,,168.8,percent of total billed charges,999999999,,,,168.8,percent of total billed charges,999999999,,,,147.7,percent of total billed charges,999999999,,,,147.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,112.252,percent of total billed charges,999999999,,,,,,,,,,,,,,,,106.555,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,52.75,percent of total billed charges,50.09959688,,,,,,,,,,52.75,percent of total billed charges,49.26622417,,,,,,,,,,52.75,percent of total billed charges,49.12931545,,,,,,,,,,52.75,percent of total billed charges,48.40588687,,,,,,,,,,52.75,percent of total billed charges,49.6514415,,,,,,,,,,52.75,percent of total billed charges,999999999,,,,,,,,,,52.75,percent of total billed charges,42.60443327,,,,,,,,,,52.75,percent of total billed charges,67.19012925,,,,,,,,,,52.75,percent of total billed charges,999999999,,,,,,,,,,52.75,percent of total billed charges,45.93799872,,,,,,,,,,189.9,percent of total billed charges,,,,,
CLOSD SHOULDR DISLOC W/MANIP WO ANES,23650,CDM,,,,both,,,325,325,69.187282,325,325,percent of total billed charges,239.1140459,,,,325,percent of total billed charges,253.4561608,,,,325,percent of total billed charges,239.1140459,,,,325,percent of total billed charges,253.4561608,,,,325,percent of total billed charges,999999999,,,,325,percent of total billed charges,247.6276629,,,,325,percent of total billed charges,239.1140459,,,,325,percent of total billed charges,253.4561608,,,,231.725,percent of total billed charges,115.6350156,,,,231.725,percent of total billed charges,69.187282,,,,231.725,percent of total billed charges,115.6350156,,,,231.725,percent of total billed charges,69.187282,,,,231.725,percent of total billed charges,115.6350156,,,,231.725,percent of total billed charges,69.187282,,,,229.45,percent of total billed charges,227.7091005,,,,229.45,percent of total billed charges,157.0491618,,,,,,,,,,234,percent of total billed charges,152.0944935,,,,,,,,,,234,percent of total billed charges,999999999,,,,,,,,,,260,percent of total billed charges,217.8664847,,,,256.75,percent of total billed charges,247.7747992,,,,256.75,percent of total billed charges,218.9172368,,,,260,percent of total billed charges,999999999,,,,260,percent of total billed charges,999999999,,,,227.5,percent of total billed charges,999999999,,,,227.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,172.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,164.125,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,81.25,percent of total billed charges,77.16762552,,,,,,,,,,81.25,percent of total billed charges,75.88399458,,,,,,,,,,81.25,percent of total billed charges,75.67311621,,,,,,,,,,81.25,percent of total billed charges,74.55883049,,,,,,,,,,81.25,percent of total billed charges,76.47733881,,,,,,,,,,81.25,percent of total billed charges,999999999,,,,,,,,,,81.25,percent of total billed charges,65.62294224,,,,,,,,,,81.25,percent of total billed charges,103.4919052,,,,,,,,,,81.25,percent of total billed charges,999999999,,,,,,,,,,81.25,percent of total billed charges,70.75758097,,,,,,,,,,292.5,percent of total billed charges,,,,,
**CLSD SHOULDR DISLOC W/MANIP WO ANES,23650,CDM,,,,both,,,325,325,69.187282,325,325,percent of total billed charges,239.1140459,,,,325,percent of total billed charges,253.4561608,,,,325,percent of total billed charges,239.1140459,,,,325,percent of total billed charges,253.4561608,,,,325,percent of total billed charges,999999999,,,,325,percent of total billed charges,247.6276629,,,,325,percent of total billed charges,239.1140459,,,,325,percent of total billed charges,253.4561608,,,,231.725,percent of total billed charges,115.6350156,,,,231.725,percent of total billed charges,69.187282,,,,231.725,percent of total billed charges,115.6350156,,,,231.725,percent of total billed charges,69.187282,,,,231.725,percent of total billed charges,115.6350156,,,,231.725,percent of total billed charges,69.187282,,,,229.45,percent of total billed charges,227.7091005,,,,229.45,percent of total billed charges,157.0491618,,,,,,,,,,234,percent of total billed charges,152.0944935,,,,,,,,,,234,percent of total billed charges,999999999,,,,,,,,,,260,percent of total billed charges,217.8664847,,,,256.75,percent of total billed charges,247.7747992,,,,256.75,percent of total billed charges,218.9172368,,,,260,percent of total billed charges,999999999,,,,260,percent of total billed charges,999999999,,,,227.5,percent of total billed charges,999999999,,,,227.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,172.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,164.125,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,81.25,percent of total billed charges,77.16762552,,,,,,,,,,81.25,percent of total billed charges,75.88399458,,,,,,,,,,81.25,percent of total billed charges,75.67311621,,,,,,,,,,81.25,percent of total billed charges,74.55883049,,,,,,,,,,81.25,percent of total billed charges,76.47733881,,,,,,,,,,81.25,percent of total billed charges,999999999,,,,,,,,,,81.25,percent of total billed charges,65.62294224,,,,,,,,,,81.25,percent of total billed charges,103.4919052,,,,,,,,,,81.25,percent of total billed charges,999999999,,,,,,,,,,81.25,percent of total billed charges,70.75758097,,,,,,,,,,292.5,percent of total billed charges,,,,,
CLSD SHOULDER DISLOC W/MANIP W/ANES,23655,CDM,,,,both,,,1342,1342,285.6902537,1342,1342,percent of total billed charges,987.3570755,,,,1342,percent of total billed charges,1046.578978,,,,1342,percent of total billed charges,987.3570755,,,,1342,percent of total billed charges,1046.578978,,,,1342,percent of total billed charges,999999999,,,,1342,percent of total billed charges,1022.511765,,,,1342,percent of total billed charges,987.3570755,,,,1342,percent of total billed charges,1046.578978,,,,956.846,percent of total billed charges,477.4836643,,,,956.846,percent of total billed charges,285.6902537,,,,956.846,percent of total billed charges,477.4836643,,,,956.846,percent of total billed charges,285.6902537,,,,956.846,percent of total billed charges,477.4836643,,,,956.846,percent of total billed charges,285.6902537,,,,947.452,percent of total billed charges,940.2634241,,,,947.452,percent of total billed charges,648.492231,,,,,,,,,,966.24,percent of total billed charges,628.0332623,,,,,,,,,,966.24,percent of total billed charges,999999999,,,,,,,,,,1073.6,percent of total billed charges,899.6209924,,,,1060.18,percent of total billed charges,1023.119325,,,,1060.18,percent of total billed charges,903.9597902,,,,1073.6,percent of total billed charges,999999999,,,,1073.6,percent of total billed charges,999999999,,,,939.4,percent of total billed charges,999999999,,,,939.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,713.944,percent of total billed charges,999999999,,,,,,,,,,,,,,,,677.71,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,335.5,percent of total billed charges,318.6429337,,,,,,,,,,335.5,percent of total billed charges,313.3425253,,,,,,,,,,335.5,percent of total billed charges,312.4717599,,,,,,,,,,335.5,percent of total billed charges,307.870617,,,,,,,,,,335.5,percent of total billed charges,315.7925806,,,,,,,,,,335.5,percent of total billed charges,999999999,,,,,,,,,,335.5,percent of total billed charges,270.9722723,,,,,,,,,,335.5,percent of total billed charges,427.3419595,,,,,,,,,,335.5,percent of total billed charges,999999999,,,,,,,,,,335.5,percent of total billed charges,292.1743805,,,,,,,,,,1207.8,percent of total billed charges,,,,,
REM FOREIGN BODY UPPER ARM ELB SUBC,24200,CDM,,,,both,,,604,604,128.5819026,604,604,percent of total billed charges,444.3842575,,,,604,percent of total billed charges,471.0385264,,,,604,percent of total billed charges,444.3842575,,,,604,percent of total billed charges,471.0385264,,,,604,percent of total billed charges,999999999,,,,604,percent of total billed charges,460.2064873,,,,604,percent of total billed charges,444.3842575,,,,604,percent of total billed charges,471.0385264,,,,430.652,percent of total billed charges,214.9032289,,,,430.652,percent of total billed charges,128.5819026,,,,430.652,percent of total billed charges,214.9032289,,,,430.652,percent of total billed charges,128.5819026,,,,430.652,percent of total billed charges,214.9032289,,,,430.652,percent of total billed charges,128.5819026,,,,426.424,percent of total billed charges,423.1886052,,,,426.424,percent of total billed charges,291.8698268,,,,,,,,,,434.88,percent of total billed charges,282.6617664,,,,,,,,,,434.88,percent of total billed charges,999999999,,,,,,,,,,483.2,percent of total billed charges,404.8964824,,,,477.16,percent of total billed charges,460.4799345,,,,477.16,percent of total billed charges,406.8492648,,,,483.2,percent of total billed charges,999999999,,,,483.2,percent of total billed charges,999999999,,,,422.8,percent of total billed charges,999999999,,,,422.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,321.328,percent of total billed charges,999999999,,,,,,,,,,,,,,,,305.02,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,151,percent of total billed charges,143.413064,,,,,,,,,,151,percent of total billed charges,141.0274853,,,,,,,,,,151,percent of total billed charges,140.635576,,,,,,,,,,151,percent of total billed charges,138.5647188,,,,,,,,,,151,percent of total billed charges,142.1301927,,,,,,,,,,151,percent of total billed charges,999999999,,,,,,,,,,151,percent of total billed charges,121.9577142,,,,,,,,,,151,percent of total billed charges,192.3357254,,,,,,,,,,151,percent of total billed charges,999999999,,,,,,,,,,151,percent of total billed charges,131.5002428,,,,,,,,,,543.6,percent of total billed charges,,,,,
CLSR FX HUMERAL SHAFT W/O MANIP,24500,CDM,,,,both,,,275,275,58.54308477,275,275,percent of total billed charges,202.3272696,,,,275,percent of total billed charges,214.4629053,,,,275,percent of total billed charges,202.3272696,,,,275,percent of total billed charges,214.4629053,,,,275,percent of total billed charges,999999999,,,,275,percent of total billed charges,209.5310994,,,,275,percent of total billed charges,202.3272696,,,,275,percent of total billed charges,214.4629053,,,,196.075,percent of total billed charges,97.84501318,,,,196.075,percent of total billed charges,58.54308477,,,,196.075,percent of total billed charges,97.84501318,,,,196.075,percent of total billed charges,58.54308477,,,,196.075,percent of total billed charges,97.84501318,,,,196.075,percent of total billed charges,58.54308477,,,,194.15,percent of total billed charges,192.6769312,,,,194.15,percent of total billed charges,132.8877523,,,,,,,,,,198,percent of total billed charges,128.6953406,,,,,,,,,,198,percent of total billed charges,999999999,,,,,,,,,,220,percent of total billed charges,184.348564,,,,217.25,percent of total billed charges,209.6555993,,,,217.25,percent of total billed charges,185.2376619,,,,220,percent of total billed charges,999999999,,,,220,percent of total billed charges,999999999,,,,192.5,percent of total billed charges,999999999,,,,192.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,146.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,138.875,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,68.75,percent of total billed charges,65.29568314,,,,,,,,,,68.75,percent of total billed charges,64.20953388,,,,,,,,,,68.75,percent of total billed charges,64.03109833,,,,,,,,,,68.75,percent of total billed charges,63.08824119,,,,,,,,,,68.75,percent of total billed charges,64.71159438,,,,,,,,,,68.75,percent of total billed charges,999999999,,,,,,,,,,68.75,percent of total billed charges,55.52710497,,,,,,,,,,68.75,percent of total billed charges,87.57007367,,,,,,,,,,68.75,percent of total billed charges,999999999,,,,,,,,,,68.75,percent of total billed charges,59.87179929,,,,,,,,,,247.5,percent of total billed charges,,,,,
CLSR FX HUMERAL SHAFT W/MANIP,24505,CDM,,,,both,,,482,482,102.6100613,482,482,percent of total billed charges,354.6245234,,,,482,percent of total billed charges,375.894983,,,,482,percent of total billed charges,354.6245234,,,,482,percent of total billed charges,375.894983,,,,482,percent of total billed charges,999999999,,,,482,percent of total billed charges,367.2508723,,,,482,percent of total billed charges,354.6245234,,,,482,percent of total billed charges,375.894983,,,,343.666,percent of total billed charges,171.4956231,,,,343.666,percent of total billed charges,102.6100613,,,,343.666,percent of total billed charges,171.4956231,,,,343.666,percent of total billed charges,102.6100613,,,,343.666,percent of total billed charges,171.4956231,,,,343.666,percent of total billed charges,102.6100613,,,,340.292,percent of total billed charges,337.7101121,,,,340.292,percent of total billed charges,232.9159876,,,,,,,,,,347.04,percent of total billed charges,225.5678334,,,,,,,,,,347.04,percent of total billed charges,999999999,,,,,,,,,,385.6,percent of total billed charges,323.1127558,,,,380.78,percent of total billed charges,367.4690868,,,,380.78,percent of total billed charges,324.671102,,,,385.6,percent of total billed charges,999999999,,,,385.6,percent of total billed charges,999999999,,,,337.4,percent of total billed charges,999999999,,,,337.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,256.424,percent of total billed charges,999999999,,,,,,,,,,,,,,,,243.41,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,120.5,percent of total billed charges,114.4455246,,,,,,,,,,120.5,percent of total billed charges,112.5418012,,,,,,,,,,120.5,percent of total billed charges,112.2290523,,,,,,,,,,120.5,percent of total billed charges,110.5764809,,,,,,,,,,120.5,percent of total billed charges,113.4217763,,,,,,,,,,120.5,percent of total billed charges,999999999,,,,,,,,,,120.5,percent of total billed charges,97.32387126,,,,,,,,,,120.5,percent of total billed charges,153.4864564,,,,,,,,,,120.5,percent of total billed charges,999999999,,,,,,,,,,120.5,percent of total billed charges,104.9389355,,,,,,,,,,433.8,percent of total billed charges,,,,,
CLSR HUMERAL FX W/WO INTER EXT WO MA,24530,CDM,,,,both,,,217,217,46.19581598,217,217,percent of total billed charges,159.6546091,,,,217,percent of total billed charges,169.2307289,,,,217,percent of total billed charges,159.6546091,,,,217,percent of total billed charges,169.2307289,,,,217,percent of total billed charges,999999999,,,,217,percent of total billed charges,165.3390857,,,,217,percent of total billed charges,159.6546091,,,,217,percent of total billed charges,169.2307289,,,,154.721,percent of total billed charges,77.2086104,,,,154.721,percent of total billed charges,46.19581598,,,,154.721,percent of total billed charges,77.2086104,,,,154.721,percent of total billed charges,46.19581598,,,,154.721,percent of total billed charges,77.2086104,,,,154.721,percent of total billed charges,46.19581598,,,,153.202,percent of total billed charges,152.0396148,,,,153.202,percent of total billed charges,104.8605172,,,,,,,,,,156.24,percent of total billed charges,101.5523233,,,,,,,,,,156.24,percent of total billed charges,999999999,,,,,,,,,,173.6,percent of total billed charges,145.467776,,,,171.43,percent of total billed charges,165.4373275,,,,171.43,percent of total billed charges,146.1693551,,,,173.6,percent of total billed charges,999999999,,,,173.6,percent of total billed charges,999999999,,,,151.9,percent of total billed charges,999999999,,,,151.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,115.444,percent of total billed charges,999999999,,,,,,,,,,,,,,,,109.585,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,54.25,percent of total billed charges,51.52422996,,,,,,,,,,54.25,percent of total billed charges,50.66715946,,,,,,,,,,54.25,percent of total billed charges,50.52635759,,,,,,,,,,54.25,percent of total billed charges,49.78235759,,,,,,,,,,54.25,percent of total billed charges,51.06333084,,,,,,,,,,54.25,percent of total billed charges,999999999,,,,,,,,,,54.25,percent of total billed charges,43.81593374,,,,,,,,,,54.25,percent of total billed charges,69.10074904,,,,,,,,,,54.25,percent of total billed charges,999999999,,,,,,,,,,54.25,percent of total billed charges,47.24429253,,,,,,,,,,195.3,percent of total billed charges,,,,,
CLOS HUMERAL FX W/WO INTER MANIP,24535,CDM,,,,both,,,390,390,83.0247384,390,390,percent of total billed charges,286.936855,,,,390,percent of total billed charges,304.1473929,,,,390,percent of total billed charges,286.936855,,,,390,percent of total billed charges,304.1473929,,,,390,percent of total billed charges,999999999,,,,390,percent of total billed charges,297.1531955,,,,390,percent of total billed charges,286.936855,,,,390,percent of total billed charges,304.1473929,,,,278.07,percent of total billed charges,138.7620187,,,,278.07,percent of total billed charges,83.0247384,,,,278.07,percent of total billed charges,138.7620187,,,,278.07,percent of total billed charges,83.0247384,,,,278.07,percent of total billed charges,138.7620187,,,,278.07,percent of total billed charges,83.0247384,,,,275.34,percent of total billed charges,273.2509206,,,,275.34,percent of total billed charges,188.4589941,,,,,,,,,,280.8,percent of total billed charges,182.5133922,,,,,,,,,,280.8,percent of total billed charges,999999999,,,,,,,,,,312,percent of total billed charges,261.4397817,,,,308.1,percent of total billed charges,297.3297591,,,,308.1,percent of total billed charges,262.7006842,,,,312,percent of total billed charges,999999999,,,,312,percent of total billed charges,999999999,,,,273,percent of total billed charges,999999999,,,,273,percent of total billed charges,999999999,,,,,,,,,,,,,,,,207.48,percent of total billed charges,999999999,,,,,,,,,,,,,,,,196.95,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,97.5,percent of total billed charges,92.60115063,,,,,,,,,,97.5,percent of total billed charges,91.0607935,,,,,,,,,,97.5,percent of total billed charges,90.80773945,,,,,,,,,,97.5,percent of total billed charges,89.47059659,,,,,,,,,,97.5,percent of total billed charges,91.77280657,,,,,,,,,,97.5,percent of total billed charges,999999999,,,,,,,,,,97.5,percent of total billed charges,78.74753068,,,,,,,,,,97.5,percent of total billed charges,124.1902863,,,,,,,,,,97.5,percent of total billed charges,999999999,,,,,,,,,,97.5,percent of total billed charges,84.90909717,,,,,,,,,,351,percent of total billed charges,,,,,
CLOS ELBOW DISLOC W/O ANES,24600,CDM,,,,both,,,382,382,81.32166685,382,382,percent of total billed charges,281.0509708,,,,382,percent of total billed charges,297.908472,,,,382,percent of total billed charges,281.0509708,,,,382,percent of total billed charges,297.908472,,,,382,percent of total billed charges,999999999,,,,382,percent of total billed charges,291.0577453,,,,382,percent of total billed charges,281.0509708,,,,382,percent of total billed charges,297.908472,,,,272.366,percent of total billed charges,135.9156183,,,,272.366,percent of total billed charges,81.32166685,,,,272.366,percent of total billed charges,135.9156183,,,,272.366,percent of total billed charges,81.32166685,,,,272.366,percent of total billed charges,135.9156183,,,,272.366,percent of total billed charges,81.32166685,,,,269.692,percent of total billed charges,267.6457735,,,,269.692,percent of total billed charges,184.5931686,,,,,,,,,,275.04,percent of total billed charges,178.7695277,,,,,,,,,,275.04,percent of total billed charges,999999999,,,,,,,,,,305.6,percent of total billed charges,256.0769144,,,,301.78,percent of total billed charges,291.2306871,,,,301.78,percent of total billed charges,257.3119522,,,,305.6,percent of total billed charges,999999999,,,,305.6,percent of total billed charges,999999999,,,,267.4,percent of total billed charges,999999999,,,,267.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,203.224,percent of total billed charges,999999999,,,,,,,,,,,,,,,,192.91,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,95.5,percent of total billed charges,90.70163985,,,,,,,,,,95.5,percent of total billed charges,89.19287978,,,,,,,,,,95.5,percent of total billed charges,88.94501659,,,,,,,,,,95.5,percent of total billed charges,87.6353023,,,,,,,,,,95.5,percent of total billed charges,89.89028746,,,,,,,,,,95.5,percent of total billed charges,999999999,,,,,,,,,,95.5,percent of total billed charges,77.13219672,,,,,,,,,,95.5,percent of total billed charges,121.6427932,,,,,,,,,,95.5,percent of total billed charges,999999999,,,,,,,,,,95.5,percent of total billed charges,83.1673721,,,,,,,,,,343.8,percent of total billed charges,,,,,
**CLOSED ELBOW DISLOC W/O ANES,24600,CDM,,,,both,,,382,382,81.32166685,382,382,percent of total billed charges,281.0509708,,,,382,percent of total billed charges,297.908472,,,,382,percent of total billed charges,281.0509708,,,,382,percent of total billed charges,297.908472,,,,382,percent of total billed charges,999999999,,,,382,percent of total billed charges,291.0577453,,,,382,percent of total billed charges,281.0509708,,,,382,percent of total billed charges,297.908472,,,,272.366,percent of total billed charges,135.9156183,,,,272.366,percent of total billed charges,81.32166685,,,,272.366,percent of total billed charges,135.9156183,,,,272.366,percent of total billed charges,81.32166685,,,,272.366,percent of total billed charges,135.9156183,,,,272.366,percent of total billed charges,81.32166685,,,,269.692,percent of total billed charges,267.6457735,,,,269.692,percent of total billed charges,184.5931686,,,,,,,,,,275.04,percent of total billed charges,178.7695277,,,,,,,,,,275.04,percent of total billed charges,999999999,,,,,,,,,,305.6,percent of total billed charges,256.0769144,,,,301.78,percent of total billed charges,291.2306871,,,,301.78,percent of total billed charges,257.3119522,,,,305.6,percent of total billed charges,999999999,,,,305.6,percent of total billed charges,999999999,,,,267.4,percent of total billed charges,999999999,,,,267.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,203.224,percent of total billed charges,999999999,,,,,,,,,,,,,,,,192.91,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,95.5,percent of total billed charges,90.70163985,,,,,,,,,,95.5,percent of total billed charges,89.19287978,,,,,,,,,,95.5,percent of total billed charges,88.94501659,,,,,,,,,,95.5,percent of total billed charges,87.6353023,,,,,,,,,,95.5,percent of total billed charges,89.89028746,,,,,,,,,,95.5,percent of total billed charges,999999999,,,,,,,,,,95.5,percent of total billed charges,77.13219672,,,,,,,,,,95.5,percent of total billed charges,121.6427932,,,,,,,,,,95.5,percent of total billed charges,999999999,,,,,,,,,,95.5,percent of total billed charges,83.1673721,,,,,,,,,,343.8,percent of total billed charges,,,,,
**CLOS ELBOW DISLOC REG ANES,24605,CDM,,,,both,,,2084,2084,443.6501406,2084,2084,percent of total billed charges,1533.272836,,,,2084,percent of total billed charges,1625.238889,,,,2084,percent of total billed charges,1533.272836,,,,2084,percent of total billed charges,1625.238889,,,,2084,percent of total billed charges,999999999,,,,2084,percent of total billed charges,1587.864768,,,,2084,percent of total billed charges,1533.272836,,,,2084,percent of total billed charges,1625.238889,,,,1485.892,percent of total billed charges,741.4872999,,,,1485.892,percent of total billed charges,443.6501406,,,,1485.892,percent of total billed charges,741.4872999,,,,1485.892,percent of total billed charges,443.6501406,,,,1485.892,percent of total billed charges,741.4872999,,,,1485.892,percent of total billed charges,443.6501406,,,,1471.304,percent of total billed charges,1460.140817,,,,1471.304,percent of total billed charges,1007.047548,,,,,,,,,,1500.48,percent of total billed charges,975.2766905,,,,,,,,,,1500.48,percent of total billed charges,999999999,,,,,,,,,,1667.2,percent of total billed charges,1397.026936,,,,1646.36,percent of total billed charges,1588.808251,,,,1646.36,percent of total billed charges,1403.764682,,,,1667.2,percent of total billed charges,999999999,,,,1667.2,percent of total billed charges,999999999,,,,1458.8,percent of total billed charges,999999999,,,,1458.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1108.688,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1052.42,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,521,percent of total billed charges,494.8225587,,,,,,,,,,521,percent of total billed charges,486.5915222,,,,,,,,,,521,percent of total billed charges,485.2393052,,,,,,,,,,521,percent of total billed charges,478.0941623,,,,,,,,,,521,percent of total billed charges,490.3962279,,,,,,,,,,521,percent of total billed charges,999999999,,,,,,,,,,521,percent of total billed charges,420.7944973,,,,,,,,,,521,percent of total billed charges,663.6219401,,,,,,,,,,521,percent of total billed charges,999999999,,,,,,,,,,521,percent of total billed charges,453.7193808,,,,,,,,,,1875.6,percent of total billed charges,,,,,
CLSD ELBOW DISLOC REG ANES,24605,CDM,,,,both,,,2084,2084,443.6501406,2084,2084,percent of total billed charges,1533.272836,,,,2084,percent of total billed charges,1625.238889,,,,2084,percent of total billed charges,1533.272836,,,,2084,percent of total billed charges,1625.238889,,,,2084,percent of total billed charges,999999999,,,,2084,percent of total billed charges,1587.864768,,,,2084,percent of total billed charges,1533.272836,,,,2084,percent of total billed charges,1625.238889,,,,1485.892,percent of total billed charges,741.4872999,,,,1485.892,percent of total billed charges,443.6501406,,,,1485.892,percent of total billed charges,741.4872999,,,,1485.892,percent of total billed charges,443.6501406,,,,1485.892,percent of total billed charges,741.4872999,,,,1485.892,percent of total billed charges,443.6501406,,,,1471.304,percent of total billed charges,1460.140817,,,,1471.304,percent of total billed charges,1007.047548,,,,,,,,,,1500.48,percent of total billed charges,975.2766905,,,,,,,,,,1500.48,percent of total billed charges,999999999,,,,,,,,,,1667.2,percent of total billed charges,1397.026936,,,,1646.36,percent of total billed charges,1588.808251,,,,1646.36,percent of total billed charges,1403.764682,,,,1667.2,percent of total billed charges,999999999,,,,1667.2,percent of total billed charges,999999999,,,,1458.8,percent of total billed charges,999999999,,,,1458.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1108.688,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1052.42,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,521,percent of total billed charges,494.8225587,,,,,,,,,,521,percent of total billed charges,486.5915222,,,,,,,,,,521,percent of total billed charges,485.2393052,,,,,,,,,,521,percent of total billed charges,478.0941623,,,,,,,,,,521,percent of total billed charges,490.3962279,,,,,,,,,,521,percent of total billed charges,999999999,,,,,,,,,,521,percent of total billed charges,420.7944973,,,,,,,,,,521,percent of total billed charges,663.6219401,,,,,,,,,,521,percent of total billed charges,999999999,,,,,,,,,,521,percent of total billed charges,453.7193808,,,,,,,,,,1875.6,percent of total billed charges,,,,,
CLSED RADIAL HEAD SUBL CHILD W/MANIP,24640,CDM,,,,both,,,179,179,38.10622609,179,179,percent of total billed charges,131.6966591,,,,179,percent of total billed charges,139.5958547,,,,179,percent of total billed charges,131.6966591,,,,179,percent of total billed charges,139.5958547,,,,179,percent of total billed charges,999999999,,,,179,percent of total billed charges,136.3856974,,,,179,percent of total billed charges,131.6966591,,,,179,percent of total billed charges,139.5958547,,,,127.627,percent of total billed charges,63.68820858,,,,127.627,percent of total billed charges,38.10622609,,,,127.627,percent of total billed charges,63.68820858,,,,127.627,percent of total billed charges,38.10622609,,,,127.627,percent of total billed charges,63.68820858,,,,127.627,percent of total billed charges,38.10622609,,,,126.374,percent of total billed charges,125.4151661,,,,126.374,percent of total billed charges,86.49784602,,,,,,,,,,128.88,percent of total billed charges,83.76896718,,,,,,,,,,128.88,percent of total billed charges,999999999,,,,,,,,,,143.2,percent of total billed charges,119.9941562,,,,141.41,percent of total billed charges,136.4667356,,,,141.41,percent of total billed charges,120.5728781,,,,143.2,percent of total billed charges,999999999,,,,143.2,percent of total billed charges,999999999,,,,125.3,percent of total billed charges,999999999,,,,125.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,95.228,percent of total billed charges,999999999,,,,,,,,,,,,,,,,90.395,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,44.75,percent of total billed charges,42.50155375,,,,,,,,,,44.75,percent of total billed charges,41.79456932,,,,,,,,,,44.75,percent of total billed charges,41.678424,,,,,,,,,,44.75,percent of total billed charges,41.06470972,,,,,,,,,,44.75,percent of total billed charges,42.12136507,,,,,,,,,,44.75,percent of total billed charges,999999999,,,,,,,,,,44.75,percent of total billed charges,36.14309742,,,,,,,,,,44.75,percent of total billed charges,57.00015704,,,,,,,,,,44.75,percent of total billed charges,999999999,,,,,,,,,,44.75,percent of total billed charges,38.97109844,,,,,,,,,,161.1,percent of total billed charges,,,,,
**CLSD RADIAL HEAD SUBL CHILD W/MANIP,24640,CDM,,,,both,,,179,179,38.10622609,179,179,percent of total billed charges,131.6966591,,,,179,percent of total billed charges,139.5958547,,,,179,percent of total billed charges,131.6966591,,,,179,percent of total billed charges,139.5958547,,,,179,percent of total billed charges,999999999,,,,179,percent of total billed charges,136.3856974,,,,179,percent of total billed charges,131.6966591,,,,179,percent of total billed charges,139.5958547,,,,127.627,percent of total billed charges,63.68820858,,,,127.627,percent of total billed charges,38.10622609,,,,127.627,percent of total billed charges,63.68820858,,,,127.627,percent of total billed charges,38.10622609,,,,127.627,percent of total billed charges,63.68820858,,,,127.627,percent of total billed charges,38.10622609,,,,126.374,percent of total billed charges,125.4151661,,,,126.374,percent of total billed charges,86.49784602,,,,,,,,,,128.88,percent of total billed charges,83.76896718,,,,,,,,,,128.88,percent of total billed charges,999999999,,,,,,,,,,143.2,percent of total billed charges,119.9941562,,,,141.41,percent of total billed charges,136.4667356,,,,141.41,percent of total billed charges,120.5728781,,,,143.2,percent of total billed charges,999999999,,,,143.2,percent of total billed charges,999999999,,,,125.3,percent of total billed charges,999999999,,,,125.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,95.228,percent of total billed charges,999999999,,,,,,,,,,,,,,,,90.395,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,44.75,percent of total billed charges,42.50155375,,,,,,,,,,44.75,percent of total billed charges,41.79456932,,,,,,,,,,44.75,percent of total billed charges,41.678424,,,,,,,,,,44.75,percent of total billed charges,41.06470972,,,,,,,,,,44.75,percent of total billed charges,42.12136507,,,,,,,,,,44.75,percent of total billed charges,999999999,,,,,,,,,,44.75,percent of total billed charges,36.14309742,,,,,,,,,,44.75,percent of total billed charges,57.00015704,,,,,,,,,,44.75,percent of total billed charges,999999999,,,,,,,,,,44.75,percent of total billed charges,38.97109844,,,,,,,,,,161.1,percent of total billed charges,,,,,
CLOS RADIAL HEAD/NECK FX W/O MANIP,24650,CDM,,,,both,,,143,143,30.44240408,143,143,percent of total billed charges,105.2101802,,,,143,percent of total billed charges,111.5207107,,,,143,percent of total billed charges,105.2101802,,,,143,percent of total billed charges,111.5207107,,,,143,percent of total billed charges,999999999,,,,143,percent of total billed charges,108.9561717,,,,143,percent of total billed charges,105.2101802,,,,143,percent of total billed charges,111.5207107,,,,101.959,percent of total billed charges,50.87940685,,,,101.959,percent of total billed charges,30.44240408,,,,101.959,percent of total billed charges,50.87940685,,,,101.959,percent of total billed charges,30.44240408,,,,101.959,percent of total billed charges,50.87940685,,,,101.959,percent of total billed charges,30.44240408,,,,100.958,percent of total billed charges,100.1920042,,,,100.958,percent of total billed charges,69.10163118,,,,,,,,,,102.96,percent of total billed charges,66.92157713,,,,,,,,,,102.96,percent of total billed charges,999999999,,,,,,,,,,114.4,percent of total billed charges,95.86125329,,,,112.97,percent of total billed charges,109.0209117,,,,112.97,percent of total billed charges,96.32358421,,,,114.4,percent of total billed charges,999999999,,,,114.4,percent of total billed charges,999999999,,,,100.1,percent of total billed charges,999999999,,,,100.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,76.076,percent of total billed charges,999999999,,,,,,,,,,,,,,,,72.215,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,35.75,percent of total billed charges,33.95375523,,,,,,,,,,35.75,percent of total billed charges,33.38895762,,,,,,,,,,35.75,percent of total billed charges,33.29617113,,,,,,,,,,35.75,percent of total billed charges,32.80588542,,,,,,,,,,35.75,percent of total billed charges,33.65002908,,,,,,,,,,35.75,percent of total billed charges,999999999,,,,,,,,,,35.75,percent of total billed charges,28.87409458,,,,,,,,,,35.75,percent of total billed charges,45.53643831,,,,,,,,,,35.75,percent of total billed charges,999999999,,,,,,,,,,35.75,percent of total billed charges,31.13333563,,,,,,,,,,128.7,percent of total billed charges,,,,,
**CLOS ULNAR FX PROXIMAL END W/O MANIP,24670,CDM,,,,both,,,176,176,37.46757425,176,176,percent of total billed charges,129.4894525,,,,176,percent of total billed charges,137.2562594,,,,176,percent of total billed charges,129.4894525,,,,176,percent of total billed charges,137.2562594,,,,176,percent of total billed charges,999999999,,,,176,percent of total billed charges,134.0999036,,,,176,percent of total billed charges,129.4894525,,,,176,percent of total billed charges,137.2562594,,,,125.488,percent of total billed charges,62.62080844,,,,125.488,percent of total billed charges,37.46757425,,,,125.488,percent of total billed charges,62.62080844,,,,125.488,percent of total billed charges,37.46757425,,,,125.488,percent of total billed charges,62.62080844,,,,125.488,percent of total billed charges,37.46757425,,,,124.256,percent of total billed charges,123.3132359,,,,124.256,percent of total billed charges,85.04816145,,,,,,,,,,126.72,percent of total billed charges,82.36501801,,,,,,,,,,126.72,percent of total billed charges,999999999,,,,,,,,,,140.8,percent of total billed charges,117.983081,,,,139.04,percent of total billed charges,134.1795836,,,,139.04,percent of total billed charges,118.5521036,,,,140.8,percent of total billed charges,999999999,,,,140.8,percent of total billed charges,999999999,,,,123.2,percent of total billed charges,999999999,,,,123.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,93.632,percent of total billed charges,999999999,,,,,,,,,,,,,,,,88.88,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,44,percent of total billed charges,41.78923721,,,,,,,,,,44,percent of total billed charges,41.09410168,,,,,,,,,,44,percent of total billed charges,40.97990293,,,,,,,,,,44,percent of total billed charges,40.37647436,,,,,,,,,,44,percent of total billed charges,41.4154204,,,,,,,,,,44,percent of total billed charges,999999999,,,,,,,,,,44,percent of total billed charges,35.53734718,,,,,,,,,,44,percent of total billed charges,56.04484715,,,,,,,,,,44,percent of total billed charges,999999999,,,,,,,,,,44,percent of total billed charges,38.31795154,,,,,,,,,,158.4,percent of total billed charges,,,,,
CLSD ULNAR FX PROXIMAL END W/O MANIP,24670,CDM,,,,both,,,176,176,37.46757425,176,176,percent of total billed charges,129.4894525,,,,176,percent of total billed charges,137.2562594,,,,176,percent of total billed charges,129.4894525,,,,176,percent of total billed charges,137.2562594,,,,176,percent of total billed charges,999999999,,,,176,percent of total billed charges,134.0999036,,,,176,percent of total billed charges,129.4894525,,,,176,percent of total billed charges,137.2562594,,,,125.488,percent of total billed charges,62.62080844,,,,125.488,percent of total billed charges,37.46757425,,,,125.488,percent of total billed charges,62.62080844,,,,125.488,percent of total billed charges,37.46757425,,,,125.488,percent of total billed charges,62.62080844,,,,125.488,percent of total billed charges,37.46757425,,,,124.256,percent of total billed charges,123.3132359,,,,124.256,percent of total billed charges,85.04816145,,,,,,,,,,126.72,percent of total billed charges,82.36501801,,,,,,,,,,126.72,percent of total billed charges,999999999,,,,,,,,,,140.8,percent of total billed charges,117.983081,,,,139.04,percent of total billed charges,134.1795836,,,,139.04,percent of total billed charges,118.5521036,,,,140.8,percent of total billed charges,999999999,,,,140.8,percent of total billed charges,999999999,,,,123.2,percent of total billed charges,999999999,,,,123.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,93.632,percent of total billed charges,999999999,,,,,,,,,,,,,,,,88.88,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,44,percent of total billed charges,41.78923721,,,,,,,,,,44,percent of total billed charges,41.09410168,,,,,,,,,,44,percent of total billed charges,40.97990293,,,,,,,,,,44,percent of total billed charges,40.37647436,,,,,,,,,,44,percent of total billed charges,41.4154204,,,,,,,,,,44,percent of total billed charges,999999999,,,,,,,,,,44,percent of total billed charges,35.53734718,,,,,,,,,,44,percent of total billed charges,56.04484715,,,,,,,,,,44,percent of total billed charges,999999999,,,,,,,,,,44,percent of total billed charges,38.31795154,,,,,,,,,,158.4,percent of total billed charges,,,,,
CLOS RADIAL SHAFT FX W/MANIP,25505,CDM,,,,both,,,698,698,148.5929933,698,698,percent of total billed charges,513.543397,,,,698,percent of total billed charges,544.3458468,,,,698,percent of total billed charges,513.543397,,,,698,percent of total billed charges,544.3458468,,,,698,percent of total billed charges,999999999,,,,698,percent of total billed charges,531.8280268,,,,698,percent of total billed charges,513.543397,,,,698,percent of total billed charges,544.3458468,,,,497.674,percent of total billed charges,248.3484335,,,,497.674,percent of total billed charges,148.5929933,,,,497.674,percent of total billed charges,248.3484335,,,,497.674,percent of total billed charges,148.5929933,,,,497.674,percent of total billed charges,248.3484335,,,,497.674,percent of total billed charges,148.5929933,,,,492.788,percent of total billed charges,489.0490835,,,,492.788,percent of total billed charges,337.2932766,,,,,,,,,,502.56,percent of total billed charges,326.6521737,,,,,,,,,,502.56,percent of total billed charges,999999999,,,,,,,,,,558.4,percent of total billed charges,467.9101734,,,,551.42,percent of total billed charges,532.1440303,,,,551.42,percent of total billed charges,470.1668656,,,,558.4,percent of total billed charges,999999999,,,,558.4,percent of total billed charges,999999999,,,,488.6,percent of total billed charges,999999999,,,,488.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,371.336,percent of total billed charges,999999999,,,,,,,,,,,,,,,,352.49,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,174.5,percent of total billed charges,165.7323157,,,,,,,,,,174.5,percent of total billed charges,162.9754714,,,,,,,,,,174.5,percent of total billed charges,162.5225696,,,,,,,,,,174.5,percent of total billed charges,160.1294267,,,,,,,,,,174.5,percent of total billed charges,164.2497923,,,,,,,,,,174.5,percent of total billed charges,999999999,,,,,,,,,,174.5,percent of total billed charges,140.9378883,,,,,,,,,,174.5,percent of total billed charges,222.2687688,,,,,,,,,,174.5,percent of total billed charges,999999999,,,,,,,,,,174.5,percent of total billed charges,151.9655124,,,,,,,,,,628.2,percent of total billed charges,,,,,
CLOS ULNAR SHAFT FX W/O MANIP,25530,CDM,,,,both,,,209,209,44.49274443,209,209,percent of total billed charges,153.7687249,,,,209,percent of total billed charges,162.991808,,,,209,percent of total billed charges,153.7687249,,,,209,percent of total billed charges,162.991808,,,,209,percent of total billed charges,999999999,,,,209,percent of total billed charges,159.2436355,,,,209,percent of total billed charges,153.7687249,,,,209,percent of total billed charges,162.991808,,,,149.017,percent of total billed charges,74.36221002,,,,149.017,percent of total billed charges,44.49274443,,,,149.017,percent of total billed charges,74.36221002,,,,149.017,percent of total billed charges,44.49274443,,,,149.017,percent of total billed charges,74.36221002,,,,149.017,percent of total billed charges,44.49274443,,,,147.554,percent of total billed charges,146.4344677,,,,147.554,percent of total billed charges,100.9946917,,,,,,,,,,150.48,percent of total billed charges,97.80845889,,,,,,,,,,150.48,percent of total billed charges,999999999,,,,,,,,,,167.2,percent of total billed charges,140.1049087,,,,165.11,percent of total billed charges,159.3382555,,,,165.11,percent of total billed charges,140.7806231,,,,167.2,percent of total billed charges,999999999,,,,167.2,percent of total billed charges,999999999,,,,146.3,percent of total billed charges,999999999,,,,146.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,111.188,percent of total billed charges,999999999,,,,,,,,,,,,,,,,105.545,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,52.25,percent of total billed charges,49.62471918,,,,,,,,,,52.25,percent of total billed charges,48.79924575,,,,,,,,,,52.25,percent of total billed charges,48.66363473,,,,,,,,,,52.25,percent of total billed charges,47.9470633,,,,,,,,,,52.25,percent of total billed charges,49.18081173,,,,,,,,,,52.25,percent of total billed charges,999999999,,,,,,,,,,52.25,percent of total billed charges,42.20059978,,,,,,,,,,52.25,percent of total billed charges,66.55325599,,,,,,,,,,52.25,percent of total billed charges,999999999,,,,,,,,,,52.25,percent of total billed charges,45.50256746,,,,,,,,,,188.1,percent of total billed charges,,,,,
CLOS ULNAR SHAFT FX W/MANIP,25535,CDM,,,,both,,,174,174,37.04180636,174,174,percent of total billed charges,128.0179815,,,,174,percent of total billed charges,135.6965291,,,,174,percent of total billed charges,128.0179815,,,,174,percent of total billed charges,135.6965291,,,,174,percent of total billed charges,999999999,,,,174,percent of total billed charges,132.5760411,,,,174,percent of total billed charges,128.0179815,,,,174,percent of total billed charges,135.6965291,,,,124.062,percent of total billed charges,61.90920834,,,,124.062,percent of total billed charges,37.04180636,,,,124.062,percent of total billed charges,61.90920834,,,,124.062,percent of total billed charges,37.04180636,,,,124.062,percent of total billed charges,61.90920834,,,,124.062,percent of total billed charges,37.04180636,,,,122.844,percent of total billed charges,121.9119492,,,,122.844,percent of total billed charges,84.08170507,,,,,,,,,,125.28,percent of total billed charges,81.4290519,,,,,,,,,,125.28,percent of total billed charges,999999999,,,,,,,,,,139.2,percent of total billed charges,116.6423641,,,,137.46,percent of total billed charges,132.6548156,,,,137.46,percent of total billed charges,117.2049206,,,,139.2,percent of total billed charges,999999999,,,,139.2,percent of total billed charges,999999999,,,,121.8,percent of total billed charges,999999999,,,,121.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,92.568,percent of total billed charges,999999999,,,,,,,,,,,,,,,,87.87,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,43.5,percent of total billed charges,41.31435951,,,,,,,,,,43.5,percent of total billed charges,40.62712325,,,,,,,,,,43.5,percent of total billed charges,40.51422222,,,,,,,,,,43.5,percent of total billed charges,39.91765079,,,,,,,,,,43.5,percent of total billed charges,40.94479062,,,,,,,,,,43.5,percent of total billed charges,999999999,,,,,,,,,,43.5,percent of total billed charges,35.13351369,,,,,,,,,,43.5,percent of total billed charges,55.40797388,,,,,,,,,,43.5,percent of total billed charges,999999999,,,,,,,,,,43.5,percent of total billed charges,37.88252028,,,,,,,,,,156.6,percent of total billed charges,,,,,
CLOS RAD & ULNAR SHAFT FX W/O MANIP,25560,CDM,,,,both,,,430,430,91.54009619,430,430,percent of total billed charges,316.3662761,,,,430,percent of total billed charges,335.3419973,,,,430,percent of total billed charges,316.3662761,,,,430,percent of total billed charges,335.3419973,,,,430,percent of total billed charges,999999999,,,,430,percent of total billed charges,327.6304463,,,,430,percent of total billed charges,316.3662761,,,,430,percent of total billed charges,335.3419973,,,,306.59,percent of total billed charges,152.9940206,,,,306.59,percent of total billed charges,91.54009619,,,,306.59,percent of total billed charges,152.9940206,,,,306.59,percent of total billed charges,91.54009619,,,,306.59,percent of total billed charges,152.9940206,,,,306.59,percent of total billed charges,91.54009619,,,,303.58,percent of total billed charges,301.276656,,,,303.58,percent of total billed charges,207.7881217,,,,,,,,,,309.6,percent of total billed charges,201.2327145,,,,,,,,,,309.6,percent of total billed charges,999999999,,,,,,,,,,344,percent of total billed charges,288.2541183,,,,339.7,percent of total billed charges,327.825119,,,,339.7,percent of total billed charges,289.6443441,,,,344,percent of total billed charges,999999999,,,,344,percent of total billed charges,999999999,,,,301,percent of total billed charges,999999999,,,,301,percent of total billed charges,999999999,,,,,,,,,,,,,,,,228.76,percent of total billed charges,999999999,,,,,,,,,,,,,,,,217.15,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,107.5,percent of total billed charges,102.0987045,,,,,,,,,,107.5,percent of total billed charges,100.4003621,,,,,,,,,,107.5,percent of total billed charges,100.1213538,,,,,,,,,,107.5,percent of total billed charges,98.64706804,,,,,,,,,,107.5,percent of total billed charges,101.1854021,,,,,,,,,,107.5,percent of total billed charges,999999999,,,,,,,,,,107.5,percent of total billed charges,86.8242005,,,,,,,,,,107.5,percent of total billed charges,136.9277516,,,,,,,,,,107.5,percent of total billed charges,999999999,,,,,,,,,,107.5,percent of total billed charges,93.61772252,,,,,,,,,,387,percent of total billed charges,,,,,
CLOS RAD & ULNAR SHAFT FX W/MANIP,25565,CDM,,,,both,,,358,358,76.21245218,358,358,percent of total billed charges,263.3933182,,,,358,percent of total billed charges,279.1917094,,,,358,percent of total billed charges,263.3933182,,,,358,percent of total billed charges,279.1917094,,,,358,percent of total billed charges,999999999,,,,358,percent of total billed charges,272.7713948,,,,358,percent of total billed charges,263.3933182,,,,358,percent of total billed charges,279.1917094,,,,255.254,percent of total billed charges,127.3764172,,,,255.254,percent of total billed charges,76.21245218,,,,255.254,percent of total billed charges,127.3764172,,,,255.254,percent of total billed charges,76.21245218,,,,255.254,percent of total billed charges,127.3764172,,,,255.254,percent of total billed charges,76.21245218,,,,252.748,percent of total billed charges,250.8303322,,,,252.748,percent of total billed charges,172.995692,,,,,,,,,,257.76,percent of total billed charges,167.5379344,,,,,,,,,,257.76,percent of total billed charges,999999999,,,,,,,,,,286.4,percent of total billed charges,239.9883124,,,,282.82,percent of total billed charges,272.9334711,,,,282.82,percent of total billed charges,241.1457563,,,,286.4,percent of total billed charges,999999999,,,,286.4,percent of total billed charges,999999999,,,,250.6,percent of total billed charges,999999999,,,,250.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,190.456,percent of total billed charges,999999999,,,,,,,,,,,,,,,,180.79,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,89.5,percent of total billed charges,85.0031075,,,,,,,,,,89.5,percent of total billed charges,83.58913864,,,,,,,,,,89.5,percent of total billed charges,83.35684801,,,,,,,,,,89.5,percent of total billed charges,82.12941944,,,,,,,,,,89.5,percent of total billed charges,84.24273014,,,,,,,,,,89.5,percent of total billed charges,999999999,,,,,,,,,,89.5,percent of total billed charges,72.28619483,,,,,,,,,,89.5,percent of total billed charges,114.0003141,,,,,,,,,,89.5,percent of total billed charges,999999999,,,,,,,,,,89.5,percent of total billed charges,77.94219689,,,,,,,,,,322.2,percent of total billed charges,,,,,
**CLOS DISTAL RADIAL FX W/WO OF ULNAR,25600,CDM,,,,both,,,176,176,37.46757425,176,176,percent of total billed charges,129.4894525,,,,176,percent of total billed charges,137.2562594,,,,176,percent of total billed charges,129.4894525,,,,176,percent of total billed charges,137.2562594,,,,176,percent of total billed charges,999999999,,,,176,percent of total billed charges,134.0999036,,,,176,percent of total billed charges,129.4894525,,,,176,percent of total billed charges,137.2562594,,,,125.488,percent of total billed charges,62.62080844,,,,125.488,percent of total billed charges,37.46757425,,,,125.488,percent of total billed charges,62.62080844,,,,125.488,percent of total billed charges,37.46757425,,,,125.488,percent of total billed charges,62.62080844,,,,125.488,percent of total billed charges,37.46757425,,,,124.256,percent of total billed charges,123.3132359,,,,124.256,percent of total billed charges,85.04816145,,,,,,,,,,126.72,percent of total billed charges,82.36501801,,,,,,,,,,126.72,percent of total billed charges,999999999,,,,,,,,,,140.8,percent of total billed charges,117.983081,,,,139.04,percent of total billed charges,134.1795836,,,,139.04,percent of total billed charges,118.5521036,,,,140.8,percent of total billed charges,999999999,,,,140.8,percent of total billed charges,999999999,,,,123.2,percent of total billed charges,999999999,,,,123.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,93.632,percent of total billed charges,999999999,,,,,,,,,,,,,,,,88.88,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,44,percent of total billed charges,41.78923721,,,,,,,,,,44,percent of total billed charges,41.09410168,,,,,,,,,,44,percent of total billed charges,40.97990293,,,,,,,,,,44,percent of total billed charges,40.37647436,,,,,,,,,,44,percent of total billed charges,41.4154204,,,,,,,,,,44,percent of total billed charges,999999999,,,,,,,,,,44,percent of total billed charges,35.53734718,,,,,,,,,,44,percent of total billed charges,56.04484715,,,,,,,,,,44,percent of total billed charges,999999999,,,,,,,,,,44,percent of total billed charges,38.31795154,,,,,,,,,,158.4,percent of total billed charges,,,,,
CLOS DISTAL RAD FX W/WO FX OF ULNAR,25600,CDM,,,,both,,,176,176,37.46757425,176,176,percent of total billed charges,129.4894525,,,,176,percent of total billed charges,137.2562594,,,,176,percent of total billed charges,129.4894525,,,,176,percent of total billed charges,137.2562594,,,,176,percent of total billed charges,999999999,,,,176,percent of total billed charges,134.0999036,,,,176,percent of total billed charges,129.4894525,,,,176,percent of total billed charges,137.2562594,,,,125.488,percent of total billed charges,62.62080844,,,,125.488,percent of total billed charges,37.46757425,,,,125.488,percent of total billed charges,62.62080844,,,,125.488,percent of total billed charges,37.46757425,,,,125.488,percent of total billed charges,62.62080844,,,,125.488,percent of total billed charges,37.46757425,,,,124.256,percent of total billed charges,123.3132359,,,,124.256,percent of total billed charges,85.04816145,,,,,,,,,,126.72,percent of total billed charges,82.36501801,,,,,,,,,,126.72,percent of total billed charges,999999999,,,,,,,,,,140.8,percent of total billed charges,117.983081,,,,139.04,percent of total billed charges,134.1795836,,,,139.04,percent of total billed charges,118.5521036,,,,140.8,percent of total billed charges,999999999,,,,140.8,percent of total billed charges,999999999,,,,123.2,percent of total billed charges,999999999,,,,123.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,93.632,percent of total billed charges,999999999,,,,,,,,,,,,,,,,88.88,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,44,percent of total billed charges,41.78923721,,,,,,,,,,44,percent of total billed charges,41.09410168,,,,,,,,,,44,percent of total billed charges,40.97990293,,,,,,,,,,44,percent of total billed charges,40.37647436,,,,,,,,,,44,percent of total billed charges,41.4154204,,,,,,,,,,44,percent of total billed charges,999999999,,,,,,,,,,44,percent of total billed charges,35.53734718,,,,,,,,,,44,percent of total billed charges,56.04484715,,,,,,,,,,44,percent of total billed charges,999999999,,,,,,,,,,44,percent of total billed charges,38.31795154,,,,,,,,,,158.4,percent of total billed charges,,,,,
CLOS DISTAL RADIAL FX W/WO FX ULNAR,25605,CDM,,,,both,,,386,386,82.17320262,386,386,percent of total billed charges,283.9939129,,,,386,percent of total billed charges,301.0279325,,,,386,percent of total billed charges,283.9939129,,,,386,percent of total billed charges,301.0279325,,,,386,percent of total billed charges,999999999,,,,386,percent of total billed charges,294.1054704,,,,386,percent of total billed charges,283.9939129,,,,386,percent of total billed charges,301.0279325,,,,275.218,percent of total billed charges,137.3388185,,,,275.218,percent of total billed charges,82.17320262,,,,275.218,percent of total billed charges,137.3388185,,,,275.218,percent of total billed charges,82.17320262,,,,275.218,percent of total billed charges,137.3388185,,,,275.218,percent of total billed charges,82.17320262,,,,272.516,percent of total billed charges,270.448347,,,,272.516,percent of total billed charges,186.5260814,,,,,,,,,,277.92,percent of total billed charges,180.64146,,,,,,,,,,277.92,percent of total billed charges,999999999,,,,,,,,,,308.8,percent of total billed charges,258.758348,,,,304.94,percent of total billed charges,294.2802231,,,,304.94,percent of total billed charges,260.0063182,,,,308.8,percent of total billed charges,999999999,,,,308.8,percent of total billed charges,999999999,,,,270.2,percent of total billed charges,999999999,,,,270.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,205.352,percent of total billed charges,999999999,,,,,,,,,,,,,,,,194.93,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,96.5,percent of total billed charges,91.65139524,,,,,,,,,,96.5,percent of total billed charges,90.12683664,,,,,,,,,,96.5,percent of total billed charges,89.87637802,,,,,,,,,,96.5,percent of total billed charges,88.55294945,,,,,,,,,,96.5,percent of total billed charges,90.83154702,,,,,,,,,,96.5,percent of total billed charges,999999999,,,,,,,,,,96.5,percent of total billed charges,77.9398637,,,,,,,,,,96.5,percent of total billed charges,122.9165398,,,,,,,,,,96.5,percent of total billed charges,999999999,,,,,,,,,,96.5,percent of total billed charges,84.03823463,,,,,,,,,,347.4,percent of total billed charges,,,,,
**CLS FX CARPAL SCAPHOID W/O MANIP,25622,CDM,,,,both,,,110,110,23.41723391,110,110,percent of total billed charges,80.93090783,,,,110,percent of total billed charges,85.7851621,,,,110,percent of total billed charges,80.93090783,,,,110,percent of total billed charges,85.7851621,,,,110,percent of total billed charges,999999999,,,,110,percent of total billed charges,83.81243975,,,,110,percent of total billed charges,80.93090783,,,,110,percent of total billed charges,85.7851621,,,,78.43,percent of total billed charges,39.13800527,,,,78.43,percent of total billed charges,23.41723391,,,,78.43,percent of total billed charges,39.13800527,,,,78.43,percent of total billed charges,23.41723391,,,,78.43,percent of total billed charges,39.13800527,,,,78.43,percent of total billed charges,23.41723391,,,,77.66,percent of total billed charges,77.07077247,,,,77.66,percent of total billed charges,53.1551009,,,,,,,,,,79.2,percent of total billed charges,51.47813626,,,,,,,,,,79.2,percent of total billed charges,999999999,,,,,,,,,,88,percent of total billed charges,73.73942561,,,,86.9,percent of total billed charges,83.86223973,,,,86.9,percent of total billed charges,74.09506477,,,,88,percent of total billed charges,999999999,,,,88,percent of total billed charges,999999999,,,,77,percent of total billed charges,999999999,,,,77,percent of total billed charges,999999999,,,,,,,,,,,,,,,,58.52,percent of total billed charges,999999999,,,,,,,,,,,,,,,,55.55,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,27.5,percent of total billed charges,26.11827325,,,,,,,,,,27.5,percent of total billed charges,25.68381355,,,,,,,,,,27.5,percent of total billed charges,25.61243933,,,,,,,,,,27.5,percent of total billed charges,25.23529647,,,,,,,,,,27.5,percent of total billed charges,25.88463775,,,,,,,,,,27.5,percent of total billed charges,999999999,,,,,,,,,,27.5,percent of total billed charges,22.21084199,,,,,,,,,,27.5,percent of total billed charges,35.02802947,,,,,,,,,,27.5,percent of total billed charges,999999999,,,,,,,,,,27.5,percent of total billed charges,23.94871971,,,,,,,,,,99,percent of total billed charges,,,,,
CLSD FX CARPAL SCAPHOID W/O MANIP,25622,CDM,,,,both,,,110,110,23.41723391,110,110,percent of total billed charges,80.93090783,,,,110,percent of total billed charges,85.7851621,,,,110,percent of total billed charges,80.93090783,,,,110,percent of total billed charges,85.7851621,,,,110,percent of total billed charges,999999999,,,,110,percent of total billed charges,83.81243975,,,,110,percent of total billed charges,80.93090783,,,,110,percent of total billed charges,85.7851621,,,,78.43,percent of total billed charges,39.13800527,,,,78.43,percent of total billed charges,23.41723391,,,,78.43,percent of total billed charges,39.13800527,,,,78.43,percent of total billed charges,23.41723391,,,,78.43,percent of total billed charges,39.13800527,,,,78.43,percent of total billed charges,23.41723391,,,,77.66,percent of total billed charges,77.07077247,,,,77.66,percent of total billed charges,53.1551009,,,,,,,,,,79.2,percent of total billed charges,51.47813626,,,,,,,,,,79.2,percent of total billed charges,999999999,,,,,,,,,,88,percent of total billed charges,73.73942561,,,,86.9,percent of total billed charges,83.86223973,,,,86.9,percent of total billed charges,74.09506477,,,,88,percent of total billed charges,999999999,,,,88,percent of total billed charges,999999999,,,,77,percent of total billed charges,999999999,,,,77,percent of total billed charges,999999999,,,,,,,,,,,,,,,,58.52,percent of total billed charges,999999999,,,,,,,,,,,,,,,,55.55,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,27.5,percent of total billed charges,26.11827325,,,,,,,,,,27.5,percent of total billed charges,25.68381355,,,,,,,,,,27.5,percent of total billed charges,25.61243933,,,,,,,,,,27.5,percent of total billed charges,25.23529647,,,,,,,,,,27.5,percent of total billed charges,25.88463775,,,,,,,,,,27.5,percent of total billed charges,999999999,,,,,,,,,,27.5,percent of total billed charges,22.21084199,,,,,,,,,,27.5,percent of total billed charges,35.02802947,,,,,,,,,,27.5,percent of total billed charges,999999999,,,,,,,,,,27.5,percent of total billed charges,23.94871971,,,,,,,,,,99,percent of total billed charges,,,,,
**CLOS FX METACARPAL SINGLE W/O MANIP,26600,CDM,,,,both,,,135,135,28.73933252,135,135,percent of total billed charges,99.32429597,,,,135,percent of total billed charges,105.2817899,,,,135,percent of total billed charges,99.32429597,,,,135,percent of total billed charges,105.2817899,,,,135,percent of total billed charges,999999999,,,,135,percent of total billed charges,102.8607215,,,,135,percent of total billed charges,99.32429597,,,,135,percent of total billed charges,105.2817899,,,,96.255,percent of total billed charges,48.03300647,,,,96.255,percent of total billed charges,28.73933252,,,,96.255,percent of total billed charges,48.03300647,,,,96.255,percent of total billed charges,28.73933252,,,,96.255,percent of total billed charges,48.03300647,,,,96.255,percent of total billed charges,28.73933252,,,,95.31,percent of total billed charges,94.58685712,,,,95.31,percent of total billed charges,65.23580566,,,,,,,,,,97.2,percent of total billed charges,63.17771268,,,,,,,,,,97.2,percent of total billed charges,999999999,,,,,,,,,,108,percent of total billed charges,90.49838597,,,,106.65,percent of total billed charges,102.9218397,,,,106.65,percent of total billed charges,90.93485222,,,,108,percent of total billed charges,999999999,,,,108,percent of total billed charges,999999999,,,,94.5,percent of total billed charges,999999999,,,,94.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,71.82,percent of total billed charges,999999999,,,,,,,,,,,,,,,,68.175,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,33.75,percent of total billed charges,32.05424445,,,,,,,,,,33.75,percent of total billed charges,31.5210439,,,,,,,,,,33.75,percent of total billed charges,31.43344827,,,,,,,,,,33.75,percent of total billed charges,30.97059113,,,,,,,,,,33.75,percent of total billed charges,31.76750997,,,,,,,,,,33.75,percent of total billed charges,999999999,,,,,,,,,,33.75,percent of total billed charges,27.25876062,,,,,,,,,,33.75,percent of total billed charges,42.98894525,,,,,,,,,,33.75,percent of total billed charges,999999999,,,,,,,,,,33.75,percent of total billed charges,29.39161056,,,,,,,,,,121.5,percent of total billed charges,,,,,
CLS FX METACRAPAL SINGLE W/O MANIP,26600,CDM,,,,both,,,135,135,28.73933252,135,135,percent of total billed charges,99.32429597,,,,135,percent of total billed charges,105.2817899,,,,135,percent of total billed charges,99.32429597,,,,135,percent of total billed charges,105.2817899,,,,135,percent of total billed charges,999999999,,,,135,percent of total billed charges,102.8607215,,,,135,percent of total billed charges,99.32429597,,,,135,percent of total billed charges,105.2817899,,,,96.255,percent of total billed charges,48.03300647,,,,96.255,percent of total billed charges,28.73933252,,,,96.255,percent of total billed charges,48.03300647,,,,96.255,percent of total billed charges,28.73933252,,,,96.255,percent of total billed charges,48.03300647,,,,96.255,percent of total billed charges,28.73933252,,,,95.31,percent of total billed charges,94.58685712,,,,95.31,percent of total billed charges,65.23580566,,,,,,,,,,97.2,percent of total billed charges,63.17771268,,,,,,,,,,97.2,percent of total billed charges,999999999,,,,,,,,,,108,percent of total billed charges,90.49838597,,,,106.65,percent of total billed charges,102.9218397,,,,106.65,percent of total billed charges,90.93485222,,,,108,percent of total billed charges,999999999,,,,108,percent of total billed charges,999999999,,,,94.5,percent of total billed charges,999999999,,,,94.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,71.82,percent of total billed charges,999999999,,,,,,,,,,,,,,,,68.175,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,33.75,percent of total billed charges,32.05424445,,,,,,,,,,33.75,percent of total billed charges,31.5210439,,,,,,,,,,33.75,percent of total billed charges,31.43344827,,,,,,,,,,33.75,percent of total billed charges,30.97059113,,,,,,,,,,33.75,percent of total billed charges,31.76750997,,,,,,,,,,33.75,percent of total billed charges,999999999,,,,,,,,,,33.75,percent of total billed charges,27.25876062,,,,,,,,,,33.75,percent of total billed charges,42.98894525,,,,,,,,,,33.75,percent of total billed charges,999999999,,,,,,,,,,33.75,percent of total billed charges,29.39161056,,,,,,,,,,121.5,percent of total billed charges,,,,,
CLS FX METACARPAL SINGLE W/MANIP,26605,CDM,,,,both,,,325,325,69.187282,325,325,percent of total billed charges,239.1140459,,,,325,percent of total billed charges,253.4561608,,,,325,percent of total billed charges,239.1140459,,,,325,percent of total billed charges,253.4561608,,,,325,percent of total billed charges,999999999,,,,325,percent of total billed charges,247.6276629,,,,325,percent of total billed charges,239.1140459,,,,325,percent of total billed charges,253.4561608,,,,231.725,percent of total billed charges,115.6350156,,,,231.725,percent of total billed charges,69.187282,,,,231.725,percent of total billed charges,115.6350156,,,,231.725,percent of total billed charges,69.187282,,,,231.725,percent of total billed charges,115.6350156,,,,231.725,percent of total billed charges,69.187282,,,,229.45,percent of total billed charges,227.7091005,,,,229.45,percent of total billed charges,157.0491618,,,,,,,,,,234,percent of total billed charges,152.0944935,,,,,,,,,,234,percent of total billed charges,999999999,,,,,,,,,,260,percent of total billed charges,217.8664847,,,,256.75,percent of total billed charges,247.7747992,,,,256.75,percent of total billed charges,218.9172368,,,,260,percent of total billed charges,999999999,,,,260,percent of total billed charges,999999999,,,,227.5,percent of total billed charges,999999999,,,,227.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,172.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,164.125,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,81.25,percent of total billed charges,77.16762552,,,,,,,,,,81.25,percent of total billed charges,75.88399458,,,,,,,,,,81.25,percent of total billed charges,75.67311621,,,,,,,,,,81.25,percent of total billed charges,74.55883049,,,,,,,,,,81.25,percent of total billed charges,76.47733881,,,,,,,,,,81.25,percent of total billed charges,999999999,,,,,,,,,,81.25,percent of total billed charges,65.62294224,,,,,,,,,,81.25,percent of total billed charges,103.4919052,,,,,,,,,,81.25,percent of total billed charges,999999999,,,,,,,,,,81.25,percent of total billed charges,70.75758097,,,,,,,,,,292.5,percent of total billed charges,,,,,
CLS CARPOMTCARPL DISLC THUMB W/MANIP,26641,CDM,,,,both,,,206,206,43.85409259,206,206,percent of total billed charges,151.5615183,,,,206,percent of total billed charges,160.6522127,,,,206,percent of total billed charges,151.5615183,,,,206,percent of total billed charges,160.6522127,,,,206,percent of total billed charges,999999999,,,,206,percent of total billed charges,156.9578417,,,,206,percent of total billed charges,151.5615183,,,,206,percent of total billed charges,160.6522127,,,,146.878,percent of total billed charges,73.29480987,,,,146.878,percent of total billed charges,43.85409259,,,,146.878,percent of total billed charges,73.29480987,,,,146.878,percent of total billed charges,43.85409259,,,,146.878,percent of total billed charges,73.29480987,,,,146.878,percent of total billed charges,43.85409259,,,,145.436,percent of total billed charges,144.3325375,,,,145.436,percent of total billed charges,99.54500715,,,,,,,,,,148.32,percent of total billed charges,96.40450972,,,,,,,,,,148.32,percent of total billed charges,999999999,,,,,,,,,,164.8,percent of total billed charges,138.0938334,,,,162.74,percent of total billed charges,157.0511035,,,,162.74,percent of total billed charges,138.7598486,,,,164.8,percent of total billed charges,999999999,,,,164.8,percent of total billed charges,999999999,,,,144.2,percent of total billed charges,999999999,,,,144.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,109.592,percent of total billed charges,999999999,,,,,,,,,,,,,,,,104.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,51.5,percent of total billed charges,48.91240264,,,,,,,,,,51.5,percent of total billed charges,48.0987781,,,,,,,,,,51.5,percent of total billed charges,47.96511366,,,,,,,,,,51.5,percent of total billed charges,47.25882794,,,,,,,,,,51.5,percent of total billed charges,48.47486706,,,,,,,,,,51.5,percent of total billed charges,999999999,,,,,,,,,,51.5,percent of total billed charges,41.59484954,,,,,,,,,,51.5,percent of total billed charges,65.59794609,,,,,,,,,,51.5,percent of total billed charges,999999999,,,,,,,,,,51.5,percent of total billed charges,44.84942056,,,,,,,,,,185.4,percent of total billed charges,,,,,
**CLS CRPMETCRPL FX DISL THUMB W MANIP,26645,CDM,,,,both,,,296,296,63.01364761,296,296,percent of total billed charges,217.7777156,,,,296,percent of total billed charges,230.8400726,,,,296,percent of total billed charges,217.7777156,,,,296,percent of total billed charges,230.8400726,,,,296,percent of total billed charges,999999999,,,,296,percent of total billed charges,225.531656,,,,296,percent of total billed charges,217.7777156,,,,296,percent of total billed charges,230.8400726,,,,211.048,percent of total billed charges,105.3168142,,,,211.048,percent of total billed charges,63.01364761,,,,211.048,percent of total billed charges,105.3168142,,,,211.048,percent of total billed charges,63.01364761,,,,211.048,percent of total billed charges,105.3168142,,,,211.048,percent of total billed charges,63.01364761,,,,208.976,percent of total billed charges,207.3904423,,,,208.976,percent of total billed charges,143.0355443,,,,,,,,,,213.12,percent of total billed charges,138.5229848,,,,,,,,,,213.12,percent of total billed charges,999999999,,,,,,,,,,236.8,percent of total billed charges,198.4260907,,,,233.84,percent of total billed charges,225.6656633,,,,233.84,percent of total billed charges,199.3830834,,,,236.8,percent of total billed charges,999999999,,,,236.8,percent of total billed charges,999999999,,,,207.2,percent of total billed charges,999999999,,,,207.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,157.472,percent of total billed charges,999999999,,,,,,,,,,,,,,,,149.48,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,74,percent of total billed charges,70.28189894,,,,,,,,,,74,percent of total billed charges,69.11280737,,,,,,,,,,74,percent of total billed charges,68.92074584,,,,,,,,,,74,percent of total billed charges,67.9058887,,,,,,,,,,74,percent of total billed charges,69.65320704,,,,,,,,,,74,percent of total billed charges,999999999,,,,,,,,,,74,percent of total billed charges,59.76735662,,,,,,,,,,74,percent of total billed charges,94.25724293,,,,,,,,,,74,percent of total billed charges,999999999,,,,,,,,,,74,percent of total billed charges,64.44382759,,,,,,,,,,266.4,percent of total billed charges,,,,,
CLS CRPMTCRPL FX DISL THUMB W MANIP,26645,CDM,,,,both,,,296,296,63.01364761,296,296,percent of total billed charges,217.7777156,,,,296,percent of total billed charges,230.8400726,,,,296,percent of total billed charges,217.7777156,,,,296,percent of total billed charges,230.8400726,,,,296,percent of total billed charges,999999999,,,,296,percent of total billed charges,225.531656,,,,296,percent of total billed charges,217.7777156,,,,296,percent of total billed charges,230.8400726,,,,211.048,percent of total billed charges,105.3168142,,,,211.048,percent of total billed charges,63.01364761,,,,211.048,percent of total billed charges,105.3168142,,,,211.048,percent of total billed charges,63.01364761,,,,211.048,percent of total billed charges,105.3168142,,,,211.048,percent of total billed charges,63.01364761,,,,208.976,percent of total billed charges,207.3904423,,,,208.976,percent of total billed charges,143.0355443,,,,,,,,,,213.12,percent of total billed charges,138.5229848,,,,,,,,,,213.12,percent of total billed charges,999999999,,,,,,,,,,236.8,percent of total billed charges,198.4260907,,,,233.84,percent of total billed charges,225.6656633,,,,233.84,percent of total billed charges,199.3830834,,,,236.8,percent of total billed charges,999999999,,,,236.8,percent of total billed charges,999999999,,,,207.2,percent of total billed charges,999999999,,,,207.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,157.472,percent of total billed charges,999999999,,,,,,,,,,,,,,,,149.48,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,74,percent of total billed charges,70.28189894,,,,,,,,,,74,percent of total billed charges,69.11280737,,,,,,,,,,74,percent of total billed charges,68.92074584,,,,,,,,,,74,percent of total billed charges,67.9058887,,,,,,,,,,74,percent of total billed charges,69.65320704,,,,,,,,,,74,percent of total billed charges,999999999,,,,,,,,,,74,percent of total billed charges,59.76735662,,,,,,,,,,74,percent of total billed charges,94.25724293,,,,,,,,,,74,percent of total billed charges,999999999,,,,,,,,,,74,percent of total billed charges,64.44382759,,,,,,,,,,266.4,percent of total billed charges,,,,,
CLS CRPMTCRL DL OT THMB S W/M WO/ANE,26670,CDM,,,,both,,,187,187,39.80929764,187,187,percent of total billed charges,137.5825433,,,,187,percent of total billed charges,145.8347756,,,,187,percent of total billed charges,137.5825433,,,,187,percent of total billed charges,145.8347756,,,,187,percent of total billed charges,999999999,,,,187,percent of total billed charges,142.4811476,,,,187,percent of total billed charges,137.5825433,,,,187,percent of total billed charges,145.8347756,,,,133.331,percent of total billed charges,66.53460896,,,,133.331,percent of total billed charges,39.80929764,,,,133.331,percent of total billed charges,66.53460896,,,,133.331,percent of total billed charges,39.80929764,,,,133.331,percent of total billed charges,66.53460896,,,,133.331,percent of total billed charges,39.80929764,,,,132.022,percent of total billed charges,131.0203132,,,,132.022,percent of total billed charges,90.36367154,,,,,,,,,,134.64,percent of total billed charges,87.51283164,,,,,,,,,,134.64,percent of total billed charges,999999999,,,,,,,,,,149.6,percent of total billed charges,125.3570235,,,,147.73,percent of total billed charges,142.5658075,,,,147.73,percent of total billed charges,125.9616101,,,,149.6,percent of total billed charges,999999999,,,,149.6,percent of total billed charges,999999999,,,,130.9,percent of total billed charges,999999999,,,,130.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,99.484,percent of total billed charges,999999999,,,,,,,,,,,,,,,,94.435,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,46.75,percent of total billed charges,44.40106453,,,,,,,,,,46.75,percent of total billed charges,43.66248304,,,,,,,,,,46.75,percent of total billed charges,43.54114686,,,,,,,,,,46.75,percent of total billed charges,42.90000401,,,,,,,,,,46.75,percent of total billed charges,44.00388418,,,,,,,,,,46.75,percent of total billed charges,999999999,,,,,,,,,,46.75,percent of total billed charges,37.75843138,,,,,,,,,,46.75,percent of total billed charges,59.54765009,,,,,,,,,,46.75,percent of total billed charges,999999999,,,,,,,,,,46.75,percent of total billed charges,40.71282351,,,,,,,,,,168.3,percent of total billed charges,,,,,
CLS CRPMTCRL DL NOT THUMB W/ MAN ANES,26675,CDM,,,,both,,,703,703,149.6574131,703,703,percent of total billed charges,517.2220746,,,,703,percent of total billed charges,548.2451723,,,,703,percent of total billed charges,517.2220746,,,,703,percent of total billed charges,548.2451723,,,,703,percent of total billed charges,999999999,,,,703,percent of total billed charges,535.6376831,,,,703,percent of total billed charges,517.2220746,,,,703,percent of total billed charges,548.2451723,,,,501.239,percent of total billed charges,250.1274337,,,,501.239,percent of total billed charges,149.6574131,,,,501.239,percent of total billed charges,250.1274337,,,,501.239,percent of total billed charges,149.6574131,,,,501.239,percent of total billed charges,250.1274337,,,,501.239,percent of total billed charges,149.6574131,,,,496.318,percent of total billed charges,492.5523004,,,,496.318,percent of total billed charges,339.7094176,,,,,,,,,,506.16,percent of total billed charges,328.992089,,,,,,,,,,506.16,percent of total billed charges,999999999,,,,,,,,,,562.4,percent of total billed charges,471.2619655,,,,555.37,percent of total billed charges,535.9559503,,,,555.37,percent of total billed charges,473.5348231,,,,562.4,percent of total billed charges,999999999,,,,562.4,percent of total billed charges,999999999,,,,492.1,percent of total billed charges,999999999,,,,492.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,373.996,percent of total billed charges,999999999,,,,,,,,,,,,,,,,355.015,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,175.75,percent of total billed charges,166.91951,,,,,,,,,,175.75,percent of total billed charges,164.1429175,,,,,,,,,,175.75,percent of total billed charges,163.6867714,,,,,,,,,,175.75,percent of total billed charges,161.2764857,,,,,,,,,,175.75,percent of total billed charges,165.4263667,,,,,,,,,,175.75,percent of total billed charges,999999999,,,,,,,,,,175.75,percent of total billed charges,141.947472,,,,,,,,,,175.75,percent of total billed charges,223.860952,,,,,,,,,,175.75,percent of total billed charges,999999999,,,,,,,,,,175.75,percent of total billed charges,153.0540905,,,,,,,,,,632.7,percent of total billed charges,,,,,
**CLS MTCRPHL DSLC W/MANIP WO/ANES,26700,CDM,,,,both,,,197,197,41.93813709,197,197,percent of total billed charges,144.9398986,,,,197,percent of total billed charges,153.6334267,,,,197,percent of total billed charges,144.9398986,,,,197,percent of total billed charges,153.6334267,,,,197,percent of total billed charges,999999999,,,,197,percent of total billed charges,150.1004603,,,,197,percent of total billed charges,144.9398986,,,,197,percent of total billed charges,153.6334267,,,,140.461,percent of total billed charges,70.09260944,,,,140.461,percent of total billed charges,41.93813709,,,,140.461,percent of total billed charges,70.09260944,,,,140.461,percent of total billed charges,41.93813709,,,,140.461,percent of total billed charges,70.09260944,,,,140.461,percent of total billed charges,41.93813709,,,,139.082,percent of total billed charges,138.0267471,,,,139.082,percent of total billed charges,95.19595344,,,,,,,,,,141.84,percent of total billed charges,92.19266221,,,,,,,,,,141.84,percent of total billed charges,999999999,,,,,,,,,,157.6,percent of total billed charges,132.0606077,,,,155.63,percent of total billed charges,150.1896475,,,,155.63,percent of total billed charges,132.6975251,,,,157.6,percent of total billed charges,999999999,,,,157.6,percent of total billed charges,999999999,,,,137.9,percent of total billed charges,999999999,,,,137.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,104.804,percent of total billed charges,999999999,,,,,,,,,,,,,,,,99.485,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,49.25,percent of total billed charges,46.77545301,,,,,,,,,,49.25,percent of total billed charges,45.99737518,,,,,,,,,,49.25,percent of total billed charges,45.86955044,,,,,,,,,,49.25,percent of total billed charges,45.19412187,,,,,,,,,,49.25,percent of total billed charges,46.35703306,,,,,,,,,,49.25,percent of total billed charges,999999999,,,,,,,,,,49.25,percent of total billed charges,39.77759883,,,,,,,,,,49.25,percent of total billed charges,62.73201641,,,,,,,,,,49.25,percent of total billed charges,999999999,,,,,,,,,,49.25,percent of total billed charges,42.88997985,,,,,,,,,,177.3,percent of total billed charges,,,,,
CLS MTCRPHL DSLC S W/MANIP WO/ANES,26700,CDM,,,,both,,,197,197,41.93813709,197,197,percent of total billed charges,144.9398986,,,,197,percent of total billed charges,153.6334267,,,,197,percent of total billed charges,144.9398986,,,,197,percent of total billed charges,153.6334267,,,,197,percent of total billed charges,999999999,,,,197,percent of total billed charges,150.1004603,,,,197,percent of total billed charges,144.9398986,,,,197,percent of total billed charges,153.6334267,,,,140.461,percent of total billed charges,70.09260944,,,,140.461,percent of total billed charges,41.93813709,,,,140.461,percent of total billed charges,70.09260944,,,,140.461,percent of total billed charges,41.93813709,,,,140.461,percent of total billed charges,70.09260944,,,,140.461,percent of total billed charges,41.93813709,,,,139.082,percent of total billed charges,138.0267471,,,,139.082,percent of total billed charges,95.19595344,,,,,,,,,,141.84,percent of total billed charges,92.19266221,,,,,,,,,,141.84,percent of total billed charges,999999999,,,,,,,,,,157.6,percent of total billed charges,132.0606077,,,,155.63,percent of total billed charges,150.1896475,,,,155.63,percent of total billed charges,132.6975251,,,,157.6,percent of total billed charges,999999999,,,,157.6,percent of total billed charges,999999999,,,,137.9,percent of total billed charges,999999999,,,,137.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,104.804,percent of total billed charges,999999999,,,,,,,,,,,,,,,,99.485,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,49.25,percent of total billed charges,46.77545301,,,,,,,,,,49.25,percent of total billed charges,45.99737518,,,,,,,,,,49.25,percent of total billed charges,45.86955044,,,,,,,,,,49.25,percent of total billed charges,45.19412187,,,,,,,,,,49.25,percent of total billed charges,46.35703306,,,,,,,,,,49.25,percent of total billed charges,999999999,,,,,,,,,,49.25,percent of total billed charges,39.77759883,,,,,,,,,,49.25,percent of total billed charges,62.73201641,,,,,,,,,,49.25,percent of total billed charges,999999999,,,,,,,,,,49.25,percent of total billed charges,42.88997985,,,,,,,,,,177.3,percent of total billed charges,,,,,
CLS MTCRPHL DSLC SNGL W/MANIP,26705,CDM,,,,both,,,1200,1200,255.4607335,1200,1200,percent of total billed charges,882.8826309,,,,1200,percent of total billed charges,935.838132,,,,1200,percent of total billed charges,882.8826309,,,,1200,percent of total billed charges,935.838132,,,,1200,percent of total billed charges,999999999,,,,1200,percent of total billed charges,914.3175245,,,,1200,percent of total billed charges,882.8826309,,,,1200,percent of total billed charges,935.838132,,,,855.6,percent of total billed charges,426.9600575,,,,855.6,percent of total billed charges,255.4607335,,,,855.6,percent of total billed charges,426.9600575,,,,855.6,percent of total billed charges,255.4607335,,,,855.6,percent of total billed charges,426.9600575,,,,855.6,percent of total billed charges,255.4607335,,,,847.2,percent of total billed charges,840.7720633,,,,847.2,percent of total billed charges,579.873828,,,,,,,,,,864,percent of total billed charges,561.5796683,,,,,,,,,,864,percent of total billed charges,999999999,,,,,,,,,,960,percent of total billed charges,804.4300975,,,,948,percent of total billed charges,914.8607971,,,,948,percent of total billed charges,808.3097975,,,,960,percent of total billed charges,999999999,,,,960,percent of total billed charges,999999999,,,,840,percent of total billed charges,999999999,,,,840,percent of total billed charges,999999999,,,,,,,,,,,,,,,,638.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,606,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,300,percent of total billed charges,284.9266173,,,,,,,,,,300,percent of total billed charges,280.1870569,,,,,,,,,,300,percent of total billed charges,279.4084291,,,,,,,,,,300,percent of total billed charges,275.2941434,,,,,,,,,,300,percent of total billed charges,282.3778664,,,,,,,,,,300,percent of total billed charges,999999999,,,,,,,,,,300,percent of total billed charges,242.3000944,,,,,,,,,,300,percent of total billed charges,382.1239578,,,,,,,,,,300,percent of total billed charges,999999999,,,,,,,,,,300,percent of total billed charges,261.2587605,,,,,,,,,,1080,percent of total billed charges,,,,,
CLS FX PHLGL SHAFT PRORML OR MD PHLG,26720,CDM,,,,both,,,112,112,23.8430018,112,112,percent of total billed charges,82.40237888,,,,112,percent of total billed charges,87.34489232,,,,112,percent of total billed charges,82.40237888,,,,112,percent of total billed charges,87.34489232,,,,112,percent of total billed charges,999999999,,,,112,percent of total billed charges,85.33630229,,,,112,percent of total billed charges,82.40237888,,,,112,percent of total billed charges,87.34489232,,,,79.856,percent of total billed charges,39.84960537,,,,79.856,percent of total billed charges,23.8430018,,,,79.856,percent of total billed charges,39.84960537,,,,79.856,percent of total billed charges,23.8430018,,,,79.856,percent of total billed charges,39.84960537,,,,79.856,percent of total billed charges,23.8430018,,,,79.072,percent of total billed charges,78.47205924,,,,79.072,percent of total billed charges,54.12155728,,,,,,,,,,80.64,percent of total billed charges,52.41410237,,,,,,,,,,80.64,percent of total billed charges,999999999,,,,,,,,,,89.6,percent of total billed charges,75.08014243,,,,88.48,percent of total billed charges,85.38700773,,,,88.48,percent of total billed charges,75.44224777,,,,89.6,percent of total billed charges,999999999,,,,89.6,percent of total billed charges,999999999,,,,78.4,percent of total billed charges,999999999,,,,78.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,59.584,percent of total billed charges,999999999,,,,,,,,,,,,,,,,56.56,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,28,percent of total billed charges,26.59315095,,,,,,,,,,28,percent of total billed charges,26.15079198,,,,,,,,,,28,percent of total billed charges,26.07812005,,,,,,,,,,28,percent of total billed charges,25.69412005,,,,,,,,,,28,percent of total billed charges,26.35526753,,,,,,,,,,28,percent of total billed charges,999999999,,,,,,,,,,28,percent of total billed charges,22.61467548,,,,,,,,,,28,percent of total billed charges,35.66490273,,,,,,,,,,28,percent of total billed charges,999999999,,,,,,,,,,28,percent of total billed charges,24.38415098,,,,,,,,,,100.8,percent of total billed charges,,,,,
CLS FX PHLNGL SHAFT PRXML OR MD PHAL,26725,CDM,,,,both,,,227,227,48.32465543,227,227,percent of total billed charges,167.0119643,,,,227,percent of total billed charges,177.02938,,,,227,percent of total billed charges,167.0119643,,,,227,percent of total billed charges,177.02938,,,,227,percent of total billed charges,999999999,,,,227,percent of total billed charges,172.9583984,,,,227,percent of total billed charges,167.0119643,,,,227,percent of total billed charges,177.02938,,,,161.851,percent of total billed charges,80.76661088,,,,161.851,percent of total billed charges,48.32465543,,,,161.851,percent of total billed charges,80.76661088,,,,161.851,percent of total billed charges,48.32465543,,,,161.851,percent of total billed charges,80.76661088,,,,161.851,percent of total billed charges,48.32465543,,,,160.262,percent of total billed charges,159.0460486,,,,160.262,percent of total billed charges,109.6927991,,,,,,,,,,163.44,percent of total billed charges,106.2321539,,,,,,,,,,163.44,percent of total billed charges,999999999,,,,,,,,,,181.6,percent of total billed charges,152.1713601,,,,179.33,percent of total billed charges,173.0611675,,,,179.33,percent of total billed charges,152.90527,,,,181.6,percent of total billed charges,999999999,,,,181.6,percent of total billed charges,999999999,,,,158.9,percent of total billed charges,999999999,,,,158.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,120.764,percent of total billed charges,999999999,,,,,,,,,,,,,,,,114.635,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,56.75,percent of total billed charges,53.89861844,,,,,,,,,,56.75,percent of total billed charges,53.0020516,,,,,,,,,,56.75,percent of total billed charges,52.85476117,,,,,,,,,,56.75,percent of total billed charges,52.07647545,,,,,,,,,,56.75,percent of total billed charges,53.41647972,,,,,,,,,,56.75,percent of total billed charges,999999999,,,,,,,,,,56.75,percent of total billed charges,45.83510119,,,,,,,,,,56.75,percent of total billed charges,72.28511535,,,,,,,,,,56.75,percent of total billed charges,999999999,,,,,,,,,,56.75,percent of total billed charges,49.42144886,,,,,,,,,,204.3,percent of total billed charges,,,,,
**CLS FX PHALANGL SHAFT PROX MID PHAL,26725,CDM,,,,both,,,227,227,48.32465543,227,227,percent of total billed charges,167.0119643,,,,227,percent of total billed charges,177.02938,,,,227,percent of total billed charges,167.0119643,,,,227,percent of total billed charges,177.02938,,,,227,percent of total billed charges,999999999,,,,227,percent of total billed charges,172.9583984,,,,227,percent of total billed charges,167.0119643,,,,227,percent of total billed charges,177.02938,,,,161.851,percent of total billed charges,80.76661088,,,,161.851,percent of total billed charges,48.32465543,,,,161.851,percent of total billed charges,80.76661088,,,,161.851,percent of total billed charges,48.32465543,,,,161.851,percent of total billed charges,80.76661088,,,,161.851,percent of total billed charges,48.32465543,,,,160.262,percent of total billed charges,159.0460486,,,,160.262,percent of total billed charges,109.6927991,,,,,,,,,,163.44,percent of total billed charges,106.2321539,,,,,,,,,,163.44,percent of total billed charges,999999999,,,,,,,,,,181.6,percent of total billed charges,152.1713601,,,,179.33,percent of total billed charges,173.0611675,,,,179.33,percent of total billed charges,152.90527,,,,181.6,percent of total billed charges,999999999,,,,181.6,percent of total billed charges,999999999,,,,158.9,percent of total billed charges,999999999,,,,158.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,120.764,percent of total billed charges,999999999,,,,,,,,,,,,,,,,114.635,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,56.75,percent of total billed charges,53.89861844,,,,,,,,,,56.75,percent of total billed charges,53.0020516,,,,,,,,,,56.75,percent of total billed charges,52.85476117,,,,,,,,,,56.75,percent of total billed charges,52.07647545,,,,,,,,,,56.75,percent of total billed charges,53.41647972,,,,,,,,,,56.75,percent of total billed charges,999999999,,,,,,,,,,56.75,percent of total billed charges,45.83510119,,,,,,,,,,56.75,percent of total billed charges,72.28511535,,,,,,,,,,56.75,percent of total billed charges,999999999,,,,,,,,,,56.75,percent of total billed charges,49.42144886,,,,,,,,,,204.3,percent of total billed charges,,,,,
CLS DSTL PHAL FX FNGR OR THMB WO/MAN,26750,CDM,,,,both,,,103,103,21.9270463,103,103,percent of total billed charges,75.78075915,,,,103,percent of total billed charges,80.32610633,,,,103,percent of total billed charges,75.78075915,,,,103,percent of total billed charges,80.32610633,,,,103,percent of total billed charges,999999999,,,,103,percent of total billed charges,78.47892085,,,,103,percent of total billed charges,75.78075915,,,,103,percent of total billed charges,80.32610633,,,,73.439,percent of total billed charges,36.64740494,,,,73.439,percent of total billed charges,21.9270463,,,,73.439,percent of total billed charges,36.64740494,,,,73.439,percent of total billed charges,21.9270463,,,,73.439,percent of total billed charges,36.64740494,,,,73.439,percent of total billed charges,21.9270463,,,,72.718,percent of total billed charges,72.16626877,,,,72.718,percent of total billed charges,49.77250357,,,,,,,,,,74.16,percent of total billed charges,48.20225486,,,,,,,,,,74.16,percent of total billed charges,999999999,,,,,,,,,,82.4,percent of total billed charges,69.0469167,,,,81.37,percent of total billed charges,78.52555175,,,,81.37,percent of total billed charges,69.37992429,,,,82.4,percent of total billed charges,999999999,,,,82.4,percent of total billed charges,999999999,,,,72.1,percent of total billed charges,999999999,,,,72.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,54.796,percent of total billed charges,999999999,,,,,,,,,,,,,,,,52.015,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,25.75,percent of total billed charges,24.45620132,,,,,,,,,,25.75,percent of total billed charges,24.04938905,,,,,,,,,,25.75,percent of total billed charges,23.98255683,,,,,,,,,,25.75,percent of total billed charges,23.62941397,,,,,,,,,,25.75,percent of total billed charges,24.23743353,,,,,,,,,,25.75,percent of total billed charges,999999999,,,,,,,,,,25.75,percent of total billed charges,20.79742477,,,,,,,,,,25.75,percent of total billed charges,32.79897305,,,,,,,,,,25.75,percent of total billed charges,999999999,,,,,,,,,,25.75,percent of total billed charges,22.42471028,,,,,,,,,,92.7,percent of total billed charges,,,,,
CLS DISTL PHAL FX FNGR THMB W/MANIP,26755,CDM,,,,both,,,225,225,47.89888754,225,225,percent of total billed charges,165.5404933,,,,225,percent of total billed charges,175.4696498,,,,225,percent of total billed charges,165.5404933,,,,225,percent of total billed charges,175.4696498,,,,225,percent of total billed charges,999999999,,,,225,percent of total billed charges,171.4345358,,,,225,percent of total billed charges,165.5404933,,,,225,percent of total billed charges,175.4696498,,,,160.425,percent of total billed charges,80.05501078,,,,160.425,percent of total billed charges,47.89888754,,,,160.425,percent of total billed charges,80.05501078,,,,160.425,percent of total billed charges,47.89888754,,,,160.425,percent of total billed charges,80.05501078,,,,160.425,percent of total billed charges,47.89888754,,,,158.85,percent of total billed charges,157.6447619,,,,158.85,percent of total billed charges,108.7263428,,,,,,,,,,162,percent of total billed charges,105.2961878,,,,,,,,,,162,percent of total billed charges,999999999,,,,,,,,,,180,percent of total billed charges,150.8306433,,,,177.75,percent of total billed charges,171.5363995,,,,177.75,percent of total billed charges,151.558087,,,,180,percent of total billed charges,999999999,,,,180,percent of total billed charges,999999999,,,,157.5,percent of total billed charges,999999999,,,,157.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,119.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,113.625,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,56.25,percent of total billed charges,53.42374075,,,,,,,,,,56.25,percent of total billed charges,52.53507317,,,,,,,,,,56.25,percent of total billed charges,52.38908045,,,,,,,,,,56.25,percent of total billed charges,51.61765188,,,,,,,,,,56.25,percent of total billed charges,52.94584995,,,,,,,,,,56.25,percent of total billed charges,999999999,,,,,,,,,,56.25,percent of total billed charges,45.4312677,,,,,,,,,,56.25,percent of total billed charges,71.64824209,,,,,,,,,,56.25,percent of total billed charges,999999999,,,,,,,,,,56.25,percent of total billed charges,48.9860176,,,,,,,,,,202.5,percent of total billed charges,,,,,
OPEN FX DISTL PHAL W/WO I/E FIX EACH,26765,CDM,,,,both,,,4517,4517,961.5967779,4517,4517,percent of total billed charges,3323.31737,,,,4517,percent of total billed charges,3522.650702,,,,4517,percent of total billed charges,3323.31737,,,,4517,percent of total billed charges,3522.650702,,,,4517,percent of total billed charges,999999999,,,,4517,percent of total billed charges,3441.643549,,,,4517,percent of total billed charges,3323.31737,,,,4517,percent of total billed charges,3522.650702,,,,3220.621,percent of total billed charges,1607.148816,,,,3220.621,percent of total billed charges,961.5967779,,,,3220.621,percent of total billed charges,1607.148816,,,,3220.621,percent of total billed charges,961.5967779,,,,3220.621,percent of total billed charges,1607.148816,,,,3220.621,percent of total billed charges,961.5967779,,,,3189.002,percent of total billed charges,3164.806175,,,,3189.002,percent of total billed charges,2182.741734,,,,,,,,,,3252.24,percent of total billed charges,2113.879468,,,,,,,,,,3252.24,percent of total billed charges,999999999,,,,,,,,,,3613.6,percent of total billed charges,3028.008959,,,,3568.43,percent of total billed charges,3443.688517,,,,3568.43,percent of total billed charges,3042.612796,,,,3613.6,percent of total billed charges,999999999,,,,3613.6,percent of total billed charges,999999999,,,,3161.9,percent of total billed charges,999999999,,,,3161.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2403.044,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2281.085,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1129.25,percent of total billed charges,1072.511275,,,,,,,,,,1129.25,percent of total billed charges,1054.67078,,,,,,,,,,1129.25,percent of total billed charges,1051.739895,,,,,,,,,,1129.25,percent of total billed charges,1036.253038,,,,,,,,,,1129.25,percent of total billed charges,1062.917352,,,,,,,,,,1129.25,percent of total billed charges,999999999,,,,,,,,,,1129.25,percent of total billed charges,912.0579387,,,,,,,,,,1129.25,percent of total billed charges,1438.378265,,,,,,,,,,1129.25,percent of total billed charges,999999999,,,,,,,,,,1129.25,percent of total billed charges,983.4215177,,,,,,,,,,4065.3,percent of total billed charges,,,,,
CLS INTRPHLGL JNT DL W/MANI WO/ANES,26770,CDM,,,,both,,,152,152,32.35835958,152,152,percent of total billed charges,111.8317999,,,,152,percent of total billed charges,118.5394967,,,,152,percent of total billed charges,111.8317999,,,,152,percent of total billed charges,118.5394967,,,,152,percent of total billed charges,999999999,,,,152,percent of total billed charges,115.8135531,,,,152,percent of total billed charges,111.8317999,,,,152,percent of total billed charges,118.5394967,,,,108.376,percent of total billed charges,54.08160728,,,,108.376,percent of total billed charges,32.35835958,,,,108.376,percent of total billed charges,54.08160728,,,,108.376,percent of total billed charges,32.35835958,,,,108.376,percent of total billed charges,54.08160728,,,,108.376,percent of total billed charges,32.35835958,,,,107.312,percent of total billed charges,106.4977947,,,,107.312,percent of total billed charges,73.45068489,,,,,,,,,,109.44,percent of total billed charges,71.13342465,,,,,,,,,,109.44,percent of total billed charges,999999999,,,,,,,,,,121.6,percent of total billed charges,101.894479,,,,120.08,percent of total billed charges,115.8823676,,,,120.08,percent of total billed charges,102.3859077,,,,121.6,percent of total billed charges,999999999,,,,121.6,percent of total billed charges,999999999,,,,106.4,percent of total billed charges,999999999,,,,106.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,80.864,percent of total billed charges,999999999,,,,,,,,,,,,,,,,76.76,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,38,percent of total billed charges,36.09070486,,,,,,,,,,38,percent of total billed charges,35.49036054,,,,,,,,,,38,percent of total billed charges,35.39173435,,,,,,,,,,38,percent of total billed charges,34.87059149,,,,,,,,,,38,percent of total billed charges,35.76786307,,,,,,,,,,38,percent of total billed charges,999999999,,,,,,,,,,38,percent of total billed charges,30.69134529,,,,,,,,,,38,percent of total billed charges,48.40236799,,,,,,,,,,38,percent of total billed charges,999999999,,,,,,,,,,38,percent of total billed charges,33.09277633,,,,,,,,,,136.8,percent of total billed charges,,,,,
**CLS INTRPHAL JNT DL S W/MANI WO/ANES,26770,CDM,,,,both,,,152,152,32.35835958,152,152,percent of total billed charges,111.8317999,,,,152,percent of total billed charges,118.5394967,,,,152,percent of total billed charges,111.8317999,,,,152,percent of total billed charges,118.5394967,,,,152,percent of total billed charges,999999999,,,,152,percent of total billed charges,115.8135531,,,,152,percent of total billed charges,111.8317999,,,,152,percent of total billed charges,118.5394967,,,,108.376,percent of total billed charges,54.08160728,,,,108.376,percent of total billed charges,32.35835958,,,,108.376,percent of total billed charges,54.08160728,,,,108.376,percent of total billed charges,32.35835958,,,,108.376,percent of total billed charges,54.08160728,,,,108.376,percent of total billed charges,32.35835958,,,,107.312,percent of total billed charges,106.4977947,,,,107.312,percent of total billed charges,73.45068489,,,,,,,,,,109.44,percent of total billed charges,71.13342465,,,,,,,,,,109.44,percent of total billed charges,999999999,,,,,,,,,,121.6,percent of total billed charges,101.894479,,,,120.08,percent of total billed charges,115.8823676,,,,120.08,percent of total billed charges,102.3859077,,,,121.6,percent of total billed charges,999999999,,,,121.6,percent of total billed charges,999999999,,,,106.4,percent of total billed charges,999999999,,,,106.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,80.864,percent of total billed charges,999999999,,,,,,,,,,,,,,,,76.76,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,38,percent of total billed charges,36.09070486,,,,,,,,,,38,percent of total billed charges,35.49036054,,,,,,,,,,38,percent of total billed charges,35.39173435,,,,,,,,,,38,percent of total billed charges,34.87059149,,,,,,,,,,38,percent of total billed charges,35.76786307,,,,,,,,,,38,percent of total billed charges,999999999,,,,,,,,,,38,percent of total billed charges,30.69134529,,,,,,,,,,38,percent of total billed charges,48.40236799,,,,,,,,,,38,percent of total billed charges,999999999,,,,,,,,,,38,percent of total billed charges,33.09277633,,,,,,,,,,136.8,percent of total billed charges,,,,,
CLS INTRPHL JNT DSL W/MANIP W/ANES,26775,CDM,,,,both,,,481,481,102.3971774,481,481,percent of total billed charges,353.8887879,,,,481,percent of total billed charges,375.1151179,,,,481,percent of total billed charges,353.8887879,,,,481,percent of total billed charges,375.1151179,,,,481,percent of total billed charges,999999999,,,,481,percent of total billed charges,366.4889411,,,,481,percent of total billed charges,353.8887879,,,,481,percent of total billed charges,375.1151179,,,,342.953,percent of total billed charges,171.1398231,,,,342.953,percent of total billed charges,102.3971774,,,,342.953,percent of total billed charges,171.1398231,,,,342.953,percent of total billed charges,102.3971774,,,,342.953,percent of total billed charges,171.1398231,,,,342.953,percent of total billed charges,102.3971774,,,,339.586,percent of total billed charges,337.0094687,,,,339.586,percent of total billed charges,232.4327594,,,,,,,,,,346.32,percent of total billed charges,225.0998504,,,,,,,,,,346.32,percent of total billed charges,999999999,,,,,,,,,,384.8,percent of total billed charges,322.4423974,,,,379.99,percent of total billed charges,366.7067028,,,,379.99,percent of total billed charges,323.9975105,,,,384.8,percent of total billed charges,999999999,,,,384.8,percent of total billed charges,999999999,,,,336.7,percent of total billed charges,999999999,,,,336.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,255.892,percent of total billed charges,999999999,,,,,,,,,,,,,,,,242.905,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,120.25,percent of total billed charges,114.2080858,,,,,,,,,,120.25,percent of total billed charges,112.308312,,,,,,,,,,120.25,percent of total billed charges,111.996212,,,,,,,,,,120.25,percent of total billed charges,110.3470691,,,,,,,,,,120.25,percent of total billed charges,113.1864614,,,,,,,,,,120.25,percent of total billed charges,999999999,,,,,,,,,,120.25,percent of total billed charges,97.12195451,,,,,,,,,,120.25,percent of total billed charges,153.1680198,,,,,,,,,,120.25,percent of total billed charges,999999999,,,,,,,,,,120.25,percent of total billed charges,104.7212198,,,,,,,,,,432.9,percent of total billed charges,,,,,
CLS FX COCCYGEAL,27200,CDM,,,,both,,,56,56,11.9215009,56,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,56,percent of total billed charges,999999999,,,,56,percent of total billed charges,42.66815114,,,,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.536,percent of total billed charges,39.23602962,,,,39.536,percent of total billed charges,27.06077864,,,,,,,,,,40.32,percent of total billed charges,26.20705119,,,,,,,,,,40.32,percent of total billed charges,999999999,,,,,,,,,,44.8,percent of total billed charges,37.54007122,,,,44.24,percent of total billed charges,42.69350386,,,,44.24,percent of total billed charges,37.72112388,,,,44.8,percent of total billed charges,999999999,,,,44.8,percent of total billed charges,999999999,,,,39.2,percent of total billed charges,999999999,,,,39.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,29.792,percent of total billed charges,999999999,,,,,,,,,,,,,,,,28.28,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14,percent of total billed charges,13.29657547,,,,,,,,,,14,percent of total billed charges,13.07539599,,,,,,,,,,14,percent of total billed charges,13.03906002,,,,,,,,,,14,percent of total billed charges,12.84706002,,,,,,,,,,14,percent of total billed charges,13.17763376,,,,,,,,,,14,percent of total billed charges,999999999,,,,,,,,,,14,percent of total billed charges,11.30733774,,,,,,,,,,14,percent of total billed charges,17.83245137,,,,,,,,,,14,percent of total billed charges,999999999,,,,,,,,,,14,percent of total billed charges,12.19207549,,,,,,,,,,50.4,percent of total billed charges,,,,,
CLS DISLC HIP TRAUM WO/ANES,27250,CDM,,,,both,,,385,385,81.96031868,385,385,percent of total billed charges,283.2581774,,,,385,percent of total billed charges,300.2480674,,,,385,percent of total billed charges,283.2581774,,,,385,percent of total billed charges,300.2480674,,,,385,percent of total billed charges,999999999,,,,385,percent of total billed charges,293.3435391,,,,385,percent of total billed charges,283.2581774,,,,385,percent of total billed charges,300.2480674,,,,274.505,percent of total billed charges,136.9830185,,,,274.505,percent of total billed charges,81.96031868,,,,274.505,percent of total billed charges,136.9830185,,,,274.505,percent of total billed charges,81.96031868,,,,274.505,percent of total billed charges,136.9830185,,,,274.505,percent of total billed charges,81.96031868,,,,271.81,percent of total billed charges,269.7477036,,,,271.81,percent of total billed charges,186.0428532,,,,,,,,,,277.2,percent of total billed charges,180.1734769,,,,,,,,,,277.2,percent of total billed charges,999999999,,,,,,,,,,308,percent of total billed charges,258.0879896,,,,304.15,percent of total billed charges,293.5178391,,,,304.15,percent of total billed charges,259.3327267,,,,308,percent of total billed charges,999999999,,,,308,percent of total billed charges,999999999,,,,269.5,percent of total billed charges,999999999,,,,269.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,204.82,percent of total billed charges,999999999,,,,,,,,,,,,,,,,194.425,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,96.25,percent of total billed charges,91.41395639,,,,,,,,,,96.25,percent of total billed charges,89.89334743,,,,,,,,,,96.25,percent of total billed charges,89.64353766,,,,,,,,,,96.25,percent of total billed charges,88.32353766,,,,,,,,,,96.25,percent of total billed charges,90.59623213,,,,,,,,,,96.25,percent of total billed charges,999999999,,,,,,,,,,96.25,percent of total billed charges,77.73794696,,,,,,,,,,96.25,percent of total billed charges,122.5981031,,,,,,,,,,96.25,percent of total billed charges,999999999,,,,,,,,,,96.25,percent of total billed charges,83.820519,,,,,,,,,,346.5,percent of total billed charges,,,,,
CLS FX FEMRL PROIML END NCK WO/MANIP,27230,CDM,,,,both,,,671,671,142.8451268,671,671,percent of total billed charges,493.6785378,,,,671,percent of total billed charges,523.2894888,,,,671,percent of total billed charges,493.6785378,,,,671,percent of total billed charges,523.2894888,,,,671,percent of total billed charges,999999999,,,,671,percent of total billed charges,511.2558825,,,,671,percent of total billed charges,493.6785378,,,,671,percent of total billed charges,523.2894888,,,,478.423,percent of total billed charges,238.7418322,,,,478.423,percent of total billed charges,142.8451268,,,,478.423,percent of total billed charges,238.7418322,,,,478.423,percent of total billed charges,142.8451268,,,,478.423,percent of total billed charges,238.7418322,,,,478.423,percent of total billed charges,142.8451268,,,,473.726,percent of total billed charges,470.1317121,,,,473.726,percent of total billed charges,324.2461155,,,,,,,,,,483.12,percent of total billed charges,314.0166312,,,,,,,,,,483.12,percent of total billed charges,999999999,,,,,,,,,,536.8,percent of total billed charges,449.8104962,,,,530.09,percent of total billed charges,511.5596624,,,,530.09,percent of total billed charges,451.9798951,,,,536.8,percent of total billed charges,999999999,,,,536.8,percent of total billed charges,999999999,,,,469.7,percent of total billed charges,999999999,,,,469.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,356.972,percent of total billed charges,999999999,,,,,,,,,,,,,,,,338.855,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,167.75,percent of total billed charges,159.3214668,,,,,,,,,,167.75,percent of total billed charges,156.6712627,,,,,,,,,,167.75,percent of total billed charges,156.2358799,,,,,,,,,,167.75,percent of total billed charges,153.9353085,,,,,,,,,,167.75,percent of total billed charges,157.8962903,,,,,,,,,,167.75,percent of total billed charges,999999999,,,,,,,,,,167.75,percent of total billed charges,135.4861361,,,,,,,,,,167.75,percent of total billed charges,213.6709797,,,,,,,,,,167.75,percent of total billed charges,999999999,,,,,,,,,,167.75,percent of total billed charges,146.0871903,,,,,,,,,,603.9,percent of total billed charges,,,,,
CLS FX SUPRCND OR TRANSC FEMROAL,27502,CDM,,,,both,,,388,388,82.59897051,388,388,percent of total billed charges,285.465384,,,,388,percent of total billed charges,302.5876627,,,,388,percent of total billed charges,285.465384,,,,388,percent of total billed charges,302.5876627,,,,388,percent of total billed charges,999999999,,,,388,percent of total billed charges,295.6293329,,,,388,percent of total billed charges,285.465384,,,,388,percent of total billed charges,302.5876627,,,,276.644,percent of total billed charges,138.0504186,,,,276.644,percent of total billed charges,82.59897051,,,,276.644,percent of total billed charges,138.0504186,,,,276.644,percent of total billed charges,82.59897051,,,,276.644,percent of total billed charges,138.0504186,,,,276.644,percent of total billed charges,82.59897051,,,,273.928,percent of total billed charges,271.8496338,,,,273.928,percent of total billed charges,187.4925377,,,,,,,,,,279.36,percent of total billed charges,181.5774261,,,,,,,,,,279.36,percent of total billed charges,999999999,,,,,,,,,,310.4,percent of total billed charges,260.0990649,,,,306.52,percent of total billed charges,295.8049911,,,,306.52,percent of total billed charges,261.3535012,,,,310.4,percent of total billed charges,999999999,,,,310.4,percent of total billed charges,999999999,,,,271.6,percent of total billed charges,999999999,,,,271.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,206.416,percent of total billed charges,999999999,,,,,,,,,,,,,,,,195.94,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,97,percent of total billed charges,92.12627293,,,,,,,,,,97,percent of total billed charges,90.59381507,,,,,,,,,,97,percent of total billed charges,90.34205873,,,,,,,,,,97,percent of total billed charges,89.01177302,,,,,,,,,,97,percent of total billed charges,91.30217679,,,,,,,,,,97,percent of total billed charges,999999999,,,,,,,,,,97,percent of total billed charges,78.34369719,,,,,,,,,,97,percent of total billed charges,123.553413,,,,,,,,,,97,percent of total billed charges,999999999,,,,,,,,,,97,percent of total billed charges,84.4736659,,,,,,,,,,349.2,percent of total billed charges,,,,,
CLS TREAT SHLDR DISC W/FX GREATER TUBERO,23665,CDM,,,,both,,,2279,2279,485.1625098,2279,2279,percent of total billed charges,1676.741263,,,,2279,percent of total billed charges,1777.312586,,,,2279,percent of total billed charges,1676.741263,,,,2279,percent of total billed charges,1777.312586,,,,2279,percent of total billed charges,999999999,,,,2279,percent of total billed charges,1736.441365,,,,2279,percent of total billed charges,1676.741263,,,,2279,percent of total billed charges,1777.312586,,,,1624.927,percent of total billed charges,810.8683092,,,,1624.927,percent of total billed charges,485.1625098,,,,1624.927,percent of total billed charges,810.8683092,,,,1624.927,percent of total billed charges,485.1625098,,,,1624.927,percent of total billed charges,810.8683092,,,,1624.927,percent of total billed charges,485.1625098,,,,1608.974,percent of total billed charges,1596.766277,,,,1608.974,percent of total billed charges,1101.277045,,,,,,,,,,1640.88,percent of total billed charges,1066.533387,,,,,,,,,,1640.88,percent of total billed charges,999999999,,,,,,,,,,1823.2,percent of total billed charges,1527.746827,,,,1800.41,percent of total billed charges,1737.47313,,,,1800.41,percent of total billed charges,1535.115024,,,,1823.2,percent of total billed charges,999999999,,,,1823.2,percent of total billed charges,999999999,,,,1595.3,percent of total billed charges,999999999,,,,1595.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1212.428,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1150.895,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,569.75,percent of total billed charges,541.1231341,,,,,,,,,,569.75,percent of total billed charges,532.1219189,,,,,,,,,,569.75,percent of total billed charges,530.6431749,,,,,,,,,,569.75,percent of total billed charges,522.8294606,,,,,,,,,,569.75,percent of total billed charges,536.2826312,,,,,,,,,,569.75,percent of total billed charges,999999999,,,,,,,,,,569.75,percent of total billed charges,460.1682626,,,,,,,,,,569.75,percent of total billed charges,725.7170832,,,,,,,,,,569.75,percent of total billed charges,999999999,,,,,,,,,,569.75,percent of total billed charges,496.1739294,,,,,,,,,,2051.1,percent of total billed charges,,,,,
CLSD FX PATELLAR WO/MANIP,27520,CDM,,,,both,,,198,198,42.15102104,198,198,percent of total billed charges,145.6756341,,,,198,percent of total billed charges,154.4132918,,,,198,percent of total billed charges,145.6756341,,,,198,percent of total billed charges,154.4132918,,,,198,percent of total billed charges,999999999,,,,198,percent of total billed charges,150.8623915,,,,198,percent of total billed charges,145.6756341,,,,198,percent of total billed charges,154.4132918,,,,141.174,percent of total billed charges,70.44840949,,,,141.174,percent of total billed charges,42.15102104,,,,141.174,percent of total billed charges,70.44840949,,,,141.174,percent of total billed charges,42.15102104,,,,141.174,percent of total billed charges,70.44840949,,,,141.174,percent of total billed charges,42.15102104,,,,139.788,percent of total billed charges,138.7273904,,,,139.788,percent of total billed charges,95.67918163,,,,,,,,,,142.56,percent of total billed charges,92.66064526,,,,,,,,,,142.56,percent of total billed charges,999999999,,,,,,,,,,158.4,percent of total billed charges,132.7309661,,,,156.42,percent of total billed charges,150.9520315,,,,156.42,percent of total billed charges,133.3711166,,,,158.4,percent of total billed charges,999999999,,,,158.4,percent of total billed charges,999999999,,,,138.6,percent of total billed charges,999999999,,,,138.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,105.336,percent of total billed charges,999999999,,,,,,,,,,,,,,,,99.99,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,49.5,percent of total billed charges,47.01289186,,,,,,,,,,49.5,percent of total billed charges,46.23086439,,,,,,,,,,49.5,percent of total billed charges,46.1023908,,,,,,,,,,49.5,percent of total billed charges,45.42353365,,,,,,,,,,49.5,percent of total billed charges,46.59234795,,,,,,,,,,49.5,percent of total billed charges,999999999,,,,,,,,,,49.5,percent of total billed charges,39.97951558,,,,,,,,,,49.5,percent of total billed charges,63.05045304,,,,,,,,,,49.5,percent of total billed charges,999999999,,,,,,,,,,49.5,percent of total billed charges,43.10769549,,,,,,,,,,178.2,percent of total billed charges,,,,,
**CLS DSLC PATELLAR WO/ANES,27560,CDM,,,,both,,,236,236,50.24061093,236,236,percent of total billed charges,173.6335841,,,,236,percent of total billed charges,184.048166,,,,236,percent of total billed charges,173.6335841,,,,236,percent of total billed charges,184.048166,,,,236,percent of total billed charges,999999999,,,,236,percent of total billed charges,179.8157798,,,,236,percent of total billed charges,173.6335841,,,,236,percent of total billed charges,184.048166,,,,168.268,percent of total billed charges,83.96881131,,,,168.268,percent of total billed charges,50.24061093,,,,168.268,percent of total billed charges,83.96881131,,,,168.268,percent of total billed charges,50.24061093,,,,168.268,percent of total billed charges,83.96881131,,,,168.268,percent of total billed charges,50.24061093,,,,166.616,percent of total billed charges,165.3518391,,,,166.616,percent of total billed charges,114.0418528,,,,,,,,,,169.92,percent of total billed charges,110.4440014,,,,,,,,,,169.92,percent of total billed charges,999999999,,,,,,,,,,188.8,percent of total billed charges,158.2045858,,,,186.44,percent of total billed charges,179.9226234,,,,186.44,percent of total billed charges,158.9675935,,,,188.8,percent of total billed charges,999999999,,,,188.8,percent of total billed charges,999999999,,,,165.2,percent of total billed charges,999999999,,,,165.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,125.552,percent of total billed charges,999999999,,,,,,,,,,,,,,,,119.18,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,59,percent of total billed charges,56.03556807,,,,,,,,,,59,percent of total billed charges,55.10345453,,,,,,,,,,59,percent of total billed charges,54.95032438,,,,,,,,,,59,percent of total billed charges,54.14118153,,,,,,,,,,59,percent of total billed charges,55.53431372,,,,,,,,,,59,percent of total billed charges,999999999,,,,,,,,,,59,percent of total billed charges,47.6523519,,,,,,,,,,59,percent of total billed charges,75.15104504,,,,,,,,,,59,percent of total billed charges,999999999,,,,,,,,,,59,percent of total billed charges,51.38088957,,,,,,,,,,212.4,percent of total billed charges,,,,,
CLSD DSLC PATELLAR WO/ANES,27560,CDM,,,,both,,,236,236,50.24061093,236,236,percent of total billed charges,173.6335841,,,,236,percent of total billed charges,184.048166,,,,236,percent of total billed charges,173.6335841,,,,236,percent of total billed charges,184.048166,,,,236,percent of total billed charges,999999999,,,,236,percent of total billed charges,179.8157798,,,,236,percent of total billed charges,173.6335841,,,,236,percent of total billed charges,184.048166,,,,168.268,percent of total billed charges,83.96881131,,,,168.268,percent of total billed charges,50.24061093,,,,168.268,percent of total billed charges,83.96881131,,,,168.268,percent of total billed charges,50.24061093,,,,168.268,percent of total billed charges,83.96881131,,,,168.268,percent of total billed charges,50.24061093,,,,166.616,percent of total billed charges,165.3518391,,,,166.616,percent of total billed charges,114.0418528,,,,,,,,,,169.92,percent of total billed charges,110.4440014,,,,,,,,,,169.92,percent of total billed charges,999999999,,,,,,,,,,188.8,percent of total billed charges,158.2045858,,,,186.44,percent of total billed charges,179.9226234,,,,186.44,percent of total billed charges,158.9675935,,,,188.8,percent of total billed charges,999999999,,,,188.8,percent of total billed charges,999999999,,,,165.2,percent of total billed charges,999999999,,,,165.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,125.552,percent of total billed charges,999999999,,,,,,,,,,,,,,,,119.18,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,59,percent of total billed charges,56.03556807,,,,,,,,,,59,percent of total billed charges,55.10345453,,,,,,,,,,59,percent of total billed charges,54.95032438,,,,,,,,,,59,percent of total billed charges,54.14118153,,,,,,,,,,59,percent of total billed charges,55.53431372,,,,,,,,,,59,percent of total billed charges,999999999,,,,,,,,,,59,percent of total billed charges,47.6523519,,,,,,,,,,59,percent of total billed charges,75.15104504,,,,,,,,,,59,percent of total billed charges,999999999,,,,,,,,,,59,percent of total billed charges,51.38088957,,,,,,,,,,212.4,percent of total billed charges,,,,,
CLSD TX PATELLAR DSLC W/ANES,27562,CDM,,,,both,,,3650,3650,777.0263979,3650,3650,percent of total billed charges,2685.434669,,,,3650,percent of total billed charges,2846.507652,,,,3650,percent of total billed charges,2685.434669,,,,3650,percent of total billed charges,2846.507652,,,,3650,percent of total billed charges,999999999,,,,3650,percent of total billed charges,2781.049137,,,,3650,percent of total billed charges,2685.434669,,,,3650,percent of total billed charges,2846.507652,,,,2602.45,percent of total billed charges,1298.670175,,,,2602.45,percent of total billed charges,777.0263979,,,,2602.45,percent of total billed charges,1298.670175,,,,2602.45,percent of total billed charges,777.0263979,,,,2602.45,percent of total billed charges,1298.670175,,,,2602.45,percent of total billed charges,777.0263979,,,,2576.9,percent of total billed charges,2557.348359,,,,2576.9,percent of total billed charges,1763.782894,,,,,,,,,,2628,percent of total billed charges,1708.138158,,,,,,,,,,2628,percent of total billed charges,999999999,,,,,,,,,,2920,percent of total billed charges,2446.808213,,,,2883.5,percent of total billed charges,2782.701591,,,,2883.5,percent of total billed charges,2458.608967,,,,2920,percent of total billed charges,999999999,,,,2920,percent of total billed charges,999999999,,,,2555,percent of total billed charges,999999999,,,,2555,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1941.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1843.25,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,912.5,percent of total billed charges,866.6517943,,,,,,,,,,912.5,percent of total billed charges,852.2356314,,,,,,,,,,912.5,percent of total billed charges,849.8673051,,,,,,,,,,912.5,percent of total billed charges,837.3530194,,,,,,,,,,912.5,percent of total billed charges,858.8993436,,,,,,,,,,912.5,percent of total billed charges,999999999,,,,,,,,,,912.5,percent of total billed charges,736.9961205,,,,,,,,,,912.5,percent of total billed charges,1162.293705,,,,,,,,,,912.5,percent of total billed charges,999999999,,,,,,,,,,912.5,percent of total billed charges,794.6620632,,,,,,,,,,3285,percent of total billed charges,,,,,
CLSD FX TIBIAL SHAFT WO/MANIP,27750,CDM,,,,both,,,384,384,81.74743474,384,384,percent of total billed charges,282.5224419,,,,384,percent of total billed charges,299.4682022,,,,384,percent of total billed charges,282.5224419,,,,384,percent of total billed charges,299.4682022,,,,384,percent of total billed charges,999999999,,,,384,percent of total billed charges,292.5816078,,,,384,percent of total billed charges,282.5224419,,,,384,percent of total billed charges,299.4682022,,,,273.792,percent of total billed charges,136.6272184,,,,273.792,percent of total billed charges,81.74743474,,,,273.792,percent of total billed charges,136.6272184,,,,273.792,percent of total billed charges,81.74743474,,,,273.792,percent of total billed charges,136.6272184,,,,273.792,percent of total billed charges,81.74743474,,,,271.104,percent of total billed charges,269.0470603,,,,271.104,percent of total billed charges,185.559625,,,,,,,,,,276.48,percent of total billed charges,179.7054938,,,,,,,,,,276.48,percent of total billed charges,999999999,,,,,,,,,,307.2,percent of total billed charges,257.4176312,,,,303.36,percent of total billed charges,292.7554551,,,,303.36,percent of total billed charges,258.6591352,,,,307.2,percent of total billed charges,999999999,,,,307.2,percent of total billed charges,999999999,,,,268.8,percent of total billed charges,999999999,,,,268.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,204.288,percent of total billed charges,999999999,,,,,,,,,,,,,,,,193.92,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,96,percent of total billed charges,91.17651754,,,,,,,,,,96,percent of total billed charges,89.65985821,,,,,,,,,,96,percent of total billed charges,89.4106973,,,,,,,,,,96,percent of total billed charges,88.09412587,,,,,,,,,,96,percent of total billed charges,90.36091724,,,,,,,,,,96,percent of total billed charges,999999999,,,,,,,,,,96,percent of total billed charges,77.53603021,,,,,,,,,,96,percent of total billed charges,122.2796665,,,,,,,,,,96,percent of total billed charges,999999999,,,,,,,,,,96,percent of total billed charges,83.60280337,,,,,,,,,,345.6,percent of total billed charges,,,,,
CLS FX TIBIAL SHFT W/MANI W/WO SKEL,27752,CDM,,,,both,,,4280,4280,911.143283,4280,4280,percent of total billed charges,3148.94805,,,,4280,percent of total billed charges,3337.822671,,,,4280,percent of total billed charges,3148.94805,,,,4280,percent of total billed charges,3337.822671,,,,4280,percent of total billed charges,999999999,,,,4280,percent of total billed charges,3261.065837,,,,4280,percent of total billed charges,3148.94805,,,,4280,percent of total billed charges,3337.822671,,,,3051.64,percent of total billed charges,1522.824205,,,,3051.64,percent of total billed charges,911.143283,,,,3051.64,percent of total billed charges,1522.824205,,,,3051.64,percent of total billed charges,911.143283,,,,3051.64,percent of total billed charges,1522.824205,,,,3051.64,percent of total billed charges,911.143283,,,,3021.68,percent of total billed charges,2998.753692,,,,3021.68,percent of total billed charges,2068.216653,,,,,,,,,,3081.6,percent of total billed charges,2002.967483,,,,,,,,,,3081.6,percent of total billed charges,999999999,,,,,,,,,,3424,percent of total billed charges,2869.134014,,,,3381.2,percent of total billed charges,3263.00351,,,,3381.2,percent of total billed charges,2882.971611,,,,3424,percent of total billed charges,999999999,,,,3424,percent of total billed charges,999999999,,,,2996,percent of total billed charges,999999999,,,,2996,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2276.96,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2161.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1070,percent of total billed charges,1016.238268,,,,,,,,,,1070,percent of total billed charges,999.3338363,,,,,,,,,,1070,percent of total billed charges,996.5567304,,,,,,,,,,1070,percent of total billed charges,981.8824446,,,,,,,,,,1070,percent of total billed charges,1007.147723,,,,,,,,,,1070,percent of total billed charges,999999999,,,,,,,,,,1070,percent of total billed charges,864.2036701,,,,,,,,,,1070,percent of total billed charges,1362.908783,,,,,,,,,,1070,percent of total billed charges,999999999,,,,,,,,,,1070,percent of total billed charges,931.8229125,,,,,,,,,,3852,percent of total billed charges,,,,,
CLSD FX MEDIAL MALLEOLUS WO MANIP,27760,CDM,,,,both,,,103,103,21.9270463,103,103,percent of total billed charges,75.78075915,,,,103,percent of total billed charges,80.32610633,,,,103,percent of total billed charges,75.78075915,,,,103,percent of total billed charges,80.32610633,,,,103,percent of total billed charges,999999999,,,,103,percent of total billed charges,78.47892085,,,,103,percent of total billed charges,75.78075915,,,,103,percent of total billed charges,80.32610633,,,,73.439,percent of total billed charges,36.64740494,,,,73.439,percent of total billed charges,21.9270463,,,,73.439,percent of total billed charges,36.64740494,,,,73.439,percent of total billed charges,21.9270463,,,,73.439,percent of total billed charges,36.64740494,,,,73.439,percent of total billed charges,21.9270463,,,,72.718,percent of total billed charges,72.16626877,,,,72.718,percent of total billed charges,49.77250357,,,,,,,,,,74.16,percent of total billed charges,48.20225486,,,,,,,,,,74.16,percent of total billed charges,999999999,,,,,,,,,,82.4,percent of total billed charges,69.0469167,,,,81.37,percent of total billed charges,78.52555175,,,,81.37,percent of total billed charges,69.37992429,,,,82.4,percent of total billed charges,999999999,,,,82.4,percent of total billed charges,999999999,,,,72.1,percent of total billed charges,999999999,,,,72.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,54.796,percent of total billed charges,999999999,,,,,,,,,,,,,,,,52.015,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,25.75,percent of total billed charges,24.45620132,,,,,,,,,,25.75,percent of total billed charges,24.04938905,,,,,,,,,,25.75,percent of total billed charges,23.98255683,,,,,,,,,,25.75,percent of total billed charges,23.62941397,,,,,,,,,,25.75,percent of total billed charges,24.23743353,,,,,,,,,,25.75,percent of total billed charges,999999999,,,,,,,,,,25.75,percent of total billed charges,20.79742477,,,,,,,,,,25.75,percent of total billed charges,32.79897305,,,,,,,,,,25.75,percent of total billed charges,999999999,,,,,,,,,,25.75,percent of total billed charges,22.42471028,,,,,,,,,,92.7,percent of total billed charges,,,,,
CLSD FX MEDL MALL W/MANIP W/WO SKIN,27762,CDM,,,,both,,,759,759,161.578914,759,759,percent of total billed charges,558.423264,,,,759,percent of total billed charges,591.9176185,,,,759,percent of total billed charges,558.423264,,,,759,percent of total billed charges,591.9176185,,,,759,percent of total billed charges,999999999,,,,759,percent of total billed charges,578.3058343,,,,759,percent of total billed charges,558.423264,,,,759,percent of total billed charges,591.9176185,,,,541.167,percent of total billed charges,270.0522364,,,,541.167,percent of total billed charges,161.578914,,,,541.167,percent of total billed charges,270.0522364,,,,541.167,percent of total billed charges,161.578914,,,,541.167,percent of total billed charges,270.0522364,,,,541.167,percent of total billed charges,161.578914,,,,535.854,percent of total billed charges,531.78833,,,,535.854,percent of total billed charges,366.7701962,,,,,,,,,,546.48,percent of total billed charges,355.1991402,,,,,,,,,,546.48,percent of total billed charges,999999999,,,,,,,,,,607.2,percent of total billed charges,508.8020367,,,,599.61,percent of total billed charges,578.6494542,,,,599.61,percent of total billed charges,511.2559469,,,,607.2,percent of total billed charges,999999999,,,,607.2,percent of total billed charges,999999999,,,,531.3,percent of total billed charges,999999999,,,,531.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,403.788,percent of total billed charges,999999999,,,,,,,,,,,,,,,,383.295,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,189.75,percent of total billed charges,180.2160855,,,,,,,,,,189.75,percent of total billed charges,177.2183135,,,,,,,,,,189.75,percent of total billed charges,176.7258314,,,,,,,,,,189.75,percent of total billed charges,174.1235457,,,,,,,,,,189.75,percent of total billed charges,178.6040005,,,,,,,,,,189.75,percent of total billed charges,999999999,,,,,,,,,,189.75,percent of total billed charges,153.2548097,,,,,,,,,,189.75,percent of total billed charges,241.6934033,,,,,,,,,,189.75,percent of total billed charges,999999999,,,,,,,,,,189.75,percent of total billed charges,165.246166,,,,,,,,,,683.1,percent of total billed charges,,,,,
CLSD PROX FIBULA OR SHAFT FX WO MANI,27780,CDM,,,,both,,,56,56,11.9215009,56,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,56,percent of total billed charges,999999999,,,,56,percent of total billed charges,42.66815114,,,,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.536,percent of total billed charges,39.23602962,,,,39.536,percent of total billed charges,27.06077864,,,,,,,,,,40.32,percent of total billed charges,26.20705119,,,,,,,,,,40.32,percent of total billed charges,999999999,,,,,,,,,,44.8,percent of total billed charges,37.54007122,,,,44.24,percent of total billed charges,42.69350386,,,,44.24,percent of total billed charges,37.72112388,,,,44.8,percent of total billed charges,999999999,,,,44.8,percent of total billed charges,999999999,,,,39.2,percent of total billed charges,999999999,,,,39.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,29.792,percent of total billed charges,999999999,,,,,,,,,,,,,,,,28.28,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14,percent of total billed charges,13.29657547,,,,,,,,,,14,percent of total billed charges,13.07539599,,,,,,,,,,14,percent of total billed charges,13.03906002,,,,,,,,,,14,percent of total billed charges,12.84706002,,,,,,,,,,14,percent of total billed charges,13.17763376,,,,,,,,,,14,percent of total billed charges,999999999,,,,,,,,,,14,percent of total billed charges,11.30733774,,,,,,,,,,14,percent of total billed charges,17.83245137,,,,,,,,,,14,percent of total billed charges,999999999,,,,,,,,,,14,percent of total billed charges,12.19207549,,,,,,,,,,50.4,percent of total billed charges,,,,,
CLSD PROX FIBULA OR SHAFT FX W MANIP,27781,CDM,,,,both,,,112,112,23.8430018,112,112,percent of total billed charges,82.40237888,,,,112,percent of total billed charges,87.34489232,,,,112,percent of total billed charges,82.40237888,,,,112,percent of total billed charges,87.34489232,,,,112,percent of total billed charges,999999999,,,,112,percent of total billed charges,85.33630229,,,,112,percent of total billed charges,82.40237888,,,,112,percent of total billed charges,87.34489232,,,,79.856,percent of total billed charges,39.84960537,,,,79.856,percent of total billed charges,23.8430018,,,,79.856,percent of total billed charges,39.84960537,,,,79.856,percent of total billed charges,23.8430018,,,,79.856,percent of total billed charges,39.84960537,,,,79.856,percent of total billed charges,23.8430018,,,,79.072,percent of total billed charges,78.47205924,,,,79.072,percent of total billed charges,54.12155728,,,,,,,,,,80.64,percent of total billed charges,52.41410237,,,,,,,,,,80.64,percent of total billed charges,999999999,,,,,,,,,,89.6,percent of total billed charges,75.08014243,,,,88.48,percent of total billed charges,85.38700773,,,,88.48,percent of total billed charges,75.44224777,,,,89.6,percent of total billed charges,999999999,,,,89.6,percent of total billed charges,999999999,,,,78.4,percent of total billed charges,999999999,,,,78.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,59.584,percent of total billed charges,999999999,,,,,,,,,,,,,,,,56.56,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,28,percent of total billed charges,26.59315095,,,,,,,,,,28,percent of total billed charges,26.15079198,,,,,,,,,,28,percent of total billed charges,26.07812005,,,,,,,,,,28,percent of total billed charges,25.69412005,,,,,,,,,,28,percent of total billed charges,26.35526753,,,,,,,,,,28,percent of total billed charges,999999999,,,,,,,,,,28,percent of total billed charges,22.61467548,,,,,,,,,,28,percent of total billed charges,35.66490273,,,,,,,,,,28,percent of total billed charges,999999999,,,,,,,,,,28,percent of total billed charges,24.38415098,,,,,,,,,,100.8,percent of total billed charges,,,,,
CLSD FX DISTL FIB (LAT MALL) WO MANIP,27786,CDM,,,,both,,,176,176,37.46757425,176,176,percent of total billed charges,129.4894525,,,,176,percent of total billed charges,137.2562594,,,,176,percent of total billed charges,129.4894525,,,,176,percent of total billed charges,137.2562594,,,,176,percent of total billed charges,999999999,,,,176,percent of total billed charges,134.0999036,,,,176,percent of total billed charges,129.4894525,,,,176,percent of total billed charges,137.2562594,,,,125.488,percent of total billed charges,62.62080844,,,,125.488,percent of total billed charges,37.46757425,,,,125.488,percent of total billed charges,62.62080844,,,,125.488,percent of total billed charges,37.46757425,,,,125.488,percent of total billed charges,62.62080844,,,,125.488,percent of total billed charges,37.46757425,,,,124.256,percent of total billed charges,123.3132359,,,,124.256,percent of total billed charges,85.04816145,,,,,,,,,,126.72,percent of total billed charges,82.36501801,,,,,,,,,,126.72,percent of total billed charges,999999999,,,,,,,,,,140.8,percent of total billed charges,117.983081,,,,139.04,percent of total billed charges,134.1795836,,,,139.04,percent of total billed charges,118.5521036,,,,140.8,percent of total billed charges,999999999,,,,140.8,percent of total billed charges,999999999,,,,123.2,percent of total billed charges,999999999,,,,123.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,93.632,percent of total billed charges,999999999,,,,,,,,,,,,,,,,88.88,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,44,percent of total billed charges,41.78923721,,,,,,,,,,44,percent of total billed charges,41.09410168,,,,,,,,,,44,percent of total billed charges,40.97990293,,,,,,,,,,44,percent of total billed charges,40.37647436,,,,,,,,,,44,percent of total billed charges,41.4154204,,,,,,,,,,44,percent of total billed charges,999999999,,,,,,,,,,44,percent of total billed charges,35.53734718,,,,,,,,,,44,percent of total billed charges,56.04484715,,,,,,,,,,44,percent of total billed charges,999999999,,,,,,,,,,44,percent of total billed charges,38.31795154,,,,,,,,,,158.4,percent of total billed charges,,,,,
CLSD FX DISTL FIB (LAT MALL) W/MANI,27788,CDM,,,,both,,,366,366,77.91552373,366,366,percent of total billed charges,269.2792024,,,,366,percent of total billed charges,285.4306303,,,,366,percent of total billed charges,269.2792024,,,,366,percent of total billed charges,285.4306303,,,,366,percent of total billed charges,999999999,,,,366,percent of total billed charges,278.866845,,,,366,percent of total billed charges,269.2792024,,,,366,percent of total billed charges,285.4306303,,,,260.958,percent of total billed charges,130.2228175,,,,260.958,percent of total billed charges,77.91552373,,,,260.958,percent of total billed charges,130.2228175,,,,260.958,percent of total billed charges,77.91552373,,,,260.958,percent of total billed charges,130.2228175,,,,260.958,percent of total billed charges,77.91552373,,,,258.396,percent of total billed charges,256.4354793,,,,258.396,percent of total billed charges,176.8615176,,,,,,,,,,263.52,percent of total billed charges,171.2817988,,,,,,,,,,263.52,percent of total billed charges,999999999,,,,,,,,,,292.8,percent of total billed charges,245.3511797,,,,289.14,percent of total billed charges,279.0325431,,,,289.14,percent of total billed charges,246.5344882,,,,292.8,percent of total billed charges,999999999,,,,292.8,percent of total billed charges,999999999,,,,256.2,percent of total billed charges,999999999,,,,256.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,194.712,percent of total billed charges,999999999,,,,,,,,,,,,,,,,184.83,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,91.5,percent of total billed charges,86.90261828,,,,,,,,,,91.5,percent of total billed charges,85.45705236,,,,,,,,,,91.5,percent of total billed charges,85.21957087,,,,,,,,,,91.5,percent of total billed charges,83.96471372,,,,,,,,,,91.5,percent of total billed charges,86.12524924,,,,,,,,,,91.5,percent of total billed charges,999999999,,,,,,,,,,91.5,percent of total billed charges,73.9015288,,,,,,,,,,91.5,percent of total billed charges,116.5478071,,,,,,,,,,91.5,percent of total billed charges,999999999,,,,,,,,,,91.5,percent of total billed charges,79.68392196,,,,,,,,,,329.4,percent of total billed charges,,,,,
CLSD FX BIMALL ANKLE W MANIP,27810,CDM,,,,both,,,446,446,94.9462393,446,446,percent of total billed charges,328.1380445,,,,446,percent of total billed charges,347.8198391,,,,446,percent of total billed charges,328.1380445,,,,446,percent of total billed charges,347.8198391,,,,446,percent of total billed charges,999999999,,,,446,percent of total billed charges,339.8213466,,,,446,percent of total billed charges,328.1380445,,,,446,percent of total billed charges,347.8198391,,,,317.998,percent of total billed charges,158.6868214,,,,317.998,percent of total billed charges,94.9462393,,,,317.998,percent of total billed charges,158.6868214,,,,317.998,percent of total billed charges,94.9462393,,,,317.998,percent of total billed charges,158.6868214,,,,317.998,percent of total billed charges,94.9462393,,,,314.876,percent of total billed charges,312.4869502,,,,314.876,percent of total billed charges,215.5197728,,,,,,,,,,321.12,percent of total billed charges,208.7204434,,,,,,,,,,321.12,percent of total billed charges,999999999,,,,,,,,,,356.8,percent of total billed charges,298.9798529,,,,352.34,percent of total billed charges,340.0232629,,,,352.34,percent of total billed charges,300.4218081,,,,356.8,percent of total billed charges,999999999,,,,356.8,percent of total billed charges,999999999,,,,312.2,percent of total billed charges,999999999,,,,312.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,237.272,percent of total billed charges,999999999,,,,,,,,,,,,,,,,225.23,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,111.5,percent of total billed charges,105.8977261,,,,,,,,,,111.5,percent of total billed charges,104.1361895,,,,,,,,,,111.5,percent of total billed charges,103.8467995,,,,,,,,,,111.5,percent of total billed charges,102.3176566,,,,,,,,,,111.5,percent of total billed charges,104.9504403,,,,,,,,,,111.5,percent of total billed charges,999999999,,,,,,,,,,111.5,percent of total billed charges,90.05486842,,,,,,,,,,111.5,percent of total billed charges,142.0227377,,,,,,,,,,111.5,percent of total billed charges,999999999,,,,,,,,,,111.5,percent of total billed charges,97.10117266,,,,,,,,,,401.4,percent of total billed charges,,,,,
CLSD FX TRIMALL ANKLE W MANIP,27818,CDM,,,,both,,,366,366,77.91552373,366,366,percent of total billed charges,269.2792024,,,,366,percent of total billed charges,285.4306303,,,,366,percent of total billed charges,269.2792024,,,,366,percent of total billed charges,285.4306303,,,,366,percent of total billed charges,999999999,,,,366,percent of total billed charges,278.866845,,,,366,percent of total billed charges,269.2792024,,,,366,percent of total billed charges,285.4306303,,,,260.958,percent of total billed charges,130.2228175,,,,260.958,percent of total billed charges,77.91552373,,,,260.958,percent of total billed charges,130.2228175,,,,260.958,percent of total billed charges,77.91552373,,,,260.958,percent of total billed charges,130.2228175,,,,260.958,percent of total billed charges,77.91552373,,,,258.396,percent of total billed charges,256.4354793,,,,258.396,percent of total billed charges,176.8615176,,,,,,,,,,263.52,percent of total billed charges,171.2817988,,,,,,,,,,263.52,percent of total billed charges,999999999,,,,,,,,,,292.8,percent of total billed charges,245.3511797,,,,289.14,percent of total billed charges,279.0325431,,,,289.14,percent of total billed charges,246.5344882,,,,292.8,percent of total billed charges,999999999,,,,292.8,percent of total billed charges,999999999,,,,256.2,percent of total billed charges,999999999,,,,256.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,194.712,percent of total billed charges,999999999,,,,,,,,,,,,,,,,184.83,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,91.5,percent of total billed charges,86.90261828,,,,,,,,,,91.5,percent of total billed charges,85.45705236,,,,,,,,,,91.5,percent of total billed charges,85.21957087,,,,,,,,,,91.5,percent of total billed charges,83.96471372,,,,,,,,,,91.5,percent of total billed charges,86.12524924,,,,,,,,,,91.5,percent of total billed charges,999999999,,,,,,,,,,91.5,percent of total billed charges,73.9015288,,,,,,,,,,91.5,percent of total billed charges,116.5478071,,,,,,,,,,91.5,percent of total billed charges,999999999,,,,,,,,,,91.5,percent of total billed charges,79.68392196,,,,,,,,,,329.4,percent of total billed charges,,,,,
REMOVAL NAIL/NAIL BED/NAIL FOLD,11765,CDM,,,,both,,,564,564,120.0665448,564,564,percent of total billed charges,414.9548365,,,,564,percent of total billed charges,439.843922,,,,564,percent of total billed charges,414.9548365,,,,564,percent of total billed charges,439.843922,,,,564,percent of total billed charges,999999999,,,,564,percent of total billed charges,429.7292365,,,,564,percent of total billed charges,414.9548365,,,,564,percent of total billed charges,439.843922,,,,402.132,percent of total billed charges,200.671227,,,,402.132,percent of total billed charges,120.0665448,,,,402.132,percent of total billed charges,200.671227,,,,402.132,percent of total billed charges,120.0665448,,,,402.132,percent of total billed charges,200.671227,,,,402.132,percent of total billed charges,120.0665448,,,,398.184,percent of total billed charges,395.1628697,,,,398.184,percent of total billed charges,272.5406992,,,,,,,,,,406.08,percent of total billed charges,263.9424441,,,,,,,,,,406.08,percent of total billed charges,999999999,,,,,,,,,,451.2,percent of total billed charges,378.0821458,,,,445.56,percent of total billed charges,429.9845746,,,,445.56,percent of total billed charges,379.9056048,,,,451.2,percent of total billed charges,999999999,,,,451.2,percent of total billed charges,999999999,,,,394.8,percent of total billed charges,999999999,,,,394.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,300.048,percent of total billed charges,999999999,,,,,,,,,,,,,,,,284.82,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,141,percent of total billed charges,133.9155101,,,,,,,,,,141,percent of total billed charges,131.6879167,,,,,,,,,,141,percent of total billed charges,131.3219617,,,,,,,,,,141,percent of total billed charges,129.3882474,,,,,,,,,,141,percent of total billed charges,132.7175972,,,,,,,,,,141,percent of total billed charges,999999999,,,,,,,,,,141,percent of total billed charges,113.8810444,,,,,,,,,,141,percent of total billed charges,179.5982602,,,,,,,,,,141,percent of total billed charges,999999999,,,,,,,,,,141,percent of total billed charges,122.7916174,,,,,,,,,,507.6,percent of total billed charges,,,,,
REMOVAL FOREIGN BODY FOOT SUBCUT,28190,CDM,,,,both,,,3279,3279,698.0464544,3279,3279,percent of total billed charges,2412.476789,,,,3279,percent of total billed charges,2557.177696,,,,3279,percent of total billed charges,2412.476789,,,,3279,percent of total billed charges,2557.177696,,,,3279,percent of total billed charges,999999999,,,,3279,percent of total billed charges,2498.372636,,,,3279,percent of total billed charges,2412.476789,,,,3279,percent of total billed charges,2557.177696,,,,2337.927,percent of total billed charges,1166.668357,,,,2337.927,percent of total billed charges,698.0464544,,,,2337.927,percent of total billed charges,1166.668357,,,,2337.927,percent of total billed charges,698.0464544,,,,2337.927,percent of total billed charges,1166.668357,,,,2337.927,percent of total billed charges,698.0464544,,,,2314.974,percent of total billed charges,2297.409663,,,,2314.974,percent of total billed charges,1584.505235,,,,,,,,,,2360.88,percent of total billed charges,1534.516444,,,,,,,,,,2360.88,percent of total billed charges,999999999,,,,,,,,,,2623.2,percent of total billed charges,2198.105241,,,,2590.41,percent of total billed charges,2499.857128,,,,2590.41,percent of total billed charges,2208.706522,,,,2623.2,percent of total billed charges,999999999,,,,2623.2,percent of total billed charges,999999999,,,,2295.3,percent of total billed charges,999999999,,,,2295.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1744.428,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1655.895,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,819.75,percent of total billed charges,778.5619818,,,,,,,,,,819.75,percent of total billed charges,765.611133,,,,,,,,,,819.75,percent of total billed charges,763.4835325,,,,,,,,,,819.75,percent of total billed charges,752.2412467,,,,,,,,,,819.75,percent of total billed charges,771.5975199,,,,,,,,,,819.75,percent of total billed charges,999999999,,,,,,,,,,819.75,percent of total billed charges,662.085008,,,,,,,,,,819.75,percent of total billed charges,1044.153715,,,,,,,,,,819.75,percent of total billed charges,999999999,,,,,,,,,,819.75,percent of total billed charges,713.8895631,,,,,,,,,,2951.1,percent of total billed charges,,,,,
**REMOVAL FOREIGN BODY FOOT SUBCUT,28190,CDM,,,,both,,,646,646,137.5230282,646,646,percent of total billed charges,475.2851496,,,,646,percent of total billed charges,503.7928611,,,,646,percent of total billed charges,475.2851496,,,,646,percent of total billed charges,503.7928611,,,,646,percent of total billed charges,999999999,,,,646,percent of total billed charges,492.2076007,,,,646,percent of total billed charges,475.2851496,,,,646,percent of total billed charges,503.7928611,,,,460.598,percent of total billed charges,229.846831,,,,460.598,percent of total billed charges,137.5230282,,,,460.598,percent of total billed charges,229.846831,,,,460.598,percent of total billed charges,137.5230282,,,,460.598,percent of total billed charges,229.846831,,,,460.598,percent of total billed charges,137.5230282,,,,456.076,percent of total billed charges,452.6156274,,,,456.076,percent of total billed charges,312.1654108,,,,,,,,,,465.12,percent of total billed charges,302.3170547,,,,,,,,,,465.12,percent of total billed charges,999999999,,,,,,,,,,516.8,percent of total billed charges,433.0515358,,,,510.34,percent of total billed charges,492.5000624,,,,510.34,percent of total billed charges,435.1401077,,,,516.8,percent of total billed charges,999999999,,,,516.8,percent of total billed charges,999999999,,,,452.2,percent of total billed charges,999999999,,,,452.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,343.672,percent of total billed charges,999999999,,,,,,,,,,,,,,,,326.23,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,161.5,percent of total billed charges,153.3854957,,,,,,,,,,161.5,percent of total billed charges,150.8340323,,,,,,,,,,161.5,percent of total billed charges,150.414871,,,,,,,,,,161.5,percent of total billed charges,148.2000138,,,,,,,,,,161.5,percent of total billed charges,152.0134181,,,,,,,,,,161.5,percent of total billed charges,999999999,,,,,,,,,,161.5,percent of total billed charges,130.4382175,,,,,,,,,,161.5,percent of total billed charges,205.710064,,,,,,,,,,161.5,percent of total billed charges,999999999,,,,,,,,,,161.5,percent of total billed charges,140.6442994,,,,,,,,,,581.4,percent of total billed charges,,,,,
REMOVAL SKIN TAGS UP TO 15 LESIONS,11200,CDM,,,,both,,,296,296,63.01364761,296,296,percent of total billed charges,217.7777156,,,,296,percent of total billed charges,230.8400726,,,,296,percent of total billed charges,217.7777156,,,,296,percent of total billed charges,230.8400726,,,,296,percent of total billed charges,999999999,,,,296,percent of total billed charges,225.531656,,,,296,percent of total billed charges,217.7777156,,,,296,percent of total billed charges,230.8400726,,,,211.048,percent of total billed charges,105.3168142,,,,211.048,percent of total billed charges,63.01364761,,,,211.048,percent of total billed charges,105.3168142,,,,211.048,percent of total billed charges,63.01364761,,,,211.048,percent of total billed charges,105.3168142,,,,211.048,percent of total billed charges,63.01364761,,,,208.976,percent of total billed charges,207.3904423,,,,208.976,percent of total billed charges,143.0355443,,,,,,,,,,213.12,percent of total billed charges,138.5229848,,,,,,,,,,213.12,percent of total billed charges,999999999,,,,,,,,,,236.8,percent of total billed charges,198.4260907,,,,233.84,percent of total billed charges,225.6656633,,,,233.84,percent of total billed charges,199.3830834,,,,236.8,percent of total billed charges,999999999,,,,236.8,percent of total billed charges,999999999,,,,207.2,percent of total billed charges,999999999,,,,207.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,157.472,percent of total billed charges,999999999,,,,,,,,,,,,,,,,149.48,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,74,percent of total billed charges,70.28189894,,,,,,,,,,74,percent of total billed charges,69.11280737,,,,,,,,,,74,percent of total billed charges,68.92074584,,,,,,,,,,74,percent of total billed charges,67.9058887,,,,,,,,,,74,percent of total billed charges,69.65320704,,,,,,,,,,74,percent of total billed charges,999999999,,,,,,,,,,74,percent of total billed charges,59.76735662,,,,,,,,,,74,percent of total billed charges,94.25724293,,,,,,,,,,74,percent of total billed charges,999999999,,,,,,,,,,74,percent of total billed charges,64.44382759,,,,,,,,,,266.4,percent of total billed charges,,,,,
REMOVAL SKIN TAGS EACH ADD 10 LESIONS,11201,CDM,,,,both,,,254,254,54.07252193,254,254,percent of total billed charges,186.8768235,,,,254,percent of total billed charges,198.0857379,,,,254,percent of total billed charges,186.8768235,,,,254,percent of total billed charges,198.0857379,,,,254,percent of total billed charges,999999999,,,,254,percent of total billed charges,193.5305427,,,,254,percent of total billed charges,186.8768235,,,,254,percent of total billed charges,198.0857379,,,,181.102,percent of total billed charges,90.37321217,,,,181.102,percent of total billed charges,54.07252193,,,,181.102,percent of total billed charges,90.37321217,,,,181.102,percent of total billed charges,54.07252193,,,,181.102,percent of total billed charges,90.37321217,,,,181.102,percent of total billed charges,54.07252193,,,,179.324,percent of total billed charges,177.9634201,,,,179.324,percent of total billed charges,122.7399603,,,,,,,,,,182.88,percent of total billed charges,118.8676964,,,,,,,,,,182.88,percent of total billed charges,999999999,,,,,,,,,,203.2,percent of total billed charges,170.2710373,,,,200.66,percent of total billed charges,193.6455354,,,,200.66,percent of total billed charges,171.0922405,,,,203.2,percent of total billed charges,999999999,,,,203.2,percent of total billed charges,999999999,,,,177.8,percent of total billed charges,999999999,,,,177.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,135.128,percent of total billed charges,999999999,,,,,,,,,,,,,,,,128.27,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,63.5,percent of total billed charges,60.30946733,,,,,,,,,,63.5,percent of total billed charges,59.30626038,,,,,,,,,,63.5,percent of total billed charges,59.14145082,,,,,,,,,,63.5,percent of total billed charges,58.27059368,,,,,,,,,,63.5,percent of total billed charges,59.76998172,,,,,,,,,,63.5,percent of total billed charges,999999999,,,,,,,,,,63.5,percent of total billed charges,51.28685332,,,,,,,,,,63.5,percent of total billed charges,80.88290441,,,,,,,,,,63.5,percent of total billed charges,999999999,,,,,,,,,,63.5,percent of total billed charges,55.29977098,,,,,,,,,,228.6,percent of total billed charges,,,,,
CLSD FX CALCANEAL WO MANIP,28400,CDM,,,,both,,,176,176,37.46757425,176,176,percent of total billed charges,129.4894525,,,,176,percent of total billed charges,137.2562594,,,,176,percent of total billed charges,129.4894525,,,,176,percent of total billed charges,137.2562594,,,,176,percent of total billed charges,999999999,,,,176,percent of total billed charges,134.0999036,,,,176,percent of total billed charges,129.4894525,,,,176,percent of total billed charges,137.2562594,,,,125.488,percent of total billed charges,62.62080844,,,,125.488,percent of total billed charges,37.46757425,,,,125.488,percent of total billed charges,62.62080844,,,,125.488,percent of total billed charges,37.46757425,,,,125.488,percent of total billed charges,62.62080844,,,,125.488,percent of total billed charges,37.46757425,,,,124.256,percent of total billed charges,123.3132359,,,,124.256,percent of total billed charges,85.04816145,,,,,,,,,,126.72,percent of total billed charges,82.36501801,,,,,,,,,,126.72,percent of total billed charges,999999999,,,,,,,,,,140.8,percent of total billed charges,117.983081,,,,139.04,percent of total billed charges,134.1795836,,,,139.04,percent of total billed charges,118.5521036,,,,140.8,percent of total billed charges,999999999,,,,140.8,percent of total billed charges,999999999,,,,123.2,percent of total billed charges,999999999,,,,123.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,93.632,percent of total billed charges,999999999,,,,,,,,,,,,,,,,88.88,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,44,percent of total billed charges,41.78923721,,,,,,,,,,44,percent of total billed charges,41.09410168,,,,,,,,,,44,percent of total billed charges,40.97990293,,,,,,,,,,44,percent of total billed charges,40.37647436,,,,,,,,,,44,percent of total billed charges,41.4154204,,,,,,,,,,44,percent of total billed charges,999999999,,,,,,,,,,44,percent of total billed charges,35.53734718,,,,,,,,,,44,percent of total billed charges,56.04484715,,,,,,,,,,44,percent of total billed charges,999999999,,,,,,,,,,44,percent of total billed charges,38.31795154,,,,,,,,,,158.4,percent of total billed charges,,,,,
CLSD FX TALUS WO MANIP,28430,CDM,,,,both,,,164,164,34.91296692,164,164,percent of total billed charges,120.6606262,,,,164,percent of total billed charges,127.897878,,,,164,percent of total billed charges,120.6606262,,,,164,percent of total billed charges,127.897878,,,,164,percent of total billed charges,999999999,,,,164,percent of total billed charges,124.9567283,,,,164,percent of total billed charges,120.6606262,,,,164,percent of total billed charges,127.897878,,,,116.932,percent of total billed charges,58.35120786,,,,116.932,percent of total billed charges,34.91296692,,,,116.932,percent of total billed charges,58.35120786,,,,116.932,percent of total billed charges,34.91296692,,,,116.932,percent of total billed charges,58.35120786,,,,116.932,percent of total billed charges,34.91296692,,,,115.784,percent of total billed charges,114.9055153,,,,115.784,percent of total billed charges,79.24942317,,,,,,,,,,118.08,percent of total billed charges,76.74922133,,,,,,,,,,118.08,percent of total billed charges,999999999,,,,,,,,,,131.2,percent of total billed charges,109.93878,,,,129.56,percent of total billed charges,125.0309756,,,,129.56,percent of total billed charges,110.4690057,,,,131.2,percent of total billed charges,999999999,,,,131.2,percent of total billed charges,999999999,,,,114.8,percent of total billed charges,999999999,,,,114.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,87.248,percent of total billed charges,999999999,,,,,,,,,,,,,,,,82.82,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,41,percent of total billed charges,38.93997103,,,,,,,,,,41,percent of total billed charges,38.29223111,,,,,,,,,,41,percent of total billed charges,38.18581864,,,,,,,,,,41,percent of total billed charges,37.62353293,,,,,,,,,,41,percent of total billed charges,38.59164174,,,,,,,,,,41,percent of total billed charges,999999999,,,,,,,,,,41,percent of total billed charges,33.11434624,,,,,,,,,,41,percent of total billed charges,52.22360757,,,,,,,,,,41,percent of total billed charges,999999999,,,,,,,,,,41,percent of total billed charges,35.70536394,,,,,,,,,,147.6,percent of total billed charges,,,,,
FX TARSAL BONE WO MANIP EACH,28450,CDM,,,,both,,,67,67,14.26322429,67,67,percent of total billed charges,49.29428022,,,,67,percent of total billed charges,52.25096237,,,,67,percent of total billed charges,49.29428022,,,,67,percent of total billed charges,52.25096237,,,,67,percent of total billed charges,999999999,,,,67,percent of total billed charges,51.04939512,,,,67,percent of total billed charges,49.29428022,,,,67,percent of total billed charges,52.25096237,,,,47.771,percent of total billed charges,23.83860321,,,,47.771,percent of total billed charges,14.26322429,,,,47.771,percent of total billed charges,23.83860321,,,,47.771,percent of total billed charges,14.26322429,,,,47.771,percent of total billed charges,23.83860321,,,,47.771,percent of total billed charges,14.26322429,,,,47.302,percent of total billed charges,46.94310687,,,,47.302,percent of total billed charges,32.37628873,,,,,,,,,,48.24,percent of total billed charges,31.35486481,,,,,,,,,,48.24,percent of total billed charges,999999999,,,,,,,,,,53.6,percent of total billed charges,44.91401378,,,,52.93,percent of total billed charges,51.07972784,,,,52.93,percent of total billed charges,45.13063036,,,,53.6,percent of total billed charges,999999999,,,,53.6,percent of total billed charges,999999999,,,,46.9,percent of total billed charges,999999999,,,,46.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,35.644,percent of total billed charges,999999999,,,,,,,,,,,,,,,,33.835,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16.75,percent of total billed charges,15.9084028,,,,,,,,,,16.75,percent of total billed charges,15.64377734,,,,,,,,,,16.75,percent of total billed charges,15.60030396,,,,,,,,,,16.75,percent of total billed charges,15.37058967,,,,,,,,,,16.75,percent of total billed charges,15.76609754,,,,,,,,,,16.75,percent of total billed charges,999999999,,,,,,,,,,16.75,percent of total billed charges,13.52842194,,,,,,,,,,16.75,percent of total billed charges,21.33525431,,,,,,,,,,16.75,percent of total billed charges,999999999,,,,,,,,,,16.75,percent of total billed charges,14.58694746,,,,,,,,,,60.3,percent of total billed charges,,,,,
**CLSD FX METATARSAL WO MANIP EACH,28470,CDM,,,,both,,,143,143,30.44240408,143,143,percent of total billed charges,105.2101802,,,,143,percent of total billed charges,111.5207107,,,,143,percent of total billed charges,105.2101802,,,,143,percent of total billed charges,111.5207107,,,,143,percent of total billed charges,999999999,,,,143,percent of total billed charges,108.9561717,,,,143,percent of total billed charges,105.2101802,,,,143,percent of total billed charges,111.5207107,,,,101.959,percent of total billed charges,50.87940685,,,,101.959,percent of total billed charges,30.44240408,,,,101.959,percent of total billed charges,50.87940685,,,,101.959,percent of total billed charges,30.44240408,,,,101.959,percent of total billed charges,50.87940685,,,,101.959,percent of total billed charges,30.44240408,,,,100.958,percent of total billed charges,100.1920042,,,,100.958,percent of total billed charges,69.10163118,,,,,,,,,,102.96,percent of total billed charges,66.92157713,,,,,,,,,,102.96,percent of total billed charges,999999999,,,,,,,,,,114.4,percent of total billed charges,95.86125329,,,,112.97,percent of total billed charges,109.0209117,,,,112.97,percent of total billed charges,96.32358421,,,,114.4,percent of total billed charges,999999999,,,,114.4,percent of total billed charges,999999999,,,,100.1,percent of total billed charges,999999999,,,,100.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,76.076,percent of total billed charges,999999999,,,,,,,,,,,,,,,,72.215,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,35.75,percent of total billed charges,33.95375523,,,,,,,,,,35.75,percent of total billed charges,33.38895762,,,,,,,,,,35.75,percent of total billed charges,33.29617113,,,,,,,,,,35.75,percent of total billed charges,32.80588542,,,,,,,,,,35.75,percent of total billed charges,33.65002908,,,,,,,,,,35.75,percent of total billed charges,999999999,,,,,,,,,,35.75,percent of total billed charges,28.87409458,,,,,,,,,,35.75,percent of total billed charges,45.53643831,,,,,,,,,,35.75,percent of total billed charges,999999999,,,,,,,,,,35.75,percent of total billed charges,31.13333563,,,,,,,,,,128.7,percent of total billed charges,,,,,
CLSD FX MAETATARSAL WO MANIP EACH,28470,CDM,,,,both,,,143,143,30.44240408,143,143,percent of total billed charges,105.2101802,,,,143,percent of total billed charges,111.5207107,,,,143,percent of total billed charges,105.2101802,,,,143,percent of total billed charges,111.5207107,,,,143,percent of total billed charges,999999999,,,,143,percent of total billed charges,108.9561717,,,,143,percent of total billed charges,105.2101802,,,,143,percent of total billed charges,111.5207107,,,,101.959,percent of total billed charges,50.87940685,,,,101.959,percent of total billed charges,30.44240408,,,,101.959,percent of total billed charges,50.87940685,,,,101.959,percent of total billed charges,30.44240408,,,,101.959,percent of total billed charges,50.87940685,,,,101.959,percent of total billed charges,30.44240408,,,,100.958,percent of total billed charges,100.1920042,,,,100.958,percent of total billed charges,69.10163118,,,,,,,,,,102.96,percent of total billed charges,66.92157713,,,,,,,,,,102.96,percent of total billed charges,999999999,,,,,,,,,,114.4,percent of total billed charges,95.86125329,,,,112.97,percent of total billed charges,109.0209117,,,,112.97,percent of total billed charges,96.32358421,,,,114.4,percent of total billed charges,999999999,,,,114.4,percent of total billed charges,999999999,,,,100.1,percent of total billed charges,999999999,,,,100.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,76.076,percent of total billed charges,999999999,,,,,,,,,,,,,,,,72.215,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,35.75,percent of total billed charges,33.95375523,,,,,,,,,,35.75,percent of total billed charges,33.38895762,,,,,,,,,,35.75,percent of total billed charges,33.29617113,,,,,,,,,,35.75,percent of total billed charges,32.80588542,,,,,,,,,,35.75,percent of total billed charges,33.65002908,,,,,,,,,,35.75,percent of total billed charges,999999999,,,,,,,,,,35.75,percent of total billed charges,28.87409458,,,,,,,,,,35.75,percent of total billed charges,45.53643831,,,,,,,,,,35.75,percent of total billed charges,999999999,,,,,,,,,,35.75,percent of total billed charges,31.13333563,,,,,,,,,,128.7,percent of total billed charges,,,,,
**CLSD FX GT TOE PHALX/PHALG WO MANIP,28490,CDM,,,,both,,,56,56,11.9215009,56,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,56,percent of total billed charges,999999999,,,,56,percent of total billed charges,42.66815114,,,,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.536,percent of total billed charges,39.23602962,,,,39.536,percent of total billed charges,27.06077864,,,,,,,,,,40.32,percent of total billed charges,26.20705119,,,,,,,,,,40.32,percent of total billed charges,999999999,,,,,,,,,,44.8,percent of total billed charges,37.54007122,,,,44.24,percent of total billed charges,42.69350386,,,,44.24,percent of total billed charges,37.72112388,,,,44.8,percent of total billed charges,999999999,,,,44.8,percent of total billed charges,999999999,,,,39.2,percent of total billed charges,999999999,,,,39.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,29.792,percent of total billed charges,999999999,,,,,,,,,,,,,,,,28.28,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14,percent of total billed charges,13.29657547,,,,,,,,,,14,percent of total billed charges,13.07539599,,,,,,,,,,14,percent of total billed charges,13.03906002,,,,,,,,,,14,percent of total billed charges,12.84706002,,,,,,,,,,14,percent of total billed charges,13.17763376,,,,,,,,,,14,percent of total billed charges,999999999,,,,,,,,,,14,percent of total billed charges,11.30733774,,,,,,,,,,14,percent of total billed charges,17.83245137,,,,,,,,,,14,percent of total billed charges,999999999,,,,,,,,,,14,percent of total billed charges,12.19207549,,,,,,,,,,50.4,percent of total billed charges,,,,,
CLSD FX GR TOE PHALX/PHALG WO MANIP,28490,CDM,,,,both,,,56,56,11.9215009,56,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,56,percent of total billed charges,999999999,,,,56,percent of total billed charges,42.66815114,,,,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.536,percent of total billed charges,39.23602962,,,,39.536,percent of total billed charges,27.06077864,,,,,,,,,,40.32,percent of total billed charges,26.20705119,,,,,,,,,,40.32,percent of total billed charges,999999999,,,,,,,,,,44.8,percent of total billed charges,37.54007122,,,,44.24,percent of total billed charges,42.69350386,,,,44.24,percent of total billed charges,37.72112388,,,,44.8,percent of total billed charges,999999999,,,,44.8,percent of total billed charges,999999999,,,,39.2,percent of total billed charges,999999999,,,,39.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,29.792,percent of total billed charges,999999999,,,,,,,,,,,,,,,,28.28,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14,percent of total billed charges,13.29657547,,,,,,,,,,14,percent of total billed charges,13.07539599,,,,,,,,,,14,percent of total billed charges,13.03906002,,,,,,,,,,14,percent of total billed charges,12.84706002,,,,,,,,,,14,percent of total billed charges,13.17763376,,,,,,,,,,14,percent of total billed charges,999999999,,,,,,,,,,14,percent of total billed charges,11.30733774,,,,,,,,,,14,percent of total billed charges,17.83245137,,,,,,,,,,14,percent of total billed charges,999999999,,,,,,,,,,14,percent of total billed charges,12.19207549,,,,,,,,,,50.4,percent of total billed charges,,,,,
**CLSD FX GR TOE/PHALX/PHALG W MANIP,28495,CDM,,,,both,,,233,233,49.6019591,233,233,percent of total billed charges,171.4263775,,,,233,percent of total billed charges,181.7085706,,,,233,percent of total billed charges,171.4263775,,,,233,percent of total billed charges,181.7085706,,,,233,percent of total billed charges,999999999,,,,233,percent of total billed charges,177.529986,,,,233,percent of total billed charges,171.4263775,,,,233,percent of total billed charges,181.7085706,,,,166.129,percent of total billed charges,82.90141117,,,,166.129,percent of total billed charges,49.6019591,,,,166.129,percent of total billed charges,82.90141117,,,,166.129,percent of total billed charges,49.6019591,,,,166.129,percent of total billed charges,82.90141117,,,,166.129,percent of total billed charges,49.6019591,,,,164.498,percent of total billed charges,163.249909,,,,164.498,percent of total billed charges,112.5921683,,,,,,,,,,167.76,percent of total billed charges,109.0400523,,,,,,,,,,167.76,percent of total billed charges,999999999,,,,,,,,,,186.4,percent of total billed charges,156.1935106,,,,184.07,percent of total billed charges,177.6354714,,,,184.07,percent of total billed charges,156.946819,,,,186.4,percent of total billed charges,999999999,,,,186.4,percent of total billed charges,999999999,,,,163.1,percent of total billed charges,999999999,,,,163.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,123.956,percent of total billed charges,999999999,,,,,,,,,,,,,,,,117.665,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,58.25,percent of total billed charges,55.32325153,,,,,,,,,,58.25,percent of total billed charges,54.40298688,,,,,,,,,,58.25,percent of total billed charges,54.25180331,,,,,,,,,,58.25,percent of total billed charges,53.45294617,,,,,,,,,,58.25,percent of total billed charges,54.82836905,,,,,,,,,,58.25,percent of total billed charges,999999999,,,,,,,,,,58.25,percent of total billed charges,47.04660167,,,,,,,,,,58.25,percent of total billed charges,74.19573514,,,,,,,,,,58.25,percent of total billed charges,999999999,,,,,,,,,,58.25,percent of total billed charges,50.72774267,,,,,,,,,,209.7,percent of total billed charges,,,,,
CLSD FX GR TOE PHALX/PHALG W MANIP,28495,CDM,,,,both,,,233,233,49.6019591,233,233,percent of total billed charges,171.4263775,,,,233,percent of total billed charges,181.7085706,,,,233,percent of total billed charges,171.4263775,,,,233,percent of total billed charges,181.7085706,,,,233,percent of total billed charges,999999999,,,,233,percent of total billed charges,177.529986,,,,233,percent of total billed charges,171.4263775,,,,233,percent of total billed charges,181.7085706,,,,166.129,percent of total billed charges,82.90141117,,,,166.129,percent of total billed charges,49.6019591,,,,166.129,percent of total billed charges,82.90141117,,,,166.129,percent of total billed charges,49.6019591,,,,166.129,percent of total billed charges,82.90141117,,,,166.129,percent of total billed charges,49.6019591,,,,164.498,percent of total billed charges,163.249909,,,,164.498,percent of total billed charges,112.5921683,,,,,,,,,,167.76,percent of total billed charges,109.0400523,,,,,,,,,,167.76,percent of total billed charges,999999999,,,,,,,,,,186.4,percent of total billed charges,156.1935106,,,,184.07,percent of total billed charges,177.6354714,,,,184.07,percent of total billed charges,156.946819,,,,186.4,percent of total billed charges,999999999,,,,186.4,percent of total billed charges,999999999,,,,163.1,percent of total billed charges,999999999,,,,163.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,123.956,percent of total billed charges,999999999,,,,,,,,,,,,,,,,117.665,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,58.25,percent of total billed charges,55.32325153,,,,,,,,,,58.25,percent of total billed charges,54.40298688,,,,,,,,,,58.25,percent of total billed charges,54.25180331,,,,,,,,,,58.25,percent of total billed charges,53.45294617,,,,,,,,,,58.25,percent of total billed charges,54.82836905,,,,,,,,,,58.25,percent of total billed charges,999999999,,,,,,,,,,58.25,percent of total billed charges,47.04660167,,,,,,,,,,58.25,percent of total billed charges,74.19573514,,,,,,,,,,58.25,percent of total billed charges,999999999,,,,,,,,,,58.25,percent of total billed charges,50.72774267,,,,,,,,,,209.7,percent of total billed charges,,,,,
OPEN FX GR TOE/PHALX/PHALG W WO FIXA,28505,CDM,,,,both,,,10775,10775,2293.824503,10775,10775,percent of total billed charges,7927.55029,,,,10775,percent of total billed charges,8403.04656,,,,10775,percent of total billed charges,7927.55029,,,,10775,percent of total billed charges,8403.04656,,,,10775,percent of total billed charges,999999999,,,,10775,percent of total billed charges,8209.809439,,,,10775,percent of total billed charges,7927.55029,,,,10775,percent of total billed charges,8403.04656,,,,7682.575,percent of total billed charges,3833.745516,,,,7682.575,percent of total billed charges,2293.824503,,,,7682.575,percent of total billed charges,3833.745516,,,,7682.575,percent of total billed charges,2293.824503,,,,7682.575,percent of total billed charges,3833.745516,,,,7682.575,percent of total billed charges,2293.824503,,,,7607.15,percent of total billed charges,7549.432485,,,,7607.15,percent of total billed charges,5206.783748,,,,,,,,,,7758,percent of total billed charges,5042.517438,,,,,,,,,,7758,percent of total billed charges,999999999,,,,,,,,,,8620,percent of total billed charges,7223.111917,,,,8512.25,percent of total billed charges,8214.687574,,,,8512.25,percent of total billed charges,7257.94839,,,,8620,percent of total billed charges,999999999,,,,8620,percent of total billed charges,999999999,,,,7542.5,percent of total billed charges,999999999,,,,7542.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5732.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5441.375,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2693.75,percent of total billed charges,2558.403585,,,,,,,,,,2693.75,percent of total billed charges,2515.846282,,,,,,,,,,2693.75,percent of total billed charges,2508.854853,,,,,,,,,,2693.75,percent of total billed charges,2471.911996,,,,,,,,,,2693.75,percent of total billed charges,2535.517925,,,,,,,,,,2693.75,percent of total billed charges,999999999,,,,,,,,,,2693.75,percent of total billed charges,2175.652931,,,,,,,,,,2693.75,percent of total billed charges,3431.154705,,,,,,,,,,2693.75,percent of total billed charges,999999999,,,,,,,,,,2693.75,percent of total billed charges,2345.885954,,,,,,,,,,9697.5,percent of total billed charges,,,,,
CLSD FX PHALX/PHALG WO MANIP EACH,28510,CDM,,,,both,,,60,60,12.77303668,60,60,percent of total billed charges,44.14413154,,,,60,percent of total billed charges,46.7919066,,,,60,percent of total billed charges,44.14413154,,,,60,percent of total billed charges,46.7919066,,,,60,percent of total billed charges,999999999,,,,60,percent of total billed charges,45.71587623,,,,60,percent of total billed charges,44.14413154,,,,60,percent of total billed charges,46.7919066,,,,42.78,percent of total billed charges,21.34800288,,,,42.78,percent of total billed charges,12.77303668,,,,42.78,percent of total billed charges,21.34800288,,,,42.78,percent of total billed charges,12.77303668,,,,42.78,percent of total billed charges,21.34800288,,,,42.78,percent of total billed charges,12.77303668,,,,42.36,percent of total billed charges,42.03860316,,,,42.36,percent of total billed charges,28.9936914,,,,,,,,,,43.2,percent of total billed charges,28.07898341,,,,,,,,,,43.2,percent of total billed charges,999999999,,,,,,,,,,48,percent of total billed charges,40.22150488,,,,47.4,percent of total billed charges,45.74303985,,,,47.4,percent of total billed charges,40.41548988,,,,48,percent of total billed charges,999999999,,,,48,percent of total billed charges,999999999,,,,42,percent of total billed charges,999999999,,,,42,percent of total billed charges,999999999,,,,,,,,,,,,,,,,31.92,percent of total billed charges,999999999,,,,,,,,,,,,,,,,30.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15,percent of total billed charges,14.24633087,,,,,,,,,,15,percent of total billed charges,14.00935285,,,,,,,,,,15,percent of total billed charges,13.97042145,,,,,,,,,,15,percent of total billed charges,13.76470717,,,,,,,,,,15,percent of total billed charges,14.11889332,,,,,,,,,,15,percent of total billed charges,999999999,,,,,,,,,,15,percent of total billed charges,12.11500472,,,,,,,,,,15,percent of total billed charges,19.10619789,,,,,,,,,,15,percent of total billed charges,999999999,,,,,,,,,,15,percent of total billed charges,13.06293803,,,,,,,,,,54,percent of total billed charges,,,,,
APP SHOULDER TO HAND (LONG ARM),29065,CDM,,,,both,,,88,88,18.73378713,88,88,percent of total billed charges,64.74472626,,,,88,percent of total billed charges,68.62812968,,,,88,percent of total billed charges,64.74472626,,,,88,percent of total billed charges,68.62812968,,,,88,percent of total billed charges,999999999,,,,88,percent of total billed charges,67.0499518,,,,88,percent of total billed charges,64.74472626,,,,88,percent of total billed charges,68.62812968,,,,62.744,percent of total billed charges,31.31040422,,,,62.744,percent of total billed charges,18.73378713,,,,62.744,percent of total billed charges,31.31040422,,,,62.744,percent of total billed charges,18.73378713,,,,62.744,percent of total billed charges,31.31040422,,,,62.744,percent of total billed charges,18.73378713,,,,62.128,percent of total billed charges,61.65661797,,,,62.128,percent of total billed charges,42.52408072,,,,,,,,,,63.36,percent of total billed charges,41.18250901,,,,,,,,,,63.36,percent of total billed charges,999999999,,,,,,,,,,70.4,percent of total billed charges,58.99154048,,,,69.52,percent of total billed charges,67.08979179,,,,69.52,percent of total billed charges,59.27605182,,,,70.4,percent of total billed charges,999999999,,,,70.4,percent of total billed charges,999999999,,,,61.6,percent of total billed charges,999999999,,,,61.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,46.816,percent of total billed charges,999999999,,,,,,,,,,,,,,,,44.44,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,22,percent of total billed charges,20.8946186,,,,,,,,,,22,percent of total billed charges,20.54705084,,,,,,,,,,22,percent of total billed charges,20.48995147,,,,,,,,,,22,percent of total billed charges,20.18823718,,,,,,,,,,22,percent of total billed charges,20.7077102,,,,,,,,,,22,percent of total billed charges,999999999,,,,,,,,,,22,percent of total billed charges,17.76867359,,,,,,,,,,22,percent of total billed charges,28.02242357,,,,,,,,,,22,percent of total billed charges,999999999,,,,,,,,,,22,percent of total billed charges,19.15897577,,,,,,,,,,79.2,percent of total billed charges,,,,,
**APPLC OF SHORT LEG SPLINT (CALF TO FOO,29515,CDM,,,,both,,,56,56,11.9215009,56,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,56,percent of total billed charges,999999999,,,,56,percent of total billed charges,42.66815114,,,,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.536,percent of total billed charges,39.23602962,,,,39.536,percent of total billed charges,27.06077864,,,,,,,,,,40.32,percent of total billed charges,26.20705119,,,,,,,,,,40.32,percent of total billed charges,999999999,,,,,,,,,,44.8,percent of total billed charges,37.54007122,,,,44.24,percent of total billed charges,42.69350386,,,,44.24,percent of total billed charges,37.72112388,,,,44.8,percent of total billed charges,999999999,,,,44.8,percent of total billed charges,999999999,,,,39.2,percent of total billed charges,999999999,,,,39.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,29.792,percent of total billed charges,999999999,,,,,,,,,,,,,,,,28.28,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14,percent of total billed charges,13.29657547,,,,,,,,,,14,percent of total billed charges,13.07539599,,,,,,,,,,14,percent of total billed charges,13.03906002,,,,,,,,,,14,percent of total billed charges,12.84706002,,,,,,,,,,14,percent of total billed charges,13.17763376,,,,,,,,,,14,percent of total billed charges,999999999,,,,,,,,,,14,percent of total billed charges,11.30733774,,,,,,,,,,14,percent of total billed charges,17.83245137,,,,,,,,,,14,percent of total billed charges,999999999,,,,,,,,,,14,percent of total billed charges,12.19207549,,,,,,,,,,50.4,percent of total billed charges,,,,,
**APP ELBOW TO FINGER (SHORT ARM),29075,CDM,,,,both,,,56,56,11.9215009,56,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,56,percent of total billed charges,999999999,,,,56,percent of total billed charges,42.66815114,,,,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.536,percent of total billed charges,39.23602962,,,,39.536,percent of total billed charges,27.06077864,,,,,,,,,,40.32,percent of total billed charges,26.20705119,,,,,,,,,,40.32,percent of total billed charges,999999999,,,,,,,,,,44.8,percent of total billed charges,37.54007122,,,,44.24,percent of total billed charges,42.69350386,,,,44.24,percent of total billed charges,37.72112388,,,,44.8,percent of total billed charges,999999999,,,,44.8,percent of total billed charges,999999999,,,,39.2,percent of total billed charges,999999999,,,,39.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,29.792,percent of total billed charges,999999999,,,,,,,,,,,,,,,,28.28,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14,percent of total billed charges,13.29657547,,,,,,,,,,14,percent of total billed charges,13.07539599,,,,,,,,,,14,percent of total billed charges,13.03906002,,,,,,,,,,14,percent of total billed charges,12.84706002,,,,,,,,,,14,percent of total billed charges,13.17763376,,,,,,,,,,14,percent of total billed charges,999999999,,,,,,,,,,14,percent of total billed charges,11.30733774,,,,,,,,,,14,percent of total billed charges,17.83245137,,,,,,,,,,14,percent of total billed charges,999999999,,,,,,,,,,14,percent of total billed charges,12.19207549,,,,,,,,,,50.4,percent of total billed charges,,,,,
APP ELBOW TO FINGER (SHORT ARM),29075,CDM,,,,both,,,56,56,11.9215009,56,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,56,percent of total billed charges,999999999,,,,56,percent of total billed charges,42.66815114,,,,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.536,percent of total billed charges,39.23602962,,,,39.536,percent of total billed charges,27.06077864,,,,,,,,,,40.32,percent of total billed charges,26.20705119,,,,,,,,,,40.32,percent of total billed charges,999999999,,,,,,,,,,44.8,percent of total billed charges,37.54007122,,,,44.24,percent of total billed charges,42.69350386,,,,44.24,percent of total billed charges,37.72112388,,,,44.8,percent of total billed charges,999999999,,,,44.8,percent of total billed charges,999999999,,,,39.2,percent of total billed charges,999999999,,,,39.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,29.792,percent of total billed charges,999999999,,,,,,,,,,,,,,,,28.28,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14,percent of total billed charges,13.29657547,,,,,,,,,,14,percent of total billed charges,13.07539599,,,,,,,,,,14,percent of total billed charges,13.03906002,,,,,,,,,,14,percent of total billed charges,12.84706002,,,,,,,,,,14,percent of total billed charges,13.17763376,,,,,,,,,,14,percent of total billed charges,999999999,,,,,,,,,,14,percent of total billed charges,11.30733774,,,,,,,,,,14,percent of total billed charges,17.83245137,,,,,,,,,,14,percent of total billed charges,999999999,,,,,,,,,,14,percent of total billed charges,12.19207549,,,,,,,,,,50.4,percent of total billed charges,,,,,
**APP SHORT ARM SPLINT (FOREARM TO HAN,29125,CDM,,,,both,,,56,56,11.9215009,56,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,56,percent of total billed charges,999999999,,,,56,percent of total billed charges,42.66815114,,,,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.536,percent of total billed charges,39.23602962,,,,39.536,percent of total billed charges,27.06077864,,,,,,,,,,40.32,percent of total billed charges,26.20705119,,,,,,,,,,40.32,percent of total billed charges,999999999,,,,,,,,,,44.8,percent of total billed charges,37.54007122,,,,44.24,percent of total billed charges,42.69350386,,,,44.24,percent of total billed charges,37.72112388,,,,44.8,percent of total billed charges,999999999,,,,44.8,percent of total billed charges,999999999,,,,39.2,percent of total billed charges,999999999,,,,39.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,29.792,percent of total billed charges,999999999,,,,,,,,,,,,,,,,28.28,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14,percent of total billed charges,13.29657547,,,,,,,,,,14,percent of total billed charges,13.07539599,,,,,,,,,,14,percent of total billed charges,13.03906002,,,,,,,,,,14,percent of total billed charges,12.84706002,,,,,,,,,,14,percent of total billed charges,13.17763376,,,,,,,,,,14,percent of total billed charges,999999999,,,,,,,,,,14,percent of total billed charges,11.30733774,,,,,,,,,,14,percent of total billed charges,17.83245137,,,,,,,,,,14,percent of total billed charges,999999999,,,,,,,,,,14,percent of total billed charges,12.19207549,,,,,,,,,,50.4,percent of total billed charges,,,,,
APP SHORT ARM SPLINT (FOREARM TO HAN,29125,CDM,,,,both,,,537,537,114.3186783,537,537,percent of total billed charges,395.0899773,,,,537,percent of total billed charges,418.7875641,,,,537,percent of total billed charges,395.0899773,,,,537,percent of total billed charges,418.7875641,,,,537,percent of total billed charges,999999999,,,,537,percent of total billed charges,409.1570922,,,,537,percent of total billed charges,395.0899773,,,,537,percent of total billed charges,418.7875641,,,,382.881,percent of total billed charges,191.0646257,,,,382.881,percent of total billed charges,114.3186783,,,,382.881,percent of total billed charges,191.0646257,,,,382.881,percent of total billed charges,114.3186783,,,,382.881,percent of total billed charges,191.0646257,,,,382.881,percent of total billed charges,114.3186783,,,,379.122,percent of total billed charges,376.2454983,,,,379.122,percent of total billed charges,259.4935381,,,,,,,,,,386.64,percent of total billed charges,251.3069015,,,,,,,,,,386.64,percent of total billed charges,999999999,,,,,,,,,,429.6,percent of total billed charges,359.9824686,,,,424.23,percent of total billed charges,409.4002067,,,,424.23,percent of total billed charges,361.7186344,,,,429.6,percent of total billed charges,999999999,,,,429.6,percent of total billed charges,999999999,,,,375.9,percent of total billed charges,999999999,,,,375.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,285.684,percent of total billed charges,999999999,,,,,,,,,,,,,,,,271.185,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,134.25,percent of total billed charges,127.5046612,,,,,,,,,,134.25,percent of total billed charges,125.383708,,,,,,,,,,134.25,percent of total billed charges,125.035272,,,,,,,,,,134.25,percent of total billed charges,123.1941292,,,,,,,,,,134.25,percent of total billed charges,126.3640952,,,,,,,,,,134.25,percent of total billed charges,999999999,,,,,,,,,,134.25,percent of total billed charges,108.4292922,,,,,,,,,,134.25,percent of total billed charges,171.0004711,,,,,,,,,,134.25,percent of total billed charges,999999999,,,,,,,,,,134.25,percent of total billed charges,116.9132953,,,,,,,,,,483.3,percent of total billed charges,,,,,
**APP FINGER SPLINT STATIC,29130,CDM,,,,both,,,56,56,11.9215009,56,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,56,percent of total billed charges,999999999,,,,56,percent of total billed charges,42.66815114,,,,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.536,percent of total billed charges,39.23602962,,,,39.536,percent of total billed charges,27.06077864,,,,,,,,,,40.32,percent of total billed charges,26.20705119,,,,,,,,,,40.32,percent of total billed charges,999999999,,,,,,,,,,44.8,percent of total billed charges,37.54007122,,,,44.24,percent of total billed charges,42.69350386,,,,44.24,percent of total billed charges,37.72112388,,,,44.8,percent of total billed charges,999999999,,,,44.8,percent of total billed charges,999999999,,,,39.2,percent of total billed charges,999999999,,,,39.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,29.792,percent of total billed charges,999999999,,,,,,,,,,,,,,,,28.28,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14,percent of total billed charges,13.29657547,,,,,,,,,,14,percent of total billed charges,13.07539599,,,,,,,,,,14,percent of total billed charges,13.03906002,,,,,,,,,,14,percent of total billed charges,12.84706002,,,,,,,,,,14,percent of total billed charges,13.17763376,,,,,,,,,,14,percent of total billed charges,999999999,,,,,,,,,,14,percent of total billed charges,11.30733774,,,,,,,,,,14,percent of total billed charges,17.83245137,,,,,,,,,,14,percent of total billed charges,999999999,,,,,,,,,,14,percent of total billed charges,12.19207549,,,,,,,,,,50.4,percent of total billed charges,,,,,
FINGER SPLINT STATIC,29130,CDM,,,,both,,,56,56,11.9215009,56,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,56,percent of total billed charges,999999999,,,,56,percent of total billed charges,42.66815114,,,,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.536,percent of total billed charges,39.23602962,,,,39.536,percent of total billed charges,27.06077864,,,,,,,,,,40.32,percent of total billed charges,26.20705119,,,,,,,,,,40.32,percent of total billed charges,999999999,,,,,,,,,,44.8,percent of total billed charges,37.54007122,,,,44.24,percent of total billed charges,42.69350386,,,,44.24,percent of total billed charges,37.72112388,,,,44.8,percent of total billed charges,999999999,,,,44.8,percent of total billed charges,999999999,,,,39.2,percent of total billed charges,999999999,,,,39.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,29.792,percent of total billed charges,999999999,,,,,,,,,,,,,,,,28.28,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14,percent of total billed charges,13.29657547,,,,,,,,,,14,percent of total billed charges,13.07539599,,,,,,,,,,14,percent of total billed charges,13.03906002,,,,,,,,,,14,percent of total billed charges,12.84706002,,,,,,,,,,14,percent of total billed charges,13.17763376,,,,,,,,,,14,percent of total billed charges,999999999,,,,,,,,,,14,percent of total billed charges,11.30733774,,,,,,,,,,14,percent of total billed charges,17.83245137,,,,,,,,,,14,percent of total billed charges,999999999,,,,,,,,,,14,percent of total billed charges,12.19207549,,,,,,,,,,50.4,percent of total billed charges,,,,,
**REMOVAL BIVALVING GAUNTLET BT/BODY C,29700,CDM,,,,both,,,56,56,11.9215009,56,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,56,percent of total billed charges,999999999,,,,56,percent of total billed charges,42.66815114,,,,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.536,percent of total billed charges,39.23602962,,,,39.536,percent of total billed charges,27.06077864,,,,,,,,,,40.32,percent of total billed charges,26.20705119,,,,,,,,,,40.32,percent of total billed charges,999999999,,,,,,,,,,44.8,percent of total billed charges,37.54007122,,,,44.24,percent of total billed charges,42.69350386,,,,44.24,percent of total billed charges,37.72112388,,,,44.8,percent of total billed charges,999999999,,,,44.8,percent of total billed charges,999999999,,,,39.2,percent of total billed charges,999999999,,,,39.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,29.792,percent of total billed charges,999999999,,,,,,,,,,,,,,,,28.28,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14,percent of total billed charges,13.29657547,,,,,,,,,,14,percent of total billed charges,13.07539599,,,,,,,,,,14,percent of total billed charges,13.03906002,,,,,,,,,,14,percent of total billed charges,12.84706002,,,,,,,,,,14,percent of total billed charges,13.17763376,,,,,,,,,,14,percent of total billed charges,999999999,,,,,,,,,,14,percent of total billed charges,11.30733774,,,,,,,,,,14,percent of total billed charges,17.83245137,,,,,,,,,,14,percent of total billed charges,999999999,,,,,,,,,,14,percent of total billed charges,12.19207549,,,,,,,,,,50.4,percent of total billed charges,,,,,
REMOVAL OF IUD,58301,CDM,,,,both,,,206,206,43.85409259,206,206,percent of total billed charges,151.5615183,,,,206,percent of total billed charges,160.6522127,,,,206,percent of total billed charges,151.5615183,,,,206,percent of total billed charges,160.6522127,,,,206,percent of total billed charges,999999999,,,,206,percent of total billed charges,156.9578417,,,,206,percent of total billed charges,151.5615183,,,,206,percent of total billed charges,160.6522127,,,,146.878,percent of total billed charges,73.29480987,,,,146.878,percent of total billed charges,43.85409259,,,,146.878,percent of total billed charges,73.29480987,,,,146.878,percent of total billed charges,43.85409259,,,,146.878,percent of total billed charges,73.29480987,,,,146.878,percent of total billed charges,43.85409259,,,,145.436,percent of total billed charges,144.3325375,,,,145.436,percent of total billed charges,99.54500715,,,,,,,,,,148.32,percent of total billed charges,96.40450972,,,,,,,,,,148.32,percent of total billed charges,999999999,,,,,,,,,,164.8,percent of total billed charges,138.0938334,,,,162.74,percent of total billed charges,157.0511035,,,,162.74,percent of total billed charges,138.7598486,,,,164.8,percent of total billed charges,999999999,,,,164.8,percent of total billed charges,999999999,,,,144.2,percent of total billed charges,999999999,,,,144.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,109.592,percent of total billed charges,999999999,,,,,,,,,,,,,,,,104.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,51.5,percent of total billed charges,48.91240264,,,,,,,,,,51.5,percent of total billed charges,48.0987781,,,,,,,,,,51.5,percent of total billed charges,47.96511366,,,,,,,,,,51.5,percent of total billed charges,47.25882794,,,,,,,,,,51.5,percent of total billed charges,48.47486706,,,,,,,,,,51.5,percent of total billed charges,999999999,,,,,,,,,,51.5,percent of total billed charges,41.59484954,,,,,,,,,,51.5,percent of total billed charges,65.59794609,,,,,,,,,,51.5,percent of total billed charges,999999999,,,,,,,,,,51.5,percent of total billed charges,44.84942056,,,,,,,,,,185.4,percent of total billed charges,,,,,
REMOVAL OR BIVALVING GAUNTLET BT/BDY,29700,CDM,,,,both,,,56,56,11.9215009,56,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,56,percent of total billed charges,999999999,,,,56,percent of total billed charges,42.66815114,,,,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.536,percent of total billed charges,39.23602962,,,,39.536,percent of total billed charges,27.06077864,,,,,,,,,,40.32,percent of total billed charges,26.20705119,,,,,,,,,,40.32,percent of total billed charges,999999999,,,,,,,,,,44.8,percent of total billed charges,37.54007122,,,,44.24,percent of total billed charges,42.69350386,,,,44.24,percent of total billed charges,37.72112388,,,,44.8,percent of total billed charges,999999999,,,,44.8,percent of total billed charges,999999999,,,,39.2,percent of total billed charges,999999999,,,,39.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,29.792,percent of total billed charges,999999999,,,,,,,,,,,,,,,,28.28,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14,percent of total billed charges,13.29657547,,,,,,,,,,14,percent of total billed charges,13.07539599,,,,,,,,,,14,percent of total billed charges,13.03906002,,,,,,,,,,14,percent of total billed charges,12.84706002,,,,,,,,,,14,percent of total billed charges,13.17763376,,,,,,,,,,14,percent of total billed charges,999999999,,,,,,,,,,14,percent of total billed charges,11.30733774,,,,,,,,,,14,percent of total billed charges,17.83245137,,,,,,,,,,14,percent of total billed charges,999999999,,,,,,,,,,14,percent of total billed charges,12.19207549,,,,,,,,,,50.4,percent of total billed charges,,,,,
REMOVAL/BIVALVING FULL ARM/LEG CAST,29705,CDM,,,,both,,,56,56,11.9215009,56,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,56,percent of total billed charges,999999999,,,,56,percent of total billed charges,42.66815114,,,,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.536,percent of total billed charges,39.23602962,,,,39.536,percent of total billed charges,27.06077864,,,,,,,,,,40.32,percent of total billed charges,26.20705119,,,,,,,,,,40.32,percent of total billed charges,999999999,,,,,,,,,,44.8,percent of total billed charges,37.54007122,,,,44.24,percent of total billed charges,42.69350386,,,,44.24,percent of total billed charges,37.72112388,,,,44.8,percent of total billed charges,999999999,,,,44.8,percent of total billed charges,999999999,,,,39.2,percent of total billed charges,999999999,,,,39.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,29.792,percent of total billed charges,999999999,,,,,,,,,,,,,,,,28.28,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14,percent of total billed charges,13.29657547,,,,,,,,,,14,percent of total billed charges,13.07539599,,,,,,,,,,14,percent of total billed charges,13.03906002,,,,,,,,,,14,percent of total billed charges,12.84706002,,,,,,,,,,14,percent of total billed charges,13.17763376,,,,,,,,,,14,percent of total billed charges,999999999,,,,,,,,,,14,percent of total billed charges,11.30733774,,,,,,,,,,14,percent of total billed charges,17.83245137,,,,,,,,,,14,percent of total billed charges,999999999,,,,,,,,,,14,percent of total billed charges,12.19207549,,,,,,,,,,50.4,percent of total billed charges,,,,,
WINDOWING OF CAST,29730,CDM,,,,both,,,440,440,93.66893563,440,440,percent of total billed charges,323.7236313,,,,440,percent of total billed charges,343.1406484,,,,440,percent of total billed charges,323.7236313,,,,440,percent of total billed charges,343.1406484,,,,440,percent of total billed charges,999999999,,,,440,percent of total billed charges,335.249759,,,,440,percent of total billed charges,323.7236313,,,,440,percent of total billed charges,343.1406484,,,,313.72,percent of total billed charges,156.5520211,,,,313.72,percent of total billed charges,93.66893563,,,,313.72,percent of total billed charges,156.5520211,,,,313.72,percent of total billed charges,93.66893563,,,,313.72,percent of total billed charges,156.5520211,,,,313.72,percent of total billed charges,93.66893563,,,,310.64,percent of total billed charges,308.2830899,,,,310.64,percent of total billed charges,212.6204036,,,,,,,,,,316.8,percent of total billed charges,205.912545,,,,,,,,,,316.8,percent of total billed charges,999999999,,,,,,,,,,352,percent of total billed charges,294.9577024,,,,347.6,percent of total billed charges,335.4489589,,,,347.6,percent of total billed charges,296.3802591,,,,352,percent of total billed charges,999999999,,,,352,percent of total billed charges,999999999,,,,308,percent of total billed charges,999999999,,,,308,percent of total billed charges,999999999,,,,,,,,,,,,,,,,234.08,percent of total billed charges,999999999,,,,,,,,,,,,,,,,222.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,110,percent of total billed charges,104.473093,,,,,,,,,,110,percent of total billed charges,102.7352542,,,,,,,,,,110,percent of total billed charges,102.4497573,,,,,,,,,,110,percent of total billed charges,100.9411859,,,,,,,,,,110,percent of total billed charges,103.538551,,,,,,,,,,110,percent of total billed charges,999999999,,,,,,,,,,110,percent of total billed charges,88.84336795,,,,,,,,,,110,percent of total billed charges,140.1121179,,,,,,,,,,110,percent of total billed charges,999999999,,,,,,,,,,110,percent of total billed charges,95.79487886,,,,,,,,,,396,percent of total billed charges,,,,,
"UNLISTED PROCEDURE, URINARY SYSTEM",53899,CDM,,,,both,,,7028,7028,1496.148363,7028,7028,percent of total billed charges,5170.749275,,,,7028,percent of total billed charges,5480.891993,,,,7028,percent of total billed charges,5170.749275,,,,7028,percent of total billed charges,5480.891993,,,,7028,percent of total billed charges,999999999,,,,7028,percent of total billed charges,5354.852969,,,,7028,percent of total billed charges,5170.749275,,,,7028,percent of total billed charges,5480.891993,,,,5010.964,percent of total billed charges,2500.562737,,,,5010.964,percent of total billed charges,1496.148363,,,,5010.964,percent of total billed charges,2500.562737,,,,5010.964,percent of total billed charges,1496.148363,,,,5010.964,percent of total billed charges,2500.562737,,,,5010.964,percent of total billed charges,1496.148363,,,,4961.768,percent of total billed charges,4924.121717,,,,4961.768,percent of total billed charges,3396.12772,,,,,,,,,,5060.16,percent of total billed charges,3288.984924,,,,,,,,,,5060.16,percent of total billed charges,999999999,,,,,,,,,,5622.4,percent of total billed charges,4711.278938,,,,5552.12,percent of total billed charges,5358.034735,,,,5552.12,percent of total billed charges,4734.001048,,,,5622.4,percent of total billed charges,999999999,,,,5622.4,percent of total billed charges,999999999,,,,4919.6,percent of total billed charges,999999999,,,,4919.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3738.896,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3549.14,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1757,percent of total billed charges,1668.720222,,,,,,,,,,1757,percent of total billed charges,1640.962197,,,,,,,,,,1757,percent of total billed charges,1636.402033,,,,,,,,,,1757,percent of total billed charges,1612.306033,,,,,,,,,,1757,percent of total billed charges,1653.793037,,,,,,,,,,1757,percent of total billed charges,999999999,,,,,,,,,,1757,percent of total billed charges,1419.070886,,,,,,,,,,1757,percent of total billed charges,2237.972646,,,,,,,,,,1757,percent of total billed charges,999999999,,,,,,,,,,1757,percent of total billed charges,1530.105474,,,,,,,,,,6325.2,percent of total billed charges,,,,,
REMOVAL FOREIGN BODY INTRANASAL OFF,30300,CDM,,,,both,,,56,56,11.9215009,56,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,56,percent of total billed charges,999999999,,,,56,percent of total billed charges,42.66815114,,,,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.536,percent of total billed charges,39.23602962,,,,39.536,percent of total billed charges,27.06077864,,,,,,,,,,40.32,percent of total billed charges,26.20705119,,,,,,,,,,40.32,percent of total billed charges,999999999,,,,,,,,,,44.8,percent of total billed charges,37.54007122,,,,44.24,percent of total billed charges,42.69350386,,,,44.24,percent of total billed charges,37.72112388,,,,44.8,percent of total billed charges,999999999,,,,44.8,percent of total billed charges,999999999,,,,39.2,percent of total billed charges,999999999,,,,39.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,29.792,percent of total billed charges,999999999,,,,,,,,,,,,,,,,28.28,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14,percent of total billed charges,13.29657547,,,,,,,,,,14,percent of total billed charges,13.07539599,,,,,,,,,,14,percent of total billed charges,13.03906002,,,,,,,,,,14,percent of total billed charges,12.84706002,,,,,,,,,,14,percent of total billed charges,13.17763376,,,,,,,,,,14,percent of total billed charges,999999999,,,,,,,,,,14,percent of total billed charges,11.30733774,,,,,,,,,,14,percent of total billed charges,17.83245137,,,,,,,,,,14,percent of total billed charges,999999999,,,,,,,,,,14,percent of total billed charges,12.19207549,,,,,,,,,,50.4,percent of total billed charges,,,,,
**CONTROL NASAL HEM ANTERIOR SIMPLE,30901,CDM,,,,both,,,103,103,21.9270463,103,103,percent of total billed charges,75.78075915,,,,103,percent of total billed charges,80.32610633,,,,103,percent of total billed charges,75.78075915,,,,103,percent of total billed charges,80.32610633,,,,103,percent of total billed charges,999999999,,,,103,percent of total billed charges,78.47892085,,,,103,percent of total billed charges,75.78075915,,,,103,percent of total billed charges,80.32610633,,,,73.439,percent of total billed charges,36.64740494,,,,73.439,percent of total billed charges,21.9270463,,,,73.439,percent of total billed charges,36.64740494,,,,73.439,percent of total billed charges,21.9270463,,,,73.439,percent of total billed charges,36.64740494,,,,73.439,percent of total billed charges,21.9270463,,,,72.718,percent of total billed charges,72.16626877,,,,72.718,percent of total billed charges,49.77250357,,,,,,,,,,74.16,percent of total billed charges,48.20225486,,,,,,,,,,74.16,percent of total billed charges,999999999,,,,,,,,,,82.4,percent of total billed charges,69.0469167,,,,81.37,percent of total billed charges,78.52555175,,,,81.37,percent of total billed charges,69.37992429,,,,82.4,percent of total billed charges,999999999,,,,82.4,percent of total billed charges,999999999,,,,72.1,percent of total billed charges,999999999,,,,72.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,54.796,percent of total billed charges,999999999,,,,,,,,,,,,,,,,52.015,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,25.75,percent of total billed charges,24.45620132,,,,,,,,,,25.75,percent of total billed charges,24.04938905,,,,,,,,,,25.75,percent of total billed charges,23.98255683,,,,,,,,,,25.75,percent of total billed charges,23.62941397,,,,,,,,,,25.75,percent of total billed charges,24.23743353,,,,,,,,,,25.75,percent of total billed charges,999999999,,,,,,,,,,25.75,percent of total billed charges,20.79742477,,,,,,,,,,25.75,percent of total billed charges,32.79897305,,,,,,,,,,25.75,percent of total billed charges,999999999,,,,,,,,,,25.75,percent of total billed charges,22.42471028,,,,,,,,,,92.7,percent of total billed charges,,,,,
CONTROL NASAL HEM ANTERIOR SIMPLE,30901,CDM,,,,both,,,682,682,145.1868502,682,682,percent of total billed charges,501.7716285,,,,682,percent of total billed charges,531.868005,,,,682,percent of total billed charges,501.7716285,,,,682,percent of total billed charges,531.868005,,,,682,percent of total billed charges,999999999,,,,682,percent of total billed charges,519.6371264,,,,682,percent of total billed charges,501.7716285,,,,682,percent of total billed charges,531.868005,,,,486.266,percent of total billed charges,242.6556327,,,,486.266,percent of total billed charges,145.1868502,,,,486.266,percent of total billed charges,242.6556327,,,,486.266,percent of total billed charges,145.1868502,,,,486.266,percent of total billed charges,242.6556327,,,,486.266,percent of total billed charges,145.1868502,,,,481.492,percent of total billed charges,477.8387893,,,,481.492,percent of total billed charges,329.5616256,,,,,,,,,,491.04,percent of total billed charges,319.1644448,,,,,,,,,,491.04,percent of total billed charges,999999999,,,,,,,,,,545.6,percent of total billed charges,457.1844388,,,,538.78,percent of total billed charges,519.9458864,,,,538.78,percent of total billed charges,459.3894016,,,,545.6,percent of total billed charges,999999999,,,,545.6,percent of total billed charges,999999999,,,,477.4,percent of total billed charges,999999999,,,,477.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,362.824,percent of total billed charges,999999999,,,,,,,,,,,,,,,,344.41,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,170.5,percent of total billed charges,161.9332942,,,,,,,,,,170.5,percent of total billed charges,159.239644,,,,,,,,,,170.5,percent of total billed charges,158.7971239,,,,,,,,,,170.5,percent of total billed charges,156.4588381,,,,,,,,,,170.5,percent of total billed charges,160.4847541,,,,,,,,,,170.5,percent of total billed charges,999999999,,,,,,,,,,170.5,percent of total billed charges,137.7072203,,,,,,,,,,170.5,percent of total billed charges,217.1737827,,,,,,,,,,170.5,percent of total billed charges,999999999,,,,,,,,,,170.5,percent of total billed charges,148.4820622,,,,,,,,,,613.8,percent of total billed charges,,,,,
CONTROL NASAL HEM POST W/NASAL PACK,30905,CDM,,,,both,,,152,152,32.35835958,152,152,percent of total billed charges,111.8317999,,,,152,percent of total billed charges,118.5394967,,,,152,percent of total billed charges,111.8317999,,,,152,percent of total billed charges,118.5394967,,,,152,percent of total billed charges,999999999,,,,152,percent of total billed charges,115.8135531,,,,152,percent of total billed charges,111.8317999,,,,152,percent of total billed charges,118.5394967,,,,108.376,percent of total billed charges,54.08160728,,,,108.376,percent of total billed charges,32.35835958,,,,108.376,percent of total billed charges,54.08160728,,,,108.376,percent of total billed charges,32.35835958,,,,108.376,percent of total billed charges,54.08160728,,,,108.376,percent of total billed charges,32.35835958,,,,107.312,percent of total billed charges,106.4977947,,,,107.312,percent of total billed charges,73.45068489,,,,,,,,,,109.44,percent of total billed charges,71.13342465,,,,,,,,,,109.44,percent of total billed charges,999999999,,,,,,,,,,121.6,percent of total billed charges,101.894479,,,,120.08,percent of total billed charges,115.8823676,,,,120.08,percent of total billed charges,102.3859077,,,,121.6,percent of total billed charges,999999999,,,,121.6,percent of total billed charges,999999999,,,,106.4,percent of total billed charges,999999999,,,,106.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,80.864,percent of total billed charges,999999999,,,,,,,,,,,,,,,,76.76,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,38,percent of total billed charges,36.09070486,,,,,,,,,,38,percent of total billed charges,35.49036054,,,,,,,,,,38,percent of total billed charges,35.39173435,,,,,,,,,,38,percent of total billed charges,34.87059149,,,,,,,,,,38,percent of total billed charges,35.76786307,,,,,,,,,,38,percent of total billed charges,999999999,,,,,,,,,,38,percent of total billed charges,30.69134529,,,,,,,,,,38,percent of total billed charges,48.40236799,,,,,,,,,,38,percent of total billed charges,999999999,,,,,,,,,,38,percent of total billed charges,33.09277633,,,,,,,,,,136.8,percent of total billed charges,,,,,
INTUBATION ENDOTRACH EMER PROC,31500,CDM,,,,both,,,1209,1209,257.3766891,1209,1209,percent of total billed charges,889.5042506,,,,1209,percent of total billed charges,942.856918,,,,1209,percent of total billed charges,889.5042506,,,,1209,percent of total billed charges,942.856918,,,,1209,percent of total billed charges,999999999,,,,1209,percent of total billed charges,921.1749059,,,,1209,percent of total billed charges,889.5042506,,,,1209,percent of total billed charges,942.856918,,,,862.017,percent of total billed charges,430.1622579,,,,862.017,percent of total billed charges,257.3766891,,,,862.017,percent of total billed charges,430.1622579,,,,862.017,percent of total billed charges,257.3766891,,,,862.017,percent of total billed charges,430.1622579,,,,862.017,percent of total billed charges,257.3766891,,,,853.554,percent of total billed charges,847.0778538,,,,853.554,percent of total billed charges,584.2228818,,,,,,,,,,870.48,percent of total billed charges,565.7915158,,,,,,,,,,870.48,percent of total billed charges,999999999,,,,,,,,,,967.2,percent of total billed charges,810.4633232,,,,955.11,percent of total billed charges,921.7222531,,,,955.11,percent of total billed charges,814.372121,,,,967.2,percent of total billed charges,999999999,,,,967.2,percent of total billed charges,999999999,,,,846.3,percent of total billed charges,999999999,,,,846.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,643.188,percent of total billed charges,999999999,,,,,,,,,,,,,,,,610.545,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,302.25,percent of total billed charges,287.0635669,,,,,,,,,,302.25,percent of total billed charges,282.2884598,,,,,,,,,,302.25,percent of total billed charges,281.5039923,,,,,,,,,,302.25,percent of total billed charges,277.3588494,,,,,,,,,,302.25,percent of total billed charges,284.4957004,,,,,,,,,,302.25,percent of total billed charges,999999999,,,,,,,,,,302.25,percent of total billed charges,244.1173451,,,,,,,,,,302.25,percent of total billed charges,384.9898875,,,,,,,,,,302.25,percent of total billed charges,999999999,,,,,,,,,,302.25,percent of total billed charges,263.2182012,,,,,,,,,,1088.1,percent of total billed charges,,,,,
LARYNGOSCOPY INDIRECT DX,31505,CDM,,,,both,,,56,56,11.9215009,56,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,56,percent of total billed charges,999999999,,,,56,percent of total billed charges,42.66815114,,,,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.536,percent of total billed charges,39.23602962,,,,39.536,percent of total billed charges,27.06077864,,,,,,,,,,40.32,percent of total billed charges,26.20705119,,,,,,,,,,40.32,percent of total billed charges,999999999,,,,,,,,,,44.8,percent of total billed charges,37.54007122,,,,44.24,percent of total billed charges,42.69350386,,,,44.24,percent of total billed charges,37.72112388,,,,44.8,percent of total billed charges,999999999,,,,44.8,percent of total billed charges,999999999,,,,39.2,percent of total billed charges,999999999,,,,39.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,29.792,percent of total billed charges,999999999,,,,,,,,,,,,,,,,28.28,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14,percent of total billed charges,13.29657547,,,,,,,,,,14,percent of total billed charges,13.07539599,,,,,,,,,,14,percent of total billed charges,13.03906002,,,,,,,,,,14,percent of total billed charges,12.84706002,,,,,,,,,,14,percent of total billed charges,13.17763376,,,,,,,,,,14,percent of total billed charges,999999999,,,,,,,,,,14,percent of total billed charges,11.30733774,,,,,,,,,,14,percent of total billed charges,17.83245137,,,,,,,,,,14,percent of total billed charges,999999999,,,,,,,,,,14,percent of total billed charges,12.19207549,,,,,,,,,,50.4,percent of total billed charges,,,,,
LARYNGOSCOPY INDIRECT W RMVL FRGN BD,31511,CDM,,,,both,,,56,56,11.9215009,56,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,56,percent of total billed charges,999999999,,,,56,percent of total billed charges,42.66815114,,,,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.536,percent of total billed charges,39.23602962,,,,39.536,percent of total billed charges,27.06077864,,,,,,,,,,40.32,percent of total billed charges,26.20705119,,,,,,,,,,40.32,percent of total billed charges,999999999,,,,,,,,,,44.8,percent of total billed charges,37.54007122,,,,44.24,percent of total billed charges,42.69350386,,,,44.24,percent of total billed charges,37.72112388,,,,44.8,percent of total billed charges,999999999,,,,44.8,percent of total billed charges,999999999,,,,39.2,percent of total billed charges,999999999,,,,39.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,29.792,percent of total billed charges,999999999,,,,,,,,,,,,,,,,28.28,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14,percent of total billed charges,13.29657547,,,,,,,,,,14,percent of total billed charges,13.07539599,,,,,,,,,,14,percent of total billed charges,13.03906002,,,,,,,,,,14,percent of total billed charges,12.84706002,,,,,,,,,,14,percent of total billed charges,13.17763376,,,,,,,,,,14,percent of total billed charges,999999999,,,,,,,,,,14,percent of total billed charges,11.30733774,,,,,,,,,,14,percent of total billed charges,17.83245137,,,,,,,,,,14,percent of total billed charges,999999999,,,,,,,,,,14,percent of total billed charges,12.19207549,,,,,,,,,,50.4,percent of total billed charges,,,,,
LARYNGOSCOPY FLEX FIB W/RMVL FRGN BD,31577,CDM,,,,both,,,3171,3171,675.0549884,3171,3171,percent of total billed charges,2333.017352,,,,3171,percent of total billed charges,2472.952264,,,,3171,percent of total billed charges,2333.017352,,,,3171,percent of total billed charges,2472.952264,,,,3171,percent of total billed charges,999999999,,,,3171,percent of total billed charges,2416.084059,,,,3171,percent of total billed charges,2333.017352,,,,3171,percent of total billed charges,2472.952264,,,,2260.923,percent of total billed charges,1128.241952,,,,2260.923,percent of total billed charges,675.0549884,,,,2260.923,percent of total billed charges,1128.241952,,,,2260.923,percent of total billed charges,675.0549884,,,,2260.923,percent of total billed charges,1128.241952,,,,2260.923,percent of total billed charges,675.0549884,,,,2238.726,percent of total billed charges,2221.740177,,,,2238.726,percent of total billed charges,1532.316591,,,,,,,,,,2283.12,percent of total billed charges,1483.974273,,,,,,,,,,2283.12,percent of total billed charges,999999999,,,,,,,,,,2536.8,percent of total billed charges,2125.706533,,,,2505.09,percent of total billed charges,2417.519656,,,,2505.09,percent of total billed charges,2135.95864,,,,2536.8,percent of total billed charges,999999999,,,,2536.8,percent of total billed charges,999999999,,,,2219.7,percent of total billed charges,999999999,,,,2219.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1686.972,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1601.355,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,792.75,percent of total billed charges,752.9185863,,,,,,,,,,792.75,percent of total billed charges,740.3942979,,,,,,,,,,792.75,percent of total billed charges,738.3367738,,,,,,,,,,792.75,percent of total billed charges,727.4647738,,,,,,,,,,792.75,percent of total billed charges,746.1835119,,,,,,,,,,792.75,percent of total billed charges,999999999,,,,,,,,,,792.75,percent of total billed charges,640.2779995,,,,,,,,,,792.75,percent of total billed charges,1009.762559,,,,,,,,,,792.75,percent of total billed charges,999999999,,,,,,,,,,792.75,percent of total billed charges,690.3762747,,,,,,,,,,2853.9,percent of total billed charges,,,,,
LARYNGOSCOPY FLEX DIAGNOSTIC,31575,CDM,,,,both,,,578,578,123.04692,578,578,percent of total billed charges,425.2551339,,,,578,percent of total billed charges,450.7620336,,,,578,percent of total billed charges,425.2551339,,,,578,percent of total billed charges,450.7620336,,,,578,percent of total billed charges,999999999,,,,578,percent of total billed charges,440.3962743,,,,578,percent of total billed charges,425.2551339,,,,578,percent of total billed charges,450.7620336,,,,412.114,percent of total billed charges,205.6524277,,,,412.114,percent of total billed charges,123.04692,,,,412.114,percent of total billed charges,205.6524277,,,,412.114,percent of total billed charges,123.04692,,,,412.114,percent of total billed charges,205.6524277,,,,412.114,percent of total billed charges,123.04692,,,,408.068,percent of total billed charges,404.9718771,,,,408.068,percent of total billed charges,279.3058938,,,,,,,,,,416.16,percent of total billed charges,270.4942069,,,,,,,,,,416.16,percent of total billed charges,999999999,,,,,,,,,,462.4,percent of total billed charges,387.4671636,,,,456.62,percent of total billed charges,440.6579506,,,,456.62,percent of total billed charges,389.3358858,,,,462.4,percent of total billed charges,999999999,,,,462.4,percent of total billed charges,999999999,,,,404.6,percent of total billed charges,999999999,,,,404.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,307.496,percent of total billed charges,999999999,,,,,,,,,,,,,,,,291.89,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,144.5,percent of total billed charges,137.239654,,,,,,,,,,144.5,percent of total billed charges,134.9567657,,,,,,,,,,144.5,percent of total billed charges,134.5817267,,,,,,,,,,144.5,percent of total billed charges,132.6000124,,,,,,,,,,144.5,percent of total billed charges,136.0120056,,,,,,,,,,144.5,percent of total billed charges,999999999,,,,,,,,,,144.5,percent of total billed charges,116.7078788,,,,,,,,,,144.5,percent of total billed charges,184.056373,,,,,,,,,,144.5,percent of total billed charges,999999999,,,,,,,,,,144.5,percent of total billed charges,125.8396363,,,,,,,,,,520.2,percent of total billed charges,,,,,
TRACHESOSTOMY TRANSTRACHEAL EMERG,31603,CDM,,,,both,,,1346,1346,286.5417895,1346,1346,percent of total billed charges,990.3000176,,,,1346,percent of total billed charges,1049.698438,,,,1346,percent of total billed charges,990.3000176,,,,1346,percent of total billed charges,1049.698438,,,,1346,percent of total billed charges,999999999,,,,1346,percent of total billed charges,1025.55949,,,,1346,percent of total billed charges,990.3000176,,,,1346,percent of total billed charges,1049.698438,,,,959.698,percent of total billed charges,478.9068645,,,,959.698,percent of total billed charges,286.5417895,,,,959.698,percent of total billed charges,478.9068645,,,,959.698,percent of total billed charges,286.5417895,,,,959.698,percent of total billed charges,478.9068645,,,,959.698,percent of total billed charges,286.5417895,,,,950.276,percent of total billed charges,943.0659977,,,,950.276,percent of total billed charges,650.4251438,,,,,,,,,,969.12,percent of total billed charges,629.9051946,,,,,,,,,,969.12,percent of total billed charges,999999999,,,,,,,,,,1076.8,percent of total billed charges,902.302426,,,,1063.34,percent of total billed charges,1026.168861,,,,1063.34,percent of total billed charges,906.6541562,,,,1076.8,percent of total billed charges,999999999,,,,1076.8,percent of total billed charges,999999999,,,,942.2,percent of total billed charges,999999999,,,,942.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,716.072,percent of total billed charges,999999999,,,,,,,,,,,,,,,,679.73,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,336.5,percent of total billed charges,319.5926891,,,,,,,,,,336.5,percent of total billed charges,314.2764822,,,,,,,,,,336.5,percent of total billed charges,313.4031213,,,,,,,,,,336.5,percent of total billed charges,308.7882641,,,,,,,,,,336.5,percent of total billed charges,316.7338401,,,,,,,,,,336.5,percent of total billed charges,999999999,,,,,,,,,,336.5,percent of total billed charges,271.7799392,,,,,,,,,,336.5,percent of total billed charges,428.615706,,,,,,,,,,336.5,percent of total billed charges,999999999,,,,,,,,,,336.5,percent of total billed charges,293.045243,,,,,,,,,,1211.4,percent of total billed charges,,,,,
LARYNGOSCOPY W/ FB REMOVAL,31530,CDM,,,,both,,,6340,6340,1349.684209,6340,6340,percent of total billed charges,4664.563233,,,,6340,percent of total billed charges,4944.344797,,,,6340,percent of total billed charges,4664.563233,,,,6340,percent of total billed charges,4944.344797,,,,6340,percent of total billed charges,999999999,,,,6340,percent of total billed charges,4830.644255,,,,6340,percent of total billed charges,4664.563233,,,,6340,percent of total billed charges,4944.344797,,,,4520.42,percent of total billed charges,2255.772304,,,,4520.42,percent of total billed charges,1349.684209,,,,4520.42,percent of total billed charges,2255.772304,,,,4520.42,percent of total billed charges,1349.684209,,,,4520.42,percent of total billed charges,2255.772304,,,,4520.42,percent of total billed charges,1349.684209,,,,4476.04,percent of total billed charges,4442.079068,,,,4476.04,percent of total billed charges,3063.666725,,,,,,,,,,4564.8,percent of total billed charges,2967.012581,,,,,,,,,,4564.8,percent of total billed charges,999999999,,,,,,,,,,5072,percent of total billed charges,4250.072349,,,,5008.6,percent of total billed charges,4833.514545,,,,5008.6,percent of total billed charges,4270.570097,,,,5072,percent of total billed charges,999999999,,,,5072,percent of total billed charges,999999999,,,,4438,percent of total billed charges,999999999,,,,4438,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3372.88,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3201.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1585,percent of total billed charges,1505.362295,,,,,,,,,,1585,percent of total billed charges,1480.321617,,,,,,,,,,1585,percent of total billed charges,1476.207867,,,,,,,,,,1585,percent of total billed charges,1454.470724,,,,,,,,,,1585,percent of total billed charges,1491.896394,,,,,,,,,,1585,percent of total billed charges,999999999,,,,,,,,,,1585,percent of total billed charges,1280.152165,,,,,,,,,,1585,percent of total billed charges,2018.888244,,,,,,,,,,1585,percent of total billed charges,999999999,,,,,,,,,,1585,percent of total billed charges,1380.317118,,,,,,,,,,5706,percent of total billed charges,,,,,
THORACENTESIS PUNCT PLEURAL W/O IMAGING,32554,CDM,,,,both,,,1138,1138,242.261929,1138,1138,percent of total billed charges,837.2670283,,,,1138,percent of total billed charges,887.4864952,,,,1138,percent of total billed charges,837.2670283,,,,1138,percent of total billed charges,887.4864952,,,,1138,percent of total billed charges,999999999,,,,1138,percent of total billed charges,867.0777857,,,,1138,percent of total billed charges,837.2670283,,,,1138,percent of total billed charges,887.4864952,,,,811.394,percent of total billed charges,404.9004545,,,,811.394,percent of total billed charges,242.261929,,,,811.394,percent of total billed charges,404.9004545,,,,811.394,percent of total billed charges,242.261929,,,,811.394,percent of total billed charges,404.9004545,,,,811.394,percent of total billed charges,242.261929,,,,803.428,percent of total billed charges,797.3321734,,,,803.428,percent of total billed charges,549.9136803,,,,,,,,,,819.36,percent of total billed charges,532.5647187,,,,,,,,,,819.36,percent of total billed charges,999999999,,,,,,,,,,910.4,percent of total billed charges,762.8678758,,,,899.02,percent of total billed charges,867.5929892,,,,899.02,percent of total billed charges,766.5471247,,,,910.4,percent of total billed charges,999999999,,,,910.4,percent of total billed charges,999999999,,,,796.6,percent of total billed charges,999999999,,,,796.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,605.416,percent of total billed charges,999999999,,,,,,,,,,,,,,,,574.69,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,284.5,percent of total billed charges,270.2054088,,,,,,,,,,284.5,percent of total billed charges,265.7107256,,,,,,,,,,284.5,percent of total billed charges,264.9723269,,,,,,,,,,284.5,percent of total billed charges,261.0706126,,,,,,,,,,284.5,percent of total billed charges,267.7883433,,,,,,,,,,284.5,percent of total billed charges,999999999,,,,,,,,,,284.5,percent of total billed charges,229.7812562,,,,,,,,,,284.5,percent of total billed charges,362.3808867,,,,,,,,,,284.5,percent of total billed charges,999999999,,,,,,,,,,284.5,percent of total billed charges,247.7603912,,,,,,,,,,1024.2,percent of total billed charges,,,,,
**TUBE THORACOSTOMY W WO WATER SEAL,32020,CDM,,,,both,,,556,556,118.3634732,556,556,percent of total billed charges,409.0689523,,,,556,percent of total billed charges,433.6050012,,,,556,percent of total billed charges,409.0689523,,,,556,percent of total billed charges,433.6050012,,,,556,percent of total billed charges,999999999,,,,556,percent of total billed charges,423.6337864,,,,556,percent of total billed charges,409.0689523,,,,556,percent of total billed charges,433.6050012,,,,396.428,percent of total billed charges,197.8248266,,,,396.428,percent of total billed charges,118.3634732,,,,396.428,percent of total billed charges,197.8248266,,,,396.428,percent of total billed charges,118.3634732,,,,396.428,percent of total billed charges,197.8248266,,,,396.428,percent of total billed charges,118.3634732,,,,392.536,percent of total billed charges,389.5577227,,,,392.536,percent of total billed charges,268.6748737,,,,,,,,,,400.32,percent of total billed charges,260.1985796,,,,,,,,,,400.32,percent of total billed charges,999999999,,,,,,,,,,444.8,percent of total billed charges,372.7192785,,,,439.24,percent of total billed charges,423.8855027,,,,439.24,percent of total billed charges,374.5168729,,,,444.8,percent of total billed charges,999999999,,,,444.8,percent of total billed charges,999999999,,,,389.2,percent of total billed charges,999999999,,,,389.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,295.792,percent of total billed charges,999999999,,,,,,,,,,,,,,,,280.78,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,139,percent of total billed charges,132.0159994,,,,,,,,,,139,percent of total billed charges,129.820003,,,,,,,,,,139,percent of total billed charges,129.4592388,,,,,,,,,,139,percent of total billed charges,127.5529531,,,,,,,,,,139,percent of total billed charges,130.8350781,,,,,,,,,,139,percent of total billed charges,999999999,,,,,,,,,,139,percent of total billed charges,112.2657104,,,,,,,,,,139,percent of total billed charges,177.0507671,,,,,,,,,,139,percent of total billed charges,999999999,,,,,,,,,,139,percent of total billed charges,121.0498924,,,,,,,,,,500.4,percent of total billed charges,,,,,
**PERICARDIOCENTESIS INITIAL,33010,CDM,,,,both,,,894,894,190.3182465,894,894,percent of total billed charges,657.74756,,,,894,percent of total billed charges,697.1994083,,,,894,percent of total billed charges,657.74756,,,,894,percent of total billed charges,697.1994083,,,,894,percent of total billed charges,999999999,,,,894,percent of total billed charges,681.1665558,,,,894,percent of total billed charges,657.74756,,,,894,percent of total billed charges,697.1994083,,,,637.422,percent of total billed charges,318.0852428,,,,637.422,percent of total billed charges,190.3182465,,,,637.422,percent of total billed charges,318.0852428,,,,637.422,percent of total billed charges,190.3182465,,,,637.422,percent of total billed charges,318.0852428,,,,637.422,percent of total billed charges,190.3182465,,,,631.164,percent of total billed charges,626.3751871,,,,631.164,percent of total billed charges,432.0060019,,,,,,,,,,643.68,percent of total billed charges,418.3768528,,,,,,,,,,643.68,percent of total billed charges,999999999,,,,,,,,,,715.2,percent of total billed charges,599.3004226,,,,706.26,percent of total billed charges,681.5712938,,,,706.26,percent of total billed charges,602.1907992,,,,715.2,percent of total billed charges,999999999,,,,715.2,percent of total billed charges,999999999,,,,625.8,percent of total billed charges,999999999,,,,625.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,475.608,percent of total billed charges,999999999,,,,,,,,,,,,,,,,451.47,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,223.5,percent of total billed charges,212.2703299,,,,,,,,,,223.5,percent of total billed charges,208.7393574,,,,,,,,,,223.5,percent of total billed charges,208.1592797,,,,,,,,,,223.5,percent of total billed charges,205.0941368,,,,,,,,,,223.5,percent of total billed charges,210.3715105,,,,,,,,,,223.5,percent of total billed charges,999999999,,,,,,,,,,223.5,percent of total billed charges,180.5135703,,,,,,,,,,223.5,percent of total billed charges,284.6823486,,,,,,,,,,223.5,percent of total billed charges,999999999,,,,,,,,,,223.5,percent of total billed charges,194.6377766,,,,,,,,,,804.6,percent of total billed charges,,,,,
ER-PIC INSERT W/O SUB PORT OR PUMP,36569,CDM,,,,both,,,3311,3311,704.8587406,3311,3311,percent of total billed charges,2436.020326,,,,3311,percent of total billed charges,2582.133379,,,,3311,percent of total billed charges,2436.020326,,,,3311,percent of total billed charges,2582.133379,,,,3311,percent of total billed charges,999999999,,,,3311,percent of total billed charges,2522.754436,,,,3311,percent of total billed charges,2436.020326,,,,3311,percent of total billed charges,2582.133379,,,,2360.743,percent of total billed charges,1178.053959,,,,2360.743,percent of total billed charges,704.8587406,,,,2360.743,percent of total billed charges,1178.053959,,,,2360.743,percent of total billed charges,704.8587406,,,,2360.743,percent of total billed charges,1178.053959,,,,2360.743,percent of total billed charges,704.8587406,,,,2337.566,percent of total billed charges,2319.830251,,,,2337.566,percent of total billed charges,1599.968537,,,,,,,,,,2383.92,percent of total billed charges,1549.491901,,,,,,,,,,2383.92,percent of total billed charges,999999999,,,,,,,,,,2648.8,percent of total billed charges,2219.556711,,,,2615.69,percent of total billed charges,2524.253416,,,,2615.69,percent of total billed charges,2230.26145,,,,2648.8,percent of total billed charges,999999999,,,,2648.8,percent of total billed charges,999999999,,,,2317.7,percent of total billed charges,999999999,,,,2317.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1761.452,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1672.055,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,827.75,percent of total billed charges,786.1600249,,,,,,,,,,827.75,percent of total billed charges,773.0827879,,,,,,,,,,827.75,percent of total billed charges,770.9344239,,,,,,,,,,827.75,percent of total billed charges,759.5824239,,,,,,,,,,827.75,percent of total billed charges,779.1275963,,,,,,,,,,827.75,percent of total billed charges,999999999,,,,,,,,,,827.75,percent of total billed charges,668.5463438,,,,,,,,,,827.75,percent of total billed charges,1054.343687,,,,,,,,,,827.75,percent of total billed charges,999999999,,,,,,,,,,827.75,percent of total billed charges,720.8564634,,,,,,,,,,2979.9,percent of total billed charges,,,,,
**SUTURE ARTERY,37609,CDM,,,,both,,,1571,1571,334.440677,1571,1571,percent of total billed charges,1155.840511,,,,1571,percent of total billed charges,1225.168088,,,,1571,percent of total billed charges,1155.840511,,,,1571,percent of total billed charges,1225.168088,,,,1571,percent of total billed charges,999999999,,,,1571,percent of total billed charges,1196.994026,,,,1571,percent of total billed charges,1155.840511,,,,1571,percent of total billed charges,1225.168088,,,,1120.123,percent of total billed charges,558.9618753,,,,1120.123,percent of total billed charges,334.440677,,,,1120.123,percent of total billed charges,558.9618753,,,,1120.123,percent of total billed charges,334.440677,,,,1120.123,percent of total billed charges,558.9618753,,,,1120.123,percent of total billed charges,334.440677,,,,1109.126,percent of total billed charges,1100.71076,,,,1109.126,percent of total billed charges,759.1514866,,,,,,,,,,1131.12,percent of total billed charges,735.2013824,,,,,,,,,,1131.12,percent of total billed charges,999999999,,,,,,,,,,1256.8,percent of total billed charges,1053.133069,,,,1241.09,percent of total billed charges,1197.70526,,,,1241.09,percent of total billed charges,1058.212243,,,,1256.8,percent of total billed charges,999999999,,,,1256.8,percent of total billed charges,999999999,,,,1099.7,percent of total billed charges,999999999,,,,1099.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,835.772,percent of total billed charges,999999999,,,,,,,,,,,,,,,,793.355,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,392.75,percent of total billed charges,373.0164298,,,,,,,,,,392.75,percent of total billed charges,366.8115553,,,,,,,,,,392.75,percent of total billed charges,365.7922017,,,,,,,,,,392.75,percent of total billed charges,360.405916,,,,,,,,,,392.75,percent of total billed charges,369.6796901,,,,,,,,,,392.75,percent of total billed charges,999999999,,,,,,,,,,392.75,percent of total billed charges,317.2112069,,,,,,,,,,392.75,percent of total billed charges,500.2639481,,,,,,,,,,392.75,percent of total billed charges,999999999,,,,,,,,,,392.75,percent of total billed charges,342.0312606,,,,,,,,,,1413.9,percent of total billed charges,,,,,
I OR R TEMP TRANSV S CHAMBER CARD EL,33210,CDM,,,,both,,,13096,13096,2787.928139,13096,13096,percent of total billed charges,9635.192445,,,,13096,percent of total billed charges,10213.11348,,,,13096,percent of total billed charges,9635.192445,,,,13096,percent of total billed charges,10213.11348,,,,13096,percent of total billed charges,999999999,,,,13096,percent of total billed charges,9978.251917,,,,13096,percent of total billed charges,9635.192445,,,,13096,percent of total billed charges,10213.11348,,,,9337.448,percent of total billed charges,4659.557428,,,,9337.448,percent of total billed charges,2787.928139,,,,9337.448,percent of total billed charges,4659.557428,,,,9337.448,percent of total billed charges,2787.928139,,,,9337.448,percent of total billed charges,4659.557428,,,,9337.448,percent of total billed charges,2787.928139,,,,9245.776,percent of total billed charges,9175.625784,,,,9245.776,percent of total billed charges,6328.356377,,,,,,,,,,9429.12,percent of total billed charges,6128.706113,,,,,,,,,,9429.12,percent of total billed charges,999999999,,,,,,,,,,10476.8,percent of total billed charges,8779.013798,,,,10345.84,percent of total billed charges,9984.180832,,,,10345.84,percent of total billed charges,8821.354257,,,,10476.8,percent of total billed charges,999999999,,,,10476.8,percent of total billed charges,999999999,,,,9167.2,percent of total billed charges,999999999,,,,9167.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6967.072,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6613.48,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3274,percent of total billed charges,3109.49915,,,,,,,,,,3274,percent of total billed charges,3057.774748,,,,,,,,,,3274,percent of total billed charges,3049.277323,,,,,,,,,,3274,percent of total billed charges,3004.376751,,,,,,,,,,3274,percent of total billed charges,3081.683782,,,,,,,,,,3274,percent of total billed charges,999999999,,,,,,,,,,3274,percent of total billed charges,2644.301697,,,,,,,,,,3274,percent of total billed charges,4170.246126,,,,,,,,,,3274,percent of total billed charges,999999999,,,,,,,,,,3274,percent of total billed charges,2851.20394,,,,,,,,,,11786.4,percent of total billed charges,,,,,
PLACEMT CENTRL VEN CATH PER >AGE 2,36555,CDM,,,,both,,,2097,2097,446.4176319,2097,2097,percent of total billed charges,1542.837397,,,,2097,percent of total billed charges,1635.377136,,,,2097,percent of total billed charges,1542.837397,,,,2097,percent of total billed charges,1635.377136,,,,2097,percent of total billed charges,999999999,,,,2097,percent of total billed charges,1597.769874,,,,2097,percent of total billed charges,1542.837397,,,,2097,percent of total billed charges,1635.377136,,,,1495.161,percent of total billed charges,746.1127005,,,,1495.161,percent of total billed charges,446.4176319,,,,1495.161,percent of total billed charges,746.1127005,,,,1495.161,percent of total billed charges,446.4176319,,,,1495.161,percent of total billed charges,746.1127005,,,,1495.161,percent of total billed charges,446.4176319,,,,1480.482,percent of total billed charges,1469.249181,,,,1480.482,percent of total billed charges,1013.329515,,,,,,,,,,1509.84,percent of total billed charges,981.3604703,,,,,,,,,,1509.84,percent of total billed charges,999999999,,,,,,,,,,1677.6,percent of total billed charges,1405.741595,,,,1656.63,percent of total billed charges,1598.719243,,,,1656.63,percent of total billed charges,1412.521371,,,,1677.6,percent of total billed charges,999999999,,,,1677.6,percent of total billed charges,999999999,,,,1467.9,percent of total billed charges,999999999,,,,1467.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1115.604,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1058.985,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,524.25,percent of total billed charges,497.9092638,,,,,,,,,,524.25,percent of total billed charges,489.6268819,,,,,,,,,,524.25,percent of total billed charges,488.2662298,,,,,,,,,,524.25,percent of total billed charges,481.0765155,,,,,,,,,,524.25,percent of total billed charges,493.4553215,,,,,,,,,,524.25,percent of total billed charges,999999999,,,,,,,,,,524.25,percent of total billed charges,423.419415,,,,,,,,,,524.25,percent of total billed charges,667.7616163,,,,,,,,,,524.25,percent of total billed charges,999999999,,,,,,,,,,524.25,percent of total billed charges,456.549684,,,,,,,,,,1887.3,percent of total billed charges,,,,,
ARTERIAL PUNCTURE,36600,CDM,,,,both,,,56,56,11.9215009,56,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,56,percent of total billed charges,999999999,,,,56,percent of total billed charges,42.66815114,,,,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.536,percent of total billed charges,39.23602962,,,,39.536,percent of total billed charges,27.06077864,,,,,,,,,,40.32,percent of total billed charges,26.20705119,,,,,,,,,,40.32,percent of total billed charges,999999999,,,,,,,,,,44.8,percent of total billed charges,37.54007122,,,,44.24,percent of total billed charges,42.69350386,,,,44.24,percent of total billed charges,37.72112388,,,,44.8,percent of total billed charges,999999999,,,,44.8,percent of total billed charges,999999999,,,,39.2,percent of total billed charges,999999999,,,,39.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,29.792,percent of total billed charges,999999999,,,,,,,,,,,,,,,,28.28,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14,percent of total billed charges,13.29657547,,,,,,,,,,14,percent of total billed charges,13.07539599,,,,,,,,,,14,percent of total billed charges,13.03906002,,,,,,,,,,14,percent of total billed charges,12.84706002,,,,,,,,,,14,percent of total billed charges,13.17763376,,,,,,,,,,14,percent of total billed charges,999999999,,,,,,,,,,14,percent of total billed charges,11.30733774,,,,,,,,,,14,percent of total billed charges,17.83245137,,,,,,,,,,14,percent of total billed charges,999999999,,,,,,,,,,14,percent of total billed charges,12.19207549,,,,,,,,,,50.4,percent of total billed charges,,,,,
**REMVAL EMBD FOREIGN BODY VSTBL MOUTH,40804,CDM,,,,both,,,60,60,12.77303668,60,60,percent of total billed charges,44.14413154,,,,60,percent of total billed charges,46.7919066,,,,60,percent of total billed charges,44.14413154,,,,60,percent of total billed charges,46.7919066,,,,60,percent of total billed charges,999999999,,,,60,percent of total billed charges,45.71587623,,,,60,percent of total billed charges,44.14413154,,,,60,percent of total billed charges,46.7919066,,,,42.78,percent of total billed charges,21.34800288,,,,42.78,percent of total billed charges,12.77303668,,,,42.78,percent of total billed charges,21.34800288,,,,42.78,percent of total billed charges,12.77303668,,,,42.78,percent of total billed charges,21.34800288,,,,42.78,percent of total billed charges,12.77303668,,,,42.36,percent of total billed charges,42.03860316,,,,42.36,percent of total billed charges,28.9936914,,,,,,,,,,43.2,percent of total billed charges,28.07898341,,,,,,,,,,43.2,percent of total billed charges,999999999,,,,,,,,,,48,percent of total billed charges,40.22150488,,,,47.4,percent of total billed charges,45.74303985,,,,47.4,percent of total billed charges,40.41548988,,,,48,percent of total billed charges,999999999,,,,48,percent of total billed charges,999999999,,,,42,percent of total billed charges,999999999,,,,42,percent of total billed charges,999999999,,,,,,,,,,,,,,,,31.92,percent of total billed charges,999999999,,,,,,,,,,,,,,,,30.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15,percent of total billed charges,14.24633087,,,,,,,,,,15,percent of total billed charges,14.00935285,,,,,,,,,,15,percent of total billed charges,13.97042145,,,,,,,,,,15,percent of total billed charges,13.76470717,,,,,,,,,,15,percent of total billed charges,14.11889332,,,,,,,,,,15,percent of total billed charges,999999999,,,,,,,,,,15,percent of total billed charges,12.11500472,,,,,,,,,,15,percent of total billed charges,19.10619789,,,,,,,,,,15,percent of total billed charges,999999999,,,,,,,,,,15,percent of total billed charges,13.06293803,,,,,,,,,,54,percent of total billed charges,,,,,
RMVL EMBD FOREIGN BODY VESTBL MOUTH,40804,CDM,,,,both,,,60,60,12.77303668,60,60,percent of total billed charges,44.14413154,,,,60,percent of total billed charges,46.7919066,,,,60,percent of total billed charges,44.14413154,,,,60,percent of total billed charges,46.7919066,,,,60,percent of total billed charges,999999999,,,,60,percent of total billed charges,45.71587623,,,,60,percent of total billed charges,44.14413154,,,,60,percent of total billed charges,46.7919066,,,,42.78,percent of total billed charges,21.34800288,,,,42.78,percent of total billed charges,12.77303668,,,,42.78,percent of total billed charges,21.34800288,,,,42.78,percent of total billed charges,12.77303668,,,,42.78,percent of total billed charges,21.34800288,,,,42.78,percent of total billed charges,12.77303668,,,,42.36,percent of total billed charges,42.03860316,,,,42.36,percent of total billed charges,28.9936914,,,,,,,,,,43.2,percent of total billed charges,28.07898341,,,,,,,,,,43.2,percent of total billed charges,999999999,,,,,,,,,,48,percent of total billed charges,40.22150488,,,,47.4,percent of total billed charges,45.74303985,,,,47.4,percent of total billed charges,40.41548988,,,,48,percent of total billed charges,999999999,,,,48,percent of total billed charges,999999999,,,,42,percent of total billed charges,999999999,,,,42,percent of total billed charges,999999999,,,,,,,,,,,,,,,,31.92,percent of total billed charges,999999999,,,,,,,,,,,,,,,,30.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15,percent of total billed charges,14.24633087,,,,,,,,,,15,percent of total billed charges,14.00935285,,,,,,,,,,15,percent of total billed charges,13.97042145,,,,,,,,,,15,percent of total billed charges,13.76470717,,,,,,,,,,15,percent of total billed charges,14.11889332,,,,,,,,,,15,percent of total billed charges,999999999,,,,,,,,,,15,percent of total billed charges,12.11500472,,,,,,,,,,15,percent of total billed charges,19.10619789,,,,,,,,,,15,percent of total billed charges,999999999,,,,,,,,,,15,percent of total billed charges,13.06293803,,,,,,,,,,54,percent of total billed charges,,,,,
INCISION & DRNG ABCESS PALATE,42000,CDM,,,,both,,,519,519,110.4867673,519,519,percent of total billed charges,381.8467378,,,,519,percent of total billed charges,404.7499921,,,,519,percent of total billed charges,381.8467378,,,,519,percent of total billed charges,404.7499921,,,,519,percent of total billed charges,999999999,,,,519,percent of total billed charges,395.4423294,,,,519,percent of total billed charges,381.8467378,,,,519,percent of total billed charges,404.7499921,,,,370.047,percent of total billed charges,184.6602249,,,,370.047,percent of total billed charges,110.4867673,,,,370.047,percent of total billed charges,184.6602249,,,,370.047,percent of total billed charges,110.4867673,,,,370.047,percent of total billed charges,184.6602249,,,,370.047,percent of total billed charges,110.4867673,,,,366.414,percent of total billed charges,363.6339174,,,,366.414,percent of total billed charges,250.7954306,,,,,,,,,,373.68,percent of total billed charges,242.8832065,,,,,,,,,,373.68,percent of total billed charges,999999999,,,,,,,,,,415.2,percent of total billed charges,347.9160172,,,,410.01,percent of total billed charges,395.6772947,,,,410.01,percent of total billed charges,349.5939874,,,,415.2,percent of total billed charges,999999999,,,,415.2,percent of total billed charges,999999999,,,,363.3,percent of total billed charges,999999999,,,,363.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,276.108,percent of total billed charges,999999999,,,,,,,,,,,,,,,,262.095,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,129.75,percent of total billed charges,123.230762,,,,,,,,,,129.75,percent of total billed charges,121.1809021,,,,,,,,,,129.75,percent of total billed charges,120.8441456,,,,,,,,,,129.75,percent of total billed charges,119.064717,,,,,,,,,,129.75,percent of total billed charges,122.1284272,,,,,,,,,,129.75,percent of total billed charges,999999999,,,,,,,,,,129.75,percent of total billed charges,104.7947908,,,,,,,,,,129.75,percent of total billed charges,165.2686118,,,,,,,,,,129.75,percent of total billed charges,999999999,,,,,,,,,,129.75,percent of total billed charges,112.9944139,,,,,,,,,,467.1,percent of total billed charges,,,,,
INCISION & DRNG ISHRCTL/PERCTAL ABCESS,46040,CDM,,,,both,,,2488,2488,529.6552542,2488,2488,percent of total billed charges,1830.509988,,,,2488,percent of total billed charges,1940.304394,,,,2488,percent of total billed charges,1830.509988,,,,2488,percent of total billed charges,1940.304394,,,,2488,percent of total billed charges,999999999,,,,2488,percent of total billed charges,1895.685001,,,,2488,percent of total billed charges,1830.509988,,,,2488,percent of total billed charges,1940.304394,,,,1773.944,percent of total billed charges,885.2305192,,,,1773.944,percent of total billed charges,529.6552542,,,,1773.944,percent of total billed charges,885.2305192,,,,1773.944,percent of total billed charges,529.6552542,,,,1773.944,percent of total billed charges,885.2305192,,,,1773.944,percent of total billed charges,529.6552542,,,,1756.528,percent of total billed charges,1743.200745,,,,1756.528,percent of total billed charges,1202.271737,,,,,,,,,,1791.36,percent of total billed charges,1164.341846,,,,,,,,,,1791.36,percent of total billed charges,999999999,,,,,,,,,,1990.4,percent of total billed charges,1667.851736,,,,1965.52,percent of total billed charges,1896.811386,,,,1965.52,percent of total billed charges,1675.895647,,,,1990.4,percent of total billed charges,999999999,,,,1990.4,percent of total billed charges,999999999,,,,1741.6,percent of total billed charges,999999999,,,,1741.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1323.616,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1256.44,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,622,percent of total billed charges,590.7478532,,,,,,,,,,622,percent of total billed charges,580.9211647,,,,,,,,,,622,percent of total billed charges,579.3068096,,,,,,,,,,622,percent of total billed charges,570.7765239,,,,,,,,,,622,percent of total billed charges,585.463443,,,,,,,,,,622,percent of total billed charges,999999999,,,,,,,,,,622,percent of total billed charges,502.3688624,,,,,,,,,,622,percent of total billed charges,792.2703392,,,,,,,,,,622,percent of total billed charges,999999999,,,,,,,,,,622,percent of total billed charges,541.6764968,,,,,,,,,,2239.2,percent of total billed charges,,,,,
INCISION & DRN PERIANAL ABCESS SUPRFCL,46050,CDM,,,,both,,,680,680,144.7610823,680,680,percent of total billed charges,500.3001575,,,,680,percent of total billed charges,530.3082748,,,,680,percent of total billed charges,500.3001575,,,,680,percent of total billed charges,530.3082748,,,,680,percent of total billed charges,999999999,,,,680,percent of total billed charges,518.1132639,,,,680,percent of total billed charges,500.3001575,,,,680,percent of total billed charges,530.3082748,,,,484.84,percent of total billed charges,241.9440326,,,,484.84,percent of total billed charges,144.7610823,,,,484.84,percent of total billed charges,241.9440326,,,,484.84,percent of total billed charges,144.7610823,,,,484.84,percent of total billed charges,241.9440326,,,,484.84,percent of total billed charges,144.7610823,,,,480.08,percent of total billed charges,476.4375025,,,,480.08,percent of total billed charges,328.5951692,,,,,,,,,,489.6,percent of total billed charges,318.2284787,,,,,,,,,,489.6,percent of total billed charges,999999999,,,,,,,,,,544,percent of total billed charges,455.8437219,,,,537.2,percent of total billed charges,518.4211184,,,,537.2,percent of total billed charges,458.0422186,,,,544,percent of total billed charges,999999999,,,,544,percent of total billed charges,999999999,,,,476,percent of total billed charges,999999999,,,,476,percent of total billed charges,999999999,,,,,,,,,,,,,,,,361.76,percent of total billed charges,999999999,,,,,,,,,,,,,,,,343.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,170,percent of total billed charges,161.4584165,,,,,,,,,,170,percent of total billed charges,158.7726656,,,,,,,,,,170,percent of total billed charges,158.3314431,,,,,,,,,,170,percent of total billed charges,156.0000146,,,,,,,,,,170,percent of total billed charges,160.0141243,,,,,,,,,,170,percent of total billed charges,999999999,,,,,,,,,,170,percent of total billed charges,137.3033868,,,,,,,,,,170,percent of total billed charges,216.5369094,,,,,,,,,,170,percent of total billed charges,999999999,,,,,,,,,,170,percent of total billed charges,148.046631,,,,,,,,,,612,percent of total billed charges,,,,,
INCISION HEMORRHOID NON THROMBOSED,46999,CDM,,,,both,,,2902,2902,617.7892073,2902,2902,percent of total billed charges,2135.104496,,,,2902,percent of total billed charges,2263.168549,,,,2902,percent of total billed charges,2135.104496,,,,2902,percent of total billed charges,2263.168549,,,,2902,percent of total billed charges,999999999,,,,2902,percent of total billed charges,2211.124547,,,,2902,percent of total billed charges,2135.104496,,,,2902,percent of total billed charges,2263.168549,,,,2069.126,percent of total billed charges,1032.531739,,,,2069.126,percent of total billed charges,617.7892073,,,,2069.126,percent of total billed charges,1032.531739,,,,2069.126,percent of total billed charges,617.7892073,,,,2069.126,percent of total billed charges,1032.531739,,,,2069.126,percent of total billed charges,617.7892073,,,,2048.812,percent of total billed charges,2033.267106,,,,2048.812,percent of total billed charges,1402.328207,,,,,,,,,,2089.44,percent of total billed charges,1358.086831,,,,,,,,,,2089.44,percent of total billed charges,999999999,,,,,,,,,,2321.6,percent of total billed charges,1945.380119,,,,2292.58,percent of total billed charges,2212.438361,,,,2292.58,percent of total billed charges,1954.762527,,,,2321.6,percent of total billed charges,999999999,,,,2321.6,percent of total billed charges,999999999,,,,2031.4,percent of total billed charges,999999999,,,,2031.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1543.864,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1465.51,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,725.5,percent of total billed charges,689.0475362,,,,,,,,,,725.5,percent of total billed charges,677.5856993,,,,,,,,,,725.5,percent of total billed charges,675.7027176,,,,,,,,,,725.5,percent of total billed charges,665.7530034,,,,,,,,,,725.5,percent of total billed charges,682.8838069,,,,,,,,,,725.5,percent of total billed charges,999999999,,,,,,,,,,725.5,percent of total billed charges,585.962395,,,,,,,,,,725.5,percent of total billed charges,924.1031047,,,,,,,,,,725.5,percent of total billed charges,999999999,,,,,,,,,,725.5,percent of total billed charges,631.8107692,,,,,,,,,,2611.8,percent of total billed charges,,,,,
ANOSCOPY DIAGN W/WO COL SPECM BY W/B,46600,CDM,,,,both,,,56,56,11.9215009,56,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,56,percent of total billed charges,999999999,,,,56,percent of total billed charges,42.66815114,,,,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.536,percent of total billed charges,39.23602962,,,,39.536,percent of total billed charges,27.06077864,,,,,,,,,,40.32,percent of total billed charges,26.20705119,,,,,,,,,,40.32,percent of total billed charges,999999999,,,,,,,,,,44.8,percent of total billed charges,37.54007122,,,,44.24,percent of total billed charges,42.69350386,,,,44.24,percent of total billed charges,37.72112388,,,,44.8,percent of total billed charges,999999999,,,,44.8,percent of total billed charges,999999999,,,,39.2,percent of total billed charges,999999999,,,,39.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,29.792,percent of total billed charges,999999999,,,,,,,,,,,,,,,,28.28,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14,percent of total billed charges,13.29657547,,,,,,,,,,14,percent of total billed charges,13.07539599,,,,,,,,,,14,percent of total billed charges,13.03906002,,,,,,,,,,14,percent of total billed charges,12.84706002,,,,,,,,,,14,percent of total billed charges,13.17763376,,,,,,,,,,14,percent of total billed charges,999999999,,,,,,,,,,14,percent of total billed charges,11.30733774,,,,,,,,,,14,percent of total billed charges,17.83245137,,,,,,,,,,14,percent of total billed charges,999999999,,,,,,,,,,14,percent of total billed charges,12.19207549,,,,,,,,,,50.4,percent of total billed charges,,,,,
SCOPE BLADDER COMPLEX REMOVAL,52315,CDM,,,,both,,,8841,8841,1882.106954,8841,8841,percent of total billed charges,6504.637783,,,,8841,percent of total billed charges,6894.787438,,,,8841,percent of total billed charges,6504.637783,,,,8841,percent of total billed charges,6894.787438,,,,8841,percent of total billed charges,999999999,,,,8841,percent of total billed charges,6736.234362,,,,8841,percent of total billed charges,6504.637783,,,,8841,percent of total billed charges,6894.787438,,,,6303.633,percent of total billed charges,3145.628224,,,,6303.633,percent of total billed charges,1882.106954,,,,6303.633,percent of total billed charges,3145.628224,,,,6303.633,percent of total billed charges,1882.106954,,,,6303.633,percent of total billed charges,3145.628224,,,,6303.633,percent of total billed charges,1882.106954,,,,6241.746,percent of total billed charges,6194.388176,,,,6241.746,percent of total billed charges,4272.220428,,,,,,,,,,6365.52,percent of total billed charges,4137.438206,,,,,,,,,,6365.52,percent of total billed charges,999999999,,,,,,,,,,7072.8,percent of total billed charges,5926.638743,,,,6984.39,percent of total billed charges,6740.236923,,,,6984.39,percent of total billed charges,5955.222433,,,,7072.8,percent of total billed charges,999999999,,,,7072.8,percent of total billed charges,999999999,,,,6188.7,percent of total billed charges,999999999,,,,6188.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4703.412,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4464.705,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2210.25,percent of total billed charges,2099.196853,,,,,,,,,,2210.25,percent of total billed charges,2064.278142,,,,,,,,,,2210.25,percent of total billed charges,2058.541601,,,,,,,,,,2210.25,percent of total billed charges,2028.229601,,,,,,,,,,2210.25,percent of total billed charges,2080.418931,,,,,,,,,,2210.25,percent of total billed charges,999999999,,,,,,,,,,2210.25,percent of total billed charges,1785.145946,,,,,,,,,,2210.25,percent of total billed charges,2815.298259,,,,,,,,,,2210.25,percent of total billed charges,999999999,,,,,,,,,,2210.25,percent of total billed charges,1924.823918,,,,,,,,,,7956.9,percent of total billed charges,,,,,
BLADDER IRRIG SMPL LAVAGE/INSTILLTN,51700,CDM,,,,both,,,869,869,184.9961479,869,869,percent of total billed charges,639.3541719,,,,869,percent of total billed charges,677.7027806,,,,869,percent of total billed charges,639.3541719,,,,869,percent of total billed charges,677.7027806,,,,869,percent of total billed charges,999999999,,,,869,percent of total billed charges,662.118274,,,,869,percent of total billed charges,639.3541719,,,,869,percent of total billed charges,677.7027806,,,,619.597,percent of total billed charges,309.1902416,,,,619.597,percent of total billed charges,184.9961479,,,,619.597,percent of total billed charges,309.1902416,,,,619.597,percent of total billed charges,184.9961479,,,,619.597,percent of total billed charges,309.1902416,,,,619.597,percent of total billed charges,184.9961479,,,,613.514,percent of total billed charges,608.8591025,,,,613.514,percent of total billed charges,419.9252971,,,,,,,,,,625.68,percent of total billed charges,406.6772764,,,,,,,,,,625.68,percent of total billed charges,999999999,,,,,,,,,,695.2,percent of total billed charges,582.5414623,,,,686.51,percent of total billed charges,662.5116939,,,,686.51,percent of total billed charges,585.3510117,,,,695.2,percent of total billed charges,999999999,,,,695.2,percent of total billed charges,999999999,,,,608.3,percent of total billed charges,999999999,,,,608.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,462.308,percent of total billed charges,999999999,,,,,,,,,,,,,,,,438.845,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,217.25,percent of total billed charges,206.3343587,,,,,,,,,,217.25,percent of total billed charges,202.902127,,,,,,,,,,217.25,percent of total billed charges,202.3382707,,,,,,,,,,217.25,percent of total billed charges,199.3588421,,,,,,,,,,217.25,percent of total billed charges,204.4886382,,,,,,,,,,217.25,percent of total billed charges,999999999,,,,,,,,,,217.25,percent of total billed charges,175.4656517,,,,,,,,,,217.25,percent of total billed charges,276.7214328,,,,,,,,,,217.25,percent of total billed charges,999999999,,,,,,,,,,217.25,percent of total billed charges,189.1948857,,,,,,,,,,782.1,percent of total billed charges,,,,,
**CATHETERIZATION URETHRA SIMPLE,53670,CDM,,,,both,,,409,409,87.06953335,409,409,percent of total billed charges,300.91583,,,,409,percent of total billed charges,318.96483,,,,409,percent of total billed charges,300.91583,,,,409,percent of total billed charges,318.96483,,,,409,percent of total billed charges,999999999,,,,409,percent of total billed charges,311.6298896,,,,409,percent of total billed charges,300.91583,,,,409,percent of total billed charges,318.96483,,,,291.617,percent of total billed charges,145.5222196,,,,291.617,percent of total billed charges,87.06953335,,,,291.617,percent of total billed charges,145.5222196,,,,291.617,percent of total billed charges,87.06953335,,,,291.617,percent of total billed charges,145.5222196,,,,291.617,percent of total billed charges,87.06953335,,,,288.754,percent of total billed charges,286.5631449,,,,288.754,percent of total billed charges,197.6403297,,,,,,,,,,294.48,percent of total billed charges,191.4050703,,,,,,,,,,294.48,percent of total billed charges,999999999,,,,,,,,,,327.2,percent of total billed charges,274.1765916,,,,323.11,percent of total billed charges,311.815055,,,,323.11,percent of total billed charges,275.4989227,,,,327.2,percent of total billed charges,999999999,,,,327.2,percent of total billed charges,999999999,,,,286.3,percent of total billed charges,999999999,,,,286.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,217.588,percent of total billed charges,999999999,,,,,,,,,,,,,,,,206.545,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,102.25,percent of total billed charges,97.11248874,,,,,,,,,,102.25,percent of total billed charges,95.49708856,,,,,,,,,,102.25,percent of total billed charges,95.23170624,,,,,,,,,,102.25,percent of total billed charges,93.82942053,,,,,,,,,,102.25,percent of total billed charges,96.24378946,,,,,,,,,,102.25,percent of total billed charges,999999999,,,,,,,,,,102.25,percent of total billed charges,82.58394885,,,,,,,,,,102.25,percent of total billed charges,130.2405823,,,,,,,,,,102.25,percent of total billed charges,999999999,,,,,,,,,,102.25,percent of total billed charges,89.04569421,,,,,,,,,,368.1,percent of total billed charges,,,,,
**CATHETERIZATION URETHRA SIMPLE,53670,CDM,,,,both,,,409,409,87.06953335,409,409,percent of total billed charges,300.91583,,,,409,percent of total billed charges,318.96483,,,,409,percent of total billed charges,300.91583,,,,409,percent of total billed charges,318.96483,,,,409,percent of total billed charges,999999999,,,,409,percent of total billed charges,311.6298896,,,,409,percent of total billed charges,300.91583,,,,409,percent of total billed charges,318.96483,,,,291.617,percent of total billed charges,145.5222196,,,,291.617,percent of total billed charges,87.06953335,,,,291.617,percent of total billed charges,145.5222196,,,,291.617,percent of total billed charges,87.06953335,,,,291.617,percent of total billed charges,145.5222196,,,,291.617,percent of total billed charges,87.06953335,,,,288.754,percent of total billed charges,286.5631449,,,,288.754,percent of total billed charges,197.6403297,,,,,,,,,,294.48,percent of total billed charges,191.4050703,,,,,,,,,,294.48,percent of total billed charges,999999999,,,,,,,,,,327.2,percent of total billed charges,274.1765916,,,,323.11,percent of total billed charges,311.815055,,,,323.11,percent of total billed charges,275.4989227,,,,327.2,percent of total billed charges,999999999,,,,327.2,percent of total billed charges,999999999,,,,286.3,percent of total billed charges,999999999,,,,286.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,217.588,percent of total billed charges,999999999,,,,,,,,,,,,,,,,206.545,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,102.25,percent of total billed charges,97.11248874,,,,,,,,,,102.25,percent of total billed charges,95.49708856,,,,,,,,,,102.25,percent of total billed charges,95.23170624,,,,,,,,,,102.25,percent of total billed charges,93.82942053,,,,,,,,,,102.25,percent of total billed charges,96.24378946,,,,,,,,,,102.25,percent of total billed charges,999999999,,,,,,,,,,102.25,percent of total billed charges,82.58394885,,,,,,,,,,102.25,percent of total billed charges,130.2405823,,,,,,,,,,102.25,percent of total billed charges,999999999,,,,,,,,,,102.25,percent of total billed charges,89.04569421,,,,,,,,,,368.1,percent of total billed charges,,,,,
VAGINAL DELIVERY ONLY W/WO EPIS/FRCP,59409,CDM,,,,both,,,4426,4426,942.2243389,4426,4426,percent of total billed charges,3256.365437,,,,4426,percent of total billed charges,3451.682977,,,,4426,percent of total billed charges,3256.365437,,,,4426,percent of total billed charges,3451.682977,,,,4426,percent of total billed charges,999999999,,,,4426,percent of total billed charges,3372.307803,,,,4426,percent of total billed charges,3256.365437,,,,4426,percent of total billed charges,3451.682977,,,,3155.738,percent of total billed charges,1574.771012,,,,3155.738,percent of total billed charges,942.2243389,,,,3155.738,percent of total billed charges,1574.771012,,,,3155.738,percent of total billed charges,942.2243389,,,,3155.738,percent of total billed charges,1574.771012,,,,3155.738,percent of total billed charges,942.2243389,,,,3124.756,percent of total billed charges,3101.047627,,,,3124.756,percent of total billed charges,2138.767969,,,,,,,,,,3186.72,percent of total billed charges,2071.29301,,,,,,,,,,3186.72,percent of total billed charges,999999999,,,,,,,,,,3540.8,percent of total billed charges,2967.006343,,,,3496.54,percent of total billed charges,3374.311573,,,,3496.54,percent of total billed charges,2981.31597,,,,3540.8,percent of total billed charges,999999999,,,,3540.8,percent of total billed charges,999999999,,,,3098.2,percent of total billed charges,999999999,,,,3098.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2354.632,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2235.13,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1106.5,percent of total billed charges,1050.90434,,,,,,,,,,1106.5,percent of total billed charges,1033.423262,,,,,,,,,,1106.5,percent of total billed charges,1030.551423,,,,,,,,,,1106.5,percent of total billed charges,1015.376565,,,,,,,,,,1106.5,percent of total billed charges,1041.503697,,,,,,,,,,1106.5,percent of total billed charges,999999999,,,,,,,,,,1106.5,percent of total billed charges,893.6835149,,,,,,,,,,1106.5,percent of total billed charges,1409.400531,,,,,,,,,,1106.5,percent of total billed charges,999999999,,,,,,,,,,1106.5,percent of total billed charges,963.609395,,,,,,,,,,3983.4,percent of total billed charges,,,,,
DELIVERY OF PLACENTA SEP PROC,59414,CDM,,,,both,,,4426,4426,942.2243389,4426,4426,percent of total billed charges,3256.365437,,,,4426,percent of total billed charges,3451.682977,,,,4426,percent of total billed charges,3256.365437,,,,4426,percent of total billed charges,3451.682977,,,,4426,percent of total billed charges,999999999,,,,4426,percent of total billed charges,3372.307803,,,,4426,percent of total billed charges,3256.365437,,,,4426,percent of total billed charges,3451.682977,,,,3155.738,percent of total billed charges,1574.771012,,,,3155.738,percent of total billed charges,942.2243389,,,,3155.738,percent of total billed charges,1574.771012,,,,3155.738,percent of total billed charges,942.2243389,,,,3155.738,percent of total billed charges,1574.771012,,,,3155.738,percent of total billed charges,942.2243389,,,,3124.756,percent of total billed charges,3101.047627,,,,3124.756,percent of total billed charges,2138.767969,,,,,,,,,,3186.72,percent of total billed charges,2071.29301,,,,,,,,,,3186.72,percent of total billed charges,999999999,,,,,,,,,,3540.8,percent of total billed charges,2967.006343,,,,3496.54,percent of total billed charges,3374.311573,,,,3496.54,percent of total billed charges,2981.31597,,,,3540.8,percent of total billed charges,999999999,,,,3540.8,percent of total billed charges,999999999,,,,3098.2,percent of total billed charges,999999999,,,,3098.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2354.632,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2235.13,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1106.5,percent of total billed charges,1050.90434,,,,,,,,,,1106.5,percent of total billed charges,1033.423262,,,,,,,,,,1106.5,percent of total billed charges,1030.551423,,,,,,,,,,1106.5,percent of total billed charges,1015.376565,,,,,,,,,,1106.5,percent of total billed charges,1041.503697,,,,,,,,,,1106.5,percent of total billed charges,999999999,,,,,,,,,,1106.5,percent of total billed charges,893.6835149,,,,,,,,,,1106.5,percent of total billed charges,1409.400531,,,,,,,,,,1106.5,percent of total billed charges,999999999,,,,,,,,,,1106.5,percent of total billed charges,963.609395,,,,,,,,,,3983.4,percent of total billed charges,,,,,
SPINAL PUNCTURE LUMBAR DIAGNOSTIC,62270,CDM,,,,both,,,1643,1643,349.768321,1643,1643,percent of total billed charges,1208.813469,,,,1643,percent of total billed charges,1281.318376,,,,1643,percent of total billed charges,1208.813469,,,,1643,percent of total billed charges,1281.318376,,,,1643,percent of total billed charges,999999999,,,,1643,percent of total billed charges,1251.853077,,,,1643,percent of total billed charges,1208.813469,,,,1643,percent of total billed charges,1281.318376,,,,1171.459,percent of total billed charges,584.5794787,,,,1171.459,percent of total billed charges,349.768321,,,,1171.459,percent of total billed charges,584.5794787,,,,1171.459,percent of total billed charges,349.768321,,,,1171.459,percent of total billed charges,584.5794787,,,,1171.459,percent of total billed charges,349.768321,,,,1159.958,percent of total billed charges,1151.157083,,,,1159.958,percent of total billed charges,793.9439162,,,,,,,,,,1182.96,percent of total billed charges,768.8961625,,,,,,,,,,1182.96,percent of total billed charges,999999999,,,,,,,,,,1314.4,percent of total billed charges,1101.398875,,,,1297.97,percent of total billed charges,1252.596908,,,,1297.97,percent of total billed charges,1106.710831,,,,1314.4,percent of total billed charges,999999999,,,,1314.4,percent of total billed charges,999999999,,,,1150.1,percent of total billed charges,999999999,,,,1150.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,874.076,percent of total billed charges,999999999,,,,,,,,,,,,,,,,829.715,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,410.75,percent of total billed charges,390.1120269,,,,,,,,,,410.75,percent of total billed charges,383.6227788,,,,,,,,,,410.75,percent of total billed charges,382.5567075,,,,,,,,,,410.75,percent of total billed charges,376.9235646,,,,,,,,,,410.75,percent of total billed charges,386.622362,,,,,,,,,,410.75,percent of total billed charges,999999999,,,,,,,,,,410.75,percent of total billed charges,331.7492126,,,,,,,,,,410.75,percent of total billed charges,523.1913856,,,,,,,,,,410.75,percent of total billed charges,999999999,,,,,,,,,,410.75,percent of total billed charges,357.7067863,,,,,,,,,,1478.7,percent of total billed charges,,,,,
INJ ANES AGENT OT PERIPHECAL NERV/BR,64450,CDM,,,,both,,,1647,1647,350.6198568,1647,1647,percent of total billed charges,1211.756411,,,,1647,percent of total billed charges,1284.437836,,,,1647,percent of total billed charges,1211.756411,,,,1647,percent of total billed charges,1284.437836,,,,1647,percent of total billed charges,999999999,,,,1647,percent of total billed charges,1254.900802,,,,1647,percent of total billed charges,1211.756411,,,,1647,percent of total billed charges,1284.437836,,,,1174.311,percent of total billed charges,586.0026789,,,,1174.311,percent of total billed charges,350.6198568,,,,1174.311,percent of total billed charges,586.0026789,,,,1174.311,percent of total billed charges,350.6198568,,,,1174.311,percent of total billed charges,586.0026789,,,,1174.311,percent of total billed charges,350.6198568,,,,1162.782,percent of total billed charges,1153.959657,,,,1162.782,percent of total billed charges,795.876829,,,,,,,,,,1185.84,percent of total billed charges,770.7680947,,,,,,,,,,1185.84,percent of total billed charges,999999999,,,,,,,,,,1317.6,percent of total billed charges,1104.080309,,,,1301.13,percent of total billed charges,1255.646444,,,,1301.13,percent of total billed charges,1109.405197,,,,1317.6,percent of total billed charges,999999999,,,,1317.6,percent of total billed charges,999999999,,,,1152.9,percent of total billed charges,999999999,,,,1152.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,876.204,percent of total billed charges,999999999,,,,,,,,,,,,,,,,831.735,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,411.75,percent of total billed charges,391.0617823,,,,,,,,,,411.75,percent of total billed charges,384.5567356,,,,,,,,,,411.75,percent of total billed charges,383.4880689,,,,,,,,,,411.75,percent of total billed charges,377.8412118,,,,,,,,,,411.75,percent of total billed charges,387.5636216,,,,,,,,,,411.75,percent of total billed charges,999999999,,,,,,,,,,411.75,percent of total billed charges,332.5568796,,,,,,,,,,411.75,percent of total billed charges,524.4651321,,,,,,,,,,411.75,percent of total billed charges,999999999,,,,,,,,,,411.75,percent of total billed charges,358.5776488,,,,,,,,,,1482.3,percent of total billed charges,,,,,
REMOVL FOREIGN BODY EYE CONJ SUPFCL,65205,CDM,,,,both,,,56,56,11.9215009,56,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,56,percent of total billed charges,999999999,,,,56,percent of total billed charges,42.66815114,,,,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.536,percent of total billed charges,39.23602962,,,,39.536,percent of total billed charges,27.06077864,,,,,,,,,,40.32,percent of total billed charges,26.20705119,,,,,,,,,,40.32,percent of total billed charges,999999999,,,,,,,,,,44.8,percent of total billed charges,37.54007122,,,,44.24,percent of total billed charges,42.69350386,,,,44.24,percent of total billed charges,37.72112388,,,,44.8,percent of total billed charges,999999999,,,,44.8,percent of total billed charges,999999999,,,,39.2,percent of total billed charges,999999999,,,,39.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,29.792,percent of total billed charges,999999999,,,,,,,,,,,,,,,,28.28,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14,percent of total billed charges,13.29657547,,,,,,,,,,14,percent of total billed charges,13.07539599,,,,,,,,,,14,percent of total billed charges,13.03906002,,,,,,,,,,14,percent of total billed charges,12.84706002,,,,,,,,,,14,percent of total billed charges,13.17763376,,,,,,,,,,14,percent of total billed charges,999999999,,,,,,,,,,14,percent of total billed charges,11.30733774,,,,,,,,,,14,percent of total billed charges,17.83245137,,,,,,,,,,14,percent of total billed charges,999999999,,,,,,,,,,14,percent of total billed charges,12.19207549,,,,,,,,,,50.4,percent of total billed charges,,,,,
**REMVL FOREIGN BODY EYE CONJ SPFCL,65205,CDM,,,,both,,,499,499,106.2290884,499,499,percent of total billed charges,367.1320273,,,,499,percent of total billed charges,389.1526899,,,,499,percent of total billed charges,367.1320273,,,,499,percent of total billed charges,389.1526899,,,,499,percent of total billed charges,999999999,,,,499,percent of total billed charges,380.2037039,,,,499,percent of total billed charges,367.1320273,,,,499,percent of total billed charges,389.1526899,,,,355.787,percent of total billed charges,177.5442239,,,,355.787,percent of total billed charges,106.2290884,,,,355.787,percent of total billed charges,177.5442239,,,,355.787,percent of total billed charges,106.2290884,,,,355.787,percent of total billed charges,177.5442239,,,,355.787,percent of total billed charges,106.2290884,,,,352.294,percent of total billed charges,349.6210496,,,,352.294,percent of total billed charges,241.1308668,,,,,,,,,,359.28,percent of total billed charges,233.5235454,,,,,,,,,,359.28,percent of total billed charges,999999999,,,,,,,,,,399.2,percent of total billed charges,334.5088489,,,,394.21,percent of total billed charges,380.4296148,,,,394.21,percent of total billed charges,336.1221575,,,,399.2,percent of total billed charges,999999999,,,,399.2,percent of total billed charges,999999999,,,,349.3,percent of total billed charges,999999999,,,,349.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,265.468,percent of total billed charges,999999999,,,,,,,,,,,,,,,,251.995,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,124.75,percent of total billed charges,118.481985,,,,,,,,,,124.75,percent of total billed charges,116.5111178,,,,,,,,,,124.75,percent of total billed charges,116.1873384,,,,,,,,,,124.75,percent of total billed charges,114.4764813,,,,,,,,,,124.75,percent of total billed charges,117.4221294,,,,,,,,,,124.75,percent of total billed charges,999999999,,,,,,,,,,124.75,percent of total billed charges,100.7564559,,,,,,,,,,124.75,percent of total billed charges,158.8998791,,,,,,,,,,124.75,percent of total billed charges,999999999,,,,,,,,,,124.75,percent of total billed charges,108.6401012,,,,,,,,,,449.1,percent of total billed charges,,,,,
RMVL FOREIGN BODY EYE CONJ EMB SUBCN,65210,CDM,,,,both,,,118,118,25.12030547,118,118,percent of total billed charges,86.81679204,,,,118,percent of total billed charges,92.02408298,,,,118,percent of total billed charges,86.81679204,,,,118,percent of total billed charges,92.02408298,,,,118,percent of total billed charges,999999999,,,,118,percent of total billed charges,89.90788991,,,,118,percent of total billed charges,86.81679204,,,,118,percent of total billed charges,92.02408298,,,,84.134,percent of total billed charges,41.98440566,,,,84.134,percent of total billed charges,25.12030547,,,,84.134,percent of total billed charges,41.98440566,,,,84.134,percent of total billed charges,25.12030547,,,,84.134,percent of total billed charges,41.98440566,,,,84.134,percent of total billed charges,25.12030547,,,,83.308,percent of total billed charges,82.67591956,,,,83.308,percent of total billed charges,57.02092642,,,,,,,,,,84.96,percent of total billed charges,55.22200071,,,,,,,,,,84.96,percent of total billed charges,999999999,,,,,,,,,,94.4,percent of total billed charges,79.10229292,,,,93.22,percent of total billed charges,89.96131171,,,,93.22,percent of total billed charges,79.48379676,,,,94.4,percent of total billed charges,999999999,,,,94.4,percent of total billed charges,999999999,,,,82.6,percent of total billed charges,999999999,,,,82.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,62.776,percent of total billed charges,999999999,,,,,,,,,,,,,,,,59.59,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,29.5,percent of total billed charges,28.01778404,,,,,,,,,,29.5,percent of total billed charges,27.55172726,,,,,,,,,,29.5,percent of total billed charges,27.47516219,,,,,,,,,,29.5,percent of total billed charges,27.07059076,,,,,,,,,,29.5,percent of total billed charges,27.76715686,,,,,,,,,,29.5,percent of total billed charges,999999999,,,,,,,,,,29.5,percent of total billed charges,23.82617595,,,,,,,,,,29.5,percent of total billed charges,37.57552252,,,,,,,,,,29.5,percent of total billed charges,999999999,,,,,,,,,,29.5,percent of total billed charges,25.69044478,,,,,,,,,,106.2,percent of total billed charges,,,,,
RMVL FRGN BODY EYE CORNEAL WO SL LMP,65220,CDM,,,,both,,,67,67,14.26322429,67,67,percent of total billed charges,49.29428022,,,,67,percent of total billed charges,52.25096237,,,,67,percent of total billed charges,49.29428022,,,,67,percent of total billed charges,52.25096237,,,,67,percent of total billed charges,999999999,,,,67,percent of total billed charges,51.04939512,,,,67,percent of total billed charges,49.29428022,,,,67,percent of total billed charges,52.25096237,,,,47.771,percent of total billed charges,23.83860321,,,,47.771,percent of total billed charges,14.26322429,,,,47.771,percent of total billed charges,23.83860321,,,,47.771,percent of total billed charges,14.26322429,,,,47.771,percent of total billed charges,23.83860321,,,,47.771,percent of total billed charges,14.26322429,,,,47.302,percent of total billed charges,46.94310687,,,,47.302,percent of total billed charges,32.37628873,,,,,,,,,,48.24,percent of total billed charges,31.35486481,,,,,,,,,,48.24,percent of total billed charges,999999999,,,,,,,,,,53.6,percent of total billed charges,44.91401378,,,,52.93,percent of total billed charges,51.07972784,,,,52.93,percent of total billed charges,45.13063036,,,,53.6,percent of total billed charges,999999999,,,,53.6,percent of total billed charges,999999999,,,,46.9,percent of total billed charges,999999999,,,,46.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,35.644,percent of total billed charges,999999999,,,,,,,,,,,,,,,,33.835,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16.75,percent of total billed charges,15.9084028,,,,,,,,,,16.75,percent of total billed charges,15.64377734,,,,,,,,,,16.75,percent of total billed charges,15.60030396,,,,,,,,,,16.75,percent of total billed charges,15.37058967,,,,,,,,,,16.75,percent of total billed charges,15.76609754,,,,,,,,,,16.75,percent of total billed charges,999999999,,,,,,,,,,16.75,percent of total billed charges,13.52842194,,,,,,,,,,16.75,percent of total billed charges,21.33525431,,,,,,,,,,16.75,percent of total billed charges,999999999,,,,,,,,,,16.75,percent of total billed charges,14.58694746,,,,,,,,,,60.3,percent of total billed charges,,,,,
REMVL FOREIGN BODY EYE CORNAL W LAMP,65222,CDM,,,,both,,,119,119,25.33318941,119,119,percent of total billed charges,87.55252756,,,,119,percent of total billed charges,92.80394809,,,,119,percent of total billed charges,87.55252756,,,,119,percent of total billed charges,92.80394809,,,,119,percent of total billed charges,999999999,,,,119,percent of total billed charges,90.66982118,,,,119,percent of total billed charges,87.55252756,,,,119,percent of total billed charges,92.80394809,,,,84.847,percent of total billed charges,42.3402057,,,,84.847,percent of total billed charges,25.33318941,,,,84.847,percent of total billed charges,42.3402057,,,,84.847,percent of total billed charges,25.33318941,,,,84.847,percent of total billed charges,42.3402057,,,,84.847,percent of total billed charges,25.33318941,,,,84.014,percent of total billed charges,83.37656294,,,,84.014,percent of total billed charges,57.50415461,,,,,,,,,,85.68,percent of total billed charges,55.68998377,,,,,,,,,,85.68,percent of total billed charges,999999999,,,,,,,,,,95.2,percent of total billed charges,79.77265134,,,,94.01,percent of total billed charges,90.72369571,,,,94.01,percent of total billed charges,80.15738826,,,,95.2,percent of total billed charges,999999999,,,,95.2,percent of total billed charges,999999999,,,,83.3,percent of total billed charges,999999999,,,,83.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,63.308,percent of total billed charges,999999999,,,,,,,,,,,,,,,,60.095,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,29.75,percent of total billed charges,28.25522288,,,,,,,,,,29.75,percent of total billed charges,27.78521648,,,,,,,,,,29.75,percent of total billed charges,27.70800255,,,,,,,,,,29.75,percent of total billed charges,27.30000255,,,,,,,,,,29.75,percent of total billed charges,28.00247175,,,,,,,,,,29.75,percent of total billed charges,999999999,,,,,,,,,,29.75,percent of total billed charges,24.0280927,,,,,,,,,,29.75,percent of total billed charges,37.89395915,,,,,,,,,,29.75,percent of total billed charges,999999999,,,,,,,,,,29.75,percent of total billed charges,25.90816042,,,,,,,,,,107.1,percent of total billed charges,,,,,
**RMVL EMBED FRGN BODY EYELID,67938,CDM,,,,both,,,144,144,30.65528803,144,144,percent of total billed charges,105.9459157,,,,144,percent of total billed charges,112.3005758,,,,144,percent of total billed charges,105.9459157,,,,144,percent of total billed charges,112.3005758,,,,144,percent of total billed charges,999999999,,,,144,percent of total billed charges,109.7181029,,,,144,percent of total billed charges,105.9459157,,,,144,percent of total billed charges,112.3005758,,,,102.672,percent of total billed charges,51.2352069,,,,102.672,percent of total billed charges,30.65528803,,,,102.672,percent of total billed charges,51.2352069,,,,102.672,percent of total billed charges,30.65528803,,,,102.672,percent of total billed charges,51.2352069,,,,102.672,percent of total billed charges,30.65528803,,,,101.664,percent of total billed charges,100.8926476,,,,101.664,percent of total billed charges,69.58485937,,,,,,,,,,103.68,percent of total billed charges,67.38956019,,,,,,,,,,103.68,percent of total billed charges,999999999,,,,,,,,,,115.2,percent of total billed charges,96.5316117,,,,113.76,percent of total billed charges,109.7832957,,,,113.76,percent of total billed charges,96.9971757,,,,115.2,percent of total billed charges,999999999,,,,115.2,percent of total billed charges,999999999,,,,100.8,percent of total billed charges,999999999,,,,100.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,76.608,percent of total billed charges,999999999,,,,,,,,,,,,,,,,72.72,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,36,percent of total billed charges,34.19119408,,,,,,,,,,36,percent of total billed charges,33.62244683,,,,,,,,,,36,percent of total billed charges,33.52901149,,,,,,,,,,36,percent of total billed charges,33.0352972,,,,,,,,,,36,percent of total billed charges,33.88534397,,,,,,,,,,36,percent of total billed charges,999999999,,,,,,,,,,36,percent of total billed charges,29.07601133,,,,,,,,,,36,percent of total billed charges,45.85487494,,,,,,,,,,36,percent of total billed charges,999999999,,,,,,,,,,36,percent of total billed charges,31.35105126,,,,,,,,,,129.6,percent of total billed charges,,,,,
RMVL EMBED FOREIGN BODY EYELID,67938,CDM,,,,both,,,144,144,30.65528803,144,144,percent of total billed charges,105.9459157,,,,144,percent of total billed charges,112.3005758,,,,144,percent of total billed charges,105.9459157,,,,144,percent of total billed charges,112.3005758,,,,144,percent of total billed charges,999999999,,,,144,percent of total billed charges,109.7181029,,,,144,percent of total billed charges,105.9459157,,,,144,percent of total billed charges,112.3005758,,,,102.672,percent of total billed charges,51.2352069,,,,102.672,percent of total billed charges,30.65528803,,,,102.672,percent of total billed charges,51.2352069,,,,102.672,percent of total billed charges,30.65528803,,,,102.672,percent of total billed charges,51.2352069,,,,102.672,percent of total billed charges,30.65528803,,,,101.664,percent of total billed charges,100.8926476,,,,101.664,percent of total billed charges,69.58485937,,,,,,,,,,103.68,percent of total billed charges,67.38956019,,,,,,,,,,103.68,percent of total billed charges,999999999,,,,,,,,,,115.2,percent of total billed charges,96.5316117,,,,113.76,percent of total billed charges,109.7832957,,,,113.76,percent of total billed charges,96.9971757,,,,115.2,percent of total billed charges,999999999,,,,115.2,percent of total billed charges,999999999,,,,100.8,percent of total billed charges,999999999,,,,100.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,76.608,percent of total billed charges,999999999,,,,,,,,,,,,,,,,72.72,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,36,percent of total billed charges,34.19119408,,,,,,,,,,36,percent of total billed charges,33.62244683,,,,,,,,,,36,percent of total billed charges,33.52901149,,,,,,,,,,36,percent of total billed charges,33.0352972,,,,,,,,,,36,percent of total billed charges,33.88534397,,,,,,,,,,36,percent of total billed charges,999999999,,,,,,,,,,36,percent of total billed charges,29.07601133,,,,,,,,,,36,percent of total billed charges,45.85487494,,,,,,,,,,36,percent of total billed charges,999999999,,,,,,,,,,36,percent of total billed charges,31.35105126,,,,,,,,,,129.6,percent of total billed charges,,,,,
RMVL FRGN BODY EX AUDITORY CANAL,69205,CDM,,,,both,,,7222,7222,1537.447848,7222,7222,percent of total billed charges,5313.481967,,,,7222,percent of total billed charges,5632.185824,,,,7222,percent of total billed charges,5313.481967,,,,7222,percent of total billed charges,5632.185824,,,,7222,percent of total billed charges,999999999,,,,7222,percent of total billed charges,5502.667635,,,,7222,percent of total billed charges,5313.481967,,,,7222,percent of total billed charges,5632.185824,,,,5149.286,percent of total billed charges,2569.587946,,,,5149.286,percent of total billed charges,1537.447848,,,,5149.286,percent of total billed charges,2569.587946,,,,5149.286,percent of total billed charges,1537.447848,,,,5149.286,percent of total billed charges,2569.587946,,,,5149.286,percent of total billed charges,1537.447848,,,,5098.732,percent of total billed charges,5060.046534,,,,5098.732,percent of total billed charges,3489.873988,,,,,,,,,,5199.84,percent of total billed charges,3379.773637,,,,,,,,,,5199.84,percent of total billed charges,999999999,,,,,,,,,,5777.6,percent of total billed charges,4841.32847,,,,5705.38,percent of total billed charges,5505.937231,,,,5705.38,percent of total billed charges,4864.677798,,,,5777.6,percent of total billed charges,999999999,,,,5777.6,percent of total billed charges,999999999,,,,5055.4,percent of total billed charges,999999999,,,,5055.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3842.104,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3647.11,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1805.5,percent of total billed charges,1714.783359,,,,,,,,,,1805.5,percent of total billed charges,1686.259104,,,,,,,,,,1805.5,percent of total billed charges,1681.573062,,,,,,,,,,1805.5,percent of total billed charges,1656.811919,,,,,,,,,,1805.5,percent of total billed charges,1699.444126,,,,,,,,,,1805.5,percent of total billed charges,999999999,,,,,,,,,,1805.5,percent of total billed charges,1458.242735,,,,,,,,,,1805.5,percent of total billed charges,2299.749353,,,,,,,,,,1805.5,percent of total billed charges,999999999,,,,,,,,,,1805.5,percent of total billed charges,1572.342307,,,,,,,,,,6499.8,percent of total billed charges,,,,,
DRAINAGE EXT EAR ABCESS OR HEMOTOMA,69000,CDM,,,,both,,,148,148,31.5068238,148,148,percent of total billed charges,108.8888578,,,,148,percent of total billed charges,115.4200363,,,,148,percent of total billed charges,108.8888578,,,,148,percent of total billed charges,115.4200363,,,,148,percent of total billed charges,999999999,,,,148,percent of total billed charges,112.765828,,,,148,percent of total billed charges,108.8888578,,,,148,percent of total billed charges,115.4200363,,,,105.524,percent of total billed charges,52.65840709,,,,105.524,percent of total billed charges,31.5068238,,,,105.524,percent of total billed charges,52.65840709,,,,105.524,percent of total billed charges,31.5068238,,,,105.524,percent of total billed charges,52.65840709,,,,105.524,percent of total billed charges,31.5068238,,,,104.488,percent of total billed charges,103.6952211,,,,104.488,percent of total billed charges,71.51777213,,,,,,,,,,106.56,percent of total billed charges,69.26149242,,,,,,,,,,106.56,percent of total billed charges,999999999,,,,,,,,,,118.4,percent of total billed charges,99.21304536,,,,116.92,percent of total billed charges,112.8328316,,,,116.92,percent of total billed charges,99.6915417,,,,118.4,percent of total billed charges,999999999,,,,118.4,percent of total billed charges,999999999,,,,103.6,percent of total billed charges,999999999,,,,103.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,78.736,percent of total billed charges,999999999,,,,,,,,,,,,,,,,74.74,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,37,percent of total billed charges,35.14094947,,,,,,,,,,37,percent of total billed charges,34.55640369,,,,,,,,,,37,percent of total billed charges,34.46037292,,,,,,,,,,37,percent of total billed charges,33.95294435,,,,,,,,,,37,percent of total billed charges,34.82660352,,,,,,,,,,37,percent of total billed charges,999999999,,,,,,,,,,37,percent of total billed charges,29.88367831,,,,,,,,,,37,percent of total billed charges,47.12862146,,,,,,,,,,37,percent of total billed charges,999999999,,,,,,,,,,37,percent of total billed charges,32.2219138,,,,,,,,,,133.2,percent of total billed charges,,,,,
RMV FRGN BODY/EXT AUDIT CANAL WO/ANE,69200,CDM,,,,both,,,56,56,11.9215009,56,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,56,percent of total billed charges,999999999,,,,56,percent of total billed charges,42.66815114,,,,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.536,percent of total billed charges,39.23602962,,,,39.536,percent of total billed charges,27.06077864,,,,,,,,,,40.32,percent of total billed charges,26.20705119,,,,,,,,,,40.32,percent of total billed charges,999999999,,,,,,,,,,44.8,percent of total billed charges,37.54007122,,,,44.24,percent of total billed charges,42.69350386,,,,44.24,percent of total billed charges,37.72112388,,,,44.8,percent of total billed charges,999999999,,,,44.8,percent of total billed charges,999999999,,,,39.2,percent of total billed charges,999999999,,,,39.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,29.792,percent of total billed charges,999999999,,,,,,,,,,,,,,,,28.28,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14,percent of total billed charges,13.29657547,,,,,,,,,,14,percent of total billed charges,13.07539599,,,,,,,,,,14,percent of total billed charges,13.03906002,,,,,,,,,,14,percent of total billed charges,12.84706002,,,,,,,,,,14,percent of total billed charges,13.17763376,,,,,,,,,,14,percent of total billed charges,999999999,,,,,,,,,,14,percent of total billed charges,11.30733774,,,,,,,,,,14,percent of total billed charges,17.83245137,,,,,,,,,,14,percent of total billed charges,999999999,,,,,,,,,,14,percent of total billed charges,12.19207549,,,,,,,,,,50.4,percent of total billed charges,,,,,
**RMVL FRGN BODY/EXT AUDIT CANL WO/ANE,69200,CDM,,,,both,,,56,56,11.9215009,56,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,56,percent of total billed charges,999999999,,,,56,percent of total billed charges,42.66815114,,,,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.536,percent of total billed charges,39.23602962,,,,39.536,percent of total billed charges,27.06077864,,,,,,,,,,40.32,percent of total billed charges,26.20705119,,,,,,,,,,40.32,percent of total billed charges,999999999,,,,,,,,,,44.8,percent of total billed charges,37.54007122,,,,44.24,percent of total billed charges,42.69350386,,,,44.24,percent of total billed charges,37.72112388,,,,44.8,percent of total billed charges,999999999,,,,44.8,percent of total billed charges,999999999,,,,39.2,percent of total billed charges,999999999,,,,39.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,29.792,percent of total billed charges,999999999,,,,,,,,,,,,,,,,28.28,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14,percent of total billed charges,13.29657547,,,,,,,,,,14,percent of total billed charges,13.07539599,,,,,,,,,,14,percent of total billed charges,13.03906002,,,,,,,,,,14,percent of total billed charges,12.84706002,,,,,,,,,,14,percent of total billed charges,13.17763376,,,,,,,,,,14,percent of total billed charges,999999999,,,,,,,,,,14,percent of total billed charges,11.30733774,,,,,,,,,,14,percent of total billed charges,17.83245137,,,,,,,,,,14,percent of total billed charges,999999999,,,,,,,,,,14,percent of total billed charges,12.19207549,,,,,,,,,,50.4,percent of total billed charges,,,,,
RMVL IMPACTED CERUMEN 1 OR BOTH EARS,69210,CDM,,,,both,,,56,56,11.9215009,56,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,56,percent of total billed charges,999999999,,,,56,percent of total billed charges,42.66815114,,,,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.536,percent of total billed charges,39.23602962,,,,39.536,percent of total billed charges,27.06077864,,,,,,,,,,40.32,percent of total billed charges,26.20705119,,,,,,,,,,40.32,percent of total billed charges,999999999,,,,,,,,,,44.8,percent of total billed charges,37.54007122,,,,44.24,percent of total billed charges,42.69350386,,,,44.24,percent of total billed charges,37.72112388,,,,44.8,percent of total billed charges,999999999,,,,44.8,percent of total billed charges,999999999,,,,39.2,percent of total billed charges,999999999,,,,39.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,29.792,percent of total billed charges,999999999,,,,,,,,,,,,,,,,28.28,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14,percent of total billed charges,13.29657547,,,,,,,,,,14,percent of total billed charges,13.07539599,,,,,,,,,,14,percent of total billed charges,13.03906002,,,,,,,,,,14,percent of total billed charges,12.84706002,,,,,,,,,,14,percent of total billed charges,13.17763376,,,,,,,,,,14,percent of total billed charges,999999999,,,,,,,,,,14,percent of total billed charges,11.30733774,,,,,,,,,,14,percent of total billed charges,17.83245137,,,,,,,,,,14,percent of total billed charges,999999999,,,,,,,,,,14,percent of total billed charges,12.19207549,,,,,,,,,,50.4,percent of total billed charges,,,,,
**RMVL IMPACTED CERUMEN 1 OR BOTH EARS,69210,CDM,,,,both,,,56,56,11.9215009,56,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,56,percent of total billed charges,999999999,,,,56,percent of total billed charges,42.66815114,,,,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.536,percent of total billed charges,39.23602962,,,,39.536,percent of total billed charges,27.06077864,,,,,,,,,,40.32,percent of total billed charges,26.20705119,,,,,,,,,,40.32,percent of total billed charges,999999999,,,,,,,,,,44.8,percent of total billed charges,37.54007122,,,,44.24,percent of total billed charges,42.69350386,,,,44.24,percent of total billed charges,37.72112388,,,,44.8,percent of total billed charges,999999999,,,,44.8,percent of total billed charges,999999999,,,,39.2,percent of total billed charges,999999999,,,,39.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,29.792,percent of total billed charges,999999999,,,,,,,,,,,,,,,,28.28,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14,percent of total billed charges,13.29657547,,,,,,,,,,14,percent of total billed charges,13.07539599,,,,,,,,,,14,percent of total billed charges,13.03906002,,,,,,,,,,14,percent of total billed charges,12.84706002,,,,,,,,,,14,percent of total billed charges,13.17763376,,,,,,,,,,14,percent of total billed charges,999999999,,,,,,,,,,14,percent of total billed charges,11.30733774,,,,,,,,,,14,percent of total billed charges,17.83245137,,,,,,,,,,14,percent of total billed charges,999999999,,,,,,,,,,14,percent of total billed charges,12.19207549,,,,,,,,,,50.4,percent of total billed charges,,,,,
**GASTRIC INTUBATION&ASPRIN LV TREATMN,91105,CDM,,,,both,,,51,51,10.85708118,51,51,percent of total billed charges,37.52251181,,,,51,percent of total billed charges,39.77312061,,,,51,percent of total billed charges,37.52251181,,,,51,percent of total billed charges,39.77312061,,,,51,percent of total billed charges,999999999,,,,51,percent of total billed charges,38.85849479,,,,51,percent of total billed charges,37.52251181,,,,51,percent of total billed charges,39.77312061,,,,36.363,percent of total billed charges,18.14580244,,,,36.363,percent of total billed charges,10.85708118,,,,36.363,percent of total billed charges,18.14580244,,,,36.363,percent of total billed charges,10.85708118,,,,36.363,percent of total billed charges,18.14580244,,,,36.363,percent of total billed charges,10.85708118,,,,36.006,percent of total billed charges,35.73281269,,,,36.006,percent of total billed charges,24.64463769,,,,,,,,,,36.72,percent of total billed charges,23.8671359,,,,,,,,,,36.72,percent of total billed charges,999999999,,,,,,,,,,40.8,percent of total billed charges,34.18827914,,,,40.29,percent of total billed charges,38.88158388,,,,40.29,percent of total billed charges,34.3531664,,,,40.8,percent of total billed charges,999999999,,,,40.8,percent of total billed charges,999999999,,,,35.7,percent of total billed charges,999999999,,,,35.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,27.132,percent of total billed charges,999999999,,,,,,,,,,,,,,,,25.755,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12.75,percent of total billed charges,12.10938124,,,,,,,,,,12.75,percent of total billed charges,11.90794992,,,,,,,,,,12.75,percent of total billed charges,11.87485824,,,,,,,,,,12.75,percent of total billed charges,11.70000109,,,,,,,,,,12.75,percent of total billed charges,12.00105932,,,,,,,,,,12.75,percent of total billed charges,999999999,,,,,,,,,,12.75,percent of total billed charges,10.29775401,,,,,,,,,,12.75,percent of total billed charges,16.24026821,,,,,,,,,,12.75,percent of total billed charges,999999999,,,,,,,,,,12.75,percent of total billed charges,11.10349732,,,,,,,,,,45.9,percent of total billed charges,,,,,
CARDIOPULMONARY RESUSCITATION,92950,CDM,,,,both,,,1437,1437,305.9142284,1437,1437,percent of total billed charges,1057.25195,,,,1437,percent of total billed charges,1120.666163,,,,1437,percent of total billed charges,1057.25195,,,,1437,percent of total billed charges,1120.666163,,,,1437,percent of total billed charges,999999999,,,,1437,percent of total billed charges,1094.895236,,,,1437,percent of total billed charges,1057.25195,,,,1437,percent of total billed charges,1120.666163,,,,1024.581,percent of total billed charges,511.2846689,,,,1024.581,percent of total billed charges,305.9142284,,,,1024.581,percent of total billed charges,511.2846689,,,,1024.581,percent of total billed charges,305.9142284,,,,1024.581,percent of total billed charges,511.2846689,,,,1024.581,percent of total billed charges,305.9142284,,,,1014.522,percent of total billed charges,1006.824546,,,,1014.522,percent of total billed charges,694.3989091,,,,,,,,,,1034.64,percent of total billed charges,672.4916527,,,,,,,,,,1034.64,percent of total billed charges,999999999,,,,,,,,,,1149.6,percent of total billed charges,963.3050418,,,,1135.23,percent of total billed charges,1095.545805,,,,1135.23,percent of total billed charges,967.9509825,,,,1149.6,percent of total billed charges,999999999,,,,1149.6,percent of total billed charges,999999999,,,,1005.9,percent of total billed charges,999999999,,,,1005.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,764.484,percent of total billed charges,999999999,,,,,,,,,,,,,,,,725.685,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,359.25,percent of total billed charges,341.1996242,,,,,,,,,,359.25,percent of total billed charges,335.5240006,,,,,,,,,,359.25,percent of total billed charges,334.5915938,,,,,,,,,,359.25,percent of total billed charges,329.6647367,,,,,,,,,,359.25,percent of total billed charges,338.147495,,,,,,,,,,359.25,percent of total billed charges,999999999,,,,,,,,,,359.25,percent of total billed charges,290.1543631,,,,,,,,,,359.25,percent of total billed charges,457.5934395,,,,,,,,,,359.25,percent of total billed charges,999999999,,,,,,,,,,359.25,percent of total billed charges,312.8573657,,,,,,,,,,1293.3,percent of total billed charges,,,,,
CARDVRSN ELCTV ELCTCL CONVSN ARRHYTH,92960,CDM,,,,both,,,1793,1793,381.7009127,1793,1793,percent of total billed charges,1319.173798,,,,1793,percent of total billed charges,1398.298142,,,,1793,percent of total billed charges,1319.173798,,,,1793,percent of total billed charges,1398.298142,,,,1793,percent of total billed charges,999999999,,,,1793,percent of total billed charges,1366.142768,,,,1793,percent of total billed charges,1319.173798,,,,1793,percent of total billed charges,1398.298142,,,,1278.409,percent of total billed charges,637.9494859,,,,1278.409,percent of total billed charges,381.7009127,,,,1278.409,percent of total billed charges,637.9494859,,,,1278.409,percent of total billed charges,381.7009127,,,,1278.409,percent of total billed charges,637.9494859,,,,1278.409,percent of total billed charges,381.7009127,,,,1265.858,percent of total billed charges,1256.253591,,,,1265.858,percent of total billed charges,866.4281447,,,,,,,,,,1290.96,percent of total billed charges,839.093621,,,,,,,,,,1290.96,percent of total billed charges,999999999,,,,,,,,,,1434.4,percent of total billed charges,1201.952637,,,,1416.47,percent of total billed charges,1366.954508,,,,1416.47,percent of total billed charges,1207.749556,,,,1434.4,percent of total billed charges,999999999,,,,1434.4,percent of total billed charges,999999999,,,,1255.1,percent of total billed charges,999999999,,,,1255.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,953.876,percent of total billed charges,999999999,,,,,,,,,,,,,,,,905.465,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,448.25,percent of total billed charges,425.727854,,,,,,,,,,448.25,percent of total billed charges,418.6461609,,,,,,,,,,448.25,percent of total billed charges,417.4827611,,,,,,,,,,448.25,percent of total billed charges,411.3353325,,,,,,,,,,448.25,percent of total billed charges,421.9195953,,,,,,,,,,448.25,percent of total billed charges,999999999,,,,,,,,,,448.25,percent of total billed charges,362.0367244,,,,,,,,,,448.25,percent of total billed charges,570.9568803,,,,,,,,,,448.25,percent of total billed charges,999999999,,,,,,,,,,448.25,percent of total billed charges,390.3641313,,,,,,,,,,1613.7,percent of total billed charges,,,,,
CARDIOASSIST-METHOD CIRCLTR ASSIT/EX,92971,CDM,,,,both,,,1377,1377,293.1411917,1377,1377,percent of total billed charges,1013.107819,,,,1377,percent of total billed charges,1073.874256,,,,1377,percent of total billed charges,1013.107819,,,,1377,percent of total billed charges,1073.874256,,,,1377,percent of total billed charges,999999999,,,,1377,percent of total billed charges,1049.179359,,,,1377,percent of total billed charges,1013.107819,,,,1377,percent of total billed charges,1073.874256,,,,981.801,percent of total billed charges,489.936666,,,,981.801,percent of total billed charges,293.1411917,,,,981.801,percent of total billed charges,489.936666,,,,981.801,percent of total billed charges,293.1411917,,,,981.801,percent of total billed charges,489.936666,,,,981.801,percent of total billed charges,293.1411917,,,,972.162,percent of total billed charges,964.7859426,,,,972.162,percent of total billed charges,665.4052177,,,,,,,,,,991.44,percent of total billed charges,644.4126693,,,,,,,,,,991.44,percent of total billed charges,999999999,,,,,,,,,,1101.6,percent of total billed charges,923.0835369,,,,1087.83,percent of total billed charges,1049.802765,,,,1087.83,percent of total billed charges,927.5354927,,,,1101.6,percent of total billed charges,999999999,,,,1101.6,percent of total billed charges,999999999,,,,963.9,percent of total billed charges,999999999,,,,963.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,732.564,percent of total billed charges,999999999,,,,,,,,,,,,,,,,695.385,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,344.25,percent of total billed charges,326.9532934,,,,,,,,,,344.25,percent of total billed charges,321.5146478,,,,,,,,,,344.25,percent of total billed charges,320.6211724,,,,,,,,,,344.25,percent of total billed charges,315.9000295,,,,,,,,,,344.25,percent of total billed charges,324.0286017,,,,,,,,,,344.25,percent of total billed charges,999999999,,,,,,,,,,344.25,percent of total billed charges,278.0393583,,,,,,,,,,344.25,percent of total billed charges,438.4872416,,,,,,,,,,344.25,percent of total billed charges,999999999,,,,,,,,,,344.25,percent of total billed charges,299.7944277,,,,,,,,,,1239.3,percent of total billed charges,,,,,
IPECAC OR SIMILR ADMIN INDV EMESIS,99175,CDM,,,,both,,,56,56,11.9215009,56,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,56,percent of total billed charges,999999999,,,,56,percent of total billed charges,42.66815114,,,,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.536,percent of total billed charges,39.23602962,,,,39.536,percent of total billed charges,27.06077864,,,,,,,,,,40.32,percent of total billed charges,26.20705119,,,,,,,,,,40.32,percent of total billed charges,999999999,,,,,,,,,,44.8,percent of total billed charges,37.54007122,,,,44.24,percent of total billed charges,42.69350386,,,,44.24,percent of total billed charges,37.72112388,,,,44.8,percent of total billed charges,999999999,,,,44.8,percent of total billed charges,999999999,,,,39.2,percent of total billed charges,999999999,,,,39.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,29.792,percent of total billed charges,999999999,,,,,,,,,,,,,,,,28.28,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14,percent of total billed charges,13.29657547,,,,,,,,,,14,percent of total billed charges,13.07539599,,,,,,,,,,14,percent of total billed charges,13.03906002,,,,,,,,,,14,percent of total billed charges,12.84706002,,,,,,,,,,14,percent of total billed charges,13.17763376,,,,,,,,,,14,percent of total billed charges,999999999,,,,,,,,,,14,percent of total billed charges,11.30733774,,,,,,,,,,14,percent of total billed charges,17.83245137,,,,,,,,,,14,percent of total billed charges,999999999,,,,,,,,,,14,percent of total billed charges,12.19207549,,,,,,,,,,50.4,percent of total billed charges,,,,,
CLSD FX BIMALL ANKLE WO MANIP,27808,CDM,,,,both,,,222,222,47.26023571,222,222,percent of total billed charges,163.3332867,,,,222,percent of total billed charges,173.1300544,,,,222,percent of total billed charges,163.3332867,,,,222,percent of total billed charges,173.1300544,,,,222,percent of total billed charges,999999999,,,,222,percent of total billed charges,169.148742,,,,222,percent of total billed charges,163.3332867,,,,222,percent of total billed charges,173.1300544,,,,158.286,percent of total billed charges,78.98761064,,,,158.286,percent of total billed charges,47.26023571,,,,158.286,percent of total billed charges,78.98761064,,,,158.286,percent of total billed charges,47.26023571,,,,158.286,percent of total billed charges,78.98761064,,,,158.286,percent of total billed charges,47.26023571,,,,156.732,percent of total billed charges,155.5428317,,,,156.732,percent of total billed charges,107.2766582,,,,,,,,,,159.84,percent of total billed charges,103.8922386,,,,,,,,,,159.84,percent of total billed charges,999999999,,,,,,,,,,177.6,percent of total billed charges,148.819568,,,,175.38,percent of total billed charges,169.2492475,,,,175.38,percent of total billed charges,149.5373125,,,,177.6,percent of total billed charges,999999999,,,,177.6,percent of total billed charges,999999999,,,,155.4,percent of total billed charges,999999999,,,,155.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,118.104,percent of total billed charges,999999999,,,,,,,,,,,,,,,,112.11,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,55.5,percent of total billed charges,52.7114242,,,,,,,,,,55.5,percent of total billed charges,51.83460553,,,,,,,,,,55.5,percent of total billed charges,51.69055938,,,,,,,,,,55.5,percent of total billed charges,50.92941652,,,,,,,,,,55.5,percent of total billed charges,52.23990528,,,,,,,,,,55.5,percent of total billed charges,999999999,,,,,,,,,,55.5,percent of total billed charges,44.82551747,,,,,,,,,,55.5,percent of total billed charges,70.6929322,,,,,,,,,,55.5,percent of total billed charges,999999999,,,,,,,,,,55.5,percent of total billed charges,48.3328707,,,,,,,,,,199.8,percent of total billed charges,,,,,
LAYER CLOS 20.1-30.0 CM NECK HAND FT,12046,CDM,,,,both,,,169,169,35.97738664,169,169,percent of total billed charges,124.3393038,,,,169,percent of total billed charges,131.7972036,,,,169,percent of total billed charges,124.3393038,,,,169,percent of total billed charges,131.7972036,,,,169,percent of total billed charges,999999999,,,,169,percent of total billed charges,128.7663847,,,,169,percent of total billed charges,124.3393038,,,,169,percent of total billed charges,131.7972036,,,,120.497,percent of total billed charges,60.1302081,,,,120.497,percent of total billed charges,35.97738664,,,,120.497,percent of total billed charges,60.1302081,,,,120.497,percent of total billed charges,35.97738664,,,,120.497,percent of total billed charges,60.1302081,,,,120.497,percent of total billed charges,35.97738664,,,,119.314,percent of total billed charges,118.4087322,,,,119.314,percent of total billed charges,81.66556412,,,,,,,,,,121.68,percent of total billed charges,79.08913661,,,,,,,,,,121.68,percent of total billed charges,999999999,,,,,,,,,,135.2,percent of total billed charges,113.2905721,,,,133.51,percent of total billed charges,128.8428956,,,,133.51,percent of total billed charges,113.8369632,,,,135.2,percent of total billed charges,999999999,,,,135.2,percent of total billed charges,999999999,,,,118.3,percent of total billed charges,999999999,,,,118.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,89.908,percent of total billed charges,999999999,,,,,,,,,,,,,,,,85.345,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,42.25,percent of total billed charges,40.12716527,,,,,,,,,,42.25,percent of total billed charges,39.45967718,,,,,,,,,,42.25,percent of total billed charges,39.35002043,,,,,,,,,,42.25,percent of total billed charges,38.77059186,,,,,,,,,,42.25,percent of total billed charges,39.76821618,,,,,,,,,,42.25,percent of total billed charges,999999999,,,,,,,,,,42.25,percent of total billed charges,34.12392996,,,,,,,,,,42.25,percent of total billed charges,53.81579073,,,,,,,,,,42.25,percent of total billed charges,999999999,,,,,,,,,,42.25,percent of total billed charges,36.79394211,,,,,,,,,,152.1,percent of total billed charges,,,,,
**HAND & LOWER FOREARM (GUAUNTLET),29085,CDM,,,,both,,,56,56,11.9215009,56,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,56,percent of total billed charges,999999999,,,,56,percent of total billed charges,42.66815114,,,,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.536,percent of total billed charges,39.23602962,,,,39.536,percent of total billed charges,27.06077864,,,,,,,,,,40.32,percent of total billed charges,26.20705119,,,,,,,,,,40.32,percent of total billed charges,999999999,,,,,,,,,,44.8,percent of total billed charges,37.54007122,,,,44.24,percent of total billed charges,42.69350386,,,,44.24,percent of total billed charges,37.72112388,,,,44.8,percent of total billed charges,999999999,,,,44.8,percent of total billed charges,999999999,,,,39.2,percent of total billed charges,999999999,,,,39.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,29.792,percent of total billed charges,999999999,,,,,,,,,,,,,,,,28.28,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14,percent of total billed charges,13.29657547,,,,,,,,,,14,percent of total billed charges,13.07539599,,,,,,,,,,14,percent of total billed charges,13.03906002,,,,,,,,,,14,percent of total billed charges,12.84706002,,,,,,,,,,14,percent of total billed charges,13.17763376,,,,,,,,,,14,percent of total billed charges,999999999,,,,,,,,,,14,percent of total billed charges,11.30733774,,,,,,,,,,14,percent of total billed charges,17.83245137,,,,,,,,,,14,percent of total billed charges,999999999,,,,,,,,,,14,percent of total billed charges,12.19207549,,,,,,,,,,50.4,percent of total billed charges,,,,,
**HAND & LOWER FOREARM (GAUNTLET),29085,CDM,,,,both,,,56,56,11.9215009,56,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,56,percent of total billed charges,999999999,,,,56,percent of total billed charges,42.66815114,,,,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.536,percent of total billed charges,39.23602962,,,,39.536,percent of total billed charges,27.06077864,,,,,,,,,,40.32,percent of total billed charges,26.20705119,,,,,,,,,,40.32,percent of total billed charges,999999999,,,,,,,,,,44.8,percent of total billed charges,37.54007122,,,,44.24,percent of total billed charges,42.69350386,,,,44.24,percent of total billed charges,37.72112388,,,,44.8,percent of total billed charges,999999999,,,,44.8,percent of total billed charges,999999999,,,,39.2,percent of total billed charges,999999999,,,,39.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,29.792,percent of total billed charges,999999999,,,,,,,,,,,,,,,,28.28,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14,percent of total billed charges,13.29657547,,,,,,,,,,14,percent of total billed charges,13.07539599,,,,,,,,,,14,percent of total billed charges,13.03906002,,,,,,,,,,14,percent of total billed charges,12.84706002,,,,,,,,,,14,percent of total billed charges,13.17763376,,,,,,,,,,14,percent of total billed charges,999999999,,,,,,,,,,14,percent of total billed charges,11.30733774,,,,,,,,,,14,percent of total billed charges,17.83245137,,,,,,,,,,14,percent of total billed charges,999999999,,,,,,,,,,14,percent of total billed charges,12.19207549,,,,,,,,,,50.4,percent of total billed charges,,,,,
LONG ARM SPLINT (SHOULDER TO HA,29105,CDM,,,,both,,,56,56,11.9215009,56,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,56,percent of total billed charges,999999999,,,,56,percent of total billed charges,42.66815114,,,,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.536,percent of total billed charges,39.23602962,,,,39.536,percent of total billed charges,27.06077864,,,,,,,,,,40.32,percent of total billed charges,26.20705119,,,,,,,,,,40.32,percent of total billed charges,999999999,,,,,,,,,,44.8,percent of total billed charges,37.54007122,,,,44.24,percent of total billed charges,42.69350386,,,,44.24,percent of total billed charges,37.72112388,,,,44.8,percent of total billed charges,999999999,,,,44.8,percent of total billed charges,999999999,,,,39.2,percent of total billed charges,999999999,,,,39.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,29.792,percent of total billed charges,999999999,,,,,,,,,,,,,,,,28.28,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14,percent of total billed charges,13.29657547,,,,,,,,,,14,percent of total billed charges,13.07539599,,,,,,,,,,14,percent of total billed charges,13.03906002,,,,,,,,,,14,percent of total billed charges,12.84706002,,,,,,,,,,14,percent of total billed charges,13.17763376,,,,,,,,,,14,percent of total billed charges,999999999,,,,,,,,,,14,percent of total billed charges,11.30733774,,,,,,,,,,14,percent of total billed charges,17.83245137,,,,,,,,,,14,percent of total billed charges,999999999,,,,,,,,,,14,percent of total billed charges,12.19207549,,,,,,,,,,50.4,percent of total billed charges,,,,,
**LONG ARM SPLINT (SHOULDER TO HA,29105,CDM,,,,both,,,56,56,11.9215009,56,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,56,percent of total billed charges,999999999,,,,56,percent of total billed charges,42.66815114,,,,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.536,percent of total billed charges,39.23602962,,,,39.536,percent of total billed charges,27.06077864,,,,,,,,,,40.32,percent of total billed charges,26.20705119,,,,,,,,,,40.32,percent of total billed charges,999999999,,,,,,,,,,44.8,percent of total billed charges,37.54007122,,,,44.24,percent of total billed charges,42.69350386,,,,44.24,percent of total billed charges,37.72112388,,,,44.8,percent of total billed charges,999999999,,,,44.8,percent of total billed charges,999999999,,,,39.2,percent of total billed charges,999999999,,,,39.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,29.792,percent of total billed charges,999999999,,,,,,,,,,,,,,,,28.28,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14,percent of total billed charges,13.29657547,,,,,,,,,,14,percent of total billed charges,13.07539599,,,,,,,,,,14,percent of total billed charges,13.03906002,,,,,,,,,,14,percent of total billed charges,12.84706002,,,,,,,,,,14,percent of total billed charges,13.17763376,,,,,,,,,,14,percent of total billed charges,999999999,,,,,,,,,,14,percent of total billed charges,11.30733774,,,,,,,,,,14,percent of total billed charges,17.83245137,,,,,,,,,,14,percent of total billed charges,999999999,,,,,,,,,,14,percent of total billed charges,12.19207549,,,,,,,,,,50.4,percent of total billed charges,,,,,
CLOS RADIAL SHAFT FX W/O MANIP,25500,CDM,,,,both,,,115,115,24.48165363,115,115,percent of total billed charges,84.60958546,,,,115,percent of total billed charges,89.68448765,,,,115,percent of total billed charges,84.60958546,,,,115,percent of total billed charges,89.68448765,,,,115,percent of total billed charges,999999999,,,,115,percent of total billed charges,87.6220961,,,,115,percent of total billed charges,84.60958546,,,,115,percent of total billed charges,89.68448765,,,,81.995,percent of total billed charges,40.91700551,,,,81.995,percent of total billed charges,24.48165363,,,,81.995,percent of total billed charges,40.91700551,,,,81.995,percent of total billed charges,24.48165363,,,,81.995,percent of total billed charges,40.91700551,,,,81.995,percent of total billed charges,24.48165363,,,,81.19,percent of total billed charges,80.5739894,,,,81.19,percent of total billed charges,55.57124185,,,,,,,,,,82.8,percent of total billed charges,53.81805154,,,,,,,,,,82.8,percent of total billed charges,999999999,,,,,,,,,,92,percent of total billed charges,77.09121768,,,,90.85,percent of total billed charges,87.67415972,,,,90.85,percent of total billed charges,77.46302226,,,,92,percent of total billed charges,999999999,,,,92,percent of total billed charges,999999999,,,,80.5,percent of total billed charges,999999999,,,,80.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,61.18,percent of total billed charges,999999999,,,,,,,,,,,,,,,,58.075,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,28.75,percent of total billed charges,27.30546749,,,,,,,,,,28.75,percent of total billed charges,26.85125962,,,,,,,,,,28.75,percent of total billed charges,26.77664112,,,,,,,,,,28.75,percent of total billed charges,26.38235541,,,,,,,,,,28.75,percent of total billed charges,27.06121219,,,,,,,,,,28.75,percent of total billed charges,999999999,,,,,,,,,,28.75,percent of total billed charges,23.22042571,,,,,,,,,,28.75,percent of total billed charges,36.62021262,,,,,,,,,,28.75,percent of total billed charges,999999999,,,,,,,,,,28.75,percent of total billed charges,25.03729788,,,,,,,,,,103.5,percent of total billed charges,,,,,
STRAPPING SHOULDER,29240,CDM,,,,both,,,56,56,11.9215009,56,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,56,percent of total billed charges,999999999,,,,56,percent of total billed charges,42.66815114,,,,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.536,percent of total billed charges,39.23602962,,,,39.536,percent of total billed charges,27.06077864,,,,,,,,,,40.32,percent of total billed charges,26.20705119,,,,,,,,,,40.32,percent of total billed charges,999999999,,,,,,,,,,44.8,percent of total billed charges,37.54007122,,,,44.24,percent of total billed charges,42.69350386,,,,44.24,percent of total billed charges,37.72112388,,,,44.8,percent of total billed charges,999999999,,,,44.8,percent of total billed charges,999999999,,,,39.2,percent of total billed charges,999999999,,,,39.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,29.792,percent of total billed charges,999999999,,,,,,,,,,,,,,,,28.28,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14,percent of total billed charges,13.29657547,,,,,,,,,,14,percent of total billed charges,13.07539599,,,,,,,,,,14,percent of total billed charges,13.03906002,,,,,,,,,,14,percent of total billed charges,12.84706002,,,,,,,,,,14,percent of total billed charges,13.17763376,,,,,,,,,,14,percent of total billed charges,999999999,,,,,,,,,,14,percent of total billed charges,11.30733774,,,,,,,,,,14,percent of total billed charges,17.83245137,,,,,,,,,,14,percent of total billed charges,999999999,,,,,,,,,,14,percent of total billed charges,12.19207549,,,,,,,,,,50.4,percent of total billed charges,,,,,
STRAPPING ELBOW OR WRIST,29260,CDM,,,,both,,,56,56,11.9215009,56,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,56,percent of total billed charges,999999999,,,,56,percent of total billed charges,42.66815114,,,,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.536,percent of total billed charges,39.23602962,,,,39.536,percent of total billed charges,27.06077864,,,,,,,,,,40.32,percent of total billed charges,26.20705119,,,,,,,,,,40.32,percent of total billed charges,999999999,,,,,,,,,,44.8,percent of total billed charges,37.54007122,,,,44.24,percent of total billed charges,42.69350386,,,,44.24,percent of total billed charges,37.72112388,,,,44.8,percent of total billed charges,999999999,,,,44.8,percent of total billed charges,999999999,,,,39.2,percent of total billed charges,999999999,,,,39.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,29.792,percent of total billed charges,999999999,,,,,,,,,,,,,,,,28.28,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14,percent of total billed charges,13.29657547,,,,,,,,,,14,percent of total billed charges,13.07539599,,,,,,,,,,14,percent of total billed charges,13.03906002,,,,,,,,,,14,percent of total billed charges,12.84706002,,,,,,,,,,14,percent of total billed charges,13.17763376,,,,,,,,,,14,percent of total billed charges,999999999,,,,,,,,,,14,percent of total billed charges,11.30733774,,,,,,,,,,14,percent of total billed charges,17.83245137,,,,,,,,,,14,percent of total billed charges,999999999,,,,,,,,,,14,percent of total billed charges,12.19207549,,,,,,,,,,50.4,percent of total billed charges,,,,,
TEMP TRANSCUT PACING,92953,CDM,,,,both,,,1436,1436,305.7013445,1436,1436,percent of total billed charges,1056.516215,,,,1436,percent of total billed charges,1119.886298,,,,1436,percent of total billed charges,1056.516215,,,,1436,percent of total billed charges,1119.886298,,,,1436,percent of total billed charges,999999999,,,,1436,percent of total billed charges,1094.133304,,,,1436,percent of total billed charges,1056.516215,,,,1436,percent of total billed charges,1119.886298,,,,1023.868,percent of total billed charges,510.9288688,,,,1023.868,percent of total billed charges,305.7013445,,,,1023.868,percent of total billed charges,510.9288688,,,,1023.868,percent of total billed charges,305.7013445,,,,1023.868,percent of total billed charges,510.9288688,,,,1023.868,percent of total billed charges,305.7013445,,,,1013.816,percent of total billed charges,1006.123902,,,,1013.816,percent of total billed charges,693.9156809,,,,,,,,,,1033.92,percent of total billed charges,672.0236697,,,,,,,,,,1033.92,percent of total billed charges,999999999,,,,,,,,,,1148.8,percent of total billed charges,962.6346834,,,,1134.44,percent of total billed charges,1094.783421,,,,1134.44,percent of total billed charges,967.277391,,,,1148.8,percent of total billed charges,999999999,,,,1148.8,percent of total billed charges,999999999,,,,1005.2,percent of total billed charges,999999999,,,,1005.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,763.952,percent of total billed charges,999999999,,,,,,,,,,,,,,,,725.18,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,359,percent of total billed charges,340.9621854,,,,,,,,,,359,percent of total billed charges,335.2905114,,,,,,,,,,359,percent of total billed charges,334.3587535,,,,,,,,,,359,percent of total billed charges,329.4353249,,,,,,,,,,359,percent of total billed charges,337.9121801,,,,,,,,,,359,percent of total billed charges,999999999,,,,,,,,,,359,percent of total billed charges,289.9524463,,,,,,,,,,359,percent of total billed charges,457.2750029,,,,,,,,,,359,percent of total billed charges,999999999,,,,,,,,,,359,percent of total billed charges,312.6396501,,,,,,,,,,1292.4,percent of total billed charges,,,,,
STRAPPING KNEE,29530,CDM,,,,both,,,56,56,11.9215009,56,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,56,percent of total billed charges,999999999,,,,56,percent of total billed charges,42.66815114,,,,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.536,percent of total billed charges,39.23602962,,,,39.536,percent of total billed charges,27.06077864,,,,,,,,,,40.32,percent of total billed charges,26.20705119,,,,,,,,,,40.32,percent of total billed charges,999999999,,,,,,,,,,44.8,percent of total billed charges,37.54007122,,,,44.24,percent of total billed charges,42.69350386,,,,44.24,percent of total billed charges,37.72112388,,,,44.8,percent of total billed charges,999999999,,,,44.8,percent of total billed charges,999999999,,,,39.2,percent of total billed charges,999999999,,,,39.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,29.792,percent of total billed charges,999999999,,,,,,,,,,,,,,,,28.28,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14,percent of total billed charges,13.29657547,,,,,,,,,,14,percent of total billed charges,13.07539599,,,,,,,,,,14,percent of total billed charges,13.03906002,,,,,,,,,,14,percent of total billed charges,12.84706002,,,,,,,,,,14,percent of total billed charges,13.17763376,,,,,,,,,,14,percent of total billed charges,999999999,,,,,,,,,,14,percent of total billed charges,11.30733774,,,,,,,,,,14,percent of total billed charges,17.83245137,,,,,,,,,,14,percent of total billed charges,999999999,,,,,,,,,,14,percent of total billed charges,12.19207549,,,,,,,,,,50.4,percent of total billed charges,,,,,
**STRAPPING ANKLE,29540,CDM,,,,both,,,56,56,11.9215009,56,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,56,percent of total billed charges,999999999,,,,56,percent of total billed charges,42.66815114,,,,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.536,percent of total billed charges,39.23602962,,,,39.536,percent of total billed charges,27.06077864,,,,,,,,,,40.32,percent of total billed charges,26.20705119,,,,,,,,,,40.32,percent of total billed charges,999999999,,,,,,,,,,44.8,percent of total billed charges,37.54007122,,,,44.24,percent of total billed charges,42.69350386,,,,44.24,percent of total billed charges,37.72112388,,,,44.8,percent of total billed charges,999999999,,,,44.8,percent of total billed charges,999999999,,,,39.2,percent of total billed charges,999999999,,,,39.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,29.792,percent of total billed charges,999999999,,,,,,,,,,,,,,,,28.28,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14,percent of total billed charges,13.29657547,,,,,,,,,,14,percent of total billed charges,13.07539599,,,,,,,,,,14,percent of total billed charges,13.03906002,,,,,,,,,,14,percent of total billed charges,12.84706002,,,,,,,,,,14,percent of total billed charges,13.17763376,,,,,,,,,,14,percent of total billed charges,999999999,,,,,,,,,,14,percent of total billed charges,11.30733774,,,,,,,,,,14,percent of total billed charges,17.83245137,,,,,,,,,,14,percent of total billed charges,999999999,,,,,,,,,,14,percent of total billed charges,12.19207549,,,,,,,,,,50.4,percent of total billed charges,,,,,
STRAPPING TOES,29550,CDM,,,,both,,,56,56,11.9215009,56,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,56,percent of total billed charges,999999999,,,,56,percent of total billed charges,42.66815114,,,,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.536,percent of total billed charges,39.23602962,,,,39.536,percent of total billed charges,27.06077864,,,,,,,,,,40.32,percent of total billed charges,26.20705119,,,,,,,,,,40.32,percent of total billed charges,999999999,,,,,,,,,,44.8,percent of total billed charges,37.54007122,,,,44.24,percent of total billed charges,42.69350386,,,,44.24,percent of total billed charges,37.72112388,,,,44.8,percent of total billed charges,999999999,,,,44.8,percent of total billed charges,999999999,,,,39.2,percent of total billed charges,999999999,,,,39.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,29.792,percent of total billed charges,999999999,,,,,,,,,,,,,,,,28.28,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14,percent of total billed charges,13.29657547,,,,,,,,,,14,percent of total billed charges,13.07539599,,,,,,,,,,14,percent of total billed charges,13.03906002,,,,,,,,,,14,percent of total billed charges,12.84706002,,,,,,,,,,14,percent of total billed charges,13.17763376,,,,,,,,,,14,percent of total billed charges,999999999,,,,,,,,,,14,percent of total billed charges,11.30733774,,,,,,,,,,14,percent of total billed charges,17.83245137,,,,,,,,,,14,percent of total billed charges,999999999,,,,,,,,,,14,percent of total billed charges,12.19207549,,,,,,,,,,50.4,percent of total billed charges,,,,,
CONTROL NASAL HEMOR ANT COMPLEX,30903,CDM,,,,both,,,123,123,26.18472519,123,123,percent of total billed charges,90.49546966,,,,123,percent of total billed charges,95.92340853,,,,123,percent of total billed charges,90.49546966,,,,123,percent of total billed charges,95.92340853,,,,123,percent of total billed charges,999999999,,,,123,percent of total billed charges,93.71754626,,,,123,percent of total billed charges,90.49546966,,,,123,percent of total billed charges,95.92340853,,,,87.699,percent of total billed charges,43.7634059,,,,87.699,percent of total billed charges,26.18472519,,,,87.699,percent of total billed charges,43.7634059,,,,87.699,percent of total billed charges,26.18472519,,,,87.699,percent of total billed charges,43.7634059,,,,87.699,percent of total billed charges,26.18472519,,,,86.838,percent of total billed charges,86.17913649,,,,86.838,percent of total billed charges,59.43706737,,,,,,,,,,88.56,percent of total billed charges,57.561916,,,,,,,,,,88.56,percent of total billed charges,999999999,,,,,,,,,,98.4,percent of total billed charges,82.454085,,,,97.17,percent of total billed charges,93.7732317,,,,97.17,percent of total billed charges,82.85175425,,,,98.4,percent of total billed charges,999999999,,,,98.4,percent of total billed charges,999999999,,,,86.1,percent of total billed charges,999999999,,,,86.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,65.436,percent of total billed charges,999999999,,,,,,,,,,,,,,,,62.115,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,30.75,percent of total billed charges,29.20497827,,,,,,,,,,30.75,percent of total billed charges,28.71917333,,,,,,,,,,30.75,percent of total billed charges,28.63936398,,,,,,,,,,30.75,percent of total billed charges,28.21764969,,,,,,,,,,30.75,percent of total billed charges,28.9437313,,,,,,,,,,30.75,percent of total billed charges,999999999,,,,,,,,,,30.75,percent of total billed charges,24.83575968,,,,,,,,,,30.75,percent of total billed charges,39.16770568,,,,,,,,,,30.75,percent of total billed charges,999999999,,,,,,,,,,30.75,percent of total billed charges,26.77902295,,,,,,,,,,110.7,percent of total billed charges,,,,,
TRACHEOSTOMY CRICOTHYROID MEMBRANE,31605,CDM,,,,both,,,2178,2178,463.6612314,2178,2178,percent of total billed charges,1602.431975,,,,2178,percent of total billed charges,1698.54621,,,,2178,percent of total billed charges,1602.431975,,,,2178,percent of total billed charges,1698.54621,,,,2178,percent of total billed charges,999999999,,,,2178,percent of total billed charges,1659.486307,,,,2178,percent of total billed charges,1602.431975,,,,2178,percent of total billed charges,1698.54621,,,,1552.914,percent of total billed charges,774.9325044,,,,1552.914,percent of total billed charges,463.6612314,,,,1552.914,percent of total billed charges,774.9325044,,,,1552.914,percent of total billed charges,463.6612314,,,,1552.914,percent of total billed charges,774.9325044,,,,1552.914,percent of total billed charges,463.6612314,,,,1537.668,percent of total billed charges,1526.001295,,,,1537.668,percent of total billed charges,1052.470998,,,,,,,,,,1568.16,percent of total billed charges,1019.267098,,,,,,,,,,1568.16,percent of total billed charges,999999999,,,,,,,,,,1742.4,percent of total billed charges,1460.040627,,,,1720.62,percent of total billed charges,1660.472347,,,,1720.62,percent of total billed charges,1467.082283,,,,1742.4,percent of total billed charges,999999999,,,,1742.4,percent of total billed charges,999999999,,,,1524.6,percent of total billed charges,999999999,,,,1524.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1158.696,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1099.89,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,544.5,percent of total billed charges,517.1418104,,,,,,,,,,544.5,percent of total billed charges,508.5395083,,,,,,,,,,544.5,percent of total billed charges,507.1262988,,,,,,,,,,544.5,percent of total billed charges,499.6588702,,,,,,,,,,544.5,percent of total billed charges,512.5158275,,,,,,,,,,544.5,percent of total billed charges,999999999,,,,,,,,,,544.5,percent of total billed charges,439.7746714,,,,,,,,,,544.5,percent of total billed charges,693.5549834,,,,,,,,,,544.5,percent of total billed charges,999999999,,,,,,,,,,544.5,percent of total billed charges,474.1846503,,,,,,,,,,1960.2,percent of total billed charges,,,,,
**THORACENTESIS W/INS CHEST TUBE,32002,CDM,,,,both,,,530,530,112.8284907,530,530,percent of total billed charges,389.9398286,,,,530,percent of total billed charges,413.3285083,,,,530,percent of total billed charges,389.9398286,,,,530,percent of total billed charges,413.3285083,,,,530,percent of total billed charges,999999999,,,,530,percent of total billed charges,403.8235733,,,,530,percent of total billed charges,389.9398286,,,,530,percent of total billed charges,413.3285083,,,,377.89,percent of total billed charges,188.5740254,,,,377.89,percent of total billed charges,112.8284907,,,,377.89,percent of total billed charges,188.5740254,,,,377.89,percent of total billed charges,112.8284907,,,,377.89,percent of total billed charges,188.5740254,,,,377.89,percent of total billed charges,112.8284907,,,,374.18,percent of total billed charges,371.3409946,,,,374.18,percent of total billed charges,256.1109407,,,,,,,,,,381.6,percent of total billed charges,248.0310201,,,,,,,,,,381.6,percent of total billed charges,999999999,,,,,,,,,,424,percent of total billed charges,355.2899597,,,,418.7,percent of total billed charges,404.0635187,,,,418.7,percent of total billed charges,357.0034939,,,,424,percent of total billed charges,999999999,,,,424,percent of total billed charges,999999999,,,,371,percent of total billed charges,999999999,,,,371,percent of total billed charges,999999999,,,,,,,,,,,,,,,,281.96,percent of total billed charges,999999999,,,,,,,,,,,,,,,,267.65,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,132.5,percent of total billed charges,125.8425893,,,,,,,,,,132.5,percent of total billed charges,123.7492835,,,,,,,,,,132.5,percent of total billed charges,123.4053895,,,,,,,,,,132.5,percent of total billed charges,121.5882466,,,,,,,,,,132.5,percent of total billed charges,124.716891,,,,,,,,,,132.5,percent of total billed charges,999999999,,,,,,,,,,132.5,percent of total billed charges,107.015875,,,,,,,,,,132.5,percent of total billed charges,168.7714147,,,,,,,,,,132.5,percent of total billed charges,999999999,,,,,,,,,,132.5,percent of total billed charges,115.3892859,,,,,,,,,,477,percent of total billed charges,,,,,
BLOOD TRANSFUSION < 2 HRS,36430,CDM,,,,both,,,1504,1504,320.1774527,1504,1504,percent of total billed charges,1106.546231,,,,1504,percent of total billed charges,1172.917125,,,,1504,percent of total billed charges,1106.546231,,,,1504,percent of total billed charges,1172.917125,,,,1504,percent of total billed charges,999999999,,,,1504,percent of total billed charges,1145.944631,,,,1504,percent of total billed charges,1106.546231,,,,1504,percent of total billed charges,1172.917125,,,,1072.352,percent of total billed charges,535.1232721,,,,1072.352,percent of total billed charges,320.1774527,,,,1072.352,percent of total billed charges,535.1232721,,,,1072.352,percent of total billed charges,320.1774527,,,,1072.352,percent of total billed charges,535.1232721,,,,1072.352,percent of total billed charges,320.1774527,,,,1061.824,percent of total billed charges,1053.767653,,,,1061.824,percent of total billed charges,726.7751978,,,,,,,,,,1082.88,percent of total billed charges,703.8465175,,,,,,,,,,1082.88,percent of total billed charges,999999999,,,,,,,,,,1203.2,percent of total billed charges,1008.219056,,,,1188.16,percent of total billed charges,1146.625532,,,,1188.16,percent of total billed charges,1013.081613,,,,1203.2,percent of total billed charges,999999999,,,,1203.2,percent of total billed charges,999999999,,,,1052.8,percent of total billed charges,999999999,,,,1052.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,800.128,percent of total billed charges,999999999,,,,,,,,,,,,,,,,759.52,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,376,percent of total billed charges,357.108027,,,,,,,,,,376,percent of total billed charges,351.167778,,,,,,,,,,376,percent of total billed charges,350.1918978,,,,,,,,,,376,percent of total billed charges,345.0353263,,,,,,,,,,376,percent of total billed charges,353.9135925,,,,,,,,,,376,percent of total billed charges,999999999,,,,,,,,,,376,percent of total billed charges,303.682785,,,,,,,,,,376,percent of total billed charges,478.9286938,,,,,,,,,,376,percent of total billed charges,999999999,,,,,,,,,,376,percent of total billed charges,327.4443132,,,,,,,,,,1353.6,percent of total billed charges,,,,,
**INJECTION ANESTHETIC AGENT FACIAL NERV,64402,CDM,,,,both,,,416,416,88.55972096,416,416,percent of total billed charges,306.0659787,,,,416,percent of total billed charges,324.4238858,,,,416,percent of total billed charges,306.0659787,,,,416,percent of total billed charges,324.4238858,,,,416,percent of total billed charges,999999999,,,,416,percent of total billed charges,316.9634085,,,,416,percent of total billed charges,306.0659787,,,,416,percent of total billed charges,324.4238858,,,,296.608,percent of total billed charges,148.0128199,,,,296.608,percent of total billed charges,88.55972096,,,,296.608,percent of total billed charges,148.0128199,,,,296.608,percent of total billed charges,88.55972096,,,,296.608,percent of total billed charges,148.0128199,,,,296.608,percent of total billed charges,88.55972096,,,,293.696,percent of total billed charges,291.4676486,,,,293.696,percent of total billed charges,201.0229271,,,,,,,,,,299.52,percent of total billed charges,194.6809517,,,,,,,,,,299.52,percent of total billed charges,999999999,,,,,,,,,,332.8,percent of total billed charges,278.8691005,,,,328.64,percent of total billed charges,317.151743,,,,328.64,percent of total billed charges,280.2140631,,,,332.8,percent of total billed charges,999999999,,,,332.8,percent of total billed charges,999999999,,,,291.2,percent of total billed charges,999999999,,,,291.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,221.312,percent of total billed charges,999999999,,,,,,,,,,,,,,,,210.08,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,104,percent of total billed charges,98.77456067,,,,,,,,,,104,percent of total billed charges,97.13151306,,,,,,,,,,104,percent of total billed charges,96.86158875,,,,,,,,,,104,percent of total billed charges,95.43530303,,,,,,,,,,104,percent of total billed charges,97.89099368,,,,,,,,,,104,percent of total billed charges,999999999,,,,,,,,,,104,percent of total billed charges,83.99736606,,,,,,,,,,104,percent of total billed charges,132.4696387,,,,,,,,,,104,percent of total billed charges,999999999,,,,,,,,,,104,percent of total billed charges,90.56970365,,,,,,,,,,374.4,percent of total billed charges,,,,,
APP SHORT LEG SPLINT,29515,CDM,,,,both,,,602,602,128.1561347,602,602,percent of total billed charges,442.9127865,,,,602,percent of total billed charges,469.4787962,,,,602,percent of total billed charges,442.9127865,,,,602,percent of total billed charges,469.4787962,,,,602,percent of total billed charges,999999999,,,,602,percent of total billed charges,458.6826248,,,,602,percent of total billed charges,442.9127865,,,,602,percent of total billed charges,469.4787962,,,,429.226,percent of total billed charges,214.1916289,,,,429.226,percent of total billed charges,128.1561347,,,,429.226,percent of total billed charges,214.1916289,,,,429.226,percent of total billed charges,128.1561347,,,,429.226,percent of total billed charges,214.1916289,,,,429.226,percent of total billed charges,128.1561347,,,,425.012,percent of total billed charges,421.7873184,,,,425.012,percent of total billed charges,290.9033704,,,,,,,,,,433.44,percent of total billed charges,281.7258002,,,,,,,,,,433.44,percent of total billed charges,999999999,,,,,,,,,,481.6,percent of total billed charges,403.5557656,,,,475.58,percent of total billed charges,458.9551665,,,,475.58,percent of total billed charges,405.5020818,,,,481.6,percent of total billed charges,999999999,,,,481.6,percent of total billed charges,999999999,,,,421.4,percent of total billed charges,999999999,,,,421.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,320.264,percent of total billed charges,999999999,,,,,,,,,,,,,,,,304.01,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,150.5,percent of total billed charges,142.9381864,,,,,,,,,,150.5,percent of total billed charges,140.5605069,,,,,,,,,,150.5,percent of total billed charges,140.1698953,,,,,,,,,,150.5,percent of total billed charges,138.1058953,,,,,,,,,,150.5,percent of total billed charges,141.659563,,,,,,,,,,150.5,percent of total billed charges,999999999,,,,,,,,,,150.5,percent of total billed charges,121.5538807,,,,,,,,,,150.5,percent of total billed charges,191.6988522,,,,,,,,,,150.5,percent of total billed charges,999999999,,,,,,,,,,150.5,percent of total billed charges,131.0648115,,,,,,,,,,541.8,percent of total billed charges,,,,,
**I & D ABSCESS OF LABIA,56405,CDM,,,,both,,,1191,1191,253.544778,1191,1191,percent of total billed charges,876.2610111,,,,1191,percent of total billed charges,928.819346,,,,1191,percent of total billed charges,876.2610111,,,,1191,percent of total billed charges,928.819346,,,,1191,percent of total billed charges,999999999,,,,1191,percent of total billed charges,907.4601431,,,,1191,percent of total billed charges,876.2610111,,,,1191,percent of total billed charges,928.819346,,,,849.183,percent of total billed charges,423.7578571,,,,849.183,percent of total billed charges,253.544778,,,,849.183,percent of total billed charges,423.7578571,,,,849.183,percent of total billed charges,253.544778,,,,849.183,percent of total billed charges,423.7578571,,,,849.183,percent of total billed charges,253.544778,,,,840.846,percent of total billed charges,834.4662728,,,,840.846,percent of total billed charges,575.5247743,,,,,,,,,,857.52,percent of total billed charges,557.3678207,,,,,,,,,,857.52,percent of total billed charges,999999999,,,,,,,,,,952.8,percent of total billed charges,798.3968718,,,,940.89,percent of total billed charges,907.9993411,,,,940.89,percent of total billed charges,802.247474,,,,952.8,percent of total billed charges,999999999,,,,952.8,percent of total billed charges,999999999,,,,833.7,percent of total billed charges,999999999,,,,833.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,633.612,percent of total billed charges,999999999,,,,,,,,,,,,,,,,601.455,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,297.75,percent of total billed charges,282.7896677,,,,,,,,,,297.75,percent of total billed charges,278.085654,,,,,,,,,,297.75,percent of total billed charges,277.3128659,,,,,,,,,,297.75,percent of total billed charges,273.2294373,,,,,,,,,,297.75,percent of total billed charges,280.2600324,,,,,,,,,,297.75,percent of total billed charges,999999999,,,,,,,,,,297.75,percent of total billed charges,240.4828437,,,,,,,,,,297.75,percent of total billed charges,379.2580281,,,,,,,,,,297.75,percent of total billed charges,999999999,,,,,,,,,,297.75,percent of total billed charges,259.2993198,,,,,,,,,,1071.9,percent of total billed charges,,,,,
DRAINAGE FINGER ABSCESS COMPLICATED,26011,CDM,,,,both,,,3363,3363,715.9287058,3363,3363,percent of total billed charges,2474.278573,,,,3363,percent of total billed charges,2622.686365,,,,3363,percent of total billed charges,2474.278573,,,,3363,percent of total billed charges,2622.686365,,,,3363,percent of total billed charges,999999999,,,,3363,percent of total billed charges,2562.374862,,,,3363,percent of total billed charges,2474.278573,,,,3363,percent of total billed charges,2622.686365,,,,2397.819,percent of total billed charges,1196.555561,,,,2397.819,percent of total billed charges,715.9287058,,,,2397.819,percent of total billed charges,1196.555561,,,,2397.819,percent of total billed charges,715.9287058,,,,2397.819,percent of total billed charges,1196.555561,,,,2397.819,percent of total billed charges,715.9287058,,,,2374.278,percent of total billed charges,2356.263707,,,,2374.278,percent of total billed charges,1625.096403,,,,,,,,,,2421.36,percent of total billed charges,1573.82702,,,,,,,,,,2421.36,percent of total billed charges,999999999,,,,,,,,,,2690.4,percent of total billed charges,2254.415348,,,,2656.77,percent of total billed charges,2563.897384,,,,2656.77,percent of total billed charges,2265.288208,,,,2690.4,percent of total billed charges,999999999,,,,2690.4,percent of total billed charges,999999999,,,,2354.1,percent of total billed charges,999999999,,,,2354.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1789.116,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1698.315,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,840.75,percent of total billed charges,798.506845,,,,,,,,,,840.75,percent of total billed charges,785.224227,,,,,,,,,,840.75,percent of total billed charges,783.0421225,,,,,,,,,,840.75,percent of total billed charges,771.5118368,,,,,,,,,,840.75,percent of total billed charges,791.3639705,,,,,,,,,,840.75,percent of total billed charges,999999999,,,,,,,,,,840.75,percent of total billed charges,679.0460146,,,,,,,,,,840.75,percent of total billed charges,1070.902392,,,,,,,,,,840.75,percent of total billed charges,999999999,,,,,,,,,,840.75,percent of total billed charges,732.1776764,,,,,,,,,,3026.7,percent of total billed charges,,,,,
"CLSD RED, HIP ATHROPLASTY DISLC W/ANEST",27266,CDM,,,,both,,,4310,4310,917.5298013,4310,4310,percent of total billed charges,3171.020116,,,,4310,percent of total billed charges,3361.218624,,,,4310,percent of total billed charges,3171.020116,,,,4310,percent of total billed charges,3361.218624,,,,4310,percent of total billed charges,999999999,,,,4310,percent of total billed charges,3283.923776,,,,4310,percent of total billed charges,3171.020116,,,,4310,percent of total billed charges,3361.218624,,,,3073.03,percent of total billed charges,1533.498207,,,,3073.03,percent of total billed charges,917.5298013,,,,3073.03,percent of total billed charges,1533.498207,,,,3073.03,percent of total billed charges,917.5298013,,,,3073.03,percent of total billed charges,1533.498207,,,,3073.03,percent of total billed charges,917.5298013,,,,3042.86,percent of total billed charges,3019.772994,,,,3042.86,percent of total billed charges,2082.713499,,,,,,,,,,3103.2,percent of total billed charges,2017.006975,,,,,,,,,,3103.2,percent of total billed charges,999999999,,,,,,,,,,3448,percent of total billed charges,2889.244767,,,,3404.9,percent of total billed charges,3285.87503,,,,3404.9,percent of total billed charges,2903.179356,,,,3448,percent of total billed charges,999999999,,,,3448,percent of total billed charges,999999999,,,,3017,percent of total billed charges,999999999,,,,3017,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2292.92,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2176.55,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1077.5,percent of total billed charges,1023.361434,,,,,,,,,,1077.5,percent of total billed charges,1006.338513,,,,,,,,,,1077.5,percent of total billed charges,1003.541941,,,,,,,,,,1077.5,percent of total billed charges,988.7647982,,,,,,,,,,1077.5,percent of total billed charges,1014.20717,,,,,,,,,,1077.5,percent of total billed charges,999999999,,,,,,,,,,1077.5,percent of total billed charges,870.2611724,,,,,,,,,,1077.5,percent of total billed charges,1372.461882,,,,,,,,,,1077.5,percent of total billed charges,999999999,,,,,,,,,,1077.5,percent of total billed charges,938.3543815,,,,,,,,,,3879,percent of total billed charges,,,,,
CLTX HUMERAL CONDYLAR FX MEDIA/LATERAL,24577,CDM,,,,both,,,1615,1615,343.8075706,1615,1615,percent of total billed charges,1188.212874,,,,1615,percent of total billed charges,1259.482153,,,,1615,percent of total billed charges,1188.212874,,,,1615,percent of total billed charges,1259.482153,,,,1615,percent of total billed charges,999999999,,,,1615,percent of total billed charges,1230.519002,,,,1615,percent of total billed charges,1188.212874,,,,1615,percent of total billed charges,1259.482153,,,,1151.495,percent of total billed charges,574.6170774,,,,1151.495,percent of total billed charges,343.8075706,,,,1151.495,percent of total billed charges,574.6170774,,,,1151.495,percent of total billed charges,343.8075706,,,,1151.495,percent of total billed charges,574.6170774,,,,1151.495,percent of total billed charges,343.8075706,,,,1140.19,percent of total billed charges,1131.539069,,,,1140.19,percent of total billed charges,780.4135269,,,,,,,,,,1162.8,percent of total billed charges,755.7926369,,,,,,,,,,1162.8,percent of total billed charges,999999999,,,,,,,,,,1292,percent of total billed charges,1082.62884,,,,1275.85,percent of total billed charges,1231.250156,,,,1275.85,percent of total billed charges,1087.850269,,,,1292,percent of total billed charges,999999999,,,,1292,percent of total billed charges,999999999,,,,1130.5,percent of total billed charges,999999999,,,,1130.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,859.18,percent of total billed charges,999999999,,,,,,,,,,,,,,,,815.575,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,403.75,percent of total billed charges,383.4637391,,,,,,,,,,403.75,percent of total billed charges,377.0850808,,,,,,,,,,403.75,percent of total billed charges,376.0371775,,,,,,,,,,403.75,percent of total billed charges,370.5000346,,,,,,,,,,403.75,percent of total billed charges,380.0335452,,,,,,,,,,403.75,percent of total billed charges,999999999,,,,,,,,,,403.75,percent of total billed charges,326.0955437,,,,,,,,,,403.75,percent of total billed charges,514.2751599,,,,,,,,,,403.75,percent of total billed charges,999999999,,,,,,,,,,403.75,percent of total billed charges,351.6107485,,,,,,,,,,1453.5,percent of total billed charges,,,,,
ABDOMINAL PARACENTESIS DX/THER W/ IMAGIN,49083,CDM,,,,both,,,2797,2797,595.4363931,2797,2797,percent of total billed charges,2057.852265,,,,2797,percent of total billed charges,2181.282713,,,,2797,percent of total billed charges,2057.852265,,,,2797,percent of total billed charges,2181.282713,,,,2797,percent of total billed charges,999999999,,,,2797,percent of total billed charges,2131.121763,,,,2797,percent of total billed charges,2057.852265,,,,2797,percent of total billed charges,2181.282713,,,,1994.261,percent of total billed charges,995.1727341,,,,1994.261,percent of total billed charges,595.4363931,,,,1994.261,percent of total billed charges,995.1727341,,,,1994.261,percent of total billed charges,595.4363931,,,,1994.261,percent of total billed charges,995.1727341,,,,1994.261,percent of total billed charges,595.4363931,,,,1974.682,percent of total billed charges,1959.699551,,,,1974.682,percent of total billed charges,1351.589248,,,,,,,,,,2013.84,percent of total billed charges,1308.94861,,,,,,,,,,2013.84,percent of total billed charges,999999999,,,,,,,,,,2237.6,percent of total billed charges,1874.992486,,,,2209.63,percent of total billed charges,2132.388041,,,,2209.63,percent of total billed charges,1884.03542,,,,2237.6,percent of total billed charges,999999999,,,,2237.6,percent of total billed charges,999999999,,,,1957.9,percent of total billed charges,999999999,,,,1957.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1488.004,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1412.485,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,699.25,percent of total billed charges,664.1164572,,,,,,,,,,699.25,percent of total billed charges,653.0693318,,,,,,,,,,699.25,percent of total billed charges,651.2544801,,,,,,,,,,699.25,percent of total billed charges,641.6647658,,,,,,,,,,699.25,percent of total billed charges,658.1757435,,,,,,,,,,699.25,percent of total billed charges,999999999,,,,,,,,,,699.25,percent of total billed charges,564.7611367,,,,,,,,,,699.25,percent of total billed charges,890.6672584,,,,,,,,,,699.25,percent of total billed charges,999999999,,,,,,,,,,699.25,percent of total billed charges,608.9506276,,,,,,,,,,2517.3,percent of total billed charges,,,,,
VAGINAL DELIVERY AFTER CESAREAN DELIVERY,59612,CDM,,,,both,,,2541,2541,540.9381033,2541,2541,percent of total billed charges,1869.503971,,,,2541,percent of total billed charges,1981.637245,,,,2541,percent of total billed charges,1869.503971,,,,2541,percent of total billed charges,1981.637245,,,,2541,percent of total billed charges,999999999,,,,2541,percent of total billed charges,1936.067358,,,,2541,percent of total billed charges,1869.503971,,,,2541,percent of total billed charges,1981.637245,,,,1811.733,percent of total billed charges,904.0879218,,,,1811.733,percent of total billed charges,540.9381033,,,,1811.733,percent of total billed charges,904.0879218,,,,1811.733,percent of total billed charges,540.9381033,,,,1811.733,percent of total billed charges,904.0879218,,,,1811.733,percent of total billed charges,540.9381033,,,,1793.946,percent of total billed charges,1780.334844,,,,1793.946,percent of total billed charges,1227.882831,,,,,,,,,,1829.52,percent of total billed charges,1189.144948,,,,,,,,,,1829.52,percent of total billed charges,999999999,,,,,,,,,,2032.8,percent of total billed charges,1703.380731,,,,2007.39,percent of total billed charges,1937.217738,,,,2007.39,percent of total billed charges,1711.595996,,,,2032.8,percent of total billed charges,999999999,,,,2032.8,percent of total billed charges,999999999,,,,1778.7,percent of total billed charges,999999999,,,,1778.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1351.812,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1283.205,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,635.25,percent of total billed charges,603.3321122,,,,,,,,,,635.25,percent of total billed charges,593.296093,,,,,,,,,,635.25,percent of total billed charges,591.6473486,,,,,,,,,,635.25,percent of total billed charges,582.9353486,,,,,,,,,,635.25,percent of total billed charges,597.9351321,,,,,,,,,,635.25,percent of total billed charges,999999999,,,,,,,,,,635.25,percent of total billed charges,513.0704499,,,,,,,,,,635.25,percent of total billed charges,809.1474807,,,,,,,,,,635.25,percent of total billed charges,999999999,,,,,,,,,,635.25,percent of total billed charges,553.2154254,,,,,,,,,,2286.9,percent of total billed charges,,,,,
EPISIOTOMY/VAG REPAIR BY OTHER THAN ATTE,59300,CDM,,,,both,,,2541,2541,540.9381033,2541,2541,percent of total billed charges,1869.503971,,,,2541,percent of total billed charges,1981.637245,,,,2541,percent of total billed charges,1869.503971,,,,2541,percent of total billed charges,1981.637245,,,,2541,percent of total billed charges,999999999,,,,2541,percent of total billed charges,1936.067358,,,,2541,percent of total billed charges,1869.503971,,,,2541,percent of total billed charges,1981.637245,,,,1811.733,percent of total billed charges,904.0879218,,,,1811.733,percent of total billed charges,540.9381033,,,,1811.733,percent of total billed charges,904.0879218,,,,1811.733,percent of total billed charges,540.9381033,,,,1811.733,percent of total billed charges,904.0879218,,,,1811.733,percent of total billed charges,540.9381033,,,,1793.946,percent of total billed charges,1780.334844,,,,1793.946,percent of total billed charges,1227.882831,,,,,,,,,,1829.52,percent of total billed charges,1189.144948,,,,,,,,,,1829.52,percent of total billed charges,999999999,,,,,,,,,,2032.8,percent of total billed charges,1703.380731,,,,2007.39,percent of total billed charges,1937.217738,,,,2007.39,percent of total billed charges,1711.595996,,,,2032.8,percent of total billed charges,999999999,,,,2032.8,percent of total billed charges,999999999,,,,1778.7,percent of total billed charges,999999999,,,,1778.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1351.812,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1283.205,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,635.25,percent of total billed charges,603.3321122,,,,,,,,,,635.25,percent of total billed charges,593.296093,,,,,,,,,,635.25,percent of total billed charges,591.6473486,,,,,,,,,,635.25,percent of total billed charges,582.9353486,,,,,,,,,,635.25,percent of total billed charges,597.9351321,,,,,,,,,,635.25,percent of total billed charges,999999999,,,,,,,,,,635.25,percent of total billed charges,513.0704499,,,,,,,,,,635.25,percent of total billed charges,809.1474807,,,,,,,,,,635.25,percent of total billed charges,999999999,,,,,,,,,,635.25,percent of total billed charges,553.2154254,,,,,,,,,,2286.9,percent of total billed charges,,,,,
**INJECTION ANESTHETIC AGENT CERVICAL PL,64413,CDM,,,,both,,,1889,1889,402.1377714,1889,1889,percent of total billed charges,1389.804408,,,,1889,percent of total billed charges,1473.165193,,,,1889,percent of total billed charges,1389.804408,,,,1889,percent of total billed charges,1473.165193,,,,1889,percent of total billed charges,999999999,,,,1889,percent of total billed charges,1439.28817,,,,1889,percent of total billed charges,1389.804408,,,,1889,percent of total billed charges,1473.165193,,,,1346.857,percent of total billed charges,672.1062905,,,,1346.857,percent of total billed charges,402.1377714,,,,1346.857,percent of total billed charges,672.1062905,,,,1346.857,percent of total billed charges,402.1377714,,,,1346.857,percent of total billed charges,672.1062905,,,,1346.857,percent of total billed charges,402.1377714,,,,1333.634,percent of total billed charges,1323.515356,,,,1333.634,percent of total billed charges,912.818051,,,,,,,,,,1360.08,percent of total billed charges,884.0199944,,,,,,,,,,1360.08,percent of total billed charges,999999999,,,,,,,,,,1511.2,percent of total billed charges,1266.307045,,,,1492.31,percent of total billed charges,1440.143371,,,,1492.31,percent of total billed charges,1272.41434,,,,1511.2,percent of total billed charges,999999999,,,,1511.2,percent of total billed charges,999999999,,,,1322.3,percent of total billed charges,999999999,,,,1322.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1004.948,percent of total billed charges,999999999,,,,,,,,,,,,,,,,953.945,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,472.25,percent of total billed charges,448.5219834,,,,,,,,,,472.25,percent of total billed charges,441.0611254,,,,,,,,,,472.25,percent of total billed charges,439.8354354,,,,,,,,,,472.25,percent of total billed charges,433.358864,,,,,,,,,,472.25,percent of total billed charges,444.5098247,,,,,,,,,,472.25,percent of total billed charges,999999999,,,,,,,,,,472.25,percent of total billed charges,381.420732,,,,,,,,,,472.25,percent of total billed charges,601.5267969,,,,,,,,,,472.25,percent of total billed charges,999999999,,,,,,,,,,472.25,percent of total billed charges,411.2648322,,,,,,,,,,1700.1,percent of total billed charges,,,,,
CRITICAL CARE 30 TO 74 MINUTES,99291,CDM,,,,both,,,4115,4115,876.0174321,4115,4115,percent of total billed charges,3027.551688,,,,4115,percent of total billed charges,3209.144928,,,,4115,percent of total billed charges,3027.551688,,,,4115,percent of total billed charges,3209.144928,,,,4115,percent of total billed charges,999999999,,,,4115,percent of total billed charges,3135.347178,,,,4115,percent of total billed charges,3027.551688,,,,4115,percent of total billed charges,3209.144928,,,,2933.995,percent of total billed charges,1464.117197,,,,2933.995,percent of total billed charges,876.0174321,,,,2933.995,percent of total billed charges,1464.117197,,,,2933.995,percent of total billed charges,876.0174321,,,,2933.995,percent of total billed charges,1464.117197,,,,2933.995,percent of total billed charges,876.0174321,,,,2905.19,percent of total billed charges,2883.147534,,,,2905.19,percent of total billed charges,1988.484002,,,,,,,,,,2962.8,percent of total billed charges,1925.750279,,,,,,,,,,2962.8,percent of total billed charges,999999999,,,,,,,,,,3292,percent of total billed charges,2758.524876,,,,3250.85,percent of total billed charges,3137.21015,,,,3250.85,percent of total billed charges,2771.829014,,,,3292,percent of total billed charges,999999999,,,,3292,percent of total billed charges,999999999,,,,2880.5,percent of total billed charges,999999999,,,,2880.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2189.18,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2078.075,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1028.75,percent of total billed charges,977.0608585,,,,,,,,,,1028.75,percent of total billed charges,960.808116,,,,,,,,,,1028.75,percent of total billed charges,958.1380714,,,,,,,,,,1028.75,percent of total billed charges,944.0294999,,,,,,,,,,1028.75,percent of total billed charges,968.3207668,,,,,,,,,,1028.75,percent of total billed charges,999999999,,,,,,,,,,1028.75,percent of total billed charges,830.8874071,,,,,,,,,,1028.75,percent of total billed charges,1310.366739,,,,,,,,,,1028.75,percent of total billed charges,999999999,,,,,,,,,,1028.75,percent of total billed charges,895.8998329,,,,,,,,,,3703.5,percent of total billed charges,,,,,
CRITICAL CARE EACH ADDL 30 MIN,99292,CDM,,,,both,,,1410,1410,300.1663619,1410,1410,percent of total billed charges,1037.387091,,,,1410,percent of total billed charges,1099.609805,,,,1410,percent of total billed charges,1037.387091,,,,1410,percent of total billed charges,1099.609805,,,,1410,percent of total billed charges,999999999,,,,1410,percent of total billed charges,1074.323091,,,,1410,percent of total billed charges,1037.387091,,,,1410,percent of total billed charges,1099.609805,,,,1005.33,percent of total billed charges,501.6780676,,,,1005.33,percent of total billed charges,300.1663619,,,,1005.33,percent of total billed charges,501.6780676,,,,1005.33,percent of total billed charges,300.1663619,,,,1005.33,percent of total billed charges,501.6780676,,,,1005.33,percent of total billed charges,300.1663619,,,,995.46,percent of total billed charges,987.9071744,,,,995.46,percent of total billed charges,681.351748,,,,,,,,,,1015.2,percent of total billed charges,659.8561102,,,,,,,,,,1015.2,percent of total billed charges,999999999,,,,,,,,,,1128,percent of total billed charges,945.2053646,,,,1113.9,percent of total billed charges,1074.961437,,,,1113.9,percent of total billed charges,949.7640121,,,,1128,percent of total billed charges,999999999,,,,1128,percent of total billed charges,999999999,,,,987,percent of total billed charges,999999999,,,,987,percent of total billed charges,999999999,,,,,,,,,,,,,,,,750.12,percent of total billed charges,999999999,,,,,,,,,,,,,,,,712.05,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,352.5,percent of total billed charges,334.7887753,,,,,,,,,,352.5,percent of total billed charges,329.2197919,,,,,,,,,,352.5,percent of total billed charges,328.3049042,,,,,,,,,,352.5,percent of total billed charges,323.4706184,,,,,,,,,,352.5,percent of total billed charges,331.793993,,,,,,,,,,352.5,percent of total billed charges,999999999,,,,,,,,,,352.5,percent of total billed charges,284.7026109,,,,,,,,,,352.5,percent of total billed charges,448.9956504,,,,,,,,,,352.5,percent of total billed charges,999999999,,,,,,,,,,352.5,percent of total billed charges,306.9790436,,,,,,,,,,1269,percent of total billed charges,,,,,
BLOOD TRANSFUSION 2-4 HRS,36430,CDM,,,,both,,,1588,1588,338.0597041,1588,1588,percent of total billed charges,1168.348015,,,,1588,percent of total billed charges,1238.425795,,,,1588,percent of total billed charges,1168.348015,,,,1588,percent of total billed charges,1238.425795,,,,1588,percent of total billed charges,999999999,,,,1588,percent of total billed charges,1209.946857,,,,1588,percent of total billed charges,1168.348015,,,,1588,percent of total billed charges,1238.425795,,,,1132.244,percent of total billed charges,565.0104761,,,,1132.244,percent of total billed charges,338.0597041,,,,1132.244,percent of total billed charges,565.0104761,,,,1132.244,percent of total billed charges,338.0597041,,,,1132.244,percent of total billed charges,565.0104761,,,,1132.244,percent of total billed charges,338.0597041,,,,1121.128,percent of total billed charges,1112.621697,,,,1121.128,percent of total billed charges,767.3663658,,,,,,,,,,1143.36,percent of total billed charges,743.1570943,,,,,,,,,,1143.36,percent of total billed charges,999999999,,,,,,,,,,1270.4,percent of total billed charges,1064.529162,,,,1254.52,percent of total billed charges,1210.665788,,,,1254.52,percent of total billed charges,1069.663299,,,,1270.4,percent of total billed charges,999999999,,,,1270.4,percent of total billed charges,999999999,,,,1111.6,percent of total billed charges,999999999,,,,1111.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,844.816,percent of total billed charges,999999999,,,,,,,,,,,,,,,,801.94,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,397,percent of total billed charges,377.0528902,,,,,,,,,,397,percent of total billed charges,370.780872,,,,,,,,,,397,percent of total billed charges,369.7504878,,,,,,,,,,397,percent of total billed charges,364.3059164,,,,,,,,,,397,percent of total billed charges,373.6800432,,,,,,,,,,397,percent of total billed charges,999999999,,,,,,,,,,397,percent of total billed charges,320.6437916,,,,,,,,,,397,percent of total billed charges,505.6773709,,,,,,,,,,397,percent of total billed charges,999999999,,,,,,,,,,397,percent of total billed charges,345.7324264,,,,,,,,,,1429.2,percent of total billed charges,,,,,
BLOOD TRANSFUSION > 4 HRS,36430,CDM,,,,both,,,1588,1588,338.0597041,1588,1588,percent of total billed charges,1168.348015,,,,1588,percent of total billed charges,1238.425795,,,,1588,percent of total billed charges,1168.348015,,,,1588,percent of total billed charges,1238.425795,,,,1588,percent of total billed charges,999999999,,,,1588,percent of total billed charges,1209.946857,,,,1588,percent of total billed charges,1168.348015,,,,1588,percent of total billed charges,1238.425795,,,,1132.244,percent of total billed charges,565.0104761,,,,1132.244,percent of total billed charges,338.0597041,,,,1132.244,percent of total billed charges,565.0104761,,,,1132.244,percent of total billed charges,338.0597041,,,,1132.244,percent of total billed charges,565.0104761,,,,1132.244,percent of total billed charges,338.0597041,,,,1121.128,percent of total billed charges,1112.621697,,,,1121.128,percent of total billed charges,767.3663658,,,,,,,,,,1143.36,percent of total billed charges,743.1570943,,,,,,,,,,1143.36,percent of total billed charges,999999999,,,,,,,,,,1270.4,percent of total billed charges,1064.529162,,,,1254.52,percent of total billed charges,1210.665788,,,,1254.52,percent of total billed charges,1069.663299,,,,1270.4,percent of total billed charges,999999999,,,,1270.4,percent of total billed charges,999999999,,,,1111.6,percent of total billed charges,999999999,,,,1111.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,844.816,percent of total billed charges,999999999,,,,,,,,,,,,,,,,801.94,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,397,percent of total billed charges,377.0528902,,,,,,,,,,397,percent of total billed charges,370.780872,,,,,,,,,,397,percent of total billed charges,369.7504878,,,,,,,,,,397,percent of total billed charges,364.3059164,,,,,,,,,,397,percent of total billed charges,373.6800432,,,,,,,,,,397,percent of total billed charges,999999999,,,,,,,,,,397,percent of total billed charges,320.6437916,,,,,,,,,,397,percent of total billed charges,505.6773709,,,,,,,,,,397,percent of total billed charges,999999999,,,,,,,,,,397,percent of total billed charges,345.7324264,,,,,,,,,,1429.2,percent of total billed charges,,,,,
REMOVAL IMPACTED CERUMEN USING IRRIGATIO,69209,CDM,,,,both,,,359,359,76.42533612,359,359,percent of total billed charges,264.1290537,,,,359,percent of total billed charges,279.9715745,,,,359,percent of total billed charges,264.1290537,,,,359,percent of total billed charges,279.9715745,,,,359,percent of total billed charges,999999999,,,,359,percent of total billed charges,273.5333261,,,,359,percent of total billed charges,264.1290537,,,,359,percent of total billed charges,279.9715745,,,,255.967,percent of total billed charges,127.7322172,,,,255.967,percent of total billed charges,76.42533612,,,,255.967,percent of total billed charges,127.7322172,,,,255.967,percent of total billed charges,76.42533612,,,,255.967,percent of total billed charges,127.7322172,,,,255.967,percent of total billed charges,76.42533612,,,,253.454,percent of total billed charges,251.5309756,,,,253.454,percent of total billed charges,173.4789202,,,,,,,,,,258.48,percent of total billed charges,168.0059174,,,,,,,,,,258.48,percent of total billed charges,999999999,,,,,,,,,,287.2,percent of total billed charges,240.6586708,,,,283.61,percent of total billed charges,273.6958551,,,,283.61,percent of total billed charges,241.8193478,,,,287.2,percent of total billed charges,999999999,,,,287.2,percent of total billed charges,999999999,,,,251.3,percent of total billed charges,999999999,,,,251.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,190.988,percent of total billed charges,999999999,,,,,,,,,,,,,,,,181.295,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,89.75,percent of total billed charges,85.24054635,,,,,,,,,,89.75,percent of total billed charges,83.82262786,,,,,,,,,,89.75,percent of total billed charges,83.58968837,,,,,,,,,,89.75,percent of total billed charges,82.35883122,,,,,,,,,,89.75,percent of total billed charges,84.47804502,,,,,,,,,,89.75,percent of total billed charges,999999999,,,,,,,,,,89.75,percent of total billed charges,72.48811158,,,,,,,,,,89.75,percent of total billed charges,114.3187507,,,,,,,,,,89.75,percent of total billed charges,999999999,,,,,,,,,,89.75,percent of total billed charges,78.15991252,,,,,,,,,,323.1,percent of total billed charges,,,,,
REMOVAL IMPACTED CERUMEN USING IRRAGATIO,69209,CDM,,,,both,,,261,261,55.56270955,261,261,percent of total billed charges,192.0269722,,,,261,percent of total billed charges,203.5447937,,,,261,percent of total billed charges,192.0269722,,,,261,percent of total billed charges,203.5447937,,,,261,percent of total billed charges,999999999,,,,261,percent of total billed charges,198.8640616,,,,261,percent of total billed charges,192.0269722,,,,261,percent of total billed charges,203.5447937,,,,186.093,percent of total billed charges,92.86381251,,,,186.093,percent of total billed charges,55.56270955,,,,186.093,percent of total billed charges,92.86381251,,,,186.093,percent of total billed charges,55.56270955,,,,186.093,percent of total billed charges,92.86381251,,,,186.093,percent of total billed charges,55.56270955,,,,184.266,percent of total billed charges,182.8679238,,,,184.266,percent of total billed charges,126.1225576,,,,,,,,,,187.92,percent of total billed charges,122.1435778,,,,,,,,,,187.92,percent of total billed charges,999999999,,,,,,,,,,208.8,percent of total billed charges,174.9635462,,,,206.19,percent of total billed charges,198.9822234,,,,206.19,percent of total billed charges,175.807381,,,,208.8,percent of total billed charges,999999999,,,,208.8,percent of total billed charges,999999999,,,,182.7,percent of total billed charges,999999999,,,,182.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,138.852,percent of total billed charges,999999999,,,,,,,,,,,,,,,,131.805,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,65.25,percent of total billed charges,61.97153927,,,,,,,,,,65.25,percent of total billed charges,60.94068488,,,,,,,,,,65.25,percent of total billed charges,60.77133332,,,,,,,,,,65.25,percent of total billed charges,59.87647618,,,,,,,,,,65.25,percent of total billed charges,61.41718594,,,,,,,,,,65.25,percent of total billed charges,999999999,,,,,,,,,,65.25,percent of total billed charges,52.70027053,,,,,,,,,,65.25,percent of total billed charges,83.11196083,,,,,,,,,,65.25,percent of total billed charges,999999999,,,,,,,,,,65.25,percent of total billed charges,56.82378041,,,,,,,,,,234.9,percent of total billed charges,,,,,
SPINAL PUNCTURE THERAPEUTIC,62272,CDM,,,,both,,,1958,1958,416.8267636,1958,1958,percent of total billed charges,1440.570159,,,,1958,percent of total billed charges,1526.975885,,,,1958,percent of total billed charges,1440.570159,,,,1958,percent of total billed charges,1526.975885,,,,1958,percent of total billed charges,999999999,,,,1958,percent of total billed charges,1491.861427,,,,1958,percent of total billed charges,1440.570159,,,,1958,percent of total billed charges,1526.975885,,,,1396.054,percent of total billed charges,696.6564938,,,,1396.054,percent of total billed charges,416.8267636,,,,1396.054,percent of total billed charges,696.6564938,,,,1396.054,percent of total billed charges,416.8267636,,,,1396.054,percent of total billed charges,696.6564938,,,,1396.054,percent of total billed charges,416.8267636,,,,1382.348,percent of total billed charges,1371.85975,,,,1382.348,percent of total billed charges,946.1607961,,,,,,,,,,1409.76,percent of total billed charges,916.3108254,,,,,,,,,,1409.76,percent of total billed charges,999999999,,,,,,,,,,1566.4,percent of total billed charges,1312.561776,,,,1546.82,percent of total billed charges,1492.747867,,,,1546.82,percent of total billed charges,1318.892153,,,,1566.4,percent of total billed charges,999999999,,,,1566.4,percent of total billed charges,999999999,,,,1370.6,percent of total billed charges,999999999,,,,1370.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1041.656,percent of total billed charges,999999999,,,,,,,,,,,,,,,,988.79,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,489.5,percent of total billed charges,464.9052639,,,,,,,,,,489.5,percent of total billed charges,457.1718812,,,,,,,,,,489.5,percent of total billed charges,455.9014201,,,,,,,,,,489.5,percent of total billed charges,449.1882772,,,,,,,,,,489.5,percent of total billed charges,460.746552,,,,,,,,,,489.5,percent of total billed charges,999999999,,,,,,,,,,489.5,percent of total billed charges,395.3529874,,,,,,,,,,489.5,percent of total billed charges,623.4989245,,,,,,,,,,489.5,percent of total billed charges,999999999,,,,,,,,,,489.5,percent of total billed charges,426.2872109,,,,,,,,,,1762.2,percent of total billed charges,,,,,
ABDOMINAL PARACENTESIS W/O IMAGINH GUIDA,49082,CDM,,,,both,,,2467,2467,525.1846914,2467,2467,percent of total billed charges,1815.059542,,,,2467,percent of total billed charges,1923.927226,,,,2467,percent of total billed charges,1815.059542,,,,2467,percent of total billed charges,1923.927226,,,,2467,percent of total billed charges,999999999,,,,2467,percent of total billed charges,1879.684444,,,,2467,percent of total billed charges,1815.059542,,,,2467,percent of total billed charges,1923.927226,,,,1758.971,percent of total billed charges,877.7587182,,,,1758.971,percent of total billed charges,525.1846914,,,,1758.971,percent of total billed charges,877.7587182,,,,1758.971,percent of total billed charges,525.1846914,,,,1758.971,percent of total billed charges,877.7587182,,,,1758.971,percent of total billed charges,525.1846914,,,,1741.702,percent of total billed charges,1728.487233,,,,1741.702,percent of total billed charges,1192.123945,,,,,,,,,,1776.24,percent of total billed charges,1154.514201,,,,,,,,,,1776.24,percent of total billed charges,999999999,,,,,,,,,,1973.6,percent of total billed charges,1653.774209,,,,1948.93,percent of total billed charges,1880.801322,,,,1948.93,percent of total billed charges,1661.750225,,,,1973.6,percent of total billed charges,999999999,,,,1973.6,percent of total billed charges,999999999,,,,1726.9,percent of total billed charges,999999999,,,,1726.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1312.444,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1245.835,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,616.75,percent of total billed charges,585.7616374,,,,,,,,,,616.75,percent of total billed charges,576.0178912,,,,,,,,,,616.75,percent of total billed charges,574.4171621,,,,,,,,,,616.75,percent of total billed charges,565.9588764,,,,,,,,,,616.75,percent of total billed charges,580.5218303,,,,,,,,,,616.75,percent of total billed charges,999999999,,,,,,,,,,616.75,percent of total billed charges,498.1286108,,,,,,,,,,616.75,percent of total billed charges,785.58317,,,,,,,,,,616.75,percent of total billed charges,999999999,,,,,,,,,,616.75,percent of total billed charges,537.1044685,,,,,,,,,,2220.3,percent of total billed charges,,,,,
**MOD SEDATION 1ST 30 MINS >5 YRS OLD,99144,CDM,,,,both,,,726,726,154.5537438,726,726,percent of total billed charges,534.1439917,,,,726,percent of total billed charges,566.1820699,,,,726,percent of total billed charges,534.1439917,,,,726,percent of total billed charges,566.1820699,,,,726,percent of total billed charges,999999999,,,,726,percent of total billed charges,553.1621023,,,,726,percent of total billed charges,534.1439917,,,,726,percent of total billed charges,566.1820699,,,,517.638,percent of total billed charges,258.3108348,,,,517.638,percent of total billed charges,154.5537438,,,,517.638,percent of total billed charges,258.3108348,,,,517.638,percent of total billed charges,154.5537438,,,,517.638,percent of total billed charges,258.3108348,,,,517.638,percent of total billed charges,154.5537438,,,,512.556,percent of total billed charges,508.6670983,,,,512.556,percent of total billed charges,350.823666,,,,,,,,,,522.72,percent of total billed charges,339.7556993,,,,,,,,,,522.72,percent of total billed charges,999999999,,,,,,,,,,580.8,percent of total billed charges,486.680209,,,,573.54,percent of total billed charges,553.4907822,,,,573.54,percent of total billed charges,489.0274275,,,,580.8,percent of total billed charges,999999999,,,,580.8,percent of total billed charges,999999999,,,,508.2,percent of total billed charges,999999999,,,,508.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,386.232,percent of total billed charges,999999999,,,,,,,,,,,,,,,,366.63,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,181.5,percent of total billed charges,172.3806035,,,,,,,,,,181.5,percent of total billed charges,169.5131694,,,,,,,,,,181.5,percent of total billed charges,169.0420996,,,,,,,,,,181.5,percent of total billed charges,166.5529567,,,,,,,,,,181.5,percent of total billed charges,170.8386092,,,,,,,,,,181.5,percent of total billed charges,999999999,,,,,,,,,,181.5,percent of total billed charges,146.5915571,,,,,,,,,,181.5,percent of total billed charges,231.1849945,,,,,,,,,,181.5,percent of total billed charges,999999999,,,,,,,,,,181.5,percent of total billed charges,158.0615501,,,,,,,,,,653.4,percent of total billed charges,,,,,
**MOD SEDATION E/ADD 15 MINS >5 YRS O,99145,CDM,,,,both,,,306,306,65.14248705,306,306,percent of total billed charges,225.1350709,,,,306,percent of total billed charges,238.6387237,,,,306,percent of total billed charges,225.1350709,,,,306,percent of total billed charges,238.6387237,,,,306,percent of total billed charges,999999999,,,,306,percent of total billed charges,233.1509688,,,,306,percent of total billed charges,225.1350709,,,,306,percent of total billed charges,238.6387237,,,,218.178,percent of total billed charges,108.8748147,,,,218.178,percent of total billed charges,65.14248705,,,,218.178,percent of total billed charges,108.8748147,,,,218.178,percent of total billed charges,65.14248705,,,,218.178,percent of total billed charges,108.8748147,,,,218.178,percent of total billed charges,65.14248705,,,,216.036,percent of total billed charges,214.3968761,,,,216.036,percent of total billed charges,147.8678262,,,,,,,,,,220.32,percent of total billed charges,143.2028154,,,,,,,,,,220.32,percent of total billed charges,999999999,,,,,,,,,,244.8,percent of total billed charges,205.1296749,,,,241.74,percent of total billed charges,233.2895033,,,,241.74,percent of total billed charges,206.1189984,,,,244.8,percent of total billed charges,999999999,,,,244.8,percent of total billed charges,999999999,,,,214.2,percent of total billed charges,999999999,,,,214.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,162.792,percent of total billed charges,999999999,,,,,,,,,,,,,,,,154.53,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,76.5,percent of total billed charges,72.65628742,,,,,,,,,,76.5,percent of total billed charges,71.44769951,,,,,,,,,,76.5,percent of total billed charges,71.24914941,,,,,,,,,,76.5,percent of total billed charges,70.20000656,,,,,,,,,,76.5,percent of total billed charges,72.00635593,,,,,,,,,,76.5,percent of total billed charges,999999999,,,,,,,,,,76.5,percent of total billed charges,61.78652408,,,,,,,,,,76.5,percent of total billed charges,97.44160924,,,,,,,,,,76.5,percent of total billed charges,999999999,,,,,,,,,,76.5,percent of total billed charges,66.62098393,,,,,,,,,,275.4,percent of total billed charges,,,,,
CHANGE OF BLADDER TUBE-COMPLICATED,51710,CDM,,,,both,,,3186,3186,678.2482476,3186,3186,percent of total billed charges,2344.053385,,,,3186,percent of total billed charges,2484.65024,,,,3186,percent of total billed charges,2344.053385,,,,3186,percent of total billed charges,2484.65024,,,,3186,percent of total billed charges,999999999,,,,3186,percent of total billed charges,2427.513028,,,,3186,percent of total billed charges,2344.053385,,,,3186,percent of total billed charges,2484.65024,,,,2271.618,percent of total billed charges,1133.578953,,,,2271.618,percent of total billed charges,678.2482476,,,,2271.618,percent of total billed charges,1133.578953,,,,2271.618,percent of total billed charges,678.2482476,,,,2271.618,percent of total billed charges,1133.578953,,,,2271.618,percent of total billed charges,678.2482476,,,,2249.316,percent of total billed charges,2232.249828,,,,2249.316,percent of total billed charges,1539.565013,,,,,,,,,,2293.92,percent of total billed charges,1490.994019,,,,,,,,,,2293.92,percent of total billed charges,999999999,,,,,,,,,,2548.8,percent of total billed charges,2135.761909,,,,2516.94,percent of total billed charges,2428.955416,,,,2516.94,percent of total billed charges,2146.062512,,,,2548.8,percent of total billed charges,999999999,,,,2548.8,percent of total billed charges,999999999,,,,2230.2,percent of total billed charges,999999999,,,,2230.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1694.952,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1608.93,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,796.5,percent of total billed charges,756.480169,,,,,,,,,,796.5,percent of total billed charges,743.8966361,,,,,,,,,,796.5,percent of total billed charges,741.8293792,,,,,,,,,,796.5,percent of total billed charges,730.9059506,,,,,,,,,,796.5,percent of total billed charges,749.7132352,,,,,,,,,,796.5,percent of total billed charges,999999999,,,,,,,,,,796.5,percent of total billed charges,643.3067507,,,,,,,,,,796.5,percent of total billed charges,1014.539108,,,,,,,,,,796.5,percent of total billed charges,999999999,,,,,,,,,,796.5,percent of total billed charges,693.6420092,,,,,,,,,,2867.4,percent of total billed charges,,,,,
ER-I&D DEEP ABSC BURSA.HEMATOMA THIGH/K,27301,CDM,,,,both,,,8229,8229,1751.82198,8229,8229,percent of total billed charges,6054.367641,,,,8229,percent of total billed charges,6417.50999,,,,8229,percent of total billed charges,6054.367641,,,,8229,percent of total billed charges,6417.50999,,,,8229,percent of total billed charges,999999999,,,,8229,percent of total billed charges,6269.932424,,,,8229,percent of total billed charges,6054.367641,,,,8229,percent of total billed charges,6417.50999,,,,5867.277,percent of total billed charges,2927.878594,,,,5867.277,percent of total billed charges,1751.82198,,,,5867.277,percent of total billed charges,2927.878594,,,,5867.277,percent of total billed charges,1751.82198,,,,5867.277,percent of total billed charges,2927.878594,,,,5867.277,percent of total billed charges,1751.82198,,,,5809.674,percent of total billed charges,5765.594424,,,,5809.674,percent of total billed charges,3976.484776,,,,,,,,,,5924.88,percent of total billed charges,3851.032575,,,,,,,,,,5924.88,percent of total billed charges,999999999,,,,,,,,,,6583.2,percent of total billed charges,5516.379394,,,,6500.91,percent of total billed charges,6273.657916,,,,6500.91,percent of total billed charges,5542.984437,,,,6583.2,percent of total billed charges,999999999,,,,6583.2,percent of total billed charges,999999999,,,,5760.3,percent of total billed charges,999999999,,,,5760.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4377.828,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4155.645,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2057.25,percent of total billed charges,1953.884278,,,,,,,,,,2057.25,percent of total billed charges,1921.382743,,,,,,,,,,2057.25,percent of total billed charges,1916.043302,,,,,,,,,,2057.25,percent of total billed charges,1887.829588,,,,,,,,,,2057.25,percent of total billed charges,1936.406219,,,,,,,,,,2057.25,percent of total billed charges,999999999,,,,,,,,,,2057.25,percent of total billed charges,1661.572897,,,,,,,,,,2057.25,percent of total billed charges,2620.415041,,,,,,,,,,2057.25,percent of total billed charges,999999999,,,,,,,,,,2057.25,percent of total billed charges,1791.58195,,,,,,,,,,7406.1,percent of total billed charges,,,,,
ER LEVEL 1 (25),99281,CDM,,,25,both,,,265,265,56.41424533,925,265,percent of total billed charges,194.9699143,,,,265,percent of total billed charges,206.6642542,,,,265,percent of total billed charges,194.9699143,,,,265,percent of total billed charges,206.6642542,,,,265,percent of total billed charges,999999999,,,,265,percent of total billed charges,201.9117867,,,,265,percent of total billed charges,194.9699143,,,,265,percent of total billed charges,206.6642542,,,,188.945,percent of total billed charges,94.2870127,,,,188.945,percent of total billed charges,56.41424533,,,,188.945,percent of total billed charges,94.2870127,,,,188.945,percent of total billed charges,56.41424533,,,,188.945,percent of total billed charges,94.2870127,,,,188.945,percent of total billed charges,56.41424533,,,,187.09,percent of total billed charges,185.6704973,,,,187.09,percent of total billed charges,128.0554704,,,,,,,,,,925,case rate,124.0155101,,,,,,,,,,925,case rate,999999999,,,,,,,,,,212,percent of total billed charges,177.6449799,,,,209.35,percent of total billed charges,202.0317594,,,,209.35,percent of total billed charges,178.501747,,,,212,percent of total billed charges,999999999,,,,212,percent of total billed charges,999999999,,,,185.5,percent of total billed charges,999999999,,,,185.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,140.98,percent of total billed charges,999999999,,,,,,,,,,,,,,,,133.825,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,66.25,percent of total billed charges,62.92129466,,,,,,,,,,66.25,percent of total billed charges,61.87464173,,,,,,,,,,66.25,percent of total billed charges,61.70269475,,,,,,,,,,66.25,percent of total billed charges,60.79412332,,,,,,,,,,66.25,percent of total billed charges,62.35844549,,,,,,,,,,66.25,percent of total billed charges,999999999,,,,,,,,,,66.25,percent of total billed charges,53.50793752,,,,,,,,,,66.25,percent of total billed charges,84.38570735,,,,,,,,,,66.25,percent of total billed charges,999999999,,,,,,,,,,66.25,percent of total billed charges,57.69464295,,,,,,,,,,238.5,percent of total billed charges,,,,,
ER LEVEL 2 (25),99282,CDM,,,25,both,,,477,477,101.5456416,1350,477,percent of total billed charges,350.9458458,,,,477,percent of total billed charges,371.9956575,,,,477,percent of total billed charges,350.9458458,,,,477,percent of total billed charges,371.9956575,,,,477,percent of total billed charges,999999999,,,,477,percent of total billed charges,363.441216,,,,477,percent of total billed charges,350.9458458,,,,477,percent of total billed charges,371.9956575,,,,340.101,percent of total billed charges,169.7166229,,,,340.101,percent of total billed charges,101.5456416,,,,340.101,percent of total billed charges,169.7166229,,,,340.101,percent of total billed charges,101.5456416,,,,340.101,percent of total billed charges,169.7166229,,,,340.101,percent of total billed charges,101.5456416,,,,336.762,percent of total billed charges,334.2068952,,,,336.762,percent of total billed charges,230.4998466,,,,,,,,,,1350,case rate,223.2279181,,,,,,,,,,1350,case rate,999999999,,,,,,,,,,381.6,percent of total billed charges,319.7609638,,,,376.83,percent of total billed charges,363.6571668,,,,376.83,percent of total billed charges,321.3031445,,,,381.6,percent of total billed charges,999999999,,,,381.6,percent of total billed charges,999999999,,,,333.9,percent of total billed charges,999999999,,,,333.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,253.764,percent of total billed charges,999999999,,,,,,,,,,,,,,,,240.885,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,119.25,percent of total billed charges,113.2583304,,,,,,,,,,119.25,percent of total billed charges,111.3743551,,,,,,,,,,119.25,percent of total billed charges,111.0648506,,,,,,,,,,119.25,percent of total billed charges,109.429422,,,,,,,,,,119.25,percent of total billed charges,112.2452019,,,,,,,,,,119.25,percent of total billed charges,999999999,,,,,,,,,,119.25,percent of total billed charges,96.31428753,,,,,,,,,,119.25,percent of total billed charges,151.8942732,,,,,,,,,,119.25,percent of total billed charges,999999999,,,,,,,,,,119.25,percent of total billed charges,103.8503573,,,,,,,,,,429.3,percent of total billed charges,,,,,
ER LEVEL 3 (25),99283,CDM,,,25,both,,,1007,1007,214.3741322,2400,1007,percent of total billed charges,740.8856744,,,,1007,percent of total billed charges,785.3241658,,,,1007,percent of total billed charges,740.8856744,,,,1007,percent of total billed charges,785.3241658,,,,1007,percent of total billed charges,999999999,,,,1007,percent of total billed charges,767.2647893,,,,1007,percent of total billed charges,740.8856744,,,,1007,percent of total billed charges,785.3241658,,,,717.991,percent of total billed charges,358.2906483,,,,717.991,percent of total billed charges,214.3741322,,,,717.991,percent of total billed charges,358.2906483,,,,717.991,percent of total billed charges,214.3741322,,,,717.991,percent of total billed charges,358.2906483,,,,717.991,percent of total billed charges,214.3741322,,,,710.942,percent of total billed charges,705.5478898,,,,710.942,percent of total billed charges,486.6107874,,,,,,,,,,2400,case rate,471.2589383,,,,,,,,,,2400,case rate,999999999,,,,,,,,,,805.6,percent of total billed charges,675.0509235,,,,795.53,percent of total billed charges,767.7206856,,,,795.53,percent of total billed charges,678.3066384,,,,805.6,percent of total billed charges,999999999,,,,805.6,percent of total billed charges,999999999,,,,704.9,percent of total billed charges,999999999,,,,704.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,535.724,percent of total billed charges,999999999,,,,,,,,,,,,,,,,508.535,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,251.75,percent of total billed charges,239.1009197,,,,,,,,,,251.75,percent of total billed charges,235.1236386,,,,,,,,,,251.75,percent of total billed charges,234.4702401,,,,,,,,,,251.75,percent of total billed charges,231.0176686,,,,,,,,,,251.75,percent of total billed charges,236.9620929,,,,,,,,,,251.75,percent of total billed charges,999999999,,,,,,,,,,251.75,percent of total billed charges,203.3301626,,,,,,,,,,251.75,percent of total billed charges,320.6656879,,,,,,,,,,251.75,percent of total billed charges,999999999,,,,,,,,,,251.75,percent of total billed charges,219.2396432,,,,,,,,,,906.3,percent of total billed charges,,,,,
ER LEVEL 4 (25),99284,CDM,,,25,both,,,1431,1431,304.6369248,4550,1431,percent of total billed charges,1052.837537,,,,1431,percent of total billed charges,1115.986972,,,,1431,percent of total billed charges,1052.837537,,,,1431,percent of total billed charges,1115.986972,,,,1431,percent of total billed charges,999999999,,,,1431,percent of total billed charges,1090.323648,,,,1431,percent of total billed charges,1052.837537,,,,1431,percent of total billed charges,1115.986972,,,,1020.303,percent of total billed charges,509.1498686,,,,1020.303,percent of total billed charges,304.6369248,,,,1020.303,percent of total billed charges,509.1498686,,,,1020.303,percent of total billed charges,304.6369248,,,,1020.303,percent of total billed charges,509.1498686,,,,1020.303,percent of total billed charges,304.6369248,,,,1010.286,percent of total billed charges,1002.620685,,,,1010.286,percent of total billed charges,691.4995399,,,,,,,,,,4550,case rate,669.6837544,,,,,,,,,,4550,case rate,999999999,,,,,,,,,,1144.8,percent of total billed charges,959.2828913,,,,1130.49,percent of total billed charges,1090.971501,,,,1130.49,percent of total billed charges,963.9094336,,,,1144.8,percent of total billed charges,999999999,,,,1144.8,percent of total billed charges,999999999,,,,1001.7,percent of total billed charges,999999999,,,,1001.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,761.292,percent of total billed charges,999999999,,,,,,,,,,,,,,,,722.655,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,357.75,percent of total billed charges,339.7749912,,,,,,,,,,357.75,percent of total billed charges,334.1230654,,,,,,,,,,357.75,percent of total billed charges,333.1945517,,,,,,,,,,357.75,percent of total billed charges,328.288266,,,,,,,,,,357.75,percent of total billed charges,336.7356057,,,,,,,,,,357.75,percent of total billed charges,999999999,,,,,,,,,,357.75,percent of total billed charges,288.9428626,,,,,,,,,,357.75,percent of total billed charges,455.6828197,,,,,,,,,,357.75,percent of total billed charges,999999999,,,,,,,,,,357.75,percent of total billed charges,311.5510719,,,,,,,,,,1287.9,percent of total billed charges,,,,,
ER LEVEL 5 (25),99285,CDM,,,25,both,,,1855,1855,394.8997173,6600,1855,percent of total billed charges,1364.7894,,,,1855,percent of total billed charges,1446.649779,,,,1855,percent of total billed charges,1364.7894,,,,1855,percent of total billed charges,1446.649779,,,,1855,percent of total billed charges,999999999,,,,1855,percent of total billed charges,1413.382507,,,,1855,percent of total billed charges,1364.7894,,,,1855,percent of total billed charges,1446.649779,,,,1322.615,percent of total billed charges,660.0090889,,,,1322.615,percent of total billed charges,394.8997173,,,,1322.615,percent of total billed charges,660.0090889,,,,1322.615,percent of total billed charges,394.8997173,,,,1322.615,percent of total billed charges,660.0090889,,,,1322.615,percent of total billed charges,394.8997173,,,,1309.63,percent of total billed charges,1299.693481,,,,1309.63,percent of total billed charges,896.3882925,,,,,,,,,,6600,case rate,868.1085705,,,,,,,,,,6600,case rate,999999999,,,,,,,,,,1484,percent of total billed charges,1243.514859,,,,1465.45,percent of total billed charges,1414.222316,,,,1465.45,percent of total billed charges,1249.512229,,,,1484,percent of total billed charges,999999999,,,,1484,percent of total billed charges,999999999,,,,1298.5,percent of total billed charges,999999999,,,,1298.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,986.86,percent of total billed charges,999999999,,,,,,,,,,,,,,,,936.775,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,463.75,percent of total billed charges,440.4490626,,,,,,,,,,463.75,percent of total billed charges,433.1224921,,,,,,,,,,463.75,percent of total billed charges,431.9188633,,,,,,,,,,463.75,percent of total billed charges,425.5588633,,,,,,,,,,463.75,percent of total billed charges,436.5091184,,,,,,,,,,463.75,percent of total billed charges,999999999,,,,,,,,,,463.75,percent of total billed charges,374.5555626,,,,,,,,,,463.75,percent of total billed charges,590.6999515,,,,,,,,,,463.75,percent of total billed charges,999999999,,,,,,,,,,463.75,percent of total billed charges,403.8625006,,,,,,,,,,1669.5,percent of total billed charges,,,,,
TRAUMA RESPONSE ACTIVATION WITHOUT CRITI,G0390,CDM,,,,both,,,8573,8573,1825.054057,8573,8573,percent of total billed charges,6307.460662,,,,8573,percent of total billed charges,6685.783588,,,,8573,percent of total billed charges,6307.460662,,,,8573,percent of total billed charges,6685.783588,,,,8573,percent of total billed charges,999999999,,,,8573,percent of total billed charges,6532.036781,,,,8573,percent of total billed charges,6307.460662,,,,8573,percent of total billed charges,6685.783588,,,,6112.549,percent of total billed charges,3050.273811,,,,6112.549,percent of total billed charges,1825.054057,,,,6112.549,percent of total billed charges,3050.273811,,,,6112.549,percent of total billed charges,1825.054057,,,,6112.549,percent of total billed charges,3050.273811,,,,6112.549,percent of total billed charges,1825.054057,,,,6052.538,percent of total billed charges,6006.615749,,,,6052.538,percent of total billed charges,4142.715273,,,,,,,,,,6172.56,percent of total billed charges,4012.018747,,,,,,,,,,6172.56,percent of total billed charges,999999999,,,,,,,,,,6858.4,percent of total billed charges,5746.982688,,,,6772.67,percent of total billed charges,6535.918011,,,,6772.67,percent of total billed charges,5774.699912,,,,6858.4,percent of total billed charges,999999999,,,,6858.4,percent of total billed charges,999999999,,,,6001.1,percent of total billed charges,999999999,,,,6001.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4560.836,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4329.365,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2143.25,percent of total billed charges,2035.563242,,,,,,,,,,2143.25,percent of total billed charges,2001.703032,,,,,,,,,,2143.25,percent of total billed charges,1996.140385,,,,,,,,,,2143.25,percent of total billed charges,1966.747243,,,,,,,,,,2143.25,percent of total billed charges,2017.35454,,,,,,,,,,2143.25,percent of total billed charges,999999999,,,,,,,,,,2143.25,percent of total billed charges,1731.032258,,,,,,,,,,2143.25,percent of total billed charges,2729.957242,,,,,,,,,,2143.25,percent of total billed charges,999999999,,,,,,,,,,2143.25,percent of total billed charges,1866.476128,,,,,,,,,,7715.7,percent of total billed charges,,,,,
EPLEY MANEUVER,95992,CDM,,,,both,,,232,232,49.38907515,232,232,percent of total billed charges,170.690642,,,,232,percent of total billed charges,180.9287055,,,,232,percent of total billed charges,170.690642,,,,232,percent of total billed charges,180.9287055,,,,232,percent of total billed charges,999999999,,,,232,percent of total billed charges,176.7680547,,,,232,percent of total billed charges,170.690642,,,,232,percent of total billed charges,180.9287055,,,,165.416,percent of total billed charges,82.54561112,,,,165.416,percent of total billed charges,49.38907515,,,,165.416,percent of total billed charges,82.54561112,,,,165.416,percent of total billed charges,49.38907515,,,,165.416,percent of total billed charges,82.54561112,,,,165.416,percent of total billed charges,49.38907515,,,,163.792,percent of total billed charges,162.5492656,,,,163.792,percent of total billed charges,112.1089401,,,,,,,,,,167.04,percent of total billed charges,108.5720692,,,,,,,,,,167.04,percent of total billed charges,999999999,,,,,,,,,,185.6,percent of total billed charges,155.5231522,,,,183.28,percent of total billed charges,176.8730874,,,,183.28,percent of total billed charges,156.2732275,,,,185.6,percent of total billed charges,999999999,,,,185.6,percent of total billed charges,999999999,,,,162.4,percent of total billed charges,999999999,,,,162.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,123.424,percent of total billed charges,999999999,,,,,,,,,,,,,,,,117.16,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,58,percent of total billed charges,55.08581268,,,,,,,,,,58,percent of total billed charges,54.16949767,,,,,,,,,,58,percent of total billed charges,54.01896295,,,,,,,,,,58,percent of total billed charges,53.22353438,,,,,,,,,,58,percent of total billed charges,54.59305417,,,,,,,,,,58,percent of total billed charges,999999999,,,,,,,,,,58,percent of total billed charges,46.84468492,,,,,,,,,,58,percent of total billed charges,73.87729851,,,,,,,,,,58,percent of total billed charges,999999999,,,,,,,,,,58,percent of total billed charges,50.51002703,,,,,,,,,,208.8,percent of total billed charges,,,,,
EXC TR-EXT B9+MARG 1.1-2 CM,11402,CDM,,,,both,,,2339,2339,497.9355465,2339,2339,percent of total billed charges,1720.885395,,,,2339,percent of total billed charges,1824.104492,,,,2339,percent of total billed charges,1720.885395,,,,2339,percent of total billed charges,1824.104492,,,,2339,percent of total billed charges,999999999,,,,2339,percent of total billed charges,1782.157242,,,,2339,percent of total billed charges,1720.885395,,,,2339,percent of total billed charges,1824.104492,,,,1667.707,percent of total billed charges,832.2163121,,,,1667.707,percent of total billed charges,497.9355465,,,,1667.707,percent of total billed charges,832.2163121,,,,1667.707,percent of total billed charges,497.9355465,,,,1667.707,percent of total billed charges,832.2163121,,,,1667.707,percent of total billed charges,497.9355465,,,,1651.334,percent of total billed charges,1638.80488,,,,1651.334,percent of total billed charges,1130.270737,,,,,,,,,,1684.08,percent of total billed charges,1094.61237,,,,,,,,,,1684.08,percent of total billed charges,999999999,,,,,,,,,,1871.2,percent of total billed charges,1567.968332,,,,1847.81,percent of total billed charges,1783.21617,,,,1847.81,percent of total billed charges,1575.530514,,,,1871.2,percent of total billed charges,999999999,,,,1871.2,percent of total billed charges,999999999,,,,1637.3,percent of total billed charges,999999999,,,,1637.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1244.348,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1181.195,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,584.75,percent of total billed charges,555.3694649,,,,,,,,,,584.75,percent of total billed charges,546.1312718,,,,,,,,,,584.75,percent of total billed charges,544.6135963,,,,,,,,,,584.75,percent of total billed charges,536.5941678,,,,,,,,,,584.75,percent of total billed charges,550.4015245,,,,,,,,,,584.75,percent of total billed charges,999999999,,,,,,,,,,584.75,percent of total billed charges,472.2832674,,,,,,,,,,584.75,percent of total billed charges,744.8232811,,,,,,,,,,584.75,percent of total billed charges,999999999,,,,,,,,,,584.75,percent of total billed charges,509.2368674,,,,,,,,,,2105.1,percent of total billed charges,,,,,
INSERT PERIPH INSRTD CTR VENOUS CATH(PIC,36573,CDM,,,,both,,,4418,4418,940.5212673,4418,4418,percent of total billed charges,3250.479553,,,,4418,percent of total billed charges,3445.444056,,,,4418,percent of total billed charges,3250.479553,,,,4418,percent of total billed charges,3445.444056,,,,4418,percent of total billed charges,999999999,,,,4418,percent of total billed charges,3366.212353,,,,4418,percent of total billed charges,3250.479553,,,,4418,percent of total billed charges,3445.444056,,,,3150.034,percent of total billed charges,1571.924612,,,,3150.034,percent of total billed charges,940.5212673,,,,3150.034,percent of total billed charges,1571.924612,,,,3150.034,percent of total billed charges,940.5212673,,,,3150.034,percent of total billed charges,1571.924612,,,,3150.034,percent of total billed charges,940.5212673,,,,3119.108,percent of total billed charges,3095.44248,,,,3119.108,percent of total billed charges,2134.902144,,,,,,,,,,3180.96,percent of total billed charges,2067.549145,,,,,,,,,,3180.96,percent of total billed charges,999999999,,,,,,,,,,3534.4,percent of total billed charges,2961.643476,,,,3490.22,percent of total billed charges,3368.212501,,,,3490.22,percent of total billed charges,2975.927238,,,,3534.4,percent of total billed charges,999999999,,,,3534.4,percent of total billed charges,999999999,,,,3092.6,percent of total billed charges,999999999,,,,3092.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2350.376,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2231.09,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1104.5,percent of total billed charges,1049.004829,,,,,,,,,,1104.5,percent of total billed charges,1031.555348,,,,,,,,,,1104.5,percent of total billed charges,1028.6887,,,,,,,,,,1104.5,percent of total billed charges,1013.541271,,,,,,,,,,1104.5,percent of total billed charges,1039.621178,,,,,,,,,,1104.5,percent of total billed charges,999999999,,,,,,,,,,1104.5,percent of total billed charges,892.0681809,,,,,,,,,,1104.5,percent of total billed charges,1406.853038,,,,,,,,,,1104.5,percent of total billed charges,999999999,,,,,,,,,,1104.5,percent of total billed charges,961.86767,,,,,,,,,,3976.2,percent of total billed charges,,,,,
IRRIGATION OF CORPORA CAVERNOSA,54220,CDM,,,,both,,,1215,1215,258.6539927,1215,1215,percent of total billed charges,893.9186638,,,,1215,percent of total billed charges,947.5361087,,,,1215,percent of total billed charges,893.9186638,,,,1215,percent of total billed charges,947.5361087,,,,1215,percent of total billed charges,999999999,,,,1215,percent of total billed charges,925.7464936,,,,1215,percent of total billed charges,893.9186638,,,,1215,percent of total billed charges,947.5361087,,,,866.295,percent of total billed charges,432.2970582,,,,866.295,percent of total billed charges,258.6539927,,,,866.295,percent of total billed charges,432.2970582,,,,866.295,percent of total billed charges,258.6539927,,,,866.295,percent of total billed charges,432.2970582,,,,866.295,percent of total billed charges,258.6539927,,,,857.79,percent of total billed charges,851.2817141,,,,857.79,percent of total billed charges,587.1222509,,,,,,,,,,874.8,percent of total billed charges,568.5994141,,,,,,,,,,874.8,percent of total billed charges,999999999,,,,,,,,,,972,percent of total billed charges,814.4854737,,,,959.85,percent of total billed charges,926.2965571,,,,959.85,percent of total billed charges,818.41367,,,,972,percent of total billed charges,999999999,,,,972,percent of total billed charges,999999999,,,,850.5,percent of total billed charges,999999999,,,,850.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,646.38,percent of total billed charges,999999999,,,,,,,,,,,,,,,,613.575,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,303.75,percent of total billed charges,288.4882,,,,,,,,,,303.75,percent of total billed charges,283.6893951,,,,,,,,,,303.75,percent of total billed charges,282.9010344,,,,,,,,,,303.75,percent of total billed charges,278.7353202,,,,,,,,,,303.75,percent of total billed charges,285.9075897,,,,,,,,,,303.75,percent of total billed charges,999999999,,,,,,,,,,303.75,percent of total billed charges,245.3288456,,,,,,,,,,303.75,percent of total billed charges,386.9005073,,,,,,,,,,303.75,percent of total billed charges,999999999,,,,,,,,,,303.75,percent of total billed charges,264.524495,,,,,,,,,,1093.5,percent of total billed charges,,,,,
MOD SED OTHER PHYS/QHP<5 YRS 15 MIN,99156,CDM,,,,both,,,735,735,156.4696993,735,735,percent of total billed charges,540.7656114,,,,735,percent of total billed charges,573.2008559,,,,735,percent of total billed charges,540.7656114,,,,735,percent of total billed charges,573.2008559,,,,735,percent of total billed charges,999999999,,,,735,percent of total billed charges,560.0194838,,,,735,percent of total billed charges,540.7656114,,,,735,percent of total billed charges,573.2008559,,,,524.055,percent of total billed charges,261.5130352,,,,524.055,percent of total billed charges,156.4696993,,,,524.055,percent of total billed charges,261.5130352,,,,524.055,percent of total billed charges,156.4696993,,,,524.055,percent of total billed charges,261.5130352,,,,524.055,percent of total billed charges,156.4696993,,,,518.91,percent of total billed charges,514.9728888,,,,518.91,percent of total billed charges,355.1727197,,,,,,,,,,529.2,percent of total billed charges,343.9675468,,,,,,,,,,529.2,percent of total billed charges,999999999,,,,,,,,,,588,percent of total billed charges,492.7134347,,,,580.65,percent of total billed charges,560.3522382,,,,580.65,percent of total billed charges,495.089751,,,,588,percent of total billed charges,999999999,,,,588,percent of total billed charges,999999999,,,,514.5,percent of total billed charges,999999999,,,,514.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,391.02,percent of total billed charges,999999999,,,,,,,,,,,,,,,,371.175,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,183.75,percent of total billed charges,174.5175531,,,,,,,,,,183.75,percent of total billed charges,171.6145724,,,,,,,,,,183.75,percent of total billed charges,171.1376628,,,,,,,,,,183.75,percent of total billed charges,168.6176628,,,,,,,,,,183.75,percent of total billed charges,172.9564432,,,,,,,,,,183.75,percent of total billed charges,999999999,,,,,,,,,,183.75,percent of total billed charges,148.4088078,,,,,,,,,,183.75,percent of total billed charges,234.0509242,,,,,,,,,,183.75,percent of total billed charges,999999999,,,,,,,,,,183.75,percent of total billed charges,160.0209908,,,,,,,,,,661.5,percent of total billed charges,,,,,
WOUND DEBRIDEMENT FIRST SQCM OR LESS,97597,CDM,,,,both,,,622,622,132.4138136,622,622,percent of total billed charges,457.627497,,,,622,percent of total billed charges,485.0760984,,,,622,percent of total billed charges,457.627497,,,,622,percent of total billed charges,485.0760984,,,,622,percent of total billed charges,999999999,,,,622,percent of total billed charges,473.9212502,,,,622,percent of total billed charges,457.627497,,,,622,percent of total billed charges,485.0760984,,,,443.486,percent of total billed charges,221.3076298,,,,443.486,percent of total billed charges,132.4138136,,,,443.486,percent of total billed charges,221.3076298,,,,443.486,percent of total billed charges,132.4138136,,,,443.486,percent of total billed charges,221.3076298,,,,443.486,percent of total billed charges,132.4138136,,,,439.132,percent of total billed charges,435.8001861,,,,439.132,percent of total billed charges,300.5679342,,,,,,,,,,447.84,percent of total billed charges,291.0854614,,,,,,,,,,447.84,percent of total billed charges,999999999,,,,,,,,,,497.6,percent of total billed charges,416.9629339,,,,491.38,percent of total billed charges,474.2028465,,,,491.38,percent of total billed charges,418.9739117,,,,497.6,percent of total billed charges,999999999,,,,497.6,percent of total billed charges,999999999,,,,435.4,percent of total billed charges,999999999,,,,435.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,330.904,percent of total billed charges,999999999,,,,,,,,,,,,,,,,314.11,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,155.5,percent of total billed charges,147.6869633,,,,,,,,,,155.5,percent of total billed charges,145.2302912,,,,,,,,,,155.5,percent of total billed charges,144.8267024,,,,,,,,,,155.5,percent of total billed charges,142.694131,,,,,,,,,,155.5,percent of total billed charges,146.3658607,,,,,,,,,,155.5,percent of total billed charges,999999999,,,,,,,,,,155.5,percent of total billed charges,125.5922156,,,,,,,,,,155.5,percent of total billed charges,198.0675848,,,,,,,,,,155.5,percent of total billed charges,999999999,,,,,,,,,,155.5,percent of total billed charges,135.4191242,,,,,,,,,,559.8,percent of total billed charges,,,,,
**CARDIOVERSION,92960,CDM,,,,both,,,1029,1029,219.057579,1029,1029,percent of total billed charges,757.071856,,,,1029,percent of total billed charges,802.4811982,,,,1029,percent of total billed charges,757.071856,,,,1029,percent of total billed charges,802.4811982,,,,1029,percent of total billed charges,999999999,,,,1029,percent of total billed charges,784.0272773,,,,1029,percent of total billed charges,757.071856,,,,1029,percent of total billed charges,802.4811982,,,,733.677,percent of total billed charges,366.1182493,,,,733.677,percent of total billed charges,219.057579,,,,733.677,percent of total billed charges,366.1182493,,,,733.677,percent of total billed charges,219.057579,,,,733.677,percent of total billed charges,366.1182493,,,,733.677,percent of total billed charges,219.057579,,,,726.474,percent of total billed charges,720.9620443,,,,726.474,percent of total billed charges,497.2418076,,,,,,,,,,740.88,percent of total billed charges,481.5545655,,,,,,,,,,740.88,percent of total billed charges,999999999,,,,,,,,,,823.2,percent of total billed charges,689.7988086,,,,812.91,percent of total billed charges,784.4931335,,,,812.91,percent of total billed charges,693.1256514,,,,823.2,percent of total billed charges,999999999,,,,823.2,percent of total billed charges,999999999,,,,720.3,percent of total billed charges,999999999,,,,720.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,547.428,percent of total billed charges,999999999,,,,,,,,,,,,,,,,519.645,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,257.25,percent of total billed charges,244.3245743,,,,,,,,,,257.25,percent of total billed charges,240.2604013,,,,,,,,,,257.25,percent of total billed charges,239.5927279,,,,,,,,,,257.25,percent of total billed charges,236.0647279,,,,,,,,,,257.25,percent of total billed charges,242.1390204,,,,,,,,,,257.25,percent of total billed charges,999999999,,,,,,,,,,257.25,percent of total billed charges,207.772331,,,,,,,,,,257.25,percent of total billed charges,327.6712938,,,,,,,,,,257.25,percent of total billed charges,999999999,,,,,,,,,,257.25,percent of total billed charges,224.0293871,,,,,,,,,,926.1,percent of total billed charges,,,,,
**CODE BLUE EASY LAVAGE,Local,Local,,,,both,,,663,663,141.1420553,663,663,percent of total billed charges,487.7926536,,,,663,percent of total billed charges,517.0505679,,,,663,percent of total billed charges,487.7926536,,,,663,percent of total billed charges,517.0505679,,,,663,percent of total billed charges,999999999,,,,663,percent of total billed charges,505.1604323,,,,663,percent of total billed charges,487.7926536,,,,663,percent of total billed charges,517.0505679,,,,472.719,percent of total billed charges,235.8954318,,,,472.719,percent of total billed charges,141.1420553,,,,472.719,percent of total billed charges,235.8954318,,,,472.719,percent of total billed charges,141.1420553,,,,472.719,percent of total billed charges,235.8954318,,,,472.719,percent of total billed charges,141.1420553,,,,468.078,percent of total billed charges,464.526565,,,,468.078,percent of total billed charges,320.38029,,,,,,,,,,477.36,percent of total billed charges,310.2727667,,,,,,,,,,477.36,percent of total billed charges,999999999,,,,,,,,,,530.4,percent of total billed charges,444.4476289,,,,523.77,percent of total billed charges,505.4605904,,,,523.77,percent of total billed charges,446.5911631,,,,530.4,percent of total billed charges,999999999,,,,530.4,percent of total billed charges,999999999,,,,464.1,percent of total billed charges,999999999,,,,464.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,352.716,percent of total billed charges,999999999,,,,,,,,,,,,,,,,334.815,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,165.75,percent of total billed charges,157.4219561,,,,,,,,,,165.75,percent of total billed charges,154.8033489,,,,,,,,,,165.75,percent of total billed charges,154.3731571,,,,,,,,,,165.75,percent of total billed charges,152.1000142,,,,,,,,,,165.75,percent of total billed charges,156.0137712,,,,,,,,,,165.75,percent of total billed charges,999999999,,,,,,,,,,165.75,percent of total billed charges,133.8708022,,,,,,,,,,165.75,percent of total billed charges,211.1234867,,,,,,,,,,165.75,percent of total billed charges,999999999,,,,,,,,,,165.75,percent of total billed charges,144.3454652,,,,,,,,,,596.7,percent of total billed charges,,,,,
CARDIAC MONITOR,Local,Local,,,,both,,,385,385,81.96031868,385,385,percent of total billed charges,283.2581774,,,,385,percent of total billed charges,300.2480674,,,,385,percent of total billed charges,283.2581774,,,,385,percent of total billed charges,300.2480674,,,,385,percent of total billed charges,999999999,,,,385,percent of total billed charges,293.3435391,,,,385,percent of total billed charges,283.2581774,,,,385,percent of total billed charges,300.2480674,,,,274.505,percent of total billed charges,136.9830185,,,,274.505,percent of total billed charges,81.96031868,,,,274.505,percent of total billed charges,136.9830185,,,,274.505,percent of total billed charges,81.96031868,,,,274.505,percent of total billed charges,136.9830185,,,,274.505,percent of total billed charges,81.96031868,,,,271.81,percent of total billed charges,269.7477036,,,,271.81,percent of total billed charges,186.0428532,,,,,,,,,,277.2,percent of total billed charges,180.1734769,,,,,,,,,,277.2,percent of total billed charges,999999999,,,,,,,,,,308,percent of total billed charges,258.0879896,,,,304.15,percent of total billed charges,293.5178391,,,,304.15,percent of total billed charges,259.3327267,,,,308,percent of total billed charges,999999999,,,,308,percent of total billed charges,999999999,,,,269.5,percent of total billed charges,999999999,,,,269.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,204.82,percent of total billed charges,999999999,,,,,,,,,,,,,,,,194.425,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,96.25,percent of total billed charges,91.41395639,,,,,,,,,,96.25,percent of total billed charges,89.89334743,,,,,,,,,,96.25,percent of total billed charges,89.64353766,,,,,,,,,,96.25,percent of total billed charges,88.32353766,,,,,,,,,,96.25,percent of total billed charges,90.59623213,,,,,,,,,,96.25,percent of total billed charges,999999999,,,,,,,,,,96.25,percent of total billed charges,77.73794696,,,,,,,,,,96.25,percent of total billed charges,122.5981031,,,,,,,,,,96.25,percent of total billed charges,999999999,,,,,,,,,,96.25,percent of total billed charges,83.820519,,,,,,,,,,346.5,percent of total billed charges,,,,,
EXCISION NAIL PART/COMP PERM REMOVE,11750,CDM,,,,both,,,1588,1588,338.0597041,1588,1588,percent of total billed charges,1168.348015,,,,1588,percent of total billed charges,1238.425795,,,,1588,percent of total billed charges,1168.348015,,,,1588,percent of total billed charges,1238.425795,,,,1588,percent of total billed charges,999999999,,,,1588,percent of total billed charges,1209.946857,,,,1588,percent of total billed charges,1168.348015,,,,1588,percent of total billed charges,1238.425795,,,,1132.244,percent of total billed charges,565.0104761,,,,1132.244,percent of total billed charges,338.0597041,,,,1132.244,percent of total billed charges,565.0104761,,,,1132.244,percent of total billed charges,338.0597041,,,,1132.244,percent of total billed charges,565.0104761,,,,1132.244,percent of total billed charges,338.0597041,,,,1121.128,percent of total billed charges,1112.621697,,,,1121.128,percent of total billed charges,767.3663658,,,,,,,,,,1143.36,percent of total billed charges,743.1570943,,,,,,,,,,1143.36,percent of total billed charges,999999999,,,,,,,,,,1270.4,percent of total billed charges,1064.529162,,,,1254.52,percent of total billed charges,1210.665788,,,,1254.52,percent of total billed charges,1069.663299,,,,1270.4,percent of total billed charges,999999999,,,,1270.4,percent of total billed charges,999999999,,,,1111.6,percent of total billed charges,999999999,,,,1111.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,844.816,percent of total billed charges,999999999,,,,,,,,,,,,,,,,801.94,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,397,percent of total billed charges,377.0528902,,,,,,,,,,397,percent of total billed charges,370.780872,,,,,,,,,,397,percent of total billed charges,369.7504878,,,,,,,,,,397,percent of total billed charges,364.3059164,,,,,,,,,,397,percent of total billed charges,373.6800432,,,,,,,,,,397,percent of total billed charges,999999999,,,,,,,,,,397,percent of total billed charges,320.6437916,,,,,,,,,,397,percent of total billed charges,505.6773709,,,,,,,,,,397,percent of total billed charges,999999999,,,,,,,,,,397,percent of total billed charges,345.7324264,,,,,,,,,,1429.2,percent of total billed charges,,,,,
**SPLINT-POST KNEE,Local,Local,,,,both,,,260,260,55.3498256,260,260,percent of total billed charges,191.2912367,,,,260,percent of total billed charges,202.7649286,,,,260,percent of total billed charges,191.2912367,,,,260,percent of total billed charges,202.7649286,,,,260,percent of total billed charges,999999999,,,,260,percent of total billed charges,198.1021303,,,,260,percent of total billed charges,191.2912367,,,,260,percent of total billed charges,202.7649286,,,,185.38,percent of total billed charges,92.50801246,,,,185.38,percent of total billed charges,55.3498256,,,,185.38,percent of total billed charges,92.50801246,,,,185.38,percent of total billed charges,55.3498256,,,,185.38,percent of total billed charges,92.50801246,,,,185.38,percent of total billed charges,55.3498256,,,,183.56,percent of total billed charges,182.1672804,,,,183.56,percent of total billed charges,125.6393294,,,,,,,,,,187.2,percent of total billed charges,121.6755948,,,,,,,,,,187.2,percent of total billed charges,999999999,,,,,,,,,,208,percent of total billed charges,174.2931878,,,,205.4,percent of total billed charges,198.2198394,,,,205.4,percent of total billed charges,175.1337895,,,,208,percent of total billed charges,999999999,,,,208,percent of total billed charges,999999999,,,,182,percent of total billed charges,999999999,,,,182,percent of total billed charges,999999999,,,,,,,,,,,,,,,,138.32,percent of total billed charges,999999999,,,,,,,,,,,,,,,,131.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,65,percent of total billed charges,61.73410042,,,,,,,,,,65,percent of total billed charges,60.70719566,,,,,,,,,,65,percent of total billed charges,60.53849297,,,,,,,,,,65,percent of total billed charges,59.64706439,,,,,,,,,,65,percent of total billed charges,61.18187105,,,,,,,,,,65,percent of total billed charges,999999999,,,,,,,,,,65,percent of total billed charges,52.49835379,,,,,,,,,,65,percent of total billed charges,82.79352419,,,,,,,,,,65,percent of total billed charges,999999999,,,,,,,,,,65,percent of total billed charges,56.60606478,,,,,,,,,,234,percent of total billed charges,,,,,
EYE TRAY,Local,Local,,,,both,,,209,209,44.49274443,209,209,percent of total billed charges,153.7687249,,,,209,percent of total billed charges,162.991808,,,,209,percent of total billed charges,153.7687249,,,,209,percent of total billed charges,162.991808,,,,209,percent of total billed charges,999999999,,,,209,percent of total billed charges,159.2436355,,,,209,percent of total billed charges,153.7687249,,,,209,percent of total billed charges,162.991808,,,,149.017,percent of total billed charges,74.36221002,,,,149.017,percent of total billed charges,44.49274443,,,,149.017,percent of total billed charges,74.36221002,,,,149.017,percent of total billed charges,44.49274443,,,,149.017,percent of total billed charges,74.36221002,,,,149.017,percent of total billed charges,44.49274443,,,,147.554,percent of total billed charges,146.4344677,,,,147.554,percent of total billed charges,100.9946917,,,,,,,,,,150.48,percent of total billed charges,97.80845889,,,,,,,,,,150.48,percent of total billed charges,999999999,,,,,,,,,,167.2,percent of total billed charges,140.1049087,,,,165.11,percent of total billed charges,159.3382555,,,,165.11,percent of total billed charges,140.7806231,,,,167.2,percent of total billed charges,999999999,,,,167.2,percent of total billed charges,999999999,,,,146.3,percent of total billed charges,999999999,,,,146.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,111.188,percent of total billed charges,999999999,,,,,,,,,,,,,,,,105.545,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,52.25,percent of total billed charges,49.62471918,,,,,,,,,,52.25,percent of total billed charges,48.79924575,,,,,,,,,,52.25,percent of total billed charges,48.66363473,,,,,,,,,,52.25,percent of total billed charges,47.9470633,,,,,,,,,,52.25,percent of total billed charges,49.18081173,,,,,,,,,,52.25,percent of total billed charges,999999999,,,,,,,,,,52.25,percent of total billed charges,42.20059978,,,,,,,,,,52.25,percent of total billed charges,66.55325599,,,,,,,,,,52.25,percent of total billed charges,999999999,,,,,,,,,,52.25,percent of total billed charges,45.50256746,,,,,,,,,,188.1,percent of total billed charges,,,,,
CLSD VERT BDY FX WO MANIP CAS,22310,CDM,,,,both,,,1783,1783,379.5720733,1783,1783,percent of total billed charges,1311.816442,,,,1783,percent of total billed charges,1390.499491,,,,1783,percent of total billed charges,1311.816442,,,,1783,percent of total billed charges,1390.499491,,,,1783,percent of total billed charges,999999999,,,,1783,percent of total billed charges,1358.523455,,,,1783,percent of total billed charges,1311.816442,,,,1783,percent of total billed charges,1390.499491,,,,1271.279,percent of total billed charges,634.3914855,,,,1271.279,percent of total billed charges,379.5720733,,,,1271.279,percent of total billed charges,634.3914855,,,,1271.279,percent of total billed charges,379.5720733,,,,1271.279,percent of total billed charges,634.3914855,,,,1271.279,percent of total billed charges,379.5720733,,,,1258.798,percent of total billed charges,1249.247157,,,,1258.798,percent of total billed charges,861.5958628,,,,,,,,,,1283.76,percent of total billed charges,834.4137904,,,,,,,,,,1283.76,percent of total billed charges,999999999,,,,,,,,,,1426.4,percent of total billed charges,1195.249053,,,,1408.57,percent of total billed charges,1359.330668,,,,1408.57,percent of total billed charges,1201.013641,,,,1426.4,percent of total billed charges,999999999,,,,1426.4,percent of total billed charges,999999999,,,,1248.1,percent of total billed charges,999999999,,,,1248.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,948.556,percent of total billed charges,999999999,,,,,,,,,,,,,,,,900.415,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,445.75,percent of total billed charges,423.3534656,,,,,,,,,,445.75,percent of total billed charges,416.3112687,,,,,,,,,,445.75,percent of total billed charges,415.1543575,,,,,,,,,,445.75,percent of total billed charges,409.0412147,,,,,,,,,,445.75,percent of total billed charges,419.5664465,,,,,,,,,,445.75,percent of total billed charges,999999999,,,,,,,,,,445.75,percent of total billed charges,360.0175569,,,,,,,,,,445.75,percent of total billed charges,567.772514,,,,,,,,,,445.75,percent of total billed charges,999999999,,,,,,,,,,445.75,percent of total billed charges,388.186975,,,,,,,,,,1604.7,percent of total billed charges,,,,,
I&D ABSCESS SIMPLE OR SINGLE,10060,CDM,,,,both,,,537,537,114.3186783,537,537,percent of total billed charges,395.0899773,,,,537,percent of total billed charges,418.7875641,,,,537,percent of total billed charges,395.0899773,,,,537,percent of total billed charges,418.7875641,,,,537,percent of total billed charges,999999999,,,,537,percent of total billed charges,409.1570922,,,,537,percent of total billed charges,395.0899773,,,,537,percent of total billed charges,418.7875641,,,,382.881,percent of total billed charges,191.0646257,,,,382.881,percent of total billed charges,114.3186783,,,,382.881,percent of total billed charges,191.0646257,,,,382.881,percent of total billed charges,114.3186783,,,,382.881,percent of total billed charges,191.0646257,,,,382.881,percent of total billed charges,114.3186783,,,,379.122,percent of total billed charges,376.2454983,,,,379.122,percent of total billed charges,259.4935381,,,,,,,,,,386.64,percent of total billed charges,251.3069015,,,,,,,,,,386.64,percent of total billed charges,999999999,,,,,,,,,,429.6,percent of total billed charges,359.9824686,,,,424.23,percent of total billed charges,409.4002067,,,,424.23,percent of total billed charges,361.7186344,,,,429.6,percent of total billed charges,999999999,,,,429.6,percent of total billed charges,999999999,,,,375.9,percent of total billed charges,999999999,,,,375.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,285.684,percent of total billed charges,999999999,,,,,,,,,,,,,,,,271.185,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,134.25,percent of total billed charges,127.5046612,,,,,,,,,,134.25,percent of total billed charges,125.383708,,,,,,,,,,134.25,percent of total billed charges,125.035272,,,,,,,,,,134.25,percent of total billed charges,123.1941292,,,,,,,,,,134.25,percent of total billed charges,126.3640952,,,,,,,,,,134.25,percent of total billed charges,999999999,,,,,,,,,,134.25,percent of total billed charges,108.4292922,,,,,,,,,,134.25,percent of total billed charges,171.0004711,,,,,,,,,,134.25,percent of total billed charges,999999999,,,,,,,,,,134.25,percent of total billed charges,116.9132953,,,,,,,,,,483.3,percent of total billed charges,,,,,
I&D ABSCESS COMPLIC OR MULTIP,10061,CDM,,,,both,,,1053,1053,224.1667937,1053,1053,percent of total billed charges,774.7295086,,,,1053,percent of total billed charges,821.1979608,,,,1053,percent of total billed charges,774.7295086,,,,1053,percent of total billed charges,821.1979608,,,,1053,percent of total billed charges,999999999,,,,1053,percent of total billed charges,802.3136278,,,,1053,percent of total billed charges,774.7295086,,,,1053,percent of total billed charges,821.1979608,,,,750.789,percent of total billed charges,374.6574505,,,,750.789,percent of total billed charges,224.1667937,,,,750.789,percent of total billed charges,374.6574505,,,,750.789,percent of total billed charges,224.1667937,,,,750.789,percent of total billed charges,374.6574505,,,,750.789,percent of total billed charges,224.1667937,,,,743.418,percent of total billed charges,737.7774855,,,,743.418,percent of total billed charges,508.8392841,,,,,,,,,,758.16,percent of total billed charges,492.7861589,,,,,,,,,,758.16,percent of total billed charges,999999999,,,,,,,,,,842.4,percent of total billed charges,705.8874106,,,,831.87,percent of total billed charges,802.7903495,,,,831.87,percent of total billed charges,709.2918473,,,,842.4,percent of total billed charges,999999999,,,,842.4,percent of total billed charges,999999999,,,,737.1,percent of total billed charges,999999999,,,,737.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,560.196,percent of total billed charges,999999999,,,,,,,,,,,,,,,,531.765,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,263.25,percent of total billed charges,250.0231067,,,,,,,,,,263.25,percent of total billed charges,245.8641424,,,,,,,,,,263.25,percent of total billed charges,245.1808965,,,,,,,,,,263.25,percent of total billed charges,241.5706108,,,,,,,,,,263.25,percent of total billed charges,247.7865777,,,,,,,,,,263.25,percent of total billed charges,999999999,,,,,,,,,,263.25,percent of total billed charges,212.6183328,,,,,,,,,,263.25,percent of total billed charges,335.313773,,,,,,,,,,263.25,percent of total billed charges,999999999,,,,,,,,,,263.25,percent of total billed charges,229.2545624,,,,,,,,,,947.7,percent of total billed charges,,,,,
I&D PILONIDAL CYST SIMPLE,10080,CDM,,,,both,,,552,552,117.5119374,552,552,percent of total billed charges,406.1260102,,,,552,percent of total billed charges,430.4855407,,,,552,percent of total billed charges,406.1260102,,,,552,percent of total billed charges,430.4855407,,,,552,percent of total billed charges,999999999,,,,552,percent of total billed charges,420.5860613,,,,552,percent of total billed charges,406.1260102,,,,552,percent of total billed charges,430.4855407,,,,393.576,percent of total billed charges,196.4016265,,,,393.576,percent of total billed charges,117.5119374,,,,393.576,percent of total billed charges,196.4016265,,,,393.576,percent of total billed charges,117.5119374,,,,393.576,percent of total billed charges,196.4016265,,,,393.576,percent of total billed charges,117.5119374,,,,389.712,percent of total billed charges,386.7551491,,,,389.712,percent of total billed charges,266.7419609,,,,,,,,,,397.44,percent of total billed charges,258.3266474,,,,,,,,,,397.44,percent of total billed charges,999999999,,,,,,,,,,441.6,percent of total billed charges,370.0378449,,,,436.08,percent of total billed charges,420.8359667,,,,436.08,percent of total billed charges,371.8225069,,,,441.6,percent of total billed charges,999999999,,,,441.6,percent of total billed charges,999999999,,,,386.4,percent of total billed charges,999999999,,,,386.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,293.664,percent of total billed charges,999999999,,,,,,,,,,,,,,,,278.76,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,138,percent of total billed charges,131.066244,,,,,,,,,,138,percent of total billed charges,128.8860462,,,,,,,,,,138,percent of total billed charges,128.5278774,,,,,,,,,,138,percent of total billed charges,126.6353059,,,,,,,,,,138,percent of total billed charges,129.8938185,,,,,,,,,,138,percent of total billed charges,999999999,,,,,,,,,,138,percent of total billed charges,111.4580434,,,,,,,,,,138,percent of total billed charges,175.7770206,,,,,,,,,,138,percent of total billed charges,999999999,,,,,,,,,,138,percent of total billed charges,120.1790298,,,,,,,,,,496.8,percent of total billed charges,,,,,
INCISION & REM FORGN BDY SUBCUT TISS SIM,10120,CDM,,,,both,,,571,571,121.5567324,571,571,percent of total billed charges,420.1049852,,,,571,percent of total billed charges,445.3029778,,,,571,percent of total billed charges,420.1049852,,,,571,percent of total billed charges,445.3029778,,,,571,percent of total billed charges,999999999,,,,571,percent of total billed charges,435.0627554,,,,571,percent of total billed charges,420.1049852,,,,571,percent of total billed charges,445.3029778,,,,407.123,percent of total billed charges,203.1618274,,,,407.123,percent of total billed charges,121.5567324,,,,407.123,percent of total billed charges,203.1618274,,,,407.123,percent of total billed charges,121.5567324,,,,407.123,percent of total billed charges,203.1618274,,,,407.123,percent of total billed charges,121.5567324,,,,403.126,percent of total billed charges,400.0673734,,,,403.126,percent of total billed charges,275.9232965,,,,,,,,,,411.12,percent of total billed charges,267.2183255,,,,,,,,,,411.12,percent of total billed charges,999999999,,,,,,,,,,456.8,percent of total billed charges,382.7746547,,,,451.09,percent of total billed charges,435.3212626,,,,451.09,percent of total billed charges,384.6207453,,,,456.8,percent of total billed charges,999999999,,,,456.8,percent of total billed charges,999999999,,,,399.7,percent of total billed charges,999999999,,,,399.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,303.772,percent of total billed charges,999999999,,,,,,,,,,,,,,,,288.355,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,142.75,percent of total billed charges,135.5775821,,,,,,,,,,142.75,percent of total billed charges,133.3223412,,,,,,,,,,142.75,percent of total billed charges,132.9518442,,,,,,,,,,142.75,percent of total billed charges,130.9941299,,,,,,,,,,142.75,percent of total billed charges,134.3648014,,,,,,,,,,142.75,percent of total billed charges,999999999,,,,,,,,,,142.75,percent of total billed charges,115.2944616,,,,,,,,,,142.75,percent of total billed charges,181.8273166,,,,,,,,,,142.75,percent of total billed charges,999999999,,,,,,,,,,142.75,percent of total billed charges,124.3156269,,,,,,,,,,513.9,percent of total billed charges,,,,,
I&R FORGN BDY SUBCUT TISS COM,10121,CDM,,,,both,,,986,986,209.9035694,986,986,percent of total billed charges,725.4352284,,,,986,percent of total billed charges,768.9469985,,,,986,percent of total billed charges,725.4352284,,,,986,percent of total billed charges,768.9469985,,,,986,percent of total billed charges,999999999,,,,986,percent of total billed charges,751.2642326,,,,986,percent of total billed charges,725.4352284,,,,986,percent of total billed charges,768.9469985,,,,703.018,percent of total billed charges,350.8188473,,,,703.018,percent of total billed charges,209.9035694,,,,703.018,percent of total billed charges,350.8188473,,,,703.018,percent of total billed charges,209.9035694,,,,703.018,percent of total billed charges,350.8188473,,,,703.018,percent of total billed charges,209.9035694,,,,696.116,percent of total billed charges,690.8343787,,,,696.116,percent of total billed charges,476.4629954,,,,,,,,,,709.92,percent of total billed charges,461.4312941,,,,,,,,,,709.92,percent of total billed charges,999999999,,,,,,,,,,788.8,percent of total billed charges,660.9733968,,,,778.94,percent of total billed charges,751.7106216,,,,778.94,percent of total billed charges,664.161217,,,,788.8,percent of total billed charges,999999999,,,,788.8,percent of total billed charges,999999999,,,,690.2,percent of total billed charges,999999999,,,,690.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,524.552,percent of total billed charges,999999999,,,,,,,,,,,,,,,,497.93,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,246.5,percent of total billed charges,234.1147039,,,,,,,,,,246.5,percent of total billed charges,230.2203651,,,,,,,,,,246.5,percent of total billed charges,229.5805926,,,,,,,,,,246.5,percent of total billed charges,226.2000211,,,,,,,,,,246.5,percent of total billed charges,232.0204802,,,,,,,,,,246.5,percent of total billed charges,999999999,,,,,,,,,,246.5,percent of total billed charges,199.0899109,,,,,,,,,,246.5,percent of total billed charges,313.9785187,,,,,,,,,,246.5,percent of total billed charges,999999999,,,,,,,,,,246.5,percent of total billed charges,214.6676149,,,,,,,,,,887.4,percent of total billed charges,,,,,
I&D HEMATOMA SEROMA OR FLD C,10140,CDM,,,,both,,,719,719,153.0635562,719,719,percent of total billed charges,528.993843,,,,719,percent of total billed charges,560.7230141,,,,719,percent of total billed charges,528.993843,,,,719,percent of total billed charges,560.7230141,,,,719,percent of total billed charges,999999999,,,,719,percent of total billed charges,547.8285834,,,,719,percent of total billed charges,528.993843,,,,719,percent of total billed charges,560.7230141,,,,512.647,percent of total billed charges,255.8202345,,,,512.647,percent of total billed charges,153.0635562,,,,512.647,percent of total billed charges,255.8202345,,,,512.647,percent of total billed charges,153.0635562,,,,512.647,percent of total billed charges,255.8202345,,,,512.647,percent of total billed charges,153.0635562,,,,507.614,percent of total billed charges,503.7625946,,,,507.614,percent of total billed charges,347.4410686,,,,,,,,,,517.68,percent of total billed charges,336.4798179,,,,,,,,,,517.68,percent of total billed charges,999999999,,,,,,,,,,575.2,percent of total billed charges,481.9877001,,,,568.01,percent of total billed charges,548.1540943,,,,568.01,percent of total billed charges,484.312287,,,,575.2,percent of total billed charges,999999999,,,,575.2,percent of total billed charges,999999999,,,,503.3,percent of total billed charges,999999999,,,,503.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,382.508,percent of total billed charges,999999999,,,,,,,,,,,,,,,,363.095,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,179.75,percent of total billed charges,170.7185315,,,,,,,,,,179.75,percent of total billed charges,167.8787449,,,,,,,,,,179.75,percent of total billed charges,167.4122171,,,,,,,,,,179.75,percent of total billed charges,164.9470742,,,,,,,,,,179.75,percent of total billed charges,169.1914049,,,,,,,,,,179.75,percent of total billed charges,999999999,,,,,,,,,,179.75,percent of total billed charges,145.1781399,,,,,,,,,,179.75,percent of total billed charges,228.9559381,,,,,,,,,,179.75,percent of total billed charges,999999999,,,,,,,,,,179.75,percent of total billed charges,156.5375407,,,,,,,,,,647.1,percent of total billed charges,,,,,
PUNCT ASPIR ABSC HEMAT BUL CY,10160,CDM,,,,both,,,578,578,123.04692,578,578,percent of total billed charges,425.2551339,,,,578,percent of total billed charges,450.7620336,,,,578,percent of total billed charges,425.2551339,,,,578,percent of total billed charges,450.7620336,,,,578,percent of total billed charges,999999999,,,,578,percent of total billed charges,440.3962743,,,,578,percent of total billed charges,425.2551339,,,,578,percent of total billed charges,450.7620336,,,,412.114,percent of total billed charges,205.6524277,,,,412.114,percent of total billed charges,123.04692,,,,412.114,percent of total billed charges,205.6524277,,,,412.114,percent of total billed charges,123.04692,,,,412.114,percent of total billed charges,205.6524277,,,,412.114,percent of total billed charges,123.04692,,,,408.068,percent of total billed charges,404.9718771,,,,408.068,percent of total billed charges,279.3058938,,,,,,,,,,416.16,percent of total billed charges,270.4942069,,,,,,,,,,416.16,percent of total billed charges,999999999,,,,,,,,,,462.4,percent of total billed charges,387.4671636,,,,456.62,percent of total billed charges,440.6579506,,,,456.62,percent of total billed charges,389.3358858,,,,462.4,percent of total billed charges,999999999,,,,462.4,percent of total billed charges,999999999,,,,404.6,percent of total billed charges,999999999,,,,404.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,307.496,percent of total billed charges,999999999,,,,,,,,,,,,,,,,291.89,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,144.5,percent of total billed charges,137.239654,,,,,,,,,,144.5,percent of total billed charges,134.9567657,,,,,,,,,,144.5,percent of total billed charges,134.5817267,,,,,,,,,,144.5,percent of total billed charges,132.6000124,,,,,,,,,,144.5,percent of total billed charges,136.0120056,,,,,,,,,,144.5,percent of total billed charges,999999999,,,,,,,,,,144.5,percent of total billed charges,116.7078788,,,,,,,,,,144.5,percent of total billed charges,184.056373,,,,,,,,,,144.5,percent of total billed charges,999999999,,,,,,,,,,144.5,percent of total billed charges,125.8396363,,,,,,,,,,520.2,percent of total billed charges,,,,,
PERICARDIOCENTESIS - PROFEE,33016,CDM,,,,both,,,932,932,198.4078364,932,932,percent of total billed charges,685.70551,,,,932,percent of total billed charges,726.8342825,,,,932,percent of total billed charges,685.70551,,,,932,percent of total billed charges,726.8342825,,,,932,percent of total billed charges,999999999,,,,932,percent of total billed charges,710.119944,,,,932,percent of total billed charges,685.70551,,,,932,percent of total billed charges,726.8342825,,,,664.516,percent of total billed charges,331.6056447,,,,664.516,percent of total billed charges,198.4078364,,,,664.516,percent of total billed charges,331.6056447,,,,664.516,percent of total billed charges,198.4078364,,,,664.516,percent of total billed charges,331.6056447,,,,664.516,percent of total billed charges,198.4078364,,,,657.992,percent of total billed charges,652.9996358,,,,657.992,percent of total billed charges,450.3686731,,,,,,,,,,671.04,percent of total billed charges,436.160209,,,,,,,,,,671.04,percent of total billed charges,999999999,,,,,,,,,,745.6,percent of total billed charges,624.7740424,,,,736.28,percent of total billed charges,710.5418857,,,,736.28,percent of total billed charges,627.7872761,,,,745.6,percent of total billed charges,999999999,,,,745.6,percent of total billed charges,999999999,,,,652.4,percent of total billed charges,999999999,,,,652.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,495.824,percent of total billed charges,999999999,,,,,,,,,,,,,,,,470.66,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,233,percent of total billed charges,221.2930061,,,,,,,,,,233,percent of total billed charges,217.6119475,,,,,,,,,,233,percent of total billed charges,217.0072132,,,,,,,,,,233,percent of total billed charges,213.8117847,,,,,,,,,,233,percent of total billed charges,219.3134762,,,,,,,,,,233,percent of total billed charges,999999999,,,,,,,,,,233,percent of total billed charges,188.1864067,,,,,,,,,,233,percent of total billed charges,296.7829406,,,,,,,,,,233,percent of total billed charges,999999999,,,,,,,,,,233,percent of total billed charges,202.9109707,,,,,,,,,,838.8,percent of total billed charges,,,,,
MOD SED SAME PHYS/QHP 5/>YRS PROFEE,99152,CDM,,,,both,,,50,50,10.64419723,50,50,percent of total billed charges,36.78677629,,,,50,percent of total billed charges,38.9932555,,,,50,percent of total billed charges,36.78677629,,,,50,percent of total billed charges,38.9932555,,,,50,percent of total billed charges,999999999,,,,50,percent of total billed charges,38.09656352,,,,50,percent of total billed charges,36.78677629,,,,50,percent of total billed charges,38.9932555,,,,35.65,percent of total billed charges,17.7900024,,,,35.65,percent of total billed charges,10.64419723,,,,35.65,percent of total billed charges,17.7900024,,,,35.65,percent of total billed charges,10.64419723,,,,35.65,percent of total billed charges,17.7900024,,,,35.65,percent of total billed charges,10.64419723,,,,35.3,percent of total billed charges,35.0321693,,,,35.3,percent of total billed charges,24.1614095,,,,,,,,,,36,percent of total billed charges,23.39915284,,,,,,,,,,36,percent of total billed charges,999999999,,,,,,,,,,40,percent of total billed charges,33.51792073,,,,39.5,percent of total billed charges,38.11919988,,,,39.5,percent of total billed charges,33.6795749,,,,40,percent of total billed charges,999999999,,,,40,percent of total billed charges,999999999,,,,35,percent of total billed charges,999999999,,,,35,percent of total billed charges,999999999,,,,,,,,,,,,,,,,26.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,25.25,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12.5,percent of total billed charges,11.87194239,,,,,,,,,,12.5,percent of total billed charges,11.6744607,,,,,,,,,,12.5,percent of total billed charges,11.64201788,,,,,,,,,,12.5,percent of total billed charges,11.47058931,,,,,,,,,,12.5,percent of total billed charges,11.76574443,,,,,,,,,,12.5,percent of total billed charges,999999999,,,,,,,,,,12.5,percent of total billed charges,10.09583727,,,,,,,,,,12.5,percent of total billed charges,15.92183158,,,,,,,,,,12.5,percent of total billed charges,999999999,,,,,,,,,,12.5,percent of total billed charges,10.88578169,,,,,,,,,,45,percent of total billed charges,,,,,
DEBRID EXT ECZEMA UP TO 10% B,11000,CDM,,,,both,,,269,269,57.2657811,269,269,percent of total billed charges,197.9128564,,,,269,percent of total billed charges,209.7837146,,,,269,percent of total billed charges,197.9128564,,,,269,percent of total billed charges,209.7837146,,,,269,percent of total billed charges,999999999,,,,269,percent of total billed charges,204.9595117,,,,269,percent of total billed charges,197.9128564,,,,269,percent of total billed charges,209.7837146,,,,191.797,percent of total billed charges,95.71021289,,,,191.797,percent of total billed charges,57.2657811,,,,191.797,percent of total billed charges,95.71021289,,,,191.797,percent of total billed charges,57.2657811,,,,191.797,percent of total billed charges,95.71021289,,,,191.797,percent of total billed charges,57.2657811,,,,189.914,percent of total billed charges,188.4730709,,,,189.914,percent of total billed charges,129.9883831,,,,,,,,,,193.68,percent of total billed charges,125.8874423,,,,,,,,,,193.68,percent of total billed charges,999999999,,,,,,,,,,215.2,percent of total billed charges,180.3264135,,,,212.51,percent of total billed charges,205.0812953,,,,212.51,percent of total billed charges,181.1961129,,,,215.2,percent of total billed charges,999999999,,,,215.2,percent of total billed charges,999999999,,,,188.3,percent of total billed charges,999999999,,,,188.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,143.108,percent of total billed charges,999999999,,,,,,,,,,,,,,,,135.845,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,67.25,percent of total billed charges,63.87105005,,,,,,,,,,67.25,percent of total billed charges,62.80859859,,,,,,,,,,67.25,percent of total billed charges,62.63405618,,,,,,,,,,67.25,percent of total billed charges,61.71177047,,,,,,,,,,67.25,percent of total billed charges,63.29970505,,,,,,,,,,67.25,percent of total billed charges,999999999,,,,,,,,,,67.25,percent of total billed charges,54.3156045,,,,,,,,,,67.25,percent of total billed charges,85.65945388,,,,,,,,,,67.25,percent of total billed charges,999999999,,,,,,,,,,67.25,percent of total billed charges,58.56550548,,,,,,,,,,242.1,percent of total billed charges,,,,,
DEBRID EXT ECZEMA EA ADD 10%,11001,CDM,,,,both,,,180,180,38.31911003,180,180,percent of total billed charges,132.4323946,,,,180,percent of total billed charges,140.3757198,,,,180,percent of total billed charges,132.4323946,,,,180,percent of total billed charges,140.3757198,,,,180,percent of total billed charges,999999999,,,,180,percent of total billed charges,137.1476287,,,,180,percent of total billed charges,132.4323946,,,,180,percent of total billed charges,140.3757198,,,,128.34,percent of total billed charges,64.04400863,,,,128.34,percent of total billed charges,38.31911003,,,,128.34,percent of total billed charges,64.04400863,,,,128.34,percent of total billed charges,38.31911003,,,,128.34,percent of total billed charges,64.04400863,,,,128.34,percent of total billed charges,38.31911003,,,,127.08,percent of total billed charges,126.1158095,,,,127.08,percent of total billed charges,86.98107421,,,,,,,,,,129.6,percent of total billed charges,84.23695024,,,,,,,,,,129.6,percent of total billed charges,999999999,,,,,,,,,,144,percent of total billed charges,120.6645146,,,,142.2,percent of total billed charges,137.2291196,,,,142.2,percent of total billed charges,121.2464696,,,,144,percent of total billed charges,999999999,,,,144,percent of total billed charges,999999999,,,,126,percent of total billed charges,999999999,,,,126,percent of total billed charges,999999999,,,,,,,,,,,,,,,,95.76,percent of total billed charges,999999999,,,,,,,,,,,,,,,,90.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,percent of total billed charges,42.7389926,,,,,,,,,,45,percent of total billed charges,42.02805854,,,,,,,,,,45,percent of total billed charges,41.91126436,,,,,,,,,,45,percent of total billed charges,41.2941215,,,,,,,,,,45,percent of total billed charges,42.35667996,,,,,,,,,,45,percent of total billed charges,999999999,,,,,,,,,,45,percent of total billed charges,36.34501416,,,,,,,,,,45,percent of total billed charges,57.31859367,,,,,,,,,,45,percent of total billed charges,999999999,,,,,,,,,,45,percent of total billed charges,39.18881408,,,,,,,,,,162,percent of total billed charges,,,,,
**DEBRID SKIN PARTIAL THICKNES,11040,CDM,,,,both,,,141,141,30.01663619,141,141,percent of total billed charges,103.7387091,,,,141,percent of total billed charges,109.9609805,,,,141,percent of total billed charges,103.7387091,,,,141,percent of total billed charges,109.9609805,,,,141,percent of total billed charges,999999999,,,,141,percent of total billed charges,107.4323091,,,,141,percent of total billed charges,103.7387091,,,,141,percent of total billed charges,109.9609805,,,,100.533,percent of total billed charges,50.16780676,,,,100.533,percent of total billed charges,30.01663619,,,,100.533,percent of total billed charges,50.16780676,,,,100.533,percent of total billed charges,30.01663619,,,,100.533,percent of total billed charges,50.16780676,,,,100.533,percent of total billed charges,30.01663619,,,,99.546,percent of total billed charges,98.79071744,,,,99.546,percent of total billed charges,68.1351748,,,,,,,,,,101.52,percent of total billed charges,65.98561102,,,,,,,,,,101.52,percent of total billed charges,999999999,,,,,,,,,,112.8,percent of total billed charges,94.52053646,,,,111.39,percent of total billed charges,107.4961437,,,,111.39,percent of total billed charges,94.97640121,,,,112.8,percent of total billed charges,999999999,,,,112.8,percent of total billed charges,999999999,,,,98.7,percent of total billed charges,999999999,,,,98.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,75.012,percent of total billed charges,999999999,,,,,,,,,,,,,,,,71.205,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,35.25,percent of total billed charges,33.47887753,,,,,,,,,,35.25,percent of total billed charges,32.92197919,,,,,,,,,,35.25,percent of total billed charges,32.83049042,,,,,,,,,,35.25,percent of total billed charges,32.34706184,,,,,,,,,,35.25,percent of total billed charges,33.1793993,,,,,,,,,,35.25,percent of total billed charges,999999999,,,,,,,,,,35.25,percent of total billed charges,28.47026109,,,,,,,,,,35.25,percent of total billed charges,44.89956504,,,,,,,,,,35.25,percent of total billed charges,999999999,,,,,,,,,,35.25,percent of total billed charges,30.69790436,,,,,,,,,,126.9,percent of total billed charges,,,,,
**DEBRID SKIN FULL THICKNESS,11041,CDM,,,,both,,,224,224,47.6860036,224,224,percent of total billed charges,164.8047578,,,,224,percent of total billed charges,174.6897846,,,,224,percent of total billed charges,164.8047578,,,,224,percent of total billed charges,174.6897846,,,,224,percent of total billed charges,999999999,,,,224,percent of total billed charges,170.6726046,,,,224,percent of total billed charges,164.8047578,,,,224,percent of total billed charges,174.6897846,,,,159.712,percent of total billed charges,79.69921074,,,,159.712,percent of total billed charges,47.6860036,,,,159.712,percent of total billed charges,79.69921074,,,,159.712,percent of total billed charges,47.6860036,,,,159.712,percent of total billed charges,79.69921074,,,,159.712,percent of total billed charges,47.6860036,,,,158.144,percent of total billed charges,156.9441185,,,,158.144,percent of total billed charges,108.2431146,,,,,,,,,,161.28,percent of total billed charges,104.8282047,,,,,,,,,,161.28,percent of total billed charges,999999999,,,,,,,,,,179.2,percent of total billed charges,150.1602849,,,,176.96,percent of total billed charges,170.7740155,,,,176.96,percent of total billed charges,150.8844955,,,,179.2,percent of total billed charges,999999999,,,,179.2,percent of total billed charges,999999999,,,,156.8,percent of total billed charges,999999999,,,,156.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,119.168,percent of total billed charges,999999999,,,,,,,,,,,,,,,,113.12,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,56,percent of total billed charges,53.1863019,,,,,,,,,,56,percent of total billed charges,52.30158396,,,,,,,,,,56,percent of total billed charges,52.15624009,,,,,,,,,,56,percent of total billed charges,51.38824009,,,,,,,,,,56,percent of total billed charges,52.71053506,,,,,,,,,,56,percent of total billed charges,999999999,,,,,,,,,,56,percent of total billed charges,45.22935096,,,,,,,,,,56,percent of total billed charges,71.32980546,,,,,,,,,,56,percent of total billed charges,999999999,,,,,,,,,,56,percent of total billed charges,48.76830196,,,,,,,,,,201.6,percent of total billed charges,,,,,
DEBRID SKIN SUBCUT TISSUE,11042,CDM,,,,both,,,505,505,107.506392,505,505,percent of total billed charges,371.5464405,,,,505,percent of total billed charges,393.8318806,,,,505,percent of total billed charges,371.5464405,,,,505,percent of total billed charges,393.8318806,,,,505,percent of total billed charges,999999999,,,,505,percent of total billed charges,384.7752916,,,,505,percent of total billed charges,371.5464405,,,,505,percent of total billed charges,393.8318806,,,,360.065,percent of total billed charges,179.6790242,,,,360.065,percent of total billed charges,107.506392,,,,360.065,percent of total billed charges,179.6790242,,,,360.065,percent of total billed charges,107.506392,,,,360.065,percent of total billed charges,179.6790242,,,,360.065,percent of total billed charges,107.506392,,,,356.53,percent of total billed charges,353.82491,,,,356.53,percent of total billed charges,244.030236,,,,,,,,,,363.6,percent of total billed charges,236.3314437,,,,,,,,,,363.6,percent of total billed charges,999999999,,,,,,,,,,404,percent of total billed charges,338.5309994,,,,398.95,percent of total billed charges,385.0039188,,,,398.95,percent of total billed charges,340.1637065,,,,404,percent of total billed charges,999999999,,,,404,percent of total billed charges,999999999,,,,353.5,percent of total billed charges,999999999,,,,353.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,268.66,percent of total billed charges,999999999,,,,,,,,,,,,,,,,255.025,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,126.25,percent of total billed charges,119.9066181,,,,,,,,,,126.25,percent of total billed charges,117.9120531,,,,,,,,,,126.25,percent of total billed charges,117.5843806,,,,,,,,,,126.25,percent of total billed charges,115.852952,,,,,,,,,,126.25,percent of total billed charges,118.8340188,,,,,,,,,,126.25,percent of total billed charges,999999999,,,,,,,,,,126.25,percent of total billed charges,101.9679564,,,,,,,,,,126.25,percent of total billed charges,160.8104989,,,,,,,,,,126.25,percent of total billed charges,999999999,,,,,,,,,,126.25,percent of total billed charges,109.9463951,,,,,,,,,,454.5,percent of total billed charges,,,,,
AVULSION NAIL PLATE PARTL/COM,11730,CDM,,,,both,,,489,489,104.1002489,489,489,percent of total billed charges,359.7746721,,,,489,percent of total billed charges,381.3540388,,,,489,percent of total billed charges,359.7746721,,,,489,percent of total billed charges,381.3540388,,,,489,percent of total billed charges,999999999,,,,489,percent of total billed charges,372.5843912,,,,489,percent of total billed charges,359.7746721,,,,489,percent of total billed charges,381.3540388,,,,348.657,percent of total billed charges,173.9862234,,,,348.657,percent of total billed charges,104.1002489,,,,348.657,percent of total billed charges,173.9862234,,,,348.657,percent of total billed charges,104.1002489,,,,348.657,percent of total billed charges,173.9862234,,,,348.657,percent of total billed charges,104.1002489,,,,345.234,percent of total billed charges,342.6146158,,,,345.234,percent of total billed charges,236.2985849,,,,,,,,,,352.08,percent of total billed charges,228.8437148,,,,,,,,,,352.08,percent of total billed charges,999999999,,,,,,,,,,391.2,percent of total billed charges,327.8052647,,,,386.31,percent of total billed charges,372.8057748,,,,386.31,percent of total billed charges,329.3862425,,,,391.2,percent of total billed charges,999999999,,,,391.2,percent of total billed charges,999999999,,,,342.3,percent of total billed charges,999999999,,,,342.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,260.148,percent of total billed charges,999999999,,,,,,,,,,,,,,,,246.945,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,122.25,percent of total billed charges,116.1075966,,,,,,,,,,122.25,percent of total billed charges,114.1762257,,,,,,,,,,122.25,percent of total billed charges,113.8589348,,,,,,,,,,122.25,percent of total billed charges,112.1823634,,,,,,,,,,122.25,percent of total billed charges,115.0689805,,,,,,,,,,122.25,percent of total billed charges,999999999,,,,,,,,,,122.25,percent of total billed charges,98.73728847,,,,,,,,,,122.25,percent of total billed charges,155.7155128,,,,,,,,,,122.25,percent of total billed charges,999999999,,,,,,,,,,122.25,percent of total billed charges,106.4629449,,,,,,,,,,440.1,percent of total billed charges,,,,,
AVUL NAIL PLATE EA ADD PLATE,11732,CDM,,,,both,,,252,252,53.64675405,252,252,percent of total billed charges,185.4053525,,,,252,percent of total billed charges,196.5260077,,,,252,percent of total billed charges,185.4053525,,,,252,percent of total billed charges,196.5260077,,,,252,percent of total billed charges,999999999,,,,252,percent of total billed charges,192.0066801,,,,252,percent of total billed charges,185.4053525,,,,252,percent of total billed charges,196.5260077,,,,179.676,percent of total billed charges,89.66161208,,,,179.676,percent of total billed charges,53.64675405,,,,179.676,percent of total billed charges,89.66161208,,,,179.676,percent of total billed charges,53.64675405,,,,179.676,percent of total billed charges,89.66161208,,,,179.676,percent of total billed charges,53.64675405,,,,177.912,percent of total billed charges,176.5621333,,,,177.912,percent of total billed charges,121.7735039,,,,,,,,,,181.44,percent of total billed charges,117.9317303,,,,,,,,,,181.44,percent of total billed charges,999999999,,,,,,,,,,201.6,percent of total billed charges,168.9303205,,,,199.08,percent of total billed charges,192.1207674,,,,199.08,percent of total billed charges,169.7450575,,,,201.6,percent of total billed charges,999999999,,,,201.6,percent of total billed charges,999999999,,,,176.4,percent of total billed charges,999999999,,,,176.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,134.064,percent of total billed charges,999999999,,,,,,,,,,,,,,,,127.26,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,63,percent of total billed charges,59.83458964,,,,,,,,,,63,percent of total billed charges,58.83928195,,,,,,,,,,63,percent of total billed charges,58.67577011,,,,,,,,,,63,percent of total billed charges,57.81177011,,,,,,,,,,63,percent of total billed charges,59.29935194,,,,,,,,,,63,percent of total billed charges,999999999,,,,,,,,,,63,percent of total billed charges,50.88301983,,,,,,,,,,63,percent of total billed charges,80.24603114,,,,,,,,,,63,percent of total billed charges,999999999,,,,,,,,,,63,percent of total billed charges,54.86433971,,,,,,,,,,226.8,percent of total billed charges,,,,,
EVAC SUBUNGUAL HEMATOMA,11740,CDM,,,,both,,,185,185,39.38352976,185,185,percent of total billed charges,136.1110723,,,,185,percent of total billed charges,144.2750454,,,,185,percent of total billed charges,136.1110723,,,,185,percent of total billed charges,144.2750454,,,,185,percent of total billed charges,999999999,,,,185,percent of total billed charges,140.957285,,,,185,percent of total billed charges,136.1110723,,,,185,percent of total billed charges,144.2750454,,,,131.905,percent of total billed charges,65.82300887,,,,131.905,percent of total billed charges,39.38352976,,,,131.905,percent of total billed charges,65.82300887,,,,131.905,percent of total billed charges,39.38352976,,,,131.905,percent of total billed charges,65.82300887,,,,131.905,percent of total billed charges,39.38352976,,,,130.61,percent of total billed charges,129.6190264,,,,130.61,percent of total billed charges,89.39721516,,,,,,,,,,133.2,percent of total billed charges,86.57686552,,,,,,,,,,133.2,percent of total billed charges,999999999,,,,,,,,,,148,percent of total billed charges,124.0163067,,,,146.15,percent of total billed charges,141.0410396,,,,146.15,percent of total billed charges,124.6144271,,,,148,percent of total billed charges,999999999,,,,148,percent of total billed charges,999999999,,,,129.5,percent of total billed charges,999999999,,,,129.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,98.42,percent of total billed charges,999999999,,,,,,,,,,,,,,,,93.425,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,46.25,percent of total billed charges,43.92618684,,,,,,,,,,46.25,percent of total billed charges,43.19550461,,,,,,,,,,46.25,percent of total billed charges,43.07546615,,,,,,,,,,46.25,percent of total billed charges,42.44118043,,,,,,,,,,46.25,percent of total billed charges,43.5332544,,,,,,,,,,46.25,percent of total billed charges,999999999,,,,,,,,,,46.25,percent of total billed charges,37.35459789,,,,,,,,,,46.25,percent of total billed charges,58.91077683,,,,,,,,,,46.25,percent of total billed charges,999999999,,,,,,,,,,46.25,percent of total billed charges,40.27739225,,,,,,,,,,166.5,percent of total billed charges,,,,,
EXCIS PILON CYST/SINUS SIMPLE,11770,CDM,,,,both,,,1342,1342,285.6902537,1342,1342,percent of total billed charges,987.3570755,,,,1342,percent of total billed charges,1046.578978,,,,1342,percent of total billed charges,987.3570755,,,,1342,percent of total billed charges,1046.578978,,,,1342,percent of total billed charges,999999999,,,,1342,percent of total billed charges,1022.511765,,,,1342,percent of total billed charges,987.3570755,,,,1342,percent of total billed charges,1046.578978,,,,956.846,percent of total billed charges,477.4836643,,,,956.846,percent of total billed charges,285.6902537,,,,956.846,percent of total billed charges,477.4836643,,,,956.846,percent of total billed charges,285.6902537,,,,956.846,percent of total billed charges,477.4836643,,,,956.846,percent of total billed charges,285.6902537,,,,947.452,percent of total billed charges,940.2634241,,,,947.452,percent of total billed charges,648.492231,,,,,,,,,,966.24,percent of total billed charges,628.0332623,,,,,,,,,,966.24,percent of total billed charges,999999999,,,,,,,,,,1073.6,percent of total billed charges,899.6209924,,,,1060.18,percent of total billed charges,1023.119325,,,,1060.18,percent of total billed charges,903.9597902,,,,1073.6,percent of total billed charges,999999999,,,,1073.6,percent of total billed charges,999999999,,,,939.4,percent of total billed charges,999999999,,,,939.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,713.944,percent of total billed charges,999999999,,,,,,,,,,,,,,,,677.71,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,335.5,percent of total billed charges,318.6429337,,,,,,,,,,335.5,percent of total billed charges,313.3425253,,,,,,,,,,335.5,percent of total billed charges,312.4717599,,,,,,,,,,335.5,percent of total billed charges,307.870617,,,,,,,,,,335.5,percent of total billed charges,315.7925806,,,,,,,,,,335.5,percent of total billed charges,999999999,,,,,,,,,,335.5,percent of total billed charges,270.9722723,,,,,,,,,,335.5,percent of total billed charges,427.3419595,,,,,,,,,,335.5,percent of total billed charges,999999999,,,,,,,,,,335.5,percent of total billed charges,292.1743805,,,,,,,,,,1207.8,percent of total billed charges,,,,,
REMOVAL NAIL/NAILBED/NAIL FOLD,11765,CDM,,,,both,,,920,920,195.8532291,920,920,percent of total billed charges,676.8766837,,,,920,percent of total billed charges,717.4759012,,,,920,percent of total billed charges,676.8766837,,,,920,percent of total billed charges,717.4759012,,,,920,percent of total billed charges,999999999,,,,920,percent of total billed charges,700.9767688,,,,920,percent of total billed charges,676.8766837,,,,920,percent of total billed charges,717.4759012,,,,655.96,percent of total billed charges,327.3360441,,,,655.96,percent of total billed charges,195.8532291,,,,655.96,percent of total billed charges,327.3360441,,,,655.96,percent of total billed charges,195.8532291,,,,655.96,percent of total billed charges,327.3360441,,,,655.96,percent of total billed charges,195.8532291,,,,649.52,percent of total billed charges,644.5919152,,,,649.52,percent of total billed charges,444.5699348,,,,,,,,,,662.4,percent of total billed charges,430.5444123,,,,,,,,,,662.4,percent of total billed charges,999999999,,,,,,,,,,736,percent of total billed charges,616.7297414,,,,726.8,percent of total billed charges,701.3932778,,,,726.8,percent of total billed charges,619.7041781,,,,736,percent of total billed charges,999999999,,,,736,percent of total billed charges,999999999,,,,644,percent of total billed charges,999999999,,,,644,percent of total billed charges,999999999,,,,,,,,,,,,,,,,489.44,percent of total billed charges,999999999,,,,,,,,,,,,,,,,464.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,230,percent of total billed charges,218.4437399,,,,,,,,,,230,percent of total billed charges,214.810077,,,,,,,,,,230,percent of total billed charges,214.213129,,,,,,,,,,230,percent of total billed charges,211.0588432,,,,,,,,,,230,percent of total billed charges,216.4896976,,,,,,,,,,230,percent of total billed charges,999999999,,,,,,,,,,230,percent of total billed charges,185.7634057,,,,,,,,,,230,percent of total billed charges,292.961701,,,,,,,,,,230,percent of total billed charges,999999999,,,,,,,,,,230,percent of total billed charges,200.2983831,,,,,,,,,,828,percent of total billed charges,,,,,
SIMP REPR SPRFL WND 2.5CM OR<,12001,CDM,,,,both,,,784,784,166.9010126,784,784,percent of total billed charges,576.8166522,,,,784,percent of total billed charges,611.4142462,,,,784,percent of total billed charges,576.8166522,,,,784,percent of total billed charges,611.4142462,,,,784,percent of total billed charges,999999999,,,,784,percent of total billed charges,597.354116,,,,784,percent of total billed charges,576.8166522,,,,784,percent of total billed charges,611.4142462,,,,558.992,percent of total billed charges,278.9472376,,,,558.992,percent of total billed charges,166.9010126,,,,558.992,percent of total billed charges,278.9472376,,,,558.992,percent of total billed charges,166.9010126,,,,558.992,percent of total billed charges,278.9472376,,,,558.992,percent of total billed charges,166.9010126,,,,553.504,percent of total billed charges,549.3044147,,,,553.504,percent of total billed charges,378.850901,,,,,,,,,,564.48,percent of total billed charges,366.8987166,,,,,,,,,,564.48,percent of total billed charges,999999999,,,,,,,,,,627.2,percent of total billed charges,525.560997,,,,619.36,percent of total billed charges,597.7090541,,,,619.36,percent of total billed charges,528.0957344,,,,627.2,percent of total billed charges,999999999,,,,627.2,percent of total billed charges,999999999,,,,548.8,percent of total billed charges,999999999,,,,548.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,417.088,percent of total billed charges,999999999,,,,,,,,,,,,,,,,395.92,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,196,percent of total billed charges,186.1520566,,,,,,,,,,196,percent of total billed charges,183.0555438,,,,,,,,,,196,percent of total billed charges,182.5468403,,,,,,,,,,196,percent of total billed charges,179.8588403,,,,,,,,,,196,percent of total billed charges,184.4868727,,,,,,,,,,196,percent of total billed charges,999999999,,,,,,,,,,196,percent of total billed charges,158.3027283,,,,,,,,,,196,percent of total billed charges,249.6543191,,,,,,,,,,196,percent of total billed charges,999999999,,,,,,,,,,196,percent of total billed charges,170.6890569,,,,,,,,,,705.6,percent of total billed charges,,,,,
SIMP REP SUPFCL WND 2.6-7.5CM,12002,CDM,,,,both,,,857,857,182.4415405,857,857,percent of total billed charges,630.5253455,,,,857,percent of total billed charges,668.3443993,,,,857,percent of total billed charges,630.5253455,,,,857,percent of total billed charges,668.3443993,,,,857,percent of total billed charges,999999999,,,,857,percent of total billed charges,652.9750988,,,,857,percent of total billed charges,630.5253455,,,,857,percent of total billed charges,668.3443993,,,,611.041,percent of total billed charges,304.9206411,,,,611.041,percent of total billed charges,182.4415405,,,,611.041,percent of total billed charges,304.9206411,,,,611.041,percent of total billed charges,182.4415405,,,,611.041,percent of total billed charges,304.9206411,,,,611.041,percent of total billed charges,182.4415405,,,,605.042,percent of total billed charges,600.4513819,,,,605.042,percent of total billed charges,414.1265589,,,,,,,,,,617.04,percent of total billed charges,401.0614797,,,,,,,,,,617.04,percent of total billed charges,999999999,,,,,,,,,,685.6,percent of total billed charges,574.4971613,,,,677.03,percent of total billed charges,653.3630859,,,,677.03,percent of total billed charges,577.2679137,,,,685.6,percent of total billed charges,999999999,,,,685.6,percent of total billed charges,999999999,,,,599.9,percent of total billed charges,999999999,,,,599.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,455.924,percent of total billed charges,999999999,,,,,,,,,,,,,,,,432.785,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,214.25,percent of total billed charges,203.4850925,,,,,,,,,,214.25,percent of total billed charges,200.1002565,,,,,,,,,,214.25,percent of total billed charges,199.5441864,,,,,,,,,,214.25,percent of total billed charges,196.6059007,,,,,,,,,,214.25,percent of total billed charges,201.6648596,,,,,,,,,,214.25,percent of total billed charges,999999999,,,,,,,,,,214.25,percent of total billed charges,173.0426508,,,,,,,,,,214.25,percent of total billed charges,272.9001932,,,,,,,,,,214.25,percent of total billed charges,999999999,,,,,,,,,,214.25,percent of total billed charges,186.5822981,,,,,,,,,,771.3,percent of total billed charges,,,,,
SIMP RPR SPRFL WND 7.6-12.5CM,12004,CDM,,,,both,,,1029,1029,219.057579,1029,1029,percent of total billed charges,757.071856,,,,1029,percent of total billed charges,802.4811982,,,,1029,percent of total billed charges,757.071856,,,,1029,percent of total billed charges,802.4811982,,,,1029,percent of total billed charges,999999999,,,,1029,percent of total billed charges,784.0272773,,,,1029,percent of total billed charges,757.071856,,,,1029,percent of total billed charges,802.4811982,,,,733.677,percent of total billed charges,366.1182493,,,,733.677,percent of total billed charges,219.057579,,,,733.677,percent of total billed charges,366.1182493,,,,733.677,percent of total billed charges,219.057579,,,,733.677,percent of total billed charges,366.1182493,,,,733.677,percent of total billed charges,219.057579,,,,726.474,percent of total billed charges,720.9620443,,,,726.474,percent of total billed charges,497.2418076,,,,,,,,,,740.88,percent of total billed charges,481.5545655,,,,,,,,,,740.88,percent of total billed charges,999999999,,,,,,,,,,823.2,percent of total billed charges,689.7988086,,,,812.91,percent of total billed charges,784.4931335,,,,812.91,percent of total billed charges,693.1256514,,,,823.2,percent of total billed charges,999999999,,,,823.2,percent of total billed charges,999999999,,,,720.3,percent of total billed charges,999999999,,,,720.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,547.428,percent of total billed charges,999999999,,,,,,,,,,,,,,,,519.645,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,257.25,percent of total billed charges,244.3245743,,,,,,,,,,257.25,percent of total billed charges,240.2604013,,,,,,,,,,257.25,percent of total billed charges,239.5927279,,,,,,,,,,257.25,percent of total billed charges,236.0647279,,,,,,,,,,257.25,percent of total billed charges,242.1390204,,,,,,,,,,257.25,percent of total billed charges,999999999,,,,,,,,,,257.25,percent of total billed charges,207.772331,,,,,,,,,,257.25,percent of total billed charges,327.6712938,,,,,,,,,,257.25,percent of total billed charges,999999999,,,,,,,,,,257.25,percent of total billed charges,224.0293871,,,,,,,,,,926.1,percent of total billed charges,,,,,
SIMP REP SPRFL WND 12.6-20.0C,12005,CDM,,,,both,,,1311,1311,279.0908514,1311,1311,percent of total billed charges,964.5492742,,,,1311,percent of total billed charges,1022.403159,,,,1311,percent of total billed charges,964.5492742,,,,1311,percent of total billed charges,1022.403159,,,,1311,percent of total billed charges,999999999,,,,1311,percent of total billed charges,998.8918955,,,,1311,percent of total billed charges,964.5492742,,,,1311,percent of total billed charges,1022.403159,,,,934.743,percent of total billed charges,466.4538628,,,,934.743,percent of total billed charges,279.0908514,,,,934.743,percent of total billed charges,466.4538628,,,,934.743,percent of total billed charges,279.0908514,,,,934.743,percent of total billed charges,466.4538628,,,,934.743,percent of total billed charges,279.0908514,,,,925.566,percent of total billed charges,918.5434791,,,,925.566,percent of total billed charges,633.5121571,,,,,,,,,,943.92,percent of total billed charges,613.5257876,,,,,,,,,,943.92,percent of total billed charges,999999999,,,,,,,,,,1048.8,percent of total billed charges,878.8398815,,,,1035.69,percent of total billed charges,999.4854208,,,,1035.69,percent of total billed charges,883.0784538,,,,1048.8,percent of total billed charges,999999999,,,,1048.8,percent of total billed charges,999999999,,,,917.7,percent of total billed charges,999999999,,,,917.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,697.452,percent of total billed charges,999999999,,,,,,,,,,,,,,,,662.055,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,327.75,percent of total billed charges,311.2823294,,,,,,,,,,327.75,percent of total billed charges,306.1043597,,,,,,,,,,327.75,percent of total billed charges,305.2537088,,,,,,,,,,327.75,percent of total billed charges,300.7588516,,,,,,,,,,327.75,percent of total billed charges,308.497819,,,,,,,,,,327.75,percent of total billed charges,999999999,,,,,,,,,,327.75,percent of total billed charges,264.7128531,,,,,,,,,,327.75,percent of total billed charges,417.4704239,,,,,,,,,,327.75,percent of total billed charges,999999999,,,,,,,,,,327.75,percent of total billed charges,285.4251959,,,,,,,,,,1179.9,percent of total billed charges,,,,,
SIMP REP SPRFL WND 20.1-30.0C,12006,CDM,,,,both,,,1311,1311,279.0908514,1311,1311,percent of total billed charges,964.5492742,,,,1311,percent of total billed charges,1022.403159,,,,1311,percent of total billed charges,964.5492742,,,,1311,percent of total billed charges,1022.403159,,,,1311,percent of total billed charges,999999999,,,,1311,percent of total billed charges,998.8918955,,,,1311,percent of total billed charges,964.5492742,,,,1311,percent of total billed charges,1022.403159,,,,934.743,percent of total billed charges,466.4538628,,,,934.743,percent of total billed charges,279.0908514,,,,934.743,percent of total billed charges,466.4538628,,,,934.743,percent of total billed charges,279.0908514,,,,934.743,percent of total billed charges,466.4538628,,,,934.743,percent of total billed charges,279.0908514,,,,925.566,percent of total billed charges,918.5434791,,,,925.566,percent of total billed charges,633.5121571,,,,,,,,,,943.92,percent of total billed charges,613.5257876,,,,,,,,,,943.92,percent of total billed charges,999999999,,,,,,,,,,1048.8,percent of total billed charges,878.8398815,,,,1035.69,percent of total billed charges,999.4854208,,,,1035.69,percent of total billed charges,883.0784538,,,,1048.8,percent of total billed charges,999999999,,,,1048.8,percent of total billed charges,999999999,,,,917.7,percent of total billed charges,999999999,,,,917.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,697.452,percent of total billed charges,999999999,,,,,,,,,,,,,,,,662.055,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,327.75,percent of total billed charges,311.2823294,,,,,,,,,,327.75,percent of total billed charges,306.1043597,,,,,,,,,,327.75,percent of total billed charges,305.2537088,,,,,,,,,,327.75,percent of total billed charges,300.7588516,,,,,,,,,,327.75,percent of total billed charges,308.497819,,,,,,,,,,327.75,percent of total billed charges,999999999,,,,,,,,,,327.75,percent of total billed charges,264.7128531,,,,,,,,,,327.75,percent of total billed charges,417.4704239,,,,,,,,,,327.75,percent of total billed charges,999999999,,,,,,,,,,327.75,percent of total billed charges,285.4251959,,,,,,,,,,1179.9,percent of total billed charges,,,,,
SIMPLE REP> 30.0 CM,12007,CDM,,,,both,,,1978,1978,421.0844425,1978,1978,percent of total billed charges,1455.28487,,,,1978,percent of total billed charges,1542.573188,,,,1978,percent of total billed charges,1455.28487,,,,1978,percent of total billed charges,1542.573188,,,,1978,percent of total billed charges,999999999,,,,1978,percent of total billed charges,1507.100053,,,,1978,percent of total billed charges,1455.28487,,,,1978,percent of total billed charges,1542.573188,,,,1410.314,percent of total billed charges,703.7724948,,,,1410.314,percent of total billed charges,421.0844425,,,,1410.314,percent of total billed charges,703.7724948,,,,1410.314,percent of total billed charges,421.0844425,,,,1410.314,percent of total billed charges,703.7724948,,,,1410.314,percent of total billed charges,421.0844425,,,,1396.468,percent of total billed charges,1385.872618,,,,1396.468,percent of total billed charges,955.8253599,,,,,,,,,,1424.16,percent of total billed charges,925.6704865,,,,,,,,,,1424.16,percent of total billed charges,999999999,,,,,,,,,,1582.4,percent of total billed charges,1325.968944,,,,1562.62,percent of total billed charges,1507.995547,,,,1562.62,percent of total billed charges,1332.363983,,,,1582.4,percent of total billed charges,999999999,,,,1582.4,percent of total billed charges,999999999,,,,1384.6,percent of total billed charges,999999999,,,,1384.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1052.296,percent of total billed charges,999999999,,,,,,,,,,,,,,,,998.89,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,494.5,percent of total billed charges,469.6540409,,,,,,,,,,494.5,percent of total billed charges,461.8416655,,,,,,,,,,494.5,percent of total billed charges,460.5582273,,,,,,,,,,494.5,percent of total billed charges,453.776513,,,,,,,,,,494.5,percent of total billed charges,465.4528497,,,,,,,,,,494.5,percent of total billed charges,999999999,,,,,,,,,,494.5,percent of total billed charges,399.3913223,,,,,,,,,,494.5,percent of total billed charges,629.8676571,,,,,,,,,,494.5,percent of total billed charges,999999999,,,,,,,,,,494.5,percent of total billed charges,430.6415236,,,,,,,,,,1780.2,percent of total billed charges,,,,,
SIMP REP 2.5CM OR<FACE EAR E,12011,CDM,,,,both,,,815,815,173.5004149,815,815,percent of total billed charges,599.6244535,,,,815,percent of total billed charges,635.5900647,,,,815,percent of total billed charges,599.6244535,,,,815,percent of total billed charges,635.5900647,,,,815,percent of total billed charges,999999999,,,,815,percent of total billed charges,620.9739854,,,,815,percent of total billed charges,599.6244535,,,,815,percent of total billed charges,635.5900647,,,,581.095,percent of total billed charges,289.9770391,,,,581.095,percent of total billed charges,173.5004149,,,,581.095,percent of total billed charges,289.9770391,,,,581.095,percent of total billed charges,173.5004149,,,,581.095,percent of total billed charges,289.9770391,,,,581.095,percent of total billed charges,173.5004149,,,,575.39,percent of total billed charges,571.0243596,,,,575.39,percent of total billed charges,393.8309749,,,,,,,,,,586.8,percent of total billed charges,381.4061914,,,,,,,,,,586.8,percent of total billed charges,999999999,,,,,,,,,,652,percent of total billed charges,546.3421079,,,,643.85,percent of total billed charges,621.342958,,,,643.85,percent of total billed charges,548.9770708,,,,652,percent of total billed charges,999999999,,,,652,percent of total billed charges,999999999,,,,570.5,percent of total billed charges,999999999,,,,570.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,433.58,percent of total billed charges,999999999,,,,,,,,,,,,,,,,411.575,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,203.75,percent of total billed charges,193.5126609,,,,,,,,,,203.75,percent of total billed charges,190.2937095,,,,,,,,,,203.75,percent of total billed charges,189.7648914,,,,,,,,,,203.75,percent of total billed charges,186.9706057,,,,,,,,,,203.75,percent of total billed charges,191.7816342,,,,,,,,,,203.75,percent of total billed charges,999999999,,,,,,,,,,203.75,percent of total billed charges,164.5621475,,,,,,,,,,203.75,percent of total billed charges,259.5258547,,,,,,,,,,203.75,percent of total billed charges,999999999,,,,,,,,,,203.75,percent of total billed charges,177.4382415,,,,,,,,,,733.5,percent of total billed charges,,,,,
SIMPL REP 2.6-5.0CM FACE EAR,12013,CDM,,,,both,,,928,928,197.5563006,928,928,percent of total billed charges,682.7625679,,,,928,percent of total billed charges,723.7148221,,,,928,percent of total billed charges,682.7625679,,,,928,percent of total billed charges,723.7148221,,,,928,percent of total billed charges,999999999,,,,928,percent of total billed charges,707.072219,,,,928,percent of total billed charges,682.7625679,,,,928,percent of total billed charges,723.7148221,,,,661.664,percent of total billed charges,330.1824445,,,,661.664,percent of total billed charges,197.5563006,,,,661.664,percent of total billed charges,330.1824445,,,,661.664,percent of total billed charges,197.5563006,,,,661.664,percent of total billed charges,330.1824445,,,,661.664,percent of total billed charges,197.5563006,,,,655.168,percent of total billed charges,650.1970623,,,,655.168,percent of total billed charges,448.4357604,,,,,,,,,,668.16,percent of total billed charges,434.2882768,,,,,,,,,,668.16,percent of total billed charges,999999999,,,,,,,,,,742.4,percent of total billed charges,622.0926087,,,,733.12,percent of total billed charges,707.4923498,,,,733.12,percent of total billed charges,625.0929101,,,,742.4,percent of total billed charges,999999999,,,,742.4,percent of total billed charges,999999999,,,,649.6,percent of total billed charges,999999999,,,,649.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,493.696,percent of total billed charges,999999999,,,,,,,,,,,,,,,,468.64,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,232,percent of total billed charges,220.3432507,,,,,,,,,,232,percent of total billed charges,216.6779907,,,,,,,,,,232,percent of total billed charges,216.0758518,,,,,,,,,,232,percent of total billed charges,212.8941375,,,,,,,,,,232,percent of total billed charges,218.3722167,,,,,,,,,,232,percent of total billed charges,999999999,,,,,,,,,,232,percent of total billed charges,187.3787397,,,,,,,,,,232,percent of total billed charges,295.509194,,,,,,,,,,232,percent of total billed charges,999999999,,,,,,,,,,232,percent of total billed charges,202.0401081,,,,,,,,,,835.2,percent of total billed charges,,,,,
SIMP REP 5.1-7.5CM FACE EAR E,12014,CDM,,,,both,,,1123,1123,239.0686698,1123,1123,percent of total billed charges,826.2309954,,,,1123,percent of total billed charges,875.7885185,,,,1123,percent of total billed charges,826.2309954,,,,1123,percent of total billed charges,875.7885185,,,,1123,percent of total billed charges,999999999,,,,1123,percent of total billed charges,855.6488167,,,,1123,percent of total billed charges,826.2309954,,,,1123,percent of total billed charges,875.7885185,,,,800.699,percent of total billed charges,399.5634538,,,,800.699,percent of total billed charges,239.0686698,,,,800.699,percent of total billed charges,399.5634538,,,,800.699,percent of total billed charges,239.0686698,,,,800.699,percent of total billed charges,399.5634538,,,,800.699,percent of total billed charges,239.0686698,,,,792.838,percent of total billed charges,786.8225226,,,,792.838,percent of total billed charges,542.6652574,,,,,,,,,,808.56,percent of total billed charges,525.5449729,,,,,,,,,,808.56,percent of total billed charges,999999999,,,,,,,,,,898.4,percent of total billed charges,752.8124996,,,,887.17,percent of total billed charges,856.1572293,,,,887.17,percent of total billed charges,756.4432522,,,,898.4,percent of total billed charges,999999999,,,,898.4,percent of total billed charges,999999999,,,,786.1,percent of total billed charges,999999999,,,,786.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,597.436,percent of total billed charges,999999999,,,,,,,,,,,,,,,,567.115,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,280.75,percent of total billed charges,266.643826,,,,,,,,,,280.75,percent of total billed charges,262.2083874,,,,,,,,,,280.75,percent of total billed charges,261.4797215,,,,,,,,,,280.75,percent of total billed charges,257.6294358,,,,,,,,,,280.75,percent of total billed charges,264.25862,,,,,,,,,,280.75,percent of total billed charges,999999999,,,,,,,,,,280.75,percent of total billed charges,226.752505,,,,,,,,,,280.75,percent of total billed charges,357.6043372,,,,,,,,,,280.75,percent of total billed charges,999999999,,,,,,,,,,280.75,percent of total billed charges,244.4946567,,,,,,,,,,1010.7,percent of total billed charges,,,,,
SIMPL REP 7.6-12.5CM FACE EAR,12015,CDM,,,,both,,,1433,1433,305.0626926,1433,1433,percent of total billed charges,1054.309008,,,,1433,percent of total billed charges,1117.546703,,,,1433,percent of total billed charges,1054.309008,,,,1433,percent of total billed charges,1117.546703,,,,1433,percent of total billed charges,999999999,,,,1433,percent of total billed charges,1091.847511,,,,1433,percent of total billed charges,1054.309008,,,,1433,percent of total billed charges,1117.546703,,,,1021.729,percent of total billed charges,509.8614687,,,,1021.729,percent of total billed charges,305.0626926,,,,1021.729,percent of total billed charges,509.8614687,,,,1021.729,percent of total billed charges,305.0626926,,,,1021.729,percent of total billed charges,509.8614687,,,,1021.729,percent of total billed charges,305.0626926,,,,1011.698,percent of total billed charges,1004.021972,,,,1011.698,percent of total billed charges,692.4659963,,,,,,,,,,1031.76,percent of total billed charges,670.6197205,,,,,,,,,,1031.76,percent of total billed charges,999999999,,,,,,,,,,1146.4,percent of total billed charges,960.6236081,,,,1132.07,percent of total billed charges,1092.496269,,,,1132.07,percent of total billed charges,965.2566166,,,,1146.4,percent of total billed charges,999999999,,,,1146.4,percent of total billed charges,999999999,,,,1003.1,percent of total billed charges,999999999,,,,1003.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,762.356,percent of total billed charges,999999999,,,,,,,,,,,,,,,,723.665,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,358.25,percent of total billed charges,340.2498688,,,,,,,,,,358.25,percent of total billed charges,334.5900438,,,,,,,,,,358.25,percent of total billed charges,333.6602324,,,,,,,,,,358.25,percent of total billed charges,328.7470895,,,,,,,,,,358.25,percent of total billed charges,337.2062354,,,,,,,,,,358.25,percent of total billed charges,999999999,,,,,,,,,,358.25,percent of total billed charges,289.3466961,,,,,,,,,,358.25,percent of total billed charges,456.319693,,,,,,,,,,358.25,percent of total billed charges,999999999,,,,,,,,,,358.25,percent of total billed charges,311.9865032,,,,,,,,,,1289.7,percent of total billed charges,,,,,
SIMPL REP 12.6-20.0CM FACE EA,12016,CDM,,,,both,,,1783,1783,379.5720733,1783,1783,percent of total billed charges,1311.816442,,,,1783,percent of total billed charges,1390.499491,,,,1783,percent of total billed charges,1311.816442,,,,1783,percent of total billed charges,1390.499491,,,,1783,percent of total billed charges,999999999,,,,1783,percent of total billed charges,1358.523455,,,,1783,percent of total billed charges,1311.816442,,,,1783,percent of total billed charges,1390.499491,,,,1271.279,percent of total billed charges,634.3914855,,,,1271.279,percent of total billed charges,379.5720733,,,,1271.279,percent of total billed charges,634.3914855,,,,1271.279,percent of total billed charges,379.5720733,,,,1271.279,percent of total billed charges,634.3914855,,,,1271.279,percent of total billed charges,379.5720733,,,,1258.798,percent of total billed charges,1249.247157,,,,1258.798,percent of total billed charges,861.5958628,,,,,,,,,,1283.76,percent of total billed charges,834.4137904,,,,,,,,,,1283.76,percent of total billed charges,999999999,,,,,,,,,,1426.4,percent of total billed charges,1195.249053,,,,1408.57,percent of total billed charges,1359.330668,,,,1408.57,percent of total billed charges,1201.013641,,,,1426.4,percent of total billed charges,999999999,,,,1426.4,percent of total billed charges,999999999,,,,1248.1,percent of total billed charges,999999999,,,,1248.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,948.556,percent of total billed charges,999999999,,,,,,,,,,,,,,,,900.415,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,445.75,percent of total billed charges,423.3534656,,,,,,,,,,445.75,percent of total billed charges,416.3112687,,,,,,,,,,445.75,percent of total billed charges,415.1543575,,,,,,,,,,445.75,percent of total billed charges,409.0412147,,,,,,,,,,445.75,percent of total billed charges,419.5664465,,,,,,,,,,445.75,percent of total billed charges,999999999,,,,,,,,,,445.75,percent of total billed charges,360.0175569,,,,,,,,,,445.75,percent of total billed charges,567.772514,,,,,,,,,,445.75,percent of total billed charges,999999999,,,,,,,,,,445.75,percent of total billed charges,388.186975,,,,,,,,,,1604.7,percent of total billed charges,,,,,
SIMPL REP 20.1-30CM FACE EAR,12017,CDM,,,,both,,,2319,2319,493.6778676,2319,2319,percent of total billed charges,1706.170684,,,,2319,percent of total billed charges,1808.50719,,,,2319,percent of total billed charges,1706.170684,,,,2319,percent of total billed charges,1808.50719,,,,2319,percent of total billed charges,999999999,,,,2319,percent of total billed charges,1766.918616,,,,2319,percent of total billed charges,1706.170684,,,,2319,percent of total billed charges,1808.50719,,,,1653.447,percent of total billed charges,825.1003111,,,,1653.447,percent of total billed charges,493.6778676,,,,1653.447,percent of total billed charges,825.1003111,,,,1653.447,percent of total billed charges,493.6778676,,,,1653.447,percent of total billed charges,825.1003111,,,,1653.447,percent of total billed charges,493.6778676,,,,1637.214,percent of total billed charges,1624.792012,,,,1637.214,percent of total billed charges,1120.606173,,,,,,,,,,1669.68,percent of total billed charges,1085.252709,,,,,,,,,,1669.68,percent of total billed charges,999999999,,,,,,,,,,1855.2,percent of total billed charges,1554.561163,,,,1832.01,percent of total billed charges,1767.96849,,,,1832.01,percent of total billed charges,1562.058684,,,,1855.2,percent of total billed charges,999999999,,,,1855.2,percent of total billed charges,999999999,,,,1623.3,percent of total billed charges,999999999,,,,1623.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1233.708,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1171.095,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,579.75,percent of total billed charges,550.620688,,,,,,,,,,579.75,percent of total billed charges,541.4614875,,,,,,,,,,579.75,percent of total billed charges,539.9567892,,,,,,,,,,579.75,percent of total billed charges,532.005932,,,,,,,,,,579.75,percent of total billed charges,545.6952268,,,,,,,,,,579.75,percent of total billed charges,999999999,,,,,,,,,,579.75,percent of total billed charges,468.2449325,,,,,,,,,,579.75,percent of total billed charges,738.4545485,,,,,,,,,,579.75,percent of total billed charges,999999999,,,,,,,,,,579.75,percent of total billed charges,504.8825547,,,,,,,,,,2087.1,percent of total billed charges,,,,,
SIMPL REP>30CM FACE EAR EYEL,12018,CDM,,,,both,,,2777,2777,591.1787142,2777,2777,percent of total billed charges,2043.137555,,,,2777,percent of total billed charges,2165.68541,,,,2777,percent of total billed charges,2043.137555,,,,2777,percent of total billed charges,2165.68541,,,,2777,percent of total billed charges,999999999,,,,2777,percent of total billed charges,2115.883138,,,,2777,percent of total billed charges,2043.137555,,,,2777,percent of total billed charges,2165.68541,,,,1980.001,percent of total billed charges,988.0567331,,,,1980.001,percent of total billed charges,591.1787142,,,,1980.001,percent of total billed charges,988.0567331,,,,1980.001,percent of total billed charges,591.1787142,,,,1980.001,percent of total billed charges,988.0567331,,,,1980.001,percent of total billed charges,591.1787142,,,,1960.562,percent of total billed charges,1945.686683,,,,1960.562,percent of total billed charges,1341.924684,,,,,,,,,,1999.44,percent of total billed charges,1299.588949,,,,,,,,,,1999.44,percent of total billed charges,999999999,,,,,,,,,,2221.6,percent of total billed charges,1861.585317,,,,2193.83,percent of total billed charges,2117.140361,,,,2193.83,percent of total billed charges,1870.56359,,,,2221.6,percent of total billed charges,999999999,,,,2221.6,percent of total billed charges,999999999,,,,1943.9,percent of total billed charges,999999999,,,,1943.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1477.364,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1402.385,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,694.25,percent of total billed charges,659.3676802,,,,,,,,,,694.25,percent of total billed charges,648.3995475,,,,,,,,,,694.25,percent of total billed charges,646.597673,,,,,,,,,,694.25,percent of total billed charges,637.0765301,,,,,,,,,,694.25,percent of total billed charges,653.4694458,,,,,,,,,,694.25,percent of total billed charges,999999999,,,,,,,,,,694.25,percent of total billed charges,560.7228018,,,,,,,,,,694.25,percent of total billed charges,884.2985257,,,,,,,,,,694.25,percent of total billed charges,999999999,,,,,,,,,,694.25,percent of total billed charges,604.596315,,,,,,,,,,2499.3,percent of total billed charges,,,,,
SIMPLE CLSR SUPRFCL WND DEHIS,12020,CDM,,,,both,,,1269,1269,270.1497257,1269,1269,percent of total billed charges,933.6483821,,,,1269,percent of total billed charges,989.6488246,,,,1269,percent of total billed charges,933.6483821,,,,1269,percent of total billed charges,989.6488246,,,,1269,percent of total billed charges,999999999,,,,1269,percent of total billed charges,966.8907822,,,,1269,percent of total billed charges,933.6483821,,,,1269,percent of total billed charges,989.6488246,,,,904.797,percent of total billed charges,451.5102608,,,,904.797,percent of total billed charges,270.1497257,,,,904.797,percent of total billed charges,451.5102608,,,,904.797,percent of total billed charges,270.1497257,,,,904.797,percent of total billed charges,451.5102608,,,,904.797,percent of total billed charges,270.1497257,,,,895.914,percent of total billed charges,889.1164569,,,,895.914,percent of total billed charges,613.2165732,,,,,,,,,,913.68,percent of total billed charges,593.8704992,,,,,,,,,,913.68,percent of total billed charges,999999999,,,,,,,,,,1015.2,percent of total billed charges,850.6848281,,,,1002.51,percent of total billed charges,967.4652929,,,,1002.51,percent of total billed charges,854.7876109,,,,1015.2,percent of total billed charges,999999999,,,,1015.2,percent of total billed charges,999999999,,,,888.3,percent of total billed charges,999999999,,,,888.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,675.108,percent of total billed charges,999999999,,,,,,,,,,,,,,,,640.845,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,317.25,percent of total billed charges,301.3098978,,,,,,,,,,317.25,percent of total billed charges,296.2978127,,,,,,,,,,317.25,percent of total billed charges,295.4744137,,,,,,,,,,317.25,percent of total billed charges,291.1235566,,,,,,,,,,317.25,percent of total billed charges,298.6145937,,,,,,,,,,317.25,percent of total billed charges,999999999,,,,,,,,,,317.25,percent of total billed charges,256.2323498,,,,,,,,,,317.25,percent of total billed charges,404.0960854,,,,,,,,,,317.25,percent of total billed charges,999999999,,,,,,,,,,317.25,percent of total billed charges,276.2811392,,,,,,,,,,1142.1,percent of total billed charges,,,,,
SUPRFCL WND DEHISCENCE W/PACK,12021,CDM,,,,both,,,889,889,189.2538268,889,889,percent of total billed charges,654.0688824,,,,889,percent of total billed charges,693.3000828,,,,889,percent of total billed charges,654.0688824,,,,889,percent of total billed charges,693.3000828,,,,889,percent of total billed charges,999999999,,,,889,percent of total billed charges,677.3568994,,,,889,percent of total billed charges,654.0688824,,,,889,percent of total billed charges,693.3000828,,,,633.857,percent of total billed charges,316.3062426,,,,633.857,percent of total billed charges,189.2538268,,,,633.857,percent of total billed charges,316.3062426,,,,633.857,percent of total billed charges,189.2538268,,,,633.857,percent of total billed charges,316.3062426,,,,633.857,percent of total billed charges,189.2538268,,,,627.634,percent of total billed charges,622.8719702,,,,627.634,percent of total billed charges,429.5898609,,,,,,,,,,640.08,percent of total billed charges,416.0369376,,,,,,,,,,640.08,percent of total billed charges,999999999,,,,,,,,,,711.2,percent of total billed charges,595.9486306,,,,702.31,percent of total billed charges,677.7593739,,,,702.31,percent of total billed charges,598.8228417,,,,711.2,percent of total billed charges,999999999,,,,711.2,percent of total billed charges,999999999,,,,622.3,percent of total billed charges,999999999,,,,622.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,472.948,percent of total billed charges,999999999,,,,,,,,,,,,,,,,448.945,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,222.25,percent of total billed charges,211.0831357,,,,,,,,,,222.25,percent of total billed charges,207.5719113,,,,,,,,,,222.25,percent of total billed charges,206.9950779,,,,,,,,,,222.25,percent of total billed charges,203.9470779,,,,,,,,,,222.25,percent of total billed charges,209.194936,,,,,,,,,,222.25,percent of total billed charges,999999999,,,,,,,,,,222.25,percent of total billed charges,179.5039866,,,,,,,,,,222.25,percent of total billed charges,283.0901654,,,,,,,,,,222.25,percent of total billed charges,999999999,,,,,,,,,,222.25,percent of total billed charges,193.5491984,,,,,,,,,,800.1,percent of total billed charges,,,,,
LAYER CLSR WND 2.5CM OR < SCAL,12031,CDM,,,,both,,,979,979,208.4133818,979,979,percent of total billed charges,720.2850797,,,,979,percent of total billed charges,763.4879427,,,,979,percent of total billed charges,720.2850797,,,,979,percent of total billed charges,763.4879427,,,,979,percent of total billed charges,999999999,,,,979,percent of total billed charges,745.9307137,,,,979,percent of total billed charges,720.2850797,,,,979,percent of total billed charges,763.4879427,,,,698.027,percent of total billed charges,348.3282469,,,,698.027,percent of total billed charges,208.4133818,,,,698.027,percent of total billed charges,348.3282469,,,,698.027,percent of total billed charges,208.4133818,,,,698.027,percent of total billed charges,348.3282469,,,,698.027,percent of total billed charges,208.4133818,,,,691.174,percent of total billed charges,685.929875,,,,691.174,percent of total billed charges,473.080398,,,,,,,,,,704.88,percent of total billed charges,458.1554127,,,,,,,,,,704.88,percent of total billed charges,999999999,,,,,,,,,,783.2,percent of total billed charges,656.2808879,,,,773.41,percent of total billed charges,746.3739336,,,,773.41,percent of total billed charges,659.4460765,,,,783.2,percent of total billed charges,999999999,,,,783.2,percent of total billed charges,999999999,,,,685.3,percent of total billed charges,999999999,,,,685.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,520.828,percent of total billed charges,999999999,,,,,,,,,,,,,,,,494.395,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,244.75,percent of total billed charges,232.452632,,,,,,,,,,244.75,percent of total billed charges,228.5859406,,,,,,,,,,244.75,percent of total billed charges,227.9507101,,,,,,,,,,244.75,percent of total billed charges,224.5941386,,,,,,,,,,244.75,percent of total billed charges,230.373276,,,,,,,,,,244.75,percent of total billed charges,999999999,,,,,,,,,,244.75,percent of total billed charges,197.6764937,,,,,,,,,,244.75,percent of total billed charges,311.7494623,,,,,,,,,,244.75,percent of total billed charges,999999999,,,,,,,,,,244.75,percent of total billed charges,213.1436055,,,,,,,,,,881.1,percent of total billed charges,,,,,
LAYER CLOSR WND SCALP AXI TRK,12032,CDM,,,,both,,,1107,1107,235.6625267,1107,1107,percent of total billed charges,814.459227,,,,1107,percent of total billed charges,863.3106768,,,,1107,percent of total billed charges,814.459227,,,,1107,percent of total billed charges,863.3106768,,,,1107,percent of total billed charges,999999999,,,,1107,percent of total billed charges,843.4579164,,,,1107,percent of total billed charges,814.459227,,,,1107,percent of total billed charges,863.3106768,,,,789.291,percent of total billed charges,393.8706531,,,,789.291,percent of total billed charges,235.6625267,,,,789.291,percent of total billed charges,393.8706531,,,,789.291,percent of total billed charges,235.6625267,,,,789.291,percent of total billed charges,393.8706531,,,,789.291,percent of total billed charges,235.6625267,,,,781.542,percent of total billed charges,775.6122284,,,,781.542,percent of total billed charges,534.9336064,,,,,,,,,,797.04,percent of total billed charges,518.057244,,,,,,,,,,797.04,percent of total billed charges,999999999,,,,,,,,,,885.6,percent of total billed charges,742.086765,,,,874.53,percent of total billed charges,843.9590853,,,,874.53,percent of total billed charges,745.6657882,,,,885.6,percent of total billed charges,999999999,,,,885.6,percent of total billed charges,999999999,,,,774.9,percent of total billed charges,999999999,,,,774.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,588.924,percent of total billed charges,999999999,,,,,,,,,,,,,,,,559.035,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,276.75,percent of total billed charges,262.8448045,,,,,,,,,,276.75,percent of total billed charges,258.47256,,,,,,,,,,276.75,percent of total billed charges,257.7542758,,,,,,,,,,276.75,percent of total billed charges,253.9588472,,,,,,,,,,276.75,percent of total billed charges,260.4935817,,,,,,,,,,276.75,percent of total billed charges,999999999,,,,,,,,,,276.75,percent of total billed charges,223.5218371,,,,,,,,,,276.75,percent of total billed charges,352.5093511,,,,,,,,,,276.75,percent of total billed charges,999999999,,,,,,,,,,276.75,percent of total billed charges,241.0112066,,,,,,,,,,996.3,percent of total billed charges,,,,,
LAYR CLSR WND7.6-12.5CM SCALP,12034,CDM,,,,both,,,1366,1366,290.7994684,1366,1366,percent of total billed charges,1005.014728,,,,1366,percent of total billed charges,1065.29574,,,,1366,percent of total billed charges,1005.014728,,,,1366,percent of total billed charges,1065.29574,,,,1366,percent of total billed charges,999999999,,,,1366,percent of total billed charges,1040.798115,,,,1366,percent of total billed charges,1005.014728,,,,1366,percent of total billed charges,1065.29574,,,,973.958,percent of total billed charges,486.0228655,,,,973.958,percent of total billed charges,290.7994684,,,,973.958,percent of total billed charges,486.0228655,,,,973.958,percent of total billed charges,290.7994684,,,,973.958,percent of total billed charges,486.0228655,,,,973.958,percent of total billed charges,290.7994684,,,,964.396,percent of total billed charges,957.0788654,,,,964.396,percent of total billed charges,660.0897076,,,,,,,,,,983.52,percent of total billed charges,639.2648557,,,,,,,,,,983.52,percent of total billed charges,999999999,,,,,,,,,,1092.8,percent of total billed charges,915.7095943,,,,1079.14,percent of total billed charges,1041.416541,,,,1079.14,percent of total billed charges,920.1259862,,,,1092.8,percent of total billed charges,999999999,,,,1092.8,percent of total billed charges,999999999,,,,956.2,percent of total billed charges,999999999,,,,956.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,726.712,percent of total billed charges,999999999,,,,,,,,,,,,,,,,689.83,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,341.5,percent of total billed charges,324.341466,,,,,,,,,,341.5,percent of total billed charges,318.9462664,,,,,,,,,,341.5,percent of total billed charges,318.0599284,,,,,,,,,,341.5,percent of total billed charges,313.3764999,,,,,,,,,,341.5,percent of total billed charges,321.4401379,,,,,,,,,,341.5,percent of total billed charges,999999999,,,,,,,,,,341.5,percent of total billed charges,275.8182741,,,,,,,,,,341.5,percent of total billed charges,434.9844387,,,,,,,,,,341.5,percent of total billed charges,999999999,,,,,,,,,,341.5,percent of total billed charges,297.3995557,,,,,,,,,,1229.4,percent of total billed charges,,,,,
LAYER CLSR WND 12.6-20.0CM,12035,CDM,,,,both,,,1628,1628,346.5750618,1628,1628,percent of total billed charges,1197.777436,,,,1628,percent of total billed charges,1269.620399,,,,1628,percent of total billed charges,1197.777436,,,,1628,percent of total billed charges,1269.620399,,,,1628,percent of total billed charges,999999999,,,,1628,percent of total billed charges,1240.424108,,,,1628,percent of total billed charges,1197.777436,,,,1628,percent of total billed charges,1269.620399,,,,1160.764,percent of total billed charges,579.242478,,,,1160.764,percent of total billed charges,346.5750618,,,,1160.764,percent of total billed charges,579.242478,,,,1160.764,percent of total billed charges,346.5750618,,,,1160.764,percent of total billed charges,579.242478,,,,1160.764,percent of total billed charges,346.5750618,,,,1149.368,percent of total billed charges,1140.647433,,,,1149.368,percent of total billed charges,786.6954934,,,,,,,,,,1172.16,percent of total billed charges,761.8764166,,,,,,,,,,1172.16,percent of total billed charges,999999999,,,,,,,,,,1302.4,percent of total billed charges,1091.343499,,,,1286.12,percent of total billed charges,1241.161148,,,,1286.12,percent of total billed charges,1096.606959,,,,1302.4,percent of total billed charges,999999999,,,,1302.4,percent of total billed charges,999999999,,,,1139.6,percent of total billed charges,999999999,,,,1139.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,866.096,percent of total billed charges,999999999,,,,,,,,,,,,,,,,822.14,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,407,percent of total billed charges,386.5504442,,,,,,,,,,407,percent of total billed charges,380.1204405,,,,,,,,,,407,percent of total billed charges,379.0641021,,,,,,,,,,407,percent of total billed charges,373.4823878,,,,,,,,,,407,percent of total billed charges,383.0926387,,,,,,,,,,407,percent of total billed charges,999999999,,,,,,,,,,407,percent of total billed charges,328.7204614,,,,,,,,,,407,percent of total billed charges,518.4148361,,,,,,,,,,407,percent of total billed charges,999999999,,,,,,,,,,407,percent of total billed charges,354.4410518,,,,,,,,,,1465.2,percent of total billed charges,,,,,
LAYERED CLOS WND 20.1-30.0CM,12036,CDM,,,,both,,,2058,2058,438.115158,2058,2058,percent of total billed charges,1514.143712,,,,2058,percent of total billed charges,1604.962396,,,,2058,percent of total billed charges,1514.143712,,,,2058,percent of total billed charges,1604.962396,,,,2058,percent of total billed charges,999999999,,,,2058,percent of total billed charges,1568.054555,,,,2058,percent of total billed charges,1514.143712,,,,2058,percent of total billed charges,1604.962396,,,,1467.354,percent of total billed charges,732.2364986,,,,1467.354,percent of total billed charges,438.115158,,,,1467.354,percent of total billed charges,732.2364986,,,,1467.354,percent of total billed charges,438.115158,,,,1467.354,percent of total billed charges,732.2364986,,,,1467.354,percent of total billed charges,438.115158,,,,1452.948,percent of total billed charges,1441.924089,,,,1452.948,percent of total billed charges,994.4836151,,,,,,,,,,1481.76,percent of total billed charges,963.1091311,,,,,,,,,,1481.76,percent of total billed charges,999999999,,,,,,,,,,1646.4,percent of total billed charges,1379.597617,,,,1625.82,percent of total billed charges,1568.986267,,,,1625.82,percent of total billed charges,1386.251303,,,,1646.4,percent of total billed charges,999999999,,,,1646.4,percent of total billed charges,999999999,,,,1440.6,percent of total billed charges,999999999,,,,1440.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1094.856,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1039.29,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,514.5,percent of total billed charges,488.6491487,,,,,,,,,,514.5,percent of total billed charges,480.5208026,,,,,,,,,,514.5,percent of total billed charges,479.1854559,,,,,,,,,,514.5,percent of total billed charges,472.1294559,,,,,,,,,,514.5,percent of total billed charges,484.2780408,,,,,,,,,,514.5,percent of total billed charges,999999999,,,,,,,,,,514.5,percent of total billed charges,415.5446619,,,,,,,,,,514.5,percent of total billed charges,655.3425877,,,,,,,,,,514.5,percent of total billed charges,999999999,,,,,,,,,,514.5,percent of total billed charges,448.0587743,,,,,,,,,,1852.2,percent of total billed charges,,,,,
LAYER CLOS WND OVER 30.0 CM,12037,CDM,,,,both,,,2402,2402,511.347235,2402,2402,percent of total billed charges,1767.236733,,,,2402,percent of total billed charges,1873.235994,,,,2402,percent of total billed charges,1767.236733,,,,2402,percent of total billed charges,1873.235994,,,,2402,percent of total billed charges,999999999,,,,2402,percent of total billed charges,1830.158912,,,,2402,percent of total billed charges,1767.236733,,,,2402,percent of total billed charges,1873.235994,,,,1712.626,percent of total billed charges,854.6317151,,,,1712.626,percent of total billed charges,511.347235,,,,1712.626,percent of total billed charges,854.6317151,,,,1712.626,percent of total billed charges,511.347235,,,,1712.626,percent of total billed charges,854.6317151,,,,1712.626,percent of total billed charges,511.347235,,,,1695.812,percent of total billed charges,1682.945413,,,,1695.812,percent of total billed charges,1160.714112,,,,,,,,,,1729.44,percent of total billed charges,1124.095303,,,,,,,,,,1729.44,percent of total billed charges,999999999,,,,,,,,,,1921.6,percent of total billed charges,1610.200912,,,,1897.58,percent of total billed charges,1831.246362,,,,1897.58,percent of total billed charges,1617.966778,,,,1921.6,percent of total billed charges,999999999,,,,1921.6,percent of total billed charges,999999999,,,,1681.4,percent of total billed charges,999999999,,,,1681.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1277.864,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1213.01,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,600.5,percent of total billed charges,570.3281123,,,,,,,,,,600.5,percent of total billed charges,560.8410922,,,,,,,,,,600.5,percent of total billed charges,559.2825389,,,,,,,,,,600.5,percent of total billed charges,551.0471103,,,,,,,,,,600.5,percent of total billed charges,565.2263625,,,,,,,,,,600.5,percent of total billed charges,999999999,,,,,,,,,,600.5,percent of total billed charges,485.0040223,,,,,,,,,,600.5,percent of total billed charges,764.8847889,,,,,,,,,,600.5,percent of total billed charges,999999999,,,,,,,,,,600.5,percent of total billed charges,522.9529523,,,,,,,,,,2161.8,percent of total billed charges,,,,,
LAYER CLSR WND 2.5 OR < HAND,12041,CDM,,,,both,,,1068,1068,227.3600529,1068,1068,percent of total billed charges,785.7655415,,,,1068,percent of total billed charges,832.8959375,,,,1068,percent of total billed charges,785.7655415,,,,1068,percent of total billed charges,832.8959375,,,,1068,percent of total billed charges,999999999,,,,1068,percent of total billed charges,813.7425968,,,,1068,percent of total billed charges,785.7655415,,,,1068,percent of total billed charges,832.8959375,,,,761.484,percent of total billed charges,379.9944512,,,,761.484,percent of total billed charges,227.3600529,,,,761.484,percent of total billed charges,379.9944512,,,,761.484,percent of total billed charges,227.3600529,,,,761.484,percent of total billed charges,379.9944512,,,,761.484,percent of total billed charges,227.3600529,,,,754.008,percent of total billed charges,748.2871363,,,,754.008,percent of total billed charges,516.087707,,,,,,,,,,768.96,percent of total billed charges,499.8059047,,,,,,,,,,768.96,percent of total billed charges,999999999,,,,,,,,,,854.4,percent of total billed charges,715.9427868,,,,843.72,percent of total billed charges,814.2261094,,,,843.72,percent of total billed charges,719.3957198,,,,854.4,percent of total billed charges,999999999,,,,854.4,percent of total billed charges,999999999,,,,747.6,percent of total billed charges,999999999,,,,747.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,568.176,percent of total billed charges,999999999,,,,,,,,,,,,,,,,539.34,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,267,percent of total billed charges,253.5846894,,,,,,,,,,267,percent of total billed charges,249.3664806,,,,,,,,,,267,percent of total billed charges,248.6735019,,,,,,,,,,267,percent of total billed charges,245.0117876,,,,,,,,,,267,percent of total billed charges,251.3163011,,,,,,,,,,267,percent of total billed charges,999999999,,,,,,,,,,267,percent of total billed charges,215.647084,,,,,,,,,,267,percent of total billed charges,340.0903225,,,,,,,,,,267,percent of total billed charges,999999999,,,,,,,,,,267,percent of total billed charges,232.5202969,,,,,,,,,,961.2,percent of total billed charges,,,,,
LAYR CLS WND2.6-7.5CM NECK HN,12042,CDM,,,,both,,,1228,1228,261.421484,1228,1228,percent of total billed charges,903.4832256,,,,1228,percent of total billed charges,957.6743551,,,,1228,percent of total billed charges,903.4832256,,,,1228,percent of total billed charges,957.6743551,,,,1228,percent of total billed charges,999999999,,,,1228,percent of total billed charges,935.6516001,,,,1228,percent of total billed charges,903.4832256,,,,1228,percent of total billed charges,957.6743551,,,,875.564,percent of total billed charges,436.9224589,,,,875.564,percent of total billed charges,261.421484,,,,875.564,percent of total billed charges,436.9224589,,,,875.564,percent of total billed charges,261.421484,,,,875.564,percent of total billed charges,436.9224589,,,,875.564,percent of total billed charges,261.421484,,,,866.968,percent of total billed charges,860.3900781,,,,866.968,percent of total billed charges,593.4042174,,,,,,,,,,884.16,percent of total billed charges,574.6831938,,,,,,,,,,884.16,percent of total billed charges,999999999,,,,,,,,,,982.4,percent of total billed charges,823.2001331,,,,970.12,percent of total billed charges,936.207549,,,,970.12,percent of total billed charges,827.1703595,,,,982.4,percent of total billed charges,999999999,,,,982.4,percent of total billed charges,999999999,,,,859.6,percent of total billed charges,999999999,,,,859.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,653.296,percent of total billed charges,999999999,,,,,,,,,,,,,,,,620.14,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,307,percent of total billed charges,291.5749051,,,,,,,,,,307,percent of total billed charges,286.7247549,,,,,,,,,,307,percent of total billed charges,285.9279591,,,,,,,,,,307,percent of total billed charges,281.7176734,,,,,,,,,,307,percent of total billed charges,288.9666833,,,,,,,,,,307,percent of total billed charges,999999999,,,,,,,,,,307,percent of total billed charges,247.9537633,,,,,,,,,,307,percent of total billed charges,391.0401835,,,,,,,,,,307,percent of total billed charges,999999999,,,,,,,,,,307,percent of total billed charges,267.3547983,,,,,,,,,,1105.2,percent of total billed charges,,,,,
LAYER CLS WND 7.6-12.5CM NKHD,12044,CDM,,,,both,,,1489,1489,316.9841935,1489,1489,percent of total billed charges,1095.510198,,,,1489,percent of total billed charges,1161.219149,,,,1489,percent of total billed charges,1095.510198,,,,1489,percent of total billed charges,1161.219149,,,,1489,percent of total billed charges,999999999,,,,1489,percent of total billed charges,1134.515662,,,,1489,percent of total billed charges,1095.510198,,,,1489,percent of total billed charges,1161.219149,,,,1061.657,percent of total billed charges,529.7862714,,,,1061.657,percent of total billed charges,316.9841935,,,,1061.657,percent of total billed charges,529.7862714,,,,1061.657,percent of total billed charges,316.9841935,,,,1061.657,percent of total billed charges,529.7862714,,,,1061.657,percent of total billed charges,316.9841935,,,,1051.234,percent of total billed charges,1043.258002,,,,1051.234,percent of total billed charges,719.526775,,,,,,,,,,1072.08,percent of total billed charges,696.8267717,,,,,,,,,,1072.08,percent of total billed charges,999999999,,,,,,,,,,1191.2,percent of total billed charges,998.1636793,,,,1176.31,percent of total billed charges,1135.189772,,,,1176.31,percent of total billed charges,1002.97774,,,,1191.2,percent of total billed charges,999999999,,,,1191.2,percent of total billed charges,999999999,,,,1042.3,percent of total billed charges,999999999,,,,1042.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,792.148,percent of total billed charges,999999999,,,,,,,,,,,,,,,,751.945,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,372.25,percent of total billed charges,353.5464443,,,,,,,,,,372.25,percent of total billed charges,347.6654398,,,,,,,,,,372.25,percent of total billed charges,346.6992924,,,,,,,,,,372.25,percent of total billed charges,341.5941496,,,,,,,,,,372.25,percent of total billed charges,350.3838692,,,,,,,,,,372.25,percent of total billed charges,999999999,,,,,,,,,,372.25,percent of total billed charges,300.6540338,,,,,,,,,,372.25,percent of total billed charges,474.1521443,,,,,,,,,,372.25,percent of total billed charges,999999999,,,,,,,,,,372.25,percent of total billed charges,324.1785787,,,,,,,,,,1340.1,percent of total billed charges,,,,,
LAYR CLS 12.6-20.0CM NK HD FT,12045,CDM,,,,both,,,1758,1758,374.2499746,1758,1758,percent of total billed charges,1293.423054,,,,1758,percent of total billed charges,1371.002863,,,,1758,percent of total billed charges,1293.423054,,,,1758,percent of total billed charges,1371.002863,,,,1758,percent of total billed charges,999999999,,,,1758,percent of total billed charges,1339.475173,,,,1758,percent of total billed charges,1293.423054,,,,1758,percent of total billed charges,1371.002863,,,,1253.454,percent of total billed charges,625.4964843,,,,1253.454,percent of total billed charges,374.2499746,,,,1253.454,percent of total billed charges,625.4964843,,,,1253.454,percent of total billed charges,374.2499746,,,,1253.454,percent of total billed charges,625.4964843,,,,1253.454,percent of total billed charges,374.2499746,,,,1241.148,percent of total billed charges,1231.731073,,,,1241.148,percent of total billed charges,849.5151581,,,,,,,,,,1265.76,percent of total billed charges,822.714214,,,,,,,,,,1265.76,percent of total billed charges,999999999,,,,,,,,,,1406.4,percent of total billed charges,1178.490093,,,,1388.82,percent of total billed charges,1340.271068,,,,1388.82,percent of total billed charges,1184.173853,,,,1406.4,percent of total billed charges,999999999,,,,1406.4,percent of total billed charges,999999999,,,,1230.6,percent of total billed charges,999999999,,,,1230.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,935.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,887.79,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,439.5,percent of total billed charges,417.4174944,,,,,,,,,,439.5,percent of total billed charges,410.4740384,,,,,,,,,,439.5,percent of total billed charges,409.3333486,,,,,,,,,,439.5,percent of total billed charges,403.30592,,,,,,,,,,439.5,percent of total billed charges,413.6835742,,,,,,,,,,439.5,percent of total billed charges,999999999,,,,,,,,,,439.5,percent of total billed charges,354.9696383,,,,,,,,,,439.5,percent of total billed charges,559.8115982,,,,,,,,,,439.5,percent of total billed charges,999999999,,,,,,,,,,439.5,percent of total billed charges,382.7440842,,,,,,,,,,1582.2,percent of total billed charges,,,,,
LAYER CLS WND 2.5CM OR< FACE,12051,CDM,,,,both,,,1129,1129,240.3459735,1129,1129,percent of total billed charges,830.6454085,,,,1129,percent of total billed charges,880.4677092,,,,1129,percent of total billed charges,830.6454085,,,,1129,percent of total billed charges,880.4677092,,,,1129,percent of total billed charges,999999999,,,,1129,percent of total billed charges,860.2204043,,,,1129,percent of total billed charges,830.6454085,,,,1129,percent of total billed charges,880.4677092,,,,804.977,percent of total billed charges,401.6982541,,,,804.977,percent of total billed charges,240.3459735,,,,804.977,percent of total billed charges,401.6982541,,,,804.977,percent of total billed charges,240.3459735,,,,804.977,percent of total billed charges,401.6982541,,,,804.977,percent of total billed charges,240.3459735,,,,797.074,percent of total billed charges,791.0263829,,,,797.074,percent of total billed charges,545.5646266,,,,,,,,,,812.88,percent of total billed charges,528.3528712,,,,,,,,,,812.88,percent of total billed charges,999999999,,,,,,,,,,903.2,percent of total billed charges,756.8346501,,,,891.91,percent of total billed charges,860.7315333,,,,891.91,percent of total billed charges,760.4848012,,,,903.2,percent of total billed charges,999999999,,,,903.2,percent of total billed charges,999999999,,,,790.3,percent of total billed charges,999999999,,,,790.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,600.628,percent of total billed charges,999999999,,,,,,,,,,,,,,,,570.145,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,282.25,percent of total billed charges,268.0684591,,,,,,,,,,282.25,percent of total billed charges,263.6093227,,,,,,,,,,282.25,percent of total billed charges,262.8767637,,,,,,,,,,282.25,percent of total billed charges,259.0059065,,,,,,,,,,282.25,percent of total billed charges,265.6705093,,,,,,,,,,282.25,percent of total billed charges,999999999,,,,,,,,,,282.25,percent of total billed charges,227.9640055,,,,,,,,,,282.25,percent of total billed charges,359.514957,,,,,,,,,,282.25,percent of total billed charges,999999999,,,,,,,,,,282.25,percent of total billed charges,245.8009505,,,,,,,,,,1016.1,percent of total billed charges,,,,,
LAYER CLS WND 2.6-5.0CM FACE,12052,CDM,,,,both,,,1239,1239,263.7632074,1239,1239,percent of total billed charges,911.5763164,,,,1239,percent of total billed charges,966.2528713,,,,1239,percent of total billed charges,911.5763164,,,,1239,percent of total billed charges,966.2528713,,,,1239,percent of total billed charges,999999999,,,,1239,percent of total billed charges,944.0328441,,,,1239,percent of total billed charges,911.5763164,,,,1239,percent of total billed charges,966.2528713,,,,883.407,percent of total billed charges,440.8362594,,,,883.407,percent of total billed charges,263.7632074,,,,883.407,percent of total billed charges,440.8362594,,,,883.407,percent of total billed charges,263.7632074,,,,883.407,percent of total billed charges,440.8362594,,,,883.407,percent of total billed charges,263.7632074,,,,874.734,percent of total billed charges,868.0971553,,,,874.734,percent of total billed charges,598.7197275,,,,,,,,,,892.08,percent of total billed charges,579.8310075,,,,,,,,,,892.08,percent of total billed charges,999999999,,,,,,,,,,991.2,percent of total billed charges,830.5740757,,,,978.81,percent of total billed charges,944.593773,,,,978.81,percent of total billed charges,834.579866,,,,991.2,percent of total billed charges,999999999,,,,991.2,percent of total billed charges,999999999,,,,867.3,percent of total billed charges,999999999,,,,867.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,659.148,percent of total billed charges,999999999,,,,,,,,,,,,,,,,625.695,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,309.75,percent of total billed charges,294.1867324,,,,,,,,,,309.75,percent of total billed charges,289.2931363,,,,,,,,,,309.75,percent of total billed charges,288.489203,,,,,,,,,,309.75,percent of total billed charges,284.241203,,,,,,,,,,309.75,percent of total billed charges,291.555147,,,,,,,,,,309.75,percent of total billed charges,999999999,,,,,,,,,,309.75,percent of total billed charges,250.1748475,,,,,,,,,,309.75,percent of total billed charges,394.5429865,,,,,,,,,,309.75,percent of total billed charges,999999999,,,,,,,,,,309.75,percent of total billed charges,269.7496702,,,,,,,,,,1115.1,percent of total billed charges,,,,,
LAYER CLS WND 5.1-7.5CM FACE,12053,CDM,,,,both,,,1458,1458,310.3847913,1458,1458,percent of total billed charges,1072.702397,,,,1458,percent of total billed charges,1137.04333,,,,1458,percent of total billed charges,1072.702397,,,,1458,percent of total billed charges,1137.04333,,,,1458,percent of total billed charges,999999999,,,,1458,percent of total billed charges,1110.895792,,,,1458,percent of total billed charges,1072.702397,,,,1458,percent of total billed charges,1137.04333,,,,1039.554,percent of total billed charges,518.7564699,,,,1039.554,percent of total billed charges,310.3847913,,,,1039.554,percent of total billed charges,518.7564699,,,,1039.554,percent of total billed charges,310.3847913,,,,1039.554,percent of total billed charges,518.7564699,,,,1039.554,percent of total billed charges,310.3847913,,,,1029.348,percent of total billed charges,1021.538057,,,,1029.348,percent of total billed charges,704.5467011,,,,,,,,,,1049.76,percent of total billed charges,682.3192969,,,,,,,,,,1049.76,percent of total billed charges,999999999,,,,,,,,,,1166.4,percent of total billed charges,977.3825685,,,,1151.82,percent of total billed charges,1111.555868,,,,1151.82,percent of total billed charges,982.096404,,,,1166.4,percent of total billed charges,999999999,,,,1166.4,percent of total billed charges,999999999,,,,1020.6,percent of total billed charges,999999999,,,,1020.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,775.656,percent of total billed charges,999999999,,,,,,,,,,,,,,,,736.29,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,364.5,percent of total billed charges,346.18584,,,,,,,,,,364.5,percent of total billed charges,340.4272741,,,,,,,,,,364.5,percent of total billed charges,339.4812413,,,,,,,,,,364.5,percent of total billed charges,334.4823842,,,,,,,,,,364.5,percent of total billed charges,343.0891076,,,,,,,,,,364.5,percent of total billed charges,999999999,,,,,,,,,,364.5,percent of total billed charges,294.3946147,,,,,,,,,,364.5,percent of total billed charges,464.2806088,,,,,,,,,,364.5,percent of total billed charges,999999999,,,,,,,,,,364.5,percent of total billed charges,317.429394,,,,,,,,,,1312.2,percent of total billed charges,,,,,
LAYER CLS WND 7.6-12.5CM FAC,12054,CDM,,,,both,,,1672,1672,355.9419554,1672,1672,percent of total billed charges,1230.149799,,,,1672,percent of total billed charges,1303.934464,,,,1672,percent of total billed charges,1230.149799,,,,1672,percent of total billed charges,1303.934464,,,,1672,percent of total billed charges,999999999,,,,1672,percent of total billed charges,1273.949084,,,,1672,percent of total billed charges,1230.149799,,,,1672,percent of total billed charges,1303.934464,,,,1192.136,percent of total billed charges,594.8976801,,,,1192.136,percent of total billed charges,355.9419554,,,,1192.136,percent of total billed charges,594.8976801,,,,1192.136,percent of total billed charges,355.9419554,,,,1192.136,percent of total billed charges,594.8976801,,,,1192.136,percent of total billed charges,355.9419554,,,,1180.432,percent of total billed charges,1171.475742,,,,1180.432,percent of total billed charges,807.9575337,,,,,,,,,,1203.84,percent of total billed charges,782.4676711,,,,,,,,,,1203.84,percent of total billed charges,999999999,,,,,,,,,,1337.6,percent of total billed charges,1120.839269,,,,1320.88,percent of total billed charges,1274.706044,,,,1320.88,percent of total billed charges,1126.244985,,,,1337.6,percent of total billed charges,999999999,,,,1337.6,percent of total billed charges,999999999,,,,1170.4,percent of total billed charges,999999999,,,,1170.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,889.504,percent of total billed charges,999999999,,,,,,,,,,,,,,,,844.36,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,418,percent of total billed charges,396.9977535,,,,,,,,,,418,percent of total billed charges,390.393966,,,,,,,,,,418,percent of total billed charges,389.3090778,,,,,,,,,,418,percent of total billed charges,383.5765064,,,,,,,,,,418,percent of total billed charges,393.4464938,,,,,,,,,,418,percent of total billed charges,999999999,,,,,,,,,,418,percent of total billed charges,337.6047982,,,,,,,,,,418,percent of total billed charges,532.4260479,,,,,,,,,,418,percent of total billed charges,999999999,,,,,,,,,,418,percent of total billed charges,364.0205397,,,,,,,,,,1504.8,percent of total billed charges,,,,,
LAYER CLS WND 12.6-20.0CM FA,12055,CDM,,,,both,,,2148,2148,457.2747131,2148,2148,percent of total billed charges,1580.359909,,,,2148,percent of total billed charges,1675.150256,,,,2148,percent of total billed charges,1580.359909,,,,2148,percent of total billed charges,1675.150256,,,,2148,percent of total billed charges,999999999,,,,2148,percent of total billed charges,1636.628369,,,,2148,percent of total billed charges,1580.359909,,,,2148,percent of total billed charges,1675.150256,,,,1531.524,percent of total billed charges,764.2585029,,,,1531.524,percent of total billed charges,457.2747131,,,,1531.524,percent of total billed charges,764.2585029,,,,1531.524,percent of total billed charges,457.2747131,,,,1531.524,percent of total billed charges,764.2585029,,,,1531.524,percent of total billed charges,457.2747131,,,,1516.488,percent of total billed charges,1504.981993,,,,1516.488,percent of total billed charges,1037.974152,,,,,,,,,,1546.56,percent of total billed charges,1005.227606,,,,,,,,,,1546.56,percent of total billed charges,999999999,,,,,,,,,,1718.4,percent of total billed charges,1439.929875,,,,1696.92,percent of total billed charges,1637.600827,,,,1696.92,percent of total billed charges,1446.874538,,,,1718.4,percent of total billed charges,999999999,,,,1718.4,percent of total billed charges,999999999,,,,1503.6,percent of total billed charges,999999999,,,,1503.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1142.736,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1084.74,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,537,percent of total billed charges,510.018645,,,,,,,,,,537,percent of total billed charges,501.5348319,,,,,,,,,,537,percent of total billed charges,500.141088,,,,,,,,,,537,percent of total billed charges,492.7765166,,,,,,,,,,537,percent of total billed charges,505.4563808,,,,,,,,,,537,percent of total billed charges,999999999,,,,,,,,,,537,percent of total billed charges,433.717169,,,,,,,,,,537,percent of total billed charges,684.0018845,,,,,,,,,,537,percent of total billed charges,999999999,,,,,,,,,,537,percent of total billed charges,467.6531813,,,,,,,,,,1933.2,percent of total billed charges,,,,,
LAYER CLS WND 20.1-30.0CM FA,12056,CDM,,,,both,,,2677,2677,569.8903198,2677,2677,percent of total billed charges,1969.564002,,,,2677,percent of total billed charges,2087.698899,,,,2677,percent of total billed charges,1969.564002,,,,2677,percent of total billed charges,2087.698899,,,,2677,percent of total billed charges,999999999,,,,2677,percent of total billed charges,2039.690011,,,,2677,percent of total billed charges,1969.564002,,,,2677,percent of total billed charges,2087.698899,,,,1908.701,percent of total billed charges,952.4767283,,,,1908.701,percent of total billed charges,569.8903198,,,,1908.701,percent of total billed charges,952.4767283,,,,1908.701,percent of total billed charges,569.8903198,,,,1908.701,percent of total billed charges,952.4767283,,,,1908.701,percent of total billed charges,569.8903198,,,,1889.962,percent of total billed charges,1875.622345,,,,1889.962,percent of total billed charges,1293.601865,,,,,,,,,,1927.44,percent of total billed charges,1252.790643,,,,,,,,,,1927.44,percent of total billed charges,999999999,,,,,,,,,,2141.6,percent of total billed charges,1794.549476,,,,2114.83,percent of total billed charges,2040.901962,,,,2114.83,percent of total billed charges,1803.20444,,,,2141.6,percent of total billed charges,999999999,,,,2141.6,percent of total billed charges,999999999,,,,1873.9,percent of total billed charges,999999999,,,,1873.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1424.164,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1351.885,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,669.25,percent of total billed charges,635.6237955,,,,,,,,,,669.25,percent of total billed charges,625.0506261,,,,,,,,,,669.25,percent of total billed charges,623.3136372,,,,,,,,,,669.25,percent of total billed charges,614.1353515,,,,,,,,,,669.25,percent of total billed charges,629.9379569,,,,,,,,,,669.25,percent of total billed charges,999999999,,,,,,,,,,669.25,percent of total billed charges,540.5311273,,,,,,,,,,669.25,percent of total billed charges,852.4548626,,,,,,,,,,669.25,percent of total billed charges,999999999,,,,,,,,,,669.25,percent of total billed charges,582.8247516,,,,,,,,,,2409.3,percent of total billed charges,,,,,
LAYER CLS WND >30.0CM FACE E,12057,CDM,,,,both,,,3182,3182,677.3967118,3182,3182,percent of total billed charges,2341.110443,,,,3182,percent of total billed charges,2481.53078,,,,3182,percent of total billed charges,2341.110443,,,,3182,percent of total billed charges,2481.53078,,,,3182,percent of total billed charges,999999999,,,,3182,percent of total billed charges,2424.465302,,,,3182,percent of total billed charges,2341.110443,,,,3182,percent of total billed charges,2481.53078,,,,2268.766,percent of total billed charges,1132.155753,,,,2268.766,percent of total billed charges,677.3967118,,,,2268.766,percent of total billed charges,1132.155753,,,,2268.766,percent of total billed charges,677.3967118,,,,2268.766,percent of total billed charges,1132.155753,,,,2268.766,percent of total billed charges,677.3967118,,,,2246.492,percent of total billed charges,2229.447254,,,,2246.492,percent of total billed charges,1537.632101,,,,,,,,,,2291.04,percent of total billed charges,1489.122087,,,,,,,,,,2291.04,percent of total billed charges,999999999,,,,,,,,,,2545.6,percent of total billed charges,2133.080475,,,,2513.78,percent of total billed charges,2425.90588,,,,2513.78,percent of total billed charges,2143.368146,,,,2545.6,percent of total billed charges,999999999,,,,2545.6,percent of total billed charges,999999999,,,,2227.4,percent of total billed charges,999999999,,,,2227.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1692.824,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1606.91,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,795.5,percent of total billed charges,755.5304136,,,,,,,,,,795.5,percent of total billed charges,742.9626792,,,,,,,,,,795.5,percent of total billed charges,740.8980178,,,,,,,,,,795.5,percent of total billed charges,729.9883035,,,,,,,,,,795.5,percent of total billed charges,748.7719757,,,,,,,,,,795.5,percent of total billed charges,999999999,,,,,,,,,,795.5,percent of total billed charges,642.4990837,,,,,,,,,,795.5,percent of total billed charges,1013.265361,,,,,,,,,,795.5,percent of total billed charges,999999999,,,,,,,,,,795.5,percent of total billed charges,692.7711466,,,,,,,,,,2863.8,percent of total billed charges,,,,,
REP COMPLEX TRUNK 1.1-2.5CM,13100,CDM,,,,both,,,1448,1448,308.2559518,1448,1448,percent of total billed charges,1065.345041,,,,1448,percent of total billed charges,1129.244679,,,,1448,percent of total billed charges,1065.345041,,,,1448,percent of total billed charges,1129.244679,,,,1448,percent of total billed charges,999999999,,,,1448,percent of total billed charges,1103.27648,,,,1448,percent of total billed charges,1065.345041,,,,1448,percent of total billed charges,1129.244679,,,,1032.424,percent of total billed charges,515.1984694,,,,1032.424,percent of total billed charges,308.2559518,,,,1032.424,percent of total billed charges,515.1984694,,,,1032.424,percent of total billed charges,308.2559518,,,,1032.424,percent of total billed charges,515.1984694,,,,1032.424,percent of total billed charges,308.2559518,,,,1022.288,percent of total billed charges,1014.531623,,,,1022.288,percent of total billed charges,699.7144192,,,,,,,,,,1042.56,percent of total billed charges,677.6394664,,,,,,,,,,1042.56,percent of total billed charges,999999999,,,,,,,,,,1158.4,percent of total billed charges,970.6789843,,,,1143.92,percent of total billed charges,1103.932029,,,,1143.92,percent of total billed charges,975.360489,,,,1158.4,percent of total billed charges,999999999,,,,1158.4,percent of total billed charges,999999999,,,,1013.6,percent of total billed charges,999999999,,,,1013.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,770.336,percent of total billed charges,999999999,,,,,,,,,,,,,,,,731.24,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,362,percent of total billed charges,343.8114516,,,,,,,,,,362,percent of total billed charges,338.092382,,,,,,,,,,362,percent of total billed charges,337.1528378,,,,,,,,,,362,percent of total billed charges,332.1882663,,,,,,,,,,362,percent of total billed charges,340.7359588,,,,,,,,,,362,percent of total billed charges,999999999,,,,,,,,,,362,percent of total billed charges,292.3754473,,,,,,,,,,362,percent of total billed charges,461.0962424,,,,,,,,,,362,percent of total billed charges,999999999,,,,,,,,,,362,percent of total billed charges,315.2522377,,,,,,,,,,1303.2,percent of total billed charges,,,,,
REP COMPLEX TRUNK 2.6-7.5 CM,13101,CDM,,,,both,,,1824,1824,388.300315,1824,1824,percent of total billed charges,1341.981599,,,,1824,percent of total billed charges,1422.473961,,,,1824,percent of total billed charges,1341.981599,,,,1824,percent of total billed charges,1422.473961,,,,1824,percent of total billed charges,999999999,,,,1824,percent of total billed charges,1389.762637,,,,1824,percent of total billed charges,1341.981599,,,,1824,percent of total billed charges,1422.473961,,,,1300.512,percent of total billed charges,648.9792874,,,,1300.512,percent of total billed charges,388.300315,,,,1300.512,percent of total billed charges,648.9792874,,,,1300.512,percent of total billed charges,388.300315,,,,1300.512,percent of total billed charges,648.9792874,,,,1300.512,percent of total billed charges,388.300315,,,,1287.744,percent of total billed charges,1277.973536,,,,1287.744,percent of total billed charges,881.4082186,,,,,,,,,,1313.28,percent of total billed charges,853.6010957,,,,,,,,,,1313.28,percent of total billed charges,999999999,,,,,,,,,,1459.2,percent of total billed charges,1222.733748,,,,1440.96,percent of total billed charges,1390.588412,,,,1440.96,percent of total billed charges,1228.630892,,,,1459.2,percent of total billed charges,999999999,,,,1459.2,percent of total billed charges,999999999,,,,1276.8,percent of total billed charges,999999999,,,,1276.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,970.368,percent of total billed charges,999999999,,,,,,,,,,,,,,,,921.12,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,456,percent of total billed charges,433.0884583,,,,,,,,,,456,percent of total billed charges,425.8843265,,,,,,,,,,456,percent of total billed charges,424.7008122,,,,,,,,,,456,percent of total billed charges,418.4470979,,,,,,,,,,456,percent of total billed charges,429.2143569,,,,,,,,,,456,percent of total billed charges,999999999,,,,,,,,,,456,percent of total billed charges,368.2961435,,,,,,,,,,456,percent of total billed charges,580.8284159,,,,,,,,,,456,percent of total billed charges,999999999,,,,,,,,,,456,percent of total billed charges,397.113316,,,,,,,,,,1641.6,percent of total billed charges,,,,,
REP COMPLX 1.1-2.5CM SCLP ARM,13120,CDM,,,,both,,,1531,1531,325.9253192,1531,1531,percent of total billed charges,1126.41109,,,,1531,percent of total billed charges,1193.973483,,,,1531,percent of total billed charges,1126.41109,,,,1531,percent of total billed charges,1193.973483,,,,1531,percent of total billed charges,999999999,,,,1531,percent of total billed charges,1166.516775,,,,1531,percent of total billed charges,1126.41109,,,,1531,percent of total billed charges,1193.973483,,,,1091.603,percent of total billed charges,544.7298734,,,,1091.603,percent of total billed charges,325.9253192,,,,1091.603,percent of total billed charges,544.7298734,,,,1091.603,percent of total billed charges,325.9253192,,,,1091.603,percent of total billed charges,544.7298734,,,,1091.603,percent of total billed charges,325.9253192,,,,1080.886,percent of total billed charges,1072.685024,,,,1080.886,percent of total billed charges,739.822359,,,,,,,,,,1102.32,percent of total billed charges,716.4820601,,,,,,,,,,1102.32,percent of total billed charges,999999999,,,,,,,,,,1224.8,percent of total billed charges,1026.318733,,,,1209.49,percent of total billed charges,1167.2099,,,,1209.49,percent of total billed charges,1031.268583,,,,1224.8,percent of total billed charges,999999999,,,,1224.8,percent of total billed charges,999999999,,,,1071.7,percent of total billed charges,999999999,,,,1071.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,814.492,percent of total billed charges,999999999,,,,,,,,,,,,,,,,773.155,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,382.75,percent of total billed charges,363.5188759,,,,,,,,,,382.75,percent of total billed charges,357.4719868,,,,,,,,,,382.75,percent of total billed charges,356.4785874,,,,,,,,,,382.75,percent of total billed charges,351.2294446,,,,,,,,,,382.75,percent of total billed charges,360.2670945,,,,,,,,,,382.75,percent of total billed charges,999999999,,,,,,,,,,382.75,percent of total billed charges,309.1345371,,,,,,,,,,382.75,percent of total billed charges,487.5264829,,,,,,,,,,382.75,percent of total billed charges,999999999,,,,,,,,,,382.75,percent of total billed charges,333.3226353,,,,,,,,,,1377.9,percent of total billed charges,,,,,
REP COMPLX 2.6-7.5CM SCLP ARM,13121,CDM,,,,both,,,1995,1995,424.7034695,1995,1995,percent of total billed charges,1467.792374,,,,1995,percent of total billed charges,1555.830894,,,,1995,percent of total billed charges,1467.792374,,,,1995,percent of total billed charges,1555.830894,,,,1995,percent of total billed charges,999999999,,,,1995,percent of total billed charges,1520.052884,,,,1995,percent of total billed charges,1467.792374,,,,1995,percent of total billed charges,1555.830894,,,,1422.435,percent of total billed charges,709.8210956,,,,1422.435,percent of total billed charges,424.7034695,,,,1422.435,percent of total billed charges,709.8210956,,,,1422.435,percent of total billed charges,424.7034695,,,,1422.435,percent of total billed charges,709.8210956,,,,1422.435,percent of total billed charges,424.7034695,,,,1408.47,percent of total billed charges,1397.783555,,,,1408.47,percent of total billed charges,964.0402391,,,,,,,,,,1436.4,percent of total billed charges,933.6261985,,,,,,,,,,1436.4,percent of total billed charges,999999999,,,,,,,,,,1596,percent of total billed charges,1337.365037,,,,1576.05,percent of total billed charges,1520.956075,,,,1576.05,percent of total billed charges,1343.815038,,,,1596,percent of total billed charges,999999999,,,,1596,percent of total billed charges,999999999,,,,1396.5,percent of total billed charges,999999999,,,,1396.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1061.34,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1007.475,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,498.75,percent of total billed charges,473.6905013,,,,,,,,,,498.75,percent of total billed charges,465.8109821,,,,,,,,,,498.75,percent of total billed charges,464.5165133,,,,,,,,,,498.75,percent of total billed charges,457.6765133,,,,,,,,,,498.75,percent of total billed charges,469.4532029,,,,,,,,,,498.75,percent of total billed charges,999999999,,,,,,,,,,498.75,percent of total billed charges,402.823907,,,,,,,,,,498.75,percent of total billed charges,635.2810799,,,,,,,,,,498.75,percent of total billed charges,999999999,,,,,,,,,,498.75,percent of total billed charges,434.3426894,,,,,,,,,,1795.5,percent of total billed charges,,,,,
REP COMPLX 1.1-2.5CM FACE AXI,13131,CDM,,,,both,,,1764,1764,375.5272783,1764,1764,percent of total billed charges,1297.837467,,,,1764,percent of total billed charges,1375.682054,,,,1764,percent of total billed charges,1297.837467,,,,1764,percent of total billed charges,1375.682054,,,,1764,percent of total billed charges,999999999,,,,1764,percent of total billed charges,1344.046761,,,,1764,percent of total billed charges,1297.837467,,,,1764,percent of total billed charges,1375.682054,,,,1257.732,percent of total billed charges,627.6312845,,,,1257.732,percent of total billed charges,375.5272783,,,,1257.732,percent of total billed charges,627.6312845,,,,1257.732,percent of total billed charges,375.5272783,,,,1257.732,percent of total billed charges,627.6312845,,,,1257.732,percent of total billed charges,375.5272783,,,,1245.384,percent of total billed charges,1235.934933,,,,1245.384,percent of total billed charges,852.4145272,,,,,,,,,,1270.08,percent of total billed charges,825.5221123,,,,,,,,,,1270.08,percent of total billed charges,999999999,,,,,,,,,,1411.2,percent of total billed charges,1182.512243,,,,1393.56,percent of total billed charges,1344.845372,,,,1393.56,percent of total billed charges,1188.215402,,,,1411.2,percent of total billed charges,999999999,,,,1411.2,percent of total billed charges,999999999,,,,1234.8,percent of total billed charges,999999999,,,,1234.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,938.448,percent of total billed charges,999999999,,,,,,,,,,,,,,,,890.82,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,441,percent of total billed charges,418.8421275,,,,,,,,,,441,percent of total billed charges,411.8749737,,,,,,,,,,441,percent of total billed charges,410.7303907,,,,,,,,,,441,percent of total billed charges,404.6823907,,,,,,,,,,441,percent of total billed charges,415.0954636,,,,,,,,,,441,percent of total billed charges,999999999,,,,,,,,,,441,percent of total billed charges,356.1811388,,,,,,,,,,441,percent of total billed charges,561.722218,,,,,,,,,,441,percent of total billed charges,999999999,,,,,,,,,,441,percent of total billed charges,384.050378,,,,,,,,,,1587.6,percent of total billed charges,,,,,
REPR COMPLX 2.6-7.5CM FACE AX,13132,CDM,,,,both,,,2758,2758,587.1339193,2758,2758,percent of total billed charges,2029.15858,,,,2758,percent of total billed charges,2150.867973,,,,2758,percent of total billed charges,2029.15858,,,,2758,percent of total billed charges,2150.867973,,,,2758,percent of total billed charges,999999999,,,,2758,percent of total billed charges,2101.406444,,,,2758,percent of total billed charges,2029.15858,,,,2758,percent of total billed charges,2150.867973,,,,1966.454,percent of total billed charges,981.2965322,,,,1966.454,percent of total billed charges,587.1339193,,,,1966.454,percent of total billed charges,981.2965322,,,,1966.454,percent of total billed charges,587.1339193,,,,1966.454,percent of total billed charges,981.2965322,,,,1966.454,percent of total billed charges,587.1339193,,,,1947.148,percent of total billed charges,1932.374459,,,,1947.148,percent of total billed charges,1332.743348,,,,,,,,,,1985.76,percent of total billed charges,1290.697271,,,,,,,,,,1985.76,percent of total billed charges,999999999,,,,,,,,,,2206.4,percent of total billed charges,1848.848507,,,,2178.82,percent of total billed charges,2102.655065,,,,2178.82,percent of total billed charges,1857.765351,,,,2206.4,percent of total billed charges,999999999,,,,2206.4,percent of total billed charges,999999999,,,,1930.6,percent of total billed charges,999999999,,,,1930.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1467.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1392.79,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,689.5,percent of total billed charges,654.8563421,,,,,,,,,,689.5,percent of total billed charges,643.9632525,,,,,,,,,,689.5,percent of total billed charges,642.1737062,,,,,,,,,,689.5,percent of total billed charges,632.7177062,,,,,,,,,,689.5,percent of total billed charges,648.9984629,,,,,,,,,,689.5,percent of total billed charges,999999999,,,,,,,,,,689.5,percent of total billed charges,556.8863837,,,,,,,,,,689.5,percent of total billed charges,878.2482297,,,,,,,,,,689.5,percent of total billed charges,999999999,,,,,,,,,,689.5,percent of total billed charges,600.4597179,,,,,,,,,,2482.2,percent of total billed charges,,,,,
**REPR COMPLX 1.0CM OR <EYELID,13150,CDM,,,,both,,,1937,1937,412.3562007,1937,1937,percent of total billed charges,1425.119713,,,,1937,percent of total billed charges,1510.598718,,,,1937,percent of total billed charges,1425.119713,,,,1937,percent of total billed charges,1510.598718,,,,1937,percent of total billed charges,999999999,,,,1937,percent of total billed charges,1475.860871,,,,1937,percent of total billed charges,1425.119713,,,,1937,percent of total billed charges,1510.598718,,,,1381.081,percent of total billed charges,689.1846928,,,,1381.081,percent of total billed charges,412.3562007,,,,1381.081,percent of total billed charges,689.1846928,,,,1381.081,percent of total billed charges,412.3562007,,,,1381.081,percent of total billed charges,689.1846928,,,,1381.081,percent of total billed charges,412.3562007,,,,1367.522,percent of total billed charges,1357.146239,,,,1367.522,percent of total billed charges,936.0130041,,,,,,,,,,1394.64,percent of total billed charges,906.4831812,,,,,,,,,,1394.64,percent of total billed charges,999999999,,,,,,,,,,1549.6,percent of total billed charges,1298.484249,,,,1530.23,percent of total billed charges,1476.737803,,,,1530.23,percent of total billed charges,1304.746732,,,,1549.6,percent of total billed charges,999999999,,,,1549.6,percent of total billed charges,999999999,,,,1355.9,percent of total billed charges,999999999,,,,1355.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1030.484,percent of total billed charges,999999999,,,,,,,,,,,,,,,,978.185,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,484.25,percent of total billed charges,459.9190481,,,,,,,,,,484.25,percent of total billed charges,452.2686077,,,,,,,,,,484.25,percent of total billed charges,451.0117726,,,,,,,,,,484.25,percent of total billed charges,444.3706297,,,,,,,,,,484.25,percent of total billed charges,455.8049393,,,,,,,,,,484.25,percent of total billed charges,999999999,,,,,,,,,,484.25,percent of total billed charges,391.1127357,,,,,,,,,,484.25,percent of total billed charges,616.8117553,,,,,,,,,,484.25,percent of total billed charges,999999999,,,,,,,,,,484.25,percent of total billed charges,421.7151826,,,,,,,,,,1743.3,percent of total billed charges,,,,,
REPR COMPLX 1.1-2.5CM EYES/NO,13151,CDM,,,,both,,,2181,2181,464.2998832,2181,2181,percent of total billed charges,1604.639182,,,,2181,percent of total billed charges,1700.885805,,,,2181,percent of total billed charges,1604.639182,,,,2181,percent of total billed charges,1700.885805,,,,2181,percent of total billed charges,999999999,,,,2181,percent of total billed charges,1661.772101,,,,2181,percent of total billed charges,1604.639182,,,,2181,percent of total billed charges,1700.885805,,,,1555.053,percent of total billed charges,775.9999045,,,,1555.053,percent of total billed charges,464.2998832,,,,1555.053,percent of total billed charges,775.9999045,,,,1555.053,percent of total billed charges,464.2998832,,,,1555.053,percent of total billed charges,775.9999045,,,,1555.053,percent of total billed charges,464.2998832,,,,1539.786,percent of total billed charges,1528.103225,,,,1539.786,percent of total billed charges,1053.920682,,,,,,,,,,1570.32,percent of total billed charges,1020.671047,,,,,,,,,,1570.32,percent of total billed charges,999999999,,,,,,,,,,1744.8,percent of total billed charges,1462.051702,,,,1722.99,percent of total billed charges,1662.759499,,,,1722.99,percent of total billed charges,1469.103057,,,,1744.8,percent of total billed charges,999999999,,,,1744.8,percent of total billed charges,999999999,,,,1526.7,percent of total billed charges,999999999,,,,1526.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1160.292,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1101.405,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,545.25,percent of total billed charges,517.854127,,,,,,,,,,545.25,percent of total billed charges,509.2399759,,,,,,,,,,545.25,percent of total billed charges,507.8248198,,,,,,,,,,545.25,percent of total billed charges,500.3471056,,,,,,,,,,545.25,percent of total billed charges,513.2217721,,,,,,,,,,545.25,percent of total billed charges,999999999,,,,,,,,,,545.25,percent of total billed charges,440.3804216,,,,,,,,,,545.25,percent of total billed charges,694.5102933,,,,,,,,,,545.25,percent of total billed charges,999999999,,,,,,,,,,545.25,percent of total billed charges,474.8377972,,,,,,,,,,1962.9,percent of total billed charges,,,,,
REPR COMPLX 2.6-7.5CM EYES NO,13152,CDM,,,,both,,,3068,3068,653.1279421,3068,3068,percent of total billed charges,2257.236593,,,,3068,percent of total billed charges,2392.626157,,,,3068,percent of total billed charges,2257.236593,,,,3068,percent of total billed charges,2392.626157,,,,3068,percent of total billed charges,999999999,,,,3068,percent of total billed charges,2337.605138,,,,3068,percent of total billed charges,2257.236593,,,,3068,percent of total billed charges,2392.626157,,,,2187.484,percent of total billed charges,1091.594547,,,,2187.484,percent of total billed charges,653.1279421,,,,2187.484,percent of total billed charges,1091.594547,,,,2187.484,percent of total billed charges,653.1279421,,,,2187.484,percent of total billed charges,1091.594547,,,,2187.484,percent of total billed charges,653.1279421,,,,2166.008,percent of total billed charges,2149.573908,,,,2166.008,percent of total billed charges,1482.544087,,,,,,,,,,2208.96,percent of total billed charges,1435.772019,,,,,,,,,,2208.96,percent of total billed charges,999999999,,,,,,,,,,2454.4,percent of total billed charges,2056.659616,,,,2423.72,percent of total billed charges,2338.994105,,,,2423.72,percent of total billed charges,2066.578716,,,,2454.4,percent of total billed charges,999999999,,,,2454.4,percent of total billed charges,999999999,,,,2147.6,percent of total billed charges,999999999,,,,2147.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1632.176,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1549.34,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,767,percent of total billed charges,728.4623849,,,,,,,,,,767,percent of total billed charges,716.3449088,,,,,,,,,,767,percent of total billed charges,714.354217,,,,,,,,,,767,percent of total billed charges,703.8353599,,,,,,,,,,767,percent of total billed charges,721.9460784,,,,,,,,,,767,percent of total billed charges,999999999,,,,,,,,,,767,percent of total billed charges,619.4805747,,,,,,,,,,767,percent of total billed charges,976.9635855,,,,,,,,,,767,percent of total billed charges,999999999,,,,,,,,,,767,percent of total billed charges,667.9515644,,,,,,,,,,2761.2,percent of total billed charges,,,,,
2NDARY CLS SURG WND EXT/COMPL,13160,CDM,,,,both,,,5127,5127,1091.455984,5127,5127,percent of total billed charges,3772.11604,,,,5127,percent of total billed charges,3998.368419,,,,5127,percent of total billed charges,3772.11604,,,,5127,percent of total billed charges,3998.368419,,,,5127,percent of total billed charges,999999999,,,,5127,percent of total billed charges,3906.421623,,,,5127,percent of total billed charges,3772.11604,,,,5127,percent of total billed charges,3998.368419,,,,3655.551,percent of total billed charges,1824.186846,,,,3655.551,percent of total billed charges,1091.455984,,,,3655.551,percent of total billed charges,1824.186846,,,,3655.551,percent of total billed charges,1091.455984,,,,3655.551,percent of total billed charges,1824.186846,,,,3655.551,percent of total billed charges,1091.455984,,,,3619.662,percent of total billed charges,3592.19864,,,,3619.662,percent of total billed charges,2477.51093,,,,,,,,,,3691.44,percent of total billed charges,2399.349133,,,,,,,,,,3691.44,percent of total billed charges,999999999,,,,,,,,,,4101.6,percent of total billed charges,3436.927592,,,,4050.33,percent of total billed charges,3908.742756,,,,4050.33,percent of total billed charges,3453.50361,,,,4101.6,percent of total billed charges,999999999,,,,4101.6,percent of total billed charges,999999999,,,,3588.9,percent of total billed charges,999999999,,,,3588.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2727.564,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2589.135,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1281.75,percent of total billed charges,1217.348972,,,,,,,,,,1281.75,percent of total billed charges,1197.099201,,,,,,,,,,1281.75,percent of total billed charges,1193.772513,,,,,,,,,,1281.75,percent of total billed charges,1176.194227,,,,,,,,,,1281.75,percent of total billed charges,1206.459434,,,,,,,,,,1281.75,percent of total billed charges,999999999,,,,,,,,,,1281.75,percent of total billed charges,1035.227153,,,,,,,,,,1281.75,percent of total billed charges,1632.62461,,,,,,,,,,1281.75,percent of total billed charges,999999999,,,,,,,,,,1281.75,percent of total billed charges,1116.228054,,,,,,,,,,4614.3,percent of total billed charges,,,,,
DRESS/DEBRID INITL/SUB WO ANE,16020,CDM,,,,both,,,333,333,70.89035356,333,333,percent of total billed charges,244.9999301,,,,333,percent of total billed charges,259.6950816,,,,333,percent of total billed charges,244.9999301,,,,333,percent of total billed charges,259.6950816,,,,333,percent of total billed charges,999999999,,,,333,percent of total billed charges,253.7231131,,,,333,percent of total billed charges,244.9999301,,,,333,percent of total billed charges,259.6950816,,,,237.429,percent of total billed charges,118.481416,,,,237.429,percent of total billed charges,70.89035356,,,,237.429,percent of total billed charges,118.481416,,,,237.429,percent of total billed charges,70.89035356,,,,237.429,percent of total billed charges,118.481416,,,,237.429,percent of total billed charges,70.89035356,,,,235.098,percent of total billed charges,233.3142476,,,,235.098,percent of total billed charges,160.9149873,,,,,,,,,,239.76,percent of total billed charges,155.8383579,,,,,,,,,,239.76,percent of total billed charges,999999999,,,,,,,,,,266.4,percent of total billed charges,223.2293521,,,,263.07,percent of total billed charges,253.8738712,,,,263.07,percent of total billed charges,224.3059688,,,,266.4,percent of total billed charges,999999999,,,,266.4,percent of total billed charges,999999999,,,,233.1,percent of total billed charges,999999999,,,,233.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,177.156,percent of total billed charges,999999999,,,,,,,,,,,,,,,,168.165,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,83.25,percent of total billed charges,79.06713631,,,,,,,,,,83.25,percent of total billed charges,77.75190829,,,,,,,,,,83.25,percent of total billed charges,77.53583907,,,,,,,,,,83.25,percent of total billed charges,76.39412478,,,,,,,,,,83.25,percent of total billed charges,78.35985792,,,,,,,,,,83.25,percent of total billed charges,999999999,,,,,,,,,,83.25,percent of total billed charges,67.2382762,,,,,,,,,,83.25,percent of total billed charges,106.0393983,,,,,,,,,,83.25,percent of total billed charges,999999999,,,,,,,,,,83.25,percent of total billed charges,72.49930604,,,,,,,,,,299.7,percent of total billed charges,,,,,
DRESS/DEBR INIT/SUB WO ANES M,16025,CDM,,,,both,,,784,784,166.9010126,784,784,percent of total billed charges,576.8166522,,,,784,percent of total billed charges,611.4142462,,,,784,percent of total billed charges,576.8166522,,,,784,percent of total billed charges,611.4142462,,,,784,percent of total billed charges,999999999,,,,784,percent of total billed charges,597.354116,,,,784,percent of total billed charges,576.8166522,,,,784,percent of total billed charges,611.4142462,,,,558.992,percent of total billed charges,278.9472376,,,,558.992,percent of total billed charges,166.9010126,,,,558.992,percent of total billed charges,278.9472376,,,,558.992,percent of total billed charges,166.9010126,,,,558.992,percent of total billed charges,278.9472376,,,,558.992,percent of total billed charges,166.9010126,,,,553.504,percent of total billed charges,549.3044147,,,,553.504,percent of total billed charges,378.850901,,,,,,,,,,564.48,percent of total billed charges,366.8987166,,,,,,,,,,564.48,percent of total billed charges,999999999,,,,,,,,,,627.2,percent of total billed charges,525.560997,,,,619.36,percent of total billed charges,597.7090541,,,,619.36,percent of total billed charges,528.0957344,,,,627.2,percent of total billed charges,999999999,,,,627.2,percent of total billed charges,999999999,,,,548.8,percent of total billed charges,999999999,,,,548.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,417.088,percent of total billed charges,999999999,,,,,,,,,,,,,,,,395.92,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,196,percent of total billed charges,186.1520566,,,,,,,,,,196,percent of total billed charges,183.0555438,,,,,,,,,,196,percent of total billed charges,182.5468403,,,,,,,,,,196,percent of total billed charges,179.8588403,,,,,,,,,,196,percent of total billed charges,184.4868727,,,,,,,,,,196,percent of total billed charges,999999999,,,,,,,,,,196,percent of total billed charges,158.3027283,,,,,,,,,,196,percent of total billed charges,249.6543191,,,,,,,,,,196,percent of total billed charges,999999999,,,,,,,,,,196,percent of total billed charges,170.6890569,,,,,,,,,,705.6,percent of total billed charges,,,,,
DRESS/DEBR INTL/SUB WO ANES L,16030,CDM,,,,both,,,928,928,197.5563006,928,928,percent of total billed charges,682.7625679,,,,928,percent of total billed charges,723.7148221,,,,928,percent of total billed charges,682.7625679,,,,928,percent of total billed charges,723.7148221,,,,928,percent of total billed charges,999999999,,,,928,percent of total billed charges,707.072219,,,,928,percent of total billed charges,682.7625679,,,,928,percent of total billed charges,723.7148221,,,,661.664,percent of total billed charges,330.1824445,,,,661.664,percent of total billed charges,197.5563006,,,,661.664,percent of total billed charges,330.1824445,,,,661.664,percent of total billed charges,197.5563006,,,,661.664,percent of total billed charges,330.1824445,,,,661.664,percent of total billed charges,197.5563006,,,,655.168,percent of total billed charges,650.1970623,,,,655.168,percent of total billed charges,448.4357604,,,,,,,,,,668.16,percent of total billed charges,434.2882768,,,,,,,,,,668.16,percent of total billed charges,999999999,,,,,,,,,,742.4,percent of total billed charges,622.0926087,,,,733.12,percent of total billed charges,707.4923498,,,,733.12,percent of total billed charges,625.0929101,,,,742.4,percent of total billed charges,999999999,,,,742.4,percent of total billed charges,999999999,,,,649.6,percent of total billed charges,999999999,,,,649.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,493.696,percent of total billed charges,999999999,,,,,,,,,,,,,,,,468.64,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,232,percent of total billed charges,220.3432507,,,,,,,,,,232,percent of total billed charges,216.6779907,,,,,,,,,,232,percent of total billed charges,216.0758518,,,,,,,,,,232,percent of total billed charges,212.8941375,,,,,,,,,,232,percent of total billed charges,218.3722167,,,,,,,,,,232,percent of total billed charges,999999999,,,,,,,,,,232,percent of total billed charges,187.3787397,,,,,,,,,,232,percent of total billed charges,295.509194,,,,,,,,,,232,percent of total billed charges,999999999,,,,,,,,,,232,percent of total billed charges,202.0401081,,,,,,,,,,835.2,percent of total billed charges,,,,,
EXPL PENETR WND ABD/FLANK/BAC,20102,CDM,,,,both,,,1809,1809,385.1070558,1809,1809,percent of total billed charges,1330.945566,,,,1809,percent of total billed charges,1410.775984,,,,1809,percent of total billed charges,1330.945566,,,,1809,percent of total billed charges,1410.775984,,,,1809,percent of total billed charges,999999999,,,,1809,percent of total billed charges,1378.333668,,,,1809,percent of total billed charges,1330.945566,,,,1809,percent of total billed charges,1410.775984,,,,1289.817,percent of total billed charges,643.6422867,,,,1289.817,percent of total billed charges,385.1070558,,,,1289.817,percent of total billed charges,643.6422867,,,,1289.817,percent of total billed charges,385.1070558,,,,1289.817,percent of total billed charges,643.6422867,,,,1289.817,percent of total billed charges,385.1070558,,,,1277.154,percent of total billed charges,1267.463885,,,,1277.154,percent of total billed charges,874.1597958,,,,,,,,,,1302.48,percent of total billed charges,846.5813499,,,,,,,,,,1302.48,percent of total billed charges,999999999,,,,,,,,,,1447.2,percent of total billed charges,1212.678372,,,,1429.11,percent of total billed charges,1379.152652,,,,1429.11,percent of total billed charges,1218.52702,,,,1447.2,percent of total billed charges,999999999,,,,1447.2,percent of total billed charges,999999999,,,,1266.3,percent of total billed charges,999999999,,,,1266.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,962.388,percent of total billed charges,999999999,,,,,,,,,,,,,,,,913.545,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,452.25,percent of total billed charges,429.5268756,,,,,,,,,,452.25,percent of total billed charges,422.3819883,,,,,,,,,,452.25,percent of total billed charges,421.2082068,,,,,,,,,,452.25,percent of total billed charges,415.0059211,,,,,,,,,,452.25,percent of total billed charges,425.6846336,,,,,,,,,,452.25,percent of total billed charges,999999999,,,,,,,,,,452.25,percent of total billed charges,365.2673923,,,,,,,,,,452.25,percent of total billed charges,576.0518664,,,,,,,,,,452.25,percent of total billed charges,999999999,,,,,,,,,,452.25,percent of total billed charges,393.8475815,,,,,,,,,,1628.1,percent of total billed charges,,,,,
EXPLR PENETRAT WND EXTREMITY,20103,CDM,,,,both,,,2614,2614,556.4786312,2614,2614,percent of total billed charges,1923.212664,,,,2614,percent of total billed charges,2038.567398,,,,2614,percent of total billed charges,1923.212664,,,,2614,percent of total billed charges,2038.567398,,,,2614,percent of total billed charges,999999999,,,,2614,percent of total billed charges,1991.688341,,,,2614,percent of total billed charges,1923.212664,,,,2614,percent of total billed charges,2038.567398,,,,1863.782,percent of total billed charges,930.0613253,,,,1863.782,percent of total billed charges,556.4786312,,,,1863.782,percent of total billed charges,930.0613253,,,,1863.782,percent of total billed charges,556.4786312,,,,1863.782,percent of total billed charges,930.0613253,,,,1863.782,percent of total billed charges,556.4786312,,,,1845.484,percent of total billed charges,1831.481811,,,,1845.484,percent of total billed charges,1263.158489,,,,,,,,,,1882.08,percent of total billed charges,1223.307711,,,,,,,,,,1882.08,percent of total billed charges,999999999,,,,,,,,,,2091.2,percent of total billed charges,1752.316896,,,,2065.06,percent of total billed charges,1992.87177,,,,2065.06,percent of total billed charges,1760.768176,,,,2091.2,percent of total billed charges,999999999,,,,2091.2,percent of total billed charges,999999999,,,,1829.8,percent of total billed charges,999999999,,,,1829.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1390.648,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1320.07,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,653.5,percent of total billed charges,620.6651481,,,,,,,,,,653.5,percent of total billed charges,610.3408056,,,,,,,,,,653.5,percent of total billed charges,608.6446947,,,,,,,,,,653.5,percent of total billed charges,599.6824089,,,,,,,,,,653.5,percent of total billed charges,615.1131189,,,,,,,,,,653.5,percent of total billed charges,999999999,,,,,,,,,,653.5,percent of total billed charges,527.8103723,,,,,,,,,,653.5,percent of total billed charges,832.3933548,,,,,,,,,,653.5,percent of total billed charges,999999999,,,,,,,,,,653.5,percent of total billed charges,569.1086667,,,,,,,,,,2352.6,percent of total billed charges,,,,,
REMV FORGN BDY MUSCL/TEND SIM,20520,CDM,,,,both,,,1342,1342,285.6902537,1342,1342,percent of total billed charges,987.3570755,,,,1342,percent of total billed charges,1046.578978,,,,1342,percent of total billed charges,987.3570755,,,,1342,percent of total billed charges,1046.578978,,,,1342,percent of total billed charges,999999999,,,,1342,percent of total billed charges,1022.511765,,,,1342,percent of total billed charges,987.3570755,,,,1342,percent of total billed charges,1046.578978,,,,956.846,percent of total billed charges,477.4836643,,,,956.846,percent of total billed charges,285.6902537,,,,956.846,percent of total billed charges,477.4836643,,,,956.846,percent of total billed charges,285.6902537,,,,956.846,percent of total billed charges,477.4836643,,,,956.846,percent of total billed charges,285.6902537,,,,947.452,percent of total billed charges,940.2634241,,,,947.452,percent of total billed charges,648.492231,,,,,,,,,,966.24,percent of total billed charges,628.0332623,,,,,,,,,,966.24,percent of total billed charges,999999999,,,,,,,,,,1073.6,percent of total billed charges,899.6209924,,,,1060.18,percent of total billed charges,1023.119325,,,,1060.18,percent of total billed charges,903.9597902,,,,1073.6,percent of total billed charges,999999999,,,,1073.6,percent of total billed charges,999999999,,,,939.4,percent of total billed charges,999999999,,,,939.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,713.944,percent of total billed charges,999999999,,,,,,,,,,,,,,,,677.71,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,335.5,percent of total billed charges,318.6429337,,,,,,,,,,335.5,percent of total billed charges,313.3425253,,,,,,,,,,335.5,percent of total billed charges,312.4717599,,,,,,,,,,335.5,percent of total billed charges,307.870617,,,,,,,,,,335.5,percent of total billed charges,315.7925806,,,,,,,,,,335.5,percent of total billed charges,999999999,,,,,,,,,,335.5,percent of total billed charges,270.9722723,,,,,,,,,,335.5,percent of total billed charges,427.3419595,,,,,,,,,,335.5,percent of total billed charges,999999999,,,,,,,,,,335.5,percent of total billed charges,292.1743805,,,,,,,,,,1207.8,percent of total billed charges,,,,,
ARTHRCENT ASPIR/INJ SML JT CY,20600,CDM,,,,both,,,302,302,64.29095128,302,302,percent of total billed charges,222.1921288,,,,302,percent of total billed charges,235.5192632,,,,302,percent of total billed charges,222.1921288,,,,302,percent of total billed charges,235.5192632,,,,302,percent of total billed charges,999999999,,,,302,percent of total billed charges,230.1032437,,,,302,percent of total billed charges,222.1921288,,,,302,percent of total billed charges,235.5192632,,,,215.326,percent of total billed charges,107.4516145,,,,215.326,percent of total billed charges,64.29095128,,,,215.326,percent of total billed charges,107.4516145,,,,215.326,percent of total billed charges,64.29095128,,,,215.326,percent of total billed charges,107.4516145,,,,215.326,percent of total billed charges,64.29095128,,,,213.212,percent of total billed charges,211.5943026,,,,213.212,percent of total billed charges,145.9349134,,,,,,,,,,217.44,percent of total billed charges,141.3308832,,,,,,,,,,217.44,percent of total billed charges,999999999,,,,,,,,,,241.6,percent of total billed charges,202.4482412,,,,238.58,percent of total billed charges,230.2399673,,,,238.58,percent of total billed charges,203.4246324,,,,241.6,percent of total billed charges,999999999,,,,241.6,percent of total billed charges,999999999,,,,211.4,percent of total billed charges,999999999,,,,211.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,160.664,percent of total billed charges,999999999,,,,,,,,,,,,,,,,152.51,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,75.5,percent of total billed charges,71.70653202,,,,,,,,,,75.5,percent of total billed charges,70.51374266,,,,,,,,,,75.5,percent of total billed charges,70.31778798,,,,,,,,,,75.5,percent of total billed charges,69.28235941,,,,,,,,,,75.5,percent of total billed charges,71.06509637,,,,,,,,,,75.5,percent of total billed charges,999999999,,,,,,,,,,75.5,percent of total billed charges,60.97885709,,,,,,,,,,75.5,percent of total billed charges,96.16786272,,,,,,,,,,75.5,percent of total billed charges,999999999,,,,,,,,,,75.5,percent of total billed charges,65.7501214,,,,,,,,,,271.8,percent of total billed charges,,,,,
ARTHROC ASPIR/INJ INTER JT CY,20605,CDM,,,,both,,,309,309,65.78113889,309,309,percent of total billed charges,227.3422774,,,,309,percent of total billed charges,240.978319,,,,309,percent of total billed charges,227.3422774,,,,309,percent of total billed charges,240.978319,,,,309,percent of total billed charges,999999999,,,,309,percent of total billed charges,235.4367626,,,,309,percent of total billed charges,227.3422774,,,,309,percent of total billed charges,240.978319,,,,220.317,percent of total billed charges,109.9422148,,,,220.317,percent of total billed charges,65.78113889,,,,220.317,percent of total billed charges,109.9422148,,,,220.317,percent of total billed charges,65.78113889,,,,220.317,percent of total billed charges,109.9422148,,,,220.317,percent of total billed charges,65.78113889,,,,218.154,percent of total billed charges,216.4988063,,,,218.154,percent of total billed charges,149.3175107,,,,,,,,,,222.48,percent of total billed charges,144.6067646,,,,,,,,,,222.48,percent of total billed charges,999999999,,,,,,,,,,247.2,percent of total billed charges,207.1407501,,,,244.11,percent of total billed charges,235.5766553,,,,244.11,percent of total billed charges,208.1397729,,,,247.2,percent of total billed charges,999999999,,,,247.2,percent of total billed charges,999999999,,,,216.3,percent of total billed charges,999999999,,,,216.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,164.388,percent of total billed charges,999999999,,,,,,,,,,,,,,,,156.045,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,77.25,percent of total billed charges,73.36860396,,,,,,,,,,77.25,percent of total billed charges,72.14816715,,,,,,,,,,77.25,percent of total billed charges,71.94767049,,,,,,,,,,77.25,percent of total billed charges,70.88824191,,,,,,,,,,77.25,percent of total billed charges,72.71230059,,,,,,,,,,77.25,percent of total billed charges,999999999,,,,,,,,,,77.25,percent of total billed charges,62.39227431,,,,,,,,,,77.25,percent of total billed charges,98.39691914,,,,,,,,,,77.25,percent of total billed charges,999999999,,,,,,,,,,77.25,percent of total billed charges,67.27413083,,,,,,,,,,278.1,percent of total billed charges,,,,,
ARTHROC ASPIR/INJ MAJOR JT BU,20610,CDM,,,,both,,,411,411,87.49530124,411,411,percent of total billed charges,302.3873011,,,,411,percent of total billed charges,320.5245602,,,,411,percent of total billed charges,302.3873011,,,,411,percent of total billed charges,320.5245602,,,,411,percent of total billed charges,999999999,,,,411,percent of total billed charges,313.1537521,,,,411,percent of total billed charges,302.3873011,,,,411,percent of total billed charges,320.5245602,,,,293.043,percent of total billed charges,146.2338197,,,,293.043,percent of total billed charges,87.49530124,,,,293.043,percent of total billed charges,146.2338197,,,,293.043,percent of total billed charges,87.49530124,,,,293.043,percent of total billed charges,146.2338197,,,,293.043,percent of total billed charges,87.49530124,,,,290.166,percent of total billed charges,287.9644317,,,,290.166,percent of total billed charges,198.6067861,,,,,,,,,,295.92,percent of total billed charges,192.3410364,,,,,,,,,,295.92,percent of total billed charges,999999999,,,,,,,,,,328.8,percent of total billed charges,275.5173084,,,,324.69,percent of total billed charges,313.339823,,,,324.69,percent of total billed charges,276.8461057,,,,328.8,percent of total billed charges,999999999,,,,328.8,percent of total billed charges,999999999,,,,287.7,percent of total billed charges,999999999,,,,287.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,218.652,percent of total billed charges,999999999,,,,,,,,,,,,,,,,207.555,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,102.75,percent of total billed charges,97.58736643,,,,,,,,,,102.75,percent of total billed charges,95.96406699,,,,,,,,,,102.75,percent of total billed charges,95.69738696,,,,,,,,,,102.75,percent of total billed charges,94.2882441,,,,,,,,,,102.75,percent of total billed charges,96.71441923,,,,,,,,,,102.75,percent of total billed charges,999999999,,,,,,,,,,102.75,percent of total billed charges,82.98778234,,,,,,,,,,102.75,percent of total billed charges,130.8774556,,,,,,,,,,102.75,percent of total billed charges,999999999,,,,,,,,,,102.75,percent of total billed charges,89.48112548,,,,,,,,,,369.9,percent of total billed charges,,,,,
CLSD TRMT NASAL BONE FX WO MA,21310,CDM,,,,both,,,277,277,58.96885266,277,277,percent of total billed charges,203.7987406,,,,277,percent of total billed charges,216.0226355,,,,277,percent of total billed charges,203.7987406,,,,277,percent of total billed charges,216.0226355,,,,277,percent of total billed charges,999999999,,,,277,percent of total billed charges,211.0549619,,,,277,percent of total billed charges,203.7987406,,,,277,percent of total billed charges,216.0226355,,,,197.501,percent of total billed charges,98.55661328,,,,197.501,percent of total billed charges,58.96885266,,,,197.501,percent of total billed charges,98.55661328,,,,197.501,percent of total billed charges,58.96885266,,,,197.501,percent of total billed charges,98.55661328,,,,197.501,percent of total billed charges,58.96885266,,,,195.562,percent of total billed charges,194.0782179,,,,195.562,percent of total billed charges,133.8542086,,,,,,,,,,199.44,percent of total billed charges,129.6313068,,,,,,,,,,199.44,percent of total billed charges,999999999,,,,,,,,,,221.6,percent of total billed charges,185.6892808,,,,218.83,percent of total billed charges,211.1803673,,,,218.83,percent of total billed charges,186.5848449,,,,221.6,percent of total billed charges,999999999,,,,221.6,percent of total billed charges,999999999,,,,193.9,percent of total billed charges,999999999,,,,193.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,147.364,percent of total billed charges,999999999,,,,,,,,,,,,,,,,139.885,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,69.25,percent of total billed charges,65.77056083,,,,,,,,,,69.25,percent of total billed charges,64.6765123,,,,,,,,,,69.25,percent of total billed charges,64.49677905,,,,,,,,,,69.25,percent of total billed charges,63.54706476,,,,,,,,,,69.25,percent of total billed charges,65.18222416,,,,,,,,,,69.25,percent of total billed charges,999999999,,,,,,,,,,69.25,percent of total billed charges,55.93093846,,,,,,,,,,69.25,percent of total billed charges,88.20694693,,,,,,,,,,69.25,percent of total billed charges,999999999,,,,,,,,,,69.25,percent of total billed charges,60.30723055,,,,,,,,,,249.3,percent of total billed charges,,,,,
CLSD TRMT NASAL BONE FX WO MA,21310,CDM,,,,both,,,889,889,189.2538268,889,889,percent of total billed charges,654.0688824,,,,889,percent of total billed charges,693.3000828,,,,889,percent of total billed charges,654.0688824,,,,889,percent of total billed charges,693.3000828,,,,889,percent of total billed charges,999999999,,,,889,percent of total billed charges,677.3568994,,,,889,percent of total billed charges,654.0688824,,,,889,percent of total billed charges,693.3000828,,,,633.857,percent of total billed charges,316.3062426,,,,633.857,percent of total billed charges,189.2538268,,,,633.857,percent of total billed charges,316.3062426,,,,633.857,percent of total billed charges,189.2538268,,,,633.857,percent of total billed charges,316.3062426,,,,633.857,percent of total billed charges,189.2538268,,,,627.634,percent of total billed charges,622.8719702,,,,627.634,percent of total billed charges,429.5898609,,,,,,,,,,640.08,percent of total billed charges,416.0369376,,,,,,,,,,640.08,percent of total billed charges,999999999,,,,,,,,,,711.2,percent of total billed charges,595.9486306,,,,702.31,percent of total billed charges,677.7593739,,,,702.31,percent of total billed charges,598.8228417,,,,711.2,percent of total billed charges,999999999,,,,711.2,percent of total billed charges,999999999,,,,622.3,percent of total billed charges,999999999,,,,622.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,472.948,percent of total billed charges,999999999,,,,,,,,,,,,,,,,448.945,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,222.25,percent of total billed charges,211.0831357,,,,,,,,,,222.25,percent of total billed charges,207.5719113,,,,,,,,,,222.25,percent of total billed charges,206.9950779,,,,,,,,,,222.25,percent of total billed charges,203.9470779,,,,,,,,,,222.25,percent of total billed charges,209.194936,,,,,,,,,,222.25,percent of total billed charges,999999999,,,,,,,,,,222.25,percent of total billed charges,179.5039866,,,,,,,,,,222.25,percent of total billed charges,283.0901654,,,,,,,,,,222.25,percent of total billed charges,999999999,,,,,,,,,,222.25,percent of total billed charges,193.5491984,,,,,,,,,,800.1,percent of total billed charges,,,,,
CLOSD TEMPOR DISLOC INIT/SUBS,21480,CDM,,,,both,,,295,295,62.80076366,295,295,percent of total billed charges,217.0419801,,,,295,percent of total billed charges,230.0602075,,,,295,percent of total billed charges,217.0419801,,,,295,percent of total billed charges,230.0602075,,,,295,percent of total billed charges,999999999,,,,295,percent of total billed charges,224.7697248,,,,295,percent of total billed charges,217.0419801,,,,295,percent of total billed charges,230.0602075,,,,210.335,percent of total billed charges,104.9610141,,,,210.335,percent of total billed charges,62.80076366,,,,210.335,percent of total billed charges,104.9610141,,,,210.335,percent of total billed charges,62.80076366,,,,210.335,percent of total billed charges,104.9610141,,,,210.335,percent of total billed charges,62.80076366,,,,208.27,percent of total billed charges,206.6897989,,,,208.27,percent of total billed charges,142.5523161,,,,,,,,,,212.4,percent of total billed charges,138.0550018,,,,,,,,,,212.4,percent of total billed charges,999999999,,,,,,,,,,236,percent of total billed charges,197.7557323,,,,233.05,percent of total billed charges,224.9032793,,,,233.05,percent of total billed charges,198.7094919,,,,236,percent of total billed charges,999999999,,,,236,percent of total billed charges,999999999,,,,206.5,percent of total billed charges,999999999,,,,206.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,156.94,percent of total billed charges,999999999,,,,,,,,,,,,,,,,148.975,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,73.75,percent of total billed charges,70.04446009,,,,,,,,,,73.75,percent of total billed charges,68.87931816,,,,,,,,,,73.75,percent of total billed charges,68.68790548,,,,,,,,,,73.75,percent of total billed charges,67.67647691,,,,,,,,,,73.75,percent of total billed charges,69.41789215,,,,,,,,,,73.75,percent of total billed charges,999999999,,,,,,,,,,73.75,percent of total billed charges,59.56543988,,,,,,,,,,73.75,percent of total billed charges,93.9388063,,,,,,,,,,73.75,percent of total billed charges,999999999,,,,,,,,,,73.75,percent of total billed charges,64.22611196,,,,,,,,,,265.5,percent of total billed charges,,,,,
**CLOSD TRMT RIB FX UNCOMPL EAC,21800,CDM,,,,both,,,598,598,127.3045989,598,598,percent of total billed charges,439.9698444,,,,598,percent of total billed charges,466.3593358,,,,598,percent of total billed charges,439.9698444,,,,598,percent of total billed charges,466.3593358,,,,598,percent of total billed charges,999999999,,,,598,percent of total billed charges,455.6348997,,,,598,percent of total billed charges,439.9698444,,,,598,percent of total billed charges,466.3593358,,,,426.374,percent of total billed charges,212.7684287,,,,426.374,percent of total billed charges,127.3045989,,,,426.374,percent of total billed charges,212.7684287,,,,426.374,percent of total billed charges,127.3045989,,,,426.374,percent of total billed charges,212.7684287,,,,426.374,percent of total billed charges,127.3045989,,,,422.188,percent of total billed charges,418.9847449,,,,422.188,percent of total billed charges,288.9704576,,,,,,,,,,430.56,percent of total billed charges,279.853868,,,,,,,,,,430.56,percent of total billed charges,999999999,,,,,,,,,,478.4,percent of total billed charges,400.8743319,,,,472.42,percent of total billed charges,455.9056306,,,,472.42,percent of total billed charges,402.8077158,,,,478.4,percent of total billed charges,999999999,,,,478.4,percent of total billed charges,999999999,,,,418.6,percent of total billed charges,999999999,,,,418.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,318.136,percent of total billed charges,999999999,,,,,,,,,,,,,,,,301.99,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,149.5,percent of total billed charges,141.988431,,,,,,,,,,149.5,percent of total billed charges,139.62655,,,,,,,,,,149.5,percent of total billed charges,139.2385338,,,,,,,,,,149.5,percent of total billed charges,137.1882481,,,,,,,,,,149.5,percent of total billed charges,140.7183034,,,,,,,,,,149.5,percent of total billed charges,999999999,,,,,,,,,,149.5,percent of total billed charges,120.7462137,,,,,,,,,,149.5,percent of total billed charges,190.4251056,,,,,,,,,,149.5,percent of total billed charges,999999999,,,,,,,,,,149.5,percent of total billed charges,130.193949,,,,,,,,,,538.2,percent of total billed charges,,,,,
CLSD TRMT VERTEBRA PROCESS FX,22305,CDM,,,,both,,,1280,1280,272.4914491,1280,1280,percent of total billed charges,941.7414729,,,,1280,percent of total billed charges,998.2273408,,,,1280,percent of total billed charges,941.7414729,,,,1280,percent of total billed charges,998.2273408,,,,1280,percent of total billed charges,999999999,,,,1280,percent of total billed charges,975.2720261,,,,1280,percent of total billed charges,941.7414729,,,,1280,percent of total billed charges,998.2273408,,,,912.64,percent of total billed charges,455.4240613,,,,912.64,percent of total billed charges,272.4914491,,,,912.64,percent of total billed charges,455.4240613,,,,912.64,percent of total billed charges,272.4914491,,,,912.64,percent of total billed charges,455.4240613,,,,912.64,percent of total billed charges,272.4914491,,,,903.68,percent of total billed charges,896.8235342,,,,903.68,percent of total billed charges,618.5320833,,,,,,,,,,921.6,percent of total billed charges,599.0183128,,,,,,,,,,921.6,percent of total billed charges,999999999,,,,,,,,,,1024,percent of total billed charges,858.0587707,,,,1011.2,percent of total billed charges,975.8515169,,,,1011.2,percent of total billed charges,862.1971174,,,,1024,percent of total billed charges,999999999,,,,1024,percent of total billed charges,999999999,,,,896,percent of total billed charges,999999999,,,,896,percent of total billed charges,999999999,,,,,,,,,,,,,,,,680.96,percent of total billed charges,999999999,,,,,,,,,,,,,,,,646.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,320,percent of total billed charges,303.9217251,,,,,,,,,,320,percent of total billed charges,298.866194,,,,,,,,,,320,percent of total billed charges,298.0356577,,,,,,,,,,320,percent of total billed charges,293.6470862,,,,,,,,,,320,percent of total billed charges,301.2030575,,,,,,,,,,320,percent of total billed charges,999999999,,,,,,,,,,320,percent of total billed charges,258.453434,,,,,,,,,,320,percent of total billed charges,407.5988883,,,,,,,,,,320,percent of total billed charges,999999999,,,,,,,,,,320,percent of total billed charges,278.6760112,,,,,,,,,,1152,percent of total billed charges,,,,,
CLSD TRMT CLAVICLE FX WO MANI,23500,CDM,,,,both,,,1335,1335,284.2000661,1335,1335,percent of total billed charges,982.2069268,,,,1335,percent of total billed charges,1041.119922,,,,1335,percent of total billed charges,982.2069268,,,,1335,percent of total billed charges,1041.119922,,,,1335,percent of total billed charges,999999999,,,,1335,percent of total billed charges,1017.178246,,,,1335,percent of total billed charges,982.2069268,,,,1335,percent of total billed charges,1041.119922,,,,951.855,percent of total billed charges,474.993064,,,,951.855,percent of total billed charges,284.2000661,,,,951.855,percent of total billed charges,474.993064,,,,951.855,percent of total billed charges,284.2000661,,,,951.855,percent of total billed charges,474.993064,,,,951.855,percent of total billed charges,284.2000661,,,,942.51,percent of total billed charges,935.3589204,,,,942.51,percent of total billed charges,645.1096337,,,,,,,,,,961.2,percent of total billed charges,624.7573809,,,,,,,,,,961.2,percent of total billed charges,999999999,,,,,,,,,,1068,percent of total billed charges,894.9284835,,,,1054.65,percent of total billed charges,1017.782637,,,,1054.65,percent of total billed charges,899.2446498,,,,1068,percent of total billed charges,999999999,,,,1068,percent of total billed charges,999999999,,,,934.5,percent of total billed charges,999999999,,,,934.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,710.22,percent of total billed charges,999999999,,,,,,,,,,,,,,,,674.175,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,333.75,percent of total billed charges,316.9808618,,,,,,,,,,333.75,percent of total billed charges,311.7081008,,,,,,,,,,333.75,percent of total billed charges,310.8418773,,,,,,,,,,333.75,percent of total billed charges,306.2647345,,,,,,,,,,333.75,percent of total billed charges,314.1453763,,,,,,,,,,333.75,percent of total billed charges,999999999,,,,,,,,,,333.75,percent of total billed charges,269.558855,,,,,,,,,,333.75,percent of total billed charges,425.1129031,,,,,,,,,,333.75,percent of total billed charges,999999999,,,,,,,,,,333.75,percent of total billed charges,290.6503711,,,,,,,,,,1201.5,percent of total billed charges,,,,,
CLSD TRMT CLAVICLE FX W/MANIP,23505,CDM,,,,both,,,2264,2264,481.9692506,2264,2264,percent of total billed charges,1665.70523,,,,2264,percent of total billed charges,1765.614609,,,,2264,percent of total billed charges,1665.70523,,,,2264,percent of total billed charges,1765.614609,,,,2264,percent of total billed charges,999999999,,,,2264,percent of total billed charges,1725.012396,,,,2264,percent of total billed charges,1665.70523,,,,2264,percent of total billed charges,1765.614609,,,,1614.232,percent of total billed charges,805.5313085,,,,1614.232,percent of total billed charges,481.9692506,,,,1614.232,percent of total billed charges,805.5313085,,,,1614.232,percent of total billed charges,481.9692506,,,,1614.232,percent of total billed charges,805.5313085,,,,1614.232,percent of total billed charges,481.9692506,,,,1598.384,percent of total billed charges,1586.256626,,,,1598.384,percent of total billed charges,1094.028622,,,,,,,,,,1630.08,percent of total billed charges,1059.513641,,,,,,,,,,1630.08,percent of total billed charges,999999999,,,,,,,,,,1811.2,percent of total billed charges,1517.691451,,,,1788.56,percent of total billed charges,1726.037371,,,,1788.56,percent of total billed charges,1525.011151,,,,1811.2,percent of total billed charges,999999999,,,,1811.2,percent of total billed charges,999999999,,,,1584.8,percent of total billed charges,999999999,,,,1584.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1204.448,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1143.32,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,566,percent of total billed charges,537.5615513,,,,,,,,,,566,percent of total billed charges,528.6195807,,,,,,,,,,566,percent of total billed charges,527.1505695,,,,,,,,,,566,percent of total billed charges,519.3882838,,,,,,,,,,566,percent of total billed charges,532.7529079,,,,,,,,,,566,percent of total billed charges,999999999,,,,,,,,,,566,percent of total billed charges,457.1395115,,,,,,,,,,566,percent of total billed charges,720.9405338,,,,,,,,,,566,percent of total billed charges,999999999,,,,,,,,,,566,percent of total billed charges,492.9081948,,,,,,,,,,2037.6,percent of total billed charges,,,,,
CLSD ACROMIOCLAV DISLOC WO MA,23540,CDM,,,,both,,,1366,1366,290.7994684,1366,1366,percent of total billed charges,1005.014728,,,,1366,percent of total billed charges,1065.29574,,,,1366,percent of total billed charges,1005.014728,,,,1366,percent of total billed charges,1065.29574,,,,1366,percent of total billed charges,999999999,,,,1366,percent of total billed charges,1040.798115,,,,1366,percent of total billed charges,1005.014728,,,,1366,percent of total billed charges,1065.29574,,,,973.958,percent of total billed charges,486.0228655,,,,973.958,percent of total billed charges,290.7994684,,,,973.958,percent of total billed charges,486.0228655,,,,973.958,percent of total billed charges,290.7994684,,,,973.958,percent of total billed charges,486.0228655,,,,973.958,percent of total billed charges,290.7994684,,,,964.396,percent of total billed charges,957.0788654,,,,964.396,percent of total billed charges,660.0897076,,,,,,,,,,983.52,percent of total billed charges,639.2648557,,,,,,,,,,983.52,percent of total billed charges,999999999,,,,,,,,,,1092.8,percent of total billed charges,915.7095943,,,,1079.14,percent of total billed charges,1041.416541,,,,1079.14,percent of total billed charges,920.1259862,,,,1092.8,percent of total billed charges,999999999,,,,1092.8,percent of total billed charges,999999999,,,,956.2,percent of total billed charges,999999999,,,,956.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,726.712,percent of total billed charges,999999999,,,,,,,,,,,,,,,,689.83,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,341.5,percent of total billed charges,324.341466,,,,,,,,,,341.5,percent of total billed charges,318.9462664,,,,,,,,,,341.5,percent of total billed charges,318.0599284,,,,,,,,,,341.5,percent of total billed charges,313.3764999,,,,,,,,,,341.5,percent of total billed charges,321.4401379,,,,,,,,,,341.5,percent of total billed charges,999999999,,,,,,,,,,341.5,percent of total billed charges,275.8182741,,,,,,,,,,341.5,percent of total billed charges,434.9844387,,,,,,,,,,341.5,percent of total billed charges,999999999,,,,,,,,,,341.5,percent of total billed charges,297.3995557,,,,,,,,,,1229.4,percent of total billed charges,,,,,
CLSD ACROMIOCLAV DISLOC W/MAN,23545,CDM,,,,both,,,1978,1978,421.0844425,1978,1978,percent of total billed charges,1455.28487,,,,1978,percent of total billed charges,1542.573188,,,,1978,percent of total billed charges,1455.28487,,,,1978,percent of total billed charges,1542.573188,,,,1978,percent of total billed charges,999999999,,,,1978,percent of total billed charges,1507.100053,,,,1978,percent of total billed charges,1455.28487,,,,1978,percent of total billed charges,1542.573188,,,,1410.314,percent of total billed charges,703.7724948,,,,1410.314,percent of total billed charges,421.0844425,,,,1410.314,percent of total billed charges,703.7724948,,,,1410.314,percent of total billed charges,421.0844425,,,,1410.314,percent of total billed charges,703.7724948,,,,1410.314,percent of total billed charges,421.0844425,,,,1396.468,percent of total billed charges,1385.872618,,,,1396.468,percent of total billed charges,955.8253599,,,,,,,,,,1424.16,percent of total billed charges,925.6704865,,,,,,,,,,1424.16,percent of total billed charges,999999999,,,,,,,,,,1582.4,percent of total billed charges,1325.968944,,,,1562.62,percent of total billed charges,1507.995547,,,,1562.62,percent of total billed charges,1332.363983,,,,1582.4,percent of total billed charges,999999999,,,,1582.4,percent of total billed charges,999999999,,,,1384.6,percent of total billed charges,999999999,,,,1384.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1052.296,percent of total billed charges,999999999,,,,,,,,,,,,,,,,998.89,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,494.5,percent of total billed charges,469.6540409,,,,,,,,,,494.5,percent of total billed charges,461.8416655,,,,,,,,,,494.5,percent of total billed charges,460.5582273,,,,,,,,,,494.5,percent of total billed charges,453.776513,,,,,,,,,,494.5,percent of total billed charges,465.4528497,,,,,,,,,,494.5,percent of total billed charges,999999999,,,,,,,,,,494.5,percent of total billed charges,399.3913223,,,,,,,,,,494.5,percent of total billed charges,629.8676571,,,,,,,,,,494.5,percent of total billed charges,999999999,,,,,,,,,,494.5,percent of total billed charges,430.6415236,,,,,,,,,,1780.2,percent of total billed charges,,,,,
CLSD TRMT SCAPULAR FX WO MANI,23570,CDM,,,,both,,,1418,1418,301.8694335,1418,1418,percent of total billed charges,1043.272975,,,,1418,percent of total billed charges,1105.848726,,,,1418,percent of total billed charges,1043.272975,,,,1418,percent of total billed charges,1105.848726,,,,1418,percent of total billed charges,999999999,,,,1418,percent of total billed charges,1080.418541,,,,1418,percent of total billed charges,1043.272975,,,,1418,percent of total billed charges,1105.848726,,,,1011.034,percent of total billed charges,504.524468,,,,1011.034,percent of total billed charges,301.8694335,,,,1011.034,percent of total billed charges,504.524468,,,,1011.034,percent of total billed charges,301.8694335,,,,1011.034,percent of total billed charges,504.524468,,,,1011.034,percent of total billed charges,301.8694335,,,,1001.108,percent of total billed charges,993.5123215,,,,1001.108,percent of total billed charges,685.2175735,,,,,,,,,,1020.96,percent of total billed charges,663.5999747,,,,,,,,,,1020.96,percent of total billed charges,999999999,,,,,,,,,,1134.4,percent of total billed charges,950.5682319,,,,1120.22,percent of total billed charges,1081.060509,,,,1120.22,percent of total billed charges,955.1527441,,,,1134.4,percent of total billed charges,999999999,,,,1134.4,percent of total billed charges,999999999,,,,992.6,percent of total billed charges,999999999,,,,992.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,754.376,percent of total billed charges,999999999,,,,,,,,,,,,,,,,716.09,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,354.5,percent of total billed charges,336.6882861,,,,,,,,,,354.5,percent of total billed charges,331.0877056,,,,,,,,,,354.5,percent of total billed charges,330.167627,,,,,,,,,,354.5,percent of total billed charges,325.3059127,,,,,,,,,,354.5,percent of total billed charges,333.6765121,,,,,,,,,,354.5,percent of total billed charges,999999999,,,,,,,,,,354.5,percent of total billed charges,286.3179449,,,,,,,,,,354.5,percent of total billed charges,451.5431435,,,,,,,,,,354.5,percent of total billed charges,999999999,,,,,,,,,,354.5,percent of total billed charges,308.7207687,,,,,,,,,,1276.2,percent of total billed charges,,,,,
CLSD SHLDR DISL W/MAN WO ANES,23650,CDM,,,,both,,,1978,1978,421.0844425,1978,1978,percent of total billed charges,1455.28487,,,,1978,percent of total billed charges,1542.573188,,,,1978,percent of total billed charges,1455.28487,,,,1978,percent of total billed charges,1542.573188,,,,1978,percent of total billed charges,999999999,,,,1978,percent of total billed charges,1507.100053,,,,1978,percent of total billed charges,1455.28487,,,,1978,percent of total billed charges,1542.573188,,,,1410.314,percent of total billed charges,703.7724948,,,,1410.314,percent of total billed charges,421.0844425,,,,1410.314,percent of total billed charges,703.7724948,,,,1410.314,percent of total billed charges,421.0844425,,,,1410.314,percent of total billed charges,703.7724948,,,,1410.314,percent of total billed charges,421.0844425,,,,1396.468,percent of total billed charges,1385.872618,,,,1396.468,percent of total billed charges,955.8253599,,,,,,,,,,1424.16,percent of total billed charges,925.6704865,,,,,,,,,,1424.16,percent of total billed charges,999999999,,,,,,,,,,1582.4,percent of total billed charges,1325.968944,,,,1562.62,percent of total billed charges,1507.995547,,,,1562.62,percent of total billed charges,1332.363983,,,,1582.4,percent of total billed charges,999999999,,,,1582.4,percent of total billed charges,999999999,,,,1384.6,percent of total billed charges,999999999,,,,1384.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1052.296,percent of total billed charges,999999999,,,,,,,,,,,,,,,,998.89,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,494.5,percent of total billed charges,469.6540409,,,,,,,,,,494.5,percent of total billed charges,461.8416655,,,,,,,,,,494.5,percent of total billed charges,460.5582273,,,,,,,,,,494.5,percent of total billed charges,453.776513,,,,,,,,,,494.5,percent of total billed charges,465.4528497,,,,,,,,,,494.5,percent of total billed charges,999999999,,,,,,,,,,494.5,percent of total billed charges,399.3913223,,,,,,,,,,494.5,percent of total billed charges,629.8676571,,,,,,,,,,494.5,percent of total billed charges,999999999,,,,,,,,,,494.5,percent of total billed charges,430.6415236,,,,,,,,,,1780.2,percent of total billed charges,,,,,
CLSD SHLDR DISLOC W/MAN & ANES,23655,CDM,,,,both,,,2614,2614,556.4786312,2614,2614,percent of total billed charges,1923.212664,,,,2614,percent of total billed charges,2038.567398,,,,2614,percent of total billed charges,1923.212664,,,,2614,percent of total billed charges,2038.567398,,,,2614,percent of total billed charges,999999999,,,,2614,percent of total billed charges,1991.688341,,,,2614,percent of total billed charges,1923.212664,,,,2614,percent of total billed charges,2038.567398,,,,1863.782,percent of total billed charges,930.0613253,,,,1863.782,percent of total billed charges,556.4786312,,,,1863.782,percent of total billed charges,930.0613253,,,,1863.782,percent of total billed charges,556.4786312,,,,1863.782,percent of total billed charges,930.0613253,,,,1863.782,percent of total billed charges,556.4786312,,,,1845.484,percent of total billed charges,1831.481811,,,,1845.484,percent of total billed charges,1263.158489,,,,,,,,,,1882.08,percent of total billed charges,1223.307711,,,,,,,,,,1882.08,percent of total billed charges,999999999,,,,,,,,,,2091.2,percent of total billed charges,1752.316896,,,,2065.06,percent of total billed charges,1992.87177,,,,2065.06,percent of total billed charges,1760.768176,,,,2091.2,percent of total billed charges,999999999,,,,2091.2,percent of total billed charges,999999999,,,,1829.8,percent of total billed charges,999999999,,,,1829.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1390.648,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1320.07,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,653.5,percent of total billed charges,620.6651481,,,,,,,,,,653.5,percent of total billed charges,610.3408056,,,,,,,,,,653.5,percent of total billed charges,608.6446947,,,,,,,,,,653.5,percent of total billed charges,599.6824089,,,,,,,,,,653.5,percent of total billed charges,615.1131189,,,,,,,,,,653.5,percent of total billed charges,999999999,,,,,,,,,,653.5,percent of total billed charges,527.8103723,,,,,,,,,,653.5,percent of total billed charges,832.3933548,,,,,,,,,,653.5,percent of total billed charges,999999999,,,,,,,,,,653.5,percent of total billed charges,569.1086667,,,,,,,,,,2352.6,percent of total billed charges,,,,,
REM FOREIGN BODY UPPR ARM ELB,24200,CDM,,,,both,,,1262,1262,268.6595381,1262,1262,percent of total billed charges,928.4982335,,,,1262,percent of total billed charges,984.1897688,,,,1262,percent of total billed charges,928.4982335,,,,1262,percent of total billed charges,984.1897688,,,,1262,percent of total billed charges,999999999,,,,1262,percent of total billed charges,961.5572633,,,,1262,percent of total billed charges,928.4982335,,,,1262,percent of total billed charges,984.1897688,,,,899.806,percent of total billed charges,449.0196605,,,,899.806,percent of total billed charges,268.6595381,,,,899.806,percent of total billed charges,449.0196605,,,,899.806,percent of total billed charges,268.6595381,,,,899.806,percent of total billed charges,449.0196605,,,,899.806,percent of total billed charges,268.6595381,,,,890.972,percent of total billed charges,884.2119532,,,,890.972,percent of total billed charges,609.8339758,,,,,,,,,,908.64,percent of total billed charges,590.5946178,,,,,,,,,,908.64,percent of total billed charges,999999999,,,,,,,,,,1009.6,percent of total billed charges,845.9923192,,,,996.98,percent of total billed charges,962.1286049,,,,996.98,percent of total billed charges,850.0724704,,,,1009.6,percent of total billed charges,999999999,,,,1009.6,percent of total billed charges,999999999,,,,883.4,percent of total billed charges,999999999,,,,883.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,671.384,percent of total billed charges,999999999,,,,,,,,,,,,,,,,637.31,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,315.5,percent of total billed charges,299.6478259,,,,,,,,,,315.5,percent of total billed charges,294.6633882,,,,,,,,,,315.5,percent of total billed charges,293.8445312,,,,,,,,,,315.5,percent of total billed charges,289.5176741,,,,,,,,,,315.5,percent of total billed charges,296.9673895,,,,,,,,,,315.5,percent of total billed charges,999999999,,,,,,,,,,315.5,percent of total billed charges,254.8189326,,,,,,,,,,315.5,percent of total billed charges,401.867029,,,,,,,,,,315.5,percent of total billed charges,999999999,,,,,,,,,,315.5,percent of total billed charges,274.7571298,,,,,,,,,,1135.8,percent of total billed charges,,,,,
CLS FX HUMERL SHAFT W/O MANIP,24500,CDM,,,,both,,,1978,1978,421.0844425,1978,1978,percent of total billed charges,1455.28487,,,,1978,percent of total billed charges,1542.573188,,,,1978,percent of total billed charges,1455.28487,,,,1978,percent of total billed charges,1542.573188,,,,1978,percent of total billed charges,999999999,,,,1978,percent of total billed charges,1507.100053,,,,1978,percent of total billed charges,1455.28487,,,,1978,percent of total billed charges,1542.573188,,,,1410.314,percent of total billed charges,703.7724948,,,,1410.314,percent of total billed charges,421.0844425,,,,1410.314,percent of total billed charges,703.7724948,,,,1410.314,percent of total billed charges,421.0844425,,,,1410.314,percent of total billed charges,703.7724948,,,,1410.314,percent of total billed charges,421.0844425,,,,1396.468,percent of total billed charges,1385.872618,,,,1396.468,percent of total billed charges,955.8253599,,,,,,,,,,1424.16,percent of total billed charges,925.6704865,,,,,,,,,,1424.16,percent of total billed charges,999999999,,,,,,,,,,1582.4,percent of total billed charges,1325.968944,,,,1562.62,percent of total billed charges,1507.995547,,,,1562.62,percent of total billed charges,1332.363983,,,,1582.4,percent of total billed charges,999999999,,,,1582.4,percent of total billed charges,999999999,,,,1384.6,percent of total billed charges,999999999,,,,1384.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1052.296,percent of total billed charges,999999999,,,,,,,,,,,,,,,,998.89,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,494.5,percent of total billed charges,469.6540409,,,,,,,,,,494.5,percent of total billed charges,461.8416655,,,,,,,,,,494.5,percent of total billed charges,460.5582273,,,,,,,,,,494.5,percent of total billed charges,453.776513,,,,,,,,,,494.5,percent of total billed charges,465.4528497,,,,,,,,,,494.5,percent of total billed charges,999999999,,,,,,,,,,494.5,percent of total billed charges,399.3913223,,,,,,,,,,494.5,percent of total billed charges,629.8676571,,,,,,,,,,494.5,percent of total billed charges,999999999,,,,,,,,,,494.5,percent of total billed charges,430.6415236,,,,,,,,,,1780.2,percent of total billed charges,,,,,
CLS FX HUMERAL SHAFT W/MANIP,24505,CDM,,,,both,,,3527,3527,750.8416727,3527,3527,percent of total billed charges,2594.939199,,,,3527,percent of total billed charges,2750.584243,,,,3527,percent of total billed charges,2594.939199,,,,3527,percent of total billed charges,2750.584243,,,,3527,percent of total billed charges,999999999,,,,3527,percent of total billed charges,2687.331591,,,,3527,percent of total billed charges,2594.939199,,,,3527,percent of total billed charges,2750.584243,,,,2514.751,percent of total billed charges,1254.906769,,,,2514.751,percent of total billed charges,750.8416727,,,,2514.751,percent of total billed charges,1254.906769,,,,2514.751,percent of total billed charges,750.8416727,,,,2514.751,percent of total billed charges,1254.906769,,,,2514.751,percent of total billed charges,750.8416727,,,,2490.062,percent of total billed charges,2471.169223,,,,2490.062,percent of total billed charges,1704.345826,,,,,,,,,,2539.44,percent of total billed charges,1650.576242,,,,,,,,,,2539.44,percent of total billed charges,999999999,,,,,,,,,,2821.6,percent of total billed charges,2364.354128,,,,2786.33,percent of total billed charges,2688.928359,,,,2786.33,percent of total billed charges,2375.757213,,,,2821.6,percent of total billed charges,999999999,,,,2821.6,percent of total billed charges,999999999,,,,2468.9,percent of total billed charges,999999999,,,,2468.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1876.364,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1781.135,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,881.75,percent of total billed charges,837.4468161,,,,,,,,,,881.75,percent of total billed charges,823.5164581,,,,,,,,,,881.75,percent of total billed charges,821.2279411,,,,,,,,,,881.75,percent of total billed charges,809.1353697,,,,,,,,,,881.75,percent of total billed charges,829.9556123,,,,,,,,,,881.75,percent of total billed charges,999999999,,,,,,,,,,881.75,percent of total billed charges,712.1603608,,,,,,,,,,881.75,percent of total billed charges,1123.125999,,,,,,,,,,881.75,percent of total billed charges,999999999,,,,,,,,,,881.75,percent of total billed charges,767.8830403,,,,,,,,,,3174.3,percent of total billed charges,,,,,
CLSR HUMERAL FX W/WO INER EXT,24530,CDM,,,,both,,,2394,2394,509.6441634,2394,2394,percent of total billed charges,1761.350849,,,,2394,percent of total billed charges,1866.997073,,,,2394,percent of total billed charges,1761.350849,,,,2394,percent of total billed charges,1866.997073,,,,2394,percent of total billed charges,999999999,,,,2394,percent of total billed charges,1824.063461,,,,2394,percent of total billed charges,1761.350849,,,,2394,percent of total billed charges,1866.997073,,,,1706.922,percent of total billed charges,851.7853147,,,,1706.922,percent of total billed charges,509.6441634,,,,1706.922,percent of total billed charges,851.7853147,,,,1706.922,percent of total billed charges,509.6441634,,,,1706.922,percent of total billed charges,851.7853147,,,,1706.922,percent of total billed charges,509.6441634,,,,1690.164,percent of total billed charges,1677.340266,,,,1690.164,percent of total billed charges,1156.848287,,,,,,,,,,1723.68,percent of total billed charges,1120.351438,,,,,,,,,,1723.68,percent of total billed charges,999999999,,,,,,,,,,1915.2,percent of total billed charges,1604.838045,,,,1891.26,percent of total billed charges,1825.14729,,,,1891.26,percent of total billed charges,1612.578046,,,,1915.2,percent of total billed charges,999999999,,,,1915.2,percent of total billed charges,999999999,,,,1675.8,percent of total billed charges,999999999,,,,1675.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1273.608,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1208.97,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,598.5,percent of total billed charges,568.4286015,,,,,,,,,,598.5,percent of total billed charges,558.9731785,,,,,,,,,,598.5,percent of total billed charges,557.419816,,,,,,,,,,598.5,percent of total billed charges,549.211816,,,,,,,,,,598.5,percent of total billed charges,563.3438434,,,,,,,,,,598.5,percent of total billed charges,999999999,,,,,,,,,,598.5,percent of total billed charges,483.3886884,,,,,,,,,,598.5,percent of total billed charges,762.3372959,,,,,,,,,,598.5,percent of total billed charges,999999999,,,,,,,,,,598.5,percent of total billed charges,521.2112272,,,,,,,,,,2154.6,percent of total billed charges,,,,,
CLS HMERAL FX W/WO INTR MANIP,24535,CDM,,,,both,,,4127,4127,878.5720395,4127,4127,percent of total billed charges,3036.380515,,,,4127,percent of total billed charges,3218.503309,,,,4127,percent of total billed charges,3036.380515,,,,4127,percent of total billed charges,3218.503309,,,,4127,percent of total billed charges,999999999,,,,4127,percent of total billed charges,3144.490353,,,,4127,percent of total billed charges,3036.380515,,,,4127,percent of total billed charges,3218.503309,,,,2942.551,percent of total billed charges,1468.386798,,,,2942.551,percent of total billed charges,878.5720395,,,,2942.551,percent of total billed charges,1468.386798,,,,2942.551,percent of total billed charges,878.5720395,,,,2942.551,percent of total billed charges,1468.386798,,,,2942.551,percent of total billed charges,878.5720395,,,,2913.662,percent of total billed charges,2891.555254,,,,2913.662,percent of total billed charges,1994.28274,,,,,,,,,,2971.44,percent of total billed charges,1931.366076,,,,,,,,,,2971.44,percent of total billed charges,999999999,,,,,,,,,,3301.6,percent of total billed charges,2766.569177,,,,3260.33,percent of total billed charges,3146.358758,,,,3260.33,percent of total billed charges,2779.912112,,,,3301.6,percent of total billed charges,999999999,,,,3301.6,percent of total billed charges,999999999,,,,2888.9,percent of total billed charges,999999999,,,,2888.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2195.564,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2084.135,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1031.75,percent of total billed charges,979.9101247,,,,,,,,,,1031.75,percent of total billed charges,963.6099866,,,,,,,,,,1031.75,percent of total billed charges,960.9321557,,,,,,,,,,1031.75,percent of total billed charges,946.7824414,,,,,,,,,,1031.75,percent of total billed charges,971.1445454,,,,,,,,,,1031.75,percent of total billed charges,999999999,,,,,,,,,,1031.75,percent of total billed charges,833.310408,,,,,,,,,,1031.75,percent of total billed charges,1314.187978,,,,,,,,,,1031.75,percent of total billed charges,999999999,,,,,,,,,,1031.75,percent of total billed charges,898.5124206,,,,,,,,,,3714.3,percent of total billed charges,,,,,
CLS ELBOW DISLOC W/O ANES,24600,CDM,,,,both,,,2619,2619,557.543051,2619,2619,percent of total billed charges,1926.891342,,,,2619,percent of total billed charges,2042.466723,,,,2619,percent of total billed charges,1926.891342,,,,2619,percent of total billed charges,2042.466723,,,,2619,percent of total billed charges,999999999,,,,2619,percent of total billed charges,1995.497997,,,,2619,percent of total billed charges,1926.891342,,,,2619,percent of total billed charges,2042.466723,,,,1867.347,percent of total billed charges,931.8403255,,,,1867.347,percent of total billed charges,557.543051,,,,1867.347,percent of total billed charges,931.8403255,,,,1867.347,percent of total billed charges,557.543051,,,,1867.347,percent of total billed charges,931.8403255,,,,1867.347,percent of total billed charges,557.543051,,,,1849.014,percent of total billed charges,1834.985028,,,,1849.014,percent of total billed charges,1265.57463,,,,,,,,,,1885.68,percent of total billed charges,1225.647626,,,,,,,,,,1885.68,percent of total billed charges,999999999,,,,,,,,,,2095.2,percent of total billed charges,1755.668688,,,,2069.01,percent of total billed charges,1996.68369,,,,2069.01,percent of total billed charges,1764.136133,,,,2095.2,percent of total billed charges,999999999,,,,2095.2,percent of total billed charges,999999999,,,,1833.3,percent of total billed charges,999999999,,,,1833.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1393.308,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1322.595,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,654.75,percent of total billed charges,621.8523423,,,,,,,,,,654.75,percent of total billed charges,611.5082517,,,,,,,,,,654.75,percent of total billed charges,609.8088965,,,,,,,,,,654.75,percent of total billed charges,600.8294679,,,,,,,,,,654.75,percent of total billed charges,616.2896934,,,,,,,,,,654.75,percent of total billed charges,999999999,,,,,,,,,,654.75,percent of total billed charges,528.8199561,,,,,,,,,,654.75,percent of total billed charges,833.9855379,,,,,,,,,,654.75,percent of total billed charges,999999999,,,,,,,,,,654.75,percent of total billed charges,570.1972448,,,,,,,,,,2357.1,percent of total billed charges,,,,,
CLSD ELBOW DISLOC REG ANES,24605,CDM,,,,both,,,3027,3027,644.3997004,3027,3027,percent of total billed charges,2227.071436,,,,3027,percent of total billed charges,2360.651688,,,,3027,percent of total billed charges,2227.071436,,,,3027,percent of total billed charges,2360.651688,,,,3027,percent of total billed charges,999999999,,,,3027,percent of total billed charges,2306.365956,,,,3027,percent of total billed charges,2227.071436,,,,3027,percent of total billed charges,2360.651688,,,,2158.251,percent of total billed charges,1077.006745,,,,2158.251,percent of total billed charges,644.3997004,,,,2158.251,percent of total billed charges,1077.006745,,,,2158.251,percent of total billed charges,644.3997004,,,,2158.251,percent of total billed charges,1077.006745,,,,2158.251,percent of total billed charges,644.3997004,,,,2137.062,percent of total billed charges,2120.84753,,,,2137.062,percent of total billed charges,1462.731731,,,,,,,,,,2179.44,percent of total billed charges,1416.584713,,,,,,,,,,2179.44,percent of total billed charges,999999999,,,,,,,,,,2421.6,percent of total billed charges,2029.174921,,,,2391.33,percent of total billed charges,2307.736361,,,,2391.33,percent of total billed charges,2038.961464,,,,2421.6,percent of total billed charges,999999999,,,,2421.6,percent of total billed charges,999999999,,,,2118.9,percent of total billed charges,999999999,,,,2118.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1610.364,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1528.635,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,756.75,percent of total billed charges,718.7273922,,,,,,,,,,756.75,percent of total billed charges,706.7718511,,,,,,,,,,756.75,percent of total billed charges,704.8077623,,,,,,,,,,756.75,percent of total billed charges,694.4294766,,,,,,,,,,756.75,percent of total billed charges,712.2981679,,,,,,,,,,756.75,percent of total billed charges,999999999,,,,,,,,,,756.75,percent of total billed charges,611.2019882,,,,,,,,,,756.75,percent of total billed charges,963.9076836,,,,,,,,,,756.75,percent of total billed charges,999999999,,,,,,,,,,756.75,percent of total billed charges,659.0252234,,,,,,,,,,2724.3,percent of total billed charges,,,,,
CLS RADL HEAD SUBL CHILD W/MA,24640,CDM,,,,both,,,847,847,180.3127011,847,847,percent of total billed charges,623.1679903,,,,847,percent of total billed charges,660.5457482,,,,847,percent of total billed charges,623.1679903,,,,847,percent of total billed charges,660.5457482,,,,847,percent of total billed charges,999999999,,,,847,percent of total billed charges,645.3557861,,,,847,percent of total billed charges,623.1679903,,,,847,percent of total billed charges,660.5457482,,,,603.911,percent of total billed charges,301.3626406,,,,603.911,percent of total billed charges,180.3127011,,,,603.911,percent of total billed charges,301.3626406,,,,603.911,percent of total billed charges,180.3127011,,,,603.911,percent of total billed charges,301.3626406,,,,603.911,percent of total billed charges,180.3127011,,,,597.982,percent of total billed charges,593.444948,,,,597.982,percent of total billed charges,409.294277,,,,,,,,,,609.84,percent of total billed charges,396.3816492,,,,,,,,,,609.84,percent of total billed charges,999999999,,,,,,,,,,677.6,percent of total billed charges,567.7935772,,,,669.13,percent of total billed charges,645.739246,,,,669.13,percent of total billed charges,570.5319988,,,,677.6,percent of total billed charges,999999999,,,,677.6,percent of total billed charges,999999999,,,,592.9,percent of total billed charges,999999999,,,,592.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,450.604,percent of total billed charges,999999999,,,,,,,,,,,,,,,,427.735,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,211.75,percent of total billed charges,201.1107041,,,,,,,,,,211.75,percent of total billed charges,197.7653643,,,,,,,,,,211.75,percent of total billed charges,197.2157829,,,,,,,,,,211.75,percent of total billed charges,194.3117829,,,,,,,,,,211.75,percent of total billed charges,199.3117107,,,,,,,,,,211.75,percent of total billed charges,999999999,,,,,,,,,,211.75,percent of total billed charges,171.0234833,,,,,,,,,,211.75,percent of total billed charges,269.7158269,,,,,,,,,,211.75,percent of total billed charges,999999999,,,,,,,,,,211.75,percent of total billed charges,184.4051418,,,,,,,,,,762.3,percent of total billed charges,,,,,
CLS RADL HEAD/NECK FX WO MANI,24650,CDM,,,,both,,,1418,1418,301.8694335,1418,1418,percent of total billed charges,1043.272975,,,,1418,percent of total billed charges,1105.848726,,,,1418,percent of total billed charges,1043.272975,,,,1418,percent of total billed charges,1105.848726,,,,1418,percent of total billed charges,999999999,,,,1418,percent of total billed charges,1080.418541,,,,1418,percent of total billed charges,1043.272975,,,,1418,percent of total billed charges,1105.848726,,,,1011.034,percent of total billed charges,504.524468,,,,1011.034,percent of total billed charges,301.8694335,,,,1011.034,percent of total billed charges,504.524468,,,,1011.034,percent of total billed charges,301.8694335,,,,1011.034,percent of total billed charges,504.524468,,,,1011.034,percent of total billed charges,301.8694335,,,,1001.108,percent of total billed charges,993.5123215,,,,1001.108,percent of total billed charges,685.2175735,,,,,,,,,,1020.96,percent of total billed charges,663.5999747,,,,,,,,,,1020.96,percent of total billed charges,999999999,,,,,,,,,,1134.4,percent of total billed charges,950.5682319,,,,1120.22,percent of total billed charges,1081.060509,,,,1120.22,percent of total billed charges,955.1527441,,,,1134.4,percent of total billed charges,999999999,,,,1134.4,percent of total billed charges,999999999,,,,992.6,percent of total billed charges,999999999,,,,992.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,754.376,percent of total billed charges,999999999,,,,,,,,,,,,,,,,716.09,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,354.5,percent of total billed charges,336.6882861,,,,,,,,,,354.5,percent of total billed charges,331.0877056,,,,,,,,,,354.5,percent of total billed charges,330.167627,,,,,,,,,,354.5,percent of total billed charges,325.3059127,,,,,,,,,,354.5,percent of total billed charges,333.6765121,,,,,,,,,,354.5,percent of total billed charges,999999999,,,,,,,,,,354.5,percent of total billed charges,286.3179449,,,,,,,,,,354.5,percent of total billed charges,451.5431435,,,,,,,,,,354.5,percent of total billed charges,999999999,,,,,,,,,,354.5,percent of total billed charges,308.7207687,,,,,,,,,,1276.2,percent of total billed charges,,,,,
CLS ULNAR FX PRXML W/O MANIP,24670,CDM,,,,both,,,1653,1653,351.8971605,1653,1653,percent of total billed charges,1216.170824,,,,1653,percent of total billed charges,1289.117027,,,,1653,percent of total billed charges,1216.170824,,,,1653,percent of total billed charges,1289.117027,,,,1653,percent of total billed charges,999999999,,,,1653,percent of total billed charges,1259.47239,,,,1653,percent of total billed charges,1216.170824,,,,1653,percent of total billed charges,1289.117027,,,,1178.589,percent of total billed charges,588.1374792,,,,1178.589,percent of total billed charges,351.8971605,,,,1178.589,percent of total billed charges,588.1374792,,,,1178.589,percent of total billed charges,351.8971605,,,,1178.589,percent of total billed charges,588.1374792,,,,1178.589,percent of total billed charges,351.8971605,,,,1167.018,percent of total billed charges,1158.163517,,,,1167.018,percent of total billed charges,798.7761981,,,,,,,,,,1190.16,percent of total billed charges,773.575993,,,,,,,,,,1190.16,percent of total billed charges,999999999,,,,,,,,,,1322.4,percent of total billed charges,1108.102459,,,,1305.87,percent of total billed charges,1260.220748,,,,1305.87,percent of total billed charges,1113.446746,,,,1322.4,percent of total billed charges,999999999,,,,1322.4,percent of total billed charges,999999999,,,,1157.1,percent of total billed charges,999999999,,,,1157.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,879.396,percent of total billed charges,999999999,,,,,,,,,,,,,,,,834.765,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,413.25,percent of total billed charges,392.4864154,,,,,,,,,,413.25,percent of total billed charges,385.9576709,,,,,,,,,,413.25,percent of total billed charges,384.8851111,,,,,,,,,,413.25,percent of total billed charges,379.2176825,,,,,,,,,,413.25,percent of total billed charges,388.9755109,,,,,,,,,,413.25,percent of total billed charges,999999999,,,,,,,,,,413.25,percent of total billed charges,333.7683801,,,,,,,,,,413.25,percent of total billed charges,526.3757519,,,,,,,,,,413.25,percent of total billed charges,999999999,,,,,,,,,,413.25,percent of total billed charges,359.8839426,,,,,,,,,,1487.7,percent of total billed charges,,,,,
CLS RADIAL SHAFT FX W/O MANIP,25500,CDM,,,,both,,,1513,1513,322.0934082,1513,1513,percent of total billed charges,1113.16785,,,,1513,percent of total billed charges,1179.935911,,,,1513,percent of total billed charges,1113.16785,,,,1513,percent of total billed charges,1179.935911,,,,1513,percent of total billed charges,999999999,,,,1513,percent of total billed charges,1152.802012,,,,1513,percent of total billed charges,1113.16785,,,,1513,percent of total billed charges,1179.935911,,,,1078.769,percent of total billed charges,538.3254725,,,,1078.769,percent of total billed charges,322.0934082,,,,1078.769,percent of total billed charges,538.3254725,,,,1078.769,percent of total billed charges,322.0934082,,,,1078.769,percent of total billed charges,538.3254725,,,,1078.769,percent of total billed charges,322.0934082,,,,1068.178,percent of total billed charges,1060.073443,,,,1068.178,percent of total billed charges,731.1242515,,,,,,,,,,1089.36,percent of total billed charges,708.0583651,,,,,,,,,,1089.36,percent of total billed charges,999999999,,,,,,,,,,1210.4,percent of total billed charges,1014.252281,,,,1195.27,percent of total billed charges,1153.486988,,,,1195.27,percent of total billed charges,1019.143936,,,,1210.4,percent of total billed charges,999999999,,,,1210.4,percent of total billed charges,999999999,,,,1059.1,percent of total billed charges,999999999,,,,1059.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,804.916,percent of total billed charges,999999999,,,,,,,,,,,,,,,,764.065,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,378.25,percent of total billed charges,359.2449767,,,,,,,,,,378.25,percent of total billed charges,353.2691809,,,,,,,,,,378.25,percent of total billed charges,352.287461,,,,,,,,,,378.25,percent of total billed charges,347.1000324,,,,,,,,,,378.25,percent of total billed charges,356.0314265,,,,,,,,,,378.25,percent of total billed charges,999999999,,,,,,,,,,378.25,percent of total billed charges,305.5000357,,,,,,,,,,378.25,percent of total billed charges,481.7946235,,,,,,,,,,378.25,percent of total billed charges,999999999,,,,,,,,,,378.25,percent of total billed charges,329.4037539,,,,,,,,,,1361.7,percent of total billed charges,,,,,
CLOS RADIAL SHAFT FX W/MANIP,25505,CDM,,,,both,,,3225,3225,686.5507214,3225,3225,percent of total billed charges,2372.74707,,,,3225,percent of total billed charges,2515.06498,,,,3225,percent of total billed charges,2372.74707,,,,3225,percent of total billed charges,2515.06498,,,,3225,percent of total billed charges,999999999,,,,3225,percent of total billed charges,2457.228347,,,,3225,percent of total billed charges,2372.74707,,,,3225,percent of total billed charges,2515.06498,,,,2299.425,percent of total billed charges,1147.455155,,,,2299.425,percent of total billed charges,686.5507214,,,,2299.425,percent of total billed charges,1147.455155,,,,2299.425,percent of total billed charges,686.5507214,,,,2299.425,percent of total billed charges,1147.455155,,,,2299.425,percent of total billed charges,686.5507214,,,,2276.85,percent of total billed charges,2259.57492,,,,2276.85,percent of total billed charges,1558.410913,,,,,,,,,,2322,percent of total billed charges,1509.245358,,,,,,,,,,2322,percent of total billed charges,999999999,,,,,,,,,,2580,percent of total billed charges,2161.905887,,,,2547.75,percent of total billed charges,2458.688392,,,,2547.75,percent of total billed charges,2172.332581,,,,2580,percent of total billed charges,999999999,,,,2580,percent of total billed charges,999999999,,,,2257.5,percent of total billed charges,999999999,,,,2257.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1715.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1628.625,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,806.25,percent of total billed charges,765.740284,,,,,,,,,,806.25,percent of total billed charges,753.0027154,,,,,,,,,,806.25,percent of total billed charges,750.9101531,,,,,,,,,,806.25,percent of total billed charges,739.8530103,,,,,,,,,,806.25,percent of total billed charges,758.8905159,,,,,,,,,,806.25,percent of total billed charges,999999999,,,,,,,,,,806.25,percent of total billed charges,651.1815037,,,,,,,,,,806.25,percent of total billed charges,1026.958137,,,,,,,,,,806.25,percent of total billed charges,999999999,,,,,,,,,,806.25,percent of total billed charges,702.1329189,,,,,,,,,,2902.5,percent of total billed charges,,,,,
CLOS ULNAR SHAFT FX W/O MANIP,25530,CDM,,,,both,,,1397,1397,297.3988706,1397,1397,percent of total billed charges,1027.822529,,,,1397,percent of total billed charges,1089.471559,,,,1397,percent of total billed charges,1027.822529,,,,1397,percent of total billed charges,1089.471559,,,,1397,percent of total billed charges,999999999,,,,1397,percent of total billed charges,1064.417985,,,,1397,percent of total billed charges,1027.822529,,,,1397,percent of total billed charges,1089.471559,,,,996.061,percent of total billed charges,497.052667,,,,996.061,percent of total billed charges,297.3988706,,,,996.061,percent of total billed charges,497.052667,,,,996.061,percent of total billed charges,297.3988706,,,,996.061,percent of total billed charges,497.052667,,,,996.061,percent of total billed charges,297.3988706,,,,986.282,percent of total billed charges,978.7988103,,,,986.282,percent of total billed charges,675.0697815,,,,,,,,,,1005.84,percent of total billed charges,653.7723305,,,,,,,,,,1005.84,percent of total billed charges,999999999,,,,,,,,,,1117.6,percent of total billed charges,936.4907052,,,,1103.63,percent of total billed charges,1065.050445,,,,1103.63,percent of total billed charges,941.0073226,,,,1117.6,percent of total billed charges,999999999,,,,1117.6,percent of total billed charges,999999999,,,,977.9,percent of total billed charges,999999999,,,,977.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,743.204,percent of total billed charges,999999999,,,,,,,,,,,,,,,,705.485,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,349.25,percent of total billed charges,331.7020703,,,,,,,,,,349.25,percent of total billed charges,326.1844321,,,,,,,,,,349.25,percent of total billed charges,325.2779795,,,,,,,,,,349.25,percent of total billed charges,320.4882652,,,,,,,,,,349.25,percent of total billed charges,328.7348994,,,,,,,,,,349.25,percent of total billed charges,999999999,,,,,,,,,,349.25,percent of total billed charges,282.0776932,,,,,,,,,,349.25,percent of total billed charges,444.8559742,,,,,,,,,,349.25,percent of total billed charges,999999999,,,,,,,,,,349.25,percent of total billed charges,304.1487404,,,,,,,,,,1257.3,percent of total billed charges,,,,,
CLOS ULNAR SHAFT FX W/MANIP,25535,CDM,,,,both,,,3192,3192,679.5255512,3192,3192,percent of total billed charges,2348.467798,,,,3192,percent of total billed charges,2489.329431,,,,3192,percent of total billed charges,2348.467798,,,,3192,percent of total billed charges,2489.329431,,,,3192,percent of total billed charges,999999999,,,,3192,percent of total billed charges,2432.084615,,,,3192,percent of total billed charges,2348.467798,,,,3192,percent of total billed charges,2489.329431,,,,2275.896,percent of total billed charges,1135.713753,,,,2275.896,percent of total billed charges,679.5255512,,,,2275.896,percent of total billed charges,1135.713753,,,,2275.896,percent of total billed charges,679.5255512,,,,2275.896,percent of total billed charges,1135.713753,,,,2275.896,percent of total billed charges,679.5255512,,,,2253.552,percent of total billed charges,2236.453688,,,,2253.552,percent of total billed charges,1542.464383,,,,,,,,,,2298.24,percent of total billed charges,1493.801918,,,,,,,,,,2298.24,percent of total billed charges,999999999,,,,,,,,,,2553.6,percent of total billed charges,2139.784059,,,,2521.68,percent of total billed charges,2433.52972,,,,2521.68,percent of total billed charges,2150.104061,,,,2553.6,percent of total billed charges,999999999,,,,2553.6,percent of total billed charges,999999999,,,,2234.4,percent of total billed charges,999999999,,,,2234.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1698.144,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1611.96,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,798,percent of total billed charges,757.9048021,,,,,,,,,,798,percent of total billed charges,745.2975714,,,,,,,,,,798,percent of total billed charges,743.2264213,,,,,,,,,,798,percent of total billed charges,732.2824213,,,,,,,,,,798,percent of total billed charges,751.1251246,,,,,,,,,,798,percent of total billed charges,999999999,,,,,,,,,,798,percent of total billed charges,644.5182511,,,,,,,,,,798,percent of total billed charges,1016.449728,,,,,,,,,,798,percent of total billed charges,999999999,,,,,,,,,,798,percent of total billed charges,694.948303,,,,,,,,,,2872.8,percent of total billed charges,,,,,
CLS RAD& ULNAR SHAFT WO MANIP,25560,CDM,,,,both,,,1597,1597,339.9756596,1597,1597,percent of total billed charges,1174.969635,,,,1597,percent of total billed charges,1245.444581,,,,1597,percent of total billed charges,1174.969635,,,,1597,percent of total billed charges,1245.444581,,,,1597,percent of total billed charges,999999999,,,,1597,percent of total billed charges,1216.804239,,,,1597,percent of total billed charges,1174.969635,,,,1597,percent of total billed charges,1245.444581,,,,1138.661,percent of total billed charges,568.2126765,,,,1138.661,percent of total billed charges,339.9756596,,,,1138.661,percent of total billed charges,568.2126765,,,,1138.661,percent of total billed charges,339.9756596,,,,1138.661,percent of total billed charges,568.2126765,,,,1138.661,percent of total billed charges,339.9756596,,,,1127.482,percent of total billed charges,1118.927488,,,,1127.482,percent of total billed charges,771.7154195,,,,,,,,,,1149.84,percent of total billed charges,747.3689418,,,,,,,,,,1149.84,percent of total billed charges,999999999,,,,,,,,,,1277.6,percent of total billed charges,1070.562388,,,,1261.63,percent of total billed charges,1217.527244,,,,1261.63,percent of total billed charges,1075.725622,,,,1277.6,percent of total billed charges,999999999,,,,1277.6,percent of total billed charges,999999999,,,,1117.9,percent of total billed charges,999999999,,,,1117.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,849.604,percent of total billed charges,999999999,,,,,,,,,,,,,,,,806.485,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,399.25,percent of total billed charges,379.1898399,,,,,,,,,,399.25,percent of total billed charges,372.8822749,,,,,,,,,,399.25,percent of total billed charges,371.846051,,,,,,,,,,399.25,percent of total billed charges,366.3706225,,,,,,,,,,399.25,percent of total billed charges,375.7978772,,,,,,,,,,399.25,percent of total billed charges,999999999,,,,,,,,,,399.25,percent of total billed charges,322.4610423,,,,,,,,,,399.25,percent of total billed charges,508.5433005,,,,,,,,,,399.25,percent of total billed charges,999999999,,,,,,,,,,399.25,percent of total billed charges,347.6918671,,,,,,,,,,1437.3,percent of total billed charges,,,,,
CLS RAD&ULNAR SHAFT FX W/MANI,25565,CDM,,,,both,,,3501,3501,745.3066901,3501,3501,percent of total billed charges,2575.810076,,,,3501,percent of total billed charges,2730.30775,,,,3501,percent of total billed charges,2575.810076,,,,3501,percent of total billed charges,2730.30775,,,,3501,percent of total billed charges,999999999,,,,3501,percent of total billed charges,2667.521378,,,,3501,percent of total billed charges,2575.810076,,,,3501,percent of total billed charges,2730.30775,,,,2496.213,percent of total billed charges,1245.655968,,,,2496.213,percent of total billed charges,745.3066901,,,,2496.213,percent of total billed charges,1245.655968,,,,2496.213,percent of total billed charges,745.3066901,,,,2496.213,percent of total billed charges,1245.655968,,,,2496.213,percent of total billed charges,745.3066901,,,,2471.706,percent of total billed charges,2452.952495,,,,2471.706,percent of total billed charges,1691.781893,,,,,,,,,,2520.72,percent of total billed charges,1638.408682,,,,,,,,,,2520.72,percent of total billed charges,999999999,,,,,,,,,,2800.8,percent of total billed charges,2346.924809,,,,2765.79,percent of total billed charges,2669.106376,,,,2765.79,percent of total billed charges,2358.243834,,,,2800.8,percent of total billed charges,999999999,,,,2800.8,percent of total billed charges,999999999,,,,2450.7,percent of total billed charges,999999999,,,,2450.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1862.532,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1768.005,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,875.25,percent of total billed charges,831.273406,,,,,,,,,,875.25,percent of total billed charges,817.4457385,,,,,,,,,,875.25,percent of total billed charges,815.1740918,,,,,,,,,,875.25,percent of total billed charges,803.1706632,,,,,,,,,,875.25,percent of total billed charges,823.8374252,,,,,,,,,,875.25,percent of total billed charges,999999999,,,,,,,,,,875.25,percent of total billed charges,706.9105254,,,,,,,,,,875.25,percent of total billed charges,1114.846647,,,,,,,,,,875.25,percent of total billed charges,999999999,,,,,,,,,,875.25,percent of total billed charges,762.2224338,,,,,,,,,,3150.9,percent of total billed charges,,,,,
CLS DISTAL RAD FX W/WO FX ULN,25600,CDM,,,,both,,,1638,1638,348.7039013,1638,1638,percent of total billed charges,1205.134791,,,,1638,percent of total billed charges,1277.41905,,,,1638,percent of total billed charges,1205.134791,,,,1638,percent of total billed charges,1277.41905,,,,1638,percent of total billed charges,999999999,,,,1638,percent of total billed charges,1248.043421,,,,1638,percent of total billed charges,1205.134791,,,,1638,percent of total billed charges,1277.41905,,,,1167.894,percent of total billed charges,582.8004785,,,,1167.894,percent of total billed charges,348.7039013,,,,1167.894,percent of total billed charges,582.8004785,,,,1167.894,percent of total billed charges,348.7039013,,,,1167.894,percent of total billed charges,582.8004785,,,,1167.894,percent of total billed charges,348.7039013,,,,1156.428,percent of total billed charges,1147.653866,,,,1156.428,percent of total billed charges,791.5277753,,,,,,,,,,1179.36,percent of total billed charges,766.5562472,,,,,,,,,,1179.36,percent of total billed charges,999999999,,,,,,,,,,1310.4,percent of total billed charges,1098.047083,,,,1294.02,percent of total billed charges,1248.784988,,,,1294.02,percent of total billed charges,1103.342874,,,,1310.4,percent of total billed charges,999999999,,,,1310.4,percent of total billed charges,999999999,,,,1146.6,percent of total billed charges,999999999,,,,1146.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,871.416,percent of total billed charges,999999999,,,,,,,,,,,,,,,,827.19,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,409.5,percent of total billed charges,388.9248326,,,,,,,,,,409.5,percent of total billed charges,382.4553327,,,,,,,,,,409.5,percent of total billed charges,381.3925057,,,,,,,,,,409.5,percent of total billed charges,375.7765057,,,,,,,,,,409.5,percent of total billed charges,385.4457876,,,,,,,,,,409.5,percent of total billed charges,999999999,,,,,,,,,,409.5,percent of total billed charges,330.7396289,,,,,,,,,,409.5,percent of total billed charges,521.5992024,,,,,,,,,,409.5,percent of total billed charges,999999999,,,,,,,,,,409.5,percent of total billed charges,356.6182081,,,,,,,,,,1474.2,percent of total billed charges,,,,,
CLS DISTL RAD FX W/WO FX ULNR,25605,CDM,,,,both,,,3558,3558,757.441075,3558,3558,percent of total billed charges,2617.747001,,,,3558,percent of total billed charges,2774.760061,,,,3558,percent of total billed charges,2617.747001,,,,3558,percent of total billed charges,2774.760061,,,,3558,percent of total billed charges,999999999,,,,3558,percent of total billed charges,2710.95146,,,,3558,percent of total billed charges,2617.747001,,,,3558,percent of total billed charges,2774.760061,,,,2536.854,percent of total billed charges,1265.936571,,,,2536.854,percent of total billed charges,757.441075,,,,2536.854,percent of total billed charges,1265.936571,,,,2536.854,percent of total billed charges,757.441075,,,,2536.854,percent of total billed charges,1265.936571,,,,2536.854,percent of total billed charges,757.441075,,,,2511.948,percent of total billed charges,2492.889168,,,,2511.948,percent of total billed charges,1719.3259,,,,,,,,,,2561.76,percent of total billed charges,1665.083716,,,,,,,,,,2561.76,percent of total billed charges,999999999,,,,,,,,,,2846.4,percent of total billed charges,2385.135239,,,,2810.82,percent of total billed charges,2712.562263,,,,2810.82,percent of total billed charges,2396.63855,,,,2846.4,percent of total billed charges,999999999,,,,2846.4,percent of total billed charges,999999999,,,,2490.6,percent of total billed charges,999999999,,,,2490.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1892.856,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1796.79,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,889.5,percent of total billed charges,844.8074203,,,,,,,,,,889.5,percent of total billed charges,830.7546237,,,,,,,,,,889.5,percent of total billed charges,828.4459922,,,,,,,,,,889.5,percent of total billed charges,816.2471351,,,,,,,,,,889.5,percent of total billed charges,837.2503738,,,,,,,,,,889.5,percent of total billed charges,999999999,,,,,,,,,,889.5,percent of total billed charges,718.4197799,,,,,,,,,,889.5,percent of total billed charges,1132.997535,,,,,,,,,,889.5,percent of total billed charges,999999999,,,,,,,,,,889.5,percent of total billed charges,774.6322249,,,,,,,,,,3202.2,percent of total billed charges,,,,,
CLS FX CARPL SCAPHOID WO MANI,25622,CDM,,,,both,,,1604,1604,341.4658472,1604,1604,percent of total billed charges,1180.119783,,,,1604,percent of total billed charges,1250.903636,,,,1604,percent of total billed charges,1180.119783,,,,1604,percent of total billed charges,1250.903636,,,,1604,percent of total billed charges,999999999,,,,1604,percent of total billed charges,1222.137758,,,,1604,percent of total billed charges,1180.119783,,,,1604,percent of total billed charges,1250.903636,,,,1143.652,percent of total billed charges,570.7032769,,,,1143.652,percent of total billed charges,341.4658472,,,,1143.652,percent of total billed charges,570.7032769,,,,1143.652,percent of total billed charges,341.4658472,,,,1143.652,percent of total billed charges,570.7032769,,,,1143.652,percent of total billed charges,341.4658472,,,,1132.424,percent of total billed charges,1123.831991,,,,1132.424,percent of total billed charges,775.0980168,,,,,,,,,,1154.88,percent of total billed charges,750.6448232,,,,,,,,,,1154.88,percent of total billed charges,999999999,,,,,,,,,,1283.2,percent of total billed charges,1075.254897,,,,1267.16,percent of total billed charges,1222.863932,,,,1267.16,percent of total billed charges,1080.440763,,,,1283.2,percent of total billed charges,999999999,,,,1283.2,percent of total billed charges,999999999,,,,1122.8,percent of total billed charges,999999999,,,,1122.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,853.328,percent of total billed charges,999999999,,,,,,,,,,,,,,,,810.02,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,401,percent of total billed charges,380.8519118,,,,,,,,,,401,percent of total billed charges,374.5166994,,,,,,,,,,401,percent of total billed charges,373.4759335,,,,,,,,,,401,percent of total billed charges,367.976505,,,,,,,,,,401,percent of total billed charges,377.4450814,,,,,,,,,,401,percent of total billed charges,999999999,,,,,,,,,,401,percent of total billed charges,323.8744595,,,,,,,,,,401,percent of total billed charges,510.772357,,,,,,,,,,401,percent of total billed charges,999999999,,,,,,,,,,401,percent of total billed charges,349.2158766,,,,,,,,,,1443.6,percent of total billed charges,,,,,
CLS FX METACRPL SNGL W/O MANI,26600,CDM,,,,both,,,1303,1303,277.3877798,1303,1303,percent of total billed charges,958.66339,,,,1303,percent of total billed charges,1016.164238,,,,1303,percent of total billed charges,958.66339,,,,1303,percent of total billed charges,1016.164238,,,,1303,percent of total billed charges,999999999,,,,1303,percent of total billed charges,992.7964454,,,,1303,percent of total billed charges,958.66339,,,,1303,percent of total billed charges,1016.164238,,,,929.039,percent of total billed charges,463.6074624,,,,929.039,percent of total billed charges,277.3877798,,,,929.039,percent of total billed charges,463.6074624,,,,929.039,percent of total billed charges,277.3877798,,,,929.039,percent of total billed charges,463.6074624,,,,929.039,percent of total billed charges,277.3877798,,,,919.918,percent of total billed charges,912.9383321,,,,919.918,percent of total billed charges,629.6463316,,,,,,,,,,938.16,percent of total billed charges,609.7819231,,,,,,,,,,938.16,percent of total billed charges,999999999,,,,,,,,,,1042.4,percent of total billed charges,873.4770142,,,,1029.37,percent of total billed charges,993.3863489,,,,1029.37,percent of total billed charges,877.6897218,,,,1042.4,percent of total billed charges,999999999,,,,1042.4,percent of total billed charges,999999999,,,,912.1,percent of total billed charges,999999999,,,,912.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,693.196,percent of total billed charges,999999999,,,,,,,,,,,,,,,,658.015,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,325.75,percent of total billed charges,309.3828186,,,,,,,,,,325.75,percent of total billed charges,304.236446,,,,,,,,,,325.75,percent of total billed charges,303.3909859,,,,,,,,,,325.75,percent of total billed charges,298.9235573,,,,,,,,,,325.75,percent of total billed charges,306.6152999,,,,,,,,,,325.75,percent of total billed charges,999999999,,,,,,,,,,325.75,percent of total billed charges,263.0975192,,,,,,,,,,325.75,percent of total billed charges,414.9229309,,,,,,,,,,325.75,percent of total billed charges,999999999,,,,,,,,,,325.75,percent of total billed charges,283.6834708,,,,,,,,,,1172.7,percent of total billed charges,,,,,
CLS FX METACARPAL S W/MANIP,26605,CDM,,,,both,,,1945,1945,414.0592723,1945,1945,percent of total billed charges,1431.005598,,,,1945,percent of total billed charges,1516.837639,,,,1945,percent of total billed charges,1431.005598,,,,1945,percent of total billed charges,1516.837639,,,,1945,percent of total billed charges,999999999,,,,1945,percent of total billed charges,1481.956321,,,,1945,percent of total billed charges,1431.005598,,,,1945,percent of total billed charges,1516.837639,,,,1386.785,percent of total billed charges,692.0310932,,,,1386.785,percent of total billed charges,414.0592723,,,,1386.785,percent of total billed charges,692.0310932,,,,1386.785,percent of total billed charges,414.0592723,,,,1386.785,percent of total billed charges,692.0310932,,,,1386.785,percent of total billed charges,414.0592723,,,,1373.17,percent of total billed charges,1362.751386,,,,1373.17,percent of total billed charges,939.8788296,,,,,,,,,,1400.4,percent of total billed charges,910.2270456,,,,,,,,,,1400.4,percent of total billed charges,999999999,,,,,,,,,,1556,percent of total billed charges,1303.847116,,,,1536.55,percent of total billed charges,1482.836875,,,,1536.55,percent of total billed charges,1310.135463,,,,1556,percent of total billed charges,999999999,,,,1556,percent of total billed charges,999999999,,,,1361.5,percent of total billed charges,999999999,,,,1361.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1034.74,percent of total billed charges,999999999,,,,,,,,,,,,,,,,982.225,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,486.25,percent of total billed charges,461.8185589,,,,,,,,,,486.25,percent of total billed charges,454.1365214,,,,,,,,,,486.25,percent of total billed charges,452.8744955,,,,,,,,,,486.25,percent of total billed charges,446.205924,,,,,,,,,,486.25,percent of total billed charges,457.6874584,,,,,,,,,,486.25,percent of total billed charges,999999999,,,,,,,,,,486.25,percent of total billed charges,392.7280697,,,,,,,,,,486.25,percent of total billed charges,619.3592483,,,,,,,,,,486.25,percent of total billed charges,999999999,,,,,,,,,,486.25,percent of total billed charges,423.4569077,,,,,,,,,,1750.5,percent of total billed charges,,,,,
CLS CARPMTCRL DSLC THUMB W/MA,26641,CDM,,,,both,,,2410,2410,513.0503065,2410,2410,percent of total billed charges,1773.122617,,,,2410,percent of total billed charges,1879.474915,,,,2410,percent of total billed charges,1773.122617,,,,2410,percent of total billed charges,1879.474915,,,,2410,percent of total billed charges,999999999,,,,2410,percent of total billed charges,1836.254362,,,,2410,percent of total billed charges,1773.122617,,,,2410,percent of total billed charges,1879.474915,,,,1718.33,percent of total billed charges,857.4781155,,,,1718.33,percent of total billed charges,513.0503065,,,,1718.33,percent of total billed charges,857.4781155,,,,1718.33,percent of total billed charges,513.0503065,,,,1718.33,percent of total billed charges,857.4781155,,,,1718.33,percent of total billed charges,513.0503065,,,,1701.46,percent of total billed charges,1688.55056,,,,1701.46,percent of total billed charges,1164.579938,,,,,,,,,,1735.2,percent of total billed charges,1127.839167,,,,,,,,,,1735.2,percent of total billed charges,999999999,,,,,,,,,,1928,percent of total billed charges,1615.563779,,,,1903.9,percent of total billed charges,1837.345434,,,,1903.9,percent of total billed charges,1623.35551,,,,1928,percent of total billed charges,999999999,,,,1928,percent of total billed charges,999999999,,,,1687,percent of total billed charges,999999999,,,,1687,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1282.12,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1217.05,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,602.5,percent of total billed charges,572.2276231,,,,,,,,,,602.5,percent of total billed charges,562.709006,,,,,,,,,,602.5,percent of total billed charges,561.1452617,,,,,,,,,,602.5,percent of total billed charges,552.8824046,,,,,,,,,,602.5,percent of total billed charges,567.1088816,,,,,,,,,,602.5,percent of total billed charges,999999999,,,,,,,,,,602.5,percent of total billed charges,486.6193563,,,,,,,,,,602.5,percent of total billed charges,767.432282,,,,,,,,,,602.5,percent of total billed charges,999999999,,,,,,,,,,602.5,percent of total billed charges,524.6946774,,,,,,,,,,2169,percent of total billed charges,,,,,
CLS CARPMTCP FX DISLC THUMB/M,26645,CDM,,,,both,,,2732,2732,581.5989367,2732,2732,percent of total billed charges,2010.029456,,,,2732,percent of total billed charges,2130.591481,,,,2732,percent of total billed charges,2010.029456,,,,2732,percent of total billed charges,2130.591481,,,,2732,percent of total billed charges,999999999,,,,2732,percent of total billed charges,2081.596231,,,,2732,percent of total billed charges,2010.029456,,,,2732,percent of total billed charges,2130.591481,,,,1947.916,percent of total billed charges,972.0457309,,,,1947.916,percent of total billed charges,581.5989367,,,,1947.916,percent of total billed charges,972.0457309,,,,1947.916,percent of total billed charges,581.5989367,,,,1947.916,percent of total billed charges,972.0457309,,,,1947.916,percent of total billed charges,581.5989367,,,,1928.792,percent of total billed charges,1914.157731,,,,1928.792,percent of total billed charges,1320.179415,,,,,,,,,,1967.04,percent of total billed charges,1278.529711,,,,,,,,,,1967.04,percent of total billed charges,999999999,,,,,,,,,,2185.6,percent of total billed charges,1831.419189,,,,2158.28,percent of total billed charges,2082.833081,,,,2158.28,percent of total billed charges,1840.251972,,,,2185.6,percent of total billed charges,999999999,,,,2185.6,percent of total billed charges,999999999,,,,1912.4,percent of total billed charges,999999999,,,,1912.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1453.424,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1379.66,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,683,percent of total billed charges,648.6829321,,,,,,,,,,683,percent of total billed charges,637.8925329,,,,,,,,,,683,percent of total billed charges,636.1198569,,,,,,,,,,683,percent of total billed charges,626.7529997,,,,,,,,,,683,percent of total billed charges,642.8802758,,,,,,,,,,683,percent of total billed charges,999999999,,,,,,,,,,683,percent of total billed charges,551.6365483,,,,,,,,,,683,percent of total billed charges,869.9688773,,,,,,,,,,683,percent of total billed charges,999999999,,,,,,,,,,683,percent of total billed charges,594.7991114,,,,,,,,,,2458.8,percent of total billed charges,,,,,
CL DL OT THMB S W/MANI/WO ANE,26670,CDM,,,,both,,,2278,2278,484.9496259,2278,2278,percent of total billed charges,1676.005528,,,,2278,percent of total billed charges,1776.532721,,,,2278,percent of total billed charges,1676.005528,,,,2278,percent of total billed charges,1776.532721,,,,2278,percent of total billed charges,999999999,,,,2278,percent of total billed charges,1735.679434,,,,2278,percent of total billed charges,1676.005528,,,,2278,percent of total billed charges,1776.532721,,,,1624.214,percent of total billed charges,810.5125092,,,,1624.214,percent of total billed charges,484.9496259,,,,1624.214,percent of total billed charges,810.5125092,,,,1624.214,percent of total billed charges,484.9496259,,,,1624.214,percent of total billed charges,810.5125092,,,,1624.214,percent of total billed charges,484.9496259,,,,1608.268,percent of total billed charges,1596.065633,,,,1608.268,percent of total billed charges,1100.793817,,,,,,,,,,1640.16,percent of total billed charges,1066.065404,,,,,,,,,,1640.16,percent of total billed charges,999999999,,,,,,,,,,1822.4,percent of total billed charges,1527.076468,,,,1799.62,percent of total billed charges,1736.710746,,,,1799.62,percent of total billed charges,1534.441432,,,,1822.4,percent of total billed charges,999999999,,,,1822.4,percent of total billed charges,999999999,,,,1594.6,percent of total billed charges,999999999,,,,1594.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1211.896,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1150.39,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,569.5,percent of total billed charges,540.8856952,,,,,,,,,,569.5,percent of total billed charges,531.8884297,,,,,,,,,,569.5,percent of total billed charges,530.4103345,,,,,,,,,,569.5,percent of total billed charges,522.6000488,,,,,,,,,,569.5,percent of total billed charges,536.0473163,,,,,,,,,,569.5,percent of total billed charges,999999999,,,,,,,,,,569.5,percent of total billed charges,459.9663459,,,,,,,,,,569.5,percent of total billed charges,725.3986466,,,,,,,,,,569.5,percent of total billed charges,999999999,,,,,,,,,,569.5,percent of total billed charges,495.9562137,,,,,,,,,,2050.2,percent of total billed charges,,,,,
CL MTCRPHL DL S W/MANI WO/ANE,26700,CDM,,,,both,,,1879,1879,400.0089319,1879,1879,percent of total billed charges,1382.447053,,,,1879,percent of total billed charges,1465.366542,,,,1879,percent of total billed charges,1382.447053,,,,1879,percent of total billed charges,1465.366542,,,,1879,percent of total billed charges,999999999,,,,1879,percent of total billed charges,1431.668857,,,,1879,percent of total billed charges,1382.447053,,,,1879,percent of total billed charges,1465.366542,,,,1339.727,percent of total billed charges,668.5482901,,,,1339.727,percent of total billed charges,400.0089319,,,,1339.727,percent of total billed charges,668.5482901,,,,1339.727,percent of total billed charges,400.0089319,,,,1339.727,percent of total billed charges,668.5482901,,,,1339.727,percent of total billed charges,400.0089319,,,,1326.574,percent of total billed charges,1316.508922,,,,1326.574,percent of total billed charges,907.9857691,,,,,,,,,,1352.88,percent of total billed charges,879.3401639,,,,,,,,,,1352.88,percent of total billed charges,999999999,,,,,,,,,,1503.2,percent of total billed charges,1259.603461,,,,1484.41,percent of total billed charges,1432.519531,,,,1484.41,percent of total billed charges,1265.678425,,,,1503.2,percent of total billed charges,999999999,,,,1503.2,percent of total billed charges,999999999,,,,1315.3,percent of total billed charges,999999999,,,,1315.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,999.628,percent of total billed charges,999999999,,,,,,,,,,,,,,,,948.895,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,469.75,percent of total billed charges,446.1475949,,,,,,,,,,469.75,percent of total billed charges,438.7262333,,,,,,,,,,469.75,percent of total billed charges,437.5070319,,,,,,,,,,469.75,percent of total billed charges,431.0647461,,,,,,,,,,469.75,percent of total billed charges,442.1566758,,,,,,,,,,469.75,percent of total billed charges,999999999,,,,,,,,,,469.75,percent of total billed charges,379.4015645,,,,,,,,,,469.75,percent of total billed charges,598.3424306,,,,,,,,,,469.75,percent of total billed charges,999999999,,,,,,,,,,469.75,percent of total billed charges,409.0876758,,,,,,,,,,1691.1,percent of total billed charges,,,,,
CL MTCRPHL DL S W/MANIP,26705,CDM,,,,both,,,2410,2410,513.0503065,2410,2410,percent of total billed charges,1773.122617,,,,2410,percent of total billed charges,1879.474915,,,,2410,percent of total billed charges,1773.122617,,,,2410,percent of total billed charges,1879.474915,,,,2410,percent of total billed charges,999999999,,,,2410,percent of total billed charges,1836.254362,,,,2410,percent of total billed charges,1773.122617,,,,2410,percent of total billed charges,1879.474915,,,,1718.33,percent of total billed charges,857.4781155,,,,1718.33,percent of total billed charges,513.0503065,,,,1718.33,percent of total billed charges,857.4781155,,,,1718.33,percent of total billed charges,513.0503065,,,,1718.33,percent of total billed charges,857.4781155,,,,1718.33,percent of total billed charges,513.0503065,,,,1701.46,percent of total billed charges,1688.55056,,,,1701.46,percent of total billed charges,1164.579938,,,,,,,,,,1735.2,percent of total billed charges,1127.839167,,,,,,,,,,1735.2,percent of total billed charges,999999999,,,,,,,,,,1928,percent of total billed charges,1615.563779,,,,1903.9,percent of total billed charges,1837.345434,,,,1903.9,percent of total billed charges,1623.35551,,,,1928,percent of total billed charges,999999999,,,,1928,percent of total billed charges,999999999,,,,1687,percent of total billed charges,999999999,,,,1687,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1282.12,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1217.05,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,602.5,percent of total billed charges,572.2276231,,,,,,,,,,602.5,percent of total billed charges,562.709006,,,,,,,,,,602.5,percent of total billed charges,561.1452617,,,,,,,,,,602.5,percent of total billed charges,552.8824046,,,,,,,,,,602.5,percent of total billed charges,567.1088816,,,,,,,,,,602.5,percent of total billed charges,999999999,,,,,,,,,,602.5,percent of total billed charges,486.6193563,,,,,,,,,,602.5,percent of total billed charges,767.432282,,,,,,,,,,602.5,percent of total billed charges,999999999,,,,,,,,,,602.5,percent of total billed charges,524.6946774,,,,,,,,,,2169,percent of total billed charges,,,,,
CLS FX PHLNGL SHAFT PRRML/MID,26720,CDM,,,,both,,,944,944,200.9624437,944,944,percent of total billed charges,694.5343363,,,,944,percent of total billed charges,736.1926638,,,,944,percent of total billed charges,694.5343363,,,,944,percent of total billed charges,736.1926638,,,,944,percent of total billed charges,999999999,,,,944,percent of total billed charges,719.2631193,,,,944,percent of total billed charges,694.5343363,,,,944,percent of total billed charges,736.1926638,,,,673.072,percent of total billed charges,335.8752452,,,,673.072,percent of total billed charges,200.9624437,,,,673.072,percent of total billed charges,335.8752452,,,,673.072,percent of total billed charges,200.9624437,,,,673.072,percent of total billed charges,335.8752452,,,,673.072,percent of total billed charges,200.9624437,,,,666.464,percent of total billed charges,661.4073565,,,,666.464,percent of total billed charges,456.1674114,,,,,,,,,,679.68,percent of total billed charges,441.7760057,,,,,,,,,,679.68,percent of total billed charges,999999999,,,,,,,,,,755.2,percent of total billed charges,632.8183434,,,,745.76,percent of total billed charges,719.6904937,,,,745.76,percent of total billed charges,635.8703741,,,,755.2,percent of total billed charges,999999999,,,,755.2,percent of total billed charges,999999999,,,,660.8,percent of total billed charges,999999999,,,,660.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,502.208,percent of total billed charges,999999999,,,,,,,,,,,,,,,,476.72,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,236,percent of total billed charges,224.1422723,,,,,,,,,,236,percent of total billed charges,220.4138181,,,,,,,,,,236,percent of total billed charges,219.8012975,,,,,,,,,,236,percent of total billed charges,216.5647261,,,,,,,,,,236,percent of total billed charges,222.1372549,,,,,,,,,,236,percent of total billed charges,999999999,,,,,,,,,,236,percent of total billed charges,190.6094076,,,,,,,,,,236,percent of total billed charges,300.6041802,,,,,,,,,,236,percent of total billed charges,999999999,,,,,,,,,,236,percent of total billed charges,205.5235583,,,,,,,,,,849.6,percent of total billed charges,,,,,
CLS FX PHL SHAFT PROX/M PHALX,26725,CDM,,,,both,,,1841,1841,391.9193421,1841,1841,percent of total billed charges,1354.489103,,,,1841,percent of total billed charges,1435.731668,,,,1841,percent of total billed charges,1354.489103,,,,1841,percent of total billed charges,1435.731668,,,,1841,percent of total billed charges,999999999,,,,1841,percent of total billed charges,1402.715469,,,,1841,percent of total billed charges,1354.489103,,,,1841,percent of total billed charges,1435.731668,,,,1312.633,percent of total billed charges,655.0278882,,,,1312.633,percent of total billed charges,391.9193421,,,,1312.633,percent of total billed charges,655.0278882,,,,1312.633,percent of total billed charges,391.9193421,,,,1312.633,percent of total billed charges,655.0278882,,,,1312.633,percent of total billed charges,391.9193421,,,,1299.746,percent of total billed charges,1289.884474,,,,1299.746,percent of total billed charges,889.6230979,,,,,,,,,,1325.52,percent of total billed charges,861.5568077,,,,,,,,,,1325.52,percent of total billed charges,999999999,,,,,,,,,,1472.8,percent of total billed charges,1234.129841,,,,1454.39,percent of total billed charges,1403.54894,,,,1454.39,percent of total billed charges,1240.081948,,,,1472.8,percent of total billed charges,999999999,,,,1472.8,percent of total billed charges,999999999,,,,1288.7,percent of total billed charges,999999999,,,,1288.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,979.412,percent of total billed charges,999999999,,,,,,,,,,,,,,,,929.705,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,460.25,percent of total billed charges,437.1249187,,,,,,,,,,460.25,percent of total billed charges,429.8536431,,,,,,,,,,460.25,percent of total billed charges,428.6590983,,,,,,,,,,460.25,percent of total billed charges,422.3470983,,,,,,,,,,460.25,percent of total billed charges,433.21471,,,,,,,,,,460.25,percent of total billed charges,999999999,,,,,,,,,,460.25,percent of total billed charges,371.7287282,,,,,,,,,,460.25,percent of total billed charges,586.2418386,,,,,,,,,,460.25,percent of total billed charges,999999999,,,,,,,,,,460.25,percent of total billed charges,400.8144818,,,,,,,,,,1656.9,percent of total billed charges,,,,,
CL DSTL PHL FX FNGR THMB WO/M,26750,CDM,,,,both,,,1097,1097,233.5336873,1097,1097,percent of total billed charges,807.1018717,,,,1097,percent of total billed charges,855.5120257,,,,1097,percent of total billed charges,807.1018717,,,,1097,percent of total billed charges,855.5120257,,,,1097,percent of total billed charges,999999999,,,,1097,percent of total billed charges,835.8386037,,,,1097,percent of total billed charges,807.1018717,,,,1097,percent of total billed charges,855.5120257,,,,782.161,percent of total billed charges,390.3126526,,,,782.161,percent of total billed charges,233.5336873,,,,782.161,percent of total billed charges,390.3126526,,,,782.161,percent of total billed charges,233.5336873,,,,782.161,percent of total billed charges,390.3126526,,,,782.161,percent of total billed charges,233.5336873,,,,774.482,percent of total billed charges,768.6057945,,,,774.482,percent of total billed charges,530.1013245,,,,,,,,,,789.84,percent of total billed charges,513.3774134,,,,,,,,,,789.84,percent of total billed charges,999999999,,,,,,,,,,877.6,percent of total billed charges,735.3831808,,,,866.63,percent of total billed charges,836.3352453,,,,866.63,percent of total billed charges,738.9298732,,,,877.6,percent of total billed charges,999999999,,,,877.6,percent of total billed charges,999999999,,,,767.9,percent of total billed charges,999999999,,,,767.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,583.604,percent of total billed charges,999999999,,,,,,,,,,,,,,,,553.985,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,274.25,percent of total billed charges,260.470416,,,,,,,,,,274.25,percent of total billed charges,256.1376679,,,,,,,,,,274.25,percent of total billed charges,255.4258722,,,,,,,,,,274.25,percent of total billed charges,251.6647294,,,,,,,,,,274.25,percent of total billed charges,258.1404328,,,,,,,,,,274.25,percent of total billed charges,999999999,,,,,,,,,,274.25,percent of total billed charges,221.5026696,,,,,,,,,,274.25,percent of total billed charges,349.3249848,,,,,,,,,,274.25,percent of total billed charges,999999999,,,,,,,,,,274.25,percent of total billed charges,238.8340502,,,,,,,,,,987.3,percent of total billed charges,,,,,
CL DSTL PHAL FX FNR THMB W/MA,26755,CDM,,,,both,,,1741,1741,370.6309476,1741,1741,percent of total billed charges,1280.91555,,,,1741,percent of total billed charges,1357.745157,,,,1741,percent of total billed charges,1280.91555,,,,1741,percent of total billed charges,1357.745157,,,,1741,percent of total billed charges,999999999,,,,1741,percent of total billed charges,1326.522342,,,,1741,percent of total billed charges,1280.91555,,,,1741,percent of total billed charges,1357.745157,,,,1241.333,percent of total billed charges,619.4478834,,,,1241.333,percent of total billed charges,370.6309476,,,,1241.333,percent of total billed charges,619.4478834,,,,1241.333,percent of total billed charges,370.6309476,,,,1241.333,percent of total billed charges,619.4478834,,,,1241.333,percent of total billed charges,370.6309476,,,,1229.146,percent of total billed charges,1219.820135,,,,1229.146,percent of total billed charges,841.3002789,,,,,,,,,,1253.52,percent of total billed charges,814.758502,,,,,,,,,,1253.52,percent of total billed charges,999999999,,,,,,,,,,1392.8,percent of total billed charges,1167.094,,,,1375.39,percent of total billed charges,1327.31054,,,,1375.39,percent of total billed charges,1172.722798,,,,1392.8,percent of total billed charges,999999999,,,,1392.8,percent of total billed charges,999999999,,,,1218.7,percent of total billed charges,999999999,,,,1218.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,926.212,percent of total billed charges,999999999,,,,,,,,,,,,,,,,879.205,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,435.25,percent of total billed charges,413.381034,,,,,,,,,,435.25,percent of total billed charges,406.5047217,,,,,,,,,,435.25,percent of total billed charges,405.3750625,,,,,,,,,,435.25,percent of total billed charges,399.4059197,,,,,,,,,,435.25,percent of total billed charges,409.6832211,,,,,,,,,,435.25,percent of total billed charges,999999999,,,,,,,,,,435.25,percent of total billed charges,351.5370536,,,,,,,,,,435.25,percent of total billed charges,554.3981755,,,,,,,,,,435.25,percent of total billed charges,999999999,,,,,,,,,,435.25,percent of total billed charges,379.0429184,,,,,,,,,,1566.9,percent of total billed charges,,,,,
OPEN FX DSTL PHAL W/WO I/E EA,26765,CDM,,,,both,,,3120,3120,664.1979072,3120,3120,percent of total billed charges,2295.49484,,,,3120,percent of total billed charges,2433.179143,,,,3120,percent of total billed charges,2295.49484,,,,3120,percent of total billed charges,2433.179143,,,,3120,percent of total billed charges,999999999,,,,3120,percent of total billed charges,2377.225564,,,,3120,percent of total billed charges,2295.49484,,,,3120,percent of total billed charges,2433.179143,,,,2224.56,percent of total billed charges,1110.09615,,,,2224.56,percent of total billed charges,664.1979072,,,,2224.56,percent of total billed charges,1110.09615,,,,2224.56,percent of total billed charges,664.1979072,,,,2224.56,percent of total billed charges,1110.09615,,,,2224.56,percent of total billed charges,664.1979072,,,,2202.72,percent of total billed charges,2186.007365,,,,2202.72,percent of total billed charges,1507.671953,,,,,,,,,,2246.4,percent of total billed charges,1460.107137,,,,,,,,,,2246.4,percent of total billed charges,999999999,,,,,,,,,,2496,percent of total billed charges,2091.518254,,,,2464.8,percent of total billed charges,2378.638072,,,,2464.8,percent of total billed charges,2101.605474,,,,2496,percent of total billed charges,999999999,,,,2496,percent of total billed charges,999999999,,,,2184,percent of total billed charges,999999999,,,,2184,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1659.84,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1575.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,780,percent of total billed charges,740.809205,,,,,,,,,,780,percent of total billed charges,728.486348,,,,,,,,,,780,percent of total billed charges,726.4619156,,,,,,,,,,780,percent of total billed charges,715.7647727,,,,,,,,,,780,percent of total billed charges,734.1824526,,,,,,,,,,780,percent of total billed charges,999999999,,,,,,,,,,780,percent of total billed charges,629.9802455,,,,,,,,,,780,percent of total billed charges,993.5222903,,,,,,,,,,780,percent of total billed charges,999999999,,,,,,,,,,780,percent of total billed charges,679.2727773,,,,,,,,,,2808,percent of total billed charges,,,,,
CL INTPH JT DL W/MANI WO/ANES,26770,CDM,,,,both,,,1588,1588,338.0597041,1588,1588,percent of total billed charges,1168.348015,,,,1588,percent of total billed charges,1238.425795,,,,1588,percent of total billed charges,1168.348015,,,,1588,percent of total billed charges,1238.425795,,,,1588,percent of total billed charges,999999999,,,,1588,percent of total billed charges,1209.946857,,,,1588,percent of total billed charges,1168.348015,,,,1588,percent of total billed charges,1238.425795,,,,1132.244,percent of total billed charges,565.0104761,,,,1132.244,percent of total billed charges,338.0597041,,,,1132.244,percent of total billed charges,565.0104761,,,,1132.244,percent of total billed charges,338.0597041,,,,1132.244,percent of total billed charges,565.0104761,,,,1132.244,percent of total billed charges,338.0597041,,,,1121.128,percent of total billed charges,1112.621697,,,,1121.128,percent of total billed charges,767.3663658,,,,,,,,,,1143.36,percent of total billed charges,743.1570943,,,,,,,,,,1143.36,percent of total billed charges,999999999,,,,,,,,,,1270.4,percent of total billed charges,1064.529162,,,,1254.52,percent of total billed charges,1210.665788,,,,1254.52,percent of total billed charges,1069.663299,,,,1270.4,percent of total billed charges,999999999,,,,1270.4,percent of total billed charges,999999999,,,,1111.6,percent of total billed charges,999999999,,,,1111.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,844.816,percent of total billed charges,999999999,,,,,,,,,,,,,,,,801.94,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,397,percent of total billed charges,377.0528902,,,,,,,,,,397,percent of total billed charges,370.780872,,,,,,,,,,397,percent of total billed charges,369.7504878,,,,,,,,,,397,percent of total billed charges,364.3059164,,,,,,,,,,397,percent of total billed charges,373.6800432,,,,,,,,,,397,percent of total billed charges,999999999,,,,,,,,,,397,percent of total billed charges,320.6437916,,,,,,,,,,397,percent of total billed charges,505.6773709,,,,,,,,,,397,percent of total billed charges,999999999,,,,,,,,,,397,percent of total billed charges,345.7324264,,,,,,,,,,1429.2,percent of total billed charges,,,,,
CL INTRPH JNT DL W/MA W/ANES,26775,CDM,,,,both,,,2125,2125,452.3783823,2125,2125,percent of total billed charges,1563.437992,,,,2125,percent of total billed charges,1657.213359,,,,2125,percent of total billed charges,1563.437992,,,,2125,percent of total billed charges,1657.213359,,,,2125,percent of total billed charges,999999999,,,,2125,percent of total billed charges,1619.10395,,,,2125,percent of total billed charges,1563.437992,,,,2125,percent of total billed charges,1657.213359,,,,1515.125,percent of total billed charges,756.0751018,,,,1515.125,percent of total billed charges,452.3783823,,,,1515.125,percent of total billed charges,756.0751018,,,,1515.125,percent of total billed charges,452.3783823,,,,1515.125,percent of total billed charges,756.0751018,,,,1515.125,percent of total billed charges,452.3783823,,,,1500.25,percent of total billed charges,1488.867195,,,,1500.25,percent of total billed charges,1026.859904,,,,,,,,,,1530,percent of total billed charges,994.4639959,,,,,,,,,,1530,percent of total billed charges,999999999,,,,,,,,,,1700,percent of total billed charges,1424.511631,,,,1678.75,percent of total billed charges,1620.065995,,,,1678.75,percent of total billed charges,1431.381933,,,,1700,percent of total billed charges,999999999,,,,1700,percent of total billed charges,999999999,,,,1487.5,percent of total billed charges,999999999,,,,1487.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1130.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1073.125,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,531.25,percent of total billed charges,504.5575515,,,,,,,,,,531.25,percent of total billed charges,496.1645799,,,,,,,,,,531.25,percent of total billed charges,494.7857598,,,,,,,,,,531.25,percent of total billed charges,487.5000455,,,,,,,,,,531.25,percent of total billed charges,500.0441384,,,,,,,,,,531.25,percent of total billed charges,999999999,,,,,,,,,,531.25,percent of total billed charges,429.0730839,,,,,,,,,,531.25,percent of total billed charges,676.677842,,,,,,,,,,531.25,percent of total billed charges,999999999,,,,,,,,,,531.25,percent of total billed charges,462.6457218,,,,,,,,,,1912.5,percent of total billed charges,,,,,
CLS FX COCCYGEAL,27200,CDM,,,,both,,,1097,1097,233.5336873,1097,1097,percent of total billed charges,807.1018717,,,,1097,percent of total billed charges,855.5120257,,,,1097,percent of total billed charges,807.1018717,,,,1097,percent of total billed charges,855.5120257,,,,1097,percent of total billed charges,999999999,,,,1097,percent of total billed charges,835.8386037,,,,1097,percent of total billed charges,807.1018717,,,,1097,percent of total billed charges,855.5120257,,,,782.161,percent of total billed charges,390.3126526,,,,782.161,percent of total billed charges,233.5336873,,,,782.161,percent of total billed charges,390.3126526,,,,782.161,percent of total billed charges,233.5336873,,,,782.161,percent of total billed charges,390.3126526,,,,782.161,percent of total billed charges,233.5336873,,,,774.482,percent of total billed charges,768.6057945,,,,774.482,percent of total billed charges,530.1013245,,,,,,,,,,789.84,percent of total billed charges,513.3774134,,,,,,,,,,789.84,percent of total billed charges,999999999,,,,,,,,,,877.6,percent of total billed charges,735.3831808,,,,866.63,percent of total billed charges,836.3352453,,,,866.63,percent of total billed charges,738.9298732,,,,877.6,percent of total billed charges,999999999,,,,877.6,percent of total billed charges,999999999,,,,767.9,percent of total billed charges,999999999,,,,767.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,583.604,percent of total billed charges,999999999,,,,,,,,,,,,,,,,553.985,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,274.25,percent of total billed charges,260.470416,,,,,,,,,,274.25,percent of total billed charges,256.1376679,,,,,,,,,,274.25,percent of total billed charges,255.4258722,,,,,,,,,,274.25,percent of total billed charges,251.6647294,,,,,,,,,,274.25,percent of total billed charges,258.1404328,,,,,,,,,,274.25,percent of total billed charges,999999999,,,,,,,,,,274.25,percent of total billed charges,221.5026696,,,,,,,,,,274.25,percent of total billed charges,349.3249848,,,,,,,,,,274.25,percent of total billed charges,999999999,,,,,,,,,,274.25,percent of total billed charges,238.8340502,,,,,,,,,,987.3,percent of total billed charges,,,,,
CLS DSLC HIP TRAUM WO/ANES,27250,CDM,,,,both,,,3807,3807,810.4491772,3807,3807,percent of total billed charges,2800.945146,,,,3807,percent of total billed charges,2968.946474,,,,3807,percent of total billed charges,2800.945146,,,,3807,percent of total billed charges,2968.946474,,,,3807,percent of total billed charges,999999999,,,,3807,percent of total billed charges,2900.672347,,,,3807,percent of total billed charges,2800.945146,,,,3807,percent of total billed charges,2968.946474,,,,2714.391,percent of total billed charges,1354.530782,,,,2714.391,percent of total billed charges,810.4491772,,,,2714.391,percent of total billed charges,1354.530782,,,,2714.391,percent of total billed charges,810.4491772,,,,2714.391,percent of total billed charges,1354.530782,,,,2714.391,percent of total billed charges,810.4491772,,,,2687.742,percent of total billed charges,2667.349371,,,,2687.742,percent of total billed charges,1839.649719,,,,,,,,,,2741.04,percent of total billed charges,1781.611498,,,,,,,,,,2741.04,percent of total billed charges,999999999,,,,,,,,,,3045.6,percent of total billed charges,2552.054484,,,,3007.53,percent of total billed charges,2902.395879,,,,3007.53,percent of total billed charges,2564.362833,,,,3045.6,percent of total billed charges,999999999,,,,3045.6,percent of total billed charges,999999999,,,,2664.9,percent of total billed charges,999999999,,,,2664.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2025.324,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1922.535,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,951.75,percent of total billed charges,903.9296934,,,,,,,,,,951.75,percent of total billed charges,888.893438,,,,,,,,,,951.75,percent of total billed charges,886.4232412,,,,,,,,,,951.75,percent of total billed charges,873.3706698,,,,,,,,,,951.75,percent of total billed charges,895.8437811,,,,,,,,,,951.75,percent of total billed charges,999999999,,,,,,,,,,951.75,percent of total billed charges,768.6970495,,,,,,,,,,951.75,percent of total billed charges,1212.288256,,,,,,,,,,951.75,percent of total billed charges,999999999,,,,,,,,,,951.75,percent of total billed charges,828.8434177,,,,,,,,,,3426.3,percent of total billed charges,,,,,
"CLSD RED, HIP ARTHROPLASTY DISLC W/ANES",27266,CDM,,,,both,,,1121,1121,238.6429019,1121,1121,percent of total billed charges,824.7595243,,,,1121,percent of total billed charges,874.2287883,,,,1121,percent of total billed charges,824.7595243,,,,1121,percent of total billed charges,874.2287883,,,,1121,percent of total billed charges,999999999,,,,1121,percent of total billed charges,854.1249541,,,,1121,percent of total billed charges,824.7595243,,,,1121,percent of total billed charges,874.2287883,,,,799.273,percent of total billed charges,398.8518537,,,,799.273,percent of total billed charges,238.6429019,,,,799.273,percent of total billed charges,398.8518537,,,,799.273,percent of total billed charges,238.6429019,,,,799.273,percent of total billed charges,398.8518537,,,,799.273,percent of total billed charges,238.6429019,,,,791.426,percent of total billed charges,785.4212358,,,,791.426,percent of total billed charges,541.698801,,,,,,,,,,807.12,percent of total billed charges,524.6090068,,,,,,,,,,807.12,percent of total billed charges,999999999,,,,,,,,,,896.8,percent of total billed charges,751.4717828,,,,885.59,percent of total billed charges,854.6324613,,,,885.59,percent of total billed charges,755.0960692,,,,896.8,percent of total billed charges,999999999,,,,896.8,percent of total billed charges,999999999,,,,784.7,percent of total billed charges,999999999,,,,784.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,596.372,percent of total billed charges,999999999,,,,,,,,,,,,,,,,566.105,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,280.25,percent of total billed charges,266.1689483,,,,,,,,,,280.25,percent of total billed charges,261.741409,,,,,,,,,,280.25,percent of total billed charges,261.0140408,,,,,,,,,,280.25,percent of total billed charges,257.1706123,,,,,,,,,,280.25,percent of total billed charges,263.7879902,,,,,,,,,,280.25,percent of total billed charges,999999999,,,,,,,,,,280.25,percent of total billed charges,226.3486715,,,,,,,,,,280.25,percent of total billed charges,356.9674639,,,,,,,,,,280.25,percent of total billed charges,999999999,,,,,,,,,,280.25,percent of total billed charges,244.0592255,,,,,,,,,,1008.9,percent of total billed charges,,,,,
CL FX FEMRL PROXML NK WO/MANI,27230,CDM,,,,both,,,3364,3364,716.1415897,3364,3364,percent of total billed charges,2475.014309,,,,3364,percent of total billed charges,2623.46623,,,,3364,percent of total billed charges,2475.014309,,,,3364,percent of total billed charges,2623.46623,,,,3364,percent of total billed charges,999999999,,,,3364,percent of total billed charges,2563.136794,,,,3364,percent of total billed charges,2475.014309,,,,3364,percent of total billed charges,2623.46623,,,,2398.532,percent of total billed charges,1196.911361,,,,2398.532,percent of total billed charges,716.1415897,,,,2398.532,percent of total billed charges,1196.911361,,,,2398.532,percent of total billed charges,716.1415897,,,,2398.532,percent of total billed charges,1196.911361,,,,2398.532,percent of total billed charges,716.1415897,,,,2374.984,percent of total billed charges,2356.964351,,,,2374.984,percent of total billed charges,1625.579631,,,,,,,,,,2422.08,percent of total billed charges,1574.295003,,,,,,,,,,2422.08,percent of total billed charges,999999999,,,,,,,,,,2691.2,percent of total billed charges,2255.085707,,,,2657.56,percent of total billed charges,2564.659768,,,,2657.56,percent of total billed charges,2265.961799,,,,2691.2,percent of total billed charges,999999999,,,,2691.2,percent of total billed charges,999999999,,,,2354.8,percent of total billed charges,999999999,,,,2354.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1789.648,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1698.82,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,841,percent of total billed charges,798.7442839,,,,,,,,,,841,percent of total billed charges,785.4577162,,,,,,,,,,841,percent of total billed charges,783.2749628,,,,,,,,,,841,percent of total billed charges,771.7412485,,,,,,,,,,841,percent of total billed charges,791.5992854,,,,,,,,,,841,percent of total billed charges,999999999,,,,,,,,,,841,percent of total billed charges,679.2479313,,,,,,,,,,841,percent of total billed charges,1071.220828,,,,,,,,,,841,percent of total billed charges,999999999,,,,,,,,,,841,percent of total billed charges,732.395392,,,,,,,,,,3027.6,percent of total billed charges,,,,,
CLS FX SUPRC OR TRANSC FEMRL,27502,CDM,,,,both,,,6455,6455,1374.165863,6455,6455,percent of total billed charges,4749.172819,,,,6455,percent of total billed charges,5034.029285,,,,6455,percent of total billed charges,4749.172819,,,,6455,percent of total billed charges,5034.029285,,,,6455,percent of total billed charges,999999999,,,,6455,percent of total billed charges,4918.266351,,,,6455,percent of total billed charges,4749.172819,,,,6455,percent of total billed charges,5034.029285,,,,4602.415,percent of total billed charges,2296.689309,,,,4602.415,percent of total billed charges,1374.165863,,,,4602.415,percent of total billed charges,2296.689309,,,,4602.415,percent of total billed charges,1374.165863,,,,4602.415,percent of total billed charges,2296.689309,,,,4602.415,percent of total billed charges,1374.165863,,,,4557.23,percent of total billed charges,4522.653057,,,,4557.23,percent of total billed charges,3119.237967,,,,,,,,,,4647.6,percent of total billed charges,3020.830632,,,,,,,,,,4647.6,percent of total billed charges,999999999,,,,,,,,,,5164,percent of total billed charges,4327.163566,,,,5099.45,percent of total billed charges,4921.188704,,,,5099.45,percent of total billed charges,4348.033119,,,,5164,percent of total billed charges,999999999,,,,5164,percent of total billed charges,999999999,,,,4518.5,percent of total billed charges,999999999,,,,4518.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3434.06,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3259.775,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1613.75,percent of total billed charges,1532.667762,,,,,,,,,,1613.75,percent of total billed charges,1507.172877,,,,,,,,,,1613.75,percent of total billed charges,1502.984508,,,,,,,,,,1613.75,percent of total billed charges,1480.853079,,,,,,,,,,1613.75,percent of total billed charges,1518.957606,,,,,,,,,,1613.75,percent of total billed charges,999999999,,,,,,,,,,1613.75,percent of total billed charges,1303.372591,,,,,,,,,,1613.75,percent of total billed charges,2055.508456,,,,,,,,,,1613.75,percent of total billed charges,999999999,,,,,,,,,,1613.75,percent of total billed charges,1405.354416,,,,,,,,,,5809.5,percent of total billed charges,,,,,
CLSD FX PATELLAR WO/MANIP,27520,CDM,,,,both,,,1879,1879,400.0089319,1879,1879,percent of total billed charges,1382.447053,,,,1879,percent of total billed charges,1465.366542,,,,1879,percent of total billed charges,1382.447053,,,,1879,percent of total billed charges,1465.366542,,,,1879,percent of total billed charges,999999999,,,,1879,percent of total billed charges,1431.668857,,,,1879,percent of total billed charges,1382.447053,,,,1879,percent of total billed charges,1465.366542,,,,1339.727,percent of total billed charges,668.5482901,,,,1339.727,percent of total billed charges,400.0089319,,,,1339.727,percent of total billed charges,668.5482901,,,,1339.727,percent of total billed charges,400.0089319,,,,1339.727,percent of total billed charges,668.5482901,,,,1339.727,percent of total billed charges,400.0089319,,,,1326.574,percent of total billed charges,1316.508922,,,,1326.574,percent of total billed charges,907.9857691,,,,,,,,,,1352.88,percent of total billed charges,879.3401639,,,,,,,,,,1352.88,percent of total billed charges,999999999,,,,,,,,,,1503.2,percent of total billed charges,1259.603461,,,,1484.41,percent of total billed charges,1432.519531,,,,1484.41,percent of total billed charges,1265.678425,,,,1503.2,percent of total billed charges,999999999,,,,1503.2,percent of total billed charges,999999999,,,,1315.3,percent of total billed charges,999999999,,,,1315.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,999.628,percent of total billed charges,999999999,,,,,,,,,,,,,,,,948.895,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,469.75,percent of total billed charges,446.1475949,,,,,,,,,,469.75,percent of total billed charges,438.7262333,,,,,,,,,,469.75,percent of total billed charges,437.5070319,,,,,,,,,,469.75,percent of total billed charges,431.0647461,,,,,,,,,,469.75,percent of total billed charges,442.1566758,,,,,,,,,,469.75,percent of total billed charges,999999999,,,,,,,,,,469.75,percent of total billed charges,379.4015645,,,,,,,,,,469.75,percent of total billed charges,598.3424306,,,,,,,,,,469.75,percent of total billed charges,999999999,,,,,,,,,,469.75,percent of total billed charges,409.0876758,,,,,,,,,,1691.1,percent of total billed charges,,,,,
CLS DSLC PATELLAR WO/ANES,27560,CDM,,,,both,,,2215,2215,471.5379373,2215,2215,percent of total billed charges,1629.654189,,,,2215,percent of total billed charges,1727.401219,,,,2215,percent of total billed charges,1629.654189,,,,2215,percent of total billed charges,1727.401219,,,,2215,percent of total billed charges,999999999,,,,2215,percent of total billed charges,1687.677764,,,,2215,percent of total billed charges,1629.654189,,,,2215,percent of total billed charges,1727.401219,,,,1579.295,percent of total billed charges,788.0971062,,,,1579.295,percent of total billed charges,471.5379373,,,,1579.295,percent of total billed charges,788.0971062,,,,1579.295,percent of total billed charges,471.5379373,,,,1579.295,percent of total billed charges,788.0971062,,,,1579.295,percent of total billed charges,471.5379373,,,,1563.79,percent of total billed charges,1551.9251,,,,1563.79,percent of total billed charges,1070.350441,,,,,,,,,,1594.8,percent of total billed charges,1036.582471,,,,,,,,,,1594.8,percent of total billed charges,999999999,,,,,,,,,,1772,percent of total billed charges,1484.843888,,,,1749.85,percent of total billed charges,1688.680555,,,,1749.85,percent of total billed charges,1492.005168,,,,1772,percent of total billed charges,999999999,,,,1772,percent of total billed charges,999999999,,,,1550.5,percent of total billed charges,999999999,,,,1550.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1178.38,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1118.575,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,553.75,percent of total billed charges,525.9270478,,,,,,,,,,553.75,percent of total billed charges,517.1786092,,,,,,,,,,553.75,percent of total billed charges,515.741392,,,,,,,,,,553.75,percent of total billed charges,508.1471063,,,,,,,,,,553.75,percent of total billed charges,521.2224784,,,,,,,,,,553.75,percent of total billed charges,999999999,,,,,,,,,,553.75,percent of total billed charges,447.2455909,,,,,,,,,,553.75,percent of total billed charges,705.3371388,,,,,,,,,,553.75,percent of total billed charges,999999999,,,,,,,,,,553.75,percent of total billed charges,482.2401288,,,,,,,,,,1993.5,percent of total billed charges,,,,,
CLSD TX PATELLAR DSLC W/ANES,27562,CDM,,,,both,,,3114,3114,662.9206036,3114,3114,percent of total billed charges,2291.080427,,,,3114,percent of total billed charges,2428.499953,,,,3114,percent of total billed charges,2291.080427,,,,3114,percent of total billed charges,2428.499953,,,,3114,percent of total billed charges,999999999,,,,3114,percent of total billed charges,2372.653976,,,,3114,percent of total billed charges,2291.080427,,,,3114,percent of total billed charges,2428.499953,,,,2220.282,percent of total billed charges,1107.961349,,,,2220.282,percent of total billed charges,662.9206036,,,,2220.282,percent of total billed charges,1107.961349,,,,2220.282,percent of total billed charges,662.9206036,,,,2220.282,percent of total billed charges,1107.961349,,,,2220.282,percent of total billed charges,662.9206036,,,,2198.484,percent of total billed charges,2181.803504,,,,2198.484,percent of total billed charges,1504.772584,,,,,,,,,,2242.08,percent of total billed charges,1457.299239,,,,,,,,,,2242.08,percent of total billed charges,999999999,,,,,,,,,,2491.2,percent of total billed charges,2087.496103,,,,2460.06,percent of total billed charges,2374.063768,,,,2460.06,percent of total billed charges,2097.563925,,,,2491.2,percent of total billed charges,999999999,,,,2491.2,percent of total billed charges,999999999,,,,2179.8,percent of total billed charges,999999999,,,,2179.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1656.648,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1572.57,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,778.5,percent of total billed charges,739.3845719,,,,,,,,,,778.5,percent of total billed charges,727.0854127,,,,,,,,,,778.5,percent of total billed charges,725.0648735,,,,,,,,,,778.5,percent of total billed charges,714.388302,,,,,,,,,,778.5,percent of total billed charges,732.7705632,,,,,,,,,,778.5,percent of total billed charges,999999999,,,,,,,,,,778.5,percent of total billed charges,628.768745,,,,,,,,,,778.5,percent of total billed charges,991.6116705,,,,,,,,,,778.5,percent of total billed charges,999999999,,,,,,,,,,778.5,percent of total billed charges,677.9664835,,,,,,,,,,2802.6,percent of total billed charges,,,,,
CLS FX TIBIAL SHAFT WO/MANIP,27750,CDM,,,,both,,,2177,2177,463.4483474,2177,2177,percent of total billed charges,1601.696239,,,,2177,percent of total billed charges,1697.766344,,,,2177,percent of total billed charges,1601.696239,,,,2177,percent of total billed charges,1697.766344,,,,2177,percent of total billed charges,999999999,,,,2177,percent of total billed charges,1658.724376,,,,2177,percent of total billed charges,1601.696239,,,,2177,percent of total billed charges,1697.766344,,,,1552.201,percent of total billed charges,774.5767043,,,,1552.201,percent of total billed charges,463.4483474,,,,1552.201,percent of total billed charges,774.5767043,,,,1552.201,percent of total billed charges,463.4483474,,,,1552.201,percent of total billed charges,774.5767043,,,,1552.201,percent of total billed charges,463.4483474,,,,1536.962,percent of total billed charges,1525.300651,,,,1536.962,percent of total billed charges,1051.98777,,,,,,,,,,1567.44,percent of total billed charges,1018.799115,,,,,,,,,,1567.44,percent of total billed charges,999999999,,,,,,,,,,1741.6,percent of total billed charges,1459.370269,,,,1719.83,percent of total billed charges,1659.709963,,,,1719.83,percent of total billed charges,1466.408691,,,,1741.6,percent of total billed charges,999999999,,,,1741.6,percent of total billed charges,999999999,,,,1523.9,percent of total billed charges,999999999,,,,1523.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1158.164,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1099.385,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,544.25,percent of total billed charges,516.9043716,,,,,,,,,,544.25,percent of total billed charges,508.3060191,,,,,,,,,,544.25,percent of total billed charges,506.8934584,,,,,,,,,,544.25,percent of total billed charges,499.4294584,,,,,,,,,,544.25,percent of total billed charges,512.2805126,,,,,,,,,,544.25,percent of total billed charges,999999999,,,,,,,,,,544.25,percent of total billed charges,439.5727546,,,,,,,,,,544.25,percent of total billed charges,693.2365468,,,,,,,,,,544.25,percent of total billed charges,999999999,,,,,,,,,,544.25,percent of total billed charges,473.9669347,,,,,,,,,,1959.3,percent of total billed charges,,,,,
CL FX TIBL SHFT W/MAN W/WO SK,27752,CDM,,,,both,,,3663,3663,779.7938892,3663,3663,percent of total billed charges,2694.999231,,,,3663,percent of total billed charges,2856.645898,,,,3663,percent of total billed charges,2694.999231,,,,3663,percent of total billed charges,2856.645898,,,,3663,percent of total billed charges,999999999,,,,3663,percent of total billed charges,2790.954244,,,,3663,percent of total billed charges,2694.999231,,,,3663,percent of total billed charges,2856.645898,,,,2611.719,percent of total billed charges,1303.295576,,,,2611.719,percent of total billed charges,779.7938892,,,,2611.719,percent of total billed charges,1303.295576,,,,2611.719,percent of total billed charges,779.7938892,,,,2611.719,percent of total billed charges,1303.295576,,,,2611.719,percent of total billed charges,779.7938892,,,,2586.078,percent of total billed charges,2566.456723,,,,2586.078,percent of total billed charges,1770.06486,,,,,,,,,,2637.36,percent of total billed charges,1714.221937,,,,,,,,,,2637.36,percent of total billed charges,999999999,,,,,,,,,,2930.4,percent of total billed charges,2455.522873,,,,2893.77,percent of total billed charges,2792.612583,,,,2893.77,percent of total billed charges,2467.365657,,,,2930.4,percent of total billed charges,999999999,,,,2930.4,percent of total billed charges,999999999,,,,2564.1,percent of total billed charges,999999999,,,,2564.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1948.716,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1849.815,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,915.75,percent of total billed charges,869.7384994,,,,,,,,,,915.75,percent of total billed charges,855.2709912,,,,,,,,,,915.75,percent of total billed charges,852.8942298,,,,,,,,,,915.75,percent of total billed charges,840.3353726,,,,,,,,,,915.75,percent of total billed charges,861.9584371,,,,,,,,,,915.75,percent of total billed charges,999999999,,,,,,,,,,915.75,percent of total billed charges,739.6210382,,,,,,,,,,915.75,percent of total billed charges,1166.433381,,,,,,,,,,915.75,percent of total billed charges,999999999,,,,,,,,,,915.75,percent of total billed charges,797.4923665,,,,,,,,,,3296.7,percent of total billed charges,,,,,
CLSD FX MEDIAL MALL WO MANIP,27760,CDM,,,,both,,,1922,1922,409.1629416,1922,1922,percent of total billed charges,1414.08368,,,,1922,percent of total billed charges,1498.900741,,,,1922,percent of total billed charges,1414.08368,,,,1922,percent of total billed charges,1498.900741,,,,1922,percent of total billed charges,999999999,,,,1922,percent of total billed charges,1464.431902,,,,1922,percent of total billed charges,1414.08368,,,,1922,percent of total billed charges,1498.900741,,,,1370.386,percent of total billed charges,683.8476921,,,,1370.386,percent of total billed charges,409.1629416,,,,1370.386,percent of total billed charges,683.8476921,,,,1370.386,percent of total billed charges,409.1629416,,,,1370.386,percent of total billed charges,683.8476921,,,,1370.386,percent of total billed charges,409.1629416,,,,1356.932,percent of total billed charges,1346.636588,,,,1356.932,percent of total billed charges,928.7645813,,,,,,,,,,1383.84,percent of total billed charges,899.4634353,,,,,,,,,,1383.84,percent of total billed charges,999999999,,,,,,,,,,1537.6,percent of total billed charges,1288.428873,,,,1518.38,percent of total billed charges,1465.302043,,,,1518.38,percent of total billed charges,1294.642859,,,,1537.6,percent of total billed charges,999999999,,,,1537.6,percent of total billed charges,999999999,,,,1345.4,percent of total billed charges,999999999,,,,1345.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1022.504,percent of total billed charges,999999999,,,,,,,,,,,,,,,,970.61,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,480.5,percent of total billed charges,456.3574654,,,,,,,,,,480.5,percent of total billed charges,448.7662695,,,,,,,,,,480.5,percent of total billed charges,447.5191672,,,,,,,,,,480.5,percent of total billed charges,440.9294529,,,,,,,,,,480.5,percent of total billed charges,452.275216,,,,,,,,,,480.5,percent of total billed charges,999999999,,,,,,,,,,480.5,percent of total billed charges,388.0839846,,,,,,,,,,480.5,percent of total billed charges,612.0352058,,,,,,,,,,480.5,percent of total billed charges,999999999,,,,,,,,,,480.5,percent of total billed charges,418.4494481,,,,,,,,,,1729.8,percent of total billed charges,,,,,
CLSD FX MEDL MALL W/MANIP W/W,27762,CDM,,,,both,,,3228,3228,687.1893732,3228,3228,percent of total billed charges,2374.954277,,,,3228,percent of total billed charges,2517.404575,,,,3228,percent of total billed charges,2374.954277,,,,3228,percent of total billed charges,2517.404575,,,,3228,percent of total billed charges,999999999,,,,3228,percent of total billed charges,2459.514141,,,,3228,percent of total billed charges,2374.954277,,,,3228,percent of total billed charges,2517.404575,,,,2301.564,percent of total billed charges,1148.522555,,,,2301.564,percent of total billed charges,687.1893732,,,,2301.564,percent of total billed charges,1148.522555,,,,2301.564,percent of total billed charges,687.1893732,,,,2301.564,percent of total billed charges,1148.522555,,,,2301.564,percent of total billed charges,687.1893732,,,,2278.968,percent of total billed charges,2261.67685,,,,2278.968,percent of total billed charges,1559.860597,,,,,,,,,,2324.16,percent of total billed charges,1510.649308,,,,,,,,,,2324.16,percent of total billed charges,999999999,,,,,,,,,,2582.4,percent of total billed charges,2163.916962,,,,2550.12,percent of total billed charges,2460.975544,,,,2550.12,percent of total billed charges,2174.353355,,,,2582.4,percent of total billed charges,999999999,,,,2582.4,percent of total billed charges,999999999,,,,2259.6,percent of total billed charges,999999999,,,,2259.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1717.296,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1630.14,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,807,percent of total billed charges,766.4526006,,,,,,,,,,807,percent of total billed charges,753.7031831,,,,,,,,,,807,percent of total billed charges,751.6086742,,,,,,,,,,807,percent of total billed charges,740.5412456,,,,,,,,,,807,percent of total billed charges,759.5964606,,,,,,,,,,807,percent of total billed charges,999999999,,,,,,,,,,807,percent of total billed charges,651.787254,,,,,,,,,,807,percent of total billed charges,1027.913447,,,,,,,,,,807,percent of total billed charges,999999999,,,,,,,,,,807,percent of total billed charges,702.7860658,,,,,,,,,,2905.2,percent of total billed charges,,,,,
CLSD PROX FIB/SHAFT FX WO MAN,27780,CDM,,,,both,,,1725,1725,367.2248045,1725,1725,percent of total billed charges,1269.143782,,,,1725,percent of total billed charges,1345.267315,,,,1725,percent of total billed charges,1269.143782,,,,1725,percent of total billed charges,1345.267315,,,,1725,percent of total billed charges,999999999,,,,1725,percent of total billed charges,1314.331441,,,,1725,percent of total billed charges,1269.143782,,,,1725,percent of total billed charges,1345.267315,,,,1229.925,percent of total billed charges,613.7550827,,,,1229.925,percent of total billed charges,367.2248045,,,,1229.925,percent of total billed charges,613.7550827,,,,1229.925,percent of total billed charges,367.2248045,,,,1229.925,percent of total billed charges,613.7550827,,,,1229.925,percent of total billed charges,367.2248045,,,,1217.85,percent of total billed charges,1208.609841,,,,1217.85,percent of total billed charges,833.5686278,,,,,,,,,,1242,percent of total billed charges,807.2707731,,,,,,,,,,1242,percent of total billed charges,999999999,,,,,,,,,,1380,percent of total billed charges,1156.368265,,,,1362.75,percent of total billed charges,1315.112396,,,,1362.75,percent of total billed charges,1161.945334,,,,1380,percent of total billed charges,999999999,,,,1380,percent of total billed charges,999999999,,,,1207.5,percent of total billed charges,999999999,,,,1207.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,917.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,871.125,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,431.25,percent of total billed charges,409.5820124,,,,,,,,,,431.25,percent of total billed charges,402.7688943,,,,,,,,,,431.25,percent of total billed charges,401.6496168,,,,,,,,,,431.25,percent of total billed charges,395.7353311,,,,,,,,,,431.25,percent of total billed charges,405.9181829,,,,,,,,,,431.25,percent of total billed charges,999999999,,,,,,,,,,431.25,percent of total billed charges,348.3063857,,,,,,,,,,431.25,percent of total billed charges,549.3031894,,,,,,,,,,431.25,percent of total billed charges,999999999,,,,,,,,,,431.25,percent of total billed charges,375.5594682,,,,,,,,,,1552.5,percent of total billed charges,,,,,
CLSD PROX FIB OR SHAFT FX W/M,27781,CDM,,,,both,,,2697,2697,574.1479987,2697,2697,percent of total billed charges,1984.278713,,,,2697,percent of total billed charges,2103.296202,,,,2697,percent of total billed charges,1984.278713,,,,2697,percent of total billed charges,2103.296202,,,,2697,percent of total billed charges,999999999,,,,2697,percent of total billed charges,2054.928636,,,,2697,percent of total billed charges,1984.278713,,,,2697,percent of total billed charges,2103.296202,,,,1922.961,percent of total billed charges,959.5927293,,,,1922.961,percent of total billed charges,574.1479987,,,,1922.961,percent of total billed charges,959.5927293,,,,1922.961,percent of total billed charges,574.1479987,,,,1922.961,percent of total billed charges,959.5927293,,,,1922.961,percent of total billed charges,574.1479987,,,,1904.082,percent of total billed charges,1889.635212,,,,1904.082,percent of total billed charges,1303.266429,,,,,,,,,,1941.84,percent of total billed charges,1262.150304,,,,,,,,,,1941.84,percent of total billed charges,999999999,,,,,,,,,,2157.6,percent of total billed charges,1807.956644,,,,2130.63,percent of total billed charges,2056.149641,,,,2130.63,percent of total billed charges,1816.67627,,,,2157.6,percent of total billed charges,999999999,,,,2157.6,percent of total billed charges,999999999,,,,1887.9,percent of total billed charges,999999999,,,,1887.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1434.804,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1361.985,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,674.25,percent of total billed charges,640.3725724,,,,,,,,,,674.25,percent of total billed charges,629.7204104,,,,,,,,,,674.25,percent of total billed charges,627.9704443,,,,,,,,,,674.25,percent of total billed charges,618.7235872,,,,,,,,,,674.25,percent of total billed charges,634.6442547,,,,,,,,,,674.25,percent of total billed charges,999999999,,,,,,,,,,674.25,percent of total billed charges,544.5694622,,,,,,,,,,674.25,percent of total billed charges,858.8235952,,,,,,,,,,674.25,percent of total billed charges,999999999,,,,,,,,,,674.25,percent of total billed charges,587.1790643,,,,,,,,,,2427.3,percent of total billed charges,,,,,
**CLSD FX DISTL FIB WO MANIP,27762,CDM,,,,both,,,2264,2264,481.9692506,2264,2264,percent of total billed charges,1665.70523,,,,2264,percent of total billed charges,1765.614609,,,,2264,percent of total billed charges,1665.70523,,,,2264,percent of total billed charges,1765.614609,,,,2264,percent of total billed charges,999999999,,,,2264,percent of total billed charges,1725.012396,,,,2264,percent of total billed charges,1665.70523,,,,2264,percent of total billed charges,1765.614609,,,,1614.232,percent of total billed charges,805.5313085,,,,1614.232,percent of total billed charges,481.9692506,,,,1614.232,percent of total billed charges,805.5313085,,,,1614.232,percent of total billed charges,481.9692506,,,,1614.232,percent of total billed charges,805.5313085,,,,1614.232,percent of total billed charges,481.9692506,,,,1598.384,percent of total billed charges,1586.256626,,,,1598.384,percent of total billed charges,1094.028622,,,,,,,,,,1630.08,percent of total billed charges,1059.513641,,,,,,,,,,1630.08,percent of total billed charges,999999999,,,,,,,,,,1811.2,percent of total billed charges,1517.691451,,,,1788.56,percent of total billed charges,1726.037371,,,,1788.56,percent of total billed charges,1525.011151,,,,1811.2,percent of total billed charges,999999999,,,,1811.2,percent of total billed charges,999999999,,,,1584.8,percent of total billed charges,999999999,,,,1584.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1204.448,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1143.32,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,566,percent of total billed charges,537.5615513,,,,,,,,,,566,percent of total billed charges,528.6195807,,,,,,,,,,566,percent of total billed charges,527.1505695,,,,,,,,,,566,percent of total billed charges,519.3882838,,,,,,,,,,566,percent of total billed charges,532.7529079,,,,,,,,,,566,percent of total billed charges,999999999,,,,,,,,,,566,percent of total billed charges,457.1395115,,,,,,,,,,566,percent of total billed charges,720.9405338,,,,,,,,,,566,percent of total billed charges,999999999,,,,,,,,,,566,percent of total billed charges,492.9081948,,,,,,,,,,2037.6,percent of total billed charges,,,,,
CLSD FX DISTL FIB W/ MANIP,27788,CDM,,,,both,,,2614,2614,556.4786312,2614,2614,percent of total billed charges,1923.212664,,,,2614,percent of total billed charges,2038.567398,,,,2614,percent of total billed charges,1923.212664,,,,2614,percent of total billed charges,2038.567398,,,,2614,percent of total billed charges,999999999,,,,2614,percent of total billed charges,1991.688341,,,,2614,percent of total billed charges,1923.212664,,,,2614,percent of total billed charges,2038.567398,,,,1863.782,percent of total billed charges,930.0613253,,,,1863.782,percent of total billed charges,556.4786312,,,,1863.782,percent of total billed charges,930.0613253,,,,1863.782,percent of total billed charges,556.4786312,,,,1863.782,percent of total billed charges,930.0613253,,,,1863.782,percent of total billed charges,556.4786312,,,,1845.484,percent of total billed charges,1831.481811,,,,1845.484,percent of total billed charges,1263.158489,,,,,,,,,,1882.08,percent of total billed charges,1223.307711,,,,,,,,,,1882.08,percent of total billed charges,999999999,,,,,,,,,,2091.2,percent of total billed charges,1752.316896,,,,2065.06,percent of total billed charges,1992.87177,,,,2065.06,percent of total billed charges,1760.768176,,,,2091.2,percent of total billed charges,999999999,,,,2091.2,percent of total billed charges,999999999,,,,1829.8,percent of total billed charges,999999999,,,,1829.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1390.648,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1320.07,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,653.5,percent of total billed charges,620.6651481,,,,,,,,,,653.5,percent of total billed charges,610.3408056,,,,,,,,,,653.5,percent of total billed charges,608.6446947,,,,,,,,,,653.5,percent of total billed charges,599.6824089,,,,,,,,,,653.5,percent of total billed charges,615.1131189,,,,,,,,,,653.5,percent of total billed charges,999999999,,,,,,,,,,653.5,percent of total billed charges,527.8103723,,,,,,,,,,653.5,percent of total billed charges,832.3933548,,,,,,,,,,653.5,percent of total billed charges,999999999,,,,,,,,,,653.5,percent of total billed charges,569.1086667,,,,,,,,,,2352.6,percent of total billed charges,,,,,
CLSD FX BIMALL ANKLE WO MANIP,27808,CDM,,,,both,,,2100,2100,447.0562837,2100,2100,percent of total billed charges,1545.044604,,,,2100,percent of total billed charges,1637.716731,,,,2100,percent of total billed charges,1545.044604,,,,2100,percent of total billed charges,1637.716731,,,,2100,percent of total billed charges,999999999,,,,2100,percent of total billed charges,1600.055668,,,,2100,percent of total billed charges,1545.044604,,,,2100,percent of total billed charges,1637.716731,,,,1497.3,percent of total billed charges,747.1801006,,,,1497.3,percent of total billed charges,447.0562837,,,,1497.3,percent of total billed charges,747.1801006,,,,1497.3,percent of total billed charges,447.0562837,,,,1497.3,percent of total billed charges,747.1801006,,,,1497.3,percent of total billed charges,447.0562837,,,,1482.6,percent of total billed charges,1471.351111,,,,1482.6,percent of total billed charges,1014.779199,,,,,,,,,,1512,percent of total billed charges,982.7644194,,,,,,,,,,1512,percent of total billed charges,999999999,,,,,,,,,,1680,percent of total billed charges,1407.752671,,,,1659,percent of total billed charges,1601.006395,,,,1659,percent of total billed charges,1414.542146,,,,1680,percent of total billed charges,999999999,,,,1680,percent of total billed charges,999999999,,,,1470,percent of total billed charges,999999999,,,,1470,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1117.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1060.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,525,percent of total billed charges,498.6215803,,,,,,,,,,525,percent of total billed charges,490.3273496,,,,,,,,,,525,percent of total billed charges,488.9647509,,,,,,,,,,525,percent of total billed charges,481.7647509,,,,,,,,,,525,percent of total billed charges,494.1612662,,,,,,,,,,525,percent of total billed charges,999999999,,,,,,,,,,525,percent of total billed charges,424.0251652,,,,,,,,,,525,percent of total billed charges,668.7169262,,,,,,,,,,525,percent of total billed charges,999999999,,,,,,,,,,525,percent of total billed charges,457.2028309,,,,,,,,,,1890,percent of total billed charges,,,,,
CLSD FX BIMALL ANKLE W MANIP,27810,CDM,,,,both,,,3312,3312,705.0716246,3312,3312,percent of total billed charges,2436.756061,,,,3312,percent of total billed charges,2582.913244,,,,3312,percent of total billed charges,2436.756061,,,,3312,percent of total billed charges,2582.913244,,,,3312,percent of total billed charges,999999999,,,,3312,percent of total billed charges,2523.516368,,,,3312,percent of total billed charges,2436.756061,,,,3312,percent of total billed charges,2582.913244,,,,2361.456,percent of total billed charges,1178.409759,,,,2361.456,percent of total billed charges,705.0716246,,,,2361.456,percent of total billed charges,1178.409759,,,,2361.456,percent of total billed charges,705.0716246,,,,2361.456,percent of total billed charges,1178.409759,,,,2361.456,percent of total billed charges,705.0716246,,,,2338.272,percent of total billed charges,2320.530895,,,,2338.272,percent of total billed charges,1600.451765,,,,,,,,,,2384.64,percent of total billed charges,1549.959884,,,,,,,,,,2384.64,percent of total billed charges,999999999,,,,,,,,,,2649.6,percent of total billed charges,2220.227069,,,,2616.48,percent of total billed charges,2525.0158,,,,2616.48,percent of total billed charges,2230.935041,,,,2649.6,percent of total billed charges,999999999,,,,2649.6,percent of total billed charges,999999999,,,,2318.4,percent of total billed charges,999999999,,,,2318.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1761.984,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1672.56,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,828,percent of total billed charges,786.3974638,,,,,,,,,,828,percent of total billed charges,773.3162771,,,,,,,,,,828,percent of total billed charges,771.1672643,,,,,,,,,,828,percent of total billed charges,759.8118357,,,,,,,,,,828,percent of total billed charges,779.3629112,,,,,,,,,,828,percent of total billed charges,999999999,,,,,,,,,,828,percent of total billed charges,668.7482606,,,,,,,,,,828,percent of total billed charges,1054.662124,,,,,,,,,,828,percent of total billed charges,999999999,,,,,,,,,,828,percent of total billed charges,721.074179,,,,,,,,,,2980.8,percent of total billed charges,,,,,
CLSD FX TRIMALL ANKLE W MANIP,27818,CDM,,,,both,,,3548,3548,755.3122355,3548,3548,percent of total billed charges,2610.389645,,,,3548,percent of total billed charges,2766.96141,,,,3548,percent of total billed charges,2610.389645,,,,3548,percent of total billed charges,2766.96141,,,,3548,percent of total billed charges,999999999,,,,3548,percent of total billed charges,2703.332147,,,,3548,percent of total billed charges,2610.389645,,,,3548,percent of total billed charges,2766.96141,,,,2529.724,percent of total billed charges,1262.37857,,,,2529.724,percent of total billed charges,755.3122355,,,,2529.724,percent of total billed charges,1262.37857,,,,2529.724,percent of total billed charges,755.3122355,,,,2529.724,percent of total billed charges,1262.37857,,,,2529.724,percent of total billed charges,755.3122355,,,,2504.888,percent of total billed charges,2485.882734,,,,2504.888,percent of total billed charges,1714.493618,,,,,,,,,,2554.56,percent of total billed charges,1660.403886,,,,,,,,,,2554.56,percent of total billed charges,999999999,,,,,,,,,,2838.4,percent of total billed charges,2378.431655,,,,2802.92,percent of total billed charges,2704.938423,,,,2802.92,percent of total billed charges,2389.902635,,,,2838.4,percent of total billed charges,999999999,,,,2838.4,percent of total billed charges,999999999,,,,2483.6,percent of total billed charges,999999999,,,,2483.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1887.536,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1791.74,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,887,percent of total billed charges,842.4330319,,,,,,,,,,887,percent of total billed charges,828.4197316,,,,,,,,,,887,percent of total billed charges,826.1175886,,,,,,,,,,887,percent of total billed charges,813.9530172,,,,,,,,,,887,percent of total billed charges,834.8972249,,,,,,,,,,887,percent of total billed charges,999999999,,,,,,,,,,887,percent of total billed charges,716.4006125,,,,,,,,,,887,percent of total billed charges,1129.813169,,,,,,,,,,887,percent of total billed charges,999999999,,,,,,,,,,887,percent of total billed charges,772.4550686,,,,,,,,,,3193.2,percent of total billed charges,,,,,
REMOVL FORGN BODY FOOT SUBCUT,28190,CDM,,,,both,,,1320,1320,281.0068069,1320,1320,percent of total billed charges,971.170894,,,,1320,percent of total billed charges,1029.421945,,,,1320,percent of total billed charges,971.170894,,,,1320,percent of total billed charges,1029.421945,,,,1320,percent of total billed charges,999999999,,,,1320,percent of total billed charges,1005.749277,,,,1320,percent of total billed charges,971.170894,,,,1320,percent of total billed charges,1029.421945,,,,941.16,percent of total billed charges,469.6560633,,,,941.16,percent of total billed charges,281.0068069,,,,941.16,percent of total billed charges,469.6560633,,,,941.16,percent of total billed charges,281.0068069,,,,941.16,percent of total billed charges,469.6560633,,,,941.16,percent of total billed charges,281.0068069,,,,931.92,percent of total billed charges,924.8492696,,,,931.92,percent of total billed charges,637.8612109,,,,,,,,,,950.4,percent of total billed charges,617.7376351,,,,,,,,,,950.4,percent of total billed charges,999999999,,,,,,,,,,1056,percent of total billed charges,884.8731073,,,,1042.8,percent of total billed charges,1006.346877,,,,1042.8,percent of total billed charges,889.1407773,,,,1056,percent of total billed charges,999999999,,,,1056,percent of total billed charges,999999999,,,,924,percent of total billed charges,999999999,,,,924,percent of total billed charges,999999999,,,,,,,,,,,,,,,,702.24,percent of total billed charges,999999999,,,,,,,,,,,,,,,,666.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,330,percent of total billed charges,313.419279,,,,,,,,,,330,percent of total billed charges,308.2057626,,,,,,,,,,330,percent of total billed charges,307.349272,,,,,,,,,,330,percent of total billed charges,302.8235577,,,,,,,,,,330,percent of total billed charges,310.615653,,,,,,,,,,330,percent of total billed charges,999999999,,,,,,,,,,330,percent of total billed charges,266.5301039,,,,,,,,,,330,percent of total billed charges,420.3363536,,,,,,,,,,330,percent of total billed charges,999999999,,,,,,,,,,330,percent of total billed charges,287.3846366,,,,,,,,,,1188,percent of total billed charges,,,,,
REMVL FOREIGN BODY FOOT DEEP,28192,CDM,,,,both,,,2777,2777,591.1787142,2777,2777,percent of total billed charges,2043.137555,,,,2777,percent of total billed charges,2165.68541,,,,2777,percent of total billed charges,2043.137555,,,,2777,percent of total billed charges,2165.68541,,,,2777,percent of total billed charges,999999999,,,,2777,percent of total billed charges,2115.883138,,,,2777,percent of total billed charges,2043.137555,,,,2777,percent of total billed charges,2165.68541,,,,1980.001,percent of total billed charges,988.0567331,,,,1980.001,percent of total billed charges,591.1787142,,,,1980.001,percent of total billed charges,988.0567331,,,,1980.001,percent of total billed charges,591.1787142,,,,1980.001,percent of total billed charges,988.0567331,,,,1980.001,percent of total billed charges,591.1787142,,,,1960.562,percent of total billed charges,1945.686683,,,,1960.562,percent of total billed charges,1341.924684,,,,,,,,,,1999.44,percent of total billed charges,1299.588949,,,,,,,,,,1999.44,percent of total billed charges,999999999,,,,,,,,,,2221.6,percent of total billed charges,1861.585317,,,,2193.83,percent of total billed charges,2117.140361,,,,2193.83,percent of total billed charges,1870.56359,,,,2221.6,percent of total billed charges,999999999,,,,2221.6,percent of total billed charges,999999999,,,,1943.9,percent of total billed charges,999999999,,,,1943.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1477.364,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1402.385,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,694.25,percent of total billed charges,659.3676802,,,,,,,,,,694.25,percent of total billed charges,648.3995475,,,,,,,,,,694.25,percent of total billed charges,646.597673,,,,,,,,,,694.25,percent of total billed charges,637.0765301,,,,,,,,,,694.25,percent of total billed charges,653.4694458,,,,,,,,,,694.25,percent of total billed charges,999999999,,,,,,,,,,694.25,percent of total billed charges,560.7228018,,,,,,,,,,694.25,percent of total billed charges,884.2985257,,,,,,,,,,694.25,percent of total billed charges,999999999,,,,,,,,,,694.25,percent of total billed charges,604.596315,,,,,,,,,,2499.3,percent of total billed charges,,,,,
CLSD FX CALCANEAL WO MANIP,28400,CDM,,,,both,,,1809,1809,385.1070558,1809,1809,percent of total billed charges,1330.945566,,,,1809,percent of total billed charges,1410.775984,,,,1809,percent of total billed charges,1330.945566,,,,1809,percent of total billed charges,1410.775984,,,,1809,percent of total billed charges,999999999,,,,1809,percent of total billed charges,1378.333668,,,,1809,percent of total billed charges,1330.945566,,,,1809,percent of total billed charges,1410.775984,,,,1289.817,percent of total billed charges,643.6422867,,,,1289.817,percent of total billed charges,385.1070558,,,,1289.817,percent of total billed charges,643.6422867,,,,1289.817,percent of total billed charges,385.1070558,,,,1289.817,percent of total billed charges,643.6422867,,,,1289.817,percent of total billed charges,385.1070558,,,,1277.154,percent of total billed charges,1267.463885,,,,1277.154,percent of total billed charges,874.1597958,,,,,,,,,,1302.48,percent of total billed charges,846.5813499,,,,,,,,,,1302.48,percent of total billed charges,999999999,,,,,,,,,,1447.2,percent of total billed charges,1212.678372,,,,1429.11,percent of total billed charges,1379.152652,,,,1429.11,percent of total billed charges,1218.52702,,,,1447.2,percent of total billed charges,999999999,,,,1447.2,percent of total billed charges,999999999,,,,1266.3,percent of total billed charges,999999999,,,,1266.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,962.388,percent of total billed charges,999999999,,,,,,,,,,,,,,,,913.545,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,452.25,percent of total billed charges,429.5268756,,,,,,,,,,452.25,percent of total billed charges,422.3819883,,,,,,,,,,452.25,percent of total billed charges,421.2082068,,,,,,,,,,452.25,percent of total billed charges,415.0059211,,,,,,,,,,452.25,percent of total billed charges,425.6846336,,,,,,,,,,452.25,percent of total billed charges,999999999,,,,,,,,,,452.25,percent of total billed charges,365.2673923,,,,,,,,,,452.25,percent of total billed charges,576.0518664,,,,,,,,,,452.25,percent of total billed charges,999999999,,,,,,,,,,452.25,percent of total billed charges,393.8475815,,,,,,,,,,1628.1,percent of total billed charges,,,,,
CLSD FX TALUS WO MANIP,28430,CDM,,,,both,,,1676,1676,356.7934912,1676,1676,percent of total billed charges,1233.092741,,,,1676,percent of total billed charges,1307.053924,,,,1676,percent of total billed charges,1233.092741,,,,1676,percent of total billed charges,1307.053924,,,,1676,percent of total billed charges,999999999,,,,1676,percent of total billed charges,1276.996809,,,,1676,percent of total billed charges,1233.092741,,,,1676,percent of total billed charges,1307.053924,,,,1194.988,percent of total billed charges,596.3208803,,,,1194.988,percent of total billed charges,356.7934912,,,,1194.988,percent of total billed charges,596.3208803,,,,1194.988,percent of total billed charges,356.7934912,,,,1194.988,percent of total billed charges,596.3208803,,,,1194.988,percent of total billed charges,356.7934912,,,,1183.256,percent of total billed charges,1174.278315,,,,1183.256,percent of total billed charges,809.8904465,,,,,,,,,,1206.72,percent of total billed charges,784.3396033,,,,,,,,,,1206.72,percent of total billed charges,999999999,,,,,,,,,,1340.8,percent of total billed charges,1123.520703,,,,1324.04,percent of total billed charges,1277.75558,,,,1324.04,percent of total billed charges,1128.939351,,,,1340.8,percent of total billed charges,999999999,,,,1340.8,percent of total billed charges,999999999,,,,1173.2,percent of total billed charges,999999999,,,,1173.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,891.632,percent of total billed charges,999999999,,,,,,,,,,,,,,,,846.38,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,419,percent of total billed charges,397.9475089,,,,,,,,,,419,percent of total billed charges,391.3279228,,,,,,,,,,419,percent of total billed charges,390.2404393,,,,,,,,,,419,percent of total billed charges,384.4941536,,,,,,,,,,419,percent of total billed charges,394.3877534,,,,,,,,,,419,percent of total billed charges,999999999,,,,,,,,,,419,percent of total billed charges,338.4124652,,,,,,,,,,419,percent of total billed charges,533.6997944,,,,,,,,,,419,percent of total billed charges,999999999,,,,,,,,,,419,percent of total billed charges,364.8914022,,,,,,,,,,1508.4,percent of total billed charges,,,,,
FX TARSAL BONE WO MANIP EACH,28450,CDM,,,,both,,,1557,1557,331.4603018,1557,1557,percent of total billed charges,1145.540214,,,,1557,percent of total billed charges,1214.249976,,,,1557,percent of total billed charges,1145.540214,,,,1557,percent of total billed charges,1214.249976,,,,1557,percent of total billed charges,999999999,,,,1557,percent of total billed charges,1186.326988,,,,1557,percent of total billed charges,1145.540214,,,,1557,percent of total billed charges,1214.249976,,,,1110.141,percent of total billed charges,553.9806746,,,,1110.141,percent of total billed charges,331.4603018,,,,1110.141,percent of total billed charges,553.9806746,,,,1110.141,percent of total billed charges,331.4603018,,,,1110.141,percent of total billed charges,553.9806746,,,,1110.141,percent of total billed charges,331.4603018,,,,1099.242,percent of total billed charges,1090.901752,,,,1099.242,percent of total billed charges,752.3862919,,,,,,,,,,1121.04,percent of total billed charges,728.6496196,,,,,,,,,,1121.04,percent of total billed charges,999999999,,,,,,,,,,1245.6,percent of total billed charges,1043.748052,,,,1230.03,percent of total billed charges,1187.031884,,,,1230.03,percent of total billed charges,1048.781962,,,,1245.6,percent of total billed charges,999999999,,,,1245.6,percent of total billed charges,999999999,,,,1089.9,percent of total billed charges,999999999,,,,1089.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,828.324,percent of total billed charges,999999999,,,,,,,,,,,,,,,,786.285,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,389.25,percent of total billed charges,369.692286,,,,,,,,,,389.25,percent of total billed charges,363.5427063,,,,,,,,,,389.25,percent of total billed charges,362.5324367,,,,,,,,,,389.25,percent of total billed charges,357.194151,,,,,,,,,,389.25,percent of total billed charges,366.3852816,,,,,,,,,,389.25,percent of total billed charges,999999999,,,,,,,,,,389.25,percent of total billed charges,314.3843725,,,,,,,,,,389.25,percent of total billed charges,495.8058353,,,,,,,,,,389.25,percent of total billed charges,999999999,,,,,,,,,,389.25,percent of total billed charges,338.9832418,,,,,,,,,,1401.3,percent of total billed charges,,,,,
CLSD FX METATARSAL WO MAN EAC,28470,CDM,,,,both,,,1444,1444,307.404416,1444,1444,percent of total billed charges,1062.402099,,,,1444,percent of total billed charges,1126.125219,,,,1444,percent of total billed charges,1062.402099,,,,1444,percent of total billed charges,1126.125219,,,,1444,percent of total billed charges,999999999,,,,1444,percent of total billed charges,1100.228754,,,,1444,percent of total billed charges,1062.402099,,,,1444,percent of total billed charges,1126.125219,,,,1029.572,percent of total billed charges,513.7752692,,,,1029.572,percent of total billed charges,307.404416,,,,1029.572,percent of total billed charges,513.7752692,,,,1029.572,percent of total billed charges,307.404416,,,,1029.572,percent of total billed charges,513.7752692,,,,1029.572,percent of total billed charges,307.404416,,,,1019.464,percent of total billed charges,1011.729049,,,,1019.464,percent of total billed charges,697.7815064,,,,,,,,,,1039.68,percent of total billed charges,675.7675341,,,,,,,,,,1039.68,percent of total billed charges,999999999,,,,,,,,,,1155.2,percent of total billed charges,967.9975507,,,,1140.76,percent of total billed charges,1100.882493,,,,1140.76,percent of total billed charges,972.666123,,,,1155.2,percent of total billed charges,999999999,,,,1155.2,percent of total billed charges,999999999,,,,1010.8,percent of total billed charges,999999999,,,,1010.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,768.208,percent of total billed charges,999999999,,,,,,,,,,,,,,,,729.22,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,361,percent of total billed charges,342.8616962,,,,,,,,,,361,percent of total billed charges,337.1584251,,,,,,,,,,361,percent of total billed charges,336.2214763,,,,,,,,,,361,percent of total billed charges,331.2706192,,,,,,,,,,361,percent of total billed charges,339.7946992,,,,,,,,,,361,percent of total billed charges,999999999,,,,,,,,,,361,percent of total billed charges,291.5677803,,,,,,,,,,361,percent of total billed charges,459.8224959,,,,,,,,,,361,percent of total billed charges,999999999,,,,,,,,,,361,percent of total billed charges,314.3813752,,,,,,,,,,1299.6,percent of total billed charges,,,,,
CLSD FX GR TOE/PHALX/G WO MAN,28490,CDM,,,,both,,,832,832,177.1194419,832,832,percent of total billed charges,612.1319574,,,,832,percent of total billed charges,648.8477715,,,,832,percent of total billed charges,612.1319574,,,,832,percent of total billed charges,648.8477715,,,,832,percent of total billed charges,999999999,,,,832,percent of total billed charges,633.926817,,,,832,percent of total billed charges,612.1319574,,,,832,percent of total billed charges,648.8477715,,,,593.216,percent of total billed charges,296.0256399,,,,593.216,percent of total billed charges,177.1194419,,,,593.216,percent of total billed charges,296.0256399,,,,593.216,percent of total billed charges,177.1194419,,,,593.216,percent of total billed charges,296.0256399,,,,593.216,percent of total billed charges,177.1194419,,,,587.392,percent of total billed charges,582.9352972,,,,587.392,percent of total billed charges,402.0458541,,,,,,,,,,599.04,percent of total billed charges,389.3619033,,,,,,,,,,599.04,percent of total billed charges,999999999,,,,,,,,,,665.6,percent of total billed charges,557.7382009,,,,657.28,percent of total billed charges,634.303486,,,,657.28,percent of total billed charges,560.4281263,,,,665.6,percent of total billed charges,999999999,,,,665.6,percent of total billed charges,999999999,,,,582.4,percent of total billed charges,999999999,,,,582.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,442.624,percent of total billed charges,999999999,,,,,,,,,,,,,,,,420.16,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,208,percent of total billed charges,197.5491213,,,,,,,,,,208,percent of total billed charges,194.2630261,,,,,,,,,,208,percent of total billed charges,193.7231775,,,,,,,,,,208,percent of total billed charges,190.8706061,,,,,,,,,,208,percent of total billed charges,195.7819874,,,,,,,,,,208,percent of total billed charges,999999999,,,,,,,,,,208,percent of total billed charges,167.9947321,,,,,,,,,,208,percent of total billed charges,264.9392774,,,,,,,,,,208,percent of total billed charges,999999999,,,,,,,,,,208,percent of total billed charges,181.1394073,,,,,,,,,,748.8,percent of total billed charges,,,,,
CLSD FX GR TOR/PHALX/G W MANI,28495,CDM,,,,both,,,1007,1007,214.3741322,1007,1007,percent of total billed charges,740.8856744,,,,1007,percent of total billed charges,785.3241658,,,,1007,percent of total billed charges,740.8856744,,,,1007,percent of total billed charges,785.3241658,,,,1007,percent of total billed charges,999999999,,,,1007,percent of total billed charges,767.2647893,,,,1007,percent of total billed charges,740.8856744,,,,1007,percent of total billed charges,785.3241658,,,,717.991,percent of total billed charges,358.2906483,,,,717.991,percent of total billed charges,214.3741322,,,,717.991,percent of total billed charges,358.2906483,,,,717.991,percent of total billed charges,214.3741322,,,,717.991,percent of total billed charges,358.2906483,,,,717.991,percent of total billed charges,214.3741322,,,,710.942,percent of total billed charges,705.5478898,,,,710.942,percent of total billed charges,486.6107874,,,,,,,,,,725.04,percent of total billed charges,471.2589383,,,,,,,,,,725.04,percent of total billed charges,999999999,,,,,,,,,,805.6,percent of total billed charges,675.0509235,,,,795.53,percent of total billed charges,767.7206856,,,,795.53,percent of total billed charges,678.3066384,,,,805.6,percent of total billed charges,999999999,,,,805.6,percent of total billed charges,999999999,,,,704.9,percent of total billed charges,999999999,,,,704.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,535.724,percent of total billed charges,999999999,,,,,,,,,,,,,,,,508.535,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,251.75,percent of total billed charges,239.1009197,,,,,,,,,,251.75,percent of total billed charges,235.1236386,,,,,,,,,,251.75,percent of total billed charges,234.4702401,,,,,,,,,,251.75,percent of total billed charges,231.0176686,,,,,,,,,,251.75,percent of total billed charges,236.9620929,,,,,,,,,,251.75,percent of total billed charges,999999999,,,,,,,,,,251.75,percent of total billed charges,203.3301626,,,,,,,,,,251.75,percent of total billed charges,320.6656879,,,,,,,,,,251.75,percent of total billed charges,999999999,,,,,,,,,,251.75,percent of total billed charges,219.2396432,,,,,,,,,,906.3,percent of total billed charges,,,,,
OPEN FX GR TOE W WO FIXATIO,28505,CDM,,,,both,,,2777,2777,591.1787142,2777,2777,percent of total billed charges,2043.137555,,,,2777,percent of total billed charges,2165.68541,,,,2777,percent of total billed charges,2043.137555,,,,2777,percent of total billed charges,2165.68541,,,,2777,percent of total billed charges,999999999,,,,2777,percent of total billed charges,2115.883138,,,,2777,percent of total billed charges,2043.137555,,,,2777,percent of total billed charges,2165.68541,,,,1980.001,percent of total billed charges,988.0567331,,,,1980.001,percent of total billed charges,591.1787142,,,,1980.001,percent of total billed charges,988.0567331,,,,1980.001,percent of total billed charges,591.1787142,,,,1980.001,percent of total billed charges,988.0567331,,,,1980.001,percent of total billed charges,591.1787142,,,,1960.562,percent of total billed charges,1945.686683,,,,1960.562,percent of total billed charges,1341.924684,,,,,,,,,,1999.44,percent of total billed charges,1299.588949,,,,,,,,,,1999.44,percent of total billed charges,999999999,,,,,,,,,,2221.6,percent of total billed charges,1861.585317,,,,2193.83,percent of total billed charges,2117.140361,,,,2193.83,percent of total billed charges,1870.56359,,,,2221.6,percent of total billed charges,999999999,,,,2221.6,percent of total billed charges,999999999,,,,1943.9,percent of total billed charges,999999999,,,,1943.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1477.364,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1402.385,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,694.25,percent of total billed charges,659.3676802,,,,,,,,,,694.25,percent of total billed charges,648.3995475,,,,,,,,,,694.25,percent of total billed charges,646.597673,,,,,,,,,,694.25,percent of total billed charges,637.0765301,,,,,,,,,,694.25,percent of total billed charges,653.4694458,,,,,,,,,,694.25,percent of total billed charges,999999999,,,,,,,,,,694.25,percent of total billed charges,560.7228018,,,,,,,,,,694.25,percent of total billed charges,884.2985257,,,,,,,,,,694.25,percent of total billed charges,999999999,,,,,,,,,,694.25,percent of total billed charges,604.596315,,,,,,,,,,2499.3,percent of total billed charges,,,,,
CLSD FX PHALX/PHALX WO MAN EA,28510,CDM,,,,both,,,824,824,175.4163704,824,824,percent of total billed charges,606.2460732,,,,824,percent of total billed charges,642.6088506,,,,824,percent of total billed charges,606.2460732,,,,824,percent of total billed charges,642.6088506,,,,824,percent of total billed charges,999999999,,,,824,percent of total billed charges,627.8313668,,,,824,percent of total billed charges,606.2460732,,,,824,percent of total billed charges,642.6088506,,,,587.512,percent of total billed charges,293.1792395,,,,587.512,percent of total billed charges,175.4163704,,,,587.512,percent of total billed charges,293.1792395,,,,587.512,percent of total billed charges,175.4163704,,,,587.512,percent of total billed charges,293.1792395,,,,587.512,percent of total billed charges,175.4163704,,,,581.744,percent of total billed charges,577.3301501,,,,581.744,percent of total billed charges,398.1800286,,,,,,,,,,593.28,percent of total billed charges,385.6180389,,,,,,,,,,593.28,percent of total billed charges,999999999,,,,,,,,,,659.2,percent of total billed charges,552.3753336,,,,650.96,percent of total billed charges,628.204414,,,,650.96,percent of total billed charges,555.0393943,,,,659.2,percent of total billed charges,999999999,,,,659.2,percent of total billed charges,999999999,,,,576.8,percent of total billed charges,999999999,,,,576.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,438.368,percent of total billed charges,999999999,,,,,,,,,,,,,,,,416.12,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,206,percent of total billed charges,195.6496106,,,,,,,,,,206,percent of total billed charges,192.3951124,,,,,,,,,,206,percent of total billed charges,191.8604546,,,,,,,,,,206,percent of total billed charges,189.0353118,,,,,,,,,,206,percent of total billed charges,193.8994682,,,,,,,,,,206,percent of total billed charges,999999999,,,,,,,,,,206,percent of total billed charges,166.3793982,,,,,,,,,,206,percent of total billed charges,262.3917844,,,,,,,,,,206,percent of total billed charges,999999999,,,,,,,,,,206,percent of total billed charges,179.3976822,,,,,,,,,,741.6,percent of total billed charges,,,,,
CLSD REDUCTION OF DISLOCATION OF FOOT,28660,CDM,,,,both,,,611,611,130.0720902,611,611,percent of total billed charges,449.5344062,,,,611,percent of total billed charges,476.4975822,,,,611,percent of total billed charges,449.5344062,,,,611,percent of total billed charges,476.4975822,,,,611,percent of total billed charges,999999999,,,,611,percent of total billed charges,465.5400062,,,,611,percent of total billed charges,449.5344062,,,,611,percent of total billed charges,476.4975822,,,,435.643,percent of total billed charges,217.3938293,,,,435.643,percent of total billed charges,130.0720902,,,,435.643,percent of total billed charges,217.3938293,,,,435.643,percent of total billed charges,130.0720902,,,,435.643,percent of total billed charges,217.3938293,,,,435.643,percent of total billed charges,130.0720902,,,,431.366,percent of total billed charges,428.0931089,,,,431.366,percent of total billed charges,295.2524241,,,,,,,,,,439.92,percent of total billed charges,285.9376478,,,,,,,,,,439.92,percent of total billed charges,999999999,,,,,,,,,,488.8,percent of total billed charges,409.5889913,,,,482.69,percent of total billed charges,465.8166225,,,,482.69,percent of total billed charges,411.5644052,,,,488.8,percent of total billed charges,999999999,,,,488.8,percent of total billed charges,999999999,,,,427.7,percent of total billed charges,999999999,,,,427.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,325.052,percent of total billed charges,999999999,,,,,,,,,,,,,,,,308.555,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,152.75,percent of total billed charges,145.075136,,,,,,,,,,152.75,percent of total billed charges,142.6619098,,,,,,,,,,152.75,percent of total billed charges,142.2654585,,,,,,,,,,152.75,percent of total billed charges,140.1706013,,,,,,,,,,152.75,percent of total billed charges,143.777397,,,,,,,,,,152.75,percent of total billed charges,999999999,,,,,,,,,,152.75,percent of total billed charges,123.3711314,,,,,,,,,,152.75,percent of total billed charges,194.5647819,,,,,,,,,,152.75,percent of total billed charges,999999999,,,,,,,,,,152.75,percent of total billed charges,133.0242522,,,,,,,,,,549.9,percent of total billed charges,,,,,
APP SHOULDER TO HAND (LNG ARM,29065,CDM,,,,both,,,455,455,96.8621948,455,455,percent of total billed charges,334.7596642,,,,455,percent of total billed charges,354.8386251,,,,455,percent of total billed charges,334.7596642,,,,455,percent of total billed charges,354.8386251,,,,455,percent of total billed charges,999999999,,,,455,percent of total billed charges,346.678728,,,,455,percent of total billed charges,334.7596642,,,,455,percent of total billed charges,354.8386251,,,,324.415,percent of total billed charges,161.8890218,,,,324.415,percent of total billed charges,96.8621948,,,,324.415,percent of total billed charges,161.8890218,,,,324.415,percent of total billed charges,96.8621948,,,,324.415,percent of total billed charges,161.8890218,,,,324.415,percent of total billed charges,96.8621948,,,,321.23,percent of total billed charges,318.7927407,,,,321.23,percent of total billed charges,219.8688265,,,,,,,,,,327.6,percent of total billed charges,212.9322909,,,,,,,,,,327.6,percent of total billed charges,999999999,,,,,,,,,,364,percent of total billed charges,305.0130786,,,,359.45,percent of total billed charges,346.8847189,,,,359.45,percent of total billed charges,306.4841316,,,,364,percent of total billed charges,999999999,,,,364,percent of total billed charges,999999999,,,,318.5,percent of total billed charges,999999999,,,,318.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,242.06,percent of total billed charges,999999999,,,,,,,,,,,,,,,,229.775,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,113.75,percent of total billed charges,108.0346757,,,,,,,,,,113.75,percent of total billed charges,106.2375924,,,,,,,,,,113.75,percent of total billed charges,105.9423627,,,,,,,,,,113.75,percent of total billed charges,104.3823627,,,,,,,,,,113.75,percent of total billed charges,107.0682743,,,,,,,,,,113.75,percent of total billed charges,999999999,,,,,,,,,,113.75,percent of total billed charges,91.87211913,,,,,,,,,,113.75,percent of total billed charges,144.8886673,,,,,,,,,,113.75,percent of total billed charges,999999999,,,,,,,,,,113.75,percent of total billed charges,99.06061336,,,,,,,,,,409.5,percent of total billed charges,,,,,
APP ELBOW TO FINGER (SHORT AR,29075,CDM,,,,both,,,396,396,84.30204207,396,396,percent of total billed charges,291.3512682,,,,396,percent of total billed charges,308.8265836,,,,396,percent of total billed charges,291.3512682,,,,396,percent of total billed charges,308.8265836,,,,396,percent of total billed charges,999999999,,,,396,percent of total billed charges,301.7247831,,,,396,percent of total billed charges,291.3512682,,,,396,percent of total billed charges,308.8265836,,,,282.348,percent of total billed charges,140.896819,,,,282.348,percent of total billed charges,84.30204207,,,,282.348,percent of total billed charges,140.896819,,,,282.348,percent of total billed charges,84.30204207,,,,282.348,percent of total billed charges,140.896819,,,,282.348,percent of total billed charges,84.30204207,,,,279.576,percent of total billed charges,277.4547809,,,,279.576,percent of total billed charges,191.3583633,,,,,,,,,,285.12,percent of total billed charges,185.3212905,,,,,,,,,,285.12,percent of total billed charges,999999999,,,,,,,,,,316.8,percent of total billed charges,265.4619322,,,,312.84,percent of total billed charges,301.904063,,,,312.84,percent of total billed charges,266.7422332,,,,316.8,percent of total billed charges,999999999,,,,316.8,percent of total billed charges,999999999,,,,277.2,percent of total billed charges,999999999,,,,277.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,210.672,percent of total billed charges,999999999,,,,,,,,,,,,,,,,199.98,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,99,percent of total billed charges,94.02578371,,,,,,,,,,99,percent of total billed charges,92.46172878,,,,,,,,,,99,percent of total billed charges,92.2047816,,,,,,,,,,99,percent of total billed charges,90.84706731,,,,,,,,,,99,percent of total billed charges,93.1846959,,,,,,,,,,99,percent of total billed charges,999999999,,,,,,,,,,99,percent of total billed charges,79.95903116,,,,,,,,,,99,percent of total billed charges,126.1009061,,,,,,,,,,99,percent of total billed charges,999999999,,,,,,,,,,99,percent of total billed charges,86.21539097,,,,,,,,,,356.4,percent of total billed charges,,,,,
APP SHORT ARM SPLINT (FOREARM,29125,CDM,,,,both,,,277,277,58.96885266,277,277,percent of total billed charges,203.7987406,,,,277,percent of total billed charges,216.0226355,,,,277,percent of total billed charges,203.7987406,,,,277,percent of total billed charges,216.0226355,,,,277,percent of total billed charges,999999999,,,,277,percent of total billed charges,211.0549619,,,,277,percent of total billed charges,203.7987406,,,,277,percent of total billed charges,216.0226355,,,,197.501,percent of total billed charges,98.55661328,,,,197.501,percent of total billed charges,58.96885266,,,,197.501,percent of total billed charges,98.55661328,,,,197.501,percent of total billed charges,58.96885266,,,,197.501,percent of total billed charges,98.55661328,,,,197.501,percent of total billed charges,58.96885266,,,,195.562,percent of total billed charges,194.0782179,,,,195.562,percent of total billed charges,133.8542086,,,,,,,,,,199.44,percent of total billed charges,129.6313068,,,,,,,,,,199.44,percent of total billed charges,999999999,,,,,,,,,,221.6,percent of total billed charges,185.6892808,,,,218.83,percent of total billed charges,211.1803673,,,,218.83,percent of total billed charges,186.5848449,,,,221.6,percent of total billed charges,999999999,,,,221.6,percent of total billed charges,999999999,,,,193.9,percent of total billed charges,999999999,,,,193.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,147.364,percent of total billed charges,999999999,,,,,,,,,,,,,,,,139.885,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,69.25,percent of total billed charges,65.77056083,,,,,,,,,,69.25,percent of total billed charges,64.6765123,,,,,,,,,,69.25,percent of total billed charges,64.49677905,,,,,,,,,,69.25,percent of total billed charges,63.54706476,,,,,,,,,,69.25,percent of total billed charges,65.18222416,,,,,,,,,,69.25,percent of total billed charges,999999999,,,,,,,,,,69.25,percent of total billed charges,55.93093846,,,,,,,,,,69.25,percent of total billed charges,88.20694693,,,,,,,,,,69.25,percent of total billed charges,999999999,,,,,,,,,,69.25,percent of total billed charges,60.30723055,,,,,,,,,,249.3,percent of total billed charges,,,,,
APP FINGER SPLINT STATIC,29130,CDM,,,,both,,,236,236,50.24061093,236,236,percent of total billed charges,173.6335841,,,,236,percent of total billed charges,184.048166,,,,236,percent of total billed charges,173.6335841,,,,236,percent of total billed charges,184.048166,,,,236,percent of total billed charges,999999999,,,,236,percent of total billed charges,179.8157798,,,,236,percent of total billed charges,173.6335841,,,,236,percent of total billed charges,184.048166,,,,168.268,percent of total billed charges,83.96881131,,,,168.268,percent of total billed charges,50.24061093,,,,168.268,percent of total billed charges,83.96881131,,,,168.268,percent of total billed charges,50.24061093,,,,168.268,percent of total billed charges,83.96881131,,,,168.268,percent of total billed charges,50.24061093,,,,166.616,percent of total billed charges,165.3518391,,,,166.616,percent of total billed charges,114.0418528,,,,,,,,,,169.92,percent of total billed charges,110.4440014,,,,,,,,,,169.92,percent of total billed charges,999999999,,,,,,,,,,188.8,percent of total billed charges,158.2045858,,,,186.44,percent of total billed charges,179.9226234,,,,186.44,percent of total billed charges,158.9675935,,,,188.8,percent of total billed charges,999999999,,,,188.8,percent of total billed charges,999999999,,,,165.2,percent of total billed charges,999999999,,,,165.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,125.552,percent of total billed charges,999999999,,,,,,,,,,,,,,,,119.18,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,59,percent of total billed charges,56.03556807,,,,,,,,,,59,percent of total billed charges,55.10345453,,,,,,,,,,59,percent of total billed charges,54.95032438,,,,,,,,,,59,percent of total billed charges,54.14118153,,,,,,,,,,59,percent of total billed charges,55.53431372,,,,,,,,,,59,percent of total billed charges,999999999,,,,,,,,,,59,percent of total billed charges,47.6523519,,,,,,,,,,59,percent of total billed charges,75.15104504,,,,,,,,,,59,percent of total billed charges,999999999,,,,,,,,,,59,percent of total billed charges,51.38088957,,,,,,,,,,212.4,percent of total billed charges,,,,,
REMVL/BIVALVI GAUNTLET BT/BDY,29700,CDM,,,,both,,,277,277,58.96885266,277,277,percent of total billed charges,203.7987406,,,,277,percent of total billed charges,216.0226355,,,,277,percent of total billed charges,203.7987406,,,,277,percent of total billed charges,216.0226355,,,,277,percent of total billed charges,999999999,,,,277,percent of total billed charges,211.0549619,,,,277,percent of total billed charges,203.7987406,,,,277,percent of total billed charges,216.0226355,,,,197.501,percent of total billed charges,98.55661328,,,,197.501,percent of total billed charges,58.96885266,,,,197.501,percent of total billed charges,98.55661328,,,,197.501,percent of total billed charges,58.96885266,,,,197.501,percent of total billed charges,98.55661328,,,,197.501,percent of total billed charges,58.96885266,,,,195.562,percent of total billed charges,194.0782179,,,,195.562,percent of total billed charges,133.8542086,,,,,,,,,,199.44,percent of total billed charges,129.6313068,,,,,,,,,,199.44,percent of total billed charges,999999999,,,,,,,,,,221.6,percent of total billed charges,185.6892808,,,,218.83,percent of total billed charges,211.1803673,,,,218.83,percent of total billed charges,186.5848449,,,,221.6,percent of total billed charges,999999999,,,,221.6,percent of total billed charges,999999999,,,,193.9,percent of total billed charges,999999999,,,,193.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,147.364,percent of total billed charges,999999999,,,,,,,,,,,,,,,,139.885,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,69.25,percent of total billed charges,65.77056083,,,,,,,,,,69.25,percent of total billed charges,64.6765123,,,,,,,,,,69.25,percent of total billed charges,64.49677905,,,,,,,,,,69.25,percent of total billed charges,63.54706476,,,,,,,,,,69.25,percent of total billed charges,65.18222416,,,,,,,,,,69.25,percent of total billed charges,999999999,,,,,,,,,,69.25,percent of total billed charges,55.93093846,,,,,,,,,,69.25,percent of total billed charges,88.20694693,,,,,,,,,,69.25,percent of total billed charges,999999999,,,,,,,,,,69.25,percent of total billed charges,60.30723055,,,,,,,,,,249.3,percent of total billed charges,,,,,
REMVL/BIVLV FULL ARM/LEG CAST,29705,CDM,,,,both,,,291,291,61.94922789,291,291,percent of total billed charges,214.099038,,,,291,percent of total billed charges,226.940747,,,,291,percent of total billed charges,214.099038,,,,291,percent of total billed charges,226.940747,,,,291,percent of total billed charges,999999999,,,,291,percent of total billed charges,221.7219997,,,,291,percent of total billed charges,214.099038,,,,291,percent of total billed charges,226.940747,,,,207.483,percent of total billed charges,103.5378139,,,,207.483,percent of total billed charges,61.94922789,,,,207.483,percent of total billed charges,103.5378139,,,,207.483,percent of total billed charges,61.94922789,,,,207.483,percent of total billed charges,103.5378139,,,,207.483,percent of total billed charges,61.94922789,,,,205.446,percent of total billed charges,203.8872253,,,,205.446,percent of total billed charges,140.6194033,,,,,,,,,,209.52,percent of total billed charges,136.1830696,,,,,,,,,,209.52,percent of total billed charges,999999999,,,,,,,,,,232.8,percent of total billed charges,195.0742986,,,,229.89,percent of total billed charges,221.8537433,,,,229.89,percent of total billed charges,196.0151259,,,,232.8,percent of total billed charges,999999999,,,,232.8,percent of total billed charges,999999999,,,,203.7,percent of total billed charges,999999999,,,,203.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,154.812,percent of total billed charges,999999999,,,,,,,,,,,,,,,,146.955,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,72.75,percent of total billed charges,69.0947047,,,,,,,,,,72.75,percent of total billed charges,67.9453613,,,,,,,,,,72.75,percent of total billed charges,67.75654405,,,,,,,,,,72.75,percent of total billed charges,66.75882976,,,,,,,,,,72.75,percent of total billed charges,68.4766326,,,,,,,,,,72.75,percent of total billed charges,999999999,,,,,,,,,,72.75,percent of total billed charges,58.7577729,,,,,,,,,,72.75,percent of total billed charges,92.66505977,,,,,,,,,,72.75,percent of total billed charges,999999999,,,,,,,,,,72.75,percent of total billed charges,63.35524943,,,,,,,,,,261.9,percent of total billed charges,,,,,
WINDOWING OF CAST,29730,CDM,,,,both,,,359,359,76.42533612,359,359,percent of total billed charges,264.1290537,,,,359,percent of total billed charges,279.9715745,,,,359,percent of total billed charges,264.1290537,,,,359,percent of total billed charges,279.9715745,,,,359,percent of total billed charges,999999999,,,,359,percent of total billed charges,273.5333261,,,,359,percent of total billed charges,264.1290537,,,,359,percent of total billed charges,279.9715745,,,,255.967,percent of total billed charges,127.7322172,,,,255.967,percent of total billed charges,76.42533612,,,,255.967,percent of total billed charges,127.7322172,,,,255.967,percent of total billed charges,76.42533612,,,,255.967,percent of total billed charges,127.7322172,,,,255.967,percent of total billed charges,76.42533612,,,,253.454,percent of total billed charges,251.5309756,,,,253.454,percent of total billed charges,173.4789202,,,,,,,,,,258.48,percent of total billed charges,168.0059174,,,,,,,,,,258.48,percent of total billed charges,999999999,,,,,,,,,,287.2,percent of total billed charges,240.6586708,,,,283.61,percent of total billed charges,273.6958551,,,,283.61,percent of total billed charges,241.8193478,,,,287.2,percent of total billed charges,999999999,,,,287.2,percent of total billed charges,999999999,,,,251.3,percent of total billed charges,999999999,,,,251.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,190.988,percent of total billed charges,999999999,,,,,,,,,,,,,,,,181.295,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,89.75,percent of total billed charges,85.24054635,,,,,,,,,,89.75,percent of total billed charges,83.82262786,,,,,,,,,,89.75,percent of total billed charges,83.58968837,,,,,,,,,,89.75,percent of total billed charges,82.35883122,,,,,,,,,,89.75,percent of total billed charges,84.47804502,,,,,,,,,,89.75,percent of total billed charges,999999999,,,,,,,,,,89.75,percent of total billed charges,72.48811158,,,,,,,,,,89.75,percent of total billed charges,114.3187507,,,,,,,,,,89.75,percent of total billed charges,999999999,,,,,,,,,,89.75,percent of total billed charges,78.15991252,,,,,,,,,,323.1,percent of total billed charges,,,,,
"UNLISTED PROCEDURE, URINARY SYSTEM",53899,CDM,,,,both,,,7028,7028,1496.148363,7028,7028,percent of total billed charges,5170.749275,,,,7028,percent of total billed charges,5480.891993,,,,7028,percent of total billed charges,5170.749275,,,,7028,percent of total billed charges,5480.891993,,,,7028,percent of total billed charges,999999999,,,,7028,percent of total billed charges,5354.852969,,,,7028,percent of total billed charges,5170.749275,,,,7028,percent of total billed charges,5480.891993,,,,5010.964,percent of total billed charges,2500.562737,,,,5010.964,percent of total billed charges,1496.148363,,,,5010.964,percent of total billed charges,2500.562737,,,,5010.964,percent of total billed charges,1496.148363,,,,5010.964,percent of total billed charges,2500.562737,,,,5010.964,percent of total billed charges,1496.148363,,,,4961.768,percent of total billed charges,4924.121717,,,,4961.768,percent of total billed charges,3396.12772,,,,,,,,,,5060.16,percent of total billed charges,3288.984924,,,,,,,,,,5060.16,percent of total billed charges,999999999,,,,,,,,,,5622.4,percent of total billed charges,4711.278938,,,,5552.12,percent of total billed charges,5358.034735,,,,5552.12,percent of total billed charges,4734.001048,,,,5622.4,percent of total billed charges,999999999,,,,5622.4,percent of total billed charges,999999999,,,,4919.6,percent of total billed charges,999999999,,,,4919.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3738.896,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3549.14,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1757,percent of total billed charges,1668.720222,,,,,,,,,,1757,percent of total billed charges,1640.962197,,,,,,,,,,1757,percent of total billed charges,1636.402033,,,,,,,,,,1757,percent of total billed charges,1612.306033,,,,,,,,,,1757,percent of total billed charges,1653.793037,,,,,,,,,,1757,percent of total billed charges,999999999,,,,,,,,,,1757,percent of total billed charges,1419.070886,,,,,,,,,,1757,percent of total billed charges,2237.972646,,,,,,,,,,1757,percent of total billed charges,999999999,,,,,,,,,,1757,percent of total billed charges,1530.105474,,,,,,,,,,6325.2,percent of total billed charges,,,,,
REMVL FRGN BDY INTRANASAL OFF,30300,CDM,,,,both,,,440,440,93.66893563,440,440,percent of total billed charges,323.7236313,,,,440,percent of total billed charges,343.1406484,,,,440,percent of total billed charges,323.7236313,,,,440,percent of total billed charges,343.1406484,,,,440,percent of total billed charges,999999999,,,,440,percent of total billed charges,335.249759,,,,440,percent of total billed charges,323.7236313,,,,440,percent of total billed charges,343.1406484,,,,313.72,percent of total billed charges,156.5520211,,,,313.72,percent of total billed charges,93.66893563,,,,313.72,percent of total billed charges,156.5520211,,,,313.72,percent of total billed charges,93.66893563,,,,313.72,percent of total billed charges,156.5520211,,,,313.72,percent of total billed charges,93.66893563,,,,310.64,percent of total billed charges,308.2830899,,,,310.64,percent of total billed charges,212.6204036,,,,,,,,,,316.8,percent of total billed charges,205.912545,,,,,,,,,,316.8,percent of total billed charges,999999999,,,,,,,,,,352,percent of total billed charges,294.9577024,,,,347.6,percent of total billed charges,335.4489589,,,,347.6,percent of total billed charges,296.3802591,,,,352,percent of total billed charges,999999999,,,,352,percent of total billed charges,999999999,,,,308,percent of total billed charges,999999999,,,,308,percent of total billed charges,999999999,,,,,,,,,,,,,,,,234.08,percent of total billed charges,999999999,,,,,,,,,,,,,,,,222.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,110,percent of total billed charges,104.473093,,,,,,,,,,110,percent of total billed charges,102.7352542,,,,,,,,,,110,percent of total billed charges,102.4497573,,,,,,,,,,110,percent of total billed charges,100.9411859,,,,,,,,,,110,percent of total billed charges,103.538551,,,,,,,,,,110,percent of total billed charges,999999999,,,,,,,,,,110,percent of total billed charges,88.84336795,,,,,,,,,,110,percent of total billed charges,140.1121179,,,,,,,,,,110,percent of total billed charges,999999999,,,,,,,,,,110,percent of total billed charges,95.79487886,,,,,,,,,,396,percent of total billed charges,,,,,
CONTRL-NASAL HEM ANTERIOR SIM,30901,CDM,,,,both,,,515,515,109.6352315,515,515,percent of total billed charges,378.9037957,,,,515,percent of total billed charges,401.6305317,,,,515,percent of total billed charges,378.9037957,,,,515,percent of total billed charges,401.6305317,,,,515,percent of total billed charges,999999999,,,,515,percent of total billed charges,392.3946043,,,,515,percent of total billed charges,378.9037957,,,,515,percent of total billed charges,401.6305317,,,,367.195,percent of total billed charges,183.2370247,,,,367.195,percent of total billed charges,109.6352315,,,,367.195,percent of total billed charges,183.2370247,,,,367.195,percent of total billed charges,109.6352315,,,,367.195,percent of total billed charges,183.2370247,,,,367.195,percent of total billed charges,109.6352315,,,,363.59,percent of total billed charges,360.8313438,,,,363.59,percent of total billed charges,248.8625179,,,,,,,,,,370.8,percent of total billed charges,241.0112743,,,,,,,,,,370.8,percent of total billed charges,999999999,,,,,,,,,,412,percent of total billed charges,345.2345835,,,,406.85,percent of total billed charges,392.6277588,,,,406.85,percent of total billed charges,346.8996214,,,,412,percent of total billed charges,999999999,,,,412,percent of total billed charges,999999999,,,,360.5,percent of total billed charges,999999999,,,,360.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,273.98,percent of total billed charges,999999999,,,,,,,,,,,,,,,,260.075,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,128.75,percent of total billed charges,122.2810066,,,,,,,,,,128.75,percent of total billed charges,120.2469453,,,,,,,,,,128.75,percent of total billed charges,119.9127841,,,,,,,,,,128.75,percent of total billed charges,118.1470699,,,,,,,,,,128.75,percent of total billed charges,121.1871677,,,,,,,,,,128.75,percent of total billed charges,999999999,,,,,,,,,,128.75,percent of total billed charges,103.9871239,,,,,,,,,,128.75,percent of total billed charges,163.9948652,,,,,,,,,,128.75,percent of total billed charges,999999999,,,,,,,,,,128.75,percent of total billed charges,112.1235514,,,,,,,,,,463.5,percent of total billed charges,,,,,
CONTL NASAL HEM POST W/NASAL,30905,CDM,,,,both,,,971,971,206.7103102,971,971,percent of total billed charges,714.3991955,,,,971,percent of total billed charges,757.2490218,,,,971,percent of total billed charges,714.3991955,,,,971,percent of total billed charges,757.2490218,,,,971,percent of total billed charges,999999999,,,,971,percent of total billed charges,739.8352636,,,,971,percent of total billed charges,714.3991955,,,,971,percent of total billed charges,757.2490218,,,,692.323,percent of total billed charges,345.4818465,,,,692.323,percent of total billed charges,206.7103102,,,,692.323,percent of total billed charges,345.4818465,,,,692.323,percent of total billed charges,206.7103102,,,,692.323,percent of total billed charges,345.4818465,,,,692.323,percent of total billed charges,206.7103102,,,,685.526,percent of total billed charges,680.3247279,,,,685.526,percent of total billed charges,469.2145725,,,,,,,,,,699.12,percent of total billed charges,454.4115482,,,,,,,,,,699.12,percent of total billed charges,999999999,,,,,,,,,,776.8,percent of total billed charges,650.9180206,,,,767.09,percent of total billed charges,740.2748617,,,,767.09,percent of total billed charges,654.0573445,,,,776.8,percent of total billed charges,999999999,,,,776.8,percent of total billed charges,999999999,,,,679.7,percent of total billed charges,999999999,,,,679.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,516.572,percent of total billed charges,999999999,,,,,,,,,,,,,,,,490.355,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,242.75,percent of total billed charges,230.5531212,,,,,,,,,,242.75,percent of total billed charges,226.7180269,,,,,,,,,,242.75,percent of total billed charges,226.0879872,,,,,,,,,,242.75,percent of total billed charges,222.7588443,,,,,,,,,,242.75,percent of total billed charges,228.4907569,,,,,,,,,,242.75,percent of total billed charges,999999999,,,,,,,,,,242.75,percent of total billed charges,196.0611597,,,,,,,,,,242.75,percent of total billed charges,309.2019692,,,,,,,,,,242.75,percent of total billed charges,999999999,,,,,,,,,,242.75,percent of total billed charges,211.4018804,,,,,,,,,,873.9,percent of total billed charges,,,,,
INTUBATION ENDOTRACH EMER PR,31500,CDM,,,,both,,,986,986,209.9035694,986,986,percent of total billed charges,725.4352284,,,,986,percent of total billed charges,768.9469985,,,,986,percent of total billed charges,725.4352284,,,,986,percent of total billed charges,768.9469985,,,,986,percent of total billed charges,999999999,,,,986,percent of total billed charges,751.2642326,,,,986,percent of total billed charges,725.4352284,,,,986,percent of total billed charges,768.9469985,,,,703.018,percent of total billed charges,350.8188473,,,,703.018,percent of total billed charges,209.9035694,,,,703.018,percent of total billed charges,350.8188473,,,,703.018,percent of total billed charges,209.9035694,,,,703.018,percent of total billed charges,350.8188473,,,,703.018,percent of total billed charges,209.9035694,,,,696.116,percent of total billed charges,690.8343787,,,,696.116,percent of total billed charges,476.4629954,,,,,,,,,,709.92,percent of total billed charges,461.4312941,,,,,,,,,,709.92,percent of total billed charges,999999999,,,,,,,,,,788.8,percent of total billed charges,660.9733968,,,,778.94,percent of total billed charges,751.7106216,,,,778.94,percent of total billed charges,664.161217,,,,788.8,percent of total billed charges,999999999,,,,788.8,percent of total billed charges,999999999,,,,690.2,percent of total billed charges,999999999,,,,690.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,524.552,percent of total billed charges,999999999,,,,,,,,,,,,,,,,497.93,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,246.5,percent of total billed charges,234.1147039,,,,,,,,,,246.5,percent of total billed charges,230.2203651,,,,,,,,,,246.5,percent of total billed charges,229.5805926,,,,,,,,,,246.5,percent of total billed charges,226.2000211,,,,,,,,,,246.5,percent of total billed charges,232.0204802,,,,,,,,,,246.5,percent of total billed charges,999999999,,,,,,,,,,246.5,percent of total billed charges,199.0899109,,,,,,,,,,246.5,percent of total billed charges,313.9785187,,,,,,,,,,246.5,percent of total billed charges,999999999,,,,,,,,,,246.5,percent of total billed charges,214.6676149,,,,,,,,,,887.4,percent of total billed charges,,,,,
LARYNOGSCOPY INDRCTW/RMVL FRG,31511,CDM,,,,both,,,939,939,199.898024,939,939,percent of total billed charges,690.8556587,,,,939,percent of total billed charges,732.2933383,,,,939,percent of total billed charges,690.8556587,,,,939,percent of total billed charges,732.2933383,,,,939,percent of total billed charges,999999999,,,,939,percent of total billed charges,715.4534629,,,,939,percent of total billed charges,690.8556587,,,,939,percent of total billed charges,732.2933383,,,,669.507,percent of total billed charges,334.096245,,,,669.507,percent of total billed charges,199.898024,,,,669.507,percent of total billed charges,334.096245,,,,669.507,percent of total billed charges,199.898024,,,,669.507,percent of total billed charges,334.096245,,,,669.507,percent of total billed charges,199.898024,,,,662.934,percent of total billed charges,657.9041395,,,,662.934,percent of total billed charges,453.7512704,,,,,,,,,,676.08,percent of total billed charges,439.4360904,,,,,,,,,,676.08,percent of total billed charges,999999999,,,,,,,,,,751.2,percent of total billed charges,629.4665513,,,,741.81,percent of total billed charges,715.8785737,,,,741.81,percent of total billed charges,632.5024166,,,,751.2,percent of total billed charges,999999999,,,,751.2,percent of total billed charges,999999999,,,,657.3,percent of total billed charges,999999999,,,,657.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,499.548,percent of total billed charges,999999999,,,,,,,,,,,,,,,,474.195,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,234.75,percent of total billed charges,222.9550781,,,,,,,,,,234.75,percent of total billed charges,219.246372,,,,,,,,,,234.75,percent of total billed charges,218.6370958,,,,,,,,,,234.75,percent of total billed charges,215.4176672,,,,,,,,,,234.75,percent of total billed charges,220.9606804,,,,,,,,,,234.75,percent of total billed charges,999999999,,,,,,,,,,234.75,percent of total billed charges,189.5998239,,,,,,,,,,234.75,percent of total billed charges,299.011997,,,,,,,,,,234.75,percent of total billed charges,999999999,,,,,,,,,,234.75,percent of total billed charges,204.4349801,,,,,,,,,,845.1,percent of total billed charges,,,,,
LARYNGOSCOPY FLEX FIB W/RMVL,31577,CDM,,,,both,,,1285,1285,273.5558688,1285,1285,percent of total billed charges,945.4201506,,,,1285,percent of total billed charges,1002.126666,,,,1285,percent of total billed charges,945.4201506,,,,1285,percent of total billed charges,1002.126666,,,,1285,percent of total billed charges,999999999,,,,1285,percent of total billed charges,979.0816825,,,,1285,percent of total billed charges,945.4201506,,,,1285,percent of total billed charges,1002.126666,,,,916.205,percent of total billed charges,457.2030616,,,,916.205,percent of total billed charges,273.5558688,,,,916.205,percent of total billed charges,457.2030616,,,,916.205,percent of total billed charges,273.5558688,,,,916.205,percent of total billed charges,457.2030616,,,,916.205,percent of total billed charges,273.5558688,,,,907.21,percent of total billed charges,900.3267511,,,,907.21,percent of total billed charges,620.9482242,,,,,,,,,,925.2,percent of total billed charges,601.3582281,,,,,,,,,,925.2,percent of total billed charges,999999999,,,,,,,,,,1028,percent of total billed charges,861.4105628,,,,1015.15,percent of total billed charges,979.6634369,,,,1015.15,percent of total billed charges,865.5650749,,,,1028,percent of total billed charges,999999999,,,,1028,percent of total billed charges,999999999,,,,899.5,percent of total billed charges,999999999,,,,899.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,683.62,percent of total billed charges,999999999,,,,,,,,,,,,,,,,648.925,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,321.25,percent of total billed charges,305.1089194,,,,,,,,,,321.25,percent of total billed charges,300.0336401,,,,,,,,,,321.25,percent of total billed charges,299.1998595,,,,,,,,,,321.25,percent of total billed charges,294.7941452,,,,,,,,,,321.25,percent of total billed charges,302.3796319,,,,,,,,,,321.25,percent of total billed charges,999999999,,,,,,,,,,321.25,percent of total billed charges,259.4630178,,,,,,,,,,321.25,percent of total billed charges,409.1910715,,,,,,,,,,321.25,percent of total billed charges,999999999,,,,,,,,,,321.25,percent of total billed charges,279.7645894,,,,,,,,,,1156.5,percent of total billed charges,,,,,
TRACHEOSTOMY TRANSTRACHEAL ER,31603,CDM,,,,both,,,2043,2043,434.9218989,2043,2043,percent of total billed charges,1503.107679,,,,2043,percent of total billed charges,1593.26442,,,,2043,percent of total billed charges,1503.107679,,,,2043,percent of total billed charges,1593.26442,,,,2043,percent of total billed charges,999999999,,,,2043,percent of total billed charges,1556.625585,,,,2043,percent of total billed charges,1503.107679,,,,2043,percent of total billed charges,1593.26442,,,,1456.659,percent of total billed charges,726.8994979,,,,1456.659,percent of total billed charges,434.9218989,,,,1456.659,percent of total billed charges,726.8994979,,,,1456.659,percent of total billed charges,434.9218989,,,,1456.659,percent of total billed charges,726.8994979,,,,1456.659,percent of total billed charges,434.9218989,,,,1442.358,percent of total billed charges,1431.414438,,,,1442.358,percent of total billed charges,987.2351923,,,,,,,,,,1470.96,percent of total billed charges,956.0893852,,,,,,,,,,1470.96,percent of total billed charges,999999999,,,,,,,,,,1634.4,percent of total billed charges,1369.542241,,,,1613.97,percent of total billed charges,1557.550507,,,,1613.97,percent of total billed charges,1376.14743,,,,1634.4,percent of total billed charges,999999999,,,,1634.4,percent of total billed charges,999999999,,,,1430.1,percent of total billed charges,999999999,,,,1430.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1086.876,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1031.715,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,510.75,percent of total billed charges,485.087566,,,,,,,,,,510.75,percent of total billed charges,477.0184644,,,,,,,,,,510.75,percent of total billed charges,475.6928505,,,,,,,,,,510.75,percent of total billed charges,468.6882791,,,,,,,,,,510.75,percent of total billed charges,480.7483175,,,,,,,,,,510.75,percent of total billed charges,999999999,,,,,,,,,,510.75,percent of total billed charges,412.5159107,,,,,,,,,,510.75,percent of total billed charges,650.5660382,,,,,,,,,,510.75,percent of total billed charges,999999999,,,,,,,,,,510.75,percent of total billed charges,444.7930398,,,,,,,,,,1838.7,percent of total billed charges,,,,,
LARYNGOSCOPY W/ FB REMOVAL,31530,CDM,,,,both,,,1236,1236,263.1245556,1236,1236,percent of total billed charges,909.3691098,,,,1236,percent of total billed charges,963.913276,,,,1236,percent of total billed charges,909.3691098,,,,1236,percent of total billed charges,963.913276,,,,1236,percent of total billed charges,999999999,,,,1236,percent of total billed charges,941.7470502,,,,1236,percent of total billed charges,909.3691098,,,,1236,percent of total billed charges,963.913276,,,,881.268,percent of total billed charges,439.7688592,,,,881.268,percent of total billed charges,263.1245556,,,,881.268,percent of total billed charges,439.7688592,,,,881.268,percent of total billed charges,263.1245556,,,,881.268,percent of total billed charges,439.7688592,,,,881.268,percent of total billed charges,263.1245556,,,,872.616,percent of total billed charges,865.9952252,,,,872.616,percent of total billed charges,597.2700429,,,,,,,,,,889.92,percent of total billed charges,578.4270583,,,,,,,,,,889.92,percent of total billed charges,999999999,,,,,,,,,,988.8,percent of total billed charges,828.5630004,,,,976.44,percent of total billed charges,942.306621,,,,976.44,percent of total billed charges,832.5590915,,,,988.8,percent of total billed charges,999999999,,,,988.8,percent of total billed charges,999999999,,,,865.2,percent of total billed charges,999999999,,,,865.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,657.552,percent of total billed charges,999999999,,,,,,,,,,,,,,,,624.18,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,309,percent of total billed charges,293.4744158,,,,,,,,,,309,percent of total billed charges,288.5926686,,,,,,,,,,309,percent of total billed charges,287.7906819,,,,,,,,,,309,percent of total billed charges,283.5529677,,,,,,,,,,309,percent of total billed charges,290.8492024,,,,,,,,,,309,percent of total billed charges,999999999,,,,,,,,,,309,percent of total billed charges,249.5690972,,,,,,,,,,309,percent of total billed charges,393.5876766,,,,,,,,,,309,percent of total billed charges,999999999,,,,,,,,,,309,percent of total billed charges,269.0965233,,,,,,,,,,1112.4,percent of total billed charges,,,,,
THORACENTESIS PUNCT PLRL W/O IMAGING,32554,CDM,,,,both,,,668,668,142.206475,668,668,percent of total billed charges,491.4713312,,,,668,percent of total billed charges,520.9498935,,,,668,percent of total billed charges,491.4713312,,,,668,percent of total billed charges,520.9498935,,,,668,percent of total billed charges,999999999,,,,668,percent of total billed charges,508.9700886,,,,668,percent of total billed charges,491.4713312,,,,668,percent of total billed charges,520.9498935,,,,476.284,percent of total billed charges,237.674432,,,,476.284,percent of total billed charges,142.206475,,,,476.284,percent of total billed charges,237.674432,,,,476.284,percent of total billed charges,142.206475,,,,476.284,percent of total billed charges,237.674432,,,,476.284,percent of total billed charges,142.206475,,,,471.608,percent of total billed charges,468.0297819,,,,471.608,percent of total billed charges,322.7964309,,,,,,,,,,480.96,percent of total billed charges,312.612682,,,,,,,,,,480.96,percent of total billed charges,999999999,,,,,,,,,,534.4,percent of total billed charges,447.7994209,,,,527.72,percent of total billed charges,509.2725104,,,,527.72,percent of total billed charges,449.9591206,,,,534.4,percent of total billed charges,999999999,,,,534.4,percent of total billed charges,999999999,,,,467.6,percent of total billed charges,999999999,,,,467.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,355.376,percent of total billed charges,999999999,,,,,,,,,,,,,,,,337.34,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,167,percent of total billed charges,158.6091503,,,,,,,,,,167,percent of total billed charges,155.970795,,,,,,,,,,167,percent of total billed charges,155.5373589,,,,,,,,,,167,percent of total billed charges,153.2470731,,,,,,,,,,167,percent of total billed charges,157.1903456,,,,,,,,,,167,percent of total billed charges,999999999,,,,,,,,,,167,percent of total billed charges,134.8803859,,,,,,,,,,167,percent of total billed charges,212.7156699,,,,,,,,,,167,percent of total billed charges,999999999,,,,,,,,,,167,percent of total billed charges,145.4340434,,,,,,,,,,601.2,percent of total billed charges,,,,,
**TUBE THORACOSTOMY W WO WATER,32020,CDM,,,,both,,,1118,1118,238.0042501,1118,1118,percent of total billed charges,822.5523178,,,,1118,percent of total billed charges,871.889193,,,,1118,percent of total billed charges,822.5523178,,,,1118,percent of total billed charges,871.889193,,,,1118,percent of total billed charges,999999999,,,,1118,percent of total billed charges,851.8391603,,,,1118,percent of total billed charges,822.5523178,,,,1118,percent of total billed charges,871.889193,,,,797.134,percent of total billed charges,397.7844536,,,,797.134,percent of total billed charges,238.0042501,,,,797.134,percent of total billed charges,397.7844536,,,,797.134,percent of total billed charges,238.0042501,,,,797.134,percent of total billed charges,397.7844536,,,,797.134,percent of total billed charges,238.0042501,,,,789.308,percent of total billed charges,783.3193056,,,,789.308,percent of total billed charges,540.2491165,,,,,,,,,,804.96,percent of total billed charges,523.2050576,,,,,,,,,,804.96,percent of total billed charges,999999999,,,,,,,,,,894.4,percent of total billed charges,749.4607075,,,,883.22,percent of total billed charges,852.3453093,,,,883.22,percent of total billed charges,753.0752947,,,,894.4,percent of total billed charges,999999999,,,,894.4,percent of total billed charges,999999999,,,,782.6,percent of total billed charges,999999999,,,,782.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,594.776,percent of total billed charges,999999999,,,,,,,,,,,,,,,,564.59,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,279.5,percent of total billed charges,265.4566318,,,,,,,,,,279.5,percent of total billed charges,261.0409414,,,,,,,,,,279.5,percent of total billed charges,260.3155198,,,,,,,,,,279.5,percent of total billed charges,256.4823769,,,,,,,,,,279.5,percent of total billed charges,263.0820455,,,,,,,,,,279.5,percent of total billed charges,999999999,,,,,,,,,,279.5,percent of total billed charges,225.7429213,,,,,,,,,,279.5,percent of total billed charges,356.012154,,,,,,,,,,279.5,percent of total billed charges,999999999,,,,,,,,,,279.5,percent of total billed charges,243.4060786,,,,,,,,,,1006.2,percent of total billed charges,,,,,
PERICARDIOCENTESIS INITIAL,33010,CDM,,,,both,,,1053,1053,224.1667937,1053,1053,percent of total billed charges,774.7295086,,,,1053,percent of total billed charges,821.1979608,,,,1053,percent of total billed charges,774.7295086,,,,1053,percent of total billed charges,821.1979608,,,,1053,percent of total billed charges,999999999,,,,1053,percent of total billed charges,802.3136278,,,,1053,percent of total billed charges,774.7295086,,,,1053,percent of total billed charges,821.1979608,,,,750.789,percent of total billed charges,374.6574505,,,,750.789,percent of total billed charges,224.1667937,,,,750.789,percent of total billed charges,374.6574505,,,,750.789,percent of total billed charges,224.1667937,,,,750.789,percent of total billed charges,374.6574505,,,,750.789,percent of total billed charges,224.1667937,,,,743.418,percent of total billed charges,737.7774855,,,,743.418,percent of total billed charges,508.8392841,,,,,,,,,,758.16,percent of total billed charges,492.7861589,,,,,,,,,,758.16,percent of total billed charges,999999999,,,,,,,,,,842.4,percent of total billed charges,705.8874106,,,,831.87,percent of total billed charges,802.7903495,,,,831.87,percent of total billed charges,709.2918473,,,,842.4,percent of total billed charges,999999999,,,,842.4,percent of total billed charges,999999999,,,,737.1,percent of total billed charges,999999999,,,,737.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,560.196,percent of total billed charges,999999999,,,,,,,,,,,,,,,,531.765,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,263.25,percent of total billed charges,250.0231067,,,,,,,,,,263.25,percent of total billed charges,245.8641424,,,,,,,,,,263.25,percent of total billed charges,245.1808965,,,,,,,,,,263.25,percent of total billed charges,241.5706108,,,,,,,,,,263.25,percent of total billed charges,247.7865777,,,,,,,,,,263.25,percent of total billed charges,999999999,,,,,,,,,,263.25,percent of total billed charges,212.6183328,,,,,,,,,,263.25,percent of total billed charges,335.313773,,,,,,,,,,263.25,percent of total billed charges,999999999,,,,,,,,,,263.25,percent of total billed charges,229.2545624,,,,,,,,,,947.7,percent of total billed charges,,,,,
THORACENTESIS PUNCTURE WITHOUT IMAGING,32554,CDM,,,,both,,,668,668,142.206475,668,668,percent of total billed charges,491.4713312,,,,668,percent of total billed charges,520.9498935,,,,668,percent of total billed charges,491.4713312,,,,668,percent of total billed charges,520.9498935,,,,668,percent of total billed charges,999999999,,,,668,percent of total billed charges,508.9700886,,,,668,percent of total billed charges,491.4713312,,,,668,percent of total billed charges,520.9498935,,,,476.284,percent of total billed charges,237.674432,,,,476.284,percent of total billed charges,142.206475,,,,476.284,percent of total billed charges,237.674432,,,,476.284,percent of total billed charges,142.206475,,,,476.284,percent of total billed charges,237.674432,,,,476.284,percent of total billed charges,142.206475,,,,471.608,percent of total billed charges,468.0297819,,,,471.608,percent of total billed charges,322.7964309,,,,,,,,,,480.96,percent of total billed charges,312.612682,,,,,,,,,,480.96,percent of total billed charges,999999999,,,,,,,,,,534.4,percent of total billed charges,447.7994209,,,,527.72,percent of total billed charges,509.2725104,,,,527.72,percent of total billed charges,449.9591206,,,,534.4,percent of total billed charges,999999999,,,,534.4,percent of total billed charges,999999999,,,,467.6,percent of total billed charges,999999999,,,,467.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,355.376,percent of total billed charges,999999999,,,,,,,,,,,,,,,,337.34,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,167,percent of total billed charges,158.6091503,,,,,,,,,,167,percent of total billed charges,155.970795,,,,,,,,,,167,percent of total billed charges,155.5373589,,,,,,,,,,167,percent of total billed charges,153.2470731,,,,,,,,,,167,percent of total billed charges,157.1903456,,,,,,,,,,167,percent of total billed charges,999999999,,,,,,,,,,167,percent of total billed charges,134.8803859,,,,,,,,,,167,percent of total billed charges,212.7156699,,,,,,,,,,167,percent of total billed charges,999999999,,,,,,,,,,167,percent of total billed charges,145.4340434,,,,,,,,,,601.2,percent of total billed charges,,,,,
I OR R TRANSV S CHAMBER CARD,33210,CDM,,,,both,,,1588,1588,338.0597041,1588,1588,percent of total billed charges,1168.348015,,,,1588,percent of total billed charges,1238.425795,,,,1588,percent of total billed charges,1168.348015,,,,1588,percent of total billed charges,1238.425795,,,,1588,percent of total billed charges,999999999,,,,1588,percent of total billed charges,1209.946857,,,,1588,percent of total billed charges,1168.348015,,,,1588,percent of total billed charges,1238.425795,,,,1132.244,percent of total billed charges,565.0104761,,,,1132.244,percent of total billed charges,338.0597041,,,,1132.244,percent of total billed charges,565.0104761,,,,1132.244,percent of total billed charges,338.0597041,,,,1132.244,percent of total billed charges,565.0104761,,,,1132.244,percent of total billed charges,338.0597041,,,,1121.128,percent of total billed charges,1112.621697,,,,1121.128,percent of total billed charges,767.3663658,,,,,,,,,,1143.36,percent of total billed charges,743.1570943,,,,,,,,,,1143.36,percent of total billed charges,999999999,,,,,,,,,,1270.4,percent of total billed charges,1064.529162,,,,1254.52,percent of total billed charges,1210.665788,,,,1254.52,percent of total billed charges,1069.663299,,,,1270.4,percent of total billed charges,999999999,,,,1270.4,percent of total billed charges,999999999,,,,1111.6,percent of total billed charges,999999999,,,,1111.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,844.816,percent of total billed charges,999999999,,,,,,,,,,,,,,,,801.94,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,397,percent of total billed charges,377.0528902,,,,,,,,,,397,percent of total billed charges,370.780872,,,,,,,,,,397,percent of total billed charges,369.7504878,,,,,,,,,,397,percent of total billed charges,364.3059164,,,,,,,,,,397,percent of total billed charges,373.6800432,,,,,,,,,,397,percent of total billed charges,999999999,,,,,,,,,,397,percent of total billed charges,320.6437916,,,,,,,,,,397,percent of total billed charges,505.6773709,,,,,,,,,,397,percent of total billed charges,999999999,,,,,,,,,,397,percent of total billed charges,345.7324264,,,,,,,,,,1429.2,percent of total billed charges,,,,,
PLACEMNT CENTRL VEN CATH PER,36555,CDM,,,,both,,,628,628,133.6911172,628,628,percent of total billed charges,462.0419102,,,,628,percent of total billed charges,489.7552891,,,,628,percent of total billed charges,462.0419102,,,,628,percent of total billed charges,489.7552891,,,,628,percent of total billed charges,999999999,,,,628,percent of total billed charges,478.4928378,,,,628,percent of total billed charges,462.0419102,,,,628,percent of total billed charges,489.7552891,,,,447.764,percent of total billed charges,223.4424301,,,,447.764,percent of total billed charges,133.6911172,,,,447.764,percent of total billed charges,223.4424301,,,,447.764,percent of total billed charges,133.6911172,,,,447.764,percent of total billed charges,223.4424301,,,,447.764,percent of total billed charges,133.6911172,,,,443.368,percent of total billed charges,440.0040465,,,,443.368,percent of total billed charges,303.4673033,,,,,,,,,,452.16,percent of total billed charges,293.8933597,,,,,,,,,,452.16,percent of total billed charges,999999999,,,,,,,,,,502.4,percent of total billed charges,420.9850844,,,,496.12,percent of total billed charges,478.7771505,,,,496.12,percent of total billed charges,423.0154607,,,,502.4,percent of total billed charges,999999999,,,,502.4,percent of total billed charges,999999999,,,,439.6,percent of total billed charges,999999999,,,,439.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,334.096,percent of total billed charges,999999999,,,,,,,,,,,,,,,,317.14,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,157,percent of total billed charges,149.1115964,,,,,,,,,,157,percent of total billed charges,146.6312264,,,,,,,,,,157,percent of total billed charges,146.2237445,,,,,,,,,,157,percent of total billed charges,144.0706017,,,,,,,,,,157,percent of total billed charges,147.7777501,,,,,,,,,,157,percent of total billed charges,999999999,,,,,,,,,,157,percent of total billed charges,126.8037161,,,,,,,,,,157,percent of total billed charges,199.9782046,,,,,,,,,,157,percent of total billed charges,999999999,,,,,,,,,,157,percent of total billed charges,136.725418,,,,,,,,,,565.2,percent of total billed charges,,,,,
**PLCMNT CENTRL VEN CATH CUTDWN,36491,CDM,,,,both,,,422,422,89.83702463,422,422,percent of total billed charges,310.4803919,,,,422,percent of total billed charges,329.1030764,,,,422,percent of total billed charges,310.4803919,,,,422,percent of total billed charges,329.1030764,,,,422,percent of total billed charges,999999999,,,,422,percent of total billed charges,321.5349961,,,,422,percent of total billed charges,310.4803919,,,,422,percent of total billed charges,329.1030764,,,,300.886,percent of total billed charges,150.1476202,,,,300.886,percent of total billed charges,89.83702463,,,,300.886,percent of total billed charges,150.1476202,,,,300.886,percent of total billed charges,89.83702463,,,,300.886,percent of total billed charges,150.1476202,,,,300.886,percent of total billed charges,89.83702463,,,,297.932,percent of total billed charges,295.6715089,,,,297.932,percent of total billed charges,203.9222962,,,,,,,,,,303.84,percent of total billed charges,197.48885,,,,,,,,,,303.84,percent of total billed charges,999999999,,,,,,,,,,337.6,percent of total billed charges,282.891251,,,,333.38,percent of total billed charges,321.726047,,,,333.38,percent of total billed charges,284.2556121,,,,337.6,percent of total billed charges,999999999,,,,337.6,percent of total billed charges,999999999,,,,295.4,percent of total billed charges,999999999,,,,295.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,224.504,percent of total billed charges,999999999,,,,,,,,,,,,,,,,213.11,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,105.5,percent of total billed charges,100.1991938,,,,,,,,,,105.5,percent of total billed charges,98.53244835,,,,,,,,,,105.5,percent of total billed charges,98.25863089,,,,,,,,,,105.5,percent of total billed charges,96.81177375,,,,,,,,,,105.5,percent of total billed charges,99.30288301,,,,,,,,,,105.5,percent of total billed charges,999999999,,,,,,,,,,105.5,percent of total billed charges,85.20886654,,,,,,,,,,105.5,percent of total billed charges,134.3802585,,,,,,,,,,105.5,percent of total billed charges,999999999,,,,,,,,,,105.5,percent of total billed charges,91.87599745,,,,,,,,,,379.8,percent of total billed charges,,,,,
INCISION & DRNG ABCESS PALATE,42000,CDM,,,,both,,,643,643,136.8843764,643,643,percent of total billed charges,473.077943,,,,643,percent of total billed charges,501.4532657,,,,643,percent of total billed charges,473.077943,,,,643,percent of total billed charges,501.4532657,,,,643,percent of total billed charges,999999999,,,,643,percent of total billed charges,489.9218069,,,,643,percent of total billed charges,473.077943,,,,643,percent of total billed charges,501.4532657,,,,458.459,percent of total billed charges,228.7794308,,,,458.459,percent of total billed charges,136.8843764,,,,458.459,percent of total billed charges,228.7794308,,,,458.459,percent of total billed charges,136.8843764,,,,458.459,percent of total billed charges,228.7794308,,,,458.459,percent of total billed charges,136.8843764,,,,453.958,percent of total billed charges,450.5136972,,,,453.958,percent of total billed charges,310.7157262,,,,,,,,,,462.96,percent of total billed charges,300.9131056,,,,,,,,,,462.96,percent of total billed charges,999999999,,,,,,,,,,514.4,percent of total billed charges,431.0404606,,,,507.97,percent of total billed charges,490.2129104,,,,507.97,percent of total billed charges,433.1193332,,,,514.4,percent of total billed charges,999999999,,,,514.4,percent of total billed charges,999999999,,,,450.1,percent of total billed charges,999999999,,,,450.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,342.076,percent of total billed charges,999999999,,,,,,,,,,,,,,,,324.715,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,160.75,percent of total billed charges,152.6731791,,,,,,,,,,160.75,percent of total billed charges,150.1335647,,,,,,,,,,160.75,percent of total billed charges,149.7163499,,,,,,,,,,160.75,percent of total billed charges,147.5117785,,,,,,,,,,160.75,percent of total billed charges,151.3074734,,,,,,,,,,160.75,percent of total billed charges,999999999,,,,,,,,,,160.75,percent of total billed charges,129.8324673,,,,,,,,,,160.75,percent of total billed charges,204.7547541,,,,,,,,,,160.75,percent of total billed charges,999999999,,,,,,,,,,160.75,percent of total billed charges,139.9911525,,,,,,,,,,578.7,percent of total billed charges,,,,,
INCS &DRN ISHRCTL/PERCTL ABSC,46040,CDM,,,,both,,,2426,2426,516.4564497,2426,2426,percent of total billed charges,1784.894385,,,,2426,percent of total billed charges,1891.952757,,,,2426,percent of total billed charges,1784.894385,,,,2426,percent of total billed charges,1891.952757,,,,2426,percent of total billed charges,999999999,,,,2426,percent of total billed charges,1848.445262,,,,2426,percent of total billed charges,1784.894385,,,,2426,percent of total billed charges,1891.952757,,,,1729.738,percent of total billed charges,863.1709163,,,,1729.738,percent of total billed charges,516.4564497,,,,1729.738,percent of total billed charges,863.1709163,,,,1729.738,percent of total billed charges,516.4564497,,,,1729.738,percent of total billed charges,863.1709163,,,,1729.738,percent of total billed charges,516.4564497,,,,1712.756,percent of total billed charges,1699.760855,,,,1712.756,percent of total billed charges,1172.311589,,,,,,,,,,1746.72,percent of total billed charges,1135.326896,,,,,,,,,,1746.72,percent of total billed charges,999999999,,,,,,,,,,1940.8,percent of total billed charges,1626.289514,,,,1916.54,percent of total billed charges,1849.543578,,,,1916.54,percent of total billed charges,1634.132974,,,,1940.8,percent of total billed charges,999999999,,,,1940.8,percent of total billed charges,999999999,,,,1698.2,percent of total billed charges,999999999,,,,1698.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1290.632,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1225.13,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,606.5,percent of total billed charges,576.0266447,,,,,,,,,,606.5,percent of total billed charges,566.4448334,,,,,,,,,,606.5,percent of total billed charges,564.8707074,,,,,,,,,,606.5,percent of total billed charges,556.5529932,,,,,,,,,,606.5,percent of total billed charges,570.8739199,,,,,,,,,,606.5,percent of total billed charges,999999999,,,,,,,,,,606.5,percent of total billed charges,489.8500242,,,,,,,,,,606.5,percent of total billed charges,772.5272681,,,,,,,,,,606.5,percent of total billed charges,999999999,,,,,,,,,,606.5,percent of total billed charges,528.1781275,,,,,,,,,,2183.4,percent of total billed charges,,,,,
INCSN &DRN PERNL ABCESS SPFCL,46050,CDM,,,,both,,,692,692,147.3156897,692,692,percent of total billed charges,509.1289838,,,,692,percent of total billed charges,539.6666561,,,,692,percent of total billed charges,509.1289838,,,,692,percent of total billed charges,539.6666561,,,,692,percent of total billed charges,999999999,,,,692,percent of total billed charges,527.2564391,,,,692,percent of total billed charges,509.1289838,,,,692,percent of total billed charges,539.6666561,,,,493.396,percent of total billed charges,246.2136332,,,,493.396,percent of total billed charges,147.3156897,,,,493.396,percent of total billed charges,246.2136332,,,,493.396,percent of total billed charges,147.3156897,,,,493.396,percent of total billed charges,246.2136332,,,,493.396,percent of total billed charges,147.3156897,,,,488.552,percent of total billed charges,484.8452232,,,,488.552,percent of total billed charges,334.3939075,,,,,,,,,,498.24,percent of total billed charges,323.8442754,,,,,,,,,,498.24,percent of total billed charges,999999999,,,,,,,,,,553.6,percent of total billed charges,463.8880229,,,,546.68,percent of total billed charges,527.5697263,,,,546.68,percent of total billed charges,466.1253166,,,,553.6,percent of total billed charges,999999999,,,,553.6,percent of total billed charges,999999999,,,,484.4,percent of total billed charges,999999999,,,,484.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,368.144,percent of total billed charges,999999999,,,,,,,,,,,,,,,,349.46,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,173,percent of total billed charges,164.3076827,,,,,,,,,,173,percent of total billed charges,161.5745362,,,,,,,,,,173,percent of total billed charges,161.1255274,,,,,,,,,,173,percent of total billed charges,158.752956,,,,,,,,,,173,percent of total billed charges,162.8379029,,,,,,,,,,173,percent of total billed charges,999999999,,,,,,,,,,173,percent of total billed charges,139.7263878,,,,,,,,,,173,percent of total billed charges,220.358149,,,,,,,,,,173,percent of total billed charges,999999999,,,,,,,,,,173,percent of total billed charges,150.6592186,,,,,,,,,,622.8,percent of total billed charges,,,,,
INCISION HEMORRHOID NON THROMBOSED,46999,CDM,,,,both,,,874,874,186.0605676,874,874,percent of total billed charges,643.0328495,,,,874,percent of total billed charges,681.6021061,,,,874,percent of total billed charges,643.0328495,,,,874,percent of total billed charges,681.6021061,,,,874,percent of total billed charges,999999999,,,,874,percent of total billed charges,665.9279304,,,,874,percent of total billed charges,643.0328495,,,,874,percent of total billed charges,681.6021061,,,,623.162,percent of total billed charges,310.9692419,,,,623.162,percent of total billed charges,186.0605676,,,,623.162,percent of total billed charges,310.9692419,,,,623.162,percent of total billed charges,186.0605676,,,,623.162,percent of total billed charges,310.9692419,,,,623.162,percent of total billed charges,186.0605676,,,,617.044,percent of total billed charges,612.3623194,,,,617.044,percent of total billed charges,422.3414381,,,,,,,,,,629.28,percent of total billed charges,409.0171917,,,,,,,,,,629.28,percent of total billed charges,999999999,,,,,,,,,,699.2,percent of total billed charges,585.8932544,,,,690.46,percent of total billed charges,666.3236139,,,,690.46,percent of total billed charges,588.7189692,,,,699.2,percent of total billed charges,999999999,,,,699.2,percent of total billed charges,999999999,,,,611.8,percent of total billed charges,999999999,,,,611.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,464.968,percent of total billed charges,999999999,,,,,,,,,,,,,,,,441.37,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,218.5,percent of total billed charges,207.5215529,,,,,,,,,,218.5,percent of total billed charges,204.0695731,,,,,,,,,,218.5,percent of total billed charges,203.5024725,,,,,,,,,,218.5,percent of total billed charges,200.5059011,,,,,,,,,,218.5,percent of total billed charges,205.6652127,,,,,,,,,,218.5,percent of total billed charges,999999999,,,,,,,,,,218.5,percent of total billed charges,176.4752354,,,,,,,,,,218.5,percent of total billed charges,278.3136159,,,,,,,,,,218.5,percent of total billed charges,999999999,,,,,,,,,,218.5,percent of total billed charges,190.2834639,,,,,,,,,,786.6,percent of total billed charges,,,,,
ANOSCOPY DIAGN W/WO COL SPCMN,46600,CDM,,,,both,,,211,211,44.91851232,211,211,percent of total billed charges,155.2401959,,,,211,percent of total billed charges,164.5515382,,,,211,percent of total billed charges,155.2401959,,,,211,percent of total billed charges,164.5515382,,,,211,percent of total billed charges,999999999,,,,211,percent of total billed charges,160.7674981,,,,211,percent of total billed charges,155.2401959,,,,211,percent of total billed charges,164.5515382,,,,150.443,percent of total billed charges,75.07381011,,,,150.443,percent of total billed charges,44.91851232,,,,150.443,percent of total billed charges,75.07381011,,,,150.443,percent of total billed charges,44.91851232,,,,150.443,percent of total billed charges,75.07381011,,,,150.443,percent of total billed charges,44.91851232,,,,148.966,percent of total billed charges,147.8357545,,,,148.966,percent of total billed charges,101.9611481,,,,,,,,,,151.92,percent of total billed charges,98.744425,,,,,,,,,,151.92,percent of total billed charges,999999999,,,,,,,,,,168.8,percent of total billed charges,141.4456255,,,,166.69,percent of total billed charges,160.8630235,,,,166.69,percent of total billed charges,142.1278061,,,,168.8,percent of total billed charges,999999999,,,,168.8,percent of total billed charges,999999999,,,,147.7,percent of total billed charges,999999999,,,,147.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,112.252,percent of total billed charges,999999999,,,,,,,,,,,,,,,,106.555,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,52.75,percent of total billed charges,50.09959688,,,,,,,,,,52.75,percent of total billed charges,49.26622417,,,,,,,,,,52.75,percent of total billed charges,49.12931545,,,,,,,,,,52.75,percent of total billed charges,48.40588687,,,,,,,,,,52.75,percent of total billed charges,49.6514415,,,,,,,,,,52.75,percent of total billed charges,999999999,,,,,,,,,,52.75,percent of total billed charges,42.60443327,,,,,,,,,,52.75,percent of total billed charges,67.19012925,,,,,,,,,,52.75,percent of total billed charges,999999999,,,,,,,,,,52.75,percent of total billed charges,45.93799872,,,,,,,,,,189.9,percent of total billed charges,,,,,
BLADDER IRRGTN S LAVG/INSTLTN,51700,CDM,,,,both,,,366,366,77.91552373,366,366,percent of total billed charges,269.2792024,,,,366,percent of total billed charges,285.4306303,,,,366,percent of total billed charges,269.2792024,,,,366,percent of total billed charges,285.4306303,,,,366,percent of total billed charges,999999999,,,,366,percent of total billed charges,278.866845,,,,366,percent of total billed charges,269.2792024,,,,366,percent of total billed charges,285.4306303,,,,260.958,percent of total billed charges,130.2228175,,,,260.958,percent of total billed charges,77.91552373,,,,260.958,percent of total billed charges,130.2228175,,,,260.958,percent of total billed charges,77.91552373,,,,260.958,percent of total billed charges,130.2228175,,,,260.958,percent of total billed charges,77.91552373,,,,258.396,percent of total billed charges,256.4354793,,,,258.396,percent of total billed charges,176.8615176,,,,,,,,,,263.52,percent of total billed charges,171.2817988,,,,,,,,,,263.52,percent of total billed charges,999999999,,,,,,,,,,292.8,percent of total billed charges,245.3511797,,,,289.14,percent of total billed charges,279.0325431,,,,289.14,percent of total billed charges,246.5344882,,,,292.8,percent of total billed charges,999999999,,,,292.8,percent of total billed charges,999999999,,,,256.2,percent of total billed charges,999999999,,,,256.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,194.712,percent of total billed charges,999999999,,,,,,,,,,,,,,,,184.83,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,91.5,percent of total billed charges,86.90261828,,,,,,,,,,91.5,percent of total billed charges,85.45705236,,,,,,,,,,91.5,percent of total billed charges,85.21957087,,,,,,,,,,91.5,percent of total billed charges,83.96471372,,,,,,,,,,91.5,percent of total billed charges,86.12524924,,,,,,,,,,91.5,percent of total billed charges,999999999,,,,,,,,,,91.5,percent of total billed charges,73.9015288,,,,,,,,,,91.5,percent of total billed charges,116.5478071,,,,,,,,,,91.5,percent of total billed charges,999999999,,,,,,,,,,91.5,percent of total billed charges,79.68392196,,,,,,,,,,329.4,percent of total billed charges,,,,,
**CATHETERIZATION URETHRA SIMPL,53670,CDM,,,,both,,,120,120,25.54607335,120,120,percent of total billed charges,88.28826309,,,,120,percent of total billed charges,93.5838132,,,,120,percent of total billed charges,88.28826309,,,,120,percent of total billed charges,93.5838132,,,,120,percent of total billed charges,999999999,,,,120,percent of total billed charges,91.43175245,,,,120,percent of total billed charges,88.28826309,,,,120,percent of total billed charges,93.5838132,,,,85.56,percent of total billed charges,42.69600575,,,,85.56,percent of total billed charges,25.54607335,,,,85.56,percent of total billed charges,42.69600575,,,,85.56,percent of total billed charges,25.54607335,,,,85.56,percent of total billed charges,42.69600575,,,,85.56,percent of total billed charges,25.54607335,,,,84.72,percent of total billed charges,84.07720633,,,,84.72,percent of total billed charges,57.9873828,,,,,,,,,,86.4,percent of total billed charges,56.15796683,,,,,,,,,,86.4,percent of total billed charges,999999999,,,,,,,,,,96,percent of total billed charges,80.44300975,,,,94.8,percent of total billed charges,91.48607971,,,,94.8,percent of total billed charges,80.83097975,,,,96,percent of total billed charges,999999999,,,,96,percent of total billed charges,999999999,,,,84,percent of total billed charges,999999999,,,,84,percent of total billed charges,999999999,,,,,,,,,,,,,,,,63.84,percent of total billed charges,999999999,,,,,,,,,,,,,,,,60.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,30,percent of total billed charges,28.49266173,,,,,,,,,,30,percent of total billed charges,28.01870569,,,,,,,,,,30,percent of total billed charges,27.94084291,,,,,,,,,,30,percent of total billed charges,27.52941434,,,,,,,,,,30,percent of total billed charges,28.23778664,,,,,,,,,,30,percent of total billed charges,999999999,,,,,,,,,,30,percent of total billed charges,24.23000944,,,,,,,,,,30,percent of total billed charges,38.21239578,,,,,,,,,,30,percent of total billed charges,999999999,,,,,,,,,,30,percent of total billed charges,26.12587605,,,,,,,,,,108,percent of total billed charges,,,,,
VAG DLVRY ONLY W/WO EPIS/FRCP,59409,CDM,,,,both,,,6681,6681,1422.277634,6681,6681,percent of total billed charges,4915.449047,,,,6681,percent of total billed charges,5210.2788,,,,6681,percent of total billed charges,4915.449047,,,,6681,percent of total billed charges,5210.2788,,,,6681,percent of total billed charges,999999999,,,,6681,percent of total billed charges,5090.462818,,,,6681,percent of total billed charges,4915.449047,,,,6681,percent of total billed charges,5210.2788,,,,4763.553,percent of total billed charges,2377.10012,,,,4763.553,percent of total billed charges,1422.277634,,,,4763.553,percent of total billed charges,2377.10012,,,,4763.553,percent of total billed charges,1422.277634,,,,4763.553,percent of total billed charges,2377.10012,,,,4763.553,percent of total billed charges,1422.277634,,,,4716.786,percent of total billed charges,4680.998462,,,,4716.786,percent of total billed charges,3228.447538,,,,,,,,,,4810.32,percent of total billed charges,3126.594803,,,,,,,,,,4810.32,percent of total billed charges,999999999,,,,,,,,,,5344.8,percent of total billed charges,4478.664568,,,,5277.99,percent of total billed charges,5093.487488,,,,5277.99,percent of total billed charges,4500.264798,,,,5344.8,percent of total billed charges,999999999,,,,5344.8,percent of total billed charges,999999999,,,,4676.7,percent of total billed charges,999999999,,,,4676.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3554.292,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3373.905,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1670.25,percent of total billed charges,1586.328942,,,,,,,,,,1670.25,percent of total billed charges,1559.941439,,,,,,,,,,1670.25,percent of total billed charges,1555.606429,,,,,,,,,,1670.25,percent of total billed charges,1532.700143,,,,,,,,,,1670.25,percent of total billed charges,1572.138771,,,,,,,,,,1670.25,percent of total billed charges,999999999,,,,,,,,,,1670.25,percent of total billed charges,1349.005776,,,,,,,,,,1670.25,percent of total billed charges,2127.475135,,,,,,,,,,1670.25,percent of total billed charges,999999999,,,,,,,,,,1670.25,percent of total billed charges,1454.558149,,,,,,,,,,6012.9,percent of total billed charges,,,,,
DELIVERY OF PLACENTA SEP PROC,59414,CDM,,,,both,,,939,939,199.898024,939,939,percent of total billed charges,690.8556587,,,,939,percent of total billed charges,732.2933383,,,,939,percent of total billed charges,690.8556587,,,,939,percent of total billed charges,732.2933383,,,,939,percent of total billed charges,999999999,,,,939,percent of total billed charges,715.4534629,,,,939,percent of total billed charges,690.8556587,,,,939,percent of total billed charges,732.2933383,,,,669.507,percent of total billed charges,334.096245,,,,669.507,percent of total billed charges,199.898024,,,,669.507,percent of total billed charges,334.096245,,,,669.507,percent of total billed charges,199.898024,,,,669.507,percent of total billed charges,334.096245,,,,669.507,percent of total billed charges,199.898024,,,,662.934,percent of total billed charges,657.9041395,,,,662.934,percent of total billed charges,453.7512704,,,,,,,,,,676.08,percent of total billed charges,439.4360904,,,,,,,,,,676.08,percent of total billed charges,999999999,,,,,,,,,,751.2,percent of total billed charges,629.4665513,,,,741.81,percent of total billed charges,715.8785737,,,,741.81,percent of total billed charges,632.5024166,,,,751.2,percent of total billed charges,999999999,,,,751.2,percent of total billed charges,999999999,,,,657.3,percent of total billed charges,999999999,,,,657.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,499.548,percent of total billed charges,999999999,,,,,,,,,,,,,,,,474.195,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,234.75,percent of total billed charges,222.9550781,,,,,,,,,,234.75,percent of total billed charges,219.246372,,,,,,,,,,234.75,percent of total billed charges,218.6370958,,,,,,,,,,234.75,percent of total billed charges,215.4176672,,,,,,,,,,234.75,percent of total billed charges,220.9606804,,,,,,,,,,234.75,percent of total billed charges,999999999,,,,,,,,,,234.75,percent of total billed charges,189.5998239,,,,,,,,,,234.75,percent of total billed charges,299.011997,,,,,,,,,,234.75,percent of total billed charges,999999999,,,,,,,,,,234.75,percent of total billed charges,204.4349801,,,,,,,,,,845.1,percent of total billed charges,,,,,
SPINAL PUNCTURE LUMBAR DIAGNT,62270,CDM,,,,both,,,1110,1110,236.3011785,1110,1110,percent of total billed charges,816.6664336,,,,1110,percent of total billed charges,865.6502721,,,,1110,percent of total billed charges,816.6664336,,,,1110,percent of total billed charges,865.6502721,,,,1110,percent of total billed charges,999999999,,,,1110,percent of total billed charges,845.7437102,,,,1110,percent of total billed charges,816.6664336,,,,1110,percent of total billed charges,865.6502721,,,,791.43,percent of total billed charges,394.9380532,,,,791.43,percent of total billed charges,236.3011785,,,,791.43,percent of total billed charges,394.9380532,,,,791.43,percent of total billed charges,236.3011785,,,,791.43,percent of total billed charges,394.9380532,,,,791.43,percent of total billed charges,236.3011785,,,,783.66,percent of total billed charges,777.7141585,,,,783.66,percent of total billed charges,536.3832909,,,,,,,,,,799.2,percent of total billed charges,519.4611931,,,,,,,,,,799.2,percent of total billed charges,999999999,,,,,,,,,,888,percent of total billed charges,744.0978402,,,,876.9,percent of total billed charges,846.2462373,,,,876.9,percent of total billed charges,747.6865627,,,,888,percent of total billed charges,999999999,,,,888,percent of total billed charges,999999999,,,,777,percent of total billed charges,999999999,,,,777,percent of total billed charges,999999999,,,,,,,,,,,,,,,,590.52,percent of total billed charges,999999999,,,,,,,,,,,,,,,,560.55,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,277.5,percent of total billed charges,263.557121,,,,,,,,,,277.5,percent of total billed charges,259.1730276,,,,,,,,,,277.5,percent of total billed charges,258.4527969,,,,,,,,,,277.5,percent of total billed charges,254.6470826,,,,,,,,,,277.5,percent of total billed charges,261.1995264,,,,,,,,,,277.5,percent of total billed charges,999999999,,,,,,,,,,277.5,percent of total billed charges,224.1275873,,,,,,,,,,277.5,percent of total billed charges,353.464661,,,,,,,,,,277.5,percent of total billed charges,999999999,,,,,,,,,,277.5,percent of total billed charges,241.6643535,,,,,,,,,,999,percent of total billed charges,,,,,
INJ ANES AGENT OT PERPCL NERV,64450,CDM,,,,both,,,505,505,107.506392,505,505,percent of total billed charges,371.5464405,,,,505,percent of total billed charges,393.8318806,,,,505,percent of total billed charges,371.5464405,,,,505,percent of total billed charges,393.8318806,,,,505,percent of total billed charges,999999999,,,,505,percent of total billed charges,384.7752916,,,,505,percent of total billed charges,371.5464405,,,,505,percent of total billed charges,393.8318806,,,,360.065,percent of total billed charges,179.6790242,,,,360.065,percent of total billed charges,107.506392,,,,360.065,percent of total billed charges,179.6790242,,,,360.065,percent of total billed charges,107.506392,,,,360.065,percent of total billed charges,179.6790242,,,,360.065,percent of total billed charges,107.506392,,,,356.53,percent of total billed charges,353.82491,,,,356.53,percent of total billed charges,244.030236,,,,,,,,,,363.6,percent of total billed charges,236.3314437,,,,,,,,,,363.6,percent of total billed charges,999999999,,,,,,,,,,404,percent of total billed charges,338.5309994,,,,398.95,percent of total billed charges,385.0039188,,,,398.95,percent of total billed charges,340.1637065,,,,404,percent of total billed charges,999999999,,,,404,percent of total billed charges,999999999,,,,353.5,percent of total billed charges,999999999,,,,353.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,268.66,percent of total billed charges,999999999,,,,,,,,,,,,,,,,255.025,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,126.25,percent of total billed charges,119.9066181,,,,,,,,,,126.25,percent of total billed charges,117.9120531,,,,,,,,,,126.25,percent of total billed charges,117.5843806,,,,,,,,,,126.25,percent of total billed charges,115.852952,,,,,,,,,,126.25,percent of total billed charges,118.8340188,,,,,,,,,,126.25,percent of total billed charges,999999999,,,,,,,,,,126.25,percent of total billed charges,101.9679564,,,,,,,,,,126.25,percent of total billed charges,160.8104989,,,,,,,,,,126.25,percent of total billed charges,999999999,,,,,,,,,,126.25,percent of total billed charges,109.9463951,,,,,,,,,,454.5,percent of total billed charges,,,,,
RMVL FOREIGN BODY EYE CONJ SP,65205,CDM,,,,both,,,286,286,60.88480816,286,286,percent of total billed charges,210.4203604,,,,286,percent of total billed charges,223.0414215,,,,286,percent of total billed charges,210.4203604,,,,286,percent of total billed charges,223.0414215,,,,286,percent of total billed charges,999999999,,,,286,percent of total billed charges,217.9123433,,,,286,percent of total billed charges,210.4203604,,,,286,percent of total billed charges,223.0414215,,,,203.918,percent of total billed charges,101.7588137,,,,203.918,percent of total billed charges,60.88480816,,,,203.918,percent of total billed charges,101.7588137,,,,203.918,percent of total billed charges,60.88480816,,,,203.918,percent of total billed charges,101.7588137,,,,203.918,percent of total billed charges,60.88480816,,,,201.916,percent of total billed charges,200.3840084,,,,201.916,percent of total billed charges,138.2032624,,,,,,,,,,205.92,percent of total billed charges,133.8431543,,,,,,,,,,205.92,percent of total billed charges,999999999,,,,,,,,,,228.8,percent of total billed charges,191.7225066,,,,225.94,percent of total billed charges,218.0418233,,,,225.94,percent of total billed charges,192.6471684,,,,228.8,percent of total billed charges,999999999,,,,228.8,percent of total billed charges,999999999,,,,200.2,percent of total billed charges,999999999,,,,200.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,152.152,percent of total billed charges,999999999,,,,,,,,,,,,,,,,144.43,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,71.5,percent of total billed charges,67.90751046,,,,,,,,,,71.5,percent of total billed charges,66.77791523,,,,,,,,,,71.5,percent of total billed charges,66.59234226,,,,,,,,,,71.5,percent of total billed charges,65.61177083,,,,,,,,,,71.5,percent of total billed charges,67.30005815,,,,,,,,,,71.5,percent of total billed charges,999999999,,,,,,,,,,71.5,percent of total billed charges,57.74818917,,,,,,,,,,71.5,percent of total billed charges,91.07287661,,,,,,,,,,71.5,percent of total billed charges,999999999,,,,,,,,,,71.5,percent of total billed charges,62.26667126,,,,,,,,,,257.4,percent of total billed charges,,,,,
RMVL FRGN BODY EYE CONJ EMB,65210,CDM,,,,both,,,351,351,74.72226456,351,351,percent of total billed charges,258.2431695,,,,351,percent of total billed charges,273.7326536,,,,351,percent of total billed charges,258.2431695,,,,351,percent of total billed charges,273.7326536,,,,351,percent of total billed charges,999999999,,,,351,percent of total billed charges,267.4378759,,,,351,percent of total billed charges,258.2431695,,,,351,percent of total billed charges,273.7326536,,,,250.263,percent of total billed charges,124.8858168,,,,250.263,percent of total billed charges,74.72226456,,,,250.263,percent of total billed charges,124.8858168,,,,250.263,percent of total billed charges,74.72226456,,,,250.263,percent of total billed charges,124.8858168,,,,250.263,percent of total billed charges,74.72226456,,,,247.806,percent of total billed charges,245.9258285,,,,247.806,percent of total billed charges,169.6130947,,,,,,,,,,252.72,percent of total billed charges,164.262053,,,,,,,,,,252.72,percent of total billed charges,999999999,,,,,,,,,,280.8,percent of total billed charges,235.2958035,,,,277.29,percent of total billed charges,267.5967832,,,,277.29,percent of total billed charges,236.4306158,,,,280.8,percent of total billed charges,999999999,,,,280.8,percent of total billed charges,999999999,,,,245.7,percent of total billed charges,999999999,,,,245.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,186.732,percent of total billed charges,999999999,,,,,,,,,,,,,,,,177.255,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,87.75,percent of total billed charges,83.34103557,,,,,,,,,,87.75,percent of total billed charges,81.95471415,,,,,,,,,,87.75,percent of total billed charges,81.7269655,,,,,,,,,,87.75,percent of total billed charges,80.52353693,,,,,,,,,,87.75,percent of total billed charges,82.59552591,,,,,,,,,,87.75,percent of total billed charges,999999999,,,,,,,,,,87.75,percent of total billed charges,70.87277762,,,,,,,,,,87.75,percent of total billed charges,111.7712577,,,,,,,,,,87.75,percent of total billed charges,999999999,,,,,,,,,,87.75,percent of total billed charges,76.41818745,,,,,,,,,,315.9,percent of total billed charges,,,,,
RMV FRN BODY EYE CRN WO S LMP,65220,CDM,,,,both,,,295,295,62.80076366,295,295,percent of total billed charges,217.0419801,,,,295,percent of total billed charges,230.0602075,,,,295,percent of total billed charges,217.0419801,,,,295,percent of total billed charges,230.0602075,,,,295,percent of total billed charges,999999999,,,,295,percent of total billed charges,224.7697248,,,,295,percent of total billed charges,217.0419801,,,,295,percent of total billed charges,230.0602075,,,,210.335,percent of total billed charges,104.9610141,,,,210.335,percent of total billed charges,62.80076366,,,,210.335,percent of total billed charges,104.9610141,,,,210.335,percent of total billed charges,62.80076366,,,,210.335,percent of total billed charges,104.9610141,,,,210.335,percent of total billed charges,62.80076366,,,,208.27,percent of total billed charges,206.6897989,,,,208.27,percent of total billed charges,142.5523161,,,,,,,,,,212.4,percent of total billed charges,138.0550018,,,,,,,,,,212.4,percent of total billed charges,999999999,,,,,,,,,,236,percent of total billed charges,197.7557323,,,,233.05,percent of total billed charges,224.9032793,,,,233.05,percent of total billed charges,198.7094919,,,,236,percent of total billed charges,999999999,,,,236,percent of total billed charges,999999999,,,,206.5,percent of total billed charges,999999999,,,,206.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,156.94,percent of total billed charges,999999999,,,,,,,,,,,,,,,,148.975,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,73.75,percent of total billed charges,70.04446009,,,,,,,,,,73.75,percent of total billed charges,68.87931816,,,,,,,,,,73.75,percent of total billed charges,68.68790548,,,,,,,,,,73.75,percent of total billed charges,67.67647691,,,,,,,,,,73.75,percent of total billed charges,69.41789215,,,,,,,,,,73.75,percent of total billed charges,999999999,,,,,,,,,,73.75,percent of total billed charges,59.56543988,,,,,,,,,,73.75,percent of total billed charges,93.9388063,,,,,,,,,,73.75,percent of total billed charges,999999999,,,,,,,,,,73.75,percent of total billed charges,64.22611196,,,,,,,,,,265.5,percent of total billed charges,,,,,
RMV FRGN BODY EYE CORNL W LMP,65222,CDM,,,,both,,,385,385,81.96031868,385,385,percent of total billed charges,283.2581774,,,,385,percent of total billed charges,300.2480674,,,,385,percent of total billed charges,283.2581774,,,,385,percent of total billed charges,300.2480674,,,,385,percent of total billed charges,999999999,,,,385,percent of total billed charges,293.3435391,,,,385,percent of total billed charges,283.2581774,,,,385,percent of total billed charges,300.2480674,,,,274.505,percent of total billed charges,136.9830185,,,,274.505,percent of total billed charges,81.96031868,,,,274.505,percent of total billed charges,136.9830185,,,,274.505,percent of total billed charges,81.96031868,,,,274.505,percent of total billed charges,136.9830185,,,,274.505,percent of total billed charges,81.96031868,,,,271.81,percent of total billed charges,269.7477036,,,,271.81,percent of total billed charges,186.0428532,,,,,,,,,,277.2,percent of total billed charges,180.1734769,,,,,,,,,,277.2,percent of total billed charges,999999999,,,,,,,,,,308,percent of total billed charges,258.0879896,,,,304.15,percent of total billed charges,293.5178391,,,,304.15,percent of total billed charges,259.3327267,,,,308,percent of total billed charges,999999999,,,,308,percent of total billed charges,999999999,,,,269.5,percent of total billed charges,999999999,,,,269.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,204.82,percent of total billed charges,999999999,,,,,,,,,,,,,,,,194.425,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,96.25,percent of total billed charges,91.41395639,,,,,,,,,,96.25,percent of total billed charges,89.89334743,,,,,,,,,,96.25,percent of total billed charges,89.64353766,,,,,,,,,,96.25,percent of total billed charges,88.32353766,,,,,,,,,,96.25,percent of total billed charges,90.59623213,,,,,,,,,,96.25,percent of total billed charges,999999999,,,,,,,,,,96.25,percent of total billed charges,77.73794696,,,,,,,,,,96.25,percent of total billed charges,122.5981031,,,,,,,,,,96.25,percent of total billed charges,999999999,,,,,,,,,,96.25,percent of total billed charges,83.820519,,,,,,,,,,346.5,percent of total billed charges,,,,,
RMVL EMBD FOREIGN BODY EYELID,67938,CDM,,,,both,,,564,564,120.0665448,564,564,percent of total billed charges,414.9548365,,,,564,percent of total billed charges,439.843922,,,,564,percent of total billed charges,414.9548365,,,,564,percent of total billed charges,439.843922,,,,564,percent of total billed charges,999999999,,,,564,percent of total billed charges,429.7292365,,,,564,percent of total billed charges,414.9548365,,,,564,percent of total billed charges,439.843922,,,,402.132,percent of total billed charges,200.671227,,,,402.132,percent of total billed charges,120.0665448,,,,402.132,percent of total billed charges,200.671227,,,,402.132,percent of total billed charges,120.0665448,,,,402.132,percent of total billed charges,200.671227,,,,402.132,percent of total billed charges,120.0665448,,,,398.184,percent of total billed charges,395.1628697,,,,398.184,percent of total billed charges,272.5406992,,,,,,,,,,406.08,percent of total billed charges,263.9424441,,,,,,,,,,406.08,percent of total billed charges,999999999,,,,,,,,,,451.2,percent of total billed charges,378.0821458,,,,445.56,percent of total billed charges,429.9845746,,,,445.56,percent of total billed charges,379.9056048,,,,451.2,percent of total billed charges,999999999,,,,451.2,percent of total billed charges,999999999,,,,394.8,percent of total billed charges,999999999,,,,394.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,300.048,percent of total billed charges,999999999,,,,,,,,,,,,,,,,284.82,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,141,percent of total billed charges,133.9155101,,,,,,,,,,141,percent of total billed charges,131.6879167,,,,,,,,,,141,percent of total billed charges,131.3219617,,,,,,,,,,141,percent of total billed charges,129.3882474,,,,,,,,,,141,percent of total billed charges,132.7175972,,,,,,,,,,141,percent of total billed charges,999999999,,,,,,,,,,141,percent of total billed charges,113.8810444,,,,,,,,,,141,percent of total billed charges,179.5982602,,,,,,,,,,141,percent of total billed charges,999999999,,,,,,,,,,141,percent of total billed charges,122.7916174,,,,,,,,,,507.6,percent of total billed charges,,,,,
DRNG EXT EAR ABCESS OR HEMATO,69000,CDM,,,,both,,,611,611,130.0720902,611,611,percent of total billed charges,449.5344062,,,,611,percent of total billed charges,476.4975822,,,,611,percent of total billed charges,449.5344062,,,,611,percent of total billed charges,476.4975822,,,,611,percent of total billed charges,999999999,,,,611,percent of total billed charges,465.5400062,,,,611,percent of total billed charges,449.5344062,,,,611,percent of total billed charges,476.4975822,,,,435.643,percent of total billed charges,217.3938293,,,,435.643,percent of total billed charges,130.0720902,,,,435.643,percent of total billed charges,217.3938293,,,,435.643,percent of total billed charges,130.0720902,,,,435.643,percent of total billed charges,217.3938293,,,,435.643,percent of total billed charges,130.0720902,,,,431.366,percent of total billed charges,428.0931089,,,,431.366,percent of total billed charges,295.2524241,,,,,,,,,,439.92,percent of total billed charges,285.9376478,,,,,,,,,,439.92,percent of total billed charges,999999999,,,,,,,,,,488.8,percent of total billed charges,409.5889913,,,,482.69,percent of total billed charges,465.8166225,,,,482.69,percent of total billed charges,411.5644052,,,,488.8,percent of total billed charges,999999999,,,,488.8,percent of total billed charges,999999999,,,,427.7,percent of total billed charges,999999999,,,,427.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,325.052,percent of total billed charges,999999999,,,,,,,,,,,,,,,,308.555,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,152.75,percent of total billed charges,145.075136,,,,,,,,,,152.75,percent of total billed charges,142.6619098,,,,,,,,,,152.75,percent of total billed charges,142.2654585,,,,,,,,,,152.75,percent of total billed charges,140.1706013,,,,,,,,,,152.75,percent of total billed charges,143.777397,,,,,,,,,,152.75,percent of total billed charges,999999999,,,,,,,,,,152.75,percent of total billed charges,123.3711314,,,,,,,,,,152.75,percent of total billed charges,194.5647819,,,,,,,,,,152.75,percent of total billed charges,999999999,,,,,,,,,,152.75,percent of total billed charges,133.0242522,,,,,,,,,,549.9,percent of total billed charges,,,,,
RMV FRGN BODY/AUDT CANL WO/AN,69200,CDM,,,,both,,,422,422,89.83702463,422,422,percent of total billed charges,310.4803919,,,,422,percent of total billed charges,329.1030764,,,,422,percent of total billed charges,310.4803919,,,,422,percent of total billed charges,329.1030764,,,,422,percent of total billed charges,999999999,,,,422,percent of total billed charges,321.5349961,,,,422,percent of total billed charges,310.4803919,,,,422,percent of total billed charges,329.1030764,,,,300.886,percent of total billed charges,150.1476202,,,,300.886,percent of total billed charges,89.83702463,,,,300.886,percent of total billed charges,150.1476202,,,,300.886,percent of total billed charges,89.83702463,,,,300.886,percent of total billed charges,150.1476202,,,,300.886,percent of total billed charges,89.83702463,,,,297.932,percent of total billed charges,295.6715089,,,,297.932,percent of total billed charges,203.9222962,,,,,,,,,,303.84,percent of total billed charges,197.48885,,,,,,,,,,303.84,percent of total billed charges,999999999,,,,,,,,,,337.6,percent of total billed charges,282.891251,,,,333.38,percent of total billed charges,321.726047,,,,333.38,percent of total billed charges,284.2556121,,,,337.6,percent of total billed charges,999999999,,,,337.6,percent of total billed charges,999999999,,,,295.4,percent of total billed charges,999999999,,,,295.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,224.504,percent of total billed charges,999999999,,,,,,,,,,,,,,,,213.11,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,105.5,percent of total billed charges,100.1991938,,,,,,,,,,105.5,percent of total billed charges,98.53244835,,,,,,,,,,105.5,percent of total billed charges,98.25863089,,,,,,,,,,105.5,percent of total billed charges,96.81177375,,,,,,,,,,105.5,percent of total billed charges,99.30288301,,,,,,,,,,105.5,percent of total billed charges,999999999,,,,,,,,,,105.5,percent of total billed charges,85.20886654,,,,,,,,,,105.5,percent of total billed charges,134.3802585,,,,,,,,,,105.5,percent of total billed charges,999999999,,,,,,,,,,105.5,percent of total billed charges,91.87599745,,,,,,,,,,379.8,percent of total billed charges,,,,,
RMVL IMPCTD CERUMEN 1/BTH EAR,69210,CDM,,,,both,,,261,261,55.56270955,261,261,percent of total billed charges,192.0269722,,,,261,percent of total billed charges,203.5447937,,,,261,percent of total billed charges,192.0269722,,,,261,percent of total billed charges,203.5447937,,,,261,percent of total billed charges,999999999,,,,261,percent of total billed charges,198.8640616,,,,261,percent of total billed charges,192.0269722,,,,261,percent of total billed charges,203.5447937,,,,186.093,percent of total billed charges,92.86381251,,,,186.093,percent of total billed charges,55.56270955,,,,186.093,percent of total billed charges,92.86381251,,,,186.093,percent of total billed charges,55.56270955,,,,186.093,percent of total billed charges,92.86381251,,,,186.093,percent of total billed charges,55.56270955,,,,184.266,percent of total billed charges,182.8679238,,,,184.266,percent of total billed charges,126.1225576,,,,,,,,,,187.92,percent of total billed charges,122.1435778,,,,,,,,,,187.92,percent of total billed charges,999999999,,,,,,,,,,208.8,percent of total billed charges,174.9635462,,,,206.19,percent of total billed charges,198.9822234,,,,206.19,percent of total billed charges,175.807381,,,,208.8,percent of total billed charges,999999999,,,,208.8,percent of total billed charges,999999999,,,,182.7,percent of total billed charges,999999999,,,,182.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,138.852,percent of total billed charges,999999999,,,,,,,,,,,,,,,,131.805,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,65.25,percent of total billed charges,61.97153927,,,,,,,,,,65.25,percent of total billed charges,60.94068488,,,,,,,,,,65.25,percent of total billed charges,60.77133332,,,,,,,,,,65.25,percent of total billed charges,59.87647618,,,,,,,,,,65.25,percent of total billed charges,61.41718594,,,,,,,,,,65.25,percent of total billed charges,999999999,,,,,,,,,,65.25,percent of total billed charges,52.70027053,,,,,,,,,,65.25,percent of total billed charges,83.11196083,,,,,,,,,,65.25,percent of total billed charges,999999999,,,,,,,,,,65.25,percent of total billed charges,56.82378041,,,,,,,,,,234.9,percent of total billed charges,,,,,
**GASTRC INTUBTN & ASPRTN TREATMT,91105,CDM,,,,both,,,115,115,24.48165363,115,115,percent of total billed charges,84.60958546,,,,115,percent of total billed charges,89.68448765,,,,115,percent of total billed charges,84.60958546,,,,115,percent of total billed charges,89.68448765,,,,115,percent of total billed charges,999999999,,,,115,percent of total billed charges,87.6220961,,,,115,percent of total billed charges,84.60958546,,,,115,percent of total billed charges,89.68448765,,,,81.995,percent of total billed charges,40.91700551,,,,81.995,percent of total billed charges,24.48165363,,,,81.995,percent of total billed charges,40.91700551,,,,81.995,percent of total billed charges,24.48165363,,,,81.995,percent of total billed charges,40.91700551,,,,81.995,percent of total billed charges,24.48165363,,,,81.19,percent of total billed charges,80.5739894,,,,81.19,percent of total billed charges,55.57124185,,,,,,,,,,82.8,percent of total billed charges,53.81805154,,,,,,,,,,82.8,percent of total billed charges,999999999,,,,,,,,,,92,percent of total billed charges,77.09121768,,,,90.85,percent of total billed charges,87.67415972,,,,90.85,percent of total billed charges,77.46302226,,,,92,percent of total billed charges,999999999,,,,92,percent of total billed charges,999999999,,,,80.5,percent of total billed charges,999999999,,,,80.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,61.18,percent of total billed charges,999999999,,,,,,,,,,,,,,,,58.075,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,28.75,percent of total billed charges,27.30546749,,,,,,,,,,28.75,percent of total billed charges,26.85125962,,,,,,,,,,28.75,percent of total billed charges,26.77664112,,,,,,,,,,28.75,percent of total billed charges,26.38235541,,,,,,,,,,28.75,percent of total billed charges,27.06121219,,,,,,,,,,28.75,percent of total billed charges,999999999,,,,,,,,,,28.75,percent of total billed charges,23.22042571,,,,,,,,,,28.75,percent of total billed charges,36.62021262,,,,,,,,,,28.75,percent of total billed charges,999999999,,,,,,,,,,28.75,percent of total billed charges,25.03729788,,,,,,,,,,103.5,percent of total billed charges,,,,,
CARDIOPULMONARY RESUSCITATION,92950,CDM,,,,both,,,1628,1628,346.5750618,1628,1628,percent of total billed charges,1197.777436,,,,1628,percent of total billed charges,1269.620399,,,,1628,percent of total billed charges,1197.777436,,,,1628,percent of total billed charges,1269.620399,,,,1628,percent of total billed charges,999999999,,,,1628,percent of total billed charges,1240.424108,,,,1628,percent of total billed charges,1197.777436,,,,1628,percent of total billed charges,1269.620399,,,,1160.764,percent of total billed charges,579.242478,,,,1160.764,percent of total billed charges,346.5750618,,,,1160.764,percent of total billed charges,579.242478,,,,1160.764,percent of total billed charges,346.5750618,,,,1160.764,percent of total billed charges,579.242478,,,,1160.764,percent of total billed charges,346.5750618,,,,1149.368,percent of total billed charges,1140.647433,,,,1149.368,percent of total billed charges,786.6954934,,,,,,,,,,1172.16,percent of total billed charges,761.8764166,,,,,,,,,,1172.16,percent of total billed charges,999999999,,,,,,,,,,1302.4,percent of total billed charges,1091.343499,,,,1286.12,percent of total billed charges,1241.161148,,,,1286.12,percent of total billed charges,1096.606959,,,,1302.4,percent of total billed charges,999999999,,,,1302.4,percent of total billed charges,999999999,,,,1139.6,percent of total billed charges,999999999,,,,1139.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,866.096,percent of total billed charges,999999999,,,,,,,,,,,,,,,,822.14,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,407,percent of total billed charges,386.5504442,,,,,,,,,,407,percent of total billed charges,380.1204405,,,,,,,,,,407,percent of total billed charges,379.0641021,,,,,,,,,,407,percent of total billed charges,373.4823878,,,,,,,,,,407,percent of total billed charges,383.0926387,,,,,,,,,,407,percent of total billed charges,999999999,,,,,,,,,,407,percent of total billed charges,328.7204614,,,,,,,,,,407,percent of total billed charges,518.4148361,,,,,,,,,,407,percent of total billed charges,999999999,,,,,,,,,,407,percent of total billed charges,354.4410518,,,,,,,,,,1465.2,percent of total billed charges,,,,,
CARDVSN ELCTRV ELCTRCL ARRHYT,92960,CDM,,,,both,,,1040,1040,221.3993024,1040,1040,percent of total billed charges,765.1649468,,,,1040,percent of total billed charges,811.0597144,,,,1040,percent of total billed charges,765.1649468,,,,1040,percent of total billed charges,811.0597144,,,,1040,percent of total billed charges,999999999,,,,1040,percent of total billed charges,792.4085212,,,,1040,percent of total billed charges,765.1649468,,,,1040,percent of total billed charges,811.0597144,,,,741.52,percent of total billed charges,370.0320498,,,,741.52,percent of total billed charges,221.3993024,,,,741.52,percent of total billed charges,370.0320498,,,,741.52,percent of total billed charges,221.3993024,,,,741.52,percent of total billed charges,370.0320498,,,,741.52,percent of total billed charges,221.3993024,,,,734.24,percent of total billed charges,728.6691215,,,,734.24,percent of total billed charges,502.5573176,,,,,,,,,,748.8,percent of total billed charges,486.7023792,,,,,,,,,,748.8,percent of total billed charges,999999999,,,,,,,,,,832,percent of total billed charges,697.1727512,,,,821.6,percent of total billed charges,792.8793575,,,,821.6,percent of total billed charges,700.5351579,,,,832,percent of total billed charges,999999999,,,,832,percent of total billed charges,999999999,,,,728,percent of total billed charges,999999999,,,,728,percent of total billed charges,999999999,,,,,,,,,,,,,,,,553.28,percent of total billed charges,999999999,,,,,,,,,,,,,,,,525.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,260,percent of total billed charges,246.9364017,,,,,,,,,,260,percent of total billed charges,242.8287827,,,,,,,,,,260,percent of total billed charges,242.1539719,,,,,,,,,,260,percent of total billed charges,238.5882576,,,,,,,,,,260,percent of total billed charges,244.7274842,,,,,,,,,,260,percent of total billed charges,999999999,,,,,,,,,,260,percent of total billed charges,209.9934152,,,,,,,,,,260,percent of total billed charges,331.1740968,,,,,,,,,,260,percent of total billed charges,999999999,,,,,,,,,,260,percent of total billed charges,226.4242591,,,,,,,,,,936,percent of total billed charges,,,,,
CARDIOASSIST-MTHD CRCL AST/EX,92971,CDM,,,,both,,,832,832,177.1194419,832,832,percent of total billed charges,612.1319574,,,,832,percent of total billed charges,648.8477715,,,,832,percent of total billed charges,612.1319574,,,,832,percent of total billed charges,648.8477715,,,,832,percent of total billed charges,999999999,,,,832,percent of total billed charges,633.926817,,,,832,percent of total billed charges,612.1319574,,,,832,percent of total billed charges,648.8477715,,,,593.216,percent of total billed charges,296.0256399,,,,593.216,percent of total billed charges,177.1194419,,,,593.216,percent of total billed charges,296.0256399,,,,593.216,percent of total billed charges,177.1194419,,,,593.216,percent of total billed charges,296.0256399,,,,593.216,percent of total billed charges,177.1194419,,,,587.392,percent of total billed charges,582.9352972,,,,587.392,percent of total billed charges,402.0458541,,,,,,,,,,599.04,percent of total billed charges,389.3619033,,,,,,,,,,599.04,percent of total billed charges,999999999,,,,,,,,,,665.6,percent of total billed charges,557.7382009,,,,657.28,percent of total billed charges,634.303486,,,,657.28,percent of total billed charges,560.4281263,,,,665.6,percent of total billed charges,999999999,,,,665.6,percent of total billed charges,999999999,,,,582.4,percent of total billed charges,999999999,,,,582.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,442.624,percent of total billed charges,999999999,,,,,,,,,,,,,,,,420.16,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,208,percent of total billed charges,197.5491213,,,,,,,,,,208,percent of total billed charges,194.2630261,,,,,,,,,,208,percent of total billed charges,193.7231775,,,,,,,,,,208,percent of total billed charges,190.8706061,,,,,,,,,,208,percent of total billed charges,195.7819874,,,,,,,,,,208,percent of total billed charges,999999999,,,,,,,,,,208,percent of total billed charges,167.9947321,,,,,,,,,,208,percent of total billed charges,264.9392774,,,,,,,,,,208,percent of total billed charges,999999999,,,,,,,,,,208,percent of total billed charges,181.1394073,,,,,,,,,,748.8,percent of total billed charges,,,,,
IPECAC/OR SMLR ADMIN IND EMES,99175,CDM,,,,both,,,422,422,89.83702463,422,422,percent of total billed charges,310.4803919,,,,422,percent of total billed charges,329.1030764,,,,422,percent of total billed charges,310.4803919,,,,422,percent of total billed charges,329.1030764,,,,422,percent of total billed charges,999999999,,,,422,percent of total billed charges,321.5349961,,,,422,percent of total billed charges,310.4803919,,,,422,percent of total billed charges,329.1030764,,,,300.886,percent of total billed charges,150.1476202,,,,300.886,percent of total billed charges,89.83702463,,,,300.886,percent of total billed charges,150.1476202,,,,300.886,percent of total billed charges,89.83702463,,,,300.886,percent of total billed charges,150.1476202,,,,300.886,percent of total billed charges,89.83702463,,,,297.932,percent of total billed charges,295.6715089,,,,297.932,percent of total billed charges,203.9222962,,,,,,,,,,303.84,percent of total billed charges,197.48885,,,,,,,,,,303.84,percent of total billed charges,999999999,,,,,,,,,,337.6,percent of total billed charges,282.891251,,,,333.38,percent of total billed charges,321.726047,,,,333.38,percent of total billed charges,284.2556121,,,,337.6,percent of total billed charges,999999999,,,,337.6,percent of total billed charges,999999999,,,,295.4,percent of total billed charges,999999999,,,,295.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,224.504,percent of total billed charges,999999999,,,,,,,,,,,,,,,,213.11,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,105.5,percent of total billed charges,100.1991938,,,,,,,,,,105.5,percent of total billed charges,98.53244835,,,,,,,,,,105.5,percent of total billed charges,98.25863089,,,,,,,,,,105.5,percent of total billed charges,96.81177375,,,,,,,,,,105.5,percent of total billed charges,99.30288301,,,,,,,,,,105.5,percent of total billed charges,999999999,,,,,,,,,,105.5,percent of total billed charges,85.20886654,,,,,,,,,,105.5,percent of total billed charges,134.3802585,,,,,,,,,,105.5,percent of total billed charges,999999999,,,,,,,,,,105.5,percent of total billed charges,91.87599745,,,,,,,,,,379.8,percent of total billed charges,,,,,
CRITICAL CARE 30 TO 74 MINUTES,99291,CDM,,,,both,,,1552,1552,330.3958821,1552,1552,percent of total billed charges,1141.861536,,,,1552,percent of total billed charges,1210.350651,,,,1552,percent of total billed charges,1141.861536,,,,1552,percent of total billed charges,1210.350651,,,,1552,percent of total billed charges,999999999,,,,1552,percent of total billed charges,1182.517332,,,,1552,percent of total billed charges,1141.861536,,,,1552,percent of total billed charges,1210.350651,,,,1106.576,percent of total billed charges,552.2016744,,,,1106.576,percent of total billed charges,330.3958821,,,,1106.576,percent of total billed charges,552.2016744,,,,1106.576,percent of total billed charges,330.3958821,,,,1106.576,percent of total billed charges,552.2016744,,,,1106.576,percent of total billed charges,330.3958821,,,,1095.712,percent of total billed charges,1087.398535,,,,1095.712,percent of total billed charges,749.9701509,,,,,,,,,,1117.44,percent of total billed charges,726.3097043,,,,,,,,,,1117.44,percent of total billed charges,999999999,,,,,,,,,,1241.6,percent of total billed charges,1040.396259,,,,1226.08,percent of total billed charges,1183.219964,,,,1226.08,percent of total billed charges,1045.414005,,,,1241.6,percent of total billed charges,999999999,,,,1241.6,percent of total billed charges,999999999,,,,1086.4,percent of total billed charges,999999999,,,,1086.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,825.664,percent of total billed charges,999999999,,,,,,,,,,,,,,,,783.76,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,388,percent of total billed charges,368.5050917,,,,,,,,,,388,percent of total billed charges,362.3752603,,,,,,,,,,388,percent of total billed charges,361.3682349,,,,,,,,,,388,percent of total billed charges,356.0470921,,,,,,,,,,388,percent of total billed charges,365.2087072,,,,,,,,,,388,percent of total billed charges,999999999,,,,,,,,,,388,percent of total billed charges,313.3747888,,,,,,,,,,388,percent of total billed charges,494.2136521,,,,,,,,,,388,percent of total billed charges,999999999,,,,,,,,,,388,percent of total billed charges,337.8946636,,,,,,,,,,1396.8,percent of total billed charges,,,,,
CRITICAL CARE EACH ADDL 30 MIN,99292,CDM,,,,both,,,668,668,142.206475,668,668,percent of total billed charges,491.4713312,,,,668,percent of total billed charges,520.9498935,,,,668,percent of total billed charges,491.4713312,,,,668,percent of total billed charges,520.9498935,,,,668,percent of total billed charges,999999999,,,,668,percent of total billed charges,508.9700886,,,,668,percent of total billed charges,491.4713312,,,,668,percent of total billed charges,520.9498935,,,,476.284,percent of total billed charges,237.674432,,,,476.284,percent of total billed charges,142.206475,,,,476.284,percent of total billed charges,237.674432,,,,476.284,percent of total billed charges,142.206475,,,,476.284,percent of total billed charges,237.674432,,,,476.284,percent of total billed charges,142.206475,,,,471.608,percent of total billed charges,468.0297819,,,,471.608,percent of total billed charges,322.7964309,,,,,,,,,,480.96,percent of total billed charges,312.612682,,,,,,,,,,480.96,percent of total billed charges,999999999,,,,,,,,,,534.4,percent of total billed charges,447.7994209,,,,527.72,percent of total billed charges,509.2725104,,,,527.72,percent of total billed charges,449.9591206,,,,534.4,percent of total billed charges,999999999,,,,534.4,percent of total billed charges,999999999,,,,467.6,percent of total billed charges,999999999,,,,467.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,355.376,percent of total billed charges,999999999,,,,,,,,,,,,,,,,337.34,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,167,percent of total billed charges,158.6091503,,,,,,,,,,167,percent of total billed charges,155.970795,,,,,,,,,,167,percent of total billed charges,155.5373589,,,,,,,,,,167,percent of total billed charges,153.2470731,,,,,,,,,,167,percent of total billed charges,157.1903456,,,,,,,,,,167,percent of total billed charges,999999999,,,,,,,,,,167,percent of total billed charges,134.8803859,,,,,,,,,,167,percent of total billed charges,212.7156699,,,,,,,,,,167,percent of total billed charges,999999999,,,,,,,,,,167,percent of total billed charges,145.4340434,,,,,,,,,,601.2,percent of total billed charges,,,,,
EXCISION NAIL P/C PERM REMOVE,11750,CDM,,,,both,,,863,863,183.7188442,863,863,percent of total billed charges,634.9397587,,,,863,percent of total billed charges,673.0235899,,,,863,percent of total billed charges,634.9397587,,,,863,percent of total billed charges,673.0235899,,,,863,percent of total billed charges,999999999,,,,863,percent of total billed charges,657.5466864,,,,863,percent of total billed charges,634.9397587,,,,863,percent of total billed charges,673.0235899,,,,615.319,percent of total billed charges,307.0554414,,,,615.319,percent of total billed charges,183.7188442,,,,615.319,percent of total billed charges,307.0554414,,,,615.319,percent of total billed charges,183.7188442,,,,615.319,percent of total billed charges,307.0554414,,,,615.319,percent of total billed charges,183.7188442,,,,609.278,percent of total billed charges,604.6552422,,,,609.278,percent of total billed charges,417.025928,,,,,,,,,,621.36,percent of total billed charges,403.8693781,,,,,,,,,,621.36,percent of total billed charges,999999999,,,,,,,,,,690.4,percent of total billed charges,578.5193118,,,,681.77,percent of total billed charges,657.9373899,,,,681.77,percent of total billed charges,581.3094627,,,,690.4,percent of total billed charges,999999999,,,,690.4,percent of total billed charges,999999999,,,,604.1,percent of total billed charges,999999999,,,,604.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,459.116,percent of total billed charges,999999999,,,,,,,,,,,,,,,,435.815,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,215.75,percent of total billed charges,204.9097256,,,,,,,,,,215.75,percent of total billed charges,201.5011918,,,,,,,,,,215.75,percent of total billed charges,200.9412286,,,,,,,,,,215.75,percent of total billed charges,197.9823714,,,,,,,,,,215.75,percent of total billed charges,203.0767489,,,,,,,,,,215.75,percent of total billed charges,999999999,,,,,,,,,,215.75,percent of total billed charges,174.2541512,,,,,,,,,,215.75,percent of total billed charges,274.810813,,,,,,,,,,215.75,percent of total billed charges,999999999,,,,,,,,,,215.75,percent of total billed charges,187.8885919,,,,,,,,,,776.7,percent of total billed charges,,,,,
LAYER CLSR 20.1-30.0CM NECK,12046,CDM,,,,both,,,2166,2166,461.1066241,2166,2166,percent of total billed charges,1593.603149,,,,2166,percent of total billed charges,1689.187828,,,,2166,percent of total billed charges,1593.603149,,,,2166,percent of total billed charges,1689.187828,,,,2166,percent of total billed charges,999999999,,,,2166,percent of total billed charges,1650.343132,,,,2166,percent of total billed charges,1593.603149,,,,2166,percent of total billed charges,1689.187828,,,,1544.358,percent of total billed charges,770.6629038,,,,1544.358,percent of total billed charges,461.1066241,,,,1544.358,percent of total billed charges,770.6629038,,,,1544.358,percent of total billed charges,461.1066241,,,,1544.358,percent of total billed charges,770.6629038,,,,1544.358,percent of total billed charges,461.1066241,,,,1529.196,percent of total billed charges,1517.593574,,,,1529.196,percent of total billed charges,1046.67226,,,,,,,,,,1559.52,percent of total billed charges,1013.651301,,,,,,,,,,1559.52,percent of total billed charges,999999999,,,,,,,,,,1732.8,percent of total billed charges,1451.996326,,,,1711.14,percent of total billed charges,1651.323739,,,,1711.14,percent of total billed charges,1458.999185,,,,1732.8,percent of total billed charges,999999999,,,,1732.8,percent of total billed charges,999999999,,,,1516.2,percent of total billed charges,999999999,,,,1516.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1152.312,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1093.83,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,541.5,percent of total billed charges,514.2925443,,,,,,,,,,541.5,percent of total billed charges,505.7376377,,,,,,,,,,541.5,percent of total billed charges,504.3322145,,,,,,,,,,541.5,percent of total billed charges,496.9059288,,,,,,,,,,541.5,percent of total billed charges,509.6920488,,,,,,,,,,541.5,percent of total billed charges,999999999,,,,,,,,,,541.5,percent of total billed charges,437.3516704,,,,,,,,,,541.5,percent of total billed charges,689.7337439,,,,,,,,,,541.5,percent of total billed charges,999999999,,,,,,,,,,541.5,percent of total billed charges,471.5720627,,,,,,,,,,1949.4,percent of total billed charges,,,,,
LAYER CLSR WND OVER 30.0 CM,12047,CDM,,,,both,,,2451,2451,521.7785483,2451,2451,percent of total billed charges,1803.287774,,,,2451,percent of total billed charges,1911.449385,,,,2451,percent of total billed charges,1803.287774,,,,2451,percent of total billed charges,1911.449385,,,,2451,percent of total billed charges,999999999,,,,2451,percent of total billed charges,1867.493544,,,,2451,percent of total billed charges,1803.287774,,,,2451,percent of total billed charges,1911.449385,,,,1747.563,percent of total billed charges,872.0659175,,,,1747.563,percent of total billed charges,521.7785483,,,,1747.563,percent of total billed charges,872.0659175,,,,1747.563,percent of total billed charges,521.7785483,,,,1747.563,percent of total billed charges,872.0659175,,,,1747.563,percent of total billed charges,521.7785483,,,,1730.406,percent of total billed charges,1717.276939,,,,1730.406,percent of total billed charges,1184.392294,,,,,,,,,,1764.72,percent of total billed charges,1147.026472,,,,,,,,,,1764.72,percent of total billed charges,999999999,,,,,,,,,,1960.8,percent of total billed charges,1643.048474,,,,1936.29,percent of total billed charges,1868.603178,,,,1936.29,percent of total billed charges,1650.972761,,,,1960.8,percent of total billed charges,999999999,,,,1960.8,percent of total billed charges,999999999,,,,1715.7,percent of total billed charges,999999999,,,,1715.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1303.932,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1237.755,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,612.75,percent of total billed charges,581.9626159,,,,,,,,,,612.75,percent of total billed charges,572.2820637,,,,,,,,,,612.75,percent of total billed charges,570.6917164,,,,,,,,,,612.75,percent of total billed charges,562.2882878,,,,,,,,,,612.75,percent of total billed charges,576.7567921,,,,,,,,,,612.75,percent of total billed charges,999999999,,,,,,,,,,612.75,percent of total billed charges,494.8979428,,,,,,,,,,612.75,percent of total billed charges,780.4881839,,,,,,,,,,612.75,percent of total billed charges,999999999,,,,,,,,,,612.75,percent of total billed charges,533.6210184,,,,,,,,,,2205.9,percent of total billed charges,,,,,
APP HAND & LOWER FOREARM,29085,CDM,,,,both,,,422,422,89.83702463,422,422,percent of total billed charges,310.4803919,,,,422,percent of total billed charges,329.1030764,,,,422,percent of total billed charges,310.4803919,,,,422,percent of total billed charges,329.1030764,,,,422,percent of total billed charges,999999999,,,,422,percent of total billed charges,321.5349961,,,,422,percent of total billed charges,310.4803919,,,,422,percent of total billed charges,329.1030764,,,,300.886,percent of total billed charges,150.1476202,,,,300.886,percent of total billed charges,89.83702463,,,,300.886,percent of total billed charges,150.1476202,,,,300.886,percent of total billed charges,89.83702463,,,,300.886,percent of total billed charges,150.1476202,,,,300.886,percent of total billed charges,89.83702463,,,,297.932,percent of total billed charges,295.6715089,,,,297.932,percent of total billed charges,203.9222962,,,,,,,,,,303.84,percent of total billed charges,197.48885,,,,,,,,,,303.84,percent of total billed charges,999999999,,,,,,,,,,337.6,percent of total billed charges,282.891251,,,,333.38,percent of total billed charges,321.726047,,,,333.38,percent of total billed charges,284.2556121,,,,337.6,percent of total billed charges,999999999,,,,337.6,percent of total billed charges,999999999,,,,295.4,percent of total billed charges,999999999,,,,295.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,224.504,percent of total billed charges,999999999,,,,,,,,,,,,,,,,213.11,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,105.5,percent of total billed charges,100.1991938,,,,,,,,,,105.5,percent of total billed charges,98.53244835,,,,,,,,,,105.5,percent of total billed charges,98.25863089,,,,,,,,,,105.5,percent of total billed charges,96.81177375,,,,,,,,,,105.5,percent of total billed charges,99.30288301,,,,,,,,,,105.5,percent of total billed charges,999999999,,,,,,,,,,105.5,percent of total billed charges,85.20886654,,,,,,,,,,105.5,percent of total billed charges,134.3802585,,,,,,,,,,105.5,percent of total billed charges,999999999,,,,,,,,,,105.5,percent of total billed charges,91.87599745,,,,,,,,,,379.8,percent of total billed charges,,,,,
APP LONG ARM SPLINT (SHLDR T,29105,CDM,,,,both,,,411,411,87.49530124,411,411,percent of total billed charges,302.3873011,,,,411,percent of total billed charges,320.5245602,,,,411,percent of total billed charges,302.3873011,,,,411,percent of total billed charges,320.5245602,,,,411,percent of total billed charges,999999999,,,,411,percent of total billed charges,313.1537521,,,,411,percent of total billed charges,302.3873011,,,,411,percent of total billed charges,320.5245602,,,,293.043,percent of total billed charges,146.2338197,,,,293.043,percent of total billed charges,87.49530124,,,,293.043,percent of total billed charges,146.2338197,,,,293.043,percent of total billed charges,87.49530124,,,,293.043,percent of total billed charges,146.2338197,,,,293.043,percent of total billed charges,87.49530124,,,,290.166,percent of total billed charges,287.9644317,,,,290.166,percent of total billed charges,198.6067861,,,,,,,,,,295.92,percent of total billed charges,192.3410364,,,,,,,,,,295.92,percent of total billed charges,999999999,,,,,,,,,,328.8,percent of total billed charges,275.5173084,,,,324.69,percent of total billed charges,313.339823,,,,324.69,percent of total billed charges,276.8461057,,,,328.8,percent of total billed charges,999999999,,,,328.8,percent of total billed charges,999999999,,,,287.7,percent of total billed charges,999999999,,,,287.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,218.652,percent of total billed charges,999999999,,,,,,,,,,,,,,,,207.555,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,102.75,percent of total billed charges,97.58736643,,,,,,,,,,102.75,percent of total billed charges,95.96406699,,,,,,,,,,102.75,percent of total billed charges,95.69738696,,,,,,,,,,102.75,percent of total billed charges,94.2882441,,,,,,,,,,102.75,percent of total billed charges,96.71441923,,,,,,,,,,102.75,percent of total billed charges,999999999,,,,,,,,,,102.75,percent of total billed charges,82.98778234,,,,,,,,,,102.75,percent of total billed charges,130.8774556,,,,,,,,,,102.75,percent of total billed charges,999999999,,,,,,,,,,102.75,percent of total billed charges,89.48112548,,,,,,,,,,369.9,percent of total billed charges,,,,,
LARYNGOSCOPY INDIRECT DX,31505,CDM,,,,both,,,295,295,62.80076366,295,295,percent of total billed charges,217.0419801,,,,295,percent of total billed charges,230.0602075,,,,295,percent of total billed charges,217.0419801,,,,295,percent of total billed charges,230.0602075,,,,295,percent of total billed charges,999999999,,,,295,percent of total billed charges,224.7697248,,,,295,percent of total billed charges,217.0419801,,,,295,percent of total billed charges,230.0602075,,,,210.335,percent of total billed charges,104.9610141,,,,210.335,percent of total billed charges,62.80076366,,,,210.335,percent of total billed charges,104.9610141,,,,210.335,percent of total billed charges,62.80076366,,,,210.335,percent of total billed charges,104.9610141,,,,210.335,percent of total billed charges,62.80076366,,,,208.27,percent of total billed charges,206.6897989,,,,208.27,percent of total billed charges,142.5523161,,,,,,,,,,212.4,percent of total billed charges,138.0550018,,,,,,,,,,212.4,percent of total billed charges,999999999,,,,,,,,,,236,percent of total billed charges,197.7557323,,,,233.05,percent of total billed charges,224.9032793,,,,233.05,percent of total billed charges,198.7094919,,,,236,percent of total billed charges,999999999,,,,236,percent of total billed charges,999999999,,,,206.5,percent of total billed charges,999999999,,,,206.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,156.94,percent of total billed charges,999999999,,,,,,,,,,,,,,,,148.975,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,73.75,percent of total billed charges,70.04446009,,,,,,,,,,73.75,percent of total billed charges,68.87931816,,,,,,,,,,73.75,percent of total billed charges,68.68790548,,,,,,,,,,73.75,percent of total billed charges,67.67647691,,,,,,,,,,73.75,percent of total billed charges,69.41789215,,,,,,,,,,73.75,percent of total billed charges,999999999,,,,,,,,,,73.75,percent of total billed charges,59.56543988,,,,,,,,,,73.75,percent of total billed charges,93.9388063,,,,,,,,,,73.75,percent of total billed charges,999999999,,,,,,,,,,73.75,percent of total billed charges,64.22611196,,,,,,,,,,265.5,percent of total billed charges,,,,,
RMVL EMBD FRGN BODY VST MOUTH,40804,CDM,,,,both,,,621,621,132.2009296,621,621,percent of total billed charges,456.8917615,,,,621,percent of total billed charges,484.2962333,,,,621,percent of total billed charges,456.8917615,,,,621,percent of total billed charges,484.2962333,,,,621,percent of total billed charges,999999999,,,,621,percent of total billed charges,473.1593189,,,,621,percent of total billed charges,456.8917615,,,,621,percent of total billed charges,484.2962333,,,,442.773,percent of total billed charges,220.9518298,,,,442.773,percent of total billed charges,132.2009296,,,,442.773,percent of total billed charges,220.9518298,,,,442.773,percent of total billed charges,132.2009296,,,,442.773,percent of total billed charges,220.9518298,,,,442.773,percent of total billed charges,132.2009296,,,,438.426,percent of total billed charges,435.0995428,,,,438.426,percent of total billed charges,300.084706,,,,,,,,,,447.12,percent of total billed charges,290.6174783,,,,,,,,,,447.12,percent of total billed charges,999999999,,,,,,,,,,496.8,percent of total billed charges,416.2925755,,,,490.59,percent of total billed charges,473.4404625,,,,490.59,percent of total billed charges,418.3003202,,,,496.8,percent of total billed charges,999999999,,,,496.8,percent of total billed charges,999999999,,,,434.7,percent of total billed charges,999999999,,,,434.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,330.372,percent of total billed charges,999999999,,,,,,,,,,,,,,,,313.605,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,155.25,percent of total billed charges,147.4495245,,,,,,,,,,155.25,percent of total billed charges,144.996802,,,,,,,,,,155.25,percent of total billed charges,144.593862,,,,,,,,,,155.25,percent of total billed charges,142.4647192,,,,,,,,,,155.25,percent of total billed charges,146.1305458,,,,,,,,,,155.25,percent of total billed charges,999999999,,,,,,,,,,155.25,percent of total billed charges,125.3902989,,,,,,,,,,155.25,percent of total billed charges,197.7491482,,,,,,,,,,155.25,percent of total billed charges,999999999,,,,,,,,,,155.25,percent of total billed charges,135.2014086,,,,,,,,,,558.9,percent of total billed charges,,,,,
APP SHORT LEG SPLINT,29515,CDM,,,,both,,,313,313,66.63267467,313,313,percent of total billed charges,230.2852196,,,,313,percent of total billed charges,244.0977794,,,,313,percent of total billed charges,230.2852196,,,,313,percent of total billed charges,244.0977794,,,,313,percent of total billed charges,999999999,,,,313,percent of total billed charges,238.4844876,,,,313,percent of total billed charges,230.2852196,,,,313,percent of total billed charges,244.0977794,,,,223.169,percent of total billed charges,111.365415,,,,223.169,percent of total billed charges,66.63267467,,,,223.169,percent of total billed charges,111.365415,,,,223.169,percent of total billed charges,66.63267467,,,,223.169,percent of total billed charges,111.365415,,,,223.169,percent of total billed charges,66.63267467,,,,220.978,percent of total billed charges,219.3013798,,,,220.978,percent of total billed charges,151.2504235,,,,,,,,,,225.36,percent of total billed charges,146.4786968,,,,,,,,,,225.36,percent of total billed charges,999999999,,,,,,,,,,250.4,percent of total billed charges,209.8221838,,,,247.27,percent of total billed charges,238.6261912,,,,247.27,percent of total billed charges,210.8341389,,,,250.4,percent of total billed charges,999999999,,,,250.4,percent of total billed charges,999999999,,,,219.1,percent of total billed charges,999999999,,,,219.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,166.516,percent of total billed charges,999999999,,,,,,,,,,,,,,,,158.065,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,78.25,percent of total billed charges,74.31835935,,,,,,,,,,78.25,percent of total billed charges,73.08212401,,,,,,,,,,78.25,percent of total billed charges,72.87903192,,,,,,,,,,78.25,percent of total billed charges,71.80588906,,,,,,,,,,78.25,percent of total billed charges,73.65356015,,,,,,,,,,78.25,percent of total billed charges,999999999,,,,,,,,,,78.25,percent of total billed charges,63.19994129,,,,,,,,,,78.25,percent of total billed charges,99.67066567,,,,,,,,,,78.25,percent of total billed charges,999999999,,,,,,,,,,78.25,percent of total billed charges,68.14499337,,,,,,,,,,281.7,percent of total billed charges,,,,,
REPAIR OF NAIL BED,11760,CDM,,,,both,,,861,861,183.2930763,861,861,percent of total billed charges,633.4682876,,,,861,percent of total billed charges,671.4638597,,,,861,percent of total billed charges,633.4682876,,,,861,percent of total billed charges,671.4638597,,,,861,percent of total billed charges,999999999,,,,861,percent of total billed charges,656.0228238,,,,861,percent of total billed charges,633.4682876,,,,861,percent of total billed charges,671.4638597,,,,613.893,percent of total billed charges,306.3438413,,,,613.893,percent of total billed charges,183.2930763,,,,613.893,percent of total billed charges,306.3438413,,,,613.893,percent of total billed charges,183.2930763,,,,613.893,percent of total billed charges,306.3438413,,,,613.893,percent of total billed charges,183.2930763,,,,607.866,percent of total billed charges,603.2539554,,,,607.866,percent of total billed charges,416.0594716,,,,,,,,,,619.92,percent of total billed charges,402.933412,,,,,,,,,,619.92,percent of total billed charges,999999999,,,,,,,,,,688.8,percent of total billed charges,577.178595,,,,680.19,percent of total billed charges,656.4126219,,,,680.19,percent of total billed charges,579.9622797,,,,688.8,percent of total billed charges,999999999,,,,688.8,percent of total billed charges,999999999,,,,602.7,percent of total billed charges,999999999,,,,602.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,458.052,percent of total billed charges,999999999,,,,,,,,,,,,,,,,434.805,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,215.25,percent of total billed charges,204.4348479,,,,,,,,,,215.25,percent of total billed charges,201.0342133,,,,,,,,,,215.25,percent of total billed charges,200.4755479,,,,,,,,,,215.25,percent of total billed charges,197.5235479,,,,,,,,,,215.25,percent of total billed charges,202.6061191,,,,,,,,,,215.25,percent of total billed charges,999999999,,,,,,,,,,215.25,percent of total billed charges,173.8503177,,,,,,,,,,215.25,percent of total billed charges,274.1739397,,,,,,,,,,215.25,percent of total billed charges,999999999,,,,,,,,,,215.25,percent of total billed charges,187.4531607,,,,,,,,,,774.9,percent of total billed charges,,,,,
APP LONG LEG SPLINT,29505,CDM,,,,both,,,313,313,66.63267467,313,313,percent of total billed charges,230.2852196,,,,313,percent of total billed charges,244.0977794,,,,313,percent of total billed charges,230.2852196,,,,313,percent of total billed charges,244.0977794,,,,313,percent of total billed charges,999999999,,,,313,percent of total billed charges,238.4844876,,,,313,percent of total billed charges,230.2852196,,,,313,percent of total billed charges,244.0977794,,,,223.169,percent of total billed charges,111.365415,,,,223.169,percent of total billed charges,66.63267467,,,,223.169,percent of total billed charges,111.365415,,,,223.169,percent of total billed charges,66.63267467,,,,223.169,percent of total billed charges,111.365415,,,,223.169,percent of total billed charges,66.63267467,,,,220.978,percent of total billed charges,219.3013798,,,,220.978,percent of total billed charges,151.2504235,,,,,,,,,,225.36,percent of total billed charges,146.4786968,,,,,,,,,,225.36,percent of total billed charges,999999999,,,,,,,,,,250.4,percent of total billed charges,209.8221838,,,,247.27,percent of total billed charges,238.6261912,,,,247.27,percent of total billed charges,210.8341389,,,,250.4,percent of total billed charges,999999999,,,,250.4,percent of total billed charges,999999999,,,,219.1,percent of total billed charges,999999999,,,,219.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,166.516,percent of total billed charges,999999999,,,,,,,,,,,,,,,,158.065,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,78.25,percent of total billed charges,74.31835935,,,,,,,,,,78.25,percent of total billed charges,73.08212401,,,,,,,,,,78.25,percent of total billed charges,72.87903192,,,,,,,,,,78.25,percent of total billed charges,71.80588906,,,,,,,,,,78.25,percent of total billed charges,73.65356015,,,,,,,,,,78.25,percent of total billed charges,999999999,,,,,,,,,,78.25,percent of total billed charges,63.19994129,,,,,,,,,,78.25,percent of total billed charges,99.67066567,,,,,,,,,,78.25,percent of total billed charges,999999999,,,,,,,,,,78.25,percent of total billed charges,68.14499337,,,,,,,,,,281.7,percent of total billed charges,,,,,
CONTRL NASAL HEMOR ANT COMPLE,30903,CDM,,,,both,,,480,480,102.1842934,480,480,percent of total billed charges,353.1530523,,,,480,percent of total billed charges,374.3352528,,,,480,percent of total billed charges,353.1530523,,,,480,percent of total billed charges,374.3352528,,,,480,percent of total billed charges,999999999,,,,480,percent of total billed charges,365.7270098,,,,480,percent of total billed charges,353.1530523,,,,480,percent of total billed charges,374.3352528,,,,342.24,percent of total billed charges,170.784023,,,,342.24,percent of total billed charges,102.1842934,,,,342.24,percent of total billed charges,170.784023,,,,342.24,percent of total billed charges,102.1842934,,,,342.24,percent of total billed charges,170.784023,,,,342.24,percent of total billed charges,102.1842934,,,,338.88,percent of total billed charges,336.3088253,,,,338.88,percent of total billed charges,231.9495312,,,,,,,,,,345.6,percent of total billed charges,224.6318673,,,,,,,,,,345.6,percent of total billed charges,999999999,,,,,,,,,,384,percent of total billed charges,321.772039,,,,379.2,percent of total billed charges,365.9443188,,,,379.2,percent of total billed charges,323.323919,,,,384,percent of total billed charges,999999999,,,,384,percent of total billed charges,999999999,,,,336,percent of total billed charges,999999999,,,,336,percent of total billed charges,999999999,,,,,,,,,,,,,,,,255.36,percent of total billed charges,999999999,,,,,,,,,,,,,,,,242.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,120,percent of total billed charges,113.9706469,,,,,,,,,,120,percent of total billed charges,112.0748228,,,,,,,,,,120,percent of total billed charges,111.7633716,,,,,,,,,,120,percent of total billed charges,110.1176573,,,,,,,,,,120,percent of total billed charges,112.9511466,,,,,,,,,,120,percent of total billed charges,999999999,,,,,,,,,,120,percent of total billed charges,96.92003777,,,,,,,,,,120,percent of total billed charges,152.8495831,,,,,,,,,,120,percent of total billed charges,999999999,,,,,,,,,,120,percent of total billed charges,104.5035042,,,,,,,,,,432,percent of total billed charges,,,,,
TRACHEOSTOMY CRICOTHYROID ME,31605,CDM,,,,both,,,1710,1710,364.0315453,1710,1710,percent of total billed charges,1258.107749,,,,1710,percent of total billed charges,1333.569338,,,,1710,percent of total billed charges,1258.107749,,,,1710,percent of total billed charges,1333.569338,,,,1710,percent of total billed charges,999999999,,,,1710,percent of total billed charges,1302.902472,,,,1710,percent of total billed charges,1258.107749,,,,1710,percent of total billed charges,1333.569338,,,,1219.23,percent of total billed charges,608.418082,,,,1219.23,percent of total billed charges,364.0315453,,,,1219.23,percent of total billed charges,608.418082,,,,1219.23,percent of total billed charges,364.0315453,,,,1219.23,percent of total billed charges,608.418082,,,,1219.23,percent of total billed charges,364.0315453,,,,1207.26,percent of total billed charges,1198.10019,,,,1207.26,percent of total billed charges,826.320205,,,,,,,,,,1231.2,percent of total billed charges,800.2510273,,,,,,,,,,1231.2,percent of total billed charges,999999999,,,,,,,,,,1368,percent of total billed charges,1146.312889,,,,1350.9,percent of total billed charges,1303.676636,,,,1350.9,percent of total billed charges,1151.841461,,,,1368,percent of total billed charges,999999999,,,,1368,percent of total billed charges,999999999,,,,1197,percent of total billed charges,999999999,,,,1197,percent of total billed charges,999999999,,,,,,,,,,,,,,,,909.72,percent of total billed charges,999999999,,,,,,,,,,,,,,,,863.55,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,427.5,percent of total billed charges,406.0204297,,,,,,,,,,427.5,percent of total billed charges,399.2665561,,,,,,,,,,427.5,percent of total billed charges,398.1570114,,,,,,,,,,427.5,percent of total billed charges,392.2941543,,,,,,,,,,427.5,percent of total billed charges,402.3884596,,,,,,,,,,427.5,percent of total billed charges,999999999,,,,,,,,,,427.5,percent of total billed charges,345.2776345,,,,,,,,,,427.5,percent of total billed charges,544.5266399,,,,,,,,,,427.5,percent of total billed charges,999999999,,,,,,,,,,427.5,percent of total billed charges,372.2937337,,,,,,,,,,1539,percent of total billed charges,,,,,
**THROACENTESIS W/INS TUBE W WO,32002,CDM,,,,both,,,787,787,167.5396644,787,787,percent of total billed charges,579.0238587,,,,787,percent of total billed charges,613.7538416,,,,787,percent of total billed charges,579.0238587,,,,787,percent of total billed charges,613.7538416,,,,787,percent of total billed charges,999999999,,,,787,percent of total billed charges,599.6399098,,,,787,percent of total billed charges,579.0238587,,,,787,percent of total billed charges,613.7538416,,,,561.131,percent of total billed charges,280.0146377,,,,561.131,percent of total billed charges,167.5396644,,,,561.131,percent of total billed charges,280.0146377,,,,561.131,percent of total billed charges,167.5396644,,,,561.131,percent of total billed charges,280.0146377,,,,561.131,percent of total billed charges,167.5396644,,,,555.622,percent of total billed charges,551.4063448,,,,555.622,percent of total billed charges,380.3005856,,,,,,,,,,566.64,percent of total billed charges,368.3026658,,,,,,,,,,566.64,percent of total billed charges,999999999,,,,,,,,,,629.6,percent of total billed charges,527.5720723,,,,621.73,percent of total billed charges,599.9962061,,,,621.73,percent of total billed charges,530.1165089,,,,629.6,percent of total billed charges,999999999,,,,629.6,percent of total billed charges,999999999,,,,550.9,percent of total billed charges,999999999,,,,550.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,418.684,percent of total billed charges,999999999,,,,,,,,,,,,,,,,397.435,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,196.75,percent of total billed charges,186.8643732,,,,,,,,,,196.75,percent of total billed charges,183.7560115,,,,,,,,,,196.75,percent of total billed charges,183.2453614,,,,,,,,,,196.75,percent of total billed charges,180.5470757,,,,,,,,,,196.75,percent of total billed charges,185.1928174,,,,,,,,,,196.75,percent of total billed charges,999999999,,,,,,,,,,196.75,percent of total billed charges,158.9084786,,,,,,,,,,196.75,percent of total billed charges,250.609629,,,,,,,,,,196.75,percent of total billed charges,999999999,,,,,,,,,,196.75,percent of total billed charges,171.3422038,,,,,,,,,,708.3,percent of total billed charges,,,,,
CLSD REDUCTION/ ANKLE DISLOCATE W/ ANES,27842,CDM,,,,both,,,3395,3395,722.740992,3395,3395,percent of total billed charges,2497.82211,,,,3395,percent of total billed charges,2647.642048,,,,3395,percent of total billed charges,2497.82211,,,,3395,percent of total billed charges,2647.642048,,,,3395,percent of total billed charges,999999999,,,,3395,percent of total billed charges,2586.756663,,,,3395,percent of total billed charges,2497.82211,,,,3395,percent of total billed charges,2647.642048,,,,2420.635,percent of total billed charges,1207.941163,,,,2420.635,percent of total billed charges,722.740992,,,,2420.635,percent of total billed charges,1207.941163,,,,2420.635,percent of total billed charges,722.740992,,,,2420.635,percent of total billed charges,1207.941163,,,,2420.635,percent of total billed charges,722.740992,,,,2396.87,percent of total billed charges,2378.684296,,,,2396.87,percent of total billed charges,1640.559705,,,,,,,,,,2444.4,percent of total billed charges,1588.802478,,,,,,,,,,2444.4,percent of total billed charges,999999999,,,,,,,,,,2716,percent of total billed charges,2275.866818,,,,2682.05,percent of total billed charges,2588.293672,,,,2682.05,percent of total billed charges,2286.843136,,,,2716,percent of total billed charges,999999999,,,,2716,percent of total billed charges,999999999,,,,2376.5,percent of total billed charges,999999999,,,,2376.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1806.14,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1714.475,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,848.75,percent of total billed charges,806.1048882,,,,,,,,,,848.75,percent of total billed charges,792.6958818,,,,,,,,,,848.75,percent of total billed charges,790.4930139,,,,,,,,,,848.75,percent of total billed charges,778.8530139,,,,,,,,,,848.75,percent of total billed charges,798.894047,,,,,,,,,,848.75,percent of total billed charges,999999999,,,,,,,,,,848.75,percent of total billed charges,685.5073504,,,,,,,,,,848.75,percent of total billed charges,1081.092364,,,,,,,,,,848.75,percent of total billed charges,999999999,,,,,,,,,,848.75,percent of total billed charges,739.1445766,,,,,,,,,,3055.5,percent of total billed charges,,,,,
ABDOMINAL PARACENTESIS DX/THER W/ IMAGIN,49083,CDM,,,,both,,,724,724,154.1279759,724,724,percent of total billed charges,532.6725206,,,,724,percent of total billed charges,564.6223396,,,,724,percent of total billed charges,532.6725206,,,,724,percent of total billed charges,564.6223396,,,,724,percent of total billed charges,999999999,,,,724,percent of total billed charges,551.6382398,,,,724,percent of total billed charges,532.6725206,,,,724,percent of total billed charges,564.6223396,,,,516.212,percent of total billed charges,257.5992347,,,,516.212,percent of total billed charges,154.1279759,,,,516.212,percent of total billed charges,257.5992347,,,,516.212,percent of total billed charges,154.1279759,,,,516.212,percent of total billed charges,257.5992347,,,,516.212,percent of total billed charges,154.1279759,,,,511.144,percent of total billed charges,507.2658115,,,,511.144,percent of total billed charges,349.8572096,,,,,,,,,,521.28,percent of total billed charges,338.8197332,,,,,,,,,,521.28,percent of total billed charges,999999999,,,,,,,,,,579.2,percent of total billed charges,485.3394922,,,,571.96,percent of total billed charges,551.9660143,,,,571.96,percent of total billed charges,487.6802445,,,,579.2,percent of total billed charges,999999999,,,,579.2,percent of total billed charges,999999999,,,,506.8,percent of total billed charges,999999999,,,,506.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,385.168,percent of total billed charges,999999999,,,,,,,,,,,,,,,,365.62,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,181,percent of total billed charges,171.9057258,,,,,,,,,,181,percent of total billed charges,169.046191,,,,,,,,,,181,percent of total billed charges,168.5764189,,,,,,,,,,181,percent of total billed charges,166.0941332,,,,,,,,,,181,percent of total billed charges,170.3679794,,,,,,,,,,181,percent of total billed charges,999999999,,,,,,,,,,181,percent of total billed charges,146.1877236,,,,,,,,,,181,percent of total billed charges,230.5481212,,,,,,,,,,181,percent of total billed charges,999999999,,,,,,,,,,181,percent of total billed charges,157.6261188,,,,,,,,,,651.6,percent of total billed charges,,,,,
VAGINAL DELIVERY AFTER CESAREAN DELIVERY,59612,CDM,,,,both,,,6385,6385,1359.263986,6385,6385,percent of total billed charges,4697.671332,,,,6385,percent of total billed charges,4979.438727,,,,6385,percent of total billed charges,4697.671332,,,,6385,percent of total billed charges,4979.438727,,,,6385,percent of total billed charges,999999999,,,,6385,percent of total billed charges,4864.931162,,,,6385,percent of total billed charges,4697.671332,,,,6385,percent of total billed charges,4979.438727,,,,4552.505,percent of total billed charges,2271.783306,,,,4552.505,percent of total billed charges,1359.263986,,,,4552.505,percent of total billed charges,2271.783306,,,,4552.505,percent of total billed charges,1359.263986,,,,4552.505,percent of total billed charges,2271.783306,,,,4552.505,percent of total billed charges,1359.263986,,,,4507.81,percent of total billed charges,4473.60802,,,,4507.81,percent of total billed charges,3085.411993,,,,,,,,,,4597.2,percent of total billed charges,2988.071818,,,,,,,,,,4597.2,percent of total billed charges,999999999,,,,,,,,,,5108,percent of total billed charges,4280.238477,,,,5044.15,percent of total billed charges,4867.821825,,,,5044.15,percent of total billed charges,4300.881714,,,,5108,percent of total billed charges,999999999,,,,5108,percent of total billed charges,999999999,,,,4469.5,percent of total billed charges,999999999,,,,4469.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3396.82,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3224.425,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1596.25,percent of total billed charges,1516.047043,,,,,,,,,,1596.25,percent of total billed charges,1490.828632,,,,,,,,,,1596.25,percent of total billed charges,1486.685683,,,,,,,,,,1596.25,percent of total billed charges,1464.794254,,,,,,,,,,1596.25,percent of total billed charges,1502.485564,,,,,,,,,,1596.25,percent of total billed charges,999999999,,,,,,,,,,1596.25,percent of total billed charges,1289.238419,,,,,,,,,,1596.25,percent of total billed charges,2033.217892,,,,,,,,,,1596.25,percent of total billed charges,999999999,,,,,,,,,,1596.25,percent of total billed charges,1390.114322,,,,,,,,,,5746.5,percent of total billed charges,,,,,
PHYSICIAN FEE LEVEL 1,99281,CDM,,,,both,,,298,298,63.4394155,925,298,percent of total billed charges,219.2491867,,,,298,percent of total billed charges,232.3998028,,,,298,percent of total billed charges,219.2491867,,,,298,percent of total billed charges,232.3998028,,,,298,percent of total billed charges,999999999,,,,298,percent of total billed charges,227.0555186,,,,298,percent of total billed charges,219.2491867,,,,298,percent of total billed charges,232.3998028,,,,212.474,percent of total billed charges,106.0284143,,,,212.474,percent of total billed charges,63.4394155,,,,212.474,percent of total billed charges,106.0284143,,,,212.474,percent of total billed charges,63.4394155,,,,212.474,percent of total billed charges,106.0284143,,,,212.474,percent of total billed charges,63.4394155,,,,210.388,percent of total billed charges,208.791729,,,,210.388,percent of total billed charges,144.0020006,,,,,,,,,,925,case rate,139.4589509,,,,,,,,,,925,case rate,999999999,,,,,,,,,,238.4,percent of total billed charges,199.7668075,,,,235.42,percent of total billed charges,227.1904313,,,,235.42,percent of total billed charges,200.7302664,,,,238.4,percent of total billed charges,999999999,,,,238.4,percent of total billed charges,999999999,,,,208.6,percent of total billed charges,999999999,,,,208.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,158.536,percent of total billed charges,999999999,,,,,,,,,,,,,,,,150.49,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,74.5,percent of total billed charges,70.75677663,,,,,,,,,,74.5,percent of total billed charges,69.5797858,,,,,,,,,,74.5,percent of total billed charges,69.38642655,,,,,,,,,,74.5,percent of total billed charges,68.36471227,,,,,,,,,,74.5,percent of total billed charges,70.12383682,,,,,,,,,,74.5,percent of total billed charges,999999999,,,,,,,,,,74.5,percent of total billed charges,60.17119011,,,,,,,,,,74.5,percent of total billed charges,94.89411619,,,,,,,,,,74.5,percent of total billed charges,999999999,,,,,,,,,,74.5,percent of total billed charges,64.87925886,,,,,,,,,,268.2,percent of total billed charges,,,,,
PHYSICIAN FEE LEVEL 2,99282,CDM,,,,both,,,386,386,82.17320262,1350,386,percent of total billed charges,283.9939129,,,,386,percent of total billed charges,301.0279325,,,,386,percent of total billed charges,283.9939129,,,,386,percent of total billed charges,301.0279325,,,,386,percent of total billed charges,999999999,,,,386,percent of total billed charges,294.1054704,,,,386,percent of total billed charges,283.9939129,,,,386,percent of total billed charges,301.0279325,,,,275.218,percent of total billed charges,137.3388185,,,,275.218,percent of total billed charges,82.17320262,,,,275.218,percent of total billed charges,137.3388185,,,,275.218,percent of total billed charges,82.17320262,,,,275.218,percent of total billed charges,137.3388185,,,,275.218,percent of total billed charges,82.17320262,,,,272.516,percent of total billed charges,270.448347,,,,272.516,percent of total billed charges,186.5260814,,,,,,,,,,1350,case rate,180.64146,,,,,,,,,,1350,case rate,999999999,,,,,,,,,,308.8,percent of total billed charges,258.758348,,,,304.94,percent of total billed charges,294.2802231,,,,304.94,percent of total billed charges,260.0063182,,,,308.8,percent of total billed charges,999999999,,,,308.8,percent of total billed charges,999999999,,,,270.2,percent of total billed charges,999999999,,,,270.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,205.352,percent of total billed charges,999999999,,,,,,,,,,,,,,,,194.93,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,96.5,percent of total billed charges,91.65139524,,,,,,,,,,96.5,percent of total billed charges,90.12683664,,,,,,,,,,96.5,percent of total billed charges,89.87637802,,,,,,,,,,96.5,percent of total billed charges,88.55294945,,,,,,,,,,96.5,percent of total billed charges,90.83154702,,,,,,,,,,96.5,percent of total billed charges,999999999,,,,,,,,,,96.5,percent of total billed charges,77.9398637,,,,,,,,,,96.5,percent of total billed charges,122.9165398,,,,,,,,,,96.5,percent of total billed charges,999999999,,,,,,,,,,96.5,percent of total billed charges,84.03823463,,,,,,,,,,347.4,percent of total billed charges,,,,,
PHYSICIAN FEE LEVEL 3,99283,CDM,,,,both,,,700,700,149.0187612,2400,700,percent of total billed charges,515.014868,,,,700,percent of total billed charges,545.905577,,,,700,percent of total billed charges,515.014868,,,,700,percent of total billed charges,545.905577,,,,700,percent of total billed charges,999999999,,,,700,percent of total billed charges,533.3518893,,,,700,percent of total billed charges,515.014868,,,,700,percent of total billed charges,545.905577,,,,499.1,percent of total billed charges,249.0600335,,,,499.1,percent of total billed charges,149.0187612,,,,499.1,percent of total billed charges,249.0600335,,,,499.1,percent of total billed charges,149.0187612,,,,499.1,percent of total billed charges,249.0600335,,,,499.1,percent of total billed charges,149.0187612,,,,494.2,percent of total billed charges,490.4503703,,,,494.2,percent of total billed charges,338.259733,,,,,,,,,,2400,case rate,327.5881398,,,,,,,,,,2400,case rate,999999999,,,,,,,,,,560,percent of total billed charges,469.2508902,,,,553,percent of total billed charges,533.6687983,,,,553,percent of total billed charges,471.5140486,,,,560,percent of total billed charges,999999999,,,,560,percent of total billed charges,999999999,,,,490,percent of total billed charges,999999999,,,,490,percent of total billed charges,999999999,,,,,,,,,,,,,,,,372.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,353.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,175,percent of total billed charges,166.2071934,,,,,,,,,,175,percent of total billed charges,163.4424499,,,,,,,,,,175,percent of total billed charges,162.9882503,,,,,,,,,,175,percent of total billed charges,160.5882503,,,,,,,,,,175,percent of total billed charges,164.7204221,,,,,,,,,,175,percent of total billed charges,999999999,,,,,,,,,,175,percent of total billed charges,141.3417217,,,,,,,,,,175,percent of total billed charges,222.9056421,,,,,,,,,,175,percent of total billed charges,999999999,,,,,,,,,,175,percent of total billed charges,152.4009436,,,,,,,,,,630,percent of total billed charges,,,,,
PHYSICIAN FEE LEVEL 4,99284,CDM,,,,both,,,978,978,208.2004978,4550,978,percent of total billed charges,719.5493442,,,,978,percent of total billed charges,762.7080776,,,,978,percent of total billed charges,719.5493442,,,,978,percent of total billed charges,762.7080776,,,,978,percent of total billed charges,999999999,,,,978,percent of total billed charges,745.1687825,,,,978,percent of total billed charges,719.5493442,,,,978,percent of total billed charges,762.7080776,,,,697.314,percent of total billed charges,347.9724469,,,,697.314,percent of total billed charges,208.2004978,,,,697.314,percent of total billed charges,347.9724469,,,,697.314,percent of total billed charges,208.2004978,,,,697.314,percent of total billed charges,347.9724469,,,,697.314,percent of total billed charges,208.2004978,,,,690.468,percent of total billed charges,685.2292316,,,,690.468,percent of total billed charges,472.5971699,,,,,,,,,,4550,case rate,457.6874296,,,,,,,,,,4550,case rate,999999999,,,,,,,,,,782.4,percent of total billed charges,655.6105295,,,,772.62,percent of total billed charges,745.6115496,,,,772.62,percent of total billed charges,658.772485,,,,782.4,percent of total billed charges,999999999,,,,782.4,percent of total billed charges,999999999,,,,684.6,percent of total billed charges,999999999,,,,684.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,520.296,percent of total billed charges,999999999,,,,,,,,,,,,,,,,493.89,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,244.5,percent of total billed charges,232.2151931,,,,,,,,,,244.5,percent of total billed charges,228.3524514,,,,,,,,,,244.5,percent of total billed charges,227.7178697,,,,,,,,,,244.5,percent of total billed charges,224.3647268,,,,,,,,,,244.5,percent of total billed charges,230.1379611,,,,,,,,,,244.5,percent of total billed charges,999999999,,,,,,,,,,244.5,percent of total billed charges,197.4745769,,,,,,,,,,244.5,percent of total billed charges,311.4310256,,,,,,,,,,244.5,percent of total billed charges,999999999,,,,,,,,,,244.5,percent of total billed charges,212.9258898,,,,,,,,,,880.2,percent of total billed charges,,,,,
PHYSICIAN FEE LEVEL 5,99285,CDM,,,,both,,,1280,1280,272.4914491,6600,1280,percent of total billed charges,941.7414729,,,,1280,percent of total billed charges,998.2273408,,,,1280,percent of total billed charges,941.7414729,,,,1280,percent of total billed charges,998.2273408,,,,1280,percent of total billed charges,999999999,,,,1280,percent of total billed charges,975.2720261,,,,1280,percent of total billed charges,941.7414729,,,,1280,percent of total billed charges,998.2273408,,,,912.64,percent of total billed charges,455.4240613,,,,912.64,percent of total billed charges,272.4914491,,,,912.64,percent of total billed charges,455.4240613,,,,912.64,percent of total billed charges,272.4914491,,,,912.64,percent of total billed charges,455.4240613,,,,912.64,percent of total billed charges,272.4914491,,,,903.68,percent of total billed charges,896.8235342,,,,903.68,percent of total billed charges,618.5320833,,,,,,,,,,6600,case rate,599.0183128,,,,,,,,,,6600,case rate,999999999,,,,,,,,,,1024,percent of total billed charges,858.0587707,,,,1011.2,percent of total billed charges,975.8515169,,,,1011.2,percent of total billed charges,862.1971174,,,,1024,percent of total billed charges,999999999,,,,1024,percent of total billed charges,999999999,,,,896,percent of total billed charges,999999999,,,,896,percent of total billed charges,999999999,,,,,,,,,,,,,,,,680.96,percent of total billed charges,999999999,,,,,,,,,,,,,,,,646.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,320,percent of total billed charges,303.9217251,,,,,,,,,,320,percent of total billed charges,298.866194,,,,,,,,,,320,percent of total billed charges,298.0356577,,,,,,,,,,320,percent of total billed charges,293.6470862,,,,,,,,,,320,percent of total billed charges,301.2030575,,,,,,,,,,320,percent of total billed charges,999999999,,,,,,,,,,320,percent of total billed charges,258.453434,,,,,,,,,,320,percent of total billed charges,407.5988883,,,,,,,,,,320,percent of total billed charges,999999999,,,,,,,,,,320,percent of total billed charges,278.6760112,,,,,,,,,,1152,percent of total billed charges,,,,,
ER MINOR LEVEL 1,99211,CDM,,,,both,,,179,179,38.10622609,179,179,percent of total billed charges,131.6966591,,,,179,percent of total billed charges,139.5958547,,,,179,percent of total billed charges,131.6966591,,,,179,percent of total billed charges,139.5958547,,,,179,percent of total billed charges,999999999,,,,179,percent of total billed charges,136.3856974,,,,179,percent of total billed charges,131.6966591,,,,179,percent of total billed charges,139.5958547,,,,127.627,percent of total billed charges,63.68820858,,,,127.627,percent of total billed charges,38.10622609,,,,127.627,percent of total billed charges,63.68820858,,,,127.627,percent of total billed charges,38.10622609,,,,127.627,percent of total billed charges,63.68820858,,,,127.627,percent of total billed charges,38.10622609,,,,126.374,percent of total billed charges,125.4151661,,,,126.374,percent of total billed charges,86.49784602,,,,,,,,,,128.88,percent of total billed charges,83.76896718,,,,,,,,,,128.88,percent of total billed charges,999999999,,,,,,,,,,143.2,percent of total billed charges,119.9941562,,,,141.41,percent of total billed charges,136.4667356,,,,141.41,percent of total billed charges,120.5728781,,,,143.2,percent of total billed charges,999999999,,,,143.2,percent of total billed charges,999999999,,,,125.3,percent of total billed charges,999999999,,,,125.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,95.228,percent of total billed charges,999999999,,,,,,,,,,,,,,,,90.395,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,44.75,percent of total billed charges,42.50155375,,,,,,,,,,44.75,percent of total billed charges,41.79456932,,,,,,,,,,44.75,percent of total billed charges,41.678424,,,,,,,,,,44.75,percent of total billed charges,41.06470972,,,,,,,,,,44.75,percent of total billed charges,42.12136507,,,,,,,,,,44.75,percent of total billed charges,999999999,,,,,,,,,,44.75,percent of total billed charges,36.14309742,,,,,,,,,,44.75,percent of total billed charges,57.00015704,,,,,,,,,,44.75,percent of total billed charges,999999999,,,,,,,,,,44.75,percent of total billed charges,38.97109844,,,,,,,,,,161.1,percent of total billed charges,,,,,
ER MINOR LEVEL 2,99212,CDM,,,,both,,,225,225,47.89888754,225,225,percent of total billed charges,165.5404933,,,,225,percent of total billed charges,175.4696498,,,,225,percent of total billed charges,165.5404933,,,,225,percent of total billed charges,175.4696498,,,,225,percent of total billed charges,999999999,,,,225,percent of total billed charges,171.4345358,,,,225,percent of total billed charges,165.5404933,,,,225,percent of total billed charges,175.4696498,,,,160.425,percent of total billed charges,80.05501078,,,,160.425,percent of total billed charges,47.89888754,,,,160.425,percent of total billed charges,80.05501078,,,,160.425,percent of total billed charges,47.89888754,,,,160.425,percent of total billed charges,80.05501078,,,,160.425,percent of total billed charges,47.89888754,,,,158.85,percent of total billed charges,157.6447619,,,,158.85,percent of total billed charges,108.7263428,,,,,,,,,,162,percent of total billed charges,105.2961878,,,,,,,,,,162,percent of total billed charges,999999999,,,,,,,,,,180,percent of total billed charges,150.8306433,,,,177.75,percent of total billed charges,171.5363995,,,,177.75,percent of total billed charges,151.558087,,,,180,percent of total billed charges,999999999,,,,180,percent of total billed charges,999999999,,,,157.5,percent of total billed charges,999999999,,,,157.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,119.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,113.625,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,56.25,percent of total billed charges,53.42374075,,,,,,,,,,56.25,percent of total billed charges,52.53507317,,,,,,,,,,56.25,percent of total billed charges,52.38908045,,,,,,,,,,56.25,percent of total billed charges,51.61765188,,,,,,,,,,56.25,percent of total billed charges,52.94584995,,,,,,,,,,56.25,percent of total billed charges,999999999,,,,,,,,,,56.25,percent of total billed charges,45.4312677,,,,,,,,,,56.25,percent of total billed charges,71.64824209,,,,,,,,,,56.25,percent of total billed charges,999999999,,,,,,,,,,56.25,percent of total billed charges,48.9860176,,,,,,,,,,202.5,percent of total billed charges,,,,,
ER MINOR LEVEL 3,99213,CDM,,,,both,,,296,296,63.01364761,296,296,percent of total billed charges,217.7777156,,,,296,percent of total billed charges,230.8400726,,,,296,percent of total billed charges,217.7777156,,,,296,percent of total billed charges,230.8400726,,,,296,percent of total billed charges,999999999,,,,296,percent of total billed charges,225.531656,,,,296,percent of total billed charges,217.7777156,,,,296,percent of total billed charges,230.8400726,,,,211.048,percent of total billed charges,105.3168142,,,,211.048,percent of total billed charges,63.01364761,,,,211.048,percent of total billed charges,105.3168142,,,,211.048,percent of total billed charges,63.01364761,,,,211.048,percent of total billed charges,105.3168142,,,,211.048,percent of total billed charges,63.01364761,,,,208.976,percent of total billed charges,207.3904423,,,,208.976,percent of total billed charges,143.0355443,,,,,,,,,,213.12,percent of total billed charges,138.5229848,,,,,,,,,,213.12,percent of total billed charges,999999999,,,,,,,,,,236.8,percent of total billed charges,198.4260907,,,,233.84,percent of total billed charges,225.6656633,,,,233.84,percent of total billed charges,199.3830834,,,,236.8,percent of total billed charges,999999999,,,,236.8,percent of total billed charges,999999999,,,,207.2,percent of total billed charges,999999999,,,,207.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,157.472,percent of total billed charges,999999999,,,,,,,,,,,,,,,,149.48,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,74,percent of total billed charges,70.28189894,,,,,,,,,,74,percent of total billed charges,69.11280737,,,,,,,,,,74,percent of total billed charges,68.92074584,,,,,,,,,,74,percent of total billed charges,67.9058887,,,,,,,,,,74,percent of total billed charges,69.65320704,,,,,,,,,,74,percent of total billed charges,999999999,,,,,,,,,,74,percent of total billed charges,59.76735662,,,,,,,,,,74,percent of total billed charges,94.25724293,,,,,,,,,,74,percent of total billed charges,999999999,,,,,,,,,,74,percent of total billed charges,64.44382759,,,,,,,,,,266.4,percent of total billed charges,,,,,
INJECTION OF A LIGAMENT,20550,CDM,,,,both,,,380,380,80.89589896,380,380,percent of total billed charges,279.5794998,,,,380,percent of total billed charges,296.3487418,,,,380,percent of total billed charges,279.5794998,,,,380,percent of total billed charges,296.3487418,,,,380,percent of total billed charges,999999999,,,,380,percent of total billed charges,289.5338828,,,,380,percent of total billed charges,279.5794998,,,,380,percent of total billed charges,296.3487418,,,,270.94,percent of total billed charges,135.2040182,,,,270.94,percent of total billed charges,80.89589896,,,,270.94,percent of total billed charges,135.2040182,,,,270.94,percent of total billed charges,80.89589896,,,,270.94,percent of total billed charges,135.2040182,,,,270.94,percent of total billed charges,80.89589896,,,,268.28,percent of total billed charges,266.2444867,,,,268.28,percent of total billed charges,183.6267122,,,,,,,,,,273.6,percent of total billed charges,177.8335616,,,,,,,,,,273.6,percent of total billed charges,999999999,,,,,,,,,,304,percent of total billed charges,254.7361975,,,,300.2,percent of total billed charges,289.7059191,,,,300.2,percent of total billed charges,255.9647692,,,,304,percent of total billed charges,999999999,,,,304,percent of total billed charges,999999999,,,,266,percent of total billed charges,999999999,,,,266,percent of total billed charges,999999999,,,,,,,,,,,,,,,,202.16,percent of total billed charges,999999999,,,,,,,,,,,,,,,,191.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,95,percent of total billed charges,90.22676215,,,,,,,,,,95,percent of total billed charges,88.72590135,,,,,,,,,,95,percent of total billed charges,88.47933587,,,,,,,,,,95,percent of total billed charges,87.17647873,,,,,,,,,,95,percent of total billed charges,89.41965769,,,,,,,,,,95,percent of total billed charges,999999999,,,,,,,,,,95,percent of total billed charges,76.72836323,,,,,,,,,,95,percent of total billed charges,121.00592,,,,,,,,,,95,percent of total billed charges,999999999,,,,,,,,,,95,percent of total billed charges,82.73194083,,,,,,,,,,342,percent of total billed charges,,,,,
**I & D OF LABIAL,56405,CDM,,,,both,,,727,727,154.7666277,727,727,percent of total billed charges,534.8797272,,,,727,percent of total billed charges,566.961935,,,,727,percent of total billed charges,534.8797272,,,,727,percent of total billed charges,566.961935,,,,727,percent of total billed charges,999999999,,,,727,percent of total billed charges,553.9240336,,,,727,percent of total billed charges,534.8797272,,,,727,percent of total billed charges,566.961935,,,,518.351,percent of total billed charges,258.6666348,,,,518.351,percent of total billed charges,154.7666277,,,,518.351,percent of total billed charges,258.6666348,,,,518.351,percent of total billed charges,154.7666277,,,,518.351,percent of total billed charges,258.6666348,,,,518.351,percent of total billed charges,154.7666277,,,,513.262,percent of total billed charges,509.3677417,,,,513.262,percent of total billed charges,351.3068942,,,,,,,,,,523.44,percent of total billed charges,340.2236824,,,,,,,,,,523.44,percent of total billed charges,999999999,,,,,,,,,,581.6,percent of total billed charges,487.3505674,,,,574.33,percent of total billed charges,554.2531662,,,,574.33,percent of total billed charges,489.701019,,,,581.6,percent of total billed charges,999999999,,,,581.6,percent of total billed charges,999999999,,,,508.9,percent of total billed charges,999999999,,,,508.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,386.764,percent of total billed charges,999999999,,,,,,,,,,,,,,,,367.135,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,181.75,percent of total billed charges,172.6180423,,,,,,,,,,181.75,percent of total billed charges,169.7466586,,,,,,,,,,181.75,percent of total billed charges,169.2749399,,,,,,,,,,181.75,percent of total billed charges,166.7823685,,,,,,,,,,181.75,percent of total billed charges,171.073924,,,,,,,,,,181.75,percent of total billed charges,999999999,,,,,,,,,,181.75,percent of total billed charges,146.7934739,,,,,,,,,,181.75,percent of total billed charges,231.5034311,,,,,,,,,,181.75,percent of total billed charges,999999999,,,,,,,,,,181.75,percent of total billed charges,158.2792657,,,,,,,,,,654.3,percent of total billed charges,,,,,
INCISION OF THROMBOSED HEMMORRHOID,46083,CDM,,,,both,,,702,702,149.4445291,702,702,percent of total billed charges,516.4863391,,,,702,percent of total billed charges,547.4653072,,,,702,percent of total billed charges,516.4863391,,,,702,percent of total billed charges,547.4653072,,,,702,percent of total billed charges,999999999,,,,702,percent of total billed charges,534.8757518,,,,702,percent of total billed charges,516.4863391,,,,702,percent of total billed charges,547.4653072,,,,500.526,percent of total billed charges,249.7716336,,,,500.526,percent of total billed charges,149.4445291,,,,500.526,percent of total billed charges,249.7716336,,,,500.526,percent of total billed charges,149.4445291,,,,500.526,percent of total billed charges,249.7716336,,,,500.526,percent of total billed charges,149.4445291,,,,495.612,percent of total billed charges,491.851657,,,,495.612,percent of total billed charges,339.2261894,,,,,,,,,,505.44,percent of total billed charges,328.5241059,,,,,,,,,,505.44,percent of total billed charges,999999999,,,,,,,,,,561.6,percent of total billed charges,470.591607,,,,554.58,percent of total billed charges,535.1935663,,,,554.58,percent of total billed charges,472.8612316,,,,561.6,percent of total billed charges,999999999,,,,561.6,percent of total billed charges,999999999,,,,491.4,percent of total billed charges,999999999,,,,491.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,373.464,percent of total billed charges,999999999,,,,,,,,,,,,,,,,354.51,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,175.5,percent of total billed charges,166.6820711,,,,,,,,,,175.5,percent of total billed charges,163.9094283,,,,,,,,,,175.5,percent of total billed charges,163.453931,,,,,,,,,,175.5,percent of total billed charges,161.0470739,,,,,,,,,,175.5,percent of total billed charges,165.1910518,,,,,,,,,,175.5,percent of total billed charges,999999999,,,,,,,,,,175.5,percent of total billed charges,141.7455552,,,,,,,,,,175.5,percent of total billed charges,223.5425153,,,,,,,,,,175.5,percent of total billed charges,999999999,,,,,,,,,,175.5,percent of total billed charges,152.8363749,,,,,,,,,,631.8,percent of total billed charges,,,,,
I & D BARTHOLIN'S ABCESS,56420,CDM,,,,both,,,799,799,170.0942718,799,799,percent of total billed charges,587.8526851,,,,799,percent of total billed charges,623.1122229,,,,799,percent of total billed charges,587.8526851,,,,799,percent of total billed charges,623.1122229,,,,799,percent of total billed charges,999999999,,,,799,percent of total billed charges,608.7830851,,,,799,percent of total billed charges,587.8526851,,,,799,percent of total billed charges,623.1122229,,,,569.687,percent of total billed charges,284.2842383,,,,569.687,percent of total billed charges,170.0942718,,,,569.687,percent of total billed charges,284.2842383,,,,569.687,percent of total billed charges,170.0942718,,,,569.687,percent of total billed charges,284.2842383,,,,569.687,percent of total billed charges,170.0942718,,,,564.094,percent of total billed charges,559.8140655,,,,564.094,percent of total billed charges,386.0993238,,,,,,,,,,575.28,percent of total billed charges,373.9184624,,,,,,,,,,575.28,percent of total billed charges,999999999,,,,,,,,,,639.2,percent of total billed charges,535.6163733,,,,631.21,percent of total billed charges,609.1448141,,,,631.21,percent of total billed charges,538.1996069,,,,639.2,percent of total billed charges,999999999,,,,639.2,percent of total billed charges,999999999,,,,559.3,percent of total billed charges,999999999,,,,559.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,425.068,percent of total billed charges,999999999,,,,,,,,,,,,,,,,403.495,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,199.75,percent of total billed charges,189.7136394,,,,,,,,,,199.75,percent of total billed charges,186.5578821,,,,,,,,,,199.75,percent of total billed charges,186.0394457,,,,,,,,,,199.75,percent of total billed charges,183.3000171,,,,,,,,,,199.75,percent of total billed charges,188.016596,,,,,,,,,,199.75,percent of total billed charges,999999999,,,,,,,,,,199.75,percent of total billed charges,161.3314795,,,,,,,,,,199.75,percent of total billed charges,254.4308686,,,,,,,,,,199.75,percent of total billed charges,999999999,,,,,,,,,,199.75,percent of total billed charges,173.9547914,,,,,,,,,,719.1,percent of total billed charges,,,,,
REMOVAL SKIN TAGS UP TO 15 LESIONS,11200,CDM,,,,both,,,646,646,137.5230282,646,646,percent of total billed charges,475.2851496,,,,646,percent of total billed charges,503.7928611,,,,646,percent of total billed charges,475.2851496,,,,646,percent of total billed charges,503.7928611,,,,646,percent of total billed charges,999999999,,,,646,percent of total billed charges,492.2076007,,,,646,percent of total billed charges,475.2851496,,,,646,percent of total billed charges,503.7928611,,,,460.598,percent of total billed charges,229.846831,,,,460.598,percent of total billed charges,137.5230282,,,,460.598,percent of total billed charges,229.846831,,,,460.598,percent of total billed charges,137.5230282,,,,460.598,percent of total billed charges,229.846831,,,,460.598,percent of total billed charges,137.5230282,,,,456.076,percent of total billed charges,452.6156274,,,,456.076,percent of total billed charges,312.1654108,,,,,,,,,,465.12,percent of total billed charges,302.3170547,,,,,,,,,,465.12,percent of total billed charges,999999999,,,,,,,,,,516.8,percent of total billed charges,433.0515358,,,,510.34,percent of total billed charges,492.5000624,,,,510.34,percent of total billed charges,435.1401077,,,,516.8,percent of total billed charges,999999999,,,,516.8,percent of total billed charges,999999999,,,,452.2,percent of total billed charges,999999999,,,,452.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,343.672,percent of total billed charges,999999999,,,,,,,,,,,,,,,,326.23,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,161.5,percent of total billed charges,153.3854957,,,,,,,,,,161.5,percent of total billed charges,150.8340323,,,,,,,,,,161.5,percent of total billed charges,150.414871,,,,,,,,,,161.5,percent of total billed charges,148.2000138,,,,,,,,,,161.5,percent of total billed charges,152.0134181,,,,,,,,,,161.5,percent of total billed charges,999999999,,,,,,,,,,161.5,percent of total billed charges,130.4382175,,,,,,,,,,161.5,percent of total billed charges,205.710064,,,,,,,,,,161.5,percent of total billed charges,999999999,,,,,,,,,,161.5,percent of total billed charges,140.6442994,,,,,,,,,,581.4,percent of total billed charges,,,,,
CLS TX PIP JOINT FX W MANIPULATION,26742,CDM,,,,both,,,2004,2004,426.619425,2004,2004,percent of total billed charges,1474.413994,,,,2004,percent of total billed charges,1562.84968,,,,2004,percent of total billed charges,1474.413994,,,,2004,percent of total billed charges,1562.84968,,,,2004,percent of total billed charges,999999999,,,,2004,percent of total billed charges,1526.910266,,,,2004,percent of total billed charges,1474.413994,,,,2004,percent of total billed charges,1562.84968,,,,1428.852,percent of total billed charges,713.023296,,,,1428.852,percent of total billed charges,426.619425,,,,1428.852,percent of total billed charges,713.023296,,,,1428.852,percent of total billed charges,426.619425,,,,1428.852,percent of total billed charges,713.023296,,,,1428.852,percent of total billed charges,426.619425,,,,1414.824,percent of total billed charges,1404.089346,,,,1414.824,percent of total billed charges,968.3892928,,,,,,,,,,1442.88,percent of total billed charges,937.838046,,,,,,,,,,1442.88,percent of total billed charges,999999999,,,,,,,,,,1603.2,percent of total billed charges,1343.398263,,,,1583.16,percent of total billed charges,1527.817531,,,,1583.16,percent of total billed charges,1349.877362,,,,1603.2,percent of total billed charges,999999999,,,,1603.2,percent of total billed charges,999999999,,,,1402.8,percent of total billed charges,999999999,,,,1402.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1066.128,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1012.02,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,501,percent of total billed charges,475.8274509,,,,,,,,,,501,percent of total billed charges,467.912385,,,,,,,,,,501,percent of total billed charges,466.6120766,,,,,,,,,,501,percent of total billed charges,459.7412194,,,,,,,,,,501,percent of total billed charges,471.5710368,,,,,,,,,,501,percent of total billed charges,999999999,,,,,,,,,,501,percent of total billed charges,404.6411577,,,,,,,,,,501,percent of total billed charges,638.1470096,,,,,,,,,,501,percent of total billed charges,999999999,,,,,,,,,,501,percent of total billed charges,436.3021301,,,,,,,,,,1803.6,percent of total billed charges,,,,,
CHEM CAUTERIZATION GRANULATION TISSUE,17250,CDM,,,,both,,,483,483,102.8229453,483,483,percent of total billed charges,355.3602589,,,,483,percent of total billed charges,376.6748481,,,,483,percent of total billed charges,355.3602589,,,,483,percent of total billed charges,376.6748481,,,,483,percent of total billed charges,999999999,,,,483,percent of total billed charges,368.0128036,,,,483,percent of total billed charges,355.3602589,,,,483,percent of total billed charges,376.6748481,,,,344.379,percent of total billed charges,171.8514231,,,,344.379,percent of total billed charges,102.8229453,,,,344.379,percent of total billed charges,171.8514231,,,,344.379,percent of total billed charges,102.8229453,,,,344.379,percent of total billed charges,171.8514231,,,,344.379,percent of total billed charges,102.8229453,,,,340.998,percent of total billed charges,338.4107555,,,,340.998,percent of total billed charges,233.3992158,,,,,,,,,,347.76,percent of total billed charges,226.0358165,,,,,,,,,,347.76,percent of total billed charges,999999999,,,,,,,,,,386.4,percent of total billed charges,323.7831142,,,,381.57,percent of total billed charges,368.2314708,,,,381.57,percent of total billed charges,325.3446935,,,,386.4,percent of total billed charges,999999999,,,,386.4,percent of total billed charges,999999999,,,,338.1,percent of total billed charges,999999999,,,,338.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,256.956,percent of total billed charges,999999999,,,,,,,,,,,,,,,,243.915,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,120.75,percent of total billed charges,114.6829635,,,,,,,,,,120.75,percent of total billed charges,112.7752904,,,,,,,,,,120.75,percent of total billed charges,112.4618927,,,,,,,,,,120.75,percent of total billed charges,110.8058927,,,,,,,,,,120.75,percent of total billed charges,113.6570912,,,,,,,,,,120.75,percent of total billed charges,999999999,,,,,,,,,,120.75,percent of total billed charges,97.525788,,,,,,,,,,120.75,percent of total billed charges,153.804893,,,,,,,,,,120.75,percent of total billed charges,999999999,,,,,,,,,,120.75,percent of total billed charges,105.1566511,,,,,,,,,,434.7,percent of total billed charges,,,,,
INJ TRIGGER POINT 1 OR 2 MUSCLES,20552,CDM,,,,both,,,333,333,70.89035356,333,333,percent of total billed charges,244.9999301,,,,333,percent of total billed charges,259.6950816,,,,333,percent of total billed charges,244.9999301,,,,333,percent of total billed charges,259.6950816,,,,333,percent of total billed charges,999999999,,,,333,percent of total billed charges,253.7231131,,,,333,percent of total billed charges,244.9999301,,,,333,percent of total billed charges,259.6950816,,,,237.429,percent of total billed charges,118.481416,,,,237.429,percent of total billed charges,70.89035356,,,,237.429,percent of total billed charges,118.481416,,,,237.429,percent of total billed charges,70.89035356,,,,237.429,percent of total billed charges,118.481416,,,,237.429,percent of total billed charges,70.89035356,,,,235.098,percent of total billed charges,233.3142476,,,,235.098,percent of total billed charges,160.9149873,,,,,,,,,,239.76,percent of total billed charges,155.8383579,,,,,,,,,,239.76,percent of total billed charges,999999999,,,,,,,,,,266.4,percent of total billed charges,223.2293521,,,,263.07,percent of total billed charges,253.8738712,,,,263.07,percent of total billed charges,224.3059688,,,,266.4,percent of total billed charges,999999999,,,,266.4,percent of total billed charges,999999999,,,,233.1,percent of total billed charges,999999999,,,,233.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,177.156,percent of total billed charges,999999999,,,,,,,,,,,,,,,,168.165,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,83.25,percent of total billed charges,79.06713631,,,,,,,,,,83.25,percent of total billed charges,77.75190829,,,,,,,,,,83.25,percent of total billed charges,77.53583907,,,,,,,,,,83.25,percent of total billed charges,76.39412478,,,,,,,,,,83.25,percent of total billed charges,78.35985792,,,,,,,,,,83.25,percent of total billed charges,999999999,,,,,,,,,,83.25,percent of total billed charges,67.2382762,,,,,,,,,,83.25,percent of total billed charges,106.0393983,,,,,,,,,,83.25,percent of total billed charges,999999999,,,,,,,,,,83.25,percent of total billed charges,72.49930604,,,,,,,,,,299.7,percent of total billed charges,,,,,
INJ SINGLE TENDON ORIGIN/INSERTION,20551,CDM,,,,both,,,364,364,77.48975584,364,364,percent of total billed charges,267.8077314,,,,364,percent of total billed charges,283.8709,,,,364,percent of total billed charges,267.8077314,,,,364,percent of total billed charges,283.8709,,,,364,percent of total billed charges,999999999,,,,364,percent of total billed charges,277.3429824,,,,364,percent of total billed charges,267.8077314,,,,364,percent of total billed charges,283.8709,,,,259.532,percent of total billed charges,129.5112174,,,,259.532,percent of total billed charges,77.48975584,,,,259.532,percent of total billed charges,129.5112174,,,,259.532,percent of total billed charges,77.48975584,,,,259.532,percent of total billed charges,129.5112174,,,,259.532,percent of total billed charges,77.48975584,,,,256.984,percent of total billed charges,255.0341925,,,,256.984,percent of total billed charges,175.8950612,,,,,,,,,,262.08,percent of total billed charges,170.3458327,,,,,,,,,,262.08,percent of total billed charges,999999999,,,,,,,,,,291.2,percent of total billed charges,244.0104629,,,,287.56,percent of total billed charges,277.5077751,,,,287.56,percent of total billed charges,245.1873053,,,,291.2,percent of total billed charges,999999999,,,,291.2,percent of total billed charges,999999999,,,,254.8,percent of total billed charges,999999999,,,,254.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,193.648,percent of total billed charges,999999999,,,,,,,,,,,,,,,,183.82,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,91,percent of total billed charges,86.42774059,,,,,,,,,,91,percent of total billed charges,84.99007393,,,,,,,,,,91,percent of total billed charges,84.75389015,,,,,,,,,,91,percent of total billed charges,83.50589015,,,,,,,,,,91,percent of total billed charges,85.65461947,,,,,,,,,,91,percent of total billed charges,999999999,,,,,,,,,,91,percent of total billed charges,73.49769531,,,,,,,,,,91,percent of total billed charges,115.9109339,,,,,,,,,,91,percent of total billed charges,999999999,,,,,,,,,,91,percent of total billed charges,79.24849069,,,,,,,,,,327.6,percent of total billed charges,,,,,
CHEST TUBE INSERTION PRO FEE,32551,CDM,,,,both,,,1363,1363,290.1608165,1363,1363,percent of total billed charges,1002.807522,,,,1363,percent of total billed charges,1062.956145,,,,1363,percent of total billed charges,1002.807522,,,,1363,percent of total billed charges,1062.956145,,,,1363,percent of total billed charges,999999999,,,,1363,percent of total billed charges,1038.512322,,,,1363,percent of total billed charges,1002.807522,,,,1363,percent of total billed charges,1062.956145,,,,971.819,percent of total billed charges,484.9554653,,,,971.819,percent of total billed charges,290.1608165,,,,971.819,percent of total billed charges,484.9554653,,,,971.819,percent of total billed charges,290.1608165,,,,971.819,percent of total billed charges,484.9554653,,,,971.819,percent of total billed charges,290.1608165,,,,962.278,percent of total billed charges,954.9769352,,,,962.278,percent of total billed charges,658.640023,,,,,,,,,,981.36,percent of total billed charges,637.8609065,,,,,,,,,,981.36,percent of total billed charges,999999999,,,,,,,,,,1090.4,percent of total billed charges,913.6985191,,,,1076.77,percent of total billed charges,1039.129389,,,,1076.77,percent of total billed charges,918.1052117,,,,1090.4,percent of total billed charges,999999999,,,,1090.4,percent of total billed charges,999999999,,,,954.1,percent of total billed charges,999999999,,,,954.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,725.116,percent of total billed charges,999999999,,,,,,,,,,,,,,,,688.315,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,340.75,percent of total billed charges,323.6291495,,,,,,,,,,340.75,percent of total billed charges,318.2457988,,,,,,,,,,340.75,percent of total billed charges,317.3614074,,,,,,,,,,340.75,percent of total billed charges,312.6882645,,,,,,,,,,340.75,percent of total billed charges,320.7341932,,,,,,,,,,340.75,percent of total billed charges,999999999,,,,,,,,,,340.75,percent of total billed charges,275.2125239,,,,,,,,,,340.75,percent of total billed charges,434.0291288,,,,,,,,,,340.75,percent of total billed charges,999999999,,,,,,,,,,340.75,percent of total billed charges,296.7464088,,,,,,,,,,1226.7,percent of total billed charges,,,,,
INJ ANESTHETIC AGENT INTO FACILA NERVE,64402,CDM,,,,both,,,450,450,95.79777508,450,450,percent of total billed charges,331.0809866,,,,450,percent of total billed charges,350.9392995,,,,450,percent of total billed charges,331.0809866,,,,450,percent of total billed charges,350.9392995,,,,450,percent of total billed charges,999999999,,,,450,percent of total billed charges,342.8690717,,,,450,percent of total billed charges,331.0809866,,,,450,percent of total billed charges,350.9392995,,,,320.85,percent of total billed charges,160.1100216,,,,320.85,percent of total billed charges,95.79777508,,,,320.85,percent of total billed charges,160.1100216,,,,320.85,percent of total billed charges,95.79777508,,,,320.85,percent of total billed charges,160.1100216,,,,320.85,percent of total billed charges,95.79777508,,,,317.7,percent of total billed charges,315.2895237,,,,317.7,percent of total billed charges,217.4526855,,,,,,,,,,324,percent of total billed charges,210.5923756,,,,,,,,,,324,percent of total billed charges,999999999,,,,,,,,,,360,percent of total billed charges,301.6612866,,,,355.5,percent of total billed charges,343.0727989,,,,355.5,percent of total billed charges,303.1161741,,,,360,percent of total billed charges,999999999,,,,360,percent of total billed charges,999999999,,,,315,percent of total billed charges,999999999,,,,315,percent of total billed charges,999999999,,,,,,,,,,,,,,,,239.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,227.25,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,112.5,percent of total billed charges,106.8474815,,,,,,,,,,112.5,percent of total billed charges,105.0701463,,,,,,,,,,112.5,percent of total billed charges,104.7781609,,,,,,,,,,112.5,percent of total billed charges,103.2353038,,,,,,,,,,112.5,percent of total billed charges,105.8916999,,,,,,,,,,112.5,percent of total billed charges,999999999,,,,,,,,,,112.5,percent of total billed charges,90.8625354,,,,,,,,,,112.5,percent of total billed charges,143.2964842,,,,,,,,,,112.5,percent of total billed charges,999999999,,,,,,,,,,112.5,percent of total billed charges,97.97203519,,,,,,,,,,405,percent of total billed charges,,,,,
DRAINAGE FINGER ABSCESS COMPLICATED,26011,CDM,,,,both,,,1189,1189,253.1190102,1189,1189,percent of total billed charges,874.7895401,,,,1189,percent of total billed charges,927.2596158,,,,1189,percent of total billed charges,874.7895401,,,,1189,percent of total billed charges,927.2596158,,,,1189,percent of total billed charges,999999999,,,,1189,percent of total billed charges,905.9362805,,,,1189,percent of total billed charges,874.7895401,,,,1189,percent of total billed charges,927.2596158,,,,847.757,percent of total billed charges,423.046257,,,,847.757,percent of total billed charges,253.1190102,,,,847.757,percent of total billed charges,423.046257,,,,847.757,percent of total billed charges,253.1190102,,,,847.757,percent of total billed charges,423.046257,,,,847.757,percent of total billed charges,253.1190102,,,,839.434,percent of total billed charges,833.064986,,,,839.434,percent of total billed charges,574.558318,,,,,,,,,,856.08,percent of total billed charges,556.4318546,,,,,,,,,,856.08,percent of total billed charges,999999999,,,,,,,,,,951.2,percent of total billed charges,797.056155,,,,939.31,percent of total billed charges,906.4745731,,,,939.31,percent of total billed charges,800.9002911,,,,951.2,percent of total billed charges,999999999,,,,951.2,percent of total billed charges,999999999,,,,832.3,percent of total billed charges,999999999,,,,832.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,632.548,percent of total billed charges,999999999,,,,,,,,,,,,,,,,600.445,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,297.25,percent of total billed charges,282.31479,,,,,,,,,,297.25,percent of total billed charges,277.6186756,,,,,,,,,,297.25,percent of total billed charges,276.8471851,,,,,,,,,,297.25,percent of total billed charges,272.7706137,,,,,,,,,,297.25,percent of total billed charges,279.7894026,,,,,,,,,,297.25,percent of total billed charges,999999999,,,,,,,,,,297.25,percent of total billed charges,240.0790102,,,,,,,,,,297.25,percent of total billed charges,378.6211549,,,,,,,,,,297.25,percent of total billed charges,999999999,,,,,,,,,,297.25,percent of total billed charges,258.8638885,,,,,,,,,,1070.1,percent of total billed charges,,,,,
UNLISTED PX SKIN MUC MEMBRANE & SUBQ TIS,17999,CDM,,,,both,,,337,337,71.74188934,337,337,percent of total billed charges,247.9428722,,,,337,percent of total billed charges,262.8145421,,,,337,percent of total billed charges,247.9428722,,,,337,percent of total billed charges,262.8145421,,,,337,percent of total billed charges,999999999,,,,337,percent of total billed charges,256.7708381,,,,337,percent of total billed charges,247.9428722,,,,337,percent of total billed charges,262.8145421,,,,240.281,percent of total billed charges,119.9046162,,,,240.281,percent of total billed charges,71.74188934,,,,240.281,percent of total billed charges,119.9046162,,,,240.281,percent of total billed charges,71.74188934,,,,240.281,percent of total billed charges,119.9046162,,,,240.281,percent of total billed charges,71.74188934,,,,237.922,percent of total billed charges,236.1168211,,,,237.922,percent of total billed charges,162.8479,,,,,,,,,,242.64,percent of total billed charges,157.7102902,,,,,,,,,,242.64,percent of total billed charges,999999999,,,,,,,,,,269.6,percent of total billed charges,225.9107857,,,,266.23,percent of total billed charges,256.9234072,,,,266.23,percent of total billed charges,227.0003348,,,,269.6,percent of total billed charges,999999999,,,,269.6,percent of total billed charges,999999999,,,,235.9,percent of total billed charges,999999999,,,,235.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,179.284,percent of total billed charges,999999999,,,,,,,,,,,,,,,,170.185,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,84.25,percent of total billed charges,80.0168917,,,,,,,,,,84.25,percent of total billed charges,78.68586515,,,,,,,,,,84.25,percent of total billed charges,78.4672005,,,,,,,,,,84.25,percent of total billed charges,77.31177193,,,,,,,,,,84.25,percent of total billed charges,79.30111747,,,,,,,,,,84.25,percent of total billed charges,999999999,,,,,,,,,,84.25,percent of total billed charges,68.04594318,,,,,,,,,,84.25,percent of total billed charges,107.3131448,,,,,,,,,,84.25,percent of total billed charges,999999999,,,,,,,,,,84.25,percent of total billed charges,73.37016858,,,,,,,,,,303.3,percent of total billed charges,,,,,
"BLEPHAROTOMY, DRAIN ABSCESS, EYELID",67700,CDM,,,,both,,,772,772,164.3464052,772,772,percent of total billed charges,567.9878259,,,,772,percent of total billed charges,602.0558649,,,,772,percent of total billed charges,567.9878259,,,,772,percent of total billed charges,602.0558649,,,,772,percent of total billed charges,999999999,,,,772,percent of total billed charges,588.2109408,,,,772,percent of total billed charges,567.9878259,,,,772,percent of total billed charges,602.0558649,,,,550.436,percent of total billed charges,274.677637,,,,550.436,percent of total billed charges,164.3464052,,,,550.436,percent of total billed charges,274.677637,,,,550.436,percent of total billed charges,164.3464052,,,,550.436,percent of total billed charges,274.677637,,,,550.436,percent of total billed charges,164.3464052,,,,545.032,percent of total billed charges,540.896694,,,,545.032,percent of total billed charges,373.0521627,,,,,,,,,,555.84,percent of total billed charges,361.2829199,,,,,,,,,,555.84,percent of total billed charges,999999999,,,,,,,,,,617.6,percent of total billed charges,517.5166961,,,,609.88,percent of total billed charges,588.5604461,,,,609.88,percent of total billed charges,520.0126364,,,,617.6,percent of total billed charges,999999999,,,,617.6,percent of total billed charges,999999999,,,,540.4,percent of total billed charges,999999999,,,,540.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,410.704,percent of total billed charges,999999999,,,,,,,,,,,,,,,,389.86,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,193,percent of total billed charges,183.3027905,,,,,,,,,,193,percent of total billed charges,180.2536733,,,,,,,,,,193,percent of total billed charges,179.752756,,,,,,,,,,193,percent of total billed charges,177.1058989,,,,,,,,,,193,percent of total billed charges,181.663094,,,,,,,,,,193,percent of total billed charges,999999999,,,,,,,,,,193,percent of total billed charges,155.8797274,,,,,,,,,,193,percent of total billed charges,245.8330795,,,,,,,,,,193,percent of total billed charges,999999999,,,,,,,,,,193,percent of total billed charges,168.0764693,,,,,,,,,,694.8,percent of total billed charges,,,,,
CLTX HUMERAL CONDYLAR FX MEDIA/LATERAL,24577,CDM,,,,both,,,3224,3224,686.3378375,3224,3224,percent of total billed charges,2372.011335,,,,3224,percent of total billed charges,2514.285115,,,,3224,percent of total billed charges,2372.011335,,,,3224,percent of total billed charges,2514.285115,,,,3224,percent of total billed charges,999999999,,,,3224,percent of total billed charges,2456.466416,,,,3224,percent of total billed charges,2372.011335,,,,3224,percent of total billed charges,2514.285115,,,,2298.712,percent of total billed charges,1147.099355,,,,2298.712,percent of total billed charges,686.3378375,,,,2298.712,percent of total billed charges,1147.099355,,,,2298.712,percent of total billed charges,686.3378375,,,,2298.712,percent of total billed charges,1147.099355,,,,2298.712,percent of total billed charges,686.3378375,,,,2276.144,percent of total billed charges,2258.874277,,,,2276.144,percent of total billed charges,1557.927685,,,,,,,,,,2321.28,percent of total billed charges,1508.777375,,,,,,,,,,2321.28,percent of total billed charges,999999999,,,,,,,,,,2579.2,percent of total billed charges,2161.235529,,,,2546.96,percent of total billed charges,2457.926008,,,,2546.96,percent of total billed charges,2171.658989,,,,2579.2,percent of total billed charges,999999999,,,,2579.2,percent of total billed charges,999999999,,,,2256.8,percent of total billed charges,999999999,,,,2256.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1715.168,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1628.12,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,806,percent of total billed charges,765.5028452,,,,,,,,,,806,percent of total billed charges,752.7692262,,,,,,,,,,806,percent of total billed charges,750.6773128,,,,,,,,,,806,percent of total billed charges,739.6235985,,,,,,,,,,806,percent of total billed charges,758.655201,,,,,,,,,,806,percent of total billed charges,999999999,,,,,,,,,,806,percent of total billed charges,650.979587,,,,,,,,,,806,percent of total billed charges,1026.6397,,,,,,,,,,806,percent of total billed charges,999999999,,,,,,,,,,806,percent of total billed charges,701.9152033,,,,,,,,,,2901.6,percent of total billed charges,,,,,
ASPIRATION AND/OR INJ GANGLION CYSTS,20612,CDM,,,,both,,,277,277,58.96885266,277,277,percent of total billed charges,203.7987406,,,,277,percent of total billed charges,216.0226355,,,,277,percent of total billed charges,203.7987406,,,,277,percent of total billed charges,216.0226355,,,,277,percent of total billed charges,999999999,,,,277,percent of total billed charges,211.0549619,,,,277,percent of total billed charges,203.7987406,,,,277,percent of total billed charges,216.0226355,,,,197.501,percent of total billed charges,98.55661328,,,,197.501,percent of total billed charges,58.96885266,,,,197.501,percent of total billed charges,98.55661328,,,,197.501,percent of total billed charges,58.96885266,,,,197.501,percent of total billed charges,98.55661328,,,,197.501,percent of total billed charges,58.96885266,,,,195.562,percent of total billed charges,194.0782179,,,,195.562,percent of total billed charges,133.8542086,,,,,,,,,,199.44,percent of total billed charges,129.6313068,,,,,,,,,,199.44,percent of total billed charges,999999999,,,,,,,,,,221.6,percent of total billed charges,185.6892808,,,,218.83,percent of total billed charges,211.1803673,,,,218.83,percent of total billed charges,186.5848449,,,,221.6,percent of total billed charges,999999999,,,,221.6,percent of total billed charges,999999999,,,,193.9,percent of total billed charges,999999999,,,,193.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,147.364,percent of total billed charges,999999999,,,,,,,,,,,,,,,,139.885,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,69.25,percent of total billed charges,65.77056083,,,,,,,,,,69.25,percent of total billed charges,64.6765123,,,,,,,,,,69.25,percent of total billed charges,64.49677905,,,,,,,,,,69.25,percent of total billed charges,63.54706476,,,,,,,,,,69.25,percent of total billed charges,65.18222416,,,,,,,,,,69.25,percent of total billed charges,999999999,,,,,,,,,,69.25,percent of total billed charges,55.93093846,,,,,,,,,,69.25,percent of total billed charges,88.20694693,,,,,,,,,,69.25,percent of total billed charges,999999999,,,,,,,,,,69.25,percent of total billed charges,60.30723055,,,,,,,,,,249.3,percent of total billed charges,,,,,
"UNLISTED PROCEDURE, VASCULAR SURGERY",37799,CDM,,,,both,,,7284,7284,1550.646653,7284,7284,percent of total billed charges,5359.097569,,,,7284,percent of total billed charges,5680.537461,,,,7284,percent of total billed charges,5359.097569,,,,7284,percent of total billed charges,5680.537461,,,,7284,percent of total billed charges,999999999,,,,7284,percent of total billed charges,5549.907374,,,,7284,percent of total billed charges,5359.097569,,,,7284,percent of total billed charges,5680.537461,,,,5193.492,percent of total billed charges,2591.647549,,,,5193.492,percent of total billed charges,1550.646653,,,,5193.492,percent of total billed charges,2591.647549,,,,5193.492,percent of total billed charges,1550.646653,,,,5193.492,percent of total billed charges,2591.647549,,,,5193.492,percent of total billed charges,1550.646653,,,,5142.504,percent of total billed charges,5103.486424,,,,5142.504,percent of total billed charges,3519.834136,,,,,,,,,,5244.48,percent of total billed charges,3408.788586,,,,,,,,,,5244.48,percent of total billed charges,999999999,,,,,,,,,,5827.2,percent of total billed charges,4882.890692,,,,5754.36,percent of total billed charges,5553.205038,,,,5754.36,percent of total billed charges,4906.440471,,,,5827.2,percent of total billed charges,999999999,,,,5827.2,percent of total billed charges,999999999,,,,5098.8,percent of total billed charges,999999999,,,,5098.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3875.088,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3678.42,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1821,percent of total billed charges,1729.504567,,,,,,,,,,1821,percent of total billed charges,1700.735435,,,,,,,,,,1821,percent of total billed charges,1696.009164,,,,,,,,,,1821,percent of total billed charges,1671.03545,,,,,,,,,,1821,percent of total billed charges,1714.033649,,,,,,,,,,1821,percent of total billed charges,999999999,,,,,,,,,,1821,percent of total billed charges,1470.761573,,,,,,,,,,1821,percent of total billed charges,2319.492424,,,,,,,,,,1821,percent of total billed charges,999999999,,,,,,,,,,1821,percent of total billed charges,1585.840676,,,,,,,,,,6555.6,percent of total billed charges,,,,,
ACNE SURGERY,10040,CDM,,,,both,,,537,537,114.3186783,537,537,percent of total billed charges,395.0899773,,,,537,percent of total billed charges,418.7875641,,,,537,percent of total billed charges,395.0899773,,,,537,percent of total billed charges,418.7875641,,,,537,percent of total billed charges,999999999,,,,537,percent of total billed charges,409.1570922,,,,537,percent of total billed charges,395.0899773,,,,537,percent of total billed charges,418.7875641,,,,382.881,percent of total billed charges,191.0646257,,,,382.881,percent of total billed charges,114.3186783,,,,382.881,percent of total billed charges,191.0646257,,,,382.881,percent of total billed charges,114.3186783,,,,382.881,percent of total billed charges,191.0646257,,,,382.881,percent of total billed charges,114.3186783,,,,379.122,percent of total billed charges,376.2454983,,,,379.122,percent of total billed charges,259.4935381,,,,,,,,,,386.64,percent of total billed charges,251.3069015,,,,,,,,,,386.64,percent of total billed charges,999999999,,,,,,,,,,429.6,percent of total billed charges,359.9824686,,,,424.23,percent of total billed charges,409.4002067,,,,424.23,percent of total billed charges,361.7186344,,,,429.6,percent of total billed charges,999999999,,,,429.6,percent of total billed charges,999999999,,,,375.9,percent of total billed charges,999999999,,,,375.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,285.684,percent of total billed charges,999999999,,,,,,,,,,,,,,,,271.185,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,134.25,percent of total billed charges,127.5046612,,,,,,,,,,134.25,percent of total billed charges,125.383708,,,,,,,,,,134.25,percent of total billed charges,125.035272,,,,,,,,,,134.25,percent of total billed charges,123.1941292,,,,,,,,,,134.25,percent of total billed charges,126.3640952,,,,,,,,,,134.25,percent of total billed charges,999999999,,,,,,,,,,134.25,percent of total billed charges,108.4292922,,,,,,,,,,134.25,percent of total billed charges,171.0004711,,,,,,,,,,134.25,percent of total billed charges,999999999,,,,,,,,,,134.25,percent of total billed charges,116.9132953,,,,,,,,,,483.3,percent of total billed charges,,,,,
ER CRNA-PIC INSERT W/O SUB PORT OR PUMP,36569,CDM,,,,both,,,583,583,124.1113397,583,583,percent of total billed charges,428.9338115,,,,583,percent of total billed charges,454.6613591,,,,583,percent of total billed charges,428.9338115,,,,583,percent of total billed charges,454.6613591,,,,583,percent of total billed charges,999999999,,,,583,percent of total billed charges,444.2059307,,,,583,percent of total billed charges,428.9338115,,,,583,percent of total billed charges,454.6613591,,,,415.679,percent of total billed charges,207.4314279,,,,415.679,percent of total billed charges,124.1113397,,,,415.679,percent of total billed charges,207.4314279,,,,415.679,percent of total billed charges,124.1113397,,,,415.679,percent of total billed charges,207.4314279,,,,415.679,percent of total billed charges,124.1113397,,,,411.598,percent of total billed charges,408.4750941,,,,411.598,percent of total billed charges,281.7220348,,,,,,,,,,419.76,percent of total billed charges,272.8341222,,,,,,,,,,419.76,percent of total billed charges,999999999,,,,,,,,,,466.4,percent of total billed charges,390.8189557,,,,460.57,percent of total billed charges,444.4698706,,,,460.57,percent of total billed charges,392.7038433,,,,466.4,percent of total billed charges,999999999,,,,466.4,percent of total billed charges,999999999,,,,408.1,percent of total billed charges,999999999,,,,408.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,310.156,percent of total billed charges,999999999,,,,,,,,,,,,,,,,294.415,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,145.75,percent of total billed charges,138.4268482,,,,,,,,,,145.75,percent of total billed charges,136.1242118,,,,,,,,,,145.75,percent of total billed charges,135.7459285,,,,,,,,,,145.75,percent of total billed charges,133.7470713,,,,,,,,,,145.75,percent of total billed charges,137.1885801,,,,,,,,,,145.75,percent of total billed charges,999999999,,,,,,,,,,145.75,percent of total billed charges,117.7174625,,,,,,,,,,145.75,percent of total billed charges,185.6485562,,,,,,,,,,145.75,percent of total billed charges,999999999,,,,,,,,,,145.75,percent of total billed charges,126.9282145,,,,,,,,,,524.7,percent of total billed charges,,,,,
EXCISION BENIGN LESION INC MARGINS,11421,CDM,,,,both,,,876,876,186.4863355,876,876,percent of total billed charges,644.5043205,,,,876,percent of total billed charges,683.1618364,,,,876,percent of total billed charges,644.5043205,,,,876,percent of total billed charges,683.1618364,,,,876,percent of total billed charges,999999999,,,,876,percent of total billed charges,667.4517929,,,,876,percent of total billed charges,644.5043205,,,,876,percent of total billed charges,683.1618364,,,,624.588,percent of total billed charges,311.680842,,,,624.588,percent of total billed charges,186.4863355,,,,624.588,percent of total billed charges,311.680842,,,,624.588,percent of total billed charges,186.4863355,,,,624.588,percent of total billed charges,311.680842,,,,624.588,percent of total billed charges,186.4863355,,,,618.456,percent of total billed charges,613.7636062,,,,618.456,percent of total billed charges,423.3078945,,,,,,,,,,630.72,percent of total billed charges,409.9531578,,,,,,,,,,630.72,percent of total billed charges,999999999,,,,,,,,,,700.8,percent of total billed charges,587.2339712,,,,692.04,percent of total billed charges,667.8483819,,,,692.04,percent of total billed charges,590.0661522,,,,700.8,percent of total billed charges,999999999,,,,700.8,percent of total billed charges,999999999,,,,613.2,percent of total billed charges,999999999,,,,613.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,466.032,percent of total billed charges,999999999,,,,,,,,,,,,,,,,442.38,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,219,percent of total billed charges,207.9964306,,,,,,,,,,219,percent of total billed charges,204.5365515,,,,,,,,,,219,percent of total billed charges,203.9681532,,,,,,,,,,219,percent of total billed charges,200.9647247,,,,,,,,,,219,percent of total billed charges,206.1358425,,,,,,,,,,219,percent of total billed charges,999999999,,,,,,,,,,219,percent of total billed charges,176.8790689,,,,,,,,,,219,percent of total billed charges,278.9504892,,,,,,,,,,219,percent of total billed charges,999999999,,,,,,,,,,219,percent of total billed charges,190.7188952,,,,,,,,,,788.4,percent of total billed charges,,,,,
ABDOMINAL PARACENTESIS W/O IMAGING GUIDA,49082,CDM,,,,both,,,1063,1063,226.2956331,1063,1063,percent of total billed charges,782.0868638,,,,1063,percent of total billed charges,828.9966119,,,,1063,percent of total billed charges,782.0868638,,,,1063,percent of total billed charges,828.9966119,,,,1063,percent of total billed charges,999999999,,,,1063,percent of total billed charges,809.9329405,,,,1063,percent of total billed charges,782.0868638,,,,1063,percent of total billed charges,828.9966119,,,,757.919,percent of total billed charges,378.2154509,,,,757.919,percent of total billed charges,226.2956331,,,,757.919,percent of total billed charges,378.2154509,,,,757.919,percent of total billed charges,226.2956331,,,,757.919,percent of total billed charges,378.2154509,,,,757.919,percent of total billed charges,226.2956331,,,,750.478,percent of total billed charges,744.7839194,,,,750.478,percent of total billed charges,513.671566,,,,,,,,,,765.36,percent of total billed charges,497.4659895,,,,,,,,,,765.36,percent of total billed charges,999999999,,,,,,,,,,850.4,percent of total billed charges,712.5909947,,,,839.77,percent of total billed charges,810.4141894,,,,839.77,percent of total billed charges,716.0277623,,,,850.4,percent of total billed charges,999999999,,,,850.4,percent of total billed charges,999999999,,,,744.1,percent of total billed charges,999999999,,,,744.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,565.516,percent of total billed charges,999999999,,,,,,,,,,,,,,,,536.815,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,265.75,percent of total billed charges,252.3974952,,,,,,,,,,265.75,percent of total billed charges,248.1990346,,,,,,,,,,265.75,percent of total billed charges,247.5093001,,,,,,,,,,265.75,percent of total billed charges,243.8647287,,,,,,,,,,265.75,percent of total billed charges,250.1397266,,,,,,,,,,265.75,percent of total billed charges,999999999,,,,,,,,,,265.75,percent of total billed charges,214.6375003,,,,,,,,,,265.75,percent of total billed charges,338.4981393,,,,,,,,,,265.75,percent of total billed charges,999999999,,,,,,,,,,265.75,percent of total billed charges,231.4317187,,,,,,,,,,956.7,percent of total billed charges,,,,,
**MOD SEDATION MD 1ST 30 MINS >5 YRS O,99144,CDM,,,,both,,,153,153,32.57124353,153,153,percent of total billed charges,112.5675354,,,,153,percent of total billed charges,119.3193618,,,,153,percent of total billed charges,112.5675354,,,,153,percent of total billed charges,119.3193618,,,,153,percent of total billed charges,999999999,,,,153,percent of total billed charges,116.5754844,,,,153,percent of total billed charges,112.5675354,,,,153,percent of total billed charges,119.3193618,,,,109.089,percent of total billed charges,54.43740733,,,,109.089,percent of total billed charges,32.57124353,,,,109.089,percent of total billed charges,54.43740733,,,,109.089,percent of total billed charges,32.57124353,,,,109.089,percent of total billed charges,54.43740733,,,,109.089,percent of total billed charges,32.57124353,,,,108.018,percent of total billed charges,107.1984381,,,,108.018,percent of total billed charges,73.93391308,,,,,,,,,,110.16,percent of total billed charges,71.6014077,,,,,,,,,,110.16,percent of total billed charges,999999999,,,,,,,,,,122.4,percent of total billed charges,102.5648374,,,,120.87,percent of total billed charges,116.6447516,,,,120.87,percent of total billed charges,103.0594992,,,,122.4,percent of total billed charges,999999999,,,,122.4,percent of total billed charges,999999999,,,,107.1,percent of total billed charges,999999999,,,,107.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,81.396,percent of total billed charges,999999999,,,,,,,,,,,,,,,,77.265,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,38.25,percent of total billed charges,36.32814371,,,,,,,,,,38.25,percent of total billed charges,35.72384976,,,,,,,,,,38.25,percent of total billed charges,35.62457471,,,,,,,,,,38.25,percent of total billed charges,35.10000328,,,,,,,,,,38.25,percent of total billed charges,36.00317796,,,,,,,,,,38.25,percent of total billed charges,999999999,,,,,,,,,,38.25,percent of total billed charges,30.89326204,,,,,,,,,,38.25,percent of total billed charges,48.72080462,,,,,,,,,,38.25,percent of total billed charges,999999999,,,,,,,,,,38.25,percent of total billed charges,33.31049197,,,,,,,,,,137.7,percent of total billed charges,,,,,
**MOD SEDATION DR EACH ADD 15 MIN > 5 Y,99145,CDM,,,,both,,,80,80,17.03071557,80,80,percent of total billed charges,58.85884206,,,,80,percent of total billed charges,62.3892088,,,,80,percent of total billed charges,58.85884206,,,,80,percent of total billed charges,62.3892088,,,,80,percent of total billed charges,999999999,,,,80,percent of total billed charges,60.95450163,,,,80,percent of total billed charges,58.85884206,,,,80,percent of total billed charges,62.3892088,,,,57.04,percent of total billed charges,28.46400383,,,,57.04,percent of total billed charges,17.03071557,,,,57.04,percent of total billed charges,28.46400383,,,,57.04,percent of total billed charges,17.03071557,,,,57.04,percent of total billed charges,28.46400383,,,,57.04,percent of total billed charges,17.03071557,,,,56.48,percent of total billed charges,56.05147089,,,,56.48,percent of total billed charges,38.6582552,,,,,,,,,,57.6,percent of total billed charges,37.43864455,,,,,,,,,,57.6,percent of total billed charges,999999999,,,,,,,,,,64,percent of total billed charges,53.62867317,,,,63.2,percent of total billed charges,60.99071981,,,,63.2,percent of total billed charges,53.88731984,,,,64,percent of total billed charges,999999999,,,,64,percent of total billed charges,999999999,,,,56,percent of total billed charges,999999999,,,,56,percent of total billed charges,999999999,,,,,,,,,,,,,,,,42.56,percent of total billed charges,999999999,,,,,,,,,,,,,,,,40.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20,percent of total billed charges,18.99510782,,,,,,,,,,20,percent of total billed charges,18.67913713,,,,,,,,,,20,percent of total billed charges,18.62722861,,,,,,,,,,20,percent of total billed charges,18.35294289,,,,,,,,,,20,percent of total billed charges,18.82519109,,,,,,,,,,20,percent of total billed charges,999999999,,,,,,,,,,20,percent of total billed charges,16.15333963,,,,,,,,,,20,percent of total billed charges,25.47493052,,,,,,,,,,20,percent of total billed charges,999999999,,,,,,,,,,20,percent of total billed charges,17.4172507,,,,,,,,,,72,percent of total billed charges,,,,,
DESTRUCTION BENIGN LESION 1-14,17110,CDM,,,,both,,,574,574,122.1953842,574,574,percent of total billed charges,422.3121918,,,,574,percent of total billed charges,447.6425731,,,,574,percent of total billed charges,422.3121918,,,,574,percent of total billed charges,447.6425731,,,,574,percent of total billed charges,999999999,,,,574,percent of total billed charges,437.3485492,,,,574,percent of total billed charges,422.3121918,,,,574,percent of total billed charges,447.6425731,,,,409.262,percent of total billed charges,204.2292275,,,,409.262,percent of total billed charges,122.1953842,,,,409.262,percent of total billed charges,204.2292275,,,,409.262,percent of total billed charges,122.1953842,,,,409.262,percent of total billed charges,204.2292275,,,,409.262,percent of total billed charges,122.1953842,,,,405.244,percent of total billed charges,402.1693036,,,,405.244,percent of total billed charges,277.3729811,,,,,,,,,,413.28,percent of total billed charges,268.6222746,,,,,,,,,,413.28,percent of total billed charges,999999999,,,,,,,,,,459.2,percent of total billed charges,384.78573,,,,453.46,percent of total billed charges,437.6084146,,,,453.46,percent of total billed charges,386.6415198,,,,459.2,percent of total billed charges,999999999,,,,459.2,percent of total billed charges,999999999,,,,401.8,percent of total billed charges,999999999,,,,401.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,305.368,percent of total billed charges,999999999,,,,,,,,,,,,,,,,289.87,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,143.5,percent of total billed charges,136.2898986,,,,,,,,,,143.5,percent of total billed charges,134.0228089,,,,,,,,,,143.5,percent of total billed charges,133.6503652,,,,,,,,,,143.5,percent of total billed charges,131.6823652,,,,,,,,,,143.5,percent of total billed charges,135.0707461,,,,,,,,,,143.5,percent of total billed charges,999999999,,,,,,,,,,143.5,percent of total billed charges,115.9002118,,,,,,,,,,143.5,percent of total billed charges,182.7826265,,,,,,,,,,143.5,percent of total billed charges,999999999,,,,,,,,,,143.5,percent of total billed charges,124.9687738,,,,,,,,,,516.6,percent of total billed charges,,,,,
SHOULDER STRAPPING,29240,CDM,,,,both,,,111,111,23.63011785,111,111,percent of total billed charges,81.66664336,,,,111,percent of total billed charges,86.56502721,,,,111,percent of total billed charges,81.66664336,,,,111,percent of total billed charges,86.56502721,,,,111,percent of total billed charges,999999999,,,,111,percent of total billed charges,84.57437102,,,,111,percent of total billed charges,81.66664336,,,,111,percent of total billed charges,86.56502721,,,,79.143,percent of total billed charges,39.49380532,,,,79.143,percent of total billed charges,23.63011785,,,,79.143,percent of total billed charges,39.49380532,,,,79.143,percent of total billed charges,23.63011785,,,,79.143,percent of total billed charges,39.49380532,,,,79.143,percent of total billed charges,23.63011785,,,,78.366,percent of total billed charges,77.77141585,,,,78.366,percent of total billed charges,53.63832909,,,,,,,,,,79.92,percent of total billed charges,51.94611931,,,,,,,,,,79.92,percent of total billed charges,999999999,,,,,,,,,,88.8,percent of total billed charges,74.40978402,,,,87.69,percent of total billed charges,84.62462373,,,,87.69,percent of total billed charges,74.76865627,,,,88.8,percent of total billed charges,999999999,,,,88.8,percent of total billed charges,999999999,,,,77.7,percent of total billed charges,999999999,,,,77.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,59.052,percent of total billed charges,999999999,,,,,,,,,,,,,,,,56.055,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,27.75,percent of total billed charges,26.3557121,,,,,,,,,,27.75,percent of total billed charges,25.91730276,,,,,,,,,,27.75,percent of total billed charges,25.84527969,,,,,,,,,,27.75,percent of total billed charges,25.46470826,,,,,,,,,,27.75,percent of total billed charges,26.11995264,,,,,,,,,,27.75,percent of total billed charges,999999999,,,,,,,,,,27.75,percent of total billed charges,22.41275873,,,,,,,,,,27.75,percent of total billed charges,35.3464661,,,,,,,,,,27.75,percent of total billed charges,999999999,,,,,,,,,,27.75,percent of total billed charges,24.16643535,,,,,,,,,,99.9,percent of total billed charges,,,,,
NJX ANES TRIGEMINAL NRV ANY DIV/BRANCH,64400,CDM,,,,both,,,398,398,84.72780996,398,398,percent of total billed charges,292.8227392,,,,398,percent of total billed charges,310.3863138,,,,398,percent of total billed charges,292.8227392,,,,398,percent of total billed charges,310.3863138,,,,398,percent of total billed charges,999999999,,,,398,percent of total billed charges,303.2486456,,,,398,percent of total billed charges,292.8227392,,,,398,percent of total billed charges,310.3863138,,,,283.774,percent of total billed charges,141.6084191,,,,283.774,percent of total billed charges,84.72780996,,,,283.774,percent of total billed charges,141.6084191,,,,283.774,percent of total billed charges,84.72780996,,,,283.774,percent of total billed charges,141.6084191,,,,283.774,percent of total billed charges,84.72780996,,,,280.988,percent of total billed charges,278.8560677,,,,280.988,percent of total billed charges,192.3248196,,,,,,,,,,286.56,percent of total billed charges,186.2572566,,,,,,,,,,286.56,percent of total billed charges,999999999,,,,,,,,,,318.4,percent of total billed charges,266.802649,,,,314.42,percent of total billed charges,303.428831,,,,314.42,percent of total billed charges,268.0894162,,,,318.4,percent of total billed charges,999999999,,,,318.4,percent of total billed charges,999999999,,,,278.6,percent of total billed charges,999999999,,,,278.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,211.736,percent of total billed charges,999999999,,,,,,,,,,,,,,,,200.99,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,99.5,percent of total billed charges,94.50066141,,,,,,,,,,99.5,percent of total billed charges,92.92870721,,,,,,,,,,99.5,percent of total billed charges,92.67046231,,,,,,,,,,99.5,percent of total billed charges,91.30589088,,,,,,,,,,99.5,percent of total billed charges,93.65532568,,,,,,,,,,99.5,percent of total billed charges,999999999,,,,,,,,,,99.5,percent of total billed charges,80.36286465,,,,,,,,,,99.5,percent of total billed charges,126.7377793,,,,,,,,,,99.5,percent of total billed charges,999999999,,,,,,,,,,99.5,percent of total billed charges,86.65082224,,,,,,,,,,358.2,percent of total billed charges,,,,,
EXC BENIGN LESION-SCALP/NECK/HANDS 0.5CM,11420,CDM,,,,both,,,440,440,93.66893563,440,440,percent of total billed charges,323.7236313,,,,440,percent of total billed charges,343.1406484,,,,440,percent of total billed charges,323.7236313,,,,440,percent of total billed charges,343.1406484,,,,440,percent of total billed charges,999999999,,,,440,percent of total billed charges,335.249759,,,,440,percent of total billed charges,323.7236313,,,,440,percent of total billed charges,343.1406484,,,,313.72,percent of total billed charges,156.5520211,,,,313.72,percent of total billed charges,93.66893563,,,,313.72,percent of total billed charges,156.5520211,,,,313.72,percent of total billed charges,93.66893563,,,,313.72,percent of total billed charges,156.5520211,,,,313.72,percent of total billed charges,93.66893563,,,,310.64,percent of total billed charges,308.2830899,,,,310.64,percent of total billed charges,212.6204036,,,,,,,,,,316.8,percent of total billed charges,205.912545,,,,,,,,,,316.8,percent of total billed charges,999999999,,,,,,,,,,352,percent of total billed charges,294.9577024,,,,347.6,percent of total billed charges,335.4489589,,,,347.6,percent of total billed charges,296.3802591,,,,352,percent of total billed charges,999999999,,,,352,percent of total billed charges,999999999,,,,308,percent of total billed charges,999999999,,,,308,percent of total billed charges,999999999,,,,,,,,,,,,,,,,234.08,percent of total billed charges,999999999,,,,,,,,,,,,,,,,222.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,110,percent of total billed charges,104.473093,,,,,,,,,,110,percent of total billed charges,102.7352542,,,,,,,,,,110,percent of total billed charges,102.4497573,,,,,,,,,,110,percent of total billed charges,100.9411859,,,,,,,,,,110,percent of total billed charges,103.538551,,,,,,,,,,110,percent of total billed charges,999999999,,,,,,,,,,110,percent of total billed charges,88.84336795,,,,,,,,,,110,percent of total billed charges,140.1121179,,,,,,,,,,110,percent of total billed charges,999999999,,,,,,,,,,110,percent of total billed charges,95.79487886,,,,,,,,,,396,percent of total billed charges,,,,,
AHP FEE LEVEL 1,99281,CDM,,,GF ,both,,,298,298,63.4394155,925,298,percent of total billed charges,219.2491867,,,,298,percent of total billed charges,232.3998028,,,,298,percent of total billed charges,219.2491867,,,,298,percent of total billed charges,232.3998028,,,,298,percent of total billed charges,999999999,,,,298,percent of total billed charges,227.0555186,,,,298,percent of total billed charges,219.2491867,,,,298,percent of total billed charges,232.3998028,,,,212.474,percent of total billed charges,106.0284143,,,,212.474,percent of total billed charges,63.4394155,,,,212.474,percent of total billed charges,106.0284143,,,,212.474,percent of total billed charges,63.4394155,,,,212.474,percent of total billed charges,106.0284143,,,,212.474,percent of total billed charges,63.4394155,,,,210.388,percent of total billed charges,208.791729,,,,210.388,percent of total billed charges,144.0020006,,,,,,,,,,925,case rate,139.4589509,,,,,,,,,,925,case rate,999999999,,,,,,,,,,238.4,percent of total billed charges,199.7668075,,,,235.42,percent of total billed charges,227.1904313,,,,235.42,percent of total billed charges,200.7302664,,,,238.4,percent of total billed charges,999999999,,,,238.4,percent of total billed charges,999999999,,,,208.6,percent of total billed charges,999999999,,,,208.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,158.536,percent of total billed charges,999999999,,,,,,,,,,,,,,,,150.49,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,74.5,percent of total billed charges,70.75677663,,,,,,,,,,74.5,percent of total billed charges,69.5797858,,,,,,,,,,74.5,percent of total billed charges,69.38642655,,,,,,,,,,74.5,percent of total billed charges,68.36471227,,,,,,,,,,74.5,percent of total billed charges,70.12383682,,,,,,,,,,74.5,percent of total billed charges,999999999,,,,,,,,,,74.5,percent of total billed charges,60.17119011,,,,,,,,,,74.5,percent of total billed charges,94.89411619,,,,,,,,,,74.5,percent of total billed charges,999999999,,,,,,,,,,74.5,percent of total billed charges,64.87925886,,,,,,,,,,268.2,percent of total billed charges,,,,,
AHP FEE LEVEL 2,99282,CDM,,,GF ,both,,,386,386,82.17320262,1350,386,percent of total billed charges,283.9939129,,,,386,percent of total billed charges,301.0279325,,,,386,percent of total billed charges,283.9939129,,,,386,percent of total billed charges,301.0279325,,,,386,percent of total billed charges,999999999,,,,386,percent of total billed charges,294.1054704,,,,386,percent of total billed charges,283.9939129,,,,386,percent of total billed charges,301.0279325,,,,275.218,percent of total billed charges,137.3388185,,,,275.218,percent of total billed charges,82.17320262,,,,275.218,percent of total billed charges,137.3388185,,,,275.218,percent of total billed charges,82.17320262,,,,275.218,percent of total billed charges,137.3388185,,,,275.218,percent of total billed charges,82.17320262,,,,272.516,percent of total billed charges,270.448347,,,,272.516,percent of total billed charges,186.5260814,,,,,,,,,,1350,case rate,180.64146,,,,,,,,,,1350,case rate,999999999,,,,,,,,,,308.8,percent of total billed charges,258.758348,,,,304.94,percent of total billed charges,294.2802231,,,,304.94,percent of total billed charges,260.0063182,,,,308.8,percent of total billed charges,999999999,,,,308.8,percent of total billed charges,999999999,,,,270.2,percent of total billed charges,999999999,,,,270.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,205.352,percent of total billed charges,999999999,,,,,,,,,,,,,,,,194.93,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,96.5,percent of total billed charges,91.65139524,,,,,,,,,,96.5,percent of total billed charges,90.12683664,,,,,,,,,,96.5,percent of total billed charges,89.87637802,,,,,,,,,,96.5,percent of total billed charges,88.55294945,,,,,,,,,,96.5,percent of total billed charges,90.83154702,,,,,,,,,,96.5,percent of total billed charges,999999999,,,,,,,,,,96.5,percent of total billed charges,77.9398637,,,,,,,,,,96.5,percent of total billed charges,122.9165398,,,,,,,,,,96.5,percent of total billed charges,999999999,,,,,,,,,,96.5,percent of total billed charges,84.03823463,,,,,,,,,,347.4,percent of total billed charges,,,,,
AHP FEE LEVEL 3,99283,CDM,,,GF ,both,,,700,700,149.0187612,2400,700,percent of total billed charges,515.014868,,,,700,percent of total billed charges,545.905577,,,,700,percent of total billed charges,515.014868,,,,700,percent of total billed charges,545.905577,,,,700,percent of total billed charges,999999999,,,,700,percent of total billed charges,533.3518893,,,,700,percent of total billed charges,515.014868,,,,700,percent of total billed charges,545.905577,,,,499.1,percent of total billed charges,249.0600335,,,,499.1,percent of total billed charges,149.0187612,,,,499.1,percent of total billed charges,249.0600335,,,,499.1,percent of total billed charges,149.0187612,,,,499.1,percent of total billed charges,249.0600335,,,,499.1,percent of total billed charges,149.0187612,,,,494.2,percent of total billed charges,490.4503703,,,,494.2,percent of total billed charges,338.259733,,,,,,,,,,2400,case rate,327.5881398,,,,,,,,,,2400,case rate,999999999,,,,,,,,,,560,percent of total billed charges,469.2508902,,,,553,percent of total billed charges,533.6687983,,,,553,percent of total billed charges,471.5140486,,,,560,percent of total billed charges,999999999,,,,560,percent of total billed charges,999999999,,,,490,percent of total billed charges,999999999,,,,490,percent of total billed charges,999999999,,,,,,,,,,,,,,,,372.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,353.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,175,percent of total billed charges,166.2071934,,,,,,,,,,175,percent of total billed charges,163.4424499,,,,,,,,,,175,percent of total billed charges,162.9882503,,,,,,,,,,175,percent of total billed charges,160.5882503,,,,,,,,,,175,percent of total billed charges,164.7204221,,,,,,,,,,175,percent of total billed charges,999999999,,,,,,,,,,175,percent of total billed charges,141.3417217,,,,,,,,,,175,percent of total billed charges,222.9056421,,,,,,,,,,175,percent of total billed charges,999999999,,,,,,,,,,175,percent of total billed charges,152.4009436,,,,,,,,,,630,percent of total billed charges,,,,,
AHP FEE LEVEL 4,99284,CDM,,,GF ,both,,,978,978,208.2004978,4550,978,percent of total billed charges,719.5493442,,,,978,percent of total billed charges,762.7080776,,,,978,percent of total billed charges,719.5493442,,,,978,percent of total billed charges,762.7080776,,,,978,percent of total billed charges,999999999,,,,978,percent of total billed charges,745.1687825,,,,978,percent of total billed charges,719.5493442,,,,978,percent of total billed charges,762.7080776,,,,697.314,percent of total billed charges,347.9724469,,,,697.314,percent of total billed charges,208.2004978,,,,697.314,percent of total billed charges,347.9724469,,,,697.314,percent of total billed charges,208.2004978,,,,697.314,percent of total billed charges,347.9724469,,,,697.314,percent of total billed charges,208.2004978,,,,690.468,percent of total billed charges,685.2292316,,,,690.468,percent of total billed charges,472.5971699,,,,,,,,,,4550,case rate,457.6874296,,,,,,,,,,4550,case rate,999999999,,,,,,,,,,782.4,percent of total billed charges,655.6105295,,,,772.62,percent of total billed charges,745.6115496,,,,772.62,percent of total billed charges,658.772485,,,,782.4,percent of total billed charges,999999999,,,,782.4,percent of total billed charges,999999999,,,,684.6,percent of total billed charges,999999999,,,,684.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,520.296,percent of total billed charges,999999999,,,,,,,,,,,,,,,,493.89,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,244.5,percent of total billed charges,232.2151931,,,,,,,,,,244.5,percent of total billed charges,228.3524514,,,,,,,,,,244.5,percent of total billed charges,227.7178697,,,,,,,,,,244.5,percent of total billed charges,224.3647268,,,,,,,,,,244.5,percent of total billed charges,230.1379611,,,,,,,,,,244.5,percent of total billed charges,999999999,,,,,,,,,,244.5,percent of total billed charges,197.4745769,,,,,,,,,,244.5,percent of total billed charges,311.4310256,,,,,,,,,,244.5,percent of total billed charges,999999999,,,,,,,,,,244.5,percent of total billed charges,212.9258898,,,,,,,,,,880.2,percent of total billed charges,,,,,
AHP FEE LEVEL 5,99285,CDM,,,GF ,both,,,1280,1280,272.4914491,6600,1280,percent of total billed charges,941.7414729,,,,1280,percent of total billed charges,998.2273408,,,,1280,percent of total billed charges,941.7414729,,,,1280,percent of total billed charges,998.2273408,,,,1280,percent of total billed charges,999999999,,,,1280,percent of total billed charges,975.2720261,,,,1280,percent of total billed charges,941.7414729,,,,1280,percent of total billed charges,998.2273408,,,,912.64,percent of total billed charges,455.4240613,,,,912.64,percent of total billed charges,272.4914491,,,,912.64,percent of total billed charges,455.4240613,,,,912.64,percent of total billed charges,272.4914491,,,,912.64,percent of total billed charges,455.4240613,,,,912.64,percent of total billed charges,272.4914491,,,,903.68,percent of total billed charges,896.8235342,,,,903.68,percent of total billed charges,618.5320833,,,,,,,,,,6600,case rate,599.0183128,,,,,,,,,,6600,case rate,999999999,,,,,,,,,,1024,percent of total billed charges,858.0587707,,,,1011.2,percent of total billed charges,975.8515169,,,,1011.2,percent of total billed charges,862.1971174,,,,1024,percent of total billed charges,999999999,,,,1024,percent of total billed charges,999999999,,,,896,percent of total billed charges,999999999,,,,896,percent of total billed charges,999999999,,,,,,,,,,,,,,,,680.96,percent of total billed charges,999999999,,,,,,,,,,,,,,,,646.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,320,percent of total billed charges,303.9217251,,,,,,,,,,320,percent of total billed charges,298.866194,,,,,,,,,,320,percent of total billed charges,298.0356577,,,,,,,,,,320,percent of total billed charges,293.6470862,,,,,,,,,,320,percent of total billed charges,301.2030575,,,,,,,,,,320,percent of total billed charges,999999999,,,,,,,,,,320,percent of total billed charges,258.453434,,,,,,,,,,320,percent of total billed charges,407.5988883,,,,,,,,,,320,percent of total billed charges,999999999,,,,,,,,,,320,percent of total billed charges,278.6760112,,,,,,,,,,1152,percent of total billed charges,,,,,
PHY-I&D DEEP ABSCESS BURSA/HEMOTOMA THIG,27301,CDM,,,,both,,,2765,2765,588.6241069,2765,2765,percent of total billed charges,2034.308729,,,,2765,percent of total billed charges,2156.327029,,,,2765,percent of total billed charges,2034.308729,,,,2765,percent of total billed charges,2156.327029,,,,2765,percent of total billed charges,999999999,,,,2765,percent of total billed charges,2106.739963,,,,2765,percent of total billed charges,2034.308729,,,,2765,percent of total billed charges,2156.327029,,,,1971.445,percent of total billed charges,983.7871325,,,,1971.445,percent of total billed charges,588.6241069,,,,1971.445,percent of total billed charges,983.7871325,,,,1971.445,percent of total billed charges,588.6241069,,,,1971.445,percent of total billed charges,983.7871325,,,,1971.445,percent of total billed charges,588.6241069,,,,1952.09,percent of total billed charges,1937.278962,,,,1952.09,percent of total billed charges,1336.125945,,,,,,,,,,1990.8,percent of total billed charges,1293.973152,,,,,,,,,,1990.8,percent of total billed charges,999999999,,,,,,,,,,2212,percent of total billed charges,1853.541016,,,,2184.35,percent of total billed charges,2107.991753,,,,2184.35,percent of total billed charges,1862.480492,,,,2212,percent of total billed charges,999999999,,,,2212,percent of total billed charges,999999999,,,,1935.5,percent of total billed charges,999999999,,,,1935.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1470.98,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1396.325,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,691.25,percent of total billed charges,656.5184141,,,,,,,,,,691.25,percent of total billed charges,645.597677,,,,,,,,,,691.25,percent of total billed charges,643.8035887,,,,,,,,,,691.25,percent of total billed charges,634.3235887,,,,,,,,,,691.25,percent of total billed charges,650.6456671,,,,,,,,,,691.25,percent of total billed charges,999999999,,,,,,,,,,691.25,percent of total billed charges,558.2998009,,,,,,,,,,691.25,percent of total billed charges,880.4772861,,,,,,,,,,691.25,percent of total billed charges,999999999,,,,,,,,,,691.25,percent of total billed charges,601.9837274,,,,,,,,,,2488.5,percent of total billed charges,,,,,
PHY-SKIN GRAFT 1ST DEGREEN BURN INITIAL,16000,CDM,,,,both,,,261,261,55.56270955,261,261,percent of total billed charges,192.0269722,,,,261,percent of total billed charges,203.5447937,,,,261,percent of total billed charges,192.0269722,,,,261,percent of total billed charges,203.5447937,,,,261,percent of total billed charges,999999999,,,,261,percent of total billed charges,198.8640616,,,,261,percent of total billed charges,192.0269722,,,,261,percent of total billed charges,203.5447937,,,,186.093,percent of total billed charges,92.86381251,,,,186.093,percent of total billed charges,55.56270955,,,,186.093,percent of total billed charges,92.86381251,,,,186.093,percent of total billed charges,55.56270955,,,,186.093,percent of total billed charges,92.86381251,,,,186.093,percent of total billed charges,55.56270955,,,,184.266,percent of total billed charges,182.8679238,,,,184.266,percent of total billed charges,126.1225576,,,,,,,,,,187.92,percent of total billed charges,122.1435778,,,,,,,,,,187.92,percent of total billed charges,999999999,,,,,,,,,,208.8,percent of total billed charges,174.9635462,,,,206.19,percent of total billed charges,198.9822234,,,,206.19,percent of total billed charges,175.807381,,,,208.8,percent of total billed charges,999999999,,,,208.8,percent of total billed charges,999999999,,,,182.7,percent of total billed charges,999999999,,,,182.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,138.852,percent of total billed charges,999999999,,,,,,,,,,,,,,,,131.805,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,65.25,percent of total billed charges,61.97153927,,,,,,,,,,65.25,percent of total billed charges,60.94068488,,,,,,,,,,65.25,percent of total billed charges,60.77133332,,,,,,,,,,65.25,percent of total billed charges,59.87647618,,,,,,,,,,65.25,percent of total billed charges,61.41718594,,,,,,,,,,65.25,percent of total billed charges,999999999,,,,,,,,,,65.25,percent of total billed charges,52.70027053,,,,,,,,,,65.25,percent of total billed charges,83.11196083,,,,,,,,,,65.25,percent of total billed charges,999999999,,,,,,,,,,65.25,percent of total billed charges,56.82378041,,,,,,,,,,234.9,percent of total billed charges,,,,,
PHY-DRAINAGE EXTERNAL AUDITORY CANAL ABS,69020,CDM,,,,both,,,764,764,162.6433337,764,764,percent of total billed charges,562.1019417,,,,764,percent of total billed charges,595.816944,,,,764,percent of total billed charges,562.1019417,,,,764,percent of total billed charges,595.816944,,,,764,percent of total billed charges,999999999,,,,764,percent of total billed charges,582.1154906,,,,764,percent of total billed charges,562.1019417,,,,764,percent of total billed charges,595.816944,,,,544.732,percent of total billed charges,271.8312366,,,,544.732,percent of total billed charges,162.6433337,,,,544.732,percent of total billed charges,271.8312366,,,,544.732,percent of total billed charges,162.6433337,,,,544.732,percent of total billed charges,271.8312366,,,,544.732,percent of total billed charges,162.6433337,,,,539.384,percent of total billed charges,535.291547,,,,539.384,percent of total billed charges,369.1863372,,,,,,,,,,550.08,percent of total billed charges,357.5390555,,,,,,,,,,550.08,percent of total billed charges,999999999,,,,,,,,,,611.2,percent of total billed charges,512.1538288,,,,603.56,percent of total billed charges,582.4613742,,,,603.56,percent of total billed charges,514.6239044,,,,611.2,percent of total billed charges,999999999,,,,611.2,percent of total billed charges,999999999,,,,534.8,percent of total billed charges,999999999,,,,534.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,406.448,percent of total billed charges,999999999,,,,,,,,,,,,,,,,385.82,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,191,percent of total billed charges,181.4032797,,,,,,,,,,191,percent of total billed charges,178.3857596,,,,,,,,,,191,percent of total billed charges,177.8900332,,,,,,,,,,191,percent of total billed charges,175.2706046,,,,,,,,,,191,percent of total billed charges,179.7805749,,,,,,,,,,191,percent of total billed charges,999999999,,,,,,,,,,191,percent of total billed charges,154.2643934,,,,,,,,,,191,percent of total billed charges,243.2855865,,,,,,,,,,191,percent of total billed charges,999999999,,,,,,,,,,191,percent of total billed charges,166.3347442,,,,,,,,,,687.6,percent of total billed charges,,,,,
PHY-DRAINAGE SCROTAL WALL ABSCESS,55100,CDM,,,,both,,,867,867,184.57038,867,867,percent of total billed charges,637.8827008,,,,867,percent of total billed charges,676.1430504,,,,867,percent of total billed charges,637.8827008,,,,867,percent of total billed charges,676.1430504,,,,867,percent of total billed charges,999999999,,,,867,percent of total billed charges,660.5944115,,,,867,percent of total billed charges,637.8827008,,,,867,percent of total billed charges,676.1430504,,,,618.171,percent of total billed charges,308.4786416,,,,618.171,percent of total billed charges,184.57038,,,,618.171,percent of total billed charges,308.4786416,,,,618.171,percent of total billed charges,184.57038,,,,618.171,percent of total billed charges,308.4786416,,,,618.171,percent of total billed charges,184.57038,,,,612.102,percent of total billed charges,607.4578157,,,,612.102,percent of total billed charges,418.9588408,,,,,,,,,,624.24,percent of total billed charges,405.7413103,,,,,,,,,,624.24,percent of total billed charges,999999999,,,,,,,,,,693.6,percent of total billed charges,581.2007455,,,,684.93,percent of total billed charges,660.9869259,,,,684.93,percent of total billed charges,584.0038287,,,,693.6,percent of total billed charges,999999999,,,,693.6,percent of total billed charges,999999999,,,,606.9,percent of total billed charges,999999999,,,,606.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,461.244,percent of total billed charges,999999999,,,,,,,,,,,,,,,,437.835,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,216.75,percent of total billed charges,205.859481,,,,,,,,,,216.75,percent of total billed charges,202.4351486,,,,,,,,,,216.75,percent of total billed charges,201.87259,,,,,,,,,,216.75,percent of total billed charges,198.9000186,,,,,,,,,,216.75,percent of total billed charges,204.0180085,,,,,,,,,,216.75,percent of total billed charges,999999999,,,,,,,,,,216.75,percent of total billed charges,175.0618182,,,,,,,,,,216.75,percent of total billed charges,276.0845595,,,,,,,,,,216.75,percent of total billed charges,999999999,,,,,,,,,,216.75,percent of total billed charges,188.7594545,,,,,,,,,,780.3,percent of total billed charges,,,,,
"PHY-THROBOLYSIS, CEREBRAL BY INTRAV INFU",37195,CDM,,,,both,,,1434,1434,305.2755766,1434,1434,percent of total billed charges,1055.044744,,,,1434,percent of total billed charges,1118.326568,,,,1434,percent of total billed charges,1055.044744,,,,1434,percent of total billed charges,1118.326568,,,,1434,percent of total billed charges,999999999,,,,1434,percent of total billed charges,1092.609442,,,,1434,percent of total billed charges,1055.044744,,,,1434,percent of total billed charges,1118.326568,,,,1022.442,percent of total billed charges,510.2172687,,,,1022.442,percent of total billed charges,305.2755766,,,,1022.442,percent of total billed charges,510.2172687,,,,1022.442,percent of total billed charges,305.2755766,,,,1022.442,percent of total billed charges,510.2172687,,,,1022.442,percent of total billed charges,305.2755766,,,,1012.404,percent of total billed charges,1004.722616,,,,1012.404,percent of total billed charges,692.9492245,,,,,,,,,,1032.48,percent of total billed charges,671.0877036,,,,,,,,,,1032.48,percent of total billed charges,999999999,,,,,,,,,,1147.2,percent of total billed charges,961.2939665,,,,1132.86,percent of total billed charges,1093.258653,,,,1132.86,percent of total billed charges,965.930208,,,,1147.2,percent of total billed charges,999999999,,,,1147.2,percent of total billed charges,999999999,,,,1003.8,percent of total billed charges,999999999,,,,1003.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,762.888,percent of total billed charges,999999999,,,,,,,,,,,,,,,,724.17,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,358.5,percent of total billed charges,340.4873077,,,,,,,,,,358.5,percent of total billed charges,334.823533,,,,,,,,,,358.5,percent of total billed charges,333.8930727,,,,,,,,,,358.5,percent of total billed charges,328.9765013,,,,,,,,,,358.5,percent of total billed charges,337.4415503,,,,,,,,,,358.5,percent of total billed charges,999999999,,,,,,,,,,358.5,percent of total billed charges,289.5486128,,,,,,,,,,358.5,percent of total billed charges,456.6381296,,,,,,,,,,358.5,percent of total billed charges,999999999,,,,,,,,,,358.5,percent of total billed charges,312.2042188,,,,,,,,,,1290.6,percent of total billed charges,,,,,
MOD SED SAME PHYS/QHP<5YRS 15 MIN,99151,CDM,,,,both,,,133,133,28.31356463,133,133,percent of total billed charges,97.85282492,,,,133,percent of total billed charges,103.7220596,,,,133,percent of total billed charges,97.85282492,,,,133,percent of total billed charges,103.7220596,,,,133,percent of total billed charges,999999999,,,,133,percent of total billed charges,101.336859,,,,133,percent of total billed charges,97.85282492,,,,133,percent of total billed charges,103.7220596,,,,94.829,percent of total billed charges,47.32140637,,,,94.829,percent of total billed charges,28.31356463,,,,94.829,percent of total billed charges,47.32140637,,,,94.829,percent of total billed charges,28.31356463,,,,94.829,percent of total billed charges,47.32140637,,,,94.829,percent of total billed charges,28.31356463,,,,93.898,percent of total billed charges,93.18557035,,,,93.898,percent of total billed charges,64.26934928,,,,,,,,,,95.76,percent of total billed charges,62.24174656,,,,,,,,,,95.76,percent of total billed charges,999999999,,,,,,,,,,106.4,percent of total billed charges,89.15766914,,,,105.07,percent of total billed charges,101.3970717,,,,105.07,percent of total billed charges,89.58766923,,,,106.4,percent of total billed charges,999999999,,,,106.4,percent of total billed charges,999999999,,,,93.1,percent of total billed charges,999999999,,,,93.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,70.756,percent of total billed charges,999999999,,,,,,,,,,,,,,,,67.165,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,33.25,percent of total billed charges,31.57936675,,,,,,,,,,33.25,percent of total billed charges,31.05406547,,,,,,,,,,33.25,percent of total billed charges,30.96776756,,,,,,,,,,33.25,percent of total billed charges,30.51176756,,,,,,,,,,33.25,percent of total billed charges,31.29688019,,,,,,,,,,33.25,percent of total billed charges,999999999,,,,,,,,,,33.25,percent of total billed charges,26.85492713,,,,,,,,,,33.25,percent of total billed charges,42.35207199,,,,,,,,,,33.25,percent of total billed charges,999999999,,,,,,,,,,33.25,percent of total billed charges,28.95617929,,,,,,,,,,119.7,percent of total billed charges,,,,,
MOD SED SAME PHYS<5YRS EACH ADD 15 MIN,99153,CDM,,,,both,,,57,57,12.13438484,57,57,percent of total billed charges,41.93692497,,,,57,percent of total billed charges,44.45231127,,,,57,percent of total billed charges,41.93692497,,,,57,percent of total billed charges,44.45231127,,,,57,percent of total billed charges,999999999,,,,57,percent of total billed charges,43.43008241,,,,57,percent of total billed charges,41.93692497,,,,57,percent of total billed charges,44.45231127,,,,40.641,percent of total billed charges,20.28060273,,,,40.641,percent of total billed charges,12.13438484,,,,40.641,percent of total billed charges,20.28060273,,,,40.641,percent of total billed charges,12.13438484,,,,40.641,percent of total billed charges,20.28060273,,,,40.641,percent of total billed charges,12.13438484,,,,40.242,percent of total billed charges,39.93667301,,,,40.242,percent of total billed charges,27.54400683,,,,,,,,,,41.04,percent of total billed charges,26.67503424,,,,,,,,,,41.04,percent of total billed charges,999999999,,,,,,,,,,45.6,percent of total billed charges,38.21042963,,,,45.03,percent of total billed charges,43.45588786,,,,45.03,percent of total billed charges,38.39471538,,,,45.6,percent of total billed charges,999999999,,,,45.6,percent of total billed charges,999999999,,,,39.9,percent of total billed charges,999999999,,,,39.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,30.324,percent of total billed charges,999999999,,,,,,,,,,,,,,,,28.785,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14.25,percent of total billed charges,13.53401432,,,,,,,,,,14.25,percent of total billed charges,13.3088852,,,,,,,,,,14.25,percent of total billed charges,13.27190038,,,,,,,,,,14.25,percent of total billed charges,13.07647181,,,,,,,,,,14.25,percent of total billed charges,13.41294865,,,,,,,,,,14.25,percent of total billed charges,999999999,,,,,,,,,,14.25,percent of total billed charges,11.50925448,,,,,,,,,,14.25,percent of total billed charges,18.150888,,,,,,,,,,14.25,percent of total billed charges,999999999,,,,,,,,,,14.25,percent of total billed charges,12.40979112,,,,,,,,,,51.3,percent of total billed charges,,,,,
VENI 3+ REQ PHY OR OTHER QUALIFIED PROFE,36410,CDM,,,,both,,,51,51,10.85708118,51,51,percent of total billed charges,37.52251181,,,,51,percent of total billed charges,39.77312061,,,,51,percent of total billed charges,37.52251181,,,,51,percent of total billed charges,39.77312061,,,,51,percent of total billed charges,999999999,,,,51,percent of total billed charges,38.85849479,,,,51,percent of total billed charges,37.52251181,,,,51,percent of total billed charges,39.77312061,,,,36.363,percent of total billed charges,18.14580244,,,,36.363,percent of total billed charges,10.85708118,,,,36.363,percent of total billed charges,18.14580244,,,,36.363,percent of total billed charges,10.85708118,,,,36.363,percent of total billed charges,18.14580244,,,,36.363,percent of total billed charges,10.85708118,,,,36.006,percent of total billed charges,35.73281269,,,,36.006,percent of total billed charges,24.64463769,,,,,,,,,,36.72,percent of total billed charges,23.8671359,,,,,,,,,,36.72,percent of total billed charges,999999999,,,,,,,,,,40.8,percent of total billed charges,34.18827914,,,,40.29,percent of total billed charges,38.88158388,,,,40.29,percent of total billed charges,34.3531664,,,,40.8,percent of total billed charges,999999999,,,,40.8,percent of total billed charges,999999999,,,,35.7,percent of total billed charges,999999999,,,,35.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,27.132,percent of total billed charges,999999999,,,,,,,,,,,,,,,,25.755,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12.75,percent of total billed charges,12.10938124,,,,,,,,,,12.75,percent of total billed charges,11.90794992,,,,,,,,,,12.75,percent of total billed charges,11.87485824,,,,,,,,,,12.75,percent of total billed charges,11.70000109,,,,,,,,,,12.75,percent of total billed charges,12.00105932,,,,,,,,,,12.75,percent of total billed charges,999999999,,,,,,,,,,12.75,percent of total billed charges,10.29775401,,,,,,,,,,12.75,percent of total billed charges,16.24026821,,,,,,,,,,12.75,percent of total billed charges,999999999,,,,,,,,,,12.75,percent of total billed charges,11.10349732,,,,,,,,,,45.9,percent of total billed charges,,,,,
EPLEY MANEUVER,95992,CDM,,,,both,,,178,178,37.89334214,178,178,percent of total billed charges,130.9609236,,,,178,percent of total billed charges,138.8159896,,,,178,percent of total billed charges,130.9609236,,,,178,percent of total billed charges,138.8159896,,,,178,percent of total billed charges,999999999,,,,178,percent of total billed charges,135.6237661,,,,178,percent of total billed charges,130.9609236,,,,178,percent of total billed charges,138.8159896,,,,126.914,percent of total billed charges,63.33240853,,,,126.914,percent of total billed charges,37.89334214,,,,126.914,percent of total billed charges,63.33240853,,,,126.914,percent of total billed charges,37.89334214,,,,126.914,percent of total billed charges,63.33240853,,,,126.914,percent of total billed charges,37.89334214,,,,125.668,percent of total billed charges,124.7145227,,,,125.668,percent of total billed charges,86.01461783,,,,,,,,,,128.16,percent of total billed charges,83.30098412,,,,,,,,,,128.16,percent of total billed charges,999999999,,,,,,,,,,142.4,percent of total billed charges,119.3237978,,,,140.62,percent of total billed charges,135.7043516,,,,140.62,percent of total billed charges,119.8992866,,,,142.4,percent of total billed charges,999999999,,,,142.4,percent of total billed charges,999999999,,,,124.6,percent of total billed charges,999999999,,,,124.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,94.696,percent of total billed charges,999999999,,,,,,,,,,,,,,,,89.89,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,44.5,percent of total billed charges,42.2641149,,,,,,,,,,44.5,percent of total billed charges,41.56108011,,,,,,,,,,44.5,percent of total billed charges,41.44558365,,,,,,,,,,44.5,percent of total billed charges,40.83529793,,,,,,,,,,44.5,percent of total billed charges,41.88605018,,,,,,,,,,44.5,percent of total billed charges,999999999,,,,,,,,,,44.5,percent of total billed charges,35.94118067,,,,,,,,,,44.5,percent of total billed charges,56.68172041,,,,,,,,,,44.5,percent of total billed charges,999999999,,,,,,,,,,44.5,percent of total billed charges,38.75338281,,,,,,,,,,160.2,percent of total billed charges,,,,,
EXC TR-EXT B9+MARG 1.1-2 CM,11402,CDM,,,,both,,,501,501,106.6548563,501,501,percent of total billed charges,368.6034984,,,,501,percent of total billed charges,390.7124201,,,,501,percent of total billed charges,368.6034984,,,,501,percent of total billed charges,390.7124201,,,,501,percent of total billed charges,999999999,,,,501,percent of total billed charges,381.7275665,,,,501,percent of total billed charges,368.6034984,,,,501,percent of total billed charges,390.7124201,,,,357.213,percent of total billed charges,178.255824,,,,357.213,percent of total billed charges,106.6548563,,,,357.213,percent of total billed charges,178.255824,,,,357.213,percent of total billed charges,106.6548563,,,,357.213,percent of total billed charges,178.255824,,,,357.213,percent of total billed charges,106.6548563,,,,353.706,percent of total billed charges,351.0223364,,,,353.706,percent of total billed charges,242.0973232,,,,,,,,,,360.72,percent of total billed charges,234.4595115,,,,,,,,,,360.72,percent of total billed charges,999999999,,,,,,,,,,400.8,percent of total billed charges,335.8495657,,,,395.79,percent of total billed charges,381.9543828,,,,395.79,percent of total billed charges,337.4693405,,,,400.8,percent of total billed charges,999999999,,,,400.8,percent of total billed charges,999999999,,,,350.7,percent of total billed charges,999999999,,,,350.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,266.532,percent of total billed charges,999999999,,,,,,,,,,,,,,,,253.005,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,125.25,percent of total billed charges,118.9568627,,,,,,,,,,125.25,percent of total billed charges,116.9780963,,,,,,,,,,125.25,percent of total billed charges,116.6530191,,,,,,,,,,125.25,percent of total billed charges,114.9353049,,,,,,,,,,125.25,percent of total billed charges,117.8927592,,,,,,,,,,125.25,percent of total billed charges,999999999,,,,,,,,,,125.25,percent of total billed charges,101.1602894,,,,,,,,,,125.25,percent of total billed charges,159.5367524,,,,,,,,,,125.25,percent of total billed charges,999999999,,,,,,,,,,125.25,percent of total billed charges,109.0755325,,,,,,,,,,450.9,percent of total billed charges,,,,,
IRRIGATION OF CORPORA CAVERNOSA,54220,CDM,,,,both,,,590,590,125.6015273,590,590,percent of total billed charges,434.0839602,,,,590,percent of total billed charges,460.1204149,,,,590,percent of total billed charges,434.0839602,,,,590,percent of total billed charges,460.1204149,,,,590,percent of total billed charges,999999999,,,,590,percent of total billed charges,449.5394496,,,,590,percent of total billed charges,434.0839602,,,,590,percent of total billed charges,460.1204149,,,,420.67,percent of total billed charges,209.9220283,,,,420.67,percent of total billed charges,125.6015273,,,,420.67,percent of total billed charges,209.9220283,,,,420.67,percent of total billed charges,125.6015273,,,,420.67,percent of total billed charges,209.9220283,,,,420.67,percent of total billed charges,125.6015273,,,,416.54,percent of total billed charges,413.3795978,,,,416.54,percent of total billed charges,285.1046321,,,,,,,,,,424.8,percent of total billed charges,276.1100036,,,,,,,,,,424.8,percent of total billed charges,999999999,,,,,,,,,,472,percent of total billed charges,395.5114646,,,,466.1,percent of total billed charges,449.8065586,,,,466.1,percent of total billed charges,397.4189838,,,,472,percent of total billed charges,999999999,,,,472,percent of total billed charges,999999999,,,,413,percent of total billed charges,999999999,,,,413,percent of total billed charges,999999999,,,,,,,,,,,,,,,,313.88,percent of total billed charges,999999999,,,,,,,,,,,,,,,,297.95,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,147.5,percent of total billed charges,140.0889202,,,,,,,,,,147.5,percent of total billed charges,137.7586363,,,,,,,,,,147.5,percent of total billed charges,137.375811,,,,,,,,,,147.5,percent of total billed charges,135.3529538,,,,,,,,,,147.5,percent of total billed charges,138.8357843,,,,,,,,,,147.5,percent of total billed charges,999999999,,,,,,,,,,147.5,percent of total billed charges,119.1308798,,,,,,,,,,147.5,percent of total billed charges,187.8776126,,,,,,,,,,147.5,percent of total billed charges,999999999,,,,,,,,,,147.5,percent of total billed charges,128.4522239,,,,,,,,,,531,percent of total billed charges,,,,,
MOD SED OTHER PHYS/QHP<5YRS 15 MIN,99156,CDM,,,,both,,,133,133,28.31356463,133,133,percent of total billed charges,97.85282492,,,,133,percent of total billed charges,103.7220596,,,,133,percent of total billed charges,97.85282492,,,,133,percent of total billed charges,103.7220596,,,,133,percent of total billed charges,999999999,,,,133,percent of total billed charges,101.336859,,,,133,percent of total billed charges,97.85282492,,,,133,percent of total billed charges,103.7220596,,,,94.829,percent of total billed charges,47.32140637,,,,94.829,percent of total billed charges,28.31356463,,,,94.829,percent of total billed charges,47.32140637,,,,94.829,percent of total billed charges,28.31356463,,,,94.829,percent of total billed charges,47.32140637,,,,94.829,percent of total billed charges,28.31356463,,,,93.898,percent of total billed charges,93.18557035,,,,93.898,percent of total billed charges,64.26934928,,,,,,,,,,95.76,percent of total billed charges,62.24174656,,,,,,,,,,95.76,percent of total billed charges,999999999,,,,,,,,,,106.4,percent of total billed charges,89.15766914,,,,105.07,percent of total billed charges,101.3970717,,,,105.07,percent of total billed charges,89.58766923,,,,106.4,percent of total billed charges,999999999,,,,106.4,percent of total billed charges,999999999,,,,93.1,percent of total billed charges,999999999,,,,93.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,70.756,percent of total billed charges,999999999,,,,,,,,,,,,,,,,67.165,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,33.25,percent of total billed charges,31.57936675,,,,,,,,,,33.25,percent of total billed charges,31.05406547,,,,,,,,,,33.25,percent of total billed charges,30.96776756,,,,,,,,,,33.25,percent of total billed charges,30.51176756,,,,,,,,,,33.25,percent of total billed charges,31.29688019,,,,,,,,,,33.25,percent of total billed charges,999999999,,,,,,,,,,33.25,percent of total billed charges,26.85492713,,,,,,,,,,33.25,percent of total billed charges,42.35207199,,,,,,,,,,33.25,percent of total billed charges,999999999,,,,,,,,,,33.25,percent of total billed charges,28.95617929,,,,,,,,,,119.7,percent of total billed charges,,,,,
OFFICE VISIT EST LEVEL 2,99212,CDM,,,,both,,,108,108,22.99146602,108,108,percent of total billed charges,79.45943678,,,,108,percent of total billed charges,84.22543188,,,,108,percent of total billed charges,79.45943678,,,,108,percent of total billed charges,84.22543188,,,,108,percent of total billed charges,999999999,,,,108,percent of total billed charges,82.28857721,,,,108,percent of total billed charges,79.45943678,,,,108,percent of total billed charges,84.22543188,,,,77.004,percent of total billed charges,38.42640518,,,,77.004,percent of total billed charges,22.99146602,,,,77.004,percent of total billed charges,38.42640518,,,,77.004,percent of total billed charges,22.99146602,,,,77.004,percent of total billed charges,38.42640518,,,,77.004,percent of total billed charges,22.99146602,,,,76.248,percent of total billed charges,75.6694857,,,,76.248,percent of total billed charges,52.18864452,,,,,,,,,,77.76,percent of total billed charges,50.54217014,,,,,,,,,,77.76,percent of total billed charges,999999999,,,,,,,,,,86.4,percent of total billed charges,72.39870878,,,,85.32,percent of total billed charges,82.33747174,,,,85.32,percent of total billed charges,72.74788178,,,,86.4,percent of total billed charges,999999999,,,,86.4,percent of total billed charges,999999999,,,,75.6,percent of total billed charges,999999999,,,,75.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,57.456,percent of total billed charges,999999999,,,,,,,,,,,,,,,,54.54,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,27,percent of total billed charges,25.64339556,,,,,,,,,,27,percent of total billed charges,25.21683512,,,,,,,,,,27,percent of total billed charges,25.14675862,,,,,,,,,,27,percent of total billed charges,24.7764729,,,,,,,,,,27,percent of total billed charges,25.41400797,,,,,,,,,,27,percent of total billed charges,999999999,,,,,,,,,,27,percent of total billed charges,21.8070085,,,,,,,,,,27,percent of total billed charges,34.3911562,,,,,,,,,,27,percent of total billed charges,999999999,,,,,,,,,,27,percent of total billed charges,23.51328845,,,,,,,,,,97.2,percent of total billed charges,,,,,
OFFICE VISIT EST LEVEL 3,99213,CDM,,,,both,,,183,183,38.95776187,183,183,percent of total billed charges,134.6396012,,,,183,percent of total billed charges,142.7153151,,,,183,percent of total billed charges,134.6396012,,,,183,percent of total billed charges,142.7153151,,,,183,percent of total billed charges,999999999,,,,183,percent of total billed charges,139.4334225,,,,183,percent of total billed charges,134.6396012,,,,183,percent of total billed charges,142.7153151,,,,130.479,percent of total billed charges,65.11140877,,,,130.479,percent of total billed charges,38.95776187,,,,130.479,percent of total billed charges,65.11140877,,,,130.479,percent of total billed charges,38.95776187,,,,130.479,percent of total billed charges,65.11140877,,,,130.479,percent of total billed charges,38.95776187,,,,129.198,percent of total billed charges,128.2177397,,,,129.198,percent of total billed charges,88.43075878,,,,,,,,,,131.76,percent of total billed charges,85.64089941,,,,,,,,,,131.76,percent of total billed charges,999999999,,,,,,,,,,146.4,percent of total billed charges,122.6755899,,,,144.57,percent of total billed charges,139.5162716,,,,144.57,percent of total billed charges,123.2672441,,,,146.4,percent of total billed charges,999999999,,,,146.4,percent of total billed charges,999999999,,,,128.1,percent of total billed charges,999999999,,,,128.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,97.356,percent of total billed charges,999999999,,,,,,,,,,,,,,,,92.415,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45.75,percent of total billed charges,43.45130914,,,,,,,,,,45.75,percent of total billed charges,42.72852618,,,,,,,,,,45.75,percent of total billed charges,42.60978543,,,,,,,,,,45.75,percent of total billed charges,41.98235686,,,,,,,,,,45.75,percent of total billed charges,43.06262462,,,,,,,,,,45.75,percent of total billed charges,999999999,,,,,,,,,,45.75,percent of total billed charges,36.9507644,,,,,,,,,,45.75,percent of total billed charges,58.27390357,,,,,,,,,,45.75,percent of total billed charges,999999999,,,,,,,,,,45.75,percent of total billed charges,39.84196098,,,,,,,,,,164.7,percent of total billed charges,,,,,
MOD SED OTH PHYS/QHP EA ADDL 15MINS PRO,99157,CDM,,,,both,,,243,243,51.73079854,243,243,percent of total billed charges,178.7837328,,,,243,percent of total billed charges,189.5072217,,,,243,percent of total billed charges,178.7837328,,,,243,percent of total billed charges,189.5072217,,,,243,percent of total billed charges,999999999,,,,243,percent of total billed charges,185.1492987,,,,243,percent of total billed charges,178.7837328,,,,243,percent of total billed charges,189.5072217,,,,173.259,percent of total billed charges,86.45941165,,,,173.259,percent of total billed charges,51.73079854,,,,173.259,percent of total billed charges,86.45941165,,,,173.259,percent of total billed charges,51.73079854,,,,173.259,percent of total billed charges,86.45941165,,,,173.259,percent of total billed charges,51.73079854,,,,171.558,percent of total billed charges,170.2563428,,,,171.558,percent of total billed charges,117.4244502,,,,,,,,,,174.96,percent of total billed charges,113.7198828,,,,,,,,,,174.96,percent of total billed charges,999999999,,,,,,,,,,194.4,percent of total billed charges,162.8970947,,,,191.97,percent of total billed charges,185.2593114,,,,191.97,percent of total billed charges,163.682734,,,,194.4,percent of total billed charges,999999999,,,,194.4,percent of total billed charges,999999999,,,,170.1,percent of total billed charges,999999999,,,,170.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,129.276,percent of total billed charges,999999999,,,,,,,,,,,,,,,,122.715,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,60.75,percent of total billed charges,57.69764001,,,,,,,,,,60.75,percent of total billed charges,56.73787902,,,,,,,,,,60.75,percent of total billed charges,56.58020689,,,,,,,,,,60.75,percent of total billed charges,55.74706403,,,,,,,,,,60.75,percent of total billed charges,57.18151794,,,,,,,,,,60.75,percent of total billed charges,999999999,,,,,,,,,,60.75,percent of total billed charges,49.06576912,,,,,,,,,,60.75,percent of total billed charges,77.38010146,,,,,,,,,,60.75,percent of total billed charges,999999999,,,,,,,,,,60.75,percent of total billed charges,52.90489901,,,,,,,,,,218.7,percent of total billed charges,,,,,
OFFICE VISIT EST LEVEL 4,99214,CDM,,,,both,,,269,269,57.2657811,269,269,percent of total billed charges,197.9128564,,,,269,percent of total billed charges,209.7837146,,,,269,percent of total billed charges,197.9128564,,,,269,percent of total billed charges,209.7837146,,,,269,percent of total billed charges,999999999,,,,269,percent of total billed charges,204.9595117,,,,269,percent of total billed charges,197.9128564,,,,269,percent of total billed charges,209.7837146,,,,191.797,percent of total billed charges,95.71021289,,,,191.797,percent of total billed charges,57.2657811,,,,191.797,percent of total billed charges,95.71021289,,,,191.797,percent of total billed charges,57.2657811,,,,191.797,percent of total billed charges,95.71021289,,,,191.797,percent of total billed charges,57.2657811,,,,189.914,percent of total billed charges,188.4730709,,,,189.914,percent of total billed charges,129.9883831,,,,,,,,,,193.68,percent of total billed charges,125.8874423,,,,,,,,,,193.68,percent of total billed charges,999999999,,,,,,,,,,215.2,percent of total billed charges,180.3264135,,,,212.51,percent of total billed charges,205.0812953,,,,212.51,percent of total billed charges,181.1961129,,,,215.2,percent of total billed charges,999999999,,,,215.2,percent of total billed charges,999999999,,,,188.3,percent of total billed charges,999999999,,,,188.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,143.108,percent of total billed charges,999999999,,,,,,,,,,,,,,,,135.845,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,67.25,percent of total billed charges,63.87105005,,,,,,,,,,67.25,percent of total billed charges,62.80859859,,,,,,,,,,67.25,percent of total billed charges,62.63405618,,,,,,,,,,67.25,percent of total billed charges,61.71177047,,,,,,,,,,67.25,percent of total billed charges,63.29970505,,,,,,,,,,67.25,percent of total billed charges,999999999,,,,,,,,,,67.25,percent of total billed charges,54.3156045,,,,,,,,,,67.25,percent of total billed charges,85.65945388,,,,,,,,,,67.25,percent of total billed charges,999999999,,,,,,,,,,67.25,percent of total billed charges,58.56550548,,,,,,,,,,242.1,percent of total billed charges,,,,,
OFFICE VISIT EST LEVEL 5,99215,CDM,,,,both,,,355,355,75.57380034,355,355,percent of total billed charges,261.1861116,,,,355,percent of total billed charges,276.8521141,,,,355,percent of total billed charges,261.1861116,,,,355,percent of total billed charges,276.8521141,,,,355,percent of total billed charges,999999999,,,,355,percent of total billed charges,270.485601,,,,355,percent of total billed charges,261.1861116,,,,355,percent of total billed charges,276.8521141,,,,253.115,percent of total billed charges,126.309017,,,,253.115,percent of total billed charges,75.57380034,,,,253.115,percent of total billed charges,126.309017,,,,253.115,percent of total billed charges,75.57380034,,,,253.115,percent of total billed charges,126.309017,,,,253.115,percent of total billed charges,75.57380034,,,,250.63,percent of total billed charges,248.7284021,,,,250.63,percent of total billed charges,171.5460075,,,,,,,,,,255.6,percent of total billed charges,166.1339852,,,,,,,,,,255.6,percent of total billed charges,999999999,,,,,,,,,,284,percent of total billed charges,237.9772372,,,,280.45,percent of total billed charges,270.6463191,,,,280.45,percent of total billed charges,239.1249818,,,,284,percent of total billed charges,999999999,,,,284,percent of total billed charges,999999999,,,,248.5,percent of total billed charges,999999999,,,,248.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,188.86,percent of total billed charges,999999999,,,,,,,,,,,,,,,,179.275,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,88.75,percent of total billed charges,84.29079096,,,,,,,,,,88.75,percent of total billed charges,82.888671,,,,,,,,,,88.75,percent of total billed charges,82.65832694,,,,,,,,,,88.75,percent of total billed charges,81.44118408,,,,,,,,,,88.75,percent of total billed charges,83.53678547,,,,,,,,,,88.75,percent of total billed charges,999999999,,,,,,,,,,88.75,percent of total billed charges,71.6804446,,,,,,,,,,88.75,percent of total billed charges,113.0450042,,,,,,,,,,88.75,percent of total billed charges,999999999,,,,,,,,,,88.75,percent of total billed charges,77.28904999,,,,,,,,,,319.5,percent of total billed charges,,,,,
OBSERVATION CARE DISCHARGE,99217,CDM,,,,both,,,312,312,66.41979072,312,312,percent of total billed charges,229.549484,,,,312,percent of total billed charges,243.3179143,,,,312,percent of total billed charges,229.549484,,,,312,percent of total billed charges,243.3179143,,,,312,percent of total billed charges,999999999,,,,312,percent of total billed charges,237.7225564,,,,312,percent of total billed charges,229.549484,,,,312,percent of total billed charges,243.3179143,,,,222.456,percent of total billed charges,111.009615,,,,222.456,percent of total billed charges,66.41979072,,,,222.456,percent of total billed charges,111.009615,,,,222.456,percent of total billed charges,66.41979072,,,,222.456,percent of total billed charges,111.009615,,,,222.456,percent of total billed charges,66.41979072,,,,220.272,percent of total billed charges,218.6007365,,,,220.272,percent of total billed charges,150.7671953,,,,,,,,,,224.64,percent of total billed charges,146.0107137,,,,,,,,,,224.64,percent of total billed charges,999999999,,,,,,,,,,249.6,percent of total billed charges,209.1518254,,,,246.48,percent of total billed charges,237.8638072,,,,246.48,percent of total billed charges,210.1605474,,,,249.6,percent of total billed charges,999999999,,,,249.6,percent of total billed charges,999999999,,,,218.4,percent of total billed charges,999999999,,,,218.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,165.984,percent of total billed charges,999999999,,,,,,,,,,,,,,,,157.56,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,78,percent of total billed charges,74.0809205,,,,,,,,,,78,percent of total billed charges,72.8486348,,,,,,,,,,78,percent of total billed charges,72.64619156,,,,,,,,,,78,percent of total billed charges,71.57647727,,,,,,,,,,78,percent of total billed charges,73.41824526,,,,,,,,,,78,percent of total billed charges,999999999,,,,,,,,,,78,percent of total billed charges,62.99802455,,,,,,,,,,78,percent of total billed charges,99.35222903,,,,,,,,,,78,percent of total billed charges,999999999,,,,,,,,,,78,percent of total billed charges,67.92727773,,,,,,,,,,280.8,percent of total billed charges,,,,,
HOSPITAL CARE INITIAL IP/OBS SF/LOW 40M,99221,CDM,,,,both,,,439,439,93.45605169,439,439,percent of total billed charges,322.9878958,,,,439,percent of total billed charges,342.3607833,,,,439,percent of total billed charges,322.9878958,,,,439,percent of total billed charges,342.3607833,,,,439,percent of total billed charges,999999999,,,,439,percent of total billed charges,334.4878277,,,,439,percent of total billed charges,322.9878958,,,,439,percent of total billed charges,342.3607833,,,,313.007,percent of total billed charges,156.196221,,,,313.007,percent of total billed charges,93.45605169,,,,313.007,percent of total billed charges,156.196221,,,,313.007,percent of total billed charges,93.45605169,,,,313.007,percent of total billed charges,156.196221,,,,313.007,percent of total billed charges,93.45605169,,,,309.934,percent of total billed charges,307.5824465,,,,309.934,percent of total billed charges,212.1371754,,,,,,,,,,316.08,percent of total billed charges,205.444562,,,,,,,,,,316.08,percent of total billed charges,999999999,,,,,,,,,,351.2,percent of total billed charges,294.287344,,,,346.81,percent of total billed charges,334.6865749,,,,346.81,percent of total billed charges,295.7066676,,,,351.2,percent of total billed charges,999999999,,,,351.2,percent of total billed charges,999999999,,,,307.3,percent of total billed charges,999999999,,,,307.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,233.548,percent of total billed charges,999999999,,,,,,,,,,,,,,,,221.695,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,109.75,percent of total billed charges,104.2356542,,,,,,,,,,109.75,percent of total billed charges,102.501765,,,,,,,,,,109.75,percent of total billed charges,102.216917,,,,,,,,,,109.75,percent of total billed charges,100.7117741,,,,,,,,,,109.75,percent of total billed charges,103.3032361,,,,,,,,,,109.75,percent of total billed charges,999999999,,,,,,,,,,109.75,percent of total billed charges,88.64145121,,,,,,,,,,109.75,percent of total billed charges,139.7936812,,,,,,,,,,109.75,percent of total billed charges,999999999,,,,,,,,,,109.75,percent of total billed charges,95.57716322,,,,,,,,,,395.1,percent of total billed charges,,,,,
HOSPITAL CARE INITIAL IP/OBS MOD 55M,99222,CDM,,,,both,,,590,590,125.6015273,590,590,percent of total billed charges,434.0839602,,,,590,percent of total billed charges,460.1204149,,,,590,percent of total billed charges,434.0839602,,,,590,percent of total billed charges,460.1204149,,,,590,percent of total billed charges,999999999,,,,590,percent of total billed charges,449.5394496,,,,590,percent of total billed charges,434.0839602,,,,590,percent of total billed charges,460.1204149,,,,420.67,percent of total billed charges,209.9220283,,,,420.67,percent of total billed charges,125.6015273,,,,420.67,percent of total billed charges,209.9220283,,,,420.67,percent of total billed charges,125.6015273,,,,420.67,percent of total billed charges,209.9220283,,,,420.67,percent of total billed charges,125.6015273,,,,416.54,percent of total billed charges,413.3795978,,,,416.54,percent of total billed charges,285.1046321,,,,,,,,,,424.8,percent of total billed charges,276.1100036,,,,,,,,,,424.8,percent of total billed charges,999999999,,,,,,,,,,472,percent of total billed charges,395.5114646,,,,466.1,percent of total billed charges,449.8065586,,,,466.1,percent of total billed charges,397.4189838,,,,472,percent of total billed charges,999999999,,,,472,percent of total billed charges,999999999,,,,413,percent of total billed charges,999999999,,,,413,percent of total billed charges,999999999,,,,,,,,,,,,,,,,313.88,percent of total billed charges,999999999,,,,,,,,,,,,,,,,297.95,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,147.5,percent of total billed charges,140.0889202,,,,,,,,,,147.5,percent of total billed charges,137.7586363,,,,,,,,,,147.5,percent of total billed charges,137.375811,,,,,,,,,,147.5,percent of total billed charges,135.3529538,,,,,,,,,,147.5,percent of total billed charges,138.8357843,,,,,,,,,,147.5,percent of total billed charges,999999999,,,,,,,,,,147.5,percent of total billed charges,119.1308798,,,,,,,,,,147.5,percent of total billed charges,187.8776126,,,,,,,,,,147.5,percent of total billed charges,999999999,,,,,,,,,,147.5,percent of total billed charges,128.4522239,,,,,,,,,,531,percent of total billed charges,,,,,
HOSPITAL CARE INITIAL IP/OBS HIGH 75M,99223,CDM,,,,both,,,872,872,185.6347997,872,872,percent of total billed charges,641.5613784,,,,872,percent of total billed charges,680.0423759,,,,872,percent of total billed charges,641.5613784,,,,872,percent of total billed charges,680.0423759,,,,872,percent of total billed charges,999999999,,,,872,percent of total billed charges,664.4040678,,,,872,percent of total billed charges,641.5613784,,,,872,percent of total billed charges,680.0423759,,,,621.736,percent of total billed charges,310.2576418,,,,621.736,percent of total billed charges,185.6347997,,,,621.736,percent of total billed charges,310.2576418,,,,621.736,percent of total billed charges,185.6347997,,,,621.736,percent of total billed charges,310.2576418,,,,621.736,percent of total billed charges,185.6347997,,,,615.632,percent of total billed charges,610.9610327,,,,615.632,percent of total billed charges,421.3749817,,,,,,,,,,627.84,percent of total billed charges,408.0812256,,,,,,,,,,627.84,percent of total billed charges,999999999,,,,,,,,,,697.6,percent of total billed charges,584.5525375,,,,688.88,percent of total billed charges,664.7988459,,,,688.88,percent of total billed charges,587.3717862,,,,697.6,percent of total billed charges,999999999,,,,697.6,percent of total billed charges,999999999,,,,610.4,percent of total billed charges,999999999,,,,610.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,463.904,percent of total billed charges,999999999,,,,,,,,,,,,,,,,440.36,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,218,percent of total billed charges,207.0466753,,,,,,,,,,218,percent of total billed charges,203.6025947,,,,,,,,,,218,percent of total billed charges,203.0367918,,,,,,,,,,218,percent of total billed charges,200.0470775,,,,,,,,,,218,percent of total billed charges,205.1945829,,,,,,,,,,218,percent of total billed charges,999999999,,,,,,,,,,218,percent of total billed charges,176.0714019,,,,,,,,,,218,percent of total billed charges,277.6767427,,,,,,,,,,218,percent of total billed charges,999999999,,,,,,,,,,218,percent of total billed charges,189.8480326,,,,,,,,,,784.8,percent of total billed charges,,,,,
HOSPITAL CARE SBSQ IP/OBS SF/LOW 25M,99231,CDM,,,,both,,,169,169,35.97738664,169,169,percent of total billed charges,124.3393038,,,,169,percent of total billed charges,131.7972036,,,,169,percent of total billed charges,124.3393038,,,,169,percent of total billed charges,131.7972036,,,,169,percent of total billed charges,999999999,,,,169,percent of total billed charges,128.7663847,,,,169,percent of total billed charges,124.3393038,,,,169,percent of total billed charges,131.7972036,,,,120.497,percent of total billed charges,60.1302081,,,,120.497,percent of total billed charges,35.97738664,,,,120.497,percent of total billed charges,60.1302081,,,,120.497,percent of total billed charges,35.97738664,,,,120.497,percent of total billed charges,60.1302081,,,,120.497,percent of total billed charges,35.97738664,,,,119.314,percent of total billed charges,118.4087322,,,,119.314,percent of total billed charges,81.66556412,,,,,,,,,,121.68,percent of total billed charges,79.08913661,,,,,,,,,,121.68,percent of total billed charges,999999999,,,,,,,,,,135.2,percent of total billed charges,113.2905721,,,,133.51,percent of total billed charges,128.8428956,,,,133.51,percent of total billed charges,113.8369632,,,,135.2,percent of total billed charges,999999999,,,,135.2,percent of total billed charges,999999999,,,,118.3,percent of total billed charges,999999999,,,,118.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,89.908,percent of total billed charges,999999999,,,,,,,,,,,,,,,,85.345,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,42.25,percent of total billed charges,40.12716527,,,,,,,,,,42.25,percent of total billed charges,39.45967718,,,,,,,,,,42.25,percent of total billed charges,39.35002043,,,,,,,,,,42.25,percent of total billed charges,38.77059186,,,,,,,,,,42.25,percent of total billed charges,39.76821618,,,,,,,,,,42.25,percent of total billed charges,999999999,,,,,,,,,,42.25,percent of total billed charges,34.12392996,,,,,,,,,,42.25,percent of total billed charges,53.81579073,,,,,,,,,,42.25,percent of total billed charges,999999999,,,,,,,,,,42.25,percent of total billed charges,36.79394211,,,,,,,,,,152.1,percent of total billed charges,,,,,
HOSPITAL CARE SBSQ IP/OBS MOD 35M,99232,CDM,,,,both,,,311,311,66.20690678,311,311,percent of total billed charges,228.8137485,,,,311,percent of total billed charges,242.5380492,,,,311,percent of total billed charges,228.8137485,,,,311,percent of total billed charges,242.5380492,,,,311,percent of total billed charges,999999999,,,,311,percent of total billed charges,236.9606251,,,,311,percent of total billed charges,228.8137485,,,,311,percent of total billed charges,242.5380492,,,,221.743,percent of total billed charges,110.6538149,,,,221.743,percent of total billed charges,66.20690678,,,,221.743,percent of total billed charges,110.6538149,,,,221.743,percent of total billed charges,66.20690678,,,,221.743,percent of total billed charges,110.6538149,,,,221.743,percent of total billed charges,66.20690678,,,,219.566,percent of total billed charges,217.9000931,,,,219.566,percent of total billed charges,150.2839671,,,,,,,,,,223.92,percent of total billed charges,145.5427307,,,,,,,,,,223.92,percent of total billed charges,999999999,,,,,,,,,,248.8,percent of total billed charges,208.4814669,,,,245.69,percent of total billed charges,237.1014232,,,,245.69,percent of total billed charges,209.4869559,,,,248.8,percent of total billed charges,999999999,,,,248.8,percent of total billed charges,999999999,,,,217.7,percent of total billed charges,999999999,,,,217.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,165.452,percent of total billed charges,999999999,,,,,,,,,,,,,,,,157.055,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,77.75,percent of total billed charges,73.84348165,,,,,,,,,,77.75,percent of total billed charges,72.61514558,,,,,,,,,,77.75,percent of total billed charges,72.4133512,,,,,,,,,,77.75,percent of total billed charges,71.34706549,,,,,,,,,,77.75,percent of total billed charges,73.18293037,,,,,,,,,,77.75,percent of total billed charges,999999999,,,,,,,,,,77.75,percent of total billed charges,62.7961078,,,,,,,,,,77.75,percent of total billed charges,99.0337924,,,,,,,,,,77.75,percent of total billed charges,999999999,,,,,,,,,,77.75,percent of total billed charges,67.7095621,,,,,,,,,,279.9,percent of total billed charges,,,,,
HOSPITAL CARE SBSQ IP/OBS HIGH 50M,99233,CDM,,,,both,,,448,448,95.37200719,448,448,percent of total billed charges,329.6095155,,,,448,percent of total billed charges,349.3795693,,,,448,percent of total billed charges,329.6095155,,,,448,percent of total billed charges,349.3795693,,,,448,percent of total billed charges,999999999,,,,448,percent of total billed charges,341.3452092,,,,448,percent of total billed charges,329.6095155,,,,448,percent of total billed charges,349.3795693,,,,319.424,percent of total billed charges,159.3984215,,,,319.424,percent of total billed charges,95.37200719,,,,319.424,percent of total billed charges,159.3984215,,,,319.424,percent of total billed charges,95.37200719,,,,319.424,percent of total billed charges,159.3984215,,,,319.424,percent of total billed charges,95.37200719,,,,316.288,percent of total billed charges,313.888237,,,,316.288,percent of total billed charges,216.4862291,,,,,,,,,,322.56,percent of total billed charges,209.6564095,,,,,,,,,,322.56,percent of total billed charges,999999999,,,,,,,,,,358.4,percent of total billed charges,300.3205697,,,,353.92,percent of total billed charges,341.5480309,,,,353.92,percent of total billed charges,301.7689911,,,,358.4,percent of total billed charges,999999999,,,,358.4,percent of total billed charges,999999999,,,,313.6,percent of total billed charges,999999999,,,,313.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,238.336,percent of total billed charges,999999999,,,,,,,,,,,,,,,,226.24,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,112,percent of total billed charges,106.3726038,,,,,,,,,,112,percent of total billed charges,104.6031679,,,,,,,,,,112,percent of total billed charges,104.3124802,,,,,,,,,,112,percent of total billed charges,102.7764802,,,,,,,,,,112,percent of total billed charges,105.4210701,,,,,,,,,,112,percent of total billed charges,999999999,,,,,,,,,,112,percent of total billed charges,90.45870191,,,,,,,,,,112,percent of total billed charges,142.6596109,,,,,,,,,,112,percent of total billed charges,999999999,,,,,,,,,,112,percent of total billed charges,97.53660393,,,,,,,,,,403.2,percent of total billed charges,,,,,
HOSPITAL CARE IP/OBS SAME DATE SF/LOW 45,99234,CDM,,,,both,,,574,574,122.1953842,574,574,percent of total billed charges,422.3121918,,,,574,percent of total billed charges,447.6425731,,,,574,percent of total billed charges,422.3121918,,,,574,percent of total billed charges,447.6425731,,,,574,percent of total billed charges,999999999,,,,574,percent of total billed charges,437.3485492,,,,574,percent of total billed charges,422.3121918,,,,574,percent of total billed charges,447.6425731,,,,409.262,percent of total billed charges,204.2292275,,,,409.262,percent of total billed charges,122.1953842,,,,409.262,percent of total billed charges,204.2292275,,,,409.262,percent of total billed charges,122.1953842,,,,409.262,percent of total billed charges,204.2292275,,,,409.262,percent of total billed charges,122.1953842,,,,405.244,percent of total billed charges,402.1693036,,,,405.244,percent of total billed charges,277.3729811,,,,,,,,,,413.28,percent of total billed charges,268.6222746,,,,,,,,,,413.28,percent of total billed charges,999999999,,,,,,,,,,459.2,percent of total billed charges,384.78573,,,,453.46,percent of total billed charges,437.6084146,,,,453.46,percent of total billed charges,386.6415198,,,,459.2,percent of total billed charges,999999999,,,,459.2,percent of total billed charges,999999999,,,,401.8,percent of total billed charges,999999999,,,,401.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,305.368,percent of total billed charges,999999999,,,,,,,,,,,,,,,,289.87,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,143.5,percent of total billed charges,136.2898986,,,,,,,,,,143.5,percent of total billed charges,134.0228089,,,,,,,,,,143.5,percent of total billed charges,133.6503652,,,,,,,,,,143.5,percent of total billed charges,131.6823652,,,,,,,,,,143.5,percent of total billed charges,135.0707461,,,,,,,,,,143.5,percent of total billed charges,999999999,,,,,,,,,,143.5,percent of total billed charges,115.9002118,,,,,,,,,,143.5,percent of total billed charges,182.7826265,,,,,,,,,,143.5,percent of total billed charges,999999999,,,,,,,,,,143.5,percent of total billed charges,124.9687738,,,,,,,,,,516.6,percent of total billed charges,,,,,
HOSPITAL CARE IP/OBS SAME DATE MOD 70M,99235,CDM,,,,both,,,726,726,154.5537438,726,726,percent of total billed charges,534.1439917,,,,726,percent of total billed charges,566.1820699,,,,726,percent of total billed charges,534.1439917,,,,726,percent of total billed charges,566.1820699,,,,726,percent of total billed charges,999999999,,,,726,percent of total billed charges,553.1621023,,,,726,percent of total billed charges,534.1439917,,,,726,percent of total billed charges,566.1820699,,,,517.638,percent of total billed charges,258.3108348,,,,517.638,percent of total billed charges,154.5537438,,,,517.638,percent of total billed charges,258.3108348,,,,517.638,percent of total billed charges,154.5537438,,,,517.638,percent of total billed charges,258.3108348,,,,517.638,percent of total billed charges,154.5537438,,,,512.556,percent of total billed charges,508.6670983,,,,512.556,percent of total billed charges,350.823666,,,,,,,,,,522.72,percent of total billed charges,339.7556993,,,,,,,,,,522.72,percent of total billed charges,999999999,,,,,,,,,,580.8,percent of total billed charges,486.680209,,,,573.54,percent of total billed charges,553.4907822,,,,573.54,percent of total billed charges,489.0274275,,,,580.8,percent of total billed charges,999999999,,,,580.8,percent of total billed charges,999999999,,,,508.2,percent of total billed charges,999999999,,,,508.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,386.232,percent of total billed charges,999999999,,,,,,,,,,,,,,,,366.63,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,181.5,percent of total billed charges,172.3806035,,,,,,,,,,181.5,percent of total billed charges,169.5131694,,,,,,,,,,181.5,percent of total billed charges,169.0420996,,,,,,,,,,181.5,percent of total billed charges,166.5529567,,,,,,,,,,181.5,percent of total billed charges,170.8386092,,,,,,,,,,181.5,percent of total billed charges,999999999,,,,,,,,,,181.5,percent of total billed charges,146.5915571,,,,,,,,,,181.5,percent of total billed charges,231.1849945,,,,,,,,,,181.5,percent of total billed charges,999999999,,,,,,,,,,181.5,percent of total billed charges,158.0615501,,,,,,,,,,653.4,percent of total billed charges,,,,,
HOSPITAL IP/OBS DISCHARGE DAY MGMT <30 M,99238,CDM,,,,both,,,310,310,65.99402283,310,310,percent of total billed charges,228.078013,,,,310,percent of total billed charges,241.7581841,,,,310,percent of total billed charges,228.078013,,,,310,percent of total billed charges,241.7581841,,,,310,percent of total billed charges,999999999,,,,310,percent of total billed charges,236.1986938,,,,310,percent of total billed charges,228.078013,,,,310,percent of total billed charges,241.7581841,,,,221.03,percent of total billed charges,110.2980149,,,,221.03,percent of total billed charges,65.99402283,,,,221.03,percent of total billed charges,110.2980149,,,,221.03,percent of total billed charges,65.99402283,,,,221.03,percent of total billed charges,110.2980149,,,,221.03,percent of total billed charges,65.99402283,,,,218.86,percent of total billed charges,217.1994497,,,,218.86,percent of total billed charges,149.8007389,,,,,,,,,,223.2,percent of total billed charges,145.0747476,,,,,,,,,,223.2,percent of total billed charges,999999999,,,,,,,,,,248,percent of total billed charges,207.8111085,,,,244.9,percent of total billed charges,236.3390393,,,,244.9,percent of total billed charges,208.8133644,,,,248,percent of total billed charges,999999999,,,,248,percent of total billed charges,999999999,,,,217,percent of total billed charges,999999999,,,,217,percent of total billed charges,999999999,,,,,,,,,,,,,,,,164.92,percent of total billed charges,999999999,,,,,,,,,,,,,,,,156.55,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,77.5,percent of total billed charges,73.60604281,,,,,,,,,,77.5,percent of total billed charges,72.38165637,,,,,,,,,,77.5,percent of total billed charges,72.18051084,,,,,,,,,,77.5,percent of total billed charges,71.1176537,,,,,,,,,,77.5,percent of total billed charges,72.94761548,,,,,,,,,,77.5,percent of total billed charges,999999999,,,,,,,,,,77.5,percent of total billed charges,62.59419106,,,,,,,,,,77.5,percent of total billed charges,98.71535577,,,,,,,,,,77.5,percent of total billed charges,999999999,,,,,,,,,,77.5,percent of total billed charges,67.49184647,,,,,,,,,,279,percent of total billed charges,,,,,
HOSPITAL IP/OBS DISCHARGE DAY MGMT >30 M,99239,CDM,,,,both,,,459,459,97.71373058,459,459,percent of total billed charges,337.7026063,,,,459,percent of total billed charges,357.9580855,,,,459,percent of total billed charges,337.7026063,,,,459,percent of total billed charges,357.9580855,,,,459,percent of total billed charges,999999999,,,,459,percent of total billed charges,349.7264531,,,,459,percent of total billed charges,337.7026063,,,,459,percent of total billed charges,357.9580855,,,,327.267,percent of total billed charges,163.312222,,,,327.267,percent of total billed charges,97.71373058,,,,327.267,percent of total billed charges,163.312222,,,,327.267,percent of total billed charges,97.71373058,,,,327.267,percent of total billed charges,163.312222,,,,327.267,percent of total billed charges,97.71373058,,,,324.054,percent of total billed charges,321.5953142,,,,324.054,percent of total billed charges,221.8017392,,,,,,,,,,330.48,percent of total billed charges,214.8042231,,,,,,,,,,330.48,percent of total billed charges,999999999,,,,,,,,,,367.2,percent of total billed charges,307.6945123,,,,362.61,percent of total billed charges,349.9342549,,,,362.61,percent of total billed charges,309.1784976,,,,367.2,percent of total billed charges,999999999,,,,367.2,percent of total billed charges,999999999,,,,321.3,percent of total billed charges,999999999,,,,321.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,244.188,percent of total billed charges,999999999,,,,,,,,,,,,,,,,231.795,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,114.75,percent of total billed charges,108.9844311,,,,,,,,,,114.75,percent of total billed charges,107.1715493,,,,,,,,,,114.75,percent of total billed charges,106.8737241,,,,,,,,,,114.75,percent of total billed charges,105.3000098,,,,,,,,,,114.75,percent of total billed charges,108.0095339,,,,,,,,,,114.75,percent of total billed charges,999999999,,,,,,,,,,114.75,percent of total billed charges,92.67978611,,,,,,,,,,114.75,percent of total billed charges,146.1624139,,,,,,,,,,114.75,percent of total billed charges,999999999,,,,,,,,,,114.75,percent of total billed charges,99.9314759,,,,,,,,,,413.1,percent of total billed charges,,,,,
CONSULT OFFICE/OP NEW/EST SF 20M,99242,CDM,,,,both,,,280,280,59.60750449,280,280,percent of total billed charges,206.0059472,,,,280,percent of total billed charges,218.3622308,,,,280,percent of total billed charges,206.0059472,,,,280,percent of total billed charges,218.3622308,,,,280,percent of total billed charges,999999999,,,,280,percent of total billed charges,213.3407557,,,,280,percent of total billed charges,206.0059472,,,,280,percent of total billed charges,218.3622308,,,,199.64,percent of total billed charges,99.62401342,,,,199.64,percent of total billed charges,59.60750449,,,,199.64,percent of total billed charges,99.62401342,,,,199.64,percent of total billed charges,59.60750449,,,,199.64,percent of total billed charges,99.62401342,,,,199.64,percent of total billed charges,59.60750449,,,,197.68,percent of total billed charges,196.1801481,,,,197.68,percent of total billed charges,135.3038932,,,,,,,,,,201.6,percent of total billed charges,131.0352559,,,,,,,,,,201.6,percent of total billed charges,999999999,,,,,,,,,,224,percent of total billed charges,187.7003561,,,,221.2,percent of total billed charges,213.4675193,,,,221.2,percent of total billed charges,188.6056194,,,,224,percent of total billed charges,999999999,,,,224,percent of total billed charges,999999999,,,,196,percent of total billed charges,999999999,,,,196,percent of total billed charges,999999999,,,,,,,,,,,,,,,,148.96,percent of total billed charges,999999999,,,,,,,,,,,,,,,,141.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,70,percent of total billed charges,66.48287737,,,,,,,,,,70,percent of total billed charges,65.37697995,,,,,,,,,,70,percent of total billed charges,65.19530012,,,,,,,,,,70,percent of total billed charges,64.23530012,,,,,,,,,,70,percent of total billed charges,65.88816882,,,,,,,,,,70,percent of total billed charges,999999999,,,,,,,,,,70,percent of total billed charges,56.5366887,,,,,,,,,,70,percent of total billed charges,89.16225683,,,,,,,,,,70,percent of total billed charges,999999999,,,,,,,,,,70,percent of total billed charges,60.96037745,,,,,,,,,,252,percent of total billed charges,,,,,
CONSULT OFFICE/OP NEW/EST LOW 30M,99243,CDM,,,,both,,,393,393,83.66339024,393,393,percent of total billed charges,289.1440616,,,,393,percent of total billed charges,306.4869882,,,,393,percent of total billed charges,289.1440616,,,,393,percent of total billed charges,306.4869882,,,,393,percent of total billed charges,999999999,,,,393,percent of total billed charges,299.4389893,,,,393,percent of total billed charges,289.1440616,,,,393,percent of total billed charges,306.4869882,,,,280.209,percent of total billed charges,139.8294188,,,,280.209,percent of total billed charges,83.66339024,,,,280.209,percent of total billed charges,139.8294188,,,,280.209,percent of total billed charges,83.66339024,,,,280.209,percent of total billed charges,139.8294188,,,,280.209,percent of total billed charges,83.66339024,,,,277.458,percent of total billed charges,275.3528507,,,,277.458,percent of total billed charges,189.9086787,,,,,,,,,,282.96,percent of total billed charges,183.9173414,,,,,,,,,,282.96,percent of total billed charges,999999999,,,,,,,,,,314.4,percent of total billed charges,263.4508569,,,,310.47,percent of total billed charges,299.6169111,,,,310.47,percent of total billed charges,264.7214587,,,,314.4,percent of total billed charges,999999999,,,,314.4,percent of total billed charges,999999999,,,,275.1,percent of total billed charges,999999999,,,,275.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,209.076,percent of total billed charges,999999999,,,,,,,,,,,,,,,,198.465,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,98.25,percent of total billed charges,93.31346717,,,,,,,,,,98.25,percent of total billed charges,91.76126114,,,,,,,,,,98.25,percent of total billed charges,91.50626052,,,,,,,,,,98.25,percent of total billed charges,90.15883195,,,,,,,,,,98.25,percent of total billed charges,92.47875124,,,,,,,,,,98.25,percent of total billed charges,999999999,,,,,,,,,,98.25,percent of total billed charges,79.35328092,,,,,,,,,,98.25,percent of total billed charges,125.1455962,,,,,,,,,,98.25,percent of total billed charges,999999999,,,,,,,,,,98.25,percent of total billed charges,85.56224407,,,,,,,,,,353.7,percent of total billed charges,,,,,
CONSULT OFFICE/OP NEW/EST MOD 40M,99244,CDM,,,,both,,,541,541,115.170214,541,541,percent of total billed charges,398.0329194,,,,541,percent of total billed charges,421.9070245,,,,541,percent of total billed charges,398.0329194,,,,541,percent of total billed charges,421.9070245,,,,541,percent of total billed charges,999999999,,,,541,percent of total billed charges,412.2048173,,,,541,percent of total billed charges,398.0329194,,,,541,percent of total billed charges,421.9070245,,,,385.733,percent of total billed charges,192.4878259,,,,385.733,percent of total billed charges,115.170214,,,,385.733,percent of total billed charges,192.4878259,,,,385.733,percent of total billed charges,115.170214,,,,385.733,percent of total billed charges,192.4878259,,,,385.733,percent of total billed charges,115.170214,,,,381.946,percent of total billed charges,379.0480719,,,,381.946,percent of total billed charges,261.4264508,,,,,,,,,,389.52,percent of total billed charges,253.1788338,,,,,,,,,,389.52,percent of total billed charges,999999999,,,,,,,,,,432.8,percent of total billed charges,362.6639023,,,,427.39,percent of total billed charges,412.4497427,,,,427.39,percent of total billed charges,364.4130004,,,,432.8,percent of total billed charges,999999999,,,,432.8,percent of total billed charges,999999999,,,,378.7,percent of total billed charges,999999999,,,,378.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,287.812,percent of total billed charges,999999999,,,,,,,,,,,,,,,,273.205,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,135.25,percent of total billed charges,128.4544166,,,,,,,,,,135.25,percent of total billed charges,126.3176648,,,,,,,,,,135.25,percent of total billed charges,125.9666334,,,,,,,,,,135.25,percent of total billed charges,124.1117763,,,,,,,,,,135.25,percent of total billed charges,127.3053548,,,,,,,,,,135.25,percent of total billed charges,999999999,,,,,,,,,,135.25,percent of total billed charges,109.2369592,,,,,,,,,,135.25,percent of total billed charges,172.2742177,,,,,,,,,,135.25,percent of total billed charges,999999999,,,,,,,,,,135.25,percent of total billed charges,117.7841579,,,,,,,,,,486.9,percent of total billed charges,,,,,
CONSULT IP/OBS NEW/EST SF 35M,99252,CDM,,,,both,,,311,311,66.20690678,311,311,percent of total billed charges,228.8137485,,,,311,percent of total billed charges,242.5380492,,,,311,percent of total billed charges,228.8137485,,,,311,percent of total billed charges,242.5380492,,,,311,percent of total billed charges,999999999,,,,311,percent of total billed charges,236.9606251,,,,311,percent of total billed charges,228.8137485,,,,311,percent of total billed charges,242.5380492,,,,221.743,percent of total billed charges,110.6538149,,,,221.743,percent of total billed charges,66.20690678,,,,221.743,percent of total billed charges,110.6538149,,,,221.743,percent of total billed charges,66.20690678,,,,221.743,percent of total billed charges,110.6538149,,,,221.743,percent of total billed charges,66.20690678,,,,219.566,percent of total billed charges,217.9000931,,,,219.566,percent of total billed charges,150.2839671,,,,,,,,,,223.92,percent of total billed charges,145.5427307,,,,,,,,,,223.92,percent of total billed charges,999999999,,,,,,,,,,248.8,percent of total billed charges,208.4814669,,,,245.69,percent of total billed charges,237.1014232,,,,245.69,percent of total billed charges,209.4869559,,,,248.8,percent of total billed charges,999999999,,,,248.8,percent of total billed charges,999999999,,,,217.7,percent of total billed charges,999999999,,,,217.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,165.452,percent of total billed charges,999999999,,,,,,,,,,,,,,,,157.055,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,77.75,percent of total billed charges,73.84348165,,,,,,,,,,77.75,percent of total billed charges,72.61514558,,,,,,,,,,77.75,percent of total billed charges,72.4133512,,,,,,,,,,77.75,percent of total billed charges,71.34706549,,,,,,,,,,77.75,percent of total billed charges,73.18293037,,,,,,,,,,77.75,percent of total billed charges,999999999,,,,,,,,,,77.75,percent of total billed charges,62.7961078,,,,,,,,,,77.75,percent of total billed charges,99.0337924,,,,,,,,,,77.75,percent of total billed charges,999999999,,,,,,,,,,77.75,percent of total billed charges,67.7095621,,,,,,,,,,279.9,percent of total billed charges,,,,,
CONSULT IP/OBS NEW/EST LOW 45M,99253,CDM,,,,both,,,390,390,83.0247384,390,390,percent of total billed charges,286.936855,,,,390,percent of total billed charges,304.1473929,,,,390,percent of total billed charges,286.936855,,,,390,percent of total billed charges,304.1473929,,,,390,percent of total billed charges,999999999,,,,390,percent of total billed charges,297.1531955,,,,390,percent of total billed charges,286.936855,,,,390,percent of total billed charges,304.1473929,,,,278.07,percent of total billed charges,138.7620187,,,,278.07,percent of total billed charges,83.0247384,,,,278.07,percent of total billed charges,138.7620187,,,,278.07,percent of total billed charges,83.0247384,,,,278.07,percent of total billed charges,138.7620187,,,,278.07,percent of total billed charges,83.0247384,,,,275.34,percent of total billed charges,273.2509206,,,,275.34,percent of total billed charges,188.4589941,,,,,,,,,,280.8,percent of total billed charges,182.5133922,,,,,,,,,,280.8,percent of total billed charges,999999999,,,,,,,,,,312,percent of total billed charges,261.4397817,,,,308.1,percent of total billed charges,297.3297591,,,,308.1,percent of total billed charges,262.7006842,,,,312,percent of total billed charges,999999999,,,,312,percent of total billed charges,999999999,,,,273,percent of total billed charges,999999999,,,,273,percent of total billed charges,999999999,,,,,,,,,,,,,,,,207.48,percent of total billed charges,999999999,,,,,,,,,,,,,,,,196.95,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,97.5,percent of total billed charges,92.60115063,,,,,,,,,,97.5,percent of total billed charges,91.0607935,,,,,,,,,,97.5,percent of total billed charges,90.80773945,,,,,,,,,,97.5,percent of total billed charges,89.47059659,,,,,,,,,,97.5,percent of total billed charges,91.77280657,,,,,,,,,,97.5,percent of total billed charges,999999999,,,,,,,,,,97.5,percent of total billed charges,78.74753068,,,,,,,,,,97.5,percent of total billed charges,124.1902863,,,,,,,,,,97.5,percent of total billed charges,999999999,,,,,,,,,,97.5,percent of total billed charges,84.90909717,,,,,,,,,,351,percent of total billed charges,,,,,
CONSULT IP/OBS NEW/EST MOD 60M,99254,CDM,,,,both,,,506,506,107.719276,506,506,percent of total billed charges,372.282176,,,,506,percent of total billed charges,394.6117457,,,,506,percent of total billed charges,372.282176,,,,506,percent of total billed charges,394.6117457,,,,506,percent of total billed charges,999999999,,,,506,percent of total billed charges,385.5372228,,,,506,percent of total billed charges,372.282176,,,,506,percent of total billed charges,394.6117457,,,,360.778,percent of total billed charges,180.0348243,,,,360.778,percent of total billed charges,107.719276,,,,360.778,percent of total billed charges,180.0348243,,,,360.778,percent of total billed charges,107.719276,,,,360.778,percent of total billed charges,180.0348243,,,,360.778,percent of total billed charges,107.719276,,,,357.236,percent of total billed charges,354.5255534,,,,357.236,percent of total billed charges,244.5134642,,,,,,,,,,364.32,percent of total billed charges,236.7994268,,,,,,,,,,364.32,percent of total billed charges,999999999,,,,,,,,,,404.8,percent of total billed charges,339.2013578,,,,399.74,percent of total billed charges,385.7663028,,,,399.74,percent of total billed charges,340.837298,,,,404.8,percent of total billed charges,999999999,,,,404.8,percent of total billed charges,999999999,,,,354.2,percent of total billed charges,999999999,,,,354.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,269.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,255.53,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,126.5,percent of total billed charges,120.144057,,,,,,,,,,126.5,percent of total billed charges,118.1455423,,,,,,,,,,126.5,percent of total billed charges,117.8172209,,,,,,,,,,126.5,percent of total billed charges,116.0823638,,,,,,,,,,126.5,percent of total billed charges,119.0693337,,,,,,,,,,126.5,percent of total billed charges,999999999,,,,,,,,,,126.5,percent of total billed charges,102.1698731,,,,,,,,,,126.5,percent of total billed charges,161.1289355,,,,,,,,,,126.5,percent of total billed charges,999999999,,,,,,,,,,126.5,percent of total billed charges,110.1641107,,,,,,,,,,455.4,percent of total billed charges,,,,,
CONSULT IP/OBS NEW/EST PT HIGH 80M,99255,CDM,,,,both,,,624,624,132.8395814,624,624,percent of total billed charges,459.0989681,,,,624,percent of total billed charges,486.6358286,,,,624,percent of total billed charges,459.0989681,,,,624,percent of total billed charges,486.6358286,,,,624,percent of total billed charges,999999999,,,,624,percent of total billed charges,475.4451127,,,,624,percent of total billed charges,459.0989681,,,,624,percent of total billed charges,486.6358286,,,,444.912,percent of total billed charges,222.0192299,,,,444.912,percent of total billed charges,132.8395814,,,,444.912,percent of total billed charges,222.0192299,,,,444.912,percent of total billed charges,132.8395814,,,,444.912,percent of total billed charges,222.0192299,,,,444.912,percent of total billed charges,132.8395814,,,,440.544,percent of total billed charges,437.2014729,,,,440.544,percent of total billed charges,301.5343906,,,,,,,,,,449.28,percent of total billed charges,292.0214275,,,,,,,,,,449.28,percent of total billed charges,999999999,,,,,,,,,,499.2,percent of total billed charges,418.3036507,,,,492.96,percent of total billed charges,475.7276145,,,,492.96,percent of total billed charges,420.3210947,,,,499.2,percent of total billed charges,999999999,,,,499.2,percent of total billed charges,999999999,,,,436.8,percent of total billed charges,999999999,,,,436.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,331.968,percent of total billed charges,999999999,,,,,,,,,,,,,,,,315.12,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,156,percent of total billed charges,148.161841,,,,,,,,,,156,percent of total billed charges,145.6972696,,,,,,,,,,156,percent of total billed charges,145.2923831,,,,,,,,,,156,percent of total billed charges,143.1529545,,,,,,,,,,156,percent of total billed charges,146.8364905,,,,,,,,,,156,percent of total billed charges,999999999,,,,,,,,,,156,percent of total billed charges,125.9960491,,,,,,,,,,156,percent of total billed charges,198.7044581,,,,,,,,,,156,percent of total billed charges,999999999,,,,,,,,,,156,percent of total billed charges,135.8545555,,,,,,,,,,561.6,percent of total billed charges,,,,,
PROLONGED IP EVAL EA ADDL 15M-MC,G0316,CDM,,,,both,,,154,154,32.78412747,154,154,percent of total billed charges,113.303271,,,,154,percent of total billed charges,120.0992269,,,,154,percent of total billed charges,113.303271,,,,154,percent of total billed charges,120.0992269,,,,154,percent of total billed charges,999999999,,,,154,percent of total billed charges,117.3374156,,,,154,percent of total billed charges,113.303271,,,,154,percent of total billed charges,120.0992269,,,,109.802,percent of total billed charges,54.79320738,,,,109.802,percent of total billed charges,32.78412747,,,,109.802,percent of total billed charges,54.79320738,,,,109.802,percent of total billed charges,32.78412747,,,,109.802,percent of total billed charges,54.79320738,,,,109.802,percent of total billed charges,32.78412747,,,,108.724,percent of total billed charges,107.8990815,,,,108.724,percent of total billed charges,74.41714127,,,,,,,,,,110.88,percent of total billed charges,72.06939076,,,,,,,,,,110.88,percent of total billed charges,999999999,,,,,,,,,,123.2,percent of total billed charges,103.2351958,,,,121.66,percent of total billed charges,117.4071356,,,,121.66,percent of total billed charges,103.7330907,,,,123.2,percent of total billed charges,999999999,,,,123.2,percent of total billed charges,999999999,,,,107.8,percent of total billed charges,999999999,,,,107.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,81.928,percent of total billed charges,999999999,,,,,,,,,,,,,,,,77.77,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,38.5,percent of total billed charges,36.56558256,,,,,,,,,,38.5,percent of total billed charges,35.95733897,,,,,,,,,,38.5,percent of total billed charges,35.85741506,,,,,,,,,,38.5,percent of total billed charges,35.32941506,,,,,,,,,,38.5,percent of total billed charges,36.23849285,,,,,,,,,,38.5,percent of total billed charges,999999999,,,,,,,,,,38.5,percent of total billed charges,31.09517878,,,,,,,,,,38.5,percent of total billed charges,49.03924125,,,,,,,,,,38.5,percent of total billed charges,999999999,,,,,,,,,,38.5,percent of total billed charges,33.5282076,,,,,,,,,,138.6,percent of total billed charges,,,,,
PROLONGED IP/OBS EVAL EA ADDL 15M,99418,CDM,,,,both,,,154,154,32.78412747,154,154,percent of total billed charges,113.303271,,,,154,percent of total billed charges,120.0992269,,,,154,percent of total billed charges,113.303271,,,,154,percent of total billed charges,120.0992269,,,,154,percent of total billed charges,999999999,,,,154,percent of total billed charges,117.3374156,,,,154,percent of total billed charges,113.303271,,,,154,percent of total billed charges,120.0992269,,,,109.802,percent of total billed charges,54.79320738,,,,109.802,percent of total billed charges,32.78412747,,,,109.802,percent of total billed charges,54.79320738,,,,109.802,percent of total billed charges,32.78412747,,,,109.802,percent of total billed charges,54.79320738,,,,109.802,percent of total billed charges,32.78412747,,,,108.724,percent of total billed charges,107.8990815,,,,108.724,percent of total billed charges,74.41714127,,,,,,,,,,110.88,percent of total billed charges,72.06939076,,,,,,,,,,110.88,percent of total billed charges,999999999,,,,,,,,,,123.2,percent of total billed charges,103.2351958,,,,121.66,percent of total billed charges,117.4071356,,,,121.66,percent of total billed charges,103.7330907,,,,123.2,percent of total billed charges,999999999,,,,123.2,percent of total billed charges,999999999,,,,107.8,percent of total billed charges,999999999,,,,107.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,81.928,percent of total billed charges,999999999,,,,,,,,,,,,,,,,77.77,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,38.5,percent of total billed charges,36.56558256,,,,,,,,,,38.5,percent of total billed charges,35.95733897,,,,,,,,,,38.5,percent of total billed charges,35.85741506,,,,,,,,,,38.5,percent of total billed charges,35.32941506,,,,,,,,,,38.5,percent of total billed charges,36.23849285,,,,,,,,,,38.5,percent of total billed charges,999999999,,,,,,,,,,38.5,percent of total billed charges,31.09517878,,,,,,,,,,38.5,percent of total billed charges,49.03924125,,,,,,,,,,38.5,percent of total billed charges,999999999,,,,,,,,,,38.5,percent of total billed charges,33.5282076,,,,,,,,,,138.6,percent of total billed charges,,,,,
HOSPITAL CARE IP/OBS SAME DATE HIGH 55M,99236,CDM,,,,both,,,154,154,32.78412747,154,154,percent of total billed charges,113.303271,,,,154,percent of total billed charges,120.0992269,,,,154,percent of total billed charges,113.303271,,,,154,percent of total billed charges,120.0992269,,,,154,percent of total billed charges,999999999,,,,154,percent of total billed charges,117.3374156,,,,154,percent of total billed charges,113.303271,,,,154,percent of total billed charges,120.0992269,,,,109.802,percent of total billed charges,54.79320738,,,,109.802,percent of total billed charges,32.78412747,,,,109.802,percent of total billed charges,54.79320738,,,,109.802,percent of total billed charges,32.78412747,,,,109.802,percent of total billed charges,54.79320738,,,,109.802,percent of total billed charges,32.78412747,,,,108.724,percent of total billed charges,107.8990815,,,,108.724,percent of total billed charges,74.41714127,,,,,,,,,,110.88,percent of total billed charges,72.06939076,,,,,,,,,,110.88,percent of total billed charges,999999999,,,,,,,,,,123.2,percent of total billed charges,103.2351958,,,,121.66,percent of total billed charges,117.4071356,,,,121.66,percent of total billed charges,103.7330907,,,,123.2,percent of total billed charges,999999999,,,,123.2,percent of total billed charges,999999999,,,,107.8,percent of total billed charges,999999999,,,,107.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,81.928,percent of total billed charges,999999999,,,,,,,,,,,,,,,,77.77,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,38.5,percent of total billed charges,36.56558256,,,,,,,,,,38.5,percent of total billed charges,35.95733897,,,,,,,,,,38.5,percent of total billed charges,35.85741506,,,,,,,,,,38.5,percent of total billed charges,35.32941506,,,,,,,,,,38.5,percent of total billed charges,36.23849285,,,,,,,,,,38.5,percent of total billed charges,999999999,,,,,,,,,,38.5,percent of total billed charges,31.09517878,,,,,,,,,,38.5,percent of total billed charges,49.03924125,,,,,,,,,,38.5,percent of total billed charges,999999999,,,,,,,,,,38.5,percent of total billed charges,33.5282076,,,,,,,,,,138.6,percent of total billed charges,,,,,
**OPINSERTN OF NONINDWELLING BLADDER,51701,CDM,,,,both,,,168,168,35.7645027,168,168,percent of total billed charges,123.6035683,,,,168,percent of total billed charges,131.0173385,,,,168,percent of total billed charges,123.6035683,,,,168,percent of total billed charges,131.0173385,,,,168,percent of total billed charges,999999999,,,,168,percent of total billed charges,128.0044534,,,,168,percent of total billed charges,123.6035683,,,,168,percent of total billed charges,131.0173385,,,,119.784,percent of total billed charges,59.77440805,,,,119.784,percent of total billed charges,35.7645027,,,,119.784,percent of total billed charges,59.77440805,,,,119.784,percent of total billed charges,35.7645027,,,,119.784,percent of total billed charges,59.77440805,,,,119.784,percent of total billed charges,35.7645027,,,,118.608,percent of total billed charges,117.7080889,,,,118.608,percent of total billed charges,81.18233593,,,,,,,,,,120.96,percent of total billed charges,78.62115356,,,,,,,,,,120.96,percent of total billed charges,999999999,,,,,,,,,,134.4,percent of total billed charges,112.6202137,,,,132.72,percent of total billed charges,128.0805116,,,,132.72,percent of total billed charges,113.1633717,,,,134.4,percent of total billed charges,999999999,,,,134.4,percent of total billed charges,999999999,,,,117.6,percent of total billed charges,999999999,,,,117.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,89.376,percent of total billed charges,999999999,,,,,,,,,,,,,,,,84.84,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,42,percent of total billed charges,39.88972642,,,,,,,,,,42,percent of total billed charges,39.22618797,,,,,,,,,,42,percent of total billed charges,39.11718007,,,,,,,,,,42,percent of total billed charges,38.54118007,,,,,,,,,,42,percent of total billed charges,39.53290129,,,,,,,,,,42,percent of total billed charges,999999999,,,,,,,,,,42,percent of total billed charges,33.92201322,,,,,,,,,,42,percent of total billed charges,53.4973541,,,,,,,,,,42,percent of total billed charges,999999999,,,,,,,,,,42,percent of total billed charges,36.57622647,,,,,,,,,,151.2,percent of total billed charges,,,,,
**NEGATIVE PRESSURE WOUND THERA,97605,CDM,,,,both,,,669,669,142.419359,669,669,percent of total billed charges,492.2070667,,,,669,percent of total billed charges,521.7297586,,,,669,percent of total billed charges,492.2070667,,,,669,percent of total billed charges,521.7297586,,,,669,percent of total billed charges,999999999,,,,669,percent of total billed charges,509.7320199,,,,669,percent of total billed charges,492.2070667,,,,669,percent of total billed charges,521.7297586,,,,476.997,percent of total billed charges,238.0302321,,,,476.997,percent of total billed charges,142.419359,,,,476.997,percent of total billed charges,238.0302321,,,,476.997,percent of total billed charges,142.419359,,,,476.997,percent of total billed charges,238.0302321,,,,476.997,percent of total billed charges,142.419359,,,,472.314,percent of total billed charges,468.7304253,,,,472.314,percent of total billed charges,323.2796591,,,,,,,,,,481.68,percent of total billed charges,313.0806651,,,,,,,,,,481.68,percent of total billed charges,999999999,,,,,,,,,,535.2,percent of total billed charges,448.4697794,,,,528.51,percent of total billed charges,510.0348944,,,,528.51,percent of total billed charges,450.6327121,,,,535.2,percent of total billed charges,999999999,,,,535.2,percent of total billed charges,999999999,,,,468.3,percent of total billed charges,999999999,,,,468.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,355.908,percent of total billed charges,999999999,,,,,,,,,,,,,,,,337.845,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,167.25,percent of total billed charges,158.8465892,,,,,,,,,,167.25,percent of total billed charges,156.2042842,,,,,,,,,,167.25,percent of total billed charges,155.7701992,,,,,,,,,,167.25,percent of total billed charges,153.4764849,,,,,,,,,,167.25,percent of total billed charges,157.4256605,,,,,,,,,,167.25,percent of total billed charges,999999999,,,,,,,,,,167.25,percent of total billed charges,135.0823026,,,,,,,,,,167.25,percent of total billed charges,213.0341065,,,,,,,,,,167.25,percent of total billed charges,999999999,,,,,,,,,,167.25,percent of total billed charges,145.651759,,,,,,,,,,602.1,percent of total billed charges,,,,,
**IV INFUS THERAPY UP TO 1 HR SEPAR SITE,96365,CDM,,,59,both,,,385,385,81.96031868,385,385,percent of total billed charges,283.2581774,,,,385,percent of total billed charges,300.2480674,,,,385,percent of total billed charges,283.2581774,,,,385,percent of total billed charges,300.2480674,,,,385,percent of total billed charges,999999999,,,,385,percent of total billed charges,293.3435391,,,,385,percent of total billed charges,283.2581774,,,,385,percent of total billed charges,300.2480674,,,,274.505,percent of total billed charges,136.9830185,,,,274.505,percent of total billed charges,81.96031868,,,,274.505,percent of total billed charges,136.9830185,,,,274.505,percent of total billed charges,81.96031868,,,,274.505,percent of total billed charges,136.9830185,,,,274.505,percent of total billed charges,81.96031868,,,,271.81,percent of total billed charges,269.7477036,,,,271.81,percent of total billed charges,186.0428532,,,,,,,,,,277.2,percent of total billed charges,180.1734769,,,,,,,,,,277.2,percent of total billed charges,999999999,,,,,,,,,,308,percent of total billed charges,258.0879896,,,,304.15,percent of total billed charges,293.5178391,,,,304.15,percent of total billed charges,259.3327267,,,,308,percent of total billed charges,999999999,,,,308,percent of total billed charges,999999999,,,,269.5,percent of total billed charges,999999999,,,,269.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,204.82,percent of total billed charges,999999999,,,,,,,,,,,,,,,,194.425,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,96.25,percent of total billed charges,91.41395639,,,,,,,,,,96.25,percent of total billed charges,89.89334743,,,,,,,,,,96.25,percent of total billed charges,89.64353766,,,,,,,,,,96.25,percent of total billed charges,88.32353766,,,,,,,,,,96.25,percent of total billed charges,90.59623213,,,,,,,,,,96.25,percent of total billed charges,999999999,,,,,,,,,,96.25,percent of total billed charges,77.73794696,,,,,,,,,,96.25,percent of total billed charges,122.5981031,,,,,,,,,,96.25,percent of total billed charges,999999999,,,,,,,,,,96.25,percent of total billed charges,83.820519,,,,,,,,,,346.5,percent of total billed charges,,,,,
**IV PUSH OR IV 15 MIN INITIAL SEP SITE,96374,CDM,,,59,both,,,211,211,44.91851232,211,211,percent of total billed charges,155.2401959,,,,211,percent of total billed charges,164.5515382,,,,211,percent of total billed charges,155.2401959,,,,211,percent of total billed charges,164.5515382,,,,211,percent of total billed charges,999999999,,,,211,percent of total billed charges,160.7674981,,,,211,percent of total billed charges,155.2401959,,,,211,percent of total billed charges,164.5515382,,,,150.443,percent of total billed charges,75.07381011,,,,150.443,percent of total billed charges,44.91851232,,,,150.443,percent of total billed charges,75.07381011,,,,150.443,percent of total billed charges,44.91851232,,,,150.443,percent of total billed charges,75.07381011,,,,150.443,percent of total billed charges,44.91851232,,,,148.966,percent of total billed charges,147.8357545,,,,148.966,percent of total billed charges,101.9611481,,,,,,,,,,151.92,percent of total billed charges,98.744425,,,,,,,,,,151.92,percent of total billed charges,999999999,,,,,,,,,,168.8,percent of total billed charges,141.4456255,,,,166.69,percent of total billed charges,160.8630235,,,,166.69,percent of total billed charges,142.1278061,,,,168.8,percent of total billed charges,999999999,,,,168.8,percent of total billed charges,999999999,,,,147.7,percent of total billed charges,999999999,,,,147.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,112.252,percent of total billed charges,999999999,,,,,,,,,,,,,,,,106.555,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,52.75,percent of total billed charges,50.09959688,,,,,,,,,,52.75,percent of total billed charges,49.26622417,,,,,,,,,,52.75,percent of total billed charges,49.12931545,,,,,,,,,,52.75,percent of total billed charges,48.40588687,,,,,,,,,,52.75,percent of total billed charges,49.6514415,,,,,,,,,,52.75,percent of total billed charges,999999999,,,,,,,,,,52.75,percent of total billed charges,42.60443327,,,,,,,,,,52.75,percent of total billed charges,67.19012925,,,,,,,,,,52.75,percent of total billed charges,999999999,,,,,,,,,,52.75,percent of total billed charges,45.93799872,,,,,,,,,,189.9,percent of total billed charges,,,,,
**CHEMO ADMIN IV INFUS UP TO 1 HR SINGLE,96413,CDM,,,,both,,,385,385,81.96031868,385,385,percent of total billed charges,283.2581774,,,,385,percent of total billed charges,300.2480674,,,,385,percent of total billed charges,283.2581774,,,,385,percent of total billed charges,300.2480674,,,,385,percent of total billed charges,999999999,,,,385,percent of total billed charges,293.3435391,,,,385,percent of total billed charges,283.2581774,,,,385,percent of total billed charges,300.2480674,,,,274.505,percent of total billed charges,136.9830185,,,,274.505,percent of total billed charges,81.96031868,,,,274.505,percent of total billed charges,136.9830185,,,,274.505,percent of total billed charges,81.96031868,,,,274.505,percent of total billed charges,136.9830185,,,,274.505,percent of total billed charges,81.96031868,,,,271.81,percent of total billed charges,269.7477036,,,,271.81,percent of total billed charges,186.0428532,,,,,,,,,,277.2,percent of total billed charges,180.1734769,,,,,,,,,,277.2,percent of total billed charges,999999999,,,,,,,,,,308,percent of total billed charges,258.0879896,,,,304.15,percent of total billed charges,293.5178391,,,,304.15,percent of total billed charges,259.3327267,,,,308,percent of total billed charges,999999999,,,,308,percent of total billed charges,999999999,,,,269.5,percent of total billed charges,999999999,,,,269.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,204.82,percent of total billed charges,999999999,,,,,,,,,,,,,,,,194.425,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,96.25,percent of total billed charges,91.41395639,,,,,,,,,,96.25,percent of total billed charges,89.89334743,,,,,,,,,,96.25,percent of total billed charges,89.64353766,,,,,,,,,,96.25,percent of total billed charges,88.32353766,,,,,,,,,,96.25,percent of total billed charges,90.59623213,,,,,,,,,,96.25,percent of total billed charges,999999999,,,,,,,,,,96.25,percent of total billed charges,77.73794696,,,,,,,,,,96.25,percent of total billed charges,122.5981031,,,,,,,,,,96.25,percent of total billed charges,999999999,,,,,,,,,,96.25,percent of total billed charges,83.820519,,,,,,,,,,346.5,percent of total billed charges,,,,,
**CHEMO ADMIN IV INFUS ADD HOUR,96415,CDM,,,,both,,,211,211,44.91851232,211,211,percent of total billed charges,155.2401959,,,,211,percent of total billed charges,164.5515382,,,,211,percent of total billed charges,155.2401959,,,,211,percent of total billed charges,164.5515382,,,,211,percent of total billed charges,999999999,,,,211,percent of total billed charges,160.7674981,,,,211,percent of total billed charges,155.2401959,,,,211,percent of total billed charges,164.5515382,,,,150.443,percent of total billed charges,75.07381011,,,,150.443,percent of total billed charges,44.91851232,,,,150.443,percent of total billed charges,75.07381011,,,,150.443,percent of total billed charges,44.91851232,,,,150.443,percent of total billed charges,75.07381011,,,,150.443,percent of total billed charges,44.91851232,,,,148.966,percent of total billed charges,147.8357545,,,,148.966,percent of total billed charges,101.9611481,,,,,,,,,,151.92,percent of total billed charges,98.744425,,,,,,,,,,151.92,percent of total billed charges,999999999,,,,,,,,,,168.8,percent of total billed charges,141.4456255,,,,166.69,percent of total billed charges,160.8630235,,,,166.69,percent of total billed charges,142.1278061,,,,168.8,percent of total billed charges,999999999,,,,168.8,percent of total billed charges,999999999,,,,147.7,percent of total billed charges,999999999,,,,147.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,112.252,percent of total billed charges,999999999,,,,,,,,,,,,,,,,106.555,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,52.75,percent of total billed charges,50.09959688,,,,,,,,,,52.75,percent of total billed charges,49.26622417,,,,,,,,,,52.75,percent of total billed charges,49.12931545,,,,,,,,,,52.75,percent of total billed charges,48.40588687,,,,,,,,,,52.75,percent of total billed charges,49.6514415,,,,,,,,,,52.75,percent of total billed charges,999999999,,,,,,,,,,52.75,percent of total billed charges,42.60443327,,,,,,,,,,52.75,percent of total billed charges,67.19012925,,,,,,,,,,52.75,percent of total billed charges,999999999,,,,,,,,,,52.75,percent of total billed charges,45.93799872,,,,,,,,,,189.9,percent of total billed charges,,,,,
**IV HYDR OF 31 MIN TO 1 HOUR,96360,CDM,,,,both,,,380,380,80.89589896,380,380,percent of total billed charges,279.5794998,,,,380,percent of total billed charges,296.3487418,,,,380,percent of total billed charges,279.5794998,,,,380,percent of total billed charges,296.3487418,,,,380,percent of total billed charges,999999999,,,,380,percent of total billed charges,289.5338828,,,,380,percent of total billed charges,279.5794998,,,,380,percent of total billed charges,296.3487418,,,,270.94,percent of total billed charges,135.2040182,,,,270.94,percent of total billed charges,80.89589896,,,,270.94,percent of total billed charges,135.2040182,,,,270.94,percent of total billed charges,80.89589896,,,,270.94,percent of total billed charges,135.2040182,,,,270.94,percent of total billed charges,80.89589896,,,,268.28,percent of total billed charges,266.2444867,,,,268.28,percent of total billed charges,183.6267122,,,,,,,,,,273.6,percent of total billed charges,177.8335616,,,,,,,,,,273.6,percent of total billed charges,999999999,,,,,,,,,,304,percent of total billed charges,254.7361975,,,,300.2,percent of total billed charges,289.7059191,,,,300.2,percent of total billed charges,255.9647692,,,,304,percent of total billed charges,999999999,,,,304,percent of total billed charges,999999999,,,,266,percent of total billed charges,999999999,,,,266,percent of total billed charges,999999999,,,,,,,,,,,,,,,,202.16,percent of total billed charges,999999999,,,,,,,,,,,,,,,,191.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,95,percent of total billed charges,90.22676215,,,,,,,,,,95,percent of total billed charges,88.72590135,,,,,,,,,,95,percent of total billed charges,88.47933587,,,,,,,,,,95,percent of total billed charges,87.17647873,,,,,,,,,,95,percent of total billed charges,89.41965769,,,,,,,,,,95,percent of total billed charges,999999999,,,,,,,,,,95,percent of total billed charges,76.72836323,,,,,,,,,,95,percent of total billed charges,121.00592,,,,,,,,,,95,percent of total billed charges,999999999,,,,,,,,,,95,percent of total billed charges,82.73194083,,,,,,,,,,342,percent of total billed charges,,,,,
**IV HYDR 31 MIN TO 1 HR SEP SITE,96360,CDM,,,59,both,,,385,385,81.96031868,385,385,percent of total billed charges,283.2581774,,,,385,percent of total billed charges,300.2480674,,,,385,percent of total billed charges,283.2581774,,,,385,percent of total billed charges,300.2480674,,,,385,percent of total billed charges,999999999,,,,385,percent of total billed charges,293.3435391,,,,385,percent of total billed charges,283.2581774,,,,385,percent of total billed charges,300.2480674,,,,274.505,percent of total billed charges,136.9830185,,,,274.505,percent of total billed charges,81.96031868,,,,274.505,percent of total billed charges,136.9830185,,,,274.505,percent of total billed charges,81.96031868,,,,274.505,percent of total billed charges,136.9830185,,,,274.505,percent of total billed charges,81.96031868,,,,271.81,percent of total billed charges,269.7477036,,,,271.81,percent of total billed charges,186.0428532,,,,,,,,,,277.2,percent of total billed charges,180.1734769,,,,,,,,,,277.2,percent of total billed charges,999999999,,,,,,,,,,308,percent of total billed charges,258.0879896,,,,304.15,percent of total billed charges,293.5178391,,,,304.15,percent of total billed charges,259.3327267,,,,308,percent of total billed charges,999999999,,,,308,percent of total billed charges,999999999,,,,269.5,percent of total billed charges,999999999,,,,269.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,204.82,percent of total billed charges,999999999,,,,,,,,,,,,,,,,194.425,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,96.25,percent of total billed charges,91.41395639,,,,,,,,,,96.25,percent of total billed charges,89.89334743,,,,,,,,,,96.25,percent of total billed charges,89.64353766,,,,,,,,,,96.25,percent of total billed charges,88.32353766,,,,,,,,,,96.25,percent of total billed charges,90.59623213,,,,,,,,,,96.25,percent of total billed charges,999999999,,,,,,,,,,96.25,percent of total billed charges,77.73794696,,,,,,,,,,96.25,percent of total billed charges,122.5981031,,,,,,,,,,96.25,percent of total billed charges,999999999,,,,,,,,,,96.25,percent of total billed charges,83.820519,,,,,,,,,,346.5,percent of total billed charges,,,,,
**IV HYDR EACH ADD HOUR,96361,CDM,,,,both,,,113,113,24.05588574,113,113,percent of total billed charges,83.13811441,,,,113,percent of total billed charges,88.12475743,,,,113,percent of total billed charges,83.13811441,,,,113,percent of total billed charges,88.12475743,,,,113,percent of total billed charges,999999999,,,,113,percent of total billed charges,86.09823356,,,,113,percent of total billed charges,83.13811441,,,,113,percent of total billed charges,88.12475743,,,,80.569,percent of total billed charges,40.20540542,,,,80.569,percent of total billed charges,24.05588574,,,,80.569,percent of total billed charges,40.20540542,,,,80.569,percent of total billed charges,24.05588574,,,,80.569,percent of total billed charges,40.20540542,,,,80.569,percent of total billed charges,24.05588574,,,,79.778,percent of total billed charges,79.17270263,,,,79.778,percent of total billed charges,54.60478547,,,,,,,,,,81.36,percent of total billed charges,52.88208543,,,,,,,,,,81.36,percent of total billed charges,999999999,,,,,,,,,,90.4,percent of total billed charges,75.75050085,,,,89.27,percent of total billed charges,86.14939173,,,,89.27,percent of total billed charges,76.11583927,,,,90.4,percent of total billed charges,999999999,,,,90.4,percent of total billed charges,999999999,,,,79.1,percent of total billed charges,999999999,,,,79.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,60.116,percent of total billed charges,999999999,,,,,,,,,,,,,,,,57.065,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,28.25,percent of total billed charges,26.8305898,,,,,,,,,,28.25,percent of total billed charges,26.38428119,,,,,,,,,,28.25,percent of total billed charges,26.3109604,,,,,,,,,,28.25,percent of total billed charges,25.92353183,,,,,,,,,,28.25,percent of total billed charges,26.59058242,,,,,,,,,,28.25,percent of total billed charges,999999999,,,,,,,,,,28.25,percent of total billed charges,22.81659222,,,,,,,,,,28.25,percent of total billed charges,35.98333936,,,,,,,,,,28.25,percent of total billed charges,999999999,,,,,,,,,,28.25,percent of total billed charges,24.60186662,,,,,,,,,,101.7,percent of total billed charges,,,,,
**INTRA MUSCULAR INJ THERAP OR DX,96372,CDM,,,,both,,,209,209,44.49274443,209,209,percent of total billed charges,153.7687249,,,,209,percent of total billed charges,162.991808,,,,209,percent of total billed charges,153.7687249,,,,209,percent of total billed charges,162.991808,,,,209,percent of total billed charges,999999999,,,,209,percent of total billed charges,159.2436355,,,,209,percent of total billed charges,153.7687249,,,,209,percent of total billed charges,162.991808,,,,149.017,percent of total billed charges,74.36221002,,,,149.017,percent of total billed charges,44.49274443,,,,149.017,percent of total billed charges,74.36221002,,,,149.017,percent of total billed charges,44.49274443,,,,149.017,percent of total billed charges,74.36221002,,,,149.017,percent of total billed charges,44.49274443,,,,147.554,percent of total billed charges,146.4344677,,,,147.554,percent of total billed charges,100.9946917,,,,,,,,,,150.48,percent of total billed charges,97.80845889,,,,,,,,,,150.48,percent of total billed charges,999999999,,,,,,,,,,167.2,percent of total billed charges,140.1049087,,,,165.11,percent of total billed charges,159.3382555,,,,165.11,percent of total billed charges,140.7806231,,,,167.2,percent of total billed charges,999999999,,,,167.2,percent of total billed charges,999999999,,,,146.3,percent of total billed charges,999999999,,,,146.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,111.188,percent of total billed charges,999999999,,,,,,,,,,,,,,,,105.545,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,52.25,percent of total billed charges,49.62471918,,,,,,,,,,52.25,percent of total billed charges,48.79924575,,,,,,,,,,52.25,percent of total billed charges,48.66363473,,,,,,,,,,52.25,percent of total billed charges,47.9470633,,,,,,,,,,52.25,percent of total billed charges,49.18081173,,,,,,,,,,52.25,percent of total billed charges,999999999,,,,,,,,,,52.25,percent of total billed charges,42.20059978,,,,,,,,,,52.25,percent of total billed charges,66.55325599,,,,,,,,,,52.25,percent of total billed charges,999999999,,,,,,,,,,52.25,percent of total billed charges,45.50256746,,,,,,,,,,188.1,percent of total billed charges,,,,,
**ADMINISTRATION DPT,90471,CDM,,,,both,,,85,85,18.09513529,85,85,percent of total billed charges,62.53751969,,,,85,percent of total billed charges,66.28853435,,,,85,percent of total billed charges,62.53751969,,,,85,percent of total billed charges,66.28853435,,,,85,percent of total billed charges,999999999,,,,85,percent of total billed charges,64.76415799,,,,85,percent of total billed charges,62.53751969,,,,85,percent of total billed charges,66.28853435,,,,60.605,percent of total billed charges,30.24300407,,,,60.605,percent of total billed charges,18.09513529,,,,60.605,percent of total billed charges,30.24300407,,,,60.605,percent of total billed charges,18.09513529,,,,60.605,percent of total billed charges,30.24300407,,,,60.605,percent of total billed charges,18.09513529,,,,60.01,percent of total billed charges,59.55468782,,,,60.01,percent of total billed charges,41.07439615,,,,,,,,,,61.2,percent of total billed charges,39.77855983,,,,,,,,,,61.2,percent of total billed charges,999999999,,,,,,,,,,68,percent of total billed charges,56.98046524,,,,67.15,percent of total billed charges,64.80263979,,,,67.15,percent of total billed charges,57.25527733,,,,68,percent of total billed charges,999999999,,,,68,percent of total billed charges,999999999,,,,59.5,percent of total billed charges,999999999,,,,59.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,45.22,percent of total billed charges,999999999,,,,,,,,,,,,,,,,42.925,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21.25,percent of total billed charges,20.18230206,,,,,,,,,,21.25,percent of total billed charges,19.8465832,,,,,,,,,,21.25,percent of total billed charges,19.79143039,,,,,,,,,,21.25,percent of total billed charges,19.50000182,,,,,,,,,,21.25,percent of total billed charges,20.00176553,,,,,,,,,,21.25,percent of total billed charges,999999999,,,,,,,,,,21.25,percent of total billed charges,17.16292335,,,,,,,,,,21.25,percent of total billed charges,27.06711368,,,,,,,,,,21.25,percent of total billed charges,999999999,,,,,,,,,,21.25,percent of total billed charges,18.50582887,,,,,,,,,,76.5,percent of total billed charges,,,,,
**IV INFUS THERAPY UP TO 1 HOUR CPT,96365,CDM,,,,both,,,385,385,81.96031868,385,385,percent of total billed charges,283.2581774,,,,385,percent of total billed charges,300.2480674,,,,385,percent of total billed charges,283.2581774,,,,385,percent of total billed charges,300.2480674,,,,385,percent of total billed charges,999999999,,,,385,percent of total billed charges,293.3435391,,,,385,percent of total billed charges,283.2581774,,,,385,percent of total billed charges,300.2480674,,,,274.505,percent of total billed charges,136.9830185,,,,274.505,percent of total billed charges,81.96031868,,,,274.505,percent of total billed charges,136.9830185,,,,274.505,percent of total billed charges,81.96031868,,,,274.505,percent of total billed charges,136.9830185,,,,274.505,percent of total billed charges,81.96031868,,,,271.81,percent of total billed charges,269.7477036,,,,271.81,percent of total billed charges,186.0428532,,,,,,,,,,277.2,percent of total billed charges,180.1734769,,,,,,,,,,277.2,percent of total billed charges,999999999,,,,,,,,,,308,percent of total billed charges,258.0879896,,,,304.15,percent of total billed charges,293.5178391,,,,304.15,percent of total billed charges,259.3327267,,,,308,percent of total billed charges,999999999,,,,308,percent of total billed charges,999999999,,,,269.5,percent of total billed charges,999999999,,,,269.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,204.82,percent of total billed charges,999999999,,,,,,,,,,,,,,,,194.425,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,96.25,percent of total billed charges,91.41395639,,,,,,,,,,96.25,percent of total billed charges,89.89334743,,,,,,,,,,96.25,percent of total billed charges,89.64353766,,,,,,,,,,96.25,percent of total billed charges,88.32353766,,,,,,,,,,96.25,percent of total billed charges,90.59623213,,,,,,,,,,96.25,percent of total billed charges,999999999,,,,,,,,,,96.25,percent of total billed charges,77.73794696,,,,,,,,,,96.25,percent of total billed charges,122.5981031,,,,,,,,,,96.25,percent of total billed charges,999999999,,,,,,,,,,96.25,percent of total billed charges,83.820519,,,,,,,,,,346.5,percent of total billed charges,,,,,
**IV INFUS THER EACH ADD HR 31 MIN TO 1,96366,CDM,,,,both,,,113,113,24.05588574,113,113,percent of total billed charges,83.13811441,,,,113,percent of total billed charges,88.12475743,,,,113,percent of total billed charges,83.13811441,,,,113,percent of total billed charges,88.12475743,,,,113,percent of total billed charges,999999999,,,,113,percent of total billed charges,86.09823356,,,,113,percent of total billed charges,83.13811441,,,,113,percent of total billed charges,88.12475743,,,,80.569,percent of total billed charges,40.20540542,,,,80.569,percent of total billed charges,24.05588574,,,,80.569,percent of total billed charges,40.20540542,,,,80.569,percent of total billed charges,24.05588574,,,,80.569,percent of total billed charges,40.20540542,,,,80.569,percent of total billed charges,24.05588574,,,,79.778,percent of total billed charges,79.17270263,,,,79.778,percent of total billed charges,54.60478547,,,,,,,,,,81.36,percent of total billed charges,52.88208543,,,,,,,,,,81.36,percent of total billed charges,999999999,,,,,,,,,,90.4,percent of total billed charges,75.75050085,,,,89.27,percent of total billed charges,86.14939173,,,,89.27,percent of total billed charges,76.11583927,,,,90.4,percent of total billed charges,999999999,,,,90.4,percent of total billed charges,999999999,,,,79.1,percent of total billed charges,999999999,,,,79.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,60.116,percent of total billed charges,999999999,,,,,,,,,,,,,,,,57.065,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,28.25,percent of total billed charges,26.8305898,,,,,,,,,,28.25,percent of total billed charges,26.38428119,,,,,,,,,,28.25,percent of total billed charges,26.3109604,,,,,,,,,,28.25,percent of total billed charges,25.92353183,,,,,,,,,,28.25,percent of total billed charges,26.59058242,,,,,,,,,,28.25,percent of total billed charges,999999999,,,,,,,,,,28.25,percent of total billed charges,22.81659222,,,,,,,,,,28.25,percent of total billed charges,35.98333936,,,,,,,,,,28.25,percent of total billed charges,999999999,,,,,,,,,,28.25,percent of total billed charges,24.60186662,,,,,,,,,,101.7,percent of total billed charges,,,,,
**IV INFUS THERAPY SEQ UP TO 1 HOUR,96367,CDM,,,,both,,,380,380,80.89589896,380,380,percent of total billed charges,279.5794998,,,,380,percent of total billed charges,296.3487418,,,,380,percent of total billed charges,279.5794998,,,,380,percent of total billed charges,296.3487418,,,,380,percent of total billed charges,999999999,,,,380,percent of total billed charges,289.5338828,,,,380,percent of total billed charges,279.5794998,,,,380,percent of total billed charges,296.3487418,,,,270.94,percent of total billed charges,135.2040182,,,,270.94,percent of total billed charges,80.89589896,,,,270.94,percent of total billed charges,135.2040182,,,,270.94,percent of total billed charges,80.89589896,,,,270.94,percent of total billed charges,135.2040182,,,,270.94,percent of total billed charges,80.89589896,,,,268.28,percent of total billed charges,266.2444867,,,,268.28,percent of total billed charges,183.6267122,,,,,,,,,,273.6,percent of total billed charges,177.8335616,,,,,,,,,,273.6,percent of total billed charges,999999999,,,,,,,,,,304,percent of total billed charges,254.7361975,,,,300.2,percent of total billed charges,289.7059191,,,,300.2,percent of total billed charges,255.9647692,,,,304,percent of total billed charges,999999999,,,,304,percent of total billed charges,999999999,,,,266,percent of total billed charges,999999999,,,,266,percent of total billed charges,999999999,,,,,,,,,,,,,,,,202.16,percent of total billed charges,999999999,,,,,,,,,,,,,,,,191.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,95,percent of total billed charges,90.22676215,,,,,,,,,,95,percent of total billed charges,88.72590135,,,,,,,,,,95,percent of total billed charges,88.47933587,,,,,,,,,,95,percent of total billed charges,87.17647873,,,,,,,,,,95,percent of total billed charges,89.41965769,,,,,,,,,,95,percent of total billed charges,999999999,,,,,,,,,,95,percent of total billed charges,76.72836323,,,,,,,,,,95,percent of total billed charges,121.00592,,,,,,,,,,95,percent of total billed charges,999999999,,,,,,,,,,95,percent of total billed charges,82.73194083,,,,,,,,,,342,percent of total billed charges,,,,,
**IV INFUS THERAPY CONCUR NEW DRUG,96368,CDM,,,,both,,,380,380,80.89589896,380,380,percent of total billed charges,279.5794998,,,,380,percent of total billed charges,296.3487418,,,,380,percent of total billed charges,279.5794998,,,,380,percent of total billed charges,296.3487418,,,,380,percent of total billed charges,999999999,,,,380,percent of total billed charges,289.5338828,,,,380,percent of total billed charges,279.5794998,,,,380,percent of total billed charges,296.3487418,,,,270.94,percent of total billed charges,135.2040182,,,,270.94,percent of total billed charges,80.89589896,,,,270.94,percent of total billed charges,135.2040182,,,,270.94,percent of total billed charges,80.89589896,,,,270.94,percent of total billed charges,135.2040182,,,,270.94,percent of total billed charges,80.89589896,,,,268.28,percent of total billed charges,266.2444867,,,,268.28,percent of total billed charges,183.6267122,,,,,,,,,,273.6,percent of total billed charges,177.8335616,,,,,,,,,,273.6,percent of total billed charges,999999999,,,,,,,,,,304,percent of total billed charges,254.7361975,,,,300.2,percent of total billed charges,289.7059191,,,,300.2,percent of total billed charges,255.9647692,,,,304,percent of total billed charges,999999999,,,,304,percent of total billed charges,999999999,,,,266,percent of total billed charges,999999999,,,,266,percent of total billed charges,999999999,,,,,,,,,,,,,,,,202.16,percent of total billed charges,999999999,,,,,,,,,,,,,,,,191.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,95,percent of total billed charges,90.22676215,,,,,,,,,,95,percent of total billed charges,88.72590135,,,,,,,,,,95,percent of total billed charges,88.47933587,,,,,,,,,,95,percent of total billed charges,87.17647873,,,,,,,,,,95,percent of total billed charges,89.41965769,,,,,,,,,,95,percent of total billed charges,999999999,,,,,,,,,,95,percent of total billed charges,76.72836323,,,,,,,,,,95,percent of total billed charges,121.00592,,,,,,,,,,95,percent of total billed charges,999999999,,,,,,,,,,95,percent of total billed charges,82.73194083,,,,,,,,,,342,percent of total billed charges,,,,,
**IV PUSH OR IV SEQ 15 MIN OR LESS,96375,CDM,,,,both,,,209,209,44.49274443,209,209,percent of total billed charges,153.7687249,,,,209,percent of total billed charges,162.991808,,,,209,percent of total billed charges,153.7687249,,,,209,percent of total billed charges,162.991808,,,,209,percent of total billed charges,999999999,,,,209,percent of total billed charges,159.2436355,,,,209,percent of total billed charges,153.7687249,,,,209,percent of total billed charges,162.991808,,,,149.017,percent of total billed charges,74.36221002,,,,149.017,percent of total billed charges,44.49274443,,,,149.017,percent of total billed charges,74.36221002,,,,149.017,percent of total billed charges,44.49274443,,,,149.017,percent of total billed charges,74.36221002,,,,149.017,percent of total billed charges,44.49274443,,,,147.554,percent of total billed charges,146.4344677,,,,147.554,percent of total billed charges,100.9946917,,,,,,,,,,150.48,percent of total billed charges,97.80845889,,,,,,,,,,150.48,percent of total billed charges,999999999,,,,,,,,,,167.2,percent of total billed charges,140.1049087,,,,165.11,percent of total billed charges,159.3382555,,,,165.11,percent of total billed charges,140.7806231,,,,167.2,percent of total billed charges,999999999,,,,167.2,percent of total billed charges,999999999,,,,146.3,percent of total billed charges,999999999,,,,146.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,111.188,percent of total billed charges,999999999,,,,,,,,,,,,,,,,105.545,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,52.25,percent of total billed charges,49.62471918,,,,,,,,,,52.25,percent of total billed charges,48.79924575,,,,,,,,,,52.25,percent of total billed charges,48.66363473,,,,,,,,,,52.25,percent of total billed charges,47.9470633,,,,,,,,,,52.25,percent of total billed charges,49.18081173,,,,,,,,,,52.25,percent of total billed charges,999999999,,,,,,,,,,52.25,percent of total billed charges,42.20059978,,,,,,,,,,52.25,percent of total billed charges,66.55325599,,,,,,,,,,52.25,percent of total billed charges,999999999,,,,,,,,,,52.25,percent of total billed charges,45.50256746,,,,,,,,,,188.1,percent of total billed charges,,,,,
**IV PUSH OR IV SAME DRUG ADD,96376,CDM,,,,both,,,211,211,44.91851232,211,211,percent of total billed charges,155.2401959,,,,211,percent of total billed charges,164.5515382,,,,211,percent of total billed charges,155.2401959,,,,211,percent of total billed charges,164.5515382,,,,211,percent of total billed charges,999999999,,,,211,percent of total billed charges,160.7674981,,,,211,percent of total billed charges,155.2401959,,,,211,percent of total billed charges,164.5515382,,,,150.443,percent of total billed charges,75.07381011,,,,150.443,percent of total billed charges,44.91851232,,,,150.443,percent of total billed charges,75.07381011,,,,150.443,percent of total billed charges,44.91851232,,,,150.443,percent of total billed charges,75.07381011,,,,150.443,percent of total billed charges,44.91851232,,,,148.966,percent of total billed charges,147.8357545,,,,148.966,percent of total billed charges,101.9611481,,,,,,,,,,151.92,percent of total billed charges,98.744425,,,,,,,,,,151.92,percent of total billed charges,999999999,,,,,,,,,,168.8,percent of total billed charges,141.4456255,,,,166.69,percent of total billed charges,160.8630235,,,,166.69,percent of total billed charges,142.1278061,,,,168.8,percent of total billed charges,999999999,,,,168.8,percent of total billed charges,999999999,,,,147.7,percent of total billed charges,999999999,,,,147.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,112.252,percent of total billed charges,999999999,,,,,,,,,,,,,,,,106.555,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,52.75,percent of total billed charges,50.09959688,,,,,,,,,,52.75,percent of total billed charges,49.26622417,,,,,,,,,,52.75,percent of total billed charges,49.12931545,,,,,,,,,,52.75,percent of total billed charges,48.40588687,,,,,,,,,,52.75,percent of total billed charges,49.6514415,,,,,,,,,,52.75,percent of total billed charges,999999999,,,,,,,,,,52.75,percent of total billed charges,42.60443327,,,,,,,,,,52.75,percent of total billed charges,67.19012925,,,,,,,,,,52.75,percent of total billed charges,999999999,,,,,,,,,,52.75,percent of total billed charges,45.93799872,,,,,,,,,,189.9,percent of total billed charges,,,,,
**IV PUSH OR IV 15 MIN OR LESS INITIAL,96374,CDM,,,,both,,,209,209,44.49274443,209,209,percent of total billed charges,153.7687249,,,,209,percent of total billed charges,162.991808,,,,209,percent of total billed charges,153.7687249,,,,209,percent of total billed charges,162.991808,,,,209,percent of total billed charges,999999999,,,,209,percent of total billed charges,159.2436355,,,,209,percent of total billed charges,153.7687249,,,,209,percent of total billed charges,162.991808,,,,149.017,percent of total billed charges,74.36221002,,,,149.017,percent of total billed charges,44.49274443,,,,149.017,percent of total billed charges,74.36221002,,,,149.017,percent of total billed charges,44.49274443,,,,149.017,percent of total billed charges,74.36221002,,,,149.017,percent of total billed charges,44.49274443,,,,147.554,percent of total billed charges,146.4344677,,,,147.554,percent of total billed charges,100.9946917,,,,,,,,,,150.48,percent of total billed charges,97.80845889,,,,,,,,,,150.48,percent of total billed charges,999999999,,,,,,,,,,167.2,percent of total billed charges,140.1049087,,,,165.11,percent of total billed charges,159.3382555,,,,165.11,percent of total billed charges,140.7806231,,,,167.2,percent of total billed charges,999999999,,,,167.2,percent of total billed charges,999999999,,,,146.3,percent of total billed charges,999999999,,,,146.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,111.188,percent of total billed charges,999999999,,,,,,,,,,,,,,,,105.545,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,52.25,percent of total billed charges,49.62471918,,,,,,,,,,52.25,percent of total billed charges,48.79924575,,,,,,,,,,52.25,percent of total billed charges,48.66363473,,,,,,,,,,52.25,percent of total billed charges,47.9470633,,,,,,,,,,52.25,percent of total billed charges,49.18081173,,,,,,,,,,52.25,percent of total billed charges,999999999,,,,,,,,,,52.25,percent of total billed charges,42.20059978,,,,,,,,,,52.25,percent of total billed charges,66.55325599,,,,,,,,,,52.25,percent of total billed charges,999999999,,,,,,,,,,52.25,percent of total billed charges,45.50256746,,,,,,,,,,188.1,percent of total billed charges,,,,,
**IMMUNE GLOBULIN RHO D INJ,J2790,CDM,,,,both,,,599,599,127.5174828,599,599,percent of total billed charges,440.7055799,,,,599,percent of total billed charges,467.1392009,,,,599,percent of total billed charges,440.7055799,,,,599,percent of total billed charges,467.1392009,,,,599,percent of total billed charges,999999999,,,,599,percent of total billed charges,456.396831,,,,599,percent of total billed charges,440.7055799,,,,599,percent of total billed charges,467.1392009,,,,427.087,percent of total billed charges,213.1242287,,,,427.087,percent of total billed charges,127.5174828,,,,427.087,percent of total billed charges,213.1242287,,,,427.087,percent of total billed charges,127.5174828,,,,427.087,percent of total billed charges,213.1242287,,,,427.087,percent of total billed charges,127.5174828,,,,422.894,percent of total billed charges,419.6853883,,,,422.894,percent of total billed charges,289.4536858,,,,,,,,,,431.28,percent of total billed charges,280.3218511,,,,,,,,,,431.28,percent of total billed charges,999999999,,,,,,,,,,479.2,percent of total billed charges,401.5446903,,,,473.21,percent of total billed charges,456.6680146,,,,473.21,percent of total billed charges,403.4813073,,,,479.2,percent of total billed charges,999999999,,,,479.2,percent of total billed charges,999999999,,,,419.3,percent of total billed charges,999999999,,,,419.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,318.668,percent of total billed charges,999999999,,,,,,,,,,,,,,,,302.495,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,149.75,percent of total billed charges,142.2258698,,,,,,,,,,149.75,percent of total billed charges,139.8600392,,,,,,,,,,149.75,percent of total billed charges,139.4713742,,,,,,,,,,149.75,percent of total billed charges,137.4176599,,,,,,,,,,149.75,percent of total billed charges,140.9536183,,,,,,,,,,149.75,percent of total billed charges,999999999,,,,,,,,,,149.75,percent of total billed charges,120.9481305,,,,,,,,,,149.75,percent of total billed charges,190.7435423,,,,,,,,,,149.75,percent of total billed charges,999999999,,,,,,,,,,149.75,percent of total billed charges,130.4116646,,,,,,,,,,539.1,percent of total billed charges,,,,,
**IV INFUS THERAPY UP TO 1 HR SEPAR SITE,96365,CDM,,,59,both,,,385,385,81.96031868,385,385,percent of total billed charges,283.2581774,,,,385,percent of total billed charges,300.2480674,,,,385,percent of total billed charges,283.2581774,,,,385,percent of total billed charges,300.2480674,,,,385,percent of total billed charges,999999999,,,,385,percent of total billed charges,293.3435391,,,,385,percent of total billed charges,283.2581774,,,,385,percent of total billed charges,300.2480674,,,,274.505,percent of total billed charges,136.9830185,,,,274.505,percent of total billed charges,81.96031868,,,,274.505,percent of total billed charges,136.9830185,,,,274.505,percent of total billed charges,81.96031868,,,,274.505,percent of total billed charges,136.9830185,,,,274.505,percent of total billed charges,81.96031868,,,,271.81,percent of total billed charges,269.7477036,,,,271.81,percent of total billed charges,186.0428532,,,,,,,,,,277.2,percent of total billed charges,180.1734769,,,,,,,,,,277.2,percent of total billed charges,999999999,,,,,,,,,,308,percent of total billed charges,258.0879896,,,,304.15,percent of total billed charges,293.5178391,,,,304.15,percent of total billed charges,259.3327267,,,,308,percent of total billed charges,999999999,,,,308,percent of total billed charges,999999999,,,,269.5,percent of total billed charges,999999999,,,,269.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,204.82,percent of total billed charges,999999999,,,,,,,,,,,,,,,,194.425,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,96.25,percent of total billed charges,91.41395639,,,,,,,,,,96.25,percent of total billed charges,89.89334743,,,,,,,,,,96.25,percent of total billed charges,89.64353766,,,,,,,,,,96.25,percent of total billed charges,88.32353766,,,,,,,,,,96.25,percent of total billed charges,90.59623213,,,,,,,,,,96.25,percent of total billed charges,999999999,,,,,,,,,,96.25,percent of total billed charges,77.73794696,,,,,,,,,,96.25,percent of total billed charges,122.5981031,,,,,,,,,,96.25,percent of total billed charges,999999999,,,,,,,,,,96.25,percent of total billed charges,83.820519,,,,,,,,,,346.5,percent of total billed charges,,,,,
**IV PUSH OR IV 15 MIN INITIAL SEP SITE,96374,CDM,,,59,both,,,211,211,44.91851232,211,211,percent of total billed charges,155.2401959,,,,211,percent of total billed charges,164.5515382,,,,211,percent of total billed charges,155.2401959,,,,211,percent of total billed charges,164.5515382,,,,211,percent of total billed charges,999999999,,,,211,percent of total billed charges,160.7674981,,,,211,percent of total billed charges,155.2401959,,,,211,percent of total billed charges,164.5515382,,,,150.443,percent of total billed charges,75.07381011,,,,150.443,percent of total billed charges,44.91851232,,,,150.443,percent of total billed charges,75.07381011,,,,150.443,percent of total billed charges,44.91851232,,,,150.443,percent of total billed charges,75.07381011,,,,150.443,percent of total billed charges,44.91851232,,,,148.966,percent of total billed charges,147.8357545,,,,148.966,percent of total billed charges,101.9611481,,,,,,,,,,151.92,percent of total billed charges,98.744425,,,,,,,,,,151.92,percent of total billed charges,999999999,,,,,,,,,,168.8,percent of total billed charges,141.4456255,,,,166.69,percent of total billed charges,160.8630235,,,,166.69,percent of total billed charges,142.1278061,,,,168.8,percent of total billed charges,999999999,,,,168.8,percent of total billed charges,999999999,,,,147.7,percent of total billed charges,999999999,,,,147.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,112.252,percent of total billed charges,999999999,,,,,,,,,,,,,,,,106.555,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,52.75,percent of total billed charges,50.09959688,,,,,,,,,,52.75,percent of total billed charges,49.26622417,,,,,,,,,,52.75,percent of total billed charges,49.12931545,,,,,,,,,,52.75,percent of total billed charges,48.40588687,,,,,,,,,,52.75,percent of total billed charges,49.6514415,,,,,,,,,,52.75,percent of total billed charges,999999999,,,,,,,,,,52.75,percent of total billed charges,42.60443327,,,,,,,,,,52.75,percent of total billed charges,67.19012925,,,,,,,,,,52.75,percent of total billed charges,999999999,,,,,,,,,,52.75,percent of total billed charges,45.93799872,,,,,,,,,,189.9,percent of total billed charges,,,,,
**IV HYDR OF 31 MIN TO 1 HOUR,96360,CDM,,,,both,,,385,385,81.96031868,385,385,percent of total billed charges,283.2581774,,,,385,percent of total billed charges,300.2480674,,,,385,percent of total billed charges,283.2581774,,,,385,percent of total billed charges,300.2480674,,,,385,percent of total billed charges,999999999,,,,385,percent of total billed charges,293.3435391,,,,385,percent of total billed charges,283.2581774,,,,385,percent of total billed charges,300.2480674,,,,274.505,percent of total billed charges,136.9830185,,,,274.505,percent of total billed charges,81.96031868,,,,274.505,percent of total billed charges,136.9830185,,,,274.505,percent of total billed charges,81.96031868,,,,274.505,percent of total billed charges,136.9830185,,,,274.505,percent of total billed charges,81.96031868,,,,271.81,percent of total billed charges,269.7477036,,,,271.81,percent of total billed charges,186.0428532,,,,,,,,,,277.2,percent of total billed charges,180.1734769,,,,,,,,,,277.2,percent of total billed charges,999999999,,,,,,,,,,308,percent of total billed charges,258.0879896,,,,304.15,percent of total billed charges,293.5178391,,,,304.15,percent of total billed charges,259.3327267,,,,308,percent of total billed charges,999999999,,,,308,percent of total billed charges,999999999,,,,269.5,percent of total billed charges,999999999,,,,269.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,204.82,percent of total billed charges,999999999,,,,,,,,,,,,,,,,194.425,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,96.25,percent of total billed charges,91.41395639,,,,,,,,,,96.25,percent of total billed charges,89.89334743,,,,,,,,,,96.25,percent of total billed charges,89.64353766,,,,,,,,,,96.25,percent of total billed charges,88.32353766,,,,,,,,,,96.25,percent of total billed charges,90.59623213,,,,,,,,,,96.25,percent of total billed charges,999999999,,,,,,,,,,96.25,percent of total billed charges,77.73794696,,,,,,,,,,96.25,percent of total billed charges,122.5981031,,,,,,,,,,96.25,percent of total billed charges,999999999,,,,,,,,,,96.25,percent of total billed charges,83.820519,,,,,,,,,,346.5,percent of total billed charges,,,,,
**IV HYDR 31 MIN TO 1 HR SEP SITE,96360,CDM,,,59,both,,,385,385,81.96031868,385,385,percent of total billed charges,283.2581774,,,,385,percent of total billed charges,300.2480674,,,,385,percent of total billed charges,283.2581774,,,,385,percent of total billed charges,300.2480674,,,,385,percent of total billed charges,999999999,,,,385,percent of total billed charges,293.3435391,,,,385,percent of total billed charges,283.2581774,,,,385,percent of total billed charges,300.2480674,,,,274.505,percent of total billed charges,136.9830185,,,,274.505,percent of total billed charges,81.96031868,,,,274.505,percent of total billed charges,136.9830185,,,,274.505,percent of total billed charges,81.96031868,,,,274.505,percent of total billed charges,136.9830185,,,,274.505,percent of total billed charges,81.96031868,,,,271.81,percent of total billed charges,269.7477036,,,,271.81,percent of total billed charges,186.0428532,,,,,,,,,,277.2,percent of total billed charges,180.1734769,,,,,,,,,,277.2,percent of total billed charges,999999999,,,,,,,,,,308,percent of total billed charges,258.0879896,,,,304.15,percent of total billed charges,293.5178391,,,,304.15,percent of total billed charges,259.3327267,,,,308,percent of total billed charges,999999999,,,,308,percent of total billed charges,999999999,,,,269.5,percent of total billed charges,999999999,,,,269.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,204.82,percent of total billed charges,999999999,,,,,,,,,,,,,,,,194.425,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,96.25,percent of total billed charges,91.41395639,,,,,,,,,,96.25,percent of total billed charges,89.89334743,,,,,,,,,,96.25,percent of total billed charges,89.64353766,,,,,,,,,,96.25,percent of total billed charges,88.32353766,,,,,,,,,,96.25,percent of total billed charges,90.59623213,,,,,,,,,,96.25,percent of total billed charges,999999999,,,,,,,,,,96.25,percent of total billed charges,77.73794696,,,,,,,,,,96.25,percent of total billed charges,122.5981031,,,,,,,,,,96.25,percent of total billed charges,999999999,,,,,,,,,,96.25,percent of total billed charges,83.820519,,,,,,,,,,346.5,percent of total billed charges,,,,,
**IV HYDR EACH ADD HOUR,96361,CDM,,,,both,,,385,385,81.96031868,385,385,percent of total billed charges,283.2581774,,,,385,percent of total billed charges,300.2480674,,,,385,percent of total billed charges,283.2581774,,,,385,percent of total billed charges,300.2480674,,,,385,percent of total billed charges,999999999,,,,385,percent of total billed charges,293.3435391,,,,385,percent of total billed charges,283.2581774,,,,385,percent of total billed charges,300.2480674,,,,274.505,percent of total billed charges,136.9830185,,,,274.505,percent of total billed charges,81.96031868,,,,274.505,percent of total billed charges,136.9830185,,,,274.505,percent of total billed charges,81.96031868,,,,274.505,percent of total billed charges,136.9830185,,,,274.505,percent of total billed charges,81.96031868,,,,271.81,percent of total billed charges,269.7477036,,,,271.81,percent of total billed charges,186.0428532,,,,,,,,,,277.2,percent of total billed charges,180.1734769,,,,,,,,,,277.2,percent of total billed charges,999999999,,,,,,,,,,308,percent of total billed charges,258.0879896,,,,304.15,percent of total billed charges,293.5178391,,,,304.15,percent of total billed charges,259.3327267,,,,308,percent of total billed charges,999999999,,,,308,percent of total billed charges,999999999,,,,269.5,percent of total billed charges,999999999,,,,269.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,204.82,percent of total billed charges,999999999,,,,,,,,,,,,,,,,194.425,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,96.25,percent of total billed charges,91.41395639,,,,,,,,,,96.25,percent of total billed charges,89.89334743,,,,,,,,,,96.25,percent of total billed charges,89.64353766,,,,,,,,,,96.25,percent of total billed charges,88.32353766,,,,,,,,,,96.25,percent of total billed charges,90.59623213,,,,,,,,,,96.25,percent of total billed charges,999999999,,,,,,,,,,96.25,percent of total billed charges,77.73794696,,,,,,,,,,96.25,percent of total billed charges,122.5981031,,,,,,,,,,96.25,percent of total billed charges,999999999,,,,,,,,,,96.25,percent of total billed charges,83.820519,,,,,,,,,,346.5,percent of total billed charges,,,,,
**INTRA MUSCULAR INJ THERAP OR DX,96372,CDM,,,,both,,,209,209,44.49274443,209,209,percent of total billed charges,153.7687249,,,,209,percent of total billed charges,162.991808,,,,209,percent of total billed charges,153.7687249,,,,209,percent of total billed charges,162.991808,,,,209,percent of total billed charges,999999999,,,,209,percent of total billed charges,159.2436355,,,,209,percent of total billed charges,153.7687249,,,,209,percent of total billed charges,162.991808,,,,149.017,percent of total billed charges,74.36221002,,,,149.017,percent of total billed charges,44.49274443,,,,149.017,percent of total billed charges,74.36221002,,,,149.017,percent of total billed charges,44.49274443,,,,149.017,percent of total billed charges,74.36221002,,,,149.017,percent of total billed charges,44.49274443,,,,147.554,percent of total billed charges,146.4344677,,,,147.554,percent of total billed charges,100.9946917,,,,,,,,,,150.48,percent of total billed charges,97.80845889,,,,,,,,,,150.48,percent of total billed charges,999999999,,,,,,,,,,167.2,percent of total billed charges,140.1049087,,,,165.11,percent of total billed charges,159.3382555,,,,165.11,percent of total billed charges,140.7806231,,,,167.2,percent of total billed charges,999999999,,,,167.2,percent of total billed charges,999999999,,,,146.3,percent of total billed charges,999999999,,,,146.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,111.188,percent of total billed charges,999999999,,,,,,,,,,,,,,,,105.545,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,52.25,percent of total billed charges,49.62471918,,,,,,,,,,52.25,percent of total billed charges,48.79924575,,,,,,,,,,52.25,percent of total billed charges,48.66363473,,,,,,,,,,52.25,percent of total billed charges,47.9470633,,,,,,,,,,52.25,percent of total billed charges,49.18081173,,,,,,,,,,52.25,percent of total billed charges,999999999,,,,,,,,,,52.25,percent of total billed charges,42.20059978,,,,,,,,,,52.25,percent of total billed charges,66.55325599,,,,,,,,,,52.25,percent of total billed charges,999999999,,,,,,,,,,52.25,percent of total billed charges,45.50256746,,,,,,,,,,188.1,percent of total billed charges,,,,,
**ADMINISTRATION DPT,90471,CDM,,,,both,,,85,85,18.09513529,85,85,percent of total billed charges,62.53751969,,,,85,percent of total billed charges,66.28853435,,,,85,percent of total billed charges,62.53751969,,,,85,percent of total billed charges,66.28853435,,,,85,percent of total billed charges,999999999,,,,85,percent of total billed charges,64.76415799,,,,85,percent of total billed charges,62.53751969,,,,85,percent of total billed charges,66.28853435,,,,60.605,percent of total billed charges,30.24300407,,,,60.605,percent of total billed charges,18.09513529,,,,60.605,percent of total billed charges,30.24300407,,,,60.605,percent of total billed charges,18.09513529,,,,60.605,percent of total billed charges,30.24300407,,,,60.605,percent of total billed charges,18.09513529,,,,60.01,percent of total billed charges,59.55468782,,,,60.01,percent of total billed charges,41.07439615,,,,,,,,,,61.2,percent of total billed charges,39.77855983,,,,,,,,,,61.2,percent of total billed charges,999999999,,,,,,,,,,68,percent of total billed charges,56.98046524,,,,67.15,percent of total billed charges,64.80263979,,,,67.15,percent of total billed charges,57.25527733,,,,68,percent of total billed charges,999999999,,,,68,percent of total billed charges,999999999,,,,59.5,percent of total billed charges,999999999,,,,59.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,45.22,percent of total billed charges,999999999,,,,,,,,,,,,,,,,42.925,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21.25,percent of total billed charges,20.18230206,,,,,,,,,,21.25,percent of total billed charges,19.8465832,,,,,,,,,,21.25,percent of total billed charges,19.79143039,,,,,,,,,,21.25,percent of total billed charges,19.50000182,,,,,,,,,,21.25,percent of total billed charges,20.00176553,,,,,,,,,,21.25,percent of total billed charges,999999999,,,,,,,,,,21.25,percent of total billed charges,17.16292335,,,,,,,,,,21.25,percent of total billed charges,27.06711368,,,,,,,,,,21.25,percent of total billed charges,999999999,,,,,,,,,,21.25,percent of total billed charges,18.50582887,,,,,,,,,,76.5,percent of total billed charges,,,,,
**IV INFUS THERAPY UP TO 1 HOUR CPT,96365,CDM,,,,both,,,385,385,81.96031868,385,385,percent of total billed charges,283.2581774,,,,385,percent of total billed charges,300.2480674,,,,385,percent of total billed charges,283.2581774,,,,385,percent of total billed charges,300.2480674,,,,385,percent of total billed charges,999999999,,,,385,percent of total billed charges,293.3435391,,,,385,percent of total billed charges,283.2581774,,,,385,percent of total billed charges,300.2480674,,,,274.505,percent of total billed charges,136.9830185,,,,274.505,percent of total billed charges,81.96031868,,,,274.505,percent of total billed charges,136.9830185,,,,274.505,percent of total billed charges,81.96031868,,,,274.505,percent of total billed charges,136.9830185,,,,274.505,percent of total billed charges,81.96031868,,,,271.81,percent of total billed charges,269.7477036,,,,271.81,percent of total billed charges,186.0428532,,,,,,,,,,277.2,percent of total billed charges,180.1734769,,,,,,,,,,277.2,percent of total billed charges,999999999,,,,,,,,,,308,percent of total billed charges,258.0879896,,,,304.15,percent of total billed charges,293.5178391,,,,304.15,percent of total billed charges,259.3327267,,,,308,percent of total billed charges,999999999,,,,308,percent of total billed charges,999999999,,,,269.5,percent of total billed charges,999999999,,,,269.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,204.82,percent of total billed charges,999999999,,,,,,,,,,,,,,,,194.425,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,96.25,percent of total billed charges,91.41395639,,,,,,,,,,96.25,percent of total billed charges,89.89334743,,,,,,,,,,96.25,percent of total billed charges,89.64353766,,,,,,,,,,96.25,percent of total billed charges,88.32353766,,,,,,,,,,96.25,percent of total billed charges,90.59623213,,,,,,,,,,96.25,percent of total billed charges,999999999,,,,,,,,,,96.25,percent of total billed charges,77.73794696,,,,,,,,,,96.25,percent of total billed charges,122.5981031,,,,,,,,,,96.25,percent of total billed charges,999999999,,,,,,,,,,96.25,percent of total billed charges,83.820519,,,,,,,,,,346.5,percent of total billed charges,,,,,
**IV INFUS THER EACH ADD HR 31 MIN TO,96366,CDM,,,,both,,,385,385,81.96031868,385,385,percent of total billed charges,283.2581774,,,,385,percent of total billed charges,300.2480674,,,,385,percent of total billed charges,283.2581774,,,,385,percent of total billed charges,300.2480674,,,,385,percent of total billed charges,999999999,,,,385,percent of total billed charges,293.3435391,,,,385,percent of total billed charges,283.2581774,,,,385,percent of total billed charges,300.2480674,,,,274.505,percent of total billed charges,136.9830185,,,,274.505,percent of total billed charges,81.96031868,,,,274.505,percent of total billed charges,136.9830185,,,,274.505,percent of total billed charges,81.96031868,,,,274.505,percent of total billed charges,136.9830185,,,,274.505,percent of total billed charges,81.96031868,,,,271.81,percent of total billed charges,269.7477036,,,,271.81,percent of total billed charges,186.0428532,,,,,,,,,,277.2,percent of total billed charges,180.1734769,,,,,,,,,,277.2,percent of total billed charges,999999999,,,,,,,,,,308,percent of total billed charges,258.0879896,,,,304.15,percent of total billed charges,293.5178391,,,,304.15,percent of total billed charges,259.3327267,,,,308,percent of total billed charges,999999999,,,,308,percent of total billed charges,999999999,,,,269.5,percent of total billed charges,999999999,,,,269.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,204.82,percent of total billed charges,999999999,,,,,,,,,,,,,,,,194.425,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,96.25,percent of total billed charges,91.41395639,,,,,,,,,,96.25,percent of total billed charges,89.89334743,,,,,,,,,,96.25,percent of total billed charges,89.64353766,,,,,,,,,,96.25,percent of total billed charges,88.32353766,,,,,,,,,,96.25,percent of total billed charges,90.59623213,,,,,,,,,,96.25,percent of total billed charges,999999999,,,,,,,,,,96.25,percent of total billed charges,77.73794696,,,,,,,,,,96.25,percent of total billed charges,122.5981031,,,,,,,,,,96.25,percent of total billed charges,999999999,,,,,,,,,,96.25,percent of total billed charges,83.820519,,,,,,,,,,346.5,percent of total billed charges,,,,,
**IV INFUS THERAPY SEQ UP TO 1 HOUR,96367,CDM,,,,both,,,385,385,81.96031868,385,385,percent of total billed charges,283.2581774,,,,385,percent of total billed charges,300.2480674,,,,385,percent of total billed charges,283.2581774,,,,385,percent of total billed charges,300.2480674,,,,385,percent of total billed charges,999999999,,,,385,percent of total billed charges,293.3435391,,,,385,percent of total billed charges,283.2581774,,,,385,percent of total billed charges,300.2480674,,,,274.505,percent of total billed charges,136.9830185,,,,274.505,percent of total billed charges,81.96031868,,,,274.505,percent of total billed charges,136.9830185,,,,274.505,percent of total billed charges,81.96031868,,,,274.505,percent of total billed charges,136.9830185,,,,274.505,percent of total billed charges,81.96031868,,,,271.81,percent of total billed charges,269.7477036,,,,271.81,percent of total billed charges,186.0428532,,,,,,,,,,277.2,percent of total billed charges,180.1734769,,,,,,,,,,277.2,percent of total billed charges,999999999,,,,,,,,,,308,percent of total billed charges,258.0879896,,,,304.15,percent of total billed charges,293.5178391,,,,304.15,percent of total billed charges,259.3327267,,,,308,percent of total billed charges,999999999,,,,308,percent of total billed charges,999999999,,,,269.5,percent of total billed charges,999999999,,,,269.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,204.82,percent of total billed charges,999999999,,,,,,,,,,,,,,,,194.425,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,96.25,percent of total billed charges,91.41395639,,,,,,,,,,96.25,percent of total billed charges,89.89334743,,,,,,,,,,96.25,percent of total billed charges,89.64353766,,,,,,,,,,96.25,percent of total billed charges,88.32353766,,,,,,,,,,96.25,percent of total billed charges,90.59623213,,,,,,,,,,96.25,percent of total billed charges,999999999,,,,,,,,,,96.25,percent of total billed charges,77.73794696,,,,,,,,,,96.25,percent of total billed charges,122.5981031,,,,,,,,,,96.25,percent of total billed charges,999999999,,,,,,,,,,96.25,percent of total billed charges,83.820519,,,,,,,,,,346.5,percent of total billed charges,,,,,
**IV INFUS THERAPY CONCUR NEW DRUG,96368,CDM,,,,both,,,385,385,81.96031868,385,385,percent of total billed charges,283.2581774,,,,385,percent of total billed charges,300.2480674,,,,385,percent of total billed charges,283.2581774,,,,385,percent of total billed charges,300.2480674,,,,385,percent of total billed charges,999999999,,,,385,percent of total billed charges,293.3435391,,,,385,percent of total billed charges,283.2581774,,,,385,percent of total billed charges,300.2480674,,,,274.505,percent of total billed charges,136.9830185,,,,274.505,percent of total billed charges,81.96031868,,,,274.505,percent of total billed charges,136.9830185,,,,274.505,percent of total billed charges,81.96031868,,,,274.505,percent of total billed charges,136.9830185,,,,274.505,percent of total billed charges,81.96031868,,,,271.81,percent of total billed charges,269.7477036,,,,271.81,percent of total billed charges,186.0428532,,,,,,,,,,277.2,percent of total billed charges,180.1734769,,,,,,,,,,277.2,percent of total billed charges,999999999,,,,,,,,,,308,percent of total billed charges,258.0879896,,,,304.15,percent of total billed charges,293.5178391,,,,304.15,percent of total billed charges,259.3327267,,,,308,percent of total billed charges,999999999,,,,308,percent of total billed charges,999999999,,,,269.5,percent of total billed charges,999999999,,,,269.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,204.82,percent of total billed charges,999999999,,,,,,,,,,,,,,,,194.425,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,96.25,percent of total billed charges,91.41395639,,,,,,,,,,96.25,percent of total billed charges,89.89334743,,,,,,,,,,96.25,percent of total billed charges,89.64353766,,,,,,,,,,96.25,percent of total billed charges,88.32353766,,,,,,,,,,96.25,percent of total billed charges,90.59623213,,,,,,,,,,96.25,percent of total billed charges,999999999,,,,,,,,,,96.25,percent of total billed charges,77.73794696,,,,,,,,,,96.25,percent of total billed charges,122.5981031,,,,,,,,,,96.25,percent of total billed charges,999999999,,,,,,,,,,96.25,percent of total billed charges,83.820519,,,,,,,,,,346.5,percent of total billed charges,,,,,
**IV PUSH OR IV SEQ 15 MIN OR LESS,96375,CDM,,,,both,,,211,211,44.91851232,211,211,percent of total billed charges,155.2401959,,,,211,percent of total billed charges,164.5515382,,,,211,percent of total billed charges,155.2401959,,,,211,percent of total billed charges,164.5515382,,,,211,percent of total billed charges,999999999,,,,211,percent of total billed charges,160.7674981,,,,211,percent of total billed charges,155.2401959,,,,211,percent of total billed charges,164.5515382,,,,150.443,percent of total billed charges,75.07381011,,,,150.443,percent of total billed charges,44.91851232,,,,150.443,percent of total billed charges,75.07381011,,,,150.443,percent of total billed charges,44.91851232,,,,150.443,percent of total billed charges,75.07381011,,,,150.443,percent of total billed charges,44.91851232,,,,148.966,percent of total billed charges,147.8357545,,,,148.966,percent of total billed charges,101.9611481,,,,,,,,,,151.92,percent of total billed charges,98.744425,,,,,,,,,,151.92,percent of total billed charges,999999999,,,,,,,,,,168.8,percent of total billed charges,141.4456255,,,,166.69,percent of total billed charges,160.8630235,,,,166.69,percent of total billed charges,142.1278061,,,,168.8,percent of total billed charges,999999999,,,,168.8,percent of total billed charges,999999999,,,,147.7,percent of total billed charges,999999999,,,,147.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,112.252,percent of total billed charges,999999999,,,,,,,,,,,,,,,,106.555,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,52.75,percent of total billed charges,50.09959688,,,,,,,,,,52.75,percent of total billed charges,49.26622417,,,,,,,,,,52.75,percent of total billed charges,49.12931545,,,,,,,,,,52.75,percent of total billed charges,48.40588687,,,,,,,,,,52.75,percent of total billed charges,49.6514415,,,,,,,,,,52.75,percent of total billed charges,999999999,,,,,,,,,,52.75,percent of total billed charges,42.60443327,,,,,,,,,,52.75,percent of total billed charges,67.19012925,,,,,,,,,,52.75,percent of total billed charges,999999999,,,,,,,,,,52.75,percent of total billed charges,45.93799872,,,,,,,,,,189.9,percent of total billed charges,,,,,
**IV PUSH OR IV SAME DRUG ADD,96376,CDM,,,,both,,,211,211,44.91851232,211,211,percent of total billed charges,155.2401959,,,,211,percent of total billed charges,164.5515382,,,,211,percent of total billed charges,155.2401959,,,,211,percent of total billed charges,164.5515382,,,,211,percent of total billed charges,999999999,,,,211,percent of total billed charges,160.7674981,,,,211,percent of total billed charges,155.2401959,,,,211,percent of total billed charges,164.5515382,,,,150.443,percent of total billed charges,75.07381011,,,,150.443,percent of total billed charges,44.91851232,,,,150.443,percent of total billed charges,75.07381011,,,,150.443,percent of total billed charges,44.91851232,,,,150.443,percent of total billed charges,75.07381011,,,,150.443,percent of total billed charges,44.91851232,,,,148.966,percent of total billed charges,147.8357545,,,,148.966,percent of total billed charges,101.9611481,,,,,,,,,,151.92,percent of total billed charges,98.744425,,,,,,,,,,151.92,percent of total billed charges,999999999,,,,,,,,,,168.8,percent of total billed charges,141.4456255,,,,166.69,percent of total billed charges,160.8630235,,,,166.69,percent of total billed charges,142.1278061,,,,168.8,percent of total billed charges,999999999,,,,168.8,percent of total billed charges,999999999,,,,147.7,percent of total billed charges,999999999,,,,147.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,112.252,percent of total billed charges,999999999,,,,,,,,,,,,,,,,106.555,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,52.75,percent of total billed charges,50.09959688,,,,,,,,,,52.75,percent of total billed charges,49.26622417,,,,,,,,,,52.75,percent of total billed charges,49.12931545,,,,,,,,,,52.75,percent of total billed charges,48.40588687,,,,,,,,,,52.75,percent of total billed charges,49.6514415,,,,,,,,,,52.75,percent of total billed charges,999999999,,,,,,,,,,52.75,percent of total billed charges,42.60443327,,,,,,,,,,52.75,percent of total billed charges,67.19012925,,,,,,,,,,52.75,percent of total billed charges,999999999,,,,,,,,,,52.75,percent of total billed charges,45.93799872,,,,,,,,,,189.9,percent of total billed charges,,,,,
**IV PUSH OR IV 15 MIN OR LESS INITIAL,96374,CDM,,,,both,,,211,211,44.91851232,211,211,percent of total billed charges,155.2401959,,,,211,percent of total billed charges,164.5515382,,,,211,percent of total billed charges,155.2401959,,,,211,percent of total billed charges,164.5515382,,,,211,percent of total billed charges,999999999,,,,211,percent of total billed charges,160.7674981,,,,211,percent of total billed charges,155.2401959,,,,211,percent of total billed charges,164.5515382,,,,150.443,percent of total billed charges,75.07381011,,,,150.443,percent of total billed charges,44.91851232,,,,150.443,percent of total billed charges,75.07381011,,,,150.443,percent of total billed charges,44.91851232,,,,150.443,percent of total billed charges,75.07381011,,,,150.443,percent of total billed charges,44.91851232,,,,148.966,percent of total billed charges,147.8357545,,,,148.966,percent of total billed charges,101.9611481,,,,,,,,,,151.92,percent of total billed charges,98.744425,,,,,,,,,,151.92,percent of total billed charges,999999999,,,,,,,,,,168.8,percent of total billed charges,141.4456255,,,,166.69,percent of total billed charges,160.8630235,,,,166.69,percent of total billed charges,142.1278061,,,,168.8,percent of total billed charges,999999999,,,,168.8,percent of total billed charges,999999999,,,,147.7,percent of total billed charges,999999999,,,,147.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,112.252,percent of total billed charges,999999999,,,,,,,,,,,,,,,,106.555,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,52.75,percent of total billed charges,50.09959688,,,,,,,,,,52.75,percent of total billed charges,49.26622417,,,,,,,,,,52.75,percent of total billed charges,49.12931545,,,,,,,,,,52.75,percent of total billed charges,48.40588687,,,,,,,,,,52.75,percent of total billed charges,49.6514415,,,,,,,,,,52.75,percent of total billed charges,999999999,,,,,,,,,,52.75,percent of total billed charges,42.60443327,,,,,,,,,,52.75,percent of total billed charges,67.19012925,,,,,,,,,,52.75,percent of total billed charges,999999999,,,,,,,,,,52.75,percent of total billed charges,45.93799872,,,,,,,,,,189.9,percent of total billed charges,,,,,
**IRRIGATION OF BLADDER,51700,CDM,,,,both,,,604,604,128.5819026,604,604,percent of total billed charges,444.3842575,,,,604,percent of total billed charges,471.0385264,,,,604,percent of total billed charges,444.3842575,,,,604,percent of total billed charges,471.0385264,,,,604,percent of total billed charges,999999999,,,,604,percent of total billed charges,460.2064873,,,,604,percent of total billed charges,444.3842575,,,,604,percent of total billed charges,471.0385264,,,,430.652,percent of total billed charges,214.9032289,,,,430.652,percent of total billed charges,128.5819026,,,,430.652,percent of total billed charges,214.9032289,,,,430.652,percent of total billed charges,128.5819026,,,,430.652,percent of total billed charges,214.9032289,,,,430.652,percent of total billed charges,128.5819026,,,,426.424,percent of total billed charges,423.1886052,,,,426.424,percent of total billed charges,291.8698268,,,,,,,,,,434.88,percent of total billed charges,282.6617664,,,,,,,,,,434.88,percent of total billed charges,999999999,,,,,,,,,,483.2,percent of total billed charges,404.8964824,,,,477.16,percent of total billed charges,460.4799345,,,,477.16,percent of total billed charges,406.8492648,,,,483.2,percent of total billed charges,999999999,,,,483.2,percent of total billed charges,999999999,,,,422.8,percent of total billed charges,999999999,,,,422.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,321.328,percent of total billed charges,999999999,,,,,,,,,,,,,,,,305.02,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,151,percent of total billed charges,143.413064,,,,,,,,,,151,percent of total billed charges,141.0274853,,,,,,,,,,151,percent of total billed charges,140.635576,,,,,,,,,,151,percent of total billed charges,138.5647188,,,,,,,,,,151,percent of total billed charges,142.1301927,,,,,,,,,,151,percent of total billed charges,999999999,,,,,,,,,,151,percent of total billed charges,121.9577142,,,,,,,,,,151,percent of total billed charges,192.3357254,,,,,,,,,,151,percent of total billed charges,999999999,,,,,,,,,,151,percent of total billed charges,131.5002428,,,,,,,,,,543.6,percent of total billed charges,,,,,
**IRRIGATION OF IMPLANT VEN ACC DEVICE,96523,CDM,,,,both,,,269,269,57.2657811,269,269,percent of total billed charges,197.9128564,,,,269,percent of total billed charges,209.7837146,,,,269,percent of total billed charges,197.9128564,,,,269,percent of total billed charges,209.7837146,,,,269,percent of total billed charges,999999999,,,,269,percent of total billed charges,204.9595117,,,,269,percent of total billed charges,197.9128564,,,,269,percent of total billed charges,209.7837146,,,,191.797,percent of total billed charges,95.71021289,,,,191.797,percent of total billed charges,57.2657811,,,,191.797,percent of total billed charges,95.71021289,,,,191.797,percent of total billed charges,57.2657811,,,,191.797,percent of total billed charges,95.71021289,,,,191.797,percent of total billed charges,57.2657811,,,,189.914,percent of total billed charges,188.4730709,,,,189.914,percent of total billed charges,129.9883831,,,,,,,,,,193.68,percent of total billed charges,125.8874423,,,,,,,,,,193.68,percent of total billed charges,999999999,,,,,,,,,,215.2,percent of total billed charges,180.3264135,,,,212.51,percent of total billed charges,205.0812953,,,,212.51,percent of total billed charges,181.1961129,,,,215.2,percent of total billed charges,999999999,,,,215.2,percent of total billed charges,999999999,,,,188.3,percent of total billed charges,999999999,,,,188.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,143.108,percent of total billed charges,999999999,,,,,,,,,,,,,,,,135.845,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,67.25,percent of total billed charges,63.87105005,,,,,,,,,,67.25,percent of total billed charges,62.80859859,,,,,,,,,,67.25,percent of total billed charges,62.63405618,,,,,,,,,,67.25,percent of total billed charges,61.71177047,,,,,,,,,,67.25,percent of total billed charges,63.29970505,,,,,,,,,,67.25,percent of total billed charges,999999999,,,,,,,,,,67.25,percent of total billed charges,54.3156045,,,,,,,,,,67.25,percent of total billed charges,85.65945388,,,,,,,,,,67.25,percent of total billed charges,999999999,,,,,,,,,,67.25,percent of total billed charges,58.56550548,,,,,,,,,,242.1,percent of total billed charges,,,,,
WET PREP,87210,CDM,,,,both,,,115,115,24.48165363,115,115,percent of total billed charges,84.60958546,,,,115,percent of total billed charges,89.68448765,,,,115,percent of total billed charges,84.60958546,,,,115,percent of total billed charges,89.68448765,,,,115,percent of total billed charges,999999999,,,,115,percent of total billed charges,87.6220961,,,,115,percent of total billed charges,84.60958546,,,,115,percent of total billed charges,89.68448765,,,,81.995,percent of total billed charges,40.91700551,,,,81.995,percent of total billed charges,24.48165363,,,,81.995,percent of total billed charges,40.91700551,,,,81.995,percent of total billed charges,24.48165363,,,,81.995,percent of total billed charges,40.91700551,,,,81.995,percent of total billed charges,24.48165363,,,,81.19,percent of total billed charges,80.5739894,,,,81.19,percent of total billed charges,55.57124185,,,,,,,,,,82.8,percent of total billed charges,53.81805154,,,,,,,,,,82.8,percent of total billed charges,999999999,,,,,,,,,,92,percent of total billed charges,77.09121768,,,,90.85,percent of total billed charges,87.67415972,,,,90.85,percent of total billed charges,77.46302226,,,,92,percent of total billed charges,999999999,,,,92,percent of total billed charges,999999999,,,,80.5,percent of total billed charges,999999999,,,,80.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,61.18,percent of total billed charges,999999999,,,,,,,,,,,,,,,,58.075,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,28.75,percent of total billed charges,27.30546749,,,,,,,,,,28.75,percent of total billed charges,26.85125962,,,,,,,,,,28.75,percent of total billed charges,26.77664112,,,,,,,,,,28.75,percent of total billed charges,26.38235541,,,,,,,,,,28.75,percent of total billed charges,27.06121219,,,,,,,,,,28.75,percent of total billed charges,999999999,,,,,,,,,,28.75,percent of total billed charges,23.22042571,,,,,,,,,,28.75,percent of total billed charges,36.62021262,,,,,,,,,,28.75,percent of total billed charges,999999999,,,,,,,,,,28.75,percent of total billed charges,25.03729788,,,,,,,,,,103.5,percent of total billed charges,,,,,
FECAL FAT QUALITATIVE(*),82705,CDM,,,,both,,,92,92,19.58532291,92,92,percent of total billed charges,67.68766837,,,,92,percent of total billed charges,71.74759012,,,,92,percent of total billed charges,67.68766837,,,,92,percent of total billed charges,71.74759012,,,,92,percent of total billed charges,999999999,,,,92,percent of total billed charges,70.09767688,,,,92,percent of total billed charges,67.68766837,,,,92,percent of total billed charges,71.74759012,,,,65.596,percent of total billed charges,32.73360441,,,,65.596,percent of total billed charges,19.58532291,,,,65.596,percent of total billed charges,32.73360441,,,,65.596,percent of total billed charges,19.58532291,,,,65.596,percent of total billed charges,32.73360441,,,,65.596,percent of total billed charges,19.58532291,,,,64.952,percent of total billed charges,64.45919152,,,,64.952,percent of total billed charges,44.45699348,,,,,,,,,,66.24,percent of total billed charges,43.05444123,,,,,,,,,,66.24,percent of total billed charges,999999999,,,,,,,,,,73.6,percent of total billed charges,61.67297414,,,,72.68,percent of total billed charges,70.13932778,,,,72.68,percent of total billed charges,61.97041781,,,,73.6,percent of total billed charges,999999999,,,,73.6,percent of total billed charges,999999999,,,,64.4,percent of total billed charges,999999999,,,,64.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,48.944,percent of total billed charges,999999999,,,,,,,,,,,,,,,,46.46,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23,percent of total billed charges,21.84437399,,,,,,,,,,23,percent of total billed charges,21.4810077,,,,,,,,,,23,percent of total billed charges,21.4213129,,,,,,,,,,23,percent of total billed charges,21.10588432,,,,,,,,,,23,percent of total billed charges,21.64896976,,,,,,,,,,23,percent of total billed charges,999999999,,,,,,,,,,23,percent of total billed charges,18.57634057,,,,,,,,,,23,percent of total billed charges,29.2961701,,,,,,,,,,23,percent of total billed charges,999999999,,,,,,,,,,23,percent of total billed charges,20.02983831,,,,,,,,,,82.8,percent of total billed charges,,,,,
HERPES VIRUS I IGG(*),86695,CDM,,,,both,,,133,133,28.31356463,133,133,percent of total billed charges,97.85282492,,,,133,percent of total billed charges,103.7220596,,,,133,percent of total billed charges,97.85282492,,,,133,percent of total billed charges,103.7220596,,,,133,percent of total billed charges,999999999,,,,133,percent of total billed charges,101.336859,,,,133,percent of total billed charges,97.85282492,,,,133,percent of total billed charges,103.7220596,,,,94.829,percent of total billed charges,47.32140637,,,,94.829,percent of total billed charges,28.31356463,,,,94.829,percent of total billed charges,47.32140637,,,,94.829,percent of total billed charges,28.31356463,,,,94.829,percent of total billed charges,47.32140637,,,,94.829,percent of total billed charges,28.31356463,,,,93.898,percent of total billed charges,93.18557035,,,,93.898,percent of total billed charges,64.26934928,,,,,,,,,,95.76,percent of total billed charges,62.24174656,,,,,,,,,,95.76,percent of total billed charges,999999999,,,,,,,,,,106.4,percent of total billed charges,89.15766914,,,,105.07,percent of total billed charges,101.3970717,,,,105.07,percent of total billed charges,89.58766923,,,,106.4,percent of total billed charges,999999999,,,,106.4,percent of total billed charges,999999999,,,,93.1,percent of total billed charges,999999999,,,,93.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,70.756,percent of total billed charges,999999999,,,,,,,,,,,,,,,,67.165,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,33.25,percent of total billed charges,31.57936675,,,,,,,,,,33.25,percent of total billed charges,31.05406547,,,,,,,,,,33.25,percent of total billed charges,30.96776756,,,,,,,,,,33.25,percent of total billed charges,30.51176756,,,,,,,,,,33.25,percent of total billed charges,31.29688019,,,,,,,,,,33.25,percent of total billed charges,999999999,,,,,,,,,,33.25,percent of total billed charges,26.85492713,,,,,,,,,,33.25,percent of total billed charges,42.35207199,,,,,,,,,,33.25,percent of total billed charges,999999999,,,,,,,,,,33.25,percent of total billed charges,28.95617929,,,,,,,,,,119.7,percent of total billed charges,,,,,
HERPES VIRUS I IGM(*),86695,CDM,,,,both,,,174,174,37.04180636,174,174,percent of total billed charges,128.0179815,,,,174,percent of total billed charges,135.6965291,,,,174,percent of total billed charges,128.0179815,,,,174,percent of total billed charges,135.6965291,,,,174,percent of total billed charges,999999999,,,,174,percent of total billed charges,132.5760411,,,,174,percent of total billed charges,128.0179815,,,,174,percent of total billed charges,135.6965291,,,,124.062,percent of total billed charges,61.90920834,,,,124.062,percent of total billed charges,37.04180636,,,,124.062,percent of total billed charges,61.90920834,,,,124.062,percent of total billed charges,37.04180636,,,,124.062,percent of total billed charges,61.90920834,,,,124.062,percent of total billed charges,37.04180636,,,,122.844,percent of total billed charges,121.9119492,,,,122.844,percent of total billed charges,84.08170507,,,,,,,,,,125.28,percent of total billed charges,81.4290519,,,,,,,,,,125.28,percent of total billed charges,999999999,,,,,,,,,,139.2,percent of total billed charges,116.6423641,,,,137.46,percent of total billed charges,132.6548156,,,,137.46,percent of total billed charges,117.2049206,,,,139.2,percent of total billed charges,999999999,,,,139.2,percent of total billed charges,999999999,,,,121.8,percent of total billed charges,999999999,,,,121.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,92.568,percent of total billed charges,999999999,,,,,,,,,,,,,,,,87.87,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,43.5,percent of total billed charges,41.31435951,,,,,,,,,,43.5,percent of total billed charges,40.62712325,,,,,,,,,,43.5,percent of total billed charges,40.51422222,,,,,,,,,,43.5,percent of total billed charges,39.91765079,,,,,,,,,,43.5,percent of total billed charges,40.94479062,,,,,,,,,,43.5,percent of total billed charges,999999999,,,,,,,,,,43.5,percent of total billed charges,35.13351369,,,,,,,,,,43.5,percent of total billed charges,55.40797388,,,,,,,,,,43.5,percent of total billed charges,999999999,,,,,,,,,,43.5,percent of total billed charges,37.88252028,,,,,,,,,,156.6,percent of total billed charges,,,,,
HERPES VIRUS II IGG(*),86696,CDM,,,,both,,,156,156,33.20989536,156,156,percent of total billed charges,114.774742,,,,156,percent of total billed charges,121.6589572,,,,156,percent of total billed charges,114.774742,,,,156,percent of total billed charges,121.6589572,,,,156,percent of total billed charges,999999999,,,,156,percent of total billed charges,118.8612782,,,,156,percent of total billed charges,114.774742,,,,156,percent of total billed charges,121.6589572,,,,111.228,percent of total billed charges,55.50480748,,,,111.228,percent of total billed charges,33.20989536,,,,111.228,percent of total billed charges,55.50480748,,,,111.228,percent of total billed charges,33.20989536,,,,111.228,percent of total billed charges,55.50480748,,,,111.228,percent of total billed charges,33.20989536,,,,110.136,percent of total billed charges,109.3003682,,,,110.136,percent of total billed charges,75.38359765,,,,,,,,,,112.32,percent of total billed charges,73.00535687,,,,,,,,,,112.32,percent of total billed charges,999999999,,,,,,,,,,124.8,percent of total billed charges,104.5759127,,,,123.24,percent of total billed charges,118.9319036,,,,123.24,percent of total billed charges,105.0802737,,,,124.8,percent of total billed charges,999999999,,,,124.8,percent of total billed charges,999999999,,,,109.2,percent of total billed charges,999999999,,,,109.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,82.992,percent of total billed charges,999999999,,,,,,,,,,,,,,,,78.78,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,39,percent of total billed charges,37.04046025,,,,,,,,,,39,percent of total billed charges,36.4243174,,,,,,,,,,39,percent of total billed charges,36.32309578,,,,,,,,,,39,percent of total billed charges,35.78823864,,,,,,,,,,39,percent of total billed charges,36.70912263,,,,,,,,,,39,percent of total billed charges,999999999,,,,,,,,,,39,percent of total billed charges,31.49901227,,,,,,,,,,39,percent of total billed charges,49.67611452,,,,,,,,,,39,percent of total billed charges,999999999,,,,,,,,,,39,percent of total billed charges,33.96363887,,,,,,,,,,140.4,percent of total billed charges,,,,,
HERPES VIRUS II IGM(*),86696,CDM,,,,both,,,174,174,37.04180636,174,174,percent of total billed charges,128.0179815,,,,174,percent of total billed charges,135.6965291,,,,174,percent of total billed charges,128.0179815,,,,174,percent of total billed charges,135.6965291,,,,174,percent of total billed charges,999999999,,,,174,percent of total billed charges,132.5760411,,,,174,percent of total billed charges,128.0179815,,,,174,percent of total billed charges,135.6965291,,,,124.062,percent of total billed charges,61.90920834,,,,124.062,percent of total billed charges,37.04180636,,,,124.062,percent of total billed charges,61.90920834,,,,124.062,percent of total billed charges,37.04180636,,,,124.062,percent of total billed charges,61.90920834,,,,124.062,percent of total billed charges,37.04180636,,,,122.844,percent of total billed charges,121.9119492,,,,122.844,percent of total billed charges,84.08170507,,,,,,,,,,125.28,percent of total billed charges,81.4290519,,,,,,,,,,125.28,percent of total billed charges,999999999,,,,,,,,,,139.2,percent of total billed charges,116.6423641,,,,137.46,percent of total billed charges,132.6548156,,,,137.46,percent of total billed charges,117.2049206,,,,139.2,percent of total billed charges,999999999,,,,139.2,percent of total billed charges,999999999,,,,121.8,percent of total billed charges,999999999,,,,121.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,92.568,percent of total billed charges,999999999,,,,,,,,,,,,,,,,87.87,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,43.5,percent of total billed charges,41.31435951,,,,,,,,,,43.5,percent of total billed charges,40.62712325,,,,,,,,,,43.5,percent of total billed charges,40.51422222,,,,,,,,,,43.5,percent of total billed charges,39.91765079,,,,,,,,,,43.5,percent of total billed charges,40.94479062,,,,,,,,,,43.5,percent of total billed charges,999999999,,,,,,,,,,43.5,percent of total billed charges,35.13351369,,,,,,,,,,43.5,percent of total billed charges,55.40797388,,,,,,,,,,43.5,percent of total billed charges,999999999,,,,,,,,,,43.5,percent of total billed charges,37.88252028,,,,,,,,,,156.6,percent of total billed charges,,,,,
VALIUM(*),82542,CDM,,,,both,,,327,327,69.61304989,327,327,percent of total billed charges,240.5855169,,,,327,percent of total billed charges,255.015891,,,,327,percent of total billed charges,240.5855169,,,,327,percent of total billed charges,255.015891,,,,327,percent of total billed charges,999999999,,,,327,percent of total billed charges,249.1515254,,,,327,percent of total billed charges,240.5855169,,,,327,percent of total billed charges,255.015891,,,,233.151,percent of total billed charges,116.3466157,,,,233.151,percent of total billed charges,69.61304989,,,,233.151,percent of total billed charges,116.3466157,,,,233.151,percent of total billed charges,69.61304989,,,,233.151,percent of total billed charges,116.3466157,,,,233.151,percent of total billed charges,69.61304989,,,,230.862,percent of total billed charges,229.1103872,,,,230.862,percent of total billed charges,158.0156181,,,,,,,,,,235.44,percent of total billed charges,153.0304596,,,,,,,,,,235.44,percent of total billed charges,999999999,,,,,,,,,,261.6,percent of total billed charges,219.2072016,,,,258.33,percent of total billed charges,249.2995672,,,,258.33,percent of total billed charges,220.2644198,,,,261.6,percent of total billed charges,999999999,,,,261.6,percent of total billed charges,999999999,,,,228.9,percent of total billed charges,999999999,,,,228.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,173.964,percent of total billed charges,999999999,,,,,,,,,,,,,,,,165.135,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,81.75,percent of total billed charges,77.64250322,,,,,,,,,,81.75,percent of total billed charges,76.35097301,,,,,,,,,,81.75,percent of total billed charges,76.13879692,,,,,,,,,,81.75,percent of total billed charges,75.01765407,,,,,,,,,,81.75,percent of total billed charges,76.94796859,,,,,,,,,,81.75,percent of total billed charges,999999999,,,,,,,,,,81.75,percent of total billed charges,66.02677573,,,,,,,,,,81.75,percent of total billed charges,104.1287785,,,,,,,,,,81.75,percent of total billed charges,999999999,,,,,,,,,,81.75,percent of total billed charges,71.19301224,,,,,,,,,,294.3,percent of total billed charges,,,,,
HEXAGONAL PHOSPHOLIPID NEUTRALIZATION,85597,CDM,,,,both,,,235,235,50.02772699,235,235,percent of total billed charges,172.8978485,,,,235,percent of total billed charges,183.2683009,,,,235,percent of total billed charges,172.8978485,,,,235,percent of total billed charges,183.2683009,,,,235,percent of total billed charges,999999999,,,,235,percent of total billed charges,179.0538486,,,,235,percent of total billed charges,172.8978485,,,,235,percent of total billed charges,183.2683009,,,,167.555,percent of total billed charges,83.61301126,,,,167.555,percent of total billed charges,50.02772699,,,,167.555,percent of total billed charges,83.61301126,,,,167.555,percent of total billed charges,50.02772699,,,,167.555,percent of total billed charges,83.61301126,,,,167.555,percent of total billed charges,50.02772699,,,,165.91,percent of total billed charges,164.6511957,,,,165.91,percent of total billed charges,113.5586247,,,,,,,,,,169.2,percent of total billed charges,109.9760184,,,,,,,,,,169.2,percent of total billed charges,999999999,,,,,,,,,,188,percent of total billed charges,157.5342274,,,,185.65,percent of total billed charges,179.1602394,,,,185.65,percent of total billed charges,158.294002,,,,188,percent of total billed charges,999999999,,,,188,percent of total billed charges,999999999,,,,164.5,percent of total billed charges,999999999,,,,164.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,125.02,percent of total billed charges,999999999,,,,,,,,,,,,,,,,118.675,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,58.75,percent of total billed charges,55.79812922,,,,,,,,,,58.75,percent of total billed charges,54.86996531,,,,,,,,,,58.75,percent of total billed charges,54.71748403,,,,,,,,,,58.75,percent of total billed charges,53.91176974,,,,,,,,,,58.75,percent of total billed charges,55.29899883,,,,,,,,,,58.75,percent of total billed charges,999999999,,,,,,,,,,58.75,percent of total billed charges,47.45043516,,,,,,,,,,58.75,percent of total billed charges,74.83260841,,,,,,,,,,58.75,percent of total billed charges,999999999,,,,,,,,,,58.75,percent of total billed charges,51.16317393,,,,,,,,,,211.5,percent of total billed charges,,,,,
TOXOPLASMOSIS-IGG(*),86777,CDM,,,,both,,,218,218,46.40869993,218,218,percent of total billed charges,160.3903446,,,,218,percent of total billed charges,170.010594,,,,218,percent of total billed charges,160.3903446,,,,218,percent of total billed charges,170.010594,,,,218,percent of total billed charges,999999999,,,,218,percent of total billed charges,166.101017,,,,218,percent of total billed charges,160.3903446,,,,218,percent of total billed charges,170.010594,,,,155.434,percent of total billed charges,77.56441045,,,,155.434,percent of total billed charges,46.40869993,,,,155.434,percent of total billed charges,77.56441045,,,,155.434,percent of total billed charges,46.40869993,,,,155.434,percent of total billed charges,77.56441045,,,,155.434,percent of total billed charges,46.40869993,,,,153.908,percent of total billed charges,152.7402582,,,,153.908,percent of total billed charges,105.3437454,,,,,,,,,,156.96,percent of total billed charges,102.0203064,,,,,,,,,,156.96,percent of total billed charges,999999999,,,,,,,,,,174.4,percent of total billed charges,146.1381344,,,,172.22,percent of total billed charges,166.1997115,,,,172.22,percent of total billed charges,146.8429466,,,,174.4,percent of total billed charges,999999999,,,,174.4,percent of total billed charges,999999999,,,,152.6,percent of total billed charges,999999999,,,,152.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,115.976,percent of total billed charges,999999999,,,,,,,,,,,,,,,,110.09,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,54.5,percent of total billed charges,51.76166881,,,,,,,,,,54.5,percent of total billed charges,50.90064867,,,,,,,,,,54.5,percent of total billed charges,50.75919795,,,,,,,,,,54.5,percent of total billed charges,50.01176938,,,,,,,,,,54.5,percent of total billed charges,51.29864572,,,,,,,,,,54.5,percent of total billed charges,999999999,,,,,,,,,,54.5,percent of total billed charges,44.01785048,,,,,,,,,,54.5,percent of total billed charges,69.41918567,,,,,,,,,,54.5,percent of total billed charges,999999999,,,,,,,,,,54.5,percent of total billed charges,47.46200816,,,,,,,,,,196.2,percent of total billed charges,,,,,
*HEPATITIS B CORE ANTIBODY IGM(*),86704,CDM,,,,both,,,209,209,44.49274443,209,209,percent of total billed charges,153.7687249,,,,209,percent of total billed charges,162.991808,,,,209,percent of total billed charges,153.7687249,,,,209,percent of total billed charges,162.991808,,,,209,percent of total billed charges,999999999,,,,209,percent of total billed charges,159.2436355,,,,209,percent of total billed charges,153.7687249,,,,209,percent of total billed charges,162.991808,,,,149.017,percent of total billed charges,74.36221002,,,,149.017,percent of total billed charges,44.49274443,,,,149.017,percent of total billed charges,74.36221002,,,,149.017,percent of total billed charges,44.49274443,,,,149.017,percent of total billed charges,74.36221002,,,,149.017,percent of total billed charges,44.49274443,,,,147.554,percent of total billed charges,146.4344677,,,,147.554,percent of total billed charges,100.9946917,,,,,,,,,,150.48,percent of total billed charges,97.80845889,,,,,,,,,,150.48,percent of total billed charges,999999999,,,,,,,,,,167.2,percent of total billed charges,140.1049087,,,,165.11,percent of total billed charges,159.3382555,,,,165.11,percent of total billed charges,140.7806231,,,,167.2,percent of total billed charges,999999999,,,,167.2,percent of total billed charges,999999999,,,,146.3,percent of total billed charges,999999999,,,,146.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,111.188,percent of total billed charges,999999999,,,,,,,,,,,,,,,,105.545,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,52.25,percent of total billed charges,49.62471918,,,,,,,,,,52.25,percent of total billed charges,48.79924575,,,,,,,,,,52.25,percent of total billed charges,48.66363473,,,,,,,,,,52.25,percent of total billed charges,47.9470633,,,,,,,,,,52.25,percent of total billed charges,49.18081173,,,,,,,,,,52.25,percent of total billed charges,999999999,,,,,,,,,,52.25,percent of total billed charges,42.20059978,,,,,,,,,,52.25,percent of total billed charges,66.55325599,,,,,,,,,,52.25,percent of total billed charges,999999999,,,,,,,,,,52.25,percent of total billed charges,45.50256746,,,,,,,,,,188.1,percent of total billed charges,,,,,
**ARGININE STIMULATION TEST(*),83003,CDM,,,,both,,,43,43,9.154009619,43,43,percent of total billed charges,31.63662761,,,,43,percent of total billed charges,33.53419973,,,,43,percent of total billed charges,31.63662761,,,,43,percent of total billed charges,33.53419973,,,,43,percent of total billed charges,999999999,,,,43,percent of total billed charges,32.76304463,,,,43,percent of total billed charges,31.63662761,,,,43,percent of total billed charges,33.53419973,,,,30.659,percent of total billed charges,15.29940206,,,,30.659,percent of total billed charges,9.154009619,,,,30.659,percent of total billed charges,15.29940206,,,,30.659,percent of total billed charges,9.154009619,,,,30.659,percent of total billed charges,15.29940206,,,,30.659,percent of total billed charges,9.154009619,,,,30.358,percent of total billed charges,30.1276656,,,,30.358,percent of total billed charges,20.77881217,,,,,,,,,,30.96,percent of total billed charges,20.12327145,,,,,,,,,,30.96,percent of total billed charges,999999999,,,,,,,,,,34.4,percent of total billed charges,28.82541183,,,,33.97,percent of total billed charges,32.7825119,,,,33.97,percent of total billed charges,28.96443441,,,,34.4,percent of total billed charges,999999999,,,,34.4,percent of total billed charges,999999999,,,,30.1,percent of total billed charges,999999999,,,,30.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,22.876,percent of total billed charges,999999999,,,,,,,,,,,,,,,,21.715,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10.75,percent of total billed charges,10.20987045,,,,,,,,,,10.75,percent of total billed charges,10.04003621,,,,,,,,,,10.75,percent of total billed charges,10.01213538,,,,,,,,,,10.75,percent of total billed charges,9.864706804,,,,,,,,,,10.75,percent of total billed charges,10.11854021,,,,,,,,,,10.75,percent of total billed charges,999999999,,,,,,,,,,10.75,percent of total billed charges,8.68242005,,,,,,,,,,10.75,percent of total billed charges,13.69277516,,,,,,,,,,10.75,percent of total billed charges,999999999,,,,,,,,,,10.75,percent of total billed charges,9.361772252,,,,,,,,,,38.7,percent of total billed charges,,,,,
ESTRONE(*),82679,CDM,,,,both,,,269,269,57.2657811,269,269,percent of total billed charges,197.9128564,,,,269,percent of total billed charges,209.7837146,,,,269,percent of total billed charges,197.9128564,,,,269,percent of total billed charges,209.7837146,,,,269,percent of total billed charges,999999999,,,,269,percent of total billed charges,204.9595117,,,,269,percent of total billed charges,197.9128564,,,,269,percent of total billed charges,209.7837146,,,,191.797,percent of total billed charges,95.71021289,,,,191.797,percent of total billed charges,57.2657811,,,,191.797,percent of total billed charges,95.71021289,,,,191.797,percent of total billed charges,57.2657811,,,,191.797,percent of total billed charges,95.71021289,,,,191.797,percent of total billed charges,57.2657811,,,,189.914,percent of total billed charges,188.4730709,,,,189.914,percent of total billed charges,129.9883831,,,,,,,,,,193.68,percent of total billed charges,125.8874423,,,,,,,,,,193.68,percent of total billed charges,999999999,,,,,,,,,,215.2,percent of total billed charges,180.3264135,,,,212.51,percent of total billed charges,205.0812953,,,,212.51,percent of total billed charges,181.1961129,,,,215.2,percent of total billed charges,999999999,,,,215.2,percent of total billed charges,999999999,,,,188.3,percent of total billed charges,999999999,,,,188.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,143.108,percent of total billed charges,999999999,,,,,,,,,,,,,,,,135.845,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,67.25,percent of total billed charges,63.87105005,,,,,,,,,,67.25,percent of total billed charges,62.80859859,,,,,,,,,,67.25,percent of total billed charges,62.63405618,,,,,,,,,,67.25,percent of total billed charges,61.71177047,,,,,,,,,,67.25,percent of total billed charges,63.29970505,,,,,,,,,,67.25,percent of total billed charges,999999999,,,,,,,,,,67.25,percent of total billed charges,54.3156045,,,,,,,,,,67.25,percent of total billed charges,85.65945388,,,,,,,,,,67.25,percent of total billed charges,999999999,,,,,,,,,,67.25,percent of total billed charges,58.56550548,,,,,,,,,,242.1,percent of total billed charges,,,,,
BB TRANSFUSION REACTION WORKUP,Local,Local,,,,both,,,206,206,43.85409259,206,206,percent of total billed charges,151.5615183,,,,206,percent of total billed charges,160.6522127,,,,206,percent of total billed charges,151.5615183,,,,206,percent of total billed charges,160.6522127,,,,206,percent of total billed charges,999999999,,,,206,percent of total billed charges,156.9578417,,,,206,percent of total billed charges,151.5615183,,,,206,percent of total billed charges,160.6522127,,,,146.878,percent of total billed charges,73.29480987,,,,146.878,percent of total billed charges,43.85409259,,,,146.878,percent of total billed charges,73.29480987,,,,146.878,percent of total billed charges,43.85409259,,,,146.878,percent of total billed charges,73.29480987,,,,146.878,percent of total billed charges,43.85409259,,,,145.436,percent of total billed charges,144.3325375,,,,145.436,percent of total billed charges,99.54500715,,,,,,,,,,148.32,percent of total billed charges,96.40450972,,,,,,,,,,148.32,percent of total billed charges,999999999,,,,,,,,,,164.8,percent of total billed charges,138.0938334,,,,162.74,percent of total billed charges,157.0511035,,,,162.74,percent of total billed charges,138.7598486,,,,164.8,percent of total billed charges,999999999,,,,164.8,percent of total billed charges,999999999,,,,144.2,percent of total billed charges,999999999,,,,144.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,109.592,percent of total billed charges,999999999,,,,,,,,,,,,,,,,104.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,51.5,percent of total billed charges,48.91240264,,,,,,,,,,51.5,percent of total billed charges,48.0987781,,,,,,,,,,51.5,percent of total billed charges,47.96511366,,,,,,,,,,51.5,percent of total billed charges,47.25882794,,,,,,,,,,51.5,percent of total billed charges,48.47486706,,,,,,,,,,51.5,percent of total billed charges,999999999,,,,,,,,,,51.5,percent of total billed charges,41.59484954,,,,,,,,,,51.5,percent of total billed charges,65.59794609,,,,,,,,,,51.5,percent of total billed charges,999999999,,,,,,,,,,51.5,percent of total billed charges,44.84942056,,,,,,,,,,185.4,percent of total billed charges,,,,,
PTH INTACT W/CALCIUM (*),83970,CDM,,,,both,,,503,503,107.0806241,503,503,percent of total billed charges,370.0749694,,,,503,percent of total billed charges,392.2721503,,,,503,percent of total billed charges,370.0749694,,,,503,percent of total billed charges,392.2721503,,,,503,percent of total billed charges,999999999,,,,503,percent of total billed charges,383.251429,,,,503,percent of total billed charges,370.0749694,,,,503,percent of total billed charges,392.2721503,,,,358.639,percent of total billed charges,178.9674241,,,,358.639,percent of total billed charges,107.0806241,,,,358.639,percent of total billed charges,178.9674241,,,,358.639,percent of total billed charges,107.0806241,,,,358.639,percent of total billed charges,178.9674241,,,,358.639,percent of total billed charges,107.0806241,,,,355.118,percent of total billed charges,352.4236232,,,,355.118,percent of total billed charges,243.0637796,,,,,,,,,,362.16,percent of total billed charges,235.3954776,,,,,,,,,,362.16,percent of total billed charges,999999999,,,,,,,,,,402.4,percent of total billed charges,337.1902825,,,,397.37,percent of total billed charges,383.4791508,,,,397.37,percent of total billed charges,338.8165235,,,,402.4,percent of total billed charges,999999999,,,,402.4,percent of total billed charges,999999999,,,,352.1,percent of total billed charges,999999999,,,,352.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,267.596,percent of total billed charges,999999999,,,,,,,,,,,,,,,,254.015,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,125.75,percent of total billed charges,119.4317404,,,,,,,,,,125.75,percent of total billed charges,117.4450747,,,,,,,,,,125.75,percent of total billed charges,117.1186999,,,,,,,,,,125.75,percent of total billed charges,115.3941284,,,,,,,,,,125.75,percent of total billed charges,118.363389,,,,,,,,,,125.75,percent of total billed charges,999999999,,,,,,,,,,125.75,percent of total billed charges,101.5641229,,,,,,,,,,125.75,percent of total billed charges,160.1736257,,,,,,,,,,125.75,percent of total billed charges,999999999,,,,,,,,,,125.75,percent of total billed charges,109.5109638,,,,,,,,,,452.7,percent of total billed charges,,,,,
**URINE COLLECTION FOR DRUG SCREEN,Local,Local,,,,both,,,27,27,5.747866505,27,27,percent of total billed charges,19.86485919,,,,27,percent of total billed charges,21.05635797,,,,27,percent of total billed charges,19.86485919,,,,27,percent of total billed charges,21.05635797,,,,27,percent of total billed charges,999999999,,,,27,percent of total billed charges,20.5721443,,,,27,percent of total billed charges,19.86485919,,,,27,percent of total billed charges,21.05635797,,,,19.251,percent of total billed charges,9.606601294,,,,19.251,percent of total billed charges,5.747866505,,,,19.251,percent of total billed charges,9.606601294,,,,19.251,percent of total billed charges,5.747866505,,,,19.251,percent of total billed charges,9.606601294,,,,19.251,percent of total billed charges,5.747866505,,,,19.062,percent of total billed charges,18.91737142,,,,19.062,percent of total billed charges,13.04716113,,,,,,,,,,19.44,percent of total billed charges,12.63554254,,,,,,,,,,19.44,percent of total billed charges,999999999,,,,,,,,,,21.6,percent of total billed charges,18.09967719,,,,21.33,percent of total billed charges,20.58436793,,,,21.33,percent of total billed charges,18.18697044,,,,21.6,percent of total billed charges,999999999,,,,21.6,percent of total billed charges,999999999,,,,18.9,percent of total billed charges,999999999,,,,18.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,14.364,percent of total billed charges,999999999,,,,,,,,,,,,,,,,13.635,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6.75,percent of total billed charges,6.41084889,,,,,,,,,,6.75,percent of total billed charges,6.30420878,,,,,,,,,,6.75,percent of total billed charges,6.286689654,,,,,,,,,,6.75,percent of total billed charges,6.194118226,,,,,,,,,,6.75,percent of total billed charges,6.353501993,,,,,,,,,,6.75,percent of total billed charges,999999999,,,,,,,,,,6.75,percent of total billed charges,5.451752124,,,,,,,,,,6.75,percent of total billed charges,8.597789051,,,,,,,,,,6.75,percent of total billed charges,999999999,,,,,,,,,,6.75,percent of total billed charges,5.878322112,,,,,,,,,,24.3,percent of total billed charges,,,,,
**URINE COLLECTION FOR ADMA DRUG TEST,Local,Local,,,,both,,,27,27,5.747866505,27,27,percent of total billed charges,19.86485919,,,,27,percent of total billed charges,21.05635797,,,,27,percent of total billed charges,19.86485919,,,,27,percent of total billed charges,21.05635797,,,,27,percent of total billed charges,999999999,,,,27,percent of total billed charges,20.5721443,,,,27,percent of total billed charges,19.86485919,,,,27,percent of total billed charges,21.05635797,,,,19.251,percent of total billed charges,9.606601294,,,,19.251,percent of total billed charges,5.747866505,,,,19.251,percent of total billed charges,9.606601294,,,,19.251,percent of total billed charges,5.747866505,,,,19.251,percent of total billed charges,9.606601294,,,,19.251,percent of total billed charges,5.747866505,,,,19.062,percent of total billed charges,18.91737142,,,,19.062,percent of total billed charges,13.04716113,,,,,,,,,,19.44,percent of total billed charges,12.63554254,,,,,,,,,,19.44,percent of total billed charges,999999999,,,,,,,,,,21.6,percent of total billed charges,18.09967719,,,,21.33,percent of total billed charges,20.58436793,,,,21.33,percent of total billed charges,18.18697044,,,,21.6,percent of total billed charges,999999999,,,,21.6,percent of total billed charges,999999999,,,,18.9,percent of total billed charges,999999999,,,,18.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,14.364,percent of total billed charges,999999999,,,,,,,,,,,,,,,,13.635,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6.75,percent of total billed charges,6.41084889,,,,,,,,,,6.75,percent of total billed charges,6.30420878,,,,,,,,,,6.75,percent of total billed charges,6.286689654,,,,,,,,,,6.75,percent of total billed charges,6.194118226,,,,,,,,,,6.75,percent of total billed charges,6.353501993,,,,,,,,,,6.75,percent of total billed charges,999999999,,,,,,,,,,6.75,percent of total billed charges,5.451752124,,,,,,,,,,6.75,percent of total billed charges,8.597789051,,,,,,,,,,6.75,percent of total billed charges,999999999,,,,,,,,,,6.75,percent of total billed charges,5.878322112,,,,,,,,,,24.3,percent of total billed charges,,,,,
URINE COLLECTION CYDE ENTERPRISES,Local,Local,,,,both,,,117,117,24.90742152,117,117,percent of total billed charges,86.08105651,,,,117,percent of total billed charges,91.24421787,,,,117,percent of total billed charges,86.08105651,,,,117,percent of total billed charges,91.24421787,,,,117,percent of total billed charges,999999999,,,,117,percent of total billed charges,89.14595864,,,,117,percent of total billed charges,86.08105651,,,,117,percent of total billed charges,91.24421787,,,,83.421,percent of total billed charges,41.62860561,,,,83.421,percent of total billed charges,24.90742152,,,,83.421,percent of total billed charges,41.62860561,,,,83.421,percent of total billed charges,24.90742152,,,,83.421,percent of total billed charges,41.62860561,,,,83.421,percent of total billed charges,24.90742152,,,,82.602,percent of total billed charges,81.97527617,,,,82.602,percent of total billed charges,56.53769823,,,,,,,,,,84.24,percent of total billed charges,54.75401765,,,,,,,,,,84.24,percent of total billed charges,999999999,,,,,,,,,,93.6,percent of total billed charges,78.43193451,,,,92.43,percent of total billed charges,89.19892772,,,,92.43,percent of total billed charges,78.81020526,,,,93.6,percent of total billed charges,999999999,,,,93.6,percent of total billed charges,999999999,,,,81.9,percent of total billed charges,999999999,,,,81.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,62.244,percent of total billed charges,999999999,,,,,,,,,,,,,,,,59.085,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,29.25,percent of total billed charges,27.78034519,,,,,,,,,,29.25,percent of total billed charges,27.31823805,,,,,,,,,,29.25,percent of total billed charges,27.24232183,,,,,,,,,,29.25,percent of total billed charges,26.84117898,,,,,,,,,,29.25,percent of total billed charges,27.53184197,,,,,,,,,,29.25,percent of total billed charges,999999999,,,,,,,,,,29.25,percent of total billed charges,23.62425921,,,,,,,,,,29.25,percent of total billed charges,37.25708589,,,,,,,,,,29.25,percent of total billed charges,999999999,,,,,,,,,,29.25,percent of total billed charges,25.47272915,,,,,,,,,,105.3,percent of total billed charges,,,,,
CYSTIC FIBROSIS GENOTYPE(*),81220,CDM,,,,both,,,519,519,110.4867673,519,519,percent of total billed charges,381.8467378,,,,519,percent of total billed charges,404.7499921,,,,519,percent of total billed charges,381.8467378,,,,519,percent of total billed charges,404.7499921,,,,519,percent of total billed charges,999999999,,,,519,percent of total billed charges,395.4423294,,,,519,percent of total billed charges,381.8467378,,,,519,percent of total billed charges,404.7499921,,,,370.047,percent of total billed charges,184.6602249,,,,370.047,percent of total billed charges,110.4867673,,,,370.047,percent of total billed charges,184.6602249,,,,370.047,percent of total billed charges,110.4867673,,,,370.047,percent of total billed charges,184.6602249,,,,370.047,percent of total billed charges,110.4867673,,,,366.414,percent of total billed charges,363.6339174,,,,366.414,percent of total billed charges,250.7954306,,,,,,,,,,373.68,percent of total billed charges,242.8832065,,,,,,,,,,373.68,percent of total billed charges,999999999,,,,,,,,,,415.2,percent of total billed charges,347.9160172,,,,410.01,percent of total billed charges,395.6772947,,,,410.01,percent of total billed charges,349.5939874,,,,415.2,percent of total billed charges,999999999,,,,415.2,percent of total billed charges,999999999,,,,363.3,percent of total billed charges,999999999,,,,363.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,276.108,percent of total billed charges,999999999,,,,,,,,,,,,,,,,262.095,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,129.75,percent of total billed charges,123.230762,,,,,,,,,,129.75,percent of total billed charges,121.1809021,,,,,,,,,,129.75,percent of total billed charges,120.8441456,,,,,,,,,,129.75,percent of total billed charges,119.064717,,,,,,,,,,129.75,percent of total billed charges,122.1284272,,,,,,,,,,129.75,percent of total billed charges,999999999,,,,,,,,,,129.75,percent of total billed charges,104.7947908,,,,,,,,,,129.75,percent of total billed charges,165.2686118,,,,,,,,,,129.75,percent of total billed charges,999999999,,,,,,,,,,129.75,percent of total billed charges,112.9944139,,,,,,,,,,467.1,percent of total billed charges,,,,,
5 PRIME NUCLEOTIDASE(*),83915,CDM,,,,both,,,164,164,34.91296692,164,164,percent of total billed charges,120.6606262,,,,164,percent of total billed charges,127.897878,,,,164,percent of total billed charges,120.6606262,,,,164,percent of total billed charges,127.897878,,,,164,percent of total billed charges,999999999,,,,164,percent of total billed charges,124.9567283,,,,164,percent of total billed charges,120.6606262,,,,164,percent of total billed charges,127.897878,,,,116.932,percent of total billed charges,58.35120786,,,,116.932,percent of total billed charges,34.91296692,,,,116.932,percent of total billed charges,58.35120786,,,,116.932,percent of total billed charges,34.91296692,,,,116.932,percent of total billed charges,58.35120786,,,,116.932,percent of total billed charges,34.91296692,,,,115.784,percent of total billed charges,114.9055153,,,,115.784,percent of total billed charges,79.24942317,,,,,,,,,,118.08,percent of total billed charges,76.74922133,,,,,,,,,,118.08,percent of total billed charges,999999999,,,,,,,,,,131.2,percent of total billed charges,109.93878,,,,129.56,percent of total billed charges,125.0309756,,,,129.56,percent of total billed charges,110.4690057,,,,131.2,percent of total billed charges,999999999,,,,131.2,percent of total billed charges,999999999,,,,114.8,percent of total billed charges,999999999,,,,114.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,87.248,percent of total billed charges,999999999,,,,,,,,,,,,,,,,82.82,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,41,percent of total billed charges,38.93997103,,,,,,,,,,41,percent of total billed charges,38.29223111,,,,,,,,,,41,percent of total billed charges,38.18581864,,,,,,,,,,41,percent of total billed charges,37.62353293,,,,,,,,,,41,percent of total billed charges,38.59164174,,,,,,,,,,41,percent of total billed charges,999999999,,,,,,,,,,41,percent of total billed charges,33.11434624,,,,,,,,,,41,percent of total billed charges,52.22360757,,,,,,,,,,41,percent of total billed charges,999999999,,,,,,,,,,41,percent of total billed charges,35.70536394,,,,,,,,,,147.6,percent of total billed charges,,,,,
SPECIMEN PROCUREMENT H/C,Local,Local,,,,both,,,208,208,44.27986048,208,208,percent of total billed charges,153.0329894,,,,208,percent of total billed charges,162.2119429,,,,208,percent of total billed charges,153.0329894,,,,208,percent of total billed charges,162.2119429,,,,208,percent of total billed charges,999999999,,,,208,percent of total billed charges,158.4817042,,,,208,percent of total billed charges,153.0329894,,,,208,percent of total billed charges,162.2119429,,,,148.304,percent of total billed charges,74.00640997,,,,148.304,percent of total billed charges,44.27986048,,,,148.304,percent of total billed charges,74.00640997,,,,148.304,percent of total billed charges,44.27986048,,,,148.304,percent of total billed charges,74.00640997,,,,148.304,percent of total billed charges,44.27986048,,,,146.848,percent of total billed charges,145.7338243,,,,146.848,percent of total billed charges,100.5114635,,,,,,,,,,149.76,percent of total billed charges,97.34047583,,,,,,,,,,149.76,percent of total billed charges,999999999,,,,,,,,,,166.4,percent of total billed charges,139.4345502,,,,164.32,percent of total billed charges,158.5758715,,,,164.32,percent of total billed charges,140.1070316,,,,166.4,percent of total billed charges,999999999,,,,166.4,percent of total billed charges,999999999,,,,145.6,percent of total billed charges,999999999,,,,145.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,110.656,percent of total billed charges,999999999,,,,,,,,,,,,,,,,105.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,52,percent of total billed charges,49.38728033,,,,,,,,,,52,percent of total billed charges,48.56575653,,,,,,,,,,52,percent of total billed charges,48.43079437,,,,,,,,,,52,percent of total billed charges,47.71765152,,,,,,,,,,52,percent of total billed charges,48.94549684,,,,,,,,,,52,percent of total billed charges,999999999,,,,,,,,,,52,percent of total billed charges,41.99868303,,,,,,,,,,52,percent of total billed charges,66.23481936,,,,,,,,,,52,percent of total billed charges,999999999,,,,,,,,,,52,percent of total billed charges,45.28485182,,,,,,,,,,187.2,percent of total billed charges,,,,,
SPECIMEN RECUT-BREAST BIOPSY,88399,CDM,,,,both,,,560,560,119.215009,560,560,percent of total billed charges,412.0118944,,,,560,percent of total billed charges,436.7244616,,,,560,percent of total billed charges,412.0118944,,,,560,percent of total billed charges,436.7244616,,,,560,percent of total billed charges,999999999,,,,560,percent of total billed charges,426.6815114,,,,560,percent of total billed charges,412.0118944,,,,560,percent of total billed charges,436.7244616,,,,399.28,percent of total billed charges,199.2480268,,,,399.28,percent of total billed charges,119.215009,,,,399.28,percent of total billed charges,199.2480268,,,,399.28,percent of total billed charges,119.215009,,,,399.28,percent of total billed charges,199.2480268,,,,399.28,percent of total billed charges,119.215009,,,,395.36,percent of total billed charges,392.3602962,,,,395.36,percent of total billed charges,270.6077864,,,,,,,,,,403.2,percent of total billed charges,262.0705119,,,,,,,,,,403.2,percent of total billed charges,999999999,,,,,,,,,,448,percent of total billed charges,375.4007122,,,,442.4,percent of total billed charges,426.9350386,,,,442.4,percent of total billed charges,377.2112388,,,,448,percent of total billed charges,999999999,,,,448,percent of total billed charges,999999999,,,,392,percent of total billed charges,999999999,,,,392,percent of total billed charges,999999999,,,,,,,,,,,,,,,,297.92,percent of total billed charges,999999999,,,,,,,,,,,,,,,,282.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,140,percent of total billed charges,132.9657547,,,,,,,,,,140,percent of total billed charges,130.7539599,,,,,,,,,,140,percent of total billed charges,130.3906002,,,,,,,,,,140,percent of total billed charges,128.4706002,,,,,,,,,,140,percent of total billed charges,131.7763376,,,,,,,,,,140,percent of total billed charges,999999999,,,,,,,,,,140,percent of total billed charges,113.0733774,,,,,,,,,,140,percent of total billed charges,178.3245137,,,,,,,,,,140,percent of total billed charges,999999999,,,,,,,,,,140,percent of total billed charges,121.9207549,,,,,,,,,,504,percent of total billed charges,,,,,
GIARDIA INFECTIOUS AGENT ANTIGEN,87329,CDM,,,,both,,,152,152,32.35835958,152,152,percent of total billed charges,111.8317999,,,,152,percent of total billed charges,118.5394967,,,,152,percent of total billed charges,111.8317999,,,,152,percent of total billed charges,118.5394967,,,,152,percent of total billed charges,999999999,,,,152,percent of total billed charges,115.8135531,,,,152,percent of total billed charges,111.8317999,,,,152,percent of total billed charges,118.5394967,,,,108.376,percent of total billed charges,54.08160728,,,,108.376,percent of total billed charges,32.35835958,,,,108.376,percent of total billed charges,54.08160728,,,,108.376,percent of total billed charges,32.35835958,,,,108.376,percent of total billed charges,54.08160728,,,,108.376,percent of total billed charges,32.35835958,,,,107.312,percent of total billed charges,106.4977947,,,,107.312,percent of total billed charges,73.45068489,,,,,,,,,,109.44,percent of total billed charges,71.13342465,,,,,,,,,,109.44,percent of total billed charges,999999999,,,,,,,,,,121.6,percent of total billed charges,101.894479,,,,120.08,percent of total billed charges,115.8823676,,,,120.08,percent of total billed charges,102.3859077,,,,121.6,percent of total billed charges,999999999,,,,121.6,percent of total billed charges,999999999,,,,106.4,percent of total billed charges,999999999,,,,106.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,80.864,percent of total billed charges,999999999,,,,,,,,,,,,,,,,76.76,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,38,percent of total billed charges,36.09070486,,,,,,,,,,38,percent of total billed charges,35.49036054,,,,,,,,,,38,percent of total billed charges,35.39173435,,,,,,,,,,38,percent of total billed charges,34.87059149,,,,,,,,,,38,percent of total billed charges,35.76786307,,,,,,,,,,38,percent of total billed charges,999999999,,,,,,,,,,38,percent of total billed charges,30.69134529,,,,,,,,,,38,percent of total billed charges,48.40236799,,,,,,,,,,38,percent of total billed charges,999999999,,,,,,,,,,38,percent of total billed charges,33.09277633,,,,,,,,,,136.8,percent of total billed charges,,,,,
GLUCOSE POINT OF CARE TEST,82962,CDM,,,,both,,,74,74,15.7534119,74,74,percent of total billed charges,54.4444289,,,,74,percent of total billed charges,57.71001814,,,,74,percent of total billed charges,54.4444289,,,,74,percent of total billed charges,57.71001814,,,,74,percent of total billed charges,999999999,,,,74,percent of total billed charges,56.38291401,,,,74,percent of total billed charges,54.4444289,,,,74,percent of total billed charges,57.71001814,,,,52.762,percent of total billed charges,26.32920355,,,,52.762,percent of total billed charges,15.7534119,,,,52.762,percent of total billed charges,26.32920355,,,,52.762,percent of total billed charges,15.7534119,,,,52.762,percent of total billed charges,26.32920355,,,,52.762,percent of total billed charges,15.7534119,,,,52.244,percent of total billed charges,51.84761057,,,,52.244,percent of total billed charges,35.75888606,,,,,,,,,,53.28,percent of total billed charges,34.63074621,,,,,,,,,,53.28,percent of total billed charges,999999999,,,,,,,,,,59.2,percent of total billed charges,49.60652268,,,,58.46,percent of total billed charges,56.41641582,,,,58.46,percent of total billed charges,49.84577085,,,,59.2,percent of total billed charges,999999999,,,,59.2,percent of total billed charges,999999999,,,,51.8,percent of total billed charges,999999999,,,,51.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,39.368,percent of total billed charges,999999999,,,,,,,,,,,,,,,,37.37,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18.5,percent of total billed charges,17.57047473,,,,,,,,,,18.5,percent of total billed charges,17.27820184,,,,,,,,,,18.5,percent of total billed charges,17.23018646,,,,,,,,,,18.5,percent of total billed charges,16.97647217,,,,,,,,,,18.5,percent of total billed charges,17.41330176,,,,,,,,,,18.5,percent of total billed charges,999999999,,,,,,,,,,18.5,percent of total billed charges,14.94183916,,,,,,,,,,18.5,percent of total billed charges,23.56431073,,,,,,,,,,18.5,percent of total billed charges,999999999,,,,,,,,,,18.5,percent of total billed charges,16.1109569,,,,,,,,,,66.6,percent of total billed charges,,,,,
MRSA BY PCR,87641,CDM,,,,both,,,337,337,71.74188934,337,337,percent of total billed charges,247.9428722,,,,337,percent of total billed charges,262.8145421,,,,337,percent of total billed charges,247.9428722,,,,337,percent of total billed charges,262.8145421,,,,337,percent of total billed charges,999999999,,,,337,percent of total billed charges,256.7708381,,,,337,percent of total billed charges,247.9428722,,,,337,percent of total billed charges,262.8145421,,,,240.281,percent of total billed charges,119.9046162,,,,240.281,percent of total billed charges,71.74188934,,,,240.281,percent of total billed charges,119.9046162,,,,240.281,percent of total billed charges,71.74188934,,,,240.281,percent of total billed charges,119.9046162,,,,240.281,percent of total billed charges,71.74188934,,,,237.922,percent of total billed charges,236.1168211,,,,237.922,percent of total billed charges,162.8479,,,,,,,,,,242.64,percent of total billed charges,157.7102902,,,,,,,,,,242.64,percent of total billed charges,999999999,,,,,,,,,,269.6,percent of total billed charges,225.9107857,,,,266.23,percent of total billed charges,256.9234072,,,,266.23,percent of total billed charges,227.0003348,,,,269.6,percent of total billed charges,999999999,,,,269.6,percent of total billed charges,999999999,,,,235.9,percent of total billed charges,999999999,,,,235.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,179.284,percent of total billed charges,999999999,,,,,,,,,,,,,,,,170.185,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,84.25,percent of total billed charges,80.0168917,,,,,,,,,,84.25,percent of total billed charges,78.68586515,,,,,,,,,,84.25,percent of total billed charges,78.4672005,,,,,,,,,,84.25,percent of total billed charges,77.31177193,,,,,,,,,,84.25,percent of total billed charges,79.30111747,,,,,,,,,,84.25,percent of total billed charges,999999999,,,,,,,,,,84.25,percent of total billed charges,68.04594318,,,,,,,,,,84.25,percent of total billed charges,107.3131448,,,,,,,,,,84.25,percent of total billed charges,999999999,,,,,,,,,,84.25,percent of total billed charges,73.37016858,,,,,,,,,,303.3,percent of total billed charges,,,,,
**COLD AGGLUTINS TITER,86157,CDM,,,,both,,,64,64,13.62457246,64,64,percent of total billed charges,47.08707365,,,,64,percent of total billed charges,49.91136704,,,,64,percent of total billed charges,47.08707365,,,,64,percent of total billed charges,49.91136704,,,,64,percent of total billed charges,999999999,,,,64,percent of total billed charges,48.76360131,,,,64,percent of total billed charges,47.08707365,,,,64,percent of total billed charges,49.91136704,,,,45.632,percent of total billed charges,22.77120307,,,,45.632,percent of total billed charges,13.62457246,,,,45.632,percent of total billed charges,22.77120307,,,,45.632,percent of total billed charges,13.62457246,,,,45.632,percent of total billed charges,22.77120307,,,,45.632,percent of total billed charges,13.62457246,,,,45.184,percent of total billed charges,44.84117671,,,,45.184,percent of total billed charges,30.92660416,,,,,,,,,,46.08,percent of total billed charges,29.95091564,,,,,,,,,,46.08,percent of total billed charges,999999999,,,,,,,,,,51.2,percent of total billed charges,42.90293853,,,,50.56,percent of total billed charges,48.79257585,,,,50.56,percent of total billed charges,43.10985587,,,,51.2,percent of total billed charges,999999999,,,,51.2,percent of total billed charges,999999999,,,,44.8,percent of total billed charges,999999999,,,,44.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,34.048,percent of total billed charges,999999999,,,,,,,,,,,,,,,,32.32,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16,percent of total billed charges,15.19608626,,,,,,,,,,16,percent of total billed charges,14.9433097,,,,,,,,,,16,percent of total billed charges,14.90178288,,,,,,,,,,16,percent of total billed charges,14.68235431,,,,,,,,,,16,percent of total billed charges,15.06015287,,,,,,,,,,16,percent of total billed charges,999999999,,,,,,,,,,16,percent of total billed charges,12.9226717,,,,,,,,,,16,percent of total billed charges,20.37994442,,,,,,,,,,16,percent of total billed charges,999999999,,,,,,,,,,16,percent of total billed charges,13.93380056,,,,,,,,,,57.6,percent of total billed charges,,,,,
**FEBRILE AGGLUTINATIONS,86000,CDM,,,,both,,,74,74,15.7534119,74,74,percent of total billed charges,54.4444289,,,,74,percent of total billed charges,57.71001814,,,,74,percent of total billed charges,54.4444289,,,,74,percent of total billed charges,57.71001814,,,,74,percent of total billed charges,999999999,,,,74,percent of total billed charges,56.38291401,,,,74,percent of total billed charges,54.4444289,,,,74,percent of total billed charges,57.71001814,,,,52.762,percent of total billed charges,26.32920355,,,,52.762,percent of total billed charges,15.7534119,,,,52.762,percent of total billed charges,26.32920355,,,,52.762,percent of total billed charges,15.7534119,,,,52.762,percent of total billed charges,26.32920355,,,,52.762,percent of total billed charges,15.7534119,,,,52.244,percent of total billed charges,51.84761057,,,,52.244,percent of total billed charges,35.75888606,,,,,,,,,,53.28,percent of total billed charges,34.63074621,,,,,,,,,,53.28,percent of total billed charges,999999999,,,,,,,,,,59.2,percent of total billed charges,49.60652268,,,,58.46,percent of total billed charges,56.41641582,,,,58.46,percent of total billed charges,49.84577085,,,,59.2,percent of total billed charges,999999999,,,,59.2,percent of total billed charges,999999999,,,,51.8,percent of total billed charges,999999999,,,,51.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,39.368,percent of total billed charges,999999999,,,,,,,,,,,,,,,,37.37,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18.5,percent of total billed charges,17.57047473,,,,,,,,,,18.5,percent of total billed charges,17.27820184,,,,,,,,,,18.5,percent of total billed charges,17.23018646,,,,,,,,,,18.5,percent of total billed charges,16.97647217,,,,,,,,,,18.5,percent of total billed charges,17.41330176,,,,,,,,,,18.5,percent of total billed charges,999999999,,,,,,,,,,18.5,percent of total billed charges,14.94183916,,,,,,,,,,18.5,percent of total billed charges,23.56431073,,,,,,,,,,18.5,percent of total billed charges,999999999,,,,,,,,,,18.5,percent of total billed charges,16.1109569,,,,,,,,,,66.6,percent of total billed charges,,,,,
**ACID PHOSPHATASE,84060,CDM,,,,both,,,29,29,6.173634394,29,29,percent of total billed charges,21.33633025,,,,29,percent of total billed charges,22.61608819,,,,29,percent of total billed charges,21.33633025,,,,29,percent of total billed charges,22.61608819,,,,29,percent of total billed charges,999999999,,,,29,percent of total billed charges,22.09600684,,,,29,percent of total billed charges,21.33633025,,,,29,percent of total billed charges,22.61608819,,,,20.677,percent of total billed charges,10.31820139,,,,20.677,percent of total billed charges,6.173634394,,,,20.677,percent of total billed charges,10.31820139,,,,20.677,percent of total billed charges,6.173634394,,,,20.677,percent of total billed charges,10.31820139,,,,20.677,percent of total billed charges,6.173634394,,,,20.474,percent of total billed charges,20.3186582,,,,20.474,percent of total billed charges,14.01361751,,,,,,,,,,20.88,percent of total billed charges,13.57150865,,,,,,,,,,20.88,percent of total billed charges,999999999,,,,,,,,,,23.2,percent of total billed charges,19.44039402,,,,22.91,percent of total billed charges,22.10913593,,,,22.91,percent of total billed charges,19.53415344,,,,23.2,percent of total billed charges,999999999,,,,23.2,percent of total billed charges,999999999,,,,20.3,percent of total billed charges,999999999,,,,20.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,15.428,percent of total billed charges,999999999,,,,,,,,,,,,,,,,14.645,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7.25,percent of total billed charges,6.885726585,,,,,,,,,,7.25,percent of total billed charges,6.771187209,,,,,,,,,,7.25,percent of total billed charges,6.752370369,,,,,,,,,,7.25,percent of total billed charges,6.652941798,,,,,,,,,,7.25,percent of total billed charges,6.824131771,,,,,,,,,,7.25,percent of total billed charges,999999999,,,,,,,,,,7.25,percent of total billed charges,5.855585615,,,,,,,,,,7.25,percent of total billed charges,9.234662314,,,,,,,,,,7.25,percent of total billed charges,999999999,,,,,,,,,,7.25,percent of total billed charges,6.313753379,,,,,,,,,,26.1,percent of total billed charges,,,,,
**ANTI-DNA ANTIBODIES,86225,CDM,,,,both,,,90,90,19.15955502,90,90,percent of total billed charges,66.21619731,,,,90,percent of total billed charges,70.1878599,,,,90,percent of total billed charges,66.21619731,,,,90,percent of total billed charges,70.1878599,,,,90,percent of total billed charges,999999999,,,,90,percent of total billed charges,68.57381434,,,,90,percent of total billed charges,66.21619731,,,,90,percent of total billed charges,70.1878599,,,,64.17,percent of total billed charges,32.02200431,,,,64.17,percent of total billed charges,19.15955502,,,,64.17,percent of total billed charges,32.02200431,,,,64.17,percent of total billed charges,19.15955502,,,,64.17,percent of total billed charges,32.02200431,,,,64.17,percent of total billed charges,19.15955502,,,,63.54,percent of total billed charges,63.05790475,,,,63.54,percent of total billed charges,43.4905371,,,,,,,,,,64.8,percent of total billed charges,42.11847512,,,,,,,,,,64.8,percent of total billed charges,999999999,,,,,,,,,,72,percent of total billed charges,60.33225731,,,,71.1,percent of total billed charges,68.61455978,,,,71.1,percent of total billed charges,60.62323481,,,,72,percent of total billed charges,999999999,,,,72,percent of total billed charges,999999999,,,,63,percent of total billed charges,999999999,,,,63,percent of total billed charges,999999999,,,,,,,,,,,,,,,,47.88,percent of total billed charges,999999999,,,,,,,,,,,,,,,,45.45,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,22.5,percent of total billed charges,21.3694963,,,,,,,,,,22.5,percent of total billed charges,21.01402927,,,,,,,,,,22.5,percent of total billed charges,20.95563218,,,,,,,,,,22.5,percent of total billed charges,20.64706075,,,,,,,,,,22.5,percent of total billed charges,21.17833998,,,,,,,,,,22.5,percent of total billed charges,999999999,,,,,,,,,,22.5,percent of total billed charges,18.17250708,,,,,,,,,,22.5,percent of total billed charges,28.65929684,,,,,,,,,,22.5,percent of total billed charges,999999999,,,,,,,,,,22.5,percent of total billed charges,19.59440704,,,,,,,,,,81,percent of total billed charges,,,,,
**AKLALINE PHOSPHATASE ISOENZYM,84080,CDM,,,,both,,,99,99,21.07551052,99,99,percent of total billed charges,72.83781705,,,,99,percent of total billed charges,77.20664589,,,,99,percent of total billed charges,72.83781705,,,,99,percent of total billed charges,77.20664589,,,,99,percent of total billed charges,999999999,,,,99,percent of total billed charges,75.43119577,,,,99,percent of total billed charges,72.83781705,,,,99,percent of total billed charges,77.20664589,,,,70.587,percent of total billed charges,35.22420474,,,,70.587,percent of total billed charges,21.07551052,,,,70.587,percent of total billed charges,35.22420474,,,,70.587,percent of total billed charges,21.07551052,,,,70.587,percent of total billed charges,35.22420474,,,,70.587,percent of total billed charges,21.07551052,,,,69.894,percent of total billed charges,69.36369522,,,,69.894,percent of total billed charges,47.83959081,,,,,,,,,,71.28,percent of total billed charges,46.33032263,,,,,,,,,,71.28,percent of total billed charges,999999999,,,,,,,,,,79.2,percent of total billed charges,66.36548304,,,,78.21,percent of total billed charges,75.47601576,,,,78.21,percent of total billed charges,66.6855583,,,,79.2,percent of total billed charges,999999999,,,,79.2,percent of total billed charges,999999999,,,,69.3,percent of total billed charges,999999999,,,,69.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,52.668,percent of total billed charges,999999999,,,,,,,,,,,,,,,,49.995,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,24.75,percent of total billed charges,23.50644593,,,,,,,,,,24.75,percent of total billed charges,23.1154322,,,,,,,,,,24.75,percent of total billed charges,23.0511954,,,,,,,,,,24.75,percent of total billed charges,22.71176683,,,,,,,,,,24.75,percent of total billed charges,23.29617398,,,,,,,,,,24.75,percent of total billed charges,999999999,,,,,,,,,,24.75,percent of total billed charges,19.98975779,,,,,,,,,,24.75,percent of total billed charges,31.52522652,,,,,,,,,,24.75,percent of total billed charges,999999999,,,,,,,,,,24.75,percent of total billed charges,21.55384774,,,,,,,,,,89.1,percent of total billed charges,,,,,
**AMYLASE - URINE,82150,CDM,,,,both,,,82,82,17.45648346,82,82,percent of total billed charges,60.33031311,,,,82,percent of total billed charges,63.94893902,,,,82,percent of total billed charges,60.33031311,,,,82,percent of total billed charges,63.94893902,,,,82,percent of total billed charges,999999999,,,,82,percent of total billed charges,62.47836417,,,,82,percent of total billed charges,60.33031311,,,,82,percent of total billed charges,63.94893902,,,,58.466,percent of total billed charges,29.17560393,,,,58.466,percent of total billed charges,17.45648346,,,,58.466,percent of total billed charges,29.17560393,,,,58.466,percent of total billed charges,17.45648346,,,,58.466,percent of total billed charges,29.17560393,,,,58.466,percent of total billed charges,17.45648346,,,,57.892,percent of total billed charges,57.45275766,,,,57.892,percent of total billed charges,39.62471158,,,,,,,,,,59.04,percent of total billed charges,38.37461066,,,,,,,,,,59.04,percent of total billed charges,999999999,,,,,,,,,,65.6,percent of total billed charges,54.96939,,,,64.78,percent of total billed charges,62.5154878,,,,64.78,percent of total billed charges,55.23450283,,,,65.6,percent of total billed charges,999999999,,,,65.6,percent of total billed charges,999999999,,,,57.4,percent of total billed charges,999999999,,,,57.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,43.624,percent of total billed charges,999999999,,,,,,,,,,,,,,,,41.41,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20.5,percent of total billed charges,19.46998552,,,,,,,,,,20.5,percent of total billed charges,19.14611556,,,,,,,,,,20.5,percent of total billed charges,19.09290932,,,,,,,,,,20.5,percent of total billed charges,18.81176646,,,,,,,,,,20.5,percent of total billed charges,19.29582087,,,,,,,,,,20.5,percent of total billed charges,999999999,,,,,,,,,,20.5,percent of total billed charges,16.55717312,,,,,,,,,,20.5,percent of total billed charges,26.11180378,,,,,,,,,,20.5,percent of total billed charges,999999999,,,,,,,,,,20.5,percent of total billed charges,17.85268197,,,,,,,,,,73.8,percent of total billed charges,,,,,
**EXTRACTRABLE NUCLEAR ANTIGEN,86235,CDM,,,,both,,,95,95,20.22397474,95,95,percent of total billed charges,69.89487494,,,,95,percent of total billed charges,74.08718545,,,,95,percent of total billed charges,69.89487494,,,,95,percent of total billed charges,74.08718545,,,,95,percent of total billed charges,999999999,,,,95,percent of total billed charges,72.38347069,,,,95,percent of total billed charges,69.89487494,,,,95,percent of total billed charges,74.08718545,,,,67.735,percent of total billed charges,33.80100455,,,,67.735,percent of total billed charges,20.22397474,,,,67.735,percent of total billed charges,33.80100455,,,,67.735,percent of total billed charges,20.22397474,,,,67.735,percent of total billed charges,33.80100455,,,,67.735,percent of total billed charges,20.22397474,,,,67.07,percent of total billed charges,66.56112168,,,,67.07,percent of total billed charges,45.90667805,,,,,,,,,,68.4,percent of total billed charges,44.4583904,,,,,,,,,,68.4,percent of total billed charges,999999999,,,,,,,,,,76,percent of total billed charges,63.68404939,,,,75.05,percent of total billed charges,72.42647977,,,,75.05,percent of total billed charges,63.9911923,,,,76,percent of total billed charges,999999999,,,,76,percent of total billed charges,999999999,,,,66.5,percent of total billed charges,999999999,,,,66.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,50.54,percent of total billed charges,999999999,,,,,,,,,,,,,,,,47.975,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23.75,percent of total billed charges,22.55669054,,,,,,,,,,23.75,percent of total billed charges,22.18147534,,,,,,,,,,23.75,percent of total billed charges,22.11983397,,,,,,,,,,23.75,percent of total billed charges,21.79411968,,,,,,,,,,23.75,percent of total billed charges,22.35491442,,,,,,,,,,23.75,percent of total billed charges,999999999,,,,,,,,,,23.75,percent of total billed charges,19.18209081,,,,,,,,,,23.75,percent of total billed charges,30.25147999,,,,,,,,,,23.75,percent of total billed charges,999999999,,,,,,,,,,23.75,percent of total billed charges,20.68298521,,,,,,,,,,85.5,percent of total billed charges,,,,,
ANGIOTENSIN CONVERTING ENZYME(*)0,82164,CDM,,,,both,,,134,134,28.52644858,134,134,percent of total billed charges,98.58856045,,,,134,percent of total billed charges,104.5019247,,,,134,percent of total billed charges,98.58856045,,,,134,percent of total billed charges,104.5019247,,,,134,percent of total billed charges,999999999,,,,134,percent of total billed charges,102.0987902,,,,134,percent of total billed charges,98.58856045,,,,134,percent of total billed charges,104.5019247,,,,95.542,percent of total billed charges,47.67720642,,,,95.542,percent of total billed charges,28.52644858,,,,95.542,percent of total billed charges,47.67720642,,,,95.542,percent of total billed charges,28.52644858,,,,95.542,percent of total billed charges,47.67720642,,,,95.542,percent of total billed charges,28.52644858,,,,94.604,percent of total billed charges,93.88621373,,,,94.604,percent of total billed charges,64.75257747,,,,,,,,,,96.48,percent of total billed charges,62.70972962,,,,,,,,,,96.48,percent of total billed charges,999999999,,,,,,,,,,107.2,percent of total billed charges,89.82802756,,,,105.86,percent of total billed charges,102.1594557,,,,105.86,percent of total billed charges,90.26126072,,,,107.2,percent of total billed charges,999999999,,,,107.2,percent of total billed charges,999999999,,,,93.8,percent of total billed charges,999999999,,,,93.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,71.288,percent of total billed charges,999999999,,,,,,,,,,,,,,,,67.67,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,33.5,percent of total billed charges,31.8168056,,,,,,,,,,33.5,percent of total billed charges,31.28755469,,,,,,,,,,33.5,percent of total billed charges,31.20060791,,,,,,,,,,33.5,percent of total billed charges,30.74117934,,,,,,,,,,33.5,percent of total billed charges,31.53219508,,,,,,,,,,33.5,percent of total billed charges,999999999,,,,,,,,,,33.5,percent of total billed charges,27.05684388,,,,,,,,,,33.5,percent of total billed charges,42.67050862,,,,,,,,,,33.5,percent of total billed charges,999999999,,,,,,,,,,33.5,percent of total billed charges,29.17389492,,,,,,,,,,120.6,percent of total billed charges,,,,,
**ANTIBODY PANEL EACH,86870,CDM,,,,both,,,168,168,35.7645027,168,168,percent of total billed charges,123.6035683,,,,168,percent of total billed charges,131.0173385,,,,168,percent of total billed charges,123.6035683,,,,168,percent of total billed charges,131.0173385,,,,168,percent of total billed charges,999999999,,,,168,percent of total billed charges,128.0044534,,,,168,percent of total billed charges,123.6035683,,,,168,percent of total billed charges,131.0173385,,,,119.784,percent of total billed charges,59.77440805,,,,119.784,percent of total billed charges,35.7645027,,,,119.784,percent of total billed charges,59.77440805,,,,119.784,percent of total billed charges,35.7645027,,,,119.784,percent of total billed charges,59.77440805,,,,119.784,percent of total billed charges,35.7645027,,,,118.608,percent of total billed charges,117.7080889,,,,118.608,percent of total billed charges,81.18233593,,,,,,,,,,120.96,percent of total billed charges,78.62115356,,,,,,,,,,120.96,percent of total billed charges,999999999,,,,,,,,,,134.4,percent of total billed charges,112.6202137,,,,132.72,percent of total billed charges,128.0805116,,,,132.72,percent of total billed charges,113.1633717,,,,134.4,percent of total billed charges,999999999,,,,134.4,percent of total billed charges,999999999,,,,117.6,percent of total billed charges,999999999,,,,117.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,89.376,percent of total billed charges,999999999,,,,,,,,,,,,,,,,84.84,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,42,percent of total billed charges,39.88972642,,,,,,,,,,42,percent of total billed charges,39.22618797,,,,,,,,,,42,percent of total billed charges,39.11718007,,,,,,,,,,42,percent of total billed charges,38.54118007,,,,,,,,,,42,percent of total billed charges,39.53290129,,,,,,,,,,42,percent of total billed charges,999999999,,,,,,,,,,42,percent of total billed charges,33.92201322,,,,,,,,,,42,percent of total billed charges,53.4973541,,,,,,,,,,42,percent of total billed charges,999999999,,,,,,,,,,42,percent of total billed charges,36.57622647,,,,,,,,,,151.2,percent of total billed charges,,,,,
**ANTIBODY SCREEN,86850,CDM,,,,both,,,80,80,17.03071557,80,80,percent of total billed charges,58.85884206,,,,80,percent of total billed charges,62.3892088,,,,80,percent of total billed charges,58.85884206,,,,80,percent of total billed charges,62.3892088,,,,80,percent of total billed charges,999999999,,,,80,percent of total billed charges,60.95450163,,,,80,percent of total billed charges,58.85884206,,,,80,percent of total billed charges,62.3892088,,,,57.04,percent of total billed charges,28.46400383,,,,57.04,percent of total billed charges,17.03071557,,,,57.04,percent of total billed charges,28.46400383,,,,57.04,percent of total billed charges,17.03071557,,,,57.04,percent of total billed charges,28.46400383,,,,57.04,percent of total billed charges,17.03071557,,,,56.48,percent of total billed charges,56.05147089,,,,56.48,percent of total billed charges,38.6582552,,,,,,,,,,57.6,percent of total billed charges,37.43864455,,,,,,,,,,57.6,percent of total billed charges,999999999,,,,,,,,,,64,percent of total billed charges,53.62867317,,,,63.2,percent of total billed charges,60.99071981,,,,63.2,percent of total billed charges,53.88731984,,,,64,percent of total billed charges,999999999,,,,64,percent of total billed charges,999999999,,,,56,percent of total billed charges,999999999,,,,56,percent of total billed charges,999999999,,,,,,,,,,,,,,,,42.56,percent of total billed charges,999999999,,,,,,,,,,,,,,,,40.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20,percent of total billed charges,18.99510782,,,,,,,,,,20,percent of total billed charges,18.67913713,,,,,,,,,,20,percent of total billed charges,18.62722861,,,,,,,,,,20,percent of total billed charges,18.35294289,,,,,,,,,,20,percent of total billed charges,18.82519109,,,,,,,,,,20,percent of total billed charges,999999999,,,,,,,,,,20,percent of total billed charges,16.15333963,,,,,,,,,,20,percent of total billed charges,25.47493052,,,,,,,,,,20,percent of total billed charges,999999999,,,,,,,,,,20,percent of total billed charges,17.4172507,,,,,,,,,,72,percent of total billed charges,,,,,
**ASTO,86060,CDM,,,,both,,,74,74,15.7534119,74,74,percent of total billed charges,54.4444289,,,,74,percent of total billed charges,57.71001814,,,,74,percent of total billed charges,54.4444289,,,,74,percent of total billed charges,57.71001814,,,,74,percent of total billed charges,999999999,,,,74,percent of total billed charges,56.38291401,,,,74,percent of total billed charges,54.4444289,,,,74,percent of total billed charges,57.71001814,,,,52.762,percent of total billed charges,26.32920355,,,,52.762,percent of total billed charges,15.7534119,,,,52.762,percent of total billed charges,26.32920355,,,,52.762,percent of total billed charges,15.7534119,,,,52.762,percent of total billed charges,26.32920355,,,,52.762,percent of total billed charges,15.7534119,,,,52.244,percent of total billed charges,51.84761057,,,,52.244,percent of total billed charges,35.75888606,,,,,,,,,,53.28,percent of total billed charges,34.63074621,,,,,,,,,,53.28,percent of total billed charges,999999999,,,,,,,,,,59.2,percent of total billed charges,49.60652268,,,,58.46,percent of total billed charges,56.41641582,,,,58.46,percent of total billed charges,49.84577085,,,,59.2,percent of total billed charges,999999999,,,,59.2,percent of total billed charges,999999999,,,,51.8,percent of total billed charges,999999999,,,,51.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,39.368,percent of total billed charges,999999999,,,,,,,,,,,,,,,,37.37,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18.5,percent of total billed charges,17.57047473,,,,,,,,,,18.5,percent of total billed charges,17.27820184,,,,,,,,,,18.5,percent of total billed charges,17.23018646,,,,,,,,,,18.5,percent of total billed charges,16.97647217,,,,,,,,,,18.5,percent of total billed charges,17.41330176,,,,,,,,,,18.5,percent of total billed charges,999999999,,,,,,,,,,18.5,percent of total billed charges,14.94183916,,,,,,,,,,18.5,percent of total billed charges,23.56431073,,,,,,,,,,18.5,percent of total billed charges,999999999,,,,,,,,,,18.5,percent of total billed charges,16.1109569,,,,,,,,,,66.6,percent of total billed charges,,,,,
**BETA HCG QUANTITATIVE,84702,CDM,,,,both,,,114,114,24.26876969,114,114,percent of total billed charges,83.87384993,,,,114,percent of total billed charges,88.90462254,,,,114,percent of total billed charges,83.87384993,,,,114,percent of total billed charges,88.90462254,,,,114,percent of total billed charges,999999999,,,,114,percent of total billed charges,86.86016483,,,,114,percent of total billed charges,83.87384993,,,,114,percent of total billed charges,88.90462254,,,,81.282,percent of total billed charges,40.56120546,,,,81.282,percent of total billed charges,24.26876969,,,,81.282,percent of total billed charges,40.56120546,,,,81.282,percent of total billed charges,24.26876969,,,,81.282,percent of total billed charges,40.56120546,,,,81.282,percent of total billed charges,24.26876969,,,,80.484,percent of total billed charges,79.87334601,,,,80.484,percent of total billed charges,55.08801366,,,,,,,,,,82.08,percent of total billed charges,53.35006848,,,,,,,,,,82.08,percent of total billed charges,999999999,,,,,,,,,,91.2,percent of total billed charges,76.42085926,,,,90.06,percent of total billed charges,86.91177572,,,,90.06,percent of total billed charges,76.78943077,,,,91.2,percent of total billed charges,999999999,,,,91.2,percent of total billed charges,999999999,,,,79.8,percent of total billed charges,999999999,,,,79.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,60.648,percent of total billed charges,999999999,,,,,,,,,,,,,,,,57.57,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,28.5,percent of total billed charges,27.06802865,,,,,,,,,,28.5,percent of total billed charges,26.61777041,,,,,,,,,,28.5,percent of total billed charges,26.54380076,,,,,,,,,,28.5,percent of total billed charges,26.15294362,,,,,,,,,,28.5,percent of total billed charges,26.82589731,,,,,,,,,,28.5,percent of total billed charges,999999999,,,,,,,,,,28.5,percent of total billed charges,23.01850897,,,,,,,,,,28.5,percent of total billed charges,36.30177599,,,,,,,,,,28.5,percent of total billed charges,999999999,,,,,,,,,,28.5,percent of total billed charges,24.81958225,,,,,,,,,,102.6,percent of total billed charges,,,,,
**SPEC BACT PROC 2,87147,CDM,,,,both,,,32,32,6.812286228,32,32,percent of total billed charges,23.54353682,,,,32,percent of total billed charges,24.95568352,,,,32,percent of total billed charges,23.54353682,,,,32,percent of total billed charges,24.95568352,,,,32,percent of total billed charges,999999999,,,,32,percent of total billed charges,24.38180065,,,,32,percent of total billed charges,23.54353682,,,,32,percent of total billed charges,24.95568352,,,,22.816,percent of total billed charges,11.38560153,,,,22.816,percent of total billed charges,6.812286228,,,,22.816,percent of total billed charges,11.38560153,,,,22.816,percent of total billed charges,6.812286228,,,,22.816,percent of total billed charges,11.38560153,,,,22.816,percent of total billed charges,6.812286228,,,,22.592,percent of total billed charges,22.42058835,,,,22.592,percent of total billed charges,15.46330208,,,,,,,,,,23.04,percent of total billed charges,14.97545782,,,,,,,,,,23.04,percent of total billed charges,999999999,,,,,,,,,,25.6,percent of total billed charges,21.45146927,,,,25.28,percent of total billed charges,24.39628792,,,,25.28,percent of total billed charges,21.55492793,,,,25.6,percent of total billed charges,999999999,,,,25.6,percent of total billed charges,999999999,,,,22.4,percent of total billed charges,999999999,,,,22.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,17.024,percent of total billed charges,999999999,,,,,,,,,,,,,,,,16.16,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8,percent of total billed charges,7.598043128,,,,,,,,,,8,percent of total billed charges,7.471654851,,,,,,,,,,8,percent of total billed charges,7.450891442,,,,,,,,,,8,percent of total billed charges,7.341177156,,,,,,,,,,8,percent of total billed charges,7.530076437,,,,,,,,,,8,percent of total billed charges,999999999,,,,,,,,,,8,percent of total billed charges,6.461335851,,,,,,,,,,8,percent of total billed charges,10.18997221,,,,,,,,,,8,percent of total billed charges,999999999,,,,,,,,,,8,percent of total billed charges,6.966900281,,,,,,,,,,28.8,percent of total billed charges,,,,,
**BILIRUBIN - TOTAL,82247,CDM,,,,both,,,132,132,28.10068069,132,132,percent of total billed charges,97.1170894,,,,132,percent of total billed charges,102.9421945,,,,132,percent of total billed charges,97.1170894,,,,132,percent of total billed charges,102.9421945,,,,132,percent of total billed charges,999999999,,,,132,percent of total billed charges,100.5749277,,,,132,percent of total billed charges,97.1170894,,,,132,percent of total billed charges,102.9421945,,,,94.116,percent of total billed charges,46.96560633,,,,94.116,percent of total billed charges,28.10068069,,,,94.116,percent of total billed charges,46.96560633,,,,94.116,percent of total billed charges,28.10068069,,,,94.116,percent of total billed charges,46.96560633,,,,94.116,percent of total billed charges,28.10068069,,,,93.192,percent of total billed charges,92.48492696,,,,93.192,percent of total billed charges,63.78612109,,,,,,,,,,95.04,percent of total billed charges,61.77376351,,,,,,,,,,95.04,percent of total billed charges,999999999,,,,,,,,,,105.6,percent of total billed charges,88.48731073,,,,104.28,percent of total billed charges,100.6346877,,,,104.28,percent of total billed charges,88.91407773,,,,105.6,percent of total billed charges,999999999,,,,105.6,percent of total billed charges,999999999,,,,92.4,percent of total billed charges,999999999,,,,92.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,70.224,percent of total billed charges,999999999,,,,,,,,,,,,,,,,66.66,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,33,percent of total billed charges,31.3419279,,,,,,,,,,33,percent of total billed charges,30.82057626,,,,,,,,,,33,percent of total billed charges,30.7349272,,,,,,,,,,33,percent of total billed charges,30.28235577,,,,,,,,,,33,percent of total billed charges,31.0615653,,,,,,,,,,33,percent of total billed charges,999999999,,,,,,,,,,33,percent of total billed charges,26.65301039,,,,,,,,,,33,percent of total billed charges,42.03363536,,,,,,,,,,33,percent of total billed charges,999999999,,,,,,,,,,33,percent of total billed charges,28.73846366,,,,,,,,,,118.8,percent of total billed charges,,,,,
**AUTO CYTE PAP SMEAR,88142,CDM,,,,both,,,105,105,22.35281419,105,105,percent of total billed charges,77.2522302,,,,105,percent of total billed charges,81.88583655,,,,105,percent of total billed charges,77.2522302,,,,105,percent of total billed charges,81.88583655,,,,105,percent of total billed charges,999999999,,,,105,percent of total billed charges,80.00278339,,,,105,percent of total billed charges,77.2522302,,,,105,percent of total billed charges,81.88583655,,,,74.865,percent of total billed charges,37.35900503,,,,74.865,percent of total billed charges,22.35281419,,,,74.865,percent of total billed charges,37.35900503,,,,74.865,percent of total billed charges,22.35281419,,,,74.865,percent of total billed charges,37.35900503,,,,74.865,percent of total billed charges,22.35281419,,,,74.13,percent of total billed charges,73.56755554,,,,74.13,percent of total billed charges,50.73895995,,,,,,,,,,75.6,percent of total billed charges,49.13822097,,,,,,,,,,75.6,percent of total billed charges,999999999,,,,,,,,,,84,percent of total billed charges,70.38763353,,,,82.95,percent of total billed charges,80.05031975,,,,82.95,percent of total billed charges,70.72710728,,,,84,percent of total billed charges,999999999,,,,84,percent of total billed charges,999999999,,,,73.5,percent of total billed charges,999999999,,,,73.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,55.86,percent of total billed charges,999999999,,,,,,,,,,,,,,,,53.025,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,26.25,percent of total billed charges,24.93107902,,,,,,,,,,26.25,percent of total billed charges,24.51636748,,,,,,,,,,26.25,percent of total billed charges,24.44823754,,,,,,,,,,26.25,percent of total billed charges,24.08823754,,,,,,,,,,26.25,percent of total billed charges,24.70806331,,,,,,,,,,26.25,percent of total billed charges,999999999,,,,,,,,,,26.25,percent of total billed charges,21.20125826,,,,,,,,,,26.25,percent of total billed charges,33.43584631,,,,,,,,,,26.25,percent of total billed charges,999999999,,,,,,,,,,26.25,percent of total billed charges,22.86014155,,,,,,,,,,94.5,percent of total billed charges,,,,,
**BLOOD TYPING; ABO,86900,CDM,,,,both,,,45,45,9.579777508,45,45,percent of total billed charges,33.10809866,,,,45,percent of total billed charges,35.09392995,,,,45,percent of total billed charges,33.10809866,,,,45,percent of total billed charges,35.09392995,,,,45,percent of total billed charges,999999999,,,,45,percent of total billed charges,34.28690717,,,,45,percent of total billed charges,33.10809866,,,,45,percent of total billed charges,35.09392995,,,,32.085,percent of total billed charges,16.01100216,,,,32.085,percent of total billed charges,9.579777508,,,,32.085,percent of total billed charges,16.01100216,,,,32.085,percent of total billed charges,9.579777508,,,,32.085,percent of total billed charges,16.01100216,,,,32.085,percent of total billed charges,9.579777508,,,,31.77,percent of total billed charges,31.52895237,,,,31.77,percent of total billed charges,21.74526855,,,,,,,,,,32.4,percent of total billed charges,21.05923756,,,,,,,,,,32.4,percent of total billed charges,999999999,,,,,,,,,,36,percent of total billed charges,30.16612866,,,,35.55,percent of total billed charges,34.30727989,,,,35.55,percent of total billed charges,30.31161741,,,,36,percent of total billed charges,999999999,,,,36,percent of total billed charges,999999999,,,,31.5,percent of total billed charges,999999999,,,,31.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,23.94,percent of total billed charges,999999999,,,,,,,,,,,,,,,,22.725,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11.25,percent of total billed charges,10.68474815,,,,,,,,,,11.25,percent of total billed charges,10.50701463,,,,,,,,,,11.25,percent of total billed charges,10.47781609,,,,,,,,,,11.25,percent of total billed charges,10.32353038,,,,,,,,,,11.25,percent of total billed charges,10.58916999,,,,,,,,,,11.25,percent of total billed charges,999999999,,,,,,,,,,11.25,percent of total billed charges,9.08625354,,,,,,,,,,11.25,percent of total billed charges,14.32964842,,,,,,,,,,11.25,percent of total billed charges,999999999,,,,,,,,,,11.25,percent of total billed charges,9.797203519,,,,,,,,,,40.5,percent of total billed charges,,,,,
**CH 50,86162,CDM,,,,both,,,138,138,29.37798436,138,138,percent of total billed charges,101.5315025,,,,138,percent of total billed charges,107.6213852,,,,138,percent of total billed charges,101.5315025,,,,138,percent of total billed charges,107.6213852,,,,138,percent of total billed charges,999999999,,,,138,percent of total billed charges,105.1465153,,,,138,percent of total billed charges,101.5315025,,,,138,percent of total billed charges,107.6213852,,,,98.394,percent of total billed charges,49.10040661,,,,98.394,percent of total billed charges,29.37798436,,,,98.394,percent of total billed charges,49.10040661,,,,98.394,percent of total billed charges,29.37798436,,,,98.394,percent of total billed charges,49.10040661,,,,98.394,percent of total billed charges,29.37798436,,,,97.428,percent of total billed charges,96.68878728,,,,97.428,percent of total billed charges,66.68549023,,,,,,,,,,99.36,percent of total billed charges,64.58166185,,,,,,,,,,99.36,percent of total billed charges,999999999,,,,,,,,,,110.4,percent of total billed charges,92.50946121,,,,109.02,percent of total billed charges,105.2089917,,,,109.02,percent of total billed charges,92.95562672,,,,110.4,percent of total billed charges,999999999,,,,110.4,percent of total billed charges,999999999,,,,96.6,percent of total billed charges,999999999,,,,96.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,73.416,percent of total billed charges,999999999,,,,,,,,,,,,,,,,69.69,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,34.5,percent of total billed charges,32.76656099,,,,,,,,,,34.5,percent of total billed charges,32.22151154,,,,,,,,,,34.5,percent of total billed charges,32.13196934,,,,,,,,,,34.5,percent of total billed charges,31.65882649,,,,,,,,,,34.5,percent of total billed charges,32.47345463,,,,,,,,,,34.5,percent of total billed charges,999999999,,,,,,,,,,34.5,percent of total billed charges,27.86451086,,,,,,,,,,34.5,percent of total billed charges,43.94425515,,,,,,,,,,34.5,percent of total billed charges,999999999,,,,,,,,,,34.5,percent of total billed charges,30.04475746,,,,,,,,,,124.2,percent of total billed charges,,,,,
**CBC,85025,CDM,,,,both,,,73,73,15.54052796,73,73,percent of total billed charges,53.70869338,,,,73,percent of total billed charges,56.93015303,,,,73,percent of total billed charges,53.70869338,,,,73,percent of total billed charges,56.93015303,,,,73,percent of total billed charges,999999999,,,,73,percent of total billed charges,55.62098274,,,,73,percent of total billed charges,53.70869338,,,,73,percent of total billed charges,56.93015303,,,,52.049,percent of total billed charges,25.9734035,,,,52.049,percent of total billed charges,15.54052796,,,,52.049,percent of total billed charges,25.9734035,,,,52.049,percent of total billed charges,15.54052796,,,,52.049,percent of total billed charges,25.9734035,,,,52.049,percent of total billed charges,15.54052796,,,,51.538,percent of total billed charges,51.14696718,,,,51.538,percent of total billed charges,35.27565787,,,,,,,,,,52.56,percent of total billed charges,34.16276315,,,,,,,,,,52.56,percent of total billed charges,999999999,,,,,,,,,,58.4,percent of total billed charges,48.93616427,,,,57.67,percent of total billed charges,55.65403182,,,,57.67,percent of total billed charges,49.17217935,,,,58.4,percent of total billed charges,999999999,,,,58.4,percent of total billed charges,999999999,,,,51.1,percent of total billed charges,999999999,,,,51.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,38.836,percent of total billed charges,999999999,,,,,,,,,,,,,,,,36.865,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18.25,percent of total billed charges,17.33303589,,,,,,,,,,18.25,percent of total billed charges,17.04471263,,,,,,,,,,18.25,percent of total billed charges,16.9973461,,,,,,,,,,18.25,percent of total billed charges,16.74706039,,,,,,,,,,18.25,percent of total billed charges,17.17798687,,,,,,,,,,18.25,percent of total billed charges,999999999,,,,,,,,,,18.25,percent of total billed charges,14.73992241,,,,,,,,,,18.25,percent of total billed charges,23.2458741,,,,,,,,,,18.25,percent of total billed charges,999999999,,,,,,,,,,18.25,percent of total billed charges,15.89324126,,,,,,,,,,65.7,percent of total billed charges,,,,,
**CO2,82374,CDM,,,,both,,,26,26,5.53498256,26,26,percent of total billed charges,19.12912367,,,,26,percent of total billed charges,20.27649286,,,,26,percent of total billed charges,19.12912367,,,,26,percent of total billed charges,20.27649286,,,,26,percent of total billed charges,999999999,,,,26,percent of total billed charges,19.81021303,,,,26,percent of total billed charges,19.12912367,,,,26,percent of total billed charges,20.27649286,,,,18.538,percent of total billed charges,9.250801246,,,,18.538,percent of total billed charges,5.53498256,,,,18.538,percent of total billed charges,9.250801246,,,,18.538,percent of total billed charges,5.53498256,,,,18.538,percent of total billed charges,9.250801246,,,,18.538,percent of total billed charges,5.53498256,,,,18.356,percent of total billed charges,18.21672804,,,,18.356,percent of total billed charges,12.56393294,,,,,,,,,,18.72,percent of total billed charges,12.16755948,,,,,,,,,,18.72,percent of total billed charges,999999999,,,,,,,,,,20.8,percent of total billed charges,17.42931878,,,,20.54,percent of total billed charges,19.82198394,,,,20.54,percent of total billed charges,17.51337895,,,,20.8,percent of total billed charges,999999999,,,,20.8,percent of total billed charges,999999999,,,,18.2,percent of total billed charges,999999999,,,,18.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,13.832,percent of total billed charges,999999999,,,,,,,,,,,,,,,,13.13,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6.5,percent of total billed charges,6.173410042,,,,,,,,,,6.5,percent of total billed charges,6.070719566,,,,,,,,,,6.5,percent of total billed charges,6.053849297,,,,,,,,,,6.5,percent of total billed charges,5.964706439,,,,,,,,,,6.5,percent of total billed charges,6.118187105,,,,,,,,,,6.5,percent of total billed charges,999999999,,,,,,,,,,6.5,percent of total billed charges,5.249835379,,,,,,,,,,6.5,percent of total billed charges,8.279352419,,,,,,,,,,6.5,percent of total billed charges,999999999,,,,,,,,,,6.5,percent of total billed charges,5.660606478,,,,,,,,,,23.4,percent of total billed charges,,,,,
**CA-15-3,86316,CDM,,,,both,,,136,136,28.95221647,136,136,percent of total billed charges,100.0600315,,,,136,percent of total billed charges,106.061655,,,,136,percent of total billed charges,100.0600315,,,,136,percent of total billed charges,106.061655,,,,136,percent of total billed charges,999999999,,,,136,percent of total billed charges,103.6226528,,,,136,percent of total billed charges,100.0600315,,,,136,percent of total billed charges,106.061655,,,,96.968,percent of total billed charges,48.38880652,,,,96.968,percent of total billed charges,28.95221647,,,,96.968,percent of total billed charges,48.38880652,,,,96.968,percent of total billed charges,28.95221647,,,,96.968,percent of total billed charges,48.38880652,,,,96.968,percent of total billed charges,28.95221647,,,,96.016,percent of total billed charges,95.28750051,,,,96.016,percent of total billed charges,65.71903385,,,,,,,,,,97.92,percent of total billed charges,63.64569574,,,,,,,,,,97.92,percent of total billed charges,999999999,,,,,,,,,,108.8,percent of total billed charges,91.16874438,,,,107.44,percent of total billed charges,103.6842237,,,,107.44,percent of total billed charges,91.60844372,,,,108.8,percent of total billed charges,999999999,,,,108.8,percent of total billed charges,999999999,,,,95.2,percent of total billed charges,999999999,,,,95.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,72.352,percent of total billed charges,999999999,,,,,,,,,,,,,,,,68.68,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,34,percent of total billed charges,32.2916833,,,,,,,,,,34,percent of total billed charges,31.75453312,,,,,,,,,,34,percent of total billed charges,31.66628863,,,,,,,,,,34,percent of total billed charges,31.20000291,,,,,,,,,,34,percent of total billed charges,32.00282486,,,,,,,,,,34,percent of total billed charges,999999999,,,,,,,,,,34,percent of total billed charges,27.46067737,,,,,,,,,,34,percent of total billed charges,43.30738189,,,,,,,,,,34,percent of total billed charges,999999999,,,,,,,,,,34,percent of total billed charges,29.60932619,,,,,,,,,,122.4,percent of total billed charges,,,,,
**CALCIUM - BLOOD,82310,CDM,,,,both,,,32,32,6.812286228,32,32,percent of total billed charges,23.54353682,,,,32,percent of total billed charges,24.95568352,,,,32,percent of total billed charges,23.54353682,,,,32,percent of total billed charges,24.95568352,,,,32,percent of total billed charges,999999999,,,,32,percent of total billed charges,24.38180065,,,,32,percent of total billed charges,23.54353682,,,,32,percent of total billed charges,24.95568352,,,,22.816,percent of total billed charges,11.38560153,,,,22.816,percent of total billed charges,6.812286228,,,,22.816,percent of total billed charges,11.38560153,,,,22.816,percent of total billed charges,6.812286228,,,,22.816,percent of total billed charges,11.38560153,,,,22.816,percent of total billed charges,6.812286228,,,,22.592,percent of total billed charges,22.42058835,,,,22.592,percent of total billed charges,15.46330208,,,,,,,,,,23.04,percent of total billed charges,14.97545782,,,,,,,,,,23.04,percent of total billed charges,999999999,,,,,,,,,,25.6,percent of total billed charges,21.45146927,,,,25.28,percent of total billed charges,24.39628792,,,,25.28,percent of total billed charges,21.55492793,,,,25.6,percent of total billed charges,999999999,,,,25.6,percent of total billed charges,999999999,,,,22.4,percent of total billed charges,999999999,,,,22.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,17.024,percent of total billed charges,999999999,,,,,,,,,,,,,,,,16.16,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8,percent of total billed charges,7.598043128,,,,,,,,,,8,percent of total billed charges,7.471654851,,,,,,,,,,8,percent of total billed charges,7.450891442,,,,,,,,,,8,percent of total billed charges,7.341177156,,,,,,,,,,8,percent of total billed charges,7.530076437,,,,,,,,,,8,percent of total billed charges,999999999,,,,,,,,,,8,percent of total billed charges,6.461335851,,,,,,,,,,8,percent of total billed charges,10.18997221,,,,,,,,,,8,percent of total billed charges,999999999,,,,,,,,,,8,percent of total billed charges,6.966900281,,,,,,,,,,28.8,percent of total billed charges,,,,,
**CHLORIDE (SERUM),82435,CDM,,,,both,,,26,26,5.53498256,26,26,percent of total billed charges,19.12912367,,,,26,percent of total billed charges,20.27649286,,,,26,percent of total billed charges,19.12912367,,,,26,percent of total billed charges,20.27649286,,,,26,percent of total billed charges,999999999,,,,26,percent of total billed charges,19.81021303,,,,26,percent of total billed charges,19.12912367,,,,26,percent of total billed charges,20.27649286,,,,18.538,percent of total billed charges,9.250801246,,,,18.538,percent of total billed charges,5.53498256,,,,18.538,percent of total billed charges,9.250801246,,,,18.538,percent of total billed charges,5.53498256,,,,18.538,percent of total billed charges,9.250801246,,,,18.538,percent of total billed charges,5.53498256,,,,18.356,percent of total billed charges,18.21672804,,,,18.356,percent of total billed charges,12.56393294,,,,,,,,,,18.72,percent of total billed charges,12.16755948,,,,,,,,,,18.72,percent of total billed charges,999999999,,,,,,,,,,20.8,percent of total billed charges,17.42931878,,,,20.54,percent of total billed charges,19.82198394,,,,20.54,percent of total billed charges,17.51337895,,,,20.8,percent of total billed charges,999999999,,,,20.8,percent of total billed charges,999999999,,,,18.2,percent of total billed charges,999999999,,,,18.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,13.832,percent of total billed charges,999999999,,,,,,,,,,,,,,,,13.13,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6.5,percent of total billed charges,6.173410042,,,,,,,,,,6.5,percent of total billed charges,6.070719566,,,,,,,,,,6.5,percent of total billed charges,6.053849297,,,,,,,,,,6.5,percent of total billed charges,5.964706439,,,,,,,,,,6.5,percent of total billed charges,6.118187105,,,,,,,,,,6.5,percent of total billed charges,999999999,,,,,,,,,,6.5,percent of total billed charges,5.249835379,,,,,,,,,,6.5,percent of total billed charges,8.279352419,,,,,,,,,,6.5,percent of total billed charges,999999999,,,,,,,,,,6.5,percent of total billed charges,5.660606478,,,,,,,,,,23.4,percent of total billed charges,,,,,
**CHLORIDE (URINE),82436,CDM,,,,both,,,41,41,8.72824173,41,41,percent of total billed charges,30.16515655,,,,41,percent of total billed charges,31.97446951,,,,41,percent of total billed charges,30.16515655,,,,41,percent of total billed charges,31.97446951,,,,41,percent of total billed charges,999999999,,,,41,percent of total billed charges,31.23918209,,,,41,percent of total billed charges,30.16515655,,,,41,percent of total billed charges,31.97446951,,,,29.233,percent of total billed charges,14.58780197,,,,29.233,percent of total billed charges,8.72824173,,,,29.233,percent of total billed charges,14.58780197,,,,29.233,percent of total billed charges,8.72824173,,,,29.233,percent of total billed charges,14.58780197,,,,29.233,percent of total billed charges,8.72824173,,,,28.946,percent of total billed charges,28.72637883,,,,28.946,percent of total billed charges,19.81235579,,,,,,,,,,29.52,percent of total billed charges,19.18730533,,,,,,,,,,29.52,percent of total billed charges,999999999,,,,,,,,,,32.8,percent of total billed charges,27.484695,,,,32.39,percent of total billed charges,31.2577439,,,,32.39,percent of total billed charges,27.61725142,,,,32.8,percent of total billed charges,999999999,,,,32.8,percent of total billed charges,999999999,,,,28.7,percent of total billed charges,999999999,,,,28.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,21.812,percent of total billed charges,999999999,,,,,,,,,,,,,,,,20.705,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10.25,percent of total billed charges,9.734992758,,,,,,,,,,10.25,percent of total billed charges,9.573057778,,,,,,,,,,10.25,percent of total billed charges,9.54645466,,,,,,,,,,10.25,percent of total billed charges,9.405883231,,,,,,,,,,10.25,percent of total billed charges,9.647910435,,,,,,,,,,10.25,percent of total billed charges,999999999,,,,,,,,,,10.25,percent of total billed charges,8.278586559,,,,,,,,,,10.25,percent of total billed charges,13.05590189,,,,,,,,,,10.25,percent of total billed charges,999999999,,,,,,,,,,10.25,percent of total billed charges,8.926340984,,,,,,,,,,36.9,percent of total billed charges,,,,,
**DHEA SULFATE,82627,CDM,,,,both,,,138,138,29.37798436,138,138,percent of total billed charges,101.5315025,,,,138,percent of total billed charges,107.6213852,,,,138,percent of total billed charges,101.5315025,,,,138,percent of total billed charges,107.6213852,,,,138,percent of total billed charges,999999999,,,,138,percent of total billed charges,105.1465153,,,,138,percent of total billed charges,101.5315025,,,,138,percent of total billed charges,107.6213852,,,,98.394,percent of total billed charges,49.10040661,,,,98.394,percent of total billed charges,29.37798436,,,,98.394,percent of total billed charges,49.10040661,,,,98.394,percent of total billed charges,29.37798436,,,,98.394,percent of total billed charges,49.10040661,,,,98.394,percent of total billed charges,29.37798436,,,,97.428,percent of total billed charges,96.68878728,,,,97.428,percent of total billed charges,66.68549023,,,,,,,,,,99.36,percent of total billed charges,64.58166185,,,,,,,,,,99.36,percent of total billed charges,999999999,,,,,,,,,,110.4,percent of total billed charges,92.50946121,,,,109.02,percent of total billed charges,105.2089917,,,,109.02,percent of total billed charges,92.95562672,,,,110.4,percent of total billed charges,999999999,,,,110.4,percent of total billed charges,999999999,,,,96.6,percent of total billed charges,999999999,,,,96.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,73.416,percent of total billed charges,999999999,,,,,,,,,,,,,,,,69.69,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,34.5,percent of total billed charges,32.76656099,,,,,,,,,,34.5,percent of total billed charges,32.22151154,,,,,,,,,,34.5,percent of total billed charges,32.13196934,,,,,,,,,,34.5,percent of total billed charges,31.65882649,,,,,,,,,,34.5,percent of total billed charges,32.47345463,,,,,,,,,,34.5,percent of total billed charges,999999999,,,,,,,,,,34.5,percent of total billed charges,27.86451086,,,,,,,,,,34.5,percent of total billed charges,43.94425515,,,,,,,,,,34.5,percent of total billed charges,999999999,,,,,,,,,,34.5,percent of total billed charges,30.04475746,,,,,,,,,,124.2,percent of total billed charges,,,,,
**SOMATOMEDIN IDF-1,84305,CDM,,,,both,,,172,172,36.61603848,172,172,percent of total billed charges,126.5465104,,,,172,percent of total billed charges,134.1367989,,,,172,percent of total billed charges,126.5465104,,,,172,percent of total billed charges,134.1367989,,,,172,percent of total billed charges,999999999,,,,172,percent of total billed charges,131.0521785,,,,172,percent of total billed charges,126.5465104,,,,172,percent of total billed charges,134.1367989,,,,122.636,percent of total billed charges,61.19760824,,,,122.636,percent of total billed charges,36.61603848,,,,122.636,percent of total billed charges,61.19760824,,,,122.636,percent of total billed charges,36.61603848,,,,122.636,percent of total billed charges,61.19760824,,,,122.636,percent of total billed charges,36.61603848,,,,121.432,percent of total billed charges,120.5106624,,,,121.432,percent of total billed charges,83.11524869,,,,,,,,,,123.84,percent of total billed charges,80.49308578,,,,,,,,,,123.84,percent of total billed charges,999999999,,,,,,,,,,137.6,percent of total billed charges,115.3016473,,,,135.88,percent of total billed charges,131.1300476,,,,135.88,percent of total billed charges,115.8577376,,,,137.6,percent of total billed charges,999999999,,,,137.6,percent of total billed charges,999999999,,,,120.4,percent of total billed charges,999999999,,,,120.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,91.504,percent of total billed charges,999999999,,,,,,,,,,,,,,,,86.86,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,43,percent of total billed charges,40.83948182,,,,,,,,,,43,percent of total billed charges,40.16014482,,,,,,,,,,43,percent of total billed charges,40.0485415,,,,,,,,,,43,percent of total billed charges,39.45882721,,,,,,,,,,43,percent of total billed charges,40.47416085,,,,,,,,,,43,percent of total billed charges,999999999,,,,,,,,,,43,percent of total billed charges,34.7296802,,,,,,,,,,43,percent of total billed charges,54.77110062,,,,,,,,,,43,percent of total billed charges,999999999,,,,,,,,,,43,percent of total billed charges,37.44708901,,,,,,,,,,154.8,percent of total billed charges,,,,,
**CHOLESTEROL,82465,CDM,,,,both,,,33,33,7.025170173,33,33,percent of total billed charges,24.27927235,,,,33,percent of total billed charges,25.73554863,,,,33,percent of total billed charges,24.27927235,,,,33,percent of total billed charges,25.73554863,,,,33,percent of total billed charges,999999999,,,,33,percent of total billed charges,25.14373192,,,,33,percent of total billed charges,24.27927235,,,,33,percent of total billed charges,25.73554863,,,,23.529,percent of total billed charges,11.74140158,,,,23.529,percent of total billed charges,7.025170173,,,,23.529,percent of total billed charges,11.74140158,,,,23.529,percent of total billed charges,7.025170173,,,,23.529,percent of total billed charges,11.74140158,,,,23.529,percent of total billed charges,7.025170173,,,,23.298,percent of total billed charges,23.12123174,,,,23.298,percent of total billed charges,15.94653027,,,,,,,,,,23.76,percent of total billed charges,15.44344088,,,,,,,,,,23.76,percent of total billed charges,999999999,,,,,,,,,,26.4,percent of total billed charges,22.12182768,,,,26.07,percent of total billed charges,25.15867192,,,,26.07,percent of total billed charges,22.22851943,,,,26.4,percent of total billed charges,999999999,,,,26.4,percent of total billed charges,999999999,,,,23.1,percent of total billed charges,999999999,,,,23.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,17.556,percent of total billed charges,999999999,,,,,,,,,,,,,,,,16.665,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8.25,percent of total billed charges,7.835481976,,,,,,,,,,8.25,percent of total billed charges,7.705144065,,,,,,,,,,8.25,percent of total billed charges,7.6837318,,,,,,,,,,8.25,percent of total billed charges,7.570588942,,,,,,,,,,8.25,percent of total billed charges,7.765391325,,,,,,,,,,8.25,percent of total billed charges,999999999,,,,,,,,,,8.25,percent of total billed charges,6.663252596,,,,,,,,,,8.25,percent of total billed charges,10.50840884,,,,,,,,,,8.25,percent of total billed charges,999999999,,,,,,,,,,8.25,percent of total billed charges,7.184615914,,,,,,,,,,29.7,percent of total billed charges,,,,,
**C2 COMPLEMENT TEST,86160,CDM,,,,both,,,99,99,21.07551052,99,99,percent of total billed charges,72.83781705,,,,99,percent of total billed charges,77.20664589,,,,99,percent of total billed charges,72.83781705,,,,99,percent of total billed charges,77.20664589,,,,99,percent of total billed charges,999999999,,,,99,percent of total billed charges,75.43119577,,,,99,percent of total billed charges,72.83781705,,,,99,percent of total billed charges,77.20664589,,,,70.587,percent of total billed charges,35.22420474,,,,70.587,percent of total billed charges,21.07551052,,,,70.587,percent of total billed charges,35.22420474,,,,70.587,percent of total billed charges,21.07551052,,,,70.587,percent of total billed charges,35.22420474,,,,70.587,percent of total billed charges,21.07551052,,,,69.894,percent of total billed charges,69.36369522,,,,69.894,percent of total billed charges,47.83959081,,,,,,,,,,71.28,percent of total billed charges,46.33032263,,,,,,,,,,71.28,percent of total billed charges,999999999,,,,,,,,,,79.2,percent of total billed charges,66.36548304,,,,78.21,percent of total billed charges,75.47601576,,,,78.21,percent of total billed charges,66.6855583,,,,79.2,percent of total billed charges,999999999,,,,79.2,percent of total billed charges,999999999,,,,69.3,percent of total billed charges,999999999,,,,69.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,52.668,percent of total billed charges,999999999,,,,,,,,,,,,,,,,49.995,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,24.75,percent of total billed charges,23.50644593,,,,,,,,,,24.75,percent of total billed charges,23.1154322,,,,,,,,,,24.75,percent of total billed charges,23.0511954,,,,,,,,,,24.75,percent of total billed charges,22.71176683,,,,,,,,,,24.75,percent of total billed charges,23.29617398,,,,,,,,,,24.75,percent of total billed charges,999999999,,,,,,,,,,24.75,percent of total billed charges,19.98975779,,,,,,,,,,24.75,percent of total billed charges,31.52522652,,,,,,,,,,24.75,percent of total billed charges,999999999,,,,,,,,,,24.75,percent of total billed charges,21.55384774,,,,,,,,,,89.1,percent of total billed charges,,,,,
**C4 COMPLEMENT TEST,86160,CDM,,,,both,,,99,99,21.07551052,99,99,percent of total billed charges,72.83781705,,,,99,percent of total billed charges,77.20664589,,,,99,percent of total billed charges,72.83781705,,,,99,percent of total billed charges,77.20664589,,,,99,percent of total billed charges,999999999,,,,99,percent of total billed charges,75.43119577,,,,99,percent of total billed charges,72.83781705,,,,99,percent of total billed charges,77.20664589,,,,70.587,percent of total billed charges,35.22420474,,,,70.587,percent of total billed charges,21.07551052,,,,70.587,percent of total billed charges,35.22420474,,,,70.587,percent of total billed charges,21.07551052,,,,70.587,percent of total billed charges,35.22420474,,,,70.587,percent of total billed charges,21.07551052,,,,69.894,percent of total billed charges,69.36369522,,,,69.894,percent of total billed charges,47.83959081,,,,,,,,,,71.28,percent of total billed charges,46.33032263,,,,,,,,,,71.28,percent of total billed charges,999999999,,,,,,,,,,79.2,percent of total billed charges,66.36548304,,,,78.21,percent of total billed charges,75.47601576,,,,78.21,percent of total billed charges,66.6855583,,,,79.2,percent of total billed charges,999999999,,,,79.2,percent of total billed charges,999999999,,,,69.3,percent of total billed charges,999999999,,,,69.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,52.668,percent of total billed charges,999999999,,,,,,,,,,,,,,,,49.995,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,24.75,percent of total billed charges,23.50644593,,,,,,,,,,24.75,percent of total billed charges,23.1154322,,,,,,,,,,24.75,percent of total billed charges,23.0511954,,,,,,,,,,24.75,percent of total billed charges,22.71176683,,,,,,,,,,24.75,percent of total billed charges,23.29617398,,,,,,,,,,24.75,percent of total billed charges,999999999,,,,,,,,,,24.75,percent of total billed charges,19.98975779,,,,,,,,,,24.75,percent of total billed charges,31.52522652,,,,,,,,,,24.75,percent of total billed charges,999999999,,,,,,,,,,24.75,percent of total billed charges,21.55384774,,,,,,,,,,89.1,percent of total billed charges,,,,,
**PROGESTERONE,84144,CDM,,,,both,,,109,109,23.20434996,109,109,percent of total billed charges,80.1951723,,,,109,percent of total billed charges,85.00529699,,,,109,percent of total billed charges,80.1951723,,,,109,percent of total billed charges,85.00529699,,,,109,percent of total billed charges,999999999,,,,109,percent of total billed charges,83.05050848,,,,109,percent of total billed charges,80.1951723,,,,109,percent of total billed charges,85.00529699,,,,77.717,percent of total billed charges,38.78220522,,,,77.717,percent of total billed charges,23.20434996,,,,77.717,percent of total billed charges,38.78220522,,,,77.717,percent of total billed charges,23.20434996,,,,77.717,percent of total billed charges,38.78220522,,,,77.717,percent of total billed charges,23.20434996,,,,76.954,percent of total billed charges,76.37012908,,,,76.954,percent of total billed charges,52.67187271,,,,,,,,,,78.48,percent of total billed charges,51.0101532,,,,,,,,,,78.48,percent of total billed charges,999999999,,,,,,,,,,87.2,percent of total billed charges,73.06906719,,,,86.11,percent of total billed charges,83.09985574,,,,86.11,percent of total billed charges,73.42147328,,,,87.2,percent of total billed charges,999999999,,,,87.2,percent of total billed charges,999999999,,,,76.3,percent of total billed charges,999999999,,,,76.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,57.988,percent of total billed charges,999999999,,,,,,,,,,,,,,,,55.045,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,27.25,percent of total billed charges,25.88083441,,,,,,,,,,27.25,percent of total billed charges,25.45032434,,,,,,,,,,27.25,percent of total billed charges,25.37959897,,,,,,,,,,27.25,percent of total billed charges,25.00588469,,,,,,,,,,27.25,percent of total billed charges,25.64932286,,,,,,,,,,27.25,percent of total billed charges,999999999,,,,,,,,,,27.25,percent of total billed charges,22.00892524,,,,,,,,,,27.25,percent of total billed charges,34.70959284,,,,,,,,,,27.25,percent of total billed charges,999999999,,,,,,,,,,27.25,percent of total billed charges,23.73100408,,,,,,,,,,98.1,percent of total billed charges,,,,,
**BLOOD CULTURE,87040,CDM,,,,both,,,153,153,32.57124353,153,153,percent of total billed charges,112.5675354,,,,153,percent of total billed charges,119.3193618,,,,153,percent of total billed charges,112.5675354,,,,153,percent of total billed charges,119.3193618,,,,153,percent of total billed charges,999999999,,,,153,percent of total billed charges,116.5754844,,,,153,percent of total billed charges,112.5675354,,,,153,percent of total billed charges,119.3193618,,,,109.089,percent of total billed charges,54.43740733,,,,109.089,percent of total billed charges,32.57124353,,,,109.089,percent of total billed charges,54.43740733,,,,109.089,percent of total billed charges,32.57124353,,,,109.089,percent of total billed charges,54.43740733,,,,109.089,percent of total billed charges,32.57124353,,,,108.018,percent of total billed charges,107.1984381,,,,108.018,percent of total billed charges,73.93391308,,,,,,,,,,110.16,percent of total billed charges,71.6014077,,,,,,,,,,110.16,percent of total billed charges,999999999,,,,,,,,,,122.4,percent of total billed charges,102.5648374,,,,120.87,percent of total billed charges,116.6447516,,,,120.87,percent of total billed charges,103.0594992,,,,122.4,percent of total billed charges,999999999,,,,122.4,percent of total billed charges,999999999,,,,107.1,percent of total billed charges,999999999,,,,107.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,81.396,percent of total billed charges,999999999,,,,,,,,,,,,,,,,77.265,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,38.25,percent of total billed charges,36.32814371,,,,,,,,,,38.25,percent of total billed charges,35.72384976,,,,,,,,,,38.25,percent of total billed charges,35.62457471,,,,,,,,,,38.25,percent of total billed charges,35.10000328,,,,,,,,,,38.25,percent of total billed charges,36.00317796,,,,,,,,,,38.25,percent of total billed charges,999999999,,,,,,,,,,38.25,percent of total billed charges,30.89326204,,,,,,,,,,38.25,percent of total billed charges,48.72080462,,,,,,,,,,38.25,percent of total billed charges,999999999,,,,,,,,,,38.25,percent of total billed charges,33.31049197,,,,,,,,,,137.7,percent of total billed charges,,,,,
**CULTURE/URETHERAL GC,87070,CDM,,,,both,,,102,102,21.71416235,102,102,percent of total billed charges,75.04502362,,,,102,percent of total billed charges,79.54624122,,,,102,percent of total billed charges,75.04502362,,,,102,percent of total billed charges,79.54624122,,,,102,percent of total billed charges,999999999,,,,102,percent of total billed charges,77.71698958,,,,102,percent of total billed charges,75.04502362,,,,102,percent of total billed charges,79.54624122,,,,72.726,percent of total billed charges,36.29160489,,,,72.726,percent of total billed charges,21.71416235,,,,72.726,percent of total billed charges,36.29160489,,,,72.726,percent of total billed charges,21.71416235,,,,72.726,percent of total billed charges,36.29160489,,,,72.726,percent of total billed charges,21.71416235,,,,72.012,percent of total billed charges,71.46562538,,,,72.012,percent of total billed charges,49.28927538,,,,,,,,,,73.44,percent of total billed charges,47.7342718,,,,,,,,,,73.44,percent of total billed charges,999999999,,,,,,,,,,81.6,percent of total billed charges,68.37655829,,,,80.58,percent of total billed charges,77.76316775,,,,80.58,percent of total billed charges,68.70633279,,,,81.6,percent of total billed charges,999999999,,,,81.6,percent of total billed charges,999999999,,,,71.4,percent of total billed charges,999999999,,,,71.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,54.264,percent of total billed charges,999999999,,,,,,,,,,,,,,,,51.51,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,25.5,percent of total billed charges,24.21876247,,,,,,,,,,25.5,percent of total billed charges,23.81589984,,,,,,,,,,25.5,percent of total billed charges,23.74971647,,,,,,,,,,25.5,percent of total billed charges,23.40000219,,,,,,,,,,25.5,percent of total billed charges,24.00211864,,,,,,,,,,25.5,percent of total billed charges,999999999,,,,,,,,,,25.5,percent of total billed charges,20.59550803,,,,,,,,,,25.5,percent of total billed charges,32.48053641,,,,,,,,,,25.5,percent of total billed charges,999999999,,,,,,,,,,25.5,percent of total billed charges,22.20699464,,,,,,,,,,91.8,percent of total billed charges,,,,,
**FUNGUS CULTURE BLOOD,87103,CDM,,,,both,,,104,104,22.13993024,104,104,percent of total billed charges,76.51649468,,,,104,percent of total billed charges,81.10597144,,,,104,percent of total billed charges,76.51649468,,,,104,percent of total billed charges,81.10597144,,,,104,percent of total billed charges,999999999,,,,104,percent of total billed charges,79.24085212,,,,104,percent of total billed charges,76.51649468,,,,104,percent of total billed charges,81.10597144,,,,74.152,percent of total billed charges,37.00320498,,,,74.152,percent of total billed charges,22.13993024,,,,74.152,percent of total billed charges,37.00320498,,,,74.152,percent of total billed charges,22.13993024,,,,74.152,percent of total billed charges,37.00320498,,,,74.152,percent of total billed charges,22.13993024,,,,73.424,percent of total billed charges,72.86691215,,,,73.424,percent of total billed charges,50.25573176,,,,,,,,,,74.88,percent of total billed charges,48.67023792,,,,,,,,,,74.88,percent of total billed charges,999999999,,,,,,,,,,83.2,percent of total billed charges,69.71727512,,,,82.16,percent of total billed charges,79.28793575,,,,82.16,percent of total billed charges,70.05351579,,,,83.2,percent of total billed charges,999999999,,,,83.2,percent of total billed charges,999999999,,,,72.8,percent of total billed charges,999999999,,,,72.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,55.328,percent of total billed charges,999999999,,,,,,,,,,,,,,,,52.52,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,26,percent of total billed charges,24.69364017,,,,,,,,,,26,percent of total billed charges,24.28287827,,,,,,,,,,26,percent of total billed charges,24.21539719,,,,,,,,,,26,percent of total billed charges,23.85882576,,,,,,,,,,26,percent of total billed charges,24.47274842,,,,,,,,,,26,percent of total billed charges,999999999,,,,,,,,,,26,percent of total billed charges,20.99934152,,,,,,,,,,26,percent of total billed charges,33.11740968,,,,,,,,,,26,percent of total billed charges,999999999,,,,,,,,,,26,percent of total billed charges,22.64242591,,,,,,,,,,93.6,percent of total billed charges,,,,,
**CULTURE STOOL,87045,CDM,,,,both,,,151,151,32.14547564,151,151,percent of total billed charges,111.0960644,,,,151,percent of total billed charges,117.7596316,,,,151,percent of total billed charges,111.0960644,,,,151,percent of total billed charges,117.7596316,,,,151,percent of total billed charges,999999999,,,,151,percent of total billed charges,115.0516218,,,,151,percent of total billed charges,111.0960644,,,,151,percent of total billed charges,117.7596316,,,,107.663,percent of total billed charges,53.72580724,,,,107.663,percent of total billed charges,32.14547564,,,,107.663,percent of total billed charges,53.72580724,,,,107.663,percent of total billed charges,32.14547564,,,,107.663,percent of total billed charges,53.72580724,,,,107.663,percent of total billed charges,32.14547564,,,,106.606,percent of total billed charges,105.7971513,,,,106.606,percent of total billed charges,72.9674567,,,,,,,,,,108.72,percent of total billed charges,70.66544159,,,,,,,,,,108.72,percent of total billed charges,999999999,,,,,,,,,,120.8,percent of total billed charges,101.2241206,,,,119.29,percent of total billed charges,115.1199836,,,,119.29,percent of total billed charges,101.7123162,,,,120.8,percent of total billed charges,999999999,,,,120.8,percent of total billed charges,999999999,,,,105.7,percent of total billed charges,999999999,,,,105.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,80.332,percent of total billed charges,999999999,,,,,,,,,,,,,,,,76.255,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,37.75,percent of total billed charges,35.85326601,,,,,,,,,,37.75,percent of total billed charges,35.25687133,,,,,,,,,,37.75,percent of total billed charges,35.15889399,,,,,,,,,,37.75,percent of total billed charges,34.64117971,,,,,,,,,,37.75,percent of total billed charges,35.53254819,,,,,,,,,,37.75,percent of total billed charges,999999999,,,,,,,,,,37.75,percent of total billed charges,30.48942855,,,,,,,,,,37.75,percent of total billed charges,48.08393136,,,,,,,,,,37.75,percent of total billed charges,999999999,,,,,,,,,,37.75,percent of total billed charges,32.8750607,,,,,,,,,,135.9,percent of total billed charges,,,,,
**CULTURE/WOUND,87070,CDM,,,,both,,,109,109,23.20434996,109,109,percent of total billed charges,80.1951723,,,,109,percent of total billed charges,85.00529699,,,,109,percent of total billed charges,80.1951723,,,,109,percent of total billed charges,85.00529699,,,,109,percent of total billed charges,999999999,,,,109,percent of total billed charges,83.05050848,,,,109,percent of total billed charges,80.1951723,,,,109,percent of total billed charges,85.00529699,,,,77.717,percent of total billed charges,38.78220522,,,,77.717,percent of total billed charges,23.20434996,,,,77.717,percent of total billed charges,38.78220522,,,,77.717,percent of total billed charges,23.20434996,,,,77.717,percent of total billed charges,38.78220522,,,,77.717,percent of total billed charges,23.20434996,,,,76.954,percent of total billed charges,76.37012908,,,,76.954,percent of total billed charges,52.67187271,,,,,,,,,,78.48,percent of total billed charges,51.0101532,,,,,,,,,,78.48,percent of total billed charges,999999999,,,,,,,,,,87.2,percent of total billed charges,73.06906719,,,,86.11,percent of total billed charges,83.09985574,,,,86.11,percent of total billed charges,73.42147328,,,,87.2,percent of total billed charges,999999999,,,,87.2,percent of total billed charges,999999999,,,,76.3,percent of total billed charges,999999999,,,,76.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,57.988,percent of total billed charges,999999999,,,,,,,,,,,,,,,,55.045,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,27.25,percent of total billed charges,25.88083441,,,,,,,,,,27.25,percent of total billed charges,25.45032434,,,,,,,,,,27.25,percent of total billed charges,25.37959897,,,,,,,,,,27.25,percent of total billed charges,25.00588469,,,,,,,,,,27.25,percent of total billed charges,25.64932286,,,,,,,,,,27.25,percent of total billed charges,999999999,,,,,,,,,,27.25,percent of total billed charges,22.00892524,,,,,,,,,,27.25,percent of total billed charges,34.70959284,,,,,,,,,,27.25,percent of total billed charges,999999999,,,,,,,,,,27.25,percent of total billed charges,23.73100408,,,,,,,,,,98.1,percent of total billed charges,,,,,
**CULTURE/STERILE BODY FL,87070,CDM,,,,both,,,109,109,23.20434996,109,109,percent of total billed charges,80.1951723,,,,109,percent of total billed charges,85.00529699,,,,109,percent of total billed charges,80.1951723,,,,109,percent of total billed charges,85.00529699,,,,109,percent of total billed charges,999999999,,,,109,percent of total billed charges,83.05050848,,,,109,percent of total billed charges,80.1951723,,,,109,percent of total billed charges,85.00529699,,,,77.717,percent of total billed charges,38.78220522,,,,77.717,percent of total billed charges,23.20434996,,,,77.717,percent of total billed charges,38.78220522,,,,77.717,percent of total billed charges,23.20434996,,,,77.717,percent of total billed charges,38.78220522,,,,77.717,percent of total billed charges,23.20434996,,,,76.954,percent of total billed charges,76.37012908,,,,76.954,percent of total billed charges,52.67187271,,,,,,,,,,78.48,percent of total billed charges,51.0101532,,,,,,,,,,78.48,percent of total billed charges,999999999,,,,,,,,,,87.2,percent of total billed charges,73.06906719,,,,86.11,percent of total billed charges,83.09985574,,,,86.11,percent of total billed charges,73.42147328,,,,87.2,percent of total billed charges,999999999,,,,87.2,percent of total billed charges,999999999,,,,76.3,percent of total billed charges,999999999,,,,76.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,57.988,percent of total billed charges,999999999,,,,,,,,,,,,,,,,55.045,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,27.25,percent of total billed charges,25.88083441,,,,,,,,,,27.25,percent of total billed charges,25.45032434,,,,,,,,,,27.25,percent of total billed charges,25.37959897,,,,,,,,,,27.25,percent of total billed charges,25.00588469,,,,,,,,,,27.25,percent of total billed charges,25.64932286,,,,,,,,,,27.25,percent of total billed charges,999999999,,,,,,,,,,27.25,percent of total billed charges,22.00892524,,,,,,,,,,27.25,percent of total billed charges,34.70959284,,,,,,,,,,27.25,percent of total billed charges,999999999,,,,,,,,,,27.25,percent of total billed charges,23.73100408,,,,,,,,,,98.1,percent of total billed charges,,,,,
**CARBON MONOXIDE,82375,CDM,,,,both,,,67,67,14.26322429,67,67,percent of total billed charges,49.29428022,,,,67,percent of total billed charges,52.25096237,,,,67,percent of total billed charges,49.29428022,,,,67,percent of total billed charges,52.25096237,,,,67,percent of total billed charges,999999999,,,,67,percent of total billed charges,51.04939512,,,,67,percent of total billed charges,49.29428022,,,,67,percent of total billed charges,52.25096237,,,,47.771,percent of total billed charges,23.83860321,,,,47.771,percent of total billed charges,14.26322429,,,,47.771,percent of total billed charges,23.83860321,,,,47.771,percent of total billed charges,14.26322429,,,,47.771,percent of total billed charges,23.83860321,,,,47.771,percent of total billed charges,14.26322429,,,,47.302,percent of total billed charges,46.94310687,,,,47.302,percent of total billed charges,32.37628873,,,,,,,,,,48.24,percent of total billed charges,31.35486481,,,,,,,,,,48.24,percent of total billed charges,999999999,,,,,,,,,,53.6,percent of total billed charges,44.91401378,,,,52.93,percent of total billed charges,51.07972784,,,,52.93,percent of total billed charges,45.13063036,,,,53.6,percent of total billed charges,999999999,,,,53.6,percent of total billed charges,999999999,,,,46.9,percent of total billed charges,999999999,,,,46.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,35.644,percent of total billed charges,999999999,,,,,,,,,,,,,,,,33.835,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16.75,percent of total billed charges,15.9084028,,,,,,,,,,16.75,percent of total billed charges,15.64377734,,,,,,,,,,16.75,percent of total billed charges,15.60030396,,,,,,,,,,16.75,percent of total billed charges,15.37058967,,,,,,,,,,16.75,percent of total billed charges,15.76609754,,,,,,,,,,16.75,percent of total billed charges,999999999,,,,,,,,,,16.75,percent of total billed charges,13.52842194,,,,,,,,,,16.75,percent of total billed charges,21.33525431,,,,,,,,,,16.75,percent of total billed charges,999999999,,,,,,,,,,16.75,percent of total billed charges,14.58694746,,,,,,,,,,60.3,percent of total billed charges,,,,,
**CAT 4 GROSS & MICRO,88305,CDM,,,,both,,,166,166,35.33873481,166,166,percent of total billed charges,122.1320973,,,,166,percent of total billed charges,129.4576083,,,,166,percent of total billed charges,122.1320973,,,,166,percent of total billed charges,129.4576083,,,,166,percent of total billed charges,999999999,,,,166,percent of total billed charges,126.4805909,,,,166,percent of total billed charges,122.1320973,,,,166,percent of total billed charges,129.4576083,,,,118.358,percent of total billed charges,59.06280796,,,,118.358,percent of total billed charges,35.33873481,,,,118.358,percent of total billed charges,59.06280796,,,,118.358,percent of total billed charges,35.33873481,,,,118.358,percent of total billed charges,59.06280796,,,,118.358,percent of total billed charges,35.33873481,,,,117.196,percent of total billed charges,116.3068021,,,,117.196,percent of total billed charges,80.21587955,,,,,,,,,,119.52,percent of total billed charges,77.68518744,,,,,,,,,,119.52,percent of total billed charges,999999999,,,,,,,,,,132.8,percent of total billed charges,111.2794968,,,,131.14,percent of total billed charges,126.5557436,,,,131.14,percent of total billed charges,111.8161887,,,,132.8,percent of total billed charges,999999999,,,,132.8,percent of total billed charges,999999999,,,,116.2,percent of total billed charges,999999999,,,,116.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,88.312,percent of total billed charges,999999999,,,,,,,,,,,,,,,,83.83,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,41.5,percent of total billed charges,39.41484873,,,,,,,,,,41.5,percent of total billed charges,38.75920954,,,,,,,,,,41.5,percent of total billed charges,38.65149936,,,,,,,,,,41.5,percent of total billed charges,38.0823565,,,,,,,,,,41.5,percent of total billed charges,39.06227152,,,,,,,,,,41.5,percent of total billed charges,999999999,,,,,,,,,,41.5,percent of total billed charges,33.51817973,,,,,,,,,,41.5,percent of total billed charges,52.86048083,,,,,,,,,,41.5,percent of total billed charges,999999999,,,,,,,,,,41.5,percent of total billed charges,36.14079521,,,,,,,,,,149.4,percent of total billed charges,,,,,
**IMMUNOHISTO ANTIBODY,88341,CDM,,,,both,,,112,112,23.8430018,112,112,percent of total billed charges,82.40237888,,,,112,percent of total billed charges,87.34489232,,,,112,percent of total billed charges,82.40237888,,,,112,percent of total billed charges,87.34489232,,,,112,percent of total billed charges,999999999,,,,112,percent of total billed charges,85.33630229,,,,112,percent of total billed charges,82.40237888,,,,112,percent of total billed charges,87.34489232,,,,79.856,percent of total billed charges,39.84960537,,,,79.856,percent of total billed charges,23.8430018,,,,79.856,percent of total billed charges,39.84960537,,,,79.856,percent of total billed charges,23.8430018,,,,79.856,percent of total billed charges,39.84960537,,,,79.856,percent of total billed charges,23.8430018,,,,79.072,percent of total billed charges,78.47205924,,,,79.072,percent of total billed charges,54.12155728,,,,,,,,,,80.64,percent of total billed charges,52.41410237,,,,,,,,,,80.64,percent of total billed charges,999999999,,,,,,,,,,89.6,percent of total billed charges,75.08014243,,,,88.48,percent of total billed charges,85.38700773,,,,88.48,percent of total billed charges,75.44224777,,,,89.6,percent of total billed charges,999999999,,,,89.6,percent of total billed charges,999999999,,,,78.4,percent of total billed charges,999999999,,,,78.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,59.584,percent of total billed charges,999999999,,,,,,,,,,,,,,,,56.56,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,28,percent of total billed charges,26.59315095,,,,,,,,,,28,percent of total billed charges,26.15079198,,,,,,,,,,28,percent of total billed charges,26.07812005,,,,,,,,,,28,percent of total billed charges,25.69412005,,,,,,,,,,28,percent of total billed charges,26.35526753,,,,,,,,,,28,percent of total billed charges,999999999,,,,,,,,,,28,percent of total billed charges,22.61467548,,,,,,,,,,28,percent of total billed charges,35.66490273,,,,,,,,,,28,percent of total billed charges,999999999,,,,,,,,,,28,percent of total billed charges,24.38415098,,,,,,,,,,100.8,percent of total billed charges,,,,,
**C E A,82378,CDM,,,,both,,,142,142,30.22952014,142,142,percent of total billed charges,104.4744447,,,,142,percent of total billed charges,110.7408456,,,,142,percent of total billed charges,104.4744447,,,,142,percent of total billed charges,110.7408456,,,,142,percent of total billed charges,999999999,,,,142,percent of total billed charges,108.1942404,,,,142,percent of total billed charges,104.4744447,,,,142,percent of total billed charges,110.7408456,,,,101.246,percent of total billed charges,50.52360681,,,,101.246,percent of total billed charges,30.22952014,,,,101.246,percent of total billed charges,50.52360681,,,,101.246,percent of total billed charges,30.22952014,,,,101.246,percent of total billed charges,50.52360681,,,,101.246,percent of total billed charges,30.22952014,,,,100.252,percent of total billed charges,99.49136082,,,,100.252,percent of total billed charges,68.61840299,,,,,,,,,,102.24,percent of total billed charges,66.45359408,,,,,,,,,,102.24,percent of total billed charges,999999999,,,,,,,,,,113.6,percent of total billed charges,95.19089487,,,,112.18,percent of total billed charges,108.2585277,,,,112.18,percent of total billed charges,95.64999271,,,,113.6,percent of total billed charges,999999999,,,,113.6,percent of total billed charges,999999999,,,,99.4,percent of total billed charges,999999999,,,,99.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,75.544,percent of total billed charges,999999999,,,,,,,,,,,,,,,,71.71,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,35.5,percent of total billed charges,33.71631638,,,,,,,,,,35.5,percent of total billed charges,33.1554684,,,,,,,,,,35.5,percent of total billed charges,33.06333077,,,,,,,,,,35.5,percent of total billed charges,32.57647363,,,,,,,,,,35.5,percent of total billed charges,33.41471419,,,,,,,,,,35.5,percent of total billed charges,999999999,,,,,,,,,,35.5,percent of total billed charges,28.67217784,,,,,,,,,,35.5,percent of total billed charges,45.21800168,,,,,,,,,,35.5,percent of total billed charges,999999999,,,,,,,,,,35.5,percent of total billed charges,30.91561999,,,,,,,,,,127.8,percent of total billed charges,,,,,
**DILANTIN (PHENYTOIN),80185,CDM,,,,both,,,123,123,26.18472519,123,123,percent of total billed charges,90.49546966,,,,123,percent of total billed charges,95.92340853,,,,123,percent of total billed charges,90.49546966,,,,123,percent of total billed charges,95.92340853,,,,123,percent of total billed charges,999999999,,,,123,percent of total billed charges,93.71754626,,,,123,percent of total billed charges,90.49546966,,,,123,percent of total billed charges,95.92340853,,,,87.699,percent of total billed charges,43.7634059,,,,87.699,percent of total billed charges,26.18472519,,,,87.699,percent of total billed charges,43.7634059,,,,87.699,percent of total billed charges,26.18472519,,,,87.699,percent of total billed charges,43.7634059,,,,87.699,percent of total billed charges,26.18472519,,,,86.838,percent of total billed charges,86.17913649,,,,86.838,percent of total billed charges,59.43706737,,,,,,,,,,88.56,percent of total billed charges,57.561916,,,,,,,,,,88.56,percent of total billed charges,999999999,,,,,,,,,,98.4,percent of total billed charges,82.454085,,,,97.17,percent of total billed charges,93.7732317,,,,97.17,percent of total billed charges,82.85175425,,,,98.4,percent of total billed charges,999999999,,,,98.4,percent of total billed charges,999999999,,,,86.1,percent of total billed charges,999999999,,,,86.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,65.436,percent of total billed charges,999999999,,,,,,,,,,,,,,,,62.115,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,30.75,percent of total billed charges,29.20497827,,,,,,,,,,30.75,percent of total billed charges,28.71917333,,,,,,,,,,30.75,percent of total billed charges,28.63936398,,,,,,,,,,30.75,percent of total billed charges,28.21764969,,,,,,,,,,30.75,percent of total billed charges,28.9437313,,,,,,,,,,30.75,percent of total billed charges,999999999,,,,,,,,,,30.75,percent of total billed charges,24.83575968,,,,,,,,,,30.75,percent of total billed charges,39.16770568,,,,,,,,,,30.75,percent of total billed charges,999999999,,,,,,,,,,30.75,percent of total billed charges,26.77902295,,,,,,,,,,110.7,percent of total billed charges,,,,,
**DRUG SCREEN URINE,80300,CDM,,,,both,,,142,142,30.22952014,142,142,percent of total billed charges,104.4744447,,,,142,percent of total billed charges,110.7408456,,,,142,percent of total billed charges,104.4744447,,,,142,percent of total billed charges,110.7408456,,,,142,percent of total billed charges,999999999,,,,142,percent of total billed charges,108.1942404,,,,142,percent of total billed charges,104.4744447,,,,142,percent of total billed charges,110.7408456,,,,101.246,percent of total billed charges,50.52360681,,,,101.246,percent of total billed charges,30.22952014,,,,101.246,percent of total billed charges,50.52360681,,,,101.246,percent of total billed charges,30.22952014,,,,101.246,percent of total billed charges,50.52360681,,,,101.246,percent of total billed charges,30.22952014,,,,100.252,percent of total billed charges,99.49136082,,,,100.252,percent of total billed charges,68.61840299,,,,,,,,,,102.24,percent of total billed charges,66.45359408,,,,,,,,,,102.24,percent of total billed charges,999999999,,,,,,,,,,113.6,percent of total billed charges,95.19089487,,,,112.18,percent of total billed charges,108.2585277,,,,112.18,percent of total billed charges,95.64999271,,,,113.6,percent of total billed charges,999999999,,,,113.6,percent of total billed charges,999999999,,,,99.4,percent of total billed charges,999999999,,,,99.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,75.544,percent of total billed charges,999999999,,,,,,,,,,,,,,,,71.71,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,35.5,percent of total billed charges,33.71631638,,,,,,,,,,35.5,percent of total billed charges,33.1554684,,,,,,,,,,35.5,percent of total billed charges,33.06333077,,,,,,,,,,35.5,percent of total billed charges,32.57647363,,,,,,,,,,35.5,percent of total billed charges,33.41471419,,,,,,,,,,35.5,percent of total billed charges,999999999,,,,,,,,,,35.5,percent of total billed charges,28.67217784,,,,,,,,,,35.5,percent of total billed charges,45.21800168,,,,,,,,,,35.5,percent of total billed charges,999999999,,,,,,,,,,35.5,percent of total billed charges,30.91561999,,,,,,,,,,127.8,percent of total billed charges,,,,,
**DRUG CONFIRMATION,80303,CDM,,,,both,,,98,98,20.86262657,98,98,percent of total billed charges,72.10208152,,,,98,percent of total billed charges,76.42678078,,,,98,percent of total billed charges,72.10208152,,,,98,percent of total billed charges,76.42678078,,,,98,percent of total billed charges,999999999,,,,98,percent of total billed charges,74.6692645,,,,98,percent of total billed charges,72.10208152,,,,98,percent of total billed charges,76.42678078,,,,69.874,percent of total billed charges,34.8684047,,,,69.874,percent of total billed charges,20.86262657,,,,69.874,percent of total billed charges,34.8684047,,,,69.874,percent of total billed charges,20.86262657,,,,69.874,percent of total billed charges,34.8684047,,,,69.874,percent of total billed charges,20.86262657,,,,69.188,percent of total billed charges,68.66305184,,,,69.188,percent of total billed charges,47.35636262,,,,,,,,,,70.56,percent of total billed charges,45.86233957,,,,,,,,,,70.56,percent of total billed charges,999999999,,,,,,,,,,78.4,percent of total billed charges,65.69512463,,,,77.42,percent of total billed charges,74.71363176,,,,77.42,percent of total billed charges,66.0119668,,,,78.4,percent of total billed charges,999999999,,,,78.4,percent of total billed charges,999999999,,,,68.6,percent of total billed charges,999999999,,,,68.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,52.136,percent of total billed charges,999999999,,,,,,,,,,,,,,,,49.49,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,24.5,percent of total billed charges,23.26900708,,,,,,,,,,24.5,percent of total billed charges,22.88194298,,,,,,,,,,24.5,percent of total billed charges,22.81835504,,,,,,,,,,24.5,percent of total billed charges,22.48235504,,,,,,,,,,24.5,percent of total billed charges,23.06085909,,,,,,,,,,24.5,percent of total billed charges,999999999,,,,,,,,,,24.5,percent of total billed charges,19.78784104,,,,,,,,,,24.5,percent of total billed charges,31.20678989,,,,,,,,,,24.5,percent of total billed charges,999999999,,,,,,,,,,24.5,percent of total billed charges,21.33613211,,,,,,,,,,88.2,percent of total billed charges,,,,,
**CHLAMYDIA,87320,CDM,,,,both,,,83,83,17.6693674,83,83,percent of total billed charges,61.06604863,,,,83,percent of total billed charges,64.72880413,,,,83,percent of total billed charges,61.06604863,,,,83,percent of total billed charges,64.72880413,,,,83,percent of total billed charges,999999999,,,,83,percent of total billed charges,63.24029545,,,,83,percent of total billed charges,61.06604863,,,,83,percent of total billed charges,64.72880413,,,,59.179,percent of total billed charges,29.53140398,,,,59.179,percent of total billed charges,17.6693674,,,,59.179,percent of total billed charges,29.53140398,,,,59.179,percent of total billed charges,17.6693674,,,,59.179,percent of total billed charges,29.53140398,,,,59.179,percent of total billed charges,17.6693674,,,,58.598,percent of total billed charges,58.15340104,,,,58.598,percent of total billed charges,40.10793977,,,,,,,,,,59.76,percent of total billed charges,38.84259372,,,,,,,,,,59.76,percent of total billed charges,999999999,,,,,,,,,,66.4,percent of total billed charges,55.63974841,,,,65.57,percent of total billed charges,63.2778718,,,,65.57,percent of total billed charges,55.90809433,,,,66.4,percent of total billed charges,999999999,,,,66.4,percent of total billed charges,999999999,,,,58.1,percent of total billed charges,999999999,,,,58.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,44.156,percent of total billed charges,999999999,,,,,,,,,,,,,,,,41.915,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20.75,percent of total billed charges,19.70742436,,,,,,,,,,20.75,percent of total billed charges,19.37960477,,,,,,,,,,20.75,percent of total billed charges,19.32574968,,,,,,,,,,20.75,percent of total billed charges,19.04117825,,,,,,,,,,20.75,percent of total billed charges,19.53113576,,,,,,,,,,20.75,percent of total billed charges,999999999,,,,,,,,,,20.75,percent of total billed charges,16.75908986,,,,,,,,,,20.75,percent of total billed charges,26.43024042,,,,,,,,,,20.75,percent of total billed charges,999999999,,,,,,,,,,20.75,percent of total billed charges,18.0703976,,,,,,,,,,74.7,percent of total billed charges,,,,,
**FECAL FAT QUANTITATIVE,82710,CDM,,,,both,,,168,168,35.7645027,168,168,percent of total billed charges,123.6035683,,,,168,percent of total billed charges,131.0173385,,,,168,percent of total billed charges,123.6035683,,,,168,percent of total billed charges,131.0173385,,,,168,percent of total billed charges,999999999,,,,168,percent of total billed charges,128.0044534,,,,168,percent of total billed charges,123.6035683,,,,168,percent of total billed charges,131.0173385,,,,119.784,percent of total billed charges,59.77440805,,,,119.784,percent of total billed charges,35.7645027,,,,119.784,percent of total billed charges,59.77440805,,,,119.784,percent of total billed charges,35.7645027,,,,119.784,percent of total billed charges,59.77440805,,,,119.784,percent of total billed charges,35.7645027,,,,118.608,percent of total billed charges,117.7080889,,,,118.608,percent of total billed charges,81.18233593,,,,,,,,,,120.96,percent of total billed charges,78.62115356,,,,,,,,,,120.96,percent of total billed charges,999999999,,,,,,,,,,134.4,percent of total billed charges,112.6202137,,,,132.72,percent of total billed charges,128.0805116,,,,132.72,percent of total billed charges,113.1633717,,,,134.4,percent of total billed charges,999999999,,,,134.4,percent of total billed charges,999999999,,,,117.6,percent of total billed charges,999999999,,,,117.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,89.376,percent of total billed charges,999999999,,,,,,,,,,,,,,,,84.84,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,42,percent of total billed charges,39.88972642,,,,,,,,,,42,percent of total billed charges,39.22618797,,,,,,,,,,42,percent of total billed charges,39.11718007,,,,,,,,,,42,percent of total billed charges,38.54118007,,,,,,,,,,42,percent of total billed charges,39.53290129,,,,,,,,,,42,percent of total billed charges,999999999,,,,,,,,,,42,percent of total billed charges,33.92201322,,,,,,,,,,42,percent of total billed charges,53.4973541,,,,,,,,,,42,percent of total billed charges,999999999,,,,,,,,,,42,percent of total billed charges,36.57622647,,,,,,,,,,151.2,percent of total billed charges,,,,,
**GENTAMICIN TROUGH,80170,CDM,,,,both,,,328,328,69.82593384,328,328,percent of total billed charges,241.3212524,,,,328,percent of total billed charges,255.7957561,,,,328,percent of total billed charges,241.3212524,,,,328,percent of total billed charges,255.7957561,,,,328,percent of total billed charges,999999999,,,,328,percent of total billed charges,249.9134567,,,,328,percent of total billed charges,241.3212524,,,,328,percent of total billed charges,255.7957561,,,,233.864,percent of total billed charges,116.7024157,,,,233.864,percent of total billed charges,69.82593384,,,,233.864,percent of total billed charges,116.7024157,,,,233.864,percent of total billed charges,69.82593384,,,,233.864,percent of total billed charges,116.7024157,,,,233.864,percent of total billed charges,69.82593384,,,,231.568,percent of total billed charges,229.8110306,,,,231.568,percent of total billed charges,158.4988463,,,,,,,,,,236.16,percent of total billed charges,153.4984427,,,,,,,,,,236.16,percent of total billed charges,999999999,,,,,,,,,,262.4,percent of total billed charges,219.87756,,,,259.12,percent of total billed charges,250.0619512,,,,259.12,percent of total billed charges,220.9380113,,,,262.4,percent of total billed charges,999999999,,,,262.4,percent of total billed charges,999999999,,,,229.6,percent of total billed charges,999999999,,,,229.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,174.496,percent of total billed charges,999999999,,,,,,,,,,,,,,,,165.64,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,82,percent of total billed charges,77.87994207,,,,,,,,,,82,percent of total billed charges,76.58446222,,,,,,,,,,82,percent of total billed charges,76.37163728,,,,,,,,,,82,percent of total billed charges,75.24706585,,,,,,,,,,82,percent of total billed charges,77.18328348,,,,,,,,,,82,percent of total billed charges,999999999,,,,,,,,,,82,percent of total billed charges,66.22869247,,,,,,,,,,82,percent of total billed charges,104.4472151,,,,,,,,,,82,percent of total billed charges,999999999,,,,,,,,,,82,percent of total billed charges,71.41072788,,,,,,,,,,295.2,percent of total billed charges,,,,,
**GENTAMICIN PEAK,80170,CDM,,,,both,,,328,328,69.82593384,328,328,percent of total billed charges,241.3212524,,,,328,percent of total billed charges,255.7957561,,,,328,percent of total billed charges,241.3212524,,,,328,percent of total billed charges,255.7957561,,,,328,percent of total billed charges,999999999,,,,328,percent of total billed charges,249.9134567,,,,328,percent of total billed charges,241.3212524,,,,328,percent of total billed charges,255.7957561,,,,233.864,percent of total billed charges,116.7024157,,,,233.864,percent of total billed charges,69.82593384,,,,233.864,percent of total billed charges,116.7024157,,,,233.864,percent of total billed charges,69.82593384,,,,233.864,percent of total billed charges,116.7024157,,,,233.864,percent of total billed charges,69.82593384,,,,231.568,percent of total billed charges,229.8110306,,,,231.568,percent of total billed charges,158.4988463,,,,,,,,,,236.16,percent of total billed charges,153.4984427,,,,,,,,,,236.16,percent of total billed charges,999999999,,,,,,,,,,262.4,percent of total billed charges,219.87756,,,,259.12,percent of total billed charges,250.0619512,,,,259.12,percent of total billed charges,220.9380113,,,,262.4,percent of total billed charges,999999999,,,,262.4,percent of total billed charges,999999999,,,,229.6,percent of total billed charges,999999999,,,,229.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,174.496,percent of total billed charges,999999999,,,,,,,,,,,,,,,,165.64,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,82,percent of total billed charges,77.87994207,,,,,,,,,,82,percent of total billed charges,76.58446222,,,,,,,,,,82,percent of total billed charges,76.37163728,,,,,,,,,,82,percent of total billed charges,75.24706585,,,,,,,,,,82,percent of total billed charges,77.18328348,,,,,,,,,,82,percent of total billed charges,999999999,,,,,,,,,,82,percent of total billed charges,66.22869247,,,,,,,,,,82,percent of total billed charges,104.4472151,,,,,,,,,,82,percent of total billed charges,999999999,,,,,,,,,,82,percent of total billed charges,71.41072788,,,,,,,,,,295.2,percent of total billed charges,,,,,
**HEPATITIS B PROFILE(*),80074,CDM,,,,both,,,306,306,65.14248705,306,306,percent of total billed charges,225.1350709,,,,306,percent of total billed charges,238.6387237,,,,306,percent of total billed charges,225.1350709,,,,306,percent of total billed charges,238.6387237,,,,306,percent of total billed charges,999999999,,,,306,percent of total billed charges,233.1509688,,,,306,percent of total billed charges,225.1350709,,,,306,percent of total billed charges,238.6387237,,,,218.178,percent of total billed charges,108.8748147,,,,218.178,percent of total billed charges,65.14248705,,,,218.178,percent of total billed charges,108.8748147,,,,218.178,percent of total billed charges,65.14248705,,,,218.178,percent of total billed charges,108.8748147,,,,218.178,percent of total billed charges,65.14248705,,,,216.036,percent of total billed charges,214.3968761,,,,216.036,percent of total billed charges,147.8678262,,,,,,,,,,220.32,percent of total billed charges,143.2028154,,,,,,,,,,220.32,percent of total billed charges,999999999,,,,,,,,,,244.8,percent of total billed charges,205.1296749,,,,241.74,percent of total billed charges,233.2895033,,,,241.74,percent of total billed charges,206.1189984,,,,244.8,percent of total billed charges,999999999,,,,244.8,percent of total billed charges,999999999,,,,214.2,percent of total billed charges,999999999,,,,214.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,162.792,percent of total billed charges,999999999,,,,,,,,,,,,,,,,154.53,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,76.5,percent of total billed charges,72.65628742,,,,,,,,,,76.5,percent of total billed charges,71.44769951,,,,,,,,,,76.5,percent of total billed charges,71.24914941,,,,,,,,,,76.5,percent of total billed charges,70.20000656,,,,,,,,,,76.5,percent of total billed charges,72.00635593,,,,,,,,,,76.5,percent of total billed charges,999999999,,,,,,,,,,76.5,percent of total billed charges,61.78652408,,,,,,,,,,76.5,percent of total billed charges,97.44160924,,,,,,,,,,76.5,percent of total billed charges,999999999,,,,,,,,,,76.5,percent of total billed charges,66.62098393,,,,,,,,,,275.4,percent of total billed charges,,,,,
**LIPASE,83690,CDM,,,,both,,,78,78,16.60494768,78,78,percent of total billed charges,57.38737101,,,,78,percent of total billed charges,60.82947858,,,,78,percent of total billed charges,57.38737101,,,,78,percent of total billed charges,60.82947858,,,,78,percent of total billed charges,999999999,,,,78,percent of total billed charges,59.43063909,,,,78,percent of total billed charges,57.38737101,,,,78,percent of total billed charges,60.82947858,,,,55.614,percent of total billed charges,27.75240374,,,,55.614,percent of total billed charges,16.60494768,,,,55.614,percent of total billed charges,27.75240374,,,,55.614,percent of total billed charges,16.60494768,,,,55.614,percent of total billed charges,27.75240374,,,,55.614,percent of total billed charges,16.60494768,,,,55.068,percent of total billed charges,54.65018411,,,,55.068,percent of total billed charges,37.69179882,,,,,,,,,,56.16,percent of total billed charges,36.50267844,,,,,,,,,,56.16,percent of total billed charges,999999999,,,,,,,,,,62.4,percent of total billed charges,52.28795634,,,,61.62,percent of total billed charges,59.46595181,,,,61.62,percent of total billed charges,52.54013684,,,,62.4,percent of total billed charges,999999999,,,,62.4,percent of total billed charges,999999999,,,,54.6,percent of total billed charges,999999999,,,,54.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,41.496,percent of total billed charges,999999999,,,,,,,,,,,,,,,,39.39,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19.5,percent of total billed charges,18.52023013,,,,,,,,,,19.5,percent of total billed charges,18.2121587,,,,,,,,,,19.5,percent of total billed charges,18.16154789,,,,,,,,,,19.5,percent of total billed charges,17.89411932,,,,,,,,,,19.5,percent of total billed charges,18.35456131,,,,,,,,,,19.5,percent of total billed charges,999999999,,,,,,,,,,19.5,percent of total billed charges,15.74950614,,,,,,,,,,19.5,percent of total billed charges,24.83805726,,,,,,,,,,19.5,percent of total billed charges,999999999,,,,,,,,,,19.5,percent of total billed charges,16.98181943,,,,,,,,,,70.2,percent of total billed charges,,,,,
**MAGNESIUM,83735,CDM,,,,both,,,55,55,11.70861695,55,55,percent of total billed charges,40.46545391,,,,55,percent of total billed charges,42.89258105,,,,55,percent of total billed charges,40.46545391,,,,55,percent of total billed charges,42.89258105,,,,55,percent of total billed charges,999999999,,,,55,percent of total billed charges,41.90621987,,,,55,percent of total billed charges,40.46545391,,,,55,percent of total billed charges,42.89258105,,,,39.215,percent of total billed charges,19.56900264,,,,39.215,percent of total billed charges,11.70861695,,,,39.215,percent of total billed charges,19.56900264,,,,39.215,percent of total billed charges,11.70861695,,,,39.215,percent of total billed charges,19.56900264,,,,39.215,percent of total billed charges,11.70861695,,,,38.83,percent of total billed charges,38.53538623,,,,38.83,percent of total billed charges,26.57755045,,,,,,,,,,39.6,percent of total billed charges,25.73906813,,,,,,,,,,39.6,percent of total billed charges,999999999,,,,,,,,,,44,percent of total billed charges,36.8697128,,,,43.45,percent of total billed charges,41.93111987,,,,43.45,percent of total billed charges,37.04753239,,,,44,percent of total billed charges,999999999,,,,44,percent of total billed charges,999999999,,,,38.5,percent of total billed charges,999999999,,,,38.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,29.26,percent of total billed charges,999999999,,,,,,,,,,,,,,,,27.775,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13.75,percent of total billed charges,13.05913663,,,,,,,,,,13.75,percent of total billed charges,12.84190678,,,,,,,,,,13.75,percent of total billed charges,12.80621967,,,,,,,,,,13.75,percent of total billed charges,12.61764824,,,,,,,,,,13.75,percent of total billed charges,12.94231888,,,,,,,,,,13.75,percent of total billed charges,999999999,,,,,,,,,,13.75,percent of total billed charges,11.10542099,,,,,,,,,,13.75,percent of total billed charges,17.51401473,,,,,,,,,,13.75,percent of total billed charges,999999999,,,,,,,,,,13.75,percent of total billed charges,11.97435986,,,,,,,,,,49.5,percent of total billed charges,,,,,
**MICROALBUMIN,82043,CDM,,,,both,,,78,78,16.60494768,78,78,percent of total billed charges,57.38737101,,,,78,percent of total billed charges,60.82947858,,,,78,percent of total billed charges,57.38737101,,,,78,percent of total billed charges,60.82947858,,,,78,percent of total billed charges,999999999,,,,78,percent of total billed charges,59.43063909,,,,78,percent of total billed charges,57.38737101,,,,78,percent of total billed charges,60.82947858,,,,55.614,percent of total billed charges,27.75240374,,,,55.614,percent of total billed charges,16.60494768,,,,55.614,percent of total billed charges,27.75240374,,,,55.614,percent of total billed charges,16.60494768,,,,55.614,percent of total billed charges,27.75240374,,,,55.614,percent of total billed charges,16.60494768,,,,55.068,percent of total billed charges,54.65018411,,,,55.068,percent of total billed charges,37.69179882,,,,,,,,,,56.16,percent of total billed charges,36.50267844,,,,,,,,,,56.16,percent of total billed charges,999999999,,,,,,,,,,62.4,percent of total billed charges,52.28795634,,,,61.62,percent of total billed charges,59.46595181,,,,61.62,percent of total billed charges,52.54013684,,,,62.4,percent of total billed charges,999999999,,,,62.4,percent of total billed charges,999999999,,,,54.6,percent of total billed charges,999999999,,,,54.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,41.496,percent of total billed charges,999999999,,,,,,,,,,,,,,,,39.39,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19.5,percent of total billed charges,18.52023013,,,,,,,,,,19.5,percent of total billed charges,18.2121587,,,,,,,,,,19.5,percent of total billed charges,18.16154789,,,,,,,,,,19.5,percent of total billed charges,17.89411932,,,,,,,,,,19.5,percent of total billed charges,18.35456131,,,,,,,,,,19.5,percent of total billed charges,999999999,,,,,,,,,,19.5,percent of total billed charges,15.74950614,,,,,,,,,,19.5,percent of total billed charges,24.83805726,,,,,,,,,,19.5,percent of total billed charges,999999999,,,,,,,,,,19.5,percent of total billed charges,16.98181943,,,,,,,,,,70.2,percent of total billed charges,,,,,
**OVA+PARASITES,87177,CDM,,,,both,,,95,95,20.22397474,95,95,percent of total billed charges,69.89487494,,,,95,percent of total billed charges,74.08718545,,,,95,percent of total billed charges,69.89487494,,,,95,percent of total billed charges,74.08718545,,,,95,percent of total billed charges,999999999,,,,95,percent of total billed charges,72.38347069,,,,95,percent of total billed charges,69.89487494,,,,95,percent of total billed charges,74.08718545,,,,67.735,percent of total billed charges,33.80100455,,,,67.735,percent of total billed charges,20.22397474,,,,67.735,percent of total billed charges,33.80100455,,,,67.735,percent of total billed charges,20.22397474,,,,67.735,percent of total billed charges,33.80100455,,,,67.735,percent of total billed charges,20.22397474,,,,67.07,percent of total billed charges,66.56112168,,,,67.07,percent of total billed charges,45.90667805,,,,,,,,,,68.4,percent of total billed charges,44.4583904,,,,,,,,,,68.4,percent of total billed charges,999999999,,,,,,,,,,76,percent of total billed charges,63.68404939,,,,75.05,percent of total billed charges,72.42647977,,,,75.05,percent of total billed charges,63.9911923,,,,76,percent of total billed charges,999999999,,,,76,percent of total billed charges,999999999,,,,66.5,percent of total billed charges,999999999,,,,66.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,50.54,percent of total billed charges,999999999,,,,,,,,,,,,,,,,47.975,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23.75,percent of total billed charges,22.55669054,,,,,,,,,,23.75,percent of total billed charges,22.18147534,,,,,,,,,,23.75,percent of total billed charges,22.11983397,,,,,,,,,,23.75,percent of total billed charges,21.79411968,,,,,,,,,,23.75,percent of total billed charges,22.35491442,,,,,,,,,,23.75,percent of total billed charges,999999999,,,,,,,,,,23.75,percent of total billed charges,19.18209081,,,,,,,,,,23.75,percent of total billed charges,30.25147999,,,,,,,,,,23.75,percent of total billed charges,999999999,,,,,,,,,,23.75,percent of total billed charges,20.68298521,,,,,,,,,,85.5,percent of total billed charges,,,,,
**PROTHROMBIN TIME,85610,CDM,,,,both,,,46,46,9.792661453,46,46,percent of total billed charges,33.84383418,,,,46,percent of total billed charges,35.87379506,,,,46,percent of total billed charges,33.84383418,,,,46,percent of total billed charges,35.87379506,,,,46,percent of total billed charges,999999999,,,,46,percent of total billed charges,35.04883844,,,,46,percent of total billed charges,33.84383418,,,,46,percent of total billed charges,35.87379506,,,,32.798,percent of total billed charges,16.3668022,,,,32.798,percent of total billed charges,9.792661453,,,,32.798,percent of total billed charges,16.3668022,,,,32.798,percent of total billed charges,9.792661453,,,,32.798,percent of total billed charges,16.3668022,,,,32.798,percent of total billed charges,9.792661453,,,,32.476,percent of total billed charges,32.22959576,,,,32.476,percent of total billed charges,22.22849674,,,,,,,,,,33.12,percent of total billed charges,21.52722062,,,,,,,,,,33.12,percent of total billed charges,999999999,,,,,,,,,,36.8,percent of total billed charges,30.83648707,,,,36.34,percent of total billed charges,35.06966389,,,,36.34,percent of total billed charges,30.98520891,,,,36.8,percent of total billed charges,999999999,,,,36.8,percent of total billed charges,999999999,,,,32.2,percent of total billed charges,999999999,,,,32.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,24.472,percent of total billed charges,999999999,,,,,,,,,,,,,,,,23.23,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11.5,percent of total billed charges,10.922187,,,,,,,,,,11.5,percent of total billed charges,10.74050385,,,,,,,,,,11.5,percent of total billed charges,10.71065645,,,,,,,,,,11.5,percent of total billed charges,10.55294216,,,,,,,,,,11.5,percent of total billed charges,10.82448488,,,,,,,,,,11.5,percent of total billed charges,999999999,,,,,,,,,,11.5,percent of total billed charges,9.288170286,,,,,,,,,,11.5,percent of total billed charges,14.64808505,,,,,,,,,,11.5,percent of total billed charges,999999999,,,,,,,,,,11.5,percent of total billed charges,10.01491915,,,,,,,,,,41.4,percent of total billed charges,,,,,
**PTT,85730,CDM,,,,both,,,78,78,16.60494768,78,78,percent of total billed charges,57.38737101,,,,78,percent of total billed charges,60.82947858,,,,78,percent of total billed charges,57.38737101,,,,78,percent of total billed charges,60.82947858,,,,78,percent of total billed charges,999999999,,,,78,percent of total billed charges,59.43063909,,,,78,percent of total billed charges,57.38737101,,,,78,percent of total billed charges,60.82947858,,,,55.614,percent of total billed charges,27.75240374,,,,55.614,percent of total billed charges,16.60494768,,,,55.614,percent of total billed charges,27.75240374,,,,55.614,percent of total billed charges,16.60494768,,,,55.614,percent of total billed charges,27.75240374,,,,55.614,percent of total billed charges,16.60494768,,,,55.068,percent of total billed charges,54.65018411,,,,55.068,percent of total billed charges,37.69179882,,,,,,,,,,56.16,percent of total billed charges,36.50267844,,,,,,,,,,56.16,percent of total billed charges,999999999,,,,,,,,,,62.4,percent of total billed charges,52.28795634,,,,61.62,percent of total billed charges,59.46595181,,,,61.62,percent of total billed charges,52.54013684,,,,62.4,percent of total billed charges,999999999,,,,62.4,percent of total billed charges,999999999,,,,54.6,percent of total billed charges,999999999,,,,54.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,41.496,percent of total billed charges,999999999,,,,,,,,,,,,,,,,39.39,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19.5,percent of total billed charges,18.52023013,,,,,,,,,,19.5,percent of total billed charges,18.2121587,,,,,,,,,,19.5,percent of total billed charges,18.16154789,,,,,,,,,,19.5,percent of total billed charges,17.89411932,,,,,,,,,,19.5,percent of total billed charges,18.35456131,,,,,,,,,,19.5,percent of total billed charges,999999999,,,,,,,,,,19.5,percent of total billed charges,15.74950614,,,,,,,,,,19.5,percent of total billed charges,24.83805726,,,,,,,,,,19.5,percent of total billed charges,999999999,,,,,,,,,,19.5,percent of total billed charges,16.98181943,,,,,,,,,,70.2,percent of total billed charges,,,,,
**PRIMIDONE,80188,CDM,,,,both,,,122,122,25.97184124,122,122,percent of total billed charges,89.75973414,,,,122,percent of total billed charges,95.14354342,,,,122,percent of total billed charges,89.75973414,,,,122,percent of total billed charges,95.14354342,,,,122,percent of total billed charges,999999999,,,,122,percent of total billed charges,92.95561499,,,,122,percent of total billed charges,89.75973414,,,,122,percent of total billed charges,95.14354342,,,,86.986,percent of total billed charges,43.40760585,,,,86.986,percent of total billed charges,25.97184124,,,,86.986,percent of total billed charges,43.40760585,,,,86.986,percent of total billed charges,25.97184124,,,,86.986,percent of total billed charges,43.40760585,,,,86.986,percent of total billed charges,25.97184124,,,,86.132,percent of total billed charges,85.4784931,,,,86.132,percent of total billed charges,58.95383918,,,,,,,,,,87.84,percent of total billed charges,57.09393294,,,,,,,,,,87.84,percent of total billed charges,999999999,,,,,,,,,,97.6,percent of total billed charges,81.78372658,,,,96.38,percent of total billed charges,93.01084771,,,,96.38,percent of total billed charges,82.17816275,,,,97.6,percent of total billed charges,999999999,,,,97.6,percent of total billed charges,999999999,,,,85.4,percent of total billed charges,999999999,,,,85.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,64.904,percent of total billed charges,999999999,,,,,,,,,,,,,,,,61.61,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,30.5,percent of total billed charges,28.96753943,,,,,,,,,,30.5,percent of total billed charges,28.48568412,,,,,,,,,,30.5,percent of total billed charges,28.40652362,,,,,,,,,,30.5,percent of total billed charges,27.98823791,,,,,,,,,,30.5,percent of total billed charges,28.70841641,,,,,,,,,,30.5,percent of total billed charges,999999999,,,,,,,,,,30.5,percent of total billed charges,24.63384293,,,,,,,,,,30.5,percent of total billed charges,38.84926905,,,,,,,,,,30.5,percent of total billed charges,999999999,,,,,,,,,,30.5,percent of total billed charges,26.56130732,,,,,,,,,,109.8,percent of total billed charges,,,,,
**PROTEIN ELECTROPHORE-SERUM,84165,CDM,,,,both,,,102,102,21.71416235,102,102,percent of total billed charges,75.04502362,,,,102,percent of total billed charges,79.54624122,,,,102,percent of total billed charges,75.04502362,,,,102,percent of total billed charges,79.54624122,,,,102,percent of total billed charges,999999999,,,,102,percent of total billed charges,77.71698958,,,,102,percent of total billed charges,75.04502362,,,,102,percent of total billed charges,79.54624122,,,,72.726,percent of total billed charges,36.29160489,,,,72.726,percent of total billed charges,21.71416235,,,,72.726,percent of total billed charges,36.29160489,,,,72.726,percent of total billed charges,21.71416235,,,,72.726,percent of total billed charges,36.29160489,,,,72.726,percent of total billed charges,21.71416235,,,,72.012,percent of total billed charges,71.46562538,,,,72.012,percent of total billed charges,49.28927538,,,,,,,,,,73.44,percent of total billed charges,47.7342718,,,,,,,,,,73.44,percent of total billed charges,999999999,,,,,,,,,,81.6,percent of total billed charges,68.37655829,,,,80.58,percent of total billed charges,77.76316775,,,,80.58,percent of total billed charges,68.70633279,,,,81.6,percent of total billed charges,999999999,,,,81.6,percent of total billed charges,999999999,,,,71.4,percent of total billed charges,999999999,,,,71.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,54.264,percent of total billed charges,999999999,,,,,,,,,,,,,,,,51.51,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,25.5,percent of total billed charges,24.21876247,,,,,,,,,,25.5,percent of total billed charges,23.81589984,,,,,,,,,,25.5,percent of total billed charges,23.74971647,,,,,,,,,,25.5,percent of total billed charges,23.40000219,,,,,,,,,,25.5,percent of total billed charges,24.00211864,,,,,,,,,,25.5,percent of total billed charges,999999999,,,,,,,,,,25.5,percent of total billed charges,20.59550803,,,,,,,,,,25.5,percent of total billed charges,32.48053641,,,,,,,,,,25.5,percent of total billed charges,999999999,,,,,,,,,,25.5,percent of total billed charges,22.20699464,,,,,,,,,,91.8,percent of total billed charges,,,,,
**URINARY PROTEIN 24 HR,84155,CDM,,,,both,,,30,30,6.386518339,30,30,percent of total billed charges,22.07206577,,,,30,percent of total billed charges,23.3959533,,,,30,percent of total billed charges,22.07206577,,,,30,percent of total billed charges,23.3959533,,,,30,percent of total billed charges,999999999,,,,30,percent of total billed charges,22.85793811,,,,30,percent of total billed charges,22.07206577,,,,30,percent of total billed charges,23.3959533,,,,21.39,percent of total billed charges,10.67400144,,,,21.39,percent of total billed charges,6.386518339,,,,21.39,percent of total billed charges,10.67400144,,,,21.39,percent of total billed charges,6.386518339,,,,21.39,percent of total billed charges,10.67400144,,,,21.39,percent of total billed charges,6.386518339,,,,21.18,percent of total billed charges,21.01930158,,,,21.18,percent of total billed charges,14.4968457,,,,,,,,,,21.6,percent of total billed charges,14.03949171,,,,,,,,,,21.6,percent of total billed charges,999999999,,,,,,,,,,24,percent of total billed charges,20.11075244,,,,23.7,percent of total billed charges,22.87151993,,,,23.7,percent of total billed charges,20.20774494,,,,24,percent of total billed charges,999999999,,,,24,percent of total billed charges,999999999,,,,21,percent of total billed charges,999999999,,,,21,percent of total billed charges,999999999,,,,,,,,,,,,,,,,15.96,percent of total billed charges,999999999,,,,,,,,,,,,,,,,15.15,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7.5,percent of total billed charges,7.123165433,,,,,,,,,,7.5,percent of total billed charges,7.004676423,,,,,,,,,,7.5,percent of total billed charges,6.985210727,,,,,,,,,,7.5,percent of total billed charges,6.882353584,,,,,,,,,,7.5,percent of total billed charges,7.059446659,,,,,,,,,,7.5,percent of total billed charges,999999999,,,,,,,,,,7.5,percent of total billed charges,6.05750236,,,,,,,,,,7.5,percent of total billed charges,9.553098946,,,,,,,,,,7.5,percent of total billed charges,999999999,,,,,,,,,,7.5,percent of total billed charges,6.531469013,,,,,,,,,,27,percent of total billed charges,,,,,
**NAPA (PROCAINAMIDE) PRONESTYL,80192,CDM,,,,both,,,139,139,29.5908683,139,139,percent of total billed charges,102.2672381,,,,139,percent of total billed charges,108.4012503,,,,139,percent of total billed charges,102.2672381,,,,139,percent of total billed charges,108.4012503,,,,139,percent of total billed charges,999999999,,,,139,percent of total billed charges,105.9084466,,,,139,percent of total billed charges,102.2672381,,,,139,percent of total billed charges,108.4012503,,,,99.107,percent of total billed charges,49.45620666,,,,99.107,percent of total billed charges,29.5908683,,,,99.107,percent of total billed charges,49.45620666,,,,99.107,percent of total billed charges,29.5908683,,,,99.107,percent of total billed charges,49.45620666,,,,99.107,percent of total billed charges,29.5908683,,,,98.134,percent of total billed charges,97.38943066,,,,98.134,percent of total billed charges,67.16871842,,,,,,,,,,100.08,percent of total billed charges,65.04964491,,,,,,,,,,100.08,percent of total billed charges,999999999,,,,,,,,,,111.2,percent of total billed charges,93.17981963,,,,109.81,percent of total billed charges,105.9713757,,,,109.81,percent of total billed charges,93.62921821,,,,111.2,percent of total billed charges,999999999,,,,111.2,percent of total billed charges,999999999,,,,97.3,percent of total billed charges,999999999,,,,97.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,73.948,percent of total billed charges,999999999,,,,,,,,,,,,,,,,70.195,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,34.75,percent of total billed charges,33.00399984,,,,,,,,,,34.75,percent of total billed charges,32.45500076,,,,,,,,,,34.75,percent of total billed charges,32.3648097,,,,,,,,,,34.75,percent of total billed charges,31.88823827,,,,,,,,,,34.75,percent of total billed charges,32.70876952,,,,,,,,,,34.75,percent of total billed charges,999999999,,,,,,,,,,34.75,percent of total billed charges,28.0664276,,,,,,,,,,34.75,percent of total billed charges,44.26269178,,,,,,,,,,34.75,percent of total billed charges,999999999,,,,,,,,,,34.75,percent of total billed charges,30.26247309,,,,,,,,,,125.1,percent of total billed charges,,,,,
**R-A TEST,86430,CDM,,,,both,,,59,59,12.56015273,59,59,percent of total billed charges,43.40839602,,,,59,percent of total billed charges,46.01204149,,,,59,percent of total billed charges,43.40839602,,,,59,percent of total billed charges,46.01204149,,,,59,percent of total billed charges,999999999,,,,59,percent of total billed charges,44.95394496,,,,59,percent of total billed charges,43.40839602,,,,59,percent of total billed charges,46.01204149,,,,42.067,percent of total billed charges,20.99220283,,,,42.067,percent of total billed charges,12.56015273,,,,42.067,percent of total billed charges,20.99220283,,,,42.067,percent of total billed charges,12.56015273,,,,42.067,percent of total billed charges,20.99220283,,,,42.067,percent of total billed charges,12.56015273,,,,41.654,percent of total billed charges,41.33795978,,,,41.654,percent of total billed charges,28.51046321,,,,,,,,,,42.48,percent of total billed charges,27.61100036,,,,,,,,,,42.48,percent of total billed charges,999999999,,,,,,,,,,47.2,percent of total billed charges,39.55114646,,,,46.61,percent of total billed charges,44.98065586,,,,46.61,percent of total billed charges,39.74189838,,,,47.2,percent of total billed charges,999999999,,,,47.2,percent of total billed charges,999999999,,,,41.3,percent of total billed charges,999999999,,,,41.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,31.388,percent of total billed charges,999999999,,,,,,,,,,,,,,,,29.795,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14.75,percent of total billed charges,14.00889202,,,,,,,,,,14.75,percent of total billed charges,13.77586363,,,,,,,,,,14.75,percent of total billed charges,13.7375811,,,,,,,,,,14.75,percent of total billed charges,13.53529538,,,,,,,,,,14.75,percent of total billed charges,13.88357843,,,,,,,,,,14.75,percent of total billed charges,999999999,,,,,,,,,,14.75,percent of total billed charges,11.91308798,,,,,,,,,,14.75,percent of total billed charges,18.78776126,,,,,,,,,,14.75,percent of total billed charges,999999999,,,,,,,,,,14.75,percent of total billed charges,12.84522239,,,,,,,,,,53.1,percent of total billed charges,,,,,
**R-A TITRATION,86431,CDM,,,,both,,,56,56,11.9215009,56,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,56,percent of total billed charges,999999999,,,,56,percent of total billed charges,42.66815114,,,,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.536,percent of total billed charges,39.23602962,,,,39.536,percent of total billed charges,27.06077864,,,,,,,,,,40.32,percent of total billed charges,26.20705119,,,,,,,,,,40.32,percent of total billed charges,999999999,,,,,,,,,,44.8,percent of total billed charges,37.54007122,,,,44.24,percent of total billed charges,42.69350386,,,,44.24,percent of total billed charges,37.72112388,,,,44.8,percent of total billed charges,999999999,,,,44.8,percent of total billed charges,999999999,,,,39.2,percent of total billed charges,999999999,,,,39.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,29.792,percent of total billed charges,999999999,,,,,,,,,,,,,,,,28.28,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14,percent of total billed charges,13.29657547,,,,,,,,,,14,percent of total billed charges,13.07539599,,,,,,,,,,14,percent of total billed charges,13.03906002,,,,,,,,,,14,percent of total billed charges,12.84706002,,,,,,,,,,14,percent of total billed charges,13.17763376,,,,,,,,,,14,percent of total billed charges,999999999,,,,,,,,,,14,percent of total billed charges,11.30733774,,,,,,,,,,14,percent of total billed charges,17.83245137,,,,,,,,,,14,percent of total billed charges,999999999,,,,,,,,,,14,percent of total billed charges,12.19207549,,,,,,,,,,50.4,percent of total billed charges,,,,,
**ROUTINE TISSUE (LNP/TC),88305,CDM,,,,both,,,166,166,35.33873481,166,166,percent of total billed charges,122.1320973,,,,166,percent of total billed charges,129.4576083,,,,166,percent of total billed charges,122.1320973,,,,166,percent of total billed charges,129.4576083,,,,166,percent of total billed charges,999999999,,,,166,percent of total billed charges,126.4805909,,,,166,percent of total billed charges,122.1320973,,,,166,percent of total billed charges,129.4576083,,,,118.358,percent of total billed charges,59.06280796,,,,118.358,percent of total billed charges,35.33873481,,,,118.358,percent of total billed charges,59.06280796,,,,118.358,percent of total billed charges,35.33873481,,,,118.358,percent of total billed charges,59.06280796,,,,118.358,percent of total billed charges,35.33873481,,,,117.196,percent of total billed charges,116.3068021,,,,117.196,percent of total billed charges,80.21587955,,,,,,,,,,119.52,percent of total billed charges,77.68518744,,,,,,,,,,119.52,percent of total billed charges,999999999,,,,,,,,,,132.8,percent of total billed charges,111.2794968,,,,131.14,percent of total billed charges,126.5557436,,,,131.14,percent of total billed charges,111.8161887,,,,132.8,percent of total billed charges,999999999,,,,132.8,percent of total billed charges,999999999,,,,116.2,percent of total billed charges,999999999,,,,116.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,88.312,percent of total billed charges,999999999,,,,,,,,,,,,,,,,83.83,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,41.5,percent of total billed charges,39.41484873,,,,,,,,,,41.5,percent of total billed charges,38.75920954,,,,,,,,,,41.5,percent of total billed charges,38.65149936,,,,,,,,,,41.5,percent of total billed charges,38.0823565,,,,,,,,,,41.5,percent of total billed charges,39.06227152,,,,,,,,,,41.5,percent of total billed charges,999999999,,,,,,,,,,41.5,percent of total billed charges,33.51817973,,,,,,,,,,41.5,percent of total billed charges,52.86048083,,,,,,,,,,41.5,percent of total billed charges,999999999,,,,,,,,,,41.5,percent of total billed charges,36.14079521,,,,,,,,,,149.4,percent of total billed charges,,,,,
**EOSINOPHILE COUNT,89190,CDM,,,,both,,,49,49,10.43131329,49,49,percent of total billed charges,36.05104076,,,,49,percent of total billed charges,38.21339039,,,,49,percent of total billed charges,36.05104076,,,,49,percent of total billed charges,38.21339039,,,,49,percent of total billed charges,999999999,,,,49,percent of total billed charges,37.33463225,,,,49,percent of total billed charges,36.05104076,,,,49,percent of total billed charges,38.21339039,,,,34.937,percent of total billed charges,17.43420235,,,,34.937,percent of total billed charges,10.43131329,,,,34.937,percent of total billed charges,17.43420235,,,,34.937,percent of total billed charges,10.43131329,,,,34.937,percent of total billed charges,17.43420235,,,,34.937,percent of total billed charges,10.43131329,,,,34.594,percent of total billed charges,34.33152592,,,,34.594,percent of total billed charges,23.67818131,,,,,,,,,,35.28,percent of total billed charges,22.93116979,,,,,,,,,,35.28,percent of total billed charges,999999999,,,,,,,,,,39.2,percent of total billed charges,32.84756232,,,,38.71,percent of total billed charges,37.35681588,,,,38.71,percent of total billed charges,33.0059834,,,,39.2,percent of total billed charges,999999999,,,,39.2,percent of total billed charges,999999999,,,,34.3,percent of total billed charges,999999999,,,,34.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,26.068,percent of total billed charges,999999999,,,,,,,,,,,,,,,,24.745,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12.25,percent of total billed charges,11.63450354,,,,,,,,,,12.25,percent of total billed charges,11.44097149,,,,,,,,,,12.25,percent of total billed charges,11.40917752,,,,,,,,,,12.25,percent of total billed charges,11.24117752,,,,,,,,,,12.25,percent of total billed charges,11.53042954,,,,,,,,,,12.25,percent of total billed charges,999999999,,,,,,,,,,12.25,percent of total billed charges,9.893920522,,,,,,,,,,12.25,percent of total billed charges,15.60339494,,,,,,,,,,12.25,percent of total billed charges,999999999,,,,,,,,,,12.25,percent of total billed charges,10.66806605,,,,,,,,,,44.1,percent of total billed charges,,,,,
**STAINS,87205,CDM,,,,both,,,48,48,10.21842934,48,48,percent of total billed charges,35.31530523,,,,48,percent of total billed charges,37.43352528,,,,48,percent of total billed charges,35.31530523,,,,48,percent of total billed charges,37.43352528,,,,48,percent of total billed charges,999999999,,,,48,percent of total billed charges,36.57270098,,,,48,percent of total billed charges,35.31530523,,,,48,percent of total billed charges,37.43352528,,,,34.224,percent of total billed charges,17.0784023,,,,34.224,percent of total billed charges,10.21842934,,,,34.224,percent of total billed charges,17.0784023,,,,34.224,percent of total billed charges,10.21842934,,,,34.224,percent of total billed charges,17.0784023,,,,34.224,percent of total billed charges,10.21842934,,,,33.888,percent of total billed charges,33.63088253,,,,33.888,percent of total billed charges,23.19495312,,,,,,,,,,34.56,percent of total billed charges,22.46318673,,,,,,,,,,34.56,percent of total billed charges,999999999,,,,,,,,,,38.4,percent of total billed charges,32.1772039,,,,37.92,percent of total billed charges,36.59443188,,,,37.92,percent of total billed charges,32.3323919,,,,38.4,percent of total billed charges,999999999,,,,38.4,percent of total billed charges,999999999,,,,33.6,percent of total billed charges,999999999,,,,33.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,25.536,percent of total billed charges,999999999,,,,,,,,,,,,,,,,24.24,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12,percent of total billed charges,11.39706469,,,,,,,,,,12,percent of total billed charges,11.20748228,,,,,,,,,,12,percent of total billed charges,11.17633716,,,,,,,,,,12,percent of total billed charges,11.01176573,,,,,,,,,,12,percent of total billed charges,11.29511466,,,,,,,,,,12,percent of total billed charges,999999999,,,,,,,,,,12,percent of total billed charges,9.692003777,,,,,,,,,,12,percent of total billed charges,15.28495831,,,,,,,,,,12,percent of total billed charges,999999999,,,,,,,,,,12,percent of total billed charges,10.45035042,,,,,,,,,,43.2,percent of total billed charges,,,,,
**STOOL/REDUCING SUB,81002,CDM,,,,both,,,29,29,6.173634394,29,29,percent of total billed charges,21.33633025,,,,29,percent of total billed charges,22.61608819,,,,29,percent of total billed charges,21.33633025,,,,29,percent of total billed charges,22.61608819,,,,29,percent of total billed charges,999999999,,,,29,percent of total billed charges,22.09600684,,,,29,percent of total billed charges,21.33633025,,,,29,percent of total billed charges,22.61608819,,,,20.677,percent of total billed charges,10.31820139,,,,20.677,percent of total billed charges,6.173634394,,,,20.677,percent of total billed charges,10.31820139,,,,20.677,percent of total billed charges,6.173634394,,,,20.677,percent of total billed charges,10.31820139,,,,20.677,percent of total billed charges,6.173634394,,,,20.474,percent of total billed charges,20.3186582,,,,20.474,percent of total billed charges,14.01361751,,,,,,,,,,20.88,percent of total billed charges,13.57150865,,,,,,,,,,20.88,percent of total billed charges,999999999,,,,,,,,,,23.2,percent of total billed charges,19.44039402,,,,22.91,percent of total billed charges,22.10913593,,,,22.91,percent of total billed charges,19.53415344,,,,23.2,percent of total billed charges,999999999,,,,23.2,percent of total billed charges,999999999,,,,20.3,percent of total billed charges,999999999,,,,20.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,15.428,percent of total billed charges,999999999,,,,,,,,,,,,,,,,14.645,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7.25,percent of total billed charges,6.885726585,,,,,,,,,,7.25,percent of total billed charges,6.771187209,,,,,,,,,,7.25,percent of total billed charges,6.752370369,,,,,,,,,,7.25,percent of total billed charges,6.652941798,,,,,,,,,,7.25,percent of total billed charges,6.824131771,,,,,,,,,,7.25,percent of total billed charges,999999999,,,,,,,,,,7.25,percent of total billed charges,5.855585615,,,,,,,,,,7.25,percent of total billed charges,9.234662314,,,,,,,,,,7.25,percent of total billed charges,999999999,,,,,,,,,,7.25,percent of total billed charges,6.313753379,,,,,,,,,,26.1,percent of total billed charges,,,,,
**TESTOSTERONE- TOTAL(*),84403,CDM,,,,both,,,201,201,42.78967287,201,201,percent of total billed charges,147.8828407,,,,201,percent of total billed charges,156.7528871,,,,201,percent of total billed charges,147.8828407,,,,201,percent of total billed charges,156.7528871,,,,201,percent of total billed charges,999999999,,,,201,percent of total billed charges,153.1481854,,,,201,percent of total billed charges,147.8828407,,,,201,percent of total billed charges,156.7528871,,,,143.313,percent of total billed charges,71.51580963,,,,143.313,percent of total billed charges,42.78967287,,,,143.313,percent of total billed charges,71.51580963,,,,143.313,percent of total billed charges,42.78967287,,,,143.313,percent of total billed charges,71.51580963,,,,143.313,percent of total billed charges,42.78967287,,,,141.906,percent of total billed charges,140.8293206,,,,141.906,percent of total billed charges,97.1288662,,,,,,,,,,144.72,percent of total billed charges,94.06459443,,,,,,,,,,144.72,percent of total billed charges,999999999,,,,,,,,,,160.8,percent of total billed charges,134.7420413,,,,158.79,percent of total billed charges,153.2391835,,,,158.79,percent of total billed charges,135.3918911,,,,160.8,percent of total billed charges,999999999,,,,160.8,percent of total billed charges,999999999,,,,140.7,percent of total billed charges,999999999,,,,140.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,106.932,percent of total billed charges,999999999,,,,,,,,,,,,,,,,101.505,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,50.25,percent of total billed charges,47.7252084,,,,,,,,,,50.25,percent of total billed charges,46.93133203,,,,,,,,,,50.25,percent of total billed charges,46.80091187,,,,,,,,,,50.25,percent of total billed charges,46.11176901,,,,,,,,,,50.25,percent of total billed charges,47.29829262,,,,,,,,,,50.25,percent of total billed charges,999999999,,,,,,,,,,50.25,percent of total billed charges,40.58526581,,,,,,,,,,50.25,percent of total billed charges,64.00576294,,,,,,,,,,50.25,percent of total billed charges,999999999,,,,,,,,,,50.25,percent of total billed charges,43.76084239,,,,,,,,,,180.9,percent of total billed charges,,,,,
**THEOPHYLLINE,80198,CDM,,,,both,,,127,127,27.03626097,127,127,percent of total billed charges,93.43841177,,,,127,percent of total billed charges,99.04286897,,,,127,percent of total billed charges,93.43841177,,,,127,percent of total billed charges,99.04286897,,,,127,percent of total billed charges,999999999,,,,127,percent of total billed charges,96.76527134,,,,127,percent of total billed charges,93.43841177,,,,127,percent of total billed charges,99.04286897,,,,90.551,percent of total billed charges,45.18660609,,,,90.551,percent of total billed charges,27.03626097,,,,90.551,percent of total billed charges,45.18660609,,,,90.551,percent of total billed charges,27.03626097,,,,90.551,percent of total billed charges,45.18660609,,,,90.551,percent of total billed charges,27.03626097,,,,89.662,percent of total billed charges,88.98171003,,,,89.662,percent of total billed charges,61.36998014,,,,,,,,,,91.44,percent of total billed charges,59.43384822,,,,,,,,,,91.44,percent of total billed charges,999999999,,,,,,,,,,101.6,percent of total billed charges,85.13551865,,,,100.33,percent of total billed charges,96.82276769,,,,100.33,percent of total billed charges,85.54612024,,,,101.6,percent of total billed charges,999999999,,,,101.6,percent of total billed charges,999999999,,,,88.9,percent of total billed charges,999999999,,,,88.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,67.564,percent of total billed charges,999999999,,,,,,,,,,,,,,,,64.135,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,31.75,percent of total billed charges,30.15473367,,,,,,,,,,31.75,percent of total billed charges,29.65313019,,,,,,,,,,31.75,percent of total billed charges,29.57072541,,,,,,,,,,31.75,percent of total billed charges,29.13529684,,,,,,,,,,31.75,percent of total billed charges,29.88499086,,,,,,,,,,31.75,percent of total billed charges,999999999,,,,,,,,,,31.75,percent of total billed charges,25.64342666,,,,,,,,,,31.75,percent of total billed charges,40.4414522,,,,,,,,,,31.75,percent of total billed charges,999999999,,,,,,,,,,31.75,percent of total billed charges,27.64988549,,,,,,,,,,114.3,percent of total billed charges,,,,,
**TRANSFERRIN,84466,CDM,,,,both,,,91,91,19.37243896,91,91,percent of total billed charges,66.95193284,,,,91,percent of total billed charges,70.96772501,,,,91,percent of total billed charges,66.95193284,,,,91,percent of total billed charges,70.96772501,,,,91,percent of total billed charges,999999999,,,,91,percent of total billed charges,69.33574561,,,,91,percent of total billed charges,66.95193284,,,,91,percent of total billed charges,70.96772501,,,,64.883,percent of total billed charges,32.37780436,,,,64.883,percent of total billed charges,19.37243896,,,,64.883,percent of total billed charges,32.37780436,,,,64.883,percent of total billed charges,19.37243896,,,,64.883,percent of total billed charges,32.37780436,,,,64.883,percent of total billed charges,19.37243896,,,,64.246,percent of total billed charges,63.75854813,,,,64.246,percent of total billed charges,43.97376529,,,,,,,,,,65.52,percent of total billed charges,42.58645818,,,,,,,,,,65.52,percent of total billed charges,999999999,,,,,,,,,,72.8,percent of total billed charges,61.00261573,,,,71.89,percent of total billed charges,69.37694378,,,,71.89,percent of total billed charges,61.29682631,,,,72.8,percent of total billed charges,999999999,,,,72.8,percent of total billed charges,999999999,,,,63.7,percent of total billed charges,999999999,,,,63.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,48.412,percent of total billed charges,999999999,,,,,,,,,,,,,,,,45.955,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,22.75,percent of total billed charges,21.60693515,,,,,,,,,,22.75,percent of total billed charges,21.24751848,,,,,,,,,,22.75,percent of total billed charges,21.18847254,,,,,,,,,,22.75,percent of total billed charges,20.87647254,,,,,,,,,,22.75,percent of total billed charges,21.41365487,,,,,,,,,,22.75,percent of total billed charges,999999999,,,,,,,,,,22.75,percent of total billed charges,18.37442383,,,,,,,,,,22.75,percent of total billed charges,28.97773347,,,,,,,,,,22.75,percent of total billed charges,999999999,,,,,,,,,,22.75,percent of total billed charges,19.81212267,,,,,,,,,,81.9,percent of total billed charges,,,,,
**TOBRAMYCIN PEAK,80200,CDM,,,,both,,,202,202,43.00255681,202,202,percent of total billed charges,148.6185762,,,,202,percent of total billed charges,157.5327522,,,,202,percent of total billed charges,148.6185762,,,,202,percent of total billed charges,157.5327522,,,,202,percent of total billed charges,999999999,,,,202,percent of total billed charges,153.9101166,,,,202,percent of total billed charges,148.6185762,,,,202,percent of total billed charges,157.5327522,,,,144.026,percent of total billed charges,71.87160968,,,,144.026,percent of total billed charges,43.00255681,,,,144.026,percent of total billed charges,71.87160968,,,,144.026,percent of total billed charges,43.00255681,,,,144.026,percent of total billed charges,71.87160968,,,,144.026,percent of total billed charges,43.00255681,,,,142.612,percent of total billed charges,141.529964,,,,142.612,percent of total billed charges,97.61209439,,,,,,,,,,145.44,percent of total billed charges,94.53257749,,,,,,,,,,145.44,percent of total billed charges,999999999,,,,,,,,,,161.6,percent of total billed charges,135.4123997,,,,159.58,percent of total billed charges,154.0015675,,,,159.58,percent of total billed charges,136.0654826,,,,161.6,percent of total billed charges,999999999,,,,161.6,percent of total billed charges,999999999,,,,141.4,percent of total billed charges,999999999,,,,141.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,107.464,percent of total billed charges,999999999,,,,,,,,,,,,,,,,102.01,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,50.5,percent of total billed charges,47.96264725,,,,,,,,,,50.5,percent of total billed charges,47.16482125,,,,,,,,,,50.5,percent of total billed charges,47.03375223,,,,,,,,,,50.5,percent of total billed charges,46.3411808,,,,,,,,,,50.5,percent of total billed charges,47.53360751,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,50.5,percent of total billed charges,40.78718256,,,,,,,,,,50.5,percent of total billed charges,64.32419957,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,50.5,percent of total billed charges,43.97855802,,,,,,,,,,181.8,percent of total billed charges,,,,,
**URIC ACID,84550,CDM,,,,both,,,31,31,6.599402283,31,31,percent of total billed charges,22.8078013,,,,31,percent of total billed charges,24.17581841,,,,31,percent of total billed charges,22.8078013,,,,31,percent of total billed charges,24.17581841,,,,31,percent of total billed charges,999999999,,,,31,percent of total billed charges,23.61986938,,,,31,percent of total billed charges,22.8078013,,,,31,percent of total billed charges,24.17581841,,,,22.103,percent of total billed charges,11.02980149,,,,22.103,percent of total billed charges,6.599402283,,,,22.103,percent of total billed charges,11.02980149,,,,22.103,percent of total billed charges,6.599402283,,,,22.103,percent of total billed charges,11.02980149,,,,22.103,percent of total billed charges,6.599402283,,,,21.886,percent of total billed charges,21.71994497,,,,21.886,percent of total billed charges,14.98007389,,,,,,,,,,22.32,percent of total billed charges,14.50747476,,,,,,,,,,22.32,percent of total billed charges,999999999,,,,,,,,,,24.8,percent of total billed charges,20.78111085,,,,24.49,percent of total billed charges,23.63390393,,,,24.49,percent of total billed charges,20.88133644,,,,24.8,percent of total billed charges,999999999,,,,24.8,percent of total billed charges,999999999,,,,21.7,percent of total billed charges,999999999,,,,21.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,16.492,percent of total billed charges,999999999,,,,,,,,,,,,,,,,15.655,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7.75,percent of total billed charges,7.360604281,,,,,,,,,,7.75,percent of total billed charges,7.238165637,,,,,,,,,,7.75,percent of total billed charges,7.218051084,,,,,,,,,,7.75,percent of total billed charges,7.11176537,,,,,,,,,,7.75,percent of total billed charges,7.294761548,,,,,,,,,,7.75,percent of total billed charges,999999999,,,,,,,,,,7.75,percent of total billed charges,6.259419106,,,,,,,,,,7.75,percent of total billed charges,9.871535577,,,,,,,,,,7.75,percent of total billed charges,999999999,,,,,,,,,,7.75,percent of total billed charges,6.749184647,,,,,,,,,,27.9,percent of total billed charges,,,,,
**VMA (24 HR),84585,CDM,,,,both,,,122,122,25.97184124,122,122,percent of total billed charges,89.75973414,,,,122,percent of total billed charges,95.14354342,,,,122,percent of total billed charges,89.75973414,,,,122,percent of total billed charges,95.14354342,,,,122,percent of total billed charges,999999999,,,,122,percent of total billed charges,92.95561499,,,,122,percent of total billed charges,89.75973414,,,,122,percent of total billed charges,95.14354342,,,,86.986,percent of total billed charges,43.40760585,,,,86.986,percent of total billed charges,25.97184124,,,,86.986,percent of total billed charges,43.40760585,,,,86.986,percent of total billed charges,25.97184124,,,,86.986,percent of total billed charges,43.40760585,,,,86.986,percent of total billed charges,25.97184124,,,,86.132,percent of total billed charges,85.4784931,,,,86.132,percent of total billed charges,58.95383918,,,,,,,,,,87.84,percent of total billed charges,57.09393294,,,,,,,,,,87.84,percent of total billed charges,999999999,,,,,,,,,,97.6,percent of total billed charges,81.78372658,,,,96.38,percent of total billed charges,93.01084771,,,,96.38,percent of total billed charges,82.17816275,,,,97.6,percent of total billed charges,999999999,,,,97.6,percent of total billed charges,999999999,,,,85.4,percent of total billed charges,999999999,,,,85.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,64.904,percent of total billed charges,999999999,,,,,,,,,,,,,,,,61.61,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,30.5,percent of total billed charges,28.96753943,,,,,,,,,,30.5,percent of total billed charges,28.48568412,,,,,,,,,,30.5,percent of total billed charges,28.40652362,,,,,,,,,,30.5,percent of total billed charges,27.98823791,,,,,,,,,,30.5,percent of total billed charges,28.70841641,,,,,,,,,,30.5,percent of total billed charges,999999999,,,,,,,,,,30.5,percent of total billed charges,24.63384293,,,,,,,,,,30.5,percent of total billed charges,38.84926905,,,,,,,,,,30.5,percent of total billed charges,999999999,,,,,,,,,,30.5,percent of total billed charges,26.56130732,,,,,,,,,,109.8,percent of total billed charges,,,,,
**GAMMA GLUTAMYL TRANSPEPTIDASE (GGT),82977,CDM,,,,both,,,43,43,9.154009619,43,43,percent of total billed charges,31.63662761,,,,43,percent of total billed charges,33.53419973,,,,43,percent of total billed charges,31.63662761,,,,43,percent of total billed charges,33.53419973,,,,43,percent of total billed charges,999999999,,,,43,percent of total billed charges,32.76304463,,,,43,percent of total billed charges,31.63662761,,,,43,percent of total billed charges,33.53419973,,,,30.659,percent of total billed charges,15.29940206,,,,30.659,percent of total billed charges,9.154009619,,,,30.659,percent of total billed charges,15.29940206,,,,30.659,percent of total billed charges,9.154009619,,,,30.659,percent of total billed charges,15.29940206,,,,30.659,percent of total billed charges,9.154009619,,,,30.358,percent of total billed charges,30.1276656,,,,30.358,percent of total billed charges,20.77881217,,,,,,,,,,30.96,percent of total billed charges,20.12327145,,,,,,,,,,30.96,percent of total billed charges,999999999,,,,,,,,,,34.4,percent of total billed charges,28.82541183,,,,33.97,percent of total billed charges,32.7825119,,,,33.97,percent of total billed charges,28.96443441,,,,34.4,percent of total billed charges,999999999,,,,34.4,percent of total billed charges,999999999,,,,30.1,percent of total billed charges,999999999,,,,30.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,22.876,percent of total billed charges,999999999,,,,,,,,,,,,,,,,21.715,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10.75,percent of total billed charges,10.20987045,,,,,,,,,,10.75,percent of total billed charges,10.04003621,,,,,,,,,,10.75,percent of total billed charges,10.01213538,,,,,,,,,,10.75,percent of total billed charges,9.864706804,,,,,,,,,,10.75,percent of total billed charges,10.11854021,,,,,,,,,,10.75,percent of total billed charges,999999999,,,,,,,,,,10.75,percent of total billed charges,8.68242005,,,,,,,,,,10.75,percent of total billed charges,13.69277516,,,,,,,,,,10.75,percent of total billed charges,999999999,,,,,,,,,,10.75,percent of total billed charges,9.361772252,,,,,,,,,,38.7,percent of total billed charges,,,,,
**ESTROGEN TOTAL,82672,CDM,,,,both,,,153,153,32.57124353,153,153,percent of total billed charges,112.5675354,,,,153,percent of total billed charges,119.3193618,,,,153,percent of total billed charges,112.5675354,,,,153,percent of total billed charges,119.3193618,,,,153,percent of total billed charges,999999999,,,,153,percent of total billed charges,116.5754844,,,,153,percent of total billed charges,112.5675354,,,,153,percent of total billed charges,119.3193618,,,,109.089,percent of total billed charges,54.43740733,,,,109.089,percent of total billed charges,32.57124353,,,,109.089,percent of total billed charges,54.43740733,,,,109.089,percent of total billed charges,32.57124353,,,,109.089,percent of total billed charges,54.43740733,,,,109.089,percent of total billed charges,32.57124353,,,,108.018,percent of total billed charges,107.1984381,,,,108.018,percent of total billed charges,73.93391308,,,,,,,,,,110.16,percent of total billed charges,71.6014077,,,,,,,,,,110.16,percent of total billed charges,999999999,,,,,,,,,,122.4,percent of total billed charges,102.5648374,,,,120.87,percent of total billed charges,116.6447516,,,,120.87,percent of total billed charges,103.0594992,,,,122.4,percent of total billed charges,999999999,,,,122.4,percent of total billed charges,999999999,,,,107.1,percent of total billed charges,999999999,,,,107.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,81.396,percent of total billed charges,999999999,,,,,,,,,,,,,,,,77.265,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,38.25,percent of total billed charges,36.32814371,,,,,,,,,,38.25,percent of total billed charges,35.72384976,,,,,,,,,,38.25,percent of total billed charges,35.62457471,,,,,,,,,,38.25,percent of total billed charges,35.10000328,,,,,,,,,,38.25,percent of total billed charges,36.00317796,,,,,,,,,,38.25,percent of total billed charges,999999999,,,,,,,,,,38.25,percent of total billed charges,30.89326204,,,,,,,,,,38.25,percent of total billed charges,48.72080462,,,,,,,,,,38.25,percent of total billed charges,999999999,,,,,,,,,,38.25,percent of total billed charges,33.31049197,,,,,,,,,,137.7,percent of total billed charges,,,,,
**CA 125,86316,CDM,,,,both,,,136,136,28.95221647,136,136,percent of total billed charges,100.0600315,,,,136,percent of total billed charges,106.061655,,,,136,percent of total billed charges,100.0600315,,,,136,percent of total billed charges,106.061655,,,,136,percent of total billed charges,999999999,,,,136,percent of total billed charges,103.6226528,,,,136,percent of total billed charges,100.0600315,,,,136,percent of total billed charges,106.061655,,,,96.968,percent of total billed charges,48.38880652,,,,96.968,percent of total billed charges,28.95221647,,,,96.968,percent of total billed charges,48.38880652,,,,96.968,percent of total billed charges,28.95221647,,,,96.968,percent of total billed charges,48.38880652,,,,96.968,percent of total billed charges,28.95221647,,,,96.016,percent of total billed charges,95.28750051,,,,96.016,percent of total billed charges,65.71903385,,,,,,,,,,97.92,percent of total billed charges,63.64569574,,,,,,,,,,97.92,percent of total billed charges,999999999,,,,,,,,,,108.8,percent of total billed charges,91.16874438,,,,107.44,percent of total billed charges,103.6842237,,,,107.44,percent of total billed charges,91.60844372,,,,108.8,percent of total billed charges,999999999,,,,108.8,percent of total billed charges,999999999,,,,95.2,percent of total billed charges,999999999,,,,95.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,72.352,percent of total billed charges,999999999,,,,,,,,,,,,,,,,68.68,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,34,percent of total billed charges,32.2916833,,,,,,,,,,34,percent of total billed charges,31.75453312,,,,,,,,,,34,percent of total billed charges,31.66628863,,,,,,,,,,34,percent of total billed charges,31.20000291,,,,,,,,,,34,percent of total billed charges,32.00282486,,,,,,,,,,34,percent of total billed charges,999999999,,,,,,,,,,34,percent of total billed charges,27.46067737,,,,,,,,,,34,percent of total billed charges,43.30738189,,,,,,,,,,34,percent of total billed charges,999999999,,,,,,,,,,34,percent of total billed charges,29.60932619,,,,,,,,,,122.4,percent of total billed charges,,,,,
**HEPATITIS B SURFACE ANTIBODY,86706,CDM,,,,both,,,78,78,16.60494768,78,78,percent of total billed charges,57.38737101,,,,78,percent of total billed charges,60.82947858,,,,78,percent of total billed charges,57.38737101,,,,78,percent of total billed charges,60.82947858,,,,78,percent of total billed charges,999999999,,,,78,percent of total billed charges,59.43063909,,,,78,percent of total billed charges,57.38737101,,,,78,percent of total billed charges,60.82947858,,,,55.614,percent of total billed charges,27.75240374,,,,55.614,percent of total billed charges,16.60494768,,,,55.614,percent of total billed charges,27.75240374,,,,55.614,percent of total billed charges,16.60494768,,,,55.614,percent of total billed charges,27.75240374,,,,55.614,percent of total billed charges,16.60494768,,,,55.068,percent of total billed charges,54.65018411,,,,55.068,percent of total billed charges,37.69179882,,,,,,,,,,56.16,percent of total billed charges,36.50267844,,,,,,,,,,56.16,percent of total billed charges,999999999,,,,,,,,,,62.4,percent of total billed charges,52.28795634,,,,61.62,percent of total billed charges,59.46595181,,,,61.62,percent of total billed charges,52.54013684,,,,62.4,percent of total billed charges,999999999,,,,62.4,percent of total billed charges,999999999,,,,54.6,percent of total billed charges,999999999,,,,54.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,41.496,percent of total billed charges,999999999,,,,,,,,,,,,,,,,39.39,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19.5,percent of total billed charges,18.52023013,,,,,,,,,,19.5,percent of total billed charges,18.2121587,,,,,,,,,,19.5,percent of total billed charges,18.16154789,,,,,,,,,,19.5,percent of total billed charges,17.89411932,,,,,,,,,,19.5,percent of total billed charges,18.35456131,,,,,,,,,,19.5,percent of total billed charges,999999999,,,,,,,,,,19.5,percent of total billed charges,15.74950614,,,,,,,,,,19.5,percent of total billed charges,24.83805726,,,,,,,,,,19.5,percent of total billed charges,999999999,,,,,,,,,,19.5,percent of total billed charges,16.98181943,,,,,,,,,,70.2,percent of total billed charges,,,,,
**ANTITRYPSIN,82103,CDM,,,,both,,,104,104,22.13993024,104,104,percent of total billed charges,76.51649468,,,,104,percent of total billed charges,81.10597144,,,,104,percent of total billed charges,76.51649468,,,,104,percent of total billed charges,81.10597144,,,,104,percent of total billed charges,999999999,,,,104,percent of total billed charges,79.24085212,,,,104,percent of total billed charges,76.51649468,,,,104,percent of total billed charges,81.10597144,,,,74.152,percent of total billed charges,37.00320498,,,,74.152,percent of total billed charges,22.13993024,,,,74.152,percent of total billed charges,37.00320498,,,,74.152,percent of total billed charges,22.13993024,,,,74.152,percent of total billed charges,37.00320498,,,,74.152,percent of total billed charges,22.13993024,,,,73.424,percent of total billed charges,72.86691215,,,,73.424,percent of total billed charges,50.25573176,,,,,,,,,,74.88,percent of total billed charges,48.67023792,,,,,,,,,,74.88,percent of total billed charges,999999999,,,,,,,,,,83.2,percent of total billed charges,69.71727512,,,,82.16,percent of total billed charges,79.28793575,,,,82.16,percent of total billed charges,70.05351579,,,,83.2,percent of total billed charges,999999999,,,,83.2,percent of total billed charges,999999999,,,,72.8,percent of total billed charges,999999999,,,,72.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,55.328,percent of total billed charges,999999999,,,,,,,,,,,,,,,,52.52,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,26,percent of total billed charges,24.69364017,,,,,,,,,,26,percent of total billed charges,24.28287827,,,,,,,,,,26,percent of total billed charges,24.21539719,,,,,,,,,,26,percent of total billed charges,23.85882576,,,,,,,,,,26,percent of total billed charges,24.47274842,,,,,,,,,,26,percent of total billed charges,999999999,,,,,,,,,,26,percent of total billed charges,20.99934152,,,,,,,,,,26,percent of total billed charges,33.11740968,,,,,,,,,,26,percent of total billed charges,999999999,,,,,,,,,,26,percent of total billed charges,22.64242591,,,,,,,,,,93.6,percent of total billed charges,,,,,
**ISOENZYMES LDH,83625,CDM,,,,both,,,102,102,21.71416235,102,102,percent of total billed charges,75.04502362,,,,102,percent of total billed charges,79.54624122,,,,102,percent of total billed charges,75.04502362,,,,102,percent of total billed charges,79.54624122,,,,102,percent of total billed charges,999999999,,,,102,percent of total billed charges,77.71698958,,,,102,percent of total billed charges,75.04502362,,,,102,percent of total billed charges,79.54624122,,,,72.726,percent of total billed charges,36.29160489,,,,72.726,percent of total billed charges,21.71416235,,,,72.726,percent of total billed charges,36.29160489,,,,72.726,percent of total billed charges,21.71416235,,,,72.726,percent of total billed charges,36.29160489,,,,72.726,percent of total billed charges,21.71416235,,,,72.012,percent of total billed charges,71.46562538,,,,72.012,percent of total billed charges,49.28927538,,,,,,,,,,73.44,percent of total billed charges,47.7342718,,,,,,,,,,73.44,percent of total billed charges,999999999,,,,,,,,,,81.6,percent of total billed charges,68.37655829,,,,80.58,percent of total billed charges,77.76316775,,,,80.58,percent of total billed charges,68.70633279,,,,81.6,percent of total billed charges,999999999,,,,81.6,percent of total billed charges,999999999,,,,71.4,percent of total billed charges,999999999,,,,71.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,54.264,percent of total billed charges,999999999,,,,,,,,,,,,,,,,51.51,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,25.5,percent of total billed charges,24.21876247,,,,,,,,,,25.5,percent of total billed charges,23.81589984,,,,,,,,,,25.5,percent of total billed charges,23.74971647,,,,,,,,,,25.5,percent of total billed charges,23.40000219,,,,,,,,,,25.5,percent of total billed charges,24.00211864,,,,,,,,,,25.5,percent of total billed charges,999999999,,,,,,,,,,25.5,percent of total billed charges,20.59550803,,,,,,,,,,25.5,percent of total billed charges,32.48053641,,,,,,,,,,25.5,percent of total billed charges,999999999,,,,,,,,,,25.5,percent of total billed charges,22.20699464,,,,,,,,,,91.8,percent of total billed charges,,,,,
**24HR POTASSIUM URINE,84133,CDM,,,,both,,,46,46,9.792661453,46,46,percent of total billed charges,33.84383418,,,,46,percent of total billed charges,35.87379506,,,,46,percent of total billed charges,33.84383418,,,,46,percent of total billed charges,35.87379506,,,,46,percent of total billed charges,999999999,,,,46,percent of total billed charges,35.04883844,,,,46,percent of total billed charges,33.84383418,,,,46,percent of total billed charges,35.87379506,,,,32.798,percent of total billed charges,16.3668022,,,,32.798,percent of total billed charges,9.792661453,,,,32.798,percent of total billed charges,16.3668022,,,,32.798,percent of total billed charges,9.792661453,,,,32.798,percent of total billed charges,16.3668022,,,,32.798,percent of total billed charges,9.792661453,,,,32.476,percent of total billed charges,32.22959576,,,,32.476,percent of total billed charges,22.22849674,,,,,,,,,,33.12,percent of total billed charges,21.52722062,,,,,,,,,,33.12,percent of total billed charges,999999999,,,,,,,,,,36.8,percent of total billed charges,30.83648707,,,,36.34,percent of total billed charges,35.06966389,,,,36.34,percent of total billed charges,30.98520891,,,,36.8,percent of total billed charges,999999999,,,,36.8,percent of total billed charges,999999999,,,,32.2,percent of total billed charges,999999999,,,,32.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,24.472,percent of total billed charges,999999999,,,,,,,,,,,,,,,,23.23,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11.5,percent of total billed charges,10.922187,,,,,,,,,,11.5,percent of total billed charges,10.74050385,,,,,,,,,,11.5,percent of total billed charges,10.71065645,,,,,,,,,,11.5,percent of total billed charges,10.55294216,,,,,,,,,,11.5,percent of total billed charges,10.82448488,,,,,,,,,,11.5,percent of total billed charges,999999999,,,,,,,,,,11.5,percent of total billed charges,9.288170286,,,,,,,,,,11.5,percent of total billed charges,14.64808505,,,,,,,,,,11.5,percent of total billed charges,999999999,,,,,,,,,,11.5,percent of total billed charges,10.01491915,,,,,,,,,,41.4,percent of total billed charges,,,,,
**PROTEIN ELECTROPHORE-URINE,84165,CDM,,,,both,,,102,102,21.71416235,102,102,percent of total billed charges,75.04502362,,,,102,percent of total billed charges,79.54624122,,,,102,percent of total billed charges,75.04502362,,,,102,percent of total billed charges,79.54624122,,,,102,percent of total billed charges,999999999,,,,102,percent of total billed charges,77.71698958,,,,102,percent of total billed charges,75.04502362,,,,102,percent of total billed charges,79.54624122,,,,72.726,percent of total billed charges,36.29160489,,,,72.726,percent of total billed charges,21.71416235,,,,72.726,percent of total billed charges,36.29160489,,,,72.726,percent of total billed charges,21.71416235,,,,72.726,percent of total billed charges,36.29160489,,,,72.726,percent of total billed charges,21.71416235,,,,72.012,percent of total billed charges,71.46562538,,,,72.012,percent of total billed charges,49.28927538,,,,,,,,,,73.44,percent of total billed charges,47.7342718,,,,,,,,,,73.44,percent of total billed charges,999999999,,,,,,,,,,81.6,percent of total billed charges,68.37655829,,,,80.58,percent of total billed charges,77.76316775,,,,80.58,percent of total billed charges,68.70633279,,,,81.6,percent of total billed charges,999999999,,,,81.6,percent of total billed charges,999999999,,,,71.4,percent of total billed charges,999999999,,,,71.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,54.264,percent of total billed charges,999999999,,,,,,,,,,,,,,,,51.51,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,25.5,percent of total billed charges,24.21876247,,,,,,,,,,25.5,percent of total billed charges,23.81589984,,,,,,,,,,25.5,percent of total billed charges,23.74971647,,,,,,,,,,25.5,percent of total billed charges,23.40000219,,,,,,,,,,25.5,percent of total billed charges,24.00211864,,,,,,,,,,25.5,percent of total billed charges,999999999,,,,,,,,,,25.5,percent of total billed charges,20.59550803,,,,,,,,,,25.5,percent of total billed charges,32.48053641,,,,,,,,,,25.5,percent of total billed charges,999999999,,,,,,,,,,25.5,percent of total billed charges,22.20699464,,,,,,,,,,91.8,percent of total billed charges,,,,,
**R S V,86756,CDM,,,,both,,,138,138,29.37798436,138,138,percent of total billed charges,101.5315025,,,,138,percent of total billed charges,107.6213852,,,,138,percent of total billed charges,101.5315025,,,,138,percent of total billed charges,107.6213852,,,,138,percent of total billed charges,999999999,,,,138,percent of total billed charges,105.1465153,,,,138,percent of total billed charges,101.5315025,,,,138,percent of total billed charges,107.6213852,,,,98.394,percent of total billed charges,49.10040661,,,,98.394,percent of total billed charges,29.37798436,,,,98.394,percent of total billed charges,49.10040661,,,,98.394,percent of total billed charges,29.37798436,,,,98.394,percent of total billed charges,49.10040661,,,,98.394,percent of total billed charges,29.37798436,,,,97.428,percent of total billed charges,96.68878728,,,,97.428,percent of total billed charges,66.68549023,,,,,,,,,,99.36,percent of total billed charges,64.58166185,,,,,,,,,,99.36,percent of total billed charges,999999999,,,,,,,,,,110.4,percent of total billed charges,92.50946121,,,,109.02,percent of total billed charges,105.2089917,,,,109.02,percent of total billed charges,92.95562672,,,,110.4,percent of total billed charges,999999999,,,,110.4,percent of total billed charges,999999999,,,,96.6,percent of total billed charges,999999999,,,,96.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,73.416,percent of total billed charges,999999999,,,,,,,,,,,,,,,,69.69,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,34.5,percent of total billed charges,32.76656099,,,,,,,,,,34.5,percent of total billed charges,32.22151154,,,,,,,,,,34.5,percent of total billed charges,32.13196934,,,,,,,,,,34.5,percent of total billed charges,31.65882649,,,,,,,,,,34.5,percent of total billed charges,32.47345463,,,,,,,,,,34.5,percent of total billed charges,999999999,,,,,,,,,,34.5,percent of total billed charges,27.86451086,,,,,,,,,,34.5,percent of total billed charges,43.94425515,,,,,,,,,,34.5,percent of total billed charges,999999999,,,,,,,,,,34.5,percent of total billed charges,30.04475746,,,,,,,,,,124.2,percent of total billed charges,,,,,
**ACETONE - SERUM,82009,CDM,,,,both,,,72,72,15.32764401,72,72,percent of total billed charges,52.97295785,,,,72,percent of total billed charges,56.15028792,,,,72,percent of total billed charges,52.97295785,,,,72,percent of total billed charges,56.15028792,,,,72,percent of total billed charges,999999999,,,,72,percent of total billed charges,54.85905147,,,,72,percent of total billed charges,52.97295785,,,,72,percent of total billed charges,56.15028792,,,,51.336,percent of total billed charges,25.61760345,,,,51.336,percent of total billed charges,15.32764401,,,,51.336,percent of total billed charges,25.61760345,,,,51.336,percent of total billed charges,15.32764401,,,,51.336,percent of total billed charges,25.61760345,,,,51.336,percent of total billed charges,15.32764401,,,,50.832,percent of total billed charges,50.4463238,,,,50.832,percent of total billed charges,34.79242968,,,,,,,,,,51.84,percent of total billed charges,33.6947801,,,,,,,,,,51.84,percent of total billed charges,999999999,,,,,,,,,,57.6,percent of total billed charges,48.26580585,,,,56.88,percent of total billed charges,54.89164783,,,,56.88,percent of total billed charges,48.49858785,,,,57.6,percent of total billed charges,999999999,,,,57.6,percent of total billed charges,999999999,,,,50.4,percent of total billed charges,999999999,,,,50.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,38.304,percent of total billed charges,999999999,,,,,,,,,,,,,,,,36.36,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18,percent of total billed charges,17.09559704,,,,,,,,,,18,percent of total billed charges,16.81122341,,,,,,,,,,18,percent of total billed charges,16.76450574,,,,,,,,,,18,percent of total billed charges,16.5176486,,,,,,,,,,18,percent of total billed charges,16.94267198,,,,,,,,,,18,percent of total billed charges,999999999,,,,,,,,,,18,percent of total billed charges,14.53800566,,,,,,,,,,18,percent of total billed charges,22.92743747,,,,,,,,,,18,percent of total billed charges,999999999,,,,,,,,,,18,percent of total billed charges,15.67552563,,,,,,,,,,64.8,percent of total billed charges,,,,,
**INFECTION SCREEN-WESTERN BLOT,86703,CDM,,,,both,,,92,92,19.58532291,92,92,percent of total billed charges,67.68766837,,,,92,percent of total billed charges,71.74759012,,,,92,percent of total billed charges,67.68766837,,,,92,percent of total billed charges,71.74759012,,,,92,percent of total billed charges,999999999,,,,92,percent of total billed charges,70.09767688,,,,92,percent of total billed charges,67.68766837,,,,92,percent of total billed charges,71.74759012,,,,65.596,percent of total billed charges,32.73360441,,,,65.596,percent of total billed charges,19.58532291,,,,65.596,percent of total billed charges,32.73360441,,,,65.596,percent of total billed charges,19.58532291,,,,65.596,percent of total billed charges,32.73360441,,,,65.596,percent of total billed charges,19.58532291,,,,64.952,percent of total billed charges,64.45919152,,,,64.952,percent of total billed charges,44.45699348,,,,,,,,,,66.24,percent of total billed charges,43.05444123,,,,,,,,,,66.24,percent of total billed charges,999999999,,,,,,,,,,73.6,percent of total billed charges,61.67297414,,,,72.68,percent of total billed charges,70.13932778,,,,72.68,percent of total billed charges,61.97041781,,,,73.6,percent of total billed charges,999999999,,,,73.6,percent of total billed charges,999999999,,,,64.4,percent of total billed charges,999999999,,,,64.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,48.944,percent of total billed charges,999999999,,,,,,,,,,,,,,,,46.46,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23,percent of total billed charges,21.84437399,,,,,,,,,,23,percent of total billed charges,21.4810077,,,,,,,,,,23,percent of total billed charges,21.4213129,,,,,,,,,,23,percent of total billed charges,21.10588432,,,,,,,,,,23,percent of total billed charges,21.64896976,,,,,,,,,,23,percent of total billed charges,999999999,,,,,,,,,,23,percent of total billed charges,18.57634057,,,,,,,,,,23,percent of total billed charges,29.2961701,,,,,,,,,,23,percent of total billed charges,999999999,,,,,,,,,,23,percent of total billed charges,20.02983831,,,,,,,,,,82.8,percent of total billed charges,,,,,
**ANTIHISTONE,86520,CDM,,,,both,,,70,70,14.90187612,70,70,percent of total billed charges,51.5014868,,,,70,percent of total billed charges,54.5905577,,,,70,percent of total billed charges,51.5014868,,,,70,percent of total billed charges,54.5905577,,,,70,percent of total billed charges,999999999,,,,70,percent of total billed charges,53.33518893,,,,70,percent of total billed charges,51.5014868,,,,70,percent of total billed charges,54.5905577,,,,49.91,percent of total billed charges,24.90600335,,,,49.91,percent of total billed charges,14.90187612,,,,49.91,percent of total billed charges,24.90600335,,,,49.91,percent of total billed charges,14.90187612,,,,49.91,percent of total billed charges,24.90600335,,,,49.91,percent of total billed charges,14.90187612,,,,49.42,percent of total billed charges,49.04503703,,,,49.42,percent of total billed charges,33.8259733,,,,,,,,,,50.4,percent of total billed charges,32.75881398,,,,,,,,,,50.4,percent of total billed charges,999999999,,,,,,,,,,56,percent of total billed charges,46.92508902,,,,55.3,percent of total billed charges,53.36687983,,,,55.3,percent of total billed charges,47.15140486,,,,56,percent of total billed charges,999999999,,,,56,percent of total billed charges,999999999,,,,49,percent of total billed charges,999999999,,,,49,percent of total billed charges,999999999,,,,,,,,,,,,,,,,37.24,percent of total billed charges,999999999,,,,,,,,,,,,,,,,35.35,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17.5,percent of total billed charges,16.62071934,,,,,,,,,,17.5,percent of total billed charges,16.34424499,,,,,,,,,,17.5,percent of total billed charges,16.29882503,,,,,,,,,,17.5,percent of total billed charges,16.05882503,,,,,,,,,,17.5,percent of total billed charges,16.47204221,,,,,,,,,,17.5,percent of total billed charges,999999999,,,,,,,,,,17.5,percent of total billed charges,14.13417217,,,,,,,,,,17.5,percent of total billed charges,22.29056421,,,,,,,,,,17.5,percent of total billed charges,999999999,,,,,,,,,,17.5,percent of total billed charges,15.24009436,,,,,,,,,,63,percent of total billed charges,,,,,
**ASPERGILLUS; INFECTIOUS AGENT ANTIGEN,87305,CDM,,,,both,,,351,351,74.72226456,351,351,percent of total billed charges,258.2431695,,,,351,percent of total billed charges,273.7326536,,,,351,percent of total billed charges,258.2431695,,,,351,percent of total billed charges,273.7326536,,,,351,percent of total billed charges,999999999,,,,351,percent of total billed charges,267.4378759,,,,351,percent of total billed charges,258.2431695,,,,351,percent of total billed charges,273.7326536,,,,250.263,percent of total billed charges,124.8858168,,,,250.263,percent of total billed charges,74.72226456,,,,250.263,percent of total billed charges,124.8858168,,,,250.263,percent of total billed charges,74.72226456,,,,250.263,percent of total billed charges,124.8858168,,,,250.263,percent of total billed charges,74.72226456,,,,247.806,percent of total billed charges,245.9258285,,,,247.806,percent of total billed charges,169.6130947,,,,,,,,,,252.72,percent of total billed charges,164.262053,,,,,,,,,,252.72,percent of total billed charges,999999999,,,,,,,,,,280.8,percent of total billed charges,235.2958035,,,,277.29,percent of total billed charges,267.5967832,,,,277.29,percent of total billed charges,236.4306158,,,,280.8,percent of total billed charges,999999999,,,,280.8,percent of total billed charges,999999999,,,,245.7,percent of total billed charges,999999999,,,,245.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,186.732,percent of total billed charges,999999999,,,,,,,,,,,,,,,,177.255,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,87.75,percent of total billed charges,83.34103557,,,,,,,,,,87.75,percent of total billed charges,81.95471415,,,,,,,,,,87.75,percent of total billed charges,81.7269655,,,,,,,,,,87.75,percent of total billed charges,80.52353693,,,,,,,,,,87.75,percent of total billed charges,82.59552591,,,,,,,,,,87.75,percent of total billed charges,999999999,,,,,,,,,,87.75,percent of total billed charges,70.87277762,,,,,,,,,,87.75,percent of total billed charges,111.7712577,,,,,,,,,,87.75,percent of total billed charges,999999999,,,,,,,,,,87.75,percent of total billed charges,76.41818745,,,,,,,,,,315.9,percent of total billed charges,,,,,
SOMATOMEDIN(*),84305,CDM,,,,both,,,260,260,55.3498256,260,260,percent of total billed charges,191.2912367,,,,260,percent of total billed charges,202.7649286,,,,260,percent of total billed charges,191.2912367,,,,260,percent of total billed charges,202.7649286,,,,260,percent of total billed charges,999999999,,,,260,percent of total billed charges,198.1021303,,,,260,percent of total billed charges,191.2912367,,,,260,percent of total billed charges,202.7649286,,,,185.38,percent of total billed charges,92.50801246,,,,185.38,percent of total billed charges,55.3498256,,,,185.38,percent of total billed charges,92.50801246,,,,185.38,percent of total billed charges,55.3498256,,,,185.38,percent of total billed charges,92.50801246,,,,185.38,percent of total billed charges,55.3498256,,,,183.56,percent of total billed charges,182.1672804,,,,183.56,percent of total billed charges,125.6393294,,,,,,,,,,187.2,percent of total billed charges,121.6755948,,,,,,,,,,187.2,percent of total billed charges,999999999,,,,,,,,,,208,percent of total billed charges,174.2931878,,,,205.4,percent of total billed charges,198.2198394,,,,205.4,percent of total billed charges,175.1337895,,,,208,percent of total billed charges,999999999,,,,208,percent of total billed charges,999999999,,,,182,percent of total billed charges,999999999,,,,182,percent of total billed charges,999999999,,,,,,,,,,,,,,,,138.32,percent of total billed charges,999999999,,,,,,,,,,,,,,,,131.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,65,percent of total billed charges,61.73410042,,,,,,,,,,65,percent of total billed charges,60.70719566,,,,,,,,,,65,percent of total billed charges,60.53849297,,,,,,,,,,65,percent of total billed charges,59.64706439,,,,,,,,,,65,percent of total billed charges,61.18187105,,,,,,,,,,65,percent of total billed charges,999999999,,,,,,,,,,65,percent of total billed charges,52.49835379,,,,,,,,,,65,percent of total billed charges,82.79352419,,,,,,,,,,65,percent of total billed charges,999999999,,,,,,,,,,65,percent of total billed charges,56.60606478,,,,,,,,,,234,percent of total billed charges,,,,,
CHLAMYDIA URINE PCR*,87491,CDM,,,,both,,,253,253,53.85963799,253,253,percent of total billed charges,186.141088,,,,253,percent of total billed charges,197.3058728,,,,253,percent of total billed charges,186.141088,,,,253,percent of total billed charges,197.3058728,,,,253,percent of total billed charges,999999999,,,,253,percent of total billed charges,192.7686114,,,,253,percent of total billed charges,186.141088,,,,253,percent of total billed charges,197.3058728,,,,180.389,percent of total billed charges,90.01741213,,,,180.389,percent of total billed charges,53.85963799,,,,180.389,percent of total billed charges,90.01741213,,,,180.389,percent of total billed charges,53.85963799,,,,180.389,percent of total billed charges,90.01741213,,,,180.389,percent of total billed charges,53.85963799,,,,178.618,percent of total billed charges,177.2627767,,,,178.618,percent of total billed charges,122.2567321,,,,,,,,,,182.16,percent of total billed charges,118.3997134,,,,,,,,,,182.16,percent of total billed charges,999999999,,,,,,,,,,202.4,percent of total billed charges,169.6006789,,,,199.87,percent of total billed charges,192.8831514,,,,199.87,percent of total billed charges,170.418649,,,,202.4,percent of total billed charges,999999999,,,,202.4,percent of total billed charges,999999999,,,,177.1,percent of total billed charges,999999999,,,,177.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,134.596,percent of total billed charges,999999999,,,,,,,,,,,,,,,,127.765,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,63.25,percent of total billed charges,60.07202848,,,,,,,,,,63.25,percent of total billed charges,59.07277117,,,,,,,,,,63.25,percent of total billed charges,58.90861046,,,,,,,,,,63.25,percent of total billed charges,58.04118189,,,,,,,,,,63.25,percent of total billed charges,59.53466683,,,,,,,,,,63.25,percent of total billed charges,999999999,,,,,,,,,,63.25,percent of total billed charges,51.08493657,,,,,,,,,,63.25,percent of total billed charges,80.56446777,,,,,,,,,,63.25,percent of total billed charges,999999999,,,,,,,,,,63.25,percent of total billed charges,55.08205534,,,,,,,,,,227.7,percent of total billed charges,,,,,
IMMUNOASSAY TUMOR OTHER,86316,CDM,,,,both,,,247,247,52.58233432,247,247,percent of total billed charges,181.7266749,,,,247,percent of total billed charges,192.6266822,,,,247,percent of total billed charges,181.7266749,,,,247,percent of total billed charges,192.6266822,,,,247,percent of total billed charges,999999999,,,,247,percent of total billed charges,188.1970238,,,,247,percent of total billed charges,181.7266749,,,,247,percent of total billed charges,192.6266822,,,,176.111,percent of total billed charges,87.88261184,,,,176.111,percent of total billed charges,52.58233432,,,,176.111,percent of total billed charges,87.88261184,,,,176.111,percent of total billed charges,52.58233432,,,,176.111,percent of total billed charges,87.88261184,,,,176.111,percent of total billed charges,52.58233432,,,,174.382,percent of total billed charges,173.0589164,,,,174.382,percent of total billed charges,119.3573629,,,,,,,,,,177.84,percent of total billed charges,115.591815,,,,,,,,,,177.84,percent of total billed charges,999999999,,,,,,,,,,197.6,percent of total billed charges,165.5785284,,,,195.13,percent of total billed charges,188.3088474,,,,195.13,percent of total billed charges,166.3771,,,,197.6,percent of total billed charges,999999999,,,,197.6,percent of total billed charges,999999999,,,,172.9,percent of total billed charges,999999999,,,,172.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,131.404,percent of total billed charges,999999999,,,,,,,,,,,,,,,,124.735,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,61.75,percent of total billed charges,58.6473954,,,,,,,,,,61.75,percent of total billed charges,57.67183588,,,,,,,,,,61.75,percent of total billed charges,57.51156832,,,,,,,,,,61.75,percent of total billed charges,56.66471117,,,,,,,,,,61.75,percent of total billed charges,58.1227775,,,,,,,,,,61.75,percent of total billed charges,999999999,,,,,,,,,,61.75,percent of total billed charges,49.8734361,,,,,,,,,,61.75,percent of total billed charges,78.65384799,,,,,,,,,,61.75,percent of total billed charges,999999999,,,,,,,,,,61.75,percent of total billed charges,53.77576154,,,,,,,,,,222.3,percent of total billed charges,,,,,
COPPER SERUM*,82525,CDM,,,,both,,,155,155,32.99701142,155,155,percent of total billed charges,114.0390065,,,,155,percent of total billed charges,120.8790921,,,,155,percent of total billed charges,114.0390065,,,,155,percent of total billed charges,120.8790921,,,,155,percent of total billed charges,999999999,,,,155,percent of total billed charges,118.0993469,,,,155,percent of total billed charges,114.0390065,,,,155,percent of total billed charges,120.8790921,,,,110.515,percent of total billed charges,55.14900743,,,,110.515,percent of total billed charges,32.99701142,,,,110.515,percent of total billed charges,55.14900743,,,,110.515,percent of total billed charges,32.99701142,,,,110.515,percent of total billed charges,55.14900743,,,,110.515,percent of total billed charges,32.99701142,,,,109.43,percent of total billed charges,108.5997248,,,,109.43,percent of total billed charges,74.90036946,,,,,,,,,,111.6,percent of total billed charges,72.53737382,,,,,,,,,,111.6,percent of total billed charges,999999999,,,,,,,,,,124,percent of total billed charges,103.9055543,,,,122.45,percent of total billed charges,118.1695196,,,,122.45,percent of total billed charges,104.4066822,,,,124,percent of total billed charges,999999999,,,,124,percent of total billed charges,999999999,,,,108.5,percent of total billed charges,999999999,,,,108.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,82.46,percent of total billed charges,999999999,,,,,,,,,,,,,,,,78.275,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,38.75,percent of total billed charges,36.8030214,,,,,,,,,,38.75,percent of total billed charges,36.19082818,,,,,,,,,,38.75,percent of total billed charges,36.09025542,,,,,,,,,,38.75,percent of total billed charges,35.55882685,,,,,,,,,,38.75,percent of total billed charges,36.47380774,,,,,,,,,,38.75,percent of total billed charges,999999999,,,,,,,,,,38.75,percent of total billed charges,31.29709553,,,,,,,,,,38.75,percent of total billed charges,49.35767789,,,,,,,,,,38.75,percent of total billed charges,999999999,,,,,,,,,,38.75,percent of total billed charges,33.74592323,,,,,,,,,,139.5,percent of total billed charges,,,,,
COPPER URINE 24*,82525,CDM,,,,both,,,167,167,35.55161875,167,167,percent of total billed charges,122.8678328,,,,167,percent of total billed charges,130.2374734,,,,167,percent of total billed charges,122.8678328,,,,167,percent of total billed charges,130.2374734,,,,167,percent of total billed charges,999999999,,,,167,percent of total billed charges,127.2425222,,,,167,percent of total billed charges,122.8678328,,,,167,percent of total billed charges,130.2374734,,,,119.071,percent of total billed charges,59.418608,,,,119.071,percent of total billed charges,35.55161875,,,,119.071,percent of total billed charges,59.418608,,,,119.071,percent of total billed charges,35.55161875,,,,119.071,percent of total billed charges,59.418608,,,,119.071,percent of total billed charges,35.55161875,,,,117.902,percent of total billed charges,117.0074455,,,,117.902,percent of total billed charges,80.69910774,,,,,,,,,,120.24,percent of total billed charges,78.1531705,,,,,,,,,,120.24,percent of total billed charges,999999999,,,,,,,,,,133.6,percent of total billed charges,111.9498552,,,,131.93,percent of total billed charges,127.3181276,,,,131.93,percent of total billed charges,112.4897802,,,,133.6,percent of total billed charges,999999999,,,,133.6,percent of total billed charges,999999999,,,,116.9,percent of total billed charges,999999999,,,,116.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,88.844,percent of total billed charges,999999999,,,,,,,,,,,,,,,,84.335,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,41.75,percent of total billed charges,39.65228758,,,,,,,,,,41.75,percent of total billed charges,38.99269875,,,,,,,,,,41.75,percent of total billed charges,38.88433971,,,,,,,,,,41.75,percent of total billed charges,38.31176828,,,,,,,,,,41.75,percent of total billed charges,39.2975864,,,,,,,,,,41.75,percent of total billed charges,999999999,,,,,,,,,,41.75,percent of total billed charges,33.72009647,,,,,,,,,,41.75,percent of total billed charges,53.17891746,,,,,,,,,,41.75,percent of total billed charges,999999999,,,,,,,,,,41.75,percent of total billed charges,36.35851084,,,,,,,,,,150.3,percent of total billed charges,,,,,
NICOTINE,80323,CDM,,,,both,,,150,150,31.93259169,150,150,percent of total billed charges,110.3603289,,,,150,percent of total billed charges,116.9797665,,,,150,percent of total billed charges,110.3603289,,,,150,percent of total billed charges,116.9797665,,,,150,percent of total billed charges,999999999,,,,150,percent of total billed charges,114.2896906,,,,150,percent of total billed charges,110.3603289,,,,150,percent of total billed charges,116.9797665,,,,106.95,percent of total billed charges,53.37000719,,,,106.95,percent of total billed charges,31.93259169,,,,106.95,percent of total billed charges,53.37000719,,,,106.95,percent of total billed charges,31.93259169,,,,106.95,percent of total billed charges,53.37000719,,,,106.95,percent of total billed charges,31.93259169,,,,105.9,percent of total billed charges,105.0965079,,,,105.9,percent of total billed charges,72.48422851,,,,,,,,,,108,percent of total billed charges,70.19745853,,,,,,,,,,108,percent of total billed charges,999999999,,,,,,,,,,120,percent of total billed charges,100.5537622,,,,118.5,percent of total billed charges,114.3575996,,,,118.5,percent of total billed charges,101.0387247,,,,120,percent of total billed charges,999999999,,,,120,percent of total billed charges,999999999,,,,105,percent of total billed charges,999999999,,,,105,percent of total billed charges,999999999,,,,,,,,,,,,,,,,79.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,75.75,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,37.5,percent of total billed charges,35.61582716,,,,,,,,,,37.5,percent of total billed charges,35.02338211,,,,,,,,,,37.5,percent of total billed charges,34.92605363,,,,,,,,,,37.5,percent of total billed charges,34.41176792,,,,,,,,,,37.5,percent of total billed charges,35.2972333,,,,,,,,,,37.5,percent of total billed charges,999999999,,,,,,,,,,37.5,percent of total billed charges,30.2875118,,,,,,,,,,37.5,percent of total billed charges,47.76549473,,,,,,,,,,37.5,percent of total billed charges,999999999,,,,,,,,,,37.5,percent of total billed charges,32.65734506,,,,,,,,,,135,percent of total billed charges,,,,,
PARIETAL CELL AB*,86255,CDM,,,,both,,,211,211,44.91851232,211,211,percent of total billed charges,155.2401959,,,,211,percent of total billed charges,164.5515382,,,,211,percent of total billed charges,155.2401959,,,,211,percent of total billed charges,164.5515382,,,,211,percent of total billed charges,999999999,,,,211,percent of total billed charges,160.7674981,,,,211,percent of total billed charges,155.2401959,,,,211,percent of total billed charges,164.5515382,,,,150.443,percent of total billed charges,75.07381011,,,,150.443,percent of total billed charges,44.91851232,,,,150.443,percent of total billed charges,75.07381011,,,,150.443,percent of total billed charges,44.91851232,,,,150.443,percent of total billed charges,75.07381011,,,,150.443,percent of total billed charges,44.91851232,,,,148.966,percent of total billed charges,147.8357545,,,,148.966,percent of total billed charges,101.9611481,,,,,,,,,,151.92,percent of total billed charges,98.744425,,,,,,,,,,151.92,percent of total billed charges,999999999,,,,,,,,,,168.8,percent of total billed charges,141.4456255,,,,166.69,percent of total billed charges,160.8630235,,,,166.69,percent of total billed charges,142.1278061,,,,168.8,percent of total billed charges,999999999,,,,168.8,percent of total billed charges,999999999,,,,147.7,percent of total billed charges,999999999,,,,147.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,112.252,percent of total billed charges,999999999,,,,,,,,,,,,,,,,106.555,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,52.75,percent of total billed charges,50.09959688,,,,,,,,,,52.75,percent of total billed charges,49.26622417,,,,,,,,,,52.75,percent of total billed charges,49.12931545,,,,,,,,,,52.75,percent of total billed charges,48.40588687,,,,,,,,,,52.75,percent of total billed charges,49.6514415,,,,,,,,,,52.75,percent of total billed charges,999999999,,,,,,,,,,52.75,percent of total billed charges,42.60443327,,,,,,,,,,52.75,percent of total billed charges,67.19012925,,,,,,,,,,52.75,percent of total billed charges,999999999,,,,,,,,,,52.75,percent of total billed charges,45.93799872,,,,,,,,,,189.9,percent of total billed charges,,,,,
SSA*,86235,CDM,,,,both,,,185,185,39.38352976,185,185,percent of total billed charges,136.1110723,,,,185,percent of total billed charges,144.2750454,,,,185,percent of total billed charges,136.1110723,,,,185,percent of total billed charges,144.2750454,,,,185,percent of total billed charges,999999999,,,,185,percent of total billed charges,140.957285,,,,185,percent of total billed charges,136.1110723,,,,185,percent of total billed charges,144.2750454,,,,131.905,percent of total billed charges,65.82300887,,,,131.905,percent of total billed charges,39.38352976,,,,131.905,percent of total billed charges,65.82300887,,,,131.905,percent of total billed charges,39.38352976,,,,131.905,percent of total billed charges,65.82300887,,,,131.905,percent of total billed charges,39.38352976,,,,130.61,percent of total billed charges,129.6190264,,,,130.61,percent of total billed charges,89.39721516,,,,,,,,,,133.2,percent of total billed charges,86.57686552,,,,,,,,,,133.2,percent of total billed charges,999999999,,,,,,,,,,148,percent of total billed charges,124.0163067,,,,146.15,percent of total billed charges,141.0410396,,,,146.15,percent of total billed charges,124.6144271,,,,148,percent of total billed charges,999999999,,,,148,percent of total billed charges,999999999,,,,129.5,percent of total billed charges,999999999,,,,129.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,98.42,percent of total billed charges,999999999,,,,,,,,,,,,,,,,93.425,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,46.25,percent of total billed charges,43.92618684,,,,,,,,,,46.25,percent of total billed charges,43.19550461,,,,,,,,,,46.25,percent of total billed charges,43.07546615,,,,,,,,,,46.25,percent of total billed charges,42.44118043,,,,,,,,,,46.25,percent of total billed charges,43.5332544,,,,,,,,,,46.25,percent of total billed charges,999999999,,,,,,,,,,46.25,percent of total billed charges,37.35459789,,,,,,,,,,46.25,percent of total billed charges,58.91077683,,,,,,,,,,46.25,percent of total billed charges,999999999,,,,,,,,,,46.25,percent of total billed charges,40.27739225,,,,,,,,,,166.5,percent of total billed charges,,,,,
SSB*,86235,CDM,,,,both,,,185,185,39.38352976,185,185,percent of total billed charges,136.1110723,,,,185,percent of total billed charges,144.2750454,,,,185,percent of total billed charges,136.1110723,,,,185,percent of total billed charges,144.2750454,,,,185,percent of total billed charges,999999999,,,,185,percent of total billed charges,140.957285,,,,185,percent of total billed charges,136.1110723,,,,185,percent of total billed charges,144.2750454,,,,131.905,percent of total billed charges,65.82300887,,,,131.905,percent of total billed charges,39.38352976,,,,131.905,percent of total billed charges,65.82300887,,,,131.905,percent of total billed charges,39.38352976,,,,131.905,percent of total billed charges,65.82300887,,,,131.905,percent of total billed charges,39.38352976,,,,130.61,percent of total billed charges,129.6190264,,,,130.61,percent of total billed charges,89.39721516,,,,,,,,,,133.2,percent of total billed charges,86.57686552,,,,,,,,,,133.2,percent of total billed charges,999999999,,,,,,,,,,148,percent of total billed charges,124.0163067,,,,146.15,percent of total billed charges,141.0410396,,,,146.15,percent of total billed charges,124.6144271,,,,148,percent of total billed charges,999999999,,,,148,percent of total billed charges,999999999,,,,129.5,percent of total billed charges,999999999,,,,129.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,98.42,percent of total billed charges,999999999,,,,,,,,,,,,,,,,93.425,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,46.25,percent of total billed charges,43.92618684,,,,,,,,,,46.25,percent of total billed charges,43.19550461,,,,,,,,,,46.25,percent of total billed charges,43.07546615,,,,,,,,,,46.25,percent of total billed charges,42.44118043,,,,,,,,,,46.25,percent of total billed charges,43.5332544,,,,,,,,,,46.25,percent of total billed charges,999999999,,,,,,,,,,46.25,percent of total billed charges,37.35459789,,,,,,,,,,46.25,percent of total billed charges,58.91077683,,,,,,,,,,46.25,percent of total billed charges,999999999,,,,,,,,,,46.25,percent of total billed charges,40.27739225,,,,,,,,,,166.5,percent of total billed charges,,,,,
TOPAMAX (TOPIRAMATE)*,80201,CDM,,,,both,,,249,249,53.00810221,249,249,percent of total billed charges,183.1981459,,,,249,percent of total billed charges,194.1864124,,,,249,percent of total billed charges,183.1981459,,,,249,percent of total billed charges,194.1864124,,,,249,percent of total billed charges,999999999,,,,249,percent of total billed charges,189.7208863,,,,249,percent of total billed charges,183.1981459,,,,249,percent of total billed charges,194.1864124,,,,177.537,percent of total billed charges,88.59421193,,,,177.537,percent of total billed charges,53.00810221,,,,177.537,percent of total billed charges,88.59421193,,,,177.537,percent of total billed charges,53.00810221,,,,177.537,percent of total billed charges,88.59421193,,,,177.537,percent of total billed charges,53.00810221,,,,175.794,percent of total billed charges,174.4602031,,,,175.794,percent of total billed charges,120.3238193,,,,,,,,,,179.28,percent of total billed charges,116.5277812,,,,,,,,,,179.28,percent of total billed charges,999999999,,,,,,,,,,199.2,percent of total billed charges,166.9192452,,,,196.71,percent of total billed charges,189.8336154,,,,196.71,percent of total billed charges,167.724283,,,,199.2,percent of total billed charges,999999999,,,,199.2,percent of total billed charges,999999999,,,,174.3,percent of total billed charges,999999999,,,,174.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,132.468,percent of total billed charges,999999999,,,,,,,,,,,,,,,,125.745,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,62.25,percent of total billed charges,59.12227309,,,,,,,,,,62.25,percent of total billed charges,58.13881431,,,,,,,,,,62.25,percent of total billed charges,57.97724903,,,,,,,,,,62.25,percent of total billed charges,57.12353475,,,,,,,,,,62.25,percent of total billed charges,58.59340727,,,,,,,,,,62.25,percent of total billed charges,999999999,,,,,,,,,,62.25,percent of total billed charges,50.27726959,,,,,,,,,,62.25,percent of total billed charges,79.29072125,,,,,,,,,,62.25,percent of total billed charges,999999999,,,,,,,,,,62.25,percent of total billed charges,54.21119281,,,,,,,,,,224.1,percent of total billed charges,,,,,
T3 REVERSE*,84482,CDM,,,,both,,,278,278,59.18173661,278,278,percent of total billed charges,204.5344762,,,,278,percent of total billed charges,216.8025006,,,,278,percent of total billed charges,204.5344762,,,,278,percent of total billed charges,216.8025006,,,,278,percent of total billed charges,999999999,,,,278,percent of total billed charges,211.8168932,,,,278,percent of total billed charges,204.5344762,,,,278,percent of total billed charges,216.8025006,,,,198.214,percent of total billed charges,98.91241332,,,,198.214,percent of total billed charges,59.18173661,,,,198.214,percent of total billed charges,98.91241332,,,,198.214,percent of total billed charges,59.18173661,,,,198.214,percent of total billed charges,98.91241332,,,,198.214,percent of total billed charges,59.18173661,,,,196.268,percent of total billed charges,194.7788613,,,,196.268,percent of total billed charges,134.3374368,,,,,,,,,,200.16,percent of total billed charges,130.0992898,,,,,,,,,,200.16,percent of total billed charges,999999999,,,,,,,,,,222.4,percent of total billed charges,186.3596393,,,,219.62,percent of total billed charges,211.9427513,,,,219.62,percent of total billed charges,187.2584364,,,,222.4,percent of total billed charges,999999999,,,,222.4,percent of total billed charges,999999999,,,,194.6,percent of total billed charges,999999999,,,,194.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,147.896,percent of total billed charges,999999999,,,,,,,,,,,,,,,,140.39,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,69.5,percent of total billed charges,66.00799968,,,,,,,,,,69.5,percent of total billed charges,64.91000152,,,,,,,,,,69.5,percent of total billed charges,64.7296194,,,,,,,,,,69.5,percent of total billed charges,63.77647654,,,,,,,,,,69.5,percent of total billed charges,65.41753904,,,,,,,,,,69.5,percent of total billed charges,999999999,,,,,,,,,,69.5,percent of total billed charges,56.13285521,,,,,,,,,,69.5,percent of total billed charges,88.52538356,,,,,,,,,,69.5,percent of total billed charges,999999999,,,,,,,,,,69.5,percent of total billed charges,60.52494619,,,,,,,,,,250.2,percent of total billed charges,,,,,
ZINC*,84630,CDM,,,,both,,,182,182,38.74487792,182,182,percent of total billed charges,133.9038657,,,,182,percent of total billed charges,141.93545,,,,182,percent of total billed charges,133.9038657,,,,182,percent of total billed charges,141.93545,,,,182,percent of total billed charges,999999999,,,,182,percent of total billed charges,138.6714912,,,,182,percent of total billed charges,133.9038657,,,,182,percent of total billed charges,141.93545,,,,129.766,percent of total billed charges,64.75560872,,,,129.766,percent of total billed charges,38.74487792,,,,129.766,percent of total billed charges,64.75560872,,,,129.766,percent of total billed charges,38.74487792,,,,129.766,percent of total billed charges,64.75560872,,,,129.766,percent of total billed charges,38.74487792,,,,128.492,percent of total billed charges,127.5170963,,,,128.492,percent of total billed charges,87.94753059,,,,,,,,,,131.04,percent of total billed charges,85.17291635,,,,,,,,,,131.04,percent of total billed charges,999999999,,,,,,,,,,145.6,percent of total billed charges,122.0052315,,,,143.78,percent of total billed charges,138.7538876,,,,143.78,percent of total billed charges,122.5936526,,,,145.6,percent of total billed charges,999999999,,,,145.6,percent of total billed charges,999999999,,,,127.4,percent of total billed charges,999999999,,,,127.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,96.824,percent of total billed charges,999999999,,,,,,,,,,,,,,,,91.91,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45.5,percent of total billed charges,43.21387029,,,,,,,,,,45.5,percent of total billed charges,42.49503696,,,,,,,,,,45.5,percent of total billed charges,42.37694508,,,,,,,,,,45.5,percent of total billed charges,41.75294508,,,,,,,,,,45.5,percent of total billed charges,42.82730973,,,,,,,,,,45.5,percent of total billed charges,999999999,,,,,,,,,,45.5,percent of total billed charges,36.74884765,,,,,,,,,,45.5,percent of total billed charges,57.95546694,,,,,,,,,,45.5,percent of total billed charges,999999999,,,,,,,,,,45.5,percent of total billed charges,39.62424535,,,,,,,,,,163.8,percent of total billed charges,,,,,
"FREE LIGHT CHAINS KAPPA, LAMBDA EA",83521,CDM,,,,both,,,173,173,36.82892242,173,173,percent of total billed charges,127.2822459,,,,173,percent of total billed charges,134.916664,,,,173,percent of total billed charges,127.2822459,,,,173,percent of total billed charges,134.916664,,,,173,percent of total billed charges,999999999,,,,173,percent of total billed charges,131.8141098,,,,173,percent of total billed charges,127.2822459,,,,173,percent of total billed charges,134.916664,,,,123.349,percent of total billed charges,61.55340829,,,,123.349,percent of total billed charges,36.82892242,,,,123.349,percent of total billed charges,61.55340829,,,,123.349,percent of total billed charges,36.82892242,,,,123.349,percent of total billed charges,61.55340829,,,,123.349,percent of total billed charges,36.82892242,,,,122.138,percent of total billed charges,121.2113058,,,,122.138,percent of total billed charges,83.59847688,,,,,,,,,,124.56,percent of total billed charges,80.96106884,,,,,,,,,,124.56,percent of total billed charges,999999999,,,,,,,,,,138.4,percent of total billed charges,115.9720057,,,,136.67,percent of total billed charges,131.8924316,,,,136.67,percent of total billed charges,116.5313291,,,,138.4,percent of total billed charges,999999999,,,,138.4,percent of total billed charges,999999999,,,,121.1,percent of total billed charges,999999999,,,,121.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,92.036,percent of total billed charges,999999999,,,,,,,,,,,,,,,,87.365,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,43.25,percent of total billed charges,41.07692066,,,,,,,,,,43.25,percent of total billed charges,40.39363404,,,,,,,,,,43.25,percent of total billed charges,40.28138186,,,,,,,,,,43.25,percent of total billed charges,39.688239,,,,,,,,,,43.25,percent of total billed charges,40.70947574,,,,,,,,,,43.25,percent of total billed charges,999999999,,,,,,,,,,43.25,percent of total billed charges,34.93159694,,,,,,,,,,43.25,percent of total billed charges,55.08953725,,,,,,,,,,43.25,percent of total billed charges,999999999,,,,,,,,,,43.25,percent of total billed charges,37.66480464,,,,,,,,,,155.7,percent of total billed charges,,,,,
IGA,83516,CDM,,,,both,,,173,173,36.82892242,173,173,percent of total billed charges,127.2822459,,,,173,percent of total billed charges,134.916664,,,,173,percent of total billed charges,127.2822459,,,,173,percent of total billed charges,134.916664,,,,173,percent of total billed charges,999999999,,,,173,percent of total billed charges,131.8141098,,,,173,percent of total billed charges,127.2822459,,,,173,percent of total billed charges,134.916664,,,,123.349,percent of total billed charges,61.55340829,,,,123.349,percent of total billed charges,36.82892242,,,,123.349,percent of total billed charges,61.55340829,,,,123.349,percent of total billed charges,36.82892242,,,,123.349,percent of total billed charges,61.55340829,,,,123.349,percent of total billed charges,36.82892242,,,,122.138,percent of total billed charges,121.2113058,,,,122.138,percent of total billed charges,83.59847688,,,,,,,,,,124.56,percent of total billed charges,80.96106884,,,,,,,,,,124.56,percent of total billed charges,999999999,,,,,,,,,,138.4,percent of total billed charges,115.9720057,,,,136.67,percent of total billed charges,131.8924316,,,,136.67,percent of total billed charges,116.5313291,,,,138.4,percent of total billed charges,999999999,,,,138.4,percent of total billed charges,999999999,,,,121.1,percent of total billed charges,999999999,,,,121.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,92.036,percent of total billed charges,999999999,,,,,,,,,,,,,,,,87.365,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,43.25,percent of total billed charges,41.07692066,,,,,,,,,,43.25,percent of total billed charges,40.39363404,,,,,,,,,,43.25,percent of total billed charges,40.28138186,,,,,,,,,,43.25,percent of total billed charges,39.688239,,,,,,,,,,43.25,percent of total billed charges,40.70947574,,,,,,,,,,43.25,percent of total billed charges,999999999,,,,,,,,,,43.25,percent of total billed charges,34.93159694,,,,,,,,,,43.25,percent of total billed charges,55.08953725,,,,,,,,,,43.25,percent of total billed charges,999999999,,,,,,,,,,43.25,percent of total billed charges,37.66480464,,,,,,,,,,155.7,percent of total billed charges,,,,,
THIAMINE (VIT BI) (*),84425,CDM,,,,both,,,298,298,63.4394155,298,298,percent of total billed charges,219.2491867,,,,298,percent of total billed charges,232.3998028,,,,298,percent of total billed charges,219.2491867,,,,298,percent of total billed charges,232.3998028,,,,298,percent of total billed charges,999999999,,,,298,percent of total billed charges,227.0555186,,,,298,percent of total billed charges,219.2491867,,,,298,percent of total billed charges,232.3998028,,,,212.474,percent of total billed charges,106.0284143,,,,212.474,percent of total billed charges,63.4394155,,,,212.474,percent of total billed charges,106.0284143,,,,212.474,percent of total billed charges,63.4394155,,,,212.474,percent of total billed charges,106.0284143,,,,212.474,percent of total billed charges,63.4394155,,,,210.388,percent of total billed charges,208.791729,,,,210.388,percent of total billed charges,144.0020006,,,,,,,,,,214.56,percent of total billed charges,139.4589509,,,,,,,,,,214.56,percent of total billed charges,999999999,,,,,,,,,,238.4,percent of total billed charges,199.7668075,,,,235.42,percent of total billed charges,227.1904313,,,,235.42,percent of total billed charges,200.7302664,,,,238.4,percent of total billed charges,999999999,,,,238.4,percent of total billed charges,999999999,,,,208.6,percent of total billed charges,999999999,,,,208.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,158.536,percent of total billed charges,999999999,,,,,,,,,,,,,,,,150.49,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,74.5,percent of total billed charges,70.75677663,,,,,,,,,,74.5,percent of total billed charges,69.5797858,,,,,,,,,,74.5,percent of total billed charges,69.38642655,,,,,,,,,,74.5,percent of total billed charges,68.36471227,,,,,,,,,,74.5,percent of total billed charges,70.12383682,,,,,,,,,,74.5,percent of total billed charges,999999999,,,,,,,,,,74.5,percent of total billed charges,60.17119011,,,,,,,,,,74.5,percent of total billed charges,94.89411619,,,,,,,,,,74.5,percent of total billed charges,999999999,,,,,,,,,,74.5,percent of total billed charges,64.87925886,,,,,,,,,,268.2,percent of total billed charges,,,,,
PROCALCITONIN (PCT),84145,CDM,,,,both,,,450,450,95.79777508,450,450,percent of total billed charges,331.0809866,,,,450,percent of total billed charges,350.9392995,,,,450,percent of total billed charges,331.0809866,,,,450,percent of total billed charges,350.9392995,,,,450,percent of total billed charges,999999999,,,,450,percent of total billed charges,342.8690717,,,,450,percent of total billed charges,331.0809866,,,,450,percent of total billed charges,350.9392995,,,,320.85,percent of total billed charges,160.1100216,,,,320.85,percent of total billed charges,95.79777508,,,,320.85,percent of total billed charges,160.1100216,,,,320.85,percent of total billed charges,95.79777508,,,,320.85,percent of total billed charges,160.1100216,,,,320.85,percent of total billed charges,95.79777508,,,,317.7,percent of total billed charges,315.2895237,,,,317.7,percent of total billed charges,217.4526855,,,,,,,,,,324,percent of total billed charges,210.5923756,,,,,,,,,,324,percent of total billed charges,999999999,,,,,,,,,,360,percent of total billed charges,301.6612866,,,,355.5,percent of total billed charges,343.0727989,,,,355.5,percent of total billed charges,303.1161741,,,,360,percent of total billed charges,999999999,,,,360,percent of total billed charges,999999999,,,,315,percent of total billed charges,999999999,,,,315,percent of total billed charges,999999999,,,,,,,,,,,,,,,,239.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,227.25,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,112.5,percent of total billed charges,106.8474815,,,,,,,,,,112.5,percent of total billed charges,105.0701463,,,,,,,,,,112.5,percent of total billed charges,104.7781609,,,,,,,,,,112.5,percent of total billed charges,103.2353038,,,,,,,,,,112.5,percent of total billed charges,105.8916999,,,,,,,,,,112.5,percent of total billed charges,999999999,,,,,,,,,,112.5,percent of total billed charges,90.8625354,,,,,,,,,,112.5,percent of total billed charges,143.2964842,,,,,,,,,,112.5,percent of total billed charges,999999999,,,,,,,,,,112.5,percent of total billed charges,97.97203519,,,,,,,,,,405,percent of total billed charges,,,,,
QUANTIFERON TB GOLD (*),86480,CDM,,,,both,,,435,435,92.60451591,435,435,percent of total billed charges,320.0449537,,,,435,percent of total billed charges,339.2413229,,,,435,percent of total billed charges,320.0449537,,,,435,percent of total billed charges,339.2413229,,,,435,percent of total billed charges,999999999,,,,435,percent of total billed charges,331.4401026,,,,435,percent of total billed charges,320.0449537,,,,435,percent of total billed charges,339.2413229,,,,310.155,percent of total billed charges,154.7730208,,,,310.155,percent of total billed charges,92.60451591,,,,310.155,percent of total billed charges,154.7730208,,,,310.155,percent of total billed charges,92.60451591,,,,310.155,percent of total billed charges,154.7730208,,,,310.155,percent of total billed charges,92.60451591,,,,307.11,percent of total billed charges,304.7798729,,,,307.11,percent of total billed charges,210.2042627,,,,,,,,,,313.2,percent of total billed charges,203.5726297,,,,,,,,,,313.2,percent of total billed charges,999999999,,,,,,,,,,348,percent of total billed charges,291.6059103,,,,343.65,percent of total billed charges,331.6370389,,,,343.65,percent of total billed charges,293.0123016,,,,348,percent of total billed charges,999999999,,,,348,percent of total billed charges,999999999,,,,304.5,percent of total billed charges,999999999,,,,304.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,231.42,percent of total billed charges,999999999,,,,,,,,,,,,,,,,219.675,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,108.75,percent of total billed charges,103.2858988,,,,,,,,,,108.75,percent of total billed charges,101.5678081,,,,,,,,,,108.75,percent of total billed charges,101.2855555,,,,,,,,,,108.75,percent of total billed charges,99.79412697,,,,,,,,,,108.75,percent of total billed charges,102.3619766,,,,,,,,,,108.75,percent of total billed charges,999999999,,,,,,,,,,108.75,percent of total billed charges,87.83378422,,,,,,,,,,108.75,percent of total billed charges,138.5199347,,,,,,,,,,108.75,percent of total billed charges,999999999,,,,,,,,,,108.75,percent of total billed charges,94.70630069,,,,,,,,,,391.5,percent of total billed charges,,,,,
CELIAC DISEASE PANEL (*),86364,CDM,,,,both,,,173,173,36.82892242,173,173,percent of total billed charges,127.2822459,,,,173,percent of total billed charges,134.916664,,,,173,percent of total billed charges,127.2822459,,,,173,percent of total billed charges,134.916664,,,,173,percent of total billed charges,999999999,,,,173,percent of total billed charges,131.8141098,,,,173,percent of total billed charges,127.2822459,,,,173,percent of total billed charges,134.916664,,,,123.349,percent of total billed charges,61.55340829,,,,123.349,percent of total billed charges,36.82892242,,,,123.349,percent of total billed charges,61.55340829,,,,123.349,percent of total billed charges,36.82892242,,,,123.349,percent of total billed charges,61.55340829,,,,123.349,percent of total billed charges,36.82892242,,,,122.138,percent of total billed charges,121.2113058,,,,122.138,percent of total billed charges,83.59847688,,,,,,,,,,124.56,percent of total billed charges,80.96106884,,,,,,,,,,124.56,percent of total billed charges,999999999,,,,,,,,,,138.4,percent of total billed charges,115.9720057,,,,136.67,percent of total billed charges,131.8924316,,,,136.67,percent of total billed charges,116.5313291,,,,138.4,percent of total billed charges,999999999,,,,138.4,percent of total billed charges,999999999,,,,121.1,percent of total billed charges,999999999,,,,121.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,92.036,percent of total billed charges,999999999,,,,,,,,,,,,,,,,87.365,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,43.25,percent of total billed charges,41.07692066,,,,,,,,,,43.25,percent of total billed charges,40.39363404,,,,,,,,,,43.25,percent of total billed charges,40.28138186,,,,,,,,,,43.25,percent of total billed charges,39.688239,,,,,,,,,,43.25,percent of total billed charges,40.70947574,,,,,,,,,,43.25,percent of total billed charges,999999999,,,,,,,,,,43.25,percent of total billed charges,34.93159694,,,,,,,,,,43.25,percent of total billed charges,55.08953725,,,,,,,,,,43.25,percent of total billed charges,999999999,,,,,,,,,,43.25,percent of total billed charges,37.66480464,,,,,,,,,,155.7,percent of total billed charges,,,,,
SINEMET LEVEL- GEN SEND(*),80299,CDM,,,,both,,,295,295,62.80076366,295,295,percent of total billed charges,217.0419801,,,,295,percent of total billed charges,230.0602075,,,,295,percent of total billed charges,217.0419801,,,,295,percent of total billed charges,230.0602075,,,,295,percent of total billed charges,999999999,,,,295,percent of total billed charges,224.7697248,,,,295,percent of total billed charges,217.0419801,,,,295,percent of total billed charges,230.0602075,,,,210.335,percent of total billed charges,104.9610141,,,,210.335,percent of total billed charges,62.80076366,,,,210.335,percent of total billed charges,104.9610141,,,,210.335,percent of total billed charges,62.80076366,,,,210.335,percent of total billed charges,104.9610141,,,,210.335,percent of total billed charges,62.80076366,,,,208.27,percent of total billed charges,206.6897989,,,,208.27,percent of total billed charges,142.5523161,,,,,,,,,,212.4,percent of total billed charges,138.0550018,,,,,,,,,,212.4,percent of total billed charges,999999999,,,,,,,,,,236,percent of total billed charges,197.7557323,,,,233.05,percent of total billed charges,224.9032793,,,,233.05,percent of total billed charges,198.7094919,,,,236,percent of total billed charges,999999999,,,,236,percent of total billed charges,999999999,,,,206.5,percent of total billed charges,999999999,,,,206.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,156.94,percent of total billed charges,999999999,,,,,,,,,,,,,,,,148.975,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,73.75,percent of total billed charges,70.04446009,,,,,,,,,,73.75,percent of total billed charges,68.87931816,,,,,,,,,,73.75,percent of total billed charges,68.68790548,,,,,,,,,,73.75,percent of total billed charges,67.67647691,,,,,,,,,,73.75,percent of total billed charges,69.41789215,,,,,,,,,,73.75,percent of total billed charges,999999999,,,,,,,,,,73.75,percent of total billed charges,59.56543988,,,,,,,,,,73.75,percent of total billed charges,93.9388063,,,,,,,,,,73.75,percent of total billed charges,999999999,,,,,,,,,,73.75,percent of total billed charges,64.22611196,,,,,,,,,,265.5,percent of total billed charges,,,,,
NEUTROPHIL ANTIBODIES,86021,CDM,,,,both,,,328,328,69.82593384,328,328,percent of total billed charges,241.3212524,,,,328,percent of total billed charges,255.7957561,,,,328,percent of total billed charges,241.3212524,,,,328,percent of total billed charges,255.7957561,,,,328,percent of total billed charges,999999999,,,,328,percent of total billed charges,249.9134567,,,,328,percent of total billed charges,241.3212524,,,,328,percent of total billed charges,255.7957561,,,,233.864,percent of total billed charges,116.7024157,,,,233.864,percent of total billed charges,69.82593384,,,,233.864,percent of total billed charges,116.7024157,,,,233.864,percent of total billed charges,69.82593384,,,,233.864,percent of total billed charges,116.7024157,,,,233.864,percent of total billed charges,69.82593384,,,,231.568,percent of total billed charges,229.8110306,,,,231.568,percent of total billed charges,158.4988463,,,,,,,,,,236.16,percent of total billed charges,153.4984427,,,,,,,,,,236.16,percent of total billed charges,999999999,,,,,,,,,,262.4,percent of total billed charges,219.87756,,,,259.12,percent of total billed charges,250.0619512,,,,259.12,percent of total billed charges,220.9380113,,,,262.4,percent of total billed charges,999999999,,,,262.4,percent of total billed charges,999999999,,,,229.6,percent of total billed charges,999999999,,,,229.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,174.496,percent of total billed charges,999999999,,,,,,,,,,,,,,,,165.64,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,82,percent of total billed charges,77.87994207,,,,,,,,,,82,percent of total billed charges,76.58446222,,,,,,,,,,82,percent of total billed charges,76.37163728,,,,,,,,,,82,percent of total billed charges,75.24706585,,,,,,,,,,82,percent of total billed charges,77.18328348,,,,,,,,,,82,percent of total billed charges,999999999,,,,,,,,,,82,percent of total billed charges,66.22869247,,,,,,,,,,82,percent of total billed charges,104.4472151,,,,,,,,,,82,percent of total billed charges,999999999,,,,,,,,,,82,percent of total billed charges,71.41072788,,,,,,,,,,295.2,percent of total billed charges,,,,,
PLATELET ANTIBODIES (*),86022,CDM,,,,both,,,396,396,84.30204207,396,396,percent of total billed charges,291.3512682,,,,396,percent of total billed charges,308.8265836,,,,396,percent of total billed charges,291.3512682,,,,396,percent of total billed charges,308.8265836,,,,396,percent of total billed charges,999999999,,,,396,percent of total billed charges,301.7247831,,,,396,percent of total billed charges,291.3512682,,,,396,percent of total billed charges,308.8265836,,,,282.348,percent of total billed charges,140.896819,,,,282.348,percent of total billed charges,84.30204207,,,,282.348,percent of total billed charges,140.896819,,,,282.348,percent of total billed charges,84.30204207,,,,282.348,percent of total billed charges,140.896819,,,,282.348,percent of total billed charges,84.30204207,,,,279.576,percent of total billed charges,277.4547809,,,,279.576,percent of total billed charges,191.3583633,,,,,,,,,,285.12,percent of total billed charges,185.3212905,,,,,,,,,,285.12,percent of total billed charges,999999999,,,,,,,,,,316.8,percent of total billed charges,265.4619322,,,,312.84,percent of total billed charges,301.904063,,,,312.84,percent of total billed charges,266.7422332,,,,316.8,percent of total billed charges,999999999,,,,316.8,percent of total billed charges,999999999,,,,277.2,percent of total billed charges,999999999,,,,277.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,210.672,percent of total billed charges,999999999,,,,,,,,,,,,,,,,199.98,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,99,percent of total billed charges,94.02578371,,,,,,,,,,99,percent of total billed charges,92.46172878,,,,,,,,,,99,percent of total billed charges,92.2047816,,,,,,,,,,99,percent of total billed charges,90.84706731,,,,,,,,,,99,percent of total billed charges,93.1846959,,,,,,,,,,99,percent of total billed charges,999999999,,,,,,,,,,99,percent of total billed charges,79.95903116,,,,,,,,,,99,percent of total billed charges,126.1009061,,,,,,,,,,99,percent of total billed charges,999999999,,,,,,,,,,99,percent of total billed charges,86.21539097,,,,,,,,,,356.4,percent of total billed charges,,,,,
HUMAN EPIDIDYMIS PROTEIN 4,86305,CDM,,,,both,,,444,444,94.52047141,444,444,percent of total billed charges,326.6665734,,,,444,percent of total billed charges,346.2601088,,,,444,percent of total billed charges,326.6665734,,,,444,percent of total billed charges,346.2601088,,,,444,percent of total billed charges,999999999,,,,444,percent of total billed charges,338.2974841,,,,444,percent of total billed charges,326.6665734,,,,444,percent of total billed charges,346.2601088,,,,316.572,percent of total billed charges,157.9752213,,,,316.572,percent of total billed charges,94.52047141,,,,316.572,percent of total billed charges,157.9752213,,,,316.572,percent of total billed charges,94.52047141,,,,316.572,percent of total billed charges,157.9752213,,,,316.572,percent of total billed charges,94.52047141,,,,313.464,percent of total billed charges,311.0856634,,,,313.464,percent of total billed charges,214.5533164,,,,,,,,,,319.68,percent of total billed charges,207.7844773,,,,,,,,,,319.68,percent of total billed charges,999999999,,,,,,,,,,355.2,percent of total billed charges,297.6391361,,,,350.76,percent of total billed charges,338.4984949,,,,350.76,percent of total billed charges,299.0746251,,,,355.2,percent of total billed charges,999999999,,,,355.2,percent of total billed charges,999999999,,,,310.8,percent of total billed charges,999999999,,,,310.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,236.208,percent of total billed charges,999999999,,,,,,,,,,,,,,,,224.22,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,111,percent of total billed charges,105.4228484,,,,,,,,,,111,percent of total billed charges,103.6692111,,,,,,,,,,111,percent of total billed charges,103.3811188,,,,,,,,,,111,percent of total billed charges,101.858833,,,,,,,,,,111,percent of total billed charges,104.4798106,,,,,,,,,,111,percent of total billed charges,999999999,,,,,,,,,,111,percent of total billed charges,89.65103493,,,,,,,,,,111,percent of total billed charges,141.3858644,,,,,,,,,,111,percent of total billed charges,999999999,,,,,,,,,,111,percent of total billed charges,96.66574139,,,,,,,,,,399.6,percent of total billed charges,,,,,
SOLUABLE TRANSFERRIN RECP.AB(*),83520,CDM,,,,both,,,241,241,51.30503065,241,241,percent of total billed charges,177.3122617,,,,241,percent of total billed charges,187.9474915,,,,241,percent of total billed charges,177.3122617,,,,241,percent of total billed charges,187.9474915,,,,241,percent of total billed charges,999999999,,,,241,percent of total billed charges,183.6254362,,,,241,percent of total billed charges,177.3122617,,,,241,percent of total billed charges,187.9474915,,,,171.833,percent of total billed charges,85.74781155,,,,171.833,percent of total billed charges,51.30503065,,,,171.833,percent of total billed charges,85.74781155,,,,171.833,percent of total billed charges,51.30503065,,,,171.833,percent of total billed charges,85.74781155,,,,171.833,percent of total billed charges,51.30503065,,,,170.146,percent of total billed charges,168.855056,,,,170.146,percent of total billed charges,116.4579938,,,,,,,,,,173.52,percent of total billed charges,112.7839167,,,,,,,,,,173.52,percent of total billed charges,999999999,,,,,,,,,,192.8,percent of total billed charges,161.5563779,,,,190.39,percent of total billed charges,183.7345434,,,,190.39,percent of total billed charges,162.335551,,,,192.8,percent of total billed charges,999999999,,,,192.8,percent of total billed charges,999999999,,,,168.7,percent of total billed charges,999999999,,,,168.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,128.212,percent of total billed charges,999999999,,,,,,,,,,,,,,,,121.705,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,60.25,percent of total billed charges,57.22276231,,,,,,,,,,60.25,percent of total billed charges,56.2709006,,,,,,,,,,60.25,percent of total billed charges,56.11452617,,,,,,,,,,60.25,percent of total billed charges,55.28824046,,,,,,,,,,60.25,percent of total billed charges,56.71088816,,,,,,,,,,60.25,percent of total billed charges,999999999,,,,,,,,,,60.25,percent of total billed charges,48.66193563,,,,,,,,,,60.25,percent of total billed charges,76.7432282,,,,,,,,,,60.25,percent of total billed charges,999999999,,,,,,,,,,60.25,percent of total billed charges,52.46946774,,,,,,,,,,216.9,percent of total billed charges,,,,,
SICKLE CELL PANEL,85660,CDM,,,,both,,,126,126,26.82337702,126,126,percent of total billed charges,92.70267624,,,,126,percent of total billed charges,98.26300386,,,,126,percent of total billed charges,92.70267624,,,,126,percent of total billed charges,98.26300386,,,,126,percent of total billed charges,999999999,,,,126,percent of total billed charges,96.00334007,,,,126,percent of total billed charges,92.70267624,,,,126,percent of total billed charges,98.26300386,,,,89.838,percent of total billed charges,44.83080604,,,,89.838,percent of total billed charges,26.82337702,,,,89.838,percent of total billed charges,44.83080604,,,,89.838,percent of total billed charges,26.82337702,,,,89.838,percent of total billed charges,44.83080604,,,,89.838,percent of total billed charges,26.82337702,,,,88.956,percent of total billed charges,88.28106665,,,,88.956,percent of total billed charges,60.88675195,,,,,,,,,,90.72,percent of total billed charges,58.96586517,,,,,,,,,,90.72,percent of total billed charges,999999999,,,,,,,,,,100.8,percent of total billed charges,84.46516024,,,,99.54,percent of total billed charges,96.0603837,,,,99.54,percent of total billed charges,84.87252874,,,,100.8,percent of total billed charges,999999999,,,,100.8,percent of total billed charges,999999999,,,,88.2,percent of total billed charges,999999999,,,,88.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,67.032,percent of total billed charges,999999999,,,,,,,,,,,,,,,,63.63,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,31.5,percent of total billed charges,29.91729482,,,,,,,,,,31.5,percent of total billed charges,29.41964098,,,,,,,,,,31.5,percent of total billed charges,29.33788505,,,,,,,,,,31.5,percent of total billed charges,28.90588505,,,,,,,,,,31.5,percent of total billed charges,29.64967597,,,,,,,,,,31.5,percent of total billed charges,999999999,,,,,,,,,,31.5,percent of total billed charges,25.44150991,,,,,,,,,,31.5,percent of total billed charges,40.12301557,,,,,,,,,,31.5,percent of total billed charges,999999999,,,,,,,,,,31.5,percent of total billed charges,27.43216985,,,,,,,,,,113.4,percent of total billed charges,,,,,
URINE COTININE,80305,CDM,,,,both,,,197,197,41.93813709,197,197,percent of total billed charges,144.9398986,,,,197,percent of total billed charges,153.6334267,,,,197,percent of total billed charges,144.9398986,,,,197,percent of total billed charges,153.6334267,,,,197,percent of total billed charges,999999999,,,,197,percent of total billed charges,150.1004603,,,,197,percent of total billed charges,144.9398986,,,,197,percent of total billed charges,153.6334267,,,,140.461,percent of total billed charges,70.09260944,,,,140.461,percent of total billed charges,41.93813709,,,,140.461,percent of total billed charges,70.09260944,,,,140.461,percent of total billed charges,41.93813709,,,,140.461,percent of total billed charges,70.09260944,,,,140.461,percent of total billed charges,41.93813709,,,,139.082,percent of total billed charges,138.0267471,,,,139.082,percent of total billed charges,95.19595344,,,,,,,,,,141.84,percent of total billed charges,92.19266221,,,,,,,,,,141.84,percent of total billed charges,999999999,,,,,,,,,,157.6,percent of total billed charges,132.0606077,,,,155.63,percent of total billed charges,150.1896475,,,,155.63,percent of total billed charges,132.6975251,,,,157.6,percent of total billed charges,999999999,,,,157.6,percent of total billed charges,999999999,,,,137.9,percent of total billed charges,999999999,,,,137.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,104.804,percent of total billed charges,999999999,,,,,,,,,,,,,,,,99.485,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,49.25,percent of total billed charges,46.77545301,,,,,,,,,,49.25,percent of total billed charges,45.99737518,,,,,,,,,,49.25,percent of total billed charges,45.86955044,,,,,,,,,,49.25,percent of total billed charges,45.19412187,,,,,,,,,,49.25,percent of total billed charges,46.35703306,,,,,,,,,,49.25,percent of total billed charges,999999999,,,,,,,,,,49.25,percent of total billed charges,39.77759883,,,,,,,,,,49.25,percent of total billed charges,62.73201641,,,,,,,,,,49.25,percent of total billed charges,999999999,,,,,,,,,,49.25,percent of total billed charges,42.88997985,,,,,,,,,,177.3,percent of total billed charges,,,,,
MOG-IGG1 ANTB CBA,86362,CDM,,,,both,,,216,216,45.98293204,216,216,percent of total billed charges,158.9188736,,,,216,percent of total billed charges,168.4508638,,,,216,percent of total billed charges,158.9188736,,,,216,percent of total billed charges,168.4508638,,,,216,percent of total billed charges,999999999,,,,216,percent of total billed charges,164.5771544,,,,216,percent of total billed charges,158.9188736,,,,216,percent of total billed charges,168.4508638,,,,154.008,percent of total billed charges,76.85281035,,,,154.008,percent of total billed charges,45.98293204,,,,154.008,percent of total billed charges,76.85281035,,,,154.008,percent of total billed charges,45.98293204,,,,154.008,percent of total billed charges,76.85281035,,,,154.008,percent of total billed charges,45.98293204,,,,152.496,percent of total billed charges,151.3389714,,,,152.496,percent of total billed charges,104.377289,,,,,,,,,,155.52,percent of total billed charges,101.0843403,,,,,,,,,,155.52,percent of total billed charges,999999999,,,,,,,,,,172.8,percent of total billed charges,144.7974176,,,,170.64,percent of total billed charges,164.6749435,,,,170.64,percent of total billed charges,145.4957636,,,,172.8,percent of total billed charges,999999999,,,,172.8,percent of total billed charges,999999999,,,,151.2,percent of total billed charges,999999999,,,,151.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,114.912,percent of total billed charges,999999999,,,,,,,,,,,,,,,,109.08,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,54,percent of total billed charges,51.28679112,,,,,,,,,,54,percent of total billed charges,50.43367024,,,,,,,,,,54,percent of total billed charges,50.29351723,,,,,,,,,,54,percent of total billed charges,49.5529458,,,,,,,,,,54,percent of total billed charges,50.82801595,,,,,,,,,,54,percent of total billed charges,999999999,,,,,,,,,,54,percent of total billed charges,43.61401699,,,,,,,,,,54,percent of total billed charges,68.78231241,,,,,,,,,,54,percent of total billed charges,999999999,,,,,,,,,,54,percent of total billed charges,47.02657689,,,,,,,,,,194.4,percent of total billed charges,,,,,
SOMATOSTATIN,84307,CDM,,,,both,,,364,364,77.48975584,364,364,percent of total billed charges,267.8077314,,,,364,percent of total billed charges,283.8709,,,,364,percent of total billed charges,267.8077314,,,,364,percent of total billed charges,283.8709,,,,364,percent of total billed charges,999999999,,,,364,percent of total billed charges,277.3429824,,,,364,percent of total billed charges,267.8077314,,,,364,percent of total billed charges,283.8709,,,,259.532,percent of total billed charges,129.5112174,,,,259.532,percent of total billed charges,77.48975584,,,,259.532,percent of total billed charges,129.5112174,,,,259.532,percent of total billed charges,77.48975584,,,,259.532,percent of total billed charges,129.5112174,,,,259.532,percent of total billed charges,77.48975584,,,,256.984,percent of total billed charges,255.0341925,,,,256.984,percent of total billed charges,175.8950612,,,,,,,,,,262.08,percent of total billed charges,170.3458327,,,,,,,,,,262.08,percent of total billed charges,999999999,,,,,,,,,,291.2,percent of total billed charges,244.0104629,,,,287.56,percent of total billed charges,277.5077751,,,,287.56,percent of total billed charges,245.1873053,,,,291.2,percent of total billed charges,999999999,,,,291.2,percent of total billed charges,999999999,,,,254.8,percent of total billed charges,999999999,,,,254.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,193.648,percent of total billed charges,999999999,,,,,,,,,,,,,,,,183.82,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,91,percent of total billed charges,86.42774059,,,,,,,,,,91,percent of total billed charges,84.99007393,,,,,,,,,,91,percent of total billed charges,84.75389015,,,,,,,,,,91,percent of total billed charges,83.50589015,,,,,,,,,,91,percent of total billed charges,85.65461947,,,,,,,,,,91,percent of total billed charges,999999999,,,,,,,,,,91,percent of total billed charges,73.49769531,,,,,,,,,,91,percent of total billed charges,115.9109339,,,,,,,,,,91,percent of total billed charges,999999999,,,,,,,,,,91,percent of total billed charges,79.24849069,,,,,,,,,,327.6,percent of total billed charges,,,,,
**DRUG SCREEN ONE/MULT CLASS,80304,CDM,,,,both,,,157,157,33.42277931,157,157,percent of total billed charges,115.5104775,,,,157,percent of total billed charges,122.4388223,,,,157,percent of total billed charges,115.5104775,,,,157,percent of total billed charges,122.4388223,,,,157,percent of total billed charges,999999999,,,,157,percent of total billed charges,119.6232095,,,,157,percent of total billed charges,115.5104775,,,,157,percent of total billed charges,122.4388223,,,,111.941,percent of total billed charges,55.86060752,,,,111.941,percent of total billed charges,33.42277931,,,,111.941,percent of total billed charges,55.86060752,,,,111.941,percent of total billed charges,33.42277931,,,,111.941,percent of total billed charges,55.86060752,,,,111.941,percent of total billed charges,33.42277931,,,,110.842,percent of total billed charges,110.0010116,,,,110.842,percent of total billed charges,75.86682584,,,,,,,,,,113.04,percent of total billed charges,73.47333993,,,,,,,,,,113.04,percent of total billed charges,999999999,,,,,,,,,,125.6,percent of total billed charges,105.2462711,,,,124.03,percent of total billed charges,119.6942876,,,,124.03,percent of total billed charges,105.7538652,,,,125.6,percent of total billed charges,999999999,,,,125.6,percent of total billed charges,999999999,,,,109.9,percent of total billed charges,999999999,,,,109.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,83.524,percent of total billed charges,999999999,,,,,,,,,,,,,,,,79.285,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,39.25,percent of total billed charges,37.2778991,,,,,,,,,,39.25,percent of total billed charges,36.65780661,,,,,,,,,,39.25,percent of total billed charges,36.55593614,,,,,,,,,,39.25,percent of total billed charges,36.01765042,,,,,,,,,,39.25,percent of total billed charges,36.94443752,,,,,,,,,,39.25,percent of total billed charges,999999999,,,,,,,,,,39.25,percent of total billed charges,31.70092902,,,,,,,,,,39.25,percent of total billed charges,49.99455115,,,,,,,,,,39.25,percent of total billed charges,999999999,,,,,,,,,,39.25,percent of total billed charges,34.1813545,,,,,,,,,,141.3,percent of total billed charges,,,,,
ALLERGY SPECIFIC IGE RECOMB EA,86008,CDM,,,,both,,,53,53,11.28284907,53,53,percent of total billed charges,38.99398286,,,,53,percent of total billed charges,41.33285083,,,,53,percent of total billed charges,38.99398286,,,,53,percent of total billed charges,41.33285083,,,,53,percent of total billed charges,999999999,,,,53,percent of total billed charges,40.38235733,,,,53,percent of total billed charges,38.99398286,,,,53,percent of total billed charges,41.33285083,,,,37.789,percent of total billed charges,18.85740254,,,,37.789,percent of total billed charges,11.28284907,,,,37.789,percent of total billed charges,18.85740254,,,,37.789,percent of total billed charges,11.28284907,,,,37.789,percent of total billed charges,18.85740254,,,,37.789,percent of total billed charges,11.28284907,,,,37.418,percent of total billed charges,37.13409946,,,,37.418,percent of total billed charges,25.61109407,,,,,,,,,,38.16,percent of total billed charges,24.80310201,,,,,,,,,,38.16,percent of total billed charges,999999999,,,,,,,,,,42.4,percent of total billed charges,35.52899597,,,,41.87,percent of total billed charges,40.40635187,,,,41.87,percent of total billed charges,35.70034939,,,,42.4,percent of total billed charges,999999999,,,,42.4,percent of total billed charges,999999999,,,,37.1,percent of total billed charges,999999999,,,,37.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,28.196,percent of total billed charges,999999999,,,,,,,,,,,,,,,,26.765,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13.25,percent of total billed charges,12.58425893,,,,,,,,,,13.25,percent of total billed charges,12.37492835,,,,,,,,,,13.25,percent of total billed charges,12.34053895,,,,,,,,,,13.25,percent of total billed charges,12.15882466,,,,,,,,,,13.25,percent of total billed charges,12.4716891,,,,,,,,,,13.25,percent of total billed charges,999999999,,,,,,,,,,13.25,percent of total billed charges,10.7015875,,,,,,,,,,13.25,percent of total billed charges,16.87714147,,,,,,,,,,13.25,percent of total billed charges,999999999,,,,,,,,,,13.25,percent of total billed charges,11.53892859,,,,,,,,,,47.7,percent of total billed charges,,,,,
VORICONAZOLE LEVEL,80285,CDM,,,,both,,,277,277,58.96885266,277,277,percent of total billed charges,203.7987406,,,,277,percent of total billed charges,216.0226355,,,,277,percent of total billed charges,203.7987406,,,,277,percent of total billed charges,216.0226355,,,,277,percent of total billed charges,999999999,,,,277,percent of total billed charges,211.0549619,,,,277,percent of total billed charges,203.7987406,,,,277,percent of total billed charges,216.0226355,,,,197.501,percent of total billed charges,98.55661328,,,,197.501,percent of total billed charges,58.96885266,,,,197.501,percent of total billed charges,98.55661328,,,,197.501,percent of total billed charges,58.96885266,,,,197.501,percent of total billed charges,98.55661328,,,,197.501,percent of total billed charges,58.96885266,,,,195.562,percent of total billed charges,194.0782179,,,,195.562,percent of total billed charges,133.8542086,,,,,,,,,,199.44,percent of total billed charges,129.6313068,,,,,,,,,,199.44,percent of total billed charges,999999999,,,,,,,,,,221.6,percent of total billed charges,185.6892808,,,,218.83,percent of total billed charges,211.1803673,,,,218.83,percent of total billed charges,186.5848449,,,,221.6,percent of total billed charges,999999999,,,,221.6,percent of total billed charges,999999999,,,,193.9,percent of total billed charges,999999999,,,,193.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,147.364,percent of total billed charges,999999999,,,,,,,,,,,,,,,,139.885,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,69.25,percent of total billed charges,65.77056083,,,,,,,,,,69.25,percent of total billed charges,64.6765123,,,,,,,,,,69.25,percent of total billed charges,64.49677905,,,,,,,,,,69.25,percent of total billed charges,63.54706476,,,,,,,,,,69.25,percent of total billed charges,65.18222416,,,,,,,,,,69.25,percent of total billed charges,999999999,,,,,,,,,,69.25,percent of total billed charges,55.93093846,,,,,,,,,,69.25,percent of total billed charges,88.20694693,,,,,,,,,,69.25,percent of total billed charges,999999999,,,,,,,,,,69.25,percent of total billed charges,60.30723055,,,,,,,,,,249.3,percent of total billed charges,,,,,
HIV-1 GENOTYPE,87906,CDM,,,,both,,,1458,1458,310.3847913,1458,1458,percent of total billed charges,1072.702397,,,,1458,percent of total billed charges,1137.04333,,,,1458,percent of total billed charges,1072.702397,,,,1458,percent of total billed charges,1137.04333,,,,1458,percent of total billed charges,999999999,,,,1458,percent of total billed charges,1110.895792,,,,1458,percent of total billed charges,1072.702397,,,,1458,percent of total billed charges,1137.04333,,,,1039.554,percent of total billed charges,518.7564699,,,,1039.554,percent of total billed charges,310.3847913,,,,1039.554,percent of total billed charges,518.7564699,,,,1039.554,percent of total billed charges,310.3847913,,,,1039.554,percent of total billed charges,518.7564699,,,,1039.554,percent of total billed charges,310.3847913,,,,1029.348,percent of total billed charges,1021.538057,,,,1029.348,percent of total billed charges,704.5467011,,,,,,,,,,1049.76,percent of total billed charges,682.3192969,,,,,,,,,,1049.76,percent of total billed charges,999999999,,,,,,,,,,1166.4,percent of total billed charges,977.3825685,,,,1151.82,percent of total billed charges,1111.555868,,,,1151.82,percent of total billed charges,982.096404,,,,1166.4,percent of total billed charges,999999999,,,,1166.4,percent of total billed charges,999999999,,,,1020.6,percent of total billed charges,999999999,,,,1020.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,775.656,percent of total billed charges,999999999,,,,,,,,,,,,,,,,736.29,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,364.5,percent of total billed charges,346.18584,,,,,,,,,,364.5,percent of total billed charges,340.4272741,,,,,,,,,,364.5,percent of total billed charges,339.4812413,,,,,,,,,,364.5,percent of total billed charges,334.4823842,,,,,,,,,,364.5,percent of total billed charges,343.0891076,,,,,,,,,,364.5,percent of total billed charges,999999999,,,,,,,,,,364.5,percent of total billed charges,294.3946147,,,,,,,,,,364.5,percent of total billed charges,464.2806088,,,,,,,,,,364.5,percent of total billed charges,999999999,,,,,,,,,,364.5,percent of total billed charges,317.429394,,,,,,,,,,1312.2,percent of total billed charges,,,,,
PROTEIN WESTERN BLOT TEST,84182,CDM,,,,both,,,253,253,53.85963799,253,253,percent of total billed charges,186.141088,,,,253,percent of total billed charges,197.3058728,,,,253,percent of total billed charges,186.141088,,,,253,percent of total billed charges,197.3058728,,,,253,percent of total billed charges,999999999,,,,253,percent of total billed charges,192.7686114,,,,253,percent of total billed charges,186.141088,,,,253,percent of total billed charges,197.3058728,,,,180.389,percent of total billed charges,90.01741213,,,,180.389,percent of total billed charges,53.85963799,,,,180.389,percent of total billed charges,90.01741213,,,,180.389,percent of total billed charges,53.85963799,,,,180.389,percent of total billed charges,90.01741213,,,,180.389,percent of total billed charges,53.85963799,,,,178.618,percent of total billed charges,177.2627767,,,,178.618,percent of total billed charges,122.2567321,,,,,,,,,,182.16,percent of total billed charges,118.3997134,,,,,,,,,,182.16,percent of total billed charges,999999999,,,,,,,,,,202.4,percent of total billed charges,169.6006789,,,,199.87,percent of total billed charges,192.8831514,,,,199.87,percent of total billed charges,170.418649,,,,202.4,percent of total billed charges,999999999,,,,202.4,percent of total billed charges,999999999,,,,177.1,percent of total billed charges,999999999,,,,177.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,134.596,percent of total billed charges,999999999,,,,,,,,,,,,,,,,127.765,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,63.25,percent of total billed charges,60.07202848,,,,,,,,,,63.25,percent of total billed charges,59.07277117,,,,,,,,,,63.25,percent of total billed charges,58.90861046,,,,,,,,,,63.25,percent of total billed charges,58.04118189,,,,,,,,,,63.25,percent of total billed charges,59.53466683,,,,,,,,,,63.25,percent of total billed charges,999999999,,,,,,,,,,63.25,percent of total billed charges,51.08493657,,,,,,,,,,63.25,percent of total billed charges,80.56446777,,,,,,,,,,63.25,percent of total billed charges,999999999,,,,,,,,,,63.25,percent of total billed charges,55.08205534,,,,,,,,,,227.7,percent of total billed charges,,,,,
BNP (B-NATRIURETIC PEPTIDE),83880,CDM,,,,both,,,363,363,77.2768719,363,363,percent of total billed charges,267.0719958,,,,363,percent of total billed charges,283.0910349,,,,363,percent of total billed charges,267.0719958,,,,363,percent of total billed charges,283.0910349,,,,363,percent of total billed charges,999999999,,,,363,percent of total billed charges,276.5810512,,,,363,percent of total billed charges,267.0719958,,,,363,percent of total billed charges,283.0910349,,,,258.819,percent of total billed charges,129.1554174,,,,258.819,percent of total billed charges,77.2768719,,,,258.819,percent of total billed charges,129.1554174,,,,258.819,percent of total billed charges,77.2768719,,,,258.819,percent of total billed charges,129.1554174,,,,258.819,percent of total billed charges,77.2768719,,,,256.278,percent of total billed charges,254.3335491,,,,256.278,percent of total billed charges,175.411833,,,,,,,,,,261.36,percent of total billed charges,169.8778496,,,,,,,,,,261.36,percent of total billed charges,999999999,,,,,,,,,,290.4,percent of total billed charges,243.3401045,,,,286.77,percent of total billed charges,276.7453911,,,,286.77,percent of total billed charges,244.5137138,,,,290.4,percent of total billed charges,999999999,,,,290.4,percent of total billed charges,999999999,,,,254.1,percent of total billed charges,999999999,,,,254.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,193.116,percent of total billed charges,999999999,,,,,,,,,,,,,,,,183.315,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,90.75,percent of total billed charges,86.19030174,,,,,,,,,,90.75,percent of total billed charges,84.75658472,,,,,,,,,,90.75,percent of total billed charges,84.5210498,,,,,,,,,,90.75,percent of total billed charges,83.27647837,,,,,,,,,,90.75,percent of total billed charges,85.41930458,,,,,,,,,,90.75,percent of total billed charges,999999999,,,,,,,,,,90.75,percent of total billed charges,73.29577856,,,,,,,,,,90.75,percent of total billed charges,115.5924972,,,,,,,,,,90.75,percent of total billed charges,999999999,,,,,,,,,,90.75,percent of total billed charges,79.03077506,,,,,,,,,,326.7,percent of total billed charges,,,,,
COMPLEMENT AG C7 (*),86160,CDM,,,,both,,,236,236,50.24061093,236,236,percent of total billed charges,173.6335841,,,,236,percent of total billed charges,184.048166,,,,236,percent of total billed charges,173.6335841,,,,236,percent of total billed charges,184.048166,,,,236,percent of total billed charges,999999999,,,,236,percent of total billed charges,179.8157798,,,,236,percent of total billed charges,173.6335841,,,,236,percent of total billed charges,184.048166,,,,168.268,percent of total billed charges,83.96881131,,,,168.268,percent of total billed charges,50.24061093,,,,168.268,percent of total billed charges,83.96881131,,,,168.268,percent of total billed charges,50.24061093,,,,168.268,percent of total billed charges,83.96881131,,,,168.268,percent of total billed charges,50.24061093,,,,166.616,percent of total billed charges,165.3518391,,,,166.616,percent of total billed charges,114.0418528,,,,,,,,,,169.92,percent of total billed charges,110.4440014,,,,,,,,,,169.92,percent of total billed charges,999999999,,,,,,,,,,188.8,percent of total billed charges,158.2045858,,,,186.44,percent of total billed charges,179.9226234,,,,186.44,percent of total billed charges,158.9675935,,,,188.8,percent of total billed charges,999999999,,,,188.8,percent of total billed charges,999999999,,,,165.2,percent of total billed charges,999999999,,,,165.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,125.552,percent of total billed charges,999999999,,,,,,,,,,,,,,,,119.18,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,59,percent of total billed charges,56.03556807,,,,,,,,,,59,percent of total billed charges,55.10345453,,,,,,,,,,59,percent of total billed charges,54.95032438,,,,,,,,,,59,percent of total billed charges,54.14118153,,,,,,,,,,59,percent of total billed charges,55.53431372,,,,,,,,,,59,percent of total billed charges,999999999,,,,,,,,,,59,percent of total billed charges,47.6523519,,,,,,,,,,59,percent of total billed charges,75.15104504,,,,,,,,,,59,percent of total billed charges,999999999,,,,,,,,,,59,percent of total billed charges,51.38088957,,,,,,,,,,212.4,percent of total billed charges,,,,,
URINE 24 HR NTX PEPTIDE(*),82523,CDM,,,,both,,,295,295,62.80076366,295,295,percent of total billed charges,217.0419801,,,,295,percent of total billed charges,230.0602075,,,,295,percent of total billed charges,217.0419801,,,,295,percent of total billed charges,230.0602075,,,,295,percent of total billed charges,999999999,,,,295,percent of total billed charges,224.7697248,,,,295,percent of total billed charges,217.0419801,,,,295,percent of total billed charges,230.0602075,,,,210.335,percent of total billed charges,104.9610141,,,,210.335,percent of total billed charges,62.80076366,,,,210.335,percent of total billed charges,104.9610141,,,,210.335,percent of total billed charges,62.80076366,,,,210.335,percent of total billed charges,104.9610141,,,,210.335,percent of total billed charges,62.80076366,,,,208.27,percent of total billed charges,206.6897989,,,,208.27,percent of total billed charges,142.5523161,,,,,,,,,,212.4,percent of total billed charges,138.0550018,,,,,,,,,,212.4,percent of total billed charges,999999999,,,,,,,,,,236,percent of total billed charges,197.7557323,,,,233.05,percent of total billed charges,224.9032793,,,,233.05,percent of total billed charges,198.7094919,,,,236,percent of total billed charges,999999999,,,,236,percent of total billed charges,999999999,,,,206.5,percent of total billed charges,999999999,,,,206.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,156.94,percent of total billed charges,999999999,,,,,,,,,,,,,,,,148.975,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,73.75,percent of total billed charges,70.04446009,,,,,,,,,,73.75,percent of total billed charges,68.87931816,,,,,,,,,,73.75,percent of total billed charges,68.68790548,,,,,,,,,,73.75,percent of total billed charges,67.67647691,,,,,,,,,,73.75,percent of total billed charges,69.41789215,,,,,,,,,,73.75,percent of total billed charges,999999999,,,,,,,,,,73.75,percent of total billed charges,59.56543988,,,,,,,,,,73.75,percent of total billed charges,93.9388063,,,,,,,,,,73.75,percent of total billed charges,999999999,,,,,,,,,,73.75,percent of total billed charges,64.22611196,,,,,,,,,,265.5,percent of total billed charges,,,,,
URINE FOR HISTOPLASMOSIS(*),87385,CDM,,,,both,,,392,392,83.45050629,392,392,percent of total billed charges,288.4083261,,,,392,percent of total billed charges,305.7071231,,,,392,percent of total billed charges,288.4083261,,,,392,percent of total billed charges,305.7071231,,,,392,percent of total billed charges,999999999,,,,392,percent of total billed charges,298.677058,,,,392,percent of total billed charges,288.4083261,,,,392,percent of total billed charges,305.7071231,,,,279.496,percent of total billed charges,139.4736188,,,,279.496,percent of total billed charges,83.45050629,,,,279.496,percent of total billed charges,139.4736188,,,,279.496,percent of total billed charges,83.45050629,,,,279.496,percent of total billed charges,139.4736188,,,,279.496,percent of total billed charges,83.45050629,,,,276.752,percent of total billed charges,274.6522073,,,,276.752,percent of total billed charges,189.4254505,,,,,,,,,,282.24,percent of total billed charges,183.4493583,,,,,,,,,,282.24,percent of total billed charges,999999999,,,,,,,,,,313.6,percent of total billed charges,262.7804985,,,,309.68,percent of total billed charges,298.8545271,,,,309.68,percent of total billed charges,264.0478672,,,,313.6,percent of total billed charges,999999999,,,,313.6,percent of total billed charges,999999999,,,,274.4,percent of total billed charges,999999999,,,,274.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,208.544,percent of total billed charges,999999999,,,,,,,,,,,,,,,,197.96,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,98,percent of total billed charges,93.07602832,,,,,,,,,,98,percent of total billed charges,91.52777192,,,,,,,,,,98,percent of total billed charges,91.27342016,,,,,,,,,,98,percent of total billed charges,89.92942016,,,,,,,,,,98,percent of total billed charges,92.24343635,,,,,,,,,,98,percent of total billed charges,999999999,,,,,,,,,,98,percent of total billed charges,79.15136417,,,,,,,,,,98,percent of total billed charges,124.8271596,,,,,,,,,,98,percent of total billed charges,999999999,,,,,,,,,,98,percent of total billed charges,85.34452844,,,,,,,,,,352.8,percent of total billed charges,,,,,
URINE FOR SULFONAREA(*),82542,CDM,,,,both,,,185,185,39.38352976,185,185,percent of total billed charges,136.1110723,,,,185,percent of total billed charges,144.2750454,,,,185,percent of total billed charges,136.1110723,,,,185,percent of total billed charges,144.2750454,,,,185,percent of total billed charges,999999999,,,,185,percent of total billed charges,140.957285,,,,185,percent of total billed charges,136.1110723,,,,185,percent of total billed charges,144.2750454,,,,131.905,percent of total billed charges,65.82300887,,,,131.905,percent of total billed charges,39.38352976,,,,131.905,percent of total billed charges,65.82300887,,,,131.905,percent of total billed charges,39.38352976,,,,131.905,percent of total billed charges,65.82300887,,,,131.905,percent of total billed charges,39.38352976,,,,130.61,percent of total billed charges,129.6190264,,,,130.61,percent of total billed charges,89.39721516,,,,,,,,,,133.2,percent of total billed charges,86.57686552,,,,,,,,,,133.2,percent of total billed charges,999999999,,,,,,,,,,148,percent of total billed charges,124.0163067,,,,146.15,percent of total billed charges,141.0410396,,,,146.15,percent of total billed charges,124.6144271,,,,148,percent of total billed charges,999999999,,,,148,percent of total billed charges,999999999,,,,129.5,percent of total billed charges,999999999,,,,129.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,98.42,percent of total billed charges,999999999,,,,,,,,,,,,,,,,93.425,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,46.25,percent of total billed charges,43.92618684,,,,,,,,,,46.25,percent of total billed charges,43.19550461,,,,,,,,,,46.25,percent of total billed charges,43.07546615,,,,,,,,,,46.25,percent of total billed charges,42.44118043,,,,,,,,,,46.25,percent of total billed charges,43.5332544,,,,,,,,,,46.25,percent of total billed charges,999999999,,,,,,,,,,46.25,percent of total billed charges,37.35459789,,,,,,,,,,46.25,percent of total billed charges,58.91077683,,,,,,,,,,46.25,percent of total billed charges,999999999,,,,,,,,,,46.25,percent of total billed charges,40.27739225,,,,,,,,,,166.5,percent of total billed charges,,,,,
CALPROTECTIN,83993,CDM,,,,both,,,394,394,83.87627418,394,394,percent of total billed charges,289.8797971,,,,394,percent of total billed charges,307.2668533,,,,394,percent of total billed charges,289.8797971,,,,394,percent of total billed charges,307.2668533,,,,394,percent of total billed charges,999999999,,,,394,percent of total billed charges,300.2009205,,,,394,percent of total billed charges,289.8797971,,,,394,percent of total billed charges,307.2668533,,,,280.922,percent of total billed charges,140.1852189,,,,280.922,percent of total billed charges,83.87627418,,,,280.922,percent of total billed charges,140.1852189,,,,280.922,percent of total billed charges,83.87627418,,,,280.922,percent of total billed charges,140.1852189,,,,280.922,percent of total billed charges,83.87627418,,,,278.164,percent of total billed charges,276.0534941,,,,278.164,percent of total billed charges,190.3919069,,,,,,,,,,283.68,percent of total billed charges,184.3853244,,,,,,,,,,283.68,percent of total billed charges,999999999,,,,,,,,,,315.2,percent of total billed charges,264.1212154,,,,311.26,percent of total billed charges,300.379295,,,,311.26,percent of total billed charges,265.3950502,,,,315.2,percent of total billed charges,999999999,,,,315.2,percent of total billed charges,999999999,,,,275.8,percent of total billed charges,999999999,,,,275.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,209.608,percent of total billed charges,999999999,,,,,,,,,,,,,,,,198.97,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,98.5,percent of total billed charges,93.55090602,,,,,,,,,,98.5,percent of total billed charges,91.99475035,,,,,,,,,,98.5,percent of total billed charges,91.73910088,,,,,,,,,,98.5,percent of total billed charges,90.38824374,,,,,,,,,,98.5,percent of total billed charges,92.71406613,,,,,,,,,,98.5,percent of total billed charges,999999999,,,,,,,,,,98.5,percent of total billed charges,79.55519767,,,,,,,,,,98.5,percent of total billed charges,125.4640328,,,,,,,,,,98.5,percent of total billed charges,999999999,,,,,,,,,,98.5,percent of total billed charges,85.7799597,,,,,,,,,,354.6,percent of total billed charges,,,,,
N-TERMINAL PEPTIDE,83880,CDM,,,,both,,,363,363,77.2768719,363,363,percent of total billed charges,267.0719958,,,,363,percent of total billed charges,283.0910349,,,,363,percent of total billed charges,267.0719958,,,,363,percent of total billed charges,283.0910349,,,,363,percent of total billed charges,999999999,,,,363,percent of total billed charges,276.5810512,,,,363,percent of total billed charges,267.0719958,,,,363,percent of total billed charges,283.0910349,,,,258.819,percent of total billed charges,129.1554174,,,,258.819,percent of total billed charges,77.2768719,,,,258.819,percent of total billed charges,129.1554174,,,,258.819,percent of total billed charges,77.2768719,,,,258.819,percent of total billed charges,129.1554174,,,,258.819,percent of total billed charges,77.2768719,,,,256.278,percent of total billed charges,254.3335491,,,,256.278,percent of total billed charges,175.411833,,,,,,,,,,261.36,percent of total billed charges,169.8778496,,,,,,,,,,261.36,percent of total billed charges,999999999,,,,,,,,,,290.4,percent of total billed charges,243.3401045,,,,286.77,percent of total billed charges,276.7453911,,,,286.77,percent of total billed charges,244.5137138,,,,290.4,percent of total billed charges,999999999,,,,290.4,percent of total billed charges,999999999,,,,254.1,percent of total billed charges,999999999,,,,254.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,193.116,percent of total billed charges,999999999,,,,,,,,,,,,,,,,183.315,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,90.75,percent of total billed charges,86.19030174,,,,,,,,,,90.75,percent of total billed charges,84.75658472,,,,,,,,,,90.75,percent of total billed charges,84.5210498,,,,,,,,,,90.75,percent of total billed charges,83.27647837,,,,,,,,,,90.75,percent of total billed charges,85.41930458,,,,,,,,,,90.75,percent of total billed charges,999999999,,,,,,,,,,90.75,percent of total billed charges,73.29577856,,,,,,,,,,90.75,percent of total billed charges,115.5924972,,,,,,,,,,90.75,percent of total billed charges,999999999,,,,,,,,,,90.75,percent of total billed charges,79.03077506,,,,,,,,,,326.7,percent of total billed charges,,,,,
ARGININE STIMULATION TEST(*),83003,CDM,,,,both,,,237,237,50.45349488,237,237,percent of total billed charges,174.3693196,,,,237,percent of total billed charges,184.8280311,,,,237,percent of total billed charges,174.3693196,,,,237,percent of total billed charges,184.8280311,,,,237,percent of total billed charges,999999999,,,,237,percent of total billed charges,180.5777111,,,,237,percent of total billed charges,174.3693196,,,,237,percent of total billed charges,184.8280311,,,,168.981,percent of total billed charges,84.32461136,,,,168.981,percent of total billed charges,50.45349488,,,,168.981,percent of total billed charges,84.32461136,,,,168.981,percent of total billed charges,50.45349488,,,,168.981,percent of total billed charges,84.32461136,,,,168.981,percent of total billed charges,50.45349488,,,,167.322,percent of total billed charges,166.0524825,,,,167.322,percent of total billed charges,114.525081,,,,,,,,,,170.64,percent of total billed charges,110.9119845,,,,,,,,,,170.64,percent of total billed charges,999999999,,,,,,,,,,189.6,percent of total billed charges,158.8749443,,,,187.23,percent of total billed charges,180.6850074,,,,187.23,percent of total billed charges,159.641185,,,,189.6,percent of total billed charges,999999999,,,,189.6,percent of total billed charges,999999999,,,,165.9,percent of total billed charges,999999999,,,,165.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,126.084,percent of total billed charges,999999999,,,,,,,,,,,,,,,,119.685,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,59.25,percent of total billed charges,56.27300692,,,,,,,,,,59.25,percent of total billed charges,55.33694374,,,,,,,,,,59.25,percent of total billed charges,55.18316474,,,,,,,,,,59.25,percent of total billed charges,54.37059331,,,,,,,,,,59.25,percent of total billed charges,55.76962861,,,,,,,,,,59.25,percent of total billed charges,999999999,,,,,,,,,,59.25,percent of total billed charges,47.85426865,,,,,,,,,,59.25,percent of total billed charges,75.46948167,,,,,,,,,,59.25,percent of total billed charges,999999999,,,,,,,,,,59.25,percent of total billed charges,51.5986052,,,,,,,,,,213.3,percent of total billed charges,,,,,
HANDLING FEE - NIDA,Local,Local,,,,both,,,72,72,15.32764401,72,72,percent of total billed charges,52.97295785,,,,72,percent of total billed charges,56.15028792,,,,72,percent of total billed charges,52.97295785,,,,72,percent of total billed charges,56.15028792,,,,72,percent of total billed charges,999999999,,,,72,percent of total billed charges,54.85905147,,,,72,percent of total billed charges,52.97295785,,,,72,percent of total billed charges,56.15028792,,,,51.336,percent of total billed charges,25.61760345,,,,51.336,percent of total billed charges,15.32764401,,,,51.336,percent of total billed charges,25.61760345,,,,51.336,percent of total billed charges,15.32764401,,,,51.336,percent of total billed charges,25.61760345,,,,51.336,percent of total billed charges,15.32764401,,,,50.832,percent of total billed charges,50.4463238,,,,50.832,percent of total billed charges,34.79242968,,,,,,,,,,51.84,percent of total billed charges,33.6947801,,,,,,,,,,51.84,percent of total billed charges,999999999,,,,,,,,,,57.6,percent of total billed charges,48.26580585,,,,56.88,percent of total billed charges,54.89164783,,,,56.88,percent of total billed charges,48.49858785,,,,57.6,percent of total billed charges,999999999,,,,57.6,percent of total billed charges,999999999,,,,50.4,percent of total billed charges,999999999,,,,50.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,38.304,percent of total billed charges,999999999,,,,,,,,,,,,,,,,36.36,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18,percent of total billed charges,17.09559704,,,,,,,,,,18,percent of total billed charges,16.81122341,,,,,,,,,,18,percent of total billed charges,16.76450574,,,,,,,,,,18,percent of total billed charges,16.5176486,,,,,,,,,,18,percent of total billed charges,16.94267198,,,,,,,,,,18,percent of total billed charges,999999999,,,,,,,,,,18,percent of total billed charges,14.53800566,,,,,,,,,,18,percent of total billed charges,22.92743747,,,,,,,,,,18,percent of total billed charges,999999999,,,,,,,,,,18,percent of total billed charges,15.67552563,,,,,,,,,,64.8,percent of total billed charges,,,,,
HANDLING FEE-CHAIN OF CUSTODY,99001,CDM,,,,both,,,56,56,11.9215009,56,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,56,percent of total billed charges,999999999,,,,56,percent of total billed charges,42.66815114,,,,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.536,percent of total billed charges,39.23602962,,,,39.536,percent of total billed charges,27.06077864,,,,,,,,,,40.32,percent of total billed charges,26.20705119,,,,,,,,,,40.32,percent of total billed charges,999999999,,,,,,,,,,44.8,percent of total billed charges,37.54007122,,,,44.24,percent of total billed charges,42.69350386,,,,44.24,percent of total billed charges,37.72112388,,,,44.8,percent of total billed charges,999999999,,,,44.8,percent of total billed charges,999999999,,,,39.2,percent of total billed charges,999999999,,,,39.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,29.792,percent of total billed charges,999999999,,,,,,,,,,,,,,,,28.28,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14,percent of total billed charges,13.29657547,,,,,,,,,,14,percent of total billed charges,13.07539599,,,,,,,,,,14,percent of total billed charges,13.03906002,,,,,,,,,,14,percent of total billed charges,12.84706002,,,,,,,,,,14,percent of total billed charges,13.17763376,,,,,,,,,,14,percent of total billed charges,999999999,,,,,,,,,,14,percent of total billed charges,11.30733774,,,,,,,,,,14,percent of total billed charges,17.83245137,,,,,,,,,,14,percent of total billed charges,999999999,,,,,,,,,,14,percent of total billed charges,12.19207549,,,,,,,,,,50.4,percent of total billed charges,,,,,
DRUG SCREEN DOT NIDA QUEST (*),80307,CDM,,,,both,,,156,156,33.20989536,156,156,percent of total billed charges,114.774742,,,,156,percent of total billed charges,121.6589572,,,,156,percent of total billed charges,114.774742,,,,156,percent of total billed charges,121.6589572,,,,156,percent of total billed charges,999999999,,,,156,percent of total billed charges,118.8612782,,,,156,percent of total billed charges,114.774742,,,,156,percent of total billed charges,121.6589572,,,,111.228,percent of total billed charges,55.50480748,,,,111.228,percent of total billed charges,33.20989536,,,,111.228,percent of total billed charges,55.50480748,,,,111.228,percent of total billed charges,33.20989536,,,,111.228,percent of total billed charges,55.50480748,,,,111.228,percent of total billed charges,33.20989536,,,,110.136,percent of total billed charges,109.3003682,,,,110.136,percent of total billed charges,75.38359765,,,,,,,,,,112.32,percent of total billed charges,73.00535687,,,,,,,,,,112.32,percent of total billed charges,999999999,,,,,,,,,,124.8,percent of total billed charges,104.5759127,,,,123.24,percent of total billed charges,118.9319036,,,,123.24,percent of total billed charges,105.0802737,,,,124.8,percent of total billed charges,999999999,,,,124.8,percent of total billed charges,999999999,,,,109.2,percent of total billed charges,999999999,,,,109.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,82.992,percent of total billed charges,999999999,,,,,,,,,,,,,,,,78.78,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,39,percent of total billed charges,37.04046025,,,,,,,,,,39,percent of total billed charges,36.4243174,,,,,,,,,,39,percent of total billed charges,36.32309578,,,,,,,,,,39,percent of total billed charges,35.78823864,,,,,,,,,,39,percent of total billed charges,36.70912263,,,,,,,,,,39,percent of total billed charges,999999999,,,,,,,,,,39,percent of total billed charges,31.49901227,,,,,,,,,,39,percent of total billed charges,49.67611452,,,,,,,,,,39,percent of total billed charges,999999999,,,,,,,,,,39,percent of total billed charges,33.96363887,,,,,,,,,,140.4,percent of total billed charges,,,,,
DRUG SCREEN 10 PANEL QUEST(*),80307,CDM,,,,both,,,103,103,21.9270463,103,103,percent of total billed charges,75.78075915,,,,103,percent of total billed charges,80.32610633,,,,103,percent of total billed charges,75.78075915,,,,103,percent of total billed charges,80.32610633,,,,103,percent of total billed charges,999999999,,,,103,percent of total billed charges,78.47892085,,,,103,percent of total billed charges,75.78075915,,,,103,percent of total billed charges,80.32610633,,,,73.439,percent of total billed charges,36.64740494,,,,73.439,percent of total billed charges,21.9270463,,,,73.439,percent of total billed charges,36.64740494,,,,73.439,percent of total billed charges,21.9270463,,,,73.439,percent of total billed charges,36.64740494,,,,73.439,percent of total billed charges,21.9270463,,,,72.718,percent of total billed charges,72.16626877,,,,72.718,percent of total billed charges,49.77250357,,,,,,,,,,74.16,percent of total billed charges,48.20225486,,,,,,,,,,74.16,percent of total billed charges,999999999,,,,,,,,,,82.4,percent of total billed charges,69.0469167,,,,81.37,percent of total billed charges,78.52555175,,,,81.37,percent of total billed charges,69.37992429,,,,82.4,percent of total billed charges,999999999,,,,82.4,percent of total billed charges,999999999,,,,72.1,percent of total billed charges,999999999,,,,72.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,54.796,percent of total billed charges,999999999,,,,,,,,,,,,,,,,52.015,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,25.75,percent of total billed charges,24.45620132,,,,,,,,,,25.75,percent of total billed charges,24.04938905,,,,,,,,,,25.75,percent of total billed charges,23.98255683,,,,,,,,,,25.75,percent of total billed charges,23.62941397,,,,,,,,,,25.75,percent of total billed charges,24.23743353,,,,,,,,,,25.75,percent of total billed charges,999999999,,,,,,,,,,25.75,percent of total billed charges,20.79742477,,,,,,,,,,25.75,percent of total billed charges,32.79897305,,,,,,,,,,25.75,percent of total billed charges,999999999,,,,,,,,,,25.75,percent of total billed charges,22.42471028,,,,,,,,,,92.7,percent of total billed charges,,,,,
DRUG SCREEN 10 PANEL (MMC)(*),80307,CDM,,,,both,,,328,328,69.82593384,328,328,percent of total billed charges,241.3212524,,,,328,percent of total billed charges,255.7957561,,,,328,percent of total billed charges,241.3212524,,,,328,percent of total billed charges,255.7957561,,,,328,percent of total billed charges,999999999,,,,328,percent of total billed charges,249.9134567,,,,328,percent of total billed charges,241.3212524,,,,328,percent of total billed charges,255.7957561,,,,233.864,percent of total billed charges,116.7024157,,,,233.864,percent of total billed charges,69.82593384,,,,233.864,percent of total billed charges,116.7024157,,,,233.864,percent of total billed charges,69.82593384,,,,233.864,percent of total billed charges,116.7024157,,,,233.864,percent of total billed charges,69.82593384,,,,231.568,percent of total billed charges,229.8110306,,,,231.568,percent of total billed charges,158.4988463,,,,,,,,,,236.16,percent of total billed charges,153.4984427,,,,,,,,,,236.16,percent of total billed charges,999999999,,,,,,,,,,262.4,percent of total billed charges,219.87756,,,,259.12,percent of total billed charges,250.0619512,,,,259.12,percent of total billed charges,220.9380113,,,,262.4,percent of total billed charges,999999999,,,,262.4,percent of total billed charges,999999999,,,,229.6,percent of total billed charges,999999999,,,,229.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,174.496,percent of total billed charges,999999999,,,,,,,,,,,,,,,,165.64,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,82,percent of total billed charges,77.87994207,,,,,,,,,,82,percent of total billed charges,76.58446222,,,,,,,,,,82,percent of total billed charges,76.37163728,,,,,,,,,,82,percent of total billed charges,75.24706585,,,,,,,,,,82,percent of total billed charges,77.18328348,,,,,,,,,,82,percent of total billed charges,999999999,,,,,,,,,,82,percent of total billed charges,66.22869247,,,,,,,,,,82,percent of total billed charges,104.4472151,,,,,,,,,,82,percent of total billed charges,999999999,,,,,,,,,,82,percent of total billed charges,71.41072788,,,,,,,,,,295.2,percent of total billed charges,,,,,
T3 UPTAKE (*),84479,CDM,,,,both,,,156,156,33.20989536,156,156,percent of total billed charges,114.774742,,,,156,percent of total billed charges,121.6589572,,,,156,percent of total billed charges,114.774742,,,,156,percent of total billed charges,121.6589572,,,,156,percent of total billed charges,999999999,,,,156,percent of total billed charges,118.8612782,,,,156,percent of total billed charges,114.774742,,,,156,percent of total billed charges,121.6589572,,,,111.228,percent of total billed charges,55.50480748,,,,111.228,percent of total billed charges,33.20989536,,,,111.228,percent of total billed charges,55.50480748,,,,111.228,percent of total billed charges,33.20989536,,,,111.228,percent of total billed charges,55.50480748,,,,111.228,percent of total billed charges,33.20989536,,,,110.136,percent of total billed charges,109.3003682,,,,110.136,percent of total billed charges,75.38359765,,,,,,,,,,112.32,percent of total billed charges,73.00535687,,,,,,,,,,112.32,percent of total billed charges,999999999,,,,,,,,,,124.8,percent of total billed charges,104.5759127,,,,123.24,percent of total billed charges,118.9319036,,,,123.24,percent of total billed charges,105.0802737,,,,124.8,percent of total billed charges,999999999,,,,124.8,percent of total billed charges,999999999,,,,109.2,percent of total billed charges,999999999,,,,109.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,82.992,percent of total billed charges,999999999,,,,,,,,,,,,,,,,78.78,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,39,percent of total billed charges,37.04046025,,,,,,,,,,39,percent of total billed charges,36.4243174,,,,,,,,,,39,percent of total billed charges,36.32309578,,,,,,,,,,39,percent of total billed charges,35.78823864,,,,,,,,,,39,percent of total billed charges,36.70912263,,,,,,,,,,39,percent of total billed charges,999999999,,,,,,,,,,39,percent of total billed charges,31.49901227,,,,,,,,,,39,percent of total billed charges,49.67611452,,,,,,,,,,39,percent of total billed charges,999999999,,,,,,,,,,39,percent of total billed charges,33.96363887,,,,,,,,,,140.4,percent of total billed charges,,,,,
CARDARONE LEVEL(*),80299,CDM,,,,both,,,166,166,35.33873481,166,166,percent of total billed charges,122.1320973,,,,166,percent of total billed charges,129.4576083,,,,166,percent of total billed charges,122.1320973,,,,166,percent of total billed charges,129.4576083,,,,166,percent of total billed charges,999999999,,,,166,percent of total billed charges,126.4805909,,,,166,percent of total billed charges,122.1320973,,,,166,percent of total billed charges,129.4576083,,,,118.358,percent of total billed charges,59.06280796,,,,118.358,percent of total billed charges,35.33873481,,,,118.358,percent of total billed charges,59.06280796,,,,118.358,percent of total billed charges,35.33873481,,,,118.358,percent of total billed charges,59.06280796,,,,118.358,percent of total billed charges,35.33873481,,,,117.196,percent of total billed charges,116.3068021,,,,117.196,percent of total billed charges,80.21587955,,,,,,,,,,119.52,percent of total billed charges,77.68518744,,,,,,,,,,119.52,percent of total billed charges,999999999,,,,,,,,,,132.8,percent of total billed charges,111.2794968,,,,131.14,percent of total billed charges,126.5557436,,,,131.14,percent of total billed charges,111.8161887,,,,132.8,percent of total billed charges,999999999,,,,132.8,percent of total billed charges,999999999,,,,116.2,percent of total billed charges,999999999,,,,116.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,88.312,percent of total billed charges,999999999,,,,,,,,,,,,,,,,83.83,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,41.5,percent of total billed charges,39.41484873,,,,,,,,,,41.5,percent of total billed charges,38.75920954,,,,,,,,,,41.5,percent of total billed charges,38.65149936,,,,,,,,,,41.5,percent of total billed charges,38.0823565,,,,,,,,,,41.5,percent of total billed charges,39.06227152,,,,,,,,,,41.5,percent of total billed charges,999999999,,,,,,,,,,41.5,percent of total billed charges,33.51817973,,,,,,,,,,41.5,percent of total billed charges,52.86048083,,,,,,,,,,41.5,percent of total billed charges,999999999,,,,,,,,,,41.5,percent of total billed charges,36.14079521,,,,,,,,,,149.4,percent of total billed charges,,,,,
IGFBP3(*),82397,CDM,,,,both,,,304,304,64.71671917,304,304,percent of total billed charges,223.6635998,,,,304,percent of total billed charges,237.0789934,,,,304,percent of total billed charges,223.6635998,,,,304,percent of total billed charges,237.0789934,,,,304,percent of total billed charges,999999999,,,,304,percent of total billed charges,231.6271062,,,,304,percent of total billed charges,223.6635998,,,,304,percent of total billed charges,237.0789934,,,,216.752,percent of total billed charges,108.1632146,,,,216.752,percent of total billed charges,64.71671917,,,,216.752,percent of total billed charges,108.1632146,,,,216.752,percent of total billed charges,64.71671917,,,,216.752,percent of total billed charges,108.1632146,,,,216.752,percent of total billed charges,64.71671917,,,,214.624,percent of total billed charges,212.9955894,,,,214.624,percent of total billed charges,146.9013698,,,,,,,,,,218.88,percent of total billed charges,142.2668493,,,,,,,,,,218.88,percent of total billed charges,999999999,,,,,,,,,,243.2,percent of total billed charges,203.788958,,,,240.16,percent of total billed charges,231.7647353,,,,240.16,percent of total billed charges,204.7718154,,,,243.2,percent of total billed charges,999999999,,,,243.2,percent of total billed charges,999999999,,,,212.8,percent of total billed charges,999999999,,,,212.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,161.728,percent of total billed charges,999999999,,,,,,,,,,,,,,,,153.52,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,76,percent of total billed charges,72.18140972,,,,,,,,,,76,percent of total billed charges,70.98072108,,,,,,,,,,76,percent of total billed charges,70.7834687,,,,,,,,,,76,percent of total billed charges,69.74118298,,,,,,,,,,76,percent of total billed charges,71.53572615,,,,,,,,,,76,percent of total billed charges,999999999,,,,,,,,,,76,percent of total billed charges,61.38269058,,,,,,,,,,76,percent of total billed charges,96.80473598,,,,,,,,,,76,percent of total billed charges,999999999,,,,,,,,,,76,percent of total billed charges,66.18555266,,,,,,,,,,273.6,percent of total billed charges,,,,,
**DRUG SCREEN QUEST INDIVIDUAL(*),82489,CDM,,,,both,,,152,152,32.35835958,152,152,percent of total billed charges,111.8317999,,,,152,percent of total billed charges,118.5394967,,,,152,percent of total billed charges,111.8317999,,,,152,percent of total billed charges,118.5394967,,,,152,percent of total billed charges,999999999,,,,152,percent of total billed charges,115.8135531,,,,152,percent of total billed charges,111.8317999,,,,152,percent of total billed charges,118.5394967,,,,108.376,percent of total billed charges,54.08160728,,,,108.376,percent of total billed charges,32.35835958,,,,108.376,percent of total billed charges,54.08160728,,,,108.376,percent of total billed charges,32.35835958,,,,108.376,percent of total billed charges,54.08160728,,,,108.376,percent of total billed charges,32.35835958,,,,107.312,percent of total billed charges,106.4977947,,,,107.312,percent of total billed charges,73.45068489,,,,,,,,,,109.44,percent of total billed charges,71.13342465,,,,,,,,,,109.44,percent of total billed charges,999999999,,,,,,,,,,121.6,percent of total billed charges,101.894479,,,,120.08,percent of total billed charges,115.8823676,,,,120.08,percent of total billed charges,102.3859077,,,,121.6,percent of total billed charges,999999999,,,,121.6,percent of total billed charges,999999999,,,,106.4,percent of total billed charges,999999999,,,,106.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,80.864,percent of total billed charges,999999999,,,,,,,,,,,,,,,,76.76,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,38,percent of total billed charges,36.09070486,,,,,,,,,,38,percent of total billed charges,35.49036054,,,,,,,,,,38,percent of total billed charges,35.39173435,,,,,,,,,,38,percent of total billed charges,34.87059149,,,,,,,,,,38,percent of total billed charges,35.76786307,,,,,,,,,,38,percent of total billed charges,999999999,,,,,,,,,,38,percent of total billed charges,30.69134529,,,,,,,,,,38,percent of total billed charges,48.40236799,,,,,,,,,,38,percent of total billed charges,999999999,,,,,,,,,,38,percent of total billed charges,33.09277633,,,,,,,,,,136.8,percent of total billed charges,,,,,
DRUG SCREEN BLOOD,80307,CDM,,,,both,,,112,112,23.8430018,112,112,percent of total billed charges,82.40237888,,,,112,percent of total billed charges,87.34489232,,,,112,percent of total billed charges,82.40237888,,,,112,percent of total billed charges,87.34489232,,,,112,percent of total billed charges,999999999,,,,112,percent of total billed charges,85.33630229,,,,112,percent of total billed charges,82.40237888,,,,112,percent of total billed charges,87.34489232,,,,79.856,percent of total billed charges,39.84960537,,,,79.856,percent of total billed charges,23.8430018,,,,79.856,percent of total billed charges,39.84960537,,,,79.856,percent of total billed charges,23.8430018,,,,79.856,percent of total billed charges,39.84960537,,,,79.856,percent of total billed charges,23.8430018,,,,79.072,percent of total billed charges,78.47205924,,,,79.072,percent of total billed charges,54.12155728,,,,,,,,,,80.64,percent of total billed charges,52.41410237,,,,,,,,,,80.64,percent of total billed charges,999999999,,,,,,,,,,89.6,percent of total billed charges,75.08014243,,,,88.48,percent of total billed charges,85.38700773,,,,88.48,percent of total billed charges,75.44224777,,,,89.6,percent of total billed charges,999999999,,,,89.6,percent of total billed charges,999999999,,,,78.4,percent of total billed charges,999999999,,,,78.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,59.584,percent of total billed charges,999999999,,,,,,,,,,,,,,,,56.56,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,28,percent of total billed charges,26.59315095,,,,,,,,,,28,percent of total billed charges,26.15079198,,,,,,,,,,28,percent of total billed charges,26.07812005,,,,,,,,,,28,percent of total billed charges,25.69412005,,,,,,,,,,28,percent of total billed charges,26.35526753,,,,,,,,,,28,percent of total billed charges,999999999,,,,,,,,,,28,percent of total billed charges,22.61467548,,,,,,,,,,28,percent of total billed charges,35.66490273,,,,,,,,,,28,percent of total billed charges,999999999,,,,,,,,,,28,percent of total billed charges,24.38415098,,,,,,,,,,100.8,percent of total billed charges,,,,,
STIMULANTS SYNTHETIC,80371,CDM,,,,both,,,599,599,127.5174828,599,599,percent of total billed charges,440.7055799,,,,599,percent of total billed charges,467.1392009,,,,599,percent of total billed charges,440.7055799,,,,599,percent of total billed charges,467.1392009,,,,599,percent of total billed charges,999999999,,,,599,percent of total billed charges,456.396831,,,,599,percent of total billed charges,440.7055799,,,,599,percent of total billed charges,467.1392009,,,,427.087,percent of total billed charges,213.1242287,,,,427.087,percent of total billed charges,127.5174828,,,,427.087,percent of total billed charges,213.1242287,,,,427.087,percent of total billed charges,127.5174828,,,,427.087,percent of total billed charges,213.1242287,,,,427.087,percent of total billed charges,127.5174828,,,,422.894,percent of total billed charges,419.6853883,,,,422.894,percent of total billed charges,289.4536858,,,,,,,,,,431.28,percent of total billed charges,280.3218511,,,,,,,,,,431.28,percent of total billed charges,999999999,,,,,,,,,,479.2,percent of total billed charges,401.5446903,,,,473.21,percent of total billed charges,456.6680146,,,,473.21,percent of total billed charges,403.4813073,,,,479.2,percent of total billed charges,999999999,,,,479.2,percent of total billed charges,999999999,,,,419.3,percent of total billed charges,999999999,,,,419.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,318.668,percent of total billed charges,999999999,,,,,,,,,,,,,,,,302.495,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,149.75,percent of total billed charges,142.2258698,,,,,,,,,,149.75,percent of total billed charges,139.8600392,,,,,,,,,,149.75,percent of total billed charges,139.4713742,,,,,,,,,,149.75,percent of total billed charges,137.4176599,,,,,,,,,,149.75,percent of total billed charges,140.9536183,,,,,,,,,,149.75,percent of total billed charges,999999999,,,,,,,,,,149.75,percent of total billed charges,120.9481305,,,,,,,,,,149.75,percent of total billed charges,190.7435423,,,,,,,,,,149.75,percent of total billed charges,999999999,,,,,,,,,,149.75,percent of total billed charges,130.4116646,,,,,,,,,,539.1,percent of total billed charges,,,,,
SKELETAL MUSCLE RELAXANT,80369,CDM,,,,both,,,44,44,9.366893563,44,44,percent of total billed charges,32.37236313,,,,44,percent of total billed charges,34.31406484,,,,44,percent of total billed charges,32.37236313,,,,44,percent of total billed charges,34.31406484,,,,44,percent of total billed charges,999999999,,,,44,percent of total billed charges,33.5249759,,,,44,percent of total billed charges,32.37236313,,,,44,percent of total billed charges,34.31406484,,,,31.372,percent of total billed charges,15.65520211,,,,31.372,percent of total billed charges,9.366893563,,,,31.372,percent of total billed charges,15.65520211,,,,31.372,percent of total billed charges,9.366893563,,,,31.372,percent of total billed charges,15.65520211,,,,31.372,percent of total billed charges,9.366893563,,,,31.064,percent of total billed charges,30.82830899,,,,31.064,percent of total billed charges,21.26204036,,,,,,,,,,31.68,percent of total billed charges,20.5912545,,,,,,,,,,31.68,percent of total billed charges,999999999,,,,,,,,,,35.2,percent of total billed charges,29.49577024,,,,34.76,percent of total billed charges,33.54489589,,,,34.76,percent of total billed charges,29.63802591,,,,35.2,percent of total billed charges,999999999,,,,35.2,percent of total billed charges,999999999,,,,30.8,percent of total billed charges,999999999,,,,30.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,23.408,percent of total billed charges,999999999,,,,,,,,,,,,,,,,22.22,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11,percent of total billed charges,10.4473093,,,,,,,,,,11,percent of total billed charges,10.27352542,,,,,,,,,,11,percent of total billed charges,10.24497573,,,,,,,,,,11,percent of total billed charges,10.09411859,,,,,,,,,,11,percent of total billed charges,10.3538551,,,,,,,,,,11,percent of total billed charges,999999999,,,,,,,,,,11,percent of total billed charges,8.884336795,,,,,,,,,,11,percent of total billed charges,14.01121179,,,,,,,,,,11,percent of total billed charges,999999999,,,,,,,,,,11,percent of total billed charges,9.579487886,,,,,,,,,,39.6,percent of total billed charges,,,,,
PRE ALBUMIN,84134,CDM,,,,both,,,222,222,47.26023571,222,222,percent of total billed charges,163.3332867,,,,222,percent of total billed charges,173.1300544,,,,222,percent of total billed charges,163.3332867,,,,222,percent of total billed charges,173.1300544,,,,222,percent of total billed charges,999999999,,,,222,percent of total billed charges,169.148742,,,,222,percent of total billed charges,163.3332867,,,,222,percent of total billed charges,173.1300544,,,,158.286,percent of total billed charges,78.98761064,,,,158.286,percent of total billed charges,47.26023571,,,,158.286,percent of total billed charges,78.98761064,,,,158.286,percent of total billed charges,47.26023571,,,,158.286,percent of total billed charges,78.98761064,,,,158.286,percent of total billed charges,47.26023571,,,,156.732,percent of total billed charges,155.5428317,,,,156.732,percent of total billed charges,107.2766582,,,,,,,,,,159.84,percent of total billed charges,103.8922386,,,,,,,,,,159.84,percent of total billed charges,999999999,,,,,,,,,,177.6,percent of total billed charges,148.819568,,,,175.38,percent of total billed charges,169.2492475,,,,175.38,percent of total billed charges,149.5373125,,,,177.6,percent of total billed charges,999999999,,,,177.6,percent of total billed charges,999999999,,,,155.4,percent of total billed charges,999999999,,,,155.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,118.104,percent of total billed charges,999999999,,,,,,,,,,,,,,,,112.11,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,55.5,percent of total billed charges,52.7114242,,,,,,,,,,55.5,percent of total billed charges,51.83460553,,,,,,,,,,55.5,percent of total billed charges,51.69055938,,,,,,,,,,55.5,percent of total billed charges,50.92941652,,,,,,,,,,55.5,percent of total billed charges,52.23990528,,,,,,,,,,55.5,percent of total billed charges,999999999,,,,,,,,,,55.5,percent of total billed charges,44.82551747,,,,,,,,,,55.5,percent of total billed charges,70.6929322,,,,,,,,,,55.5,percent of total billed charges,999999999,,,,,,,,,,55.5,percent of total billed charges,48.3328707,,,,,,,,,,199.8,percent of total billed charges,,,,,
24 HR URINE STONE RISK PROFILE(*),89060,CDM,,,,both,,,166,166,35.33873481,166,166,percent of total billed charges,122.1320973,,,,166,percent of total billed charges,129.4576083,,,,166,percent of total billed charges,122.1320973,,,,166,percent of total billed charges,129.4576083,,,,166,percent of total billed charges,999999999,,,,166,percent of total billed charges,126.4805909,,,,166,percent of total billed charges,122.1320973,,,,166,percent of total billed charges,129.4576083,,,,118.358,percent of total billed charges,59.06280796,,,,118.358,percent of total billed charges,35.33873481,,,,118.358,percent of total billed charges,59.06280796,,,,118.358,percent of total billed charges,35.33873481,,,,118.358,percent of total billed charges,59.06280796,,,,118.358,percent of total billed charges,35.33873481,,,,117.196,percent of total billed charges,116.3068021,,,,117.196,percent of total billed charges,80.21587955,,,,,,,,,,119.52,percent of total billed charges,77.68518744,,,,,,,,,,119.52,percent of total billed charges,999999999,,,,,,,,,,132.8,percent of total billed charges,111.2794968,,,,131.14,percent of total billed charges,126.5557436,,,,131.14,percent of total billed charges,111.8161887,,,,132.8,percent of total billed charges,999999999,,,,132.8,percent of total billed charges,999999999,,,,116.2,percent of total billed charges,999999999,,,,116.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,88.312,percent of total billed charges,999999999,,,,,,,,,,,,,,,,83.83,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,41.5,percent of total billed charges,39.41484873,,,,,,,,,,41.5,percent of total billed charges,38.75920954,,,,,,,,,,41.5,percent of total billed charges,38.65149936,,,,,,,,,,41.5,percent of total billed charges,38.0823565,,,,,,,,,,41.5,percent of total billed charges,39.06227152,,,,,,,,,,41.5,percent of total billed charges,999999999,,,,,,,,,,41.5,percent of total billed charges,33.51817973,,,,,,,,,,41.5,percent of total billed charges,52.86048083,,,,,,,,,,41.5,percent of total billed charges,999999999,,,,,,,,,,41.5,percent of total billed charges,36.14079521,,,,,,,,,,149.4,percent of total billed charges,,,,,
MICROALBUMIN-QUANT(*),82043,CDM,,,,both,,,133,133,28.31356463,133,133,percent of total billed charges,97.85282492,,,,133,percent of total billed charges,103.7220596,,,,133,percent of total billed charges,97.85282492,,,,133,percent of total billed charges,103.7220596,,,,133,percent of total billed charges,999999999,,,,133,percent of total billed charges,101.336859,,,,133,percent of total billed charges,97.85282492,,,,133,percent of total billed charges,103.7220596,,,,94.829,percent of total billed charges,47.32140637,,,,94.829,percent of total billed charges,28.31356463,,,,94.829,percent of total billed charges,47.32140637,,,,94.829,percent of total billed charges,28.31356463,,,,94.829,percent of total billed charges,47.32140637,,,,94.829,percent of total billed charges,28.31356463,,,,93.898,percent of total billed charges,93.18557035,,,,93.898,percent of total billed charges,64.26934928,,,,,,,,,,95.76,percent of total billed charges,62.24174656,,,,,,,,,,95.76,percent of total billed charges,999999999,,,,,,,,,,106.4,percent of total billed charges,89.15766914,,,,105.07,percent of total billed charges,101.3970717,,,,105.07,percent of total billed charges,89.58766923,,,,106.4,percent of total billed charges,999999999,,,,106.4,percent of total billed charges,999999999,,,,93.1,percent of total billed charges,999999999,,,,93.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,70.756,percent of total billed charges,999999999,,,,,,,,,,,,,,,,67.165,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,33.25,percent of total billed charges,31.57936675,,,,,,,,,,33.25,percent of total billed charges,31.05406547,,,,,,,,,,33.25,percent of total billed charges,30.96776756,,,,,,,,,,33.25,percent of total billed charges,30.51176756,,,,,,,,,,33.25,percent of total billed charges,31.29688019,,,,,,,,,,33.25,percent of total billed charges,999999999,,,,,,,,,,33.25,percent of total billed charges,26.85492713,,,,,,,,,,33.25,percent of total billed charges,42.35207199,,,,,,,,,,33.25,percent of total billed charges,999999999,,,,,,,,,,33.25,percent of total billed charges,28.95617929,,,,,,,,,,119.7,percent of total billed charges,,,,,
SMN1 GENE DOS,81329,CDM,,,,both,,,1183,1183,251.8417065,1183,1183,percent of total billed charges,870.3751269,,,,1183,percent of total billed charges,922.5804251,,,,1183,percent of total billed charges,870.3751269,,,,1183,percent of total billed charges,922.5804251,,,,1183,percent of total billed charges,999999999,,,,1183,percent of total billed charges,901.3646929,,,,1183,percent of total billed charges,870.3751269,,,,1183,percent of total billed charges,922.5804251,,,,843.479,percent of total billed charges,420.9114567,,,,843.479,percent of total billed charges,251.8417065,,,,843.479,percent of total billed charges,420.9114567,,,,843.479,percent of total billed charges,251.8417065,,,,843.479,percent of total billed charges,420.9114567,,,,843.479,percent of total billed charges,251.8417065,,,,835.198,percent of total billed charges,828.8611257,,,,835.198,percent of total billed charges,571.6589488,,,,,,,,,,851.76,percent of total billed charges,553.6239563,,,,,,,,,,851.76,percent of total billed charges,999999999,,,,,,,,,,946.4,percent of total billed charges,793.0340045,,,,934.57,percent of total billed charges,901.9002691,,,,934.57,percent of total billed charges,796.8587421,,,,946.4,percent of total billed charges,999999999,,,,946.4,percent of total billed charges,999999999,,,,828.1,percent of total billed charges,999999999,,,,828.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,629.356,percent of total billed charges,999999999,,,,,,,,,,,,,,,,597.415,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,295.75,percent of total billed charges,280.8901569,,,,,,,,,,295.75,percent of total billed charges,276.2177403,,,,,,,,,,295.75,percent of total billed charges,275.450143,,,,,,,,,,295.75,percent of total billed charges,271.394143,,,,,,,,,,295.75,percent of total billed charges,278.3775133,,,,,,,,,,295.75,percent of total billed charges,999999999,,,,,,,,,,295.75,percent of total billed charges,238.8675097,,,,,,,,,,295.75,percent of total billed charges,376.7105351,,,,,,,,,,295.75,percent of total billed charges,999999999,,,,,,,,,,295.75,percent of total billed charges,257.5575947,,,,,,,,,,1064.7,percent of total billed charges,,,,,
FELBAMATE,80167,CDM,,,,both,,,30,30,6.386518339,30,30,percent of total billed charges,22.07206577,,,,30,percent of total billed charges,23.3959533,,,,30,percent of total billed charges,22.07206577,,,,30,percent of total billed charges,23.3959533,,,,30,percent of total billed charges,999999999,,,,30,percent of total billed charges,22.85793811,,,,30,percent of total billed charges,22.07206577,,,,30,percent of total billed charges,23.3959533,,,,21.39,percent of total billed charges,10.67400144,,,,21.39,percent of total billed charges,6.386518339,,,,21.39,percent of total billed charges,10.67400144,,,,21.39,percent of total billed charges,6.386518339,,,,21.39,percent of total billed charges,10.67400144,,,,21.39,percent of total billed charges,6.386518339,,,,21.18,percent of total billed charges,21.01930158,,,,21.18,percent of total billed charges,14.4968457,,,,,,,,,,21.6,percent of total billed charges,14.03949171,,,,,,,,,,21.6,percent of total billed charges,999999999,,,,,,,,,,24,percent of total billed charges,20.11075244,,,,23.7,percent of total billed charges,22.87151993,,,,23.7,percent of total billed charges,20.20774494,,,,24,percent of total billed charges,999999999,,,,24,percent of total billed charges,999999999,,,,21,percent of total billed charges,999999999,,,,21,percent of total billed charges,999999999,,,,,,,,,,,,,,,,15.96,percent of total billed charges,999999999,,,,,,,,,,,,,,,,15.15,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7.5,percent of total billed charges,7.123165433,,,,,,,,,,7.5,percent of total billed charges,7.004676423,,,,,,,,,,7.5,percent of total billed charges,6.985210727,,,,,,,,,,7.5,percent of total billed charges,6.882353584,,,,,,,,,,7.5,percent of total billed charges,7.059446659,,,,,,,,,,7.5,percent of total billed charges,999999999,,,,,,,,,,7.5,percent of total billed charges,6.05750236,,,,,,,,,,7.5,percent of total billed charges,9.553098946,,,,,,,,,,7.5,percent of total billed charges,999999999,,,,,,,,,,7.5,percent of total billed charges,6.531469013,,,,,,,,,,27,percent of total billed charges,,,,,
ANTIBODY-DNA SINGLE STRANDED(*),86226,CDM,,,,both,,,249,249,53.00810221,249,249,percent of total billed charges,183.1981459,,,,249,percent of total billed charges,194.1864124,,,,249,percent of total billed charges,183.1981459,,,,249,percent of total billed charges,194.1864124,,,,249,percent of total billed charges,999999999,,,,249,percent of total billed charges,189.7208863,,,,249,percent of total billed charges,183.1981459,,,,249,percent of total billed charges,194.1864124,,,,177.537,percent of total billed charges,88.59421193,,,,177.537,percent of total billed charges,53.00810221,,,,177.537,percent of total billed charges,88.59421193,,,,177.537,percent of total billed charges,53.00810221,,,,177.537,percent of total billed charges,88.59421193,,,,177.537,percent of total billed charges,53.00810221,,,,175.794,percent of total billed charges,174.4602031,,,,175.794,percent of total billed charges,120.3238193,,,,,,,,,,179.28,percent of total billed charges,116.5277812,,,,,,,,,,179.28,percent of total billed charges,999999999,,,,,,,,,,199.2,percent of total billed charges,166.9192452,,,,196.71,percent of total billed charges,189.8336154,,,,196.71,percent of total billed charges,167.724283,,,,199.2,percent of total billed charges,999999999,,,,199.2,percent of total billed charges,999999999,,,,174.3,percent of total billed charges,999999999,,,,174.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,132.468,percent of total billed charges,999999999,,,,,,,,,,,,,,,,125.745,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,62.25,percent of total billed charges,59.12227309,,,,,,,,,,62.25,percent of total billed charges,58.13881431,,,,,,,,,,62.25,percent of total billed charges,57.97724903,,,,,,,,,,62.25,percent of total billed charges,57.12353475,,,,,,,,,,62.25,percent of total billed charges,58.59340727,,,,,,,,,,62.25,percent of total billed charges,999999999,,,,,,,,,,62.25,percent of total billed charges,50.27726959,,,,,,,,,,62.25,percent of total billed charges,79.29072125,,,,,,,,,,62.25,percent of total billed charges,999999999,,,,,,,,,,62.25,percent of total billed charges,54.21119281,,,,,,,,,,224.1,percent of total billed charges,,,,,
SMOOTH MUSCLE ANTIBODY(*),86015,CDM,,,,both,,,211,211,44.91851232,211,211,percent of total billed charges,155.2401959,,,,211,percent of total billed charges,164.5515382,,,,211,percent of total billed charges,155.2401959,,,,211,percent of total billed charges,164.5515382,,,,211,percent of total billed charges,999999999,,,,211,percent of total billed charges,160.7674981,,,,211,percent of total billed charges,155.2401959,,,,211,percent of total billed charges,164.5515382,,,,150.443,percent of total billed charges,75.07381011,,,,150.443,percent of total billed charges,44.91851232,,,,150.443,percent of total billed charges,75.07381011,,,,150.443,percent of total billed charges,44.91851232,,,,150.443,percent of total billed charges,75.07381011,,,,150.443,percent of total billed charges,44.91851232,,,,148.966,percent of total billed charges,147.8357545,,,,148.966,percent of total billed charges,101.9611481,,,,,,,,,,151.92,percent of total billed charges,98.744425,,,,,,,,,,151.92,percent of total billed charges,999999999,,,,,,,,,,168.8,percent of total billed charges,141.4456255,,,,166.69,percent of total billed charges,160.8630235,,,,166.69,percent of total billed charges,142.1278061,,,,168.8,percent of total billed charges,999999999,,,,168.8,percent of total billed charges,999999999,,,,147.7,percent of total billed charges,999999999,,,,147.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,112.252,percent of total billed charges,999999999,,,,,,,,,,,,,,,,106.555,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,52.75,percent of total billed charges,50.09959688,,,,,,,,,,52.75,percent of total billed charges,49.26622417,,,,,,,,,,52.75,percent of total billed charges,49.12931545,,,,,,,,,,52.75,percent of total billed charges,48.40588687,,,,,,,,,,52.75,percent of total billed charges,49.6514415,,,,,,,,,,52.75,percent of total billed charges,999999999,,,,,,,,,,52.75,percent of total billed charges,42.60443327,,,,,,,,,,52.75,percent of total billed charges,67.19012925,,,,,,,,,,52.75,percent of total billed charges,999999999,,,,,,,,,,52.75,percent of total billed charges,45.93799872,,,,,,,,,,189.9,percent of total billed charges,,,,,
HLAB27(*),81373,CDM,,,,both,,,382,382,81.32166685,382,382,percent of total billed charges,281.0509708,,,,382,percent of total billed charges,297.908472,,,,382,percent of total billed charges,281.0509708,,,,382,percent of total billed charges,297.908472,,,,382,percent of total billed charges,999999999,,,,382,percent of total billed charges,291.0577453,,,,382,percent of total billed charges,281.0509708,,,,382,percent of total billed charges,297.908472,,,,272.366,percent of total billed charges,135.9156183,,,,272.366,percent of total billed charges,81.32166685,,,,272.366,percent of total billed charges,135.9156183,,,,272.366,percent of total billed charges,81.32166685,,,,272.366,percent of total billed charges,135.9156183,,,,272.366,percent of total billed charges,81.32166685,,,,269.692,percent of total billed charges,267.6457735,,,,269.692,percent of total billed charges,184.5931686,,,,,,,,,,275.04,percent of total billed charges,178.7695277,,,,,,,,,,275.04,percent of total billed charges,999999999,,,,,,,,,,305.6,percent of total billed charges,256.0769144,,,,301.78,percent of total billed charges,291.2306871,,,,301.78,percent of total billed charges,257.3119522,,,,305.6,percent of total billed charges,999999999,,,,305.6,percent of total billed charges,999999999,,,,267.4,percent of total billed charges,999999999,,,,267.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,203.224,percent of total billed charges,999999999,,,,,,,,,,,,,,,,192.91,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,95.5,percent of total billed charges,90.70163985,,,,,,,,,,95.5,percent of total billed charges,89.19287978,,,,,,,,,,95.5,percent of total billed charges,88.94501659,,,,,,,,,,95.5,percent of total billed charges,87.6353023,,,,,,,,,,95.5,percent of total billed charges,89.89028746,,,,,,,,,,95.5,percent of total billed charges,999999999,,,,,,,,,,95.5,percent of total billed charges,77.13219672,,,,,,,,,,95.5,percent of total billed charges,121.6427932,,,,,,,,,,95.5,percent of total billed charges,999999999,,,,,,,,,,95.5,percent of total billed charges,83.1673721,,,,,,,,,,343.8,percent of total billed charges,,,,,
CAT SCRATCH FEVER IgM (*),86611,CDM,,,,both,,,196,196,41.72525315,196,196,percent of total billed charges,144.204163,,,,196,percent of total billed charges,152.8535616,,,,196,percent of total billed charges,144.204163,,,,196,percent of total billed charges,152.8535616,,,,196,percent of total billed charges,999999999,,,,196,percent of total billed charges,149.338529,,,,196,percent of total billed charges,144.204163,,,,196,percent of total billed charges,152.8535616,,,,139.748,percent of total billed charges,69.73680939,,,,139.748,percent of total billed charges,41.72525315,,,,139.748,percent of total billed charges,69.73680939,,,,139.748,percent of total billed charges,41.72525315,,,,139.748,percent of total billed charges,69.73680939,,,,139.748,percent of total billed charges,41.72525315,,,,138.376,percent of total billed charges,137.3261037,,,,138.376,percent of total billed charges,94.71272525,,,,,,,,,,141.12,percent of total billed charges,91.72467915,,,,,,,,,,141.12,percent of total billed charges,999999999,,,,,,,,,,156.8,percent of total billed charges,131.3902493,,,,154.84,percent of total billed charges,149.4272635,,,,154.84,percent of total billed charges,132.0239336,,,,156.8,percent of total billed charges,999999999,,,,156.8,percent of total billed charges,999999999,,,,137.2,percent of total billed charges,999999999,,,,137.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,104.272,percent of total billed charges,999999999,,,,,,,,,,,,,,,,98.98,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,49,percent of total billed charges,46.53801416,,,,,,,,,,49,percent of total billed charges,45.76388596,,,,,,,,,,49,percent of total billed charges,45.63671008,,,,,,,,,,49,percent of total billed charges,44.96471008,,,,,,,,,,49,percent of total billed charges,46.12171817,,,,,,,,,,49,percent of total billed charges,999999999,,,,,,,,,,49,percent of total billed charges,39.57568209,,,,,,,,,,49,percent of total billed charges,62.41357978,,,,,,,,,,49,percent of total billed charges,999999999,,,,,,,,,,49,percent of total billed charges,42.67226422,,,,,,,,,,176.4,percent of total billed charges,,,,,
HLA CLASS 1 PHENOTYPE,86830,CDM,,,,both,,,708,708,150.7218328,708,708,percent of total billed charges,520.9007522,,,,708,percent of total billed charges,552.1444979,,,,708,percent of total billed charges,520.9007522,,,,708,percent of total billed charges,552.1444979,,,,708,percent of total billed charges,999999999,,,,708,percent of total billed charges,539.4473395,,,,708,percent of total billed charges,520.9007522,,,,708,percent of total billed charges,552.1444979,,,,504.804,percent of total billed charges,251.9064339,,,,504.804,percent of total billed charges,150.7218328,,,,504.804,percent of total billed charges,251.9064339,,,,504.804,percent of total billed charges,150.7218328,,,,504.804,percent of total billed charges,251.9064339,,,,504.804,percent of total billed charges,150.7218328,,,,499.848,percent of total billed charges,496.0555173,,,,499.848,percent of total billed charges,342.1255585,,,,,,,,,,509.76,percent of total billed charges,331.3320043,,,,,,,,,,509.76,percent of total billed charges,999999999,,,,,,,,,,566.4,percent of total billed charges,474.6137575,,,,559.32,percent of total billed charges,539.7678703,,,,559.32,percent of total billed charges,476.9027805,,,,566.4,percent of total billed charges,999999999,,,,566.4,percent of total billed charges,999999999,,,,495.6,percent of total billed charges,999999999,,,,495.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,376.656,percent of total billed charges,999999999,,,,,,,,,,,,,,,,357.54,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,177,percent of total billed charges,168.1067042,,,,,,,,,,177,percent of total billed charges,165.3103636,,,,,,,,,,177,percent of total billed charges,164.8509732,,,,,,,,,,177,percent of total billed charges,162.4235446,,,,,,,,,,177,percent of total billed charges,166.6029412,,,,,,,,,,177,percent of total billed charges,999999999,,,,,,,,,,177,percent of total billed charges,142.9570557,,,,,,,,,,177,percent of total billed charges,225.4531351,,,,,,,,,,177,percent of total billed charges,999999999,,,,,,,,,,177,percent of total billed charges,154.1426687,,,,,,,,,,637.2,percent of total billed charges,,,,,
ANTITHYROIDGLOBULIN(*),86800,CDM,,,,both,,,171,171,36.40315453,171,171,percent of total billed charges,125.8107749,,,,171,percent of total billed charges,133.3569338,,,,171,percent of total billed charges,125.8107749,,,,171,percent of total billed charges,133.3569338,,,,171,percent of total billed charges,999999999,,,,171,percent of total billed charges,130.2902472,,,,171,percent of total billed charges,125.8107749,,,,171,percent of total billed charges,133.3569338,,,,121.923,percent of total billed charges,60.8418082,,,,121.923,percent of total billed charges,36.40315453,,,,121.923,percent of total billed charges,60.8418082,,,,121.923,percent of total billed charges,36.40315453,,,,121.923,percent of total billed charges,60.8418082,,,,121.923,percent of total billed charges,36.40315453,,,,120.726,percent of total billed charges,119.810019,,,,120.726,percent of total billed charges,82.6320205,,,,,,,,,,123.12,percent of total billed charges,80.02510273,,,,,,,,,,123.12,percent of total billed charges,999999999,,,,,,,,,,136.8,percent of total billed charges,114.6312889,,,,135.09,percent of total billed charges,130.3676636,,,,135.09,percent of total billed charges,115.1841461,,,,136.8,percent of total billed charges,999999999,,,,136.8,percent of total billed charges,999999999,,,,119.7,percent of total billed charges,999999999,,,,119.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,90.972,percent of total billed charges,999999999,,,,,,,,,,,,,,,,86.355,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,42.75,percent of total billed charges,40.60204297,,,,,,,,,,42.75,percent of total billed charges,39.92665561,,,,,,,,,,42.75,percent of total billed charges,39.81570114,,,,,,,,,,42.75,percent of total billed charges,39.22941543,,,,,,,,,,42.75,percent of total billed charges,40.23884596,,,,,,,,,,42.75,percent of total billed charges,999999999,,,,,,,,,,42.75,percent of total billed charges,34.52776345,,,,,,,,,,42.75,percent of total billed charges,54.45266399,,,,,,,,,,42.75,percent of total billed charges,999999999,,,,,,,,,,42.75,percent of total billed charges,37.22937337,,,,,,,,,,153.9,percent of total billed charges,,,,,
ANTI DNA ANTIBODIES(*),86225,CDM,,,,both,,,236,236,50.24061093,236,236,percent of total billed charges,173.6335841,,,,236,percent of total billed charges,184.048166,,,,236,percent of total billed charges,173.6335841,,,,236,percent of total billed charges,184.048166,,,,236,percent of total billed charges,999999999,,,,236,percent of total billed charges,179.8157798,,,,236,percent of total billed charges,173.6335841,,,,236,percent of total billed charges,184.048166,,,,168.268,percent of total billed charges,83.96881131,,,,168.268,percent of total billed charges,50.24061093,,,,168.268,percent of total billed charges,83.96881131,,,,168.268,percent of total billed charges,50.24061093,,,,168.268,percent of total billed charges,83.96881131,,,,168.268,percent of total billed charges,50.24061093,,,,166.616,percent of total billed charges,165.3518391,,,,166.616,percent of total billed charges,114.0418528,,,,,,,,,,169.92,percent of total billed charges,110.4440014,,,,,,,,,,169.92,percent of total billed charges,999999999,,,,,,,,,,188.8,percent of total billed charges,158.2045858,,,,186.44,percent of total billed charges,179.9226234,,,,186.44,percent of total billed charges,158.9675935,,,,188.8,percent of total billed charges,999999999,,,,188.8,percent of total billed charges,999999999,,,,165.2,percent of total billed charges,999999999,,,,165.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,125.552,percent of total billed charges,999999999,,,,,,,,,,,,,,,,119.18,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,59,percent of total billed charges,56.03556807,,,,,,,,,,59,percent of total billed charges,55.10345453,,,,,,,,,,59,percent of total billed charges,54.95032438,,,,,,,,,,59,percent of total billed charges,54.14118153,,,,,,,,,,59,percent of total billed charges,55.53431372,,,,,,,,,,59,percent of total billed charges,999999999,,,,,,,,,,59,percent of total billed charges,47.6523519,,,,,,,,,,59,percent of total billed charges,75.15104504,,,,,,,,,,59,percent of total billed charges,999999999,,,,,,,,,,59,percent of total billed charges,51.38088957,,,,,,,,,,212.4,percent of total billed charges,,,,,
ANTI RNP ANTIBODIES(*),86235,CDM,,,,both,,,185,185,39.38352976,185,185,percent of total billed charges,136.1110723,,,,185,percent of total billed charges,144.2750454,,,,185,percent of total billed charges,136.1110723,,,,185,percent of total billed charges,144.2750454,,,,185,percent of total billed charges,999999999,,,,185,percent of total billed charges,140.957285,,,,185,percent of total billed charges,136.1110723,,,,185,percent of total billed charges,144.2750454,,,,131.905,percent of total billed charges,65.82300887,,,,131.905,percent of total billed charges,39.38352976,,,,131.905,percent of total billed charges,65.82300887,,,,131.905,percent of total billed charges,39.38352976,,,,131.905,percent of total billed charges,65.82300887,,,,131.905,percent of total billed charges,39.38352976,,,,130.61,percent of total billed charges,129.6190264,,,,130.61,percent of total billed charges,89.39721516,,,,,,,,,,133.2,percent of total billed charges,86.57686552,,,,,,,,,,133.2,percent of total billed charges,999999999,,,,,,,,,,148,percent of total billed charges,124.0163067,,,,146.15,percent of total billed charges,141.0410396,,,,146.15,percent of total billed charges,124.6144271,,,,148,percent of total billed charges,999999999,,,,148,percent of total billed charges,999999999,,,,129.5,percent of total billed charges,999999999,,,,129.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,98.42,percent of total billed charges,999999999,,,,,,,,,,,,,,,,93.425,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,46.25,percent of total billed charges,43.92618684,,,,,,,,,,46.25,percent of total billed charges,43.19550461,,,,,,,,,,46.25,percent of total billed charges,43.07546615,,,,,,,,,,46.25,percent of total billed charges,42.44118043,,,,,,,,,,46.25,percent of total billed charges,43.5332544,,,,,,,,,,46.25,percent of total billed charges,999999999,,,,,,,,,,46.25,percent of total billed charges,37.35459789,,,,,,,,,,46.25,percent of total billed charges,58.91077683,,,,,,,,,,46.25,percent of total billed charges,999999999,,,,,,,,,,46.25,percent of total billed charges,40.27739225,,,,,,,,,,166.5,percent of total billed charges,,,,,
ANTIGLIADIN ANTIBODY(*),86258,CDM,,,,both,,,173,173,36.82892242,173,173,percent of total billed charges,127.2822459,,,,173,percent of total billed charges,134.916664,,,,173,percent of total billed charges,127.2822459,,,,173,percent of total billed charges,134.916664,,,,173,percent of total billed charges,999999999,,,,173,percent of total billed charges,131.8141098,,,,173,percent of total billed charges,127.2822459,,,,173,percent of total billed charges,134.916664,,,,123.349,percent of total billed charges,61.55340829,,,,123.349,percent of total billed charges,36.82892242,,,,123.349,percent of total billed charges,61.55340829,,,,123.349,percent of total billed charges,36.82892242,,,,123.349,percent of total billed charges,61.55340829,,,,123.349,percent of total billed charges,36.82892242,,,,122.138,percent of total billed charges,121.2113058,,,,122.138,percent of total billed charges,83.59847688,,,,,,,,,,124.56,percent of total billed charges,80.96106884,,,,,,,,,,124.56,percent of total billed charges,999999999,,,,,,,,,,138.4,percent of total billed charges,115.9720057,,,,136.67,percent of total billed charges,131.8924316,,,,136.67,percent of total billed charges,116.5313291,,,,138.4,percent of total billed charges,999999999,,,,138.4,percent of total billed charges,999999999,,,,121.1,percent of total billed charges,999999999,,,,121.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,92.036,percent of total billed charges,999999999,,,,,,,,,,,,,,,,87.365,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,43.25,percent of total billed charges,41.07692066,,,,,,,,,,43.25,percent of total billed charges,40.39363404,,,,,,,,,,43.25,percent of total billed charges,40.28138186,,,,,,,,,,43.25,percent of total billed charges,39.688239,,,,,,,,,,43.25,percent of total billed charges,40.70947574,,,,,,,,,,43.25,percent of total billed charges,999999999,,,,,,,,,,43.25,percent of total billed charges,34.93159694,,,,,,,,,,43.25,percent of total billed charges,55.08953725,,,,,,,,,,43.25,percent of total billed charges,999999999,,,,,,,,,,43.25,percent of total billed charges,37.66480464,,,,,,,,,,155.7,percent of total billed charges,,,,,
**ANTI ENDOMYSIAL ANTIBODY(*),88347,CDM,,,,both,,,377,377,80.25724712,377,377,percent of total billed charges,277.3722932,,,,377,percent of total billed charges,294.0091465,,,,377,percent of total billed charges,277.3722932,,,,377,percent of total billed charges,294.0091465,,,,377,percent of total billed charges,999999999,,,,377,percent of total billed charges,287.248089,,,,377,percent of total billed charges,277.3722932,,,,377,percent of total billed charges,294.0091465,,,,268.801,percent of total billed charges,134.1366181,,,,268.801,percent of total billed charges,80.25724712,,,,268.801,percent of total billed charges,134.1366181,,,,268.801,percent of total billed charges,80.25724712,,,,268.801,percent of total billed charges,134.1366181,,,,268.801,percent of total billed charges,80.25724712,,,,266.162,percent of total billed charges,264.1425565,,,,266.162,percent of total billed charges,182.1770276,,,,,,,,,,271.44,percent of total billed charges,176.4296124,,,,,,,,,,271.44,percent of total billed charges,999999999,,,,,,,,,,301.6,percent of total billed charges,252.7251223,,,,297.83,percent of total billed charges,287.4187671,,,,297.83,percent of total billed charges,253.9439947,,,,301.6,percent of total billed charges,999999999,,,,301.6,percent of total billed charges,999999999,,,,263.9,percent of total billed charges,999999999,,,,263.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,200.564,percent of total billed charges,999999999,,,,,,,,,,,,,,,,190.385,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,94.25,percent of total billed charges,89.51444561,,,,,,,,,,94.25,percent of total billed charges,88.02543371,,,,,,,,,,94.25,percent of total billed charges,87.7808148,,,,,,,,,,94.25,percent of total billed charges,86.48824337,,,,,,,,,,94.25,percent of total billed charges,88.71371302,,,,,,,,,,94.25,percent of total billed charges,999999999,,,,,,,,,,94.25,percent of total billed charges,76.12261299,,,,,,,,,,94.25,percent of total billed charges,120.0506101,,,,,,,,,,94.25,percent of total billed charges,999999999,,,,,,,,,,94.25,percent of total billed charges,82.07879393,,,,,,,,,,339.3,percent of total billed charges,,,,,
HEAVY METALS(*),83018,CDM,,,,both,,,208,208,44.27986048,208,208,percent of total billed charges,153.0329894,,,,208,percent of total billed charges,162.2119429,,,,208,percent of total billed charges,153.0329894,,,,208,percent of total billed charges,162.2119429,,,,208,percent of total billed charges,999999999,,,,208,percent of total billed charges,158.4817042,,,,208,percent of total billed charges,153.0329894,,,,208,percent of total billed charges,162.2119429,,,,148.304,percent of total billed charges,74.00640997,,,,148.304,percent of total billed charges,44.27986048,,,,148.304,percent of total billed charges,74.00640997,,,,148.304,percent of total billed charges,44.27986048,,,,148.304,percent of total billed charges,74.00640997,,,,148.304,percent of total billed charges,44.27986048,,,,146.848,percent of total billed charges,145.7338243,,,,146.848,percent of total billed charges,100.5114635,,,,,,,,,,149.76,percent of total billed charges,97.34047583,,,,,,,,,,149.76,percent of total billed charges,999999999,,,,,,,,,,166.4,percent of total billed charges,139.4345502,,,,164.32,percent of total billed charges,158.5758715,,,,164.32,percent of total billed charges,140.1070316,,,,166.4,percent of total billed charges,999999999,,,,166.4,percent of total billed charges,999999999,,,,145.6,percent of total billed charges,999999999,,,,145.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,110.656,percent of total billed charges,999999999,,,,,,,,,,,,,,,,105.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,52,percent of total billed charges,49.38728033,,,,,,,,,,52,percent of total billed charges,48.56575653,,,,,,,,,,52,percent of total billed charges,48.43079437,,,,,,,,,,52,percent of total billed charges,47.71765152,,,,,,,,,,52,percent of total billed charges,48.94549684,,,,,,,,,,52,percent of total billed charges,999999999,,,,,,,,,,52,percent of total billed charges,41.99868303,,,,,,,,,,52,percent of total billed charges,66.23481936,,,,,,,,,,52,percent of total billed charges,999999999,,,,,,,,,,52,percent of total billed charges,45.28485182,,,,,,,,,,187.2,percent of total billed charges,,,,,
HEMOCHROMOCYTOSIS INTERP/R*,81256,CDM,,,,both,,,92,92,19.58532291,92,92,percent of total billed charges,67.68766837,,,,92,percent of total billed charges,71.74759012,,,,92,percent of total billed charges,67.68766837,,,,92,percent of total billed charges,71.74759012,,,,92,percent of total billed charges,999999999,,,,92,percent of total billed charges,70.09767688,,,,92,percent of total billed charges,67.68766837,,,,92,percent of total billed charges,71.74759012,,,,65.596,percent of total billed charges,32.73360441,,,,65.596,percent of total billed charges,19.58532291,,,,65.596,percent of total billed charges,32.73360441,,,,65.596,percent of total billed charges,19.58532291,,,,65.596,percent of total billed charges,32.73360441,,,,65.596,percent of total billed charges,19.58532291,,,,64.952,percent of total billed charges,64.45919152,,,,64.952,percent of total billed charges,44.45699348,,,,,,,,,,66.24,percent of total billed charges,43.05444123,,,,,,,,,,66.24,percent of total billed charges,999999999,,,,,,,,,,73.6,percent of total billed charges,61.67297414,,,,72.68,percent of total billed charges,70.13932778,,,,72.68,percent of total billed charges,61.97041781,,,,73.6,percent of total billed charges,999999999,,,,73.6,percent of total billed charges,999999999,,,,64.4,percent of total billed charges,999999999,,,,64.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,48.944,percent of total billed charges,999999999,,,,,,,,,,,,,,,,46.46,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23,percent of total billed charges,21.84437399,,,,,,,,,,23,percent of total billed charges,21.4810077,,,,,,,,,,23,percent of total billed charges,21.4213129,,,,,,,,,,23,percent of total billed charges,21.10588432,,,,,,,,,,23,percent of total billed charges,21.64896976,,,,,,,,,,23,percent of total billed charges,999999999,,,,,,,,,,23,percent of total billed charges,18.57634057,,,,,,,,,,23,percent of total billed charges,29.2961701,,,,,,,,,,23,percent of total billed charges,999999999,,,,,,,,,,23,percent of total billed charges,20.02983831,,,,,,,,,,82.8,percent of total billed charges,,,,,
**ENZYMATIC DIGESTION(*),83892,CDM,,,,both,,,64,64,13.62457246,64,64,percent of total billed charges,47.08707365,,,,64,percent of total billed charges,49.91136704,,,,64,percent of total billed charges,47.08707365,,,,64,percent of total billed charges,49.91136704,,,,64,percent of total billed charges,999999999,,,,64,percent of total billed charges,48.76360131,,,,64,percent of total billed charges,47.08707365,,,,64,percent of total billed charges,49.91136704,,,,45.632,percent of total billed charges,22.77120307,,,,45.632,percent of total billed charges,13.62457246,,,,45.632,percent of total billed charges,22.77120307,,,,45.632,percent of total billed charges,13.62457246,,,,45.632,percent of total billed charges,22.77120307,,,,45.632,percent of total billed charges,13.62457246,,,,45.184,percent of total billed charges,44.84117671,,,,45.184,percent of total billed charges,30.92660416,,,,,,,,,,46.08,percent of total billed charges,29.95091564,,,,,,,,,,46.08,percent of total billed charges,999999999,,,,,,,,,,51.2,percent of total billed charges,42.90293853,,,,50.56,percent of total billed charges,48.79257585,,,,50.56,percent of total billed charges,43.10985587,,,,51.2,percent of total billed charges,999999999,,,,51.2,percent of total billed charges,999999999,,,,44.8,percent of total billed charges,999999999,,,,44.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,34.048,percent of total billed charges,999999999,,,,,,,,,,,,,,,,32.32,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16,percent of total billed charges,15.19608626,,,,,,,,,,16,percent of total billed charges,14.9433097,,,,,,,,,,16,percent of total billed charges,14.90178288,,,,,,,,,,16,percent of total billed charges,14.68235431,,,,,,,,,,16,percent of total billed charges,15.06015287,,,,,,,,,,16,percent of total billed charges,999999999,,,,,,,,,,16,percent of total billed charges,12.9226717,,,,,,,,,,16,percent of total billed charges,20.37994442,,,,,,,,,,16,percent of total billed charges,999999999,,,,,,,,,,16,percent of total billed charges,13.93380056,,,,,,,,,,57.6,percent of total billed charges,,,,,
HLA Typing,81381,CDM,,,,both,,,702,702,149.4445291,702,702,percent of total billed charges,516.4863391,,,,702,percent of total billed charges,547.4653072,,,,702,percent of total billed charges,516.4863391,,,,702,percent of total billed charges,547.4653072,,,,702,percent of total billed charges,999999999,,,,702,percent of total billed charges,534.8757518,,,,702,percent of total billed charges,516.4863391,,,,702,percent of total billed charges,547.4653072,,,,500.526,percent of total billed charges,249.7716336,,,,500.526,percent of total billed charges,149.4445291,,,,500.526,percent of total billed charges,249.7716336,,,,500.526,percent of total billed charges,149.4445291,,,,500.526,percent of total billed charges,249.7716336,,,,500.526,percent of total billed charges,149.4445291,,,,495.612,percent of total billed charges,491.851657,,,,495.612,percent of total billed charges,339.2261894,,,,,,,,,,505.44,percent of total billed charges,328.5241059,,,,,,,,,,505.44,percent of total billed charges,999999999,,,,,,,,,,561.6,percent of total billed charges,470.591607,,,,554.58,percent of total billed charges,535.1935663,,,,554.58,percent of total billed charges,472.8612316,,,,561.6,percent of total billed charges,999999999,,,,561.6,percent of total billed charges,999999999,,,,491.4,percent of total billed charges,999999999,,,,491.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,373.464,percent of total billed charges,999999999,,,,,,,,,,,,,,,,354.51,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,175.5,percent of total billed charges,166.6820711,,,,,,,,,,175.5,percent of total billed charges,163.9094283,,,,,,,,,,175.5,percent of total billed charges,163.453931,,,,,,,,,,175.5,percent of total billed charges,161.0470739,,,,,,,,,,175.5,percent of total billed charges,165.1910518,,,,,,,,,,175.5,percent of total billed charges,999999999,,,,,,,,,,175.5,percent of total billed charges,141.7455552,,,,,,,,,,175.5,percent of total billed charges,223.5425153,,,,,,,,,,175.5,percent of total billed charges,999999999,,,,,,,,,,175.5,percent of total billed charges,152.8363749,,,,,,,,,,631.8,percent of total billed charges,,,,,
WORKUP FOR RAPE CASE,84999,CDM,,,,both,,,477,477,101.5456416,477,477,percent of total billed charges,350.9458458,,,,477,percent of total billed charges,371.9956575,,,,477,percent of total billed charges,350.9458458,,,,477,percent of total billed charges,371.9956575,,,,477,percent of total billed charges,999999999,,,,477,percent of total billed charges,363.441216,,,,477,percent of total billed charges,350.9458458,,,,477,percent of total billed charges,371.9956575,,,,340.101,percent of total billed charges,169.7166229,,,,340.101,percent of total billed charges,101.5456416,,,,340.101,percent of total billed charges,169.7166229,,,,340.101,percent of total billed charges,101.5456416,,,,340.101,percent of total billed charges,169.7166229,,,,340.101,percent of total billed charges,101.5456416,,,,336.762,percent of total billed charges,334.2068952,,,,336.762,percent of total billed charges,230.4998466,,,,,,,,,,343.44,percent of total billed charges,223.2279181,,,,,,,,,,343.44,percent of total billed charges,999999999,,,,,,,,,,381.6,percent of total billed charges,319.7609638,,,,376.83,percent of total billed charges,363.6571668,,,,376.83,percent of total billed charges,321.3031445,,,,381.6,percent of total billed charges,999999999,,,,381.6,percent of total billed charges,999999999,,,,333.9,percent of total billed charges,999999999,,,,333.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,253.764,percent of total billed charges,999999999,,,,,,,,,,,,,,,,240.885,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,119.25,percent of total billed charges,113.2583304,,,,,,,,,,119.25,percent of total billed charges,111.3743551,,,,,,,,,,119.25,percent of total billed charges,111.0648506,,,,,,,,,,119.25,percent of total billed charges,109.429422,,,,,,,,,,119.25,percent of total billed charges,112.2452019,,,,,,,,,,119.25,percent of total billed charges,999999999,,,,,,,,,,119.25,percent of total billed charges,96.31428753,,,,,,,,,,119.25,percent of total billed charges,151.8942732,,,,,,,,,,119.25,percent of total billed charges,999999999,,,,,,,,,,119.25,percent of total billed charges,103.8503573,,,,,,,,,,429.3,percent of total billed charges,,,,,
HLA II,86832,CDM,,,,both,,,1026,1026,218.4189272,1026,1026,percent of total billed charges,754.8646494,,,,1026,percent of total billed charges,800.1416029,,,,1026,percent of total billed charges,754.8646494,,,,1026,percent of total billed charges,800.1416029,,,,1026,percent of total billed charges,999999999,,,,1026,percent of total billed charges,781.7414835,,,,1026,percent of total billed charges,754.8646494,,,,1026,percent of total billed charges,800.1416029,,,,731.538,percent of total billed charges,365.0508492,,,,731.538,percent of total billed charges,218.4189272,,,,731.538,percent of total billed charges,365.0508492,,,,731.538,percent of total billed charges,218.4189272,,,,731.538,percent of total billed charges,365.0508492,,,,731.538,percent of total billed charges,218.4189272,,,,724.356,percent of total billed charges,718.8601141,,,,724.356,percent of total billed charges,495.792123,,,,,,,,,,738.72,percent of total billed charges,480.1506164,,,,,,,,,,738.72,percent of total billed charges,999999999,,,,,,,,,,820.8,percent of total billed charges,687.7877334,,,,810.54,percent of total billed charges,782.2059815,,,,810.54,percent of total billed charges,691.1048769,,,,820.8,percent of total billed charges,999999999,,,,820.8,percent of total billed charges,999999999,,,,718.2,percent of total billed charges,999999999,,,,718.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,545.832,percent of total billed charges,999999999,,,,,,,,,,,,,,,,518.13,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,256.5,percent of total billed charges,243.6122578,,,,,,,,,,256.5,percent of total billed charges,239.5599337,,,,,,,,,,256.5,percent of total billed charges,238.8942069,,,,,,,,,,256.5,percent of total billed charges,235.3764926,,,,,,,,,,256.5,percent of total billed charges,241.4330758,,,,,,,,,,256.5,percent of total billed charges,999999999,,,,,,,,,,256.5,percent of total billed charges,207.1665807,,,,,,,,,,256.5,percent of total billed charges,326.7159839,,,,,,,,,,256.5,percent of total billed charges,999999999,,,,,,,,,,256.5,percent of total billed charges,223.3762402,,,,,,,,,,923.4,percent of total billed charges,,,,,
FLUORESCENT Ab. SCREEN,86255,CDM,,,,both,,,211,211,44.91851232,211,211,percent of total billed charges,155.2401959,,,,211,percent of total billed charges,164.5515382,,,,211,percent of total billed charges,155.2401959,,,,211,percent of total billed charges,164.5515382,,,,211,percent of total billed charges,999999999,,,,211,percent of total billed charges,160.7674981,,,,211,percent of total billed charges,155.2401959,,,,211,percent of total billed charges,164.5515382,,,,150.443,percent of total billed charges,75.07381011,,,,150.443,percent of total billed charges,44.91851232,,,,150.443,percent of total billed charges,75.07381011,,,,150.443,percent of total billed charges,44.91851232,,,,150.443,percent of total billed charges,75.07381011,,,,150.443,percent of total billed charges,44.91851232,,,,148.966,percent of total billed charges,147.8357545,,,,148.966,percent of total billed charges,101.9611481,,,,,,,,,,151.92,percent of total billed charges,98.744425,,,,,,,,,,151.92,percent of total billed charges,999999999,,,,,,,,,,168.8,percent of total billed charges,141.4456255,,,,166.69,percent of total billed charges,160.8630235,,,,166.69,percent of total billed charges,142.1278061,,,,168.8,percent of total billed charges,999999999,,,,168.8,percent of total billed charges,999999999,,,,147.7,percent of total billed charges,999999999,,,,147.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,112.252,percent of total billed charges,999999999,,,,,,,,,,,,,,,,106.555,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,52.75,percent of total billed charges,50.09959688,,,,,,,,,,52.75,percent of total billed charges,49.26622417,,,,,,,,,,52.75,percent of total billed charges,49.12931545,,,,,,,,,,52.75,percent of total billed charges,48.40588687,,,,,,,,,,52.75,percent of total billed charges,49.6514415,,,,,,,,,,52.75,percent of total billed charges,999999999,,,,,,,,,,52.75,percent of total billed charges,42.60443327,,,,,,,,,,52.75,percent of total billed charges,67.19012925,,,,,,,,,,52.75,percent of total billed charges,999999999,,,,,,,,,,52.75,percent of total billed charges,45.93799872,,,,,,,,,,189.9,percent of total billed charges,,,,,
TITER FOR EACH ANTIBODY,86256,CDM,,,,both,,,185,185,39.38352976,185,185,percent of total billed charges,136.1110723,,,,185,percent of total billed charges,144.2750454,,,,185,percent of total billed charges,136.1110723,,,,185,percent of total billed charges,144.2750454,,,,185,percent of total billed charges,999999999,,,,185,percent of total billed charges,140.957285,,,,185,percent of total billed charges,136.1110723,,,,185,percent of total billed charges,144.2750454,,,,131.905,percent of total billed charges,65.82300887,,,,131.905,percent of total billed charges,39.38352976,,,,131.905,percent of total billed charges,65.82300887,,,,131.905,percent of total billed charges,39.38352976,,,,131.905,percent of total billed charges,65.82300887,,,,131.905,percent of total billed charges,39.38352976,,,,130.61,percent of total billed charges,129.6190264,,,,130.61,percent of total billed charges,89.39721516,,,,,,,,,,133.2,percent of total billed charges,86.57686552,,,,,,,,,,133.2,percent of total billed charges,999999999,,,,,,,,,,148,percent of total billed charges,124.0163067,,,,146.15,percent of total billed charges,141.0410396,,,,146.15,percent of total billed charges,124.6144271,,,,148,percent of total billed charges,999999999,,,,148,percent of total billed charges,999999999,,,,129.5,percent of total billed charges,999999999,,,,129.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,98.42,percent of total billed charges,999999999,,,,,,,,,,,,,,,,93.425,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,46.25,percent of total billed charges,43.92618684,,,,,,,,,,46.25,percent of total billed charges,43.19550461,,,,,,,,,,46.25,percent of total billed charges,43.07546615,,,,,,,,,,46.25,percent of total billed charges,42.44118043,,,,,,,,,,46.25,percent of total billed charges,43.5332544,,,,,,,,,,46.25,percent of total billed charges,999999999,,,,,,,,,,46.25,percent of total billed charges,37.35459789,,,,,,,,,,46.25,percent of total billed charges,58.91077683,,,,,,,,,,46.25,percent of total billed charges,999999999,,,,,,,,,,46.25,percent of total billed charges,40.27739225,,,,,,,,,,166.5,percent of total billed charges,,,,,
SYNTHETIC CANNABINOID,80352,CDM,,,,both,,,284,284,60.45904027,284,284,percent of total billed charges,208.9488893,,,,284,percent of total billed charges,221.4816912,,,,284,percent of total billed charges,208.9488893,,,,284,percent of total billed charges,221.4816912,,,,284,percent of total billed charges,999999999,,,,284,percent of total billed charges,216.3884808,,,,284,percent of total billed charges,208.9488893,,,,284,percent of total billed charges,221.4816912,,,,202.492,percent of total billed charges,101.0472136,,,,202.492,percent of total billed charges,60.45904027,,,,202.492,percent of total billed charges,101.0472136,,,,202.492,percent of total billed charges,60.45904027,,,,202.492,percent of total billed charges,101.0472136,,,,202.492,percent of total billed charges,60.45904027,,,,200.504,percent of total billed charges,198.9827216,,,,200.504,percent of total billed charges,137.236806,,,,,,,,,,204.48,percent of total billed charges,132.9071882,,,,,,,,,,204.48,percent of total billed charges,999999999,,,,,,,,,,227.2,percent of total billed charges,190.3817897,,,,224.36,percent of total billed charges,216.5170553,,,,224.36,percent of total billed charges,191.2999854,,,,227.2,percent of total billed charges,999999999,,,,227.2,percent of total billed charges,999999999,,,,198.8,percent of total billed charges,999999999,,,,198.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,151.088,percent of total billed charges,999999999,,,,,,,,,,,,,,,,143.42,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,71,percent of total billed charges,67.43263276,,,,,,,,,,71,percent of total billed charges,66.3109368,,,,,,,,,,71,percent of total billed charges,66.12666155,,,,,,,,,,71,percent of total billed charges,65.15294726,,,,,,,,,,71,percent of total billed charges,66.82942838,,,,,,,,,,71,percent of total billed charges,999999999,,,,,,,,,,71,percent of total billed charges,57.34435568,,,,,,,,,,71,percent of total billed charges,90.43600335,,,,,,,,,,71,percent of total billed charges,999999999,,,,,,,,,,71,percent of total billed charges,61.83123999,,,,,,,,,,255.6,percent of total billed charges,,,,,
FREE T3,84481,CDM,,,,both,,,294,294,62.58787972,294,294,percent of total billed charges,216.3062446,,,,294,percent of total billed charges,229.2803423,,,,294,percent of total billed charges,216.3062446,,,,294,percent of total billed charges,229.2803423,,,,294,percent of total billed charges,999999999,,,,294,percent of total billed charges,224.0077935,,,,294,percent of total billed charges,216.3062446,,,,294,percent of total billed charges,229.2803423,,,,209.622,percent of total billed charges,104.6052141,,,,209.622,percent of total billed charges,62.58787972,,,,209.622,percent of total billed charges,104.6052141,,,,209.622,percent of total billed charges,62.58787972,,,,209.622,percent of total billed charges,104.6052141,,,,209.622,percent of total billed charges,62.58787972,,,,207.564,percent of total billed charges,205.9891555,,,,207.564,percent of total billed charges,142.0690879,,,,,,,,,,211.68,percent of total billed charges,137.5870187,,,,,,,,,,211.68,percent of total billed charges,999999999,,,,,,,,,,235.2,percent of total billed charges,197.0853739,,,,232.26,percent of total billed charges,224.1408953,,,,232.26,percent of total billed charges,198.0359004,,,,235.2,percent of total billed charges,999999999,,,,235.2,percent of total billed charges,999999999,,,,205.8,percent of total billed charges,999999999,,,,205.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,156.408,percent of total billed charges,999999999,,,,,,,,,,,,,,,,148.47,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,73.5,percent of total billed charges,69.80702124,,,,,,,,,,73.5,percent of total billed charges,68.64582894,,,,,,,,,,73.5,percent of total billed charges,68.45506512,,,,,,,,,,73.5,percent of total billed charges,67.44706512,,,,,,,,,,73.5,percent of total billed charges,69.18257726,,,,,,,,,,73.5,percent of total billed charges,999999999,,,,,,,,,,73.5,percent of total billed charges,59.36352313,,,,,,,,,,73.5,percent of total billed charges,93.62036967,,,,,,,,,,73.5,percent of total billed charges,999999999,,,,,,,,,,73.5,percent of total billed charges,64.00839633,,,,,,,,,,264.6,percent of total billed charges,,,,,
T3 BY RIA(*),84480,CDM,,,,both,,,201,201,42.78967287,201,201,percent of total billed charges,147.8828407,,,,201,percent of total billed charges,156.7528871,,,,201,percent of total billed charges,147.8828407,,,,201,percent of total billed charges,156.7528871,,,,201,percent of total billed charges,999999999,,,,201,percent of total billed charges,153.1481854,,,,201,percent of total billed charges,147.8828407,,,,201,percent of total billed charges,156.7528871,,,,143.313,percent of total billed charges,71.51580963,,,,143.313,percent of total billed charges,42.78967287,,,,143.313,percent of total billed charges,71.51580963,,,,143.313,percent of total billed charges,42.78967287,,,,143.313,percent of total billed charges,71.51580963,,,,143.313,percent of total billed charges,42.78967287,,,,141.906,percent of total billed charges,140.8293206,,,,141.906,percent of total billed charges,97.1288662,,,,,,,,,,144.72,percent of total billed charges,94.06459443,,,,,,,,,,144.72,percent of total billed charges,999999999,,,,,,,,,,160.8,percent of total billed charges,134.7420413,,,,158.79,percent of total billed charges,153.2391835,,,,158.79,percent of total billed charges,135.3918911,,,,160.8,percent of total billed charges,999999999,,,,160.8,percent of total billed charges,999999999,,,,140.7,percent of total billed charges,999999999,,,,140.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,106.932,percent of total billed charges,999999999,,,,,,,,,,,,,,,,101.505,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,50.25,percent of total billed charges,47.7252084,,,,,,,,,,50.25,percent of total billed charges,46.93133203,,,,,,,,,,50.25,percent of total billed charges,46.80091187,,,,,,,,,,50.25,percent of total billed charges,46.11176901,,,,,,,,,,50.25,percent of total billed charges,47.29829262,,,,,,,,,,50.25,percent of total billed charges,999999999,,,,,,,,,,50.25,percent of total billed charges,40.58526581,,,,,,,,,,50.25,percent of total billed charges,64.00576294,,,,,,,,,,50.25,percent of total billed charges,999999999,,,,,,,,,,50.25,percent of total billed charges,43.76084239,,,,,,,,,,180.9,percent of total billed charges,,,,,
EXTRACTRABLE NUCLEAR ANTIGEN(*),86235,CDM,,,,both,,,185,185,39.38352976,185,185,percent of total billed charges,136.1110723,,,,185,percent of total billed charges,144.2750454,,,,185,percent of total billed charges,136.1110723,,,,185,percent of total billed charges,144.2750454,,,,185,percent of total billed charges,999999999,,,,185,percent of total billed charges,140.957285,,,,185,percent of total billed charges,136.1110723,,,,185,percent of total billed charges,144.2750454,,,,131.905,percent of total billed charges,65.82300887,,,,131.905,percent of total billed charges,39.38352976,,,,131.905,percent of total billed charges,65.82300887,,,,131.905,percent of total billed charges,39.38352976,,,,131.905,percent of total billed charges,65.82300887,,,,131.905,percent of total billed charges,39.38352976,,,,130.61,percent of total billed charges,129.6190264,,,,130.61,percent of total billed charges,89.39721516,,,,,,,,,,133.2,percent of total billed charges,86.57686552,,,,,,,,,,133.2,percent of total billed charges,999999999,,,,,,,,,,148,percent of total billed charges,124.0163067,,,,146.15,percent of total billed charges,141.0410396,,,,146.15,percent of total billed charges,124.6144271,,,,148,percent of total billed charges,999999999,,,,148,percent of total billed charges,999999999,,,,129.5,percent of total billed charges,999999999,,,,129.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,98.42,percent of total billed charges,999999999,,,,,,,,,,,,,,,,93.425,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,46.25,percent of total billed charges,43.92618684,,,,,,,,,,46.25,percent of total billed charges,43.19550461,,,,,,,,,,46.25,percent of total billed charges,43.07546615,,,,,,,,,,46.25,percent of total billed charges,42.44118043,,,,,,,,,,46.25,percent of total billed charges,43.5332544,,,,,,,,,,46.25,percent of total billed charges,999999999,,,,,,,,,,46.25,percent of total billed charges,37.35459789,,,,,,,,,,46.25,percent of total billed charges,58.91077683,,,,,,,,,,46.25,percent of total billed charges,999999999,,,,,,,,,,46.25,percent of total billed charges,40.27739225,,,,,,,,,,166.5,percent of total billed charges,,,,,
NUCLEAR ANTIGEN ANTIBODY,86235,CDM,,,,both,,,217,217,46.19581598,217,217,percent of total billed charges,159.6546091,,,,217,percent of total billed charges,169.2307289,,,,217,percent of total billed charges,159.6546091,,,,217,percent of total billed charges,169.2307289,,,,217,percent of total billed charges,999999999,,,,217,percent of total billed charges,165.3390857,,,,217,percent of total billed charges,159.6546091,,,,217,percent of total billed charges,169.2307289,,,,154.721,percent of total billed charges,77.2086104,,,,154.721,percent of total billed charges,46.19581598,,,,154.721,percent of total billed charges,77.2086104,,,,154.721,percent of total billed charges,46.19581598,,,,154.721,percent of total billed charges,77.2086104,,,,154.721,percent of total billed charges,46.19581598,,,,153.202,percent of total billed charges,152.0396148,,,,153.202,percent of total billed charges,104.8605172,,,,,,,,,,156.24,percent of total billed charges,101.5523233,,,,,,,,,,156.24,percent of total billed charges,999999999,,,,,,,,,,173.6,percent of total billed charges,145.467776,,,,171.43,percent of total billed charges,165.4373275,,,,171.43,percent of total billed charges,146.1693551,,,,173.6,percent of total billed charges,999999999,,,,173.6,percent of total billed charges,999999999,,,,151.9,percent of total billed charges,999999999,,,,151.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,115.444,percent of total billed charges,999999999,,,,,,,,,,,,,,,,109.585,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,54.25,percent of total billed charges,51.52422996,,,,,,,,,,54.25,percent of total billed charges,50.66715946,,,,,,,,,,54.25,percent of total billed charges,50.52635759,,,,,,,,,,54.25,percent of total billed charges,49.78235759,,,,,,,,,,54.25,percent of total billed charges,51.06333084,,,,,,,,,,54.25,percent of total billed charges,999999999,,,,,,,,,,54.25,percent of total billed charges,43.81593374,,,,,,,,,,54.25,percent of total billed charges,69.10074904,,,,,,,,,,54.25,percent of total billed charges,999999999,,,,,,,,,,54.25,percent of total billed charges,47.24429253,,,,,,,,,,195.3,percent of total billed charges,,,,,
CLOT FACTOR VIII RISTOCTN,85245,CDM,,,,both,,,331,331,70.46458567,331,331,percent of total billed charges,243.528459,,,,331,percent of total billed charges,258.1353514,,,,331,percent of total billed charges,243.528459,,,,331,percent of total billed charges,258.1353514,,,,331,percent of total billed charges,999999999,,,,331,percent of total billed charges,252.1992505,,,,331,percent of total billed charges,243.528459,,,,331,percent of total billed charges,258.1353514,,,,236.003,percent of total billed charges,117.7698159,,,,236.003,percent of total billed charges,70.46458567,,,,236.003,percent of total billed charges,117.7698159,,,,236.003,percent of total billed charges,70.46458567,,,,236.003,percent of total billed charges,117.7698159,,,,236.003,percent of total billed charges,70.46458567,,,,233.686,percent of total billed charges,231.9129608,,,,233.686,percent of total billed charges,159.9485309,,,,,,,,,,238.32,percent of total billed charges,154.9023918,,,,,,,,,,238.32,percent of total billed charges,999999999,,,,,,,,,,264.8,percent of total billed charges,221.8886352,,,,261.49,percent of total billed charges,252.3491032,,,,261.49,percent of total billed charges,222.9587858,,,,264.8,percent of total billed charges,999999999,,,,264.8,percent of total billed charges,999999999,,,,231.7,percent of total billed charges,999999999,,,,231.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,176.092,percent of total billed charges,999999999,,,,,,,,,,,,,,,,167.155,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,82.75,percent of total billed charges,78.59225861,,,,,,,,,,82.75,percent of total billed charges,77.28492986,,,,,,,,,,82.75,percent of total billed charges,77.07015835,,,,,,,,,,82.75,percent of total billed charges,75.93530121,,,,,,,,,,82.75,percent of total billed charges,77.88922814,,,,,,,,,,82.75,percent of total billed charges,999999999,,,,,,,,,,82.75,percent of total billed charges,66.83444271,,,,,,,,,,82.75,percent of total billed charges,105.402525,,,,,,,,,,82.75,percent of total billed charges,999999999,,,,,,,,,,82.75,percent of total billed charges,72.06387478,,,,,,,,,,297.9,percent of total billed charges,,,,,
FREE T4,84439,CDM,,,,both,,,211,211,44.91851232,211,211,percent of total billed charges,155.2401959,,,,211,percent of total billed charges,164.5515382,,,,211,percent of total billed charges,155.2401959,,,,211,percent of total billed charges,164.5515382,,,,211,percent of total billed charges,999999999,,,,211,percent of total billed charges,160.7674981,,,,211,percent of total billed charges,155.2401959,,,,211,percent of total billed charges,164.5515382,,,,150.443,percent of total billed charges,75.07381011,,,,150.443,percent of total billed charges,44.91851232,,,,150.443,percent of total billed charges,75.07381011,,,,150.443,percent of total billed charges,44.91851232,,,,150.443,percent of total billed charges,75.07381011,,,,150.443,percent of total billed charges,44.91851232,,,,148.966,percent of total billed charges,147.8357545,,,,148.966,percent of total billed charges,101.9611481,,,,,,,,,,151.92,percent of total billed charges,98.744425,,,,,,,,,,151.92,percent of total billed charges,999999999,,,,,,,,,,168.8,percent of total billed charges,141.4456255,,,,166.69,percent of total billed charges,160.8630235,,,,166.69,percent of total billed charges,142.1278061,,,,168.8,percent of total billed charges,999999999,,,,168.8,percent of total billed charges,999999999,,,,147.7,percent of total billed charges,999999999,,,,147.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,112.252,percent of total billed charges,999999999,,,,,,,,,,,,,,,,106.555,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,52.75,percent of total billed charges,50.09959688,,,,,,,,,,52.75,percent of total billed charges,49.26622417,,,,,,,,,,52.75,percent of total billed charges,49.12931545,,,,,,,,,,52.75,percent of total billed charges,48.40588687,,,,,,,,,,52.75,percent of total billed charges,49.6514415,,,,,,,,,,52.75,percent of total billed charges,999999999,,,,,,,,,,52.75,percent of total billed charges,42.60443327,,,,,,,,,,52.75,percent of total billed charges,67.19012925,,,,,,,,,,52.75,percent of total billed charges,999999999,,,,,,,,,,52.75,percent of total billed charges,45.93799872,,,,,,,,,,189.9,percent of total billed charges,,,,,
INSITU HYBRIDIZATION FISH (INITIAL),88365,CDM,,,,both,,,547,547,116.4475177,547,547,percent of total billed charges,402.4473326,,,,547,percent of total billed charges,426.5862152,,,,547,percent of total billed charges,402.4473326,,,,547,percent of total billed charges,426.5862152,,,,547,percent of total billed charges,999999999,,,,547,percent of total billed charges,416.7764049,,,,547,percent of total billed charges,402.4473326,,,,547,percent of total billed charges,426.5862152,,,,390.011,percent of total billed charges,194.6226262,,,,390.011,percent of total billed charges,116.4475177,,,,390.011,percent of total billed charges,194.6226262,,,,390.011,percent of total billed charges,116.4475177,,,,390.011,percent of total billed charges,194.6226262,,,,390.011,percent of total billed charges,116.4475177,,,,386.182,percent of total billed charges,383.2519322,,,,386.182,percent of total billed charges,264.32582,,,,,,,,,,393.84,percent of total billed charges,255.9867321,,,,,,,,,,393.84,percent of total billed charges,999999999,,,,,,,,,,437.6,percent of total billed charges,366.6860528,,,,432.13,percent of total billed charges,417.0240467,,,,432.13,percent of total billed charges,368.4545494,,,,437.6,percent of total billed charges,999999999,,,,437.6,percent of total billed charges,999999999,,,,382.9,percent of total billed charges,999999999,,,,382.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,291.004,percent of total billed charges,999999999,,,,,,,,,,,,,,,,276.235,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,136.75,percent of total billed charges,129.8790497,,,,,,,,,,136.75,percent of total billed charges,127.7186001,,,,,,,,,,136.75,percent of total billed charges,127.3636756,,,,,,,,,,136.75,percent of total billed charges,125.488247,,,,,,,,,,136.75,percent of total billed charges,128.7172441,,,,,,,,,,136.75,percent of total billed charges,999999999,,,,,,,,,,136.75,percent of total billed charges,110.4484597,,,,,,,,,,136.75,percent of total billed charges,174.1848374,,,,,,,,,,136.75,percent of total billed charges,999999999,,,,,,,,,,136.75,percent of total billed charges,119.0904517,,,,,,,,,,492.3,percent of total billed charges,,,,,
FREE DILANTIN(*),80185,CDM,,,,both,,,222,222,47.26023571,222,222,percent of total billed charges,163.3332867,,,,222,percent of total billed charges,173.1300544,,,,222,percent of total billed charges,163.3332867,,,,222,percent of total billed charges,173.1300544,,,,222,percent of total billed charges,999999999,,,,222,percent of total billed charges,169.148742,,,,222,percent of total billed charges,163.3332867,,,,222,percent of total billed charges,173.1300544,,,,158.286,percent of total billed charges,78.98761064,,,,158.286,percent of total billed charges,47.26023571,,,,158.286,percent of total billed charges,78.98761064,,,,158.286,percent of total billed charges,47.26023571,,,,158.286,percent of total billed charges,78.98761064,,,,158.286,percent of total billed charges,47.26023571,,,,156.732,percent of total billed charges,155.5428317,,,,156.732,percent of total billed charges,107.2766582,,,,,,,,,,159.84,percent of total billed charges,103.8922386,,,,,,,,,,159.84,percent of total billed charges,999999999,,,,,,,,,,177.6,percent of total billed charges,148.819568,,,,175.38,percent of total billed charges,169.2492475,,,,175.38,percent of total billed charges,149.5373125,,,,177.6,percent of total billed charges,999999999,,,,177.6,percent of total billed charges,999999999,,,,155.4,percent of total billed charges,999999999,,,,155.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,118.104,percent of total billed charges,999999999,,,,,,,,,,,,,,,,112.11,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,55.5,percent of total billed charges,52.7114242,,,,,,,,,,55.5,percent of total billed charges,51.83460553,,,,,,,,,,55.5,percent of total billed charges,51.69055938,,,,,,,,,,55.5,percent of total billed charges,50.92941652,,,,,,,,,,55.5,percent of total billed charges,52.23990528,,,,,,,,,,55.5,percent of total billed charges,999999999,,,,,,,,,,55.5,percent of total billed charges,44.82551747,,,,,,,,,,55.5,percent of total billed charges,70.6929322,,,,,,,,,,55.5,percent of total billed charges,999999999,,,,,,,,,,55.5,percent of total billed charges,48.3328707,,,,,,,,,,199.8,percent of total billed charges,,,,,
PYRUVATE KINASE,84220,CDM,,,,both,,,211,211,44.91851232,211,211,percent of total billed charges,155.2401959,,,,211,percent of total billed charges,164.5515382,,,,211,percent of total billed charges,155.2401959,,,,211,percent of total billed charges,164.5515382,,,,211,percent of total billed charges,999999999,,,,211,percent of total billed charges,160.7674981,,,,211,percent of total billed charges,155.2401959,,,,211,percent of total billed charges,164.5515382,,,,150.443,percent of total billed charges,75.07381011,,,,150.443,percent of total billed charges,44.91851232,,,,150.443,percent of total billed charges,75.07381011,,,,150.443,percent of total billed charges,44.91851232,,,,150.443,percent of total billed charges,75.07381011,,,,150.443,percent of total billed charges,44.91851232,,,,148.966,percent of total billed charges,147.8357545,,,,148.966,percent of total billed charges,101.9611481,,,,,,,,,,151.92,percent of total billed charges,98.744425,,,,,,,,,,151.92,percent of total billed charges,999999999,,,,,,,,,,168.8,percent of total billed charges,141.4456255,,,,166.69,percent of total billed charges,160.8630235,,,,166.69,percent of total billed charges,142.1278061,,,,168.8,percent of total billed charges,999999999,,,,168.8,percent of total billed charges,999999999,,,,147.7,percent of total billed charges,999999999,,,,147.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,112.252,percent of total billed charges,999999999,,,,,,,,,,,,,,,,106.555,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,52.75,percent of total billed charges,50.09959688,,,,,,,,,,52.75,percent of total billed charges,49.26622417,,,,,,,,,,52.75,percent of total billed charges,49.12931545,,,,,,,,,,52.75,percent of total billed charges,48.40588687,,,,,,,,,,52.75,percent of total billed charges,49.6514415,,,,,,,,,,52.75,percent of total billed charges,999999999,,,,,,,,,,52.75,percent of total billed charges,42.60443327,,,,,,,,,,52.75,percent of total billed charges,67.19012925,,,,,,,,,,52.75,percent of total billed charges,999999999,,,,,,,,,,52.75,percent of total billed charges,45.93799872,,,,,,,,,,189.9,percent of total billed charges,,,,,
DEOXYRIBONUCLEASE ANTIBODY,86215,CDM,,,,both,,,137,137,29.16510041,137,137,percent of total billed charges,100.795767,,,,137,percent of total billed charges,106.8415201,,,,137,percent of total billed charges,100.795767,,,,137,percent of total billed charges,106.8415201,,,,137,percent of total billed charges,999999999,,,,137,percent of total billed charges,104.384584,,,,137,percent of total billed charges,100.795767,,,,137,percent of total billed charges,106.8415201,,,,97.681,percent of total billed charges,48.74460657,,,,97.681,percent of total billed charges,29.16510041,,,,97.681,percent of total billed charges,48.74460657,,,,97.681,percent of total billed charges,29.16510041,,,,97.681,percent of total billed charges,48.74460657,,,,97.681,percent of total billed charges,29.16510041,,,,96.722,percent of total billed charges,95.98814389,,,,96.722,percent of total billed charges,66.20226204,,,,,,,,,,98.64,percent of total billed charges,64.11367879,,,,,,,,,,98.64,percent of total billed charges,999999999,,,,,,,,,,109.6,percent of total billed charges,91.8391028,,,,108.23,percent of total billed charges,104.4466077,,,,108.23,percent of total billed charges,92.28203522,,,,109.6,percent of total billed charges,999999999,,,,109.6,percent of total billed charges,999999999,,,,95.9,percent of total billed charges,999999999,,,,95.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,72.884,percent of total billed charges,999999999,,,,,,,,,,,,,,,,69.185,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,34.25,percent of total billed charges,32.52912214,,,,,,,,,,34.25,percent of total billed charges,31.98802233,,,,,,,,,,34.25,percent of total billed charges,31.89912899,,,,,,,,,,34.25,percent of total billed charges,31.4294147,,,,,,,,,,34.25,percent of total billed charges,32.23813974,,,,,,,,,,34.25,percent of total billed charges,999999999,,,,,,,,,,34.25,percent of total billed charges,27.66259411,,,,,,,,,,34.25,percent of total billed charges,43.62581852,,,,,,,,,,34.25,percent of total billed charges,999999999,,,,,,,,,,34.25,percent of total billed charges,29.82704183,,,,,,,,,,123.3,percent of total billed charges,,,,,
HLA I & II Typing LR,81370,CDM,,,,both,,,2994,2994,637.3745302,2994,2994,percent of total billed charges,2202.792164,,,,2994,percent of total billed charges,2334.916139,,,,2994,percent of total billed charges,2202.792164,,,,2994,percent of total billed charges,2334.916139,,,,2994,percent of total billed charges,999999999,,,,2994,percent of total billed charges,2281.222224,,,,2994,percent of total billed charges,2202.792164,,,,2994,percent of total billed charges,2334.916139,,,,2134.722,percent of total billed charges,1065.265343,,,,2134.722,percent of total billed charges,637.3745302,,,,2134.722,percent of total billed charges,1065.265343,,,,2134.722,percent of total billed charges,637.3745302,,,,2134.722,percent of total billed charges,1065.265343,,,,2134.722,percent of total billed charges,637.3745302,,,,2113.764,percent of total billed charges,2097.726298,,,,2113.764,percent of total billed charges,1446.785201,,,,,,,,,,2155.68,percent of total billed charges,1401.141272,,,,,,,,,,2155.68,percent of total billed charges,999999999,,,,,,,,,,2395.2,percent of total billed charges,2007.053093,,,,2365.26,percent of total billed charges,2282.577689,,,,2365.26,percent of total billed charges,2016.732945,,,,2395.2,percent of total billed charges,999999999,,,,2395.2,percent of total billed charges,999999999,,,,2095.8,percent of total billed charges,999999999,,,,2095.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1592.808,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1511.97,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,748.5,percent of total billed charges,710.8919102,,,,,,,,,,748.5,percent of total billed charges,699.066707,,,,,,,,,,748.5,percent of total billed charges,697.1240305,,,,,,,,,,748.5,percent of total billed charges,686.8588877,,,,,,,,,,748.5,percent of total billed charges,704.5327766,,,,,,,,,,748.5,percent of total billed charges,999999999,,,,,,,,,,748.5,percent of total billed charges,604.5387356,,,,,,,,,,748.5,percent of total billed charges,953.3992748,,,,,,,,,,748.5,percent of total billed charges,999999999,,,,,,,,,,748.5,percent of total billed charges,651.8406075,,,,,,,,,,2694.6,percent of total billed charges,,,,,
HLA II TYPING 1 LOCUS LR,81376,CDM,,,,both,,,590,590,125.6015273,590,590,percent of total billed charges,434.0839602,,,,590,percent of total billed charges,460.1204149,,,,590,percent of total billed charges,434.0839602,,,,590,percent of total billed charges,460.1204149,,,,590,percent of total billed charges,999999999,,,,590,percent of total billed charges,449.5394496,,,,590,percent of total billed charges,434.0839602,,,,590,percent of total billed charges,460.1204149,,,,420.67,percent of total billed charges,209.9220283,,,,420.67,percent of total billed charges,125.6015273,,,,420.67,percent of total billed charges,209.9220283,,,,420.67,percent of total billed charges,125.6015273,,,,420.67,percent of total billed charges,209.9220283,,,,420.67,percent of total billed charges,125.6015273,,,,416.54,percent of total billed charges,413.3795978,,,,416.54,percent of total billed charges,285.1046321,,,,,,,,,,424.8,percent of total billed charges,276.1100036,,,,,,,,,,424.8,percent of total billed charges,999999999,,,,,,,,,,472,percent of total billed charges,395.5114646,,,,466.1,percent of total billed charges,449.8065586,,,,466.1,percent of total billed charges,397.4189838,,,,472,percent of total billed charges,999999999,,,,472,percent of total billed charges,999999999,,,,413,percent of total billed charges,999999999,,,,413,percent of total billed charges,999999999,,,,,,,,,,,,,,,,313.88,percent of total billed charges,999999999,,,,,,,,,,,,,,,,297.95,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,147.5,percent of total billed charges,140.0889202,,,,,,,,,,147.5,percent of total billed charges,137.7586363,,,,,,,,,,147.5,percent of total billed charges,137.375811,,,,,,,,,,147.5,percent of total billed charges,135.3529538,,,,,,,,,,147.5,percent of total billed charges,138.8357843,,,,,,,,,,147.5,percent of total billed charges,999999999,,,,,,,,,,147.5,percent of total billed charges,119.1308798,,,,,,,,,,147.5,percent of total billed charges,187.8776126,,,,,,,,,,147.5,percent of total billed charges,999999999,,,,,,,,,,147.5,percent of total billed charges,128.4522239,,,,,,,,,,531,percent of total billed charges,,,,,
HHV 6 DNA QUANT,87533,CDM,,,,both,,,567,567,120.7051966,567,567,percent of total billed charges,417.1620431,,,,567,percent of total billed charges,442.1835174,,,,567,percent of total billed charges,417.1620431,,,,567,percent of total billed charges,442.1835174,,,,567,percent of total billed charges,999999999,,,,567,percent of total billed charges,432.0150303,,,,567,percent of total billed charges,417.1620431,,,,567,percent of total billed charges,442.1835174,,,,404.271,percent of total billed charges,201.7386272,,,,404.271,percent of total billed charges,120.7051966,,,,404.271,percent of total billed charges,201.7386272,,,,404.271,percent of total billed charges,120.7051966,,,,404.271,percent of total billed charges,201.7386272,,,,404.271,percent of total billed charges,120.7051966,,,,400.302,percent of total billed charges,397.2647999,,,,400.302,percent of total billed charges,273.9903838,,,,,,,,,,408.24,percent of total billed charges,265.3463933,,,,,,,,,,408.24,percent of total billed charges,999999999,,,,,,,,,,453.6,percent of total billed charges,380.0932211,,,,447.93,percent of total billed charges,432.2717266,,,,447.93,percent of total billed charges,381.9263793,,,,453.6,percent of total billed charges,999999999,,,,453.6,percent of total billed charges,999999999,,,,396.9,percent of total billed charges,999999999,,,,396.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,301.644,percent of total billed charges,999999999,,,,,,,,,,,,,,,,286.335,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,141.75,percent of total billed charges,134.6278267,,,,,,,,,,141.75,percent of total billed charges,132.3883844,,,,,,,,,,141.75,percent of total billed charges,132.0204827,,,,,,,,,,141.75,percent of total billed charges,130.0764827,,,,,,,,,,141.75,percent of total billed charges,133.4235419,,,,,,,,,,141.75,percent of total billed charges,999999999,,,,,,,,,,141.75,percent of total billed charges,114.4867946,,,,,,,,,,141.75,percent of total billed charges,180.5535701,,,,,,,,,,141.75,percent of total billed charges,999999999,,,,,,,,,,141.75,percent of total billed charges,123.4447643,,,,,,,,,,510.3,percent of total billed charges,,,,,
HC03 -BICARB,82374,CDM,,,,both,,,141,141,30.01663619,141,141,percent of total billed charges,103.7387091,,,,141,percent of total billed charges,109.9609805,,,,141,percent of total billed charges,103.7387091,,,,141,percent of total billed charges,109.9609805,,,,141,percent of total billed charges,999999999,,,,141,percent of total billed charges,107.4323091,,,,141,percent of total billed charges,103.7387091,,,,141,percent of total billed charges,109.9609805,,,,100.533,percent of total billed charges,50.16780676,,,,100.533,percent of total billed charges,30.01663619,,,,100.533,percent of total billed charges,50.16780676,,,,100.533,percent of total billed charges,30.01663619,,,,100.533,percent of total billed charges,50.16780676,,,,100.533,percent of total billed charges,30.01663619,,,,99.546,percent of total billed charges,98.79071744,,,,99.546,percent of total billed charges,68.1351748,,,,,,,,,,101.52,percent of total billed charges,65.98561102,,,,,,,,,,101.52,percent of total billed charges,999999999,,,,,,,,,,112.8,percent of total billed charges,94.52053646,,,,111.39,percent of total billed charges,107.4961437,,,,111.39,percent of total billed charges,94.97640121,,,,112.8,percent of total billed charges,999999999,,,,112.8,percent of total billed charges,999999999,,,,98.7,percent of total billed charges,999999999,,,,98.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,75.012,percent of total billed charges,999999999,,,,,,,,,,,,,,,,71.205,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,35.25,percent of total billed charges,33.47887753,,,,,,,,,,35.25,percent of total billed charges,32.92197919,,,,,,,,,,35.25,percent of total billed charges,32.83049042,,,,,,,,,,35.25,percent of total billed charges,32.34706184,,,,,,,,,,35.25,percent of total billed charges,33.1793993,,,,,,,,,,35.25,percent of total billed charges,999999999,,,,,,,,,,35.25,percent of total billed charges,28.47026109,,,,,,,,,,35.25,percent of total billed charges,44.89956504,,,,,,,,,,35.25,percent of total billed charges,999999999,,,,,,,,,,35.25,percent of total billed charges,30.69790436,,,,,,,,,,126.9,percent of total billed charges,,,,,
PH BODY FLUID,83986,CDM,,,,both,,,79,79,16.81783163,79,79,percent of total billed charges,58.12310653,,,,79,percent of total billed charges,61.60934369,,,,79,percent of total billed charges,58.12310653,,,,79,percent of total billed charges,61.60934369,,,,79,percent of total billed charges,999999999,,,,79,percent of total billed charges,60.19257036,,,,79,percent of total billed charges,58.12310653,,,,79,percent of total billed charges,61.60934369,,,,56.327,percent of total billed charges,28.10820379,,,,56.327,percent of total billed charges,16.81783163,,,,56.327,percent of total billed charges,28.10820379,,,,56.327,percent of total billed charges,16.81783163,,,,56.327,percent of total billed charges,28.10820379,,,,56.327,percent of total billed charges,16.81783163,,,,55.774,percent of total billed charges,55.3508275,,,,55.774,percent of total billed charges,38.17502701,,,,,,,,,,56.88,percent of total billed charges,36.97066149,,,,,,,,,,56.88,percent of total billed charges,999999999,,,,,,,,,,63.2,percent of total billed charges,52.95831475,,,,62.41,percent of total billed charges,60.22833581,,,,62.41,percent of total billed charges,53.21372834,,,,63.2,percent of total billed charges,999999999,,,,63.2,percent of total billed charges,999999999,,,,55.3,percent of total billed charges,999999999,,,,55.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,42.028,percent of total billed charges,999999999,,,,,,,,,,,,,,,,39.895,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19.75,percent of total billed charges,18.75766897,,,,,,,,,,19.75,percent of total billed charges,18.44564791,,,,,,,,,,19.75,percent of total billed charges,18.39438825,,,,,,,,,,19.75,percent of total billed charges,18.1235311,,,,,,,,,,19.75,percent of total billed charges,18.5898762,,,,,,,,,,19.75,percent of total billed charges,999999999,,,,,,,,,,19.75,percent of total billed charges,15.95142288,,,,,,,,,,19.75,percent of total billed charges,25.15649389,,,,,,,,,,19.75,percent of total billed charges,999999999,,,,,,,,,,19.75,percent of total billed charges,17.19953507,,,,,,,,,,71.1,percent of total billed charges,,,,,
ACID PHOSPHATASE PROSTATIC(*),84066,CDM,,,,both,,,154,154,32.78412747,154,154,percent of total billed charges,113.303271,,,,154,percent of total billed charges,120.0992269,,,,154,percent of total billed charges,113.303271,,,,154,percent of total billed charges,120.0992269,,,,154,percent of total billed charges,999999999,,,,154,percent of total billed charges,117.3374156,,,,154,percent of total billed charges,113.303271,,,,154,percent of total billed charges,120.0992269,,,,109.802,percent of total billed charges,54.79320738,,,,109.802,percent of total billed charges,32.78412747,,,,109.802,percent of total billed charges,54.79320738,,,,109.802,percent of total billed charges,32.78412747,,,,109.802,percent of total billed charges,54.79320738,,,,109.802,percent of total billed charges,32.78412747,,,,108.724,percent of total billed charges,107.8990815,,,,108.724,percent of total billed charges,74.41714127,,,,,,,,,,110.88,percent of total billed charges,72.06939076,,,,,,,,,,110.88,percent of total billed charges,999999999,,,,,,,,,,123.2,percent of total billed charges,103.2351958,,,,121.66,percent of total billed charges,117.4071356,,,,121.66,percent of total billed charges,103.7330907,,,,123.2,percent of total billed charges,999999999,,,,123.2,percent of total billed charges,999999999,,,,107.8,percent of total billed charges,999999999,,,,107.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,81.928,percent of total billed charges,999999999,,,,,,,,,,,,,,,,77.77,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,38.5,percent of total billed charges,36.56558256,,,,,,,,,,38.5,percent of total billed charges,35.95733897,,,,,,,,,,38.5,percent of total billed charges,35.85741506,,,,,,,,,,38.5,percent of total billed charges,35.32941506,,,,,,,,,,38.5,percent of total billed charges,36.23849285,,,,,,,,,,38.5,percent of total billed charges,999999999,,,,,,,,,,38.5,percent of total billed charges,31.09517878,,,,,,,,,,38.5,percent of total billed charges,49.03924125,,,,,,,,,,38.5,percent of total billed charges,999999999,,,,,,,,,,38.5,percent of total billed charges,33.5282076,,,,,,,,,,138.6,percent of total billed charges,,,,,
APOB(*),82172,CDM,,,,both,,,127,127,27.03626097,127,127,percent of total billed charges,93.43841177,,,,127,percent of total billed charges,99.04286897,,,,127,percent of total billed charges,93.43841177,,,,127,percent of total billed charges,99.04286897,,,,127,percent of total billed charges,999999999,,,,127,percent of total billed charges,96.76527134,,,,127,percent of total billed charges,93.43841177,,,,127,percent of total billed charges,99.04286897,,,,90.551,percent of total billed charges,45.18660609,,,,90.551,percent of total billed charges,27.03626097,,,,90.551,percent of total billed charges,45.18660609,,,,90.551,percent of total billed charges,27.03626097,,,,90.551,percent of total billed charges,45.18660609,,,,90.551,percent of total billed charges,27.03626097,,,,89.662,percent of total billed charges,88.98171003,,,,89.662,percent of total billed charges,61.36998014,,,,,,,,,,91.44,percent of total billed charges,59.43384822,,,,,,,,,,91.44,percent of total billed charges,999999999,,,,,,,,,,101.6,percent of total billed charges,85.13551865,,,,100.33,percent of total billed charges,96.82276769,,,,100.33,percent of total billed charges,85.54612024,,,,101.6,percent of total billed charges,999999999,,,,101.6,percent of total billed charges,999999999,,,,88.9,percent of total billed charges,999999999,,,,88.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,67.564,percent of total billed charges,999999999,,,,,,,,,,,,,,,,64.135,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,31.75,percent of total billed charges,30.15473367,,,,,,,,,,31.75,percent of total billed charges,29.65313019,,,,,,,,,,31.75,percent of total billed charges,29.57072541,,,,,,,,,,31.75,percent of total billed charges,29.13529684,,,,,,,,,,31.75,percent of total billed charges,29.88499086,,,,,,,,,,31.75,percent of total billed charges,999999999,,,,,,,,,,31.75,percent of total billed charges,25.64342666,,,,,,,,,,31.75,percent of total billed charges,40.4414522,,,,,,,,,,31.75,percent of total billed charges,999999999,,,,,,,,,,31.75,percent of total billed charges,27.64988549,,,,,,,,,,114.3,percent of total billed charges,,,,,
LP (A)(*),83695,CDM,,,,both,,,176,176,37.46757425,176,176,percent of total billed charges,129.4894525,,,,176,percent of total billed charges,137.2562594,,,,176,percent of total billed charges,129.4894525,,,,176,percent of total billed charges,137.2562594,,,,176,percent of total billed charges,999999999,,,,176,percent of total billed charges,134.0999036,,,,176,percent of total billed charges,129.4894525,,,,176,percent of total billed charges,137.2562594,,,,125.488,percent of total billed charges,62.62080844,,,,125.488,percent of total billed charges,37.46757425,,,,125.488,percent of total billed charges,62.62080844,,,,125.488,percent of total billed charges,37.46757425,,,,125.488,percent of total billed charges,62.62080844,,,,125.488,percent of total billed charges,37.46757425,,,,124.256,percent of total billed charges,123.3132359,,,,124.256,percent of total billed charges,85.04816145,,,,,,,,,,126.72,percent of total billed charges,82.36501801,,,,,,,,,,126.72,percent of total billed charges,999999999,,,,,,,,,,140.8,percent of total billed charges,117.983081,,,,139.04,percent of total billed charges,134.1795836,,,,139.04,percent of total billed charges,118.5521036,,,,140.8,percent of total billed charges,999999999,,,,140.8,percent of total billed charges,999999999,,,,123.2,percent of total billed charges,999999999,,,,123.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,93.632,percent of total billed charges,999999999,,,,,,,,,,,,,,,,88.88,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,44,percent of total billed charges,41.78923721,,,,,,,,,,44,percent of total billed charges,41.09410168,,,,,,,,,,44,percent of total billed charges,40.97990293,,,,,,,,,,44,percent of total billed charges,40.37647436,,,,,,,,,,44,percent of total billed charges,41.4154204,,,,,,,,,,44,percent of total billed charges,999999999,,,,,,,,,,44,percent of total billed charges,35.53734718,,,,,,,,,,44,percent of total billed charges,56.04484715,,,,,,,,,,44,percent of total billed charges,999999999,,,,,,,,,,44,percent of total billed charges,38.31795154,,,,,,,,,,158.4,percent of total billed charges,,,,,
ALKALINE PHOSPHATASE ISOENZYME(*),84080,CDM,,,,both,,,218,218,46.40869993,218,218,percent of total billed charges,160.3903446,,,,218,percent of total billed charges,170.010594,,,,218,percent of total billed charges,160.3903446,,,,218,percent of total billed charges,170.010594,,,,218,percent of total billed charges,999999999,,,,218,percent of total billed charges,166.101017,,,,218,percent of total billed charges,160.3903446,,,,218,percent of total billed charges,170.010594,,,,155.434,percent of total billed charges,77.56441045,,,,155.434,percent of total billed charges,46.40869993,,,,155.434,percent of total billed charges,77.56441045,,,,155.434,percent of total billed charges,46.40869993,,,,155.434,percent of total billed charges,77.56441045,,,,155.434,percent of total billed charges,46.40869993,,,,153.908,percent of total billed charges,152.7402582,,,,153.908,percent of total billed charges,105.3437454,,,,,,,,,,156.96,percent of total billed charges,102.0203064,,,,,,,,,,156.96,percent of total billed charges,999999999,,,,,,,,,,174.4,percent of total billed charges,146.1381344,,,,172.22,percent of total billed charges,166.1997115,,,,172.22,percent of total billed charges,146.8429466,,,,174.4,percent of total billed charges,999999999,,,,174.4,percent of total billed charges,999999999,,,,152.6,percent of total billed charges,999999999,,,,152.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,115.976,percent of total billed charges,999999999,,,,,,,,,,,,,,,,110.09,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,54.5,percent of total billed charges,51.76166881,,,,,,,,,,54.5,percent of total billed charges,50.90064867,,,,,,,,,,54.5,percent of total billed charges,50.75919795,,,,,,,,,,54.5,percent of total billed charges,50.01176938,,,,,,,,,,54.5,percent of total billed charges,51.29864572,,,,,,,,,,54.5,percent of total billed charges,999999999,,,,,,,,,,54.5,percent of total billed charges,44.01785048,,,,,,,,,,54.5,percent of total billed charges,69.41918567,,,,,,,,,,54.5,percent of total billed charges,999999999,,,,,,,,,,54.5,percent of total billed charges,47.46200816,,,,,,,,,,196.2,percent of total billed charges,,,,,
EBV NUCLEAR ANTIGEN,86664,CDM,,,,both,,,187,187,39.80929764,187,187,percent of total billed charges,137.5825433,,,,187,percent of total billed charges,145.8347756,,,,187,percent of total billed charges,137.5825433,,,,187,percent of total billed charges,145.8347756,,,,187,percent of total billed charges,999999999,,,,187,percent of total billed charges,142.4811476,,,,187,percent of total billed charges,137.5825433,,,,187,percent of total billed charges,145.8347756,,,,133.331,percent of total billed charges,66.53460896,,,,133.331,percent of total billed charges,39.80929764,,,,133.331,percent of total billed charges,66.53460896,,,,133.331,percent of total billed charges,39.80929764,,,,133.331,percent of total billed charges,66.53460896,,,,133.331,percent of total billed charges,39.80929764,,,,132.022,percent of total billed charges,131.0203132,,,,132.022,percent of total billed charges,90.36367154,,,,,,,,,,134.64,percent of total billed charges,87.51283164,,,,,,,,,,134.64,percent of total billed charges,999999999,,,,,,,,,,149.6,percent of total billed charges,125.3570235,,,,147.73,percent of total billed charges,142.5658075,,,,147.73,percent of total billed charges,125.9616101,,,,149.6,percent of total billed charges,999999999,,,,149.6,percent of total billed charges,999999999,,,,130.9,percent of total billed charges,999999999,,,,130.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,99.484,percent of total billed charges,999999999,,,,,,,,,,,,,,,,94.435,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,46.75,percent of total billed charges,44.40106453,,,,,,,,,,46.75,percent of total billed charges,43.66248304,,,,,,,,,,46.75,percent of total billed charges,43.54114686,,,,,,,,,,46.75,percent of total billed charges,42.90000401,,,,,,,,,,46.75,percent of total billed charges,44.00388418,,,,,,,,,,46.75,percent of total billed charges,999999999,,,,,,,,,,46.75,percent of total billed charges,37.75843138,,,,,,,,,,46.75,percent of total billed charges,59.54765009,,,,,,,,,,46.75,percent of total billed charges,999999999,,,,,,,,,,46.75,percent of total billed charges,40.71282351,,,,,,,,,,168.3,percent of total billed charges,,,,,
ANTI ENDOMYSIAL ANTIBODY(*),83516,CDM,,,,both,,,225,225,47.89888754,225,225,percent of total billed charges,165.5404933,,,,225,percent of total billed charges,175.4696498,,,,225,percent of total billed charges,165.5404933,,,,225,percent of total billed charges,175.4696498,,,,225,percent of total billed charges,999999999,,,,225,percent of total billed charges,171.4345358,,,,225,percent of total billed charges,165.5404933,,,,225,percent of total billed charges,175.4696498,,,,160.425,percent of total billed charges,80.05501078,,,,160.425,percent of total billed charges,47.89888754,,,,160.425,percent of total billed charges,80.05501078,,,,160.425,percent of total billed charges,47.89888754,,,,160.425,percent of total billed charges,80.05501078,,,,160.425,percent of total billed charges,47.89888754,,,,158.85,percent of total billed charges,157.6447619,,,,158.85,percent of total billed charges,108.7263428,,,,,,,,,,162,percent of total billed charges,105.2961878,,,,,,,,,,162,percent of total billed charges,999999999,,,,,,,,,,180,percent of total billed charges,150.8306433,,,,177.75,percent of total billed charges,171.5363995,,,,177.75,percent of total billed charges,151.558087,,,,180,percent of total billed charges,999999999,,,,180,percent of total billed charges,999999999,,,,157.5,percent of total billed charges,999999999,,,,157.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,119.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,113.625,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,56.25,percent of total billed charges,53.42374075,,,,,,,,,,56.25,percent of total billed charges,52.53507317,,,,,,,,,,56.25,percent of total billed charges,52.38908045,,,,,,,,,,56.25,percent of total billed charges,51.61765188,,,,,,,,,,56.25,percent of total billed charges,52.94584995,,,,,,,,,,56.25,percent of total billed charges,999999999,,,,,,,,,,56.25,percent of total billed charges,45.4312677,,,,,,,,,,56.25,percent of total billed charges,71.64824209,,,,,,,,,,56.25,percent of total billed charges,999999999,,,,,,,,,,56.25,percent of total billed charges,48.9860176,,,,,,,,,,202.5,percent of total billed charges,,,,,
COCCIODOIDES ANTIBODY(*),86635,CDM,,,,both,,,158,158,33.63566325,158,158,percent of total billed charges,116.2462131,,,,158,percent of total billed charges,123.2186874,,,,158,percent of total billed charges,116.2462131,,,,158,percent of total billed charges,123.2186874,,,,158,percent of total billed charges,999999999,,,,158,percent of total billed charges,120.3851407,,,,158,percent of total billed charges,116.2462131,,,,158,percent of total billed charges,123.2186874,,,,112.654,percent of total billed charges,56.21640757,,,,112.654,percent of total billed charges,33.63566325,,,,112.654,percent of total billed charges,56.21640757,,,,112.654,percent of total billed charges,33.63566325,,,,112.654,percent of total billed charges,56.21640757,,,,112.654,percent of total billed charges,33.63566325,,,,111.548,percent of total billed charges,110.701655,,,,111.548,percent of total billed charges,76.35005403,,,,,,,,,,113.76,percent of total billed charges,73.94132299,,,,,,,,,,113.76,percent of total billed charges,999999999,,,,,,,,,,126.4,percent of total billed charges,105.9166295,,,,124.82,percent of total billed charges,120.4566716,,,,124.82,percent of total billed charges,106.4274567,,,,126.4,percent of total billed charges,999999999,,,,126.4,percent of total billed charges,999999999,,,,110.6,percent of total billed charges,999999999,,,,110.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,84.056,percent of total billed charges,999999999,,,,,,,,,,,,,,,,79.79,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,39.5,percent of total billed charges,37.51533795,,,,,,,,,,39.5,percent of total billed charges,36.89129583,,,,,,,,,,39.5,percent of total billed charges,36.7887765,,,,,,,,,,39.5,percent of total billed charges,36.24706221,,,,,,,,,,39.5,percent of total billed charges,37.17975241,,,,,,,,,,39.5,percent of total billed charges,999999999,,,,,,,,,,39.5,percent of total billed charges,31.90284576,,,,,,,,,,39.5,percent of total billed charges,50.31298778,,,,,,,,,,39.5,percent of total billed charges,999999999,,,,,,,,,,39.5,percent of total billed charges,34.39907014,,,,,,,,,,142.2,percent of total billed charges,,,,,
BLASTOMYCES SEROLOGY(*),86612,CDM,,,,both,,,166,166,35.33873481,166,166,percent of total billed charges,122.1320973,,,,166,percent of total billed charges,129.4576083,,,,166,percent of total billed charges,122.1320973,,,,166,percent of total billed charges,129.4576083,,,,166,percent of total billed charges,999999999,,,,166,percent of total billed charges,126.4805909,,,,166,percent of total billed charges,122.1320973,,,,166,percent of total billed charges,129.4576083,,,,118.358,percent of total billed charges,59.06280796,,,,118.358,percent of total billed charges,35.33873481,,,,118.358,percent of total billed charges,59.06280796,,,,118.358,percent of total billed charges,35.33873481,,,,118.358,percent of total billed charges,59.06280796,,,,118.358,percent of total billed charges,35.33873481,,,,117.196,percent of total billed charges,116.3068021,,,,117.196,percent of total billed charges,80.21587955,,,,,,,,,,119.52,percent of total billed charges,77.68518744,,,,,,,,,,119.52,percent of total billed charges,999999999,,,,,,,,,,132.8,percent of total billed charges,111.2794968,,,,131.14,percent of total billed charges,126.5557436,,,,131.14,percent of total billed charges,111.8161887,,,,132.8,percent of total billed charges,999999999,,,,132.8,percent of total billed charges,999999999,,,,116.2,percent of total billed charges,999999999,,,,116.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,88.312,percent of total billed charges,999999999,,,,,,,,,,,,,,,,83.83,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,41.5,percent of total billed charges,39.41484873,,,,,,,,,,41.5,percent of total billed charges,38.75920954,,,,,,,,,,41.5,percent of total billed charges,38.65149936,,,,,,,,,,41.5,percent of total billed charges,38.0823565,,,,,,,,,,41.5,percent of total billed charges,39.06227152,,,,,,,,,,41.5,percent of total billed charges,999999999,,,,,,,,,,41.5,percent of total billed charges,33.51817973,,,,,,,,,,41.5,percent of total billed charges,52.86048083,,,,,,,,,,41.5,percent of total billed charges,999999999,,,,,,,,,,41.5,percent of total billed charges,36.14079521,,,,,,,,,,149.4,percent of total billed charges,,,,,
ALPHA FETOPROTEIN SERUM(*),82105,CDM,,,,both,,,218,218,46.40869993,218,218,percent of total billed charges,160.3903446,,,,218,percent of total billed charges,170.010594,,,,218,percent of total billed charges,160.3903446,,,,218,percent of total billed charges,170.010594,,,,218,percent of total billed charges,999999999,,,,218,percent of total billed charges,166.101017,,,,218,percent of total billed charges,160.3903446,,,,218,percent of total billed charges,170.010594,,,,155.434,percent of total billed charges,77.56441045,,,,155.434,percent of total billed charges,46.40869993,,,,155.434,percent of total billed charges,77.56441045,,,,155.434,percent of total billed charges,46.40869993,,,,155.434,percent of total billed charges,77.56441045,,,,155.434,percent of total billed charges,46.40869993,,,,153.908,percent of total billed charges,152.7402582,,,,153.908,percent of total billed charges,105.3437454,,,,,,,,,,156.96,percent of total billed charges,102.0203064,,,,,,,,,,156.96,percent of total billed charges,999999999,,,,,,,,,,174.4,percent of total billed charges,146.1381344,,,,172.22,percent of total billed charges,166.1997115,,,,172.22,percent of total billed charges,146.8429466,,,,174.4,percent of total billed charges,999999999,,,,174.4,percent of total billed charges,999999999,,,,152.6,percent of total billed charges,999999999,,,,152.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,115.976,percent of total billed charges,999999999,,,,,,,,,,,,,,,,110.09,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,54.5,percent of total billed charges,51.76166881,,,,,,,,,,54.5,percent of total billed charges,50.90064867,,,,,,,,,,54.5,percent of total billed charges,50.75919795,,,,,,,,,,54.5,percent of total billed charges,50.01176938,,,,,,,,,,54.5,percent of total billed charges,51.29864572,,,,,,,,,,54.5,percent of total billed charges,999999999,,,,,,,,,,54.5,percent of total billed charges,44.01785048,,,,,,,,,,54.5,percent of total billed charges,69.41918567,,,,,,,,,,54.5,percent of total billed charges,999999999,,,,,,,,,,54.5,percent of total billed charges,47.46200816,,,,,,,,,,196.2,percent of total billed charges,,,,,
ALPHA FETOPROTEIN AMNIOTIC FLUID(*),82106,CDM,,,,both,,,233,233,49.6019591,233,233,percent of total billed charges,171.4263775,,,,233,percent of total billed charges,181.7085706,,,,233,percent of total billed charges,171.4263775,,,,233,percent of total billed charges,181.7085706,,,,233,percent of total billed charges,999999999,,,,233,percent of total billed charges,177.529986,,,,233,percent of total billed charges,171.4263775,,,,233,percent of total billed charges,181.7085706,,,,166.129,percent of total billed charges,82.90141117,,,,166.129,percent of total billed charges,49.6019591,,,,166.129,percent of total billed charges,82.90141117,,,,166.129,percent of total billed charges,49.6019591,,,,166.129,percent of total billed charges,82.90141117,,,,166.129,percent of total billed charges,49.6019591,,,,164.498,percent of total billed charges,163.249909,,,,164.498,percent of total billed charges,112.5921683,,,,,,,,,,167.76,percent of total billed charges,109.0400523,,,,,,,,,,167.76,percent of total billed charges,999999999,,,,,,,,,,186.4,percent of total billed charges,156.1935106,,,,184.07,percent of total billed charges,177.6354714,,,,184.07,percent of total billed charges,156.946819,,,,186.4,percent of total billed charges,999999999,,,,186.4,percent of total billed charges,999999999,,,,163.1,percent of total billed charges,999999999,,,,163.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,123.956,percent of total billed charges,999999999,,,,,,,,,,,,,,,,117.665,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,58.25,percent of total billed charges,55.32325153,,,,,,,,,,58.25,percent of total billed charges,54.40298688,,,,,,,,,,58.25,percent of total billed charges,54.25180331,,,,,,,,,,58.25,percent of total billed charges,53.45294617,,,,,,,,,,58.25,percent of total billed charges,54.82836905,,,,,,,,,,58.25,percent of total billed charges,999999999,,,,,,,,,,58.25,percent of total billed charges,47.04660167,,,,,,,,,,58.25,percent of total billed charges,74.19573514,,,,,,,,,,58.25,percent of total billed charges,999999999,,,,,,,,,,58.25,percent of total billed charges,50.72774267,,,,,,,,,,209.7,percent of total billed charges,,,,,
AFP3(*),82105,CDM,,,,both,,,218,218,46.40869993,218,218,percent of total billed charges,160.3903446,,,,218,percent of total billed charges,170.010594,,,,218,percent of total billed charges,160.3903446,,,,218,percent of total billed charges,170.010594,,,,218,percent of total billed charges,999999999,,,,218,percent of total billed charges,166.101017,,,,218,percent of total billed charges,160.3903446,,,,218,percent of total billed charges,170.010594,,,,155.434,percent of total billed charges,77.56441045,,,,155.434,percent of total billed charges,46.40869993,,,,155.434,percent of total billed charges,77.56441045,,,,155.434,percent of total billed charges,46.40869993,,,,155.434,percent of total billed charges,77.56441045,,,,155.434,percent of total billed charges,46.40869993,,,,153.908,percent of total billed charges,152.7402582,,,,153.908,percent of total billed charges,105.3437454,,,,,,,,,,156.96,percent of total billed charges,102.0203064,,,,,,,,,,156.96,percent of total billed charges,999999999,,,,,,,,,,174.4,percent of total billed charges,146.1381344,,,,172.22,percent of total billed charges,166.1997115,,,,172.22,percent of total billed charges,146.8429466,,,,174.4,percent of total billed charges,999999999,,,,174.4,percent of total billed charges,999999999,,,,152.6,percent of total billed charges,999999999,,,,152.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,115.976,percent of total billed charges,999999999,,,,,,,,,,,,,,,,110.09,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,54.5,percent of total billed charges,51.76166881,,,,,,,,,,54.5,percent of total billed charges,50.90064867,,,,,,,,,,54.5,percent of total billed charges,50.75919795,,,,,,,,,,54.5,percent of total billed charges,50.01176938,,,,,,,,,,54.5,percent of total billed charges,51.29864572,,,,,,,,,,54.5,percent of total billed charges,999999999,,,,,,,,,,54.5,percent of total billed charges,44.01785048,,,,,,,,,,54.5,percent of total billed charges,69.41918567,,,,,,,,,,54.5,percent of total billed charges,999999999,,,,,,,,,,54.5,percent of total billed charges,47.46200816,,,,,,,,,,196.2,percent of total billed charges,,,,,
BETA II MICROGLOBULIN(*),82232,CDM,,,,both,,,235,235,50.02772699,235,235,percent of total billed charges,172.8978485,,,,235,percent of total billed charges,183.2683009,,,,235,percent of total billed charges,172.8978485,,,,235,percent of total billed charges,183.2683009,,,,235,percent of total billed charges,999999999,,,,235,percent of total billed charges,179.0538486,,,,235,percent of total billed charges,172.8978485,,,,235,percent of total billed charges,183.2683009,,,,167.555,percent of total billed charges,83.61301126,,,,167.555,percent of total billed charges,50.02772699,,,,167.555,percent of total billed charges,83.61301126,,,,167.555,percent of total billed charges,50.02772699,,,,167.555,percent of total billed charges,83.61301126,,,,167.555,percent of total billed charges,50.02772699,,,,165.91,percent of total billed charges,164.6511957,,,,165.91,percent of total billed charges,113.5586247,,,,,,,,,,169.2,percent of total billed charges,109.9760184,,,,,,,,,,169.2,percent of total billed charges,999999999,,,,,,,,,,188,percent of total billed charges,157.5342274,,,,185.65,percent of total billed charges,179.1602394,,,,185.65,percent of total billed charges,158.294002,,,,188,percent of total billed charges,999999999,,,,188,percent of total billed charges,999999999,,,,164.5,percent of total billed charges,999999999,,,,164.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,125.02,percent of total billed charges,999999999,,,,,,,,,,,,,,,,118.675,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,58.75,percent of total billed charges,55.79812922,,,,,,,,,,58.75,percent of total billed charges,54.86996531,,,,,,,,,,58.75,percent of total billed charges,54.71748403,,,,,,,,,,58.75,percent of total billed charges,53.91176974,,,,,,,,,,58.75,percent of total billed charges,55.29899883,,,,,,,,,,58.75,percent of total billed charges,999999999,,,,,,,,,,58.75,percent of total billed charges,47.45043516,,,,,,,,,,58.75,percent of total billed charges,74.83260841,,,,,,,,,,58.75,percent of total billed charges,999999999,,,,,,,,,,58.75,percent of total billed charges,51.16317393,,,,,,,,,,211.5,percent of total billed charges,,,,,
CAT 9 HELICOBACTER PYLORI,86677,CDM,,,,both,,,182,182,38.74487792,182,182,percent of total billed charges,133.9038657,,,,182,percent of total billed charges,141.93545,,,,182,percent of total billed charges,133.9038657,,,,182,percent of total billed charges,141.93545,,,,182,percent of total billed charges,999999999,,,,182,percent of total billed charges,138.6714912,,,,182,percent of total billed charges,133.9038657,,,,182,percent of total billed charges,141.93545,,,,129.766,percent of total billed charges,64.75560872,,,,129.766,percent of total billed charges,38.74487792,,,,129.766,percent of total billed charges,64.75560872,,,,129.766,percent of total billed charges,38.74487792,,,,129.766,percent of total billed charges,64.75560872,,,,129.766,percent of total billed charges,38.74487792,,,,128.492,percent of total billed charges,127.5170963,,,,128.492,percent of total billed charges,87.94753059,,,,,,,,,,131.04,percent of total billed charges,85.17291635,,,,,,,,,,131.04,percent of total billed charges,999999999,,,,,,,,,,145.6,percent of total billed charges,122.0052315,,,,143.78,percent of total billed charges,138.7538876,,,,143.78,percent of total billed charges,122.5936526,,,,145.6,percent of total billed charges,999999999,,,,145.6,percent of total billed charges,999999999,,,,127.4,percent of total billed charges,999999999,,,,127.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,96.824,percent of total billed charges,999999999,,,,,,,,,,,,,,,,91.91,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45.5,percent of total billed charges,43.21387029,,,,,,,,,,45.5,percent of total billed charges,42.49503696,,,,,,,,,,45.5,percent of total billed charges,42.37694508,,,,,,,,,,45.5,percent of total billed charges,41.75294508,,,,,,,,,,45.5,percent of total billed charges,42.82730973,,,,,,,,,,45.5,percent of total billed charges,999999999,,,,,,,,,,45.5,percent of total billed charges,36.74884765,,,,,,,,,,45.5,percent of total billed charges,57.95546694,,,,,,,,,,45.5,percent of total billed charges,999999999,,,,,,,,,,45.5,percent of total billed charges,39.62424535,,,,,,,,,,163.8,percent of total billed charges,,,,,
**NORTRIPTYLINE (ELAVIL)(*),80299,CDM,,,,both,,,393,393,83.66339024,393,393,percent of total billed charges,289.1440616,,,,393,percent of total billed charges,306.4869882,,,,393,percent of total billed charges,289.1440616,,,,393,percent of total billed charges,306.4869882,,,,393,percent of total billed charges,999999999,,,,393,percent of total billed charges,299.4389893,,,,393,percent of total billed charges,289.1440616,,,,393,percent of total billed charges,306.4869882,,,,280.209,percent of total billed charges,139.8294188,,,,280.209,percent of total billed charges,83.66339024,,,,280.209,percent of total billed charges,139.8294188,,,,280.209,percent of total billed charges,83.66339024,,,,280.209,percent of total billed charges,139.8294188,,,,280.209,percent of total billed charges,83.66339024,,,,277.458,percent of total billed charges,275.3528507,,,,277.458,percent of total billed charges,189.9086787,,,,,,,,,,282.96,percent of total billed charges,183.9173414,,,,,,,,,,282.96,percent of total billed charges,999999999,,,,,,,,,,314.4,percent of total billed charges,263.4508569,,,,310.47,percent of total billed charges,299.6169111,,,,310.47,percent of total billed charges,264.7214587,,,,314.4,percent of total billed charges,999999999,,,,314.4,percent of total billed charges,999999999,,,,275.1,percent of total billed charges,999999999,,,,275.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,209.076,percent of total billed charges,999999999,,,,,,,,,,,,,,,,198.465,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,98.25,percent of total billed charges,93.31346717,,,,,,,,,,98.25,percent of total billed charges,91.76126114,,,,,,,,,,98.25,percent of total billed charges,91.50626052,,,,,,,,,,98.25,percent of total billed charges,90.15883195,,,,,,,,,,98.25,percent of total billed charges,92.47875124,,,,,,,,,,98.25,percent of total billed charges,999999999,,,,,,,,,,98.25,percent of total billed charges,79.35328092,,,,,,,,,,98.25,percent of total billed charges,125.1455962,,,,,,,,,,98.25,percent of total billed charges,999999999,,,,,,,,,,98.25,percent of total billed charges,85.56224407,,,,,,,,,,353.7,percent of total billed charges,,,,,
ALPHA 2 MACROGLOBULIN,83883,CDM,,,,both,,,231,231,49.17619121,231,231,percent of total billed charges,169.9549064,,,,231,percent of total billed charges,180.1488404,,,,231,percent of total billed charges,169.9549064,,,,231,percent of total billed charges,180.1488404,,,,231,percent of total billed charges,999999999,,,,231,percent of total billed charges,176.0061235,,,,231,percent of total billed charges,169.9549064,,,,231,percent of total billed charges,180.1488404,,,,164.703,percent of total billed charges,82.18981107,,,,164.703,percent of total billed charges,49.17619121,,,,164.703,percent of total billed charges,82.18981107,,,,164.703,percent of total billed charges,49.17619121,,,,164.703,percent of total billed charges,82.18981107,,,,164.703,percent of total billed charges,49.17619121,,,,163.086,percent of total billed charges,161.8486222,,,,163.086,percent of total billed charges,111.6257119,,,,,,,,,,166.32,percent of total billed charges,108.1040861,,,,,,,,,,166.32,percent of total billed charges,999999999,,,,,,,,,,184.8,percent of total billed charges,154.8527938,,,,182.49,percent of total billed charges,176.1107034,,,,182.49,percent of total billed charges,155.599636,,,,184.8,percent of total billed charges,999999999,,,,184.8,percent of total billed charges,999999999,,,,161.7,percent of total billed charges,999999999,,,,161.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,122.892,percent of total billed charges,999999999,,,,,,,,,,,,,,,,116.655,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,57.75,percent of total billed charges,54.84837383,,,,,,,,,,57.75,percent of total billed charges,53.93600846,,,,,,,,,,57.75,percent of total billed charges,53.7861226,,,,,,,,,,57.75,percent of total billed charges,52.9941226,,,,,,,,,,57.75,percent of total billed charges,54.35773928,,,,,,,,,,57.75,percent of total billed charges,999999999,,,,,,,,,,57.75,percent of total billed charges,46.64276817,,,,,,,,,,57.75,percent of total billed charges,73.55886188,,,,,,,,,,57.75,percent of total billed charges,999999999,,,,,,,,,,57.75,percent of total billed charges,50.2923114,,,,,,,,,,207.9,percent of total billed charges,,,,,
FETAL CONGENITAL ABN PANEL,81511,CDM,,,,both,,,534,534,113.6800264,534,534,percent of total billed charges,392.8827707,,,,534,percent of total billed charges,416.4479687,,,,534,percent of total billed charges,392.8827707,,,,534,percent of total billed charges,416.4479687,,,,534,percent of total billed charges,999999999,,,,534,percent of total billed charges,406.8712984,,,,534,percent of total billed charges,392.8827707,,,,534,percent of total billed charges,416.4479687,,,,380.742,percent of total billed charges,189.9972256,,,,380.742,percent of total billed charges,113.6800264,,,,380.742,percent of total billed charges,189.9972256,,,,380.742,percent of total billed charges,113.6800264,,,,380.742,percent of total billed charges,189.9972256,,,,380.742,percent of total billed charges,113.6800264,,,,377.004,percent of total billed charges,374.1435682,,,,377.004,percent of total billed charges,258.0438535,,,,,,,,,,384.48,percent of total billed charges,249.9029524,,,,,,,,,,384.48,percent of total billed charges,999999999,,,,,,,,,,427.2,percent of total billed charges,357.9713934,,,,421.86,percent of total billed charges,407.1130547,,,,421.86,percent of total billed charges,359.6978599,,,,427.2,percent of total billed charges,999999999,,,,427.2,percent of total billed charges,999999999,,,,373.8,percent of total billed charges,999999999,,,,373.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,284.088,percent of total billed charges,999999999,,,,,,,,,,,,,,,,269.67,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,133.5,percent of total billed charges,126.7923447,,,,,,,,,,133.5,percent of total billed charges,124.6832403,,,,,,,,,,133.5,percent of total billed charges,124.3367509,,,,,,,,,,133.5,percent of total billed charges,122.5058938,,,,,,,,,,133.5,percent of total billed charges,125.6581505,,,,,,,,,,133.5,percent of total billed charges,999999999,,,,,,,,,,133.5,percent of total billed charges,107.823542,,,,,,,,,,133.5,percent of total billed charges,170.0451612,,,,,,,,,,133.5,percent of total billed charges,999999999,,,,,,,,,,133.5,percent of total billed charges,116.2601484,,,,,,,,,,480.6,percent of total billed charges,,,,,
ALPHA FETOPROTEIN L3,82107,CDM,,,,both,,,386,386,82.17320262,386,386,percent of total billed charges,283.9939129,,,,386,percent of total billed charges,301.0279325,,,,386,percent of total billed charges,283.9939129,,,,386,percent of total billed charges,301.0279325,,,,386,percent of total billed charges,999999999,,,,386,percent of total billed charges,294.1054704,,,,386,percent of total billed charges,283.9939129,,,,386,percent of total billed charges,301.0279325,,,,275.218,percent of total billed charges,137.3388185,,,,275.218,percent of total billed charges,82.17320262,,,,275.218,percent of total billed charges,137.3388185,,,,275.218,percent of total billed charges,82.17320262,,,,275.218,percent of total billed charges,137.3388185,,,,275.218,percent of total billed charges,82.17320262,,,,272.516,percent of total billed charges,270.448347,,,,272.516,percent of total billed charges,186.5260814,,,,,,,,,,277.92,percent of total billed charges,180.64146,,,,,,,,,,277.92,percent of total billed charges,999999999,,,,,,,,,,308.8,percent of total billed charges,258.758348,,,,304.94,percent of total billed charges,294.2802231,,,,304.94,percent of total billed charges,260.0063182,,,,308.8,percent of total billed charges,999999999,,,,308.8,percent of total billed charges,999999999,,,,270.2,percent of total billed charges,999999999,,,,270.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,205.352,percent of total billed charges,999999999,,,,,,,,,,,,,,,,194.93,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,96.5,percent of total billed charges,91.65139524,,,,,,,,,,96.5,percent of total billed charges,90.12683664,,,,,,,,,,96.5,percent of total billed charges,89.87637802,,,,,,,,,,96.5,percent of total billed charges,88.55294945,,,,,,,,,,96.5,percent of total billed charges,90.83154702,,,,,,,,,,96.5,percent of total billed charges,999999999,,,,,,,,,,96.5,percent of total billed charges,77.9398637,,,,,,,,,,96.5,percent of total billed charges,122.9165398,,,,,,,,,,96.5,percent of total billed charges,999999999,,,,,,,,,,96.5,percent of total billed charges,84.03823463,,,,,,,,,,347.4,percent of total billed charges,,,,,
CARBAMAZEPINE TEGRETOL,80156,CDM,,,,both,,,294,294,62.58787972,294,294,percent of total billed charges,216.3062446,,,,294,percent of total billed charges,229.2803423,,,,294,percent of total billed charges,216.3062446,,,,294,percent of total billed charges,229.2803423,,,,294,percent of total billed charges,999999999,,,,294,percent of total billed charges,224.0077935,,,,294,percent of total billed charges,216.3062446,,,,294,percent of total billed charges,229.2803423,,,,209.622,percent of total billed charges,104.6052141,,,,209.622,percent of total billed charges,62.58787972,,,,209.622,percent of total billed charges,104.6052141,,,,209.622,percent of total billed charges,62.58787972,,,,209.622,percent of total billed charges,104.6052141,,,,209.622,percent of total billed charges,62.58787972,,,,207.564,percent of total billed charges,205.9891555,,,,207.564,percent of total billed charges,142.0690879,,,,,,,,,,211.68,percent of total billed charges,137.5870187,,,,,,,,,,211.68,percent of total billed charges,999999999,,,,,,,,,,235.2,percent of total billed charges,197.0853739,,,,232.26,percent of total billed charges,224.1408953,,,,232.26,percent of total billed charges,198.0359004,,,,235.2,percent of total billed charges,999999999,,,,235.2,percent of total billed charges,999999999,,,,205.8,percent of total billed charges,999999999,,,,205.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,156.408,percent of total billed charges,999999999,,,,,,,,,,,,,,,,148.47,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,73.5,percent of total billed charges,69.80702124,,,,,,,,,,73.5,percent of total billed charges,68.64582894,,,,,,,,,,73.5,percent of total billed charges,68.45506512,,,,,,,,,,73.5,percent of total billed charges,67.44706512,,,,,,,,,,73.5,percent of total billed charges,69.18257726,,,,,,,,,,73.5,percent of total billed charges,999999999,,,,,,,,,,73.5,percent of total billed charges,59.36352313,,,,,,,,,,73.5,percent of total billed charges,93.62036967,,,,,,,,,,73.5,percent of total billed charges,999999999,,,,,,,,,,73.5,percent of total billed charges,64.00839633,,,,,,,,,,264.6,percent of total billed charges,,,,,
CARNITINE,82379,CDM,,,,both,,,286,286,60.88480816,286,286,percent of total billed charges,210.4203604,,,,286,percent of total billed charges,223.0414215,,,,286,percent of total billed charges,210.4203604,,,,286,percent of total billed charges,223.0414215,,,,286,percent of total billed charges,999999999,,,,286,percent of total billed charges,217.9123433,,,,286,percent of total billed charges,210.4203604,,,,286,percent of total billed charges,223.0414215,,,,203.918,percent of total billed charges,101.7588137,,,,203.918,percent of total billed charges,60.88480816,,,,203.918,percent of total billed charges,101.7588137,,,,203.918,percent of total billed charges,60.88480816,,,,203.918,percent of total billed charges,101.7588137,,,,203.918,percent of total billed charges,60.88480816,,,,201.916,percent of total billed charges,200.3840084,,,,201.916,percent of total billed charges,138.2032624,,,,,,,,,,205.92,percent of total billed charges,133.8431543,,,,,,,,,,205.92,percent of total billed charges,999999999,,,,,,,,,,228.8,percent of total billed charges,191.7225066,,,,225.94,percent of total billed charges,218.0418233,,,,225.94,percent of total billed charges,192.6471684,,,,228.8,percent of total billed charges,999999999,,,,228.8,percent of total billed charges,999999999,,,,200.2,percent of total billed charges,999999999,,,,200.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,152.152,percent of total billed charges,999999999,,,,,,,,,,,,,,,,144.43,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,71.5,percent of total billed charges,67.90751046,,,,,,,,,,71.5,percent of total billed charges,66.77791523,,,,,,,,,,71.5,percent of total billed charges,66.59234226,,,,,,,,,,71.5,percent of total billed charges,65.61177083,,,,,,,,,,71.5,percent of total billed charges,67.30005815,,,,,,,,,,71.5,percent of total billed charges,999999999,,,,,,,,,,71.5,percent of total billed charges,57.74818917,,,,,,,,,,71.5,percent of total billed charges,91.07287661,,,,,,,,,,71.5,percent of total billed charges,999999999,,,,,,,,,,71.5,percent of total billed charges,62.26667126,,,,,,,,,,257.4,percent of total billed charges,,,,,
EBV ANTIBODY PANEL I (*),86663,CDM,,,,both,,,187,187,39.80929764,187,187,percent of total billed charges,137.5825433,,,,187,percent of total billed charges,145.8347756,,,,187,percent of total billed charges,137.5825433,,,,187,percent of total billed charges,145.8347756,,,,187,percent of total billed charges,999999999,,,,187,percent of total billed charges,142.4811476,,,,187,percent of total billed charges,137.5825433,,,,187,percent of total billed charges,145.8347756,,,,133.331,percent of total billed charges,66.53460896,,,,133.331,percent of total billed charges,39.80929764,,,,133.331,percent of total billed charges,66.53460896,,,,133.331,percent of total billed charges,39.80929764,,,,133.331,percent of total billed charges,66.53460896,,,,133.331,percent of total billed charges,39.80929764,,,,132.022,percent of total billed charges,131.0203132,,,,132.022,percent of total billed charges,90.36367154,,,,,,,,,,134.64,percent of total billed charges,87.51283164,,,,,,,,,,134.64,percent of total billed charges,999999999,,,,,,,,,,149.6,percent of total billed charges,125.3570235,,,,147.73,percent of total billed charges,142.5658075,,,,147.73,percent of total billed charges,125.9616101,,,,149.6,percent of total billed charges,999999999,,,,149.6,percent of total billed charges,999999999,,,,130.9,percent of total billed charges,999999999,,,,130.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,99.484,percent of total billed charges,999999999,,,,,,,,,,,,,,,,94.435,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,46.75,percent of total billed charges,44.40106453,,,,,,,,,,46.75,percent of total billed charges,43.66248304,,,,,,,,,,46.75,percent of total billed charges,43.54114686,,,,,,,,,,46.75,percent of total billed charges,42.90000401,,,,,,,,,,46.75,percent of total billed charges,44.00388418,,,,,,,,,,46.75,percent of total billed charges,999999999,,,,,,,,,,46.75,percent of total billed charges,37.75843138,,,,,,,,,,46.75,percent of total billed charges,59.54765009,,,,,,,,,,46.75,percent of total billed charges,999999999,,,,,,,,,,46.75,percent of total billed charges,40.71282351,,,,,,,,,,168.3,percent of total billed charges,,,,,
BETA HCG QUANTITATIVE,84702,CDM,,,,both,,,346,346,73.65784484,346,346,percent of total billed charges,254.5644919,,,,346,percent of total billed charges,269.8333281,,,,346,percent of total billed charges,254.5644919,,,,346,percent of total billed charges,269.8333281,,,,346,percent of total billed charges,999999999,,,,346,percent of total billed charges,263.6282196,,,,346,percent of total billed charges,254.5644919,,,,346,percent of total billed charges,269.8333281,,,,246.698,percent of total billed charges,123.1068166,,,,246.698,percent of total billed charges,73.65784484,,,,246.698,percent of total billed charges,123.1068166,,,,246.698,percent of total billed charges,73.65784484,,,,246.698,percent of total billed charges,123.1068166,,,,246.698,percent of total billed charges,73.65784484,,,,244.276,percent of total billed charges,242.4226116,,,,244.276,percent of total billed charges,167.1969538,,,,,,,,,,249.12,percent of total billed charges,161.9221377,,,,,,,,,,249.12,percent of total billed charges,999999999,,,,,,,,,,276.8,percent of total billed charges,231.9440114,,,,273.34,percent of total billed charges,263.7848632,,,,273.34,percent of total billed charges,233.0626583,,,,276.8,percent of total billed charges,999999999,,,,276.8,percent of total billed charges,999999999,,,,242.2,percent of total billed charges,999999999,,,,242.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,184.072,percent of total billed charges,999999999,,,,,,,,,,,,,,,,174.73,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,86.5,percent of total billed charges,82.15384133,,,,,,,,,,86.5,percent of total billed charges,80.78726808,,,,,,,,,,86.5,percent of total billed charges,80.56276372,,,,,,,,,,86.5,percent of total billed charges,79.376478,,,,,,,,,,86.5,percent of total billed charges,81.41895147,,,,,,,,,,86.5,percent of total billed charges,999999999,,,,,,,,,,86.5,percent of total billed charges,69.86319389,,,,,,,,,,86.5,percent of total billed charges,110.1790745,,,,,,,,,,86.5,percent of total billed charges,999999999,,,,,,,,,,86.5,percent of total billed charges,75.32960928,,,,,,,,,,311.4,percent of total billed charges,,,,,
CLONAZEPAN(*),80346,CDM,,,,both,,,252,252,53.64675405,252,252,percent of total billed charges,185.4053525,,,,252,percent of total billed charges,196.5260077,,,,252,percent of total billed charges,185.4053525,,,,252,percent of total billed charges,196.5260077,,,,252,percent of total billed charges,999999999,,,,252,percent of total billed charges,192.0066801,,,,252,percent of total billed charges,185.4053525,,,,252,percent of total billed charges,196.5260077,,,,179.676,percent of total billed charges,89.66161208,,,,179.676,percent of total billed charges,53.64675405,,,,179.676,percent of total billed charges,89.66161208,,,,179.676,percent of total billed charges,53.64675405,,,,179.676,percent of total billed charges,89.66161208,,,,179.676,percent of total billed charges,53.64675405,,,,177.912,percent of total billed charges,176.5621333,,,,177.912,percent of total billed charges,121.7735039,,,,,,,,,,181.44,percent of total billed charges,117.9317303,,,,,,,,,,181.44,percent of total billed charges,999999999,,,,,,,,,,201.6,percent of total billed charges,168.9303205,,,,199.08,percent of total billed charges,192.1207674,,,,199.08,percent of total billed charges,169.7450575,,,,201.6,percent of total billed charges,999999999,,,,201.6,percent of total billed charges,999999999,,,,176.4,percent of total billed charges,999999999,,,,176.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,134.064,percent of total billed charges,999999999,,,,,,,,,,,,,,,,127.26,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,63,percent of total billed charges,59.83458964,,,,,,,,,,63,percent of total billed charges,58.83928195,,,,,,,,,,63,percent of total billed charges,58.67577011,,,,,,,,,,63,percent of total billed charges,57.81177011,,,,,,,,,,63,percent of total billed charges,59.29935194,,,,,,,,,,63,percent of total billed charges,999999999,,,,,,,,,,63,percent of total billed charges,50.88301983,,,,,,,,,,63,percent of total billed charges,80.24603114,,,,,,,,,,63,percent of total billed charges,999999999,,,,,,,,,,63,percent of total billed charges,54.86433971,,,,,,,,,,226.8,percent of total billed charges,,,,,
CLOZAPINE,80159,CDM,,,,both,,,180,180,38.31911003,180,180,percent of total billed charges,132.4323946,,,,180,percent of total billed charges,140.3757198,,,,180,percent of total billed charges,132.4323946,,,,180,percent of total billed charges,140.3757198,,,,180,percent of total billed charges,999999999,,,,180,percent of total billed charges,137.1476287,,,,180,percent of total billed charges,132.4323946,,,,180,percent of total billed charges,140.3757198,,,,128.34,percent of total billed charges,64.04400863,,,,128.34,percent of total billed charges,38.31911003,,,,128.34,percent of total billed charges,64.04400863,,,,128.34,percent of total billed charges,38.31911003,,,,128.34,percent of total billed charges,64.04400863,,,,128.34,percent of total billed charges,38.31911003,,,,127.08,percent of total billed charges,126.1158095,,,,127.08,percent of total billed charges,86.98107421,,,,,,,,,,129.6,percent of total billed charges,84.23695024,,,,,,,,,,129.6,percent of total billed charges,999999999,,,,,,,,,,144,percent of total billed charges,120.6645146,,,,142.2,percent of total billed charges,137.2291196,,,,142.2,percent of total billed charges,121.2464696,,,,144,percent of total billed charges,999999999,,,,144,percent of total billed charges,999999999,,,,126,percent of total billed charges,999999999,,,,126,percent of total billed charges,999999999,,,,,,,,,,,,,,,,95.76,percent of total billed charges,999999999,,,,,,,,,,,,,,,,90.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,percent of total billed charges,42.7389926,,,,,,,,,,45,percent of total billed charges,42.02805854,,,,,,,,,,45,percent of total billed charges,41.91126436,,,,,,,,,,45,percent of total billed charges,41.2941215,,,,,,,,,,45,percent of total billed charges,42.35667996,,,,,,,,,,45,percent of total billed charges,999999999,,,,,,,,,,45,percent of total billed charges,36.34501416,,,,,,,,,,45,percent of total billed charges,57.31859367,,,,,,,,,,45,percent of total billed charges,999999999,,,,,,,,,,45,percent of total billed charges,39.18881408,,,,,,,,,,162,percent of total billed charges,,,,,
TRICYCLIC ANTIDEPRESSANT,80335,CDM,,,,both,,,375,375,79.83147923,375,375,percent of total billed charges,275.9008221,,,,375,percent of total billed charges,292.4494163,,,,375,percent of total billed charges,275.9008221,,,,375,percent of total billed charges,292.4494163,,,,375,percent of total billed charges,999999999,,,,375,percent of total billed charges,285.7242264,,,,375,percent of total billed charges,275.9008221,,,,375,percent of total billed charges,292.4494163,,,,267.375,percent of total billed charges,133.425018,,,,267.375,percent of total billed charges,79.83147923,,,,267.375,percent of total billed charges,133.425018,,,,267.375,percent of total billed charges,79.83147923,,,,267.375,percent of total billed charges,133.425018,,,,267.375,percent of total billed charges,79.83147923,,,,264.75,percent of total billed charges,262.7412698,,,,264.75,percent of total billed charges,181.2105713,,,,,,,,,,270,percent of total billed charges,175.4936463,,,,,,,,,,270,percent of total billed charges,999999999,,,,,,,,,,300,percent of total billed charges,251.3844055,,,,296.25,percent of total billed charges,285.8939991,,,,296.25,percent of total billed charges,252.5968117,,,,300,percent of total billed charges,999999999,,,,300,percent of total billed charges,999999999,,,,262.5,percent of total billed charges,999999999,,,,262.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,199.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,189.375,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,93.75,percent of total billed charges,89.03956791,,,,,,,,,,93.75,percent of total billed charges,87.55845528,,,,,,,,,,93.75,percent of total billed charges,87.31513409,,,,,,,,,,93.75,percent of total billed charges,86.0294198,,,,,,,,,,93.75,percent of total billed charges,88.24308324,,,,,,,,,,93.75,percent of total billed charges,999999999,,,,,,,,,,93.75,percent of total billed charges,75.7187795,,,,,,,,,,93.75,percent of total billed charges,119.4137368,,,,,,,,,,93.75,percent of total billed charges,999999999,,,,,,,,,,93.75,percent of total billed charges,81.64336266,,,,,,,,,,337.5,percent of total billed charges,,,,,
TRICYCLIC & CICLICALS; 6/MORE,80337,CDM,,,,both,,,60,60,12.77303668,60,60,percent of total billed charges,44.14413154,,,,60,percent of total billed charges,46.7919066,,,,60,percent of total billed charges,44.14413154,,,,60,percent of total billed charges,46.7919066,,,,60,percent of total billed charges,999999999,,,,60,percent of total billed charges,45.71587623,,,,60,percent of total billed charges,44.14413154,,,,60,percent of total billed charges,46.7919066,,,,42.78,percent of total billed charges,21.34800288,,,,42.78,percent of total billed charges,12.77303668,,,,42.78,percent of total billed charges,21.34800288,,,,42.78,percent of total billed charges,12.77303668,,,,42.78,percent of total billed charges,21.34800288,,,,42.78,percent of total billed charges,12.77303668,,,,42.36,percent of total billed charges,42.03860316,,,,42.36,percent of total billed charges,28.9936914,,,,,,,,,,43.2,percent of total billed charges,28.07898341,,,,,,,,,,43.2,percent of total billed charges,999999999,,,,,,,,,,48,percent of total billed charges,40.22150488,,,,47.4,percent of total billed charges,45.74303985,,,,47.4,percent of total billed charges,40.41548988,,,,48,percent of total billed charges,999999999,,,,48,percent of total billed charges,999999999,,,,42,percent of total billed charges,999999999,,,,42,percent of total billed charges,999999999,,,,,,,,,,,,,,,,31.92,percent of total billed charges,999999999,,,,,,,,,,,,,,,,30.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15,percent of total billed charges,14.24633087,,,,,,,,,,15,percent of total billed charges,14.00935285,,,,,,,,,,15,percent of total billed charges,13.97042145,,,,,,,,,,15,percent of total billed charges,13.76470717,,,,,,,,,,15,percent of total billed charges,14.11889332,,,,,,,,,,15,percent of total billed charges,999999999,,,,,,,,,,15,percent of total billed charges,12.11500472,,,,,,,,,,15,percent of total billed charges,19.10619789,,,,,,,,,,15,percent of total billed charges,999999999,,,,,,,,,,15,percent of total billed charges,13.06293803,,,,,,,,,,54,percent of total billed charges,,,,,
POSACONAZOLE,80187,CDM,,,,both,,,227,227,48.32465543,227,227,percent of total billed charges,167.0119643,,,,227,percent of total billed charges,177.02938,,,,227,percent of total billed charges,167.0119643,,,,227,percent of total billed charges,177.02938,,,,227,percent of total billed charges,999999999,,,,227,percent of total billed charges,172.9583984,,,,227,percent of total billed charges,167.0119643,,,,227,percent of total billed charges,177.02938,,,,161.851,percent of total billed charges,80.76661088,,,,161.851,percent of total billed charges,48.32465543,,,,161.851,percent of total billed charges,80.76661088,,,,161.851,percent of total billed charges,48.32465543,,,,161.851,percent of total billed charges,80.76661088,,,,161.851,percent of total billed charges,48.32465543,,,,160.262,percent of total billed charges,159.0460486,,,,160.262,percent of total billed charges,109.6927991,,,,,,,,,,163.44,percent of total billed charges,106.2321539,,,,,,,,,,163.44,percent of total billed charges,999999999,,,,,,,,,,181.6,percent of total billed charges,152.1713601,,,,179.33,percent of total billed charges,173.0611675,,,,179.33,percent of total billed charges,152.90527,,,,181.6,percent of total billed charges,999999999,,,,181.6,percent of total billed charges,999999999,,,,158.9,percent of total billed charges,999999999,,,,158.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,120.764,percent of total billed charges,999999999,,,,,,,,,,,,,,,,114.635,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,56.75,percent of total billed charges,53.89861844,,,,,,,,,,56.75,percent of total billed charges,53.0020516,,,,,,,,,,56.75,percent of total billed charges,52.85476117,,,,,,,,,,56.75,percent of total billed charges,52.07647545,,,,,,,,,,56.75,percent of total billed charges,53.41647972,,,,,,,,,,56.75,percent of total billed charges,999999999,,,,,,,,,,56.75,percent of total billed charges,45.83510119,,,,,,,,,,56.75,percent of total billed charges,72.28511535,,,,,,,,,,56.75,percent of total billed charges,999999999,,,,,,,,,,56.75,percent of total billed charges,49.42144886,,,,,,,,,,204.3,percent of total billed charges,,,,,
PREGNENOLONE,84140,CDM,,,,both,,,197,197,41.93813709,197,197,percent of total billed charges,144.9398986,,,,197,percent of total billed charges,153.6334267,,,,197,percent of total billed charges,144.9398986,,,,197,percent of total billed charges,153.6334267,,,,197,percent of total billed charges,999999999,,,,197,percent of total billed charges,150.1004603,,,,197,percent of total billed charges,144.9398986,,,,197,percent of total billed charges,153.6334267,,,,140.461,percent of total billed charges,70.09260944,,,,140.461,percent of total billed charges,41.93813709,,,,140.461,percent of total billed charges,70.09260944,,,,140.461,percent of total billed charges,41.93813709,,,,140.461,percent of total billed charges,70.09260944,,,,140.461,percent of total billed charges,41.93813709,,,,139.082,percent of total billed charges,138.0267471,,,,139.082,percent of total billed charges,95.19595344,,,,,,,,,,141.84,percent of total billed charges,92.19266221,,,,,,,,,,141.84,percent of total billed charges,999999999,,,,,,,,,,157.6,percent of total billed charges,132.0606077,,,,155.63,percent of total billed charges,150.1896475,,,,155.63,percent of total billed charges,132.6975251,,,,157.6,percent of total billed charges,999999999,,,,157.6,percent of total billed charges,999999999,,,,137.9,percent of total billed charges,999999999,,,,137.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,104.804,percent of total billed charges,999999999,,,,,,,,,,,,,,,,99.485,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,49.25,percent of total billed charges,46.77545301,,,,,,,,,,49.25,percent of total billed charges,45.99737518,,,,,,,,,,49.25,percent of total billed charges,45.86955044,,,,,,,,,,49.25,percent of total billed charges,45.19412187,,,,,,,,,,49.25,percent of total billed charges,46.35703306,,,,,,,,,,49.25,percent of total billed charges,999999999,,,,,,,,,,49.25,percent of total billed charges,39.77759883,,,,,,,,,,49.25,percent of total billed charges,62.73201641,,,,,,,,,,49.25,percent of total billed charges,999999999,,,,,,,,,,49.25,percent of total billed charges,42.88997985,,,,,,,,,,177.3,percent of total billed charges,,,,,
C-PEPTIDE(*),84681,CDM,,,,both,,,269,269,57.2657811,269,269,percent of total billed charges,197.9128564,,,,269,percent of total billed charges,209.7837146,,,,269,percent of total billed charges,197.9128564,,,,269,percent of total billed charges,209.7837146,,,,269,percent of total billed charges,999999999,,,,269,percent of total billed charges,204.9595117,,,,269,percent of total billed charges,197.9128564,,,,269,percent of total billed charges,209.7837146,,,,191.797,percent of total billed charges,95.71021289,,,,191.797,percent of total billed charges,57.2657811,,,,191.797,percent of total billed charges,95.71021289,,,,191.797,percent of total billed charges,57.2657811,,,,191.797,percent of total billed charges,95.71021289,,,,191.797,percent of total billed charges,57.2657811,,,,189.914,percent of total billed charges,188.4730709,,,,189.914,percent of total billed charges,129.9883831,,,,,,,,,,193.68,percent of total billed charges,125.8874423,,,,,,,,,,193.68,percent of total billed charges,999999999,,,,,,,,,,215.2,percent of total billed charges,180.3264135,,,,212.51,percent of total billed charges,205.0812953,,,,212.51,percent of total billed charges,181.1961129,,,,215.2,percent of total billed charges,999999999,,,,215.2,percent of total billed charges,999999999,,,,188.3,percent of total billed charges,999999999,,,,188.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,143.108,percent of total billed charges,999999999,,,,,,,,,,,,,,,,135.845,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,67.25,percent of total billed charges,63.87105005,,,,,,,,,,67.25,percent of total billed charges,62.80859859,,,,,,,,,,67.25,percent of total billed charges,62.63405618,,,,,,,,,,67.25,percent of total billed charges,61.71177047,,,,,,,,,,67.25,percent of total billed charges,63.29970505,,,,,,,,,,67.25,percent of total billed charges,999999999,,,,,,,,,,67.25,percent of total billed charges,54.3156045,,,,,,,,,,67.25,percent of total billed charges,85.65945388,,,,,,,,,,67.25,percent of total billed charges,999999999,,,,,,,,,,67.25,percent of total billed charges,58.56550548,,,,,,,,,,242.1,percent of total billed charges,,,,,
AMIKACIN,80150,CDM,,,,both,,,251,251,53.4338701,251,251,percent of total billed charges,184.669617,,,,251,percent of total billed charges,195.7461426,,,,251,percent of total billed charges,184.669617,,,,251,percent of total billed charges,195.7461426,,,,251,percent of total billed charges,999999999,,,,251,percent of total billed charges,191.2447489,,,,251,percent of total billed charges,184.669617,,,,251,percent of total billed charges,195.7461426,,,,178.963,percent of total billed charges,89.30581203,,,,178.963,percent of total billed charges,53.4338701,,,,178.963,percent of total billed charges,89.30581203,,,,178.963,percent of total billed charges,53.4338701,,,,178.963,percent of total billed charges,89.30581203,,,,178.963,percent of total billed charges,53.4338701,,,,177.206,percent of total billed charges,175.8614899,,,,177.206,percent of total billed charges,121.2902757,,,,,,,,,,180.72,percent of total billed charges,117.4637473,,,,,,,,,,180.72,percent of total billed charges,999999999,,,,,,,,,,200.8,percent of total billed charges,168.2599621,,,,198.29,percent of total billed charges,191.3583834,,,,198.29,percent of total billed charges,169.071466,,,,200.8,percent of total billed charges,999999999,,,,200.8,percent of total billed charges,999999999,,,,175.7,percent of total billed charges,999999999,,,,175.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,133.532,percent of total billed charges,999999999,,,,,,,,,,,,,,,,126.755,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,62.75,percent of total billed charges,59.59715079,,,,,,,,,,62.75,percent of total billed charges,58.60579274,,,,,,,,,,62.75,percent of total billed charges,58.44292975,,,,,,,,,,62.75,percent of total billed charges,57.58235832,,,,,,,,,,62.75,percent of total billed charges,59.06403705,,,,,,,,,,62.75,percent of total billed charges,999999999,,,,,,,,,,62.75,percent of total billed charges,50.68110308,,,,,,,,,,62.75,percent of total billed charges,79.92759451,,,,,,,,,,62.75,percent of total billed charges,999999999,,,,,,,,,,62.75,percent of total billed charges,54.64662408,,,,,,,,,,225.9,percent of total billed charges,,,,,
DEPAKENE (VALPROIC ACID),80164,CDM,,,,both,,,278,278,59.18173661,278,278,percent of total billed charges,204.5344762,,,,278,percent of total billed charges,216.8025006,,,,278,percent of total billed charges,204.5344762,,,,278,percent of total billed charges,216.8025006,,,,278,percent of total billed charges,999999999,,,,278,percent of total billed charges,211.8168932,,,,278,percent of total billed charges,204.5344762,,,,278,percent of total billed charges,216.8025006,,,,198.214,percent of total billed charges,98.91241332,,,,198.214,percent of total billed charges,59.18173661,,,,198.214,percent of total billed charges,98.91241332,,,,198.214,percent of total billed charges,59.18173661,,,,198.214,percent of total billed charges,98.91241332,,,,198.214,percent of total billed charges,59.18173661,,,,196.268,percent of total billed charges,194.7788613,,,,196.268,percent of total billed charges,134.3374368,,,,,,,,,,200.16,percent of total billed charges,130.0992898,,,,,,,,,,200.16,percent of total billed charges,999999999,,,,,,,,,,222.4,percent of total billed charges,186.3596393,,,,219.62,percent of total billed charges,211.9427513,,,,219.62,percent of total billed charges,187.2584364,,,,222.4,percent of total billed charges,999999999,,,,222.4,percent of total billed charges,999999999,,,,194.6,percent of total billed charges,999999999,,,,194.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,147.896,percent of total billed charges,999999999,,,,,,,,,,,,,,,,140.39,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,69.5,percent of total billed charges,66.00799968,,,,,,,,,,69.5,percent of total billed charges,64.91000152,,,,,,,,,,69.5,percent of total billed charges,64.7296194,,,,,,,,,,69.5,percent of total billed charges,63.77647654,,,,,,,,,,69.5,percent of total billed charges,65.41753904,,,,,,,,,,69.5,percent of total billed charges,999999999,,,,,,,,,,69.5,percent of total billed charges,56.13285521,,,,,,,,,,69.5,percent of total billed charges,88.52538356,,,,,,,,,,69.5,percent of total billed charges,999999999,,,,,,,,,,69.5,percent of total billed charges,60.52494619,,,,,,,,,,250.2,percent of total billed charges,,,,,
DIPROPYLACETIC ACID FREE,80165,CDM,,,,both,,,187,187,39.80929764,187,187,percent of total billed charges,137.5825433,,,,187,percent of total billed charges,145.8347756,,,,187,percent of total billed charges,137.5825433,,,,187,percent of total billed charges,145.8347756,,,,187,percent of total billed charges,999999999,,,,187,percent of total billed charges,142.4811476,,,,187,percent of total billed charges,137.5825433,,,,187,percent of total billed charges,145.8347756,,,,133.331,percent of total billed charges,66.53460896,,,,133.331,percent of total billed charges,39.80929764,,,,133.331,percent of total billed charges,66.53460896,,,,133.331,percent of total billed charges,39.80929764,,,,133.331,percent of total billed charges,66.53460896,,,,133.331,percent of total billed charges,39.80929764,,,,132.022,percent of total billed charges,131.0203132,,,,132.022,percent of total billed charges,90.36367154,,,,,,,,,,134.64,percent of total billed charges,87.51283164,,,,,,,,,,134.64,percent of total billed charges,999999999,,,,,,,,,,149.6,percent of total billed charges,125.3570235,,,,147.73,percent of total billed charges,142.5658075,,,,147.73,percent of total billed charges,125.9616101,,,,149.6,percent of total billed charges,999999999,,,,149.6,percent of total billed charges,999999999,,,,130.9,percent of total billed charges,999999999,,,,130.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,99.484,percent of total billed charges,999999999,,,,,,,,,,,,,,,,94.435,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,46.75,percent of total billed charges,44.40106453,,,,,,,,,,46.75,percent of total billed charges,43.66248304,,,,,,,,,,46.75,percent of total billed charges,43.54114686,,,,,,,,,,46.75,percent of total billed charges,42.90000401,,,,,,,,,,46.75,percent of total billed charges,44.00388418,,,,,,,,,,46.75,percent of total billed charges,999999999,,,,,,,,,,46.75,percent of total billed charges,37.75843138,,,,,,,,,,46.75,percent of total billed charges,59.54765009,,,,,,,,,,46.75,percent of total billed charges,999999999,,,,,,,,,,46.75,percent of total billed charges,40.71282351,,,,,,,,,,168.3,percent of total billed charges,,,,,
DHEA SULFATE(*),82627,CDM,,,,both,,,237,237,50.45349488,237,237,percent of total billed charges,174.3693196,,,,237,percent of total billed charges,184.8280311,,,,237,percent of total billed charges,174.3693196,,,,237,percent of total billed charges,184.8280311,,,,237,percent of total billed charges,999999999,,,,237,percent of total billed charges,180.5777111,,,,237,percent of total billed charges,174.3693196,,,,237,percent of total billed charges,184.8280311,,,,168.981,percent of total billed charges,84.32461136,,,,168.981,percent of total billed charges,50.45349488,,,,168.981,percent of total billed charges,84.32461136,,,,168.981,percent of total billed charges,50.45349488,,,,168.981,percent of total billed charges,84.32461136,,,,168.981,percent of total billed charges,50.45349488,,,,167.322,percent of total billed charges,166.0524825,,,,167.322,percent of total billed charges,114.525081,,,,,,,,,,170.64,percent of total billed charges,110.9119845,,,,,,,,,,170.64,percent of total billed charges,999999999,,,,,,,,,,189.6,percent of total billed charges,158.8749443,,,,187.23,percent of total billed charges,180.6850074,,,,187.23,percent of total billed charges,159.641185,,,,189.6,percent of total billed charges,999999999,,,,189.6,percent of total billed charges,999999999,,,,165.9,percent of total billed charges,999999999,,,,165.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,126.084,percent of total billed charges,999999999,,,,,,,,,,,,,,,,119.685,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,59.25,percent of total billed charges,56.27300692,,,,,,,,,,59.25,percent of total billed charges,55.33694374,,,,,,,,,,59.25,percent of total billed charges,55.18316474,,,,,,,,,,59.25,percent of total billed charges,54.37059331,,,,,,,,,,59.25,percent of total billed charges,55.76962861,,,,,,,,,,59.25,percent of total billed charges,999999999,,,,,,,,,,59.25,percent of total billed charges,47.85426865,,,,,,,,,,59.25,percent of total billed charges,75.46948167,,,,,,,,,,59.25,percent of total billed charges,999999999,,,,,,,,,,59.25,percent of total billed charges,51.5986052,,,,,,,,,,213.3,percent of total billed charges,,,,,
INSULIN ANTIBODIES,86337,CDM,,,,both,,,284,284,60.45904027,284,284,percent of total billed charges,208.9488893,,,,284,percent of total billed charges,221.4816912,,,,284,percent of total billed charges,208.9488893,,,,284,percent of total billed charges,221.4816912,,,,284,percent of total billed charges,999999999,,,,284,percent of total billed charges,216.3884808,,,,284,percent of total billed charges,208.9488893,,,,284,percent of total billed charges,221.4816912,,,,202.492,percent of total billed charges,101.0472136,,,,202.492,percent of total billed charges,60.45904027,,,,202.492,percent of total billed charges,101.0472136,,,,202.492,percent of total billed charges,60.45904027,,,,202.492,percent of total billed charges,101.0472136,,,,202.492,percent of total billed charges,60.45904027,,,,200.504,percent of total billed charges,198.9827216,,,,200.504,percent of total billed charges,137.236806,,,,,,,,,,204.48,percent of total billed charges,132.9071882,,,,,,,,,,204.48,percent of total billed charges,999999999,,,,,,,,,,227.2,percent of total billed charges,190.3817897,,,,224.36,percent of total billed charges,216.5170553,,,,224.36,percent of total billed charges,191.2999854,,,,227.2,percent of total billed charges,999999999,,,,227.2,percent of total billed charges,999999999,,,,198.8,percent of total billed charges,999999999,,,,198.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,151.088,percent of total billed charges,999999999,,,,,,,,,,,,,,,,143.42,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,71,percent of total billed charges,67.43263276,,,,,,,,,,71,percent of total billed charges,66.3109368,,,,,,,,,,71,percent of total billed charges,66.12666155,,,,,,,,,,71,percent of total billed charges,65.15294726,,,,,,,,,,71,percent of total billed charges,66.82942838,,,,,,,,,,71,percent of total billed charges,999999999,,,,,,,,,,71,percent of total billed charges,57.34435568,,,,,,,,,,71,percent of total billed charges,90.43600335,,,,,,,,,,71,percent of total billed charges,999999999,,,,,,,,,,71,percent of total billed charges,61.83123999,,,,,,,,,,255.6,percent of total billed charges,,,,,
PROINSULIN,84206,CDM,,,,both,,,217,217,46.19581598,217,217,percent of total billed charges,159.6546091,,,,217,percent of total billed charges,169.2307289,,,,217,percent of total billed charges,159.6546091,,,,217,percent of total billed charges,169.2307289,,,,217,percent of total billed charges,999999999,,,,217,percent of total billed charges,165.3390857,,,,217,percent of total billed charges,159.6546091,,,,217,percent of total billed charges,169.2307289,,,,154.721,percent of total billed charges,77.2086104,,,,154.721,percent of total billed charges,46.19581598,,,,154.721,percent of total billed charges,77.2086104,,,,154.721,percent of total billed charges,46.19581598,,,,154.721,percent of total billed charges,77.2086104,,,,154.721,percent of total billed charges,46.19581598,,,,153.202,percent of total billed charges,152.0396148,,,,153.202,percent of total billed charges,104.8605172,,,,,,,,,,156.24,percent of total billed charges,101.5523233,,,,,,,,,,156.24,percent of total billed charges,999999999,,,,,,,,,,173.6,percent of total billed charges,145.467776,,,,171.43,percent of total billed charges,165.4373275,,,,171.43,percent of total billed charges,146.1693551,,,,173.6,percent of total billed charges,999999999,,,,173.6,percent of total billed charges,999999999,,,,151.9,percent of total billed charges,999999999,,,,151.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,115.444,percent of total billed charges,999999999,,,,,,,,,,,,,,,,109.585,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,54.25,percent of total billed charges,51.52422996,,,,,,,,,,54.25,percent of total billed charges,50.66715946,,,,,,,,,,54.25,percent of total billed charges,50.52635759,,,,,,,,,,54.25,percent of total billed charges,49.78235759,,,,,,,,,,54.25,percent of total billed charges,51.06333084,,,,,,,,,,54.25,percent of total billed charges,999999999,,,,,,,,,,54.25,percent of total billed charges,43.81593374,,,,,,,,,,54.25,percent of total billed charges,69.10074904,,,,,,,,,,54.25,percent of total billed charges,999999999,,,,,,,,,,54.25,percent of total billed charges,47.24429253,,,,,,,,,,195.3,percent of total billed charges,,,,,
FERRITIN,82728,CDM,,,,both,,,249,249,53.00810221,249,249,percent of total billed charges,183.1981459,,,,249,percent of total billed charges,194.1864124,,,,249,percent of total billed charges,183.1981459,,,,249,percent of total billed charges,194.1864124,,,,249,percent of total billed charges,999999999,,,,249,percent of total billed charges,189.7208863,,,,249,percent of total billed charges,183.1981459,,,,249,percent of total billed charges,194.1864124,,,,177.537,percent of total billed charges,88.59421193,,,,177.537,percent of total billed charges,53.00810221,,,,177.537,percent of total billed charges,88.59421193,,,,177.537,percent of total billed charges,53.00810221,,,,177.537,percent of total billed charges,88.59421193,,,,177.537,percent of total billed charges,53.00810221,,,,175.794,percent of total billed charges,174.4602031,,,,175.794,percent of total billed charges,120.3238193,,,,,,,,,,179.28,percent of total billed charges,116.5277812,,,,,,,,,,179.28,percent of total billed charges,999999999,,,,,,,,,,199.2,percent of total billed charges,166.9192452,,,,196.71,percent of total billed charges,189.8336154,,,,196.71,percent of total billed charges,167.724283,,,,199.2,percent of total billed charges,999999999,,,,199.2,percent of total billed charges,999999999,,,,174.3,percent of total billed charges,999999999,,,,174.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,132.468,percent of total billed charges,999999999,,,,,,,,,,,,,,,,125.745,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,62.25,percent of total billed charges,59.12227309,,,,,,,,,,62.25,percent of total billed charges,58.13881431,,,,,,,,,,62.25,percent of total billed charges,57.97724903,,,,,,,,,,62.25,percent of total billed charges,57.12353475,,,,,,,,,,62.25,percent of total billed charges,58.59340727,,,,,,,,,,62.25,percent of total billed charges,999999999,,,,,,,,,,62.25,percent of total billed charges,50.27726959,,,,,,,,,,62.25,percent of total billed charges,79.29072125,,,,,,,,,,62.25,percent of total billed charges,999999999,,,,,,,,,,62.25,percent of total billed charges,54.21119281,,,,,,,,,,224.1,percent of total billed charges,,,,,
FOLATE RBC(*),82747,CDM,,,,both,,,284,284,60.45904027,284,284,percent of total billed charges,208.9488893,,,,284,percent of total billed charges,221.4816912,,,,284,percent of total billed charges,208.9488893,,,,284,percent of total billed charges,221.4816912,,,,284,percent of total billed charges,999999999,,,,284,percent of total billed charges,216.3884808,,,,284,percent of total billed charges,208.9488893,,,,284,percent of total billed charges,221.4816912,,,,202.492,percent of total billed charges,101.0472136,,,,202.492,percent of total billed charges,60.45904027,,,,202.492,percent of total billed charges,101.0472136,,,,202.492,percent of total billed charges,60.45904027,,,,202.492,percent of total billed charges,101.0472136,,,,202.492,percent of total billed charges,60.45904027,,,,200.504,percent of total billed charges,198.9827216,,,,200.504,percent of total billed charges,137.236806,,,,,,,,,,204.48,percent of total billed charges,132.9071882,,,,,,,,,,204.48,percent of total billed charges,999999999,,,,,,,,,,227.2,percent of total billed charges,190.3817897,,,,224.36,percent of total billed charges,216.5170553,,,,224.36,percent of total billed charges,191.2999854,,,,227.2,percent of total billed charges,999999999,,,,227.2,percent of total billed charges,999999999,,,,198.8,percent of total billed charges,999999999,,,,198.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,151.088,percent of total billed charges,999999999,,,,,,,,,,,,,,,,143.42,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,71,percent of total billed charges,67.43263276,,,,,,,,,,71,percent of total billed charges,66.3109368,,,,,,,,,,71,percent of total billed charges,66.12666155,,,,,,,,,,71,percent of total billed charges,65.15294726,,,,,,,,,,71,percent of total billed charges,66.82942838,,,,,,,,,,71,percent of total billed charges,999999999,,,,,,,,,,71,percent of total billed charges,57.34435568,,,,,,,,,,71,percent of total billed charges,90.43600335,,,,,,,,,,71,percent of total billed charges,999999999,,,,,,,,,,71,percent of total billed charges,61.83123999,,,,,,,,,,255.6,percent of total billed charges,,,,,
FSH (FOLLICLE STIMULATING HORMONE)*,83001,CDM,,,,both,,,306,306,65.14248705,306,306,percent of total billed charges,225.1350709,,,,306,percent of total billed charges,238.6387237,,,,306,percent of total billed charges,225.1350709,,,,306,percent of total billed charges,238.6387237,,,,306,percent of total billed charges,999999999,,,,306,percent of total billed charges,233.1509688,,,,306,percent of total billed charges,225.1350709,,,,306,percent of total billed charges,238.6387237,,,,218.178,percent of total billed charges,108.8748147,,,,218.178,percent of total billed charges,65.14248705,,,,218.178,percent of total billed charges,108.8748147,,,,218.178,percent of total billed charges,65.14248705,,,,218.178,percent of total billed charges,108.8748147,,,,218.178,percent of total billed charges,65.14248705,,,,216.036,percent of total billed charges,214.3968761,,,,216.036,percent of total billed charges,147.8678262,,,,,,,,,,220.32,percent of total billed charges,143.2028154,,,,,,,,,,220.32,percent of total billed charges,999999999,,,,,,,,,,244.8,percent of total billed charges,205.1296749,,,,241.74,percent of total billed charges,233.2895033,,,,241.74,percent of total billed charges,206.1189984,,,,244.8,percent of total billed charges,999999999,,,,244.8,percent of total billed charges,999999999,,,,214.2,percent of total billed charges,999999999,,,,214.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,162.792,percent of total billed charges,999999999,,,,,,,,,,,,,,,,154.53,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,76.5,percent of total billed charges,72.65628742,,,,,,,,,,76.5,percent of total billed charges,71.44769951,,,,,,,,,,76.5,percent of total billed charges,71.24914941,,,,,,,,,,76.5,percent of total billed charges,70.20000656,,,,,,,,,,76.5,percent of total billed charges,72.00635593,,,,,,,,,,76.5,percent of total billed charges,999999999,,,,,,,,,,76.5,percent of total billed charges,61.78652408,,,,,,,,,,76.5,percent of total billed charges,97.44160924,,,,,,,,,,76.5,percent of total billed charges,999999999,,,,,,,,,,76.5,percent of total billed charges,66.62098393,,,,,,,,,,275.4,percent of total billed charges,,,,,
HCV FIBROSURE,81599,CDM,,,,both,,,1463,1463,311.449211,1463,1463,percent of total billed charges,1076.381074,,,,1463,percent of total billed charges,1140.942656,,,,1463,percent of total billed charges,1076.381074,,,,1463,percent of total billed charges,1140.942656,,,,1463,percent of total billed charges,999999999,,,,1463,percent of total billed charges,1114.705449,,,,1463,percent of total billed charges,1076.381074,,,,1463,percent of total billed charges,1140.942656,,,,1043.119,percent of total billed charges,520.5354701,,,,1043.119,percent of total billed charges,311.449211,,,,1043.119,percent of total billed charges,520.5354701,,,,1043.119,percent of total billed charges,311.449211,,,,1043.119,percent of total billed charges,520.5354701,,,,1043.119,percent of total billed charges,311.449211,,,,1032.878,percent of total billed charges,1025.041274,,,,1032.878,percent of total billed charges,706.962842,,,,,,,,,,1053.36,percent of total billed charges,684.6592122,,,,,,,,,,1053.36,percent of total billed charges,999999999,,,,,,,,,,1170.4,percent of total billed charges,980.7343606,,,,1155.77,percent of total billed charges,1115.367788,,,,1155.77,percent of total billed charges,985.4643615,,,,1170.4,percent of total billed charges,999999999,,,,1170.4,percent of total billed charges,999999999,,,,1024.1,percent of total billed charges,999999999,,,,1024.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,778.316,percent of total billed charges,999999999,,,,,,,,,,,,,,,,738.815,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,365.75,percent of total billed charges,347.3730343,,,,,,,,,,365.75,percent of total billed charges,341.5947202,,,,,,,,,,365.75,percent of total billed charges,340.6454431,,,,,,,,,,365.75,percent of total billed charges,335.6294431,,,,,,,,,,365.75,percent of total billed charges,344.2656821,,,,,,,,,,365.75,percent of total billed charges,999999999,,,,,,,,,,365.75,percent of total billed charges,295.4041984,,,,,,,,,,365.75,percent of total billed charges,465.8727919,,,,,,,,,,365.75,percent of total billed charges,999999999,,,,,,,,,,365.75,percent of total billed charges,318.5179722,,,,,,,,,,1316.7,percent of total billed charges,,,,,
MUMPS TITER(*),86735,CDM,,,,both,,,183,183,38.95776187,183,183,percent of total billed charges,134.6396012,,,,183,percent of total billed charges,142.7153151,,,,183,percent of total billed charges,134.6396012,,,,183,percent of total billed charges,142.7153151,,,,183,percent of total billed charges,999999999,,,,183,percent of total billed charges,139.4334225,,,,183,percent of total billed charges,134.6396012,,,,183,percent of total billed charges,142.7153151,,,,130.479,percent of total billed charges,65.11140877,,,,130.479,percent of total billed charges,38.95776187,,,,130.479,percent of total billed charges,65.11140877,,,,130.479,percent of total billed charges,38.95776187,,,,130.479,percent of total billed charges,65.11140877,,,,130.479,percent of total billed charges,38.95776187,,,,129.198,percent of total billed charges,128.2177397,,,,129.198,percent of total billed charges,88.43075878,,,,,,,,,,131.76,percent of total billed charges,85.64089941,,,,,,,,,,131.76,percent of total billed charges,999999999,,,,,,,,,,146.4,percent of total billed charges,122.6755899,,,,144.57,percent of total billed charges,139.5162716,,,,144.57,percent of total billed charges,123.2672441,,,,146.4,percent of total billed charges,999999999,,,,146.4,percent of total billed charges,999999999,,,,128.1,percent of total billed charges,999999999,,,,128.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,97.356,percent of total billed charges,999999999,,,,,,,,,,,,,,,,92.415,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45.75,percent of total billed charges,43.45130914,,,,,,,,,,45.75,percent of total billed charges,42.72852618,,,,,,,,,,45.75,percent of total billed charges,42.60978543,,,,,,,,,,45.75,percent of total billed charges,41.98235686,,,,,,,,,,45.75,percent of total billed charges,43.06262462,,,,,,,,,,45.75,percent of total billed charges,999999999,,,,,,,,,,45.75,percent of total billed charges,36.9507644,,,,,,,,,,45.75,percent of total billed charges,58.27390357,,,,,,,,,,45.75,percent of total billed charges,999999999,,,,,,,,,,45.75,percent of total billed charges,39.84196098,,,,,,,,,,164.7,percent of total billed charges,,,,,
MUCOPOLYSACCHARIDES,83864,CDM,,,,both,,,353,353,75.14803245,353,353,percent of total billed charges,259.7146406,,,,353,percent of total billed charges,275.2923838,,,,353,percent of total billed charges,259.7146406,,,,353,percent of total billed charges,275.2923838,,,,353,percent of total billed charges,999999999,,,,353,percent of total billed charges,268.9617385,,,,353,percent of total billed charges,259.7146406,,,,353,percent of total billed charges,275.2923838,,,,251.689,percent of total billed charges,125.5974169,,,,251.689,percent of total billed charges,75.14803245,,,,251.689,percent of total billed charges,125.5974169,,,,251.689,percent of total billed charges,75.14803245,,,,251.689,percent of total billed charges,125.5974169,,,,251.689,percent of total billed charges,75.14803245,,,,249.218,percent of total billed charges,247.3271153,,,,249.218,percent of total billed charges,170.5795511,,,,,,,,,,254.16,percent of total billed charges,165.1980191,,,,,,,,,,254.16,percent of total billed charges,999999999,,,,,,,,,,282.4,percent of total billed charges,236.6365204,,,,278.87,percent of total billed charges,269.1215511,,,,278.87,percent of total billed charges,237.7777988,,,,282.4,percent of total billed charges,999999999,,,,282.4,percent of total billed charges,999999999,,,,247.1,percent of total billed charges,999999999,,,,247.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,187.796,percent of total billed charges,999999999,,,,,,,,,,,,,,,,178.265,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,88.25,percent of total billed charges,83.81591326,,,,,,,,,,88.25,percent of total billed charges,82.42169257,,,,,,,,,,88.25,percent of total billed charges,82.19264622,,,,,,,,,,88.25,percent of total billed charges,80.9823605,,,,,,,,,,88.25,percent of total billed charges,83.06615569,,,,,,,,,,88.25,percent of total billed charges,999999999,,,,,,,,,,88.25,percent of total billed charges,71.27661111,,,,,,,,,,88.25,percent of total billed charges,112.4081309,,,,,,,,,,88.25,percent of total billed charges,999999999,,,,,,,,,,88.25,percent of total billed charges,76.85361872,,,,,,,,,,317.7,percent of total billed charges,,,,,
GGT GAMMA GLUTAMYL TRANST(*),82977,CDM,,,,both,,,125,125,26.61049308,125,125,percent of total billed charges,91.96694072,,,,125,percent of total billed charges,97.48313875,,,,125,percent of total billed charges,91.96694072,,,,125,percent of total billed charges,97.48313875,,,,125,percent of total billed charges,999999999,,,,125,percent of total billed charges,95.2414088,,,,125,percent of total billed charges,91.96694072,,,,125,percent of total billed charges,97.48313875,,,,89.125,percent of total billed charges,44.47500599,,,,89.125,percent of total billed charges,26.61049308,,,,89.125,percent of total billed charges,44.47500599,,,,89.125,percent of total billed charges,26.61049308,,,,89.125,percent of total billed charges,44.47500599,,,,89.125,percent of total billed charges,26.61049308,,,,88.25,percent of total billed charges,87.58042326,,,,88.25,percent of total billed charges,60.40352376,,,,,,,,,,90,percent of total billed charges,58.49788211,,,,,,,,,,90,percent of total billed charges,999999999,,,,,,,,,,100,percent of total billed charges,83.79480182,,,,98.75,percent of total billed charges,95.2979997,,,,98.75,percent of total billed charges,84.19893724,,,,100,percent of total billed charges,999999999,,,,100,percent of total billed charges,999999999,,,,87.5,percent of total billed charges,999999999,,,,87.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,66.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,63.125,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,31.25,percent of total billed charges,29.67985597,,,,,,,,,,31.25,percent of total billed charges,29.18615176,,,,,,,,,,31.25,percent of total billed charges,29.1050447,,,,,,,,,,31.25,percent of total billed charges,28.67647327,,,,,,,,,,31.25,percent of total billed charges,29.41436108,,,,,,,,,,31.25,percent of total billed charges,999999999,,,,,,,,,,31.25,percent of total billed charges,25.23959317,,,,,,,,,,31.25,percent of total billed charges,39.80457894,,,,,,,,,,31.25,percent of total billed charges,999999999,,,,,,,,,,31.25,percent of total billed charges,27.21445422,,,,,,,,,,112.5,percent of total billed charges,,,,,
HAPTOGLOBIN(*),83010,CDM,,,,both,,,176,176,37.46757425,176,176,percent of total billed charges,129.4894525,,,,176,percent of total billed charges,137.2562594,,,,176,percent of total billed charges,129.4894525,,,,176,percent of total billed charges,137.2562594,,,,176,percent of total billed charges,999999999,,,,176,percent of total billed charges,134.0999036,,,,176,percent of total billed charges,129.4894525,,,,176,percent of total billed charges,137.2562594,,,,125.488,percent of total billed charges,62.62080844,,,,125.488,percent of total billed charges,37.46757425,,,,125.488,percent of total billed charges,62.62080844,,,,125.488,percent of total billed charges,37.46757425,,,,125.488,percent of total billed charges,62.62080844,,,,125.488,percent of total billed charges,37.46757425,,,,124.256,percent of total billed charges,123.3132359,,,,124.256,percent of total billed charges,85.04816145,,,,,,,,,,126.72,percent of total billed charges,82.36501801,,,,,,,,,,126.72,percent of total billed charges,999999999,,,,,,,,,,140.8,percent of total billed charges,117.983081,,,,139.04,percent of total billed charges,134.1795836,,,,139.04,percent of total billed charges,118.5521036,,,,140.8,percent of total billed charges,999999999,,,,140.8,percent of total billed charges,999999999,,,,123.2,percent of total billed charges,999999999,,,,123.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,93.632,percent of total billed charges,999999999,,,,,,,,,,,,,,,,88.88,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,44,percent of total billed charges,41.78923721,,,,,,,,,,44,percent of total billed charges,41.09410168,,,,,,,,,,44,percent of total billed charges,40.97990293,,,,,,,,,,44,percent of total billed charges,40.37647436,,,,,,,,,,44,percent of total billed charges,41.4154204,,,,,,,,,,44,percent of total billed charges,999999999,,,,,,,,,,44,percent of total billed charges,35.53734718,,,,,,,,,,44,percent of total billed charges,56.04484715,,,,,,,,,,44,percent of total billed charges,999999999,,,,,,,,,,44,percent of total billed charges,38.31795154,,,,,,,,,,158.4,percent of total billed charges,,,,,
HEPATITIS C QUANT RNA(PCR)(*),87522,CDM,,,,both,,,767,767,163.2819855,767,767,percent of total billed charges,564.3091482,,,,767,percent of total billed charges,598.1565394,,,,767,percent of total billed charges,564.3091482,,,,767,percent of total billed charges,598.1565394,,,,767,percent of total billed charges,999999999,,,,767,percent of total billed charges,584.4012844,,,,767,percent of total billed charges,564.3091482,,,,767,percent of total billed charges,598.1565394,,,,546.871,percent of total billed charges,272.8986368,,,,546.871,percent of total billed charges,163.2819855,,,,546.871,percent of total billed charges,272.8986368,,,,546.871,percent of total billed charges,163.2819855,,,,546.871,percent of total billed charges,272.8986368,,,,546.871,percent of total billed charges,163.2819855,,,,541.502,percent of total billed charges,537.3934771,,,,541.502,percent of total billed charges,370.6360218,,,,,,,,,,552.24,percent of total billed charges,358.9430046,,,,,,,,,,552.24,percent of total billed charges,999999999,,,,,,,,,,613.6,percent of total billed charges,514.164904,,,,605.93,percent of total billed charges,584.7485261,,,,605.93,percent of total billed charges,516.6446789,,,,613.6,percent of total billed charges,999999999,,,,613.6,percent of total billed charges,999999999,,,,536.9,percent of total billed charges,999999999,,,,536.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,408.044,percent of total billed charges,999999999,,,,,,,,,,,,,,,,387.335,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,191.75,percent of total billed charges,182.1155962,,,,,,,,,,191.75,percent of total billed charges,179.0862272,,,,,,,,,,191.75,percent of total billed charges,178.5885543,,,,,,,,,,191.75,percent of total billed charges,175.95884,,,,,,,,,,191.75,percent of total billed charges,180.4865196,,,,,,,,,,191.75,percent of total billed charges,999999999,,,,,,,,,,191.75,percent of total billed charges,154.8701437,,,,,,,,,,191.75,percent of total billed charges,244.2408964,,,,,,,,,,191.75,percent of total billed charges,999999999,,,,,,,,,,191.75,percent of total billed charges,166.9878911,,,,,,,,,,690.3,percent of total billed charges,,,,,
HEPATITIS C GENOTYPE DNA/RNA,87902,CDM,,,,both,,,1454,1454,309.5332555,1454,1454,percent of total billed charges,1069.759454,,,,1454,percent of total billed charges,1133.92387,,,,1454,percent of total billed charges,1069.759454,,,,1454,percent of total billed charges,1133.92387,,,,1454,percent of total billed charges,999999999,,,,1454,percent of total billed charges,1107.848067,,,,1454,percent of total billed charges,1069.759454,,,,1454,percent of total billed charges,1133.92387,,,,1036.702,percent of total billed charges,517.3332697,,,,1036.702,percent of total billed charges,309.5332555,,,,1036.702,percent of total billed charges,517.3332697,,,,1036.702,percent of total billed charges,309.5332555,,,,1036.702,percent of total billed charges,517.3332697,,,,1036.702,percent of total billed charges,309.5332555,,,,1026.524,percent of total billed charges,1018.735483,,,,1026.524,percent of total billed charges,702.6137883,,,,,,,,,,1046.88,percent of total billed charges,680.4473647,,,,,,,,,,1046.88,percent of total billed charges,999999999,,,,,,,,,,1163.2,percent of total billed charges,974.7011348,,,,1148.66,percent of total billed charges,1108.506332,,,,1148.66,percent of total billed charges,979.402038,,,,1163.2,percent of total billed charges,999999999,,,,1163.2,percent of total billed charges,999999999,,,,1017.8,percent of total billed charges,999999999,,,,1017.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,773.528,percent of total billed charges,999999999,,,,,,,,,,,,,,,,734.27,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,363.5,percent of total billed charges,345.2360846,,,,,,,,,,363.5,percent of total billed charges,339.4933173,,,,,,,,,,363.5,percent of total billed charges,338.5498799,,,,,,,,,,363.5,percent of total billed charges,333.564737,,,,,,,,,,363.5,percent of total billed charges,342.1478481,,,,,,,,,,363.5,percent of total billed charges,999999999,,,,,,,,,,363.5,percent of total billed charges,293.5869477,,,,,,,,,,363.5,percent of total billed charges,463.0068622,,,,,,,,,,363.5,percent of total billed charges,999999999,,,,,,,,,,363.5,percent of total billed charges,316.5585315,,,,,,,,,,1308.6,percent of total billed charges,,,,,
RBC PROTOPORPHYRIN,84202,CDM,,,,both,,,169,169,35.97738664,169,169,percent of total billed charges,124.3393038,,,,169,percent of total billed charges,131.7972036,,,,169,percent of total billed charges,124.3393038,,,,169,percent of total billed charges,131.7972036,,,,169,percent of total billed charges,999999999,,,,169,percent of total billed charges,128.7663847,,,,169,percent of total billed charges,124.3393038,,,,169,percent of total billed charges,131.7972036,,,,120.497,percent of total billed charges,60.1302081,,,,120.497,percent of total billed charges,35.97738664,,,,120.497,percent of total billed charges,60.1302081,,,,120.497,percent of total billed charges,35.97738664,,,,120.497,percent of total billed charges,60.1302081,,,,120.497,percent of total billed charges,35.97738664,,,,119.314,percent of total billed charges,118.4087322,,,,119.314,percent of total billed charges,81.66556412,,,,,,,,,,121.68,percent of total billed charges,79.08913661,,,,,,,,,,121.68,percent of total billed charges,999999999,,,,,,,,,,135.2,percent of total billed charges,113.2905721,,,,133.51,percent of total billed charges,128.8428956,,,,133.51,percent of total billed charges,113.8369632,,,,135.2,percent of total billed charges,999999999,,,,135.2,percent of total billed charges,999999999,,,,118.3,percent of total billed charges,999999999,,,,118.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,89.908,percent of total billed charges,999999999,,,,,,,,,,,,,,,,85.345,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,42.25,percent of total billed charges,40.12716527,,,,,,,,,,42.25,percent of total billed charges,39.45967718,,,,,,,,,,42.25,percent of total billed charges,39.35002043,,,,,,,,,,42.25,percent of total billed charges,38.77059186,,,,,,,,,,42.25,percent of total billed charges,39.76821618,,,,,,,,,,42.25,percent of total billed charges,999999999,,,,,,,,,,42.25,percent of total billed charges,34.12392996,,,,,,,,,,42.25,percent of total billed charges,53.81579073,,,,,,,,,,42.25,percent of total billed charges,999999999,,,,,,,,,,42.25,percent of total billed charges,36.79394211,,,,,,,,,,152.1,percent of total billed charges,,,,,
SPECTROPHOTOMETRY,84311,CDM,,,,both,,,209,209,44.49274443,209,209,percent of total billed charges,153.7687249,,,,209,percent of total billed charges,162.991808,,,,209,percent of total billed charges,153.7687249,,,,209,percent of total billed charges,162.991808,,,,209,percent of total billed charges,999999999,,,,209,percent of total billed charges,159.2436355,,,,209,percent of total billed charges,153.7687249,,,,209,percent of total billed charges,162.991808,,,,149.017,percent of total billed charges,74.36221002,,,,149.017,percent of total billed charges,44.49274443,,,,149.017,percent of total billed charges,74.36221002,,,,149.017,percent of total billed charges,44.49274443,,,,149.017,percent of total billed charges,74.36221002,,,,149.017,percent of total billed charges,44.49274443,,,,147.554,percent of total billed charges,146.4344677,,,,147.554,percent of total billed charges,100.9946917,,,,,,,,,,150.48,percent of total billed charges,97.80845889,,,,,,,,,,150.48,percent of total billed charges,999999999,,,,,,,,,,167.2,percent of total billed charges,140.1049087,,,,165.11,percent of total billed charges,159.3382555,,,,165.11,percent of total billed charges,140.7806231,,,,167.2,percent of total billed charges,999999999,,,,167.2,percent of total billed charges,999999999,,,,146.3,percent of total billed charges,999999999,,,,146.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,111.188,percent of total billed charges,999999999,,,,,,,,,,,,,,,,105.545,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,52.25,percent of total billed charges,49.62471918,,,,,,,,,,52.25,percent of total billed charges,48.79924575,,,,,,,,,,52.25,percent of total billed charges,48.66363473,,,,,,,,,,52.25,percent of total billed charges,47.9470633,,,,,,,,,,52.25,percent of total billed charges,49.18081173,,,,,,,,,,52.25,percent of total billed charges,999999999,,,,,,,,,,52.25,percent of total billed charges,42.20059978,,,,,,,,,,52.25,percent of total billed charges,66.55325599,,,,,,,,,,52.25,percent of total billed charges,999999999,,,,,,,,,,52.25,percent of total billed charges,45.50256746,,,,,,,,,,188.1,percent of total billed charges,,,,,
HEPATITIS B SURF AG(*),87340,CDM,,,,both,,,185,185,39.38352976,185,185,percent of total billed charges,136.1110723,,,,185,percent of total billed charges,144.2750454,,,,185,percent of total billed charges,136.1110723,,,,185,percent of total billed charges,144.2750454,,,,185,percent of total billed charges,999999999,,,,185,percent of total billed charges,140.957285,,,,185,percent of total billed charges,136.1110723,,,,185,percent of total billed charges,144.2750454,,,,131.905,percent of total billed charges,65.82300887,,,,131.905,percent of total billed charges,39.38352976,,,,131.905,percent of total billed charges,65.82300887,,,,131.905,percent of total billed charges,39.38352976,,,,131.905,percent of total billed charges,65.82300887,,,,131.905,percent of total billed charges,39.38352976,,,,130.61,percent of total billed charges,129.6190264,,,,130.61,percent of total billed charges,89.39721516,,,,,,,,,,133.2,percent of total billed charges,86.57686552,,,,,,,,,,133.2,percent of total billed charges,999999999,,,,,,,,,,148,percent of total billed charges,124.0163067,,,,146.15,percent of total billed charges,141.0410396,,,,146.15,percent of total billed charges,124.6144271,,,,148,percent of total billed charges,999999999,,,,148,percent of total billed charges,999999999,,,,129.5,percent of total billed charges,999999999,,,,129.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,98.42,percent of total billed charges,999999999,,,,,,,,,,,,,,,,93.425,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,46.25,percent of total billed charges,43.92618684,,,,,,,,,,46.25,percent of total billed charges,43.19550461,,,,,,,,,,46.25,percent of total billed charges,43.07546615,,,,,,,,,,46.25,percent of total billed charges,42.44118043,,,,,,,,,,46.25,percent of total billed charges,43.5332544,,,,,,,,,,46.25,percent of total billed charges,999999999,,,,,,,,,,46.25,percent of total billed charges,37.35459789,,,,,,,,,,46.25,percent of total billed charges,58.91077683,,,,,,,,,,46.25,percent of total billed charges,999999999,,,,,,,,,,46.25,percent of total billed charges,40.27739225,,,,,,,,,,166.5,percent of total billed charges,,,,,
DNA/RNA SEQUENCING,87153,CDM,,,,both,,,539,539,114.7444462,539,539,percent of total billed charges,396.5614484,,,,539,percent of total billed charges,420.3472943,,,,539,percent of total billed charges,396.5614484,,,,539,percent of total billed charges,420.3472943,,,,539,percent of total billed charges,999999999,,,,539,percent of total billed charges,410.6809548,,,,539,percent of total billed charges,396.5614484,,,,539,percent of total billed charges,420.3472943,,,,384.307,percent of total billed charges,191.7762258,,,,384.307,percent of total billed charges,114.7444462,,,,384.307,percent of total billed charges,191.7762258,,,,384.307,percent of total billed charges,114.7444462,,,,384.307,percent of total billed charges,191.7762258,,,,384.307,percent of total billed charges,114.7444462,,,,380.534,percent of total billed charges,377.6467851,,,,380.534,percent of total billed charges,260.4599944,,,,,,,,,,388.08,percent of total billed charges,252.2428677,,,,,,,,,,388.08,percent of total billed charges,999999999,,,,,,,,,,431.2,percent of total billed charges,361.3231855,,,,425.81,percent of total billed charges,410.9249747,,,,425.81,percent of total billed charges,363.0658174,,,,431.2,percent of total billed charges,999999999,,,,431.2,percent of total billed charges,999999999,,,,377.3,percent of total billed charges,999999999,,,,377.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,286.748,percent of total billed charges,999999999,,,,,,,,,,,,,,,,272.195,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,134.75,percent of total billed charges,127.9795389,,,,,,,,,,134.75,percent of total billed charges,125.8506864,,,,,,,,,,134.75,percent of total billed charges,125.5009527,,,,,,,,,,134.75,percent of total billed charges,123.6529527,,,,,,,,,,134.75,percent of total billed charges,126.834725,,,,,,,,,,134.75,percent of total billed charges,999999999,,,,,,,,,,134.75,percent of total billed charges,108.8331257,,,,,,,,,,134.75,percent of total billed charges,171.6373444,,,,,,,,,,134.75,percent of total billed charges,999999999,,,,,,,,,,134.75,percent of total billed charges,117.3487266,,,,,,,,,,485.1,percent of total billed charges,,,,,
**IMIPRAMINE(*),80299,CDM,,,,both,,,274,274,58.33020083,274,274,percent of total billed charges,201.591534,,,,274,percent of total billed charges,213.6830401,,,,274,percent of total billed charges,201.591534,,,,274,percent of total billed charges,213.6830401,,,,274,percent of total billed charges,999999999,,,,274,percent of total billed charges,208.7691681,,,,274,percent of total billed charges,201.591534,,,,274,percent of total billed charges,213.6830401,,,,195.362,percent of total billed charges,97.48921313,,,,195.362,percent of total billed charges,58.33020083,,,,195.362,percent of total billed charges,97.48921313,,,,195.362,percent of total billed charges,58.33020083,,,,195.362,percent of total billed charges,97.48921313,,,,195.362,percent of total billed charges,58.33020083,,,,193.444,percent of total billed charges,191.9762878,,,,193.444,percent of total billed charges,132.4045241,,,,,,,,,,197.28,percent of total billed charges,128.2273576,,,,,,,,,,197.28,percent of total billed charges,999999999,,,,,,,,,,219.2,percent of total billed charges,183.6782056,,,,216.46,percent of total billed charges,208.8932153,,,,216.46,percent of total billed charges,184.5640704,,,,219.2,percent of total billed charges,999999999,,,,219.2,percent of total billed charges,999999999,,,,191.8,percent of total billed charges,999999999,,,,191.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,145.768,percent of total billed charges,999999999,,,,,,,,,,,,,,,,138.37,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,68.5,percent of total billed charges,65.05824429,,,,,,,,,,68.5,percent of total billed charges,63.97604466,,,,,,,,,,68.5,percent of total billed charges,63.79825797,,,,,,,,,,68.5,percent of total billed charges,62.8588294,,,,,,,,,,68.5,percent of total billed charges,64.47627949,,,,,,,,,,68.5,percent of total billed charges,999999999,,,,,,,,,,68.5,percent of total billed charges,55.32518822,,,,,,,,,,68.5,percent of total billed charges,87.25163704,,,,,,,,,,68.5,percent of total billed charges,999999999,,,,,,,,,,68.5,percent of total billed charges,59.65408365,,,,,,,,,,246.6,percent of total billed charges,,,,,
HEPATITIS C RIBA(*),86804,CDM,,,,both,,,391,391,83.23762235,391,391,percent of total billed charges,287.6725906,,,,391,percent of total billed charges,304.927258,,,,391,percent of total billed charges,287.6725906,,,,391,percent of total billed charges,304.927258,,,,391,percent of total billed charges,999999999,,,,391,percent of total billed charges,297.9151267,,,,391,percent of total billed charges,287.6725906,,,,391,percent of total billed charges,304.927258,,,,278.783,percent of total billed charges,139.1178187,,,,278.783,percent of total billed charges,83.23762235,,,,278.783,percent of total billed charges,139.1178187,,,,278.783,percent of total billed charges,83.23762235,,,,278.783,percent of total billed charges,139.1178187,,,,278.783,percent of total billed charges,83.23762235,,,,276.046,percent of total billed charges,273.951564,,,,276.046,percent of total billed charges,188.9422223,,,,,,,,,,281.52,percent of total billed charges,182.9813752,,,,,,,,,,281.52,percent of total billed charges,999999999,,,,,,,,,,312.8,percent of total billed charges,262.1101401,,,,308.89,percent of total billed charges,298.0921431,,,,308.89,percent of total billed charges,263.3742757,,,,312.8,percent of total billed charges,999999999,,,,312.8,percent of total billed charges,999999999,,,,273.7,percent of total billed charges,999999999,,,,273.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,208.012,percent of total billed charges,999999999,,,,,,,,,,,,,,,,197.455,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,97.75,percent of total billed charges,92.83858948,,,,,,,,,,97.75,percent of total billed charges,91.29428271,,,,,,,,,,97.75,percent of total billed charges,91.04057981,,,,,,,,,,97.75,percent of total billed charges,89.70000838,,,,,,,,,,97.75,percent of total billed charges,92.00812146,,,,,,,,,,97.75,percent of total billed charges,999999999,,,,,,,,,,97.75,percent of total billed charges,78.94944743,,,,,,,,,,97.75,percent of total billed charges,124.5087229,,,,,,,,,,97.75,percent of total billed charges,999999999,,,,,,,,,,97.75,percent of total billed charges,85.1268128,,,,,,,,,,351.9,percent of total billed charges,,,,,
HEPATITIS B DNA,87517,CDM,,,,both,,,590,590,125.6015273,590,590,percent of total billed charges,434.0839602,,,,590,percent of total billed charges,460.1204149,,,,590,percent of total billed charges,434.0839602,,,,590,percent of total billed charges,460.1204149,,,,590,percent of total billed charges,999999999,,,,590,percent of total billed charges,449.5394496,,,,590,percent of total billed charges,434.0839602,,,,590,percent of total billed charges,460.1204149,,,,420.67,percent of total billed charges,209.9220283,,,,420.67,percent of total billed charges,125.6015273,,,,420.67,percent of total billed charges,209.9220283,,,,420.67,percent of total billed charges,125.6015273,,,,420.67,percent of total billed charges,209.9220283,,,,420.67,percent of total billed charges,125.6015273,,,,416.54,percent of total billed charges,413.3795978,,,,416.54,percent of total billed charges,285.1046321,,,,,,,,,,424.8,percent of total billed charges,276.1100036,,,,,,,,,,424.8,percent of total billed charges,999999999,,,,,,,,,,472,percent of total billed charges,395.5114646,,,,466.1,percent of total billed charges,449.8065586,,,,466.1,percent of total billed charges,397.4189838,,,,472,percent of total billed charges,999999999,,,,472,percent of total billed charges,999999999,,,,413,percent of total billed charges,999999999,,,,413,percent of total billed charges,999999999,,,,,,,,,,,,,,,,313.88,percent of total billed charges,999999999,,,,,,,,,,,,,,,,297.95,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,147.5,percent of total billed charges,140.0889202,,,,,,,,,,147.5,percent of total billed charges,137.7586363,,,,,,,,,,147.5,percent of total billed charges,137.375811,,,,,,,,,,147.5,percent of total billed charges,135.3529538,,,,,,,,,,147.5,percent of total billed charges,138.8357843,,,,,,,,,,147.5,percent of total billed charges,999999999,,,,,,,,,,147.5,percent of total billed charges,119.1308798,,,,,,,,,,147.5,percent of total billed charges,187.8776126,,,,,,,,,,147.5,percent of total billed charges,999999999,,,,,,,,,,147.5,percent of total billed charges,128.4522239,,,,,,,,,,531,percent of total billed charges,,,,,
IGE(*),82785,CDM,,,,both,,,236,236,50.24061093,236,236,percent of total billed charges,173.6335841,,,,236,percent of total billed charges,184.048166,,,,236,percent of total billed charges,173.6335841,,,,236,percent of total billed charges,184.048166,,,,236,percent of total billed charges,999999999,,,,236,percent of total billed charges,179.8157798,,,,236,percent of total billed charges,173.6335841,,,,236,percent of total billed charges,184.048166,,,,168.268,percent of total billed charges,83.96881131,,,,168.268,percent of total billed charges,50.24061093,,,,168.268,percent of total billed charges,83.96881131,,,,168.268,percent of total billed charges,50.24061093,,,,168.268,percent of total billed charges,83.96881131,,,,168.268,percent of total billed charges,50.24061093,,,,166.616,percent of total billed charges,165.3518391,,,,166.616,percent of total billed charges,114.0418528,,,,,,,,,,169.92,percent of total billed charges,110.4440014,,,,,,,,,,169.92,percent of total billed charges,999999999,,,,,,,,,,188.8,percent of total billed charges,158.2045858,,,,186.44,percent of total billed charges,179.9226234,,,,186.44,percent of total billed charges,158.9675935,,,,188.8,percent of total billed charges,999999999,,,,188.8,percent of total billed charges,999999999,,,,165.2,percent of total billed charges,999999999,,,,165.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,125.552,percent of total billed charges,999999999,,,,,,,,,,,,,,,,119.18,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,59,percent of total billed charges,56.03556807,,,,,,,,,,59,percent of total billed charges,55.10345453,,,,,,,,,,59,percent of total billed charges,54.95032438,,,,,,,,,,59,percent of total billed charges,54.14118153,,,,,,,,,,59,percent of total billed charges,55.53431372,,,,,,,,,,59,percent of total billed charges,999999999,,,,,,,,,,59,percent of total billed charges,47.6523519,,,,,,,,,,59,percent of total billed charges,75.15104504,,,,,,,,,,59,percent of total billed charges,999999999,,,,,,,,,,59,percent of total billed charges,51.38088957,,,,,,,,,,212.4,percent of total billed charges,,,,,
CHRNC HCV 6 ASSAYS378,81596,CDM,,,,both,,,473,473,100.6941058,473,473,percent of total billed charges,348.0029037,,,,473,percent of total billed charges,368.876197,,,,473,percent of total billed charges,348.0029037,,,,473,percent of total billed charges,368.876197,,,,473,percent of total billed charges,999999999,,,,473,percent of total billed charges,360.3934909,,,,473,percent of total billed charges,348.0029037,,,,473,percent of total billed charges,368.876197,,,,337.249,percent of total billed charges,168.2934227,,,,337.249,percent of total billed charges,100.6941058,,,,337.249,percent of total billed charges,168.2934227,,,,337.249,percent of total billed charges,100.6941058,,,,337.249,percent of total billed charges,168.2934227,,,,337.249,percent of total billed charges,100.6941058,,,,333.938,percent of total billed charges,331.4043216,,,,333.938,percent of total billed charges,228.5669339,,,,,,,,,,340.56,percent of total billed charges,221.3559859,,,,,,,,,,340.56,percent of total billed charges,999999999,,,,,,,,,,378.4,percent of total billed charges,317.0795301,,,,373.67,percent of total billed charges,360.6076309,,,,373.67,percent of total billed charges,318.6087785,,,,378.4,percent of total billed charges,999999999,,,,378.4,percent of total billed charges,999999999,,,,331.1,percent of total billed charges,999999999,,,,331.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,251.636,percent of total billed charges,999999999,,,,,,,,,,,,,,,,238.865,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,118.25,percent of total billed charges,112.308575,,,,,,,,,,118.25,percent of total billed charges,110.4403983,,,,,,,,,,118.25,percent of total billed charges,110.1334891,,,,,,,,,,118.25,percent of total billed charges,108.5117748,,,,,,,,,,118.25,percent of total billed charges,111.3039423,,,,,,,,,,118.25,percent of total billed charges,999999999,,,,,,,,,,118.25,percent of total billed charges,95.50662055,,,,,,,,,,118.25,percent of total billed charges,150.6205267,,,,,,,,,,118.25,percent of total billed charges,999999999,,,,,,,,,,118.25,percent of total billed charges,102.9794948,,,,,,,,,,425.7,percent of total billed charges,,,,,
CHOLINESTERASE,82480,CDM,,,,both,,,100,100,21.28839446,100,100,percent of total billed charges,73.57355257,,,,100,percent of total billed charges,77.986511,,,,100,percent of total billed charges,73.57355257,,,,100,percent of total billed charges,77.986511,,,,100,percent of total billed charges,999999999,,,,100,percent of total billed charges,76.19312704,,,,100,percent of total billed charges,73.57355257,,,,100,percent of total billed charges,77.986511,,,,71.3,percent of total billed charges,35.58000479,,,,71.3,percent of total billed charges,21.28839446,,,,71.3,percent of total billed charges,35.58000479,,,,71.3,percent of total billed charges,21.28839446,,,,71.3,percent of total billed charges,35.58000479,,,,71.3,percent of total billed charges,21.28839446,,,,70.6,percent of total billed charges,70.06433861,,,,70.6,percent of total billed charges,48.322819,,,,,,,,,,72,percent of total billed charges,46.79830569,,,,,,,,,,72,percent of total billed charges,999999999,,,,,,,,,,80,percent of total billed charges,67.03584146,,,,79,percent of total billed charges,76.23839976,,,,79,percent of total billed charges,67.35914979,,,,80,percent of total billed charges,999999999,,,,80,percent of total billed charges,999999999,,,,70,percent of total billed charges,999999999,,,,70,percent of total billed charges,999999999,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,25,percent of total billed charges,23.74388478,,,,,,,,,,25,percent of total billed charges,23.34892141,,,,,,,,,,25,percent of total billed charges,23.28403576,,,,,,,,,,25,percent of total billed charges,22.94117861,,,,,,,,,,25,percent of total billed charges,23.53148886,,,,,,,,,,25,percent of total billed charges,999999999,,,,,,,,,,25,percent of total billed charges,20.19167453,,,,,,,,,,25,percent of total billed charges,31.84366315,,,,,,,,,,25,percent of total billed charges,999999999,,,,,,,,,,25,percent of total billed charges,21.77156338,,,,,,,,,,90,percent of total billed charges,,,,,
CYTOTOXIC ANTIBODY SCREEN,86807,CDM,,,,both,,,627,627,133.4782333,627,627,percent of total billed charges,461.3061746,,,,627,percent of total billed charges,488.975424,,,,627,percent of total billed charges,461.3061746,,,,627,percent of total billed charges,488.975424,,,,627,percent of total billed charges,999999999,,,,627,percent of total billed charges,477.7309066,,,,627,percent of total billed charges,461.3061746,,,,627,percent of total billed charges,488.975424,,,,447.051,percent of total billed charges,223.0866301,,,,447.051,percent of total billed charges,133.4782333,,,,447.051,percent of total billed charges,223.0866301,,,,447.051,percent of total billed charges,133.4782333,,,,447.051,percent of total billed charges,223.0866301,,,,447.051,percent of total billed charges,133.4782333,,,,442.662,percent of total billed charges,439.3034031,,,,442.662,percent of total billed charges,302.9840752,,,,,,,,,,451.44,percent of total billed charges,293.4253767,,,,,,,,,,451.44,percent of total billed charges,999999999,,,,,,,,,,501.6,percent of total billed charges,420.314726,,,,495.33,percent of total billed charges,478.0147665,,,,495.33,percent of total billed charges,422.3418692,,,,501.6,percent of total billed charges,999999999,,,,501.6,percent of total billed charges,999999999,,,,438.9,percent of total billed charges,999999999,,,,438.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,333.564,percent of total billed charges,999999999,,,,,,,,,,,,,,,,316.635,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,156.75,percent of total billed charges,148.8741575,,,,,,,,,,156.75,percent of total billed charges,146.3977372,,,,,,,,,,156.75,percent of total billed charges,145.9909042,,,,,,,,,,156.75,percent of total billed charges,143.8411899,,,,,,,,,,156.75,percent of total billed charges,147.5424352,,,,,,,,,,156.75,percent of total billed charges,999999999,,,,,,,,,,156.75,percent of total billed charges,126.6017993,,,,,,,,,,156.75,percent of total billed charges,199.659768,,,,,,,,,,156.75,percent of total billed charges,999999999,,,,,,,,,,156.75,percent of total billed charges,136.5077024,,,,,,,,,,564.3,percent of total billed charges,,,,,
PROGESTERONE(*),84144,CDM,,,,both,,,277,277,58.96885266,277,277,percent of total billed charges,203.7987406,,,,277,percent of total billed charges,216.0226355,,,,277,percent of total billed charges,203.7987406,,,,277,percent of total billed charges,216.0226355,,,,277,percent of total billed charges,999999999,,,,277,percent of total billed charges,211.0549619,,,,277,percent of total billed charges,203.7987406,,,,277,percent of total billed charges,216.0226355,,,,197.501,percent of total billed charges,98.55661328,,,,197.501,percent of total billed charges,58.96885266,,,,197.501,percent of total billed charges,98.55661328,,,,197.501,percent of total billed charges,58.96885266,,,,197.501,percent of total billed charges,98.55661328,,,,197.501,percent of total billed charges,58.96885266,,,,195.562,percent of total billed charges,194.0782179,,,,195.562,percent of total billed charges,133.8542086,,,,,,,,,,199.44,percent of total billed charges,129.6313068,,,,,,,,,,199.44,percent of total billed charges,999999999,,,,,,,,,,221.6,percent of total billed charges,185.6892808,,,,218.83,percent of total billed charges,211.1803673,,,,218.83,percent of total billed charges,186.5848449,,,,221.6,percent of total billed charges,999999999,,,,221.6,percent of total billed charges,999999999,,,,193.9,percent of total billed charges,999999999,,,,193.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,147.364,percent of total billed charges,999999999,,,,,,,,,,,,,,,,139.885,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,69.25,percent of total billed charges,65.77056083,,,,,,,,,,69.25,percent of total billed charges,64.6765123,,,,,,,,,,69.25,percent of total billed charges,64.49677905,,,,,,,,,,69.25,percent of total billed charges,63.54706476,,,,,,,,,,69.25,percent of total billed charges,65.18222416,,,,,,,,,,69.25,percent of total billed charges,999999999,,,,,,,,,,69.25,percent of total billed charges,55.93093846,,,,,,,,,,69.25,percent of total billed charges,88.20694693,,,,,,,,,,69.25,percent of total billed charges,999999999,,,,,,,,,,69.25,percent of total billed charges,60.30723055,,,,,,,,,,249.3,percent of total billed charges,,,,,
NICOTINE-SERUM,G0480,CDM,,,,both,,,366,366,77.91552373,366,366,percent of total billed charges,269.2792024,,,,366,percent of total billed charges,285.4306303,,,,366,percent of total billed charges,269.2792024,,,,366,percent of total billed charges,285.4306303,,,,366,percent of total billed charges,999999999,,,,366,percent of total billed charges,278.866845,,,,366,percent of total billed charges,269.2792024,,,,366,percent of total billed charges,285.4306303,,,,260.958,percent of total billed charges,130.2228175,,,,260.958,percent of total billed charges,77.91552373,,,,260.958,percent of total billed charges,130.2228175,,,,260.958,percent of total billed charges,77.91552373,,,,260.958,percent of total billed charges,130.2228175,,,,260.958,percent of total billed charges,77.91552373,,,,258.396,percent of total billed charges,256.4354793,,,,258.396,percent of total billed charges,176.8615176,,,,,,,,,,263.52,percent of total billed charges,171.2817988,,,,,,,,,,263.52,percent of total billed charges,999999999,,,,,,,,,,292.8,percent of total billed charges,245.3511797,,,,289.14,percent of total billed charges,279.0325431,,,,289.14,percent of total billed charges,246.5344882,,,,292.8,percent of total billed charges,999999999,,,,292.8,percent of total billed charges,999999999,,,,256.2,percent of total billed charges,999999999,,,,256.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,194.712,percent of total billed charges,999999999,,,,,,,,,,,,,,,,184.83,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,91.5,percent of total billed charges,86.90261828,,,,,,,,,,91.5,percent of total billed charges,85.45705236,,,,,,,,,,91.5,percent of total billed charges,85.21957087,,,,,,,,,,91.5,percent of total billed charges,83.96471372,,,,,,,,,,91.5,percent of total billed charges,86.12524924,,,,,,,,,,91.5,percent of total billed charges,999999999,,,,,,,,,,91.5,percent of total billed charges,73.9015288,,,,,,,,,,91.5,percent of total billed charges,116.5478071,,,,,,,,,,91.5,percent of total billed charges,999999999,,,,,,,,,,91.5,percent of total billed charges,79.68392196,,,,,,,,,,329.4,percent of total billed charges,,,,,
PROLACTIN(*),84146,CDM,,,,both,,,346,346,73.65784484,346,346,percent of total billed charges,254.5644919,,,,346,percent of total billed charges,269.8333281,,,,346,percent of total billed charges,254.5644919,,,,346,percent of total billed charges,269.8333281,,,,346,percent of total billed charges,999999999,,,,346,percent of total billed charges,263.6282196,,,,346,percent of total billed charges,254.5644919,,,,346,percent of total billed charges,269.8333281,,,,246.698,percent of total billed charges,123.1068166,,,,246.698,percent of total billed charges,73.65784484,,,,246.698,percent of total billed charges,123.1068166,,,,246.698,percent of total billed charges,73.65784484,,,,246.698,percent of total billed charges,123.1068166,,,,246.698,percent of total billed charges,73.65784484,,,,244.276,percent of total billed charges,242.4226116,,,,244.276,percent of total billed charges,167.1969538,,,,,,,,,,249.12,percent of total billed charges,161.9221377,,,,,,,,,,249.12,percent of total billed charges,999999999,,,,,,,,,,276.8,percent of total billed charges,231.9440114,,,,273.34,percent of total billed charges,263.7848632,,,,273.34,percent of total billed charges,233.0626583,,,,276.8,percent of total billed charges,999999999,,,,276.8,percent of total billed charges,999999999,,,,242.2,percent of total billed charges,999999999,,,,242.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,184.072,percent of total billed charges,999999999,,,,,,,,,,,,,,,,174.73,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,86.5,percent of total billed charges,82.15384133,,,,,,,,,,86.5,percent of total billed charges,80.78726808,,,,,,,,,,86.5,percent of total billed charges,80.56276372,,,,,,,,,,86.5,percent of total billed charges,79.376478,,,,,,,,,,86.5,percent of total billed charges,81.41895147,,,,,,,,,,86.5,percent of total billed charges,999999999,,,,,,,,,,86.5,percent of total billed charges,69.86319389,,,,,,,,,,86.5,percent of total billed charges,110.1790745,,,,,,,,,,86.5,percent of total billed charges,999999999,,,,,,,,,,86.5,percent of total billed charges,75.32960928,,,,,,,,,,311.4,percent of total billed charges,,,,,
PROSTAGLANDIN,84150,CDM,,,,both,,,450,450,95.79777508,450,450,percent of total billed charges,331.0809866,,,,450,percent of total billed charges,350.9392995,,,,450,percent of total billed charges,331.0809866,,,,450,percent of total billed charges,350.9392995,,,,450,percent of total billed charges,999999999,,,,450,percent of total billed charges,342.8690717,,,,450,percent of total billed charges,331.0809866,,,,450,percent of total billed charges,350.9392995,,,,320.85,percent of total billed charges,160.1100216,,,,320.85,percent of total billed charges,95.79777508,,,,320.85,percent of total billed charges,160.1100216,,,,320.85,percent of total billed charges,95.79777508,,,,320.85,percent of total billed charges,160.1100216,,,,320.85,percent of total billed charges,95.79777508,,,,317.7,percent of total billed charges,315.2895237,,,,317.7,percent of total billed charges,217.4526855,,,,,,,,,,324,percent of total billed charges,210.5923756,,,,,,,,,,324,percent of total billed charges,999999999,,,,,,,,,,360,percent of total billed charges,301.6612866,,,,355.5,percent of total billed charges,343.0727989,,,,355.5,percent of total billed charges,303.1161741,,,,360,percent of total billed charges,999999999,,,,360,percent of total billed charges,999999999,,,,315,percent of total billed charges,999999999,,,,315,percent of total billed charges,999999999,,,,,,,,,,,,,,,,239.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,227.25,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,112.5,percent of total billed charges,106.8474815,,,,,,,,,,112.5,percent of total billed charges,105.0701463,,,,,,,,,,112.5,percent of total billed charges,104.7781609,,,,,,,,,,112.5,percent of total billed charges,103.2353038,,,,,,,,,,112.5,percent of total billed charges,105.8916999,,,,,,,,,,112.5,percent of total billed charges,999999999,,,,,,,,,,112.5,percent of total billed charges,90.8625354,,,,,,,,,,112.5,percent of total billed charges,143.2964842,,,,,,,,,,112.5,percent of total billed charges,999999999,,,,,,,,,,112.5,percent of total billed charges,97.97203519,,,,,,,,,,405,percent of total billed charges,,,,,
HISTAMINE,83088,CDM,,,,both,,,284,284,60.45904027,284,284,percent of total billed charges,208.9488893,,,,284,percent of total billed charges,221.4816912,,,,284,percent of total billed charges,208.9488893,,,,284,percent of total billed charges,221.4816912,,,,284,percent of total billed charges,999999999,,,,284,percent of total billed charges,216.3884808,,,,284,percent of total billed charges,208.9488893,,,,284,percent of total billed charges,221.4816912,,,,202.492,percent of total billed charges,101.0472136,,,,202.492,percent of total billed charges,60.45904027,,,,202.492,percent of total billed charges,101.0472136,,,,202.492,percent of total billed charges,60.45904027,,,,202.492,percent of total billed charges,101.0472136,,,,202.492,percent of total billed charges,60.45904027,,,,200.504,percent of total billed charges,198.9827216,,,,200.504,percent of total billed charges,137.236806,,,,,,,,,,204.48,percent of total billed charges,132.9071882,,,,,,,,,,204.48,percent of total billed charges,999999999,,,,,,,,,,227.2,percent of total billed charges,190.3817897,,,,224.36,percent of total billed charges,216.5170553,,,,224.36,percent of total billed charges,191.2999854,,,,227.2,percent of total billed charges,999999999,,,,227.2,percent of total billed charges,999999999,,,,198.8,percent of total billed charges,999999999,,,,198.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,151.088,percent of total billed charges,999999999,,,,,,,,,,,,,,,,143.42,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,71,percent of total billed charges,67.43263276,,,,,,,,,,71,percent of total billed charges,66.3109368,,,,,,,,,,71,percent of total billed charges,66.12666155,,,,,,,,,,71,percent of total billed charges,65.15294726,,,,,,,,,,71,percent of total billed charges,66.82942838,,,,,,,,,,71,percent of total billed charges,999999999,,,,,,,,,,71,percent of total billed charges,57.34435568,,,,,,,,,,71,percent of total billed charges,90.43600335,,,,,,,,,,71,percent of total billed charges,999999999,,,,,,,,,,71,percent of total billed charges,61.83123999,,,,,,,,,,255.6,percent of total billed charges,,,,,
AMNIOTIC FLUID FOR FETAL LUNG MATURI(*),83661,CDM,,,,both,,,450,450,95.79777508,450,450,percent of total billed charges,331.0809866,,,,450,percent of total billed charges,350.9392995,,,,450,percent of total billed charges,331.0809866,,,,450,percent of total billed charges,350.9392995,,,,450,percent of total billed charges,999999999,,,,450,percent of total billed charges,342.8690717,,,,450,percent of total billed charges,331.0809866,,,,450,percent of total billed charges,350.9392995,,,,320.85,percent of total billed charges,160.1100216,,,,320.85,percent of total billed charges,95.79777508,,,,320.85,percent of total billed charges,160.1100216,,,,320.85,percent of total billed charges,95.79777508,,,,320.85,percent of total billed charges,160.1100216,,,,320.85,percent of total billed charges,95.79777508,,,,317.7,percent of total billed charges,315.2895237,,,,317.7,percent of total billed charges,217.4526855,,,,,,,,,,324,percent of total billed charges,210.5923756,,,,,,,,,,324,percent of total billed charges,999999999,,,,,,,,,,360,percent of total billed charges,301.6612866,,,,355.5,percent of total billed charges,343.0727989,,,,355.5,percent of total billed charges,303.1161741,,,,360,percent of total billed charges,999999999,,,,360,percent of total billed charges,999999999,,,,315,percent of total billed charges,999999999,,,,315,percent of total billed charges,999999999,,,,,,,,,,,,,,,,239.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,227.25,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,112.5,percent of total billed charges,106.8474815,,,,,,,,,,112.5,percent of total billed charges,105.0701463,,,,,,,,,,112.5,percent of total billed charges,104.7781609,,,,,,,,,,112.5,percent of total billed charges,103.2353038,,,,,,,,,,112.5,percent of total billed charges,105.8916999,,,,,,,,,,112.5,percent of total billed charges,999999999,,,,,,,,,,112.5,percent of total billed charges,90.8625354,,,,,,,,,,112.5,percent of total billed charges,143.2964842,,,,,,,,,,112.5,percent of total billed charges,999999999,,,,,,,,,,112.5,percent of total billed charges,97.97203519,,,,,,,,,,405,percent of total billed charges,,,,,
ANGIOTENSIN CONVERTING ENZYME(*),82164,CDM,,,,both,,,194,194,41.29948526,194,194,percent of total billed charges,142.732692,,,,194,percent of total billed charges,151.2938313,,,,194,percent of total billed charges,142.732692,,,,194,percent of total billed charges,151.2938313,,,,194,percent of total billed charges,999999999,,,,194,percent of total billed charges,147.8146665,,,,194,percent of total billed charges,142.732692,,,,194,percent of total billed charges,151.2938313,,,,138.322,percent of total billed charges,69.0252093,,,,138.322,percent of total billed charges,41.29948526,,,,138.322,percent of total billed charges,69.0252093,,,,138.322,percent of total billed charges,41.29948526,,,,138.322,percent of total billed charges,69.0252093,,,,138.322,percent of total billed charges,41.29948526,,,,136.964,percent of total billed charges,135.9248169,,,,136.964,percent of total billed charges,93.74626887,,,,,,,,,,139.68,percent of total billed charges,90.78871303,,,,,,,,,,139.68,percent of total billed charges,999999999,,,,,,,,,,155.2,percent of total billed charges,130.0495324,,,,153.26,percent of total billed charges,147.9024955,,,,153.26,percent of total billed charges,130.6767506,,,,155.2,percent of total billed charges,999999999,,,,155.2,percent of total billed charges,999999999,,,,135.8,percent of total billed charges,999999999,,,,135.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,103.208,percent of total billed charges,999999999,,,,,,,,,,,,,,,,97.97,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,48.5,percent of total billed charges,46.06313647,,,,,,,,,,48.5,percent of total billed charges,45.29690753,,,,,,,,,,48.5,percent of total billed charges,45.17102937,,,,,,,,,,48.5,percent of total billed charges,44.50588651,,,,,,,,,,48.5,percent of total billed charges,45.6510884,,,,,,,,,,48.5,percent of total billed charges,999999999,,,,,,,,,,48.5,percent of total billed charges,39.1718486,,,,,,,,,,48.5,percent of total billed charges,61.77670651,,,,,,,,,,48.5,percent of total billed charges,999999999,,,,,,,,,,48.5,percent of total billed charges,42.23683295,,,,,,,,,,174.6,percent of total billed charges,,,,,
AMIODARONE LEVEL(*),80299,CDM,,,,both,,,246,246,52.36945038,246,246,percent of total billed charges,180.9909393,,,,246,percent of total billed charges,191.8468171,,,,246,percent of total billed charges,180.9909393,,,,246,percent of total billed charges,191.8468171,,,,246,percent of total billed charges,999999999,,,,246,percent of total billed charges,187.4350925,,,,246,percent of total billed charges,180.9909393,,,,246,percent of total billed charges,191.8468171,,,,175.398,percent of total billed charges,87.52681179,,,,175.398,percent of total billed charges,52.36945038,,,,175.398,percent of total billed charges,87.52681179,,,,175.398,percent of total billed charges,52.36945038,,,,175.398,percent of total billed charges,87.52681179,,,,175.398,percent of total billed charges,52.36945038,,,,173.676,percent of total billed charges,172.358273,,,,173.676,percent of total billed charges,118.8741347,,,,,,,,,,177.12,percent of total billed charges,115.123832,,,,,,,,,,177.12,percent of total billed charges,999999999,,,,,,,,,,196.8,percent of total billed charges,164.90817,,,,194.34,percent of total billed charges,187.5464634,,,,194.34,percent of total billed charges,165.7035085,,,,196.8,percent of total billed charges,999999999,,,,196.8,percent of total billed charges,999999999,,,,172.2,percent of total billed charges,999999999,,,,172.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,130.872,percent of total billed charges,999999999,,,,,,,,,,,,,,,,124.23,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,61.5,percent of total billed charges,58.40995655,,,,,,,,,,61.5,percent of total billed charges,57.43834667,,,,,,,,,,61.5,percent of total billed charges,57.27872796,,,,,,,,,,61.5,percent of total billed charges,56.43529939,,,,,,,,,,61.5,percent of total billed charges,57.88746261,,,,,,,,,,61.5,percent of total billed charges,999999999,,,,,,,,,,61.5,percent of total billed charges,49.67151935,,,,,,,,,,61.5,percent of total billed charges,78.33541135,,,,,,,,,,61.5,percent of total billed charges,999999999,,,,,,,,,,61.5,percent of total billed charges,53.55804591,,,,,,,,,,221.4,percent of total billed charges,,,,,
PARVO VIRUS IGM(*),86747,CDM,,,,both,,,155,155,32.99701142,155,155,percent of total billed charges,114.0390065,,,,155,percent of total billed charges,120.8790921,,,,155,percent of total billed charges,114.0390065,,,,155,percent of total billed charges,120.8790921,,,,155,percent of total billed charges,999999999,,,,155,percent of total billed charges,118.0993469,,,,155,percent of total billed charges,114.0390065,,,,155,percent of total billed charges,120.8790921,,,,110.515,percent of total billed charges,55.14900743,,,,110.515,percent of total billed charges,32.99701142,,,,110.515,percent of total billed charges,55.14900743,,,,110.515,percent of total billed charges,32.99701142,,,,110.515,percent of total billed charges,55.14900743,,,,110.515,percent of total billed charges,32.99701142,,,,109.43,percent of total billed charges,108.5997248,,,,109.43,percent of total billed charges,74.90036946,,,,,,,,,,111.6,percent of total billed charges,72.53737382,,,,,,,,,,111.6,percent of total billed charges,999999999,,,,,,,,,,124,percent of total billed charges,103.9055543,,,,122.45,percent of total billed charges,118.1695196,,,,122.45,percent of total billed charges,104.4066822,,,,124,percent of total billed charges,999999999,,,,124,percent of total billed charges,999999999,,,,108.5,percent of total billed charges,999999999,,,,108.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,82.46,percent of total billed charges,999999999,,,,,,,,,,,,,,,,78.275,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,38.75,percent of total billed charges,36.8030214,,,,,,,,,,38.75,percent of total billed charges,36.19082818,,,,,,,,,,38.75,percent of total billed charges,36.09025542,,,,,,,,,,38.75,percent of total billed charges,35.55882685,,,,,,,,,,38.75,percent of total billed charges,36.47380774,,,,,,,,,,38.75,percent of total billed charges,999999999,,,,,,,,,,38.75,percent of total billed charges,31.29709553,,,,,,,,,,38.75,percent of total billed charges,49.35767789,,,,,,,,,,38.75,percent of total billed charges,999999999,,,,,,,,,,38.75,percent of total billed charges,33.74592323,,,,,,,,,,139.5,percent of total billed charges,,,,,
RUBEOLA IGM(*),86765,CDM,,,,both,,,185,185,39.38352976,185,185,percent of total billed charges,136.1110723,,,,185,percent of total billed charges,144.2750454,,,,185,percent of total billed charges,136.1110723,,,,185,percent of total billed charges,144.2750454,,,,185,percent of total billed charges,999999999,,,,185,percent of total billed charges,140.957285,,,,185,percent of total billed charges,136.1110723,,,,185,percent of total billed charges,144.2750454,,,,131.905,percent of total billed charges,65.82300887,,,,131.905,percent of total billed charges,39.38352976,,,,131.905,percent of total billed charges,65.82300887,,,,131.905,percent of total billed charges,39.38352976,,,,131.905,percent of total billed charges,65.82300887,,,,131.905,percent of total billed charges,39.38352976,,,,130.61,percent of total billed charges,129.6190264,,,,130.61,percent of total billed charges,89.39721516,,,,,,,,,,133.2,percent of total billed charges,86.57686552,,,,,,,,,,133.2,percent of total billed charges,999999999,,,,,,,,,,148,percent of total billed charges,124.0163067,,,,146.15,percent of total billed charges,141.0410396,,,,146.15,percent of total billed charges,124.6144271,,,,148,percent of total billed charges,999999999,,,,148,percent of total billed charges,999999999,,,,129.5,percent of total billed charges,999999999,,,,129.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,98.42,percent of total billed charges,999999999,,,,,,,,,,,,,,,,93.425,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,46.25,percent of total billed charges,43.92618684,,,,,,,,,,46.25,percent of total billed charges,43.19550461,,,,,,,,,,46.25,percent of total billed charges,43.07546615,,,,,,,,,,46.25,percent of total billed charges,42.44118043,,,,,,,,,,46.25,percent of total billed charges,43.5332544,,,,,,,,,,46.25,percent of total billed charges,999999999,,,,,,,,,,46.25,percent of total billed charges,37.35459789,,,,,,,,,,46.25,percent of total billed charges,58.91077683,,,,,,,,,,46.25,percent of total billed charges,999999999,,,,,,,,,,46.25,percent of total billed charges,40.27739225,,,,,,,,,,166.5,percent of total billed charges,,,,,
RUBEOLA IGG(*),86765,CDM,,,,both,,,144,144,30.65528803,144,144,percent of total billed charges,105.9459157,,,,144,percent of total billed charges,112.3005758,,,,144,percent of total billed charges,105.9459157,,,,144,percent of total billed charges,112.3005758,,,,144,percent of total billed charges,999999999,,,,144,percent of total billed charges,109.7181029,,,,144,percent of total billed charges,105.9459157,,,,144,percent of total billed charges,112.3005758,,,,102.672,percent of total billed charges,51.2352069,,,,102.672,percent of total billed charges,30.65528803,,,,102.672,percent of total billed charges,51.2352069,,,,102.672,percent of total billed charges,30.65528803,,,,102.672,percent of total billed charges,51.2352069,,,,102.672,percent of total billed charges,30.65528803,,,,101.664,percent of total billed charges,100.8926476,,,,101.664,percent of total billed charges,69.58485937,,,,,,,,,,103.68,percent of total billed charges,67.38956019,,,,,,,,,,103.68,percent of total billed charges,999999999,,,,,,,,,,115.2,percent of total billed charges,96.5316117,,,,113.76,percent of total billed charges,109.7832957,,,,113.76,percent of total billed charges,96.9971757,,,,115.2,percent of total billed charges,999999999,,,,115.2,percent of total billed charges,999999999,,,,100.8,percent of total billed charges,999999999,,,,100.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,76.608,percent of total billed charges,999999999,,,,,,,,,,,,,,,,72.72,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,36,percent of total billed charges,34.19119408,,,,,,,,,,36,percent of total billed charges,33.62244683,,,,,,,,,,36,percent of total billed charges,33.52901149,,,,,,,,,,36,percent of total billed charges,33.0352972,,,,,,,,,,36,percent of total billed charges,33.88534397,,,,,,,,,,36,percent of total billed charges,999999999,,,,,,,,,,36,percent of total billed charges,29.07601133,,,,,,,,,,36,percent of total billed charges,45.85487494,,,,,,,,,,36,percent of total billed charges,999999999,,,,,,,,,,36,percent of total billed charges,31.35105126,,,,,,,,,,129.6,percent of total billed charges,,,,,
CHROMOSOME ANALYSIS(*),88262,CDM,,,,both,,,1630,1630,347.0008297,1630,1630,percent of total billed charges,1199.248907,,,,1630,percent of total billed charges,1271.180129,,,,1630,percent of total billed charges,1199.248907,,,,1630,percent of total billed charges,1271.180129,,,,1630,percent of total billed charges,999999999,,,,1630,percent of total billed charges,1241.947971,,,,1630,percent of total billed charges,1199.248907,,,,1630,percent of total billed charges,1271.180129,,,,1162.19,percent of total billed charges,579.9540781,,,,1162.19,percent of total billed charges,347.0008297,,,,1162.19,percent of total billed charges,579.9540781,,,,1162.19,percent of total billed charges,347.0008297,,,,1162.19,percent of total billed charges,579.9540781,,,,1162.19,percent of total billed charges,347.0008297,,,,1150.78,percent of total billed charges,1142.048719,,,,1150.78,percent of total billed charges,787.6619498,,,,,,,,,,1173.6,percent of total billed charges,762.8123827,,,,,,,,,,1173.6,percent of total billed charges,999999999,,,,,,,,,,1304,percent of total billed charges,1092.684216,,,,1287.7,percent of total billed charges,1242.685916,,,,1287.7,percent of total billed charges,1097.954142,,,,1304,percent of total billed charges,999999999,,,,1304,percent of total billed charges,999999999,,,,1141,percent of total billed charges,999999999,,,,1141,percent of total billed charges,999999999,,,,,,,,,,,,,,,,867.16,percent of total billed charges,999999999,,,,,,,,,,,,,,,,823.15,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,407.5,percent of total billed charges,387.0253219,,,,,,,,,,407.5,percent of total billed charges,380.587419,,,,,,,,,,407.5,percent of total billed charges,379.5297828,,,,,,,,,,407.5,percent of total billed charges,373.9412114,,,,,,,,,,407.5,percent of total billed charges,383.5632685,,,,,,,,,,407.5,percent of total billed charges,999999999,,,,,,,,,,407.5,percent of total billed charges,329.1242949,,,,,,,,,,407.5,percent of total billed charges,519.0517094,,,,,,,,,,407.5,percent of total billed charges,999999999,,,,,,,,,,407.5,percent of total billed charges,354.876483,,,,,,,,,,1467,percent of total billed charges,,,,,
PREMATURE FATS(*),82172,CDM,,,,both,,,127,127,27.03626097,127,127,percent of total billed charges,93.43841177,,,,127,percent of total billed charges,99.04286897,,,,127,percent of total billed charges,93.43841177,,,,127,percent of total billed charges,99.04286897,,,,127,percent of total billed charges,999999999,,,,127,percent of total billed charges,96.76527134,,,,127,percent of total billed charges,93.43841177,,,,127,percent of total billed charges,99.04286897,,,,90.551,percent of total billed charges,45.18660609,,,,90.551,percent of total billed charges,27.03626097,,,,90.551,percent of total billed charges,45.18660609,,,,90.551,percent of total billed charges,27.03626097,,,,90.551,percent of total billed charges,45.18660609,,,,90.551,percent of total billed charges,27.03626097,,,,89.662,percent of total billed charges,88.98171003,,,,89.662,percent of total billed charges,61.36998014,,,,,,,,,,91.44,percent of total billed charges,59.43384822,,,,,,,,,,91.44,percent of total billed charges,999999999,,,,,,,,,,101.6,percent of total billed charges,85.13551865,,,,100.33,percent of total billed charges,96.82276769,,,,100.33,percent of total billed charges,85.54612024,,,,101.6,percent of total billed charges,999999999,,,,101.6,percent of total billed charges,999999999,,,,88.9,percent of total billed charges,999999999,,,,88.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,67.564,percent of total billed charges,999999999,,,,,,,,,,,,,,,,64.135,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,31.75,percent of total billed charges,30.15473367,,,,,,,,,,31.75,percent of total billed charges,29.65313019,,,,,,,,,,31.75,percent of total billed charges,29.57072541,,,,,,,,,,31.75,percent of total billed charges,29.13529684,,,,,,,,,,31.75,percent of total billed charges,29.88499086,,,,,,,,,,31.75,percent of total billed charges,999999999,,,,,,,,,,31.75,percent of total billed charges,25.64342666,,,,,,,,,,31.75,percent of total billed charges,40.4414522,,,,,,,,,,31.75,percent of total billed charges,999999999,,,,,,,,,,31.75,percent of total billed charges,27.64988549,,,,,,,,,,114.3,percent of total billed charges,,,,,
ALPHA 1 ANTI-TRYPSIN (*),82103,CDM,,,,both,,,218,218,46.40869993,218,218,percent of total billed charges,160.3903446,,,,218,percent of total billed charges,170.010594,,,,218,percent of total billed charges,160.3903446,,,,218,percent of total billed charges,170.010594,,,,218,percent of total billed charges,999999999,,,,218,percent of total billed charges,166.101017,,,,218,percent of total billed charges,160.3903446,,,,218,percent of total billed charges,170.010594,,,,155.434,percent of total billed charges,77.56441045,,,,155.434,percent of total billed charges,46.40869993,,,,155.434,percent of total billed charges,77.56441045,,,,155.434,percent of total billed charges,46.40869993,,,,155.434,percent of total billed charges,77.56441045,,,,155.434,percent of total billed charges,46.40869993,,,,153.908,percent of total billed charges,152.7402582,,,,153.908,percent of total billed charges,105.3437454,,,,,,,,,,156.96,percent of total billed charges,102.0203064,,,,,,,,,,156.96,percent of total billed charges,999999999,,,,,,,,,,174.4,percent of total billed charges,146.1381344,,,,172.22,percent of total billed charges,166.1997115,,,,172.22,percent of total billed charges,146.8429466,,,,174.4,percent of total billed charges,999999999,,,,174.4,percent of total billed charges,999999999,,,,152.6,percent of total billed charges,999999999,,,,152.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,115.976,percent of total billed charges,999999999,,,,,,,,,,,,,,,,110.09,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,54.5,percent of total billed charges,51.76166881,,,,,,,,,,54.5,percent of total billed charges,50.90064867,,,,,,,,,,54.5,percent of total billed charges,50.75919795,,,,,,,,,,54.5,percent of total billed charges,50.01176938,,,,,,,,,,54.5,percent of total billed charges,51.29864572,,,,,,,,,,54.5,percent of total billed charges,999999999,,,,,,,,,,54.5,percent of total billed charges,44.01785048,,,,,,,,,,54.5,percent of total billed charges,69.41918567,,,,,,,,,,54.5,percent of total billed charges,999999999,,,,,,,,,,54.5,percent of total billed charges,47.46200816,,,,,,,,,,196.2,percent of total billed charges,,,,,
**ANTI-NEUTROPHIL CYTOPLASMIC ANTIBODY*,83520,CDM,,,,both,,,188,188,40.02218159,188,188,percent of total billed charges,138.3182788,,,,188,percent of total billed charges,146.6146407,,,,188,percent of total billed charges,138.3182788,,,,188,percent of total billed charges,146.6146407,,,,188,percent of total billed charges,999999999,,,,188,percent of total billed charges,143.2430788,,,,188,percent of total billed charges,138.3182788,,,,188,percent of total billed charges,146.6146407,,,,134.044,percent of total billed charges,66.89040901,,,,134.044,percent of total billed charges,40.02218159,,,,134.044,percent of total billed charges,66.89040901,,,,134.044,percent of total billed charges,40.02218159,,,,134.044,percent of total billed charges,66.89040901,,,,134.044,percent of total billed charges,40.02218159,,,,132.728,percent of total billed charges,131.7209566,,,,132.728,percent of total billed charges,90.84689973,,,,,,,,,,135.36,percent of total billed charges,87.98081469,,,,,,,,,,135.36,percent of total billed charges,999999999,,,,,,,,,,150.4,percent of total billed charges,126.0273819,,,,148.52,percent of total billed charges,143.3281915,,,,148.52,percent of total billed charges,126.6352016,,,,150.4,percent of total billed charges,999999999,,,,150.4,percent of total billed charges,999999999,,,,131.6,percent of total billed charges,999999999,,,,131.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,100.016,percent of total billed charges,999999999,,,,,,,,,,,,,,,,94.94,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,47,percent of total billed charges,44.63850338,,,,,,,,,,47,percent of total billed charges,43.89597225,,,,,,,,,,47,percent of total billed charges,43.77398722,,,,,,,,,,47,percent of total billed charges,43.12941579,,,,,,,,,,47,percent of total billed charges,44.23919907,,,,,,,,,,47,percent of total billed charges,999999999,,,,,,,,,,47,percent of total billed charges,37.96034812,,,,,,,,,,47,percent of total billed charges,59.86608673,,,,,,,,,,47,percent of total billed charges,999999999,,,,,,,,,,47,percent of total billed charges,40.93053915,,,,,,,,,,169.2,percent of total billed charges,,,,,
FUNGAL PRECIPITATION(*),86331,CDM,,,,both,,,250,250,53.22098616,250,250,percent of total billed charges,183.9338814,,,,250,percent of total billed charges,194.9662775,,,,250,percent of total billed charges,183.9338814,,,,250,percent of total billed charges,194.9662775,,,,250,percent of total billed charges,999999999,,,,250,percent of total billed charges,190.4828176,,,,250,percent of total billed charges,183.9338814,,,,250,percent of total billed charges,194.9662775,,,,178.25,percent of total billed charges,88.95001198,,,,178.25,percent of total billed charges,53.22098616,,,,178.25,percent of total billed charges,88.95001198,,,,178.25,percent of total billed charges,53.22098616,,,,178.25,percent of total billed charges,88.95001198,,,,178.25,percent of total billed charges,53.22098616,,,,176.5,percent of total billed charges,175.1608465,,,,176.5,percent of total billed charges,120.8070475,,,,,,,,,,180,percent of total billed charges,116.9957642,,,,,,,,,,180,percent of total billed charges,999999999,,,,,,,,,,200,percent of total billed charges,167.5896036,,,,197.5,percent of total billed charges,190.5959994,,,,197.5,percent of total billed charges,168.3978745,,,,200,percent of total billed charges,999999999,,,,200,percent of total billed charges,999999999,,,,175,percent of total billed charges,999999999,,,,175,percent of total billed charges,999999999,,,,,,,,,,,,,,,,133,percent of total billed charges,999999999,,,,,,,,,,,,,,,,126.25,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,62.5,percent of total billed charges,59.35971194,,,,,,,,,,62.5,percent of total billed charges,58.37230352,,,,,,,,,,62.5,percent of total billed charges,58.21008939,,,,,,,,,,62.5,percent of total billed charges,57.35294653,,,,,,,,,,62.5,percent of total billed charges,58.82872216,,,,,,,,,,62.5,percent of total billed charges,999999999,,,,,,,,,,62.5,percent of total billed charges,50.47918634,,,,,,,,,,62.5,percent of total billed charges,79.60915788,,,,,,,,,,62.5,percent of total billed charges,999999999,,,,,,,,,,62.5,percent of total billed charges,54.42890844,,,,,,,,,,225,percent of total billed charges,,,,,
FRUCTOSAMINE,82985,CDM,,,,both,,,176,176,37.46757425,176,176,percent of total billed charges,129.4894525,,,,176,percent of total billed charges,137.2562594,,,,176,percent of total billed charges,129.4894525,,,,176,percent of total billed charges,137.2562594,,,,176,percent of total billed charges,999999999,,,,176,percent of total billed charges,134.0999036,,,,176,percent of total billed charges,129.4894525,,,,176,percent of total billed charges,137.2562594,,,,125.488,percent of total billed charges,62.62080844,,,,125.488,percent of total billed charges,37.46757425,,,,125.488,percent of total billed charges,62.62080844,,,,125.488,percent of total billed charges,37.46757425,,,,125.488,percent of total billed charges,62.62080844,,,,125.488,percent of total billed charges,37.46757425,,,,124.256,percent of total billed charges,123.3132359,,,,124.256,percent of total billed charges,85.04816145,,,,,,,,,,126.72,percent of total billed charges,82.36501801,,,,,,,,,,126.72,percent of total billed charges,999999999,,,,,,,,,,140.8,percent of total billed charges,117.983081,,,,139.04,percent of total billed charges,134.1795836,,,,139.04,percent of total billed charges,118.5521036,,,,140.8,percent of total billed charges,999999999,,,,140.8,percent of total billed charges,999999999,,,,123.2,percent of total billed charges,999999999,,,,123.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,93.632,percent of total billed charges,999999999,,,,,,,,,,,,,,,,88.88,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,44,percent of total billed charges,41.78923721,,,,,,,,,,44,percent of total billed charges,41.09410168,,,,,,,,,,44,percent of total billed charges,40.97990293,,,,,,,,,,44,percent of total billed charges,40.37647436,,,,,,,,,,44,percent of total billed charges,41.4154204,,,,,,,,,,44,percent of total billed charges,999999999,,,,,,,,,,44,percent of total billed charges,35.53734718,,,,,,,,,,44,percent of total billed charges,56.04484715,,,,,,,,,,44,percent of total billed charges,999999999,,,,,,,,,,44,percent of total billed charges,38.31795154,,,,,,,,,,158.4,percent of total billed charges,,,,,
**HIGH RESOLUTION CHROMOSOMES(*),88230,CDM,,,,both,,,912,912,194.1501575,912,912,percent of total billed charges,670.9907995,,,,912,percent of total billed charges,711.2369803,,,,912,percent of total billed charges,670.9907995,,,,912,percent of total billed charges,711.2369803,,,,912,percent of total billed charges,999999999,,,,912,percent of total billed charges,694.8813186,,,,912,percent of total billed charges,670.9907995,,,,912,percent of total billed charges,711.2369803,,,,650.256,percent of total billed charges,324.4896437,,,,650.256,percent of total billed charges,194.1501575,,,,650.256,percent of total billed charges,324.4896437,,,,650.256,percent of total billed charges,194.1501575,,,,650.256,percent of total billed charges,324.4896437,,,,650.256,percent of total billed charges,194.1501575,,,,643.872,percent of total billed charges,638.9867681,,,,643.872,percent of total billed charges,440.7041093,,,,,,,,,,656.64,percent of total billed charges,426.8005479,,,,,,,,,,656.64,percent of total billed charges,999999999,,,,,,,,,,729.6,percent of total billed charges,611.3668741,,,,720.48,percent of total billed charges,695.2942058,,,,720.48,percent of total billed charges,614.3154461,,,,729.6,percent of total billed charges,999999999,,,,729.6,percent of total billed charges,999999999,,,,638.4,percent of total billed charges,999999999,,,,638.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,485.184,percent of total billed charges,999999999,,,,,,,,,,,,,,,,460.56,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,228,percent of total billed charges,216.5442292,,,,,,,,,,228,percent of total billed charges,212.9421633,,,,,,,,,,228,percent of total billed charges,212.3504061,,,,,,,,,,228,percent of total billed charges,209.223549,,,,,,,,,,228,percent of total billed charges,214.6071784,,,,,,,,,,228,percent of total billed charges,999999999,,,,,,,,,,228,percent of total billed charges,184.1480718,,,,,,,,,,228,percent of total billed charges,290.4142079,,,,,,,,,,228,percent of total billed charges,999999999,,,,,,,,,,228,percent of total billed charges,198.556658,,,,,,,,,,820.8,percent of total billed charges,,,,,
ALPHA-1-ANTITRYPSIN PHENO,82104,CDM,,,,both,,,164,164,34.91296692,164,164,percent of total billed charges,120.6606262,,,,164,percent of total billed charges,127.897878,,,,164,percent of total billed charges,120.6606262,,,,164,percent of total billed charges,127.897878,,,,164,percent of total billed charges,999999999,,,,164,percent of total billed charges,124.9567283,,,,164,percent of total billed charges,120.6606262,,,,164,percent of total billed charges,127.897878,,,,116.932,percent of total billed charges,58.35120786,,,,116.932,percent of total billed charges,34.91296692,,,,116.932,percent of total billed charges,58.35120786,,,,116.932,percent of total billed charges,34.91296692,,,,116.932,percent of total billed charges,58.35120786,,,,116.932,percent of total billed charges,34.91296692,,,,115.784,percent of total billed charges,114.9055153,,,,115.784,percent of total billed charges,79.24942317,,,,,,,,,,118.08,percent of total billed charges,76.74922133,,,,,,,,,,118.08,percent of total billed charges,999999999,,,,,,,,,,131.2,percent of total billed charges,109.93878,,,,129.56,percent of total billed charges,125.0309756,,,,129.56,percent of total billed charges,110.4690057,,,,131.2,percent of total billed charges,999999999,,,,131.2,percent of total billed charges,999999999,,,,114.8,percent of total billed charges,999999999,,,,114.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,87.248,percent of total billed charges,999999999,,,,,,,,,,,,,,,,82.82,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,41,percent of total billed charges,38.93997103,,,,,,,,,,41,percent of total billed charges,38.29223111,,,,,,,,,,41,percent of total billed charges,38.18581864,,,,,,,,,,41,percent of total billed charges,37.62353293,,,,,,,,,,41,percent of total billed charges,38.59164174,,,,,,,,,,41,percent of total billed charges,999999999,,,,,,,,,,41,percent of total billed charges,33.11434624,,,,,,,,,,41,percent of total billed charges,52.22360757,,,,,,,,,,41,percent of total billed charges,999999999,,,,,,,,,,41,percent of total billed charges,35.70536394,,,,,,,,,,147.6,percent of total billed charges,,,,,
ALDOSTERONE SERUM PLASMA,82088,CDM,,,,both,,,363,363,77.2768719,363,363,percent of total billed charges,267.0719958,,,,363,percent of total billed charges,283.0910349,,,,363,percent of total billed charges,267.0719958,,,,363,percent of total billed charges,283.0910349,,,,363,percent of total billed charges,999999999,,,,363,percent of total billed charges,276.5810512,,,,363,percent of total billed charges,267.0719958,,,,363,percent of total billed charges,283.0910349,,,,258.819,percent of total billed charges,129.1554174,,,,258.819,percent of total billed charges,77.2768719,,,,258.819,percent of total billed charges,129.1554174,,,,258.819,percent of total billed charges,77.2768719,,,,258.819,percent of total billed charges,129.1554174,,,,258.819,percent of total billed charges,77.2768719,,,,256.278,percent of total billed charges,254.3335491,,,,256.278,percent of total billed charges,175.411833,,,,,,,,,,261.36,percent of total billed charges,169.8778496,,,,,,,,,,261.36,percent of total billed charges,999999999,,,,,,,,,,290.4,percent of total billed charges,243.3401045,,,,286.77,percent of total billed charges,276.7453911,,,,286.77,percent of total billed charges,244.5137138,,,,290.4,percent of total billed charges,999999999,,,,290.4,percent of total billed charges,999999999,,,,254.1,percent of total billed charges,999999999,,,,254.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,193.116,percent of total billed charges,999999999,,,,,,,,,,,,,,,,183.315,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,90.75,percent of total billed charges,86.19030174,,,,,,,,,,90.75,percent of total billed charges,84.75658472,,,,,,,,,,90.75,percent of total billed charges,84.5210498,,,,,,,,,,90.75,percent of total billed charges,83.27647837,,,,,,,,,,90.75,percent of total billed charges,85.41930458,,,,,,,,,,90.75,percent of total billed charges,999999999,,,,,,,,,,90.75,percent of total billed charges,73.29577856,,,,,,,,,,90.75,percent of total billed charges,115.5924972,,,,,,,,,,90.75,percent of total billed charges,999999999,,,,,,,,,,90.75,percent of total billed charges,79.03077506,,,,,,,,,,326.7,percent of total billed charges,,,,,
FTL CGEN ABNOR TWO PROTEINS,81508,CDM,,,,both,,,90,90,19.15955502,90,90,percent of total billed charges,66.21619731,,,,90,percent of total billed charges,70.1878599,,,,90,percent of total billed charges,66.21619731,,,,90,percent of total billed charges,70.1878599,,,,90,percent of total billed charges,999999999,,,,90,percent of total billed charges,68.57381434,,,,90,percent of total billed charges,66.21619731,,,,90,percent of total billed charges,70.1878599,,,,64.17,percent of total billed charges,32.02200431,,,,64.17,percent of total billed charges,19.15955502,,,,64.17,percent of total billed charges,32.02200431,,,,64.17,percent of total billed charges,19.15955502,,,,64.17,percent of total billed charges,32.02200431,,,,64.17,percent of total billed charges,19.15955502,,,,63.54,percent of total billed charges,63.05790475,,,,63.54,percent of total billed charges,43.4905371,,,,,,,,,,64.8,percent of total billed charges,42.11847512,,,,,,,,,,64.8,percent of total billed charges,999999999,,,,,,,,,,72,percent of total billed charges,60.33225731,,,,71.1,percent of total billed charges,68.61455978,,,,71.1,percent of total billed charges,60.62323481,,,,72,percent of total billed charges,999999999,,,,72,percent of total billed charges,999999999,,,,63,percent of total billed charges,999999999,,,,63,percent of total billed charges,999999999,,,,,,,,,,,,,,,,47.88,percent of total billed charges,999999999,,,,,,,,,,,,,,,,45.45,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,22.5,percent of total billed charges,21.3694963,,,,,,,,,,22.5,percent of total billed charges,21.01402927,,,,,,,,,,22.5,percent of total billed charges,20.95563218,,,,,,,,,,22.5,percent of total billed charges,20.64706075,,,,,,,,,,22.5,percent of total billed charges,21.17833998,,,,,,,,,,22.5,percent of total billed charges,999999999,,,,,,,,,,22.5,percent of total billed charges,18.17250708,,,,,,,,,,22.5,percent of total billed charges,28.65929684,,,,,,,,,,22.5,percent of total billed charges,999999999,,,,,,,,,,22.5,percent of total billed charges,19.59440704,,,,,,,,,,81,percent of total billed charges,,,,,
ALDOSTERONE URINE(*),82088,CDM,,,,both,,,363,363,77.2768719,363,363,percent of total billed charges,267.0719958,,,,363,percent of total billed charges,283.0910349,,,,363,percent of total billed charges,267.0719958,,,,363,percent of total billed charges,283.0910349,,,,363,percent of total billed charges,999999999,,,,363,percent of total billed charges,276.5810512,,,,363,percent of total billed charges,267.0719958,,,,363,percent of total billed charges,283.0910349,,,,258.819,percent of total billed charges,129.1554174,,,,258.819,percent of total billed charges,77.2768719,,,,258.819,percent of total billed charges,129.1554174,,,,258.819,percent of total billed charges,77.2768719,,,,258.819,percent of total billed charges,129.1554174,,,,258.819,percent of total billed charges,77.2768719,,,,256.278,percent of total billed charges,254.3335491,,,,256.278,percent of total billed charges,175.411833,,,,,,,,,,261.36,percent of total billed charges,169.8778496,,,,,,,,,,261.36,percent of total billed charges,999999999,,,,,,,,,,290.4,percent of total billed charges,243.3401045,,,,286.77,percent of total billed charges,276.7453911,,,,286.77,percent of total billed charges,244.5137138,,,,290.4,percent of total billed charges,999999999,,,,290.4,percent of total billed charges,999999999,,,,254.1,percent of total billed charges,999999999,,,,254.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,193.116,percent of total billed charges,999999999,,,,,,,,,,,,,,,,183.315,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,90.75,percent of total billed charges,86.19030174,,,,,,,,,,90.75,percent of total billed charges,84.75658472,,,,,,,,,,90.75,percent of total billed charges,84.5210498,,,,,,,,,,90.75,percent of total billed charges,83.27647837,,,,,,,,,,90.75,percent of total billed charges,85.41930458,,,,,,,,,,90.75,percent of total billed charges,999999999,,,,,,,,,,90.75,percent of total billed charges,73.29577856,,,,,,,,,,90.75,percent of total billed charges,115.5924972,,,,,,,,,,90.75,percent of total billed charges,999999999,,,,,,,,,,90.75,percent of total billed charges,79.03077506,,,,,,,,,,326.7,percent of total billed charges,,,,,
LYME DISEASE(*),86618,CDM,,,,both,,,278,278,59.18173661,278,278,percent of total billed charges,204.5344762,,,,278,percent of total billed charges,216.8025006,,,,278,percent of total billed charges,204.5344762,,,,278,percent of total billed charges,216.8025006,,,,278,percent of total billed charges,999999999,,,,278,percent of total billed charges,211.8168932,,,,278,percent of total billed charges,204.5344762,,,,278,percent of total billed charges,216.8025006,,,,198.214,percent of total billed charges,98.91241332,,,,198.214,percent of total billed charges,59.18173661,,,,198.214,percent of total billed charges,98.91241332,,,,198.214,percent of total billed charges,59.18173661,,,,198.214,percent of total billed charges,98.91241332,,,,198.214,percent of total billed charges,59.18173661,,,,196.268,percent of total billed charges,194.7788613,,,,196.268,percent of total billed charges,134.3374368,,,,,,,,,,200.16,percent of total billed charges,130.0992898,,,,,,,,,,200.16,percent of total billed charges,999999999,,,,,,,,,,222.4,percent of total billed charges,186.3596393,,,,219.62,percent of total billed charges,211.9427513,,,,219.62,percent of total billed charges,187.2584364,,,,222.4,percent of total billed charges,999999999,,,,222.4,percent of total billed charges,999999999,,,,194.6,percent of total billed charges,999999999,,,,194.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,147.896,percent of total billed charges,999999999,,,,,,,,,,,,,,,,140.39,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,69.5,percent of total billed charges,66.00799968,,,,,,,,,,69.5,percent of total billed charges,64.91000152,,,,,,,,,,69.5,percent of total billed charges,64.7296194,,,,,,,,,,69.5,percent of total billed charges,63.77647654,,,,,,,,,,69.5,percent of total billed charges,65.41753904,,,,,,,,,,69.5,percent of total billed charges,999999999,,,,,,,,,,69.5,percent of total billed charges,56.13285521,,,,,,,,,,69.5,percent of total billed charges,88.52538356,,,,,,,,,,69.5,percent of total billed charges,999999999,,,,,,,,,,69.5,percent of total billed charges,60.52494619,,,,,,,,,,250.2,percent of total billed charges,,,,,
LYME DNA AMP PROBE,87476,CDM,,,,both,,,466,466,99.20391819,466,466,percent of total billed charges,342.852755,,,,466,percent of total billed charges,363.4171413,,,,466,percent of total billed charges,342.852755,,,,466,percent of total billed charges,363.4171413,,,,466,percent of total billed charges,999999999,,,,466,percent of total billed charges,355.059972,,,,466,percent of total billed charges,342.852755,,,,466,percent of total billed charges,363.4171413,,,,332.258,percent of total billed charges,165.8028223,,,,332.258,percent of total billed charges,99.20391819,,,,332.258,percent of total billed charges,165.8028223,,,,332.258,percent of total billed charges,99.20391819,,,,332.258,percent of total billed charges,165.8028223,,,,332.258,percent of total billed charges,99.20391819,,,,328.996,percent of total billed charges,326.4998179,,,,328.996,percent of total billed charges,225.1843366,,,,,,,,,,335.52,percent of total billed charges,218.0801045,,,,,,,,,,335.52,percent of total billed charges,999999999,,,,,,,,,,372.8,percent of total billed charges,312.3870212,,,,368.14,percent of total billed charges,355.2709429,,,,368.14,percent of total billed charges,313.893638,,,,372.8,percent of total billed charges,999999999,,,,372.8,percent of total billed charges,999999999,,,,326.2,percent of total billed charges,999999999,,,,326.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,247.912,percent of total billed charges,999999999,,,,,,,,,,,,,,,,235.33,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,116.5,percent of total billed charges,110.6465031,,,,,,,,,,116.5,percent of total billed charges,108.8059738,,,,,,,,,,116.5,percent of total billed charges,108.5036066,,,,,,,,,,116.5,percent of total billed charges,106.9058923,,,,,,,,,,116.5,percent of total billed charges,109.6567381,,,,,,,,,,116.5,percent of total billed charges,999999999,,,,,,,,,,116.5,percent of total billed charges,94.09320333,,,,,,,,,,116.5,percent of total billed charges,148.3914703,,,,,,,,,,116.5,percent of total billed charges,999999999,,,,,,,,,,116.5,percent of total billed charges,101.4554853,,,,,,,,,,419.4,percent of total billed charges,,,,,
LYME DIS CONF TEST WEST BLOT OR MMUNOBLO,86617,CDM,,,,both,,,197,197,41.93813709,197,197,percent of total billed charges,144.9398986,,,,197,percent of total billed charges,153.6334267,,,,197,percent of total billed charges,144.9398986,,,,197,percent of total billed charges,153.6334267,,,,197,percent of total billed charges,999999999,,,,197,percent of total billed charges,150.1004603,,,,197,percent of total billed charges,144.9398986,,,,197,percent of total billed charges,153.6334267,,,,140.461,percent of total billed charges,70.09260944,,,,140.461,percent of total billed charges,41.93813709,,,,140.461,percent of total billed charges,70.09260944,,,,140.461,percent of total billed charges,41.93813709,,,,140.461,percent of total billed charges,70.09260944,,,,140.461,percent of total billed charges,41.93813709,,,,139.082,percent of total billed charges,138.0267471,,,,139.082,percent of total billed charges,95.19595344,,,,,,,,,,141.84,percent of total billed charges,92.19266221,,,,,,,,,,141.84,percent of total billed charges,999999999,,,,,,,,,,157.6,percent of total billed charges,132.0606077,,,,155.63,percent of total billed charges,150.1896475,,,,155.63,percent of total billed charges,132.6975251,,,,157.6,percent of total billed charges,999999999,,,,157.6,percent of total billed charges,999999999,,,,137.9,percent of total billed charges,999999999,,,,137.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,104.804,percent of total billed charges,999999999,,,,,,,,,,,,,,,,99.485,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,49.25,percent of total billed charges,46.77545301,,,,,,,,,,49.25,percent of total billed charges,45.99737518,,,,,,,,,,49.25,percent of total billed charges,45.86955044,,,,,,,,,,49.25,percent of total billed charges,45.19412187,,,,,,,,,,49.25,percent of total billed charges,46.35703306,,,,,,,,,,49.25,percent of total billed charges,999999999,,,,,,,,,,49.25,percent of total billed charges,39.77759883,,,,,,,,,,49.25,percent of total billed charges,62.73201641,,,,,,,,,,49.25,percent of total billed charges,999999999,,,,,,,,,,49.25,percent of total billed charges,42.88997985,,,,,,,,,,177.3,percent of total billed charges,,,,,
ROTAVIRUS(*),86759,CDM,,,,both,,,278,278,59.18173661,278,278,percent of total billed charges,204.5344762,,,,278,percent of total billed charges,216.8025006,,,,278,percent of total billed charges,204.5344762,,,,278,percent of total billed charges,216.8025006,,,,278,percent of total billed charges,999999999,,,,278,percent of total billed charges,211.8168932,,,,278,percent of total billed charges,204.5344762,,,,278,percent of total billed charges,216.8025006,,,,198.214,percent of total billed charges,98.91241332,,,,198.214,percent of total billed charges,59.18173661,,,,198.214,percent of total billed charges,98.91241332,,,,198.214,percent of total billed charges,59.18173661,,,,198.214,percent of total billed charges,98.91241332,,,,198.214,percent of total billed charges,59.18173661,,,,196.268,percent of total billed charges,194.7788613,,,,196.268,percent of total billed charges,134.3374368,,,,,,,,,,200.16,percent of total billed charges,130.0992898,,,,,,,,,,200.16,percent of total billed charges,999999999,,,,,,,,,,222.4,percent of total billed charges,186.3596393,,,,219.62,percent of total billed charges,211.9427513,,,,219.62,percent of total billed charges,187.2584364,,,,222.4,percent of total billed charges,999999999,,,,222.4,percent of total billed charges,999999999,,,,194.6,percent of total billed charges,999999999,,,,194.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,147.896,percent of total billed charges,999999999,,,,,,,,,,,,,,,,140.39,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,69.5,percent of total billed charges,66.00799968,,,,,,,,,,69.5,percent of total billed charges,64.91000152,,,,,,,,,,69.5,percent of total billed charges,64.7296194,,,,,,,,,,69.5,percent of total billed charges,63.77647654,,,,,,,,,,69.5,percent of total billed charges,65.41753904,,,,,,,,,,69.5,percent of total billed charges,999999999,,,,,,,,,,69.5,percent of total billed charges,56.13285521,,,,,,,,,,69.5,percent of total billed charges,88.52538356,,,,,,,,,,69.5,percent of total billed charges,999999999,,,,,,,,,,69.5,percent of total billed charges,60.52494619,,,,,,,,,,250.2,percent of total billed charges,,,,,
PERTUSSIS TOXIN(*),86615,CDM,,,,both,,,197,197,41.93813709,197,197,percent of total billed charges,144.9398986,,,,197,percent of total billed charges,153.6334267,,,,197,percent of total billed charges,144.9398986,,,,197,percent of total billed charges,153.6334267,,,,197,percent of total billed charges,999999999,,,,197,percent of total billed charges,150.1004603,,,,197,percent of total billed charges,144.9398986,,,,197,percent of total billed charges,153.6334267,,,,140.461,percent of total billed charges,70.09260944,,,,140.461,percent of total billed charges,41.93813709,,,,140.461,percent of total billed charges,70.09260944,,,,140.461,percent of total billed charges,41.93813709,,,,140.461,percent of total billed charges,70.09260944,,,,140.461,percent of total billed charges,41.93813709,,,,139.082,percent of total billed charges,138.0267471,,,,139.082,percent of total billed charges,95.19595344,,,,,,,,,,141.84,percent of total billed charges,92.19266221,,,,,,,,,,141.84,percent of total billed charges,999999999,,,,,,,,,,157.6,percent of total billed charges,132.0606077,,,,155.63,percent of total billed charges,150.1896475,,,,155.63,percent of total billed charges,132.6975251,,,,157.6,percent of total billed charges,999999999,,,,157.6,percent of total billed charges,999999999,,,,137.9,percent of total billed charges,999999999,,,,137.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,104.804,percent of total billed charges,999999999,,,,,,,,,,,,,,,,99.485,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,49.25,percent of total billed charges,46.77545301,,,,,,,,,,49.25,percent of total billed charges,45.99737518,,,,,,,,,,49.25,percent of total billed charges,45.86955044,,,,,,,,,,49.25,percent of total billed charges,45.19412187,,,,,,,,,,49.25,percent of total billed charges,46.35703306,,,,,,,,,,49.25,percent of total billed charges,999999999,,,,,,,,,,49.25,percent of total billed charges,39.77759883,,,,,,,,,,49.25,percent of total billed charges,62.73201641,,,,,,,,,,49.25,percent of total billed charges,999999999,,,,,,,,,,49.25,percent of total billed charges,42.88997985,,,,,,,,,,177.3,percent of total billed charges,,,,,
BORDETELLA PERTUSSIS(*),86615,CDM,,,,both,,,197,197,41.93813709,197,197,percent of total billed charges,144.9398986,,,,197,percent of total billed charges,153.6334267,,,,197,percent of total billed charges,144.9398986,,,,197,percent of total billed charges,153.6334267,,,,197,percent of total billed charges,999999999,,,,197,percent of total billed charges,150.1004603,,,,197,percent of total billed charges,144.9398986,,,,197,percent of total billed charges,153.6334267,,,,140.461,percent of total billed charges,70.09260944,,,,140.461,percent of total billed charges,41.93813709,,,,140.461,percent of total billed charges,70.09260944,,,,140.461,percent of total billed charges,41.93813709,,,,140.461,percent of total billed charges,70.09260944,,,,140.461,percent of total billed charges,41.93813709,,,,139.082,percent of total billed charges,138.0267471,,,,139.082,percent of total billed charges,95.19595344,,,,,,,,,,141.84,percent of total billed charges,92.19266221,,,,,,,,,,141.84,percent of total billed charges,999999999,,,,,,,,,,157.6,percent of total billed charges,132.0606077,,,,155.63,percent of total billed charges,150.1896475,,,,155.63,percent of total billed charges,132.6975251,,,,157.6,percent of total billed charges,999999999,,,,157.6,percent of total billed charges,999999999,,,,137.9,percent of total billed charges,999999999,,,,137.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,104.804,percent of total billed charges,999999999,,,,,,,,,,,,,,,,99.485,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,49.25,percent of total billed charges,46.77545301,,,,,,,,,,49.25,percent of total billed charges,45.99737518,,,,,,,,,,49.25,percent of total billed charges,45.86955044,,,,,,,,,,49.25,percent of total billed charges,45.19412187,,,,,,,,,,49.25,percent of total billed charges,46.35703306,,,,,,,,,,49.25,percent of total billed charges,999999999,,,,,,,,,,49.25,percent of total billed charges,39.77759883,,,,,,,,,,49.25,percent of total billed charges,62.73201641,,,,,,,,,,49.25,percent of total billed charges,999999999,,,,,,,,,,49.25,percent of total billed charges,42.88997985,,,,,,,,,,177.3,percent of total billed charges,,,,,
FILAMENUOUS HEMAGGLUTININ(*),86615,CDM,,,,both,,,197,197,41.93813709,197,197,percent of total billed charges,144.9398986,,,,197,percent of total billed charges,153.6334267,,,,197,percent of total billed charges,144.9398986,,,,197,percent of total billed charges,153.6334267,,,,197,percent of total billed charges,999999999,,,,197,percent of total billed charges,150.1004603,,,,197,percent of total billed charges,144.9398986,,,,197,percent of total billed charges,153.6334267,,,,140.461,percent of total billed charges,70.09260944,,,,140.461,percent of total billed charges,41.93813709,,,,140.461,percent of total billed charges,70.09260944,,,,140.461,percent of total billed charges,41.93813709,,,,140.461,percent of total billed charges,70.09260944,,,,140.461,percent of total billed charges,41.93813709,,,,139.082,percent of total billed charges,138.0267471,,,,139.082,percent of total billed charges,95.19595344,,,,,,,,,,141.84,percent of total billed charges,92.19266221,,,,,,,,,,141.84,percent of total billed charges,999999999,,,,,,,,,,157.6,percent of total billed charges,132.0606077,,,,155.63,percent of total billed charges,150.1896475,,,,155.63,percent of total billed charges,132.6975251,,,,157.6,percent of total billed charges,999999999,,,,157.6,percent of total billed charges,999999999,,,,137.9,percent of total billed charges,999999999,,,,137.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,104.804,percent of total billed charges,999999999,,,,,,,,,,,,,,,,99.485,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,49.25,percent of total billed charges,46.77545301,,,,,,,,,,49.25,percent of total billed charges,45.99737518,,,,,,,,,,49.25,percent of total billed charges,45.86955044,,,,,,,,,,49.25,percent of total billed charges,45.19412187,,,,,,,,,,49.25,percent of total billed charges,46.35703306,,,,,,,,,,49.25,percent of total billed charges,999999999,,,,,,,,,,49.25,percent of total billed charges,39.77759883,,,,,,,,,,49.25,percent of total billed charges,62.73201641,,,,,,,,,,49.25,percent of total billed charges,999999999,,,,,,,,,,49.25,percent of total billed charges,42.88997985,,,,,,,,,,177.3,percent of total billed charges,,,,,
LEGIONELLA(*),86713,CDM,,,,both,,,274,274,58.33020083,274,274,percent of total billed charges,201.591534,,,,274,percent of total billed charges,213.6830401,,,,274,percent of total billed charges,201.591534,,,,274,percent of total billed charges,213.6830401,,,,274,percent of total billed charges,999999999,,,,274,percent of total billed charges,208.7691681,,,,274,percent of total billed charges,201.591534,,,,274,percent of total billed charges,213.6830401,,,,195.362,percent of total billed charges,97.48921313,,,,195.362,percent of total billed charges,58.33020083,,,,195.362,percent of total billed charges,97.48921313,,,,195.362,percent of total billed charges,58.33020083,,,,195.362,percent of total billed charges,97.48921313,,,,195.362,percent of total billed charges,58.33020083,,,,193.444,percent of total billed charges,191.9762878,,,,193.444,percent of total billed charges,132.4045241,,,,,,,,,,197.28,percent of total billed charges,128.2273576,,,,,,,,,,197.28,percent of total billed charges,999999999,,,,,,,,,,219.2,percent of total billed charges,183.6782056,,,,216.46,percent of total billed charges,208.8932153,,,,216.46,percent of total billed charges,184.5640704,,,,219.2,percent of total billed charges,999999999,,,,219.2,percent of total billed charges,999999999,,,,191.8,percent of total billed charges,999999999,,,,191.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,145.768,percent of total billed charges,999999999,,,,,,,,,,,,,,,,138.37,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,68.5,percent of total billed charges,65.05824429,,,,,,,,,,68.5,percent of total billed charges,63.97604466,,,,,,,,,,68.5,percent of total billed charges,63.79825797,,,,,,,,,,68.5,percent of total billed charges,62.8588294,,,,,,,,,,68.5,percent of total billed charges,64.47627949,,,,,,,,,,68.5,percent of total billed charges,999999999,,,,,,,,,,68.5,percent of total billed charges,55.32518822,,,,,,,,,,68.5,percent of total billed charges,87.25163704,,,,,,,,,,68.5,percent of total billed charges,999999999,,,,,,,,,,68.5,percent of total billed charges,59.65408365,,,,,,,,,,246.6,percent of total billed charges,,,,,
PKU(*),84030,CDM,,,,both,,,209,209,44.49274443,209,209,percent of total billed charges,153.7687249,,,,209,percent of total billed charges,162.991808,,,,209,percent of total billed charges,153.7687249,,,,209,percent of total billed charges,162.991808,,,,209,percent of total billed charges,999999999,,,,209,percent of total billed charges,159.2436355,,,,209,percent of total billed charges,153.7687249,,,,209,percent of total billed charges,162.991808,,,,149.017,percent of total billed charges,74.36221002,,,,149.017,percent of total billed charges,44.49274443,,,,149.017,percent of total billed charges,74.36221002,,,,149.017,percent of total billed charges,44.49274443,,,,149.017,percent of total billed charges,74.36221002,,,,149.017,percent of total billed charges,44.49274443,,,,147.554,percent of total billed charges,146.4344677,,,,147.554,percent of total billed charges,100.9946917,,,,,,,,,,150.48,percent of total billed charges,97.80845889,,,,,,,,,,150.48,percent of total billed charges,999999999,,,,,,,,,,167.2,percent of total billed charges,140.1049087,,,,165.11,percent of total billed charges,159.3382555,,,,165.11,percent of total billed charges,140.7806231,,,,167.2,percent of total billed charges,999999999,,,,167.2,percent of total billed charges,999999999,,,,146.3,percent of total billed charges,999999999,,,,146.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,111.188,percent of total billed charges,999999999,,,,,,,,,,,,,,,,105.545,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,52.25,percent of total billed charges,49.62471918,,,,,,,,,,52.25,percent of total billed charges,48.79924575,,,,,,,,,,52.25,percent of total billed charges,48.66363473,,,,,,,,,,52.25,percent of total billed charges,47.9470633,,,,,,,,,,52.25,percent of total billed charges,49.18081173,,,,,,,,,,52.25,percent of total billed charges,999999999,,,,,,,,,,52.25,percent of total billed charges,42.20059978,,,,,,,,,,52.25,percent of total billed charges,66.55325599,,,,,,,,,,52.25,percent of total billed charges,999999999,,,,,,,,,,52.25,percent of total billed charges,45.50256746,,,,,,,,,,188.1,percent of total billed charges,,,,,
BRUCELLA ANTIBODY,86622,CDM,,,,both,,,148,148,31.5068238,148,148,percent of total billed charges,108.8888578,,,,148,percent of total billed charges,115.4200363,,,,148,percent of total billed charges,108.8888578,,,,148,percent of total billed charges,115.4200363,,,,148,percent of total billed charges,999999999,,,,148,percent of total billed charges,112.765828,,,,148,percent of total billed charges,108.8888578,,,,148,percent of total billed charges,115.4200363,,,,105.524,percent of total billed charges,52.65840709,,,,105.524,percent of total billed charges,31.5068238,,,,105.524,percent of total billed charges,52.65840709,,,,105.524,percent of total billed charges,31.5068238,,,,105.524,percent of total billed charges,52.65840709,,,,105.524,percent of total billed charges,31.5068238,,,,104.488,percent of total billed charges,103.6952211,,,,104.488,percent of total billed charges,71.51777213,,,,,,,,,,106.56,percent of total billed charges,69.26149242,,,,,,,,,,106.56,percent of total billed charges,999999999,,,,,,,,,,118.4,percent of total billed charges,99.21304536,,,,116.92,percent of total billed charges,112.8328316,,,,116.92,percent of total billed charges,99.6915417,,,,118.4,percent of total billed charges,999999999,,,,118.4,percent of total billed charges,999999999,,,,103.6,percent of total billed charges,999999999,,,,103.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,78.736,percent of total billed charges,999999999,,,,,,,,,,,,,,,,74.74,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,37,percent of total billed charges,35.14094947,,,,,,,,,,37,percent of total billed charges,34.55640369,,,,,,,,,,37,percent of total billed charges,34.46037292,,,,,,,,,,37,percent of total billed charges,33.95294435,,,,,,,,,,37,percent of total billed charges,34.82660352,,,,,,,,,,37,percent of total billed charges,999999999,,,,,,,,,,37,percent of total billed charges,29.88367831,,,,,,,,,,37,percent of total billed charges,47.12862146,,,,,,,,,,37,percent of total billed charges,999999999,,,,,,,,,,37,percent of total billed charges,32.2219138,,,,,,,,,,133.2,percent of total billed charges,,,,,
BRAF GENE,81210,CDM,,,,both,,,959,959,204.1557029,959,959,percent of total billed charges,705.5703692,,,,959,percent of total billed charges,747.8906405,,,,959,percent of total billed charges,705.5703692,,,,959,percent of total billed charges,747.8906405,,,,959,percent of total billed charges,999999999,,,,959,percent of total billed charges,730.6920883,,,,959,percent of total billed charges,705.5703692,,,,959,percent of total billed charges,747.8906405,,,,683.767,percent of total billed charges,341.212246,,,,683.767,percent of total billed charges,204.1557029,,,,683.767,percent of total billed charges,341.212246,,,,683.767,percent of total billed charges,204.1557029,,,,683.767,percent of total billed charges,341.212246,,,,683.767,percent of total billed charges,204.1557029,,,,677.054,percent of total billed charges,671.9170072,,,,677.054,percent of total billed charges,463.4158342,,,,,,,,,,690.48,percent of total billed charges,448.7957515,,,,,,,,,,690.48,percent of total billed charges,999999999,,,,,,,,,,767.2,percent of total billed charges,642.8737196,,,,757.61,percent of total billed charges,731.1262537,,,,757.61,percent of total billed charges,645.9742465,,,,767.2,percent of total billed charges,999999999,,,,767.2,percent of total billed charges,999999999,,,,671.3,percent of total billed charges,999999999,,,,671.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,510.188,percent of total billed charges,999999999,,,,,,,,,,,,,,,,484.295,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,239.75,percent of total billed charges,227.703855,,,,,,,,,,239.75,percent of total billed charges,223.9161563,,,,,,,,,,239.75,percent of total billed charges,223.2939029,,,,,,,,,,239.75,percent of total billed charges,220.0059029,,,,,,,,,,239.75,percent of total billed charges,225.6669782,,,,,,,,,,239.75,percent of total billed charges,999999999,,,,,,,,,,239.75,percent of total billed charges,193.6381588,,,,,,,,,,239.75,percent of total billed charges,305.3807296,,,,,,,,,,239.75,percent of total billed charges,999999999,,,,,,,,,,239.75,percent of total billed charges,208.7892928,,,,,,,,,,863.1,percent of total billed charges,,,,,
INFLUENZA VIRUS ANTIBODY,86710,CDM,,,,both,,,77,77,16.39206374,77,77,percent of total billed charges,56.65163548,,,,77,percent of total billed charges,60.04961347,,,,77,percent of total billed charges,56.65163548,,,,77,percent of total billed charges,60.04961347,,,,77,percent of total billed charges,999999999,,,,77,percent of total billed charges,58.66870782,,,,77,percent of total billed charges,56.65163548,,,,77,percent of total billed charges,60.04961347,,,,54.901,percent of total billed charges,27.39660369,,,,54.901,percent of total billed charges,16.39206374,,,,54.901,percent of total billed charges,27.39660369,,,,54.901,percent of total billed charges,16.39206374,,,,54.901,percent of total billed charges,27.39660369,,,,54.901,percent of total billed charges,16.39206374,,,,54.362,percent of total billed charges,53.94954073,,,,54.362,percent of total billed charges,37.20857063,,,,,,,,,,55.44,percent of total billed charges,36.03469538,,,,,,,,,,55.44,percent of total billed charges,999999999,,,,,,,,,,61.6,percent of total billed charges,51.61759792,,,,60.83,percent of total billed charges,58.70356781,,,,60.83,percent of total billed charges,51.86654534,,,,61.6,percent of total billed charges,999999999,,,,61.6,percent of total billed charges,999999999,,,,53.9,percent of total billed charges,999999999,,,,53.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,40.964,percent of total billed charges,999999999,,,,,,,,,,,,,,,,38.885,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19.25,percent of total billed charges,18.28279128,,,,,,,,,,19.25,percent of total billed charges,17.97866949,,,,,,,,,,19.25,percent of total billed charges,17.92870753,,,,,,,,,,19.25,percent of total billed charges,17.66470753,,,,,,,,,,19.25,percent of total billed charges,18.11924643,,,,,,,,,,19.25,percent of total billed charges,999999999,,,,,,,,,,19.25,percent of total billed charges,15.54758939,,,,,,,,,,19.25,percent of total billed charges,24.51962063,,,,,,,,,,19.25,percent of total billed charges,999999999,,,,,,,,,,19.25,percent of total billed charges,16.7641038,,,,,,,,,,69.3,percent of total billed charges,,,,,
ROCKY MOUNTAIN ANTIGEN(*),86757,CDM,,,,both,,,243,243,51.73079854,243,243,percent of total billed charges,178.7837328,,,,243,percent of total billed charges,189.5072217,,,,243,percent of total billed charges,178.7837328,,,,243,percent of total billed charges,189.5072217,,,,243,percent of total billed charges,999999999,,,,243,percent of total billed charges,185.1492987,,,,243,percent of total billed charges,178.7837328,,,,243,percent of total billed charges,189.5072217,,,,173.259,percent of total billed charges,86.45941165,,,,173.259,percent of total billed charges,51.73079854,,,,173.259,percent of total billed charges,86.45941165,,,,173.259,percent of total billed charges,51.73079854,,,,173.259,percent of total billed charges,86.45941165,,,,173.259,percent of total billed charges,51.73079854,,,,171.558,percent of total billed charges,170.2563428,,,,171.558,percent of total billed charges,117.4244502,,,,,,,,,,174.96,percent of total billed charges,113.7198828,,,,,,,,,,174.96,percent of total billed charges,999999999,,,,,,,,,,194.4,percent of total billed charges,162.8970947,,,,191.97,percent of total billed charges,185.2593114,,,,191.97,percent of total billed charges,163.682734,,,,194.4,percent of total billed charges,999999999,,,,194.4,percent of total billed charges,999999999,,,,170.1,percent of total billed charges,999999999,,,,170.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,129.276,percent of total billed charges,999999999,,,,,,,,,,,,,,,,122.715,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,60.75,percent of total billed charges,57.69764001,,,,,,,,,,60.75,percent of total billed charges,56.73787902,,,,,,,,,,60.75,percent of total billed charges,56.58020689,,,,,,,,,,60.75,percent of total billed charges,55.74706403,,,,,,,,,,60.75,percent of total billed charges,57.18151794,,,,,,,,,,60.75,percent of total billed charges,999999999,,,,,,,,,,60.75,percent of total billed charges,49.06576912,,,,,,,,,,60.75,percent of total billed charges,77.38010146,,,,,,,,,,60.75,percent of total billed charges,999999999,,,,,,,,,,60.75,percent of total billed charges,52.90489901,,,,,,,,,,218.7,percent of total billed charges,,,,,
ROTAVIRUS AG IA,87425,CDM,,,,both,,,228,228,48.53753937,228,228,percent of total billed charges,167.7476999,,,,228,percent of total billed charges,177.8092451,,,,228,percent of total billed charges,167.7476999,,,,228,percent of total billed charges,177.8092451,,,,228,percent of total billed charges,999999999,,,,228,percent of total billed charges,173.7203297,,,,228,percent of total billed charges,167.7476999,,,,228,percent of total billed charges,177.8092451,,,,162.564,percent of total billed charges,81.12241093,,,,162.564,percent of total billed charges,48.53753937,,,,162.564,percent of total billed charges,81.12241093,,,,162.564,percent of total billed charges,48.53753937,,,,162.564,percent of total billed charges,81.12241093,,,,162.564,percent of total billed charges,48.53753937,,,,160.968,percent of total billed charges,159.746692,,,,160.968,percent of total billed charges,110.1760273,,,,,,,,,,164.16,percent of total billed charges,106.700137,,,,,,,,,,164.16,percent of total billed charges,999999999,,,,,,,,,,182.4,percent of total billed charges,152.8417185,,,,180.12,percent of total billed charges,173.8235514,,,,180.12,percent of total billed charges,153.5788615,,,,182.4,percent of total billed charges,999999999,,,,182.4,percent of total billed charges,999999999,,,,159.6,percent of total billed charges,999999999,,,,159.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,121.296,percent of total billed charges,999999999,,,,,,,,,,,,,,,,115.14,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,57,percent of total billed charges,54.13605729,,,,,,,,,,57,percent of total billed charges,53.23554081,,,,,,,,,,57,percent of total billed charges,53.08760152,,,,,,,,,,57,percent of total billed charges,52.30588724,,,,,,,,,,57,percent of total billed charges,53.65179461,,,,,,,,,,57,percent of total billed charges,999999999,,,,,,,,,,57,percent of total billed charges,46.03701794,,,,,,,,,,57,percent of total billed charges,72.60355199,,,,,,,,,,57,percent of total billed charges,999999999,,,,,,,,,,57,percent of total billed charges,49.6391645,,,,,,,,,,205.2,percent of total billed charges,,,,,
SALMONELLA ANTIBODY,86768,CDM,,,,both,,,119,119,25.33318941,119,119,percent of total billed charges,87.55252756,,,,119,percent of total billed charges,92.80394809,,,,119,percent of total billed charges,87.55252756,,,,119,percent of total billed charges,92.80394809,,,,119,percent of total billed charges,999999999,,,,119,percent of total billed charges,90.66982118,,,,119,percent of total billed charges,87.55252756,,,,119,percent of total billed charges,92.80394809,,,,84.847,percent of total billed charges,42.3402057,,,,84.847,percent of total billed charges,25.33318941,,,,84.847,percent of total billed charges,42.3402057,,,,84.847,percent of total billed charges,25.33318941,,,,84.847,percent of total billed charges,42.3402057,,,,84.847,percent of total billed charges,25.33318941,,,,84.014,percent of total billed charges,83.37656294,,,,84.014,percent of total billed charges,57.50415461,,,,,,,,,,85.68,percent of total billed charges,55.68998377,,,,,,,,,,85.68,percent of total billed charges,999999999,,,,,,,,,,95.2,percent of total billed charges,79.77265134,,,,94.01,percent of total billed charges,90.72369571,,,,94.01,percent of total billed charges,80.15738826,,,,95.2,percent of total billed charges,999999999,,,,95.2,percent of total billed charges,999999999,,,,83.3,percent of total billed charges,999999999,,,,83.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,63.308,percent of total billed charges,999999999,,,,,,,,,,,,,,,,60.095,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,29.75,percent of total billed charges,28.25522288,,,,,,,,,,29.75,percent of total billed charges,27.78521648,,,,,,,,,,29.75,percent of total billed charges,27.70800255,,,,,,,,,,29.75,percent of total billed charges,27.30000255,,,,,,,,,,29.75,percent of total billed charges,28.00247175,,,,,,,,,,29.75,percent of total billed charges,999999999,,,,,,,,,,29.75,percent of total billed charges,24.0280927,,,,,,,,,,29.75,percent of total billed charges,37.89395915,,,,,,,,,,29.75,percent of total billed charges,999999999,,,,,,,,,,29.75,percent of total billed charges,25.90816042,,,,,,,,,,107.1,percent of total billed charges,,,,,
TETANUS ANTITOXIN LEVEL(*),86774,CDM,,,,both,,,231,231,49.17619121,231,231,percent of total billed charges,169.9549064,,,,231,percent of total billed charges,180.1488404,,,,231,percent of total billed charges,169.9549064,,,,231,percent of total billed charges,180.1488404,,,,231,percent of total billed charges,999999999,,,,231,percent of total billed charges,176.0061235,,,,231,percent of total billed charges,169.9549064,,,,231,percent of total billed charges,180.1488404,,,,164.703,percent of total billed charges,82.18981107,,,,164.703,percent of total billed charges,49.17619121,,,,164.703,percent of total billed charges,82.18981107,,,,164.703,percent of total billed charges,49.17619121,,,,164.703,percent of total billed charges,82.18981107,,,,164.703,percent of total billed charges,49.17619121,,,,163.086,percent of total billed charges,161.8486222,,,,163.086,percent of total billed charges,111.6257119,,,,,,,,,,166.32,percent of total billed charges,108.1040861,,,,,,,,,,166.32,percent of total billed charges,999999999,,,,,,,,,,184.8,percent of total billed charges,154.8527938,,,,182.49,percent of total billed charges,176.1107034,,,,182.49,percent of total billed charges,155.599636,,,,184.8,percent of total billed charges,999999999,,,,184.8,percent of total billed charges,999999999,,,,161.7,percent of total billed charges,999999999,,,,161.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,122.892,percent of total billed charges,999999999,,,,,,,,,,,,,,,,116.655,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,57.75,percent of total billed charges,54.84837383,,,,,,,,,,57.75,percent of total billed charges,53.93600846,,,,,,,,,,57.75,percent of total billed charges,53.7861226,,,,,,,,,,57.75,percent of total billed charges,52.9941226,,,,,,,,,,57.75,percent of total billed charges,54.35773928,,,,,,,,,,57.75,percent of total billed charges,999999999,,,,,,,,,,57.75,percent of total billed charges,46.64276817,,,,,,,,,,57.75,percent of total billed charges,73.55886188,,,,,,,,,,57.75,percent of total billed charges,999999999,,,,,,,,,,57.75,percent of total billed charges,50.2923114,,,,,,,,,,207.9,percent of total billed charges,,,,,
DIPTHERIA ANTIBODY(*),86317,CDM,,,,both,,,184,184,39.17064581,184,184,percent of total billed charges,135.3753367,,,,184,percent of total billed charges,143.4951802,,,,184,percent of total billed charges,135.3753367,,,,184,percent of total billed charges,143.4951802,,,,184,percent of total billed charges,999999999,,,,184,percent of total billed charges,140.1953538,,,,184,percent of total billed charges,135.3753367,,,,184,percent of total billed charges,143.4951802,,,,131.192,percent of total billed charges,65.46720882,,,,131.192,percent of total billed charges,39.17064581,,,,131.192,percent of total billed charges,65.46720882,,,,131.192,percent of total billed charges,39.17064581,,,,131.192,percent of total billed charges,65.46720882,,,,131.192,percent of total billed charges,39.17064581,,,,129.904,percent of total billed charges,128.918383,,,,129.904,percent of total billed charges,88.91398697,,,,,,,,,,132.48,percent of total billed charges,86.10888247,,,,,,,,,,132.48,percent of total billed charges,999999999,,,,,,,,,,147.2,percent of total billed charges,123.3459483,,,,145.36,percent of total billed charges,140.2786556,,,,145.36,percent of total billed charges,123.9408356,,,,147.2,percent of total billed charges,999999999,,,,147.2,percent of total billed charges,999999999,,,,128.8,percent of total billed charges,999999999,,,,128.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,97.888,percent of total billed charges,999999999,,,,,,,,,,,,,,,,92.92,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,46,percent of total billed charges,43.68874799,,,,,,,,,,46,percent of total billed charges,42.96201539,,,,,,,,,,46,percent of total billed charges,42.84262579,,,,,,,,,,46,percent of total billed charges,42.21176865,,,,,,,,,,46,percent of total billed charges,43.29793951,,,,,,,,,,46,percent of total billed charges,999999999,,,,,,,,,,46,percent of total billed charges,37.15268114,,,,,,,,,,46,percent of total billed charges,58.5923402,,,,,,,,,,46,percent of total billed charges,999999999,,,,,,,,,,46,percent of total billed charges,40.05967661,,,,,,,,,,165.6,percent of total billed charges,,,,,
CMV IGM (CYTOMEGALOVIRUS)(*),86645,CDM,,,,both,,,260,260,55.3498256,260,260,percent of total billed charges,191.2912367,,,,260,percent of total billed charges,202.7649286,,,,260,percent of total billed charges,191.2912367,,,,260,percent of total billed charges,202.7649286,,,,260,percent of total billed charges,999999999,,,,260,percent of total billed charges,198.1021303,,,,260,percent of total billed charges,191.2912367,,,,260,percent of total billed charges,202.7649286,,,,185.38,percent of total billed charges,92.50801246,,,,185.38,percent of total billed charges,55.3498256,,,,185.38,percent of total billed charges,92.50801246,,,,185.38,percent of total billed charges,55.3498256,,,,185.38,percent of total billed charges,92.50801246,,,,185.38,percent of total billed charges,55.3498256,,,,183.56,percent of total billed charges,182.1672804,,,,183.56,percent of total billed charges,125.6393294,,,,,,,,,,187.2,percent of total billed charges,121.6755948,,,,,,,,,,187.2,percent of total billed charges,999999999,,,,,,,,,,208,percent of total billed charges,174.2931878,,,,205.4,percent of total billed charges,198.2198394,,,,205.4,percent of total billed charges,175.1337895,,,,208,percent of total billed charges,999999999,,,,208,percent of total billed charges,999999999,,,,182,percent of total billed charges,999999999,,,,182,percent of total billed charges,999999999,,,,,,,,,,,,,,,,138.32,percent of total billed charges,999999999,,,,,,,,,,,,,,,,131.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,65,percent of total billed charges,61.73410042,,,,,,,,,,65,percent of total billed charges,60.70719566,,,,,,,,,,65,percent of total billed charges,60.53849297,,,,,,,,,,65,percent of total billed charges,59.64706439,,,,,,,,,,65,percent of total billed charges,61.18187105,,,,,,,,,,65,percent of total billed charges,999999999,,,,,,,,,,65,percent of total billed charges,52.49835379,,,,,,,,,,65,percent of total billed charges,82.79352419,,,,,,,,,,65,percent of total billed charges,999999999,,,,,,,,,,65,percent of total billed charges,56.60606478,,,,,,,,,,234,percent of total billed charges,,,,,
CMV IGG(*),86644,CDM,,,,both,,,237,237,50.45349488,237,237,percent of total billed charges,174.3693196,,,,237,percent of total billed charges,184.8280311,,,,237,percent of total billed charges,174.3693196,,,,237,percent of total billed charges,184.8280311,,,,237,percent of total billed charges,999999999,,,,237,percent of total billed charges,180.5777111,,,,237,percent of total billed charges,174.3693196,,,,237,percent of total billed charges,184.8280311,,,,168.981,percent of total billed charges,84.32461136,,,,168.981,percent of total billed charges,50.45349488,,,,168.981,percent of total billed charges,84.32461136,,,,168.981,percent of total billed charges,50.45349488,,,,168.981,percent of total billed charges,84.32461136,,,,168.981,percent of total billed charges,50.45349488,,,,167.322,percent of total billed charges,166.0524825,,,,167.322,percent of total billed charges,114.525081,,,,,,,,,,170.64,percent of total billed charges,110.9119845,,,,,,,,,,170.64,percent of total billed charges,999999999,,,,,,,,,,189.6,percent of total billed charges,158.8749443,,,,187.23,percent of total billed charges,180.6850074,,,,187.23,percent of total billed charges,159.641185,,,,189.6,percent of total billed charges,999999999,,,,189.6,percent of total billed charges,999999999,,,,165.9,percent of total billed charges,999999999,,,,165.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,126.084,percent of total billed charges,999999999,,,,,,,,,,,,,,,,119.685,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,59.25,percent of total billed charges,56.27300692,,,,,,,,,,59.25,percent of total billed charges,55.33694374,,,,,,,,,,59.25,percent of total billed charges,55.18316474,,,,,,,,,,59.25,percent of total billed charges,54.37059331,,,,,,,,,,59.25,percent of total billed charges,55.76962861,,,,,,,,,,59.25,percent of total billed charges,999999999,,,,,,,,,,59.25,percent of total billed charges,47.85426865,,,,,,,,,,59.25,percent of total billed charges,75.46948167,,,,,,,,,,59.25,percent of total billed charges,999999999,,,,,,,,,,59.25,percent of total billed charges,51.5986052,,,,,,,,,,213.3,percent of total billed charges,,,,,
TETANUS,86317,CDM,,,,both,,,122,122,25.97184124,122,122,percent of total billed charges,89.75973414,,,,122,percent of total billed charges,95.14354342,,,,122,percent of total billed charges,89.75973414,,,,122,percent of total billed charges,95.14354342,,,,122,percent of total billed charges,999999999,,,,122,percent of total billed charges,92.95561499,,,,122,percent of total billed charges,89.75973414,,,,122,percent of total billed charges,95.14354342,,,,86.986,percent of total billed charges,43.40760585,,,,86.986,percent of total billed charges,25.97184124,,,,86.986,percent of total billed charges,43.40760585,,,,86.986,percent of total billed charges,25.97184124,,,,86.986,percent of total billed charges,43.40760585,,,,86.986,percent of total billed charges,25.97184124,,,,86.132,percent of total billed charges,85.4784931,,,,86.132,percent of total billed charges,58.95383918,,,,,,,,,,87.84,percent of total billed charges,57.09393294,,,,,,,,,,87.84,percent of total billed charges,999999999,,,,,,,,,,97.6,percent of total billed charges,81.78372658,,,,96.38,percent of total billed charges,93.01084771,,,,96.38,percent of total billed charges,82.17816275,,,,97.6,percent of total billed charges,999999999,,,,97.6,percent of total billed charges,999999999,,,,85.4,percent of total billed charges,999999999,,,,85.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,64.904,percent of total billed charges,999999999,,,,,,,,,,,,,,,,61.61,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,30.5,percent of total billed charges,28.96753943,,,,,,,,,,30.5,percent of total billed charges,28.48568412,,,,,,,,,,30.5,percent of total billed charges,28.40652362,,,,,,,,,,30.5,percent of total billed charges,27.98823791,,,,,,,,,,30.5,percent of total billed charges,28.70841641,,,,,,,,,,30.5,percent of total billed charges,999999999,,,,,,,,,,30.5,percent of total billed charges,24.63384293,,,,,,,,,,30.5,percent of total billed charges,38.84926905,,,,,,,,,,30.5,percent of total billed charges,999999999,,,,,,,,,,30.5,percent of total billed charges,26.56130732,,,,,,,,,,109.8,percent of total billed charges,,,,,
JC ANTIBODY,86711,CDM,,,,both,,,1024,1024,217.9931593,1024,1024,percent of total billed charges,753.3931783,,,,1024,percent of total billed charges,798.5818726,,,,1024,percent of total billed charges,753.3931783,,,,1024,percent of total billed charges,798.5818726,,,,1024,percent of total billed charges,999999999,,,,1024,percent of total billed charges,780.2176209,,,,1024,percent of total billed charges,753.3931783,,,,1024,percent of total billed charges,798.5818726,,,,730.112,percent of total billed charges,364.3392491,,,,730.112,percent of total billed charges,217.9931593,,,,730.112,percent of total billed charges,364.3392491,,,,730.112,percent of total billed charges,217.9931593,,,,730.112,percent of total billed charges,364.3392491,,,,730.112,percent of total billed charges,217.9931593,,,,722.944,percent of total billed charges,717.4588273,,,,722.944,percent of total billed charges,494.8256666,,,,,,,,,,737.28,percent of total billed charges,479.2146502,,,,,,,,,,737.28,percent of total billed charges,999999999,,,,,,,,,,819.2,percent of total billed charges,686.4470165,,,,808.96,percent of total billed charges,780.6812135,,,,808.96,percent of total billed charges,689.7576939,,,,819.2,percent of total billed charges,999999999,,,,819.2,percent of total billed charges,999999999,,,,716.8,percent of total billed charges,999999999,,,,716.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,544.768,percent of total billed charges,999999999,,,,,,,,,,,,,,,,517.12,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,256,percent of total billed charges,243.1373801,,,,,,,,,,256,percent of total billed charges,239.0929552,,,,,,,,,,256,percent of total billed charges,238.4285261,,,,,,,,,,256,percent of total billed charges,234.917669,,,,,,,,,,256,percent of total billed charges,240.962446,,,,,,,,,,256,percent of total billed charges,999999999,,,,,,,,,,256,percent of total billed charges,206.7627472,,,,,,,,,,256,percent of total billed charges,326.0791107,,,,,,,,,,256,percent of total billed charges,999999999,,,,,,,,,,256,percent of total billed charges,222.940809,,,,,,,,,,921.6,percent of total billed charges,,,,,
ENCAINIDE ENKAID(*),Local,Local,,,,both,,,218,218,46.40869993,218,218,percent of total billed charges,160.3903446,,,,218,percent of total billed charges,170.010594,,,,218,percent of total billed charges,160.3903446,,,,218,percent of total billed charges,170.010594,,,,218,percent of total billed charges,999999999,,,,218,percent of total billed charges,166.101017,,,,218,percent of total billed charges,160.3903446,,,,218,percent of total billed charges,170.010594,,,,155.434,percent of total billed charges,77.56441045,,,,155.434,percent of total billed charges,46.40869993,,,,155.434,percent of total billed charges,77.56441045,,,,155.434,percent of total billed charges,46.40869993,,,,155.434,percent of total billed charges,77.56441045,,,,155.434,percent of total billed charges,46.40869993,,,,153.908,percent of total billed charges,152.7402582,,,,153.908,percent of total billed charges,105.3437454,,,,,,,,,,156.96,percent of total billed charges,102.0203064,,,,,,,,,,156.96,percent of total billed charges,999999999,,,,,,,,,,174.4,percent of total billed charges,146.1381344,,,,172.22,percent of total billed charges,166.1997115,,,,172.22,percent of total billed charges,146.8429466,,,,174.4,percent of total billed charges,999999999,,,,174.4,percent of total billed charges,999999999,,,,152.6,percent of total billed charges,999999999,,,,152.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,115.976,percent of total billed charges,999999999,,,,,,,,,,,,,,,,110.09,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,54.5,percent of total billed charges,51.76166881,,,,,,,,,,54.5,percent of total billed charges,50.90064867,,,,,,,,,,54.5,percent of total billed charges,50.75919795,,,,,,,,,,54.5,percent of total billed charges,50.01176938,,,,,,,,,,54.5,percent of total billed charges,51.29864572,,,,,,,,,,54.5,percent of total billed charges,999999999,,,,,,,,,,54.5,percent of total billed charges,44.01785048,,,,,,,,,,54.5,percent of total billed charges,69.41918567,,,,,,,,,,54.5,percent of total billed charges,999999999,,,,,,,,,,54.5,percent of total billed charges,47.46200816,,,,,,,,,,196.2,percent of total billed charges,,,,,
FECAL FAT QUANTATATIVE(*),82710,CDM,,,,both,,,308,308,65.56825494,308,308,percent of total billed charges,226.6065419,,,,308,percent of total billed charges,240.1984539,,,,308,percent of total billed charges,226.6065419,,,,308,percent of total billed charges,240.1984539,,,,308,percent of total billed charges,999999999,,,,308,percent of total billed charges,234.6748313,,,,308,percent of total billed charges,226.6065419,,,,308,percent of total billed charges,240.1984539,,,,219.604,percent of total billed charges,109.5864148,,,,219.604,percent of total billed charges,65.56825494,,,,219.604,percent of total billed charges,109.5864148,,,,219.604,percent of total billed charges,65.56825494,,,,219.604,percent of total billed charges,109.5864148,,,,219.604,percent of total billed charges,65.56825494,,,,217.448,percent of total billed charges,215.7981629,,,,217.448,percent of total billed charges,148.8342825,,,,,,,,,,221.76,percent of total billed charges,144.1387815,,,,,,,,,,221.76,percent of total billed charges,999999999,,,,,,,,,,246.4,percent of total billed charges,206.4703917,,,,243.32,percent of total billed charges,234.8142713,,,,243.32,percent of total billed charges,207.4661814,,,,246.4,percent of total billed charges,999999999,,,,246.4,percent of total billed charges,999999999,,,,215.6,percent of total billed charges,999999999,,,,215.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,163.856,percent of total billed charges,999999999,,,,,,,,,,,,,,,,155.54,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,77,percent of total billed charges,73.13116511,,,,,,,,,,77,percent of total billed charges,71.91467794,,,,,,,,,,77,percent of total billed charges,71.71483013,,,,,,,,,,77,percent of total billed charges,70.65883013,,,,,,,,,,77,percent of total billed charges,72.4769857,,,,,,,,,,77,percent of total billed charges,999999999,,,,,,,,,,77,percent of total billed charges,62.19035757,,,,,,,,,,77,percent of total billed charges,98.07848251,,,,,,,,,,77,percent of total billed charges,999999999,,,,,,,,,,77,percent of total billed charges,67.0564152,,,,,,,,,,277.2,percent of total billed charges,,,,,
URINE CREATININE RANDOM,82570,CDM,,,,both,,,105,105,22.35281419,105,105,percent of total billed charges,77.2522302,,,,105,percent of total billed charges,81.88583655,,,,105,percent of total billed charges,77.2522302,,,,105,percent of total billed charges,81.88583655,,,,105,percent of total billed charges,999999999,,,,105,percent of total billed charges,80.00278339,,,,105,percent of total billed charges,77.2522302,,,,105,percent of total billed charges,81.88583655,,,,74.865,percent of total billed charges,37.35900503,,,,74.865,percent of total billed charges,22.35281419,,,,74.865,percent of total billed charges,37.35900503,,,,74.865,percent of total billed charges,22.35281419,,,,74.865,percent of total billed charges,37.35900503,,,,74.865,percent of total billed charges,22.35281419,,,,74.13,percent of total billed charges,73.56755554,,,,74.13,percent of total billed charges,50.73895995,,,,,,,,,,75.6,percent of total billed charges,49.13822097,,,,,,,,,,75.6,percent of total billed charges,999999999,,,,,,,,,,84,percent of total billed charges,70.38763353,,,,82.95,percent of total billed charges,80.05031975,,,,82.95,percent of total billed charges,70.72710728,,,,84,percent of total billed charges,999999999,,,,84,percent of total billed charges,999999999,,,,73.5,percent of total billed charges,999999999,,,,73.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,55.86,percent of total billed charges,999999999,,,,,,,,,,,,,,,,53.025,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,26.25,percent of total billed charges,24.93107902,,,,,,,,,,26.25,percent of total billed charges,24.51636748,,,,,,,,,,26.25,percent of total billed charges,24.44823754,,,,,,,,,,26.25,percent of total billed charges,24.08823754,,,,,,,,,,26.25,percent of total billed charges,24.70806331,,,,,,,,,,26.25,percent of total billed charges,999999999,,,,,,,,,,26.25,percent of total billed charges,21.20125826,,,,,,,,,,26.25,percent of total billed charges,33.43584631,,,,,,,,,,26.25,percent of total billed charges,999999999,,,,,,,,,,26.25,percent of total billed charges,22.86014155,,,,,,,,,,94.5,percent of total billed charges,,,,,
URINE FOR OLIGOSACCHARIDE(*),84376,CDM,,,,both,,,118,118,25.12030547,118,118,percent of total billed charges,86.81679204,,,,118,percent of total billed charges,92.02408298,,,,118,percent of total billed charges,86.81679204,,,,118,percent of total billed charges,92.02408298,,,,118,percent of total billed charges,999999999,,,,118,percent of total billed charges,89.90788991,,,,118,percent of total billed charges,86.81679204,,,,118,percent of total billed charges,92.02408298,,,,84.134,percent of total billed charges,41.98440566,,,,84.134,percent of total billed charges,25.12030547,,,,84.134,percent of total billed charges,41.98440566,,,,84.134,percent of total billed charges,25.12030547,,,,84.134,percent of total billed charges,41.98440566,,,,84.134,percent of total billed charges,25.12030547,,,,83.308,percent of total billed charges,82.67591956,,,,83.308,percent of total billed charges,57.02092642,,,,,,,,,,84.96,percent of total billed charges,55.22200071,,,,,,,,,,84.96,percent of total billed charges,999999999,,,,,,,,,,94.4,percent of total billed charges,79.10229292,,,,93.22,percent of total billed charges,89.96131171,,,,93.22,percent of total billed charges,79.48379676,,,,94.4,percent of total billed charges,999999999,,,,94.4,percent of total billed charges,999999999,,,,82.6,percent of total billed charges,999999999,,,,82.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,62.776,percent of total billed charges,999999999,,,,,,,,,,,,,,,,59.59,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,29.5,percent of total billed charges,28.01778404,,,,,,,,,,29.5,percent of total billed charges,27.55172726,,,,,,,,,,29.5,percent of total billed charges,27.47516219,,,,,,,,,,29.5,percent of total billed charges,27.07059076,,,,,,,,,,29.5,percent of total billed charges,27.76715686,,,,,,,,,,29.5,percent of total billed charges,999999999,,,,,,,,,,29.5,percent of total billed charges,23.82617595,,,,,,,,,,29.5,percent of total billed charges,37.57552252,,,,,,,,,,29.5,percent of total billed charges,999999999,,,,,,,,,,29.5,percent of total billed charges,25.69044478,,,,,,,,,,106.2,percent of total billed charges,,,,,
URINE PROTEIN RANDOM,84156,CDM,,,,both,,,109,109,23.20434996,109,109,percent of total billed charges,80.1951723,,,,109,percent of total billed charges,85.00529699,,,,109,percent of total billed charges,80.1951723,,,,109,percent of total billed charges,85.00529699,,,,109,percent of total billed charges,999999999,,,,109,percent of total billed charges,83.05050848,,,,109,percent of total billed charges,80.1951723,,,,109,percent of total billed charges,85.00529699,,,,77.717,percent of total billed charges,38.78220522,,,,77.717,percent of total billed charges,23.20434996,,,,77.717,percent of total billed charges,38.78220522,,,,77.717,percent of total billed charges,23.20434996,,,,77.717,percent of total billed charges,38.78220522,,,,77.717,percent of total billed charges,23.20434996,,,,76.954,percent of total billed charges,76.37012908,,,,76.954,percent of total billed charges,52.67187271,,,,,,,,,,78.48,percent of total billed charges,51.0101532,,,,,,,,,,78.48,percent of total billed charges,999999999,,,,,,,,,,87.2,percent of total billed charges,73.06906719,,,,86.11,percent of total billed charges,83.09985574,,,,86.11,percent of total billed charges,73.42147328,,,,87.2,percent of total billed charges,999999999,,,,87.2,percent of total billed charges,999999999,,,,76.3,percent of total billed charges,999999999,,,,76.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,57.988,percent of total billed charges,999999999,,,,,,,,,,,,,,,,55.045,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,27.25,percent of total billed charges,25.88083441,,,,,,,,,,27.25,percent of total billed charges,25.45032434,,,,,,,,,,27.25,percent of total billed charges,25.37959897,,,,,,,,,,27.25,percent of total billed charges,25.00588469,,,,,,,,,,27.25,percent of total billed charges,25.64932286,,,,,,,,,,27.25,percent of total billed charges,999999999,,,,,,,,,,27.25,percent of total billed charges,22.00892524,,,,,,,,,,27.25,percent of total billed charges,34.70959284,,,,,,,,,,27.25,percent of total billed charges,999999999,,,,,,,,,,27.25,percent of total billed charges,23.73100408,,,,,,,,,,98.1,percent of total billed charges,,,,,
DHEA (DEHYDROEPIANDROSTERONE)*,82626,CDM,,,,both,,,225,225,47.89888754,225,225,percent of total billed charges,165.5404933,,,,225,percent of total billed charges,175.4696498,,,,225,percent of total billed charges,165.5404933,,,,225,percent of total billed charges,175.4696498,,,,225,percent of total billed charges,999999999,,,,225,percent of total billed charges,171.4345358,,,,225,percent of total billed charges,165.5404933,,,,225,percent of total billed charges,175.4696498,,,,160.425,percent of total billed charges,80.05501078,,,,160.425,percent of total billed charges,47.89888754,,,,160.425,percent of total billed charges,80.05501078,,,,160.425,percent of total billed charges,47.89888754,,,,160.425,percent of total billed charges,80.05501078,,,,160.425,percent of total billed charges,47.89888754,,,,158.85,percent of total billed charges,157.6447619,,,,158.85,percent of total billed charges,108.7263428,,,,,,,,,,162,percent of total billed charges,105.2961878,,,,,,,,,,162,percent of total billed charges,999999999,,,,,,,,,,180,percent of total billed charges,150.8306433,,,,177.75,percent of total billed charges,171.5363995,,,,177.75,percent of total billed charges,151.558087,,,,180,percent of total billed charges,999999999,,,,180,percent of total billed charges,999999999,,,,157.5,percent of total billed charges,999999999,,,,157.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,119.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,113.625,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,56.25,percent of total billed charges,53.42374075,,,,,,,,,,56.25,percent of total billed charges,52.53507317,,,,,,,,,,56.25,percent of total billed charges,52.38908045,,,,,,,,,,56.25,percent of total billed charges,51.61765188,,,,,,,,,,56.25,percent of total billed charges,52.94584995,,,,,,,,,,56.25,percent of total billed charges,999999999,,,,,,,,,,56.25,percent of total billed charges,45.4312677,,,,,,,,,,56.25,percent of total billed charges,71.64824209,,,,,,,,,,56.25,percent of total billed charges,999999999,,,,,,,,,,56.25,percent of total billed charges,48.9860176,,,,,,,,,,202.5,percent of total billed charges,,,,,
URINE PHOSPHORUS,84105,CDM,,,,both,,,113,113,24.05588574,113,113,percent of total billed charges,83.13811441,,,,113,percent of total billed charges,88.12475743,,,,113,percent of total billed charges,83.13811441,,,,113,percent of total billed charges,88.12475743,,,,113,percent of total billed charges,999999999,,,,113,percent of total billed charges,86.09823356,,,,113,percent of total billed charges,83.13811441,,,,113,percent of total billed charges,88.12475743,,,,80.569,percent of total billed charges,40.20540542,,,,80.569,percent of total billed charges,24.05588574,,,,80.569,percent of total billed charges,40.20540542,,,,80.569,percent of total billed charges,24.05588574,,,,80.569,percent of total billed charges,40.20540542,,,,80.569,percent of total billed charges,24.05588574,,,,79.778,percent of total billed charges,79.17270263,,,,79.778,percent of total billed charges,54.60478547,,,,,,,,,,81.36,percent of total billed charges,52.88208543,,,,,,,,,,81.36,percent of total billed charges,999999999,,,,,,,,,,90.4,percent of total billed charges,75.75050085,,,,89.27,percent of total billed charges,86.14939173,,,,89.27,percent of total billed charges,76.11583927,,,,90.4,percent of total billed charges,999999999,,,,90.4,percent of total billed charges,999999999,,,,79.1,percent of total billed charges,999999999,,,,79.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,60.116,percent of total billed charges,999999999,,,,,,,,,,,,,,,,57.065,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,28.25,percent of total billed charges,26.8305898,,,,,,,,,,28.25,percent of total billed charges,26.38428119,,,,,,,,,,28.25,percent of total billed charges,26.3109604,,,,,,,,,,28.25,percent of total billed charges,25.92353183,,,,,,,,,,28.25,percent of total billed charges,26.59058242,,,,,,,,,,28.25,percent of total billed charges,999999999,,,,,,,,,,28.25,percent of total billed charges,22.81659222,,,,,,,,,,28.25,percent of total billed charges,35.98333936,,,,,,,,,,28.25,percent of total billed charges,999999999,,,,,,,,,,28.25,percent of total billed charges,24.60186662,,,,,,,,,,101.7,percent of total billed charges,,,,,
SUGARS SINGLE QUAL,84376,CDM,,,,both,,,66,66,14.05034035,66,66,percent of total billed charges,48.5585447,,,,66,percent of total billed charges,51.47109726,,,,66,percent of total billed charges,48.5585447,,,,66,percent of total billed charges,51.47109726,,,,66,percent of total billed charges,999999999,,,,66,percent of total billed charges,50.28746385,,,,66,percent of total billed charges,48.5585447,,,,66,percent of total billed charges,51.47109726,,,,47.058,percent of total billed charges,23.48280316,,,,47.058,percent of total billed charges,14.05034035,,,,47.058,percent of total billed charges,23.48280316,,,,47.058,percent of total billed charges,14.05034035,,,,47.058,percent of total billed charges,23.48280316,,,,47.058,percent of total billed charges,14.05034035,,,,46.596,percent of total billed charges,46.24246348,,,,46.596,percent of total billed charges,31.89306054,,,,,,,,,,47.52,percent of total billed charges,30.88688175,,,,,,,,,,47.52,percent of total billed charges,999999999,,,,,,,,,,52.8,percent of total billed charges,44.24365536,,,,52.14,percent of total billed charges,50.31734384,,,,52.14,percent of total billed charges,44.45703886,,,,52.8,percent of total billed charges,999999999,,,,52.8,percent of total billed charges,999999999,,,,46.2,percent of total billed charges,999999999,,,,46.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,35.112,percent of total billed charges,999999999,,,,,,,,,,,,,,,,33.33,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16.5,percent of total billed charges,15.67096395,,,,,,,,,,16.5,percent of total billed charges,15.41028813,,,,,,,,,,16.5,percent of total billed charges,15.3674636,,,,,,,,,,16.5,percent of total billed charges,15.14117788,,,,,,,,,,16.5,percent of total billed charges,15.53078265,,,,,,,,,,16.5,percent of total billed charges,999999999,,,,,,,,,,16.5,percent of total billed charges,13.32650519,,,,,,,,,,16.5,percent of total billed charges,21.01681768,,,,,,,,,,16.5,percent of total billed charges,999999999,,,,,,,,,,16.5,percent of total billed charges,14.36923183,,,,,,,,,,59.4,percent of total billed charges,,,,,
DISOPYRAMIDE (NORPACE)(*),80299,CDM,,,,both,,,552,552,117.5119374,552,552,percent of total billed charges,406.1260102,,,,552,percent of total billed charges,430.4855407,,,,552,percent of total billed charges,406.1260102,,,,552,percent of total billed charges,430.4855407,,,,552,percent of total billed charges,999999999,,,,552,percent of total billed charges,420.5860613,,,,552,percent of total billed charges,406.1260102,,,,552,percent of total billed charges,430.4855407,,,,393.576,percent of total billed charges,196.4016265,,,,393.576,percent of total billed charges,117.5119374,,,,393.576,percent of total billed charges,196.4016265,,,,393.576,percent of total billed charges,117.5119374,,,,393.576,percent of total billed charges,196.4016265,,,,393.576,percent of total billed charges,117.5119374,,,,389.712,percent of total billed charges,386.7551491,,,,389.712,percent of total billed charges,266.7419609,,,,,,,,,,397.44,percent of total billed charges,258.3266474,,,,,,,,,,397.44,percent of total billed charges,999999999,,,,,,,,,,441.6,percent of total billed charges,370.0378449,,,,436.08,percent of total billed charges,420.8359667,,,,436.08,percent of total billed charges,371.8225069,,,,441.6,percent of total billed charges,999999999,,,,441.6,percent of total billed charges,999999999,,,,386.4,percent of total billed charges,999999999,,,,386.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,293.664,percent of total billed charges,999999999,,,,,,,,,,,,,,,,278.76,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,138,percent of total billed charges,131.066244,,,,,,,,,,138,percent of total billed charges,128.8860462,,,,,,,,,,138,percent of total billed charges,128.5278774,,,,,,,,,,138,percent of total billed charges,126.6353059,,,,,,,,,,138,percent of total billed charges,129.8938185,,,,,,,,,,138,percent of total billed charges,999999999,,,,,,,,,,138,percent of total billed charges,111.4580434,,,,,,,,,,138,percent of total billed charges,175.7770206,,,,,,,,,,138,percent of total billed charges,999999999,,,,,,,,,,138,percent of total billed charges,120.1790298,,,,,,,,,,496.8,percent of total billed charges,,,,,
ANTI DOUBLE STRANDED DNA,86225,CDM,,,,both,,,190,190,40.44794948,190,190,percent of total billed charges,139.7897499,,,,190,percent of total billed charges,148.1743709,,,,190,percent of total billed charges,139.7897499,,,,190,percent of total billed charges,148.1743709,,,,190,percent of total billed charges,999999999,,,,190,percent of total billed charges,144.7669414,,,,190,percent of total billed charges,139.7897499,,,,190,percent of total billed charges,148.1743709,,,,135.47,percent of total billed charges,67.60200911,,,,135.47,percent of total billed charges,40.44794948,,,,135.47,percent of total billed charges,67.60200911,,,,135.47,percent of total billed charges,40.44794948,,,,135.47,percent of total billed charges,67.60200911,,,,135.47,percent of total billed charges,40.44794948,,,,134.14,percent of total billed charges,133.1222434,,,,134.14,percent of total billed charges,91.81335611,,,,,,,,,,136.8,percent of total billed charges,88.91678081,,,,,,,,,,136.8,percent of total billed charges,999999999,,,,,,,,,,152,percent of total billed charges,127.3680988,,,,150.1,percent of total billed charges,144.8529595,,,,150.1,percent of total billed charges,127.9823846,,,,152,percent of total billed charges,999999999,,,,152,percent of total billed charges,999999999,,,,133,percent of total billed charges,999999999,,,,133,percent of total billed charges,999999999,,,,,,,,,,,,,,,,101.08,percent of total billed charges,999999999,,,,,,,,,,,,,,,,95.95,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,47.5,percent of total billed charges,45.11338108,,,,,,,,,,47.5,percent of total billed charges,44.36295068,,,,,,,,,,47.5,percent of total billed charges,44.23966794,,,,,,,,,,47.5,percent of total billed charges,43.58823937,,,,,,,,,,47.5,percent of total billed charges,44.70982884,,,,,,,,,,47.5,percent of total billed charges,999999999,,,,,,,,,,47.5,percent of total billed charges,38.36418162,,,,,,,,,,47.5,percent of total billed charges,60.50295999,,,,,,,,,,47.5,percent of total billed charges,999999999,,,,,,,,,,47.5,percent of total billed charges,41.36597042,,,,,,,,,,171,percent of total billed charges,,,,,
CELONTIN(METHSUXIMIDE+NORMETHSUXIMID*,80339,CDM,,,,both,,,203,203,43.21544076,203,203,percent of total billed charges,149.3543117,,,,203,percent of total billed charges,158.3126173,,,,203,percent of total billed charges,149.3543117,,,,203,percent of total billed charges,158.3126173,,,,203,percent of total billed charges,999999999,,,,203,percent of total billed charges,154.6720479,,,,203,percent of total billed charges,149.3543117,,,,203,percent of total billed charges,158.3126173,,,,144.739,percent of total billed charges,72.22740973,,,,144.739,percent of total billed charges,43.21544076,,,,144.739,percent of total billed charges,72.22740973,,,,144.739,percent of total billed charges,43.21544076,,,,144.739,percent of total billed charges,72.22740973,,,,144.739,percent of total billed charges,43.21544076,,,,143.318,percent of total billed charges,142.2306074,,,,143.318,percent of total billed charges,98.09532258,,,,,,,,,,146.16,percent of total billed charges,95.00056055,,,,,,,,,,146.16,percent of total billed charges,999999999,,,,,,,,,,162.4,percent of total billed charges,136.0827582,,,,160.37,percent of total billed charges,154.7639515,,,,160.37,percent of total billed charges,136.7390741,,,,162.4,percent of total billed charges,999999999,,,,162.4,percent of total billed charges,999999999,,,,142.1,percent of total billed charges,999999999,,,,142.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,107.996,percent of total billed charges,999999999,,,,,,,,,,,,,,,,102.515,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,50.75,percent of total billed charges,48.2000861,,,,,,,,,,50.75,percent of total billed charges,47.39831046,,,,,,,,,,50.75,percent of total billed charges,47.26659259,,,,,,,,,,50.75,percent of total billed charges,46.57059258,,,,,,,,,,50.75,percent of total billed charges,47.7689224,,,,,,,,,,50.75,percent of total billed charges,999999999,,,,,,,,,,50.75,percent of total billed charges,40.9890993,,,,,,,,,,50.75,percent of total billed charges,64.6426362,,,,,,,,,,50.75,percent of total billed charges,999999999,,,,,,,,,,50.75,percent of total billed charges,44.19627365,,,,,,,,,,182.7,percent of total billed charges,,,,,
CERULOPLASMIN(*),82390,CDM,,,,both,,,149,149,31.71970775,149,149,percent of total billed charges,109.6245933,,,,149,percent of total billed charges,116.1999014,,,,149,percent of total billed charges,109.6245933,,,,149,percent of total billed charges,116.1999014,,,,149,percent of total billed charges,999999999,,,,149,percent of total billed charges,113.5277593,,,,149,percent of total billed charges,109.6245933,,,,149,percent of total billed charges,116.1999014,,,,106.237,percent of total billed charges,53.01420714,,,,106.237,percent of total billed charges,31.71970775,,,,106.237,percent of total billed charges,53.01420714,,,,106.237,percent of total billed charges,31.71970775,,,,106.237,percent of total billed charges,53.01420714,,,,106.237,percent of total billed charges,31.71970775,,,,105.194,percent of total billed charges,104.3958645,,,,105.194,percent of total billed charges,72.00100032,,,,,,,,,,107.28,percent of total billed charges,69.72947547,,,,,,,,,,107.28,percent of total billed charges,999999999,,,,,,,,,,119.2,percent of total billed charges,99.88340377,,,,117.71,percent of total billed charges,113.5952156,,,,117.71,percent of total billed charges,100.3651332,,,,119.2,percent of total billed charges,999999999,,,,119.2,percent of total billed charges,999999999,,,,104.3,percent of total billed charges,999999999,,,,104.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,79.268,percent of total billed charges,999999999,,,,,,,,,,,,,,,,75.245,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,37.25,percent of total billed charges,35.37838832,,,,,,,,,,37.25,percent of total billed charges,34.7898929,,,,,,,,,,37.25,percent of total billed charges,34.69321328,,,,,,,,,,37.25,percent of total billed charges,34.18235613,,,,,,,,,,37.25,percent of total billed charges,35.06191841,,,,,,,,,,37.25,percent of total billed charges,999999999,,,,,,,,,,37.25,percent of total billed charges,30.08559506,,,,,,,,,,37.25,percent of total billed charges,47.4470581,,,,,,,,,,37.25,percent of total billed charges,999999999,,,,,,,,,,37.25,percent of total billed charges,32.43962943,,,,,,,,,,134.1,percent of total billed charges,,,,,
MEXILETINE (MEXITRIL)(*),80299,CDM,,,,both,,,349,349,74.29649667,349,349,percent of total billed charges,256.7716985,,,,349,percent of total billed charges,272.1729234,,,,349,percent of total billed charges,256.7716985,,,,349,percent of total billed charges,272.1729234,,,,349,percent of total billed charges,999999999,,,,349,percent of total billed charges,265.9140134,,,,349,percent of total billed charges,256.7716985,,,,349,percent of total billed charges,272.1729234,,,,248.837,percent of total billed charges,124.1742167,,,,248.837,percent of total billed charges,74.29649667,,,,248.837,percent of total billed charges,124.1742167,,,,248.837,percent of total billed charges,74.29649667,,,,248.837,percent of total billed charges,124.1742167,,,,248.837,percent of total billed charges,74.29649667,,,,246.394,percent of total billed charges,244.5245417,,,,246.394,percent of total billed charges,168.6466383,,,,,,,,,,251.28,percent of total billed charges,163.3260869,,,,,,,,,,251.28,percent of total billed charges,999999999,,,,,,,,,,279.2,percent of total billed charges,233.9550867,,,,275.71,percent of total billed charges,266.0720152,,,,275.71,percent of total billed charges,235.0834328,,,,279.2,percent of total billed charges,999999999,,,,279.2,percent of total billed charges,999999999,,,,244.3,percent of total billed charges,999999999,,,,244.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,185.668,percent of total billed charges,999999999,,,,,,,,,,,,,,,,176.245,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,87.25,percent of total billed charges,82.86615787,,,,,,,,,,87.25,percent of total billed charges,81.48773572,,,,,,,,,,87.25,percent of total billed charges,81.26128479,,,,,,,,,,87.25,percent of total billed charges,80.06471336,,,,,,,,,,87.25,percent of total billed charges,82.12489614,,,,,,,,,,87.25,percent of total billed charges,999999999,,,,,,,,,,87.25,percent of total billed charges,70.46894413,,,,,,,,,,87.25,percent of total billed charges,111.1343844,,,,,,,,,,87.25,percent of total billed charges,999999999,,,,,,,,,,87.25,percent of total billed charges,75.98275618,,,,,,,,,,314.1,percent of total billed charges,,,,,
VERAPAMIL (CALON)(*),82542,CDM,,,,both,,,327,327,69.61304989,327,327,percent of total billed charges,240.5855169,,,,327,percent of total billed charges,255.015891,,,,327,percent of total billed charges,240.5855169,,,,327,percent of total billed charges,255.015891,,,,327,percent of total billed charges,999999999,,,,327,percent of total billed charges,249.1515254,,,,327,percent of total billed charges,240.5855169,,,,327,percent of total billed charges,255.015891,,,,233.151,percent of total billed charges,116.3466157,,,,233.151,percent of total billed charges,69.61304989,,,,233.151,percent of total billed charges,116.3466157,,,,233.151,percent of total billed charges,69.61304989,,,,233.151,percent of total billed charges,116.3466157,,,,233.151,percent of total billed charges,69.61304989,,,,230.862,percent of total billed charges,229.1103872,,,,230.862,percent of total billed charges,158.0156181,,,,,,,,,,235.44,percent of total billed charges,153.0304596,,,,,,,,,,235.44,percent of total billed charges,999999999,,,,,,,,,,261.6,percent of total billed charges,219.2072016,,,,258.33,percent of total billed charges,249.2995672,,,,258.33,percent of total billed charges,220.2644198,,,,261.6,percent of total billed charges,999999999,,,,261.6,percent of total billed charges,999999999,,,,228.9,percent of total billed charges,999999999,,,,228.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,173.964,percent of total billed charges,999999999,,,,,,,,,,,,,,,,165.135,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,81.75,percent of total billed charges,77.64250322,,,,,,,,,,81.75,percent of total billed charges,76.35097301,,,,,,,,,,81.75,percent of total billed charges,76.13879692,,,,,,,,,,81.75,percent of total billed charges,75.01765407,,,,,,,,,,81.75,percent of total billed charges,76.94796859,,,,,,,,,,81.75,percent of total billed charges,999999999,,,,,,,,,,81.75,percent of total billed charges,66.02677573,,,,,,,,,,81.75,percent of total billed charges,104.1287785,,,,,,,,,,81.75,percent of total billed charges,999999999,,,,,,,,,,81.75,percent of total billed charges,71.19301224,,,,,,,,,,294.3,percent of total billed charges,,,,,
VITAMIN D3 (25HYDROXY)(*),82306,CDM,,,,both,,,291,291,61.94922789,291,291,percent of total billed charges,214.099038,,,,291,percent of total billed charges,226.940747,,,,291,percent of total billed charges,214.099038,,,,291,percent of total billed charges,226.940747,,,,291,percent of total billed charges,999999999,,,,291,percent of total billed charges,221.7219997,,,,291,percent of total billed charges,214.099038,,,,291,percent of total billed charges,226.940747,,,,207.483,percent of total billed charges,103.5378139,,,,207.483,percent of total billed charges,61.94922789,,,,207.483,percent of total billed charges,103.5378139,,,,207.483,percent of total billed charges,61.94922789,,,,207.483,percent of total billed charges,103.5378139,,,,207.483,percent of total billed charges,61.94922789,,,,205.446,percent of total billed charges,203.8872253,,,,205.446,percent of total billed charges,140.6194033,,,,,,,,,,209.52,percent of total billed charges,136.1830696,,,,,,,,,,209.52,percent of total billed charges,999999999,,,,,,,,,,232.8,percent of total billed charges,195.0742986,,,,229.89,percent of total billed charges,221.8537433,,,,229.89,percent of total billed charges,196.0151259,,,,232.8,percent of total billed charges,999999999,,,,232.8,percent of total billed charges,999999999,,,,203.7,percent of total billed charges,999999999,,,,203.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,154.812,percent of total billed charges,999999999,,,,,,,,,,,,,,,,146.955,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,72.75,percent of total billed charges,69.0947047,,,,,,,,,,72.75,percent of total billed charges,67.9453613,,,,,,,,,,72.75,percent of total billed charges,67.75654405,,,,,,,,,,72.75,percent of total billed charges,66.75882976,,,,,,,,,,72.75,percent of total billed charges,68.4766326,,,,,,,,,,72.75,percent of total billed charges,999999999,,,,,,,,,,72.75,percent of total billed charges,58.7577729,,,,,,,,,,72.75,percent of total billed charges,92.66505977,,,,,,,,,,72.75,percent of total billed charges,999999999,,,,,,,,,,72.75,percent of total billed charges,63.35524943,,,,,,,,,,261.9,percent of total billed charges,,,,,
ASSAY OF VASOPRESSEN,84588,CDM,,,,both,,,302,302,64.29095128,302,302,percent of total billed charges,222.1921288,,,,302,percent of total billed charges,235.5192632,,,,302,percent of total billed charges,222.1921288,,,,302,percent of total billed charges,235.5192632,,,,302,percent of total billed charges,999999999,,,,302,percent of total billed charges,230.1032437,,,,302,percent of total billed charges,222.1921288,,,,302,percent of total billed charges,235.5192632,,,,215.326,percent of total billed charges,107.4516145,,,,215.326,percent of total billed charges,64.29095128,,,,215.326,percent of total billed charges,107.4516145,,,,215.326,percent of total billed charges,64.29095128,,,,215.326,percent of total billed charges,107.4516145,,,,215.326,percent of total billed charges,64.29095128,,,,213.212,percent of total billed charges,211.5943026,,,,213.212,percent of total billed charges,145.9349134,,,,,,,,,,217.44,percent of total billed charges,141.3308832,,,,,,,,,,217.44,percent of total billed charges,999999999,,,,,,,,,,241.6,percent of total billed charges,202.4482412,,,,238.58,percent of total billed charges,230.2399673,,,,238.58,percent of total billed charges,203.4246324,,,,241.6,percent of total billed charges,999999999,,,,241.6,percent of total billed charges,999999999,,,,211.4,percent of total billed charges,999999999,,,,211.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,160.664,percent of total billed charges,999999999,,,,,,,,,,,,,,,,152.51,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,75.5,percent of total billed charges,71.70653202,,,,,,,,,,75.5,percent of total billed charges,70.51374266,,,,,,,,,,75.5,percent of total billed charges,70.31778798,,,,,,,,,,75.5,percent of total billed charges,69.28235941,,,,,,,,,,75.5,percent of total billed charges,71.06509637,,,,,,,,,,75.5,percent of total billed charges,999999999,,,,,,,,,,75.5,percent of total billed charges,60.97885709,,,,,,,,,,75.5,percent of total billed charges,96.16786272,,,,,,,,,,75.5,percent of total billed charges,999999999,,,,,,,,,,75.5,percent of total billed charges,65.7501214,,,,,,,,,,271.8,percent of total billed charges,,,,,
MOPATH PROCEDURE LEVEL 7,81406,CDM,,,,both,,,2670,2670,568.4001321,2670,2670,percent of total billed charges,1964.413854,,,,2670,percent of total billed charges,2082.239844,,,,2670,percent of total billed charges,1964.413854,,,,2670,percent of total billed charges,2082.239844,,,,2670,percent of total billed charges,999999999,,,,2670,percent of total billed charges,2034.356492,,,,2670,percent of total billed charges,1964.413854,,,,2670,percent of total billed charges,2082.239844,,,,1903.71,percent of total billed charges,949.986128,,,,1903.71,percent of total billed charges,568.4001321,,,,1903.71,percent of total billed charges,949.986128,,,,1903.71,percent of total billed charges,568.4001321,,,,1903.71,percent of total billed charges,949.986128,,,,1903.71,percent of total billed charges,568.4001321,,,,1885.02,percent of total billed charges,1870.717841,,,,1885.02,percent of total billed charges,1290.219267,,,,,,,,,,1922.4,percent of total billed charges,1249.514762,,,,,,,,,,1922.4,percent of total billed charges,999999999,,,,,,,,,,2136,percent of total billed charges,1789.856967,,,,2109.3,percent of total billed charges,2035.565274,,,,2109.3,percent of total billed charges,1798.4893,,,,2136,percent of total billed charges,999999999,,,,2136,percent of total billed charges,999999999,,,,1869,percent of total billed charges,999999999,,,,1869,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1420.44,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1348.35,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,667.5,percent of total billed charges,633.9617235,,,,,,,,,,667.5,percent of total billed charges,623.4162016,,,,,,,,,,667.5,percent of total billed charges,621.6837547,,,,,,,,,,667.5,percent of total billed charges,612.529469,,,,,,,,,,667.5,percent of total billed charges,628.2907527,,,,,,,,,,667.5,percent of total billed charges,999999999,,,,,,,,,,667.5,percent of total billed charges,539.1177101,,,,,,,,,,667.5,percent of total billed charges,850.2258062,,,,,,,,,,667.5,percent of total billed charges,999999999,,,,,,,,,,667.5,percent of total billed charges,581.3007422,,,,,,,,,,2403,percent of total billed charges,,,,,
**VITAMIN D(*),82307,CDM,,,,both,,,207,207,44.06697654,207,207,percent of total billed charges,152.2972538,,,,207,percent of total billed charges,161.4320778,,,,207,percent of total billed charges,152.2972538,,,,207,percent of total billed charges,161.4320778,,,,207,percent of total billed charges,999999999,,,,207,percent of total billed charges,157.719773,,,,207,percent of total billed charges,152.2972538,,,,207,percent of total billed charges,161.4320778,,,,147.591,percent of total billed charges,73.65060992,,,,147.591,percent of total billed charges,44.06697654,,,,147.591,percent of total billed charges,73.65060992,,,,147.591,percent of total billed charges,44.06697654,,,,147.591,percent of total billed charges,73.65060992,,,,147.591,percent of total billed charges,44.06697654,,,,146.142,percent of total billed charges,145.0331809,,,,146.142,percent of total billed charges,100.0282353,,,,,,,,,,149.04,percent of total billed charges,96.87249277,,,,,,,,,,149.04,percent of total billed charges,999999999,,,,,,,,,,165.6,percent of total billed charges,138.7641918,,,,163.53,percent of total billed charges,157.8134875,,,,163.53,percent of total billed charges,139.4334401,,,,165.6,percent of total billed charges,999999999,,,,165.6,percent of total billed charges,999999999,,,,144.9,percent of total billed charges,999999999,,,,144.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,110.124,percent of total billed charges,999999999,,,,,,,,,,,,,,,,104.535,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,51.75,percent of total billed charges,49.14984149,,,,,,,,,,51.75,percent of total billed charges,48.33226732,,,,,,,,,,51.75,percent of total billed charges,48.19795402,,,,,,,,,,51.75,percent of total billed charges,47.48823973,,,,,,,,,,51.75,percent of total billed charges,48.71018195,,,,,,,,,,51.75,percent of total billed charges,999999999,,,,,,,,,,51.75,percent of total billed charges,41.79676629,,,,,,,,,,51.75,percent of total billed charges,65.91638272,,,,,,,,,,51.75,percent of total billed charges,999999999,,,,,,,,,,51.75,percent of total billed charges,45.06713619,,,,,,,,,,186.3,percent of total billed charges,,,,,
VITAMIN E(*),84446,CDM,,,,both,,,203,203,43.21544076,203,203,percent of total billed charges,149.3543117,,,,203,percent of total billed charges,158.3126173,,,,203,percent of total billed charges,149.3543117,,,,203,percent of total billed charges,158.3126173,,,,203,percent of total billed charges,999999999,,,,203,percent of total billed charges,154.6720479,,,,203,percent of total billed charges,149.3543117,,,,203,percent of total billed charges,158.3126173,,,,144.739,percent of total billed charges,72.22740973,,,,144.739,percent of total billed charges,43.21544076,,,,144.739,percent of total billed charges,72.22740973,,,,144.739,percent of total billed charges,43.21544076,,,,144.739,percent of total billed charges,72.22740973,,,,144.739,percent of total billed charges,43.21544076,,,,143.318,percent of total billed charges,142.2306074,,,,143.318,percent of total billed charges,98.09532258,,,,,,,,,,146.16,percent of total billed charges,95.00056055,,,,,,,,,,146.16,percent of total billed charges,999999999,,,,,,,,,,162.4,percent of total billed charges,136.0827582,,,,160.37,percent of total billed charges,154.7639515,,,,160.37,percent of total billed charges,136.7390741,,,,162.4,percent of total billed charges,999999999,,,,162.4,percent of total billed charges,999999999,,,,142.1,percent of total billed charges,999999999,,,,142.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,107.996,percent of total billed charges,999999999,,,,,,,,,,,,,,,,102.515,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,50.75,percent of total billed charges,48.2000861,,,,,,,,,,50.75,percent of total billed charges,47.39831046,,,,,,,,,,50.75,percent of total billed charges,47.26659259,,,,,,,,,,50.75,percent of total billed charges,46.57059258,,,,,,,,,,50.75,percent of total billed charges,47.7689224,,,,,,,,,,50.75,percent of total billed charges,999999999,,,,,,,,,,50.75,percent of total billed charges,40.9890993,,,,,,,,,,50.75,percent of total billed charges,64.6426362,,,,,,,,,,50.75,percent of total billed charges,999999999,,,,,,,,,,50.75,percent of total billed charges,44.19627365,,,,,,,,,,182.7,percent of total billed charges,,,,,
MYCOPHENOLATE,80180,CDM,,,,both,,,50,50,10.64419723,50,50,percent of total billed charges,36.78677629,,,,50,percent of total billed charges,38.9932555,,,,50,percent of total billed charges,36.78677629,,,,50,percent of total billed charges,38.9932555,,,,50,percent of total billed charges,999999999,,,,50,percent of total billed charges,38.09656352,,,,50,percent of total billed charges,36.78677629,,,,50,percent of total billed charges,38.9932555,,,,35.65,percent of total billed charges,17.7900024,,,,35.65,percent of total billed charges,10.64419723,,,,35.65,percent of total billed charges,17.7900024,,,,35.65,percent of total billed charges,10.64419723,,,,35.65,percent of total billed charges,17.7900024,,,,35.65,percent of total billed charges,10.64419723,,,,35.3,percent of total billed charges,35.0321693,,,,35.3,percent of total billed charges,24.1614095,,,,,,,,,,36,percent of total billed charges,23.39915284,,,,,,,,,,36,percent of total billed charges,999999999,,,,,,,,,,40,percent of total billed charges,33.51792073,,,,39.5,percent of total billed charges,38.11919988,,,,39.5,percent of total billed charges,33.6795749,,,,40,percent of total billed charges,999999999,,,,40,percent of total billed charges,999999999,,,,35,percent of total billed charges,999999999,,,,35,percent of total billed charges,999999999,,,,,,,,,,,,,,,,26.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,25.25,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12.5,percent of total billed charges,11.87194239,,,,,,,,,,12.5,percent of total billed charges,11.6744607,,,,,,,,,,12.5,percent of total billed charges,11.64201788,,,,,,,,,,12.5,percent of total billed charges,11.47058931,,,,,,,,,,12.5,percent of total billed charges,11.76574443,,,,,,,,,,12.5,percent of total billed charges,999999999,,,,,,,,,,12.5,percent of total billed charges,10.09583727,,,,,,,,,,12.5,percent of total billed charges,15.92183158,,,,,,,,,,12.5,percent of total billed charges,999999999,,,,,,,,,,12.5,percent of total billed charges,10.88578169,,,,,,,,,,45,percent of total billed charges,,,,,
LACOSAMIDE,80235,CDM,,,,both,,,277,277,58.96885266,277,277,percent of total billed charges,203.7987406,,,,277,percent of total billed charges,216.0226355,,,,277,percent of total billed charges,203.7987406,,,,277,percent of total billed charges,216.0226355,,,,277,percent of total billed charges,999999999,,,,277,percent of total billed charges,211.0549619,,,,277,percent of total billed charges,203.7987406,,,,277,percent of total billed charges,216.0226355,,,,197.501,percent of total billed charges,98.55661328,,,,197.501,percent of total billed charges,58.96885266,,,,197.501,percent of total billed charges,98.55661328,,,,197.501,percent of total billed charges,58.96885266,,,,197.501,percent of total billed charges,98.55661328,,,,197.501,percent of total billed charges,58.96885266,,,,195.562,percent of total billed charges,194.0782179,,,,195.562,percent of total billed charges,133.8542086,,,,,,,,,,199.44,percent of total billed charges,129.6313068,,,,,,,,,,199.44,percent of total billed charges,999999999,,,,,,,,,,221.6,percent of total billed charges,185.6892808,,,,218.83,percent of total billed charges,211.1803673,,,,218.83,percent of total billed charges,186.5848449,,,,221.6,percent of total billed charges,999999999,,,,221.6,percent of total billed charges,999999999,,,,193.9,percent of total billed charges,999999999,,,,193.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,147.364,percent of total billed charges,999999999,,,,,,,,,,,,,,,,139.885,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,69.25,percent of total billed charges,65.77056083,,,,,,,,,,69.25,percent of total billed charges,64.6765123,,,,,,,,,,69.25,percent of total billed charges,64.49677905,,,,,,,,,,69.25,percent of total billed charges,63.54706476,,,,,,,,,,69.25,percent of total billed charges,65.18222416,,,,,,,,,,69.25,percent of total billed charges,999999999,,,,,,,,,,69.25,percent of total billed charges,55.93093846,,,,,,,,,,69.25,percent of total billed charges,88.20694693,,,,,,,,,,69.25,percent of total billed charges,999999999,,,,,,,,,,69.25,percent of total billed charges,60.30723055,,,,,,,,,,249.3,percent of total billed charges,,,,,
ITRACONAZOLE (SPORANOX),80189,CDM,,,,both,,,243,243,51.73079854,243,243,percent of total billed charges,178.7837328,,,,243,percent of total billed charges,189.5072217,,,,243,percent of total billed charges,178.7837328,,,,243,percent of total billed charges,189.5072217,,,,243,percent of total billed charges,999999999,,,,243,percent of total billed charges,185.1492987,,,,243,percent of total billed charges,178.7837328,,,,243,percent of total billed charges,189.5072217,,,,173.259,percent of total billed charges,86.45941165,,,,173.259,percent of total billed charges,51.73079854,,,,173.259,percent of total billed charges,86.45941165,,,,173.259,percent of total billed charges,51.73079854,,,,173.259,percent of total billed charges,86.45941165,,,,173.259,percent of total billed charges,51.73079854,,,,171.558,percent of total billed charges,170.2563428,,,,171.558,percent of total billed charges,117.4244502,,,,,,,,,,174.96,percent of total billed charges,113.7198828,,,,,,,,,,174.96,percent of total billed charges,999999999,,,,,,,,,,194.4,percent of total billed charges,162.8970947,,,,191.97,percent of total billed charges,185.2593114,,,,191.97,percent of total billed charges,163.682734,,,,194.4,percent of total billed charges,999999999,,,,194.4,percent of total billed charges,999999999,,,,170.1,percent of total billed charges,999999999,,,,170.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,129.276,percent of total billed charges,999999999,,,,,,,,,,,,,,,,122.715,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,60.75,percent of total billed charges,57.69764001,,,,,,,,,,60.75,percent of total billed charges,56.73787902,,,,,,,,,,60.75,percent of total billed charges,56.58020689,,,,,,,,,,60.75,percent of total billed charges,55.74706403,,,,,,,,,,60.75,percent of total billed charges,57.18151794,,,,,,,,,,60.75,percent of total billed charges,999999999,,,,,,,,,,60.75,percent of total billed charges,49.06576912,,,,,,,,,,60.75,percent of total billed charges,77.38010146,,,,,,,,,,60.75,percent of total billed charges,999999999,,,,,,,,,,60.75,percent of total billed charges,52.90489901,,,,,,,,,,218.7,percent of total billed charges,,,,,
FRAGILE X,81243,CDM,,,,both,,,206,206,43.85409259,206,206,percent of total billed charges,151.5615183,,,,206,percent of total billed charges,160.6522127,,,,206,percent of total billed charges,151.5615183,,,,206,percent of total billed charges,160.6522127,,,,206,percent of total billed charges,999999999,,,,206,percent of total billed charges,156.9578417,,,,206,percent of total billed charges,151.5615183,,,,206,percent of total billed charges,160.6522127,,,,146.878,percent of total billed charges,73.29480987,,,,146.878,percent of total billed charges,43.85409259,,,,146.878,percent of total billed charges,73.29480987,,,,146.878,percent of total billed charges,43.85409259,,,,146.878,percent of total billed charges,73.29480987,,,,146.878,percent of total billed charges,43.85409259,,,,145.436,percent of total billed charges,144.3325375,,,,145.436,percent of total billed charges,99.54500715,,,,,,,,,,148.32,percent of total billed charges,96.40450972,,,,,,,,,,148.32,percent of total billed charges,999999999,,,,,,,,,,164.8,percent of total billed charges,138.0938334,,,,162.74,percent of total billed charges,157.0511035,,,,162.74,percent of total billed charges,138.7598486,,,,164.8,percent of total billed charges,999999999,,,,164.8,percent of total billed charges,999999999,,,,144.2,percent of total billed charges,999999999,,,,144.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,109.592,percent of total billed charges,999999999,,,,,,,,,,,,,,,,104.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,51.5,percent of total billed charges,48.91240264,,,,,,,,,,51.5,percent of total billed charges,48.0987781,,,,,,,,,,51.5,percent of total billed charges,47.96511366,,,,,,,,,,51.5,percent of total billed charges,47.25882794,,,,,,,,,,51.5,percent of total billed charges,48.47486706,,,,,,,,,,51.5,percent of total billed charges,999999999,,,,,,,,,,51.5,percent of total billed charges,41.59484954,,,,,,,,,,51.5,percent of total billed charges,65.59794609,,,,,,,,,,51.5,percent of total billed charges,999999999,,,,,,,,,,51.5,percent of total billed charges,44.84942056,,,,,,,,,,185.4,percent of total billed charges,,,,,
PANCREATIC ELASTASE,82653,CDM,,,,both,,,241,241,51.30503065,241,241,percent of total billed charges,177.3122617,,,,241,percent of total billed charges,187.9474915,,,,241,percent of total billed charges,177.3122617,,,,241,percent of total billed charges,187.9474915,,,,241,percent of total billed charges,999999999,,,,241,percent of total billed charges,183.6254362,,,,241,percent of total billed charges,177.3122617,,,,241,percent of total billed charges,187.9474915,,,,171.833,percent of total billed charges,85.74781155,,,,171.833,percent of total billed charges,51.30503065,,,,171.833,percent of total billed charges,85.74781155,,,,171.833,percent of total billed charges,51.30503065,,,,171.833,percent of total billed charges,85.74781155,,,,171.833,percent of total billed charges,51.30503065,,,,170.146,percent of total billed charges,168.855056,,,,170.146,percent of total billed charges,116.4579938,,,,,,,,,,173.52,percent of total billed charges,112.7839167,,,,,,,,,,173.52,percent of total billed charges,999999999,,,,,,,,,,192.8,percent of total billed charges,161.5563779,,,,190.39,percent of total billed charges,183.7345434,,,,190.39,percent of total billed charges,162.335551,,,,192.8,percent of total billed charges,999999999,,,,192.8,percent of total billed charges,999999999,,,,168.7,percent of total billed charges,999999999,,,,168.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,128.212,percent of total billed charges,999999999,,,,,,,,,,,,,,,,121.705,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,60.25,percent of total billed charges,57.22276231,,,,,,,,,,60.25,percent of total billed charges,56.2709006,,,,,,,,,,60.25,percent of total billed charges,56.11452617,,,,,,,,,,60.25,percent of total billed charges,55.28824046,,,,,,,,,,60.25,percent of total billed charges,56.71088816,,,,,,,,,,60.25,percent of total billed charges,999999999,,,,,,,,,,60.25,percent of total billed charges,48.66193563,,,,,,,,,,60.25,percent of total billed charges,76.7432282,,,,,,,,,,60.25,percent of total billed charges,999999999,,,,,,,,,,60.25,percent of total billed charges,52.46946774,,,,,,,,,,216.9,percent of total billed charges,,,,,
ANTI GLOMERULAR BASEMENT ANTIBODY,86255,CDM,,,,both,,,211,211,44.91851232,211,211,percent of total billed charges,155.2401959,,,,211,percent of total billed charges,164.5515382,,,,211,percent of total billed charges,155.2401959,,,,211,percent of total billed charges,164.5515382,,,,211,percent of total billed charges,999999999,,,,211,percent of total billed charges,160.7674981,,,,211,percent of total billed charges,155.2401959,,,,211,percent of total billed charges,164.5515382,,,,150.443,percent of total billed charges,75.07381011,,,,150.443,percent of total billed charges,44.91851232,,,,150.443,percent of total billed charges,75.07381011,,,,150.443,percent of total billed charges,44.91851232,,,,150.443,percent of total billed charges,75.07381011,,,,150.443,percent of total billed charges,44.91851232,,,,148.966,percent of total billed charges,147.8357545,,,,148.966,percent of total billed charges,101.9611481,,,,,,,,,,151.92,percent of total billed charges,98.744425,,,,,,,,,,151.92,percent of total billed charges,999999999,,,,,,,,,,168.8,percent of total billed charges,141.4456255,,,,166.69,percent of total billed charges,160.8630235,,,,166.69,percent of total billed charges,142.1278061,,,,168.8,percent of total billed charges,999999999,,,,168.8,percent of total billed charges,999999999,,,,147.7,percent of total billed charges,999999999,,,,147.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,112.252,percent of total billed charges,999999999,,,,,,,,,,,,,,,,106.555,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,52.75,percent of total billed charges,50.09959688,,,,,,,,,,52.75,percent of total billed charges,49.26622417,,,,,,,,,,52.75,percent of total billed charges,49.12931545,,,,,,,,,,52.75,percent of total billed charges,48.40588687,,,,,,,,,,52.75,percent of total billed charges,49.6514415,,,,,,,,,,52.75,percent of total billed charges,999999999,,,,,,,,,,52.75,percent of total billed charges,42.60443327,,,,,,,,,,52.75,percent of total billed charges,67.19012925,,,,,,,,,,52.75,percent of total billed charges,999999999,,,,,,,,,,52.75,percent of total billed charges,45.93799872,,,,,,,,,,189.9,percent of total billed charges,,,,,
SULFONYLUREA LEVEL,83789,CDM,,,,both,,,274,274,58.33020083,274,274,percent of total billed charges,201.591534,,,,274,percent of total billed charges,213.6830401,,,,274,percent of total billed charges,201.591534,,,,274,percent of total billed charges,213.6830401,,,,274,percent of total billed charges,999999999,,,,274,percent of total billed charges,208.7691681,,,,274,percent of total billed charges,201.591534,,,,274,percent of total billed charges,213.6830401,,,,195.362,percent of total billed charges,97.48921313,,,,195.362,percent of total billed charges,58.33020083,,,,195.362,percent of total billed charges,97.48921313,,,,195.362,percent of total billed charges,58.33020083,,,,195.362,percent of total billed charges,97.48921313,,,,195.362,percent of total billed charges,58.33020083,,,,193.444,percent of total billed charges,191.9762878,,,,193.444,percent of total billed charges,132.4045241,,,,,,,,,,197.28,percent of total billed charges,128.2273576,,,,,,,,,,197.28,percent of total billed charges,999999999,,,,,,,,,,219.2,percent of total billed charges,183.6782056,,,,216.46,percent of total billed charges,208.8932153,,,,216.46,percent of total billed charges,184.5640704,,,,219.2,percent of total billed charges,999999999,,,,219.2,percent of total billed charges,999999999,,,,191.8,percent of total billed charges,999999999,,,,191.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,145.768,percent of total billed charges,999999999,,,,,,,,,,,,,,,,138.37,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,68.5,percent of total billed charges,65.05824429,,,,,,,,,,68.5,percent of total billed charges,63.97604466,,,,,,,,,,68.5,percent of total billed charges,63.79825797,,,,,,,,,,68.5,percent of total billed charges,62.8588294,,,,,,,,,,68.5,percent of total billed charges,64.47627949,,,,,,,,,,68.5,percent of total billed charges,999999999,,,,,,,,,,68.5,percent of total billed charges,55.32518822,,,,,,,,,,68.5,percent of total billed charges,87.25163704,,,,,,,,,,68.5,percent of total billed charges,999999999,,,,,,,,,,68.5,percent of total billed charges,59.65408365,,,,,,,,,,246.6,percent of total billed charges,,,,,
RIA NONANTIBODY,83519,CDM,,,,both,,,309,309,65.78113889,309,309,percent of total billed charges,227.3422774,,,,309,percent of total billed charges,240.978319,,,,309,percent of total billed charges,227.3422774,,,,309,percent of total billed charges,240.978319,,,,309,percent of total billed charges,999999999,,,,309,percent of total billed charges,235.4367626,,,,309,percent of total billed charges,227.3422774,,,,309,percent of total billed charges,240.978319,,,,220.317,percent of total billed charges,109.9422148,,,,220.317,percent of total billed charges,65.78113889,,,,220.317,percent of total billed charges,109.9422148,,,,220.317,percent of total billed charges,65.78113889,,,,220.317,percent of total billed charges,109.9422148,,,,220.317,percent of total billed charges,65.78113889,,,,218.154,percent of total billed charges,216.4988063,,,,218.154,percent of total billed charges,149.3175107,,,,,,,,,,222.48,percent of total billed charges,144.6067646,,,,,,,,,,222.48,percent of total billed charges,999999999,,,,,,,,,,247.2,percent of total billed charges,207.1407501,,,,244.11,percent of total billed charges,235.5766553,,,,244.11,percent of total billed charges,208.1397729,,,,247.2,percent of total billed charges,999999999,,,,247.2,percent of total billed charges,999999999,,,,216.3,percent of total billed charges,999999999,,,,216.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,164.388,percent of total billed charges,999999999,,,,,,,,,,,,,,,,156.045,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,77.25,percent of total billed charges,73.36860396,,,,,,,,,,77.25,percent of total billed charges,72.14816715,,,,,,,,,,77.25,percent of total billed charges,71.94767049,,,,,,,,,,77.25,percent of total billed charges,70.88824191,,,,,,,,,,77.25,percent of total billed charges,72.71230059,,,,,,,,,,77.25,percent of total billed charges,999999999,,,,,,,,,,77.25,percent of total billed charges,62.39227431,,,,,,,,,,77.25,percent of total billed charges,98.39691914,,,,,,,,,,77.25,percent of total billed charges,999999999,,,,,,,,,,77.25,percent of total billed charges,67.27413083,,,,,,,,,,278.1,percent of total billed charges,,,,,
**IMMUNOFLOURESCENT STUDY,88347,CDM,,,,both,,,329,329,70.03881778,329,329,percent of total billed charges,242.056988,,,,329,percent of total billed charges,256.5756212,,,,329,percent of total billed charges,242.056988,,,,329,percent of total billed charges,256.5756212,,,,329,percent of total billed charges,999999999,,,,329,percent of total billed charges,250.675388,,,,329,percent of total billed charges,242.056988,,,,329,percent of total billed charges,256.5756212,,,,234.577,percent of total billed charges,117.0582158,,,,234.577,percent of total billed charges,70.03881778,,,,234.577,percent of total billed charges,117.0582158,,,,234.577,percent of total billed charges,70.03881778,,,,234.577,percent of total billed charges,117.0582158,,,,234.577,percent of total billed charges,70.03881778,,,,232.274,percent of total billed charges,230.511674,,,,232.274,percent of total billed charges,158.9820745,,,,,,,,,,236.88,percent of total billed charges,153.9664257,,,,,,,,,,236.88,percent of total billed charges,999999999,,,,,,,,,,263.2,percent of total billed charges,220.5479184,,,,259.91,percent of total billed charges,250.8243352,,,,259.91,percent of total billed charges,221.6116028,,,,263.2,percent of total billed charges,999999999,,,,263.2,percent of total billed charges,999999999,,,,230.3,percent of total billed charges,999999999,,,,230.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,175.028,percent of total billed charges,999999999,,,,,,,,,,,,,,,,166.145,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,82.25,percent of total billed charges,78.11738091,,,,,,,,,,82.25,percent of total billed charges,76.81795144,,,,,,,,,,82.25,percent of total billed charges,76.60447764,,,,,,,,,,82.25,percent of total billed charges,75.47647764,,,,,,,,,,82.25,percent of total billed charges,77.41859836,,,,,,,,,,82.25,percent of total billed charges,999999999,,,,,,,,,,82.25,percent of total billed charges,66.43060922,,,,,,,,,,82.25,percent of total billed charges,104.7656518,,,,,,,,,,82.25,percent of total billed charges,999999999,,,,,,,,,,82.25,percent of total billed charges,71.62844351,,,,,,,,,,296.1,percent of total billed charges,,,,,
RAST TEST-ASPERIGILLUS(*),86606,CDM,,,,both,,,167,167,35.55161875,167,167,percent of total billed charges,122.8678328,,,,167,percent of total billed charges,130.2374734,,,,167,percent of total billed charges,122.8678328,,,,167,percent of total billed charges,130.2374734,,,,167,percent of total billed charges,999999999,,,,167,percent of total billed charges,127.2425222,,,,167,percent of total billed charges,122.8678328,,,,167,percent of total billed charges,130.2374734,,,,119.071,percent of total billed charges,59.418608,,,,119.071,percent of total billed charges,35.55161875,,,,119.071,percent of total billed charges,59.418608,,,,119.071,percent of total billed charges,35.55161875,,,,119.071,percent of total billed charges,59.418608,,,,119.071,percent of total billed charges,35.55161875,,,,117.902,percent of total billed charges,117.0074455,,,,117.902,percent of total billed charges,80.69910774,,,,,,,,,,120.24,percent of total billed charges,78.1531705,,,,,,,,,,120.24,percent of total billed charges,999999999,,,,,,,,,,133.6,percent of total billed charges,111.9498552,,,,131.93,percent of total billed charges,127.3181276,,,,131.93,percent of total billed charges,112.4897802,,,,133.6,percent of total billed charges,999999999,,,,133.6,percent of total billed charges,999999999,,,,116.9,percent of total billed charges,999999999,,,,116.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,88.844,percent of total billed charges,999999999,,,,,,,,,,,,,,,,84.335,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,41.75,percent of total billed charges,39.65228758,,,,,,,,,,41.75,percent of total billed charges,38.99269875,,,,,,,,,,41.75,percent of total billed charges,38.88433971,,,,,,,,,,41.75,percent of total billed charges,38.31176828,,,,,,,,,,41.75,percent of total billed charges,39.2975864,,,,,,,,,,41.75,percent of total billed charges,999999999,,,,,,,,,,41.75,percent of total billed charges,33.72009647,,,,,,,,,,41.75,percent of total billed charges,53.17891746,,,,,,,,,,41.75,percent of total billed charges,999999999,,,,,,,,,,41.75,percent of total billed charges,36.35851084,,,,,,,,,,150.3,percent of total billed charges,,,,,
ARSENIC,82175,CDM,,,,both,,,219,219,46.62158387,219,219,percent of total billed charges,161.1260801,,,,219,percent of total billed charges,170.7904591,,,,219,percent of total billed charges,161.1260801,,,,219,percent of total billed charges,170.7904591,,,,219,percent of total billed charges,999999999,,,,219,percent of total billed charges,166.8629482,,,,219,percent of total billed charges,161.1260801,,,,219,percent of total billed charges,170.7904591,,,,156.147,percent of total billed charges,77.9202105,,,,156.147,percent of total billed charges,46.62158387,,,,156.147,percent of total billed charges,77.9202105,,,,156.147,percent of total billed charges,46.62158387,,,,156.147,percent of total billed charges,77.9202105,,,,156.147,percent of total billed charges,46.62158387,,,,154.614,percent of total billed charges,153.4409015,,,,154.614,percent of total billed charges,105.8269736,,,,,,,,,,157.68,percent of total billed charges,102.4882895,,,,,,,,,,157.68,percent of total billed charges,999999999,,,,,,,,,,175.2,percent of total billed charges,146.8084928,,,,173.01,percent of total billed charges,166.9620955,,,,173.01,percent of total billed charges,147.516538,,,,175.2,percent of total billed charges,999999999,,,,175.2,percent of total billed charges,999999999,,,,153.3,percent of total billed charges,999999999,,,,153.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,116.508,percent of total billed charges,999999999,,,,,,,,,,,,,,,,110.595,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,54.75,percent of total billed charges,51.99910766,,,,,,,,,,54.75,percent of total billed charges,51.13413789,,,,,,,,,,54.75,percent of total billed charges,50.99203831,,,,,,,,,,54.75,percent of total billed charges,50.24118116,,,,,,,,,,54.75,percent of total billed charges,51.53396061,,,,,,,,,,54.75,percent of total billed charges,999999999,,,,,,,,,,54.75,percent of total billed charges,44.21976723,,,,,,,,,,54.75,percent of total billed charges,69.7376223,,,,,,,,,,54.75,percent of total billed charges,999999999,,,,,,,,,,54.75,percent of total billed charges,47.67972379,,,,,,,,,,197.1,percent of total billed charges,,,,,
FATTY ACID PROFILE,82542,CDM,,,,both,,,285,285,60.67192422,285,285,percent of total billed charges,209.6846248,,,,285,percent of total billed charges,222.2615564,,,,285,percent of total billed charges,209.6846248,,,,285,percent of total billed charges,222.2615564,,,,285,percent of total billed charges,999999999,,,,285,percent of total billed charges,217.1504121,,,,285,percent of total billed charges,209.6846248,,,,285,percent of total billed charges,222.2615564,,,,203.205,percent of total billed charges,101.4030137,,,,203.205,percent of total billed charges,60.67192422,,,,203.205,percent of total billed charges,101.4030137,,,,203.205,percent of total billed charges,60.67192422,,,,203.205,percent of total billed charges,101.4030137,,,,203.205,percent of total billed charges,60.67192422,,,,201.21,percent of total billed charges,199.683365,,,,201.21,percent of total billed charges,137.7200342,,,,,,,,,,205.2,percent of total billed charges,133.3751712,,,,,,,,,,205.2,percent of total billed charges,999999999,,,,,,,,,,228,percent of total billed charges,191.0521482,,,,225.15,percent of total billed charges,217.2794393,,,,225.15,percent of total billed charges,191.9735769,,,,228,percent of total billed charges,999999999,,,,228,percent of total billed charges,999999999,,,,199.5,percent of total billed charges,999999999,,,,199.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,151.62,percent of total billed charges,999999999,,,,,,,,,,,,,,,,143.925,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,71.25,percent of total billed charges,67.67007161,,,,,,,,,,71.25,percent of total billed charges,66.54442602,,,,,,,,,,71.25,percent of total billed charges,66.35950191,,,,,,,,,,71.25,percent of total billed charges,65.38235905,,,,,,,,,,71.25,percent of total billed charges,67.06474326,,,,,,,,,,71.25,percent of total billed charges,999999999,,,,,,,,,,71.25,percent of total billed charges,57.54627242,,,,,,,,,,71.25,percent of total billed charges,90.75443998,,,,,,,,,,71.25,percent of total billed charges,999999999,,,,,,,,,,71.25,percent of total billed charges,62.04895562,,,,,,,,,,256.5,percent of total billed charges,,,,,
FATTY ACID LONG CHAIN,82726,CDM,,,,both,,,325,325,69.187282,325,325,percent of total billed charges,239.1140459,,,,325,percent of total billed charges,253.4561608,,,,325,percent of total billed charges,239.1140459,,,,325,percent of total billed charges,253.4561608,,,,325,percent of total billed charges,999999999,,,,325,percent of total billed charges,247.6276629,,,,325,percent of total billed charges,239.1140459,,,,325,percent of total billed charges,253.4561608,,,,231.725,percent of total billed charges,115.6350156,,,,231.725,percent of total billed charges,69.187282,,,,231.725,percent of total billed charges,115.6350156,,,,231.725,percent of total billed charges,69.187282,,,,231.725,percent of total billed charges,115.6350156,,,,231.725,percent of total billed charges,69.187282,,,,229.45,percent of total billed charges,227.7091005,,,,229.45,percent of total billed charges,157.0491618,,,,,,,,,,234,percent of total billed charges,152.0944935,,,,,,,,,,234,percent of total billed charges,999999999,,,,,,,,,,260,percent of total billed charges,217.8664847,,,,256.75,percent of total billed charges,247.7747992,,,,256.75,percent of total billed charges,218.9172368,,,,260,percent of total billed charges,999999999,,,,260,percent of total billed charges,999999999,,,,227.5,percent of total billed charges,999999999,,,,227.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,172.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,164.125,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,81.25,percent of total billed charges,77.16762552,,,,,,,,,,81.25,percent of total billed charges,75.88399458,,,,,,,,,,81.25,percent of total billed charges,75.67311621,,,,,,,,,,81.25,percent of total billed charges,74.55883049,,,,,,,,,,81.25,percent of total billed charges,76.47733881,,,,,,,,,,81.25,percent of total billed charges,999999999,,,,,,,,,,81.25,percent of total billed charges,65.62294224,,,,,,,,,,81.25,percent of total billed charges,103.4919052,,,,,,,,,,81.25,percent of total billed charges,999999999,,,,,,,,,,81.25,percent of total billed charges,70.75758097,,,,,,,,,,292.5,percent of total billed charges,,,,,
ROHYPANOL GHB(*),80307,CDM,,,,both,,,218,218,46.40869993,218,218,percent of total billed charges,160.3903446,,,,218,percent of total billed charges,170.010594,,,,218,percent of total billed charges,160.3903446,,,,218,percent of total billed charges,170.010594,,,,218,percent of total billed charges,999999999,,,,218,percent of total billed charges,166.101017,,,,218,percent of total billed charges,160.3903446,,,,218,percent of total billed charges,170.010594,,,,155.434,percent of total billed charges,77.56441045,,,,155.434,percent of total billed charges,46.40869993,,,,155.434,percent of total billed charges,77.56441045,,,,155.434,percent of total billed charges,46.40869993,,,,155.434,percent of total billed charges,77.56441045,,,,155.434,percent of total billed charges,46.40869993,,,,153.908,percent of total billed charges,152.7402582,,,,153.908,percent of total billed charges,105.3437454,,,,,,,,,,156.96,percent of total billed charges,102.0203064,,,,,,,,,,156.96,percent of total billed charges,999999999,,,,,,,,,,174.4,percent of total billed charges,146.1381344,,,,172.22,percent of total billed charges,166.1997115,,,,172.22,percent of total billed charges,146.8429466,,,,174.4,percent of total billed charges,999999999,,,,174.4,percent of total billed charges,999999999,,,,152.6,percent of total billed charges,999999999,,,,152.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,115.976,percent of total billed charges,999999999,,,,,,,,,,,,,,,,110.09,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,54.5,percent of total billed charges,51.76166881,,,,,,,,,,54.5,percent of total billed charges,50.90064867,,,,,,,,,,54.5,percent of total billed charges,50.75919795,,,,,,,,,,54.5,percent of total billed charges,50.01176938,,,,,,,,,,54.5,percent of total billed charges,51.29864572,,,,,,,,,,54.5,percent of total billed charges,999999999,,,,,,,,,,54.5,percent of total billed charges,44.01785048,,,,,,,,,,54.5,percent of total billed charges,69.41918567,,,,,,,,,,54.5,percent of total billed charges,999999999,,,,,,,,,,54.5,percent of total billed charges,47.46200816,,,,,,,,,,196.2,percent of total billed charges,,,,,
BARTONELLA DNA,87471,CDM,,,,both,,,534,534,113.6800264,534,534,percent of total billed charges,392.8827707,,,,534,percent of total billed charges,416.4479687,,,,534,percent of total billed charges,392.8827707,,,,534,percent of total billed charges,416.4479687,,,,534,percent of total billed charges,999999999,,,,534,percent of total billed charges,406.8712984,,,,534,percent of total billed charges,392.8827707,,,,534,percent of total billed charges,416.4479687,,,,380.742,percent of total billed charges,189.9972256,,,,380.742,percent of total billed charges,113.6800264,,,,380.742,percent of total billed charges,189.9972256,,,,380.742,percent of total billed charges,113.6800264,,,,380.742,percent of total billed charges,189.9972256,,,,380.742,percent of total billed charges,113.6800264,,,,377.004,percent of total billed charges,374.1435682,,,,377.004,percent of total billed charges,258.0438535,,,,,,,,,,384.48,percent of total billed charges,249.9029524,,,,,,,,,,384.48,percent of total billed charges,999999999,,,,,,,,,,427.2,percent of total billed charges,357.9713934,,,,421.86,percent of total billed charges,407.1130547,,,,421.86,percent of total billed charges,359.6978599,,,,427.2,percent of total billed charges,999999999,,,,427.2,percent of total billed charges,999999999,,,,373.8,percent of total billed charges,999999999,,,,373.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,284.088,percent of total billed charges,999999999,,,,,,,,,,,,,,,,269.67,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,133.5,percent of total billed charges,126.7923447,,,,,,,,,,133.5,percent of total billed charges,124.6832403,,,,,,,,,,133.5,percent of total billed charges,124.3367509,,,,,,,,,,133.5,percent of total billed charges,122.5058938,,,,,,,,,,133.5,percent of total billed charges,125.6581505,,,,,,,,,,133.5,percent of total billed charges,999999999,,,,,,,,,,133.5,percent of total billed charges,107.823542,,,,,,,,,,133.5,percent of total billed charges,170.0451612,,,,,,,,,,133.5,percent of total billed charges,999999999,,,,,,,,,,133.5,percent of total billed charges,116.2601484,,,,,,,,,,480.6,percent of total billed charges,,,,,
AMITRIPYLINE(*),80335,CDM,,,,both,,,219,219,46.62158387,219,219,percent of total billed charges,161.1260801,,,,219,percent of total billed charges,170.7904591,,,,219,percent of total billed charges,161.1260801,,,,219,percent of total billed charges,170.7904591,,,,219,percent of total billed charges,999999999,,,,219,percent of total billed charges,166.8629482,,,,219,percent of total billed charges,161.1260801,,,,219,percent of total billed charges,170.7904591,,,,156.147,percent of total billed charges,77.9202105,,,,156.147,percent of total billed charges,46.62158387,,,,156.147,percent of total billed charges,77.9202105,,,,156.147,percent of total billed charges,46.62158387,,,,156.147,percent of total billed charges,77.9202105,,,,156.147,percent of total billed charges,46.62158387,,,,154.614,percent of total billed charges,153.4409015,,,,154.614,percent of total billed charges,105.8269736,,,,,,,,,,157.68,percent of total billed charges,102.4882895,,,,,,,,,,157.68,percent of total billed charges,999999999,,,,,,,,,,175.2,percent of total billed charges,146.8084928,,,,173.01,percent of total billed charges,166.9620955,,,,173.01,percent of total billed charges,147.516538,,,,175.2,percent of total billed charges,999999999,,,,175.2,percent of total billed charges,999999999,,,,153.3,percent of total billed charges,999999999,,,,153.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,116.508,percent of total billed charges,999999999,,,,,,,,,,,,,,,,110.595,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,54.75,percent of total billed charges,51.99910766,,,,,,,,,,54.75,percent of total billed charges,51.13413789,,,,,,,,,,54.75,percent of total billed charges,50.99203831,,,,,,,,,,54.75,percent of total billed charges,50.24118116,,,,,,,,,,54.75,percent of total billed charges,51.53396061,,,,,,,,,,54.75,percent of total billed charges,999999999,,,,,,,,,,54.75,percent of total billed charges,44.21976723,,,,,,,,,,54.75,percent of total billed charges,69.7376223,,,,,,,,,,54.75,percent of total billed charges,999999999,,,,,,,,,,54.75,percent of total billed charges,47.67972379,,,,,,,,,,197.1,percent of total billed charges,,,,,
AMINO ACIDS SINGLE QUALIT EACH SPEC(*),82127,CDM,,,,both,,,275,275,58.54308477,275,275,percent of total billed charges,202.3272696,,,,275,percent of total billed charges,214.4629053,,,,275,percent of total billed charges,202.3272696,,,,275,percent of total billed charges,214.4629053,,,,275,percent of total billed charges,999999999,,,,275,percent of total billed charges,209.5310994,,,,275,percent of total billed charges,202.3272696,,,,275,percent of total billed charges,214.4629053,,,,196.075,percent of total billed charges,97.84501318,,,,196.075,percent of total billed charges,58.54308477,,,,196.075,percent of total billed charges,97.84501318,,,,196.075,percent of total billed charges,58.54308477,,,,196.075,percent of total billed charges,97.84501318,,,,196.075,percent of total billed charges,58.54308477,,,,194.15,percent of total billed charges,192.6769312,,,,194.15,percent of total billed charges,132.8877523,,,,,,,,,,198,percent of total billed charges,128.6953406,,,,,,,,,,198,percent of total billed charges,999999999,,,,,,,,,,220,percent of total billed charges,184.348564,,,,217.25,percent of total billed charges,209.6555993,,,,217.25,percent of total billed charges,185.2376619,,,,220,percent of total billed charges,999999999,,,,220,percent of total billed charges,999999999,,,,192.5,percent of total billed charges,999999999,,,,192.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,146.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,138.875,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,68.75,percent of total billed charges,65.29568314,,,,,,,,,,68.75,percent of total billed charges,64.20953388,,,,,,,,,,68.75,percent of total billed charges,64.03109833,,,,,,,,,,68.75,percent of total billed charges,63.08824119,,,,,,,,,,68.75,percent of total billed charges,64.71159438,,,,,,,,,,68.75,percent of total billed charges,999999999,,,,,,,,,,68.75,percent of total billed charges,55.52710497,,,,,,,,,,68.75,percent of total billed charges,87.57007367,,,,,,,,,,68.75,percent of total billed charges,999999999,,,,,,,,,,68.75,percent of total billed charges,59.87179929,,,,,,,,,,247.5,percent of total billed charges,,,,,
AMINO ACIDS 6 OR MORE QUANTIT EACH(*),82139,CDM,,,,both,,,663,663,141.1420553,663,663,percent of total billed charges,487.7926536,,,,663,percent of total billed charges,517.0505679,,,,663,percent of total billed charges,487.7926536,,,,663,percent of total billed charges,517.0505679,,,,663,percent of total billed charges,999999999,,,,663,percent of total billed charges,505.1604323,,,,663,percent of total billed charges,487.7926536,,,,663,percent of total billed charges,517.0505679,,,,472.719,percent of total billed charges,235.8954318,,,,472.719,percent of total billed charges,141.1420553,,,,472.719,percent of total billed charges,235.8954318,,,,472.719,percent of total billed charges,141.1420553,,,,472.719,percent of total billed charges,235.8954318,,,,472.719,percent of total billed charges,141.1420553,,,,468.078,percent of total billed charges,464.526565,,,,468.078,percent of total billed charges,320.38029,,,,,,,,,,477.36,percent of total billed charges,310.2727667,,,,,,,,,,477.36,percent of total billed charges,999999999,,,,,,,,,,530.4,percent of total billed charges,444.4476289,,,,523.77,percent of total billed charges,505.4605904,,,,523.77,percent of total billed charges,446.5911631,,,,530.4,percent of total billed charges,999999999,,,,530.4,percent of total billed charges,999999999,,,,464.1,percent of total billed charges,999999999,,,,464.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,352.716,percent of total billed charges,999999999,,,,,,,,,,,,,,,,334.815,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,165.75,percent of total billed charges,157.4219561,,,,,,,,,,165.75,percent of total billed charges,154.8033489,,,,,,,,,,165.75,percent of total billed charges,154.3731571,,,,,,,,,,165.75,percent of total billed charges,152.1000142,,,,,,,,,,165.75,percent of total billed charges,156.0137712,,,,,,,,,,165.75,percent of total billed charges,999999999,,,,,,,,,,165.75,percent of total billed charges,133.8708022,,,,,,,,,,165.75,percent of total billed charges,211.1234867,,,,,,,,,,165.75,percent of total billed charges,999999999,,,,,,,,,,165.75,percent of total billed charges,144.3454652,,,,,,,,,,596.7,percent of total billed charges,,,,,
**SYNOVIAL FLUID EXAM,89051,CDM,,,,both,,,130,130,27.6749128,130,130,percent of total billed charges,95.64561834,,,,130,percent of total billed charges,101.3824643,,,,130,percent of total billed charges,95.64561834,,,,130,percent of total billed charges,101.3824643,,,,130,percent of total billed charges,999999999,,,,130,percent of total billed charges,99.05106516,,,,130,percent of total billed charges,95.64561834,,,,130,percent of total billed charges,101.3824643,,,,92.69,percent of total billed charges,46.25400623,,,,92.69,percent of total billed charges,27.6749128,,,,92.69,percent of total billed charges,46.25400623,,,,92.69,percent of total billed charges,27.6749128,,,,92.69,percent of total billed charges,46.25400623,,,,92.69,percent of total billed charges,27.6749128,,,,91.78,percent of total billed charges,91.08364019,,,,91.78,percent of total billed charges,62.81966471,,,,,,,,,,93.6,percent of total billed charges,60.83779739,,,,,,,,,,93.6,percent of total billed charges,999999999,,,,,,,,,,104,percent of total billed charges,87.1465939,,,,102.7,percent of total billed charges,99.10991969,,,,102.7,percent of total billed charges,87.56689473,,,,104,percent of total billed charges,999999999,,,,104,percent of total billed charges,999999999,,,,91,percent of total billed charges,999999999,,,,91,percent of total billed charges,999999999,,,,,,,,,,,,,,,,69.16,percent of total billed charges,999999999,,,,,,,,,,,,,,,,65.65,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,32.5,percent of total billed charges,30.86705021,,,,,,,,,,32.5,percent of total billed charges,30.35359783,,,,,,,,,,32.5,percent of total billed charges,30.26924648,,,,,,,,,,32.5,percent of total billed charges,29.8235322,,,,,,,,,,32.5,percent of total billed charges,30.59093552,,,,,,,,,,32.5,percent of total billed charges,999999999,,,,,,,,,,32.5,percent of total billed charges,26.24917689,,,,,,,,,,32.5,percent of total billed charges,41.3967621,,,,,,,,,,32.5,percent of total billed charges,999999999,,,,,,,,,,32.5,percent of total billed charges,28.30303239,,,,,,,,,,117,percent of total billed charges,,,,,
IRON TOTAL,83540,CDM,,,,both,,,146,146,31.08105592,146,146,percent of total billed charges,107.4173868,,,,146,percent of total billed charges,113.8603061,,,,146,percent of total billed charges,107.4173868,,,,146,percent of total billed charges,113.8603061,,,,146,percent of total billed charges,999999999,,,,146,percent of total billed charges,111.2419655,,,,146,percent of total billed charges,107.4173868,,,,146,percent of total billed charges,113.8603061,,,,104.098,percent of total billed charges,51.946807,,,,104.098,percent of total billed charges,31.08105592,,,,104.098,percent of total billed charges,51.946807,,,,104.098,percent of total billed charges,31.08105592,,,,104.098,percent of total billed charges,51.946807,,,,104.098,percent of total billed charges,31.08105592,,,,103.076,percent of total billed charges,102.2939344,,,,103.076,percent of total billed charges,70.55131575,,,,,,,,,,105.12,percent of total billed charges,68.3255263,,,,,,,,,,105.12,percent of total billed charges,999999999,,,,,,,,,,116.8,percent of total billed charges,97.87232853,,,,115.34,percent of total billed charges,111.3080636,,,,115.34,percent of total billed charges,98.3443587,,,,116.8,percent of total billed charges,999999999,,,,116.8,percent of total billed charges,999999999,,,,102.2,percent of total billed charges,999999999,,,,102.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,77.672,percent of total billed charges,999999999,,,,,,,,,,,,,,,,73.73,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,36.5,percent of total billed charges,34.66607177,,,,,,,,,,36.5,percent of total billed charges,34.08942526,,,,,,,,,,36.5,percent of total billed charges,33.9946922,,,,,,,,,,36.5,percent of total billed charges,33.49412078,,,,,,,,,,36.5,percent of total billed charges,34.35597374,,,,,,,,,,36.5,percent of total billed charges,999999999,,,,,,,,,,36.5,percent of total billed charges,29.47984482,,,,,,,,,,36.5,percent of total billed charges,46.4917482,,,,,,,,,,36.5,percent of total billed charges,999999999,,,,,,,,,,36.5,percent of total billed charges,31.78648253,,,,,,,,,,131.4,percent of total billed charges,,,,,
HEPATITIS B SURF AB(*),86706,CDM,,,,both,,,172,172,36.61603848,172,172,percent of total billed charges,126.5465104,,,,172,percent of total billed charges,134.1367989,,,,172,percent of total billed charges,126.5465104,,,,172,percent of total billed charges,134.1367989,,,,172,percent of total billed charges,999999999,,,,172,percent of total billed charges,131.0521785,,,,172,percent of total billed charges,126.5465104,,,,172,percent of total billed charges,134.1367989,,,,122.636,percent of total billed charges,61.19760824,,,,122.636,percent of total billed charges,36.61603848,,,,122.636,percent of total billed charges,61.19760824,,,,122.636,percent of total billed charges,36.61603848,,,,122.636,percent of total billed charges,61.19760824,,,,122.636,percent of total billed charges,36.61603848,,,,121.432,percent of total billed charges,120.5106624,,,,121.432,percent of total billed charges,83.11524869,,,,,,,,,,123.84,percent of total billed charges,80.49308578,,,,,,,,,,123.84,percent of total billed charges,999999999,,,,,,,,,,137.6,percent of total billed charges,115.3016473,,,,135.88,percent of total billed charges,131.1300476,,,,135.88,percent of total billed charges,115.8577376,,,,137.6,percent of total billed charges,999999999,,,,137.6,percent of total billed charges,999999999,,,,120.4,percent of total billed charges,999999999,,,,120.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,91.504,percent of total billed charges,999999999,,,,,,,,,,,,,,,,86.86,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,43,percent of total billed charges,40.83948182,,,,,,,,,,43,percent of total billed charges,40.16014482,,,,,,,,,,43,percent of total billed charges,40.0485415,,,,,,,,,,43,percent of total billed charges,39.45882721,,,,,,,,,,43,percent of total billed charges,40.47416085,,,,,,,,,,43,percent of total billed charges,999999999,,,,,,,,,,43,percent of total billed charges,34.7296802,,,,,,,,,,43,percent of total billed charges,54.77110062,,,,,,,,,,43,percent of total billed charges,999999999,,,,,,,,,,43,percent of total billed charges,37.44708901,,,,,,,,,,154.8,percent of total billed charges,,,,,
HEPATITIS A AB IGG(*),86708,CDM,,,,both,,,158,158,33.63566325,158,158,percent of total billed charges,116.2462131,,,,158,percent of total billed charges,123.2186874,,,,158,percent of total billed charges,116.2462131,,,,158,percent of total billed charges,123.2186874,,,,158,percent of total billed charges,999999999,,,,158,percent of total billed charges,120.3851407,,,,158,percent of total billed charges,116.2462131,,,,158,percent of total billed charges,123.2186874,,,,112.654,percent of total billed charges,56.21640757,,,,112.654,percent of total billed charges,33.63566325,,,,112.654,percent of total billed charges,56.21640757,,,,112.654,percent of total billed charges,33.63566325,,,,112.654,percent of total billed charges,56.21640757,,,,112.654,percent of total billed charges,33.63566325,,,,111.548,percent of total billed charges,110.701655,,,,111.548,percent of total billed charges,76.35005403,,,,,,,,,,113.76,percent of total billed charges,73.94132299,,,,,,,,,,113.76,percent of total billed charges,999999999,,,,,,,,,,126.4,percent of total billed charges,105.9166295,,,,124.82,percent of total billed charges,120.4566716,,,,124.82,percent of total billed charges,106.4274567,,,,126.4,percent of total billed charges,999999999,,,,126.4,percent of total billed charges,999999999,,,,110.6,percent of total billed charges,999999999,,,,110.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,84.056,percent of total billed charges,999999999,,,,,,,,,,,,,,,,79.79,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,39.5,percent of total billed charges,37.51533795,,,,,,,,,,39.5,percent of total billed charges,36.89129583,,,,,,,,,,39.5,percent of total billed charges,36.7887765,,,,,,,,,,39.5,percent of total billed charges,36.24706221,,,,,,,,,,39.5,percent of total billed charges,37.17975241,,,,,,,,,,39.5,percent of total billed charges,999999999,,,,,,,,,,39.5,percent of total billed charges,31.90284576,,,,,,,,,,39.5,percent of total billed charges,50.31298778,,,,,,,,,,39.5,percent of total billed charges,999999999,,,,,,,,,,39.5,percent of total billed charges,34.39907014,,,,,,,,,,142.2,percent of total billed charges,,,,,
HEPATITIS B ANTIBODY(*),86707,CDM,,,,both,,,174,174,37.04180636,174,174,percent of total billed charges,128.0179815,,,,174,percent of total billed charges,135.6965291,,,,174,percent of total billed charges,128.0179815,,,,174,percent of total billed charges,135.6965291,,,,174,percent of total billed charges,999999999,,,,174,percent of total billed charges,132.5760411,,,,174,percent of total billed charges,128.0179815,,,,174,percent of total billed charges,135.6965291,,,,124.062,percent of total billed charges,61.90920834,,,,124.062,percent of total billed charges,37.04180636,,,,124.062,percent of total billed charges,61.90920834,,,,124.062,percent of total billed charges,37.04180636,,,,124.062,percent of total billed charges,61.90920834,,,,124.062,percent of total billed charges,37.04180636,,,,122.844,percent of total billed charges,121.9119492,,,,122.844,percent of total billed charges,84.08170507,,,,,,,,,,125.28,percent of total billed charges,81.4290519,,,,,,,,,,125.28,percent of total billed charges,999999999,,,,,,,,,,139.2,percent of total billed charges,116.6423641,,,,137.46,percent of total billed charges,132.6548156,,,,137.46,percent of total billed charges,117.2049206,,,,139.2,percent of total billed charges,999999999,,,,139.2,percent of total billed charges,999999999,,,,121.8,percent of total billed charges,999999999,,,,121.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,92.568,percent of total billed charges,999999999,,,,,,,,,,,,,,,,87.87,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,43.5,percent of total billed charges,41.31435951,,,,,,,,,,43.5,percent of total billed charges,40.62712325,,,,,,,,,,43.5,percent of total billed charges,40.51422222,,,,,,,,,,43.5,percent of total billed charges,39.91765079,,,,,,,,,,43.5,percent of total billed charges,40.94479062,,,,,,,,,,43.5,percent of total billed charges,999999999,,,,,,,,,,43.5,percent of total billed charges,35.13351369,,,,,,,,,,43.5,percent of total billed charges,55.40797388,,,,,,,,,,43.5,percent of total billed charges,999999999,,,,,,,,,,43.5,percent of total billed charges,37.88252028,,,,,,,,,,156.6,percent of total billed charges,,,,,
GENTAMICIN RANDOM,80170,CDM,,,,both,,,255,255,54.28540588,255,255,percent of total billed charges,187.6125591,,,,255,percent of total billed charges,198.8656031,,,,255,percent of total billed charges,187.6125591,,,,255,percent of total billed charges,198.8656031,,,,255,percent of total billed charges,999999999,,,,255,percent of total billed charges,194.292474,,,,255,percent of total billed charges,187.6125591,,,,255,percent of total billed charges,198.8656031,,,,181.815,percent of total billed charges,90.72901222,,,,181.815,percent of total billed charges,54.28540588,,,,181.815,percent of total billed charges,90.72901222,,,,181.815,percent of total billed charges,54.28540588,,,,181.815,percent of total billed charges,90.72901222,,,,181.815,percent of total billed charges,54.28540588,,,,180.03,percent of total billed charges,178.6640634,,,,180.03,percent of total billed charges,123.2231885,,,,,,,,,,183.6,percent of total billed charges,119.3356795,,,,,,,,,,183.6,percent of total billed charges,999999999,,,,,,,,,,204,percent of total billed charges,170.9413957,,,,201.45,percent of total billed charges,194.4079194,,,,201.45,percent of total billed charges,171.765832,,,,204,percent of total billed charges,999999999,,,,204,percent of total billed charges,999999999,,,,178.5,percent of total billed charges,999999999,,,,178.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,135.66,percent of total billed charges,999999999,,,,,,,,,,,,,,,,128.775,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,63.75,percent of total billed charges,60.54690618,,,,,,,,,,63.75,percent of total billed charges,59.53974959,,,,,,,,,,63.75,percent of total billed charges,59.37429118,,,,,,,,,,63.75,percent of total billed charges,58.50000546,,,,,,,,,,63.75,percent of total billed charges,60.0052966,,,,,,,,,,63.75,percent of total billed charges,999999999,,,,,,,,,,63.75,percent of total billed charges,51.48877006,,,,,,,,,,63.75,percent of total billed charges,81.20134104,,,,,,,,,,63.75,percent of total billed charges,999999999,,,,,,,,,,63.75,percent of total billed charges,55.51748661,,,,,,,,,,229.5,percent of total billed charges,,,,,
HEPATITIS C ANTIBODY(*),86803,CDM,,,,both,,,274,274,58.33020083,274,274,percent of total billed charges,201.591534,,,,274,percent of total billed charges,213.6830401,,,,274,percent of total billed charges,201.591534,,,,274,percent of total billed charges,213.6830401,,,,274,percent of total billed charges,999999999,,,,274,percent of total billed charges,208.7691681,,,,274,percent of total billed charges,201.591534,,,,274,percent of total billed charges,213.6830401,,,,195.362,percent of total billed charges,97.48921313,,,,195.362,percent of total billed charges,58.33020083,,,,195.362,percent of total billed charges,97.48921313,,,,195.362,percent of total billed charges,58.33020083,,,,195.362,percent of total billed charges,97.48921313,,,,195.362,percent of total billed charges,58.33020083,,,,193.444,percent of total billed charges,191.9762878,,,,193.444,percent of total billed charges,132.4045241,,,,,,,,,,197.28,percent of total billed charges,128.2273576,,,,,,,,,,197.28,percent of total billed charges,999999999,,,,,,,,,,219.2,percent of total billed charges,183.6782056,,,,216.46,percent of total billed charges,208.8932153,,,,216.46,percent of total billed charges,184.5640704,,,,219.2,percent of total billed charges,999999999,,,,219.2,percent of total billed charges,999999999,,,,191.8,percent of total billed charges,999999999,,,,191.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,145.768,percent of total billed charges,999999999,,,,,,,,,,,,,,,,138.37,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,68.5,percent of total billed charges,65.05824429,,,,,,,,,,68.5,percent of total billed charges,63.97604466,,,,,,,,,,68.5,percent of total billed charges,63.79825797,,,,,,,,,,68.5,percent of total billed charges,62.8588294,,,,,,,,,,68.5,percent of total billed charges,64.47627949,,,,,,,,,,68.5,percent of total billed charges,999999999,,,,,,,,,,68.5,percent of total billed charges,55.32518822,,,,,,,,,,68.5,percent of total billed charges,87.25163704,,,,,,,,,,68.5,percent of total billed charges,999999999,,,,,,,,,,68.5,percent of total billed charges,59.65408365,,,,,,,,,,246.6,percent of total billed charges,,,,,
TTAD(*),86000,CDM,,,,both,,,243,243,51.73079854,243,243,percent of total billed charges,178.7837328,,,,243,percent of total billed charges,189.5072217,,,,243,percent of total billed charges,178.7837328,,,,243,percent of total billed charges,189.5072217,,,,243,percent of total billed charges,999999999,,,,243,percent of total billed charges,185.1492987,,,,243,percent of total billed charges,178.7837328,,,,243,percent of total billed charges,189.5072217,,,,173.259,percent of total billed charges,86.45941165,,,,173.259,percent of total billed charges,51.73079854,,,,173.259,percent of total billed charges,86.45941165,,,,173.259,percent of total billed charges,51.73079854,,,,173.259,percent of total billed charges,86.45941165,,,,173.259,percent of total billed charges,51.73079854,,,,171.558,percent of total billed charges,170.2563428,,,,171.558,percent of total billed charges,117.4244502,,,,,,,,,,174.96,percent of total billed charges,113.7198828,,,,,,,,,,174.96,percent of total billed charges,999999999,,,,,,,,,,194.4,percent of total billed charges,162.8970947,,,,191.97,percent of total billed charges,185.2593114,,,,191.97,percent of total billed charges,163.682734,,,,194.4,percent of total billed charges,999999999,,,,194.4,percent of total billed charges,999999999,,,,170.1,percent of total billed charges,999999999,,,,170.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,129.276,percent of total billed charges,999999999,,,,,,,,,,,,,,,,122.715,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,60.75,percent of total billed charges,57.69764001,,,,,,,,,,60.75,percent of total billed charges,56.73787902,,,,,,,,,,60.75,percent of total billed charges,56.58020689,,,,,,,,,,60.75,percent of total billed charges,55.74706403,,,,,,,,,,60.75,percent of total billed charges,57.18151794,,,,,,,,,,60.75,percent of total billed charges,999999999,,,,,,,,,,60.75,percent of total billed charges,49.06576912,,,,,,,,,,60.75,percent of total billed charges,77.38010146,,,,,,,,,,60.75,percent of total billed charges,999999999,,,,,,,,,,60.75,percent of total billed charges,52.90489901,,,,,,,,,,218.7,percent of total billed charges,,,,,
TROPONIN I,84484,CDM,,,,both,,,334,334,71.1032375,334,334,percent of total billed charges,245.7356656,,,,334,percent of total billed charges,260.4749467,,,,334,percent of total billed charges,245.7356656,,,,334,percent of total billed charges,260.4749467,,,,334,percent of total billed charges,999999999,,,,334,percent of total billed charges,254.4850443,,,,334,percent of total billed charges,245.7356656,,,,334,percent of total billed charges,260.4749467,,,,238.142,percent of total billed charges,118.837216,,,,238.142,percent of total billed charges,71.1032375,,,,238.142,percent of total billed charges,118.837216,,,,238.142,percent of total billed charges,71.1032375,,,,238.142,percent of total billed charges,118.837216,,,,238.142,percent of total billed charges,71.1032375,,,,235.804,percent of total billed charges,234.0148909,,,,235.804,percent of total billed charges,161.3982155,,,,,,,,,,240.48,percent of total billed charges,156.306341,,,,,,,,,,240.48,percent of total billed charges,999999999,,,,,,,,,,267.2,percent of total billed charges,223.8997105,,,,263.86,percent of total billed charges,254.6362552,,,,263.86,percent of total billed charges,224.9795603,,,,267.2,percent of total billed charges,999999999,,,,267.2,percent of total billed charges,999999999,,,,233.8,percent of total billed charges,999999999,,,,233.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,177.688,percent of total billed charges,999999999,,,,,,,,,,,,,,,,168.67,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,83.5,percent of total billed charges,79.30457515,,,,,,,,,,83.5,percent of total billed charges,77.98539751,,,,,,,,,,83.5,percent of total billed charges,77.76867943,,,,,,,,,,83.5,percent of total billed charges,76.62353657,,,,,,,,,,83.5,percent of total billed charges,78.59517281,,,,,,,,,,83.5,percent of total billed charges,999999999,,,,,,,,,,83.5,percent of total billed charges,67.44019294,,,,,,,,,,83.5,percent of total billed charges,106.3578349,,,,,,,,,,83.5,percent of total billed charges,999999999,,,,,,,,,,83.5,percent of total billed charges,72.71702168,,,,,,,,,,300.6,percent of total billed charges,,,,,
*HEPATITIS B CORE ANTIBODY IGG(*),86704,CDM,,,,both,,,209,209,44.49274443,209,209,percent of total billed charges,153.7687249,,,,209,percent of total billed charges,162.991808,,,,209,percent of total billed charges,153.7687249,,,,209,percent of total billed charges,162.991808,,,,209,percent of total billed charges,999999999,,,,209,percent of total billed charges,159.2436355,,,,209,percent of total billed charges,153.7687249,,,,209,percent of total billed charges,162.991808,,,,149.017,percent of total billed charges,74.36221002,,,,149.017,percent of total billed charges,44.49274443,,,,149.017,percent of total billed charges,74.36221002,,,,149.017,percent of total billed charges,44.49274443,,,,149.017,percent of total billed charges,74.36221002,,,,149.017,percent of total billed charges,44.49274443,,,,147.554,percent of total billed charges,146.4344677,,,,147.554,percent of total billed charges,100.9946917,,,,,,,,,,150.48,percent of total billed charges,97.80845889,,,,,,,,,,150.48,percent of total billed charges,999999999,,,,,,,,,,167.2,percent of total billed charges,140.1049087,,,,165.11,percent of total billed charges,159.3382555,,,,165.11,percent of total billed charges,140.7806231,,,,167.2,percent of total billed charges,999999999,,,,167.2,percent of total billed charges,999999999,,,,146.3,percent of total billed charges,999999999,,,,146.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,111.188,percent of total billed charges,999999999,,,,,,,,,,,,,,,,105.545,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,52.25,percent of total billed charges,49.62471918,,,,,,,,,,52.25,percent of total billed charges,48.79924575,,,,,,,,,,52.25,percent of total billed charges,48.66363473,,,,,,,,,,52.25,percent of total billed charges,47.9470633,,,,,,,,,,52.25,percent of total billed charges,49.18081173,,,,,,,,,,52.25,percent of total billed charges,999999999,,,,,,,,,,52.25,percent of total billed charges,42.20059978,,,,,,,,,,52.25,percent of total billed charges,66.55325599,,,,,,,,,,52.25,percent of total billed charges,999999999,,,,,,,,,,52.25,percent of total billed charges,45.50256746,,,,,,,,,,188.1,percent of total billed charges,,,,,
ESTRADIOL(*),82670,CDM,,,,both,,,349,349,74.29649667,349,349,percent of total billed charges,256.7716985,,,,349,percent of total billed charges,272.1729234,,,,349,percent of total billed charges,256.7716985,,,,349,percent of total billed charges,272.1729234,,,,349,percent of total billed charges,999999999,,,,349,percent of total billed charges,265.9140134,,,,349,percent of total billed charges,256.7716985,,,,349,percent of total billed charges,272.1729234,,,,248.837,percent of total billed charges,124.1742167,,,,248.837,percent of total billed charges,74.29649667,,,,248.837,percent of total billed charges,124.1742167,,,,248.837,percent of total billed charges,74.29649667,,,,248.837,percent of total billed charges,124.1742167,,,,248.837,percent of total billed charges,74.29649667,,,,246.394,percent of total billed charges,244.5245417,,,,246.394,percent of total billed charges,168.6466383,,,,,,,,,,251.28,percent of total billed charges,163.3260869,,,,,,,,,,251.28,percent of total billed charges,999999999,,,,,,,,,,279.2,percent of total billed charges,233.9550867,,,,275.71,percent of total billed charges,266.0720152,,,,275.71,percent of total billed charges,235.0834328,,,,279.2,percent of total billed charges,999999999,,,,279.2,percent of total billed charges,999999999,,,,244.3,percent of total billed charges,999999999,,,,244.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,185.668,percent of total billed charges,999999999,,,,,,,,,,,,,,,,176.245,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,87.25,percent of total billed charges,82.86615787,,,,,,,,,,87.25,percent of total billed charges,81.48773572,,,,,,,,,,87.25,percent of total billed charges,81.26128479,,,,,,,,,,87.25,percent of total billed charges,80.06471336,,,,,,,,,,87.25,percent of total billed charges,82.12489614,,,,,,,,,,87.25,percent of total billed charges,999999999,,,,,,,,,,87.25,percent of total billed charges,70.46894413,,,,,,,,,,87.25,percent of total billed charges,111.1343844,,,,,,,,,,87.25,percent of total billed charges,999999999,,,,,,,,,,87.25,percent of total billed charges,75.98275618,,,,,,,,,,314.1,percent of total billed charges,,,,,
ACTH(*),82024,CDM,,,,both,,,506,506,107.719276,506,506,percent of total billed charges,372.282176,,,,506,percent of total billed charges,394.6117457,,,,506,percent of total billed charges,372.282176,,,,506,percent of total billed charges,394.6117457,,,,506,percent of total billed charges,999999999,,,,506,percent of total billed charges,385.5372228,,,,506,percent of total billed charges,372.282176,,,,506,percent of total billed charges,394.6117457,,,,360.778,percent of total billed charges,180.0348243,,,,360.778,percent of total billed charges,107.719276,,,,360.778,percent of total billed charges,180.0348243,,,,360.778,percent of total billed charges,107.719276,,,,360.778,percent of total billed charges,180.0348243,,,,360.778,percent of total billed charges,107.719276,,,,357.236,percent of total billed charges,354.5255534,,,,357.236,percent of total billed charges,244.5134642,,,,,,,,,,364.32,percent of total billed charges,236.7994268,,,,,,,,,,364.32,percent of total billed charges,999999999,,,,,,,,,,404.8,percent of total billed charges,339.2013578,,,,399.74,percent of total billed charges,385.7663028,,,,399.74,percent of total billed charges,340.837298,,,,404.8,percent of total billed charges,999999999,,,,404.8,percent of total billed charges,999999999,,,,354.2,percent of total billed charges,999999999,,,,354.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,269.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,255.53,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,126.5,percent of total billed charges,120.144057,,,,,,,,,,126.5,percent of total billed charges,118.1455423,,,,,,,,,,126.5,percent of total billed charges,117.8172209,,,,,,,,,,126.5,percent of total billed charges,116.0823638,,,,,,,,,,126.5,percent of total billed charges,119.0693337,,,,,,,,,,126.5,percent of total billed charges,999999999,,,,,,,,,,126.5,percent of total billed charges,102.1698731,,,,,,,,,,126.5,percent of total billed charges,161.1289355,,,,,,,,,,126.5,percent of total billed charges,999999999,,,,,,,,,,126.5,percent of total billed charges,110.1641107,,,,,,,,,,455.4,percent of total billed charges,,,,,
TOXOPLASMOSIS IGM(*),86778,CDM,,,,both,,,225,225,47.89888754,225,225,percent of total billed charges,165.5404933,,,,225,percent of total billed charges,175.4696498,,,,225,percent of total billed charges,165.5404933,,,,225,percent of total billed charges,175.4696498,,,,225,percent of total billed charges,999999999,,,,225,percent of total billed charges,171.4345358,,,,225,percent of total billed charges,165.5404933,,,,225,percent of total billed charges,175.4696498,,,,160.425,percent of total billed charges,80.05501078,,,,160.425,percent of total billed charges,47.89888754,,,,160.425,percent of total billed charges,80.05501078,,,,160.425,percent of total billed charges,47.89888754,,,,160.425,percent of total billed charges,80.05501078,,,,160.425,percent of total billed charges,47.89888754,,,,158.85,percent of total billed charges,157.6447619,,,,158.85,percent of total billed charges,108.7263428,,,,,,,,,,162,percent of total billed charges,105.2961878,,,,,,,,,,162,percent of total billed charges,999999999,,,,,,,,,,180,percent of total billed charges,150.8306433,,,,177.75,percent of total billed charges,171.5363995,,,,177.75,percent of total billed charges,151.558087,,,,180,percent of total billed charges,999999999,,,,180,percent of total billed charges,999999999,,,,157.5,percent of total billed charges,999999999,,,,157.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,119.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,113.625,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,56.25,percent of total billed charges,53.42374075,,,,,,,,,,56.25,percent of total billed charges,52.53507317,,,,,,,,,,56.25,percent of total billed charges,52.38908045,,,,,,,,,,56.25,percent of total billed charges,51.61765188,,,,,,,,,,56.25,percent of total billed charges,52.94584995,,,,,,,,,,56.25,percent of total billed charges,999999999,,,,,,,,,,56.25,percent of total billed charges,45.4312677,,,,,,,,,,56.25,percent of total billed charges,71.64824209,,,,,,,,,,56.25,percent of total billed charges,999999999,,,,,,,,,,56.25,percent of total billed charges,48.9860176,,,,,,,,,,202.5,percent of total billed charges,,,,,
BARTONELLA HENSELAE IgG (*),86611,CDM,,,,both,,,146,146,31.08105592,146,146,percent of total billed charges,107.4173868,,,,146,percent of total billed charges,113.8603061,,,,146,percent of total billed charges,107.4173868,,,,146,percent of total billed charges,113.8603061,,,,146,percent of total billed charges,999999999,,,,146,percent of total billed charges,111.2419655,,,,146,percent of total billed charges,107.4173868,,,,146,percent of total billed charges,113.8603061,,,,104.098,percent of total billed charges,51.946807,,,,104.098,percent of total billed charges,31.08105592,,,,104.098,percent of total billed charges,51.946807,,,,104.098,percent of total billed charges,31.08105592,,,,104.098,percent of total billed charges,51.946807,,,,104.098,percent of total billed charges,31.08105592,,,,103.076,percent of total billed charges,102.2939344,,,,103.076,percent of total billed charges,70.55131575,,,,,,,,,,105.12,percent of total billed charges,68.3255263,,,,,,,,,,105.12,percent of total billed charges,999999999,,,,,,,,,,116.8,percent of total billed charges,97.87232853,,,,115.34,percent of total billed charges,111.3080636,,,,115.34,percent of total billed charges,98.3443587,,,,116.8,percent of total billed charges,999999999,,,,116.8,percent of total billed charges,999999999,,,,102.2,percent of total billed charges,999999999,,,,102.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,77.672,percent of total billed charges,999999999,,,,,,,,,,,,,,,,73.73,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,36.5,percent of total billed charges,34.66607177,,,,,,,,,,36.5,percent of total billed charges,34.08942526,,,,,,,,,,36.5,percent of total billed charges,33.9946922,,,,,,,,,,36.5,percent of total billed charges,33.49412078,,,,,,,,,,36.5,percent of total billed charges,34.35597374,,,,,,,,,,36.5,percent of total billed charges,999999999,,,,,,,,,,36.5,percent of total billed charges,29.47984482,,,,,,,,,,36.5,percent of total billed charges,46.4917482,,,,,,,,,,36.5,percent of total billed charges,999999999,,,,,,,,,,36.5,percent of total billed charges,31.78648253,,,,,,,,,,131.4,percent of total billed charges,,,,,
CEA,82378,CDM,,,,both,,,328,328,69.82593384,328,328,percent of total billed charges,241.3212524,,,,328,percent of total billed charges,255.7957561,,,,328,percent of total billed charges,241.3212524,,,,328,percent of total billed charges,255.7957561,,,,328,percent of total billed charges,999999999,,,,328,percent of total billed charges,249.9134567,,,,328,percent of total billed charges,241.3212524,,,,328,percent of total billed charges,255.7957561,,,,233.864,percent of total billed charges,116.7024157,,,,233.864,percent of total billed charges,69.82593384,,,,233.864,percent of total billed charges,116.7024157,,,,233.864,percent of total billed charges,69.82593384,,,,233.864,percent of total billed charges,116.7024157,,,,233.864,percent of total billed charges,69.82593384,,,,231.568,percent of total billed charges,229.8110306,,,,231.568,percent of total billed charges,158.4988463,,,,,,,,,,236.16,percent of total billed charges,153.4984427,,,,,,,,,,236.16,percent of total billed charges,999999999,,,,,,,,,,262.4,percent of total billed charges,219.87756,,,,259.12,percent of total billed charges,250.0619512,,,,259.12,percent of total billed charges,220.9380113,,,,262.4,percent of total billed charges,999999999,,,,262.4,percent of total billed charges,999999999,,,,229.6,percent of total billed charges,999999999,,,,229.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,174.496,percent of total billed charges,999999999,,,,,,,,,,,,,,,,165.64,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,82,percent of total billed charges,77.87994207,,,,,,,,,,82,percent of total billed charges,76.58446222,,,,,,,,,,82,percent of total billed charges,76.37163728,,,,,,,,,,82,percent of total billed charges,75.24706585,,,,,,,,,,82,percent of total billed charges,77.18328348,,,,,,,,,,82,percent of total billed charges,999999999,,,,,,,,,,82,percent of total billed charges,66.22869247,,,,,,,,,,82,percent of total billed charges,104.4472151,,,,,,,,,,82,percent of total billed charges,999999999,,,,,,,,,,82,percent of total billed charges,71.41072788,,,,,,,,,,295.2,percent of total billed charges,,,,,
COXSACKIE A(*),86658,CDM,,,,both,,,180,180,38.31911003,180,180,percent of total billed charges,132.4323946,,,,180,percent of total billed charges,140.3757198,,,,180,percent of total billed charges,132.4323946,,,,180,percent of total billed charges,140.3757198,,,,180,percent of total billed charges,999999999,,,,180,percent of total billed charges,137.1476287,,,,180,percent of total billed charges,132.4323946,,,,180,percent of total billed charges,140.3757198,,,,128.34,percent of total billed charges,64.04400863,,,,128.34,percent of total billed charges,38.31911003,,,,128.34,percent of total billed charges,64.04400863,,,,128.34,percent of total billed charges,38.31911003,,,,128.34,percent of total billed charges,64.04400863,,,,128.34,percent of total billed charges,38.31911003,,,,127.08,percent of total billed charges,126.1158095,,,,127.08,percent of total billed charges,86.98107421,,,,,,,,,,129.6,percent of total billed charges,84.23695024,,,,,,,,,,129.6,percent of total billed charges,999999999,,,,,,,,,,144,percent of total billed charges,120.6645146,,,,142.2,percent of total billed charges,137.2291196,,,,142.2,percent of total billed charges,121.2464696,,,,144,percent of total billed charges,999999999,,,,144,percent of total billed charges,999999999,,,,126,percent of total billed charges,999999999,,,,126,percent of total billed charges,999999999,,,,,,,,,,,,,,,,95.76,percent of total billed charges,999999999,,,,,,,,,,,,,,,,90.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,percent of total billed charges,42.7389926,,,,,,,,,,45,percent of total billed charges,42.02805854,,,,,,,,,,45,percent of total billed charges,41.91126436,,,,,,,,,,45,percent of total billed charges,41.2941215,,,,,,,,,,45,percent of total billed charges,42.35667996,,,,,,,,,,45,percent of total billed charges,999999999,,,,,,,,,,45,percent of total billed charges,36.34501416,,,,,,,,,,45,percent of total billed charges,57.31859367,,,,,,,,,,45,percent of total billed charges,999999999,,,,,,,,,,45,percent of total billed charges,39.18881408,,,,,,,,,,162,percent of total billed charges,,,,,
COXSACKIE B(*),86658,CDM,,,,both,,,92,92,19.58532291,92,92,percent of total billed charges,67.68766837,,,,92,percent of total billed charges,71.74759012,,,,92,percent of total billed charges,67.68766837,,,,92,percent of total billed charges,71.74759012,,,,92,percent of total billed charges,999999999,,,,92,percent of total billed charges,70.09767688,,,,92,percent of total billed charges,67.68766837,,,,92,percent of total billed charges,71.74759012,,,,65.596,percent of total billed charges,32.73360441,,,,65.596,percent of total billed charges,19.58532291,,,,65.596,percent of total billed charges,32.73360441,,,,65.596,percent of total billed charges,19.58532291,,,,65.596,percent of total billed charges,32.73360441,,,,65.596,percent of total billed charges,19.58532291,,,,64.952,percent of total billed charges,64.45919152,,,,64.952,percent of total billed charges,44.45699348,,,,,,,,,,66.24,percent of total billed charges,43.05444123,,,,,,,,,,66.24,percent of total billed charges,999999999,,,,,,,,,,73.6,percent of total billed charges,61.67297414,,,,72.68,percent of total billed charges,70.13932778,,,,72.68,percent of total billed charges,61.97041781,,,,73.6,percent of total billed charges,999999999,,,,73.6,percent of total billed charges,999999999,,,,64.4,percent of total billed charges,999999999,,,,64.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,48.944,percent of total billed charges,999999999,,,,,,,,,,,,,,,,46.46,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23,percent of total billed charges,21.84437399,,,,,,,,,,23,percent of total billed charges,21.4810077,,,,,,,,,,23,percent of total billed charges,21.4213129,,,,,,,,,,23,percent of total billed charges,21.10588432,,,,,,,,,,23,percent of total billed charges,21.64896976,,,,,,,,,,23,percent of total billed charges,999999999,,,,,,,,,,23,percent of total billed charges,18.57634057,,,,,,,,,,23,percent of total billed charges,29.2961701,,,,,,,,,,23,percent of total billed charges,999999999,,,,,,,,,,23,percent of total billed charges,20.02983831,,,,,,,,,,82.8,percent of total billed charges,,,,,
PARVOVIRUS IGG(*),86747,CDM,,,,both,,,208,208,44.27986048,208,208,percent of total billed charges,153.0329894,,,,208,percent of total billed charges,162.2119429,,,,208,percent of total billed charges,153.0329894,,,,208,percent of total billed charges,162.2119429,,,,208,percent of total billed charges,999999999,,,,208,percent of total billed charges,158.4817042,,,,208,percent of total billed charges,153.0329894,,,,208,percent of total billed charges,162.2119429,,,,148.304,percent of total billed charges,74.00640997,,,,148.304,percent of total billed charges,44.27986048,,,,148.304,percent of total billed charges,74.00640997,,,,148.304,percent of total billed charges,44.27986048,,,,148.304,percent of total billed charges,74.00640997,,,,148.304,percent of total billed charges,44.27986048,,,,146.848,percent of total billed charges,145.7338243,,,,146.848,percent of total billed charges,100.5114635,,,,,,,,,,149.76,percent of total billed charges,97.34047583,,,,,,,,,,149.76,percent of total billed charges,999999999,,,,,,,,,,166.4,percent of total billed charges,139.4345502,,,,164.32,percent of total billed charges,158.5758715,,,,164.32,percent of total billed charges,140.1070316,,,,166.4,percent of total billed charges,999999999,,,,166.4,percent of total billed charges,999999999,,,,145.6,percent of total billed charges,999999999,,,,145.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,110.656,percent of total billed charges,999999999,,,,,,,,,,,,,,,,105.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,52,percent of total billed charges,49.38728033,,,,,,,,,,52,percent of total billed charges,48.56575653,,,,,,,,,,52,percent of total billed charges,48.43079437,,,,,,,,,,52,percent of total billed charges,47.71765152,,,,,,,,,,52,percent of total billed charges,48.94549684,,,,,,,,,,52,percent of total billed charges,999999999,,,,,,,,,,52,percent of total billed charges,41.99868303,,,,,,,,,,52,percent of total billed charges,66.23481936,,,,,,,,,,52,percent of total billed charges,999999999,,,,,,,,,,52,percent of total billed charges,45.28485182,,,,,,,,,,187.2,percent of total billed charges,,,,,
TRAZADONE(*),82542,CDM,,,,both,,,327,327,69.61304989,327,327,percent of total billed charges,240.5855169,,,,327,percent of total billed charges,255.015891,,,,327,percent of total billed charges,240.5855169,,,,327,percent of total billed charges,255.015891,,,,327,percent of total billed charges,999999999,,,,327,percent of total billed charges,249.1515254,,,,327,percent of total billed charges,240.5855169,,,,327,percent of total billed charges,255.015891,,,,233.151,percent of total billed charges,116.3466157,,,,233.151,percent of total billed charges,69.61304989,,,,233.151,percent of total billed charges,116.3466157,,,,233.151,percent of total billed charges,69.61304989,,,,233.151,percent of total billed charges,116.3466157,,,,233.151,percent of total billed charges,69.61304989,,,,230.862,percent of total billed charges,229.1103872,,,,230.862,percent of total billed charges,158.0156181,,,,,,,,,,235.44,percent of total billed charges,153.0304596,,,,,,,,,,235.44,percent of total billed charges,999999999,,,,,,,,,,261.6,percent of total billed charges,219.2072016,,,,258.33,percent of total billed charges,249.2995672,,,,258.33,percent of total billed charges,220.2644198,,,,261.6,percent of total billed charges,999999999,,,,261.6,percent of total billed charges,999999999,,,,228.9,percent of total billed charges,999999999,,,,228.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,173.964,percent of total billed charges,999999999,,,,,,,,,,,,,,,,165.135,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,81.75,percent of total billed charges,77.64250322,,,,,,,,,,81.75,percent of total billed charges,76.35097301,,,,,,,,,,81.75,percent of total billed charges,76.13879692,,,,,,,,,,81.75,percent of total billed charges,75.01765407,,,,,,,,,,81.75,percent of total billed charges,76.94796859,,,,,,,,,,81.75,percent of total billed charges,999999999,,,,,,,,,,81.75,percent of total billed charges,66.02677573,,,,,,,,,,81.75,percent of total billed charges,104.1287785,,,,,,,,,,81.75,percent of total billed charges,999999999,,,,,,,,,,81.75,percent of total billed charges,71.19301224,,,,,,,,,,294.3,percent of total billed charges,,,,,
FELBATOL(*),82542,CDM,,,,both,,,327,327,69.61304989,327,327,percent of total billed charges,240.5855169,,,,327,percent of total billed charges,255.015891,,,,327,percent of total billed charges,240.5855169,,,,327,percent of total billed charges,255.015891,,,,327,percent of total billed charges,999999999,,,,327,percent of total billed charges,249.1515254,,,,327,percent of total billed charges,240.5855169,,,,327,percent of total billed charges,255.015891,,,,233.151,percent of total billed charges,116.3466157,,,,233.151,percent of total billed charges,69.61304989,,,,233.151,percent of total billed charges,116.3466157,,,,233.151,percent of total billed charges,69.61304989,,,,233.151,percent of total billed charges,116.3466157,,,,233.151,percent of total billed charges,69.61304989,,,,230.862,percent of total billed charges,229.1103872,,,,230.862,percent of total billed charges,158.0156181,,,,,,,,,,235.44,percent of total billed charges,153.0304596,,,,,,,,,,235.44,percent of total billed charges,999999999,,,,,,,,,,261.6,percent of total billed charges,219.2072016,,,,258.33,percent of total billed charges,249.2995672,,,,258.33,percent of total billed charges,220.2644198,,,,261.6,percent of total billed charges,999999999,,,,261.6,percent of total billed charges,999999999,,,,228.9,percent of total billed charges,999999999,,,,228.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,173.964,percent of total billed charges,999999999,,,,,,,,,,,,,,,,165.135,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,81.75,percent of total billed charges,77.64250322,,,,,,,,,,81.75,percent of total billed charges,76.35097301,,,,,,,,,,81.75,percent of total billed charges,76.13879692,,,,,,,,,,81.75,percent of total billed charges,75.01765407,,,,,,,,,,81.75,percent of total billed charges,76.94796859,,,,,,,,,,81.75,percent of total billed charges,999999999,,,,,,,,,,81.75,percent of total billed charges,66.02677573,,,,,,,,,,81.75,percent of total billed charges,104.1287785,,,,,,,,,,81.75,percent of total billed charges,999999999,,,,,,,,,,81.75,percent of total billed charges,71.19301224,,,,,,,,,,294.3,percent of total billed charges,,,,,
PHILADELPHIA CHROMOSOME(*),88237,CDM,,,,both,,,2095,2095,445.991864,2095,2095,percent of total billed charges,1541.365926,,,,2095,percent of total billed charges,1633.817405,,,,2095,percent of total billed charges,1541.365926,,,,2095,percent of total billed charges,1633.817405,,,,2095,percent of total billed charges,999999999,,,,2095,percent of total billed charges,1596.246012,,,,2095,percent of total billed charges,1541.365926,,,,2095,percent of total billed charges,1633.817405,,,,1493.735,percent of total billed charges,745.4011004,,,,1493.735,percent of total billed charges,445.991864,,,,1493.735,percent of total billed charges,745.4011004,,,,1493.735,percent of total billed charges,445.991864,,,,1493.735,percent of total billed charges,745.4011004,,,,1493.735,percent of total billed charges,445.991864,,,,1479.07,percent of total billed charges,1467.847894,,,,1479.07,percent of total billed charges,1012.363058,,,,,,,,,,1508.4,percent of total billed charges,980.4245042,,,,,,,,,,1508.4,percent of total billed charges,999999999,,,,,,,,,,1676,percent of total billed charges,1404.400879,,,,1655.05,percent of total billed charges,1597.194475,,,,1655.05,percent of total billed charges,1411.174188,,,,1676,percent of total billed charges,999999999,,,,1676,percent of total billed charges,999999999,,,,1466.5,percent of total billed charges,999999999,,,,1466.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1114.54,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1057.975,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,523.75,percent of total billed charges,497.4343861,,,,,,,,,,523.75,percent of total billed charges,489.1599035,,,,,,,,,,523.75,percent of total billed charges,487.8005491,,,,,,,,,,523.75,percent of total billed charges,480.6176919,,,,,,,,,,523.75,percent of total billed charges,492.9846917,,,,,,,,,,523.75,percent of total billed charges,999999999,,,,,,,,,,523.75,percent of total billed charges,423.0155815,,,,,,,,,,523.75,percent of total billed charges,667.124743,,,,,,,,,,523.75,percent of total billed charges,999999999,,,,,,,,,,523.75,percent of total billed charges,456.1142527,,,,,,,,,,1885.5,percent of total billed charges,,,,,
DNA ANTIBODIES-LUPUS(*),86225,CDM,,,,both,,,236,236,50.24061093,236,236,percent of total billed charges,173.6335841,,,,236,percent of total billed charges,184.048166,,,,236,percent of total billed charges,173.6335841,,,,236,percent of total billed charges,184.048166,,,,236,percent of total billed charges,999999999,,,,236,percent of total billed charges,179.8157798,,,,236,percent of total billed charges,173.6335841,,,,236,percent of total billed charges,184.048166,,,,168.268,percent of total billed charges,83.96881131,,,,168.268,percent of total billed charges,50.24061093,,,,168.268,percent of total billed charges,83.96881131,,,,168.268,percent of total billed charges,50.24061093,,,,168.268,percent of total billed charges,83.96881131,,,,168.268,percent of total billed charges,50.24061093,,,,166.616,percent of total billed charges,165.3518391,,,,166.616,percent of total billed charges,114.0418528,,,,,,,,,,169.92,percent of total billed charges,110.4440014,,,,,,,,,,169.92,percent of total billed charges,999999999,,,,,,,,,,188.8,percent of total billed charges,158.2045858,,,,186.44,percent of total billed charges,179.9226234,,,,186.44,percent of total billed charges,158.9675935,,,,188.8,percent of total billed charges,999999999,,,,188.8,percent of total billed charges,999999999,,,,165.2,percent of total billed charges,999999999,,,,165.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,125.552,percent of total billed charges,999999999,,,,,,,,,,,,,,,,119.18,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,59,percent of total billed charges,56.03556807,,,,,,,,,,59,percent of total billed charges,55.10345453,,,,,,,,,,59,percent of total billed charges,54.95032438,,,,,,,,,,59,percent of total billed charges,54.14118153,,,,,,,,,,59,percent of total billed charges,55.53431372,,,,,,,,,,59,percent of total billed charges,999999999,,,,,,,,,,59,percent of total billed charges,47.6523519,,,,,,,,,,59,percent of total billed charges,75.15104504,,,,,,,,,,59,percent of total billed charges,999999999,,,,,,,,,,59,percent of total billed charges,51.38088957,,,,,,,,,,212.4,percent of total billed charges,,,,,
MELLORIL LEVEL(*),82542,CDM,,,,both,,,327,327,69.61304989,327,327,percent of total billed charges,240.5855169,,,,327,percent of total billed charges,255.015891,,,,327,percent of total billed charges,240.5855169,,,,327,percent of total billed charges,255.015891,,,,327,percent of total billed charges,999999999,,,,327,percent of total billed charges,249.1515254,,,,327,percent of total billed charges,240.5855169,,,,327,percent of total billed charges,255.015891,,,,233.151,percent of total billed charges,116.3466157,,,,233.151,percent of total billed charges,69.61304989,,,,233.151,percent of total billed charges,116.3466157,,,,233.151,percent of total billed charges,69.61304989,,,,233.151,percent of total billed charges,116.3466157,,,,233.151,percent of total billed charges,69.61304989,,,,230.862,percent of total billed charges,229.1103872,,,,230.862,percent of total billed charges,158.0156181,,,,,,,,,,235.44,percent of total billed charges,153.0304596,,,,,,,,,,235.44,percent of total billed charges,999999999,,,,,,,,,,261.6,percent of total billed charges,219.2072016,,,,258.33,percent of total billed charges,249.2995672,,,,258.33,percent of total billed charges,220.2644198,,,,261.6,percent of total billed charges,999999999,,,,261.6,percent of total billed charges,999999999,,,,228.9,percent of total billed charges,999999999,,,,228.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,173.964,percent of total billed charges,999999999,,,,,,,,,,,,,,,,165.135,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,81.75,percent of total billed charges,77.64250322,,,,,,,,,,81.75,percent of total billed charges,76.35097301,,,,,,,,,,81.75,percent of total billed charges,76.13879692,,,,,,,,,,81.75,percent of total billed charges,75.01765407,,,,,,,,,,81.75,percent of total billed charges,76.94796859,,,,,,,,,,81.75,percent of total billed charges,999999999,,,,,,,,,,81.75,percent of total billed charges,66.02677573,,,,,,,,,,81.75,percent of total billed charges,104.1287785,,,,,,,,,,81.75,percent of total billed charges,999999999,,,,,,,,,,81.75,percent of total billed charges,71.19301224,,,,,,,,,,294.3,percent of total billed charges,,,,,
 ACETYCHOLINE RECEPTOR AB *,84238,CDM,,,,both,,,465,465,98.99103425,465,465,percent of total billed charges,342.1170195,,,,465,percent of total billed charges,362.6372762,,,,465,percent of total billed charges,342.1170195,,,,465,percent of total billed charges,362.6372762,,,,465,percent of total billed charges,999999999,,,,465,percent of total billed charges,354.2980407,,,,465,percent of total billed charges,342.1170195,,,,465,percent of total billed charges,362.6372762,,,,331.545,percent of total billed charges,165.4470223,,,,331.545,percent of total billed charges,98.99103425,,,,331.545,percent of total billed charges,165.4470223,,,,331.545,percent of total billed charges,98.99103425,,,,331.545,percent of total billed charges,165.4470223,,,,331.545,percent of total billed charges,98.99103425,,,,328.29,percent of total billed charges,325.7991745,,,,328.29,percent of total billed charges,224.7011084,,,,,,,,,,334.8,percent of total billed charges,217.6121214,,,,,,,,,,334.8,percent of total billed charges,999999999,,,,,,,,,,372,percent of total billed charges,311.7166628,,,,367.35,percent of total billed charges,354.5085589,,,,367.35,percent of total billed charges,313.2200465,,,,372,percent of total billed charges,999999999,,,,372,percent of total billed charges,999999999,,,,325.5,percent of total billed charges,999999999,,,,325.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,247.38,percent of total billed charges,999999999,,,,,,,,,,,,,,,,234.825,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,116.25,percent of total billed charges,110.4090642,,,,,,,,,,116.25,percent of total billed charges,108.5724846,,,,,,,,,,116.25,percent of total billed charges,108.2707663,,,,,,,,,,116.25,percent of total billed charges,106.6764806,,,,,,,,,,116.25,percent of total billed charges,109.4214232,,,,,,,,,,116.25,percent of total billed charges,999999999,,,,,,,,,,116.25,percent of total billed charges,93.89128658,,,,,,,,,,116.25,percent of total billed charges,148.0730337,,,,,,,,,,116.25,percent of total billed charges,999999999,,,,,,,,,,116.25,percent of total billed charges,101.2377697,,,,,,,,,,418.5,percent of total billed charges,,,,,
PHENYTOIN (DILANTIN),80185,CDM,,,,both,,,228,228,48.53753937,228,228,percent of total billed charges,167.7476999,,,,228,percent of total billed charges,177.8092451,,,,228,percent of total billed charges,167.7476999,,,,228,percent of total billed charges,177.8092451,,,,228,percent of total billed charges,999999999,,,,228,percent of total billed charges,173.7203297,,,,228,percent of total billed charges,167.7476999,,,,228,percent of total billed charges,177.8092451,,,,162.564,percent of total billed charges,81.12241093,,,,162.564,percent of total billed charges,48.53753937,,,,162.564,percent of total billed charges,81.12241093,,,,162.564,percent of total billed charges,48.53753937,,,,162.564,percent of total billed charges,81.12241093,,,,162.564,percent of total billed charges,48.53753937,,,,160.968,percent of total billed charges,159.746692,,,,160.968,percent of total billed charges,110.1760273,,,,,,,,,,164.16,percent of total billed charges,106.700137,,,,,,,,,,164.16,percent of total billed charges,999999999,,,,,,,,,,182.4,percent of total billed charges,152.8417185,,,,180.12,percent of total billed charges,173.8235514,,,,180.12,percent of total billed charges,153.5788615,,,,182.4,percent of total billed charges,999999999,,,,182.4,percent of total billed charges,999999999,,,,159.6,percent of total billed charges,999999999,,,,159.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,121.296,percent of total billed charges,999999999,,,,,,,,,,,,,,,,115.14,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,57,percent of total billed charges,54.13605729,,,,,,,,,,57,percent of total billed charges,53.23554081,,,,,,,,,,57,percent of total billed charges,53.08760152,,,,,,,,,,57,percent of total billed charges,52.30588724,,,,,,,,,,57,percent of total billed charges,53.65179461,,,,,,,,,,57,percent of total billed charges,999999999,,,,,,,,,,57,percent of total billed charges,46.03701794,,,,,,,,,,57,percent of total billed charges,72.60355199,,,,,,,,,,57,percent of total billed charges,999999999,,,,,,,,,,57,percent of total billed charges,49.6391645,,,,,,,,,,205.2,percent of total billed charges,,,,,
*HEPATITIS C CORE ANTIGEN(*),86704,CDM,,,,both,,,209,209,44.49274443,209,209,percent of total billed charges,153.7687249,,,,209,percent of total billed charges,162.991808,,,,209,percent of total billed charges,153.7687249,,,,209,percent of total billed charges,162.991808,,,,209,percent of total billed charges,999999999,,,,209,percent of total billed charges,159.2436355,,,,209,percent of total billed charges,153.7687249,,,,209,percent of total billed charges,162.991808,,,,149.017,percent of total billed charges,74.36221002,,,,149.017,percent of total billed charges,44.49274443,,,,149.017,percent of total billed charges,74.36221002,,,,149.017,percent of total billed charges,44.49274443,,,,149.017,percent of total billed charges,74.36221002,,,,149.017,percent of total billed charges,44.49274443,,,,147.554,percent of total billed charges,146.4344677,,,,147.554,percent of total billed charges,100.9946917,,,,,,,,,,150.48,percent of total billed charges,97.80845889,,,,,,,,,,150.48,percent of total billed charges,999999999,,,,,,,,,,167.2,percent of total billed charges,140.1049087,,,,165.11,percent of total billed charges,159.3382555,,,,165.11,percent of total billed charges,140.7806231,,,,167.2,percent of total billed charges,999999999,,,,167.2,percent of total billed charges,999999999,,,,146.3,percent of total billed charges,999999999,,,,146.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,111.188,percent of total billed charges,999999999,,,,,,,,,,,,,,,,105.545,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,52.25,percent of total billed charges,49.62471918,,,,,,,,,,52.25,percent of total billed charges,48.79924575,,,,,,,,,,52.25,percent of total billed charges,48.66363473,,,,,,,,,,52.25,percent of total billed charges,47.9470633,,,,,,,,,,52.25,percent of total billed charges,49.18081173,,,,,,,,,,52.25,percent of total billed charges,999999999,,,,,,,,,,52.25,percent of total billed charges,42.20059978,,,,,,,,,,52.25,percent of total billed charges,66.55325599,,,,,,,,,,52.25,percent of total billed charges,999999999,,,,,,,,,,52.25,percent of total billed charges,45.50256746,,,,,,,,,,188.1,percent of total billed charges,,,,,
ANCA(*),86036,CDM,,,,both,,,211,211,44.91851232,211,211,percent of total billed charges,155.2401959,,,,211,percent of total billed charges,164.5515382,,,,211,percent of total billed charges,155.2401959,,,,211,percent of total billed charges,164.5515382,,,,211,percent of total billed charges,999999999,,,,211,percent of total billed charges,160.7674981,,,,211,percent of total billed charges,155.2401959,,,,211,percent of total billed charges,164.5515382,,,,150.443,percent of total billed charges,75.07381011,,,,150.443,percent of total billed charges,44.91851232,,,,150.443,percent of total billed charges,75.07381011,,,,150.443,percent of total billed charges,44.91851232,,,,150.443,percent of total billed charges,75.07381011,,,,150.443,percent of total billed charges,44.91851232,,,,148.966,percent of total billed charges,147.8357545,,,,148.966,percent of total billed charges,101.9611481,,,,,,,,,,151.92,percent of total billed charges,98.744425,,,,,,,,,,151.92,percent of total billed charges,999999999,,,,,,,,,,168.8,percent of total billed charges,141.4456255,,,,166.69,percent of total billed charges,160.8630235,,,,166.69,percent of total billed charges,142.1278061,,,,168.8,percent of total billed charges,999999999,,,,168.8,percent of total billed charges,999999999,,,,147.7,percent of total billed charges,999999999,,,,147.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,112.252,percent of total billed charges,999999999,,,,,,,,,,,,,,,,106.555,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,52.75,percent of total billed charges,50.09959688,,,,,,,,,,52.75,percent of total billed charges,49.26622417,,,,,,,,,,52.75,percent of total billed charges,49.12931545,,,,,,,,,,52.75,percent of total billed charges,48.40588687,,,,,,,,,,52.75,percent of total billed charges,49.6514415,,,,,,,,,,52.75,percent of total billed charges,999999999,,,,,,,,,,52.75,percent of total billed charges,42.60443327,,,,,,,,,,52.75,percent of total billed charges,67.19012925,,,,,,,,,,52.75,percent of total billed charges,999999999,,,,,,,,,,52.75,percent of total billed charges,45.93799872,,,,,,,,,,189.9,percent of total billed charges,,,,,
ANDROSTENEDIONE(*),82157,CDM,,,,both,,,333,333,70.89035356,333,333,percent of total billed charges,244.9999301,,,,333,percent of total billed charges,259.6950816,,,,333,percent of total billed charges,244.9999301,,,,333,percent of total billed charges,259.6950816,,,,333,percent of total billed charges,999999999,,,,333,percent of total billed charges,253.7231131,,,,333,percent of total billed charges,244.9999301,,,,333,percent of total billed charges,259.6950816,,,,237.429,percent of total billed charges,118.481416,,,,237.429,percent of total billed charges,70.89035356,,,,237.429,percent of total billed charges,118.481416,,,,237.429,percent of total billed charges,70.89035356,,,,237.429,percent of total billed charges,118.481416,,,,237.429,percent of total billed charges,70.89035356,,,,235.098,percent of total billed charges,233.3142476,,,,235.098,percent of total billed charges,160.9149873,,,,,,,,,,239.76,percent of total billed charges,155.8383579,,,,,,,,,,239.76,percent of total billed charges,999999999,,,,,,,,,,266.4,percent of total billed charges,223.2293521,,,,263.07,percent of total billed charges,253.8738712,,,,263.07,percent of total billed charges,224.3059688,,,,266.4,percent of total billed charges,999999999,,,,266.4,percent of total billed charges,999999999,,,,233.1,percent of total billed charges,999999999,,,,233.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,177.156,percent of total billed charges,999999999,,,,,,,,,,,,,,,,168.165,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,83.25,percent of total billed charges,79.06713631,,,,,,,,,,83.25,percent of total billed charges,77.75190829,,,,,,,,,,83.25,percent of total billed charges,77.53583907,,,,,,,,,,83.25,percent of total billed charges,76.39412478,,,,,,,,,,83.25,percent of total billed charges,78.35985792,,,,,,,,,,83.25,percent of total billed charges,999999999,,,,,,,,,,83.25,percent of total billed charges,67.2382762,,,,,,,,,,83.25,percent of total billed charges,106.0393983,,,,,,,,,,83.25,percent of total billed charges,999999999,,,,,,,,,,83.25,percent of total billed charges,72.49930604,,,,,,,,,,299.7,percent of total billed charges,,,,,
THYROID STIMULATING GLOBULIN,84445,CDM,,,,both,,,564,564,120.0665448,564,564,percent of total billed charges,414.9548365,,,,564,percent of total billed charges,439.843922,,,,564,percent of total billed charges,414.9548365,,,,564,percent of total billed charges,439.843922,,,,564,percent of total billed charges,999999999,,,,564,percent of total billed charges,429.7292365,,,,564,percent of total billed charges,414.9548365,,,,564,percent of total billed charges,439.843922,,,,402.132,percent of total billed charges,200.671227,,,,402.132,percent of total billed charges,120.0665448,,,,402.132,percent of total billed charges,200.671227,,,,402.132,percent of total billed charges,120.0665448,,,,402.132,percent of total billed charges,200.671227,,,,402.132,percent of total billed charges,120.0665448,,,,398.184,percent of total billed charges,395.1628697,,,,398.184,percent of total billed charges,272.5406992,,,,,,,,,,406.08,percent of total billed charges,263.9424441,,,,,,,,,,406.08,percent of total billed charges,999999999,,,,,,,,,,451.2,percent of total billed charges,378.0821458,,,,445.56,percent of total billed charges,429.9845746,,,,445.56,percent of total billed charges,379.9056048,,,,451.2,percent of total billed charges,999999999,,,,451.2,percent of total billed charges,999999999,,,,394.8,percent of total billed charges,999999999,,,,394.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,300.048,percent of total billed charges,999999999,,,,,,,,,,,,,,,,284.82,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,141,percent of total billed charges,133.9155101,,,,,,,,,,141,percent of total billed charges,131.6879167,,,,,,,,,,141,percent of total billed charges,131.3219617,,,,,,,,,,141,percent of total billed charges,129.3882474,,,,,,,,,,141,percent of total billed charges,132.7175972,,,,,,,,,,141,percent of total billed charges,999999999,,,,,,,,,,141,percent of total billed charges,113.8810444,,,,,,,,,,141,percent of total billed charges,179.5982602,,,,,,,,,,141,percent of total billed charges,999999999,,,,,,,,,,141,percent of total billed charges,122.7916174,,,,,,,,,,507.6,percent of total billed charges,,,,,
LIDOCAINE(*),80176,CDM,,,,both,,,210,210,44.70562837,210,210,percent of total billed charges,154.5044604,,,,210,percent of total billed charges,163.7716731,,,,210,percent of total billed charges,154.5044604,,,,210,percent of total billed charges,163.7716731,,,,210,percent of total billed charges,999999999,,,,210,percent of total billed charges,160.0055668,,,,210,percent of total billed charges,154.5044604,,,,210,percent of total billed charges,163.7716731,,,,149.73,percent of total billed charges,74.71801006,,,,149.73,percent of total billed charges,44.70562837,,,,149.73,percent of total billed charges,74.71801006,,,,149.73,percent of total billed charges,44.70562837,,,,149.73,percent of total billed charges,74.71801006,,,,149.73,percent of total billed charges,44.70562837,,,,148.26,percent of total billed charges,147.1351111,,,,148.26,percent of total billed charges,101.4779199,,,,,,,,,,151.2,percent of total billed charges,98.27644194,,,,,,,,,,151.2,percent of total billed charges,999999999,,,,,,,,,,168,percent of total billed charges,140.7752671,,,,165.9,percent of total billed charges,160.1006395,,,,165.9,percent of total billed charges,141.4542146,,,,168,percent of total billed charges,999999999,,,,168,percent of total billed charges,999999999,,,,147,percent of total billed charges,999999999,,,,147,percent of total billed charges,999999999,,,,,,,,,,,,,,,,111.72,percent of total billed charges,999999999,,,,,,,,,,,,,,,,106.05,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,52.5,percent of total billed charges,49.86215803,,,,,,,,,,52.5,percent of total billed charges,49.03273496,,,,,,,,,,52.5,percent of total billed charges,48.89647509,,,,,,,,,,52.5,percent of total billed charges,48.17647509,,,,,,,,,,52.5,percent of total billed charges,49.41612662,,,,,,,,,,52.5,percent of total billed charges,999999999,,,,,,,,,,52.5,percent of total billed charges,42.40251652,,,,,,,,,,52.5,percent of total billed charges,66.87169262,,,,,,,,,,52.5,percent of total billed charges,999999999,,,,,,,,,,52.5,percent of total billed charges,45.72028309,,,,,,,,,,189,percent of total billed charges,,,,,
RAST(*),86003,CDM,,,,both,,,63,63,13.41168851,63,63,percent of total billed charges,46.35133812,,,,63,percent of total billed charges,49.13150193,,,,63,percent of total billed charges,46.35133812,,,,63,percent of total billed charges,49.13150193,,,,63,percent of total billed charges,999999999,,,,63,percent of total billed charges,48.00167004,,,,63,percent of total billed charges,46.35133812,,,,63,percent of total billed charges,49.13150193,,,,44.919,percent of total billed charges,22.41540302,,,,44.919,percent of total billed charges,13.41168851,,,,44.919,percent of total billed charges,22.41540302,,,,44.919,percent of total billed charges,13.41168851,,,,44.919,percent of total billed charges,22.41540302,,,,44.919,percent of total billed charges,13.41168851,,,,44.478,percent of total billed charges,44.14053332,,,,44.478,percent of total billed charges,30.44337597,,,,,,,,,,45.36,percent of total billed charges,29.48293258,,,,,,,,,,45.36,percent of total billed charges,999999999,,,,,,,,,,50.4,percent of total billed charges,42.23258012,,,,49.77,percent of total billed charges,48.03019185,,,,49.77,percent of total billed charges,42.43626437,,,,50.4,percent of total billed charges,999999999,,,,50.4,percent of total billed charges,999999999,,,,44.1,percent of total billed charges,999999999,,,,44.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,33.516,percent of total billed charges,999999999,,,,,,,,,,,,,,,,31.815,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15.75,percent of total billed charges,14.95864741,,,,,,,,,,15.75,percent of total billed charges,14.70982049,,,,,,,,,,15.75,percent of total billed charges,14.66894253,,,,,,,,,,15.75,percent of total billed charges,14.45294253,,,,,,,,,,15.75,percent of total billed charges,14.82483798,,,,,,,,,,15.75,percent of total billed charges,999999999,,,,,,,,,,15.75,percent of total billed charges,12.72075496,,,,,,,,,,15.75,percent of total billed charges,20.06150779,,,,,,,,,,15.75,percent of total billed charges,999999999,,,,,,,,,,15.75,percent of total billed charges,13.71608493,,,,,,,,,,56.7,percent of total billed charges,,,,,
**FLUORESCENT TREPONEMAL ANTIBODY(*),86781,CDM,,,,both,,,52,52,11.06996512,52,52,percent of total billed charges,38.25824734,,,,52,percent of total billed charges,40.55298572,,,,52,percent of total billed charges,38.25824734,,,,52,percent of total billed charges,40.55298572,,,,52,percent of total billed charges,999999999,,,,52,percent of total billed charges,39.62042606,,,,52,percent of total billed charges,38.25824734,,,,52,percent of total billed charges,40.55298572,,,,37.076,percent of total billed charges,18.50160249,,,,37.076,percent of total billed charges,11.06996512,,,,37.076,percent of total billed charges,18.50160249,,,,37.076,percent of total billed charges,11.06996512,,,,37.076,percent of total billed charges,18.50160249,,,,37.076,percent of total billed charges,11.06996512,,,,36.712,percent of total billed charges,36.43345608,,,,36.712,percent of total billed charges,25.12786588,,,,,,,,,,37.44,percent of total billed charges,24.33511896,,,,,,,,,,37.44,percent of total billed charges,999999999,,,,,,,,,,41.6,percent of total billed charges,34.85863756,,,,41.08,percent of total billed charges,39.64396787,,,,41.08,percent of total billed charges,35.02675789,,,,41.6,percent of total billed charges,999999999,,,,41.6,percent of total billed charges,999999999,,,,36.4,percent of total billed charges,999999999,,,,36.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,27.664,percent of total billed charges,999999999,,,,,,,,,,,,,,,,26.26,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13,percent of total billed charges,12.34682008,,,,,,,,,,13,percent of total billed charges,12.14143913,,,,,,,,,,13,percent of total billed charges,12.10769859,,,,,,,,,,13,percent of total billed charges,11.92941288,,,,,,,,,,13,percent of total billed charges,12.23637421,,,,,,,,,,13,percent of total billed charges,999999999,,,,,,,,,,13,percent of total billed charges,10.49967076,,,,,,,,,,13,percent of total billed charges,16.55870484,,,,,,,,,,13,percent of total billed charges,999999999,,,,,,,,,,13,percent of total billed charges,11.32121296,,,,,,,,,,46.8,percent of total billed charges,,,,,
LAMICTAL LEVEL(*),80175,CDM,,,,both,,,243,243,51.73079854,243,243,percent of total billed charges,178.7837328,,,,243,percent of total billed charges,189.5072217,,,,243,percent of total billed charges,178.7837328,,,,243,percent of total billed charges,189.5072217,,,,243,percent of total billed charges,999999999,,,,243,percent of total billed charges,185.1492987,,,,243,percent of total billed charges,178.7837328,,,,243,percent of total billed charges,189.5072217,,,,173.259,percent of total billed charges,86.45941165,,,,173.259,percent of total billed charges,51.73079854,,,,173.259,percent of total billed charges,86.45941165,,,,173.259,percent of total billed charges,51.73079854,,,,173.259,percent of total billed charges,86.45941165,,,,173.259,percent of total billed charges,51.73079854,,,,171.558,percent of total billed charges,170.2563428,,,,171.558,percent of total billed charges,117.4244502,,,,,,,,,,174.96,percent of total billed charges,113.7198828,,,,,,,,,,174.96,percent of total billed charges,999999999,,,,,,,,,,194.4,percent of total billed charges,162.8970947,,,,191.97,percent of total billed charges,185.2593114,,,,191.97,percent of total billed charges,163.682734,,,,194.4,percent of total billed charges,999999999,,,,194.4,percent of total billed charges,999999999,,,,170.1,percent of total billed charges,999999999,,,,170.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,129.276,percent of total billed charges,999999999,,,,,,,,,,,,,,,,122.715,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,60.75,percent of total billed charges,57.69764001,,,,,,,,,,60.75,percent of total billed charges,56.73787902,,,,,,,,,,60.75,percent of total billed charges,56.58020689,,,,,,,,,,60.75,percent of total billed charges,55.74706403,,,,,,,,,,60.75,percent of total billed charges,57.18151794,,,,,,,,,,60.75,percent of total billed charges,999999999,,,,,,,,,,60.75,percent of total billed charges,49.06576912,,,,,,,,,,60.75,percent of total billed charges,77.38010146,,,,,,,,,,60.75,percent of total billed charges,999999999,,,,,,,,,,60.75,percent of total billed charges,52.90489901,,,,,,,,,,218.7,percent of total billed charges,,,,,
ANTI-THYROID ANTIBODY(*),86800,CDM,,,,both,,,171,171,36.40315453,171,171,percent of total billed charges,125.8107749,,,,171,percent of total billed charges,133.3569338,,,,171,percent of total billed charges,125.8107749,,,,171,percent of total billed charges,133.3569338,,,,171,percent of total billed charges,999999999,,,,171,percent of total billed charges,130.2902472,,,,171,percent of total billed charges,125.8107749,,,,171,percent of total billed charges,133.3569338,,,,121.923,percent of total billed charges,60.8418082,,,,121.923,percent of total billed charges,36.40315453,,,,121.923,percent of total billed charges,60.8418082,,,,121.923,percent of total billed charges,36.40315453,,,,121.923,percent of total billed charges,60.8418082,,,,121.923,percent of total billed charges,36.40315453,,,,120.726,percent of total billed charges,119.810019,,,,120.726,percent of total billed charges,82.6320205,,,,,,,,,,123.12,percent of total billed charges,80.02510273,,,,,,,,,,123.12,percent of total billed charges,999999999,,,,,,,,,,136.8,percent of total billed charges,114.6312889,,,,135.09,percent of total billed charges,130.3676636,,,,135.09,percent of total billed charges,115.1841461,,,,136.8,percent of total billed charges,999999999,,,,136.8,percent of total billed charges,999999999,,,,119.7,percent of total billed charges,999999999,,,,119.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,90.972,percent of total billed charges,999999999,,,,,,,,,,,,,,,,86.355,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,42.75,percent of total billed charges,40.60204297,,,,,,,,,,42.75,percent of total billed charges,39.92665561,,,,,,,,,,42.75,percent of total billed charges,39.81570114,,,,,,,,,,42.75,percent of total billed charges,39.22941543,,,,,,,,,,42.75,percent of total billed charges,40.23884596,,,,,,,,,,42.75,percent of total billed charges,999999999,,,,,,,,,,42.75,percent of total billed charges,34.52776345,,,,,,,,,,42.75,percent of total billed charges,54.45266399,,,,,,,,,,42.75,percent of total billed charges,999999999,,,,,,,,,,42.75,percent of total billed charges,37.22937337,,,,,,,,,,153.9,percent of total billed charges,,,,,
GLYCATED HEMOGLOBIN,83036,CDM,,,,both,,,183,183,38.95776187,183,183,percent of total billed charges,134.6396012,,,,183,percent of total billed charges,142.7153151,,,,183,percent of total billed charges,134.6396012,,,,183,percent of total billed charges,142.7153151,,,,183,percent of total billed charges,999999999,,,,183,percent of total billed charges,139.4334225,,,,183,percent of total billed charges,134.6396012,,,,183,percent of total billed charges,142.7153151,,,,130.479,percent of total billed charges,65.11140877,,,,130.479,percent of total billed charges,38.95776187,,,,130.479,percent of total billed charges,65.11140877,,,,130.479,percent of total billed charges,38.95776187,,,,130.479,percent of total billed charges,65.11140877,,,,130.479,percent of total billed charges,38.95776187,,,,129.198,percent of total billed charges,128.2177397,,,,129.198,percent of total billed charges,88.43075878,,,,,,,,,,131.76,percent of total billed charges,85.64089941,,,,,,,,,,131.76,percent of total billed charges,999999999,,,,,,,,,,146.4,percent of total billed charges,122.6755899,,,,144.57,percent of total billed charges,139.5162716,,,,144.57,percent of total billed charges,123.2672441,,,,146.4,percent of total billed charges,999999999,,,,146.4,percent of total billed charges,999999999,,,,128.1,percent of total billed charges,999999999,,,,128.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,97.356,percent of total billed charges,999999999,,,,,,,,,,,,,,,,92.415,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45.75,percent of total billed charges,43.45130914,,,,,,,,,,45.75,percent of total billed charges,42.72852618,,,,,,,,,,45.75,percent of total billed charges,42.60978543,,,,,,,,,,45.75,percent of total billed charges,41.98235686,,,,,,,,,,45.75,percent of total billed charges,43.06262462,,,,,,,,,,45.75,percent of total billed charges,999999999,,,,,,,,,,45.75,percent of total billed charges,36.9507644,,,,,,,,,,45.75,percent of total billed charges,58.27390357,,,,,,,,,,45.75,percent of total billed charges,999999999,,,,,,,,,,45.75,percent of total billed charges,39.84196098,,,,,,,,,,164.7,percent of total billed charges,,,,,
ERYTHROPOETIN LEVEL(*),82668,CDM,,,,both,,,306,306,65.14248705,306,306,percent of total billed charges,225.1350709,,,,306,percent of total billed charges,238.6387237,,,,306,percent of total billed charges,225.1350709,,,,306,percent of total billed charges,238.6387237,,,,306,percent of total billed charges,999999999,,,,306,percent of total billed charges,233.1509688,,,,306,percent of total billed charges,225.1350709,,,,306,percent of total billed charges,238.6387237,,,,218.178,percent of total billed charges,108.8748147,,,,218.178,percent of total billed charges,65.14248705,,,,218.178,percent of total billed charges,108.8748147,,,,218.178,percent of total billed charges,65.14248705,,,,218.178,percent of total billed charges,108.8748147,,,,218.178,percent of total billed charges,65.14248705,,,,216.036,percent of total billed charges,214.3968761,,,,216.036,percent of total billed charges,147.8678262,,,,,,,,,,220.32,percent of total billed charges,143.2028154,,,,,,,,,,220.32,percent of total billed charges,999999999,,,,,,,,,,244.8,percent of total billed charges,205.1296749,,,,241.74,percent of total billed charges,233.2895033,,,,241.74,percent of total billed charges,206.1189984,,,,244.8,percent of total billed charges,999999999,,,,244.8,percent of total billed charges,999999999,,,,214.2,percent of total billed charges,999999999,,,,214.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,162.792,percent of total billed charges,999999999,,,,,,,,,,,,,,,,154.53,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,76.5,percent of total billed charges,72.65628742,,,,,,,,,,76.5,percent of total billed charges,71.44769951,,,,,,,,,,76.5,percent of total billed charges,71.24914941,,,,,,,,,,76.5,percent of total billed charges,70.20000656,,,,,,,,,,76.5,percent of total billed charges,72.00635593,,,,,,,,,,76.5,percent of total billed charges,999999999,,,,,,,,,,76.5,percent of total billed charges,61.78652408,,,,,,,,,,76.5,percent of total billed charges,97.44160924,,,,,,,,,,76.5,percent of total billed charges,999999999,,,,,,,,,,76.5,percent of total billed charges,66.62098393,,,,,,,,,,275.4,percent of total billed charges,,,,,
HYPERSEN PNEUMONITITS SCREEN(*),86331,CDM,,,,both,,,133,133,28.31356463,133,133,percent of total billed charges,97.85282492,,,,133,percent of total billed charges,103.7220596,,,,133,percent of total billed charges,97.85282492,,,,133,percent of total billed charges,103.7220596,,,,133,percent of total billed charges,999999999,,,,133,percent of total billed charges,101.336859,,,,133,percent of total billed charges,97.85282492,,,,133,percent of total billed charges,103.7220596,,,,94.829,percent of total billed charges,47.32140637,,,,94.829,percent of total billed charges,28.31356463,,,,94.829,percent of total billed charges,47.32140637,,,,94.829,percent of total billed charges,28.31356463,,,,94.829,percent of total billed charges,47.32140637,,,,94.829,percent of total billed charges,28.31356463,,,,93.898,percent of total billed charges,93.18557035,,,,93.898,percent of total billed charges,64.26934928,,,,,,,,,,95.76,percent of total billed charges,62.24174656,,,,,,,,,,95.76,percent of total billed charges,999999999,,,,,,,,,,106.4,percent of total billed charges,89.15766914,,,,105.07,percent of total billed charges,101.3970717,,,,105.07,percent of total billed charges,89.58766923,,,,106.4,percent of total billed charges,999999999,,,,106.4,percent of total billed charges,999999999,,,,93.1,percent of total billed charges,999999999,,,,93.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,70.756,percent of total billed charges,999999999,,,,,,,,,,,,,,,,67.165,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,33.25,percent of total billed charges,31.57936675,,,,,,,,,,33.25,percent of total billed charges,31.05406547,,,,,,,,,,33.25,percent of total billed charges,30.96776756,,,,,,,,,,33.25,percent of total billed charges,30.51176756,,,,,,,,,,33.25,percent of total billed charges,31.29688019,,,,,,,,,,33.25,percent of total billed charges,999999999,,,,,,,,,,33.25,percent of total billed charges,26.85492713,,,,,,,,,,33.25,percent of total billed charges,42.35207199,,,,,,,,,,33.25,percent of total billed charges,999999999,,,,,,,,,,33.25,percent of total billed charges,28.95617929,,,,,,,,,,119.7,percent of total billed charges,,,,,
LDL CHOLESTEROL,83721,CDM,,,,both,,,146,146,31.08105592,146,146,percent of total billed charges,107.4173868,,,,146,percent of total billed charges,113.8603061,,,,146,percent of total billed charges,107.4173868,,,,146,percent of total billed charges,113.8603061,,,,146,percent of total billed charges,999999999,,,,146,percent of total billed charges,111.2419655,,,,146,percent of total billed charges,107.4173868,,,,146,percent of total billed charges,113.8603061,,,,104.098,percent of total billed charges,51.946807,,,,104.098,percent of total billed charges,31.08105592,,,,104.098,percent of total billed charges,51.946807,,,,104.098,percent of total billed charges,31.08105592,,,,104.098,percent of total billed charges,51.946807,,,,104.098,percent of total billed charges,31.08105592,,,,103.076,percent of total billed charges,102.2939344,,,,103.076,percent of total billed charges,70.55131575,,,,,,,,,,105.12,percent of total billed charges,68.3255263,,,,,,,,,,105.12,percent of total billed charges,999999999,,,,,,,,,,116.8,percent of total billed charges,97.87232853,,,,115.34,percent of total billed charges,111.3080636,,,,115.34,percent of total billed charges,98.3443587,,,,116.8,percent of total billed charges,999999999,,,,116.8,percent of total billed charges,999999999,,,,102.2,percent of total billed charges,999999999,,,,102.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,77.672,percent of total billed charges,999999999,,,,,,,,,,,,,,,,73.73,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,36.5,percent of total billed charges,34.66607177,,,,,,,,,,36.5,percent of total billed charges,34.08942526,,,,,,,,,,36.5,percent of total billed charges,33.9946922,,,,,,,,,,36.5,percent of total billed charges,33.49412078,,,,,,,,,,36.5,percent of total billed charges,34.35597374,,,,,,,,,,36.5,percent of total billed charges,999999999,,,,,,,,,,36.5,percent of total billed charges,29.47984482,,,,,,,,,,36.5,percent of total billed charges,46.4917482,,,,,,,,,,36.5,percent of total billed charges,999999999,,,,,,,,,,36.5,percent of total billed charges,31.78648253,,,,,,,,,,131.4,percent of total billed charges,,,,,
HEMOSIDERIN(*),83070,CDM,,,,both,,,118,118,25.12030547,118,118,percent of total billed charges,86.81679204,,,,118,percent of total billed charges,92.02408298,,,,118,percent of total billed charges,86.81679204,,,,118,percent of total billed charges,92.02408298,,,,118,percent of total billed charges,999999999,,,,118,percent of total billed charges,89.90788991,,,,118,percent of total billed charges,86.81679204,,,,118,percent of total billed charges,92.02408298,,,,84.134,percent of total billed charges,41.98440566,,,,84.134,percent of total billed charges,25.12030547,,,,84.134,percent of total billed charges,41.98440566,,,,84.134,percent of total billed charges,25.12030547,,,,84.134,percent of total billed charges,41.98440566,,,,84.134,percent of total billed charges,25.12030547,,,,83.308,percent of total billed charges,82.67591956,,,,83.308,percent of total billed charges,57.02092642,,,,,,,,,,84.96,percent of total billed charges,55.22200071,,,,,,,,,,84.96,percent of total billed charges,999999999,,,,,,,,,,94.4,percent of total billed charges,79.10229292,,,,93.22,percent of total billed charges,89.96131171,,,,93.22,percent of total billed charges,79.48379676,,,,94.4,percent of total billed charges,999999999,,,,94.4,percent of total billed charges,999999999,,,,82.6,percent of total billed charges,999999999,,,,82.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,62.776,percent of total billed charges,999999999,,,,,,,,,,,,,,,,59.59,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,29.5,percent of total billed charges,28.01778404,,,,,,,,,,29.5,percent of total billed charges,27.55172726,,,,,,,,,,29.5,percent of total billed charges,27.47516219,,,,,,,,,,29.5,percent of total billed charges,27.07059076,,,,,,,,,,29.5,percent of total billed charges,27.76715686,,,,,,,,,,29.5,percent of total billed charges,999999999,,,,,,,,,,29.5,percent of total billed charges,23.82617595,,,,,,,,,,29.5,percent of total billed charges,37.57552252,,,,,,,,,,29.5,percent of total billed charges,999999999,,,,,,,,,,29.5,percent of total billed charges,25.69044478,,,,,,,,,,106.2,percent of total billed charges,,,,,
HAPTOGLOBIN,83010,CDM,,,,both,,,176,176,37.46757425,176,176,percent of total billed charges,129.4894525,,,,176,percent of total billed charges,137.2562594,,,,176,percent of total billed charges,129.4894525,,,,176,percent of total billed charges,137.2562594,,,,176,percent of total billed charges,999999999,,,,176,percent of total billed charges,134.0999036,,,,176,percent of total billed charges,129.4894525,,,,176,percent of total billed charges,137.2562594,,,,125.488,percent of total billed charges,62.62080844,,,,125.488,percent of total billed charges,37.46757425,,,,125.488,percent of total billed charges,62.62080844,,,,125.488,percent of total billed charges,37.46757425,,,,125.488,percent of total billed charges,62.62080844,,,,125.488,percent of total billed charges,37.46757425,,,,124.256,percent of total billed charges,123.3132359,,,,124.256,percent of total billed charges,85.04816145,,,,,,,,,,126.72,percent of total billed charges,82.36501801,,,,,,,,,,126.72,percent of total billed charges,999999999,,,,,,,,,,140.8,percent of total billed charges,117.983081,,,,139.04,percent of total billed charges,134.1795836,,,,139.04,percent of total billed charges,118.5521036,,,,140.8,percent of total billed charges,999999999,,,,140.8,percent of total billed charges,999999999,,,,123.2,percent of total billed charges,999999999,,,,123.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,93.632,percent of total billed charges,999999999,,,,,,,,,,,,,,,,88.88,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,44,percent of total billed charges,41.78923721,,,,,,,,,,44,percent of total billed charges,41.09410168,,,,,,,,,,44,percent of total billed charges,40.97990293,,,,,,,,,,44,percent of total billed charges,40.37647436,,,,,,,,,,44,percent of total billed charges,41.4154204,,,,,,,,,,44,percent of total billed charges,999999999,,,,,,,,,,44,percent of total billed charges,35.53734718,,,,,,,,,,44,percent of total billed charges,56.04484715,,,,,,,,,,44,percent of total billed charges,999999999,,,,,,,,,,44,percent of total billed charges,38.31795154,,,,,,,,,,158.4,percent of total billed charges,,,,,
CA 19-09(*),86301,CDM,,,,both,,,289,289,61.52346,289,289,percent of total billed charges,212.6275669,,,,289,percent of total billed charges,225.3810168,,,,289,percent of total billed charges,212.6275669,,,,289,percent of total billed charges,225.3810168,,,,289,percent of total billed charges,999999999,,,,289,percent of total billed charges,220.1981372,,,,289,percent of total billed charges,212.6275669,,,,289,percent of total billed charges,225.3810168,,,,206.057,percent of total billed charges,102.8262139,,,,206.057,percent of total billed charges,61.52346,,,,206.057,percent of total billed charges,102.8262139,,,,206.057,percent of total billed charges,61.52346,,,,206.057,percent of total billed charges,102.8262139,,,,206.057,percent of total billed charges,61.52346,,,,204.034,percent of total billed charges,202.4859386,,,,204.034,percent of total billed charges,139.6529469,,,,,,,,,,208.08,percent of total billed charges,135.2471034,,,,,,,,,,208.08,percent of total billed charges,999999999,,,,,,,,,,231.2,percent of total billed charges,193.7335818,,,,228.31,percent of total billed charges,220.3289753,,,,228.31,percent of total billed charges,194.6679429,,,,231.2,percent of total billed charges,999999999,,,,231.2,percent of total billed charges,999999999,,,,202.3,percent of total billed charges,999999999,,,,202.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,153.748,percent of total billed charges,999999999,,,,,,,,,,,,,,,,145.945,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,72.25,percent of total billed charges,68.619827,,,,,,,,,,72.25,percent of total billed charges,67.47838287,,,,,,,,,,72.25,percent of total billed charges,67.29086334,,,,,,,,,,72.25,percent of total billed charges,66.30000619,,,,,,,,,,72.25,percent of total billed charges,68.00600282,,,,,,,,,,72.25,percent of total billed charges,999999999,,,,,,,,,,72.25,percent of total billed charges,58.3539394,,,,,,,,,,72.25,percent of total billed charges,92.02818651,,,,,,,,,,72.25,percent of total billed charges,999999999,,,,,,,,,,72.25,percent of total billed charges,62.91981816,,,,,,,,,,260.1,percent of total billed charges,,,,,
HOMOCYSTEINE(*),83090,CDM,,,,both,,,290,290,61.73634394,290,290,percent of total billed charges,213.3633025,,,,290,percent of total billed charges,226.1608819,,,,290,percent of total billed charges,213.3633025,,,,290,percent of total billed charges,226.1608819,,,,290,percent of total billed charges,999999999,,,,290,percent of total billed charges,220.9600684,,,,290,percent of total billed charges,213.3633025,,,,290,percent of total billed charges,226.1608819,,,,206.77,percent of total billed charges,103.1820139,,,,206.77,percent of total billed charges,61.73634394,,,,206.77,percent of total billed charges,103.1820139,,,,206.77,percent of total billed charges,61.73634394,,,,206.77,percent of total billed charges,103.1820139,,,,206.77,percent of total billed charges,61.73634394,,,,204.74,percent of total billed charges,203.186582,,,,204.74,percent of total billed charges,140.1361751,,,,,,,,,,208.8,percent of total billed charges,135.7150865,,,,,,,,,,208.8,percent of total billed charges,999999999,,,,,,,,,,232,percent of total billed charges,194.4039402,,,,229.1,percent of total billed charges,221.0913593,,,,229.1,percent of total billed charges,195.3415344,,,,232,percent of total billed charges,999999999,,,,232,percent of total billed charges,999999999,,,,203,percent of total billed charges,999999999,,,,203,percent of total billed charges,999999999,,,,,,,,,,,,,,,,154.28,percent of total billed charges,999999999,,,,,,,,,,,,,,,,146.45,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,72.5,percent of total billed charges,68.85726585,,,,,,,,,,72.5,percent of total billed charges,67.71187209,,,,,,,,,,72.5,percent of total billed charges,67.52370369,,,,,,,,,,72.5,percent of total billed charges,66.52941798,,,,,,,,,,72.5,percent of total billed charges,68.24131771,,,,,,,,,,72.5,percent of total billed charges,999999999,,,,,,,,,,72.5,percent of total billed charges,58.55585615,,,,,,,,,,72.5,percent of total billed charges,92.34662314,,,,,,,,,,72.5,percent of total billed charges,999999999,,,,,,,,,,72.5,percent of total billed charges,63.13753379,,,,,,,,,,261,percent of total billed charges,,,,,
17 HYDROXY PROGESTERONE 24 HR(*),83498,CDM,,,,both,,,304,304,64.71671917,304,304,percent of total billed charges,223.6635998,,,,304,percent of total billed charges,237.0789934,,,,304,percent of total billed charges,223.6635998,,,,304,percent of total billed charges,237.0789934,,,,304,percent of total billed charges,999999999,,,,304,percent of total billed charges,231.6271062,,,,304,percent of total billed charges,223.6635998,,,,304,percent of total billed charges,237.0789934,,,,216.752,percent of total billed charges,108.1632146,,,,216.752,percent of total billed charges,64.71671917,,,,216.752,percent of total billed charges,108.1632146,,,,216.752,percent of total billed charges,64.71671917,,,,216.752,percent of total billed charges,108.1632146,,,,216.752,percent of total billed charges,64.71671917,,,,214.624,percent of total billed charges,212.9955894,,,,214.624,percent of total billed charges,146.9013698,,,,,,,,,,218.88,percent of total billed charges,142.2668493,,,,,,,,,,218.88,percent of total billed charges,999999999,,,,,,,,,,243.2,percent of total billed charges,203.788958,,,,240.16,percent of total billed charges,231.7647353,,,,240.16,percent of total billed charges,204.7718154,,,,243.2,percent of total billed charges,999999999,,,,243.2,percent of total billed charges,999999999,,,,212.8,percent of total billed charges,999999999,,,,212.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,161.728,percent of total billed charges,999999999,,,,,,,,,,,,,,,,153.52,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,76,percent of total billed charges,72.18140972,,,,,,,,,,76,percent of total billed charges,70.98072108,,,,,,,,,,76,percent of total billed charges,70.7834687,,,,,,,,,,76,percent of total billed charges,69.74118298,,,,,,,,,,76,percent of total billed charges,71.53572615,,,,,,,,,,76,percent of total billed charges,999999999,,,,,,,,,,76,percent of total billed charges,61.38269058,,,,,,,,,,76,percent of total billed charges,96.80473598,,,,,,,,,,76,percent of total billed charges,999999999,,,,,,,,,,76,percent of total billed charges,66.18555266,,,,,,,,,,273.6,percent of total billed charges,,,,,
ACETAMINOPHEN,80329,CDM,,,,both,,,253,253,53.85963799,253,253,percent of total billed charges,186.141088,,,,253,percent of total billed charges,197.3058728,,,,253,percent of total billed charges,186.141088,,,,253,percent of total billed charges,197.3058728,,,,253,percent of total billed charges,999999999,,,,253,percent of total billed charges,192.7686114,,,,253,percent of total billed charges,186.141088,,,,253,percent of total billed charges,197.3058728,,,,180.389,percent of total billed charges,90.01741213,,,,180.389,percent of total billed charges,53.85963799,,,,180.389,percent of total billed charges,90.01741213,,,,180.389,percent of total billed charges,53.85963799,,,,180.389,percent of total billed charges,90.01741213,,,,180.389,percent of total billed charges,53.85963799,,,,178.618,percent of total billed charges,177.2627767,,,,178.618,percent of total billed charges,122.2567321,,,,,,,,,,182.16,percent of total billed charges,118.3997134,,,,,,,,,,182.16,percent of total billed charges,999999999,,,,,,,,,,202.4,percent of total billed charges,169.6006789,,,,199.87,percent of total billed charges,192.8831514,,,,199.87,percent of total billed charges,170.418649,,,,202.4,percent of total billed charges,999999999,,,,202.4,percent of total billed charges,999999999,,,,177.1,percent of total billed charges,999999999,,,,177.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,134.596,percent of total billed charges,999999999,,,,,,,,,,,,,,,,127.765,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,63.25,percent of total billed charges,60.07202848,,,,,,,,,,63.25,percent of total billed charges,59.07277117,,,,,,,,,,63.25,percent of total billed charges,58.90861046,,,,,,,,,,63.25,percent of total billed charges,58.04118189,,,,,,,,,,63.25,percent of total billed charges,59.53466683,,,,,,,,,,63.25,percent of total billed charges,999999999,,,,,,,,,,63.25,percent of total billed charges,51.08493657,,,,,,,,,,63.25,percent of total billed charges,80.56446777,,,,,,,,,,63.25,percent of total billed charges,999999999,,,,,,,,,,63.25,percent of total billed charges,55.08205534,,,,,,,,,,227.7,percent of total billed charges,,,,,
ALDOSTERONE(*),82088,CDM,,,,both,,,363,363,77.2768719,363,363,percent of total billed charges,267.0719958,,,,363,percent of total billed charges,283.0910349,,,,363,percent of total billed charges,267.0719958,,,,363,percent of total billed charges,283.0910349,,,,363,percent of total billed charges,999999999,,,,363,percent of total billed charges,276.5810512,,,,363,percent of total billed charges,267.0719958,,,,363,percent of total billed charges,283.0910349,,,,258.819,percent of total billed charges,129.1554174,,,,258.819,percent of total billed charges,77.2768719,,,,258.819,percent of total billed charges,129.1554174,,,,258.819,percent of total billed charges,77.2768719,,,,258.819,percent of total billed charges,129.1554174,,,,258.819,percent of total billed charges,77.2768719,,,,256.278,percent of total billed charges,254.3335491,,,,256.278,percent of total billed charges,175.411833,,,,,,,,,,261.36,percent of total billed charges,169.8778496,,,,,,,,,,261.36,percent of total billed charges,999999999,,,,,,,,,,290.4,percent of total billed charges,243.3401045,,,,286.77,percent of total billed charges,276.7453911,,,,286.77,percent of total billed charges,244.5137138,,,,290.4,percent of total billed charges,999999999,,,,290.4,percent of total billed charges,999999999,,,,254.1,percent of total billed charges,999999999,,,,254.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,193.116,percent of total billed charges,999999999,,,,,,,,,,,,,,,,183.315,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,90.75,percent of total billed charges,86.19030174,,,,,,,,,,90.75,percent of total billed charges,84.75658472,,,,,,,,,,90.75,percent of total billed charges,84.5210498,,,,,,,,,,90.75,percent of total billed charges,83.27647837,,,,,,,,,,90.75,percent of total billed charges,85.41930458,,,,,,,,,,90.75,percent of total billed charges,999999999,,,,,,,,,,90.75,percent of total billed charges,73.29577856,,,,,,,,,,90.75,percent of total billed charges,115.5924972,,,,,,,,,,90.75,percent of total billed charges,999999999,,,,,,,,,,90.75,percent of total billed charges,79.03077506,,,,,,,,,,326.7,percent of total billed charges,,,,,
NEUROTIN LEVEL(*),80299,CDM,,,,both,,,274,274,58.33020083,274,274,percent of total billed charges,201.591534,,,,274,percent of total billed charges,213.6830401,,,,274,percent of total billed charges,201.591534,,,,274,percent of total billed charges,213.6830401,,,,274,percent of total billed charges,999999999,,,,274,percent of total billed charges,208.7691681,,,,274,percent of total billed charges,201.591534,,,,274,percent of total billed charges,213.6830401,,,,195.362,percent of total billed charges,97.48921313,,,,195.362,percent of total billed charges,58.33020083,,,,195.362,percent of total billed charges,97.48921313,,,,195.362,percent of total billed charges,58.33020083,,,,195.362,percent of total billed charges,97.48921313,,,,195.362,percent of total billed charges,58.33020083,,,,193.444,percent of total billed charges,191.9762878,,,,193.444,percent of total billed charges,132.4045241,,,,,,,,,,197.28,percent of total billed charges,128.2273576,,,,,,,,,,197.28,percent of total billed charges,999999999,,,,,,,,,,219.2,percent of total billed charges,183.6782056,,,,216.46,percent of total billed charges,208.8932153,,,,216.46,percent of total billed charges,184.5640704,,,,219.2,percent of total billed charges,999999999,,,,219.2,percent of total billed charges,999999999,,,,191.8,percent of total billed charges,999999999,,,,191.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,145.768,percent of total billed charges,999999999,,,,,,,,,,,,,,,,138.37,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,68.5,percent of total billed charges,65.05824429,,,,,,,,,,68.5,percent of total billed charges,63.97604466,,,,,,,,,,68.5,percent of total billed charges,63.79825797,,,,,,,,,,68.5,percent of total billed charges,62.8588294,,,,,,,,,,68.5,percent of total billed charges,64.47627949,,,,,,,,,,68.5,percent of total billed charges,999999999,,,,,,,,,,68.5,percent of total billed charges,55.32518822,,,,,,,,,,68.5,percent of total billed charges,87.25163704,,,,,,,,,,68.5,percent of total billed charges,999999999,,,,,,,,,,68.5,percent of total billed charges,59.65408365,,,,,,,,,,246.6,percent of total billed charges,,,,,
ALDOLASE(*),82085,CDM,,,,both,,,208,208,44.27986048,208,208,percent of total billed charges,153.0329894,,,,208,percent of total billed charges,162.2119429,,,,208,percent of total billed charges,153.0329894,,,,208,percent of total billed charges,162.2119429,,,,208,percent of total billed charges,999999999,,,,208,percent of total billed charges,158.4817042,,,,208,percent of total billed charges,153.0329894,,,,208,percent of total billed charges,162.2119429,,,,148.304,percent of total billed charges,74.00640997,,,,148.304,percent of total billed charges,44.27986048,,,,148.304,percent of total billed charges,74.00640997,,,,148.304,percent of total billed charges,44.27986048,,,,148.304,percent of total billed charges,74.00640997,,,,148.304,percent of total billed charges,44.27986048,,,,146.848,percent of total billed charges,145.7338243,,,,146.848,percent of total billed charges,100.5114635,,,,,,,,,,149.76,percent of total billed charges,97.34047583,,,,,,,,,,149.76,percent of total billed charges,999999999,,,,,,,,,,166.4,percent of total billed charges,139.4345502,,,,164.32,percent of total billed charges,158.5758715,,,,164.32,percent of total billed charges,140.1070316,,,,166.4,percent of total billed charges,999999999,,,,166.4,percent of total billed charges,999999999,,,,145.6,percent of total billed charges,999999999,,,,145.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,110.656,percent of total billed charges,999999999,,,,,,,,,,,,,,,,105.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,52,percent of total billed charges,49.38728033,,,,,,,,,,52,percent of total billed charges,48.56575653,,,,,,,,,,52,percent of total billed charges,48.43079437,,,,,,,,,,52,percent of total billed charges,47.71765152,,,,,,,,,,52,percent of total billed charges,48.94549684,,,,,,,,,,52,percent of total billed charges,999999999,,,,,,,,,,52,percent of total billed charges,41.99868303,,,,,,,,,,52,percent of total billed charges,66.23481936,,,,,,,,,,52,percent of total billed charges,999999999,,,,,,,,,,52,percent of total billed charges,45.28485182,,,,,,,,,,187.2,percent of total billed charges,,,,,
CA15-3(27.29) IMMUNOASSAY TUMOR ANTIGEN,86300,CDM,,,,both,,,289,289,61.52346,289,289,percent of total billed charges,212.6275669,,,,289,percent of total billed charges,225.3810168,,,,289,percent of total billed charges,212.6275669,,,,289,percent of total billed charges,225.3810168,,,,289,percent of total billed charges,999999999,,,,289,percent of total billed charges,220.1981372,,,,289,percent of total billed charges,212.6275669,,,,289,percent of total billed charges,225.3810168,,,,206.057,percent of total billed charges,102.8262139,,,,206.057,percent of total billed charges,61.52346,,,,206.057,percent of total billed charges,102.8262139,,,,206.057,percent of total billed charges,61.52346,,,,206.057,percent of total billed charges,102.8262139,,,,206.057,percent of total billed charges,61.52346,,,,204.034,percent of total billed charges,202.4859386,,,,204.034,percent of total billed charges,139.6529469,,,,,,,,,,208.08,percent of total billed charges,135.2471034,,,,,,,,,,208.08,percent of total billed charges,999999999,,,,,,,,,,231.2,percent of total billed charges,193.7335818,,,,228.31,percent of total billed charges,220.3289753,,,,228.31,percent of total billed charges,194.6679429,,,,231.2,percent of total billed charges,999999999,,,,231.2,percent of total billed charges,999999999,,,,202.3,percent of total billed charges,999999999,,,,202.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,153.748,percent of total billed charges,999999999,,,,,,,,,,,,,,,,145.945,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,72.25,percent of total billed charges,68.619827,,,,,,,,,,72.25,percent of total billed charges,67.47838287,,,,,,,,,,72.25,percent of total billed charges,67.29086334,,,,,,,,,,72.25,percent of total billed charges,66.30000619,,,,,,,,,,72.25,percent of total billed charges,68.00600282,,,,,,,,,,72.25,percent of total billed charges,999999999,,,,,,,,,,72.25,percent of total billed charges,58.3539394,,,,,,,,,,72.25,percent of total billed charges,92.02818651,,,,,,,,,,72.25,percent of total billed charges,999999999,,,,,,,,,,72.25,percent of total billed charges,62.91981816,,,,,,,,,,260.1,percent of total billed charges,,,,,
**CA 15-3(*),86300,CDM,,,,both,,,312,312,66.41979072,312,312,percent of total billed charges,229.549484,,,,312,percent of total billed charges,243.3179143,,,,312,percent of total billed charges,229.549484,,,,312,percent of total billed charges,243.3179143,,,,312,percent of total billed charges,999999999,,,,312,percent of total billed charges,237.7225564,,,,312,percent of total billed charges,229.549484,,,,312,percent of total billed charges,243.3179143,,,,222.456,percent of total billed charges,111.009615,,,,222.456,percent of total billed charges,66.41979072,,,,222.456,percent of total billed charges,111.009615,,,,222.456,percent of total billed charges,66.41979072,,,,222.456,percent of total billed charges,111.009615,,,,222.456,percent of total billed charges,66.41979072,,,,220.272,percent of total billed charges,218.6007365,,,,220.272,percent of total billed charges,150.7671953,,,,,,,,,,224.64,percent of total billed charges,146.0107137,,,,,,,,,,224.64,percent of total billed charges,999999999,,,,,,,,,,249.6,percent of total billed charges,209.1518254,,,,246.48,percent of total billed charges,237.8638072,,,,246.48,percent of total billed charges,210.1605474,,,,249.6,percent of total billed charges,999999999,,,,249.6,percent of total billed charges,999999999,,,,218.4,percent of total billed charges,999999999,,,,218.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,165.984,percent of total billed charges,999999999,,,,,,,,,,,,,,,,157.56,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,78,percent of total billed charges,74.0809205,,,,,,,,,,78,percent of total billed charges,72.8486348,,,,,,,,,,78,percent of total billed charges,72.64619156,,,,,,,,,,78,percent of total billed charges,71.57647727,,,,,,,,,,78,percent of total billed charges,73.41824526,,,,,,,,,,78,percent of total billed charges,999999999,,,,,,,,,,78,percent of total billed charges,62.99802455,,,,,,,,,,78,percent of total billed charges,99.35222903,,,,,,,,,,78,percent of total billed charges,999999999,,,,,,,,,,78,percent of total billed charges,67.92727773,,,,,,,,,,280.8,percent of total billed charges,,,,,
CHLAMYDIA PNEUMONI AE(*),87485,CDM,,,,both,,,250,250,53.22098616,250,250,percent of total billed charges,183.9338814,,,,250,percent of total billed charges,194.9662775,,,,250,percent of total billed charges,183.9338814,,,,250,percent of total billed charges,194.9662775,,,,250,percent of total billed charges,999999999,,,,250,percent of total billed charges,190.4828176,,,,250,percent of total billed charges,183.9338814,,,,250,percent of total billed charges,194.9662775,,,,178.25,percent of total billed charges,88.95001198,,,,178.25,percent of total billed charges,53.22098616,,,,178.25,percent of total billed charges,88.95001198,,,,178.25,percent of total billed charges,53.22098616,,,,178.25,percent of total billed charges,88.95001198,,,,178.25,percent of total billed charges,53.22098616,,,,176.5,percent of total billed charges,175.1608465,,,,176.5,percent of total billed charges,120.8070475,,,,,,,,,,180,percent of total billed charges,116.9957642,,,,,,,,,,180,percent of total billed charges,999999999,,,,,,,,,,200,percent of total billed charges,167.5896036,,,,197.5,percent of total billed charges,190.5959994,,,,197.5,percent of total billed charges,168.3978745,,,,200,percent of total billed charges,999999999,,,,200,percent of total billed charges,999999999,,,,175,percent of total billed charges,999999999,,,,175,percent of total billed charges,999999999,,,,,,,,,,,,,,,,133,percent of total billed charges,999999999,,,,,,,,,,,,,,,,126.25,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,62.5,percent of total billed charges,59.35971194,,,,,,,,,,62.5,percent of total billed charges,58.37230352,,,,,,,,,,62.5,percent of total billed charges,58.21008939,,,,,,,,,,62.5,percent of total billed charges,57.35294653,,,,,,,,,,62.5,percent of total billed charges,58.82872216,,,,,,,,,,62.5,percent of total billed charges,999999999,,,,,,,,,,62.5,percent of total billed charges,50.47918634,,,,,,,,,,62.5,percent of total billed charges,79.60915788,,,,,,,,,,62.5,percent of total billed charges,999999999,,,,,,,,,,62.5,percent of total billed charges,54.42890844,,,,,,,,,,225,percent of total billed charges,,,,,
FASTING ATHEROSCLEROSIS STUDY*,80061,CDM,,,,both,,,256,256,54.49828982,256,256,percent of total billed charges,188.3482946,,,,256,percent of total billed charges,199.6454682,,,,256,percent of total billed charges,188.3482946,,,,256,percent of total billed charges,199.6454682,,,,256,percent of total billed charges,999999999,,,,256,percent of total billed charges,195.0544052,,,,256,percent of total billed charges,188.3482946,,,,256,percent of total billed charges,199.6454682,,,,182.528,percent of total billed charges,91.08481227,,,,182.528,percent of total billed charges,54.49828982,,,,182.528,percent of total billed charges,91.08481227,,,,182.528,percent of total billed charges,54.49828982,,,,182.528,percent of total billed charges,91.08481227,,,,182.528,percent of total billed charges,54.49828982,,,,180.736,percent of total billed charges,179.3647068,,,,180.736,percent of total billed charges,123.7064167,,,,,,,,,,184.32,percent of total billed charges,119.8036626,,,,,,,,,,184.32,percent of total billed charges,999999999,,,,,,,,,,204.8,percent of total billed charges,171.6117541,,,,202.24,percent of total billed charges,195.1703034,,,,202.24,percent of total billed charges,172.4394235,,,,204.8,percent of total billed charges,999999999,,,,204.8,percent of total billed charges,999999999,,,,179.2,percent of total billed charges,999999999,,,,179.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,136.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,129.28,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,64,percent of total billed charges,60.78434503,,,,,,,,,,64,percent of total billed charges,59.77323881,,,,,,,,,,64,percent of total billed charges,59.60713154,,,,,,,,,,64,percent of total billed charges,58.72941725,,,,,,,,,,64,percent of total billed charges,60.24061149,,,,,,,,,,64,percent of total billed charges,999999999,,,,,,,,,,64,percent of total billed charges,51.69068681,,,,,,,,,,64,percent of total billed charges,81.51977767,,,,,,,,,,64,percent of total billed charges,999999999,,,,,,,,,,64,percent of total billed charges,55.73520224,,,,,,,,,,230.4,percent of total billed charges,,,,,
IGA(*),82784,CDM,,,,both,,,146,146,31.08105592,146,146,percent of total billed charges,107.4173868,,,,146,percent of total billed charges,113.8603061,,,,146,percent of total billed charges,107.4173868,,,,146,percent of total billed charges,113.8603061,,,,146,percent of total billed charges,999999999,,,,146,percent of total billed charges,111.2419655,,,,146,percent of total billed charges,107.4173868,,,,146,percent of total billed charges,113.8603061,,,,104.098,percent of total billed charges,51.946807,,,,104.098,percent of total billed charges,31.08105592,,,,104.098,percent of total billed charges,51.946807,,,,104.098,percent of total billed charges,31.08105592,,,,104.098,percent of total billed charges,51.946807,,,,104.098,percent of total billed charges,31.08105592,,,,103.076,percent of total billed charges,102.2939344,,,,103.076,percent of total billed charges,70.55131575,,,,,,,,,,105.12,percent of total billed charges,68.3255263,,,,,,,,,,105.12,percent of total billed charges,999999999,,,,,,,,,,116.8,percent of total billed charges,97.87232853,,,,115.34,percent of total billed charges,111.3080636,,,,115.34,percent of total billed charges,98.3443587,,,,116.8,percent of total billed charges,999999999,,,,116.8,percent of total billed charges,999999999,,,,102.2,percent of total billed charges,999999999,,,,102.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,77.672,percent of total billed charges,999999999,,,,,,,,,,,,,,,,73.73,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,36.5,percent of total billed charges,34.66607177,,,,,,,,,,36.5,percent of total billed charges,34.08942526,,,,,,,,,,36.5,percent of total billed charges,33.9946922,,,,,,,,,,36.5,percent of total billed charges,33.49412078,,,,,,,,,,36.5,percent of total billed charges,34.35597374,,,,,,,,,,36.5,percent of total billed charges,999999999,,,,,,,,,,36.5,percent of total billed charges,29.47984482,,,,,,,,,,36.5,percent of total billed charges,46.4917482,,,,,,,,,,36.5,percent of total billed charges,999999999,,,,,,,,,,36.5,percent of total billed charges,31.78648253,,,,,,,,,,131.4,percent of total billed charges,,,,,
BLOOD VISCOSITY(*),85810,CDM,,,,both,,,176,176,37.46757425,176,176,percent of total billed charges,129.4894525,,,,176,percent of total billed charges,137.2562594,,,,176,percent of total billed charges,129.4894525,,,,176,percent of total billed charges,137.2562594,,,,176,percent of total billed charges,999999999,,,,176,percent of total billed charges,134.0999036,,,,176,percent of total billed charges,129.4894525,,,,176,percent of total billed charges,137.2562594,,,,125.488,percent of total billed charges,62.62080844,,,,125.488,percent of total billed charges,37.46757425,,,,125.488,percent of total billed charges,62.62080844,,,,125.488,percent of total billed charges,37.46757425,,,,125.488,percent of total billed charges,62.62080844,,,,125.488,percent of total billed charges,37.46757425,,,,124.256,percent of total billed charges,123.3132359,,,,124.256,percent of total billed charges,85.04816145,,,,,,,,,,126.72,percent of total billed charges,82.36501801,,,,,,,,,,126.72,percent of total billed charges,999999999,,,,,,,,,,140.8,percent of total billed charges,117.983081,,,,139.04,percent of total billed charges,134.1795836,,,,139.04,percent of total billed charges,118.5521036,,,,140.8,percent of total billed charges,999999999,,,,140.8,percent of total billed charges,999999999,,,,123.2,percent of total billed charges,999999999,,,,123.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,93.632,percent of total billed charges,999999999,,,,,,,,,,,,,,,,88.88,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,44,percent of total billed charges,41.78923721,,,,,,,,,,44,percent of total billed charges,41.09410168,,,,,,,,,,44,percent of total billed charges,40.97990293,,,,,,,,,,44,percent of total billed charges,40.37647436,,,,,,,,,,44,percent of total billed charges,41.4154204,,,,,,,,,,44,percent of total billed charges,999999999,,,,,,,,,,44,percent of total billed charges,35.53734718,,,,,,,,,,44,percent of total billed charges,56.04484715,,,,,,,,,,44,percent of total billed charges,999999999,,,,,,,,,,44,percent of total billed charges,38.31795154,,,,,,,,,,158.4,percent of total billed charges,,,,,
MYOGLOBIN(*),83874,CDM,,,,both,,,306,306,65.14248705,306,306,percent of total billed charges,225.1350709,,,,306,percent of total billed charges,238.6387237,,,,306,percent of total billed charges,225.1350709,,,,306,percent of total billed charges,238.6387237,,,,306,percent of total billed charges,999999999,,,,306,percent of total billed charges,233.1509688,,,,306,percent of total billed charges,225.1350709,,,,306,percent of total billed charges,238.6387237,,,,218.178,percent of total billed charges,108.8748147,,,,218.178,percent of total billed charges,65.14248705,,,,218.178,percent of total billed charges,108.8748147,,,,218.178,percent of total billed charges,65.14248705,,,,218.178,percent of total billed charges,108.8748147,,,,218.178,percent of total billed charges,65.14248705,,,,216.036,percent of total billed charges,214.3968761,,,,216.036,percent of total billed charges,147.8678262,,,,,,,,,,220.32,percent of total billed charges,143.2028154,,,,,,,,,,220.32,percent of total billed charges,999999999,,,,,,,,,,244.8,percent of total billed charges,205.1296749,,,,241.74,percent of total billed charges,233.2895033,,,,241.74,percent of total billed charges,206.1189984,,,,244.8,percent of total billed charges,999999999,,,,244.8,percent of total billed charges,999999999,,,,214.2,percent of total billed charges,999999999,,,,214.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,162.792,percent of total billed charges,999999999,,,,,,,,,,,,,,,,154.53,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,76.5,percent of total billed charges,72.65628742,,,,,,,,,,76.5,percent of total billed charges,71.44769951,,,,,,,,,,76.5,percent of total billed charges,71.24914941,,,,,,,,,,76.5,percent of total billed charges,70.20000656,,,,,,,,,,76.5,percent of total billed charges,72.00635593,,,,,,,,,,76.5,percent of total billed charges,999999999,,,,,,,,,,76.5,percent of total billed charges,61.78652408,,,,,,,,,,76.5,percent of total billed charges,97.44160924,,,,,,,,,,76.5,percent of total billed charges,999999999,,,,,,,,,,76.5,percent of total billed charges,66.62098393,,,,,,,,,,275.4,percent of total billed charges,,,,,
FK 506 (PROGRAF)(*),80197,CDM,,,,both,,,297,297,63.22653155,297,297,percent of total billed charges,218.5134511,,,,297,percent of total billed charges,231.6199377,,,,297,percent of total billed charges,218.5134511,,,,297,percent of total billed charges,231.6199377,,,,297,percent of total billed charges,999999999,,,,297,percent of total billed charges,226.2935873,,,,297,percent of total billed charges,218.5134511,,,,297,percent of total billed charges,231.6199377,,,,211.761,percent of total billed charges,105.6726142,,,,211.761,percent of total billed charges,63.22653155,,,,211.761,percent of total billed charges,105.6726142,,,,211.761,percent of total billed charges,63.22653155,,,,211.761,percent of total billed charges,105.6726142,,,,211.761,percent of total billed charges,63.22653155,,,,209.682,percent of total billed charges,208.0910857,,,,209.682,percent of total billed charges,143.5187724,,,,,,,,,,213.84,percent of total billed charges,138.9909679,,,,,,,,,,213.84,percent of total billed charges,999999999,,,,,,,,,,237.6,percent of total billed charges,199.0964491,,,,234.63,percent of total billed charges,226.4280473,,,,234.63,percent of total billed charges,200.0566749,,,,237.6,percent of total billed charges,999999999,,,,237.6,percent of total billed charges,999999999,,,,207.9,percent of total billed charges,999999999,,,,207.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,158.004,percent of total billed charges,999999999,,,,,,,,,,,,,,,,149.985,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,74.25,percent of total billed charges,70.51933779,,,,,,,,,,74.25,percent of total billed charges,69.34629659,,,,,,,,,,74.25,percent of total billed charges,69.1535862,,,,,,,,,,74.25,percent of total billed charges,68.13530048,,,,,,,,,,74.25,percent of total billed charges,69.88852193,,,,,,,,,,74.25,percent of total billed charges,999999999,,,,,,,,,,74.25,percent of total billed charges,59.96927337,,,,,,,,,,74.25,percent of total billed charges,94.57567956,,,,,,,,,,74.25,percent of total billed charges,999999999,,,,,,,,,,74.25,percent of total billed charges,64.66154323,,,,,,,,,,267.3,percent of total billed charges,,,,,
ALUMINUM LEVEL(*),82108,CDM,,,,both,,,269,269,57.2657811,269,269,percent of total billed charges,197.9128564,,,,269,percent of total billed charges,209.7837146,,,,269,percent of total billed charges,197.9128564,,,,269,percent of total billed charges,209.7837146,,,,269,percent of total billed charges,999999999,,,,269,percent of total billed charges,204.9595117,,,,269,percent of total billed charges,197.9128564,,,,269,percent of total billed charges,209.7837146,,,,191.797,percent of total billed charges,95.71021289,,,,191.797,percent of total billed charges,57.2657811,,,,191.797,percent of total billed charges,95.71021289,,,,191.797,percent of total billed charges,57.2657811,,,,191.797,percent of total billed charges,95.71021289,,,,191.797,percent of total billed charges,57.2657811,,,,189.914,percent of total billed charges,188.4730709,,,,189.914,percent of total billed charges,129.9883831,,,,,,,,,,193.68,percent of total billed charges,125.8874423,,,,,,,,,,193.68,percent of total billed charges,999999999,,,,,,,,,,215.2,percent of total billed charges,180.3264135,,,,212.51,percent of total billed charges,205.0812953,,,,212.51,percent of total billed charges,181.1961129,,,,215.2,percent of total billed charges,999999999,,,,215.2,percent of total billed charges,999999999,,,,188.3,percent of total billed charges,999999999,,,,188.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,143.108,percent of total billed charges,999999999,,,,,,,,,,,,,,,,135.845,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,67.25,percent of total billed charges,63.87105005,,,,,,,,,,67.25,percent of total billed charges,62.80859859,,,,,,,,,,67.25,percent of total billed charges,62.63405618,,,,,,,,,,67.25,percent of total billed charges,61.71177047,,,,,,,,,,67.25,percent of total billed charges,63.29970505,,,,,,,,,,67.25,percent of total billed charges,999999999,,,,,,,,,,67.25,percent of total billed charges,54.3156045,,,,,,,,,,67.25,percent of total billed charges,85.65945388,,,,,,,,,,67.25,percent of total billed charges,999999999,,,,,,,,,,67.25,percent of total billed charges,58.56550548,,,,,,,,,,242.1,percent of total billed charges,,,,,
CYCLOSPORINE(*),80158,CDM,,,,both,,,402,402,85.57934574,402,402,percent of total billed charges,295.7656813,,,,402,percent of total billed charges,313.5057742,,,,402,percent of total billed charges,295.7656813,,,,402,percent of total billed charges,313.5057742,,,,402,percent of total billed charges,999999999,,,,402,percent of total billed charges,306.2963707,,,,402,percent of total billed charges,295.7656813,,,,402,percent of total billed charges,313.5057742,,,,286.626,percent of total billed charges,143.0316193,,,,286.626,percent of total billed charges,85.57934574,,,,286.626,percent of total billed charges,143.0316193,,,,286.626,percent of total billed charges,85.57934574,,,,286.626,percent of total billed charges,143.0316193,,,,286.626,percent of total billed charges,85.57934574,,,,283.812,percent of total billed charges,281.6586412,,,,283.812,percent of total billed charges,194.2577324,,,,,,,,,,289.44,percent of total billed charges,188.1291889,,,,,,,,,,289.44,percent of total billed charges,999999999,,,,,,,,,,321.6,percent of total billed charges,269.4840827,,,,317.58,percent of total billed charges,306.478367,,,,317.58,percent of total billed charges,270.7837822,,,,321.6,percent of total billed charges,999999999,,,,321.6,percent of total billed charges,999999999,,,,281.4,percent of total billed charges,999999999,,,,281.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,213.864,percent of total billed charges,999999999,,,,,,,,,,,,,,,,203.01,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,100.5,percent of total billed charges,95.4504168,,,,,,,,,,100.5,percent of total billed charges,93.86266406,,,,,,,,,,100.5,percent of total billed charges,93.60182374,,,,,,,,,,100.5,percent of total billed charges,92.22353803,,,,,,,,,,100.5,percent of total billed charges,94.59658524,,,,,,,,,,100.5,percent of total billed charges,999999999,,,,,,,,,,100.5,percent of total billed charges,81.17053163,,,,,,,,,,100.5,percent of total billed charges,128.0115259,,,,,,,,,,100.5,percent of total billed charges,999999999,,,,,,,,,,100.5,percent of total billed charges,87.52168477,,,,,,,,,,361.8,percent of total billed charges,,,,,
CYTOGENETICS(*),88230,CDM,,,,both,,,724,724,154.1279759,724,724,percent of total billed charges,532.6725206,,,,724,percent of total billed charges,564.6223396,,,,724,percent of total billed charges,532.6725206,,,,724,percent of total billed charges,564.6223396,,,,724,percent of total billed charges,999999999,,,,724,percent of total billed charges,551.6382398,,,,724,percent of total billed charges,532.6725206,,,,724,percent of total billed charges,564.6223396,,,,516.212,percent of total billed charges,257.5992347,,,,516.212,percent of total billed charges,154.1279759,,,,516.212,percent of total billed charges,257.5992347,,,,516.212,percent of total billed charges,154.1279759,,,,516.212,percent of total billed charges,257.5992347,,,,516.212,percent of total billed charges,154.1279759,,,,511.144,percent of total billed charges,507.2658115,,,,511.144,percent of total billed charges,349.8572096,,,,,,,,,,521.28,percent of total billed charges,338.8197332,,,,,,,,,,521.28,percent of total billed charges,999999999,,,,,,,,,,579.2,percent of total billed charges,485.3394922,,,,571.96,percent of total billed charges,551.9660143,,,,571.96,percent of total billed charges,487.6802445,,,,579.2,percent of total billed charges,999999999,,,,579.2,percent of total billed charges,999999999,,,,506.8,percent of total billed charges,999999999,,,,506.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,385.168,percent of total billed charges,999999999,,,,,,,,,,,,,,,,365.62,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,181,percent of total billed charges,171.9057258,,,,,,,,,,181,percent of total billed charges,169.046191,,,,,,,,,,181,percent of total billed charges,168.5764189,,,,,,,,,,181,percent of total billed charges,166.0941332,,,,,,,,,,181,percent of total billed charges,170.3679794,,,,,,,,,,181,percent of total billed charges,999999999,,,,,,,,,,181,percent of total billed charges,146.1877236,,,,,,,,,,181,percent of total billed charges,230.5481212,,,,,,,,,,181,percent of total billed charges,999999999,,,,,,,,,,181,percent of total billed charges,157.6261188,,,,,,,,,,651.6,percent of total billed charges,,,,,
ACID PHOSPHATASE (*),84060,CDM,,,,both,,,133,133,28.31356463,133,133,percent of total billed charges,97.85282492,,,,133,percent of total billed charges,103.7220596,,,,133,percent of total billed charges,97.85282492,,,,133,percent of total billed charges,103.7220596,,,,133,percent of total billed charges,999999999,,,,133,percent of total billed charges,101.336859,,,,133,percent of total billed charges,97.85282492,,,,133,percent of total billed charges,103.7220596,,,,94.829,percent of total billed charges,47.32140637,,,,94.829,percent of total billed charges,28.31356463,,,,94.829,percent of total billed charges,47.32140637,,,,94.829,percent of total billed charges,28.31356463,,,,94.829,percent of total billed charges,47.32140637,,,,94.829,percent of total billed charges,28.31356463,,,,93.898,percent of total billed charges,93.18557035,,,,93.898,percent of total billed charges,64.26934928,,,,,,,,,,95.76,percent of total billed charges,62.24174656,,,,,,,,,,95.76,percent of total billed charges,999999999,,,,,,,,,,106.4,percent of total billed charges,89.15766914,,,,105.07,percent of total billed charges,101.3970717,,,,105.07,percent of total billed charges,89.58766923,,,,106.4,percent of total billed charges,999999999,,,,106.4,percent of total billed charges,999999999,,,,93.1,percent of total billed charges,999999999,,,,93.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,70.756,percent of total billed charges,999999999,,,,,,,,,,,,,,,,67.165,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,33.25,percent of total billed charges,31.57936675,,,,,,,,,,33.25,percent of total billed charges,31.05406547,,,,,,,,,,33.25,percent of total billed charges,30.96776756,,,,,,,,,,33.25,percent of total billed charges,30.51176756,,,,,,,,,,33.25,percent of total billed charges,31.29688019,,,,,,,,,,33.25,percent of total billed charges,999999999,,,,,,,,,,33.25,percent of total billed charges,26.85492713,,,,,,,,,,33.25,percent of total billed charges,42.35207199,,,,,,,,,,33.25,percent of total billed charges,999999999,,,,,,,,,,33.25,percent of total billed charges,28.95617929,,,,,,,,,,119.7,percent of total billed charges,,,,,
VARICELLA TITER(*),86787,CDM,,,,both,,,199,199,42.36390498,199,199,percent of total billed charges,146.4113696,,,,199,percent of total billed charges,155.1931569,,,,199,percent of total billed charges,146.4113696,,,,199,percent of total billed charges,155.1931569,,,,199,percent of total billed charges,999999999,,,,199,percent of total billed charges,151.6243228,,,,199,percent of total billed charges,146.4113696,,,,199,percent of total billed charges,155.1931569,,,,141.887,percent of total billed charges,70.80420954,,,,141.887,percent of total billed charges,42.36390498,,,,141.887,percent of total billed charges,70.80420954,,,,141.887,percent of total billed charges,42.36390498,,,,141.887,percent of total billed charges,70.80420954,,,,141.887,percent of total billed charges,42.36390498,,,,140.494,percent of total billed charges,139.4280338,,,,140.494,percent of total billed charges,96.16240982,,,,,,,,,,143.28,percent of total billed charges,93.12862832,,,,,,,,,,143.28,percent of total billed charges,999999999,,,,,,,,,,159.2,percent of total billed charges,133.4013245,,,,157.21,percent of total billed charges,151.7144155,,,,157.21,percent of total billed charges,134.0447081,,,,159.2,percent of total billed charges,999999999,,,,159.2,percent of total billed charges,999999999,,,,139.3,percent of total billed charges,999999999,,,,139.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,105.868,percent of total billed charges,999999999,,,,,,,,,,,,,,,,100.495,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,49.75,percent of total billed charges,47.25033071,,,,,,,,,,49.75,percent of total billed charges,46.4643536,,,,,,,,,,49.75,percent of total billed charges,46.33523116,,,,,,,,,,49.75,percent of total billed charges,45.65294544,,,,,,,,,,49.75,percent of total billed charges,46.82766284,,,,,,,,,,49.75,percent of total billed charges,999999999,,,,,,,,,,49.75,percent of total billed charges,40.18143232,,,,,,,,,,49.75,percent of total billed charges,63.36888967,,,,,,,,,,49.75,percent of total billed charges,999999999,,,,,,,,,,49.75,percent of total billed charges,43.32541112,,,,,,,,,,179.1,percent of total billed charges,,,,,
IGG(*),82784,CDM,,,,both,,,146,146,31.08105592,146,146,percent of total billed charges,107.4173868,,,,146,percent of total billed charges,113.8603061,,,,146,percent of total billed charges,107.4173868,,,,146,percent of total billed charges,113.8603061,,,,146,percent of total billed charges,999999999,,,,146,percent of total billed charges,111.2419655,,,,146,percent of total billed charges,107.4173868,,,,146,percent of total billed charges,113.8603061,,,,104.098,percent of total billed charges,51.946807,,,,104.098,percent of total billed charges,31.08105592,,,,104.098,percent of total billed charges,51.946807,,,,104.098,percent of total billed charges,31.08105592,,,,104.098,percent of total billed charges,51.946807,,,,104.098,percent of total billed charges,31.08105592,,,,103.076,percent of total billed charges,102.2939344,,,,103.076,percent of total billed charges,70.55131575,,,,,,,,,,105.12,percent of total billed charges,68.3255263,,,,,,,,,,105.12,percent of total billed charges,999999999,,,,,,,,,,116.8,percent of total billed charges,97.87232853,,,,115.34,percent of total billed charges,111.3080636,,,,115.34,percent of total billed charges,98.3443587,,,,116.8,percent of total billed charges,999999999,,,,116.8,percent of total billed charges,999999999,,,,102.2,percent of total billed charges,999999999,,,,102.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,77.672,percent of total billed charges,999999999,,,,,,,,,,,,,,,,73.73,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,36.5,percent of total billed charges,34.66607177,,,,,,,,,,36.5,percent of total billed charges,34.08942526,,,,,,,,,,36.5,percent of total billed charges,33.9946922,,,,,,,,,,36.5,percent of total billed charges,33.49412078,,,,,,,,,,36.5,percent of total billed charges,34.35597374,,,,,,,,,,36.5,percent of total billed charges,999999999,,,,,,,,,,36.5,percent of total billed charges,29.47984482,,,,,,,,,,36.5,percent of total billed charges,46.4917482,,,,,,,,,,36.5,percent of total billed charges,999999999,,,,,,,,,,36.5,percent of total billed charges,31.78648253,,,,,,,,,,131.4,percent of total billed charges,,,,,
ANAFRANIL LEVEL(*),80299,CDM,,,,both,,,349,349,74.29649667,349,349,percent of total billed charges,256.7716985,,,,349,percent of total billed charges,272.1729234,,,,349,percent of total billed charges,256.7716985,,,,349,percent of total billed charges,272.1729234,,,,349,percent of total billed charges,999999999,,,,349,percent of total billed charges,265.9140134,,,,349,percent of total billed charges,256.7716985,,,,349,percent of total billed charges,272.1729234,,,,248.837,percent of total billed charges,124.1742167,,,,248.837,percent of total billed charges,74.29649667,,,,248.837,percent of total billed charges,124.1742167,,,,248.837,percent of total billed charges,74.29649667,,,,248.837,percent of total billed charges,124.1742167,,,,248.837,percent of total billed charges,74.29649667,,,,246.394,percent of total billed charges,244.5245417,,,,246.394,percent of total billed charges,168.6466383,,,,,,,,,,251.28,percent of total billed charges,163.3260869,,,,,,,,,,251.28,percent of total billed charges,999999999,,,,,,,,,,279.2,percent of total billed charges,233.9550867,,,,275.71,percent of total billed charges,266.0720152,,,,275.71,percent of total billed charges,235.0834328,,,,279.2,percent of total billed charges,999999999,,,,279.2,percent of total billed charges,999999999,,,,244.3,percent of total billed charges,999999999,,,,244.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,185.668,percent of total billed charges,999999999,,,,,,,,,,,,,,,,176.245,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,87.25,percent of total billed charges,82.86615787,,,,,,,,,,87.25,percent of total billed charges,81.48773572,,,,,,,,,,87.25,percent of total billed charges,81.26128479,,,,,,,,,,87.25,percent of total billed charges,80.06471336,,,,,,,,,,87.25,percent of total billed charges,82.12489614,,,,,,,,,,87.25,percent of total billed charges,999999999,,,,,,,,,,87.25,percent of total billed charges,70.46894413,,,,,,,,,,87.25,percent of total billed charges,111.1343844,,,,,,,,,,87.25,percent of total billed charges,999999999,,,,,,,,,,87.25,percent of total billed charges,75.98275618,,,,,,,,,,314.1,percent of total billed charges,,,,,
AMYLASE FRACTIONATION(*),82150,CDM,,,,both,,,203,203,43.21544076,203,203,percent of total billed charges,149.3543117,,,,203,percent of total billed charges,158.3126173,,,,203,percent of total billed charges,149.3543117,,,,203,percent of total billed charges,158.3126173,,,,203,percent of total billed charges,999999999,,,,203,percent of total billed charges,154.6720479,,,,203,percent of total billed charges,149.3543117,,,,203,percent of total billed charges,158.3126173,,,,144.739,percent of total billed charges,72.22740973,,,,144.739,percent of total billed charges,43.21544076,,,,144.739,percent of total billed charges,72.22740973,,,,144.739,percent of total billed charges,43.21544076,,,,144.739,percent of total billed charges,72.22740973,,,,144.739,percent of total billed charges,43.21544076,,,,143.318,percent of total billed charges,142.2306074,,,,143.318,percent of total billed charges,98.09532258,,,,,,,,,,146.16,percent of total billed charges,95.00056055,,,,,,,,,,146.16,percent of total billed charges,999999999,,,,,,,,,,162.4,percent of total billed charges,136.0827582,,,,160.37,percent of total billed charges,154.7639515,,,,160.37,percent of total billed charges,136.7390741,,,,162.4,percent of total billed charges,999999999,,,,162.4,percent of total billed charges,999999999,,,,142.1,percent of total billed charges,999999999,,,,142.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,107.996,percent of total billed charges,999999999,,,,,,,,,,,,,,,,102.515,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,50.75,percent of total billed charges,48.2000861,,,,,,,,,,50.75,percent of total billed charges,47.39831046,,,,,,,,,,50.75,percent of total billed charges,47.26659259,,,,,,,,,,50.75,percent of total billed charges,46.57059258,,,,,,,,,,50.75,percent of total billed charges,47.7689224,,,,,,,,,,50.75,percent of total billed charges,999999999,,,,,,,,,,50.75,percent of total billed charges,40.9890993,,,,,,,,,,50.75,percent of total billed charges,64.6426362,,,,,,,,,,50.75,percent of total billed charges,999999999,,,,,,,,,,50.75,percent of total billed charges,44.19627365,,,,,,,,,,182.7,percent of total billed charges,,,,,
AMYLASE-URINE,82150,CDM,,,,both,,,169,169,35.97738664,169,169,percent of total billed charges,124.3393038,,,,169,percent of total billed charges,131.7972036,,,,169,percent of total billed charges,124.3393038,,,,169,percent of total billed charges,131.7972036,,,,169,percent of total billed charges,999999999,,,,169,percent of total billed charges,128.7663847,,,,169,percent of total billed charges,124.3393038,,,,169,percent of total billed charges,131.7972036,,,,120.497,percent of total billed charges,60.1302081,,,,120.497,percent of total billed charges,35.97738664,,,,120.497,percent of total billed charges,60.1302081,,,,120.497,percent of total billed charges,35.97738664,,,,120.497,percent of total billed charges,60.1302081,,,,120.497,percent of total billed charges,35.97738664,,,,119.314,percent of total billed charges,118.4087322,,,,119.314,percent of total billed charges,81.66556412,,,,,,,,,,121.68,percent of total billed charges,79.08913661,,,,,,,,,,121.68,percent of total billed charges,999999999,,,,,,,,,,135.2,percent of total billed charges,113.2905721,,,,133.51,percent of total billed charges,128.8428956,,,,133.51,percent of total billed charges,113.8369632,,,,135.2,percent of total billed charges,999999999,,,,135.2,percent of total billed charges,999999999,,,,118.3,percent of total billed charges,999999999,,,,118.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,89.908,percent of total billed charges,999999999,,,,,,,,,,,,,,,,85.345,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,42.25,percent of total billed charges,40.12716527,,,,,,,,,,42.25,percent of total billed charges,39.45967718,,,,,,,,,,42.25,percent of total billed charges,39.35002043,,,,,,,,,,42.25,percent of total billed charges,38.77059186,,,,,,,,,,42.25,percent of total billed charges,39.76821618,,,,,,,,,,42.25,percent of total billed charges,999999999,,,,,,,,,,42.25,percent of total billed charges,34.12392996,,,,,,,,,,42.25,percent of total billed charges,53.81579073,,,,,,,,,,42.25,percent of total billed charges,999999999,,,,,,,,,,42.25,percent of total billed charges,36.79394211,,,,,,,,,,152.1,percent of total billed charges,,,,,
CHRONIC LYMPHATIC FLOW CYTOMETRY*,88182,CDM,,,,both,,,670,670,142.6322429,670,670,percent of total billed charges,492.9428022,,,,670,percent of total billed charges,522.5096237,,,,670,percent of total billed charges,492.9428022,,,,670,percent of total billed charges,522.5096237,,,,670,percent of total billed charges,999999999,,,,670,percent of total billed charges,510.4939512,,,,670,percent of total billed charges,492.9428022,,,,670,percent of total billed charges,522.5096237,,,,477.71,percent of total billed charges,238.3860321,,,,477.71,percent of total billed charges,142.6322429,,,,477.71,percent of total billed charges,238.3860321,,,,477.71,percent of total billed charges,142.6322429,,,,477.71,percent of total billed charges,238.3860321,,,,477.71,percent of total billed charges,142.6322429,,,,473.02,percent of total billed charges,469.4310687,,,,473.02,percent of total billed charges,323.7628873,,,,,,,,,,482.4,percent of total billed charges,313.5486481,,,,,,,,,,482.4,percent of total billed charges,999999999,,,,,,,,,,536,percent of total billed charges,449.1401378,,,,529.3,percent of total billed charges,510.7972784,,,,529.3,percent of total billed charges,451.3063036,,,,536,percent of total billed charges,999999999,,,,536,percent of total billed charges,999999999,,,,469,percent of total billed charges,999999999,,,,469,percent of total billed charges,999999999,,,,,,,,,,,,,,,,356.44,percent of total billed charges,999999999,,,,,,,,,,,,,,,,338.35,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,167.5,percent of total billed charges,159.084028,,,,,,,,,,167.5,percent of total billed charges,156.4377734,,,,,,,,,,167.5,percent of total billed charges,156.0030396,,,,,,,,,,167.5,percent of total billed charges,153.7058967,,,,,,,,,,167.5,percent of total billed charges,157.6609754,,,,,,,,,,167.5,percent of total billed charges,999999999,,,,,,,,,,167.5,percent of total billed charges,135.2842194,,,,,,,,,,167.5,percent of total billed charges,213.3525431,,,,,,,,,,167.5,percent of total billed charges,999999999,,,,,,,,,,167.5,percent of total billed charges,145.8694746,,,,,,,,,,603,percent of total billed charges,,,,,
THYROGLOBULIN(*),84432,CDM,,,,both,,,184,184,39.17064581,184,184,percent of total billed charges,135.3753367,,,,184,percent of total billed charges,143.4951802,,,,184,percent of total billed charges,135.3753367,,,,184,percent of total billed charges,143.4951802,,,,184,percent of total billed charges,999999999,,,,184,percent of total billed charges,140.1953538,,,,184,percent of total billed charges,135.3753367,,,,184,percent of total billed charges,143.4951802,,,,131.192,percent of total billed charges,65.46720882,,,,131.192,percent of total billed charges,39.17064581,,,,131.192,percent of total billed charges,65.46720882,,,,131.192,percent of total billed charges,39.17064581,,,,131.192,percent of total billed charges,65.46720882,,,,131.192,percent of total billed charges,39.17064581,,,,129.904,percent of total billed charges,128.918383,,,,129.904,percent of total billed charges,88.91398697,,,,,,,,,,132.48,percent of total billed charges,86.10888247,,,,,,,,,,132.48,percent of total billed charges,999999999,,,,,,,,,,147.2,percent of total billed charges,123.3459483,,,,145.36,percent of total billed charges,140.2786556,,,,145.36,percent of total billed charges,123.9408356,,,,147.2,percent of total billed charges,999999999,,,,147.2,percent of total billed charges,999999999,,,,128.8,percent of total billed charges,999999999,,,,128.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,97.888,percent of total billed charges,999999999,,,,,,,,,,,,,,,,92.92,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,46,percent of total billed charges,43.68874799,,,,,,,,,,46,percent of total billed charges,42.96201539,,,,,,,,,,46,percent of total billed charges,42.84262579,,,,,,,,,,46,percent of total billed charges,42.21176865,,,,,,,,,,46,percent of total billed charges,43.29793951,,,,,,,,,,46,percent of total billed charges,999999999,,,,,,,,,,46,percent of total billed charges,37.15268114,,,,,,,,,,46,percent of total billed charges,58.5923402,,,,,,,,,,46,percent of total billed charges,999999999,,,,,,,,,,46,percent of total billed charges,40.05967661,,,,,,,,,,165.6,percent of total billed charges,,,,,
CKMB QUANTITATIVE,82553,CDM,,,,both,,,246,246,52.36945038,246,246,percent of total billed charges,180.9909393,,,,246,percent of total billed charges,191.8468171,,,,246,percent of total billed charges,180.9909393,,,,246,percent of total billed charges,191.8468171,,,,246,percent of total billed charges,999999999,,,,246,percent of total billed charges,187.4350925,,,,246,percent of total billed charges,180.9909393,,,,246,percent of total billed charges,191.8468171,,,,175.398,percent of total billed charges,87.52681179,,,,175.398,percent of total billed charges,52.36945038,,,,175.398,percent of total billed charges,87.52681179,,,,175.398,percent of total billed charges,52.36945038,,,,175.398,percent of total billed charges,87.52681179,,,,175.398,percent of total billed charges,52.36945038,,,,173.676,percent of total billed charges,172.358273,,,,173.676,percent of total billed charges,118.8741347,,,,,,,,,,177.12,percent of total billed charges,115.123832,,,,,,,,,,177.12,percent of total billed charges,999999999,,,,,,,,,,196.8,percent of total billed charges,164.90817,,,,194.34,percent of total billed charges,187.5464634,,,,194.34,percent of total billed charges,165.7035085,,,,196.8,percent of total billed charges,999999999,,,,196.8,percent of total billed charges,999999999,,,,172.2,percent of total billed charges,999999999,,,,172.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,130.872,percent of total billed charges,999999999,,,,,,,,,,,,,,,,124.23,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,61.5,percent of total billed charges,58.40995655,,,,,,,,,,61.5,percent of total billed charges,57.43834667,,,,,,,,,,61.5,percent of total billed charges,57.27872796,,,,,,,,,,61.5,percent of total billed charges,56.43529939,,,,,,,,,,61.5,percent of total billed charges,57.88746261,,,,,,,,,,61.5,percent of total billed charges,999999999,,,,,,,,,,61.5,percent of total billed charges,49.67151935,,,,,,,,,,61.5,percent of total billed charges,78.33541135,,,,,,,,,,61.5,percent of total billed charges,999999999,,,,,,,,,,61.5,percent of total billed charges,53.55804591,,,,,,,,,,221.4,percent of total billed charges,,,,,
**CK MB QUANTITATIVE(WITH INDEX),82553,CDM,,,,both,,,290,290,61.73634394,290,290,percent of total billed charges,213.3633025,,,,290,percent of total billed charges,226.1608819,,,,290,percent of total billed charges,213.3633025,,,,290,percent of total billed charges,226.1608819,,,,290,percent of total billed charges,999999999,,,,290,percent of total billed charges,220.9600684,,,,290,percent of total billed charges,213.3633025,,,,290,percent of total billed charges,226.1608819,,,,206.77,percent of total billed charges,103.1820139,,,,206.77,percent of total billed charges,61.73634394,,,,206.77,percent of total billed charges,103.1820139,,,,206.77,percent of total billed charges,61.73634394,,,,206.77,percent of total billed charges,103.1820139,,,,206.77,percent of total billed charges,61.73634394,,,,204.74,percent of total billed charges,203.186582,,,,204.74,percent of total billed charges,140.1361751,,,,,,,,,,208.8,percent of total billed charges,135.7150865,,,,,,,,,,208.8,percent of total billed charges,999999999,,,,,,,,,,232,percent of total billed charges,194.4039402,,,,229.1,percent of total billed charges,221.0913593,,,,229.1,percent of total billed charges,195.3415344,,,,232,percent of total billed charges,999999999,,,,232,percent of total billed charges,999999999,,,,203,percent of total billed charges,999999999,,,,203,percent of total billed charges,999999999,,,,,,,,,,,,,,,,154.28,percent of total billed charges,999999999,,,,,,,,,,,,,,,,146.45,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,72.5,percent of total billed charges,68.85726585,,,,,,,,,,72.5,percent of total billed charges,67.71187209,,,,,,,,,,72.5,percent of total billed charges,67.52370369,,,,,,,,,,72.5,percent of total billed charges,66.52941798,,,,,,,,,,72.5,percent of total billed charges,68.24131771,,,,,,,,,,72.5,percent of total billed charges,999999999,,,,,,,,,,72.5,percent of total billed charges,58.55585615,,,,,,,,,,72.5,percent of total billed charges,92.34662314,,,,,,,,,,72.5,percent of total billed charges,999999999,,,,,,,,,,72.5,percent of total billed charges,63.13753379,,,,,,,,,,261,percent of total billed charges,,,,,
RUBELLA,86762,CDM,,,,both,,,146,146,31.08105592,146,146,percent of total billed charges,107.4173868,,,,146,percent of total billed charges,113.8603061,,,,146,percent of total billed charges,107.4173868,,,,146,percent of total billed charges,113.8603061,,,,146,percent of total billed charges,999999999,,,,146,percent of total billed charges,111.2419655,,,,146,percent of total billed charges,107.4173868,,,,146,percent of total billed charges,113.8603061,,,,104.098,percent of total billed charges,51.946807,,,,104.098,percent of total billed charges,31.08105592,,,,104.098,percent of total billed charges,51.946807,,,,104.098,percent of total billed charges,31.08105592,,,,104.098,percent of total billed charges,51.946807,,,,104.098,percent of total billed charges,31.08105592,,,,103.076,percent of total billed charges,102.2939344,,,,103.076,percent of total billed charges,70.55131575,,,,,,,,,,105.12,percent of total billed charges,68.3255263,,,,,,,,,,105.12,percent of total billed charges,999999999,,,,,,,,,,116.8,percent of total billed charges,97.87232853,,,,115.34,percent of total billed charges,111.3080636,,,,115.34,percent of total billed charges,98.3443587,,,,116.8,percent of total billed charges,999999999,,,,116.8,percent of total billed charges,999999999,,,,102.2,percent of total billed charges,999999999,,,,102.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,77.672,percent of total billed charges,999999999,,,,,,,,,,,,,,,,73.73,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,36.5,percent of total billed charges,34.66607177,,,,,,,,,,36.5,percent of total billed charges,34.08942526,,,,,,,,,,36.5,percent of total billed charges,33.9946922,,,,,,,,,,36.5,percent of total billed charges,33.49412078,,,,,,,,,,36.5,percent of total billed charges,34.35597374,,,,,,,,,,36.5,percent of total billed charges,999999999,,,,,,,,,,36.5,percent of total billed charges,29.47984482,,,,,,,,,,36.5,percent of total billed charges,46.4917482,,,,,,,,,,36.5,percent of total billed charges,999999999,,,,,,,,,,36.5,percent of total billed charges,31.78648253,,,,,,,,,,131.4,percent of total billed charges,,,,,
CYSTATIN C,82610,CDM,,,,both,,,167,167,35.55161875,167,167,percent of total billed charges,122.8678328,,,,167,percent of total billed charges,130.2374734,,,,167,percent of total billed charges,122.8678328,,,,167,percent of total billed charges,130.2374734,,,,167,percent of total billed charges,999999999,,,,167,percent of total billed charges,127.2425222,,,,167,percent of total billed charges,122.8678328,,,,167,percent of total billed charges,130.2374734,,,,119.071,percent of total billed charges,59.418608,,,,119.071,percent of total billed charges,35.55161875,,,,119.071,percent of total billed charges,59.418608,,,,119.071,percent of total billed charges,35.55161875,,,,119.071,percent of total billed charges,59.418608,,,,119.071,percent of total billed charges,35.55161875,,,,117.902,percent of total billed charges,117.0074455,,,,117.902,percent of total billed charges,80.69910774,,,,,,,,,,120.24,percent of total billed charges,78.1531705,,,,,,,,,,120.24,percent of total billed charges,999999999,,,,,,,,,,133.6,percent of total billed charges,111.9498552,,,,131.93,percent of total billed charges,127.3181276,,,,131.93,percent of total billed charges,112.4897802,,,,133.6,percent of total billed charges,999999999,,,,133.6,percent of total billed charges,999999999,,,,116.9,percent of total billed charges,999999999,,,,116.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,88.844,percent of total billed charges,999999999,,,,,,,,,,,,,,,,84.335,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,41.75,percent of total billed charges,39.65228758,,,,,,,,,,41.75,percent of total billed charges,38.99269875,,,,,,,,,,41.75,percent of total billed charges,38.88433971,,,,,,,,,,41.75,percent of total billed charges,38.31176828,,,,,,,,,,41.75,percent of total billed charges,39.2975864,,,,,,,,,,41.75,percent of total billed charges,999999999,,,,,,,,,,41.75,percent of total billed charges,33.72009647,,,,,,,,,,41.75,percent of total billed charges,53.17891746,,,,,,,,,,41.75,percent of total billed charges,999999999,,,,,,,,,,41.75,percent of total billed charges,36.35851084,,,,,,,,,,150.3,percent of total billed charges,,,,,
PMS2 GENE DUP VARIANTS,81319,CDM,,,,both,,,1297,1297,276.1104762,1297,1297,percent of total billed charges,954.2489769,,,,1297,percent of total billed charges,1011.485048,,,,1297,percent of total billed charges,954.2489769,,,,1297,percent of total billed charges,1011.485048,,,,1297,percent of total billed charges,999999999,,,,1297,percent of total billed charges,988.2248577,,,,1297,percent of total billed charges,954.2489769,,,,1297,percent of total billed charges,1011.485048,,,,924.761,percent of total billed charges,461.4726622,,,,924.761,percent of total billed charges,276.1104762,,,,924.761,percent of total billed charges,461.4726622,,,,924.761,percent of total billed charges,276.1104762,,,,924.761,percent of total billed charges,461.4726622,,,,924.761,percent of total billed charges,276.1104762,,,,915.682,percent of total billed charges,908.7344717,,,,915.682,percent of total billed charges,626.7469625,,,,,,,,,,933.84,percent of total billed charges,606.9740248,,,,,,,,,,933.84,percent of total billed charges,999999999,,,,,,,,,,1037.6,percent of total billed charges,869.4548637,,,,1024.63,percent of total billed charges,988.8120449,,,,1024.63,percent of total billed charges,873.6481728,,,,1037.6,percent of total billed charges,999999999,,,,1037.6,percent of total billed charges,999999999,,,,907.9,percent of total billed charges,999999999,,,,907.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,690.004,percent of total billed charges,999999999,,,,,,,,,,,,,,,,654.985,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,324.25,percent of total billed charges,307.9581855,,,,,,,,,,324.25,percent of total billed charges,302.8355107,,,,,,,,,,324.25,percent of total billed charges,301.9939438,,,,,,,,,,324.25,percent of total billed charges,297.5470866,,,,,,,,,,324.25,percent of total billed charges,305.2034106,,,,,,,,,,324.25,percent of total billed charges,999999999,,,,,,,,,,324.25,percent of total billed charges,261.8860187,,,,,,,,,,324.25,percent of total billed charges,413.0123111,,,,,,,,,,324.25,percent of total billed charges,999999999,,,,,,,,,,324.25,percent of total billed charges,282.377177,,,,,,,,,,1167.3,percent of total billed charges,,,,,
CD4 T CELL PHENO(*),88182,CDM,,,,both,,,489,489,104.1002489,489,489,percent of total billed charges,359.7746721,,,,489,percent of total billed charges,381.3540388,,,,489,percent of total billed charges,359.7746721,,,,489,percent of total billed charges,381.3540388,,,,489,percent of total billed charges,999999999,,,,489,percent of total billed charges,372.5843912,,,,489,percent of total billed charges,359.7746721,,,,489,percent of total billed charges,381.3540388,,,,348.657,percent of total billed charges,173.9862234,,,,348.657,percent of total billed charges,104.1002489,,,,348.657,percent of total billed charges,173.9862234,,,,348.657,percent of total billed charges,104.1002489,,,,348.657,percent of total billed charges,173.9862234,,,,348.657,percent of total billed charges,104.1002489,,,,345.234,percent of total billed charges,342.6146158,,,,345.234,percent of total billed charges,236.2985849,,,,,,,,,,352.08,percent of total billed charges,228.8437148,,,,,,,,,,352.08,percent of total billed charges,999999999,,,,,,,,,,391.2,percent of total billed charges,327.8052647,,,,386.31,percent of total billed charges,372.8057748,,,,386.31,percent of total billed charges,329.3862425,,,,391.2,percent of total billed charges,999999999,,,,391.2,percent of total billed charges,999999999,,,,342.3,percent of total billed charges,999999999,,,,342.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,260.148,percent of total billed charges,999999999,,,,,,,,,,,,,,,,246.945,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,122.25,percent of total billed charges,116.1075966,,,,,,,,,,122.25,percent of total billed charges,114.1762257,,,,,,,,,,122.25,percent of total billed charges,113.8589348,,,,,,,,,,122.25,percent of total billed charges,112.1823634,,,,,,,,,,122.25,percent of total billed charges,115.0689805,,,,,,,,,,122.25,percent of total billed charges,999999999,,,,,,,,,,122.25,percent of total billed charges,98.73728847,,,,,,,,,,122.25,percent of total billed charges,155.7155128,,,,,,,,,,122.25,percent of total billed charges,999999999,,,,,,,,,,122.25,percent of total billed charges,106.4629449,,,,,,,,,,440.1,percent of total billed charges,,,,,
ALKALINE PHOSPHATASE,84075,CDM,,,,both,,,79,79,16.81783163,79,79,percent of total billed charges,58.12310653,,,,79,percent of total billed charges,61.60934369,,,,79,percent of total billed charges,58.12310653,,,,79,percent of total billed charges,61.60934369,,,,79,percent of total billed charges,999999999,,,,79,percent of total billed charges,60.19257036,,,,79,percent of total billed charges,58.12310653,,,,79,percent of total billed charges,61.60934369,,,,56.327,percent of total billed charges,28.10820379,,,,56.327,percent of total billed charges,16.81783163,,,,56.327,percent of total billed charges,28.10820379,,,,56.327,percent of total billed charges,16.81783163,,,,56.327,percent of total billed charges,28.10820379,,,,56.327,percent of total billed charges,16.81783163,,,,55.774,percent of total billed charges,55.3508275,,,,55.774,percent of total billed charges,38.17502701,,,,,,,,,,56.88,percent of total billed charges,36.97066149,,,,,,,,,,56.88,percent of total billed charges,999999999,,,,,,,,,,63.2,percent of total billed charges,52.95831475,,,,62.41,percent of total billed charges,60.22833581,,,,62.41,percent of total billed charges,53.21372834,,,,63.2,percent of total billed charges,999999999,,,,63.2,percent of total billed charges,999999999,,,,55.3,percent of total billed charges,999999999,,,,55.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,42.028,percent of total billed charges,999999999,,,,,,,,,,,,,,,,39.895,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19.75,percent of total billed charges,18.75766897,,,,,,,,,,19.75,percent of total billed charges,18.44564791,,,,,,,,,,19.75,percent of total billed charges,18.39438825,,,,,,,,,,19.75,percent of total billed charges,18.1235311,,,,,,,,,,19.75,percent of total billed charges,18.5898762,,,,,,,,,,19.75,percent of total billed charges,999999999,,,,,,,,,,19.75,percent of total billed charges,15.95142288,,,,,,,,,,19.75,percent of total billed charges,25.15649389,,,,,,,,,,19.75,percent of total billed charges,999999999,,,,,,,,,,19.75,percent of total billed charges,17.19953507,,,,,,,,,,71.1,percent of total billed charges,,,,,
CD4/CD8 LYMPHOCYTE PANEL(*),86360,CDM,,,,both,,,420,420,89.41125674,420,420,percent of total billed charges,309.0089208,,,,420,percent of total billed charges,327.5433462,,,,420,percent of total billed charges,309.0089208,,,,420,percent of total billed charges,327.5433462,,,,420,percent of total billed charges,999999999,,,,420,percent of total billed charges,320.0111336,,,,420,percent of total billed charges,309.0089208,,,,420,percent of total billed charges,327.5433462,,,,299.46,percent of total billed charges,149.4360201,,,,299.46,percent of total billed charges,89.41125674,,,,299.46,percent of total billed charges,149.4360201,,,,299.46,percent of total billed charges,89.41125674,,,,299.46,percent of total billed charges,149.4360201,,,,299.46,percent of total billed charges,89.41125674,,,,296.52,percent of total billed charges,294.2702222,,,,296.52,percent of total billed charges,202.9558398,,,,,,,,,,302.4,percent of total billed charges,196.5528839,,,,,,,,,,302.4,percent of total billed charges,999999999,,,,,,,,,,336,percent of total billed charges,281.5505341,,,,331.8,percent of total billed charges,320.201279,,,,331.8,percent of total billed charges,282.9084291,,,,336,percent of total billed charges,999999999,,,,336,percent of total billed charges,999999999,,,,294,percent of total billed charges,999999999,,,,294,percent of total billed charges,999999999,,,,,,,,,,,,,,,,223.44,percent of total billed charges,999999999,,,,,,,,,,,,,,,,212.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,105,percent of total billed charges,99.72431606,,,,,,,,,,105,percent of total billed charges,98.06546992,,,,,,,,,,105,percent of total billed charges,97.79295018,,,,,,,,,,105,percent of total billed charges,96.35295018,,,,,,,,,,105,percent of total billed charges,98.83225323,,,,,,,,,,105,percent of total billed charges,999999999,,,,,,,,,,105,percent of total billed charges,84.80503304,,,,,,,,,,105,percent of total billed charges,133.7433852,,,,,,,,,,105,percent of total billed charges,999999999,,,,,,,,,,105,percent of total billed charges,91.44056618,,,,,,,,,,378,percent of total billed charges,,,,,
VIRAL LOAD(*),87536,CDM,,,,both,,,728,728,154.9795117,728,728,percent of total billed charges,535.6154627,,,,728,percent of total billed charges,567.7418001,,,,728,percent of total billed charges,535.6154627,,,,728,percent of total billed charges,567.7418001,,,,728,percent of total billed charges,999999999,,,,728,percent of total billed charges,554.6859649,,,,728,percent of total billed charges,535.6154627,,,,728,percent of total billed charges,567.7418001,,,,519.064,percent of total billed charges,259.0224349,,,,519.064,percent of total billed charges,154.9795117,,,,519.064,percent of total billed charges,259.0224349,,,,519.064,percent of total billed charges,154.9795117,,,,519.064,percent of total billed charges,259.0224349,,,,519.064,percent of total billed charges,154.9795117,,,,513.968,percent of total billed charges,510.0683851,,,,513.968,percent of total billed charges,351.7901223,,,,,,,,,,524.16,percent of total billed charges,340.6916654,,,,,,,,,,524.16,percent of total billed charges,999999999,,,,,,,,,,582.4,percent of total billed charges,488.0209258,,,,575.12,percent of total billed charges,555.0155502,,,,575.12,percent of total billed charges,490.3746105,,,,582.4,percent of total billed charges,999999999,,,,582.4,percent of total billed charges,999999999,,,,509.6,percent of total billed charges,999999999,,,,509.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,387.296,percent of total billed charges,999999999,,,,,,,,,,,,,,,,367.64,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,182,percent of total billed charges,172.8554812,,,,,,,,,,182,percent of total billed charges,169.9801479,,,,,,,,,,182,percent of total billed charges,169.5077803,,,,,,,,,,182,percent of total billed charges,167.0117803,,,,,,,,,,182,percent of total billed charges,171.3092389,,,,,,,,,,182,percent of total billed charges,999999999,,,,,,,,,,182,percent of total billed charges,146.9953906,,,,,,,,,,182,percent of total billed charges,231.8218677,,,,,,,,,,182,percent of total billed charges,999999999,,,,,,,,,,182,percent of total billed charges,158.4969814,,,,,,,,,,655.2,percent of total billed charges,,,,,
PSA-FREE(*),84154,CDM,,,,both,,,247,247,52.58233432,247,247,percent of total billed charges,181.7266749,,,,247,percent of total billed charges,192.6266822,,,,247,percent of total billed charges,181.7266749,,,,247,percent of total billed charges,192.6266822,,,,247,percent of total billed charges,999999999,,,,247,percent of total billed charges,188.1970238,,,,247,percent of total billed charges,181.7266749,,,,247,percent of total billed charges,192.6266822,,,,176.111,percent of total billed charges,87.88261184,,,,176.111,percent of total billed charges,52.58233432,,,,176.111,percent of total billed charges,87.88261184,,,,176.111,percent of total billed charges,52.58233432,,,,176.111,percent of total billed charges,87.88261184,,,,176.111,percent of total billed charges,52.58233432,,,,174.382,percent of total billed charges,173.0589164,,,,174.382,percent of total billed charges,119.3573629,,,,,,,,,,177.84,percent of total billed charges,115.591815,,,,,,,,,,177.84,percent of total billed charges,999999999,,,,,,,,,,197.6,percent of total billed charges,165.5785284,,,,195.13,percent of total billed charges,188.3088474,,,,195.13,percent of total billed charges,166.3771,,,,197.6,percent of total billed charges,999999999,,,,197.6,percent of total billed charges,999999999,,,,172.9,percent of total billed charges,999999999,,,,172.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,131.404,percent of total billed charges,999999999,,,,,,,,,,,,,,,,124.735,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,61.75,percent of total billed charges,58.6473954,,,,,,,,,,61.75,percent of total billed charges,57.67183588,,,,,,,,,,61.75,percent of total billed charges,57.51156832,,,,,,,,,,61.75,percent of total billed charges,56.66471117,,,,,,,,,,61.75,percent of total billed charges,58.1227775,,,,,,,,,,61.75,percent of total billed charges,999999999,,,,,,,,,,61.75,percent of total billed charges,49.8734361,,,,,,,,,,61.75,percent of total billed charges,78.65384799,,,,,,,,,,61.75,percent of total billed charges,999999999,,,,,,,,,,61.75,percent of total billed charges,53.77576154,,,,,,,,,,222.3,percent of total billed charges,,,,,
**ANTI-NUETROPHIL CYTOPLASMIC ANTIBODY*,83520,CDM,,,,both,,,552,552,117.5119374,552,552,percent of total billed charges,406.1260102,,,,552,percent of total billed charges,430.4855407,,,,552,percent of total billed charges,406.1260102,,,,552,percent of total billed charges,430.4855407,,,,552,percent of total billed charges,999999999,,,,552,percent of total billed charges,420.5860613,,,,552,percent of total billed charges,406.1260102,,,,552,percent of total billed charges,430.4855407,,,,393.576,percent of total billed charges,196.4016265,,,,393.576,percent of total billed charges,117.5119374,,,,393.576,percent of total billed charges,196.4016265,,,,393.576,percent of total billed charges,117.5119374,,,,393.576,percent of total billed charges,196.4016265,,,,393.576,percent of total billed charges,117.5119374,,,,389.712,percent of total billed charges,386.7551491,,,,389.712,percent of total billed charges,266.7419609,,,,,,,,,,397.44,percent of total billed charges,258.3266474,,,,,,,,,,397.44,percent of total billed charges,999999999,,,,,,,,,,441.6,percent of total billed charges,370.0378449,,,,436.08,percent of total billed charges,420.8359667,,,,436.08,percent of total billed charges,371.8225069,,,,441.6,percent of total billed charges,999999999,,,,441.6,percent of total billed charges,999999999,,,,386.4,percent of total billed charges,999999999,,,,386.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,293.664,percent of total billed charges,999999999,,,,,,,,,,,,,,,,278.76,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,138,percent of total billed charges,131.066244,,,,,,,,,,138,percent of total billed charges,128.8860462,,,,,,,,,,138,percent of total billed charges,128.5278774,,,,,,,,,,138,percent of total billed charges,126.6353059,,,,,,,,,,138,percent of total billed charges,129.8938185,,,,,,,,,,138,percent of total billed charges,999999999,,,,,,,,,,138,percent of total billed charges,111.4580434,,,,,,,,,,138,percent of total billed charges,175.7770206,,,,,,,,,,138,percent of total billed charges,999999999,,,,,,,,,,138,percent of total billed charges,120.1790298,,,,,,,,,,496.8,percent of total billed charges,,,,,
ALBUMIN SERUM,82040,CDM,,,,both,,,77,77,16.39206374,77,77,percent of total billed charges,56.65163548,,,,77,percent of total billed charges,60.04961347,,,,77,percent of total billed charges,56.65163548,,,,77,percent of total billed charges,60.04961347,,,,77,percent of total billed charges,999999999,,,,77,percent of total billed charges,58.66870782,,,,77,percent of total billed charges,56.65163548,,,,77,percent of total billed charges,60.04961347,,,,54.901,percent of total billed charges,27.39660369,,,,54.901,percent of total billed charges,16.39206374,,,,54.901,percent of total billed charges,27.39660369,,,,54.901,percent of total billed charges,16.39206374,,,,54.901,percent of total billed charges,27.39660369,,,,54.901,percent of total billed charges,16.39206374,,,,54.362,percent of total billed charges,53.94954073,,,,54.362,percent of total billed charges,37.20857063,,,,,,,,,,55.44,percent of total billed charges,36.03469538,,,,,,,,,,55.44,percent of total billed charges,999999999,,,,,,,,,,61.6,percent of total billed charges,51.61759792,,,,60.83,percent of total billed charges,58.70356781,,,,60.83,percent of total billed charges,51.86654534,,,,61.6,percent of total billed charges,999999999,,,,61.6,percent of total billed charges,999999999,,,,53.9,percent of total billed charges,999999999,,,,53.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,40.964,percent of total billed charges,999999999,,,,,,,,,,,,,,,,38.885,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19.25,percent of total billed charges,18.28279128,,,,,,,,,,19.25,percent of total billed charges,17.97866949,,,,,,,,,,19.25,percent of total billed charges,17.92870753,,,,,,,,,,19.25,percent of total billed charges,17.66470753,,,,,,,,,,19.25,percent of total billed charges,18.11924643,,,,,,,,,,19.25,percent of total billed charges,999999999,,,,,,,,,,19.25,percent of total billed charges,15.54758939,,,,,,,,,,19.25,percent of total billed charges,24.51962063,,,,,,,,,,19.25,percent of total billed charges,999999999,,,,,,,,,,19.25,percent of total billed charges,16.7641038,,,,,,,,,,69.3,percent of total billed charges,,,,,
INSULIN LEVEL(*),83525,CDM,,,,both,,,197,197,41.93813709,197,197,percent of total billed charges,144.9398986,,,,197,percent of total billed charges,153.6334267,,,,197,percent of total billed charges,144.9398986,,,,197,percent of total billed charges,153.6334267,,,,197,percent of total billed charges,999999999,,,,197,percent of total billed charges,150.1004603,,,,197,percent of total billed charges,144.9398986,,,,197,percent of total billed charges,153.6334267,,,,140.461,percent of total billed charges,70.09260944,,,,140.461,percent of total billed charges,41.93813709,,,,140.461,percent of total billed charges,70.09260944,,,,140.461,percent of total billed charges,41.93813709,,,,140.461,percent of total billed charges,70.09260944,,,,140.461,percent of total billed charges,41.93813709,,,,139.082,percent of total billed charges,138.0267471,,,,139.082,percent of total billed charges,95.19595344,,,,,,,,,,141.84,percent of total billed charges,92.19266221,,,,,,,,,,141.84,percent of total billed charges,999999999,,,,,,,,,,157.6,percent of total billed charges,132.0606077,,,,155.63,percent of total billed charges,150.1896475,,,,155.63,percent of total billed charges,132.6975251,,,,157.6,percent of total billed charges,999999999,,,,157.6,percent of total billed charges,999999999,,,,137.9,percent of total billed charges,999999999,,,,137.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,104.804,percent of total billed charges,999999999,,,,,,,,,,,,,,,,99.485,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,49.25,percent of total billed charges,46.77545301,,,,,,,,,,49.25,percent of total billed charges,45.99737518,,,,,,,,,,49.25,percent of total billed charges,45.86955044,,,,,,,,,,49.25,percent of total billed charges,45.19412187,,,,,,,,,,49.25,percent of total billed charges,46.35703306,,,,,,,,,,49.25,percent of total billed charges,999999999,,,,,,,,,,49.25,percent of total billed charges,39.77759883,,,,,,,,,,49.25,percent of total billed charges,62.73201641,,,,,,,,,,49.25,percent of total billed charges,999999999,,,,,,,,,,49.25,percent of total billed charges,42.88997985,,,,,,,,,,177.3,percent of total billed charges,,,,,
METYLPHENIDATE(*),80299,CDM,,,,both,,,246,246,52.36945038,246,246,percent of total billed charges,180.9909393,,,,246,percent of total billed charges,191.8468171,,,,246,percent of total billed charges,180.9909393,,,,246,percent of total billed charges,191.8468171,,,,246,percent of total billed charges,999999999,,,,246,percent of total billed charges,187.4350925,,,,246,percent of total billed charges,180.9909393,,,,246,percent of total billed charges,191.8468171,,,,175.398,percent of total billed charges,87.52681179,,,,175.398,percent of total billed charges,52.36945038,,,,175.398,percent of total billed charges,87.52681179,,,,175.398,percent of total billed charges,52.36945038,,,,175.398,percent of total billed charges,87.52681179,,,,175.398,percent of total billed charges,52.36945038,,,,173.676,percent of total billed charges,172.358273,,,,173.676,percent of total billed charges,118.8741347,,,,,,,,,,177.12,percent of total billed charges,115.123832,,,,,,,,,,177.12,percent of total billed charges,999999999,,,,,,,,,,196.8,percent of total billed charges,164.90817,,,,194.34,percent of total billed charges,187.5464634,,,,194.34,percent of total billed charges,165.7035085,,,,196.8,percent of total billed charges,999999999,,,,196.8,percent of total billed charges,999999999,,,,172.2,percent of total billed charges,999999999,,,,172.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,130.872,percent of total billed charges,999999999,,,,,,,,,,,,,,,,124.23,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,61.5,percent of total billed charges,58.40995655,,,,,,,,,,61.5,percent of total billed charges,57.43834667,,,,,,,,,,61.5,percent of total billed charges,57.27872796,,,,,,,,,,61.5,percent of total billed charges,56.43529939,,,,,,,,,,61.5,percent of total billed charges,57.88746261,,,,,,,,,,61.5,percent of total billed charges,999999999,,,,,,,,,,61.5,percent of total billed charges,49.67151935,,,,,,,,,,61.5,percent of total billed charges,78.33541135,,,,,,,,,,61.5,percent of total billed charges,999999999,,,,,,,,,,61.5,percent of total billed charges,53.55804591,,,,,,,,,,221.4,percent of total billed charges,,,,,
LEPTOSPIROSIS(*),86720,CDM,,,,both,,,185,185,39.38352976,185,185,percent of total billed charges,136.1110723,,,,185,percent of total billed charges,144.2750454,,,,185,percent of total billed charges,136.1110723,,,,185,percent of total billed charges,144.2750454,,,,185,percent of total billed charges,999999999,,,,185,percent of total billed charges,140.957285,,,,185,percent of total billed charges,136.1110723,,,,185,percent of total billed charges,144.2750454,,,,131.905,percent of total billed charges,65.82300887,,,,131.905,percent of total billed charges,39.38352976,,,,131.905,percent of total billed charges,65.82300887,,,,131.905,percent of total billed charges,39.38352976,,,,131.905,percent of total billed charges,65.82300887,,,,131.905,percent of total billed charges,39.38352976,,,,130.61,percent of total billed charges,129.6190264,,,,130.61,percent of total billed charges,89.39721516,,,,,,,,,,133.2,percent of total billed charges,86.57686552,,,,,,,,,,133.2,percent of total billed charges,999999999,,,,,,,,,,148,percent of total billed charges,124.0163067,,,,146.15,percent of total billed charges,141.0410396,,,,146.15,percent of total billed charges,124.6144271,,,,148,percent of total billed charges,999999999,,,,148,percent of total billed charges,999999999,,,,129.5,percent of total billed charges,999999999,,,,129.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,98.42,percent of total billed charges,999999999,,,,,,,,,,,,,,,,93.425,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,46.25,percent of total billed charges,43.92618684,,,,,,,,,,46.25,percent of total billed charges,43.19550461,,,,,,,,,,46.25,percent of total billed charges,43.07546615,,,,,,,,,,46.25,percent of total billed charges,42.44118043,,,,,,,,,,46.25,percent of total billed charges,43.5332544,,,,,,,,,,46.25,percent of total billed charges,999999999,,,,,,,,,,46.25,percent of total billed charges,37.35459789,,,,,,,,,,46.25,percent of total billed charges,58.91077683,,,,,,,,,,46.25,percent of total billed charges,999999999,,,,,,,,,,46.25,percent of total billed charges,40.27739225,,,,,,,,,,166.5,percent of total billed charges,,,,,
AMYLASE-SERUM,82150,CDM,,,,both,,,169,169,35.97738664,169,169,percent of total billed charges,124.3393038,,,,169,percent of total billed charges,131.7972036,,,,169,percent of total billed charges,124.3393038,,,,169,percent of total billed charges,131.7972036,,,,169,percent of total billed charges,999999999,,,,169,percent of total billed charges,128.7663847,,,,169,percent of total billed charges,124.3393038,,,,169,percent of total billed charges,131.7972036,,,,120.497,percent of total billed charges,60.1302081,,,,120.497,percent of total billed charges,35.97738664,,,,120.497,percent of total billed charges,60.1302081,,,,120.497,percent of total billed charges,35.97738664,,,,120.497,percent of total billed charges,60.1302081,,,,120.497,percent of total billed charges,35.97738664,,,,119.314,percent of total billed charges,118.4087322,,,,119.314,percent of total billed charges,81.66556412,,,,,,,,,,121.68,percent of total billed charges,79.08913661,,,,,,,,,,121.68,percent of total billed charges,999999999,,,,,,,,,,135.2,percent of total billed charges,113.2905721,,,,133.51,percent of total billed charges,128.8428956,,,,133.51,percent of total billed charges,113.8369632,,,,135.2,percent of total billed charges,999999999,,,,135.2,percent of total billed charges,999999999,,,,118.3,percent of total billed charges,999999999,,,,118.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,89.908,percent of total billed charges,999999999,,,,,,,,,,,,,,,,85.345,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,42.25,percent of total billed charges,40.12716527,,,,,,,,,,42.25,percent of total billed charges,39.45967718,,,,,,,,,,42.25,percent of total billed charges,39.35002043,,,,,,,,,,42.25,percent of total billed charges,38.77059186,,,,,,,,,,42.25,percent of total billed charges,39.76821618,,,,,,,,,,42.25,percent of total billed charges,999999999,,,,,,,,,,42.25,percent of total billed charges,34.12392996,,,,,,,,,,42.25,percent of total billed charges,53.81579073,,,,,,,,,,42.25,percent of total billed charges,999999999,,,,,,,,,,42.25,percent of total billed charges,36.79394211,,,,,,,,,,152.1,percent of total billed charges,,,,,
SEROTONIN SERUM *,84260,CDM,,,,both,,,414,414,88.13395307,414,414,percent of total billed charges,304.5945076,,,,414,percent of total billed charges,322.8641555,,,,414,percent of total billed charges,304.5945076,,,,414,percent of total billed charges,322.8641555,,,,414,percent of total billed charges,999999999,,,,414,percent of total billed charges,315.439546,,,,414,percent of total billed charges,304.5945076,,,,414,percent of total billed charges,322.8641555,,,,295.182,percent of total billed charges,147.3012198,,,,295.182,percent of total billed charges,88.13395307,,,,295.182,percent of total billed charges,147.3012198,,,,295.182,percent of total billed charges,88.13395307,,,,295.182,percent of total billed charges,147.3012198,,,,295.182,percent of total billed charges,88.13395307,,,,292.284,percent of total billed charges,290.0663618,,,,292.284,percent of total billed charges,200.0564707,,,,,,,,,,298.08,percent of total billed charges,193.7449855,,,,,,,,,,298.08,percent of total billed charges,999999999,,,,,,,,,,331.2,percent of total billed charges,277.5283836,,,,327.06,percent of total billed charges,315.626975,,,,327.06,percent of total billed charges,278.8668801,,,,331.2,percent of total billed charges,999999999,,,,331.2,percent of total billed charges,999999999,,,,289.8,percent of total billed charges,999999999,,,,289.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,220.248,percent of total billed charges,999999999,,,,,,,,,,,,,,,,209.07,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,103.5,percent of total billed charges,98.29968297,,,,,,,,,,103.5,percent of total billed charges,96.66453463,,,,,,,,,,103.5,percent of total billed charges,96.39590803,,,,,,,,,,103.5,percent of total billed charges,94.97647946,,,,,,,,,,103.5,percent of total billed charges,97.4203639,,,,,,,,,,103.5,percent of total billed charges,999999999,,,,,,,,,,103.5,percent of total billed charges,83.59353257,,,,,,,,,,103.5,percent of total billed charges,131.8327654,,,,,,,,,,103.5,percent of total billed charges,999999999,,,,,,,,,,103.5,percent of total billed charges,90.13427238,,,,,,,,,,372.6,percent of total billed charges,,,,,
AMINO ACIDS 2 TO 5 QUALITA EACH(*),82136,CDM,,,,both,,,353,353,75.14803245,353,353,percent of total billed charges,259.7146406,,,,353,percent of total billed charges,275.2923838,,,,353,percent of total billed charges,259.7146406,,,,353,percent of total billed charges,275.2923838,,,,353,percent of total billed charges,999999999,,,,353,percent of total billed charges,268.9617385,,,,353,percent of total billed charges,259.7146406,,,,353,percent of total billed charges,275.2923838,,,,251.689,percent of total billed charges,125.5974169,,,,251.689,percent of total billed charges,75.14803245,,,,251.689,percent of total billed charges,125.5974169,,,,251.689,percent of total billed charges,75.14803245,,,,251.689,percent of total billed charges,125.5974169,,,,251.689,percent of total billed charges,75.14803245,,,,249.218,percent of total billed charges,247.3271153,,,,249.218,percent of total billed charges,170.5795511,,,,,,,,,,254.16,percent of total billed charges,165.1980191,,,,,,,,,,254.16,percent of total billed charges,999999999,,,,,,,,,,282.4,percent of total billed charges,236.6365204,,,,278.87,percent of total billed charges,269.1215511,,,,278.87,percent of total billed charges,237.7777988,,,,282.4,percent of total billed charges,999999999,,,,282.4,percent of total billed charges,999999999,,,,247.1,percent of total billed charges,999999999,,,,247.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,187.796,percent of total billed charges,999999999,,,,,,,,,,,,,,,,178.265,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,88.25,percent of total billed charges,83.81591326,,,,,,,,,,88.25,percent of total billed charges,82.42169257,,,,,,,,,,88.25,percent of total billed charges,82.19264622,,,,,,,,,,88.25,percent of total billed charges,80.9823605,,,,,,,,,,88.25,percent of total billed charges,83.06615569,,,,,,,,,,88.25,percent of total billed charges,999999999,,,,,,,,,,88.25,percent of total billed charges,71.27661111,,,,,,,,,,88.25,percent of total billed charges,112.4081309,,,,,,,,,,88.25,percent of total billed charges,999999999,,,,,,,,,,88.25,percent of total billed charges,76.85361872,,,,,,,,,,317.7,percent of total billed charges,,,,,
ACYLCARNITINE,82017,CDM,,,,both,,,443,443,94.30758747,443,443,percent of total billed charges,325.9308379,,,,443,percent of total billed charges,345.4802437,,,,443,percent of total billed charges,325.9308379,,,,443,percent of total billed charges,345.4802437,,,,443,percent of total billed charges,999999999,,,,443,percent of total billed charges,337.5355528,,,,443,percent of total billed charges,325.9308379,,,,443,percent of total billed charges,345.4802437,,,,315.859,percent of total billed charges,157.6194212,,,,315.859,percent of total billed charges,94.30758747,,,,315.859,percent of total billed charges,157.6194212,,,,315.859,percent of total billed charges,94.30758747,,,,315.859,percent of total billed charges,157.6194212,,,,315.859,percent of total billed charges,94.30758747,,,,312.758,percent of total billed charges,310.38502,,,,312.758,percent of total billed charges,214.0700882,,,,,,,,,,318.96,percent of total billed charges,207.3164942,,,,,,,,,,318.96,percent of total billed charges,999999999,,,,,,,,,,354.4,percent of total billed charges,296.9687777,,,,349.97,percent of total billed charges,337.7361109,,,,349.97,percent of total billed charges,298.4010336,,,,354.4,percent of total billed charges,999999999,,,,354.4,percent of total billed charges,999999999,,,,310.1,percent of total billed charges,999999999,,,,310.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,235.676,percent of total billed charges,999999999,,,,,,,,,,,,,,,,223.715,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,110.75,percent of total billed charges,105.1854096,,,,,,,,,,110.75,percent of total billed charges,103.4357218,,,,,,,,,,110.75,percent of total billed charges,103.1482784,,,,,,,,,,110.75,percent of total billed charges,101.6294213,,,,,,,,,,110.75,percent of total billed charges,104.2444957,,,,,,,,,,110.75,percent of total billed charges,999999999,,,,,,,,,,110.75,percent of total billed charges,89.44911819,,,,,,,,,,110.75,percent of total billed charges,141.0674278,,,,,,,,,,110.75,percent of total billed charges,999999999,,,,,,,,,,110.75,percent of total billed charges,96.44802576,,,,,,,,,,398.7,percent of total billed charges,,,,,
.TOTAL IRON BINDING CAPACITY,83550,CDM,,,,both,,,133,133,28.31356463,133,133,percent of total billed charges,97.85282492,,,,133,percent of total billed charges,103.7220596,,,,133,percent of total billed charges,97.85282492,,,,133,percent of total billed charges,103.7220596,,,,133,percent of total billed charges,999999999,,,,133,percent of total billed charges,101.336859,,,,133,percent of total billed charges,97.85282492,,,,133,percent of total billed charges,103.7220596,,,,94.829,percent of total billed charges,47.32140637,,,,94.829,percent of total billed charges,28.31356463,,,,94.829,percent of total billed charges,47.32140637,,,,94.829,percent of total billed charges,28.31356463,,,,94.829,percent of total billed charges,47.32140637,,,,94.829,percent of total billed charges,28.31356463,,,,93.898,percent of total billed charges,93.18557035,,,,93.898,percent of total billed charges,64.26934928,,,,,,,,,,95.76,percent of total billed charges,62.24174656,,,,,,,,,,95.76,percent of total billed charges,999999999,,,,,,,,,,106.4,percent of total billed charges,89.15766914,,,,105.07,percent of total billed charges,101.3970717,,,,105.07,percent of total billed charges,89.58766923,,,,106.4,percent of total billed charges,999999999,,,,106.4,percent of total billed charges,999999999,,,,93.1,percent of total billed charges,999999999,,,,93.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,70.756,percent of total billed charges,999999999,,,,,,,,,,,,,,,,67.165,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,33.25,percent of total billed charges,31.57936675,,,,,,,,,,33.25,percent of total billed charges,31.05406547,,,,,,,,,,33.25,percent of total billed charges,30.96776756,,,,,,,,,,33.25,percent of total billed charges,30.51176756,,,,,,,,,,33.25,percent of total billed charges,31.29688019,,,,,,,,,,33.25,percent of total billed charges,999999999,,,,,,,,,,33.25,percent of total billed charges,26.85492713,,,,,,,,,,33.25,percent of total billed charges,42.35207199,,,,,,,,,,33.25,percent of total billed charges,999999999,,,,,,,,,,33.25,percent of total billed charges,28.95617929,,,,,,,,,,119.7,percent of total billed charges,,,,,
SEX HORMONE BINDING GLOBULIN(*),84270,CDM,,,,both,,,217,217,46.19581598,217,217,percent of total billed charges,159.6546091,,,,217,percent of total billed charges,169.2307289,,,,217,percent of total billed charges,159.6546091,,,,217,percent of total billed charges,169.2307289,,,,217,percent of total billed charges,999999999,,,,217,percent of total billed charges,165.3390857,,,,217,percent of total billed charges,159.6546091,,,,217,percent of total billed charges,169.2307289,,,,154.721,percent of total billed charges,77.2086104,,,,154.721,percent of total billed charges,46.19581598,,,,154.721,percent of total billed charges,77.2086104,,,,154.721,percent of total billed charges,46.19581598,,,,154.721,percent of total billed charges,77.2086104,,,,154.721,percent of total billed charges,46.19581598,,,,153.202,percent of total billed charges,152.0396148,,,,153.202,percent of total billed charges,104.8605172,,,,,,,,,,156.24,percent of total billed charges,101.5523233,,,,,,,,,,156.24,percent of total billed charges,999999999,,,,,,,,,,173.6,percent of total billed charges,145.467776,,,,171.43,percent of total billed charges,165.4373275,,,,171.43,percent of total billed charges,146.1693551,,,,173.6,percent of total billed charges,999999999,,,,173.6,percent of total billed charges,999999999,,,,151.9,percent of total billed charges,999999999,,,,151.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,115.444,percent of total billed charges,999999999,,,,,,,,,,,,,,,,109.585,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,54.25,percent of total billed charges,51.52422996,,,,,,,,,,54.25,percent of total billed charges,50.66715946,,,,,,,,,,54.25,percent of total billed charges,50.52635759,,,,,,,,,,54.25,percent of total billed charges,49.78235759,,,,,,,,,,54.25,percent of total billed charges,51.06333084,,,,,,,,,,54.25,percent of total billed charges,999999999,,,,,,,,,,54.25,percent of total billed charges,43.81593374,,,,,,,,,,54.25,percent of total billed charges,69.10074904,,,,,,,,,,54.25,percent of total billed charges,999999999,,,,,,,,,,54.25,percent of total billed charges,47.24429253,,,,,,,,,,195.3,percent of total billed charges,,,,,
MSH6 GENE DUP VARIANTS,81300,CDM,,,,both,,,1250,1250,266.1049308,1250,1250,percent of total billed charges,919.6694072,,,,1250,percent of total billed charges,974.8313875,,,,1250,percent of total billed charges,919.6694072,,,,1250,percent of total billed charges,974.8313875,,,,1250,percent of total billed charges,999999999,,,,1250,percent of total billed charges,952.414088,,,,1250,percent of total billed charges,919.6694072,,,,1250,percent of total billed charges,974.8313875,,,,891.25,percent of total billed charges,444.7500599,,,,891.25,percent of total billed charges,266.1049308,,,,891.25,percent of total billed charges,444.7500599,,,,891.25,percent of total billed charges,266.1049308,,,,891.25,percent of total billed charges,444.7500599,,,,891.25,percent of total billed charges,266.1049308,,,,882.5,percent of total billed charges,875.8042326,,,,882.5,percent of total billed charges,604.0352376,,,,,,,,,,900,percent of total billed charges,584.9788211,,,,,,,,,,900,percent of total billed charges,999999999,,,,,,,,,,1000,percent of total billed charges,837.9480182,,,,987.5,percent of total billed charges,952.979997,,,,987.5,percent of total billed charges,841.9893724,,,,1000,percent of total billed charges,999999999,,,,1000,percent of total billed charges,999999999,,,,875,percent of total billed charges,999999999,,,,875,percent of total billed charges,999999999,,,,,,,,,,,,,,,,665,percent of total billed charges,999999999,,,,,,,,,,,,,,,,631.25,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,312.5,percent of total billed charges,296.7985597,,,,,,,,,,312.5,percent of total billed charges,291.8615176,,,,,,,,,,312.5,percent of total billed charges,291.050447,,,,,,,,,,312.5,percent of total billed charges,286.7647327,,,,,,,,,,312.5,percent of total billed charges,294.1436108,,,,,,,,,,312.5,percent of total billed charges,999999999,,,,,,,,,,312.5,percent of total billed charges,252.3959317,,,,,,,,,,312.5,percent of total billed charges,398.0457894,,,,,,,,,,312.5,percent of total billed charges,999999999,,,,,,,,,,312.5,percent of total billed charges,272.1445422,,,,,,,,,,1125,percent of total billed charges,,,,,
MSH6 GENE FULL SEQ,81298,CDM,,,,both,,,1250,1250,266.1049308,1250,1250,percent of total billed charges,919.6694072,,,,1250,percent of total billed charges,974.8313875,,,,1250,percent of total billed charges,919.6694072,,,,1250,percent of total billed charges,974.8313875,,,,1250,percent of total billed charges,999999999,,,,1250,percent of total billed charges,952.414088,,,,1250,percent of total billed charges,919.6694072,,,,1250,percent of total billed charges,974.8313875,,,,891.25,percent of total billed charges,444.7500599,,,,891.25,percent of total billed charges,266.1049308,,,,891.25,percent of total billed charges,444.7500599,,,,891.25,percent of total billed charges,266.1049308,,,,891.25,percent of total billed charges,444.7500599,,,,891.25,percent of total billed charges,266.1049308,,,,882.5,percent of total billed charges,875.8042326,,,,882.5,percent of total billed charges,604.0352376,,,,,,,,,,900,percent of total billed charges,584.9788211,,,,,,,,,,900,percent of total billed charges,999999999,,,,,,,,,,1000,percent of total billed charges,837.9480182,,,,987.5,percent of total billed charges,952.979997,,,,987.5,percent of total billed charges,841.9893724,,,,1000,percent of total billed charges,999999999,,,,1000,percent of total billed charges,999999999,,,,875,percent of total billed charges,999999999,,,,875,percent of total billed charges,999999999,,,,,,,,,,,,,,,,665,percent of total billed charges,999999999,,,,,,,,,,,,,,,,631.25,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,312.5,percent of total billed charges,296.7985597,,,,,,,,,,312.5,percent of total billed charges,291.8615176,,,,,,,,,,312.5,percent of total billed charges,291.050447,,,,,,,,,,312.5,percent of total billed charges,286.7647327,,,,,,,,,,312.5,percent of total billed charges,294.1436108,,,,,,,,,,312.5,percent of total billed charges,999999999,,,,,,,,,,312.5,percent of total billed charges,252.3959317,,,,,,,,,,312.5,percent of total billed charges,398.0457894,,,,,,,,,,312.5,percent of total billed charges,999999999,,,,,,,,,,312.5,percent of total billed charges,272.1445422,,,,,,,,,,1125,percent of total billed charges,,,,,
BILIRUBIN-TOTAL,82247,CDM,,,,both,,,98,98,20.86262657,98,98,percent of total billed charges,72.10208152,,,,98,percent of total billed charges,76.42678078,,,,98,percent of total billed charges,72.10208152,,,,98,percent of total billed charges,76.42678078,,,,98,percent of total billed charges,999999999,,,,98,percent of total billed charges,74.6692645,,,,98,percent of total billed charges,72.10208152,,,,98,percent of total billed charges,76.42678078,,,,69.874,percent of total billed charges,34.8684047,,,,69.874,percent of total billed charges,20.86262657,,,,69.874,percent of total billed charges,34.8684047,,,,69.874,percent of total billed charges,20.86262657,,,,69.874,percent of total billed charges,34.8684047,,,,69.874,percent of total billed charges,20.86262657,,,,69.188,percent of total billed charges,68.66305184,,,,69.188,percent of total billed charges,47.35636262,,,,,,,,,,70.56,percent of total billed charges,45.86233957,,,,,,,,,,70.56,percent of total billed charges,999999999,,,,,,,,,,78.4,percent of total billed charges,65.69512463,,,,77.42,percent of total billed charges,74.71363176,,,,77.42,percent of total billed charges,66.0119668,,,,78.4,percent of total billed charges,999999999,,,,78.4,percent of total billed charges,999999999,,,,68.6,percent of total billed charges,999999999,,,,68.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,52.136,percent of total billed charges,999999999,,,,,,,,,,,,,,,,49.49,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,24.5,percent of total billed charges,23.26900708,,,,,,,,,,24.5,percent of total billed charges,22.88194298,,,,,,,,,,24.5,percent of total billed charges,22.81835504,,,,,,,,,,24.5,percent of total billed charges,22.48235504,,,,,,,,,,24.5,percent of total billed charges,23.06085909,,,,,,,,,,24.5,percent of total billed charges,999999999,,,,,,,,,,24.5,percent of total billed charges,19.78784104,,,,,,,,,,24.5,percent of total billed charges,31.20678989,,,,,,,,,,24.5,percent of total billed charges,999999999,,,,,,,,,,24.5,percent of total billed charges,21.33613211,,,,,,,,,,88.2,percent of total billed charges,,,,,
PMS2 GENE FULL SEQ ANALYSIS,81317,CDM,,,,both,,,1297,1297,276.1104762,1297,1297,percent of total billed charges,954.2489769,,,,1297,percent of total billed charges,1011.485048,,,,1297,percent of total billed charges,954.2489769,,,,1297,percent of total billed charges,1011.485048,,,,1297,percent of total billed charges,999999999,,,,1297,percent of total billed charges,988.2248577,,,,1297,percent of total billed charges,954.2489769,,,,1297,percent of total billed charges,1011.485048,,,,924.761,percent of total billed charges,461.4726622,,,,924.761,percent of total billed charges,276.1104762,,,,924.761,percent of total billed charges,461.4726622,,,,924.761,percent of total billed charges,276.1104762,,,,924.761,percent of total billed charges,461.4726622,,,,924.761,percent of total billed charges,276.1104762,,,,915.682,percent of total billed charges,908.7344717,,,,915.682,percent of total billed charges,626.7469625,,,,,,,,,,933.84,percent of total billed charges,606.9740248,,,,,,,,,,933.84,percent of total billed charges,999999999,,,,,,,,,,1037.6,percent of total billed charges,869.4548637,,,,1024.63,percent of total billed charges,988.8120449,,,,1024.63,percent of total billed charges,873.6481728,,,,1037.6,percent of total billed charges,999999999,,,,1037.6,percent of total billed charges,999999999,,,,907.9,percent of total billed charges,999999999,,,,907.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,690.004,percent of total billed charges,999999999,,,,,,,,,,,,,,,,654.985,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,324.25,percent of total billed charges,307.9581855,,,,,,,,,,324.25,percent of total billed charges,302.8355107,,,,,,,,,,324.25,percent of total billed charges,301.9939438,,,,,,,,,,324.25,percent of total billed charges,297.5470866,,,,,,,,,,324.25,percent of total billed charges,305.2034106,,,,,,,,,,324.25,percent of total billed charges,999999999,,,,,,,,,,324.25,percent of total billed charges,261.8860187,,,,,,,,,,324.25,percent of total billed charges,413.0123111,,,,,,,,,,324.25,percent of total billed charges,999999999,,,,,,,,,,324.25,percent of total billed charges,282.377177,,,,,,,,,,1167.3,percent of total billed charges,,,,,
TISSUE TRNSGLTMNASE EA IG,86364,CDM,,,,both,,,173,173,36.82892242,173,173,percent of total billed charges,127.2822459,,,,173,percent of total billed charges,134.916664,,,,173,percent of total billed charges,127.2822459,,,,173,percent of total billed charges,134.916664,,,,173,percent of total billed charges,999999999,,,,173,percent of total billed charges,131.8141098,,,,173,percent of total billed charges,127.2822459,,,,173,percent of total billed charges,134.916664,,,,123.349,percent of total billed charges,61.55340829,,,,123.349,percent of total billed charges,36.82892242,,,,123.349,percent of total billed charges,61.55340829,,,,123.349,percent of total billed charges,36.82892242,,,,123.349,percent of total billed charges,61.55340829,,,,123.349,percent of total billed charges,36.82892242,,,,122.138,percent of total billed charges,121.2113058,,,,122.138,percent of total billed charges,83.59847688,,,,,,,,,,124.56,percent of total billed charges,80.96106884,,,,,,,,,,124.56,percent of total billed charges,999999999,,,,,,,,,,138.4,percent of total billed charges,115.9720057,,,,136.67,percent of total billed charges,131.8924316,,,,136.67,percent of total billed charges,116.5313291,,,,138.4,percent of total billed charges,999999999,,,,138.4,percent of total billed charges,999999999,,,,121.1,percent of total billed charges,999999999,,,,121.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,92.036,percent of total billed charges,999999999,,,,,,,,,,,,,,,,87.365,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,43.25,percent of total billed charges,41.07692066,,,,,,,,,,43.25,percent of total billed charges,40.39363404,,,,,,,,,,43.25,percent of total billed charges,40.28138186,,,,,,,,,,43.25,percent of total billed charges,39.688239,,,,,,,,,,43.25,percent of total billed charges,40.70947574,,,,,,,,,,43.25,percent of total billed charges,999999999,,,,,,,,,,43.25,percent of total billed charges,34.93159694,,,,,,,,,,43.25,percent of total billed charges,55.08953725,,,,,,,,,,43.25,percent of total billed charges,999999999,,,,,,,,,,43.25,percent of total billed charges,37.66480464,,,,,,,,,,155.7,percent of total billed charges,,,,,
HISTONE,83516,CDM,,,,both,,,208,208,44.27986048,208,208,percent of total billed charges,153.0329894,,,,208,percent of total billed charges,162.2119429,,,,208,percent of total billed charges,153.0329894,,,,208,percent of total billed charges,162.2119429,,,,208,percent of total billed charges,999999999,,,,208,percent of total billed charges,158.4817042,,,,208,percent of total billed charges,153.0329894,,,,208,percent of total billed charges,162.2119429,,,,148.304,percent of total billed charges,74.00640997,,,,148.304,percent of total billed charges,44.27986048,,,,148.304,percent of total billed charges,74.00640997,,,,148.304,percent of total billed charges,44.27986048,,,,148.304,percent of total billed charges,74.00640997,,,,148.304,percent of total billed charges,44.27986048,,,,146.848,percent of total billed charges,145.7338243,,,,146.848,percent of total billed charges,100.5114635,,,,,,,,,,149.76,percent of total billed charges,97.34047583,,,,,,,,,,149.76,percent of total billed charges,999999999,,,,,,,,,,166.4,percent of total billed charges,139.4345502,,,,164.32,percent of total billed charges,158.5758715,,,,164.32,percent of total billed charges,140.1070316,,,,166.4,percent of total billed charges,999999999,,,,166.4,percent of total billed charges,999999999,,,,145.6,percent of total billed charges,999999999,,,,145.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,110.656,percent of total billed charges,999999999,,,,,,,,,,,,,,,,105.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,52,percent of total billed charges,49.38728033,,,,,,,,,,52,percent of total billed charges,48.56575653,,,,,,,,,,52,percent of total billed charges,48.43079437,,,,,,,,,,52,percent of total billed charges,47.71765152,,,,,,,,,,52,percent of total billed charges,48.94549684,,,,,,,,,,52,percent of total billed charges,999999999,,,,,,,,,,52,percent of total billed charges,41.99868303,,,,,,,,,,52,percent of total billed charges,66.23481936,,,,,,,,,,52,percent of total billed charges,999999999,,,,,,,,,,52,percent of total billed charges,45.28485182,,,,,,,,,,187.2,percent of total billed charges,,,,,
INSITU HYBRIDIZATION (FISH) ADDITIONAL,88364,CDM,,,,both,,,448,448,95.37200719,448,448,percent of total billed charges,329.6095155,,,,448,percent of total billed charges,349.3795693,,,,448,percent of total billed charges,329.6095155,,,,448,percent of total billed charges,349.3795693,,,,448,percent of total billed charges,999999999,,,,448,percent of total billed charges,341.3452092,,,,448,percent of total billed charges,329.6095155,,,,448,percent of total billed charges,349.3795693,,,,319.424,percent of total billed charges,159.3984215,,,,319.424,percent of total billed charges,95.37200719,,,,319.424,percent of total billed charges,159.3984215,,,,319.424,percent of total billed charges,95.37200719,,,,319.424,percent of total billed charges,159.3984215,,,,319.424,percent of total billed charges,95.37200719,,,,316.288,percent of total billed charges,313.888237,,,,316.288,percent of total billed charges,216.4862291,,,,,,,,,,322.56,percent of total billed charges,209.6564095,,,,,,,,,,322.56,percent of total billed charges,999999999,,,,,,,,,,358.4,percent of total billed charges,300.3205697,,,,353.92,percent of total billed charges,341.5480309,,,,353.92,percent of total billed charges,301.7689911,,,,358.4,percent of total billed charges,999999999,,,,358.4,percent of total billed charges,999999999,,,,313.6,percent of total billed charges,999999999,,,,313.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,238.336,percent of total billed charges,999999999,,,,,,,,,,,,,,,,226.24,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,112,percent of total billed charges,106.3726038,,,,,,,,,,112,percent of total billed charges,104.6031679,,,,,,,,,,112,percent of total billed charges,104.3124802,,,,,,,,,,112,percent of total billed charges,102.7764802,,,,,,,,,,112,percent of total billed charges,105.4210701,,,,,,,,,,112,percent of total billed charges,999999999,,,,,,,,,,112,percent of total billed charges,90.45870191,,,,,,,,,,112,percent of total billed charges,142.6596109,,,,,,,,,,112,percent of total billed charges,999999999,,,,,,,,,,112,percent of total billed charges,97.53660393,,,,,,,,,,403.2,percent of total billed charges,,,,,
TSH SERUM,84443,CDM,,,,both,,,245,245,52.15656643,245,245,percent of total billed charges,180.2552038,,,,245,percent of total billed charges,191.066952,,,,245,percent of total billed charges,180.2552038,,,,245,percent of total billed charges,191.066952,,,,245,percent of total billed charges,999999999,,,,245,percent of total billed charges,186.6731613,,,,245,percent of total billed charges,180.2552038,,,,245,percent of total billed charges,191.066952,,,,174.685,percent of total billed charges,87.17101174,,,,174.685,percent of total billed charges,52.15656643,,,,174.685,percent of total billed charges,87.17101174,,,,174.685,percent of total billed charges,52.15656643,,,,174.685,percent of total billed charges,87.17101174,,,,174.685,percent of total billed charges,52.15656643,,,,172.97,percent of total billed charges,171.6576296,,,,172.97,percent of total billed charges,118.3909066,,,,,,,,,,176.4,percent of total billed charges,114.6558489,,,,,,,,,,176.4,percent of total billed charges,999999999,,,,,,,,,,196,percent of total billed charges,164.2378116,,,,193.55,percent of total billed charges,186.7840794,,,,193.55,percent of total billed charges,165.029917,,,,196,percent of total billed charges,999999999,,,,196,percent of total billed charges,999999999,,,,171.5,percent of total billed charges,999999999,,,,171.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,130.34,percent of total billed charges,999999999,,,,,,,,,,,,,,,,123.725,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,61.25,percent of total billed charges,58.1725177,,,,,,,,,,61.25,percent of total billed charges,57.20485745,,,,,,,,,,61.25,percent of total billed charges,57.0458876,,,,,,,,,,61.25,percent of total billed charges,56.2058876,,,,,,,,,,61.25,percent of total billed charges,57.65214772,,,,,,,,,,61.25,percent of total billed charges,999999999,,,,,,,,,,61.25,percent of total billed charges,49.46960261,,,,,,,,,,61.25,percent of total billed charges,78.01697472,,,,,,,,,,61.25,percent of total billed charges,999999999,,,,,,,,,,61.25,percent of total billed charges,53.34033027,,,,,,,,,,220.5,percent of total billed charges,,,,,
VASOACTIVE INTESTINAL PEPTIDE,84586,CDM,,,,both,,,433,433,92.17874802,433,433,percent of total billed charges,318.5734826,,,,433,percent of total billed charges,337.6815926,,,,433,percent of total billed charges,318.5734826,,,,433,percent of total billed charges,337.6815926,,,,433,percent of total billed charges,999999999,,,,433,percent of total billed charges,329.9162401,,,,433,percent of total billed charges,318.5734826,,,,433,percent of total billed charges,337.6815926,,,,308.729,percent of total billed charges,154.0614208,,,,308.729,percent of total billed charges,92.17874802,,,,308.729,percent of total billed charges,154.0614208,,,,308.729,percent of total billed charges,92.17874802,,,,308.729,percent of total billed charges,154.0614208,,,,308.729,percent of total billed charges,92.17874802,,,,305.698,percent of total billed charges,303.3785862,,,,305.698,percent of total billed charges,209.2378063,,,,,,,,,,311.76,percent of total billed charges,202.6366636,,,,,,,,,,311.76,percent of total billed charges,999999999,,,,,,,,,,346.4,percent of total billed charges,290.2651935,,,,342.07,percent of total billed charges,330.112271,,,,342.07,percent of total billed charges,291.6651186,,,,346.4,percent of total billed charges,999999999,,,,346.4,percent of total billed charges,999999999,,,,303.1,percent of total billed charges,999999999,,,,303.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,230.356,percent of total billed charges,999999999,,,,,,,,,,,,,,,,218.665,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,108.25,percent of total billed charges,102.8110211,,,,,,,,,,108.25,percent of total billed charges,101.1008297,,,,,,,,,,108.25,percent of total billed charges,100.8198748,,,,,,,,,,108.25,percent of total billed charges,99.3353034,,,,,,,,,,108.25,percent of total billed charges,101.8913468,,,,,,,,,,108.25,percent of total billed charges,999999999,,,,,,,,,,108.25,percent of total billed charges,87.42995073,,,,,,,,,,108.25,percent of total billed charges,137.8830614,,,,,,,,,,108.25,percent of total billed charges,999999999,,,,,,,,,,108.25,percent of total billed charges,94.27086942,,,,,,,,,,389.7,percent of total billed charges,,,,,
CYSTIC FIBROSIS PANEL,81223,CDM,,,,both,,,1030,1030,219.270463,1030,1030,percent of total billed charges,757.8075915,,,,1030,percent of total billed charges,803.2610633,,,,1030,percent of total billed charges,757.8075915,,,,1030,percent of total billed charges,803.2610633,,,,1030,percent of total billed charges,999999999,,,,1030,percent of total billed charges,784.7892085,,,,1030,percent of total billed charges,757.8075915,,,,1030,percent of total billed charges,803.2610633,,,,734.39,percent of total billed charges,366.4740494,,,,734.39,percent of total billed charges,219.270463,,,,734.39,percent of total billed charges,366.4740494,,,,734.39,percent of total billed charges,219.270463,,,,734.39,percent of total billed charges,366.4740494,,,,734.39,percent of total billed charges,219.270463,,,,727.18,percent of total billed charges,721.6626877,,,,727.18,percent of total billed charges,497.7250357,,,,,,,,,,741.6,percent of total billed charges,482.0225486,,,,,,,,,,741.6,percent of total billed charges,999999999,,,,,,,,,,824,percent of total billed charges,690.469167,,,,813.7,percent of total billed charges,785.2555175,,,,813.7,percent of total billed charges,693.7992429,,,,824,percent of total billed charges,999999999,,,,824,percent of total billed charges,999999999,,,,721,percent of total billed charges,999999999,,,,721,percent of total billed charges,999999999,,,,,,,,,,,,,,,,547.96,percent of total billed charges,999999999,,,,,,,,,,,,,,,,520.15,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,257.5,percent of total billed charges,244.5620132,,,,,,,,,,257.5,percent of total billed charges,240.4938905,,,,,,,,,,257.5,percent of total billed charges,239.8255683,,,,,,,,,,257.5,percent of total billed charges,236.2941397,,,,,,,,,,257.5,percent of total billed charges,242.3743353,,,,,,,,,,257.5,percent of total billed charges,999999999,,,,,,,,,,257.5,percent of total billed charges,207.9742477,,,,,,,,,,257.5,percent of total billed charges,327.9897305,,,,,,,,,,257.5,percent of total billed charges,999999999,,,,,,,,,,257.5,percent of total billed charges,224.2471028,,,,,,,,,,927,percent of total billed charges,,,,,
COLUMN CHROMOTOGRAPHY,82542,CDM,,,,both,,,285,285,60.67192422,285,285,percent of total billed charges,209.6846248,,,,285,percent of total billed charges,222.2615564,,,,285,percent of total billed charges,209.6846248,,,,285,percent of total billed charges,222.2615564,,,,285,percent of total billed charges,999999999,,,,285,percent of total billed charges,217.1504121,,,,285,percent of total billed charges,209.6846248,,,,285,percent of total billed charges,222.2615564,,,,203.205,percent of total billed charges,101.4030137,,,,203.205,percent of total billed charges,60.67192422,,,,203.205,percent of total billed charges,101.4030137,,,,203.205,percent of total billed charges,60.67192422,,,,203.205,percent of total billed charges,101.4030137,,,,203.205,percent of total billed charges,60.67192422,,,,201.21,percent of total billed charges,199.683365,,,,201.21,percent of total billed charges,137.7200342,,,,,,,,,,205.2,percent of total billed charges,133.3751712,,,,,,,,,,205.2,percent of total billed charges,999999999,,,,,,,,,,228,percent of total billed charges,191.0521482,,,,225.15,percent of total billed charges,217.2794393,,,,225.15,percent of total billed charges,191.9735769,,,,228,percent of total billed charges,999999999,,,,228,percent of total billed charges,999999999,,,,199.5,percent of total billed charges,999999999,,,,199.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,151.62,percent of total billed charges,999999999,,,,,,,,,,,,,,,,143.925,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,71.25,percent of total billed charges,67.67007161,,,,,,,,,,71.25,percent of total billed charges,66.54442602,,,,,,,,,,71.25,percent of total billed charges,66.35950191,,,,,,,,,,71.25,percent of total billed charges,65.38235905,,,,,,,,,,71.25,percent of total billed charges,67.06474326,,,,,,,,,,71.25,percent of total billed charges,999999999,,,,,,,,,,71.25,percent of total billed charges,57.54627242,,,,,,,,,,71.25,percent of total billed charges,90.75443998,,,,,,,,,,71.25,percent of total billed charges,999999999,,,,,,,,,,71.25,percent of total billed charges,62.04895562,,,,,,,,,,256.5,percent of total billed charges,,,,,
MOPATH PROCEDURE LEVEL 3,81402,CDM,,,,both,,,1129,1129,240.3459735,1129,1129,percent of total billed charges,830.6454085,,,,1129,percent of total billed charges,880.4677092,,,,1129,percent of total billed charges,830.6454085,,,,1129,percent of total billed charges,880.4677092,,,,1129,percent of total billed charges,999999999,,,,1129,percent of total billed charges,860.2204043,,,,1129,percent of total billed charges,830.6454085,,,,1129,percent of total billed charges,880.4677092,,,,804.977,percent of total billed charges,401.6982541,,,,804.977,percent of total billed charges,240.3459735,,,,804.977,percent of total billed charges,401.6982541,,,,804.977,percent of total billed charges,240.3459735,,,,804.977,percent of total billed charges,401.6982541,,,,804.977,percent of total billed charges,240.3459735,,,,797.074,percent of total billed charges,791.0263829,,,,797.074,percent of total billed charges,545.5646266,,,,,,,,,,812.88,percent of total billed charges,528.3528712,,,,,,,,,,812.88,percent of total billed charges,999999999,,,,,,,,,,903.2,percent of total billed charges,756.8346501,,,,891.91,percent of total billed charges,860.7315333,,,,891.91,percent of total billed charges,760.4848012,,,,903.2,percent of total billed charges,999999999,,,,903.2,percent of total billed charges,999999999,,,,790.3,percent of total billed charges,999999999,,,,790.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,600.628,percent of total billed charges,999999999,,,,,,,,,,,,,,,,570.145,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,282.25,percent of total billed charges,268.0684591,,,,,,,,,,282.25,percent of total billed charges,263.6093227,,,,,,,,,,282.25,percent of total billed charges,262.8767637,,,,,,,,,,282.25,percent of total billed charges,259.0059065,,,,,,,,,,282.25,percent of total billed charges,265.6705093,,,,,,,,,,282.25,percent of total billed charges,999999999,,,,,,,,,,282.25,percent of total billed charges,227.9640055,,,,,,,,,,282.25,percent of total billed charges,359.514957,,,,,,,,,,282.25,percent of total billed charges,999999999,,,,,,,,,,282.25,percent of total billed charges,245.8009505,,,,,,,,,,1016.1,percent of total billed charges,,,,,
BILIRUBIN DIRECT,82248,CDM,,,,both,,,94,94,20.01109079,94,94,percent of total billed charges,69.15913942,,,,94,percent of total billed charges,73.30732034,,,,94,percent of total billed charges,69.15913942,,,,94,percent of total billed charges,73.30732034,,,,94,percent of total billed charges,999999999,,,,94,percent of total billed charges,71.62153942,,,,94,percent of total billed charges,69.15913942,,,,94,percent of total billed charges,73.30732034,,,,67.022,percent of total billed charges,33.44520451,,,,67.022,percent of total billed charges,20.01109079,,,,67.022,percent of total billed charges,33.44520451,,,,67.022,percent of total billed charges,20.01109079,,,,67.022,percent of total billed charges,33.44520451,,,,67.022,percent of total billed charges,20.01109079,,,,66.364,percent of total billed charges,65.86047829,,,,66.364,percent of total billed charges,45.42344986,,,,,,,,,,67.68,percent of total billed charges,43.99040735,,,,,,,,,,67.68,percent of total billed charges,999999999,,,,,,,,,,75.2,percent of total billed charges,63.01369097,,,,74.26,percent of total billed charges,71.66409577,,,,74.26,percent of total billed charges,63.31760081,,,,75.2,percent of total billed charges,999999999,,,,75.2,percent of total billed charges,999999999,,,,65.8,percent of total billed charges,999999999,,,,65.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,50.008,percent of total billed charges,999999999,,,,,,,,,,,,,,,,47.47,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23.5,percent of total billed charges,22.31925169,,,,,,,,,,23.5,percent of total billed charges,21.94798612,,,,,,,,,,23.5,percent of total billed charges,21.88699361,,,,,,,,,,23.5,percent of total billed charges,21.5647079,,,,,,,,,,23.5,percent of total billed charges,22.11959953,,,,,,,,,,23.5,percent of total billed charges,999999999,,,,,,,,,,23.5,percent of total billed charges,18.98017406,,,,,,,,,,23.5,percent of total billed charges,29.93304336,,,,,,,,,,23.5,percent of total billed charges,999999999,,,,,,,,,,23.5,percent of total billed charges,20.46526957,,,,,,,,,,84.6,percent of total billed charges,,,,,
ALKALOIDS NOS,80323,CDM,,,,both,,,392,392,83.45050629,392,392,percent of total billed charges,288.4083261,,,,392,percent of total billed charges,305.7071231,,,,392,percent of total billed charges,288.4083261,,,,392,percent of total billed charges,305.7071231,,,,392,percent of total billed charges,999999999,,,,392,percent of total billed charges,298.677058,,,,392,percent of total billed charges,288.4083261,,,,392,percent of total billed charges,305.7071231,,,,279.496,percent of total billed charges,139.4736188,,,,279.496,percent of total billed charges,83.45050629,,,,279.496,percent of total billed charges,139.4736188,,,,279.496,percent of total billed charges,83.45050629,,,,279.496,percent of total billed charges,139.4736188,,,,279.496,percent of total billed charges,83.45050629,,,,276.752,percent of total billed charges,274.6522073,,,,276.752,percent of total billed charges,189.4254505,,,,,,,,,,282.24,percent of total billed charges,183.4493583,,,,,,,,,,282.24,percent of total billed charges,999999999,,,,,,,,,,313.6,percent of total billed charges,262.7804985,,,,309.68,percent of total billed charges,298.8545271,,,,309.68,percent of total billed charges,264.0478672,,,,313.6,percent of total billed charges,999999999,,,,313.6,percent of total billed charges,999999999,,,,274.4,percent of total billed charges,999999999,,,,274.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,208.544,percent of total billed charges,999999999,,,,,,,,,,,,,,,,197.96,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,98,percent of total billed charges,93.07602832,,,,,,,,,,98,percent of total billed charges,91.52777192,,,,,,,,,,98,percent of total billed charges,91.27342016,,,,,,,,,,98,percent of total billed charges,89.92942016,,,,,,,,,,98,percent of total billed charges,92.24343635,,,,,,,,,,98,percent of total billed charges,999999999,,,,,,,,,,98,percent of total billed charges,79.15136417,,,,,,,,,,98,percent of total billed charges,124.8271596,,,,,,,,,,98,percent of total billed charges,999999999,,,,,,,,,,98,percent of total billed charges,85.34452844,,,,,,,,,,352.8,percent of total billed charges,,,,,
ANTIEPILEPTIC NOS,80299,CDM,,,,both,,,113,113,24.05588574,113,113,percent of total billed charges,83.13811441,,,,113,percent of total billed charges,88.12475743,,,,113,percent of total billed charges,83.13811441,,,,113,percent of total billed charges,88.12475743,,,,113,percent of total billed charges,999999999,,,,113,percent of total billed charges,86.09823356,,,,113,percent of total billed charges,83.13811441,,,,113,percent of total billed charges,88.12475743,,,,80.569,percent of total billed charges,40.20540542,,,,80.569,percent of total billed charges,24.05588574,,,,80.569,percent of total billed charges,40.20540542,,,,80.569,percent of total billed charges,24.05588574,,,,80.569,percent of total billed charges,40.20540542,,,,80.569,percent of total billed charges,24.05588574,,,,79.778,percent of total billed charges,79.17270263,,,,79.778,percent of total billed charges,54.60478547,,,,,,,,,,81.36,percent of total billed charges,52.88208543,,,,,,,,,,81.36,percent of total billed charges,999999999,,,,,,,,,,90.4,percent of total billed charges,75.75050085,,,,89.27,percent of total billed charges,86.14939173,,,,89.27,percent of total billed charges,76.11583927,,,,90.4,percent of total billed charges,999999999,,,,90.4,percent of total billed charges,999999999,,,,79.1,percent of total billed charges,999999999,,,,79.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,60.116,percent of total billed charges,999999999,,,,,,,,,,,,,,,,57.065,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,28.25,percent of total billed charges,26.8305898,,,,,,,,,,28.25,percent of total billed charges,26.38428119,,,,,,,,,,28.25,percent of total billed charges,26.3109604,,,,,,,,,,28.25,percent of total billed charges,25.92353183,,,,,,,,,,28.25,percent of total billed charges,26.59058242,,,,,,,,,,28.25,percent of total billed charges,999999999,,,,,,,,,,28.25,percent of total billed charges,22.81659222,,,,,,,,,,28.25,percent of total billed charges,35.98333936,,,,,,,,,,28.25,percent of total billed charges,999999999,,,,,,,,,,28.25,percent of total billed charges,24.60186662,,,,,,,,,,101.7,percent of total billed charges,,,,,
BILE ACIDS TOTAL,82239,CDM,,,,both,,,167,167,35.55161875,167,167,percent of total billed charges,122.8678328,,,,167,percent of total billed charges,130.2374734,,,,167,percent of total billed charges,122.8678328,,,,167,percent of total billed charges,130.2374734,,,,167,percent of total billed charges,999999999,,,,167,percent of total billed charges,127.2425222,,,,167,percent of total billed charges,122.8678328,,,,167,percent of total billed charges,130.2374734,,,,119.071,percent of total billed charges,59.418608,,,,119.071,percent of total billed charges,35.55161875,,,,119.071,percent of total billed charges,59.418608,,,,119.071,percent of total billed charges,35.55161875,,,,119.071,percent of total billed charges,59.418608,,,,119.071,percent of total billed charges,35.55161875,,,,117.902,percent of total billed charges,117.0074455,,,,117.902,percent of total billed charges,80.69910774,,,,,,,,,,120.24,percent of total billed charges,78.1531705,,,,,,,,,,120.24,percent of total billed charges,999999999,,,,,,,,,,133.6,percent of total billed charges,111.9498552,,,,131.93,percent of total billed charges,127.3181276,,,,131.93,percent of total billed charges,112.4897802,,,,133.6,percent of total billed charges,999999999,,,,133.6,percent of total billed charges,999999999,,,,116.9,percent of total billed charges,999999999,,,,116.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,88.844,percent of total billed charges,999999999,,,,,,,,,,,,,,,,84.335,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,41.75,percent of total billed charges,39.65228758,,,,,,,,,,41.75,percent of total billed charges,38.99269875,,,,,,,,,,41.75,percent of total billed charges,38.88433971,,,,,,,,,,41.75,percent of total billed charges,38.31176828,,,,,,,,,,41.75,percent of total billed charges,39.2975864,,,,,,,,,,41.75,percent of total billed charges,999999999,,,,,,,,,,41.75,percent of total billed charges,33.72009647,,,,,,,,,,41.75,percent of total billed charges,53.17891746,,,,,,,,,,41.75,percent of total billed charges,999999999,,,,,,,,,,41.75,percent of total billed charges,36.35851084,,,,,,,,,,150.3,percent of total billed charges,,,,,
CELL FUNCTION ASSAY,86352,CDM,,,,both,,,571,571,121.5567324,571,571,percent of total billed charges,420.1049852,,,,571,percent of total billed charges,445.3029778,,,,571,percent of total billed charges,420.1049852,,,,571,percent of total billed charges,445.3029778,,,,571,percent of total billed charges,999999999,,,,571,percent of total billed charges,435.0627554,,,,571,percent of total billed charges,420.1049852,,,,571,percent of total billed charges,445.3029778,,,,407.123,percent of total billed charges,203.1618274,,,,407.123,percent of total billed charges,121.5567324,,,,407.123,percent of total billed charges,203.1618274,,,,407.123,percent of total billed charges,121.5567324,,,,407.123,percent of total billed charges,203.1618274,,,,407.123,percent of total billed charges,121.5567324,,,,403.126,percent of total billed charges,400.0673734,,,,403.126,percent of total billed charges,275.9232965,,,,,,,,,,411.12,percent of total billed charges,267.2183255,,,,,,,,,,411.12,percent of total billed charges,999999999,,,,,,,,,,456.8,percent of total billed charges,382.7746547,,,,451.09,percent of total billed charges,435.3212626,,,,451.09,percent of total billed charges,384.6207453,,,,456.8,percent of total billed charges,999999999,,,,456.8,percent of total billed charges,999999999,,,,399.7,percent of total billed charges,999999999,,,,399.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,303.772,percent of total billed charges,999999999,,,,,,,,,,,,,,,,288.355,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,142.75,percent of total billed charges,135.5775821,,,,,,,,,,142.75,percent of total billed charges,133.3223412,,,,,,,,,,142.75,percent of total billed charges,132.9518442,,,,,,,,,,142.75,percent of total billed charges,130.9941299,,,,,,,,,,142.75,percent of total billed charges,134.3648014,,,,,,,,,,142.75,percent of total billed charges,999999999,,,,,,,,,,142.75,percent of total billed charges,115.2944616,,,,,,,,,,142.75,percent of total billed charges,181.8273166,,,,,,,,,,142.75,percent of total billed charges,999999999,,,,,,,,,,142.75,percent of total billed charges,124.3156269,,,,,,,,,,513.9,percent of total billed charges,,,,,
BILIRUBIN-NEWBORN,82247,CDM,,,,both,,,98,98,20.86262657,98,98,percent of total billed charges,72.10208152,,,,98,percent of total billed charges,76.42678078,,,,98,percent of total billed charges,72.10208152,,,,98,percent of total billed charges,76.42678078,,,,98,percent of total billed charges,999999999,,,,98,percent of total billed charges,74.6692645,,,,98,percent of total billed charges,72.10208152,,,,98,percent of total billed charges,76.42678078,,,,69.874,percent of total billed charges,34.8684047,,,,69.874,percent of total billed charges,20.86262657,,,,69.874,percent of total billed charges,34.8684047,,,,69.874,percent of total billed charges,20.86262657,,,,69.874,percent of total billed charges,34.8684047,,,,69.874,percent of total billed charges,20.86262657,,,,69.188,percent of total billed charges,68.66305184,,,,69.188,percent of total billed charges,47.35636262,,,,,,,,,,70.56,percent of total billed charges,45.86233957,,,,,,,,,,70.56,percent of total billed charges,999999999,,,,,,,,,,78.4,percent of total billed charges,65.69512463,,,,77.42,percent of total billed charges,74.71363176,,,,77.42,percent of total billed charges,66.0119668,,,,78.4,percent of total billed charges,999999999,,,,78.4,percent of total billed charges,999999999,,,,68.6,percent of total billed charges,999999999,,,,68.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,52.136,percent of total billed charges,999999999,,,,,,,,,,,,,,,,49.49,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,24.5,percent of total billed charges,23.26900708,,,,,,,,,,24.5,percent of total billed charges,22.88194298,,,,,,,,,,24.5,percent of total billed charges,22.81835504,,,,,,,,,,24.5,percent of total billed charges,22.48235504,,,,,,,,,,24.5,percent of total billed charges,23.06085909,,,,,,,,,,24.5,percent of total billed charges,999999999,,,,,,,,,,24.5,percent of total billed charges,19.78784104,,,,,,,,,,24.5,percent of total billed charges,31.20678989,,,,,,,,,,24.5,percent of total billed charges,999999999,,,,,,,,,,24.5,percent of total billed charges,21.33613211,,,,,,,,,,88.2,percent of total billed charges,,,,,
INTRINSIC FACTOR ANTIBODY,86340,CDM,,,,both,,,175,175,37.25469031,175,175,percent of total billed charges,128.753717,,,,175,percent of total billed charges,136.4763943,,,,175,percent of total billed charges,128.753717,,,,175,percent of total billed charges,136.4763943,,,,175,percent of total billed charges,999999999,,,,175,percent of total billed charges,133.3379723,,,,175,percent of total billed charges,128.753717,,,,175,percent of total billed charges,136.4763943,,,,124.775,percent of total billed charges,62.26500839,,,,124.775,percent of total billed charges,37.25469031,,,,124.775,percent of total billed charges,62.26500839,,,,124.775,percent of total billed charges,37.25469031,,,,124.775,percent of total billed charges,62.26500839,,,,124.775,percent of total billed charges,37.25469031,,,,123.55,percent of total billed charges,122.6125926,,,,123.55,percent of total billed charges,84.56493326,,,,,,,,,,126,percent of total billed charges,81.89703495,,,,,,,,,,126,percent of total billed charges,999999999,,,,,,,,,,140,percent of total billed charges,117.3127226,,,,138.25,percent of total billed charges,133.4171996,,,,138.25,percent of total billed charges,117.8785121,,,,140,percent of total billed charges,999999999,,,,140,percent of total billed charges,999999999,,,,122.5,percent of total billed charges,999999999,,,,122.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,93.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,88.375,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,43.75,percent of total billed charges,41.55179836,,,,,,,,,,43.75,percent of total billed charges,40.86061247,,,,,,,,,,43.75,percent of total billed charges,40.74706257,,,,,,,,,,43.75,percent of total billed charges,40.14706257,,,,,,,,,,43.75,percent of total billed charges,41.18010551,,,,,,,,,,43.75,percent of total billed charges,999999999,,,,,,,,,,43.75,percent of total billed charges,35.33543044,,,,,,,,,,43.75,percent of total billed charges,55.72641052,,,,,,,,,,43.75,percent of total billed charges,999999999,,,,,,,,,,43.75,percent of total billed charges,38.10023591,,,,,,,,,,157.5,percent of total billed charges,,,,,
CALRECTICULILN GENE MUTATION,81219,CDM,,,,both,,,382,382,81.32166685,382,382,percent of total billed charges,281.0509708,,,,382,percent of total billed charges,297.908472,,,,382,percent of total billed charges,281.0509708,,,,382,percent of total billed charges,297.908472,,,,382,percent of total billed charges,999999999,,,,382,percent of total billed charges,291.0577453,,,,382,percent of total billed charges,281.0509708,,,,382,percent of total billed charges,297.908472,,,,272.366,percent of total billed charges,135.9156183,,,,272.366,percent of total billed charges,81.32166685,,,,272.366,percent of total billed charges,135.9156183,,,,272.366,percent of total billed charges,81.32166685,,,,272.366,percent of total billed charges,135.9156183,,,,272.366,percent of total billed charges,81.32166685,,,,269.692,percent of total billed charges,267.6457735,,,,269.692,percent of total billed charges,184.5931686,,,,,,,,,,275.04,percent of total billed charges,178.7695277,,,,,,,,,,275.04,percent of total billed charges,999999999,,,,,,,,,,305.6,percent of total billed charges,256.0769144,,,,301.78,percent of total billed charges,291.2306871,,,,301.78,percent of total billed charges,257.3119522,,,,305.6,percent of total billed charges,999999999,,,,305.6,percent of total billed charges,999999999,,,,267.4,percent of total billed charges,999999999,,,,267.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,203.224,percent of total billed charges,999999999,,,,,,,,,,,,,,,,192.91,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,95.5,percent of total billed charges,90.70163985,,,,,,,,,,95.5,percent of total billed charges,89.19287978,,,,,,,,,,95.5,percent of total billed charges,88.94501659,,,,,,,,,,95.5,percent of total billed charges,87.6353023,,,,,,,,,,95.5,percent of total billed charges,89.89028746,,,,,,,,,,95.5,percent of total billed charges,999999999,,,,,,,,,,95.5,percent of total billed charges,77.13219672,,,,,,,,,,95.5,percent of total billed charges,121.6427932,,,,,,,,,,95.5,percent of total billed charges,999999999,,,,,,,,,,95.5,percent of total billed charges,83.1673721,,,,,,,,,,343.8,percent of total billed charges,,,,,
URINE STONE RISK PROFILE(*),82365,CDM,,,,both,,,225,225,47.89888754,225,225,percent of total billed charges,165.5404933,,,,225,percent of total billed charges,175.4696498,,,,225,percent of total billed charges,165.5404933,,,,225,percent of total billed charges,175.4696498,,,,225,percent of total billed charges,999999999,,,,225,percent of total billed charges,171.4345358,,,,225,percent of total billed charges,165.5404933,,,,225,percent of total billed charges,175.4696498,,,,160.425,percent of total billed charges,80.05501078,,,,160.425,percent of total billed charges,47.89888754,,,,160.425,percent of total billed charges,80.05501078,,,,160.425,percent of total billed charges,47.89888754,,,,160.425,percent of total billed charges,80.05501078,,,,160.425,percent of total billed charges,47.89888754,,,,158.85,percent of total billed charges,157.6447619,,,,158.85,percent of total billed charges,108.7263428,,,,,,,,,,162,percent of total billed charges,105.2961878,,,,,,,,,,162,percent of total billed charges,999999999,,,,,,,,,,180,percent of total billed charges,150.8306433,,,,177.75,percent of total billed charges,171.5363995,,,,177.75,percent of total billed charges,151.558087,,,,180,percent of total billed charges,999999999,,,,180,percent of total billed charges,999999999,,,,157.5,percent of total billed charges,999999999,,,,157.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,119.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,113.625,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,56.25,percent of total billed charges,53.42374075,,,,,,,,,,56.25,percent of total billed charges,52.53507317,,,,,,,,,,56.25,percent of total billed charges,52.38908045,,,,,,,,,,56.25,percent of total billed charges,51.61765188,,,,,,,,,,56.25,percent of total billed charges,52.94584995,,,,,,,,,,56.25,percent of total billed charges,999999999,,,,,,,,,,56.25,percent of total billed charges,45.4312677,,,,,,,,,,56.25,percent of total billed charges,71.64824209,,,,,,,,,,56.25,percent of total billed charges,999999999,,,,,,,,,,56.25,percent of total billed charges,48.9860176,,,,,,,,,,202.5,percent of total billed charges,,,,,
CALCIUM-TOTAL,82310,CDM,,,,both,,,85,85,18.09513529,85,85,percent of total billed charges,62.53751969,,,,85,percent of total billed charges,66.28853435,,,,85,percent of total billed charges,62.53751969,,,,85,percent of total billed charges,66.28853435,,,,85,percent of total billed charges,999999999,,,,85,percent of total billed charges,64.76415799,,,,85,percent of total billed charges,62.53751969,,,,85,percent of total billed charges,66.28853435,,,,60.605,percent of total billed charges,30.24300407,,,,60.605,percent of total billed charges,18.09513529,,,,60.605,percent of total billed charges,30.24300407,,,,60.605,percent of total billed charges,18.09513529,,,,60.605,percent of total billed charges,30.24300407,,,,60.605,percent of total billed charges,18.09513529,,,,60.01,percent of total billed charges,59.55468782,,,,60.01,percent of total billed charges,41.07439615,,,,,,,,,,61.2,percent of total billed charges,39.77855983,,,,,,,,,,61.2,percent of total billed charges,999999999,,,,,,,,,,68,percent of total billed charges,56.98046524,,,,67.15,percent of total billed charges,64.80263979,,,,67.15,percent of total billed charges,57.25527733,,,,68,percent of total billed charges,999999999,,,,68,percent of total billed charges,999999999,,,,59.5,percent of total billed charges,999999999,,,,59.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,45.22,percent of total billed charges,999999999,,,,,,,,,,,,,,,,42.925,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21.25,percent of total billed charges,20.18230206,,,,,,,,,,21.25,percent of total billed charges,19.8465832,,,,,,,,,,21.25,percent of total billed charges,19.79143039,,,,,,,,,,21.25,percent of total billed charges,19.50000182,,,,,,,,,,21.25,percent of total billed charges,20.00176553,,,,,,,,,,21.25,percent of total billed charges,999999999,,,,,,,,,,21.25,percent of total billed charges,17.16292335,,,,,,,,,,21.25,percent of total billed charges,27.06711368,,,,,,,,,,21.25,percent of total billed charges,999999999,,,,,,,,,,21.25,percent of total billed charges,18.50582887,,,,,,,,,,76.5,percent of total billed charges,,,,,
CHAMYDIA PSITTACI ANTIBODY,86631,CDM,,,,both,,,75,75,15.96629585,75,75,percent of total billed charges,55.18016443,,,,75,percent of total billed charges,58.48988325,,,,75,percent of total billed charges,55.18016443,,,,75,percent of total billed charges,58.48988325,,,,75,percent of total billed charges,999999999,,,,75,percent of total billed charges,57.14484528,,,,75,percent of total billed charges,55.18016443,,,,75,percent of total billed charges,58.48988325,,,,53.475,percent of total billed charges,26.68500359,,,,53.475,percent of total billed charges,15.96629585,,,,53.475,percent of total billed charges,26.68500359,,,,53.475,percent of total billed charges,15.96629585,,,,53.475,percent of total billed charges,26.68500359,,,,53.475,percent of total billed charges,15.96629585,,,,52.95,percent of total billed charges,52.54825396,,,,52.95,percent of total billed charges,36.24211425,,,,,,,,,,54,percent of total billed charges,35.09872927,,,,,,,,,,54,percent of total billed charges,999999999,,,,,,,,,,60,percent of total billed charges,50.27688109,,,,59.25,percent of total billed charges,57.17879982,,,,59.25,percent of total billed charges,50.51936235,,,,60,percent of total billed charges,999999999,,,,60,percent of total billed charges,999999999,,,,52.5,percent of total billed charges,999999999,,,,52.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,39.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,37.875,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18.75,percent of total billed charges,17.80791358,,,,,,,,,,18.75,percent of total billed charges,17.51169106,,,,,,,,,,18.75,percent of total billed charges,17.46302682,,,,,,,,,,18.75,percent of total billed charges,17.20588396,,,,,,,,,,18.75,percent of total billed charges,17.64861665,,,,,,,,,,18.75,percent of total billed charges,999999999,,,,,,,,,,18.75,percent of total billed charges,15.1437559,,,,,,,,,,18.75,percent of total billed charges,23.88274736,,,,,,,,,,18.75,percent of total billed charges,999999999,,,,,,,,,,18.75,percent of total billed charges,16.32867253,,,,,,,,,,67.5,percent of total billed charges,,,,,
PYRUVIC ACID,84210,CDM,,,,both,,,187,187,39.80929764,187,187,percent of total billed charges,137.5825433,,,,187,percent of total billed charges,145.8347756,,,,187,percent of total billed charges,137.5825433,,,,187,percent of total billed charges,145.8347756,,,,187,percent of total billed charges,999999999,,,,187,percent of total billed charges,142.4811476,,,,187,percent of total billed charges,137.5825433,,,,187,percent of total billed charges,145.8347756,,,,133.331,percent of total billed charges,66.53460896,,,,133.331,percent of total billed charges,39.80929764,,,,133.331,percent of total billed charges,66.53460896,,,,133.331,percent of total billed charges,39.80929764,,,,133.331,percent of total billed charges,66.53460896,,,,133.331,percent of total billed charges,39.80929764,,,,132.022,percent of total billed charges,131.0203132,,,,132.022,percent of total billed charges,90.36367154,,,,,,,,,,134.64,percent of total billed charges,87.51283164,,,,,,,,,,134.64,percent of total billed charges,999999999,,,,,,,,,,149.6,percent of total billed charges,125.3570235,,,,147.73,percent of total billed charges,142.5658075,,,,147.73,percent of total billed charges,125.9616101,,,,149.6,percent of total billed charges,999999999,,,,149.6,percent of total billed charges,999999999,,,,130.9,percent of total billed charges,999999999,,,,130.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,99.484,percent of total billed charges,999999999,,,,,,,,,,,,,,,,94.435,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,46.75,percent of total billed charges,44.40106453,,,,,,,,,,46.75,percent of total billed charges,43.66248304,,,,,,,,,,46.75,percent of total billed charges,43.54114686,,,,,,,,,,46.75,percent of total billed charges,42.90000401,,,,,,,,,,46.75,percent of total billed charges,44.00388418,,,,,,,,,,46.75,percent of total billed charges,999999999,,,,,,,,,,46.75,percent of total billed charges,37.75843138,,,,,,,,,,46.75,percent of total billed charges,59.54765009,,,,,,,,,,46.75,percent of total billed charges,999999999,,,,,,,,,,46.75,percent of total billed charges,40.71282351,,,,,,,,,,168.3,percent of total billed charges,,,,,
ANCA TITER,86037,CDM,,,,both,,,27,27,5.747866505,27,27,percent of total billed charges,19.86485919,,,,27,percent of total billed charges,21.05635797,,,,27,percent of total billed charges,19.86485919,,,,27,percent of total billed charges,21.05635797,,,,27,percent of total billed charges,999999999,,,,27,percent of total billed charges,20.5721443,,,,27,percent of total billed charges,19.86485919,,,,27,percent of total billed charges,21.05635797,,,,19.251,percent of total billed charges,9.606601294,,,,19.251,percent of total billed charges,5.747866505,,,,19.251,percent of total billed charges,9.606601294,,,,19.251,percent of total billed charges,5.747866505,,,,19.251,percent of total billed charges,9.606601294,,,,19.251,percent of total billed charges,5.747866505,,,,19.062,percent of total billed charges,18.91737142,,,,19.062,percent of total billed charges,13.04716113,,,,,,,,,,19.44,percent of total billed charges,12.63554254,,,,,,,,,,19.44,percent of total billed charges,999999999,,,,,,,,,,21.6,percent of total billed charges,18.09967719,,,,21.33,percent of total billed charges,20.58436793,,,,21.33,percent of total billed charges,18.18697044,,,,21.6,percent of total billed charges,999999999,,,,21.6,percent of total billed charges,999999999,,,,18.9,percent of total billed charges,999999999,,,,18.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,14.364,percent of total billed charges,999999999,,,,,,,,,,,,,,,,13.635,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6.75,percent of total billed charges,6.41084889,,,,,,,,,,6.75,percent of total billed charges,6.30420878,,,,,,,,,,6.75,percent of total billed charges,6.286689654,,,,,,,,,,6.75,percent of total billed charges,6.194118226,,,,,,,,,,6.75,percent of total billed charges,6.353501993,,,,,,,,,,6.75,percent of total billed charges,999999999,,,,,,,,,,6.75,percent of total billed charges,5.451752124,,,,,,,,,,6.75,percent of total billed charges,8.597789051,,,,,,,,,,6.75,percent of total billed charges,999999999,,,,,,,,,,6.75,percent of total billed charges,5.878322112,,,,,,,,,,24.3,percent of total billed charges,,,,,
CARBON MONOXIDE,82375,CDM,,,,both,,,228,228,48.53753937,228,228,percent of total billed charges,167.7476999,,,,228,percent of total billed charges,177.8092451,,,,228,percent of total billed charges,167.7476999,,,,228,percent of total billed charges,177.8092451,,,,228,percent of total billed charges,999999999,,,,228,percent of total billed charges,173.7203297,,,,228,percent of total billed charges,167.7476999,,,,228,percent of total billed charges,177.8092451,,,,162.564,percent of total billed charges,81.12241093,,,,162.564,percent of total billed charges,48.53753937,,,,162.564,percent of total billed charges,81.12241093,,,,162.564,percent of total billed charges,48.53753937,,,,162.564,percent of total billed charges,81.12241093,,,,162.564,percent of total billed charges,48.53753937,,,,160.968,percent of total billed charges,159.746692,,,,160.968,percent of total billed charges,110.1760273,,,,,,,,,,164.16,percent of total billed charges,106.700137,,,,,,,,,,164.16,percent of total billed charges,999999999,,,,,,,,,,182.4,percent of total billed charges,152.8417185,,,,180.12,percent of total billed charges,173.8235514,,,,180.12,percent of total billed charges,153.5788615,,,,182.4,percent of total billed charges,999999999,,,,182.4,percent of total billed charges,999999999,,,,159.6,percent of total billed charges,999999999,,,,159.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,121.296,percent of total billed charges,999999999,,,,,,,,,,,,,,,,115.14,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,57,percent of total billed charges,54.13605729,,,,,,,,,,57,percent of total billed charges,53.23554081,,,,,,,,,,57,percent of total billed charges,53.08760152,,,,,,,,,,57,percent of total billed charges,52.30588724,,,,,,,,,,57,percent of total billed charges,53.65179461,,,,,,,,,,57,percent of total billed charges,999999999,,,,,,,,,,57,percent of total billed charges,46.03701794,,,,,,,,,,57,percent of total billed charges,72.60355199,,,,,,,,,,57,percent of total billed charges,999999999,,,,,,,,,,57,percent of total billed charges,49.6391645,,,,,,,,,,205.2,percent of total billed charges,,,,,
TOTAL T3,84480,CDM,,,,both,,,201,201,42.78967287,201,201,percent of total billed charges,147.8828407,,,,201,percent of total billed charges,156.7528871,,,,201,percent of total billed charges,147.8828407,,,,201,percent of total billed charges,156.7528871,,,,201,percent of total billed charges,999999999,,,,201,percent of total billed charges,153.1481854,,,,201,percent of total billed charges,147.8828407,,,,201,percent of total billed charges,156.7528871,,,,143.313,percent of total billed charges,71.51580963,,,,143.313,percent of total billed charges,42.78967287,,,,143.313,percent of total billed charges,71.51580963,,,,143.313,percent of total billed charges,42.78967287,,,,143.313,percent of total billed charges,71.51580963,,,,143.313,percent of total billed charges,42.78967287,,,,141.906,percent of total billed charges,140.8293206,,,,141.906,percent of total billed charges,97.1288662,,,,,,,,,,144.72,percent of total billed charges,94.06459443,,,,,,,,,,144.72,percent of total billed charges,999999999,,,,,,,,,,160.8,percent of total billed charges,134.7420413,,,,158.79,percent of total billed charges,153.2391835,,,,158.79,percent of total billed charges,135.3918911,,,,160.8,percent of total billed charges,999999999,,,,160.8,percent of total billed charges,999999999,,,,140.7,percent of total billed charges,999999999,,,,140.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,106.932,percent of total billed charges,999999999,,,,,,,,,,,,,,,,101.505,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,50.25,percent of total billed charges,47.7252084,,,,,,,,,,50.25,percent of total billed charges,46.93133203,,,,,,,,,,50.25,percent of total billed charges,46.80091187,,,,,,,,,,50.25,percent of total billed charges,46.11176901,,,,,,,,,,50.25,percent of total billed charges,47.29829262,,,,,,,,,,50.25,percent of total billed charges,999999999,,,,,,,,,,50.25,percent of total billed charges,40.58526581,,,,,,,,,,50.25,percent of total billed charges,64.00576294,,,,,,,,,,50.25,percent of total billed charges,999999999,,,,,,,,,,50.25,percent of total billed charges,43.76084239,,,,,,,,,,180.9,percent of total billed charges,,,,,
UREA CLEARANCE,84540,CDM,,,,both,,,133,133,28.31356463,133,133,percent of total billed charges,97.85282492,,,,133,percent of total billed charges,103.7220596,,,,133,percent of total billed charges,97.85282492,,,,133,percent of total billed charges,103.7220596,,,,133,percent of total billed charges,999999999,,,,133,percent of total billed charges,101.336859,,,,133,percent of total billed charges,97.85282492,,,,133,percent of total billed charges,103.7220596,,,,94.829,percent of total billed charges,47.32140637,,,,94.829,percent of total billed charges,28.31356463,,,,94.829,percent of total billed charges,47.32140637,,,,94.829,percent of total billed charges,28.31356463,,,,94.829,percent of total billed charges,47.32140637,,,,94.829,percent of total billed charges,28.31356463,,,,93.898,percent of total billed charges,93.18557035,,,,93.898,percent of total billed charges,64.26934928,,,,,,,,,,95.76,percent of total billed charges,62.24174656,,,,,,,,,,95.76,percent of total billed charges,999999999,,,,,,,,,,106.4,percent of total billed charges,89.15766914,,,,105.07,percent of total billed charges,101.3970717,,,,105.07,percent of total billed charges,89.58766923,,,,106.4,percent of total billed charges,999999999,,,,106.4,percent of total billed charges,999999999,,,,93.1,percent of total billed charges,999999999,,,,93.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,70.756,percent of total billed charges,999999999,,,,,,,,,,,,,,,,67.165,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,33.25,percent of total billed charges,31.57936675,,,,,,,,,,33.25,percent of total billed charges,31.05406547,,,,,,,,,,33.25,percent of total billed charges,30.96776756,,,,,,,,,,33.25,percent of total billed charges,30.51176756,,,,,,,,,,33.25,percent of total billed charges,31.29688019,,,,,,,,,,33.25,percent of total billed charges,999999999,,,,,,,,,,33.25,percent of total billed charges,26.85492713,,,,,,,,,,33.25,percent of total billed charges,42.35207199,,,,,,,,,,33.25,percent of total billed charges,999999999,,,,,,,,,,33.25,percent of total billed charges,28.95617929,,,,,,,,,,119.7,percent of total billed charges,,,,,
CHLORIDES URINE,82436,CDM,,,,both,,,99,99,21.07551052,99,99,percent of total billed charges,72.83781705,,,,99,percent of total billed charges,77.20664589,,,,99,percent of total billed charges,72.83781705,,,,99,percent of total billed charges,77.20664589,,,,99,percent of total billed charges,999999999,,,,99,percent of total billed charges,75.43119577,,,,99,percent of total billed charges,72.83781705,,,,99,percent of total billed charges,77.20664589,,,,70.587,percent of total billed charges,35.22420474,,,,70.587,percent of total billed charges,21.07551052,,,,70.587,percent of total billed charges,35.22420474,,,,70.587,percent of total billed charges,21.07551052,,,,70.587,percent of total billed charges,35.22420474,,,,70.587,percent of total billed charges,21.07551052,,,,69.894,percent of total billed charges,69.36369522,,,,69.894,percent of total billed charges,47.83959081,,,,,,,,,,71.28,percent of total billed charges,46.33032263,,,,,,,,,,71.28,percent of total billed charges,999999999,,,,,,,,,,79.2,percent of total billed charges,66.36548304,,,,78.21,percent of total billed charges,75.47601576,,,,78.21,percent of total billed charges,66.6855583,,,,79.2,percent of total billed charges,999999999,,,,79.2,percent of total billed charges,999999999,,,,69.3,percent of total billed charges,999999999,,,,69.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,52.668,percent of total billed charges,999999999,,,,,,,,,,,,,,,,49.995,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,24.75,percent of total billed charges,23.50644593,,,,,,,,,,24.75,percent of total billed charges,23.1154322,,,,,,,,,,24.75,percent of total billed charges,23.0511954,,,,,,,,,,24.75,percent of total billed charges,22.71176683,,,,,,,,,,24.75,percent of total billed charges,23.29617398,,,,,,,,,,24.75,percent of total billed charges,999999999,,,,,,,,,,24.75,percent of total billed charges,19.98975779,,,,,,,,,,24.75,percent of total billed charges,31.52522652,,,,,,,,,,24.75,percent of total billed charges,999999999,,,,,,,,,,24.75,percent of total billed charges,21.55384774,,,,,,,,,,89.1,percent of total billed charges,,,,,
METHYLMALONIC ACID(*),83921,CDM,,,,both,,,268,268,57.05289716,268,268,percent of total billed charges,197.1771209,,,,268,percent of total billed charges,209.0038495,,,,268,percent of total billed charges,197.1771209,,,,268,percent of total billed charges,209.0038495,,,,268,percent of total billed charges,999999999,,,,268,percent of total billed charges,204.1975805,,,,268,percent of total billed charges,197.1771209,,,,268,percent of total billed charges,209.0038495,,,,191.084,percent of total billed charges,95.35441284,,,,191.084,percent of total billed charges,57.05289716,,,,191.084,percent of total billed charges,95.35441284,,,,191.084,percent of total billed charges,57.05289716,,,,191.084,percent of total billed charges,95.35441284,,,,191.084,percent of total billed charges,57.05289716,,,,189.208,percent of total billed charges,187.7724275,,,,189.208,percent of total billed charges,129.5051549,,,,,,,,,,192.96,percent of total billed charges,125.4194592,,,,,,,,,,192.96,percent of total billed charges,999999999,,,,,,,,,,214.4,percent of total billed charges,179.6560551,,,,211.72,percent of total billed charges,204.3189114,,,,211.72,percent of total billed charges,180.5225214,,,,214.4,percent of total billed charges,999999999,,,,214.4,percent of total billed charges,999999999,,,,187.6,percent of total billed charges,999999999,,,,187.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,142.576,percent of total billed charges,999999999,,,,,,,,,,,,,,,,135.34,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,67,percent of total billed charges,63.6336112,,,,,,,,,,67,percent of total billed charges,62.57510938,,,,,,,,,,67,percent of total billed charges,62.40121583,,,,,,,,,,67,percent of total billed charges,61.48235868,,,,,,,,,,67,percent of total billed charges,63.06439016,,,,,,,,,,67,percent of total billed charges,999999999,,,,,,,,,,67,percent of total billed charges,54.11368775,,,,,,,,,,67,percent of total billed charges,85.34101725,,,,,,,,,,67,percent of total billed charges,999999999,,,,,,,,,,67,percent of total billed charges,58.34778985,,,,,,,,,,241.2,percent of total billed charges,,,,,
ADENOVIRUS ANTIBODY,86603,CDM,,,,both,,,174,174,37.04180636,174,174,percent of total billed charges,128.0179815,,,,174,percent of total billed charges,135.6965291,,,,174,percent of total billed charges,128.0179815,,,,174,percent of total billed charges,135.6965291,,,,174,percent of total billed charges,999999999,,,,174,percent of total billed charges,132.5760411,,,,174,percent of total billed charges,128.0179815,,,,174,percent of total billed charges,135.6965291,,,,124.062,percent of total billed charges,61.90920834,,,,124.062,percent of total billed charges,37.04180636,,,,124.062,percent of total billed charges,61.90920834,,,,124.062,percent of total billed charges,37.04180636,,,,124.062,percent of total billed charges,61.90920834,,,,124.062,percent of total billed charges,37.04180636,,,,122.844,percent of total billed charges,121.9119492,,,,122.844,percent of total billed charges,84.08170507,,,,,,,,,,125.28,percent of total billed charges,81.4290519,,,,,,,,,,125.28,percent of total billed charges,999999999,,,,,,,,,,139.2,percent of total billed charges,116.6423641,,,,137.46,percent of total billed charges,132.6548156,,,,137.46,percent of total billed charges,117.2049206,,,,139.2,percent of total billed charges,999999999,,,,139.2,percent of total billed charges,999999999,,,,121.8,percent of total billed charges,999999999,,,,121.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,92.568,percent of total billed charges,999999999,,,,,,,,,,,,,,,,87.87,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,43.5,percent of total billed charges,41.31435951,,,,,,,,,,43.5,percent of total billed charges,40.62712325,,,,,,,,,,43.5,percent of total billed charges,40.51422222,,,,,,,,,,43.5,percent of total billed charges,39.91765079,,,,,,,,,,43.5,percent of total billed charges,40.94479062,,,,,,,,,,43.5,percent of total billed charges,999999999,,,,,,,,,,43.5,percent of total billed charges,35.13351369,,,,,,,,,,43.5,percent of total billed charges,55.40797388,,,,,,,,,,43.5,percent of total billed charges,999999999,,,,,,,,,,43.5,percent of total billed charges,37.88252028,,,,,,,,,,156.6,percent of total billed charges,,,,,
EVEROLIMUS,80169,CDM,,,,both,,,349,349,74.29649667,349,349,percent of total billed charges,256.7716985,,,,349,percent of total billed charges,272.1729234,,,,349,percent of total billed charges,256.7716985,,,,349,percent of total billed charges,272.1729234,,,,349,percent of total billed charges,999999999,,,,349,percent of total billed charges,265.9140134,,,,349,percent of total billed charges,256.7716985,,,,349,percent of total billed charges,272.1729234,,,,248.837,percent of total billed charges,124.1742167,,,,248.837,percent of total billed charges,74.29649667,,,,248.837,percent of total billed charges,124.1742167,,,,248.837,percent of total billed charges,74.29649667,,,,248.837,percent of total billed charges,124.1742167,,,,248.837,percent of total billed charges,74.29649667,,,,246.394,percent of total billed charges,244.5245417,,,,246.394,percent of total billed charges,168.6466383,,,,,,,,,,251.28,percent of total billed charges,163.3260869,,,,,,,,,,251.28,percent of total billed charges,999999999,,,,,,,,,,279.2,percent of total billed charges,233.9550867,,,,275.71,percent of total billed charges,266.0720152,,,,275.71,percent of total billed charges,235.0834328,,,,279.2,percent of total billed charges,999999999,,,,279.2,percent of total billed charges,999999999,,,,244.3,percent of total billed charges,999999999,,,,244.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,185.668,percent of total billed charges,999999999,,,,,,,,,,,,,,,,176.245,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,87.25,percent of total billed charges,82.86615787,,,,,,,,,,87.25,percent of total billed charges,81.48773572,,,,,,,,,,87.25,percent of total billed charges,81.26128479,,,,,,,,,,87.25,percent of total billed charges,80.06471336,,,,,,,,,,87.25,percent of total billed charges,82.12489614,,,,,,,,,,87.25,percent of total billed charges,999999999,,,,,,,,,,87.25,percent of total billed charges,70.46894413,,,,,,,,,,87.25,percent of total billed charges,111.1343844,,,,,,,,,,87.25,percent of total billed charges,999999999,,,,,,,,,,87.25,percent of total billed charges,75.98275618,,,,,,,,,,314.1,percent of total billed charges,,,,,
HDL,83718,CDM,,,,both,,,118,118,25.12030547,118,118,percent of total billed charges,86.81679204,,,,118,percent of total billed charges,92.02408298,,,,118,percent of total billed charges,86.81679204,,,,118,percent of total billed charges,92.02408298,,,,118,percent of total billed charges,999999999,,,,118,percent of total billed charges,89.90788991,,,,118,percent of total billed charges,86.81679204,,,,118,percent of total billed charges,92.02408298,,,,84.134,percent of total billed charges,41.98440566,,,,84.134,percent of total billed charges,25.12030547,,,,84.134,percent of total billed charges,41.98440566,,,,84.134,percent of total billed charges,25.12030547,,,,84.134,percent of total billed charges,41.98440566,,,,84.134,percent of total billed charges,25.12030547,,,,83.308,percent of total billed charges,82.67591956,,,,83.308,percent of total billed charges,57.02092642,,,,,,,,,,84.96,percent of total billed charges,55.22200071,,,,,,,,,,84.96,percent of total billed charges,999999999,,,,,,,,,,94.4,percent of total billed charges,79.10229292,,,,93.22,percent of total billed charges,89.96131171,,,,93.22,percent of total billed charges,79.48379676,,,,94.4,percent of total billed charges,999999999,,,,94.4,percent of total billed charges,999999999,,,,82.6,percent of total billed charges,999999999,,,,82.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,62.776,percent of total billed charges,999999999,,,,,,,,,,,,,,,,59.59,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,29.5,percent of total billed charges,28.01778404,,,,,,,,,,29.5,percent of total billed charges,27.55172726,,,,,,,,,,29.5,percent of total billed charges,27.47516219,,,,,,,,,,29.5,percent of total billed charges,27.07059076,,,,,,,,,,29.5,percent of total billed charges,27.76715686,,,,,,,,,,29.5,percent of total billed charges,999999999,,,,,,,,,,29.5,percent of total billed charges,23.82617595,,,,,,,,,,29.5,percent of total billed charges,37.57552252,,,,,,,,,,29.5,percent of total billed charges,999999999,,,,,,,,,,29.5,percent of total billed charges,25.69044478,,,,,,,,,,106.2,percent of total billed charges,,,,,
HAMS ACID TEST(*),85475,CDM,,,,both,,,217,217,46.19581598,217,217,percent of total billed charges,159.6546091,,,,217,percent of total billed charges,169.2307289,,,,217,percent of total billed charges,159.6546091,,,,217,percent of total billed charges,169.2307289,,,,217,percent of total billed charges,999999999,,,,217,percent of total billed charges,165.3390857,,,,217,percent of total billed charges,159.6546091,,,,217,percent of total billed charges,169.2307289,,,,154.721,percent of total billed charges,77.2086104,,,,154.721,percent of total billed charges,46.19581598,,,,154.721,percent of total billed charges,77.2086104,,,,154.721,percent of total billed charges,46.19581598,,,,154.721,percent of total billed charges,77.2086104,,,,154.721,percent of total billed charges,46.19581598,,,,153.202,percent of total billed charges,152.0396148,,,,153.202,percent of total billed charges,104.8605172,,,,,,,,,,156.24,percent of total billed charges,101.5523233,,,,,,,,,,156.24,percent of total billed charges,999999999,,,,,,,,,,173.6,percent of total billed charges,145.467776,,,,171.43,percent of total billed charges,165.4373275,,,,171.43,percent of total billed charges,146.1693551,,,,173.6,percent of total billed charges,999999999,,,,173.6,percent of total billed charges,999999999,,,,151.9,percent of total billed charges,999999999,,,,151.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,115.444,percent of total billed charges,999999999,,,,,,,,,,,,,,,,109.585,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,54.25,percent of total billed charges,51.52422996,,,,,,,,,,54.25,percent of total billed charges,50.66715946,,,,,,,,,,54.25,percent of total billed charges,50.52635759,,,,,,,,,,54.25,percent of total billed charges,49.78235759,,,,,,,,,,54.25,percent of total billed charges,51.06333084,,,,,,,,,,54.25,percent of total billed charges,999999999,,,,,,,,,,54.25,percent of total billed charges,43.81593374,,,,,,,,,,54.25,percent of total billed charges,69.10074904,,,,,,,,,,54.25,percent of total billed charges,999999999,,,,,,,,,,54.25,percent of total billed charges,47.24429253,,,,,,,,,,195.3,percent of total billed charges,,,,,
T4,84436,CDM,,,,both,,,144,144,30.65528803,144,144,percent of total billed charges,105.9459157,,,,144,percent of total billed charges,112.3005758,,,,144,percent of total billed charges,105.9459157,,,,144,percent of total billed charges,112.3005758,,,,144,percent of total billed charges,999999999,,,,144,percent of total billed charges,109.7181029,,,,144,percent of total billed charges,105.9459157,,,,144,percent of total billed charges,112.3005758,,,,102.672,percent of total billed charges,51.2352069,,,,102.672,percent of total billed charges,30.65528803,,,,102.672,percent of total billed charges,51.2352069,,,,102.672,percent of total billed charges,30.65528803,,,,102.672,percent of total billed charges,51.2352069,,,,102.672,percent of total billed charges,30.65528803,,,,101.664,percent of total billed charges,100.8926476,,,,101.664,percent of total billed charges,69.58485937,,,,,,,,,,103.68,percent of total billed charges,67.38956019,,,,,,,,,,103.68,percent of total billed charges,999999999,,,,,,,,,,115.2,percent of total billed charges,96.5316117,,,,113.76,percent of total billed charges,109.7832957,,,,113.76,percent of total billed charges,96.9971757,,,,115.2,percent of total billed charges,999999999,,,,115.2,percent of total billed charges,999999999,,,,100.8,percent of total billed charges,999999999,,,,100.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,76.608,percent of total billed charges,999999999,,,,,,,,,,,,,,,,72.72,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,36,percent of total billed charges,34.19119408,,,,,,,,,,36,percent of total billed charges,33.62244683,,,,,,,,,,36,percent of total billed charges,33.52901149,,,,,,,,,,36,percent of total billed charges,33.0352972,,,,,,,,,,36,percent of total billed charges,33.88534397,,,,,,,,,,36,percent of total billed charges,999999999,,,,,,,,,,36,percent of total billed charges,29.07601133,,,,,,,,,,36,percent of total billed charges,45.85487494,,,,,,,,,,36,percent of total billed charges,999999999,,,,,,,,,,36,percent of total billed charges,31.35105126,,,,,,,,,,129.6,percent of total billed charges,,,,,
TRYPSIN-STOOL(*),84488,CDM,,,,both,,,156,156,33.20989536,156,156,percent of total billed charges,114.774742,,,,156,percent of total billed charges,121.6589572,,,,156,percent of total billed charges,114.774742,,,,156,percent of total billed charges,121.6589572,,,,156,percent of total billed charges,999999999,,,,156,percent of total billed charges,118.8612782,,,,156,percent of total billed charges,114.774742,,,,156,percent of total billed charges,121.6589572,,,,111.228,percent of total billed charges,55.50480748,,,,111.228,percent of total billed charges,33.20989536,,,,111.228,percent of total billed charges,55.50480748,,,,111.228,percent of total billed charges,33.20989536,,,,111.228,percent of total billed charges,55.50480748,,,,111.228,percent of total billed charges,33.20989536,,,,110.136,percent of total billed charges,109.3003682,,,,110.136,percent of total billed charges,75.38359765,,,,,,,,,,112.32,percent of total billed charges,73.00535687,,,,,,,,,,112.32,percent of total billed charges,999999999,,,,,,,,,,124.8,percent of total billed charges,104.5759127,,,,123.24,percent of total billed charges,118.9319036,,,,123.24,percent of total billed charges,105.0802737,,,,124.8,percent of total billed charges,999999999,,,,124.8,percent of total billed charges,999999999,,,,109.2,percent of total billed charges,999999999,,,,109.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,82.992,percent of total billed charges,999999999,,,,,,,,,,,,,,,,78.78,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,39,percent of total billed charges,37.04046025,,,,,,,,,,39,percent of total billed charges,36.4243174,,,,,,,,,,39,percent of total billed charges,36.32309578,,,,,,,,,,39,percent of total billed charges,35.78823864,,,,,,,,,,39,percent of total billed charges,36.70912263,,,,,,,,,,39,percent of total billed charges,999999999,,,,,,,,,,39,percent of total billed charges,31.49901227,,,,,,,,,,39,percent of total billed charges,49.67611452,,,,,,,,,,39,percent of total billed charges,999999999,,,,,,,,,,39,percent of total billed charges,33.96363887,,,,,,,,,,140.4,percent of total billed charges,,,,,
HEMOCHROMATOSIS MUTATION,81256,CDM,,,,both,,,324,324,68.97439806,324,324,percent of total billed charges,238.3783103,,,,324,percent of total billed charges,252.6762956,,,,324,percent of total billed charges,238.3783103,,,,324,percent of total billed charges,252.6762956,,,,324,percent of total billed charges,999999999,,,,324,percent of total billed charges,246.8657316,,,,324,percent of total billed charges,238.3783103,,,,324,percent of total billed charges,252.6762956,,,,231.012,percent of total billed charges,115.2792155,,,,231.012,percent of total billed charges,68.97439806,,,,231.012,percent of total billed charges,115.2792155,,,,231.012,percent of total billed charges,68.97439806,,,,231.012,percent of total billed charges,115.2792155,,,,231.012,percent of total billed charges,68.97439806,,,,228.744,percent of total billed charges,227.0084571,,,,228.744,percent of total billed charges,156.5659336,,,,,,,,,,233.28,percent of total billed charges,151.6265104,,,,,,,,,,233.28,percent of total billed charges,999999999,,,,,,,,,,259.2,percent of total billed charges,217.1961263,,,,255.96,percent of total billed charges,247.0124152,,,,255.96,percent of total billed charges,218.2436453,,,,259.2,percent of total billed charges,999999999,,,,259.2,percent of total billed charges,999999999,,,,226.8,percent of total billed charges,999999999,,,,226.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,172.368,percent of total billed charges,999999999,,,,,,,,,,,,,,,,163.62,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,81,percent of total billed charges,76.93018668,,,,,,,,,,81,percent of total billed charges,75.65050537,,,,,,,,,,81,percent of total billed charges,75.44027585,,,,,,,,,,81,percent of total billed charges,74.32941871,,,,,,,,,,81,percent of total billed charges,76.24202392,,,,,,,,,,81,percent of total billed charges,999999999,,,,,,,,,,81,percent of total billed charges,65.42102549,,,,,,,,,,81,percent of total billed charges,103.1734686,,,,,,,,,,81,percent of total billed charges,999999999,,,,,,,,,,81,percent of total billed charges,70.53986534,,,,,,,,,,291.6,percent of total billed charges,,,,,
CHOLESTEROL,82465,CDM,,,,both,,,86,86,18.30801924,86,86,percent of total billed charges,63.27325521,,,,86,percent of total billed charges,67.06839946,,,,86,percent of total billed charges,63.27325521,,,,86,percent of total billed charges,67.06839946,,,,86,percent of total billed charges,999999999,,,,86,percent of total billed charges,65.52608926,,,,86,percent of total billed charges,63.27325521,,,,86,percent of total billed charges,67.06839946,,,,61.318,percent of total billed charges,30.59880412,,,,61.318,percent of total billed charges,18.30801924,,,,61.318,percent of total billed charges,30.59880412,,,,61.318,percent of total billed charges,18.30801924,,,,61.318,percent of total billed charges,30.59880412,,,,61.318,percent of total billed charges,18.30801924,,,,60.716,percent of total billed charges,60.2553312,,,,60.716,percent of total billed charges,41.55762434,,,,,,,,,,61.92,percent of total billed charges,40.24654289,,,,,,,,,,61.92,percent of total billed charges,999999999,,,,,,,,,,68.8,percent of total billed charges,57.65082366,,,,67.94,percent of total billed charges,65.56502379,,,,67.94,percent of total billed charges,57.92886882,,,,68.8,percent of total billed charges,999999999,,,,68.8,percent of total billed charges,999999999,,,,60.2,percent of total billed charges,999999999,,,,60.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,45.752,percent of total billed charges,999999999,,,,,,,,,,,,,,,,43.43,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21.5,percent of total billed charges,20.41974091,,,,,,,,,,21.5,percent of total billed charges,20.08007241,,,,,,,,,,21.5,percent of total billed charges,20.02427075,,,,,,,,,,21.5,percent of total billed charges,19.72941361,,,,,,,,,,21.5,percent of total billed charges,20.23708042,,,,,,,,,,21.5,percent of total billed charges,999999999,,,,,,,,,,21.5,percent of total billed charges,17.3648401,,,,,,,,,,21.5,percent of total billed charges,27.38555031,,,,,,,,,,21.5,percent of total billed charges,999999999,,,,,,,,,,21.5,percent of total billed charges,18.7235445,,,,,,,,,,77.4,percent of total billed charges,,,,,
LIPOPROTEIN BLD QUANT,83704,CDM,,,,both,,,203,203,43.21544076,203,203,percent of total billed charges,149.3543117,,,,203,percent of total billed charges,158.3126173,,,,203,percent of total billed charges,149.3543117,,,,203,percent of total billed charges,158.3126173,,,,203,percent of total billed charges,999999999,,,,203,percent of total billed charges,154.6720479,,,,203,percent of total billed charges,149.3543117,,,,203,percent of total billed charges,158.3126173,,,,144.739,percent of total billed charges,72.22740973,,,,144.739,percent of total billed charges,43.21544076,,,,144.739,percent of total billed charges,72.22740973,,,,144.739,percent of total billed charges,43.21544076,,,,144.739,percent of total billed charges,72.22740973,,,,144.739,percent of total billed charges,43.21544076,,,,143.318,percent of total billed charges,142.2306074,,,,143.318,percent of total billed charges,98.09532258,,,,,,,,,,146.16,percent of total billed charges,95.00056055,,,,,,,,,,146.16,percent of total billed charges,999999999,,,,,,,,,,162.4,percent of total billed charges,136.0827582,,,,160.37,percent of total billed charges,154.7639515,,,,160.37,percent of total billed charges,136.7390741,,,,162.4,percent of total billed charges,999999999,,,,162.4,percent of total billed charges,999999999,,,,142.1,percent of total billed charges,999999999,,,,142.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,107.996,percent of total billed charges,999999999,,,,,,,,,,,,,,,,102.515,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,50.75,percent of total billed charges,48.2000861,,,,,,,,,,50.75,percent of total billed charges,47.39831046,,,,,,,,,,50.75,percent of total billed charges,47.26659259,,,,,,,,,,50.75,percent of total billed charges,46.57059258,,,,,,,,,,50.75,percent of total billed charges,47.7689224,,,,,,,,,,50.75,percent of total billed charges,999999999,,,,,,,,,,50.75,percent of total billed charges,40.9890993,,,,,,,,,,50.75,percent of total billed charges,64.6426362,,,,,,,,,,50.75,percent of total billed charges,999999999,,,,,,,,,,50.75,percent of total billed charges,44.19627365,,,,,,,,,,182.7,percent of total billed charges,,,,,
GLUCAGON,82943,CDM,,,,both,,,138,138,29.37798436,138,138,percent of total billed charges,101.5315025,,,,138,percent of total billed charges,107.6213852,,,,138,percent of total billed charges,101.5315025,,,,138,percent of total billed charges,107.6213852,,,,138,percent of total billed charges,999999999,,,,138,percent of total billed charges,105.1465153,,,,138,percent of total billed charges,101.5315025,,,,138,percent of total billed charges,107.6213852,,,,98.394,percent of total billed charges,49.10040661,,,,98.394,percent of total billed charges,29.37798436,,,,98.394,percent of total billed charges,49.10040661,,,,98.394,percent of total billed charges,29.37798436,,,,98.394,percent of total billed charges,49.10040661,,,,98.394,percent of total billed charges,29.37798436,,,,97.428,percent of total billed charges,96.68878728,,,,97.428,percent of total billed charges,66.68549023,,,,,,,,,,99.36,percent of total billed charges,64.58166185,,,,,,,,,,99.36,percent of total billed charges,999999999,,,,,,,,,,110.4,percent of total billed charges,92.50946121,,,,109.02,percent of total billed charges,105.2089917,,,,109.02,percent of total billed charges,92.95562672,,,,110.4,percent of total billed charges,999999999,,,,110.4,percent of total billed charges,999999999,,,,96.6,percent of total billed charges,999999999,,,,96.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,73.416,percent of total billed charges,999999999,,,,,,,,,,,,,,,,69.69,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,34.5,percent of total billed charges,32.76656099,,,,,,,,,,34.5,percent of total billed charges,32.22151154,,,,,,,,,,34.5,percent of total billed charges,32.13196934,,,,,,,,,,34.5,percent of total billed charges,31.65882649,,,,,,,,,,34.5,percent of total billed charges,32.47345463,,,,,,,,,,34.5,percent of total billed charges,999999999,,,,,,,,,,34.5,percent of total billed charges,27.86451086,,,,,,,,,,34.5,percent of total billed charges,43.94425515,,,,,,,,,,34.5,percent of total billed charges,999999999,,,,,,,,,,34.5,percent of total billed charges,30.04475746,,,,,,,,,,124.2,percent of total billed charges,,,,,
CO2 CONTENT,82374,CDM,,,,both,,,74,74,15.7534119,74,74,percent of total billed charges,54.4444289,,,,74,percent of total billed charges,57.71001814,,,,74,percent of total billed charges,54.4444289,,,,74,percent of total billed charges,57.71001814,,,,74,percent of total billed charges,999999999,,,,74,percent of total billed charges,56.38291401,,,,74,percent of total billed charges,54.4444289,,,,74,percent of total billed charges,57.71001814,,,,52.762,percent of total billed charges,26.32920355,,,,52.762,percent of total billed charges,15.7534119,,,,52.762,percent of total billed charges,26.32920355,,,,52.762,percent of total billed charges,15.7534119,,,,52.762,percent of total billed charges,26.32920355,,,,52.762,percent of total billed charges,15.7534119,,,,52.244,percent of total billed charges,51.84761057,,,,52.244,percent of total billed charges,35.75888606,,,,,,,,,,53.28,percent of total billed charges,34.63074621,,,,,,,,,,53.28,percent of total billed charges,999999999,,,,,,,,,,59.2,percent of total billed charges,49.60652268,,,,58.46,percent of total billed charges,56.41641582,,,,58.46,percent of total billed charges,49.84577085,,,,59.2,percent of total billed charges,999999999,,,,59.2,percent of total billed charges,999999999,,,,51.8,percent of total billed charges,999999999,,,,51.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,39.368,percent of total billed charges,999999999,,,,,,,,,,,,,,,,37.37,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18.5,percent of total billed charges,17.57047473,,,,,,,,,,18.5,percent of total billed charges,17.27820184,,,,,,,,,,18.5,percent of total billed charges,17.23018646,,,,,,,,,,18.5,percent of total billed charges,16.97647217,,,,,,,,,,18.5,percent of total billed charges,17.41330176,,,,,,,,,,18.5,percent of total billed charges,999999999,,,,,,,,,,18.5,percent of total billed charges,14.94183916,,,,,,,,,,18.5,percent of total billed charges,23.56431073,,,,,,,,,,18.5,percent of total billed charges,999999999,,,,,,,,,,18.5,percent of total billed charges,16.1109569,,,,,,,,,,66.6,percent of total billed charges,,,,,
CALCIUM-IONIZED(*),82330,CDM,,,,both,,,225,225,47.89888754,225,225,percent of total billed charges,165.5404933,,,,225,percent of total billed charges,175.4696498,,,,225,percent of total billed charges,165.5404933,,,,225,percent of total billed charges,175.4696498,,,,225,percent of total billed charges,999999999,,,,225,percent of total billed charges,171.4345358,,,,225,percent of total billed charges,165.5404933,,,,225,percent of total billed charges,175.4696498,,,,160.425,percent of total billed charges,80.05501078,,,,160.425,percent of total billed charges,47.89888754,,,,160.425,percent of total billed charges,80.05501078,,,,160.425,percent of total billed charges,47.89888754,,,,160.425,percent of total billed charges,80.05501078,,,,160.425,percent of total billed charges,47.89888754,,,,158.85,percent of total billed charges,157.6447619,,,,158.85,percent of total billed charges,108.7263428,,,,,,,,,,162,percent of total billed charges,105.2961878,,,,,,,,,,162,percent of total billed charges,999999999,,,,,,,,,,180,percent of total billed charges,150.8306433,,,,177.75,percent of total billed charges,171.5363995,,,,177.75,percent of total billed charges,151.558087,,,,180,percent of total billed charges,999999999,,,,180,percent of total billed charges,999999999,,,,157.5,percent of total billed charges,999999999,,,,157.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,119.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,113.625,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,56.25,percent of total billed charges,53.42374075,,,,,,,,,,56.25,percent of total billed charges,52.53507317,,,,,,,,,,56.25,percent of total billed charges,52.38908045,,,,,,,,,,56.25,percent of total billed charges,51.61765188,,,,,,,,,,56.25,percent of total billed charges,52.94584995,,,,,,,,,,56.25,percent of total billed charges,999999999,,,,,,,,,,56.25,percent of total billed charges,45.4312677,,,,,,,,,,56.25,percent of total billed charges,71.64824209,,,,,,,,,,56.25,percent of total billed charges,999999999,,,,,,,,,,56.25,percent of total billed charges,48.9860176,,,,,,,,,,202.5,percent of total billed charges,,,,,
CPK,82550,CDM,,,,both,,,167,167,35.55161875,167,167,percent of total billed charges,122.8678328,,,,167,percent of total billed charges,130.2374734,,,,167,percent of total billed charges,122.8678328,,,,167,percent of total billed charges,130.2374734,,,,167,percent of total billed charges,999999999,,,,167,percent of total billed charges,127.2425222,,,,167,percent of total billed charges,122.8678328,,,,167,percent of total billed charges,130.2374734,,,,119.071,percent of total billed charges,59.418608,,,,119.071,percent of total billed charges,35.55161875,,,,119.071,percent of total billed charges,59.418608,,,,119.071,percent of total billed charges,35.55161875,,,,119.071,percent of total billed charges,59.418608,,,,119.071,percent of total billed charges,35.55161875,,,,117.902,percent of total billed charges,117.0074455,,,,117.902,percent of total billed charges,80.69910774,,,,,,,,,,120.24,percent of total billed charges,78.1531705,,,,,,,,,,120.24,percent of total billed charges,999999999,,,,,,,,,,133.6,percent of total billed charges,111.9498552,,,,131.93,percent of total billed charges,127.3181276,,,,131.93,percent of total billed charges,112.4897802,,,,133.6,percent of total billed charges,999999999,,,,133.6,percent of total billed charges,999999999,,,,116.9,percent of total billed charges,999999999,,,,116.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,88.844,percent of total billed charges,999999999,,,,,,,,,,,,,,,,84.335,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,41.75,percent of total billed charges,39.65228758,,,,,,,,,,41.75,percent of total billed charges,38.99269875,,,,,,,,,,41.75,percent of total billed charges,38.88433971,,,,,,,,,,41.75,percent of total billed charges,38.31176828,,,,,,,,,,41.75,percent of total billed charges,39.2975864,,,,,,,,,,41.75,percent of total billed charges,999999999,,,,,,,,,,41.75,percent of total billed charges,33.72009647,,,,,,,,,,41.75,percent of total billed charges,53.17891746,,,,,,,,,,41.75,percent of total billed charges,999999999,,,,,,,,,,41.75,percent of total billed charges,36.35851084,,,,,,,,,,150.3,percent of total billed charges,,,,,
**CPK WITH CKMB (ER USE ONLY),82550,CDM,,,,both,,,117,117,24.90742152,117,117,percent of total billed charges,86.08105651,,,,117,percent of total billed charges,91.24421787,,,,117,percent of total billed charges,86.08105651,,,,117,percent of total billed charges,91.24421787,,,,117,percent of total billed charges,999999999,,,,117,percent of total billed charges,89.14595864,,,,117,percent of total billed charges,86.08105651,,,,117,percent of total billed charges,91.24421787,,,,83.421,percent of total billed charges,41.62860561,,,,83.421,percent of total billed charges,24.90742152,,,,83.421,percent of total billed charges,41.62860561,,,,83.421,percent of total billed charges,24.90742152,,,,83.421,percent of total billed charges,41.62860561,,,,83.421,percent of total billed charges,24.90742152,,,,82.602,percent of total billed charges,81.97527617,,,,82.602,percent of total billed charges,56.53769823,,,,,,,,,,84.24,percent of total billed charges,54.75401765,,,,,,,,,,84.24,percent of total billed charges,999999999,,,,,,,,,,93.6,percent of total billed charges,78.43193451,,,,92.43,percent of total billed charges,89.19892772,,,,92.43,percent of total billed charges,78.81020526,,,,93.6,percent of total billed charges,999999999,,,,93.6,percent of total billed charges,999999999,,,,81.9,percent of total billed charges,999999999,,,,81.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,62.244,percent of total billed charges,999999999,,,,,,,,,,,,,,,,59.085,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,29.25,percent of total billed charges,27.78034519,,,,,,,,,,29.25,percent of total billed charges,27.31823805,,,,,,,,,,29.25,percent of total billed charges,27.24232183,,,,,,,,,,29.25,percent of total billed charges,26.84117898,,,,,,,,,,29.25,percent of total billed charges,27.53184197,,,,,,,,,,29.25,percent of total billed charges,999999999,,,,,,,,,,29.25,percent of total billed charges,23.62425921,,,,,,,,,,29.25,percent of total billed charges,37.25708589,,,,,,,,,,29.25,percent of total billed charges,999999999,,,,,,,,,,29.25,percent of total billed charges,25.47272915,,,,,,,,,,105.3,percent of total billed charges,,,,,
VARICELLA ZOSTER AG IF,87290,CDM,,,,both,,,141,141,30.01663619,141,141,percent of total billed charges,103.7387091,,,,141,percent of total billed charges,109.9609805,,,,141,percent of total billed charges,103.7387091,,,,141,percent of total billed charges,109.9609805,,,,141,percent of total billed charges,999999999,,,,141,percent of total billed charges,107.4323091,,,,141,percent of total billed charges,103.7387091,,,,141,percent of total billed charges,109.9609805,,,,100.533,percent of total billed charges,50.16780676,,,,100.533,percent of total billed charges,30.01663619,,,,100.533,percent of total billed charges,50.16780676,,,,100.533,percent of total billed charges,30.01663619,,,,100.533,percent of total billed charges,50.16780676,,,,100.533,percent of total billed charges,30.01663619,,,,99.546,percent of total billed charges,98.79071744,,,,99.546,percent of total billed charges,68.1351748,,,,,,,,,,101.52,percent of total billed charges,65.98561102,,,,,,,,,,101.52,percent of total billed charges,999999999,,,,,,,,,,112.8,percent of total billed charges,94.52053646,,,,111.39,percent of total billed charges,107.4961437,,,,111.39,percent of total billed charges,94.97640121,,,,112.8,percent of total billed charges,999999999,,,,112.8,percent of total billed charges,999999999,,,,98.7,percent of total billed charges,999999999,,,,98.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,75.012,percent of total billed charges,999999999,,,,,,,,,,,,,,,,71.205,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,35.25,percent of total billed charges,33.47887753,,,,,,,,,,35.25,percent of total billed charges,32.92197919,,,,,,,,,,35.25,percent of total billed charges,32.83049042,,,,,,,,,,35.25,percent of total billed charges,32.34706184,,,,,,,,,,35.25,percent of total billed charges,33.1793993,,,,,,,,,,35.25,percent of total billed charges,999999999,,,,,,,,,,35.25,percent of total billed charges,28.47026109,,,,,,,,,,35.25,percent of total billed charges,44.89956504,,,,,,,,,,35.25,percent of total billed charges,999999999,,,,,,,,,,35.25,percent of total billed charges,30.69790436,,,,,,,,,,126.9,percent of total billed charges,,,,,
CREATININE-BLOOD,82565,CDM,,,,both,,,86,86,18.30801924,86,86,percent of total billed charges,63.27325521,,,,86,percent of total billed charges,67.06839946,,,,86,percent of total billed charges,63.27325521,,,,86,percent of total billed charges,67.06839946,,,,86,percent of total billed charges,999999999,,,,86,percent of total billed charges,65.52608926,,,,86,percent of total billed charges,63.27325521,,,,86,percent of total billed charges,67.06839946,,,,61.318,percent of total billed charges,30.59880412,,,,61.318,percent of total billed charges,18.30801924,,,,61.318,percent of total billed charges,30.59880412,,,,61.318,percent of total billed charges,18.30801924,,,,61.318,percent of total billed charges,30.59880412,,,,61.318,percent of total billed charges,18.30801924,,,,60.716,percent of total billed charges,60.2553312,,,,60.716,percent of total billed charges,41.55762434,,,,,,,,,,61.92,percent of total billed charges,40.24654289,,,,,,,,,,61.92,percent of total billed charges,999999999,,,,,,,,,,68.8,percent of total billed charges,57.65082366,,,,67.94,percent of total billed charges,65.56502379,,,,67.94,percent of total billed charges,57.92886882,,,,68.8,percent of total billed charges,999999999,,,,68.8,percent of total billed charges,999999999,,,,60.2,percent of total billed charges,999999999,,,,60.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,45.752,percent of total billed charges,999999999,,,,,,,,,,,,,,,,43.43,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21.5,percent of total billed charges,20.41974091,,,,,,,,,,21.5,percent of total billed charges,20.08007241,,,,,,,,,,21.5,percent of total billed charges,20.02427075,,,,,,,,,,21.5,percent of total billed charges,19.72941361,,,,,,,,,,21.5,percent of total billed charges,20.23708042,,,,,,,,,,21.5,percent of total billed charges,999999999,,,,,,,,,,21.5,percent of total billed charges,17.3648401,,,,,,,,,,21.5,percent of total billed charges,27.38555031,,,,,,,,,,21.5,percent of total billed charges,999999999,,,,,,,,,,21.5,percent of total billed charges,18.7235445,,,,,,,,,,77.4,percent of total billed charges,,,,,
HIGH SENSITIVITY TROPONIN,84484,CDM,,,,both,,,252,252,53.64675405,252,252,percent of total billed charges,185.4053525,,,,252,percent of total billed charges,196.5260077,,,,252,percent of total billed charges,185.4053525,,,,252,percent of total billed charges,196.5260077,,,,252,percent of total billed charges,999999999,,,,252,percent of total billed charges,192.0066801,,,,252,percent of total billed charges,185.4053525,,,,252,percent of total billed charges,196.5260077,,,,179.676,percent of total billed charges,89.66161208,,,,179.676,percent of total billed charges,53.64675405,,,,179.676,percent of total billed charges,89.66161208,,,,179.676,percent of total billed charges,53.64675405,,,,179.676,percent of total billed charges,89.66161208,,,,179.676,percent of total billed charges,53.64675405,,,,177.912,percent of total billed charges,176.5621333,,,,177.912,percent of total billed charges,121.7735039,,,,,,,,,,181.44,percent of total billed charges,117.9317303,,,,,,,,,,181.44,percent of total billed charges,999999999,,,,,,,,,,201.6,percent of total billed charges,168.9303205,,,,199.08,percent of total billed charges,192.1207674,,,,199.08,percent of total billed charges,169.7450575,,,,201.6,percent of total billed charges,999999999,,,,201.6,percent of total billed charges,999999999,,,,176.4,percent of total billed charges,999999999,,,,176.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,134.064,percent of total billed charges,999999999,,,,,,,,,,,,,,,,127.26,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,63,percent of total billed charges,59.83458964,,,,,,,,,,63,percent of total billed charges,58.83928195,,,,,,,,,,63,percent of total billed charges,58.67577011,,,,,,,,,,63,percent of total billed charges,57.81177011,,,,,,,,,,63,percent of total billed charges,59.29935194,,,,,,,,,,63,percent of total billed charges,999999999,,,,,,,,,,63,percent of total billed charges,50.88301983,,,,,,,,,,63,percent of total billed charges,80.24603114,,,,,,,,,,63,percent of total billed charges,999999999,,,,,,,,,,63,percent of total billed charges,54.86433971,,,,,,,,,,226.8,percent of total billed charges,,,,,
CADMIUM,82300,CDM,,,,both,,,158,158,33.63566325,158,158,percent of total billed charges,116.2462131,,,,158,percent of total billed charges,123.2186874,,,,158,percent of total billed charges,116.2462131,,,,158,percent of total billed charges,123.2186874,,,,158,percent of total billed charges,999999999,,,,158,percent of total billed charges,120.3851407,,,,158,percent of total billed charges,116.2462131,,,,158,percent of total billed charges,123.2186874,,,,112.654,percent of total billed charges,56.21640757,,,,112.654,percent of total billed charges,33.63566325,,,,112.654,percent of total billed charges,56.21640757,,,,112.654,percent of total billed charges,33.63566325,,,,112.654,percent of total billed charges,56.21640757,,,,112.654,percent of total billed charges,33.63566325,,,,111.548,percent of total billed charges,110.701655,,,,111.548,percent of total billed charges,76.35005403,,,,,,,,,,113.76,percent of total billed charges,73.94132299,,,,,,,,,,113.76,percent of total billed charges,999999999,,,,,,,,,,126.4,percent of total billed charges,105.9166295,,,,124.82,percent of total billed charges,120.4566716,,,,124.82,percent of total billed charges,106.4274567,,,,126.4,percent of total billed charges,999999999,,,,126.4,percent of total billed charges,999999999,,,,110.6,percent of total billed charges,999999999,,,,110.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,84.056,percent of total billed charges,999999999,,,,,,,,,,,,,,,,79.79,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,39.5,percent of total billed charges,37.51533795,,,,,,,,,,39.5,percent of total billed charges,36.89129583,,,,,,,,,,39.5,percent of total billed charges,36.7887765,,,,,,,,,,39.5,percent of total billed charges,36.24706221,,,,,,,,,,39.5,percent of total billed charges,37.17975241,,,,,,,,,,39.5,percent of total billed charges,999999999,,,,,,,,,,39.5,percent of total billed charges,31.90284576,,,,,,,,,,39.5,percent of total billed charges,50.31298778,,,,,,,,,,39.5,percent of total billed charges,999999999,,,,,,,,,,39.5,percent of total billed charges,34.39907014,,,,,,,,,,142.2,percent of total billed charges,,,,,
CREATININE CLEARANCE 24 HOUR URINE,82575,CDM,,,,both,,,246,246,52.36945038,246,246,percent of total billed charges,180.9909393,,,,246,percent of total billed charges,191.8468171,,,,246,percent of total billed charges,180.9909393,,,,246,percent of total billed charges,191.8468171,,,,246,percent of total billed charges,999999999,,,,246,percent of total billed charges,187.4350925,,,,246,percent of total billed charges,180.9909393,,,,246,percent of total billed charges,191.8468171,,,,175.398,percent of total billed charges,87.52681179,,,,175.398,percent of total billed charges,52.36945038,,,,175.398,percent of total billed charges,87.52681179,,,,175.398,percent of total billed charges,52.36945038,,,,175.398,percent of total billed charges,87.52681179,,,,175.398,percent of total billed charges,52.36945038,,,,173.676,percent of total billed charges,172.358273,,,,173.676,percent of total billed charges,118.8741347,,,,,,,,,,177.12,percent of total billed charges,115.123832,,,,,,,,,,177.12,percent of total billed charges,999999999,,,,,,,,,,196.8,percent of total billed charges,164.90817,,,,194.34,percent of total billed charges,187.5464634,,,,194.34,percent of total billed charges,165.7035085,,,,196.8,percent of total billed charges,999999999,,,,196.8,percent of total billed charges,999999999,,,,172.2,percent of total billed charges,999999999,,,,172.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,130.872,percent of total billed charges,999999999,,,,,,,,,,,,,,,,124.23,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,61.5,percent of total billed charges,58.40995655,,,,,,,,,,61.5,percent of total billed charges,57.43834667,,,,,,,,,,61.5,percent of total billed charges,57.27872796,,,,,,,,,,61.5,percent of total billed charges,56.43529939,,,,,,,,,,61.5,percent of total billed charges,57.88746261,,,,,,,,,,61.5,percent of total billed charges,999999999,,,,,,,,,,61.5,percent of total billed charges,49.67151935,,,,,,,,,,61.5,percent of total billed charges,78.33541135,,,,,,,,,,61.5,percent of total billed charges,999999999,,,,,,,,,,61.5,percent of total billed charges,53.55804591,,,,,,,,,,221.4,percent of total billed charges,,,,,
CRYOGLOBULINS(*),82595,CDM,,,,both,,,141,141,30.01663619,141,141,percent of total billed charges,103.7387091,,,,141,percent of total billed charges,109.9609805,,,,141,percent of total billed charges,103.7387091,,,,141,percent of total billed charges,109.9609805,,,,141,percent of total billed charges,999999999,,,,141,percent of total billed charges,107.4323091,,,,141,percent of total billed charges,103.7387091,,,,141,percent of total billed charges,109.9609805,,,,100.533,percent of total billed charges,50.16780676,,,,100.533,percent of total billed charges,30.01663619,,,,100.533,percent of total billed charges,50.16780676,,,,100.533,percent of total billed charges,30.01663619,,,,100.533,percent of total billed charges,50.16780676,,,,100.533,percent of total billed charges,30.01663619,,,,99.546,percent of total billed charges,98.79071744,,,,99.546,percent of total billed charges,68.1351748,,,,,,,,,,101.52,percent of total billed charges,65.98561102,,,,,,,,,,101.52,percent of total billed charges,999999999,,,,,,,,,,112.8,percent of total billed charges,94.52053646,,,,111.39,percent of total billed charges,107.4961437,,,,111.39,percent of total billed charges,94.97640121,,,,112.8,percent of total billed charges,999999999,,,,112.8,percent of total billed charges,999999999,,,,98.7,percent of total billed charges,999999999,,,,98.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,75.012,percent of total billed charges,999999999,,,,,,,,,,,,,,,,71.205,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,35.25,percent of total billed charges,33.47887753,,,,,,,,,,35.25,percent of total billed charges,32.92197919,,,,,,,,,,35.25,percent of total billed charges,32.83049042,,,,,,,,,,35.25,percent of total billed charges,32.34706184,,,,,,,,,,35.25,percent of total billed charges,33.1793993,,,,,,,,,,35.25,percent of total billed charges,999999999,,,,,,,,,,35.25,percent of total billed charges,28.47026109,,,,,,,,,,35.25,percent of total billed charges,44.89956504,,,,,,,,,,35.25,percent of total billed charges,999999999,,,,,,,,,,35.25,percent of total billed charges,30.69790436,,,,,,,,,,126.9,percent of total billed charges,,,,,
**VOLUME MEASUREMENT TIMED COLLECTION,81050,CDM,,,,both,,,53,53,11.28284907,53,53,percent of total billed charges,38.99398286,,,,53,percent of total billed charges,41.33285083,,,,53,percent of total billed charges,38.99398286,,,,53,percent of total billed charges,41.33285083,,,,53,percent of total billed charges,999999999,,,,53,percent of total billed charges,40.38235733,,,,53,percent of total billed charges,38.99398286,,,,53,percent of total billed charges,41.33285083,,,,37.789,percent of total billed charges,18.85740254,,,,37.789,percent of total billed charges,11.28284907,,,,37.789,percent of total billed charges,18.85740254,,,,37.789,percent of total billed charges,11.28284907,,,,37.789,percent of total billed charges,18.85740254,,,,37.789,percent of total billed charges,11.28284907,,,,37.418,percent of total billed charges,37.13409946,,,,37.418,percent of total billed charges,25.61109407,,,,,,,,,,38.16,percent of total billed charges,24.80310201,,,,,,,,,,38.16,percent of total billed charges,999999999,,,,,,,,,,42.4,percent of total billed charges,35.52899597,,,,41.87,percent of total billed charges,40.40635187,,,,41.87,percent of total billed charges,35.70034939,,,,42.4,percent of total billed charges,999999999,,,,42.4,percent of total billed charges,999999999,,,,37.1,percent of total billed charges,999999999,,,,37.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,28.196,percent of total billed charges,999999999,,,,,,,,,,,,,,,,26.765,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13.25,percent of total billed charges,12.58425893,,,,,,,,,,13.25,percent of total billed charges,12.37492835,,,,,,,,,,13.25,percent of total billed charges,12.34053895,,,,,,,,,,13.25,percent of total billed charges,12.15882466,,,,,,,,,,13.25,percent of total billed charges,12.4716891,,,,,,,,,,13.25,percent of total billed charges,999999999,,,,,,,,,,13.25,percent of total billed charges,10.7015875,,,,,,,,,,13.25,percent of total billed charges,16.87714147,,,,,,,,,,13.25,percent of total billed charges,999999999,,,,,,,,,,13.25,percent of total billed charges,11.53892859,,,,,,,,,,47.7,percent of total billed charges,,,,,
ELECTROPH-PROTEIN SERUM(*),84165,CDM,,,,both,,,178,178,37.89334214,178,178,percent of total billed charges,130.9609236,,,,178,percent of total billed charges,138.8159896,,,,178,percent of total billed charges,130.9609236,,,,178,percent of total billed charges,138.8159896,,,,178,percent of total billed charges,999999999,,,,178,percent of total billed charges,135.6237661,,,,178,percent of total billed charges,130.9609236,,,,178,percent of total billed charges,138.8159896,,,,126.914,percent of total billed charges,63.33240853,,,,126.914,percent of total billed charges,37.89334214,,,,126.914,percent of total billed charges,63.33240853,,,,126.914,percent of total billed charges,37.89334214,,,,126.914,percent of total billed charges,63.33240853,,,,126.914,percent of total billed charges,37.89334214,,,,125.668,percent of total billed charges,124.7145227,,,,125.668,percent of total billed charges,86.01461783,,,,,,,,,,128.16,percent of total billed charges,83.30098412,,,,,,,,,,128.16,percent of total billed charges,999999999,,,,,,,,,,142.4,percent of total billed charges,119.3237978,,,,140.62,percent of total billed charges,135.7043516,,,,140.62,percent of total billed charges,119.8992866,,,,142.4,percent of total billed charges,999999999,,,,142.4,percent of total billed charges,999999999,,,,124.6,percent of total billed charges,999999999,,,,124.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,94.696,percent of total billed charges,999999999,,,,,,,,,,,,,,,,89.89,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,44.5,percent of total billed charges,42.2641149,,,,,,,,,,44.5,percent of total billed charges,41.56108011,,,,,,,,,,44.5,percent of total billed charges,41.44558365,,,,,,,,,,44.5,percent of total billed charges,40.83529793,,,,,,,,,,44.5,percent of total billed charges,41.88605018,,,,,,,,,,44.5,percent of total billed charges,999999999,,,,,,,,,,44.5,percent of total billed charges,35.94118067,,,,,,,,,,44.5,percent of total billed charges,56.68172041,,,,,,,,,,44.5,percent of total billed charges,999999999,,,,,,,,,,44.5,percent of total billed charges,38.75338281,,,,,,,,,,160.2,percent of total billed charges,,,,,
GABITRIL LEVEL(*),80299,CDM,,,,both,,,349,349,74.29649667,349,349,percent of total billed charges,256.7716985,,,,349,percent of total billed charges,272.1729234,,,,349,percent of total billed charges,256.7716985,,,,349,percent of total billed charges,272.1729234,,,,349,percent of total billed charges,999999999,,,,349,percent of total billed charges,265.9140134,,,,349,percent of total billed charges,256.7716985,,,,349,percent of total billed charges,272.1729234,,,,248.837,percent of total billed charges,124.1742167,,,,248.837,percent of total billed charges,74.29649667,,,,248.837,percent of total billed charges,124.1742167,,,,248.837,percent of total billed charges,74.29649667,,,,248.837,percent of total billed charges,124.1742167,,,,248.837,percent of total billed charges,74.29649667,,,,246.394,percent of total billed charges,244.5245417,,,,246.394,percent of total billed charges,168.6466383,,,,,,,,,,251.28,percent of total billed charges,163.3260869,,,,,,,,,,251.28,percent of total billed charges,999999999,,,,,,,,,,279.2,percent of total billed charges,233.9550867,,,,275.71,percent of total billed charges,266.0720152,,,,275.71,percent of total billed charges,235.0834328,,,,279.2,percent of total billed charges,999999999,,,,279.2,percent of total billed charges,999999999,,,,244.3,percent of total billed charges,999999999,,,,244.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,185.668,percent of total billed charges,999999999,,,,,,,,,,,,,,,,176.245,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,87.25,percent of total billed charges,82.86615787,,,,,,,,,,87.25,percent of total billed charges,81.48773572,,,,,,,,,,87.25,percent of total billed charges,81.26128479,,,,,,,,,,87.25,percent of total billed charges,80.06471336,,,,,,,,,,87.25,percent of total billed charges,82.12489614,,,,,,,,,,87.25,percent of total billed charges,999999999,,,,,,,,,,87.25,percent of total billed charges,70.46894413,,,,,,,,,,87.25,percent of total billed charges,111.1343844,,,,,,,,,,87.25,percent of total billed charges,999999999,,,,,,,,,,87.25,percent of total billed charges,75.98275618,,,,,,,,,,314.1,percent of total billed charges,,,,,
EHRLICHIA ANTIBODY,86666,CDM,,,,both,,,249,249,53.00810221,249,249,percent of total billed charges,183.1981459,,,,249,percent of total billed charges,194.1864124,,,,249,percent of total billed charges,183.1981459,,,,249,percent of total billed charges,194.1864124,,,,249,percent of total billed charges,999999999,,,,249,percent of total billed charges,189.7208863,,,,249,percent of total billed charges,183.1981459,,,,249,percent of total billed charges,194.1864124,,,,177.537,percent of total billed charges,88.59421193,,,,177.537,percent of total billed charges,53.00810221,,,,177.537,percent of total billed charges,88.59421193,,,,177.537,percent of total billed charges,53.00810221,,,,177.537,percent of total billed charges,88.59421193,,,,177.537,percent of total billed charges,53.00810221,,,,175.794,percent of total billed charges,174.4602031,,,,175.794,percent of total billed charges,120.3238193,,,,,,,,,,179.28,percent of total billed charges,116.5277812,,,,,,,,,,179.28,percent of total billed charges,999999999,,,,,,,,,,199.2,percent of total billed charges,166.9192452,,,,196.71,percent of total billed charges,189.8336154,,,,196.71,percent of total billed charges,167.724283,,,,199.2,percent of total billed charges,999999999,,,,199.2,percent of total billed charges,999999999,,,,174.3,percent of total billed charges,999999999,,,,174.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,132.468,percent of total billed charges,999999999,,,,,,,,,,,,,,,,125.745,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,62.25,percent of total billed charges,59.12227309,,,,,,,,,,62.25,percent of total billed charges,58.13881431,,,,,,,,,,62.25,percent of total billed charges,57.97724903,,,,,,,,,,62.25,percent of total billed charges,57.12353475,,,,,,,,,,62.25,percent of total billed charges,58.59340727,,,,,,,,,,62.25,percent of total billed charges,999999999,,,,,,,,,,62.25,percent of total billed charges,50.27726959,,,,,,,,,,62.25,percent of total billed charges,79.29072125,,,,,,,,,,62.25,percent of total billed charges,999999999,,,,,,,,,,62.25,percent of total billed charges,54.21119281,,,,,,,,,,224.1,percent of total billed charges,,,,,
INFECTION SCREEN W/WESTERN BLOT(*),86689,CDM,,,,both,,,333,333,70.89035356,333,333,percent of total billed charges,244.9999301,,,,333,percent of total billed charges,259.6950816,,,,333,percent of total billed charges,244.9999301,,,,333,percent of total billed charges,259.6950816,,,,333,percent of total billed charges,999999999,,,,333,percent of total billed charges,253.7231131,,,,333,percent of total billed charges,244.9999301,,,,333,percent of total billed charges,259.6950816,,,,237.429,percent of total billed charges,118.481416,,,,237.429,percent of total billed charges,70.89035356,,,,237.429,percent of total billed charges,118.481416,,,,237.429,percent of total billed charges,70.89035356,,,,237.429,percent of total billed charges,118.481416,,,,237.429,percent of total billed charges,70.89035356,,,,235.098,percent of total billed charges,233.3142476,,,,235.098,percent of total billed charges,160.9149873,,,,,,,,,,239.76,percent of total billed charges,155.8383579,,,,,,,,,,239.76,percent of total billed charges,999999999,,,,,,,,,,266.4,percent of total billed charges,223.2293521,,,,263.07,percent of total billed charges,253.8738712,,,,263.07,percent of total billed charges,224.3059688,,,,266.4,percent of total billed charges,999999999,,,,266.4,percent of total billed charges,999999999,,,,233.1,percent of total billed charges,999999999,,,,233.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,177.156,percent of total billed charges,999999999,,,,,,,,,,,,,,,,168.165,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,83.25,percent of total billed charges,79.06713631,,,,,,,,,,83.25,percent of total billed charges,77.75190829,,,,,,,,,,83.25,percent of total billed charges,77.53583907,,,,,,,,,,83.25,percent of total billed charges,76.39412478,,,,,,,,,,83.25,percent of total billed charges,78.35985792,,,,,,,,,,83.25,percent of total billed charges,999999999,,,,,,,,,,83.25,percent of total billed charges,67.2382762,,,,,,,,,,83.25,percent of total billed charges,106.0393983,,,,,,,,,,83.25,percent of total billed charges,999999999,,,,,,,,,,83.25,percent of total billed charges,72.49930604,,,,,,,,,,299.7,percent of total billed charges,,,,,
JAK 2 GENE MUTATION,81270,CDM,,,,both,,,886,886,188.6151749,886,886,percent of total billed charges,651.8616758,,,,886,percent of total billed charges,690.9604875,,,,886,percent of total billed charges,651.8616758,,,,886,percent of total billed charges,690.9604875,,,,886,percent of total billed charges,999999999,,,,886,percent of total billed charges,675.0711056,,,,886,percent of total billed charges,651.8616758,,,,886,percent of total billed charges,690.9604875,,,,631.718,percent of total billed charges,315.2388425,,,,631.718,percent of total billed charges,188.6151749,,,,631.718,percent of total billed charges,315.2388425,,,,631.718,percent of total billed charges,188.6151749,,,,631.718,percent of total billed charges,315.2388425,,,,631.718,percent of total billed charges,188.6151749,,,,625.516,percent of total billed charges,620.7700401,,,,625.516,percent of total billed charges,428.1401764,,,,,,,,,,637.92,percent of total billed charges,414.6329884,,,,,,,,,,637.92,percent of total billed charges,999999999,,,,,,,,,,708.8,percent of total billed charges,593.9375553,,,,699.94,percent of total billed charges,675.4722219,,,,699.94,percent of total billed charges,596.8020672,,,,708.8,percent of total billed charges,999999999,,,,708.8,percent of total billed charges,999999999,,,,620.2,percent of total billed charges,999999999,,,,620.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,471.352,percent of total billed charges,999999999,,,,,,,,,,,,,,,,447.43,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,221.5,percent of total billed charges,210.3708191,,,,,,,,,,221.5,percent of total billed charges,206.8714437,,,,,,,,,,221.5,percent of total billed charges,206.2965568,,,,,,,,,,221.5,percent of total billed charges,203.2588425,,,,,,,,,,221.5,percent of total billed charges,208.4889913,,,,,,,,,,221.5,percent of total billed charges,999999999,,,,,,,,,,221.5,percent of total billed charges,178.8982364,,,,,,,,,,221.5,percent of total billed charges,282.1348555,,,,,,,,,,221.5,percent of total billed charges,999999999,,,,,,,,,,221.5,percent of total billed charges,192.8960515,,,,,,,,,,797.4,percent of total billed charges,,,,,
IGHV MUTATION ANALYSIS,81263,CDM,,,,both,,,1169,1169,248.8613313,1169,1169,percent of total billed charges,860.0748296,,,,1169,percent of total billed charges,911.6623136,,,,1169,percent of total billed charges,860.0748296,,,,1169,percent of total billed charges,911.6623136,,,,1169,percent of total billed charges,999999999,,,,1169,percent of total billed charges,890.6976551,,,,1169,percent of total billed charges,860.0748296,,,,1169,percent of total billed charges,911.6623136,,,,833.497,percent of total billed charges,415.930256,,,,833.497,percent of total billed charges,248.8613313,,,,833.497,percent of total billed charges,415.930256,,,,833.497,percent of total billed charges,248.8613313,,,,833.497,percent of total billed charges,415.930256,,,,833.497,percent of total billed charges,248.8613313,,,,825.314,percent of total billed charges,819.0521183,,,,825.314,percent of total billed charges,564.8937542,,,,,,,,,,841.68,percent of total billed charges,547.0721935,,,,,,,,,,841.68,percent of total billed charges,999999999,,,,,,,,,,935.2,percent of total billed charges,783.6489867,,,,923.51,percent of total billed charges,891.2268932,,,,923.51,percent of total billed charges,787.4284611,,,,935.2,percent of total billed charges,999999999,,,,935.2,percent of total billed charges,999999999,,,,818.3,percent of total billed charges,999999999,,,,818.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,621.908,percent of total billed charges,999999999,,,,,,,,,,,,,,,,590.345,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,292.25,percent of total billed charges,277.566013,,,,,,,,,,292.25,percent of total billed charges,272.9488913,,,,,,,,,,292.25,percent of total billed charges,272.190378,,,,,,,,,,292.25,percent of total billed charges,268.182378,,,,,,,,,,292.25,percent of total billed charges,275.0831048,,,,,,,,,,292.25,percent of total billed charges,999999999,,,,,,,,,,292.25,percent of total billed charges,236.0406753,,,,,,,,,,292.25,percent of total billed charges,372.2524222,,,,,,,,,,292.25,percent of total billed charges,999999999,,,,,,,,,,292.25,percent of total billed charges,254.5095759,,,,,,,,,,1052.1,percent of total billed charges,,,,,
ELECTROPHORETIC TEST,82664,CDM,,,,both,,,291,291,61.94922789,291,291,percent of total billed charges,214.099038,,,,291,percent of total billed charges,226.940747,,,,291,percent of total billed charges,214.099038,,,,291,percent of total billed charges,226.940747,,,,291,percent of total billed charges,999999999,,,,291,percent of total billed charges,221.7219997,,,,291,percent of total billed charges,214.099038,,,,291,percent of total billed charges,226.940747,,,,207.483,percent of total billed charges,103.5378139,,,,207.483,percent of total billed charges,61.94922789,,,,207.483,percent of total billed charges,103.5378139,,,,207.483,percent of total billed charges,61.94922789,,,,207.483,percent of total billed charges,103.5378139,,,,207.483,percent of total billed charges,61.94922789,,,,205.446,percent of total billed charges,203.8872253,,,,205.446,percent of total billed charges,140.6194033,,,,,,,,,,209.52,percent of total billed charges,136.1830696,,,,,,,,,,209.52,percent of total billed charges,999999999,,,,,,,,,,232.8,percent of total billed charges,195.0742986,,,,229.89,percent of total billed charges,221.8537433,,,,229.89,percent of total billed charges,196.0151259,,,,232.8,percent of total billed charges,999999999,,,,232.8,percent of total billed charges,999999999,,,,203.7,percent of total billed charges,999999999,,,,203.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,154.812,percent of total billed charges,999999999,,,,,,,,,,,,,,,,146.955,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,72.75,percent of total billed charges,69.0947047,,,,,,,,,,72.75,percent of total billed charges,67.9453613,,,,,,,,,,72.75,percent of total billed charges,67.75654405,,,,,,,,,,72.75,percent of total billed charges,66.75882976,,,,,,,,,,72.75,percent of total billed charges,68.4766326,,,,,,,,,,72.75,percent of total billed charges,999999999,,,,,,,,,,72.75,percent of total billed charges,58.7577729,,,,,,,,,,72.75,percent of total billed charges,92.66505977,,,,,,,,,,72.75,percent of total billed charges,999999999,,,,,,,,,,72.75,percent of total billed charges,63.35524943,,,,,,,,,,261.9,percent of total billed charges,,,,,
MPL GENE Common Variants,81338,CDM,,,,both,,,542,542,115.383098,542,542,percent of total billed charges,398.7686549,,,,542,percent of total billed charges,422.6868896,,,,542,percent of total billed charges,398.7686549,,,,542,percent of total billed charges,422.6868896,,,,542,percent of total billed charges,999999999,,,,542,percent of total billed charges,412.9667486,,,,542,percent of total billed charges,398.7686549,,,,542,percent of total billed charges,422.6868896,,,,386.446,percent of total billed charges,192.843626,,,,386.446,percent of total billed charges,115.383098,,,,386.446,percent of total billed charges,192.843626,,,,386.446,percent of total billed charges,115.383098,,,,386.446,percent of total billed charges,192.843626,,,,386.446,percent of total billed charges,115.383098,,,,382.652,percent of total billed charges,379.7487153,,,,382.652,percent of total billed charges,261.909679,,,,,,,,,,390.24,percent of total billed charges,253.6468168,,,,,,,,,,390.24,percent of total billed charges,999999999,,,,,,,,,,433.6,percent of total billed charges,363.3342607,,,,428.18,percent of total billed charges,413.2121267,,,,428.18,percent of total billed charges,365.0865919,,,,433.6,percent of total billed charges,999999999,,,,433.6,percent of total billed charges,999999999,,,,379.4,percent of total billed charges,999999999,,,,379.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,288.344,percent of total billed charges,999999999,,,,,,,,,,,,,,,,273.71,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,135.5,percent of total billed charges,128.6918555,,,,,,,,,,135.5,percent of total billed charges,126.551154,,,,,,,,,,135.5,percent of total billed charges,126.1994738,,,,,,,,,,135.5,percent of total billed charges,124.3411881,,,,,,,,,,135.5,percent of total billed charges,127.5406696,,,,,,,,,,135.5,percent of total billed charges,999999999,,,,,,,,,,135.5,percent of total billed charges,109.438876,,,,,,,,,,135.5,percent of total billed charges,172.5926543,,,,,,,,,,135.5,percent of total billed charges,999999999,,,,,,,,,,135.5,percent of total billed charges,118.0018735,,,,,,,,,,487.8,percent of total billed charges,,,,,
ENZYME CELL ACTIVITY RA,82658,CDM,,,,both,,,612,612,130.2849741,612,612,percent of total billed charges,450.2701417,,,,612,percent of total billed charges,477.2774473,,,,612,percent of total billed charges,450.2701417,,,,612,percent of total billed charges,477.2774473,,,,612,percent of total billed charges,999999999,,,,612,percent of total billed charges,466.3019375,,,,612,percent of total billed charges,450.2701417,,,,612,percent of total billed charges,477.2774473,,,,436.356,percent of total billed charges,217.7496293,,,,436.356,percent of total billed charges,130.2849741,,,,436.356,percent of total billed charges,217.7496293,,,,436.356,percent of total billed charges,130.2849741,,,,436.356,percent of total billed charges,217.7496293,,,,436.356,percent of total billed charges,130.2849741,,,,432.072,percent of total billed charges,428.7937523,,,,432.072,percent of total billed charges,295.7356523,,,,,,,,,,440.64,percent of total billed charges,286.4056308,,,,,,,,,,440.64,percent of total billed charges,999999999,,,,,,,,,,489.6,percent of total billed charges,410.2593497,,,,483.48,percent of total billed charges,466.5790065,,,,483.48,percent of total billed charges,412.2379967,,,,489.6,percent of total billed charges,999999999,,,,489.6,percent of total billed charges,999999999,,,,428.4,percent of total billed charges,999999999,,,,428.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,325.584,percent of total billed charges,999999999,,,,,,,,,,,,,,,,309.06,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,153,percent of total billed charges,145.3125748,,,,,,,,,,153,percent of total billed charges,142.895399,,,,,,,,,,153,percent of total billed charges,142.4982988,,,,,,,,,,153,percent of total billed charges,140.4000131,,,,,,,,,,153,percent of total billed charges,144.0127119,,,,,,,,,,153,percent of total billed charges,999999999,,,,,,,,,,153,percent of total billed charges,123.5730482,,,,,,,,,,153,percent of total billed charges,194.8832185,,,,,,,,,,153,percent of total billed charges,999999999,,,,,,,,,,153,percent of total billed charges,133.2419679,,,,,,,,,,550.8,percent of total billed charges,,,,,
SNRPN/UBE3A GENE,81331,CDM,,,,both,,,469,469,99.84257003,469,469,percent of total billed charges,345.0599616,,,,469,percent of total billed charges,365.7567366,,,,469,percent of total billed charges,345.0599616,,,,469,percent of total billed charges,365.7567366,,,,469,percent of total billed charges,999999999,,,,469,percent of total billed charges,357.3457658,,,,469,percent of total billed charges,345.0599616,,,,469,percent of total billed charges,365.7567366,,,,334.397,percent of total billed charges,166.8702225,,,,334.397,percent of total billed charges,99.84257003,,,,334.397,percent of total billed charges,166.8702225,,,,334.397,percent of total billed charges,99.84257003,,,,334.397,percent of total billed charges,166.8702225,,,,334.397,percent of total billed charges,99.84257003,,,,331.114,percent of total billed charges,328.6017481,,,,331.114,percent of total billed charges,226.6340211,,,,,,,,,,337.68,percent of total billed charges,219.4840537,,,,,,,,,,337.68,percent of total billed charges,999999999,,,,,,,,,,375.2,percent of total billed charges,314.3980964,,,,370.51,percent of total billed charges,357.5580949,,,,370.51,percent of total billed charges,315.9144125,,,,375.2,percent of total billed charges,999999999,,,,375.2,percent of total billed charges,999999999,,,,328.3,percent of total billed charges,999999999,,,,328.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,249.508,percent of total billed charges,999999999,,,,,,,,,,,,,,,,236.845,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,117.25,percent of total billed charges,111.3588196,,,,,,,,,,117.25,percent of total billed charges,109.5064414,,,,,,,,,,117.25,percent of total billed charges,109.2021277,,,,,,,,,,117.25,percent of total billed charges,107.5941277,,,,,,,,,,117.25,percent of total billed charges,110.3626828,,,,,,,,,,117.25,percent of total billed charges,999999999,,,,,,,,,,117.25,percent of total billed charges,94.69895357,,,,,,,,,,117.25,percent of total billed charges,149.3467802,,,,,,,,,,117.25,percent of total billed charges,999999999,,,,,,,,,,117.25,percent of total billed charges,102.1086322,,,,,,,,,,422.1,percent of total billed charges,,,,,
JAK2 GENE TRGT SEQUENCE,81279,CDM,,,,both,,,280,280,59.60750449,280,280,percent of total billed charges,206.0059472,,,,280,percent of total billed charges,218.3622308,,,,280,percent of total billed charges,206.0059472,,,,280,percent of total billed charges,218.3622308,,,,280,percent of total billed charges,999999999,,,,280,percent of total billed charges,213.3407557,,,,280,percent of total billed charges,206.0059472,,,,280,percent of total billed charges,218.3622308,,,,199.64,percent of total billed charges,99.62401342,,,,199.64,percent of total billed charges,59.60750449,,,,199.64,percent of total billed charges,99.62401342,,,,199.64,percent of total billed charges,59.60750449,,,,199.64,percent of total billed charges,99.62401342,,,,199.64,percent of total billed charges,59.60750449,,,,197.68,percent of total billed charges,196.1801481,,,,197.68,percent of total billed charges,135.3038932,,,,,,,,,,201.6,percent of total billed charges,131.0352559,,,,,,,,,,201.6,percent of total billed charges,999999999,,,,,,,,,,224,percent of total billed charges,187.7003561,,,,221.2,percent of total billed charges,213.4675193,,,,221.2,percent of total billed charges,188.6056194,,,,224,percent of total billed charges,999999999,,,,224,percent of total billed charges,999999999,,,,196,percent of total billed charges,999999999,,,,196,percent of total billed charges,999999999,,,,,,,,,,,,,,,,148.96,percent of total billed charges,999999999,,,,,,,,,,,,,,,,141.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,70,percent of total billed charges,66.48287737,,,,,,,,,,70,percent of total billed charges,65.37697995,,,,,,,,,,70,percent of total billed charges,65.19530012,,,,,,,,,,70,percent of total billed charges,64.23530012,,,,,,,,,,70,percent of total billed charges,65.88816882,,,,,,,,,,70,percent of total billed charges,999999999,,,,,,,,,,70,percent of total billed charges,56.5366887,,,,,,,,,,70,percent of total billed charges,89.16225683,,,,,,,,,,70,percent of total billed charges,999999999,,,,,,,,,,70,percent of total billed charges,60.96037745,,,,,,,,,,252,percent of total billed charges,,,,,
ACETYLCHOLN RCPTR MOD ANTB,86043,CDM,,,,both,,,90,90,19.15955502,90,90,percent of total billed charges,66.21619731,,,,90,percent of total billed charges,70.1878599,,,,90,percent of total billed charges,66.21619731,,,,90,percent of total billed charges,70.1878599,,,,90,percent of total billed charges,999999999,,,,90,percent of total billed charges,68.57381434,,,,90,percent of total billed charges,66.21619731,,,,90,percent of total billed charges,70.1878599,,,,64.17,percent of total billed charges,32.02200431,,,,64.17,percent of total billed charges,19.15955502,,,,64.17,percent of total billed charges,32.02200431,,,,64.17,percent of total billed charges,19.15955502,,,,64.17,percent of total billed charges,32.02200431,,,,64.17,percent of total billed charges,19.15955502,,,,63.54,percent of total billed charges,63.05790475,,,,63.54,percent of total billed charges,43.4905371,,,,,,,,,,64.8,percent of total billed charges,42.11847512,,,,,,,,,,64.8,percent of total billed charges,999999999,,,,,,,,,,72,percent of total billed charges,60.33225731,,,,71.1,percent of total billed charges,68.61455978,,,,71.1,percent of total billed charges,60.62323481,,,,72,percent of total billed charges,999999999,,,,72,percent of total billed charges,999999999,,,,63,percent of total billed charges,999999999,,,,63,percent of total billed charges,999999999,,,,,,,,,,,,,,,,47.88,percent of total billed charges,999999999,,,,,,,,,,,,,,,,45.45,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,22.5,percent of total billed charges,21.3694963,,,,,,,,,,22.5,percent of total billed charges,21.01402927,,,,,,,,,,22.5,percent of total billed charges,20.95563218,,,,,,,,,,22.5,percent of total billed charges,20.64706075,,,,,,,,,,22.5,percent of total billed charges,21.17833998,,,,,,,,,,22.5,percent of total billed charges,999999999,,,,,,,,,,22.5,percent of total billed charges,18.17250708,,,,,,,,,,22.5,percent of total billed charges,28.65929684,,,,,,,,,,22.5,percent of total billed charges,999999999,,,,,,,,,,22.5,percent of total billed charges,19.59440704,,,,,,,,,,81,percent of total billed charges,,,,,
GLUCOSE,82947,CDM,,,,both,,,75,75,15.96629585,75,75,percent of total billed charges,55.18016443,,,,75,percent of total billed charges,58.48988325,,,,75,percent of total billed charges,55.18016443,,,,75,percent of total billed charges,58.48988325,,,,75,percent of total billed charges,999999999,,,,75,percent of total billed charges,57.14484528,,,,75,percent of total billed charges,55.18016443,,,,75,percent of total billed charges,58.48988325,,,,53.475,percent of total billed charges,26.68500359,,,,53.475,percent of total billed charges,15.96629585,,,,53.475,percent of total billed charges,26.68500359,,,,53.475,percent of total billed charges,15.96629585,,,,53.475,percent of total billed charges,26.68500359,,,,53.475,percent of total billed charges,15.96629585,,,,52.95,percent of total billed charges,52.54825396,,,,52.95,percent of total billed charges,36.24211425,,,,,,,,,,54,percent of total billed charges,35.09872927,,,,,,,,,,54,percent of total billed charges,999999999,,,,,,,,,,60,percent of total billed charges,50.27688109,,,,59.25,percent of total billed charges,57.17879982,,,,59.25,percent of total billed charges,50.51936235,,,,60,percent of total billed charges,999999999,,,,60,percent of total billed charges,999999999,,,,52.5,percent of total billed charges,999999999,,,,52.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,39.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,37.875,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18.75,percent of total billed charges,17.80791358,,,,,,,,,,18.75,percent of total billed charges,17.51169106,,,,,,,,,,18.75,percent of total billed charges,17.46302682,,,,,,,,,,18.75,percent of total billed charges,17.20588396,,,,,,,,,,18.75,percent of total billed charges,17.64861665,,,,,,,,,,18.75,percent of total billed charges,999999999,,,,,,,,,,18.75,percent of total billed charges,15.1437559,,,,,,,,,,18.75,percent of total billed charges,23.88274736,,,,,,,,,,18.75,percent of total billed charges,999999999,,,,,,,,,,18.75,percent of total billed charges,16.32867253,,,,,,,,,,67.5,percent of total billed charges,,,,,
ISOENZYMES LDH(*),83625,CDM,,,,both,,,187,187,39.80929764,187,187,percent of total billed charges,137.5825433,,,,187,percent of total billed charges,145.8347756,,,,187,percent of total billed charges,137.5825433,,,,187,percent of total billed charges,145.8347756,,,,187,percent of total billed charges,999999999,,,,187,percent of total billed charges,142.4811476,,,,187,percent of total billed charges,137.5825433,,,,187,percent of total billed charges,145.8347756,,,,133.331,percent of total billed charges,66.53460896,,,,133.331,percent of total billed charges,39.80929764,,,,133.331,percent of total billed charges,66.53460896,,,,133.331,percent of total billed charges,39.80929764,,,,133.331,percent of total billed charges,66.53460896,,,,133.331,percent of total billed charges,39.80929764,,,,132.022,percent of total billed charges,131.0203132,,,,132.022,percent of total billed charges,90.36367154,,,,,,,,,,134.64,percent of total billed charges,87.51283164,,,,,,,,,,134.64,percent of total billed charges,999999999,,,,,,,,,,149.6,percent of total billed charges,125.3570235,,,,147.73,percent of total billed charges,142.5658075,,,,147.73,percent of total billed charges,125.9616101,,,,149.6,percent of total billed charges,999999999,,,,149.6,percent of total billed charges,999999999,,,,130.9,percent of total billed charges,999999999,,,,130.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,99.484,percent of total billed charges,999999999,,,,,,,,,,,,,,,,94.435,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,46.75,percent of total billed charges,44.40106453,,,,,,,,,,46.75,percent of total billed charges,43.66248304,,,,,,,,,,46.75,percent of total billed charges,43.54114686,,,,,,,,,,46.75,percent of total billed charges,42.90000401,,,,,,,,,,46.75,percent of total billed charges,44.00388418,,,,,,,,,,46.75,percent of total billed charges,999999999,,,,,,,,,,46.75,percent of total billed charges,37.75843138,,,,,,,,,,46.75,percent of total billed charges,59.54765009,,,,,,,,,,46.75,percent of total billed charges,999999999,,,,,,,,,,46.75,percent of total billed charges,40.71282351,,,,,,,,,,168.3,percent of total billed charges,,,,,
IODINE,83018,CDM,,,,both,,,208,208,44.27986048,208,208,percent of total billed charges,153.0329894,,,,208,percent of total billed charges,162.2119429,,,,208,percent of total billed charges,153.0329894,,,,208,percent of total billed charges,162.2119429,,,,208,percent of total billed charges,999999999,,,,208,percent of total billed charges,158.4817042,,,,208,percent of total billed charges,153.0329894,,,,208,percent of total billed charges,162.2119429,,,,148.304,percent of total billed charges,74.00640997,,,,148.304,percent of total billed charges,44.27986048,,,,148.304,percent of total billed charges,74.00640997,,,,148.304,percent of total billed charges,44.27986048,,,,148.304,percent of total billed charges,74.00640997,,,,148.304,percent of total billed charges,44.27986048,,,,146.848,percent of total billed charges,145.7338243,,,,146.848,percent of total billed charges,100.5114635,,,,,,,,,,149.76,percent of total billed charges,97.34047583,,,,,,,,,,149.76,percent of total billed charges,999999999,,,,,,,,,,166.4,percent of total billed charges,139.4345502,,,,164.32,percent of total billed charges,158.5758715,,,,164.32,percent of total billed charges,140.1070316,,,,166.4,percent of total billed charges,999999999,,,,166.4,percent of total billed charges,999999999,,,,145.6,percent of total billed charges,999999999,,,,145.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,110.656,percent of total billed charges,999999999,,,,,,,,,,,,,,,,105.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,52,percent of total billed charges,49.38728033,,,,,,,,,,52,percent of total billed charges,48.56575653,,,,,,,,,,52,percent of total billed charges,48.43079437,,,,,,,,,,52,percent of total billed charges,47.71765152,,,,,,,,,,52,percent of total billed charges,48.94549684,,,,,,,,,,52,percent of total billed charges,999999999,,,,,,,,,,52,percent of total billed charges,41.99868303,,,,,,,,,,52,percent of total billed charges,66.23481936,,,,,,,,,,52,percent of total billed charges,999999999,,,,,,,,,,52,percent of total billed charges,45.28485182,,,,,,,,,,187.2,percent of total billed charges,,,,,
FETAL CHROMOML ANEUPLOIDY,81420,CDM,,,,both,,,2097,2097,446.4176319,2097,2097,percent of total billed charges,1542.837397,,,,2097,percent of total billed charges,1635.377136,,,,2097,percent of total billed charges,1542.837397,,,,2097,percent of total billed charges,1635.377136,,,,2097,percent of total billed charges,999999999,,,,2097,percent of total billed charges,1597.769874,,,,2097,percent of total billed charges,1542.837397,,,,2097,percent of total billed charges,1635.377136,,,,1495.161,percent of total billed charges,746.1127005,,,,1495.161,percent of total billed charges,446.4176319,,,,1495.161,percent of total billed charges,746.1127005,,,,1495.161,percent of total billed charges,446.4176319,,,,1495.161,percent of total billed charges,746.1127005,,,,1495.161,percent of total billed charges,446.4176319,,,,1480.482,percent of total billed charges,1469.249181,,,,1480.482,percent of total billed charges,1013.329515,,,,,,,,,,1509.84,percent of total billed charges,981.3604703,,,,,,,,,,1509.84,percent of total billed charges,999999999,,,,,,,,,,1677.6,percent of total billed charges,1405.741595,,,,1656.63,percent of total billed charges,1598.719243,,,,1656.63,percent of total billed charges,1412.521371,,,,1677.6,percent of total billed charges,999999999,,,,1677.6,percent of total billed charges,999999999,,,,1467.9,percent of total billed charges,999999999,,,,1467.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1115.604,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1058.985,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,524.25,percent of total billed charges,497.9092638,,,,,,,,,,524.25,percent of total billed charges,489.6268819,,,,,,,,,,524.25,percent of total billed charges,488.2662298,,,,,,,,,,524.25,percent of total billed charges,481.0765155,,,,,,,,,,524.25,percent of total billed charges,493.4553215,,,,,,,,,,524.25,percent of total billed charges,999999999,,,,,,,,,,524.25,percent of total billed charges,423.419415,,,,,,,,,,524.25,percent of total billed charges,667.7616163,,,,,,,,,,524.25,percent of total billed charges,999999999,,,,,,,,,,524.25,percent of total billed charges,456.549684,,,,,,,,,,1887.3,percent of total billed charges,,,,,
FETAL CHROMOML MICRODEL TJ,81422,CDM,,,,both,,,1549,1549,329.7572302,1549,1549,percent of total billed charges,1139.654329,,,,1549,percent of total billed charges,1208.011055,,,,1549,percent of total billed charges,1139.654329,,,,1549,percent of total billed charges,1208.011055,,,,1549,percent of total billed charges,999999999,,,,1549,percent of total billed charges,1180.231538,,,,1549,percent of total billed charges,1139.654329,,,,1549,percent of total billed charges,1208.011055,,,,1104.437,percent of total billed charges,551.1342742,,,,1104.437,percent of total billed charges,329.7572302,,,,1104.437,percent of total billed charges,551.1342742,,,,1104.437,percent of total billed charges,329.7572302,,,,1104.437,percent of total billed charges,551.1342742,,,,1104.437,percent of total billed charges,329.7572302,,,,1093.594,percent of total billed charges,1085.296605,,,,1093.594,percent of total billed charges,748.5204664,,,,,,,,,,1115.28,percent of total billed charges,724.9057551,,,,,,,,,,1115.28,percent of total billed charges,999999999,,,,,,,,,,1239.2,percent of total billed charges,1038.385184,,,,1223.71,percent of total billed charges,1180.932812,,,,1223.71,percent of total billed charges,1043.39323,,,,1239.2,percent of total billed charges,999999999,,,,1239.2,percent of total billed charges,999999999,,,,1084.3,percent of total billed charges,999999999,,,,1084.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,824.068,percent of total billed charges,999999999,,,,,,,,,,,,,,,,782.245,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,387.25,percent of total billed charges,367.7927752,,,,,,,,,,387.25,percent of total billed charges,361.6747926,,,,,,,,,,387.25,percent of total billed charges,360.6697139,,,,,,,,,,387.25,percent of total billed charges,355.3588567,,,,,,,,,,387.25,percent of total billed charges,364.5027625,,,,,,,,,,387.25,percent of total billed charges,999999999,,,,,,,,,,387.25,percent of total billed charges,312.7690385,,,,,,,,,,387.25,percent of total billed charges,493.2583422,,,,,,,,,,387.25,percent of total billed charges,999999999,,,,,,,,,,387.25,percent of total billed charges,337.2415167,,,,,,,,,,1394.1,percent of total billed charges,,,,,
CPK ISOENYZMES,82552,CDM,,,,both,,,210,210,44.70562837,210,210,percent of total billed charges,154.5044604,,,,210,percent of total billed charges,163.7716731,,,,210,percent of total billed charges,154.5044604,,,,210,percent of total billed charges,163.7716731,,,,210,percent of total billed charges,999999999,,,,210,percent of total billed charges,160.0055668,,,,210,percent of total billed charges,154.5044604,,,,210,percent of total billed charges,163.7716731,,,,149.73,percent of total billed charges,74.71801006,,,,149.73,percent of total billed charges,44.70562837,,,,149.73,percent of total billed charges,74.71801006,,,,149.73,percent of total billed charges,44.70562837,,,,149.73,percent of total billed charges,74.71801006,,,,149.73,percent of total billed charges,44.70562837,,,,148.26,percent of total billed charges,147.1351111,,,,148.26,percent of total billed charges,101.4779199,,,,,,,,,,151.2,percent of total billed charges,98.27644194,,,,,,,,,,151.2,percent of total billed charges,999999999,,,,,,,,,,168,percent of total billed charges,140.7752671,,,,165.9,percent of total billed charges,160.1006395,,,,165.9,percent of total billed charges,141.4542146,,,,168,percent of total billed charges,999999999,,,,168,percent of total billed charges,999999999,,,,147,percent of total billed charges,999999999,,,,147,percent of total billed charges,999999999,,,,,,,,,,,,,,,,111.72,percent of total billed charges,999999999,,,,,,,,,,,,,,,,106.05,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,52.5,percent of total billed charges,49.86215803,,,,,,,,,,52.5,percent of total billed charges,49.03273496,,,,,,,,,,52.5,percent of total billed charges,48.89647509,,,,,,,,,,52.5,percent of total billed charges,48.17647509,,,,,,,,,,52.5,percent of total billed charges,49.41612662,,,,,,,,,,52.5,percent of total billed charges,999999999,,,,,,,,,,52.5,percent of total billed charges,42.40251652,,,,,,,,,,52.5,percent of total billed charges,66.87169262,,,,,,,,,,52.5,percent of total billed charges,999999999,,,,,,,,,,52.5,percent of total billed charges,45.72028309,,,,,,,,,,189,percent of total billed charges,,,,,
PLASMIN INHIBITOR ALPHA 2 (*),85410,CDM,,,,both,,,304,304,64.71671917,304,304,percent of total billed charges,223.6635998,,,,304,percent of total billed charges,237.0789934,,,,304,percent of total billed charges,223.6635998,,,,304,percent of total billed charges,237.0789934,,,,304,percent of total billed charges,999999999,,,,304,percent of total billed charges,231.6271062,,,,304,percent of total billed charges,223.6635998,,,,304,percent of total billed charges,237.0789934,,,,216.752,percent of total billed charges,108.1632146,,,,216.752,percent of total billed charges,64.71671917,,,,216.752,percent of total billed charges,108.1632146,,,,216.752,percent of total billed charges,64.71671917,,,,216.752,percent of total billed charges,108.1632146,,,,216.752,percent of total billed charges,64.71671917,,,,214.624,percent of total billed charges,212.9955894,,,,214.624,percent of total billed charges,146.9013698,,,,,,,,,,218.88,percent of total billed charges,142.2668493,,,,,,,,,,218.88,percent of total billed charges,999999999,,,,,,,,,,243.2,percent of total billed charges,203.788958,,,,240.16,percent of total billed charges,231.7647353,,,,240.16,percent of total billed charges,204.7718154,,,,243.2,percent of total billed charges,999999999,,,,243.2,percent of total billed charges,999999999,,,,212.8,percent of total billed charges,999999999,,,,212.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,161.728,percent of total billed charges,999999999,,,,,,,,,,,,,,,,153.52,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,76,percent of total billed charges,72.18140972,,,,,,,,,,76,percent of total billed charges,70.98072108,,,,,,,,,,76,percent of total billed charges,70.7834687,,,,,,,,,,76,percent of total billed charges,69.74118298,,,,,,,,,,76,percent of total billed charges,71.53572615,,,,,,,,,,76,percent of total billed charges,999999999,,,,,,,,,,76,percent of total billed charges,61.38269058,,,,,,,,,,76,percent of total billed charges,96.80473598,,,,,,,,,,76,percent of total billed charges,999999999,,,,,,,,,,76,percent of total billed charges,66.18555266,,,,,,,,,,273.6,percent of total billed charges,,,,,
PLASMINOGEN(*),85420,CDM,,,,both,,,270,270,57.47866505,270,270,percent of total billed charges,198.6485919,,,,270,percent of total billed charges,210.5635797,,,,270,percent of total billed charges,198.6485919,,,,270,percent of total billed charges,210.5635797,,,,270,percent of total billed charges,999999999,,,,270,percent of total billed charges,205.721443,,,,270,percent of total billed charges,198.6485919,,,,270,percent of total billed charges,210.5635797,,,,192.51,percent of total billed charges,96.06601294,,,,192.51,percent of total billed charges,57.47866505,,,,192.51,percent of total billed charges,96.06601294,,,,192.51,percent of total billed charges,57.47866505,,,,192.51,percent of total billed charges,96.06601294,,,,192.51,percent of total billed charges,57.47866505,,,,190.62,percent of total billed charges,189.1737142,,,,190.62,percent of total billed charges,130.4716113,,,,,,,,,,194.4,percent of total billed charges,126.3554254,,,,,,,,,,194.4,percent of total billed charges,999999999,,,,,,,,,,216,percent of total billed charges,180.9967719,,,,213.3,percent of total billed charges,205.8436793,,,,213.3,percent of total billed charges,181.8697044,,,,216,percent of total billed charges,999999999,,,,216,percent of total billed charges,999999999,,,,189,percent of total billed charges,999999999,,,,189,percent of total billed charges,999999999,,,,,,,,,,,,,,,,143.64,percent of total billed charges,999999999,,,,,,,,,,,,,,,,136.35,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,67.5,percent of total billed charges,64.1084889,,,,,,,,,,67.5,percent of total billed charges,63.0420878,,,,,,,,,,67.5,percent of total billed charges,62.86689654,,,,,,,,,,67.5,percent of total billed charges,61.94118226,,,,,,,,,,67.5,percent of total billed charges,63.53501993,,,,,,,,,,67.5,percent of total billed charges,999999999,,,,,,,,,,67.5,percent of total billed charges,54.51752124,,,,,,,,,,67.5,percent of total billed charges,85.97789051,,,,,,,,,,67.5,percent of total billed charges,999999999,,,,,,,,,,67.5,percent of total billed charges,58.78322112,,,,,,,,,,243,percent of total billed charges,,,,,
PROGRAF LEVEL (FK 506)(*),80197,CDM,,,,both,,,297,297,63.22653155,297,297,percent of total billed charges,218.5134511,,,,297,percent of total billed charges,231.6199377,,,,297,percent of total billed charges,218.5134511,,,,297,percent of total billed charges,231.6199377,,,,297,percent of total billed charges,999999999,,,,297,percent of total billed charges,226.2935873,,,,297,percent of total billed charges,218.5134511,,,,297,percent of total billed charges,231.6199377,,,,211.761,percent of total billed charges,105.6726142,,,,211.761,percent of total billed charges,63.22653155,,,,211.761,percent of total billed charges,105.6726142,,,,211.761,percent of total billed charges,63.22653155,,,,211.761,percent of total billed charges,105.6726142,,,,211.761,percent of total billed charges,63.22653155,,,,209.682,percent of total billed charges,208.0910857,,,,209.682,percent of total billed charges,143.5187724,,,,,,,,,,213.84,percent of total billed charges,138.9909679,,,,,,,,,,213.84,percent of total billed charges,999999999,,,,,,,,,,237.6,percent of total billed charges,199.0964491,,,,234.63,percent of total billed charges,226.4280473,,,,234.63,percent of total billed charges,200.0566749,,,,237.6,percent of total billed charges,999999999,,,,237.6,percent of total billed charges,999999999,,,,207.9,percent of total billed charges,999999999,,,,207.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,158.004,percent of total billed charges,999999999,,,,,,,,,,,,,,,,149.985,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,74.25,percent of total billed charges,70.51933779,,,,,,,,,,74.25,percent of total billed charges,69.34629659,,,,,,,,,,74.25,percent of total billed charges,69.1535862,,,,,,,,,,74.25,percent of total billed charges,68.13530048,,,,,,,,,,74.25,percent of total billed charges,69.88852193,,,,,,,,,,74.25,percent of total billed charges,999999999,,,,,,,,,,74.25,percent of total billed charges,59.96927337,,,,,,,,,,74.25,percent of total billed charges,94.57567956,,,,,,,,,,74.25,percent of total billed charges,999999999,,,,,,,,,,74.25,percent of total billed charges,64.66154323,,,,,,,,,,267.3,percent of total billed charges,,,,,
**ARTHRITIS PROFILE,80072,CDM,,,,both,,,435,435,92.60451591,435,435,percent of total billed charges,320.0449537,,,,435,percent of total billed charges,339.2413229,,,,435,percent of total billed charges,320.0449537,,,,435,percent of total billed charges,339.2413229,,,,435,percent of total billed charges,999999999,,,,435,percent of total billed charges,331.4401026,,,,435,percent of total billed charges,320.0449537,,,,435,percent of total billed charges,339.2413229,,,,310.155,percent of total billed charges,154.7730208,,,,310.155,percent of total billed charges,92.60451591,,,,310.155,percent of total billed charges,154.7730208,,,,310.155,percent of total billed charges,92.60451591,,,,310.155,percent of total billed charges,154.7730208,,,,310.155,percent of total billed charges,92.60451591,,,,307.11,percent of total billed charges,304.7798729,,,,307.11,percent of total billed charges,210.2042627,,,,,,,,,,313.2,percent of total billed charges,203.5726297,,,,,,,,,,313.2,percent of total billed charges,999999999,,,,,,,,,,348,percent of total billed charges,291.6059103,,,,343.65,percent of total billed charges,331.6370389,,,,343.65,percent of total billed charges,293.0123016,,,,348,percent of total billed charges,999999999,,,,348,percent of total billed charges,999999999,,,,304.5,percent of total billed charges,999999999,,,,304.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,231.42,percent of total billed charges,999999999,,,,,,,,,,,,,,,,219.675,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,108.75,percent of total billed charges,103.2858988,,,,,,,,,,108.75,percent of total billed charges,101.5678081,,,,,,,,,,108.75,percent of total billed charges,101.2855555,,,,,,,,,,108.75,percent of total billed charges,99.79412697,,,,,,,,,,108.75,percent of total billed charges,102.3619766,,,,,,,,,,108.75,percent of total billed charges,999999999,,,,,,,,,,108.75,percent of total billed charges,87.83378422,,,,,,,,,,108.75,percent of total billed charges,138.5199347,,,,,,,,,,108.75,percent of total billed charges,999999999,,,,,,,,,,108.75,percent of total billed charges,94.70630069,,,,,,,,,,391.5,percent of total billed charges,,,,,
ASSAY OF INSULIN,83527,CDM,,,,both,,,162,162,34.48719903,162,162,percent of total billed charges,119.1891552,,,,162,percent of total billed charges,126.3381478,,,,162,percent of total billed charges,119.1891552,,,,162,percent of total billed charges,126.3381478,,,,162,percent of total billed charges,999999999,,,,162,percent of total billed charges,123.4328658,,,,162,percent of total billed charges,119.1891552,,,,162,percent of total billed charges,126.3381478,,,,115.506,percent of total billed charges,57.63960776,,,,115.506,percent of total billed charges,34.48719903,,,,115.506,percent of total billed charges,57.63960776,,,,115.506,percent of total billed charges,34.48719903,,,,115.506,percent of total billed charges,57.63960776,,,,115.506,percent of total billed charges,34.48719903,,,,114.372,percent of total billed charges,113.5042285,,,,114.372,percent of total billed charges,78.28296679,,,,,,,,,,116.64,percent of total billed charges,75.81325521,,,,,,,,,,116.64,percent of total billed charges,999999999,,,,,,,,,,129.6,percent of total billed charges,108.5980632,,,,127.98,percent of total billed charges,123.5062076,,,,127.98,percent of total billed charges,109.1218227,,,,129.6,percent of total billed charges,999999999,,,,129.6,percent of total billed charges,999999999,,,,113.4,percent of total billed charges,999999999,,,,113.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,86.184,percent of total billed charges,999999999,,,,,,,,,,,,,,,,81.81,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,40.5,percent of total billed charges,38.46509334,,,,,,,,,,40.5,percent of total billed charges,37.82525268,,,,,,,,,,40.5,percent of total billed charges,37.72013793,,,,,,,,,,40.5,percent of total billed charges,37.16470935,,,,,,,,,,40.5,percent of total billed charges,38.12101196,,,,,,,,,,40.5,percent of total billed charges,999999999,,,,,,,,,,40.5,percent of total billed charges,32.71051275,,,,,,,,,,40.5,percent of total billed charges,51.58673431,,,,,,,,,,40.5,percent of total billed charges,999999999,,,,,,,,,,40.5,percent of total billed charges,35.26993267,,,,,,,,,,145.8,percent of total billed charges,,,,,
OPIOIDS AND OPIATE ANALOGS,80362,CDM,,,,both,,,371,371,78.97994346,371,371,percent of total billed charges,272.95788,,,,371,percent of total billed charges,289.3299558,,,,371,percent of total billed charges,272.95788,,,,371,percent of total billed charges,289.3299558,,,,371,percent of total billed charges,999999999,,,,371,percent of total billed charges,282.6765013,,,,371,percent of total billed charges,272.95788,,,,371,percent of total billed charges,289.3299558,,,,264.523,percent of total billed charges,132.0018178,,,,264.523,percent of total billed charges,78.97994346,,,,264.523,percent of total billed charges,132.0018178,,,,264.523,percent of total billed charges,78.97994346,,,,264.523,percent of total billed charges,132.0018178,,,,264.523,percent of total billed charges,78.97994346,,,,261.926,percent of total billed charges,259.9386962,,,,261.926,percent of total billed charges,179.2776585,,,,,,,,,,267.12,percent of total billed charges,173.6217141,,,,,,,,,,267.12,percent of total billed charges,999999999,,,,,,,,,,296.8,percent of total billed charges,248.7029718,,,,293.09,percent of total billed charges,282.8444631,,,,293.09,percent of total billed charges,249.9024457,,,,296.8,percent of total billed charges,999999999,,,,296.8,percent of total billed charges,999999999,,,,259.7,percent of total billed charges,999999999,,,,259.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,197.372,percent of total billed charges,999999999,,,,,,,,,,,,,,,,187.355,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,92.75,percent of total billed charges,88.08981252,,,,,,,,,,92.75,percent of total billed charges,86.62449843,,,,,,,,,,92.75,percent of total billed charges,86.38377266,,,,,,,,,,92.75,percent of total billed charges,85.11177265,,,,,,,,,,92.75,percent of total billed charges,87.30182369,,,,,,,,,,92.75,percent of total billed charges,999999999,,,,,,,,,,92.75,percent of total billed charges,74.91111252,,,,,,,,,,92.75,percent of total billed charges,118.1399903,,,,,,,,,,92.75,percent of total billed charges,999999999,,,,,,,,,,92.75,percent of total billed charges,80.77250013,,,,,,,,,,333.9,percent of total billed charges,,,,,
ASSAY THIOPURIN S-MTHYLTRNSFRS,84433,CDM,,,,both,,,119,119,25.33318941,119,119,percent of total billed charges,87.55252756,,,,119,percent of total billed charges,92.80394809,,,,119,percent of total billed charges,87.55252756,,,,119,percent of total billed charges,92.80394809,,,,119,percent of total billed charges,999999999,,,,119,percent of total billed charges,90.66982118,,,,119,percent of total billed charges,87.55252756,,,,119,percent of total billed charges,92.80394809,,,,84.847,percent of total billed charges,42.3402057,,,,84.847,percent of total billed charges,25.33318941,,,,84.847,percent of total billed charges,42.3402057,,,,84.847,percent of total billed charges,25.33318941,,,,84.847,percent of total billed charges,42.3402057,,,,84.847,percent of total billed charges,25.33318941,,,,84.014,percent of total billed charges,83.37656294,,,,84.014,percent of total billed charges,57.50415461,,,,,,,,,,85.68,percent of total billed charges,55.68998377,,,,,,,,,,85.68,percent of total billed charges,999999999,,,,,,,,,,95.2,percent of total billed charges,79.77265134,,,,94.01,percent of total billed charges,90.72369571,,,,94.01,percent of total billed charges,80.15738826,,,,95.2,percent of total billed charges,999999999,,,,95.2,percent of total billed charges,999999999,,,,83.3,percent of total billed charges,999999999,,,,83.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,63.308,percent of total billed charges,999999999,,,,,,,,,,,,,,,,60.095,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,29.75,percent of total billed charges,28.25522288,,,,,,,,,,29.75,percent of total billed charges,27.78521648,,,,,,,,,,29.75,percent of total billed charges,27.70800255,,,,,,,,,,29.75,percent of total billed charges,27.30000255,,,,,,,,,,29.75,percent of total billed charges,28.00247175,,,,,,,,,,29.75,percent of total billed charges,999999999,,,,,,,,,,29.75,percent of total billed charges,24.0280927,,,,,,,,,,29.75,percent of total billed charges,37.89395915,,,,,,,,,,29.75,percent of total billed charges,999999999,,,,,,,,,,29.75,percent of total billed charges,25.90816042,,,,,,,,,,107.1,percent of total billed charges,,,,,
CA - 125(*),86304,CDM,,,,both,,,312,312,66.41979072,312,312,percent of total billed charges,229.549484,,,,312,percent of total billed charges,243.3179143,,,,312,percent of total billed charges,229.549484,,,,312,percent of total billed charges,243.3179143,,,,312,percent of total billed charges,999999999,,,,312,percent of total billed charges,237.7225564,,,,312,percent of total billed charges,229.549484,,,,312,percent of total billed charges,243.3179143,,,,222.456,percent of total billed charges,111.009615,,,,222.456,percent of total billed charges,66.41979072,,,,222.456,percent of total billed charges,111.009615,,,,222.456,percent of total billed charges,66.41979072,,,,222.456,percent of total billed charges,111.009615,,,,222.456,percent of total billed charges,66.41979072,,,,220.272,percent of total billed charges,218.6007365,,,,220.272,percent of total billed charges,150.7671953,,,,,,,,,,224.64,percent of total billed charges,146.0107137,,,,,,,,,,224.64,percent of total billed charges,999999999,,,,,,,,,,249.6,percent of total billed charges,209.1518254,,,,246.48,percent of total billed charges,237.8638072,,,,246.48,percent of total billed charges,210.1605474,,,,249.6,percent of total billed charges,999999999,,,,249.6,percent of total billed charges,999999999,,,,218.4,percent of total billed charges,999999999,,,,218.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,165.984,percent of total billed charges,999999999,,,,,,,,,,,,,,,,157.56,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,78,percent of total billed charges,74.0809205,,,,,,,,,,78,percent of total billed charges,72.8486348,,,,,,,,,,78,percent of total billed charges,72.64619156,,,,,,,,,,78,percent of total billed charges,71.57647727,,,,,,,,,,78,percent of total billed charges,73.41824526,,,,,,,,,,78,percent of total billed charges,999999999,,,,,,,,,,78,percent of total billed charges,62.99802455,,,,,,,,,,78,percent of total billed charges,99.35222903,,,,,,,,,,78,percent of total billed charges,999999999,,,,,,,,,,78,percent of total billed charges,67.92727773,,,,,,,,,,280.8,percent of total billed charges,,,,,
RENAL PANEL,80069,CDM,,,,both,,,304,304,64.71671917,304,304,percent of total billed charges,223.6635998,,,,304,percent of total billed charges,237.0789934,,,,304,percent of total billed charges,223.6635998,,,,304,percent of total billed charges,237.0789934,,,,304,percent of total billed charges,999999999,,,,304,percent of total billed charges,231.6271062,,,,304,percent of total billed charges,223.6635998,,,,304,percent of total billed charges,237.0789934,,,,216.752,percent of total billed charges,108.1632146,,,,216.752,percent of total billed charges,64.71671917,,,,216.752,percent of total billed charges,108.1632146,,,,216.752,percent of total billed charges,64.71671917,,,,216.752,percent of total billed charges,108.1632146,,,,216.752,percent of total billed charges,64.71671917,,,,214.624,percent of total billed charges,212.9955894,,,,214.624,percent of total billed charges,146.9013698,,,,,,,,,,218.88,percent of total billed charges,142.2668493,,,,,,,,,,218.88,percent of total billed charges,999999999,,,,,,,,,,243.2,percent of total billed charges,203.788958,,,,240.16,percent of total billed charges,231.7647353,,,,240.16,percent of total billed charges,204.7718154,,,,243.2,percent of total billed charges,999999999,,,,243.2,percent of total billed charges,999999999,,,,212.8,percent of total billed charges,999999999,,,,212.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,161.728,percent of total billed charges,999999999,,,,,,,,,,,,,,,,153.52,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,76,percent of total billed charges,72.18140972,,,,,,,,,,76,percent of total billed charges,70.98072108,,,,,,,,,,76,percent of total billed charges,70.7834687,,,,,,,,,,76,percent of total billed charges,69.74118298,,,,,,,,,,76,percent of total billed charges,71.53572615,,,,,,,,,,76,percent of total billed charges,999999999,,,,,,,,,,76,percent of total billed charges,61.38269058,,,,,,,,,,76,percent of total billed charges,96.80473598,,,,,,,,,,76,percent of total billed charges,999999999,,,,,,,,,,76,percent of total billed charges,66.18555266,,,,,,,,,,273.6,percent of total billed charges,,,,,
BASIC METABOLIC PANEL,80048,CDM,,,,both,,,281,281,59.82038844,281,281,percent of total billed charges,206.7416827,,,,281,percent of total billed charges,219.1420959,,,,281,percent of total billed charges,206.7416827,,,,281,percent of total billed charges,219.1420959,,,,281,percent of total billed charges,999999999,,,,281,percent of total billed charges,214.102687,,,,281,percent of total billed charges,206.7416827,,,,281,percent of total billed charges,219.1420959,,,,200.353,percent of total billed charges,99.97981347,,,,200.353,percent of total billed charges,59.82038844,,,,200.353,percent of total billed charges,99.97981347,,,,200.353,percent of total billed charges,59.82038844,,,,200.353,percent of total billed charges,99.97981347,,,,200.353,percent of total billed charges,59.82038844,,,,198.386,percent of total billed charges,196.8807915,,,,198.386,percent of total billed charges,135.7871214,,,,,,,,,,202.32,percent of total billed charges,131.503239,,,,,,,,,,202.32,percent of total billed charges,999999999,,,,,,,,,,224.8,percent of total billed charges,188.3707145,,,,221.99,percent of total billed charges,214.2299033,,,,221.99,percent of total billed charges,189.2792109,,,,224.8,percent of total billed charges,999999999,,,,224.8,percent of total billed charges,999999999,,,,196.7,percent of total billed charges,999999999,,,,196.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,149.492,percent of total billed charges,999999999,,,,,,,,,,,,,,,,141.905,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,70.25,percent of total billed charges,66.72031622,,,,,,,,,,70.25,percent of total billed charges,65.61046916,,,,,,,,,,70.25,percent of total billed charges,65.42814048,,,,,,,,,,70.25,percent of total billed charges,64.4647119,,,,,,,,,,70.25,percent of total billed charges,66.12348371,,,,,,,,,,70.25,percent of total billed charges,999999999,,,,,,,,,,70.25,percent of total billed charges,56.73860544,,,,,,,,,,70.25,percent of total billed charges,89.48069346,,,,,,,,,,70.25,percent of total billed charges,999999999,,,,,,,,,,70.25,percent of total billed charges,61.17809309,,,,,,,,,,252.9,percent of total billed charges,,,,,
COMPLETE METABOLIC PANEL,80053,CDM,,,,both,,,359,359,76.42533612,359,359,percent of total billed charges,264.1290537,,,,359,percent of total billed charges,279.9715745,,,,359,percent of total billed charges,264.1290537,,,,359,percent of total billed charges,279.9715745,,,,359,percent of total billed charges,999999999,,,,359,percent of total billed charges,273.5333261,,,,359,percent of total billed charges,264.1290537,,,,359,percent of total billed charges,279.9715745,,,,255.967,percent of total billed charges,127.7322172,,,,255.967,percent of total billed charges,76.42533612,,,,255.967,percent of total billed charges,127.7322172,,,,255.967,percent of total billed charges,76.42533612,,,,255.967,percent of total billed charges,127.7322172,,,,255.967,percent of total billed charges,76.42533612,,,,253.454,percent of total billed charges,251.5309756,,,,253.454,percent of total billed charges,173.4789202,,,,,,,,,,258.48,percent of total billed charges,168.0059174,,,,,,,,,,258.48,percent of total billed charges,999999999,,,,,,,,,,287.2,percent of total billed charges,240.6586708,,,,283.61,percent of total billed charges,273.6958551,,,,283.61,percent of total billed charges,241.8193478,,,,287.2,percent of total billed charges,999999999,,,,287.2,percent of total billed charges,999999999,,,,251.3,percent of total billed charges,999999999,,,,251.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,190.988,percent of total billed charges,999999999,,,,,,,,,,,,,,,,181.295,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,89.75,percent of total billed charges,85.24054635,,,,,,,,,,89.75,percent of total billed charges,83.82262786,,,,,,,,,,89.75,percent of total billed charges,83.58968837,,,,,,,,,,89.75,percent of total billed charges,82.35883122,,,,,,,,,,89.75,percent of total billed charges,84.47804502,,,,,,,,,,89.75,percent of total billed charges,999999999,,,,,,,,,,89.75,percent of total billed charges,72.48811158,,,,,,,,,,89.75,percent of total billed charges,114.3187507,,,,,,,,,,89.75,percent of total billed charges,999999999,,,,,,,,,,89.75,percent of total billed charges,78.15991252,,,,,,,,,,323.1,percent of total billed charges,,,,,
HEPATIC PROFILE,80076,CDM,,,,both,,,260,260,55.3498256,260,260,percent of total billed charges,191.2912367,,,,260,percent of total billed charges,202.7649286,,,,260,percent of total billed charges,191.2912367,,,,260,percent of total billed charges,202.7649286,,,,260,percent of total billed charges,999999999,,,,260,percent of total billed charges,198.1021303,,,,260,percent of total billed charges,191.2912367,,,,260,percent of total billed charges,202.7649286,,,,185.38,percent of total billed charges,92.50801246,,,,185.38,percent of total billed charges,55.3498256,,,,185.38,percent of total billed charges,92.50801246,,,,185.38,percent of total billed charges,55.3498256,,,,185.38,percent of total billed charges,92.50801246,,,,185.38,percent of total billed charges,55.3498256,,,,183.56,percent of total billed charges,182.1672804,,,,183.56,percent of total billed charges,125.6393294,,,,,,,,,,187.2,percent of total billed charges,121.6755948,,,,,,,,,,187.2,percent of total billed charges,999999999,,,,,,,,,,208,percent of total billed charges,174.2931878,,,,205.4,percent of total billed charges,198.2198394,,,,205.4,percent of total billed charges,175.1337895,,,,208,percent of total billed charges,999999999,,,,208,percent of total billed charges,999999999,,,,182,percent of total billed charges,999999999,,,,182,percent of total billed charges,999999999,,,,,,,,,,,,,,,,138.32,percent of total billed charges,999999999,,,,,,,,,,,,,,,,131.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,65,percent of total billed charges,61.73410042,,,,,,,,,,65,percent of total billed charges,60.70719566,,,,,,,,,,65,percent of total billed charges,60.53849297,,,,,,,,,,65,percent of total billed charges,59.64706439,,,,,,,,,,65,percent of total billed charges,61.18187105,,,,,,,,,,65,percent of total billed charges,999999999,,,,,,,,,,65,percent of total billed charges,52.49835379,,,,,,,,,,65,percent of total billed charges,82.79352419,,,,,,,,,,65,percent of total billed charges,999999999,,,,,,,,,,65,percent of total billed charges,56.60606478,,,,,,,,,,234,percent of total billed charges,,,,,
IGM(*),82784,CDM,,,,both,,,146,146,31.08105592,146,146,percent of total billed charges,107.4173868,,,,146,percent of total billed charges,113.8603061,,,,146,percent of total billed charges,107.4173868,,,,146,percent of total billed charges,113.8603061,,,,146,percent of total billed charges,999999999,,,,146,percent of total billed charges,111.2419655,,,,146,percent of total billed charges,107.4173868,,,,146,percent of total billed charges,113.8603061,,,,104.098,percent of total billed charges,51.946807,,,,104.098,percent of total billed charges,31.08105592,,,,104.098,percent of total billed charges,51.946807,,,,104.098,percent of total billed charges,31.08105592,,,,104.098,percent of total billed charges,51.946807,,,,104.098,percent of total billed charges,31.08105592,,,,103.076,percent of total billed charges,102.2939344,,,,103.076,percent of total billed charges,70.55131575,,,,,,,,,,105.12,percent of total billed charges,68.3255263,,,,,,,,,,105.12,percent of total billed charges,999999999,,,,,,,,,,116.8,percent of total billed charges,97.87232853,,,,115.34,percent of total billed charges,111.3080636,,,,115.34,percent of total billed charges,98.3443587,,,,116.8,percent of total billed charges,999999999,,,,116.8,percent of total billed charges,999999999,,,,102.2,percent of total billed charges,999999999,,,,102.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,77.672,percent of total billed charges,999999999,,,,,,,,,,,,,,,,73.73,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,36.5,percent of total billed charges,34.66607177,,,,,,,,,,36.5,percent of total billed charges,34.08942526,,,,,,,,,,36.5,percent of total billed charges,33.9946922,,,,,,,,,,36.5,percent of total billed charges,33.49412078,,,,,,,,,,36.5,percent of total billed charges,34.35597374,,,,,,,,,,36.5,percent of total billed charges,999999999,,,,,,,,,,36.5,percent of total billed charges,29.47984482,,,,,,,,,,36.5,percent of total billed charges,46.4917482,,,,,,,,,,36.5,percent of total billed charges,999999999,,,,,,,,,,36.5,percent of total billed charges,31.78648253,,,,,,,,,,131.4,percent of total billed charges,,,,,
OSMOLALITY BLOOD,83930,CDM,,,,both,,,146,146,31.08105592,146,146,percent of total billed charges,107.4173868,,,,146,percent of total billed charges,113.8603061,,,,146,percent of total billed charges,107.4173868,,,,146,percent of total billed charges,113.8603061,,,,146,percent of total billed charges,999999999,,,,146,percent of total billed charges,111.2419655,,,,146,percent of total billed charges,107.4173868,,,,146,percent of total billed charges,113.8603061,,,,104.098,percent of total billed charges,51.946807,,,,104.098,percent of total billed charges,31.08105592,,,,104.098,percent of total billed charges,51.946807,,,,104.098,percent of total billed charges,31.08105592,,,,104.098,percent of total billed charges,51.946807,,,,104.098,percent of total billed charges,31.08105592,,,,103.076,percent of total billed charges,102.2939344,,,,103.076,percent of total billed charges,70.55131575,,,,,,,,,,105.12,percent of total billed charges,68.3255263,,,,,,,,,,105.12,percent of total billed charges,999999999,,,,,,,,,,116.8,percent of total billed charges,97.87232853,,,,115.34,percent of total billed charges,111.3080636,,,,115.34,percent of total billed charges,98.3443587,,,,116.8,percent of total billed charges,999999999,,,,116.8,percent of total billed charges,999999999,,,,102.2,percent of total billed charges,999999999,,,,102.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,77.672,percent of total billed charges,999999999,,,,,,,,,,,,,,,,73.73,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,36.5,percent of total billed charges,34.66607177,,,,,,,,,,36.5,percent of total billed charges,34.08942526,,,,,,,,,,36.5,percent of total billed charges,33.9946922,,,,,,,,,,36.5,percent of total billed charges,33.49412078,,,,,,,,,,36.5,percent of total billed charges,34.35597374,,,,,,,,,,36.5,percent of total billed charges,999999999,,,,,,,,,,36.5,percent of total billed charges,29.47984482,,,,,,,,,,36.5,percent of total billed charges,46.4917482,,,,,,,,,,36.5,percent of total billed charges,999999999,,,,,,,,,,36.5,percent of total billed charges,31.78648253,,,,,,,,,,131.4,percent of total billed charges,,,,,
CYTOGENETICS & MOLECULAR CYTOGENETIC*,88291,CDM,,,,both,,,315,315,67.05844256,315,315,percent of total billed charges,231.7566906,,,,315,percent of total billed charges,245.6575097,,,,315,percent of total billed charges,231.7566906,,,,315,percent of total billed charges,245.6575097,,,,315,percent of total billed charges,999999999,,,,315,percent of total billed charges,240.0083502,,,,315,percent of total billed charges,231.7566906,,,,315,percent of total billed charges,245.6575097,,,,224.595,percent of total billed charges,112.0770151,,,,224.595,percent of total billed charges,67.05844256,,,,224.595,percent of total billed charges,112.0770151,,,,224.595,percent of total billed charges,67.05844256,,,,224.595,percent of total billed charges,112.0770151,,,,224.595,percent of total billed charges,67.05844256,,,,222.39,percent of total billed charges,220.7026666,,,,222.39,percent of total billed charges,152.2168799,,,,,,,,,,226.8,percent of total billed charges,147.4146629,,,,,,,,,,226.8,percent of total billed charges,999999999,,,,,,,,,,252,percent of total billed charges,211.1629006,,,,248.85,percent of total billed charges,240.1509592,,,,248.85,percent of total billed charges,212.1813219,,,,252,percent of total billed charges,999999999,,,,252,percent of total billed charges,999999999,,,,220.5,percent of total billed charges,999999999,,,,220.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,167.58,percent of total billed charges,999999999,,,,,,,,,,,,,,,,159.075,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,78.75,percent of total billed charges,74.79323705,,,,,,,,,,78.75,percent of total billed charges,73.54910244,,,,,,,,,,78.75,percent of total billed charges,73.34471263,,,,,,,,,,78.75,percent of total billed charges,72.26471263,,,,,,,,,,78.75,percent of total billed charges,74.12418992,,,,,,,,,,78.75,percent of total billed charges,999999999,,,,,,,,,,78.75,percent of total billed charges,63.60377478,,,,,,,,,,78.75,percent of total billed charges,100.3075389,,,,,,,,,,78.75,percent of total billed charges,999999999,,,,,,,,,,78.75,percent of total billed charges,68.58042464,,,,,,,,,,283.5,percent of total billed charges,,,,,
ROCKY MOUNTAIN-ANTIBODY(*),86757,CDM,,,,both,,,243,243,51.73079854,243,243,percent of total billed charges,178.7837328,,,,243,percent of total billed charges,189.5072217,,,,243,percent of total billed charges,178.7837328,,,,243,percent of total billed charges,189.5072217,,,,243,percent of total billed charges,999999999,,,,243,percent of total billed charges,185.1492987,,,,243,percent of total billed charges,178.7837328,,,,243,percent of total billed charges,189.5072217,,,,173.259,percent of total billed charges,86.45941165,,,,173.259,percent of total billed charges,51.73079854,,,,173.259,percent of total billed charges,86.45941165,,,,173.259,percent of total billed charges,51.73079854,,,,173.259,percent of total billed charges,86.45941165,,,,173.259,percent of total billed charges,51.73079854,,,,171.558,percent of total billed charges,170.2563428,,,,171.558,percent of total billed charges,117.4244502,,,,,,,,,,174.96,percent of total billed charges,113.7198828,,,,,,,,,,174.96,percent of total billed charges,999999999,,,,,,,,,,194.4,percent of total billed charges,162.8970947,,,,191.97,percent of total billed charges,185.2593114,,,,191.97,percent of total billed charges,163.682734,,,,194.4,percent of total billed charges,999999999,,,,194.4,percent of total billed charges,999999999,,,,170.1,percent of total billed charges,999999999,,,,170.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,129.276,percent of total billed charges,999999999,,,,,,,,,,,,,,,,122.715,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,60.75,percent of total billed charges,57.69764001,,,,,,,,,,60.75,percent of total billed charges,56.73787902,,,,,,,,,,60.75,percent of total billed charges,56.58020689,,,,,,,,,,60.75,percent of total billed charges,55.74706403,,,,,,,,,,60.75,percent of total billed charges,57.18151794,,,,,,,,,,60.75,percent of total billed charges,999999999,,,,,,,,,,60.75,percent of total billed charges,49.06576912,,,,,,,,,,60.75,percent of total billed charges,77.38010146,,,,,,,,,,60.75,percent of total billed charges,999999999,,,,,,,,,,60.75,percent of total billed charges,52.90489901,,,,,,,,,,218.7,percent of total billed charges,,,,,
CYTOGENETICS DNA PROBE,88271,CDM,,,,both,,,270,270,57.47866505,270,270,percent of total billed charges,198.6485919,,,,270,percent of total billed charges,210.5635797,,,,270,percent of total billed charges,198.6485919,,,,270,percent of total billed charges,210.5635797,,,,270,percent of total billed charges,999999999,,,,270,percent of total billed charges,205.721443,,,,270,percent of total billed charges,198.6485919,,,,270,percent of total billed charges,210.5635797,,,,192.51,percent of total billed charges,96.06601294,,,,192.51,percent of total billed charges,57.47866505,,,,192.51,percent of total billed charges,96.06601294,,,,192.51,percent of total billed charges,57.47866505,,,,192.51,percent of total billed charges,96.06601294,,,,192.51,percent of total billed charges,57.47866505,,,,190.62,percent of total billed charges,189.1737142,,,,190.62,percent of total billed charges,130.4716113,,,,,,,,,,194.4,percent of total billed charges,126.3554254,,,,,,,,,,194.4,percent of total billed charges,999999999,,,,,,,,,,216,percent of total billed charges,180.9967719,,,,213.3,percent of total billed charges,205.8436793,,,,213.3,percent of total billed charges,181.8697044,,,,216,percent of total billed charges,999999999,,,,216,percent of total billed charges,999999999,,,,189,percent of total billed charges,999999999,,,,189,percent of total billed charges,999999999,,,,,,,,,,,,,,,,143.64,percent of total billed charges,999999999,,,,,,,,,,,,,,,,136.35,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,67.5,percent of total billed charges,64.1084889,,,,,,,,,,67.5,percent of total billed charges,63.0420878,,,,,,,,,,67.5,percent of total billed charges,62.86689654,,,,,,,,,,67.5,percent of total billed charges,61.94118226,,,,,,,,,,67.5,percent of total billed charges,63.53501993,,,,,,,,,,67.5,percent of total billed charges,999999999,,,,,,,,,,67.5,percent of total billed charges,54.51752124,,,,,,,,,,67.5,percent of total billed charges,85.97789051,,,,,,,,,,67.5,percent of total billed charges,999999999,,,,,,,,,,67.5,percent of total billed charges,58.78322112,,,,,,,,,,243,percent of total billed charges,,,,,
RIA NONANTIBODY,83519,CDM,,,,both,,,309,309,65.78113889,309,309,percent of total billed charges,227.3422774,,,,309,percent of total billed charges,240.978319,,,,309,percent of total billed charges,227.3422774,,,,309,percent of total billed charges,240.978319,,,,309,percent of total billed charges,999999999,,,,309,percent of total billed charges,235.4367626,,,,309,percent of total billed charges,227.3422774,,,,309,percent of total billed charges,240.978319,,,,220.317,percent of total billed charges,109.9422148,,,,220.317,percent of total billed charges,65.78113889,,,,220.317,percent of total billed charges,109.9422148,,,,220.317,percent of total billed charges,65.78113889,,,,220.317,percent of total billed charges,109.9422148,,,,220.317,percent of total billed charges,65.78113889,,,,218.154,percent of total billed charges,216.4988063,,,,218.154,percent of total billed charges,149.3175107,,,,,,,,,,222.48,percent of total billed charges,144.6067646,,,,,,,,,,222.48,percent of total billed charges,999999999,,,,,,,,,,247.2,percent of total billed charges,207.1407501,,,,244.11,percent of total billed charges,235.5766553,,,,244.11,percent of total billed charges,208.1397729,,,,247.2,percent of total billed charges,999999999,,,,247.2,percent of total billed charges,999999999,,,,216.3,percent of total billed charges,999999999,,,,216.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,164.388,percent of total billed charges,999999999,,,,,,,,,,,,,,,,156.045,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,77.25,percent of total billed charges,73.36860396,,,,,,,,,,77.25,percent of total billed charges,72.14816715,,,,,,,,,,77.25,percent of total billed charges,71.94767049,,,,,,,,,,77.25,percent of total billed charges,70.88824191,,,,,,,,,,77.25,percent of total billed charges,72.71230059,,,,,,,,,,77.25,percent of total billed charges,999999999,,,,,,,,,,77.25,percent of total billed charges,62.39227431,,,,,,,,,,77.25,percent of total billed charges,98.39691914,,,,,,,,,,77.25,percent of total billed charges,999999999,,,,,,,,,,77.25,percent of total billed charges,67.27413083,,,,,,,,,,278.1,percent of total billed charges,,,,,
GENERAL HEALTH PANEL,80050,CDM,,,,both,,,435,435,92.60451591,435,435,percent of total billed charges,320.0449537,,,,435,percent of total billed charges,339.2413229,,,,435,percent of total billed charges,320.0449537,,,,435,percent of total billed charges,339.2413229,,,,435,percent of total billed charges,999999999,,,,435,percent of total billed charges,331.4401026,,,,435,percent of total billed charges,320.0449537,,,,435,percent of total billed charges,339.2413229,,,,310.155,percent of total billed charges,154.7730208,,,,310.155,percent of total billed charges,92.60451591,,,,310.155,percent of total billed charges,154.7730208,,,,310.155,percent of total billed charges,92.60451591,,,,310.155,percent of total billed charges,154.7730208,,,,310.155,percent of total billed charges,92.60451591,,,,307.11,percent of total billed charges,304.7798729,,,,307.11,percent of total billed charges,210.2042627,,,,,,,,,,313.2,percent of total billed charges,203.5726297,,,,,,,,,,313.2,percent of total billed charges,999999999,,,,,,,,,,348,percent of total billed charges,291.6059103,,,,343.65,percent of total billed charges,331.6370389,,,,343.65,percent of total billed charges,293.0123016,,,,348,percent of total billed charges,999999999,,,,348,percent of total billed charges,999999999,,,,304.5,percent of total billed charges,999999999,,,,304.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,231.42,percent of total billed charges,999999999,,,,,,,,,,,,,,,,219.675,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,108.75,percent of total billed charges,103.2858988,,,,,,,,,,108.75,percent of total billed charges,101.5678081,,,,,,,,,,108.75,percent of total billed charges,101.2855555,,,,,,,,,,108.75,percent of total billed charges,99.79412697,,,,,,,,,,108.75,percent of total billed charges,102.3619766,,,,,,,,,,108.75,percent of total billed charges,999999999,,,,,,,,,,108.75,percent of total billed charges,87.83378422,,,,,,,,,,108.75,percent of total billed charges,138.5199347,,,,,,,,,,108.75,percent of total billed charges,999999999,,,,,,,,,,108.75,percent of total billed charges,94.70630069,,,,,,,,,,391.5,percent of total billed charges,,,,,
CYTOGENETICS 10-30,88273,CDM,,,,both,,,477,477,101.5456416,477,477,percent of total billed charges,350.9458458,,,,477,percent of total billed charges,371.9956575,,,,477,percent of total billed charges,350.9458458,,,,477,percent of total billed charges,371.9956575,,,,477,percent of total billed charges,999999999,,,,477,percent of total billed charges,363.441216,,,,477,percent of total billed charges,350.9458458,,,,477,percent of total billed charges,371.9956575,,,,340.101,percent of total billed charges,169.7166229,,,,340.101,percent of total billed charges,101.5456416,,,,340.101,percent of total billed charges,169.7166229,,,,340.101,percent of total billed charges,101.5456416,,,,340.101,percent of total billed charges,169.7166229,,,,340.101,percent of total billed charges,101.5456416,,,,336.762,percent of total billed charges,334.2068952,,,,336.762,percent of total billed charges,230.4998466,,,,,,,,,,343.44,percent of total billed charges,223.2279181,,,,,,,,,,343.44,percent of total billed charges,999999999,,,,,,,,,,381.6,percent of total billed charges,319.7609638,,,,376.83,percent of total billed charges,363.6571668,,,,376.83,percent of total billed charges,321.3031445,,,,381.6,percent of total billed charges,999999999,,,,381.6,percent of total billed charges,999999999,,,,333.9,percent of total billed charges,999999999,,,,333.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,253.764,percent of total billed charges,999999999,,,,,,,,,,,,,,,,240.885,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,119.25,percent of total billed charges,113.2583304,,,,,,,,,,119.25,percent of total billed charges,111.3743551,,,,,,,,,,119.25,percent of total billed charges,111.0648506,,,,,,,,,,119.25,percent of total billed charges,109.429422,,,,,,,,,,119.25,percent of total billed charges,112.2452019,,,,,,,,,,119.25,percent of total billed charges,999999999,,,,,,,,,,119.25,percent of total billed charges,96.31428753,,,,,,,,,,119.25,percent of total billed charges,151.8942732,,,,,,,,,,119.25,percent of total billed charges,999999999,,,,,,,,,,119.25,percent of total billed charges,103.8503573,,,,,,,,,,429.3,percent of total billed charges,,,,,
FUNGUS ANTIBODY,86671,CDM,,,,both,,,194,194,41.29948526,194,194,percent of total billed charges,142.732692,,,,194,percent of total billed charges,151.2938313,,,,194,percent of total billed charges,142.732692,,,,194,percent of total billed charges,151.2938313,,,,194,percent of total billed charges,999999999,,,,194,percent of total billed charges,147.8146665,,,,194,percent of total billed charges,142.732692,,,,194,percent of total billed charges,151.2938313,,,,138.322,percent of total billed charges,69.0252093,,,,138.322,percent of total billed charges,41.29948526,,,,138.322,percent of total billed charges,69.0252093,,,,138.322,percent of total billed charges,41.29948526,,,,138.322,percent of total billed charges,69.0252093,,,,138.322,percent of total billed charges,41.29948526,,,,136.964,percent of total billed charges,135.9248169,,,,136.964,percent of total billed charges,93.74626887,,,,,,,,,,139.68,percent of total billed charges,90.78871303,,,,,,,,,,139.68,percent of total billed charges,999999999,,,,,,,,,,155.2,percent of total billed charges,130.0495324,,,,153.26,percent of total billed charges,147.9024955,,,,153.26,percent of total billed charges,130.6767506,,,,155.2,percent of total billed charges,999999999,,,,155.2,percent of total billed charges,999999999,,,,135.8,percent of total billed charges,999999999,,,,135.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,103.208,percent of total billed charges,999999999,,,,,,,,,,,,,,,,97.97,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,48.5,percent of total billed charges,46.06313647,,,,,,,,,,48.5,percent of total billed charges,45.29690753,,,,,,,,,,48.5,percent of total billed charges,45.17102937,,,,,,,,,,48.5,percent of total billed charges,44.50588651,,,,,,,,,,48.5,percent of total billed charges,45.6510884,,,,,,,,,,48.5,percent of total billed charges,999999999,,,,,,,,,,48.5,percent of total billed charges,39.1718486,,,,,,,,,,48.5,percent of total billed charges,61.77670651,,,,,,,,,,48.5,percent of total billed charges,999999999,,,,,,,,,,48.5,percent of total billed charges,42.23683295,,,,,,,,,,174.6,percent of total billed charges,,,,,
FLOURESCENT AB SCREEN,86255,CDM,,,,both,,,211,211,44.91851232,211,211,percent of total billed charges,155.2401959,,,,211,percent of total billed charges,164.5515382,,,,211,percent of total billed charges,155.2401959,,,,211,percent of total billed charges,164.5515382,,,,211,percent of total billed charges,999999999,,,,211,percent of total billed charges,160.7674981,,,,211,percent of total billed charges,155.2401959,,,,211,percent of total billed charges,164.5515382,,,,150.443,percent of total billed charges,75.07381011,,,,150.443,percent of total billed charges,44.91851232,,,,150.443,percent of total billed charges,75.07381011,,,,150.443,percent of total billed charges,44.91851232,,,,150.443,percent of total billed charges,75.07381011,,,,150.443,percent of total billed charges,44.91851232,,,,148.966,percent of total billed charges,147.8357545,,,,148.966,percent of total billed charges,101.9611481,,,,,,,,,,151.92,percent of total billed charges,98.744425,,,,,,,,,,151.92,percent of total billed charges,999999999,,,,,,,,,,168.8,percent of total billed charges,141.4456255,,,,166.69,percent of total billed charges,160.8630235,,,,166.69,percent of total billed charges,142.1278061,,,,168.8,percent of total billed charges,999999999,,,,168.8,percent of total billed charges,999999999,,,,147.7,percent of total billed charges,999999999,,,,147.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,112.252,percent of total billed charges,999999999,,,,,,,,,,,,,,,,106.555,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,52.75,percent of total billed charges,50.09959688,,,,,,,,,,52.75,percent of total billed charges,49.26622417,,,,,,,,,,52.75,percent of total billed charges,49.12931545,,,,,,,,,,52.75,percent of total billed charges,48.40588687,,,,,,,,,,52.75,percent of total billed charges,49.6514415,,,,,,,,,,52.75,percent of total billed charges,999999999,,,,,,,,,,52.75,percent of total billed charges,42.60443327,,,,,,,,,,52.75,percent of total billed charges,67.19012925,,,,,,,,,,52.75,percent of total billed charges,999999999,,,,,,,,,,52.75,percent of total billed charges,45.93799872,,,,,,,,,,189.9,percent of total billed charges,,,,,
THEOPHYLLINE,80198,CDM,,,,both,,,260,260,55.3498256,260,260,percent of total billed charges,191.2912367,,,,260,percent of total billed charges,202.7649286,,,,260,percent of total billed charges,191.2912367,,,,260,percent of total billed charges,202.7649286,,,,260,percent of total billed charges,999999999,,,,260,percent of total billed charges,198.1021303,,,,260,percent of total billed charges,191.2912367,,,,260,percent of total billed charges,202.7649286,,,,185.38,percent of total billed charges,92.50801246,,,,185.38,percent of total billed charges,55.3498256,,,,185.38,percent of total billed charges,92.50801246,,,,185.38,percent of total billed charges,55.3498256,,,,185.38,percent of total billed charges,92.50801246,,,,185.38,percent of total billed charges,55.3498256,,,,183.56,percent of total billed charges,182.1672804,,,,183.56,percent of total billed charges,125.6393294,,,,,,,,,,187.2,percent of total billed charges,121.6755948,,,,,,,,,,187.2,percent of total billed charges,999999999,,,,,,,,,,208,percent of total billed charges,174.2931878,,,,205.4,percent of total billed charges,198.2198394,,,,205.4,percent of total billed charges,175.1337895,,,,208,percent of total billed charges,999999999,,,,208,percent of total billed charges,999999999,,,,182,percent of total billed charges,999999999,,,,182,percent of total billed charges,999999999,,,,,,,,,,,,,,,,138.32,percent of total billed charges,999999999,,,,,,,,,,,,,,,,131.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,65,percent of total billed charges,61.73410042,,,,,,,,,,65,percent of total billed charges,60.70719566,,,,,,,,,,65,percent of total billed charges,60.53849297,,,,,,,,,,65,percent of total billed charges,59.64706439,,,,,,,,,,65,percent of total billed charges,61.18187105,,,,,,,,,,65,percent of total billed charges,999999999,,,,,,,,,,65,percent of total billed charges,52.49835379,,,,,,,,,,65,percent of total billed charges,82.79352419,,,,,,,,,,65,percent of total billed charges,999999999,,,,,,,,,,65,percent of total billed charges,56.60606478,,,,,,,,,,234,percent of total billed charges,,,,,
CYTOGEN M ARRAY,81229,CDM,,,,both,,,4876,4876,1038.022114,4876,4876,percent of total billed charges,3587.446423,,,,4876,percent of total billed charges,3802.622276,,,,4876,percent of total billed charges,3587.446423,,,,4876,percent of total billed charges,3802.622276,,,,4876,percent of total billed charges,999999999,,,,4876,percent of total billed charges,3715.176875,,,,4876,percent of total billed charges,3587.446423,,,,4876,percent of total billed charges,3802.622276,,,,3476.588,percent of total billed charges,1734.881034,,,,3476.588,percent of total billed charges,1038.022114,,,,3476.588,percent of total billed charges,1734.881034,,,,3476.588,percent of total billed charges,1038.022114,,,,3476.588,percent of total billed charges,1734.881034,,,,3476.588,percent of total billed charges,1038.022114,,,,3442.456,percent of total billed charges,3416.33715,,,,3442.456,percent of total billed charges,2356.220655,,,,,,,,,,3510.72,percent of total billed charges,2281.885385,,,,,,,,,,3510.72,percent of total billed charges,999999999,,,,,,,,,,3900.8,percent of total billed charges,3268.66763,,,,3852.04,percent of total billed charges,3717.384372,,,,3852.04,percent of total billed charges,3284.432144,,,,3900.8,percent of total billed charges,999999999,,,,3900.8,percent of total billed charges,999999999,,,,3413.2,percent of total billed charges,999999999,,,,3413.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2594.032,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2462.38,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1219,percent of total billed charges,1157.751822,,,,,,,,,,1219,percent of total billed charges,1138.493408,,,,,,,,,,1219,percent of total billed charges,1135.329583,,,,,,,,,,1219,percent of total billed charges,1118.611869,,,,,,,,,,1219,percent of total billed charges,1147.395397,,,,,,,,,,1219,percent of total billed charges,999999999,,,,,,,,,,1219,percent of total billed charges,984.5460503,,,,,,,,,,1219,percent of total billed charges,1552.697015,,,,,,,,,,1219,percent of total billed charges,999999999,,,,,,,,,,1219,percent of total billed charges,1061.58143,,,,,,,,,,4388.4,percent of total billed charges,,,,,
CHLMYD PNEUM DNA AMP PROBE,87486,CDM,,,,both,,,247,247,52.58233432,247,247,percent of total billed charges,181.7266749,,,,247,percent of total billed charges,192.6266822,,,,247,percent of total billed charges,181.7266749,,,,247,percent of total billed charges,192.6266822,,,,247,percent of total billed charges,999999999,,,,247,percent of total billed charges,188.1970238,,,,247,percent of total billed charges,181.7266749,,,,247,percent of total billed charges,192.6266822,,,,176.111,percent of total billed charges,87.88261184,,,,176.111,percent of total billed charges,52.58233432,,,,176.111,percent of total billed charges,87.88261184,,,,176.111,percent of total billed charges,52.58233432,,,,176.111,percent of total billed charges,87.88261184,,,,176.111,percent of total billed charges,52.58233432,,,,174.382,percent of total billed charges,173.0589164,,,,174.382,percent of total billed charges,119.3573629,,,,,,,,,,177.84,percent of total billed charges,115.591815,,,,,,,,,,177.84,percent of total billed charges,999999999,,,,,,,,,,197.6,percent of total billed charges,165.5785284,,,,195.13,percent of total billed charges,188.3088474,,,,195.13,percent of total billed charges,166.3771,,,,197.6,percent of total billed charges,999999999,,,,197.6,percent of total billed charges,999999999,,,,172.9,percent of total billed charges,999999999,,,,172.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,131.404,percent of total billed charges,999999999,,,,,,,,,,,,,,,,124.735,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,61.75,percent of total billed charges,58.6473954,,,,,,,,,,61.75,percent of total billed charges,57.67183588,,,,,,,,,,61.75,percent of total billed charges,57.51156832,,,,,,,,,,61.75,percent of total billed charges,56.66471117,,,,,,,,,,61.75,percent of total billed charges,58.1227775,,,,,,,,,,61.75,percent of total billed charges,999999999,,,,,,,,,,61.75,percent of total billed charges,49.8734361,,,,,,,,,,61.75,percent of total billed charges,78.65384799,,,,,,,,,,61.75,percent of total billed charges,999999999,,,,,,,,,,61.75,percent of total billed charges,53.77576154,,,,,,,,,,222.3,percent of total billed charges,,,,,
M. PNEUMON DNA AMP PROBE,87581,CDM,,,,both,,,269,269,57.2657811,269,269,percent of total billed charges,197.9128564,,,,269,percent of total billed charges,209.7837146,,,,269,percent of total billed charges,197.9128564,,,,269,percent of total billed charges,209.7837146,,,,269,percent of total billed charges,999999999,,,,269,percent of total billed charges,204.9595117,,,,269,percent of total billed charges,197.9128564,,,,269,percent of total billed charges,209.7837146,,,,191.797,percent of total billed charges,95.71021289,,,,191.797,percent of total billed charges,57.2657811,,,,191.797,percent of total billed charges,95.71021289,,,,191.797,percent of total billed charges,57.2657811,,,,191.797,percent of total billed charges,95.71021289,,,,191.797,percent of total billed charges,57.2657811,,,,189.914,percent of total billed charges,188.4730709,,,,189.914,percent of total billed charges,129.9883831,,,,,,,,,,193.68,percent of total billed charges,125.8874423,,,,,,,,,,193.68,percent of total billed charges,999999999,,,,,,,,,,215.2,percent of total billed charges,180.3264135,,,,212.51,percent of total billed charges,205.0812953,,,,212.51,percent of total billed charges,181.1961129,,,,215.2,percent of total billed charges,999999999,,,,215.2,percent of total billed charges,999999999,,,,188.3,percent of total billed charges,999999999,,,,188.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,143.108,percent of total billed charges,999999999,,,,,,,,,,,,,,,,135.845,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,67.25,percent of total billed charges,63.87105005,,,,,,,,,,67.25,percent of total billed charges,62.80859859,,,,,,,,,,67.25,percent of total billed charges,62.63405618,,,,,,,,,,67.25,percent of total billed charges,61.71177047,,,,,,,,,,67.25,percent of total billed charges,63.29970505,,,,,,,,,,67.25,percent of total billed charges,999999999,,,,,,,,,,67.25,percent of total billed charges,54.3156045,,,,,,,,,,67.25,percent of total billed charges,85.65945388,,,,,,,,,,67.25,percent of total billed charges,999999999,,,,,,,,,,67.25,percent of total billed charges,58.56550548,,,,,,,,,,242.1,percent of total billed charges,,,,,
HISTOPLASMIN(*),86698,CDM,,,,both,,,128,128,27.24914491,128,128,percent of total billed charges,94.17414729,,,,128,percent of total billed charges,99.82273408,,,,128,percent of total billed charges,94.17414729,,,,128,percent of total billed charges,99.82273408,,,,128,percent of total billed charges,999999999,,,,128,percent of total billed charges,97.52720261,,,,128,percent of total billed charges,94.17414729,,,,128,percent of total billed charges,99.82273408,,,,91.264,percent of total billed charges,45.54240613,,,,91.264,percent of total billed charges,27.24914491,,,,91.264,percent of total billed charges,45.54240613,,,,91.264,percent of total billed charges,27.24914491,,,,91.264,percent of total billed charges,45.54240613,,,,91.264,percent of total billed charges,27.24914491,,,,90.368,percent of total billed charges,89.68235342,,,,90.368,percent of total billed charges,61.85320833,,,,,,,,,,92.16,percent of total billed charges,59.90183128,,,,,,,,,,92.16,percent of total billed charges,999999999,,,,,,,,,,102.4,percent of total billed charges,85.80587707,,,,101.12,percent of total billed charges,97.58515169,,,,101.12,percent of total billed charges,86.21971174,,,,102.4,percent of total billed charges,999999999,,,,102.4,percent of total billed charges,999999999,,,,89.6,percent of total billed charges,999999999,,,,89.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,68.096,percent of total billed charges,999999999,,,,,,,,,,,,,,,,64.64,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,32,percent of total billed charges,30.39217251,,,,,,,,,,32,percent of total billed charges,29.8866194,,,,,,,,,,32,percent of total billed charges,29.80356577,,,,,,,,,,32,percent of total billed charges,29.36470862,,,,,,,,,,32,percent of total billed charges,30.12030575,,,,,,,,,,32,percent of total billed charges,999999999,,,,,,,,,,32,percent of total billed charges,25.8453434,,,,,,,,,,32,percent of total billed charges,40.75988883,,,,,,,,,,32,percent of total billed charges,999999999,,,,,,,,,,32,percent of total billed charges,27.86760112,,,,,,,,,,115.2,percent of total billed charges,,,,,
PHENOBARBITAL,80184,CDM,,,,both,,,269,269,57.2657811,269,269,percent of total billed charges,197.9128564,,,,269,percent of total billed charges,209.7837146,,,,269,percent of total billed charges,197.9128564,,,,269,percent of total billed charges,209.7837146,,,,269,percent of total billed charges,999999999,,,,269,percent of total billed charges,204.9595117,,,,269,percent of total billed charges,197.9128564,,,,269,percent of total billed charges,209.7837146,,,,191.797,percent of total billed charges,95.71021289,,,,191.797,percent of total billed charges,57.2657811,,,,191.797,percent of total billed charges,95.71021289,,,,191.797,percent of total billed charges,57.2657811,,,,191.797,percent of total billed charges,95.71021289,,,,191.797,percent of total billed charges,57.2657811,,,,189.914,percent of total billed charges,188.4730709,,,,189.914,percent of total billed charges,129.9883831,,,,,,,,,,193.68,percent of total billed charges,125.8874423,,,,,,,,,,193.68,percent of total billed charges,999999999,,,,,,,,,,215.2,percent of total billed charges,180.3264135,,,,212.51,percent of total billed charges,205.0812953,,,,212.51,percent of total billed charges,181.1961129,,,,215.2,percent of total billed charges,999999999,,,,215.2,percent of total billed charges,999999999,,,,188.3,percent of total billed charges,999999999,,,,188.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,143.108,percent of total billed charges,999999999,,,,,,,,,,,,,,,,135.845,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,67.25,percent of total billed charges,63.87105005,,,,,,,,,,67.25,percent of total billed charges,62.80859859,,,,,,,,,,67.25,percent of total billed charges,62.63405618,,,,,,,,,,67.25,percent of total billed charges,61.71177047,,,,,,,,,,67.25,percent of total billed charges,63.29970505,,,,,,,,,,67.25,percent of total billed charges,999999999,,,,,,,,,,67.25,percent of total billed charges,54.3156045,,,,,,,,,,67.25,percent of total billed charges,85.65945388,,,,,,,,,,67.25,percent of total billed charges,999999999,,,,,,,,,,67.25,percent of total billed charges,58.56550548,,,,,,,,,,242.1,percent of total billed charges,,,,,
C1 ESTERASE(*),86161,CDM,,,,both,,,252,252,53.64675405,252,252,percent of total billed charges,185.4053525,,,,252,percent of total billed charges,196.5260077,,,,252,percent of total billed charges,185.4053525,,,,252,percent of total billed charges,196.5260077,,,,252,percent of total billed charges,999999999,,,,252,percent of total billed charges,192.0066801,,,,252,percent of total billed charges,185.4053525,,,,252,percent of total billed charges,196.5260077,,,,179.676,percent of total billed charges,89.66161208,,,,179.676,percent of total billed charges,53.64675405,,,,179.676,percent of total billed charges,89.66161208,,,,179.676,percent of total billed charges,53.64675405,,,,179.676,percent of total billed charges,89.66161208,,,,179.676,percent of total billed charges,53.64675405,,,,177.912,percent of total billed charges,176.5621333,,,,177.912,percent of total billed charges,121.7735039,,,,,,,,,,181.44,percent of total billed charges,117.9317303,,,,,,,,,,181.44,percent of total billed charges,999999999,,,,,,,,,,201.6,percent of total billed charges,168.9303205,,,,199.08,percent of total billed charges,192.1207674,,,,199.08,percent of total billed charges,169.7450575,,,,201.6,percent of total billed charges,999999999,,,,201.6,percent of total billed charges,999999999,,,,176.4,percent of total billed charges,999999999,,,,176.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,134.064,percent of total billed charges,999999999,,,,,,,,,,,,,,,,127.26,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,63,percent of total billed charges,59.83458964,,,,,,,,,,63,percent of total billed charges,58.83928195,,,,,,,,,,63,percent of total billed charges,58.67577011,,,,,,,,,,63,percent of total billed charges,57.81177011,,,,,,,,,,63,percent of total billed charges,59.29935194,,,,,,,,,,63,percent of total billed charges,999999999,,,,,,,,,,63,percent of total billed charges,50.88301983,,,,,,,,,,63,percent of total billed charges,80.24603114,,,,,,,,,,63,percent of total billed charges,999999999,,,,,,,,,,63,percent of total billed charges,54.86433971,,,,,,,,,,226.8,percent of total billed charges,,,,,
**TUBERCULIN TINE,86580,CDM,,,,both,,,116,116,24.69453758,116,116,percent of total billed charges,85.34532098,,,,116,percent of total billed charges,90.46435276,,,,116,percent of total billed charges,85.34532098,,,,116,percent of total billed charges,90.46435276,,,,116,percent of total billed charges,999999999,,,,116,percent of total billed charges,88.38402737,,,,116,percent of total billed charges,85.34532098,,,,116,percent of total billed charges,90.46435276,,,,82.708,percent of total billed charges,41.27280556,,,,82.708,percent of total billed charges,24.69453758,,,,82.708,percent of total billed charges,41.27280556,,,,82.708,percent of total billed charges,24.69453758,,,,82.708,percent of total billed charges,41.27280556,,,,82.708,percent of total billed charges,24.69453758,,,,81.896,percent of total billed charges,81.27463278,,,,81.896,percent of total billed charges,56.05447004,,,,,,,,,,83.52,percent of total billed charges,54.2860346,,,,,,,,,,83.52,percent of total billed charges,999999999,,,,,,,,,,92.8,percent of total billed charges,77.76157609,,,,91.64,percent of total billed charges,88.43654372,,,,91.64,percent of total billed charges,78.13661376,,,,92.8,percent of total billed charges,999999999,,,,92.8,percent of total billed charges,999999999,,,,81.2,percent of total billed charges,999999999,,,,81.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,61.712,percent of total billed charges,999999999,,,,,,,,,,,,,,,,58.58,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,29,percent of total billed charges,27.54290634,,,,,,,,,,29,percent of total billed charges,27.08474883,,,,,,,,,,29,percent of total billed charges,27.00948148,,,,,,,,,,29,percent of total billed charges,26.61176719,,,,,,,,,,29,percent of total billed charges,27.29652708,,,,,,,,,,29,percent of total billed charges,999999999,,,,,,,,,,29,percent of total billed charges,23.42234246,,,,,,,,,,29,percent of total billed charges,36.93864926,,,,,,,,,,29,percent of total billed charges,999999999,,,,,,,,,,29,percent of total billed charges,25.25501352,,,,,,,,,,104.4,percent of total billed charges,,,,,
LACTIC ACID,83605,CDM,,,,both,,,232,232,49.38907515,232,232,percent of total billed charges,170.690642,,,,232,percent of total billed charges,180.9287055,,,,232,percent of total billed charges,170.690642,,,,232,percent of total billed charges,180.9287055,,,,232,percent of total billed charges,999999999,,,,232,percent of total billed charges,176.7680547,,,,232,percent of total billed charges,170.690642,,,,232,percent of total billed charges,180.9287055,,,,165.416,percent of total billed charges,82.54561112,,,,165.416,percent of total billed charges,49.38907515,,,,165.416,percent of total billed charges,82.54561112,,,,165.416,percent of total billed charges,49.38907515,,,,165.416,percent of total billed charges,82.54561112,,,,165.416,percent of total billed charges,49.38907515,,,,163.792,percent of total billed charges,162.5492656,,,,163.792,percent of total billed charges,112.1089401,,,,,,,,,,167.04,percent of total billed charges,108.5720692,,,,,,,,,,167.04,percent of total billed charges,999999999,,,,,,,,,,185.6,percent of total billed charges,155.5231522,,,,183.28,percent of total billed charges,176.8730874,,,,183.28,percent of total billed charges,156.2732275,,,,185.6,percent of total billed charges,999999999,,,,185.6,percent of total billed charges,999999999,,,,162.4,percent of total billed charges,999999999,,,,162.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,123.424,percent of total billed charges,999999999,,,,,,,,,,,,,,,,117.16,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,58,percent of total billed charges,55.08581268,,,,,,,,,,58,percent of total billed charges,54.16949767,,,,,,,,,,58,percent of total billed charges,54.01896295,,,,,,,,,,58,percent of total billed charges,53.22353438,,,,,,,,,,58,percent of total billed charges,54.59305417,,,,,,,,,,58,percent of total billed charges,999999999,,,,,,,,,,58,percent of total billed charges,46.84468492,,,,,,,,,,58,percent of total billed charges,73.87729851,,,,,,,,,,58,percent of total billed charges,999999999,,,,,,,,,,58,percent of total billed charges,50.51002703,,,,,,,,,,208.8,percent of total billed charges,,,,,
HERPES SIMPLEX VIRUS BY PCR(*),87529,CDM,,,,both,,,491,491,104.5260168,491,491,percent of total billed charges,361.2461431,,,,491,percent of total billed charges,382.913769,,,,491,percent of total billed charges,361.2461431,,,,491,percent of total billed charges,382.913769,,,,491,percent of total billed charges,999999999,,,,491,percent of total billed charges,374.1082538,,,,491,percent of total billed charges,361.2461431,,,,491,percent of total billed charges,382.913769,,,,350.083,percent of total billed charges,174.6978235,,,,350.083,percent of total billed charges,104.5260168,,,,350.083,percent of total billed charges,174.6978235,,,,350.083,percent of total billed charges,104.5260168,,,,350.083,percent of total billed charges,174.6978235,,,,350.083,percent of total billed charges,104.5260168,,,,346.646,percent of total billed charges,344.0159026,,,,346.646,percent of total billed charges,237.2650413,,,,,,,,,,353.52,percent of total billed charges,229.7796809,,,,,,,,,,353.52,percent of total billed charges,999999999,,,,,,,,,,392.8,percent of total billed charges,329.1459816,,,,387.89,percent of total billed charges,374.3305428,,,,387.89,percent of total billed charges,330.7334255,,,,392.8,percent of total billed charges,999999999,,,,392.8,percent of total billed charges,999999999,,,,343.7,percent of total billed charges,999999999,,,,343.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,261.212,percent of total billed charges,999999999,,,,,,,,,,,,,,,,247.955,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,122.75,percent of total billed charges,116.5824743,,,,,,,,,,122.75,percent of total billed charges,114.6432041,,,,,,,,,,122.75,percent of total billed charges,114.3246156,,,,,,,,,,122.75,percent of total billed charges,112.641187,,,,,,,,,,122.75,percent of total billed charges,115.5396103,,,,,,,,,,122.75,percent of total billed charges,999999999,,,,,,,,,,122.75,percent of total billed charges,99.14112196,,,,,,,,,,122.75,percent of total billed charges,156.3523861,,,,,,,,,,122.75,percent of total billed charges,999999999,,,,,,,,,,122.75,percent of total billed charges,106.8983762,,,,,,,,,,441.9,percent of total billed charges,,,,,
**MUMPS SKIN TEST,95028,CDM,,,,both,,,83,83,17.6693674,83,83,percent of total billed charges,61.06604863,,,,83,percent of total billed charges,64.72880413,,,,83,percent of total billed charges,61.06604863,,,,83,percent of total billed charges,64.72880413,,,,83,percent of total billed charges,999999999,,,,83,percent of total billed charges,63.24029545,,,,83,percent of total billed charges,61.06604863,,,,83,percent of total billed charges,64.72880413,,,,59.179,percent of total billed charges,29.53140398,,,,59.179,percent of total billed charges,17.6693674,,,,59.179,percent of total billed charges,29.53140398,,,,59.179,percent of total billed charges,17.6693674,,,,59.179,percent of total billed charges,29.53140398,,,,59.179,percent of total billed charges,17.6693674,,,,58.598,percent of total billed charges,58.15340104,,,,58.598,percent of total billed charges,40.10793977,,,,,,,,,,59.76,percent of total billed charges,38.84259372,,,,,,,,,,59.76,percent of total billed charges,999999999,,,,,,,,,,66.4,percent of total billed charges,55.63974841,,,,65.57,percent of total billed charges,63.2778718,,,,65.57,percent of total billed charges,55.90809433,,,,66.4,percent of total billed charges,999999999,,,,66.4,percent of total billed charges,999999999,,,,58.1,percent of total billed charges,999999999,,,,58.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,44.156,percent of total billed charges,999999999,,,,,,,,,,,,,,,,41.915,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20.75,percent of total billed charges,19.70742436,,,,,,,,,,20.75,percent of total billed charges,19.37960477,,,,,,,,,,20.75,percent of total billed charges,19.32574968,,,,,,,,,,20.75,percent of total billed charges,19.04117825,,,,,,,,,,20.75,percent of total billed charges,19.53113576,,,,,,,,,,20.75,percent of total billed charges,999999999,,,,,,,,,,20.75,percent of total billed charges,16.75908986,,,,,,,,,,20.75,percent of total billed charges,26.43024042,,,,,,,,,,20.75,percent of total billed charges,999999999,,,,,,,,,,20.75,percent of total billed charges,18.0703976,,,,,,,,,,74.7,percent of total billed charges,,,,,
**ENTEROVIRUS BY PCR(*),87498,CDM,,,,both,,,261,261,55.56270955,261,261,percent of total billed charges,192.0269722,,,,261,percent of total billed charges,203.5447937,,,,261,percent of total billed charges,192.0269722,,,,261,percent of total billed charges,203.5447937,,,,261,percent of total billed charges,999999999,,,,261,percent of total billed charges,198.8640616,,,,261,percent of total billed charges,192.0269722,,,,261,percent of total billed charges,203.5447937,,,,186.093,percent of total billed charges,92.86381251,,,,186.093,percent of total billed charges,55.56270955,,,,186.093,percent of total billed charges,92.86381251,,,,186.093,percent of total billed charges,55.56270955,,,,186.093,percent of total billed charges,92.86381251,,,,186.093,percent of total billed charges,55.56270955,,,,184.266,percent of total billed charges,182.8679238,,,,184.266,percent of total billed charges,126.1225576,,,,,,,,,,187.92,percent of total billed charges,122.1435778,,,,,,,,,,187.92,percent of total billed charges,999999999,,,,,,,,,,208.8,percent of total billed charges,174.9635462,,,,206.19,percent of total billed charges,198.9822234,,,,206.19,percent of total billed charges,175.807381,,,,208.8,percent of total billed charges,999999999,,,,208.8,percent of total billed charges,999999999,,,,182.7,percent of total billed charges,999999999,,,,182.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,138.852,percent of total billed charges,999999999,,,,,,,,,,,,,,,,131.805,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,65.25,percent of total billed charges,61.97153927,,,,,,,,,,65.25,percent of total billed charges,60.94068488,,,,,,,,,,65.25,percent of total billed charges,60.77133332,,,,,,,,,,65.25,percent of total billed charges,59.87647618,,,,,,,,,,65.25,percent of total billed charges,61.41718594,,,,,,,,,,65.25,percent of total billed charges,999999999,,,,,,,,,,65.25,percent of total billed charges,52.70027053,,,,,,,,,,65.25,percent of total billed charges,83.11196083,,,,,,,,,,65.25,percent of total billed charges,999999999,,,,,,,,,,65.25,percent of total billed charges,56.82378041,,,,,,,,,,234.9,percent of total billed charges,,,,,
MURAMIDASE,85549,CDM,,,,both,,,237,237,50.45349488,237,237,percent of total billed charges,174.3693196,,,,237,percent of total billed charges,184.8280311,,,,237,percent of total billed charges,174.3693196,,,,237,percent of total billed charges,184.8280311,,,,237,percent of total billed charges,999999999,,,,237,percent of total billed charges,180.5777111,,,,237,percent of total billed charges,174.3693196,,,,237,percent of total billed charges,184.8280311,,,,168.981,percent of total billed charges,84.32461136,,,,168.981,percent of total billed charges,50.45349488,,,,168.981,percent of total billed charges,84.32461136,,,,168.981,percent of total billed charges,50.45349488,,,,168.981,percent of total billed charges,84.32461136,,,,168.981,percent of total billed charges,50.45349488,,,,167.322,percent of total billed charges,166.0524825,,,,167.322,percent of total billed charges,114.525081,,,,,,,,,,170.64,percent of total billed charges,110.9119845,,,,,,,,,,170.64,percent of total billed charges,999999999,,,,,,,,,,189.6,percent of total billed charges,158.8749443,,,,187.23,percent of total billed charges,180.6850074,,,,187.23,percent of total billed charges,159.641185,,,,189.6,percent of total billed charges,999999999,,,,189.6,percent of total billed charges,999999999,,,,165.9,percent of total billed charges,999999999,,,,165.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,126.084,percent of total billed charges,999999999,,,,,,,,,,,,,,,,119.685,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,59.25,percent of total billed charges,56.27300692,,,,,,,,,,59.25,percent of total billed charges,55.33694374,,,,,,,,,,59.25,percent of total billed charges,55.18316474,,,,,,,,,,59.25,percent of total billed charges,54.37059331,,,,,,,,,,59.25,percent of total billed charges,55.76962861,,,,,,,,,,59.25,percent of total billed charges,999999999,,,,,,,,,,59.25,percent of total billed charges,47.85426865,,,,,,,,,,59.25,percent of total billed charges,75.46948167,,,,,,,,,,59.25,percent of total billed charges,999999999,,,,,,,,,,59.25,percent of total billed charges,51.5986052,,,,,,,,,,213.3,percent of total billed charges,,,,,
TUBERCULIN INTRADERMAL,86580,CDM,,,,both,,,64,64,13.62457246,64,64,percent of total billed charges,47.08707365,,,,64,percent of total billed charges,49.91136704,,,,64,percent of total billed charges,47.08707365,,,,64,percent of total billed charges,49.91136704,,,,64,percent of total billed charges,999999999,,,,64,percent of total billed charges,48.76360131,,,,64,percent of total billed charges,47.08707365,,,,64,percent of total billed charges,49.91136704,,,,45.632,percent of total billed charges,22.77120307,,,,45.632,percent of total billed charges,13.62457246,,,,45.632,percent of total billed charges,22.77120307,,,,45.632,percent of total billed charges,13.62457246,,,,45.632,percent of total billed charges,22.77120307,,,,45.632,percent of total billed charges,13.62457246,,,,45.184,percent of total billed charges,44.84117671,,,,45.184,percent of total billed charges,30.92660416,,,,,,,,,,46.08,percent of total billed charges,29.95091564,,,,,,,,,,46.08,percent of total billed charges,999999999,,,,,,,,,,51.2,percent of total billed charges,42.90293853,,,,50.56,percent of total billed charges,48.79257585,,,,50.56,percent of total billed charges,43.10985587,,,,51.2,percent of total billed charges,999999999,,,,51.2,percent of total billed charges,999999999,,,,44.8,percent of total billed charges,999999999,,,,44.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,34.048,percent of total billed charges,999999999,,,,,,,,,,,,,,,,32.32,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16,percent of total billed charges,15.19608626,,,,,,,,,,16,percent of total billed charges,14.9433097,,,,,,,,,,16,percent of total billed charges,14.90178288,,,,,,,,,,16,percent of total billed charges,14.68235431,,,,,,,,,,16,percent of total billed charges,15.06015287,,,,,,,,,,16,percent of total billed charges,999999999,,,,,,,,,,16,percent of total billed charges,12.9226717,,,,,,,,,,16,percent of total billed charges,20.37994442,,,,,,,,,,16,percent of total billed charges,999999999,,,,,,,,,,16,percent of total billed charges,13.93380056,,,,,,,,,,57.6,percent of total billed charges,,,,,
METHEMOGLOBIN,83050,CDM,,,,both,,,146,146,31.08105592,146,146,percent of total billed charges,107.4173868,,,,146,percent of total billed charges,113.8603061,,,,146,percent of total billed charges,107.4173868,,,,146,percent of total billed charges,113.8603061,,,,146,percent of total billed charges,999999999,,,,146,percent of total billed charges,111.2419655,,,,146,percent of total billed charges,107.4173868,,,,146,percent of total billed charges,113.8603061,,,,104.098,percent of total billed charges,51.946807,,,,104.098,percent of total billed charges,31.08105592,,,,104.098,percent of total billed charges,51.946807,,,,104.098,percent of total billed charges,31.08105592,,,,104.098,percent of total billed charges,51.946807,,,,104.098,percent of total billed charges,31.08105592,,,,103.076,percent of total billed charges,102.2939344,,,,103.076,percent of total billed charges,70.55131575,,,,,,,,,,105.12,percent of total billed charges,68.3255263,,,,,,,,,,105.12,percent of total billed charges,999999999,,,,,,,,,,116.8,percent of total billed charges,97.87232853,,,,115.34,percent of total billed charges,111.3080636,,,,115.34,percent of total billed charges,98.3443587,,,,116.8,percent of total billed charges,999999999,,,,116.8,percent of total billed charges,999999999,,,,102.2,percent of total billed charges,999999999,,,,102.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,77.672,percent of total billed charges,999999999,,,,,,,,,,,,,,,,73.73,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,36.5,percent of total billed charges,34.66607177,,,,,,,,,,36.5,percent of total billed charges,34.08942526,,,,,,,,,,36.5,percent of total billed charges,33.9946922,,,,,,,,,,36.5,percent of total billed charges,33.49412078,,,,,,,,,,36.5,percent of total billed charges,34.35597374,,,,,,,,,,36.5,percent of total billed charges,999999999,,,,,,,,,,36.5,percent of total billed charges,29.47984482,,,,,,,,,,36.5,percent of total billed charges,46.4917482,,,,,,,,,,36.5,percent of total billed charges,999999999,,,,,,,,,,36.5,percent of total billed charges,31.78648253,,,,,,,,,,131.4,percent of total billed charges,,,,,
ESTROGEN RECEPTOR ASSAY(*),84233,CDM,,,,both,,,751,751,159.8758424,751,751,percent of total billed charges,552.5373798,,,,751,percent of total billed charges,585.6786976,,,,751,percent of total billed charges,552.5373798,,,,751,percent of total billed charges,585.6786976,,,,751,percent of total billed charges,999999999,,,,751,percent of total billed charges,572.2103841,,,,751,percent of total billed charges,552.5373798,,,,751,percent of total billed charges,585.6786976,,,,535.463,percent of total billed charges,267.205836,,,,535.463,percent of total billed charges,159.8758424,,,,535.463,percent of total billed charges,267.205836,,,,535.463,percent of total billed charges,159.8758424,,,,535.463,percent of total billed charges,267.205836,,,,535.463,percent of total billed charges,159.8758424,,,,530.206,percent of total billed charges,526.1831829,,,,530.206,percent of total billed charges,362.9043707,,,,,,,,,,540.72,percent of total billed charges,351.4552757,,,,,,,,,,540.72,percent of total billed charges,999999999,,,,,,,,,,600.8,percent of total billed charges,503.4391694,,,,593.29,percent of total billed charges,572.5503822,,,,593.29,percent of total billed charges,505.867215,,,,600.8,percent of total billed charges,999999999,,,,600.8,percent of total billed charges,999999999,,,,525.7,percent of total billed charges,999999999,,,,525.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,399.532,percent of total billed charges,999999999,,,,,,,,,,,,,,,,379.255,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,187.75,percent of total billed charges,178.3165747,,,,,,,,,,187.75,percent of total billed charges,175.3503998,,,,,,,,,,187.75,percent of total billed charges,174.8631085,,,,,,,,,,187.75,percent of total billed charges,172.2882514,,,,,,,,,,187.75,percent of total billed charges,176.7214814,,,,,,,,,,187.75,percent of total billed charges,999999999,,,,,,,,,,187.75,percent of total billed charges,151.6394758,,,,,,,,,,187.75,percent of total billed charges,239.1459103,,,,,,,,,,187.75,percent of total billed charges,999999999,,,,,,,,,,187.75,percent of total billed charges,163.504441,,,,,,,,,,675.9,percent of total billed charges,,,,,
**PROGESTERONE RECEPTOR ASSAY,84234,CDM,,,,both,,,632,632,134.542653,632,632,percent of total billed charges,464.9848523,,,,632,percent of total billed charges,492.8747495,,,,632,percent of total billed charges,464.9848523,,,,632,percent of total billed charges,492.8747495,,,,632,percent of total billed charges,999999999,,,,632,percent of total billed charges,481.5405629,,,,632,percent of total billed charges,464.9848523,,,,632,percent of total billed charges,492.8747495,,,,450.616,percent of total billed charges,224.8656303,,,,450.616,percent of total billed charges,134.542653,,,,450.616,percent of total billed charges,224.8656303,,,,450.616,percent of total billed charges,134.542653,,,,450.616,percent of total billed charges,224.8656303,,,,450.616,percent of total billed charges,134.542653,,,,446.192,percent of total billed charges,442.80662,,,,446.192,percent of total billed charges,305.4002161,,,,,,,,,,455.04,percent of total billed charges,295.7652919,,,,,,,,,,455.04,percent of total billed charges,999999999,,,,,,,,,,505.6,percent of total billed charges,423.666518,,,,499.28,percent of total billed charges,481.8266865,,,,499.28,percent of total billed charges,425.7098267,,,,505.6,percent of total billed charges,999999999,,,,505.6,percent of total billed charges,999999999,,,,442.4,percent of total billed charges,999999999,,,,442.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,336.224,percent of total billed charges,999999999,,,,,,,,,,,,,,,,319.16,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,158,percent of total billed charges,150.0613518,,,,,,,,,,158,percent of total billed charges,147.5651833,,,,,,,,,,158,percent of total billed charges,147.155106,,,,,,,,,,158,percent of total billed charges,144.9882488,,,,,,,,,,158,percent of total billed charges,148.7190096,,,,,,,,,,158,percent of total billed charges,999999999,,,,,,,,,,158,percent of total billed charges,127.6113831,,,,,,,,,,158,percent of total billed charges,201.2519511,,,,,,,,,,158,percent of total billed charges,999999999,,,,,,,,,,158,percent of total billed charges,137.5962805,,,,,,,,,,568.8,percent of total billed charges,,,,,
CHLORIDES-SP FLUID,82438,CDM,,,,both,,,144,144,30.65528803,144,144,percent of total billed charges,105.9459157,,,,144,percent of total billed charges,112.3005758,,,,144,percent of total billed charges,105.9459157,,,,144,percent of total billed charges,112.3005758,,,,144,percent of total billed charges,999999999,,,,144,percent of total billed charges,109.7181029,,,,144,percent of total billed charges,105.9459157,,,,144,percent of total billed charges,112.3005758,,,,102.672,percent of total billed charges,51.2352069,,,,102.672,percent of total billed charges,30.65528803,,,,102.672,percent of total billed charges,51.2352069,,,,102.672,percent of total billed charges,30.65528803,,,,102.672,percent of total billed charges,51.2352069,,,,102.672,percent of total billed charges,30.65528803,,,,101.664,percent of total billed charges,100.8926476,,,,101.664,percent of total billed charges,69.58485937,,,,,,,,,,103.68,percent of total billed charges,67.38956019,,,,,,,,,,103.68,percent of total billed charges,999999999,,,,,,,,,,115.2,percent of total billed charges,96.5316117,,,,113.76,percent of total billed charges,109.7832957,,,,113.76,percent of total billed charges,96.9971757,,,,115.2,percent of total billed charges,999999999,,,,115.2,percent of total billed charges,999999999,,,,100.8,percent of total billed charges,999999999,,,,100.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,76.608,percent of total billed charges,999999999,,,,,,,,,,,,,,,,72.72,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,36,percent of total billed charges,34.19119408,,,,,,,,,,36,percent of total billed charges,33.62244683,,,,,,,,,,36,percent of total billed charges,33.52901149,,,,,,,,,,36,percent of total billed charges,33.0352972,,,,,,,,,,36,percent of total billed charges,33.88534397,,,,,,,,,,36,percent of total billed charges,999999999,,,,,,,,,,36,percent of total billed charges,29.07601133,,,,,,,,,,36,percent of total billed charges,45.85487494,,,,,,,,,,36,percent of total billed charges,999999999,,,,,,,,,,36,percent of total billed charges,31.35105126,,,,,,,,,,129.6,percent of total billed charges,,,,,
DRUG CONFIRMATION(*),80307,CDM,,,,both,,,271,271,57.69154899,271,271,percent of total billed charges,199.3843275,,,,271,percent of total billed charges,211.3434448,,,,271,percent of total billed charges,199.3843275,,,,271,percent of total billed charges,211.3434448,,,,271,percent of total billed charges,999999999,,,,271,percent of total billed charges,206.4833743,,,,271,percent of total billed charges,199.3843275,,,,271,percent of total billed charges,211.3434448,,,,193.223,percent of total billed charges,96.42181299,,,,193.223,percent of total billed charges,57.69154899,,,,193.223,percent of total billed charges,96.42181299,,,,193.223,percent of total billed charges,57.69154899,,,,193.223,percent of total billed charges,96.42181299,,,,193.223,percent of total billed charges,57.69154899,,,,191.326,percent of total billed charges,189.8743576,,,,191.326,percent of total billed charges,130.9548395,,,,,,,,,,195.12,percent of total billed charges,126.8234084,,,,,,,,,,195.12,percent of total billed charges,999999999,,,,,,,,,,216.8,percent of total billed charges,181.6671304,,,,214.09,percent of total billed charges,206.6060633,,,,214.09,percent of total billed charges,182.5432959,,,,216.8,percent of total billed charges,999999999,,,,216.8,percent of total billed charges,999999999,,,,189.7,percent of total billed charges,999999999,,,,189.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,144.172,percent of total billed charges,999999999,,,,,,,,,,,,,,,,136.855,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,67.75,percent of total billed charges,64.34592774,,,,,,,,,,67.75,percent of total billed charges,63.27557702,,,,,,,,,,67.75,percent of total billed charges,63.0997369,,,,,,,,,,67.75,percent of total billed charges,62.17059404,,,,,,,,,,67.75,percent of total billed charges,63.77033482,,,,,,,,,,67.75,percent of total billed charges,999999999,,,,,,,,,,67.75,percent of total billed charges,54.71943799,,,,,,,,,,67.75,percent of total billed charges,86.29632714,,,,,,,,,,67.75,percent of total billed charges,999999999,,,,,,,,,,67.75,percent of total billed charges,59.00093675,,,,,,,,,,243.9,percent of total billed charges,,,,,
PROTEIN C(*),85303,CDM,,,,both,,,304,304,64.71671917,304,304,percent of total billed charges,223.6635998,,,,304,percent of total billed charges,237.0789934,,,,304,percent of total billed charges,223.6635998,,,,304,percent of total billed charges,237.0789934,,,,304,percent of total billed charges,999999999,,,,304,percent of total billed charges,231.6271062,,,,304,percent of total billed charges,223.6635998,,,,304,percent of total billed charges,237.0789934,,,,216.752,percent of total billed charges,108.1632146,,,,216.752,percent of total billed charges,64.71671917,,,,216.752,percent of total billed charges,108.1632146,,,,216.752,percent of total billed charges,64.71671917,,,,216.752,percent of total billed charges,108.1632146,,,,216.752,percent of total billed charges,64.71671917,,,,214.624,percent of total billed charges,212.9955894,,,,214.624,percent of total billed charges,146.9013698,,,,,,,,,,218.88,percent of total billed charges,142.2668493,,,,,,,,,,218.88,percent of total billed charges,999999999,,,,,,,,,,243.2,percent of total billed charges,203.788958,,,,240.16,percent of total billed charges,231.7647353,,,,240.16,percent of total billed charges,204.7718154,,,,243.2,percent of total billed charges,999999999,,,,243.2,percent of total billed charges,999999999,,,,212.8,percent of total billed charges,999999999,,,,212.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,161.728,percent of total billed charges,999999999,,,,,,,,,,,,,,,,153.52,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,76,percent of total billed charges,72.18140972,,,,,,,,,,76,percent of total billed charges,70.98072108,,,,,,,,,,76,percent of total billed charges,70.7834687,,,,,,,,,,76,percent of total billed charges,69.74118298,,,,,,,,,,76,percent of total billed charges,71.53572615,,,,,,,,,,76,percent of total billed charges,999999999,,,,,,,,,,76,percent of total billed charges,61.38269058,,,,,,,,,,76,percent of total billed charges,96.80473598,,,,,,,,,,76,percent of total billed charges,999999999,,,,,,,,,,76,percent of total billed charges,66.18555266,,,,,,,,,,273.6,percent of total billed charges,,,,,
PROTEIN STERILE BODY FLUID,84157,CDM,,,,both,,,156,156,33.20989536,156,156,percent of total billed charges,114.774742,,,,156,percent of total billed charges,121.6589572,,,,156,percent of total billed charges,114.774742,,,,156,percent of total billed charges,121.6589572,,,,156,percent of total billed charges,999999999,,,,156,percent of total billed charges,118.8612782,,,,156,percent of total billed charges,114.774742,,,,156,percent of total billed charges,121.6589572,,,,111.228,percent of total billed charges,55.50480748,,,,111.228,percent of total billed charges,33.20989536,,,,111.228,percent of total billed charges,55.50480748,,,,111.228,percent of total billed charges,33.20989536,,,,111.228,percent of total billed charges,55.50480748,,,,111.228,percent of total billed charges,33.20989536,,,,110.136,percent of total billed charges,109.3003682,,,,110.136,percent of total billed charges,75.38359765,,,,,,,,,,112.32,percent of total billed charges,73.00535687,,,,,,,,,,112.32,percent of total billed charges,999999999,,,,,,,,,,124.8,percent of total billed charges,104.5759127,,,,123.24,percent of total billed charges,118.9319036,,,,123.24,percent of total billed charges,105.0802737,,,,124.8,percent of total billed charges,999999999,,,,124.8,percent of total billed charges,999999999,,,,109.2,percent of total billed charges,999999999,,,,109.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,82.992,percent of total billed charges,999999999,,,,,,,,,,,,,,,,78.78,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,39,percent of total billed charges,37.04046025,,,,,,,,,,39,percent of total billed charges,36.4243174,,,,,,,,,,39,percent of total billed charges,36.32309578,,,,,,,,,,39,percent of total billed charges,35.78823864,,,,,,,,,,39,percent of total billed charges,36.70912263,,,,,,,,,,39,percent of total billed charges,999999999,,,,,,,,,,39,percent of total billed charges,31.49901227,,,,,,,,,,39,percent of total billed charges,49.67611452,,,,,,,,,,39,percent of total billed charges,999999999,,,,,,,,,,39,percent of total billed charges,33.96363887,,,,,,,,,,140.4,percent of total billed charges,,,,,
PROTEIN S(*),85306,CDM,,,,both,,,384,384,81.74743474,384,384,percent of total billed charges,282.5224419,,,,384,percent of total billed charges,299.4682022,,,,384,percent of total billed charges,282.5224419,,,,384,percent of total billed charges,299.4682022,,,,384,percent of total billed charges,999999999,,,,384,percent of total billed charges,292.5816078,,,,384,percent of total billed charges,282.5224419,,,,384,percent of total billed charges,299.4682022,,,,273.792,percent of total billed charges,136.6272184,,,,273.792,percent of total billed charges,81.74743474,,,,273.792,percent of total billed charges,136.6272184,,,,273.792,percent of total billed charges,81.74743474,,,,273.792,percent of total billed charges,136.6272184,,,,273.792,percent of total billed charges,81.74743474,,,,271.104,percent of total billed charges,269.0470603,,,,271.104,percent of total billed charges,185.559625,,,,,,,,,,276.48,percent of total billed charges,179.7054938,,,,,,,,,,276.48,percent of total billed charges,999999999,,,,,,,,,,307.2,percent of total billed charges,257.4176312,,,,303.36,percent of total billed charges,292.7554551,,,,303.36,percent of total billed charges,258.6591352,,,,307.2,percent of total billed charges,999999999,,,,307.2,percent of total billed charges,999999999,,,,268.8,percent of total billed charges,999999999,,,,268.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,204.288,percent of total billed charges,999999999,,,,,,,,,,,,,,,,193.92,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,96,percent of total billed charges,91.17651754,,,,,,,,,,96,percent of total billed charges,89.65985821,,,,,,,,,,96,percent of total billed charges,89.4106973,,,,,,,,,,96,percent of total billed charges,88.09412587,,,,,,,,,,96,percent of total billed charges,90.36091724,,,,,,,,,,96,percent of total billed charges,999999999,,,,,,,,,,96,percent of total billed charges,77.53603021,,,,,,,,,,96,percent of total billed charges,122.2796665,,,,,,,,,,96,percent of total billed charges,999999999,,,,,,,,,,96,percent of total billed charges,83.60280337,,,,,,,,,,345.6,percent of total billed charges,,,,,
PROTEIN CSF,83873,CDM,,,,both,,,290,290,61.73634394,290,290,percent of total billed charges,213.3633025,,,,290,percent of total billed charges,226.1608819,,,,290,percent of total billed charges,213.3633025,,,,290,percent of total billed charges,226.1608819,,,,290,percent of total billed charges,999999999,,,,290,percent of total billed charges,220.9600684,,,,290,percent of total billed charges,213.3633025,,,,290,percent of total billed charges,226.1608819,,,,206.77,percent of total billed charges,103.1820139,,,,206.77,percent of total billed charges,61.73634394,,,,206.77,percent of total billed charges,103.1820139,,,,206.77,percent of total billed charges,61.73634394,,,,206.77,percent of total billed charges,103.1820139,,,,206.77,percent of total billed charges,61.73634394,,,,204.74,percent of total billed charges,203.186582,,,,204.74,percent of total billed charges,140.1361751,,,,,,,,,,208.8,percent of total billed charges,135.7150865,,,,,,,,,,208.8,percent of total billed charges,999999999,,,,,,,,,,232,percent of total billed charges,194.4039402,,,,229.1,percent of total billed charges,221.0913593,,,,229.1,percent of total billed charges,195.3415344,,,,232,percent of total billed charges,999999999,,,,232,percent of total billed charges,999999999,,,,203,percent of total billed charges,999999999,,,,203,percent of total billed charges,999999999,,,,,,,,,,,,,,,,154.28,percent of total billed charges,999999999,,,,,,,,,,,,,,,,146.45,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,72.5,percent of total billed charges,68.85726585,,,,,,,,,,72.5,percent of total billed charges,67.71187209,,,,,,,,,,72.5,percent of total billed charges,67.52370369,,,,,,,,,,72.5,percent of total billed charges,66.52941798,,,,,,,,,,72.5,percent of total billed charges,68.24131771,,,,,,,,,,72.5,percent of total billed charges,999999999,,,,,,,,,,72.5,percent of total billed charges,58.55585615,,,,,,,,,,72.5,percent of total billed charges,92.34662314,,,,,,,,,,72.5,percent of total billed charges,999999999,,,,,,,,,,72.5,percent of total billed charges,63.13753379,,,,,,,,,,261,percent of total billed charges,,,,,
CLOT INHIBIT PROT C ANTIGEN,85302,CDM,,,,both,,,258,258,54.92405771,258,258,percent of total billed charges,189.8197656,,,,258,percent of total billed charges,201.2051984,,,,258,percent of total billed charges,189.8197656,,,,258,percent of total billed charges,201.2051984,,,,258,percent of total billed charges,999999999,,,,258,percent of total billed charges,196.5782678,,,,258,percent of total billed charges,189.8197656,,,,258,percent of total billed charges,201.2051984,,,,183.954,percent of total billed charges,91.79641237,,,,183.954,percent of total billed charges,54.92405771,,,,183.954,percent of total billed charges,91.79641237,,,,183.954,percent of total billed charges,54.92405771,,,,183.954,percent of total billed charges,91.79641237,,,,183.954,percent of total billed charges,54.92405771,,,,182.148,percent of total billed charges,180.7659936,,,,182.148,percent of total billed charges,124.672873,,,,,,,,,,185.76,percent of total billed charges,120.7396287,,,,,,,,,,185.76,percent of total billed charges,999999999,,,,,,,,,,206.4,percent of total billed charges,172.952471,,,,203.82,percent of total billed charges,196.6950714,,,,203.82,percent of total billed charges,173.7866065,,,,206.4,percent of total billed charges,999999999,,,,206.4,percent of total billed charges,999999999,,,,180.6,percent of total billed charges,999999999,,,,180.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,137.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,130.29,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,64.5,percent of total billed charges,61.25922272,,,,,,,,,,64.5,percent of total billed charges,60.24021724,,,,,,,,,,64.5,percent of total billed charges,60.07281225,,,,,,,,,,64.5,percent of total billed charges,59.18824082,,,,,,,,,,64.5,percent of total billed charges,60.71124127,,,,,,,,,,64.5,percent of total billed charges,999999999,,,,,,,,,,64.5,percent of total billed charges,52.0945203,,,,,,,,,,64.5,percent of total billed charges,82.15665093,,,,,,,,,,64.5,percent of total billed charges,999999999,,,,,,,,,,64.5,percent of total billed charges,56.17063351,,,,,,,,,,232.2,percent of total billed charges,,,,,
ANTITHROMBIN III,85301,CDM,,,,both,,,209,209,44.49274443,209,209,percent of total billed charges,153.7687249,,,,209,percent of total billed charges,162.991808,,,,209,percent of total billed charges,153.7687249,,,,209,percent of total billed charges,162.991808,,,,209,percent of total billed charges,999999999,,,,209,percent of total billed charges,159.2436355,,,,209,percent of total billed charges,153.7687249,,,,209,percent of total billed charges,162.991808,,,,149.017,percent of total billed charges,74.36221002,,,,149.017,percent of total billed charges,44.49274443,,,,149.017,percent of total billed charges,74.36221002,,,,149.017,percent of total billed charges,44.49274443,,,,149.017,percent of total billed charges,74.36221002,,,,149.017,percent of total billed charges,44.49274443,,,,147.554,percent of total billed charges,146.4344677,,,,147.554,percent of total billed charges,100.9946917,,,,,,,,,,150.48,percent of total billed charges,97.80845889,,,,,,,,,,150.48,percent of total billed charges,999999999,,,,,,,,,,167.2,percent of total billed charges,140.1049087,,,,165.11,percent of total billed charges,159.3382555,,,,165.11,percent of total billed charges,140.7806231,,,,167.2,percent of total billed charges,999999999,,,,167.2,percent of total billed charges,999999999,,,,146.3,percent of total billed charges,999999999,,,,146.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,111.188,percent of total billed charges,999999999,,,,,,,,,,,,,,,,105.545,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,52.25,percent of total billed charges,49.62471918,,,,,,,,,,52.25,percent of total billed charges,48.79924575,,,,,,,,,,52.25,percent of total billed charges,48.66363473,,,,,,,,,,52.25,percent of total billed charges,47.9470633,,,,,,,,,,52.25,percent of total billed charges,49.18081173,,,,,,,,,,52.25,percent of total billed charges,999999999,,,,,,,,,,52.25,percent of total billed charges,42.20059978,,,,,,,,,,52.25,percent of total billed charges,66.55325599,,,,,,,,,,52.25,percent of total billed charges,999999999,,,,,,,,,,52.25,percent of total billed charges,45.50256746,,,,,,,,,,188.1,percent of total billed charges,,,,,
GLUCOSE-SPINAL FLUID,82945,CDM,,,,both,,,119,119,25.33318941,119,119,percent of total billed charges,87.55252756,,,,119,percent of total billed charges,92.80394809,,,,119,percent of total billed charges,87.55252756,,,,119,percent of total billed charges,92.80394809,,,,119,percent of total billed charges,999999999,,,,119,percent of total billed charges,90.66982118,,,,119,percent of total billed charges,87.55252756,,,,119,percent of total billed charges,92.80394809,,,,84.847,percent of total billed charges,42.3402057,,,,84.847,percent of total billed charges,25.33318941,,,,84.847,percent of total billed charges,42.3402057,,,,84.847,percent of total billed charges,25.33318941,,,,84.847,percent of total billed charges,42.3402057,,,,84.847,percent of total billed charges,25.33318941,,,,84.014,percent of total billed charges,83.37656294,,,,84.014,percent of total billed charges,57.50415461,,,,,,,,,,85.68,percent of total billed charges,55.68998377,,,,,,,,,,85.68,percent of total billed charges,999999999,,,,,,,,,,95.2,percent of total billed charges,79.77265134,,,,94.01,percent of total billed charges,90.72369571,,,,94.01,percent of total billed charges,80.15738826,,,,95.2,percent of total billed charges,999999999,,,,95.2,percent of total billed charges,999999999,,,,83.3,percent of total billed charges,999999999,,,,83.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,63.308,percent of total billed charges,999999999,,,,,,,,,,,,,,,,60.095,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,29.75,percent of total billed charges,28.25522288,,,,,,,,,,29.75,percent of total billed charges,27.78521648,,,,,,,,,,29.75,percent of total billed charges,27.70800255,,,,,,,,,,29.75,percent of total billed charges,27.30000255,,,,,,,,,,29.75,percent of total billed charges,28.00247175,,,,,,,,,,29.75,percent of total billed charges,999999999,,,,,,,,,,29.75,percent of total billed charges,24.0280927,,,,,,,,,,29.75,percent of total billed charges,37.89395915,,,,,,,,,,29.75,percent of total billed charges,999999999,,,,,,,,,,29.75,percent of total billed charges,25.90816042,,,,,,,,,,107.1,percent of total billed charges,,,,,
TOBRAMYCIN TROUGH,80200,CDM,,,,both,,,258,258,54.92405771,258,258,percent of total billed charges,189.8197656,,,,258,percent of total billed charges,201.2051984,,,,258,percent of total billed charges,189.8197656,,,,258,percent of total billed charges,201.2051984,,,,258,percent of total billed charges,999999999,,,,258,percent of total billed charges,196.5782678,,,,258,percent of total billed charges,189.8197656,,,,258,percent of total billed charges,201.2051984,,,,183.954,percent of total billed charges,91.79641237,,,,183.954,percent of total billed charges,54.92405771,,,,183.954,percent of total billed charges,91.79641237,,,,183.954,percent of total billed charges,54.92405771,,,,183.954,percent of total billed charges,91.79641237,,,,183.954,percent of total billed charges,54.92405771,,,,182.148,percent of total billed charges,180.7659936,,,,182.148,percent of total billed charges,124.672873,,,,,,,,,,185.76,percent of total billed charges,120.7396287,,,,,,,,,,185.76,percent of total billed charges,999999999,,,,,,,,,,206.4,percent of total billed charges,172.952471,,,,203.82,percent of total billed charges,196.6950714,,,,203.82,percent of total billed charges,173.7866065,,,,206.4,percent of total billed charges,999999999,,,,206.4,percent of total billed charges,999999999,,,,180.6,percent of total billed charges,999999999,,,,180.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,137.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,130.29,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,64.5,percent of total billed charges,61.25922272,,,,,,,,,,64.5,percent of total billed charges,60.24021724,,,,,,,,,,64.5,percent of total billed charges,60.07281225,,,,,,,,,,64.5,percent of total billed charges,59.18824082,,,,,,,,,,64.5,percent of total billed charges,60.71124127,,,,,,,,,,64.5,percent of total billed charges,999999999,,,,,,,,,,64.5,percent of total billed charges,52.0945203,,,,,,,,,,64.5,percent of total billed charges,82.15665093,,,,,,,,,,64.5,percent of total billed charges,999999999,,,,,,,,,,64.5,percent of total billed charges,56.17063351,,,,,,,,,,232.2,percent of total billed charges,,,,,
MTHFR GENE,81291,CDM,,,,both,,,783,783,166.6881286,783,783,percent of total billed charges,576.0809166,,,,783,percent of total billed charges,610.6343811,,,,783,percent of total billed charges,576.0809166,,,,783,percent of total billed charges,610.6343811,,,,783,percent of total billed charges,999999999,,,,783,percent of total billed charges,596.5921847,,,,783,percent of total billed charges,576.0809166,,,,783,percent of total billed charges,610.6343811,,,,558.279,percent of total billed charges,278.5914375,,,,558.279,percent of total billed charges,166.6881286,,,,558.279,percent of total billed charges,278.5914375,,,,558.279,percent of total billed charges,166.6881286,,,,558.279,percent of total billed charges,278.5914375,,,,558.279,percent of total billed charges,166.6881286,,,,552.798,percent of total billed charges,548.6037713,,,,552.798,percent of total billed charges,378.3676728,,,,,,,,,,563.76,percent of total billed charges,366.4307335,,,,,,,,,,563.76,percent of total billed charges,999999999,,,,,,,,,,626.4,percent of total billed charges,524.8906386,,,,618.57,percent of total billed charges,596.9466701,,,,618.57,percent of total billed charges,527.4221429,,,,626.4,percent of total billed charges,999999999,,,,626.4,percent of total billed charges,999999999,,,,548.1,percent of total billed charges,999999999,,,,548.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,416.556,percent of total billed charges,999999999,,,,,,,,,,,,,,,,395.415,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,195.75,percent of total billed charges,185.9146178,,,,,,,,,,195.75,percent of total billed charges,182.8220546,,,,,,,,,,195.75,percent of total billed charges,182.314,,,,,,,,,,195.75,percent of total billed charges,179.6294285,,,,,,,,,,195.75,percent of total billed charges,184.2515578,,,,,,,,,,195.75,percent of total billed charges,999999999,,,,,,,,,,195.75,percent of total billed charges,158.1008116,,,,,,,,,,195.75,percent of total billed charges,249.3358825,,,,,,,,,,195.75,percent of total billed charges,999999999,,,,,,,,,,195.75,percent of total billed charges,170.4713412,,,,,,,,,,704.7,percent of total billed charges,,,,,
C KIT MUTATION ANALYSIS,81404,CDM,,,,both,,,1860,1860,395.964137,1860,1860,percent of total billed charges,1368.468078,,,,1860,percent of total billed charges,1450.549105,,,,1860,percent of total billed charges,1368.468078,,,,1860,percent of total billed charges,1450.549105,,,,1860,percent of total billed charges,999999999,,,,1860,percent of total billed charges,1417.192163,,,,1860,percent of total billed charges,1368.468078,,,,1860,percent of total billed charges,1450.549105,,,,1326.18,percent of total billed charges,661.7880891,,,,1326.18,percent of total billed charges,395.964137,,,,1326.18,percent of total billed charges,661.7880891,,,,1326.18,percent of total billed charges,395.964137,,,,1326.18,percent of total billed charges,661.7880891,,,,1326.18,percent of total billed charges,395.964137,,,,1313.16,percent of total billed charges,1303.196698,,,,1313.16,percent of total billed charges,898.8044335,,,,,,,,,,1339.2,percent of total billed charges,870.4484858,,,,,,,,,,1339.2,percent of total billed charges,999999999,,,,,,,,,,1488,percent of total billed charges,1246.866651,,,,1469.4,percent of total billed charges,1418.034236,,,,1469.4,percent of total billed charges,1252.880186,,,,1488,percent of total billed charges,999999999,,,,1488,percent of total billed charges,999999999,,,,1302,percent of total billed charges,999999999,,,,1302,percent of total billed charges,999999999,,,,,,,,,,,,,,,,989.52,percent of total billed charges,999999999,,,,,,,,,,,,,,,,939.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,465,percent of total billed charges,441.6362568,,,,,,,,,,465,percent of total billed charges,434.2899382,,,,,,,,,,465,percent of total billed charges,433.0830651,,,,,,,,,,465,percent of total billed charges,426.7059222,,,,,,,,,,465,percent of total billed charges,437.6856929,,,,,,,,,,465,percent of total billed charges,999999999,,,,,,,,,,465,percent of total billed charges,375.5651463,,,,,,,,,,465,percent of total billed charges,592.2921346,,,,,,,,,,465,percent of total billed charges,999999999,,,,,,,,,,465,percent of total billed charges,404.9510788,,,,,,,,,,1674,percent of total billed charges,,,,,
C2 COMPLEMENT(*),86160,CDM,,,,both,,,236,236,50.24061093,236,236,percent of total billed charges,173.6335841,,,,236,percent of total billed charges,184.048166,,,,236,percent of total billed charges,173.6335841,,,,236,percent of total billed charges,184.048166,,,,236,percent of total billed charges,999999999,,,,236,percent of total billed charges,179.8157798,,,,236,percent of total billed charges,173.6335841,,,,236,percent of total billed charges,184.048166,,,,168.268,percent of total billed charges,83.96881131,,,,168.268,percent of total billed charges,50.24061093,,,,168.268,percent of total billed charges,83.96881131,,,,168.268,percent of total billed charges,50.24061093,,,,168.268,percent of total billed charges,83.96881131,,,,168.268,percent of total billed charges,50.24061093,,,,166.616,percent of total billed charges,165.3518391,,,,166.616,percent of total billed charges,114.0418528,,,,,,,,,,169.92,percent of total billed charges,110.4440014,,,,,,,,,,169.92,percent of total billed charges,999999999,,,,,,,,,,188.8,percent of total billed charges,158.2045858,,,,186.44,percent of total billed charges,179.9226234,,,,186.44,percent of total billed charges,158.9675935,,,,188.8,percent of total billed charges,999999999,,,,188.8,percent of total billed charges,999999999,,,,165.2,percent of total billed charges,999999999,,,,165.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,125.552,percent of total billed charges,999999999,,,,,,,,,,,,,,,,119.18,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,59,percent of total billed charges,56.03556807,,,,,,,,,,59,percent of total billed charges,55.10345453,,,,,,,,,,59,percent of total billed charges,54.95032438,,,,,,,,,,59,percent of total billed charges,54.14118153,,,,,,,,,,59,percent of total billed charges,55.53431372,,,,,,,,,,59,percent of total billed charges,999999999,,,,,,,,,,59,percent of total billed charges,47.6523519,,,,,,,,,,59,percent of total billed charges,75.15104504,,,,,,,,,,59,percent of total billed charges,999999999,,,,,,,,,,59,percent of total billed charges,51.38088957,,,,,,,,,,212.4,percent of total billed charges,,,,,
C3 COMPLEMENT TEST(*),86160,CDM,,,,both,,,187,187,39.80929764,187,187,percent of total billed charges,137.5825433,,,,187,percent of total billed charges,145.8347756,,,,187,percent of total billed charges,137.5825433,,,,187,percent of total billed charges,145.8347756,,,,187,percent of total billed charges,999999999,,,,187,percent of total billed charges,142.4811476,,,,187,percent of total billed charges,137.5825433,,,,187,percent of total billed charges,145.8347756,,,,133.331,percent of total billed charges,66.53460896,,,,133.331,percent of total billed charges,39.80929764,,,,133.331,percent of total billed charges,66.53460896,,,,133.331,percent of total billed charges,39.80929764,,,,133.331,percent of total billed charges,66.53460896,,,,133.331,percent of total billed charges,39.80929764,,,,132.022,percent of total billed charges,131.0203132,,,,132.022,percent of total billed charges,90.36367154,,,,,,,,,,134.64,percent of total billed charges,87.51283164,,,,,,,,,,134.64,percent of total billed charges,999999999,,,,,,,,,,149.6,percent of total billed charges,125.3570235,,,,147.73,percent of total billed charges,142.5658075,,,,147.73,percent of total billed charges,125.9616101,,,,149.6,percent of total billed charges,999999999,,,,149.6,percent of total billed charges,999999999,,,,130.9,percent of total billed charges,999999999,,,,130.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,99.484,percent of total billed charges,999999999,,,,,,,,,,,,,,,,94.435,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,46.75,percent of total billed charges,44.40106453,,,,,,,,,,46.75,percent of total billed charges,43.66248304,,,,,,,,,,46.75,percent of total billed charges,43.54114686,,,,,,,,,,46.75,percent of total billed charges,42.90000401,,,,,,,,,,46.75,percent of total billed charges,44.00388418,,,,,,,,,,46.75,percent of total billed charges,999999999,,,,,,,,,,46.75,percent of total billed charges,37.75843138,,,,,,,,,,46.75,percent of total billed charges,59.54765009,,,,,,,,,,46.75,percent of total billed charges,999999999,,,,,,,,,,46.75,percent of total billed charges,40.71282351,,,,,,,,,,168.3,percent of total billed charges,,,,,
TULAREMIA TITER(*),86668,CDM,,,,both,,,219,219,46.62158387,219,219,percent of total billed charges,161.1260801,,,,219,percent of total billed charges,170.7904591,,,,219,percent of total billed charges,161.1260801,,,,219,percent of total billed charges,170.7904591,,,,219,percent of total billed charges,999999999,,,,219,percent of total billed charges,166.8629482,,,,219,percent of total billed charges,161.1260801,,,,219,percent of total billed charges,170.7904591,,,,156.147,percent of total billed charges,77.9202105,,,,156.147,percent of total billed charges,46.62158387,,,,156.147,percent of total billed charges,77.9202105,,,,156.147,percent of total billed charges,46.62158387,,,,156.147,percent of total billed charges,77.9202105,,,,156.147,percent of total billed charges,46.62158387,,,,154.614,percent of total billed charges,153.4409015,,,,154.614,percent of total billed charges,105.8269736,,,,,,,,,,157.68,percent of total billed charges,102.4882895,,,,,,,,,,157.68,percent of total billed charges,999999999,,,,,,,,,,175.2,percent of total billed charges,146.8084928,,,,173.01,percent of total billed charges,166.9620955,,,,173.01,percent of total billed charges,147.516538,,,,175.2,percent of total billed charges,999999999,,,,175.2,percent of total billed charges,999999999,,,,153.3,percent of total billed charges,999999999,,,,153.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,116.508,percent of total billed charges,999999999,,,,,,,,,,,,,,,,110.595,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,54.75,percent of total billed charges,51.99910766,,,,,,,,,,54.75,percent of total billed charges,51.13413789,,,,,,,,,,54.75,percent of total billed charges,50.99203831,,,,,,,,,,54.75,percent of total billed charges,50.24118116,,,,,,,,,,54.75,percent of total billed charges,51.53396061,,,,,,,,,,54.75,percent of total billed charges,999999999,,,,,,,,,,54.75,percent of total billed charges,44.21976723,,,,,,,,,,54.75,percent of total billed charges,69.7376223,,,,,,,,,,54.75,percent of total billed charges,999999999,,,,,,,,,,54.75,percent of total billed charges,47.67972379,,,,,,,,,,197.1,percent of total billed charges,,,,,
HEPATITIS PANEL(*),80074,CDM,,,,both,,,726,726,154.5537438,726,726,percent of total billed charges,534.1439917,,,,726,percent of total billed charges,566.1820699,,,,726,percent of total billed charges,534.1439917,,,,726,percent of total billed charges,566.1820699,,,,726,percent of total billed charges,999999999,,,,726,percent of total billed charges,553.1621023,,,,726,percent of total billed charges,534.1439917,,,,726,percent of total billed charges,566.1820699,,,,517.638,percent of total billed charges,258.3108348,,,,517.638,percent of total billed charges,154.5537438,,,,517.638,percent of total billed charges,258.3108348,,,,517.638,percent of total billed charges,154.5537438,,,,517.638,percent of total billed charges,258.3108348,,,,517.638,percent of total billed charges,154.5537438,,,,512.556,percent of total billed charges,508.6670983,,,,512.556,percent of total billed charges,350.823666,,,,,,,,,,522.72,percent of total billed charges,339.7556993,,,,,,,,,,522.72,percent of total billed charges,999999999,,,,,,,,,,580.8,percent of total billed charges,486.680209,,,,573.54,percent of total billed charges,553.4907822,,,,573.54,percent of total billed charges,489.0274275,,,,580.8,percent of total billed charges,999999999,,,,580.8,percent of total billed charges,999999999,,,,508.2,percent of total billed charges,999999999,,,,508.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,386.232,percent of total billed charges,999999999,,,,,,,,,,,,,,,,366.63,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,181.5,percent of total billed charges,172.3806035,,,,,,,,,,181.5,percent of total billed charges,169.5131694,,,,,,,,,,181.5,percent of total billed charges,169.0420996,,,,,,,,,,181.5,percent of total billed charges,166.5529567,,,,,,,,,,181.5,percent of total billed charges,170.8386092,,,,,,,,,,181.5,percent of total billed charges,999999999,,,,,,,,,,181.5,percent of total billed charges,146.5915571,,,,,,,,,,181.5,percent of total billed charges,231.1849945,,,,,,,,,,181.5,percent of total billed charges,999999999,,,,,,,,,,181.5,percent of total billed charges,158.0615501,,,,,,,,,,653.4,percent of total billed charges,,,,,
EBV CAPSID(*),86665,CDM,,,,both,,,224,224,47.6860036,224,224,percent of total billed charges,164.8047578,,,,224,percent of total billed charges,174.6897846,,,,224,percent of total billed charges,164.8047578,,,,224,percent of total billed charges,174.6897846,,,,224,percent of total billed charges,999999999,,,,224,percent of total billed charges,170.6726046,,,,224,percent of total billed charges,164.8047578,,,,224,percent of total billed charges,174.6897846,,,,159.712,percent of total billed charges,79.69921074,,,,159.712,percent of total billed charges,47.6860036,,,,159.712,percent of total billed charges,79.69921074,,,,159.712,percent of total billed charges,47.6860036,,,,159.712,percent of total billed charges,79.69921074,,,,159.712,percent of total billed charges,47.6860036,,,,158.144,percent of total billed charges,156.9441185,,,,158.144,percent of total billed charges,108.2431146,,,,,,,,,,161.28,percent of total billed charges,104.8282047,,,,,,,,,,161.28,percent of total billed charges,999999999,,,,,,,,,,179.2,percent of total billed charges,150.1602849,,,,176.96,percent of total billed charges,170.7740155,,,,176.96,percent of total billed charges,150.8844955,,,,179.2,percent of total billed charges,999999999,,,,179.2,percent of total billed charges,999999999,,,,156.8,percent of total billed charges,999999999,,,,156.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,119.168,percent of total billed charges,999999999,,,,,,,,,,,,,,,,113.12,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,56,percent of total billed charges,53.1863019,,,,,,,,,,56,percent of total billed charges,52.30158396,,,,,,,,,,56,percent of total billed charges,52.15624009,,,,,,,,,,56,percent of total billed charges,51.38824009,,,,,,,,,,56,percent of total billed charges,52.71053506,,,,,,,,,,56,percent of total billed charges,999999999,,,,,,,,,,56,percent of total billed charges,45.22935096,,,,,,,,,,56,percent of total billed charges,71.32980546,,,,,,,,,,56,percent of total billed charges,999999999,,,,,,,,,,56,percent of total billed charges,48.76830196,,,,,,,,,,201.6,percent of total billed charges,,,,,
IMMUNE COMPLEX ASSAY,86332,CDM,,,,both,,,268,268,57.05289716,268,268,percent of total billed charges,197.1771209,,,,268,percent of total billed charges,209.0038495,,,,268,percent of total billed charges,197.1771209,,,,268,percent of total billed charges,209.0038495,,,,268,percent of total billed charges,999999999,,,,268,percent of total billed charges,204.1975805,,,,268,percent of total billed charges,197.1771209,,,,268,percent of total billed charges,209.0038495,,,,191.084,percent of total billed charges,95.35441284,,,,191.084,percent of total billed charges,57.05289716,,,,191.084,percent of total billed charges,95.35441284,,,,191.084,percent of total billed charges,57.05289716,,,,191.084,percent of total billed charges,95.35441284,,,,191.084,percent of total billed charges,57.05289716,,,,189.208,percent of total billed charges,187.7724275,,,,189.208,percent of total billed charges,129.5051549,,,,,,,,,,192.96,percent of total billed charges,125.4194592,,,,,,,,,,192.96,percent of total billed charges,999999999,,,,,,,,,,214.4,percent of total billed charges,179.6560551,,,,211.72,percent of total billed charges,204.3189114,,,,211.72,percent of total billed charges,180.5225214,,,,214.4,percent of total billed charges,999999999,,,,214.4,percent of total billed charges,999999999,,,,187.6,percent of total billed charges,999999999,,,,187.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,142.576,percent of total billed charges,999999999,,,,,,,,,,,,,,,,135.34,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,67,percent of total billed charges,63.6336112,,,,,,,,,,67,percent of total billed charges,62.57510938,,,,,,,,,,67,percent of total billed charges,62.40121583,,,,,,,,,,67,percent of total billed charges,61.48235868,,,,,,,,,,67,percent of total billed charges,63.06439016,,,,,,,,,,67,percent of total billed charges,999999999,,,,,,,,,,67,percent of total billed charges,54.11368775,,,,,,,,,,67,percent of total billed charges,85.34101725,,,,,,,,,,67,percent of total billed charges,999999999,,,,,,,,,,67,percent of total billed charges,58.34778985,,,,,,,,,,241.2,percent of total billed charges,,,,,
**ANERGY PANEL,95004,CDM,,,,both,,,244,244,51.94368249,244,244,percent of total billed charges,179.5194683,,,,244,percent of total billed charges,190.2870868,,,,244,percent of total billed charges,179.5194683,,,,244,percent of total billed charges,190.2870868,,,,244,percent of total billed charges,999999999,,,,244,percent of total billed charges,185.91123,,,,244,percent of total billed charges,179.5194683,,,,244,percent of total billed charges,190.2870868,,,,173.972,percent of total billed charges,86.81521169,,,,173.972,percent of total billed charges,51.94368249,,,,173.972,percent of total billed charges,86.81521169,,,,173.972,percent of total billed charges,51.94368249,,,,173.972,percent of total billed charges,86.81521169,,,,173.972,percent of total billed charges,51.94368249,,,,172.264,percent of total billed charges,170.9569862,,,,172.264,percent of total billed charges,117.9076784,,,,,,,,,,175.68,percent of total billed charges,114.1878659,,,,,,,,,,175.68,percent of total billed charges,999999999,,,,,,,,,,195.2,percent of total billed charges,163.5674532,,,,192.76,percent of total billed charges,186.0216954,,,,192.76,percent of total billed charges,164.3563255,,,,195.2,percent of total billed charges,999999999,,,,195.2,percent of total billed charges,999999999,,,,170.8,percent of total billed charges,999999999,,,,170.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,129.808,percent of total billed charges,999999999,,,,,,,,,,,,,,,,123.22,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,61,percent of total billed charges,57.93507885,,,,,,,,,,61,percent of total billed charges,56.97136824,,,,,,,,,,61,percent of total billed charges,56.81304725,,,,,,,,,,61,percent of total billed charges,55.97647582,,,,,,,,,,61,percent of total billed charges,57.41683283,,,,,,,,,,61,percent of total billed charges,999999999,,,,,,,,,,61,percent of total billed charges,49.26768586,,,,,,,,,,61,percent of total billed charges,77.69853809,,,,,,,,,,61,percent of total billed charges,999999999,,,,,,,,,,61,percent of total billed charges,53.12261464,,,,,,,,,,219.6,percent of total billed charges,,,,,
PTH INTACT(*),83970,CDM,,,,both,,,503,503,107.0806241,503,503,percent of total billed charges,370.0749694,,,,503,percent of total billed charges,392.2721503,,,,503,percent of total billed charges,370.0749694,,,,503,percent of total billed charges,392.2721503,,,,503,percent of total billed charges,999999999,,,,503,percent of total billed charges,383.251429,,,,503,percent of total billed charges,370.0749694,,,,503,percent of total billed charges,392.2721503,,,,358.639,percent of total billed charges,178.9674241,,,,358.639,percent of total billed charges,107.0806241,,,,358.639,percent of total billed charges,178.9674241,,,,358.639,percent of total billed charges,107.0806241,,,,358.639,percent of total billed charges,178.9674241,,,,358.639,percent of total billed charges,107.0806241,,,,355.118,percent of total billed charges,352.4236232,,,,355.118,percent of total billed charges,243.0637796,,,,,,,,,,362.16,percent of total billed charges,235.3954776,,,,,,,,,,362.16,percent of total billed charges,999999999,,,,,,,,,,402.4,percent of total billed charges,337.1902825,,,,397.37,percent of total billed charges,383.4791508,,,,397.37,percent of total billed charges,338.8165235,,,,402.4,percent of total billed charges,999999999,,,,402.4,percent of total billed charges,999999999,,,,352.1,percent of total billed charges,999999999,,,,352.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,267.596,percent of total billed charges,999999999,,,,,,,,,,,,,,,,254.015,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,125.75,percent of total billed charges,119.4317404,,,,,,,,,,125.75,percent of total billed charges,117.4450747,,,,,,,,,,125.75,percent of total billed charges,117.1186999,,,,,,,,,,125.75,percent of total billed charges,115.3941284,,,,,,,,,,125.75,percent of total billed charges,118.363389,,,,,,,,,,125.75,percent of total billed charges,999999999,,,,,,,,,,125.75,percent of total billed charges,101.5641229,,,,,,,,,,125.75,percent of total billed charges,160.1736257,,,,,,,,,,125.75,percent of total billed charges,999999999,,,,,,,,,,125.75,percent of total billed charges,109.5109638,,,,,,,,,,452.7,percent of total billed charges,,,,,
CERULOPLASMIN,82390,CDM,,,,both,,,149,149,31.71970775,149,149,percent of total billed charges,109.6245933,,,,149,percent of total billed charges,116.1999014,,,,149,percent of total billed charges,109.6245933,,,,149,percent of total billed charges,116.1999014,,,,149,percent of total billed charges,999999999,,,,149,percent of total billed charges,113.5277593,,,,149,percent of total billed charges,109.6245933,,,,149,percent of total billed charges,116.1999014,,,,106.237,percent of total billed charges,53.01420714,,,,106.237,percent of total billed charges,31.71970775,,,,106.237,percent of total billed charges,53.01420714,,,,106.237,percent of total billed charges,31.71970775,,,,106.237,percent of total billed charges,53.01420714,,,,106.237,percent of total billed charges,31.71970775,,,,105.194,percent of total billed charges,104.3958645,,,,105.194,percent of total billed charges,72.00100032,,,,,,,,,,107.28,percent of total billed charges,69.72947547,,,,,,,,,,107.28,percent of total billed charges,999999999,,,,,,,,,,119.2,percent of total billed charges,99.88340377,,,,117.71,percent of total billed charges,113.5952156,,,,117.71,percent of total billed charges,100.3651332,,,,119.2,percent of total billed charges,999999999,,,,119.2,percent of total billed charges,999999999,,,,104.3,percent of total billed charges,999999999,,,,104.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,79.268,percent of total billed charges,999999999,,,,,,,,,,,,,,,,75.245,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,37.25,percent of total billed charges,35.37838832,,,,,,,,,,37.25,percent of total billed charges,34.7898929,,,,,,,,,,37.25,percent of total billed charges,34.69321328,,,,,,,,,,37.25,percent of total billed charges,34.18235613,,,,,,,,,,37.25,percent of total billed charges,35.06191841,,,,,,,,,,37.25,percent of total billed charges,999999999,,,,,,,,,,37.25,percent of total billed charges,30.08559506,,,,,,,,,,37.25,percent of total billed charges,47.4470581,,,,,,,,,,37.25,percent of total billed charges,999999999,,,,,,,,,,37.25,percent of total billed charges,32.43962943,,,,,,,,,,134.1,percent of total billed charges,,,,,
ANTI-CARDIOLIPIN ANTIBODY(*),86147,CDM,,,,both,,,205,205,43.64120865,205,205,percent of total billed charges,150.8257828,,,,205,percent of total billed charges,159.8723476,,,,205,percent of total billed charges,150.8257828,,,,205,percent of total billed charges,159.8723476,,,,205,percent of total billed charges,999999999,,,,205,percent of total billed charges,156.1959104,,,,205,percent of total billed charges,150.8257828,,,,205,percent of total billed charges,159.8723476,,,,146.165,percent of total billed charges,72.93900983,,,,146.165,percent of total billed charges,43.64120865,,,,146.165,percent of total billed charges,72.93900983,,,,146.165,percent of total billed charges,43.64120865,,,,146.165,percent of total billed charges,72.93900983,,,,146.165,percent of total billed charges,43.64120865,,,,144.73,percent of total billed charges,143.6318941,,,,144.73,percent of total billed charges,99.06177896,,,,,,,,,,147.6,percent of total billed charges,95.93652666,,,,,,,,,,147.6,percent of total billed charges,999999999,,,,,,,,,,164,percent of total billed charges,137.423475,,,,161.95,percent of total billed charges,156.2887195,,,,161.95,percent of total billed charges,138.0862571,,,,164,percent of total billed charges,999999999,,,,164,percent of total billed charges,999999999,,,,143.5,percent of total billed charges,999999999,,,,143.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,109.06,percent of total billed charges,999999999,,,,,,,,,,,,,,,,103.525,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,51.25,percent of total billed charges,48.67496379,,,,,,,,,,51.25,percent of total billed charges,47.86528889,,,,,,,,,,51.25,percent of total billed charges,47.7322733,,,,,,,,,,51.25,percent of total billed charges,47.02941616,,,,,,,,,,51.25,percent of total billed charges,48.23955217,,,,,,,,,,51.25,percent of total billed charges,999999999,,,,,,,,,,51.25,percent of total billed charges,41.3929328,,,,,,,,,,51.25,percent of total billed charges,65.27950946,,,,,,,,,,51.25,percent of total billed charges,999999999,,,,,,,,,,51.25,percent of total billed charges,44.63170492,,,,,,,,,,184.5,percent of total billed charges,,,,,
HISTOPLASMOSIS(*),86510,CDM,,,,both,,,91,91,19.37243896,91,91,percent of total billed charges,66.95193284,,,,91,percent of total billed charges,70.96772501,,,,91,percent of total billed charges,66.95193284,,,,91,percent of total billed charges,70.96772501,,,,91,percent of total billed charges,999999999,,,,91,percent of total billed charges,69.33574561,,,,91,percent of total billed charges,66.95193284,,,,91,percent of total billed charges,70.96772501,,,,64.883,percent of total billed charges,32.37780436,,,,64.883,percent of total billed charges,19.37243896,,,,64.883,percent of total billed charges,32.37780436,,,,64.883,percent of total billed charges,19.37243896,,,,64.883,percent of total billed charges,32.37780436,,,,64.883,percent of total billed charges,19.37243896,,,,64.246,percent of total billed charges,63.75854813,,,,64.246,percent of total billed charges,43.97376529,,,,,,,,,,65.52,percent of total billed charges,42.58645818,,,,,,,,,,65.52,percent of total billed charges,999999999,,,,,,,,,,72.8,percent of total billed charges,61.00261573,,,,71.89,percent of total billed charges,69.37694378,,,,71.89,percent of total billed charges,61.29682631,,,,72.8,percent of total billed charges,999999999,,,,72.8,percent of total billed charges,999999999,,,,63.7,percent of total billed charges,999999999,,,,63.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,48.412,percent of total billed charges,999999999,,,,,,,,,,,,,,,,45.955,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,22.75,percent of total billed charges,21.60693515,,,,,,,,,,22.75,percent of total billed charges,21.24751848,,,,,,,,,,22.75,percent of total billed charges,21.18847254,,,,,,,,,,22.75,percent of total billed charges,20.87647254,,,,,,,,,,22.75,percent of total billed charges,21.41365487,,,,,,,,,,22.75,percent of total billed charges,999999999,,,,,,,,,,22.75,percent of total billed charges,18.37442383,,,,,,,,,,22.75,percent of total billed charges,28.97773347,,,,,,,,,,22.75,percent of total billed charges,999999999,,,,,,,,,,22.75,percent of total billed charges,19.81212267,,,,,,,,,,81.9,percent of total billed charges,,,,,
Special Stain for inclusion bodies(*),87207,CDM,,,,both,,,182,182,38.74487792,182,182,percent of total billed charges,133.9038657,,,,182,percent of total billed charges,141.93545,,,,182,percent of total billed charges,133.9038657,,,,182,percent of total billed charges,141.93545,,,,182,percent of total billed charges,999999999,,,,182,percent of total billed charges,138.6714912,,,,182,percent of total billed charges,133.9038657,,,,182,percent of total billed charges,141.93545,,,,129.766,percent of total billed charges,64.75560872,,,,129.766,percent of total billed charges,38.74487792,,,,129.766,percent of total billed charges,64.75560872,,,,129.766,percent of total billed charges,38.74487792,,,,129.766,percent of total billed charges,64.75560872,,,,129.766,percent of total billed charges,38.74487792,,,,128.492,percent of total billed charges,127.5170963,,,,128.492,percent of total billed charges,87.94753059,,,,,,,,,,131.04,percent of total billed charges,85.17291635,,,,,,,,,,131.04,percent of total billed charges,999999999,,,,,,,,,,145.6,percent of total billed charges,122.0052315,,,,143.78,percent of total billed charges,138.7538876,,,,143.78,percent of total billed charges,122.5936526,,,,145.6,percent of total billed charges,999999999,,,,145.6,percent of total billed charges,999999999,,,,127.4,percent of total billed charges,999999999,,,,127.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,96.824,percent of total billed charges,999999999,,,,,,,,,,,,,,,,91.91,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45.5,percent of total billed charges,43.21387029,,,,,,,,,,45.5,percent of total billed charges,42.49503696,,,,,,,,,,45.5,percent of total billed charges,42.37694508,,,,,,,,,,45.5,percent of total billed charges,41.75294508,,,,,,,,,,45.5,percent of total billed charges,42.82730973,,,,,,,,,,45.5,percent of total billed charges,999999999,,,,,,,,,,45.5,percent of total billed charges,36.74884765,,,,,,,,,,45.5,percent of total billed charges,57.95546694,,,,,,,,,,45.5,percent of total billed charges,999999999,,,,,,,,,,45.5,percent of total billed charges,39.62424535,,,,,,,,,,163.8,percent of total billed charges,,,,,
ELECTROLYTES,80051,CDM,,,,both,,,197,197,41.93813709,197,197,percent of total billed charges,144.9398986,,,,197,percent of total billed charges,153.6334267,,,,197,percent of total billed charges,144.9398986,,,,197,percent of total billed charges,153.6334267,,,,197,percent of total billed charges,999999999,,,,197,percent of total billed charges,150.1004603,,,,197,percent of total billed charges,144.9398986,,,,197,percent of total billed charges,153.6334267,,,,140.461,percent of total billed charges,70.09260944,,,,140.461,percent of total billed charges,41.93813709,,,,140.461,percent of total billed charges,70.09260944,,,,140.461,percent of total billed charges,41.93813709,,,,140.461,percent of total billed charges,70.09260944,,,,140.461,percent of total billed charges,41.93813709,,,,139.082,percent of total billed charges,138.0267471,,,,139.082,percent of total billed charges,95.19595344,,,,,,,,,,141.84,percent of total billed charges,92.19266221,,,,,,,,,,141.84,percent of total billed charges,999999999,,,,,,,,,,157.6,percent of total billed charges,132.0606077,,,,155.63,percent of total billed charges,150.1896475,,,,155.63,percent of total billed charges,132.6975251,,,,157.6,percent of total billed charges,999999999,,,,157.6,percent of total billed charges,999999999,,,,137.9,percent of total billed charges,999999999,,,,137.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,104.804,percent of total billed charges,999999999,,,,,,,,,,,,,,,,99.485,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,49.25,percent of total billed charges,46.77545301,,,,,,,,,,49.25,percent of total billed charges,45.99737518,,,,,,,,,,49.25,percent of total billed charges,45.86955044,,,,,,,,,,49.25,percent of total billed charges,45.19412187,,,,,,,,,,49.25,percent of total billed charges,46.35703306,,,,,,,,,,49.25,percent of total billed charges,999999999,,,,,,,,,,49.25,percent of total billed charges,39.77759883,,,,,,,,,,49.25,percent of total billed charges,62.73201641,,,,,,,,,,49.25,percent of total billed charges,999999999,,,,,,,,,,49.25,percent of total billed charges,42.88997985,,,,,,,,,,177.3,percent of total billed charges,,,,,
C4 COMPLEMENT TEST(*),86160,CDM,,,,both,,,187,187,39.80929764,187,187,percent of total billed charges,137.5825433,,,,187,percent of total billed charges,145.8347756,,,,187,percent of total billed charges,137.5825433,,,,187,percent of total billed charges,145.8347756,,,,187,percent of total billed charges,999999999,,,,187,percent of total billed charges,142.4811476,,,,187,percent of total billed charges,137.5825433,,,,187,percent of total billed charges,145.8347756,,,,133.331,percent of total billed charges,66.53460896,,,,133.331,percent of total billed charges,39.80929764,,,,133.331,percent of total billed charges,66.53460896,,,,133.331,percent of total billed charges,39.80929764,,,,133.331,percent of total billed charges,66.53460896,,,,133.331,percent of total billed charges,39.80929764,,,,132.022,percent of total billed charges,131.0203132,,,,132.022,percent of total billed charges,90.36367154,,,,,,,,,,134.64,percent of total billed charges,87.51283164,,,,,,,,,,134.64,percent of total billed charges,999999999,,,,,,,,,,149.6,percent of total billed charges,125.3570235,,,,147.73,percent of total billed charges,142.5658075,,,,147.73,percent of total billed charges,125.9616101,,,,149.6,percent of total billed charges,999999999,,,,149.6,percent of total billed charges,999999999,,,,130.9,percent of total billed charges,999999999,,,,130.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,99.484,percent of total billed charges,999999999,,,,,,,,,,,,,,,,94.435,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,46.75,percent of total billed charges,44.40106453,,,,,,,,,,46.75,percent of total billed charges,43.66248304,,,,,,,,,,46.75,percent of total billed charges,43.54114686,,,,,,,,,,46.75,percent of total billed charges,42.90000401,,,,,,,,,,46.75,percent of total billed charges,44.00388418,,,,,,,,,,46.75,percent of total billed charges,999999999,,,,,,,,,,46.75,percent of total billed charges,37.75843138,,,,,,,,,,46.75,percent of total billed charges,59.54765009,,,,,,,,,,46.75,percent of total billed charges,999999999,,,,,,,,,,46.75,percent of total billed charges,40.71282351,,,,,,,,,,168.3,percent of total billed charges,,,,,
CH 50(*),86162,CDM,,,,both,,,349,349,74.29649667,349,349,percent of total billed charges,256.7716985,,,,349,percent of total billed charges,272.1729234,,,,349,percent of total billed charges,256.7716985,,,,349,percent of total billed charges,272.1729234,,,,349,percent of total billed charges,999999999,,,,349,percent of total billed charges,265.9140134,,,,349,percent of total billed charges,256.7716985,,,,349,percent of total billed charges,272.1729234,,,,248.837,percent of total billed charges,124.1742167,,,,248.837,percent of total billed charges,74.29649667,,,,248.837,percent of total billed charges,124.1742167,,,,248.837,percent of total billed charges,74.29649667,,,,248.837,percent of total billed charges,124.1742167,,,,248.837,percent of total billed charges,74.29649667,,,,246.394,percent of total billed charges,244.5245417,,,,246.394,percent of total billed charges,168.6466383,,,,,,,,,,251.28,percent of total billed charges,163.3260869,,,,,,,,,,251.28,percent of total billed charges,999999999,,,,,,,,,,279.2,percent of total billed charges,233.9550867,,,,275.71,percent of total billed charges,266.0720152,,,,275.71,percent of total billed charges,235.0834328,,,,279.2,percent of total billed charges,999999999,,,,279.2,percent of total billed charges,999999999,,,,244.3,percent of total billed charges,999999999,,,,244.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,185.668,percent of total billed charges,999999999,,,,,,,,,,,,,,,,176.245,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,87.25,percent of total billed charges,82.86615787,,,,,,,,,,87.25,percent of total billed charges,81.48773572,,,,,,,,,,87.25,percent of total billed charges,81.26128479,,,,,,,,,,87.25,percent of total billed charges,80.06471336,,,,,,,,,,87.25,percent of total billed charges,82.12489614,,,,,,,,,,87.25,percent of total billed charges,999999999,,,,,,,,,,87.25,percent of total billed charges,70.46894413,,,,,,,,,,87.25,percent of total billed charges,111.1343844,,,,,,,,,,87.25,percent of total billed charges,999999999,,,,,,,,,,87.25,percent of total billed charges,75.98275618,,,,,,,,,,314.1,percent of total billed charges,,,,,
ANTI HISTONE ANTIBODY(*),86255,CDM,,,,both,,,305,305,64.92960311,305,305,percent of total billed charges,224.3993353,,,,305,percent of total billed charges,237.8588586,,,,305,percent of total billed charges,224.3993353,,,,305,percent of total billed charges,237.8588586,,,,305,percent of total billed charges,999999999,,,,305,percent of total billed charges,232.3890375,,,,305,percent of total billed charges,224.3993353,,,,305,percent of total billed charges,237.8588586,,,,217.465,percent of total billed charges,108.5190146,,,,217.465,percent of total billed charges,64.92960311,,,,217.465,percent of total billed charges,108.5190146,,,,217.465,percent of total billed charges,64.92960311,,,,217.465,percent of total billed charges,108.5190146,,,,217.465,percent of total billed charges,64.92960311,,,,215.33,percent of total billed charges,213.6962328,,,,215.33,percent of total billed charges,147.384598,,,,,,,,,,219.6,percent of total billed charges,142.7348323,,,,,,,,,,219.6,percent of total billed charges,999999999,,,,,,,,,,244,percent of total billed charges,204.4593165,,,,240.95,percent of total billed charges,232.5271193,,,,240.95,percent of total billed charges,205.4454069,,,,244,percent of total billed charges,999999999,,,,244,percent of total billed charges,999999999,,,,213.5,percent of total billed charges,999999999,,,,213.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,162.26,percent of total billed charges,999999999,,,,,,,,,,,,,,,,154.025,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,76.25,percent of total billed charges,72.41884857,,,,,,,,,,76.25,percent of total billed charges,71.2142103,,,,,,,,,,76.25,percent of total billed charges,71.01630906,,,,,,,,,,76.25,percent of total billed charges,69.97059477,,,,,,,,,,76.25,percent of total billed charges,71.77104104,,,,,,,,,,76.25,percent of total billed charges,999999999,,,,,,,,,,76.25,percent of total billed charges,61.58460733,,,,,,,,,,76.25,percent of total billed charges,97.12317261,,,,,,,,,,76.25,percent of total billed charges,999999999,,,,,,,,,,76.25,percent of total billed charges,66.4032683,,,,,,,,,,274.5,percent of total billed charges,,,,,
SPECKLED ANTIBODY(*),86235,CDM,,,,both,,,232,232,49.38907515,232,232,percent of total billed charges,170.690642,,,,232,percent of total billed charges,180.9287055,,,,232,percent of total billed charges,170.690642,,,,232,percent of total billed charges,180.9287055,,,,232,percent of total billed charges,999999999,,,,232,percent of total billed charges,176.7680547,,,,232,percent of total billed charges,170.690642,,,,232,percent of total billed charges,180.9287055,,,,165.416,percent of total billed charges,82.54561112,,,,165.416,percent of total billed charges,49.38907515,,,,165.416,percent of total billed charges,82.54561112,,,,165.416,percent of total billed charges,49.38907515,,,,165.416,percent of total billed charges,82.54561112,,,,165.416,percent of total billed charges,49.38907515,,,,163.792,percent of total billed charges,162.5492656,,,,163.792,percent of total billed charges,112.1089401,,,,,,,,,,167.04,percent of total billed charges,108.5720692,,,,,,,,,,167.04,percent of total billed charges,999999999,,,,,,,,,,185.6,percent of total billed charges,155.5231522,,,,183.28,percent of total billed charges,176.8730874,,,,183.28,percent of total billed charges,156.2732275,,,,185.6,percent of total billed charges,999999999,,,,185.6,percent of total billed charges,999999999,,,,162.4,percent of total billed charges,999999999,,,,162.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,123.424,percent of total billed charges,999999999,,,,,,,,,,,,,,,,117.16,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,58,percent of total billed charges,55.08581268,,,,,,,,,,58,percent of total billed charges,54.16949767,,,,,,,,,,58,percent of total billed charges,54.01896295,,,,,,,,,,58,percent of total billed charges,53.22353438,,,,,,,,,,58,percent of total billed charges,54.59305417,,,,,,,,,,58,percent of total billed charges,999999999,,,,,,,,,,58,percent of total billed charges,46.84468492,,,,,,,,,,58,percent of total billed charges,73.87729851,,,,,,,,,,58,percent of total billed charges,999999999,,,,,,,,,,58,percent of total billed charges,50.51002703,,,,,,,,,,208.8,percent of total billed charges,,,,,
SGOT (AST),84450,CDM,,,,both,,,83,83,17.6693674,83,83,percent of total billed charges,61.06604863,,,,83,percent of total billed charges,64.72880413,,,,83,percent of total billed charges,61.06604863,,,,83,percent of total billed charges,64.72880413,,,,83,percent of total billed charges,999999999,,,,83,percent of total billed charges,63.24029545,,,,83,percent of total billed charges,61.06604863,,,,83,percent of total billed charges,64.72880413,,,,59.179,percent of total billed charges,29.53140398,,,,59.179,percent of total billed charges,17.6693674,,,,59.179,percent of total billed charges,29.53140398,,,,59.179,percent of total billed charges,17.6693674,,,,59.179,percent of total billed charges,29.53140398,,,,59.179,percent of total billed charges,17.6693674,,,,58.598,percent of total billed charges,58.15340104,,,,58.598,percent of total billed charges,40.10793977,,,,,,,,,,59.76,percent of total billed charges,38.84259372,,,,,,,,,,59.76,percent of total billed charges,999999999,,,,,,,,,,66.4,percent of total billed charges,55.63974841,,,,65.57,percent of total billed charges,63.2778718,,,,65.57,percent of total billed charges,55.90809433,,,,66.4,percent of total billed charges,999999999,,,,66.4,percent of total billed charges,999999999,,,,58.1,percent of total billed charges,999999999,,,,58.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,44.156,percent of total billed charges,999999999,,,,,,,,,,,,,,,,41.915,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20.75,percent of total billed charges,19.70742436,,,,,,,,,,20.75,percent of total billed charges,19.37960477,,,,,,,,,,20.75,percent of total billed charges,19.32574968,,,,,,,,,,20.75,percent of total billed charges,19.04117825,,,,,,,,,,20.75,percent of total billed charges,19.53113576,,,,,,,,,,20.75,percent of total billed charges,999999999,,,,,,,,,,20.75,percent of total billed charges,16.75908986,,,,,,,,,,20.75,percent of total billed charges,26.43024042,,,,,,,,,,20.75,percent of total billed charges,999999999,,,,,,,,,,20.75,percent of total billed charges,18.0703976,,,,,,,,,,74.7,percent of total billed charges,,,,,
THORAZINE LEVEL(*),80299,CDM,,,,both,,,211,211,44.91851232,211,211,percent of total billed charges,155.2401959,,,,211,percent of total billed charges,164.5515382,,,,211,percent of total billed charges,155.2401959,,,,211,percent of total billed charges,164.5515382,,,,211,percent of total billed charges,999999999,,,,211,percent of total billed charges,160.7674981,,,,211,percent of total billed charges,155.2401959,,,,211,percent of total billed charges,164.5515382,,,,150.443,percent of total billed charges,75.07381011,,,,150.443,percent of total billed charges,44.91851232,,,,150.443,percent of total billed charges,75.07381011,,,,150.443,percent of total billed charges,44.91851232,,,,150.443,percent of total billed charges,75.07381011,,,,150.443,percent of total billed charges,44.91851232,,,,148.966,percent of total billed charges,147.8357545,,,,148.966,percent of total billed charges,101.9611481,,,,,,,,,,151.92,percent of total billed charges,98.744425,,,,,,,,,,151.92,percent of total billed charges,999999999,,,,,,,,,,168.8,percent of total billed charges,141.4456255,,,,166.69,percent of total billed charges,160.8630235,,,,166.69,percent of total billed charges,142.1278061,,,,168.8,percent of total billed charges,999999999,,,,168.8,percent of total billed charges,999999999,,,,147.7,percent of total billed charges,999999999,,,,147.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,112.252,percent of total billed charges,999999999,,,,,,,,,,,,,,,,106.555,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,52.75,percent of total billed charges,50.09959688,,,,,,,,,,52.75,percent of total billed charges,49.26622417,,,,,,,,,,52.75,percent of total billed charges,49.12931545,,,,,,,,,,52.75,percent of total billed charges,48.40588687,,,,,,,,,,52.75,percent of total billed charges,49.6514415,,,,,,,,,,52.75,percent of total billed charges,999999999,,,,,,,,,,52.75,percent of total billed charges,42.60443327,,,,,,,,,,52.75,percent of total billed charges,67.19012925,,,,,,,,,,52.75,percent of total billed charges,999999999,,,,,,,,,,52.75,percent of total billed charges,45.93799872,,,,,,,,,,189.9,percent of total billed charges,,,,,
SULFA LEVEL(*),80299,CDM,,,,both,,,199,199,42.36390498,199,199,percent of total billed charges,146.4113696,,,,199,percent of total billed charges,155.1931569,,,,199,percent of total billed charges,146.4113696,,,,199,percent of total billed charges,155.1931569,,,,199,percent of total billed charges,999999999,,,,199,percent of total billed charges,151.6243228,,,,199,percent of total billed charges,146.4113696,,,,199,percent of total billed charges,155.1931569,,,,141.887,percent of total billed charges,70.80420954,,,,141.887,percent of total billed charges,42.36390498,,,,141.887,percent of total billed charges,70.80420954,,,,141.887,percent of total billed charges,42.36390498,,,,141.887,percent of total billed charges,70.80420954,,,,141.887,percent of total billed charges,42.36390498,,,,140.494,percent of total billed charges,139.4280338,,,,140.494,percent of total billed charges,96.16240982,,,,,,,,,,143.28,percent of total billed charges,93.12862832,,,,,,,,,,143.28,percent of total billed charges,999999999,,,,,,,,,,159.2,percent of total billed charges,133.4013245,,,,157.21,percent of total billed charges,151.7144155,,,,157.21,percent of total billed charges,134.0447081,,,,159.2,percent of total billed charges,999999999,,,,159.2,percent of total billed charges,999999999,,,,139.3,percent of total billed charges,999999999,,,,139.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,105.868,percent of total billed charges,999999999,,,,,,,,,,,,,,,,100.495,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,49.75,percent of total billed charges,47.25033071,,,,,,,,,,49.75,percent of total billed charges,46.4643536,,,,,,,,,,49.75,percent of total billed charges,46.33523116,,,,,,,,,,49.75,percent of total billed charges,45.65294544,,,,,,,,,,49.75,percent of total billed charges,46.82766284,,,,,,,,,,49.75,percent of total billed charges,999999999,,,,,,,,,,49.75,percent of total billed charges,40.18143232,,,,,,,,,,49.75,percent of total billed charges,63.36888967,,,,,,,,,,49.75,percent of total billed charges,999999999,,,,,,,,,,49.75,percent of total billed charges,43.32541112,,,,,,,,,,179.1,percent of total billed charges,,,,,
ANTI MICROSOMAL ANTIBODIES(*),86376,CDM,,,,both,,,171,171,36.40315453,171,171,percent of total billed charges,125.8107749,,,,171,percent of total billed charges,133.3569338,,,,171,percent of total billed charges,125.8107749,,,,171,percent of total billed charges,133.3569338,,,,171,percent of total billed charges,999999999,,,,171,percent of total billed charges,130.2902472,,,,171,percent of total billed charges,125.8107749,,,,171,percent of total billed charges,133.3569338,,,,121.923,percent of total billed charges,60.8418082,,,,121.923,percent of total billed charges,36.40315453,,,,121.923,percent of total billed charges,60.8418082,,,,121.923,percent of total billed charges,36.40315453,,,,121.923,percent of total billed charges,60.8418082,,,,121.923,percent of total billed charges,36.40315453,,,,120.726,percent of total billed charges,119.810019,,,,120.726,percent of total billed charges,82.6320205,,,,,,,,,,123.12,percent of total billed charges,80.02510273,,,,,,,,,,123.12,percent of total billed charges,999999999,,,,,,,,,,136.8,percent of total billed charges,114.6312889,,,,135.09,percent of total billed charges,130.3676636,,,,135.09,percent of total billed charges,115.1841461,,,,136.8,percent of total billed charges,999999999,,,,136.8,percent of total billed charges,999999999,,,,119.7,percent of total billed charges,999999999,,,,119.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,90.972,percent of total billed charges,999999999,,,,,,,,,,,,,,,,86.355,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,42.75,percent of total billed charges,40.60204297,,,,,,,,,,42.75,percent of total billed charges,39.92665561,,,,,,,,,,42.75,percent of total billed charges,39.81570114,,,,,,,,,,42.75,percent of total billed charges,39.22941543,,,,,,,,,,42.75,percent of total billed charges,40.23884596,,,,,,,,,,42.75,percent of total billed charges,999999999,,,,,,,,,,42.75,percent of total billed charges,34.52776345,,,,,,,,,,42.75,percent of total billed charges,54.45266399,,,,,,,,,,42.75,percent of total billed charges,999999999,,,,,,,,,,42.75,percent of total billed charges,37.22937337,,,,,,,,,,153.9,percent of total billed charges,,,,,
ANTI-MITOCHONDRIAL ANTIBODIES(*),86381,CDM,,,,both,,,211,211,44.91851232,211,211,percent of total billed charges,155.2401959,,,,211,percent of total billed charges,164.5515382,,,,211,percent of total billed charges,155.2401959,,,,211,percent of total billed charges,164.5515382,,,,211,percent of total billed charges,999999999,,,,211,percent of total billed charges,160.7674981,,,,211,percent of total billed charges,155.2401959,,,,211,percent of total billed charges,164.5515382,,,,150.443,percent of total billed charges,75.07381011,,,,150.443,percent of total billed charges,44.91851232,,,,150.443,percent of total billed charges,75.07381011,,,,150.443,percent of total billed charges,44.91851232,,,,150.443,percent of total billed charges,75.07381011,,,,150.443,percent of total billed charges,44.91851232,,,,148.966,percent of total billed charges,147.8357545,,,,148.966,percent of total billed charges,101.9611481,,,,,,,,,,151.92,percent of total billed charges,98.744425,,,,,,,,,,151.92,percent of total billed charges,999999999,,,,,,,,,,168.8,percent of total billed charges,141.4456255,,,,166.69,percent of total billed charges,160.8630235,,,,166.69,percent of total billed charges,142.1278061,,,,168.8,percent of total billed charges,999999999,,,,168.8,percent of total billed charges,999999999,,,,147.7,percent of total billed charges,999999999,,,,147.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,112.252,percent of total billed charges,999999999,,,,,,,,,,,,,,,,106.555,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,52.75,percent of total billed charges,50.09959688,,,,,,,,,,52.75,percent of total billed charges,49.26622417,,,,,,,,,,52.75,percent of total billed charges,49.12931545,,,,,,,,,,52.75,percent of total billed charges,48.40588687,,,,,,,,,,52.75,percent of total billed charges,49.6514415,,,,,,,,,,52.75,percent of total billed charges,999999999,,,,,,,,,,52.75,percent of total billed charges,42.60443327,,,,,,,,,,52.75,percent of total billed charges,67.19012925,,,,,,,,,,52.75,percent of total billed charges,999999999,,,,,,,,,,52.75,percent of total billed charges,45.93799872,,,,,,,,,,189.9,percent of total billed charges,,,,,
SGPT (ALT),84460,CDM,,,,both,,,84,84,17.88225135,84,84,percent of total billed charges,61.80178416,,,,84,percent of total billed charges,65.50866924,,,,84,percent of total billed charges,61.80178416,,,,84,percent of total billed charges,65.50866924,,,,84,percent of total billed charges,999999999,,,,84,percent of total billed charges,64.00222672,,,,84,percent of total billed charges,61.80178416,,,,84,percent of total billed charges,65.50866924,,,,59.892,percent of total billed charges,29.88720403,,,,59.892,percent of total billed charges,17.88225135,,,,59.892,percent of total billed charges,29.88720403,,,,59.892,percent of total billed charges,17.88225135,,,,59.892,percent of total billed charges,29.88720403,,,,59.892,percent of total billed charges,17.88225135,,,,59.304,percent of total billed charges,58.85404443,,,,59.304,percent of total billed charges,40.59116796,,,,,,,,,,60.48,percent of total billed charges,39.31057678,,,,,,,,,,60.48,percent of total billed charges,999999999,,,,,,,,,,67.2,percent of total billed charges,56.31010683,,,,66.36,percent of total billed charges,64.0402558,,,,66.36,percent of total billed charges,56.58168583,,,,67.2,percent of total billed charges,999999999,,,,67.2,percent of total billed charges,999999999,,,,58.8,percent of total billed charges,999999999,,,,58.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,44.688,percent of total billed charges,999999999,,,,,,,,,,,,,,,,42.42,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21,percent of total billed charges,19.94486321,,,,,,,,,,21,percent of total billed charges,19.61309398,,,,,,,,,,21,percent of total billed charges,19.55859004,,,,,,,,,,21,percent of total billed charges,19.27059004,,,,,,,,,,21,percent of total billed charges,19.76645065,,,,,,,,,,21,percent of total billed charges,999999999,,,,,,,,,,21,percent of total billed charges,16.96100661,,,,,,,,,,21,percent of total billed charges,26.74867705,,,,,,,,,,21,percent of total billed charges,999999999,,,,,,,,,,21,percent of total billed charges,18.28811324,,,,,,,,,,75.6,percent of total billed charges,,,,,
URINE PORPHYRINS(*),84120,CDM,,,,both,,,250,250,53.22098616,250,250,percent of total billed charges,183.9338814,,,,250,percent of total billed charges,194.9662775,,,,250,percent of total billed charges,183.9338814,,,,250,percent of total billed charges,194.9662775,,,,250,percent of total billed charges,999999999,,,,250,percent of total billed charges,190.4828176,,,,250,percent of total billed charges,183.9338814,,,,250,percent of total billed charges,194.9662775,,,,178.25,percent of total billed charges,88.95001198,,,,178.25,percent of total billed charges,53.22098616,,,,178.25,percent of total billed charges,88.95001198,,,,178.25,percent of total billed charges,53.22098616,,,,178.25,percent of total billed charges,88.95001198,,,,178.25,percent of total billed charges,53.22098616,,,,176.5,percent of total billed charges,175.1608465,,,,176.5,percent of total billed charges,120.8070475,,,,,,,,,,180,percent of total billed charges,116.9957642,,,,,,,,,,180,percent of total billed charges,999999999,,,,,,,,,,200,percent of total billed charges,167.5896036,,,,197.5,percent of total billed charges,190.5959994,,,,197.5,percent of total billed charges,168.3978745,,,,200,percent of total billed charges,999999999,,,,200,percent of total billed charges,999999999,,,,175,percent of total billed charges,999999999,,,,175,percent of total billed charges,999999999,,,,,,,,,,,,,,,,133,percent of total billed charges,999999999,,,,,,,,,,,,,,,,126.25,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,62.5,percent of total billed charges,59.35971194,,,,,,,,,,62.5,percent of total billed charges,58.37230352,,,,,,,,,,62.5,percent of total billed charges,58.21008939,,,,,,,,,,62.5,percent of total billed charges,57.35294653,,,,,,,,,,62.5,percent of total billed charges,58.82872216,,,,,,,,,,62.5,percent of total billed charges,999999999,,,,,,,,,,62.5,percent of total billed charges,50.47918634,,,,,,,,,,62.5,percent of total billed charges,79.60915788,,,,,,,,,,62.5,percent of total billed charges,999999999,,,,,,,,,,62.5,percent of total billed charges,54.42890844,,,,,,,,,,225,percent of total billed charges,,,,,
C1 INHIBITOR COMPENMENT ANTIGEN,86160,CDM,,,,both,,,253,253,53.85963799,253,253,percent of total billed charges,186.141088,,,,253,percent of total billed charges,197.3058728,,,,253,percent of total billed charges,186.141088,,,,253,percent of total billed charges,197.3058728,,,,253,percent of total billed charges,999999999,,,,253,percent of total billed charges,192.7686114,,,,253,percent of total billed charges,186.141088,,,,253,percent of total billed charges,197.3058728,,,,180.389,percent of total billed charges,90.01741213,,,,180.389,percent of total billed charges,53.85963799,,,,180.389,percent of total billed charges,90.01741213,,,,180.389,percent of total billed charges,53.85963799,,,,180.389,percent of total billed charges,90.01741213,,,,180.389,percent of total billed charges,53.85963799,,,,178.618,percent of total billed charges,177.2627767,,,,178.618,percent of total billed charges,122.2567321,,,,,,,,,,182.16,percent of total billed charges,118.3997134,,,,,,,,,,182.16,percent of total billed charges,999999999,,,,,,,,,,202.4,percent of total billed charges,169.6006789,,,,199.87,percent of total billed charges,192.8831514,,,,199.87,percent of total billed charges,170.418649,,,,202.4,percent of total billed charges,999999999,,,,202.4,percent of total billed charges,999999999,,,,177.1,percent of total billed charges,999999999,,,,177.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,134.596,percent of total billed charges,999999999,,,,,,,,,,,,,,,,127.765,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,63.25,percent of total billed charges,60.07202848,,,,,,,,,,63.25,percent of total billed charges,59.07277117,,,,,,,,,,63.25,percent of total billed charges,58.90861046,,,,,,,,,,63.25,percent of total billed charges,58.04118189,,,,,,,,,,63.25,percent of total billed charges,59.53466683,,,,,,,,,,63.25,percent of total billed charges,999999999,,,,,,,,,,63.25,percent of total billed charges,51.08493657,,,,,,,,,,63.25,percent of total billed charges,80.56446777,,,,,,,,,,63.25,percent of total billed charges,999999999,,,,,,,,,,63.25,percent of total billed charges,55.08205534,,,,,,,,,,227.7,percent of total billed charges,,,,,
TRAMADOL,80373,CDM,,,,both,,,64,64,13.62457246,64,64,percent of total billed charges,47.08707365,,,,64,percent of total billed charges,49.91136704,,,,64,percent of total billed charges,47.08707365,,,,64,percent of total billed charges,49.91136704,,,,64,percent of total billed charges,999999999,,,,64,percent of total billed charges,48.76360131,,,,64,percent of total billed charges,47.08707365,,,,64,percent of total billed charges,49.91136704,,,,45.632,percent of total billed charges,22.77120307,,,,45.632,percent of total billed charges,13.62457246,,,,45.632,percent of total billed charges,22.77120307,,,,45.632,percent of total billed charges,13.62457246,,,,45.632,percent of total billed charges,22.77120307,,,,45.632,percent of total billed charges,13.62457246,,,,45.184,percent of total billed charges,44.84117671,,,,45.184,percent of total billed charges,30.92660416,,,,,,,,,,46.08,percent of total billed charges,29.95091564,,,,,,,,,,46.08,percent of total billed charges,999999999,,,,,,,,,,51.2,percent of total billed charges,42.90293853,,,,50.56,percent of total billed charges,48.79257585,,,,50.56,percent of total billed charges,43.10985587,,,,51.2,percent of total billed charges,999999999,,,,51.2,percent of total billed charges,999999999,,,,44.8,percent of total billed charges,999999999,,,,44.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,34.048,percent of total billed charges,999999999,,,,,,,,,,,,,,,,32.32,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16,percent of total billed charges,15.19608626,,,,,,,,,,16,percent of total billed charges,14.9433097,,,,,,,,,,16,percent of total billed charges,14.90178288,,,,,,,,,,16,percent of total billed charges,14.68235431,,,,,,,,,,16,percent of total billed charges,15.06015287,,,,,,,,,,16,percent of total billed charges,999999999,,,,,,,,,,16,percent of total billed charges,12.9226717,,,,,,,,,,16,percent of total billed charges,20.37994442,,,,,,,,,,16,percent of total billed charges,999999999,,,,,,,,,,16,percent of total billed charges,13.93380056,,,,,,,,,,57.6,percent of total billed charges,,,,,
LDH,83615,CDM,,,,both,,,115,115,24.48165363,115,115,percent of total billed charges,84.60958546,,,,115,percent of total billed charges,89.68448765,,,,115,percent of total billed charges,84.60958546,,,,115,percent of total billed charges,89.68448765,,,,115,percent of total billed charges,999999999,,,,115,percent of total billed charges,87.6220961,,,,115,percent of total billed charges,84.60958546,,,,115,percent of total billed charges,89.68448765,,,,81.995,percent of total billed charges,40.91700551,,,,81.995,percent of total billed charges,24.48165363,,,,81.995,percent of total billed charges,40.91700551,,,,81.995,percent of total billed charges,24.48165363,,,,81.995,percent of total billed charges,40.91700551,,,,81.995,percent of total billed charges,24.48165363,,,,81.19,percent of total billed charges,80.5739894,,,,81.19,percent of total billed charges,55.57124185,,,,,,,,,,82.8,percent of total billed charges,53.81805154,,,,,,,,,,82.8,percent of total billed charges,999999999,,,,,,,,,,92,percent of total billed charges,77.09121768,,,,90.85,percent of total billed charges,87.67415972,,,,90.85,percent of total billed charges,77.46302226,,,,92,percent of total billed charges,999999999,,,,92,percent of total billed charges,999999999,,,,80.5,percent of total billed charges,999999999,,,,80.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,61.18,percent of total billed charges,999999999,,,,,,,,,,,,,,,,58.075,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,28.75,percent of total billed charges,27.30546749,,,,,,,,,,28.75,percent of total billed charges,26.85125962,,,,,,,,,,28.75,percent of total billed charges,26.77664112,,,,,,,,,,28.75,percent of total billed charges,26.38235541,,,,,,,,,,28.75,percent of total billed charges,27.06121219,,,,,,,,,,28.75,percent of total billed charges,999999999,,,,,,,,,,28.75,percent of total billed charges,23.22042571,,,,,,,,,,28.75,percent of total billed charges,36.62021262,,,,,,,,,,28.75,percent of total billed charges,999999999,,,,,,,,,,28.75,percent of total billed charges,25.03729788,,,,,,,,,,103.5,percent of total billed charges,,,,,
ORGANIC ACIDS(*),83918,CDM,,,,both,,,482,482,102.6100613,482,482,percent of total billed charges,354.6245234,,,,482,percent of total billed charges,375.894983,,,,482,percent of total billed charges,354.6245234,,,,482,percent of total billed charges,375.894983,,,,482,percent of total billed charges,999999999,,,,482,percent of total billed charges,367.2508723,,,,482,percent of total billed charges,354.6245234,,,,482,percent of total billed charges,375.894983,,,,343.666,percent of total billed charges,171.4956231,,,,343.666,percent of total billed charges,102.6100613,,,,343.666,percent of total billed charges,171.4956231,,,,343.666,percent of total billed charges,102.6100613,,,,343.666,percent of total billed charges,171.4956231,,,,343.666,percent of total billed charges,102.6100613,,,,340.292,percent of total billed charges,337.7101121,,,,340.292,percent of total billed charges,232.9159876,,,,,,,,,,347.04,percent of total billed charges,225.5678334,,,,,,,,,,347.04,percent of total billed charges,999999999,,,,,,,,,,385.6,percent of total billed charges,323.1127558,,,,380.78,percent of total billed charges,367.4690868,,,,380.78,percent of total billed charges,324.671102,,,,385.6,percent of total billed charges,999999999,,,,385.6,percent of total billed charges,999999999,,,,337.4,percent of total billed charges,999999999,,,,337.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,256.424,percent of total billed charges,999999999,,,,,,,,,,,,,,,,243.41,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,120.5,percent of total billed charges,114.4455246,,,,,,,,,,120.5,percent of total billed charges,112.5418012,,,,,,,,,,120.5,percent of total billed charges,112.2290523,,,,,,,,,,120.5,percent of total billed charges,110.5764809,,,,,,,,,,120.5,percent of total billed charges,113.4217763,,,,,,,,,,120.5,percent of total billed charges,999999999,,,,,,,,,,120.5,percent of total billed charges,97.32387126,,,,,,,,,,120.5,percent of total billed charges,153.4864564,,,,,,,,,,120.5,percent of total billed charges,999999999,,,,,,,,,,120.5,percent of total billed charges,104.9389355,,,,,,,,,,433.8,percent of total billed charges,,,,,
OLIGOSSACCHARIDE SUGARS,84377,CDM,,,,both,,,119,119,25.33318941,119,119,percent of total billed charges,87.55252756,,,,119,percent of total billed charges,92.80394809,,,,119,percent of total billed charges,87.55252756,,,,119,percent of total billed charges,92.80394809,,,,119,percent of total billed charges,999999999,,,,119,percent of total billed charges,90.66982118,,,,119,percent of total billed charges,87.55252756,,,,119,percent of total billed charges,92.80394809,,,,84.847,percent of total billed charges,42.3402057,,,,84.847,percent of total billed charges,25.33318941,,,,84.847,percent of total billed charges,42.3402057,,,,84.847,percent of total billed charges,25.33318941,,,,84.847,percent of total billed charges,42.3402057,,,,84.847,percent of total billed charges,25.33318941,,,,84.014,percent of total billed charges,83.37656294,,,,84.014,percent of total billed charges,57.50415461,,,,,,,,,,85.68,percent of total billed charges,55.68998377,,,,,,,,,,85.68,percent of total billed charges,999999999,,,,,,,,,,95.2,percent of total billed charges,79.77265134,,,,94.01,percent of total billed charges,90.72369571,,,,94.01,percent of total billed charges,80.15738826,,,,95.2,percent of total billed charges,999999999,,,,95.2,percent of total billed charges,999999999,,,,83.3,percent of total billed charges,999999999,,,,83.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,63.308,percent of total billed charges,999999999,,,,,,,,,,,,,,,,60.095,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,29.75,percent of total billed charges,28.25522288,,,,,,,,,,29.75,percent of total billed charges,27.78521648,,,,,,,,,,29.75,percent of total billed charges,27.70800255,,,,,,,,,,29.75,percent of total billed charges,27.30000255,,,,,,,,,,29.75,percent of total billed charges,28.00247175,,,,,,,,,,29.75,percent of total billed charges,999999999,,,,,,,,,,29.75,percent of total billed charges,24.0280927,,,,,,,,,,29.75,percent of total billed charges,37.89395915,,,,,,,,,,29.75,percent of total billed charges,999999999,,,,,,,,,,29.75,percent of total billed charges,25.90816042,,,,,,,,,,107.1,percent of total billed charges,,,,,
IMMUNOELECTROPHORESIS-SERUM(*),86334,CDM,,,,both,,,316,316,67.2713265,316,316,percent of total billed charges,232.4924261,,,,316,percent of total billed charges,246.4373748,,,,316,percent of total billed charges,232.4924261,,,,316,percent of total billed charges,246.4373748,,,,316,percent of total billed charges,999999999,,,,316,percent of total billed charges,240.7702815,,,,316,percent of total billed charges,232.4924261,,,,316,percent of total billed charges,246.4373748,,,,225.308,percent of total billed charges,112.4328151,,,,225.308,percent of total billed charges,67.2713265,,,,225.308,percent of total billed charges,112.4328151,,,,225.308,percent of total billed charges,67.2713265,,,,225.308,percent of total billed charges,112.4328151,,,,225.308,percent of total billed charges,67.2713265,,,,223.096,percent of total billed charges,221.40331,,,,223.096,percent of total billed charges,152.7001081,,,,,,,,,,227.52,percent of total billed charges,147.882646,,,,,,,,,,227.52,percent of total billed charges,999999999,,,,,,,,,,252.8,percent of total billed charges,211.833259,,,,249.64,percent of total billed charges,240.9133432,,,,249.64,percent of total billed charges,212.8549133,,,,252.8,percent of total billed charges,999999999,,,,252.8,percent of total billed charges,999999999,,,,221.2,percent of total billed charges,999999999,,,,221.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,168.112,percent of total billed charges,999999999,,,,,,,,,,,,,,,,159.58,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,79,percent of total billed charges,75.03067589,,,,,,,,,,79,percent of total billed charges,73.78259165,,,,,,,,,,79,percent of total billed charges,73.57755299,,,,,,,,,,79,percent of total billed charges,72.49412442,,,,,,,,,,79,percent of total billed charges,74.35950481,,,,,,,,,,79,percent of total billed charges,999999999,,,,,,,,,,79,percent of total billed charges,63.80569153,,,,,,,,,,79,percent of total billed charges,100.6259756,,,,,,,,,,79,percent of total billed charges,999999999,,,,,,,,,,79,percent of total billed charges,68.79814027,,,,,,,,,,284.4,percent of total billed charges,,,,,
SODIUM-SERUM,84295,CDM,,,,both,,,78,78,16.60494768,78,78,percent of total billed charges,57.38737101,,,,78,percent of total billed charges,60.82947858,,,,78,percent of total billed charges,57.38737101,,,,78,percent of total billed charges,60.82947858,,,,78,percent of total billed charges,999999999,,,,78,percent of total billed charges,59.43063909,,,,78,percent of total billed charges,57.38737101,,,,78,percent of total billed charges,60.82947858,,,,55.614,percent of total billed charges,27.75240374,,,,55.614,percent of total billed charges,16.60494768,,,,55.614,percent of total billed charges,27.75240374,,,,55.614,percent of total billed charges,16.60494768,,,,55.614,percent of total billed charges,27.75240374,,,,55.614,percent of total billed charges,16.60494768,,,,55.068,percent of total billed charges,54.65018411,,,,55.068,percent of total billed charges,37.69179882,,,,,,,,,,56.16,percent of total billed charges,36.50267844,,,,,,,,,,56.16,percent of total billed charges,999999999,,,,,,,,,,62.4,percent of total billed charges,52.28795634,,,,61.62,percent of total billed charges,59.46595181,,,,61.62,percent of total billed charges,52.54013684,,,,62.4,percent of total billed charges,999999999,,,,62.4,percent of total billed charges,999999999,,,,54.6,percent of total billed charges,999999999,,,,54.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,41.496,percent of total billed charges,999999999,,,,,,,,,,,,,,,,39.39,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19.5,percent of total billed charges,18.52023013,,,,,,,,,,19.5,percent of total billed charges,18.2121587,,,,,,,,,,19.5,percent of total billed charges,18.16154789,,,,,,,,,,19.5,percent of total billed charges,17.89411932,,,,,,,,,,19.5,percent of total billed charges,18.35456131,,,,,,,,,,19.5,percent of total billed charges,999999999,,,,,,,,,,19.5,percent of total billed charges,15.74950614,,,,,,,,,,19.5,percent of total billed charges,24.83805726,,,,,,,,,,19.5,percent of total billed charges,999999999,,,,,,,,,,19.5,percent of total billed charges,16.98181943,,,,,,,,,,70.2,percent of total billed charges,,,,,
**IMMUNOELECTROPHORESIS-URINE (*),86325,CDM,,,,both,,,380,380,80.89589896,380,380,percent of total billed charges,279.5794998,,,,380,percent of total billed charges,296.3487418,,,,380,percent of total billed charges,279.5794998,,,,380,percent of total billed charges,296.3487418,,,,380,percent of total billed charges,999999999,,,,380,percent of total billed charges,289.5338828,,,,380,percent of total billed charges,279.5794998,,,,380,percent of total billed charges,296.3487418,,,,270.94,percent of total billed charges,135.2040182,,,,270.94,percent of total billed charges,80.89589896,,,,270.94,percent of total billed charges,135.2040182,,,,270.94,percent of total billed charges,80.89589896,,,,270.94,percent of total billed charges,135.2040182,,,,270.94,percent of total billed charges,80.89589896,,,,268.28,percent of total billed charges,266.2444867,,,,268.28,percent of total billed charges,183.6267122,,,,,,,,,,273.6,percent of total billed charges,177.8335616,,,,,,,,,,273.6,percent of total billed charges,999999999,,,,,,,,,,304,percent of total billed charges,254.7361975,,,,300.2,percent of total billed charges,289.7059191,,,,300.2,percent of total billed charges,255.9647692,,,,304,percent of total billed charges,999999999,,,,304,percent of total billed charges,999999999,,,,266,percent of total billed charges,999999999,,,,266,percent of total billed charges,999999999,,,,,,,,,,,,,,,,202.16,percent of total billed charges,999999999,,,,,,,,,,,,,,,,191.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,95,percent of total billed charges,90.22676215,,,,,,,,,,95,percent of total billed charges,88.72590135,,,,,,,,,,95,percent of total billed charges,88.47933587,,,,,,,,,,95,percent of total billed charges,87.17647873,,,,,,,,,,95,percent of total billed charges,89.41965769,,,,,,,,,,95,percent of total billed charges,999999999,,,,,,,,,,95,percent of total billed charges,76.72836323,,,,,,,,,,95,percent of total billed charges,121.00592,,,,,,,,,,95,percent of total billed charges,999999999,,,,,,,,,,95,percent of total billed charges,82.73194083,,,,,,,,,,342,percent of total billed charges,,,,,
IMMUNFIX E-PHORSIS/URINE/CSF (*),86335,CDM,,,,both,,,315,315,67.05844256,315,315,percent of total billed charges,231.7566906,,,,315,percent of total billed charges,245.6575097,,,,315,percent of total billed charges,231.7566906,,,,315,percent of total billed charges,245.6575097,,,,315,percent of total billed charges,999999999,,,,315,percent of total billed charges,240.0083502,,,,315,percent of total billed charges,231.7566906,,,,315,percent of total billed charges,245.6575097,,,,224.595,percent of total billed charges,112.0770151,,,,224.595,percent of total billed charges,67.05844256,,,,224.595,percent of total billed charges,112.0770151,,,,224.595,percent of total billed charges,67.05844256,,,,224.595,percent of total billed charges,112.0770151,,,,224.595,percent of total billed charges,67.05844256,,,,222.39,percent of total billed charges,220.7026666,,,,222.39,percent of total billed charges,152.2168799,,,,,,,,,,226.8,percent of total billed charges,147.4146629,,,,,,,,,,226.8,percent of total billed charges,999999999,,,,,,,,,,252,percent of total billed charges,211.1629006,,,,248.85,percent of total billed charges,240.1509592,,,,248.85,percent of total billed charges,212.1813219,,,,252,percent of total billed charges,999999999,,,,252,percent of total billed charges,999999999,,,,220.5,percent of total billed charges,999999999,,,,220.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,167.58,percent of total billed charges,999999999,,,,,,,,,,,,,,,,159.075,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,78.75,percent of total billed charges,74.79323705,,,,,,,,,,78.75,percent of total billed charges,73.54910244,,,,,,,,,,78.75,percent of total billed charges,73.34471263,,,,,,,,,,78.75,percent of total billed charges,72.26471263,,,,,,,,,,78.75,percent of total billed charges,74.12418992,,,,,,,,,,78.75,percent of total billed charges,999999999,,,,,,,,,,78.75,percent of total billed charges,63.60377478,,,,,,,,,,78.75,percent of total billed charges,100.3075389,,,,,,,,,,78.75,percent of total billed charges,999999999,,,,,,,,,,78.75,percent of total billed charges,68.58042464,,,,,,,,,,283.5,percent of total billed charges,,,,,
TOTAL PROTEIN,84155,CDM,,,,both,,,74,74,15.7534119,74,74,percent of total billed charges,54.4444289,,,,74,percent of total billed charges,57.71001814,,,,74,percent of total billed charges,54.4444289,,,,74,percent of total billed charges,57.71001814,,,,74,percent of total billed charges,999999999,,,,74,percent of total billed charges,56.38291401,,,,74,percent of total billed charges,54.4444289,,,,74,percent of total billed charges,57.71001814,,,,52.762,percent of total billed charges,26.32920355,,,,52.762,percent of total billed charges,15.7534119,,,,52.762,percent of total billed charges,26.32920355,,,,52.762,percent of total billed charges,15.7534119,,,,52.762,percent of total billed charges,26.32920355,,,,52.762,percent of total billed charges,15.7534119,,,,52.244,percent of total billed charges,51.84761057,,,,52.244,percent of total billed charges,35.75888606,,,,,,,,,,53.28,percent of total billed charges,34.63074621,,,,,,,,,,53.28,percent of total billed charges,999999999,,,,,,,,,,59.2,percent of total billed charges,49.60652268,,,,58.46,percent of total billed charges,56.41641582,,,,58.46,percent of total billed charges,49.84577085,,,,59.2,percent of total billed charges,999999999,,,,59.2,percent of total billed charges,999999999,,,,51.8,percent of total billed charges,999999999,,,,51.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,39.368,percent of total billed charges,999999999,,,,,,,,,,,,,,,,37.37,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18.5,percent of total billed charges,17.57047473,,,,,,,,,,18.5,percent of total billed charges,17.27820184,,,,,,,,,,18.5,percent of total billed charges,17.23018646,,,,,,,,,,18.5,percent of total billed charges,16.97647217,,,,,,,,,,18.5,percent of total billed charges,17.41330176,,,,,,,,,,18.5,percent of total billed charges,999999999,,,,,,,,,,18.5,percent of total billed charges,14.94183916,,,,,,,,,,18.5,percent of total billed charges,23.56431073,,,,,,,,,,18.5,percent of total billed charges,999999999,,,,,,,,,,18.5,percent of total billed charges,16.1109569,,,,,,,,,,66.6,percent of total billed charges,,,,,
IMMUNOGLOBULIN IGG(*),82784,CDM,,,,both,,,146,146,31.08105592,146,146,percent of total billed charges,107.4173868,,,,146,percent of total billed charges,113.8603061,,,,146,percent of total billed charges,107.4173868,,,,146,percent of total billed charges,113.8603061,,,,146,percent of total billed charges,999999999,,,,146,percent of total billed charges,111.2419655,,,,146,percent of total billed charges,107.4173868,,,,146,percent of total billed charges,113.8603061,,,,104.098,percent of total billed charges,51.946807,,,,104.098,percent of total billed charges,31.08105592,,,,104.098,percent of total billed charges,51.946807,,,,104.098,percent of total billed charges,31.08105592,,,,104.098,percent of total billed charges,51.946807,,,,104.098,percent of total billed charges,31.08105592,,,,103.076,percent of total billed charges,102.2939344,,,,103.076,percent of total billed charges,70.55131575,,,,,,,,,,105.12,percent of total billed charges,68.3255263,,,,,,,,,,105.12,percent of total billed charges,999999999,,,,,,,,,,116.8,percent of total billed charges,97.87232853,,,,115.34,percent of total billed charges,111.3080636,,,,115.34,percent of total billed charges,98.3443587,,,,116.8,percent of total billed charges,999999999,,,,116.8,percent of total billed charges,999999999,,,,102.2,percent of total billed charges,999999999,,,,102.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,77.672,percent of total billed charges,999999999,,,,,,,,,,,,,,,,73.73,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,36.5,percent of total billed charges,34.66607177,,,,,,,,,,36.5,percent of total billed charges,34.08942526,,,,,,,,,,36.5,percent of total billed charges,33.9946922,,,,,,,,,,36.5,percent of total billed charges,33.49412078,,,,,,,,,,36.5,percent of total billed charges,34.35597374,,,,,,,,,,36.5,percent of total billed charges,999999999,,,,,,,,,,36.5,percent of total billed charges,29.47984482,,,,,,,,,,36.5,percent of total billed charges,46.4917482,,,,,,,,,,36.5,percent of total billed charges,999999999,,,,,,,,,,36.5,percent of total billed charges,31.78648253,,,,,,,,,,131.4,percent of total billed charges,,,,,
TRANSFERRIN,84466,CDM,,,,both,,,219,219,46.62158387,219,219,percent of total billed charges,161.1260801,,,,219,percent of total billed charges,170.7904591,,,,219,percent of total billed charges,161.1260801,,,,219,percent of total billed charges,170.7904591,,,,219,percent of total billed charges,999999999,,,,219,percent of total billed charges,166.8629482,,,,219,percent of total billed charges,161.1260801,,,,219,percent of total billed charges,170.7904591,,,,156.147,percent of total billed charges,77.9202105,,,,156.147,percent of total billed charges,46.62158387,,,,156.147,percent of total billed charges,77.9202105,,,,156.147,percent of total billed charges,46.62158387,,,,156.147,percent of total billed charges,77.9202105,,,,156.147,percent of total billed charges,46.62158387,,,,154.614,percent of total billed charges,153.4409015,,,,154.614,percent of total billed charges,105.8269736,,,,,,,,,,157.68,percent of total billed charges,102.4882895,,,,,,,,,,157.68,percent of total billed charges,999999999,,,,,,,,,,175.2,percent of total billed charges,146.8084928,,,,173.01,percent of total billed charges,166.9620955,,,,173.01,percent of total billed charges,147.516538,,,,175.2,percent of total billed charges,999999999,,,,175.2,percent of total billed charges,999999999,,,,153.3,percent of total billed charges,999999999,,,,153.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,116.508,percent of total billed charges,999999999,,,,,,,,,,,,,,,,110.595,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,54.75,percent of total billed charges,51.99910766,,,,,,,,,,54.75,percent of total billed charges,51.13413789,,,,,,,,,,54.75,percent of total billed charges,50.99203831,,,,,,,,,,54.75,percent of total billed charges,50.24118116,,,,,,,,,,54.75,percent of total billed charges,51.53396061,,,,,,,,,,54.75,percent of total billed charges,999999999,,,,,,,,,,54.75,percent of total billed charges,44.21976723,,,,,,,,,,54.75,percent of total billed charges,69.7376223,,,,,,,,,,54.75,percent of total billed charges,999999999,,,,,,,,,,54.75,percent of total billed charges,47.67972379,,,,,,,,,,197.1,percent of total billed charges,,,,,
NEUROTIN-GABAPENTIN,80299,CDM,,,,both,,,295,295,62.80076366,295,295,percent of total billed charges,217.0419801,,,,295,percent of total billed charges,230.0602075,,,,295,percent of total billed charges,217.0419801,,,,295,percent of total billed charges,230.0602075,,,,295,percent of total billed charges,999999999,,,,295,percent of total billed charges,224.7697248,,,,295,percent of total billed charges,217.0419801,,,,295,percent of total billed charges,230.0602075,,,,210.335,percent of total billed charges,104.9610141,,,,210.335,percent of total billed charges,62.80076366,,,,210.335,percent of total billed charges,104.9610141,,,,210.335,percent of total billed charges,62.80076366,,,,210.335,percent of total billed charges,104.9610141,,,,210.335,percent of total billed charges,62.80076366,,,,208.27,percent of total billed charges,206.6897989,,,,208.27,percent of total billed charges,142.5523161,,,,,,,,,,212.4,percent of total billed charges,138.0550018,,,,,,,,,,212.4,percent of total billed charges,999999999,,,,,,,,,,236,percent of total billed charges,197.7557323,,,,233.05,percent of total billed charges,224.9032793,,,,233.05,percent of total billed charges,198.7094919,,,,236,percent of total billed charges,999999999,,,,236,percent of total billed charges,999999999,,,,206.5,percent of total billed charges,999999999,,,,206.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,156.94,percent of total billed charges,999999999,,,,,,,,,,,,,,,,148.975,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,73.75,percent of total billed charges,70.04446009,,,,,,,,,,73.75,percent of total billed charges,68.87931816,,,,,,,,,,73.75,percent of total billed charges,68.68790548,,,,,,,,,,73.75,percent of total billed charges,67.67647691,,,,,,,,,,73.75,percent of total billed charges,69.41789215,,,,,,,,,,73.75,percent of total billed charges,999999999,,,,,,,,,,73.75,percent of total billed charges,59.56543988,,,,,,,,,,73.75,percent of total billed charges,93.9388063,,,,,,,,,,73.75,percent of total billed charges,999999999,,,,,,,,,,73.75,percent of total billed charges,64.22611196,,,,,,,,,,265.5,percent of total billed charges,,,,,
IGG SUBCLASS,82787,CDM,,,,both,,,133,133,28.31356463,133,133,percent of total billed charges,97.85282492,,,,133,percent of total billed charges,103.7220596,,,,133,percent of total billed charges,97.85282492,,,,133,percent of total billed charges,103.7220596,,,,133,percent of total billed charges,999999999,,,,133,percent of total billed charges,101.336859,,,,133,percent of total billed charges,97.85282492,,,,133,percent of total billed charges,103.7220596,,,,94.829,percent of total billed charges,47.32140637,,,,94.829,percent of total billed charges,28.31356463,,,,94.829,percent of total billed charges,47.32140637,,,,94.829,percent of total billed charges,28.31356463,,,,94.829,percent of total billed charges,47.32140637,,,,94.829,percent of total billed charges,28.31356463,,,,93.898,percent of total billed charges,93.18557035,,,,93.898,percent of total billed charges,64.26934928,,,,,,,,,,95.76,percent of total billed charges,62.24174656,,,,,,,,,,95.76,percent of total billed charges,999999999,,,,,,,,,,106.4,percent of total billed charges,89.15766914,,,,105.07,percent of total billed charges,101.3970717,,,,105.07,percent of total billed charges,89.58766923,,,,106.4,percent of total billed charges,999999999,,,,106.4,percent of total billed charges,999999999,,,,93.1,percent of total billed charges,999999999,,,,93.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,70.756,percent of total billed charges,999999999,,,,,,,,,,,,,,,,67.165,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,33.25,percent of total billed charges,31.57936675,,,,,,,,,,33.25,percent of total billed charges,31.05406547,,,,,,,,,,33.25,percent of total billed charges,30.96776756,,,,,,,,,,33.25,percent of total billed charges,30.51176756,,,,,,,,,,33.25,percent of total billed charges,31.29688019,,,,,,,,,,33.25,percent of total billed charges,999999999,,,,,,,,,,33.25,percent of total billed charges,26.85492713,,,,,,,,,,33.25,percent of total billed charges,42.35207199,,,,,,,,,,33.25,percent of total billed charges,999999999,,,,,,,,,,33.25,percent of total billed charges,28.95617929,,,,,,,,,,119.7,percent of total billed charges,,,,,
BUN,84520,CDM,,,,both,,,75,75,15.96629585,75,75,percent of total billed charges,55.18016443,,,,75,percent of total billed charges,58.48988325,,,,75,percent of total billed charges,55.18016443,,,,75,percent of total billed charges,58.48988325,,,,75,percent of total billed charges,999999999,,,,75,percent of total billed charges,57.14484528,,,,75,percent of total billed charges,55.18016443,,,,75,percent of total billed charges,58.48988325,,,,53.475,percent of total billed charges,26.68500359,,,,53.475,percent of total billed charges,15.96629585,,,,53.475,percent of total billed charges,26.68500359,,,,53.475,percent of total billed charges,15.96629585,,,,53.475,percent of total billed charges,26.68500359,,,,53.475,percent of total billed charges,15.96629585,,,,52.95,percent of total billed charges,52.54825396,,,,52.95,percent of total billed charges,36.24211425,,,,,,,,,,54,percent of total billed charges,35.09872927,,,,,,,,,,54,percent of total billed charges,999999999,,,,,,,,,,60,percent of total billed charges,50.27688109,,,,59.25,percent of total billed charges,57.17879982,,,,59.25,percent of total billed charges,50.51936235,,,,60,percent of total billed charges,999999999,,,,60,percent of total billed charges,999999999,,,,52.5,percent of total billed charges,999999999,,,,52.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,39.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,37.875,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18.75,percent of total billed charges,17.80791358,,,,,,,,,,18.75,percent of total billed charges,17.51169106,,,,,,,,,,18.75,percent of total billed charges,17.46302682,,,,,,,,,,18.75,percent of total billed charges,17.20588396,,,,,,,,,,18.75,percent of total billed charges,17.64861665,,,,,,,,,,18.75,percent of total billed charges,999999999,,,,,,,,,,18.75,percent of total billed charges,15.1437559,,,,,,,,,,18.75,percent of total billed charges,23.88274736,,,,,,,,,,18.75,percent of total billed charges,999999999,,,,,,,,,,18.75,percent of total billed charges,16.32867253,,,,,,,,,,67.5,percent of total billed charges,,,,,
URINE BUN,84540,CDM,,,,both,,,130,130,27.6749128,130,130,percent of total billed charges,95.64561834,,,,130,percent of total billed charges,101.3824643,,,,130,percent of total billed charges,95.64561834,,,,130,percent of total billed charges,101.3824643,,,,130,percent of total billed charges,999999999,,,,130,percent of total billed charges,99.05106516,,,,130,percent of total billed charges,95.64561834,,,,130,percent of total billed charges,101.3824643,,,,92.69,percent of total billed charges,46.25400623,,,,92.69,percent of total billed charges,27.6749128,,,,92.69,percent of total billed charges,46.25400623,,,,92.69,percent of total billed charges,27.6749128,,,,92.69,percent of total billed charges,46.25400623,,,,92.69,percent of total billed charges,27.6749128,,,,91.78,percent of total billed charges,91.08364019,,,,91.78,percent of total billed charges,62.81966471,,,,,,,,,,93.6,percent of total billed charges,60.83779739,,,,,,,,,,93.6,percent of total billed charges,999999999,,,,,,,,,,104,percent of total billed charges,87.1465939,,,,102.7,percent of total billed charges,99.10991969,,,,102.7,percent of total billed charges,87.56689473,,,,104,percent of total billed charges,999999999,,,,104,percent of total billed charges,999999999,,,,91,percent of total billed charges,999999999,,,,91,percent of total billed charges,999999999,,,,,,,,,,,,,,,,69.16,percent of total billed charges,999999999,,,,,,,,,,,,,,,,65.65,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,32.5,percent of total billed charges,30.86705021,,,,,,,,,,32.5,percent of total billed charges,30.35359783,,,,,,,,,,32.5,percent of total billed charges,30.26924648,,,,,,,,,,32.5,percent of total billed charges,29.8235322,,,,,,,,,,32.5,percent of total billed charges,30.59093552,,,,,,,,,,32.5,percent of total billed charges,999999999,,,,,,,,,,32.5,percent of total billed charges,26.24917689,,,,,,,,,,32.5,percent of total billed charges,41.3967621,,,,,,,,,,32.5,percent of total billed charges,999999999,,,,,,,,,,32.5,percent of total billed charges,28.30303239,,,,,,,,,,117,percent of total billed charges,,,,,
URIC ACID,84550,CDM,,,,both,,,94,94,20.01109079,94,94,percent of total billed charges,69.15913942,,,,94,percent of total billed charges,73.30732034,,,,94,percent of total billed charges,69.15913942,,,,94,percent of total billed charges,73.30732034,,,,94,percent of total billed charges,999999999,,,,94,percent of total billed charges,71.62153942,,,,94,percent of total billed charges,69.15913942,,,,94,percent of total billed charges,73.30732034,,,,67.022,percent of total billed charges,33.44520451,,,,67.022,percent of total billed charges,20.01109079,,,,67.022,percent of total billed charges,33.44520451,,,,67.022,percent of total billed charges,20.01109079,,,,67.022,percent of total billed charges,33.44520451,,,,67.022,percent of total billed charges,20.01109079,,,,66.364,percent of total billed charges,65.86047829,,,,66.364,percent of total billed charges,45.42344986,,,,,,,,,,67.68,percent of total billed charges,43.99040735,,,,,,,,,,67.68,percent of total billed charges,999999999,,,,,,,,,,75.2,percent of total billed charges,63.01369097,,,,74.26,percent of total billed charges,71.66409577,,,,74.26,percent of total billed charges,63.31760081,,,,75.2,percent of total billed charges,999999999,,,,75.2,percent of total billed charges,999999999,,,,65.8,percent of total billed charges,999999999,,,,65.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,50.008,percent of total billed charges,999999999,,,,,,,,,,,,,,,,47.47,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23.5,percent of total billed charges,22.31925169,,,,,,,,,,23.5,percent of total billed charges,21.94798612,,,,,,,,,,23.5,percent of total billed charges,21.88699361,,,,,,,,,,23.5,percent of total billed charges,21.5647079,,,,,,,,,,23.5,percent of total billed charges,22.11959953,,,,,,,,,,23.5,percent of total billed charges,999999999,,,,,,,,,,23.5,percent of total billed charges,18.98017406,,,,,,,,,,23.5,percent of total billed charges,29.93304336,,,,,,,,,,23.5,percent of total billed charges,999999999,,,,,,,,,,23.5,percent of total billed charges,20.46526957,,,,,,,,,,84.6,percent of total billed charges,,,,,
ARTERIAL BLOOD GAS,82803,CDM,,,,both,,,387,387,82.38608657,387,387,percent of total billed charges,284.7296485,,,,387,percent of total billed charges,301.8077976,,,,387,percent of total billed charges,284.7296485,,,,387,percent of total billed charges,301.8077976,,,,387,percent of total billed charges,999999999,,,,387,percent of total billed charges,294.8674017,,,,387,percent of total billed charges,284.7296485,,,,387,percent of total billed charges,301.8077976,,,,275.931,percent of total billed charges,137.6946185,,,,275.931,percent of total billed charges,82.38608657,,,,275.931,percent of total billed charges,137.6946185,,,,275.931,percent of total billed charges,82.38608657,,,,275.931,percent of total billed charges,137.6946185,,,,275.931,percent of total billed charges,82.38608657,,,,273.222,percent of total billed charges,271.1489904,,,,273.222,percent of total billed charges,187.0093095,,,,,,,,,,278.64,percent of total billed charges,181.109443,,,,,,,,,,278.64,percent of total billed charges,999999999,,,,,,,,,,309.6,percent of total billed charges,259.4287064,,,,305.73,percent of total billed charges,295.0426071,,,,305.73,percent of total billed charges,260.6799097,,,,309.6,percent of total billed charges,999999999,,,,309.6,percent of total billed charges,999999999,,,,270.9,percent of total billed charges,999999999,,,,270.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,205.884,percent of total billed charges,999999999,,,,,,,,,,,,,,,,195.435,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,96.75,percent of total billed charges,91.88883408,,,,,,,,,,96.75,percent of total billed charges,90.36032585,,,,,,,,,,96.75,percent of total billed charges,90.10921838,,,,,,,,,,96.75,percent of total billed charges,88.78236123,,,,,,,,,,96.75,percent of total billed charges,91.06686191,,,,,,,,,,96.75,percent of total billed charges,999999999,,,,,,,,,,96.75,percent of total billed charges,78.14178045,,,,,,,,,,96.75,percent of total billed charges,123.2349764,,,,,,,,,,96.75,percent of total billed charges,999999999,,,,,,,,,,96.75,percent of total billed charges,84.25595027,,,,,,,,,,348.3,percent of total billed charges,,,,,
VENOUS BLOOD GAS,82803,CDM,,,,both,,,387,387,82.38608657,387,387,percent of total billed charges,284.7296485,,,,387,percent of total billed charges,301.8077976,,,,387,percent of total billed charges,284.7296485,,,,387,percent of total billed charges,301.8077976,,,,387,percent of total billed charges,999999999,,,,387,percent of total billed charges,294.8674017,,,,387,percent of total billed charges,284.7296485,,,,387,percent of total billed charges,301.8077976,,,,275.931,percent of total billed charges,137.6946185,,,,275.931,percent of total billed charges,82.38608657,,,,275.931,percent of total billed charges,137.6946185,,,,275.931,percent of total billed charges,82.38608657,,,,275.931,percent of total billed charges,137.6946185,,,,275.931,percent of total billed charges,82.38608657,,,,273.222,percent of total billed charges,271.1489904,,,,273.222,percent of total billed charges,187.0093095,,,,,,,,,,278.64,percent of total billed charges,181.109443,,,,,,,,,,278.64,percent of total billed charges,999999999,,,,,,,,,,309.6,percent of total billed charges,259.4287064,,,,305.73,percent of total billed charges,295.0426071,,,,305.73,percent of total billed charges,260.6799097,,,,309.6,percent of total billed charges,999999999,,,,309.6,percent of total billed charges,999999999,,,,270.9,percent of total billed charges,999999999,,,,270.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,205.884,percent of total billed charges,999999999,,,,,,,,,,,,,,,,195.435,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,96.75,percent of total billed charges,91.88883408,,,,,,,,,,96.75,percent of total billed charges,90.36032585,,,,,,,,,,96.75,percent of total billed charges,90.10921838,,,,,,,,,,96.75,percent of total billed charges,88.78236123,,,,,,,,,,96.75,percent of total billed charges,91.06686191,,,,,,,,,,96.75,percent of total billed charges,999999999,,,,,,,,,,96.75,percent of total billed charges,78.14178045,,,,,,,,,,96.75,percent of total billed charges,123.2349764,,,,,,,,,,96.75,percent of total billed charges,999999999,,,,,,,,,,96.75,percent of total billed charges,84.25595027,,,,,,,,,,348.3,percent of total billed charges,,,,,
TRIGLYCERIDES,84478,CDM,,,,both,,,110,110,23.41723391,110,110,percent of total billed charges,80.93090783,,,,110,percent of total billed charges,85.7851621,,,,110,percent of total billed charges,80.93090783,,,,110,percent of total billed charges,85.7851621,,,,110,percent of total billed charges,999999999,,,,110,percent of total billed charges,83.81243975,,,,110,percent of total billed charges,80.93090783,,,,110,percent of total billed charges,85.7851621,,,,78.43,percent of total billed charges,39.13800527,,,,78.43,percent of total billed charges,23.41723391,,,,78.43,percent of total billed charges,39.13800527,,,,78.43,percent of total billed charges,23.41723391,,,,78.43,percent of total billed charges,39.13800527,,,,78.43,percent of total billed charges,23.41723391,,,,77.66,percent of total billed charges,77.07077247,,,,77.66,percent of total billed charges,53.1551009,,,,,,,,,,79.2,percent of total billed charges,51.47813626,,,,,,,,,,79.2,percent of total billed charges,999999999,,,,,,,,,,88,percent of total billed charges,73.73942561,,,,86.9,percent of total billed charges,83.86223973,,,,86.9,percent of total billed charges,74.09506477,,,,88,percent of total billed charges,999999999,,,,88,percent of total billed charges,999999999,,,,77,percent of total billed charges,999999999,,,,77,percent of total billed charges,999999999,,,,,,,,,,,,,,,,58.52,percent of total billed charges,999999999,,,,,,,,,,,,,,,,55.55,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,27.5,percent of total billed charges,26.11827325,,,,,,,,,,27.5,percent of total billed charges,25.68381355,,,,,,,,,,27.5,percent of total billed charges,25.61243933,,,,,,,,,,27.5,percent of total billed charges,25.23529647,,,,,,,,,,27.5,percent of total billed charges,25.88463775,,,,,,,,,,27.5,percent of total billed charges,999999999,,,,,,,,,,27.5,percent of total billed charges,22.21084199,,,,,,,,,,27.5,percent of total billed charges,35.02802947,,,,,,,,,,27.5,percent of total billed charges,999999999,,,,,,,,,,27.5,percent of total billed charges,23.94871971,,,,,,,,,,99,percent of total billed charges,,,,,
LIPID PROFILE,80061,CDM,,,,both,,,250,250,53.22098616,250,250,percent of total billed charges,183.9338814,,,,250,percent of total billed charges,194.9662775,,,,250,percent of total billed charges,183.9338814,,,,250,percent of total billed charges,194.9662775,,,,250,percent of total billed charges,999999999,,,,250,percent of total billed charges,190.4828176,,,,250,percent of total billed charges,183.9338814,,,,250,percent of total billed charges,194.9662775,,,,178.25,percent of total billed charges,88.95001198,,,,178.25,percent of total billed charges,53.22098616,,,,178.25,percent of total billed charges,88.95001198,,,,178.25,percent of total billed charges,53.22098616,,,,178.25,percent of total billed charges,88.95001198,,,,178.25,percent of total billed charges,53.22098616,,,,176.5,percent of total billed charges,175.1608465,,,,176.5,percent of total billed charges,120.8070475,,,,,,,,,,180,percent of total billed charges,116.9957642,,,,,,,,,,180,percent of total billed charges,999999999,,,,,,,,,,200,percent of total billed charges,167.5896036,,,,197.5,percent of total billed charges,190.5959994,,,,197.5,percent of total billed charges,168.3978745,,,,200,percent of total billed charges,999999999,,,,200,percent of total billed charges,999999999,,,,175,percent of total billed charges,999999999,,,,175,percent of total billed charges,999999999,,,,,,,,,,,,,,,,133,percent of total billed charges,999999999,,,,,,,,,,,,,,,,126.25,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,62.5,percent of total billed charges,59.35971194,,,,,,,,,,62.5,percent of total billed charges,58.37230352,,,,,,,,,,62.5,percent of total billed charges,58.21008939,,,,,,,,,,62.5,percent of total billed charges,57.35294653,,,,,,,,,,62.5,percent of total billed charges,58.82872216,,,,,,,,,,62.5,percent of total billed charges,999999999,,,,,,,,,,62.5,percent of total billed charges,50.47918634,,,,,,,,,,62.5,percent of total billed charges,79.60915788,,,,,,,,,,62.5,percent of total billed charges,999999999,,,,,,,,,,62.5,percent of total billed charges,54.42890844,,,,,,,,,,225,percent of total billed charges,,,,,
LIPOPROTEIN ELECTROPHORETIC SEPARATE*,83698,CDM,,,,both,,,387,387,82.38608657,387,387,percent of total billed charges,284.7296485,,,,387,percent of total billed charges,301.8077976,,,,387,percent of total billed charges,284.7296485,,,,387,percent of total billed charges,301.8077976,,,,387,percent of total billed charges,999999999,,,,387,percent of total billed charges,294.8674017,,,,387,percent of total billed charges,284.7296485,,,,387,percent of total billed charges,301.8077976,,,,275.931,percent of total billed charges,137.6946185,,,,275.931,percent of total billed charges,82.38608657,,,,275.931,percent of total billed charges,137.6946185,,,,275.931,percent of total billed charges,82.38608657,,,,275.931,percent of total billed charges,137.6946185,,,,275.931,percent of total billed charges,82.38608657,,,,273.222,percent of total billed charges,271.1489904,,,,273.222,percent of total billed charges,187.0093095,,,,,,,,,,278.64,percent of total billed charges,181.109443,,,,,,,,,,278.64,percent of total billed charges,999999999,,,,,,,,,,309.6,percent of total billed charges,259.4287064,,,,305.73,percent of total billed charges,295.0426071,,,,305.73,percent of total billed charges,260.6799097,,,,309.6,percent of total billed charges,999999999,,,,309.6,percent of total billed charges,999999999,,,,270.9,percent of total billed charges,999999999,,,,270.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,205.884,percent of total billed charges,999999999,,,,,,,,,,,,,,,,195.435,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,96.75,percent of total billed charges,91.88883408,,,,,,,,,,96.75,percent of total billed charges,90.36032585,,,,,,,,,,96.75,percent of total billed charges,90.10921838,,,,,,,,,,96.75,percent of total billed charges,88.78236123,,,,,,,,,,96.75,percent of total billed charges,91.06686191,,,,,,,,,,96.75,percent of total billed charges,999999999,,,,,,,,,,96.75,percent of total billed charges,78.14178045,,,,,,,,,,96.75,percent of total billed charges,123.2349764,,,,,,,,,,96.75,percent of total billed charges,999999999,,,,,,,,,,96.75,percent of total billed charges,84.25595027,,,,,,,,,,348.3,percent of total billed charges,,,,,
ACETONE-SERUM,82009,CDM,,,,both,,,113,113,24.05588574,113,113,percent of total billed charges,83.13811441,,,,113,percent of total billed charges,88.12475743,,,,113,percent of total billed charges,83.13811441,,,,113,percent of total billed charges,88.12475743,,,,113,percent of total billed charges,999999999,,,,113,percent of total billed charges,86.09823356,,,,113,percent of total billed charges,83.13811441,,,,113,percent of total billed charges,88.12475743,,,,80.569,percent of total billed charges,40.20540542,,,,80.569,percent of total billed charges,24.05588574,,,,80.569,percent of total billed charges,40.20540542,,,,80.569,percent of total billed charges,24.05588574,,,,80.569,percent of total billed charges,40.20540542,,,,80.569,percent of total billed charges,24.05588574,,,,79.778,percent of total billed charges,79.17270263,,,,79.778,percent of total billed charges,54.60478547,,,,,,,,,,81.36,percent of total billed charges,52.88208543,,,,,,,,,,81.36,percent of total billed charges,999999999,,,,,,,,,,90.4,percent of total billed charges,75.75050085,,,,89.27,percent of total billed charges,86.14939173,,,,89.27,percent of total billed charges,76.11583927,,,,90.4,percent of total billed charges,999999999,,,,90.4,percent of total billed charges,999999999,,,,79.1,percent of total billed charges,999999999,,,,79.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,60.116,percent of total billed charges,999999999,,,,,,,,,,,,,,,,57.065,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,28.25,percent of total billed charges,26.8305898,,,,,,,,,,28.25,percent of total billed charges,26.38428119,,,,,,,,,,28.25,percent of total billed charges,26.3109604,,,,,,,,,,28.25,percent of total billed charges,25.92353183,,,,,,,,,,28.25,percent of total billed charges,26.59058242,,,,,,,,,,28.25,percent of total billed charges,999999999,,,,,,,,,,28.25,percent of total billed charges,22.81659222,,,,,,,,,,28.25,percent of total billed charges,35.98333936,,,,,,,,,,28.25,percent of total billed charges,999999999,,,,,,,,,,28.25,percent of total billed charges,24.60186662,,,,,,,,,,101.7,percent of total billed charges,,,,,
BETA HYDROXYBUTYRATE ACETONE QUANTITI,82010,CDM,,,,both,,,197,197,41.93813709,197,197,percent of total billed charges,144.9398986,,,,197,percent of total billed charges,153.6334267,,,,197,percent of total billed charges,144.9398986,,,,197,percent of total billed charges,153.6334267,,,,197,percent of total billed charges,999999999,,,,197,percent of total billed charges,150.1004603,,,,197,percent of total billed charges,144.9398986,,,,197,percent of total billed charges,153.6334267,,,,140.461,percent of total billed charges,70.09260944,,,,140.461,percent of total billed charges,41.93813709,,,,140.461,percent of total billed charges,70.09260944,,,,140.461,percent of total billed charges,41.93813709,,,,140.461,percent of total billed charges,70.09260944,,,,140.461,percent of total billed charges,41.93813709,,,,139.082,percent of total billed charges,138.0267471,,,,139.082,percent of total billed charges,95.19595344,,,,,,,,,,141.84,percent of total billed charges,92.19266221,,,,,,,,,,141.84,percent of total billed charges,999999999,,,,,,,,,,157.6,percent of total billed charges,132.0606077,,,,155.63,percent of total billed charges,150.1896475,,,,155.63,percent of total billed charges,132.6975251,,,,157.6,percent of total billed charges,999999999,,,,157.6,percent of total billed charges,999999999,,,,137.9,percent of total billed charges,999999999,,,,137.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,104.804,percent of total billed charges,999999999,,,,,,,,,,,,,,,,99.485,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,49.25,percent of total billed charges,46.77545301,,,,,,,,,,49.25,percent of total billed charges,45.99737518,,,,,,,,,,49.25,percent of total billed charges,45.86955044,,,,,,,,,,49.25,percent of total billed charges,45.19412187,,,,,,,,,,49.25,percent of total billed charges,46.35703306,,,,,,,,,,49.25,percent of total billed charges,999999999,,,,,,,,,,49.25,percent of total billed charges,39.77759883,,,,,,,,,,49.25,percent of total billed charges,62.73201641,,,,,,,,,,49.25,percent of total billed charges,999999999,,,,,,,,,,49.25,percent of total billed charges,42.88997985,,,,,,,,,,177.3,percent of total billed charges,,,,,
LITHIUM(*),80178,CDM,,,,both,,,164,164,34.91296692,164,164,percent of total billed charges,120.6606262,,,,164,percent of total billed charges,127.897878,,,,164,percent of total billed charges,120.6606262,,,,164,percent of total billed charges,127.897878,,,,164,percent of total billed charges,999999999,,,,164,percent of total billed charges,124.9567283,,,,164,percent of total billed charges,120.6606262,,,,164,percent of total billed charges,127.897878,,,,116.932,percent of total billed charges,58.35120786,,,,116.932,percent of total billed charges,34.91296692,,,,116.932,percent of total billed charges,58.35120786,,,,116.932,percent of total billed charges,34.91296692,,,,116.932,percent of total billed charges,58.35120786,,,,116.932,percent of total billed charges,34.91296692,,,,115.784,percent of total billed charges,114.9055153,,,,115.784,percent of total billed charges,79.24942317,,,,,,,,,,118.08,percent of total billed charges,76.74922133,,,,,,,,,,118.08,percent of total billed charges,999999999,,,,,,,,,,131.2,percent of total billed charges,109.93878,,,,129.56,percent of total billed charges,125.0309756,,,,129.56,percent of total billed charges,110.4690057,,,,131.2,percent of total billed charges,999999999,,,,131.2,percent of total billed charges,999999999,,,,114.8,percent of total billed charges,999999999,,,,114.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,87.248,percent of total billed charges,999999999,,,,,,,,,,,,,,,,82.82,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,41,percent of total billed charges,38.93997103,,,,,,,,,,41,percent of total billed charges,38.29223111,,,,,,,,,,41,percent of total billed charges,38.18581864,,,,,,,,,,41,percent of total billed charges,37.62353293,,,,,,,,,,41,percent of total billed charges,38.59164174,,,,,,,,,,41,percent of total billed charges,999999999,,,,,,,,,,41,percent of total billed charges,33.11434624,,,,,,,,,,41,percent of total billed charges,52.22360757,,,,,,,,,,41,percent of total billed charges,999999999,,,,,,,,,,41,percent of total billed charges,35.70536394,,,,,,,,,,147.6,percent of total billed charges,,,,,
LUTEINIZING HORMONE(*),83002,CDM,,,,both,,,308,308,65.56825494,308,308,percent of total billed charges,226.6065419,,,,308,percent of total billed charges,240.1984539,,,,308,percent of total billed charges,226.6065419,,,,308,percent of total billed charges,240.1984539,,,,308,percent of total billed charges,999999999,,,,308,percent of total billed charges,234.6748313,,,,308,percent of total billed charges,226.6065419,,,,308,percent of total billed charges,240.1984539,,,,219.604,percent of total billed charges,109.5864148,,,,219.604,percent of total billed charges,65.56825494,,,,219.604,percent of total billed charges,109.5864148,,,,219.604,percent of total billed charges,65.56825494,,,,219.604,percent of total billed charges,109.5864148,,,,219.604,percent of total billed charges,65.56825494,,,,217.448,percent of total billed charges,215.7981629,,,,217.448,percent of total billed charges,148.8342825,,,,,,,,,,221.76,percent of total billed charges,144.1387815,,,,,,,,,,221.76,percent of total billed charges,999999999,,,,,,,,,,246.4,percent of total billed charges,206.4703917,,,,243.32,percent of total billed charges,234.8142713,,,,243.32,percent of total billed charges,207.4661814,,,,246.4,percent of total billed charges,999999999,,,,246.4,percent of total billed charges,999999999,,,,215.6,percent of total billed charges,999999999,,,,215.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,163.856,percent of total billed charges,999999999,,,,,,,,,,,,,,,,155.54,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,77,percent of total billed charges,73.13116511,,,,,,,,,,77,percent of total billed charges,71.91467794,,,,,,,,,,77,percent of total billed charges,71.71483013,,,,,,,,,,77,percent of total billed charges,70.65883013,,,,,,,,,,77,percent of total billed charges,72.4769857,,,,,,,,,,77,percent of total billed charges,999999999,,,,,,,,,,77,percent of total billed charges,62.19035757,,,,,,,,,,77,percent of total billed charges,98.07848251,,,,,,,,,,77,percent of total billed charges,999999999,,,,,,,,,,77,percent of total billed charges,67.0564152,,,,,,,,,,277.2,percent of total billed charges,,,,,
LIPOPROTEIN FRACTION,83701,CDM,,,,both,,,254,254,54.07252193,254,254,percent of total billed charges,186.8768235,,,,254,percent of total billed charges,198.0857379,,,,254,percent of total billed charges,186.8768235,,,,254,percent of total billed charges,198.0857379,,,,254,percent of total billed charges,999999999,,,,254,percent of total billed charges,193.5305427,,,,254,percent of total billed charges,186.8768235,,,,254,percent of total billed charges,198.0857379,,,,181.102,percent of total billed charges,90.37321217,,,,181.102,percent of total billed charges,54.07252193,,,,181.102,percent of total billed charges,90.37321217,,,,181.102,percent of total billed charges,54.07252193,,,,181.102,percent of total billed charges,90.37321217,,,,181.102,percent of total billed charges,54.07252193,,,,179.324,percent of total billed charges,177.9634201,,,,179.324,percent of total billed charges,122.7399603,,,,,,,,,,182.88,percent of total billed charges,118.8676964,,,,,,,,,,182.88,percent of total billed charges,999999999,,,,,,,,,,203.2,percent of total billed charges,170.2710373,,,,200.66,percent of total billed charges,193.6455354,,,,200.66,percent of total billed charges,171.0922405,,,,203.2,percent of total billed charges,999999999,,,,203.2,percent of total billed charges,999999999,,,,177.8,percent of total billed charges,999999999,,,,177.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,135.128,percent of total billed charges,999999999,,,,,,,,,,,,,,,,128.27,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,63.5,percent of total billed charges,60.30946733,,,,,,,,,,63.5,percent of total billed charges,59.30626038,,,,,,,,,,63.5,percent of total billed charges,59.14145082,,,,,,,,,,63.5,percent of total billed charges,58.27059368,,,,,,,,,,63.5,percent of total billed charges,59.76998172,,,,,,,,,,63.5,percent of total billed charges,999999999,,,,,,,,,,63.5,percent of total billed charges,51.28685332,,,,,,,,,,63.5,percent of total billed charges,80.88290441,,,,,,,,,,63.5,percent of total billed charges,999999999,,,,,,,,,,63.5,percent of total billed charges,55.29977098,,,,,,,,,,228.6,percent of total billed charges,,,,,
GLUCOSE TOL TEST-3 HR (5) SPECIMEN,82951,CDM,,,,both,,,211,211,44.91851232,211,211,percent of total billed charges,155.2401959,,,,211,percent of total billed charges,164.5515382,,,,211,percent of total billed charges,155.2401959,,,,211,percent of total billed charges,164.5515382,,,,211,percent of total billed charges,999999999,,,,211,percent of total billed charges,160.7674981,,,,211,percent of total billed charges,155.2401959,,,,211,percent of total billed charges,164.5515382,,,,150.443,percent of total billed charges,75.07381011,,,,150.443,percent of total billed charges,44.91851232,,,,150.443,percent of total billed charges,75.07381011,,,,150.443,percent of total billed charges,44.91851232,,,,150.443,percent of total billed charges,75.07381011,,,,150.443,percent of total billed charges,44.91851232,,,,148.966,percent of total billed charges,147.8357545,,,,148.966,percent of total billed charges,101.9611481,,,,,,,,,,151.92,percent of total billed charges,98.744425,,,,,,,,,,151.92,percent of total billed charges,999999999,,,,,,,,,,168.8,percent of total billed charges,141.4456255,,,,166.69,percent of total billed charges,160.8630235,,,,166.69,percent of total billed charges,142.1278061,,,,168.8,percent of total billed charges,999999999,,,,168.8,percent of total billed charges,999999999,,,,147.7,percent of total billed charges,999999999,,,,147.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,112.252,percent of total billed charges,999999999,,,,,,,,,,,,,,,,106.555,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,52.75,percent of total billed charges,50.09959688,,,,,,,,,,52.75,percent of total billed charges,49.26622417,,,,,,,,,,52.75,percent of total billed charges,49.12931545,,,,,,,,,,52.75,percent of total billed charges,48.40588687,,,,,,,,,,52.75,percent of total billed charges,49.6514415,,,,,,,,,,52.75,percent of total billed charges,999999999,,,,,,,,,,52.75,percent of total billed charges,42.60443327,,,,,,,,,,52.75,percent of total billed charges,67.19012925,,,,,,,,,,52.75,percent of total billed charges,999999999,,,,,,,,,,52.75,percent of total billed charges,45.93799872,,,,,,,,,,189.9,percent of total billed charges,,,,,
GLUCOSE TOL TEST EACH ADD OVER 3,82952,CDM,,,,both,,,103,103,21.9270463,103,103,percent of total billed charges,75.78075915,,,,103,percent of total billed charges,80.32610633,,,,103,percent of total billed charges,75.78075915,,,,103,percent of total billed charges,80.32610633,,,,103,percent of total billed charges,999999999,,,,103,percent of total billed charges,78.47892085,,,,103,percent of total billed charges,75.78075915,,,,103,percent of total billed charges,80.32610633,,,,73.439,percent of total billed charges,36.64740494,,,,73.439,percent of total billed charges,21.9270463,,,,73.439,percent of total billed charges,36.64740494,,,,73.439,percent of total billed charges,21.9270463,,,,73.439,percent of total billed charges,36.64740494,,,,73.439,percent of total billed charges,21.9270463,,,,72.718,percent of total billed charges,72.16626877,,,,72.718,percent of total billed charges,49.77250357,,,,,,,,,,74.16,percent of total billed charges,48.20225486,,,,,,,,,,74.16,percent of total billed charges,999999999,,,,,,,,,,82.4,percent of total billed charges,69.0469167,,,,81.37,percent of total billed charges,78.52555175,,,,81.37,percent of total billed charges,69.37992429,,,,82.4,percent of total billed charges,999999999,,,,82.4,percent of total billed charges,999999999,,,,72.1,percent of total billed charges,999999999,,,,72.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,54.796,percent of total billed charges,999999999,,,,,,,,,,,,,,,,52.015,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,25.75,percent of total billed charges,24.45620132,,,,,,,,,,25.75,percent of total billed charges,24.04938905,,,,,,,,,,25.75,percent of total billed charges,23.98255683,,,,,,,,,,25.75,percent of total billed charges,23.62941397,,,,,,,,,,25.75,percent of total billed charges,24.23743353,,,,,,,,,,25.75,percent of total billed charges,999999999,,,,,,,,,,25.75,percent of total billed charges,20.79742477,,,,,,,,,,25.75,percent of total billed charges,32.79897305,,,,,,,,,,25.75,percent of total billed charges,999999999,,,,,,,,,,25.75,percent of total billed charges,22.42471028,,,,,,,,,,92.7,percent of total billed charges,,,,,
GLUCOSE TOLERANCE TEST - 1 HR,82950,CDM,,,,both,,,90,90,19.15955502,90,90,percent of total billed charges,66.21619731,,,,90,percent of total billed charges,70.1878599,,,,90,percent of total billed charges,66.21619731,,,,90,percent of total billed charges,70.1878599,,,,90,percent of total billed charges,999999999,,,,90,percent of total billed charges,68.57381434,,,,90,percent of total billed charges,66.21619731,,,,90,percent of total billed charges,70.1878599,,,,64.17,percent of total billed charges,32.02200431,,,,64.17,percent of total billed charges,19.15955502,,,,64.17,percent of total billed charges,32.02200431,,,,64.17,percent of total billed charges,19.15955502,,,,64.17,percent of total billed charges,32.02200431,,,,64.17,percent of total billed charges,19.15955502,,,,63.54,percent of total billed charges,63.05790475,,,,63.54,percent of total billed charges,43.4905371,,,,,,,,,,64.8,percent of total billed charges,42.11847512,,,,,,,,,,64.8,percent of total billed charges,999999999,,,,,,,,,,72,percent of total billed charges,60.33225731,,,,71.1,percent of total billed charges,68.61455978,,,,71.1,percent of total billed charges,60.62323481,,,,72,percent of total billed charges,999999999,,,,72,percent of total billed charges,999999999,,,,63,percent of total billed charges,999999999,,,,63,percent of total billed charges,999999999,,,,,,,,,,,,,,,,47.88,percent of total billed charges,999999999,,,,,,,,,,,,,,,,45.45,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,22.5,percent of total billed charges,21.3694963,,,,,,,,,,22.5,percent of total billed charges,21.01402927,,,,,,,,,,22.5,percent of total billed charges,20.95563218,,,,,,,,,,22.5,percent of total billed charges,20.64706075,,,,,,,,,,22.5,percent of total billed charges,21.17833998,,,,,,,,,,22.5,percent of total billed charges,999999999,,,,,,,,,,22.5,percent of total billed charges,18.17250708,,,,,,,,,,22.5,percent of total billed charges,28.65929684,,,,,,,,,,22.5,percent of total billed charges,999999999,,,,,,,,,,22.5,percent of total billed charges,19.59440704,,,,,,,,,,81,percent of total billed charges,,,,,
GLUCOSE TOL TEST-5 HR (7 SPECIMENS),82951,CDM,,,,both,,,103,103,21.9270463,103,103,percent of total billed charges,75.78075915,,,,103,percent of total billed charges,80.32610633,,,,103,percent of total billed charges,75.78075915,,,,103,percent of total billed charges,80.32610633,,,,103,percent of total billed charges,999999999,,,,103,percent of total billed charges,78.47892085,,,,103,percent of total billed charges,75.78075915,,,,103,percent of total billed charges,80.32610633,,,,73.439,percent of total billed charges,36.64740494,,,,73.439,percent of total billed charges,21.9270463,,,,73.439,percent of total billed charges,36.64740494,,,,73.439,percent of total billed charges,21.9270463,,,,73.439,percent of total billed charges,36.64740494,,,,73.439,percent of total billed charges,21.9270463,,,,72.718,percent of total billed charges,72.16626877,,,,72.718,percent of total billed charges,49.77250357,,,,,,,,,,74.16,percent of total billed charges,48.20225486,,,,,,,,,,74.16,percent of total billed charges,999999999,,,,,,,,,,82.4,percent of total billed charges,69.0469167,,,,81.37,percent of total billed charges,78.52555175,,,,81.37,percent of total billed charges,69.37992429,,,,82.4,percent of total billed charges,999999999,,,,82.4,percent of total billed charges,999999999,,,,72.1,percent of total billed charges,999999999,,,,72.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,54.796,percent of total billed charges,999999999,,,,,,,,,,,,,,,,52.015,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,25.75,percent of total billed charges,24.45620132,,,,,,,,,,25.75,percent of total billed charges,24.04938905,,,,,,,,,,25.75,percent of total billed charges,23.98255683,,,,,,,,,,25.75,percent of total billed charges,23.62941397,,,,,,,,,,25.75,percent of total billed charges,24.23743353,,,,,,,,,,25.75,percent of total billed charges,999999999,,,,,,,,,,25.75,percent of total billed charges,20.79742477,,,,,,,,,,25.75,percent of total billed charges,32.79897305,,,,,,,,,,25.75,percent of total billed charges,999999999,,,,,,,,,,25.75,percent of total billed charges,22.42471028,,,,,,,,,,92.7,percent of total billed charges,,,,,
GLUCOSE TOL TEST-6 HR (8 SPECIMENS),82951,CDM,,,,both,,,103,103,21.9270463,103,103,percent of total billed charges,75.78075915,,,,103,percent of total billed charges,80.32610633,,,,103,percent of total billed charges,75.78075915,,,,103,percent of total billed charges,80.32610633,,,,103,percent of total billed charges,999999999,,,,103,percent of total billed charges,78.47892085,,,,103,percent of total billed charges,75.78075915,,,,103,percent of total billed charges,80.32610633,,,,73.439,percent of total billed charges,36.64740494,,,,73.439,percent of total billed charges,21.9270463,,,,73.439,percent of total billed charges,36.64740494,,,,73.439,percent of total billed charges,21.9270463,,,,73.439,percent of total billed charges,36.64740494,,,,73.439,percent of total billed charges,21.9270463,,,,72.718,percent of total billed charges,72.16626877,,,,72.718,percent of total billed charges,49.77250357,,,,,,,,,,74.16,percent of total billed charges,48.20225486,,,,,,,,,,74.16,percent of total billed charges,999999999,,,,,,,,,,82.4,percent of total billed charges,69.0469167,,,,81.37,percent of total billed charges,78.52555175,,,,81.37,percent of total billed charges,69.37992429,,,,82.4,percent of total billed charges,999999999,,,,82.4,percent of total billed charges,999999999,,,,72.1,percent of total billed charges,999999999,,,,72.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,54.796,percent of total billed charges,999999999,,,,,,,,,,,,,,,,52.015,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,25.75,percent of total billed charges,24.45620132,,,,,,,,,,25.75,percent of total billed charges,24.04938905,,,,,,,,,,25.75,percent of total billed charges,23.98255683,,,,,,,,,,25.75,percent of total billed charges,23.62941397,,,,,,,,,,25.75,percent of total billed charges,24.23743353,,,,,,,,,,25.75,percent of total billed charges,999999999,,,,,,,,,,25.75,percent of total billed charges,20.79742477,,,,,,,,,,25.75,percent of total billed charges,32.79897305,,,,,,,,,,25.75,percent of total billed charges,999999999,,,,,,,,,,25.75,percent of total billed charges,22.42471028,,,,,,,,,,92.7,percent of total billed charges,,,,,
GLUCOSE TOL TEST -2HR (4 SPECIMENS),82951,CDM,,,,both,,,211,211,44.91851232,211,211,percent of total billed charges,155.2401959,,,,211,percent of total billed charges,164.5515382,,,,211,percent of total billed charges,155.2401959,,,,211,percent of total billed charges,164.5515382,,,,211,percent of total billed charges,999999999,,,,211,percent of total billed charges,160.7674981,,,,211,percent of total billed charges,155.2401959,,,,211,percent of total billed charges,164.5515382,,,,150.443,percent of total billed charges,75.07381011,,,,150.443,percent of total billed charges,44.91851232,,,,150.443,percent of total billed charges,75.07381011,,,,150.443,percent of total billed charges,44.91851232,,,,150.443,percent of total billed charges,75.07381011,,,,150.443,percent of total billed charges,44.91851232,,,,148.966,percent of total billed charges,147.8357545,,,,148.966,percent of total billed charges,101.9611481,,,,,,,,,,151.92,percent of total billed charges,98.744425,,,,,,,,,,151.92,percent of total billed charges,999999999,,,,,,,,,,168.8,percent of total billed charges,141.4456255,,,,166.69,percent of total billed charges,160.8630235,,,,166.69,percent of total billed charges,142.1278061,,,,168.8,percent of total billed charges,999999999,,,,168.8,percent of total billed charges,999999999,,,,147.7,percent of total billed charges,999999999,,,,147.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,112.252,percent of total billed charges,999999999,,,,,,,,,,,,,,,,106.555,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,52.75,percent of total billed charges,50.09959688,,,,,,,,,,52.75,percent of total billed charges,49.26622417,,,,,,,,,,52.75,percent of total billed charges,49.12931545,,,,,,,,,,52.75,percent of total billed charges,48.40588687,,,,,,,,,,52.75,percent of total billed charges,49.6514415,,,,,,,,,,52.75,percent of total billed charges,999999999,,,,,,,,,,52.75,percent of total billed charges,42.60443327,,,,,,,,,,52.75,percent of total billed charges,67.19012925,,,,,,,,,,52.75,percent of total billed charges,999999999,,,,,,,,,,52.75,percent of total billed charges,45.93799872,,,,,,,,,,189.9,percent of total billed charges,,,,,
LACTOSE TEST QUANT(*),82950,CDM,,,,both,,,417,417,88.77260491,417,417,percent of total billed charges,306.8017142,,,,417,percent of total billed charges,325.2037509,,,,417,percent of total billed charges,306.8017142,,,,417,percent of total billed charges,325.2037509,,,,417,percent of total billed charges,999999999,,,,417,percent of total billed charges,317.7253398,,,,417,percent of total billed charges,306.8017142,,,,417,percent of total billed charges,325.2037509,,,,297.321,percent of total billed charges,148.36862,,,,297.321,percent of total billed charges,88.77260491,,,,297.321,percent of total billed charges,148.36862,,,,297.321,percent of total billed charges,88.77260491,,,,297.321,percent of total billed charges,148.36862,,,,297.321,percent of total billed charges,88.77260491,,,,294.402,percent of total billed charges,292.168292,,,,294.402,percent of total billed charges,201.5061552,,,,,,,,,,300.24,percent of total billed charges,195.1489347,,,,,,,,,,300.24,percent of total billed charges,999999999,,,,,,,,,,333.6,percent of total billed charges,279.5394589,,,,329.43,percent of total billed charges,317.914127,,,,329.43,percent of total billed charges,280.8876546,,,,333.6,percent of total billed charges,999999999,,,,333.6,percent of total billed charges,999999999,,,,291.9,percent of total billed charges,999999999,,,,291.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,221.844,percent of total billed charges,999999999,,,,,,,,,,,,,,,,210.585,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,104.25,percent of total billed charges,99.01199952,,,,,,,,,,104.25,percent of total billed charges,97.36500228,,,,,,,,,,104.25,percent of total billed charges,97.0944291,,,,,,,,,,104.25,percent of total billed charges,95.66471482,,,,,,,,,,104.25,percent of total billed charges,98.12630857,,,,,,,,,,104.25,percent of total billed charges,999999999,,,,,,,,,,104.25,percent of total billed charges,84.19928281,,,,,,,,,,104.25,percent of total billed charges,132.7880753,,,,,,,,,,104.25,percent of total billed charges,999999999,,,,,,,,,,104.25,percent of total billed charges,90.78741928,,,,,,,,,,375.3,percent of total billed charges,,,,,
LIPASE,83690,CDM,,,,both,,,218,218,46.40869993,218,218,percent of total billed charges,160.3903446,,,,218,percent of total billed charges,170.010594,,,,218,percent of total billed charges,160.3903446,,,,218,percent of total billed charges,170.010594,,,,218,percent of total billed charges,999999999,,,,218,percent of total billed charges,166.101017,,,,218,percent of total billed charges,160.3903446,,,,218,percent of total billed charges,170.010594,,,,155.434,percent of total billed charges,77.56441045,,,,155.434,percent of total billed charges,46.40869993,,,,155.434,percent of total billed charges,77.56441045,,,,155.434,percent of total billed charges,46.40869993,,,,155.434,percent of total billed charges,77.56441045,,,,155.434,percent of total billed charges,46.40869993,,,,153.908,percent of total billed charges,152.7402582,,,,153.908,percent of total billed charges,105.3437454,,,,,,,,,,156.96,percent of total billed charges,102.0203064,,,,,,,,,,156.96,percent of total billed charges,999999999,,,,,,,,,,174.4,percent of total billed charges,146.1381344,,,,172.22,percent of total billed charges,166.1997115,,,,172.22,percent of total billed charges,146.8429466,,,,174.4,percent of total billed charges,999999999,,,,174.4,percent of total billed charges,999999999,,,,152.6,percent of total billed charges,999999999,,,,152.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,115.976,percent of total billed charges,999999999,,,,,,,,,,,,,,,,110.09,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,54.5,percent of total billed charges,51.76166881,,,,,,,,,,54.5,percent of total billed charges,50.90064867,,,,,,,,,,54.5,percent of total billed charges,50.75919795,,,,,,,,,,54.5,percent of total billed charges,50.01176938,,,,,,,,,,54.5,percent of total billed charges,51.29864572,,,,,,,,,,54.5,percent of total billed charges,999999999,,,,,,,,,,54.5,percent of total billed charges,44.01785048,,,,,,,,,,54.5,percent of total billed charges,69.41918567,,,,,,,,,,54.5,percent of total billed charges,999999999,,,,,,,,,,54.5,percent of total billed charges,47.46200816,,,,,,,,,,196.2,percent of total billed charges,,,,,
GLUCOSE TOL TEST-4HR (6 SPECIMENS),82951,CDM,,,,both,,,164,164,34.91296692,164,164,percent of total billed charges,120.6606262,,,,164,percent of total billed charges,127.897878,,,,164,percent of total billed charges,120.6606262,,,,164,percent of total billed charges,127.897878,,,,164,percent of total billed charges,999999999,,,,164,percent of total billed charges,124.9567283,,,,164,percent of total billed charges,120.6606262,,,,164,percent of total billed charges,127.897878,,,,116.932,percent of total billed charges,58.35120786,,,,116.932,percent of total billed charges,34.91296692,,,,116.932,percent of total billed charges,58.35120786,,,,116.932,percent of total billed charges,34.91296692,,,,116.932,percent of total billed charges,58.35120786,,,,116.932,percent of total billed charges,34.91296692,,,,115.784,percent of total billed charges,114.9055153,,,,115.784,percent of total billed charges,79.24942317,,,,,,,,,,118.08,percent of total billed charges,76.74922133,,,,,,,,,,118.08,percent of total billed charges,999999999,,,,,,,,,,131.2,percent of total billed charges,109.93878,,,,129.56,percent of total billed charges,125.0309756,,,,129.56,percent of total billed charges,110.4690057,,,,131.2,percent of total billed charges,999999999,,,,131.2,percent of total billed charges,999999999,,,,114.8,percent of total billed charges,999999999,,,,114.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,87.248,percent of total billed charges,999999999,,,,,,,,,,,,,,,,82.82,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,41,percent of total billed charges,38.93997103,,,,,,,,,,41,percent of total billed charges,38.29223111,,,,,,,,,,41,percent of total billed charges,38.18581864,,,,,,,,,,41,percent of total billed charges,37.62353293,,,,,,,,,,41,percent of total billed charges,38.59164174,,,,,,,,,,41,percent of total billed charges,999999999,,,,,,,,,,41,percent of total billed charges,33.11434624,,,,,,,,,,41,percent of total billed charges,52.22360757,,,,,,,,,,41,percent of total billed charges,999999999,,,,,,,,,,41,percent of total billed charges,35.70536394,,,,,,,,,,147.6,percent of total billed charges,,,,,
MAGNESIUM,83735,CDM,,,,both,,,154,154,32.78412747,154,154,percent of total billed charges,113.303271,,,,154,percent of total billed charges,120.0992269,,,,154,percent of total billed charges,113.303271,,,,154,percent of total billed charges,120.0992269,,,,154,percent of total billed charges,999999999,,,,154,percent of total billed charges,117.3374156,,,,154,percent of total billed charges,113.303271,,,,154,percent of total billed charges,120.0992269,,,,109.802,percent of total billed charges,54.79320738,,,,109.802,percent of total billed charges,32.78412747,,,,109.802,percent of total billed charges,54.79320738,,,,109.802,percent of total billed charges,32.78412747,,,,109.802,percent of total billed charges,54.79320738,,,,109.802,percent of total billed charges,32.78412747,,,,108.724,percent of total billed charges,107.8990815,,,,108.724,percent of total billed charges,74.41714127,,,,,,,,,,110.88,percent of total billed charges,72.06939076,,,,,,,,,,110.88,percent of total billed charges,999999999,,,,,,,,,,123.2,percent of total billed charges,103.2351958,,,,121.66,percent of total billed charges,117.4071356,,,,121.66,percent of total billed charges,103.7330907,,,,123.2,percent of total billed charges,999999999,,,,123.2,percent of total billed charges,999999999,,,,107.8,percent of total billed charges,999999999,,,,107.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,81.928,percent of total billed charges,999999999,,,,,,,,,,,,,,,,77.77,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,38.5,percent of total billed charges,36.56558256,,,,,,,,,,38.5,percent of total billed charges,35.95733897,,,,,,,,,,38.5,percent of total billed charges,35.85741506,,,,,,,,,,38.5,percent of total billed charges,35.32941506,,,,,,,,,,38.5,percent of total billed charges,36.23849285,,,,,,,,,,38.5,percent of total billed charges,999999999,,,,,,,,,,38.5,percent of total billed charges,31.09517878,,,,,,,,,,38.5,percent of total billed charges,49.03924125,,,,,,,,,,38.5,percent of total billed charges,999999999,,,,,,,,,,38.5,percent of total billed charges,33.5282076,,,,,,,,,,138.6,percent of total billed charges,,,,,
GLYCO MARK (SUGARS),84378,CDM,,,,both,,,196,196,41.72525315,196,196,percent of total billed charges,144.204163,,,,196,percent of total billed charges,152.8535616,,,,196,percent of total billed charges,144.204163,,,,196,percent of total billed charges,152.8535616,,,,196,percent of total billed charges,999999999,,,,196,percent of total billed charges,149.338529,,,,196,percent of total billed charges,144.204163,,,,196,percent of total billed charges,152.8535616,,,,139.748,percent of total billed charges,69.73680939,,,,139.748,percent of total billed charges,41.72525315,,,,139.748,percent of total billed charges,69.73680939,,,,139.748,percent of total billed charges,41.72525315,,,,139.748,percent of total billed charges,69.73680939,,,,139.748,percent of total billed charges,41.72525315,,,,138.376,percent of total billed charges,137.3261037,,,,138.376,percent of total billed charges,94.71272525,,,,,,,,,,141.12,percent of total billed charges,91.72467915,,,,,,,,,,141.12,percent of total billed charges,999999999,,,,,,,,,,156.8,percent of total billed charges,131.3902493,,,,154.84,percent of total billed charges,149.4272635,,,,154.84,percent of total billed charges,132.0239336,,,,156.8,percent of total billed charges,999999999,,,,156.8,percent of total billed charges,999999999,,,,137.2,percent of total billed charges,999999999,,,,137.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,104.272,percent of total billed charges,999999999,,,,,,,,,,,,,,,,98.98,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,49,percent of total billed charges,46.53801416,,,,,,,,,,49,percent of total billed charges,45.76388596,,,,,,,,,,49,percent of total billed charges,45.63671008,,,,,,,,,,49,percent of total billed charges,44.96471008,,,,,,,,,,49,percent of total billed charges,46.12171817,,,,,,,,,,49,percent of total billed charges,999999999,,,,,,,,,,49,percent of total billed charges,39.57568209,,,,,,,,,,49,percent of total billed charges,62.41357978,,,,,,,,,,49,percent of total billed charges,999999999,,,,,,,,,,49,percent of total billed charges,42.67226422,,,,,,,,,,176.4,percent of total billed charges,,,,,
MASS SPECTROMETRY,83789,CDM,,,,both,,,306,306,65.14248705,306,306,percent of total billed charges,225.1350709,,,,306,percent of total billed charges,238.6387237,,,,306,percent of total billed charges,225.1350709,,,,306,percent of total billed charges,238.6387237,,,,306,percent of total billed charges,999999999,,,,306,percent of total billed charges,233.1509688,,,,306,percent of total billed charges,225.1350709,,,,306,percent of total billed charges,238.6387237,,,,218.178,percent of total billed charges,108.8748147,,,,218.178,percent of total billed charges,65.14248705,,,,218.178,percent of total billed charges,108.8748147,,,,218.178,percent of total billed charges,65.14248705,,,,218.178,percent of total billed charges,108.8748147,,,,218.178,percent of total billed charges,65.14248705,,,,216.036,percent of total billed charges,214.3968761,,,,216.036,percent of total billed charges,147.8678262,,,,,,,,,,220.32,percent of total billed charges,143.2028154,,,,,,,,,,220.32,percent of total billed charges,999999999,,,,,,,,,,244.8,percent of total billed charges,205.1296749,,,,241.74,percent of total billed charges,233.2895033,,,,241.74,percent of total billed charges,206.1189984,,,,244.8,percent of total billed charges,999999999,,,,244.8,percent of total billed charges,999999999,,,,214.2,percent of total billed charges,999999999,,,,214.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,162.792,percent of total billed charges,999999999,,,,,,,,,,,,,,,,154.53,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,76.5,percent of total billed charges,72.65628742,,,,,,,,,,76.5,percent of total billed charges,71.44769951,,,,,,,,,,76.5,percent of total billed charges,71.24914941,,,,,,,,,,76.5,percent of total billed charges,70.20000656,,,,,,,,,,76.5,percent of total billed charges,72.00635593,,,,,,,,,,76.5,percent of total billed charges,999999999,,,,,,,,,,76.5,percent of total billed charges,61.78652408,,,,,,,,,,76.5,percent of total billed charges,97.44160924,,,,,,,,,,76.5,percent of total billed charges,999999999,,,,,,,,,,76.5,percent of total billed charges,66.62098393,,,,,,,,,,275.4,percent of total billed charges,,,,,
MANGANESE,83785,CDM,,,,both,,,231,231,49.17619121,231,231,percent of total billed charges,169.9549064,,,,231,percent of total billed charges,180.1488404,,,,231,percent of total billed charges,169.9549064,,,,231,percent of total billed charges,180.1488404,,,,231,percent of total billed charges,999999999,,,,231,percent of total billed charges,176.0061235,,,,231,percent of total billed charges,169.9549064,,,,231,percent of total billed charges,180.1488404,,,,164.703,percent of total billed charges,82.18981107,,,,164.703,percent of total billed charges,49.17619121,,,,164.703,percent of total billed charges,82.18981107,,,,164.703,percent of total billed charges,49.17619121,,,,164.703,percent of total billed charges,82.18981107,,,,164.703,percent of total billed charges,49.17619121,,,,163.086,percent of total billed charges,161.8486222,,,,163.086,percent of total billed charges,111.6257119,,,,,,,,,,166.32,percent of total billed charges,108.1040861,,,,,,,,,,166.32,percent of total billed charges,999999999,,,,,,,,,,184.8,percent of total billed charges,154.8527938,,,,182.49,percent of total billed charges,176.1107034,,,,182.49,percent of total billed charges,155.599636,,,,184.8,percent of total billed charges,999999999,,,,184.8,percent of total billed charges,999999999,,,,161.7,percent of total billed charges,999999999,,,,161.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,122.892,percent of total billed charges,999999999,,,,,,,,,,,,,,,,116.655,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,57.75,percent of total billed charges,54.84837383,,,,,,,,,,57.75,percent of total billed charges,53.93600846,,,,,,,,,,57.75,percent of total billed charges,53.7861226,,,,,,,,,,57.75,percent of total billed charges,52.9941226,,,,,,,,,,57.75,percent of total billed charges,54.35773928,,,,,,,,,,57.75,percent of total billed charges,999999999,,,,,,,,,,57.75,percent of total billed charges,46.64276817,,,,,,,,,,57.75,percent of total billed charges,73.55886188,,,,,,,,,,57.75,percent of total billed charges,999999999,,,,,,,,,,57.75,percent of total billed charges,50.2923114,,,,,,,,,,207.9,percent of total billed charges,,,,,
PHOSPHORUS,84100,CDM,,,,both,,,99,99,21.07551052,99,99,percent of total billed charges,72.83781705,,,,99,percent of total billed charges,77.20664589,,,,99,percent of total billed charges,72.83781705,,,,99,percent of total billed charges,77.20664589,,,,99,percent of total billed charges,999999999,,,,99,percent of total billed charges,75.43119577,,,,99,percent of total billed charges,72.83781705,,,,99,percent of total billed charges,77.20664589,,,,70.587,percent of total billed charges,35.22420474,,,,70.587,percent of total billed charges,21.07551052,,,,70.587,percent of total billed charges,35.22420474,,,,70.587,percent of total billed charges,21.07551052,,,,70.587,percent of total billed charges,35.22420474,,,,70.587,percent of total billed charges,21.07551052,,,,69.894,percent of total billed charges,69.36369522,,,,69.894,percent of total billed charges,47.83959081,,,,,,,,,,71.28,percent of total billed charges,46.33032263,,,,,,,,,,71.28,percent of total billed charges,999999999,,,,,,,,,,79.2,percent of total billed charges,66.36548304,,,,78.21,percent of total billed charges,75.47601576,,,,78.21,percent of total billed charges,66.6855583,,,,79.2,percent of total billed charges,999999999,,,,79.2,percent of total billed charges,999999999,,,,69.3,percent of total billed charges,999999999,,,,69.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,52.668,percent of total billed charges,999999999,,,,,,,,,,,,,,,,49.995,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,24.75,percent of total billed charges,23.50644593,,,,,,,,,,24.75,percent of total billed charges,23.1154322,,,,,,,,,,24.75,percent of total billed charges,23.0511954,,,,,,,,,,24.75,percent of total billed charges,22.71176683,,,,,,,,,,24.75,percent of total billed charges,23.29617398,,,,,,,,,,24.75,percent of total billed charges,999999999,,,,,,,,,,24.75,percent of total billed charges,19.98975779,,,,,,,,,,24.75,percent of total billed charges,31.52522652,,,,,,,,,,24.75,percent of total billed charges,999999999,,,,,,,,,,24.75,percent of total billed charges,21.55384774,,,,,,,,,,89.1,percent of total billed charges,,,,,
ANTI PHOSPHOLIPID ANTIBODY,86148,CDM,,,,both,,,250,250,53.22098616,250,250,percent of total billed charges,183.9338814,,,,250,percent of total billed charges,194.9662775,,,,250,percent of total billed charges,183.9338814,,,,250,percent of total billed charges,194.9662775,,,,250,percent of total billed charges,999999999,,,,250,percent of total billed charges,190.4828176,,,,250,percent of total billed charges,183.9338814,,,,250,percent of total billed charges,194.9662775,,,,178.25,percent of total billed charges,88.95001198,,,,178.25,percent of total billed charges,53.22098616,,,,178.25,percent of total billed charges,88.95001198,,,,178.25,percent of total billed charges,53.22098616,,,,178.25,percent of total billed charges,88.95001198,,,,178.25,percent of total billed charges,53.22098616,,,,176.5,percent of total billed charges,175.1608465,,,,176.5,percent of total billed charges,120.8070475,,,,,,,,,,180,percent of total billed charges,116.9957642,,,,,,,,,,180,percent of total billed charges,999999999,,,,,,,,,,200,percent of total billed charges,167.5896036,,,,197.5,percent of total billed charges,190.5959994,,,,197.5,percent of total billed charges,168.3978745,,,,200,percent of total billed charges,999999999,,,,200,percent of total billed charges,999999999,,,,175,percent of total billed charges,999999999,,,,175,percent of total billed charges,999999999,,,,,,,,,,,,,,,,133,percent of total billed charges,999999999,,,,,,,,,,,,,,,,126.25,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,62.5,percent of total billed charges,59.35971194,,,,,,,,,,62.5,percent of total billed charges,58.37230352,,,,,,,,,,62.5,percent of total billed charges,58.21008939,,,,,,,,,,62.5,percent of total billed charges,57.35294653,,,,,,,,,,62.5,percent of total billed charges,58.82872216,,,,,,,,,,62.5,percent of total billed charges,999999999,,,,,,,,,,62.5,percent of total billed charges,50.47918634,,,,,,,,,,62.5,percent of total billed charges,79.60915788,,,,,,,,,,62.5,percent of total billed charges,999999999,,,,,,,,,,62.5,percent of total billed charges,54.42890844,,,,,,,,,,225,percent of total billed charges,,,,,
HIV 1&2 AG/AB,87389,CDM,,,,both,,,206,206,43.85409259,206,206,percent of total billed charges,151.5615183,,,,206,percent of total billed charges,160.6522127,,,,206,percent of total billed charges,151.5615183,,,,206,percent of total billed charges,160.6522127,,,,206,percent of total billed charges,999999999,,,,206,percent of total billed charges,156.9578417,,,,206,percent of total billed charges,151.5615183,,,,206,percent of total billed charges,160.6522127,,,,146.878,percent of total billed charges,73.29480987,,,,146.878,percent of total billed charges,43.85409259,,,,146.878,percent of total billed charges,73.29480987,,,,146.878,percent of total billed charges,43.85409259,,,,146.878,percent of total billed charges,73.29480987,,,,146.878,percent of total billed charges,43.85409259,,,,145.436,percent of total billed charges,144.3325375,,,,145.436,percent of total billed charges,99.54500715,,,,,,,,,,148.32,percent of total billed charges,96.40450972,,,,,,,,,,148.32,percent of total billed charges,999999999,,,,,,,,,,164.8,percent of total billed charges,138.0938334,,,,162.74,percent of total billed charges,157.0511035,,,,162.74,percent of total billed charges,138.7598486,,,,164.8,percent of total billed charges,999999999,,,,164.8,percent of total billed charges,999999999,,,,144.2,percent of total billed charges,999999999,,,,144.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,109.592,percent of total billed charges,999999999,,,,,,,,,,,,,,,,104.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,51.5,percent of total billed charges,48.91240264,,,,,,,,,,51.5,percent of total billed charges,48.0987781,,,,,,,,,,51.5,percent of total billed charges,47.96511366,,,,,,,,,,51.5,percent of total billed charges,47.25882794,,,,,,,,,,51.5,percent of total billed charges,48.47486706,,,,,,,,,,51.5,percent of total billed charges,999999999,,,,,,,,,,51.5,percent of total billed charges,41.59484954,,,,,,,,,,51.5,percent of total billed charges,65.59794609,,,,,,,,,,51.5,percent of total billed charges,999999999,,,,,,,,,,51.5,percent of total billed charges,44.84942056,,,,,,,,,,185.4,percent of total billed charges,,,,,
LYMPHOCYTE TRANSFORMATION,86353,CDM,,,,both,,,609,609,129.6463223,609,609,percent of total billed charges,448.0629352,,,,609,percent of total billed charges,474.937852,,,,609,percent of total billed charges,448.0629352,,,,609,percent of total billed charges,474.937852,,,,609,percent of total billed charges,999999999,,,,609,percent of total billed charges,464.0161437,,,,609,percent of total billed charges,448.0629352,,,,609,percent of total billed charges,474.937852,,,,434.217,percent of total billed charges,216.6822292,,,,434.217,percent of total billed charges,129.6463223,,,,434.217,percent of total billed charges,216.6822292,,,,434.217,percent of total billed charges,129.6463223,,,,434.217,percent of total billed charges,216.6822292,,,,434.217,percent of total billed charges,129.6463223,,,,429.954,percent of total billed charges,426.6918221,,,,429.954,percent of total billed charges,294.2859677,,,,,,,,,,438.48,percent of total billed charges,285.0016816,,,,,,,,,,438.48,percent of total billed charges,999999999,,,,,,,,,,487.2,percent of total billed charges,408.2482745,,,,481.11,percent of total billed charges,464.2918545,,,,481.11,percent of total billed charges,410.2172222,,,,487.2,percent of total billed charges,999999999,,,,487.2,percent of total billed charges,999999999,,,,426.3,percent of total billed charges,999999999,,,,426.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,323.988,percent of total billed charges,999999999,,,,,,,,,,,,,,,,307.545,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,152.25,percent of total billed charges,144.6002583,,,,,,,,,,152.25,percent of total billed charges,142.1949314,,,,,,,,,,152.25,percent of total billed charges,141.7997778,,,,,,,,,,152.25,percent of total billed charges,139.7117778,,,,,,,,,,152.25,percent of total billed charges,143.3067672,,,,,,,,,,152.25,percent of total billed charges,999999999,,,,,,,,,,152.25,percent of total billed charges,122.9672979,,,,,,,,,,152.25,percent of total billed charges,193.9279086,,,,,,,,,,152.25,percent of total billed charges,999999999,,,,,,,,,,152.25,percent of total billed charges,132.588821,,,,,,,,,,548.1,percent of total billed charges,,,,,
POTASSIUM-SERUM,84132,CDM,,,,both,,,86,86,18.30801924,86,86,percent of total billed charges,63.27325521,,,,86,percent of total billed charges,67.06839946,,,,86,percent of total billed charges,63.27325521,,,,86,percent of total billed charges,67.06839946,,,,86,percent of total billed charges,999999999,,,,86,percent of total billed charges,65.52608926,,,,86,percent of total billed charges,63.27325521,,,,86,percent of total billed charges,67.06839946,,,,61.318,percent of total billed charges,30.59880412,,,,61.318,percent of total billed charges,18.30801924,,,,61.318,percent of total billed charges,30.59880412,,,,61.318,percent of total billed charges,18.30801924,,,,61.318,percent of total billed charges,30.59880412,,,,61.318,percent of total billed charges,18.30801924,,,,60.716,percent of total billed charges,60.2553312,,,,60.716,percent of total billed charges,41.55762434,,,,,,,,,,61.92,percent of total billed charges,40.24654289,,,,,,,,,,61.92,percent of total billed charges,999999999,,,,,,,,,,68.8,percent of total billed charges,57.65082366,,,,67.94,percent of total billed charges,65.56502379,,,,67.94,percent of total billed charges,57.92886882,,,,68.8,percent of total billed charges,999999999,,,,68.8,percent of total billed charges,999999999,,,,60.2,percent of total billed charges,999999999,,,,60.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,45.752,percent of total billed charges,999999999,,,,,,,,,,,,,,,,43.43,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21.5,percent of total billed charges,20.41974091,,,,,,,,,,21.5,percent of total billed charges,20.08007241,,,,,,,,,,21.5,percent of total billed charges,20.02427075,,,,,,,,,,21.5,percent of total billed charges,19.72941361,,,,,,,,,,21.5,percent of total billed charges,20.23708042,,,,,,,,,,21.5,percent of total billed charges,999999999,,,,,,,,,,21.5,percent of total billed charges,17.3648401,,,,,,,,,,21.5,percent of total billed charges,27.38555031,,,,,,,,,,21.5,percent of total billed charges,999999999,,,,,,,,,,21.5,percent of total billed charges,18.7235445,,,,,,,,,,77.4,percent of total billed charges,,,,,
SALICYLATES,80307,CDM,,,,both,,,257,257,54.71117377,257,257,percent of total billed charges,189.0840301,,,,257,percent of total billed charges,200.4253333,,,,257,percent of total billed charges,189.0840301,,,,257,percent of total billed charges,200.4253333,,,,257,percent of total billed charges,999999999,,,,257,percent of total billed charges,195.8163365,,,,257,percent of total billed charges,189.0840301,,,,257,percent of total billed charges,200.4253333,,,,183.241,percent of total billed charges,91.44061232,,,,183.241,percent of total billed charges,54.71117377,,,,183.241,percent of total billed charges,91.44061232,,,,183.241,percent of total billed charges,54.71117377,,,,183.241,percent of total billed charges,91.44061232,,,,183.241,percent of total billed charges,54.71117377,,,,181.442,percent of total billed charges,180.0653502,,,,181.442,percent of total billed charges,124.1896448,,,,,,,,,,185.04,percent of total billed charges,120.2716456,,,,,,,,,,185.04,percent of total billed charges,999999999,,,,,,,,,,205.6,percent of total billed charges,172.2821126,,,,203.03,percent of total billed charges,195.9326874,,,,203.03,percent of total billed charges,173.113015,,,,205.6,percent of total billed charges,999999999,,,,205.6,percent of total billed charges,999999999,,,,179.9,percent of total billed charges,999999999,,,,179.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,136.724,percent of total billed charges,999999999,,,,,,,,,,,,,,,,129.785,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,64.25,percent of total billed charges,61.02178388,,,,,,,,,,64.25,percent of total billed charges,60.00672802,,,,,,,,,,64.25,percent of total billed charges,59.83997189,,,,,,,,,,64.25,percent of total billed charges,58.95882904,,,,,,,,,,64.25,percent of total billed charges,60.47592638,,,,,,,,,,64.25,percent of total billed charges,999999999,,,,,,,,,,64.25,percent of total billed charges,51.89260355,,,,,,,,,,64.25,percent of total billed charges,81.8382143,,,,,,,,,,64.25,percent of total billed charges,999999999,,,,,,,,,,64.25,percent of total billed charges,55.95291788,,,,,,,,,,231.3,percent of total billed charges,,,,,
SELENIUM,84255,CDM,,,,both,,,253,253,53.85963799,253,253,percent of total billed charges,186.141088,,,,253,percent of total billed charges,197.3058728,,,,253,percent of total billed charges,186.141088,,,,253,percent of total billed charges,197.3058728,,,,253,percent of total billed charges,999999999,,,,253,percent of total billed charges,192.7686114,,,,253,percent of total billed charges,186.141088,,,,253,percent of total billed charges,197.3058728,,,,180.389,percent of total billed charges,90.01741213,,,,180.389,percent of total billed charges,53.85963799,,,,180.389,percent of total billed charges,90.01741213,,,,180.389,percent of total billed charges,53.85963799,,,,180.389,percent of total billed charges,90.01741213,,,,180.389,percent of total billed charges,53.85963799,,,,178.618,percent of total billed charges,177.2627767,,,,178.618,percent of total billed charges,122.2567321,,,,,,,,,,182.16,percent of total billed charges,118.3997134,,,,,,,,,,182.16,percent of total billed charges,999999999,,,,,,,,,,202.4,percent of total billed charges,169.6006789,,,,199.87,percent of total billed charges,192.8831514,,,,199.87,percent of total billed charges,170.418649,,,,202.4,percent of total billed charges,999999999,,,,202.4,percent of total billed charges,999999999,,,,177.1,percent of total billed charges,999999999,,,,177.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,134.596,percent of total billed charges,999999999,,,,,,,,,,,,,,,,127.765,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,63.25,percent of total billed charges,60.07202848,,,,,,,,,,63.25,percent of total billed charges,59.07277117,,,,,,,,,,63.25,percent of total billed charges,58.90861046,,,,,,,,,,63.25,percent of total billed charges,58.04118189,,,,,,,,,,63.25,percent of total billed charges,59.53466683,,,,,,,,,,63.25,percent of total billed charges,999999999,,,,,,,,,,63.25,percent of total billed charges,51.08493657,,,,,,,,,,63.25,percent of total billed charges,80.56446777,,,,,,,,,,63.25,percent of total billed charges,999999999,,,,,,,,,,63.25,percent of total billed charges,55.08205534,,,,,,,,,,227.7,percent of total billed charges,,,,,
VENIPUNCTURE,36415,CDM,,,,both,,,41,41,8.72824173,41,41,percent of total billed charges,30.16515655,,,,41,percent of total billed charges,31.97446951,,,,41,percent of total billed charges,30.16515655,,,,41,percent of total billed charges,31.97446951,,,,41,percent of total billed charges,999999999,,,,41,percent of total billed charges,31.23918209,,,,41,percent of total billed charges,30.16515655,,,,41,percent of total billed charges,31.97446951,,,,29.233,percent of total billed charges,14.58780197,,,,29.233,percent of total billed charges,8.72824173,,,,29.233,percent of total billed charges,14.58780197,,,,29.233,percent of total billed charges,8.72824173,,,,29.233,percent of total billed charges,14.58780197,,,,29.233,percent of total billed charges,8.72824173,,,,28.946,percent of total billed charges,28.72637883,,,,28.946,percent of total billed charges,19.81235579,,,,,,,,,,29.52,percent of total billed charges,19.18730533,,,,,,,,,,29.52,percent of total billed charges,999999999,,,,,,,,,,32.8,percent of total billed charges,27.484695,,,,32.39,percent of total billed charges,31.2577439,,,,32.39,percent of total billed charges,27.61725142,,,,32.8,percent of total billed charges,999999999,,,,32.8,percent of total billed charges,999999999,,,,28.7,percent of total billed charges,999999999,,,,28.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,21.812,percent of total billed charges,999999999,,,,,,,,,,,,,,,,20.705,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10.25,percent of total billed charges,9.734992758,,,,,,,,,,10.25,percent of total billed charges,9.573057778,,,,,,,,,,10.25,percent of total billed charges,9.54645466,,,,,,,,,,10.25,percent of total billed charges,9.405883231,,,,,,,,,,10.25,percent of total billed charges,9.647910435,,,,,,,,,,10.25,percent of total billed charges,999999999,,,,,,,,,,10.25,percent of total billed charges,8.278586559,,,,,,,,,,10.25,percent of total billed charges,13.05590189,,,,,,,,,,10.25,percent of total billed charges,999999999,,,,,,,,,,10.25,percent of total billed charges,8.926340984,,,,,,,,,,36.9,percent of total billed charges,,,,,
VENIPUNCTURE (DRUG SCREEN AT TMH),36415,CDM,,,,both,,,85,85,18.09513529,85,85,percent of total billed charges,62.53751969,,,,85,percent of total billed charges,66.28853435,,,,85,percent of total billed charges,62.53751969,,,,85,percent of total billed charges,66.28853435,,,,85,percent of total billed charges,999999999,,,,85,percent of total billed charges,64.76415799,,,,85,percent of total billed charges,62.53751969,,,,85,percent of total billed charges,66.28853435,,,,60.605,percent of total billed charges,30.24300407,,,,60.605,percent of total billed charges,18.09513529,,,,60.605,percent of total billed charges,30.24300407,,,,60.605,percent of total billed charges,18.09513529,,,,60.605,percent of total billed charges,30.24300407,,,,60.605,percent of total billed charges,18.09513529,,,,60.01,percent of total billed charges,59.55468782,,,,60.01,percent of total billed charges,41.07439615,,,,,,,,,,61.2,percent of total billed charges,39.77855983,,,,,,,,,,61.2,percent of total billed charges,999999999,,,,,,,,,,68,percent of total billed charges,56.98046524,,,,67.15,percent of total billed charges,64.80263979,,,,67.15,percent of total billed charges,57.25527733,,,,68,percent of total billed charges,999999999,,,,68,percent of total billed charges,999999999,,,,59.5,percent of total billed charges,999999999,,,,59.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,45.22,percent of total billed charges,999999999,,,,,,,,,,,,,,,,42.925,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21.25,percent of total billed charges,20.18230206,,,,,,,,,,21.25,percent of total billed charges,19.8465832,,,,,,,,,,21.25,percent of total billed charges,19.79143039,,,,,,,,,,21.25,percent of total billed charges,19.50000182,,,,,,,,,,21.25,percent of total billed charges,20.00176553,,,,,,,,,,21.25,percent of total billed charges,999999999,,,,,,,,,,21.25,percent of total billed charges,17.16292335,,,,,,,,,,21.25,percent of total billed charges,27.06711368,,,,,,,,,,21.25,percent of total billed charges,999999999,,,,,,,,,,21.25,percent of total billed charges,18.50582887,,,,,,,,,,76.5,percent of total billed charges,,,,,
CAPILLARY STICK,36416,CDM,,,,both,,,48,48,10.21842934,48,48,percent of total billed charges,35.31530523,,,,48,percent of total billed charges,37.43352528,,,,48,percent of total billed charges,35.31530523,,,,48,percent of total billed charges,37.43352528,,,,48,percent of total billed charges,999999999,,,,48,percent of total billed charges,36.57270098,,,,48,percent of total billed charges,35.31530523,,,,48,percent of total billed charges,37.43352528,,,,34.224,percent of total billed charges,17.0784023,,,,34.224,percent of total billed charges,10.21842934,,,,34.224,percent of total billed charges,17.0784023,,,,34.224,percent of total billed charges,10.21842934,,,,34.224,percent of total billed charges,17.0784023,,,,34.224,percent of total billed charges,10.21842934,,,,33.888,percent of total billed charges,33.63088253,,,,33.888,percent of total billed charges,23.19495312,,,,,,,,,,34.56,percent of total billed charges,22.46318673,,,,,,,,,,34.56,percent of total billed charges,999999999,,,,,,,,,,38.4,percent of total billed charges,32.1772039,,,,37.92,percent of total billed charges,36.59443188,,,,37.92,percent of total billed charges,32.3323919,,,,38.4,percent of total billed charges,999999999,,,,38.4,percent of total billed charges,999999999,,,,33.6,percent of total billed charges,999999999,,,,33.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,25.536,percent of total billed charges,999999999,,,,,,,,,,,,,,,,24.24,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12,percent of total billed charges,11.39706469,,,,,,,,,,12,percent of total billed charges,11.20748228,,,,,,,,,,12,percent of total billed charges,11.17633716,,,,,,,,,,12,percent of total billed charges,11.01176573,,,,,,,,,,12,percent of total billed charges,11.29511466,,,,,,,,,,12,percent of total billed charges,999999999,,,,,,,,,,12,percent of total billed charges,9.692003777,,,,,,,,,,12,percent of total billed charges,15.28495831,,,,,,,,,,12,percent of total billed charges,999999999,,,,,,,,,,12,percent of total billed charges,10.45035042,,,,,,,,,,43.2,percent of total billed charges,,,,,
ARTERIAL PUNCTURE,36600,CDM,,,,both,,,165,165,35.12585086,165,165,percent of total billed charges,121.3963617,,,,165,percent of total billed charges,128.6777432,,,,165,percent of total billed charges,121.3963617,,,,165,percent of total billed charges,128.6777432,,,,165,percent of total billed charges,999999999,,,,165,percent of total billed charges,125.7186596,,,,165,percent of total billed charges,121.3963617,,,,165,percent of total billed charges,128.6777432,,,,117.645,percent of total billed charges,58.70700791,,,,117.645,percent of total billed charges,35.12585086,,,,117.645,percent of total billed charges,58.70700791,,,,117.645,percent of total billed charges,35.12585086,,,,117.645,percent of total billed charges,58.70700791,,,,117.645,percent of total billed charges,35.12585086,,,,116.49,percent of total billed charges,115.6061587,,,,116.49,percent of total billed charges,79.73265136,,,,,,,,,,118.8,percent of total billed charges,77.21720438,,,,,,,,,,118.8,percent of total billed charges,999999999,,,,,,,,,,132,percent of total billed charges,110.6091384,,,,130.35,percent of total billed charges,125.7933596,,,,130.35,percent of total billed charges,111.1425972,,,,132,percent of total billed charges,999999999,,,,132,percent of total billed charges,999999999,,,,115.5,percent of total billed charges,999999999,,,,115.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,87.78,percent of total billed charges,999999999,,,,,,,,,,,,,,,,83.325,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,41.25,percent of total billed charges,39.17740988,,,,,,,,,,41.25,percent of total billed charges,38.52572033,,,,,,,,,,41.25,percent of total billed charges,38.418659,,,,,,,,,,41.25,percent of total billed charges,37.85294471,,,,,,,,,,41.25,percent of total billed charges,38.82695663,,,,,,,,,,41.25,percent of total billed charges,999999999,,,,,,,,,,41.25,percent of total billed charges,33.31626298,,,,,,,,,,41.25,percent of total billed charges,52.5420442,,,,,,,,,,41.25,percent of total billed charges,999999999,,,,,,,,,,41.25,percent of total billed charges,35.92307957,,,,,,,,,,148.5,percent of total billed charges,,,,,
VITAMIN B6(*),84207,CDM,,,,both,,,359,359,76.42533612,359,359,percent of total billed charges,264.1290537,,,,359,percent of total billed charges,279.9715745,,,,359,percent of total billed charges,264.1290537,,,,359,percent of total billed charges,279.9715745,,,,359,percent of total billed charges,999999999,,,,359,percent of total billed charges,273.5333261,,,,359,percent of total billed charges,264.1290537,,,,359,percent of total billed charges,279.9715745,,,,255.967,percent of total billed charges,127.7322172,,,,255.967,percent of total billed charges,76.42533612,,,,255.967,percent of total billed charges,127.7322172,,,,255.967,percent of total billed charges,76.42533612,,,,255.967,percent of total billed charges,127.7322172,,,,255.967,percent of total billed charges,76.42533612,,,,253.454,percent of total billed charges,251.5309756,,,,253.454,percent of total billed charges,173.4789202,,,,,,,,,,258.48,percent of total billed charges,168.0059174,,,,,,,,,,258.48,percent of total billed charges,999999999,,,,,,,,,,287.2,percent of total billed charges,240.6586708,,,,283.61,percent of total billed charges,273.6958551,,,,283.61,percent of total billed charges,241.8193478,,,,287.2,percent of total billed charges,999999999,,,,287.2,percent of total billed charges,999999999,,,,251.3,percent of total billed charges,999999999,,,,251.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,190.988,percent of total billed charges,999999999,,,,,,,,,,,,,,,,181.295,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,89.75,percent of total billed charges,85.24054635,,,,,,,,,,89.75,percent of total billed charges,83.82262786,,,,,,,,,,89.75,percent of total billed charges,83.58968837,,,,,,,,,,89.75,percent of total billed charges,82.35883122,,,,,,,,,,89.75,percent of total billed charges,84.47804502,,,,,,,,,,89.75,percent of total billed charges,999999999,,,,,,,,,,89.75,percent of total billed charges,72.48811158,,,,,,,,,,89.75,percent of total billed charges,114.3187507,,,,,,,,,,89.75,percent of total billed charges,999999999,,,,,,,,,,89.75,percent of total billed charges,78.15991252,,,,,,,,,,323.1,percent of total billed charges,,,,,
VITAMIN B2,84252,CDM,,,,both,,,311,311,66.20690678,311,311,percent of total billed charges,228.8137485,,,,311,percent of total billed charges,242.5380492,,,,311,percent of total billed charges,228.8137485,,,,311,percent of total billed charges,242.5380492,,,,311,percent of total billed charges,999999999,,,,311,percent of total billed charges,236.9606251,,,,311,percent of total billed charges,228.8137485,,,,311,percent of total billed charges,242.5380492,,,,221.743,percent of total billed charges,110.6538149,,,,221.743,percent of total billed charges,66.20690678,,,,221.743,percent of total billed charges,110.6538149,,,,221.743,percent of total billed charges,66.20690678,,,,221.743,percent of total billed charges,110.6538149,,,,221.743,percent of total billed charges,66.20690678,,,,219.566,percent of total billed charges,217.9000931,,,,219.566,percent of total billed charges,150.2839671,,,,,,,,,,223.92,percent of total billed charges,145.5427307,,,,,,,,,,223.92,percent of total billed charges,999999999,,,,,,,,,,248.8,percent of total billed charges,208.4814669,,,,245.69,percent of total billed charges,237.1014232,,,,245.69,percent of total billed charges,209.4869559,,,,248.8,percent of total billed charges,999999999,,,,248.8,percent of total billed charges,999999999,,,,217.7,percent of total billed charges,999999999,,,,217.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,165.452,percent of total billed charges,999999999,,,,,,,,,,,,,,,,157.055,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,77.75,percent of total billed charges,73.84348165,,,,,,,,,,77.75,percent of total billed charges,72.61514558,,,,,,,,,,77.75,percent of total billed charges,72.4133512,,,,,,,,,,77.75,percent of total billed charges,71.34706549,,,,,,,,,,77.75,percent of total billed charges,73.18293037,,,,,,,,,,77.75,percent of total billed charges,999999999,,,,,,,,,,77.75,percent of total billed charges,62.7961078,,,,,,,,,,77.75,percent of total billed charges,99.0337924,,,,,,,,,,77.75,percent of total billed charges,999999999,,,,,,,,,,77.75,percent of total billed charges,67.7095621,,,,,,,,,,279.9,percent of total billed charges,,,,,
ASCORBIC ACID,82180,CDM,,,,both,,,133,133,28.31356463,133,133,percent of total billed charges,97.85282492,,,,133,percent of total billed charges,103.7220596,,,,133,percent of total billed charges,97.85282492,,,,133,percent of total billed charges,103.7220596,,,,133,percent of total billed charges,999999999,,,,133,percent of total billed charges,101.336859,,,,133,percent of total billed charges,97.85282492,,,,133,percent of total billed charges,103.7220596,,,,94.829,percent of total billed charges,47.32140637,,,,94.829,percent of total billed charges,28.31356463,,,,94.829,percent of total billed charges,47.32140637,,,,94.829,percent of total billed charges,28.31356463,,,,94.829,percent of total billed charges,47.32140637,,,,94.829,percent of total billed charges,28.31356463,,,,93.898,percent of total billed charges,93.18557035,,,,93.898,percent of total billed charges,64.26934928,,,,,,,,,,95.76,percent of total billed charges,62.24174656,,,,,,,,,,95.76,percent of total billed charges,999999999,,,,,,,,,,106.4,percent of total billed charges,89.15766914,,,,105.07,percent of total billed charges,101.3970717,,,,105.07,percent of total billed charges,89.58766923,,,,106.4,percent of total billed charges,999999999,,,,106.4,percent of total billed charges,999999999,,,,93.1,percent of total billed charges,999999999,,,,93.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,70.756,percent of total billed charges,999999999,,,,,,,,,,,,,,,,67.165,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,33.25,percent of total billed charges,31.57936675,,,,,,,,,,33.25,percent of total billed charges,31.05406547,,,,,,,,,,33.25,percent of total billed charges,30.96776756,,,,,,,,,,33.25,percent of total billed charges,30.51176756,,,,,,,,,,33.25,percent of total billed charges,31.29688019,,,,,,,,,,33.25,percent of total billed charges,999999999,,,,,,,,,,33.25,percent of total billed charges,26.85492713,,,,,,,,,,33.25,percent of total billed charges,42.35207199,,,,,,,,,,33.25,percent of total billed charges,999999999,,,,,,,,,,33.25,percent of total billed charges,28.95617929,,,,,,,,,,119.7,percent of total billed charges,,,,,
ASSAY OF NOS VITAMIN,84591,CDM,,,,both,,,221,221,47.04735176,221,221,percent of total billed charges,162.5975512,,,,221,percent of total billed charges,172.3501893,,,,221,percent of total billed charges,162.5975512,,,,221,percent of total billed charges,172.3501893,,,,221,percent of total billed charges,999999999,,,,221,percent of total billed charges,168.3868108,,,,221,percent of total billed charges,162.5975512,,,,221,percent of total billed charges,172.3501893,,,,157.573,percent of total billed charges,78.63181059,,,,157.573,percent of total billed charges,47.04735176,,,,157.573,percent of total billed charges,78.63181059,,,,157.573,percent of total billed charges,47.04735176,,,,157.573,percent of total billed charges,78.63181059,,,,157.573,percent of total billed charges,47.04735176,,,,156.026,percent of total billed charges,154.8421883,,,,156.026,percent of total billed charges,106.79343,,,,,,,,,,159.12,percent of total billed charges,103.4242556,,,,,,,,,,159.12,percent of total billed charges,999999999,,,,,,,,,,176.8,percent of total billed charges,148.1492096,,,,174.59,percent of total billed charges,168.4868635,,,,174.59,percent of total billed charges,148.863721,,,,176.8,percent of total billed charges,999999999,,,,176.8,percent of total billed charges,999999999,,,,154.7,percent of total billed charges,999999999,,,,154.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,117.572,percent of total billed charges,999999999,,,,,,,,,,,,,,,,111.605,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,55.25,percent of total billed charges,52.47398536,,,,,,,,,,55.25,percent of total billed charges,51.60111631,,,,,,,,,,55.25,percent of total billed charges,51.45771902,,,,,,,,,,55.25,percent of total billed charges,50.70000474,,,,,,,,,,55.25,percent of total billed charges,52.00459039,,,,,,,,,,55.25,percent of total billed charges,999999999,,,,,,,,,,55.25,percent of total billed charges,44.62360072,,,,,,,,,,55.25,percent of total billed charges,70.37449557,,,,,,,,,,55.25,percent of total billed charges,999999999,,,,,,,,,,55.25,percent of total billed charges,48.11515506,,,,,,,,,,198.9,percent of total billed charges,,,,,
PRIMIDONE(*),80188,CDM,,,,both,,,208,208,44.27986048,208,208,percent of total billed charges,153.0329894,,,,208,percent of total billed charges,162.2119429,,,,208,percent of total billed charges,153.0329894,,,,208,percent of total billed charges,162.2119429,,,,208,percent of total billed charges,999999999,,,,208,percent of total billed charges,158.4817042,,,,208,percent of total billed charges,153.0329894,,,,208,percent of total billed charges,162.2119429,,,,148.304,percent of total billed charges,74.00640997,,,,148.304,percent of total billed charges,44.27986048,,,,148.304,percent of total billed charges,74.00640997,,,,148.304,percent of total billed charges,44.27986048,,,,148.304,percent of total billed charges,74.00640997,,,,148.304,percent of total billed charges,44.27986048,,,,146.848,percent of total billed charges,145.7338243,,,,146.848,percent of total billed charges,100.5114635,,,,,,,,,,149.76,percent of total billed charges,97.34047583,,,,,,,,,,149.76,percent of total billed charges,999999999,,,,,,,,,,166.4,percent of total billed charges,139.4345502,,,,164.32,percent of total billed charges,158.5758715,,,,164.32,percent of total billed charges,140.1070316,,,,166.4,percent of total billed charges,999999999,,,,166.4,percent of total billed charges,999999999,,,,145.6,percent of total billed charges,999999999,,,,145.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,110.656,percent of total billed charges,999999999,,,,,,,,,,,,,,,,105.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,52,percent of total billed charges,49.38728033,,,,,,,,,,52,percent of total billed charges,48.56575653,,,,,,,,,,52,percent of total billed charges,48.43079437,,,,,,,,,,52,percent of total billed charges,47.71765152,,,,,,,,,,52,percent of total billed charges,48.94549684,,,,,,,,,,52,percent of total billed charges,999999999,,,,,,,,,,52,percent of total billed charges,41.99868303,,,,,,,,,,52,percent of total billed charges,66.23481936,,,,,,,,,,52,percent of total billed charges,999999999,,,,,,,,,,52,percent of total billed charges,45.28485182,,,,,,,,,,187.2,percent of total billed charges,,,,,
ANTIDEPRESSANT NOT SPECIFIED,80338,CDM,,,,both,,,92,92,19.58532291,92,92,percent of total billed charges,67.68766837,,,,92,percent of total billed charges,71.74759012,,,,92,percent of total billed charges,67.68766837,,,,92,percent of total billed charges,71.74759012,,,,92,percent of total billed charges,999999999,,,,92,percent of total billed charges,70.09767688,,,,92,percent of total billed charges,67.68766837,,,,92,percent of total billed charges,71.74759012,,,,65.596,percent of total billed charges,32.73360441,,,,65.596,percent of total billed charges,19.58532291,,,,65.596,percent of total billed charges,32.73360441,,,,65.596,percent of total billed charges,19.58532291,,,,65.596,percent of total billed charges,32.73360441,,,,65.596,percent of total billed charges,19.58532291,,,,64.952,percent of total billed charges,64.45919152,,,,64.952,percent of total billed charges,44.45699348,,,,,,,,,,66.24,percent of total billed charges,43.05444123,,,,,,,,,,66.24,percent of total billed charges,999999999,,,,,,,,,,73.6,percent of total billed charges,61.67297414,,,,72.68,percent of total billed charges,70.13932778,,,,72.68,percent of total billed charges,61.97041781,,,,73.6,percent of total billed charges,999999999,,,,73.6,percent of total billed charges,999999999,,,,64.4,percent of total billed charges,999999999,,,,64.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,48.944,percent of total billed charges,999999999,,,,,,,,,,,,,,,,46.46,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23,percent of total billed charges,21.84437399,,,,,,,,,,23,percent of total billed charges,21.4810077,,,,,,,,,,23,percent of total billed charges,21.4213129,,,,,,,,,,23,percent of total billed charges,21.10588432,,,,,,,,,,23,percent of total billed charges,21.64896976,,,,,,,,,,23,percent of total billed charges,999999999,,,,,,,,,,23,percent of total billed charges,18.57634057,,,,,,,,,,23,percent of total billed charges,29.2961701,,,,,,,,,,23,percent of total billed charges,999999999,,,,,,,,,,23,percent of total billed charges,20.02983831,,,,,,,,,,82.8,percent of total billed charges,,,,,
URINE SODIUM RANDOM(*),84300,CDM,,,,both,,,131,131,27.88779675,131,131,percent of total billed charges,96.38135387,,,,131,percent of total billed charges,102.1623294,,,,131,percent of total billed charges,96.38135387,,,,131,percent of total billed charges,102.1623294,,,,131,percent of total billed charges,999999999,,,,131,percent of total billed charges,99.81299643,,,,131,percent of total billed charges,96.38135387,,,,131,percent of total billed charges,102.1623294,,,,93.403,percent of total billed charges,46.60980628,,,,93.403,percent of total billed charges,27.88779675,,,,93.403,percent of total billed charges,46.60980628,,,,93.403,percent of total billed charges,27.88779675,,,,93.403,percent of total billed charges,46.60980628,,,,93.403,percent of total billed charges,27.88779675,,,,92.486,percent of total billed charges,91.78428358,,,,92.486,percent of total billed charges,63.3028929,,,,,,,,,,94.32,percent of total billed charges,61.30578045,,,,,,,,,,94.32,percent of total billed charges,999999999,,,,,,,,,,104.8,percent of total billed charges,87.81695231,,,,103.49,percent of total billed charges,99.87230368,,,,103.49,percent of total billed charges,88.24048623,,,,104.8,percent of total billed charges,999999999,,,,104.8,percent of total billed charges,999999999,,,,91.7,percent of total billed charges,999999999,,,,91.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,69.692,percent of total billed charges,999999999,,,,,,,,,,,,,,,,66.155,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,32.75,percent of total billed charges,31.10448906,,,,,,,,,,32.75,percent of total billed charges,30.58708705,,,,,,,,,,32.75,percent of total billed charges,30.50208684,,,,,,,,,,32.75,percent of total billed charges,30.05294398,,,,,,,,,,32.75,percent of total billed charges,30.82625041,,,,,,,,,,32.75,percent of total billed charges,999999999,,,,,,,,,,32.75,percent of total billed charges,26.45109364,,,,,,,,,,32.75,percent of total billed charges,41.71519873,,,,,,,,,,32.75,percent of total billed charges,999999999,,,,,,,,,,32.75,percent of total billed charges,28.52074802,,,,,,,,,,117.9,percent of total billed charges,,,,,
URINE POTASSIUM RANDOM(*),84133,CDM,,,,both,,,131,131,27.88779675,131,131,percent of total billed charges,96.38135387,,,,131,percent of total billed charges,102.1623294,,,,131,percent of total billed charges,96.38135387,,,,131,percent of total billed charges,102.1623294,,,,131,percent of total billed charges,999999999,,,,131,percent of total billed charges,99.81299643,,,,131,percent of total billed charges,96.38135387,,,,131,percent of total billed charges,102.1623294,,,,93.403,percent of total billed charges,46.60980628,,,,93.403,percent of total billed charges,27.88779675,,,,93.403,percent of total billed charges,46.60980628,,,,93.403,percent of total billed charges,27.88779675,,,,93.403,percent of total billed charges,46.60980628,,,,93.403,percent of total billed charges,27.88779675,,,,92.486,percent of total billed charges,91.78428358,,,,92.486,percent of total billed charges,63.3028929,,,,,,,,,,94.32,percent of total billed charges,61.30578045,,,,,,,,,,94.32,percent of total billed charges,999999999,,,,,,,,,,104.8,percent of total billed charges,87.81695231,,,,103.49,percent of total billed charges,99.87230368,,,,103.49,percent of total billed charges,88.24048623,,,,104.8,percent of total billed charges,999999999,,,,104.8,percent of total billed charges,999999999,,,,91.7,percent of total billed charges,999999999,,,,91.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,69.692,percent of total billed charges,999999999,,,,,,,,,,,,,,,,66.155,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,32.75,percent of total billed charges,31.10448906,,,,,,,,,,32.75,percent of total billed charges,30.58708705,,,,,,,,,,32.75,percent of total billed charges,30.50208684,,,,,,,,,,32.75,percent of total billed charges,30.05294398,,,,,,,,,,32.75,percent of total billed charges,30.82625041,,,,,,,,,,32.75,percent of total billed charges,999999999,,,,,,,,,,32.75,percent of total billed charges,26.45109364,,,,,,,,,,32.75,percent of total billed charges,41.71519873,,,,,,,,,,32.75,percent of total billed charges,999999999,,,,,,,,,,32.75,percent of total billed charges,28.52074802,,,,,,,,,,117.9,percent of total billed charges,,,,,
URINE PHOSPHORUS(*),84100,CDM,,,,both,,,122,122,25.97184124,122,122,percent of total billed charges,89.75973414,,,,122,percent of total billed charges,95.14354342,,,,122,percent of total billed charges,89.75973414,,,,122,percent of total billed charges,95.14354342,,,,122,percent of total billed charges,999999999,,,,122,percent of total billed charges,92.95561499,,,,122,percent of total billed charges,89.75973414,,,,122,percent of total billed charges,95.14354342,,,,86.986,percent of total billed charges,43.40760585,,,,86.986,percent of total billed charges,25.97184124,,,,86.986,percent of total billed charges,43.40760585,,,,86.986,percent of total billed charges,25.97184124,,,,86.986,percent of total billed charges,43.40760585,,,,86.986,percent of total billed charges,25.97184124,,,,86.132,percent of total billed charges,85.4784931,,,,86.132,percent of total billed charges,58.95383918,,,,,,,,,,87.84,percent of total billed charges,57.09393294,,,,,,,,,,87.84,percent of total billed charges,999999999,,,,,,,,,,97.6,percent of total billed charges,81.78372658,,,,96.38,percent of total billed charges,93.01084771,,,,96.38,percent of total billed charges,82.17816275,,,,97.6,percent of total billed charges,999999999,,,,97.6,percent of total billed charges,999999999,,,,85.4,percent of total billed charges,999999999,,,,85.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,64.904,percent of total billed charges,999999999,,,,,,,,,,,,,,,,61.61,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,30.5,percent of total billed charges,28.96753943,,,,,,,,,,30.5,percent of total billed charges,28.48568412,,,,,,,,,,30.5,percent of total billed charges,28.40652362,,,,,,,,,,30.5,percent of total billed charges,27.98823791,,,,,,,,,,30.5,percent of total billed charges,28.70841641,,,,,,,,,,30.5,percent of total billed charges,999999999,,,,,,,,,,30.5,percent of total billed charges,24.63384293,,,,,,,,,,30.5,percent of total billed charges,38.84926905,,,,,,,,,,30.5,percent of total billed charges,999999999,,,,,,,,,,30.5,percent of total billed charges,26.56130732,,,,,,,,,,109.8,percent of total billed charges,,,,,
URINE CHLORIDE (24 HR)(*),82436,CDM,,,,both,,,127,127,27.03626097,127,127,percent of total billed charges,93.43841177,,,,127,percent of total billed charges,99.04286897,,,,127,percent of total billed charges,93.43841177,,,,127,percent of total billed charges,99.04286897,,,,127,percent of total billed charges,999999999,,,,127,percent of total billed charges,96.76527134,,,,127,percent of total billed charges,93.43841177,,,,127,percent of total billed charges,99.04286897,,,,90.551,percent of total billed charges,45.18660609,,,,90.551,percent of total billed charges,27.03626097,,,,90.551,percent of total billed charges,45.18660609,,,,90.551,percent of total billed charges,27.03626097,,,,90.551,percent of total billed charges,45.18660609,,,,90.551,percent of total billed charges,27.03626097,,,,89.662,percent of total billed charges,88.98171003,,,,89.662,percent of total billed charges,61.36998014,,,,,,,,,,91.44,percent of total billed charges,59.43384822,,,,,,,,,,91.44,percent of total billed charges,999999999,,,,,,,,,,101.6,percent of total billed charges,85.13551865,,,,100.33,percent of total billed charges,96.82276769,,,,100.33,percent of total billed charges,85.54612024,,,,101.6,percent of total billed charges,999999999,,,,101.6,percent of total billed charges,999999999,,,,88.9,percent of total billed charges,999999999,,,,88.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,67.564,percent of total billed charges,999999999,,,,,,,,,,,,,,,,64.135,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,31.75,percent of total billed charges,30.15473367,,,,,,,,,,31.75,percent of total billed charges,29.65313019,,,,,,,,,,31.75,percent of total billed charges,29.57072541,,,,,,,,,,31.75,percent of total billed charges,29.13529684,,,,,,,,,,31.75,percent of total billed charges,29.88499086,,,,,,,,,,31.75,percent of total billed charges,999999999,,,,,,,,,,31.75,percent of total billed charges,25.64342666,,,,,,,,,,31.75,percent of total billed charges,40.4414522,,,,,,,,,,31.75,percent of total billed charges,999999999,,,,,,,,,,31.75,percent of total billed charges,27.64988549,,,,,,,,,,114.3,percent of total billed charges,,,,,
GLUCOSE STERILE BODY FLUID,82945,CDM,,,,both,,,119,119,25.33318941,119,119,percent of total billed charges,87.55252756,,,,119,percent of total billed charges,92.80394809,,,,119,percent of total billed charges,87.55252756,,,,119,percent of total billed charges,92.80394809,,,,119,percent of total billed charges,999999999,,,,119,percent of total billed charges,90.66982118,,,,119,percent of total billed charges,87.55252756,,,,119,percent of total billed charges,92.80394809,,,,84.847,percent of total billed charges,42.3402057,,,,84.847,percent of total billed charges,25.33318941,,,,84.847,percent of total billed charges,42.3402057,,,,84.847,percent of total billed charges,25.33318941,,,,84.847,percent of total billed charges,42.3402057,,,,84.847,percent of total billed charges,25.33318941,,,,84.014,percent of total billed charges,83.37656294,,,,84.014,percent of total billed charges,57.50415461,,,,,,,,,,85.68,percent of total billed charges,55.68998377,,,,,,,,,,85.68,percent of total billed charges,999999999,,,,,,,,,,95.2,percent of total billed charges,79.77265134,,,,94.01,percent of total billed charges,90.72369571,,,,94.01,percent of total billed charges,80.15738826,,,,95.2,percent of total billed charges,999999999,,,,95.2,percent of total billed charges,999999999,,,,83.3,percent of total billed charges,999999999,,,,83.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,63.308,percent of total billed charges,999999999,,,,,,,,,,,,,,,,60.095,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,29.75,percent of total billed charges,28.25522288,,,,,,,,,,29.75,percent of total billed charges,27.78521648,,,,,,,,,,29.75,percent of total billed charges,27.70800255,,,,,,,,,,29.75,percent of total billed charges,27.30000255,,,,,,,,,,29.75,percent of total billed charges,28.00247175,,,,,,,,,,29.75,percent of total billed charges,999999999,,,,,,,,,,29.75,percent of total billed charges,24.0280927,,,,,,,,,,29.75,percent of total billed charges,37.89395915,,,,,,,,,,29.75,percent of total billed charges,999999999,,,,,,,,,,29.75,percent of total billed charges,25.90816042,,,,,,,,,,107.1,percent of total billed charges,,,,,
URINE CITRATE(*),82507,CDM,,,,both,,,330,330,70.25170173,330,330,percent of total billed charges,242.7927235,,,,330,percent of total billed charges,257.3554863,,,,330,percent of total billed charges,242.7927235,,,,330,percent of total billed charges,257.3554863,,,,330,percent of total billed charges,999999999,,,,330,percent of total billed charges,251.4373192,,,,330,percent of total billed charges,242.7927235,,,,330,percent of total billed charges,257.3554863,,,,235.29,percent of total billed charges,117.4140158,,,,235.29,percent of total billed charges,70.25170173,,,,235.29,percent of total billed charges,117.4140158,,,,235.29,percent of total billed charges,70.25170173,,,,235.29,percent of total billed charges,117.4140158,,,,235.29,percent of total billed charges,70.25170173,,,,232.98,percent of total billed charges,231.2123174,,,,232.98,percent of total billed charges,159.4653027,,,,,,,,,,237.6,percent of total billed charges,154.4344088,,,,,,,,,,237.6,percent of total billed charges,999999999,,,,,,,,,,264,percent of total billed charges,221.2182768,,,,260.7,percent of total billed charges,251.5867192,,,,260.7,percent of total billed charges,222.2851943,,,,264,percent of total billed charges,999999999,,,,264,percent of total billed charges,999999999,,,,231,percent of total billed charges,999999999,,,,231,percent of total billed charges,999999999,,,,,,,,,,,,,,,,175.56,percent of total billed charges,999999999,,,,,,,,,,,,,,,,166.65,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,82.5,percent of total billed charges,78.35481976,,,,,,,,,,82.5,percent of total billed charges,77.05144065,,,,,,,,,,82.5,percent of total billed charges,76.837318,,,,,,,,,,82.5,percent of total billed charges,75.70588942,,,,,,,,,,82.5,percent of total billed charges,77.65391325,,,,,,,,,,82.5,percent of total billed charges,999999999,,,,,,,,,,82.5,percent of total billed charges,66.63252596,,,,,,,,,,82.5,percent of total billed charges,105.0840884,,,,,,,,,,82.5,percent of total billed charges,999999999,,,,,,,,,,82.5,percent of total billed charges,71.84615914,,,,,,,,,,297,percent of total billed charges,,,,,
URINE OXALATE(*),83945,CDM,,,,both,,,191,191,40.66083342,191,191,percent of total billed charges,140.5254854,,,,191,percent of total billed charges,148.954236,,,,191,percent of total billed charges,140.5254854,,,,191,percent of total billed charges,148.954236,,,,191,percent of total billed charges,999999999,,,,191,percent of total billed charges,145.5288727,,,,191,percent of total billed charges,140.5254854,,,,191,percent of total billed charges,148.954236,,,,136.183,percent of total billed charges,67.95780915,,,,136.183,percent of total billed charges,40.66083342,,,,136.183,percent of total billed charges,67.95780915,,,,136.183,percent of total billed charges,40.66083342,,,,136.183,percent of total billed charges,67.95780915,,,,136.183,percent of total billed charges,40.66083342,,,,134.846,percent of total billed charges,133.8228867,,,,134.846,percent of total billed charges,92.2965843,,,,,,,,,,137.52,percent of total billed charges,89.38476386,,,,,,,,,,137.52,percent of total billed charges,999999999,,,,,,,,,,152.8,percent of total billed charges,128.0384572,,,,150.89,percent of total billed charges,145.6153435,,,,150.89,percent of total billed charges,128.6559761,,,,152.8,percent of total billed charges,999999999,,,,152.8,percent of total billed charges,999999999,,,,133.7,percent of total billed charges,999999999,,,,133.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,101.612,percent of total billed charges,999999999,,,,,,,,,,,,,,,,96.455,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,47.75,percent of total billed charges,45.35081992,,,,,,,,,,47.75,percent of total billed charges,44.59643989,,,,,,,,,,47.75,percent of total billed charges,44.47250829,,,,,,,,,,47.75,percent of total billed charges,43.81765115,,,,,,,,,,47.75,percent of total billed charges,44.94514373,,,,,,,,,,47.75,percent of total billed charges,999999999,,,,,,,,,,47.75,percent of total billed charges,38.56609836,,,,,,,,,,47.75,percent of total billed charges,60.82139662,,,,,,,,,,47.75,percent of total billed charges,999999999,,,,,,,,,,47.75,percent of total billed charges,41.58368605,,,,,,,,,,171.9,percent of total billed charges,,,,,
URINE URATES (24 HR)(*),84560,CDM,,,,both,,,125,125,26.61049308,125,125,percent of total billed charges,91.96694072,,,,125,percent of total billed charges,97.48313875,,,,125,percent of total billed charges,91.96694072,,,,125,percent of total billed charges,97.48313875,,,,125,percent of total billed charges,999999999,,,,125,percent of total billed charges,95.2414088,,,,125,percent of total billed charges,91.96694072,,,,125,percent of total billed charges,97.48313875,,,,89.125,percent of total billed charges,44.47500599,,,,89.125,percent of total billed charges,26.61049308,,,,89.125,percent of total billed charges,44.47500599,,,,89.125,percent of total billed charges,26.61049308,,,,89.125,percent of total billed charges,44.47500599,,,,89.125,percent of total billed charges,26.61049308,,,,88.25,percent of total billed charges,87.58042326,,,,88.25,percent of total billed charges,60.40352376,,,,,,,,,,90,percent of total billed charges,58.49788211,,,,,,,,,,90,percent of total billed charges,999999999,,,,,,,,,,100,percent of total billed charges,83.79480182,,,,98.75,percent of total billed charges,95.2979997,,,,98.75,percent of total billed charges,84.19893724,,,,100,percent of total billed charges,999999999,,,,100,percent of total billed charges,999999999,,,,87.5,percent of total billed charges,999999999,,,,87.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,66.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,63.125,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,31.25,percent of total billed charges,29.67985597,,,,,,,,,,31.25,percent of total billed charges,29.18615176,,,,,,,,,,31.25,percent of total billed charges,29.1050447,,,,,,,,,,31.25,percent of total billed charges,28.67647327,,,,,,,,,,31.25,percent of total billed charges,29.41436108,,,,,,,,,,31.25,percent of total billed charges,999999999,,,,,,,,,,31.25,percent of total billed charges,25.23959317,,,,,,,,,,31.25,percent of total billed charges,39.80457894,,,,,,,,,,31.25,percent of total billed charges,999999999,,,,,,,,,,31.25,percent of total billed charges,27.21445422,,,,,,,,,,112.5,percent of total billed charges,,,,,
CYPT URINE 3-5 PROBES,88121,CDM,,,,both,,,1418,1418,301.8694335,1418,1418,percent of total billed charges,1043.272975,,,,1418,percent of total billed charges,1105.848726,,,,1418,percent of total billed charges,1043.272975,,,,1418,percent of total billed charges,1105.848726,,,,1418,percent of total billed charges,999999999,,,,1418,percent of total billed charges,1080.418541,,,,1418,percent of total billed charges,1043.272975,,,,1418,percent of total billed charges,1105.848726,,,,1011.034,percent of total billed charges,504.524468,,,,1011.034,percent of total billed charges,301.8694335,,,,1011.034,percent of total billed charges,504.524468,,,,1011.034,percent of total billed charges,301.8694335,,,,1011.034,percent of total billed charges,504.524468,,,,1011.034,percent of total billed charges,301.8694335,,,,1001.108,percent of total billed charges,993.5123215,,,,1001.108,percent of total billed charges,685.2175735,,,,,,,,,,1020.96,percent of total billed charges,663.5999747,,,,,,,,,,1020.96,percent of total billed charges,999999999,,,,,,,,,,1134.4,percent of total billed charges,950.5682319,,,,1120.22,percent of total billed charges,1081.060509,,,,1120.22,percent of total billed charges,955.1527441,,,,1134.4,percent of total billed charges,999999999,,,,1134.4,percent of total billed charges,999999999,,,,992.6,percent of total billed charges,999999999,,,,992.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,754.376,percent of total billed charges,999999999,,,,,,,,,,,,,,,,716.09,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,354.5,percent of total billed charges,336.6882861,,,,,,,,,,354.5,percent of total billed charges,331.0877056,,,,,,,,,,354.5,percent of total billed charges,330.167627,,,,,,,,,,354.5,percent of total billed charges,325.3059127,,,,,,,,,,354.5,percent of total billed charges,333.6765121,,,,,,,,,,354.5,percent of total billed charges,999999999,,,,,,,,,,354.5,percent of total billed charges,286.3179449,,,,,,,,,,354.5,percent of total billed charges,451.5431435,,,,,,,,,,354.5,percent of total billed charges,999999999,,,,,,,,,,354.5,percent of total billed charges,308.7207687,,,,,,,,,,1276.2,percent of total billed charges,,,,,
URINE CALCIUM,82340,CDM,,,,both,,,106,106,22.56569813,106,106,percent of total billed charges,77.98796573,,,,106,percent of total billed charges,82.66570166,,,,106,percent of total billed charges,77.98796573,,,,106,percent of total billed charges,82.66570166,,,,106,percent of total billed charges,999999999,,,,106,percent of total billed charges,80.76471467,,,,106,percent of total billed charges,77.98796573,,,,106,percent of total billed charges,82.66570166,,,,75.578,percent of total billed charges,37.71480508,,,,75.578,percent of total billed charges,22.56569813,,,,75.578,percent of total billed charges,37.71480508,,,,75.578,percent of total billed charges,22.56569813,,,,75.578,percent of total billed charges,37.71480508,,,,75.578,percent of total billed charges,22.56569813,,,,74.836,percent of total billed charges,74.26819892,,,,74.836,percent of total billed charges,51.22218814,,,,,,,,,,76.32,percent of total billed charges,49.60620403,,,,,,,,,,76.32,percent of total billed charges,999999999,,,,,,,,,,84.8,percent of total billed charges,71.05799195,,,,83.74,percent of total billed charges,80.81270374,,,,83.74,percent of total billed charges,71.40069878,,,,84.8,percent of total billed charges,999999999,,,,84.8,percent of total billed charges,999999999,,,,74.2,percent of total billed charges,999999999,,,,74.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,56.392,percent of total billed charges,999999999,,,,,,,,,,,,,,,,53.53,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,26.5,percent of total billed charges,25.16851786,,,,,,,,,,26.5,percent of total billed charges,24.74985669,,,,,,,,,,26.5,percent of total billed charges,24.6810779,,,,,,,,,,26.5,percent of total billed charges,24.31764933,,,,,,,,,,26.5,percent of total billed charges,24.9433782,,,,,,,,,,26.5,percent of total billed charges,999999999,,,,,,,,,,26.5,percent of total billed charges,21.40317501,,,,,,,,,,26.5,percent of total billed charges,33.75428294,,,,,,,,,,26.5,percent of total billed charges,999999999,,,,,,,,,,26.5,percent of total billed charges,23.07785718,,,,,,,,,,95.4,percent of total billed charges,,,,,
URINE CREATNINE (24 HR),82570,CDM,,,,both,,,105,105,22.35281419,105,105,percent of total billed charges,77.2522302,,,,105,percent of total billed charges,81.88583655,,,,105,percent of total billed charges,77.2522302,,,,105,percent of total billed charges,81.88583655,,,,105,percent of total billed charges,999999999,,,,105,percent of total billed charges,80.00278339,,,,105,percent of total billed charges,77.2522302,,,,105,percent of total billed charges,81.88583655,,,,74.865,percent of total billed charges,37.35900503,,,,74.865,percent of total billed charges,22.35281419,,,,74.865,percent of total billed charges,37.35900503,,,,74.865,percent of total billed charges,22.35281419,,,,74.865,percent of total billed charges,37.35900503,,,,74.865,percent of total billed charges,22.35281419,,,,74.13,percent of total billed charges,73.56755554,,,,74.13,percent of total billed charges,50.73895995,,,,,,,,,,75.6,percent of total billed charges,49.13822097,,,,,,,,,,75.6,percent of total billed charges,999999999,,,,,,,,,,84,percent of total billed charges,70.38763353,,,,82.95,percent of total billed charges,80.05031975,,,,82.95,percent of total billed charges,70.72710728,,,,84,percent of total billed charges,999999999,,,,84,percent of total billed charges,999999999,,,,73.5,percent of total billed charges,999999999,,,,73.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,55.86,percent of total billed charges,999999999,,,,,,,,,,,,,,,,53.025,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,26.25,percent of total billed charges,24.93107902,,,,,,,,,,26.25,percent of total billed charges,24.51636748,,,,,,,,,,26.25,percent of total billed charges,24.44823754,,,,,,,,,,26.25,percent of total billed charges,24.08823754,,,,,,,,,,26.25,percent of total billed charges,24.70806331,,,,,,,,,,26.25,percent of total billed charges,999999999,,,,,,,,,,26.25,percent of total billed charges,21.20125826,,,,,,,,,,26.25,percent of total billed charges,33.43584631,,,,,,,,,,26.25,percent of total billed charges,999999999,,,,,,,,,,26.25,percent of total billed charges,22.86014155,,,,,,,,,,94.5,percent of total billed charges,,,,,
**CHLORDIAZEPOX(*),80154,CDM,,,,both,,,252,252,53.64675405,252,252,percent of total billed charges,185.4053525,,,,252,percent of total billed charges,196.5260077,,,,252,percent of total billed charges,185.4053525,,,,252,percent of total billed charges,196.5260077,,,,252,percent of total billed charges,999999999,,,,252,percent of total billed charges,192.0066801,,,,252,percent of total billed charges,185.4053525,,,,252,percent of total billed charges,196.5260077,,,,179.676,percent of total billed charges,89.66161208,,,,179.676,percent of total billed charges,53.64675405,,,,179.676,percent of total billed charges,89.66161208,,,,179.676,percent of total billed charges,53.64675405,,,,179.676,percent of total billed charges,89.66161208,,,,179.676,percent of total billed charges,53.64675405,,,,177.912,percent of total billed charges,176.5621333,,,,177.912,percent of total billed charges,121.7735039,,,,,,,,,,181.44,percent of total billed charges,117.9317303,,,,,,,,,,181.44,percent of total billed charges,999999999,,,,,,,,,,201.6,percent of total billed charges,168.9303205,,,,199.08,percent of total billed charges,192.1207674,,,,199.08,percent of total billed charges,169.7450575,,,,201.6,percent of total billed charges,999999999,,,,201.6,percent of total billed charges,999999999,,,,176.4,percent of total billed charges,999999999,,,,176.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,134.064,percent of total billed charges,999999999,,,,,,,,,,,,,,,,127.26,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,63,percent of total billed charges,59.83458964,,,,,,,,,,63,percent of total billed charges,58.83928195,,,,,,,,,,63,percent of total billed charges,58.67577011,,,,,,,,,,63,percent of total billed charges,57.81177011,,,,,,,,,,63,percent of total billed charges,59.29935194,,,,,,,,,,63,percent of total billed charges,999999999,,,,,,,,,,63,percent of total billed charges,50.88301983,,,,,,,,,,63,percent of total billed charges,80.24603114,,,,,,,,,,63,percent of total billed charges,999999999,,,,,,,,,,63,percent of total billed charges,54.86433971,,,,,,,,,,226.8,percent of total billed charges,,,,,
CHEMILUMINESCENT ASSAY,82397,CDM,,,,both,,,236,236,50.24061093,236,236,percent of total billed charges,173.6335841,,,,236,percent of total billed charges,184.048166,,,,236,percent of total billed charges,173.6335841,,,,236,percent of total billed charges,184.048166,,,,236,percent of total billed charges,999999999,,,,236,percent of total billed charges,179.8157798,,,,236,percent of total billed charges,173.6335841,,,,236,percent of total billed charges,184.048166,,,,168.268,percent of total billed charges,83.96881131,,,,168.268,percent of total billed charges,50.24061093,,,,168.268,percent of total billed charges,83.96881131,,,,168.268,percent of total billed charges,50.24061093,,,,168.268,percent of total billed charges,83.96881131,,,,168.268,percent of total billed charges,50.24061093,,,,166.616,percent of total billed charges,165.3518391,,,,166.616,percent of total billed charges,114.0418528,,,,,,,,,,169.92,percent of total billed charges,110.4440014,,,,,,,,,,169.92,percent of total billed charges,999999999,,,,,,,,,,188.8,percent of total billed charges,158.2045858,,,,186.44,percent of total billed charges,179.9226234,,,,186.44,percent of total billed charges,158.9675935,,,,188.8,percent of total billed charges,999999999,,,,188.8,percent of total billed charges,999999999,,,,165.2,percent of total billed charges,999999999,,,,165.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,125.552,percent of total billed charges,999999999,,,,,,,,,,,,,,,,119.18,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,59,percent of total billed charges,56.03556807,,,,,,,,,,59,percent of total billed charges,55.10345453,,,,,,,,,,59,percent of total billed charges,54.95032438,,,,,,,,,,59,percent of total billed charges,54.14118153,,,,,,,,,,59,percent of total billed charges,55.53431372,,,,,,,,,,59,percent of total billed charges,999999999,,,,,,,,,,59,percent of total billed charges,47.6523519,,,,,,,,,,59,percent of total billed charges,75.15104504,,,,,,,,,,59,percent of total billed charges,999999999,,,,,,,,,,59,percent of total billed charges,51.38088957,,,,,,,,,,212.4,percent of total billed charges,,,,,
SPECIMEN INFECT AGENT,87015,CDM,,,,both,,,110,110,23.41723391,110,110,percent of total billed charges,80.93090783,,,,110,percent of total billed charges,85.7851621,,,,110,percent of total billed charges,80.93090783,,,,110,percent of total billed charges,85.7851621,,,,110,percent of total billed charges,999999999,,,,110,percent of total billed charges,83.81243975,,,,110,percent of total billed charges,80.93090783,,,,110,percent of total billed charges,85.7851621,,,,78.43,percent of total billed charges,39.13800527,,,,78.43,percent of total billed charges,23.41723391,,,,78.43,percent of total billed charges,39.13800527,,,,78.43,percent of total billed charges,23.41723391,,,,78.43,percent of total billed charges,39.13800527,,,,78.43,percent of total billed charges,23.41723391,,,,77.66,percent of total billed charges,77.07077247,,,,77.66,percent of total billed charges,53.1551009,,,,,,,,,,79.2,percent of total billed charges,51.47813626,,,,,,,,,,79.2,percent of total billed charges,999999999,,,,,,,,,,88,percent of total billed charges,73.73942561,,,,86.9,percent of total billed charges,83.86223973,,,,86.9,percent of total billed charges,74.09506477,,,,88,percent of total billed charges,999999999,,,,88,percent of total billed charges,999999999,,,,77,percent of total billed charges,999999999,,,,77,percent of total billed charges,999999999,,,,,,,,,,,,,,,,58.52,percent of total billed charges,999999999,,,,,,,,,,,,,,,,55.55,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,27.5,percent of total billed charges,26.11827325,,,,,,,,,,27.5,percent of total billed charges,25.68381355,,,,,,,,,,27.5,percent of total billed charges,25.61243933,,,,,,,,,,27.5,percent of total billed charges,25.23529647,,,,,,,,,,27.5,percent of total billed charges,25.88463775,,,,,,,,,,27.5,percent of total billed charges,999999999,,,,,,,,,,27.5,percent of total billed charges,22.21084199,,,,,,,,,,27.5,percent of total billed charges,35.02802947,,,,,,,,,,27.5,percent of total billed charges,999999999,,,,,,,,,,27.5,percent of total billed charges,23.94871971,,,,,,,,,,99,percent of total billed charges,,,,,
HERPES SIMPLEX 1,87274,CDM,,,,both,,,148,148,31.5068238,148,148,percent of total billed charges,108.8888578,,,,148,percent of total billed charges,115.4200363,,,,148,percent of total billed charges,108.8888578,,,,148,percent of total billed charges,115.4200363,,,,148,percent of total billed charges,999999999,,,,148,percent of total billed charges,112.765828,,,,148,percent of total billed charges,108.8888578,,,,148,percent of total billed charges,115.4200363,,,,105.524,percent of total billed charges,52.65840709,,,,105.524,percent of total billed charges,31.5068238,,,,105.524,percent of total billed charges,52.65840709,,,,105.524,percent of total billed charges,31.5068238,,,,105.524,percent of total billed charges,52.65840709,,,,105.524,percent of total billed charges,31.5068238,,,,104.488,percent of total billed charges,103.6952211,,,,104.488,percent of total billed charges,71.51777213,,,,,,,,,,106.56,percent of total billed charges,69.26149242,,,,,,,,,,106.56,percent of total billed charges,999999999,,,,,,,,,,118.4,percent of total billed charges,99.21304536,,,,116.92,percent of total billed charges,112.8328316,,,,116.92,percent of total billed charges,99.6915417,,,,118.4,percent of total billed charges,999999999,,,,118.4,percent of total billed charges,999999999,,,,103.6,percent of total billed charges,999999999,,,,103.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,78.736,percent of total billed charges,999999999,,,,,,,,,,,,,,,,74.74,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,37,percent of total billed charges,35.14094947,,,,,,,,,,37,percent of total billed charges,34.55640369,,,,,,,,,,37,percent of total billed charges,34.46037292,,,,,,,,,,37,percent of total billed charges,33.95294435,,,,,,,,,,37,percent of total billed charges,34.82660352,,,,,,,,,,37,percent of total billed charges,999999999,,,,,,,,,,37,percent of total billed charges,29.88367831,,,,,,,,,,37,percent of total billed charges,47.12862146,,,,,,,,,,37,percent of total billed charges,999999999,,,,,,,,,,37,percent of total billed charges,32.2219138,,,,,,,,,,133.2,percent of total billed charges,,,,,
HERPES SIMPLEX 2,87273,CDM,,,,both,,,141,141,30.01663619,141,141,percent of total billed charges,103.7387091,,,,141,percent of total billed charges,109.9609805,,,,141,percent of total billed charges,103.7387091,,,,141,percent of total billed charges,109.9609805,,,,141,percent of total billed charges,999999999,,,,141,percent of total billed charges,107.4323091,,,,141,percent of total billed charges,103.7387091,,,,141,percent of total billed charges,109.9609805,,,,100.533,percent of total billed charges,50.16780676,,,,100.533,percent of total billed charges,30.01663619,,,,100.533,percent of total billed charges,50.16780676,,,,100.533,percent of total billed charges,30.01663619,,,,100.533,percent of total billed charges,50.16780676,,,,100.533,percent of total billed charges,30.01663619,,,,99.546,percent of total billed charges,98.79071744,,,,99.546,percent of total billed charges,68.1351748,,,,,,,,,,101.52,percent of total billed charges,65.98561102,,,,,,,,,,101.52,percent of total billed charges,999999999,,,,,,,,,,112.8,percent of total billed charges,94.52053646,,,,111.39,percent of total billed charges,107.4961437,,,,111.39,percent of total billed charges,94.97640121,,,,112.8,percent of total billed charges,999999999,,,,112.8,percent of total billed charges,999999999,,,,98.7,percent of total billed charges,999999999,,,,98.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,75.012,percent of total billed charges,999999999,,,,,,,,,,,,,,,,71.205,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,35.25,percent of total billed charges,33.47887753,,,,,,,,,,35.25,percent of total billed charges,32.92197919,,,,,,,,,,35.25,percent of total billed charges,32.83049042,,,,,,,,,,35.25,percent of total billed charges,32.34706184,,,,,,,,,,35.25,percent of total billed charges,33.1793993,,,,,,,,,,35.25,percent of total billed charges,999999999,,,,,,,,,,35.25,percent of total billed charges,28.47026109,,,,,,,,,,35.25,percent of total billed charges,44.89956504,,,,,,,,,,35.25,percent of total billed charges,999999999,,,,,,,,,,35.25,percent of total billed charges,30.69790436,,,,,,,,,,126.9,percent of total billed charges,,,,,
OSMOLALITY URINE,83935,CDM,,,,both,,,176,176,37.46757425,176,176,percent of total billed charges,129.4894525,,,,176,percent of total billed charges,137.2562594,,,,176,percent of total billed charges,129.4894525,,,,176,percent of total billed charges,137.2562594,,,,176,percent of total billed charges,999999999,,,,176,percent of total billed charges,134.0999036,,,,176,percent of total billed charges,129.4894525,,,,176,percent of total billed charges,137.2562594,,,,125.488,percent of total billed charges,62.62080844,,,,125.488,percent of total billed charges,37.46757425,,,,125.488,percent of total billed charges,62.62080844,,,,125.488,percent of total billed charges,37.46757425,,,,125.488,percent of total billed charges,62.62080844,,,,125.488,percent of total billed charges,37.46757425,,,,124.256,percent of total billed charges,123.3132359,,,,124.256,percent of total billed charges,85.04816145,,,,,,,,,,126.72,percent of total billed charges,82.36501801,,,,,,,,,,126.72,percent of total billed charges,999999999,,,,,,,,,,140.8,percent of total billed charges,117.983081,,,,139.04,percent of total billed charges,134.1795836,,,,139.04,percent of total billed charges,118.5521036,,,,140.8,percent of total billed charges,999999999,,,,140.8,percent of total billed charges,999999999,,,,123.2,percent of total billed charges,999999999,,,,123.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,93.632,percent of total billed charges,999999999,,,,,,,,,,,,,,,,88.88,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,44,percent of total billed charges,41.78923721,,,,,,,,,,44,percent of total billed charges,41.09410168,,,,,,,,,,44,percent of total billed charges,40.97990293,,,,,,,,,,44,percent of total billed charges,40.37647436,,,,,,,,,,44,percent of total billed charges,41.4154204,,,,,,,,,,44,percent of total billed charges,999999999,,,,,,,,,,44,percent of total billed charges,35.53734718,,,,,,,,,,44,percent of total billed charges,56.04484715,,,,,,,,,,44,percent of total billed charges,999999999,,,,,,,,,,44,percent of total billed charges,38.31795154,,,,,,,,,,158.4,percent of total billed charges,,,,,
URINE PROTEIN ELECTROPHRESIS(*),84166,CDM,,,,both,,,247,247,52.58233432,247,247,percent of total billed charges,181.7266749,,,,247,percent of total billed charges,192.6266822,,,,247,percent of total billed charges,181.7266749,,,,247,percent of total billed charges,192.6266822,,,,247,percent of total billed charges,999999999,,,,247,percent of total billed charges,188.1970238,,,,247,percent of total billed charges,181.7266749,,,,247,percent of total billed charges,192.6266822,,,,176.111,percent of total billed charges,87.88261184,,,,176.111,percent of total billed charges,52.58233432,,,,176.111,percent of total billed charges,87.88261184,,,,176.111,percent of total billed charges,52.58233432,,,,176.111,percent of total billed charges,87.88261184,,,,176.111,percent of total billed charges,52.58233432,,,,174.382,percent of total billed charges,173.0589164,,,,174.382,percent of total billed charges,119.3573629,,,,,,,,,,177.84,percent of total billed charges,115.591815,,,,,,,,,,177.84,percent of total billed charges,999999999,,,,,,,,,,197.6,percent of total billed charges,165.5785284,,,,195.13,percent of total billed charges,188.3088474,,,,195.13,percent of total billed charges,166.3771,,,,197.6,percent of total billed charges,999999999,,,,197.6,percent of total billed charges,999999999,,,,172.9,percent of total billed charges,999999999,,,,172.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,131.404,percent of total billed charges,999999999,,,,,,,,,,,,,,,,124.735,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,61.75,percent of total billed charges,58.6473954,,,,,,,,,,61.75,percent of total billed charges,57.67183588,,,,,,,,,,61.75,percent of total billed charges,57.51156832,,,,,,,,,,61.75,percent of total billed charges,56.66471117,,,,,,,,,,61.75,percent of total billed charges,58.1227775,,,,,,,,,,61.75,percent of total billed charges,999999999,,,,,,,,,,61.75,percent of total billed charges,49.8734361,,,,,,,,,,61.75,percent of total billed charges,78.65384799,,,,,,,,,,61.75,percent of total billed charges,999999999,,,,,,,,,,61.75,percent of total billed charges,53.77576154,,,,,,,,,,222.3,percent of total billed charges,,,,,
**SERUM DRUG SCREEN QU(*),80302,CDM,,,,both,,,152,152,32.35835958,152,152,percent of total billed charges,111.8317999,,,,152,percent of total billed charges,118.5394967,,,,152,percent of total billed charges,111.8317999,,,,152,percent of total billed charges,118.5394967,,,,152,percent of total billed charges,999999999,,,,152,percent of total billed charges,115.8135531,,,,152,percent of total billed charges,111.8317999,,,,152,percent of total billed charges,118.5394967,,,,108.376,percent of total billed charges,54.08160728,,,,108.376,percent of total billed charges,32.35835958,,,,108.376,percent of total billed charges,54.08160728,,,,108.376,percent of total billed charges,32.35835958,,,,108.376,percent of total billed charges,54.08160728,,,,108.376,percent of total billed charges,32.35835958,,,,107.312,percent of total billed charges,106.4977947,,,,107.312,percent of total billed charges,73.45068489,,,,,,,,,,109.44,percent of total billed charges,71.13342465,,,,,,,,,,109.44,percent of total billed charges,999999999,,,,,,,,,,121.6,percent of total billed charges,101.894479,,,,120.08,percent of total billed charges,115.8823676,,,,120.08,percent of total billed charges,102.3859077,,,,121.6,percent of total billed charges,999999999,,,,121.6,percent of total billed charges,999999999,,,,106.4,percent of total billed charges,999999999,,,,106.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,80.864,percent of total billed charges,999999999,,,,,,,,,,,,,,,,76.76,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,38,percent of total billed charges,36.09070486,,,,,,,,,,38,percent of total billed charges,35.49036054,,,,,,,,,,38,percent of total billed charges,35.39173435,,,,,,,,,,38,percent of total billed charges,34.87059149,,,,,,,,,,38,percent of total billed charges,35.76786307,,,,,,,,,,38,percent of total billed charges,999999999,,,,,,,,,,38,percent of total billed charges,30.69134529,,,,,,,,,,38,percent of total billed charges,48.40236799,,,,,,,,,,38,percent of total billed charges,999999999,,,,,,,,,,38,percent of total billed charges,33.09277633,,,,,,,,,,136.8,percent of total billed charges,,,,,
**DRUG ABUSE SCREEN URINE(*),80101,CDM,,,,both,,,152,152,32.35835958,152,152,percent of total billed charges,111.8317999,,,,152,percent of total billed charges,118.5394967,,,,152,percent of total billed charges,111.8317999,,,,152,percent of total billed charges,118.5394967,,,,152,percent of total billed charges,999999999,,,,152,percent of total billed charges,115.8135531,,,,152,percent of total billed charges,111.8317999,,,,152,percent of total billed charges,118.5394967,,,,108.376,percent of total billed charges,54.08160728,,,,108.376,percent of total billed charges,32.35835958,,,,108.376,percent of total billed charges,54.08160728,,,,108.376,percent of total billed charges,32.35835958,,,,108.376,percent of total billed charges,54.08160728,,,,108.376,percent of total billed charges,32.35835958,,,,107.312,percent of total billed charges,106.4977947,,,,107.312,percent of total billed charges,73.45068489,,,,,,,,,,109.44,percent of total billed charges,71.13342465,,,,,,,,,,109.44,percent of total billed charges,999999999,,,,,,,,,,121.6,percent of total billed charges,101.894479,,,,120.08,percent of total billed charges,115.8823676,,,,120.08,percent of total billed charges,102.3859077,,,,121.6,percent of total billed charges,999999999,,,,121.6,percent of total billed charges,999999999,,,,106.4,percent of total billed charges,999999999,,,,106.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,80.864,percent of total billed charges,999999999,,,,,,,,,,,,,,,,76.76,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,38,percent of total billed charges,36.09070486,,,,,,,,,,38,percent of total billed charges,35.49036054,,,,,,,,,,38,percent of total billed charges,35.39173435,,,,,,,,,,38,percent of total billed charges,34.87059149,,,,,,,,,,38,percent of total billed charges,35.76786307,,,,,,,,,,38,percent of total billed charges,999999999,,,,,,,,,,38,percent of total billed charges,30.69134529,,,,,,,,,,38,percent of total billed charges,48.40236799,,,,,,,,,,38,percent of total billed charges,999999999,,,,,,,,,,38,percent of total billed charges,33.09277633,,,,,,,,,,136.8,percent of total billed charges,,,,,
**TRICYCLIC ANTIDEPRESSENT,80307,CDM,,,,both,,,167,167,35.55161875,167,167,percent of total billed charges,122.8678328,,,,167,percent of total billed charges,130.2374734,,,,167,percent of total billed charges,122.8678328,,,,167,percent of total billed charges,130.2374734,,,,167,percent of total billed charges,999999999,,,,167,percent of total billed charges,127.2425222,,,,167,percent of total billed charges,122.8678328,,,,167,percent of total billed charges,130.2374734,,,,119.071,percent of total billed charges,59.418608,,,,119.071,percent of total billed charges,35.55161875,,,,119.071,percent of total billed charges,59.418608,,,,119.071,percent of total billed charges,35.55161875,,,,119.071,percent of total billed charges,59.418608,,,,119.071,percent of total billed charges,35.55161875,,,,117.902,percent of total billed charges,117.0074455,,,,117.902,percent of total billed charges,80.69910774,,,,,,,,,,120.24,percent of total billed charges,78.1531705,,,,,,,,,,120.24,percent of total billed charges,999999999,,,,,,,,,,133.6,percent of total billed charges,111.9498552,,,,131.93,percent of total billed charges,127.3181276,,,,131.93,percent of total billed charges,112.4897802,,,,133.6,percent of total billed charges,999999999,,,,133.6,percent of total billed charges,999999999,,,,116.9,percent of total billed charges,999999999,,,,116.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,88.844,percent of total billed charges,999999999,,,,,,,,,,,,,,,,84.335,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,41.75,percent of total billed charges,39.65228758,,,,,,,,,,41.75,percent of total billed charges,38.99269875,,,,,,,,,,41.75,percent of total billed charges,38.88433971,,,,,,,,,,41.75,percent of total billed charges,38.31176828,,,,,,,,,,41.75,percent of total billed charges,39.2975864,,,,,,,,,,41.75,percent of total billed charges,999999999,,,,,,,,,,41.75,percent of total billed charges,33.72009647,,,,,,,,,,41.75,percent of total billed charges,53.17891746,,,,,,,,,,41.75,percent of total billed charges,999999999,,,,,,,,,,41.75,percent of total billed charges,36.35851084,,,,,,,,,,150.3,percent of total billed charges,,,,,
URINE PROTEIN (24 HR)(*),84156,CDM,,,,both,,,109,109,23.20434996,109,109,percent of total billed charges,80.1951723,,,,109,percent of total billed charges,85.00529699,,,,109,percent of total billed charges,80.1951723,,,,109,percent of total billed charges,85.00529699,,,,109,percent of total billed charges,999999999,,,,109,percent of total billed charges,83.05050848,,,,109,percent of total billed charges,80.1951723,,,,109,percent of total billed charges,85.00529699,,,,77.717,percent of total billed charges,38.78220522,,,,77.717,percent of total billed charges,23.20434996,,,,77.717,percent of total billed charges,38.78220522,,,,77.717,percent of total billed charges,23.20434996,,,,77.717,percent of total billed charges,38.78220522,,,,77.717,percent of total billed charges,23.20434996,,,,76.954,percent of total billed charges,76.37012908,,,,76.954,percent of total billed charges,52.67187271,,,,,,,,,,78.48,percent of total billed charges,51.0101532,,,,,,,,,,78.48,percent of total billed charges,999999999,,,,,,,,,,87.2,percent of total billed charges,73.06906719,,,,86.11,percent of total billed charges,83.09985574,,,,86.11,percent of total billed charges,73.42147328,,,,87.2,percent of total billed charges,999999999,,,,87.2,percent of total billed charges,999999999,,,,76.3,percent of total billed charges,999999999,,,,76.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,57.988,percent of total billed charges,999999999,,,,,,,,,,,,,,,,55.045,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,27.25,percent of total billed charges,25.88083441,,,,,,,,,,27.25,percent of total billed charges,25.45032434,,,,,,,,,,27.25,percent of total billed charges,25.37959897,,,,,,,,,,27.25,percent of total billed charges,25.00588469,,,,,,,,,,27.25,percent of total billed charges,25.64932286,,,,,,,,,,27.25,percent of total billed charges,999999999,,,,,,,,,,27.25,percent of total billed charges,22.00892524,,,,,,,,,,27.25,percent of total billed charges,34.70959284,,,,,,,,,,27.25,percent of total billed charges,999999999,,,,,,,,,,27.25,percent of total billed charges,23.73100408,,,,,,,,,,98.1,percent of total billed charges,,,,,
TOXICOLOGY URINE TRIAGE,80307,CDM,,,,both,,,333,333,70.89035356,333,333,percent of total billed charges,244.9999301,,,,333,percent of total billed charges,259.6950816,,,,333,percent of total billed charges,244.9999301,,,,333,percent of total billed charges,259.6950816,,,,333,percent of total billed charges,999999999,,,,333,percent of total billed charges,253.7231131,,,,333,percent of total billed charges,244.9999301,,,,333,percent of total billed charges,259.6950816,,,,237.429,percent of total billed charges,118.481416,,,,237.429,percent of total billed charges,70.89035356,,,,237.429,percent of total billed charges,118.481416,,,,237.429,percent of total billed charges,70.89035356,,,,237.429,percent of total billed charges,118.481416,,,,237.429,percent of total billed charges,70.89035356,,,,235.098,percent of total billed charges,233.3142476,,,,235.098,percent of total billed charges,160.9149873,,,,,,,,,,239.76,percent of total billed charges,155.8383579,,,,,,,,,,239.76,percent of total billed charges,999999999,,,,,,,,,,266.4,percent of total billed charges,223.2293521,,,,263.07,percent of total billed charges,253.8738712,,,,263.07,percent of total billed charges,224.3059688,,,,266.4,percent of total billed charges,999999999,,,,266.4,percent of total billed charges,999999999,,,,233.1,percent of total billed charges,999999999,,,,233.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,177.156,percent of total billed charges,999999999,,,,,,,,,,,,,,,,168.165,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,83.25,percent of total billed charges,79.06713631,,,,,,,,,,83.25,percent of total billed charges,77.75190829,,,,,,,,,,83.25,percent of total billed charges,77.53583907,,,,,,,,,,83.25,percent of total billed charges,76.39412478,,,,,,,,,,83.25,percent of total billed charges,78.35985792,,,,,,,,,,83.25,percent of total billed charges,999999999,,,,,,,,,,83.25,percent of total billed charges,67.2382762,,,,,,,,,,83.25,percent of total billed charges,106.0393983,,,,,,,,,,83.25,percent of total billed charges,999999999,,,,,,,,,,83.25,percent of total billed charges,72.49930604,,,,,,,,,,299.7,percent of total billed charges,,,,,
ALCOHOL - ETHANOL,80307,CDM,,,,both,,,233,233,49.6019591,233,233,percent of total billed charges,171.4263775,,,,233,percent of total billed charges,181.7085706,,,,233,percent of total billed charges,171.4263775,,,,233,percent of total billed charges,181.7085706,,,,233,percent of total billed charges,999999999,,,,233,percent of total billed charges,177.529986,,,,233,percent of total billed charges,171.4263775,,,,233,percent of total billed charges,181.7085706,,,,166.129,percent of total billed charges,82.90141117,,,,166.129,percent of total billed charges,49.6019591,,,,166.129,percent of total billed charges,82.90141117,,,,166.129,percent of total billed charges,49.6019591,,,,166.129,percent of total billed charges,82.90141117,,,,166.129,percent of total billed charges,49.6019591,,,,164.498,percent of total billed charges,163.249909,,,,164.498,percent of total billed charges,112.5921683,,,,,,,,,,167.76,percent of total billed charges,109.0400523,,,,,,,,,,167.76,percent of total billed charges,999999999,,,,,,,,,,186.4,percent of total billed charges,156.1935106,,,,184.07,percent of total billed charges,177.6354714,,,,184.07,percent of total billed charges,156.946819,,,,186.4,percent of total billed charges,999999999,,,,186.4,percent of total billed charges,999999999,,,,163.1,percent of total billed charges,999999999,,,,163.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,123.956,percent of total billed charges,999999999,,,,,,,,,,,,,,,,117.665,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,58.25,percent of total billed charges,55.32325153,,,,,,,,,,58.25,percent of total billed charges,54.40298688,,,,,,,,,,58.25,percent of total billed charges,54.25180331,,,,,,,,,,58.25,percent of total billed charges,53.45294617,,,,,,,,,,58.25,percent of total billed charges,54.82836905,,,,,,,,,,58.25,percent of total billed charges,999999999,,,,,,,,,,58.25,percent of total billed charges,47.04660167,,,,,,,,,,58.25,percent of total billed charges,74.19573514,,,,,,,,,,58.25,percent of total billed charges,999999999,,,,,,,,,,58.25,percent of total billed charges,50.72774267,,,,,,,,,,209.7,percent of total billed charges,,,,,
ALCOHOL - URINE,80320,CDM,,,,both,,,289,289,61.52346,289,289,percent of total billed charges,212.6275669,,,,289,percent of total billed charges,225.3810168,,,,289,percent of total billed charges,212.6275669,,,,289,percent of total billed charges,225.3810168,,,,289,percent of total billed charges,999999999,,,,289,percent of total billed charges,220.1981372,,,,289,percent of total billed charges,212.6275669,,,,289,percent of total billed charges,225.3810168,,,,206.057,percent of total billed charges,102.8262139,,,,206.057,percent of total billed charges,61.52346,,,,206.057,percent of total billed charges,102.8262139,,,,206.057,percent of total billed charges,61.52346,,,,206.057,percent of total billed charges,102.8262139,,,,206.057,percent of total billed charges,61.52346,,,,204.034,percent of total billed charges,202.4859386,,,,204.034,percent of total billed charges,139.6529469,,,,,,,,,,208.08,percent of total billed charges,135.2471034,,,,,,,,,,208.08,percent of total billed charges,999999999,,,,,,,,,,231.2,percent of total billed charges,193.7335818,,,,228.31,percent of total billed charges,220.3289753,,,,228.31,percent of total billed charges,194.6679429,,,,231.2,percent of total billed charges,999999999,,,,231.2,percent of total billed charges,999999999,,,,202.3,percent of total billed charges,999999999,,,,202.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,153.748,percent of total billed charges,999999999,,,,,,,,,,,,,,,,145.945,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,72.25,percent of total billed charges,68.619827,,,,,,,,,,72.25,percent of total billed charges,67.47838287,,,,,,,,,,72.25,percent of total billed charges,67.29086334,,,,,,,,,,72.25,percent of total billed charges,66.30000619,,,,,,,,,,72.25,percent of total billed charges,68.00600282,,,,,,,,,,72.25,percent of total billed charges,999999999,,,,,,,,,,72.25,percent of total billed charges,58.3539394,,,,,,,,,,72.25,percent of total billed charges,92.02818651,,,,,,,,,,72.25,percent of total billed charges,999999999,,,,,,,,,,72.25,percent of total billed charges,62.91981816,,,,,,,,,,260.1,percent of total billed charges,,,,,
**ALCOHOL - SERUM,82055,CDM,,,,both,,,171,171,36.40315453,171,171,percent of total billed charges,125.8107749,,,,171,percent of total billed charges,133.3569338,,,,171,percent of total billed charges,125.8107749,,,,171,percent of total billed charges,133.3569338,,,,171,percent of total billed charges,999999999,,,,171,percent of total billed charges,130.2902472,,,,171,percent of total billed charges,125.8107749,,,,171,percent of total billed charges,133.3569338,,,,121.923,percent of total billed charges,60.8418082,,,,121.923,percent of total billed charges,36.40315453,,,,121.923,percent of total billed charges,60.8418082,,,,121.923,percent of total billed charges,36.40315453,,,,121.923,percent of total billed charges,60.8418082,,,,121.923,percent of total billed charges,36.40315453,,,,120.726,percent of total billed charges,119.810019,,,,120.726,percent of total billed charges,82.6320205,,,,,,,,,,123.12,percent of total billed charges,80.02510273,,,,,,,,,,123.12,percent of total billed charges,999999999,,,,,,,,,,136.8,percent of total billed charges,114.6312889,,,,135.09,percent of total billed charges,130.3676636,,,,135.09,percent of total billed charges,115.1841461,,,,136.8,percent of total billed charges,999999999,,,,136.8,percent of total billed charges,999999999,,,,119.7,percent of total billed charges,999999999,,,,119.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,90.972,percent of total billed charges,999999999,,,,,,,,,,,,,,,,86.355,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,42.75,percent of total billed charges,40.60204297,,,,,,,,,,42.75,percent of total billed charges,39.92665561,,,,,,,,,,42.75,percent of total billed charges,39.81570114,,,,,,,,,,42.75,percent of total billed charges,39.22941543,,,,,,,,,,42.75,percent of total billed charges,40.23884596,,,,,,,,,,42.75,percent of total billed charges,999999999,,,,,,,,,,42.75,percent of total billed charges,34.52776345,,,,,,,,,,42.75,percent of total billed charges,54.45266399,,,,,,,,,,42.75,percent of total billed charges,999999999,,,,,,,,,,42.75,percent of total billed charges,37.22937337,,,,,,,,,,153.9,percent of total billed charges,,,,,
AMMONIA,82140,CDM,,,,both,,,277,277,58.96885266,277,277,percent of total billed charges,203.7987406,,,,277,percent of total billed charges,216.0226355,,,,277,percent of total billed charges,203.7987406,,,,277,percent of total billed charges,216.0226355,,,,277,percent of total billed charges,999999999,,,,277,percent of total billed charges,211.0549619,,,,277,percent of total billed charges,203.7987406,,,,277,percent of total billed charges,216.0226355,,,,197.501,percent of total billed charges,98.55661328,,,,197.501,percent of total billed charges,58.96885266,,,,197.501,percent of total billed charges,98.55661328,,,,197.501,percent of total billed charges,58.96885266,,,,197.501,percent of total billed charges,98.55661328,,,,197.501,percent of total billed charges,58.96885266,,,,195.562,percent of total billed charges,194.0782179,,,,195.562,percent of total billed charges,133.8542086,,,,,,,,,,199.44,percent of total billed charges,129.6313068,,,,,,,,,,199.44,percent of total billed charges,999999999,,,,,,,,,,221.6,percent of total billed charges,185.6892808,,,,218.83,percent of total billed charges,211.1803673,,,,218.83,percent of total billed charges,186.5848449,,,,221.6,percent of total billed charges,999999999,,,,221.6,percent of total billed charges,999999999,,,,193.9,percent of total billed charges,999999999,,,,193.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,147.364,percent of total billed charges,999999999,,,,,,,,,,,,,,,,139.885,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,69.25,percent of total billed charges,65.77056083,,,,,,,,,,69.25,percent of total billed charges,64.6765123,,,,,,,,,,69.25,percent of total billed charges,64.49677905,,,,,,,,,,69.25,percent of total billed charges,63.54706476,,,,,,,,,,69.25,percent of total billed charges,65.18222416,,,,,,,,,,69.25,percent of total billed charges,999999999,,,,,,,,,,69.25,percent of total billed charges,55.93093846,,,,,,,,,,69.25,percent of total billed charges,88.20694693,,,,,,,,,,69.25,percent of total billed charges,999999999,,,,,,,,,,69.25,percent of total billed charges,60.30723055,,,,,,,,,,249.3,percent of total billed charges,,,,,
CATECHOLAMINES 24 HR(*),82382,CDM,,,,both,,,363,363,77.2768719,363,363,percent of total billed charges,267.0719958,,,,363,percent of total billed charges,283.0910349,,,,363,percent of total billed charges,267.0719958,,,,363,percent of total billed charges,283.0910349,,,,363,percent of total billed charges,999999999,,,,363,percent of total billed charges,276.5810512,,,,363,percent of total billed charges,267.0719958,,,,363,percent of total billed charges,283.0910349,,,,258.819,percent of total billed charges,129.1554174,,,,258.819,percent of total billed charges,77.2768719,,,,258.819,percent of total billed charges,129.1554174,,,,258.819,percent of total billed charges,77.2768719,,,,258.819,percent of total billed charges,129.1554174,,,,258.819,percent of total billed charges,77.2768719,,,,256.278,percent of total billed charges,254.3335491,,,,256.278,percent of total billed charges,175.411833,,,,,,,,,,261.36,percent of total billed charges,169.8778496,,,,,,,,,,261.36,percent of total billed charges,999999999,,,,,,,,,,290.4,percent of total billed charges,243.3401045,,,,286.77,percent of total billed charges,276.7453911,,,,286.77,percent of total billed charges,244.5137138,,,,290.4,percent of total billed charges,999999999,,,,290.4,percent of total billed charges,999999999,,,,254.1,percent of total billed charges,999999999,,,,254.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,193.116,percent of total billed charges,999999999,,,,,,,,,,,,,,,,183.315,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,90.75,percent of total billed charges,86.19030174,,,,,,,,,,90.75,percent of total billed charges,84.75658472,,,,,,,,,,90.75,percent of total billed charges,84.5210498,,,,,,,,,,90.75,percent of total billed charges,83.27647837,,,,,,,,,,90.75,percent of total billed charges,85.41930458,,,,,,,,,,90.75,percent of total billed charges,999999999,,,,,,,,,,90.75,percent of total billed charges,73.29577856,,,,,,,,,,90.75,percent of total billed charges,115.5924972,,,,,,,,,,90.75,percent of total billed charges,999999999,,,,,,,,,,90.75,percent of total billed charges,79.03077506,,,,,,,,,,326.7,percent of total billed charges,,,,,
CALCITONIN,82308,CDM,,,,both,,,185,185,39.38352976,185,185,percent of total billed charges,136.1110723,,,,185,percent of total billed charges,144.2750454,,,,185,percent of total billed charges,136.1110723,,,,185,percent of total billed charges,144.2750454,,,,185,percent of total billed charges,999999999,,,,185,percent of total billed charges,140.957285,,,,185,percent of total billed charges,136.1110723,,,,185,percent of total billed charges,144.2750454,,,,131.905,percent of total billed charges,65.82300887,,,,131.905,percent of total billed charges,39.38352976,,,,131.905,percent of total billed charges,65.82300887,,,,131.905,percent of total billed charges,39.38352976,,,,131.905,percent of total billed charges,65.82300887,,,,131.905,percent of total billed charges,39.38352976,,,,130.61,percent of total billed charges,129.6190264,,,,130.61,percent of total billed charges,89.39721516,,,,,,,,,,133.2,percent of total billed charges,86.57686552,,,,,,,,,,133.2,percent of total billed charges,999999999,,,,,,,,,,148,percent of total billed charges,124.0163067,,,,146.15,percent of total billed charges,141.0410396,,,,146.15,percent of total billed charges,124.6144271,,,,148,percent of total billed charges,999999999,,,,148,percent of total billed charges,999999999,,,,129.5,percent of total billed charges,999999999,,,,129.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,98.42,percent of total billed charges,999999999,,,,,,,,,,,,,,,,93.425,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,46.25,percent of total billed charges,43.92618684,,,,,,,,,,46.25,percent of total billed charges,43.19550461,,,,,,,,,,46.25,percent of total billed charges,43.07546615,,,,,,,,,,46.25,percent of total billed charges,42.44118043,,,,,,,,,,46.25,percent of total billed charges,43.5332544,,,,,,,,,,46.25,percent of total billed charges,999999999,,,,,,,,,,46.25,percent of total billed charges,37.35459789,,,,,,,,,,46.25,percent of total billed charges,58.91077683,,,,,,,,,,46.25,percent of total billed charges,999999999,,,,,,,,,,46.25,percent of total billed charges,40.27739225,,,,,,,,,,166.5,percent of total billed charges,,,,,
5-HIAA 24 HR(*),83497,CDM,,,,both,,,219,219,46.62158387,219,219,percent of total billed charges,161.1260801,,,,219,percent of total billed charges,170.7904591,,,,219,percent of total billed charges,161.1260801,,,,219,percent of total billed charges,170.7904591,,,,219,percent of total billed charges,999999999,,,,219,percent of total billed charges,166.8629482,,,,219,percent of total billed charges,161.1260801,,,,219,percent of total billed charges,170.7904591,,,,156.147,percent of total billed charges,77.9202105,,,,156.147,percent of total billed charges,46.62158387,,,,156.147,percent of total billed charges,77.9202105,,,,156.147,percent of total billed charges,46.62158387,,,,156.147,percent of total billed charges,77.9202105,,,,156.147,percent of total billed charges,46.62158387,,,,154.614,percent of total billed charges,153.4409015,,,,154.614,percent of total billed charges,105.8269736,,,,,,,,,,157.68,percent of total billed charges,102.4882895,,,,,,,,,,157.68,percent of total billed charges,999999999,,,,,,,,,,175.2,percent of total billed charges,146.8084928,,,,173.01,percent of total billed charges,166.9620955,,,,173.01,percent of total billed charges,147.516538,,,,175.2,percent of total billed charges,999999999,,,,175.2,percent of total billed charges,999999999,,,,153.3,percent of total billed charges,999999999,,,,153.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,116.508,percent of total billed charges,999999999,,,,,,,,,,,,,,,,110.595,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,54.75,percent of total billed charges,51.99910766,,,,,,,,,,54.75,percent of total billed charges,51.13413789,,,,,,,,,,54.75,percent of total billed charges,50.99203831,,,,,,,,,,54.75,percent of total billed charges,50.24118116,,,,,,,,,,54.75,percent of total billed charges,51.53396061,,,,,,,,,,54.75,percent of total billed charges,999999999,,,,,,,,,,54.75,percent of total billed charges,44.21976723,,,,,,,,,,54.75,percent of total billed charges,69.7376223,,,,,,,,,,54.75,percent of total billed charges,999999999,,,,,,,,,,54.75,percent of total billed charges,47.67972379,,,,,,,,,,197.1,percent of total billed charges,,,,,
CATECHOLAMINES; FRACTIONED,82384,CDM,,,,both,,,337,337,71.74188934,337,337,percent of total billed charges,247.9428722,,,,337,percent of total billed charges,262.8145421,,,,337,percent of total billed charges,247.9428722,,,,337,percent of total billed charges,262.8145421,,,,337,percent of total billed charges,999999999,,,,337,percent of total billed charges,256.7708381,,,,337,percent of total billed charges,247.9428722,,,,337,percent of total billed charges,262.8145421,,,,240.281,percent of total billed charges,119.9046162,,,,240.281,percent of total billed charges,71.74188934,,,,240.281,percent of total billed charges,119.9046162,,,,240.281,percent of total billed charges,71.74188934,,,,240.281,percent of total billed charges,119.9046162,,,,240.281,percent of total billed charges,71.74188934,,,,237.922,percent of total billed charges,236.1168211,,,,237.922,percent of total billed charges,162.8479,,,,,,,,,,242.64,percent of total billed charges,157.7102902,,,,,,,,,,242.64,percent of total billed charges,999999999,,,,,,,,,,269.6,percent of total billed charges,225.9107857,,,,266.23,percent of total billed charges,256.9234072,,,,266.23,percent of total billed charges,227.0003348,,,,269.6,percent of total billed charges,999999999,,,,269.6,percent of total billed charges,999999999,,,,235.9,percent of total billed charges,999999999,,,,235.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,179.284,percent of total billed charges,999999999,,,,,,,,,,,,,,,,170.185,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,84.25,percent of total billed charges,80.0168917,,,,,,,,,,84.25,percent of total billed charges,78.68586515,,,,,,,,,,84.25,percent of total billed charges,78.4672005,,,,,,,,,,84.25,percent of total billed charges,77.31177193,,,,,,,,,,84.25,percent of total billed charges,79.30111747,,,,,,,,,,84.25,percent of total billed charges,999999999,,,,,,,,,,84.25,percent of total billed charges,68.04594318,,,,,,,,,,84.25,percent of total billed charges,107.3131448,,,,,,,,,,84.25,percent of total billed charges,999999999,,,,,,,,,,84.25,percent of total billed charges,73.37016858,,,,,,,,,,303.3,percent of total billed charges,,,,,
17-KETOSTEROIDS (24 HR)(*),83586,CDM,,,,both,,,198,198,42.15102104,198,198,percent of total billed charges,145.6756341,,,,198,percent of total billed charges,154.4132918,,,,198,percent of total billed charges,145.6756341,,,,198,percent of total billed charges,154.4132918,,,,198,percent of total billed charges,999999999,,,,198,percent of total billed charges,150.8623915,,,,198,percent of total billed charges,145.6756341,,,,198,percent of total billed charges,154.4132918,,,,141.174,percent of total billed charges,70.44840949,,,,141.174,percent of total billed charges,42.15102104,,,,141.174,percent of total billed charges,70.44840949,,,,141.174,percent of total billed charges,42.15102104,,,,141.174,percent of total billed charges,70.44840949,,,,141.174,percent of total billed charges,42.15102104,,,,139.788,percent of total billed charges,138.7273904,,,,139.788,percent of total billed charges,95.67918163,,,,,,,,,,142.56,percent of total billed charges,92.66064526,,,,,,,,,,142.56,percent of total billed charges,999999999,,,,,,,,,,158.4,percent of total billed charges,132.7309661,,,,156.42,percent of total billed charges,150.9520315,,,,156.42,percent of total billed charges,133.3711166,,,,158.4,percent of total billed charges,999999999,,,,158.4,percent of total billed charges,999999999,,,,138.6,percent of total billed charges,999999999,,,,138.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,105.336,percent of total billed charges,999999999,,,,,,,,,,,,,,,,99.99,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,49.5,percent of total billed charges,47.01289186,,,,,,,,,,49.5,percent of total billed charges,46.23086439,,,,,,,,,,49.5,percent of total billed charges,46.1023908,,,,,,,,,,49.5,percent of total billed charges,45.42353365,,,,,,,,,,49.5,percent of total billed charges,46.59234795,,,,,,,,,,49.5,percent of total billed charges,999999999,,,,,,,,,,49.5,percent of total billed charges,39.97951558,,,,,,,,,,49.5,percent of total billed charges,63.05045304,,,,,,,,,,49.5,percent of total billed charges,999999999,,,,,,,,,,49.5,percent of total billed charges,43.10769549,,,,,,,,,,178.2,percent of total billed charges,,,,,
17-HYROXYCORTICO 24 HR(*),83491,CDM,,,,both,,,245,245,52.15656643,245,245,percent of total billed charges,180.2552038,,,,245,percent of total billed charges,191.066952,,,,245,percent of total billed charges,180.2552038,,,,245,percent of total billed charges,191.066952,,,,245,percent of total billed charges,999999999,,,,245,percent of total billed charges,186.6731613,,,,245,percent of total billed charges,180.2552038,,,,245,percent of total billed charges,191.066952,,,,174.685,percent of total billed charges,87.17101174,,,,174.685,percent of total billed charges,52.15656643,,,,174.685,percent of total billed charges,87.17101174,,,,174.685,percent of total billed charges,52.15656643,,,,174.685,percent of total billed charges,87.17101174,,,,174.685,percent of total billed charges,52.15656643,,,,172.97,percent of total billed charges,171.6576296,,,,172.97,percent of total billed charges,118.3909066,,,,,,,,,,176.4,percent of total billed charges,114.6558489,,,,,,,,,,176.4,percent of total billed charges,999999999,,,,,,,,,,196,percent of total billed charges,164.2378116,,,,193.55,percent of total billed charges,186.7840794,,,,193.55,percent of total billed charges,165.029917,,,,196,percent of total billed charges,999999999,,,,196,percent of total billed charges,999999999,,,,171.5,percent of total billed charges,999999999,,,,171.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,130.34,percent of total billed charges,999999999,,,,,,,,,,,,,,,,123.725,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,61.25,percent of total billed charges,58.1725177,,,,,,,,,,61.25,percent of total billed charges,57.20485745,,,,,,,,,,61.25,percent of total billed charges,57.0458876,,,,,,,,,,61.25,percent of total billed charges,56.2058876,,,,,,,,,,61.25,percent of total billed charges,57.65214772,,,,,,,,,,61.25,percent of total billed charges,999999999,,,,,,,,,,61.25,percent of total billed charges,49.46960261,,,,,,,,,,61.25,percent of total billed charges,78.01697472,,,,,,,,,,61.25,percent of total billed charges,999999999,,,,,,,,,,61.25,percent of total billed charges,53.34033027,,,,,,,,,,220.5,percent of total billed charges,,,,,
17 - Hydroxypregneno,84143,CDM,,,,both,,,269,269,57.2657811,269,269,percent of total billed charges,197.9128564,,,,269,percent of total billed charges,209.7837146,,,,269,percent of total billed charges,197.9128564,,,,269,percent of total billed charges,209.7837146,,,,269,percent of total billed charges,999999999,,,,269,percent of total billed charges,204.9595117,,,,269,percent of total billed charges,197.9128564,,,,269,percent of total billed charges,209.7837146,,,,191.797,percent of total billed charges,95.71021289,,,,191.797,percent of total billed charges,57.2657811,,,,191.797,percent of total billed charges,95.71021289,,,,191.797,percent of total billed charges,57.2657811,,,,191.797,percent of total billed charges,95.71021289,,,,191.797,percent of total billed charges,57.2657811,,,,189.914,percent of total billed charges,188.4730709,,,,189.914,percent of total billed charges,129.9883831,,,,,,,,,,193.68,percent of total billed charges,125.8874423,,,,,,,,,,193.68,percent of total billed charges,999999999,,,,,,,,,,215.2,percent of total billed charges,180.3264135,,,,212.51,percent of total billed charges,205.0812953,,,,212.51,percent of total billed charges,181.1961129,,,,215.2,percent of total billed charges,999999999,,,,215.2,percent of total billed charges,999999999,,,,188.3,percent of total billed charges,999999999,,,,188.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,143.108,percent of total billed charges,999999999,,,,,,,,,,,,,,,,135.845,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,67.25,percent of total billed charges,63.87105005,,,,,,,,,,67.25,percent of total billed charges,62.80859859,,,,,,,,,,67.25,percent of total billed charges,62.63405618,,,,,,,,,,67.25,percent of total billed charges,61.71177047,,,,,,,,,,67.25,percent of total billed charges,63.29970505,,,,,,,,,,67.25,percent of total billed charges,999999999,,,,,,,,,,67.25,percent of total billed charges,54.3156045,,,,,,,,,,67.25,percent of total billed charges,85.65945388,,,,,,,,,,67.25,percent of total billed charges,999999999,,,,,,,,,,67.25,percent of total billed charges,58.56550548,,,,,,,,,,242.1,percent of total billed charges,,,,,
VMA-24 HOUR URINE(*),84585,CDM,,,,both,,,257,257,54.71117377,257,257,percent of total billed charges,189.0840301,,,,257,percent of total billed charges,200.4253333,,,,257,percent of total billed charges,189.0840301,,,,257,percent of total billed charges,200.4253333,,,,257,percent of total billed charges,999999999,,,,257,percent of total billed charges,195.8163365,,,,257,percent of total billed charges,189.0840301,,,,257,percent of total billed charges,200.4253333,,,,183.241,percent of total billed charges,91.44061232,,,,183.241,percent of total billed charges,54.71117377,,,,183.241,percent of total billed charges,91.44061232,,,,183.241,percent of total billed charges,54.71117377,,,,183.241,percent of total billed charges,91.44061232,,,,183.241,percent of total billed charges,54.71117377,,,,181.442,percent of total billed charges,180.0653502,,,,181.442,percent of total billed charges,124.1896448,,,,,,,,,,185.04,percent of total billed charges,120.2716456,,,,,,,,,,185.04,percent of total billed charges,999999999,,,,,,,,,,205.6,percent of total billed charges,172.2821126,,,,203.03,percent of total billed charges,195.9326874,,,,203.03,percent of total billed charges,173.113015,,,,205.6,percent of total billed charges,999999999,,,,205.6,percent of total billed charges,999999999,,,,179.9,percent of total billed charges,999999999,,,,179.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,136.724,percent of total billed charges,999999999,,,,,,,,,,,,,,,,129.785,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,64.25,percent of total billed charges,61.02178388,,,,,,,,,,64.25,percent of total billed charges,60.00672802,,,,,,,,,,64.25,percent of total billed charges,59.83997189,,,,,,,,,,64.25,percent of total billed charges,58.95882904,,,,,,,,,,64.25,percent of total billed charges,60.47592638,,,,,,,,,,64.25,percent of total billed charges,999999999,,,,,,,,,,64.25,percent of total billed charges,51.89260355,,,,,,,,,,64.25,percent of total billed charges,81.8382143,,,,,,,,,,64.25,percent of total billed charges,999999999,,,,,,,,,,64.25,percent of total billed charges,55.95291788,,,,,,,,,,231.3,percent of total billed charges,,,,,
XYLOSE (ABSORPTION)(*),84620,CDM,,,,both,,,228,228,48.53753937,228,228,percent of total billed charges,167.7476999,,,,228,percent of total billed charges,177.8092451,,,,228,percent of total billed charges,167.7476999,,,,228,percent of total billed charges,177.8092451,,,,228,percent of total billed charges,999999999,,,,228,percent of total billed charges,173.7203297,,,,228,percent of total billed charges,167.7476999,,,,228,percent of total billed charges,177.8092451,,,,162.564,percent of total billed charges,81.12241093,,,,162.564,percent of total billed charges,48.53753937,,,,162.564,percent of total billed charges,81.12241093,,,,162.564,percent of total billed charges,48.53753937,,,,162.564,percent of total billed charges,81.12241093,,,,162.564,percent of total billed charges,48.53753937,,,,160.968,percent of total billed charges,159.746692,,,,160.968,percent of total billed charges,110.1760273,,,,,,,,,,164.16,percent of total billed charges,106.700137,,,,,,,,,,164.16,percent of total billed charges,999999999,,,,,,,,,,182.4,percent of total billed charges,152.8417185,,,,180.12,percent of total billed charges,173.8235514,,,,180.12,percent of total billed charges,153.5788615,,,,182.4,percent of total billed charges,999999999,,,,182.4,percent of total billed charges,999999999,,,,159.6,percent of total billed charges,999999999,,,,159.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,121.296,percent of total billed charges,999999999,,,,,,,,,,,,,,,,115.14,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,57,percent of total billed charges,54.13605729,,,,,,,,,,57,percent of total billed charges,53.23554081,,,,,,,,,,57,percent of total billed charges,53.08760152,,,,,,,,,,57,percent of total billed charges,52.30588724,,,,,,,,,,57,percent of total billed charges,53.65179461,,,,,,,,,,57,percent of total billed charges,999999999,,,,,,,,,,57,percent of total billed charges,46.03701794,,,,,,,,,,57,percent of total billed charges,72.60355199,,,,,,,,,,57,percent of total billed charges,999999999,,,,,,,,,,57,percent of total billed charges,49.6391645,,,,,,,,,,205.2,percent of total billed charges,,,,,
PROCAIN (PRONESTYL) NAPA(*),80192,CDM,,,,both,,,257,257,54.71117377,257,257,percent of total billed charges,189.0840301,,,,257,percent of total billed charges,200.4253333,,,,257,percent of total billed charges,189.0840301,,,,257,percent of total billed charges,200.4253333,,,,257,percent of total billed charges,999999999,,,,257,percent of total billed charges,195.8163365,,,,257,percent of total billed charges,189.0840301,,,,257,percent of total billed charges,200.4253333,,,,183.241,percent of total billed charges,91.44061232,,,,183.241,percent of total billed charges,54.71117377,,,,183.241,percent of total billed charges,91.44061232,,,,183.241,percent of total billed charges,54.71117377,,,,183.241,percent of total billed charges,91.44061232,,,,183.241,percent of total billed charges,54.71117377,,,,181.442,percent of total billed charges,180.0653502,,,,181.442,percent of total billed charges,124.1896448,,,,,,,,,,185.04,percent of total billed charges,120.2716456,,,,,,,,,,185.04,percent of total billed charges,999999999,,,,,,,,,,205.6,percent of total billed charges,172.2821126,,,,203.03,percent of total billed charges,195.9326874,,,,203.03,percent of total billed charges,173.113015,,,,205.6,percent of total billed charges,999999999,,,,205.6,percent of total billed charges,999999999,,,,179.9,percent of total billed charges,999999999,,,,179.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,136.724,percent of total billed charges,999999999,,,,,,,,,,,,,,,,129.785,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,64.25,percent of total billed charges,61.02178388,,,,,,,,,,64.25,percent of total billed charges,60.00672802,,,,,,,,,,64.25,percent of total billed charges,59.83997189,,,,,,,,,,64.25,percent of total billed charges,58.95882904,,,,,,,,,,64.25,percent of total billed charges,60.47592638,,,,,,,,,,64.25,percent of total billed charges,999999999,,,,,,,,,,64.25,percent of total billed charges,51.89260355,,,,,,,,,,64.25,percent of total billed charges,81.8382143,,,,,,,,,,64.25,percent of total billed charges,999999999,,,,,,,,,,64.25,percent of total billed charges,55.95291788,,,,,,,,,,231.3,percent of total billed charges,,,,,
PROGESTERONE 17-D,83498,CDM,,,,both,,,235,235,50.02772699,235,235,percent of total billed charges,172.8978485,,,,235,percent of total billed charges,183.2683009,,,,235,percent of total billed charges,172.8978485,,,,235,percent of total billed charges,183.2683009,,,,235,percent of total billed charges,999999999,,,,235,percent of total billed charges,179.0538486,,,,235,percent of total billed charges,172.8978485,,,,235,percent of total billed charges,183.2683009,,,,167.555,percent of total billed charges,83.61301126,,,,167.555,percent of total billed charges,50.02772699,,,,167.555,percent of total billed charges,83.61301126,,,,167.555,percent of total billed charges,50.02772699,,,,167.555,percent of total billed charges,83.61301126,,,,167.555,percent of total billed charges,50.02772699,,,,165.91,percent of total billed charges,164.6511957,,,,165.91,percent of total billed charges,113.5586247,,,,,,,,,,169.2,percent of total billed charges,109.9760184,,,,,,,,,,169.2,percent of total billed charges,999999999,,,,,,,,,,188,percent of total billed charges,157.5342274,,,,185.65,percent of total billed charges,179.1602394,,,,185.65,percent of total billed charges,158.294002,,,,188,percent of total billed charges,999999999,,,,188,percent of total billed charges,999999999,,,,164.5,percent of total billed charges,999999999,,,,164.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,125.02,percent of total billed charges,999999999,,,,,,,,,,,,,,,,118.675,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,58.75,percent of total billed charges,55.79812922,,,,,,,,,,58.75,percent of total billed charges,54.86996531,,,,,,,,,,58.75,percent of total billed charges,54.71748403,,,,,,,,,,58.75,percent of total billed charges,53.91176974,,,,,,,,,,58.75,percent of total billed charges,55.29899883,,,,,,,,,,58.75,percent of total billed charges,999999999,,,,,,,,,,58.75,percent of total billed charges,47.45043516,,,,,,,,,,58.75,percent of total billed charges,74.83260841,,,,,,,,,,58.75,percent of total billed charges,999999999,,,,,,,,,,58.75,percent of total billed charges,51.16317393,,,,,,,,,,211.5,percent of total billed charges,,,,,
METANEPHRINES(*),83835,CDM,,,,both,,,371,371,78.97994346,371,371,percent of total billed charges,272.95788,,,,371,percent of total billed charges,289.3299558,,,,371,percent of total billed charges,272.95788,,,,371,percent of total billed charges,289.3299558,,,,371,percent of total billed charges,999999999,,,,371,percent of total billed charges,282.6765013,,,,371,percent of total billed charges,272.95788,,,,371,percent of total billed charges,289.3299558,,,,264.523,percent of total billed charges,132.0018178,,,,264.523,percent of total billed charges,78.97994346,,,,264.523,percent of total billed charges,132.0018178,,,,264.523,percent of total billed charges,78.97994346,,,,264.523,percent of total billed charges,132.0018178,,,,264.523,percent of total billed charges,78.97994346,,,,261.926,percent of total billed charges,259.9386962,,,,261.926,percent of total billed charges,179.2776585,,,,,,,,,,267.12,percent of total billed charges,173.6217141,,,,,,,,,,267.12,percent of total billed charges,999999999,,,,,,,,,,296.8,percent of total billed charges,248.7029718,,,,293.09,percent of total billed charges,282.8444631,,,,293.09,percent of total billed charges,249.9024457,,,,296.8,percent of total billed charges,999999999,,,,296.8,percent of total billed charges,999999999,,,,259.7,percent of total billed charges,999999999,,,,259.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,197.372,percent of total billed charges,999999999,,,,,,,,,,,,,,,,187.355,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,92.75,percent of total billed charges,88.08981252,,,,,,,,,,92.75,percent of total billed charges,86.62449843,,,,,,,,,,92.75,percent of total billed charges,86.38377266,,,,,,,,,,92.75,percent of total billed charges,85.11177265,,,,,,,,,,92.75,percent of total billed charges,87.30182369,,,,,,,,,,92.75,percent of total billed charges,999999999,,,,,,,,,,92.75,percent of total billed charges,74.91111252,,,,,,,,,,92.75,percent of total billed charges,118.1399903,,,,,,,,,,92.75,percent of total billed charges,999999999,,,,,,,,,,92.75,percent of total billed charges,80.77250013,,,,,,,,,,333.9,percent of total billed charges,,,,,
DRUG LEVEL - QUANT(*),82542,CDM,,,,both,,,185,185,39.38352976,185,185,percent of total billed charges,136.1110723,,,,185,percent of total billed charges,144.2750454,,,,185,percent of total billed charges,136.1110723,,,,185,percent of total billed charges,144.2750454,,,,185,percent of total billed charges,999999999,,,,185,percent of total billed charges,140.957285,,,,185,percent of total billed charges,136.1110723,,,,185,percent of total billed charges,144.2750454,,,,131.905,percent of total billed charges,65.82300887,,,,131.905,percent of total billed charges,39.38352976,,,,131.905,percent of total billed charges,65.82300887,,,,131.905,percent of total billed charges,39.38352976,,,,131.905,percent of total billed charges,65.82300887,,,,131.905,percent of total billed charges,39.38352976,,,,130.61,percent of total billed charges,129.6190264,,,,130.61,percent of total billed charges,89.39721516,,,,,,,,,,133.2,percent of total billed charges,86.57686552,,,,,,,,,,133.2,percent of total billed charges,999999999,,,,,,,,,,148,percent of total billed charges,124.0163067,,,,146.15,percent of total billed charges,141.0410396,,,,146.15,percent of total billed charges,124.6144271,,,,148,percent of total billed charges,999999999,,,,148,percent of total billed charges,999999999,,,,129.5,percent of total billed charges,999999999,,,,129.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,98.42,percent of total billed charges,999999999,,,,,,,,,,,,,,,,93.425,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,46.25,percent of total billed charges,43.92618684,,,,,,,,,,46.25,percent of total billed charges,43.19550461,,,,,,,,,,46.25,percent of total billed charges,43.07546615,,,,,,,,,,46.25,percent of total billed charges,42.44118043,,,,,,,,,,46.25,percent of total billed charges,43.5332544,,,,,,,,,,46.25,percent of total billed charges,999999999,,,,,,,,,,46.25,percent of total billed charges,37.35459789,,,,,,,,,,46.25,percent of total billed charges,58.91077683,,,,,,,,,,46.25,percent of total billed charges,999999999,,,,,,,,,,46.25,percent of total billed charges,40.27739225,,,,,,,,,,166.5,percent of total billed charges,,,,,
DRUG MISC QUANT,80299,CDM,,,,both,,,243,243,51.73079854,243,243,percent of total billed charges,178.7837328,,,,243,percent of total billed charges,189.5072217,,,,243,percent of total billed charges,178.7837328,,,,243,percent of total billed charges,189.5072217,,,,243,percent of total billed charges,999999999,,,,243,percent of total billed charges,185.1492987,,,,243,percent of total billed charges,178.7837328,,,,243,percent of total billed charges,189.5072217,,,,173.259,percent of total billed charges,86.45941165,,,,173.259,percent of total billed charges,51.73079854,,,,173.259,percent of total billed charges,86.45941165,,,,173.259,percent of total billed charges,51.73079854,,,,173.259,percent of total billed charges,86.45941165,,,,173.259,percent of total billed charges,51.73079854,,,,171.558,percent of total billed charges,170.2563428,,,,171.558,percent of total billed charges,117.4244502,,,,,,,,,,174.96,percent of total billed charges,113.7198828,,,,,,,,,,174.96,percent of total billed charges,999999999,,,,,,,,,,194.4,percent of total billed charges,162.8970947,,,,191.97,percent of total billed charges,185.2593114,,,,191.97,percent of total billed charges,163.682734,,,,194.4,percent of total billed charges,999999999,,,,194.4,percent of total billed charges,999999999,,,,170.1,percent of total billed charges,999999999,,,,170.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,129.276,percent of total billed charges,999999999,,,,,,,,,,,,,,,,122.715,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,60.75,percent of total billed charges,57.69764001,,,,,,,,,,60.75,percent of total billed charges,56.73787902,,,,,,,,,,60.75,percent of total billed charges,56.58020689,,,,,,,,,,60.75,percent of total billed charges,55.74706403,,,,,,,,,,60.75,percent of total billed charges,57.18151794,,,,,,,,,,60.75,percent of total billed charges,999999999,,,,,,,,,,60.75,percent of total billed charges,49.06576912,,,,,,,,,,60.75,percent of total billed charges,77.38010146,,,,,,,,,,60.75,percent of total billed charges,999999999,,,,,,,,,,60.75,percent of total billed charges,52.90489901,,,,,,,,,,218.7,percent of total billed charges,,,,,
LAMOTRIGINE LEVEL,80175,CDM,,,,both,,,191,191,40.66083342,191,191,percent of total billed charges,140.5254854,,,,191,percent of total billed charges,148.954236,,,,191,percent of total billed charges,140.5254854,,,,191,percent of total billed charges,148.954236,,,,191,percent of total billed charges,999999999,,,,191,percent of total billed charges,145.5288727,,,,191,percent of total billed charges,140.5254854,,,,191,percent of total billed charges,148.954236,,,,136.183,percent of total billed charges,67.95780915,,,,136.183,percent of total billed charges,40.66083342,,,,136.183,percent of total billed charges,67.95780915,,,,136.183,percent of total billed charges,40.66083342,,,,136.183,percent of total billed charges,67.95780915,,,,136.183,percent of total billed charges,40.66083342,,,,134.846,percent of total billed charges,133.8228867,,,,134.846,percent of total billed charges,92.2965843,,,,,,,,,,137.52,percent of total billed charges,89.38476386,,,,,,,,,,137.52,percent of total billed charges,999999999,,,,,,,,,,152.8,percent of total billed charges,128.0384572,,,,150.89,percent of total billed charges,145.6153435,,,,150.89,percent of total billed charges,128.6559761,,,,152.8,percent of total billed charges,999999999,,,,152.8,percent of total billed charges,999999999,,,,133.7,percent of total billed charges,999999999,,,,133.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,101.612,percent of total billed charges,999999999,,,,,,,,,,,,,,,,96.455,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,47.75,percent of total billed charges,45.35081992,,,,,,,,,,47.75,percent of total billed charges,44.59643989,,,,,,,,,,47.75,percent of total billed charges,44.47250829,,,,,,,,,,47.75,percent of total billed charges,43.81765115,,,,,,,,,,47.75,percent of total billed charges,44.94514373,,,,,,,,,,47.75,percent of total billed charges,999999999,,,,,,,,,,47.75,percent of total billed charges,38.56609836,,,,,,,,,,47.75,percent of total billed charges,60.82139662,,,,,,,,,,47.75,percent of total billed charges,999999999,,,,,,,,,,47.75,percent of total billed charges,41.58368605,,,,,,,,,,171.9,percent of total billed charges,,,,,
CAROTENE(*),82380,CDM,,,,both,,,156,156,33.20989536,156,156,percent of total billed charges,114.774742,,,,156,percent of total billed charges,121.6589572,,,,156,percent of total billed charges,114.774742,,,,156,percent of total billed charges,121.6589572,,,,156,percent of total billed charges,999999999,,,,156,percent of total billed charges,118.8612782,,,,156,percent of total billed charges,114.774742,,,,156,percent of total billed charges,121.6589572,,,,111.228,percent of total billed charges,55.50480748,,,,111.228,percent of total billed charges,33.20989536,,,,111.228,percent of total billed charges,55.50480748,,,,111.228,percent of total billed charges,33.20989536,,,,111.228,percent of total billed charges,55.50480748,,,,111.228,percent of total billed charges,33.20989536,,,,110.136,percent of total billed charges,109.3003682,,,,110.136,percent of total billed charges,75.38359765,,,,,,,,,,112.32,percent of total billed charges,73.00535687,,,,,,,,,,112.32,percent of total billed charges,999999999,,,,,,,,,,124.8,percent of total billed charges,104.5759127,,,,123.24,percent of total billed charges,118.9319036,,,,123.24,percent of total billed charges,105.0802737,,,,124.8,percent of total billed charges,999999999,,,,124.8,percent of total billed charges,999999999,,,,109.2,percent of total billed charges,999999999,,,,109.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,82.992,percent of total billed charges,999999999,,,,,,,,,,,,,,,,78.78,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,39,percent of total billed charges,37.04046025,,,,,,,,,,39,percent of total billed charges,36.4243174,,,,,,,,,,39,percent of total billed charges,36.32309578,,,,,,,,,,39,percent of total billed charges,35.78823864,,,,,,,,,,39,percent of total billed charges,36.70912263,,,,,,,,,,39,percent of total billed charges,999999999,,,,,,,,,,39,percent of total billed charges,31.49901227,,,,,,,,,,39,percent of total billed charges,49.67611452,,,,,,,,,,39,percent of total billed charges,999999999,,,,,,,,,,39,percent of total billed charges,33.96363887,,,,,,,,,,140.4,percent of total billed charges,,,,,
VEDOLIZUMB DRUG ASSAY,80280,CDM,,,,both,,,445,445,94.73335536,445,445,percent of total billed charges,327.4023089,,,,445,percent of total billed charges,347.039974,,,,445,percent of total billed charges,327.4023089,,,,445,percent of total billed charges,347.039974,,,,445,percent of total billed charges,999999999,,,,445,percent of total billed charges,339.0594153,,,,445,percent of total billed charges,327.4023089,,,,445,percent of total billed charges,347.039974,,,,317.285,percent of total billed charges,158.3310213,,,,317.285,percent of total billed charges,94.73335536,,,,317.285,percent of total billed charges,158.3310213,,,,317.285,percent of total billed charges,94.73335536,,,,317.285,percent of total billed charges,158.3310213,,,,317.285,percent of total billed charges,94.73335536,,,,314.17,percent of total billed charges,311.7863068,,,,314.17,percent of total billed charges,215.0365446,,,,,,,,,,320.4,percent of total billed charges,208.2524603,,,,,,,,,,320.4,percent of total billed charges,999999999,,,,,,,,,,356,percent of total billed charges,298.3094945,,,,351.55,percent of total billed charges,339.2608789,,,,351.55,percent of total billed charges,299.7482166,,,,356,percent of total billed charges,999999999,,,,356,percent of total billed charges,999999999,,,,311.5,percent of total billed charges,999999999,,,,311.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,236.74,percent of total billed charges,999999999,,,,,,,,,,,,,,,,224.725,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,111.25,percent of total billed charges,105.6602873,,,,,,,,,,111.25,percent of total billed charges,103.9027003,,,,,,,,,,111.25,percent of total billed charges,103.6139591,,,,,,,,,,111.25,percent of total billed charges,102.0882448,,,,,,,,,,111.25,percent of total billed charges,104.7151254,,,,,,,,,,111.25,percent of total billed charges,999999999,,,,,,,,,,111.25,percent of total billed charges,89.85295168,,,,,,,,,,111.25,percent of total billed charges,141.704301,,,,,,,,,,111.25,percent of total billed charges,999999999,,,,,,,,,,111.25,percent of total billed charges,96.88345703,,,,,,,,,,400.5,percent of total billed charges,,,,,
**TESTOSTERONE TOTAL,84403,CDM,,,,both,,,247,247,52.58233432,247,247,percent of total billed charges,181.7266749,,,,247,percent of total billed charges,192.6266822,,,,247,percent of total billed charges,181.7266749,,,,247,percent of total billed charges,192.6266822,,,,247,percent of total billed charges,999999999,,,,247,percent of total billed charges,188.1970238,,,,247,percent of total billed charges,181.7266749,,,,247,percent of total billed charges,192.6266822,,,,176.111,percent of total billed charges,87.88261184,,,,176.111,percent of total billed charges,52.58233432,,,,176.111,percent of total billed charges,87.88261184,,,,176.111,percent of total billed charges,52.58233432,,,,176.111,percent of total billed charges,87.88261184,,,,176.111,percent of total billed charges,52.58233432,,,,174.382,percent of total billed charges,173.0589164,,,,174.382,percent of total billed charges,119.3573629,,,,,,,,,,177.84,percent of total billed charges,115.591815,,,,,,,,,,177.84,percent of total billed charges,999999999,,,,,,,,,,197.6,percent of total billed charges,165.5785284,,,,195.13,percent of total billed charges,188.3088474,,,,195.13,percent of total billed charges,166.3771,,,,197.6,percent of total billed charges,999999999,,,,197.6,percent of total billed charges,999999999,,,,172.9,percent of total billed charges,999999999,,,,172.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,131.404,percent of total billed charges,999999999,,,,,,,,,,,,,,,,124.735,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,61.75,percent of total billed charges,58.6473954,,,,,,,,,,61.75,percent of total billed charges,57.67183588,,,,,,,,,,61.75,percent of total billed charges,57.51156832,,,,,,,,,,61.75,percent of total billed charges,56.66471117,,,,,,,,,,61.75,percent of total billed charges,58.1227775,,,,,,,,,,61.75,percent of total billed charges,999999999,,,,,,,,,,61.75,percent of total billed charges,49.8734361,,,,,,,,,,61.75,percent of total billed charges,78.65384799,,,,,,,,,,61.75,percent of total billed charges,999999999,,,,,,,,,,61.75,percent of total billed charges,53.77576154,,,,,,,,,,222.3,percent of total billed charges,,,,,
FREE TESTOSTERONE(*),84402,CDM,,,,both,,,211,211,44.91851232,211,211,percent of total billed charges,155.2401959,,,,211,percent of total billed charges,164.5515382,,,,211,percent of total billed charges,155.2401959,,,,211,percent of total billed charges,164.5515382,,,,211,percent of total billed charges,999999999,,,,211,percent of total billed charges,160.7674981,,,,211,percent of total billed charges,155.2401959,,,,211,percent of total billed charges,164.5515382,,,,150.443,percent of total billed charges,75.07381011,,,,150.443,percent of total billed charges,44.91851232,,,,150.443,percent of total billed charges,75.07381011,,,,150.443,percent of total billed charges,44.91851232,,,,150.443,percent of total billed charges,75.07381011,,,,150.443,percent of total billed charges,44.91851232,,,,148.966,percent of total billed charges,147.8357545,,,,148.966,percent of total billed charges,101.9611481,,,,,,,,,,151.92,percent of total billed charges,98.744425,,,,,,,,,,151.92,percent of total billed charges,999999999,,,,,,,,,,168.8,percent of total billed charges,141.4456255,,,,166.69,percent of total billed charges,160.8630235,,,,166.69,percent of total billed charges,142.1278061,,,,168.8,percent of total billed charges,999999999,,,,168.8,percent of total billed charges,999999999,,,,147.7,percent of total billed charges,999999999,,,,147.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,112.252,percent of total billed charges,999999999,,,,,,,,,,,,,,,,106.555,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,52.75,percent of total billed charges,50.09959688,,,,,,,,,,52.75,percent of total billed charges,49.26622417,,,,,,,,,,52.75,percent of total billed charges,49.12931545,,,,,,,,,,52.75,percent of total billed charges,48.40588687,,,,,,,,,,52.75,percent of total billed charges,49.6514415,,,,,,,,,,52.75,percent of total billed charges,999999999,,,,,,,,,,52.75,percent of total billed charges,42.60443327,,,,,,,,,,52.75,percent of total billed charges,67.19012925,,,,,,,,,,52.75,percent of total billed charges,999999999,,,,,,,,,,52.75,percent of total billed charges,45.93799872,,,,,,,,,,189.9,percent of total billed charges,,,,,
**DHEA-TMS,80327,CDM,,,,both,,,247,247,52.58233432,247,247,percent of total billed charges,181.7266749,,,,247,percent of total billed charges,192.6266822,,,,247,percent of total billed charges,181.7266749,,,,247,percent of total billed charges,192.6266822,,,,247,percent of total billed charges,999999999,,,,247,percent of total billed charges,188.1970238,,,,247,percent of total billed charges,181.7266749,,,,247,percent of total billed charges,192.6266822,,,,176.111,percent of total billed charges,87.88261184,,,,176.111,percent of total billed charges,52.58233432,,,,176.111,percent of total billed charges,87.88261184,,,,176.111,percent of total billed charges,52.58233432,,,,176.111,percent of total billed charges,87.88261184,,,,176.111,percent of total billed charges,52.58233432,,,,174.382,percent of total billed charges,173.0589164,,,,174.382,percent of total billed charges,119.3573629,,,,,,,,,,177.84,percent of total billed charges,115.591815,,,,,,,,,,177.84,percent of total billed charges,999999999,,,,,,,,,,197.6,percent of total billed charges,165.5785284,,,,195.13,percent of total billed charges,188.3088474,,,,195.13,percent of total billed charges,166.3771,,,,197.6,percent of total billed charges,999999999,,,,197.6,percent of total billed charges,999999999,,,,172.9,percent of total billed charges,999999999,,,,172.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,131.404,percent of total billed charges,999999999,,,,,,,,,,,,,,,,124.735,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,61.75,percent of total billed charges,58.6473954,,,,,,,,,,61.75,percent of total billed charges,57.67183588,,,,,,,,,,61.75,percent of total billed charges,57.51156832,,,,,,,,,,61.75,percent of total billed charges,56.66471117,,,,,,,,,,61.75,percent of total billed charges,58.1227775,,,,,,,,,,61.75,percent of total billed charges,999999999,,,,,,,,,,61.75,percent of total billed charges,49.8734361,,,,,,,,,,61.75,percent of total billed charges,78.65384799,,,,,,,,,,61.75,percent of total billed charges,999999999,,,,,,,,,,61.75,percent of total billed charges,53.77576154,,,,,,,,,,222.3,percent of total billed charges,,,,,
LEAD(*),83655,CDM,,,,both,,,174,174,37.04180636,174,174,percent of total billed charges,128.0179815,,,,174,percent of total billed charges,135.6965291,,,,174,percent of total billed charges,128.0179815,,,,174,percent of total billed charges,135.6965291,,,,174,percent of total billed charges,999999999,,,,174,percent of total billed charges,132.5760411,,,,174,percent of total billed charges,128.0179815,,,,174,percent of total billed charges,135.6965291,,,,124.062,percent of total billed charges,61.90920834,,,,124.062,percent of total billed charges,37.04180636,,,,124.062,percent of total billed charges,61.90920834,,,,124.062,percent of total billed charges,37.04180636,,,,124.062,percent of total billed charges,61.90920834,,,,124.062,percent of total billed charges,37.04180636,,,,122.844,percent of total billed charges,121.9119492,,,,122.844,percent of total billed charges,84.08170507,,,,,,,,,,125.28,percent of total billed charges,81.4290519,,,,,,,,,,125.28,percent of total billed charges,999999999,,,,,,,,,,139.2,percent of total billed charges,116.6423641,,,,137.46,percent of total billed charges,132.6548156,,,,137.46,percent of total billed charges,117.2049206,,,,139.2,percent of total billed charges,999999999,,,,139.2,percent of total billed charges,999999999,,,,121.8,percent of total billed charges,999999999,,,,121.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,92.568,percent of total billed charges,999999999,,,,,,,,,,,,,,,,87.87,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,43.5,percent of total billed charges,41.31435951,,,,,,,,,,43.5,percent of total billed charges,40.62712325,,,,,,,,,,43.5,percent of total billed charges,40.51422222,,,,,,,,,,43.5,percent of total billed charges,39.91765079,,,,,,,,,,43.5,percent of total billed charges,40.94479062,,,,,,,,,,43.5,percent of total billed charges,999999999,,,,,,,,,,43.5,percent of total billed charges,35.13351369,,,,,,,,,,43.5,percent of total billed charges,55.40797388,,,,,,,,,,43.5,percent of total billed charges,999999999,,,,,,,,,,43.5,percent of total billed charges,37.88252028,,,,,,,,,,156.6,percent of total billed charges,,,,,
MERCURY,83825,CDM,,,,both,,,194,194,41.29948526,194,194,percent of total billed charges,142.732692,,,,194,percent of total billed charges,151.2938313,,,,194,percent of total billed charges,142.732692,,,,194,percent of total billed charges,151.2938313,,,,194,percent of total billed charges,999999999,,,,194,percent of total billed charges,147.8146665,,,,194,percent of total billed charges,142.732692,,,,194,percent of total billed charges,151.2938313,,,,138.322,percent of total billed charges,69.0252093,,,,138.322,percent of total billed charges,41.29948526,,,,138.322,percent of total billed charges,69.0252093,,,,138.322,percent of total billed charges,41.29948526,,,,138.322,percent of total billed charges,69.0252093,,,,138.322,percent of total billed charges,41.29948526,,,,136.964,percent of total billed charges,135.9248169,,,,136.964,percent of total billed charges,93.74626887,,,,,,,,,,139.68,percent of total billed charges,90.78871303,,,,,,,,,,139.68,percent of total billed charges,999999999,,,,,,,,,,155.2,percent of total billed charges,130.0495324,,,,153.26,percent of total billed charges,147.9024955,,,,153.26,percent of total billed charges,130.6767506,,,,155.2,percent of total billed charges,999999999,,,,155.2,percent of total billed charges,999999999,,,,135.8,percent of total billed charges,999999999,,,,135.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,103.208,percent of total billed charges,999999999,,,,,,,,,,,,,,,,97.97,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,48.5,percent of total billed charges,46.06313647,,,,,,,,,,48.5,percent of total billed charges,45.29690753,,,,,,,,,,48.5,percent of total billed charges,45.17102937,,,,,,,,,,48.5,percent of total billed charges,44.50588651,,,,,,,,,,48.5,percent of total billed charges,45.6510884,,,,,,,,,,48.5,percent of total billed charges,999999999,,,,,,,,,,48.5,percent of total billed charges,39.1718486,,,,,,,,,,48.5,percent of total billed charges,61.77670651,,,,,,,,,,48.5,percent of total billed charges,999999999,,,,,,,,,,48.5,percent of total billed charges,42.23683295,,,,,,,,,,174.6,percent of total billed charges,,,,,
ESTROGEN FRACTIONATED(*),82671,CDM,,,,both,,,308,308,65.56825494,308,308,percent of total billed charges,226.6065419,,,,308,percent of total billed charges,240.1984539,,,,308,percent of total billed charges,226.6065419,,,,308,percent of total billed charges,240.1984539,,,,308,percent of total billed charges,999999999,,,,308,percent of total billed charges,234.6748313,,,,308,percent of total billed charges,226.6065419,,,,308,percent of total billed charges,240.1984539,,,,219.604,percent of total billed charges,109.5864148,,,,219.604,percent of total billed charges,65.56825494,,,,219.604,percent of total billed charges,109.5864148,,,,219.604,percent of total billed charges,65.56825494,,,,219.604,percent of total billed charges,109.5864148,,,,219.604,percent of total billed charges,65.56825494,,,,217.448,percent of total billed charges,215.7981629,,,,217.448,percent of total billed charges,148.8342825,,,,,,,,,,221.76,percent of total billed charges,144.1387815,,,,,,,,,,221.76,percent of total billed charges,999999999,,,,,,,,,,246.4,percent of total billed charges,206.4703917,,,,243.32,percent of total billed charges,234.8142713,,,,243.32,percent of total billed charges,207.4661814,,,,246.4,percent of total billed charges,999999999,,,,246.4,percent of total billed charges,999999999,,,,215.6,percent of total billed charges,999999999,,,,215.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,163.856,percent of total billed charges,999999999,,,,,,,,,,,,,,,,155.54,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,77,percent of total billed charges,73.13116511,,,,,,,,,,77,percent of total billed charges,71.91467794,,,,,,,,,,77,percent of total billed charges,71.71483013,,,,,,,,,,77,percent of total billed charges,70.65883013,,,,,,,,,,77,percent of total billed charges,72.4769857,,,,,,,,,,77,percent of total billed charges,999999999,,,,,,,,,,77,percent of total billed charges,62.19035757,,,,,,,,,,77,percent of total billed charges,98.07848251,,,,,,,,,,77,percent of total billed charges,999999999,,,,,,,,,,77,percent of total billed charges,67.0564152,,,,,,,,,,277.2,percent of total billed charges,,,,,
ESTROGEN/TOTAL(*),82672,CDM,,,,both,,,254,254,54.07252193,254,254,percent of total billed charges,186.8768235,,,,254,percent of total billed charges,198.0857379,,,,254,percent of total billed charges,186.8768235,,,,254,percent of total billed charges,198.0857379,,,,254,percent of total billed charges,999999999,,,,254,percent of total billed charges,193.5305427,,,,254,percent of total billed charges,186.8768235,,,,254,percent of total billed charges,198.0857379,,,,181.102,percent of total billed charges,90.37321217,,,,181.102,percent of total billed charges,54.07252193,,,,181.102,percent of total billed charges,90.37321217,,,,181.102,percent of total billed charges,54.07252193,,,,181.102,percent of total billed charges,90.37321217,,,,181.102,percent of total billed charges,54.07252193,,,,179.324,percent of total billed charges,177.9634201,,,,179.324,percent of total billed charges,122.7399603,,,,,,,,,,182.88,percent of total billed charges,118.8676964,,,,,,,,,,182.88,percent of total billed charges,999999999,,,,,,,,,,203.2,percent of total billed charges,170.2710373,,,,200.66,percent of total billed charges,193.6455354,,,,200.66,percent of total billed charges,171.0922405,,,,203.2,percent of total billed charges,999999999,,,,203.2,percent of total billed charges,999999999,,,,177.8,percent of total billed charges,999999999,,,,177.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,135.128,percent of total billed charges,999999999,,,,,,,,,,,,,,,,128.27,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,63.5,percent of total billed charges,60.30946733,,,,,,,,,,63.5,percent of total billed charges,59.30626038,,,,,,,,,,63.5,percent of total billed charges,59.14145082,,,,,,,,,,63.5,percent of total billed charges,58.27059368,,,,,,,,,,63.5,percent of total billed charges,59.76998172,,,,,,,,,,63.5,percent of total billed charges,999999999,,,,,,,,,,63.5,percent of total billed charges,51.28685332,,,,,,,,,,63.5,percent of total billed charges,80.88290441,,,,,,,,,,63.5,percent of total billed charges,999999999,,,,,,,,,,63.5,percent of total billed charges,55.29977098,,,,,,,,,,228.6,percent of total billed charges,,,,,
IMMUNOASSAY QUANT,83520,CDM,,,,both,,,323,323,68.76151411,323,323,percent of total billed charges,237.6425748,,,,323,percent of total billed charges,251.8964305,,,,323,percent of total billed charges,237.6425748,,,,323,percent of total billed charges,251.8964305,,,,323,percent of total billed charges,999999999,,,,323,percent of total billed charges,246.1038003,,,,323,percent of total billed charges,237.6425748,,,,323,percent of total billed charges,251.8964305,,,,230.299,percent of total billed charges,114.9234155,,,,230.299,percent of total billed charges,68.76151411,,,,230.299,percent of total billed charges,114.9234155,,,,230.299,percent of total billed charges,68.76151411,,,,230.299,percent of total billed charges,114.9234155,,,,230.299,percent of total billed charges,68.76151411,,,,228.038,percent of total billed charges,226.3078137,,,,228.038,percent of total billed charges,156.0827054,,,,,,,,,,232.56,percent of total billed charges,151.1585274,,,,,,,,,,232.56,percent of total billed charges,999999999,,,,,,,,,,258.4,percent of total billed charges,216.5257679,,,,255.17,percent of total billed charges,246.2500312,,,,255.17,percent of total billed charges,217.5700538,,,,258.4,percent of total billed charges,999999999,,,,258.4,percent of total billed charges,999999999,,,,226.1,percent of total billed charges,999999999,,,,226.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,171.836,percent of total billed charges,999999999,,,,,,,,,,,,,,,,163.115,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,80.75,percent of total billed charges,76.69274783,,,,,,,,,,80.75,percent of total billed charges,75.41701615,,,,,,,,,,80.75,percent of total billed charges,75.20743549,,,,,,,,,,80.75,percent of total billed charges,74.10000692,,,,,,,,,,80.75,percent of total billed charges,76.00670903,,,,,,,,,,80.75,percent of total billed charges,999999999,,,,,,,,,,80.75,percent of total billed charges,65.21910875,,,,,,,,,,80.75,percent of total billed charges,102.855032,,,,,,,,,,80.75,percent of total billed charges,999999999,,,,,,,,,,80.75,percent of total billed charges,70.32214971,,,,,,,,,,290.7,percent of total billed charges,,,,,
IMMUNOASSY NON ANTIBODY,83516,CDM,,,,both,,,173,173,36.82892242,173,173,percent of total billed charges,127.2822459,,,,173,percent of total billed charges,134.916664,,,,173,percent of total billed charges,127.2822459,,,,173,percent of total billed charges,134.916664,,,,173,percent of total billed charges,999999999,,,,173,percent of total billed charges,131.8141098,,,,173,percent of total billed charges,127.2822459,,,,173,percent of total billed charges,134.916664,,,,123.349,percent of total billed charges,61.55340829,,,,123.349,percent of total billed charges,36.82892242,,,,123.349,percent of total billed charges,61.55340829,,,,123.349,percent of total billed charges,36.82892242,,,,123.349,percent of total billed charges,61.55340829,,,,123.349,percent of total billed charges,36.82892242,,,,122.138,percent of total billed charges,121.2113058,,,,122.138,percent of total billed charges,83.59847688,,,,,,,,,,124.56,percent of total billed charges,80.96106884,,,,,,,,,,124.56,percent of total billed charges,999999999,,,,,,,,,,138.4,percent of total billed charges,115.9720057,,,,136.67,percent of total billed charges,131.8924316,,,,136.67,percent of total billed charges,116.5313291,,,,138.4,percent of total billed charges,999999999,,,,138.4,percent of total billed charges,999999999,,,,121.1,percent of total billed charges,999999999,,,,121.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,92.036,percent of total billed charges,999999999,,,,,,,,,,,,,,,,87.365,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,43.25,percent of total billed charges,41.07692066,,,,,,,,,,43.25,percent of total billed charges,40.39363404,,,,,,,,,,43.25,percent of total billed charges,40.28138186,,,,,,,,,,43.25,percent of total billed charges,39.688239,,,,,,,,,,43.25,percent of total billed charges,40.70947574,,,,,,,,,,43.25,percent of total billed charges,999999999,,,,,,,,,,43.25,percent of total billed charges,34.93159694,,,,,,,,,,43.25,percent of total billed charges,55.08953725,,,,,,,,,,43.25,percent of total billed charges,999999999,,,,,,,,,,43.25,percent of total billed charges,37.66480464,,,,,,,,,,155.7,percent of total billed charges,,,,,
QUINIDINE(*),80194,CDM,,,,both,,,208,208,44.27986048,208,208,percent of total billed charges,153.0329894,,,,208,percent of total billed charges,162.2119429,,,,208,percent of total billed charges,153.0329894,,,,208,percent of total billed charges,162.2119429,,,,208,percent of total billed charges,999999999,,,,208,percent of total billed charges,158.4817042,,,,208,percent of total billed charges,153.0329894,,,,208,percent of total billed charges,162.2119429,,,,148.304,percent of total billed charges,74.00640997,,,,148.304,percent of total billed charges,44.27986048,,,,148.304,percent of total billed charges,74.00640997,,,,148.304,percent of total billed charges,44.27986048,,,,148.304,percent of total billed charges,74.00640997,,,,148.304,percent of total billed charges,44.27986048,,,,146.848,percent of total billed charges,145.7338243,,,,146.848,percent of total billed charges,100.5114635,,,,,,,,,,149.76,percent of total billed charges,97.34047583,,,,,,,,,,149.76,percent of total billed charges,999999999,,,,,,,,,,166.4,percent of total billed charges,139.4345502,,,,164.32,percent of total billed charges,158.5758715,,,,164.32,percent of total billed charges,140.1070316,,,,166.4,percent of total billed charges,999999999,,,,166.4,percent of total billed charges,999999999,,,,145.6,percent of total billed charges,999999999,,,,145.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,110.656,percent of total billed charges,999999999,,,,,,,,,,,,,,,,105.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,52,percent of total billed charges,49.38728033,,,,,,,,,,52,percent of total billed charges,48.56575653,,,,,,,,,,52,percent of total billed charges,48.43079437,,,,,,,,,,52,percent of total billed charges,47.71765152,,,,,,,,,,52,percent of total billed charges,48.94549684,,,,,,,,,,52,percent of total billed charges,999999999,,,,,,,,,,52,percent of total billed charges,41.99868303,,,,,,,,,,52,percent of total billed charges,66.23481936,,,,,,,,,,52,percent of total billed charges,999999999,,,,,,,,,,52,percent of total billed charges,45.28485182,,,,,,,,,,187.2,percent of total billed charges,,,,,
Q FEVER ANTIBODY,86638,CDM,,,,both,,,152,152,32.35835958,152,152,percent of total billed charges,111.8317999,,,,152,percent of total billed charges,118.5394967,,,,152,percent of total billed charges,111.8317999,,,,152,percent of total billed charges,118.5394967,,,,152,percent of total billed charges,999999999,,,,152,percent of total billed charges,115.8135531,,,,152,percent of total billed charges,111.8317999,,,,152,percent of total billed charges,118.5394967,,,,108.376,percent of total billed charges,54.08160728,,,,108.376,percent of total billed charges,32.35835958,,,,108.376,percent of total billed charges,54.08160728,,,,108.376,percent of total billed charges,32.35835958,,,,108.376,percent of total billed charges,54.08160728,,,,108.376,percent of total billed charges,32.35835958,,,,107.312,percent of total billed charges,106.4977947,,,,107.312,percent of total billed charges,73.45068489,,,,,,,,,,109.44,percent of total billed charges,71.13342465,,,,,,,,,,109.44,percent of total billed charges,999999999,,,,,,,,,,121.6,percent of total billed charges,101.894479,,,,120.08,percent of total billed charges,115.8823676,,,,120.08,percent of total billed charges,102.3859077,,,,121.6,percent of total billed charges,999999999,,,,121.6,percent of total billed charges,999999999,,,,106.4,percent of total billed charges,999999999,,,,106.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,80.864,percent of total billed charges,999999999,,,,,,,,,,,,,,,,76.76,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,38,percent of total billed charges,36.09070486,,,,,,,,,,38,percent of total billed charges,35.49036054,,,,,,,,,,38,percent of total billed charges,35.39173435,,,,,,,,,,38,percent of total billed charges,34.87059149,,,,,,,,,,38,percent of total billed charges,35.76786307,,,,,,,,,,38,percent of total billed charges,999999999,,,,,,,,,,38,percent of total billed charges,30.69134529,,,,,,,,,,38,percent of total billed charges,48.40236799,,,,,,,,,,38,percent of total billed charges,999999999,,,,,,,,,,38,percent of total billed charges,33.09277633,,,,,,,,,,136.8,percent of total billed charges,,,,,
VANCOMYCIN RANDOM,80202,CDM,,,,both,,,260,260,55.3498256,260,260,percent of total billed charges,191.2912367,,,,260,percent of total billed charges,202.7649286,,,,260,percent of total billed charges,191.2912367,,,,260,percent of total billed charges,202.7649286,,,,260,percent of total billed charges,999999999,,,,260,percent of total billed charges,198.1021303,,,,260,percent of total billed charges,191.2912367,,,,260,percent of total billed charges,202.7649286,,,,185.38,percent of total billed charges,92.50801246,,,,185.38,percent of total billed charges,55.3498256,,,,185.38,percent of total billed charges,92.50801246,,,,185.38,percent of total billed charges,55.3498256,,,,185.38,percent of total billed charges,92.50801246,,,,185.38,percent of total billed charges,55.3498256,,,,183.56,percent of total billed charges,182.1672804,,,,183.56,percent of total billed charges,125.6393294,,,,,,,,,,187.2,percent of total billed charges,121.6755948,,,,,,,,,,187.2,percent of total billed charges,999999999,,,,,,,,,,208,percent of total billed charges,174.2931878,,,,205.4,percent of total billed charges,198.2198394,,,,205.4,percent of total billed charges,175.1337895,,,,208,percent of total billed charges,999999999,,,,208,percent of total billed charges,999999999,,,,182,percent of total billed charges,999999999,,,,182,percent of total billed charges,999999999,,,,,,,,,,,,,,,,138.32,percent of total billed charges,999999999,,,,,,,,,,,,,,,,131.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,65,percent of total billed charges,61.73410042,,,,,,,,,,65,percent of total billed charges,60.70719566,,,,,,,,,,65,percent of total billed charges,60.53849297,,,,,,,,,,65,percent of total billed charges,59.64706439,,,,,,,,,,65,percent of total billed charges,61.18187105,,,,,,,,,,65,percent of total billed charges,999999999,,,,,,,,,,65,percent of total billed charges,52.49835379,,,,,,,,,,65,percent of total billed charges,82.79352419,,,,,,,,,,65,percent of total billed charges,999999999,,,,,,,,,,65,percent of total billed charges,56.60606478,,,,,,,,,,234,percent of total billed charges,,,,,
VITAMIN K LEVEL(*),84597,CDM,,,,both,,,382,382,81.32166685,382,382,percent of total billed charges,281.0509708,,,,382,percent of total billed charges,297.908472,,,,382,percent of total billed charges,281.0509708,,,,382,percent of total billed charges,297.908472,,,,382,percent of total billed charges,999999999,,,,382,percent of total billed charges,291.0577453,,,,382,percent of total billed charges,281.0509708,,,,382,percent of total billed charges,297.908472,,,,272.366,percent of total billed charges,135.9156183,,,,272.366,percent of total billed charges,81.32166685,,,,272.366,percent of total billed charges,135.9156183,,,,272.366,percent of total billed charges,81.32166685,,,,272.366,percent of total billed charges,135.9156183,,,,272.366,percent of total billed charges,81.32166685,,,,269.692,percent of total billed charges,267.6457735,,,,269.692,percent of total billed charges,184.5931686,,,,,,,,,,275.04,percent of total billed charges,178.7695277,,,,,,,,,,275.04,percent of total billed charges,999999999,,,,,,,,,,305.6,percent of total billed charges,256.0769144,,,,301.78,percent of total billed charges,291.2306871,,,,301.78,percent of total billed charges,257.3119522,,,,305.6,percent of total billed charges,999999999,,,,305.6,percent of total billed charges,999999999,,,,267.4,percent of total billed charges,999999999,,,,267.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,203.224,percent of total billed charges,999999999,,,,,,,,,,,,,,,,192.91,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,95.5,percent of total billed charges,90.70163985,,,,,,,,,,95.5,percent of total billed charges,89.19287978,,,,,,,,,,95.5,percent of total billed charges,88.94501659,,,,,,,,,,95.5,percent of total billed charges,87.6353023,,,,,,,,,,95.5,percent of total billed charges,89.89028746,,,,,,,,,,95.5,percent of total billed charges,999999999,,,,,,,,,,95.5,percent of total billed charges,77.13219672,,,,,,,,,,95.5,percent of total billed charges,121.6427932,,,,,,,,,,95.5,percent of total billed charges,999999999,,,,,,,,,,95.5,percent of total billed charges,83.1673721,,,,,,,,,,343.8,percent of total billed charges,,,,,
VANCOMYCIN TROUGH,80202,CDM,,,,both,,,260,260,55.3498256,260,260,percent of total billed charges,191.2912367,,,,260,percent of total billed charges,202.7649286,,,,260,percent of total billed charges,191.2912367,,,,260,percent of total billed charges,202.7649286,,,,260,percent of total billed charges,999999999,,,,260,percent of total billed charges,198.1021303,,,,260,percent of total billed charges,191.2912367,,,,260,percent of total billed charges,202.7649286,,,,185.38,percent of total billed charges,92.50801246,,,,185.38,percent of total billed charges,55.3498256,,,,185.38,percent of total billed charges,92.50801246,,,,185.38,percent of total billed charges,55.3498256,,,,185.38,percent of total billed charges,92.50801246,,,,185.38,percent of total billed charges,55.3498256,,,,183.56,percent of total billed charges,182.1672804,,,,183.56,percent of total billed charges,125.6393294,,,,,,,,,,187.2,percent of total billed charges,121.6755948,,,,,,,,,,187.2,percent of total billed charges,999999999,,,,,,,,,,208,percent of total billed charges,174.2931878,,,,205.4,percent of total billed charges,198.2198394,,,,205.4,percent of total billed charges,175.1337895,,,,208,percent of total billed charges,999999999,,,,208,percent of total billed charges,999999999,,,,182,percent of total billed charges,999999999,,,,182,percent of total billed charges,999999999,,,,,,,,,,,,,,,,138.32,percent of total billed charges,999999999,,,,,,,,,,,,,,,,131.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,65,percent of total billed charges,61.73410042,,,,,,,,,,65,percent of total billed charges,60.70719566,,,,,,,,,,65,percent of total billed charges,60.53849297,,,,,,,,,,65,percent of total billed charges,59.64706439,,,,,,,,,,65,percent of total billed charges,61.18187105,,,,,,,,,,65,percent of total billed charges,999999999,,,,,,,,,,65,percent of total billed charges,52.49835379,,,,,,,,,,65,percent of total billed charges,82.79352419,,,,,,,,,,65,percent of total billed charges,999999999,,,,,,,,,,65,percent of total billed charges,56.60606478,,,,,,,,,,234,percent of total billed charges,,,,,
VANCOMYCIN PEAK,80202,CDM,,,,both,,,260,260,55.3498256,260,260,percent of total billed charges,191.2912367,,,,260,percent of total billed charges,202.7649286,,,,260,percent of total billed charges,191.2912367,,,,260,percent of total billed charges,202.7649286,,,,260,percent of total billed charges,999999999,,,,260,percent of total billed charges,198.1021303,,,,260,percent of total billed charges,191.2912367,,,,260,percent of total billed charges,202.7649286,,,,185.38,percent of total billed charges,92.50801246,,,,185.38,percent of total billed charges,55.3498256,,,,185.38,percent of total billed charges,92.50801246,,,,185.38,percent of total billed charges,55.3498256,,,,185.38,percent of total billed charges,92.50801246,,,,185.38,percent of total billed charges,55.3498256,,,,183.56,percent of total billed charges,182.1672804,,,,183.56,percent of total billed charges,125.6393294,,,,,,,,,,187.2,percent of total billed charges,121.6755948,,,,,,,,,,187.2,percent of total billed charges,999999999,,,,,,,,,,208,percent of total billed charges,174.2931878,,,,205.4,percent of total billed charges,198.2198394,,,,205.4,percent of total billed charges,175.1337895,,,,208,percent of total billed charges,999999999,,,,208,percent of total billed charges,999999999,,,,182,percent of total billed charges,999999999,,,,182,percent of total billed charges,999999999,,,,,,,,,,,,,,,,138.32,percent of total billed charges,999999999,,,,,,,,,,,,,,,,131.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,65,percent of total billed charges,61.73410042,,,,,,,,,,65,percent of total billed charges,60.70719566,,,,,,,,,,65,percent of total billed charges,60.53849297,,,,,,,,,,65,percent of total billed charges,59.64706439,,,,,,,,,,65,percent of total billed charges,61.18187105,,,,,,,,,,65,percent of total billed charges,999999999,,,,,,,,,,65,percent of total billed charges,52.49835379,,,,,,,,,,65,percent of total billed charges,82.79352419,,,,,,,,,,65,percent of total billed charges,999999999,,,,,,,,,,65,percent of total billed charges,56.60606478,,,,,,,,,,234,percent of total billed charges,,,,,
PSA SCREENING,G0103,CDM,,,,both,,,275,275,58.54308477,275,275,percent of total billed charges,202.3272696,,,,275,percent of total billed charges,214.4629053,,,,275,percent of total billed charges,202.3272696,,,,275,percent of total billed charges,214.4629053,,,,275,percent of total billed charges,999999999,,,,275,percent of total billed charges,209.5310994,,,,275,percent of total billed charges,202.3272696,,,,275,percent of total billed charges,214.4629053,,,,196.075,percent of total billed charges,97.84501318,,,,196.075,percent of total billed charges,58.54308477,,,,196.075,percent of total billed charges,97.84501318,,,,196.075,percent of total billed charges,58.54308477,,,,196.075,percent of total billed charges,97.84501318,,,,196.075,percent of total billed charges,58.54308477,,,,194.15,percent of total billed charges,192.6769312,,,,194.15,percent of total billed charges,132.8877523,,,,,,,,,,198,percent of total billed charges,128.6953406,,,,,,,,,,198,percent of total billed charges,999999999,,,,,,,,,,220,percent of total billed charges,184.348564,,,,217.25,percent of total billed charges,209.6555993,,,,217.25,percent of total billed charges,185.2376619,,,,220,percent of total billed charges,999999999,,,,220,percent of total billed charges,999999999,,,,192.5,percent of total billed charges,999999999,,,,192.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,146.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,138.875,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,68.75,percent of total billed charges,65.29568314,,,,,,,,,,68.75,percent of total billed charges,64.20953388,,,,,,,,,,68.75,percent of total billed charges,64.03109833,,,,,,,,,,68.75,percent of total billed charges,63.08824119,,,,,,,,,,68.75,percent of total billed charges,64.71159438,,,,,,,,,,68.75,percent of total billed charges,999999999,,,,,,,,,,68.75,percent of total billed charges,55.52710497,,,,,,,,,,68.75,percent of total billed charges,87.57007367,,,,,,,,,,68.75,percent of total billed charges,999999999,,,,,,,,,,68.75,percent of total billed charges,59.87179929,,,,,,,,,,247.5,percent of total billed charges,,,,,
PLASMINOGEN,85420,CDM,,,,both,,,291,291,61.94922789,291,291,percent of total billed charges,214.099038,,,,291,percent of total billed charges,226.940747,,,,291,percent of total billed charges,214.099038,,,,291,percent of total billed charges,226.940747,,,,291,percent of total billed charges,999999999,,,,291,percent of total billed charges,221.7219997,,,,291,percent of total billed charges,214.099038,,,,291,percent of total billed charges,226.940747,,,,207.483,percent of total billed charges,103.5378139,,,,207.483,percent of total billed charges,61.94922789,,,,207.483,percent of total billed charges,103.5378139,,,,207.483,percent of total billed charges,61.94922789,,,,207.483,percent of total billed charges,103.5378139,,,,207.483,percent of total billed charges,61.94922789,,,,205.446,percent of total billed charges,203.8872253,,,,205.446,percent of total billed charges,140.6194033,,,,,,,,,,209.52,percent of total billed charges,136.1830696,,,,,,,,,,209.52,percent of total billed charges,999999999,,,,,,,,,,232.8,percent of total billed charges,195.0742986,,,,229.89,percent of total billed charges,221.8537433,,,,229.89,percent of total billed charges,196.0151259,,,,232.8,percent of total billed charges,999999999,,,,232.8,percent of total billed charges,999999999,,,,203.7,percent of total billed charges,999999999,,,,203.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,154.812,percent of total billed charges,999999999,,,,,,,,,,,,,,,,146.955,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,72.75,percent of total billed charges,69.0947047,,,,,,,,,,72.75,percent of total billed charges,67.9453613,,,,,,,,,,72.75,percent of total billed charges,67.75654405,,,,,,,,,,72.75,percent of total billed charges,66.75882976,,,,,,,,,,72.75,percent of total billed charges,68.4766326,,,,,,,,,,72.75,percent of total billed charges,999999999,,,,,,,,,,72.75,percent of total billed charges,58.7577729,,,,,,,,,,72.75,percent of total billed charges,92.66505977,,,,,,,,,,72.75,percent of total billed charges,999999999,,,,,,,,,,72.75,percent of total billed charges,63.35524943,,,,,,,,,,261.9,percent of total billed charges,,,,,
CYTOGENETICS 100-300,88275,CDM,,,,both,,,521,521,110.9125351,521,521,percent of total billed charges,383.3182089,,,,521,percent of total billed charges,406.3097223,,,,521,percent of total billed charges,383.3182089,,,,521,percent of total billed charges,406.3097223,,,,521,percent of total billed charges,999999999,,,,521,percent of total billed charges,396.9661919,,,,521,percent of total billed charges,383.3182089,,,,521,percent of total billed charges,406.3097223,,,,371.473,percent of total billed charges,185.371825,,,,371.473,percent of total billed charges,110.9125351,,,,371.473,percent of total billed charges,185.371825,,,,371.473,percent of total billed charges,110.9125351,,,,371.473,percent of total billed charges,185.371825,,,,371.473,percent of total billed charges,110.9125351,,,,367.826,percent of total billed charges,365.0352041,,,,367.826,percent of total billed charges,251.761887,,,,,,,,,,375.12,percent of total billed charges,243.8191726,,,,,,,,,,375.12,percent of total billed charges,999999999,,,,,,,,,,416.8,percent of total billed charges,349.256734,,,,411.59,percent of total billed charges,397.2020627,,,,411.59,percent of total billed charges,350.9411704,,,,416.8,percent of total billed charges,999999999,,,,416.8,percent of total billed charges,999999999,,,,364.7,percent of total billed charges,999999999,,,,364.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,277.172,percent of total billed charges,999999999,,,,,,,,,,,,,,,,263.105,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,130.25,percent of total billed charges,123.7056397,,,,,,,,,,130.25,percent of total billed charges,121.6478805,,,,,,,,,,130.25,percent of total billed charges,121.3098263,,,,,,,,,,130.25,percent of total billed charges,119.5235406,,,,,,,,,,130.25,percent of total billed charges,122.599057,,,,,,,,,,130.25,percent of total billed charges,999999999,,,,,,,,,,130.25,percent of total billed charges,105.1986243,,,,,,,,,,130.25,percent of total billed charges,165.905485,,,,,,,,,,130.25,percent of total billed charges,999999999,,,,,,,,,,130.25,percent of total billed charges,113.4298452,,,,,,,,,,468.9,percent of total billed charges,,,,,
ENZYME CELL ACTIVITY,82657,CDM,,,,both,,,490,490,104.3131329,490,490,percent of total billed charges,360.5104076,,,,490,percent of total billed charges,382.1339039,,,,490,percent of total billed charges,360.5104076,,,,490,percent of total billed charges,382.1339039,,,,490,percent of total billed charges,999999999,,,,490,percent of total billed charges,373.3463225,,,,490,percent of total billed charges,360.5104076,,,,490,percent of total billed charges,382.1339039,,,,349.37,percent of total billed charges,174.3420235,,,,349.37,percent of total billed charges,104.3131329,,,,349.37,percent of total billed charges,174.3420235,,,,349.37,percent of total billed charges,104.3131329,,,,349.37,percent of total billed charges,174.3420235,,,,349.37,percent of total billed charges,104.3131329,,,,345.94,percent of total billed charges,343.3152592,,,,345.94,percent of total billed charges,236.7818131,,,,,,,,,,352.8,percent of total billed charges,229.3116979,,,,,,,,,,352.8,percent of total billed charges,999999999,,,,,,,,,,392,percent of total billed charges,328.4756232,,,,387.1,percent of total billed charges,373.5681588,,,,387.1,percent of total billed charges,330.059834,,,,392,percent of total billed charges,999999999,,,,392,percent of total billed charges,999999999,,,,343,percent of total billed charges,999999999,,,,343,percent of total billed charges,999999999,,,,,,,,,,,,,,,,260.68,percent of total billed charges,999999999,,,,,,,,,,,,,,,,247.45,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,122.5,percent of total billed charges,116.3450354,,,,,,,,,,122.5,percent of total billed charges,114.4097149,,,,,,,,,,122.5,percent of total billed charges,114.0917752,,,,,,,,,,122.5,percent of total billed charges,112.4117752,,,,,,,,,,122.5,percent of total billed charges,115.3042954,,,,,,,,,,122.5,percent of total billed charges,999999999,,,,,,,,,,122.5,percent of total billed charges,98.93920522,,,,,,,,,,122.5,percent of total billed charges,156.0339494,,,,,,,,,,122.5,percent of total billed charges,999999999,,,,,,,,,,122.5,percent of total billed charges,106.6806605,,,,,,,,,,441,percent of total billed charges,,,,,
VITAMIN A,84590,CDM,,,,both,,,206,206,43.85409259,206,206,percent of total billed charges,151.5615183,,,,206,percent of total billed charges,160.6522127,,,,206,percent of total billed charges,151.5615183,,,,206,percent of total billed charges,160.6522127,,,,206,percent of total billed charges,999999999,,,,206,percent of total billed charges,156.9578417,,,,206,percent of total billed charges,151.5615183,,,,206,percent of total billed charges,160.6522127,,,,146.878,percent of total billed charges,73.29480987,,,,146.878,percent of total billed charges,43.85409259,,,,146.878,percent of total billed charges,73.29480987,,,,146.878,percent of total billed charges,43.85409259,,,,146.878,percent of total billed charges,73.29480987,,,,146.878,percent of total billed charges,43.85409259,,,,145.436,percent of total billed charges,144.3325375,,,,145.436,percent of total billed charges,99.54500715,,,,,,,,,,148.32,percent of total billed charges,96.40450972,,,,,,,,,,148.32,percent of total billed charges,999999999,,,,,,,,,,164.8,percent of total billed charges,138.0938334,,,,162.74,percent of total billed charges,157.0511035,,,,162.74,percent of total billed charges,138.7598486,,,,164.8,percent of total billed charges,999999999,,,,164.8,percent of total billed charges,999999999,,,,144.2,percent of total billed charges,999999999,,,,144.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,109.592,percent of total billed charges,999999999,,,,,,,,,,,,,,,,104.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,51.5,percent of total billed charges,48.91240264,,,,,,,,,,51.5,percent of total billed charges,48.0987781,,,,,,,,,,51.5,percent of total billed charges,47.96511366,,,,,,,,,,51.5,percent of total billed charges,47.25882794,,,,,,,,,,51.5,percent of total billed charges,48.47486706,,,,,,,,,,51.5,percent of total billed charges,999999999,,,,,,,,,,51.5,percent of total billed charges,41.59484954,,,,,,,,,,51.5,percent of total billed charges,65.59794609,,,,,,,,,,51.5,percent of total billed charges,999999999,,,,,,,,,,51.5,percent of total billed charges,44.84942056,,,,,,,,,,185.4,percent of total billed charges,,,,,
STOOL MUSCLE FIBERS,89160,CDM,,,,both,,,127,127,27.03626097,127,127,percent of total billed charges,93.43841177,,,,127,percent of total billed charges,99.04286897,,,,127,percent of total billed charges,93.43841177,,,,127,percent of total billed charges,99.04286897,,,,127,percent of total billed charges,999999999,,,,127,percent of total billed charges,96.76527134,,,,127,percent of total billed charges,93.43841177,,,,127,percent of total billed charges,99.04286897,,,,90.551,percent of total billed charges,45.18660609,,,,90.551,percent of total billed charges,27.03626097,,,,90.551,percent of total billed charges,45.18660609,,,,90.551,percent of total billed charges,27.03626097,,,,90.551,percent of total billed charges,45.18660609,,,,90.551,percent of total billed charges,27.03626097,,,,89.662,percent of total billed charges,88.98171003,,,,89.662,percent of total billed charges,61.36998014,,,,,,,,,,91.44,percent of total billed charges,59.43384822,,,,,,,,,,91.44,percent of total billed charges,999999999,,,,,,,,,,101.6,percent of total billed charges,85.13551865,,,,100.33,percent of total billed charges,96.82276769,,,,100.33,percent of total billed charges,85.54612024,,,,101.6,percent of total billed charges,999999999,,,,101.6,percent of total billed charges,999999999,,,,88.9,percent of total billed charges,999999999,,,,88.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,67.564,percent of total billed charges,999999999,,,,,,,,,,,,,,,,64.135,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,31.75,percent of total billed charges,30.15473367,,,,,,,,,,31.75,percent of total billed charges,29.65313019,,,,,,,,,,31.75,percent of total billed charges,29.57072541,,,,,,,,,,31.75,percent of total billed charges,29.13529684,,,,,,,,,,31.75,percent of total billed charges,29.88499086,,,,,,,,,,31.75,percent of total billed charges,999999999,,,,,,,,,,31.75,percent of total billed charges,25.64342666,,,,,,,,,,31.75,percent of total billed charges,40.4414522,,,,,,,,,,31.75,percent of total billed charges,999999999,,,,,,,,,,31.75,percent of total billed charges,27.64988549,,,,,,,,,,114.3,percent of total billed charges,,,,,
OLIGOCLONAL BANDS,83916,CDM,,,,both,,,306,306,65.14248705,306,306,percent of total billed charges,225.1350709,,,,306,percent of total billed charges,238.6387237,,,,306,percent of total billed charges,225.1350709,,,,306,percent of total billed charges,238.6387237,,,,306,percent of total billed charges,999999999,,,,306,percent of total billed charges,233.1509688,,,,306,percent of total billed charges,225.1350709,,,,306,percent of total billed charges,238.6387237,,,,218.178,percent of total billed charges,108.8748147,,,,218.178,percent of total billed charges,65.14248705,,,,218.178,percent of total billed charges,108.8748147,,,,218.178,percent of total billed charges,65.14248705,,,,218.178,percent of total billed charges,108.8748147,,,,218.178,percent of total billed charges,65.14248705,,,,216.036,percent of total billed charges,214.3968761,,,,216.036,percent of total billed charges,147.8678262,,,,,,,,,,220.32,percent of total billed charges,143.2028154,,,,,,,,,,220.32,percent of total billed charges,999999999,,,,,,,,,,244.8,percent of total billed charges,205.1296749,,,,241.74,percent of total billed charges,233.2895033,,,,241.74,percent of total billed charges,206.1189984,,,,244.8,percent of total billed charges,999999999,,,,244.8,percent of total billed charges,999999999,,,,214.2,percent of total billed charges,999999999,,,,214.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,162.792,percent of total billed charges,999999999,,,,,,,,,,,,,,,,154.53,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,76.5,percent of total billed charges,72.65628742,,,,,,,,,,76.5,percent of total billed charges,71.44769951,,,,,,,,,,76.5,percent of total billed charges,71.24914941,,,,,,,,,,76.5,percent of total billed charges,70.20000656,,,,,,,,,,76.5,percent of total billed charges,72.00635593,,,,,,,,,,76.5,percent of total billed charges,999999999,,,,,,,,,,76.5,percent of total billed charges,61.78652408,,,,,,,,,,76.5,percent of total billed charges,97.44160924,,,,,,,,,,76.5,percent of total billed charges,999999999,,,,,,,,,,76.5,percent of total billed charges,66.62098393,,,,,,,,,,275.4,percent of total billed charges,,,,,
"CA-50,  72-4, 549, EACH",86316,CDM,,,,both,,,247,247,52.58233432,247,247,percent of total billed charges,181.7266749,,,,247,percent of total billed charges,192.6266822,,,,247,percent of total billed charges,181.7266749,,,,247,percent of total billed charges,192.6266822,,,,247,percent of total billed charges,999999999,,,,247,percent of total billed charges,188.1970238,,,,247,percent of total billed charges,181.7266749,,,,247,percent of total billed charges,192.6266822,,,,176.111,percent of total billed charges,87.88261184,,,,176.111,percent of total billed charges,52.58233432,,,,176.111,percent of total billed charges,87.88261184,,,,176.111,percent of total billed charges,52.58233432,,,,176.111,percent of total billed charges,87.88261184,,,,176.111,percent of total billed charges,52.58233432,,,,174.382,percent of total billed charges,173.0589164,,,,174.382,percent of total billed charges,119.3573629,,,,,,,,,,177.84,percent of total billed charges,115.591815,,,,,,,,,,177.84,percent of total billed charges,999999999,,,,,,,,,,197.6,percent of total billed charges,165.5785284,,,,195.13,percent of total billed charges,188.3088474,,,,195.13,percent of total billed charges,166.3771,,,,197.6,percent of total billed charges,999999999,,,,197.6,percent of total billed charges,999999999,,,,172.9,percent of total billed charges,999999999,,,,172.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,131.404,percent of total billed charges,999999999,,,,,,,,,,,,,,,,124.735,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,61.75,percent of total billed charges,58.6473954,,,,,,,,,,61.75,percent of total billed charges,57.67183588,,,,,,,,,,61.75,percent of total billed charges,57.51156832,,,,,,,,,,61.75,percent of total billed charges,56.66471117,,,,,,,,,,61.75,percent of total billed charges,58.1227775,,,,,,,,,,61.75,percent of total billed charges,999999999,,,,,,,,,,61.75,percent of total billed charges,49.8734361,,,,,,,,,,61.75,percent of total billed charges,78.65384799,,,,,,,,,,61.75,percent of total billed charges,999999999,,,,,,,,,,61.75,percent of total billed charges,53.77576154,,,,,,,,,,222.3,percent of total billed charges,,,,,
IMMUNOHISTO ANTIBODY,88341,CDM,,,,both,,,347,347,73.87072878,347,347,percent of total billed charges,255.3002274,,,,347,percent of total billed charges,270.6131932,,,,347,percent of total billed charges,255.3002274,,,,347,percent of total billed charges,270.6131932,,,,347,percent of total billed charges,999999999,,,,347,percent of total billed charges,264.3901508,,,,347,percent of total billed charges,255.3002274,,,,347,percent of total billed charges,270.6131932,,,,247.411,percent of total billed charges,123.4626166,,,,247.411,percent of total billed charges,73.87072878,,,,247.411,percent of total billed charges,123.4626166,,,,247.411,percent of total billed charges,73.87072878,,,,247.411,percent of total billed charges,123.4626166,,,,247.411,percent of total billed charges,73.87072878,,,,244.982,percent of total billed charges,243.123255,,,,244.982,percent of total billed charges,167.6801819,,,,,,,,,,249.84,percent of total billed charges,162.3901207,,,,,,,,,,249.84,percent of total billed charges,999999999,,,,,,,,,,277.6,percent of total billed charges,232.6143699,,,,274.13,percent of total billed charges,264.5472472,,,,274.13,percent of total billed charges,233.7362498,,,,277.6,percent of total billed charges,999999999,,,,277.6,percent of total billed charges,999999999,,,,242.9,percent of total billed charges,999999999,,,,242.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,184.604,percent of total billed charges,999999999,,,,,,,,,,,,,,,,175.235,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,86.75,percent of total billed charges,82.39128017,,,,,,,,,,86.75,percent of total billed charges,81.02075729,,,,,,,,,,86.75,percent of total billed charges,80.79560407,,,,,,,,,,86.75,percent of total billed charges,79.60588979,,,,,,,,,,86.75,percent of total billed charges,81.65426636,,,,,,,,,,86.75,percent of total billed charges,999999999,,,,,,,,,,86.75,percent of total billed charges,70.06511063,,,,,,,,,,86.75,percent of total billed charges,110.4975111,,,,,,,,,,86.75,percent of total billed charges,999999999,,,,,,,,,,86.75,percent of total billed charges,75.54732492,,,,,,,,,,312.3,percent of total billed charges,,,,,
GENTAMICIN TROUGH,80170,CDM,,,,both,,,255,255,54.28540588,255,255,percent of total billed charges,187.6125591,,,,255,percent of total billed charges,198.8656031,,,,255,percent of total billed charges,187.6125591,,,,255,percent of total billed charges,198.8656031,,,,255,percent of total billed charges,999999999,,,,255,percent of total billed charges,194.292474,,,,255,percent of total billed charges,187.6125591,,,,255,percent of total billed charges,198.8656031,,,,181.815,percent of total billed charges,90.72901222,,,,181.815,percent of total billed charges,54.28540588,,,,181.815,percent of total billed charges,90.72901222,,,,181.815,percent of total billed charges,54.28540588,,,,181.815,percent of total billed charges,90.72901222,,,,181.815,percent of total billed charges,54.28540588,,,,180.03,percent of total billed charges,178.6640634,,,,180.03,percent of total billed charges,123.2231885,,,,,,,,,,183.6,percent of total billed charges,119.3356795,,,,,,,,,,183.6,percent of total billed charges,999999999,,,,,,,,,,204,percent of total billed charges,170.9413957,,,,201.45,percent of total billed charges,194.4079194,,,,201.45,percent of total billed charges,171.765832,,,,204,percent of total billed charges,999999999,,,,204,percent of total billed charges,999999999,,,,178.5,percent of total billed charges,999999999,,,,178.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,135.66,percent of total billed charges,999999999,,,,,,,,,,,,,,,,128.775,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,63.75,percent of total billed charges,60.54690618,,,,,,,,,,63.75,percent of total billed charges,59.53974959,,,,,,,,,,63.75,percent of total billed charges,59.37429118,,,,,,,,,,63.75,percent of total billed charges,58.50000546,,,,,,,,,,63.75,percent of total billed charges,60.0052966,,,,,,,,,,63.75,percent of total billed charges,999999999,,,,,,,,,,63.75,percent of total billed charges,51.48877006,,,,,,,,,,63.75,percent of total billed charges,81.20134104,,,,,,,,,,63.75,percent of total billed charges,999999999,,,,,,,,,,63.75,percent of total billed charges,55.51748661,,,,,,,,,,229.5,percent of total billed charges,,,,,
GENTAMICIN PEAK,80170,CDM,,,,both,,,255,255,54.28540588,255,255,percent of total billed charges,187.6125591,,,,255,percent of total billed charges,198.8656031,,,,255,percent of total billed charges,187.6125591,,,,255,percent of total billed charges,198.8656031,,,,255,percent of total billed charges,999999999,,,,255,percent of total billed charges,194.292474,,,,255,percent of total billed charges,187.6125591,,,,255,percent of total billed charges,198.8656031,,,,181.815,percent of total billed charges,90.72901222,,,,181.815,percent of total billed charges,54.28540588,,,,181.815,percent of total billed charges,90.72901222,,,,181.815,percent of total billed charges,54.28540588,,,,181.815,percent of total billed charges,90.72901222,,,,181.815,percent of total billed charges,54.28540588,,,,180.03,percent of total billed charges,178.6640634,,,,180.03,percent of total billed charges,123.2231885,,,,,,,,,,183.6,percent of total billed charges,119.3356795,,,,,,,,,,183.6,percent of total billed charges,999999999,,,,,,,,,,204,percent of total billed charges,170.9413957,,,,201.45,percent of total billed charges,194.4079194,,,,201.45,percent of total billed charges,171.765832,,,,204,percent of total billed charges,999999999,,,,204,percent of total billed charges,999999999,,,,178.5,percent of total billed charges,999999999,,,,178.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,135.66,percent of total billed charges,999999999,,,,,,,,,,,,,,,,128.775,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,63.75,percent of total billed charges,60.54690618,,,,,,,,,,63.75,percent of total billed charges,59.53974959,,,,,,,,,,63.75,percent of total billed charges,59.37429118,,,,,,,,,,63.75,percent of total billed charges,58.50000546,,,,,,,,,,63.75,percent of total billed charges,60.0052966,,,,,,,,,,63.75,percent of total billed charges,999999999,,,,,,,,,,63.75,percent of total billed charges,51.48877006,,,,,,,,,,63.75,percent of total billed charges,81.20134104,,,,,,,,,,63.75,percent of total billed charges,999999999,,,,,,,,,,63.75,percent of total billed charges,55.51748661,,,,,,,,,,229.5,percent of total billed charges,,,,,
TESTOSTERONE TOTAL(*),84403,CDM,,,,both,,,334,334,71.1032375,334,334,percent of total billed charges,245.7356656,,,,334,percent of total billed charges,260.4749467,,,,334,percent of total billed charges,245.7356656,,,,334,percent of total billed charges,260.4749467,,,,334,percent of total billed charges,999999999,,,,334,percent of total billed charges,254.4850443,,,,334,percent of total billed charges,245.7356656,,,,334,percent of total billed charges,260.4749467,,,,238.142,percent of total billed charges,118.837216,,,,238.142,percent of total billed charges,71.1032375,,,,238.142,percent of total billed charges,118.837216,,,,238.142,percent of total billed charges,71.1032375,,,,238.142,percent of total billed charges,118.837216,,,,238.142,percent of total billed charges,71.1032375,,,,235.804,percent of total billed charges,234.0148909,,,,235.804,percent of total billed charges,161.3982155,,,,,,,,,,240.48,percent of total billed charges,156.306341,,,,,,,,,,240.48,percent of total billed charges,999999999,,,,,,,,,,267.2,percent of total billed charges,223.8997105,,,,263.86,percent of total billed charges,254.6362552,,,,263.86,percent of total billed charges,224.9795603,,,,267.2,percent of total billed charges,999999999,,,,267.2,percent of total billed charges,999999999,,,,233.8,percent of total billed charges,999999999,,,,233.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,177.688,percent of total billed charges,999999999,,,,,,,,,,,,,,,,168.67,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,83.5,percent of total billed charges,79.30457515,,,,,,,,,,83.5,percent of total billed charges,77.98539751,,,,,,,,,,83.5,percent of total billed charges,77.76867943,,,,,,,,,,83.5,percent of total billed charges,76.62353657,,,,,,,,,,83.5,percent of total billed charges,78.59517281,,,,,,,,,,83.5,percent of total billed charges,999999999,,,,,,,,,,83.5,percent of total billed charges,67.44019294,,,,,,,,,,83.5,percent of total billed charges,106.3578349,,,,,,,,,,83.5,percent of total billed charges,999999999,,,,,,,,,,83.5,percent of total billed charges,72.71702168,,,,,,,,,,300.6,percent of total billed charges,,,,,
TOBRAMYCIN PEAK,80200,CDM,,,,both,,,258,258,54.92405771,258,258,percent of total billed charges,189.8197656,,,,258,percent of total billed charges,201.2051984,,,,258,percent of total billed charges,189.8197656,,,,258,percent of total billed charges,201.2051984,,,,258,percent of total billed charges,999999999,,,,258,percent of total billed charges,196.5782678,,,,258,percent of total billed charges,189.8197656,,,,258,percent of total billed charges,201.2051984,,,,183.954,percent of total billed charges,91.79641237,,,,183.954,percent of total billed charges,54.92405771,,,,183.954,percent of total billed charges,91.79641237,,,,183.954,percent of total billed charges,54.92405771,,,,183.954,percent of total billed charges,91.79641237,,,,183.954,percent of total billed charges,54.92405771,,,,182.148,percent of total billed charges,180.7659936,,,,182.148,percent of total billed charges,124.672873,,,,,,,,,,185.76,percent of total billed charges,120.7396287,,,,,,,,,,185.76,percent of total billed charges,999999999,,,,,,,,,,206.4,percent of total billed charges,172.952471,,,,203.82,percent of total billed charges,196.6950714,,,,203.82,percent of total billed charges,173.7866065,,,,206.4,percent of total billed charges,999999999,,,,206.4,percent of total billed charges,999999999,,,,180.6,percent of total billed charges,999999999,,,,180.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,137.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,130.29,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,64.5,percent of total billed charges,61.25922272,,,,,,,,,,64.5,percent of total billed charges,60.24021724,,,,,,,,,,64.5,percent of total billed charges,60.07281225,,,,,,,,,,64.5,percent of total billed charges,59.18824082,,,,,,,,,,64.5,percent of total billed charges,60.71124127,,,,,,,,,,64.5,percent of total billed charges,999999999,,,,,,,,,,64.5,percent of total billed charges,52.0945203,,,,,,,,,,64.5,percent of total billed charges,82.15665093,,,,,,,,,,64.5,percent of total billed charges,999999999,,,,,,,,,,64.5,percent of total billed charges,56.17063351,,,,,,,,,,232.2,percent of total billed charges,,,,,
ASPERGILLUS; INFECTIOUS AGENT ANTIGEN,87305,CDM,,,,both,,,351,351,74.72226456,351,351,percent of total billed charges,258.2431695,,,,351,percent of total billed charges,273.7326536,,,,351,percent of total billed charges,258.2431695,,,,351,percent of total billed charges,273.7326536,,,,351,percent of total billed charges,999999999,,,,351,percent of total billed charges,267.4378759,,,,351,percent of total billed charges,258.2431695,,,,351,percent of total billed charges,273.7326536,,,,250.263,percent of total billed charges,124.8858168,,,,250.263,percent of total billed charges,74.72226456,,,,250.263,percent of total billed charges,124.8858168,,,,250.263,percent of total billed charges,74.72226456,,,,250.263,percent of total billed charges,124.8858168,,,,250.263,percent of total billed charges,74.72226456,,,,247.806,percent of total billed charges,245.9258285,,,,247.806,percent of total billed charges,169.6130947,,,,,,,,,,252.72,percent of total billed charges,164.262053,,,,,,,,,,252.72,percent of total billed charges,999999999,,,,,,,,,,280.8,percent of total billed charges,235.2958035,,,,277.29,percent of total billed charges,267.5967832,,,,277.29,percent of total billed charges,236.4306158,,,,280.8,percent of total billed charges,999999999,,,,280.8,percent of total billed charges,999999999,,,,245.7,percent of total billed charges,999999999,,,,245.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,186.732,percent of total billed charges,999999999,,,,,,,,,,,,,,,,177.255,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,87.75,percent of total billed charges,83.34103557,,,,,,,,,,87.75,percent of total billed charges,81.95471415,,,,,,,,,,87.75,percent of total billed charges,81.7269655,,,,,,,,,,87.75,percent of total billed charges,80.52353693,,,,,,,,,,87.75,percent of total billed charges,82.59552591,,,,,,,,,,87.75,percent of total billed charges,999999999,,,,,,,,,,87.75,percent of total billed charges,70.87277762,,,,,,,,,,87.75,percent of total billed charges,111.7712577,,,,,,,,,,87.75,percent of total billed charges,999999999,,,,,,,,,,87.75,percent of total billed charges,76.41818745,,,,,,,,,,315.9,percent of total billed charges,,,,,
**DIHYDROTESTOSTERONE,G6047,CDM,,,,both,,,210,210,44.70562837,210,210,percent of total billed charges,154.5044604,,,,210,percent of total billed charges,163.7716731,,,,210,percent of total billed charges,154.5044604,,,,210,percent of total billed charges,163.7716731,,,,210,percent of total billed charges,999999999,,,,210,percent of total billed charges,160.0055668,,,,210,percent of total billed charges,154.5044604,,,,210,percent of total billed charges,163.7716731,,,,149.73,percent of total billed charges,74.71801006,,,,149.73,percent of total billed charges,44.70562837,,,,149.73,percent of total billed charges,74.71801006,,,,149.73,percent of total billed charges,44.70562837,,,,149.73,percent of total billed charges,74.71801006,,,,149.73,percent of total billed charges,44.70562837,,,,148.26,percent of total billed charges,147.1351111,,,,148.26,percent of total billed charges,101.4779199,,,,,,,,,,151.2,percent of total billed charges,98.27644194,,,,,,,,,,151.2,percent of total billed charges,999999999,,,,,,,,,,168,percent of total billed charges,140.7752671,,,,165.9,percent of total billed charges,160.1006395,,,,165.9,percent of total billed charges,141.4542146,,,,168,percent of total billed charges,999999999,,,,168,percent of total billed charges,999999999,,,,147,percent of total billed charges,999999999,,,,147,percent of total billed charges,999999999,,,,,,,,,,,,,,,,111.72,percent of total billed charges,999999999,,,,,,,,,,,,,,,,106.05,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,52.5,percent of total billed charges,49.86215803,,,,,,,,,,52.5,percent of total billed charges,49.03273496,,,,,,,,,,52.5,percent of total billed charges,48.89647509,,,,,,,,,,52.5,percent of total billed charges,48.17647509,,,,,,,,,,52.5,percent of total billed charges,49.41612662,,,,,,,,,,52.5,percent of total billed charges,999999999,,,,,,,,,,52.5,percent of total billed charges,42.40251652,,,,,,,,,,52.5,percent of total billed charges,66.87169262,,,,,,,,,,52.5,percent of total billed charges,999999999,,,,,,,,,,52.5,percent of total billed charges,45.72028309,,,,,,,,,,189,percent of total billed charges,,,,,
ENTERVIRUS,87498,CDM,,,,both,,,514,514,109.4223475,514,514,percent of total billed charges,378.1680602,,,,514,percent of total billed charges,400.8506665,,,,514,percent of total billed charges,378.1680602,,,,514,percent of total billed charges,400.8506665,,,,514,percent of total billed charges,999999999,,,,514,percent of total billed charges,391.632673,,,,514,percent of total billed charges,378.1680602,,,,514,percent of total billed charges,400.8506665,,,,366.482,percent of total billed charges,182.8812246,,,,366.482,percent of total billed charges,109.4223475,,,,366.482,percent of total billed charges,182.8812246,,,,366.482,percent of total billed charges,109.4223475,,,,366.482,percent of total billed charges,182.8812246,,,,366.482,percent of total billed charges,109.4223475,,,,362.884,percent of total billed charges,360.1307004,,,,362.884,percent of total billed charges,248.3792897,,,,,,,,,,370.08,percent of total billed charges,240.5432912,,,,,,,,,,370.08,percent of total billed charges,999999999,,,,,,,,,,411.2,percent of total billed charges,344.5642251,,,,406.06,percent of total billed charges,391.8653748,,,,406.06,percent of total billed charges,346.2260299,,,,411.2,percent of total billed charges,999999999,,,,411.2,percent of total billed charges,999999999,,,,359.8,percent of total billed charges,999999999,,,,359.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,273.448,percent of total billed charges,999999999,,,,,,,,,,,,,,,,259.57,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,128.5,percent of total billed charges,122.0435678,,,,,,,,,,128.5,percent of total billed charges,120.013456,,,,,,,,,,128.5,percent of total billed charges,119.6799438,,,,,,,,,,128.5,percent of total billed charges,117.9176581,,,,,,,,,,128.5,percent of total billed charges,120.9518528,,,,,,,,,,128.5,percent of total billed charges,999999999,,,,,,,,,,128.5,percent of total billed charges,103.7852071,,,,,,,,,,128.5,percent of total billed charges,163.6764286,,,,,,,,,,128.5,percent of total billed charges,999999999,,,,,,,,,,128.5,percent of total billed charges,111.9058358,,,,,,,,,,462.6,percent of total billed charges,,,,,
GENOMIC SEQUENCE,81455,CDM,,,,both,,,6012,6012,1279.858275,6012,6012,percent of total billed charges,4423.241981,,,,6012,percent of total billed charges,4688.549041,,,,6012,percent of total billed charges,4423.241981,,,,6012,percent of total billed charges,4688.549041,,,,6012,percent of total billed charges,999999999,,,,6012,percent of total billed charges,4580.730798,,,,6012,percent of total billed charges,4423.241981,,,,6012,percent of total billed charges,4688.549041,,,,4286.556,percent of total billed charges,2139.069888,,,,4286.556,percent of total billed charges,1279.858275,,,,4286.556,percent of total billed charges,2139.069888,,,,4286.556,percent of total billed charges,1279.858275,,,,4286.556,percent of total billed charges,2139.069888,,,,4286.556,percent of total billed charges,1279.858275,,,,4244.472,percent of total billed charges,4212.268037,,,,4244.472,percent of total billed charges,2905.167879,,,,,,,,,,4328.64,percent of total billed charges,2813.514138,,,,,,,,,,4328.64,percent of total billed charges,999999999,,,,,,,,,,4809.6,percent of total billed charges,4030.194789,,,,4749.48,percent of total billed charges,4583.452593,,,,4749.48,percent of total billed charges,4049.632086,,,,4809.6,percent of total billed charges,999999999,,,,4809.6,percent of total billed charges,999999999,,,,4208.4,percent of total billed charges,999999999,,,,4208.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3198.384,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3036.06,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1503,percent of total billed charges,1427.482353,,,,,,,,,,1503,percent of total billed charges,1403.737155,,,,,,,,,,1503,percent of total billed charges,1399.83623,,,,,,,,,,1503,percent of total billed charges,1379.223658,,,,,,,,,,1503,percent of total billed charges,1414.713111,,,,,,,,,,1503,percent of total billed charges,999999999,,,,,,,,,,1503,percent of total billed charges,1213.923473,,,,,,,,,,1503,percent of total billed charges,1914.441029,,,,,,,,,,1503,percent of total billed charges,999999999,,,,,,,,,,1503,percent of total billed charges,1308.90639,,,,,,,,,,5410.8,percent of total billed charges,,,,,
CYTOG ALYS CHRML ABNR CGH,81228,CDM,,,,both,,,2699,2699,574.5737665,2699,2699,percent of total billed charges,1985.750184,,,,2699,percent of total billed charges,2104.855932,,,,2699,percent of total billed charges,1985.750184,,,,2699,percent of total billed charges,2104.855932,,,,2699,percent of total billed charges,999999999,,,,2699,percent of total billed charges,2056.452499,,,,2699,percent of total billed charges,1985.750184,,,,2699,percent of total billed charges,2104.855932,,,,1924.387,percent of total billed charges,960.3043294,,,,1924.387,percent of total billed charges,574.5737665,,,,1924.387,percent of total billed charges,960.3043294,,,,1924.387,percent of total billed charges,574.5737665,,,,1924.387,percent of total billed charges,960.3043294,,,,1924.387,percent of total billed charges,574.5737665,,,,1905.494,percent of total billed charges,1891.036499,,,,1905.494,percent of total billed charges,1304.232885,,,,,,,,,,1943.28,percent of total billed charges,1263.086271,,,,,,,,,,1943.28,percent of total billed charges,999999999,,,,,,,,,,2159.2,percent of total billed charges,1809.297361,,,,2132.21,percent of total billed charges,2057.674409,,,,2132.21,percent of total billed charges,1818.023453,,,,2159.2,percent of total billed charges,999999999,,,,2159.2,percent of total billed charges,999999999,,,,1889.3,percent of total billed charges,999999999,,,,1889.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1435.868,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1362.995,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,674.75,percent of total billed charges,640.8474501,,,,,,,,,,674.75,percent of total billed charges,630.1873888,,,,,,,,,,674.75,percent of total billed charges,628.4361251,,,,,,,,,,674.75,percent of total billed charges,619.1824108,,,,,,,,,,674.75,percent of total billed charges,635.1148845,,,,,,,,,,674.75,percent of total billed charges,999999999,,,,,,,,,,674.75,percent of total billed charges,544.9732957,,,,,,,,,,674.75,percent of total billed charges,859.4604685,,,,,,,,,,674.75,percent of total billed charges,999999999,,,,,,,,,,674.75,percent of total billed charges,587.6144955,,,,,,,,,,2429.1,percent of total billed charges,,,,,
HRDTRY BRST CA-RLATD DISORDERS,81432,CDM,,,,both,,,2699,2699,574.5737665,2699,2699,percent of total billed charges,1985.750184,,,,2699,percent of total billed charges,2104.855932,,,,2699,percent of total billed charges,1985.750184,,,,2699,percent of total billed charges,2104.855932,,,,2699,percent of total billed charges,999999999,,,,2699,percent of total billed charges,2056.452499,,,,2699,percent of total billed charges,1985.750184,,,,2699,percent of total billed charges,2104.855932,,,,1924.387,percent of total billed charges,960.3043294,,,,1924.387,percent of total billed charges,574.5737665,,,,1924.387,percent of total billed charges,960.3043294,,,,1924.387,percent of total billed charges,574.5737665,,,,1924.387,percent of total billed charges,960.3043294,,,,1924.387,percent of total billed charges,574.5737665,,,,1905.494,percent of total billed charges,1891.036499,,,,1905.494,percent of total billed charges,1304.232885,,,,,,,,,,1943.28,percent of total billed charges,1263.086271,,,,,,,,,,1943.28,percent of total billed charges,999999999,,,,,,,,,,2159.2,percent of total billed charges,1809.297361,,,,2132.21,percent of total billed charges,2057.674409,,,,2132.21,percent of total billed charges,1818.023453,,,,2159.2,percent of total billed charges,999999999,,,,2159.2,percent of total billed charges,999999999,,,,1889.3,percent of total billed charges,999999999,,,,1889.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1435.868,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1362.995,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,674.75,percent of total billed charges,640.8474501,,,,,,,,,,674.75,percent of total billed charges,630.1873888,,,,,,,,,,674.75,percent of total billed charges,628.4361251,,,,,,,,,,674.75,percent of total billed charges,619.1824108,,,,,,,,,,674.75,percent of total billed charges,635.1148845,,,,,,,,,,674.75,percent of total billed charges,999999999,,,,,,,,,,674.75,percent of total billed charges,544.9732957,,,,,,,,,,674.75,percent of total billed charges,859.4604685,,,,,,,,,,674.75,percent of total billed charges,999999999,,,,,,,,,,674.75,percent of total billed charges,587.6144955,,,,,,,,,,2429.1,percent of total billed charges,,,,,
HRDTRY BRST CA-DISORDERS,81433,CDM,,,,both,,,2699,2699,574.5737665,2699,2699,percent of total billed charges,1985.750184,,,,2699,percent of total billed charges,2104.855932,,,,2699,percent of total billed charges,1985.750184,,,,2699,percent of total billed charges,2104.855932,,,,2699,percent of total billed charges,999999999,,,,2699,percent of total billed charges,2056.452499,,,,2699,percent of total billed charges,1985.750184,,,,2699,percent of total billed charges,2104.855932,,,,1924.387,percent of total billed charges,960.3043294,,,,1924.387,percent of total billed charges,574.5737665,,,,1924.387,percent of total billed charges,960.3043294,,,,1924.387,percent of total billed charges,574.5737665,,,,1924.387,percent of total billed charges,960.3043294,,,,1924.387,percent of total billed charges,574.5737665,,,,1905.494,percent of total billed charges,1891.036499,,,,1905.494,percent of total billed charges,1304.232885,,,,,,,,,,1943.28,percent of total billed charges,1263.086271,,,,,,,,,,1943.28,percent of total billed charges,999999999,,,,,,,,,,2159.2,percent of total billed charges,1809.297361,,,,2132.21,percent of total billed charges,2057.674409,,,,2132.21,percent of total billed charges,1818.023453,,,,2159.2,percent of total billed charges,999999999,,,,2159.2,percent of total billed charges,999999999,,,,1889.3,percent of total billed charges,999999999,,,,1889.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1435.868,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1362.995,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,674.75,percent of total billed charges,640.8474501,,,,,,,,,,674.75,percent of total billed charges,630.1873888,,,,,,,,,,674.75,percent of total billed charges,628.4361251,,,,,,,,,,674.75,percent of total billed charges,619.1824108,,,,,,,,,,674.75,percent of total billed charges,635.1148845,,,,,,,,,,674.75,percent of total billed charges,999999999,,,,,,,,,,674.75,percent of total billed charges,544.9732957,,,,,,,,,,674.75,percent of total billed charges,859.4604685,,,,,,,,,,674.75,percent of total billed charges,999999999,,,,,,,,,,674.75,percent of total billed charges,587.6144955,,,,,,,,,,2429.1,percent of total billed charges,,,,,
PSA TOTAL DIAGNOSTIC,84153,CDM,,,,both,,,269,269,57.2657811,269,269,percent of total billed charges,197.9128564,,,,269,percent of total billed charges,209.7837146,,,,269,percent of total billed charges,197.9128564,,,,269,percent of total billed charges,209.7837146,,,,269,percent of total billed charges,999999999,,,,269,percent of total billed charges,204.9595117,,,,269,percent of total billed charges,197.9128564,,,,269,percent of total billed charges,209.7837146,,,,191.797,percent of total billed charges,95.71021289,,,,191.797,percent of total billed charges,57.2657811,,,,191.797,percent of total billed charges,95.71021289,,,,191.797,percent of total billed charges,57.2657811,,,,191.797,percent of total billed charges,95.71021289,,,,191.797,percent of total billed charges,57.2657811,,,,189.914,percent of total billed charges,188.4730709,,,,189.914,percent of total billed charges,129.9883831,,,,,,,,,,193.68,percent of total billed charges,125.8874423,,,,,,,,,,193.68,percent of total billed charges,999999999,,,,,,,,,,215.2,percent of total billed charges,180.3264135,,,,212.51,percent of total billed charges,205.0812953,,,,212.51,percent of total billed charges,181.1961129,,,,215.2,percent of total billed charges,999999999,,,,215.2,percent of total billed charges,999999999,,,,188.3,percent of total billed charges,999999999,,,,188.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,143.108,percent of total billed charges,999999999,,,,,,,,,,,,,,,,135.845,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,67.25,percent of total billed charges,63.87105005,,,,,,,,,,67.25,percent of total billed charges,62.80859859,,,,,,,,,,67.25,percent of total billed charges,62.63405618,,,,,,,,,,67.25,percent of total billed charges,61.71177047,,,,,,,,,,67.25,percent of total billed charges,63.29970505,,,,,,,,,,67.25,percent of total billed charges,999999999,,,,,,,,,,67.25,percent of total billed charges,54.3156045,,,,,,,,,,67.25,percent of total billed charges,85.65945388,,,,,,,,,,67.25,percent of total billed charges,999999999,,,,,,,,,,67.25,percent of total billed charges,58.56550548,,,,,,,,,,242.1,percent of total billed charges,,,,,
GASTRIN(*),82941,CDM,,,,both,,,257,257,54.71117377,257,257,percent of total billed charges,189.0840301,,,,257,percent of total billed charges,200.4253333,,,,257,percent of total billed charges,189.0840301,,,,257,percent of total billed charges,200.4253333,,,,257,percent of total billed charges,999999999,,,,257,percent of total billed charges,195.8163365,,,,257,percent of total billed charges,189.0840301,,,,257,percent of total billed charges,200.4253333,,,,183.241,percent of total billed charges,91.44061232,,,,183.241,percent of total billed charges,54.71117377,,,,183.241,percent of total billed charges,91.44061232,,,,183.241,percent of total billed charges,54.71117377,,,,183.241,percent of total billed charges,91.44061232,,,,183.241,percent of total billed charges,54.71117377,,,,181.442,percent of total billed charges,180.0653502,,,,181.442,percent of total billed charges,124.1896448,,,,,,,,,,185.04,percent of total billed charges,120.2716456,,,,,,,,,,185.04,percent of total billed charges,999999999,,,,,,,,,,205.6,percent of total billed charges,172.2821126,,,,203.03,percent of total billed charges,195.9326874,,,,203.03,percent of total billed charges,173.113015,,,,205.6,percent of total billed charges,999999999,,,,205.6,percent of total billed charges,999999999,,,,179.9,percent of total billed charges,999999999,,,,179.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,136.724,percent of total billed charges,999999999,,,,,,,,,,,,,,,,129.785,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,64.25,percent of total billed charges,61.02178388,,,,,,,,,,64.25,percent of total billed charges,60.00672802,,,,,,,,,,64.25,percent of total billed charges,59.83997189,,,,,,,,,,64.25,percent of total billed charges,58.95882904,,,,,,,,,,64.25,percent of total billed charges,60.47592638,,,,,,,,,,64.25,percent of total billed charges,999999999,,,,,,,,,,64.25,percent of total billed charges,51.89260355,,,,,,,,,,64.25,percent of total billed charges,81.8382143,,,,,,,,,,64.25,percent of total billed charges,999999999,,,,,,,,,,64.25,percent of total billed charges,55.95291788,,,,,,,,,,231.3,percent of total billed charges,,,,,
ANA(*),86038,CDM,,,,both,,,178,178,37.89334214,178,178,percent of total billed charges,130.9609236,,,,178,percent of total billed charges,138.8159896,,,,178,percent of total billed charges,130.9609236,,,,178,percent of total billed charges,138.8159896,,,,178,percent of total billed charges,999999999,,,,178,percent of total billed charges,135.6237661,,,,178,percent of total billed charges,130.9609236,,,,178,percent of total billed charges,138.8159896,,,,126.914,percent of total billed charges,63.33240853,,,,126.914,percent of total billed charges,37.89334214,,,,126.914,percent of total billed charges,63.33240853,,,,126.914,percent of total billed charges,37.89334214,,,,126.914,percent of total billed charges,63.33240853,,,,126.914,percent of total billed charges,37.89334214,,,,125.668,percent of total billed charges,124.7145227,,,,125.668,percent of total billed charges,86.01461783,,,,,,,,,,128.16,percent of total billed charges,83.30098412,,,,,,,,,,128.16,percent of total billed charges,999999999,,,,,,,,,,142.4,percent of total billed charges,119.3237978,,,,140.62,percent of total billed charges,135.7043516,,,,140.62,percent of total billed charges,119.8992866,,,,142.4,percent of total billed charges,999999999,,,,142.4,percent of total billed charges,999999999,,,,124.6,percent of total billed charges,999999999,,,,124.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,94.696,percent of total billed charges,999999999,,,,,,,,,,,,,,,,89.89,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,44.5,percent of total billed charges,42.2641149,,,,,,,,,,44.5,percent of total billed charges,41.56108011,,,,,,,,,,44.5,percent of total billed charges,41.44558365,,,,,,,,,,44.5,percent of total billed charges,40.83529793,,,,,,,,,,44.5,percent of total billed charges,41.88605018,,,,,,,,,,44.5,percent of total billed charges,999999999,,,,,,,,,,44.5,percent of total billed charges,35.94118067,,,,,,,,,,44.5,percent of total billed charges,56.68172041,,,,,,,,,,44.5,percent of total billed charges,999999999,,,,,,,,,,44.5,percent of total billed charges,38.75338281,,,,,,,,,,160.2,percent of total billed charges,,,,,
ANA-TITER(*),86039,CDM,,,,both,,,211,211,44.91851232,211,211,percent of total billed charges,155.2401959,,,,211,percent of total billed charges,164.5515382,,,,211,percent of total billed charges,155.2401959,,,,211,percent of total billed charges,164.5515382,,,,211,percent of total billed charges,999999999,,,,211,percent of total billed charges,160.7674981,,,,211,percent of total billed charges,155.2401959,,,,211,percent of total billed charges,164.5515382,,,,150.443,percent of total billed charges,75.07381011,,,,150.443,percent of total billed charges,44.91851232,,,,150.443,percent of total billed charges,75.07381011,,,,150.443,percent of total billed charges,44.91851232,,,,150.443,percent of total billed charges,75.07381011,,,,150.443,percent of total billed charges,44.91851232,,,,148.966,percent of total billed charges,147.8357545,,,,148.966,percent of total billed charges,101.9611481,,,,,,,,,,151.92,percent of total billed charges,98.744425,,,,,,,,,,151.92,percent of total billed charges,999999999,,,,,,,,,,168.8,percent of total billed charges,141.4456255,,,,166.69,percent of total billed charges,160.8630235,,,,166.69,percent of total billed charges,142.1278061,,,,168.8,percent of total billed charges,999999999,,,,168.8,percent of total billed charges,999999999,,,,147.7,percent of total billed charges,999999999,,,,147.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,112.252,percent of total billed charges,999999999,,,,,,,,,,,,,,,,106.555,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,52.75,percent of total billed charges,50.09959688,,,,,,,,,,52.75,percent of total billed charges,49.26622417,,,,,,,,,,52.75,percent of total billed charges,49.12931545,,,,,,,,,,52.75,percent of total billed charges,48.40588687,,,,,,,,,,52.75,percent of total billed charges,49.6514415,,,,,,,,,,52.75,percent of total billed charges,999999999,,,,,,,,,,52.75,percent of total billed charges,42.60443327,,,,,,,,,,52.75,percent of total billed charges,67.19012925,,,,,,,,,,52.75,percent of total billed charges,999999999,,,,,,,,,,52.75,percent of total billed charges,45.93799872,,,,,,,,,,189.9,percent of total billed charges,,,,,
METHANOL LEVEL(*),84600,CDM,,,,both,,,228,228,48.53753937,228,228,percent of total billed charges,167.7476999,,,,228,percent of total billed charges,177.8092451,,,,228,percent of total billed charges,167.7476999,,,,228,percent of total billed charges,177.8092451,,,,228,percent of total billed charges,999999999,,,,228,percent of total billed charges,173.7203297,,,,228,percent of total billed charges,167.7476999,,,,228,percent of total billed charges,177.8092451,,,,162.564,percent of total billed charges,81.12241093,,,,162.564,percent of total billed charges,48.53753937,,,,162.564,percent of total billed charges,81.12241093,,,,162.564,percent of total billed charges,48.53753937,,,,162.564,percent of total billed charges,81.12241093,,,,162.564,percent of total billed charges,48.53753937,,,,160.968,percent of total billed charges,159.746692,,,,160.968,percent of total billed charges,110.1760273,,,,,,,,,,164.16,percent of total billed charges,106.700137,,,,,,,,,,164.16,percent of total billed charges,999999999,,,,,,,,,,182.4,percent of total billed charges,152.8417185,,,,180.12,percent of total billed charges,173.8235514,,,,180.12,percent of total billed charges,153.5788615,,,,182.4,percent of total billed charges,999999999,,,,182.4,percent of total billed charges,999999999,,,,159.6,percent of total billed charges,999999999,,,,159.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,121.296,percent of total billed charges,999999999,,,,,,,,,,,,,,,,115.14,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,57,percent of total billed charges,54.13605729,,,,,,,,,,57,percent of total billed charges,53.23554081,,,,,,,,,,57,percent of total billed charges,53.08760152,,,,,,,,,,57,percent of total billed charges,52.30588724,,,,,,,,,,57,percent of total billed charges,53.65179461,,,,,,,,,,57,percent of total billed charges,999999999,,,,,,,,,,57,percent of total billed charges,46.03701794,,,,,,,,,,57,percent of total billed charges,72.60355199,,,,,,,,,,57,percent of total billed charges,999999999,,,,,,,,,,57,percent of total billed charges,49.6391645,,,,,,,,,,205.2,percent of total billed charges,,,,,
ASSAY OF VOLATILES,84600,CDM,,,,both,,,228,228,48.53753937,228,228,percent of total billed charges,167.7476999,,,,228,percent of total billed charges,177.8092451,,,,228,percent of total billed charges,167.7476999,,,,228,percent of total billed charges,177.8092451,,,,228,percent of total billed charges,999999999,,,,228,percent of total billed charges,173.7203297,,,,228,percent of total billed charges,167.7476999,,,,228,percent of total billed charges,177.8092451,,,,162.564,percent of total billed charges,81.12241093,,,,162.564,percent of total billed charges,48.53753937,,,,162.564,percent of total billed charges,81.12241093,,,,162.564,percent of total billed charges,48.53753937,,,,162.564,percent of total billed charges,81.12241093,,,,162.564,percent of total billed charges,48.53753937,,,,160.968,percent of total billed charges,159.746692,,,,160.968,percent of total billed charges,110.1760273,,,,,,,,,,164.16,percent of total billed charges,106.700137,,,,,,,,,,164.16,percent of total billed charges,999999999,,,,,,,,,,182.4,percent of total billed charges,152.8417185,,,,180.12,percent of total billed charges,173.8235514,,,,180.12,percent of total billed charges,153.5788615,,,,182.4,percent of total billed charges,999999999,,,,182.4,percent of total billed charges,999999999,,,,159.6,percent of total billed charges,999999999,,,,159.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,121.296,percent of total billed charges,999999999,,,,,,,,,,,,,,,,115.14,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,57,percent of total billed charges,54.13605729,,,,,,,,,,57,percent of total billed charges,53.23554081,,,,,,,,,,57,percent of total billed charges,53.08760152,,,,,,,,,,57,percent of total billed charges,52.30588724,,,,,,,,,,57,percent of total billed charges,53.65179461,,,,,,,,,,57,percent of total billed charges,999999999,,,,,,,,,,57,percent of total billed charges,46.03701794,,,,,,,,,,57,percent of total billed charges,72.60355199,,,,,,,,,,57,percent of total billed charges,999999999,,,,,,,,,,57,percent of total billed charges,49.6391645,,,,,,,,,,205.2,percent of total billed charges,,,,,
KEPPRA LEVEL(*),80177,CDM,,,,both,,,243,243,51.73079854,243,243,percent of total billed charges,178.7837328,,,,243,percent of total billed charges,189.5072217,,,,243,percent of total billed charges,178.7837328,,,,243,percent of total billed charges,189.5072217,,,,243,percent of total billed charges,999999999,,,,243,percent of total billed charges,185.1492987,,,,243,percent of total billed charges,178.7837328,,,,243,percent of total billed charges,189.5072217,,,,173.259,percent of total billed charges,86.45941165,,,,173.259,percent of total billed charges,51.73079854,,,,173.259,percent of total billed charges,86.45941165,,,,173.259,percent of total billed charges,51.73079854,,,,173.259,percent of total billed charges,86.45941165,,,,173.259,percent of total billed charges,51.73079854,,,,171.558,percent of total billed charges,170.2563428,,,,171.558,percent of total billed charges,117.4244502,,,,,,,,,,174.96,percent of total billed charges,113.7198828,,,,,,,,,,174.96,percent of total billed charges,999999999,,,,,,,,,,194.4,percent of total billed charges,162.8970947,,,,191.97,percent of total billed charges,185.2593114,,,,191.97,percent of total billed charges,163.682734,,,,194.4,percent of total billed charges,999999999,,,,194.4,percent of total billed charges,999999999,,,,170.1,percent of total billed charges,999999999,,,,170.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,129.276,percent of total billed charges,999999999,,,,,,,,,,,,,,,,122.715,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,60.75,percent of total billed charges,57.69764001,,,,,,,,,,60.75,percent of total billed charges,56.73787902,,,,,,,,,,60.75,percent of total billed charges,56.58020689,,,,,,,,,,60.75,percent of total billed charges,55.74706403,,,,,,,,,,60.75,percent of total billed charges,57.18151794,,,,,,,,,,60.75,percent of total billed charges,999999999,,,,,,,,,,60.75,percent of total billed charges,49.06576912,,,,,,,,,,60.75,percent of total billed charges,77.38010146,,,,,,,,,,60.75,percent of total billed charges,999999999,,,,,,,,,,60.75,percent of total billed charges,52.90489901,,,,,,,,,,218.7,percent of total billed charges,,,,,
KRAS GENE VARIANTS,81275,CDM,,,,both,,,1260,1260,268.2337702,1260,1260,percent of total billed charges,927.0267624,,,,1260,percent of total billed charges,982.6300386,,,,1260,percent of total billed charges,927.0267624,,,,1260,percent of total billed charges,982.6300386,,,,1260,percent of total billed charges,999999999,,,,1260,percent of total billed charges,960.0334007,,,,1260,percent of total billed charges,927.0267624,,,,1260,percent of total billed charges,982.6300386,,,,898.38,percent of total billed charges,448.3080604,,,,898.38,percent of total billed charges,268.2337702,,,,898.38,percent of total billed charges,448.3080604,,,,898.38,percent of total billed charges,268.2337702,,,,898.38,percent of total billed charges,448.3080604,,,,898.38,percent of total billed charges,268.2337702,,,,889.56,percent of total billed charges,882.8106665,,,,889.56,percent of total billed charges,608.8675195,,,,,,,,,,907.2,percent of total billed charges,589.6586517,,,,,,,,,,907.2,percent of total billed charges,999999999,,,,,,,,,,1008,percent of total billed charges,844.6516024,,,,995.4,percent of total billed charges,960.603837,,,,995.4,percent of total billed charges,848.7252874,,,,1008,percent of total billed charges,999999999,,,,1008,percent of total billed charges,999999999,,,,882,percent of total billed charges,999999999,,,,882,percent of total billed charges,999999999,,,,,,,,,,,,,,,,670.32,percent of total billed charges,999999999,,,,,,,,,,,,,,,,636.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,315,percent of total billed charges,299.1729482,,,,,,,,,,315,percent of total billed charges,294.1964098,,,,,,,,,,315,percent of total billed charges,293.3788505,,,,,,,,,,315,percent of total billed charges,289.0588505,,,,,,,,,,315,percent of total billed charges,296.4967597,,,,,,,,,,315,percent of total billed charges,999999999,,,,,,,,,,315,percent of total billed charges,254.4150991,,,,,,,,,,315,percent of total billed charges,401.2301557,,,,,,,,,,315,percent of total billed charges,999999999,,,,,,,,,,315,percent of total billed charges,274.3216985,,,,,,,,,,1134,percent of total billed charges,,,,,
EGFR GENE VARIANTS,81235,CDM,,,,both,,,2172,2172,462.3839277,2172,2172,percent of total billed charges,1598.017562,,,,2172,percent of total billed charges,1693.867019,,,,2172,percent of total billed charges,1598.017562,,,,2172,percent of total billed charges,1693.867019,,,,2172,percent of total billed charges,999999999,,,,2172,percent of total billed charges,1654.914719,,,,2172,percent of total billed charges,1598.017562,,,,2172,percent of total billed charges,1693.867019,,,,1548.636,percent of total billed charges,772.7977041,,,,1548.636,percent of total billed charges,462.3839277,,,,1548.636,percent of total billed charges,772.7977041,,,,1548.636,percent of total billed charges,462.3839277,,,,1548.636,percent of total billed charges,772.7977041,,,,1548.636,percent of total billed charges,462.3839277,,,,1533.432,percent of total billed charges,1521.797435,,,,1533.432,percent of total billed charges,1049.571629,,,,,,,,,,1563.84,percent of total billed charges,1016.4592,,,,,,,,,,1563.84,percent of total billed charges,999999999,,,,,,,,,,1737.6,percent of total billed charges,1456.018476,,,,1715.88,percent of total billed charges,1655.898043,,,,1715.88,percent of total billed charges,1463.040734,,,,1737.6,percent of total billed charges,999999999,,,,1737.6,percent of total billed charges,999999999,,,,1520.4,percent of total billed charges,999999999,,,,1520.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1155.504,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1096.86,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,543,percent of total billed charges,515.7171773,,,,,,,,,,543,percent of total billed charges,507.138573,,,,,,,,,,543,percent of total billed charges,505.7292566,,,,,,,,,,543,percent of total billed charges,498.2823995,,,,,,,,,,543,percent of total billed charges,511.1039381,,,,,,,,,,543,percent of total billed charges,999999999,,,,,,,,,,543,percent of total billed charges,438.5631709,,,,,,,,,,543,percent of total billed charges,691.6443637,,,,,,,,,,543,percent of total billed charges,999999999,,,,,,,,,,543,percent of total billed charges,472.8783565,,,,,,,,,,1954.8,percent of total billed charges,,,,,
INFLIXIMAB,80230,CDM,,,,both,,,414,414,88.13395307,414,414,percent of total billed charges,304.5945076,,,,414,percent of total billed charges,322.8641555,,,,414,percent of total billed charges,304.5945076,,,,414,percent of total billed charges,322.8641555,,,,414,percent of total billed charges,999999999,,,,414,percent of total billed charges,315.439546,,,,414,percent of total billed charges,304.5945076,,,,414,percent of total billed charges,322.8641555,,,,295.182,percent of total billed charges,147.3012198,,,,295.182,percent of total billed charges,88.13395307,,,,295.182,percent of total billed charges,147.3012198,,,,295.182,percent of total billed charges,88.13395307,,,,295.182,percent of total billed charges,147.3012198,,,,295.182,percent of total billed charges,88.13395307,,,,292.284,percent of total billed charges,290.0663618,,,,292.284,percent of total billed charges,200.0564707,,,,,,,,,,298.08,percent of total billed charges,193.7449855,,,,,,,,,,298.08,percent of total billed charges,999999999,,,,,,,,,,331.2,percent of total billed charges,277.5283836,,,,327.06,percent of total billed charges,315.626975,,,,327.06,percent of total billed charges,278.8668801,,,,331.2,percent of total billed charges,999999999,,,,331.2,percent of total billed charges,999999999,,,,289.8,percent of total billed charges,999999999,,,,289.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,220.248,percent of total billed charges,999999999,,,,,,,,,,,,,,,,209.07,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,103.5,percent of total billed charges,98.29968297,,,,,,,,,,103.5,percent of total billed charges,96.66453463,,,,,,,,,,103.5,percent of total billed charges,96.39590803,,,,,,,,,,103.5,percent of total billed charges,94.97647946,,,,,,,,,,103.5,percent of total billed charges,97.4203639,,,,,,,,,,103.5,percent of total billed charges,999999999,,,,,,,,,,103.5,percent of total billed charges,83.59353257,,,,,,,,,,103.5,percent of total billed charges,131.8327654,,,,,,,,,,103.5,percent of total billed charges,999999999,,,,,,,,,,103.5,percent of total billed charges,90.13427238,,,,,,,,,,372.6,percent of total billed charges,,,,,
HISTOPLASMOSIS COMPLEMENT FIXATION(*),86698,CDM,,,,both,,,167,167,35.55161875,167,167,percent of total billed charges,122.8678328,,,,167,percent of total billed charges,130.2374734,,,,167,percent of total billed charges,122.8678328,,,,167,percent of total billed charges,130.2374734,,,,167,percent of total billed charges,999999999,,,,167,percent of total billed charges,127.2425222,,,,167,percent of total billed charges,122.8678328,,,,167,percent of total billed charges,130.2374734,,,,119.071,percent of total billed charges,59.418608,,,,119.071,percent of total billed charges,35.55161875,,,,119.071,percent of total billed charges,59.418608,,,,119.071,percent of total billed charges,35.55161875,,,,119.071,percent of total billed charges,59.418608,,,,119.071,percent of total billed charges,35.55161875,,,,117.902,percent of total billed charges,117.0074455,,,,117.902,percent of total billed charges,80.69910774,,,,,,,,,,120.24,percent of total billed charges,78.1531705,,,,,,,,,,120.24,percent of total billed charges,999999999,,,,,,,,,,133.6,percent of total billed charges,111.9498552,,,,131.93,percent of total billed charges,127.3181276,,,,131.93,percent of total billed charges,112.4897802,,,,133.6,percent of total billed charges,999999999,,,,133.6,percent of total billed charges,999999999,,,,116.9,percent of total billed charges,999999999,,,,116.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,88.844,percent of total billed charges,999999999,,,,,,,,,,,,,,,,84.335,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,41.75,percent of total billed charges,39.65228758,,,,,,,,,,41.75,percent of total billed charges,38.99269875,,,,,,,,,,41.75,percent of total billed charges,38.88433971,,,,,,,,,,41.75,percent of total billed charges,38.31176828,,,,,,,,,,41.75,percent of total billed charges,39.2975864,,,,,,,,,,41.75,percent of total billed charges,999999999,,,,,,,,,,41.75,percent of total billed charges,33.72009647,,,,,,,,,,41.75,percent of total billed charges,53.17891746,,,,,,,,,,41.75,percent of total billed charges,999999999,,,,,,,,,,41.75,percent of total billed charges,36.35851084,,,,,,,,,,150.3,percent of total billed charges,,,,,
HISTOPLASMOSIS IMMUNODIFFUSION(*),86698,CDM,,,,both,,,167,167,35.55161875,167,167,percent of total billed charges,122.8678328,,,,167,percent of total billed charges,130.2374734,,,,167,percent of total billed charges,122.8678328,,,,167,percent of total billed charges,130.2374734,,,,167,percent of total billed charges,999999999,,,,167,percent of total billed charges,127.2425222,,,,167,percent of total billed charges,122.8678328,,,,167,percent of total billed charges,130.2374734,,,,119.071,percent of total billed charges,59.418608,,,,119.071,percent of total billed charges,35.55161875,,,,119.071,percent of total billed charges,59.418608,,,,119.071,percent of total billed charges,35.55161875,,,,119.071,percent of total billed charges,59.418608,,,,119.071,percent of total billed charges,35.55161875,,,,117.902,percent of total billed charges,117.0074455,,,,117.902,percent of total billed charges,80.69910774,,,,,,,,,,120.24,percent of total billed charges,78.1531705,,,,,,,,,,120.24,percent of total billed charges,999999999,,,,,,,,,,133.6,percent of total billed charges,111.9498552,,,,131.93,percent of total billed charges,127.3181276,,,,131.93,percent of total billed charges,112.4897802,,,,133.6,percent of total billed charges,999999999,,,,133.6,percent of total billed charges,999999999,,,,116.9,percent of total billed charges,999999999,,,,116.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,88.844,percent of total billed charges,999999999,,,,,,,,,,,,,,,,84.335,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,41.75,percent of total billed charges,39.65228758,,,,,,,,,,41.75,percent of total billed charges,38.99269875,,,,,,,,,,41.75,percent of total billed charges,38.88433971,,,,,,,,,,41.75,percent of total billed charges,38.31176828,,,,,,,,,,41.75,percent of total billed charges,39.2975864,,,,,,,,,,41.75,percent of total billed charges,999999999,,,,,,,,,,41.75,percent of total billed charges,33.72009647,,,,,,,,,,41.75,percent of total billed charges,53.17891746,,,,,,,,,,41.75,percent of total billed charges,999999999,,,,,,,,,,41.75,percent of total billed charges,36.35851084,,,,,,,,,,150.3,percent of total billed charges,,,,,
HISTOPLOSMA TITER(*),86698,CDM,,,,both,,,167,167,35.55161875,167,167,percent of total billed charges,122.8678328,,,,167,percent of total billed charges,130.2374734,,,,167,percent of total billed charges,122.8678328,,,,167,percent of total billed charges,130.2374734,,,,167,percent of total billed charges,999999999,,,,167,percent of total billed charges,127.2425222,,,,167,percent of total billed charges,122.8678328,,,,167,percent of total billed charges,130.2374734,,,,119.071,percent of total billed charges,59.418608,,,,119.071,percent of total billed charges,35.55161875,,,,119.071,percent of total billed charges,59.418608,,,,119.071,percent of total billed charges,35.55161875,,,,119.071,percent of total billed charges,59.418608,,,,119.071,percent of total billed charges,35.55161875,,,,117.902,percent of total billed charges,117.0074455,,,,117.902,percent of total billed charges,80.69910774,,,,,,,,,,120.24,percent of total billed charges,78.1531705,,,,,,,,,,120.24,percent of total billed charges,999999999,,,,,,,,,,133.6,percent of total billed charges,111.9498552,,,,131.93,percent of total billed charges,127.3181276,,,,131.93,percent of total billed charges,112.4897802,,,,133.6,percent of total billed charges,999999999,,,,133.6,percent of total billed charges,999999999,,,,116.9,percent of total billed charges,999999999,,,,116.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,88.844,percent of total billed charges,999999999,,,,,,,,,,,,,,,,84.335,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,41.75,percent of total billed charges,39.65228758,,,,,,,,,,41.75,percent of total billed charges,38.99269875,,,,,,,,,,41.75,percent of total billed charges,38.88433971,,,,,,,,,,41.75,percent of total billed charges,38.31176828,,,,,,,,,,41.75,percent of total billed charges,39.2975864,,,,,,,,,,41.75,percent of total billed charges,999999999,,,,,,,,,,41.75,percent of total billed charges,33.72009647,,,,,,,,,,41.75,percent of total billed charges,53.17891746,,,,,,,,,,41.75,percent of total billed charges,999999999,,,,,,,,,,41.75,percent of total billed charges,36.35851084,,,,,,,,,,150.3,percent of total billed charges,,,,,
B12,82607,CDM,,,,both,,,245,245,52.15656643,245,245,percent of total billed charges,180.2552038,,,,245,percent of total billed charges,191.066952,,,,245,percent of total billed charges,180.2552038,,,,245,percent of total billed charges,191.066952,,,,245,percent of total billed charges,999999999,,,,245,percent of total billed charges,186.6731613,,,,245,percent of total billed charges,180.2552038,,,,245,percent of total billed charges,191.066952,,,,174.685,percent of total billed charges,87.17101174,,,,174.685,percent of total billed charges,52.15656643,,,,174.685,percent of total billed charges,87.17101174,,,,174.685,percent of total billed charges,52.15656643,,,,174.685,percent of total billed charges,87.17101174,,,,174.685,percent of total billed charges,52.15656643,,,,172.97,percent of total billed charges,171.6576296,,,,172.97,percent of total billed charges,118.3909066,,,,,,,,,,176.4,percent of total billed charges,114.6558489,,,,,,,,,,176.4,percent of total billed charges,999999999,,,,,,,,,,196,percent of total billed charges,164.2378116,,,,193.55,percent of total billed charges,186.7840794,,,,193.55,percent of total billed charges,165.029917,,,,196,percent of total billed charges,999999999,,,,196,percent of total billed charges,999999999,,,,171.5,percent of total billed charges,999999999,,,,171.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,130.34,percent of total billed charges,999999999,,,,,,,,,,,,,,,,123.725,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,61.25,percent of total billed charges,58.1725177,,,,,,,,,,61.25,percent of total billed charges,57.20485745,,,,,,,,,,61.25,percent of total billed charges,57.0458876,,,,,,,,,,61.25,percent of total billed charges,56.2058876,,,,,,,,,,61.25,percent of total billed charges,57.65214772,,,,,,,,,,61.25,percent of total billed charges,999999999,,,,,,,,,,61.25,percent of total billed charges,49.46960261,,,,,,,,,,61.25,percent of total billed charges,78.01697472,,,,,,,,,,61.25,percent of total billed charges,999999999,,,,,,,,,,61.25,percent of total billed charges,53.34033027,,,,,,,,,,220.5,percent of total billed charges,,,,,
B-12 BINDING CAPACITY,82608,CDM,,,,both,,,152,152,32.35835958,152,152,percent of total billed charges,111.8317999,,,,152,percent of total billed charges,118.5394967,,,,152,percent of total billed charges,111.8317999,,,,152,percent of total billed charges,118.5394967,,,,152,percent of total billed charges,999999999,,,,152,percent of total billed charges,115.8135531,,,,152,percent of total billed charges,111.8317999,,,,152,percent of total billed charges,118.5394967,,,,108.376,percent of total billed charges,54.08160728,,,,108.376,percent of total billed charges,32.35835958,,,,108.376,percent of total billed charges,54.08160728,,,,108.376,percent of total billed charges,32.35835958,,,,108.376,percent of total billed charges,54.08160728,,,,108.376,percent of total billed charges,32.35835958,,,,107.312,percent of total billed charges,106.4977947,,,,107.312,percent of total billed charges,73.45068489,,,,,,,,,,109.44,percent of total billed charges,71.13342465,,,,,,,,,,109.44,percent of total billed charges,999999999,,,,,,,,,,121.6,percent of total billed charges,101.894479,,,,120.08,percent of total billed charges,115.8823676,,,,120.08,percent of total billed charges,102.3859077,,,,121.6,percent of total billed charges,999999999,,,,121.6,percent of total billed charges,999999999,,,,106.4,percent of total billed charges,999999999,,,,106.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,80.864,percent of total billed charges,999999999,,,,,,,,,,,,,,,,76.76,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,38,percent of total billed charges,36.09070486,,,,,,,,,,38,percent of total billed charges,35.49036054,,,,,,,,,,38,percent of total billed charges,35.39173435,,,,,,,,,,38,percent of total billed charges,34.87059149,,,,,,,,,,38,percent of total billed charges,35.76786307,,,,,,,,,,38,percent of total billed charges,999999999,,,,,,,,,,38,percent of total billed charges,30.69134529,,,,,,,,,,38,percent of total billed charges,48.40236799,,,,,,,,,,38,percent of total billed charges,999999999,,,,,,,,,,38,percent of total billed charges,33.09277633,,,,,,,,,,136.8,percent of total billed charges,,,,,
BETA 2 GLYCOPROTEIN ANTIBODY,86146,CDM,,,,both,,,225,225,47.89888754,225,225,percent of total billed charges,165.5404933,,,,225,percent of total billed charges,175.4696498,,,,225,percent of total billed charges,165.5404933,,,,225,percent of total billed charges,175.4696498,,,,225,percent of total billed charges,999999999,,,,225,percent of total billed charges,171.4345358,,,,225,percent of total billed charges,165.5404933,,,,225,percent of total billed charges,175.4696498,,,,160.425,percent of total billed charges,80.05501078,,,,160.425,percent of total billed charges,47.89888754,,,,160.425,percent of total billed charges,80.05501078,,,,160.425,percent of total billed charges,47.89888754,,,,160.425,percent of total billed charges,80.05501078,,,,160.425,percent of total billed charges,47.89888754,,,,158.85,percent of total billed charges,157.6447619,,,,158.85,percent of total billed charges,108.7263428,,,,,,,,,,162,percent of total billed charges,105.2961878,,,,,,,,,,162,percent of total billed charges,999999999,,,,,,,,,,180,percent of total billed charges,150.8306433,,,,177.75,percent of total billed charges,171.5363995,,,,177.75,percent of total billed charges,151.558087,,,,180,percent of total billed charges,999999999,,,,180,percent of total billed charges,999999999,,,,157.5,percent of total billed charges,999999999,,,,157.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,119.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,113.625,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,56.25,percent of total billed charges,53.42374075,,,,,,,,,,56.25,percent of total billed charges,52.53507317,,,,,,,,,,56.25,percent of total billed charges,52.38908045,,,,,,,,,,56.25,percent of total billed charges,51.61765188,,,,,,,,,,56.25,percent of total billed charges,52.94584995,,,,,,,,,,56.25,percent of total billed charges,999999999,,,,,,,,,,56.25,percent of total billed charges,45.4312677,,,,,,,,,,56.25,percent of total billed charges,71.64824209,,,,,,,,,,56.25,percent of total billed charges,999999999,,,,,,,,,,56.25,percent of total billed charges,48.9860176,,,,,,,,,,202.5,percent of total billed charges,,,,,
AG DETECT NOS IA MULT,87449,CDM,,,,both,,,209,209,44.49274443,209,209,percent of total billed charges,153.7687249,,,,209,percent of total billed charges,162.991808,,,,209,percent of total billed charges,153.7687249,,,,209,percent of total billed charges,162.991808,,,,209,percent of total billed charges,999999999,,,,209,percent of total billed charges,159.2436355,,,,209,percent of total billed charges,153.7687249,,,,209,percent of total billed charges,162.991808,,,,149.017,percent of total billed charges,74.36221002,,,,149.017,percent of total billed charges,44.49274443,,,,149.017,percent of total billed charges,74.36221002,,,,149.017,percent of total billed charges,44.49274443,,,,149.017,percent of total billed charges,74.36221002,,,,149.017,percent of total billed charges,44.49274443,,,,147.554,percent of total billed charges,146.4344677,,,,147.554,percent of total billed charges,100.9946917,,,,,,,,,,150.48,percent of total billed charges,97.80845889,,,,,,,,,,150.48,percent of total billed charges,999999999,,,,,,,,,,167.2,percent of total billed charges,140.1049087,,,,165.11,percent of total billed charges,159.3382555,,,,165.11,percent of total billed charges,140.7806231,,,,167.2,percent of total billed charges,999999999,,,,167.2,percent of total billed charges,999999999,,,,146.3,percent of total billed charges,999999999,,,,146.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,111.188,percent of total billed charges,999999999,,,,,,,,,,,,,,,,105.545,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,52.25,percent of total billed charges,49.62471918,,,,,,,,,,52.25,percent of total billed charges,48.79924575,,,,,,,,,,52.25,percent of total billed charges,48.66363473,,,,,,,,,,52.25,percent of total billed charges,47.9470633,,,,,,,,,,52.25,percent of total billed charges,49.18081173,,,,,,,,,,52.25,percent of total billed charges,999999999,,,,,,,,,,52.25,percent of total billed charges,42.20059978,,,,,,,,,,52.25,percent of total billed charges,66.55325599,,,,,,,,,,52.25,percent of total billed charges,999999999,,,,,,,,,,52.25,percent of total billed charges,45.50256746,,,,,,,,,,188.1,percent of total billed charges,,,,,
CORTISOL (RANDOM),82533,CDM,,,,both,,,243,243,51.73079854,243,243,percent of total billed charges,178.7837328,,,,243,percent of total billed charges,189.5072217,,,,243,percent of total billed charges,178.7837328,,,,243,percent of total billed charges,189.5072217,,,,243,percent of total billed charges,999999999,,,,243,percent of total billed charges,185.1492987,,,,243,percent of total billed charges,178.7837328,,,,243,percent of total billed charges,189.5072217,,,,173.259,percent of total billed charges,86.45941165,,,,173.259,percent of total billed charges,51.73079854,,,,173.259,percent of total billed charges,86.45941165,,,,173.259,percent of total billed charges,51.73079854,,,,173.259,percent of total billed charges,86.45941165,,,,173.259,percent of total billed charges,51.73079854,,,,171.558,percent of total billed charges,170.2563428,,,,171.558,percent of total billed charges,117.4244502,,,,,,,,,,174.96,percent of total billed charges,113.7198828,,,,,,,,,,174.96,percent of total billed charges,999999999,,,,,,,,,,194.4,percent of total billed charges,162.8970947,,,,191.97,percent of total billed charges,185.2593114,,,,191.97,percent of total billed charges,163.682734,,,,194.4,percent of total billed charges,999999999,,,,194.4,percent of total billed charges,999999999,,,,170.1,percent of total billed charges,999999999,,,,170.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,129.276,percent of total billed charges,999999999,,,,,,,,,,,,,,,,122.715,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,60.75,percent of total billed charges,57.69764001,,,,,,,,,,60.75,percent of total billed charges,56.73787902,,,,,,,,,,60.75,percent of total billed charges,56.58020689,,,,,,,,,,60.75,percent of total billed charges,55.74706403,,,,,,,,,,60.75,percent of total billed charges,57.18151794,,,,,,,,,,60.75,percent of total billed charges,999999999,,,,,,,,,,60.75,percent of total billed charges,49.06576912,,,,,,,,,,60.75,percent of total billed charges,77.38010146,,,,,,,,,,60.75,percent of total billed charges,999999999,,,,,,,,,,60.75,percent of total billed charges,52.90489901,,,,,,,,,,218.7,percent of total billed charges,,,,,
CORTISOL AM,82533,CDM,,,,both,,,243,243,51.73079854,243,243,percent of total billed charges,178.7837328,,,,243,percent of total billed charges,189.5072217,,,,243,percent of total billed charges,178.7837328,,,,243,percent of total billed charges,189.5072217,,,,243,percent of total billed charges,999999999,,,,243,percent of total billed charges,185.1492987,,,,243,percent of total billed charges,178.7837328,,,,243,percent of total billed charges,189.5072217,,,,173.259,percent of total billed charges,86.45941165,,,,173.259,percent of total billed charges,51.73079854,,,,173.259,percent of total billed charges,86.45941165,,,,173.259,percent of total billed charges,51.73079854,,,,173.259,percent of total billed charges,86.45941165,,,,173.259,percent of total billed charges,51.73079854,,,,171.558,percent of total billed charges,170.2563428,,,,171.558,percent of total billed charges,117.4244502,,,,,,,,,,174.96,percent of total billed charges,113.7198828,,,,,,,,,,174.96,percent of total billed charges,999999999,,,,,,,,,,194.4,percent of total billed charges,162.8970947,,,,191.97,percent of total billed charges,185.2593114,,,,191.97,percent of total billed charges,163.682734,,,,194.4,percent of total billed charges,999999999,,,,194.4,percent of total billed charges,999999999,,,,170.1,percent of total billed charges,999999999,,,,170.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,129.276,percent of total billed charges,999999999,,,,,,,,,,,,,,,,122.715,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,60.75,percent of total billed charges,57.69764001,,,,,,,,,,60.75,percent of total billed charges,56.73787902,,,,,,,,,,60.75,percent of total billed charges,56.58020689,,,,,,,,,,60.75,percent of total billed charges,55.74706403,,,,,,,,,,60.75,percent of total billed charges,57.18151794,,,,,,,,,,60.75,percent of total billed charges,999999999,,,,,,,,,,60.75,percent of total billed charges,49.06576912,,,,,,,,,,60.75,percent of total billed charges,77.38010146,,,,,,,,,,60.75,percent of total billed charges,999999999,,,,,,,,,,60.75,percent of total billed charges,52.90489901,,,,,,,,,,218.7,percent of total billed charges,,,,,
CORTISOL PM,82533,CDM,,,,both,,,291,291,61.94922789,291,291,percent of total billed charges,214.099038,,,,291,percent of total billed charges,226.940747,,,,291,percent of total billed charges,214.099038,,,,291,percent of total billed charges,226.940747,,,,291,percent of total billed charges,999999999,,,,291,percent of total billed charges,221.7219997,,,,291,percent of total billed charges,214.099038,,,,291,percent of total billed charges,226.940747,,,,207.483,percent of total billed charges,103.5378139,,,,207.483,percent of total billed charges,61.94922789,,,,207.483,percent of total billed charges,103.5378139,,,,207.483,percent of total billed charges,61.94922789,,,,207.483,percent of total billed charges,103.5378139,,,,207.483,percent of total billed charges,61.94922789,,,,205.446,percent of total billed charges,203.8872253,,,,205.446,percent of total billed charges,140.6194033,,,,,,,,,,209.52,percent of total billed charges,136.1830696,,,,,,,,,,209.52,percent of total billed charges,999999999,,,,,,,,,,232.8,percent of total billed charges,195.0742986,,,,229.89,percent of total billed charges,221.8537433,,,,229.89,percent of total billed charges,196.0151259,,,,232.8,percent of total billed charges,999999999,,,,232.8,percent of total billed charges,999999999,,,,203.7,percent of total billed charges,999999999,,,,203.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,154.812,percent of total billed charges,999999999,,,,,,,,,,,,,,,,146.955,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,72.75,percent of total billed charges,69.0947047,,,,,,,,,,72.75,percent of total billed charges,67.9453613,,,,,,,,,,72.75,percent of total billed charges,67.75654405,,,,,,,,,,72.75,percent of total billed charges,66.75882976,,,,,,,,,,72.75,percent of total billed charges,68.4766326,,,,,,,,,,72.75,percent of total billed charges,999999999,,,,,,,,,,72.75,percent of total billed charges,58.7577729,,,,,,,,,,72.75,percent of total billed charges,92.66505977,,,,,,,,,,72.75,percent of total billed charges,999999999,,,,,,,,,,72.75,percent of total billed charges,63.35524943,,,,,,,,,,261.9,percent of total billed charges,,,,,
DIGOXIN (LANOXIN),80162,CDM,,,,both,,,252,252,53.64675405,252,252,percent of total billed charges,185.4053525,,,,252,percent of total billed charges,196.5260077,,,,252,percent of total billed charges,185.4053525,,,,252,percent of total billed charges,196.5260077,,,,252,percent of total billed charges,999999999,,,,252,percent of total billed charges,192.0066801,,,,252,percent of total billed charges,185.4053525,,,,252,percent of total billed charges,196.5260077,,,,179.676,percent of total billed charges,89.66161208,,,,179.676,percent of total billed charges,53.64675405,,,,179.676,percent of total billed charges,89.66161208,,,,179.676,percent of total billed charges,53.64675405,,,,179.676,percent of total billed charges,89.66161208,,,,179.676,percent of total billed charges,53.64675405,,,,177.912,percent of total billed charges,176.5621333,,,,177.912,percent of total billed charges,121.7735039,,,,,,,,,,181.44,percent of total billed charges,117.9317303,,,,,,,,,,181.44,percent of total billed charges,999999999,,,,,,,,,,201.6,percent of total billed charges,168.9303205,,,,199.08,percent of total billed charges,192.1207674,,,,199.08,percent of total billed charges,169.7450575,,,,201.6,percent of total billed charges,999999999,,,,201.6,percent of total billed charges,999999999,,,,176.4,percent of total billed charges,999999999,,,,176.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,134.064,percent of total billed charges,999999999,,,,,,,,,,,,,,,,127.26,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,63,percent of total billed charges,59.83458964,,,,,,,,,,63,percent of total billed charges,58.83928195,,,,,,,,,,63,percent of total billed charges,58.67577011,,,,,,,,,,63,percent of total billed charges,57.81177011,,,,,,,,,,63,percent of total billed charges,59.29935194,,,,,,,,,,63,percent of total billed charges,999999999,,,,,,,,,,63,percent of total billed charges,50.88301983,,,,,,,,,,63,percent of total billed charges,80.24603114,,,,,,,,,,63,percent of total billed charges,999999999,,,,,,,,,,63,percent of total billed charges,54.86433971,,,,,,,,,,226.8,percent of total billed charges,,,,,
ESTRIOL(*),82677,CDM,,,,both,,,227,227,48.32465543,227,227,percent of total billed charges,167.0119643,,,,227,percent of total billed charges,177.02938,,,,227,percent of total billed charges,167.0119643,,,,227,percent of total billed charges,177.02938,,,,227,percent of total billed charges,999999999,,,,227,percent of total billed charges,172.9583984,,,,227,percent of total billed charges,167.0119643,,,,227,percent of total billed charges,177.02938,,,,161.851,percent of total billed charges,80.76661088,,,,161.851,percent of total billed charges,48.32465543,,,,161.851,percent of total billed charges,80.76661088,,,,161.851,percent of total billed charges,48.32465543,,,,161.851,percent of total billed charges,80.76661088,,,,161.851,percent of total billed charges,48.32465543,,,,160.262,percent of total billed charges,159.0460486,,,,160.262,percent of total billed charges,109.6927991,,,,,,,,,,163.44,percent of total billed charges,106.2321539,,,,,,,,,,163.44,percent of total billed charges,999999999,,,,,,,,,,181.6,percent of total billed charges,152.1713601,,,,179.33,percent of total billed charges,173.0611675,,,,179.33,percent of total billed charges,152.90527,,,,181.6,percent of total billed charges,999999999,,,,181.6,percent of total billed charges,999999999,,,,158.9,percent of total billed charges,999999999,,,,158.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,120.764,percent of total billed charges,999999999,,,,,,,,,,,,,,,,114.635,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,56.75,percent of total billed charges,53.89861844,,,,,,,,,,56.75,percent of total billed charges,53.0020516,,,,,,,,,,56.75,percent of total billed charges,52.85476117,,,,,,,,,,56.75,percent of total billed charges,52.07647545,,,,,,,,,,56.75,percent of total billed charges,53.41647972,,,,,,,,,,56.75,percent of total billed charges,999999999,,,,,,,,,,56.75,percent of total billed charges,45.83510119,,,,,,,,,,56.75,percent of total billed charges,72.28511535,,,,,,,,,,56.75,percent of total billed charges,999999999,,,,,,,,,,56.75,percent of total billed charges,49.42144886,,,,,,,,,,204.3,percent of total billed charges,,,,,
ETHOSUXIMIDE,80168,CDM,,,,both,,,219,219,46.62158387,219,219,percent of total billed charges,161.1260801,,,,219,percent of total billed charges,170.7904591,,,,219,percent of total billed charges,161.1260801,,,,219,percent of total billed charges,170.7904591,,,,219,percent of total billed charges,999999999,,,,219,percent of total billed charges,166.8629482,,,,219,percent of total billed charges,161.1260801,,,,219,percent of total billed charges,170.7904591,,,,156.147,percent of total billed charges,77.9202105,,,,156.147,percent of total billed charges,46.62158387,,,,156.147,percent of total billed charges,77.9202105,,,,156.147,percent of total billed charges,46.62158387,,,,156.147,percent of total billed charges,77.9202105,,,,156.147,percent of total billed charges,46.62158387,,,,154.614,percent of total billed charges,153.4409015,,,,154.614,percent of total billed charges,105.8269736,,,,,,,,,,157.68,percent of total billed charges,102.4882895,,,,,,,,,,157.68,percent of total billed charges,999999999,,,,,,,,,,175.2,percent of total billed charges,146.8084928,,,,173.01,percent of total billed charges,166.9620955,,,,173.01,percent of total billed charges,147.516538,,,,175.2,percent of total billed charges,999999999,,,,175.2,percent of total billed charges,999999999,,,,153.3,percent of total billed charges,999999999,,,,153.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,116.508,percent of total billed charges,999999999,,,,,,,,,,,,,,,,110.595,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,54.75,percent of total billed charges,51.99910766,,,,,,,,,,54.75,percent of total billed charges,51.13413789,,,,,,,,,,54.75,percent of total billed charges,50.99203831,,,,,,,,,,54.75,percent of total billed charges,50.24118116,,,,,,,,,,54.75,percent of total billed charges,51.53396061,,,,,,,,,,54.75,percent of total billed charges,999999999,,,,,,,,,,54.75,percent of total billed charges,44.21976723,,,,,,,,,,54.75,percent of total billed charges,69.7376223,,,,,,,,,,54.75,percent of total billed charges,999999999,,,,,,,,,,54.75,percent of total billed charges,47.67972379,,,,,,,,,,197.1,percent of total billed charges,,,,,
C-D TRANSFER MEASURE,82373,CDM,,,,both,,,327,327,69.61304989,327,327,percent of total billed charges,240.5855169,,,,327,percent of total billed charges,255.015891,,,,327,percent of total billed charges,240.5855169,,,,327,percent of total billed charges,255.015891,,,,327,percent of total billed charges,999999999,,,,327,percent of total billed charges,249.1515254,,,,327,percent of total billed charges,240.5855169,,,,327,percent of total billed charges,255.015891,,,,233.151,percent of total billed charges,116.3466157,,,,233.151,percent of total billed charges,69.61304989,,,,233.151,percent of total billed charges,116.3466157,,,,233.151,percent of total billed charges,69.61304989,,,,233.151,percent of total billed charges,116.3466157,,,,233.151,percent of total billed charges,69.61304989,,,,230.862,percent of total billed charges,229.1103872,,,,230.862,percent of total billed charges,158.0156181,,,,,,,,,,235.44,percent of total billed charges,153.0304596,,,,,,,,,,235.44,percent of total billed charges,999999999,,,,,,,,,,261.6,percent of total billed charges,219.2072016,,,,258.33,percent of total billed charges,249.2995672,,,,258.33,percent of total billed charges,220.2644198,,,,261.6,percent of total billed charges,999999999,,,,261.6,percent of total billed charges,999999999,,,,228.9,percent of total billed charges,999999999,,,,228.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,173.964,percent of total billed charges,999999999,,,,,,,,,,,,,,,,165.135,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,81.75,percent of total billed charges,77.64250322,,,,,,,,,,81.75,percent of total billed charges,76.35097301,,,,,,,,,,81.75,percent of total billed charges,76.13879692,,,,,,,,,,81.75,percent of total billed charges,75.01765407,,,,,,,,,,81.75,percent of total billed charges,76.94796859,,,,,,,,,,81.75,percent of total billed charges,999999999,,,,,,,,,,81.75,percent of total billed charges,66.02677573,,,,,,,,,,81.75,percent of total billed charges,104.1287785,,,,,,,,,,81.75,percent of total billed charges,999999999,,,,,,,,,,81.75,percent of total billed charges,71.19301224,,,,,,,,,,294.3,percent of total billed charges,,,,,
ETHYLENE GLYCOL,82693,CDM,,,,both,,,268,268,57.05289716,268,268,percent of total billed charges,197.1771209,,,,268,percent of total billed charges,209.0038495,,,,268,percent of total billed charges,197.1771209,,,,268,percent of total billed charges,209.0038495,,,,268,percent of total billed charges,999999999,,,,268,percent of total billed charges,204.1975805,,,,268,percent of total billed charges,197.1771209,,,,268,percent of total billed charges,209.0038495,,,,191.084,percent of total billed charges,95.35441284,,,,191.084,percent of total billed charges,57.05289716,,,,191.084,percent of total billed charges,95.35441284,,,,191.084,percent of total billed charges,57.05289716,,,,191.084,percent of total billed charges,95.35441284,,,,191.084,percent of total billed charges,57.05289716,,,,189.208,percent of total billed charges,187.7724275,,,,189.208,percent of total billed charges,129.5051549,,,,,,,,,,192.96,percent of total billed charges,125.4194592,,,,,,,,,,192.96,percent of total billed charges,999999999,,,,,,,,,,214.4,percent of total billed charges,179.6560551,,,,211.72,percent of total billed charges,204.3189114,,,,211.72,percent of total billed charges,180.5225214,,,,214.4,percent of total billed charges,999999999,,,,214.4,percent of total billed charges,999999999,,,,187.6,percent of total billed charges,999999999,,,,187.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,142.576,percent of total billed charges,999999999,,,,,,,,,,,,,,,,135.34,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,67,percent of total billed charges,63.6336112,,,,,,,,,,67,percent of total billed charges,62.57510938,,,,,,,,,,67,percent of total billed charges,62.40121583,,,,,,,,,,67,percent of total billed charges,61.48235868,,,,,,,,,,67,percent of total billed charges,63.06439016,,,,,,,,,,67,percent of total billed charges,999999999,,,,,,,,,,67,percent of total billed charges,54.11368775,,,,,,,,,,67,percent of total billed charges,85.34101725,,,,,,,,,,67,percent of total billed charges,999999999,,,,,,,,,,67,percent of total billed charges,58.34778985,,,,,,,,,,241.2,percent of total billed charges,,,,,
FOLIC ACID SERUM,82746,CDM,,,,both,,,237,237,50.45349488,237,237,percent of total billed charges,174.3693196,,,,237,percent of total billed charges,184.8280311,,,,237,percent of total billed charges,174.3693196,,,,237,percent of total billed charges,184.8280311,,,,237,percent of total billed charges,999999999,,,,237,percent of total billed charges,180.5777111,,,,237,percent of total billed charges,174.3693196,,,,237,percent of total billed charges,184.8280311,,,,168.981,percent of total billed charges,84.32461136,,,,168.981,percent of total billed charges,50.45349488,,,,168.981,percent of total billed charges,84.32461136,,,,168.981,percent of total billed charges,50.45349488,,,,168.981,percent of total billed charges,84.32461136,,,,168.981,percent of total billed charges,50.45349488,,,,167.322,percent of total billed charges,166.0524825,,,,167.322,percent of total billed charges,114.525081,,,,,,,,,,170.64,percent of total billed charges,110.9119845,,,,,,,,,,170.64,percent of total billed charges,999999999,,,,,,,,,,189.6,percent of total billed charges,158.8749443,,,,187.23,percent of total billed charges,180.6850074,,,,187.23,percent of total billed charges,159.641185,,,,189.6,percent of total billed charges,999999999,,,,189.6,percent of total billed charges,999999999,,,,165.9,percent of total billed charges,999999999,,,,165.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,126.084,percent of total billed charges,999999999,,,,,,,,,,,,,,,,119.685,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,59.25,percent of total billed charges,56.27300692,,,,,,,,,,59.25,percent of total billed charges,55.33694374,,,,,,,,,,59.25,percent of total billed charges,55.18316474,,,,,,,,,,59.25,percent of total billed charges,54.37059331,,,,,,,,,,59.25,percent of total billed charges,55.76962861,,,,,,,,,,59.25,percent of total billed charges,999999999,,,,,,,,,,59.25,percent of total billed charges,47.85426865,,,,,,,,,,59.25,percent of total billed charges,75.46948167,,,,,,,,,,59.25,percent of total billed charges,999999999,,,,,,,,,,59.25,percent of total billed charges,51.5986052,,,,,,,,,,213.3,percent of total billed charges,,,,,
RUBELLA-IMMUNE 1 SPEC(*),86762,CDM,,,,both,,,146,146,31.08105592,146,146,percent of total billed charges,107.4173868,,,,146,percent of total billed charges,113.8603061,,,,146,percent of total billed charges,107.4173868,,,,146,percent of total billed charges,113.8603061,,,,146,percent of total billed charges,999999999,,,,146,percent of total billed charges,111.2419655,,,,146,percent of total billed charges,107.4173868,,,,146,percent of total billed charges,113.8603061,,,,104.098,percent of total billed charges,51.946807,,,,104.098,percent of total billed charges,31.08105592,,,,104.098,percent of total billed charges,51.946807,,,,104.098,percent of total billed charges,31.08105592,,,,104.098,percent of total billed charges,51.946807,,,,104.098,percent of total billed charges,31.08105592,,,,103.076,percent of total billed charges,102.2939344,,,,103.076,percent of total billed charges,70.55131575,,,,,,,,,,105.12,percent of total billed charges,68.3255263,,,,,,,,,,105.12,percent of total billed charges,999999999,,,,,,,,,,116.8,percent of total billed charges,97.87232853,,,,115.34,percent of total billed charges,111.3080636,,,,115.34,percent of total billed charges,98.3443587,,,,116.8,percent of total billed charges,999999999,,,,116.8,percent of total billed charges,999999999,,,,102.2,percent of total billed charges,999999999,,,,102.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,77.672,percent of total billed charges,999999999,,,,,,,,,,,,,,,,73.73,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,36.5,percent of total billed charges,34.66607177,,,,,,,,,,36.5,percent of total billed charges,34.08942526,,,,,,,,,,36.5,percent of total billed charges,33.9946922,,,,,,,,,,36.5,percent of total billed charges,33.49412078,,,,,,,,,,36.5,percent of total billed charges,34.35597374,,,,,,,,,,36.5,percent of total billed charges,999999999,,,,,,,,,,36.5,percent of total billed charges,29.47984482,,,,,,,,,,36.5,percent of total billed charges,46.4917482,,,,,,,,,,36.5,percent of total billed charges,999999999,,,,,,,,,,36.5,percent of total billed charges,31.78648253,,,,,,,,,,131.4,percent of total billed charges,,,,,
FACTOR V LEIDEN MUTATION,81241,CDM,,,,both,,,447,447,95.15912325,447,447,percent of total billed charges,328.87378,,,,447,percent of total billed charges,348.5997042,,,,447,percent of total billed charges,328.87378,,,,447,percent of total billed charges,348.5997042,,,,447,percent of total billed charges,999999999,,,,447,percent of total billed charges,340.5832779,,,,447,percent of total billed charges,328.87378,,,,447,percent of total billed charges,348.5997042,,,,318.711,percent of total billed charges,159.0426214,,,,318.711,percent of total billed charges,95.15912325,,,,318.711,percent of total billed charges,159.0426214,,,,318.711,percent of total billed charges,95.15912325,,,,318.711,percent of total billed charges,159.0426214,,,,318.711,percent of total billed charges,95.15912325,,,,315.582,percent of total billed charges,313.1875936,,,,315.582,percent of total billed charges,216.0030009,,,,,,,,,,321.84,percent of total billed charges,209.1884264,,,,,,,,,,321.84,percent of total billed charges,999999999,,,,,,,,,,357.6,percent of total billed charges,299.6502113,,,,353.13,percent of total billed charges,340.7856469,,,,353.13,percent of total billed charges,301.0953996,,,,357.6,percent of total billed charges,999999999,,,,357.6,percent of total billed charges,999999999,,,,312.9,percent of total billed charges,999999999,,,,312.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,237.804,percent of total billed charges,999999999,,,,,,,,,,,,,,,,225.735,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,111.75,percent of total billed charges,106.135165,,,,,,,,,,111.75,percent of total billed charges,104.3696787,,,,,,,,,,111.75,percent of total billed charges,104.0796398,,,,,,,,,,111.75,percent of total billed charges,102.5470684,,,,,,,,,,111.75,percent of total billed charges,105.1857552,,,,,,,,,,111.75,percent of total billed charges,999999999,,,,,,,,,,111.75,percent of total billed charges,90.25678517,,,,,,,,,,111.75,percent of total billed charges,142.3411743,,,,,,,,,,111.75,percent of total billed charges,999999999,,,,,,,,,,111.75,percent of total billed charges,97.31888829,,,,,,,,,,402.3,percent of total billed charges,,,,,
CCP ANTIBODY (*),86200,CDM,,,,both,,,190,190,40.44794948,190,190,percent of total billed charges,139.7897499,,,,190,percent of total billed charges,148.1743709,,,,190,percent of total billed charges,139.7897499,,,,190,percent of total billed charges,148.1743709,,,,190,percent of total billed charges,999999999,,,,190,percent of total billed charges,144.7669414,,,,190,percent of total billed charges,139.7897499,,,,190,percent of total billed charges,148.1743709,,,,135.47,percent of total billed charges,67.60200911,,,,135.47,percent of total billed charges,40.44794948,,,,135.47,percent of total billed charges,67.60200911,,,,135.47,percent of total billed charges,40.44794948,,,,135.47,percent of total billed charges,67.60200911,,,,135.47,percent of total billed charges,40.44794948,,,,134.14,percent of total billed charges,133.1222434,,,,134.14,percent of total billed charges,91.81335611,,,,,,,,,,136.8,percent of total billed charges,88.91678081,,,,,,,,,,136.8,percent of total billed charges,999999999,,,,,,,,,,152,percent of total billed charges,127.3680988,,,,150.1,percent of total billed charges,144.8529595,,,,150.1,percent of total billed charges,127.9823846,,,,152,percent of total billed charges,999999999,,,,152,percent of total billed charges,999999999,,,,133,percent of total billed charges,999999999,,,,133,percent of total billed charges,999999999,,,,,,,,,,,,,,,,101.08,percent of total billed charges,999999999,,,,,,,,,,,,,,,,95.95,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,47.5,percent of total billed charges,45.11338108,,,,,,,,,,47.5,percent of total billed charges,44.36295068,,,,,,,,,,47.5,percent of total billed charges,44.23966794,,,,,,,,,,47.5,percent of total billed charges,43.58823937,,,,,,,,,,47.5,percent of total billed charges,44.70982884,,,,,,,,,,47.5,percent of total billed charges,999999999,,,,,,,,,,47.5,percent of total billed charges,38.36418162,,,,,,,,,,47.5,percent of total billed charges,60.50295999,,,,,,,,,,47.5,percent of total billed charges,999999999,,,,,,,,,,47.5,percent of total billed charges,41.36597042,,,,,,,,,,171,percent of total billed charges,,,,,
CTX (*),82523,CDM,,,,both,,,227,227,48.32465543,227,227,percent of total billed charges,167.0119643,,,,227,percent of total billed charges,177.02938,,,,227,percent of total billed charges,167.0119643,,,,227,percent of total billed charges,177.02938,,,,227,percent of total billed charges,999999999,,,,227,percent of total billed charges,172.9583984,,,,227,percent of total billed charges,167.0119643,,,,227,percent of total billed charges,177.02938,,,,161.851,percent of total billed charges,80.76661088,,,,161.851,percent of total billed charges,48.32465543,,,,161.851,percent of total billed charges,80.76661088,,,,161.851,percent of total billed charges,48.32465543,,,,161.851,percent of total billed charges,80.76661088,,,,161.851,percent of total billed charges,48.32465543,,,,160.262,percent of total billed charges,159.0460486,,,,160.262,percent of total billed charges,109.6927991,,,,,,,,,,163.44,percent of total billed charges,106.2321539,,,,,,,,,,163.44,percent of total billed charges,999999999,,,,,,,,,,181.6,percent of total billed charges,152.1713601,,,,179.33,percent of total billed charges,173.0611675,,,,179.33,percent of total billed charges,152.90527,,,,181.6,percent of total billed charges,999999999,,,,181.6,percent of total billed charges,999999999,,,,158.9,percent of total billed charges,999999999,,,,158.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,120.764,percent of total billed charges,999999999,,,,,,,,,,,,,,,,114.635,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,56.75,percent of total billed charges,53.89861844,,,,,,,,,,56.75,percent of total billed charges,53.0020516,,,,,,,,,,56.75,percent of total billed charges,52.85476117,,,,,,,,,,56.75,percent of total billed charges,52.07647545,,,,,,,,,,56.75,percent of total billed charges,53.41647972,,,,,,,,,,56.75,percent of total billed charges,999999999,,,,,,,,,,56.75,percent of total billed charges,45.83510119,,,,,,,,,,56.75,percent of total billed charges,72.28511535,,,,,,,,,,56.75,percent of total billed charges,999999999,,,,,,,,,,56.75,percent of total billed charges,49.42144886,,,,,,,,,,204.3,percent of total billed charges,,,,,
FECAL OSMOLALITY  (*),83930,CDM,,,,both,,,243,243,51.73079854,243,243,percent of total billed charges,178.7837328,,,,243,percent of total billed charges,189.5072217,,,,243,percent of total billed charges,178.7837328,,,,243,percent of total billed charges,189.5072217,,,,243,percent of total billed charges,999999999,,,,243,percent of total billed charges,185.1492987,,,,243,percent of total billed charges,178.7837328,,,,243,percent of total billed charges,189.5072217,,,,173.259,percent of total billed charges,86.45941165,,,,173.259,percent of total billed charges,51.73079854,,,,173.259,percent of total billed charges,86.45941165,,,,173.259,percent of total billed charges,51.73079854,,,,173.259,percent of total billed charges,86.45941165,,,,173.259,percent of total billed charges,51.73079854,,,,171.558,percent of total billed charges,170.2563428,,,,171.558,percent of total billed charges,117.4244502,,,,,,,,,,174.96,percent of total billed charges,113.7198828,,,,,,,,,,174.96,percent of total billed charges,999999999,,,,,,,,,,194.4,percent of total billed charges,162.8970947,,,,191.97,percent of total billed charges,185.2593114,,,,191.97,percent of total billed charges,163.682734,,,,194.4,percent of total billed charges,999999999,,,,194.4,percent of total billed charges,999999999,,,,170.1,percent of total billed charges,999999999,,,,170.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,129.276,percent of total billed charges,999999999,,,,,,,,,,,,,,,,122.715,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,60.75,percent of total billed charges,57.69764001,,,,,,,,,,60.75,percent of total billed charges,56.73787902,,,,,,,,,,60.75,percent of total billed charges,56.58020689,,,,,,,,,,60.75,percent of total billed charges,55.74706403,,,,,,,,,,60.75,percent of total billed charges,57.18151794,,,,,,,,,,60.75,percent of total billed charges,999999999,,,,,,,,,,60.75,percent of total billed charges,49.06576912,,,,,,,,,,60.75,percent of total billed charges,77.38010146,,,,,,,,,,60.75,percent of total billed charges,999999999,,,,,,,,,,60.75,percent of total billed charges,52.90489901,,,,,,,,,,218.7,percent of total billed charges,,,,,
ZONEGRAM LEVEL  (*),80299,CDM,,,,both,,,294,294,62.58787972,294,294,percent of total billed charges,216.3062446,,,,294,percent of total billed charges,229.2803423,,,,294,percent of total billed charges,216.3062446,,,,294,percent of total billed charges,229.2803423,,,,294,percent of total billed charges,999999999,,,,294,percent of total billed charges,224.0077935,,,,294,percent of total billed charges,216.3062446,,,,294,percent of total billed charges,229.2803423,,,,209.622,percent of total billed charges,104.6052141,,,,209.622,percent of total billed charges,62.58787972,,,,209.622,percent of total billed charges,104.6052141,,,,209.622,percent of total billed charges,62.58787972,,,,209.622,percent of total billed charges,104.6052141,,,,209.622,percent of total billed charges,62.58787972,,,,207.564,percent of total billed charges,205.9891555,,,,207.564,percent of total billed charges,142.0690879,,,,,,,,,,211.68,percent of total billed charges,137.5870187,,,,,,,,,,211.68,percent of total billed charges,999999999,,,,,,,,,,235.2,percent of total billed charges,197.0853739,,,,232.26,percent of total billed charges,224.1408953,,,,232.26,percent of total billed charges,198.0359004,,,,235.2,percent of total billed charges,999999999,,,,235.2,percent of total billed charges,999999999,,,,205.8,percent of total billed charges,999999999,,,,205.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,156.408,percent of total billed charges,999999999,,,,,,,,,,,,,,,,148.47,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,73.5,percent of total billed charges,69.80702124,,,,,,,,,,73.5,percent of total billed charges,68.64582894,,,,,,,,,,73.5,percent of total billed charges,68.45506512,,,,,,,,,,73.5,percent of total billed charges,67.44706512,,,,,,,,,,73.5,percent of total billed charges,69.18257726,,,,,,,,,,73.5,percent of total billed charges,999999999,,,,,,,,,,73.5,percent of total billed charges,59.36352313,,,,,,,,,,73.5,percent of total billed charges,93.62036967,,,,,,,,,,73.5,percent of total billed charges,999999999,,,,,,,,,,73.5,percent of total billed charges,64.00839633,,,,,,,,,,264.6,percent of total billed charges,,,,,
OXCARBAZEPINE  (*),80183,CDM,,,,both,,,243,243,51.73079854,243,243,percent of total billed charges,178.7837328,,,,243,percent of total billed charges,189.5072217,,,,243,percent of total billed charges,178.7837328,,,,243,percent of total billed charges,189.5072217,,,,243,percent of total billed charges,999999999,,,,243,percent of total billed charges,185.1492987,,,,243,percent of total billed charges,178.7837328,,,,243,percent of total billed charges,189.5072217,,,,173.259,percent of total billed charges,86.45941165,,,,173.259,percent of total billed charges,51.73079854,,,,173.259,percent of total billed charges,86.45941165,,,,173.259,percent of total billed charges,51.73079854,,,,173.259,percent of total billed charges,86.45941165,,,,173.259,percent of total billed charges,51.73079854,,,,171.558,percent of total billed charges,170.2563428,,,,171.558,percent of total billed charges,117.4244502,,,,,,,,,,174.96,percent of total billed charges,113.7198828,,,,,,,,,,174.96,percent of total billed charges,999999999,,,,,,,,,,194.4,percent of total billed charges,162.8970947,,,,191.97,percent of total billed charges,185.2593114,,,,191.97,percent of total billed charges,163.682734,,,,194.4,percent of total billed charges,999999999,,,,194.4,percent of total billed charges,999999999,,,,170.1,percent of total billed charges,999999999,,,,170.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,129.276,percent of total billed charges,999999999,,,,,,,,,,,,,,,,122.715,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,60.75,percent of total billed charges,57.69764001,,,,,,,,,,60.75,percent of total billed charges,56.73787902,,,,,,,,,,60.75,percent of total billed charges,56.58020689,,,,,,,,,,60.75,percent of total billed charges,55.74706403,,,,,,,,,,60.75,percent of total billed charges,57.18151794,,,,,,,,,,60.75,percent of total billed charges,999999999,,,,,,,,,,60.75,percent of total billed charges,49.06576912,,,,,,,,,,60.75,percent of total billed charges,77.38010146,,,,,,,,,,60.75,percent of total billed charges,999999999,,,,,,,,,,60.75,percent of total billed charges,52.90489901,,,,,,,,,,218.7,percent of total billed charges,,,,,
ANTIMULLERIAN HORMONE  (*),82166,CDM,,,,both,,,173,173,36.82892242,173,173,percent of total billed charges,127.2822459,,,,173,percent of total billed charges,134.916664,,,,173,percent of total billed charges,127.2822459,,,,173,percent of total billed charges,134.916664,,,,173,percent of total billed charges,999999999,,,,173,percent of total billed charges,131.8141098,,,,173,percent of total billed charges,127.2822459,,,,173,percent of total billed charges,134.916664,,,,123.349,percent of total billed charges,61.55340829,,,,123.349,percent of total billed charges,36.82892242,,,,123.349,percent of total billed charges,61.55340829,,,,123.349,percent of total billed charges,36.82892242,,,,123.349,percent of total billed charges,61.55340829,,,,123.349,percent of total billed charges,36.82892242,,,,122.138,percent of total billed charges,121.2113058,,,,122.138,percent of total billed charges,83.59847688,,,,,,,,,,124.56,percent of total billed charges,80.96106884,,,,,,,,,,124.56,percent of total billed charges,999999999,,,,,,,,,,138.4,percent of total billed charges,115.9720057,,,,136.67,percent of total billed charges,131.8924316,,,,136.67,percent of total billed charges,116.5313291,,,,138.4,percent of total billed charges,999999999,,,,138.4,percent of total billed charges,999999999,,,,121.1,percent of total billed charges,999999999,,,,121.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,92.036,percent of total billed charges,999999999,,,,,,,,,,,,,,,,87.365,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,43.25,percent of total billed charges,41.07692066,,,,,,,,,,43.25,percent of total billed charges,40.39363404,,,,,,,,,,43.25,percent of total billed charges,40.28138186,,,,,,,,,,43.25,percent of total billed charges,39.688239,,,,,,,,,,43.25,percent of total billed charges,40.70947574,,,,,,,,,,43.25,percent of total billed charges,999999999,,,,,,,,,,43.25,percent of total billed charges,34.93159694,,,,,,,,,,43.25,percent of total billed charges,55.08953725,,,,,,,,,,43.25,percent of total billed charges,999999999,,,,,,,,,,43.25,percent of total billed charges,37.66480464,,,,,,,,,,155.7,percent of total billed charges,,,,,
DEXAMETHASONE SUPPRESSION  (*),82533,CDM,,,,both,,,243,243,51.73079854,243,243,percent of total billed charges,178.7837328,,,,243,percent of total billed charges,189.5072217,,,,243,percent of total billed charges,178.7837328,,,,243,percent of total billed charges,189.5072217,,,,243,percent of total billed charges,999999999,,,,243,percent of total billed charges,185.1492987,,,,243,percent of total billed charges,178.7837328,,,,243,percent of total billed charges,189.5072217,,,,173.259,percent of total billed charges,86.45941165,,,,173.259,percent of total billed charges,51.73079854,,,,173.259,percent of total billed charges,86.45941165,,,,173.259,percent of total billed charges,51.73079854,,,,173.259,percent of total billed charges,86.45941165,,,,173.259,percent of total billed charges,51.73079854,,,,171.558,percent of total billed charges,170.2563428,,,,171.558,percent of total billed charges,117.4244502,,,,,,,,,,174.96,percent of total billed charges,113.7198828,,,,,,,,,,174.96,percent of total billed charges,999999999,,,,,,,,,,194.4,percent of total billed charges,162.8970947,,,,191.97,percent of total billed charges,185.2593114,,,,191.97,percent of total billed charges,163.682734,,,,194.4,percent of total billed charges,999999999,,,,194.4,percent of total billed charges,999999999,,,,170.1,percent of total billed charges,999999999,,,,170.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,129.276,percent of total billed charges,999999999,,,,,,,,,,,,,,,,122.715,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,60.75,percent of total billed charges,57.69764001,,,,,,,,,,60.75,percent of total billed charges,56.73787902,,,,,,,,,,60.75,percent of total billed charges,56.58020689,,,,,,,,,,60.75,percent of total billed charges,55.74706403,,,,,,,,,,60.75,percent of total billed charges,57.18151794,,,,,,,,,,60.75,percent of total billed charges,999999999,,,,,,,,,,60.75,percent of total billed charges,49.06576912,,,,,,,,,,60.75,percent of total billed charges,77.38010146,,,,,,,,,,60.75,percent of total billed charges,999999999,,,,,,,,,,60.75,percent of total billed charges,52.90489901,,,,,,,,,,218.7,percent of total billed charges,,,,,
STOOL SUDAN STAIN  (*),82705,CDM,,,,both,,,92,92,19.58532291,92,92,percent of total billed charges,67.68766837,,,,92,percent of total billed charges,71.74759012,,,,92,percent of total billed charges,67.68766837,,,,92,percent of total billed charges,71.74759012,,,,92,percent of total billed charges,999999999,,,,92,percent of total billed charges,70.09767688,,,,92,percent of total billed charges,67.68766837,,,,92,percent of total billed charges,71.74759012,,,,65.596,percent of total billed charges,32.73360441,,,,65.596,percent of total billed charges,19.58532291,,,,65.596,percent of total billed charges,32.73360441,,,,65.596,percent of total billed charges,19.58532291,,,,65.596,percent of total billed charges,32.73360441,,,,65.596,percent of total billed charges,19.58532291,,,,64.952,percent of total billed charges,64.45919152,,,,64.952,percent of total billed charges,44.45699348,,,,,,,,,,66.24,percent of total billed charges,43.05444123,,,,,,,,,,66.24,percent of total billed charges,999999999,,,,,,,,,,73.6,percent of total billed charges,61.67297414,,,,72.68,percent of total billed charges,70.13932778,,,,72.68,percent of total billed charges,61.97041781,,,,73.6,percent of total billed charges,999999999,,,,73.6,percent of total billed charges,999999999,,,,64.4,percent of total billed charges,999999999,,,,64.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,48.944,percent of total billed charges,999999999,,,,,,,,,,,,,,,,46.46,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23,percent of total billed charges,21.84437399,,,,,,,,,,23,percent of total billed charges,21.4810077,,,,,,,,,,23,percent of total billed charges,21.4213129,,,,,,,,,,23,percent of total billed charges,21.10588432,,,,,,,,,,23,percent of total billed charges,21.64896976,,,,,,,,,,23,percent of total billed charges,999999999,,,,,,,,,,23,percent of total billed charges,18.57634057,,,,,,,,,,23,percent of total billed charges,29.2961701,,,,,,,,,,23,percent of total billed charges,999999999,,,,,,,,,,23,percent of total billed charges,20.02983831,,,,,,,,,,82.8,percent of total billed charges,,,,,
FECAL ELASTASE  (*),83519,CDM,,,,both,,,402,402,85.57934574,402,402,percent of total billed charges,295.7656813,,,,402,percent of total billed charges,313.5057742,,,,402,percent of total billed charges,295.7656813,,,,402,percent of total billed charges,313.5057742,,,,402,percent of total billed charges,999999999,,,,402,percent of total billed charges,306.2963707,,,,402,percent of total billed charges,295.7656813,,,,402,percent of total billed charges,313.5057742,,,,286.626,percent of total billed charges,143.0316193,,,,286.626,percent of total billed charges,85.57934574,,,,286.626,percent of total billed charges,143.0316193,,,,286.626,percent of total billed charges,85.57934574,,,,286.626,percent of total billed charges,143.0316193,,,,286.626,percent of total billed charges,85.57934574,,,,283.812,percent of total billed charges,281.6586412,,,,283.812,percent of total billed charges,194.2577324,,,,,,,,,,289.44,percent of total billed charges,188.1291889,,,,,,,,,,289.44,percent of total billed charges,999999999,,,,,,,,,,321.6,percent of total billed charges,269.4840827,,,,317.58,percent of total billed charges,306.478367,,,,317.58,percent of total billed charges,270.7837822,,,,321.6,percent of total billed charges,999999999,,,,321.6,percent of total billed charges,999999999,,,,281.4,percent of total billed charges,999999999,,,,281.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,213.864,percent of total billed charges,999999999,,,,,,,,,,,,,,,,203.01,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,100.5,percent of total billed charges,95.4504168,,,,,,,,,,100.5,percent of total billed charges,93.86266406,,,,,,,,,,100.5,percent of total billed charges,93.60182374,,,,,,,,,,100.5,percent of total billed charges,92.22353803,,,,,,,,,,100.5,percent of total billed charges,94.59658524,,,,,,,,,,100.5,percent of total billed charges,999999999,,,,,,,,,,100.5,percent of total billed charges,81.17053163,,,,,,,,,,100.5,percent of total billed charges,128.0115259,,,,,,,,,,100.5,percent of total billed charges,999999999,,,,,,,,,,100.5,percent of total billed charges,87.52168477,,,,,,,,,,361.8,percent of total billed charges,,,,,
THYROID PEROXIDE ANTIBODY  (*),84432,CDM,,,,both,,,184,184,39.17064581,184,184,percent of total billed charges,135.3753367,,,,184,percent of total billed charges,143.4951802,,,,184,percent of total billed charges,135.3753367,,,,184,percent of total billed charges,143.4951802,,,,184,percent of total billed charges,999999999,,,,184,percent of total billed charges,140.1953538,,,,184,percent of total billed charges,135.3753367,,,,184,percent of total billed charges,143.4951802,,,,131.192,percent of total billed charges,65.46720882,,,,131.192,percent of total billed charges,39.17064581,,,,131.192,percent of total billed charges,65.46720882,,,,131.192,percent of total billed charges,39.17064581,,,,131.192,percent of total billed charges,65.46720882,,,,131.192,percent of total billed charges,39.17064581,,,,129.904,percent of total billed charges,128.918383,,,,129.904,percent of total billed charges,88.91398697,,,,,,,,,,132.48,percent of total billed charges,86.10888247,,,,,,,,,,132.48,percent of total billed charges,999999999,,,,,,,,,,147.2,percent of total billed charges,123.3459483,,,,145.36,percent of total billed charges,140.2786556,,,,145.36,percent of total billed charges,123.9408356,,,,147.2,percent of total billed charges,999999999,,,,147.2,percent of total billed charges,999999999,,,,128.8,percent of total billed charges,999999999,,,,128.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,97.888,percent of total billed charges,999999999,,,,,,,,,,,,,,,,92.92,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,46,percent of total billed charges,43.68874799,,,,,,,,,,46,percent of total billed charges,42.96201539,,,,,,,,,,46,percent of total billed charges,42.84262579,,,,,,,,,,46,percent of total billed charges,42.21176865,,,,,,,,,,46,percent of total billed charges,43.29793951,,,,,,,,,,46,percent of total billed charges,999999999,,,,,,,,,,46,percent of total billed charges,37.15268114,,,,,,,,,,46,percent of total billed charges,58.5923402,,,,,,,,,,46,percent of total billed charges,999999999,,,,,,,,,,46,percent of total billed charges,40.05967661,,,,,,,,,,165.6,percent of total billed charges,,,,,
SERUM TRYPTASE  (*),83520,CDM,,,,both,,,241,241,51.30503065,241,241,percent of total billed charges,177.3122617,,,,241,percent of total billed charges,187.9474915,,,,241,percent of total billed charges,177.3122617,,,,241,percent of total billed charges,187.9474915,,,,241,percent of total billed charges,999999999,,,,241,percent of total billed charges,183.6254362,,,,241,percent of total billed charges,177.3122617,,,,241,percent of total billed charges,187.9474915,,,,171.833,percent of total billed charges,85.74781155,,,,171.833,percent of total billed charges,51.30503065,,,,171.833,percent of total billed charges,85.74781155,,,,171.833,percent of total billed charges,51.30503065,,,,171.833,percent of total billed charges,85.74781155,,,,171.833,percent of total billed charges,51.30503065,,,,170.146,percent of total billed charges,168.855056,,,,170.146,percent of total billed charges,116.4579938,,,,,,,,,,173.52,percent of total billed charges,112.7839167,,,,,,,,,,173.52,percent of total billed charges,999999999,,,,,,,,,,192.8,percent of total billed charges,161.5563779,,,,190.39,percent of total billed charges,183.7345434,,,,190.39,percent of total billed charges,162.335551,,,,192.8,percent of total billed charges,999999999,,,,192.8,percent of total billed charges,999999999,,,,168.7,percent of total billed charges,999999999,,,,168.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,128.212,percent of total billed charges,999999999,,,,,,,,,,,,,,,,121.705,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,60.25,percent of total billed charges,57.22276231,,,,,,,,,,60.25,percent of total billed charges,56.2709006,,,,,,,,,,60.25,percent of total billed charges,56.11452617,,,,,,,,,,60.25,percent of total billed charges,55.28824046,,,,,,,,,,60.25,percent of total billed charges,56.71088816,,,,,,,,,,60.25,percent of total billed charges,999999999,,,,,,,,,,60.25,percent of total billed charges,48.66193563,,,,,,,,,,60.25,percent of total billed charges,76.7432282,,,,,,,,,,60.25,percent of total billed charges,999999999,,,,,,,,,,60.25,percent of total billed charges,52.46946774,,,,,,,,,,216.9,percent of total billed charges,,,,,
DOXYCLINE& DAPROMYCIN  (*),87186,CDM,,,,both,,,199,199,42.36390498,199,199,percent of total billed charges,146.4113696,,,,199,percent of total billed charges,155.1931569,,,,199,percent of total billed charges,146.4113696,,,,199,percent of total billed charges,155.1931569,,,,199,percent of total billed charges,999999999,,,,199,percent of total billed charges,151.6243228,,,,199,percent of total billed charges,146.4113696,,,,199,percent of total billed charges,155.1931569,,,,141.887,percent of total billed charges,70.80420954,,,,141.887,percent of total billed charges,42.36390498,,,,141.887,percent of total billed charges,70.80420954,,,,141.887,percent of total billed charges,42.36390498,,,,141.887,percent of total billed charges,70.80420954,,,,141.887,percent of total billed charges,42.36390498,,,,140.494,percent of total billed charges,139.4280338,,,,140.494,percent of total billed charges,96.16240982,,,,,,,,,,143.28,percent of total billed charges,93.12862832,,,,,,,,,,143.28,percent of total billed charges,999999999,,,,,,,,,,159.2,percent of total billed charges,133.4013245,,,,157.21,percent of total billed charges,151.7144155,,,,157.21,percent of total billed charges,134.0447081,,,,159.2,percent of total billed charges,999999999,,,,159.2,percent of total billed charges,999999999,,,,139.3,percent of total billed charges,999999999,,,,139.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,105.868,percent of total billed charges,999999999,,,,,,,,,,,,,,,,100.495,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,49.75,percent of total billed charges,47.25033071,,,,,,,,,,49.75,percent of total billed charges,46.4643536,,,,,,,,,,49.75,percent of total billed charges,46.33523116,,,,,,,,,,49.75,percent of total billed charges,45.65294544,,,,,,,,,,49.75,percent of total billed charges,46.82766284,,,,,,,,,,49.75,percent of total billed charges,999999999,,,,,,,,,,49.75,percent of total billed charges,40.18143232,,,,,,,,,,49.75,percent of total billed charges,63.36888967,,,,,,,,,,49.75,percent of total billed charges,999999999,,,,,,,,,,49.75,percent of total billed charges,43.32541112,,,,,,,,,,179.1,percent of total billed charges,,,,,
ANTI-TPO ANTIBODY  (*),86376,CDM,,,,both,,,171,171,36.40315453,171,171,percent of total billed charges,125.8107749,,,,171,percent of total billed charges,133.3569338,,,,171,percent of total billed charges,125.8107749,,,,171,percent of total billed charges,133.3569338,,,,171,percent of total billed charges,999999999,,,,171,percent of total billed charges,130.2902472,,,,171,percent of total billed charges,125.8107749,,,,171,percent of total billed charges,133.3569338,,,,121.923,percent of total billed charges,60.8418082,,,,121.923,percent of total billed charges,36.40315453,,,,121.923,percent of total billed charges,60.8418082,,,,121.923,percent of total billed charges,36.40315453,,,,121.923,percent of total billed charges,60.8418082,,,,121.923,percent of total billed charges,36.40315453,,,,120.726,percent of total billed charges,119.810019,,,,120.726,percent of total billed charges,82.6320205,,,,,,,,,,123.12,percent of total billed charges,80.02510273,,,,,,,,,,123.12,percent of total billed charges,999999999,,,,,,,,,,136.8,percent of total billed charges,114.6312889,,,,135.09,percent of total billed charges,130.3676636,,,,135.09,percent of total billed charges,115.1841461,,,,136.8,percent of total billed charges,999999999,,,,136.8,percent of total billed charges,999999999,,,,119.7,percent of total billed charges,999999999,,,,119.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,90.972,percent of total billed charges,999999999,,,,,,,,,,,,,,,,86.355,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,42.75,percent of total billed charges,40.60204297,,,,,,,,,,42.75,percent of total billed charges,39.92665561,,,,,,,,,,42.75,percent of total billed charges,39.81570114,,,,,,,,,,42.75,percent of total billed charges,39.22941543,,,,,,,,,,42.75,percent of total billed charges,40.23884596,,,,,,,,,,42.75,percent of total billed charges,999999999,,,,,,,,,,42.75,percent of total billed charges,34.52776345,,,,,,,,,,42.75,percent of total billed charges,54.45266399,,,,,,,,,,42.75,percent of total billed charges,999999999,,,,,,,,,,42.75,percent of total billed charges,37.22937337,,,,,,,,,,153.9,percent of total billed charges,,,,,
FECAL CALPROTECTIN  (*),83993,CDM,,,,both,,,394,394,83.87627418,394,394,percent of total billed charges,289.8797971,,,,394,percent of total billed charges,307.2668533,,,,394,percent of total billed charges,289.8797971,,,,394,percent of total billed charges,307.2668533,,,,394,percent of total billed charges,999999999,,,,394,percent of total billed charges,300.2009205,,,,394,percent of total billed charges,289.8797971,,,,394,percent of total billed charges,307.2668533,,,,280.922,percent of total billed charges,140.1852189,,,,280.922,percent of total billed charges,83.87627418,,,,280.922,percent of total billed charges,140.1852189,,,,280.922,percent of total billed charges,83.87627418,,,,280.922,percent of total billed charges,140.1852189,,,,280.922,percent of total billed charges,83.87627418,,,,278.164,percent of total billed charges,276.0534941,,,,278.164,percent of total billed charges,190.3919069,,,,,,,,,,283.68,percent of total billed charges,184.3853244,,,,,,,,,,283.68,percent of total billed charges,999999999,,,,,,,,,,315.2,percent of total billed charges,264.1212154,,,,311.26,percent of total billed charges,300.379295,,,,311.26,percent of total billed charges,265.3950502,,,,315.2,percent of total billed charges,999999999,,,,315.2,percent of total billed charges,999999999,,,,275.8,percent of total billed charges,999999999,,,,275.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,209.608,percent of total billed charges,999999999,,,,,,,,,,,,,,,,198.97,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,98.5,percent of total billed charges,93.55090602,,,,,,,,,,98.5,percent of total billed charges,91.99475035,,,,,,,,,,98.5,percent of total billed charges,91.73910088,,,,,,,,,,98.5,percent of total billed charges,90.38824374,,,,,,,,,,98.5,percent of total billed charges,92.71406613,,,,,,,,,,98.5,percent of total billed charges,999999999,,,,,,,,,,98.5,percent of total billed charges,79.55519767,,,,,,,,,,98.5,percent of total billed charges,125.4640328,,,,,,,,,,98.5,percent of total billed charges,999999999,,,,,,,,,,98.5,percent of total billed charges,85.7799597,,,,,,,,,,354.6,percent of total billed charges,,,,,
PAROXYSMAL NOCTURAL HEMOGLOBINURIS  (*),86356,CDM,,,,both,,,246,246,52.36945038,246,246,percent of total billed charges,180.9909393,,,,246,percent of total billed charges,191.8468171,,,,246,percent of total billed charges,180.9909393,,,,246,percent of total billed charges,191.8468171,,,,246,percent of total billed charges,999999999,,,,246,percent of total billed charges,187.4350925,,,,246,percent of total billed charges,180.9909393,,,,246,percent of total billed charges,191.8468171,,,,175.398,percent of total billed charges,87.52681179,,,,175.398,percent of total billed charges,52.36945038,,,,175.398,percent of total billed charges,87.52681179,,,,175.398,percent of total billed charges,52.36945038,,,,175.398,percent of total billed charges,87.52681179,,,,175.398,percent of total billed charges,52.36945038,,,,173.676,percent of total billed charges,172.358273,,,,173.676,percent of total billed charges,118.8741347,,,,,,,,,,177.12,percent of total billed charges,115.123832,,,,,,,,,,177.12,percent of total billed charges,999999999,,,,,,,,,,196.8,percent of total billed charges,164.90817,,,,194.34,percent of total billed charges,187.5464634,,,,194.34,percent of total billed charges,165.7035085,,,,196.8,percent of total billed charges,999999999,,,,196.8,percent of total billed charges,999999999,,,,172.2,percent of total billed charges,999999999,,,,172.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,130.872,percent of total billed charges,999999999,,,,,,,,,,,,,,,,124.23,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,61.5,percent of total billed charges,58.40995655,,,,,,,,,,61.5,percent of total billed charges,57.43834667,,,,,,,,,,61.5,percent of total billed charges,57.27872796,,,,,,,,,,61.5,percent of total billed charges,56.43529939,,,,,,,,,,61.5,percent of total billed charges,57.88746261,,,,,,,,,,61.5,percent of total billed charges,999999999,,,,,,,,,,61.5,percent of total billed charges,49.67151935,,,,,,,,,,61.5,percent of total billed charges,78.33541135,,,,,,,,,,61.5,percent of total billed charges,999999999,,,,,,,,,,61.5,percent of total billed charges,53.55804591,,,,,,,,,,221.4,percent of total billed charges,,,,,
FECAL NA+  (*),84302,CDM,,,,both,,,126,126,26.82337702,126,126,percent of total billed charges,92.70267624,,,,126,percent of total billed charges,98.26300386,,,,126,percent of total billed charges,92.70267624,,,,126,percent of total billed charges,98.26300386,,,,126,percent of total billed charges,999999999,,,,126,percent of total billed charges,96.00334007,,,,126,percent of total billed charges,92.70267624,,,,126,percent of total billed charges,98.26300386,,,,89.838,percent of total billed charges,44.83080604,,,,89.838,percent of total billed charges,26.82337702,,,,89.838,percent of total billed charges,44.83080604,,,,89.838,percent of total billed charges,26.82337702,,,,89.838,percent of total billed charges,44.83080604,,,,89.838,percent of total billed charges,26.82337702,,,,88.956,percent of total billed charges,88.28106665,,,,88.956,percent of total billed charges,60.88675195,,,,,,,,,,90.72,percent of total billed charges,58.96586517,,,,,,,,,,90.72,percent of total billed charges,999999999,,,,,,,,,,100.8,percent of total billed charges,84.46516024,,,,99.54,percent of total billed charges,96.0603837,,,,99.54,percent of total billed charges,84.87252874,,,,100.8,percent of total billed charges,999999999,,,,100.8,percent of total billed charges,999999999,,,,88.2,percent of total billed charges,999999999,,,,88.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,67.032,percent of total billed charges,999999999,,,,,,,,,,,,,,,,63.63,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,31.5,percent of total billed charges,29.91729482,,,,,,,,,,31.5,percent of total billed charges,29.41964098,,,,,,,,,,31.5,percent of total billed charges,29.33788505,,,,,,,,,,31.5,percent of total billed charges,28.90588505,,,,,,,,,,31.5,percent of total billed charges,29.64967597,,,,,,,,,,31.5,percent of total billed charges,999999999,,,,,,,,,,31.5,percent of total billed charges,25.44150991,,,,,,,,,,31.5,percent of total billed charges,40.12301557,,,,,,,,,,31.5,percent of total billed charges,999999999,,,,,,,,,,31.5,percent of total billed charges,27.43216985,,,,,,,,,,113.4,percent of total billed charges,,,,,
PNH (RBC+WBC)  (*),88184,CDM,,,,both,,,326,326,69.40016595,326,326,percent of total billed charges,239.8497814,,,,326,percent of total billed charges,254.2360259,,,,326,percent of total billed charges,239.8497814,,,,326,percent of total billed charges,254.2360259,,,,326,percent of total billed charges,999999999,,,,326,percent of total billed charges,248.3895942,,,,326,percent of total billed charges,239.8497814,,,,326,percent of total billed charges,254.2360259,,,,232.438,percent of total billed charges,115.9908156,,,,232.438,percent of total billed charges,69.40016595,,,,232.438,percent of total billed charges,115.9908156,,,,232.438,percent of total billed charges,69.40016595,,,,232.438,percent of total billed charges,115.9908156,,,,232.438,percent of total billed charges,69.40016595,,,,230.156,percent of total billed charges,228.4097439,,,,230.156,percent of total billed charges,157.53239,,,,,,,,,,234.72,percent of total billed charges,152.5624765,,,,,,,,,,234.72,percent of total billed charges,999999999,,,,,,,,,,260.8,percent of total billed charges,218.5368432,,,,257.54,percent of total billed charges,248.5371832,,,,257.54,percent of total billed charges,219.5908283,,,,260.8,percent of total billed charges,999999999,,,,260.8,percent of total billed charges,999999999,,,,228.2,percent of total billed charges,999999999,,,,228.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,173.432,percent of total billed charges,999999999,,,,,,,,,,,,,,,,164.63,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,81.5,percent of total billed charges,77.40506437,,,,,,,,,,81.5,percent of total billed charges,76.11748379,,,,,,,,,,81.5,percent of total billed charges,75.90595657,,,,,,,,,,81.5,percent of total billed charges,74.78824228,,,,,,,,,,81.5,percent of total billed charges,76.7126537,,,,,,,,,,81.5,percent of total billed charges,999999999,,,,,,,,,,81.5,percent of total billed charges,65.82485898,,,,,,,,,,81.5,percent of total billed charges,103.8103419,,,,,,,,,,81.5,percent of total billed charges,999999999,,,,,,,,,,81.5,percent of total billed charges,70.97529661,,,,,,,,,,293.4,percent of total billed charges,,,,,
NSE  (*),86316,CDM,,,,both,,,328,328,69.82593384,328,328,percent of total billed charges,241.3212524,,,,328,percent of total billed charges,255.7957561,,,,328,percent of total billed charges,241.3212524,,,,328,percent of total billed charges,255.7957561,,,,328,percent of total billed charges,999999999,,,,328,percent of total billed charges,249.9134567,,,,328,percent of total billed charges,241.3212524,,,,328,percent of total billed charges,255.7957561,,,,233.864,percent of total billed charges,116.7024157,,,,233.864,percent of total billed charges,69.82593384,,,,233.864,percent of total billed charges,116.7024157,,,,233.864,percent of total billed charges,69.82593384,,,,233.864,percent of total billed charges,116.7024157,,,,233.864,percent of total billed charges,69.82593384,,,,231.568,percent of total billed charges,229.8110306,,,,231.568,percent of total billed charges,158.4988463,,,,,,,,,,236.16,percent of total billed charges,153.4984427,,,,,,,,,,236.16,percent of total billed charges,999999999,,,,,,,,,,262.4,percent of total billed charges,219.87756,,,,259.12,percent of total billed charges,250.0619512,,,,259.12,percent of total billed charges,220.9380113,,,,262.4,percent of total billed charges,999999999,,,,262.4,percent of total billed charges,999999999,,,,229.6,percent of total billed charges,999999999,,,,229.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,174.496,percent of total billed charges,999999999,,,,,,,,,,,,,,,,165.64,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,82,percent of total billed charges,77.87994207,,,,,,,,,,82,percent of total billed charges,76.58446222,,,,,,,,,,82,percent of total billed charges,76.37163728,,,,,,,,,,82,percent of total billed charges,75.24706585,,,,,,,,,,82,percent of total billed charges,77.18328348,,,,,,,,,,82,percent of total billed charges,999999999,,,,,,,,,,82,percent of total billed charges,66.22869247,,,,,,,,,,82,percent of total billed charges,104.4472151,,,,,,,,,,82,percent of total billed charges,999999999,,,,,,,,,,82,percent of total billed charges,71.41072788,,,,,,,,,,295.2,percent of total billed charges,,,,,
BCR/ABL  (*),81206,CDM,,,,both,,,864,864,183.9317282,864,864,percent of total billed charges,635.6754942,,,,864,percent of total billed charges,673.803455,,,,864,percent of total billed charges,635.6754942,,,,864,percent of total billed charges,673.803455,,,,864,percent of total billed charges,999999999,,,,864,percent of total billed charges,658.3086176,,,,864,percent of total billed charges,635.6754942,,,,864,percent of total billed charges,673.803455,,,,616.032,percent of total billed charges,307.4112414,,,,616.032,percent of total billed charges,183.9317282,,,,616.032,percent of total billed charges,307.4112414,,,,616.032,percent of total billed charges,183.9317282,,,,616.032,percent of total billed charges,307.4112414,,,,616.032,percent of total billed charges,183.9317282,,,,609.984,percent of total billed charges,605.3558856,,,,609.984,percent of total billed charges,417.5091562,,,,,,,,,,622.08,percent of total billed charges,404.3373611,,,,,,,,,,622.08,percent of total billed charges,999999999,,,,,,,,,,691.2,percent of total billed charges,579.1896702,,,,682.56,percent of total billed charges,658.6997739,,,,682.56,percent of total billed charges,581.9830542,,,,691.2,percent of total billed charges,999999999,,,,691.2,percent of total billed charges,999999999,,,,604.8,percent of total billed charges,999999999,,,,604.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,459.648,percent of total billed charges,999999999,,,,,,,,,,,,,,,,436.32,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,216,percent of total billed charges,205.1471645,,,,,,,,,,216,percent of total billed charges,201.734681,,,,,,,,,,216,percent of total billed charges,201.1740689,,,,,,,,,,216,percent of total billed charges,198.2117832,,,,,,,,,,216,percent of total billed charges,203.3120638,,,,,,,,,,216,percent of total billed charges,999999999,,,,,,,,,,216,percent of total billed charges,174.456068,,,,,,,,,,216,percent of total billed charges,275.1292496,,,,,,,,,,216,percent of total billed charges,999999999,,,,,,,,,,216,percent of total billed charges,188.1063076,,,,,,,,,,777.6,percent of total billed charges,,,,,
LEGIONELLA URINE DFA  (*),87278,CDM,,,,both,,,302,302,64.29095128,302,302,percent of total billed charges,222.1921288,,,,302,percent of total billed charges,235.5192632,,,,302,percent of total billed charges,222.1921288,,,,302,percent of total billed charges,235.5192632,,,,302,percent of total billed charges,999999999,,,,302,percent of total billed charges,230.1032437,,,,302,percent of total billed charges,222.1921288,,,,302,percent of total billed charges,235.5192632,,,,215.326,percent of total billed charges,107.4516145,,,,215.326,percent of total billed charges,64.29095128,,,,215.326,percent of total billed charges,107.4516145,,,,215.326,percent of total billed charges,64.29095128,,,,215.326,percent of total billed charges,107.4516145,,,,215.326,percent of total billed charges,64.29095128,,,,213.212,percent of total billed charges,211.5943026,,,,213.212,percent of total billed charges,145.9349134,,,,,,,,,,217.44,percent of total billed charges,141.3308832,,,,,,,,,,217.44,percent of total billed charges,999999999,,,,,,,,,,241.6,percent of total billed charges,202.4482412,,,,238.58,percent of total billed charges,230.2399673,,,,238.58,percent of total billed charges,203.4246324,,,,241.6,percent of total billed charges,999999999,,,,241.6,percent of total billed charges,999999999,,,,211.4,percent of total billed charges,999999999,,,,211.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,160.664,percent of total billed charges,999999999,,,,,,,,,,,,,,,,152.51,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,75.5,percent of total billed charges,71.70653202,,,,,,,,,,75.5,percent of total billed charges,70.51374266,,,,,,,,,,75.5,percent of total billed charges,70.31778798,,,,,,,,,,75.5,percent of total billed charges,69.28235941,,,,,,,,,,75.5,percent of total billed charges,71.06509637,,,,,,,,,,75.5,percent of total billed charges,999999999,,,,,,,,,,75.5,percent of total billed charges,60.97885709,,,,,,,,,,75.5,percent of total billed charges,96.16786272,,,,,,,,,,75.5,percent of total billed charges,999999999,,,,,,,,,,75.5,percent of total billed charges,65.7501214,,,,,,,,,,271.8,percent of total billed charges,,,,,
CHROMIUM,82495,CDM,,,,both,,,237,237,50.45349488,237,237,percent of total billed charges,174.3693196,,,,237,percent of total billed charges,184.8280311,,,,237,percent of total billed charges,174.3693196,,,,237,percent of total billed charges,184.8280311,,,,237,percent of total billed charges,999999999,,,,237,percent of total billed charges,180.5777111,,,,237,percent of total billed charges,174.3693196,,,,237,percent of total billed charges,184.8280311,,,,168.981,percent of total billed charges,84.32461136,,,,168.981,percent of total billed charges,50.45349488,,,,168.981,percent of total billed charges,84.32461136,,,,168.981,percent of total billed charges,50.45349488,,,,168.981,percent of total billed charges,84.32461136,,,,168.981,percent of total billed charges,50.45349488,,,,167.322,percent of total billed charges,166.0524825,,,,167.322,percent of total billed charges,114.525081,,,,,,,,,,170.64,percent of total billed charges,110.9119845,,,,,,,,,,170.64,percent of total billed charges,999999999,,,,,,,,,,189.6,percent of total billed charges,158.8749443,,,,187.23,percent of total billed charges,180.6850074,,,,187.23,percent of total billed charges,159.641185,,,,189.6,percent of total billed charges,999999999,,,,189.6,percent of total billed charges,999999999,,,,165.9,percent of total billed charges,999999999,,,,165.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,126.084,percent of total billed charges,999999999,,,,,,,,,,,,,,,,119.685,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,59.25,percent of total billed charges,56.27300692,,,,,,,,,,59.25,percent of total billed charges,55.33694374,,,,,,,,,,59.25,percent of total billed charges,55.18316474,,,,,,,,,,59.25,percent of total billed charges,54.37059331,,,,,,,,,,59.25,percent of total billed charges,55.76962861,,,,,,,,,,59.25,percent of total billed charges,999999999,,,,,,,,,,59.25,percent of total billed charges,47.85426865,,,,,,,,,,59.25,percent of total billed charges,75.46948167,,,,,,,,,,59.25,percent of total billed charges,999999999,,,,,,,,,,59.25,percent of total billed charges,51.5986052,,,,,,,,,,213.3,percent of total billed charges,,,,,
COBALT,83018,CDM,,,,both,,,208,208,44.27986048,208,208,percent of total billed charges,153.0329894,,,,208,percent of total billed charges,162.2119429,,,,208,percent of total billed charges,153.0329894,,,,208,percent of total billed charges,162.2119429,,,,208,percent of total billed charges,999999999,,,,208,percent of total billed charges,158.4817042,,,,208,percent of total billed charges,153.0329894,,,,208,percent of total billed charges,162.2119429,,,,148.304,percent of total billed charges,74.00640997,,,,148.304,percent of total billed charges,44.27986048,,,,148.304,percent of total billed charges,74.00640997,,,,148.304,percent of total billed charges,44.27986048,,,,148.304,percent of total billed charges,74.00640997,,,,148.304,percent of total billed charges,44.27986048,,,,146.848,percent of total billed charges,145.7338243,,,,146.848,percent of total billed charges,100.5114635,,,,,,,,,,149.76,percent of total billed charges,97.34047583,,,,,,,,,,149.76,percent of total billed charges,999999999,,,,,,,,,,166.4,percent of total billed charges,139.4345502,,,,164.32,percent of total billed charges,158.5758715,,,,164.32,percent of total billed charges,140.1070316,,,,166.4,percent of total billed charges,999999999,,,,166.4,percent of total billed charges,999999999,,,,145.6,percent of total billed charges,999999999,,,,145.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,110.656,percent of total billed charges,999999999,,,,,,,,,,,,,,,,105.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,52,percent of total billed charges,49.38728033,,,,,,,,,,52,percent of total billed charges,48.56575653,,,,,,,,,,52,percent of total billed charges,48.43079437,,,,,,,,,,52,percent of total billed charges,47.71765152,,,,,,,,,,52,percent of total billed charges,48.94549684,,,,,,,,,,52,percent of total billed charges,999999999,,,,,,,,,,52,percent of total billed charges,41.99868303,,,,,,,,,,52,percent of total billed charges,66.23481936,,,,,,,,,,52,percent of total billed charges,999999999,,,,,,,,,,52,percent of total billed charges,45.28485182,,,,,,,,,,187.2,percent of total billed charges,,,,,
BCR/ABL EX,81207,CDM,,,,both,,,334,334,71.1032375,334,334,percent of total billed charges,245.7356656,,,,334,percent of total billed charges,260.4749467,,,,334,percent of total billed charges,245.7356656,,,,334,percent of total billed charges,260.4749467,,,,334,percent of total billed charges,999999999,,,,334,percent of total billed charges,254.4850443,,,,334,percent of total billed charges,245.7356656,,,,334,percent of total billed charges,260.4749467,,,,238.142,percent of total billed charges,118.837216,,,,238.142,percent of total billed charges,71.1032375,,,,238.142,percent of total billed charges,118.837216,,,,238.142,percent of total billed charges,71.1032375,,,,238.142,percent of total billed charges,118.837216,,,,238.142,percent of total billed charges,71.1032375,,,,235.804,percent of total billed charges,234.0148909,,,,235.804,percent of total billed charges,161.3982155,,,,,,,,,,240.48,percent of total billed charges,156.306341,,,,,,,,,,240.48,percent of total billed charges,999999999,,,,,,,,,,267.2,percent of total billed charges,223.8997105,,,,263.86,percent of total billed charges,254.6362552,,,,263.86,percent of total billed charges,224.9795603,,,,267.2,percent of total billed charges,999999999,,,,267.2,percent of total billed charges,999999999,,,,233.8,percent of total billed charges,999999999,,,,233.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,177.688,percent of total billed charges,999999999,,,,,,,,,,,,,,,,168.67,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,83.5,percent of total billed charges,79.30457515,,,,,,,,,,83.5,percent of total billed charges,77.98539751,,,,,,,,,,83.5,percent of total billed charges,77.76867943,,,,,,,,,,83.5,percent of total billed charges,76.62353657,,,,,,,,,,83.5,percent of total billed charges,78.59517281,,,,,,,,,,83.5,percent of total billed charges,999999999,,,,,,,,,,83.5,percent of total billed charges,67.44019294,,,,,,,,,,83.5,percent of total billed charges,106.3578349,,,,,,,,,,83.5,percent of total billed charges,999999999,,,,,,,,,,83.5,percent of total billed charges,72.71702168,,,,,,,,,,300.6,percent of total billed charges,,,,,
**MOLECULAR PATH,G0452,CDM,,,,both,,,309,309,65.78113889,309,309,percent of total billed charges,227.3422774,,,,309,percent of total billed charges,240.978319,,,,309,percent of total billed charges,227.3422774,,,,309,percent of total billed charges,240.978319,,,,309,percent of total billed charges,999999999,,,,309,percent of total billed charges,235.4367626,,,,309,percent of total billed charges,227.3422774,,,,309,percent of total billed charges,240.978319,,,,220.317,percent of total billed charges,109.9422148,,,,220.317,percent of total billed charges,65.78113889,,,,220.317,percent of total billed charges,109.9422148,,,,220.317,percent of total billed charges,65.78113889,,,,220.317,percent of total billed charges,109.9422148,,,,220.317,percent of total billed charges,65.78113889,,,,218.154,percent of total billed charges,216.4988063,,,,218.154,percent of total billed charges,149.3175107,,,,,,,,,,222.48,percent of total billed charges,144.6067646,,,,,,,,,,222.48,percent of total billed charges,999999999,,,,,,,,,,247.2,percent of total billed charges,207.1407501,,,,244.11,percent of total billed charges,235.5766553,,,,244.11,percent of total billed charges,208.1397729,,,,247.2,percent of total billed charges,999999999,,,,247.2,percent of total billed charges,999999999,,,,216.3,percent of total billed charges,999999999,,,,216.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,164.388,percent of total billed charges,999999999,,,,,,,,,,,,,,,,156.045,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,77.25,percent of total billed charges,73.36860396,,,,,,,,,,77.25,percent of total billed charges,72.14816715,,,,,,,,,,77.25,percent of total billed charges,71.94767049,,,,,,,,,,77.25,percent of total billed charges,70.88824191,,,,,,,,,,77.25,percent of total billed charges,72.71230059,,,,,,,,,,77.25,percent of total billed charges,999999999,,,,,,,,,,77.25,percent of total billed charges,62.39227431,,,,,,,,,,77.25,percent of total billed charges,98.39691914,,,,,,,,,,77.25,percent of total billed charges,999999999,,,,,,,,,,77.25,percent of total billed charges,67.27413083,,,,,,,,,,278.1,percent of total billed charges,,,,,
ZONISAMIDE,80203,CDM,,,,both,,,91,91,19.37243896,91,91,percent of total billed charges,66.95193284,,,,91,percent of total billed charges,70.96772501,,,,91,percent of total billed charges,66.95193284,,,,91,percent of total billed charges,70.96772501,,,,91,percent of total billed charges,999999999,,,,91,percent of total billed charges,69.33574561,,,,91,percent of total billed charges,66.95193284,,,,91,percent of total billed charges,70.96772501,,,,64.883,percent of total billed charges,32.37780436,,,,64.883,percent of total billed charges,19.37243896,,,,64.883,percent of total billed charges,32.37780436,,,,64.883,percent of total billed charges,19.37243896,,,,64.883,percent of total billed charges,32.37780436,,,,64.883,percent of total billed charges,19.37243896,,,,64.246,percent of total billed charges,63.75854813,,,,64.246,percent of total billed charges,43.97376529,,,,,,,,,,65.52,percent of total billed charges,42.58645818,,,,,,,,,,65.52,percent of total billed charges,999999999,,,,,,,,,,72.8,percent of total billed charges,61.00261573,,,,71.89,percent of total billed charges,69.37694378,,,,71.89,percent of total billed charges,61.29682631,,,,72.8,percent of total billed charges,999999999,,,,72.8,percent of total billed charges,999999999,,,,63.7,percent of total billed charges,999999999,,,,63.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,48.412,percent of total billed charges,999999999,,,,,,,,,,,,,,,,45.955,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,22.75,percent of total billed charges,21.60693515,,,,,,,,,,22.75,percent of total billed charges,21.24751848,,,,,,,,,,22.75,percent of total billed charges,21.18847254,,,,,,,,,,22.75,percent of total billed charges,20.87647254,,,,,,,,,,22.75,percent of total billed charges,21.41365487,,,,,,,,,,22.75,percent of total billed charges,999999999,,,,,,,,,,22.75,percent of total billed charges,18.37442383,,,,,,,,,,22.75,percent of total billed charges,28.97773347,,,,,,,,,,22.75,percent of total billed charges,999999999,,,,,,,,,,22.75,percent of total billed charges,19.81212267,,,,,,,,,,81.9,percent of total billed charges,,,,,
MOPATH PROCEDURE LEVEL 4,81403,CDM,,,,both,,,852,852,181.3771208,852,852,percent of total billed charges,626.8466679,,,,852,percent of total billed charges,664.4450737,,,,852,percent of total billed charges,626.8466679,,,,852,percent of total billed charges,664.4450737,,,,852,percent of total billed charges,999999999,,,,852,percent of total billed charges,649.1654424,,,,852,percent of total billed charges,626.8466679,,,,852,percent of total billed charges,664.4450737,,,,607.476,percent of total billed charges,303.1416408,,,,607.476,percent of total billed charges,181.3771208,,,,607.476,percent of total billed charges,303.1416408,,,,607.476,percent of total billed charges,181.3771208,,,,607.476,percent of total billed charges,303.1416408,,,,607.476,percent of total billed charges,181.3771208,,,,601.512,percent of total billed charges,596.9481649,,,,601.512,percent of total billed charges,411.7104179,,,,,,,,,,613.44,percent of total billed charges,398.7215645,,,,,,,,,,613.44,percent of total billed charges,999999999,,,,,,,,,,681.6,percent of total billed charges,571.1453692,,,,673.08,percent of total billed charges,649.5511659,,,,673.08,percent of total billed charges,573.8999562,,,,681.6,percent of total billed charges,999999999,,,,681.6,percent of total billed charges,999999999,,,,596.4,percent of total billed charges,999999999,,,,596.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,453.264,percent of total billed charges,999999999,,,,,,,,,,,,,,,,430.26,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,213,percent of total billed charges,202.2978983,,,,,,,,,,213,percent of total billed charges,198.9328104,,,,,,,,,,213,percent of total billed charges,198.3799846,,,,,,,,,,213,percent of total billed charges,195.4588418,,,,,,,,,,213,percent of total billed charges,200.4882851,,,,,,,,,,213,percent of total billed charges,999999999,,,,,,,,,,213,percent of total billed charges,172.033067,,,,,,,,,,213,percent of total billed charges,271.3080101,,,,,,,,,,213,percent of total billed charges,999999999,,,,,,,,,,213,percent of total billed charges,185.49372,,,,,,,,,,766.8,percent of total billed charges,,,,,
MOPATH PROCEDURE LEVEL 5,81404,CDM,,,,both,,,1347,1347,286.7546734,1347,1347,percent of total billed charges,991.0357531,,,,1347,percent of total billed charges,1050.478303,,,,1347,percent of total billed charges,991.0357531,,,,1347,percent of total billed charges,1050.478303,,,,1347,percent of total billed charges,999999999,,,,1347,percent of total billed charges,1026.321421,,,,1347,percent of total billed charges,991.0357531,,,,1347,percent of total billed charges,1050.478303,,,,960.411,percent of total billed charges,479.2626646,,,,960.411,percent of total billed charges,286.7546734,,,,960.411,percent of total billed charges,479.2626646,,,,960.411,percent of total billed charges,286.7546734,,,,960.411,percent of total billed charges,479.2626646,,,,960.411,percent of total billed charges,286.7546734,,,,950.982,percent of total billed charges,943.766641,,,,950.982,percent of total billed charges,650.908372,,,,,,,,,,969.84,percent of total billed charges,630.3731776,,,,,,,,,,969.84,percent of total billed charges,999999999,,,,,,,,,,1077.6,percent of total billed charges,902.9727845,,,,1064.13,percent of total billed charges,1026.931245,,,,1064.13,percent of total billed charges,907.3277477,,,,1077.6,percent of total billed charges,999999999,,,,1077.6,percent of total billed charges,999999999,,,,942.9,percent of total billed charges,999999999,,,,942.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,716.604,percent of total billed charges,999999999,,,,,,,,,,,,,,,,680.235,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,336.75,percent of total billed charges,319.8301279,,,,,,,,,,336.75,percent of total billed charges,314.5099714,,,,,,,,,,336.75,percent of total billed charges,313.6359616,,,,,,,,,,336.75,percent of total billed charges,309.0176759,,,,,,,,,,336.75,percent of total billed charges,316.969155,,,,,,,,,,336.75,percent of total billed charges,999999999,,,,,,,,,,336.75,percent of total billed charges,271.981856,,,,,,,,,,336.75,percent of total billed charges,428.9341427,,,,,,,,,,336.75,percent of total billed charges,999999999,,,,,,,,,,336.75,percent of total billed charges,293.2629587,,,,,,,,,,1212.3,percent of total billed charges,,,,,
MOPATH PROCEDURE LEVEL 6,81405,CDM,,,,both,,,1640,1640,349.1296692,1640,1640,percent of total billed charges,1206.606262,,,,1640,percent of total billed charges,1278.97878,,,,1640,percent of total billed charges,1206.606262,,,,1640,percent of total billed charges,1278.97878,,,,1640,percent of total billed charges,999999999,,,,1640,percent of total billed charges,1249.567283,,,,1640,percent of total billed charges,1206.606262,,,,1640,percent of total billed charges,1278.97878,,,,1169.32,percent of total billed charges,583.5120786,,,,1169.32,percent of total billed charges,349.1296692,,,,1169.32,percent of total billed charges,583.5120786,,,,1169.32,percent of total billed charges,349.1296692,,,,1169.32,percent of total billed charges,583.5120786,,,,1169.32,percent of total billed charges,349.1296692,,,,1157.84,percent of total billed charges,1149.055153,,,,1157.84,percent of total billed charges,792.4942317,,,,,,,,,,1180.8,percent of total billed charges,767.4922133,,,,,,,,,,1180.8,percent of total billed charges,999999999,,,,,,,,,,1312,percent of total billed charges,1099.3878,,,,1295.6,percent of total billed charges,1250.309756,,,,1295.6,percent of total billed charges,1104.690057,,,,1312,percent of total billed charges,999999999,,,,1312,percent of total billed charges,999999999,,,,1148,percent of total billed charges,999999999,,,,1148,percent of total billed charges,999999999,,,,,,,,,,,,,,,,872.48,percent of total billed charges,999999999,,,,,,,,,,,,,,,,828.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,410,percent of total billed charges,389.3997103,,,,,,,,,,410,percent of total billed charges,382.9223111,,,,,,,,,,410,percent of total billed charges,381.8581864,,,,,,,,,,410,percent of total billed charges,376.2353293,,,,,,,,,,410,percent of total billed charges,385.9164174,,,,,,,,,,410,percent of total billed charges,999999999,,,,,,,,,,410,percent of total billed charges,331.1434624,,,,,,,,,,410,percent of total billed charges,522.2360757,,,,,,,,,,410,percent of total billed charges,999999999,,,,,,,,,,410,percent of total billed charges,357.0536394,,,,,,,,,,1476,percent of total billed charges,,,,,
T4 PANEL,84436,CDM,,,,both,,,144,144,30.65528803,144,144,percent of total billed charges,105.9459157,,,,144,percent of total billed charges,112.3005758,,,,144,percent of total billed charges,105.9459157,,,,144,percent of total billed charges,112.3005758,,,,144,percent of total billed charges,999999999,,,,144,percent of total billed charges,109.7181029,,,,144,percent of total billed charges,105.9459157,,,,144,percent of total billed charges,112.3005758,,,,102.672,percent of total billed charges,51.2352069,,,,102.672,percent of total billed charges,30.65528803,,,,102.672,percent of total billed charges,51.2352069,,,,102.672,percent of total billed charges,30.65528803,,,,102.672,percent of total billed charges,51.2352069,,,,102.672,percent of total billed charges,30.65528803,,,,101.664,percent of total billed charges,100.8926476,,,,101.664,percent of total billed charges,69.58485937,,,,,,,,,,103.68,percent of total billed charges,67.38956019,,,,,,,,,,103.68,percent of total billed charges,999999999,,,,,,,,,,115.2,percent of total billed charges,96.5316117,,,,113.76,percent of total billed charges,109.7832957,,,,113.76,percent of total billed charges,96.9971757,,,,115.2,percent of total billed charges,999999999,,,,115.2,percent of total billed charges,999999999,,,,100.8,percent of total billed charges,999999999,,,,100.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,76.608,percent of total billed charges,999999999,,,,,,,,,,,,,,,,72.72,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,36,percent of total billed charges,34.19119408,,,,,,,,,,36,percent of total billed charges,33.62244683,,,,,,,,,,36,percent of total billed charges,33.52901149,,,,,,,,,,36,percent of total billed charges,33.0352972,,,,,,,,,,36,percent of total billed charges,33.88534397,,,,,,,,,,36,percent of total billed charges,999999999,,,,,,,,,,36,percent of total billed charges,29.07601133,,,,,,,,,,36,percent of total billed charges,45.85487494,,,,,,,,,,36,percent of total billed charges,999999999,,,,,,,,,,36,percent of total billed charges,31.35105126,,,,,,,,,,129.6,percent of total billed charges,,,,,
T3 PANEL,84480,CDM,,,,both,,,536,536,114.1057943,536,536,percent of total billed charges,394.3542418,,,,536,percent of total billed charges,418.007699,,,,536,percent of total billed charges,394.3542418,,,,536,percent of total billed charges,418.007699,,,,536,percent of total billed charges,999999999,,,,536,percent of total billed charges,408.3951609,,,,536,percent of total billed charges,394.3542418,,,,536,percent of total billed charges,418.007699,,,,382.168,percent of total billed charges,190.7088257,,,,382.168,percent of total billed charges,114.1057943,,,,382.168,percent of total billed charges,190.7088257,,,,382.168,percent of total billed charges,114.1057943,,,,382.168,percent of total billed charges,190.7088257,,,,382.168,percent of total billed charges,114.1057943,,,,378.416,percent of total billed charges,375.5448549,,,,378.416,percent of total billed charges,259.0103099,,,,,,,,,,385.92,percent of total billed charges,250.8389185,,,,,,,,,,385.92,percent of total billed charges,999999999,,,,,,,,,,428.8,percent of total billed charges,359.3121102,,,,423.44,percent of total billed charges,408.6378227,,,,423.44,percent of total billed charges,361.0450429,,,,428.8,percent of total billed charges,999999999,,,,428.8,percent of total billed charges,999999999,,,,375.2,percent of total billed charges,999999999,,,,375.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,285.152,percent of total billed charges,999999999,,,,,,,,,,,,,,,,270.68,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,134,percent of total billed charges,127.2672224,,,,,,,,,,134,percent of total billed charges,125.1502188,,,,,,,,,,134,percent of total billed charges,124.8024317,,,,,,,,,,134,percent of total billed charges,122.9647174,,,,,,,,,,134,percent of total billed charges,126.1287803,,,,,,,,,,134,percent of total billed charges,999999999,,,,,,,,,,134,percent of total billed charges,108.2273755,,,,,,,,,,134,percent of total billed charges,170.6820345,,,,,,,,,,134,percent of total billed charges,999999999,,,,,,,,,,134,percent of total billed charges,116.6955797,,,,,,,,,,482.4,percent of total billed charges,,,,,
NUCLEAR ANTIGEN ANTIBODY,86235,CDM,,,,both,,,185,185,39.38352976,185,185,percent of total billed charges,136.1110723,,,,185,percent of total billed charges,144.2750454,,,,185,percent of total billed charges,136.1110723,,,,185,percent of total billed charges,144.2750454,,,,185,percent of total billed charges,999999999,,,,185,percent of total billed charges,140.957285,,,,185,percent of total billed charges,136.1110723,,,,185,percent of total billed charges,144.2750454,,,,131.905,percent of total billed charges,65.82300887,,,,131.905,percent of total billed charges,39.38352976,,,,131.905,percent of total billed charges,65.82300887,,,,131.905,percent of total billed charges,39.38352976,,,,131.905,percent of total billed charges,65.82300887,,,,131.905,percent of total billed charges,39.38352976,,,,130.61,percent of total billed charges,129.6190264,,,,130.61,percent of total billed charges,89.39721516,,,,,,,,,,133.2,percent of total billed charges,86.57686552,,,,,,,,,,133.2,percent of total billed charges,999999999,,,,,,,,,,148,percent of total billed charges,124.0163067,,,,146.15,percent of total billed charges,141.0410396,,,,146.15,percent of total billed charges,124.6144271,,,,148,percent of total billed charges,999999999,,,,148,percent of total billed charges,999999999,,,,129.5,percent of total billed charges,999999999,,,,129.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,98.42,percent of total billed charges,999999999,,,,,,,,,,,,,,,,93.425,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,46.25,percent of total billed charges,43.92618684,,,,,,,,,,46.25,percent of total billed charges,43.19550461,,,,,,,,,,46.25,percent of total billed charges,43.07546615,,,,,,,,,,46.25,percent of total billed charges,42.44118043,,,,,,,,,,46.25,percent of total billed charges,43.5332544,,,,,,,,,,46.25,percent of total billed charges,999999999,,,,,,,,,,46.25,percent of total billed charges,37.35459789,,,,,,,,,,46.25,percent of total billed charges,58.91077683,,,,,,,,,,46.25,percent of total billed charges,999999999,,,,,,,,,,46.25,percent of total billed charges,40.27739225,,,,,,,,,,166.5,percent of total billed charges,,,,,
METHLENEDIOXYAMPHETAMINES-CONFIRMATION,80359,CDM,,,,both,,,408,408,86.85664941,408,408,percent of total billed charges,300.1800945,,,,408,percent of total billed charges,318.1849649,,,,408,percent of total billed charges,300.1800945,,,,408,percent of total billed charges,318.1849649,,,,408,percent of total billed charges,999999999,,,,408,percent of total billed charges,310.8679583,,,,408,percent of total billed charges,300.1800945,,,,408,percent of total billed charges,318.1849649,,,,290.904,percent of total billed charges,145.1664196,,,,290.904,percent of total billed charges,86.85664941,,,,290.904,percent of total billed charges,145.1664196,,,,290.904,percent of total billed charges,86.85664941,,,,290.904,percent of total billed charges,145.1664196,,,,290.904,percent of total billed charges,86.85664941,,,,288.048,percent of total billed charges,285.8625015,,,,288.048,percent of total billed charges,197.1571015,,,,,,,,,,293.76,percent of total billed charges,190.9370872,,,,,,,,,,293.76,percent of total billed charges,999999999,,,,,,,,,,326.4,percent of total billed charges,273.5062332,,,,322.32,percent of total billed charges,311.052671,,,,322.32,percent of total billed charges,274.8253312,,,,326.4,percent of total billed charges,999999999,,,,326.4,percent of total billed charges,999999999,,,,285.6,percent of total billed charges,999999999,,,,285.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,217.056,percent of total billed charges,999999999,,,,,,,,,,,,,,,,206.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,102,percent of total billed charges,96.87504989,,,,,,,,,,102,percent of total billed charges,95.26359935,,,,,,,,,,102,percent of total billed charges,94.99886589,,,,,,,,,,102,percent of total billed charges,93.60000874,,,,,,,,,,102,percent of total billed charges,96.00847457,,,,,,,,,,102,percent of total billed charges,999999999,,,,,,,,,,102,percent of total billed charges,82.3820321,,,,,,,,,,102,percent of total billed charges,129.9221457,,,,,,,,,,102,percent of total billed charges,999999999,,,,,,,,,,102,percent of total billed charges,88.82797858,,,,,,,,,,367.2,percent of total billed charges,,,,,
COCAINE-CONFIRMATION,80353,CDM,,,,both,,,252,252,53.64675405,252,252,percent of total billed charges,185.4053525,,,,252,percent of total billed charges,196.5260077,,,,252,percent of total billed charges,185.4053525,,,,252,percent of total billed charges,196.5260077,,,,252,percent of total billed charges,999999999,,,,252,percent of total billed charges,192.0066801,,,,252,percent of total billed charges,185.4053525,,,,252,percent of total billed charges,196.5260077,,,,179.676,percent of total billed charges,89.66161208,,,,179.676,percent of total billed charges,53.64675405,,,,179.676,percent of total billed charges,89.66161208,,,,179.676,percent of total billed charges,53.64675405,,,,179.676,percent of total billed charges,89.66161208,,,,179.676,percent of total billed charges,53.64675405,,,,177.912,percent of total billed charges,176.5621333,,,,177.912,percent of total billed charges,121.7735039,,,,,,,,,,181.44,percent of total billed charges,117.9317303,,,,,,,,,,181.44,percent of total billed charges,999999999,,,,,,,,,,201.6,percent of total billed charges,168.9303205,,,,199.08,percent of total billed charges,192.1207674,,,,199.08,percent of total billed charges,169.7450575,,,,201.6,percent of total billed charges,999999999,,,,201.6,percent of total billed charges,999999999,,,,176.4,percent of total billed charges,999999999,,,,176.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,134.064,percent of total billed charges,999999999,,,,,,,,,,,,,,,,127.26,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,63,percent of total billed charges,59.83458964,,,,,,,,,,63,percent of total billed charges,58.83928195,,,,,,,,,,63,percent of total billed charges,58.67577011,,,,,,,,,,63,percent of total billed charges,57.81177011,,,,,,,,,,63,percent of total billed charges,59.29935194,,,,,,,,,,63,percent of total billed charges,999999999,,,,,,,,,,63,percent of total billed charges,50.88301983,,,,,,,,,,63,percent of total billed charges,80.24603114,,,,,,,,,,63,percent of total billed charges,999999999,,,,,,,,,,63,percent of total billed charges,54.86433971,,,,,,,,,,226.8,percent of total billed charges,,,,,
CANNABINOIDS (THC)-CONFIRMATION,80349,CDM,,,,both,,,252,252,53.64675405,252,252,percent of total billed charges,185.4053525,,,,252,percent of total billed charges,196.5260077,,,,252,percent of total billed charges,185.4053525,,,,252,percent of total billed charges,196.5260077,,,,252,percent of total billed charges,999999999,,,,252,percent of total billed charges,192.0066801,,,,252,percent of total billed charges,185.4053525,,,,252,percent of total billed charges,196.5260077,,,,179.676,percent of total billed charges,89.66161208,,,,179.676,percent of total billed charges,53.64675405,,,,179.676,percent of total billed charges,89.66161208,,,,179.676,percent of total billed charges,53.64675405,,,,179.676,percent of total billed charges,89.66161208,,,,179.676,percent of total billed charges,53.64675405,,,,177.912,percent of total billed charges,176.5621333,,,,177.912,percent of total billed charges,121.7735039,,,,,,,,,,181.44,percent of total billed charges,117.9317303,,,,,,,,,,181.44,percent of total billed charges,999999999,,,,,,,,,,201.6,percent of total billed charges,168.9303205,,,,199.08,percent of total billed charges,192.1207674,,,,199.08,percent of total billed charges,169.7450575,,,,201.6,percent of total billed charges,999999999,,,,201.6,percent of total billed charges,999999999,,,,176.4,percent of total billed charges,999999999,,,,176.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,134.064,percent of total billed charges,999999999,,,,,,,,,,,,,,,,127.26,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,63,percent of total billed charges,59.83458964,,,,,,,,,,63,percent of total billed charges,58.83928195,,,,,,,,,,63,percent of total billed charges,58.67577011,,,,,,,,,,63,percent of total billed charges,57.81177011,,,,,,,,,,63,percent of total billed charges,59.29935194,,,,,,,,,,63,percent of total billed charges,999999999,,,,,,,,,,63,percent of total billed charges,50.88301983,,,,,,,,,,63,percent of total billed charges,80.24603114,,,,,,,,,,63,percent of total billed charges,999999999,,,,,,,,,,63,percent of total billed charges,54.86433971,,,,,,,,,,226.8,percent of total billed charges,,,,,
BENZODIAZEPINES-CONFIRMATION,80346,CDM,,,,both,,,176,176,37.46757425,176,176,percent of total billed charges,129.4894525,,,,176,percent of total billed charges,137.2562594,,,,176,percent of total billed charges,129.4894525,,,,176,percent of total billed charges,137.2562594,,,,176,percent of total billed charges,999999999,,,,176,percent of total billed charges,134.0999036,,,,176,percent of total billed charges,129.4894525,,,,176,percent of total billed charges,137.2562594,,,,125.488,percent of total billed charges,62.62080844,,,,125.488,percent of total billed charges,37.46757425,,,,125.488,percent of total billed charges,62.62080844,,,,125.488,percent of total billed charges,37.46757425,,,,125.488,percent of total billed charges,62.62080844,,,,125.488,percent of total billed charges,37.46757425,,,,124.256,percent of total billed charges,123.3132359,,,,124.256,percent of total billed charges,85.04816145,,,,,,,,,,126.72,percent of total billed charges,82.36501801,,,,,,,,,,126.72,percent of total billed charges,999999999,,,,,,,,,,140.8,percent of total billed charges,117.983081,,,,139.04,percent of total billed charges,134.1795836,,,,139.04,percent of total billed charges,118.5521036,,,,140.8,percent of total billed charges,999999999,,,,140.8,percent of total billed charges,999999999,,,,123.2,percent of total billed charges,999999999,,,,123.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,93.632,percent of total billed charges,999999999,,,,,,,,,,,,,,,,88.88,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,44,percent of total billed charges,41.78923721,,,,,,,,,,44,percent of total billed charges,41.09410168,,,,,,,,,,44,percent of total billed charges,40.97990293,,,,,,,,,,44,percent of total billed charges,40.37647436,,,,,,,,,,44,percent of total billed charges,41.4154204,,,,,,,,,,44,percent of total billed charges,999999999,,,,,,,,,,44,percent of total billed charges,35.53734718,,,,,,,,,,44,percent of total billed charges,56.04484715,,,,,,,,,,44,percent of total billed charges,999999999,,,,,,,,,,44,percent of total billed charges,38.31795154,,,,,,,,,,158.4,percent of total billed charges,,,,,
BARBITURATES-CONFIRMATION,80345,CDM,,,,both,,,361,361,76.85110401,361,361,percent of total billed charges,265.6005248,,,,361,percent of total billed charges,281.5313047,,,,361,percent of total billed charges,265.6005248,,,,361,percent of total billed charges,281.5313047,,,,361,percent of total billed charges,999999999,,,,361,percent of total billed charges,275.0571886,,,,361,percent of total billed charges,265.6005248,,,,361,percent of total billed charges,281.5313047,,,,257.393,percent of total billed charges,128.4438173,,,,257.393,percent of total billed charges,76.85110401,,,,257.393,percent of total billed charges,128.4438173,,,,257.393,percent of total billed charges,76.85110401,,,,257.393,percent of total billed charges,128.4438173,,,,257.393,percent of total billed charges,76.85110401,,,,254.866,percent of total billed charges,252.9322624,,,,254.866,percent of total billed charges,174.4453766,,,,,,,,,,259.92,percent of total billed charges,168.9418835,,,,,,,,,,259.92,percent of total billed charges,999999999,,,,,,,,,,288.8,percent of total billed charges,241.9993877,,,,285.19,percent of total billed charges,275.2206231,,,,285.19,percent of total billed charges,243.1665308,,,,288.8,percent of total billed charges,999999999,,,,288.8,percent of total billed charges,999999999,,,,252.7,percent of total billed charges,999999999,,,,252.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,192.052,percent of total billed charges,999999999,,,,,,,,,,,,,,,,182.305,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,90.25,percent of total billed charges,85.71542404,,,,,,,,,,90.25,percent of total billed charges,84.28960629,,,,,,,,,,90.25,percent of total billed charges,84.05536908,,,,,,,,,,90.25,percent of total billed charges,82.81765479,,,,,,,,,,90.25,percent of total billed charges,84.9486748,,,,,,,,,,90.25,percent of total billed charges,999999999,,,,,,,,,,90.25,percent of total billed charges,72.89194507,,,,,,,,,,90.25,percent of total billed charges,114.955624,,,,,,,,,,90.25,percent of total billed charges,999999999,,,,,,,,,,90.25,percent of total billed charges,78.59534379,,,,,,,,,,324.9,percent of total billed charges,,,,,
AMPHETAMINES-CONFIRMATION,80324,CDM,,,,both,,,102,102,21.71416235,102,102,percent of total billed charges,75.04502362,,,,102,percent of total billed charges,79.54624122,,,,102,percent of total billed charges,75.04502362,,,,102,percent of total billed charges,79.54624122,,,,102,percent of total billed charges,999999999,,,,102,percent of total billed charges,77.71698958,,,,102,percent of total billed charges,75.04502362,,,,102,percent of total billed charges,79.54624122,,,,72.726,percent of total billed charges,36.29160489,,,,72.726,percent of total billed charges,21.71416235,,,,72.726,percent of total billed charges,36.29160489,,,,72.726,percent of total billed charges,21.71416235,,,,72.726,percent of total billed charges,36.29160489,,,,72.726,percent of total billed charges,21.71416235,,,,72.012,percent of total billed charges,71.46562538,,,,72.012,percent of total billed charges,49.28927538,,,,,,,,,,73.44,percent of total billed charges,47.7342718,,,,,,,,,,73.44,percent of total billed charges,999999999,,,,,,,,,,81.6,percent of total billed charges,68.37655829,,,,80.58,percent of total billed charges,77.76316775,,,,80.58,percent of total billed charges,68.70633279,,,,81.6,percent of total billed charges,999999999,,,,81.6,percent of total billed charges,999999999,,,,71.4,percent of total billed charges,999999999,,,,71.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,54.264,percent of total billed charges,999999999,,,,,,,,,,,,,,,,51.51,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,25.5,percent of total billed charges,24.21876247,,,,,,,,,,25.5,percent of total billed charges,23.81589984,,,,,,,,,,25.5,percent of total billed charges,23.74971647,,,,,,,,,,25.5,percent of total billed charges,23.40000219,,,,,,,,,,25.5,percent of total billed charges,24.00211864,,,,,,,,,,25.5,percent of total billed charges,999999999,,,,,,,,,,25.5,percent of total billed charges,20.59550803,,,,,,,,,,25.5,percent of total billed charges,32.48053641,,,,,,,,,,25.5,percent of total billed charges,999999999,,,,,,,,,,25.5,percent of total billed charges,22.20699464,,,,,,,,,,91.8,percent of total billed charges,,,,,
PROPOXYPHENE-CONFIRMATION,80367,CDM,,,,both,,,284,284,60.45904027,284,284,percent of total billed charges,208.9488893,,,,284,percent of total billed charges,221.4816912,,,,284,percent of total billed charges,208.9488893,,,,284,percent of total billed charges,221.4816912,,,,284,percent of total billed charges,999999999,,,,284,percent of total billed charges,216.3884808,,,,284,percent of total billed charges,208.9488893,,,,284,percent of total billed charges,221.4816912,,,,202.492,percent of total billed charges,101.0472136,,,,202.492,percent of total billed charges,60.45904027,,,,202.492,percent of total billed charges,101.0472136,,,,202.492,percent of total billed charges,60.45904027,,,,202.492,percent of total billed charges,101.0472136,,,,202.492,percent of total billed charges,60.45904027,,,,200.504,percent of total billed charges,198.9827216,,,,200.504,percent of total billed charges,137.236806,,,,,,,,,,204.48,percent of total billed charges,132.9071882,,,,,,,,,,204.48,percent of total billed charges,999999999,,,,,,,,,,227.2,percent of total billed charges,190.3817897,,,,224.36,percent of total billed charges,216.5170553,,,,224.36,percent of total billed charges,191.2999854,,,,227.2,percent of total billed charges,999999999,,,,227.2,percent of total billed charges,999999999,,,,198.8,percent of total billed charges,999999999,,,,198.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,151.088,percent of total billed charges,999999999,,,,,,,,,,,,,,,,143.42,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,71,percent of total billed charges,67.43263276,,,,,,,,,,71,percent of total billed charges,66.3109368,,,,,,,,,,71,percent of total billed charges,66.12666155,,,,,,,,,,71,percent of total billed charges,65.15294726,,,,,,,,,,71,percent of total billed charges,66.82942838,,,,,,,,,,71,percent of total billed charges,999999999,,,,,,,,,,71,percent of total billed charges,57.34435568,,,,,,,,,,71,percent of total billed charges,90.43600335,,,,,,,,,,71,percent of total billed charges,999999999,,,,,,,,,,71,percent of total billed charges,61.83123999,,,,,,,,,,255.6,percent of total billed charges,,,,,
PHENCYCLIDINE-CONFIRMATION,83992,CDM,,,,both,,,190,190,40.44794948,190,190,percent of total billed charges,139.7897499,,,,190,percent of total billed charges,148.1743709,,,,190,percent of total billed charges,139.7897499,,,,190,percent of total billed charges,148.1743709,,,,190,percent of total billed charges,999999999,,,,190,percent of total billed charges,144.7669414,,,,190,percent of total billed charges,139.7897499,,,,190,percent of total billed charges,148.1743709,,,,135.47,percent of total billed charges,67.60200911,,,,135.47,percent of total billed charges,40.44794948,,,,135.47,percent of total billed charges,67.60200911,,,,135.47,percent of total billed charges,40.44794948,,,,135.47,percent of total billed charges,67.60200911,,,,135.47,percent of total billed charges,40.44794948,,,,134.14,percent of total billed charges,133.1222434,,,,134.14,percent of total billed charges,91.81335611,,,,,,,,,,136.8,percent of total billed charges,88.91678081,,,,,,,,,,136.8,percent of total billed charges,999999999,,,,,,,,,,152,percent of total billed charges,127.3680988,,,,150.1,percent of total billed charges,144.8529595,,,,150.1,percent of total billed charges,127.9823846,,,,152,percent of total billed charges,999999999,,,,152,percent of total billed charges,999999999,,,,133,percent of total billed charges,999999999,,,,133,percent of total billed charges,999999999,,,,,,,,,,,,,,,,101.08,percent of total billed charges,999999999,,,,,,,,,,,,,,,,95.95,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,47.5,percent of total billed charges,45.11338108,,,,,,,,,,47.5,percent of total billed charges,44.36295068,,,,,,,,,,47.5,percent of total billed charges,44.23966794,,,,,,,,,,47.5,percent of total billed charges,43.58823937,,,,,,,,,,47.5,percent of total billed charges,44.70982884,,,,,,,,,,47.5,percent of total billed charges,999999999,,,,,,,,,,47.5,percent of total billed charges,38.36418162,,,,,,,,,,47.5,percent of total billed charges,60.50295999,,,,,,,,,,47.5,percent of total billed charges,999999999,,,,,,,,,,47.5,percent of total billed charges,41.36597042,,,,,,,,,,171,percent of total billed charges,,,,,
ANTIEPOLEPTICS,80339,CDM,,,,both,,,260,260,55.3498256,260,260,percent of total billed charges,191.2912367,,,,260,percent of total billed charges,202.7649286,,,,260,percent of total billed charges,191.2912367,,,,260,percent of total billed charges,202.7649286,,,,260,percent of total billed charges,999999999,,,,260,percent of total billed charges,198.1021303,,,,260,percent of total billed charges,191.2912367,,,,260,percent of total billed charges,202.7649286,,,,185.38,percent of total billed charges,92.50801246,,,,185.38,percent of total billed charges,55.3498256,,,,185.38,percent of total billed charges,92.50801246,,,,185.38,percent of total billed charges,55.3498256,,,,185.38,percent of total billed charges,92.50801246,,,,185.38,percent of total billed charges,55.3498256,,,,183.56,percent of total billed charges,182.1672804,,,,183.56,percent of total billed charges,125.6393294,,,,,,,,,,187.2,percent of total billed charges,121.6755948,,,,,,,,,,187.2,percent of total billed charges,999999999,,,,,,,,,,208,percent of total billed charges,174.2931878,,,,205.4,percent of total billed charges,198.2198394,,,,205.4,percent of total billed charges,175.1337895,,,,208,percent of total billed charges,999999999,,,,208,percent of total billed charges,999999999,,,,182,percent of total billed charges,999999999,,,,182,percent of total billed charges,999999999,,,,,,,,,,,,,,,,138.32,percent of total billed charges,999999999,,,,,,,,,,,,,,,,131.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,65,percent of total billed charges,61.73410042,,,,,,,,,,65,percent of total billed charges,60.70719566,,,,,,,,,,65,percent of total billed charges,60.53849297,,,,,,,,,,65,percent of total billed charges,59.64706439,,,,,,,,,,65,percent of total billed charges,61.18187105,,,,,,,,,,65,percent of total billed charges,999999999,,,,,,,,,,65,percent of total billed charges,52.49835379,,,,,,,,,,65,percent of total billed charges,82.79352419,,,,,,,,,,65,percent of total billed charges,999999999,,,,,,,,,,65,percent of total billed charges,56.60606478,,,,,,,,,,234,percent of total billed charges,,,,,
BRCA D31FS4,81162,CDM,,,,both,,,6204,6204,1320.731992,6204,6204,percent of total billed charges,4564.503202,,,,6204,percent of total billed charges,4838.283142,,,,6204,percent of total billed charges,4564.503202,,,,6204,percent of total billed charges,4838.283142,,,,6204,percent of total billed charges,999999999,,,,6204,percent of total billed charges,4727.021602,,,,6204,percent of total billed charges,4564.503202,,,,6204,percent of total billed charges,4838.283142,,,,4423.452,percent of total billed charges,2207.383497,,,,4423.452,percent of total billed charges,1320.731992,,,,4423.452,percent of total billed charges,2207.383497,,,,4423.452,percent of total billed charges,1320.731992,,,,4423.452,percent of total billed charges,2207.383497,,,,4423.452,percent of total billed charges,1320.731992,,,,4380.024,percent of total billed charges,4346.791567,,,,4380.024,percent of total billed charges,2997.947691,,,,,,,,,,4466.88,percent of total billed charges,2903.366885,,,,,,,,,,4466.88,percent of total billed charges,999999999,,,,,,,,,,4963.2,percent of total billed charges,4158.903604,,,,4901.16,percent of total billed charges,4729.830321,,,,4901.16,percent of total billed charges,4178.961653,,,,4963.2,percent of total billed charges,999999999,,,,4963.2,percent of total billed charges,999999999,,,,4342.8,percent of total billed charges,999999999,,,,4342.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3300.528,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3133.02,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1551,percent of total billed charges,1473.070612,,,,,,,,,,1551,percent of total billed charges,1448.567084,,,,,,,,,,1551,percent of total billed charges,1444.541578,,,,,,,,,,1551,percent of total billed charges,1423.270721,,,,,,,,,,1551,percent of total billed charges,1459.893569,,,,,,,,,,1551,percent of total billed charges,999999999,,,,,,,,,,1551,percent of total billed charges,1252.691488,,,,,,,,,,1551,percent of total billed charges,1975.580862,,,,,,,,,,1551,percent of total billed charges,999999999,,,,,,,,,,1551,percent of total billed charges,1350.707792,,,,,,,,,,5583.6,percent of total billed charges,,,,,
DRUG SCREENING OXYCODONE,80365,CDM,,,,both,,,136,136,28.95221647,136,136,percent of total billed charges,100.0600315,,,,136,percent of total billed charges,106.061655,,,,136,percent of total billed charges,100.0600315,,,,136,percent of total billed charges,106.061655,,,,136,percent of total billed charges,999999999,,,,136,percent of total billed charges,103.6226528,,,,136,percent of total billed charges,100.0600315,,,,136,percent of total billed charges,106.061655,,,,96.968,percent of total billed charges,48.38880652,,,,96.968,percent of total billed charges,28.95221647,,,,96.968,percent of total billed charges,48.38880652,,,,96.968,percent of total billed charges,28.95221647,,,,96.968,percent of total billed charges,48.38880652,,,,96.968,percent of total billed charges,28.95221647,,,,96.016,percent of total billed charges,95.28750051,,,,96.016,percent of total billed charges,65.71903385,,,,,,,,,,97.92,percent of total billed charges,63.64569574,,,,,,,,,,97.92,percent of total billed charges,999999999,,,,,,,,,,108.8,percent of total billed charges,91.16874438,,,,107.44,percent of total billed charges,103.6842237,,,,107.44,percent of total billed charges,91.60844372,,,,108.8,percent of total billed charges,999999999,,,,108.8,percent of total billed charges,999999999,,,,95.2,percent of total billed charges,999999999,,,,95.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,72.352,percent of total billed charges,999999999,,,,,,,,,,,,,,,,68.68,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,34,percent of total billed charges,32.2916833,,,,,,,,,,34,percent of total billed charges,31.75453312,,,,,,,,,,34,percent of total billed charges,31.66628863,,,,,,,,,,34,percent of total billed charges,31.20000291,,,,,,,,,,34,percent of total billed charges,32.00282486,,,,,,,,,,34,percent of total billed charges,999999999,,,,,,,,,,34,percent of total billed charges,27.46067737,,,,,,,,,,34,percent of total billed charges,43.30738189,,,,,,,,,,34,percent of total billed charges,999999999,,,,,,,,,,34,percent of total billed charges,29.60932619,,,,,,,,,,122.4,percent of total billed charges,,,,,
AMPHETAMINES 3 OR 4,80325,CDM,,,,both,,,38,38,8.089589896,38,38,percent of total billed charges,27.95794998,,,,38,percent of total billed charges,29.63487418,,,,38,percent of total billed charges,27.95794998,,,,38,percent of total billed charges,29.63487418,,,,38,percent of total billed charges,999999999,,,,38,percent of total billed charges,28.95338828,,,,38,percent of total billed charges,27.95794998,,,,38,percent of total billed charges,29.63487418,,,,27.094,percent of total billed charges,13.52040182,,,,27.094,percent of total billed charges,8.089589896,,,,27.094,percent of total billed charges,13.52040182,,,,27.094,percent of total billed charges,8.089589896,,,,27.094,percent of total billed charges,13.52040182,,,,27.094,percent of total billed charges,8.089589896,,,,26.828,percent of total billed charges,26.62444867,,,,26.828,percent of total billed charges,18.36267122,,,,,,,,,,27.36,percent of total billed charges,17.78335616,,,,,,,,,,27.36,percent of total billed charges,999999999,,,,,,,,,,30.4,percent of total billed charges,25.47361975,,,,30.02,percent of total billed charges,28.97059191,,,,30.02,percent of total billed charges,25.59647692,,,,30.4,percent of total billed charges,999999999,,,,30.4,percent of total billed charges,999999999,,,,26.6,percent of total billed charges,999999999,,,,26.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,20.216,percent of total billed charges,999999999,,,,,,,,,,,,,,,,19.19,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9.5,percent of total billed charges,9.022676215,,,,,,,,,,9.5,percent of total billed charges,8.872590135,,,,,,,,,,9.5,percent of total billed charges,8.847933587,,,,,,,,,,9.5,percent of total billed charges,8.717647873,,,,,,,,,,9.5,percent of total billed charges,8.941965769,,,,,,,,,,9.5,percent of total billed charges,999999999,,,,,,,,,,9.5,percent of total billed charges,7.672836323,,,,,,,,,,9.5,percent of total billed charges,12.100592,,,,,,,,,,9.5,percent of total billed charges,999999999,,,,,,,,,,9.5,percent of total billed charges,8.273194083,,,,,,,,,,34.2,percent of total billed charges,,,,,
BUPRENORPHINE,80348,CDM,,,,both,,,102,102,21.71416235,102,102,percent of total billed charges,75.04502362,,,,102,percent of total billed charges,79.54624122,,,,102,percent of total billed charges,75.04502362,,,,102,percent of total billed charges,79.54624122,,,,102,percent of total billed charges,999999999,,,,102,percent of total billed charges,77.71698958,,,,102,percent of total billed charges,75.04502362,,,,102,percent of total billed charges,79.54624122,,,,72.726,percent of total billed charges,36.29160489,,,,72.726,percent of total billed charges,21.71416235,,,,72.726,percent of total billed charges,36.29160489,,,,72.726,percent of total billed charges,21.71416235,,,,72.726,percent of total billed charges,36.29160489,,,,72.726,percent of total billed charges,21.71416235,,,,72.012,percent of total billed charges,71.46562538,,,,72.012,percent of total billed charges,49.28927538,,,,,,,,,,73.44,percent of total billed charges,47.7342718,,,,,,,,,,73.44,percent of total billed charges,999999999,,,,,,,,,,81.6,percent of total billed charges,68.37655829,,,,80.58,percent of total billed charges,77.76316775,,,,80.58,percent of total billed charges,68.70633279,,,,81.6,percent of total billed charges,999999999,,,,81.6,percent of total billed charges,999999999,,,,71.4,percent of total billed charges,999999999,,,,71.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,54.264,percent of total billed charges,999999999,,,,,,,,,,,,,,,,51.51,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,25.5,percent of total billed charges,24.21876247,,,,,,,,,,25.5,percent of total billed charges,23.81589984,,,,,,,,,,25.5,percent of total billed charges,23.74971647,,,,,,,,,,25.5,percent of total billed charges,23.40000219,,,,,,,,,,25.5,percent of total billed charges,24.00211864,,,,,,,,,,25.5,percent of total billed charges,999999999,,,,,,,,,,25.5,percent of total billed charges,20.59550803,,,,,,,,,,25.5,percent of total billed charges,32.48053641,,,,,,,,,,25.5,percent of total billed charges,999999999,,,,,,,,,,25.5,percent of total billed charges,22.20699464,,,,,,,,,,91.8,percent of total billed charges,,,,,
METHYLPHENIDATE,80360,CDM,,,,both,,,94,94,20.01109079,94,94,percent of total billed charges,69.15913942,,,,94,percent of total billed charges,73.30732034,,,,94,percent of total billed charges,69.15913942,,,,94,percent of total billed charges,73.30732034,,,,94,percent of total billed charges,999999999,,,,94,percent of total billed charges,71.62153942,,,,94,percent of total billed charges,69.15913942,,,,94,percent of total billed charges,73.30732034,,,,67.022,percent of total billed charges,33.44520451,,,,67.022,percent of total billed charges,20.01109079,,,,67.022,percent of total billed charges,33.44520451,,,,67.022,percent of total billed charges,20.01109079,,,,67.022,percent of total billed charges,33.44520451,,,,67.022,percent of total billed charges,20.01109079,,,,66.364,percent of total billed charges,65.86047829,,,,66.364,percent of total billed charges,45.42344986,,,,,,,,,,67.68,percent of total billed charges,43.99040735,,,,,,,,,,67.68,percent of total billed charges,999999999,,,,,,,,,,75.2,percent of total billed charges,63.01369097,,,,74.26,percent of total billed charges,71.66409577,,,,74.26,percent of total billed charges,63.31760081,,,,75.2,percent of total billed charges,999999999,,,,75.2,percent of total billed charges,999999999,,,,65.8,percent of total billed charges,999999999,,,,65.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,50.008,percent of total billed charges,999999999,,,,,,,,,,,,,,,,47.47,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23.5,percent of total billed charges,22.31925169,,,,,,,,,,23.5,percent of total billed charges,21.94798612,,,,,,,,,,23.5,percent of total billed charges,21.88699361,,,,,,,,,,23.5,percent of total billed charges,21.5647079,,,,,,,,,,23.5,percent of total billed charges,22.11959953,,,,,,,,,,23.5,percent of total billed charges,999999999,,,,,,,,,,23.5,percent of total billed charges,18.98017406,,,,,,,,,,23.5,percent of total billed charges,29.93304336,,,,,,,,,,23.5,percent of total billed charges,999999999,,,,,,,,,,23.5,percent of total billed charges,20.46526957,,,,,,,,,,84.6,percent of total billed charges,,,,,
GENE REARRANGEMENT,81342,CDM,,,,both,,,1007,1007,214.3741322,1007,1007,percent of total billed charges,740.8856744,,,,1007,percent of total billed charges,785.3241658,,,,1007,percent of total billed charges,740.8856744,,,,1007,percent of total billed charges,785.3241658,,,,1007,percent of total billed charges,999999999,,,,1007,percent of total billed charges,767.2647893,,,,1007,percent of total billed charges,740.8856744,,,,1007,percent of total billed charges,785.3241658,,,,717.991,percent of total billed charges,358.2906483,,,,717.991,percent of total billed charges,214.3741322,,,,717.991,percent of total billed charges,358.2906483,,,,717.991,percent of total billed charges,214.3741322,,,,717.991,percent of total billed charges,358.2906483,,,,717.991,percent of total billed charges,214.3741322,,,,710.942,percent of total billed charges,705.5478898,,,,710.942,percent of total billed charges,486.6107874,,,,,,,,,,725.04,percent of total billed charges,471.2589383,,,,,,,,,,725.04,percent of total billed charges,999999999,,,,,,,,,,805.6,percent of total billed charges,675.0509235,,,,795.53,percent of total billed charges,767.7206856,,,,795.53,percent of total billed charges,678.3066384,,,,805.6,percent of total billed charges,999999999,,,,805.6,percent of total billed charges,999999999,,,,704.9,percent of total billed charges,999999999,,,,704.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,535.724,percent of total billed charges,999999999,,,,,,,,,,,,,,,,508.535,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,251.75,percent of total billed charges,239.1009197,,,,,,,,,,251.75,percent of total billed charges,235.1236386,,,,,,,,,,251.75,percent of total billed charges,234.4702401,,,,,,,,,,251.75,percent of total billed charges,231.0176686,,,,,,,,,,251.75,percent of total billed charges,236.9620929,,,,,,,,,,251.75,percent of total billed charges,999999999,,,,,,,,,,251.75,percent of total billed charges,203.3301626,,,,,,,,,,251.75,percent of total billed charges,320.6656879,,,,,,,,,,251.75,percent of total billed charges,999999999,,,,,,,,,,251.75,percent of total billed charges,219.2396432,,,,,,,,,,906.3,percent of total billed charges,,,,,
BCR/ABL1 GENE OTHER,81208,CDM,,,,both,,,485,485,103.2487131,485,485,percent of total billed charges,356.83173,,,,485,percent of total billed charges,378.2345784,,,,485,percent of total billed charges,356.83173,,,,485,percent of total billed charges,378.2345784,,,,485,percent of total billed charges,999999999,,,,485,percent of total billed charges,369.5366662,,,,485,percent of total billed charges,356.83173,,,,485,percent of total billed charges,378.2345784,,,,345.805,percent of total billed charges,172.5630232,,,,345.805,percent of total billed charges,103.2487131,,,,345.805,percent of total billed charges,172.5630232,,,,345.805,percent of total billed charges,103.2487131,,,,345.805,percent of total billed charges,172.5630232,,,,345.805,percent of total billed charges,103.2487131,,,,342.41,percent of total billed charges,339.8120422,,,,342.41,percent of total billed charges,234.3656722,,,,,,,,,,349.2,percent of total billed charges,226.9717826,,,,,,,,,,349.2,percent of total billed charges,999999999,,,,,,,,,,388,percent of total billed charges,325.1238311,,,,383.15,percent of total billed charges,369.7562388,,,,383.15,percent of total billed charges,326.6918765,,,,388,percent of total billed charges,999999999,,,,388,percent of total billed charges,999999999,,,,339.5,percent of total billed charges,999999999,,,,339.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,258.02,percent of total billed charges,999999999,,,,,,,,,,,,,,,,244.925,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,121.25,percent of total billed charges,115.1578412,,,,,,,,,,121.25,percent of total billed charges,113.2422688,,,,,,,,,,121.25,percent of total billed charges,112.9275734,,,,,,,,,,121.25,percent of total billed charges,111.2647163,,,,,,,,,,121.25,percent of total billed charges,114.127721,,,,,,,,,,121.25,percent of total billed charges,999999999,,,,,,,,,,121.25,percent of total billed charges,97.92962149,,,,,,,,,,121.25,percent of total billed charges,154.4417663,,,,,,,,,,121.25,percent of total billed charges,999999999,,,,,,,,,,121.25,percent of total billed charges,105.5920824,,,,,,,,,,436.5,percent of total billed charges,,,,,
ANTIPSYCHOTICS NOS 1-3,80342,CDM,,,,both,,,110,110,23.41723391,110,110,percent of total billed charges,80.93090783,,,,110,percent of total billed charges,85.7851621,,,,110,percent of total billed charges,80.93090783,,,,110,percent of total billed charges,85.7851621,,,,110,percent of total billed charges,999999999,,,,110,percent of total billed charges,83.81243975,,,,110,percent of total billed charges,80.93090783,,,,110,percent of total billed charges,85.7851621,,,,78.43,percent of total billed charges,39.13800527,,,,78.43,percent of total billed charges,23.41723391,,,,78.43,percent of total billed charges,39.13800527,,,,78.43,percent of total billed charges,23.41723391,,,,78.43,percent of total billed charges,39.13800527,,,,78.43,percent of total billed charges,23.41723391,,,,77.66,percent of total billed charges,77.07077247,,,,77.66,percent of total billed charges,53.1551009,,,,,,,,,,79.2,percent of total billed charges,51.47813626,,,,,,,,,,79.2,percent of total billed charges,999999999,,,,,,,,,,88,percent of total billed charges,73.73942561,,,,86.9,percent of total billed charges,83.86223973,,,,86.9,percent of total billed charges,74.09506477,,,,88,percent of total billed charges,999999999,,,,88,percent of total billed charges,999999999,,,,77,percent of total billed charges,999999999,,,,77,percent of total billed charges,999999999,,,,,,,,,,,,,,,,58.52,percent of total billed charges,999999999,,,,,,,,,,,,,,,,55.55,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,27.5,percent of total billed charges,26.11827325,,,,,,,,,,27.5,percent of total billed charges,25.68381355,,,,,,,,,,27.5,percent of total billed charges,25.61243933,,,,,,,,,,27.5,percent of total billed charges,25.23529647,,,,,,,,,,27.5,percent of total billed charges,25.88463775,,,,,,,,,,27.5,percent of total billed charges,999999999,,,,,,,,,,27.5,percent of total billed charges,22.21084199,,,,,,,,,,27.5,percent of total billed charges,35.02802947,,,,,,,,,,27.5,percent of total billed charges,999999999,,,,,,,,,,27.5,percent of total billed charges,23.94871971,,,,,,,,,,99,percent of total billed charges,,,,,
**C DIFICILE TOXIN,87230,CDM,,,,both,,,184,184,39.17064581,184,184,percent of total billed charges,135.3753367,,,,184,percent of total billed charges,143.4951802,,,,184,percent of total billed charges,135.3753367,,,,184,percent of total billed charges,143.4951802,,,,184,percent of total billed charges,999999999,,,,184,percent of total billed charges,140.1953538,,,,184,percent of total billed charges,135.3753367,,,,184,percent of total billed charges,143.4951802,,,,131.192,percent of total billed charges,65.46720882,,,,131.192,percent of total billed charges,39.17064581,,,,131.192,percent of total billed charges,65.46720882,,,,131.192,percent of total billed charges,39.17064581,,,,131.192,percent of total billed charges,65.46720882,,,,131.192,percent of total billed charges,39.17064581,,,,129.904,percent of total billed charges,128.918383,,,,129.904,percent of total billed charges,88.91398697,,,,,,,,,,132.48,percent of total billed charges,86.10888247,,,,,,,,,,132.48,percent of total billed charges,999999999,,,,,,,,,,147.2,percent of total billed charges,123.3459483,,,,145.36,percent of total billed charges,140.2786556,,,,145.36,percent of total billed charges,123.9408356,,,,147.2,percent of total billed charges,999999999,,,,147.2,percent of total billed charges,999999999,,,,128.8,percent of total billed charges,999999999,,,,128.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,97.888,percent of total billed charges,999999999,,,,,,,,,,,,,,,,92.92,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,46,percent of total billed charges,43.68874799,,,,,,,,,,46,percent of total billed charges,42.96201539,,,,,,,,,,46,percent of total billed charges,42.84262579,,,,,,,,,,46,percent of total billed charges,42.21176865,,,,,,,,,,46,percent of total billed charges,43.29793951,,,,,,,,,,46,percent of total billed charges,999999999,,,,,,,,,,46,percent of total billed charges,37.15268114,,,,,,,,,,46,percent of total billed charges,58.5923402,,,,,,,,,,46,percent of total billed charges,999999999,,,,,,,,,,46,percent of total billed charges,40.05967661,,,,,,,,,,165.6,percent of total billed charges,,,,,
C DIFFICILE EIA,87324,CDM,,,,both,,,291,291,61.94922789,291,291,percent of total billed charges,214.099038,,,,291,percent of total billed charges,226.940747,,,,291,percent of total billed charges,214.099038,,,,291,percent of total billed charges,226.940747,,,,291,percent of total billed charges,999999999,,,,291,percent of total billed charges,221.7219997,,,,291,percent of total billed charges,214.099038,,,,291,percent of total billed charges,226.940747,,,,207.483,percent of total billed charges,103.5378139,,,,207.483,percent of total billed charges,61.94922789,,,,207.483,percent of total billed charges,103.5378139,,,,207.483,percent of total billed charges,61.94922789,,,,207.483,percent of total billed charges,103.5378139,,,,207.483,percent of total billed charges,61.94922789,,,,205.446,percent of total billed charges,203.8872253,,,,205.446,percent of total billed charges,140.6194033,,,,,,,,,,209.52,percent of total billed charges,136.1830696,,,,,,,,,,209.52,percent of total billed charges,999999999,,,,,,,,,,232.8,percent of total billed charges,195.0742986,,,,229.89,percent of total billed charges,221.8537433,,,,229.89,percent of total billed charges,196.0151259,,,,232.8,percent of total billed charges,999999999,,,,232.8,percent of total billed charges,999999999,,,,203.7,percent of total billed charges,999999999,,,,203.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,154.812,percent of total billed charges,999999999,,,,,,,,,,,,,,,,146.955,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,72.75,percent of total billed charges,69.0947047,,,,,,,,,,72.75,percent of total billed charges,67.9453613,,,,,,,,,,72.75,percent of total billed charges,67.75654405,,,,,,,,,,72.75,percent of total billed charges,66.75882976,,,,,,,,,,72.75,percent of total billed charges,68.4766326,,,,,,,,,,72.75,percent of total billed charges,999999999,,,,,,,,,,72.75,percent of total billed charges,58.7577729,,,,,,,,,,72.75,percent of total billed charges,92.66505977,,,,,,,,,,72.75,percent of total billed charges,999999999,,,,,,,,,,72.75,percent of total billed charges,63.35524943,,,,,,,,,,261.9,percent of total billed charges,,,,,
SCHLITER TEST -MIC,87197,CDM,,,,both,,,569,569,121.1309645,569,569,percent of total billed charges,418.6335141,,,,569,percent of total billed charges,443.7432476,,,,569,percent of total billed charges,418.6335141,,,,569,percent of total billed charges,443.7432476,,,,569,percent of total billed charges,999999999,,,,569,percent of total billed charges,433.5388929,,,,569,percent of total billed charges,418.6335141,,,,569,percent of total billed charges,443.7432476,,,,405.697,percent of total billed charges,202.4502273,,,,405.697,percent of total billed charges,121.1309645,,,,405.697,percent of total billed charges,202.4502273,,,,405.697,percent of total billed charges,121.1309645,,,,405.697,percent of total billed charges,202.4502273,,,,405.697,percent of total billed charges,121.1309645,,,,401.714,percent of total billed charges,398.6660867,,,,401.714,percent of total billed charges,274.9568401,,,,,,,,,,409.68,percent of total billed charges,266.2823594,,,,,,,,,,409.68,percent of total billed charges,999999999,,,,,,,,,,455.2,percent of total billed charges,381.4339379,,,,449.51,percent of total billed charges,433.7964946,,,,449.51,percent of total billed charges,383.2735623,,,,455.2,percent of total billed charges,999999999,,,,455.2,percent of total billed charges,999999999,,,,398.3,percent of total billed charges,999999999,,,,398.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,302.708,percent of total billed charges,999999999,,,,,,,,,,,,,,,,287.345,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,142.25,percent of total billed charges,135.1027044,,,,,,,,,,142.25,percent of total billed charges,132.8553628,,,,,,,,,,142.25,percent of total billed charges,132.4861635,,,,,,,,,,142.25,percent of total billed charges,130.5353063,,,,,,,,,,142.25,percent of total billed charges,133.8941716,,,,,,,,,,142.25,percent of total billed charges,999999999,,,,,,,,,,142.25,percent of total billed charges,114.8906281,,,,,,,,,,142.25,percent of total billed charges,181.1904433,,,,,,,,,,142.25,percent of total billed charges,999999999,,,,,,,,,,142.25,percent of total billed charges,123.8801956,,,,,,,,,,512.1,percent of total billed charges,,,,,
SCHLICTER TEST -MBC (*),87197,CDM,,,,both,,,569,569,121.1309645,569,569,percent of total billed charges,418.6335141,,,,569,percent of total billed charges,443.7432476,,,,569,percent of total billed charges,418.6335141,,,,569,percent of total billed charges,443.7432476,,,,569,percent of total billed charges,999999999,,,,569,percent of total billed charges,433.5388929,,,,569,percent of total billed charges,418.6335141,,,,569,percent of total billed charges,443.7432476,,,,405.697,percent of total billed charges,202.4502273,,,,405.697,percent of total billed charges,121.1309645,,,,405.697,percent of total billed charges,202.4502273,,,,405.697,percent of total billed charges,121.1309645,,,,405.697,percent of total billed charges,202.4502273,,,,405.697,percent of total billed charges,121.1309645,,,,401.714,percent of total billed charges,398.6660867,,,,401.714,percent of total billed charges,274.9568401,,,,,,,,,,409.68,percent of total billed charges,266.2823594,,,,,,,,,,409.68,percent of total billed charges,999999999,,,,,,,,,,455.2,percent of total billed charges,381.4339379,,,,449.51,percent of total billed charges,433.7964946,,,,449.51,percent of total billed charges,383.2735623,,,,455.2,percent of total billed charges,999999999,,,,455.2,percent of total billed charges,999999999,,,,398.3,percent of total billed charges,999999999,,,,398.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,302.708,percent of total billed charges,999999999,,,,,,,,,,,,,,,,287.345,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,142.25,percent of total billed charges,135.1027044,,,,,,,,,,142.25,percent of total billed charges,132.8553628,,,,,,,,,,142.25,percent of total billed charges,132.4861635,,,,,,,,,,142.25,percent of total billed charges,130.5353063,,,,,,,,,,142.25,percent of total billed charges,133.8941716,,,,,,,,,,142.25,percent of total billed charges,999999999,,,,,,,,,,142.25,percent of total billed charges,114.8906281,,,,,,,,,,142.25,percent of total billed charges,181.1904433,,,,,,,,,,142.25,percent of total billed charges,999999999,,,,,,,,,,142.25,percent of total billed charges,123.8801956,,,,,,,,,,512.1,percent of total billed charges,,,,,
HELMINTH ANTIBODY,86682,CDM,,,,both,,,243,243,51.73079854,243,243,percent of total billed charges,178.7837328,,,,243,percent of total billed charges,189.5072217,,,,243,percent of total billed charges,178.7837328,,,,243,percent of total billed charges,189.5072217,,,,243,percent of total billed charges,999999999,,,,243,percent of total billed charges,185.1492987,,,,243,percent of total billed charges,178.7837328,,,,243,percent of total billed charges,189.5072217,,,,173.259,percent of total billed charges,86.45941165,,,,173.259,percent of total billed charges,51.73079854,,,,173.259,percent of total billed charges,86.45941165,,,,173.259,percent of total billed charges,51.73079854,,,,173.259,percent of total billed charges,86.45941165,,,,173.259,percent of total billed charges,51.73079854,,,,171.558,percent of total billed charges,170.2563428,,,,171.558,percent of total billed charges,117.4244502,,,,,,,,,,174.96,percent of total billed charges,113.7198828,,,,,,,,,,174.96,percent of total billed charges,999999999,,,,,,,,,,194.4,percent of total billed charges,162.8970947,,,,191.97,percent of total billed charges,185.2593114,,,,191.97,percent of total billed charges,163.682734,,,,194.4,percent of total billed charges,999999999,,,,194.4,percent of total billed charges,999999999,,,,170.1,percent of total billed charges,999999999,,,,170.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,129.276,percent of total billed charges,999999999,,,,,,,,,,,,,,,,122.715,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,60.75,percent of total billed charges,57.69764001,,,,,,,,,,60.75,percent of total billed charges,56.73787902,,,,,,,,,,60.75,percent of total billed charges,56.58020689,,,,,,,,,,60.75,percent of total billed charges,55.74706403,,,,,,,,,,60.75,percent of total billed charges,57.18151794,,,,,,,,,,60.75,percent of total billed charges,999999999,,,,,,,,,,60.75,percent of total billed charges,49.06576912,,,,,,,,,,60.75,percent of total billed charges,77.38010146,,,,,,,,,,60.75,percent of total billed charges,999999999,,,,,,,,,,60.75,percent of total billed charges,52.90489901,,,,,,,,,,218.7,percent of total billed charges,,,,,
VIRUS CULTURE(*),87252,CDM,,,,both,,,309,309,65.78113889,309,309,percent of total billed charges,227.3422774,,,,309,percent of total billed charges,240.978319,,,,309,percent of total billed charges,227.3422774,,,,309,percent of total billed charges,240.978319,,,,309,percent of total billed charges,999999999,,,,309,percent of total billed charges,235.4367626,,,,309,percent of total billed charges,227.3422774,,,,309,percent of total billed charges,240.978319,,,,220.317,percent of total billed charges,109.9422148,,,,220.317,percent of total billed charges,65.78113889,,,,220.317,percent of total billed charges,109.9422148,,,,220.317,percent of total billed charges,65.78113889,,,,220.317,percent of total billed charges,109.9422148,,,,220.317,percent of total billed charges,65.78113889,,,,218.154,percent of total billed charges,216.4988063,,,,218.154,percent of total billed charges,149.3175107,,,,,,,,,,222.48,percent of total billed charges,144.6067646,,,,,,,,,,222.48,percent of total billed charges,999999999,,,,,,,,,,247.2,percent of total billed charges,207.1407501,,,,244.11,percent of total billed charges,235.5766553,,,,244.11,percent of total billed charges,208.1397729,,,,247.2,percent of total billed charges,999999999,,,,247.2,percent of total billed charges,999999999,,,,216.3,percent of total billed charges,999999999,,,,216.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,164.388,percent of total billed charges,999999999,,,,,,,,,,,,,,,,156.045,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,77.25,percent of total billed charges,73.36860396,,,,,,,,,,77.25,percent of total billed charges,72.14816715,,,,,,,,,,77.25,percent of total billed charges,71.94767049,,,,,,,,,,77.25,percent of total billed charges,70.88824191,,,,,,,,,,77.25,percent of total billed charges,72.71230059,,,,,,,,,,77.25,percent of total billed charges,999999999,,,,,,,,,,77.25,percent of total billed charges,62.39227431,,,,,,,,,,77.25,percent of total billed charges,98.39691914,,,,,,,,,,77.25,percent of total billed charges,999999999,,,,,,,,,,77.25,percent of total billed charges,67.27413083,,,,,,,,,,278.1,percent of total billed charges,,,,,
VIRUS INOCULATION TISSUE ADDL STUDIES,87253,CDM,,,,both,,,243,243,51.73079854,243,243,percent of total billed charges,178.7837328,,,,243,percent of total billed charges,189.5072217,,,,243,percent of total billed charges,178.7837328,,,,243,percent of total billed charges,189.5072217,,,,243,percent of total billed charges,999999999,,,,243,percent of total billed charges,185.1492987,,,,243,percent of total billed charges,178.7837328,,,,243,percent of total billed charges,189.5072217,,,,173.259,percent of total billed charges,86.45941165,,,,173.259,percent of total billed charges,51.73079854,,,,173.259,percent of total billed charges,86.45941165,,,,173.259,percent of total billed charges,51.73079854,,,,173.259,percent of total billed charges,86.45941165,,,,173.259,percent of total billed charges,51.73079854,,,,171.558,percent of total billed charges,170.2563428,,,,171.558,percent of total billed charges,117.4244502,,,,,,,,,,174.96,percent of total billed charges,113.7198828,,,,,,,,,,174.96,percent of total billed charges,999999999,,,,,,,,,,194.4,percent of total billed charges,162.8970947,,,,191.97,percent of total billed charges,185.2593114,,,,191.97,percent of total billed charges,163.682734,,,,194.4,percent of total billed charges,999999999,,,,194.4,percent of total billed charges,999999999,,,,170.1,percent of total billed charges,999999999,,,,170.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,129.276,percent of total billed charges,999999999,,,,,,,,,,,,,,,,122.715,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,60.75,percent of total billed charges,57.69764001,,,,,,,,,,60.75,percent of total billed charges,56.73787902,,,,,,,,,,60.75,percent of total billed charges,56.58020689,,,,,,,,,,60.75,percent of total billed charges,55.74706403,,,,,,,,,,60.75,percent of total billed charges,57.18151794,,,,,,,,,,60.75,percent of total billed charges,999999999,,,,,,,,,,60.75,percent of total billed charges,49.06576912,,,,,,,,,,60.75,percent of total billed charges,77.38010146,,,,,,,,,,60.75,percent of total billed charges,999999999,,,,,,,,,,60.75,percent of total billed charges,52.90489901,,,,,,,,,,218.7,percent of total billed charges,,,,,
VIRUS ANTIBODY,86790,CDM,,,,both,,,228,228,48.53753937,228,228,percent of total billed charges,167.7476999,,,,228,percent of total billed charges,177.8092451,,,,228,percent of total billed charges,167.7476999,,,,228,percent of total billed charges,177.8092451,,,,228,percent of total billed charges,999999999,,,,228,percent of total billed charges,173.7203297,,,,228,percent of total billed charges,167.7476999,,,,228,percent of total billed charges,177.8092451,,,,162.564,percent of total billed charges,81.12241093,,,,162.564,percent of total billed charges,48.53753937,,,,162.564,percent of total billed charges,81.12241093,,,,162.564,percent of total billed charges,48.53753937,,,,162.564,percent of total billed charges,81.12241093,,,,162.564,percent of total billed charges,48.53753937,,,,160.968,percent of total billed charges,159.746692,,,,160.968,percent of total billed charges,110.1760273,,,,,,,,,,164.16,percent of total billed charges,106.700137,,,,,,,,,,164.16,percent of total billed charges,999999999,,,,,,,,,,182.4,percent of total billed charges,152.8417185,,,,180.12,percent of total billed charges,173.8235514,,,,180.12,percent of total billed charges,153.5788615,,,,182.4,percent of total billed charges,999999999,,,,182.4,percent of total billed charges,999999999,,,,159.6,percent of total billed charges,999999999,,,,159.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,121.296,percent of total billed charges,999999999,,,,,,,,,,,,,,,,115.14,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,57,percent of total billed charges,54.13605729,,,,,,,,,,57,percent of total billed charges,53.23554081,,,,,,,,,,57,percent of total billed charges,53.08760152,,,,,,,,,,57,percent of total billed charges,52.30588724,,,,,,,,,,57,percent of total billed charges,53.65179461,,,,,,,,,,57,percent of total billed charges,999999999,,,,,,,,,,57,percent of total billed charges,46.03701794,,,,,,,,,,57,percent of total billed charges,72.60355199,,,,,,,,,,57,percent of total billed charges,999999999,,,,,,,,,,57,percent of total billed charges,49.6391645,,,,,,,,,,205.2,percent of total billed charges,,,,,
CHLAYMDIA BY PCR(*),87491,CDM,,,,both,,,253,253,53.85963799,253,253,percent of total billed charges,186.141088,,,,253,percent of total billed charges,197.3058728,,,,253,percent of total billed charges,186.141088,,,,253,percent of total billed charges,197.3058728,,,,253,percent of total billed charges,999999999,,,,253,percent of total billed charges,192.7686114,,,,253,percent of total billed charges,186.141088,,,,253,percent of total billed charges,197.3058728,,,,180.389,percent of total billed charges,90.01741213,,,,180.389,percent of total billed charges,53.85963799,,,,180.389,percent of total billed charges,90.01741213,,,,180.389,percent of total billed charges,53.85963799,,,,180.389,percent of total billed charges,90.01741213,,,,180.389,percent of total billed charges,53.85963799,,,,178.618,percent of total billed charges,177.2627767,,,,178.618,percent of total billed charges,122.2567321,,,,,,,,,,182.16,percent of total billed charges,118.3997134,,,,,,,,,,182.16,percent of total billed charges,999999999,,,,,,,,,,202.4,percent of total billed charges,169.6006789,,,,199.87,percent of total billed charges,192.8831514,,,,199.87,percent of total billed charges,170.418649,,,,202.4,percent of total billed charges,999999999,,,,202.4,percent of total billed charges,999999999,,,,177.1,percent of total billed charges,999999999,,,,177.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,134.596,percent of total billed charges,999999999,,,,,,,,,,,,,,,,127.765,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,63.25,percent of total billed charges,60.07202848,,,,,,,,,,63.25,percent of total billed charges,59.07277117,,,,,,,,,,63.25,percent of total billed charges,58.90861046,,,,,,,,,,63.25,percent of total billed charges,58.04118189,,,,,,,,,,63.25,percent of total billed charges,59.53466683,,,,,,,,,,63.25,percent of total billed charges,999999999,,,,,,,,,,63.25,percent of total billed charges,51.08493657,,,,,,,,,,63.25,percent of total billed charges,80.56446777,,,,,,,,,,63.25,percent of total billed charges,999999999,,,,,,,,,,63.25,percent of total billed charges,55.08205534,,,,,,,,,,227.7,percent of total billed charges,,,,,
VIRUS INOCULATION TISSUE,87252,CDM,,,,both,,,348,348,74.08361273,348,348,percent of total billed charges,256.035963,,,,348,percent of total billed charges,271.3930583,,,,348,percent of total billed charges,256.035963,,,,348,percent of total billed charges,271.3930583,,,,348,percent of total billed charges,999999999,,,,348,percent of total billed charges,265.1520821,,,,348,percent of total billed charges,256.035963,,,,348,percent of total billed charges,271.3930583,,,,248.124,percent of total billed charges,123.8184167,,,,248.124,percent of total billed charges,74.08361273,,,,248.124,percent of total billed charges,123.8184167,,,,248.124,percent of total billed charges,74.08361273,,,,248.124,percent of total billed charges,123.8184167,,,,248.124,percent of total billed charges,74.08361273,,,,245.688,percent of total billed charges,243.8238984,,,,245.688,percent of total billed charges,168.1634101,,,,,,,,,,250.56,percent of total billed charges,162.8581038,,,,,,,,,,250.56,percent of total billed charges,999999999,,,,,,,,,,278.4,percent of total billed charges,233.2847283,,,,274.92,percent of total billed charges,265.3096312,,,,274.92,percent of total billed charges,234.4098413,,,,278.4,percent of total billed charges,999999999,,,,278.4,percent of total billed charges,999999999,,,,243.6,percent of total billed charges,999999999,,,,243.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,185.136,percent of total billed charges,999999999,,,,,,,,,,,,,,,,175.74,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,87,percent of total billed charges,82.62871902,,,,,,,,,,87,percent of total billed charges,81.2542465,,,,,,,,,,87,percent of total billed charges,81.02844443,,,,,,,,,,87,percent of total billed charges,79.83530157,,,,,,,,,,87,percent of total billed charges,81.88958125,,,,,,,,,,87,percent of total billed charges,999999999,,,,,,,,,,87,percent of total billed charges,70.26702738,,,,,,,,,,87,percent of total billed charges,110.8159478,,,,,,,,,,87,percent of total billed charges,999999999,,,,,,,,,,87,percent of total billed charges,75.76504055,,,,,,,,,,313.2,percent of total billed charges,,,,,
VIRUS INOCULATION SHELL,87254,CDM,,,,both,,,205,205,43.64120865,205,205,percent of total billed charges,150.8257828,,,,205,percent of total billed charges,159.8723476,,,,205,percent of total billed charges,150.8257828,,,,205,percent of total billed charges,159.8723476,,,,205,percent of total billed charges,999999999,,,,205,percent of total billed charges,156.1959104,,,,205,percent of total billed charges,150.8257828,,,,205,percent of total billed charges,159.8723476,,,,146.165,percent of total billed charges,72.93900983,,,,146.165,percent of total billed charges,43.64120865,,,,146.165,percent of total billed charges,72.93900983,,,,146.165,percent of total billed charges,43.64120865,,,,146.165,percent of total billed charges,72.93900983,,,,146.165,percent of total billed charges,43.64120865,,,,144.73,percent of total billed charges,143.6318941,,,,144.73,percent of total billed charges,99.06177896,,,,,,,,,,147.6,percent of total billed charges,95.93652666,,,,,,,,,,147.6,percent of total billed charges,999999999,,,,,,,,,,164,percent of total billed charges,137.423475,,,,161.95,percent of total billed charges,156.2887195,,,,161.95,percent of total billed charges,138.0862571,,,,164,percent of total billed charges,999999999,,,,164,percent of total billed charges,999999999,,,,143.5,percent of total billed charges,999999999,,,,143.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,109.06,percent of total billed charges,999999999,,,,,,,,,,,,,,,,103.525,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,51.25,percent of total billed charges,48.67496379,,,,,,,,,,51.25,percent of total billed charges,47.86528889,,,,,,,,,,51.25,percent of total billed charges,47.7322733,,,,,,,,,,51.25,percent of total billed charges,47.02941616,,,,,,,,,,51.25,percent of total billed charges,48.23955217,,,,,,,,,,51.25,percent of total billed charges,999999999,,,,,,,,,,51.25,percent of total billed charges,41.3929328,,,,,,,,,,51.25,percent of total billed charges,65.27950946,,,,,,,,,,51.25,percent of total billed charges,999999999,,,,,,,,,,51.25,percent of total billed charges,44.63170492,,,,,,,,,,184.5,percent of total billed charges,,,,,
CHLAMYDIA ENZYME,87320,CDM,,,,both,,,252,252,53.64675405,252,252,percent of total billed charges,185.4053525,,,,252,percent of total billed charges,196.5260077,,,,252,percent of total billed charges,185.4053525,,,,252,percent of total billed charges,196.5260077,,,,252,percent of total billed charges,999999999,,,,252,percent of total billed charges,192.0066801,,,,252,percent of total billed charges,185.4053525,,,,252,percent of total billed charges,196.5260077,,,,179.676,percent of total billed charges,89.66161208,,,,179.676,percent of total billed charges,53.64675405,,,,179.676,percent of total billed charges,89.66161208,,,,179.676,percent of total billed charges,53.64675405,,,,179.676,percent of total billed charges,89.66161208,,,,179.676,percent of total billed charges,53.64675405,,,,177.912,percent of total billed charges,176.5621333,,,,177.912,percent of total billed charges,121.7735039,,,,,,,,,,181.44,percent of total billed charges,117.9317303,,,,,,,,,,181.44,percent of total billed charges,999999999,,,,,,,,,,201.6,percent of total billed charges,168.9303205,,,,199.08,percent of total billed charges,192.1207674,,,,199.08,percent of total billed charges,169.7450575,,,,201.6,percent of total billed charges,999999999,,,,201.6,percent of total billed charges,999999999,,,,176.4,percent of total billed charges,999999999,,,,176.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,134.064,percent of total billed charges,999999999,,,,,,,,,,,,,,,,127.26,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,63,percent of total billed charges,59.83458964,,,,,,,,,,63,percent of total billed charges,58.83928195,,,,,,,,,,63,percent of total billed charges,58.67577011,,,,,,,,,,63,percent of total billed charges,57.81177011,,,,,,,,,,63,percent of total billed charges,59.29935194,,,,,,,,,,63,percent of total billed charges,999999999,,,,,,,,,,63,percent of total billed charges,50.88301983,,,,,,,,,,63,percent of total billed charges,80.24603114,,,,,,,,,,63,percent of total billed charges,999999999,,,,,,,,,,63,percent of total billed charges,54.86433971,,,,,,,,,,226.8,percent of total billed charges,,,,,
TRICHOMONAS VAG PROBE,87660,CDM,,,,both,,,167,167,35.55161875,167,167,percent of total billed charges,122.8678328,,,,167,percent of total billed charges,130.2374734,,,,167,percent of total billed charges,122.8678328,,,,167,percent of total billed charges,130.2374734,,,,167,percent of total billed charges,999999999,,,,167,percent of total billed charges,127.2425222,,,,167,percent of total billed charges,122.8678328,,,,167,percent of total billed charges,130.2374734,,,,119.071,percent of total billed charges,59.418608,,,,119.071,percent of total billed charges,35.55161875,,,,119.071,percent of total billed charges,59.418608,,,,119.071,percent of total billed charges,35.55161875,,,,119.071,percent of total billed charges,59.418608,,,,119.071,percent of total billed charges,35.55161875,,,,117.902,percent of total billed charges,117.0074455,,,,117.902,percent of total billed charges,80.69910774,,,,,,,,,,120.24,percent of total billed charges,78.1531705,,,,,,,,,,120.24,percent of total billed charges,999999999,,,,,,,,,,133.6,percent of total billed charges,111.9498552,,,,131.93,percent of total billed charges,127.3181276,,,,131.93,percent of total billed charges,112.4897802,,,,133.6,percent of total billed charges,999999999,,,,133.6,percent of total billed charges,999999999,,,,116.9,percent of total billed charges,999999999,,,,116.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,88.844,percent of total billed charges,999999999,,,,,,,,,,,,,,,,84.335,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,41.75,percent of total billed charges,39.65228758,,,,,,,,,,41.75,percent of total billed charges,38.99269875,,,,,,,,,,41.75,percent of total billed charges,38.88433971,,,,,,,,,,41.75,percent of total billed charges,38.31176828,,,,,,,,,,41.75,percent of total billed charges,39.2975864,,,,,,,,,,41.75,percent of total billed charges,999999999,,,,,,,,,,41.75,percent of total billed charges,33.72009647,,,,,,,,,,41.75,percent of total billed charges,53.17891746,,,,,,,,,,41.75,percent of total billed charges,999999999,,,,,,,,,,41.75,percent of total billed charges,36.35851084,,,,,,,,,,150.3,percent of total billed charges,,,,,
CANDIDA DNA PROBE,87480,CDM,,,,both,,,120,120,25.54607335,120,120,percent of total billed charges,88.28826309,,,,120,percent of total billed charges,93.5838132,,,,120,percent of total billed charges,88.28826309,,,,120,percent of total billed charges,93.5838132,,,,120,percent of total billed charges,999999999,,,,120,percent of total billed charges,91.43175245,,,,120,percent of total billed charges,88.28826309,,,,120,percent of total billed charges,93.5838132,,,,85.56,percent of total billed charges,42.69600575,,,,85.56,percent of total billed charges,25.54607335,,,,85.56,percent of total billed charges,42.69600575,,,,85.56,percent of total billed charges,25.54607335,,,,85.56,percent of total billed charges,42.69600575,,,,85.56,percent of total billed charges,25.54607335,,,,84.72,percent of total billed charges,84.07720633,,,,84.72,percent of total billed charges,57.9873828,,,,,,,,,,86.4,percent of total billed charges,56.15796683,,,,,,,,,,86.4,percent of total billed charges,999999999,,,,,,,,,,96,percent of total billed charges,80.44300975,,,,94.8,percent of total billed charges,91.48607971,,,,94.8,percent of total billed charges,80.83097975,,,,96,percent of total billed charges,999999999,,,,96,percent of total billed charges,999999999,,,,84,percent of total billed charges,999999999,,,,84,percent of total billed charges,999999999,,,,,,,,,,,,,,,,63.84,percent of total billed charges,999999999,,,,,,,,,,,,,,,,60.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,30,percent of total billed charges,28.49266173,,,,,,,,,,30,percent of total billed charges,28.01870569,,,,,,,,,,30,percent of total billed charges,27.94084291,,,,,,,,,,30,percent of total billed charges,27.52941434,,,,,,,,,,30,percent of total billed charges,28.23778664,,,,,,,,,,30,percent of total billed charges,999999999,,,,,,,,,,30,percent of total billed charges,24.23000944,,,,,,,,,,30,percent of total billed charges,38.21239578,,,,,,,,,,30,percent of total billed charges,999999999,,,,,,,,,,30,percent of total billed charges,26.12587605,,,,,,,,,,108,percent of total billed charges,,,,,
GARDNER VAG DNA PROBE,87510,CDM,,,,both,,,120,120,25.54607335,120,120,percent of total billed charges,88.28826309,,,,120,percent of total billed charges,93.5838132,,,,120,percent of total billed charges,88.28826309,,,,120,percent of total billed charges,93.5838132,,,,120,percent of total billed charges,999999999,,,,120,percent of total billed charges,91.43175245,,,,120,percent of total billed charges,88.28826309,,,,120,percent of total billed charges,93.5838132,,,,85.56,percent of total billed charges,42.69600575,,,,85.56,percent of total billed charges,25.54607335,,,,85.56,percent of total billed charges,42.69600575,,,,85.56,percent of total billed charges,25.54607335,,,,85.56,percent of total billed charges,42.69600575,,,,85.56,percent of total billed charges,25.54607335,,,,84.72,percent of total billed charges,84.07720633,,,,84.72,percent of total billed charges,57.9873828,,,,,,,,,,86.4,percent of total billed charges,56.15796683,,,,,,,,,,86.4,percent of total billed charges,999999999,,,,,,,,,,96,percent of total billed charges,80.44300975,,,,94.8,percent of total billed charges,91.48607971,,,,94.8,percent of total billed charges,80.83097975,,,,96,percent of total billed charges,999999999,,,,96,percent of total billed charges,999999999,,,,84,percent of total billed charges,999999999,,,,84,percent of total billed charges,999999999,,,,,,,,,,,,,,,,63.84,percent of total billed charges,999999999,,,,,,,,,,,,,,,,60.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,30,percent of total billed charges,28.49266173,,,,,,,,,,30,percent of total billed charges,28.01870569,,,,,,,,,,30,percent of total billed charges,27.94084291,,,,,,,,,,30,percent of total billed charges,27.52941434,,,,,,,,,,30,percent of total billed charges,28.23778664,,,,,,,,,,30,percent of total billed charges,999999999,,,,,,,,,,30,percent of total billed charges,24.23000944,,,,,,,,,,30,percent of total billed charges,38.21239578,,,,,,,,,,30,percent of total billed charges,999999999,,,,,,,,,,30,percent of total billed charges,26.12587605,,,,,,,,,,108,percent of total billed charges,,,,,
STREP PNEUMO ANTIGEN,87899,CDM,,,,both,,,152,152,32.35835958,152,152,percent of total billed charges,111.8317999,,,,152,percent of total billed charges,118.5394967,,,,152,percent of total billed charges,111.8317999,,,,152,percent of total billed charges,118.5394967,,,,152,percent of total billed charges,999999999,,,,152,percent of total billed charges,115.8135531,,,,152,percent of total billed charges,111.8317999,,,,152,percent of total billed charges,118.5394967,,,,108.376,percent of total billed charges,54.08160728,,,,108.376,percent of total billed charges,32.35835958,,,,108.376,percent of total billed charges,54.08160728,,,,108.376,percent of total billed charges,32.35835958,,,,108.376,percent of total billed charges,54.08160728,,,,108.376,percent of total billed charges,32.35835958,,,,107.312,percent of total billed charges,106.4977947,,,,107.312,percent of total billed charges,73.45068489,,,,,,,,,,109.44,percent of total billed charges,71.13342465,,,,,,,,,,109.44,percent of total billed charges,999999999,,,,,,,,,,121.6,percent of total billed charges,101.894479,,,,120.08,percent of total billed charges,115.8823676,,,,120.08,percent of total billed charges,102.3859077,,,,121.6,percent of total billed charges,999999999,,,,121.6,percent of total billed charges,999999999,,,,106.4,percent of total billed charges,999999999,,,,106.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,80.864,percent of total billed charges,999999999,,,,,,,,,,,,,,,,76.76,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,38,percent of total billed charges,36.09070486,,,,,,,,,,38,percent of total billed charges,35.49036054,,,,,,,,,,38,percent of total billed charges,35.39173435,,,,,,,,,,38,percent of total billed charges,34.87059149,,,,,,,,,,38,percent of total billed charges,35.76786307,,,,,,,,,,38,percent of total billed charges,999999999,,,,,,,,,,38,percent of total billed charges,30.69134529,,,,,,,,,,38,percent of total billed charges,48.40236799,,,,,,,,,,38,percent of total billed charges,999999999,,,,,,,,,,38,percent of total billed charges,33.09277633,,,,,,,,,,136.8,percent of total billed charges,,,,,
HUMAN PAPALOMA VIRUS(*),87623,CDM,,,,both,,,324,324,68.97439806,324,324,percent of total billed charges,238.3783103,,,,324,percent of total billed charges,252.6762956,,,,324,percent of total billed charges,238.3783103,,,,324,percent of total billed charges,252.6762956,,,,324,percent of total billed charges,999999999,,,,324,percent of total billed charges,246.8657316,,,,324,percent of total billed charges,238.3783103,,,,324,percent of total billed charges,252.6762956,,,,231.012,percent of total billed charges,115.2792155,,,,231.012,percent of total billed charges,68.97439806,,,,231.012,percent of total billed charges,115.2792155,,,,231.012,percent of total billed charges,68.97439806,,,,231.012,percent of total billed charges,115.2792155,,,,231.012,percent of total billed charges,68.97439806,,,,228.744,percent of total billed charges,227.0084571,,,,228.744,percent of total billed charges,156.5659336,,,,,,,,,,233.28,percent of total billed charges,151.6265104,,,,,,,,,,233.28,percent of total billed charges,999999999,,,,,,,,,,259.2,percent of total billed charges,217.1961263,,,,255.96,percent of total billed charges,247.0124152,,,,255.96,percent of total billed charges,218.2436453,,,,259.2,percent of total billed charges,999999999,,,,259.2,percent of total billed charges,999999999,,,,226.8,percent of total billed charges,999999999,,,,226.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,172.368,percent of total billed charges,999999999,,,,,,,,,,,,,,,,163.62,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,81,percent of total billed charges,76.93018668,,,,,,,,,,81,percent of total billed charges,75.65050537,,,,,,,,,,81,percent of total billed charges,75.44027585,,,,,,,,,,81,percent of total billed charges,74.32941871,,,,,,,,,,81,percent of total billed charges,76.24202392,,,,,,,,,,81,percent of total billed charges,999999999,,,,,,,,,,81,percent of total billed charges,65.42102549,,,,,,,,,,81,percent of total billed charges,103.1734686,,,,,,,,,,81,percent of total billed charges,999999999,,,,,,,,,,81,percent of total billed charges,70.53986534,,,,,,,,,,291.6,percent of total billed charges,,,,,
CULTURE/ANAEROBIC ID,87076,CDM,,,,both,,,182,182,38.74487792,182,182,percent of total billed charges,133.9038657,,,,182,percent of total billed charges,141.93545,,,,182,percent of total billed charges,133.9038657,,,,182,percent of total billed charges,141.93545,,,,182,percent of total billed charges,999999999,,,,182,percent of total billed charges,138.6714912,,,,182,percent of total billed charges,133.9038657,,,,182,percent of total billed charges,141.93545,,,,129.766,percent of total billed charges,64.75560872,,,,129.766,percent of total billed charges,38.74487792,,,,129.766,percent of total billed charges,64.75560872,,,,129.766,percent of total billed charges,38.74487792,,,,129.766,percent of total billed charges,64.75560872,,,,129.766,percent of total billed charges,38.74487792,,,,128.492,percent of total billed charges,127.5170963,,,,128.492,percent of total billed charges,87.94753059,,,,,,,,,,131.04,percent of total billed charges,85.17291635,,,,,,,,,,131.04,percent of total billed charges,999999999,,,,,,,,,,145.6,percent of total billed charges,122.0052315,,,,143.78,percent of total billed charges,138.7538876,,,,143.78,percent of total billed charges,122.5936526,,,,145.6,percent of total billed charges,999999999,,,,145.6,percent of total billed charges,999999999,,,,127.4,percent of total billed charges,999999999,,,,127.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,96.824,percent of total billed charges,999999999,,,,,,,,,,,,,,,,91.91,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45.5,percent of total billed charges,43.21387029,,,,,,,,,,45.5,percent of total billed charges,42.49503696,,,,,,,,,,45.5,percent of total billed charges,42.37694508,,,,,,,,,,45.5,percent of total billed charges,41.75294508,,,,,,,,,,45.5,percent of total billed charges,42.82730973,,,,,,,,,,45.5,percent of total billed charges,999999999,,,,,,,,,,45.5,percent of total billed charges,36.74884765,,,,,,,,,,45.5,percent of total billed charges,57.95546694,,,,,,,,,,45.5,percent of total billed charges,999999999,,,,,,,,,,45.5,percent of total billed charges,39.62424535,,,,,,,,,,163.8,percent of total billed charges,,,,,
CULTURE/ANAEROBIC,87075,CDM,,,,both,,,334,334,71.1032375,334,334,percent of total billed charges,245.7356656,,,,334,percent of total billed charges,260.4749467,,,,334,percent of total billed charges,245.7356656,,,,334,percent of total billed charges,260.4749467,,,,334,percent of total billed charges,999999999,,,,334,percent of total billed charges,254.4850443,,,,334,percent of total billed charges,245.7356656,,,,334,percent of total billed charges,260.4749467,,,,238.142,percent of total billed charges,118.837216,,,,238.142,percent of total billed charges,71.1032375,,,,238.142,percent of total billed charges,118.837216,,,,238.142,percent of total billed charges,71.1032375,,,,238.142,percent of total billed charges,118.837216,,,,238.142,percent of total billed charges,71.1032375,,,,235.804,percent of total billed charges,234.0148909,,,,235.804,percent of total billed charges,161.3982155,,,,,,,,,,240.48,percent of total billed charges,156.306341,,,,,,,,,,240.48,percent of total billed charges,999999999,,,,,,,,,,267.2,percent of total billed charges,223.8997105,,,,263.86,percent of total billed charges,254.6362552,,,,263.86,percent of total billed charges,224.9795603,,,,267.2,percent of total billed charges,999999999,,,,267.2,percent of total billed charges,999999999,,,,233.8,percent of total billed charges,999999999,,,,233.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,177.688,percent of total billed charges,999999999,,,,,,,,,,,,,,,,168.67,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,83.5,percent of total billed charges,79.30457515,,,,,,,,,,83.5,percent of total billed charges,77.98539751,,,,,,,,,,83.5,percent of total billed charges,77.76867943,,,,,,,,,,83.5,percent of total billed charges,76.62353657,,,,,,,,,,83.5,percent of total billed charges,78.59517281,,,,,,,,,,83.5,percent of total billed charges,999999999,,,,,,,,,,83.5,percent of total billed charges,67.44019294,,,,,,,,,,83.5,percent of total billed charges,106.3578349,,,,,,,,,,83.5,percent of total billed charges,999999999,,,,,,,,,,83.5,percent of total billed charges,72.71702168,,,,,,,,,,300.6,percent of total billed charges,,,,,
CULTURE TYPING,87158,CDM,,,,both,,,144,144,30.65528803,144,144,percent of total billed charges,105.9459157,,,,144,percent of total billed charges,112.3005758,,,,144,percent of total billed charges,105.9459157,,,,144,percent of total billed charges,112.3005758,,,,144,percent of total billed charges,999999999,,,,144,percent of total billed charges,109.7181029,,,,144,percent of total billed charges,105.9459157,,,,144,percent of total billed charges,112.3005758,,,,102.672,percent of total billed charges,51.2352069,,,,102.672,percent of total billed charges,30.65528803,,,,102.672,percent of total billed charges,51.2352069,,,,102.672,percent of total billed charges,30.65528803,,,,102.672,percent of total billed charges,51.2352069,,,,102.672,percent of total billed charges,30.65528803,,,,101.664,percent of total billed charges,100.8926476,,,,101.664,percent of total billed charges,69.58485937,,,,,,,,,,103.68,percent of total billed charges,67.38956019,,,,,,,,,,103.68,percent of total billed charges,999999999,,,,,,,,,,115.2,percent of total billed charges,96.5316117,,,,113.76,percent of total billed charges,109.7832957,,,,113.76,percent of total billed charges,96.9971757,,,,115.2,percent of total billed charges,999999999,,,,115.2,percent of total billed charges,999999999,,,,100.8,percent of total billed charges,999999999,,,,100.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,76.608,percent of total billed charges,999999999,,,,,,,,,,,,,,,,72.72,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,36,percent of total billed charges,34.19119408,,,,,,,,,,36,percent of total billed charges,33.62244683,,,,,,,,,,36,percent of total billed charges,33.52901149,,,,,,,,,,36,percent of total billed charges,33.0352972,,,,,,,,,,36,percent of total billed charges,33.88534397,,,,,,,,,,36,percent of total billed charges,999999999,,,,,,,,,,36,percent of total billed charges,29.07601133,,,,,,,,,,36,percent of total billed charges,45.85487494,,,,,,,,,,36,percent of total billed charges,999999999,,,,,,,,,,36,percent of total billed charges,31.35105126,,,,,,,,,,129.6,percent of total billed charges,,,,,
CULTURE/FUNGUS OTHER(*),87102,CDM,,,,both,,,231,231,49.17619121,231,231,percent of total billed charges,169.9549064,,,,231,percent of total billed charges,180.1488404,,,,231,percent of total billed charges,169.9549064,,,,231,percent of total billed charges,180.1488404,,,,231,percent of total billed charges,999999999,,,,231,percent of total billed charges,176.0061235,,,,231,percent of total billed charges,169.9549064,,,,231,percent of total billed charges,180.1488404,,,,164.703,percent of total billed charges,82.18981107,,,,164.703,percent of total billed charges,49.17619121,,,,164.703,percent of total billed charges,82.18981107,,,,164.703,percent of total billed charges,49.17619121,,,,164.703,percent of total billed charges,82.18981107,,,,164.703,percent of total billed charges,49.17619121,,,,163.086,percent of total billed charges,161.8486222,,,,163.086,percent of total billed charges,111.6257119,,,,,,,,,,166.32,percent of total billed charges,108.1040861,,,,,,,,,,166.32,percent of total billed charges,999999999,,,,,,,,,,184.8,percent of total billed charges,154.8527938,,,,182.49,percent of total billed charges,176.1107034,,,,182.49,percent of total billed charges,155.599636,,,,184.8,percent of total billed charges,999999999,,,,184.8,percent of total billed charges,999999999,,,,161.7,percent of total billed charges,999999999,,,,161.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,122.892,percent of total billed charges,999999999,,,,,,,,,,,,,,,,116.655,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,57.75,percent of total billed charges,54.84837383,,,,,,,,,,57.75,percent of total billed charges,53.93600846,,,,,,,,,,57.75,percent of total billed charges,53.7861226,,,,,,,,,,57.75,percent of total billed charges,52.9941226,,,,,,,,,,57.75,percent of total billed charges,54.35773928,,,,,,,,,,57.75,percent of total billed charges,999999999,,,,,,,,,,57.75,percent of total billed charges,46.64276817,,,,,,,,,,57.75,percent of total billed charges,73.55886188,,,,,,,,,,57.75,percent of total billed charges,999999999,,,,,,,,,,57.75,percent of total billed charges,50.2923114,,,,,,,,,,207.9,percent of total billed charges,,,,,
CULTURE DNA PROBE,87149,CDM,,,,both,,,261,261,55.56270955,261,261,percent of total billed charges,192.0269722,,,,261,percent of total billed charges,203.5447937,,,,261,percent of total billed charges,192.0269722,,,,261,percent of total billed charges,203.5447937,,,,261,percent of total billed charges,999999999,,,,261,percent of total billed charges,198.8640616,,,,261,percent of total billed charges,192.0269722,,,,261,percent of total billed charges,203.5447937,,,,186.093,percent of total billed charges,92.86381251,,,,186.093,percent of total billed charges,55.56270955,,,,186.093,percent of total billed charges,92.86381251,,,,186.093,percent of total billed charges,55.56270955,,,,186.093,percent of total billed charges,92.86381251,,,,186.093,percent of total billed charges,55.56270955,,,,184.266,percent of total billed charges,182.8679238,,,,184.266,percent of total billed charges,126.1225576,,,,,,,,,,187.92,percent of total billed charges,122.1435778,,,,,,,,,,187.92,percent of total billed charges,999999999,,,,,,,,,,208.8,percent of total billed charges,174.9635462,,,,206.19,percent of total billed charges,198.9822234,,,,206.19,percent of total billed charges,175.807381,,,,208.8,percent of total billed charges,999999999,,,,208.8,percent of total billed charges,999999999,,,,182.7,percent of total billed charges,999999999,,,,182.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,138.852,percent of total billed charges,999999999,,,,,,,,,,,,,,,,131.805,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,65.25,percent of total billed charges,61.97153927,,,,,,,,,,65.25,percent of total billed charges,60.94068488,,,,,,,,,,65.25,percent of total billed charges,60.77133332,,,,,,,,,,65.25,percent of total billed charges,59.87647618,,,,,,,,,,65.25,percent of total billed charges,61.41718594,,,,,,,,,,65.25,percent of total billed charges,999999999,,,,,,,,,,65.25,percent of total billed charges,52.70027053,,,,,,,,,,65.25,percent of total billed charges,83.11196083,,,,,,,,,,65.25,percent of total billed charges,999999999,,,,,,,,,,65.25,percent of total billed charges,56.82378041,,,,,,,,,,234.9,percent of total billed charges,,,,,
CULTURE /ID FUNGUS SKIN (*),87101,CDM,,,,both,,,201,201,42.78967287,201,201,percent of total billed charges,147.8828407,,,,201,percent of total billed charges,156.7528871,,,,201,percent of total billed charges,147.8828407,,,,201,percent of total billed charges,156.7528871,,,,201,percent of total billed charges,999999999,,,,201,percent of total billed charges,153.1481854,,,,201,percent of total billed charges,147.8828407,,,,201,percent of total billed charges,156.7528871,,,,143.313,percent of total billed charges,71.51580963,,,,143.313,percent of total billed charges,42.78967287,,,,143.313,percent of total billed charges,71.51580963,,,,143.313,percent of total billed charges,42.78967287,,,,143.313,percent of total billed charges,71.51580963,,,,143.313,percent of total billed charges,42.78967287,,,,141.906,percent of total billed charges,140.8293206,,,,141.906,percent of total billed charges,97.1288662,,,,,,,,,,144.72,percent of total billed charges,94.06459443,,,,,,,,,,144.72,percent of total billed charges,999999999,,,,,,,,,,160.8,percent of total billed charges,134.7420413,,,,158.79,percent of total billed charges,153.2391835,,,,158.79,percent of total billed charges,135.3918911,,,,160.8,percent of total billed charges,999999999,,,,160.8,percent of total billed charges,999999999,,,,140.7,percent of total billed charges,999999999,,,,140.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,106.932,percent of total billed charges,999999999,,,,,,,,,,,,,,,,101.505,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,50.25,percent of total billed charges,47.7252084,,,,,,,,,,50.25,percent of total billed charges,46.93133203,,,,,,,,,,50.25,percent of total billed charges,46.80091187,,,,,,,,,,50.25,percent of total billed charges,46.11176901,,,,,,,,,,50.25,percent of total billed charges,47.29829262,,,,,,,,,,50.25,percent of total billed charges,999999999,,,,,,,,,,50.25,percent of total billed charges,40.58526581,,,,,,,,,,50.25,percent of total billed charges,64.00576294,,,,,,,,,,50.25,percent of total billed charges,999999999,,,,,,,,,,50.25,percent of total billed charges,43.76084239,,,,,,,,,,180.9,percent of total billed charges,,,,,
CULTURE STOOL,87045,CDM,,,,both,,,254,254,54.07252193,254,254,percent of total billed charges,186.8768235,,,,254,percent of total billed charges,198.0857379,,,,254,percent of total billed charges,186.8768235,,,,254,percent of total billed charges,198.0857379,,,,254,percent of total billed charges,999999999,,,,254,percent of total billed charges,193.5305427,,,,254,percent of total billed charges,186.8768235,,,,254,percent of total billed charges,198.0857379,,,,181.102,percent of total billed charges,90.37321217,,,,181.102,percent of total billed charges,54.07252193,,,,181.102,percent of total billed charges,90.37321217,,,,181.102,percent of total billed charges,54.07252193,,,,181.102,percent of total billed charges,90.37321217,,,,181.102,percent of total billed charges,54.07252193,,,,179.324,percent of total billed charges,177.9634201,,,,179.324,percent of total billed charges,122.7399603,,,,,,,,,,182.88,percent of total billed charges,118.8676964,,,,,,,,,,182.88,percent of total billed charges,999999999,,,,,,,,,,203.2,percent of total billed charges,170.2710373,,,,200.66,percent of total billed charges,193.6455354,,,,200.66,percent of total billed charges,171.0922405,,,,203.2,percent of total billed charges,999999999,,,,203.2,percent of total billed charges,999999999,,,,177.8,percent of total billed charges,999999999,,,,177.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,135.128,percent of total billed charges,999999999,,,,,,,,,,,,,,,,128.27,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,63.5,percent of total billed charges,60.30946733,,,,,,,,,,63.5,percent of total billed charges,59.30626038,,,,,,,,,,63.5,percent of total billed charges,59.14145082,,,,,,,,,,63.5,percent of total billed charges,58.27059368,,,,,,,,,,63.5,percent of total billed charges,59.76998172,,,,,,,,,,63.5,percent of total billed charges,999999999,,,,,,,,,,63.5,percent of total billed charges,51.28685332,,,,,,,,,,63.5,percent of total billed charges,80.88290441,,,,,,,,,,63.5,percent of total billed charges,999999999,,,,,,,,,,63.5,percent of total billed charges,55.29977098,,,,,,,,,,228.6,percent of total billed charges,,,,,
CULTURE/THROAT,87070,CDM,,,,both,,,219,219,46.62158387,219,219,percent of total billed charges,161.1260801,,,,219,percent of total billed charges,170.7904591,,,,219,percent of total billed charges,161.1260801,,,,219,percent of total billed charges,170.7904591,,,,219,percent of total billed charges,999999999,,,,219,percent of total billed charges,166.8629482,,,,219,percent of total billed charges,161.1260801,,,,219,percent of total billed charges,170.7904591,,,,156.147,percent of total billed charges,77.9202105,,,,156.147,percent of total billed charges,46.62158387,,,,156.147,percent of total billed charges,77.9202105,,,,156.147,percent of total billed charges,46.62158387,,,,156.147,percent of total billed charges,77.9202105,,,,156.147,percent of total billed charges,46.62158387,,,,154.614,percent of total billed charges,153.4409015,,,,154.614,percent of total billed charges,105.8269736,,,,,,,,,,157.68,percent of total billed charges,102.4882895,,,,,,,,,,157.68,percent of total billed charges,999999999,,,,,,,,,,175.2,percent of total billed charges,146.8084928,,,,173.01,percent of total billed charges,166.9620955,,,,173.01,percent of total billed charges,147.516538,,,,175.2,percent of total billed charges,999999999,,,,175.2,percent of total billed charges,999999999,,,,153.3,percent of total billed charges,999999999,,,,153.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,116.508,percent of total billed charges,999999999,,,,,,,,,,,,,,,,110.595,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,54.75,percent of total billed charges,51.99910766,,,,,,,,,,54.75,percent of total billed charges,51.13413789,,,,,,,,,,54.75,percent of total billed charges,50.99203831,,,,,,,,,,54.75,percent of total billed charges,50.24118116,,,,,,,,,,54.75,percent of total billed charges,51.53396061,,,,,,,,,,54.75,percent of total billed charges,999999999,,,,,,,,,,54.75,percent of total billed charges,44.21976723,,,,,,,,,,54.75,percent of total billed charges,69.7376223,,,,,,,,,,54.75,percent of total billed charges,999999999,,,,,,,,,,54.75,percent of total billed charges,47.67972379,,,,,,,,,,197.1,percent of total billed charges,,,,,
CULTURE/GC ONLY,87070,CDM,,,,both,,,219,219,46.62158387,219,219,percent of total billed charges,161.1260801,,,,219,percent of total billed charges,170.7904591,,,,219,percent of total billed charges,161.1260801,,,,219,percent of total billed charges,170.7904591,,,,219,percent of total billed charges,999999999,,,,219,percent of total billed charges,166.8629482,,,,219,percent of total billed charges,161.1260801,,,,219,percent of total billed charges,170.7904591,,,,156.147,percent of total billed charges,77.9202105,,,,156.147,percent of total billed charges,46.62158387,,,,156.147,percent of total billed charges,77.9202105,,,,156.147,percent of total billed charges,46.62158387,,,,156.147,percent of total billed charges,77.9202105,,,,156.147,percent of total billed charges,46.62158387,,,,154.614,percent of total billed charges,153.4409015,,,,154.614,percent of total billed charges,105.8269736,,,,,,,,,,157.68,percent of total billed charges,102.4882895,,,,,,,,,,157.68,percent of total billed charges,999999999,,,,,,,,,,175.2,percent of total billed charges,146.8084928,,,,173.01,percent of total billed charges,166.9620955,,,,173.01,percent of total billed charges,147.516538,,,,175.2,percent of total billed charges,999999999,,,,175.2,percent of total billed charges,999999999,,,,153.3,percent of total billed charges,999999999,,,,153.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,116.508,percent of total billed charges,999999999,,,,,,,,,,,,,,,,110.595,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,54.75,percent of total billed charges,51.99910766,,,,,,,,,,54.75,percent of total billed charges,51.13413789,,,,,,,,,,54.75,percent of total billed charges,50.99203831,,,,,,,,,,54.75,percent of total billed charges,50.24118116,,,,,,,,,,54.75,percent of total billed charges,51.53396061,,,,,,,,,,54.75,percent of total billed charges,999999999,,,,,,,,,,54.75,percent of total billed charges,44.21976723,,,,,,,,,,54.75,percent of total billed charges,69.7376223,,,,,,,,,,54.75,percent of total billed charges,999999999,,,,,,,,,,54.75,percent of total billed charges,47.67972379,,,,,,,,,,197.1,percent of total billed charges,,,,,
CULTURE/EYE,87070,CDM,,,,both,,,219,219,46.62158387,219,219,percent of total billed charges,161.1260801,,,,219,percent of total billed charges,170.7904591,,,,219,percent of total billed charges,161.1260801,,,,219,percent of total billed charges,170.7904591,,,,219,percent of total billed charges,999999999,,,,219,percent of total billed charges,166.8629482,,,,219,percent of total billed charges,161.1260801,,,,219,percent of total billed charges,170.7904591,,,,156.147,percent of total billed charges,77.9202105,,,,156.147,percent of total billed charges,46.62158387,,,,156.147,percent of total billed charges,77.9202105,,,,156.147,percent of total billed charges,46.62158387,,,,156.147,percent of total billed charges,77.9202105,,,,156.147,percent of total billed charges,46.62158387,,,,154.614,percent of total billed charges,153.4409015,,,,154.614,percent of total billed charges,105.8269736,,,,,,,,,,157.68,percent of total billed charges,102.4882895,,,,,,,,,,157.68,percent of total billed charges,999999999,,,,,,,,,,175.2,percent of total billed charges,146.8084928,,,,173.01,percent of total billed charges,166.9620955,,,,173.01,percent of total billed charges,147.516538,,,,175.2,percent of total billed charges,999999999,,,,175.2,percent of total billed charges,999999999,,,,153.3,percent of total billed charges,999999999,,,,153.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,116.508,percent of total billed charges,999999999,,,,,,,,,,,,,,,,110.595,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,54.75,percent of total billed charges,51.99910766,,,,,,,,,,54.75,percent of total billed charges,51.13413789,,,,,,,,,,54.75,percent of total billed charges,50.99203831,,,,,,,,,,54.75,percent of total billed charges,50.24118116,,,,,,,,,,54.75,percent of total billed charges,51.53396061,,,,,,,,,,54.75,percent of total billed charges,999999999,,,,,,,,,,54.75,percent of total billed charges,44.21976723,,,,,,,,,,54.75,percent of total billed charges,69.7376223,,,,,,,,,,54.75,percent of total billed charges,999999999,,,,,,,,,,54.75,percent of total billed charges,47.67972379,,,,,,,,,,197.1,percent of total billed charges,,,,,
CULTURE/EAR,87070,CDM,,,,both,,,219,219,46.62158387,219,219,percent of total billed charges,161.1260801,,,,219,percent of total billed charges,170.7904591,,,,219,percent of total billed charges,161.1260801,,,,219,percent of total billed charges,170.7904591,,,,219,percent of total billed charges,999999999,,,,219,percent of total billed charges,166.8629482,,,,219,percent of total billed charges,161.1260801,,,,219,percent of total billed charges,170.7904591,,,,156.147,percent of total billed charges,77.9202105,,,,156.147,percent of total billed charges,46.62158387,,,,156.147,percent of total billed charges,77.9202105,,,,156.147,percent of total billed charges,46.62158387,,,,156.147,percent of total billed charges,77.9202105,,,,156.147,percent of total billed charges,46.62158387,,,,154.614,percent of total billed charges,153.4409015,,,,154.614,percent of total billed charges,105.8269736,,,,,,,,,,157.68,percent of total billed charges,102.4882895,,,,,,,,,,157.68,percent of total billed charges,999999999,,,,,,,,,,175.2,percent of total billed charges,146.8084928,,,,173.01,percent of total billed charges,166.9620955,,,,173.01,percent of total billed charges,147.516538,,,,175.2,percent of total billed charges,999999999,,,,175.2,percent of total billed charges,999999999,,,,153.3,percent of total billed charges,999999999,,,,153.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,116.508,percent of total billed charges,999999999,,,,,,,,,,,,,,,,110.595,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,54.75,percent of total billed charges,51.99910766,,,,,,,,,,54.75,percent of total billed charges,51.13413789,,,,,,,,,,54.75,percent of total billed charges,50.99203831,,,,,,,,,,54.75,percent of total billed charges,50.24118116,,,,,,,,,,54.75,percent of total billed charges,51.53396061,,,,,,,,,,54.75,percent of total billed charges,999999999,,,,,,,,,,54.75,percent of total billed charges,44.21976723,,,,,,,,,,54.75,percent of total billed charges,69.7376223,,,,,,,,,,54.75,percent of total billed charges,999999999,,,,,,,,,,54.75,percent of total billed charges,47.67972379,,,,,,,,,,197.1,percent of total billed charges,,,,,
CULTURE EAR TEST,87070,CDM,,,,both,,,219,219,46.62158387,219,219,percent of total billed charges,161.1260801,,,,219,percent of total billed charges,170.7904591,,,,219,percent of total billed charges,161.1260801,,,,219,percent of total billed charges,170.7904591,,,,219,percent of total billed charges,999999999,,,,219,percent of total billed charges,166.8629482,,,,219,percent of total billed charges,161.1260801,,,,219,percent of total billed charges,170.7904591,,,,156.147,percent of total billed charges,77.9202105,,,,156.147,percent of total billed charges,46.62158387,,,,156.147,percent of total billed charges,77.9202105,,,,156.147,percent of total billed charges,46.62158387,,,,156.147,percent of total billed charges,77.9202105,,,,156.147,percent of total billed charges,46.62158387,,,,154.614,percent of total billed charges,153.4409015,,,,154.614,percent of total billed charges,105.8269736,,,,,,,,,,157.68,percent of total billed charges,102.4882895,,,,,,,,,,157.68,percent of total billed charges,999999999,,,,,,,,,,175.2,percent of total billed charges,146.8084928,,,,173.01,percent of total billed charges,166.9620955,,,,173.01,percent of total billed charges,147.516538,,,,175.2,percent of total billed charges,999999999,,,,175.2,percent of total billed charges,999999999,,,,153.3,percent of total billed charges,999999999,,,,153.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,116.508,percent of total billed charges,999999999,,,,,,,,,,,,,,,,110.595,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,54.75,percent of total billed charges,51.99910766,,,,,,,,,,54.75,percent of total billed charges,51.13413789,,,,,,,,,,54.75,percent of total billed charges,50.99203831,,,,,,,,,,54.75,percent of total billed charges,50.24118116,,,,,,,,,,54.75,percent of total billed charges,51.53396061,,,,,,,,,,54.75,percent of total billed charges,999999999,,,,,,,,,,54.75,percent of total billed charges,44.21976723,,,,,,,,,,54.75,percent of total billed charges,69.7376223,,,,,,,,,,54.75,percent of total billed charges,999999999,,,,,,,,,,54.75,percent of total billed charges,47.67972379,,,,,,,,,,197.1,percent of total billed charges,,,,,
"CX ACID FAST ANY SOURCE (TB,AFB,MYCOB)",87116,CDM,,,,both,,,290,290,61.73634394,290,290,percent of total billed charges,213.3633025,,,,290,percent of total billed charges,226.1608819,,,,290,percent of total billed charges,213.3633025,,,,290,percent of total billed charges,226.1608819,,,,290,percent of total billed charges,999999999,,,,290,percent of total billed charges,220.9600684,,,,290,percent of total billed charges,213.3633025,,,,290,percent of total billed charges,226.1608819,,,,206.77,percent of total billed charges,103.1820139,,,,206.77,percent of total billed charges,61.73634394,,,,206.77,percent of total billed charges,103.1820139,,,,206.77,percent of total billed charges,61.73634394,,,,206.77,percent of total billed charges,103.1820139,,,,206.77,percent of total billed charges,61.73634394,,,,204.74,percent of total billed charges,203.186582,,,,204.74,percent of total billed charges,140.1361751,,,,,,,,,,208.8,percent of total billed charges,135.7150865,,,,,,,,,,208.8,percent of total billed charges,999999999,,,,,,,,,,232,percent of total billed charges,194.4039402,,,,229.1,percent of total billed charges,221.0913593,,,,229.1,percent of total billed charges,195.3415344,,,,232,percent of total billed charges,999999999,,,,232,percent of total billed charges,999999999,,,,203,percent of total billed charges,999999999,,,,203,percent of total billed charges,999999999,,,,,,,,,,,,,,,,154.28,percent of total billed charges,999999999,,,,,,,,,,,,,,,,146.45,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,72.5,percent of total billed charges,68.85726585,,,,,,,,,,72.5,percent of total billed charges,67.71187209,,,,,,,,,,72.5,percent of total billed charges,67.52370369,,,,,,,,,,72.5,percent of total billed charges,66.52941798,,,,,,,,,,72.5,percent of total billed charges,68.24131771,,,,,,,,,,72.5,percent of total billed charges,999999999,,,,,,,,,,72.5,percent of total billed charges,58.55585615,,,,,,,,,,72.5,percent of total billed charges,92.34662314,,,,,,,,,,72.5,percent of total billed charges,999999999,,,,,,,,,,72.5,percent of total billed charges,63.13753379,,,,,,,,,,261,percent of total billed charges,,,,,
CULTURE AFB(*),87118,CDM,,,,both,,,309,309,65.78113889,309,309,percent of total billed charges,227.3422774,,,,309,percent of total billed charges,240.978319,,,,309,percent of total billed charges,227.3422774,,,,309,percent of total billed charges,240.978319,,,,309,percent of total billed charges,999999999,,,,309,percent of total billed charges,235.4367626,,,,309,percent of total billed charges,227.3422774,,,,309,percent of total billed charges,240.978319,,,,220.317,percent of total billed charges,109.9422148,,,,220.317,percent of total billed charges,65.78113889,,,,220.317,percent of total billed charges,109.9422148,,,,220.317,percent of total billed charges,65.78113889,,,,220.317,percent of total billed charges,109.9422148,,,,220.317,percent of total billed charges,65.78113889,,,,218.154,percent of total billed charges,216.4988063,,,,218.154,percent of total billed charges,149.3175107,,,,,,,,,,222.48,percent of total billed charges,144.6067646,,,,,,,,,,222.48,percent of total billed charges,999999999,,,,,,,,,,247.2,percent of total billed charges,207.1407501,,,,244.11,percent of total billed charges,235.5766553,,,,244.11,percent of total billed charges,208.1397729,,,,247.2,percent of total billed charges,999999999,,,,247.2,percent of total billed charges,999999999,,,,216.3,percent of total billed charges,999999999,,,,216.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,164.388,percent of total billed charges,999999999,,,,,,,,,,,,,,,,156.045,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,77.25,percent of total billed charges,73.36860396,,,,,,,,,,77.25,percent of total billed charges,72.14816715,,,,,,,,,,77.25,percent of total billed charges,71.94767049,,,,,,,,,,77.25,percent of total billed charges,70.88824191,,,,,,,,,,77.25,percent of total billed charges,72.71230059,,,,,,,,,,77.25,percent of total billed charges,999999999,,,,,,,,,,77.25,percent of total billed charges,62.39227431,,,,,,,,,,77.25,percent of total billed charges,98.39691914,,,,,,,,,,77.25,percent of total billed charges,999999999,,,,,,,,,,77.25,percent of total billed charges,67.27413083,,,,,,,,,,278.1,percent of total billed charges,,,,,
CULTURE/C S F,87070,CDM,,,,both,,,219,219,46.62158387,219,219,percent of total billed charges,161.1260801,,,,219,percent of total billed charges,170.7904591,,,,219,percent of total billed charges,161.1260801,,,,219,percent of total billed charges,170.7904591,,,,219,percent of total billed charges,999999999,,,,219,percent of total billed charges,166.8629482,,,,219,percent of total billed charges,161.1260801,,,,219,percent of total billed charges,170.7904591,,,,156.147,percent of total billed charges,77.9202105,,,,156.147,percent of total billed charges,46.62158387,,,,156.147,percent of total billed charges,77.9202105,,,,156.147,percent of total billed charges,46.62158387,,,,156.147,percent of total billed charges,77.9202105,,,,156.147,percent of total billed charges,46.62158387,,,,154.614,percent of total billed charges,153.4409015,,,,154.614,percent of total billed charges,105.8269736,,,,,,,,,,157.68,percent of total billed charges,102.4882895,,,,,,,,,,157.68,percent of total billed charges,999999999,,,,,,,,,,175.2,percent of total billed charges,146.8084928,,,,173.01,percent of total billed charges,166.9620955,,,,173.01,percent of total billed charges,147.516538,,,,175.2,percent of total billed charges,999999999,,,,175.2,percent of total billed charges,999999999,,,,153.3,percent of total billed charges,999999999,,,,153.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,116.508,percent of total billed charges,999999999,,,,,,,,,,,,,,,,110.595,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,54.75,percent of total billed charges,51.99910766,,,,,,,,,,54.75,percent of total billed charges,51.13413789,,,,,,,,,,54.75,percent of total billed charges,50.99203831,,,,,,,,,,54.75,percent of total billed charges,50.24118116,,,,,,,,,,54.75,percent of total billed charges,51.53396061,,,,,,,,,,54.75,percent of total billed charges,999999999,,,,,,,,,,54.75,percent of total billed charges,44.21976723,,,,,,,,,,54.75,percent of total billed charges,69.7376223,,,,,,,,,,54.75,percent of total billed charges,999999999,,,,,,,,,,54.75,percent of total billed charges,47.67972379,,,,,,,,,,197.1,percent of total billed charges,,,,,
CULTURE/URINE,87088,CDM,,,,both,,,128,128,27.24914491,128,128,percent of total billed charges,94.17414729,,,,128,percent of total billed charges,99.82273408,,,,128,percent of total billed charges,94.17414729,,,,128,percent of total billed charges,99.82273408,,,,128,percent of total billed charges,999999999,,,,128,percent of total billed charges,97.52720261,,,,128,percent of total billed charges,94.17414729,,,,128,percent of total billed charges,99.82273408,,,,91.264,percent of total billed charges,45.54240613,,,,91.264,percent of total billed charges,27.24914491,,,,91.264,percent of total billed charges,45.54240613,,,,91.264,percent of total billed charges,27.24914491,,,,91.264,percent of total billed charges,45.54240613,,,,91.264,percent of total billed charges,27.24914491,,,,90.368,percent of total billed charges,89.68235342,,,,90.368,percent of total billed charges,61.85320833,,,,,,,,,,92.16,percent of total billed charges,59.90183128,,,,,,,,,,92.16,percent of total billed charges,999999999,,,,,,,,,,102.4,percent of total billed charges,85.80587707,,,,101.12,percent of total billed charges,97.58515169,,,,101.12,percent of total billed charges,86.21971174,,,,102.4,percent of total billed charges,999999999,,,,102.4,percent of total billed charges,999999999,,,,89.6,percent of total billed charges,999999999,,,,89.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,68.096,percent of total billed charges,999999999,,,,,,,,,,,,,,,,64.64,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,32,percent of total billed charges,30.39217251,,,,,,,,,,32,percent of total billed charges,29.8866194,,,,,,,,,,32,percent of total billed charges,29.80356577,,,,,,,,,,32,percent of total billed charges,29.36470862,,,,,,,,,,32,percent of total billed charges,30.12030575,,,,,,,,,,32,percent of total billed charges,999999999,,,,,,,,,,32,percent of total billed charges,25.8453434,,,,,,,,,,32,percent of total billed charges,40.75988883,,,,,,,,,,32,percent of total billed charges,999999999,,,,,,,,,,32,percent of total billed charges,27.86760112,,,,,,,,,,115.2,percent of total billed charges,,,,,
CULTURE/NOSE,87070,CDM,,,,both,,,260,260,55.3498256,260,260,percent of total billed charges,191.2912367,,,,260,percent of total billed charges,202.7649286,,,,260,percent of total billed charges,191.2912367,,,,260,percent of total billed charges,202.7649286,,,,260,percent of total billed charges,999999999,,,,260,percent of total billed charges,198.1021303,,,,260,percent of total billed charges,191.2912367,,,,260,percent of total billed charges,202.7649286,,,,185.38,percent of total billed charges,92.50801246,,,,185.38,percent of total billed charges,55.3498256,,,,185.38,percent of total billed charges,92.50801246,,,,185.38,percent of total billed charges,55.3498256,,,,185.38,percent of total billed charges,92.50801246,,,,185.38,percent of total billed charges,55.3498256,,,,183.56,percent of total billed charges,182.1672804,,,,183.56,percent of total billed charges,125.6393294,,,,,,,,,,187.2,percent of total billed charges,121.6755948,,,,,,,,,,187.2,percent of total billed charges,999999999,,,,,,,,,,208,percent of total billed charges,174.2931878,,,,205.4,percent of total billed charges,198.2198394,,,,205.4,percent of total billed charges,175.1337895,,,,208,percent of total billed charges,999999999,,,,208,percent of total billed charges,999999999,,,,182,percent of total billed charges,999999999,,,,182,percent of total billed charges,999999999,,,,,,,,,,,,,,,,138.32,percent of total billed charges,999999999,,,,,,,,,,,,,,,,131.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,65,percent of total billed charges,61.73410042,,,,,,,,,,65,percent of total billed charges,60.70719566,,,,,,,,,,65,percent of total billed charges,60.53849297,,,,,,,,,,65,percent of total billed charges,59.64706439,,,,,,,,,,65,percent of total billed charges,61.18187105,,,,,,,,,,65,percent of total billed charges,999999999,,,,,,,,,,65,percent of total billed charges,52.49835379,,,,,,,,,,65,percent of total billed charges,82.79352419,,,,,,,,,,65,percent of total billed charges,999999999,,,,,,,,,,65,percent of total billed charges,56.60606478,,,,,,,,,,234,percent of total billed charges,,,,,
CULTURE/VAGINAL,87070,CDM,,,,both,,,219,219,46.62158387,219,219,percent of total billed charges,161.1260801,,,,219,percent of total billed charges,170.7904591,,,,219,percent of total billed charges,161.1260801,,,,219,percent of total billed charges,170.7904591,,,,219,percent of total billed charges,999999999,,,,219,percent of total billed charges,166.8629482,,,,219,percent of total billed charges,161.1260801,,,,219,percent of total billed charges,170.7904591,,,,156.147,percent of total billed charges,77.9202105,,,,156.147,percent of total billed charges,46.62158387,,,,156.147,percent of total billed charges,77.9202105,,,,156.147,percent of total billed charges,46.62158387,,,,156.147,percent of total billed charges,77.9202105,,,,156.147,percent of total billed charges,46.62158387,,,,154.614,percent of total billed charges,153.4409015,,,,154.614,percent of total billed charges,105.8269736,,,,,,,,,,157.68,percent of total billed charges,102.4882895,,,,,,,,,,157.68,percent of total billed charges,999999999,,,,,,,,,,175.2,percent of total billed charges,146.8084928,,,,173.01,percent of total billed charges,166.9620955,,,,173.01,percent of total billed charges,147.516538,,,,175.2,percent of total billed charges,999999999,,,,175.2,percent of total billed charges,999999999,,,,153.3,percent of total billed charges,999999999,,,,153.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,116.508,percent of total billed charges,999999999,,,,,,,,,,,,,,,,110.595,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,54.75,percent of total billed charges,51.99910766,,,,,,,,,,54.75,percent of total billed charges,51.13413789,,,,,,,,,,54.75,percent of total billed charges,50.99203831,,,,,,,,,,54.75,percent of total billed charges,50.24118116,,,,,,,,,,54.75,percent of total billed charges,51.53396061,,,,,,,,,,54.75,percent of total billed charges,999999999,,,,,,,,,,54.75,percent of total billed charges,44.21976723,,,,,,,,,,54.75,percent of total billed charges,69.7376223,,,,,,,,,,54.75,percent of total billed charges,999999999,,,,,,,,,,54.75,percent of total billed charges,47.67972379,,,,,,,,,,197.1,percent of total billed charges,,,,,
CULTURE/SPUTUM/AND OR BRONCH WASHING,87070,CDM,,,,both,,,219,219,46.62158387,219,219,percent of total billed charges,161.1260801,,,,219,percent of total billed charges,170.7904591,,,,219,percent of total billed charges,161.1260801,,,,219,percent of total billed charges,170.7904591,,,,219,percent of total billed charges,999999999,,,,219,percent of total billed charges,166.8629482,,,,219,percent of total billed charges,161.1260801,,,,219,percent of total billed charges,170.7904591,,,,156.147,percent of total billed charges,77.9202105,,,,156.147,percent of total billed charges,46.62158387,,,,156.147,percent of total billed charges,77.9202105,,,,156.147,percent of total billed charges,46.62158387,,,,156.147,percent of total billed charges,77.9202105,,,,156.147,percent of total billed charges,46.62158387,,,,154.614,percent of total billed charges,153.4409015,,,,154.614,percent of total billed charges,105.8269736,,,,,,,,,,157.68,percent of total billed charges,102.4882895,,,,,,,,,,157.68,percent of total billed charges,999999999,,,,,,,,,,175.2,percent of total billed charges,146.8084928,,,,173.01,percent of total billed charges,166.9620955,,,,173.01,percent of total billed charges,147.516538,,,,175.2,percent of total billed charges,999999999,,,,175.2,percent of total billed charges,999999999,,,,153.3,percent of total billed charges,999999999,,,,153.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,116.508,percent of total billed charges,999999999,,,,,,,,,,,,,,,,110.595,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,54.75,percent of total billed charges,51.99910766,,,,,,,,,,54.75,percent of total billed charges,51.13413789,,,,,,,,,,54.75,percent of total billed charges,50.99203831,,,,,,,,,,54.75,percent of total billed charges,50.24118116,,,,,,,,,,54.75,percent of total billed charges,51.53396061,,,,,,,,,,54.75,percent of total billed charges,999999999,,,,,,,,,,54.75,percent of total billed charges,44.21976723,,,,,,,,,,54.75,percent of total billed charges,69.7376223,,,,,,,,,,54.75,percent of total billed charges,999999999,,,,,,,,,,54.75,percent of total billed charges,47.67972379,,,,,,,,,,197.1,percent of total billed charges,,,,,
CULTURE/NASAL MRSA,87070,CDM,,,,both,,,219,219,46.62158387,219,219,percent of total billed charges,161.1260801,,,,219,percent of total billed charges,170.7904591,,,,219,percent of total billed charges,161.1260801,,,,219,percent of total billed charges,170.7904591,,,,219,percent of total billed charges,999999999,,,,219,percent of total billed charges,166.8629482,,,,219,percent of total billed charges,161.1260801,,,,219,percent of total billed charges,170.7904591,,,,156.147,percent of total billed charges,77.9202105,,,,156.147,percent of total billed charges,46.62158387,,,,156.147,percent of total billed charges,77.9202105,,,,156.147,percent of total billed charges,46.62158387,,,,156.147,percent of total billed charges,77.9202105,,,,156.147,percent of total billed charges,46.62158387,,,,154.614,percent of total billed charges,153.4409015,,,,154.614,percent of total billed charges,105.8269736,,,,,,,,,,157.68,percent of total billed charges,102.4882895,,,,,,,,,,157.68,percent of total billed charges,999999999,,,,,,,,,,175.2,percent of total billed charges,146.8084928,,,,173.01,percent of total billed charges,166.9620955,,,,173.01,percent of total billed charges,147.516538,,,,175.2,percent of total billed charges,999999999,,,,175.2,percent of total billed charges,999999999,,,,153.3,percent of total billed charges,999999999,,,,153.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,116.508,percent of total billed charges,999999999,,,,,,,,,,,,,,,,110.595,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,54.75,percent of total billed charges,51.99910766,,,,,,,,,,54.75,percent of total billed charges,51.13413789,,,,,,,,,,54.75,percent of total billed charges,50.99203831,,,,,,,,,,54.75,percent of total billed charges,50.24118116,,,,,,,,,,54.75,percent of total billed charges,51.53396061,,,,,,,,,,54.75,percent of total billed charges,999999999,,,,,,,,,,54.75,percent of total billed charges,44.21976723,,,,,,,,,,54.75,percent of total billed charges,69.7376223,,,,,,,,,,54.75,percent of total billed charges,999999999,,,,,,,,,,54.75,percent of total billed charges,47.67972379,,,,,,,,,,197.1,percent of total billed charges,,,,,
CULTURE/WOUND,87070,CDM,,,,both,,,219,219,46.62158387,219,219,percent of total billed charges,161.1260801,,,,219,percent of total billed charges,170.7904591,,,,219,percent of total billed charges,161.1260801,,,,219,percent of total billed charges,170.7904591,,,,219,percent of total billed charges,999999999,,,,219,percent of total billed charges,166.8629482,,,,219,percent of total billed charges,161.1260801,,,,219,percent of total billed charges,170.7904591,,,,156.147,percent of total billed charges,77.9202105,,,,156.147,percent of total billed charges,46.62158387,,,,156.147,percent of total billed charges,77.9202105,,,,156.147,percent of total billed charges,46.62158387,,,,156.147,percent of total billed charges,77.9202105,,,,156.147,percent of total billed charges,46.62158387,,,,154.614,percent of total billed charges,153.4409015,,,,154.614,percent of total billed charges,105.8269736,,,,,,,,,,157.68,percent of total billed charges,102.4882895,,,,,,,,,,157.68,percent of total billed charges,999999999,,,,,,,,,,175.2,percent of total billed charges,146.8084928,,,,173.01,percent of total billed charges,166.9620955,,,,173.01,percent of total billed charges,147.516538,,,,175.2,percent of total billed charges,999999999,,,,175.2,percent of total billed charges,999999999,,,,153.3,percent of total billed charges,999999999,,,,153.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,116.508,percent of total billed charges,999999999,,,,,,,,,,,,,,,,110.595,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,54.75,percent of total billed charges,51.99910766,,,,,,,,,,54.75,percent of total billed charges,51.13413789,,,,,,,,,,54.75,percent of total billed charges,50.99203831,,,,,,,,,,54.75,percent of total billed charges,50.24118116,,,,,,,,,,54.75,percent of total billed charges,51.53396061,,,,,,,,,,54.75,percent of total billed charges,999999999,,,,,,,,,,54.75,percent of total billed charges,44.21976723,,,,,,,,,,54.75,percent of total billed charges,69.7376223,,,,,,,,,,54.75,percent of total billed charges,999999999,,,,,,,,,,54.75,percent of total billed charges,47.67972379,,,,,,,,,,197.1,percent of total billed charges,,,,,
CULTURE/STERILE BODY FL,87070,CDM,,,,both,,,219,219,46.62158387,219,219,percent of total billed charges,161.1260801,,,,219,percent of total billed charges,170.7904591,,,,219,percent of total billed charges,161.1260801,,,,219,percent of total billed charges,170.7904591,,,,219,percent of total billed charges,999999999,,,,219,percent of total billed charges,166.8629482,,,,219,percent of total billed charges,161.1260801,,,,219,percent of total billed charges,170.7904591,,,,156.147,percent of total billed charges,77.9202105,,,,156.147,percent of total billed charges,46.62158387,,,,156.147,percent of total billed charges,77.9202105,,,,156.147,percent of total billed charges,46.62158387,,,,156.147,percent of total billed charges,77.9202105,,,,156.147,percent of total billed charges,46.62158387,,,,154.614,percent of total billed charges,153.4409015,,,,154.614,percent of total billed charges,105.8269736,,,,,,,,,,157.68,percent of total billed charges,102.4882895,,,,,,,,,,157.68,percent of total billed charges,999999999,,,,,,,,,,175.2,percent of total billed charges,146.8084928,,,,173.01,percent of total billed charges,166.9620955,,,,173.01,percent of total billed charges,147.516538,,,,175.2,percent of total billed charges,999999999,,,,175.2,percent of total billed charges,999999999,,,,153.3,percent of total billed charges,999999999,,,,153.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,116.508,percent of total billed charges,999999999,,,,,,,,,,,,,,,,110.595,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,54.75,percent of total billed charges,51.99910766,,,,,,,,,,54.75,percent of total billed charges,51.13413789,,,,,,,,,,54.75,percent of total billed charges,50.99203831,,,,,,,,,,54.75,percent of total billed charges,50.24118116,,,,,,,,,,54.75,percent of total billed charges,51.53396061,,,,,,,,,,54.75,percent of total billed charges,999999999,,,,,,,,,,54.75,percent of total billed charges,44.21976723,,,,,,,,,,54.75,percent of total billed charges,69.7376223,,,,,,,,,,54.75,percent of total billed charges,999999999,,,,,,,,,,54.75,percent of total billed charges,47.67972379,,,,,,,,,,197.1,percent of total billed charges,,,,,
CULTURE/RECTAL,87070,CDM,,,,both,,,260,260,55.3498256,260,260,percent of total billed charges,191.2912367,,,,260,percent of total billed charges,202.7649286,,,,260,percent of total billed charges,191.2912367,,,,260,percent of total billed charges,202.7649286,,,,260,percent of total billed charges,999999999,,,,260,percent of total billed charges,198.1021303,,,,260,percent of total billed charges,191.2912367,,,,260,percent of total billed charges,202.7649286,,,,185.38,percent of total billed charges,92.50801246,,,,185.38,percent of total billed charges,55.3498256,,,,185.38,percent of total billed charges,92.50801246,,,,185.38,percent of total billed charges,55.3498256,,,,185.38,percent of total billed charges,92.50801246,,,,185.38,percent of total billed charges,55.3498256,,,,183.56,percent of total billed charges,182.1672804,,,,183.56,percent of total billed charges,125.6393294,,,,,,,,,,187.2,percent of total billed charges,121.6755948,,,,,,,,,,187.2,percent of total billed charges,999999999,,,,,,,,,,208,percent of total billed charges,174.2931878,,,,205.4,percent of total billed charges,198.2198394,,,,205.4,percent of total billed charges,175.1337895,,,,208,percent of total billed charges,999999999,,,,208,percent of total billed charges,999999999,,,,182,percent of total billed charges,999999999,,,,182,percent of total billed charges,999999999,,,,,,,,,,,,,,,,138.32,percent of total billed charges,999999999,,,,,,,,,,,,,,,,131.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,65,percent of total billed charges,61.73410042,,,,,,,,,,65,percent of total billed charges,60.70719566,,,,,,,,,,65,percent of total billed charges,60.53849297,,,,,,,,,,65,percent of total billed charges,59.64706439,,,,,,,,,,65,percent of total billed charges,61.18187105,,,,,,,,,,65,percent of total billed charges,999999999,,,,,,,,,,65,percent of total billed charges,52.49835379,,,,,,,,,,65,percent of total billed charges,82.79352419,,,,,,,,,,65,percent of total billed charges,999999999,,,,,,,,,,65,percent of total billed charges,56.60606478,,,,,,,,,,234,percent of total billed charges,,,,,
TISSUE CULTURE BONE MARROW,88237,CDM,,,,both,,,873,873,185.8476837,873,873,percent of total billed charges,642.297114,,,,873,percent of total billed charges,680.822241,,,,873,percent of total billed charges,642.297114,,,,873,percent of total billed charges,680.822241,,,,873,percent of total billed charges,999999999,,,,873,percent of total billed charges,665.1659991,,,,873,percent of total billed charges,642.297114,,,,873,percent of total billed charges,680.822241,,,,622.449,percent of total billed charges,310.6134418,,,,622.449,percent of total billed charges,185.8476837,,,,622.449,percent of total billed charges,310.6134418,,,,622.449,percent of total billed charges,185.8476837,,,,622.449,percent of total billed charges,310.6134418,,,,622.449,percent of total billed charges,185.8476837,,,,616.338,percent of total billed charges,611.661676,,,,616.338,percent of total billed charges,421.8582099,,,,,,,,,,628.56,percent of total billed charges,408.5492087,,,,,,,,,,628.56,percent of total billed charges,999999999,,,,,,,,,,698.4,percent of total billed charges,585.2228959,,,,689.67,percent of total billed charges,665.5612299,,,,689.67,percent of total billed charges,588.0453777,,,,698.4,percent of total billed charges,999999999,,,,698.4,percent of total billed charges,999999999,,,,611.1,percent of total billed charges,999999999,,,,611.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,464.436,percent of total billed charges,999999999,,,,,,,,,,,,,,,,440.865,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,218.25,percent of total billed charges,207.2841141,,,,,,,,,,218.25,percent of total billed charges,203.8360839,,,,,,,,,,218.25,percent of total billed charges,203.2696322,,,,,,,,,,218.25,percent of total billed charges,200.2764893,,,,,,,,,,218.25,percent of total billed charges,205.4298978,,,,,,,,,,218.25,percent of total billed charges,999999999,,,,,,,,,,218.25,percent of total billed charges,176.2733187,,,,,,,,,,218.25,percent of total billed charges,277.9951793,,,,,,,,,,218.25,percent of total billed charges,999999999,,,,,,,,,,218.25,percent of total billed charges,190.0657483,,,,,,,,,,785.7,percent of total billed charges,,,,,
AGENT DETECTION GI,87505,CDM,,,,both,,,744,744,158.3856548,744,744,percent of total billed charges,547.3872311,,,,744,percent of total billed charges,580.2196418,,,,744,percent of total billed charges,547.3872311,,,,744,percent of total billed charges,580.2196418,,,,744,percent of total billed charges,999999999,,,,744,percent of total billed charges,566.8768652,,,,744,percent of total billed charges,547.3872311,,,,744,percent of total billed charges,580.2196418,,,,530.472,percent of total billed charges,264.7152357,,,,530.472,percent of total billed charges,158.3856548,,,,530.472,percent of total billed charges,264.7152357,,,,530.472,percent of total billed charges,158.3856548,,,,530.472,percent of total billed charges,264.7152357,,,,530.472,percent of total billed charges,158.3856548,,,,525.264,percent of total billed charges,521.2786792,,,,525.264,percent of total billed charges,359.5217734,,,,,,,,,,535.68,percent of total billed charges,348.1793943,,,,,,,,,,535.68,percent of total billed charges,999999999,,,,,,,,,,595.2,percent of total billed charges,498.7466605,,,,587.76,percent of total billed charges,567.2136942,,,,587.76,percent of total billed charges,501.1520745,,,,595.2,percent of total billed charges,999999999,,,,595.2,percent of total billed charges,999999999,,,,520.8,percent of total billed charges,999999999,,,,520.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,395.808,percent of total billed charges,999999999,,,,,,,,,,,,,,,,375.72,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,186,percent of total billed charges,176.6545027,,,,,,,,,,186,percent of total billed charges,173.7159753,,,,,,,,,,186,percent of total billed charges,173.233226,,,,,,,,,,186,percent of total billed charges,170.6823689,,,,,,,,,,186,percent of total billed charges,175.0742772,,,,,,,,,,186,percent of total billed charges,999999999,,,,,,,,,,186,percent of total billed charges,150.2260585,,,,,,,,,,186,percent of total billed charges,236.9168538,,,,,,,,,,186,percent of total billed charges,999999999,,,,,,,,,,186,percent of total billed charges,161.9804315,,,,,,,,,,669.6,percent of total billed charges,,,,,
IADNA-DNA/RNA PROBE,87507,CDM,,,,both,,,3135,3135,667.3911664,3135,3135,percent of total billed charges,2306.530873,,,,3135,percent of total billed charges,2444.87712,,,,3135,percent of total billed charges,2306.530873,,,,3135,percent of total billed charges,2444.87712,,,,3135,percent of total billed charges,999999999,,,,3135,percent of total billed charges,2388.654533,,,,3135,percent of total billed charges,2306.530873,,,,3135,percent of total billed charges,2444.87712,,,,2235.255,percent of total billed charges,1115.43315,,,,2235.255,percent of total billed charges,667.3911664,,,,2235.255,percent of total billed charges,1115.43315,,,,2235.255,percent of total billed charges,667.3911664,,,,2235.255,percent of total billed charges,1115.43315,,,,2235.255,percent of total billed charges,667.3911664,,,,2213.31,percent of total billed charges,2196.517015,,,,2213.31,percent of total billed charges,1514.920376,,,,,,,,,,2257.2,percent of total billed charges,1467.126883,,,,,,,,,,2257.2,percent of total billed charges,999999999,,,,,,,,,,2508,percent of total billed charges,2101.57363,,,,2476.65,percent of total billed charges,2390.073832,,,,2476.65,percent of total billed charges,2111.709346,,,,2508,percent of total billed charges,999999999,,,,2508,percent of total billed charges,999999999,,,,2194.5,percent of total billed charges,999999999,,,,2194.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1667.82,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1583.175,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,783.75,percent of total billed charges,744.3707877,,,,,,,,,,783.75,percent of total billed charges,731.9886862,,,,,,,,,,783.75,percent of total billed charges,729.954521,,,,,,,,,,783.75,percent of total billed charges,719.2059495,,,,,,,,,,783.75,percent of total billed charges,737.7121759,,,,,,,,,,783.75,percent of total billed charges,999999999,,,,,,,,,,783.75,percent of total billed charges,633.0089967,,,,,,,,,,783.75,percent of total billed charges,998.2988398,,,,,,,,,,783.75,percent of total billed charges,999999999,,,,,,,,,,783.75,percent of total billed charges,682.5385119,,,,,,,,,,2821.5,percent of total billed charges,,,,,
CULTURE FUNGUS ID (*),87106,CDM,,,,both,,,183,183,38.95776187,183,183,percent of total billed charges,134.6396012,,,,183,percent of total billed charges,142.7153151,,,,183,percent of total billed charges,134.6396012,,,,183,percent of total billed charges,142.7153151,,,,183,percent of total billed charges,999999999,,,,183,percent of total billed charges,139.4334225,,,,183,percent of total billed charges,134.6396012,,,,183,percent of total billed charges,142.7153151,,,,130.479,percent of total billed charges,65.11140877,,,,130.479,percent of total billed charges,38.95776187,,,,130.479,percent of total billed charges,65.11140877,,,,130.479,percent of total billed charges,38.95776187,,,,130.479,percent of total billed charges,65.11140877,,,,130.479,percent of total billed charges,38.95776187,,,,129.198,percent of total billed charges,128.2177397,,,,129.198,percent of total billed charges,88.43075878,,,,,,,,,,131.76,percent of total billed charges,85.64089941,,,,,,,,,,131.76,percent of total billed charges,999999999,,,,,,,,,,146.4,percent of total billed charges,122.6755899,,,,144.57,percent of total billed charges,139.5162716,,,,144.57,percent of total billed charges,123.2672441,,,,146.4,percent of total billed charges,999999999,,,,146.4,percent of total billed charges,999999999,,,,128.1,percent of total billed charges,999999999,,,,128.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,97.356,percent of total billed charges,999999999,,,,,,,,,,,,,,,,92.415,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45.75,percent of total billed charges,43.45130914,,,,,,,,,,45.75,percent of total billed charges,42.72852618,,,,,,,,,,45.75,percent of total billed charges,42.60978543,,,,,,,,,,45.75,percent of total billed charges,41.98235686,,,,,,,,,,45.75,percent of total billed charges,43.06262462,,,,,,,,,,45.75,percent of total billed charges,999999999,,,,,,,,,,45.75,percent of total billed charges,36.9507644,,,,,,,,,,45.75,percent of total billed charges,58.27390357,,,,,,,,,,45.75,percent of total billed charges,999999999,,,,,,,,,,45.75,percent of total billed charges,39.84196098,,,,,,,,,,164.7,percent of total billed charges,,,,,
CULTURE GROUP B STREP ONLY,87081,CDM,,,,both,,,183,183,38.95776187,183,183,percent of total billed charges,134.6396012,,,,183,percent of total billed charges,142.7153151,,,,183,percent of total billed charges,134.6396012,,,,183,percent of total billed charges,142.7153151,,,,183,percent of total billed charges,999999999,,,,183,percent of total billed charges,139.4334225,,,,183,percent of total billed charges,134.6396012,,,,183,percent of total billed charges,142.7153151,,,,130.479,percent of total billed charges,65.11140877,,,,130.479,percent of total billed charges,38.95776187,,,,130.479,percent of total billed charges,65.11140877,,,,130.479,percent of total billed charges,38.95776187,,,,130.479,percent of total billed charges,65.11140877,,,,130.479,percent of total billed charges,38.95776187,,,,129.198,percent of total billed charges,128.2177397,,,,129.198,percent of total billed charges,88.43075878,,,,,,,,,,131.76,percent of total billed charges,85.64089941,,,,,,,,,,131.76,percent of total billed charges,999999999,,,,,,,,,,146.4,percent of total billed charges,122.6755899,,,,144.57,percent of total billed charges,139.5162716,,,,144.57,percent of total billed charges,123.2672441,,,,146.4,percent of total billed charges,999999999,,,,146.4,percent of total billed charges,999999999,,,,128.1,percent of total billed charges,999999999,,,,128.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,97.356,percent of total billed charges,999999999,,,,,,,,,,,,,,,,92.415,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45.75,percent of total billed charges,43.45130914,,,,,,,,,,45.75,percent of total billed charges,42.72852618,,,,,,,,,,45.75,percent of total billed charges,42.60978543,,,,,,,,,,45.75,percent of total billed charges,41.98235686,,,,,,,,,,45.75,percent of total billed charges,43.06262462,,,,,,,,,,45.75,percent of total billed charges,999999999,,,,,,,,,,45.75,percent of total billed charges,36.9507644,,,,,,,,,,45.75,percent of total billed charges,58.27390357,,,,,,,,,,45.75,percent of total billed charges,999999999,,,,,,,,,,45.75,percent of total billed charges,39.84196098,,,,,,,,,,164.7,percent of total billed charges,,,,,
CULTURE BLOOD,87040,CDM,,,,both,,,338,338,71.95477328,338,338,percent of total billed charges,248.6786077,,,,338,percent of total billed charges,263.5944072,,,,338,percent of total billed charges,248.6786077,,,,338,percent of total billed charges,263.5944072,,,,338,percent of total billed charges,999999999,,,,338,percent of total billed charges,257.5327694,,,,338,percent of total billed charges,248.6786077,,,,338,percent of total billed charges,263.5944072,,,,240.994,percent of total billed charges,120.2604162,,,,240.994,percent of total billed charges,71.95477328,,,,240.994,percent of total billed charges,120.2604162,,,,240.994,percent of total billed charges,71.95477328,,,,240.994,percent of total billed charges,120.2604162,,,,240.994,percent of total billed charges,71.95477328,,,,238.628,percent of total billed charges,236.8174645,,,,238.628,percent of total billed charges,163.3311282,,,,,,,,,,243.36,percent of total billed charges,158.1782732,,,,,,,,,,243.36,percent of total billed charges,999999999,,,,,,,,,,270.4,percent of total billed charges,226.5811441,,,,267.02,percent of total billed charges,257.6857912,,,,267.02,percent of total billed charges,227.6739263,,,,270.4,percent of total billed charges,999999999,,,,270.4,percent of total billed charges,999999999,,,,236.6,percent of total billed charges,999999999,,,,236.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,179.816,percent of total billed charges,999999999,,,,,,,,,,,,,,,,170.69,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,84.5,percent of total billed charges,80.25433054,,,,,,,,,,84.5,percent of total billed charges,78.91935436,,,,,,,,,,84.5,percent of total billed charges,78.70004086,,,,,,,,,,84.5,percent of total billed charges,77.54118371,,,,,,,,,,84.5,percent of total billed charges,79.53643236,,,,,,,,,,84.5,percent of total billed charges,999999999,,,,,,,,,,84.5,percent of total billed charges,68.24785993,,,,,,,,,,84.5,percent of total billed charges,107.6315815,,,,,,,,,,84.5,percent of total billed charges,999999999,,,,,,,,,,84.5,percent of total billed charges,73.58788421,,,,,,,,,,304.2,percent of total billed charges,,,,,
CULTURE CHLAMYDIA,87110,CDM,,,,both,,,253,253,53.85963799,253,253,percent of total billed charges,186.141088,,,,253,percent of total billed charges,197.3058728,,,,253,percent of total billed charges,186.141088,,,,253,percent of total billed charges,197.3058728,,,,253,percent of total billed charges,999999999,,,,253,percent of total billed charges,192.7686114,,,,253,percent of total billed charges,186.141088,,,,253,percent of total billed charges,197.3058728,,,,180.389,percent of total billed charges,90.01741213,,,,180.389,percent of total billed charges,53.85963799,,,,180.389,percent of total billed charges,90.01741213,,,,180.389,percent of total billed charges,53.85963799,,,,180.389,percent of total billed charges,90.01741213,,,,180.389,percent of total billed charges,53.85963799,,,,178.618,percent of total billed charges,177.2627767,,,,178.618,percent of total billed charges,122.2567321,,,,,,,,,,182.16,percent of total billed charges,118.3997134,,,,,,,,,,182.16,percent of total billed charges,999999999,,,,,,,,,,202.4,percent of total billed charges,169.6006789,,,,199.87,percent of total billed charges,192.8831514,,,,199.87,percent of total billed charges,170.418649,,,,202.4,percent of total billed charges,999999999,,,,202.4,percent of total billed charges,999999999,,,,177.1,percent of total billed charges,999999999,,,,177.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,134.596,percent of total billed charges,999999999,,,,,,,,,,,,,,,,127.765,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,63.25,percent of total billed charges,60.07202848,,,,,,,,,,63.25,percent of total billed charges,59.07277117,,,,,,,,,,63.25,percent of total billed charges,58.90861046,,,,,,,,,,63.25,percent of total billed charges,58.04118189,,,,,,,,,,63.25,percent of total billed charges,59.53466683,,,,,,,,,,63.25,percent of total billed charges,999999999,,,,,,,,,,63.25,percent of total billed charges,51.08493657,,,,,,,,,,63.25,percent of total billed charges,80.56446777,,,,,,,,,,63.25,percent of total billed charges,999999999,,,,,,,,,,63.25,percent of total billed charges,55.08205534,,,,,,,,,,227.7,percent of total billed charges,,,,,
MIC-MBC (*),87187,CDM,,,,both,,,176,176,37.46757425,176,176,percent of total billed charges,129.4894525,,,,176,percent of total billed charges,137.2562594,,,,176,percent of total billed charges,129.4894525,,,,176,percent of total billed charges,137.2562594,,,,176,percent of total billed charges,999999999,,,,176,percent of total billed charges,134.0999036,,,,176,percent of total billed charges,129.4894525,,,,176,percent of total billed charges,137.2562594,,,,125.488,percent of total billed charges,62.62080844,,,,125.488,percent of total billed charges,37.46757425,,,,125.488,percent of total billed charges,62.62080844,,,,125.488,percent of total billed charges,37.46757425,,,,125.488,percent of total billed charges,62.62080844,,,,125.488,percent of total billed charges,37.46757425,,,,124.256,percent of total billed charges,123.3132359,,,,124.256,percent of total billed charges,85.04816145,,,,,,,,,,126.72,percent of total billed charges,82.36501801,,,,,,,,,,126.72,percent of total billed charges,999999999,,,,,,,,,,140.8,percent of total billed charges,117.983081,,,,139.04,percent of total billed charges,134.1795836,,,,139.04,percent of total billed charges,118.5521036,,,,140.8,percent of total billed charges,999999999,,,,140.8,percent of total billed charges,999999999,,,,123.2,percent of total billed charges,999999999,,,,123.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,93.632,percent of total billed charges,999999999,,,,,,,,,,,,,,,,88.88,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,44,percent of total billed charges,41.78923721,,,,,,,,,,44,percent of total billed charges,41.09410168,,,,,,,,,,44,percent of total billed charges,40.97990293,,,,,,,,,,44,percent of total billed charges,40.37647436,,,,,,,,,,44,percent of total billed charges,41.4154204,,,,,,,,,,44,percent of total billed charges,999999999,,,,,,,,,,44,percent of total billed charges,35.53734718,,,,,,,,,,44,percent of total billed charges,56.04484715,,,,,,,,,,44,percent of total billed charges,999999999,,,,,,,,,,44,percent of total billed charges,38.31795154,,,,,,,,,,158.4,percent of total billed charges,,,,,
MENGIOCOCCAL ANTIGEN(*),86403,CDM,,,,both,,,222,222,47.26023571,222,222,percent of total billed charges,163.3332867,,,,222,percent of total billed charges,173.1300544,,,,222,percent of total billed charges,163.3332867,,,,222,percent of total billed charges,173.1300544,,,,222,percent of total billed charges,999999999,,,,222,percent of total billed charges,169.148742,,,,222,percent of total billed charges,163.3332867,,,,222,percent of total billed charges,173.1300544,,,,158.286,percent of total billed charges,78.98761064,,,,158.286,percent of total billed charges,47.26023571,,,,158.286,percent of total billed charges,78.98761064,,,,158.286,percent of total billed charges,47.26023571,,,,158.286,percent of total billed charges,78.98761064,,,,158.286,percent of total billed charges,47.26023571,,,,156.732,percent of total billed charges,155.5428317,,,,156.732,percent of total billed charges,107.2766582,,,,,,,,,,159.84,percent of total billed charges,103.8922386,,,,,,,,,,159.84,percent of total billed charges,999999999,,,,,,,,,,177.6,percent of total billed charges,148.819568,,,,175.38,percent of total billed charges,169.2492475,,,,175.38,percent of total billed charges,149.5373125,,,,177.6,percent of total billed charges,999999999,,,,177.6,percent of total billed charges,999999999,,,,155.4,percent of total billed charges,999999999,,,,155.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,118.104,percent of total billed charges,999999999,,,,,,,,,,,,,,,,112.11,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,55.5,percent of total billed charges,52.7114242,,,,,,,,,,55.5,percent of total billed charges,51.83460553,,,,,,,,,,55.5,percent of total billed charges,51.69055938,,,,,,,,,,55.5,percent of total billed charges,50.92941652,,,,,,,,,,55.5,percent of total billed charges,52.23990528,,,,,,,,,,55.5,percent of total billed charges,999999999,,,,,,,,,,55.5,percent of total billed charges,44.82551747,,,,,,,,,,55.5,percent of total billed charges,70.6929322,,,,,,,,,,55.5,percent of total billed charges,999999999,,,,,,,,,,55.5,percent of total billed charges,48.3328707,,,,,,,,,,199.8,percent of total billed charges,,,,,
E-TEST,87186,CDM,,,,both,,,199,199,42.36390498,199,199,percent of total billed charges,146.4113696,,,,199,percent of total billed charges,155.1931569,,,,199,percent of total billed charges,146.4113696,,,,199,percent of total billed charges,155.1931569,,,,199,percent of total billed charges,999999999,,,,199,percent of total billed charges,151.6243228,,,,199,percent of total billed charges,146.4113696,,,,199,percent of total billed charges,155.1931569,,,,141.887,percent of total billed charges,70.80420954,,,,141.887,percent of total billed charges,42.36390498,,,,141.887,percent of total billed charges,70.80420954,,,,141.887,percent of total billed charges,42.36390498,,,,141.887,percent of total billed charges,70.80420954,,,,141.887,percent of total billed charges,42.36390498,,,,140.494,percent of total billed charges,139.4280338,,,,140.494,percent of total billed charges,96.16240982,,,,,,,,,,143.28,percent of total billed charges,93.12862832,,,,,,,,,,143.28,percent of total billed charges,999999999,,,,,,,,,,159.2,percent of total billed charges,133.4013245,,,,157.21,percent of total billed charges,151.7144155,,,,157.21,percent of total billed charges,134.0447081,,,,159.2,percent of total billed charges,999999999,,,,159.2,percent of total billed charges,999999999,,,,139.3,percent of total billed charges,999999999,,,,139.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,105.868,percent of total billed charges,999999999,,,,,,,,,,,,,,,,100.495,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,49.75,percent of total billed charges,47.25033071,,,,,,,,,,49.75,percent of total billed charges,46.4643536,,,,,,,,,,49.75,percent of total billed charges,46.33523116,,,,,,,,,,49.75,percent of total billed charges,45.65294544,,,,,,,,,,49.75,percent of total billed charges,46.82766284,,,,,,,,,,49.75,percent of total billed charges,999999999,,,,,,,,,,49.75,percent of total billed charges,40.18143232,,,,,,,,,,49.75,percent of total billed charges,63.36888967,,,,,,,,,,49.75,percent of total billed charges,999999999,,,,,,,,,,49.75,percent of total billed charges,43.32541112,,,,,,,,,,179.1,percent of total billed charges,,,,,
CRYPTOCOCCAL ANTIGEN(*),86641,CDM,,,,both,,,199,199,42.36390498,199,199,percent of total billed charges,146.4113696,,,,199,percent of total billed charges,155.1931569,,,,199,percent of total billed charges,146.4113696,,,,199,percent of total billed charges,155.1931569,,,,199,percent of total billed charges,999999999,,,,199,percent of total billed charges,151.6243228,,,,199,percent of total billed charges,146.4113696,,,,199,percent of total billed charges,155.1931569,,,,141.887,percent of total billed charges,70.80420954,,,,141.887,percent of total billed charges,42.36390498,,,,141.887,percent of total billed charges,70.80420954,,,,141.887,percent of total billed charges,42.36390498,,,,141.887,percent of total billed charges,70.80420954,,,,141.887,percent of total billed charges,42.36390498,,,,140.494,percent of total billed charges,139.4280338,,,,140.494,percent of total billed charges,96.16240982,,,,,,,,,,143.28,percent of total billed charges,93.12862832,,,,,,,,,,143.28,percent of total billed charges,999999999,,,,,,,,,,159.2,percent of total billed charges,133.4013245,,,,157.21,percent of total billed charges,151.7144155,,,,157.21,percent of total billed charges,134.0447081,,,,159.2,percent of total billed charges,999999999,,,,159.2,percent of total billed charges,999999999,,,,139.3,percent of total billed charges,999999999,,,,139.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,105.868,percent of total billed charges,999999999,,,,,,,,,,,,,,,,100.495,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,49.75,percent of total billed charges,47.25033071,,,,,,,,,,49.75,percent of total billed charges,46.4643536,,,,,,,,,,49.75,percent of total billed charges,46.33523116,,,,,,,,,,49.75,percent of total billed charges,45.65294544,,,,,,,,,,49.75,percent of total billed charges,46.82766284,,,,,,,,,,49.75,percent of total billed charges,999999999,,,,,,,,,,49.75,percent of total billed charges,40.18143232,,,,,,,,,,49.75,percent of total billed charges,63.36888967,,,,,,,,,,49.75,percent of total billed charges,999999999,,,,,,,,,,49.75,percent of total billed charges,43.32541112,,,,,,,,,,179.1,percent of total billed charges,,,,,
CRYPTOSPORIDIA ANTIGEN(*),87272,CDM,,,,both,,,164,164,34.91296692,164,164,percent of total billed charges,120.6606262,,,,164,percent of total billed charges,127.897878,,,,164,percent of total billed charges,120.6606262,,,,164,percent of total billed charges,127.897878,,,,164,percent of total billed charges,999999999,,,,164,percent of total billed charges,124.9567283,,,,164,percent of total billed charges,120.6606262,,,,164,percent of total billed charges,127.897878,,,,116.932,percent of total billed charges,58.35120786,,,,116.932,percent of total billed charges,34.91296692,,,,116.932,percent of total billed charges,58.35120786,,,,116.932,percent of total billed charges,34.91296692,,,,116.932,percent of total billed charges,58.35120786,,,,116.932,percent of total billed charges,34.91296692,,,,115.784,percent of total billed charges,114.9055153,,,,115.784,percent of total billed charges,79.24942317,,,,,,,,,,118.08,percent of total billed charges,76.74922133,,,,,,,,,,118.08,percent of total billed charges,999999999,,,,,,,,,,131.2,percent of total billed charges,109.93878,,,,129.56,percent of total billed charges,125.0309756,,,,129.56,percent of total billed charges,110.4690057,,,,131.2,percent of total billed charges,999999999,,,,131.2,percent of total billed charges,999999999,,,,114.8,percent of total billed charges,999999999,,,,114.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,87.248,percent of total billed charges,999999999,,,,,,,,,,,,,,,,82.82,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,41,percent of total billed charges,38.93997103,,,,,,,,,,41,percent of total billed charges,38.29223111,,,,,,,,,,41,percent of total billed charges,38.18581864,,,,,,,,,,41,percent of total billed charges,37.62353293,,,,,,,,,,41,percent of total billed charges,38.59164174,,,,,,,,,,41,percent of total billed charges,999999999,,,,,,,,,,41,percent of total billed charges,33.11434624,,,,,,,,,,41,percent of total billed charges,52.22360757,,,,,,,,,,41,percent of total billed charges,999999999,,,,,,,,,,41,percent of total billed charges,35.70536394,,,,,,,,,,147.6,percent of total billed charges,,,,,
RAPID STREP TEST,87880,CDM,,,,both,,,138,138,29.37798436,138,138,percent of total billed charges,101.5315025,,,,138,percent of total billed charges,107.6213852,,,,138,percent of total billed charges,101.5315025,,,,138,percent of total billed charges,107.6213852,,,,138,percent of total billed charges,999999999,,,,138,percent of total billed charges,105.1465153,,,,138,percent of total billed charges,101.5315025,,,,138,percent of total billed charges,107.6213852,,,,98.394,percent of total billed charges,49.10040661,,,,98.394,percent of total billed charges,29.37798436,,,,98.394,percent of total billed charges,49.10040661,,,,98.394,percent of total billed charges,29.37798436,,,,98.394,percent of total billed charges,49.10040661,,,,98.394,percent of total billed charges,29.37798436,,,,97.428,percent of total billed charges,96.68878728,,,,97.428,percent of total billed charges,66.68549023,,,,,,,,,,99.36,percent of total billed charges,64.58166185,,,,,,,,,,99.36,percent of total billed charges,999999999,,,,,,,,,,110.4,percent of total billed charges,92.50946121,,,,109.02,percent of total billed charges,105.2089917,,,,109.02,percent of total billed charges,92.95562672,,,,110.4,percent of total billed charges,999999999,,,,110.4,percent of total billed charges,999999999,,,,96.6,percent of total billed charges,999999999,,,,96.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,73.416,percent of total billed charges,999999999,,,,,,,,,,,,,,,,69.69,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,34.5,percent of total billed charges,32.76656099,,,,,,,,,,34.5,percent of total billed charges,32.22151154,,,,,,,,,,34.5,percent of total billed charges,32.13196934,,,,,,,,,,34.5,percent of total billed charges,31.65882649,,,,,,,,,,34.5,percent of total billed charges,32.47345463,,,,,,,,,,34.5,percent of total billed charges,999999999,,,,,,,,,,34.5,percent of total billed charges,27.86451086,,,,,,,,,,34.5,percent of total billed charges,43.94425515,,,,,,,,,,34.5,percent of total billed charges,999999999,,,,,,,,,,34.5,percent of total billed charges,30.04475746,,,,,,,,,,124.2,percent of total billed charges,,,,,
LACTOFERRIN FECAL,83630,CDM,,,,both,,,189,189,40.23506553,189,189,percent of total billed charges,139.0540144,,,,189,percent of total billed charges,147.3945058,,,,189,percent of total billed charges,139.0540144,,,,189,percent of total billed charges,147.3945058,,,,189,percent of total billed charges,999999999,,,,189,percent of total billed charges,144.0050101,,,,189,percent of total billed charges,139.0540144,,,,189,percent of total billed charges,147.3945058,,,,134.757,percent of total billed charges,67.24620906,,,,134.757,percent of total billed charges,40.23506553,,,,134.757,percent of total billed charges,67.24620906,,,,134.757,percent of total billed charges,40.23506553,,,,134.757,percent of total billed charges,67.24620906,,,,134.757,percent of total billed charges,40.23506553,,,,133.434,percent of total billed charges,132.4216,,,,133.434,percent of total billed charges,91.33012792,,,,,,,,,,136.08,percent of total billed charges,88.44879775,,,,,,,,,,136.08,percent of total billed charges,999999999,,,,,,,,,,151.2,percent of total billed charges,126.6977404,,,,149.31,percent of total billed charges,144.0905755,,,,149.31,percent of total billed charges,127.3087931,,,,151.2,percent of total billed charges,999999999,,,,151.2,percent of total billed charges,999999999,,,,132.3,percent of total billed charges,999999999,,,,132.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,100.548,percent of total billed charges,999999999,,,,,,,,,,,,,,,,95.445,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,47.25,percent of total billed charges,44.87594223,,,,,,,,,,47.25,percent of total billed charges,44.12946146,,,,,,,,,,47.25,percent of total billed charges,44.00682758,,,,,,,,,,47.25,percent of total billed charges,43.35882758,,,,,,,,,,47.25,percent of total billed charges,44.47451395,,,,,,,,,,47.25,percent of total billed charges,999999999,,,,,,,,,,47.25,percent of total billed charges,38.16226487,,,,,,,,,,47.25,percent of total billed charges,60.18452336,,,,,,,,,,47.25,percent of total billed charges,999999999,,,,,,,,,,47.25,percent of total billed charges,41.14825478,,,,,,,,,,170.1,percent of total billed charges,,,,,
STREP B DNA AMP PROBE,87653,CDM,,,,both,,,277,277,58.96885266,277,277,percent of total billed charges,203.7987406,,,,277,percent of total billed charges,216.0226355,,,,277,percent of total billed charges,203.7987406,,,,277,percent of total billed charges,216.0226355,,,,277,percent of total billed charges,999999999,,,,277,percent of total billed charges,211.0549619,,,,277,percent of total billed charges,203.7987406,,,,277,percent of total billed charges,216.0226355,,,,197.501,percent of total billed charges,98.55661328,,,,197.501,percent of total billed charges,58.96885266,,,,197.501,percent of total billed charges,98.55661328,,,,197.501,percent of total billed charges,58.96885266,,,,197.501,percent of total billed charges,98.55661328,,,,197.501,percent of total billed charges,58.96885266,,,,195.562,percent of total billed charges,194.0782179,,,,195.562,percent of total billed charges,133.8542086,,,,,,,,,,199.44,percent of total billed charges,129.6313068,,,,,,,,,,199.44,percent of total billed charges,999999999,,,,,,,,,,221.6,percent of total billed charges,185.6892808,,,,218.83,percent of total billed charges,211.1803673,,,,218.83,percent of total billed charges,186.5848449,,,,221.6,percent of total billed charges,999999999,,,,221.6,percent of total billed charges,999999999,,,,193.9,percent of total billed charges,999999999,,,,193.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,147.364,percent of total billed charges,999999999,,,,,,,,,,,,,,,,139.885,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,69.25,percent of total billed charges,65.77056083,,,,,,,,,,69.25,percent of total billed charges,64.6765123,,,,,,,,,,69.25,percent of total billed charges,64.49677905,,,,,,,,,,69.25,percent of total billed charges,63.54706476,,,,,,,,,,69.25,percent of total billed charges,65.18222416,,,,,,,,,,69.25,percent of total billed charges,999999999,,,,,,,,,,69.25,percent of total billed charges,55.93093846,,,,,,,,,,69.25,percent of total billed charges,88.20694693,,,,,,,,,,69.25,percent of total billed charges,999999999,,,,,,,,,,69.25,percent of total billed charges,60.30723055,,,,,,,,,,249.3,percent of total billed charges,,,,,
LATEX AGGLUTINATION (*),86403,CDM,,,,both,,,174,174,37.04180636,174,174,percent of total billed charges,128.0179815,,,,174,percent of total billed charges,135.6965291,,,,174,percent of total billed charges,128.0179815,,,,174,percent of total billed charges,135.6965291,,,,174,percent of total billed charges,999999999,,,,174,percent of total billed charges,132.5760411,,,,174,percent of total billed charges,128.0179815,,,,174,percent of total billed charges,135.6965291,,,,124.062,percent of total billed charges,61.90920834,,,,124.062,percent of total billed charges,37.04180636,,,,124.062,percent of total billed charges,61.90920834,,,,124.062,percent of total billed charges,37.04180636,,,,124.062,percent of total billed charges,61.90920834,,,,124.062,percent of total billed charges,37.04180636,,,,122.844,percent of total billed charges,121.9119492,,,,122.844,percent of total billed charges,84.08170507,,,,,,,,,,125.28,percent of total billed charges,81.4290519,,,,,,,,,,125.28,percent of total billed charges,999999999,,,,,,,,,,139.2,percent of total billed charges,116.6423641,,,,137.46,percent of total billed charges,132.6548156,,,,137.46,percent of total billed charges,117.2049206,,,,139.2,percent of total billed charges,999999999,,,,139.2,percent of total billed charges,999999999,,,,121.8,percent of total billed charges,999999999,,,,121.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,92.568,percent of total billed charges,999999999,,,,,,,,,,,,,,,,87.87,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,43.5,percent of total billed charges,41.31435951,,,,,,,,,,43.5,percent of total billed charges,40.62712325,,,,,,,,,,43.5,percent of total billed charges,40.51422222,,,,,,,,,,43.5,percent of total billed charges,39.91765079,,,,,,,,,,43.5,percent of total billed charges,40.94479062,,,,,,,,,,43.5,percent of total billed charges,999999999,,,,,,,,,,43.5,percent of total billed charges,35.13351369,,,,,,,,,,43.5,percent of total billed charges,55.40797388,,,,,,,,,,43.5,percent of total billed charges,999999999,,,,,,,,,,43.5,percent of total billed charges,37.88252028,,,,,,,,,,156.6,percent of total billed charges,,,,,
MIC,87186,CDM,,,,both,,,169,169,35.97738664,169,169,percent of total billed charges,124.3393038,,,,169,percent of total billed charges,131.7972036,,,,169,percent of total billed charges,124.3393038,,,,169,percent of total billed charges,131.7972036,,,,169,percent of total billed charges,999999999,,,,169,percent of total billed charges,128.7663847,,,,169,percent of total billed charges,124.3393038,,,,169,percent of total billed charges,131.7972036,,,,120.497,percent of total billed charges,60.1302081,,,,120.497,percent of total billed charges,35.97738664,,,,120.497,percent of total billed charges,60.1302081,,,,120.497,percent of total billed charges,35.97738664,,,,120.497,percent of total billed charges,60.1302081,,,,120.497,percent of total billed charges,35.97738664,,,,119.314,percent of total billed charges,118.4087322,,,,119.314,percent of total billed charges,81.66556412,,,,,,,,,,121.68,percent of total billed charges,79.08913661,,,,,,,,,,121.68,percent of total billed charges,999999999,,,,,,,,,,135.2,percent of total billed charges,113.2905721,,,,133.51,percent of total billed charges,128.8428956,,,,133.51,percent of total billed charges,113.8369632,,,,135.2,percent of total billed charges,999999999,,,,135.2,percent of total billed charges,999999999,,,,118.3,percent of total billed charges,999999999,,,,118.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,89.908,percent of total billed charges,999999999,,,,,,,,,,,,,,,,85.345,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,42.25,percent of total billed charges,40.12716527,,,,,,,,,,42.25,percent of total billed charges,39.45967718,,,,,,,,,,42.25,percent of total billed charges,39.35002043,,,,,,,,,,42.25,percent of total billed charges,38.77059186,,,,,,,,,,42.25,percent of total billed charges,39.76821618,,,,,,,,,,42.25,percent of total billed charges,999999999,,,,,,,,,,42.25,percent of total billed charges,34.12392996,,,,,,,,,,42.25,percent of total billed charges,53.81579073,,,,,,,,,,42.25,percent of total billed charges,999999999,,,,,,,,,,42.25,percent of total billed charges,36.79394211,,,,,,,,,,152.1,percent of total billed charges,,,,,
KIRBY BAUER SENSITIVITY,87184,CDM,,,,both,,,153,153,32.57124353,153,153,percent of total billed charges,112.5675354,,,,153,percent of total billed charges,119.3193618,,,,153,percent of total billed charges,112.5675354,,,,153,percent of total billed charges,119.3193618,,,,153,percent of total billed charges,999999999,,,,153,percent of total billed charges,116.5754844,,,,153,percent of total billed charges,112.5675354,,,,153,percent of total billed charges,119.3193618,,,,109.089,percent of total billed charges,54.43740733,,,,109.089,percent of total billed charges,32.57124353,,,,109.089,percent of total billed charges,54.43740733,,,,109.089,percent of total billed charges,32.57124353,,,,109.089,percent of total billed charges,54.43740733,,,,109.089,percent of total billed charges,32.57124353,,,,108.018,percent of total billed charges,107.1984381,,,,108.018,percent of total billed charges,73.93391308,,,,,,,,,,110.16,percent of total billed charges,71.6014077,,,,,,,,,,110.16,percent of total billed charges,999999999,,,,,,,,,,122.4,percent of total billed charges,102.5648374,,,,120.87,percent of total billed charges,116.6447516,,,,120.87,percent of total billed charges,103.0594992,,,,122.4,percent of total billed charges,999999999,,,,122.4,percent of total billed charges,999999999,,,,107.1,percent of total billed charges,999999999,,,,107.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,81.396,percent of total billed charges,999999999,,,,,,,,,,,,,,,,77.265,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,38.25,percent of total billed charges,36.32814371,,,,,,,,,,38.25,percent of total billed charges,35.72384976,,,,,,,,,,38.25,percent of total billed charges,35.62457471,,,,,,,,,,38.25,percent of total billed charges,35.10000328,,,,,,,,,,38.25,percent of total billed charges,36.00317796,,,,,,,,,,38.25,percent of total billed charges,999999999,,,,,,,,,,38.25,percent of total billed charges,30.89326204,,,,,,,,,,38.25,percent of total billed charges,48.72080462,,,,,,,,,,38.25,percent of total billed charges,999999999,,,,,,,,,,38.25,percent of total billed charges,33.31049197,,,,,,,,,,137.7,percent of total billed charges,,,,,
STAPH/STREP NOT UA ANAEROBIC,87076,CDM,,,,both,,,182,182,38.74487792,182,182,percent of total billed charges,133.9038657,,,,182,percent of total billed charges,141.93545,,,,182,percent of total billed charges,133.9038657,,,,182,percent of total billed charges,141.93545,,,,182,percent of total billed charges,999999999,,,,182,percent of total billed charges,138.6714912,,,,182,percent of total billed charges,133.9038657,,,,182,percent of total billed charges,141.93545,,,,129.766,percent of total billed charges,64.75560872,,,,129.766,percent of total billed charges,38.74487792,,,,129.766,percent of total billed charges,64.75560872,,,,129.766,percent of total billed charges,38.74487792,,,,129.766,percent of total billed charges,64.75560872,,,,129.766,percent of total billed charges,38.74487792,,,,128.492,percent of total billed charges,127.5170963,,,,128.492,percent of total billed charges,87.94753059,,,,,,,,,,131.04,percent of total billed charges,85.17291635,,,,,,,,,,131.04,percent of total billed charges,999999999,,,,,,,,,,145.6,percent of total billed charges,122.0052315,,,,143.78,percent of total billed charges,138.7538876,,,,143.78,percent of total billed charges,122.5936526,,,,145.6,percent of total billed charges,999999999,,,,145.6,percent of total billed charges,999999999,,,,127.4,percent of total billed charges,999999999,,,,127.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,96.824,percent of total billed charges,999999999,,,,,,,,,,,,,,,,91.91,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45.5,percent of total billed charges,43.21387029,,,,,,,,,,45.5,percent of total billed charges,42.49503696,,,,,,,,,,45.5,percent of total billed charges,42.37694508,,,,,,,,,,45.5,percent of total billed charges,41.75294508,,,,,,,,,,45.5,percent of total billed charges,42.82730973,,,,,,,,,,45.5,percent of total billed charges,999999999,,,,,,,,,,45.5,percent of total billed charges,36.74884765,,,,,,,,,,45.5,percent of total billed charges,57.95546694,,,,,,,,,,45.5,percent of total billed charges,999999999,,,,,,,,,,45.5,percent of total billed charges,39.62424535,,,,,,,,,,163.8,percent of total billed charges,,,,,
STAPH/STREP NOT UA AEROBIC,87077,CDM,,,,both,,,126,126,26.82337702,126,126,percent of total billed charges,92.70267624,,,,126,percent of total billed charges,98.26300386,,,,126,percent of total billed charges,92.70267624,,,,126,percent of total billed charges,98.26300386,,,,126,percent of total billed charges,999999999,,,,126,percent of total billed charges,96.00334007,,,,126,percent of total billed charges,92.70267624,,,,126,percent of total billed charges,98.26300386,,,,89.838,percent of total billed charges,44.83080604,,,,89.838,percent of total billed charges,26.82337702,,,,89.838,percent of total billed charges,44.83080604,,,,89.838,percent of total billed charges,26.82337702,,,,89.838,percent of total billed charges,44.83080604,,,,89.838,percent of total billed charges,26.82337702,,,,88.956,percent of total billed charges,88.28106665,,,,88.956,percent of total billed charges,60.88675195,,,,,,,,,,90.72,percent of total billed charges,58.96586517,,,,,,,,,,90.72,percent of total billed charges,999999999,,,,,,,,,,100.8,percent of total billed charges,84.46516024,,,,99.54,percent of total billed charges,96.0603837,,,,99.54,percent of total billed charges,84.87252874,,,,100.8,percent of total billed charges,999999999,,,,100.8,percent of total billed charges,999999999,,,,88.2,percent of total billed charges,999999999,,,,88.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,67.032,percent of total billed charges,999999999,,,,,,,,,,,,,,,,63.63,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,31.5,percent of total billed charges,29.91729482,,,,,,,,,,31.5,percent of total billed charges,29.41964098,,,,,,,,,,31.5,percent of total billed charges,29.33788505,,,,,,,,,,31.5,percent of total billed charges,28.90588505,,,,,,,,,,31.5,percent of total billed charges,29.64967597,,,,,,,,,,31.5,percent of total billed charges,999999999,,,,,,,,,,31.5,percent of total billed charges,25.44150991,,,,,,,,,,31.5,percent of total billed charges,40.12301557,,,,,,,,,,31.5,percent of total billed charges,999999999,,,,,,,,,,31.5,percent of total billed charges,27.43216985,,,,,,,,,,113.4,percent of total billed charges,,,,,
BACT ID FOR UA ONLY,87088,CDM,,,,both,,,128,128,27.24914491,128,128,percent of total billed charges,94.17414729,,,,128,percent of total billed charges,99.82273408,,,,128,percent of total billed charges,94.17414729,,,,128,percent of total billed charges,99.82273408,,,,128,percent of total billed charges,999999999,,,,128,percent of total billed charges,97.52720261,,,,128,percent of total billed charges,94.17414729,,,,128,percent of total billed charges,99.82273408,,,,91.264,percent of total billed charges,45.54240613,,,,91.264,percent of total billed charges,27.24914491,,,,91.264,percent of total billed charges,45.54240613,,,,91.264,percent of total billed charges,27.24914491,,,,91.264,percent of total billed charges,45.54240613,,,,91.264,percent of total billed charges,27.24914491,,,,90.368,percent of total billed charges,89.68235342,,,,90.368,percent of total billed charges,61.85320833,,,,,,,,,,92.16,percent of total billed charges,59.90183128,,,,,,,,,,92.16,percent of total billed charges,999999999,,,,,,,,,,102.4,percent of total billed charges,85.80587707,,,,101.12,percent of total billed charges,97.58515169,,,,101.12,percent of total billed charges,86.21971174,,,,102.4,percent of total billed charges,999999999,,,,102.4,percent of total billed charges,999999999,,,,89.6,percent of total billed charges,999999999,,,,89.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,68.096,percent of total billed charges,999999999,,,,,,,,,,,,,,,,64.64,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,32,percent of total billed charges,30.39217251,,,,,,,,,,32,percent of total billed charges,29.8866194,,,,,,,,,,32,percent of total billed charges,29.80356577,,,,,,,,,,32,percent of total billed charges,29.36470862,,,,,,,,,,32,percent of total billed charges,30.12030575,,,,,,,,,,32,percent of total billed charges,999999999,,,,,,,,,,32,percent of total billed charges,25.8453434,,,,,,,,,,32,percent of total billed charges,40.75988883,,,,,,,,,,32,percent of total billed charges,999999999,,,,,,,,,,32,percent of total billed charges,27.86760112,,,,,,,,,,115.2,percent of total billed charges,,,,,
E-COLEX (*),87335,CDM,,,,both,,,167,167,35.55161875,167,167,percent of total billed charges,122.8678328,,,,167,percent of total billed charges,130.2374734,,,,167,percent of total billed charges,122.8678328,,,,167,percent of total billed charges,130.2374734,,,,167,percent of total billed charges,999999999,,,,167,percent of total billed charges,127.2425222,,,,167,percent of total billed charges,122.8678328,,,,167,percent of total billed charges,130.2374734,,,,119.071,percent of total billed charges,59.418608,,,,119.071,percent of total billed charges,35.55161875,,,,119.071,percent of total billed charges,59.418608,,,,119.071,percent of total billed charges,35.55161875,,,,119.071,percent of total billed charges,59.418608,,,,119.071,percent of total billed charges,35.55161875,,,,117.902,percent of total billed charges,117.0074455,,,,117.902,percent of total billed charges,80.69910774,,,,,,,,,,120.24,percent of total billed charges,78.1531705,,,,,,,,,,120.24,percent of total billed charges,999999999,,,,,,,,,,133.6,percent of total billed charges,111.9498552,,,,131.93,percent of total billed charges,127.3181276,,,,131.93,percent of total billed charges,112.4897802,,,,133.6,percent of total billed charges,999999999,,,,133.6,percent of total billed charges,999999999,,,,116.9,percent of total billed charges,999999999,,,,116.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,88.844,percent of total billed charges,999999999,,,,,,,,,,,,,,,,84.335,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,41.75,percent of total billed charges,39.65228758,,,,,,,,,,41.75,percent of total billed charges,38.99269875,,,,,,,,,,41.75,percent of total billed charges,38.88433971,,,,,,,,,,41.75,percent of total billed charges,38.31176828,,,,,,,,,,41.75,percent of total billed charges,39.2975864,,,,,,,,,,41.75,percent of total billed charges,999999999,,,,,,,,,,41.75,percent of total billed charges,33.72009647,,,,,,,,,,41.75,percent of total billed charges,53.17891746,,,,,,,,,,41.75,percent of total billed charges,999999999,,,,,,,,,,41.75,percent of total billed charges,36.35851084,,,,,,,,,,150.3,percent of total billed charges,,,,,
VDRL(*),86592,CDM,,,,both,,,102,102,21.71416235,102,102,percent of total billed charges,75.04502362,,,,102,percent of total billed charges,79.54624122,,,,102,percent of total billed charges,75.04502362,,,,102,percent of total billed charges,79.54624122,,,,102,percent of total billed charges,999999999,,,,102,percent of total billed charges,77.71698958,,,,102,percent of total billed charges,75.04502362,,,,102,percent of total billed charges,79.54624122,,,,72.726,percent of total billed charges,36.29160489,,,,72.726,percent of total billed charges,21.71416235,,,,72.726,percent of total billed charges,36.29160489,,,,72.726,percent of total billed charges,21.71416235,,,,72.726,percent of total billed charges,36.29160489,,,,72.726,percent of total billed charges,21.71416235,,,,72.012,percent of total billed charges,71.46562538,,,,72.012,percent of total billed charges,49.28927538,,,,,,,,,,73.44,percent of total billed charges,47.7342718,,,,,,,,,,73.44,percent of total billed charges,999999999,,,,,,,,,,81.6,percent of total billed charges,68.37655829,,,,80.58,percent of total billed charges,77.76316775,,,,80.58,percent of total billed charges,68.70633279,,,,81.6,percent of total billed charges,999999999,,,,81.6,percent of total billed charges,999999999,,,,71.4,percent of total billed charges,999999999,,,,71.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,54.264,percent of total billed charges,999999999,,,,,,,,,,,,,,,,51.51,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,25.5,percent of total billed charges,24.21876247,,,,,,,,,,25.5,percent of total billed charges,23.81589984,,,,,,,,,,25.5,percent of total billed charges,23.74971647,,,,,,,,,,25.5,percent of total billed charges,23.40000219,,,,,,,,,,25.5,percent of total billed charges,24.00211864,,,,,,,,,,25.5,percent of total billed charges,999999999,,,,,,,,,,25.5,percent of total billed charges,20.59550803,,,,,,,,,,25.5,percent of total billed charges,32.48053641,,,,,,,,,,25.5,percent of total billed charges,999999999,,,,,,,,,,25.5,percent of total billed charges,22.20699464,,,,,,,,,,91.8,percent of total billed charges,,,,,
CNS DNA AMP PROBE TYPE 12-25,87483,CDM,,,,both,,,1853,1853,394.4739494,1853,1853,percent of total billed charges,1363.317929,,,,1853,percent of total billed charges,1445.090049,,,,1853,percent of total billed charges,1363.317929,,,,1853,percent of total billed charges,1445.090049,,,,1853,percent of total billed charges,999999999,,,,1853,percent of total billed charges,1411.858644,,,,1853,percent of total billed charges,1363.317929,,,,1853,percent of total billed charges,1445.090049,,,,1321.189,percent of total billed charges,659.2974888,,,,1321.189,percent of total billed charges,394.4739494,,,,1321.189,percent of total billed charges,659.2974888,,,,1321.189,percent of total billed charges,394.4739494,,,,1321.189,percent of total billed charges,659.2974888,,,,1321.189,percent of total billed charges,394.4739494,,,,1308.218,percent of total billed charges,1298.292194,,,,1308.218,percent of total billed charges,895.4218361,,,,,,,,,,1334.16,percent of total billed charges,867.1726044,,,,,,,,,,1334.16,percent of total billed charges,999999999,,,,,,,,,,1482.4,percent of total billed charges,1242.174142,,,,1463.87,percent of total billed charges,1412.697548,,,,1463.87,percent of total billed charges,1248.165046,,,,1482.4,percent of total billed charges,999999999,,,,1482.4,percent of total billed charges,999999999,,,,1297.1,percent of total billed charges,999999999,,,,1297.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,985.796,percent of total billed charges,999999999,,,,,,,,,,,,,,,,935.765,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,463.25,percent of total billed charges,439.9741849,,,,,,,,,,463.25,percent of total billed charges,432.6555137,,,,,,,,,,463.25,percent of total billed charges,431.4531826,,,,,,,,,,463.25,percent of total billed charges,425.1000397,,,,,,,,,,463.25,percent of total billed charges,436.0384887,,,,,,,,,,463.25,percent of total billed charges,999999999,,,,,,,,,,463.25,percent of total billed charges,374.1517291,,,,,,,,,,463.25,percent of total billed charges,590.0630782,,,,,,,,,,463.25,percent of total billed charges,999999999,,,,,,,,,,463.25,percent of total billed charges,403.4270694,,,,,,,,,,1667.7,percent of total billed charges,,,,,
FAT IN FECES QUANTITATIVE (*),82710,CDM,,,,both,,,291,291,61.94922789,291,291,percent of total billed charges,214.099038,,,,291,percent of total billed charges,226.940747,,,,291,percent of total billed charges,214.099038,,,,291,percent of total billed charges,226.940747,,,,291,percent of total billed charges,999999999,,,,291,percent of total billed charges,221.7219997,,,,291,percent of total billed charges,214.099038,,,,291,percent of total billed charges,226.940747,,,,207.483,percent of total billed charges,103.5378139,,,,207.483,percent of total billed charges,61.94922789,,,,207.483,percent of total billed charges,103.5378139,,,,207.483,percent of total billed charges,61.94922789,,,,207.483,percent of total billed charges,103.5378139,,,,207.483,percent of total billed charges,61.94922789,,,,205.446,percent of total billed charges,203.8872253,,,,205.446,percent of total billed charges,140.6194033,,,,,,,,,,209.52,percent of total billed charges,136.1830696,,,,,,,,,,209.52,percent of total billed charges,999999999,,,,,,,,,,232.8,percent of total billed charges,195.0742986,,,,229.89,percent of total billed charges,221.8537433,,,,229.89,percent of total billed charges,196.0151259,,,,232.8,percent of total billed charges,999999999,,,,232.8,percent of total billed charges,999999999,,,,203.7,percent of total billed charges,999999999,,,,203.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,154.812,percent of total billed charges,999999999,,,,,,,,,,,,,,,,146.955,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,72.75,percent of total billed charges,69.0947047,,,,,,,,,,72.75,percent of total billed charges,67.9453613,,,,,,,,,,72.75,percent of total billed charges,67.75654405,,,,,,,,,,72.75,percent of total billed charges,66.75882976,,,,,,,,,,72.75,percent of total billed charges,68.4766326,,,,,,,,,,72.75,percent of total billed charges,999999999,,,,,,,,,,72.75,percent of total billed charges,58.7577729,,,,,,,,,,72.75,percent of total billed charges,92.66505977,,,,,,,,,,72.75,percent of total billed charges,999999999,,,,,,,,,,72.75,percent of total billed charges,63.35524943,,,,,,,,,,261.9,percent of total billed charges,,,,,
**CULTURE VIRUS,87252,CDM,,,,both,,,420,420,89.41125674,420,420,percent of total billed charges,309.0089208,,,,420,percent of total billed charges,327.5433462,,,,420,percent of total billed charges,309.0089208,,,,420,percent of total billed charges,327.5433462,,,,420,percent of total billed charges,999999999,,,,420,percent of total billed charges,320.0111336,,,,420,percent of total billed charges,309.0089208,,,,420,percent of total billed charges,327.5433462,,,,299.46,percent of total billed charges,149.4360201,,,,299.46,percent of total billed charges,89.41125674,,,,299.46,percent of total billed charges,149.4360201,,,,299.46,percent of total billed charges,89.41125674,,,,299.46,percent of total billed charges,149.4360201,,,,299.46,percent of total billed charges,89.41125674,,,,296.52,percent of total billed charges,294.2702222,,,,296.52,percent of total billed charges,202.9558398,,,,,,,,,,302.4,percent of total billed charges,196.5528839,,,,,,,,,,302.4,percent of total billed charges,999999999,,,,,,,,,,336,percent of total billed charges,281.5505341,,,,331.8,percent of total billed charges,320.201279,,,,331.8,percent of total billed charges,282.9084291,,,,336,percent of total billed charges,999999999,,,,336,percent of total billed charges,999999999,,,,294,percent of total billed charges,999999999,,,,294,percent of total billed charges,999999999,,,,,,,,,,,,,,,,223.44,percent of total billed charges,999999999,,,,,,,,,,,,,,,,212.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,105,percent of total billed charges,99.72431606,,,,,,,,,,105,percent of total billed charges,98.06546992,,,,,,,,,,105,percent of total billed charges,97.79295018,,,,,,,,,,105,percent of total billed charges,96.35295018,,,,,,,,,,105,percent of total billed charges,98.83225323,,,,,,,,,,105,percent of total billed charges,999999999,,,,,,,,,,105,percent of total billed charges,84.80503304,,,,,,,,,,105,percent of total billed charges,133.7433852,,,,,,,,,,105,percent of total billed charges,999999999,,,,,,,,,,105,percent of total billed charges,91.44056618,,,,,,,,,,378,percent of total billed charges,,,,,
PROTOZOA ANTIBODY,86753,CDM,,,,both,,,187,187,39.80929764,187,187,percent of total billed charges,137.5825433,,,,187,percent of total billed charges,145.8347756,,,,187,percent of total billed charges,137.5825433,,,,187,percent of total billed charges,145.8347756,,,,187,percent of total billed charges,999999999,,,,187,percent of total billed charges,142.4811476,,,,187,percent of total billed charges,137.5825433,,,,187,percent of total billed charges,145.8347756,,,,133.331,percent of total billed charges,66.53460896,,,,133.331,percent of total billed charges,39.80929764,,,,133.331,percent of total billed charges,66.53460896,,,,133.331,percent of total billed charges,39.80929764,,,,133.331,percent of total billed charges,66.53460896,,,,133.331,percent of total billed charges,39.80929764,,,,132.022,percent of total billed charges,131.0203132,,,,132.022,percent of total billed charges,90.36367154,,,,,,,,,,134.64,percent of total billed charges,87.51283164,,,,,,,,,,134.64,percent of total billed charges,999999999,,,,,,,,,,149.6,percent of total billed charges,125.3570235,,,,147.73,percent of total billed charges,142.5658075,,,,147.73,percent of total billed charges,125.9616101,,,,149.6,percent of total billed charges,999999999,,,,149.6,percent of total billed charges,999999999,,,,130.9,percent of total billed charges,999999999,,,,130.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,99.484,percent of total billed charges,999999999,,,,,,,,,,,,,,,,94.435,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,46.75,percent of total billed charges,44.40106453,,,,,,,,,,46.75,percent of total billed charges,43.66248304,,,,,,,,,,46.75,percent of total billed charges,43.54114686,,,,,,,,,,46.75,percent of total billed charges,42.90000401,,,,,,,,,,46.75,percent of total billed charges,44.00388418,,,,,,,,,,46.75,percent of total billed charges,999999999,,,,,,,,,,46.75,percent of total billed charges,37.75843138,,,,,,,,,,46.75,percent of total billed charges,59.54765009,,,,,,,,,,46.75,percent of total billed charges,999999999,,,,,,,,,,46.75,percent of total billed charges,40.71282351,,,,,,,,,,168.3,percent of total billed charges,,,,,
YEAST ID,87102,CDM,,,,both,,,296,296,63.01364761,296,296,percent of total billed charges,217.7777156,,,,296,percent of total billed charges,230.8400726,,,,296,percent of total billed charges,217.7777156,,,,296,percent of total billed charges,230.8400726,,,,296,percent of total billed charges,999999999,,,,296,percent of total billed charges,225.531656,,,,296,percent of total billed charges,217.7777156,,,,296,percent of total billed charges,230.8400726,,,,211.048,percent of total billed charges,105.3168142,,,,211.048,percent of total billed charges,63.01364761,,,,211.048,percent of total billed charges,105.3168142,,,,211.048,percent of total billed charges,63.01364761,,,,211.048,percent of total billed charges,105.3168142,,,,211.048,percent of total billed charges,63.01364761,,,,208.976,percent of total billed charges,207.3904423,,,,208.976,percent of total billed charges,143.0355443,,,,,,,,,,213.12,percent of total billed charges,138.5229848,,,,,,,,,,213.12,percent of total billed charges,999999999,,,,,,,,,,236.8,percent of total billed charges,198.4260907,,,,233.84,percent of total billed charges,225.6656633,,,,233.84,percent of total billed charges,199.3830834,,,,236.8,percent of total billed charges,999999999,,,,236.8,percent of total billed charges,999999999,,,,207.2,percent of total billed charges,999999999,,,,207.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,157.472,percent of total billed charges,999999999,,,,,,,,,,,,,,,,149.48,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,74,percent of total billed charges,70.28189894,,,,,,,,,,74,percent of total billed charges,69.11280737,,,,,,,,,,74,percent of total billed charges,68.92074584,,,,,,,,,,74,percent of total billed charges,67.9058887,,,,,,,,,,74,percent of total billed charges,69.65320704,,,,,,,,,,74,percent of total billed charges,999999999,,,,,,,,,,74,percent of total billed charges,59.76735662,,,,,,,,,,74,percent of total billed charges,94.25724293,,,,,,,,,,74,percent of total billed charges,999999999,,,,,,,,,,74,percent of total billed charges,64.44382759,,,,,,,,,,266.4,percent of total billed charges,,,,,
CULTURE-FUNGUS BLOOD(*),87103,CDM,,,,both,,,291,291,61.94922789,291,291,percent of total billed charges,214.099038,,,,291,percent of total billed charges,226.940747,,,,291,percent of total billed charges,214.099038,,,,291,percent of total billed charges,226.940747,,,,291,percent of total billed charges,999999999,,,,291,percent of total billed charges,221.7219997,,,,291,percent of total billed charges,214.099038,,,,291,percent of total billed charges,226.940747,,,,207.483,percent of total billed charges,103.5378139,,,,207.483,percent of total billed charges,61.94922789,,,,207.483,percent of total billed charges,103.5378139,,,,207.483,percent of total billed charges,61.94922789,,,,207.483,percent of total billed charges,103.5378139,,,,207.483,percent of total billed charges,61.94922789,,,,205.446,percent of total billed charges,203.8872253,,,,205.446,percent of total billed charges,140.6194033,,,,,,,,,,209.52,percent of total billed charges,136.1830696,,,,,,,,,,209.52,percent of total billed charges,999999999,,,,,,,,,,232.8,percent of total billed charges,195.0742986,,,,229.89,percent of total billed charges,221.8537433,,,,229.89,percent of total billed charges,196.0151259,,,,232.8,percent of total billed charges,999999999,,,,232.8,percent of total billed charges,999999999,,,,203.7,percent of total billed charges,999999999,,,,203.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,154.812,percent of total billed charges,999999999,,,,,,,,,,,,,,,,146.955,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,72.75,percent of total billed charges,69.0947047,,,,,,,,,,72.75,percent of total billed charges,67.9453613,,,,,,,,,,72.75,percent of total billed charges,67.75654405,,,,,,,,,,72.75,percent of total billed charges,66.75882976,,,,,,,,,,72.75,percent of total billed charges,68.4766326,,,,,,,,,,72.75,percent of total billed charges,999999999,,,,,,,,,,72.75,percent of total billed charges,58.7577729,,,,,,,,,,72.75,percent of total billed charges,92.66505977,,,,,,,,,,72.75,percent of total billed charges,999999999,,,,,,,,,,72.75,percent of total billed charges,63.35524943,,,,,,,,,,261.9,percent of total billed charges,,,,,
INDIA INK PREP(*),86641,CDM,,,,both,,,154,154,32.78412747,154,154,percent of total billed charges,113.303271,,,,154,percent of total billed charges,120.0992269,,,,154,percent of total billed charges,113.303271,,,,154,percent of total billed charges,120.0992269,,,,154,percent of total billed charges,999999999,,,,154,percent of total billed charges,117.3374156,,,,154,percent of total billed charges,113.303271,,,,154,percent of total billed charges,120.0992269,,,,109.802,percent of total billed charges,54.79320738,,,,109.802,percent of total billed charges,32.78412747,,,,109.802,percent of total billed charges,54.79320738,,,,109.802,percent of total billed charges,32.78412747,,,,109.802,percent of total billed charges,54.79320738,,,,109.802,percent of total billed charges,32.78412747,,,,108.724,percent of total billed charges,107.8990815,,,,108.724,percent of total billed charges,74.41714127,,,,,,,,,,110.88,percent of total billed charges,72.06939076,,,,,,,,,,110.88,percent of total billed charges,999999999,,,,,,,,,,123.2,percent of total billed charges,103.2351958,,,,121.66,percent of total billed charges,117.4071356,,,,121.66,percent of total billed charges,103.7330907,,,,123.2,percent of total billed charges,999999999,,,,123.2,percent of total billed charges,999999999,,,,107.8,percent of total billed charges,999999999,,,,107.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,81.928,percent of total billed charges,999999999,,,,,,,,,,,,,,,,77.77,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,38.5,percent of total billed charges,36.56558256,,,,,,,,,,38.5,percent of total billed charges,35.95733897,,,,,,,,,,38.5,percent of total billed charges,35.85741506,,,,,,,,,,38.5,percent of total billed charges,35.32941506,,,,,,,,,,38.5,percent of total billed charges,36.23849285,,,,,,,,,,38.5,percent of total billed charges,999999999,,,,,,,,,,38.5,percent of total billed charges,31.09517878,,,,,,,,,,38.5,percent of total billed charges,49.03924125,,,,,,,,,,38.5,percent of total billed charges,999999999,,,,,,,,,,38.5,percent of total billed charges,33.5282076,,,,,,,,,,138.6,percent of total billed charges,,,,,
GIARDIAZYME(GIARDIA ANTIGEN)(*),87269,CDM,,,,both,,,122,122,25.97184124,122,122,percent of total billed charges,89.75973414,,,,122,percent of total billed charges,95.14354342,,,,122,percent of total billed charges,89.75973414,,,,122,percent of total billed charges,95.14354342,,,,122,percent of total billed charges,999999999,,,,122,percent of total billed charges,92.95561499,,,,122,percent of total billed charges,89.75973414,,,,122,percent of total billed charges,95.14354342,,,,86.986,percent of total billed charges,43.40760585,,,,86.986,percent of total billed charges,25.97184124,,,,86.986,percent of total billed charges,43.40760585,,,,86.986,percent of total billed charges,25.97184124,,,,86.986,percent of total billed charges,43.40760585,,,,86.986,percent of total billed charges,25.97184124,,,,86.132,percent of total billed charges,85.4784931,,,,86.132,percent of total billed charges,58.95383918,,,,,,,,,,87.84,percent of total billed charges,57.09393294,,,,,,,,,,87.84,percent of total billed charges,999999999,,,,,,,,,,97.6,percent of total billed charges,81.78372658,,,,96.38,percent of total billed charges,93.01084771,,,,96.38,percent of total billed charges,82.17816275,,,,97.6,percent of total billed charges,999999999,,,,97.6,percent of total billed charges,999999999,,,,85.4,percent of total billed charges,999999999,,,,85.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,64.904,percent of total billed charges,999999999,,,,,,,,,,,,,,,,61.61,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,30.5,percent of total billed charges,28.96753943,,,,,,,,,,30.5,percent of total billed charges,28.48568412,,,,,,,,,,30.5,percent of total billed charges,28.40652362,,,,,,,,,,30.5,percent of total billed charges,27.98823791,,,,,,,,,,30.5,percent of total billed charges,28.70841641,,,,,,,,,,30.5,percent of total billed charges,999999999,,,,,,,,,,30.5,percent of total billed charges,24.63384293,,,,,,,,,,30.5,percent of total billed charges,38.84926905,,,,,,,,,,30.5,percent of total billed charges,999999999,,,,,,,,,,30.5,percent of total billed charges,26.56130732,,,,,,,,,,109.8,percent of total billed charges,,,,,
**PCR MYCOBACTERIUM TUBERCULOSIS(*),87556,CDM,,,,both,,,458,458,97.50084664,458,458,percent of total billed charges,336.9668708,,,,458,percent of total billed charges,357.1782204,,,,458,percent of total billed charges,336.9668708,,,,458,percent of total billed charges,357.1782204,,,,458,percent of total billed charges,999999999,,,,458,percent of total billed charges,348.9645219,,,,458,percent of total billed charges,336.9668708,,,,458,percent of total billed charges,357.1782204,,,,326.554,percent of total billed charges,162.956422,,,,326.554,percent of total billed charges,97.50084664,,,,326.554,percent of total billed charges,162.956422,,,,326.554,percent of total billed charges,97.50084664,,,,326.554,percent of total billed charges,162.956422,,,,326.554,percent of total billed charges,97.50084664,,,,323.348,percent of total billed charges,320.8946708,,,,323.348,percent of total billed charges,221.318511,,,,,,,,,,329.76,percent of total billed charges,214.3362401,,,,,,,,,,329.76,percent of total billed charges,999999999,,,,,,,,,,366.4,percent of total billed charges,307.0241539,,,,361.82,percent of total billed charges,349.1718709,,,,361.82,percent of total billed charges,308.5049061,,,,366.4,percent of total billed charges,999999999,,,,366.4,percent of total billed charges,999999999,,,,320.6,percent of total billed charges,999999999,,,,320.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,243.656,percent of total billed charges,999999999,,,,,,,,,,,,,,,,231.29,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,114.5,percent of total billed charges,108.7469923,,,,,,,,,,114.5,percent of total billed charges,106.9380601,,,,,,,,,,114.5,percent of total billed charges,106.6408838,,,,,,,,,,114.5,percent of total billed charges,105.070598,,,,,,,,,,114.5,percent of total billed charges,107.774219,,,,,,,,,,114.5,percent of total billed charges,999999999,,,,,,,,,,114.5,percent of total billed charges,92.47786937,,,,,,,,,,114.5,percent of total billed charges,145.8439772,,,,,,,,,,114.5,percent of total billed charges,999999999,,,,,,,,,,114.5,percent of total billed charges,99.71376026,,,,,,,,,,412.2,percent of total billed charges,,,,,
OVA AND PARASITES(*),87177,CDM,,,,both,,,219,219,46.62158387,219,219,percent of total billed charges,161.1260801,,,,219,percent of total billed charges,170.7904591,,,,219,percent of total billed charges,161.1260801,,,,219,percent of total billed charges,170.7904591,,,,219,percent of total billed charges,999999999,,,,219,percent of total billed charges,166.8629482,,,,219,percent of total billed charges,161.1260801,,,,219,percent of total billed charges,170.7904591,,,,156.147,percent of total billed charges,77.9202105,,,,156.147,percent of total billed charges,46.62158387,,,,156.147,percent of total billed charges,77.9202105,,,,156.147,percent of total billed charges,46.62158387,,,,156.147,percent of total billed charges,77.9202105,,,,156.147,percent of total billed charges,46.62158387,,,,154.614,percent of total billed charges,153.4409015,,,,154.614,percent of total billed charges,105.8269736,,,,,,,,,,157.68,percent of total billed charges,102.4882895,,,,,,,,,,157.68,percent of total billed charges,999999999,,,,,,,,,,175.2,percent of total billed charges,146.8084928,,,,173.01,percent of total billed charges,166.9620955,,,,173.01,percent of total billed charges,147.516538,,,,175.2,percent of total billed charges,999999999,,,,175.2,percent of total billed charges,999999999,,,,153.3,percent of total billed charges,999999999,,,,153.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,116.508,percent of total billed charges,999999999,,,,,,,,,,,,,,,,110.595,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,54.75,percent of total billed charges,51.99910766,,,,,,,,,,54.75,percent of total billed charges,51.13413789,,,,,,,,,,54.75,percent of total billed charges,50.99203831,,,,,,,,,,54.75,percent of total billed charges,50.24118116,,,,,,,,,,54.75,percent of total billed charges,51.53396061,,,,,,,,,,54.75,percent of total billed charges,999999999,,,,,,,,,,54.75,percent of total billed charges,44.21976723,,,,,,,,,,54.75,percent of total billed charges,69.7376223,,,,,,,,,,54.75,percent of total billed charges,999999999,,,,,,,,,,54.75,percent of total billed charges,47.67972379,,,,,,,,,,197.1,percent of total billed charges,,,,,
PARASITE ID,87169,CDM,,,,both,,,110,110,23.41723391,110,110,percent of total billed charges,80.93090783,,,,110,percent of total billed charges,85.7851621,,,,110,percent of total billed charges,80.93090783,,,,110,percent of total billed charges,85.7851621,,,,110,percent of total billed charges,999999999,,,,110,percent of total billed charges,83.81243975,,,,110,percent of total billed charges,80.93090783,,,,110,percent of total billed charges,85.7851621,,,,78.43,percent of total billed charges,39.13800527,,,,78.43,percent of total billed charges,23.41723391,,,,78.43,percent of total billed charges,39.13800527,,,,78.43,percent of total billed charges,23.41723391,,,,78.43,percent of total billed charges,39.13800527,,,,78.43,percent of total billed charges,23.41723391,,,,77.66,percent of total billed charges,77.07077247,,,,77.66,percent of total billed charges,53.1551009,,,,,,,,,,79.2,percent of total billed charges,51.47813626,,,,,,,,,,79.2,percent of total billed charges,999999999,,,,,,,,,,88,percent of total billed charges,73.73942561,,,,86.9,percent of total billed charges,83.86223973,,,,86.9,percent of total billed charges,74.09506477,,,,88,percent of total billed charges,999999999,,,,88,percent of total billed charges,999999999,,,,77,percent of total billed charges,999999999,,,,77,percent of total billed charges,999999999,,,,,,,,,,,,,,,,58.52,percent of total billed charges,999999999,,,,,,,,,,,,,,,,55.55,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,27.5,percent of total billed charges,26.11827325,,,,,,,,,,27.5,percent of total billed charges,25.68381355,,,,,,,,,,27.5,percent of total billed charges,25.61243933,,,,,,,,,,27.5,percent of total billed charges,25.23529647,,,,,,,,,,27.5,percent of total billed charges,25.88463775,,,,,,,,,,27.5,percent of total billed charges,999999999,,,,,,,,,,27.5,percent of total billed charges,22.21084199,,,,,,,,,,27.5,percent of total billed charges,35.02802947,,,,,,,,,,27.5,percent of total billed charges,999999999,,,,,,,,,,27.5,percent of total billed charges,23.94871971,,,,,,,,,,99,percent of total billed charges,,,,,
TRICHOMONAS VAGINALIS,87661,CDM,,,,both,,,203,203,43.21544076,203,203,percent of total billed charges,149.3543117,,,,203,percent of total billed charges,158.3126173,,,,203,percent of total billed charges,149.3543117,,,,203,percent of total billed charges,158.3126173,,,,203,percent of total billed charges,999999999,,,,203,percent of total billed charges,154.6720479,,,,203,percent of total billed charges,149.3543117,,,,203,percent of total billed charges,158.3126173,,,,144.739,percent of total billed charges,72.22740973,,,,144.739,percent of total billed charges,43.21544076,,,,144.739,percent of total billed charges,72.22740973,,,,144.739,percent of total billed charges,43.21544076,,,,144.739,percent of total billed charges,72.22740973,,,,144.739,percent of total billed charges,43.21544076,,,,143.318,percent of total billed charges,142.2306074,,,,143.318,percent of total billed charges,98.09532258,,,,,,,,,,146.16,percent of total billed charges,95.00056055,,,,,,,,,,146.16,percent of total billed charges,999999999,,,,,,,,,,162.4,percent of total billed charges,136.0827582,,,,160.37,percent of total billed charges,154.7639515,,,,160.37,percent of total billed charges,136.7390741,,,,162.4,percent of total billed charges,999999999,,,,162.4,percent of total billed charges,999999999,,,,142.1,percent of total billed charges,999999999,,,,142.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,107.996,percent of total billed charges,999999999,,,,,,,,,,,,,,,,102.515,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,50.75,percent of total billed charges,48.2000861,,,,,,,,,,50.75,percent of total billed charges,47.39831046,,,,,,,,,,50.75,percent of total billed charges,47.26659259,,,,,,,,,,50.75,percent of total billed charges,46.57059258,,,,,,,,,,50.75,percent of total billed charges,47.7689224,,,,,,,,,,50.75,percent of total billed charges,999999999,,,,,,,,,,50.75,percent of total billed charges,40.9890993,,,,,,,,,,50.75,percent of total billed charges,64.6426362,,,,,,,,,,50.75,percent of total billed charges,999999999,,,,,,,,,,50.75,percent of total billed charges,44.19627365,,,,,,,,,,182.7,percent of total billed charges,,,,,
PINWORM(*),87172,CDM,,,,both,,,102,102,21.71416235,102,102,percent of total billed charges,75.04502362,,,,102,percent of total billed charges,79.54624122,,,,102,percent of total billed charges,75.04502362,,,,102,percent of total billed charges,79.54624122,,,,102,percent of total billed charges,999999999,,,,102,percent of total billed charges,77.71698958,,,,102,percent of total billed charges,75.04502362,,,,102,percent of total billed charges,79.54624122,,,,72.726,percent of total billed charges,36.29160489,,,,72.726,percent of total billed charges,21.71416235,,,,72.726,percent of total billed charges,36.29160489,,,,72.726,percent of total billed charges,21.71416235,,,,72.726,percent of total billed charges,36.29160489,,,,72.726,percent of total billed charges,21.71416235,,,,72.012,percent of total billed charges,71.46562538,,,,72.012,percent of total billed charges,49.28927538,,,,,,,,,,73.44,percent of total billed charges,47.7342718,,,,,,,,,,73.44,percent of total billed charges,999999999,,,,,,,,,,81.6,percent of total billed charges,68.37655829,,,,80.58,percent of total billed charges,77.76316775,,,,80.58,percent of total billed charges,68.70633279,,,,81.6,percent of total billed charges,999999999,,,,81.6,percent of total billed charges,999999999,,,,71.4,percent of total billed charges,999999999,,,,71.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,54.264,percent of total billed charges,999999999,,,,,,,,,,,,,,,,51.51,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,25.5,percent of total billed charges,24.21876247,,,,,,,,,,25.5,percent of total billed charges,23.81589984,,,,,,,,,,25.5,percent of total billed charges,23.74971647,,,,,,,,,,25.5,percent of total billed charges,23.40000219,,,,,,,,,,25.5,percent of total billed charges,24.00211864,,,,,,,,,,25.5,percent of total billed charges,999999999,,,,,,,,,,25.5,percent of total billed charges,20.59550803,,,,,,,,,,25.5,percent of total billed charges,32.48053641,,,,,,,,,,25.5,percent of total billed charges,999999999,,,,,,,,,,25.5,percent of total billed charges,22.20699464,,,,,,,,,,91.8,percent of total billed charges,,,,,
GRAM STAIN,87205,CDM,,,,both,,,104,104,22.13993024,104,104,percent of total billed charges,76.51649468,,,,104,percent of total billed charges,81.10597144,,,,104,percent of total billed charges,76.51649468,,,,104,percent of total billed charges,81.10597144,,,,104,percent of total billed charges,999999999,,,,104,percent of total billed charges,79.24085212,,,,104,percent of total billed charges,76.51649468,,,,104,percent of total billed charges,81.10597144,,,,74.152,percent of total billed charges,37.00320498,,,,74.152,percent of total billed charges,22.13993024,,,,74.152,percent of total billed charges,37.00320498,,,,74.152,percent of total billed charges,22.13993024,,,,74.152,percent of total billed charges,37.00320498,,,,74.152,percent of total billed charges,22.13993024,,,,73.424,percent of total billed charges,72.86691215,,,,73.424,percent of total billed charges,50.25573176,,,,,,,,,,74.88,percent of total billed charges,48.67023792,,,,,,,,,,74.88,percent of total billed charges,999999999,,,,,,,,,,83.2,percent of total billed charges,69.71727512,,,,82.16,percent of total billed charges,79.28793575,,,,82.16,percent of total billed charges,70.05351579,,,,83.2,percent of total billed charges,999999999,,,,83.2,percent of total billed charges,999999999,,,,72.8,percent of total billed charges,999999999,,,,72.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,55.328,percent of total billed charges,999999999,,,,,,,,,,,,,,,,52.52,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,26,percent of total billed charges,24.69364017,,,,,,,,,,26,percent of total billed charges,24.28287827,,,,,,,,,,26,percent of total billed charges,24.21539719,,,,,,,,,,26,percent of total billed charges,23.85882576,,,,,,,,,,26,percent of total billed charges,24.47274842,,,,,,,,,,26,percent of total billed charges,999999999,,,,,,,,,,26,percent of total billed charges,20.99934152,,,,,,,,,,26,percent of total billed charges,33.11740968,,,,,,,,,,26,percent of total billed charges,999999999,,,,,,,,,,26,percent of total billed charges,22.64242591,,,,,,,,,,93.6,percent of total billed charges,,,,,
SMEAR COMPLEX STAIN FOR OVA AND PARASITE,87209,CDM,,,,both,,,252,252,53.64675405,252,252,percent of total billed charges,185.4053525,,,,252,percent of total billed charges,196.5260077,,,,252,percent of total billed charges,185.4053525,,,,252,percent of total billed charges,196.5260077,,,,252,percent of total billed charges,999999999,,,,252,percent of total billed charges,192.0066801,,,,252,percent of total billed charges,185.4053525,,,,252,percent of total billed charges,196.5260077,,,,179.676,percent of total billed charges,89.66161208,,,,179.676,percent of total billed charges,53.64675405,,,,179.676,percent of total billed charges,89.66161208,,,,179.676,percent of total billed charges,53.64675405,,,,179.676,percent of total billed charges,89.66161208,,,,179.676,percent of total billed charges,53.64675405,,,,177.912,percent of total billed charges,176.5621333,,,,177.912,percent of total billed charges,121.7735039,,,,,,,,,,181.44,percent of total billed charges,117.9317303,,,,,,,,,,181.44,percent of total billed charges,999999999,,,,,,,,,,201.6,percent of total billed charges,168.9303205,,,,199.08,percent of total billed charges,192.1207674,,,,199.08,percent of total billed charges,169.7450575,,,,201.6,percent of total billed charges,999999999,,,,201.6,percent of total billed charges,999999999,,,,176.4,percent of total billed charges,999999999,,,,176.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,134.064,percent of total billed charges,999999999,,,,,,,,,,,,,,,,127.26,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,63,percent of total billed charges,59.83458964,,,,,,,,,,63,percent of total billed charges,58.83928195,,,,,,,,,,63,percent of total billed charges,58.67577011,,,,,,,,,,63,percent of total billed charges,57.81177011,,,,,,,,,,63,percent of total billed charges,59.29935194,,,,,,,,,,63,percent of total billed charges,999999999,,,,,,,,,,63,percent of total billed charges,50.88301983,,,,,,,,,,63,percent of total billed charges,80.24603114,,,,,,,,,,63,percent of total billed charges,999999999,,,,,,,,,,63,percent of total billed charges,54.86433971,,,,,,,,,,226.8,percent of total billed charges,,,,,
AFB STAIN TISSUE,88312,CDM,,,,both,,,261,261,55.56270955,261,261,percent of total billed charges,192.0269722,,,,261,percent of total billed charges,203.5447937,,,,261,percent of total billed charges,192.0269722,,,,261,percent of total billed charges,203.5447937,,,,261,percent of total billed charges,999999999,,,,261,percent of total billed charges,198.8640616,,,,261,percent of total billed charges,192.0269722,,,,261,percent of total billed charges,203.5447937,,,,186.093,percent of total billed charges,92.86381251,,,,186.093,percent of total billed charges,55.56270955,,,,186.093,percent of total billed charges,92.86381251,,,,186.093,percent of total billed charges,55.56270955,,,,186.093,percent of total billed charges,92.86381251,,,,186.093,percent of total billed charges,55.56270955,,,,184.266,percent of total billed charges,182.8679238,,,,184.266,percent of total billed charges,126.1225576,,,,,,,,,,187.92,percent of total billed charges,122.1435778,,,,,,,,,,187.92,percent of total billed charges,999999999,,,,,,,,,,208.8,percent of total billed charges,174.9635462,,,,206.19,percent of total billed charges,198.9822234,,,,206.19,percent of total billed charges,175.807381,,,,208.8,percent of total billed charges,999999999,,,,208.8,percent of total billed charges,999999999,,,,182.7,percent of total billed charges,999999999,,,,182.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,138.852,percent of total billed charges,999999999,,,,,,,,,,,,,,,,131.805,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,65.25,percent of total billed charges,61.97153927,,,,,,,,,,65.25,percent of total billed charges,60.94068488,,,,,,,,,,65.25,percent of total billed charges,60.77133332,,,,,,,,,,65.25,percent of total billed charges,59.87647618,,,,,,,,,,65.25,percent of total billed charges,61.41718594,,,,,,,,,,65.25,percent of total billed charges,999999999,,,,,,,,,,65.25,percent of total billed charges,52.70027053,,,,,,,,,,65.25,percent of total billed charges,83.11196083,,,,,,,,,,65.25,percent of total billed charges,999999999,,,,,,,,,,65.25,percent of total billed charges,56.82378041,,,,,,,,,,234.9,percent of total billed charges,,,,,
AFB STAIN BACTERIA,87206,CDM,,,,both,,,144,144,30.65528803,144,144,percent of total billed charges,105.9459157,,,,144,percent of total billed charges,112.3005758,,,,144,percent of total billed charges,105.9459157,,,,144,percent of total billed charges,112.3005758,,,,144,percent of total billed charges,999999999,,,,144,percent of total billed charges,109.7181029,,,,144,percent of total billed charges,105.9459157,,,,144,percent of total billed charges,112.3005758,,,,102.672,percent of total billed charges,51.2352069,,,,102.672,percent of total billed charges,30.65528803,,,,102.672,percent of total billed charges,51.2352069,,,,102.672,percent of total billed charges,30.65528803,,,,102.672,percent of total billed charges,51.2352069,,,,102.672,percent of total billed charges,30.65528803,,,,101.664,percent of total billed charges,100.8926476,,,,101.664,percent of total billed charges,69.58485937,,,,,,,,,,103.68,percent of total billed charges,67.38956019,,,,,,,,,,103.68,percent of total billed charges,999999999,,,,,,,,,,115.2,percent of total billed charges,96.5316117,,,,113.76,percent of total billed charges,109.7832957,,,,113.76,percent of total billed charges,96.9971757,,,,115.2,percent of total billed charges,999999999,,,,115.2,percent of total billed charges,999999999,,,,100.8,percent of total billed charges,999999999,,,,100.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,76.608,percent of total billed charges,999999999,,,,,,,,,,,,,,,,72.72,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,36,percent of total billed charges,34.19119408,,,,,,,,,,36,percent of total billed charges,33.62244683,,,,,,,,,,36,percent of total billed charges,33.52901149,,,,,,,,,,36,percent of total billed charges,33.0352972,,,,,,,,,,36,percent of total billed charges,33.88534397,,,,,,,,,,36,percent of total billed charges,999999999,,,,,,,,,,36,percent of total billed charges,29.07601133,,,,,,,,,,36,percent of total billed charges,45.85487494,,,,,,,,,,36,percent of total billed charges,999999999,,,,,,,,,,36,percent of total billed charges,31.35105126,,,,,,,,,,129.6,percent of total billed charges,,,,,
STOOL FOR WBCS,87205,CDM,,,,both,,,104,104,22.13993024,104,104,percent of total billed charges,76.51649468,,,,104,percent of total billed charges,81.10597144,,,,104,percent of total billed charges,76.51649468,,,,104,percent of total billed charges,81.10597144,,,,104,percent of total billed charges,999999999,,,,104,percent of total billed charges,79.24085212,,,,104,percent of total billed charges,76.51649468,,,,104,percent of total billed charges,81.10597144,,,,74.152,percent of total billed charges,37.00320498,,,,74.152,percent of total billed charges,22.13993024,,,,74.152,percent of total billed charges,37.00320498,,,,74.152,percent of total billed charges,22.13993024,,,,74.152,percent of total billed charges,37.00320498,,,,74.152,percent of total billed charges,22.13993024,,,,73.424,percent of total billed charges,72.86691215,,,,73.424,percent of total billed charges,50.25573176,,,,,,,,,,74.88,percent of total billed charges,48.67023792,,,,,,,,,,74.88,percent of total billed charges,999999999,,,,,,,,,,83.2,percent of total billed charges,69.71727512,,,,82.16,percent of total billed charges,79.28793575,,,,82.16,percent of total billed charges,70.05351579,,,,83.2,percent of total billed charges,999999999,,,,83.2,percent of total billed charges,999999999,,,,72.8,percent of total billed charges,999999999,,,,72.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,55.328,percent of total billed charges,999999999,,,,,,,,,,,,,,,,52.52,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,26,percent of total billed charges,24.69364017,,,,,,,,,,26,percent of total billed charges,24.28287827,,,,,,,,,,26,percent of total billed charges,24.21539719,,,,,,,,,,26,percent of total billed charges,23.85882576,,,,,,,,,,26,percent of total billed charges,24.47274842,,,,,,,,,,26,percent of total billed charges,999999999,,,,,,,,,,26,percent of total billed charges,20.99934152,,,,,,,,,,26,percent of total billed charges,33.11740968,,,,,,,,,,26,percent of total billed charges,999999999,,,,,,,,,,26,percent of total billed charges,22.64242591,,,,,,,,,,93.6,percent of total billed charges,,,,,
WET PREP (VAG ONLY),87210,CDM,,,,both,,,115,115,24.48165363,115,115,percent of total billed charges,84.60958546,,,,115,percent of total billed charges,89.68448765,,,,115,percent of total billed charges,84.60958546,,,,115,percent of total billed charges,89.68448765,,,,115,percent of total billed charges,999999999,,,,115,percent of total billed charges,87.6220961,,,,115,percent of total billed charges,84.60958546,,,,115,percent of total billed charges,89.68448765,,,,81.995,percent of total billed charges,40.91700551,,,,81.995,percent of total billed charges,24.48165363,,,,81.995,percent of total billed charges,40.91700551,,,,81.995,percent of total billed charges,24.48165363,,,,81.995,percent of total billed charges,40.91700551,,,,81.995,percent of total billed charges,24.48165363,,,,81.19,percent of total billed charges,80.5739894,,,,81.19,percent of total billed charges,55.57124185,,,,,,,,,,82.8,percent of total billed charges,53.81805154,,,,,,,,,,82.8,percent of total billed charges,999999999,,,,,,,,,,92,percent of total billed charges,77.09121768,,,,90.85,percent of total billed charges,87.67415972,,,,90.85,percent of total billed charges,77.46302226,,,,92,percent of total billed charges,999999999,,,,92,percent of total billed charges,999999999,,,,80.5,percent of total billed charges,999999999,,,,80.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,61.18,percent of total billed charges,999999999,,,,,,,,,,,,,,,,58.075,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,28.75,percent of total billed charges,27.30546749,,,,,,,,,,28.75,percent of total billed charges,26.85125962,,,,,,,,,,28.75,percent of total billed charges,26.77664112,,,,,,,,,,28.75,percent of total billed charges,26.38235541,,,,,,,,,,28.75,percent of total billed charges,27.06121219,,,,,,,,,,28.75,percent of total billed charges,999999999,,,,,,,,,,28.75,percent of total billed charges,23.22042571,,,,,,,,,,28.75,percent of total billed charges,36.62021262,,,,,,,,,,28.75,percent of total billed charges,999999999,,,,,,,,,,28.75,percent of total billed charges,25.03729788,,,,,,,,,,103.5,percent of total billed charges,,,,,
DFA FOR PERTUSSIS(*),87265,CDM,,,,both,,,203,203,43.21544076,203,203,percent of total billed charges,149.3543117,,,,203,percent of total billed charges,158.3126173,,,,203,percent of total billed charges,149.3543117,,,,203,percent of total billed charges,158.3126173,,,,203,percent of total billed charges,999999999,,,,203,percent of total billed charges,154.6720479,,,,203,percent of total billed charges,149.3543117,,,,203,percent of total billed charges,158.3126173,,,,144.739,percent of total billed charges,72.22740973,,,,144.739,percent of total billed charges,43.21544076,,,,144.739,percent of total billed charges,72.22740973,,,,144.739,percent of total billed charges,43.21544076,,,,144.739,percent of total billed charges,72.22740973,,,,144.739,percent of total billed charges,43.21544076,,,,143.318,percent of total billed charges,142.2306074,,,,143.318,percent of total billed charges,98.09532258,,,,,,,,,,146.16,percent of total billed charges,95.00056055,,,,,,,,,,146.16,percent of total billed charges,999999999,,,,,,,,,,162.4,percent of total billed charges,136.0827582,,,,160.37,percent of total billed charges,154.7639515,,,,160.37,percent of total billed charges,136.7390741,,,,162.4,percent of total billed charges,999999999,,,,162.4,percent of total billed charges,999999999,,,,142.1,percent of total billed charges,999999999,,,,142.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,107.996,percent of total billed charges,999999999,,,,,,,,,,,,,,,,102.515,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,50.75,percent of total billed charges,48.2000861,,,,,,,,,,50.75,percent of total billed charges,47.39831046,,,,,,,,,,50.75,percent of total billed charges,47.26659259,,,,,,,,,,50.75,percent of total billed charges,46.57059258,,,,,,,,,,50.75,percent of total billed charges,47.7689224,,,,,,,,,,50.75,percent of total billed charges,999999999,,,,,,,,,,50.75,percent of total billed charges,40.9890993,,,,,,,,,,50.75,percent of total billed charges,64.6426362,,,,,,,,,,50.75,percent of total billed charges,999999999,,,,,,,,,,50.75,percent of total billed charges,44.19627365,,,,,,,,,,182.7,percent of total billed charges,,,,,
BACT ID ANAEROBIC,87076,CDM,,,,both,,,152,152,32.35835958,152,152,percent of total billed charges,111.8317999,,,,152,percent of total billed charges,118.5394967,,,,152,percent of total billed charges,111.8317999,,,,152,percent of total billed charges,118.5394967,,,,152,percent of total billed charges,999999999,,,,152,percent of total billed charges,115.8135531,,,,152,percent of total billed charges,111.8317999,,,,152,percent of total billed charges,118.5394967,,,,108.376,percent of total billed charges,54.08160728,,,,108.376,percent of total billed charges,32.35835958,,,,108.376,percent of total billed charges,54.08160728,,,,108.376,percent of total billed charges,32.35835958,,,,108.376,percent of total billed charges,54.08160728,,,,108.376,percent of total billed charges,32.35835958,,,,107.312,percent of total billed charges,106.4977947,,,,107.312,percent of total billed charges,73.45068489,,,,,,,,,,109.44,percent of total billed charges,71.13342465,,,,,,,,,,109.44,percent of total billed charges,999999999,,,,,,,,,,121.6,percent of total billed charges,101.894479,,,,120.08,percent of total billed charges,115.8823676,,,,120.08,percent of total billed charges,102.3859077,,,,121.6,percent of total billed charges,999999999,,,,121.6,percent of total billed charges,999999999,,,,106.4,percent of total billed charges,999999999,,,,106.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,80.864,percent of total billed charges,999999999,,,,,,,,,,,,,,,,76.76,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,38,percent of total billed charges,36.09070486,,,,,,,,,,38,percent of total billed charges,35.49036054,,,,,,,,,,38,percent of total billed charges,35.39173435,,,,,,,,,,38,percent of total billed charges,34.87059149,,,,,,,,,,38,percent of total billed charges,35.76786307,,,,,,,,,,38,percent of total billed charges,999999999,,,,,,,,,,38,percent of total billed charges,30.69134529,,,,,,,,,,38,percent of total billed charges,48.40236799,,,,,,,,,,38,percent of total billed charges,999999999,,,,,,,,,,38,percent of total billed charges,33.09277633,,,,,,,,,,136.8,percent of total billed charges,,,,,
BACT ID AEROBIC,87077,CDM,,,,both,,,126,126,26.82337702,126,126,percent of total billed charges,92.70267624,,,,126,percent of total billed charges,98.26300386,,,,126,percent of total billed charges,92.70267624,,,,126,percent of total billed charges,98.26300386,,,,126,percent of total billed charges,999999999,,,,126,percent of total billed charges,96.00334007,,,,126,percent of total billed charges,92.70267624,,,,126,percent of total billed charges,98.26300386,,,,89.838,percent of total billed charges,44.83080604,,,,89.838,percent of total billed charges,26.82337702,,,,89.838,percent of total billed charges,44.83080604,,,,89.838,percent of total billed charges,26.82337702,,,,89.838,percent of total billed charges,44.83080604,,,,89.838,percent of total billed charges,26.82337702,,,,88.956,percent of total billed charges,88.28106665,,,,88.956,percent of total billed charges,60.88675195,,,,,,,,,,90.72,percent of total billed charges,58.96586517,,,,,,,,,,90.72,percent of total billed charges,999999999,,,,,,,,,,100.8,percent of total billed charges,84.46516024,,,,99.54,percent of total billed charges,96.0603837,,,,99.54,percent of total billed charges,84.87252874,,,,100.8,percent of total billed charges,999999999,,,,100.8,percent of total billed charges,999999999,,,,88.2,percent of total billed charges,999999999,,,,88.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,67.032,percent of total billed charges,999999999,,,,,,,,,,,,,,,,63.63,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,31.5,percent of total billed charges,29.91729482,,,,,,,,,,31.5,percent of total billed charges,29.41964098,,,,,,,,,,31.5,percent of total billed charges,29.33788505,,,,,,,,,,31.5,percent of total billed charges,28.90588505,,,,,,,,,,31.5,percent of total billed charges,29.64967597,,,,,,,,,,31.5,percent of total billed charges,999999999,,,,,,,,,,31.5,percent of total billed charges,25.44150991,,,,,,,,,,31.5,percent of total billed charges,40.12301557,,,,,,,,,,31.5,percent of total billed charges,999999999,,,,,,,,,,31.5,percent of total billed charges,27.43216985,,,,,,,,,,113.4,percent of total billed charges,,,,,
EXTRA SLIDES-,Local,Local,,,,both,,,35,35,7.450938062,35,35,percent of total billed charges,25.7507434,,,,35,percent of total billed charges,27.29527885,,,,35,percent of total billed charges,25.7507434,,,,35,percent of total billed charges,27.29527885,,,,35,percent of total billed charges,999999999,,,,35,percent of total billed charges,26.66759446,,,,35,percent of total billed charges,25.7507434,,,,35,percent of total billed charges,27.29527885,,,,24.955,percent of total billed charges,12.45300168,,,,24.955,percent of total billed charges,7.450938062,,,,24.955,percent of total billed charges,12.45300168,,,,24.955,percent of total billed charges,7.450938062,,,,24.955,percent of total billed charges,12.45300168,,,,24.955,percent of total billed charges,7.450938062,,,,24.71,percent of total billed charges,24.52251851,,,,24.71,percent of total billed charges,16.91298665,,,,,,,,,,25.2,percent of total billed charges,16.37940699,,,,,,,,,,25.2,percent of total billed charges,999999999,,,,,,,,,,28,percent of total billed charges,23.46254451,,,,27.65,percent of total billed charges,26.68343992,,,,27.65,percent of total billed charges,23.57570243,,,,28,percent of total billed charges,999999999,,,,28,percent of total billed charges,999999999,,,,24.5,percent of total billed charges,999999999,,,,24.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,18.62,percent of total billed charges,999999999,,,,,,,,,,,,,,,,17.675,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8.75,percent of total billed charges,8.310359672,,,,,,,,,,8.75,percent of total billed charges,8.172122493,,,,,,,,,,8.75,percent of total billed charges,8.149412515,,,,,,,,,,8.75,percent of total billed charges,8.029412515,,,,,,,,,,8.75,percent of total billed charges,8.236021103,,,,,,,,,,8.75,percent of total billed charges,999999999,,,,,,,,,,8.75,percent of total billed charges,7.067086087,,,,,,,,,,8.75,percent of total billed charges,11.1452821,,,,,,,,,,8.75,percent of total billed charges,999999999,,,,,,,,,,8.75,percent of total billed charges,7.620047182,,,,,,,,,,31.5,percent of total billed charges,,,,,
**CAT 14 FNA BY PATH 10021,10021,CDM,,,,both,,,1105,1105,235.2367588,1105,1105,percent of total billed charges,812.9877559,,,,1105,percent of total billed charges,861.7509466,,,,1105,percent of total billed charges,812.9877559,,,,1105,percent of total billed charges,861.7509466,,,,1105,percent of total billed charges,999999999,,,,1105,percent of total billed charges,841.9340538,,,,1105,percent of total billed charges,812.9877559,,,,1105,percent of total billed charges,861.7509466,,,,787.865,percent of total billed charges,393.159053,,,,787.865,percent of total billed charges,235.2367588,,,,787.865,percent of total billed charges,393.159053,,,,787.865,percent of total billed charges,235.2367588,,,,787.865,percent of total billed charges,393.159053,,,,787.865,percent of total billed charges,235.2367588,,,,780.13,percent of total billed charges,774.2109416,,,,780.13,percent of total billed charges,533.96715,,,,,,,,,,795.6,percent of total billed charges,517.1212779,,,,,,,,,,795.6,percent of total billed charges,999999999,,,,,,,,,,884,percent of total billed charges,740.7460481,,,,872.95,percent of total billed charges,842.4343173,,,,872.95,percent of total billed charges,744.3186052,,,,884,percent of total billed charges,999999999,,,,884,percent of total billed charges,999999999,,,,773.5,percent of total billed charges,999999999,,,,773.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,587.86,percent of total billed charges,999999999,,,,,,,,,,,,,,,,558.025,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,276.25,percent of total billed charges,262.3699268,,,,,,,,,,276.25,percent of total billed charges,258.0055816,,,,,,,,,,276.25,percent of total billed charges,257.2885951,,,,,,,,,,276.25,percent of total billed charges,253.5000237,,,,,,,,,,276.25,percent of total billed charges,260.022952,,,,,,,,,,276.25,percent of total billed charges,999999999,,,,,,,,,,276.25,percent of total billed charges,223.1180036,,,,,,,,,,276.25,percent of total billed charges,351.8724778,,,,,,,,,,276.25,percent of total billed charges,999999999,,,,,,,,,,276.25,percent of total billed charges,240.5757753,,,,,,,,,,994.5,percent of total billed charges,,,,,
**CAT 15 FNA BY RAD 10022,10022,CDM,,,,both,,,1463,1463,311.449211,1463,1463,percent of total billed charges,1076.381074,,,,1463,percent of total billed charges,1140.942656,,,,1463,percent of total billed charges,1076.381074,,,,1463,percent of total billed charges,1140.942656,,,,1463,percent of total billed charges,999999999,,,,1463,percent of total billed charges,1114.705449,,,,1463,percent of total billed charges,1076.381074,,,,1463,percent of total billed charges,1140.942656,,,,1043.119,percent of total billed charges,520.5354701,,,,1043.119,percent of total billed charges,311.449211,,,,1043.119,percent of total billed charges,520.5354701,,,,1043.119,percent of total billed charges,311.449211,,,,1043.119,percent of total billed charges,520.5354701,,,,1043.119,percent of total billed charges,311.449211,,,,1032.878,percent of total billed charges,1025.041274,,,,1032.878,percent of total billed charges,706.962842,,,,,,,,,,1053.36,percent of total billed charges,684.6592122,,,,,,,,,,1053.36,percent of total billed charges,999999999,,,,,,,,,,1170.4,percent of total billed charges,980.7343606,,,,1155.77,percent of total billed charges,1115.367788,,,,1155.77,percent of total billed charges,985.4643615,,,,1170.4,percent of total billed charges,999999999,,,,1170.4,percent of total billed charges,999999999,,,,1024.1,percent of total billed charges,999999999,,,,1024.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,778.316,percent of total billed charges,999999999,,,,,,,,,,,,,,,,738.815,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,365.75,percent of total billed charges,347.3730343,,,,,,,,,,365.75,percent of total billed charges,341.5947202,,,,,,,,,,365.75,percent of total billed charges,340.6454431,,,,,,,,,,365.75,percent of total billed charges,335.6294431,,,,,,,,,,365.75,percent of total billed charges,344.2656821,,,,,,,,,,365.75,percent of total billed charges,999999999,,,,,,,,,,365.75,percent of total billed charges,295.4041984,,,,,,,,,,365.75,percent of total billed charges,465.8727919,,,,,,,,,,365.75,percent of total billed charges,999999999,,,,,,,,,,365.75,percent of total billed charges,318.5179722,,,,,,,,,,1316.7,percent of total billed charges,,,,,
CAT 12 CYTOLOGY NON-GYN-88104,88104,CDM,,,,both,,,272,272,57.90443294,272,272,percent of total billed charges,200.120063,,,,272,percent of total billed charges,212.1233099,,,,272,percent of total billed charges,200.120063,,,,272,percent of total billed charges,212.1233099,,,,272,percent of total billed charges,999999999,,,,272,percent of total billed charges,207.2453056,,,,272,percent of total billed charges,200.120063,,,,272,percent of total billed charges,212.1233099,,,,193.936,percent of total billed charges,96.77761304,,,,193.936,percent of total billed charges,57.90443294,,,,193.936,percent of total billed charges,96.77761304,,,,193.936,percent of total billed charges,57.90443294,,,,193.936,percent of total billed charges,96.77761304,,,,193.936,percent of total billed charges,57.90443294,,,,192.032,percent of total billed charges,190.575001,,,,192.032,percent of total billed charges,131.4380677,,,,,,,,,,195.84,percent of total billed charges,127.2913915,,,,,,,,,,195.84,percent of total billed charges,999999999,,,,,,,,,,217.6,percent of total billed charges,182.3374888,,,,214.88,percent of total billed charges,207.3684473,,,,214.88,percent of total billed charges,183.2168874,,,,217.6,percent of total billed charges,999999999,,,,217.6,percent of total billed charges,999999999,,,,190.4,percent of total billed charges,999999999,,,,190.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,144.704,percent of total billed charges,999999999,,,,,,,,,,,,,,,,137.36,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,68,percent of total billed charges,64.58336659,,,,,,,,,,68,percent of total billed charges,63.50906623,,,,,,,,,,68,percent of total billed charges,63.33257726,,,,,,,,,,68,percent of total billed charges,62.40000583,,,,,,,,,,68,percent of total billed charges,64.00564971,,,,,,,,,,68,percent of total billed charges,999999999,,,,,,,,,,68,percent of total billed charges,54.92135473,,,,,,,,,,68,percent of total billed charges,86.61476377,,,,,,,,,,68,percent of total billed charges,999999999,,,,,,,,,,68,percent of total billed charges,59.21865238,,,,,,,,,,244.8,percent of total billed charges,,,,,
CAT 26 FNA CYTO,88173,CDM,,,,both,,,447,447,95.15912325,447,447,percent of total billed charges,328.87378,,,,447,percent of total billed charges,348.5997042,,,,447,percent of total billed charges,328.87378,,,,447,percent of total billed charges,348.5997042,,,,447,percent of total billed charges,999999999,,,,447,percent of total billed charges,340.5832779,,,,447,percent of total billed charges,328.87378,,,,447,percent of total billed charges,348.5997042,,,,318.711,percent of total billed charges,159.0426214,,,,318.711,percent of total billed charges,95.15912325,,,,318.711,percent of total billed charges,159.0426214,,,,318.711,percent of total billed charges,95.15912325,,,,318.711,percent of total billed charges,159.0426214,,,,318.711,percent of total billed charges,95.15912325,,,,315.582,percent of total billed charges,313.1875936,,,,315.582,percent of total billed charges,216.0030009,,,,,,,,,,321.84,percent of total billed charges,209.1884264,,,,,,,,,,321.84,percent of total billed charges,999999999,,,,,,,,,,357.6,percent of total billed charges,299.6502113,,,,353.13,percent of total billed charges,340.7856469,,,,353.13,percent of total billed charges,301.0953996,,,,357.6,percent of total billed charges,999999999,,,,357.6,percent of total billed charges,999999999,,,,312.9,percent of total billed charges,999999999,,,,312.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,237.804,percent of total billed charges,999999999,,,,,,,,,,,,,,,,225.735,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,111.75,percent of total billed charges,106.135165,,,,,,,,,,111.75,percent of total billed charges,104.3696787,,,,,,,,,,111.75,percent of total billed charges,104.0796398,,,,,,,,,,111.75,percent of total billed charges,102.5470684,,,,,,,,,,111.75,percent of total billed charges,105.1857552,,,,,,,,,,111.75,percent of total billed charges,999999999,,,,,,,,,,111.75,percent of total billed charges,90.25678517,,,,,,,,,,111.75,percent of total billed charges,142.3411743,,,,,,,,,,111.75,percent of total billed charges,999999999,,,,,,,,,,111.75,percent of total billed charges,97.31888829,,,,,,,,,,402.3,percent of total billed charges,,,,,
CAT 13 CSF-CYTOLOGY-88108,88108,CDM,,,,both,,,270,270,57.47866505,270,270,percent of total billed charges,198.6485919,,,,270,percent of total billed charges,210.5635797,,,,270,percent of total billed charges,198.6485919,,,,270,percent of total billed charges,210.5635797,,,,270,percent of total billed charges,999999999,,,,270,percent of total billed charges,205.721443,,,,270,percent of total billed charges,198.6485919,,,,270,percent of total billed charges,210.5635797,,,,192.51,percent of total billed charges,96.06601294,,,,192.51,percent of total billed charges,57.47866505,,,,192.51,percent of total billed charges,96.06601294,,,,192.51,percent of total billed charges,57.47866505,,,,192.51,percent of total billed charges,96.06601294,,,,192.51,percent of total billed charges,57.47866505,,,,190.62,percent of total billed charges,189.1737142,,,,190.62,percent of total billed charges,130.4716113,,,,,,,,,,194.4,percent of total billed charges,126.3554254,,,,,,,,,,194.4,percent of total billed charges,999999999,,,,,,,,,,216,percent of total billed charges,180.9967719,,,,213.3,percent of total billed charges,205.8436793,,,,213.3,percent of total billed charges,181.8697044,,,,216,percent of total billed charges,999999999,,,,216,percent of total billed charges,999999999,,,,189,percent of total billed charges,999999999,,,,189,percent of total billed charges,999999999,,,,,,,,,,,,,,,,143.64,percent of total billed charges,999999999,,,,,,,,,,,,,,,,136.35,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,67.5,percent of total billed charges,64.1084889,,,,,,,,,,67.5,percent of total billed charges,63.0420878,,,,,,,,,,67.5,percent of total billed charges,62.86689654,,,,,,,,,,67.5,percent of total billed charges,61.94118226,,,,,,,,,,67.5,percent of total billed charges,63.53501993,,,,,,,,,,67.5,percent of total billed charges,999999999,,,,,,,,,,67.5,percent of total billed charges,54.51752124,,,,,,,,,,67.5,percent of total billed charges,85.97789051,,,,,,,,,,67.5,percent of total billed charges,999999999,,,,,,,,,,67.5,percent of total billed charges,58.78322112,,,,,,,,,,243,percent of total billed charges,,,,,
ELECTRON MICROSCOPY(*),88348,CDM,,,,both,,,2204,2204,469.196214,2204,2204,percent of total billed charges,1621.561099,,,,2204,percent of total billed charges,1718.822702,,,,2204,percent of total billed charges,1621.561099,,,,2204,percent of total billed charges,1718.822702,,,,2204,percent of total billed charges,999999999,,,,2204,percent of total billed charges,1679.29652,,,,2204,percent of total billed charges,1621.561099,,,,2204,percent of total billed charges,1718.822702,,,,1571.452,percent of total billed charges,784.1833056,,,,1571.452,percent of total billed charges,469.196214,,,,1571.452,percent of total billed charges,784.1833056,,,,1571.452,percent of total billed charges,469.196214,,,,1571.452,percent of total billed charges,784.1833056,,,,1571.452,percent of total billed charges,469.196214,,,,1556.024,percent of total billed charges,1544.218023,,,,1556.024,percent of total billed charges,1065.034931,,,,,,,,,,1586.88,percent of total billed charges,1031.434657,,,,,,,,,,1586.88,percent of total billed charges,999999999,,,,,,,,,,1763.2,percent of total billed charges,1477.469946,,,,1741.16,percent of total billed charges,1680.294331,,,,1741.16,percent of total billed charges,1484.595661,,,,1763.2,percent of total billed charges,999999999,,,,1763.2,percent of total billed charges,999999999,,,,1542.8,percent of total billed charges,999999999,,,,1542.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1172.528,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1113.02,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,551,percent of total billed charges,523.3152205,,,,,,,,,,551,percent of total billed charges,514.6102279,,,,,,,,,,551,percent of total billed charges,513.1801481,,,,,,,,,,551,percent of total billed charges,505.6235766,,,,,,,,,,551,percent of total billed charges,518.6340146,,,,,,,,,,551,percent of total billed charges,999999999,,,,,,,,,,551,percent of total billed charges,445.0245067,,,,,,,,,,551,percent of total billed charges,701.8343359,,,,,,,,,,551,percent of total billed charges,999999999,,,,,,,,,,551,percent of total billed charges,479.8452568,,,,,,,,,,1983.6,percent of total billed charges,,,,,
MICRODISSECTION MANUAL,88381,CDM,,,,both,,,560,560,119.215009,560,560,percent of total billed charges,412.0118944,,,,560,percent of total billed charges,436.7244616,,,,560,percent of total billed charges,412.0118944,,,,560,percent of total billed charges,436.7244616,,,,560,percent of total billed charges,999999999,,,,560,percent of total billed charges,426.6815114,,,,560,percent of total billed charges,412.0118944,,,,560,percent of total billed charges,436.7244616,,,,399.28,percent of total billed charges,199.2480268,,,,399.28,percent of total billed charges,119.215009,,,,399.28,percent of total billed charges,199.2480268,,,,399.28,percent of total billed charges,119.215009,,,,399.28,percent of total billed charges,199.2480268,,,,399.28,percent of total billed charges,119.215009,,,,395.36,percent of total billed charges,392.3602962,,,,395.36,percent of total billed charges,270.6077864,,,,,,,,,,403.2,percent of total billed charges,262.0705119,,,,,,,,,,403.2,percent of total billed charges,999999999,,,,,,,,,,448,percent of total billed charges,375.4007122,,,,442.4,percent of total billed charges,426.9350386,,,,442.4,percent of total billed charges,377.2112388,,,,448,percent of total billed charges,999999999,,,,448,percent of total billed charges,999999999,,,,392,percent of total billed charges,999999999,,,,392,percent of total billed charges,999999999,,,,,,,,,,,,,,,,297.92,percent of total billed charges,999999999,,,,,,,,,,,,,,,,282.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,140,percent of total billed charges,132.9657547,,,,,,,,,,140,percent of total billed charges,130.7539599,,,,,,,,,,140,percent of total billed charges,130.3906002,,,,,,,,,,140,percent of total billed charges,128.4706002,,,,,,,,,,140,percent of total billed charges,131.7763376,,,,,,,,,,140,percent of total billed charges,999999999,,,,,,,,,,140,percent of total billed charges,113.0733774,,,,,,,,,,140,percent of total billed charges,178.3245137,,,,,,,,,,140,percent of total billed charges,999999999,,,,,,,,,,140,percent of total billed charges,121.9207549,,,,,,,,,,504,percent of total billed charges,,,,,
CAT 25 FNA EVAL Ea Addl.,88177,CDM,,,,both,,,169,169,35.97738664,169,169,percent of total billed charges,124.3393038,,,,169,percent of total billed charges,131.7972036,,,,169,percent of total billed charges,124.3393038,,,,169,percent of total billed charges,131.7972036,,,,169,percent of total billed charges,999999999,,,,169,percent of total billed charges,128.7663847,,,,169,percent of total billed charges,124.3393038,,,,169,percent of total billed charges,131.7972036,,,,120.497,percent of total billed charges,60.1302081,,,,120.497,percent of total billed charges,35.97738664,,,,120.497,percent of total billed charges,60.1302081,,,,120.497,percent of total billed charges,35.97738664,,,,120.497,percent of total billed charges,60.1302081,,,,120.497,percent of total billed charges,35.97738664,,,,119.314,percent of total billed charges,118.4087322,,,,119.314,percent of total billed charges,81.66556412,,,,,,,,,,121.68,percent of total billed charges,79.08913661,,,,,,,,,,121.68,percent of total billed charges,999999999,,,,,,,,,,135.2,percent of total billed charges,113.2905721,,,,133.51,percent of total billed charges,128.8428956,,,,133.51,percent of total billed charges,113.8369632,,,,135.2,percent of total billed charges,999999999,,,,135.2,percent of total billed charges,999999999,,,,118.3,percent of total billed charges,999999999,,,,118.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,89.908,percent of total billed charges,999999999,,,,,,,,,,,,,,,,85.345,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,42.25,percent of total billed charges,40.12716527,,,,,,,,,,42.25,percent of total billed charges,39.45967718,,,,,,,,,,42.25,percent of total billed charges,39.35002043,,,,,,,,,,42.25,percent of total billed charges,38.77059186,,,,,,,,,,42.25,percent of total billed charges,39.76821618,,,,,,,,,,42.25,percent of total billed charges,999999999,,,,,,,,,,42.25,percent of total billed charges,34.12392996,,,,,,,,,,42.25,percent of total billed charges,53.81579073,,,,,,,,,,42.25,percent of total billed charges,999999999,,,,,,,,,,42.25,percent of total billed charges,36.79394211,,,,,,,,,,152.1,percent of total billed charges,,,,,
CYTO PATH CONSULT 2,88334,CDM,,,,both,,,176,176,37.46757425,176,176,percent of total billed charges,129.4894525,,,,176,percent of total billed charges,137.2562594,,,,176,percent of total billed charges,129.4894525,,,,176,percent of total billed charges,137.2562594,,,,176,percent of total billed charges,999999999,,,,176,percent of total billed charges,134.0999036,,,,176,percent of total billed charges,129.4894525,,,,176,percent of total billed charges,137.2562594,,,,125.488,percent of total billed charges,62.62080844,,,,125.488,percent of total billed charges,37.46757425,,,,125.488,percent of total billed charges,62.62080844,,,,125.488,percent of total billed charges,37.46757425,,,,125.488,percent of total billed charges,62.62080844,,,,125.488,percent of total billed charges,37.46757425,,,,124.256,percent of total billed charges,123.3132359,,,,124.256,percent of total billed charges,85.04816145,,,,,,,,,,126.72,percent of total billed charges,82.36501801,,,,,,,,,,126.72,percent of total billed charges,999999999,,,,,,,,,,140.8,percent of total billed charges,117.983081,,,,139.04,percent of total billed charges,134.1795836,,,,139.04,percent of total billed charges,118.5521036,,,,140.8,percent of total billed charges,999999999,,,,140.8,percent of total billed charges,999999999,,,,123.2,percent of total billed charges,999999999,,,,123.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,93.632,percent of total billed charges,999999999,,,,,,,,,,,,,,,,88.88,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,44,percent of total billed charges,41.78923721,,,,,,,,,,44,percent of total billed charges,41.09410168,,,,,,,,,,44,percent of total billed charges,40.97990293,,,,,,,,,,44,percent of total billed charges,40.37647436,,,,,,,,,,44,percent of total billed charges,41.4154204,,,,,,,,,,44,percent of total billed charges,999999999,,,,,,,,,,44,percent of total billed charges,35.53734718,,,,,,,,,,44,percent of total billed charges,56.04484715,,,,,,,,,,44,percent of total billed charges,999999999,,,,,,,,,,44,percent of total billed charges,38.31795154,,,,,,,,,,158.4,percent of total billed charges,,,,,
CYTO PATH CONSULT 1,88333,CDM,,,,both,,,251,251,53.4338701,251,251,percent of total billed charges,184.669617,,,,251,percent of total billed charges,195.7461426,,,,251,percent of total billed charges,184.669617,,,,251,percent of total billed charges,195.7461426,,,,251,percent of total billed charges,999999999,,,,251,percent of total billed charges,191.2447489,,,,251,percent of total billed charges,184.669617,,,,251,percent of total billed charges,195.7461426,,,,178.963,percent of total billed charges,89.30581203,,,,178.963,percent of total billed charges,53.4338701,,,,178.963,percent of total billed charges,89.30581203,,,,178.963,percent of total billed charges,53.4338701,,,,178.963,percent of total billed charges,89.30581203,,,,178.963,percent of total billed charges,53.4338701,,,,177.206,percent of total billed charges,175.8614899,,,,177.206,percent of total billed charges,121.2902757,,,,,,,,,,180.72,percent of total billed charges,117.4637473,,,,,,,,,,180.72,percent of total billed charges,999999999,,,,,,,,,,200.8,percent of total billed charges,168.2599621,,,,198.29,percent of total billed charges,191.3583834,,,,198.29,percent of total billed charges,169.071466,,,,200.8,percent of total billed charges,999999999,,,,200.8,percent of total billed charges,999999999,,,,175.7,percent of total billed charges,999999999,,,,175.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,133.532,percent of total billed charges,999999999,,,,,,,,,,,,,,,,126.755,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,62.75,percent of total billed charges,59.59715079,,,,,,,,,,62.75,percent of total billed charges,58.60579274,,,,,,,,,,62.75,percent of total billed charges,58.44292975,,,,,,,,,,62.75,percent of total billed charges,57.58235832,,,,,,,,,,62.75,percent of total billed charges,59.06403705,,,,,,,,,,62.75,percent of total billed charges,999999999,,,,,,,,,,62.75,percent of total billed charges,50.68110308,,,,,,,,,,62.75,percent of total billed charges,79.92759451,,,,,,,,,,62.75,percent of total billed charges,999999999,,,,,,,,,,62.75,percent of total billed charges,54.64662408,,,,,,,,,,225.9,percent of total billed charges,,,,,
CHROMOSOME ANALYSIS,88230,CDM,,,,both,,,833,833,177.3323259,833,833,percent of total billed charges,612.8676929,,,,833,percent of total billed charges,649.6276366,,,,833,percent of total billed charges,612.8676929,,,,833,percent of total billed charges,649.6276366,,,,833,percent of total billed charges,999999999,,,,833,percent of total billed charges,634.6887483,,,,833,percent of total billed charges,612.8676929,,,,833,percent of total billed charges,649.6276366,,,,593.929,percent of total billed charges,296.3814399,,,,593.929,percent of total billed charges,177.3323259,,,,593.929,percent of total billed charges,296.3814399,,,,593.929,percent of total billed charges,177.3323259,,,,593.929,percent of total billed charges,296.3814399,,,,593.929,percent of total billed charges,177.3323259,,,,588.098,percent of total billed charges,583.6359406,,,,588.098,percent of total billed charges,402.5290823,,,,,,,,,,599.76,percent of total billed charges,389.8298864,,,,,,,,,,599.76,percent of total billed charges,999999999,,,,,,,,,,666.4,percent of total billed charges,558.4085594,,,,658.07,percent of total billed charges,635.06587,,,,658.07,percent of total billed charges,561.1017178,,,,666.4,percent of total billed charges,999999999,,,,666.4,percent of total billed charges,999999999,,,,583.1,percent of total billed charges,999999999,,,,583.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,443.156,percent of total billed charges,999999999,,,,,,,,,,,,,,,,420.665,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,208.25,percent of total billed charges,197.7865602,,,,,,,,,,208.25,percent of total billed charges,194.4965153,,,,,,,,,,208.25,percent of total billed charges,193.9560179,,,,,,,,,,208.25,percent of total billed charges,191.1000178,,,,,,,,,,208.25,percent of total billed charges,196.0173022,,,,,,,,,,208.25,percent of total billed charges,999999999,,,,,,,,,,208.25,percent of total billed charges,168.1966489,,,,,,,,,,208.25,percent of total billed charges,265.2577141,,,,,,,,,,208.25,percent of total billed charges,999999999,,,,,,,,,,208.25,percent of total billed charges,181.3571229,,,,,,,,,,749.7,percent of total billed charges,,,,,
GENETIC AMNIOCENTHESIS,88267,CDM,,,,both,,,1542,1542,328.2670426,1542,1542,percent of total billed charges,1134.504181,,,,1542,percent of total billed charges,1202.552,,,,1542,percent of total billed charges,1134.504181,,,,1542,percent of total billed charges,1202.552,,,,1542,percent of total billed charges,999999999,,,,1542,percent of total billed charges,1174.898019,,,,1542,percent of total billed charges,1134.504181,,,,1542,percent of total billed charges,1202.552,,,,1099.446,percent of total billed charges,548.6436739,,,,1099.446,percent of total billed charges,328.2670426,,,,1099.446,percent of total billed charges,548.6436739,,,,1099.446,percent of total billed charges,328.2670426,,,,1099.446,percent of total billed charges,548.6436739,,,,1099.446,percent of total billed charges,328.2670426,,,,1088.652,percent of total billed charges,1080.392101,,,,1088.652,percent of total billed charges,745.137869,,,,,,,,,,1110.24,percent of total billed charges,721.6298737,,,,,,,,,,1110.24,percent of total billed charges,999999999,,,,,,,,,,1233.6,percent of total billed charges,1033.692675,,,,1218.18,percent of total billed charges,1175.596124,,,,1218.18,percent of total billed charges,1038.67809,,,,1233.6,percent of total billed charges,999999999,,,,1233.6,percent of total billed charges,999999999,,,,1079.4,percent of total billed charges,999999999,,,,1079.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,820.344,percent of total billed charges,999999999,,,,,,,,,,,,,,,,778.71,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,385.5,percent of total billed charges,366.1307033,,,,,,,,,,385.5,percent of total billed charges,360.0403681,,,,,,,,,,385.5,percent of total billed charges,359.0398314,,,,,,,,,,385.5,percent of total billed charges,353.7529742,,,,,,,,,,385.5,percent of total billed charges,362.8555583,,,,,,,,,,385.5,percent of total billed charges,999999999,,,,,,,,,,385.5,percent of total billed charges,311.3556213,,,,,,,,,,385.5,percent of total billed charges,491.0292858,,,,,,,,,,385.5,percent of total billed charges,999999999,,,,,,,,,,385.5,percent of total billed charges,335.7175073,,,,,,,,,,1387.8,percent of total billed charges,,,,,
PROGESTERONE STUDIES(*),84234,CDM,,,,both,,,632,632,134.542653,632,632,percent of total billed charges,464.9848523,,,,632,percent of total billed charges,492.8747495,,,,632,percent of total billed charges,464.9848523,,,,632,percent of total billed charges,492.8747495,,,,632,percent of total billed charges,999999999,,,,632,percent of total billed charges,481.5405629,,,,632,percent of total billed charges,464.9848523,,,,632,percent of total billed charges,492.8747495,,,,450.616,percent of total billed charges,224.8656303,,,,450.616,percent of total billed charges,134.542653,,,,450.616,percent of total billed charges,224.8656303,,,,450.616,percent of total billed charges,134.542653,,,,450.616,percent of total billed charges,224.8656303,,,,450.616,percent of total billed charges,134.542653,,,,446.192,percent of total billed charges,442.80662,,,,446.192,percent of total billed charges,305.4002161,,,,,,,,,,455.04,percent of total billed charges,295.7652919,,,,,,,,,,455.04,percent of total billed charges,999999999,,,,,,,,,,505.6,percent of total billed charges,423.666518,,,,499.28,percent of total billed charges,481.8266865,,,,499.28,percent of total billed charges,425.7098267,,,,505.6,percent of total billed charges,999999999,,,,505.6,percent of total billed charges,999999999,,,,442.4,percent of total billed charges,999999999,,,,442.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,336.224,percent of total billed charges,999999999,,,,,,,,,,,,,,,,319.16,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,158,percent of total billed charges,150.0613518,,,,,,,,,,158,percent of total billed charges,147.5651833,,,,,,,,,,158,percent of total billed charges,147.155106,,,,,,,,,,158,percent of total billed charges,144.9882488,,,,,,,,,,158,percent of total billed charges,148.7190096,,,,,,,,,,158,percent of total billed charges,999999999,,,,,,,,,,158,percent of total billed charges,127.6113831,,,,,,,,,,158,percent of total billed charges,201.2519511,,,,,,,,,,158,percent of total billed charges,999999999,,,,,,,,,,158,percent of total billed charges,137.5962805,,,,,,,,,,568.8,percent of total billed charges,,,,,
CAT 07 DECAL-88311,88311,CDM,,,,both,,,165,165,35.12585086,165,165,percent of total billed charges,121.3963617,,,,165,percent of total billed charges,128.6777432,,,,165,percent of total billed charges,121.3963617,,,,165,percent of total billed charges,128.6777432,,,,165,percent of total billed charges,999999999,,,,165,percent of total billed charges,125.7186596,,,,165,percent of total billed charges,121.3963617,,,,165,percent of total billed charges,128.6777432,,,,117.645,percent of total billed charges,58.70700791,,,,117.645,percent of total billed charges,35.12585086,,,,117.645,percent of total billed charges,58.70700791,,,,117.645,percent of total billed charges,35.12585086,,,,117.645,percent of total billed charges,58.70700791,,,,117.645,percent of total billed charges,35.12585086,,,,116.49,percent of total billed charges,115.6061587,,,,116.49,percent of total billed charges,79.73265136,,,,,,,,,,118.8,percent of total billed charges,77.21720438,,,,,,,,,,118.8,percent of total billed charges,999999999,,,,,,,,,,132,percent of total billed charges,110.6091384,,,,130.35,percent of total billed charges,125.7933596,,,,130.35,percent of total billed charges,111.1425972,,,,132,percent of total billed charges,999999999,,,,132,percent of total billed charges,999999999,,,,115.5,percent of total billed charges,999999999,,,,115.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,87.78,percent of total billed charges,999999999,,,,,,,,,,,,,,,,83.325,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,41.25,percent of total billed charges,39.17740988,,,,,,,,,,41.25,percent of total billed charges,38.52572033,,,,,,,,,,41.25,percent of total billed charges,38.418659,,,,,,,,,,41.25,percent of total billed charges,37.85294471,,,,,,,,,,41.25,percent of total billed charges,38.82695663,,,,,,,,,,41.25,percent of total billed charges,999999999,,,,,,,,,,41.25,percent of total billed charges,33.31626298,,,,,,,,,,41.25,percent of total billed charges,52.5420442,,,,,,,,,,41.25,percent of total billed charges,999999999,,,,,,,,,,41.25,percent of total billed charges,35.92307957,,,,,,,,,,148.5,percent of total billed charges,,,,,
CAT 01 GROSS-88300,88300,CDM,,,,both,,,157,157,33.42277931,157,157,percent of total billed charges,115.5104775,,,,157,percent of total billed charges,122.4388223,,,,157,percent of total billed charges,115.5104775,,,,157,percent of total billed charges,122.4388223,,,,157,percent of total billed charges,999999999,,,,157,percent of total billed charges,119.6232095,,,,157,percent of total billed charges,115.5104775,,,,157,percent of total billed charges,122.4388223,,,,111.941,percent of total billed charges,55.86060752,,,,111.941,percent of total billed charges,33.42277931,,,,111.941,percent of total billed charges,55.86060752,,,,111.941,percent of total billed charges,33.42277931,,,,111.941,percent of total billed charges,55.86060752,,,,111.941,percent of total billed charges,33.42277931,,,,110.842,percent of total billed charges,110.0010116,,,,110.842,percent of total billed charges,75.86682584,,,,,,,,,,113.04,percent of total billed charges,73.47333993,,,,,,,,,,113.04,percent of total billed charges,999999999,,,,,,,,,,125.6,percent of total billed charges,105.2462711,,,,124.03,percent of total billed charges,119.6942876,,,,124.03,percent of total billed charges,105.7538652,,,,125.6,percent of total billed charges,999999999,,,,125.6,percent of total billed charges,999999999,,,,109.9,percent of total billed charges,999999999,,,,109.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,83.524,percent of total billed charges,999999999,,,,,,,,,,,,,,,,79.285,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,39.25,percent of total billed charges,37.2778991,,,,,,,,,,39.25,percent of total billed charges,36.65780661,,,,,,,,,,39.25,percent of total billed charges,36.55593614,,,,,,,,,,39.25,percent of total billed charges,36.01765042,,,,,,,,,,39.25,percent of total billed charges,36.94443752,,,,,,,,,,39.25,percent of total billed charges,999999999,,,,,,,,,,39.25,percent of total billed charges,31.70092902,,,,,,,,,,39.25,percent of total billed charges,49.99455115,,,,,,,,,,39.25,percent of total billed charges,999999999,,,,,,,,,,39.25,percent of total billed charges,34.1813545,,,,,,,,,,141.3,percent of total billed charges,,,,,
CAT 02 GROSS & MICRO-88302,88302,CDM,,,,both,,,269,269,57.2657811,269,269,percent of total billed charges,197.9128564,,,,269,percent of total billed charges,209.7837146,,,,269,percent of total billed charges,197.9128564,,,,269,percent of total billed charges,209.7837146,,,,269,percent of total billed charges,999999999,,,,269,percent of total billed charges,204.9595117,,,,269,percent of total billed charges,197.9128564,,,,269,percent of total billed charges,209.7837146,,,,191.797,percent of total billed charges,95.71021289,,,,191.797,percent of total billed charges,57.2657811,,,,191.797,percent of total billed charges,95.71021289,,,,191.797,percent of total billed charges,57.2657811,,,,191.797,percent of total billed charges,95.71021289,,,,191.797,percent of total billed charges,57.2657811,,,,189.914,percent of total billed charges,188.4730709,,,,189.914,percent of total billed charges,129.9883831,,,,,,,,,,193.68,percent of total billed charges,125.8874423,,,,,,,,,,193.68,percent of total billed charges,999999999,,,,,,,,,,215.2,percent of total billed charges,180.3264135,,,,212.51,percent of total billed charges,205.0812953,,,,212.51,percent of total billed charges,181.1961129,,,,215.2,percent of total billed charges,999999999,,,,215.2,percent of total billed charges,999999999,,,,188.3,percent of total billed charges,999999999,,,,188.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,143.108,percent of total billed charges,999999999,,,,,,,,,,,,,,,,135.845,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,67.25,percent of total billed charges,63.87105005,,,,,,,,,,67.25,percent of total billed charges,62.80859859,,,,,,,,,,67.25,percent of total billed charges,62.63405618,,,,,,,,,,67.25,percent of total billed charges,61.71177047,,,,,,,,,,67.25,percent of total billed charges,63.29970505,,,,,,,,,,67.25,percent of total billed charges,999999999,,,,,,,,,,67.25,percent of total billed charges,54.3156045,,,,,,,,,,67.25,percent of total billed charges,85.65945388,,,,,,,,,,67.25,percent of total billed charges,999999999,,,,,,,,,,67.25,percent of total billed charges,58.56550548,,,,,,,,,,242.1,percent of total billed charges,,,,,
CAT 03 GROSS & MICRO-88304,88304,CDM,,,,both,,,411,411,87.49530124,411,411,percent of total billed charges,302.3873011,,,,411,percent of total billed charges,320.5245602,,,,411,percent of total billed charges,302.3873011,,,,411,percent of total billed charges,320.5245602,,,,411,percent of total billed charges,999999999,,,,411,percent of total billed charges,313.1537521,,,,411,percent of total billed charges,302.3873011,,,,411,percent of total billed charges,320.5245602,,,,293.043,percent of total billed charges,146.2338197,,,,293.043,percent of total billed charges,87.49530124,,,,293.043,percent of total billed charges,146.2338197,,,,293.043,percent of total billed charges,87.49530124,,,,293.043,percent of total billed charges,146.2338197,,,,293.043,percent of total billed charges,87.49530124,,,,290.166,percent of total billed charges,287.9644317,,,,290.166,percent of total billed charges,198.6067861,,,,,,,,,,295.92,percent of total billed charges,192.3410364,,,,,,,,,,295.92,percent of total billed charges,999999999,,,,,,,,,,328.8,percent of total billed charges,275.5173084,,,,324.69,percent of total billed charges,313.339823,,,,324.69,percent of total billed charges,276.8461057,,,,328.8,percent of total billed charges,999999999,,,,328.8,percent of total billed charges,999999999,,,,287.7,percent of total billed charges,999999999,,,,287.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,218.652,percent of total billed charges,999999999,,,,,,,,,,,,,,,,207.555,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,102.75,percent of total billed charges,97.58736643,,,,,,,,,,102.75,percent of total billed charges,95.96406699,,,,,,,,,,102.75,percent of total billed charges,95.69738696,,,,,,,,,,102.75,percent of total billed charges,94.2882441,,,,,,,,,,102.75,percent of total billed charges,96.71441923,,,,,,,,,,102.75,percent of total billed charges,999999999,,,,,,,,,,102.75,percent of total billed charges,82.98778234,,,,,,,,,,102.75,percent of total billed charges,130.8774556,,,,,,,,,,102.75,percent of total billed charges,999999999,,,,,,,,,,102.75,percent of total billed charges,89.48112548,,,,,,,,,,369.9,percent of total billed charges,,,,,
BX/TISSUE - LEVEL 4,88305,CDM,,,,both,,,454,454,96.64931086,454,454,percent of total billed charges,334.0239287,,,,454,percent of total billed charges,354.0587599,,,,454,percent of total billed charges,334.0239287,,,,454,percent of total billed charges,354.0587599,,,,454,percent of total billed charges,999999999,,,,454,percent of total billed charges,345.9167968,,,,454,percent of total billed charges,334.0239287,,,,454,percent of total billed charges,354.0587599,,,,323.702,percent of total billed charges,161.5332218,,,,323.702,percent of total billed charges,96.64931086,,,,323.702,percent of total billed charges,161.5332218,,,,323.702,percent of total billed charges,96.64931086,,,,323.702,percent of total billed charges,161.5332218,,,,323.702,percent of total billed charges,96.64931086,,,,320.524,percent of total billed charges,318.0920973,,,,320.524,percent of total billed charges,219.3855983,,,,,,,,,,326.88,percent of total billed charges,212.4643078,,,,,,,,,,326.88,percent of total billed charges,999999999,,,,,,,,,,363.2,percent of total billed charges,304.3427202,,,,358.66,percent of total billed charges,346.1223349,,,,358.66,percent of total billed charges,305.8105401,,,,363.2,percent of total billed charges,999999999,,,,363.2,percent of total billed charges,999999999,,,,317.8,percent of total billed charges,999999999,,,,317.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,241.528,percent of total billed charges,999999999,,,,,,,,,,,,,,,,229.27,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,113.5,percent of total billed charges,107.7972369,,,,,,,,,,113.5,percent of total billed charges,106.0041032,,,,,,,,,,113.5,percent of total billed charges,105.7095223,,,,,,,,,,113.5,percent of total billed charges,104.1529509,,,,,,,,,,113.5,percent of total billed charges,106.8329594,,,,,,,,,,113.5,percent of total billed charges,999999999,,,,,,,,,,113.5,percent of total billed charges,91.67020239,,,,,,,,,,113.5,percent of total billed charges,144.5702307,,,,,,,,,,113.5,percent of total billed charges,999999999,,,,,,,,,,113.5,percent of total billed charges,98.84289773,,,,,,,,,,408.6,percent of total billed charges,,,,,
CAT 05 GROSS & MICRO-88307,88307,CDM,,,,both,,,749,749,159.4500745,749,749,percent of total billed charges,551.0659088,,,,749,percent of total billed charges,584.1189674,,,,749,percent of total billed charges,551.0659088,,,,749,percent of total billed charges,584.1189674,,,,749,percent of total billed charges,999999999,,,,749,percent of total billed charges,570.6865215,,,,749,percent of total billed charges,551.0659088,,,,749,percent of total billed charges,584.1189674,,,,534.037,percent of total billed charges,266.4942359,,,,534.037,percent of total billed charges,159.4500745,,,,534.037,percent of total billed charges,266.4942359,,,,534.037,percent of total billed charges,159.4500745,,,,534.037,percent of total billed charges,266.4942359,,,,534.037,percent of total billed charges,159.4500745,,,,528.794,percent of total billed charges,524.7818962,,,,528.794,percent of total billed charges,361.9379143,,,,,,,,,,539.28,percent of total billed charges,350.5193096,,,,,,,,,,539.28,percent of total billed charges,999999999,,,,,,,,,,599.2,percent of total billed charges,502.0984525,,,,591.71,percent of total billed charges,571.0256142,,,,591.71,percent of total billed charges,504.520032,,,,599.2,percent of total billed charges,999999999,,,,599.2,percent of total billed charges,999999999,,,,524.3,percent of total billed charges,999999999,,,,524.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,398.468,percent of total billed charges,999999999,,,,,,,,,,,,,,,,378.245,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,187.25,percent of total billed charges,177.841697,,,,,,,,,,187.25,percent of total billed charges,174.8834214,,,,,,,,,,187.25,percent of total billed charges,174.3974278,,,,,,,,,,187.25,percent of total billed charges,171.8294278,,,,,,,,,,187.25,percent of total billed charges,176.2508516,,,,,,,,,,187.25,percent of total billed charges,999999999,,,,,,,,,,187.25,percent of total billed charges,151.2356423,,,,,,,,,,187.25,percent of total billed charges,238.509037,,,,,,,,,,187.25,percent of total billed charges,999999999,,,,,,,,,,187.25,percent of total billed charges,163.0690097,,,,,,,,,,674.1,percent of total billed charges,,,,,
BX - LEVEL 6,88309,CDM,,,,both,,,1032,1032,219.6962309,1032,1032,percent of total billed charges,759.2790625,,,,1032,percent of total billed charges,804.8207935,,,,1032,percent of total billed charges,759.2790625,,,,1032,percent of total billed charges,804.8207935,,,,1032,percent of total billed charges,999999999,,,,1032,percent of total billed charges,786.3130711,,,,1032,percent of total billed charges,759.2790625,,,,1032,percent of total billed charges,804.8207935,,,,735.816,percent of total billed charges,367.1856495,,,,735.816,percent of total billed charges,219.6962309,,,,735.816,percent of total billed charges,367.1856495,,,,735.816,percent of total billed charges,219.6962309,,,,735.816,percent of total billed charges,367.1856495,,,,735.816,percent of total billed charges,219.6962309,,,,728.592,percent of total billed charges,723.0639744,,,,728.592,percent of total billed charges,498.6914921,,,,,,,,,,743.04,percent of total billed charges,482.9585147,,,,,,,,,,743.04,percent of total billed charges,999999999,,,,,,,,,,825.6,percent of total billed charges,691.8098839,,,,815.28,percent of total billed charges,786.7802855,,,,815.28,percent of total billed charges,695.1464259,,,,825.6,percent of total billed charges,999999999,,,,825.6,percent of total billed charges,999999999,,,,722.4,percent of total billed charges,999999999,,,,722.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,549.024,percent of total billed charges,999999999,,,,,,,,,,,,,,,,521.16,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,258,percent of total billed charges,245.0368909,,,,,,,,,,258,percent of total billed charges,240.9608689,,,,,,,,,,258,percent of total billed charges,240.291249,,,,,,,,,,258,percent of total billed charges,236.7529633,,,,,,,,,,258,percent of total billed charges,242.8449651,,,,,,,,,,258,percent of total billed charges,999999999,,,,,,,,,,258,percent of total billed charges,208.3780812,,,,,,,,,,258,percent of total billed charges,328.6266037,,,,,,,,,,258,percent of total billed charges,999999999,,,,,,,,,,258,percent of total billed charges,224.682534,,,,,,,,,,928.8,percent of total billed charges,,,,,
CAT 06 GROSS AND MICRO-88309,88309,CDM,,,,both,,,1032,1032,219.6962309,1032,1032,percent of total billed charges,759.2790625,,,,1032,percent of total billed charges,804.8207935,,,,1032,percent of total billed charges,759.2790625,,,,1032,percent of total billed charges,804.8207935,,,,1032,percent of total billed charges,999999999,,,,1032,percent of total billed charges,786.3130711,,,,1032,percent of total billed charges,759.2790625,,,,1032,percent of total billed charges,804.8207935,,,,735.816,percent of total billed charges,367.1856495,,,,735.816,percent of total billed charges,219.6962309,,,,735.816,percent of total billed charges,367.1856495,,,,735.816,percent of total billed charges,219.6962309,,,,735.816,percent of total billed charges,367.1856495,,,,735.816,percent of total billed charges,219.6962309,,,,728.592,percent of total billed charges,723.0639744,,,,728.592,percent of total billed charges,498.6914921,,,,,,,,,,743.04,percent of total billed charges,482.9585147,,,,,,,,,,743.04,percent of total billed charges,999999999,,,,,,,,,,825.6,percent of total billed charges,691.8098839,,,,815.28,percent of total billed charges,786.7802855,,,,815.28,percent of total billed charges,695.1464259,,,,825.6,percent of total billed charges,999999999,,,,825.6,percent of total billed charges,999999999,,,,722.4,percent of total billed charges,999999999,,,,722.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,549.024,percent of total billed charges,999999999,,,,,,,,,,,,,,,,521.16,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,258,percent of total billed charges,245.0368909,,,,,,,,,,258,percent of total billed charges,240.9608689,,,,,,,,,,258,percent of total billed charges,240.291249,,,,,,,,,,258,percent of total billed charges,236.7529633,,,,,,,,,,258,percent of total billed charges,242.8449651,,,,,,,,,,258,percent of total billed charges,999999999,,,,,,,,,,258,percent of total billed charges,208.3780812,,,,,,,,,,258,percent of total billed charges,328.6266037,,,,,,,,,,258,percent of total billed charges,999999999,,,,,,,,,,258,percent of total billed charges,224.682534,,,,,,,,,,928.8,percent of total billed charges,,,,,
CAT 17 BONE MARROW SMEAR INTERP-85097,85097,CDM,,,,both,,,414,414,88.13395307,414,414,percent of total billed charges,304.5945076,,,,414,percent of total billed charges,322.8641555,,,,414,percent of total billed charges,304.5945076,,,,414,percent of total billed charges,322.8641555,,,,414,percent of total billed charges,999999999,,,,414,percent of total billed charges,315.439546,,,,414,percent of total billed charges,304.5945076,,,,414,percent of total billed charges,322.8641555,,,,295.182,percent of total billed charges,147.3012198,,,,295.182,percent of total billed charges,88.13395307,,,,295.182,percent of total billed charges,147.3012198,,,,295.182,percent of total billed charges,88.13395307,,,,295.182,percent of total billed charges,147.3012198,,,,295.182,percent of total billed charges,88.13395307,,,,292.284,percent of total billed charges,290.0663618,,,,292.284,percent of total billed charges,200.0564707,,,,,,,,,,298.08,percent of total billed charges,193.7449855,,,,,,,,,,298.08,percent of total billed charges,999999999,,,,,,,,,,331.2,percent of total billed charges,277.5283836,,,,327.06,percent of total billed charges,315.626975,,,,327.06,percent of total billed charges,278.8668801,,,,331.2,percent of total billed charges,999999999,,,,331.2,percent of total billed charges,999999999,,,,289.8,percent of total billed charges,999999999,,,,289.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,220.248,percent of total billed charges,999999999,,,,,,,,,,,,,,,,209.07,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,103.5,percent of total billed charges,98.29968297,,,,,,,,,,103.5,percent of total billed charges,96.66453463,,,,,,,,,,103.5,percent of total billed charges,96.39590803,,,,,,,,,,103.5,percent of total billed charges,94.97647946,,,,,,,,,,103.5,percent of total billed charges,97.4203639,,,,,,,,,,103.5,percent of total billed charges,999999999,,,,,,,,,,103.5,percent of total billed charges,83.59353257,,,,,,,,,,103.5,percent of total billed charges,131.8327654,,,,,,,,,,103.5,percent of total billed charges,999999999,,,,,,,,,,103.5,percent of total billed charges,90.13427238,,,,,,,,,,372.6,percent of total billed charges,,,,,
CHROMOSOME ANALYSIS 20-25,88264,CDM,,,,both,,,1083,1083,230.553312,1083,1083,percent of total billed charges,796.8015744,,,,1083,percent of total billed charges,844.5939141,,,,1083,percent of total billed charges,796.8015744,,,,1083,percent of total billed charges,844.5939141,,,,1083,percent of total billed charges,999999999,,,,1083,percent of total billed charges,825.1715659,,,,1083,percent of total billed charges,796.8015744,,,,1083,percent of total billed charges,844.5939141,,,,772.179,percent of total billed charges,385.3314519,,,,772.179,percent of total billed charges,230.553312,,,,772.179,percent of total billed charges,385.3314519,,,,772.179,percent of total billed charges,230.553312,,,,772.179,percent of total billed charges,385.3314519,,,,772.179,percent of total billed charges,230.553312,,,,764.598,percent of total billed charges,758.7967871,,,,764.598,percent of total billed charges,523.3361298,,,,,,,,,,779.76,percent of total billed charges,506.8256506,,,,,,,,,,779.76,percent of total billed charges,999999999,,,,,,,,,,866.4,percent of total billed charges,725.998163,,,,855.57,percent of total billed charges,825.6618694,,,,855.57,percent of total billed charges,729.4995923,,,,866.4,percent of total billed charges,999999999,,,,866.4,percent of total billed charges,999999999,,,,758.1,percent of total billed charges,999999999,,,,758.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,576.156,percent of total billed charges,999999999,,,,,,,,,,,,,,,,546.915,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,270.75,percent of total billed charges,257.1462721,,,,,,,,,,270.75,percent of total billed charges,252.8688189,,,,,,,,,,270.75,percent of total billed charges,252.1661072,,,,,,,,,,270.75,percent of total billed charges,248.4529644,,,,,,,,,,270.75,percent of total billed charges,254.8460244,,,,,,,,,,270.75,percent of total billed charges,999999999,,,,,,,,,,270.75,percent of total billed charges,218.6758352,,,,,,,,,,270.75,percent of total billed charges,344.8668719,,,,,,,,,,270.75,percent of total billed charges,999999999,,,,,,,,,,270.75,percent of total billed charges,235.7860314,,,,,,,,,,974.7,percent of total billed charges,,,,,
INSITU HYBRIDIZATION MANUAL,88368,CDM,,,,both,,,810,810,172.4359951,810,810,percent of total billed charges,595.9457758,,,,810,percent of total billed charges,631.6907391,,,,810,percent of total billed charges,595.9457758,,,,810,percent of total billed charges,631.6907391,,,,810,percent of total billed charges,999999999,,,,810,percent of total billed charges,617.164329,,,,810,percent of total billed charges,595.9457758,,,,810,percent of total billed charges,631.6907391,,,,577.53,percent of total billed charges,288.1980388,,,,577.53,percent of total billed charges,172.4359951,,,,577.53,percent of total billed charges,288.1980388,,,,577.53,percent of total billed charges,172.4359951,,,,577.53,percent of total billed charges,288.1980388,,,,577.53,percent of total billed charges,172.4359951,,,,571.86,percent of total billed charges,567.5211427,,,,571.86,percent of total billed charges,391.4148339,,,,,,,,,,583.2,percent of total billed charges,379.0662761,,,,,,,,,,583.2,percent of total billed charges,999999999,,,,,,,,,,648,percent of total billed charges,542.9903158,,,,639.9,percent of total billed charges,617.531038,,,,639.9,percent of total billed charges,545.6091133,,,,648,percent of total billed charges,999999999,,,,648,percent of total billed charges,999999999,,,,567,percent of total billed charges,999999999,,,,567,percent of total billed charges,999999999,,,,,,,,,,,,,,,,430.92,percent of total billed charges,999999999,,,,,,,,,,,,,,,,409.05,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,202.5,percent of total billed charges,192.3254667,,,,,,,,,,202.5,percent of total billed charges,189.1262634,,,,,,,,,,202.5,percent of total billed charges,188.6006896,,,,,,,,,,202.5,percent of total billed charges,185.8235468,,,,,,,,,,202.5,percent of total billed charges,190.6050598,,,,,,,,,,202.5,percent of total billed charges,999999999,,,,,,,,,,202.5,percent of total billed charges,163.5525637,,,,,,,,,,202.5,percent of total billed charges,257.9336715,,,,,,,,,,202.5,percent of total billed charges,999999999,,,,,,,,,,202.5,percent of total billed charges,176.3496634,,,,,,,,,,729,percent of total billed charges,,,,,
CAT 20 ER/PR-84233,84233,CDM,,,,both,,,751,751,159.8758424,751,751,percent of total billed charges,552.5373798,,,,751,percent of total billed charges,585.6786976,,,,751,percent of total billed charges,552.5373798,,,,751,percent of total billed charges,585.6786976,,,,751,percent of total billed charges,999999999,,,,751,percent of total billed charges,572.2103841,,,,751,percent of total billed charges,552.5373798,,,,751,percent of total billed charges,585.6786976,,,,535.463,percent of total billed charges,267.205836,,,,535.463,percent of total billed charges,159.8758424,,,,535.463,percent of total billed charges,267.205836,,,,535.463,percent of total billed charges,159.8758424,,,,535.463,percent of total billed charges,267.205836,,,,535.463,percent of total billed charges,159.8758424,,,,530.206,percent of total billed charges,526.1831829,,,,530.206,percent of total billed charges,362.9043707,,,,,,,,,,540.72,percent of total billed charges,351.4552757,,,,,,,,,,540.72,percent of total billed charges,999999999,,,,,,,,,,600.8,percent of total billed charges,503.4391694,,,,593.29,percent of total billed charges,572.5503822,,,,593.29,percent of total billed charges,505.867215,,,,600.8,percent of total billed charges,999999999,,,,600.8,percent of total billed charges,999999999,,,,525.7,percent of total billed charges,999999999,,,,525.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,399.532,percent of total billed charges,999999999,,,,,,,,,,,,,,,,379.255,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,187.75,percent of total billed charges,178.3165747,,,,,,,,,,187.75,percent of total billed charges,175.3503998,,,,,,,,,,187.75,percent of total billed charges,174.8631085,,,,,,,,,,187.75,percent of total billed charges,172.2882514,,,,,,,,,,187.75,percent of total billed charges,176.7214814,,,,,,,,,,187.75,percent of total billed charges,999999999,,,,,,,,,,187.75,percent of total billed charges,151.6394758,,,,,,,,,,187.75,percent of total billed charges,239.1459103,,,,,,,,,,187.75,percent of total billed charges,999999999,,,,,,,,,,187.75,percent of total billed charges,163.504441,,,,,,,,,,675.9,percent of total billed charges,,,,,
CAT 21 TUMOR HISTO,88360,CDM,,,,both,,,521,521,110.9125351,521,521,percent of total billed charges,383.3182089,,,,521,percent of total billed charges,406.3097223,,,,521,percent of total billed charges,383.3182089,,,,521,percent of total billed charges,406.3097223,,,,521,percent of total billed charges,999999999,,,,521,percent of total billed charges,396.9661919,,,,521,percent of total billed charges,383.3182089,,,,521,percent of total billed charges,406.3097223,,,,371.473,percent of total billed charges,185.371825,,,,371.473,percent of total billed charges,110.9125351,,,,371.473,percent of total billed charges,185.371825,,,,371.473,percent of total billed charges,110.9125351,,,,371.473,percent of total billed charges,185.371825,,,,371.473,percent of total billed charges,110.9125351,,,,367.826,percent of total billed charges,365.0352041,,,,367.826,percent of total billed charges,251.761887,,,,,,,,,,375.12,percent of total billed charges,243.8191726,,,,,,,,,,375.12,percent of total billed charges,999999999,,,,,,,,,,416.8,percent of total billed charges,349.256734,,,,411.59,percent of total billed charges,397.2020627,,,,411.59,percent of total billed charges,350.9411704,,,,416.8,percent of total billed charges,999999999,,,,416.8,percent of total billed charges,999999999,,,,364.7,percent of total billed charges,999999999,,,,364.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,277.172,percent of total billed charges,999999999,,,,,,,,,,,,,,,,263.105,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,130.25,percent of total billed charges,123.7056397,,,,,,,,,,130.25,percent of total billed charges,121.6478805,,,,,,,,,,130.25,percent of total billed charges,121.3098263,,,,,,,,,,130.25,percent of total billed charges,119.5235406,,,,,,,,,,130.25,percent of total billed charges,122.599057,,,,,,,,,,130.25,percent of total billed charges,999999999,,,,,,,,,,130.25,percent of total billed charges,105.1986243,,,,,,,,,,130.25,percent of total billed charges,165.905485,,,,,,,,,,130.25,percent of total billed charges,999999999,,,,,,,,,,130.25,percent of total billed charges,113.4298452,,,,,,,,,,468.9,percent of total billed charges,,,,,
CAT 22 TUMOR HISTO,88361,CDM,,,,both,,,714,714,151.9991365,714,714,percent of total billed charges,525.3151654,,,,714,percent of total billed charges,556.8236885,,,,714,percent of total billed charges,525.3151654,,,,714,percent of total billed charges,556.8236885,,,,714,percent of total billed charges,999999999,,,,714,percent of total billed charges,544.0189271,,,,714,percent of total billed charges,525.3151654,,,,714,percent of total billed charges,556.8236885,,,,509.082,percent of total billed charges,254.0412342,,,,509.082,percent of total billed charges,151.9991365,,,,509.082,percent of total billed charges,254.0412342,,,,509.082,percent of total billed charges,151.9991365,,,,509.082,percent of total billed charges,254.0412342,,,,509.082,percent of total billed charges,151.9991365,,,,504.084,percent of total billed charges,500.2593777,,,,504.084,percent of total billed charges,345.0249277,,,,,,,,,,514.08,percent of total billed charges,334.1399026,,,,,,,,,,514.08,percent of total billed charges,999999999,,,,,,,,,,571.2,percent of total billed charges,478.635908,,,,564.06,percent of total billed charges,544.3421743,,,,564.06,percent of total billed charges,480.9443295,,,,571.2,percent of total billed charges,999999999,,,,571.2,percent of total billed charges,999999999,,,,499.8,percent of total billed charges,999999999,,,,499.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,379.848,percent of total billed charges,999999999,,,,,,,,,,,,,,,,360.57,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,178.5,percent of total billed charges,169.5313373,,,,,,,,,,178.5,percent of total billed charges,166.7112989,,,,,,,,,,178.5,percent of total billed charges,166.2480153,,,,,,,,,,178.5,percent of total billed charges,163.8000153,,,,,,,,,,178.5,percent of total billed charges,168.0148305,,,,,,,,,,178.5,percent of total billed charges,999999999,,,,,,,,,,178.5,percent of total billed charges,144.1685562,,,,,,,,,,178.5,percent of total billed charges,227.3637549,,,,,,,,,,178.5,percent of total billed charges,999999999,,,,,,,,,,178.5,percent of total billed charges,155.4489625,,,,,,,,,,642.6,percent of total billed charges,,,,,
PATH CONSULT HISTO LEVEL I,88321,CDM,,,,both,,,467,467,99.41680214,467,467,percent of total billed charges,343.5884905,,,,467,percent of total billed charges,364.1970064,,,,467,percent of total billed charges,343.5884905,,,,467,percent of total billed charges,364.1970064,,,,467,percent of total billed charges,999999999,,,,467,percent of total billed charges,355.8219033,,,,467,percent of total billed charges,343.5884905,,,,467,percent of total billed charges,364.1970064,,,,332.971,percent of total billed charges,166.1586224,,,,332.971,percent of total billed charges,99.41680214,,,,332.971,percent of total billed charges,166.1586224,,,,332.971,percent of total billed charges,99.41680214,,,,332.971,percent of total billed charges,166.1586224,,,,332.971,percent of total billed charges,99.41680214,,,,329.702,percent of total billed charges,327.2004613,,,,329.702,percent of total billed charges,225.6675647,,,,,,,,,,336.24,percent of total billed charges,218.5480876,,,,,,,,,,336.24,percent of total billed charges,999999999,,,,,,,,,,373.6,percent of total billed charges,313.0573796,,,,368.93,percent of total billed charges,356.0333269,,,,368.93,percent of total billed charges,314.5672295,,,,373.6,percent of total billed charges,999999999,,,,373.6,percent of total billed charges,999999999,,,,326.9,percent of total billed charges,999999999,,,,326.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,248.444,percent of total billed charges,999999999,,,,,,,,,,,,,,,,235.835,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,116.75,percent of total billed charges,110.8839419,,,,,,,,,,116.75,percent of total billed charges,109.039463,,,,,,,,,,116.75,percent of total billed charges,108.736447,,,,,,,,,,116.75,percent of total billed charges,107.1353041,,,,,,,,,,116.75,percent of total billed charges,109.892053,,,,,,,,,,116.75,percent of total billed charges,999999999,,,,,,,,,,116.75,percent of total billed charges,94.29512008,,,,,,,,,,116.75,percent of total billed charges,148.7099069,,,,,,,,,,116.75,percent of total billed charges,999999999,,,,,,,,,,116.75,percent of total billed charges,101.673201,,,,,,,,,,420.3,percent of total billed charges,,,,,
PATH CONSULT HISTO LEVEL III,88323,CDM,,,,both,,,574,574,122.1953842,574,574,percent of total billed charges,422.3121918,,,,574,percent of total billed charges,447.6425731,,,,574,percent of total billed charges,422.3121918,,,,574,percent of total billed charges,447.6425731,,,,574,percent of total billed charges,999999999,,,,574,percent of total billed charges,437.3485492,,,,574,percent of total billed charges,422.3121918,,,,574,percent of total billed charges,447.6425731,,,,409.262,percent of total billed charges,204.2292275,,,,409.262,percent of total billed charges,122.1953842,,,,409.262,percent of total billed charges,204.2292275,,,,409.262,percent of total billed charges,122.1953842,,,,409.262,percent of total billed charges,204.2292275,,,,409.262,percent of total billed charges,122.1953842,,,,405.244,percent of total billed charges,402.1693036,,,,405.244,percent of total billed charges,277.3729811,,,,,,,,,,413.28,percent of total billed charges,268.6222746,,,,,,,,,,413.28,percent of total billed charges,999999999,,,,,,,,,,459.2,percent of total billed charges,384.78573,,,,453.46,percent of total billed charges,437.6084146,,,,453.46,percent of total billed charges,386.6415198,,,,459.2,percent of total billed charges,999999999,,,,459.2,percent of total billed charges,999999999,,,,401.8,percent of total billed charges,999999999,,,,401.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,305.368,percent of total billed charges,999999999,,,,,,,,,,,,,,,,289.87,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,143.5,percent of total billed charges,136.2898986,,,,,,,,,,143.5,percent of total billed charges,134.0228089,,,,,,,,,,143.5,percent of total billed charges,133.6503652,,,,,,,,,,143.5,percent of total billed charges,131.6823652,,,,,,,,,,143.5,percent of total billed charges,135.0707461,,,,,,,,,,143.5,percent of total billed charges,999999999,,,,,,,,,,143.5,percent of total billed charges,115.9002118,,,,,,,,,,143.5,percent of total billed charges,182.7826265,,,,,,,,,,143.5,percent of total billed charges,999999999,,,,,,,,,,143.5,percent of total billed charges,124.9687738,,,,,,,,,,516.6,percent of total billed charges,,,,,
**CAT 18 BONE MARROW W/ COLL-85095,85095,CDM,,,,both,,,560,560,119.215009,560,560,percent of total billed charges,412.0118944,,,,560,percent of total billed charges,436.7244616,,,,560,percent of total billed charges,412.0118944,,,,560,percent of total billed charges,436.7244616,,,,560,percent of total billed charges,999999999,,,,560,percent of total billed charges,426.6815114,,,,560,percent of total billed charges,412.0118944,,,,560,percent of total billed charges,436.7244616,,,,399.28,percent of total billed charges,199.2480268,,,,399.28,percent of total billed charges,119.215009,,,,399.28,percent of total billed charges,199.2480268,,,,399.28,percent of total billed charges,119.215009,,,,399.28,percent of total billed charges,199.2480268,,,,399.28,percent of total billed charges,119.215009,,,,395.36,percent of total billed charges,392.3602962,,,,395.36,percent of total billed charges,270.6077864,,,,,,,,,,403.2,percent of total billed charges,262.0705119,,,,,,,,,,403.2,percent of total billed charges,999999999,,,,,,,,,,448,percent of total billed charges,375.4007122,,,,442.4,percent of total billed charges,426.9350386,,,,442.4,percent of total billed charges,377.2112388,,,,448,percent of total billed charges,999999999,,,,448,percent of total billed charges,999999999,,,,392,percent of total billed charges,999999999,,,,392,percent of total billed charges,999999999,,,,,,,,,,,,,,,,297.92,percent of total billed charges,999999999,,,,,,,,,,,,,,,,282.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,140,percent of total billed charges,132.9657547,,,,,,,,,,140,percent of total billed charges,130.7539599,,,,,,,,,,140,percent of total billed charges,130.3906002,,,,,,,,,,140,percent of total billed charges,128.4706002,,,,,,,,,,140,percent of total billed charges,131.7763376,,,,,,,,,,140,percent of total billed charges,999999999,,,,,,,,,,140,percent of total billed charges,113.0733774,,,,,,,,,,140,percent of total billed charges,178.3245137,,,,,,,,,,140,percent of total billed charges,999999999,,,,,,,,,,140,percent of total billed charges,121.9207549,,,,,,,,,,504,percent of total billed charges,,,,,
**SMEAR INTERPRETATION,85097,CDM,,,,both,,,406,406,86.43088152,406,406,percent of total billed charges,298.7086234,,,,406,percent of total billed charges,316.6252347,,,,406,percent of total billed charges,298.7086234,,,,406,percent of total billed charges,316.6252347,,,,406,percent of total billed charges,999999999,,,,406,percent of total billed charges,309.3440958,,,,406,percent of total billed charges,298.7086234,,,,406,percent of total billed charges,316.6252347,,,,289.478,percent of total billed charges,144.4548195,,,,289.478,percent of total billed charges,86.43088152,,,,289.478,percent of total billed charges,144.4548195,,,,289.478,percent of total billed charges,86.43088152,,,,289.478,percent of total billed charges,144.4548195,,,,289.478,percent of total billed charges,86.43088152,,,,286.636,percent of total billed charges,284.4612147,,,,286.636,percent of total billed charges,196.1906452,,,,,,,,,,292.32,percent of total billed charges,190.0011211,,,,,,,,,,292.32,percent of total billed charges,999999999,,,,,,,,,,324.8,percent of total billed charges,272.1655163,,,,320.74,percent of total billed charges,309.527903,,,,320.74,percent of total billed charges,273.4781482,,,,324.8,percent of total billed charges,999999999,,,,324.8,percent of total billed charges,999999999,,,,284.2,percent of total billed charges,999999999,,,,284.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,215.992,percent of total billed charges,999999999,,,,,,,,,,,,,,,,205.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,101.5,percent of total billed charges,96.40017219,,,,,,,,,,101.5,percent of total billed charges,94.79662092,,,,,,,,,,101.5,percent of total billed charges,94.53318517,,,,,,,,,,101.5,percent of total billed charges,93.14118517,,,,,,,,,,101.5,percent of total billed charges,95.53784479,,,,,,,,,,101.5,percent of total billed charges,999999999,,,,,,,,,,101.5,percent of total billed charges,81.97819861,,,,,,,,,,101.5,percent of total billed charges,129.2852724,,,,,,,,,,101.5,percent of total billed charges,999999999,,,,,,,,,,101.5,percent of total billed charges,88.39254731,,,,,,,,,,365.4,percent of total billed charges,,,,,
CAT 16 FNA EVAL-88172,88172,CDM,,,,both,,,351,351,74.72226456,351,351,percent of total billed charges,258.2431695,,,,351,percent of total billed charges,273.7326536,,,,351,percent of total billed charges,258.2431695,,,,351,percent of total billed charges,273.7326536,,,,351,percent of total billed charges,999999999,,,,351,percent of total billed charges,267.4378759,,,,351,percent of total billed charges,258.2431695,,,,351,percent of total billed charges,273.7326536,,,,250.263,percent of total billed charges,124.8858168,,,,250.263,percent of total billed charges,74.72226456,,,,250.263,percent of total billed charges,124.8858168,,,,250.263,percent of total billed charges,74.72226456,,,,250.263,percent of total billed charges,124.8858168,,,,250.263,percent of total billed charges,74.72226456,,,,247.806,percent of total billed charges,245.9258285,,,,247.806,percent of total billed charges,169.6130947,,,,,,,,,,252.72,percent of total billed charges,164.262053,,,,,,,,,,252.72,percent of total billed charges,999999999,,,,,,,,,,280.8,percent of total billed charges,235.2958035,,,,277.29,percent of total billed charges,267.5967832,,,,277.29,percent of total billed charges,236.4306158,,,,280.8,percent of total billed charges,999999999,,,,280.8,percent of total billed charges,999999999,,,,245.7,percent of total billed charges,999999999,,,,245.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,186.732,percent of total billed charges,999999999,,,,,,,,,,,,,,,,177.255,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,87.75,percent of total billed charges,83.34103557,,,,,,,,,,87.75,percent of total billed charges,81.95471415,,,,,,,,,,87.75,percent of total billed charges,81.7269655,,,,,,,,,,87.75,percent of total billed charges,80.52353693,,,,,,,,,,87.75,percent of total billed charges,82.59552591,,,,,,,,,,87.75,percent of total billed charges,999999999,,,,,,,,,,87.75,percent of total billed charges,70.87277762,,,,,,,,,,87.75,percent of total billed charges,111.7712577,,,,,,,,,,87.75,percent of total billed charges,999999999,,,,,,,,,,87.75,percent of total billed charges,76.41818745,,,,,,,,,,315.9,percent of total billed charges,,,,,
CAT 10 FROZEN SECTION-88331,88331,CDM,,,,both,,,470,470,100.055454,470,470,percent of total billed charges,345.7956971,,,,470,percent of total billed charges,366.5366017,,,,470,percent of total billed charges,345.7956971,,,,470,percent of total billed charges,366.5366017,,,,470,percent of total billed charges,999999999,,,,470,percent of total billed charges,358.1076971,,,,470,percent of total billed charges,345.7956971,,,,470,percent of total billed charges,366.5366017,,,,335.11,percent of total billed charges,167.2260225,,,,335.11,percent of total billed charges,100.055454,,,,335.11,percent of total billed charges,167.2260225,,,,335.11,percent of total billed charges,100.055454,,,,335.11,percent of total billed charges,167.2260225,,,,335.11,percent of total billed charges,100.055454,,,,331.82,percent of total billed charges,329.3023915,,,,331.82,percent of total billed charges,227.1172493,,,,,,,,,,338.4,percent of total billed charges,219.9520367,,,,,,,,,,338.4,percent of total billed charges,999999999,,,,,,,,,,376,percent of total billed charges,315.0684549,,,,371.3,percent of total billed charges,358.3204789,,,,371.3,percent of total billed charges,316.588004,,,,376,percent of total billed charges,999999999,,,,376,percent of total billed charges,999999999,,,,329,percent of total billed charges,999999999,,,,329,percent of total billed charges,999999999,,,,,,,,,,,,,,,,250.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,237.35,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,117.5,percent of total billed charges,111.5962584,,,,,,,,,,117.5,percent of total billed charges,109.7399306,,,,,,,,,,117.5,percent of total billed charges,109.4349681,,,,,,,,,,117.5,percent of total billed charges,107.8235395,,,,,,,,,,117.5,percent of total billed charges,110.5979977,,,,,,,,,,117.5,percent of total billed charges,999999999,,,,,,,,,,117.5,percent of total billed charges,94.90087031,,,,,,,,,,117.5,percent of total billed charges,149.6652168,,,,,,,,,,117.5,percent of total billed charges,999999999,,,,,,,,,,117.5,percent of total billed charges,102.3263479,,,,,,,,,,423,percent of total billed charges,,,,,
IMMUNOHISTO/CYTO CHEM,88341,CDM,,,,both,,,347,347,73.87072878,347,347,percent of total billed charges,255.3002274,,,,347,percent of total billed charges,270.6131932,,,,347,percent of total billed charges,255.3002274,,,,347,percent of total billed charges,270.6131932,,,,347,percent of total billed charges,999999999,,,,347,percent of total billed charges,264.3901508,,,,347,percent of total billed charges,255.3002274,,,,347,percent of total billed charges,270.6131932,,,,247.411,percent of total billed charges,123.4626166,,,,247.411,percent of total billed charges,73.87072878,,,,247.411,percent of total billed charges,123.4626166,,,,247.411,percent of total billed charges,73.87072878,,,,247.411,percent of total billed charges,123.4626166,,,,247.411,percent of total billed charges,73.87072878,,,,244.982,percent of total billed charges,243.123255,,,,244.982,percent of total billed charges,167.6801819,,,,,,,,,,249.84,percent of total billed charges,162.3901207,,,,,,,,,,249.84,percent of total billed charges,999999999,,,,,,,,,,277.6,percent of total billed charges,232.6143699,,,,274.13,percent of total billed charges,264.5472472,,,,274.13,percent of total billed charges,233.7362498,,,,277.6,percent of total billed charges,999999999,,,,277.6,percent of total billed charges,999999999,,,,242.9,percent of total billed charges,999999999,,,,242.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,184.604,percent of total billed charges,999999999,,,,,,,,,,,,,,,,175.235,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,86.75,percent of total billed charges,82.39128017,,,,,,,,,,86.75,percent of total billed charges,81.02075729,,,,,,,,,,86.75,percent of total billed charges,80.79560407,,,,,,,,,,86.75,percent of total billed charges,79.60588979,,,,,,,,,,86.75,percent of total billed charges,81.65426636,,,,,,,,,,86.75,percent of total billed charges,999999999,,,,,,,,,,86.75,percent of total billed charges,70.06511063,,,,,,,,,,86.75,percent of total billed charges,110.4975111,,,,,,,,,,86.75,percent of total billed charges,999999999,,,,,,,,,,86.75,percent of total billed charges,75.54732492,,,,,,,,,,312.3,percent of total billed charges,,,,,
CAT 11 ADD BLOCK FS-88332,88332,CDM,,,,both,,,256,256,54.49828982,256,256,percent of total billed charges,188.3482946,,,,256,percent of total billed charges,199.6454682,,,,256,percent of total billed charges,188.3482946,,,,256,percent of total billed charges,199.6454682,,,,256,percent of total billed charges,999999999,,,,256,percent of total billed charges,195.0544052,,,,256,percent of total billed charges,188.3482946,,,,256,percent of total billed charges,199.6454682,,,,182.528,percent of total billed charges,91.08481227,,,,182.528,percent of total billed charges,54.49828982,,,,182.528,percent of total billed charges,91.08481227,,,,182.528,percent of total billed charges,54.49828982,,,,182.528,percent of total billed charges,91.08481227,,,,182.528,percent of total billed charges,54.49828982,,,,180.736,percent of total billed charges,179.3647068,,,,180.736,percent of total billed charges,123.7064167,,,,,,,,,,184.32,percent of total billed charges,119.8036626,,,,,,,,,,184.32,percent of total billed charges,999999999,,,,,,,,,,204.8,percent of total billed charges,171.6117541,,,,202.24,percent of total billed charges,195.1703034,,,,202.24,percent of total billed charges,172.4394235,,,,204.8,percent of total billed charges,999999999,,,,204.8,percent of total billed charges,999999999,,,,179.2,percent of total billed charges,999999999,,,,179.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,136.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,129.28,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,64,percent of total billed charges,60.78434503,,,,,,,,,,64,percent of total billed charges,59.77323881,,,,,,,,,,64,percent of total billed charges,59.60713154,,,,,,,,,,64,percent of total billed charges,58.72941725,,,,,,,,,,64,percent of total billed charges,60.24061149,,,,,,,,,,64,percent of total billed charges,999999999,,,,,,,,,,64,percent of total billed charges,51.69068681,,,,,,,,,,64,percent of total billed charges,81.51977767,,,,,,,,,,64,percent of total billed charges,999999999,,,,,,,,,,64,percent of total billed charges,55.73520224,,,,,,,,,,230.4,percent of total billed charges,,,,,
CAT 04 GROSS & MICRO-88305,88305,CDM,,,,both,,,454,454,96.64931086,454,454,percent of total billed charges,334.0239287,,,,454,percent of total billed charges,354.0587599,,,,454,percent of total billed charges,334.0239287,,,,454,percent of total billed charges,354.0587599,,,,454,percent of total billed charges,999999999,,,,454,percent of total billed charges,345.9167968,,,,454,percent of total billed charges,334.0239287,,,,454,percent of total billed charges,354.0587599,,,,323.702,percent of total billed charges,161.5332218,,,,323.702,percent of total billed charges,96.64931086,,,,323.702,percent of total billed charges,161.5332218,,,,323.702,percent of total billed charges,96.64931086,,,,323.702,percent of total billed charges,161.5332218,,,,323.702,percent of total billed charges,96.64931086,,,,320.524,percent of total billed charges,318.0920973,,,,320.524,percent of total billed charges,219.3855983,,,,,,,,,,326.88,percent of total billed charges,212.4643078,,,,,,,,,,326.88,percent of total billed charges,999999999,,,,,,,,,,363.2,percent of total billed charges,304.3427202,,,,358.66,percent of total billed charges,346.1223349,,,,358.66,percent of total billed charges,305.8105401,,,,363.2,percent of total billed charges,999999999,,,,363.2,percent of total billed charges,999999999,,,,317.8,percent of total billed charges,999999999,,,,317.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,241.528,percent of total billed charges,999999999,,,,,,,,,,,,,,,,229.27,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,113.5,percent of total billed charges,107.7972369,,,,,,,,,,113.5,percent of total billed charges,106.0041032,,,,,,,,,,113.5,percent of total billed charges,105.7095223,,,,,,,,,,113.5,percent of total billed charges,104.1529509,,,,,,,,,,113.5,percent of total billed charges,106.8329594,,,,,,,,,,113.5,percent of total billed charges,999999999,,,,,,,,,,113.5,percent of total billed charges,91.67020239,,,,,,,,,,113.5,percent of total billed charges,144.5702307,,,,,,,,,,113.5,percent of total billed charges,999999999,,,,,,,,,,113.5,percent of total billed charges,98.84289773,,,,,,,,,,408.6,percent of total billed charges,,,,,
CYTOLOGY-CELL BLOCK,88305,CDM,,,,both,,,454,454,96.64931086,454,454,percent of total billed charges,334.0239287,,,,454,percent of total billed charges,354.0587599,,,,454,percent of total billed charges,334.0239287,,,,454,percent of total billed charges,354.0587599,,,,454,percent of total billed charges,999999999,,,,454,percent of total billed charges,345.9167968,,,,454,percent of total billed charges,334.0239287,,,,454,percent of total billed charges,354.0587599,,,,323.702,percent of total billed charges,161.5332218,,,,323.702,percent of total billed charges,96.64931086,,,,323.702,percent of total billed charges,161.5332218,,,,323.702,percent of total billed charges,96.64931086,,,,323.702,percent of total billed charges,161.5332218,,,,323.702,percent of total billed charges,96.64931086,,,,320.524,percent of total billed charges,318.0920973,,,,320.524,percent of total billed charges,219.3855983,,,,,,,,,,326.88,percent of total billed charges,212.4643078,,,,,,,,,,326.88,percent of total billed charges,999999999,,,,,,,,,,363.2,percent of total billed charges,304.3427202,,,,358.66,percent of total billed charges,346.1223349,,,,358.66,percent of total billed charges,305.8105401,,,,363.2,percent of total billed charges,999999999,,,,363.2,percent of total billed charges,999999999,,,,317.8,percent of total billed charges,999999999,,,,317.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,241.528,percent of total billed charges,999999999,,,,,,,,,,,,,,,,229.27,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,113.5,percent of total billed charges,107.7972369,,,,,,,,,,113.5,percent of total billed charges,106.0041032,,,,,,,,,,113.5,percent of total billed charges,105.7095223,,,,,,,,,,113.5,percent of total billed charges,104.1529509,,,,,,,,,,113.5,percent of total billed charges,106.8329594,,,,,,,,,,113.5,percent of total billed charges,999999999,,,,,,,,,,113.5,percent of total billed charges,91.67020239,,,,,,,,,,113.5,percent of total billed charges,144.5702307,,,,,,,,,,113.5,percent of total billed charges,999999999,,,,,,,,,,113.5,percent of total billed charges,98.84289773,,,,,,,,,,408.6,percent of total billed charges,,,,,
CYTOPATH CONCENTRATE,88108,CDM,,,,both,,,270,270,57.47866505,270,270,percent of total billed charges,198.6485919,,,,270,percent of total billed charges,210.5635797,,,,270,percent of total billed charges,198.6485919,,,,270,percent of total billed charges,210.5635797,,,,270,percent of total billed charges,999999999,,,,270,percent of total billed charges,205.721443,,,,270,percent of total billed charges,198.6485919,,,,270,percent of total billed charges,210.5635797,,,,192.51,percent of total billed charges,96.06601294,,,,192.51,percent of total billed charges,57.47866505,,,,192.51,percent of total billed charges,96.06601294,,,,192.51,percent of total billed charges,57.47866505,,,,192.51,percent of total billed charges,96.06601294,,,,192.51,percent of total billed charges,57.47866505,,,,190.62,percent of total billed charges,189.1737142,,,,190.62,percent of total billed charges,130.4716113,,,,,,,,,,194.4,percent of total billed charges,126.3554254,,,,,,,,,,194.4,percent of total billed charges,999999999,,,,,,,,,,216,percent of total billed charges,180.9967719,,,,213.3,percent of total billed charges,205.8436793,,,,213.3,percent of total billed charges,181.8697044,,,,216,percent of total billed charges,999999999,,,,216,percent of total billed charges,999999999,,,,189,percent of total billed charges,999999999,,,,189,percent of total billed charges,999999999,,,,,,,,,,,,,,,,143.64,percent of total billed charges,999999999,,,,,,,,,,,,,,,,136.35,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,67.5,percent of total billed charges,64.1084889,,,,,,,,,,67.5,percent of total billed charges,63.0420878,,,,,,,,,,67.5,percent of total billed charges,62.86689654,,,,,,,,,,67.5,percent of total billed charges,61.94118226,,,,,,,,,,67.5,percent of total billed charges,63.53501993,,,,,,,,,,67.5,percent of total billed charges,999999999,,,,,,,,,,67.5,percent of total billed charges,54.51752124,,,,,,,,,,67.5,percent of total billed charges,85.97789051,,,,,,,,,,67.5,percent of total billed charges,999999999,,,,,,,,,,67.5,percent of total billed charges,58.78322112,,,,,,,,,,243,percent of total billed charges,,,,,
CYTOPATH TBS C/V REDO,88165,CDM,,,,both,,,60,60,12.77303668,60,60,percent of total billed charges,44.14413154,,,,60,percent of total billed charges,46.7919066,,,,60,percent of total billed charges,44.14413154,,,,60,percent of total billed charges,46.7919066,,,,60,percent of total billed charges,999999999,,,,60,percent of total billed charges,45.71587623,,,,60,percent of total billed charges,44.14413154,,,,60,percent of total billed charges,46.7919066,,,,42.78,percent of total billed charges,21.34800288,,,,42.78,percent of total billed charges,12.77303668,,,,42.78,percent of total billed charges,21.34800288,,,,42.78,percent of total billed charges,12.77303668,,,,42.78,percent of total billed charges,21.34800288,,,,42.78,percent of total billed charges,12.77303668,,,,42.36,percent of total billed charges,42.03860316,,,,42.36,percent of total billed charges,28.9936914,,,,,,,,,,43.2,percent of total billed charges,28.07898341,,,,,,,,,,43.2,percent of total billed charges,999999999,,,,,,,,,,48,percent of total billed charges,40.22150488,,,,47.4,percent of total billed charges,45.74303985,,,,47.4,percent of total billed charges,40.41548988,,,,48,percent of total billed charges,999999999,,,,48,percent of total billed charges,999999999,,,,42,percent of total billed charges,999999999,,,,42,percent of total billed charges,999999999,,,,,,,,,,,,,,,,31.92,percent of total billed charges,999999999,,,,,,,,,,,,,,,,30.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15,percent of total billed charges,14.24633087,,,,,,,,,,15,percent of total billed charges,14.00935285,,,,,,,,,,15,percent of total billed charges,13.97042145,,,,,,,,,,15,percent of total billed charges,13.76470717,,,,,,,,,,15,percent of total billed charges,14.11889332,,,,,,,,,,15,percent of total billed charges,999999999,,,,,,,,,,15,percent of total billed charges,12.11500472,,,,,,,,,,15,percent of total billed charges,19.10619789,,,,,,,,,,15,percent of total billed charges,999999999,,,,,,,,,,15,percent of total billed charges,13.06293803,,,,,,,,,,54,percent of total billed charges,,,,,
CAT 6 GROSS & MICRO-88307,88307,CDM,,,,both,,,797,797,169.6685039,797,797,percent of total billed charges,586.381214,,,,797,percent of total billed charges,621.5524927,,,,797,percent of total billed charges,586.381214,,,,797,percent of total billed charges,621.5524927,,,,797,percent of total billed charges,999999999,,,,797,percent of total billed charges,607.2592225,,,,797,percent of total billed charges,586.381214,,,,797,percent of total billed charges,621.5524927,,,,568.261,percent of total billed charges,283.5726382,,,,568.261,percent of total billed charges,169.6685039,,,,568.261,percent of total billed charges,283.5726382,,,,568.261,percent of total billed charges,169.6685039,,,,568.261,percent of total billed charges,283.5726382,,,,568.261,percent of total billed charges,169.6685039,,,,562.682,percent of total billed charges,558.4127787,,,,562.682,percent of total billed charges,385.1328675,,,,,,,,,,573.84,percent of total billed charges,372.9824963,,,,,,,,,,573.84,percent of total billed charges,999999999,,,,,,,,,,637.6,percent of total billed charges,534.2756564,,,,629.63,percent of total billed charges,607.6200461,,,,629.63,percent of total billed charges,536.8524239,,,,637.6,percent of total billed charges,999999999,,,,637.6,percent of total billed charges,999999999,,,,557.9,percent of total billed charges,999999999,,,,557.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,424.004,percent of total billed charges,999999999,,,,,,,,,,,,,,,,402.485,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,199.25,percent of total billed charges,189.2387617,,,,,,,,,,199.25,percent of total billed charges,186.0909036,,,,,,,,,,199.25,percent of total billed charges,185.573765,,,,,,,,,,199.25,percent of total billed charges,182.8411935,,,,,,,,,,199.25,percent of total billed charges,187.5459663,,,,,,,,,,199.25,percent of total billed charges,999999999,,,,,,,,,,199.25,percent of total billed charges,160.927646,,,,,,,,,,199.25,percent of total billed charges,253.7939953,,,,,,,,,,199.25,percent of total billed charges,999999999,,,,,,,,,,199.25,percent of total billed charges,173.5193601,,,,,,,,,,717.3,percent of total billed charges,,,,,
GROSS TISSUE EXAM,88300,CDM,,,,both,,,183,183,38.95776187,183,183,percent of total billed charges,134.6396012,,,,183,percent of total billed charges,142.7153151,,,,183,percent of total billed charges,134.6396012,,,,183,percent of total billed charges,142.7153151,,,,183,percent of total billed charges,999999999,,,,183,percent of total billed charges,139.4334225,,,,183,percent of total billed charges,134.6396012,,,,183,percent of total billed charges,142.7153151,,,,130.479,percent of total billed charges,65.11140877,,,,130.479,percent of total billed charges,38.95776187,,,,130.479,percent of total billed charges,65.11140877,,,,130.479,percent of total billed charges,38.95776187,,,,130.479,percent of total billed charges,65.11140877,,,,130.479,percent of total billed charges,38.95776187,,,,129.198,percent of total billed charges,128.2177397,,,,129.198,percent of total billed charges,88.43075878,,,,,,,,,,131.76,percent of total billed charges,85.64089941,,,,,,,,,,131.76,percent of total billed charges,999999999,,,,,,,,,,146.4,percent of total billed charges,122.6755899,,,,144.57,percent of total billed charges,139.5162716,,,,144.57,percent of total billed charges,123.2672441,,,,146.4,percent of total billed charges,999999999,,,,146.4,percent of total billed charges,999999999,,,,128.1,percent of total billed charges,999999999,,,,128.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,97.356,percent of total billed charges,999999999,,,,,,,,,,,,,,,,92.415,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45.75,percent of total billed charges,43.45130914,,,,,,,,,,45.75,percent of total billed charges,42.72852618,,,,,,,,,,45.75,percent of total billed charges,42.60978543,,,,,,,,,,45.75,percent of total billed charges,41.98235686,,,,,,,,,,45.75,percent of total billed charges,43.06262462,,,,,,,,,,45.75,percent of total billed charges,999999999,,,,,,,,,,45.75,percent of total billed charges,36.9507644,,,,,,,,,,45.75,percent of total billed charges,58.27390357,,,,,,,,,,45.75,percent of total billed charges,999999999,,,,,,,,,,45.75,percent of total billed charges,39.84196098,,,,,,,,,,164.7,percent of total billed charges,,,,,
CAT 09 CLO TEST,87077,CDM,,,,both,,,257,257,54.71117377,257,257,percent of total billed charges,189.0840301,,,,257,percent of total billed charges,200.4253333,,,,257,percent of total billed charges,189.0840301,,,,257,percent of total billed charges,200.4253333,,,,257,percent of total billed charges,999999999,,,,257,percent of total billed charges,195.8163365,,,,257,percent of total billed charges,189.0840301,,,,257,percent of total billed charges,200.4253333,,,,183.241,percent of total billed charges,91.44061232,,,,183.241,percent of total billed charges,54.71117377,,,,183.241,percent of total billed charges,91.44061232,,,,183.241,percent of total billed charges,54.71117377,,,,183.241,percent of total billed charges,91.44061232,,,,183.241,percent of total billed charges,54.71117377,,,,181.442,percent of total billed charges,180.0653502,,,,181.442,percent of total billed charges,124.1896448,,,,,,,,,,185.04,percent of total billed charges,120.2716456,,,,,,,,,,185.04,percent of total billed charges,999999999,,,,,,,,,,205.6,percent of total billed charges,172.2821126,,,,203.03,percent of total billed charges,195.9326874,,,,203.03,percent of total billed charges,173.113015,,,,205.6,percent of total billed charges,999999999,,,,205.6,percent of total billed charges,999999999,,,,179.9,percent of total billed charges,999999999,,,,179.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,136.724,percent of total billed charges,999999999,,,,,,,,,,,,,,,,129.785,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,64.25,percent of total billed charges,61.02178388,,,,,,,,,,64.25,percent of total billed charges,60.00672802,,,,,,,,,,64.25,percent of total billed charges,59.83997189,,,,,,,,,,64.25,percent of total billed charges,58.95882904,,,,,,,,,,64.25,percent of total billed charges,60.47592638,,,,,,,,,,64.25,percent of total billed charges,999999999,,,,,,,,,,64.25,percent of total billed charges,51.89260355,,,,,,,,,,64.25,percent of total billed charges,81.8382143,,,,,,,,,,64.25,percent of total billed charges,999999999,,,,,,,,,,64.25,percent of total billed charges,55.95291788,,,,,,,,,,231.3,percent of total billed charges,,,,,
LAB TISSUE-ROUTINE,88305,CDM,,,,both,,,511,511,108.7836957,511,511,percent of total billed charges,375.9608536,,,,511,percent of total billed charges,398.5110712,,,,511,percent of total billed charges,375.9608536,,,,511,percent of total billed charges,398.5110712,,,,511,percent of total billed charges,999999999,,,,511,percent of total billed charges,389.3468792,,,,511,percent of total billed charges,375.9608536,,,,511,percent of total billed charges,398.5110712,,,,364.343,percent of total billed charges,181.8138245,,,,364.343,percent of total billed charges,108.7836957,,,,364.343,percent of total billed charges,181.8138245,,,,364.343,percent of total billed charges,108.7836957,,,,364.343,percent of total billed charges,181.8138245,,,,364.343,percent of total billed charges,108.7836957,,,,360.766,percent of total billed charges,358.0287703,,,,360.766,percent of total billed charges,246.9296051,,,,,,,,,,367.92,percent of total billed charges,239.1393421,,,,,,,,,,367.92,percent of total billed charges,999999999,,,,,,,,,,408.8,percent of total billed charges,342.5531499,,,,403.69,percent of total billed charges,389.5782228,,,,403.69,percent of total billed charges,344.2052554,,,,408.8,percent of total billed charges,999999999,,,,408.8,percent of total billed charges,999999999,,,,357.7,percent of total billed charges,999999999,,,,357.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,271.852,percent of total billed charges,999999999,,,,,,,,,,,,,,,,258.055,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,127.75,percent of total billed charges,121.3312512,,,,,,,,,,127.75,percent of total billed charges,119.3129884,,,,,,,,,,127.75,percent of total billed charges,118.9814227,,,,,,,,,,127.75,percent of total billed charges,117.2294227,,,,,,,,,,127.75,percent of total billed charges,120.2459081,,,,,,,,,,127.75,percent of total billed charges,999999999,,,,,,,,,,127.75,percent of total billed charges,103.1794569,,,,,,,,,,127.75,percent of total billed charges,162.7211187,,,,,,,,,,127.75,percent of total billed charges,999999999,,,,,,,,,,127.75,percent of total billed charges,111.2526889,,,,,,,,,,459.9,percent of total billed charges,,,,,
GROSS TISSUE EXAM (LNP / TC),88300,CDM,,,,both,,,183,183,38.95776187,183,183,percent of total billed charges,134.6396012,,,,183,percent of total billed charges,142.7153151,,,,183,percent of total billed charges,134.6396012,,,,183,percent of total billed charges,142.7153151,,,,183,percent of total billed charges,999999999,,,,183,percent of total billed charges,139.4334225,,,,183,percent of total billed charges,134.6396012,,,,183,percent of total billed charges,142.7153151,,,,130.479,percent of total billed charges,65.11140877,,,,130.479,percent of total billed charges,38.95776187,,,,130.479,percent of total billed charges,65.11140877,,,,130.479,percent of total billed charges,38.95776187,,,,130.479,percent of total billed charges,65.11140877,,,,130.479,percent of total billed charges,38.95776187,,,,129.198,percent of total billed charges,128.2177397,,,,129.198,percent of total billed charges,88.43075878,,,,,,,,,,131.76,percent of total billed charges,85.64089941,,,,,,,,,,131.76,percent of total billed charges,999999999,,,,,,,,,,146.4,percent of total billed charges,122.6755899,,,,144.57,percent of total billed charges,139.5162716,,,,144.57,percent of total billed charges,123.2672441,,,,146.4,percent of total billed charges,999999999,,,,146.4,percent of total billed charges,999999999,,,,128.1,percent of total billed charges,999999999,,,,128.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,97.356,percent of total billed charges,999999999,,,,,,,,,,,,,,,,92.415,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45.75,percent of total billed charges,43.45130914,,,,,,,,,,45.75,percent of total billed charges,42.72852618,,,,,,,,,,45.75,percent of total billed charges,42.60978543,,,,,,,,,,45.75,percent of total billed charges,41.98235686,,,,,,,,,,45.75,percent of total billed charges,43.06262462,,,,,,,,,,45.75,percent of total billed charges,999999999,,,,,,,,,,45.75,percent of total billed charges,36.9507644,,,,,,,,,,45.75,percent of total billed charges,58.27390357,,,,,,,,,,45.75,percent of total billed charges,999999999,,,,,,,,,,45.75,percent of total billed charges,39.84196098,,,,,,,,,,164.7,percent of total billed charges,,,,,
ROUTINE TISSUE (LNP / TC),88305,CDM,,,,both,,,511,511,108.7836957,511,511,percent of total billed charges,375.9608536,,,,511,percent of total billed charges,398.5110712,,,,511,percent of total billed charges,375.9608536,,,,511,percent of total billed charges,398.5110712,,,,511,percent of total billed charges,999999999,,,,511,percent of total billed charges,389.3468792,,,,511,percent of total billed charges,375.9608536,,,,511,percent of total billed charges,398.5110712,,,,364.343,percent of total billed charges,181.8138245,,,,364.343,percent of total billed charges,108.7836957,,,,364.343,percent of total billed charges,181.8138245,,,,364.343,percent of total billed charges,108.7836957,,,,364.343,percent of total billed charges,181.8138245,,,,364.343,percent of total billed charges,108.7836957,,,,360.766,percent of total billed charges,358.0287703,,,,360.766,percent of total billed charges,246.9296051,,,,,,,,,,367.92,percent of total billed charges,239.1393421,,,,,,,,,,367.92,percent of total billed charges,999999999,,,,,,,,,,408.8,percent of total billed charges,342.5531499,,,,403.69,percent of total billed charges,389.5782228,,,,403.69,percent of total billed charges,344.2052554,,,,408.8,percent of total billed charges,999999999,,,,408.8,percent of total billed charges,999999999,,,,357.7,percent of total billed charges,999999999,,,,357.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,271.852,percent of total billed charges,999999999,,,,,,,,,,,,,,,,258.055,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,127.75,percent of total billed charges,121.3312512,,,,,,,,,,127.75,percent of total billed charges,119.3129884,,,,,,,,,,127.75,percent of total billed charges,118.9814227,,,,,,,,,,127.75,percent of total billed charges,117.2294227,,,,,,,,,,127.75,percent of total billed charges,120.2459081,,,,,,,,,,127.75,percent of total billed charges,999999999,,,,,,,,,,127.75,percent of total billed charges,103.1794569,,,,,,,,,,127.75,percent of total billed charges,162.7211187,,,,,,,,,,127.75,percent of total billed charges,999999999,,,,,,,,,,127.75,percent of total billed charges,111.2526889,,,,,,,,,,459.9,percent of total billed charges,,,,,
ESTROGEN / PROGESTERONE STUDIES,84233,CDM,,,,both,,,751,751,159.8758424,751,751,percent of total billed charges,552.5373798,,,,751,percent of total billed charges,585.6786976,,,,751,percent of total billed charges,552.5373798,,,,751,percent of total billed charges,585.6786976,,,,751,percent of total billed charges,999999999,,,,751,percent of total billed charges,572.2103841,,,,751,percent of total billed charges,552.5373798,,,,751,percent of total billed charges,585.6786976,,,,535.463,percent of total billed charges,267.205836,,,,535.463,percent of total billed charges,159.8758424,,,,535.463,percent of total billed charges,267.205836,,,,535.463,percent of total billed charges,159.8758424,,,,535.463,percent of total billed charges,267.205836,,,,535.463,percent of total billed charges,159.8758424,,,,530.206,percent of total billed charges,526.1831829,,,,530.206,percent of total billed charges,362.9043707,,,,,,,,,,540.72,percent of total billed charges,351.4552757,,,,,,,,,,540.72,percent of total billed charges,999999999,,,,,,,,,,600.8,percent of total billed charges,503.4391694,,,,593.29,percent of total billed charges,572.5503822,,,,593.29,percent of total billed charges,505.867215,,,,600.8,percent of total billed charges,999999999,,,,600.8,percent of total billed charges,999999999,,,,525.7,percent of total billed charges,999999999,,,,525.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,399.532,percent of total billed charges,999999999,,,,,,,,,,,,,,,,379.255,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,187.75,percent of total billed charges,178.3165747,,,,,,,,,,187.75,percent of total billed charges,175.3503998,,,,,,,,,,187.75,percent of total billed charges,174.8631085,,,,,,,,,,187.75,percent of total billed charges,172.2882514,,,,,,,,,,187.75,percent of total billed charges,176.7214814,,,,,,,,,,187.75,percent of total billed charges,999999999,,,,,,,,,,187.75,percent of total billed charges,151.6394758,,,,,,,,,,187.75,percent of total billed charges,239.1459103,,,,,,,,,,187.75,percent of total billed charges,999999999,,,,,,,,,,187.75,percent of total billed charges,163.504441,,,,,,,,,,675.9,percent of total billed charges,,,,,
PAP SMEAR(*),88150,CDM,,,,both,,,137,137,29.16510041,137,137,percent of total billed charges,100.795767,,,,137,percent of total billed charges,106.8415201,,,,137,percent of total billed charges,100.795767,,,,137,percent of total billed charges,106.8415201,,,,137,percent of total billed charges,999999999,,,,137,percent of total billed charges,104.384584,,,,137,percent of total billed charges,100.795767,,,,137,percent of total billed charges,106.8415201,,,,97.681,percent of total billed charges,48.74460657,,,,97.681,percent of total billed charges,29.16510041,,,,97.681,percent of total billed charges,48.74460657,,,,97.681,percent of total billed charges,29.16510041,,,,97.681,percent of total billed charges,48.74460657,,,,97.681,percent of total billed charges,29.16510041,,,,96.722,percent of total billed charges,95.98814389,,,,96.722,percent of total billed charges,66.20226204,,,,,,,,,,98.64,percent of total billed charges,64.11367879,,,,,,,,,,98.64,percent of total billed charges,999999999,,,,,,,,,,109.6,percent of total billed charges,91.8391028,,,,108.23,percent of total billed charges,104.4466077,,,,108.23,percent of total billed charges,92.28203522,,,,109.6,percent of total billed charges,999999999,,,,109.6,percent of total billed charges,999999999,,,,95.9,percent of total billed charges,999999999,,,,95.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,72.884,percent of total billed charges,999999999,,,,,,,,,,,,,,,,69.185,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,34.25,percent of total billed charges,32.52912214,,,,,,,,,,34.25,percent of total billed charges,31.98802233,,,,,,,,,,34.25,percent of total billed charges,31.89912899,,,,,,,,,,34.25,percent of total billed charges,31.4294147,,,,,,,,,,34.25,percent of total billed charges,32.23813974,,,,,,,,,,34.25,percent of total billed charges,999999999,,,,,,,,,,34.25,percent of total billed charges,27.66259411,,,,,,,,,,34.25,percent of total billed charges,43.62581852,,,,,,,,,,34.25,percent of total billed charges,999999999,,,,,,,,,,34.25,percent of total billed charges,29.82704183,,,,,,,,,,123.3,percent of total billed charges,,,,,
AUTO CYTE PAP SMEAR,88142,CDM,,,,both,,,203,203,43.21544076,203,203,percent of total billed charges,149.3543117,,,,203,percent of total billed charges,158.3126173,,,,203,percent of total billed charges,149.3543117,,,,203,percent of total billed charges,158.3126173,,,,203,percent of total billed charges,999999999,,,,203,percent of total billed charges,154.6720479,,,,203,percent of total billed charges,149.3543117,,,,203,percent of total billed charges,158.3126173,,,,144.739,percent of total billed charges,72.22740973,,,,144.739,percent of total billed charges,43.21544076,,,,144.739,percent of total billed charges,72.22740973,,,,144.739,percent of total billed charges,43.21544076,,,,144.739,percent of total billed charges,72.22740973,,,,144.739,percent of total billed charges,43.21544076,,,,143.318,percent of total billed charges,142.2306074,,,,143.318,percent of total billed charges,98.09532258,,,,,,,,,,146.16,percent of total billed charges,95.00056055,,,,,,,,,,146.16,percent of total billed charges,999999999,,,,,,,,,,162.4,percent of total billed charges,136.0827582,,,,160.37,percent of total billed charges,154.7639515,,,,160.37,percent of total billed charges,136.7390741,,,,162.4,percent of total billed charges,999999999,,,,162.4,percent of total billed charges,999999999,,,,142.1,percent of total billed charges,999999999,,,,142.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,107.996,percent of total billed charges,999999999,,,,,,,,,,,,,,,,102.515,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,50.75,percent of total billed charges,48.2000861,,,,,,,,,,50.75,percent of total billed charges,47.39831046,,,,,,,,,,50.75,percent of total billed charges,47.26659259,,,,,,,,,,50.75,percent of total billed charges,46.57059258,,,,,,,,,,50.75,percent of total billed charges,47.7689224,,,,,,,,,,50.75,percent of total billed charges,999999999,,,,,,,,,,50.75,percent of total billed charges,40.9890993,,,,,,,,,,50.75,percent of total billed charges,64.6426362,,,,,,,,,,50.75,percent of total billed charges,999999999,,,,,,,,,,50.75,percent of total billed charges,44.19627365,,,,,,,,,,182.7,percent of total billed charges,,,,,
CAT 08 SPECIAL STAINS - CLASS II,88313,CDM,,,,both,,,278,278,59.18173661,278,278,percent of total billed charges,204.5344762,,,,278,percent of total billed charges,216.8025006,,,,278,percent of total billed charges,204.5344762,,,,278,percent of total billed charges,216.8025006,,,,278,percent of total billed charges,999999999,,,,278,percent of total billed charges,211.8168932,,,,278,percent of total billed charges,204.5344762,,,,278,percent of total billed charges,216.8025006,,,,198.214,percent of total billed charges,98.91241332,,,,198.214,percent of total billed charges,59.18173661,,,,198.214,percent of total billed charges,98.91241332,,,,198.214,percent of total billed charges,59.18173661,,,,198.214,percent of total billed charges,98.91241332,,,,198.214,percent of total billed charges,59.18173661,,,,196.268,percent of total billed charges,194.7788613,,,,196.268,percent of total billed charges,134.3374368,,,,,,,,,,200.16,percent of total billed charges,130.0992898,,,,,,,,,,200.16,percent of total billed charges,999999999,,,,,,,,,,222.4,percent of total billed charges,186.3596393,,,,219.62,percent of total billed charges,211.9427513,,,,219.62,percent of total billed charges,187.2584364,,,,222.4,percent of total billed charges,999999999,,,,222.4,percent of total billed charges,999999999,,,,194.6,percent of total billed charges,999999999,,,,194.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,147.896,percent of total billed charges,999999999,,,,,,,,,,,,,,,,140.39,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,69.5,percent of total billed charges,66.00799968,,,,,,,,,,69.5,percent of total billed charges,64.91000152,,,,,,,,,,69.5,percent of total billed charges,64.7296194,,,,,,,,,,69.5,percent of total billed charges,63.77647654,,,,,,,,,,69.5,percent of total billed charges,65.41753904,,,,,,,,,,69.5,percent of total billed charges,999999999,,,,,,,,,,69.5,percent of total billed charges,56.13285521,,,,,,,,,,69.5,percent of total billed charges,88.52538356,,,,,,,,,,69.5,percent of total billed charges,999999999,,,,,,,,,,69.5,percent of total billed charges,60.52494619,,,,,,,,,,250.2,percent of total billed charges,,,,,
CAT 08 SPECIAL STAINS-CLASS I-88312,88312,CDM,,,,both,,,261,261,55.56270955,261,261,percent of total billed charges,192.0269722,,,,261,percent of total billed charges,203.5447937,,,,261,percent of total billed charges,192.0269722,,,,261,percent of total billed charges,203.5447937,,,,261,percent of total billed charges,999999999,,,,261,percent of total billed charges,198.8640616,,,,261,percent of total billed charges,192.0269722,,,,261,percent of total billed charges,203.5447937,,,,186.093,percent of total billed charges,92.86381251,,,,186.093,percent of total billed charges,55.56270955,,,,186.093,percent of total billed charges,92.86381251,,,,186.093,percent of total billed charges,55.56270955,,,,186.093,percent of total billed charges,92.86381251,,,,186.093,percent of total billed charges,55.56270955,,,,184.266,percent of total billed charges,182.8679238,,,,184.266,percent of total billed charges,126.1225576,,,,,,,,,,187.92,percent of total billed charges,122.1435778,,,,,,,,,,187.92,percent of total billed charges,999999999,,,,,,,,,,208.8,percent of total billed charges,174.9635462,,,,206.19,percent of total billed charges,198.9822234,,,,206.19,percent of total billed charges,175.807381,,,,208.8,percent of total billed charges,999999999,,,,208.8,percent of total billed charges,999999999,,,,182.7,percent of total billed charges,999999999,,,,182.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,138.852,percent of total billed charges,999999999,,,,,,,,,,,,,,,,131.805,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,65.25,percent of total billed charges,61.97153927,,,,,,,,,,65.25,percent of total billed charges,60.94068488,,,,,,,,,,65.25,percent of total billed charges,60.77133332,,,,,,,,,,65.25,percent of total billed charges,59.87647618,,,,,,,,,,65.25,percent of total billed charges,61.41718594,,,,,,,,,,65.25,percent of total billed charges,999999999,,,,,,,,,,65.25,percent of total billed charges,52.70027053,,,,,,,,,,65.25,percent of total billed charges,83.11196083,,,,,,,,,,65.25,percent of total billed charges,999999999,,,,,,,,,,65.25,percent of total billed charges,56.82378041,,,,,,,,,,234.9,percent of total billed charges,,,,,
TISSUE-CONSULT-RPT-ADD-STUDIES,88325,CDM,,,,both,,,835,835,177.7580938,835,835,percent of total billed charges,614.339164,,,,835,percent of total billed charges,651.1873669,,,,835,percent of total billed charges,614.339164,,,,835,percent of total billed charges,651.1873669,,,,835,percent of total billed charges,999999999,,,,835,percent of total billed charges,636.2126108,,,,835,percent of total billed charges,614.339164,,,,835,percent of total billed charges,651.1873669,,,,595.355,percent of total billed charges,297.09304,,,,595.355,percent of total billed charges,177.7580938,,,,595.355,percent of total billed charges,297.09304,,,,595.355,percent of total billed charges,177.7580938,,,,595.355,percent of total billed charges,297.09304,,,,595.355,percent of total billed charges,177.7580938,,,,589.51,percent of total billed charges,585.0372274,,,,589.51,percent of total billed charges,403.4955387,,,,,,,,,,601.2,percent of total billed charges,390.7658525,,,,,,,,,,601.2,percent of total billed charges,999999999,,,,,,,,,,668,percent of total billed charges,559.7492762,,,,659.65,percent of total billed charges,636.590638,,,,659.65,percent of total billed charges,562.4489008,,,,668,percent of total billed charges,999999999,,,,668,percent of total billed charges,999999999,,,,584.5,percent of total billed charges,999999999,,,,584.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,444.22,percent of total billed charges,999999999,,,,,,,,,,,,,,,,421.675,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,208.75,percent of total billed charges,198.2614379,,,,,,,,,,208.75,percent of total billed charges,194.9634938,,,,,,,,,,208.75,percent of total billed charges,194.4216986,,,,,,,,,,208.75,percent of total billed charges,191.5588414,,,,,,,,,,208.75,percent of total billed charges,196.487932,,,,,,,,,,208.75,percent of total billed charges,999999999,,,,,,,,,,208.75,percent of total billed charges,168.6004824,,,,,,,,,,208.75,percent of total billed charges,265.8945873,,,,,,,,,,208.75,percent of total billed charges,999999999,,,,,,,,,,208.75,percent of total billed charges,181.7925542,,,,,,,,,,751.5,percent of total billed charges,,,,,
IMMUNOFLUOR AB 1ST STAIN,88346,CDM,,,,both,,,398,398,84.72780996,398,398,percent of total billed charges,292.8227392,,,,398,percent of total billed charges,310.3863138,,,,398,percent of total billed charges,292.8227392,,,,398,percent of total billed charges,310.3863138,,,,398,percent of total billed charges,999999999,,,,398,percent of total billed charges,303.2486456,,,,398,percent of total billed charges,292.8227392,,,,398,percent of total billed charges,310.3863138,,,,283.774,percent of total billed charges,141.6084191,,,,283.774,percent of total billed charges,84.72780996,,,,283.774,percent of total billed charges,141.6084191,,,,283.774,percent of total billed charges,84.72780996,,,,283.774,percent of total billed charges,141.6084191,,,,283.774,percent of total billed charges,84.72780996,,,,280.988,percent of total billed charges,278.8560677,,,,280.988,percent of total billed charges,192.3248196,,,,,,,,,,286.56,percent of total billed charges,186.2572566,,,,,,,,,,286.56,percent of total billed charges,999999999,,,,,,,,,,318.4,percent of total billed charges,266.802649,,,,314.42,percent of total billed charges,303.428831,,,,314.42,percent of total billed charges,268.0894162,,,,318.4,percent of total billed charges,999999999,,,,318.4,percent of total billed charges,999999999,,,,278.6,percent of total billed charges,999999999,,,,278.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,211.736,percent of total billed charges,999999999,,,,,,,,,,,,,,,,200.99,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,99.5,percent of total billed charges,94.50066141,,,,,,,,,,99.5,percent of total billed charges,92.92870721,,,,,,,,,,99.5,percent of total billed charges,92.67046231,,,,,,,,,,99.5,percent of total billed charges,91.30589088,,,,,,,,,,99.5,percent of total billed charges,93.65532568,,,,,,,,,,99.5,percent of total billed charges,999999999,,,,,,,,,,99.5,percent of total billed charges,80.36286465,,,,,,,,,,99.5,percent of total billed charges,126.7377793,,,,,,,,,,99.5,percent of total billed charges,999999999,,,,,,,,,,99.5,percent of total billed charges,86.65082224,,,,,,,,,,358.2,percent of total billed charges,,,,,
IMMUNOFLUOR AB ADDL STAIN,88350,CDM,,,,both,,,312,312,66.41979072,312,312,percent of total billed charges,229.549484,,,,312,percent of total billed charges,243.3179143,,,,312,percent of total billed charges,229.549484,,,,312,percent of total billed charges,243.3179143,,,,312,percent of total billed charges,999999999,,,,312,percent of total billed charges,237.7225564,,,,312,percent of total billed charges,229.549484,,,,312,percent of total billed charges,243.3179143,,,,222.456,percent of total billed charges,111.009615,,,,222.456,percent of total billed charges,66.41979072,,,,222.456,percent of total billed charges,111.009615,,,,222.456,percent of total billed charges,66.41979072,,,,222.456,percent of total billed charges,111.009615,,,,222.456,percent of total billed charges,66.41979072,,,,220.272,percent of total billed charges,218.6007365,,,,220.272,percent of total billed charges,150.7671953,,,,,,,,,,224.64,percent of total billed charges,146.0107137,,,,,,,,,,224.64,percent of total billed charges,999999999,,,,,,,,,,249.6,percent of total billed charges,209.1518254,,,,246.48,percent of total billed charges,237.8638072,,,,246.48,percent of total billed charges,210.1605474,,,,249.6,percent of total billed charges,999999999,,,,249.6,percent of total billed charges,999999999,,,,218.4,percent of total billed charges,999999999,,,,218.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,165.984,percent of total billed charges,999999999,,,,,,,,,,,,,,,,157.56,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,78,percent of total billed charges,74.0809205,,,,,,,,,,78,percent of total billed charges,72.8486348,,,,,,,,,,78,percent of total billed charges,72.64619156,,,,,,,,,,78,percent of total billed charges,71.57647727,,,,,,,,,,78,percent of total billed charges,73.41824526,,,,,,,,,,78,percent of total billed charges,999999999,,,,,,,,,,78,percent of total billed charges,62.99802455,,,,,,,,,,78,percent of total billed charges,99.35222903,,,,,,,,,,78,percent of total billed charges,999999999,,,,,,,,,,78,percent of total billed charges,67.92727773,,,,,,,,,,280.8,percent of total billed charges,,,,,
CAT 8 SPECIAL STAIN-88312,88312,CDM,,,,both,,,286,286,60.88480816,286,286,percent of total billed charges,210.4203604,,,,286,percent of total billed charges,223.0414215,,,,286,percent of total billed charges,210.4203604,,,,286,percent of total billed charges,223.0414215,,,,286,percent of total billed charges,999999999,,,,286,percent of total billed charges,217.9123433,,,,286,percent of total billed charges,210.4203604,,,,286,percent of total billed charges,223.0414215,,,,203.918,percent of total billed charges,101.7588137,,,,203.918,percent of total billed charges,60.88480816,,,,203.918,percent of total billed charges,101.7588137,,,,203.918,percent of total billed charges,60.88480816,,,,203.918,percent of total billed charges,101.7588137,,,,203.918,percent of total billed charges,60.88480816,,,,201.916,percent of total billed charges,200.3840084,,,,201.916,percent of total billed charges,138.2032624,,,,,,,,,,205.92,percent of total billed charges,133.8431543,,,,,,,,,,205.92,percent of total billed charges,999999999,,,,,,,,,,228.8,percent of total billed charges,191.7225066,,,,225.94,percent of total billed charges,218.0418233,,,,225.94,percent of total billed charges,192.6471684,,,,228.8,percent of total billed charges,999999999,,,,228.8,percent of total billed charges,999999999,,,,200.2,percent of total billed charges,999999999,,,,200.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,152.152,percent of total billed charges,999999999,,,,,,,,,,,,,,,,144.43,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,71.5,percent of total billed charges,67.90751046,,,,,,,,,,71.5,percent of total billed charges,66.77791523,,,,,,,,,,71.5,percent of total billed charges,66.59234226,,,,,,,,,,71.5,percent of total billed charges,65.61177083,,,,,,,,,,71.5,percent of total billed charges,67.30005815,,,,,,,,,,71.5,percent of total billed charges,999999999,,,,,,,,,,71.5,percent of total billed charges,57.74818917,,,,,,,,,,71.5,percent of total billed charges,91.07287661,,,,,,,,,,71.5,percent of total billed charges,999999999,,,,,,,,,,71.5,percent of total billed charges,62.26667126,,,,,,,,,,257.4,percent of total billed charges,,,,,
JAK 2 EXON,81403,CDM,,,,both,,,643,643,136.8843764,643,643,percent of total billed charges,473.077943,,,,643,percent of total billed charges,501.4532657,,,,643,percent of total billed charges,473.077943,,,,643,percent of total billed charges,501.4532657,,,,643,percent of total billed charges,999999999,,,,643,percent of total billed charges,489.9218069,,,,643,percent of total billed charges,473.077943,,,,643,percent of total billed charges,501.4532657,,,,458.459,percent of total billed charges,228.7794308,,,,458.459,percent of total billed charges,136.8843764,,,,458.459,percent of total billed charges,228.7794308,,,,458.459,percent of total billed charges,136.8843764,,,,458.459,percent of total billed charges,228.7794308,,,,458.459,percent of total billed charges,136.8843764,,,,453.958,percent of total billed charges,450.5136972,,,,453.958,percent of total billed charges,310.7157262,,,,,,,,,,462.96,percent of total billed charges,300.9131056,,,,,,,,,,462.96,percent of total billed charges,999999999,,,,,,,,,,514.4,percent of total billed charges,431.0404606,,,,507.97,percent of total billed charges,490.2129104,,,,507.97,percent of total billed charges,433.1193332,,,,514.4,percent of total billed charges,999999999,,,,514.4,percent of total billed charges,999999999,,,,450.1,percent of total billed charges,999999999,,,,450.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,342.076,percent of total billed charges,999999999,,,,,,,,,,,,,,,,324.715,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,160.75,percent of total billed charges,152.6731791,,,,,,,,,,160.75,percent of total billed charges,150.1335647,,,,,,,,,,160.75,percent of total billed charges,149.7163499,,,,,,,,,,160.75,percent of total billed charges,147.5117785,,,,,,,,,,160.75,percent of total billed charges,151.3074734,,,,,,,,,,160.75,percent of total billed charges,999999999,,,,,,,,,,160.75,percent of total billed charges,129.8324673,,,,,,,,,,160.75,percent of total billed charges,204.7547541,,,,,,,,,,160.75,percent of total billed charges,999999999,,,,,,,,,,160.75,percent of total billed charges,139.9911525,,,,,,,,,,578.7,percent of total billed charges,,,,,
MOLECULAR PATHOLOGY,81479,CDM,,,,both,,,772,772,164.3464052,772,772,percent of total billed charges,567.9878259,,,,772,percent of total billed charges,602.0558649,,,,772,percent of total billed charges,567.9878259,,,,772,percent of total billed charges,602.0558649,,,,772,percent of total billed charges,999999999,,,,772,percent of total billed charges,588.2109408,,,,772,percent of total billed charges,567.9878259,,,,772,percent of total billed charges,602.0558649,,,,550.436,percent of total billed charges,274.677637,,,,550.436,percent of total billed charges,164.3464052,,,,550.436,percent of total billed charges,274.677637,,,,550.436,percent of total billed charges,164.3464052,,,,550.436,percent of total billed charges,274.677637,,,,550.436,percent of total billed charges,164.3464052,,,,545.032,percent of total billed charges,540.896694,,,,545.032,percent of total billed charges,373.0521627,,,,,,,,,,555.84,percent of total billed charges,361.2829199,,,,,,,,,,555.84,percent of total billed charges,999999999,,,,,,,,,,617.6,percent of total billed charges,517.5166961,,,,609.88,percent of total billed charges,588.5604461,,,,609.88,percent of total billed charges,520.0126364,,,,617.6,percent of total billed charges,999999999,,,,617.6,percent of total billed charges,999999999,,,,540.4,percent of total billed charges,999999999,,,,540.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,410.704,percent of total billed charges,999999999,,,,,,,,,,,,,,,,389.86,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,193,percent of total billed charges,183.3027905,,,,,,,,,,193,percent of total billed charges,180.2536733,,,,,,,,,,193,percent of total billed charges,179.752756,,,,,,,,,,193,percent of total billed charges,177.1058989,,,,,,,,,,193,percent of total billed charges,181.663094,,,,,,,,,,193,percent of total billed charges,999999999,,,,,,,,,,193,percent of total billed charges,155.8797274,,,,,,,,,,193,percent of total billed charges,245.8330795,,,,,,,,,,193,percent of total billed charges,999999999,,,,,,,,,,193,percent of total billed charges,168.0764693,,,,,,,,,,694.8,percent of total billed charges,,,,,
MOPATH PROCEDURE LEVEL 2,81401,CDM,,,,both,,,1145,1145,243.7521166,1145,1145,percent of total billed charges,842.417177,,,,1145,percent of total billed charges,892.945551,,,,1145,percent of total billed charges,842.417177,,,,1145,percent of total billed charges,892.945551,,,,1145,percent of total billed charges,999999999,,,,1145,percent of total billed charges,872.4113046,,,,1145,percent of total billed charges,842.417177,,,,1145,percent of total billed charges,892.945551,,,,816.385,percent of total billed charges,407.3910549,,,,816.385,percent of total billed charges,243.7521166,,,,816.385,percent of total billed charges,407.3910549,,,,816.385,percent of total billed charges,243.7521166,,,,816.385,percent of total billed charges,407.3910549,,,,816.385,percent of total billed charges,243.7521166,,,,808.37,percent of total billed charges,802.2366771,,,,808.37,percent of total billed charges,553.2962776,,,,,,,,,,824.4,percent of total billed charges,535.8406001,,,,,,,,,,824.4,percent of total billed charges,999999999,,,,,,,,,,916,percent of total billed charges,767.5603847,,,,904.55,percent of total billed charges,872.9296772,,,,904.55,percent of total billed charges,771.2622651,,,,916,percent of total billed charges,999999999,,,,916,percent of total billed charges,999999999,,,,801.5,percent of total billed charges,999999999,,,,801.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,609.14,percent of total billed charges,999999999,,,,,,,,,,,,,,,,578.225,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,286.25,percent of total billed charges,271.8674807,,,,,,,,,,286.25,percent of total billed charges,267.3451501,,,,,,,,,,286.25,percent of total billed charges,266.6022094,,,,,,,,,,286.25,percent of total billed charges,262.6764951,,,,,,,,,,286.25,percent of total billed charges,269.4355475,,,,,,,,,,286.25,percent of total billed charges,999999999,,,,,,,,,,286.25,percent of total billed charges,231.1946734,,,,,,,,,,286.25,percent of total billed charges,364.6099431,,,,,,,,,,286.25,percent of total billed charges,999999999,,,,,,,,,,286.25,percent of total billed charges,249.2844007,,,,,,,,,,1030.5,percent of total billed charges,,,,,
HISTOCHEMICAL STAINS ADD ON,88314,CDM,,,,both,,,321,321,68.33574622,321,321,percent of total billed charges,236.1711038,,,,321,percent of total billed charges,250.3367003,,,,321,percent of total billed charges,236.1711038,,,,321,percent of total billed charges,250.3367003,,,,321,percent of total billed charges,999999999,,,,321,percent of total billed charges,244.5799378,,,,321,percent of total billed charges,236.1711038,,,,321,percent of total billed charges,250.3367003,,,,228.873,percent of total billed charges,114.2118154,,,,228.873,percent of total billed charges,68.33574622,,,,228.873,percent of total billed charges,114.2118154,,,,228.873,percent of total billed charges,68.33574622,,,,228.873,percent of total billed charges,114.2118154,,,,228.873,percent of total billed charges,68.33574622,,,,226.626,percent of total billed charges,224.9065269,,,,226.626,percent of total billed charges,155.116249,,,,,,,,,,231.12,percent of total billed charges,150.2225613,,,,,,,,,,231.12,percent of total billed charges,999999999,,,,,,,,,,256.8,percent of total billed charges,215.1850511,,,,253.59,percent of total billed charges,244.7252632,,,,253.59,percent of total billed charges,216.2228708,,,,256.8,percent of total billed charges,999999999,,,,256.8,percent of total billed charges,999999999,,,,224.7,percent of total billed charges,999999999,,,,224.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,170.772,percent of total billed charges,999999999,,,,,,,,,,,,,,,,162.105,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,80.25,percent of total billed charges,76.21787013,,,,,,,,,,80.25,percent of total billed charges,74.95003772,,,,,,,,,,80.25,percent of total billed charges,74.74175478,,,,,,,,,,80.25,percent of total billed charges,73.64118335,,,,,,,,,,80.25,percent of total billed charges,75.53607926,,,,,,,,,,80.25,percent of total billed charges,999999999,,,,,,,,,,80.25,percent of total billed charges,64.81527526,,,,,,,,,,80.25,percent of total billed charges,102.2181587,,,,,,,,,,80.25,percent of total billed charges,999999999,,,,,,,,,,80.25,percent of total billed charges,69.88671844,,,,,,,,,,288.9,percent of total billed charges,,,,,
MICROSATELLITE INSTABILITY ANALYSIS,81301,CDM,,,,both,,,1527,1527,325.0737834,1527,1527,percent of total billed charges,1123.468148,,,,1527,percent of total billed charges,1190.854023,,,,1527,percent of total billed charges,1123.468148,,,,1527,percent of total billed charges,1190.854023,,,,1527,percent of total billed charges,999999999,,,,1527,percent of total billed charges,1163.46905,,,,1527,percent of total billed charges,1123.468148,,,,1527,percent of total billed charges,1190.854023,,,,1088.751,percent of total billed charges,543.3066732,,,,1088.751,percent of total billed charges,325.0737834,,,,1088.751,percent of total billed charges,543.3066732,,,,1088.751,percent of total billed charges,325.0737834,,,,1088.751,percent of total billed charges,543.3066732,,,,1088.751,percent of total billed charges,325.0737834,,,,1078.062,percent of total billed charges,1069.882451,,,,1078.062,percent of total billed charges,737.8894462,,,,,,,,,,1099.44,percent of total billed charges,714.6101279,,,,,,,,,,1099.44,percent of total billed charges,999999999,,,,,,,,,,1221.6,percent of total billed charges,1023.637299,,,,1206.33,percent of total billed charges,1164.160364,,,,1206.33,percent of total billed charges,1028.574217,,,,1221.6,percent of total billed charges,999999999,,,,1221.6,percent of total billed charges,999999999,,,,1068.9,percent of total billed charges,999999999,,,,1068.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,812.364,percent of total billed charges,999999999,,,,,,,,,,,,,,,,771.135,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,381.75,percent of total billed charges,362.5691205,,,,,,,,,,381.75,percent of total billed charges,356.5380299,,,,,,,,,,381.75,percent of total billed charges,355.547226,,,,,,,,,,381.75,percent of total billed charges,350.3117974,,,,,,,,,,381.75,percent of total billed charges,359.325835,,,,,,,,,,381.75,percent of total billed charges,999999999,,,,,,,,,,381.75,percent of total billed charges,308.3268701,,,,,,,,,,381.75,percent of total billed charges,486.2527363,,,,,,,,,,381.75,percent of total billed charges,999999999,,,,,,,,,,381.75,percent of total billed charges,332.4517728,,,,,,,,,,1374.3,percent of total billed charges,,,,,
CAT 19 IMMUNOHISTOCHEM,88342,CDM,,,,both,,,470,470,100.055454,470,470,percent of total billed charges,345.7956971,,,,470,percent of total billed charges,366.5366017,,,,470,percent of total billed charges,345.7956971,,,,470,percent of total billed charges,366.5366017,,,,470,percent of total billed charges,999999999,,,,470,percent of total billed charges,358.1076971,,,,470,percent of total billed charges,345.7956971,,,,470,percent of total billed charges,366.5366017,,,,335.11,percent of total billed charges,167.2260225,,,,335.11,percent of total billed charges,100.055454,,,,335.11,percent of total billed charges,167.2260225,,,,335.11,percent of total billed charges,100.055454,,,,335.11,percent of total billed charges,167.2260225,,,,335.11,percent of total billed charges,100.055454,,,,331.82,percent of total billed charges,329.3023915,,,,331.82,percent of total billed charges,227.1172493,,,,,,,,,,338.4,percent of total billed charges,219.9520367,,,,,,,,,,338.4,percent of total billed charges,999999999,,,,,,,,,,376,percent of total billed charges,315.0684549,,,,371.3,percent of total billed charges,358.3204789,,,,371.3,percent of total billed charges,316.588004,,,,376,percent of total billed charges,999999999,,,,376,percent of total billed charges,999999999,,,,329,percent of total billed charges,999999999,,,,329,percent of total billed charges,999999999,,,,,,,,,,,,,,,,250.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,237.35,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,117.5,percent of total billed charges,111.5962584,,,,,,,,,,117.5,percent of total billed charges,109.7399306,,,,,,,,,,117.5,percent of total billed charges,109.4349681,,,,,,,,,,117.5,percent of total billed charges,107.8235395,,,,,,,,,,117.5,percent of total billed charges,110.5979977,,,,,,,,,,117.5,percent of total billed charges,999999999,,,,,,,,,,117.5,percent of total billed charges,94.90087031,,,,,,,,,,117.5,percent of total billed charges,149.6652168,,,,,,,,,,117.5,percent of total billed charges,999999999,,,,,,,,,,117.5,percent of total billed charges,102.3263479,,,,,,,,,,423,percent of total billed charges,,,,,
HER 2 NEU BY FISH,88374,CDM,,,,both,,,1289,1289,274.4074046,1289,1289,percent of total billed charges,948.3630927,,,,1289,percent of total billed charges,1005.246127,,,,1289,percent of total billed charges,948.3630927,,,,1289,percent of total billed charges,1005.246127,,,,1289,percent of total billed charges,999999999,,,,1289,percent of total billed charges,982.1294076,,,,1289,percent of total billed charges,948.3630927,,,,1289,percent of total billed charges,1005.246127,,,,919.057,percent of total billed charges,458.6262618,,,,919.057,percent of total billed charges,274.4074046,,,,919.057,percent of total billed charges,458.6262618,,,,919.057,percent of total billed charges,274.4074046,,,,919.057,percent of total billed charges,458.6262618,,,,919.057,percent of total billed charges,274.4074046,,,,910.034,percent of total billed charges,903.1293246,,,,910.034,percent of total billed charges,622.881137,,,,,,,,,,928.08,percent of total billed charges,603.2301603,,,,,,,,,,928.08,percent of total billed charges,999999999,,,,,,,,,,1031.2,percent of total billed charges,864.0919964,,,,1018.31,percent of total billed charges,982.7129729,,,,1018.31,percent of total billed charges,868.2594408,,,,1031.2,percent of total billed charges,999999999,,,,1031.2,percent of total billed charges,999999999,,,,902.3,percent of total billed charges,999999999,,,,902.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,685.748,percent of total billed charges,999999999,,,,,,,,,,,,,,,,650.945,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,322.25,percent of total billed charges,306.0586748,,,,,,,,,,322.25,percent of total billed charges,300.967597,,,,,,,,,,322.25,percent of total billed charges,300.1312209,,,,,,,,,,322.25,percent of total billed charges,295.7117923,,,,,,,,,,322.25,percent of total billed charges,303.3208915,,,,,,,,,,322.25,percent of total billed charges,999999999,,,,,,,,,,322.25,percent of total billed charges,260.2706847,,,,,,,,,,322.25,percent of total billed charges,410.464818,,,,,,,,,,322.25,percent of total billed charges,999999999,,,,,,,,,,322.25,percent of total billed charges,280.6354519,,,,,,,,,,1160.1,percent of total billed charges,,,,,
KIDNEY STONE(*),82360,CDM,,,,both,,,250,250,53.22098616,250,250,percent of total billed charges,183.9338814,,,,250,percent of total billed charges,194.9662775,,,,250,percent of total billed charges,183.9338814,,,,250,percent of total billed charges,194.9662775,,,,250,percent of total billed charges,999999999,,,,250,percent of total billed charges,190.4828176,,,,250,percent of total billed charges,183.9338814,,,,250,percent of total billed charges,194.9662775,,,,178.25,percent of total billed charges,88.95001198,,,,178.25,percent of total billed charges,53.22098616,,,,178.25,percent of total billed charges,88.95001198,,,,178.25,percent of total billed charges,53.22098616,,,,178.25,percent of total billed charges,88.95001198,,,,178.25,percent of total billed charges,53.22098616,,,,176.5,percent of total billed charges,175.1608465,,,,176.5,percent of total billed charges,120.8070475,,,,,,,,,,180,percent of total billed charges,116.9957642,,,,,,,,,,180,percent of total billed charges,999999999,,,,,,,,,,200,percent of total billed charges,167.5896036,,,,197.5,percent of total billed charges,190.5959994,,,,197.5,percent of total billed charges,168.3978745,,,,200,percent of total billed charges,999999999,,,,200,percent of total billed charges,999999999,,,,175,percent of total billed charges,999999999,,,,175,percent of total billed charges,999999999,,,,,,,,,,,,,,,,133,percent of total billed charges,999999999,,,,,,,,,,,,,,,,126.25,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,62.5,percent of total billed charges,59.35971194,,,,,,,,,,62.5,percent of total billed charges,58.37230352,,,,,,,,,,62.5,percent of total billed charges,58.21008939,,,,,,,,,,62.5,percent of total billed charges,57.35294653,,,,,,,,,,62.5,percent of total billed charges,58.82872216,,,,,,,,,,62.5,percent of total billed charges,999999999,,,,,,,,,,62.5,percent of total billed charges,50.47918634,,,,,,,,,,62.5,percent of total billed charges,79.60915788,,,,,,,,,,62.5,percent of total billed charges,999999999,,,,,,,,,,62.5,percent of total billed charges,54.42890844,,,,,,,,,,225,percent of total billed charges,,,,,
LEUKOCYTE AKLA PHOSTH,85540,CDM,,,,both,,,218,218,46.40869993,218,218,percent of total billed charges,160.3903446,,,,218,percent of total billed charges,170.010594,,,,218,percent of total billed charges,160.3903446,,,,218,percent of total billed charges,170.010594,,,,218,percent of total billed charges,999999999,,,,218,percent of total billed charges,166.101017,,,,218,percent of total billed charges,160.3903446,,,,218,percent of total billed charges,170.010594,,,,155.434,percent of total billed charges,77.56441045,,,,155.434,percent of total billed charges,46.40869993,,,,155.434,percent of total billed charges,77.56441045,,,,155.434,percent of total billed charges,46.40869993,,,,155.434,percent of total billed charges,77.56441045,,,,155.434,percent of total billed charges,46.40869993,,,,153.908,percent of total billed charges,152.7402582,,,,153.908,percent of total billed charges,105.3437454,,,,,,,,,,156.96,percent of total billed charges,102.0203064,,,,,,,,,,156.96,percent of total billed charges,999999999,,,,,,,,,,174.4,percent of total billed charges,146.1381344,,,,172.22,percent of total billed charges,166.1997115,,,,172.22,percent of total billed charges,146.8429466,,,,174.4,percent of total billed charges,999999999,,,,174.4,percent of total billed charges,999999999,,,,152.6,percent of total billed charges,999999999,,,,152.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,115.976,percent of total billed charges,999999999,,,,,,,,,,,,,,,,110.09,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,54.5,percent of total billed charges,51.76166881,,,,,,,,,,54.5,percent of total billed charges,50.90064867,,,,,,,,,,54.5,percent of total billed charges,50.75919795,,,,,,,,,,54.5,percent of total billed charges,50.01176938,,,,,,,,,,54.5,percent of total billed charges,51.29864572,,,,,,,,,,54.5,percent of total billed charges,999999999,,,,,,,,,,54.5,percent of total billed charges,44.01785048,,,,,,,,,,54.5,percent of total billed charges,69.41918567,,,,,,,,,,54.5,percent of total billed charges,999999999,,,,,,,,,,54.5,percent of total billed charges,47.46200816,,,,,,,,,,196.2,percent of total billed charges,,,,,
CONTINUED STUDIES,88325,CDM,,,,both,,,834,834,177.5452098,834,834,percent of total billed charges,613.6034285,,,,834,percent of total billed charges,650.4075017,,,,834,percent of total billed charges,613.6034285,,,,834,percent of total billed charges,650.4075017,,,,834,percent of total billed charges,999999999,,,,834,percent of total billed charges,635.4506795,,,,834,percent of total billed charges,613.6034285,,,,834,percent of total billed charges,650.4075017,,,,594.642,percent of total billed charges,296.73724,,,,594.642,percent of total billed charges,177.5452098,,,,594.642,percent of total billed charges,296.73724,,,,594.642,percent of total billed charges,177.5452098,,,,594.642,percent of total billed charges,296.73724,,,,594.642,percent of total billed charges,177.5452098,,,,588.804,percent of total billed charges,584.336584,,,,588.804,percent of total billed charges,403.0123105,,,,,,,,,,600.48,percent of total billed charges,390.2978694,,,,,,,,,,600.48,percent of total billed charges,999999999,,,,,,,,,,667.2,percent of total billed charges,559.0789178,,,,658.86,percent of total billed charges,635.828254,,,,658.86,percent of total billed charges,561.7753093,,,,667.2,percent of total billed charges,999999999,,,,667.2,percent of total billed charges,999999999,,,,583.8,percent of total billed charges,999999999,,,,583.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,443.688,percent of total billed charges,999999999,,,,,,,,,,,,,,,,421.17,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,208.5,percent of total billed charges,198.023999,,,,,,,,,,208.5,percent of total billed charges,194.7300046,,,,,,,,,,208.5,percent of total billed charges,194.1888582,,,,,,,,,,208.5,percent of total billed charges,191.3294296,,,,,,,,,,208.5,percent of total billed charges,196.2526171,,,,,,,,,,208.5,percent of total billed charges,999999999,,,,,,,,,,208.5,percent of total billed charges,168.3985656,,,,,,,,,,208.5,percent of total billed charges,265.5761507,,,,,,,,,,208.5,percent of total billed charges,999999999,,,,,,,,,,208.5,percent of total billed charges,181.5748386,,,,,,,,,,750.6,percent of total billed charges,,,,,
H PYLORI (SERUM),83009,CDM,,,,both,,,380,380,80.89589896,380,380,percent of total billed charges,279.5794998,,,,380,percent of total billed charges,296.3487418,,,,380,percent of total billed charges,279.5794998,,,,380,percent of total billed charges,296.3487418,,,,380,percent of total billed charges,999999999,,,,380,percent of total billed charges,289.5338828,,,,380,percent of total billed charges,279.5794998,,,,380,percent of total billed charges,296.3487418,,,,270.94,percent of total billed charges,135.2040182,,,,270.94,percent of total billed charges,80.89589896,,,,270.94,percent of total billed charges,135.2040182,,,,270.94,percent of total billed charges,80.89589896,,,,270.94,percent of total billed charges,135.2040182,,,,270.94,percent of total billed charges,80.89589896,,,,268.28,percent of total billed charges,266.2444867,,,,268.28,percent of total billed charges,183.6267122,,,,,,,,,,273.6,percent of total billed charges,177.8335616,,,,,,,,,,273.6,percent of total billed charges,999999999,,,,,,,,,,304,percent of total billed charges,254.7361975,,,,300.2,percent of total billed charges,289.7059191,,,,300.2,percent of total billed charges,255.9647692,,,,304,percent of total billed charges,999999999,,,,304,percent of total billed charges,999999999,,,,266,percent of total billed charges,999999999,,,,266,percent of total billed charges,999999999,,,,,,,,,,,,,,,,202.16,percent of total billed charges,999999999,,,,,,,,,,,,,,,,191.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,95,percent of total billed charges,90.22676215,,,,,,,,,,95,percent of total billed charges,88.72590135,,,,,,,,,,95,percent of total billed charges,88.47933587,,,,,,,,,,95,percent of total billed charges,87.17647873,,,,,,,,,,95,percent of total billed charges,89.41965769,,,,,,,,,,95,percent of total billed charges,999999999,,,,,,,,,,95,percent of total billed charges,76.72836323,,,,,,,,,,95,percent of total billed charges,121.00592,,,,,,,,,,95,percent of total billed charges,999999999,,,,,,,,,,95,percent of total billed charges,82.73194083,,,,,,,,,,342,percent of total billed charges,,,,,
H PYLORI (STOOL)(*),87338,CDM,,,,both,,,291,291,61.94922789,291,291,percent of total billed charges,214.099038,,,,291,percent of total billed charges,226.940747,,,,291,percent of total billed charges,214.099038,,,,291,percent of total billed charges,226.940747,,,,291,percent of total billed charges,999999999,,,,291,percent of total billed charges,221.7219997,,,,291,percent of total billed charges,214.099038,,,,291,percent of total billed charges,226.940747,,,,207.483,percent of total billed charges,103.5378139,,,,207.483,percent of total billed charges,61.94922789,,,,207.483,percent of total billed charges,103.5378139,,,,207.483,percent of total billed charges,61.94922789,,,,207.483,percent of total billed charges,103.5378139,,,,207.483,percent of total billed charges,61.94922789,,,,205.446,percent of total billed charges,203.8872253,,,,205.446,percent of total billed charges,140.6194033,,,,,,,,,,209.52,percent of total billed charges,136.1830696,,,,,,,,,,209.52,percent of total billed charges,999999999,,,,,,,,,,232.8,percent of total billed charges,195.0742986,,,,229.89,percent of total billed charges,221.8537433,,,,229.89,percent of total billed charges,196.0151259,,,,232.8,percent of total billed charges,999999999,,,,232.8,percent of total billed charges,999999999,,,,203.7,percent of total billed charges,999999999,,,,203.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,154.812,percent of total billed charges,999999999,,,,,,,,,,,,,,,,146.955,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,72.75,percent of total billed charges,69.0947047,,,,,,,,,,72.75,percent of total billed charges,67.9453613,,,,,,,,,,72.75,percent of total billed charges,67.75654405,,,,,,,,,,72.75,percent of total billed charges,66.75882976,,,,,,,,,,72.75,percent of total billed charges,68.4766326,,,,,,,,,,72.75,percent of total billed charges,999999999,,,,,,,,,,72.75,percent of total billed charges,58.7577729,,,,,,,,,,72.75,percent of total billed charges,92.66505977,,,,,,,,,,72.75,percent of total billed charges,999999999,,,,,,,,,,72.75,percent of total billed charges,63.35524943,,,,,,,,,,261.9,percent of total billed charges,,,,,
ALLERGEN SPECIFIC IGE,86003,CDM,,,,both,,,59,59,12.56015273,59,59,percent of total billed charges,43.40839602,,,,59,percent of total billed charges,46.01204149,,,,59,percent of total billed charges,43.40839602,,,,59,percent of total billed charges,46.01204149,,,,59,percent of total billed charges,999999999,,,,59,percent of total billed charges,44.95394496,,,,59,percent of total billed charges,43.40839602,,,,59,percent of total billed charges,46.01204149,,,,42.067,percent of total billed charges,20.99220283,,,,42.067,percent of total billed charges,12.56015273,,,,42.067,percent of total billed charges,20.99220283,,,,42.067,percent of total billed charges,12.56015273,,,,42.067,percent of total billed charges,20.99220283,,,,42.067,percent of total billed charges,12.56015273,,,,41.654,percent of total billed charges,41.33795978,,,,41.654,percent of total billed charges,28.51046321,,,,,,,,,,42.48,percent of total billed charges,27.61100036,,,,,,,,,,42.48,percent of total billed charges,999999999,,,,,,,,,,47.2,percent of total billed charges,39.55114646,,,,46.61,percent of total billed charges,44.98065586,,,,46.61,percent of total billed charges,39.74189838,,,,47.2,percent of total billed charges,999999999,,,,47.2,percent of total billed charges,999999999,,,,41.3,percent of total billed charges,999999999,,,,41.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,31.388,percent of total billed charges,999999999,,,,,,,,,,,,,,,,29.795,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14.75,percent of total billed charges,14.00889202,,,,,,,,,,14.75,percent of total billed charges,13.77586363,,,,,,,,,,14.75,percent of total billed charges,13.7375811,,,,,,,,,,14.75,percent of total billed charges,13.53529538,,,,,,,,,,14.75,percent of total billed charges,13.88357843,,,,,,,,,,14.75,percent of total billed charges,999999999,,,,,,,,,,14.75,percent of total billed charges,11.91308798,,,,,,,,,,14.75,percent of total billed charges,18.78776126,,,,,,,,,,14.75,percent of total billed charges,999999999,,,,,,,,,,14.75,percent of total billed charges,12.84522239,,,,,,,,,,53.1,percent of total billed charges,,,,,
CYTOGENOMIC SNP MICROARY,81299,CDM,,,,both,,,5631,5631,1198.749492,5631,5631,percent of total billed charges,4142.926745,,,,5631,percent of total billed charges,4391.420434,,,,5631,percent of total billed charges,4142.926745,,,,5631,percent of total billed charges,4391.420434,,,,5631,percent of total billed charges,999999999,,,,5631,percent of total billed charges,4290.434984,,,,5631,percent of total billed charges,4142.926745,,,,5631,percent of total billed charges,4391.420434,,,,4014.903,percent of total billed charges,2003.51007,,,,4014.903,percent of total billed charges,1198.749492,,,,4014.903,percent of total billed charges,2003.51007,,,,4014.903,percent of total billed charges,1198.749492,,,,4014.903,percent of total billed charges,2003.51007,,,,4014.903,percent of total billed charges,1198.749492,,,,3975.486,percent of total billed charges,3945.322907,,,,3975.486,percent of total billed charges,2721.057938,,,,,,,,,,4054.32,percent of total billed charges,2635.212593,,,,,,,,,,4054.32,percent of total billed charges,999999999,,,,,,,,,,4504.8,percent of total billed charges,3774.788233,,,,4448.49,percent of total billed charges,4292.98429,,,,4448.49,percent of total billed charges,3792.993725,,,,4504.8,percent of total billed charges,999999999,,,,4504.8,percent of total billed charges,999999999,,,,3941.7,percent of total billed charges,999999999,,,,3941.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2995.692,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2843.655,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1407.75,percent of total billed charges,1337.018152,,,,,,,,,,1407.75,percent of total billed charges,1314.777765,,,,,,,,,,1407.75,percent of total billed charges,1311.124053,,,,,,,,,,1407.75,percent of total billed charges,1291.817768,,,,,,,,,,1407.75,percent of total billed charges,1325.058138,,,,,,,,,,1407.75,percent of total billed charges,999999999,,,,,,,,,,1407.75,percent of total billed charges,1136.993193,,,,,,,,,,1407.75,percent of total billed charges,1793.116672,,,,,,,,,,1407.75,percent of total billed charges,999999999,,,,,,,,,,1407.75,percent of total billed charges,1225.956734,,,,,,,,,,5067.9,percent of total billed charges,,,,,
ASO TITER(*),86060,CDM,,,,both,,,128,128,27.24914491,128,128,percent of total billed charges,94.17414729,,,,128,percent of total billed charges,99.82273408,,,,128,percent of total billed charges,94.17414729,,,,128,percent of total billed charges,99.82273408,,,,128,percent of total billed charges,999999999,,,,128,percent of total billed charges,97.52720261,,,,128,percent of total billed charges,94.17414729,,,,128,percent of total billed charges,99.82273408,,,,91.264,percent of total billed charges,45.54240613,,,,91.264,percent of total billed charges,27.24914491,,,,91.264,percent of total billed charges,45.54240613,,,,91.264,percent of total billed charges,27.24914491,,,,91.264,percent of total billed charges,45.54240613,,,,91.264,percent of total billed charges,27.24914491,,,,90.368,percent of total billed charges,89.68235342,,,,90.368,percent of total billed charges,61.85320833,,,,,,,,,,92.16,percent of total billed charges,59.90183128,,,,,,,,,,92.16,percent of total billed charges,999999999,,,,,,,,,,102.4,percent of total billed charges,85.80587707,,,,101.12,percent of total billed charges,97.58515169,,,,101.12,percent of total billed charges,86.21971174,,,,102.4,percent of total billed charges,999999999,,,,102.4,percent of total billed charges,999999999,,,,89.6,percent of total billed charges,999999999,,,,89.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,68.096,percent of total billed charges,999999999,,,,,,,,,,,,,,,,64.64,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,32,percent of total billed charges,30.39217251,,,,,,,,,,32,percent of total billed charges,29.8866194,,,,,,,,,,32,percent of total billed charges,29.80356577,,,,,,,,,,32,percent of total billed charges,29.36470862,,,,,,,,,,32,percent of total billed charges,30.12030575,,,,,,,,,,32,percent of total billed charges,999999999,,,,,,,,,,32,percent of total billed charges,25.8453434,,,,,,,,,,32,percent of total billed charges,40.75988883,,,,,,,,,,32,percent of total billed charges,999999999,,,,,,,,,,32,percent of total billed charges,27.86760112,,,,,,,,,,115.2,percent of total billed charges,,,,,
**ACTIN ANTIBODY,86015,CDM,,,,both,,,15,15,3.193259169,15,15,percent of total billed charges,11.03603289,,,,15,percent of total billed charges,11.69797665,,,,15,percent of total billed charges,11.03603289,,,,15,percent of total billed charges,11.69797665,,,,15,percent of total billed charges,999999999,,,,15,percent of total billed charges,11.42896906,,,,15,percent of total billed charges,11.03603289,,,,15,percent of total billed charges,11.69797665,,,,10.695,percent of total billed charges,5.337000719,,,,10.695,percent of total billed charges,3.193259169,,,,10.695,percent of total billed charges,5.337000719,,,,10.695,percent of total billed charges,3.193259169,,,,10.695,percent of total billed charges,5.337000719,,,,10.695,percent of total billed charges,3.193259169,,,,10.59,percent of total billed charges,10.50965079,,,,10.59,percent of total billed charges,7.248422851,,,,,,,,,,10.8,percent of total billed charges,7.019745853,,,,,,,,,,10.8,percent of total billed charges,999999999,,,,,,,,,,12,percent of total billed charges,10.05537622,,,,11.85,percent of total billed charges,11.43575996,,,,11.85,percent of total billed charges,10.10387247,,,,12,percent of total billed charges,999999999,,,,12,percent of total billed charges,999999999,,,,10.5,percent of total billed charges,999999999,,,,10.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,7.98,percent of total billed charges,999999999,,,,,,,,,,,,,,,,7.575,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3.75,percent of total billed charges,3.561582716,,,,,,,,,,3.75,percent of total billed charges,3.502338211,,,,,,,,,,3.75,percent of total billed charges,3.492605363,,,,,,,,,,3.75,percent of total billed charges,3.441176792,,,,,,,,,,3.75,percent of total billed charges,3.52972333,,,,,,,,,,3.75,percent of total billed charges,999999999,,,,,,,,,,3.75,percent of total billed charges,3.02875118,,,,,,,,,,3.75,percent of total billed charges,4.776549473,,,,,,,,,,3.75,percent of total billed charges,999999999,,,,,,,,,,3.75,percent of total billed charges,3.265734506,,,,,,,,,,13.5,percent of total billed charges,,,,,
MITOCHONDRIAL ANTIBODY,86381,CDM,,,,both,,,17,17,3.619027059,17,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,17,percent of total billed charges,999999999,,,,17,percent of total billed charges,12.9528316,,,,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.002,percent of total billed charges,11.91093756,,,,12.002,percent of total billed charges,8.214879231,,,,,,,,,,12.24,percent of total billed charges,7.955711967,,,,,,,,,,12.24,percent of total billed charges,999999999,,,,,,,,,,13.6,percent of total billed charges,11.39609305,,,,13.43,percent of total billed charges,12.96052796,,,,13.43,percent of total billed charges,11.45105547,,,,13.6,percent of total billed charges,999999999,,,,13.6,percent of total billed charges,999999999,,,,11.9,percent of total billed charges,999999999,,,,11.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.044,percent of total billed charges,999999999,,,,,,,,,,,,,,,,8.585,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4.25,percent of total billed charges,4.036460412,,,,,,,,,,4.25,percent of total billed charges,3.96931664,,,,,,,,,,4.25,percent of total billed charges,3.958286079,,,,,,,,,,4.25,percent of total billed charges,3.900000364,,,,,,,,,,4.25,percent of total billed charges,4.000353107,,,,,,,,,,4.25,percent of total billed charges,999999999,,,,,,,,,,4.25,percent of total billed charges,3.432584671,,,,,,,,,,4.25,percent of total billed charges,5.413422736,,,,,,,,,,4.25,percent of total billed charges,999999999,,,,,,,,,,4.25,percent of total billed charges,3.701165774,,,,,,,,,,15.3,percent of total billed charges,,,,,
MOG-IGG1 ANTB CBA,86362,CDM,,,,both,,,218,218,46.40869993,218,218,percent of total billed charges,160.3903446,,,,218,percent of total billed charges,170.010594,,,,218,percent of total billed charges,160.3903446,,,,218,percent of total billed charges,170.010594,,,,218,percent of total billed charges,999999999,,,,218,percent of total billed charges,166.101017,,,,218,percent of total billed charges,160.3903446,,,,218,percent of total billed charges,170.010594,,,,155.434,percent of total billed charges,77.56441045,,,,155.434,percent of total billed charges,46.40869993,,,,155.434,percent of total billed charges,77.56441045,,,,155.434,percent of total billed charges,46.40869993,,,,155.434,percent of total billed charges,77.56441045,,,,155.434,percent of total billed charges,46.40869993,,,,153.908,percent of total billed charges,152.7402582,,,,153.908,percent of total billed charges,105.3437454,,,,,,,,,,156.96,percent of total billed charges,102.0203064,,,,,,,,,,156.96,percent of total billed charges,999999999,,,,,,,,,,174.4,percent of total billed charges,146.1381344,,,,172.22,percent of total billed charges,166.1997115,,,,172.22,percent of total billed charges,146.8429466,,,,174.4,percent of total billed charges,999999999,,,,174.4,percent of total billed charges,999999999,,,,152.6,percent of total billed charges,999999999,,,,152.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,115.976,percent of total billed charges,999999999,,,,,,,,,,,,,,,,110.09,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,54.5,percent of total billed charges,51.76166881,,,,,,,,,,54.5,percent of total billed charges,50.90064867,,,,,,,,,,54.5,percent of total billed charges,50.75919795,,,,,,,,,,54.5,percent of total billed charges,50.01176938,,,,,,,,,,54.5,percent of total billed charges,51.29864572,,,,,,,,,,54.5,percent of total billed charges,999999999,,,,,,,,,,54.5,percent of total billed charges,44.01785048,,,,,,,,,,54.5,percent of total billed charges,69.41918567,,,,,,,,,,54.5,percent of total billed charges,999999999,,,,,,,,,,54.5,percent of total billed charges,47.46200816,,,,,,,,,,196.2,percent of total billed charges,,,,,
COLD AGGLUTINS TITER,86157,CDM,,,,both,,,164,164,34.91296692,164,164,percent of total billed charges,120.6606262,,,,164,percent of total billed charges,127.897878,,,,164,percent of total billed charges,120.6606262,,,,164,percent of total billed charges,127.897878,,,,164,percent of total billed charges,999999999,,,,164,percent of total billed charges,124.9567283,,,,164,percent of total billed charges,120.6606262,,,,164,percent of total billed charges,127.897878,,,,116.932,percent of total billed charges,58.35120786,,,,116.932,percent of total billed charges,34.91296692,,,,116.932,percent of total billed charges,58.35120786,,,,116.932,percent of total billed charges,34.91296692,,,,116.932,percent of total billed charges,58.35120786,,,,116.932,percent of total billed charges,34.91296692,,,,115.784,percent of total billed charges,114.9055153,,,,115.784,percent of total billed charges,79.24942317,,,,,,,,,,118.08,percent of total billed charges,76.74922133,,,,,,,,,,118.08,percent of total billed charges,999999999,,,,,,,,,,131.2,percent of total billed charges,109.93878,,,,129.56,percent of total billed charges,125.0309756,,,,129.56,percent of total billed charges,110.4690057,,,,131.2,percent of total billed charges,999999999,,,,131.2,percent of total billed charges,999999999,,,,114.8,percent of total billed charges,999999999,,,,114.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,87.248,percent of total billed charges,999999999,,,,,,,,,,,,,,,,82.82,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,41,percent of total billed charges,38.93997103,,,,,,,,,,41,percent of total billed charges,38.29223111,,,,,,,,,,41,percent of total billed charges,38.18581864,,,,,,,,,,41,percent of total billed charges,37.62353293,,,,,,,,,,41,percent of total billed charges,38.59164174,,,,,,,,,,41,percent of total billed charges,999999999,,,,,,,,,,41,percent of total billed charges,33.11434624,,,,,,,,,,41,percent of total billed charges,52.22360757,,,,,,,,,,41,percent of total billed charges,999999999,,,,,,,,,,41,percent of total billed charges,35.70536394,,,,,,,,,,147.6,percent of total billed charges,,,,,
ACETYLCHOLINE RECPTOR BINDING AB,86041,CDM,,,,both,,,51,51,10.85708118,51,51,percent of total billed charges,37.52251181,,,,51,percent of total billed charges,39.77312061,,,,51,percent of total billed charges,37.52251181,,,,51,percent of total billed charges,39.77312061,,,,51,percent of total billed charges,999999999,,,,51,percent of total billed charges,38.85849479,,,,51,percent of total billed charges,37.52251181,,,,51,percent of total billed charges,39.77312061,,,,36.363,percent of total billed charges,18.14580244,,,,36.363,percent of total billed charges,10.85708118,,,,36.363,percent of total billed charges,18.14580244,,,,36.363,percent of total billed charges,10.85708118,,,,36.363,percent of total billed charges,18.14580244,,,,36.363,percent of total billed charges,10.85708118,,,,36.006,percent of total billed charges,35.73281269,,,,36.006,percent of total billed charges,24.64463769,,,,,,,,,,36.72,percent of total billed charges,23.8671359,,,,,,,,,,36.72,percent of total billed charges,999999999,,,,,,,,,,40.8,percent of total billed charges,34.18827914,,,,40.29,percent of total billed charges,38.88158388,,,,40.29,percent of total billed charges,34.3531664,,,,40.8,percent of total billed charges,999999999,,,,40.8,percent of total billed charges,999999999,,,,35.7,percent of total billed charges,999999999,,,,35.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,27.132,percent of total billed charges,999999999,,,,,,,,,,,,,,,,25.755,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12.75,percent of total billed charges,12.10938124,,,,,,,,,,12.75,percent of total billed charges,11.90794992,,,,,,,,,,12.75,percent of total billed charges,11.87485824,,,,,,,,,,12.75,percent of total billed charges,11.70000109,,,,,,,,,,12.75,percent of total billed charges,12.00105932,,,,,,,,,,12.75,percent of total billed charges,999999999,,,,,,,,,,12.75,percent of total billed charges,10.29775401,,,,,,,,,,12.75,percent of total billed charges,16.24026821,,,,,,,,,,12.75,percent of total billed charges,999999999,,,,,,,,,,12.75,percent of total billed charges,11.10349732,,,,,,,,,,45.9,percent of total billed charges,,,,,
FEBRILE AGGLUTINATION(*),86000,CDM,,,,both,,,243,243,51.73079854,243,243,percent of total billed charges,178.7837328,,,,243,percent of total billed charges,189.5072217,,,,243,percent of total billed charges,178.7837328,,,,243,percent of total billed charges,189.5072217,,,,243,percent of total billed charges,999999999,,,,243,percent of total billed charges,185.1492987,,,,243,percent of total billed charges,178.7837328,,,,243,percent of total billed charges,189.5072217,,,,173.259,percent of total billed charges,86.45941165,,,,173.259,percent of total billed charges,51.73079854,,,,173.259,percent of total billed charges,86.45941165,,,,173.259,percent of total billed charges,51.73079854,,,,173.259,percent of total billed charges,86.45941165,,,,173.259,percent of total billed charges,51.73079854,,,,171.558,percent of total billed charges,170.2563428,,,,171.558,percent of total billed charges,117.4244502,,,,,,,,,,174.96,percent of total billed charges,113.7198828,,,,,,,,,,174.96,percent of total billed charges,999999999,,,,,,,,,,194.4,percent of total billed charges,162.8970947,,,,191.97,percent of total billed charges,185.2593114,,,,191.97,percent of total billed charges,163.682734,,,,194.4,percent of total billed charges,999999999,,,,194.4,percent of total billed charges,999999999,,,,170.1,percent of total billed charges,999999999,,,,170.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,129.276,percent of total billed charges,999999999,,,,,,,,,,,,,,,,122.715,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,60.75,percent of total billed charges,57.69764001,,,,,,,,,,60.75,percent of total billed charges,56.73787902,,,,,,,,,,60.75,percent of total billed charges,56.58020689,,,,,,,,,,60.75,percent of total billed charges,55.74706403,,,,,,,,,,60.75,percent of total billed charges,57.18151794,,,,,,,,,,60.75,percent of total billed charges,999999999,,,,,,,,,,60.75,percent of total billed charges,49.06576912,,,,,,,,,,60.75,percent of total billed charges,77.38010146,,,,,,,,,,60.75,percent of total billed charges,999999999,,,,,,,,,,60.75,percent of total billed charges,52.90489901,,,,,,,,,,218.7,percent of total billed charges,,,,,
FRANCISELLA TULARENSIS TITER(*),86000,CDM,,,,both,,,243,243,51.73079854,243,243,percent of total billed charges,178.7837328,,,,243,percent of total billed charges,189.5072217,,,,243,percent of total billed charges,178.7837328,,,,243,percent of total billed charges,189.5072217,,,,243,percent of total billed charges,999999999,,,,243,percent of total billed charges,185.1492987,,,,243,percent of total billed charges,178.7837328,,,,243,percent of total billed charges,189.5072217,,,,173.259,percent of total billed charges,86.45941165,,,,173.259,percent of total billed charges,51.73079854,,,,173.259,percent of total billed charges,86.45941165,,,,173.259,percent of total billed charges,51.73079854,,,,173.259,percent of total billed charges,86.45941165,,,,173.259,percent of total billed charges,51.73079854,,,,171.558,percent of total billed charges,170.2563428,,,,171.558,percent of total billed charges,117.4244502,,,,,,,,,,174.96,percent of total billed charges,113.7198828,,,,,,,,,,174.96,percent of total billed charges,999999999,,,,,,,,,,194.4,percent of total billed charges,162.8970947,,,,191.97,percent of total billed charges,185.2593114,,,,191.97,percent of total billed charges,163.682734,,,,194.4,percent of total billed charges,999999999,,,,194.4,percent of total billed charges,999999999,,,,170.1,percent of total billed charges,999999999,,,,170.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,129.276,percent of total billed charges,999999999,,,,,,,,,,,,,,,,122.715,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,60.75,percent of total billed charges,57.69764001,,,,,,,,,,60.75,percent of total billed charges,56.73787902,,,,,,,,,,60.75,percent of total billed charges,56.58020689,,,,,,,,,,60.75,percent of total billed charges,55.74706403,,,,,,,,,,60.75,percent of total billed charges,57.18151794,,,,,,,,,,60.75,percent of total billed charges,999999999,,,,,,,,,,60.75,percent of total billed charges,49.06576912,,,,,,,,,,60.75,percent of total billed charges,77.38010146,,,,,,,,,,60.75,percent of total billed charges,999999999,,,,,,,,,,60.75,percent of total billed charges,52.90489901,,,,,,,,,,218.7,percent of total billed charges,,,,,
FUNGAL SEROLOGY(*),86329,CDM,,,,both,,,202,202,43.00255681,202,202,percent of total billed charges,148.6185762,,,,202,percent of total billed charges,157.5327522,,,,202,percent of total billed charges,148.6185762,,,,202,percent of total billed charges,157.5327522,,,,202,percent of total billed charges,999999999,,,,202,percent of total billed charges,153.9101166,,,,202,percent of total billed charges,148.6185762,,,,202,percent of total billed charges,157.5327522,,,,144.026,percent of total billed charges,71.87160968,,,,144.026,percent of total billed charges,43.00255681,,,,144.026,percent of total billed charges,71.87160968,,,,144.026,percent of total billed charges,43.00255681,,,,144.026,percent of total billed charges,71.87160968,,,,144.026,percent of total billed charges,43.00255681,,,,142.612,percent of total billed charges,141.529964,,,,142.612,percent of total billed charges,97.61209439,,,,,,,,,,145.44,percent of total billed charges,94.53257749,,,,,,,,,,145.44,percent of total billed charges,999999999,,,,,,,,,,161.6,percent of total billed charges,135.4123997,,,,159.58,percent of total billed charges,154.0015675,,,,159.58,percent of total billed charges,136.0654826,,,,161.6,percent of total billed charges,999999999,,,,161.6,percent of total billed charges,999999999,,,,141.4,percent of total billed charges,999999999,,,,141.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,107.464,percent of total billed charges,999999999,,,,,,,,,,,,,,,,102.01,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,50.5,percent of total billed charges,47.96264725,,,,,,,,,,50.5,percent of total billed charges,47.16482125,,,,,,,,,,50.5,percent of total billed charges,47.03375223,,,,,,,,,,50.5,percent of total billed charges,46.3411808,,,,,,,,,,50.5,percent of total billed charges,47.53360751,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,50.5,percent of total billed charges,40.78718256,,,,,,,,,,50.5,percent of total billed charges,64.32419957,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,50.5,percent of total billed charges,43.97855802,,,,,,,,,,181.8,percent of total billed charges,,,,,
FEB AGGLU BRUCELLA(*),86000,CDM,,,,both,,,243,243,51.73079854,243,243,percent of total billed charges,178.7837328,,,,243,percent of total billed charges,189.5072217,,,,243,percent of total billed charges,178.7837328,,,,243,percent of total billed charges,189.5072217,,,,243,percent of total billed charges,999999999,,,,243,percent of total billed charges,185.1492987,,,,243,percent of total billed charges,178.7837328,,,,243,percent of total billed charges,189.5072217,,,,173.259,percent of total billed charges,86.45941165,,,,173.259,percent of total billed charges,51.73079854,,,,173.259,percent of total billed charges,86.45941165,,,,173.259,percent of total billed charges,51.73079854,,,,173.259,percent of total billed charges,86.45941165,,,,173.259,percent of total billed charges,51.73079854,,,,171.558,percent of total billed charges,170.2563428,,,,171.558,percent of total billed charges,117.4244502,,,,,,,,,,174.96,percent of total billed charges,113.7198828,,,,,,,,,,174.96,percent of total billed charges,999999999,,,,,,,,,,194.4,percent of total billed charges,162.8970947,,,,191.97,percent of total billed charges,185.2593114,,,,191.97,percent of total billed charges,163.682734,,,,194.4,percent of total billed charges,999999999,,,,194.4,percent of total billed charges,999999999,,,,170.1,percent of total billed charges,999999999,,,,170.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,129.276,percent of total billed charges,999999999,,,,,,,,,,,,,,,,122.715,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,60.75,percent of total billed charges,57.69764001,,,,,,,,,,60.75,percent of total billed charges,56.73787902,,,,,,,,,,60.75,percent of total billed charges,56.58020689,,,,,,,,,,60.75,percent of total billed charges,55.74706403,,,,,,,,,,60.75,percent of total billed charges,57.18151794,,,,,,,,,,60.75,percent of total billed charges,999999999,,,,,,,,,,60.75,percent of total billed charges,49.06576912,,,,,,,,,,60.75,percent of total billed charges,77.38010146,,,,,,,,,,60.75,percent of total billed charges,999999999,,,,,,,,,,60.75,percent of total billed charges,52.90489901,,,,,,,,,,218.7,percent of total billed charges,,,,,
FEB AGGLU PARA-TY A(*),86000,CDM,,,,both,,,243,243,51.73079854,243,243,percent of total billed charges,178.7837328,,,,243,percent of total billed charges,189.5072217,,,,243,percent of total billed charges,178.7837328,,,,243,percent of total billed charges,189.5072217,,,,243,percent of total billed charges,999999999,,,,243,percent of total billed charges,185.1492987,,,,243,percent of total billed charges,178.7837328,,,,243,percent of total billed charges,189.5072217,,,,173.259,percent of total billed charges,86.45941165,,,,173.259,percent of total billed charges,51.73079854,,,,173.259,percent of total billed charges,86.45941165,,,,173.259,percent of total billed charges,51.73079854,,,,173.259,percent of total billed charges,86.45941165,,,,173.259,percent of total billed charges,51.73079854,,,,171.558,percent of total billed charges,170.2563428,,,,171.558,percent of total billed charges,117.4244502,,,,,,,,,,174.96,percent of total billed charges,113.7198828,,,,,,,,,,174.96,percent of total billed charges,999999999,,,,,,,,,,194.4,percent of total billed charges,162.8970947,,,,191.97,percent of total billed charges,185.2593114,,,,191.97,percent of total billed charges,163.682734,,,,194.4,percent of total billed charges,999999999,,,,194.4,percent of total billed charges,999999999,,,,170.1,percent of total billed charges,999999999,,,,170.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,129.276,percent of total billed charges,999999999,,,,,,,,,,,,,,,,122.715,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,60.75,percent of total billed charges,57.69764001,,,,,,,,,,60.75,percent of total billed charges,56.73787902,,,,,,,,,,60.75,percent of total billed charges,56.58020689,,,,,,,,,,60.75,percent of total billed charges,55.74706403,,,,,,,,,,60.75,percent of total billed charges,57.18151794,,,,,,,,,,60.75,percent of total billed charges,999999999,,,,,,,,,,60.75,percent of total billed charges,49.06576912,,,,,,,,,,60.75,percent of total billed charges,77.38010146,,,,,,,,,,60.75,percent of total billed charges,999999999,,,,,,,,,,60.75,percent of total billed charges,52.90489901,,,,,,,,,,218.7,percent of total billed charges,,,,,
FEB AGGLU PARA-TY B(*),86000,CDM,,,,both,,,243,243,51.73079854,243,243,percent of total billed charges,178.7837328,,,,243,percent of total billed charges,189.5072217,,,,243,percent of total billed charges,178.7837328,,,,243,percent of total billed charges,189.5072217,,,,243,percent of total billed charges,999999999,,,,243,percent of total billed charges,185.1492987,,,,243,percent of total billed charges,178.7837328,,,,243,percent of total billed charges,189.5072217,,,,173.259,percent of total billed charges,86.45941165,,,,173.259,percent of total billed charges,51.73079854,,,,173.259,percent of total billed charges,86.45941165,,,,173.259,percent of total billed charges,51.73079854,,,,173.259,percent of total billed charges,86.45941165,,,,173.259,percent of total billed charges,51.73079854,,,,171.558,percent of total billed charges,170.2563428,,,,171.558,percent of total billed charges,117.4244502,,,,,,,,,,174.96,percent of total billed charges,113.7198828,,,,,,,,,,174.96,percent of total billed charges,999999999,,,,,,,,,,194.4,percent of total billed charges,162.8970947,,,,191.97,percent of total billed charges,185.2593114,,,,191.97,percent of total billed charges,163.682734,,,,194.4,percent of total billed charges,999999999,,,,194.4,percent of total billed charges,999999999,,,,170.1,percent of total billed charges,999999999,,,,170.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,129.276,percent of total billed charges,999999999,,,,,,,,,,,,,,,,122.715,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,60.75,percent of total billed charges,57.69764001,,,,,,,,,,60.75,percent of total billed charges,56.73787902,,,,,,,,,,60.75,percent of total billed charges,56.58020689,,,,,,,,,,60.75,percent of total billed charges,55.74706403,,,,,,,,,,60.75,percent of total billed charges,57.18151794,,,,,,,,,,60.75,percent of total billed charges,999999999,,,,,,,,,,60.75,percent of total billed charges,49.06576912,,,,,,,,,,60.75,percent of total billed charges,77.38010146,,,,,,,,,,60.75,percent of total billed charges,999999999,,,,,,,,,,60.75,percent of total billed charges,52.90489901,,,,,,,,,,218.7,percent of total billed charges,,,,,
FEB AGGLU PRO OX 19(*),86000,CDM,,,,both,,,243,243,51.73079854,243,243,percent of total billed charges,178.7837328,,,,243,percent of total billed charges,189.5072217,,,,243,percent of total billed charges,178.7837328,,,,243,percent of total billed charges,189.5072217,,,,243,percent of total billed charges,999999999,,,,243,percent of total billed charges,185.1492987,,,,243,percent of total billed charges,178.7837328,,,,243,percent of total billed charges,189.5072217,,,,173.259,percent of total billed charges,86.45941165,,,,173.259,percent of total billed charges,51.73079854,,,,173.259,percent of total billed charges,86.45941165,,,,173.259,percent of total billed charges,51.73079854,,,,173.259,percent of total billed charges,86.45941165,,,,173.259,percent of total billed charges,51.73079854,,,,171.558,percent of total billed charges,170.2563428,,,,171.558,percent of total billed charges,117.4244502,,,,,,,,,,174.96,percent of total billed charges,113.7198828,,,,,,,,,,174.96,percent of total billed charges,999999999,,,,,,,,,,194.4,percent of total billed charges,162.8970947,,,,191.97,percent of total billed charges,185.2593114,,,,191.97,percent of total billed charges,163.682734,,,,194.4,percent of total billed charges,999999999,,,,194.4,percent of total billed charges,999999999,,,,170.1,percent of total billed charges,999999999,,,,170.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,129.276,percent of total billed charges,999999999,,,,,,,,,,,,,,,,122.715,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,60.75,percent of total billed charges,57.69764001,,,,,,,,,,60.75,percent of total billed charges,56.73787902,,,,,,,,,,60.75,percent of total billed charges,56.58020689,,,,,,,,,,60.75,percent of total billed charges,55.74706403,,,,,,,,,,60.75,percent of total billed charges,57.18151794,,,,,,,,,,60.75,percent of total billed charges,999999999,,,,,,,,,,60.75,percent of total billed charges,49.06576912,,,,,,,,,,60.75,percent of total billed charges,77.38010146,,,,,,,,,,60.75,percent of total billed charges,999999999,,,,,,,,,,60.75,percent of total billed charges,52.90489901,,,,,,,,,,218.7,percent of total billed charges,,,,,
FEB AGGLU TYPHOID H(*),86000,CDM,,,,both,,,243,243,51.73079854,243,243,percent of total billed charges,178.7837328,,,,243,percent of total billed charges,189.5072217,,,,243,percent of total billed charges,178.7837328,,,,243,percent of total billed charges,189.5072217,,,,243,percent of total billed charges,999999999,,,,243,percent of total billed charges,185.1492987,,,,243,percent of total billed charges,178.7837328,,,,243,percent of total billed charges,189.5072217,,,,173.259,percent of total billed charges,86.45941165,,,,173.259,percent of total billed charges,51.73079854,,,,173.259,percent of total billed charges,86.45941165,,,,173.259,percent of total billed charges,51.73079854,,,,173.259,percent of total billed charges,86.45941165,,,,173.259,percent of total billed charges,51.73079854,,,,171.558,percent of total billed charges,170.2563428,,,,171.558,percent of total billed charges,117.4244502,,,,,,,,,,174.96,percent of total billed charges,113.7198828,,,,,,,,,,174.96,percent of total billed charges,999999999,,,,,,,,,,194.4,percent of total billed charges,162.8970947,,,,191.97,percent of total billed charges,185.2593114,,,,191.97,percent of total billed charges,163.682734,,,,194.4,percent of total billed charges,999999999,,,,194.4,percent of total billed charges,999999999,,,,170.1,percent of total billed charges,999999999,,,,170.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,129.276,percent of total billed charges,999999999,,,,,,,,,,,,,,,,122.715,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,60.75,percent of total billed charges,57.69764001,,,,,,,,,,60.75,percent of total billed charges,56.73787902,,,,,,,,,,60.75,percent of total billed charges,56.58020689,,,,,,,,,,60.75,percent of total billed charges,55.74706403,,,,,,,,,,60.75,percent of total billed charges,57.18151794,,,,,,,,,,60.75,percent of total billed charges,999999999,,,,,,,,,,60.75,percent of total billed charges,49.06576912,,,,,,,,,,60.75,percent of total billed charges,77.38010146,,,,,,,,,,60.75,percent of total billed charges,999999999,,,,,,,,,,60.75,percent of total billed charges,52.90489901,,,,,,,,,,218.7,percent of total billed charges,,,,,
FEB AGGLU TYPHOID O(*),86000,CDM,,,,both,,,243,243,51.73079854,243,243,percent of total billed charges,178.7837328,,,,243,percent of total billed charges,189.5072217,,,,243,percent of total billed charges,178.7837328,,,,243,percent of total billed charges,189.5072217,,,,243,percent of total billed charges,999999999,,,,243,percent of total billed charges,185.1492987,,,,243,percent of total billed charges,178.7837328,,,,243,percent of total billed charges,189.5072217,,,,173.259,percent of total billed charges,86.45941165,,,,173.259,percent of total billed charges,51.73079854,,,,173.259,percent of total billed charges,86.45941165,,,,173.259,percent of total billed charges,51.73079854,,,,173.259,percent of total billed charges,86.45941165,,,,173.259,percent of total billed charges,51.73079854,,,,171.558,percent of total billed charges,170.2563428,,,,171.558,percent of total billed charges,117.4244502,,,,,,,,,,174.96,percent of total billed charges,113.7198828,,,,,,,,,,174.96,percent of total billed charges,999999999,,,,,,,,,,194.4,percent of total billed charges,162.8970947,,,,191.97,percent of total billed charges,185.2593114,,,,191.97,percent of total billed charges,163.682734,,,,194.4,percent of total billed charges,999999999,,,,194.4,percent of total billed charges,999999999,,,,170.1,percent of total billed charges,999999999,,,,170.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,129.276,percent of total billed charges,999999999,,,,,,,,,,,,,,,,122.715,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,60.75,percent of total billed charges,57.69764001,,,,,,,,,,60.75,percent of total billed charges,56.73787902,,,,,,,,,,60.75,percent of total billed charges,56.58020689,,,,,,,,,,60.75,percent of total billed charges,55.74706403,,,,,,,,,,60.75,percent of total billed charges,57.18151794,,,,,,,,,,60.75,percent of total billed charges,999999999,,,,,,,,,,60.75,percent of total billed charges,49.06576912,,,,,,,,,,60.75,percent of total billed charges,77.38010146,,,,,,,,,,60.75,percent of total billed charges,999999999,,,,,,,,,,60.75,percent of total billed charges,52.90489901,,,,,,,,,,218.7,percent of total billed charges,,,,,
PHADIOTOPE RAST SCREEN(*),83516,CDM,,,,both,,,148,148,31.5068238,148,148,percent of total billed charges,108.8888578,,,,148,percent of total billed charges,115.4200363,,,,148,percent of total billed charges,108.8888578,,,,148,percent of total billed charges,115.4200363,,,,148,percent of total billed charges,999999999,,,,148,percent of total billed charges,112.765828,,,,148,percent of total billed charges,108.8888578,,,,148,percent of total billed charges,115.4200363,,,,105.524,percent of total billed charges,52.65840709,,,,105.524,percent of total billed charges,31.5068238,,,,105.524,percent of total billed charges,52.65840709,,,,105.524,percent of total billed charges,31.5068238,,,,105.524,percent of total billed charges,52.65840709,,,,105.524,percent of total billed charges,31.5068238,,,,104.488,percent of total billed charges,103.6952211,,,,104.488,percent of total billed charges,71.51777213,,,,,,,,,,106.56,percent of total billed charges,69.26149242,,,,,,,,,,106.56,percent of total billed charges,999999999,,,,,,,,,,118.4,percent of total billed charges,99.21304536,,,,116.92,percent of total billed charges,112.8328316,,,,116.92,percent of total billed charges,99.6915417,,,,118.4,percent of total billed charges,999999999,,,,118.4,percent of total billed charges,999999999,,,,103.6,percent of total billed charges,999999999,,,,103.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,78.736,percent of total billed charges,999999999,,,,,,,,,,,,,,,,74.74,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,37,percent of total billed charges,35.14094947,,,,,,,,,,37,percent of total billed charges,34.55640369,,,,,,,,,,37,percent of total billed charges,34.46037292,,,,,,,,,,37,percent of total billed charges,33.95294435,,,,,,,,,,37,percent of total billed charges,34.82660352,,,,,,,,,,37,percent of total billed charges,999999999,,,,,,,,,,37,percent of total billed charges,29.88367831,,,,,,,,,,37,percent of total billed charges,47.12862146,,,,,,,,,,37,percent of total billed charges,999999999,,,,,,,,,,37,percent of total billed charges,32.2219138,,,,,,,,,,133.2,percent of total billed charges,,,,,
C-REACTIVE PROTEIN,86140,CDM,,,,both,,,165,165,35.12585086,165,165,percent of total billed charges,121.3963617,,,,165,percent of total billed charges,128.6777432,,,,165,percent of total billed charges,121.3963617,,,,165,percent of total billed charges,128.6777432,,,,165,percent of total billed charges,999999999,,,,165,percent of total billed charges,125.7186596,,,,165,percent of total billed charges,121.3963617,,,,165,percent of total billed charges,128.6777432,,,,117.645,percent of total billed charges,58.70700791,,,,117.645,percent of total billed charges,35.12585086,,,,117.645,percent of total billed charges,58.70700791,,,,117.645,percent of total billed charges,35.12585086,,,,117.645,percent of total billed charges,58.70700791,,,,117.645,percent of total billed charges,35.12585086,,,,116.49,percent of total billed charges,115.6061587,,,,116.49,percent of total billed charges,79.73265136,,,,,,,,,,118.8,percent of total billed charges,77.21720438,,,,,,,,,,118.8,percent of total billed charges,999999999,,,,,,,,,,132,percent of total billed charges,110.6091384,,,,130.35,percent of total billed charges,125.7933596,,,,130.35,percent of total billed charges,111.1425972,,,,132,percent of total billed charges,999999999,,,,132,percent of total billed charges,999999999,,,,115.5,percent of total billed charges,999999999,,,,115.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,87.78,percent of total billed charges,999999999,,,,,,,,,,,,,,,,83.325,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,41.25,percent of total billed charges,39.17740988,,,,,,,,,,41.25,percent of total billed charges,38.52572033,,,,,,,,,,41.25,percent of total billed charges,38.418659,,,,,,,,,,41.25,percent of total billed charges,37.85294471,,,,,,,,,,41.25,percent of total billed charges,38.82695663,,,,,,,,,,41.25,percent of total billed charges,999999999,,,,,,,,,,41.25,percent of total billed charges,33.31626298,,,,,,,,,,41.25,percent of total billed charges,52.5420442,,,,,,,,,,41.25,percent of total billed charges,999999999,,,,,,,,,,41.25,percent of total billed charges,35.92307957,,,,,,,,,,148.5,percent of total billed charges,,,,,
MONO TEST,86308,CDM,,,,both,,,178,178,37.89334214,178,178,percent of total billed charges,130.9609236,,,,178,percent of total billed charges,138.8159896,,,,178,percent of total billed charges,130.9609236,,,,178,percent of total billed charges,138.8159896,,,,178,percent of total billed charges,999999999,,,,178,percent of total billed charges,135.6237661,,,,178,percent of total billed charges,130.9609236,,,,178,percent of total billed charges,138.8159896,,,,126.914,percent of total billed charges,63.33240853,,,,126.914,percent of total billed charges,37.89334214,,,,126.914,percent of total billed charges,63.33240853,,,,126.914,percent of total billed charges,37.89334214,,,,126.914,percent of total billed charges,63.33240853,,,,126.914,percent of total billed charges,37.89334214,,,,125.668,percent of total billed charges,124.7145227,,,,125.668,percent of total billed charges,86.01461783,,,,,,,,,,128.16,percent of total billed charges,83.30098412,,,,,,,,,,128.16,percent of total billed charges,999999999,,,,,,,,,,142.4,percent of total billed charges,119.3237978,,,,140.62,percent of total billed charges,135.7043516,,,,140.62,percent of total billed charges,119.8992866,,,,142.4,percent of total billed charges,999999999,,,,142.4,percent of total billed charges,999999999,,,,124.6,percent of total billed charges,999999999,,,,124.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,94.696,percent of total billed charges,999999999,,,,,,,,,,,,,,,,89.89,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,44.5,percent of total billed charges,42.2641149,,,,,,,,,,44.5,percent of total billed charges,41.56108011,,,,,,,,,,44.5,percent of total billed charges,41.44558365,,,,,,,,,,44.5,percent of total billed charges,40.83529793,,,,,,,,,,44.5,percent of total billed charges,41.88605018,,,,,,,,,,44.5,percent of total billed charges,999999999,,,,,,,,,,44.5,percent of total billed charges,35.94118067,,,,,,,,,,44.5,percent of total billed charges,56.68172041,,,,,,,,,,44.5,percent of total billed charges,999999999,,,,,,,,,,44.5,percent of total billed charges,38.75338281,,,,,,,,,,160.2,percent of total billed charges,,,,,
HETEROPHILEANTIBODY SCREEN,86308,CDM,,,,both,,,153,153,32.57124353,153,153,percent of total billed charges,112.5675354,,,,153,percent of total billed charges,119.3193618,,,,153,percent of total billed charges,112.5675354,,,,153,percent of total billed charges,119.3193618,,,,153,percent of total billed charges,999999999,,,,153,percent of total billed charges,116.5754844,,,,153,percent of total billed charges,112.5675354,,,,153,percent of total billed charges,119.3193618,,,,109.089,percent of total billed charges,54.43740733,,,,109.089,percent of total billed charges,32.57124353,,,,109.089,percent of total billed charges,54.43740733,,,,109.089,percent of total billed charges,32.57124353,,,,109.089,percent of total billed charges,54.43740733,,,,109.089,percent of total billed charges,32.57124353,,,,108.018,percent of total billed charges,107.1984381,,,,108.018,percent of total billed charges,73.93391308,,,,,,,,,,110.16,percent of total billed charges,71.6014077,,,,,,,,,,110.16,percent of total billed charges,999999999,,,,,,,,,,122.4,percent of total billed charges,102.5648374,,,,120.87,percent of total billed charges,116.6447516,,,,120.87,percent of total billed charges,103.0594992,,,,122.4,percent of total billed charges,999999999,,,,122.4,percent of total billed charges,999999999,,,,107.1,percent of total billed charges,999999999,,,,107.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,81.396,percent of total billed charges,999999999,,,,,,,,,,,,,,,,77.265,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,38.25,percent of total billed charges,36.32814371,,,,,,,,,,38.25,percent of total billed charges,35.72384976,,,,,,,,,,38.25,percent of total billed charges,35.62457471,,,,,,,,,,38.25,percent of total billed charges,35.10000328,,,,,,,,,,38.25,percent of total billed charges,36.00317796,,,,,,,,,,38.25,percent of total billed charges,999999999,,,,,,,,,,38.25,percent of total billed charges,30.89326204,,,,,,,,,,38.25,percent of total billed charges,48.72080462,,,,,,,,,,38.25,percent of total billed charges,999999999,,,,,,,,,,38.25,percent of total billed charges,33.31049197,,,,,,,,,,137.7,percent of total billed charges,,,,,
RPR (*),86780,CDM,,,,both,,,102,102,21.71416235,102,102,percent of total billed charges,75.04502362,,,,102,percent of total billed charges,79.54624122,,,,102,percent of total billed charges,75.04502362,,,,102,percent of total billed charges,79.54624122,,,,102,percent of total billed charges,999999999,,,,102,percent of total billed charges,77.71698958,,,,102,percent of total billed charges,75.04502362,,,,102,percent of total billed charges,79.54624122,,,,72.726,percent of total billed charges,36.29160489,,,,72.726,percent of total billed charges,21.71416235,,,,72.726,percent of total billed charges,36.29160489,,,,72.726,percent of total billed charges,21.71416235,,,,72.726,percent of total billed charges,36.29160489,,,,72.726,percent of total billed charges,21.71416235,,,,72.012,percent of total billed charges,71.46562538,,,,72.012,percent of total billed charges,49.28927538,,,,,,,,,,73.44,percent of total billed charges,47.7342718,,,,,,,,,,73.44,percent of total billed charges,999999999,,,,,,,,,,81.6,percent of total billed charges,68.37655829,,,,80.58,percent of total billed charges,77.76316775,,,,80.58,percent of total billed charges,68.70633279,,,,81.6,percent of total billed charges,999999999,,,,81.6,percent of total billed charges,999999999,,,,71.4,percent of total billed charges,999999999,,,,71.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,54.264,percent of total billed charges,999999999,,,,,,,,,,,,,,,,51.51,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,25.5,percent of total billed charges,24.21876247,,,,,,,,,,25.5,percent of total billed charges,23.81589984,,,,,,,,,,25.5,percent of total billed charges,23.74971647,,,,,,,,,,25.5,percent of total billed charges,23.40000219,,,,,,,,,,25.5,percent of total billed charges,24.00211864,,,,,,,,,,25.5,percent of total billed charges,999999999,,,,,,,,,,25.5,percent of total billed charges,20.59550803,,,,,,,,,,25.5,percent of total billed charges,32.48053641,,,,,,,,,,25.5,percent of total billed charges,999999999,,,,,,,,,,25.5,percent of total billed charges,22.20699464,,,,,,,,,,91.8,percent of total billed charges,,,,,
TREPONEMA PALLIDIUM,86780,CDM,,,,both,,,171,171,36.40315453,171,171,percent of total billed charges,125.8107749,,,,171,percent of total billed charges,133.3569338,,,,171,percent of total billed charges,125.8107749,,,,171,percent of total billed charges,133.3569338,,,,171,percent of total billed charges,999999999,,,,171,percent of total billed charges,130.2902472,,,,171,percent of total billed charges,125.8107749,,,,171,percent of total billed charges,133.3569338,,,,121.923,percent of total billed charges,60.8418082,,,,121.923,percent of total billed charges,36.40315453,,,,121.923,percent of total billed charges,60.8418082,,,,121.923,percent of total billed charges,36.40315453,,,,121.923,percent of total billed charges,60.8418082,,,,121.923,percent of total billed charges,36.40315453,,,,120.726,percent of total billed charges,119.810019,,,,120.726,percent of total billed charges,82.6320205,,,,,,,,,,123.12,percent of total billed charges,80.02510273,,,,,,,,,,123.12,percent of total billed charges,999999999,,,,,,,,,,136.8,percent of total billed charges,114.6312889,,,,135.09,percent of total billed charges,130.3676636,,,,135.09,percent of total billed charges,115.1841461,,,,136.8,percent of total billed charges,999999999,,,,136.8,percent of total billed charges,999999999,,,,119.7,percent of total billed charges,999999999,,,,119.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,90.972,percent of total billed charges,999999999,,,,,,,,,,,,,,,,86.355,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,42.75,percent of total billed charges,40.60204297,,,,,,,,,,42.75,percent of total billed charges,39.92665561,,,,,,,,,,42.75,percent of total billed charges,39.81570114,,,,,,,,,,42.75,percent of total billed charges,39.22941543,,,,,,,,,,42.75,percent of total billed charges,40.23884596,,,,,,,,,,42.75,percent of total billed charges,999999999,,,,,,,,,,42.75,percent of total billed charges,34.52776345,,,,,,,,,,42.75,percent of total billed charges,54.45266399,,,,,,,,,,42.75,percent of total billed charges,999999999,,,,,,,,,,42.75,percent of total billed charges,37.22937337,,,,,,,,,,153.9,percent of total billed charges,,,,,
SYPHILIS TEST QUANTITATIVE,86593,CDM,,,,both,,,115,115,24.48165363,115,115,percent of total billed charges,84.60958546,,,,115,percent of total billed charges,89.68448765,,,,115,percent of total billed charges,84.60958546,,,,115,percent of total billed charges,89.68448765,,,,115,percent of total billed charges,999999999,,,,115,percent of total billed charges,87.6220961,,,,115,percent of total billed charges,84.60958546,,,,115,percent of total billed charges,89.68448765,,,,81.995,percent of total billed charges,40.91700551,,,,81.995,percent of total billed charges,24.48165363,,,,81.995,percent of total billed charges,40.91700551,,,,81.995,percent of total billed charges,24.48165363,,,,81.995,percent of total billed charges,40.91700551,,,,81.995,percent of total billed charges,24.48165363,,,,81.19,percent of total billed charges,80.5739894,,,,81.19,percent of total billed charges,55.57124185,,,,,,,,,,82.8,percent of total billed charges,53.81805154,,,,,,,,,,82.8,percent of total billed charges,999999999,,,,,,,,,,92,percent of total billed charges,77.09121768,,,,90.85,percent of total billed charges,87.67415972,,,,90.85,percent of total billed charges,77.46302226,,,,92,percent of total billed charges,999999999,,,,92,percent of total billed charges,999999999,,,,80.5,percent of total billed charges,999999999,,,,80.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,61.18,percent of total billed charges,999999999,,,,,,,,,,,,,,,,58.075,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,28.75,percent of total billed charges,27.30546749,,,,,,,,,,28.75,percent of total billed charges,26.85125962,,,,,,,,,,28.75,percent of total billed charges,26.77664112,,,,,,,,,,28.75,percent of total billed charges,26.38235541,,,,,,,,,,28.75,percent of total billed charges,27.06121219,,,,,,,,,,28.75,percent of total billed charges,999999999,,,,,,,,,,28.75,percent of total billed charges,23.22042571,,,,,,,,,,28.75,percent of total billed charges,36.62021262,,,,,,,,,,28.75,percent of total billed charges,999999999,,,,,,,,,,28.75,percent of total billed charges,25.03729788,,,,,,,,,,103.5,percent of total billed charges,,,,,
RA TEST (RHUMATOID FACTOR)(*),86431,CDM,,,,both,,,115,115,24.48165363,115,115,percent of total billed charges,84.60958546,,,,115,percent of total billed charges,89.68448765,,,,115,percent of total billed charges,84.60958546,,,,115,percent of total billed charges,89.68448765,,,,115,percent of total billed charges,999999999,,,,115,percent of total billed charges,87.6220961,,,,115,percent of total billed charges,84.60958546,,,,115,percent of total billed charges,89.68448765,,,,81.995,percent of total billed charges,40.91700551,,,,81.995,percent of total billed charges,24.48165363,,,,81.995,percent of total billed charges,40.91700551,,,,81.995,percent of total billed charges,24.48165363,,,,81.995,percent of total billed charges,40.91700551,,,,81.995,percent of total billed charges,24.48165363,,,,81.19,percent of total billed charges,80.5739894,,,,81.19,percent of total billed charges,55.57124185,,,,,,,,,,82.8,percent of total billed charges,53.81805154,,,,,,,,,,82.8,percent of total billed charges,999999999,,,,,,,,,,92,percent of total billed charges,77.09121768,,,,90.85,percent of total billed charges,87.67415972,,,,90.85,percent of total billed charges,77.46302226,,,,92,percent of total billed charges,999999999,,,,92,percent of total billed charges,999999999,,,,80.5,percent of total billed charges,999999999,,,,80.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,61.18,percent of total billed charges,999999999,,,,,,,,,,,,,,,,58.075,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,28.75,percent of total billed charges,27.30546749,,,,,,,,,,28.75,percent of total billed charges,26.85125962,,,,,,,,,,28.75,percent of total billed charges,26.77664112,,,,,,,,,,28.75,percent of total billed charges,26.38235541,,,,,,,,,,28.75,percent of total billed charges,27.06121219,,,,,,,,,,28.75,percent of total billed charges,999999999,,,,,,,,,,28.75,percent of total billed charges,23.22042571,,,,,,,,,,28.75,percent of total billed charges,36.62021262,,,,,,,,,,28.75,percent of total billed charges,999999999,,,,,,,,,,28.75,percent of total billed charges,25.03729788,,,,,,,,,,103.5,percent of total billed charges,,,,,
RICKETTSIAL TITER(*),86757,CDM,,,,both,,,237,237,50.45349488,237,237,percent of total billed charges,174.3693196,,,,237,percent of total billed charges,184.8280311,,,,237,percent of total billed charges,174.3693196,,,,237,percent of total billed charges,184.8280311,,,,237,percent of total billed charges,999999999,,,,237,percent of total billed charges,180.5777111,,,,237,percent of total billed charges,174.3693196,,,,237,percent of total billed charges,184.8280311,,,,168.981,percent of total billed charges,84.32461136,,,,168.981,percent of total billed charges,50.45349488,,,,168.981,percent of total billed charges,84.32461136,,,,168.981,percent of total billed charges,50.45349488,,,,168.981,percent of total billed charges,84.32461136,,,,168.981,percent of total billed charges,50.45349488,,,,167.322,percent of total billed charges,166.0524825,,,,167.322,percent of total billed charges,114.525081,,,,,,,,,,170.64,percent of total billed charges,110.9119845,,,,,,,,,,170.64,percent of total billed charges,999999999,,,,,,,,,,189.6,percent of total billed charges,158.8749443,,,,187.23,percent of total billed charges,180.6850074,,,,187.23,percent of total billed charges,159.641185,,,,189.6,percent of total billed charges,999999999,,,,189.6,percent of total billed charges,999999999,,,,165.9,percent of total billed charges,999999999,,,,165.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,126.084,percent of total billed charges,999999999,,,,,,,,,,,,,,,,119.685,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,59.25,percent of total billed charges,56.27300692,,,,,,,,,,59.25,percent of total billed charges,55.33694374,,,,,,,,,,59.25,percent of total billed charges,55.18316474,,,,,,,,,,59.25,percent of total billed charges,54.37059331,,,,,,,,,,59.25,percent of total billed charges,55.76962861,,,,,,,,,,59.25,percent of total billed charges,999999999,,,,,,,,,,59.25,percent of total billed charges,47.85426865,,,,,,,,,,59.25,percent of total billed charges,75.46948167,,,,,,,,,,59.25,percent of total billed charges,999999999,,,,,,,,,,59.25,percent of total billed charges,51.5986052,,,,,,,,,,213.3,percent of total billed charges,,,,,
HEPATITIS A AB IGM(*),86709,CDM,,,,both,,,158,158,33.63566325,158,158,percent of total billed charges,116.2462131,,,,158,percent of total billed charges,123.2186874,,,,158,percent of total billed charges,116.2462131,,,,158,percent of total billed charges,123.2186874,,,,158,percent of total billed charges,999999999,,,,158,percent of total billed charges,120.3851407,,,,158,percent of total billed charges,116.2462131,,,,158,percent of total billed charges,123.2186874,,,,112.654,percent of total billed charges,56.21640757,,,,112.654,percent of total billed charges,33.63566325,,,,112.654,percent of total billed charges,56.21640757,,,,112.654,percent of total billed charges,33.63566325,,,,112.654,percent of total billed charges,56.21640757,,,,112.654,percent of total billed charges,33.63566325,,,,111.548,percent of total billed charges,110.701655,,,,111.548,percent of total billed charges,76.35005403,,,,,,,,,,113.76,percent of total billed charges,73.94132299,,,,,,,,,,113.76,percent of total billed charges,999999999,,,,,,,,,,126.4,percent of total billed charges,105.9166295,,,,124.82,percent of total billed charges,120.4566716,,,,124.82,percent of total billed charges,106.4274567,,,,126.4,percent of total billed charges,999999999,,,,126.4,percent of total billed charges,999999999,,,,110.6,percent of total billed charges,999999999,,,,110.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,84.056,percent of total billed charges,999999999,,,,,,,,,,,,,,,,79.79,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,39.5,percent of total billed charges,37.51533795,,,,,,,,,,39.5,percent of total billed charges,36.89129583,,,,,,,,,,39.5,percent of total billed charges,36.7887765,,,,,,,,,,39.5,percent of total billed charges,36.24706221,,,,,,,,,,39.5,percent of total billed charges,37.17975241,,,,,,,,,,39.5,percent of total billed charges,999999999,,,,,,,,,,39.5,percent of total billed charges,31.90284576,,,,,,,,,,39.5,percent of total billed charges,50.31298778,,,,,,,,,,39.5,percent of total billed charges,999999999,,,,,,,,,,39.5,percent of total billed charges,34.39907014,,,,,,,,,,142.2,percent of total billed charges,,,,,
R-A TITRATION-QUANT,86431,CDM,,,,both,,,153,153,32.57124353,153,153,percent of total billed charges,112.5675354,,,,153,percent of total billed charges,119.3193618,,,,153,percent of total billed charges,112.5675354,,,,153,percent of total billed charges,119.3193618,,,,153,percent of total billed charges,999999999,,,,153,percent of total billed charges,116.5754844,,,,153,percent of total billed charges,112.5675354,,,,153,percent of total billed charges,119.3193618,,,,109.089,percent of total billed charges,54.43740733,,,,109.089,percent of total billed charges,32.57124353,,,,109.089,percent of total billed charges,54.43740733,,,,109.089,percent of total billed charges,32.57124353,,,,109.089,percent of total billed charges,54.43740733,,,,109.089,percent of total billed charges,32.57124353,,,,108.018,percent of total billed charges,107.1984381,,,,108.018,percent of total billed charges,73.93391308,,,,,,,,,,110.16,percent of total billed charges,71.6014077,,,,,,,,,,110.16,percent of total billed charges,999999999,,,,,,,,,,122.4,percent of total billed charges,102.5648374,,,,120.87,percent of total billed charges,116.6447516,,,,120.87,percent of total billed charges,103.0594992,,,,122.4,percent of total billed charges,999999999,,,,122.4,percent of total billed charges,999999999,,,,107.1,percent of total billed charges,999999999,,,,107.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,81.396,percent of total billed charges,999999999,,,,,,,,,,,,,,,,77.265,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,38.25,percent of total billed charges,36.32814371,,,,,,,,,,38.25,percent of total billed charges,35.72384976,,,,,,,,,,38.25,percent of total billed charges,35.62457471,,,,,,,,,,38.25,percent of total billed charges,35.10000328,,,,,,,,,,38.25,percent of total billed charges,36.00317796,,,,,,,,,,38.25,percent of total billed charges,999999999,,,,,,,,,,38.25,percent of total billed charges,30.89326204,,,,,,,,,,38.25,percent of total billed charges,48.72080462,,,,,,,,,,38.25,percent of total billed charges,999999999,,,,,,,,,,38.25,percent of total billed charges,33.31049197,,,,,,,,,,137.7,percent of total billed charges,,,,,
AUTOIMMUNE RHEUMATOID ARTHR,81490,CDM,,,,both,,,1469,1469,312.7265147,1469,1469,percent of total billed charges,1080.795487,,,,1469,percent of total billed charges,1145.621847,,,,1469,percent of total billed charges,1080.795487,,,,1469,percent of total billed charges,1145.621847,,,,1469,percent of total billed charges,999999999,,,,1469,percent of total billed charges,1119.277036,,,,1469,percent of total billed charges,1080.795487,,,,1469,percent of total billed charges,1145.621847,,,,1047.397,percent of total billed charges,522.6702704,,,,1047.397,percent of total billed charges,312.7265147,,,,1047.397,percent of total billed charges,522.6702704,,,,1047.397,percent of total billed charges,312.7265147,,,,1047.397,percent of total billed charges,522.6702704,,,,1047.397,percent of total billed charges,312.7265147,,,,1037.114,percent of total billed charges,1029.245134,,,,1037.114,percent of total billed charges,709.8622112,,,,,,,,,,1057.68,percent of total billed charges,687.4671106,,,,,,,,,,1057.68,percent of total billed charges,999999999,,,,,,,,,,1175.2,percent of total billed charges,984.756511,,,,1160.51,percent of total billed charges,1119.942092,,,,1160.51,percent of total billed charges,989.5059105,,,,1175.2,percent of total billed charges,999999999,,,,1175.2,percent of total billed charges,999999999,,,,1028.3,percent of total billed charges,999999999,,,,1028.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,781.508,percent of total billed charges,999999999,,,,,,,,,,,,,,,,741.845,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,367.25,percent of total billed charges,348.7976674,,,,,,,,,,367.25,percent of total billed charges,342.9956555,,,,,,,,,,367.25,percent of total billed charges,342.0424853,,,,,,,,,,367.25,percent of total billed charges,337.0059138,,,,,,,,,,367.25,percent of total billed charges,345.6775714,,,,,,,,,,367.25,percent of total billed charges,999999999,,,,,,,,,,367.25,percent of total billed charges,296.6156989,,,,,,,,,,367.25,percent of total billed charges,467.7834117,,,,,,,,,,367.25,percent of total billed charges,999999999,,,,,,,,,,367.25,percent of total billed charges,319.824266,,,,,,,,,,1322.1,percent of total billed charges,,,,,
MYCOPLASMA(*),86738,CDM,,,,both,,,206,206,43.85409259,206,206,percent of total billed charges,151.5615183,,,,206,percent of total billed charges,160.6522127,,,,206,percent of total billed charges,151.5615183,,,,206,percent of total billed charges,160.6522127,,,,206,percent of total billed charges,999999999,,,,206,percent of total billed charges,156.9578417,,,,206,percent of total billed charges,151.5615183,,,,206,percent of total billed charges,160.6522127,,,,146.878,percent of total billed charges,73.29480987,,,,146.878,percent of total billed charges,43.85409259,,,,146.878,percent of total billed charges,73.29480987,,,,146.878,percent of total billed charges,43.85409259,,,,146.878,percent of total billed charges,73.29480987,,,,146.878,percent of total billed charges,43.85409259,,,,145.436,percent of total billed charges,144.3325375,,,,145.436,percent of total billed charges,99.54500715,,,,,,,,,,148.32,percent of total billed charges,96.40450972,,,,,,,,,,148.32,percent of total billed charges,999999999,,,,,,,,,,164.8,percent of total billed charges,138.0938334,,,,162.74,percent of total billed charges,157.0511035,,,,162.74,percent of total billed charges,138.7598486,,,,164.8,percent of total billed charges,999999999,,,,164.8,percent of total billed charges,999999999,,,,144.2,percent of total billed charges,999999999,,,,144.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,109.592,percent of total billed charges,999999999,,,,,,,,,,,,,,,,104.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,51.5,percent of total billed charges,48.91240264,,,,,,,,,,51.5,percent of total billed charges,48.0987781,,,,,,,,,,51.5,percent of total billed charges,47.96511366,,,,,,,,,,51.5,percent of total billed charges,47.25882794,,,,,,,,,,51.5,percent of total billed charges,48.47486706,,,,,,,,,,51.5,percent of total billed charges,999999999,,,,,,,,,,51.5,percent of total billed charges,41.59484954,,,,,,,,,,51.5,percent of total billed charges,65.59794609,,,,,,,,,,51.5,percent of total billed charges,999999999,,,,,,,,,,51.5,percent of total billed charges,44.84942056,,,,,,,,,,185.4,percent of total billed charges,,,,,
MYELOPEROXIDASE,83876,CDM,,,,both,,,264,264,56.20136138,264,264,percent of total billed charges,194.2341788,,,,264,percent of total billed charges,205.884389,,,,264,percent of total billed charges,194.2341788,,,,264,percent of total billed charges,205.884389,,,,264,percent of total billed charges,999999999,,,,264,percent of total billed charges,201.1498554,,,,264,percent of total billed charges,194.2341788,,,,264,percent of total billed charges,205.884389,,,,188.232,percent of total billed charges,93.93121265,,,,188.232,percent of total billed charges,56.20136138,,,,188.232,percent of total billed charges,93.93121265,,,,188.232,percent of total billed charges,56.20136138,,,,188.232,percent of total billed charges,93.93121265,,,,188.232,percent of total billed charges,56.20136138,,,,186.384,percent of total billed charges,184.9698539,,,,186.384,percent of total billed charges,127.5722422,,,,,,,,,,190.08,percent of total billed charges,123.547527,,,,,,,,,,190.08,percent of total billed charges,999999999,,,,,,,,,,211.2,percent of total billed charges,176.9746215,,,,208.56,percent of total billed charges,201.2693754,,,,208.56,percent of total billed charges,177.8281555,,,,211.2,percent of total billed charges,999999999,,,,211.2,percent of total billed charges,999999999,,,,184.8,percent of total billed charges,999999999,,,,184.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,140.448,percent of total billed charges,999999999,,,,,,,,,,,,,,,,133.32,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,66,percent of total billed charges,62.68385581,,,,,,,,,,66,percent of total billed charges,61.64115252,,,,,,,,,,66,percent of total billed charges,61.4698544,,,,,,,,,,66,percent of total billed charges,60.56471154,,,,,,,,,,66,percent of total billed charges,62.1231306,,,,,,,,,,66,percent of total billed charges,999999999,,,,,,,,,,66,percent of total billed charges,53.30602077,,,,,,,,,,66,percent of total billed charges,84.06727072,,,,,,,,,,66,percent of total billed charges,999999999,,,,,,,,,,66,percent of total billed charges,57.47692731,,,,,,,,,,237.6,percent of total billed charges,,,,,
ALBUMIN-URINE OR OTHER SOURCE,82042,CDM,,,,both,,,154,154,32.78412747,154,154,percent of total billed charges,113.303271,,,,154,percent of total billed charges,120.0992269,,,,154,percent of total billed charges,113.303271,,,,154,percent of total billed charges,120.0992269,,,,154,percent of total billed charges,999999999,,,,154,percent of total billed charges,117.3374156,,,,154,percent of total billed charges,113.303271,,,,154,percent of total billed charges,120.0992269,,,,109.802,percent of total billed charges,54.79320738,,,,109.802,percent of total billed charges,32.78412747,,,,109.802,percent of total billed charges,54.79320738,,,,109.802,percent of total billed charges,32.78412747,,,,109.802,percent of total billed charges,54.79320738,,,,109.802,percent of total billed charges,32.78412747,,,,108.724,percent of total billed charges,107.8990815,,,,108.724,percent of total billed charges,74.41714127,,,,,,,,,,110.88,percent of total billed charges,72.06939076,,,,,,,,,,110.88,percent of total billed charges,999999999,,,,,,,,,,123.2,percent of total billed charges,103.2351958,,,,121.66,percent of total billed charges,117.4071356,,,,121.66,percent of total billed charges,103.7330907,,,,123.2,percent of total billed charges,999999999,,,,123.2,percent of total billed charges,999999999,,,,107.8,percent of total billed charges,999999999,,,,107.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,81.928,percent of total billed charges,999999999,,,,,,,,,,,,,,,,77.77,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,38.5,percent of total billed charges,36.56558256,,,,,,,,,,38.5,percent of total billed charges,35.95733897,,,,,,,,,,38.5,percent of total billed charges,35.85741506,,,,,,,,,,38.5,percent of total billed charges,35.32941506,,,,,,,,,,38.5,percent of total billed charges,36.23849285,,,,,,,,,,38.5,percent of total billed charges,999999999,,,,,,,,,,38.5,percent of total billed charges,31.09517878,,,,,,,,,,38.5,percent of total billed charges,49.03924125,,,,,,,,,,38.5,percent of total billed charges,999999999,,,,,,,,,,38.5,percent of total billed charges,33.5282076,,,,,,,,,,138.6,percent of total billed charges,,,,,
BENCE-JONES PROTEIN(*),84165,CDM,,,,both,,,178,178,37.89334214,178,178,percent of total billed charges,130.9609236,,,,178,percent of total billed charges,138.8159896,,,,178,percent of total billed charges,130.9609236,,,,178,percent of total billed charges,138.8159896,,,,178,percent of total billed charges,999999999,,,,178,percent of total billed charges,135.6237661,,,,178,percent of total billed charges,130.9609236,,,,178,percent of total billed charges,138.8159896,,,,126.914,percent of total billed charges,63.33240853,,,,126.914,percent of total billed charges,37.89334214,,,,126.914,percent of total billed charges,63.33240853,,,,126.914,percent of total billed charges,37.89334214,,,,126.914,percent of total billed charges,63.33240853,,,,126.914,percent of total billed charges,37.89334214,,,,125.668,percent of total billed charges,124.7145227,,,,125.668,percent of total billed charges,86.01461783,,,,,,,,,,128.16,percent of total billed charges,83.30098412,,,,,,,,,,128.16,percent of total billed charges,999999999,,,,,,,,,,142.4,percent of total billed charges,119.3237978,,,,140.62,percent of total billed charges,135.7043516,,,,140.62,percent of total billed charges,119.8992866,,,,142.4,percent of total billed charges,999999999,,,,142.4,percent of total billed charges,999999999,,,,124.6,percent of total billed charges,999999999,,,,124.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,94.696,percent of total billed charges,999999999,,,,,,,,,,,,,,,,89.89,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,44.5,percent of total billed charges,42.2641149,,,,,,,,,,44.5,percent of total billed charges,41.56108011,,,,,,,,,,44.5,percent of total billed charges,41.44558365,,,,,,,,,,44.5,percent of total billed charges,40.83529793,,,,,,,,,,44.5,percent of total billed charges,41.88605018,,,,,,,,,,44.5,percent of total billed charges,999999999,,,,,,,,,,44.5,percent of total billed charges,35.94118067,,,,,,,,,,44.5,percent of total billed charges,56.68172041,,,,,,,,,,44.5,percent of total billed charges,999999999,,,,,,,,,,44.5,percent of total billed charges,38.75338281,,,,,,,,,,160.2,percent of total billed charges,,,,,
BLOOD URINE,81003,CDM,,,,both,,,86,86,18.30801924,86,86,percent of total billed charges,63.27325521,,,,86,percent of total billed charges,67.06839946,,,,86,percent of total billed charges,63.27325521,,,,86,percent of total billed charges,67.06839946,,,,86,percent of total billed charges,999999999,,,,86,percent of total billed charges,65.52608926,,,,86,percent of total billed charges,63.27325521,,,,86,percent of total billed charges,67.06839946,,,,61.318,percent of total billed charges,30.59880412,,,,61.318,percent of total billed charges,18.30801924,,,,61.318,percent of total billed charges,30.59880412,,,,61.318,percent of total billed charges,18.30801924,,,,61.318,percent of total billed charges,30.59880412,,,,61.318,percent of total billed charges,18.30801924,,,,60.716,percent of total billed charges,60.2553312,,,,60.716,percent of total billed charges,41.55762434,,,,,,,,,,61.92,percent of total billed charges,40.24654289,,,,,,,,,,61.92,percent of total billed charges,999999999,,,,,,,,,,68.8,percent of total billed charges,57.65082366,,,,67.94,percent of total billed charges,65.56502379,,,,67.94,percent of total billed charges,57.92886882,,,,68.8,percent of total billed charges,999999999,,,,68.8,percent of total billed charges,999999999,,,,60.2,percent of total billed charges,999999999,,,,60.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,45.752,percent of total billed charges,999999999,,,,,,,,,,,,,,,,43.43,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21.5,percent of total billed charges,20.41974091,,,,,,,,,,21.5,percent of total billed charges,20.08007241,,,,,,,,,,21.5,percent of total billed charges,20.02427075,,,,,,,,,,21.5,percent of total billed charges,19.72941361,,,,,,,,,,21.5,percent of total billed charges,20.23708042,,,,,,,,,,21.5,percent of total billed charges,999999999,,,,,,,,,,21.5,percent of total billed charges,17.3648401,,,,,,,,,,21.5,percent of total billed charges,27.38555031,,,,,,,,,,21.5,percent of total billed charges,999999999,,,,,,,,,,21.5,percent of total billed charges,18.7235445,,,,,,,,,,77.4,percent of total billed charges,,,,,
BILE TEST,81003,CDM,,,,both,,,86,86,18.30801924,86,86,percent of total billed charges,63.27325521,,,,86,percent of total billed charges,67.06839946,,,,86,percent of total billed charges,63.27325521,,,,86,percent of total billed charges,67.06839946,,,,86,percent of total billed charges,999999999,,,,86,percent of total billed charges,65.52608926,,,,86,percent of total billed charges,63.27325521,,,,86,percent of total billed charges,67.06839946,,,,61.318,percent of total billed charges,30.59880412,,,,61.318,percent of total billed charges,18.30801924,,,,61.318,percent of total billed charges,30.59880412,,,,61.318,percent of total billed charges,18.30801924,,,,61.318,percent of total billed charges,30.59880412,,,,61.318,percent of total billed charges,18.30801924,,,,60.716,percent of total billed charges,60.2553312,,,,60.716,percent of total billed charges,41.55762434,,,,,,,,,,61.92,percent of total billed charges,40.24654289,,,,,,,,,,61.92,percent of total billed charges,999999999,,,,,,,,,,68.8,percent of total billed charges,57.65082366,,,,67.94,percent of total billed charges,65.56502379,,,,67.94,percent of total billed charges,57.92886882,,,,68.8,percent of total billed charges,999999999,,,,68.8,percent of total billed charges,999999999,,,,60.2,percent of total billed charges,999999999,,,,60.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,45.752,percent of total billed charges,999999999,,,,,,,,,,,,,,,,43.43,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21.5,percent of total billed charges,20.41974091,,,,,,,,,,21.5,percent of total billed charges,20.08007241,,,,,,,,,,21.5,percent of total billed charges,20.02427075,,,,,,,,,,21.5,percent of total billed charges,19.72941361,,,,,,,,,,21.5,percent of total billed charges,20.23708042,,,,,,,,,,21.5,percent of total billed charges,999999999,,,,,,,,,,21.5,percent of total billed charges,17.3648401,,,,,,,,,,21.5,percent of total billed charges,27.38555031,,,,,,,,,,21.5,percent of total billed charges,999999999,,,,,,,,,,21.5,percent of total billed charges,18.7235445,,,,,,,,,,77.4,percent of total billed charges,,,,,
STOOLS/REDUCING SUB,81002,CDM,,,,both,,,53,53,11.28284907,53,53,percent of total billed charges,38.99398286,,,,53,percent of total billed charges,41.33285083,,,,53,percent of total billed charges,38.99398286,,,,53,percent of total billed charges,41.33285083,,,,53,percent of total billed charges,999999999,,,,53,percent of total billed charges,40.38235733,,,,53,percent of total billed charges,38.99398286,,,,53,percent of total billed charges,41.33285083,,,,37.789,percent of total billed charges,18.85740254,,,,37.789,percent of total billed charges,11.28284907,,,,37.789,percent of total billed charges,18.85740254,,,,37.789,percent of total billed charges,11.28284907,,,,37.789,percent of total billed charges,18.85740254,,,,37.789,percent of total billed charges,11.28284907,,,,37.418,percent of total billed charges,37.13409946,,,,37.418,percent of total billed charges,25.61109407,,,,,,,,,,38.16,percent of total billed charges,24.80310201,,,,,,,,,,38.16,percent of total billed charges,999999999,,,,,,,,,,42.4,percent of total billed charges,35.52899597,,,,41.87,percent of total billed charges,40.40635187,,,,41.87,percent of total billed charges,35.70034939,,,,42.4,percent of total billed charges,999999999,,,,42.4,percent of total billed charges,999999999,,,,37.1,percent of total billed charges,999999999,,,,37.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,28.196,percent of total billed charges,999999999,,,,,,,,,,,,,,,,26.765,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13.25,percent of total billed charges,12.58425893,,,,,,,,,,13.25,percent of total billed charges,12.37492835,,,,,,,,,,13.25,percent of total billed charges,12.34053895,,,,,,,,,,13.25,percent of total billed charges,12.15882466,,,,,,,,,,13.25,percent of total billed charges,12.4716891,,,,,,,,,,13.25,percent of total billed charges,999999999,,,,,,,,,,13.25,percent of total billed charges,10.7015875,,,,,,,,,,13.25,percent of total billed charges,16.87714147,,,,,,,,,,13.25,percent of total billed charges,999999999,,,,,,,,,,13.25,percent of total billed charges,11.53892859,,,,,,,,,,47.7,percent of total billed charges,,,,,
URINALYSIS,81001,CDM,,,,both,,,133,133,28.31356463,133,133,percent of total billed charges,97.85282492,,,,133,percent of total billed charges,103.7220596,,,,133,percent of total billed charges,97.85282492,,,,133,percent of total billed charges,103.7220596,,,,133,percent of total billed charges,999999999,,,,133,percent of total billed charges,101.336859,,,,133,percent of total billed charges,97.85282492,,,,133,percent of total billed charges,103.7220596,,,,94.829,percent of total billed charges,47.32140637,,,,94.829,percent of total billed charges,28.31356463,,,,94.829,percent of total billed charges,47.32140637,,,,94.829,percent of total billed charges,28.31356463,,,,94.829,percent of total billed charges,47.32140637,,,,94.829,percent of total billed charges,28.31356463,,,,93.898,percent of total billed charges,93.18557035,,,,93.898,percent of total billed charges,64.26934928,,,,,,,,,,95.76,percent of total billed charges,62.24174656,,,,,,,,,,95.76,percent of total billed charges,999999999,,,,,,,,,,106.4,percent of total billed charges,89.15766914,,,,105.07,percent of total billed charges,101.3970717,,,,105.07,percent of total billed charges,89.58766923,,,,106.4,percent of total billed charges,999999999,,,,106.4,percent of total billed charges,999999999,,,,93.1,percent of total billed charges,999999999,,,,93.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,70.756,percent of total billed charges,999999999,,,,,,,,,,,,,,,,67.165,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,33.25,percent of total billed charges,31.57936675,,,,,,,,,,33.25,percent of total billed charges,31.05406547,,,,,,,,,,33.25,percent of total billed charges,30.96776756,,,,,,,,,,33.25,percent of total billed charges,30.51176756,,,,,,,,,,33.25,percent of total billed charges,31.29688019,,,,,,,,,,33.25,percent of total billed charges,999999999,,,,,,,,,,33.25,percent of total billed charges,26.85492713,,,,,,,,,,33.25,percent of total billed charges,42.35207199,,,,,,,,,,33.25,percent of total billed charges,999999999,,,,,,,,,,33.25,percent of total billed charges,28.95617929,,,,,,,,,,119.7,percent of total billed charges,,,,,
URINE DIP ONLY,81002,CDM,,,,both,,,47,47,10.0055454,47,47,percent of total billed charges,34.57956971,,,,47,percent of total billed charges,36.65366017,,,,47,percent of total billed charges,34.57956971,,,,47,percent of total billed charges,36.65366017,,,,47,percent of total billed charges,999999999,,,,47,percent of total billed charges,35.81076971,,,,47,percent of total billed charges,34.57956971,,,,47,percent of total billed charges,36.65366017,,,,33.511,percent of total billed charges,16.72260225,,,,33.511,percent of total billed charges,10.0055454,,,,33.511,percent of total billed charges,16.72260225,,,,33.511,percent of total billed charges,10.0055454,,,,33.511,percent of total billed charges,16.72260225,,,,33.511,percent of total billed charges,10.0055454,,,,33.182,percent of total billed charges,32.93023915,,,,33.182,percent of total billed charges,22.71172493,,,,,,,,,,33.84,percent of total billed charges,21.99520367,,,,,,,,,,33.84,percent of total billed charges,999999999,,,,,,,,,,37.6,percent of total billed charges,31.50684549,,,,37.13,percent of total billed charges,35.83204789,,,,37.13,percent of total billed charges,31.6588004,,,,37.6,percent of total billed charges,999999999,,,,37.6,percent of total billed charges,999999999,,,,32.9,percent of total billed charges,999999999,,,,32.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,25.004,percent of total billed charges,999999999,,,,,,,,,,,,,,,,23.735,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11.75,percent of total billed charges,11.15962584,,,,,,,,,,11.75,percent of total billed charges,10.97399306,,,,,,,,,,11.75,percent of total billed charges,10.94349681,,,,,,,,,,11.75,percent of total billed charges,10.78235395,,,,,,,,,,11.75,percent of total billed charges,11.05979977,,,,,,,,,,11.75,percent of total billed charges,999999999,,,,,,,,,,11.75,percent of total billed charges,9.490087031,,,,,,,,,,11.75,percent of total billed charges,14.96652168,,,,,,,,,,11.75,percent of total billed charges,999999999,,,,,,,,,,11.75,percent of total billed charges,10.23263479,,,,,,,,,,42.3,percent of total billed charges,,,,,
INDICAN URINE,81005,CDM,,,,both,,,80,80,17.03071557,80,80,percent of total billed charges,58.85884206,,,,80,percent of total billed charges,62.3892088,,,,80,percent of total billed charges,58.85884206,,,,80,percent of total billed charges,62.3892088,,,,80,percent of total billed charges,999999999,,,,80,percent of total billed charges,60.95450163,,,,80,percent of total billed charges,58.85884206,,,,80,percent of total billed charges,62.3892088,,,,57.04,percent of total billed charges,28.46400383,,,,57.04,percent of total billed charges,17.03071557,,,,57.04,percent of total billed charges,28.46400383,,,,57.04,percent of total billed charges,17.03071557,,,,57.04,percent of total billed charges,28.46400383,,,,57.04,percent of total billed charges,17.03071557,,,,56.48,percent of total billed charges,56.05147089,,,,56.48,percent of total billed charges,38.6582552,,,,,,,,,,57.6,percent of total billed charges,37.43864455,,,,,,,,,,57.6,percent of total billed charges,999999999,,,,,,,,,,64,percent of total billed charges,53.62867317,,,,63.2,percent of total billed charges,60.99071981,,,,63.2,percent of total billed charges,53.88731984,,,,64,percent of total billed charges,999999999,,,,64,percent of total billed charges,999999999,,,,56,percent of total billed charges,999999999,,,,56,percent of total billed charges,999999999,,,,,,,,,,,,,,,,42.56,percent of total billed charges,999999999,,,,,,,,,,,,,,,,40.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20,percent of total billed charges,18.99510782,,,,,,,,,,20,percent of total billed charges,18.67913713,,,,,,,,,,20,percent of total billed charges,18.62722861,,,,,,,,,,20,percent of total billed charges,18.35294289,,,,,,,,,,20,percent of total billed charges,18.82519109,,,,,,,,,,20,percent of total billed charges,999999999,,,,,,,,,,20,percent of total billed charges,16.15333963,,,,,,,,,,20,percent of total billed charges,25.47493052,,,,,,,,,,20,percent of total billed charges,999999999,,,,,,,,,,20,percent of total billed charges,17.4172507,,,,,,,,,,72,percent of total billed charges,,,,,
URINALYSIS-MICRO,81015,CDM,,,,both,,,94,94,20.01109079,94,94,percent of total billed charges,69.15913942,,,,94,percent of total billed charges,73.30732034,,,,94,percent of total billed charges,69.15913942,,,,94,percent of total billed charges,73.30732034,,,,94,percent of total billed charges,999999999,,,,94,percent of total billed charges,71.62153942,,,,94,percent of total billed charges,69.15913942,,,,94,percent of total billed charges,73.30732034,,,,67.022,percent of total billed charges,33.44520451,,,,67.022,percent of total billed charges,20.01109079,,,,67.022,percent of total billed charges,33.44520451,,,,67.022,percent of total billed charges,20.01109079,,,,67.022,percent of total billed charges,33.44520451,,,,67.022,percent of total billed charges,20.01109079,,,,66.364,percent of total billed charges,65.86047829,,,,66.364,percent of total billed charges,45.42344986,,,,,,,,,,67.68,percent of total billed charges,43.99040735,,,,,,,,,,67.68,percent of total billed charges,999999999,,,,,,,,,,75.2,percent of total billed charges,63.01369097,,,,74.26,percent of total billed charges,71.66409577,,,,74.26,percent of total billed charges,63.31760081,,,,75.2,percent of total billed charges,999999999,,,,75.2,percent of total billed charges,999999999,,,,65.8,percent of total billed charges,999999999,,,,65.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,50.008,percent of total billed charges,999999999,,,,,,,,,,,,,,,,47.47,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23.5,percent of total billed charges,22.31925169,,,,,,,,,,23.5,percent of total billed charges,21.94798612,,,,,,,,,,23.5,percent of total billed charges,21.88699361,,,,,,,,,,23.5,percent of total billed charges,21.5647079,,,,,,,,,,23.5,percent of total billed charges,22.11959953,,,,,,,,,,23.5,percent of total billed charges,999999999,,,,,,,,,,23.5,percent of total billed charges,18.98017406,,,,,,,,,,23.5,percent of total billed charges,29.93304336,,,,,,,,,,23.5,percent of total billed charges,999999999,,,,,,,,,,23.5,percent of total billed charges,20.46526957,,,,,,,,,,84.6,percent of total billed charges,,,,,
**URINALYSIS MANUAL,81000,CDM,,,,both,,,53,53,11.28284907,53,53,percent of total billed charges,38.99398286,,,,53,percent of total billed charges,41.33285083,,,,53,percent of total billed charges,38.99398286,,,,53,percent of total billed charges,41.33285083,,,,53,percent of total billed charges,999999999,,,,53,percent of total billed charges,40.38235733,,,,53,percent of total billed charges,38.99398286,,,,53,percent of total billed charges,41.33285083,,,,37.789,percent of total billed charges,18.85740254,,,,37.789,percent of total billed charges,11.28284907,,,,37.789,percent of total billed charges,18.85740254,,,,37.789,percent of total billed charges,11.28284907,,,,37.789,percent of total billed charges,18.85740254,,,,37.789,percent of total billed charges,11.28284907,,,,37.418,percent of total billed charges,37.13409946,,,,37.418,percent of total billed charges,25.61109407,,,,,,,,,,38.16,percent of total billed charges,24.80310201,,,,,,,,,,38.16,percent of total billed charges,999999999,,,,,,,,,,42.4,percent of total billed charges,35.52899597,,,,41.87,percent of total billed charges,40.40635187,,,,41.87,percent of total billed charges,35.70034939,,,,42.4,percent of total billed charges,999999999,,,,42.4,percent of total billed charges,999999999,,,,37.1,percent of total billed charges,999999999,,,,37.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,28.196,percent of total billed charges,999999999,,,,,,,,,,,,,,,,26.765,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13.25,percent of total billed charges,12.58425893,,,,,,,,,,13.25,percent of total billed charges,12.37492835,,,,,,,,,,13.25,percent of total billed charges,12.34053895,,,,,,,,,,13.25,percent of total billed charges,12.15882466,,,,,,,,,,13.25,percent of total billed charges,12.4716891,,,,,,,,,,13.25,percent of total billed charges,999999999,,,,,,,,,,13.25,percent of total billed charges,10.7015875,,,,,,,,,,13.25,percent of total billed charges,16.87714147,,,,,,,,,,13.25,percent of total billed charges,999999999,,,,,,,,,,13.25,percent of total billed charges,11.53892859,,,,,,,,,,47.7,percent of total billed charges,,,,,
UROBILINOGEN-URINE-QUAL(*),84578,CDM,,,,both,,,126,126,26.82337702,126,126,percent of total billed charges,92.70267624,,,,126,percent of total billed charges,98.26300386,,,,126,percent of total billed charges,92.70267624,,,,126,percent of total billed charges,98.26300386,,,,126,percent of total billed charges,999999999,,,,126,percent of total billed charges,96.00334007,,,,126,percent of total billed charges,92.70267624,,,,126,percent of total billed charges,98.26300386,,,,89.838,percent of total billed charges,44.83080604,,,,89.838,percent of total billed charges,26.82337702,,,,89.838,percent of total billed charges,44.83080604,,,,89.838,percent of total billed charges,26.82337702,,,,89.838,percent of total billed charges,44.83080604,,,,89.838,percent of total billed charges,26.82337702,,,,88.956,percent of total billed charges,88.28106665,,,,88.956,percent of total billed charges,60.88675195,,,,,,,,,,90.72,percent of total billed charges,58.96586517,,,,,,,,,,90.72,percent of total billed charges,999999999,,,,,,,,,,100.8,percent of total billed charges,84.46516024,,,,99.54,percent of total billed charges,96.0603837,,,,99.54,percent of total billed charges,84.87252874,,,,100.8,percent of total billed charges,999999999,,,,100.8,percent of total billed charges,999999999,,,,88.2,percent of total billed charges,999999999,,,,88.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,67.032,percent of total billed charges,999999999,,,,,,,,,,,,,,,,63.63,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,31.5,percent of total billed charges,29.91729482,,,,,,,,,,31.5,percent of total billed charges,29.41964098,,,,,,,,,,31.5,percent of total billed charges,29.33788505,,,,,,,,,,31.5,percent of total billed charges,28.90588505,,,,,,,,,,31.5,percent of total billed charges,29.64967597,,,,,,,,,,31.5,percent of total billed charges,999999999,,,,,,,,,,31.5,percent of total billed charges,25.44150991,,,,,,,,,,31.5,percent of total billed charges,40.12301557,,,,,,,,,,31.5,percent of total billed charges,999999999,,,,,,,,,,31.5,percent of total billed charges,27.43216985,,,,,,,,,,113.4,percent of total billed charges,,,,,
SPECIFIC GRAVITY,81003,CDM,,,,both,,,86,86,18.30801924,86,86,percent of total billed charges,63.27325521,,,,86,percent of total billed charges,67.06839946,,,,86,percent of total billed charges,63.27325521,,,,86,percent of total billed charges,67.06839946,,,,86,percent of total billed charges,999999999,,,,86,percent of total billed charges,65.52608926,,,,86,percent of total billed charges,63.27325521,,,,86,percent of total billed charges,67.06839946,,,,61.318,percent of total billed charges,30.59880412,,,,61.318,percent of total billed charges,18.30801924,,,,61.318,percent of total billed charges,30.59880412,,,,61.318,percent of total billed charges,18.30801924,,,,61.318,percent of total billed charges,30.59880412,,,,61.318,percent of total billed charges,18.30801924,,,,60.716,percent of total billed charges,60.2553312,,,,60.716,percent of total billed charges,41.55762434,,,,,,,,,,61.92,percent of total billed charges,40.24654289,,,,,,,,,,61.92,percent of total billed charges,999999999,,,,,,,,,,68.8,percent of total billed charges,57.65082366,,,,67.94,percent of total billed charges,65.56502379,,,,67.94,percent of total billed charges,57.92886882,,,,68.8,percent of total billed charges,999999999,,,,68.8,percent of total billed charges,999999999,,,,60.2,percent of total billed charges,999999999,,,,60.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,45.752,percent of total billed charges,999999999,,,,,,,,,,,,,,,,43.43,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21.5,percent of total billed charges,20.41974091,,,,,,,,,,21.5,percent of total billed charges,20.08007241,,,,,,,,,,21.5,percent of total billed charges,20.02427075,,,,,,,,,,21.5,percent of total billed charges,19.72941361,,,,,,,,,,21.5,percent of total billed charges,20.23708042,,,,,,,,,,21.5,percent of total billed charges,999999999,,,,,,,,,,21.5,percent of total billed charges,17.3648401,,,,,,,,,,21.5,percent of total billed charges,27.38555031,,,,,,,,,,21.5,percent of total billed charges,999999999,,,,,,,,,,21.5,percent of total billed charges,18.7235445,,,,,,,,,,77.4,percent of total billed charges,,,,,
PH-STICK,83986,CDM,,,,both,,,167,167,35.55161875,167,167,percent of total billed charges,122.8678328,,,,167,percent of total billed charges,130.2374734,,,,167,percent of total billed charges,122.8678328,,,,167,percent of total billed charges,130.2374734,,,,167,percent of total billed charges,999999999,,,,167,percent of total billed charges,127.2425222,,,,167,percent of total billed charges,122.8678328,,,,167,percent of total billed charges,130.2374734,,,,119.071,percent of total billed charges,59.418608,,,,119.071,percent of total billed charges,35.55161875,,,,119.071,percent of total billed charges,59.418608,,,,119.071,percent of total billed charges,35.55161875,,,,119.071,percent of total billed charges,59.418608,,,,119.071,percent of total billed charges,35.55161875,,,,117.902,percent of total billed charges,117.0074455,,,,117.902,percent of total billed charges,80.69910774,,,,,,,,,,120.24,percent of total billed charges,78.1531705,,,,,,,,,,120.24,percent of total billed charges,999999999,,,,,,,,,,133.6,percent of total billed charges,111.9498552,,,,131.93,percent of total billed charges,127.3181276,,,,131.93,percent of total billed charges,112.4897802,,,,133.6,percent of total billed charges,999999999,,,,133.6,percent of total billed charges,999999999,,,,116.9,percent of total billed charges,999999999,,,,116.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,88.844,percent of total billed charges,999999999,,,,,,,,,,,,,,,,84.335,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,41.75,percent of total billed charges,39.65228758,,,,,,,,,,41.75,percent of total billed charges,38.99269875,,,,,,,,,,41.75,percent of total billed charges,38.88433971,,,,,,,,,,41.75,percent of total billed charges,38.31176828,,,,,,,,,,41.75,percent of total billed charges,39.2975864,,,,,,,,,,41.75,percent of total billed charges,999999999,,,,,,,,,,41.75,percent of total billed charges,33.72009647,,,,,,,,,,41.75,percent of total billed charges,53.17891746,,,,,,,,,,41.75,percent of total billed charges,999999999,,,,,,,,,,41.75,percent of total billed charges,36.35851084,,,,,,,,,,150.3,percent of total billed charges,,,,,
PORPHOBILINOGEN-URINE-QUAL(*),84110,CDM,,,,both,,,122,122,25.97184124,122,122,percent of total billed charges,89.75973414,,,,122,percent of total billed charges,95.14354342,,,,122,percent of total billed charges,89.75973414,,,,122,percent of total billed charges,95.14354342,,,,122,percent of total billed charges,999999999,,,,122,percent of total billed charges,92.95561499,,,,122,percent of total billed charges,89.75973414,,,,122,percent of total billed charges,95.14354342,,,,86.986,percent of total billed charges,43.40760585,,,,86.986,percent of total billed charges,25.97184124,,,,86.986,percent of total billed charges,43.40760585,,,,86.986,percent of total billed charges,25.97184124,,,,86.986,percent of total billed charges,43.40760585,,,,86.986,percent of total billed charges,25.97184124,,,,86.132,percent of total billed charges,85.4784931,,,,86.132,percent of total billed charges,58.95383918,,,,,,,,,,87.84,percent of total billed charges,57.09393294,,,,,,,,,,87.84,percent of total billed charges,999999999,,,,,,,,,,97.6,percent of total billed charges,81.78372658,,,,96.38,percent of total billed charges,93.01084771,,,,96.38,percent of total billed charges,82.17816275,,,,97.6,percent of total billed charges,999999999,,,,97.6,percent of total billed charges,999999999,,,,85.4,percent of total billed charges,999999999,,,,85.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,64.904,percent of total billed charges,999999999,,,,,,,,,,,,,,,,61.61,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,30.5,percent of total billed charges,28.96753943,,,,,,,,,,30.5,percent of total billed charges,28.48568412,,,,,,,,,,30.5,percent of total billed charges,28.40652362,,,,,,,,,,30.5,percent of total billed charges,27.98823791,,,,,,,,,,30.5,percent of total billed charges,28.70841641,,,,,,,,,,30.5,percent of total billed charges,999999999,,,,,,,,,,30.5,percent of total billed charges,24.63384293,,,,,,,,,,30.5,percent of total billed charges,38.84926905,,,,,,,,,,30.5,percent of total billed charges,999999999,,,,,,,,,,30.5,percent of total billed charges,26.56130732,,,,,,,,,,109.8,percent of total billed charges,,,,,
ACETONE - URINE,82009,CDM,,,,both,,,80,80,17.03071557,80,80,percent of total billed charges,58.85884206,,,,80,percent of total billed charges,62.3892088,,,,80,percent of total billed charges,58.85884206,,,,80,percent of total billed charges,62.3892088,,,,80,percent of total billed charges,999999999,,,,80,percent of total billed charges,60.95450163,,,,80,percent of total billed charges,58.85884206,,,,80,percent of total billed charges,62.3892088,,,,57.04,percent of total billed charges,28.46400383,,,,57.04,percent of total billed charges,17.03071557,,,,57.04,percent of total billed charges,28.46400383,,,,57.04,percent of total billed charges,17.03071557,,,,57.04,percent of total billed charges,28.46400383,,,,57.04,percent of total billed charges,17.03071557,,,,56.48,percent of total billed charges,56.05147089,,,,56.48,percent of total billed charges,38.6582552,,,,,,,,,,57.6,percent of total billed charges,37.43864455,,,,,,,,,,57.6,percent of total billed charges,999999999,,,,,,,,,,64,percent of total billed charges,53.62867317,,,,63.2,percent of total billed charges,60.99071981,,,,63.2,percent of total billed charges,53.88731984,,,,64,percent of total billed charges,999999999,,,,64,percent of total billed charges,999999999,,,,56,percent of total billed charges,999999999,,,,56,percent of total billed charges,999999999,,,,,,,,,,,,,,,,42.56,percent of total billed charges,999999999,,,,,,,,,,,,,,,,40.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20,percent of total billed charges,18.99510782,,,,,,,,,,20,percent of total billed charges,18.67913713,,,,,,,,,,20,percent of total billed charges,18.62722861,,,,,,,,,,20,percent of total billed charges,18.35294289,,,,,,,,,,20,percent of total billed charges,18.82519109,,,,,,,,,,20,percent of total billed charges,999999999,,,,,,,,,,20,percent of total billed charges,16.15333963,,,,,,,,,,20,percent of total billed charges,25.47493052,,,,,,,,,,20,percent of total billed charges,999999999,,,,,,,,,,20,percent of total billed charges,17.4172507,,,,,,,,,,72,percent of total billed charges,,,,,
GLUCOSE TEST-STICK,81003,CDM,,,,both,,,83,83,17.6693674,83,83,percent of total billed charges,61.06604863,,,,83,percent of total billed charges,64.72880413,,,,83,percent of total billed charges,61.06604863,,,,83,percent of total billed charges,64.72880413,,,,83,percent of total billed charges,999999999,,,,83,percent of total billed charges,63.24029545,,,,83,percent of total billed charges,61.06604863,,,,83,percent of total billed charges,64.72880413,,,,59.179,percent of total billed charges,29.53140398,,,,59.179,percent of total billed charges,17.6693674,,,,59.179,percent of total billed charges,29.53140398,,,,59.179,percent of total billed charges,17.6693674,,,,59.179,percent of total billed charges,29.53140398,,,,59.179,percent of total billed charges,17.6693674,,,,58.598,percent of total billed charges,58.15340104,,,,58.598,percent of total billed charges,40.10793977,,,,,,,,,,59.76,percent of total billed charges,38.84259372,,,,,,,,,,59.76,percent of total billed charges,999999999,,,,,,,,,,66.4,percent of total billed charges,55.63974841,,,,65.57,percent of total billed charges,63.2778718,,,,65.57,percent of total billed charges,55.90809433,,,,66.4,percent of total billed charges,999999999,,,,66.4,percent of total billed charges,999999999,,,,58.1,percent of total billed charges,999999999,,,,58.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,44.156,percent of total billed charges,999999999,,,,,,,,,,,,,,,,41.915,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20.75,percent of total billed charges,19.70742436,,,,,,,,,,20.75,percent of total billed charges,19.37960477,,,,,,,,,,20.75,percent of total billed charges,19.32574968,,,,,,,,,,20.75,percent of total billed charges,19.04117825,,,,,,,,,,20.75,percent of total billed charges,19.53113576,,,,,,,,,,20.75,percent of total billed charges,999999999,,,,,,,,,,20.75,percent of total billed charges,16.75908986,,,,,,,,,,20.75,percent of total billed charges,26.43024042,,,,,,,,,,20.75,percent of total billed charges,999999999,,,,,,,,,,20.75,percent of total billed charges,18.0703976,,,,,,,,,,74.7,percent of total billed charges,,,,,
PREGNANCY TEST URINE,84703,CDM,,,,both,,,227,227,48.32465543,227,227,percent of total billed charges,167.0119643,,,,227,percent of total billed charges,177.02938,,,,227,percent of total billed charges,167.0119643,,,,227,percent of total billed charges,177.02938,,,,227,percent of total billed charges,999999999,,,,227,percent of total billed charges,172.9583984,,,,227,percent of total billed charges,167.0119643,,,,227,percent of total billed charges,177.02938,,,,161.851,percent of total billed charges,80.76661088,,,,161.851,percent of total billed charges,48.32465543,,,,161.851,percent of total billed charges,80.76661088,,,,161.851,percent of total billed charges,48.32465543,,,,161.851,percent of total billed charges,80.76661088,,,,161.851,percent of total billed charges,48.32465543,,,,160.262,percent of total billed charges,159.0460486,,,,160.262,percent of total billed charges,109.6927991,,,,,,,,,,163.44,percent of total billed charges,106.2321539,,,,,,,,,,163.44,percent of total billed charges,999999999,,,,,,,,,,181.6,percent of total billed charges,152.1713601,,,,179.33,percent of total billed charges,173.0611675,,,,179.33,percent of total billed charges,152.90527,,,,181.6,percent of total billed charges,999999999,,,,181.6,percent of total billed charges,999999999,,,,158.9,percent of total billed charges,999999999,,,,158.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,120.764,percent of total billed charges,999999999,,,,,,,,,,,,,,,,114.635,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,56.75,percent of total billed charges,53.89861844,,,,,,,,,,56.75,percent of total billed charges,53.0020516,,,,,,,,,,56.75,percent of total billed charges,52.85476117,,,,,,,,,,56.75,percent of total billed charges,52.07647545,,,,,,,,,,56.75,percent of total billed charges,53.41647972,,,,,,,,,,56.75,percent of total billed charges,999999999,,,,,,,,,,56.75,percent of total billed charges,45.83510119,,,,,,,,,,56.75,percent of total billed charges,72.28511535,,,,,,,,,,56.75,percent of total billed charges,999999999,,,,,,,,,,56.75,percent of total billed charges,49.42144886,,,,,,,,,,204.3,percent of total billed charges,,,,,
INFLUENZA A&B,87502,CDM,,,,both,,,486,486,103.4615971,486,486,percent of total billed charges,357.5674655,,,,486,percent of total billed charges,379.0144435,,,,486,percent of total billed charges,357.5674655,,,,486,percent of total billed charges,379.0144435,,,,486,percent of total billed charges,999999999,,,,486,percent of total billed charges,370.2985974,,,,486,percent of total billed charges,357.5674655,,,,486,percent of total billed charges,379.0144435,,,,346.518,percent of total billed charges,172.9188233,,,,346.518,percent of total billed charges,103.4615971,,,,346.518,percent of total billed charges,172.9188233,,,,346.518,percent of total billed charges,103.4615971,,,,346.518,percent of total billed charges,172.9188233,,,,346.518,percent of total billed charges,103.4615971,,,,343.116,percent of total billed charges,340.5126856,,,,343.116,percent of total billed charges,234.8489004,,,,,,,,,,349.92,percent of total billed charges,227.4397656,,,,,,,,,,349.92,percent of total billed charges,999999999,,,,,,,,,,388.8,percent of total billed charges,325.7941895,,,,383.94,percent of total billed charges,370.5186228,,,,383.94,percent of total billed charges,327.365468,,,,388.8,percent of total billed charges,999999999,,,,388.8,percent of total billed charges,999999999,,,,340.2,percent of total billed charges,999999999,,,,340.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,258.552,percent of total billed charges,999999999,,,,,,,,,,,,,,,,245.43,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,121.5,percent of total billed charges,115.39528,,,,,,,,,,121.5,percent of total billed charges,113.475758,,,,,,,,,,121.5,percent of total billed charges,113.1604138,,,,,,,,,,121.5,percent of total billed charges,111.4941281,,,,,,,,,,121.5,percent of total billed charges,114.3630359,,,,,,,,,,121.5,percent of total billed charges,999999999,,,,,,,,,,121.5,percent of total billed charges,98.13153824,,,,,,,,,,121.5,percent of total billed charges,154.7602029,,,,,,,,,,121.5,percent of total billed charges,999999999,,,,,,,,,,121.5,percent of total billed charges,105.809798,,,,,,,,,,437.4,percent of total billed charges,,,,,
**INFLUENZA DNA AMP PROB,87502,CDM,,,,both,,,562,562,119.6407769,562,562,percent of total billed charges,413.4833655,,,,562,percent of total billed charges,438.2841918,,,,562,percent of total billed charges,413.4833655,,,,562,percent of total billed charges,438.2841918,,,,562,percent of total billed charges,999999999,,,,562,percent of total billed charges,428.205374,,,,562,percent of total billed charges,413.4833655,,,,562,percent of total billed charges,438.2841918,,,,400.706,percent of total billed charges,199.9596269,,,,400.706,percent of total billed charges,119.6407769,,,,400.706,percent of total billed charges,199.9596269,,,,400.706,percent of total billed charges,119.6407769,,,,400.706,percent of total billed charges,199.9596269,,,,400.706,percent of total billed charges,119.6407769,,,,396.772,percent of total billed charges,393.761583,,,,396.772,percent of total billed charges,271.5742428,,,,,,,,,,404.64,percent of total billed charges,263.006478,,,,,,,,,,404.64,percent of total billed charges,999999999,,,,,,,,,,449.6,percent of total billed charges,376.741429,,,,443.98,percent of total billed charges,428.4598066,,,,443.98,percent of total billed charges,378.5584218,,,,449.6,percent of total billed charges,999999999,,,,449.6,percent of total billed charges,999999999,,,,393.4,percent of total billed charges,999999999,,,,393.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,298.984,percent of total billed charges,999999999,,,,,,,,,,,,,,,,283.81,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,140.5,percent of total billed charges,133.4406324,,,,,,,,,,140.5,percent of total billed charges,131.2209383,,,,,,,,,,140.5,percent of total billed charges,130.856281,,,,,,,,,,140.5,percent of total billed charges,128.9294238,,,,,,,,,,140.5,percent of total billed charges,132.2469674,,,,,,,,,,140.5,percent of total billed charges,999999999,,,,,,,,,,140.5,percent of total billed charges,113.4772109,,,,,,,,,,140.5,percent of total billed charges,178.9613869,,,,,,,,,,140.5,percent of total billed charges,999999999,,,,,,,,,,140.5,percent of total billed charges,122.3561862,,,,,,,,,,505.8,percent of total billed charges,,,,,
.INFLUENZA DNA AMP PROB ADD,87503,CDM,,,,both,,,149,149,31.71970775,149,149,percent of total billed charges,109.6245933,,,,149,percent of total billed charges,116.1999014,,,,149,percent of total billed charges,109.6245933,,,,149,percent of total billed charges,116.1999014,,,,149,percent of total billed charges,999999999,,,,149,percent of total billed charges,113.5277593,,,,149,percent of total billed charges,109.6245933,,,,149,percent of total billed charges,116.1999014,,,,106.237,percent of total billed charges,53.01420714,,,,106.237,percent of total billed charges,31.71970775,,,,106.237,percent of total billed charges,53.01420714,,,,106.237,percent of total billed charges,31.71970775,,,,106.237,percent of total billed charges,53.01420714,,,,106.237,percent of total billed charges,31.71970775,,,,105.194,percent of total billed charges,104.3958645,,,,105.194,percent of total billed charges,72.00100032,,,,,,,,,,107.28,percent of total billed charges,69.72947547,,,,,,,,,,107.28,percent of total billed charges,999999999,,,,,,,,,,119.2,percent of total billed charges,99.88340377,,,,117.71,percent of total billed charges,113.5952156,,,,117.71,percent of total billed charges,100.3651332,,,,119.2,percent of total billed charges,999999999,,,,119.2,percent of total billed charges,999999999,,,,104.3,percent of total billed charges,999999999,,,,104.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,79.268,percent of total billed charges,999999999,,,,,,,,,,,,,,,,75.245,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,37.25,percent of total billed charges,35.37838832,,,,,,,,,,37.25,percent of total billed charges,34.7898929,,,,,,,,,,37.25,percent of total billed charges,34.69321328,,,,,,,,,,37.25,percent of total billed charges,34.18235613,,,,,,,,,,37.25,percent of total billed charges,35.06191841,,,,,,,,,,37.25,percent of total billed charges,999999999,,,,,,,,,,37.25,percent of total billed charges,30.08559506,,,,,,,,,,37.25,percent of total billed charges,47.4470581,,,,,,,,,,37.25,percent of total billed charges,999999999,,,,,,,,,,37.25,percent of total billed charges,32.43962943,,,,,,,,,,134.1,percent of total billed charges,,,,,
LEUKOCYTE ALKALINE PHOSPHATASE(*),85540,CDM,,,,both,,,218,218,46.40869993,218,218,percent of total billed charges,160.3903446,,,,218,percent of total billed charges,170.010594,,,,218,percent of total billed charges,160.3903446,,,,218,percent of total billed charges,170.010594,,,,218,percent of total billed charges,999999999,,,,218,percent of total billed charges,166.101017,,,,218,percent of total billed charges,160.3903446,,,,218,percent of total billed charges,170.010594,,,,155.434,percent of total billed charges,77.56441045,,,,155.434,percent of total billed charges,46.40869993,,,,155.434,percent of total billed charges,77.56441045,,,,155.434,percent of total billed charges,46.40869993,,,,155.434,percent of total billed charges,77.56441045,,,,155.434,percent of total billed charges,46.40869993,,,,153.908,percent of total billed charges,152.7402582,,,,153.908,percent of total billed charges,105.3437454,,,,,,,,,,156.96,percent of total billed charges,102.0203064,,,,,,,,,,156.96,percent of total billed charges,999999999,,,,,,,,,,174.4,percent of total billed charges,146.1381344,,,,172.22,percent of total billed charges,166.1997115,,,,172.22,percent of total billed charges,146.8429466,,,,174.4,percent of total billed charges,999999999,,,,174.4,percent of total billed charges,999999999,,,,152.6,percent of total billed charges,999999999,,,,152.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,115.976,percent of total billed charges,999999999,,,,,,,,,,,,,,,,110.09,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,54.5,percent of total billed charges,51.76166881,,,,,,,,,,54.5,percent of total billed charges,50.90064867,,,,,,,,,,54.5,percent of total billed charges,50.75919795,,,,,,,,,,54.5,percent of total billed charges,50.01176938,,,,,,,,,,54.5,percent of total billed charges,51.29864572,,,,,,,,,,54.5,percent of total billed charges,999999999,,,,,,,,,,54.5,percent of total billed charges,44.01785048,,,,,,,,,,54.5,percent of total billed charges,69.41918567,,,,,,,,,,54.5,percent of total billed charges,999999999,,,,,,,,,,54.5,percent of total billed charges,47.46200816,,,,,,,,,,196.2,percent of total billed charges,,,,,
ANTIPLATELET ANTIBODY TITER(*),86022,CDM,,,,both,,,436,436,92.81739986,436,436,percent of total billed charges,320.7806892,,,,436,percent of total billed charges,340.021188,,,,436,percent of total billed charges,320.7806892,,,,436,percent of total billed charges,340.021188,,,,436,percent of total billed charges,999999999,,,,436,percent of total billed charges,332.2020339,,,,436,percent of total billed charges,320.7806892,,,,436,percent of total billed charges,340.021188,,,,310.868,percent of total billed charges,155.1288209,,,,310.868,percent of total billed charges,92.81739986,,,,310.868,percent of total billed charges,155.1288209,,,,310.868,percent of total billed charges,92.81739986,,,,310.868,percent of total billed charges,155.1288209,,,,310.868,percent of total billed charges,92.81739986,,,,307.816,percent of total billed charges,305.4805163,,,,307.816,percent of total billed charges,210.6874909,,,,,,,,,,313.92,percent of total billed charges,204.0406128,,,,,,,,,,313.92,percent of total billed charges,999999999,,,,,,,,,,348.8,percent of total billed charges,292.2762688,,,,344.44,percent of total billed charges,332.3994229,,,,344.44,percent of total billed charges,293.6858931,,,,348.8,percent of total billed charges,999999999,,,,348.8,percent of total billed charges,999999999,,,,305.2,percent of total billed charges,999999999,,,,305.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,231.952,percent of total billed charges,999999999,,,,,,,,,,,,,,,,220.18,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,109,percent of total billed charges,103.5233376,,,,,,,,,,109,percent of total billed charges,101.8012973,,,,,,,,,,109,percent of total billed charges,101.5183959,,,,,,,,,,109,percent of total billed charges,100.0235388,,,,,,,,,,109,percent of total billed charges,102.5972914,,,,,,,,,,109,percent of total billed charges,999999999,,,,,,,,,,109,percent of total billed charges,88.03570097,,,,,,,,,,109,percent of total billed charges,138.8383713,,,,,,,,,,109,percent of total billed charges,999999999,,,,,,,,,,109,percent of total billed charges,94.92401632,,,,,,,,,,392.4,percent of total billed charges,,,,,
FACTOR V LEIDEN #1(*),81241,CDM,,,,both,,,423,423,90.04990858,423,423,percent of total billed charges,311.2161274,,,,423,percent of total billed charges,329.8829415,,,,423,percent of total billed charges,311.2161274,,,,423,percent of total billed charges,329.8829415,,,,423,percent of total billed charges,999999999,,,,423,percent of total billed charges,322.2969274,,,,423,percent of total billed charges,311.2161274,,,,423,percent of total billed charges,329.8829415,,,,301.599,percent of total billed charges,150.5034203,,,,301.599,percent of total billed charges,90.04990858,,,,301.599,percent of total billed charges,150.5034203,,,,301.599,percent of total billed charges,90.04990858,,,,301.599,percent of total billed charges,150.5034203,,,,301.599,percent of total billed charges,90.04990858,,,,298.638,percent of total billed charges,296.3721523,,,,298.638,percent of total billed charges,204.4055244,,,,,,,,,,304.56,percent of total billed charges,197.9568331,,,,,,,,,,304.56,percent of total billed charges,999999999,,,,,,,,,,338.4,percent of total billed charges,283.5616094,,,,334.17,percent of total billed charges,322.488431,,,,334.17,percent of total billed charges,284.9292036,,,,338.4,percent of total billed charges,999999999,,,,338.4,percent of total billed charges,999999999,,,,296.1,percent of total billed charges,999999999,,,,296.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,225.036,percent of total billed charges,999999999,,,,,,,,,,,,,,,,213.615,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,105.75,percent of total billed charges,100.4366326,,,,,,,,,,105.75,percent of total billed charges,98.76593756,,,,,,,,,,105.75,percent of total billed charges,98.49147125,,,,,,,,,,105.75,percent of total billed charges,97.04118553,,,,,,,,,,105.75,percent of total billed charges,99.5381979,,,,,,,,,,105.75,percent of total billed charges,999999999,,,,,,,,,,105.75,percent of total billed charges,85.41078328,,,,,,,,,,105.75,percent of total billed charges,134.6986951,,,,,,,,,,105.75,percent of total billed charges,999999999,,,,,,,,,,105.75,percent of total billed charges,92.09371308,,,,,,,,,,380.7,percent of total billed charges,,,,,
FACTOR V LEIDEN(*),85220,CDM,,,,both,,,416,416,88.55972096,416,416,percent of total billed charges,306.0659787,,,,416,percent of total billed charges,324.4238858,,,,416,percent of total billed charges,306.0659787,,,,416,percent of total billed charges,324.4238858,,,,416,percent of total billed charges,999999999,,,,416,percent of total billed charges,316.9634085,,,,416,percent of total billed charges,306.0659787,,,,416,percent of total billed charges,324.4238858,,,,296.608,percent of total billed charges,148.0128199,,,,296.608,percent of total billed charges,88.55972096,,,,296.608,percent of total billed charges,148.0128199,,,,296.608,percent of total billed charges,88.55972096,,,,296.608,percent of total billed charges,148.0128199,,,,296.608,percent of total billed charges,88.55972096,,,,293.696,percent of total billed charges,291.4676486,,,,293.696,percent of total billed charges,201.0229271,,,,,,,,,,299.52,percent of total billed charges,194.6809517,,,,,,,,,,299.52,percent of total billed charges,999999999,,,,,,,,,,332.8,percent of total billed charges,278.8691005,,,,328.64,percent of total billed charges,317.151743,,,,328.64,percent of total billed charges,280.2140631,,,,332.8,percent of total billed charges,999999999,,,,332.8,percent of total billed charges,999999999,,,,291.2,percent of total billed charges,999999999,,,,291.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,221.312,percent of total billed charges,999999999,,,,,,,,,,,,,,,,210.08,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,104,percent of total billed charges,98.77456067,,,,,,,,,,104,percent of total billed charges,97.13151306,,,,,,,,,,104,percent of total billed charges,96.86158875,,,,,,,,,,104,percent of total billed charges,95.43530303,,,,,,,,,,104,percent of total billed charges,97.89099368,,,,,,,,,,104,percent of total billed charges,999999999,,,,,,,,,,104,percent of total billed charges,83.99736606,,,,,,,,,,104,percent of total billed charges,132.4696387,,,,,,,,,,104,percent of total billed charges,999999999,,,,,,,,,,104,percent of total billed charges,90.56970365,,,,,,,,,,374.4,percent of total billed charges,,,,,
**MOLCLR DGN ENZYMATIC DIGESTION(*),83892,CDM,,,,both,,,25,25,5.322098616,25,25,percent of total billed charges,18.39338814,,,,25,percent of total billed charges,19.49662775,,,,25,percent of total billed charges,18.39338814,,,,25,percent of total billed charges,19.49662775,,,,25,percent of total billed charges,999999999,,,,25,percent of total billed charges,19.04828176,,,,25,percent of total billed charges,18.39338814,,,,25,percent of total billed charges,19.49662775,,,,17.825,percent of total billed charges,8.895001198,,,,17.825,percent of total billed charges,5.322098616,,,,17.825,percent of total billed charges,8.895001198,,,,17.825,percent of total billed charges,5.322098616,,,,17.825,percent of total billed charges,8.895001198,,,,17.825,percent of total billed charges,5.322098616,,,,17.65,percent of total billed charges,17.51608465,,,,17.65,percent of total billed charges,12.08070475,,,,,,,,,,18,percent of total billed charges,11.69957642,,,,,,,,,,18,percent of total billed charges,999999999,,,,,,,,,,20,percent of total billed charges,16.75896036,,,,19.75,percent of total billed charges,19.05959994,,,,19.75,percent of total billed charges,16.83978745,,,,20,percent of total billed charges,999999999,,,,20,percent of total billed charges,999999999,,,,17.5,percent of total billed charges,999999999,,,,17.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,13.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,12.625,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6.25,percent of total billed charges,5.935971194,,,,,,,,,,6.25,percent of total billed charges,5.837230352,,,,,,,,,,6.25,percent of total billed charges,5.821008939,,,,,,,,,,6.25,percent of total billed charges,5.735294653,,,,,,,,,,6.25,percent of total billed charges,5.882872216,,,,,,,,,,6.25,percent of total billed charges,999999999,,,,,,,,,,6.25,percent of total billed charges,5.047918634,,,,,,,,,,6.25,percent of total billed charges,7.960915788,,,,,,,,,,6.25,percent of total billed charges,999999999,,,,,,,,,,6.25,percent of total billed charges,5.442890844,,,,,,,,,,22.5,percent of total billed charges,,,,,
**MOLCLR DGN AMP NUCL ACID SNGL PRIMER,83898,CDM,,,,both,,,68,68,14.47610823,68,68,percent of total billed charges,50.03001575,,,,68,percent of total billed charges,53.03082748,,,,68,percent of total billed charges,50.03001575,,,,68,percent of total billed charges,53.03082748,,,,68,percent of total billed charges,999999999,,,,68,percent of total billed charges,51.81132639,,,,68,percent of total billed charges,50.03001575,,,,68,percent of total billed charges,53.03082748,,,,48.484,percent of total billed charges,24.19440326,,,,48.484,percent of total billed charges,14.47610823,,,,48.484,percent of total billed charges,24.19440326,,,,48.484,percent of total billed charges,14.47610823,,,,48.484,percent of total billed charges,24.19440326,,,,48.484,percent of total billed charges,14.47610823,,,,48.008,percent of total billed charges,47.64375025,,,,48.008,percent of total billed charges,32.85951692,,,,,,,,,,48.96,percent of total billed charges,31.82284787,,,,,,,,,,48.96,percent of total billed charges,999999999,,,,,,,,,,54.4,percent of total billed charges,45.58437219,,,,53.72,percent of total billed charges,51.84211184,,,,53.72,percent of total billed charges,45.80422186,,,,54.4,percent of total billed charges,999999999,,,,54.4,percent of total billed charges,999999999,,,,47.6,percent of total billed charges,999999999,,,,47.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,36.176,percent of total billed charges,999999999,,,,,,,,,,,,,,,,34.34,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17,percent of total billed charges,16.14584165,,,,,,,,,,17,percent of total billed charges,15.87726656,,,,,,,,,,17,percent of total billed charges,15.83314431,,,,,,,,,,17,percent of total billed charges,15.60000146,,,,,,,,,,17,percent of total billed charges,16.00141243,,,,,,,,,,17,percent of total billed charges,999999999,,,,,,,,,,17,percent of total billed charges,13.73033868,,,,,,,,,,17,percent of total billed charges,21.65369094,,,,,,,,,,17,percent of total billed charges,999999999,,,,,,,,,,17,percent of total billed charges,14.8046631,,,,,,,,,,61.2,percent of total billed charges,,,,,
**MOLCLR DGN MUTATION SCANNING SGL SGM,83903,CDM,,,,both,,,68,68,14.47610823,68,68,percent of total billed charges,50.03001575,,,,68,percent of total billed charges,53.03082748,,,,68,percent of total billed charges,50.03001575,,,,68,percent of total billed charges,53.03082748,,,,68,percent of total billed charges,999999999,,,,68,percent of total billed charges,51.81132639,,,,68,percent of total billed charges,50.03001575,,,,68,percent of total billed charges,53.03082748,,,,48.484,percent of total billed charges,24.19440326,,,,48.484,percent of total billed charges,14.47610823,,,,48.484,percent of total billed charges,24.19440326,,,,48.484,percent of total billed charges,14.47610823,,,,48.484,percent of total billed charges,24.19440326,,,,48.484,percent of total billed charges,14.47610823,,,,48.008,percent of total billed charges,47.64375025,,,,48.008,percent of total billed charges,32.85951692,,,,,,,,,,48.96,percent of total billed charges,31.82284787,,,,,,,,,,48.96,percent of total billed charges,999999999,,,,,,,,,,54.4,percent of total billed charges,45.58437219,,,,53.72,percent of total billed charges,51.84211184,,,,53.72,percent of total billed charges,45.80422186,,,,54.4,percent of total billed charges,999999999,,,,54.4,percent of total billed charges,999999999,,,,47.6,percent of total billed charges,999999999,,,,47.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,36.176,percent of total billed charges,999999999,,,,,,,,,,,,,,,,34.34,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17,percent of total billed charges,16.14584165,,,,,,,,,,17,percent of total billed charges,15.87726656,,,,,,,,,,17,percent of total billed charges,15.83314431,,,,,,,,,,17,percent of total billed charges,15.60000146,,,,,,,,,,17,percent of total billed charges,16.00141243,,,,,,,,,,17,percent of total billed charges,999999999,,,,,,,,,,17,percent of total billed charges,13.73033868,,,,,,,,,,17,percent of total billed charges,21.65369094,,,,,,,,,,17,percent of total billed charges,999999999,,,,,,,,,,17,percent of total billed charges,14.8046631,,,,,,,,,,61.2,percent of total billed charges,,,,,
**MOLCLR DGN INTERP AND REPORT(*),83912,CDM,,,,both,,,25,25,5.322098616,25,25,percent of total billed charges,18.39338814,,,,25,percent of total billed charges,19.49662775,,,,25,percent of total billed charges,18.39338814,,,,25,percent of total billed charges,19.49662775,,,,25,percent of total billed charges,999999999,,,,25,percent of total billed charges,19.04828176,,,,25,percent of total billed charges,18.39338814,,,,25,percent of total billed charges,19.49662775,,,,17.825,percent of total billed charges,8.895001198,,,,17.825,percent of total billed charges,5.322098616,,,,17.825,percent of total billed charges,8.895001198,,,,17.825,percent of total billed charges,5.322098616,,,,17.825,percent of total billed charges,8.895001198,,,,17.825,percent of total billed charges,5.322098616,,,,17.65,percent of total billed charges,17.51608465,,,,17.65,percent of total billed charges,12.08070475,,,,,,,,,,18,percent of total billed charges,11.69957642,,,,,,,,,,18,percent of total billed charges,999999999,,,,,,,,,,20,percent of total billed charges,16.75896036,,,,19.75,percent of total billed charges,19.05959994,,,,19.75,percent of total billed charges,16.83978745,,,,20,percent of total billed charges,999999999,,,,20,percent of total billed charges,999999999,,,,17.5,percent of total billed charges,999999999,,,,17.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,13.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,12.625,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6.25,percent of total billed charges,5.935971194,,,,,,,,,,6.25,percent of total billed charges,5.837230352,,,,,,,,,,6.25,percent of total billed charges,5.821008939,,,,,,,,,,6.25,percent of total billed charges,5.735294653,,,,,,,,,,6.25,percent of total billed charges,5.882872216,,,,,,,,,,6.25,percent of total billed charges,999999999,,,,,,,,,,6.25,percent of total billed charges,5.047918634,,,,,,,,,,6.25,percent of total billed charges,7.960915788,,,,,,,,,,6.25,percent of total billed charges,999999999,,,,,,,,,,6.25,percent of total billed charges,5.442890844,,,,,,,,,,22.5,percent of total billed charges,,,,,
MOLCLR DGN NUCLEIC ACID PROBE EA(*),87801,CDM,,,,both,,,480,480,102.1842934,480,480,percent of total billed charges,353.1530523,,,,480,percent of total billed charges,374.3352528,,,,480,percent of total billed charges,353.1530523,,,,480,percent of total billed charges,374.3352528,,,,480,percent of total billed charges,999999999,,,,480,percent of total billed charges,365.7270098,,,,480,percent of total billed charges,353.1530523,,,,480,percent of total billed charges,374.3352528,,,,342.24,percent of total billed charges,170.784023,,,,342.24,percent of total billed charges,102.1842934,,,,342.24,percent of total billed charges,170.784023,,,,342.24,percent of total billed charges,102.1842934,,,,342.24,percent of total billed charges,170.784023,,,,342.24,percent of total billed charges,102.1842934,,,,338.88,percent of total billed charges,336.3088253,,,,338.88,percent of total billed charges,231.9495312,,,,,,,,,,345.6,percent of total billed charges,224.6318673,,,,,,,,,,345.6,percent of total billed charges,999999999,,,,,,,,,,384,percent of total billed charges,321.772039,,,,379.2,percent of total billed charges,365.9443188,,,,379.2,percent of total billed charges,323.323919,,,,384,percent of total billed charges,999999999,,,,384,percent of total billed charges,999999999,,,,336,percent of total billed charges,999999999,,,,336,percent of total billed charges,999999999,,,,,,,,,,,,,,,,255.36,percent of total billed charges,999999999,,,,,,,,,,,,,,,,242.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,120,percent of total billed charges,113.9706469,,,,,,,,,,120,percent of total billed charges,112.0748228,,,,,,,,,,120,percent of total billed charges,111.7633716,,,,,,,,,,120,percent of total billed charges,110.1176573,,,,,,,,,,120,percent of total billed charges,112.9511466,,,,,,,,,,120,percent of total billed charges,999999999,,,,,,,,,,120,percent of total billed charges,96.92003777,,,,,,,,,,120,percent of total billed charges,152.8495831,,,,,,,,,,120,percent of total billed charges,999999999,,,,,,,,,,120,percent of total billed charges,104.5035042,,,,,,,,,,432,percent of total billed charges,,,,,
SMEAR INTEPRETATION,85060,CDM,,,,both,,,121,121,25.7589573,121,121,percent of total billed charges,89.02399861,,,,121,percent of total billed charges,94.36367831,,,,121,percent of total billed charges,89.02399861,,,,121,percent of total billed charges,94.36367831,,,,121,percent of total billed charges,999999999,,,,121,percent of total billed charges,92.19368372,,,,121,percent of total billed charges,89.02399861,,,,121,percent of total billed charges,94.36367831,,,,86.273,percent of total billed charges,43.0518058,,,,86.273,percent of total billed charges,25.7589573,,,,86.273,percent of total billed charges,43.0518058,,,,86.273,percent of total billed charges,25.7589573,,,,86.273,percent of total billed charges,43.0518058,,,,86.273,percent of total billed charges,25.7589573,,,,85.426,percent of total billed charges,84.77784971,,,,85.426,percent of total billed charges,58.47061099,,,,,,,,,,87.12,percent of total billed charges,56.62594988,,,,,,,,,,87.12,percent of total billed charges,999999999,,,,,,,,,,96.8,percent of total billed charges,81.11336817,,,,95.59,percent of total billed charges,92.24846371,,,,95.59,percent of total billed charges,81.50457125,,,,96.8,percent of total billed charges,999999999,,,,96.8,percent of total billed charges,999999999,,,,84.7,percent of total billed charges,999999999,,,,84.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,64.372,percent of total billed charges,999999999,,,,,,,,,,,,,,,,61.105,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,30.25,percent of total billed charges,28.73010058,,,,,,,,,,30.25,percent of total billed charges,28.25219491,,,,,,,,,,30.25,percent of total billed charges,28.17368327,,,,,,,,,,30.25,percent of total billed charges,27.75882612,,,,,,,,,,30.25,percent of total billed charges,28.47310153,,,,,,,,,,30.25,percent of total billed charges,999999999,,,,,,,,,,30.25,percent of total billed charges,24.43192619,,,,,,,,,,30.25,percent of total billed charges,38.53083241,,,,,,,,,,30.25,percent of total billed charges,999999999,,,,,,,,,,30.25,percent of total billed charges,26.34359169,,,,,,,,,,108.9,percent of total billed charges,,,,,
**HCP ENZYMATIC DIGESTION,83892,CDM,,,,both,,,90,90,19.15955502,90,90,percent of total billed charges,66.21619731,,,,90,percent of total billed charges,70.1878599,,,,90,percent of total billed charges,66.21619731,,,,90,percent of total billed charges,70.1878599,,,,90,percent of total billed charges,999999999,,,,90,percent of total billed charges,68.57381434,,,,90,percent of total billed charges,66.21619731,,,,90,percent of total billed charges,70.1878599,,,,64.17,percent of total billed charges,32.02200431,,,,64.17,percent of total billed charges,19.15955502,,,,64.17,percent of total billed charges,32.02200431,,,,64.17,percent of total billed charges,19.15955502,,,,64.17,percent of total billed charges,32.02200431,,,,64.17,percent of total billed charges,19.15955502,,,,63.54,percent of total billed charges,63.05790475,,,,63.54,percent of total billed charges,43.4905371,,,,,,,,,,64.8,percent of total billed charges,42.11847512,,,,,,,,,,64.8,percent of total billed charges,999999999,,,,,,,,,,72,percent of total billed charges,60.33225731,,,,71.1,percent of total billed charges,68.61455978,,,,71.1,percent of total billed charges,60.62323481,,,,72,percent of total billed charges,999999999,,,,72,percent of total billed charges,999999999,,,,63,percent of total billed charges,999999999,,,,63,percent of total billed charges,999999999,,,,,,,,,,,,,,,,47.88,percent of total billed charges,999999999,,,,,,,,,,,,,,,,45.45,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,22.5,percent of total billed charges,21.3694963,,,,,,,,,,22.5,percent of total billed charges,21.01402927,,,,,,,,,,22.5,percent of total billed charges,20.95563218,,,,,,,,,,22.5,percent of total billed charges,20.64706075,,,,,,,,,,22.5,percent of total billed charges,21.17833998,,,,,,,,,,22.5,percent of total billed charges,999999999,,,,,,,,,,22.5,percent of total billed charges,18.17250708,,,,,,,,,,22.5,percent of total billed charges,28.65929684,,,,,,,,,,22.5,percent of total billed charges,999999999,,,,,,,,,,22.5,percent of total billed charges,19.59440704,,,,,,,,,,81,percent of total billed charges,,,,,
**HCP MOLCLR DGN AMP NUCL ACID SGL PRMR,83898,CDM,,,,both,,,200,200,42.57678892,200,200,percent of total billed charges,147.1471051,,,,200,percent of total billed charges,155.973022,,,,200,percent of total billed charges,147.1471051,,,,200,percent of total billed charges,155.973022,,,,200,percent of total billed charges,999999999,,,,200,percent of total billed charges,152.3862541,,,,200,percent of total billed charges,147.1471051,,,,200,percent of total billed charges,155.973022,,,,142.6,percent of total billed charges,71.16000959,,,,142.6,percent of total billed charges,42.57678892,,,,142.6,percent of total billed charges,71.16000959,,,,142.6,percent of total billed charges,42.57678892,,,,142.6,percent of total billed charges,71.16000959,,,,142.6,percent of total billed charges,42.57678892,,,,141.2,percent of total billed charges,140.1286772,,,,141.2,percent of total billed charges,96.64563801,,,,,,,,,,144,percent of total billed charges,93.59661138,,,,,,,,,,144,percent of total billed charges,999999999,,,,,,,,,,160,percent of total billed charges,134.0716829,,,,158,percent of total billed charges,152.4767995,,,,158,percent of total billed charges,134.7182996,,,,160,percent of total billed charges,999999999,,,,160,percent of total billed charges,999999999,,,,140,percent of total billed charges,999999999,,,,140,percent of total billed charges,999999999,,,,,,,,,,,,,,,,106.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,101,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,50,percent of total billed charges,47.48776955,,,,,,,,,,50,percent of total billed charges,46.69784282,,,,,,,,,,50,percent of total billed charges,46.56807151,,,,,,,,,,50,percent of total billed charges,45.88235723,,,,,,,,,,50,percent of total billed charges,47.06297773,,,,,,,,,,50,percent of total billed charges,999999999,,,,,,,,,,50,percent of total billed charges,40.38334907,,,,,,,,,,50,percent of total billed charges,63.6873263,,,,,,,,,,50,percent of total billed charges,999999999,,,,,,,,,,50,percent of total billed charges,43.54312675,,,,,,,,,,180,percent of total billed charges,,,,,
**HCP MOLCLR DGN MUTN SCANNING SGL SGMT,83903,CDM,,,,both,,,228,228,48.53753937,228,228,percent of total billed charges,167.7476999,,,,228,percent of total billed charges,177.8092451,,,,228,percent of total billed charges,167.7476999,,,,228,percent of total billed charges,177.8092451,,,,228,percent of total billed charges,999999999,,,,228,percent of total billed charges,173.7203297,,,,228,percent of total billed charges,167.7476999,,,,228,percent of total billed charges,177.8092451,,,,162.564,percent of total billed charges,81.12241093,,,,162.564,percent of total billed charges,48.53753937,,,,162.564,percent of total billed charges,81.12241093,,,,162.564,percent of total billed charges,48.53753937,,,,162.564,percent of total billed charges,81.12241093,,,,162.564,percent of total billed charges,48.53753937,,,,160.968,percent of total billed charges,159.746692,,,,160.968,percent of total billed charges,110.1760273,,,,,,,,,,164.16,percent of total billed charges,106.700137,,,,,,,,,,164.16,percent of total billed charges,999999999,,,,,,,,,,182.4,percent of total billed charges,152.8417185,,,,180.12,percent of total billed charges,173.8235514,,,,180.12,percent of total billed charges,153.5788615,,,,182.4,percent of total billed charges,999999999,,,,182.4,percent of total billed charges,999999999,,,,159.6,percent of total billed charges,999999999,,,,159.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,121.296,percent of total billed charges,999999999,,,,,,,,,,,,,,,,115.14,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,57,percent of total billed charges,54.13605729,,,,,,,,,,57,percent of total billed charges,53.23554081,,,,,,,,,,57,percent of total billed charges,53.08760152,,,,,,,,,,57,percent of total billed charges,52.30588724,,,,,,,,,,57,percent of total billed charges,53.65179461,,,,,,,,,,57,percent of total billed charges,999999999,,,,,,,,,,57,percent of total billed charges,46.03701794,,,,,,,,,,57,percent of total billed charges,72.60355199,,,,,,,,,,57,percent of total billed charges,999999999,,,,,,,,,,57,percent of total billed charges,49.6391645,,,,,,,,,,205.2,percent of total billed charges,,,,,
**HCP MOLCLR DGN INTERP AND REPORT,83912,CDM,,,,both,,,105,105,22.35281419,105,105,percent of total billed charges,77.2522302,,,,105,percent of total billed charges,81.88583655,,,,105,percent of total billed charges,77.2522302,,,,105,percent of total billed charges,81.88583655,,,,105,percent of total billed charges,999999999,,,,105,percent of total billed charges,80.00278339,,,,105,percent of total billed charges,77.2522302,,,,105,percent of total billed charges,81.88583655,,,,74.865,percent of total billed charges,37.35900503,,,,74.865,percent of total billed charges,22.35281419,,,,74.865,percent of total billed charges,37.35900503,,,,74.865,percent of total billed charges,22.35281419,,,,74.865,percent of total billed charges,37.35900503,,,,74.865,percent of total billed charges,22.35281419,,,,74.13,percent of total billed charges,73.56755554,,,,74.13,percent of total billed charges,50.73895995,,,,,,,,,,75.6,percent of total billed charges,49.13822097,,,,,,,,,,75.6,percent of total billed charges,999999999,,,,,,,,,,84,percent of total billed charges,70.38763353,,,,82.95,percent of total billed charges,80.05031975,,,,82.95,percent of total billed charges,70.72710728,,,,84,percent of total billed charges,999999999,,,,84,percent of total billed charges,999999999,,,,73.5,percent of total billed charges,999999999,,,,73.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,55.86,percent of total billed charges,999999999,,,,,,,,,,,,,,,,53.025,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,26.25,percent of total billed charges,24.93107902,,,,,,,,,,26.25,percent of total billed charges,24.51636748,,,,,,,,,,26.25,percent of total billed charges,24.44823754,,,,,,,,,,26.25,percent of total billed charges,24.08823754,,,,,,,,,,26.25,percent of total billed charges,24.70806331,,,,,,,,,,26.25,percent of total billed charges,999999999,,,,,,,,,,26.25,percent of total billed charges,21.20125826,,,,,,,,,,26.25,percent of total billed charges,33.43584631,,,,,,,,,,26.25,percent of total billed charges,999999999,,,,,,,,,,26.25,percent of total billed charges,22.86014155,,,,,,,,,,94.5,percent of total billed charges,,,,,
CLOT FACTOR VIII MULTIMETRIC,85247,CDM,,,,both,,,327,327,69.61304989,327,327,percent of total billed charges,240.5855169,,,,327,percent of total billed charges,255.015891,,,,327,percent of total billed charges,240.5855169,,,,327,percent of total billed charges,255.015891,,,,327,percent of total billed charges,999999999,,,,327,percent of total billed charges,249.1515254,,,,327,percent of total billed charges,240.5855169,,,,327,percent of total billed charges,255.015891,,,,233.151,percent of total billed charges,116.3466157,,,,233.151,percent of total billed charges,69.61304989,,,,233.151,percent of total billed charges,116.3466157,,,,233.151,percent of total billed charges,69.61304989,,,,233.151,percent of total billed charges,116.3466157,,,,233.151,percent of total billed charges,69.61304989,,,,230.862,percent of total billed charges,229.1103872,,,,230.862,percent of total billed charges,158.0156181,,,,,,,,,,235.44,percent of total billed charges,153.0304596,,,,,,,,,,235.44,percent of total billed charges,999999999,,,,,,,,,,261.6,percent of total billed charges,219.2072016,,,,258.33,percent of total billed charges,249.2995672,,,,258.33,percent of total billed charges,220.2644198,,,,261.6,percent of total billed charges,999999999,,,,261.6,percent of total billed charges,999999999,,,,228.9,percent of total billed charges,999999999,,,,228.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,173.964,percent of total billed charges,999999999,,,,,,,,,,,,,,,,165.135,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,81.75,percent of total billed charges,77.64250322,,,,,,,,,,81.75,percent of total billed charges,76.35097301,,,,,,,,,,81.75,percent of total billed charges,76.13879692,,,,,,,,,,81.75,percent of total billed charges,75.01765407,,,,,,,,,,81.75,percent of total billed charges,76.94796859,,,,,,,,,,81.75,percent of total billed charges,999999999,,,,,,,,,,81.75,percent of total billed charges,66.02677573,,,,,,,,,,81.75,percent of total billed charges,104.1287785,,,,,,,,,,81.75,percent of total billed charges,999999999,,,,,,,,,,81.75,percent of total billed charges,71.19301224,,,,,,,,,,294.3,percent of total billed charges,,,,,
FIBRINOGEN,85384,CDM,,,,both,,,222,222,47.26023571,222,222,percent of total billed charges,163.3332867,,,,222,percent of total billed charges,173.1300544,,,,222,percent of total billed charges,163.3332867,,,,222,percent of total billed charges,173.1300544,,,,222,percent of total billed charges,999999999,,,,222,percent of total billed charges,169.148742,,,,222,percent of total billed charges,163.3332867,,,,222,percent of total billed charges,173.1300544,,,,158.286,percent of total billed charges,78.98761064,,,,158.286,percent of total billed charges,47.26023571,,,,158.286,percent of total billed charges,78.98761064,,,,158.286,percent of total billed charges,47.26023571,,,,158.286,percent of total billed charges,78.98761064,,,,158.286,percent of total billed charges,47.26023571,,,,156.732,percent of total billed charges,155.5428317,,,,156.732,percent of total billed charges,107.2766582,,,,,,,,,,159.84,percent of total billed charges,103.8922386,,,,,,,,,,159.84,percent of total billed charges,999999999,,,,,,,,,,177.6,percent of total billed charges,148.819568,,,,175.38,percent of total billed charges,169.2492475,,,,175.38,percent of total billed charges,149.5373125,,,,177.6,percent of total billed charges,999999999,,,,177.6,percent of total billed charges,999999999,,,,155.4,percent of total billed charges,999999999,,,,155.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,118.104,percent of total billed charges,999999999,,,,,,,,,,,,,,,,112.11,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,55.5,percent of total billed charges,52.7114242,,,,,,,,,,55.5,percent of total billed charges,51.83460553,,,,,,,,,,55.5,percent of total billed charges,51.69055938,,,,,,,,,,55.5,percent of total billed charges,50.92941652,,,,,,,,,,55.5,percent of total billed charges,52.23990528,,,,,,,,,,55.5,percent of total billed charges,999999999,,,,,,,,,,55.5,percent of total billed charges,44.82551747,,,,,,,,,,55.5,percent of total billed charges,70.6929322,,,,,,,,,,55.5,percent of total billed charges,999999999,,,,,,,,,,55.5,percent of total billed charges,48.3328707,,,,,,,,,,199.8,percent of total billed charges,,,,,
**BLEEDING TIME,85002,CDM,,,,both,,,90,90,19.15955502,90,90,percent of total billed charges,66.21619731,,,,90,percent of total billed charges,70.1878599,,,,90,percent of total billed charges,66.21619731,,,,90,percent of total billed charges,70.1878599,,,,90,percent of total billed charges,999999999,,,,90,percent of total billed charges,68.57381434,,,,90,percent of total billed charges,66.21619731,,,,90,percent of total billed charges,70.1878599,,,,64.17,percent of total billed charges,32.02200431,,,,64.17,percent of total billed charges,19.15955502,,,,64.17,percent of total billed charges,32.02200431,,,,64.17,percent of total billed charges,19.15955502,,,,64.17,percent of total billed charges,32.02200431,,,,64.17,percent of total billed charges,19.15955502,,,,63.54,percent of total billed charges,63.05790475,,,,63.54,percent of total billed charges,43.4905371,,,,,,,,,,64.8,percent of total billed charges,42.11847512,,,,,,,,,,64.8,percent of total billed charges,999999999,,,,,,,,,,72,percent of total billed charges,60.33225731,,,,71.1,percent of total billed charges,68.61455978,,,,71.1,percent of total billed charges,60.62323481,,,,72,percent of total billed charges,999999999,,,,72,percent of total billed charges,999999999,,,,63,percent of total billed charges,999999999,,,,63,percent of total billed charges,999999999,,,,,,,,,,,,,,,,47.88,percent of total billed charges,999999999,,,,,,,,,,,,,,,,45.45,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,22.5,percent of total billed charges,21.3694963,,,,,,,,,,22.5,percent of total billed charges,21.01402927,,,,,,,,,,22.5,percent of total billed charges,20.95563218,,,,,,,,,,22.5,percent of total billed charges,20.64706075,,,,,,,,,,22.5,percent of total billed charges,21.17833998,,,,,,,,,,22.5,percent of total billed charges,999999999,,,,,,,,,,22.5,percent of total billed charges,18.17250708,,,,,,,,,,22.5,percent of total billed charges,28.65929684,,,,,,,,,,22.5,percent of total billed charges,999999999,,,,,,,,,,22.5,percent of total billed charges,19.59440704,,,,,,,,,,81,percent of total billed charges,,,,,
PLATELET ASSOCIATED ANTIBODIES,86023,CDM,,,,both,,,296,296,63.01364761,296,296,percent of total billed charges,217.7777156,,,,296,percent of total billed charges,230.8400726,,,,296,percent of total billed charges,217.7777156,,,,296,percent of total billed charges,230.8400726,,,,296,percent of total billed charges,999999999,,,,296,percent of total billed charges,225.531656,,,,296,percent of total billed charges,217.7777156,,,,296,percent of total billed charges,230.8400726,,,,211.048,percent of total billed charges,105.3168142,,,,211.048,percent of total billed charges,63.01364761,,,,211.048,percent of total billed charges,105.3168142,,,,211.048,percent of total billed charges,63.01364761,,,,211.048,percent of total billed charges,105.3168142,,,,211.048,percent of total billed charges,63.01364761,,,,208.976,percent of total billed charges,207.3904423,,,,208.976,percent of total billed charges,143.0355443,,,,,,,,,,213.12,percent of total billed charges,138.5229848,,,,,,,,,,213.12,percent of total billed charges,999999999,,,,,,,,,,236.8,percent of total billed charges,198.4260907,,,,233.84,percent of total billed charges,225.6656633,,,,233.84,percent of total billed charges,199.3830834,,,,236.8,percent of total billed charges,999999999,,,,236.8,percent of total billed charges,999999999,,,,207.2,percent of total billed charges,999999999,,,,207.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,157.472,percent of total billed charges,999999999,,,,,,,,,,,,,,,,149.48,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,74,percent of total billed charges,70.28189894,,,,,,,,,,74,percent of total billed charges,69.11280737,,,,,,,,,,74,percent of total billed charges,68.92074584,,,,,,,,,,74,percent of total billed charges,67.9058887,,,,,,,,,,74,percent of total billed charges,69.65320704,,,,,,,,,,74,percent of total billed charges,999999999,,,,,,,,,,74,percent of total billed charges,59.76735662,,,,,,,,,,74,percent of total billed charges,94.25724293,,,,,,,,,,74,percent of total billed charges,999999999,,,,,,,,,,74,percent of total billed charges,64.44382759,,,,,,,,,,266.4,percent of total billed charges,,,,,
PLATELET AGGREGATION - MANUAL COUNT,85576,CDM,,,,both,,,293,293,62.37499577,293,293,percent of total billed charges,215.570509,,,,293,percent of total billed charges,228.5004772,,,,293,percent of total billed charges,215.570509,,,,293,percent of total billed charges,228.5004772,,,,293,percent of total billed charges,999999999,,,,293,percent of total billed charges,223.2458622,,,,293,percent of total billed charges,215.570509,,,,293,percent of total billed charges,228.5004772,,,,208.909,percent of total billed charges,104.249414,,,,208.909,percent of total billed charges,62.37499577,,,,208.909,percent of total billed charges,104.249414,,,,208.909,percent of total billed charges,62.37499577,,,,208.909,percent of total billed charges,104.249414,,,,208.909,percent of total billed charges,62.37499577,,,,206.858,percent of total billed charges,205.2885121,,,,206.858,percent of total billed charges,141.5858597,,,,,,,,,,210.96,percent of total billed charges,137.1190357,,,,,,,,,,210.96,percent of total billed charges,999999999,,,,,,,,,,234.4,percent of total billed charges,196.4150155,,,,231.47,percent of total billed charges,223.3785113,,,,231.47,percent of total billed charges,197.3623089,,,,234.4,percent of total billed charges,999999999,,,,234.4,percent of total billed charges,999999999,,,,205.1,percent of total billed charges,999999999,,,,205.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,155.876,percent of total billed charges,999999999,,,,,,,,,,,,,,,,147.965,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,73.25,percent of total billed charges,69.56958239,,,,,,,,,,73.25,percent of total billed charges,68.41233973,,,,,,,,,,73.25,percent of total billed charges,68.22222477,,,,,,,,,,73.25,percent of total billed charges,67.21765334,,,,,,,,,,73.25,percent of total billed charges,68.94726237,,,,,,,,,,73.25,percent of total billed charges,999999999,,,,,,,,,,73.25,percent of total billed charges,59.16160639,,,,,,,,,,73.25,percent of total billed charges,93.30193303,,,,,,,,,,73.25,percent of total billed charges,999999999,,,,,,,,,,73.25,percent of total billed charges,63.79068069,,,,,,,,,,263.7,percent of total billed charges,,,,,
**ENZYMATIC DIGESTION,83892,CDM,,,,both,,,30,30,6.386518339,30,30,percent of total billed charges,22.07206577,,,,30,percent of total billed charges,23.3959533,,,,30,percent of total billed charges,22.07206577,,,,30,percent of total billed charges,23.3959533,,,,30,percent of total billed charges,999999999,,,,30,percent of total billed charges,22.85793811,,,,30,percent of total billed charges,22.07206577,,,,30,percent of total billed charges,23.3959533,,,,21.39,percent of total billed charges,10.67400144,,,,21.39,percent of total billed charges,6.386518339,,,,21.39,percent of total billed charges,10.67400144,,,,21.39,percent of total billed charges,6.386518339,,,,21.39,percent of total billed charges,10.67400144,,,,21.39,percent of total billed charges,6.386518339,,,,21.18,percent of total billed charges,21.01930158,,,,21.18,percent of total billed charges,14.4968457,,,,,,,,,,21.6,percent of total billed charges,14.03949171,,,,,,,,,,21.6,percent of total billed charges,999999999,,,,,,,,,,24,percent of total billed charges,20.11075244,,,,23.7,percent of total billed charges,22.87151993,,,,23.7,percent of total billed charges,20.20774494,,,,24,percent of total billed charges,999999999,,,,24,percent of total billed charges,999999999,,,,21,percent of total billed charges,999999999,,,,21,percent of total billed charges,999999999,,,,,,,,,,,,,,,,15.96,percent of total billed charges,999999999,,,,,,,,,,,,,,,,15.15,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7.5,percent of total billed charges,7.123165433,,,,,,,,,,7.5,percent of total billed charges,7.004676423,,,,,,,,,,7.5,percent of total billed charges,6.985210727,,,,,,,,,,7.5,percent of total billed charges,6.882353584,,,,,,,,,,7.5,percent of total billed charges,7.059446659,,,,,,,,,,7.5,percent of total billed charges,999999999,,,,,,,,,,7.5,percent of total billed charges,6.05750236,,,,,,,,,,7.5,percent of total billed charges,9.553098946,,,,,,,,,,7.5,percent of total billed charges,999999999,,,,,,,,,,7.5,percent of total billed charges,6.531469013,,,,,,,,,,27,percent of total billed charges,,,,,
**MOLECULAR DX;AMPLIFI NUCL ACID EA PR(,83898,CDM,,,,both,,,348,348,74.08361273,348,348,percent of total billed charges,256.035963,,,,348,percent of total billed charges,271.3930583,,,,348,percent of total billed charges,256.035963,,,,348,percent of total billed charges,271.3930583,,,,348,percent of total billed charges,999999999,,,,348,percent of total billed charges,265.1520821,,,,348,percent of total billed charges,256.035963,,,,348,percent of total billed charges,271.3930583,,,,248.124,percent of total billed charges,123.8184167,,,,248.124,percent of total billed charges,74.08361273,,,,248.124,percent of total billed charges,123.8184167,,,,248.124,percent of total billed charges,74.08361273,,,,248.124,percent of total billed charges,123.8184167,,,,248.124,percent of total billed charges,74.08361273,,,,245.688,percent of total billed charges,243.8238984,,,,245.688,percent of total billed charges,168.1634101,,,,,,,,,,250.56,percent of total billed charges,162.8581038,,,,,,,,,,250.56,percent of total billed charges,999999999,,,,,,,,,,278.4,percent of total billed charges,233.2847283,,,,274.92,percent of total billed charges,265.3096312,,,,274.92,percent of total billed charges,234.4098413,,,,278.4,percent of total billed charges,999999999,,,,278.4,percent of total billed charges,999999999,,,,243.6,percent of total billed charges,999999999,,,,243.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,185.136,percent of total billed charges,999999999,,,,,,,,,,,,,,,,175.74,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,87,percent of total billed charges,82.62871902,,,,,,,,,,87,percent of total billed charges,81.2542465,,,,,,,,,,87,percent of total billed charges,81.02844443,,,,,,,,,,87,percent of total billed charges,79.83530157,,,,,,,,,,87,percent of total billed charges,81.88958125,,,,,,,,,,87,percent of total billed charges,999999999,,,,,,,,,,87,percent of total billed charges,70.26702738,,,,,,,,,,87,percent of total billed charges,110.8159478,,,,,,,,,,87,percent of total billed charges,999999999,,,,,,,,,,87,percent of total billed charges,75.76504055,,,,,,,,,,313.2,percent of total billed charges,,,,,
CD57,86356,CDM,,,,both,,,205,205,43.64120865,205,205,percent of total billed charges,150.8257828,,,,205,percent of total billed charges,159.8723476,,,,205,percent of total billed charges,150.8257828,,,,205,percent of total billed charges,159.8723476,,,,205,percent of total billed charges,999999999,,,,205,percent of total billed charges,156.1959104,,,,205,percent of total billed charges,150.8257828,,,,205,percent of total billed charges,159.8723476,,,,146.165,percent of total billed charges,72.93900983,,,,146.165,percent of total billed charges,43.64120865,,,,146.165,percent of total billed charges,72.93900983,,,,146.165,percent of total billed charges,43.64120865,,,,146.165,percent of total billed charges,72.93900983,,,,146.165,percent of total billed charges,43.64120865,,,,144.73,percent of total billed charges,143.6318941,,,,144.73,percent of total billed charges,99.06177896,,,,,,,,,,147.6,percent of total billed charges,95.93652666,,,,,,,,,,147.6,percent of total billed charges,999999999,,,,,,,,,,164,percent of total billed charges,137.423475,,,,161.95,percent of total billed charges,156.2887195,,,,161.95,percent of total billed charges,138.0862571,,,,164,percent of total billed charges,999999999,,,,164,percent of total billed charges,999999999,,,,143.5,percent of total billed charges,999999999,,,,143.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,109.06,percent of total billed charges,999999999,,,,,,,,,,,,,,,,103.525,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,51.25,percent of total billed charges,48.67496379,,,,,,,,,,51.25,percent of total billed charges,47.86528889,,,,,,,,,,51.25,percent of total billed charges,47.7322733,,,,,,,,,,51.25,percent of total billed charges,47.02941616,,,,,,,,,,51.25,percent of total billed charges,48.23955217,,,,,,,,,,51.25,percent of total billed charges,999999999,,,,,,,,,,51.25,percent of total billed charges,41.3929328,,,,,,,,,,51.25,percent of total billed charges,65.27950946,,,,,,,,,,51.25,percent of total billed charges,999999999,,,,,,,,,,51.25,percent of total billed charges,44.63170492,,,,,,,,,,184.5,percent of total billed charges,,,,,
**PLATELET COUNT - MANUAL,85032,CDM,,,,both,,,64,64,13.62457246,64,64,percent of total billed charges,47.08707365,,,,64,percent of total billed charges,49.91136704,,,,64,percent of total billed charges,47.08707365,,,,64,percent of total billed charges,49.91136704,,,,64,percent of total billed charges,999999999,,,,64,percent of total billed charges,48.76360131,,,,64,percent of total billed charges,47.08707365,,,,64,percent of total billed charges,49.91136704,,,,45.632,percent of total billed charges,22.77120307,,,,45.632,percent of total billed charges,13.62457246,,,,45.632,percent of total billed charges,22.77120307,,,,45.632,percent of total billed charges,13.62457246,,,,45.632,percent of total billed charges,22.77120307,,,,45.632,percent of total billed charges,13.62457246,,,,45.184,percent of total billed charges,44.84117671,,,,45.184,percent of total billed charges,30.92660416,,,,,,,,,,46.08,percent of total billed charges,29.95091564,,,,,,,,,,46.08,percent of total billed charges,999999999,,,,,,,,,,51.2,percent of total billed charges,42.90293853,,,,50.56,percent of total billed charges,48.79257585,,,,50.56,percent of total billed charges,43.10985587,,,,51.2,percent of total billed charges,999999999,,,,51.2,percent of total billed charges,999999999,,,,44.8,percent of total billed charges,999999999,,,,44.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,34.048,percent of total billed charges,999999999,,,,,,,,,,,,,,,,32.32,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16,percent of total billed charges,15.19608626,,,,,,,,,,16,percent of total billed charges,14.9433097,,,,,,,,,,16,percent of total billed charges,14.90178288,,,,,,,,,,16,percent of total billed charges,14.68235431,,,,,,,,,,16,percent of total billed charges,15.06015287,,,,,,,,,,16,percent of total billed charges,999999999,,,,,,,,,,16,percent of total billed charges,12.9226717,,,,,,,,,,16,percent of total billed charges,20.37994442,,,,,,,,,,16,percent of total billed charges,999999999,,,,,,,,,,16,percent of total billed charges,13.93380056,,,,,,,,,,57.6,percent of total billed charges,,,,,
CRYSTALS-ANY SOURCE NOT URINE,89060,CDM,,,,both,,,138,138,29.37798436,138,138,percent of total billed charges,101.5315025,,,,138,percent of total billed charges,107.6213852,,,,138,percent of total billed charges,101.5315025,,,,138,percent of total billed charges,107.6213852,,,,138,percent of total billed charges,999999999,,,,138,percent of total billed charges,105.1465153,,,,138,percent of total billed charges,101.5315025,,,,138,percent of total billed charges,107.6213852,,,,98.394,percent of total billed charges,49.10040661,,,,98.394,percent of total billed charges,29.37798436,,,,98.394,percent of total billed charges,49.10040661,,,,98.394,percent of total billed charges,29.37798436,,,,98.394,percent of total billed charges,49.10040661,,,,98.394,percent of total billed charges,29.37798436,,,,97.428,percent of total billed charges,96.68878728,,,,97.428,percent of total billed charges,66.68549023,,,,,,,,,,99.36,percent of total billed charges,64.58166185,,,,,,,,,,99.36,percent of total billed charges,999999999,,,,,,,,,,110.4,percent of total billed charges,92.50946121,,,,109.02,percent of total billed charges,105.2089917,,,,109.02,percent of total billed charges,92.95562672,,,,110.4,percent of total billed charges,999999999,,,,110.4,percent of total billed charges,999999999,,,,96.6,percent of total billed charges,999999999,,,,96.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,73.416,percent of total billed charges,999999999,,,,,,,,,,,,,,,,69.69,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,34.5,percent of total billed charges,32.76656099,,,,,,,,,,34.5,percent of total billed charges,32.22151154,,,,,,,,,,34.5,percent of total billed charges,32.13196934,,,,,,,,,,34.5,percent of total billed charges,31.65882649,,,,,,,,,,34.5,percent of total billed charges,32.47345463,,,,,,,,,,34.5,percent of total billed charges,999999999,,,,,,,,,,34.5,percent of total billed charges,27.86451086,,,,,,,,,,34.5,percent of total billed charges,43.94425515,,,,,,,,,,34.5,percent of total billed charges,999999999,,,,,,,,,,34.5,percent of total billed charges,30.04475746,,,,,,,,,,124.2,percent of total billed charges,,,,,
T-CELL ABSOLUTE COUNT,86361,CDM,,,,both,,,273,273,58.11731688,273,273,percent of total billed charges,200.8557985,,,,273,percent of total billed charges,212.903175,,,,273,percent of total billed charges,200.8557985,,,,273,percent of total billed charges,212.903175,,,,273,percent of total billed charges,999999999,,,,273,percent of total billed charges,208.0072368,,,,273,percent of total billed charges,200.8557985,,,,273,percent of total billed charges,212.903175,,,,194.649,percent of total billed charges,97.13341308,,,,194.649,percent of total billed charges,58.11731688,,,,194.649,percent of total billed charges,97.13341308,,,,194.649,percent of total billed charges,58.11731688,,,,194.649,percent of total billed charges,97.13341308,,,,194.649,percent of total billed charges,58.11731688,,,,192.738,percent of total billed charges,191.2756444,,,,192.738,percent of total billed charges,131.9212959,,,,,,,,,,196.56,percent of total billed charges,127.7593745,,,,,,,,,,196.56,percent of total billed charges,999999999,,,,,,,,,,218.4,percent of total billed charges,183.0078472,,,,215.67,percent of total billed charges,208.1308313,,,,215.67,percent of total billed charges,183.8904789,,,,218.4,percent of total billed charges,999999999,,,,218.4,percent of total billed charges,999999999,,,,191.1,percent of total billed charges,999999999,,,,191.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,145.236,percent of total billed charges,999999999,,,,,,,,,,,,,,,,137.865,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,68.25,percent of total billed charges,64.82080544,,,,,,,,,,68.25,percent of total billed charges,63.74255545,,,,,,,,,,68.25,percent of total billed charges,63.56541761,,,,,,,,,,68.25,percent of total billed charges,62.62941761,,,,,,,,,,68.25,percent of total billed charges,64.2409646,,,,,,,,,,68.25,percent of total billed charges,999999999,,,,,,,,,,68.25,percent of total billed charges,55.12327148,,,,,,,,,,68.25,percent of total billed charges,86.9332004,,,,,,,,,,68.25,percent of total billed charges,999999999,,,,,,,,,,68.25,percent of total billed charges,59.43636802,,,,,,,,,,245.7,percent of total billed charges,,,,,
**CLOTTING TIME-LEE & WHITE,85345,CDM,,,,both,,,78,78,16.60494768,78,78,percent of total billed charges,57.38737101,,,,78,percent of total billed charges,60.82947858,,,,78,percent of total billed charges,57.38737101,,,,78,percent of total billed charges,60.82947858,,,,78,percent of total billed charges,999999999,,,,78,percent of total billed charges,59.43063909,,,,78,percent of total billed charges,57.38737101,,,,78,percent of total billed charges,60.82947858,,,,55.614,percent of total billed charges,27.75240374,,,,55.614,percent of total billed charges,16.60494768,,,,55.614,percent of total billed charges,27.75240374,,,,55.614,percent of total billed charges,16.60494768,,,,55.614,percent of total billed charges,27.75240374,,,,55.614,percent of total billed charges,16.60494768,,,,55.068,percent of total billed charges,54.65018411,,,,55.068,percent of total billed charges,37.69179882,,,,,,,,,,56.16,percent of total billed charges,36.50267844,,,,,,,,,,56.16,percent of total billed charges,999999999,,,,,,,,,,62.4,percent of total billed charges,52.28795634,,,,61.62,percent of total billed charges,59.46595181,,,,61.62,percent of total billed charges,52.54013684,,,,62.4,percent of total billed charges,999999999,,,,62.4,percent of total billed charges,999999999,,,,54.6,percent of total billed charges,999999999,,,,54.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,41.496,percent of total billed charges,999999999,,,,,,,,,,,,,,,,39.39,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19.5,percent of total billed charges,18.52023013,,,,,,,,,,19.5,percent of total billed charges,18.2121587,,,,,,,,,,19.5,percent of total billed charges,18.16154789,,,,,,,,,,19.5,percent of total billed charges,17.89411932,,,,,,,,,,19.5,percent of total billed charges,18.35456131,,,,,,,,,,19.5,percent of total billed charges,999999999,,,,,,,,,,19.5,percent of total billed charges,15.74950614,,,,,,,,,,19.5,percent of total billed charges,24.83805726,,,,,,,,,,19.5,percent of total billed charges,999999999,,,,,,,,,,19.5,percent of total billed charges,16.98181943,,,,,,,,,,70.2,percent of total billed charges,,,,,
GASTROCCULT,82271,CDM,,,,both,,,116,116,24.69453758,116,116,percent of total billed charges,85.34532098,,,,116,percent of total billed charges,90.46435276,,,,116,percent of total billed charges,85.34532098,,,,116,percent of total billed charges,90.46435276,,,,116,percent of total billed charges,999999999,,,,116,percent of total billed charges,88.38402737,,,,116,percent of total billed charges,85.34532098,,,,116,percent of total billed charges,90.46435276,,,,82.708,percent of total billed charges,41.27280556,,,,82.708,percent of total billed charges,24.69453758,,,,82.708,percent of total billed charges,41.27280556,,,,82.708,percent of total billed charges,24.69453758,,,,82.708,percent of total billed charges,41.27280556,,,,82.708,percent of total billed charges,24.69453758,,,,81.896,percent of total billed charges,81.27463278,,,,81.896,percent of total billed charges,56.05447004,,,,,,,,,,83.52,percent of total billed charges,54.2860346,,,,,,,,,,83.52,percent of total billed charges,999999999,,,,,,,,,,92.8,percent of total billed charges,77.76157609,,,,91.64,percent of total billed charges,88.43654372,,,,91.64,percent of total billed charges,78.13661376,,,,92.8,percent of total billed charges,999999999,,,,92.8,percent of total billed charges,999999999,,,,81.2,percent of total billed charges,999999999,,,,81.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,61.712,percent of total billed charges,999999999,,,,,,,,,,,,,,,,58.58,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,29,percent of total billed charges,27.54290634,,,,,,,,,,29,percent of total billed charges,27.08474883,,,,,,,,,,29,percent of total billed charges,27.00948148,,,,,,,,,,29,percent of total billed charges,26.61176719,,,,,,,,,,29,percent of total billed charges,27.29652708,,,,,,,,,,29,percent of total billed charges,999999999,,,,,,,,,,29,percent of total billed charges,23.42234246,,,,,,,,,,29,percent of total billed charges,36.93864926,,,,,,,,,,29,percent of total billed charges,999999999,,,,,,,,,,29,percent of total billed charges,25.25501352,,,,,,,,,,104.4,percent of total billed charges,,,,,
MIXING STUDIES(*),85613,CDM,,,,both,,,217,217,46.19581598,217,217,percent of total billed charges,159.6546091,,,,217,percent of total billed charges,169.2307289,,,,217,percent of total billed charges,159.6546091,,,,217,percent of total billed charges,169.2307289,,,,217,percent of total billed charges,999999999,,,,217,percent of total billed charges,165.3390857,,,,217,percent of total billed charges,159.6546091,,,,217,percent of total billed charges,169.2307289,,,,154.721,percent of total billed charges,77.2086104,,,,154.721,percent of total billed charges,46.19581598,,,,154.721,percent of total billed charges,77.2086104,,,,154.721,percent of total billed charges,46.19581598,,,,154.721,percent of total billed charges,77.2086104,,,,154.721,percent of total billed charges,46.19581598,,,,153.202,percent of total billed charges,152.0396148,,,,153.202,percent of total billed charges,104.8605172,,,,,,,,,,156.24,percent of total billed charges,101.5523233,,,,,,,,,,156.24,percent of total billed charges,999999999,,,,,,,,,,173.6,percent of total billed charges,145.467776,,,,171.43,percent of total billed charges,165.4373275,,,,171.43,percent of total billed charges,146.1693551,,,,173.6,percent of total billed charges,999999999,,,,173.6,percent of total billed charges,999999999,,,,151.9,percent of total billed charges,999999999,,,,151.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,115.444,percent of total billed charges,999999999,,,,,,,,,,,,,,,,109.585,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,54.25,percent of total billed charges,51.52422996,,,,,,,,,,54.25,percent of total billed charges,50.66715946,,,,,,,,,,54.25,percent of total billed charges,50.52635759,,,,,,,,,,54.25,percent of total billed charges,49.78235759,,,,,,,,,,54.25,percent of total billed charges,51.06333084,,,,,,,,,,54.25,percent of total billed charges,999999999,,,,,,,,,,54.25,percent of total billed charges,43.81593374,,,,,,,,,,54.25,percent of total billed charges,69.10074904,,,,,,,,,,54.25,percent of total billed charges,999999999,,,,,,,,,,54.25,percent of total billed charges,47.24429253,,,,,,,,,,195.3,percent of total billed charges,,,,,
FACTOR VIII(*),85240,CDM,,,,both,,,412,412,87.70818519,412,412,percent of total billed charges,303.1230366,,,,412,percent of total billed charges,321.3044253,,,,412,percent of total billed charges,303.1230366,,,,412,percent of total billed charges,321.3044253,,,,412,percent of total billed charges,999999999,,,,412,percent of total billed charges,313.9156834,,,,412,percent of total billed charges,303.1230366,,,,412,percent of total billed charges,321.3044253,,,,293.756,percent of total billed charges,146.5896197,,,,293.756,percent of total billed charges,87.70818519,,,,293.756,percent of total billed charges,146.5896197,,,,293.756,percent of total billed charges,87.70818519,,,,293.756,percent of total billed charges,146.5896197,,,,293.756,percent of total billed charges,87.70818519,,,,290.872,percent of total billed charges,288.6650751,,,,290.872,percent of total billed charges,199.0900143,,,,,,,,,,296.64,percent of total billed charges,192.8090194,,,,,,,,,,296.64,percent of total billed charges,999999999,,,,,,,,,,329.6,percent of total billed charges,276.1876668,,,,325.48,percent of total billed charges,314.102207,,,,325.48,percent of total billed charges,277.5196972,,,,329.6,percent of total billed charges,999999999,,,,329.6,percent of total billed charges,999999999,,,,288.4,percent of total billed charges,999999999,,,,288.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,219.184,percent of total billed charges,999999999,,,,,,,,,,,,,,,,208.06,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,103,percent of total billed charges,97.82480528,,,,,,,,,,103,percent of total billed charges,96.19755621,,,,,,,,,,103,percent of total billed charges,95.93022732,,,,,,,,,,103,percent of total billed charges,94.51765589,,,,,,,,,,103,percent of total billed charges,96.94973412,,,,,,,,,,103,percent of total billed charges,999999999,,,,,,,,,,103,percent of total billed charges,83.18969908,,,,,,,,,,103,percent of total billed charges,131.1958922,,,,,,,,,,103,percent of total billed charges,999999999,,,,,,,,,,103,percent of total billed charges,89.69884111,,,,,,,,,,370.8,percent of total billed charges,,,,,
**CLOT RETRACTION,85170,CDM,,,,both,,,103,103,21.9270463,103,103,percent of total billed charges,75.78075915,,,,103,percent of total billed charges,80.32610633,,,,103,percent of total billed charges,75.78075915,,,,103,percent of total billed charges,80.32610633,,,,103,percent of total billed charges,999999999,,,,103,percent of total billed charges,78.47892085,,,,103,percent of total billed charges,75.78075915,,,,103,percent of total billed charges,80.32610633,,,,73.439,percent of total billed charges,36.64740494,,,,73.439,percent of total billed charges,21.9270463,,,,73.439,percent of total billed charges,36.64740494,,,,73.439,percent of total billed charges,21.9270463,,,,73.439,percent of total billed charges,36.64740494,,,,73.439,percent of total billed charges,21.9270463,,,,72.718,percent of total billed charges,72.16626877,,,,72.718,percent of total billed charges,49.77250357,,,,,,,,,,74.16,percent of total billed charges,48.20225486,,,,,,,,,,74.16,percent of total billed charges,999999999,,,,,,,,,,82.4,percent of total billed charges,69.0469167,,,,81.37,percent of total billed charges,78.52555175,,,,81.37,percent of total billed charges,69.37992429,,,,82.4,percent of total billed charges,999999999,,,,82.4,percent of total billed charges,999999999,,,,72.1,percent of total billed charges,999999999,,,,72.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,54.796,percent of total billed charges,999999999,,,,,,,,,,,,,,,,52.015,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,25.75,percent of total billed charges,24.45620132,,,,,,,,,,25.75,percent of total billed charges,24.04938905,,,,,,,,,,25.75,percent of total billed charges,23.98255683,,,,,,,,,,25.75,percent of total billed charges,23.62941397,,,,,,,,,,25.75,percent of total billed charges,24.23743353,,,,,,,,,,25.75,percent of total billed charges,999999999,,,,,,,,,,25.75,percent of total billed charges,20.79742477,,,,,,,,,,25.75,percent of total billed charges,32.79897305,,,,,,,,,,25.75,percent of total billed charges,999999999,,,,,,,,,,25.75,percent of total billed charges,22.42471028,,,,,,,,,,92.7,percent of total billed charges,,,,,
ANTITHROMBIN III(*),85300,CDM,,,,both,,,258,258,54.92405771,258,258,percent of total billed charges,189.8197656,,,,258,percent of total billed charges,201.2051984,,,,258,percent of total billed charges,189.8197656,,,,258,percent of total billed charges,201.2051984,,,,258,percent of total billed charges,999999999,,,,258,percent of total billed charges,196.5782678,,,,258,percent of total billed charges,189.8197656,,,,258,percent of total billed charges,201.2051984,,,,183.954,percent of total billed charges,91.79641237,,,,183.954,percent of total billed charges,54.92405771,,,,183.954,percent of total billed charges,91.79641237,,,,183.954,percent of total billed charges,54.92405771,,,,183.954,percent of total billed charges,91.79641237,,,,183.954,percent of total billed charges,54.92405771,,,,182.148,percent of total billed charges,180.7659936,,,,182.148,percent of total billed charges,124.672873,,,,,,,,,,185.76,percent of total billed charges,120.7396287,,,,,,,,,,185.76,percent of total billed charges,999999999,,,,,,,,,,206.4,percent of total billed charges,172.952471,,,,203.82,percent of total billed charges,196.6950714,,,,203.82,percent of total billed charges,173.7866065,,,,206.4,percent of total billed charges,999999999,,,,206.4,percent of total billed charges,999999999,,,,180.6,percent of total billed charges,999999999,,,,180.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,137.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,130.29,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,64.5,percent of total billed charges,61.25922272,,,,,,,,,,64.5,percent of total billed charges,60.24021724,,,,,,,,,,64.5,percent of total billed charges,60.07281225,,,,,,,,,,64.5,percent of total billed charges,59.18824082,,,,,,,,,,64.5,percent of total billed charges,60.71124127,,,,,,,,,,64.5,percent of total billed charges,999999999,,,,,,,,,,64.5,percent of total billed charges,52.0945203,,,,,,,,,,64.5,percent of total billed charges,82.15665093,,,,,,,,,,64.5,percent of total billed charges,999999999,,,,,,,,,,64.5,percent of total billed charges,56.17063351,,,,,,,,,,232.2,percent of total billed charges,,,,,
BODY FLUID ANALYSIS,89050,CDM,,,,both,,,174,174,37.04180636,174,174,percent of total billed charges,128.0179815,,,,174,percent of total billed charges,135.6965291,,,,174,percent of total billed charges,128.0179815,,,,174,percent of total billed charges,135.6965291,,,,174,percent of total billed charges,999999999,,,,174,percent of total billed charges,132.5760411,,,,174,percent of total billed charges,128.0179815,,,,174,percent of total billed charges,135.6965291,,,,124.062,percent of total billed charges,61.90920834,,,,124.062,percent of total billed charges,37.04180636,,,,124.062,percent of total billed charges,61.90920834,,,,124.062,percent of total billed charges,37.04180636,,,,124.062,percent of total billed charges,61.90920834,,,,124.062,percent of total billed charges,37.04180636,,,,122.844,percent of total billed charges,121.9119492,,,,122.844,percent of total billed charges,84.08170507,,,,,,,,,,125.28,percent of total billed charges,81.4290519,,,,,,,,,,125.28,percent of total billed charges,999999999,,,,,,,,,,139.2,percent of total billed charges,116.6423641,,,,137.46,percent of total billed charges,132.6548156,,,,137.46,percent of total billed charges,117.2049206,,,,139.2,percent of total billed charges,999999999,,,,139.2,percent of total billed charges,999999999,,,,121.8,percent of total billed charges,999999999,,,,121.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,92.568,percent of total billed charges,999999999,,,,,,,,,,,,,,,,87.87,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,43.5,percent of total billed charges,41.31435951,,,,,,,,,,43.5,percent of total billed charges,40.62712325,,,,,,,,,,43.5,percent of total billed charges,40.51422222,,,,,,,,,,43.5,percent of total billed charges,39.91765079,,,,,,,,,,43.5,percent of total billed charges,40.94479062,,,,,,,,,,43.5,percent of total billed charges,999999999,,,,,,,,,,43.5,percent of total billed charges,35.13351369,,,,,,,,,,43.5,percent of total billed charges,55.40797388,,,,,,,,,,43.5,percent of total billed charges,999999999,,,,,,,,,,43.5,percent of total billed charges,37.88252028,,,,,,,,,,156.6,percent of total billed charges,,,,,
HEMOGRAM,85027,CDM,,,,both,,,131,131,27.88779675,131,131,percent of total billed charges,96.38135387,,,,131,percent of total billed charges,102.1623294,,,,131,percent of total billed charges,96.38135387,,,,131,percent of total billed charges,102.1623294,,,,131,percent of total billed charges,999999999,,,,131,percent of total billed charges,99.81299643,,,,131,percent of total billed charges,96.38135387,,,,131,percent of total billed charges,102.1623294,,,,93.403,percent of total billed charges,46.60980628,,,,93.403,percent of total billed charges,27.88779675,,,,93.403,percent of total billed charges,46.60980628,,,,93.403,percent of total billed charges,27.88779675,,,,93.403,percent of total billed charges,46.60980628,,,,93.403,percent of total billed charges,27.88779675,,,,92.486,percent of total billed charges,91.78428358,,,,92.486,percent of total billed charges,63.3028929,,,,,,,,,,94.32,percent of total billed charges,61.30578045,,,,,,,,,,94.32,percent of total billed charges,999999999,,,,,,,,,,104.8,percent of total billed charges,87.81695231,,,,103.49,percent of total billed charges,99.87230368,,,,103.49,percent of total billed charges,88.24048623,,,,104.8,percent of total billed charges,999999999,,,,104.8,percent of total billed charges,999999999,,,,91.7,percent of total billed charges,999999999,,,,91.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,69.692,percent of total billed charges,999999999,,,,,,,,,,,,,,,,66.155,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,32.75,percent of total billed charges,31.10448906,,,,,,,,,,32.75,percent of total billed charges,30.58708705,,,,,,,,,,32.75,percent of total billed charges,30.50208684,,,,,,,,,,32.75,percent of total billed charges,30.05294398,,,,,,,,,,32.75,percent of total billed charges,30.82625041,,,,,,,,,,32.75,percent of total billed charges,999999999,,,,,,,,,,32.75,percent of total billed charges,26.45109364,,,,,,,,,,32.75,percent of total billed charges,41.71519873,,,,,,,,,,32.75,percent of total billed charges,999999999,,,,,,,,,,32.75,percent of total billed charges,28.52074802,,,,,,,,,,117.9,percent of total billed charges,,,,,
**CBC MANUAL,85023,CDM,,,,both,,,261,261,55.56270955,261,261,percent of total billed charges,192.0269722,,,,261,percent of total billed charges,203.5447937,,,,261,percent of total billed charges,192.0269722,,,,261,percent of total billed charges,203.5447937,,,,261,percent of total billed charges,999999999,,,,261,percent of total billed charges,198.8640616,,,,261,percent of total billed charges,192.0269722,,,,261,percent of total billed charges,203.5447937,,,,186.093,percent of total billed charges,92.86381251,,,,186.093,percent of total billed charges,55.56270955,,,,186.093,percent of total billed charges,92.86381251,,,,186.093,percent of total billed charges,55.56270955,,,,186.093,percent of total billed charges,92.86381251,,,,186.093,percent of total billed charges,55.56270955,,,,184.266,percent of total billed charges,182.8679238,,,,184.266,percent of total billed charges,126.1225576,,,,,,,,,,187.92,percent of total billed charges,122.1435778,,,,,,,,,,187.92,percent of total billed charges,999999999,,,,,,,,,,208.8,percent of total billed charges,174.9635462,,,,206.19,percent of total billed charges,198.9822234,,,,206.19,percent of total billed charges,175.807381,,,,208.8,percent of total billed charges,999999999,,,,208.8,percent of total billed charges,999999999,,,,182.7,percent of total billed charges,999999999,,,,182.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,138.852,percent of total billed charges,999999999,,,,,,,,,,,,,,,,131.805,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,65.25,percent of total billed charges,61.97153927,,,,,,,,,,65.25,percent of total billed charges,60.94068488,,,,,,,,,,65.25,percent of total billed charges,60.77133332,,,,,,,,,,65.25,percent of total billed charges,59.87647618,,,,,,,,,,65.25,percent of total billed charges,61.41718594,,,,,,,,,,65.25,percent of total billed charges,999999999,,,,,,,,,,65.25,percent of total billed charges,52.70027053,,,,,,,,,,65.25,percent of total billed charges,83.11196083,,,,,,,,,,65.25,percent of total billed charges,999999999,,,,,,,,,,65.25,percent of total billed charges,56.82378041,,,,,,,,,,234.9,percent of total billed charges,,,,,
FLOW CYTOMETRY(*),88182,CDM,,,,both,,,489,489,104.1002489,489,489,percent of total billed charges,359.7746721,,,,489,percent of total billed charges,381.3540388,,,,489,percent of total billed charges,359.7746721,,,,489,percent of total billed charges,381.3540388,,,,489,percent of total billed charges,999999999,,,,489,percent of total billed charges,372.5843912,,,,489,percent of total billed charges,359.7746721,,,,489,percent of total billed charges,381.3540388,,,,348.657,percent of total billed charges,173.9862234,,,,348.657,percent of total billed charges,104.1002489,,,,348.657,percent of total billed charges,173.9862234,,,,348.657,percent of total billed charges,104.1002489,,,,348.657,percent of total billed charges,173.9862234,,,,348.657,percent of total billed charges,104.1002489,,,,345.234,percent of total billed charges,342.6146158,,,,345.234,percent of total billed charges,236.2985849,,,,,,,,,,352.08,percent of total billed charges,228.8437148,,,,,,,,,,352.08,percent of total billed charges,999999999,,,,,,,,,,391.2,percent of total billed charges,327.8052647,,,,386.31,percent of total billed charges,372.8057748,,,,386.31,percent of total billed charges,329.3862425,,,,391.2,percent of total billed charges,999999999,,,,391.2,percent of total billed charges,999999999,,,,342.3,percent of total billed charges,999999999,,,,342.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,260.148,percent of total billed charges,999999999,,,,,,,,,,,,,,,,246.945,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,122.25,percent of total billed charges,116.1075966,,,,,,,,,,122.25,percent of total billed charges,114.1762257,,,,,,,,,,122.25,percent of total billed charges,113.8589348,,,,,,,,,,122.25,percent of total billed charges,112.1823634,,,,,,,,,,122.25,percent of total billed charges,115.0689805,,,,,,,,,,122.25,percent of total billed charges,999999999,,,,,,,,,,122.25,percent of total billed charges,98.73728847,,,,,,,,,,122.25,percent of total billed charges,155.7155128,,,,,,,,,,122.25,percent of total billed charges,999999999,,,,,,,,,,122.25,percent of total billed charges,106.4629449,,,,,,,,,,440.1,percent of total billed charges,,,,,
FLOW CYTOMETRY FIRST MARKER BLOOD,88184,CDM,,,,both,,,312,312,66.41979072,312,312,percent of total billed charges,229.549484,,,,312,percent of total billed charges,243.3179143,,,,312,percent of total billed charges,229.549484,,,,312,percent of total billed charges,243.3179143,,,,312,percent of total billed charges,999999999,,,,312,percent of total billed charges,237.7225564,,,,312,percent of total billed charges,229.549484,,,,312,percent of total billed charges,243.3179143,,,,222.456,percent of total billed charges,111.009615,,,,222.456,percent of total billed charges,66.41979072,,,,222.456,percent of total billed charges,111.009615,,,,222.456,percent of total billed charges,66.41979072,,,,222.456,percent of total billed charges,111.009615,,,,222.456,percent of total billed charges,66.41979072,,,,220.272,percent of total billed charges,218.6007365,,,,220.272,percent of total billed charges,150.7671953,,,,,,,,,,224.64,percent of total billed charges,146.0107137,,,,,,,,,,224.64,percent of total billed charges,999999999,,,,,,,,,,249.6,percent of total billed charges,209.1518254,,,,246.48,percent of total billed charges,237.8638072,,,,246.48,percent of total billed charges,210.1605474,,,,249.6,percent of total billed charges,999999999,,,,249.6,percent of total billed charges,999999999,,,,218.4,percent of total billed charges,999999999,,,,218.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,165.984,percent of total billed charges,999999999,,,,,,,,,,,,,,,,157.56,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,78,percent of total billed charges,74.0809205,,,,,,,,,,78,percent of total billed charges,72.8486348,,,,,,,,,,78,percent of total billed charges,72.64619156,,,,,,,,,,78,percent of total billed charges,71.57647727,,,,,,,,,,78,percent of total billed charges,73.41824526,,,,,,,,,,78,percent of total billed charges,999999999,,,,,,,,,,78,percent of total billed charges,62.99802455,,,,,,,,,,78,percent of total billed charges,99.35222903,,,,,,,,,,78,percent of total billed charges,999999999,,,,,,,,,,78,percent of total billed charges,67.92727773,,,,,,,,,,280.8,percent of total billed charges,,,,,
HEMOGLOBIN,85018,CDM,,,,both,,,79,79,16.81783163,79,79,percent of total billed charges,58.12310653,,,,79,percent of total billed charges,61.60934369,,,,79,percent of total billed charges,58.12310653,,,,79,percent of total billed charges,61.60934369,,,,79,percent of total billed charges,999999999,,,,79,percent of total billed charges,60.19257036,,,,79,percent of total billed charges,58.12310653,,,,79,percent of total billed charges,61.60934369,,,,56.327,percent of total billed charges,28.10820379,,,,56.327,percent of total billed charges,16.81783163,,,,56.327,percent of total billed charges,28.10820379,,,,56.327,percent of total billed charges,16.81783163,,,,56.327,percent of total billed charges,28.10820379,,,,56.327,percent of total billed charges,16.81783163,,,,55.774,percent of total billed charges,55.3508275,,,,55.774,percent of total billed charges,38.17502701,,,,,,,,,,56.88,percent of total billed charges,36.97066149,,,,,,,,,,56.88,percent of total billed charges,999999999,,,,,,,,,,63.2,percent of total billed charges,52.95831475,,,,62.41,percent of total billed charges,60.22833581,,,,62.41,percent of total billed charges,53.21372834,,,,63.2,percent of total billed charges,999999999,,,,63.2,percent of total billed charges,999999999,,,,55.3,percent of total billed charges,999999999,,,,55.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,42.028,percent of total billed charges,999999999,,,,,,,,,,,,,,,,39.895,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19.75,percent of total billed charges,18.75766897,,,,,,,,,,19.75,percent of total billed charges,18.44564791,,,,,,,,,,19.75,percent of total billed charges,18.39438825,,,,,,,,,,19.75,percent of total billed charges,18.1235311,,,,,,,,,,19.75,percent of total billed charges,18.5898762,,,,,,,,,,19.75,percent of total billed charges,999999999,,,,,,,,,,19.75,percent of total billed charges,15.95142288,,,,,,,,,,19.75,percent of total billed charges,25.15649389,,,,,,,,,,19.75,percent of total billed charges,999999999,,,,,,,,,,19.75,percent of total billed charges,17.19953507,,,,,,,,,,71.1,percent of total billed charges,,,,,
HEMATOCRIT,85014,CDM,,,,both,,,78,78,16.60494768,78,78,percent of total billed charges,57.38737101,,,,78,percent of total billed charges,60.82947858,,,,78,percent of total billed charges,57.38737101,,,,78,percent of total billed charges,60.82947858,,,,78,percent of total billed charges,999999999,,,,78,percent of total billed charges,59.43063909,,,,78,percent of total billed charges,57.38737101,,,,78,percent of total billed charges,60.82947858,,,,55.614,percent of total billed charges,27.75240374,,,,55.614,percent of total billed charges,16.60494768,,,,55.614,percent of total billed charges,27.75240374,,,,55.614,percent of total billed charges,16.60494768,,,,55.614,percent of total billed charges,27.75240374,,,,55.614,percent of total billed charges,16.60494768,,,,55.068,percent of total billed charges,54.65018411,,,,55.068,percent of total billed charges,37.69179882,,,,,,,,,,56.16,percent of total billed charges,36.50267844,,,,,,,,,,56.16,percent of total billed charges,999999999,,,,,,,,,,62.4,percent of total billed charges,52.28795634,,,,61.62,percent of total billed charges,59.46595181,,,,61.62,percent of total billed charges,52.54013684,,,,62.4,percent of total billed charges,999999999,,,,62.4,percent of total billed charges,999999999,,,,54.6,percent of total billed charges,999999999,,,,54.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,41.496,percent of total billed charges,999999999,,,,,,,,,,,,,,,,39.39,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19.5,percent of total billed charges,18.52023013,,,,,,,,,,19.5,percent of total billed charges,18.2121587,,,,,,,,,,19.5,percent of total billed charges,18.16154789,,,,,,,,,,19.5,percent of total billed charges,17.89411932,,,,,,,,,,19.5,percent of total billed charges,18.35456131,,,,,,,,,,19.5,percent of total billed charges,999999999,,,,,,,,,,19.5,percent of total billed charges,15.74950614,,,,,,,,,,19.5,percent of total billed charges,24.83805726,,,,,,,,,,19.5,percent of total billed charges,999999999,,,,,,,,,,19.5,percent of total billed charges,16.98181943,,,,,,,,,,70.2,percent of total billed charges,,,,,
OCCULT BLOOD COLO/RECT SCREEN,82270,CDM,,,,both,,,91,91,19.37243896,91,91,percent of total billed charges,66.95193284,,,,91,percent of total billed charges,70.96772501,,,,91,percent of total billed charges,66.95193284,,,,91,percent of total billed charges,70.96772501,,,,91,percent of total billed charges,999999999,,,,91,percent of total billed charges,69.33574561,,,,91,percent of total billed charges,66.95193284,,,,91,percent of total billed charges,70.96772501,,,,64.883,percent of total billed charges,32.37780436,,,,64.883,percent of total billed charges,19.37243896,,,,64.883,percent of total billed charges,32.37780436,,,,64.883,percent of total billed charges,19.37243896,,,,64.883,percent of total billed charges,32.37780436,,,,64.883,percent of total billed charges,19.37243896,,,,64.246,percent of total billed charges,63.75854813,,,,64.246,percent of total billed charges,43.97376529,,,,,,,,,,65.52,percent of total billed charges,42.58645818,,,,,,,,,,65.52,percent of total billed charges,999999999,,,,,,,,,,72.8,percent of total billed charges,61.00261573,,,,71.89,percent of total billed charges,69.37694378,,,,71.89,percent of total billed charges,61.29682631,,,,72.8,percent of total billed charges,999999999,,,,72.8,percent of total billed charges,999999999,,,,63.7,percent of total billed charges,999999999,,,,63.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,48.412,percent of total billed charges,999999999,,,,,,,,,,,,,,,,45.955,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,22.75,percent of total billed charges,21.60693515,,,,,,,,,,22.75,percent of total billed charges,21.24751848,,,,,,,,,,22.75,percent of total billed charges,21.18847254,,,,,,,,,,22.75,percent of total billed charges,20.87647254,,,,,,,,,,22.75,percent of total billed charges,21.41365487,,,,,,,,,,22.75,percent of total billed charges,999999999,,,,,,,,,,22.75,percent of total billed charges,18.37442383,,,,,,,,,,22.75,percent of total billed charges,28.97773347,,,,,,,,,,22.75,percent of total billed charges,999999999,,,,,,,,,,22.75,percent of total billed charges,19.81212267,,,,,,,,,,81.9,percent of total billed charges,,,,,
OCCULT BLOOD OTH THAN COLOREC NEO SCR,82272,CDM,,,,both,,,68,68,14.47610823,68,68,percent of total billed charges,50.03001575,,,,68,percent of total billed charges,53.03082748,,,,68,percent of total billed charges,50.03001575,,,,68,percent of total billed charges,53.03082748,,,,68,percent of total billed charges,999999999,,,,68,percent of total billed charges,51.81132639,,,,68,percent of total billed charges,50.03001575,,,,68,percent of total billed charges,53.03082748,,,,48.484,percent of total billed charges,24.19440326,,,,48.484,percent of total billed charges,14.47610823,,,,48.484,percent of total billed charges,24.19440326,,,,48.484,percent of total billed charges,14.47610823,,,,48.484,percent of total billed charges,24.19440326,,,,48.484,percent of total billed charges,14.47610823,,,,48.008,percent of total billed charges,47.64375025,,,,48.008,percent of total billed charges,32.85951692,,,,,,,,,,48.96,percent of total billed charges,31.82284787,,,,,,,,,,48.96,percent of total billed charges,999999999,,,,,,,,,,54.4,percent of total billed charges,45.58437219,,,,53.72,percent of total billed charges,51.84211184,,,,53.72,percent of total billed charges,45.80422186,,,,54.4,percent of total billed charges,999999999,,,,54.4,percent of total billed charges,999999999,,,,47.6,percent of total billed charges,999999999,,,,47.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,36.176,percent of total billed charges,999999999,,,,,,,,,,,,,,,,34.34,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17,percent of total billed charges,16.14584165,,,,,,,,,,17,percent of total billed charges,15.87726656,,,,,,,,,,17,percent of total billed charges,15.83314431,,,,,,,,,,17,percent of total billed charges,15.60000146,,,,,,,,,,17,percent of total billed charges,16.00141243,,,,,,,,,,17,percent of total billed charges,999999999,,,,,,,,,,17,percent of total billed charges,13.73033868,,,,,,,,,,17,percent of total billed charges,21.65369094,,,,,,,,,,17,percent of total billed charges,999999999,,,,,,,,,,17,percent of total billed charges,14.8046631,,,,,,,,,,61.2,percent of total billed charges,,,,,
D-DIMER,85378,CDM,,,,both,,,214,214,45.55716415,214,214,percent of total billed charges,157.4474025,,,,214,percent of total billed charges,166.8911335,,,,214,percent of total billed charges,157.4474025,,,,214,percent of total billed charges,166.8911335,,,,214,percent of total billed charges,999999999,,,,214,percent of total billed charges,163.0532919,,,,214,percent of total billed charges,157.4474025,,,,214,percent of total billed charges,166.8911335,,,,152.582,percent of total billed charges,76.14121026,,,,152.582,percent of total billed charges,45.55716415,,,,152.582,percent of total billed charges,76.14121026,,,,152.582,percent of total billed charges,45.55716415,,,,152.582,percent of total billed charges,76.14121026,,,,152.582,percent of total billed charges,45.55716415,,,,151.084,percent of total billed charges,149.9376846,,,,151.084,percent of total billed charges,103.4108327,,,,,,,,,,154.08,percent of total billed charges,100.1483742,,,,,,,,,,154.08,percent of total billed charges,999999999,,,,,,,,,,171.2,percent of total billed charges,143.4567007,,,,169.06,percent of total billed charges,163.1501755,,,,169.06,percent of total billed charges,144.1485806,,,,171.2,percent of total billed charges,999999999,,,,171.2,percent of total billed charges,999999999,,,,149.8,percent of total billed charges,999999999,,,,149.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,113.848,percent of total billed charges,999999999,,,,,,,,,,,,,,,,108.07,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.5,percent of total billed charges,50.81191342,,,,,,,,,,53.5,percent of total billed charges,49.96669182,,,,,,,,,,53.5,percent of total billed charges,49.82783652,,,,,,,,,,53.5,percent of total billed charges,49.09412223,,,,,,,,,,53.5,percent of total billed charges,50.35738617,,,,,,,,,,53.5,percent of total billed charges,999999999,,,,,,,,,,53.5,percent of total billed charges,43.2101835,,,,,,,,,,53.5,percent of total billed charges,68.14543914,,,,,,,,,,53.5,percent of total billed charges,999999999,,,,,,,,,,53.5,percent of total billed charges,46.59114563,,,,,,,,,,192.6,percent of total billed charges,,,,,
WHITE BLOOD COUNT,85048,CDM,,,,both,,,88,88,18.73378713,88,88,percent of total billed charges,64.74472626,,,,88,percent of total billed charges,68.62812968,,,,88,percent of total billed charges,64.74472626,,,,88,percent of total billed charges,68.62812968,,,,88,percent of total billed charges,999999999,,,,88,percent of total billed charges,67.0499518,,,,88,percent of total billed charges,64.74472626,,,,88,percent of total billed charges,68.62812968,,,,62.744,percent of total billed charges,31.31040422,,,,62.744,percent of total billed charges,18.73378713,,,,62.744,percent of total billed charges,31.31040422,,,,62.744,percent of total billed charges,18.73378713,,,,62.744,percent of total billed charges,31.31040422,,,,62.744,percent of total billed charges,18.73378713,,,,62.128,percent of total billed charges,61.65661797,,,,62.128,percent of total billed charges,42.52408072,,,,,,,,,,63.36,percent of total billed charges,41.18250901,,,,,,,,,,63.36,percent of total billed charges,999999999,,,,,,,,,,70.4,percent of total billed charges,58.99154048,,,,69.52,percent of total billed charges,67.08979179,,,,69.52,percent of total billed charges,59.27605182,,,,70.4,percent of total billed charges,999999999,,,,70.4,percent of total billed charges,999999999,,,,61.6,percent of total billed charges,999999999,,,,61.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,46.816,percent of total billed charges,999999999,,,,,,,,,,,,,,,,44.44,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,22,percent of total billed charges,20.8946186,,,,,,,,,,22,percent of total billed charges,20.54705084,,,,,,,,,,22,percent of total billed charges,20.48995147,,,,,,,,,,22,percent of total billed charges,20.18823718,,,,,,,,,,22,percent of total billed charges,20.7077102,,,,,,,,,,22,percent of total billed charges,999999999,,,,,,,,,,22,percent of total billed charges,17.76867359,,,,,,,,,,22,percent of total billed charges,28.02242357,,,,,,,,,,22,percent of total billed charges,999999999,,,,,,,,,,22,percent of total billed charges,19.15897577,,,,,,,,,,79.2,percent of total billed charges,,,,,
CELL COUNT BODY FLUID,89051,CDM,,,,both,,,222,222,47.26023571,222,222,percent of total billed charges,163.3332867,,,,222,percent of total billed charges,173.1300544,,,,222,percent of total billed charges,163.3332867,,,,222,percent of total billed charges,173.1300544,,,,222,percent of total billed charges,999999999,,,,222,percent of total billed charges,169.148742,,,,222,percent of total billed charges,163.3332867,,,,222,percent of total billed charges,173.1300544,,,,158.286,percent of total billed charges,78.98761064,,,,158.286,percent of total billed charges,47.26023571,,,,158.286,percent of total billed charges,78.98761064,,,,158.286,percent of total billed charges,47.26023571,,,,158.286,percent of total billed charges,78.98761064,,,,158.286,percent of total billed charges,47.26023571,,,,156.732,percent of total billed charges,155.5428317,,,,156.732,percent of total billed charges,107.2766582,,,,,,,,,,159.84,percent of total billed charges,103.8922386,,,,,,,,,,159.84,percent of total billed charges,999999999,,,,,,,,,,177.6,percent of total billed charges,148.819568,,,,175.38,percent of total billed charges,169.2492475,,,,175.38,percent of total billed charges,149.5373125,,,,177.6,percent of total billed charges,999999999,,,,177.6,percent of total billed charges,999999999,,,,155.4,percent of total billed charges,999999999,,,,155.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,118.104,percent of total billed charges,999999999,,,,,,,,,,,,,,,,112.11,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,55.5,percent of total billed charges,52.7114242,,,,,,,,,,55.5,percent of total billed charges,51.83460553,,,,,,,,,,55.5,percent of total billed charges,51.69055938,,,,,,,,,,55.5,percent of total billed charges,50.92941652,,,,,,,,,,55.5,percent of total billed charges,52.23990528,,,,,,,,,,55.5,percent of total billed charges,999999999,,,,,,,,,,55.5,percent of total billed charges,44.82551747,,,,,,,,,,55.5,percent of total billed charges,70.6929322,,,,,,,,,,55.5,percent of total billed charges,999999999,,,,,,,,,,55.5,percent of total billed charges,48.3328707,,,,,,,,,,199.8,percent of total billed charges,,,,,
NASAL SMEAR EOSINOPHILS,89190,CDM,,,,both,,,125,125,26.61049308,125,125,percent of total billed charges,91.96694072,,,,125,percent of total billed charges,97.48313875,,,,125,percent of total billed charges,91.96694072,,,,125,percent of total billed charges,97.48313875,,,,125,percent of total billed charges,999999999,,,,125,percent of total billed charges,95.2414088,,,,125,percent of total billed charges,91.96694072,,,,125,percent of total billed charges,97.48313875,,,,89.125,percent of total billed charges,44.47500599,,,,89.125,percent of total billed charges,26.61049308,,,,89.125,percent of total billed charges,44.47500599,,,,89.125,percent of total billed charges,26.61049308,,,,89.125,percent of total billed charges,44.47500599,,,,89.125,percent of total billed charges,26.61049308,,,,88.25,percent of total billed charges,87.58042326,,,,88.25,percent of total billed charges,60.40352376,,,,,,,,,,90,percent of total billed charges,58.49788211,,,,,,,,,,90,percent of total billed charges,999999999,,,,,,,,,,100,percent of total billed charges,83.79480182,,,,98.75,percent of total billed charges,95.2979997,,,,98.75,percent of total billed charges,84.19893724,,,,100,percent of total billed charges,999999999,,,,100,percent of total billed charges,999999999,,,,87.5,percent of total billed charges,999999999,,,,87.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,66.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,63.125,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,31.25,percent of total billed charges,29.67985597,,,,,,,,,,31.25,percent of total billed charges,29.18615176,,,,,,,,,,31.25,percent of total billed charges,29.1050447,,,,,,,,,,31.25,percent of total billed charges,28.67647327,,,,,,,,,,31.25,percent of total billed charges,29.41436108,,,,,,,,,,31.25,percent of total billed charges,999999999,,,,,,,,,,31.25,percent of total billed charges,25.23959317,,,,,,,,,,31.25,percent of total billed charges,39.80457894,,,,,,,,,,31.25,percent of total billed charges,999999999,,,,,,,,,,31.25,percent of total billed charges,27.21445422,,,,,,,,,,112.5,percent of total billed charges,,,,,
FIBRIN SPLIT (FDP),85362,CDM,,,,both,,,309,309,65.78113889,309,309,percent of total billed charges,227.3422774,,,,309,percent of total billed charges,240.978319,,,,309,percent of total billed charges,227.3422774,,,,309,percent of total billed charges,240.978319,,,,309,percent of total billed charges,999999999,,,,309,percent of total billed charges,235.4367626,,,,309,percent of total billed charges,227.3422774,,,,309,percent of total billed charges,240.978319,,,,220.317,percent of total billed charges,109.9422148,,,,220.317,percent of total billed charges,65.78113889,,,,220.317,percent of total billed charges,109.9422148,,,,220.317,percent of total billed charges,65.78113889,,,,220.317,percent of total billed charges,109.9422148,,,,220.317,percent of total billed charges,65.78113889,,,,218.154,percent of total billed charges,216.4988063,,,,218.154,percent of total billed charges,149.3175107,,,,,,,,,,222.48,percent of total billed charges,144.6067646,,,,,,,,,,222.48,percent of total billed charges,999999999,,,,,,,,,,247.2,percent of total billed charges,207.1407501,,,,244.11,percent of total billed charges,235.5766553,,,,244.11,percent of total billed charges,208.1397729,,,,247.2,percent of total billed charges,999999999,,,,247.2,percent of total billed charges,999999999,,,,216.3,percent of total billed charges,999999999,,,,216.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,164.388,percent of total billed charges,999999999,,,,,,,,,,,,,,,,156.045,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,77.25,percent of total billed charges,73.36860396,,,,,,,,,,77.25,percent of total billed charges,72.14816715,,,,,,,,,,77.25,percent of total billed charges,71.94767049,,,,,,,,,,77.25,percent of total billed charges,70.88824191,,,,,,,,,,77.25,percent of total billed charges,72.71230059,,,,,,,,,,77.25,percent of total billed charges,999999999,,,,,,,,,,77.25,percent of total billed charges,62.39227431,,,,,,,,,,77.25,percent of total billed charges,98.39691914,,,,,,,,,,77.25,percent of total billed charges,999999999,,,,,,,,,,77.25,percent of total billed charges,67.27413083,,,,,,,,,,278.1,percent of total billed charges,,,,,
FIBRINOGEN ANTIGEN,85385,CDM,,,,both,,,197,197,41.93813709,197,197,percent of total billed charges,144.9398986,,,,197,percent of total billed charges,153.6334267,,,,197,percent of total billed charges,144.9398986,,,,197,percent of total billed charges,153.6334267,,,,197,percent of total billed charges,999999999,,,,197,percent of total billed charges,150.1004603,,,,197,percent of total billed charges,144.9398986,,,,197,percent of total billed charges,153.6334267,,,,140.461,percent of total billed charges,70.09260944,,,,140.461,percent of total billed charges,41.93813709,,,,140.461,percent of total billed charges,70.09260944,,,,140.461,percent of total billed charges,41.93813709,,,,140.461,percent of total billed charges,70.09260944,,,,140.461,percent of total billed charges,41.93813709,,,,139.082,percent of total billed charges,138.0267471,,,,139.082,percent of total billed charges,95.19595344,,,,,,,,,,141.84,percent of total billed charges,92.19266221,,,,,,,,,,141.84,percent of total billed charges,999999999,,,,,,,,,,157.6,percent of total billed charges,132.0606077,,,,155.63,percent of total billed charges,150.1896475,,,,155.63,percent of total billed charges,132.6975251,,,,157.6,percent of total billed charges,999999999,,,,157.6,percent of total billed charges,999999999,,,,137.9,percent of total billed charges,999999999,,,,137.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,104.804,percent of total billed charges,999999999,,,,,,,,,,,,,,,,99.485,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,49.25,percent of total billed charges,46.77545301,,,,,,,,,,49.25,percent of total billed charges,45.99737518,,,,,,,,,,49.25,percent of total billed charges,45.86955044,,,,,,,,,,49.25,percent of total billed charges,45.19412187,,,,,,,,,,49.25,percent of total billed charges,46.35703306,,,,,,,,,,49.25,percent of total billed charges,999999999,,,,,,,,,,49.25,percent of total billed charges,39.77759883,,,,,,,,,,49.25,percent of total billed charges,62.73201641,,,,,,,,,,49.25,percent of total billed charges,999999999,,,,,,,,,,49.25,percent of total billed charges,42.88997985,,,,,,,,,,177.3,percent of total billed charges,,,,,
FETAL FIBRONECTIN,82731,CDM,,,,both,,,872,872,185.6347997,872,872,percent of total billed charges,641.5613784,,,,872,percent of total billed charges,680.0423759,,,,872,percent of total billed charges,641.5613784,,,,872,percent of total billed charges,680.0423759,,,,872,percent of total billed charges,999999999,,,,872,percent of total billed charges,664.4040678,,,,872,percent of total billed charges,641.5613784,,,,872,percent of total billed charges,680.0423759,,,,621.736,percent of total billed charges,310.2576418,,,,621.736,percent of total billed charges,185.6347997,,,,621.736,percent of total billed charges,310.2576418,,,,621.736,percent of total billed charges,185.6347997,,,,621.736,percent of total billed charges,310.2576418,,,,621.736,percent of total billed charges,185.6347997,,,,615.632,percent of total billed charges,610.9610327,,,,615.632,percent of total billed charges,421.3749817,,,,,,,,,,627.84,percent of total billed charges,408.0812256,,,,,,,,,,627.84,percent of total billed charges,999999999,,,,,,,,,,697.6,percent of total billed charges,584.5525375,,,,688.88,percent of total billed charges,664.7988459,,,,688.88,percent of total billed charges,587.3717862,,,,697.6,percent of total billed charges,999999999,,,,697.6,percent of total billed charges,999999999,,,,610.4,percent of total billed charges,999999999,,,,610.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,463.904,percent of total billed charges,999999999,,,,,,,,,,,,,,,,440.36,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,218,percent of total billed charges,207.0466753,,,,,,,,,,218,percent of total billed charges,203.6025947,,,,,,,,,,218,percent of total billed charges,203.0367918,,,,,,,,,,218,percent of total billed charges,200.0470775,,,,,,,,,,218,percent of total billed charges,205.1945829,,,,,,,,,,218,percent of total billed charges,999999999,,,,,,,,,,218,percent of total billed charges,176.0714019,,,,,,,,,,218,percent of total billed charges,277.6767427,,,,,,,,,,218,percent of total billed charges,999999999,,,,,,,,,,218,percent of total billed charges,189.8480326,,,,,,,,,,784.8,percent of total billed charges,,,,,
**L-E PREP(*),86317,CDM,,,,both,,,108,108,22.99146602,108,108,percent of total billed charges,79.45943678,,,,108,percent of total billed charges,84.22543188,,,,108,percent of total billed charges,79.45943678,,,,108,percent of total billed charges,84.22543188,,,,108,percent of total billed charges,999999999,,,,108,percent of total billed charges,82.28857721,,,,108,percent of total billed charges,79.45943678,,,,108,percent of total billed charges,84.22543188,,,,77.004,percent of total billed charges,38.42640518,,,,77.004,percent of total billed charges,22.99146602,,,,77.004,percent of total billed charges,38.42640518,,,,77.004,percent of total billed charges,22.99146602,,,,77.004,percent of total billed charges,38.42640518,,,,77.004,percent of total billed charges,22.99146602,,,,76.248,percent of total billed charges,75.6694857,,,,76.248,percent of total billed charges,52.18864452,,,,,,,,,,77.76,percent of total billed charges,50.54217014,,,,,,,,,,77.76,percent of total billed charges,999999999,,,,,,,,,,86.4,percent of total billed charges,72.39870878,,,,85.32,percent of total billed charges,82.33747174,,,,85.32,percent of total billed charges,72.74788178,,,,86.4,percent of total billed charges,999999999,,,,86.4,percent of total billed charges,999999999,,,,75.6,percent of total billed charges,999999999,,,,75.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,57.456,percent of total billed charges,999999999,,,,,,,,,,,,,,,,54.54,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,27,percent of total billed charges,25.64339556,,,,,,,,,,27,percent of total billed charges,25.21683512,,,,,,,,,,27,percent of total billed charges,25.14675862,,,,,,,,,,27,percent of total billed charges,24.7764729,,,,,,,,,,27,percent of total billed charges,25.41400797,,,,,,,,,,27,percent of total billed charges,999999999,,,,,,,,,,27,percent of total billed charges,21.8070085,,,,,,,,,,27,percent of total billed charges,34.3911562,,,,,,,,,,27,percent of total billed charges,999999999,,,,,,,,,,27,percent of total billed charges,23.51328845,,,,,,,,,,97.2,percent of total billed charges,,,,,
PLATELET COUNT - AUTOMATED,85049,CDM,,,,both,,,126,126,26.82337702,126,126,percent of total billed charges,92.70267624,,,,126,percent of total billed charges,98.26300386,,,,126,percent of total billed charges,92.70267624,,,,126,percent of total billed charges,98.26300386,,,,126,percent of total billed charges,999999999,,,,126,percent of total billed charges,96.00334007,,,,126,percent of total billed charges,92.70267624,,,,126,percent of total billed charges,98.26300386,,,,89.838,percent of total billed charges,44.83080604,,,,89.838,percent of total billed charges,26.82337702,,,,89.838,percent of total billed charges,44.83080604,,,,89.838,percent of total billed charges,26.82337702,,,,89.838,percent of total billed charges,44.83080604,,,,89.838,percent of total billed charges,26.82337702,,,,88.956,percent of total billed charges,88.28106665,,,,88.956,percent of total billed charges,60.88675195,,,,,,,,,,90.72,percent of total billed charges,58.96586517,,,,,,,,,,90.72,percent of total billed charges,999999999,,,,,,,,,,100.8,percent of total billed charges,84.46516024,,,,99.54,percent of total billed charges,96.0603837,,,,99.54,percent of total billed charges,84.87252874,,,,100.8,percent of total billed charges,999999999,,,,100.8,percent of total billed charges,999999999,,,,88.2,percent of total billed charges,999999999,,,,88.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,67.032,percent of total billed charges,999999999,,,,,,,,,,,,,,,,63.63,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,31.5,percent of total billed charges,29.91729482,,,,,,,,,,31.5,percent of total billed charges,29.41964098,,,,,,,,,,31.5,percent of total billed charges,29.33788505,,,,,,,,,,31.5,percent of total billed charges,28.90588505,,,,,,,,,,31.5,percent of total billed charges,29.64967597,,,,,,,,,,31.5,percent of total billed charges,999999999,,,,,,,,,,31.5,percent of total billed charges,25.44150991,,,,,,,,,,31.5,percent of total billed charges,40.12301557,,,,,,,,,,31.5,percent of total billed charges,999999999,,,,,,,,,,31.5,percent of total billed charges,27.43216985,,,,,,,,,,113.4,percent of total billed charges,,,,,
PLATELET ANTIBODIES(*),86022,CDM,,,,both,,,396,396,84.30204207,396,396,percent of total billed charges,291.3512682,,,,396,percent of total billed charges,308.8265836,,,,396,percent of total billed charges,291.3512682,,,,396,percent of total billed charges,308.8265836,,,,396,percent of total billed charges,999999999,,,,396,percent of total billed charges,301.7247831,,,,396,percent of total billed charges,291.3512682,,,,396,percent of total billed charges,308.8265836,,,,282.348,percent of total billed charges,140.896819,,,,282.348,percent of total billed charges,84.30204207,,,,282.348,percent of total billed charges,140.896819,,,,282.348,percent of total billed charges,84.30204207,,,,282.348,percent of total billed charges,140.896819,,,,282.348,percent of total billed charges,84.30204207,,,,279.576,percent of total billed charges,277.4547809,,,,279.576,percent of total billed charges,191.3583633,,,,,,,,,,285.12,percent of total billed charges,185.3212905,,,,,,,,,,285.12,percent of total billed charges,999999999,,,,,,,,,,316.8,percent of total billed charges,265.4619322,,,,312.84,percent of total billed charges,301.904063,,,,312.84,percent of total billed charges,266.7422332,,,,316.8,percent of total billed charges,999999999,,,,316.8,percent of total billed charges,999999999,,,,277.2,percent of total billed charges,999999999,,,,277.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,210.672,percent of total billed charges,999999999,,,,,,,,,,,,,,,,199.98,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,99,percent of total billed charges,94.02578371,,,,,,,,,,99,percent of total billed charges,92.46172878,,,,,,,,,,99,percent of total billed charges,92.2047816,,,,,,,,,,99,percent of total billed charges,90.84706731,,,,,,,,,,99,percent of total billed charges,93.1846959,,,,,,,,,,99,percent of total billed charges,999999999,,,,,,,,,,99,percent of total billed charges,79.95903116,,,,,,,,,,99,percent of total billed charges,126.1009061,,,,,,,,,,99,percent of total billed charges,999999999,,,,,,,,,,99,percent of total billed charges,86.21539097,,,,,,,,,,356.4,percent of total billed charges,,,,,
PTT,85730,CDM,,,,both,,,144,144,30.65528803,144,144,percent of total billed charges,105.9459157,,,,144,percent of total billed charges,112.3005758,,,,144,percent of total billed charges,105.9459157,,,,144,percent of total billed charges,112.3005758,,,,144,percent of total billed charges,999999999,,,,144,percent of total billed charges,109.7181029,,,,144,percent of total billed charges,105.9459157,,,,144,percent of total billed charges,112.3005758,,,,102.672,percent of total billed charges,51.2352069,,,,102.672,percent of total billed charges,30.65528803,,,,102.672,percent of total billed charges,51.2352069,,,,102.672,percent of total billed charges,30.65528803,,,,102.672,percent of total billed charges,51.2352069,,,,102.672,percent of total billed charges,30.65528803,,,,101.664,percent of total billed charges,100.8926476,,,,101.664,percent of total billed charges,69.58485937,,,,,,,,,,103.68,percent of total billed charges,67.38956019,,,,,,,,,,103.68,percent of total billed charges,999999999,,,,,,,,,,115.2,percent of total billed charges,96.5316117,,,,113.76,percent of total billed charges,109.7832957,,,,113.76,percent of total billed charges,96.9971757,,,,115.2,percent of total billed charges,999999999,,,,115.2,percent of total billed charges,999999999,,,,100.8,percent of total billed charges,999999999,,,,100.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,76.608,percent of total billed charges,999999999,,,,,,,,,,,,,,,,72.72,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,36,percent of total billed charges,34.19119408,,,,,,,,,,36,percent of total billed charges,33.62244683,,,,,,,,,,36,percent of total billed charges,33.52901149,,,,,,,,,,36,percent of total billed charges,33.0352972,,,,,,,,,,36,percent of total billed charges,33.88534397,,,,,,,,,,36,percent of total billed charges,999999999,,,,,,,,,,36,percent of total billed charges,29.07601133,,,,,,,,,,36,percent of total billed charges,45.85487494,,,,,,,,,,36,percent of total billed charges,999999999,,,,,,,,,,36,percent of total billed charges,31.35105126,,,,,,,,,,129.6,percent of total billed charges,,,,,
FACTOR XI,85270,CDM,,,,both,,,433,433,92.17874802,433,433,percent of total billed charges,318.5734826,,,,433,percent of total billed charges,337.6815926,,,,433,percent of total billed charges,318.5734826,,,,433,percent of total billed charges,337.6815926,,,,433,percent of total billed charges,999999999,,,,433,percent of total billed charges,329.9162401,,,,433,percent of total billed charges,318.5734826,,,,433,percent of total billed charges,337.6815926,,,,308.729,percent of total billed charges,154.0614208,,,,308.729,percent of total billed charges,92.17874802,,,,308.729,percent of total billed charges,154.0614208,,,,308.729,percent of total billed charges,92.17874802,,,,308.729,percent of total billed charges,154.0614208,,,,308.729,percent of total billed charges,92.17874802,,,,305.698,percent of total billed charges,303.3785862,,,,305.698,percent of total billed charges,209.2378063,,,,,,,,,,311.76,percent of total billed charges,202.6366636,,,,,,,,,,311.76,percent of total billed charges,999999999,,,,,,,,,,346.4,percent of total billed charges,290.2651935,,,,342.07,percent of total billed charges,330.112271,,,,342.07,percent of total billed charges,291.6651186,,,,346.4,percent of total billed charges,999999999,,,,346.4,percent of total billed charges,999999999,,,,303.1,percent of total billed charges,999999999,,,,303.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,230.356,percent of total billed charges,999999999,,,,,,,,,,,,,,,,218.665,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,108.25,percent of total billed charges,102.8110211,,,,,,,,,,108.25,percent of total billed charges,101.1008297,,,,,,,,,,108.25,percent of total billed charges,100.8198748,,,,,,,,,,108.25,percent of total billed charges,99.3353034,,,,,,,,,,108.25,percent of total billed charges,101.8913468,,,,,,,,,,108.25,percent of total billed charges,999999999,,,,,,,,,,108.25,percent of total billed charges,87.42995073,,,,,,,,,,108.25,percent of total billed charges,137.8830614,,,,,,,,,,108.25,percent of total billed charges,999999999,,,,,,,,,,108.25,percent of total billed charges,94.27086942,,,,,,,,,,389.7,percent of total billed charges,,,,,
THROMBOPLASTIN TIME PARTIAL,85732,CDM,,,,both,,,108,108,22.99146602,108,108,percent of total billed charges,79.45943678,,,,108,percent of total billed charges,84.22543188,,,,108,percent of total billed charges,79.45943678,,,,108,percent of total billed charges,84.22543188,,,,108,percent of total billed charges,999999999,,,,108,percent of total billed charges,82.28857721,,,,108,percent of total billed charges,79.45943678,,,,108,percent of total billed charges,84.22543188,,,,77.004,percent of total billed charges,38.42640518,,,,77.004,percent of total billed charges,22.99146602,,,,77.004,percent of total billed charges,38.42640518,,,,77.004,percent of total billed charges,22.99146602,,,,77.004,percent of total billed charges,38.42640518,,,,77.004,percent of total billed charges,22.99146602,,,,76.248,percent of total billed charges,75.6694857,,,,76.248,percent of total billed charges,52.18864452,,,,,,,,,,77.76,percent of total billed charges,50.54217014,,,,,,,,,,77.76,percent of total billed charges,999999999,,,,,,,,,,86.4,percent of total billed charges,72.39870878,,,,85.32,percent of total billed charges,82.33747174,,,,85.32,percent of total billed charges,72.74788178,,,,86.4,percent of total billed charges,999999999,,,,86.4,percent of total billed charges,999999999,,,,75.6,percent of total billed charges,999999999,,,,75.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,57.456,percent of total billed charges,999999999,,,,,,,,,,,,,,,,54.54,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,27,percent of total billed charges,25.64339556,,,,,,,,,,27,percent of total billed charges,25.21683512,,,,,,,,,,27,percent of total billed charges,25.14675862,,,,,,,,,,27,percent of total billed charges,24.7764729,,,,,,,,,,27,percent of total billed charges,25.41400797,,,,,,,,,,27,percent of total billed charges,999999999,,,,,,,,,,27,percent of total billed charges,21.8070085,,,,,,,,,,27,percent of total billed charges,34.3911562,,,,,,,,,,27,percent of total billed charges,999999999,,,,,,,,,,27,percent of total billed charges,23.51328845,,,,,,,,,,97.2,percent of total billed charges,,,,,
F2/ PROTHROMBIN,81240,CDM,,,,both,,,648,648,137.9487961,648,648,percent of total billed charges,476.7566207,,,,648,percent of total billed charges,505.3525913,,,,648,percent of total billed charges,476.7566207,,,,648,percent of total billed charges,505.3525913,,,,648,percent of total billed charges,999999999,,,,648,percent of total billed charges,493.7314632,,,,648,percent of total billed charges,476.7566207,,,,648,percent of total billed charges,505.3525913,,,,462.024,percent of total billed charges,230.5584311,,,,462.024,percent of total billed charges,137.9487961,,,,462.024,percent of total billed charges,230.5584311,,,,462.024,percent of total billed charges,137.9487961,,,,462.024,percent of total billed charges,230.5584311,,,,462.024,percent of total billed charges,137.9487961,,,,457.488,percent of total billed charges,454.0169142,,,,457.488,percent of total billed charges,313.1318671,,,,,,,,,,466.56,percent of total billed charges,303.2530209,,,,,,,,,,466.56,percent of total billed charges,999999999,,,,,,,,,,518.4,percent of total billed charges,434.3922527,,,,511.92,percent of total billed charges,494.0248304,,,,511.92,percent of total billed charges,436.4872907,,,,518.4,percent of total billed charges,999999999,,,,518.4,percent of total billed charges,999999999,,,,453.6,percent of total billed charges,999999999,,,,453.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,344.736,percent of total billed charges,999999999,,,,,,,,,,,,,,,,327.24,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,162,percent of total billed charges,153.8603734,,,,,,,,,,162,percent of total billed charges,151.3010107,,,,,,,,,,162,percent of total billed charges,150.8805517,,,,,,,,,,162,percent of total billed charges,148.6588374,,,,,,,,,,162,percent of total billed charges,152.4840478,,,,,,,,,,162,percent of total billed charges,999999999,,,,,,,,,,162,percent of total billed charges,130.842051,,,,,,,,,,162,percent of total billed charges,206.3469372,,,,,,,,,,162,percent of total billed charges,999999999,,,,,,,,,,162,percent of total billed charges,141.0797307,,,,,,,,,,583.2,percent of total billed charges,,,,,
FACTOR II,85210,CDM,,,,both,,,361,361,76.85110401,361,361,percent of total billed charges,265.6005248,,,,361,percent of total billed charges,281.5313047,,,,361,percent of total billed charges,265.6005248,,,,361,percent of total billed charges,281.5313047,,,,361,percent of total billed charges,999999999,,,,361,percent of total billed charges,275.0571886,,,,361,percent of total billed charges,265.6005248,,,,361,percent of total billed charges,281.5313047,,,,257.393,percent of total billed charges,128.4438173,,,,257.393,percent of total billed charges,76.85110401,,,,257.393,percent of total billed charges,128.4438173,,,,257.393,percent of total billed charges,76.85110401,,,,257.393,percent of total billed charges,128.4438173,,,,257.393,percent of total billed charges,76.85110401,,,,254.866,percent of total billed charges,252.9322624,,,,254.866,percent of total billed charges,174.4453766,,,,,,,,,,259.92,percent of total billed charges,168.9418835,,,,,,,,,,259.92,percent of total billed charges,999999999,,,,,,,,,,288.8,percent of total billed charges,241.9993877,,,,285.19,percent of total billed charges,275.2206231,,,,285.19,percent of total billed charges,243.1665308,,,,288.8,percent of total billed charges,999999999,,,,288.8,percent of total billed charges,999999999,,,,252.7,percent of total billed charges,999999999,,,,252.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,192.052,percent of total billed charges,999999999,,,,,,,,,,,,,,,,182.305,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,90.25,percent of total billed charges,85.71542404,,,,,,,,,,90.25,percent of total billed charges,84.28960629,,,,,,,,,,90.25,percent of total billed charges,84.05536908,,,,,,,,,,90.25,percent of total billed charges,82.81765479,,,,,,,,,,90.25,percent of total billed charges,84.9486748,,,,,,,,,,90.25,percent of total billed charges,999999999,,,,,,,,,,90.25,percent of total billed charges,72.89194507,,,,,,,,,,90.25,percent of total billed charges,114.955624,,,,,,,,,,90.25,percent of total billed charges,999999999,,,,,,,,,,90.25,percent of total billed charges,78.59534379,,,,,,,,,,324.9,percent of total billed charges,,,,,
HEXAGNAL PHOSPH PLT NEUTRL,85598,CDM,,,,both,,,165,165,35.12585086,165,165,percent of total billed charges,121.3963617,,,,165,percent of total billed charges,128.6777432,,,,165,percent of total billed charges,121.3963617,,,,165,percent of total billed charges,128.6777432,,,,165,percent of total billed charges,999999999,,,,165,percent of total billed charges,125.7186596,,,,165,percent of total billed charges,121.3963617,,,,165,percent of total billed charges,128.6777432,,,,117.645,percent of total billed charges,58.70700791,,,,117.645,percent of total billed charges,35.12585086,,,,117.645,percent of total billed charges,58.70700791,,,,117.645,percent of total billed charges,35.12585086,,,,117.645,percent of total billed charges,58.70700791,,,,117.645,percent of total billed charges,35.12585086,,,,116.49,percent of total billed charges,115.6061587,,,,116.49,percent of total billed charges,79.73265136,,,,,,,,,,118.8,percent of total billed charges,77.21720438,,,,,,,,,,118.8,percent of total billed charges,999999999,,,,,,,,,,132,percent of total billed charges,110.6091384,,,,130.35,percent of total billed charges,125.7933596,,,,130.35,percent of total billed charges,111.1425972,,,,132,percent of total billed charges,999999999,,,,132,percent of total billed charges,999999999,,,,115.5,percent of total billed charges,999999999,,,,115.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,87.78,percent of total billed charges,999999999,,,,,,,,,,,,,,,,83.325,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,41.25,percent of total billed charges,39.17740988,,,,,,,,,,41.25,percent of total billed charges,38.52572033,,,,,,,,,,41.25,percent of total billed charges,38.418659,,,,,,,,,,41.25,percent of total billed charges,37.85294471,,,,,,,,,,41.25,percent of total billed charges,38.82695663,,,,,,,,,,41.25,percent of total billed charges,999999999,,,,,,,,,,41.25,percent of total billed charges,33.31626298,,,,,,,,,,41.25,percent of total billed charges,52.5420442,,,,,,,,,,41.25,percent of total billed charges,999999999,,,,,,,,,,41.25,percent of total billed charges,35.92307957,,,,,,,,,,148.5,percent of total billed charges,,,,,
PROTHROMBIN TIME,85610,CDM,,,,both,,,103,103,21.9270463,103,103,percent of total billed charges,75.78075915,,,,103,percent of total billed charges,80.32610633,,,,103,percent of total billed charges,75.78075915,,,,103,percent of total billed charges,80.32610633,,,,103,percent of total billed charges,999999999,,,,103,percent of total billed charges,78.47892085,,,,103,percent of total billed charges,75.78075915,,,,103,percent of total billed charges,80.32610633,,,,73.439,percent of total billed charges,36.64740494,,,,73.439,percent of total billed charges,21.9270463,,,,73.439,percent of total billed charges,36.64740494,,,,73.439,percent of total billed charges,21.9270463,,,,73.439,percent of total billed charges,36.64740494,,,,73.439,percent of total billed charges,21.9270463,,,,72.718,percent of total billed charges,72.16626877,,,,72.718,percent of total billed charges,49.77250357,,,,,,,,,,74.16,percent of total billed charges,48.20225486,,,,,,,,,,74.16,percent of total billed charges,999999999,,,,,,,,,,82.4,percent of total billed charges,69.0469167,,,,81.37,percent of total billed charges,78.52555175,,,,81.37,percent of total billed charges,69.37992429,,,,82.4,percent of total billed charges,999999999,,,,82.4,percent of total billed charges,999999999,,,,72.1,percent of total billed charges,999999999,,,,72.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,54.796,percent of total billed charges,999999999,,,,,,,,,,,,,,,,52.015,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,25.75,percent of total billed charges,24.45620132,,,,,,,,,,25.75,percent of total billed charges,24.04938905,,,,,,,,,,25.75,percent of total billed charges,23.98255683,,,,,,,,,,25.75,percent of total billed charges,23.62941397,,,,,,,,,,25.75,percent of total billed charges,24.23743353,,,,,,,,,,25.75,percent of total billed charges,999999999,,,,,,,,,,25.75,percent of total billed charges,20.79742477,,,,,,,,,,25.75,percent of total billed charges,32.79897305,,,,,,,,,,25.75,percent of total billed charges,999999999,,,,,,,,,,25.75,percent of total billed charges,22.42471028,,,,,,,,,,92.7,percent of total billed charges,,,,,
HEPARIN ANTI XA,85520,CDM,,,,both,,,377,377,80.25724712,377,377,percent of total billed charges,277.3722932,,,,377,percent of total billed charges,294.0091465,,,,377,percent of total billed charges,277.3722932,,,,377,percent of total billed charges,294.0091465,,,,377,percent of total billed charges,999999999,,,,377,percent of total billed charges,287.248089,,,,377,percent of total billed charges,277.3722932,,,,377,percent of total billed charges,294.0091465,,,,268.801,percent of total billed charges,134.1366181,,,,268.801,percent of total billed charges,80.25724712,,,,268.801,percent of total billed charges,134.1366181,,,,268.801,percent of total billed charges,80.25724712,,,,268.801,percent of total billed charges,134.1366181,,,,268.801,percent of total billed charges,80.25724712,,,,266.162,percent of total billed charges,264.1425565,,,,266.162,percent of total billed charges,182.1770276,,,,,,,,,,271.44,percent of total billed charges,176.4296124,,,,,,,,,,271.44,percent of total billed charges,999999999,,,,,,,,,,301.6,percent of total billed charges,252.7251223,,,,297.83,percent of total billed charges,287.4187671,,,,297.83,percent of total billed charges,253.9439947,,,,301.6,percent of total billed charges,999999999,,,,301.6,percent of total billed charges,999999999,,,,263.9,percent of total billed charges,999999999,,,,263.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,200.564,percent of total billed charges,999999999,,,,,,,,,,,,,,,,190.385,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,94.25,percent of total billed charges,89.51444561,,,,,,,,,,94.25,percent of total billed charges,88.02543371,,,,,,,,,,94.25,percent of total billed charges,87.7808148,,,,,,,,,,94.25,percent of total billed charges,86.48824337,,,,,,,,,,94.25,percent of total billed charges,88.71371302,,,,,,,,,,94.25,percent of total billed charges,999999999,,,,,,,,,,94.25,percent of total billed charges,76.12261299,,,,,,,,,,94.25,percent of total billed charges,120.0506101,,,,,,,,,,94.25,percent of total billed charges,999999999,,,,,,,,,,94.25,percent of total billed charges,82.07879393,,,,,,,,,,339.3,percent of total billed charges,,,,,
**URINE FOR EOSINOPHILS,81099,CDM,,,,both,,,29,29,6.173634394,29,29,percent of total billed charges,21.33633025,,,,29,percent of total billed charges,22.61608819,,,,29,percent of total billed charges,21.33633025,,,,29,percent of total billed charges,22.61608819,,,,29,percent of total billed charges,999999999,,,,29,percent of total billed charges,22.09600684,,,,29,percent of total billed charges,21.33633025,,,,29,percent of total billed charges,22.61608819,,,,20.677,percent of total billed charges,10.31820139,,,,20.677,percent of total billed charges,6.173634394,,,,20.677,percent of total billed charges,10.31820139,,,,20.677,percent of total billed charges,6.173634394,,,,20.677,percent of total billed charges,10.31820139,,,,20.677,percent of total billed charges,6.173634394,,,,20.474,percent of total billed charges,20.3186582,,,,20.474,percent of total billed charges,14.01361751,,,,,,,,,,20.88,percent of total billed charges,13.57150865,,,,,,,,,,20.88,percent of total billed charges,999999999,,,,,,,,,,23.2,percent of total billed charges,19.44039402,,,,22.91,percent of total billed charges,22.10913593,,,,22.91,percent of total billed charges,19.53415344,,,,23.2,percent of total billed charges,999999999,,,,23.2,percent of total billed charges,999999999,,,,20.3,percent of total billed charges,999999999,,,,20.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,15.428,percent of total billed charges,999999999,,,,,,,,,,,,,,,,14.645,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7.25,percent of total billed charges,6.885726585,,,,,,,,,,7.25,percent of total billed charges,6.771187209,,,,,,,,,,7.25,percent of total billed charges,6.752370369,,,,,,,,,,7.25,percent of total billed charges,6.652941798,,,,,,,,,,7.25,percent of total billed charges,6.824131771,,,,,,,,,,7.25,percent of total billed charges,999999999,,,,,,,,,,7.25,percent of total billed charges,5.855585615,,,,,,,,,,7.25,percent of total billed charges,9.234662314,,,,,,,,,,7.25,percent of total billed charges,999999999,,,,,,,,,,7.25,percent of total billed charges,6.313753379,,,,,,,,,,26.1,percent of total billed charges,,,,,
MIXING STUDIES PLASMA FRACTIONS,85611,CDM,,,,both,,,118,118,25.12030547,118,118,percent of total billed charges,86.81679204,,,,118,percent of total billed charges,92.02408298,,,,118,percent of total billed charges,86.81679204,,,,118,percent of total billed charges,92.02408298,,,,118,percent of total billed charges,999999999,,,,118,percent of total billed charges,89.90788991,,,,118,percent of total billed charges,86.81679204,,,,118,percent of total billed charges,92.02408298,,,,84.134,percent of total billed charges,41.98440566,,,,84.134,percent of total billed charges,25.12030547,,,,84.134,percent of total billed charges,41.98440566,,,,84.134,percent of total billed charges,25.12030547,,,,84.134,percent of total billed charges,41.98440566,,,,84.134,percent of total billed charges,25.12030547,,,,83.308,percent of total billed charges,82.67591956,,,,83.308,percent of total billed charges,57.02092642,,,,,,,,,,84.96,percent of total billed charges,55.22200071,,,,,,,,,,84.96,percent of total billed charges,999999999,,,,,,,,,,94.4,percent of total billed charges,79.10229292,,,,93.22,percent of total billed charges,89.96131171,,,,93.22,percent of total billed charges,79.48379676,,,,94.4,percent of total billed charges,999999999,,,,94.4,percent of total billed charges,999999999,,,,82.6,percent of total billed charges,999999999,,,,82.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,62.776,percent of total billed charges,999999999,,,,,,,,,,,,,,,,59.59,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,29.5,percent of total billed charges,28.01778404,,,,,,,,,,29.5,percent of total billed charges,27.55172726,,,,,,,,,,29.5,percent of total billed charges,27.47516219,,,,,,,,,,29.5,percent of total billed charges,27.07059076,,,,,,,,,,29.5,percent of total billed charges,27.76715686,,,,,,,,,,29.5,percent of total billed charges,999999999,,,,,,,,,,29.5,percent of total billed charges,23.82617595,,,,,,,,,,29.5,percent of total billed charges,37.57552252,,,,,,,,,,29.5,percent of total billed charges,999999999,,,,,,,,,,29.5,percent of total billed charges,25.69044478,,,,,,,,,,106.2,percent of total billed charges,,,,,
**RETICULOCYTE COUNT - MANUAL,85044,CDM,,,,both,,,125,125,26.61049308,125,125,percent of total billed charges,91.96694072,,,,125,percent of total billed charges,97.48313875,,,,125,percent of total billed charges,91.96694072,,,,125,percent of total billed charges,97.48313875,,,,125,percent of total billed charges,999999999,,,,125,percent of total billed charges,95.2414088,,,,125,percent of total billed charges,91.96694072,,,,125,percent of total billed charges,97.48313875,,,,89.125,percent of total billed charges,44.47500599,,,,89.125,percent of total billed charges,26.61049308,,,,89.125,percent of total billed charges,44.47500599,,,,89.125,percent of total billed charges,26.61049308,,,,89.125,percent of total billed charges,44.47500599,,,,89.125,percent of total billed charges,26.61049308,,,,88.25,percent of total billed charges,87.58042326,,,,88.25,percent of total billed charges,60.40352376,,,,,,,,,,90,percent of total billed charges,58.49788211,,,,,,,,,,90,percent of total billed charges,999999999,,,,,,,,,,100,percent of total billed charges,83.79480182,,,,98.75,percent of total billed charges,95.2979997,,,,98.75,percent of total billed charges,84.19893724,,,,100,percent of total billed charges,999999999,,,,100,percent of total billed charges,999999999,,,,87.5,percent of total billed charges,999999999,,,,87.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,66.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,63.125,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,31.25,percent of total billed charges,29.67985597,,,,,,,,,,31.25,percent of total billed charges,29.18615176,,,,,,,,,,31.25,percent of total billed charges,29.1050447,,,,,,,,,,31.25,percent of total billed charges,28.67647327,,,,,,,,,,31.25,percent of total billed charges,29.41436108,,,,,,,,,,31.25,percent of total billed charges,999999999,,,,,,,,,,31.25,percent of total billed charges,25.23959317,,,,,,,,,,31.25,percent of total billed charges,39.80457894,,,,,,,,,,31.25,percent of total billed charges,999999999,,,,,,,,,,31.25,percent of total billed charges,27.21445422,,,,,,,,,,112.5,percent of total billed charges,,,,,
RETICULOCYTE AUTOMATED,85045,CDM,,,,both,,,102,102,21.71416235,102,102,percent of total billed charges,75.04502362,,,,102,percent of total billed charges,79.54624122,,,,102,percent of total billed charges,75.04502362,,,,102,percent of total billed charges,79.54624122,,,,102,percent of total billed charges,999999999,,,,102,percent of total billed charges,77.71698958,,,,102,percent of total billed charges,75.04502362,,,,102,percent of total billed charges,79.54624122,,,,72.726,percent of total billed charges,36.29160489,,,,72.726,percent of total billed charges,21.71416235,,,,72.726,percent of total billed charges,36.29160489,,,,72.726,percent of total billed charges,21.71416235,,,,72.726,percent of total billed charges,36.29160489,,,,72.726,percent of total billed charges,21.71416235,,,,72.012,percent of total billed charges,71.46562538,,,,72.012,percent of total billed charges,49.28927538,,,,,,,,,,73.44,percent of total billed charges,47.7342718,,,,,,,,,,73.44,percent of total billed charges,999999999,,,,,,,,,,81.6,percent of total billed charges,68.37655829,,,,80.58,percent of total billed charges,77.76316775,,,,80.58,percent of total billed charges,68.70633279,,,,81.6,percent of total billed charges,999999999,,,,81.6,percent of total billed charges,999999999,,,,71.4,percent of total billed charges,999999999,,,,71.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,54.264,percent of total billed charges,999999999,,,,,,,,,,,,,,,,51.51,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,25.5,percent of total billed charges,24.21876247,,,,,,,,,,25.5,percent of total billed charges,23.81589984,,,,,,,,,,25.5,percent of total billed charges,23.74971647,,,,,,,,,,25.5,percent of total billed charges,23.40000219,,,,,,,,,,25.5,percent of total billed charges,24.00211864,,,,,,,,,,25.5,percent of total billed charges,999999999,,,,,,,,,,25.5,percent of total billed charges,20.59550803,,,,,,,,,,25.5,percent of total billed charges,32.48053641,,,,,,,,,,25.5,percent of total billed charges,999999999,,,,,,,,,,25.5,percent of total billed charges,22.20699464,,,,,,,,,,91.8,percent of total billed charges,,,,,
SED RATE,85652,CDM,,,,both,,,110,110,23.41723391,110,110,percent of total billed charges,80.93090783,,,,110,percent of total billed charges,85.7851621,,,,110,percent of total billed charges,80.93090783,,,,110,percent of total billed charges,85.7851621,,,,110,percent of total billed charges,999999999,,,,110,percent of total billed charges,83.81243975,,,,110,percent of total billed charges,80.93090783,,,,110,percent of total billed charges,85.7851621,,,,78.43,percent of total billed charges,39.13800527,,,,78.43,percent of total billed charges,23.41723391,,,,78.43,percent of total billed charges,39.13800527,,,,78.43,percent of total billed charges,23.41723391,,,,78.43,percent of total billed charges,39.13800527,,,,78.43,percent of total billed charges,23.41723391,,,,77.66,percent of total billed charges,77.07077247,,,,77.66,percent of total billed charges,53.1551009,,,,,,,,,,79.2,percent of total billed charges,51.47813626,,,,,,,,,,79.2,percent of total billed charges,999999999,,,,,,,,,,88,percent of total billed charges,73.73942561,,,,86.9,percent of total billed charges,83.86223973,,,,86.9,percent of total billed charges,74.09506477,,,,88,percent of total billed charges,999999999,,,,88,percent of total billed charges,999999999,,,,77,percent of total billed charges,999999999,,,,77,percent of total billed charges,999999999,,,,,,,,,,,,,,,,58.52,percent of total billed charges,999999999,,,,,,,,,,,,,,,,55.55,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,27.5,percent of total billed charges,26.11827325,,,,,,,,,,27.5,percent of total billed charges,25.68381355,,,,,,,,,,27.5,percent of total billed charges,25.61243933,,,,,,,,,,27.5,percent of total billed charges,25.23529647,,,,,,,,,,27.5,percent of total billed charges,25.88463775,,,,,,,,,,27.5,percent of total billed charges,999999999,,,,,,,,,,27.5,percent of total billed charges,22.21084199,,,,,,,,,,27.5,percent of total billed charges,35.02802947,,,,,,,,,,27.5,percent of total billed charges,999999999,,,,,,,,,,27.5,percent of total billed charges,23.94871971,,,,,,,,,,99,percent of total billed charges,,,,,
PROGESTERONE RECEPTOR ASSAY (*),84234,CDM,,,,both,,,632,632,134.542653,632,632,percent of total billed charges,464.9848523,,,,632,percent of total billed charges,492.8747495,,,,632,percent of total billed charges,464.9848523,,,,632,percent of total billed charges,492.8747495,,,,632,percent of total billed charges,999999999,,,,632,percent of total billed charges,481.5405629,,,,632,percent of total billed charges,464.9848523,,,,632,percent of total billed charges,492.8747495,,,,450.616,percent of total billed charges,224.8656303,,,,450.616,percent of total billed charges,134.542653,,,,450.616,percent of total billed charges,224.8656303,,,,450.616,percent of total billed charges,134.542653,,,,450.616,percent of total billed charges,224.8656303,,,,450.616,percent of total billed charges,134.542653,,,,446.192,percent of total billed charges,442.80662,,,,446.192,percent of total billed charges,305.4002161,,,,,,,,,,455.04,percent of total billed charges,295.7652919,,,,,,,,,,455.04,percent of total billed charges,999999999,,,,,,,,,,505.6,percent of total billed charges,423.666518,,,,499.28,percent of total billed charges,481.8266865,,,,499.28,percent of total billed charges,425.7098267,,,,505.6,percent of total billed charges,999999999,,,,505.6,percent of total billed charges,999999999,,,,442.4,percent of total billed charges,999999999,,,,442.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,336.224,percent of total billed charges,999999999,,,,,,,,,,,,,,,,319.16,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,158,percent of total billed charges,150.0613518,,,,,,,,,,158,percent of total billed charges,147.5651833,,,,,,,,,,158,percent of total billed charges,147.155106,,,,,,,,,,158,percent of total billed charges,144.9882488,,,,,,,,,,158,percent of total billed charges,148.7190096,,,,,,,,,,158,percent of total billed charges,999999999,,,,,,,,,,158,percent of total billed charges,127.6113831,,,,,,,,,,158,percent of total billed charges,201.2519511,,,,,,,,,,158,percent of total billed charges,999999999,,,,,,,,,,158,percent of total billed charges,137.5962805,,,,,,,,,,568.8,percent of total billed charges,,,,,
SPERM COUNT(*),89320,CDM,,,,both,,,302,302,64.29095128,302,302,percent of total billed charges,222.1921288,,,,302,percent of total billed charges,235.5192632,,,,302,percent of total billed charges,222.1921288,,,,302,percent of total billed charges,235.5192632,,,,302,percent of total billed charges,999999999,,,,302,percent of total billed charges,230.1032437,,,,302,percent of total billed charges,222.1921288,,,,302,percent of total billed charges,235.5192632,,,,215.326,percent of total billed charges,107.4516145,,,,215.326,percent of total billed charges,64.29095128,,,,215.326,percent of total billed charges,107.4516145,,,,215.326,percent of total billed charges,64.29095128,,,,215.326,percent of total billed charges,107.4516145,,,,215.326,percent of total billed charges,64.29095128,,,,213.212,percent of total billed charges,211.5943026,,,,213.212,percent of total billed charges,145.9349134,,,,,,,,,,217.44,percent of total billed charges,141.3308832,,,,,,,,,,217.44,percent of total billed charges,999999999,,,,,,,,,,241.6,percent of total billed charges,202.4482412,,,,238.58,percent of total billed charges,230.2399673,,,,238.58,percent of total billed charges,203.4246324,,,,241.6,percent of total billed charges,999999999,,,,241.6,percent of total billed charges,999999999,,,,211.4,percent of total billed charges,999999999,,,,211.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,160.664,percent of total billed charges,999999999,,,,,,,,,,,,,,,,152.51,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,75.5,percent of total billed charges,71.70653202,,,,,,,,,,75.5,percent of total billed charges,70.51374266,,,,,,,,,,75.5,percent of total billed charges,70.31778798,,,,,,,,,,75.5,percent of total billed charges,69.28235941,,,,,,,,,,75.5,percent of total billed charges,71.06509637,,,,,,,,,,75.5,percent of total billed charges,999999999,,,,,,,,,,75.5,percent of total billed charges,60.97885709,,,,,,,,,,75.5,percent of total billed charges,96.16786272,,,,,,,,,,75.5,percent of total billed charges,999999999,,,,,,,,,,75.5,percent of total billed charges,65.7501214,,,,,,,,,,271.8,percent of total billed charges,,,,,
RESP. COVID/FLU/RSV,0241U,CDM,,,,both,,,234,234,49.81484304,234,234,percent of total billed charges,172.162113,,,,234,percent of total billed charges,182.4884357,,,,234,percent of total billed charges,172.162113,,,,234,percent of total billed charges,182.4884357,,,,234,percent of total billed charges,999999999,,,,234,percent of total billed charges,178.2919173,,,,234,percent of total billed charges,172.162113,,,,234,percent of total billed charges,182.4884357,,,,166.842,percent of total billed charges,83.25721121,,,,166.842,percent of total billed charges,49.81484304,,,,166.842,percent of total billed charges,83.25721121,,,,166.842,percent of total billed charges,49.81484304,,,,166.842,percent of total billed charges,83.25721121,,,,166.842,percent of total billed charges,49.81484304,,,,165.204,percent of total billed charges,163.9505523,,,,165.204,percent of total billed charges,113.0753965,,,,,,,,,,168.48,percent of total billed charges,109.5080353,,,,,,,,,,168.48,percent of total billed charges,999999999,,,,,,,,,,187.2,percent of total billed charges,156.863869,,,,184.86,percent of total billed charges,178.3978554,,,,184.86,percent of total billed charges,157.6204105,,,,187.2,percent of total billed charges,999999999,,,,187.2,percent of total billed charges,999999999,,,,163.8,percent of total billed charges,999999999,,,,163.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,124.488,percent of total billed charges,999999999,,,,,,,,,,,,,,,,118.17,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,58.5,percent of total billed charges,55.56069038,,,,,,,,,,58.5,percent of total billed charges,54.6364761,,,,,,,,,,58.5,percent of total billed charges,54.48464367,,,,,,,,,,58.5,percent of total billed charges,53.68235795,,,,,,,,,,58.5,percent of total billed charges,55.06368394,,,,,,,,,,58.5,percent of total billed charges,999999999,,,,,,,,,,58.5,percent of total billed charges,47.24851841,,,,,,,,,,58.5,percent of total billed charges,74.51417178,,,,,,,,,,58.5,percent of total billed charges,999999999,,,,,,,,,,58.5,percent of total billed charges,50.9454583,,,,,,,,,,210.6,percent of total billed charges,,,,,
RSV,87801,CDM,,,,both,,,508,508,108.1450439,508,508,percent of total billed charges,373.7536471,,,,508,percent of total billed charges,396.1714759,,,,508,percent of total billed charges,373.7536471,,,,508,percent of total billed charges,396.1714759,,,,508,percent of total billed charges,999999999,,,,508,percent of total billed charges,387.0610854,,,,508,percent of total billed charges,373.7536471,,,,508,percent of total billed charges,396.1714759,,,,362.204,percent of total billed charges,180.7464243,,,,362.204,percent of total billed charges,108.1450439,,,,362.204,percent of total billed charges,180.7464243,,,,362.204,percent of total billed charges,108.1450439,,,,362.204,percent of total billed charges,180.7464243,,,,362.204,percent of total billed charges,108.1450439,,,,358.648,percent of total billed charges,355.9268401,,,,358.648,percent of total billed charges,245.4799205,,,,,,,,,,365.76,percent of total billed charges,237.7353929,,,,,,,,,,365.76,percent of total billed charges,999999999,,,,,,,,,,406.4,percent of total billed charges,340.5420746,,,,401.32,percent of total billed charges,387.2910708,,,,401.32,percent of total billed charges,342.184481,,,,406.4,percent of total billed charges,999999999,,,,406.4,percent of total billed charges,999999999,,,,355.6,percent of total billed charges,999999999,,,,355.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,270.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,256.54,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,127,percent of total billed charges,120.6189347,,,,,,,,,,127,percent of total billed charges,118.6125208,,,,,,,,,,127,percent of total billed charges,118.2829016,,,,,,,,,,127,percent of total billed charges,116.5411874,,,,,,,,,,127,percent of total billed charges,119.5399634,,,,,,,,,,127,percent of total billed charges,999999999,,,,,,,,,,127,percent of total billed charges,102.5737066,,,,,,,,,,127,percent of total billed charges,161.7658088,,,,,,,,,,127,percent of total billed charges,999999999,,,,,,,,,,127,percent of total billed charges,110.599542,,,,,,,,,,457.2,percent of total billed charges,,,,,
AG DETECTION POLYVAL IF,87300,CDM,,,,both,,,176,176,37.46757425,176,176,percent of total billed charges,129.4894525,,,,176,percent of total billed charges,137.2562594,,,,176,percent of total billed charges,129.4894525,,,,176,percent of total billed charges,137.2562594,,,,176,percent of total billed charges,999999999,,,,176,percent of total billed charges,134.0999036,,,,176,percent of total billed charges,129.4894525,,,,176,percent of total billed charges,137.2562594,,,,125.488,percent of total billed charges,62.62080844,,,,125.488,percent of total billed charges,37.46757425,,,,125.488,percent of total billed charges,62.62080844,,,,125.488,percent of total billed charges,37.46757425,,,,125.488,percent of total billed charges,62.62080844,,,,125.488,percent of total billed charges,37.46757425,,,,124.256,percent of total billed charges,123.3132359,,,,124.256,percent of total billed charges,85.04816145,,,,,,,,,,126.72,percent of total billed charges,82.36501801,,,,,,,,,,126.72,percent of total billed charges,999999999,,,,,,,,,,140.8,percent of total billed charges,117.983081,,,,139.04,percent of total billed charges,134.1795836,,,,139.04,percent of total billed charges,118.5521036,,,,140.8,percent of total billed charges,999999999,,,,140.8,percent of total billed charges,999999999,,,,123.2,percent of total billed charges,999999999,,,,123.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,93.632,percent of total billed charges,999999999,,,,,,,,,,,,,,,,88.88,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,44,percent of total billed charges,41.78923721,,,,,,,,,,44,percent of total billed charges,41.09410168,,,,,,,,,,44,percent of total billed charges,40.97990293,,,,,,,,,,44,percent of total billed charges,40.37647436,,,,,,,,,,44,percent of total billed charges,41.4154204,,,,,,,,,,44,percent of total billed charges,999999999,,,,,,,,,,44,percent of total billed charges,35.53734718,,,,,,,,,,44,percent of total billed charges,56.04484715,,,,,,,,,,44,percent of total billed charges,999999999,,,,,,,,,,44,percent of total billed charges,38.31795154,,,,,,,,,,158.4,percent of total billed charges,,,,,
COVID-19-SARS-COV-2-MMC,87635,CDM,,,,both,,,331,331,70.46458567,331,331,percent of total billed charges,243.528459,,,,331,percent of total billed charges,258.1353514,,,,331,percent of total billed charges,243.528459,,,,331,percent of total billed charges,258.1353514,,,,331,percent of total billed charges,999999999,,,,331,percent of total billed charges,252.1992505,,,,331,percent of total billed charges,243.528459,,,,331,percent of total billed charges,258.1353514,,,,236.003,percent of total billed charges,117.7698159,,,,236.003,percent of total billed charges,70.46458567,,,,236.003,percent of total billed charges,117.7698159,,,,236.003,percent of total billed charges,70.46458567,,,,236.003,percent of total billed charges,117.7698159,,,,236.003,percent of total billed charges,70.46458567,,,,233.686,percent of total billed charges,231.9129608,,,,233.686,percent of total billed charges,159.9485309,,,,,,,,,,238.32,percent of total billed charges,154.9023918,,,,,,,,,,238.32,percent of total billed charges,999999999,,,,,,,,,,264.8,percent of total billed charges,221.8886352,,,,261.49,percent of total billed charges,252.3491032,,,,261.49,percent of total billed charges,222.9587858,,,,264.8,percent of total billed charges,999999999,,,,264.8,percent of total billed charges,999999999,,,,231.7,percent of total billed charges,999999999,,,,231.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,176.092,percent of total billed charges,999999999,,,,,,,,,,,,,,,,167.155,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,82.75,percent of total billed charges,78.59225861,,,,,,,,,,82.75,percent of total billed charges,77.28492986,,,,,,,,,,82.75,percent of total billed charges,77.07015835,,,,,,,,,,82.75,percent of total billed charges,75.93530121,,,,,,,,,,82.75,percent of total billed charges,77.88922814,,,,,,,,,,82.75,percent of total billed charges,999999999,,,,,,,,,,82.75,percent of total billed charges,66.83444271,,,,,,,,,,82.75,percent of total billed charges,105.402525,,,,,,,,,,82.75,percent of total billed charges,999999999,,,,,,,,,,82.75,percent of total billed charges,72.06387478,,,,,,,,,,297.9,percent of total billed charges,,,,,
**COVID-19-SARS-COV2-REF,87635,CDM,,,,both,,,331,331,70.46458567,331,331,percent of total billed charges,243.528459,,,,331,percent of total billed charges,258.1353514,,,,331,percent of total billed charges,243.528459,,,,331,percent of total billed charges,258.1353514,,,,331,percent of total billed charges,999999999,,,,331,percent of total billed charges,252.1992505,,,,331,percent of total billed charges,243.528459,,,,331,percent of total billed charges,258.1353514,,,,236.003,percent of total billed charges,117.7698159,,,,236.003,percent of total billed charges,70.46458567,,,,236.003,percent of total billed charges,117.7698159,,,,236.003,percent of total billed charges,70.46458567,,,,236.003,percent of total billed charges,117.7698159,,,,236.003,percent of total billed charges,70.46458567,,,,233.686,percent of total billed charges,231.9129608,,,,233.686,percent of total billed charges,159.9485309,,,,,,,,,,238.32,percent of total billed charges,154.9023918,,,,,,,,,,238.32,percent of total billed charges,999999999,,,,,,,,,,264.8,percent of total billed charges,221.8886352,,,,261.49,percent of total billed charges,252.3491032,,,,261.49,percent of total billed charges,222.9587858,,,,264.8,percent of total billed charges,999999999,,,,264.8,percent of total billed charges,999999999,,,,231.7,percent of total billed charges,999999999,,,,231.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,176.092,percent of total billed charges,999999999,,,,,,,,,,,,,,,,167.155,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,82.75,percent of total billed charges,78.59225861,,,,,,,,,,82.75,percent of total billed charges,77.28492986,,,,,,,,,,82.75,percent of total billed charges,77.07015835,,,,,,,,,,82.75,percent of total billed charges,75.93530121,,,,,,,,,,82.75,percent of total billed charges,77.88922814,,,,,,,,,,82.75,percent of total billed charges,999999999,,,,,,,,,,82.75,percent of total billed charges,66.83444271,,,,,,,,,,82.75,percent of total billed charges,105.402525,,,,,,,,,,82.75,percent of total billed charges,999999999,,,,,,,,,,82.75,percent of total billed charges,72.06387478,,,,,,,,,,297.9,percent of total billed charges,,,,,
COVID-TMH-ABBOTT,87635,CDM,,,,both,,,331,331,70.46458567,331,331,percent of total billed charges,243.528459,,,,331,percent of total billed charges,258.1353514,,,,331,percent of total billed charges,243.528459,,,,331,percent of total billed charges,258.1353514,,,,331,percent of total billed charges,999999999,,,,331,percent of total billed charges,252.1992505,,,,331,percent of total billed charges,243.528459,,,,331,percent of total billed charges,258.1353514,,,,236.003,percent of total billed charges,117.7698159,,,,236.003,percent of total billed charges,70.46458567,,,,236.003,percent of total billed charges,117.7698159,,,,236.003,percent of total billed charges,70.46458567,,,,236.003,percent of total billed charges,117.7698159,,,,236.003,percent of total billed charges,70.46458567,,,,233.686,percent of total billed charges,231.9129608,,,,233.686,percent of total billed charges,159.9485309,,,,,,,,,,238.32,percent of total billed charges,154.9023918,,,,,,,,,,238.32,percent of total billed charges,999999999,,,,,,,,,,264.8,percent of total billed charges,221.8886352,,,,261.49,percent of total billed charges,252.3491032,,,,261.49,percent of total billed charges,222.9587858,,,,264.8,percent of total billed charges,999999999,,,,264.8,percent of total billed charges,999999999,,,,231.7,percent of total billed charges,999999999,,,,231.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,176.092,percent of total billed charges,999999999,,,,,,,,,,,,,,,,167.155,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,82.75,percent of total billed charges,78.59225861,,,,,,,,,,82.75,percent of total billed charges,77.28492986,,,,,,,,,,82.75,percent of total billed charges,77.07015835,,,,,,,,,,82.75,percent of total billed charges,75.93530121,,,,,,,,,,82.75,percent of total billed charges,77.88922814,,,,,,,,,,82.75,percent of total billed charges,999999999,,,,,,,,,,82.75,percent of total billed charges,66.83444271,,,,,,,,,,82.75,percent of total billed charges,105.402525,,,,,,,,,,82.75,percent of total billed charges,999999999,,,,,,,,,,82.75,percent of total billed charges,72.06387478,,,,,,,,,,297.9,percent of total billed charges,,,,,
COVID TMH CEPHEID,87635,CDM,,,,both,,,167,167,35.55161875,167,167,percent of total billed charges,122.8678328,,,,167,percent of total billed charges,130.2374734,,,,167,percent of total billed charges,122.8678328,,,,167,percent of total billed charges,130.2374734,,,,167,percent of total billed charges,999999999,,,,167,percent of total billed charges,127.2425222,,,,167,percent of total billed charges,122.8678328,,,,167,percent of total billed charges,130.2374734,,,,119.071,percent of total billed charges,59.418608,,,,119.071,percent of total billed charges,35.55161875,,,,119.071,percent of total billed charges,59.418608,,,,119.071,percent of total billed charges,35.55161875,,,,119.071,percent of total billed charges,59.418608,,,,119.071,percent of total billed charges,35.55161875,,,,117.902,percent of total billed charges,117.0074455,,,,117.902,percent of total billed charges,80.69910774,,,,,,,,,,120.24,percent of total billed charges,78.1531705,,,,,,,,,,120.24,percent of total billed charges,999999999,,,,,,,,,,133.6,percent of total billed charges,111.9498552,,,,131.93,percent of total billed charges,127.3181276,,,,131.93,percent of total billed charges,112.4897802,,,,133.6,percent of total billed charges,999999999,,,,133.6,percent of total billed charges,999999999,,,,116.9,percent of total billed charges,999999999,,,,116.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,88.844,percent of total billed charges,999999999,,,,,,,,,,,,,,,,84.335,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,41.75,percent of total billed charges,39.65228758,,,,,,,,,,41.75,percent of total billed charges,38.99269875,,,,,,,,,,41.75,percent of total billed charges,38.88433971,,,,,,,,,,41.75,percent of total billed charges,38.31176828,,,,,,,,,,41.75,percent of total billed charges,39.2975864,,,,,,,,,,41.75,percent of total billed charges,999999999,,,,,,,,,,41.75,percent of total billed charges,33.72009647,,,,,,,,,,41.75,percent of total billed charges,53.17891746,,,,,,,,,,41.75,percent of total billed charges,999999999,,,,,,,,,,41.75,percent of total billed charges,36.35851084,,,,,,,,,,150.3,percent of total billed charges,,,,,
COVID ANTIBODY QUANTITATIVE,86769,CDM,,,,both,,,85,85,18.09513529,85,85,percent of total billed charges,62.53751969,,,,85,percent of total billed charges,66.28853435,,,,85,percent of total billed charges,62.53751969,,,,85,percent of total billed charges,66.28853435,,,,85,percent of total billed charges,999999999,,,,85,percent of total billed charges,64.76415799,,,,85,percent of total billed charges,62.53751969,,,,85,percent of total billed charges,66.28853435,,,,60.605,percent of total billed charges,30.24300407,,,,60.605,percent of total billed charges,18.09513529,,,,60.605,percent of total billed charges,30.24300407,,,,60.605,percent of total billed charges,18.09513529,,,,60.605,percent of total billed charges,30.24300407,,,,60.605,percent of total billed charges,18.09513529,,,,60.01,percent of total billed charges,59.55468782,,,,60.01,percent of total billed charges,41.07439615,,,,,,,,,,61.2,percent of total billed charges,39.77855983,,,,,,,,,,61.2,percent of total billed charges,999999999,,,,,,,,,,68,percent of total billed charges,56.98046524,,,,67.15,percent of total billed charges,64.80263979,,,,67.15,percent of total billed charges,57.25527733,,,,68,percent of total billed charges,999999999,,,,68,percent of total billed charges,999999999,,,,59.5,percent of total billed charges,999999999,,,,59.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,45.22,percent of total billed charges,999999999,,,,,,,,,,,,,,,,42.925,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21.25,percent of total billed charges,20.18230206,,,,,,,,,,21.25,percent of total billed charges,19.8465832,,,,,,,,,,21.25,percent of total billed charges,19.79143039,,,,,,,,,,21.25,percent of total billed charges,19.50000182,,,,,,,,,,21.25,percent of total billed charges,20.00176553,,,,,,,,,,21.25,percent of total billed charges,999999999,,,,,,,,,,21.25,percent of total billed charges,17.16292335,,,,,,,,,,21.25,percent of total billed charges,27.06711368,,,,,,,,,,21.25,percent of total billed charges,999999999,,,,,,,,,,21.25,percent of total billed charges,18.50582887,,,,,,,,,,76.5,percent of total billed charges,,,,,
COVID ANTIBODY QUALITATIVE,86328,CDM,,,,both,,,110,110,23.41723391,110,110,percent of total billed charges,80.93090783,,,,110,percent of total billed charges,85.7851621,,,,110,percent of total billed charges,80.93090783,,,,110,percent of total billed charges,85.7851621,,,,110,percent of total billed charges,999999999,,,,110,percent of total billed charges,83.81243975,,,,110,percent of total billed charges,80.93090783,,,,110,percent of total billed charges,85.7851621,,,,78.43,percent of total billed charges,39.13800527,,,,78.43,percent of total billed charges,23.41723391,,,,78.43,percent of total billed charges,39.13800527,,,,78.43,percent of total billed charges,23.41723391,,,,78.43,percent of total billed charges,39.13800527,,,,78.43,percent of total billed charges,23.41723391,,,,77.66,percent of total billed charges,77.07077247,,,,77.66,percent of total billed charges,53.1551009,,,,,,,,,,79.2,percent of total billed charges,51.47813626,,,,,,,,,,79.2,percent of total billed charges,999999999,,,,,,,,,,88,percent of total billed charges,73.73942561,,,,86.9,percent of total billed charges,83.86223973,,,,86.9,percent of total billed charges,74.09506477,,,,88,percent of total billed charges,999999999,,,,88,percent of total billed charges,999999999,,,,77,percent of total billed charges,999999999,,,,77,percent of total billed charges,999999999,,,,,,,,,,,,,,,,58.52,percent of total billed charges,999999999,,,,,,,,,,,,,,,,55.55,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,27.5,percent of total billed charges,26.11827325,,,,,,,,,,27.5,percent of total billed charges,25.68381355,,,,,,,,,,27.5,percent of total billed charges,25.61243933,,,,,,,,,,27.5,percent of total billed charges,25.23529647,,,,,,,,,,27.5,percent of total billed charges,25.88463775,,,,,,,,,,27.5,percent of total billed charges,999999999,,,,,,,,,,27.5,percent of total billed charges,22.21084199,,,,,,,,,,27.5,percent of total billed charges,35.02802947,,,,,,,,,,27.5,percent of total billed charges,999999999,,,,,,,,,,27.5,percent of total billed charges,23.94871971,,,,,,,,,,99,percent of total billed charges,,,,,
RESP VIRUS 12-25 TARGETS,87633,CDM,,,,both,,,1842,1842,392.132226,1842,1842,percent of total billed charges,1355.224838,,,,1842,percent of total billed charges,1436.511533,,,,1842,percent of total billed charges,1355.224838,,,,1842,percent of total billed charges,1436.511533,,,,1842,percent of total billed charges,999999999,,,,1842,percent of total billed charges,1403.4774,,,,1842,percent of total billed charges,1355.224838,,,,1842,percent of total billed charges,1436.511533,,,,1313.346,percent of total billed charges,655.3836883,,,,1313.346,percent of total billed charges,392.132226,,,,1313.346,percent of total billed charges,655.3836883,,,,1313.346,percent of total billed charges,392.132226,,,,1313.346,percent of total billed charges,655.3836883,,,,1313.346,percent of total billed charges,392.132226,,,,1300.452,percent of total billed charges,1290.585117,,,,1300.452,percent of total billed charges,890.1063261,,,,,,,,,,1326.24,percent of total billed charges,862.0247908,,,,,,,,,,1326.24,percent of total billed charges,999999999,,,,,,,,,,1473.6,percent of total billed charges,1234.8002,,,,1455.18,percent of total billed charges,1404.311324,,,,1455.18,percent of total billed charges,1240.755539,,,,1473.6,percent of total billed charges,999999999,,,,1473.6,percent of total billed charges,999999999,,,,1289.4,percent of total billed charges,999999999,,,,1289.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,979.944,percent of total billed charges,999999999,,,,,,,,,,,,,,,,930.21,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,460.5,percent of total billed charges,437.3623576,,,,,,,,,,460.5,percent of total billed charges,430.0871324,,,,,,,,,,460.5,percent of total billed charges,428.8919386,,,,,,,,,,460.5,percent of total billed charges,422.5765101,,,,,,,,,,460.5,percent of total billed charges,433.4500249,,,,,,,,,,460.5,percent of total billed charges,999999999,,,,,,,,,,460.5,percent of total billed charges,371.9306449,,,,,,,,,,460.5,percent of total billed charges,586.5602753,,,,,,,,,,460.5,percent of total billed charges,999999999,,,,,,,,,,460.5,percent of total billed charges,401.0321974,,,,,,,,,,1657.8,percent of total billed charges,,,,,
RESP. CEPHEID COV/FLU/RSV,0241U,CDM,,,,both,,,234,234,49.81484304,234,234,percent of total billed charges,172.162113,,,,234,percent of total billed charges,182.4884357,,,,234,percent of total billed charges,172.162113,,,,234,percent of total billed charges,182.4884357,,,,234,percent of total billed charges,999999999,,,,234,percent of total billed charges,178.2919173,,,,234,percent of total billed charges,172.162113,,,,234,percent of total billed charges,182.4884357,,,,166.842,percent of total billed charges,83.25721121,,,,166.842,percent of total billed charges,49.81484304,,,,166.842,percent of total billed charges,83.25721121,,,,166.842,percent of total billed charges,49.81484304,,,,166.842,percent of total billed charges,83.25721121,,,,166.842,percent of total billed charges,49.81484304,,,,165.204,percent of total billed charges,163.9505523,,,,165.204,percent of total billed charges,113.0753965,,,,,,,,,,168.48,percent of total billed charges,109.5080353,,,,,,,,,,168.48,percent of total billed charges,999999999,,,,,,,,,,187.2,percent of total billed charges,156.863869,,,,184.86,percent of total billed charges,178.3978554,,,,184.86,percent of total billed charges,157.6204105,,,,187.2,percent of total billed charges,999999999,,,,187.2,percent of total billed charges,999999999,,,,163.8,percent of total billed charges,999999999,,,,163.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,124.488,percent of total billed charges,999999999,,,,,,,,,,,,,,,,118.17,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,58.5,percent of total billed charges,55.56069038,,,,,,,,,,58.5,percent of total billed charges,54.6364761,,,,,,,,,,58.5,percent of total billed charges,54.48464367,,,,,,,,,,58.5,percent of total billed charges,53.68235795,,,,,,,,,,58.5,percent of total billed charges,55.06368394,,,,,,,,,,58.5,percent of total billed charges,999999999,,,,,,,,,,58.5,percent of total billed charges,47.24851841,,,,,,,,,,58.5,percent of total billed charges,74.51417178,,,,,,,,,,58.5,percent of total billed charges,999999999,,,,,,,,,,58.5,percent of total billed charges,50.9454583,,,,,,,,,,210.6,percent of total billed charges,,,,,
RAPID CEPHEID STREP,87651,CDM,,,,both,,,138,138,29.37798436,138,138,percent of total billed charges,101.5315025,,,,138,percent of total billed charges,107.6213852,,,,138,percent of total billed charges,101.5315025,,,,138,percent of total billed charges,107.6213852,,,,138,percent of total billed charges,999999999,,,,138,percent of total billed charges,105.1465153,,,,138,percent of total billed charges,101.5315025,,,,138,percent of total billed charges,107.6213852,,,,98.394,percent of total billed charges,49.10040661,,,,98.394,percent of total billed charges,29.37798436,,,,98.394,percent of total billed charges,49.10040661,,,,98.394,percent of total billed charges,29.37798436,,,,98.394,percent of total billed charges,49.10040661,,,,98.394,percent of total billed charges,29.37798436,,,,97.428,percent of total billed charges,96.68878728,,,,97.428,percent of total billed charges,66.68549023,,,,,,,,,,99.36,percent of total billed charges,64.58166185,,,,,,,,,,99.36,percent of total billed charges,999999999,,,,,,,,,,110.4,percent of total billed charges,92.50946121,,,,109.02,percent of total billed charges,105.2089917,,,,109.02,percent of total billed charges,92.95562672,,,,110.4,percent of total billed charges,999999999,,,,110.4,percent of total billed charges,999999999,,,,96.6,percent of total billed charges,999999999,,,,96.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,73.416,percent of total billed charges,999999999,,,,,,,,,,,,,,,,69.69,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,34.5,percent of total billed charges,32.76656099,,,,,,,,,,34.5,percent of total billed charges,32.22151154,,,,,,,,,,34.5,percent of total billed charges,32.13196934,,,,,,,,,,34.5,percent of total billed charges,31.65882649,,,,,,,,,,34.5,percent of total billed charges,32.47345463,,,,,,,,,,34.5,percent of total billed charges,999999999,,,,,,,,,,34.5,percent of total billed charges,27.86451086,,,,,,,,,,34.5,percent of total billed charges,43.94425515,,,,,,,,,,34.5,percent of total billed charges,999999999,,,,,,,,,,34.5,percent of total billed charges,30.04475746,,,,,,,,,,124.2,percent of total billed charges,,,,,
RSV DNA/RNA MMC,87634,CDM,,,,both,,,275,275,58.54308477,275,275,percent of total billed charges,202.3272696,,,,275,percent of total billed charges,214.4629053,,,,275,percent of total billed charges,202.3272696,,,,275,percent of total billed charges,214.4629053,,,,275,percent of total billed charges,999999999,,,,275,percent of total billed charges,209.5310994,,,,275,percent of total billed charges,202.3272696,,,,275,percent of total billed charges,214.4629053,,,,196.075,percent of total billed charges,97.84501318,,,,196.075,percent of total billed charges,58.54308477,,,,196.075,percent of total billed charges,97.84501318,,,,196.075,percent of total billed charges,58.54308477,,,,196.075,percent of total billed charges,97.84501318,,,,196.075,percent of total billed charges,58.54308477,,,,194.15,percent of total billed charges,192.6769312,,,,194.15,percent of total billed charges,132.8877523,,,,,,,,,,198,percent of total billed charges,128.6953406,,,,,,,,,,198,percent of total billed charges,999999999,,,,,,,,,,220,percent of total billed charges,184.348564,,,,217.25,percent of total billed charges,209.6555993,,,,217.25,percent of total billed charges,185.2376619,,,,220,percent of total billed charges,999999999,,,,220,percent of total billed charges,999999999,,,,192.5,percent of total billed charges,999999999,,,,192.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,146.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,138.875,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,68.75,percent of total billed charges,65.29568314,,,,,,,,,,68.75,percent of total billed charges,64.20953388,,,,,,,,,,68.75,percent of total billed charges,64.03109833,,,,,,,,,,68.75,percent of total billed charges,63.08824119,,,,,,,,,,68.75,percent of total billed charges,64.71159438,,,,,,,,,,68.75,percent of total billed charges,999999999,,,,,,,,,,68.75,percent of total billed charges,55.52710497,,,,,,,,,,68.75,percent of total billed charges,87.57007367,,,,,,,,,,68.75,percent of total billed charges,999999999,,,,,,,,,,68.75,percent of total billed charges,59.87179929,,,,,,,,,,247.5,percent of total billed charges,,,,,
INFLUENZAE A&B MMC,87502,CDM,,,,both,,,431,431,91.75298013,431,431,percent of total billed charges,317.1020116,,,,431,percent of total billed charges,336.1218624,,,,431,percent of total billed charges,317.1020116,,,,431,percent of total billed charges,336.1218624,,,,431,percent of total billed charges,999999999,,,,431,percent of total billed charges,328.3923776,,,,431,percent of total billed charges,317.1020116,,,,431,percent of total billed charges,336.1218624,,,,307.303,percent of total billed charges,153.3498207,,,,307.303,percent of total billed charges,91.75298013,,,,307.303,percent of total billed charges,153.3498207,,,,307.303,percent of total billed charges,91.75298013,,,,307.303,percent of total billed charges,153.3498207,,,,307.303,percent of total billed charges,91.75298013,,,,304.286,percent of total billed charges,301.9772994,,,,304.286,percent of total billed charges,208.2713499,,,,,,,,,,310.32,percent of total billed charges,201.7006975,,,,,,,,,,310.32,percent of total billed charges,999999999,,,,,,,,,,344.8,percent of total billed charges,288.9244767,,,,340.49,percent of total billed charges,328.587503,,,,340.49,percent of total billed charges,290.3179356,,,,344.8,percent of total billed charges,999999999,,,,344.8,percent of total billed charges,999999999,,,,301.7,percent of total billed charges,999999999,,,,301.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,229.292,percent of total billed charges,999999999,,,,,,,,,,,,,,,,217.655,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,107.75,percent of total billed charges,102.3361434,,,,,,,,,,107.75,percent of total billed charges,100.6338513,,,,,,,,,,107.75,percent of total billed charges,100.3541941,,,,,,,,,,107.75,percent of total billed charges,98.87647982,,,,,,,,,,107.75,percent of total billed charges,101.420717,,,,,,,,,,107.75,percent of total billed charges,999999999,,,,,,,,,,107.75,percent of total billed charges,87.02611724,,,,,,,,,,107.75,percent of total billed charges,137.2461882,,,,,,,,,,107.75,percent of total billed charges,999999999,,,,,,,,,,107.75,percent of total billed charges,93.83543815,,,,,,,,,,387.9,percent of total billed charges,,,,,
ORTHOPOXVIRUS,87498,CDM,,,,both,,,135,135,28.73933252,135,135,percent of total billed charges,99.32429597,,,,135,percent of total billed charges,105.2817899,,,,135,percent of total billed charges,99.32429597,,,,135,percent of total billed charges,105.2817899,,,,135,percent of total billed charges,999999999,,,,135,percent of total billed charges,102.8607215,,,,135,percent of total billed charges,99.32429597,,,,135,percent of total billed charges,105.2817899,,,,96.255,percent of total billed charges,48.03300647,,,,96.255,percent of total billed charges,28.73933252,,,,96.255,percent of total billed charges,48.03300647,,,,96.255,percent of total billed charges,28.73933252,,,,96.255,percent of total billed charges,48.03300647,,,,96.255,percent of total billed charges,28.73933252,,,,95.31,percent of total billed charges,94.58685712,,,,95.31,percent of total billed charges,65.23580566,,,,,,,,,,97.2,percent of total billed charges,63.17771268,,,,,,,,,,97.2,percent of total billed charges,999999999,,,,,,,,,,108,percent of total billed charges,90.49838597,,,,106.65,percent of total billed charges,102.9218397,,,,106.65,percent of total billed charges,90.93485222,,,,108,percent of total billed charges,999999999,,,,108,percent of total billed charges,999999999,,,,94.5,percent of total billed charges,999999999,,,,94.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,71.82,percent of total billed charges,999999999,,,,,,,,,,,,,,,,68.175,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,33.75,percent of total billed charges,32.05424445,,,,,,,,,,33.75,percent of total billed charges,31.5210439,,,,,,,,,,33.75,percent of total billed charges,31.43344827,,,,,,,,,,33.75,percent of total billed charges,30.97059113,,,,,,,,,,33.75,percent of total billed charges,31.76750997,,,,,,,,,,33.75,percent of total billed charges,999999999,,,,,,,,,,33.75,percent of total billed charges,27.25876062,,,,,,,,,,33.75,percent of total billed charges,42.98894525,,,,,,,,,,33.75,percent of total billed charges,999999999,,,,,,,,,,33.75,percent of total billed charges,29.39161056,,,,,,,,,,121.5,percent of total billed charges,,,,,
**VOLUME MEASURMENT FOR TIMED COLL EA,81050,CDM,,,,both,,,48,48,10.21842934,48,48,percent of total billed charges,35.31530523,,,,48,percent of total billed charges,37.43352528,,,,48,percent of total billed charges,35.31530523,,,,48,percent of total billed charges,37.43352528,,,,48,percent of total billed charges,999999999,,,,48,percent of total billed charges,36.57270098,,,,48,percent of total billed charges,35.31530523,,,,48,percent of total billed charges,37.43352528,,,,34.224,percent of total billed charges,17.0784023,,,,34.224,percent of total billed charges,10.21842934,,,,34.224,percent of total billed charges,17.0784023,,,,34.224,percent of total billed charges,10.21842934,,,,34.224,percent of total billed charges,17.0784023,,,,34.224,percent of total billed charges,10.21842934,,,,33.888,percent of total billed charges,33.63088253,,,,33.888,percent of total billed charges,23.19495312,,,,,,,,,,34.56,percent of total billed charges,22.46318673,,,,,,,,,,34.56,percent of total billed charges,999999999,,,,,,,,,,38.4,percent of total billed charges,32.1772039,,,,37.92,percent of total billed charges,36.59443188,,,,37.92,percent of total billed charges,32.3323919,,,,38.4,percent of total billed charges,999999999,,,,38.4,percent of total billed charges,999999999,,,,33.6,percent of total billed charges,999999999,,,,33.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,25.536,percent of total billed charges,999999999,,,,,,,,,,,,,,,,24.24,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12,percent of total billed charges,11.39706469,,,,,,,,,,12,percent of total billed charges,11.20748228,,,,,,,,,,12,percent of total billed charges,11.17633716,,,,,,,,,,12,percent of total billed charges,11.01176573,,,,,,,,,,12,percent of total billed charges,11.29511466,,,,,,,,,,12,percent of total billed charges,999999999,,,,,,,,,,12,percent of total billed charges,9.692003777,,,,,,,,,,12,percent of total billed charges,15.28495831,,,,,,,,,,12,percent of total billed charges,999999999,,,,,,,,,,12,percent of total billed charges,10.45035042,,,,,,,,,,43.2,percent of total billed charges,,,,,
RETOCULOCYTE COUNT FLOW CYTOMETRY(*),85045,CDM,,,,both,,,102,102,21.71416235,102,102,percent of total billed charges,75.04502362,,,,102,percent of total billed charges,79.54624122,,,,102,percent of total billed charges,75.04502362,,,,102,percent of total billed charges,79.54624122,,,,102,percent of total billed charges,999999999,,,,102,percent of total billed charges,77.71698958,,,,102,percent of total billed charges,75.04502362,,,,102,percent of total billed charges,79.54624122,,,,72.726,percent of total billed charges,36.29160489,,,,72.726,percent of total billed charges,21.71416235,,,,72.726,percent of total billed charges,36.29160489,,,,72.726,percent of total billed charges,21.71416235,,,,72.726,percent of total billed charges,36.29160489,,,,72.726,percent of total billed charges,21.71416235,,,,72.012,percent of total billed charges,71.46562538,,,,72.012,percent of total billed charges,49.28927538,,,,,,,,,,73.44,percent of total billed charges,47.7342718,,,,,,,,,,73.44,percent of total billed charges,999999999,,,,,,,,,,81.6,percent of total billed charges,68.37655829,,,,80.58,percent of total billed charges,77.76316775,,,,80.58,percent of total billed charges,68.70633279,,,,81.6,percent of total billed charges,999999999,,,,81.6,percent of total billed charges,999999999,,,,71.4,percent of total billed charges,999999999,,,,71.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,54.264,percent of total billed charges,999999999,,,,,,,,,,,,,,,,51.51,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,25.5,percent of total billed charges,24.21876247,,,,,,,,,,25.5,percent of total billed charges,23.81589984,,,,,,,,,,25.5,percent of total billed charges,23.74971647,,,,,,,,,,25.5,percent of total billed charges,23.40000219,,,,,,,,,,25.5,percent of total billed charges,24.00211864,,,,,,,,,,25.5,percent of total billed charges,999999999,,,,,,,,,,25.5,percent of total billed charges,20.59550803,,,,,,,,,,25.5,percent of total billed charges,32.48053641,,,,,,,,,,25.5,percent of total billed charges,999999999,,,,,,,,,,25.5,percent of total billed charges,22.20699464,,,,,,,,,,91.8,percent of total billed charges,,,,,
RBC ANTIBODY ELUTION,86860,CDM,0056-2780-01,NDC,,both,1,EA,281,281,59.82038844,281,281,percent of total billed charges,206.7416827,,,,281,percent of total billed charges,219.1420959,,,,281,percent of total billed charges,206.7416827,,,,281,percent of total billed charges,219.1420959,,,,281,percent of total billed charges,999999999,,,,281,percent of total billed charges,214.102687,,,,281,percent of total billed charges,206.7416827,,,,281,percent of total billed charges,219.1420959,,,,200.353,percent of total billed charges,99.97981347,,,,200.353,percent of total billed charges,59.82038844,,,,200.353,percent of total billed charges,99.97981347,,,,200.353,percent of total billed charges,59.82038844,,,,200.353,percent of total billed charges,99.97981347,,,,200.353,percent of total billed charges,59.82038844,,,,198.386,percent of total billed charges,196.8807915,,,,198.386,percent of total billed charges,135.7871214,,,,,,,,,,202.32,percent of total billed charges,131.503239,,,,,,,,,,202.32,percent of total billed charges,999999999,,,,,,,,,,224.8,percent of total billed charges,188.3707145,,,,221.99,percent of total billed charges,214.2299033,,,,221.99,percent of total billed charges,189.2792109,,,,224.8,percent of total billed charges,999999999,,,,224.8,percent of total billed charges,999999999,,,,196.7,percent of total billed charges,999999999,,,,196.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,149.492,percent of total billed charges,999999999,,,,,,,,,,,,,,,,141.905,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,70.25,percent of total billed charges,66.72031622,,,,,,,,,,70.25,percent of total billed charges,65.61046916,,,,,,,,,,70.25,percent of total billed charges,65.42814048,,,,,,,,,,70.25,percent of total billed charges,64.4647119,,,,,,,,,,70.25,percent of total billed charges,66.12348371,,,,,,,,,,70.25,percent of total billed charges,999999999,,,,,,,,,,70.25,percent of total billed charges,56.73860544,,,,,,,,,,70.25,percent of total billed charges,89.48069346,,,,,,,,,,70.25,percent of total billed charges,999999999,,,,,,,,,,70.25,percent of total billed charges,61.17809309,,,,,,,,,,252.9,percent of total billed charges,,,,,
BB PLATELET PHERESIS,P9034,CDM,0056-2780-01,NDC,,both,1,EA,2238,2238,476.4342681,2238,2238,percent of total billed charges,1646.576107,,,,2238,percent of total billed charges,1745.338116,,,,2238,percent of total billed charges,1646.576107,,,,2238,percent of total billed charges,1745.338116,,,,2238,percent of total billed charges,999999999,,,,2238,percent of total billed charges,1705.202183,,,,2238,percent of total billed charges,1646.576107,,,,2238,percent of total billed charges,1745.338116,,,,1595.694,percent of total billed charges,796.2805073,,,,1595.694,percent of total billed charges,476.4342681,,,,1595.694,percent of total billed charges,796.2805073,,,,1595.694,percent of total billed charges,476.4342681,,,,1595.694,percent of total billed charges,796.2805073,,,,1595.694,percent of total billed charges,476.4342681,,,,1580.028,percent of total billed charges,1568.039898,,,,1580.028,percent of total billed charges,1081.464689,,,,,,,,,,1611.36,percent of total billed charges,1047.346081,,,,,,,,,,1611.36,percent of total billed charges,999999999,,,,,,,,,,1790.4,percent of total billed charges,1500.262132,,,,1768.02,percent of total billed charges,1706.215387,,,,1768.02,percent of total billed charges,1507.497772,,,,1790.4,percent of total billed charges,999999999,,,,1790.4,percent of total billed charges,999999999,,,,1566.6,percent of total billed charges,999999999,,,,1566.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1190.616,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1130.19,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,559.5,percent of total billed charges,531.3881413,,,,,,,,,,559.5,percent of total billed charges,522.5488611,,,,,,,,,,559.5,percent of total billed charges,521.0967202,,,,,,,,,,559.5,percent of total billed charges,513.4235774,,,,,,,,,,559.5,percent of total billed charges,526.6347208,,,,,,,,,,559.5,percent of total billed charges,999999999,,,,,,,,,,559.5,percent of total billed charges,451.8896761,,,,,,,,,,559.5,percent of total billed charges,712.6611813,,,,,,,,,,559.5,percent of total billed charges,999999999,,,,,,,,,,559.5,percent of total billed charges,487.2475884,,,,,,,,,,2014.2,percent of total billed charges,,,,,
BB BLOOD TYPING; ABO,86900,CDM,0056-2780-01,NDC,,both,1,EA,122,122,25.97184124,122,122,percent of total billed charges,89.75973414,,,,122,percent of total billed charges,95.14354342,,,,122,percent of total billed charges,89.75973414,,,,122,percent of total billed charges,95.14354342,,,,122,percent of total billed charges,999999999,,,,122,percent of total billed charges,92.95561499,,,,122,percent of total billed charges,89.75973414,,,,122,percent of total billed charges,95.14354342,,,,86.986,percent of total billed charges,43.40760585,,,,86.986,percent of total billed charges,25.97184124,,,,86.986,percent of total billed charges,43.40760585,,,,86.986,percent of total billed charges,25.97184124,,,,86.986,percent of total billed charges,43.40760585,,,,86.986,percent of total billed charges,25.97184124,,,,86.132,percent of total billed charges,85.4784931,,,,86.132,percent of total billed charges,58.95383918,,,,,,,,,,87.84,percent of total billed charges,57.09393294,,,,,,,,,,87.84,percent of total billed charges,999999999,,,,,,,,,,97.6,percent of total billed charges,81.78372658,,,,96.38,percent of total billed charges,93.01084771,,,,96.38,percent of total billed charges,82.17816275,,,,97.6,percent of total billed charges,999999999,,,,97.6,percent of total billed charges,999999999,,,,85.4,percent of total billed charges,999999999,,,,85.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,64.904,percent of total billed charges,999999999,,,,,,,,,,,,,,,,61.61,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,30.5,percent of total billed charges,28.96753943,,,,,,,,,,30.5,percent of total billed charges,28.48568412,,,,,,,,,,30.5,percent of total billed charges,28.40652362,,,,,,,,,,30.5,percent of total billed charges,27.98823791,,,,,,,,,,30.5,percent of total billed charges,28.70841641,,,,,,,,,,30.5,percent of total billed charges,999999999,,,,,,,,,,30.5,percent of total billed charges,24.63384293,,,,,,,,,,30.5,percent of total billed charges,38.84926905,,,,,,,,,,30.5,percent of total billed charges,999999999,,,,,,,,,,30.5,percent of total billed charges,26.56130732,,,,,,,,,,109.8,percent of total billed charges,,,,,
BB CROSSMATCH IMM SPIN,86920,CDM,0056-2780-01,NDC,,both,1,EA,269,269,57.2657811,269,269,percent of total billed charges,197.9128564,,,,269,percent of total billed charges,209.7837146,,,,269,percent of total billed charges,197.9128564,,,,269,percent of total billed charges,209.7837146,,,,269,percent of total billed charges,999999999,,,,269,percent of total billed charges,204.9595117,,,,269,percent of total billed charges,197.9128564,,,,269,percent of total billed charges,209.7837146,,,,191.797,percent of total billed charges,95.71021289,,,,191.797,percent of total billed charges,57.2657811,,,,191.797,percent of total billed charges,95.71021289,,,,191.797,percent of total billed charges,57.2657811,,,,191.797,percent of total billed charges,95.71021289,,,,191.797,percent of total billed charges,57.2657811,,,,189.914,percent of total billed charges,188.4730709,,,,189.914,percent of total billed charges,129.9883831,,,,,,,,,,193.68,percent of total billed charges,125.8874423,,,,,,,,,,193.68,percent of total billed charges,999999999,,,,,,,,,,215.2,percent of total billed charges,180.3264135,,,,212.51,percent of total billed charges,205.0812953,,,,212.51,percent of total billed charges,181.1961129,,,,215.2,percent of total billed charges,999999999,,,,215.2,percent of total billed charges,999999999,,,,188.3,percent of total billed charges,999999999,,,,188.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,143.108,percent of total billed charges,999999999,,,,,,,,,,,,,,,,135.845,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,67.25,percent of total billed charges,63.87105005,,,,,,,,,,67.25,percent of total billed charges,62.80859859,,,,,,,,,,67.25,percent of total billed charges,62.63405618,,,,,,,,,,67.25,percent of total billed charges,61.71177047,,,,,,,,,,67.25,percent of total billed charges,63.29970505,,,,,,,,,,67.25,percent of total billed charges,999999999,,,,,,,,,,67.25,percent of total billed charges,54.3156045,,,,,,,,,,67.25,percent of total billed charges,85.65945388,,,,,,,,,,67.25,percent of total billed charges,999999999,,,,,,,,,,67.25,percent of total billed charges,58.56550548,,,,,,,,,,242.1,percent of total billed charges,,,,,
BB COMP INCUBATION,86921,CDM,0056-2780-01,NDC,,both,1,EA,286,286,60.88480816,286,286,percent of total billed charges,210.4203604,,,,286,percent of total billed charges,223.0414215,,,,286,percent of total billed charges,210.4203604,,,,286,percent of total billed charges,223.0414215,,,,286,percent of total billed charges,999999999,,,,286,percent of total billed charges,217.9123433,,,,286,percent of total billed charges,210.4203604,,,,286,percent of total billed charges,223.0414215,,,,203.918,percent of total billed charges,101.7588137,,,,203.918,percent of total billed charges,60.88480816,,,,203.918,percent of total billed charges,101.7588137,,,,203.918,percent of total billed charges,60.88480816,,,,203.918,percent of total billed charges,101.7588137,,,,203.918,percent of total billed charges,60.88480816,,,,201.916,percent of total billed charges,200.3840084,,,,201.916,percent of total billed charges,138.2032624,,,,,,,,,,205.92,percent of total billed charges,133.8431543,,,,,,,,,,205.92,percent of total billed charges,999999999,,,,,,,,,,228.8,percent of total billed charges,191.7225066,,,,225.94,percent of total billed charges,218.0418233,,,,225.94,percent of total billed charges,192.6471684,,,,228.8,percent of total billed charges,999999999,,,,228.8,percent of total billed charges,999999999,,,,200.2,percent of total billed charges,999999999,,,,200.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,152.152,percent of total billed charges,999999999,,,,,,,,,,,,,,,,144.43,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,71.5,percent of total billed charges,67.90751046,,,,,,,,,,71.5,percent of total billed charges,66.77791523,,,,,,,,,,71.5,percent of total billed charges,66.59234226,,,,,,,,,,71.5,percent of total billed charges,65.61177083,,,,,,,,,,71.5,percent of total billed charges,67.30005815,,,,,,,,,,71.5,percent of total billed charges,999999999,,,,,,,,,,71.5,percent of total billed charges,57.74818917,,,,,,,,,,71.5,percent of total billed charges,91.07287661,,,,,,,,,,71.5,percent of total billed charges,999999999,,,,,,,,,,71.5,percent of total billed charges,62.26667126,,,,,,,,,,257.4,percent of total billed charges,,,,,
BB COMP ANTIGLOBULIN TECHNIQUE,86922,CDM,0056-2780-01,NDC,,both,1,EA,304,304,64.71671917,304,304,percent of total billed charges,223.6635998,,,,304,percent of total billed charges,237.0789934,,,,304,percent of total billed charges,223.6635998,,,,304,percent of total billed charges,237.0789934,,,,304,percent of total billed charges,999999999,,,,304,percent of total billed charges,231.6271062,,,,304,percent of total billed charges,223.6635998,,,,304,percent of total billed charges,237.0789934,,,,216.752,percent of total billed charges,108.1632146,,,,216.752,percent of total billed charges,64.71671917,,,,216.752,percent of total billed charges,108.1632146,,,,216.752,percent of total billed charges,64.71671917,,,,216.752,percent of total billed charges,108.1632146,,,,216.752,percent of total billed charges,64.71671917,,,,214.624,percent of total billed charges,212.9955894,,,,214.624,percent of total billed charges,146.9013698,,,,,,,,,,218.88,percent of total billed charges,142.2668493,,,,,,,,,,218.88,percent of total billed charges,999999999,,,,,,,,,,243.2,percent of total billed charges,203.788958,,,,240.16,percent of total billed charges,231.7647353,,,,240.16,percent of total billed charges,204.7718154,,,,243.2,percent of total billed charges,999999999,,,,243.2,percent of total billed charges,999999999,,,,212.8,percent of total billed charges,999999999,,,,212.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,161.728,percent of total billed charges,999999999,,,,,,,,,,,,,,,,153.52,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,76,percent of total billed charges,72.18140972,,,,,,,,,,76,percent of total billed charges,70.98072108,,,,,,,,,,76,percent of total billed charges,70.7834687,,,,,,,,,,76,percent of total billed charges,69.74118298,,,,,,,,,,76,percent of total billed charges,71.53572615,,,,,,,,,,76,percent of total billed charges,999999999,,,,,,,,,,76,percent of total billed charges,61.38269058,,,,,,,,,,76,percent of total billed charges,96.80473598,,,,,,,,,,76,percent of total billed charges,999999999,,,,,,,,,,76,percent of total billed charges,66.18555266,,,,,,,,,,273.6,percent of total billed charges,,,,,
BB PLATELET PHERESIS IRRAD,P9036,CDM,0056-2780-01,NDC,,both,1,EA,2241,2241,477.0729199,2241,2241,percent of total billed charges,1648.783313,,,,2241,percent of total billed charges,1747.677712,,,,2241,percent of total billed charges,1648.783313,,,,2241,percent of total billed charges,1747.677712,,,,2241,percent of total billed charges,999999999,,,,2241,percent of total billed charges,1707.487977,,,,2241,percent of total billed charges,1648.783313,,,,2241,percent of total billed charges,1747.677712,,,,1597.833,percent of total billed charges,797.3479074,,,,1597.833,percent of total billed charges,477.0729199,,,,1597.833,percent of total billed charges,797.3479074,,,,1597.833,percent of total billed charges,477.0729199,,,,1597.833,percent of total billed charges,797.3479074,,,,1597.833,percent of total billed charges,477.0729199,,,,1582.146,percent of total billed charges,1570.141828,,,,1582.146,percent of total billed charges,1082.914374,,,,,,,,,,1613.52,percent of total billed charges,1048.75003,,,,,,,,,,1613.52,percent of total billed charges,999999999,,,,,,,,,,1792.8,percent of total billed charges,1502.273207,,,,1770.39,percent of total billed charges,1708.502539,,,,1770.39,percent of total billed charges,1509.518547,,,,1792.8,percent of total billed charges,999999999,,,,1792.8,percent of total billed charges,999999999,,,,1568.7,percent of total billed charges,999999999,,,,1568.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1192.212,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1131.705,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,560.25,percent of total billed charges,532.1004578,,,,,,,,,,560.25,percent of total billed charges,523.2493288,,,,,,,,,,560.25,percent of total billed charges,521.7952413,,,,,,,,,,560.25,percent of total billed charges,514.1118127,,,,,,,,,,560.25,percent of total billed charges,527.3406655,,,,,,,,,,560.25,percent of total billed charges,999999999,,,,,,,,,,560.25,percent of total billed charges,452.4954263,,,,,,,,,,560.25,percent of total billed charges,713.6164912,,,,,,,,,,560.25,percent of total billed charges,999999999,,,,,,,,,,560.25,percent of total billed charges,487.9007353,,,,,,,,,,2016.9,percent of total billed charges,,,,,
BB BLOOD TYPE W/ RH,86901,CDM,0056-2780-01,NDC,,both,1,EA,115,115,24.48165363,115,115,percent of total billed charges,84.60958546,,,,115,percent of total billed charges,89.68448765,,,,115,percent of total billed charges,84.60958546,,,,115,percent of total billed charges,89.68448765,,,,115,percent of total billed charges,999999999,,,,115,percent of total billed charges,87.6220961,,,,115,percent of total billed charges,84.60958546,,,,115,percent of total billed charges,89.68448765,,,,81.995,percent of total billed charges,40.91700551,,,,81.995,percent of total billed charges,24.48165363,,,,81.995,percent of total billed charges,40.91700551,,,,81.995,percent of total billed charges,24.48165363,,,,81.995,percent of total billed charges,40.91700551,,,,81.995,percent of total billed charges,24.48165363,,,,81.19,percent of total billed charges,80.5739894,,,,81.19,percent of total billed charges,55.57124185,,,,,,,,,,82.8,percent of total billed charges,53.81805154,,,,,,,,,,82.8,percent of total billed charges,999999999,,,,,,,,,,92,percent of total billed charges,77.09121768,,,,90.85,percent of total billed charges,87.67415972,,,,90.85,percent of total billed charges,77.46302226,,,,92,percent of total billed charges,999999999,,,,92,percent of total billed charges,999999999,,,,80.5,percent of total billed charges,999999999,,,,80.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,61.18,percent of total billed charges,999999999,,,,,,,,,,,,,,,,58.075,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,28.75,percent of total billed charges,27.30546749,,,,,,,,,,28.75,percent of total billed charges,26.85125962,,,,,,,,,,28.75,percent of total billed charges,26.77664112,,,,,,,,,,28.75,percent of total billed charges,26.38235541,,,,,,,,,,28.75,percent of total billed charges,27.06121219,,,,,,,,,,28.75,percent of total billed charges,999999999,,,,,,,,,,28.75,percent of total billed charges,23.22042571,,,,,,,,,,28.75,percent of total billed charges,36.62021262,,,,,,,,,,28.75,percent of total billed charges,999999999,,,,,,,,,,28.75,percent of total billed charges,25.03729788,,,,,,,,,,103.5,percent of total billed charges,,,,,
**BB P. TYPING,82103,CDM,0056-2780-01,NDC,,both,1,EA,178,178,37.89334214,178,178,percent of total billed charges,130.9609236,,,,178,percent of total billed charges,138.8159896,,,,178,percent of total billed charges,130.9609236,,,,178,percent of total billed charges,138.8159896,,,,178,percent of total billed charges,999999999,,,,178,percent of total billed charges,135.6237661,,,,178,percent of total billed charges,130.9609236,,,,178,percent of total billed charges,138.8159896,,,,126.914,percent of total billed charges,63.33240853,,,,126.914,percent of total billed charges,37.89334214,,,,126.914,percent of total billed charges,63.33240853,,,,126.914,percent of total billed charges,37.89334214,,,,126.914,percent of total billed charges,63.33240853,,,,126.914,percent of total billed charges,37.89334214,,,,125.668,percent of total billed charges,124.7145227,,,,125.668,percent of total billed charges,86.01461783,,,,,,,,,,128.16,percent of total billed charges,83.30098412,,,,,,,,,,128.16,percent of total billed charges,999999999,,,,,,,,,,142.4,percent of total billed charges,119.3237978,,,,140.62,percent of total billed charges,135.7043516,,,,140.62,percent of total billed charges,119.8992866,,,,142.4,percent of total billed charges,999999999,,,,142.4,percent of total billed charges,999999999,,,,124.6,percent of total billed charges,999999999,,,,124.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,94.696,percent of total billed charges,999999999,,,,,,,,,,,,,,,,89.89,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,44.5,percent of total billed charges,42.2641149,,,,,,,,,,44.5,percent of total billed charges,41.56108011,,,,,,,,,,44.5,percent of total billed charges,41.44558365,,,,,,,,,,44.5,percent of total billed charges,40.83529793,,,,,,,,,,44.5,percent of total billed charges,41.88605018,,,,,,,,,,44.5,percent of total billed charges,999999999,,,,,,,,,,44.5,percent of total billed charges,35.94118067,,,,,,,,,,44.5,percent of total billed charges,56.68172041,,,,,,,,,,44.5,percent of total billed charges,999999999,,,,,,,,,,44.5,percent of total billed charges,38.75338281,,,,,,,,,,160.2,percent of total billed charges,,,,,
BB Du TEST,86905,CDM,0056-2780-01,NDC,,both,1,EA,167,167,35.55161875,167,167,percent of total billed charges,122.8678328,,,,167,percent of total billed charges,130.2374734,,,,167,percent of total billed charges,122.8678328,,,,167,percent of total billed charges,130.2374734,,,,167,percent of total billed charges,999999999,,,,167,percent of total billed charges,127.2425222,,,,167,percent of total billed charges,122.8678328,,,,167,percent of total billed charges,130.2374734,,,,119.071,percent of total billed charges,59.418608,,,,119.071,percent of total billed charges,35.55161875,,,,119.071,percent of total billed charges,59.418608,,,,119.071,percent of total billed charges,35.55161875,,,,119.071,percent of total billed charges,59.418608,,,,119.071,percent of total billed charges,35.55161875,,,,117.902,percent of total billed charges,117.0074455,,,,117.902,percent of total billed charges,80.69910774,,,,,,,,,,120.24,percent of total billed charges,78.1531705,,,,,,,,,,120.24,percent of total billed charges,999999999,,,,,,,,,,133.6,percent of total billed charges,111.9498552,,,,131.93,percent of total billed charges,127.3181276,,,,131.93,percent of total billed charges,112.4897802,,,,133.6,percent of total billed charges,999999999,,,,133.6,percent of total billed charges,999999999,,,,116.9,percent of total billed charges,999999999,,,,116.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,88.844,percent of total billed charges,999999999,,,,,,,,,,,,,,,,84.335,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,41.75,percent of total billed charges,39.65228758,,,,,,,,,,41.75,percent of total billed charges,38.99269875,,,,,,,,,,41.75,percent of total billed charges,38.88433971,,,,,,,,,,41.75,percent of total billed charges,38.31176828,,,,,,,,,,41.75,percent of total billed charges,39.2975864,,,,,,,,,,41.75,percent of total billed charges,999999999,,,,,,,,,,41.75,percent of total billed charges,33.72009647,,,,,,,,,,41.75,percent of total billed charges,53.17891746,,,,,,,,,,41.75,percent of total billed charges,999999999,,,,,,,,,,41.75,percent of total billed charges,36.35851084,,,,,,,,,,150.3,percent of total billed charges,,,,,
BB PHENOTYPE,86906,CDM,0056-2780-01,NDC,,both,1,EA,243,243,51.73079854,243,243,percent of total billed charges,178.7837328,,,,243,percent of total billed charges,189.5072217,,,,243,percent of total billed charges,178.7837328,,,,243,percent of total billed charges,189.5072217,,,,243,percent of total billed charges,999999999,,,,243,percent of total billed charges,185.1492987,,,,243,percent of total billed charges,178.7837328,,,,243,percent of total billed charges,189.5072217,,,,173.259,percent of total billed charges,86.45941165,,,,173.259,percent of total billed charges,51.73079854,,,,173.259,percent of total billed charges,86.45941165,,,,173.259,percent of total billed charges,51.73079854,,,,173.259,percent of total billed charges,86.45941165,,,,173.259,percent of total billed charges,51.73079854,,,,171.558,percent of total billed charges,170.2563428,,,,171.558,percent of total billed charges,117.4244502,,,,,,,,,,174.96,percent of total billed charges,113.7198828,,,,,,,,,,174.96,percent of total billed charges,999999999,,,,,,,,,,194.4,percent of total billed charges,162.8970947,,,,191.97,percent of total billed charges,185.2593114,,,,191.97,percent of total billed charges,163.682734,,,,194.4,percent of total billed charges,999999999,,,,194.4,percent of total billed charges,999999999,,,,170.1,percent of total billed charges,999999999,,,,170.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,129.276,percent of total billed charges,999999999,,,,,,,,,,,,,,,,122.715,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,60.75,percent of total billed charges,57.69764001,,,,,,,,,,60.75,percent of total billed charges,56.73787902,,,,,,,,,,60.75,percent of total billed charges,56.58020689,,,,,,,,,,60.75,percent of total billed charges,55.74706403,,,,,,,,,,60.75,percent of total billed charges,57.18151794,,,,,,,,,,60.75,percent of total billed charges,999999999,,,,,,,,,,60.75,percent of total billed charges,49.06576912,,,,,,,,,,60.75,percent of total billed charges,77.38010146,,,,,,,,,,60.75,percent of total billed charges,999999999,,,,,,,,,,60.75,percent of total billed charges,52.90489901,,,,,,,,,,218.7,percent of total billed charges,,,,,
BLOOD TYPING RBC ANTIGENS,86905,CDM,0056-2780-01,NDC,,both,1,EA,583,583,124.1113397,583,583,percent of total billed charges,428.9338115,,,,583,percent of total billed charges,454.6613591,,,,583,percent of total billed charges,428.9338115,,,,583,percent of total billed charges,454.6613591,,,,583,percent of total billed charges,999999999,,,,583,percent of total billed charges,444.2059307,,,,583,percent of total billed charges,428.9338115,,,,583,percent of total billed charges,454.6613591,,,,415.679,percent of total billed charges,207.4314279,,,,415.679,percent of total billed charges,124.1113397,,,,415.679,percent of total billed charges,207.4314279,,,,415.679,percent of total billed charges,124.1113397,,,,415.679,percent of total billed charges,207.4314279,,,,415.679,percent of total billed charges,124.1113397,,,,411.598,percent of total billed charges,408.4750941,,,,411.598,percent of total billed charges,281.7220348,,,,,,,,,,419.76,percent of total billed charges,272.8341222,,,,,,,,,,419.76,percent of total billed charges,999999999,,,,,,,,,,466.4,percent of total billed charges,390.8189557,,,,460.57,percent of total billed charges,444.4698706,,,,460.57,percent of total billed charges,392.7038433,,,,466.4,percent of total billed charges,999999999,,,,466.4,percent of total billed charges,999999999,,,,408.1,percent of total billed charges,999999999,,,,408.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,310.156,percent of total billed charges,999999999,,,,,,,,,,,,,,,,294.415,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,145.75,percent of total billed charges,138.4268482,,,,,,,,,,145.75,percent of total billed charges,136.1242118,,,,,,,,,,145.75,percent of total billed charges,135.7459285,,,,,,,,,,145.75,percent of total billed charges,133.7470713,,,,,,,,,,145.75,percent of total billed charges,137.1885801,,,,,,,,,,145.75,percent of total billed charges,999999999,,,,,,,,,,145.75,percent of total billed charges,117.7174625,,,,,,,,,,145.75,percent of total billed charges,185.6485562,,,,,,,,,,145.75,percent of total billed charges,999999999,,,,,,,,,,145.75,percent of total billed charges,126.9282145,,,,,,,,,,524.7,percent of total billed charges,,,,,
BB ANTIBODY SCREEN,86850,CDM,0056-2780-01,NDC,,both,1,EA,211,211,44.91851232,211,211,percent of total billed charges,155.2401959,,,,211,percent of total billed charges,164.5515382,,,,211,percent of total billed charges,155.2401959,,,,211,percent of total billed charges,164.5515382,,,,211,percent of total billed charges,999999999,,,,211,percent of total billed charges,160.7674981,,,,211,percent of total billed charges,155.2401959,,,,211,percent of total billed charges,164.5515382,,,,150.443,percent of total billed charges,75.07381011,,,,150.443,percent of total billed charges,44.91851232,,,,150.443,percent of total billed charges,75.07381011,,,,150.443,percent of total billed charges,44.91851232,,,,150.443,percent of total billed charges,75.07381011,,,,150.443,percent of total billed charges,44.91851232,,,,148.966,percent of total billed charges,147.8357545,,,,148.966,percent of total billed charges,101.9611481,,,,,,,,,,151.92,percent of total billed charges,98.744425,,,,,,,,,,151.92,percent of total billed charges,999999999,,,,,,,,,,168.8,percent of total billed charges,141.4456255,,,,166.69,percent of total billed charges,160.8630235,,,,166.69,percent of total billed charges,142.1278061,,,,168.8,percent of total billed charges,999999999,,,,168.8,percent of total billed charges,999999999,,,,147.7,percent of total billed charges,999999999,,,,147.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,112.252,percent of total billed charges,999999999,,,,,,,,,,,,,,,,106.555,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,52.75,percent of total billed charges,50.09959688,,,,,,,,,,52.75,percent of total billed charges,49.26622417,,,,,,,,,,52.75,percent of total billed charges,49.12931545,,,,,,,,,,52.75,percent of total billed charges,48.40588687,,,,,,,,,,52.75,percent of total billed charges,49.6514415,,,,,,,,,,52.75,percent of total billed charges,999999999,,,,,,,,,,52.75,percent of total billed charges,42.60443327,,,,,,,,,,52.75,percent of total billed charges,67.19012925,,,,,,,,,,52.75,percent of total billed charges,999999999,,,,,,,,,,52.75,percent of total billed charges,45.93799872,,,,,,,,,,189.9,percent of total billed charges,,,,,
BB ANTIBODY TITER,86886,CDM,0056-2780-01,NDC,,both,1,EA,243,243,51.73079854,243,243,percent of total billed charges,178.7837328,,,,243,percent of total billed charges,189.5072217,,,,243,percent of total billed charges,178.7837328,,,,243,percent of total billed charges,189.5072217,,,,243,percent of total billed charges,999999999,,,,243,percent of total billed charges,185.1492987,,,,243,percent of total billed charges,178.7837328,,,,243,percent of total billed charges,189.5072217,,,,173.259,percent of total billed charges,86.45941165,,,,173.259,percent of total billed charges,51.73079854,,,,173.259,percent of total billed charges,86.45941165,,,,173.259,percent of total billed charges,51.73079854,,,,173.259,percent of total billed charges,86.45941165,,,,173.259,percent of total billed charges,51.73079854,,,,171.558,percent of total billed charges,170.2563428,,,,171.558,percent of total billed charges,117.4244502,,,,,,,,,,174.96,percent of total billed charges,113.7198828,,,,,,,,,,174.96,percent of total billed charges,999999999,,,,,,,,,,194.4,percent of total billed charges,162.8970947,,,,191.97,percent of total billed charges,185.2593114,,,,191.97,percent of total billed charges,163.682734,,,,194.4,percent of total billed charges,999999999,,,,194.4,percent of total billed charges,999999999,,,,170.1,percent of total billed charges,999999999,,,,170.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,129.276,percent of total billed charges,999999999,,,,,,,,,,,,,,,,122.715,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,60.75,percent of total billed charges,57.69764001,,,,,,,,,,60.75,percent of total billed charges,56.73787902,,,,,,,,,,60.75,percent of total billed charges,56.58020689,,,,,,,,,,60.75,percent of total billed charges,55.74706403,,,,,,,,,,60.75,percent of total billed charges,57.18151794,,,,,,,,,,60.75,percent of total billed charges,999999999,,,,,,,,,,60.75,percent of total billed charges,49.06576912,,,,,,,,,,60.75,percent of total billed charges,77.38010146,,,,,,,,,,60.75,percent of total billed charges,999999999,,,,,,,,,,60.75,percent of total billed charges,52.90489901,,,,,,,,,,218.7,percent of total billed charges,,,,,
BB COOMBS - DIRECTCOMB'S TEST,86880,CDM,0056-2780-01,NDC,,both,1,EA,137,137,29.16510041,137,137,percent of total billed charges,100.795767,,,,137,percent of total billed charges,106.8415201,,,,137,percent of total billed charges,100.795767,,,,137,percent of total billed charges,106.8415201,,,,137,percent of total billed charges,999999999,,,,137,percent of total billed charges,104.384584,,,,137,percent of total billed charges,100.795767,,,,137,percent of total billed charges,106.8415201,,,,97.681,percent of total billed charges,48.74460657,,,,97.681,percent of total billed charges,29.16510041,,,,97.681,percent of total billed charges,48.74460657,,,,97.681,percent of total billed charges,29.16510041,,,,97.681,percent of total billed charges,48.74460657,,,,97.681,percent of total billed charges,29.16510041,,,,96.722,percent of total billed charges,95.98814389,,,,96.722,percent of total billed charges,66.20226204,,,,,,,,,,98.64,percent of total billed charges,64.11367879,,,,,,,,,,98.64,percent of total billed charges,999999999,,,,,,,,,,109.6,percent of total billed charges,91.8391028,,,,108.23,percent of total billed charges,104.4466077,,,,108.23,percent of total billed charges,92.28203522,,,,109.6,percent of total billed charges,999999999,,,,109.6,percent of total billed charges,999999999,,,,95.9,percent of total billed charges,999999999,,,,95.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,72.884,percent of total billed charges,999999999,,,,,,,,,,,,,,,,69.185,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,34.25,percent of total billed charges,32.52912214,,,,,,,,,,34.25,percent of total billed charges,31.98802233,,,,,,,,,,34.25,percent of total billed charges,31.89912899,,,,,,,,,,34.25,percent of total billed charges,31.4294147,,,,,,,,,,34.25,percent of total billed charges,32.23813974,,,,,,,,,,34.25,percent of total billed charges,999999999,,,,,,,,,,34.25,percent of total billed charges,27.66259411,,,,,,,,,,34.25,percent of total billed charges,43.62581852,,,,,,,,,,34.25,percent of total billed charges,999999999,,,,,,,,,,34.25,percent of total billed charges,29.82704183,,,,,,,,,,123.3,percent of total billed charges,,,,,
BB CROSSMATCH,86922,CDM,0056-2780-01,NDC,,both,1,EA,278,278,59.18173661,278,278,percent of total billed charges,204.5344762,,,,278,percent of total billed charges,216.8025006,,,,278,percent of total billed charges,204.5344762,,,,278,percent of total billed charges,216.8025006,,,,278,percent of total billed charges,999999999,,,,278,percent of total billed charges,211.8168932,,,,278,percent of total billed charges,204.5344762,,,,278,percent of total billed charges,216.8025006,,,,198.214,percent of total billed charges,98.91241332,,,,198.214,percent of total billed charges,59.18173661,,,,198.214,percent of total billed charges,98.91241332,,,,198.214,percent of total billed charges,59.18173661,,,,198.214,percent of total billed charges,98.91241332,,,,198.214,percent of total billed charges,59.18173661,,,,196.268,percent of total billed charges,194.7788613,,,,196.268,percent of total billed charges,134.3374368,,,,,,,,,,200.16,percent of total billed charges,130.0992898,,,,,,,,,,200.16,percent of total billed charges,999999999,,,,,,,,,,222.4,percent of total billed charges,186.3596393,,,,219.62,percent of total billed charges,211.9427513,,,,219.62,percent of total billed charges,187.2584364,,,,222.4,percent of total billed charges,999999999,,,,222.4,percent of total billed charges,999999999,,,,194.6,percent of total billed charges,999999999,,,,194.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,147.896,percent of total billed charges,999999999,,,,,,,,,,,,,,,,140.39,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,69.5,percent of total billed charges,66.00799968,,,,,,,,,,69.5,percent of total billed charges,64.91000152,,,,,,,,,,69.5,percent of total billed charges,64.7296194,,,,,,,,,,69.5,percent of total billed charges,63.77647654,,,,,,,,,,69.5,percent of total billed charges,65.41753904,,,,,,,,,,69.5,percent of total billed charges,999999999,,,,,,,,,,69.5,percent of total billed charges,56.13285521,,,,,,,,,,69.5,percent of total billed charges,88.52538356,,,,,,,,,,69.5,percent of total billed charges,999999999,,,,,,,,,,69.5,percent of total billed charges,60.52494619,,,,,,,,,,250.2,percent of total billed charges,,,,,
**BB BLOOD BANK PROCESSING,390,RC,0056-2780-01,NDC,,both,1,EA,483,483,102.8229453,483,483,percent of total billed charges,355.3602589,,,,483,percent of total billed charges,376.6748481,,,,483,percent of total billed charges,355.3602589,,,,483,percent of total billed charges,376.6748481,,,,483,percent of total billed charges,999999999,,,,483,percent of total billed charges,368.0128036,,,,483,percent of total billed charges,355.3602589,,,,483,percent of total billed charges,376.6748481,,,,344.379,percent of total billed charges,171.8514231,,,,344.379,percent of total billed charges,102.8229453,,,,344.379,percent of total billed charges,171.8514231,,,,344.379,percent of total billed charges,102.8229453,,,,344.379,percent of total billed charges,171.8514231,,,,344.379,percent of total billed charges,102.8229453,,,,340.998,percent of total billed charges,338.4107555,,,,340.998,percent of total billed charges,233.3992158,,,,,,,,,,347.76,percent of total billed charges,226.0358165,,,,,,,,,,347.76,percent of total billed charges,999999999,,,,,,,,,,386.4,percent of total billed charges,323.7831142,,,,381.57,percent of total billed charges,368.2314708,,,,381.57,percent of total billed charges,325.3446935,,,,386.4,percent of total billed charges,999999999,,,,386.4,percent of total billed charges,999999999,,,,338.1,percent of total billed charges,999999999,,,,338.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,256.956,percent of total billed charges,999999999,,,,,,,,,,,,,,,,243.915,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,120.75,percent of total billed charges,114.6829635,,,,,,,,,,120.75,percent of total billed charges,112.7752904,,,,,,,,,,120.75,percent of total billed charges,112.4618927,,,,,,,,,,120.75,percent of total billed charges,110.8058927,,,,,,,,,,120.75,percent of total billed charges,113.6570912,,,,,,,,,,120.75,percent of total billed charges,999999999,,,,,,,,,,120.75,percent of total billed charges,97.525788,,,,,,,,,,120.75,percent of total billed charges,153.804893,,,,,,,,,,120.75,percent of total billed charges,999999999,,,,,,,,,,120.75,percent of total billed charges,105.1566511,,,,,,,,,,434.7,percent of total billed charges,,,,,
**BB BLOOD PROCESSING-PLATELET,86999,CDM,0056-2780-01,NDC,,both,1,EA,420,420,89.41125674,420,420,percent of total billed charges,309.0089208,,,,420,percent of total billed charges,327.5433462,,,,420,percent of total billed charges,309.0089208,,,,420,percent of total billed charges,327.5433462,,,,420,percent of total billed charges,999999999,,,,420,percent of total billed charges,320.0111336,,,,420,percent of total billed charges,309.0089208,,,,420,percent of total billed charges,327.5433462,,,,299.46,percent of total billed charges,149.4360201,,,,299.46,percent of total billed charges,89.41125674,,,,299.46,percent of total billed charges,149.4360201,,,,299.46,percent of total billed charges,89.41125674,,,,299.46,percent of total billed charges,149.4360201,,,,299.46,percent of total billed charges,89.41125674,,,,296.52,percent of total billed charges,294.2702222,,,,296.52,percent of total billed charges,202.9558398,,,,,,,,,,302.4,percent of total billed charges,196.5528839,,,,,,,,,,302.4,percent of total billed charges,999999999,,,,,,,,,,336,percent of total billed charges,281.5505341,,,,331.8,percent of total billed charges,320.201279,,,,331.8,percent of total billed charges,282.9084291,,,,336,percent of total billed charges,999999999,,,,336,percent of total billed charges,999999999,,,,294,percent of total billed charges,999999999,,,,294,percent of total billed charges,999999999,,,,,,,,,,,,,,,,223.44,percent of total billed charges,999999999,,,,,,,,,,,,,,,,212.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,105,percent of total billed charges,99.72431606,,,,,,,,,,105,percent of total billed charges,98.06546992,,,,,,,,,,105,percent of total billed charges,97.79295018,,,,,,,,,,105,percent of total billed charges,96.35295018,,,,,,,,,,105,percent of total billed charges,98.83225323,,,,,,,,,,105,percent of total billed charges,999999999,,,,,,,,,,105,percent of total billed charges,84.80503304,,,,,,,,,,105,percent of total billed charges,133.7433852,,,,,,,,,,105,percent of total billed charges,999999999,,,,,,,,,,105,percent of total billed charges,91.44056618,,,,,,,,,,378,percent of total billed charges,,,,,
**BB LEUKOCYTE-POOR RBC,86999,CDM,0056-2780-01,NDC,,both,1,EA,179,179,38.10622609,179,179,percent of total billed charges,131.6966591,,,,179,percent of total billed charges,139.5958547,,,,179,percent of total billed charges,131.6966591,,,,179,percent of total billed charges,139.5958547,,,,179,percent of total billed charges,999999999,,,,179,percent of total billed charges,136.3856974,,,,179,percent of total billed charges,131.6966591,,,,179,percent of total billed charges,139.5958547,,,,127.627,percent of total billed charges,63.68820858,,,,127.627,percent of total billed charges,38.10622609,,,,127.627,percent of total billed charges,63.68820858,,,,127.627,percent of total billed charges,38.10622609,,,,127.627,percent of total billed charges,63.68820858,,,,127.627,percent of total billed charges,38.10622609,,,,126.374,percent of total billed charges,125.4151661,,,,126.374,percent of total billed charges,86.49784602,,,,,,,,,,128.88,percent of total billed charges,83.76896718,,,,,,,,,,128.88,percent of total billed charges,999999999,,,,,,,,,,143.2,percent of total billed charges,119.9941562,,,,141.41,percent of total billed charges,136.4667356,,,,141.41,percent of total billed charges,120.5728781,,,,143.2,percent of total billed charges,999999999,,,,143.2,percent of total billed charges,999999999,,,,125.3,percent of total billed charges,999999999,,,,125.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,95.228,percent of total billed charges,999999999,,,,,,,,,,,,,,,,90.395,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,44.75,percent of total billed charges,42.50155375,,,,,,,,,,44.75,percent of total billed charges,41.79456932,,,,,,,,,,44.75,percent of total billed charges,41.678424,,,,,,,,,,44.75,percent of total billed charges,41.06470972,,,,,,,,,,44.75,percent of total billed charges,42.12136507,,,,,,,,,,44.75,percent of total billed charges,999999999,,,,,,,,,,44.75,percent of total billed charges,36.14309742,,,,,,,,,,44.75,percent of total billed charges,57.00015704,,,,,,,,,,44.75,percent of total billed charges,999999999,,,,,,,,,,44.75,percent of total billed charges,38.97109844,,,,,,,,,,161.1,percent of total billed charges,,,,,
BB PHLEBOTOMY  THERAPEUTIC,99195,CDM,0056-2780-01,NDC,,both,1,EA,382,382,81.32166685,382,382,percent of total billed charges,281.0509708,,,,382,percent of total billed charges,297.908472,,,,382,percent of total billed charges,281.0509708,,,,382,percent of total billed charges,297.908472,,,,382,percent of total billed charges,999999999,,,,382,percent of total billed charges,291.0577453,,,,382,percent of total billed charges,281.0509708,,,,382,percent of total billed charges,297.908472,,,,272.366,percent of total billed charges,135.9156183,,,,272.366,percent of total billed charges,81.32166685,,,,272.366,percent of total billed charges,135.9156183,,,,272.366,percent of total billed charges,81.32166685,,,,272.366,percent of total billed charges,135.9156183,,,,272.366,percent of total billed charges,81.32166685,,,,269.692,percent of total billed charges,267.6457735,,,,269.692,percent of total billed charges,184.5931686,,,,,,,,,,275.04,percent of total billed charges,178.7695277,,,,,,,,,,275.04,percent of total billed charges,999999999,,,,,,,,,,305.6,percent of total billed charges,256.0769144,,,,301.78,percent of total billed charges,291.2306871,,,,301.78,percent of total billed charges,257.3119522,,,,305.6,percent of total billed charges,999999999,,,,305.6,percent of total billed charges,999999999,,,,267.4,percent of total billed charges,999999999,,,,267.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,203.224,percent of total billed charges,999999999,,,,,,,,,,,,,,,,192.91,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,95.5,percent of total billed charges,90.70163985,,,,,,,,,,95.5,percent of total billed charges,89.19287978,,,,,,,,,,95.5,percent of total billed charges,88.94501659,,,,,,,,,,95.5,percent of total billed charges,87.6353023,,,,,,,,,,95.5,percent of total billed charges,89.89028746,,,,,,,,,,95.5,percent of total billed charges,999999999,,,,,,,,,,95.5,percent of total billed charges,77.13219672,,,,,,,,,,95.5,percent of total billed charges,121.6427932,,,,,,,,,,95.5,percent of total billed charges,999999999,,,,,,,,,,95.5,percent of total billed charges,83.1673721,,,,,,,,,,343.8,percent of total billed charges,,,,,
BB RHOGAM WORKUP,J2790,CDM,0056-2780-01,NDC,,both,1,EA,607,607,129.2205544,607,607,percent of total billed charges,446.5914641,,,,607,percent of total billed charges,473.3781218,,,,607,percent of total billed charges,446.5914641,,,,607,percent of total billed charges,473.3781218,,,,607,percent of total billed charges,999999999,,,,607,percent of total billed charges,462.4922811,,,,607,percent of total billed charges,446.5914641,,,,607,percent of total billed charges,473.3781218,,,,432.791,percent of total billed charges,215.9706291,,,,432.791,percent of total billed charges,129.2205544,,,,432.791,percent of total billed charges,215.9706291,,,,432.791,percent of total billed charges,129.2205544,,,,432.791,percent of total billed charges,215.9706291,,,,432.791,percent of total billed charges,129.2205544,,,,428.542,percent of total billed charges,425.2905353,,,,428.542,percent of total billed charges,293.3195114,,,,,,,,,,437.04,percent of total billed charges,284.0657155,,,,,,,,,,437.04,percent of total billed charges,999999999,,,,,,,,,,485.6,percent of total billed charges,406.9075577,,,,479.53,percent of total billed charges,462.7670865,,,,479.53,percent of total billed charges,408.8700393,,,,485.6,percent of total billed charges,999999999,,,,485.6,percent of total billed charges,999999999,,,,424.9,percent of total billed charges,999999999,,,,424.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,322.924,percent of total billed charges,999999999,,,,,,,,,,,,,,,,306.535,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,151.75,percent of total billed charges,144.1253806,,,,,,,,,,151.75,percent of total billed charges,141.727953,,,,,,,,,,151.75,percent of total billed charges,141.334097,,,,,,,,,,151.75,percent of total billed charges,139.2529542,,,,,,,,,,151.75,percent of total billed charges,142.8361374,,,,,,,,,,151.75,percent of total billed charges,999999999,,,,,,,,,,151.75,percent of total billed charges,122.5634644,,,,,,,,,,151.75,percent of total billed charges,193.2910353,,,,,,,,,,151.75,percent of total billed charges,999999999,,,,,,,,,,151.75,percent of total billed charges,132.1533897,,,,,,,,,,546.3,percent of total billed charges,,,,,
HLA CLASS II HIGH DEFINITION,86833,CDM,0056-2780-01,NDC,,both,1,EA,1121,1121,238.6429019,1121,1121,percent of total billed charges,824.7595243,,,,1121,percent of total billed charges,874.2287883,,,,1121,percent of total billed charges,824.7595243,,,,1121,percent of total billed charges,874.2287883,,,,1121,percent of total billed charges,999999999,,,,1121,percent of total billed charges,854.1249541,,,,1121,percent of total billed charges,824.7595243,,,,1121,percent of total billed charges,874.2287883,,,,799.273,percent of total billed charges,398.8518537,,,,799.273,percent of total billed charges,238.6429019,,,,799.273,percent of total billed charges,398.8518537,,,,799.273,percent of total billed charges,238.6429019,,,,799.273,percent of total billed charges,398.8518537,,,,799.273,percent of total billed charges,238.6429019,,,,791.426,percent of total billed charges,785.4212358,,,,791.426,percent of total billed charges,541.698801,,,,,,,,,,807.12,percent of total billed charges,524.6090068,,,,,,,,,,807.12,percent of total billed charges,999999999,,,,,,,,,,896.8,percent of total billed charges,751.4717828,,,,885.59,percent of total billed charges,854.6324613,,,,885.59,percent of total billed charges,755.0960692,,,,896.8,percent of total billed charges,999999999,,,,896.8,percent of total billed charges,999999999,,,,784.7,percent of total billed charges,999999999,,,,784.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,596.372,percent of total billed charges,999999999,,,,,,,,,,,,,,,,566.105,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,280.25,percent of total billed charges,266.1689483,,,,,,,,,,280.25,percent of total billed charges,261.741409,,,,,,,,,,280.25,percent of total billed charges,261.0140408,,,,,,,,,,280.25,percent of total billed charges,257.1706123,,,,,,,,,,280.25,percent of total billed charges,263.7879902,,,,,,,,,,280.25,percent of total billed charges,999999999,,,,,,,,,,280.25,percent of total billed charges,226.3486715,,,,,,,,,,280.25,percent of total billed charges,356.9674639,,,,,,,,,,280.25,percent of total billed charges,999999999,,,,,,,,,,280.25,percent of total billed charges,244.0592255,,,,,,,,,,1008.9,percent of total billed charges,,,,,
HLA Class I&II AB QUAL,86828,CDM,0056-2780-01,NDC,,both,1,EA,579,579,123.2598039,579,579,percent of total billed charges,425.9908694,,,,579,percent of total billed charges,451.5418987,,,,579,percent of total billed charges,425.9908694,,,,579,percent of total billed charges,451.5418987,,,,579,percent of total billed charges,999999999,,,,579,percent of total billed charges,441.1582056,,,,579,percent of total billed charges,425.9908694,,,,579,percent of total billed charges,451.5418987,,,,412.827,percent of total billed charges,206.0082277,,,,412.827,percent of total billed charges,123.2598039,,,,412.827,percent of total billed charges,206.0082277,,,,412.827,percent of total billed charges,123.2598039,,,,412.827,percent of total billed charges,206.0082277,,,,412.827,percent of total billed charges,123.2598039,,,,408.774,percent of total billed charges,405.6725205,,,,408.774,percent of total billed charges,279.789122,,,,,,,,,,416.88,percent of total billed charges,270.9621899,,,,,,,,,,416.88,percent of total billed charges,999999999,,,,,,,,,,463.2,percent of total billed charges,388.1375221,,,,457.41,percent of total billed charges,441.4203346,,,,457.41,percent of total billed charges,390.0094773,,,,463.2,percent of total billed charges,999999999,,,,463.2,percent of total billed charges,999999999,,,,405.3,percent of total billed charges,999999999,,,,405.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,308.028,percent of total billed charges,999999999,,,,,,,,,,,,,,,,292.395,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,144.75,percent of total billed charges,137.4770929,,,,,,,,,,144.75,percent of total billed charges,135.190255,,,,,,,,,,144.75,percent of total billed charges,134.814567,,,,,,,,,,144.75,percent of total billed charges,132.8294242,,,,,,,,,,144.75,percent of total billed charges,136.2473205,,,,,,,,,,144.75,percent of total billed charges,999999999,,,,,,,,,,144.75,percent of total billed charges,116.9097956,,,,,,,,,,144.75,percent of total billed charges,184.3748096,,,,,,,,,,144.75,percent of total billed charges,999999999,,,,,,,,,,144.75,percent of total billed charges,126.057352,,,,,,,,,,521.1,percent of total billed charges,,,,,
BB ANTIBODY PANEL-EACH,86870,CDM,0056-2780-01,NDC,,both,1,EA,401,401,85.36646179,401,401,percent of total billed charges,295.0299458,,,,401,percent of total billed charges,312.7259091,,,,401,percent of total billed charges,295.0299458,,,,401,percent of total billed charges,312.7259091,,,,401,percent of total billed charges,999999999,,,,401,percent of total billed charges,305.5344394,,,,401,percent of total billed charges,295.0299458,,,,401,percent of total billed charges,312.7259091,,,,285.913,percent of total billed charges,142.6758192,,,,285.913,percent of total billed charges,85.36646179,,,,285.913,percent of total billed charges,142.6758192,,,,285.913,percent of total billed charges,85.36646179,,,,285.913,percent of total billed charges,142.6758192,,,,285.913,percent of total billed charges,85.36646179,,,,283.106,percent of total billed charges,280.9579978,,,,283.106,percent of total billed charges,193.7745042,,,,,,,,,,288.72,percent of total billed charges,187.6612058,,,,,,,,,,288.72,percent of total billed charges,999999999,,,,,,,,,,320.8,percent of total billed charges,268.8137243,,,,316.79,percent of total billed charges,305.715983,,,,316.79,percent of total billed charges,270.1101907,,,,320.8,percent of total billed charges,999999999,,,,320.8,percent of total billed charges,999999999,,,,280.7,percent of total billed charges,999999999,,,,280.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,213.332,percent of total billed charges,999999999,,,,,,,,,,,,,,,,202.505,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,100.25,percent of total billed charges,95.21297795,,,,,,,,,,100.25,percent of total billed charges,93.62917485,,,,,,,,,,100.25,percent of total billed charges,93.36898338,,,,,,,,,,100.25,percent of total billed charges,91.99412624,,,,,,,,,,100.25,percent of total billed charges,94.36127035,,,,,,,,,,100.25,percent of total billed charges,999999999,,,,,,,,,,100.25,percent of total billed charges,80.96861488,,,,,,,,,,100.25,percent of total billed charges,127.6930892,,,,,,,,,,100.25,percent of total billed charges,999999999,,,,,,,,,,100.25,percent of total billed charges,87.30396914,,,,,,,,,,360.9,percent of total billed charges,,,,,
RBC ANTIBODY ID,86870,CDM,0056-2780-01,NDC,,both,1,EA,406,406,86.43088152,406,406,percent of total billed charges,298.7086234,,,,406,percent of total billed charges,316.6252347,,,,406,percent of total billed charges,298.7086234,,,,406,percent of total billed charges,316.6252347,,,,406,percent of total billed charges,999999999,,,,406,percent of total billed charges,309.3440958,,,,406,percent of total billed charges,298.7086234,,,,406,percent of total billed charges,316.6252347,,,,289.478,percent of total billed charges,144.4548195,,,,289.478,percent of total billed charges,86.43088152,,,,289.478,percent of total billed charges,144.4548195,,,,289.478,percent of total billed charges,86.43088152,,,,289.478,percent of total billed charges,144.4548195,,,,289.478,percent of total billed charges,86.43088152,,,,286.636,percent of total billed charges,284.4612147,,,,286.636,percent of total billed charges,196.1906452,,,,,,,,,,292.32,percent of total billed charges,190.0011211,,,,,,,,,,292.32,percent of total billed charges,999999999,,,,,,,,,,324.8,percent of total billed charges,272.1655163,,,,320.74,percent of total billed charges,309.527903,,,,320.74,percent of total billed charges,273.4781482,,,,324.8,percent of total billed charges,999999999,,,,324.8,percent of total billed charges,999999999,,,,284.2,percent of total billed charges,999999999,,,,284.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,215.992,percent of total billed charges,999999999,,,,,,,,,,,,,,,,205.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,101.5,percent of total billed charges,96.40017219,,,,,,,,,,101.5,percent of total billed charges,94.79662092,,,,,,,,,,101.5,percent of total billed charges,94.53318517,,,,,,,,,,101.5,percent of total billed charges,93.14118517,,,,,,,,,,101.5,percent of total billed charges,95.53784479,,,,,,,,,,101.5,percent of total billed charges,999999999,,,,,,,,,,101.5,percent of total billed charges,81.97819861,,,,,,,,,,101.5,percent of total billed charges,129.2852724,,,,,,,,,,101.5,percent of total billed charges,999999999,,,,,,,,,,101.5,percent of total billed charges,88.39254731,,,,,,,,,,365.4,percent of total billed charges,,,,,
RETIC/SICKLE CELL SEP,86972,CDM,0056-2780-01,NDC,,both,1,EA,316,316,67.2713265,316,316,percent of total billed charges,232.4924261,,,,316,percent of total billed charges,246.4373748,,,,316,percent of total billed charges,232.4924261,,,,316,percent of total billed charges,246.4373748,,,,316,percent of total billed charges,999999999,,,,316,percent of total billed charges,240.7702815,,,,316,percent of total billed charges,232.4924261,,,,316,percent of total billed charges,246.4373748,,,,225.308,percent of total billed charges,112.4328151,,,,225.308,percent of total billed charges,67.2713265,,,,225.308,percent of total billed charges,112.4328151,,,,225.308,percent of total billed charges,67.2713265,,,,225.308,percent of total billed charges,112.4328151,,,,225.308,percent of total billed charges,67.2713265,,,,223.096,percent of total billed charges,221.40331,,,,223.096,percent of total billed charges,152.7001081,,,,,,,,,,227.52,percent of total billed charges,147.882646,,,,,,,,,,227.52,percent of total billed charges,999999999,,,,,,,,,,252.8,percent of total billed charges,211.833259,,,,249.64,percent of total billed charges,240.9133432,,,,249.64,percent of total billed charges,212.8549133,,,,252.8,percent of total billed charges,999999999,,,,252.8,percent of total billed charges,999999999,,,,221.2,percent of total billed charges,999999999,,,,221.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,168.112,percent of total billed charges,999999999,,,,,,,,,,,,,,,,159.58,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,79,percent of total billed charges,75.03067589,,,,,,,,,,79,percent of total billed charges,73.78259165,,,,,,,,,,79,percent of total billed charges,73.57755299,,,,,,,,,,79,percent of total billed charges,72.49412442,,,,,,,,,,79,percent of total billed charges,74.35950481,,,,,,,,,,79,percent of total billed charges,999999999,,,,,,,,,,79,percent of total billed charges,63.80569153,,,,,,,,,,79,percent of total billed charges,100.6259756,,,,,,,,,,79,percent of total billed charges,999999999,,,,,,,,,,79,percent of total billed charges,68.79814027,,,,,,,,,,284.4,percent of total billed charges,,,,,
RBC ENZYME TREATMENT,86971,CDM,0056-2780-01,NDC,,both,1,EA,137,137,29.16510041,137,137,percent of total billed charges,100.795767,,,,137,percent of total billed charges,106.8415201,,,,137,percent of total billed charges,100.795767,,,,137,percent of total billed charges,106.8415201,,,,137,percent of total billed charges,999999999,,,,137,percent of total billed charges,104.384584,,,,137,percent of total billed charges,100.795767,,,,137,percent of total billed charges,106.8415201,,,,97.681,percent of total billed charges,48.74460657,,,,97.681,percent of total billed charges,29.16510041,,,,97.681,percent of total billed charges,48.74460657,,,,97.681,percent of total billed charges,29.16510041,,,,97.681,percent of total billed charges,48.74460657,,,,97.681,percent of total billed charges,29.16510041,,,,96.722,percent of total billed charges,95.98814389,,,,96.722,percent of total billed charges,66.20226204,,,,,,,,,,98.64,percent of total billed charges,64.11367879,,,,,,,,,,98.64,percent of total billed charges,999999999,,,,,,,,,,109.6,percent of total billed charges,91.8391028,,,,108.23,percent of total billed charges,104.4466077,,,,108.23,percent of total billed charges,92.28203522,,,,109.6,percent of total billed charges,999999999,,,,109.6,percent of total billed charges,999999999,,,,95.9,percent of total billed charges,999999999,,,,95.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,72.884,percent of total billed charges,999999999,,,,,,,,,,,,,,,,69.185,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,34.25,percent of total billed charges,32.52912214,,,,,,,,,,34.25,percent of total billed charges,31.98802233,,,,,,,,,,34.25,percent of total billed charges,31.89912899,,,,,,,,,,34.25,percent of total billed charges,31.4294147,,,,,,,,,,34.25,percent of total billed charges,32.23813974,,,,,,,,,,34.25,percent of total billed charges,999999999,,,,,,,,,,34.25,percent of total billed charges,27.66259411,,,,,,,,,,34.25,percent of total billed charges,43.62581852,,,,,,,,,,34.25,percent of total billed charges,999999999,,,,,,,,,,34.25,percent of total billed charges,29.82704183,,,,,,,,,,123.3,percent of total billed charges,,,,,
**BB FROZEN RBC'S DEGLYCER,P9054,CDM,0056-2780-01,NDC,,both,1,EA,250,250,53.22098616,250,250,percent of total billed charges,183.9338814,,,,250,percent of total billed charges,194.9662775,,,,250,percent of total billed charges,183.9338814,,,,250,percent of total billed charges,194.9662775,,,,250,percent of total billed charges,999999999,,,,250,percent of total billed charges,190.4828176,,,,250,percent of total billed charges,183.9338814,,,,250,percent of total billed charges,194.9662775,,,,178.25,percent of total billed charges,88.95001198,,,,178.25,percent of total billed charges,53.22098616,,,,178.25,percent of total billed charges,88.95001198,,,,178.25,percent of total billed charges,53.22098616,,,,178.25,percent of total billed charges,88.95001198,,,,178.25,percent of total billed charges,53.22098616,,,,176.5,percent of total billed charges,175.1608465,,,,176.5,percent of total billed charges,120.8070475,,,,,,,,,,180,percent of total billed charges,116.9957642,,,,,,,,,,180,percent of total billed charges,999999999,,,,,,,,,,200,percent of total billed charges,167.5896036,,,,197.5,percent of total billed charges,190.5959994,,,,197.5,percent of total billed charges,168.3978745,,,,200,percent of total billed charges,999999999,,,,200,percent of total billed charges,999999999,,,,175,percent of total billed charges,999999999,,,,175,percent of total billed charges,999999999,,,,,,,,,,,,,,,,133,percent of total billed charges,999999999,,,,,,,,,,,,,,,,126.25,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,62.5,percent of total billed charges,59.35971194,,,,,,,,,,62.5,percent of total billed charges,58.37230352,,,,,,,,,,62.5,percent of total billed charges,58.21008939,,,,,,,,,,62.5,percent of total billed charges,57.35294653,,,,,,,,,,62.5,percent of total billed charges,58.82872216,,,,,,,,,,62.5,percent of total billed charges,999999999,,,,,,,,,,62.5,percent of total billed charges,50.47918634,,,,,,,,,,62.5,percent of total billed charges,79.60915788,,,,,,,,,,62.5,percent of total billed charges,999999999,,,,,,,,,,62.5,percent of total billed charges,54.42890844,,,,,,,,,,225,percent of total billed charges,,,,,
BB FROZEN PLASMA & THAW-EACH,86927,CDM,0056-2780-01,NDC,,both,1,EA,146,146,31.08105592,146,146,percent of total billed charges,107.4173868,,,,146,percent of total billed charges,113.8603061,,,,146,percent of total billed charges,107.4173868,,,,146,percent of total billed charges,113.8603061,,,,146,percent of total billed charges,999999999,,,,146,percent of total billed charges,111.2419655,,,,146,percent of total billed charges,107.4173868,,,,146,percent of total billed charges,113.8603061,,,,104.098,percent of total billed charges,51.946807,,,,104.098,percent of total billed charges,31.08105592,,,,104.098,percent of total billed charges,51.946807,,,,104.098,percent of total billed charges,31.08105592,,,,104.098,percent of total billed charges,51.946807,,,,104.098,percent of total billed charges,31.08105592,,,,103.076,percent of total billed charges,102.2939344,,,,103.076,percent of total billed charges,70.55131575,,,,,,,,,,105.12,percent of total billed charges,68.3255263,,,,,,,,,,105.12,percent of total billed charges,999999999,,,,,,,,,,116.8,percent of total billed charges,97.87232853,,,,115.34,percent of total billed charges,111.3080636,,,,115.34,percent of total billed charges,98.3443587,,,,116.8,percent of total billed charges,999999999,,,,116.8,percent of total billed charges,999999999,,,,102.2,percent of total billed charges,999999999,,,,102.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,77.672,percent of total billed charges,999999999,,,,,,,,,,,,,,,,73.73,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,36.5,percent of total billed charges,34.66607177,,,,,,,,,,36.5,percent of total billed charges,34.08942526,,,,,,,,,,36.5,percent of total billed charges,33.9946922,,,,,,,,,,36.5,percent of total billed charges,33.49412078,,,,,,,,,,36.5,percent of total billed charges,34.35597374,,,,,,,,,,36.5,percent of total billed charges,999999999,,,,,,,,,,36.5,percent of total billed charges,29.47984482,,,,,,,,,,36.5,percent of total billed charges,46.4917482,,,,,,,,,,36.5,percent of total billed charges,999999999,,,,,,,,,,36.5,percent of total billed charges,31.78648253,,,,,,,,,,131.4,percent of total billed charges,,,,,
**BB PACKED RED BLOOD CELLS,P9021,CDM,0056-2780-01,NDC,,both,1,EA,834,834,177.5452098,834,834,percent of total billed charges,613.6034285,,,,834,percent of total billed charges,650.4075017,,,,834,percent of total billed charges,613.6034285,,,,834,percent of total billed charges,650.4075017,,,,834,percent of total billed charges,999999999,,,,834,percent of total billed charges,635.4506795,,,,834,percent of total billed charges,613.6034285,,,,834,percent of total billed charges,650.4075017,,,,594.642,percent of total billed charges,296.73724,,,,594.642,percent of total billed charges,177.5452098,,,,594.642,percent of total billed charges,296.73724,,,,594.642,percent of total billed charges,177.5452098,,,,594.642,percent of total billed charges,296.73724,,,,594.642,percent of total billed charges,177.5452098,,,,588.804,percent of total billed charges,584.336584,,,,588.804,percent of total billed charges,403.0123105,,,,,,,,,,600.48,percent of total billed charges,390.2978694,,,,,,,,,,600.48,percent of total billed charges,999999999,,,,,,,,,,667.2,percent of total billed charges,559.0789178,,,,658.86,percent of total billed charges,635.828254,,,,658.86,percent of total billed charges,561.7753093,,,,667.2,percent of total billed charges,999999999,,,,667.2,percent of total billed charges,999999999,,,,583.8,percent of total billed charges,999999999,,,,583.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,443.688,percent of total billed charges,999999999,,,,,,,,,,,,,,,,421.17,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,208.5,percent of total billed charges,198.023999,,,,,,,,,,208.5,percent of total billed charges,194.7300046,,,,,,,,,,208.5,percent of total billed charges,194.1888582,,,,,,,,,,208.5,percent of total billed charges,191.3294296,,,,,,,,,,208.5,percent of total billed charges,196.2526171,,,,,,,,,,208.5,percent of total billed charges,999999999,,,,,,,,,,208.5,percent of total billed charges,168.3985656,,,,,,,,,,208.5,percent of total billed charges,265.5761507,,,,,,,,,,208.5,percent of total billed charges,999999999,,,,,,,,,,208.5,percent of total billed charges,181.5748386,,,,,,,,,,750.6,percent of total billed charges,,,,,
**PRENATAL #1,80055,CDM,0056-2780-01,NDC,,both,1,EA,203,203,43.21544076,203,203,percent of total billed charges,149.3543117,,,,203,percent of total billed charges,158.3126173,,,,203,percent of total billed charges,149.3543117,,,,203,percent of total billed charges,158.3126173,,,,203,percent of total billed charges,999999999,,,,203,percent of total billed charges,154.6720479,,,,203,percent of total billed charges,149.3543117,,,,203,percent of total billed charges,158.3126173,,,,144.739,percent of total billed charges,72.22740973,,,,144.739,percent of total billed charges,43.21544076,,,,144.739,percent of total billed charges,72.22740973,,,,144.739,percent of total billed charges,43.21544076,,,,144.739,percent of total billed charges,72.22740973,,,,144.739,percent of total billed charges,43.21544076,,,,143.318,percent of total billed charges,142.2306074,,,,143.318,percent of total billed charges,98.09532258,,,,,,,,,,146.16,percent of total billed charges,95.00056055,,,,,,,,,,146.16,percent of total billed charges,999999999,,,,,,,,,,162.4,percent of total billed charges,136.0827582,,,,160.37,percent of total billed charges,154.7639515,,,,160.37,percent of total billed charges,136.7390741,,,,162.4,percent of total billed charges,999999999,,,,162.4,percent of total billed charges,999999999,,,,142.1,percent of total billed charges,999999999,,,,142.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,107.996,percent of total billed charges,999999999,,,,,,,,,,,,,,,,102.515,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,50.75,percent of total billed charges,48.2000861,,,,,,,,,,50.75,percent of total billed charges,47.39831046,,,,,,,,,,50.75,percent of total billed charges,47.26659259,,,,,,,,,,50.75,percent of total billed charges,46.57059258,,,,,,,,,,50.75,percent of total billed charges,47.7689224,,,,,,,,,,50.75,percent of total billed charges,999999999,,,,,,,,,,50.75,percent of total billed charges,40.9890993,,,,,,,,,,50.75,percent of total billed charges,64.6426362,,,,,,,,,,50.75,percent of total billed charges,999999999,,,,,,,,,,50.75,percent of total billed charges,44.19627365,,,,,,,,,,182.7,percent of total billed charges,,,,,
BB PACKED RBC'S/LEUKOPOOR,P9016,CDM,0056-2780-01,NDC,,both,1,EA,962,962,204.7943547,962,962,percent of total billed charges,707.7775757,,,,962,percent of total billed charges,750.2302358,,,,962,percent of total billed charges,707.7775757,,,,962,percent of total billed charges,750.2302358,,,,962,percent of total billed charges,999999999,,,,962,percent of total billed charges,732.9778821,,,,962,percent of total billed charges,707.7775757,,,,962,percent of total billed charges,750.2302358,,,,685.906,percent of total billed charges,342.2796461,,,,685.906,percent of total billed charges,204.7943547,,,,685.906,percent of total billed charges,342.2796461,,,,685.906,percent of total billed charges,204.7943547,,,,685.906,percent of total billed charges,342.2796461,,,,685.906,percent of total billed charges,204.7943547,,,,679.172,percent of total billed charges,674.0189374,,,,679.172,percent of total billed charges,464.8655188,,,,,,,,,,692.64,percent of total billed charges,450.1997007,,,,,,,,,,692.64,percent of total billed charges,999999999,,,,,,,,,,769.6,percent of total billed charges,644.8847948,,,,759.98,percent of total billed charges,733.4134057,,,,759.98,percent of total billed charges,647.995021,,,,769.6,percent of total billed charges,999999999,,,,769.6,percent of total billed charges,999999999,,,,673.4,percent of total billed charges,999999999,,,,673.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,511.784,percent of total billed charges,999999999,,,,,,,,,,,,,,,,485.81,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,240.5,percent of total billed charges,228.4161715,,,,,,,,,,240.5,percent of total billed charges,224.616624,,,,,,,,,,240.5,percent of total billed charges,223.992424,,,,,,,,,,240.5,percent of total billed charges,220.6941383,,,,,,,,,,240.5,percent of total billed charges,226.3729229,,,,,,,,,,240.5,percent of total billed charges,999999999,,,,,,,,,,240.5,percent of total billed charges,194.243909,,,,,,,,,,240.5,percent of total billed charges,306.3360395,,,,,,,,,,240.5,percent of total billed charges,999999999,,,,,,,,,,240.5,percent of total billed charges,209.4424397,,,,,,,,,,865.8,percent of total billed charges,,,,,
IRRADIATION OF BLOOD PRODUCT,86945,CDM,0056-2780-01,NDC,,both,1,EA,205,205,43.64120865,205,205,percent of total billed charges,150.8257828,,,,205,percent of total billed charges,159.8723476,,,,205,percent of total billed charges,150.8257828,,,,205,percent of total billed charges,159.8723476,,,,205,percent of total billed charges,999999999,,,,205,percent of total billed charges,156.1959104,,,,205,percent of total billed charges,150.8257828,,,,205,percent of total billed charges,159.8723476,,,,146.165,percent of total billed charges,72.93900983,,,,146.165,percent of total billed charges,43.64120865,,,,146.165,percent of total billed charges,72.93900983,,,,146.165,percent of total billed charges,43.64120865,,,,146.165,percent of total billed charges,72.93900983,,,,146.165,percent of total billed charges,43.64120865,,,,144.73,percent of total billed charges,143.6318941,,,,144.73,percent of total billed charges,99.06177896,,,,,,,,,,147.6,percent of total billed charges,95.93652666,,,,,,,,,,147.6,percent of total billed charges,999999999,,,,,,,,,,164,percent of total billed charges,137.423475,,,,161.95,percent of total billed charges,156.2887195,,,,161.95,percent of total billed charges,138.0862571,,,,164,percent of total billed charges,999999999,,,,164,percent of total billed charges,999999999,,,,143.5,percent of total billed charges,999999999,,,,143.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,109.06,percent of total billed charges,999999999,,,,,,,,,,,,,,,,103.525,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,51.25,percent of total billed charges,48.67496379,,,,,,,,,,51.25,percent of total billed charges,47.86528889,,,,,,,,,,51.25,percent of total billed charges,47.7322733,,,,,,,,,,51.25,percent of total billed charges,47.02941616,,,,,,,,,,51.25,percent of total billed charges,48.23955217,,,,,,,,,,51.25,percent of total billed charges,999999999,,,,,,,,,,51.25,percent of total billed charges,41.3929328,,,,,,,,,,51.25,percent of total billed charges,65.27950946,,,,,,,,,,51.25,percent of total billed charges,999999999,,,,,,,,,,51.25,percent of total billed charges,44.63170492,,,,,,,,,,184.5,percent of total billed charges,,,,,
"**BB PRBC LEUK,IN, EMV NEG",C1010,CDM,0056-2780-01,NDC,,both,1,EA,571,571,121.5567324,571,571,percent of total billed charges,420.1049852,,,,571,percent of total billed charges,445.3029778,,,,571,percent of total billed charges,420.1049852,,,,571,percent of total billed charges,445.3029778,,,,571,percent of total billed charges,999999999,,,,571,percent of total billed charges,435.0627554,,,,571,percent of total billed charges,420.1049852,,,,571,percent of total billed charges,445.3029778,,,,407.123,percent of total billed charges,203.1618274,,,,407.123,percent of total billed charges,121.5567324,,,,407.123,percent of total billed charges,203.1618274,,,,407.123,percent of total billed charges,121.5567324,,,,407.123,percent of total billed charges,203.1618274,,,,407.123,percent of total billed charges,121.5567324,,,,403.126,percent of total billed charges,400.0673734,,,,403.126,percent of total billed charges,275.9232965,,,,,,,,,,411.12,percent of total billed charges,267.2183255,,,,,,,,,,411.12,percent of total billed charges,999999999,,,,,,,,,,456.8,percent of total billed charges,382.7746547,,,,451.09,percent of total billed charges,435.3212626,,,,451.09,percent of total billed charges,384.6207453,,,,456.8,percent of total billed charges,999999999,,,,456.8,percent of total billed charges,999999999,,,,399.7,percent of total billed charges,999999999,,,,399.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,303.772,percent of total billed charges,999999999,,,,,,,,,,,,,,,,288.355,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,142.75,percent of total billed charges,135.5775821,,,,,,,,,,142.75,percent of total billed charges,133.3223412,,,,,,,,,,142.75,percent of total billed charges,132.9518442,,,,,,,,,,142.75,percent of total billed charges,130.9941299,,,,,,,,,,142.75,percent of total billed charges,134.3648014,,,,,,,,,,142.75,percent of total billed charges,999999999,,,,,,,,,,142.75,percent of total billed charges,115.2944616,,,,,,,,,,142.75,percent of total billed charges,181.8273166,,,,,,,,,,142.75,percent of total billed charges,999999999,,,,,,,,,,142.75,percent of total billed charges,124.3156269,,,,,,,,,,513.9,percent of total billed charges,,,,,
BB FRESH FROZEN PLASMA,P9017,CDM,0056-2780-01,NDC,,both,1,EA,411,411,87.49530124,411,411,percent of total billed charges,302.3873011,,,,411,percent of total billed charges,320.5245602,,,,411,percent of total billed charges,302.3873011,,,,411,percent of total billed charges,320.5245602,,,,411,percent of total billed charges,999999999,,,,411,percent of total billed charges,313.1537521,,,,411,percent of total billed charges,302.3873011,,,,411,percent of total billed charges,320.5245602,,,,293.043,percent of total billed charges,146.2338197,,,,293.043,percent of total billed charges,87.49530124,,,,293.043,percent of total billed charges,146.2338197,,,,293.043,percent of total billed charges,87.49530124,,,,293.043,percent of total billed charges,146.2338197,,,,293.043,percent of total billed charges,87.49530124,,,,290.166,percent of total billed charges,287.9644317,,,,290.166,percent of total billed charges,198.6067861,,,,,,,,,,295.92,percent of total billed charges,192.3410364,,,,,,,,,,295.92,percent of total billed charges,999999999,,,,,,,,,,328.8,percent of total billed charges,275.5173084,,,,324.69,percent of total billed charges,313.339823,,,,324.69,percent of total billed charges,276.8461057,,,,328.8,percent of total billed charges,999999999,,,,328.8,percent of total billed charges,999999999,,,,287.7,percent of total billed charges,999999999,,,,287.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,218.652,percent of total billed charges,999999999,,,,,,,,,,,,,,,,207.555,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,102.75,percent of total billed charges,97.58736643,,,,,,,,,,102.75,percent of total billed charges,95.96406699,,,,,,,,,,102.75,percent of total billed charges,95.69738696,,,,,,,,,,102.75,percent of total billed charges,94.2882441,,,,,,,,,,102.75,percent of total billed charges,96.71441923,,,,,,,,,,102.75,percent of total billed charges,999999999,,,,,,,,,,102.75,percent of total billed charges,82.98778234,,,,,,,,,,102.75,percent of total billed charges,130.8774556,,,,,,,,,,102.75,percent of total billed charges,999999999,,,,,,,,,,102.75,percent of total billed charges,89.48112548,,,,,,,,,,369.9,percent of total billed charges,,,,,
**BB PHERESIS PLATELETS,P9034,CDM,0056-2780-01,NDC,,both,1,EA,689,689,146.6770378,689,689,percent of total billed charges,506.9217772,,,,689,percent of total billed charges,537.3270608,,,,689,percent of total billed charges,506.9217772,,,,689,percent of total billed charges,537.3270608,,,,689,percent of total billed charges,999999999,,,,689,percent of total billed charges,524.9706453,,,,689,percent of total billed charges,506.9217772,,,,689,percent of total billed charges,537.3270608,,,,491.257,percent of total billed charges,245.146233,,,,491.257,percent of total billed charges,146.6770378,,,,491.257,percent of total billed charges,245.146233,,,,491.257,percent of total billed charges,146.6770378,,,,491.257,percent of total billed charges,245.146233,,,,491.257,percent of total billed charges,146.6770378,,,,486.434,percent of total billed charges,482.743293,,,,486.434,percent of total billed charges,332.9442229,,,,,,,,,,496.08,percent of total billed charges,322.4403262,,,,,,,,,,496.08,percent of total billed charges,999999999,,,,,,,,,,551.2,percent of total billed charges,461.8769477,,,,544.31,percent of total billed charges,525.2825743,,,,544.31,percent of total billed charges,464.1045421,,,,551.2,percent of total billed charges,999999999,,,,551.2,percent of total billed charges,999999999,,,,482.3,percent of total billed charges,999999999,,,,482.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,366.548,percent of total billed charges,999999999,,,,,,,,,,,,,,,,347.945,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,172.25,percent of total billed charges,163.5953661,,,,,,,,,,172.25,percent of total billed charges,160.8740685,,,,,,,,,,172.25,percent of total billed charges,160.4270064,,,,,,,,,,172.25,percent of total billed charges,158.0647206,,,,,,,,,,172.25,percent of total billed charges,162.1319583,,,,,,,,,,172.25,percent of total billed charges,999999999,,,,,,,,,,172.25,percent of total billed charges,139.1206375,,,,,,,,,,172.25,percent of total billed charges,219.4028391,,,,,,,,,,172.25,percent of total billed charges,999999999,,,,,,,,,,172.25,percent of total billed charges,150.0060717,,,,,,,,,,620.1,percent of total billed charges,,,,,
RBC PRETREATMENT SERUM,86978,CDM,0056-2780-01,NDC,,both,1,EA,324,324,68.97439806,324,324,percent of total billed charges,238.3783103,,,,324,percent of total billed charges,252.6762956,,,,324,percent of total billed charges,238.3783103,,,,324,percent of total billed charges,252.6762956,,,,324,percent of total billed charges,999999999,,,,324,percent of total billed charges,246.8657316,,,,324,percent of total billed charges,238.3783103,,,,324,percent of total billed charges,252.6762956,,,,231.012,percent of total billed charges,115.2792155,,,,231.012,percent of total billed charges,68.97439806,,,,231.012,percent of total billed charges,115.2792155,,,,231.012,percent of total billed charges,68.97439806,,,,231.012,percent of total billed charges,115.2792155,,,,231.012,percent of total billed charges,68.97439806,,,,228.744,percent of total billed charges,227.0084571,,,,228.744,percent of total billed charges,156.5659336,,,,,,,,,,233.28,percent of total billed charges,151.6265104,,,,,,,,,,233.28,percent of total billed charges,999999999,,,,,,,,,,259.2,percent of total billed charges,217.1961263,,,,255.96,percent of total billed charges,247.0124152,,,,255.96,percent of total billed charges,218.2436453,,,,259.2,percent of total billed charges,999999999,,,,259.2,percent of total billed charges,999999999,,,,226.8,percent of total billed charges,999999999,,,,226.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,172.368,percent of total billed charges,999999999,,,,,,,,,,,,,,,,163.62,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,81,percent of total billed charges,76.93018668,,,,,,,,,,81,percent of total billed charges,75.65050537,,,,,,,,,,81,percent of total billed charges,75.44027585,,,,,,,,,,81,percent of total billed charges,74.32941871,,,,,,,,,,81,percent of total billed charges,76.24202392,,,,,,,,,,81,percent of total billed charges,999999999,,,,,,,,,,81,percent of total billed charges,65.42102549,,,,,,,,,,81,percent of total billed charges,103.1734686,,,,,,,,,,81,percent of total billed charges,999999999,,,,,,,,,,81,percent of total billed charges,70.53986534,,,,,,,,,,291.6,percent of total billed charges,,,,,
CHEMICAL TREATMENT RBC'S,86970,CDM,0056-2780-01,NDC,,both,1,EA,221,221,47.04735176,221,221,percent of total billed charges,162.5975512,,,,221,percent of total billed charges,172.3501893,,,,221,percent of total billed charges,162.5975512,,,,221,percent of total billed charges,172.3501893,,,,221,percent of total billed charges,999999999,,,,221,percent of total billed charges,168.3868108,,,,221,percent of total billed charges,162.5975512,,,,221,percent of total billed charges,172.3501893,,,,157.573,percent of total billed charges,78.63181059,,,,157.573,percent of total billed charges,47.04735176,,,,157.573,percent of total billed charges,78.63181059,,,,157.573,percent of total billed charges,47.04735176,,,,157.573,percent of total billed charges,78.63181059,,,,157.573,percent of total billed charges,47.04735176,,,,156.026,percent of total billed charges,154.8421883,,,,156.026,percent of total billed charges,106.79343,,,,,,,,,,159.12,percent of total billed charges,103.4242556,,,,,,,,,,159.12,percent of total billed charges,999999999,,,,,,,,,,176.8,percent of total billed charges,148.1492096,,,,174.59,percent of total billed charges,168.4868635,,,,174.59,percent of total billed charges,148.863721,,,,176.8,percent of total billed charges,999999999,,,,176.8,percent of total billed charges,999999999,,,,154.7,percent of total billed charges,999999999,,,,154.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,117.572,percent of total billed charges,999999999,,,,,,,,,,,,,,,,111.605,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,55.25,percent of total billed charges,52.47398536,,,,,,,,,,55.25,percent of total billed charges,51.60111631,,,,,,,,,,55.25,percent of total billed charges,51.45771902,,,,,,,,,,55.25,percent of total billed charges,50.70000474,,,,,,,,,,55.25,percent of total billed charges,52.00459039,,,,,,,,,,55.25,percent of total billed charges,999999999,,,,,,,,,,55.25,percent of total billed charges,44.62360072,,,,,,,,,,55.25,percent of total billed charges,70.37449557,,,,,,,,,,55.25,percent of total billed charges,999999999,,,,,,,,,,55.25,percent of total billed charges,48.11515506,,,,,,,,,,198.9,percent of total billed charges,,,,,
**EVENT MONITOR 30 DAY PRABHU,93270,CDM,0056-2780-01,NDC,,both,1,EA,560,560,119.215009,560,560,percent of total billed charges,412.0118944,,,,560,percent of total billed charges,436.7244616,,,,560,percent of total billed charges,412.0118944,,,,560,percent of total billed charges,436.7244616,,,,560,percent of total billed charges,999999999,,,,560,percent of total billed charges,426.6815114,,,,560,percent of total billed charges,412.0118944,,,,560,percent of total billed charges,436.7244616,,,,399.28,percent of total billed charges,199.2480268,,,,399.28,percent of total billed charges,119.215009,,,,399.28,percent of total billed charges,199.2480268,,,,399.28,percent of total billed charges,119.215009,,,,399.28,percent of total billed charges,199.2480268,,,,399.28,percent of total billed charges,119.215009,,,,395.36,percent of total billed charges,392.3602962,,,,395.36,percent of total billed charges,270.6077864,,,,,,,,,,403.2,percent of total billed charges,262.0705119,,,,,,,,,,403.2,percent of total billed charges,999999999,,,,,,,,,,448,percent of total billed charges,375.4007122,,,,442.4,percent of total billed charges,426.9350386,,,,442.4,percent of total billed charges,377.2112388,,,,448,percent of total billed charges,999999999,,,,448,percent of total billed charges,999999999,,,,392,percent of total billed charges,999999999,,,,392,percent of total billed charges,999999999,,,,,,,,,,,,,,,,297.92,percent of total billed charges,999999999,,,,,,,,,,,,,,,,282.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,140,percent of total billed charges,132.9657547,,,,,,,,,,140,percent of total billed charges,130.7539599,,,,,,,,,,140,percent of total billed charges,130.3906002,,,,,,,,,,140,percent of total billed charges,128.4706002,,,,,,,,,,140,percent of total billed charges,131.7763376,,,,,,,,,,140,percent of total billed charges,999999999,,,,,,,,,,140,percent of total billed charges,113.0733774,,,,,,,,,,140,percent of total billed charges,178.3245137,,,,,,,,,,140,percent of total billed charges,999999999,,,,,,,,,,140,percent of total billed charges,121.9207549,,,,,,,,,,504,percent of total billed charges,,,,,
**EVENT MONITOR 30 DAY DELVALLE,93270,CDM,0056-2780-01,NDC,,both,1,EA,560,560,119.215009,560,560,percent of total billed charges,412.0118944,,,,560,percent of total billed charges,436.7244616,,,,560,percent of total billed charges,412.0118944,,,,560,percent of total billed charges,436.7244616,,,,560,percent of total billed charges,999999999,,,,560,percent of total billed charges,426.6815114,,,,560,percent of total billed charges,412.0118944,,,,560,percent of total billed charges,436.7244616,,,,399.28,percent of total billed charges,199.2480268,,,,399.28,percent of total billed charges,119.215009,,,,399.28,percent of total billed charges,199.2480268,,,,399.28,percent of total billed charges,119.215009,,,,399.28,percent of total billed charges,199.2480268,,,,399.28,percent of total billed charges,119.215009,,,,395.36,percent of total billed charges,392.3602962,,,,395.36,percent of total billed charges,270.6077864,,,,,,,,,,403.2,percent of total billed charges,262.0705119,,,,,,,,,,403.2,percent of total billed charges,999999999,,,,,,,,,,448,percent of total billed charges,375.4007122,,,,442.4,percent of total billed charges,426.9350386,,,,442.4,percent of total billed charges,377.2112388,,,,448,percent of total billed charges,999999999,,,,448,percent of total billed charges,999999999,,,,392,percent of total billed charges,999999999,,,,392,percent of total billed charges,999999999,,,,,,,,,,,,,,,,297.92,percent of total billed charges,999999999,,,,,,,,,,,,,,,,282.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,140,percent of total billed charges,132.9657547,,,,,,,,,,140,percent of total billed charges,130.7539599,,,,,,,,,,140,percent of total billed charges,130.3906002,,,,,,,,,,140,percent of total billed charges,128.4706002,,,,,,,,,,140,percent of total billed charges,131.7763376,,,,,,,,,,140,percent of total billed charges,999999999,,,,,,,,,,140,percent of total billed charges,113.0733774,,,,,,,,,,140,percent of total billed charges,178.3245137,,,,,,,,,,140,percent of total billed charges,999999999,,,,,,,,,,140,percent of total billed charges,121.9207549,,,,,,,,,,504,percent of total billed charges,,,,,
**EVENT MONITOR HOOK-UP,93270,CDM,0056-2780-01,NDC,,both,1,EA,403,403,85.79222968,403,403,percent of total billed charges,296.5014169,,,,403,percent of total billed charges,314.2856393,,,,403,percent of total billed charges,296.5014169,,,,403,percent of total billed charges,314.2856393,,,,403,percent of total billed charges,999999999,,,,403,percent of total billed charges,307.058302,,,,403,percent of total billed charges,296.5014169,,,,403,percent of total billed charges,314.2856393,,,,287.339,percent of total billed charges,143.3874193,,,,287.339,percent of total billed charges,85.79222968,,,,287.339,percent of total billed charges,143.3874193,,,,287.339,percent of total billed charges,85.79222968,,,,287.339,percent of total billed charges,143.3874193,,,,287.339,percent of total billed charges,85.79222968,,,,284.518,percent of total billed charges,282.3592846,,,,284.518,percent of total billed charges,194.7409606,,,,,,,,,,290.16,percent of total billed charges,188.5971719,,,,,,,,,,290.16,percent of total billed charges,999999999,,,,,,,,,,322.4,percent of total billed charges,270.1544411,,,,318.37,percent of total billed charges,307.240751,,,,318.37,percent of total billed charges,271.4573737,,,,322.4,percent of total billed charges,999999999,,,,322.4,percent of total billed charges,999999999,,,,282.1,percent of total billed charges,999999999,,,,282.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,214.396,percent of total billed charges,999999999,,,,,,,,,,,,,,,,203.515,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,100.75,percent of total billed charges,95.68785565,,,,,,,,,,100.75,percent of total billed charges,94.09615328,,,,,,,,,,100.75,percent of total billed charges,93.8346641,,,,,,,,,,100.75,percent of total billed charges,92.45294981,,,,,,,,,,100.75,percent of total billed charges,94.83190012,,,,,,,,,,100.75,percent of total billed charges,999999999,,,,,,,,,,100.75,percent of total billed charges,81.37244837,,,,,,,,,,100.75,percent of total billed charges,128.3299625,,,,,,,,,,100.75,percent of total billed charges,999999999,,,,,,,,,,100.75,percent of total billed charges,87.73940041,,,,,,,,,,362.7,percent of total billed charges,,,,,
**KING OF HEARTS MONITOR,93268,CDM,0056-2780-01,NDC,,both,1,EA,1245,1245,265.0405111,1245,1245,percent of total billed charges,915.9907295,,,,1245,percent of total billed charges,970.932062,,,,1245,percent of total billed charges,915.9907295,,,,1245,percent of total billed charges,970.932062,,,,1245,percent of total billed charges,999999999,,,,1245,percent of total billed charges,948.6044317,,,,1245,percent of total billed charges,915.9907295,,,,1245,percent of total billed charges,970.932062,,,,887.685,percent of total billed charges,442.9710597,,,,887.685,percent of total billed charges,265.0405111,,,,887.685,percent of total billed charges,442.9710597,,,,887.685,percent of total billed charges,265.0405111,,,,887.685,percent of total billed charges,442.9710597,,,,887.685,percent of total billed charges,265.0405111,,,,878.97,percent of total billed charges,872.3010157,,,,878.97,percent of total billed charges,601.6190966,,,,,,,,,,896.4,percent of total billed charges,582.6389058,,,,,,,,,,896.4,percent of total billed charges,999999999,,,,,,,,,,996,percent of total billed charges,834.5962262,,,,983.55,percent of total billed charges,949.168077,,,,983.55,percent of total billed charges,838.6214149,,,,996,percent of total billed charges,999999999,,,,996,percent of total billed charges,999999999,,,,871.5,percent of total billed charges,999999999,,,,871.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,662.34,percent of total billed charges,999999999,,,,,,,,,,,,,,,,628.725,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,311.25,percent of total billed charges,295.6113655,,,,,,,,,,311.25,percent of total billed charges,290.6940715,,,,,,,,,,311.25,percent of total billed charges,289.8862452,,,,,,,,,,311.25,percent of total billed charges,285.6176737,,,,,,,,,,311.25,percent of total billed charges,292.9670364,,,,,,,,,,311.25,percent of total billed charges,999999999,,,,,,,,,,311.25,percent of total billed charges,251.386348,,,,,,,,,,311.25,percent of total billed charges,396.4536062,,,,,,,,,,311.25,percent of total billed charges,999999999,,,,,,,,,,311.25,percent of total billed charges,271.055964,,,,,,,,,,1120.5,percent of total billed charges,,,,,
**EVENT MONITOR (MARTIN),93272,CDM,0056-2780-01,NDC,,both,1,EA,45,45,9.579777508,45,45,percent of total billed charges,33.10809866,,,,45,percent of total billed charges,35.09392995,,,,45,percent of total billed charges,33.10809866,,,,45,percent of total billed charges,35.09392995,,,,45,percent of total billed charges,999999999,,,,45,percent of total billed charges,34.28690717,,,,45,percent of total billed charges,33.10809866,,,,45,percent of total billed charges,35.09392995,,,,32.085,percent of total billed charges,16.01100216,,,,32.085,percent of total billed charges,9.579777508,,,,32.085,percent of total billed charges,16.01100216,,,,32.085,percent of total billed charges,9.579777508,,,,32.085,percent of total billed charges,16.01100216,,,,32.085,percent of total billed charges,9.579777508,,,,31.77,percent of total billed charges,31.52895237,,,,31.77,percent of total billed charges,21.74526855,,,,,,,,,,32.4,percent of total billed charges,21.05923756,,,,,,,,,,32.4,percent of total billed charges,999999999,,,,,,,,,,36,percent of total billed charges,30.16612866,,,,35.55,percent of total billed charges,34.30727989,,,,35.55,percent of total billed charges,30.31161741,,,,36,percent of total billed charges,999999999,,,,36,percent of total billed charges,999999999,,,,31.5,percent of total billed charges,999999999,,,,31.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,23.94,percent of total billed charges,999999999,,,,,,,,,,,,,,,,22.725,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11.25,percent of total billed charges,10.68474815,,,,,,,,,,11.25,percent of total billed charges,10.50701463,,,,,,,,,,11.25,percent of total billed charges,10.47781609,,,,,,,,,,11.25,percent of total billed charges,10.32353038,,,,,,,,,,11.25,percent of total billed charges,10.58916999,,,,,,,,,,11.25,percent of total billed charges,999999999,,,,,,,,,,11.25,percent of total billed charges,9.08625354,,,,,,,,,,11.25,percent of total billed charges,14.32964842,,,,,,,,,,11.25,percent of total billed charges,999999999,,,,,,,,,,11.25,percent of total billed charges,9.797203519,,,,,,,,,,40.5,percent of total billed charges,,,,,
**STRESS TESTING (DEL VALLE)W/O PROFEE,93017,CDM,0056-2780-01,NDC,,both,1,EA,1888,1888,401.9248874,1888,1888,percent of total billed charges,1389.068673,,,,1888,percent of total billed charges,1472.385328,,,,1888,percent of total billed charges,1389.068673,,,,1888,percent of total billed charges,1472.385328,,,,1888,percent of total billed charges,999999999,,,,1888,percent of total billed charges,1438.526239,,,,1888,percent of total billed charges,1389.068673,,,,1888,percent of total billed charges,1472.385328,,,,1346.144,percent of total billed charges,671.7504905,,,,1346.144,percent of total billed charges,401.9248874,,,,1346.144,percent of total billed charges,671.7504905,,,,1346.144,percent of total billed charges,401.9248874,,,,1346.144,percent of total billed charges,671.7504905,,,,1346.144,percent of total billed charges,401.9248874,,,,1332.928,percent of total billed charges,1322.814713,,,,1332.928,percent of total billed charges,912.3348228,,,,,,,,,,1359.36,percent of total billed charges,883.5520114,,,,,,,,,,1359.36,percent of total billed charges,999999999,,,,,,,,,,1510.4,percent of total billed charges,1265.636687,,,,1491.52,percent of total billed charges,1439.380987,,,,1491.52,percent of total billed charges,1271.740748,,,,1510.4,percent of total billed charges,999999999,,,,1510.4,percent of total billed charges,999999999,,,,1321.6,percent of total billed charges,999999999,,,,1321.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1004.416,percent of total billed charges,999999999,,,,,,,,,,,,,,,,953.44,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,472,percent of total billed charges,448.2845446,,,,,,,,,,472,percent of total billed charges,440.8276362,,,,,,,,,,472,percent of total billed charges,439.6025951,,,,,,,,,,472,percent of total billed charges,433.1294522,,,,,,,,,,472,percent of total billed charges,444.2745098,,,,,,,,,,472,percent of total billed charges,999999999,,,,,,,,,,472,percent of total billed charges,381.2188152,,,,,,,,,,472,percent of total billed charges,601.2083603,,,,,,,,,,472,percent of total billed charges,999999999,,,,,,,,,,472,percent of total billed charges,411.0471166,,,,,,,,,,1699.2,percent of total billed charges,,,,,
**STRESS TESTING (PRABHU)W/O PROFEE,93017,CDM,0056-2780-01,NDC,,both,1,EA,1888,1888,401.9248874,1888,1888,percent of total billed charges,1389.068673,,,,1888,percent of total billed charges,1472.385328,,,,1888,percent of total billed charges,1389.068673,,,,1888,percent of total billed charges,1472.385328,,,,1888,percent of total billed charges,999999999,,,,1888,percent of total billed charges,1438.526239,,,,1888,percent of total billed charges,1389.068673,,,,1888,percent of total billed charges,1472.385328,,,,1346.144,percent of total billed charges,671.7504905,,,,1346.144,percent of total billed charges,401.9248874,,,,1346.144,percent of total billed charges,671.7504905,,,,1346.144,percent of total billed charges,401.9248874,,,,1346.144,percent of total billed charges,671.7504905,,,,1346.144,percent of total billed charges,401.9248874,,,,1332.928,percent of total billed charges,1322.814713,,,,1332.928,percent of total billed charges,912.3348228,,,,,,,,,,1359.36,percent of total billed charges,883.5520114,,,,,,,,,,1359.36,percent of total billed charges,999999999,,,,,,,,,,1510.4,percent of total billed charges,1265.636687,,,,1491.52,percent of total billed charges,1439.380987,,,,1491.52,percent of total billed charges,1271.740748,,,,1510.4,percent of total billed charges,999999999,,,,1510.4,percent of total billed charges,999999999,,,,1321.6,percent of total billed charges,999999999,,,,1321.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1004.416,percent of total billed charges,999999999,,,,,,,,,,,,,,,,953.44,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,472,percent of total billed charges,448.2845446,,,,,,,,,,472,percent of total billed charges,440.8276362,,,,,,,,,,472,percent of total billed charges,439.6025951,,,,,,,,,,472,percent of total billed charges,433.1294522,,,,,,,,,,472,percent of total billed charges,444.2745098,,,,,,,,,,472,percent of total billed charges,999999999,,,,,,,,,,472,percent of total billed charges,381.2188152,,,,,,,,,,472,percent of total billed charges,601.2083603,,,,,,,,,,472,percent of total billed charges,999999999,,,,,,,,,,472,percent of total billed charges,411.0471166,,,,,,,,,,1699.2,percent of total billed charges,,,,,
STRESS TESTING (GILL) W/O PROFEE,93017,CDM,0056-2780-01,NDC,,both,1,EA,1646,1646,350.4069729,1646,1646,percent of total billed charges,1211.020675,,,,1646,percent of total billed charges,1283.657971,,,,1646,percent of total billed charges,1211.020675,,,,1646,percent of total billed charges,1283.657971,,,,1646,percent of total billed charges,999999999,,,,1646,percent of total billed charges,1254.138871,,,,1646,percent of total billed charges,1211.020675,,,,1646,percent of total billed charges,1283.657971,,,,1173.598,percent of total billed charges,585.6468789,,,,1173.598,percent of total billed charges,350.4069729,,,,1173.598,percent of total billed charges,585.6468789,,,,1173.598,percent of total billed charges,350.4069729,,,,1173.598,percent of total billed charges,585.6468789,,,,1173.598,percent of total billed charges,350.4069729,,,,1162.076,percent of total billed charges,1153.259013,,,,1162.076,percent of total billed charges,795.3936008,,,,,,,,,,1185.12,percent of total billed charges,770.3001116,,,,,,,,,,1185.12,percent of total billed charges,999999999,,,,,,,,,,1316.8,percent of total billed charges,1103.40995,,,,1300.34,percent of total billed charges,1254.88406,,,,1300.34,percent of total billed charges,1108.731606,,,,1316.8,percent of total billed charges,999999999,,,,1316.8,percent of total billed charges,999999999,,,,1152.2,percent of total billed charges,999999999,,,,1152.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,875.672,percent of total billed charges,999999999,,,,,,,,,,,,,,,,831.23,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,411.5,percent of total billed charges,390.8243434,,,,,,,,,,411.5,percent of total billed charges,384.3232464,,,,,,,,,,411.5,percent of total billed charges,383.2552285,,,,,,,,,,411.5,percent of total billed charges,377.6118,,,,,,,,,,411.5,percent of total billed charges,387.3283067,,,,,,,,,,411.5,percent of total billed charges,999999999,,,,,,,,,,411.5,percent of total billed charges,332.3549628,,,,,,,,,,411.5,percent of total billed charges,524.1466955,,,,,,,,,,411.5,percent of total billed charges,999999999,,,,,,,,,,411.5,percent of total billed charges,358.3599332,,,,,,,,,,1481.4,percent of total billed charges,,,,,
**TREADMILL W/O PROFEE (00150),93017,CDM,0056-2780-01,NDC,,both,1,EA,486,486,103.4615971,486,486,percent of total billed charges,357.5674655,,,,486,percent of total billed charges,379.0144435,,,,486,percent of total billed charges,357.5674655,,,,486,percent of total billed charges,379.0144435,,,,486,percent of total billed charges,999999999,,,,486,percent of total billed charges,370.2985974,,,,486,percent of total billed charges,357.5674655,,,,486,percent of total billed charges,379.0144435,,,,346.518,percent of total billed charges,172.9188233,,,,346.518,percent of total billed charges,103.4615971,,,,346.518,percent of total billed charges,172.9188233,,,,346.518,percent of total billed charges,103.4615971,,,,346.518,percent of total billed charges,172.9188233,,,,346.518,percent of total billed charges,103.4615971,,,,343.116,percent of total billed charges,340.5126856,,,,343.116,percent of total billed charges,234.8489004,,,,,,,,,,349.92,percent of total billed charges,227.4397656,,,,,,,,,,349.92,percent of total billed charges,999999999,,,,,,,,,,388.8,percent of total billed charges,325.7941895,,,,383.94,percent of total billed charges,370.5186228,,,,383.94,percent of total billed charges,327.365468,,,,388.8,percent of total billed charges,999999999,,,,388.8,percent of total billed charges,999999999,,,,340.2,percent of total billed charges,999999999,,,,340.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,258.552,percent of total billed charges,999999999,,,,,,,,,,,,,,,,245.43,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,121.5,percent of total billed charges,115.39528,,,,,,,,,,121.5,percent of total billed charges,113.475758,,,,,,,,,,121.5,percent of total billed charges,113.1604138,,,,,,,,,,121.5,percent of total billed charges,111.4941281,,,,,,,,,,121.5,percent of total billed charges,114.3630359,,,,,,,,,,121.5,percent of total billed charges,999999999,,,,,,,,,,121.5,percent of total billed charges,98.13153824,,,,,,,,,,121.5,percent of total billed charges,154.7602029,,,,,,,,,,121.5,percent of total billed charges,999999999,,,,,,,,,,121.5,percent of total billed charges,105.809798,,,,,,,,,,437.4,percent of total billed charges,,,,,
**TREADMILL W/O PRO FEE,93017,CDM,0056-2780-01,NDC,,both,1,EA,486,486,103.4615971,486,486,percent of total billed charges,357.5674655,,,,486,percent of total billed charges,379.0144435,,,,486,percent of total billed charges,357.5674655,,,,486,percent of total billed charges,379.0144435,,,,486,percent of total billed charges,999999999,,,,486,percent of total billed charges,370.2985974,,,,486,percent of total billed charges,357.5674655,,,,486,percent of total billed charges,379.0144435,,,,346.518,percent of total billed charges,172.9188233,,,,346.518,percent of total billed charges,103.4615971,,,,346.518,percent of total billed charges,172.9188233,,,,346.518,percent of total billed charges,103.4615971,,,,346.518,percent of total billed charges,172.9188233,,,,346.518,percent of total billed charges,103.4615971,,,,343.116,percent of total billed charges,340.5126856,,,,343.116,percent of total billed charges,234.8489004,,,,,,,,,,349.92,percent of total billed charges,227.4397656,,,,,,,,,,349.92,percent of total billed charges,999999999,,,,,,,,,,388.8,percent of total billed charges,325.7941895,,,,383.94,percent of total billed charges,370.5186228,,,,383.94,percent of total billed charges,327.365468,,,,388.8,percent of total billed charges,999999999,,,,388.8,percent of total billed charges,999999999,,,,340.2,percent of total billed charges,999999999,,,,340.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,258.552,percent of total billed charges,999999999,,,,,,,,,,,,,,,,245.43,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,121.5,percent of total billed charges,115.39528,,,,,,,,,,121.5,percent of total billed charges,113.475758,,,,,,,,,,121.5,percent of total billed charges,113.1604138,,,,,,,,,,121.5,percent of total billed charges,111.4941281,,,,,,,,,,121.5,percent of total billed charges,114.3630359,,,,,,,,,,121.5,percent of total billed charges,999999999,,,,,,,,,,121.5,percent of total billed charges,98.13153824,,,,,,,,,,121.5,percent of total billed charges,154.7602029,,,,,,,,,,121.5,percent of total billed charges,999999999,,,,,,,,,,121.5,percent of total billed charges,105.809798,,,,,,,,,,437.4,percent of total billed charges,,,,,
**STRESS TESTING (MARTIN) W/O PROFEE,93017,CDM,0056-2780-01,NDC,,both,1,EA,1888,1888,401.9248874,1888,1888,percent of total billed charges,1389.068673,,,,1888,percent of total billed charges,1472.385328,,,,1888,percent of total billed charges,1389.068673,,,,1888,percent of total billed charges,1472.385328,,,,1888,percent of total billed charges,999999999,,,,1888,percent of total billed charges,1438.526239,,,,1888,percent of total billed charges,1389.068673,,,,1888,percent of total billed charges,1472.385328,,,,1346.144,percent of total billed charges,671.7504905,,,,1346.144,percent of total billed charges,401.9248874,,,,1346.144,percent of total billed charges,671.7504905,,,,1346.144,percent of total billed charges,401.9248874,,,,1346.144,percent of total billed charges,671.7504905,,,,1346.144,percent of total billed charges,401.9248874,,,,1332.928,percent of total billed charges,1322.814713,,,,1332.928,percent of total billed charges,912.3348228,,,,,,,,,,1359.36,percent of total billed charges,883.5520114,,,,,,,,,,1359.36,percent of total billed charges,999999999,,,,,,,,,,1510.4,percent of total billed charges,1265.636687,,,,1491.52,percent of total billed charges,1439.380987,,,,1491.52,percent of total billed charges,1271.740748,,,,1510.4,percent of total billed charges,999999999,,,,1510.4,percent of total billed charges,999999999,,,,1321.6,percent of total billed charges,999999999,,,,1321.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1004.416,percent of total billed charges,999999999,,,,,,,,,,,,,,,,953.44,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,472,percent of total billed charges,448.2845446,,,,,,,,,,472,percent of total billed charges,440.8276362,,,,,,,,,,472,percent of total billed charges,439.6025951,,,,,,,,,,472,percent of total billed charges,433.1294522,,,,,,,,,,472,percent of total billed charges,444.2745098,,,,,,,,,,472,percent of total billed charges,999999999,,,,,,,,,,472,percent of total billed charges,381.2188152,,,,,,,,,,472,percent of total billed charges,601.2083603,,,,,,,,,,472,percent of total billed charges,999999999,,,,,,,,,,472,percent of total billed charges,411.0471166,,,,,,,,,,1699.2,percent of total billed charges,,,,,
**TREADMILL (KANCHA)W/O PROFEE,93017,CDM,0056-2780-01,NDC,,both,1,EA,375,375,79.83147923,375,375,percent of total billed charges,275.9008221,,,,375,percent of total billed charges,292.4494163,,,,375,percent of total billed charges,275.9008221,,,,375,percent of total billed charges,292.4494163,,,,375,percent of total billed charges,999999999,,,,375,percent of total billed charges,285.7242264,,,,375,percent of total billed charges,275.9008221,,,,375,percent of total billed charges,292.4494163,,,,267.375,percent of total billed charges,133.425018,,,,267.375,percent of total billed charges,79.83147923,,,,267.375,percent of total billed charges,133.425018,,,,267.375,percent of total billed charges,79.83147923,,,,267.375,percent of total billed charges,133.425018,,,,267.375,percent of total billed charges,79.83147923,,,,264.75,percent of total billed charges,262.7412698,,,,264.75,percent of total billed charges,181.2105713,,,,,,,,,,270,percent of total billed charges,175.4936463,,,,,,,,,,270,percent of total billed charges,999999999,,,,,,,,,,300,percent of total billed charges,251.3844055,,,,296.25,percent of total billed charges,285.8939991,,,,296.25,percent of total billed charges,252.5968117,,,,300,percent of total billed charges,999999999,,,,300,percent of total billed charges,999999999,,,,262.5,percent of total billed charges,999999999,,,,262.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,199.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,189.375,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,93.75,percent of total billed charges,89.03956791,,,,,,,,,,93.75,percent of total billed charges,87.55845528,,,,,,,,,,93.75,percent of total billed charges,87.31513409,,,,,,,,,,93.75,percent of total billed charges,86.0294198,,,,,,,,,,93.75,percent of total billed charges,88.24308324,,,,,,,,,,93.75,percent of total billed charges,999999999,,,,,,,,,,93.75,percent of total billed charges,75.7187795,,,,,,,,,,93.75,percent of total billed charges,119.4137368,,,,,,,,,,93.75,percent of total billed charges,999999999,,,,,,,,,,93.75,percent of total billed charges,81.64336266,,,,,,,,,,337.5,percent of total billed charges,,,,,
**TREADMILL (DAVE)W/O PROFEE,93017,CDM,0056-2780-01,NDC,,both,1,EA,375,375,79.83147923,375,375,percent of total billed charges,275.9008221,,,,375,percent of total billed charges,292.4494163,,,,375,percent of total billed charges,275.9008221,,,,375,percent of total billed charges,292.4494163,,,,375,percent of total billed charges,999999999,,,,375,percent of total billed charges,285.7242264,,,,375,percent of total billed charges,275.9008221,,,,375,percent of total billed charges,292.4494163,,,,267.375,percent of total billed charges,133.425018,,,,267.375,percent of total billed charges,79.83147923,,,,267.375,percent of total billed charges,133.425018,,,,267.375,percent of total billed charges,79.83147923,,,,267.375,percent of total billed charges,133.425018,,,,267.375,percent of total billed charges,79.83147923,,,,264.75,percent of total billed charges,262.7412698,,,,264.75,percent of total billed charges,181.2105713,,,,,,,,,,270,percent of total billed charges,175.4936463,,,,,,,,,,270,percent of total billed charges,999999999,,,,,,,,,,300,percent of total billed charges,251.3844055,,,,296.25,percent of total billed charges,285.8939991,,,,296.25,percent of total billed charges,252.5968117,,,,300,percent of total billed charges,999999999,,,,300,percent of total billed charges,999999999,,,,262.5,percent of total billed charges,999999999,,,,262.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,199.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,189.375,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,93.75,percent of total billed charges,89.03956791,,,,,,,,,,93.75,percent of total billed charges,87.55845528,,,,,,,,,,93.75,percent of total billed charges,87.31513409,,,,,,,,,,93.75,percent of total billed charges,86.0294198,,,,,,,,,,93.75,percent of total billed charges,88.24308324,,,,,,,,,,93.75,percent of total billed charges,999999999,,,,,,,,,,93.75,percent of total billed charges,75.7187795,,,,,,,,,,93.75,percent of total billed charges,119.4137368,,,,,,,,,,93.75,percent of total billed charges,999999999,,,,,,,,,,93.75,percent of total billed charges,81.64336266,,,,,,,,,,337.5,percent of total billed charges,,,,,
**RHYTHM STRIP,93041,CDM,0056-2780-01,NDC,,both,1,EA,380,380,80.89589896,380,380,percent of total billed charges,279.5794998,,,,380,percent of total billed charges,296.3487418,,,,380,percent of total billed charges,279.5794998,,,,380,percent of total billed charges,296.3487418,,,,380,percent of total billed charges,999999999,,,,380,percent of total billed charges,289.5338828,,,,380,percent of total billed charges,279.5794998,,,,380,percent of total billed charges,296.3487418,,,,270.94,percent of total billed charges,135.2040182,,,,270.94,percent of total billed charges,80.89589896,,,,270.94,percent of total billed charges,135.2040182,,,,270.94,percent of total billed charges,80.89589896,,,,270.94,percent of total billed charges,135.2040182,,,,270.94,percent of total billed charges,80.89589896,,,,268.28,percent of total billed charges,266.2444867,,,,268.28,percent of total billed charges,183.6267122,,,,,,,,,,273.6,percent of total billed charges,177.8335616,,,,,,,,,,273.6,percent of total billed charges,999999999,,,,,,,,,,304,percent of total billed charges,254.7361975,,,,300.2,percent of total billed charges,289.7059191,,,,300.2,percent of total billed charges,255.9647692,,,,304,percent of total billed charges,999999999,,,,304,percent of total billed charges,999999999,,,,266,percent of total billed charges,999999999,,,,266,percent of total billed charges,999999999,,,,,,,,,,,,,,,,202.16,percent of total billed charges,999999999,,,,,,,,,,,,,,,,191.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,95,percent of total billed charges,90.22676215,,,,,,,,,,95,percent of total billed charges,88.72590135,,,,,,,,,,95,percent of total billed charges,88.47933587,,,,,,,,,,95,percent of total billed charges,87.17647873,,,,,,,,,,95,percent of total billed charges,89.41965769,,,,,,,,,,95,percent of total billed charges,999999999,,,,,,,,,,95,percent of total billed charges,76.72836323,,,,,,,,,,95,percent of total billed charges,121.00592,,,,,,,,,,95,percent of total billed charges,999999999,,,,,,,,,,95,percent of total billed charges,82.73194083,,,,,,,,,,342,percent of total billed charges,,,,,
**EKG (KANCHA),93005,CDM,0056-2780-01,NDC,,both,1,EA,312,312,66.41979072,312,312,percent of total billed charges,229.549484,,,,312,percent of total billed charges,243.3179143,,,,312,percent of total billed charges,229.549484,,,,312,percent of total billed charges,243.3179143,,,,312,percent of total billed charges,999999999,,,,312,percent of total billed charges,237.7225564,,,,312,percent of total billed charges,229.549484,,,,312,percent of total billed charges,243.3179143,,,,222.456,percent of total billed charges,111.009615,,,,222.456,percent of total billed charges,66.41979072,,,,222.456,percent of total billed charges,111.009615,,,,222.456,percent of total billed charges,66.41979072,,,,222.456,percent of total billed charges,111.009615,,,,222.456,percent of total billed charges,66.41979072,,,,220.272,percent of total billed charges,218.6007365,,,,220.272,percent of total billed charges,150.7671953,,,,,,,,,,224.64,percent of total billed charges,146.0107137,,,,,,,,,,224.64,percent of total billed charges,999999999,,,,,,,,,,249.6,percent of total billed charges,209.1518254,,,,246.48,percent of total billed charges,237.8638072,,,,246.48,percent of total billed charges,210.1605474,,,,249.6,percent of total billed charges,999999999,,,,249.6,percent of total billed charges,999999999,,,,218.4,percent of total billed charges,999999999,,,,218.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,165.984,percent of total billed charges,999999999,,,,,,,,,,,,,,,,157.56,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,78,percent of total billed charges,74.0809205,,,,,,,,,,78,percent of total billed charges,72.8486348,,,,,,,,,,78,percent of total billed charges,72.64619156,,,,,,,,,,78,percent of total billed charges,71.57647727,,,,,,,,,,78,percent of total billed charges,73.41824526,,,,,,,,,,78,percent of total billed charges,999999999,,,,,,,,,,78,percent of total billed charges,62.99802455,,,,,,,,,,78,percent of total billed charges,99.35222903,,,,,,,,,,78,percent of total billed charges,999999999,,,,,,,,,,78,percent of total billed charges,67.92727773,,,,,,,,,,280.8,percent of total billed charges,,,,,
**EKG PRO FEE (01021),93010,CDM,0056-2780-01,NDC,,both,1,EA,60,60,12.77303668,60,60,percent of total billed charges,44.14413154,,,,60,percent of total billed charges,46.7919066,,,,60,percent of total billed charges,44.14413154,,,,60,percent of total billed charges,46.7919066,,,,60,percent of total billed charges,999999999,,,,60,percent of total billed charges,45.71587623,,,,60,percent of total billed charges,44.14413154,,,,60,percent of total billed charges,46.7919066,,,,42.78,percent of total billed charges,21.34800288,,,,42.78,percent of total billed charges,12.77303668,,,,42.78,percent of total billed charges,21.34800288,,,,42.78,percent of total billed charges,12.77303668,,,,42.78,percent of total billed charges,21.34800288,,,,42.78,percent of total billed charges,12.77303668,,,,42.36,percent of total billed charges,42.03860316,,,,42.36,percent of total billed charges,28.9936914,,,,,,,,,,43.2,percent of total billed charges,28.07898341,,,,,,,,,,43.2,percent of total billed charges,999999999,,,,,,,,,,48,percent of total billed charges,40.22150488,,,,47.4,percent of total billed charges,45.74303985,,,,47.4,percent of total billed charges,40.41548988,,,,48,percent of total billed charges,999999999,,,,48,percent of total billed charges,999999999,,,,42,percent of total billed charges,999999999,,,,42,percent of total billed charges,999999999,,,,,,,,,,,,,,,,31.92,percent of total billed charges,999999999,,,,,,,,,,,,,,,,30.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15,percent of total billed charges,14.24633087,,,,,,,,,,15,percent of total billed charges,14.00935285,,,,,,,,,,15,percent of total billed charges,13.97042145,,,,,,,,,,15,percent of total billed charges,13.76470717,,,,,,,,,,15,percent of total billed charges,14.11889332,,,,,,,,,,15,percent of total billed charges,999999999,,,,,,,,,,15,percent of total billed charges,12.11500472,,,,,,,,,,15,percent of total billed charges,19.10619789,,,,,,,,,,15,percent of total billed charges,999999999,,,,,,,,,,15,percent of total billed charges,13.06293803,,,,,,,,,,54,percent of total billed charges,,,,,
EKG (McCLINTOCK),93005,CDM,0056-2780-01,NDC,,both,1,EA,412,412,87.70818519,412,412,percent of total billed charges,303.1230366,,,,412,percent of total billed charges,321.3044253,,,,412,percent of total billed charges,303.1230366,,,,412,percent of total billed charges,321.3044253,,,,412,percent of total billed charges,999999999,,,,412,percent of total billed charges,313.9156834,,,,412,percent of total billed charges,303.1230366,,,,412,percent of total billed charges,321.3044253,,,,293.756,percent of total billed charges,146.5896197,,,,293.756,percent of total billed charges,87.70818519,,,,293.756,percent of total billed charges,146.5896197,,,,293.756,percent of total billed charges,87.70818519,,,,293.756,percent of total billed charges,146.5896197,,,,293.756,percent of total billed charges,87.70818519,,,,290.872,percent of total billed charges,288.6650751,,,,290.872,percent of total billed charges,199.0900143,,,,,,,,,,296.64,percent of total billed charges,192.8090194,,,,,,,,,,296.64,percent of total billed charges,999999999,,,,,,,,,,329.6,percent of total billed charges,276.1876668,,,,325.48,percent of total billed charges,314.102207,,,,325.48,percent of total billed charges,277.5196972,,,,329.6,percent of total billed charges,999999999,,,,329.6,percent of total billed charges,999999999,,,,288.4,percent of total billed charges,999999999,,,,288.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,219.184,percent of total billed charges,999999999,,,,,,,,,,,,,,,,208.06,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,103,percent of total billed charges,97.82480528,,,,,,,,,,103,percent of total billed charges,96.19755621,,,,,,,,,,103,percent of total billed charges,95.93022732,,,,,,,,,,103,percent of total billed charges,94.51765589,,,,,,,,,,103,percent of total billed charges,96.94973412,,,,,,,,,,103,percent of total billed charges,999999999,,,,,,,,,,103,percent of total billed charges,83.18969908,,,,,,,,,,103,percent of total billed charges,131.1958922,,,,,,,,,,103,percent of total billed charges,999999999,,,,,,,,,,103,percent of total billed charges,89.69884111,,,,,,,,,,370.8,percent of total billed charges,,,,,
**HOLTER MONITOR HOOK UP,93225,CDM,0056-2780-01,NDC,,both,1,EA,568,568,120.9180805,568,568,percent of total billed charges,417.8977786,,,,568,percent of total billed charges,442.9633825,,,,568,percent of total billed charges,417.8977786,,,,568,percent of total billed charges,442.9633825,,,,568,percent of total billed charges,999999999,,,,568,percent of total billed charges,432.7769616,,,,568,percent of total billed charges,417.8977786,,,,568,percent of total billed charges,442.9633825,,,,404.984,percent of total billed charges,202.0944272,,,,404.984,percent of total billed charges,120.9180805,,,,404.984,percent of total billed charges,202.0944272,,,,404.984,percent of total billed charges,120.9180805,,,,404.984,percent of total billed charges,202.0944272,,,,404.984,percent of total billed charges,120.9180805,,,,401.008,percent of total billed charges,397.9654433,,,,401.008,percent of total billed charges,274.4736119,,,,,,,,,,408.96,percent of total billed charges,265.8143763,,,,,,,,,,408.96,percent of total billed charges,999999999,,,,,,,,,,454.4,percent of total billed charges,380.7635795,,,,448.72,percent of total billed charges,433.0341106,,,,448.72,percent of total billed charges,382.5999708,,,,454.4,percent of total billed charges,999999999,,,,454.4,percent of total billed charges,999999999,,,,397.6,percent of total billed charges,999999999,,,,397.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,302.176,percent of total billed charges,999999999,,,,,,,,,,,,,,,,286.84,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,142,percent of total billed charges,134.8652655,,,,,,,,,,142,percent of total billed charges,132.6218736,,,,,,,,,,142,percent of total billed charges,132.2533231,,,,,,,,,,142,percent of total billed charges,130.3058945,,,,,,,,,,142,percent of total billed charges,133.6588568,,,,,,,,,,142,percent of total billed charges,999999999,,,,,,,,,,142,percent of total billed charges,114.6887114,,,,,,,,,,142,percent of total billed charges,180.8720067,,,,,,,,,,142,percent of total billed charges,999999999,,,,,,,,,,142,percent of total billed charges,123.66248,,,,,,,,,,511.2,percent of total billed charges,,,,,
**HOLTER MONITOR (KANCHA),93225,CDM,0056-2780-01,NDC,,both,1,EA,407,407,86.64376546,407,407,percent of total billed charges,299.444359,,,,407,percent of total billed charges,317.4050998,,,,407,percent of total billed charges,299.444359,,,,407,percent of total billed charges,317.4050998,,,,407,percent of total billed charges,999999999,,,,407,percent of total billed charges,310.1060271,,,,407,percent of total billed charges,299.444359,,,,407,percent of total billed charges,317.4050998,,,,290.191,percent of total billed charges,144.8106195,,,,290.191,percent of total billed charges,86.64376546,,,,290.191,percent of total billed charges,144.8106195,,,,290.191,percent of total billed charges,86.64376546,,,,290.191,percent of total billed charges,144.8106195,,,,290.191,percent of total billed charges,86.64376546,,,,287.342,percent of total billed charges,285.1618581,,,,287.342,percent of total billed charges,196.6738733,,,,,,,,,,293.04,percent of total billed charges,190.4691041,,,,,,,,,,293.04,percent of total billed charges,999999999,,,,,,,,,,325.6,percent of total billed charges,272.8358747,,,,321.53,percent of total billed charges,310.290287,,,,321.53,percent of total billed charges,274.1517397,,,,325.6,percent of total billed charges,999999999,,,,325.6,percent of total billed charges,999999999,,,,284.9,percent of total billed charges,999999999,,,,284.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,216.524,percent of total billed charges,999999999,,,,,,,,,,,,,,,,205.535,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,101.75,percent of total billed charges,96.63761104,,,,,,,,,,101.75,percent of total billed charges,95.03011014,,,,,,,,,,101.75,percent of total billed charges,94.76602553,,,,,,,,,,101.75,percent of total billed charges,93.37059696,,,,,,,,,,101.75,percent of total billed charges,95.77315968,,,,,,,,,,101.75,percent of total billed charges,999999999,,,,,,,,,,101.75,percent of total billed charges,82.18011536,,,,,,,,,,101.75,percent of total billed charges,129.603709,,,,,,,,,,101.75,percent of total billed charges,999999999,,,,,,,,,,101.75,percent of total billed charges,88.61026294,,,,,,,,,,366.3,percent of total billed charges,,,,,
**HOLTER MONITOR PROFEE (01021),93227,CDM,0056-2780-01,NDC,,both,1,EA,158,158,33.63566325,158,158,percent of total billed charges,116.2462131,,,,158,percent of total billed charges,123.2186874,,,,158,percent of total billed charges,116.2462131,,,,158,percent of total billed charges,123.2186874,,,,158,percent of total billed charges,999999999,,,,158,percent of total billed charges,120.3851407,,,,158,percent of total billed charges,116.2462131,,,,158,percent of total billed charges,123.2186874,,,,112.654,percent of total billed charges,56.21640757,,,,112.654,percent of total billed charges,33.63566325,,,,112.654,percent of total billed charges,56.21640757,,,,112.654,percent of total billed charges,33.63566325,,,,112.654,percent of total billed charges,56.21640757,,,,112.654,percent of total billed charges,33.63566325,,,,111.548,percent of total billed charges,110.701655,,,,111.548,percent of total billed charges,76.35005403,,,,,,,,,,113.76,percent of total billed charges,73.94132299,,,,,,,,,,113.76,percent of total billed charges,999999999,,,,,,,,,,126.4,percent of total billed charges,105.9166295,,,,124.82,percent of total billed charges,120.4566716,,,,124.82,percent of total billed charges,106.4274567,,,,126.4,percent of total billed charges,999999999,,,,126.4,percent of total billed charges,999999999,,,,110.6,percent of total billed charges,999999999,,,,110.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,84.056,percent of total billed charges,999999999,,,,,,,,,,,,,,,,79.79,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,39.5,percent of total billed charges,37.51533795,,,,,,,,,,39.5,percent of total billed charges,36.89129583,,,,,,,,,,39.5,percent of total billed charges,36.7887765,,,,,,,,,,39.5,percent of total billed charges,36.24706221,,,,,,,,,,39.5,percent of total billed charges,37.17975241,,,,,,,,,,39.5,percent of total billed charges,999999999,,,,,,,,,,39.5,percent of total billed charges,31.90284576,,,,,,,,,,39.5,percent of total billed charges,50.31298778,,,,,,,,,,39.5,percent of total billed charges,999999999,,,,,,,,,,39.5,percent of total billed charges,34.39907014,,,,,,,,,,142.2,percent of total billed charges,,,,,
**EKG (08217),93005,CDM,0056-2780-01,NDC,,both,1,EA,439,439,93.45605169,439,439,percent of total billed charges,322.9878958,,,,439,percent of total billed charges,342.3607833,,,,439,percent of total billed charges,322.9878958,,,,439,percent of total billed charges,342.3607833,,,,439,percent of total billed charges,999999999,,,,439,percent of total billed charges,334.4878277,,,,439,percent of total billed charges,322.9878958,,,,439,percent of total billed charges,342.3607833,,,,313.007,percent of total billed charges,156.196221,,,,313.007,percent of total billed charges,93.45605169,,,,313.007,percent of total billed charges,156.196221,,,,313.007,percent of total billed charges,93.45605169,,,,313.007,percent of total billed charges,156.196221,,,,313.007,percent of total billed charges,93.45605169,,,,309.934,percent of total billed charges,307.5824465,,,,309.934,percent of total billed charges,212.1371754,,,,,,,,,,316.08,percent of total billed charges,205.444562,,,,,,,,,,316.08,percent of total billed charges,999999999,,,,,,,,,,351.2,percent of total billed charges,294.287344,,,,346.81,percent of total billed charges,334.6865749,,,,346.81,percent of total billed charges,295.7066676,,,,351.2,percent of total billed charges,999999999,,,,351.2,percent of total billed charges,999999999,,,,307.3,percent of total billed charges,999999999,,,,307.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,233.548,percent of total billed charges,999999999,,,,,,,,,,,,,,,,221.695,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,109.75,percent of total billed charges,104.2356542,,,,,,,,,,109.75,percent of total billed charges,102.501765,,,,,,,,,,109.75,percent of total billed charges,102.216917,,,,,,,,,,109.75,percent of total billed charges,100.7117741,,,,,,,,,,109.75,percent of total billed charges,103.3032361,,,,,,,,,,109.75,percent of total billed charges,999999999,,,,,,,,,,109.75,percent of total billed charges,88.64145121,,,,,,,,,,109.75,percent of total billed charges,139.7936812,,,,,,,,,,109.75,percent of total billed charges,999999999,,,,,,,,,,109.75,percent of total billed charges,95.57716322,,,,,,,,,,395.1,percent of total billed charges,,,,,
**BIO IMPEDANCE MONITORING,93701,CDM,0056-2780-01,NDC,,both,1,EA,444,444,94.52047141,444,444,percent of total billed charges,326.6665734,,,,444,percent of total billed charges,346.2601088,,,,444,percent of total billed charges,326.6665734,,,,444,percent of total billed charges,346.2601088,,,,444,percent of total billed charges,999999999,,,,444,percent of total billed charges,338.2974841,,,,444,percent of total billed charges,326.6665734,,,,444,percent of total billed charges,346.2601088,,,,316.572,percent of total billed charges,157.9752213,,,,316.572,percent of total billed charges,94.52047141,,,,316.572,percent of total billed charges,157.9752213,,,,316.572,percent of total billed charges,94.52047141,,,,316.572,percent of total billed charges,157.9752213,,,,316.572,percent of total billed charges,94.52047141,,,,313.464,percent of total billed charges,311.0856634,,,,313.464,percent of total billed charges,214.5533164,,,,,,,,,,319.68,percent of total billed charges,207.7844773,,,,,,,,,,319.68,percent of total billed charges,999999999,,,,,,,,,,355.2,percent of total billed charges,297.6391361,,,,350.76,percent of total billed charges,338.4984949,,,,350.76,percent of total billed charges,299.0746251,,,,355.2,percent of total billed charges,999999999,,,,355.2,percent of total billed charges,999999999,,,,310.8,percent of total billed charges,999999999,,,,310.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,236.208,percent of total billed charges,999999999,,,,,,,,,,,,,,,,224.22,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,111,percent of total billed charges,105.4228484,,,,,,,,,,111,percent of total billed charges,103.6692111,,,,,,,,,,111,percent of total billed charges,103.3811188,,,,,,,,,,111,percent of total billed charges,101.858833,,,,,,,,,,111,percent of total billed charges,104.4798106,,,,,,,,,,111,percent of total billed charges,999999999,,,,,,,,,,111,percent of total billed charges,89.65103493,,,,,,,,,,111,percent of total billed charges,141.3858644,,,,,,,,,,111,percent of total billed charges,999999999,,,,,,,,,,111,percent of total billed charges,96.66574139,,,,,,,,,,399.6,percent of total billed charges,,,,,
**CARDIODAIRY,93012,CDM,0056-2780-01,NDC,,both,1,EA,992,992,211.1808731,992,992,percent of total billed charges,729.8496415,,,,992,percent of total billed charges,773.6261891,,,,992,percent of total billed charges,729.8496415,,,,992,percent of total billed charges,773.6261891,,,,992,percent of total billed charges,999999999,,,,992,percent of total billed charges,755.8358203,,,,992,percent of total billed charges,729.8496415,,,,992,percent of total billed charges,773.6261891,,,,707.296,percent of total billed charges,352.9536475,,,,707.296,percent of total billed charges,211.1808731,,,,707.296,percent of total billed charges,352.9536475,,,,707.296,percent of total billed charges,211.1808731,,,,707.296,percent of total billed charges,352.9536475,,,,707.296,percent of total billed charges,211.1808731,,,,700.352,percent of total billed charges,695.038239,,,,700.352,percent of total billed charges,479.3623645,,,,,,,,,,714.24,percent of total billed charges,464.2391924,,,,,,,,,,714.24,percent of total billed charges,999999999,,,,,,,,,,793.6,percent of total billed charges,664.9955473,,,,783.68,percent of total billed charges,756.2849256,,,,783.68,percent of total billed charges,668.202766,,,,793.6,percent of total billed charges,999999999,,,,793.6,percent of total billed charges,999999999,,,,694.4,percent of total billed charges,999999999,,,,694.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,527.744,percent of total billed charges,999999999,,,,,,,,,,,,,,,,500.96,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,248,percent of total billed charges,235.539337,,,,,,,,,,248,percent of total billed charges,231.6213004,,,,,,,,,,248,percent of total billed charges,230.9776347,,,,,,,,,,248,percent of total billed charges,227.5764918,,,,,,,,,,248,percent of total billed charges,233.4323695,,,,,,,,,,248,percent of total billed charges,999999999,,,,,,,,,,248,percent of total billed charges,200.3014114,,,,,,,,,,248,percent of total billed charges,315.8891385,,,,,,,,,,248,percent of total billed charges,999999999,,,,,,,,,,248,percent of total billed charges,215.9739087,,,,,,,,,,892.8,percent of total billed charges,,,,,
**EKG (00170),93005,CDM,0056-2780-01,NDC,,both,1,EA,439,439,93.45605169,439,439,percent of total billed charges,322.9878958,,,,439,percent of total billed charges,342.3607833,,,,439,percent of total billed charges,322.9878958,,,,439,percent of total billed charges,342.3607833,,,,439,percent of total billed charges,999999999,,,,439,percent of total billed charges,334.4878277,,,,439,percent of total billed charges,322.9878958,,,,439,percent of total billed charges,342.3607833,,,,313.007,percent of total billed charges,156.196221,,,,313.007,percent of total billed charges,93.45605169,,,,313.007,percent of total billed charges,156.196221,,,,313.007,percent of total billed charges,93.45605169,,,,313.007,percent of total billed charges,156.196221,,,,313.007,percent of total billed charges,93.45605169,,,,309.934,percent of total billed charges,307.5824465,,,,309.934,percent of total billed charges,212.1371754,,,,,,,,,,316.08,percent of total billed charges,205.444562,,,,,,,,,,316.08,percent of total billed charges,999999999,,,,,,,,,,351.2,percent of total billed charges,294.287344,,,,346.81,percent of total billed charges,334.6865749,,,,346.81,percent of total billed charges,295.7066676,,,,351.2,percent of total billed charges,999999999,,,,351.2,percent of total billed charges,999999999,,,,307.3,percent of total billed charges,999999999,,,,307.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,233.548,percent of total billed charges,999999999,,,,,,,,,,,,,,,,221.695,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,109.75,percent of total billed charges,104.2356542,,,,,,,,,,109.75,percent of total billed charges,102.501765,,,,,,,,,,109.75,percent of total billed charges,102.216917,,,,,,,,,,109.75,percent of total billed charges,100.7117741,,,,,,,,,,109.75,percent of total billed charges,103.3032361,,,,,,,,,,109.75,percent of total billed charges,999999999,,,,,,,,,,109.75,percent of total billed charges,88.64145121,,,,,,,,,,109.75,percent of total billed charges,139.7936812,,,,,,,,,,109.75,percent of total billed charges,999999999,,,,,,,,,,109.75,percent of total billed charges,95.57716322,,,,,,,,,,395.1,percent of total billed charges,,,,,
**EKG (MARTIN) 861000,93005,CDM,0056-2780-01,NDC,,both,1,EA,439,439,93.45605169,439,439,percent of total billed charges,322.9878958,,,,439,percent of total billed charges,342.3607833,,,,439,percent of total billed charges,322.9878958,,,,439,percent of total billed charges,342.3607833,,,,439,percent of total billed charges,999999999,,,,439,percent of total billed charges,334.4878277,,,,439,percent of total billed charges,322.9878958,,,,439,percent of total billed charges,342.3607833,,,,313.007,percent of total billed charges,156.196221,,,,313.007,percent of total billed charges,93.45605169,,,,313.007,percent of total billed charges,156.196221,,,,313.007,percent of total billed charges,93.45605169,,,,313.007,percent of total billed charges,156.196221,,,,313.007,percent of total billed charges,93.45605169,,,,309.934,percent of total billed charges,307.5824465,,,,309.934,percent of total billed charges,212.1371754,,,,,,,,,,316.08,percent of total billed charges,205.444562,,,,,,,,,,316.08,percent of total billed charges,999999999,,,,,,,,,,351.2,percent of total billed charges,294.287344,,,,346.81,percent of total billed charges,334.6865749,,,,346.81,percent of total billed charges,295.7066676,,,,351.2,percent of total billed charges,999999999,,,,351.2,percent of total billed charges,999999999,,,,307.3,percent of total billed charges,999999999,,,,307.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,233.548,percent of total billed charges,999999999,,,,,,,,,,,,,,,,221.695,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,109.75,percent of total billed charges,104.2356542,,,,,,,,,,109.75,percent of total billed charges,102.501765,,,,,,,,,,109.75,percent of total billed charges,102.216917,,,,,,,,,,109.75,percent of total billed charges,100.7117741,,,,,,,,,,109.75,percent of total billed charges,103.3032361,,,,,,,,,,109.75,percent of total billed charges,999999999,,,,,,,,,,109.75,percent of total billed charges,88.64145121,,,,,,,,,,109.75,percent of total billed charges,139.7936812,,,,,,,,,,109.75,percent of total billed charges,999999999,,,,,,,,,,109.75,percent of total billed charges,95.57716322,,,,,,,,,,395.1,percent of total billed charges,,,,,
**EKG (PRABHU),93005,CDM,0056-2780-01,NDC,,both,1,EA,439,439,93.45605169,439,439,percent of total billed charges,322.9878958,,,,439,percent of total billed charges,342.3607833,,,,439,percent of total billed charges,322.9878958,,,,439,percent of total billed charges,342.3607833,,,,439,percent of total billed charges,999999999,,,,439,percent of total billed charges,334.4878277,,,,439,percent of total billed charges,322.9878958,,,,439,percent of total billed charges,342.3607833,,,,313.007,percent of total billed charges,156.196221,,,,313.007,percent of total billed charges,93.45605169,,,,313.007,percent of total billed charges,156.196221,,,,313.007,percent of total billed charges,93.45605169,,,,313.007,percent of total billed charges,156.196221,,,,313.007,percent of total billed charges,93.45605169,,,,309.934,percent of total billed charges,307.5824465,,,,309.934,percent of total billed charges,212.1371754,,,,,,,,,,316.08,percent of total billed charges,205.444562,,,,,,,,,,316.08,percent of total billed charges,999999999,,,,,,,,,,351.2,percent of total billed charges,294.287344,,,,346.81,percent of total billed charges,334.6865749,,,,346.81,percent of total billed charges,295.7066676,,,,351.2,percent of total billed charges,999999999,,,,351.2,percent of total billed charges,999999999,,,,307.3,percent of total billed charges,999999999,,,,307.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,233.548,percent of total billed charges,999999999,,,,,,,,,,,,,,,,221.695,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,109.75,percent of total billed charges,104.2356542,,,,,,,,,,109.75,percent of total billed charges,102.501765,,,,,,,,,,109.75,percent of total billed charges,102.216917,,,,,,,,,,109.75,percent of total billed charges,100.7117741,,,,,,,,,,109.75,percent of total billed charges,103.3032361,,,,,,,,,,109.75,percent of total billed charges,999999999,,,,,,,,,,109.75,percent of total billed charges,88.64145121,,,,,,,,,,109.75,percent of total billed charges,139.7936812,,,,,,,,,,109.75,percent of total billed charges,999999999,,,,,,,,,,109.75,percent of total billed charges,95.57716322,,,,,,,,,,395.1,percent of total billed charges,,,,,
**EKG (DEL VALLE),93005,CDM,0056-2780-01,NDC,,both,1,EA,439,439,93.45605169,439,439,percent of total billed charges,322.9878958,,,,439,percent of total billed charges,342.3607833,,,,439,percent of total billed charges,322.9878958,,,,439,percent of total billed charges,342.3607833,,,,439,percent of total billed charges,999999999,,,,439,percent of total billed charges,334.4878277,,,,439,percent of total billed charges,322.9878958,,,,439,percent of total billed charges,342.3607833,,,,313.007,percent of total billed charges,156.196221,,,,313.007,percent of total billed charges,93.45605169,,,,313.007,percent of total billed charges,156.196221,,,,313.007,percent of total billed charges,93.45605169,,,,313.007,percent of total billed charges,156.196221,,,,313.007,percent of total billed charges,93.45605169,,,,309.934,percent of total billed charges,307.5824465,,,,309.934,percent of total billed charges,212.1371754,,,,,,,,,,316.08,percent of total billed charges,205.444562,,,,,,,,,,316.08,percent of total billed charges,999999999,,,,,,,,,,351.2,percent of total billed charges,294.287344,,,,346.81,percent of total billed charges,334.6865749,,,,346.81,percent of total billed charges,295.7066676,,,,351.2,percent of total billed charges,999999999,,,,351.2,percent of total billed charges,999999999,,,,307.3,percent of total billed charges,999999999,,,,307.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,233.548,percent of total billed charges,999999999,,,,,,,,,,,,,,,,221.695,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,109.75,percent of total billed charges,104.2356542,,,,,,,,,,109.75,percent of total billed charges,102.501765,,,,,,,,,,109.75,percent of total billed charges,102.216917,,,,,,,,,,109.75,percent of total billed charges,100.7117741,,,,,,,,,,109.75,percent of total billed charges,103.3032361,,,,,,,,,,109.75,percent of total billed charges,999999999,,,,,,,,,,109.75,percent of total billed charges,88.64145121,,,,,,,,,,109.75,percent of total billed charges,139.7936812,,,,,,,,,,109.75,percent of total billed charges,999999999,,,,,,,,,,109.75,percent of total billed charges,95.57716322,,,,,,,,,,395.1,percent of total billed charges,,,,,
EKG (GILL),93005,CDM,0056-2780-01,NDC,,both,1,EA,412,412,87.70818519,412,412,percent of total billed charges,303.1230366,,,,412,percent of total billed charges,321.3044253,,,,412,percent of total billed charges,303.1230366,,,,412,percent of total billed charges,321.3044253,,,,412,percent of total billed charges,999999999,,,,412,percent of total billed charges,313.9156834,,,,412,percent of total billed charges,303.1230366,,,,412,percent of total billed charges,321.3044253,,,,293.756,percent of total billed charges,146.5896197,,,,293.756,percent of total billed charges,87.70818519,,,,293.756,percent of total billed charges,146.5896197,,,,293.756,percent of total billed charges,87.70818519,,,,293.756,percent of total billed charges,146.5896197,,,,293.756,percent of total billed charges,87.70818519,,,,290.872,percent of total billed charges,288.6650751,,,,290.872,percent of total billed charges,199.0900143,,,,,,,,,,296.64,percent of total billed charges,192.8090194,,,,,,,,,,296.64,percent of total billed charges,999999999,,,,,,,,,,329.6,percent of total billed charges,276.1876668,,,,325.48,percent of total billed charges,314.102207,,,,325.48,percent of total billed charges,277.5196972,,,,329.6,percent of total billed charges,999999999,,,,329.6,percent of total billed charges,999999999,,,,288.4,percent of total billed charges,999999999,,,,288.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,219.184,percent of total billed charges,999999999,,,,,,,,,,,,,,,,208.06,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,103,percent of total billed charges,97.82480528,,,,,,,,,,103,percent of total billed charges,96.19755621,,,,,,,,,,103,percent of total billed charges,95.93022732,,,,,,,,,,103,percent of total billed charges,94.51765589,,,,,,,,,,103,percent of total billed charges,96.94973412,,,,,,,,,,103,percent of total billed charges,999999999,,,,,,,,,,103,percent of total billed charges,83.18969908,,,,,,,,,,103,percent of total billed charges,131.1958922,,,,,,,,,,103,percent of total billed charges,999999999,,,,,,,,,,103,percent of total billed charges,89.69884111,,,,,,,,,,370.8,percent of total billed charges,,,,,
**EKG (DAVE),93005,CDM,0056-2780-01,NDC,,both,1,EA,312,312,66.41979072,312,312,percent of total billed charges,229.549484,,,,312,percent of total billed charges,243.3179143,,,,312,percent of total billed charges,229.549484,,,,312,percent of total billed charges,243.3179143,,,,312,percent of total billed charges,999999999,,,,312,percent of total billed charges,237.7225564,,,,312,percent of total billed charges,229.549484,,,,312,percent of total billed charges,243.3179143,,,,222.456,percent of total billed charges,111.009615,,,,222.456,percent of total billed charges,66.41979072,,,,222.456,percent of total billed charges,111.009615,,,,222.456,percent of total billed charges,66.41979072,,,,222.456,percent of total billed charges,111.009615,,,,222.456,percent of total billed charges,66.41979072,,,,220.272,percent of total billed charges,218.6007365,,,,220.272,percent of total billed charges,150.7671953,,,,,,,,,,224.64,percent of total billed charges,146.0107137,,,,,,,,,,224.64,percent of total billed charges,999999999,,,,,,,,,,249.6,percent of total billed charges,209.1518254,,,,246.48,percent of total billed charges,237.8638072,,,,246.48,percent of total billed charges,210.1605474,,,,249.6,percent of total billed charges,999999999,,,,249.6,percent of total billed charges,999999999,,,,218.4,percent of total billed charges,999999999,,,,218.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,165.984,percent of total billed charges,999999999,,,,,,,,,,,,,,,,157.56,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,78,percent of total billed charges,74.0809205,,,,,,,,,,78,percent of total billed charges,72.8486348,,,,,,,,,,78,percent of total billed charges,72.64619156,,,,,,,,,,78,percent of total billed charges,71.57647727,,,,,,,,,,78,percent of total billed charges,73.41824526,,,,,,,,,,78,percent of total billed charges,999999999,,,,,,,,,,78,percent of total billed charges,62.99802455,,,,,,,,,,78,percent of total billed charges,99.35222903,,,,,,,,,,78,percent of total billed charges,999999999,,,,,,,,,,78,percent of total billed charges,67.92727773,,,,,,,,,,280.8,percent of total billed charges,,,,,
**EKG (FREIJ),93005,CDM,0056-2780-01,NDC,,both,1,EA,439,439,93.45605169,439,439,percent of total billed charges,322.9878958,,,,439,percent of total billed charges,342.3607833,,,,439,percent of total billed charges,322.9878958,,,,439,percent of total billed charges,342.3607833,,,,439,percent of total billed charges,999999999,,,,439,percent of total billed charges,334.4878277,,,,439,percent of total billed charges,322.9878958,,,,439,percent of total billed charges,342.3607833,,,,313.007,percent of total billed charges,156.196221,,,,313.007,percent of total billed charges,93.45605169,,,,313.007,percent of total billed charges,156.196221,,,,313.007,percent of total billed charges,93.45605169,,,,313.007,percent of total billed charges,156.196221,,,,313.007,percent of total billed charges,93.45605169,,,,309.934,percent of total billed charges,307.5824465,,,,309.934,percent of total billed charges,212.1371754,,,,,,,,,,316.08,percent of total billed charges,205.444562,,,,,,,,,,316.08,percent of total billed charges,999999999,,,,,,,,,,351.2,percent of total billed charges,294.287344,,,,346.81,percent of total billed charges,334.6865749,,,,346.81,percent of total billed charges,295.7066676,,,,351.2,percent of total billed charges,999999999,,,,351.2,percent of total billed charges,999999999,,,,307.3,percent of total billed charges,999999999,,,,307.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,233.548,percent of total billed charges,999999999,,,,,,,,,,,,,,,,221.695,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,109.75,percent of total billed charges,104.2356542,,,,,,,,,,109.75,percent of total billed charges,102.501765,,,,,,,,,,109.75,percent of total billed charges,102.216917,,,,,,,,,,109.75,percent of total billed charges,100.7117741,,,,,,,,,,109.75,percent of total billed charges,103.3032361,,,,,,,,,,109.75,percent of total billed charges,999999999,,,,,,,,,,109.75,percent of total billed charges,88.64145121,,,,,,,,,,109.75,percent of total billed charges,139.7936812,,,,,,,,,,109.75,percent of total billed charges,999999999,,,,,,,,,,109.75,percent of total billed charges,95.57716322,,,,,,,,,,395.1,percent of total billed charges,,,,,
**HOLTER MNTR CONNECTION & RECORD DELVAL,93225,CDM,0056-2780-01,NDC,,both,1,EA,833,833,177.3323259,833,833,percent of total billed charges,612.8676929,,,,833,percent of total billed charges,649.6276366,,,,833,percent of total billed charges,612.8676929,,,,833,percent of total billed charges,649.6276366,,,,833,percent of total billed charges,999999999,,,,833,percent of total billed charges,634.6887483,,,,833,percent of total billed charges,612.8676929,,,,833,percent of total billed charges,649.6276366,,,,593.929,percent of total billed charges,296.3814399,,,,593.929,percent of total billed charges,177.3323259,,,,593.929,percent of total billed charges,296.3814399,,,,593.929,percent of total billed charges,177.3323259,,,,593.929,percent of total billed charges,296.3814399,,,,593.929,percent of total billed charges,177.3323259,,,,588.098,percent of total billed charges,583.6359406,,,,588.098,percent of total billed charges,402.5290823,,,,,,,,,,599.76,percent of total billed charges,389.8298864,,,,,,,,,,599.76,percent of total billed charges,999999999,,,,,,,,,,666.4,percent of total billed charges,558.4085594,,,,658.07,percent of total billed charges,635.06587,,,,658.07,percent of total billed charges,561.1017178,,,,666.4,percent of total billed charges,999999999,,,,666.4,percent of total billed charges,999999999,,,,583.1,percent of total billed charges,999999999,,,,583.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,443.156,percent of total billed charges,999999999,,,,,,,,,,,,,,,,420.665,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,208.25,percent of total billed charges,197.7865602,,,,,,,,,,208.25,percent of total billed charges,194.4965153,,,,,,,,,,208.25,percent of total billed charges,193.9560179,,,,,,,,,,208.25,percent of total billed charges,191.1000178,,,,,,,,,,208.25,percent of total billed charges,196.0173022,,,,,,,,,,208.25,percent of total billed charges,999999999,,,,,,,,,,208.25,percent of total billed charges,168.1966489,,,,,,,,,,208.25,percent of total billed charges,265.2577141,,,,,,,,,,208.25,percent of total billed charges,999999999,,,,,,,,,,208.25,percent of total billed charges,181.3571229,,,,,,,,,,749.7,percent of total billed charges,,,,,
**HOLTER MNTR CONNECTION & RECORD PRABHU,93225,CDM,0056-2780-01,NDC,,both,1,EA,833,833,177.3323259,833,833,percent of total billed charges,612.8676929,,,,833,percent of total billed charges,649.6276366,,,,833,percent of total billed charges,612.8676929,,,,833,percent of total billed charges,649.6276366,,,,833,percent of total billed charges,999999999,,,,833,percent of total billed charges,634.6887483,,,,833,percent of total billed charges,612.8676929,,,,833,percent of total billed charges,649.6276366,,,,593.929,percent of total billed charges,296.3814399,,,,593.929,percent of total billed charges,177.3323259,,,,593.929,percent of total billed charges,296.3814399,,,,593.929,percent of total billed charges,177.3323259,,,,593.929,percent of total billed charges,296.3814399,,,,593.929,percent of total billed charges,177.3323259,,,,588.098,percent of total billed charges,583.6359406,,,,588.098,percent of total billed charges,402.5290823,,,,,,,,,,599.76,percent of total billed charges,389.8298864,,,,,,,,,,599.76,percent of total billed charges,999999999,,,,,,,,,,666.4,percent of total billed charges,558.4085594,,,,658.07,percent of total billed charges,635.06587,,,,658.07,percent of total billed charges,561.1017178,,,,666.4,percent of total billed charges,999999999,,,,666.4,percent of total billed charges,999999999,,,,583.1,percent of total billed charges,999999999,,,,583.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,443.156,percent of total billed charges,999999999,,,,,,,,,,,,,,,,420.665,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,208.25,percent of total billed charges,197.7865602,,,,,,,,,,208.25,percent of total billed charges,194.4965153,,,,,,,,,,208.25,percent of total billed charges,193.9560179,,,,,,,,,,208.25,percent of total billed charges,191.1000178,,,,,,,,,,208.25,percent of total billed charges,196.0173022,,,,,,,,,,208.25,percent of total billed charges,999999999,,,,,,,,,,208.25,percent of total billed charges,168.1966489,,,,,,,,,,208.25,percent of total billed charges,265.2577141,,,,,,,,,,208.25,percent of total billed charges,999999999,,,,,,,,,,208.25,percent of total billed charges,181.3571229,,,,,,,,,,749.7,percent of total billed charges,,,,,
**HOLTOR MONITOR (00180),93225,CDM,0056-2780-01,NDC,,both,1,EA,316,316,67.2713265,316,316,percent of total billed charges,232.4924261,,,,316,percent of total billed charges,246.4373748,,,,316,percent of total billed charges,232.4924261,,,,316,percent of total billed charges,246.4373748,,,,316,percent of total billed charges,999999999,,,,316,percent of total billed charges,240.7702815,,,,316,percent of total billed charges,232.4924261,,,,316,percent of total billed charges,246.4373748,,,,225.308,percent of total billed charges,112.4328151,,,,225.308,percent of total billed charges,67.2713265,,,,225.308,percent of total billed charges,112.4328151,,,,225.308,percent of total billed charges,67.2713265,,,,225.308,percent of total billed charges,112.4328151,,,,225.308,percent of total billed charges,67.2713265,,,,223.096,percent of total billed charges,221.40331,,,,223.096,percent of total billed charges,152.7001081,,,,,,,,,,227.52,percent of total billed charges,147.882646,,,,,,,,,,227.52,percent of total billed charges,999999999,,,,,,,,,,252.8,percent of total billed charges,211.833259,,,,249.64,percent of total billed charges,240.9133432,,,,249.64,percent of total billed charges,212.8549133,,,,252.8,percent of total billed charges,999999999,,,,252.8,percent of total billed charges,999999999,,,,221.2,percent of total billed charges,999999999,,,,221.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,168.112,percent of total billed charges,999999999,,,,,,,,,,,,,,,,159.58,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,79,percent of total billed charges,75.03067589,,,,,,,,,,79,percent of total billed charges,73.78259165,,,,,,,,,,79,percent of total billed charges,73.57755299,,,,,,,,,,79,percent of total billed charges,72.49412442,,,,,,,,,,79,percent of total billed charges,74.35950481,,,,,,,,,,79,percent of total billed charges,999999999,,,,,,,,,,79,percent of total billed charges,63.80569153,,,,,,,,,,79,percent of total billed charges,100.6259756,,,,,,,,,,79,percent of total billed charges,999999999,,,,,,,,,,79,percent of total billed charges,68.79814027,,,,,,,,,,284.4,percent of total billed charges,,,,,
**HOLTER MONITOR (DAVE),93225,CDM,0056-2780-01,NDC,,both,1,EA,407,407,86.64376546,407,407,percent of total billed charges,299.444359,,,,407,percent of total billed charges,317.4050998,,,,407,percent of total billed charges,299.444359,,,,407,percent of total billed charges,317.4050998,,,,407,percent of total billed charges,999999999,,,,407,percent of total billed charges,310.1060271,,,,407,percent of total billed charges,299.444359,,,,407,percent of total billed charges,317.4050998,,,,290.191,percent of total billed charges,144.8106195,,,,290.191,percent of total billed charges,86.64376546,,,,290.191,percent of total billed charges,144.8106195,,,,290.191,percent of total billed charges,86.64376546,,,,290.191,percent of total billed charges,144.8106195,,,,290.191,percent of total billed charges,86.64376546,,,,287.342,percent of total billed charges,285.1618581,,,,287.342,percent of total billed charges,196.6738733,,,,,,,,,,293.04,percent of total billed charges,190.4691041,,,,,,,,,,293.04,percent of total billed charges,999999999,,,,,,,,,,325.6,percent of total billed charges,272.8358747,,,,321.53,percent of total billed charges,310.290287,,,,321.53,percent of total billed charges,274.1517397,,,,325.6,percent of total billed charges,999999999,,,,325.6,percent of total billed charges,999999999,,,,284.9,percent of total billed charges,999999999,,,,284.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,216.524,percent of total billed charges,999999999,,,,,,,,,,,,,,,,205.535,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,101.75,percent of total billed charges,96.63761104,,,,,,,,,,101.75,percent of total billed charges,95.03011014,,,,,,,,,,101.75,percent of total billed charges,94.76602553,,,,,,,,,,101.75,percent of total billed charges,93.37059696,,,,,,,,,,101.75,percent of total billed charges,95.77315968,,,,,,,,,,101.75,percent of total billed charges,999999999,,,,,,,,,,101.75,percent of total billed charges,82.18011536,,,,,,,,,,101.75,percent of total billed charges,129.603709,,,,,,,,,,101.75,percent of total billed charges,999999999,,,,,,,,,,101.75,percent of total billed charges,88.61026294,,,,,,,,,,366.3,percent of total billed charges,,,,,
**HOLTER MONITOR (FREIJ),93225,CDM,0056-2780-01,NDC,,both,1,EA,498,498,106.0162044,498,498,percent of total billed charges,366.3962918,,,,498,percent of total billed charges,388.3728248,,,,498,percent of total billed charges,366.3962918,,,,498,percent of total billed charges,388.3728248,,,,498,percent of total billed charges,999999999,,,,498,percent of total billed charges,379.4417727,,,,498,percent of total billed charges,366.3962918,,,,498,percent of total billed charges,388.3728248,,,,355.074,percent of total billed charges,177.1884239,,,,355.074,percent of total billed charges,106.0162044,,,,355.074,percent of total billed charges,177.1884239,,,,355.074,percent of total billed charges,106.0162044,,,,355.074,percent of total billed charges,177.1884239,,,,355.074,percent of total billed charges,106.0162044,,,,351.588,percent of total billed charges,348.9204063,,,,351.588,percent of total billed charges,240.6476386,,,,,,,,,,358.56,percent of total billed charges,233.0555623,,,,,,,,,,358.56,percent of total billed charges,999999999,,,,,,,,,,398.4,percent of total billed charges,333.8384905,,,,393.42,percent of total billed charges,379.6672308,,,,393.42,percent of total billed charges,335.448566,,,,398.4,percent of total billed charges,999999999,,,,398.4,percent of total billed charges,999999999,,,,348.6,percent of total billed charges,999999999,,,,348.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,264.936,percent of total billed charges,999999999,,,,,,,,,,,,,,,,251.49,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,124.5,percent of total billed charges,118.2445462,,,,,,,,,,124.5,percent of total billed charges,116.2776286,,,,,,,,,,124.5,percent of total billed charges,115.9544981,,,,,,,,,,124.5,percent of total billed charges,114.2470695,,,,,,,,,,124.5,percent of total billed charges,117.1868145,,,,,,,,,,124.5,percent of total billed charges,999999999,,,,,,,,,,124.5,percent of total billed charges,100.5545392,,,,,,,,,,124.5,percent of total billed charges,158.5814425,,,,,,,,,,124.5,percent of total billed charges,999999999,,,,,,,,,,124.5,percent of total billed charges,108.4223856,,,,,,,,,,448.2,percent of total billed charges,,,,,
**HOLTER MONITOR (MARTIN),93225,CDM,0056-2780-01,NDC,,both,1,EA,498,498,106.0162044,498,498,percent of total billed charges,366.3962918,,,,498,percent of total billed charges,388.3728248,,,,498,percent of total billed charges,366.3962918,,,,498,percent of total billed charges,388.3728248,,,,498,percent of total billed charges,999999999,,,,498,percent of total billed charges,379.4417727,,,,498,percent of total billed charges,366.3962918,,,,498,percent of total billed charges,388.3728248,,,,355.074,percent of total billed charges,177.1884239,,,,355.074,percent of total billed charges,106.0162044,,,,355.074,percent of total billed charges,177.1884239,,,,355.074,percent of total billed charges,106.0162044,,,,355.074,percent of total billed charges,177.1884239,,,,355.074,percent of total billed charges,106.0162044,,,,351.588,percent of total billed charges,348.9204063,,,,351.588,percent of total billed charges,240.6476386,,,,,,,,,,358.56,percent of total billed charges,233.0555623,,,,,,,,,,358.56,percent of total billed charges,999999999,,,,,,,,,,398.4,percent of total billed charges,333.8384905,,,,393.42,percent of total billed charges,379.6672308,,,,393.42,percent of total billed charges,335.448566,,,,398.4,percent of total billed charges,999999999,,,,398.4,percent of total billed charges,999999999,,,,348.6,percent of total billed charges,999999999,,,,348.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,264.936,percent of total billed charges,999999999,,,,,,,,,,,,,,,,251.49,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,124.5,percent of total billed charges,118.2445462,,,,,,,,,,124.5,percent of total billed charges,116.2776286,,,,,,,,,,124.5,percent of total billed charges,115.9544981,,,,,,,,,,124.5,percent of total billed charges,114.2470695,,,,,,,,,,124.5,percent of total billed charges,117.1868145,,,,,,,,,,124.5,percent of total billed charges,999999999,,,,,,,,,,124.5,percent of total billed charges,100.5545392,,,,,,,,,,124.5,percent of total billed charges,158.5814425,,,,,,,,,,124.5,percent of total billed charges,999999999,,,,,,,,,,124.5,percent of total billed charges,108.4223856,,,,,,,,,,448.2,percent of total billed charges,,,,,
HOLTER MNTR CONNECTION & RECORD GILL,93225,CDM,0056-2780-01,NDC,,both,1,EA,830,830,176.693674,830,830,percent of total billed charges,610.6604863,,,,830,percent of total billed charges,647.2880413,,,,830,percent of total billed charges,610.6604863,,,,830,percent of total billed charges,647.2880413,,,,830,percent of total billed charges,999999999,,,,830,percent of total billed charges,632.4029545,,,,830,percent of total billed charges,610.6604863,,,,830,percent of total billed charges,647.2880413,,,,591.79,percent of total billed charges,295.3140398,,,,591.79,percent of total billed charges,176.693674,,,,591.79,percent of total billed charges,295.3140398,,,,591.79,percent of total billed charges,176.693674,,,,591.79,percent of total billed charges,295.3140398,,,,591.79,percent of total billed charges,176.693674,,,,585.98,percent of total billed charges,581.5340104,,,,585.98,percent of total billed charges,401.0793977,,,,,,,,,,597.6,percent of total billed charges,388.4259372,,,,,,,,,,597.6,percent of total billed charges,999999999,,,,,,,,,,664,percent of total billed charges,556.3974841,,,,655.7,percent of total billed charges,632.778718,,,,655.7,percent of total billed charges,559.0809433,,,,664,percent of total billed charges,999999999,,,,664,percent of total billed charges,999999999,,,,581,percent of total billed charges,999999999,,,,581,percent of total billed charges,999999999,,,,,,,,,,,,,,,,441.56,percent of total billed charges,999999999,,,,,,,,,,,,,,,,419.15,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,207.5,percent of total billed charges,197.0742436,,,,,,,,,,207.5,percent of total billed charges,193.7960477,,,,,,,,,,207.5,percent of total billed charges,193.2574968,,,,,,,,,,207.5,percent of total billed charges,190.4117825,,,,,,,,,,207.5,percent of total billed charges,195.3113576,,,,,,,,,,207.5,percent of total billed charges,999999999,,,,,,,,,,207.5,percent of total billed charges,167.5908986,,,,,,,,,,207.5,percent of total billed charges,264.3024042,,,,,,,,,,207.5,percent of total billed charges,999999999,,,,,,,,,,207.5,percent of total billed charges,180.703976,,,,,,,,,,747,percent of total billed charges,,,,,
HOLTER MONITOR,93225,CDM,0056-2780-01,NDC,,both,1,EA,830,830,176.693674,830,830,percent of total billed charges,610.6604863,,,,830,percent of total billed charges,647.2880413,,,,830,percent of total billed charges,610.6604863,,,,830,percent of total billed charges,647.2880413,,,,830,percent of total billed charges,999999999,,,,830,percent of total billed charges,632.4029545,,,,830,percent of total billed charges,610.6604863,,,,830,percent of total billed charges,647.2880413,,,,591.79,percent of total billed charges,295.3140398,,,,591.79,percent of total billed charges,176.693674,,,,591.79,percent of total billed charges,295.3140398,,,,591.79,percent of total billed charges,176.693674,,,,591.79,percent of total billed charges,295.3140398,,,,591.79,percent of total billed charges,176.693674,,,,585.98,percent of total billed charges,581.5340104,,,,585.98,percent of total billed charges,401.0793977,,,,,,,,,,597.6,percent of total billed charges,388.4259372,,,,,,,,,,597.6,percent of total billed charges,999999999,,,,,,,,,,664,percent of total billed charges,556.3974841,,,,655.7,percent of total billed charges,632.778718,,,,655.7,percent of total billed charges,559.0809433,,,,664,percent of total billed charges,999999999,,,,664,percent of total billed charges,999999999,,,,581,percent of total billed charges,999999999,,,,581,percent of total billed charges,999999999,,,,,,,,,,,,,,,,441.56,percent of total billed charges,999999999,,,,,,,,,,,,,,,,419.15,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,207.5,percent of total billed charges,197.0742436,,,,,,,,,,207.5,percent of total billed charges,193.7960477,,,,,,,,,,207.5,percent of total billed charges,193.2574968,,,,,,,,,,207.5,percent of total billed charges,190.4117825,,,,,,,,,,207.5,percent of total billed charges,195.3113576,,,,,,,,,,207.5,percent of total billed charges,999999999,,,,,,,,,,207.5,percent of total billed charges,167.5908986,,,,,,,,,,207.5,percent of total billed charges,264.3024042,,,,,,,,,,207.5,percent of total billed charges,999999999,,,,,,,,,,207.5,percent of total billed charges,180.703976,,,,,,,,,,747,percent of total billed charges,,,,,
HOLTER MONITOR 48 HR>7 DAYS,93242,CDM,0056-2780-01,NDC,,both,1,EA,830,830,176.693674,830,830,percent of total billed charges,610.6604863,,,,830,percent of total billed charges,647.2880413,,,,830,percent of total billed charges,610.6604863,,,,830,percent of total billed charges,647.2880413,,,,830,percent of total billed charges,999999999,,,,830,percent of total billed charges,632.4029545,,,,830,percent of total billed charges,610.6604863,,,,830,percent of total billed charges,647.2880413,,,,591.79,percent of total billed charges,295.3140398,,,,591.79,percent of total billed charges,176.693674,,,,591.79,percent of total billed charges,295.3140398,,,,591.79,percent of total billed charges,176.693674,,,,591.79,percent of total billed charges,295.3140398,,,,591.79,percent of total billed charges,176.693674,,,,585.98,percent of total billed charges,581.5340104,,,,585.98,percent of total billed charges,401.0793977,,,,,,,,,,597.6,percent of total billed charges,388.4259372,,,,,,,,,,597.6,percent of total billed charges,999999999,,,,,,,,,,664,percent of total billed charges,556.3974841,,,,655.7,percent of total billed charges,632.778718,,,,655.7,percent of total billed charges,559.0809433,,,,664,percent of total billed charges,999999999,,,,664,percent of total billed charges,999999999,,,,581,percent of total billed charges,999999999,,,,581,percent of total billed charges,999999999,,,,,,,,,,,,,,,,441.56,percent of total billed charges,999999999,,,,,,,,,,,,,,,,419.15,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,207.5,percent of total billed charges,197.0742436,,,,,,,,,,207.5,percent of total billed charges,193.7960477,,,,,,,,,,207.5,percent of total billed charges,193.2574968,,,,,,,,,,207.5,percent of total billed charges,190.4117825,,,,,,,,,,207.5,percent of total billed charges,195.3113576,,,,,,,,,,207.5,percent of total billed charges,999999999,,,,,,,,,,207.5,percent of total billed charges,167.5908986,,,,,,,,,,207.5,percent of total billed charges,264.3024042,,,,,,,,,,207.5,percent of total billed charges,999999999,,,,,,,,,,207.5,percent of total billed charges,180.703976,,,,,,,,,,747,percent of total billed charges,,,,,
"**HOLTER MONITOR PROFEE DAVE, H",93227,CDM,0056-2780-01,NDC,,both,1,EA,158,158,33.63566325,158,158,percent of total billed charges,116.2462131,,,,158,percent of total billed charges,123.2186874,,,,158,percent of total billed charges,116.2462131,,,,158,percent of total billed charges,123.2186874,,,,158,percent of total billed charges,999999999,,,,158,percent of total billed charges,120.3851407,,,,158,percent of total billed charges,116.2462131,,,,158,percent of total billed charges,123.2186874,,,,112.654,percent of total billed charges,56.21640757,,,,112.654,percent of total billed charges,33.63566325,,,,112.654,percent of total billed charges,56.21640757,,,,112.654,percent of total billed charges,33.63566325,,,,112.654,percent of total billed charges,56.21640757,,,,112.654,percent of total billed charges,33.63566325,,,,111.548,percent of total billed charges,110.701655,,,,111.548,percent of total billed charges,76.35005403,,,,,,,,,,113.76,percent of total billed charges,73.94132299,,,,,,,,,,113.76,percent of total billed charges,999999999,,,,,,,,,,126.4,percent of total billed charges,105.9166295,,,,124.82,percent of total billed charges,120.4566716,,,,124.82,percent of total billed charges,106.4274567,,,,126.4,percent of total billed charges,999999999,,,,126.4,percent of total billed charges,999999999,,,,110.6,percent of total billed charges,999999999,,,,110.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,84.056,percent of total billed charges,999999999,,,,,,,,,,,,,,,,79.79,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,39.5,percent of total billed charges,37.51533795,,,,,,,,,,39.5,percent of total billed charges,36.89129583,,,,,,,,,,39.5,percent of total billed charges,36.7887765,,,,,,,,,,39.5,percent of total billed charges,36.24706221,,,,,,,,,,39.5,percent of total billed charges,37.17975241,,,,,,,,,,39.5,percent of total billed charges,999999999,,,,,,,,,,39.5,percent of total billed charges,31.90284576,,,,,,,,,,39.5,percent of total billed charges,50.31298778,,,,,,,,,,39.5,percent of total billed charges,999999999,,,,,,,,,,39.5,percent of total billed charges,34.39907014,,,,,,,,,,142.2,percent of total billed charges,,,,,
**HOLTER MONITOR PROFEE MARTIN,93227,CDM,0056-2780-01,NDC,,both,1,EA,330,330,70.25170173,330,330,percent of total billed charges,242.7927235,,,,330,percent of total billed charges,257.3554863,,,,330,percent of total billed charges,242.7927235,,,,330,percent of total billed charges,257.3554863,,,,330,percent of total billed charges,999999999,,,,330,percent of total billed charges,251.4373192,,,,330,percent of total billed charges,242.7927235,,,,330,percent of total billed charges,257.3554863,,,,235.29,percent of total billed charges,117.4140158,,,,235.29,percent of total billed charges,70.25170173,,,,235.29,percent of total billed charges,117.4140158,,,,235.29,percent of total billed charges,70.25170173,,,,235.29,percent of total billed charges,117.4140158,,,,235.29,percent of total billed charges,70.25170173,,,,232.98,percent of total billed charges,231.2123174,,,,232.98,percent of total billed charges,159.4653027,,,,,,,,,,237.6,percent of total billed charges,154.4344088,,,,,,,,,,237.6,percent of total billed charges,999999999,,,,,,,,,,264,percent of total billed charges,221.2182768,,,,260.7,percent of total billed charges,251.5867192,,,,260.7,percent of total billed charges,222.2851943,,,,264,percent of total billed charges,999999999,,,,264,percent of total billed charges,999999999,,,,231,percent of total billed charges,999999999,,,,231,percent of total billed charges,999999999,,,,,,,,,,,,,,,,175.56,percent of total billed charges,999999999,,,,,,,,,,,,,,,,166.65,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,82.5,percent of total billed charges,78.35481976,,,,,,,,,,82.5,percent of total billed charges,77.05144065,,,,,,,,,,82.5,percent of total billed charges,76.837318,,,,,,,,,,82.5,percent of total billed charges,75.70588942,,,,,,,,,,82.5,percent of total billed charges,77.65391325,,,,,,,,,,82.5,percent of total billed charges,999999999,,,,,,,,,,82.5,percent of total billed charges,66.63252596,,,,,,,,,,82.5,percent of total billed charges,105.0840884,,,,,,,,,,82.5,percent of total billed charges,999999999,,,,,,,,,,82.5,percent of total billed charges,71.84615914,,,,,,,,,,297,percent of total billed charges,,,,,
**HOLTER MONITOR PROFEE FREIJ,93227,CDM,0056-2780-01,NDC,,both,1,EA,306,306,65.14248705,306,306,percent of total billed charges,225.1350709,,,,306,percent of total billed charges,238.6387237,,,,306,percent of total billed charges,225.1350709,,,,306,percent of total billed charges,238.6387237,,,,306,percent of total billed charges,999999999,,,,306,percent of total billed charges,233.1509688,,,,306,percent of total billed charges,225.1350709,,,,306,percent of total billed charges,238.6387237,,,,218.178,percent of total billed charges,108.8748147,,,,218.178,percent of total billed charges,65.14248705,,,,218.178,percent of total billed charges,108.8748147,,,,218.178,percent of total billed charges,65.14248705,,,,218.178,percent of total billed charges,108.8748147,,,,218.178,percent of total billed charges,65.14248705,,,,216.036,percent of total billed charges,214.3968761,,,,216.036,percent of total billed charges,147.8678262,,,,,,,,,,220.32,percent of total billed charges,143.2028154,,,,,,,,,,220.32,percent of total billed charges,999999999,,,,,,,,,,244.8,percent of total billed charges,205.1296749,,,,241.74,percent of total billed charges,233.2895033,,,,241.74,percent of total billed charges,206.1189984,,,,244.8,percent of total billed charges,999999999,,,,244.8,percent of total billed charges,999999999,,,,214.2,percent of total billed charges,999999999,,,,214.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,162.792,percent of total billed charges,999999999,,,,,,,,,,,,,,,,154.53,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,76.5,percent of total billed charges,72.65628742,,,,,,,,,,76.5,percent of total billed charges,71.44769951,,,,,,,,,,76.5,percent of total billed charges,71.24914941,,,,,,,,,,76.5,percent of total billed charges,70.20000656,,,,,,,,,,76.5,percent of total billed charges,72.00635593,,,,,,,,,,76.5,percent of total billed charges,999999999,,,,,,,,,,76.5,percent of total billed charges,61.78652408,,,,,,,,,,76.5,percent of total billed charges,97.44160924,,,,,,,,,,76.5,percent of total billed charges,999999999,,,,,,,,,,76.5,percent of total billed charges,66.62098393,,,,,,,,,,275.4,percent of total billed charges,,,,,
**HOLTER MNTR CONNECTION & RECORD PRABHU,93225,CDM,0056-2780-01,NDC,,both,1,EA,833,833,177.3323259,833,833,percent of total billed charges,612.8676929,,,,833,percent of total billed charges,649.6276366,,,,833,percent of total billed charges,612.8676929,,,,833,percent of total billed charges,649.6276366,,,,833,percent of total billed charges,999999999,,,,833,percent of total billed charges,634.6887483,,,,833,percent of total billed charges,612.8676929,,,,833,percent of total billed charges,649.6276366,,,,593.929,percent of total billed charges,296.3814399,,,,593.929,percent of total billed charges,177.3323259,,,,593.929,percent of total billed charges,296.3814399,,,,593.929,percent of total billed charges,177.3323259,,,,593.929,percent of total billed charges,296.3814399,,,,593.929,percent of total billed charges,177.3323259,,,,588.098,percent of total billed charges,583.6359406,,,,588.098,percent of total billed charges,402.5290823,,,,,,,,,,599.76,percent of total billed charges,389.8298864,,,,,,,,,,599.76,percent of total billed charges,999999999,,,,,,,,,,666.4,percent of total billed charges,558.4085594,,,,658.07,percent of total billed charges,635.06587,,,,658.07,percent of total billed charges,561.1017178,,,,666.4,percent of total billed charges,999999999,,,,666.4,percent of total billed charges,999999999,,,,583.1,percent of total billed charges,999999999,,,,583.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,443.156,percent of total billed charges,999999999,,,,,,,,,,,,,,,,420.665,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,208.25,percent of total billed charges,197.7865602,,,,,,,,,,208.25,percent of total billed charges,194.4965153,,,,,,,,,,208.25,percent of total billed charges,193.9560179,,,,,,,,,,208.25,percent of total billed charges,191.1000178,,,,,,,,,,208.25,percent of total billed charges,196.0173022,,,,,,,,,,208.25,percent of total billed charges,999999999,,,,,,,,,,208.25,percent of total billed charges,168.1966489,,,,,,,,,,208.25,percent of total billed charges,265.2577141,,,,,,,,,,208.25,percent of total billed charges,999999999,,,,,,,,,,208.25,percent of total billed charges,181.3571229,,,,,,,,,,749.7,percent of total billed charges,,,,,
HOLTER MNTR 24HR CONNECTION & REC MARTIN,93225,CDM,0056-2780-01,NDC,,both,1,EA,830,830,176.693674,830,830,percent of total billed charges,610.6604863,,,,830,percent of total billed charges,647.2880413,,,,830,percent of total billed charges,610.6604863,,,,830,percent of total billed charges,647.2880413,,,,830,percent of total billed charges,999999999,,,,830,percent of total billed charges,632.4029545,,,,830,percent of total billed charges,610.6604863,,,,830,percent of total billed charges,647.2880413,,,,591.79,percent of total billed charges,295.3140398,,,,591.79,percent of total billed charges,176.693674,,,,591.79,percent of total billed charges,295.3140398,,,,591.79,percent of total billed charges,176.693674,,,,591.79,percent of total billed charges,295.3140398,,,,591.79,percent of total billed charges,176.693674,,,,585.98,percent of total billed charges,581.5340104,,,,585.98,percent of total billed charges,401.0793977,,,,,,,,,,597.6,percent of total billed charges,388.4259372,,,,,,,,,,597.6,percent of total billed charges,999999999,,,,,,,,,,664,percent of total billed charges,556.3974841,,,,655.7,percent of total billed charges,632.778718,,,,655.7,percent of total billed charges,559.0809433,,,,664,percent of total billed charges,999999999,,,,664,percent of total billed charges,999999999,,,,581,percent of total billed charges,999999999,,,,581,percent of total billed charges,999999999,,,,,,,,,,,,,,,,441.56,percent of total billed charges,999999999,,,,,,,,,,,,,,,,419.15,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,207.5,percent of total billed charges,197.0742436,,,,,,,,,,207.5,percent of total billed charges,193.7960477,,,,,,,,,,207.5,percent of total billed charges,193.2574968,,,,,,,,,,207.5,percent of total billed charges,190.4117825,,,,,,,,,,207.5,percent of total billed charges,195.3113576,,,,,,,,,,207.5,percent of total billed charges,999999999,,,,,,,,,,207.5,percent of total billed charges,167.5908986,,,,,,,,,,207.5,percent of total billed charges,264.3024042,,,,,,,,,,207.5,percent of total billed charges,999999999,,,,,,,,,,207.5,percent of total billed charges,180.703976,,,,,,,,,,747,percent of total billed charges,,,,,
**MICROVOLT T-WAVE ALTERNANS (GILL),93025,CDM,0056-2780-01,NDC,,both,1,EA,1071,1071,227.9987047,1071,1071,percent of total billed charges,787.972748,,,,1071,percent of total billed charges,835.2355328,,,,1071,percent of total billed charges,787.972748,,,,1071,percent of total billed charges,835.2355328,,,,1071,percent of total billed charges,999999999,,,,1071,percent of total billed charges,816.0283906,,,,1071,percent of total billed charges,787.972748,,,,1071,percent of total billed charges,835.2355328,,,,763.623,percent of total billed charges,381.0618513,,,,763.623,percent of total billed charges,227.9987047,,,,763.623,percent of total billed charges,381.0618513,,,,763.623,percent of total billed charges,227.9987047,,,,763.623,percent of total billed charges,381.0618513,,,,763.623,percent of total billed charges,227.9987047,,,,756.126,percent of total billed charges,750.3890665,,,,756.126,percent of total billed charges,517.5373915,,,,,,,,,,771.12,percent of total billed charges,501.2098539,,,,,,,,,,771.12,percent of total billed charges,999999999,,,,,,,,,,856.8,percent of total billed charges,717.953862,,,,846.09,percent of total billed charges,816.5132614,,,,846.09,percent of total billed charges,721.4164943,,,,856.8,percent of total billed charges,999999999,,,,856.8,percent of total billed charges,999999999,,,,749.7,percent of total billed charges,999999999,,,,749.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,569.772,percent of total billed charges,999999999,,,,,,,,,,,,,,,,540.855,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,267.75,percent of total billed charges,254.297006,,,,,,,,,,267.75,percent of total billed charges,250.0669483,,,,,,,,,,267.75,percent of total billed charges,249.372023,,,,,,,,,,267.75,percent of total billed charges,245.7000229,,,,,,,,,,267.75,percent of total billed charges,252.0222457,,,,,,,,,,267.75,percent of total billed charges,999999999,,,,,,,,,,267.75,percent of total billed charges,216.2528343,,,,,,,,,,267.75,percent of total billed charges,341.0456324,,,,,,,,,,267.75,percent of total billed charges,999999999,,,,,,,,,,267.75,percent of total billed charges,233.1734438,,,,,,,,,,963.9,percent of total billed charges,,,,,
**MICROVOLT T-WAVE ALTERNANS (MARTIN),93025,CDM,0056-2780-01,NDC,,both,1,EA,1071,1071,227.9987047,1071,1071,percent of total billed charges,787.972748,,,,1071,percent of total billed charges,835.2355328,,,,1071,percent of total billed charges,787.972748,,,,1071,percent of total billed charges,835.2355328,,,,1071,percent of total billed charges,999999999,,,,1071,percent of total billed charges,816.0283906,,,,1071,percent of total billed charges,787.972748,,,,1071,percent of total billed charges,835.2355328,,,,763.623,percent of total billed charges,381.0618513,,,,763.623,percent of total billed charges,227.9987047,,,,763.623,percent of total billed charges,381.0618513,,,,763.623,percent of total billed charges,227.9987047,,,,763.623,percent of total billed charges,381.0618513,,,,763.623,percent of total billed charges,227.9987047,,,,756.126,percent of total billed charges,750.3890665,,,,756.126,percent of total billed charges,517.5373915,,,,,,,,,,771.12,percent of total billed charges,501.2098539,,,,,,,,,,771.12,percent of total billed charges,999999999,,,,,,,,,,856.8,percent of total billed charges,717.953862,,,,846.09,percent of total billed charges,816.5132614,,,,846.09,percent of total billed charges,721.4164943,,,,856.8,percent of total billed charges,999999999,,,,856.8,percent of total billed charges,999999999,,,,749.7,percent of total billed charges,999999999,,,,749.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,569.772,percent of total billed charges,999999999,,,,,,,,,,,,,,,,540.855,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,267.75,percent of total billed charges,254.297006,,,,,,,,,,267.75,percent of total billed charges,250.0669483,,,,,,,,,,267.75,percent of total billed charges,249.372023,,,,,,,,,,267.75,percent of total billed charges,245.7000229,,,,,,,,,,267.75,percent of total billed charges,252.0222457,,,,,,,,,,267.75,percent of total billed charges,999999999,,,,,,,,,,267.75,percent of total billed charges,216.2528343,,,,,,,,,,267.75,percent of total billed charges,341.0456324,,,,,,,,,,267.75,percent of total billed charges,999999999,,,,,,,,,,267.75,percent of total billed charges,233.1734438,,,,,,,,,,963.9,percent of total billed charges,,,,,
**MICROVOLT T-WAVE ALTERNANS (PRABHU),93025,CDM,0056-2780-01,NDC,,both,1,EA,1071,1071,227.9987047,1071,1071,percent of total billed charges,787.972748,,,,1071,percent of total billed charges,835.2355328,,,,1071,percent of total billed charges,787.972748,,,,1071,percent of total billed charges,835.2355328,,,,1071,percent of total billed charges,999999999,,,,1071,percent of total billed charges,816.0283906,,,,1071,percent of total billed charges,787.972748,,,,1071,percent of total billed charges,835.2355328,,,,763.623,percent of total billed charges,381.0618513,,,,763.623,percent of total billed charges,227.9987047,,,,763.623,percent of total billed charges,381.0618513,,,,763.623,percent of total billed charges,227.9987047,,,,763.623,percent of total billed charges,381.0618513,,,,763.623,percent of total billed charges,227.9987047,,,,756.126,percent of total billed charges,750.3890665,,,,756.126,percent of total billed charges,517.5373915,,,,,,,,,,771.12,percent of total billed charges,501.2098539,,,,,,,,,,771.12,percent of total billed charges,999999999,,,,,,,,,,856.8,percent of total billed charges,717.953862,,,,846.09,percent of total billed charges,816.5132614,,,,846.09,percent of total billed charges,721.4164943,,,,856.8,percent of total billed charges,999999999,,,,856.8,percent of total billed charges,999999999,,,,749.7,percent of total billed charges,999999999,,,,749.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,569.772,percent of total billed charges,999999999,,,,,,,,,,,,,,,,540.855,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,267.75,percent of total billed charges,254.297006,,,,,,,,,,267.75,percent of total billed charges,250.0669483,,,,,,,,,,267.75,percent of total billed charges,249.372023,,,,,,,,,,267.75,percent of total billed charges,245.7000229,,,,,,,,,,267.75,percent of total billed charges,252.0222457,,,,,,,,,,267.75,percent of total billed charges,999999999,,,,,,,,,,267.75,percent of total billed charges,216.2528343,,,,,,,,,,267.75,percent of total billed charges,341.0456324,,,,,,,,,,267.75,percent of total billed charges,999999999,,,,,,,,,,267.75,percent of total billed charges,233.1734438,,,,,,,,,,963.9,percent of total billed charges,,,,,
EKG ( No Doctor),93005,CDM,0056-2780-01,NDC,,both,1,EA,412,412,87.70818519,412,412,percent of total billed charges,303.1230366,,,,412,percent of total billed charges,321.3044253,,,,412,percent of total billed charges,303.1230366,,,,412,percent of total billed charges,321.3044253,,,,412,percent of total billed charges,999999999,,,,412,percent of total billed charges,313.9156834,,,,412,percent of total billed charges,303.1230366,,,,412,percent of total billed charges,321.3044253,,,,293.756,percent of total billed charges,146.5896197,,,,293.756,percent of total billed charges,87.70818519,,,,293.756,percent of total billed charges,146.5896197,,,,293.756,percent of total billed charges,87.70818519,,,,293.756,percent of total billed charges,146.5896197,,,,293.756,percent of total billed charges,87.70818519,,,,290.872,percent of total billed charges,288.6650751,,,,290.872,percent of total billed charges,199.0900143,,,,,,,,,,296.64,percent of total billed charges,192.8090194,,,,,,,,,,296.64,percent of total billed charges,999999999,,,,,,,,,,329.6,percent of total billed charges,276.1876668,,,,325.48,percent of total billed charges,314.102207,,,,325.48,percent of total billed charges,277.5196972,,,,329.6,percent of total billed charges,999999999,,,,329.6,percent of total billed charges,999999999,,,,288.4,percent of total billed charges,999999999,,,,288.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,219.184,percent of total billed charges,999999999,,,,,,,,,,,,,,,,208.06,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,103,percent of total billed charges,97.82480528,,,,,,,,,,103,percent of total billed charges,96.19755621,,,,,,,,,,103,percent of total billed charges,95.93022732,,,,,,,,,,103,percent of total billed charges,94.51765589,,,,,,,,,,103,percent of total billed charges,96.94973412,,,,,,,,,,103,percent of total billed charges,999999999,,,,,,,,,,103,percent of total billed charges,83.18969908,,,,,,,,,,103,percent of total billed charges,131.1958922,,,,,,,,,,103,percent of total billed charges,999999999,,,,,,,,,,103,percent of total billed charges,89.69884111,,,,,,,,,,370.8,percent of total billed charges,,,,,
**HF-NEW PATIENT OFFICE VISIT LEVEL 3,99203,CDM,0056-2780-01,NDC,,both,1,EA,468,468,99.62968608,468,468,percent of total billed charges,344.324226,,,,468,percent of total billed charges,364.9768715,,,,468,percent of total billed charges,344.324226,,,,468,percent of total billed charges,364.9768715,,,,468,percent of total billed charges,999999999,,,,468,percent of total billed charges,356.5838346,,,,468,percent of total billed charges,344.324226,,,,468,percent of total billed charges,364.9768715,,,,333.684,percent of total billed charges,166.5144224,,,,333.684,percent of total billed charges,99.62968608,,,,333.684,percent of total billed charges,166.5144224,,,,333.684,percent of total billed charges,99.62968608,,,,333.684,percent of total billed charges,166.5144224,,,,333.684,percent of total billed charges,99.62968608,,,,330.408,percent of total billed charges,327.9011047,,,,330.408,percent of total billed charges,226.1507929,,,,,,,,,,336.96,percent of total billed charges,219.0160706,,,,,,,,,,336.96,percent of total billed charges,999999999,,,,,,,,,,374.4,percent of total billed charges,313.727738,,,,369.72,percent of total billed charges,356.7957109,,,,369.72,percent of total billed charges,315.240821,,,,374.4,percent of total billed charges,999999999,,,,374.4,percent of total billed charges,999999999,,,,327.6,percent of total billed charges,999999999,,,,327.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,248.976,percent of total billed charges,999999999,,,,,,,,,,,,,,,,236.34,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,117,percent of total billed charges,111.1213808,,,,,,,,,,117,percent of total billed charges,109.2729522,,,,,,,,,,117,percent of total billed charges,108.9692873,,,,,,,,,,117,percent of total billed charges,107.3647159,,,,,,,,,,117,percent of total billed charges,110.1273679,,,,,,,,,,117,percent of total billed charges,999999999,,,,,,,,,,117,percent of total billed charges,94.49703682,,,,,,,,,,117,percent of total billed charges,149.0283436,,,,,,,,,,117,percent of total billed charges,999999999,,,,,,,,,,117,percent of total billed charges,101.8909166,,,,,,,,,,421.2,percent of total billed charges,,,,,
**HF-EST PATIENT OFFICE VISIT LEVEL 3,99213,CDM,0056-2780-01,NDC,,both,1,EA,431,431,91.75298013,431,431,percent of total billed charges,317.1020116,,,,431,percent of total billed charges,336.1218624,,,,431,percent of total billed charges,317.1020116,,,,431,percent of total billed charges,336.1218624,,,,431,percent of total billed charges,999999999,,,,431,percent of total billed charges,328.3923776,,,,431,percent of total billed charges,317.1020116,,,,431,percent of total billed charges,336.1218624,,,,307.303,percent of total billed charges,153.3498207,,,,307.303,percent of total billed charges,91.75298013,,,,307.303,percent of total billed charges,153.3498207,,,,307.303,percent of total billed charges,91.75298013,,,,307.303,percent of total billed charges,153.3498207,,,,307.303,percent of total billed charges,91.75298013,,,,304.286,percent of total billed charges,301.9772994,,,,304.286,percent of total billed charges,208.2713499,,,,,,,,,,310.32,percent of total billed charges,201.7006975,,,,,,,,,,310.32,percent of total billed charges,999999999,,,,,,,,,,344.8,percent of total billed charges,288.9244767,,,,340.49,percent of total billed charges,328.587503,,,,340.49,percent of total billed charges,290.3179356,,,,344.8,percent of total billed charges,999999999,,,,344.8,percent of total billed charges,999999999,,,,301.7,percent of total billed charges,999999999,,,,301.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,229.292,percent of total billed charges,999999999,,,,,,,,,,,,,,,,217.655,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,107.75,percent of total billed charges,102.3361434,,,,,,,,,,107.75,percent of total billed charges,100.6338513,,,,,,,,,,107.75,percent of total billed charges,100.3541941,,,,,,,,,,107.75,percent of total billed charges,98.87647982,,,,,,,,,,107.75,percent of total billed charges,101.420717,,,,,,,,,,107.75,percent of total billed charges,999999999,,,,,,,,,,107.75,percent of total billed charges,87.02611724,,,,,,,,,,107.75,percent of total billed charges,137.2461882,,,,,,,,,,107.75,percent of total billed charges,999999999,,,,,,,,,,107.75,percent of total billed charges,93.83543815,,,,,,,,,,387.9,percent of total billed charges,,,,,
**HF-T/P/D-IV PUSH INITIAL,96374,CDM,0056-2780-01,NDC,,both,1,EA,373,373,79.40571134,373,373,percent of total billed charges,274.4293511,,,,373,percent of total billed charges,290.889686,,,,373,percent of total billed charges,274.4293511,,,,373,percent of total billed charges,290.889686,,,,373,percent of total billed charges,999999999,,,,373,percent of total billed charges,284.2003639,,,,373,percent of total billed charges,274.4293511,,,,373,percent of total billed charges,290.889686,,,,265.949,percent of total billed charges,132.7134179,,,,265.949,percent of total billed charges,79.40571134,,,,265.949,percent of total billed charges,132.7134179,,,,265.949,percent of total billed charges,79.40571134,,,,265.949,percent of total billed charges,132.7134179,,,,265.949,percent of total billed charges,79.40571134,,,,263.338,percent of total billed charges,261.339983,,,,263.338,percent of total billed charges,180.2441149,,,,,,,,,,268.56,percent of total billed charges,174.5576802,,,,,,,,,,268.56,percent of total billed charges,999999999,,,,,,,,,,298.4,percent of total billed charges,250.0436886,,,,294.67,percent of total billed charges,284.3692311,,,,294.67,percent of total billed charges,251.2496287,,,,298.4,percent of total billed charges,999999999,,,,298.4,percent of total billed charges,999999999,,,,261.1,percent of total billed charges,999999999,,,,261.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,198.436,percent of total billed charges,999999999,,,,,,,,,,,,,,,,188.365,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,93.25,percent of total billed charges,88.56469022,,,,,,,,,,93.25,percent of total billed charges,87.09147686,,,,,,,,,,93.25,percent of total billed charges,86.84945337,,,,,,,,,,93.25,percent of total billed charges,85.57059623,,,,,,,,,,93.25,percent of total billed charges,87.77245347,,,,,,,,,,93.25,percent of total billed charges,999999999,,,,,,,,,,93.25,percent of total billed charges,75.31494601,,,,,,,,,,93.25,percent of total billed charges,118.7768636,,,,,,,,,,93.25,percent of total billed charges,999999999,,,,,,,,,,93.25,percent of total billed charges,81.20793139,,,,,,,,,,335.7,percent of total billed charges,,,,,
**HF-IVP EACH ADDL SEQ-DIFF DRUG,96375,CDM,0056-2780-01,NDC,,both,1,EA,215,215,45.77004809,215,215,percent of total billed charges,158.183138,,,,215,percent of total billed charges,167.6709987,,,,215,percent of total billed charges,158.183138,,,,215,percent of total billed charges,167.6709987,,,,215,percent of total billed charges,999999999,,,,215,percent of total billed charges,163.8152231,,,,215,percent of total billed charges,158.183138,,,,215,percent of total billed charges,167.6709987,,,,153.295,percent of total billed charges,76.4970103,,,,153.295,percent of total billed charges,45.77004809,,,,153.295,percent of total billed charges,76.4970103,,,,153.295,percent of total billed charges,45.77004809,,,,153.295,percent of total billed charges,76.4970103,,,,153.295,percent of total billed charges,45.77004809,,,,151.79,percent of total billed charges,150.638328,,,,151.79,percent of total billed charges,103.8940609,,,,,,,,,,154.8,percent of total billed charges,100.6163572,,,,,,,,,,154.8,percent of total billed charges,999999999,,,,,,,,,,172,percent of total billed charges,144.1270591,,,,169.85,percent of total billed charges,163.9125595,,,,169.85,percent of total billed charges,144.8221721,,,,172,percent of total billed charges,999999999,,,,172,percent of total billed charges,999999999,,,,150.5,percent of total billed charges,999999999,,,,150.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,114.38,percent of total billed charges,999999999,,,,,,,,,,,,,,,,108.575,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.75,percent of total billed charges,51.04935227,,,,,,,,,,53.75,percent of total billed charges,50.20018103,,,,,,,,,,53.75,percent of total billed charges,50.06067688,,,,,,,,,,53.75,percent of total billed charges,49.32353402,,,,,,,,,,53.75,percent of total billed charges,50.59270106,,,,,,,,,,53.75,percent of total billed charges,999999999,,,,,,,,,,53.75,percent of total billed charges,43.41210025,,,,,,,,,,53.75,percent of total billed charges,68.46387578,,,,,,,,,,53.75,percent of total billed charges,999999999,,,,,,,,,,53.75,percent of total billed charges,46.80886126,,,,,,,,,,193.5,percent of total billed charges,,,,,
**HF-IVP EACH ADDL SEQ-SAME DRUG,96376,CDM,0056-2780-01,NDC,,both,1,EA,215,215,45.77004809,215,215,percent of total billed charges,158.183138,,,,215,percent of total billed charges,167.6709987,,,,215,percent of total billed charges,158.183138,,,,215,percent of total billed charges,167.6709987,,,,215,percent of total billed charges,999999999,,,,215,percent of total billed charges,163.8152231,,,,215,percent of total billed charges,158.183138,,,,215,percent of total billed charges,167.6709987,,,,153.295,percent of total billed charges,76.4970103,,,,153.295,percent of total billed charges,45.77004809,,,,153.295,percent of total billed charges,76.4970103,,,,153.295,percent of total billed charges,45.77004809,,,,153.295,percent of total billed charges,76.4970103,,,,153.295,percent of total billed charges,45.77004809,,,,151.79,percent of total billed charges,150.638328,,,,151.79,percent of total billed charges,103.8940609,,,,,,,,,,154.8,percent of total billed charges,100.6163572,,,,,,,,,,154.8,percent of total billed charges,999999999,,,,,,,,,,172,percent of total billed charges,144.1270591,,,,169.85,percent of total billed charges,163.9125595,,,,169.85,percent of total billed charges,144.8221721,,,,172,percent of total billed charges,999999999,,,,172,percent of total billed charges,999999999,,,,150.5,percent of total billed charges,999999999,,,,150.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,114.38,percent of total billed charges,999999999,,,,,,,,,,,,,,,,108.575,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.75,percent of total billed charges,51.04935227,,,,,,,,,,53.75,percent of total billed charges,50.20018103,,,,,,,,,,53.75,percent of total billed charges,50.06067688,,,,,,,,,,53.75,percent of total billed charges,49.32353402,,,,,,,,,,53.75,percent of total billed charges,50.59270106,,,,,,,,,,53.75,percent of total billed charges,999999999,,,,,,,,,,53.75,percent of total billed charges,43.41210025,,,,,,,,,,53.75,percent of total billed charges,68.46387578,,,,,,,,,,53.75,percent of total billed charges,999999999,,,,,,,,,,53.75,percent of total billed charges,46.80886126,,,,,,,,,,193.5,percent of total billed charges,,,,,
**HF-NEW PATIENT OFFICE VISIT LEVEL 1,99201,CDM,0056-2780-01,NDC,,both,1,EA,329,329,70.03881778,329,329,percent of total billed charges,242.056988,,,,329,percent of total billed charges,256.5756212,,,,329,percent of total billed charges,242.056988,,,,329,percent of total billed charges,256.5756212,,,,329,percent of total billed charges,999999999,,,,329,percent of total billed charges,250.675388,,,,329,percent of total billed charges,242.056988,,,,329,percent of total billed charges,256.5756212,,,,234.577,percent of total billed charges,117.0582158,,,,234.577,percent of total billed charges,70.03881778,,,,234.577,percent of total billed charges,117.0582158,,,,234.577,percent of total billed charges,70.03881778,,,,234.577,percent of total billed charges,117.0582158,,,,234.577,percent of total billed charges,70.03881778,,,,232.274,percent of total billed charges,230.511674,,,,232.274,percent of total billed charges,158.9820745,,,,,,,,,,236.88,percent of total billed charges,153.9664257,,,,,,,,,,236.88,percent of total billed charges,999999999,,,,,,,,,,263.2,percent of total billed charges,220.5479184,,,,259.91,percent of total billed charges,250.8243352,,,,259.91,percent of total billed charges,221.6116028,,,,263.2,percent of total billed charges,999999999,,,,263.2,percent of total billed charges,999999999,,,,230.3,percent of total billed charges,999999999,,,,230.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,175.028,percent of total billed charges,999999999,,,,,,,,,,,,,,,,166.145,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,82.25,percent of total billed charges,78.11738091,,,,,,,,,,82.25,percent of total billed charges,76.81795144,,,,,,,,,,82.25,percent of total billed charges,76.60447764,,,,,,,,,,82.25,percent of total billed charges,75.47647764,,,,,,,,,,82.25,percent of total billed charges,77.41859836,,,,,,,,,,82.25,percent of total billed charges,999999999,,,,,,,,,,82.25,percent of total billed charges,66.43060922,,,,,,,,,,82.25,percent of total billed charges,104.7656518,,,,,,,,,,82.25,percent of total billed charges,999999999,,,,,,,,,,82.25,percent of total billed charges,71.62844351,,,,,,,,,,296.1,percent of total billed charges,,,,,
**HF-NEW PATIENT OFFICE VISIT LEVEL 4,99204,CDM,0056-2780-01,NDC,,both,1,EA,569,569,121.1309645,569,569,percent of total billed charges,418.6335141,,,,569,percent of total billed charges,443.7432476,,,,569,percent of total billed charges,418.6335141,,,,569,percent of total billed charges,443.7432476,,,,569,percent of total billed charges,999999999,,,,569,percent of total billed charges,433.5388929,,,,569,percent of total billed charges,418.6335141,,,,569,percent of total billed charges,443.7432476,,,,405.697,percent of total billed charges,202.4502273,,,,405.697,percent of total billed charges,121.1309645,,,,405.697,percent of total billed charges,202.4502273,,,,405.697,percent of total billed charges,121.1309645,,,,405.697,percent of total billed charges,202.4502273,,,,405.697,percent of total billed charges,121.1309645,,,,401.714,percent of total billed charges,398.6660867,,,,401.714,percent of total billed charges,274.9568401,,,,,,,,,,409.68,percent of total billed charges,266.2823594,,,,,,,,,,409.68,percent of total billed charges,999999999,,,,,,,,,,455.2,percent of total billed charges,381.4339379,,,,449.51,percent of total billed charges,433.7964946,,,,449.51,percent of total billed charges,383.2735623,,,,455.2,percent of total billed charges,999999999,,,,455.2,percent of total billed charges,999999999,,,,398.3,percent of total billed charges,999999999,,,,398.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,302.708,percent of total billed charges,999999999,,,,,,,,,,,,,,,,287.345,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,142.25,percent of total billed charges,135.1027044,,,,,,,,,,142.25,percent of total billed charges,132.8553628,,,,,,,,,,142.25,percent of total billed charges,132.4861635,,,,,,,,,,142.25,percent of total billed charges,130.5353063,,,,,,,,,,142.25,percent of total billed charges,133.8941716,,,,,,,,,,142.25,percent of total billed charges,999999999,,,,,,,,,,142.25,percent of total billed charges,114.8906281,,,,,,,,,,142.25,percent of total billed charges,181.1904433,,,,,,,,,,142.25,percent of total billed charges,999999999,,,,,,,,,,142.25,percent of total billed charges,123.8801956,,,,,,,,,,512.1,percent of total billed charges,,,,,
**HF-EST PATIENT OFFICE VISIT LEVEL 4,99214,CDM,0056-2780-01,NDC,,both,1,EA,669,669,142.419359,669,669,percent of total billed charges,492.2070667,,,,669,percent of total billed charges,521.7297586,,,,669,percent of total billed charges,492.2070667,,,,669,percent of total billed charges,521.7297586,,,,669,percent of total billed charges,999999999,,,,669,percent of total billed charges,509.7320199,,,,669,percent of total billed charges,492.2070667,,,,669,percent of total billed charges,521.7297586,,,,476.997,percent of total billed charges,238.0302321,,,,476.997,percent of total billed charges,142.419359,,,,476.997,percent of total billed charges,238.0302321,,,,476.997,percent of total billed charges,142.419359,,,,476.997,percent of total billed charges,238.0302321,,,,476.997,percent of total billed charges,142.419359,,,,472.314,percent of total billed charges,468.7304253,,,,472.314,percent of total billed charges,323.2796591,,,,,,,,,,481.68,percent of total billed charges,313.0806651,,,,,,,,,,481.68,percent of total billed charges,999999999,,,,,,,,,,535.2,percent of total billed charges,448.4697794,,,,528.51,percent of total billed charges,510.0348944,,,,528.51,percent of total billed charges,450.6327121,,,,535.2,percent of total billed charges,999999999,,,,535.2,percent of total billed charges,999999999,,,,468.3,percent of total billed charges,999999999,,,,468.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,355.908,percent of total billed charges,999999999,,,,,,,,,,,,,,,,337.845,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,167.25,percent of total billed charges,158.8465892,,,,,,,,,,167.25,percent of total billed charges,156.2042842,,,,,,,,,,167.25,percent of total billed charges,155.7701992,,,,,,,,,,167.25,percent of total billed charges,153.4764849,,,,,,,,,,167.25,percent of total billed charges,157.4256605,,,,,,,,,,167.25,percent of total billed charges,999999999,,,,,,,,,,167.25,percent of total billed charges,135.0823026,,,,,,,,,,167.25,percent of total billed charges,213.0341065,,,,,,,,,,167.25,percent of total billed charges,999999999,,,,,,,,,,167.25,percent of total billed charges,145.651759,,,,,,,,,,602.1,percent of total billed charges,,,,,
**HF-EST PATIENT OFFICE VISIT LEVEL 5,99215,CDM,0056-2780-01,NDC,,both,1,EA,903,903,192.234202,903,903,percent of total billed charges,664.3691797,,,,903,percent of total billed charges,704.2181943,,,,903,percent of total billed charges,664.3691797,,,,903,percent of total billed charges,704.2181943,,,,903,percent of total billed charges,999999999,,,,903,percent of total billed charges,688.0239372,,,,903,percent of total billed charges,664.3691797,,,,903,percent of total billed charges,704.2181943,,,,643.839,percent of total billed charges,321.2874433,,,,643.839,percent of total billed charges,192.234202,,,,643.839,percent of total billed charges,321.2874433,,,,643.839,percent of total billed charges,192.234202,,,,643.839,percent of total billed charges,321.2874433,,,,643.839,percent of total billed charges,192.234202,,,,637.518,percent of total billed charges,632.6809776,,,,637.518,percent of total billed charges,436.3550556,,,,,,,,,,650.16,percent of total billed charges,422.5887004,,,,,,,,,,650.16,percent of total billed charges,999999999,,,,,,,,,,722.4,percent of total billed charges,605.3336484,,,,713.37,percent of total billed charges,688.4327498,,,,713.37,percent of total billed charges,608.2531226,,,,722.4,percent of total billed charges,999999999,,,,722.4,percent of total billed charges,999999999,,,,632.1,percent of total billed charges,999999999,,,,632.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,480.396,percent of total billed charges,999999999,,,,,,,,,,,,,,,,456.015,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,225.75,percent of total billed charges,214.4072795,,,,,,,,,,225.75,percent of total billed charges,210.8407603,,,,,,,,,,225.75,percent of total billed charges,210.2548429,,,,,,,,,,225.75,percent of total billed charges,207.1588429,,,,,,,,,,225.75,percent of total billed charges,212.4893444,,,,,,,,,,225.75,percent of total billed charges,999999999,,,,,,,,,,225.75,percent of total billed charges,182.330821,,,,,,,,,,225.75,percent of total billed charges,287.5482783,,,,,,,,,,225.75,percent of total billed charges,999999999,,,,,,,,,,225.75,percent of total billed charges,196.5972173,,,,,,,,,,812.7,percent of total billed charges,,,,,
HOLTER MONITOR (NO DOCTOR),93225,CDM,0056-2780-01,NDC,,both,1,EA,833,833,177.3323259,833,833,percent of total billed charges,612.8676929,,,,833,percent of total billed charges,649.6276366,,,,833,percent of total billed charges,612.8676929,,,,833,percent of total billed charges,649.6276366,,,,833,percent of total billed charges,999999999,,,,833,percent of total billed charges,634.6887483,,,,833,percent of total billed charges,612.8676929,,,,833,percent of total billed charges,649.6276366,,,,593.929,percent of total billed charges,296.3814399,,,,593.929,percent of total billed charges,177.3323259,,,,593.929,percent of total billed charges,296.3814399,,,,593.929,percent of total billed charges,177.3323259,,,,593.929,percent of total billed charges,296.3814399,,,,593.929,percent of total billed charges,177.3323259,,,,588.098,percent of total billed charges,583.6359406,,,,588.098,percent of total billed charges,402.5290823,,,,,,,,,,599.76,percent of total billed charges,389.8298864,,,,,,,,,,599.76,percent of total billed charges,999999999,,,,,,,,,,666.4,percent of total billed charges,558.4085594,,,,658.07,percent of total billed charges,635.06587,,,,658.07,percent of total billed charges,561.1017178,,,,666.4,percent of total billed charges,999999999,,,,666.4,percent of total billed charges,999999999,,,,583.1,percent of total billed charges,999999999,,,,583.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,443.156,percent of total billed charges,999999999,,,,,,,,,,,,,,,,420.665,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,208.25,percent of total billed charges,197.7865602,,,,,,,,,,208.25,percent of total billed charges,194.4965153,,,,,,,,,,208.25,percent of total billed charges,193.9560179,,,,,,,,,,208.25,percent of total billed charges,191.1000178,,,,,,,,,,208.25,percent of total billed charges,196.0173022,,,,,,,,,,208.25,percent of total billed charges,999999999,,,,,,,,,,208.25,percent of total billed charges,168.1966489,,,,,,,,,,208.25,percent of total billed charges,265.2577141,,,,,,,,,,208.25,percent of total billed charges,999999999,,,,,,,,,,208.25,percent of total billed charges,181.3571229,,,,,,,,,,749.7,percent of total billed charges,,,,,
EVENT MONITOR (NO DOCTOR),93270,CDM,0056-2780-01,NDC,,both,1,EA,552,552,117.5119374,552,552,percent of total billed charges,406.1260102,,,,552,percent of total billed charges,430.4855407,,,,552,percent of total billed charges,406.1260102,,,,552,percent of total billed charges,430.4855407,,,,552,percent of total billed charges,999999999,,,,552,percent of total billed charges,420.5860613,,,,552,percent of total billed charges,406.1260102,,,,552,percent of total billed charges,430.4855407,,,,393.576,percent of total billed charges,196.4016265,,,,393.576,percent of total billed charges,117.5119374,,,,393.576,percent of total billed charges,196.4016265,,,,393.576,percent of total billed charges,117.5119374,,,,393.576,percent of total billed charges,196.4016265,,,,393.576,percent of total billed charges,117.5119374,,,,389.712,percent of total billed charges,386.7551491,,,,389.712,percent of total billed charges,266.7419609,,,,,,,,,,397.44,percent of total billed charges,258.3266474,,,,,,,,,,397.44,percent of total billed charges,999999999,,,,,,,,,,441.6,percent of total billed charges,370.0378449,,,,436.08,percent of total billed charges,420.8359667,,,,436.08,percent of total billed charges,371.8225069,,,,441.6,percent of total billed charges,999999999,,,,441.6,percent of total billed charges,999999999,,,,386.4,percent of total billed charges,999999999,,,,386.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,293.664,percent of total billed charges,999999999,,,,,,,,,,,,,,,,278.76,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,138,percent of total billed charges,131.066244,,,,,,,,,,138,percent of total billed charges,128.8860462,,,,,,,,,,138,percent of total billed charges,128.5278774,,,,,,,,,,138,percent of total billed charges,126.6353059,,,,,,,,,,138,percent of total billed charges,129.8938185,,,,,,,,,,138,percent of total billed charges,999999999,,,,,,,,,,138,percent of total billed charges,111.4580434,,,,,,,,,,138,percent of total billed charges,175.7770206,,,,,,,,,,138,percent of total billed charges,999999999,,,,,,,,,,138,percent of total billed charges,120.1790298,,,,,,,,,,496.8,percent of total billed charges,,,,,
ECHOCARDIOGRAM COMPLETE,93306,CDM,0056-2780-01,NDC,,both,1,EA,3680,3680,783.4129162,3680,3680,percent of total billed charges,2707.506735,,,,3680,percent of total billed charges,2869.903605,,,,3680,percent of total billed charges,2707.506735,,,,3680,percent of total billed charges,2869.903605,,,,3680,percent of total billed charges,999999999,,,,3680,percent of total billed charges,2803.907075,,,,3680,percent of total billed charges,2707.506735,,,,3680,percent of total billed charges,2869.903605,,,,2623.84,percent of total billed charges,1309.344176,,,,2623.84,percent of total billed charges,783.4129162,,,,2623.84,percent of total billed charges,1309.344176,,,,2623.84,percent of total billed charges,783.4129162,,,,2623.84,percent of total billed charges,1309.344176,,,,2623.84,percent of total billed charges,783.4129162,,,,2598.08,percent of total billed charges,2578.367661,,,,2598.08,percent of total billed charges,1778.279739,,,,,,,,,,2649.6,percent of total billed charges,1722.177649,,,,,,,,,,2649.6,percent of total billed charges,999999999,,,,,,,,,,2944,percent of total billed charges,2466.918966,,,,2907.2,percent of total billed charges,2805.573111,,,,2907.2,percent of total billed charges,2478.816712,,,,2944,percent of total billed charges,999999999,,,,2944,percent of total billed charges,999999999,,,,2576,percent of total billed charges,999999999,,,,2576,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1957.76,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1858.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,920,percent of total billed charges,873.7749598,,,,,,,,,,920,percent of total billed charges,859.2403079,,,,,,,,,,920,percent of total billed charges,856.8525158,,,,,,,,,,920,percent of total billed charges,844.235373,,,,,,,,,,920,percent of total billed charges,865.9587902,,,,,,,,,,920,percent of total billed charges,999999999,,,,,,,,,,920,percent of total billed charges,743.0536229,,,,,,,,,,920,percent of total billed charges,1171.846804,,,,,,,,,,920,percent of total billed charges,999999999,,,,,,,,,,920,percent of total billed charges,801.1935323,,,,,,,,,,3312,percent of total billed charges,,,,,
ECHOCARDIOGRAM LIMITED/FOLLOW UP,93308,CDM,0056-2780-01,NDC,,both,1,EA,1166,1166,248.2226794,1166,1166,percent of total billed charges,857.867623,,,,1166,percent of total billed charges,909.3227183,,,,1166,percent of total billed charges,857.867623,,,,1166,percent of total billed charges,909.3227183,,,,1166,percent of total billed charges,999999999,,,,1166,percent of total billed charges,888.4118613,,,,1166,percent of total billed charges,857.867623,,,,1166,percent of total billed charges,909.3227183,,,,831.358,percent of total billed charges,414.8628559,,,,831.358,percent of total billed charges,248.2226794,,,,831.358,percent of total billed charges,414.8628559,,,,831.358,percent of total billed charges,248.2226794,,,,831.358,percent of total billed charges,414.8628559,,,,831.358,percent of total billed charges,248.2226794,,,,823.196,percent of total billed charges,816.9501882,,,,823.196,percent of total billed charges,563.4440696,,,,,,,,,,839.52,percent of total billed charges,545.6682443,,,,,,,,,,839.52,percent of total billed charges,999999999,,,,,,,,,,932.8,percent of total billed charges,781.6379114,,,,921.14,percent of total billed charges,888.9397412,,,,921.14,percent of total billed charges,785.4076866,,,,932.8,percent of total billed charges,999999999,,,,932.8,percent of total billed charges,999999999,,,,816.2,percent of total billed charges,999999999,,,,816.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,620.312,percent of total billed charges,999999999,,,,,,,,,,,,,,,,588.83,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,291.5,percent of total billed charges,276.8536965,,,,,,,,,,291.5,percent of total billed charges,272.2484236,,,,,,,,,,291.5,percent of total billed charges,271.4918569,,,,,,,,,,291.5,percent of total billed charges,267.4941426,,,,,,,,,,291.5,percent of total billed charges,274.3771602,,,,,,,,,,291.5,percent of total billed charges,999999999,,,,,,,,,,291.5,percent of total billed charges,235.4349251,,,,,,,,,,291.5,percent of total billed charges,371.2971124,,,,,,,,,,291.5,percent of total billed charges,999999999,,,,,,,,,,291.5,percent of total billed charges,253.856429,,,,,,,,,,1049.4,percent of total billed charges,,,,,
COMPLETE ECHO  BUBBLE STUDY,93306,CDM,0056-2780-01,NDC,,both,1,EA,3795,3795,807.8945698,3795,3795,percent of total billed charges,2792.11632,,,,3795,percent of total billed charges,2959.588092,,,,3795,percent of total billed charges,2792.11632,,,,3795,percent of total billed charges,2959.588092,,,,3795,percent of total billed charges,999999999,,,,3795,percent of total billed charges,2891.529171,,,,3795,percent of total billed charges,2792.11632,,,,3795,percent of total billed charges,2959.588092,,,,2705.835,percent of total billed charges,1350.261182,,,,2705.835,percent of total billed charges,807.8945698,,,,2705.835,percent of total billed charges,1350.261182,,,,2705.835,percent of total billed charges,807.8945698,,,,2705.835,percent of total billed charges,1350.261182,,,,2705.835,percent of total billed charges,807.8945698,,,,2679.27,percent of total billed charges,2658.94165,,,,2679.27,percent of total billed charges,1833.850981,,,,,,,,,,2732.4,percent of total billed charges,1775.995701,,,,,,,,,,2732.4,percent of total billed charges,999999999,,,,,,,,,,3036,percent of total billed charges,2544.010183,,,,2998.05,percent of total billed charges,2893.247271,,,,2998.05,percent of total billed charges,2556.279735,,,,3036,percent of total billed charges,999999999,,,,3036,percent of total billed charges,999999999,,,,2656.5,percent of total billed charges,999999999,,,,2656.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2018.94,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1916.475,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,948.75,percent of total billed charges,901.0804273,,,,,,,,,,948.75,percent of total billed charges,886.0915675,,,,,,,,,,948.75,percent of total billed charges,883.629157,,,,,,,,,,948.75,percent of total billed charges,870.6177284,,,,,,,,,,948.75,percent of total billed charges,893.0200024,,,,,,,,,,948.75,percent of total billed charges,999999999,,,,,,,,,,948.75,percent of total billed charges,766.2740486,,,,,,,,,,948.75,percent of total billed charges,1208.467017,,,,,,,,,,948.75,percent of total billed charges,999999999,,,,,,,,,,948.75,percent of total billed charges,826.2308301,,,,,,,,,,3415.5,percent of total billed charges,,,,,
LIMITED ECHO  BUBBLE STUDY,93308,CDM,0056-2780-01,NDC,,both,1,EA,1291,1291,274.8331725,1291,1291,percent of total billed charges,949.8345637,,,,1291,percent of total billed charges,1006.805857,,,,1291,percent of total billed charges,949.8345637,,,,1291,percent of total billed charges,1006.805857,,,,1291,percent of total billed charges,999999999,,,,1291,percent of total billed charges,983.6532701,,,,1291,percent of total billed charges,949.8345637,,,,1291,percent of total billed charges,1006.805857,,,,920.483,percent of total billed charges,459.3378619,,,,920.483,percent of total billed charges,274.8331725,,,,920.483,percent of total billed charges,459.3378619,,,,920.483,percent of total billed charges,274.8331725,,,,920.483,percent of total billed charges,459.3378619,,,,920.483,percent of total billed charges,274.8331725,,,,911.446,percent of total billed charges,904.5306114,,,,911.446,percent of total billed charges,623.8475933,,,,,,,,,,929.52,percent of total billed charges,604.1661264,,,,,,,,,,929.52,percent of total billed charges,999999999,,,,,,,,,,1032.8,percent of total billed charges,865.4327132,,,,1019.89,percent of total billed charges,984.2377409,,,,1019.89,percent of total billed charges,869.6066238,,,,1032.8,percent of total billed charges,999999999,,,,1032.8,percent of total billed charges,999999999,,,,903.7,percent of total billed charges,999999999,,,,903.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,686.812,percent of total billed charges,999999999,,,,,,,,,,,,,,,,651.955,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,322.75,percent of total billed charges,306.5335525,,,,,,,,,,322.75,percent of total billed charges,301.4345754,,,,,,,,,,322.75,percent of total billed charges,300.5969016,,,,,,,,,,322.75,percent of total billed charges,296.1706159,,,,,,,,,,322.75,percent of total billed charges,303.7915212,,,,,,,,,,322.75,percent of total billed charges,999999999,,,,,,,,,,322.75,percent of total billed charges,260.6745182,,,,,,,,,,322.75,percent of total billed charges,411.1016913,,,,,,,,,,322.75,percent of total billed charges,999999999,,,,,,,,,,322.75,percent of total billed charges,281.0708832,,,,,,,,,,1161.9,percent of total billed charges,,,,,
STRESS ECHO,93350,CDM,0056-2780-01,NDC,,both,1,EA,3064,3064,652.2764063,3064,3064,percent of total billed charges,2254.293651,,,,3064,percent of total billed charges,2389.506697,,,,3064,percent of total billed charges,2254.293651,,,,3064,percent of total billed charges,2389.506697,,,,3064,percent of total billed charges,999999999,,,,3064,percent of total billed charges,2334.557413,,,,3064,percent of total billed charges,2254.293651,,,,3064,percent of total billed charges,2389.506697,,,,2184.632,percent of total billed charges,1090.171347,,,,2184.632,percent of total billed charges,652.2764063,,,,2184.632,percent of total billed charges,1090.171347,,,,2184.632,percent of total billed charges,652.2764063,,,,2184.632,percent of total billed charges,1090.171347,,,,2184.632,percent of total billed charges,652.2764063,,,,2163.184,percent of total billed charges,2146.771335,,,,2163.184,percent of total billed charges,1480.611174,,,,,,,,,,2206.08,percent of total billed charges,1433.900086,,,,,,,,,,2206.08,percent of total billed charges,999999999,,,,,,,,,,2451.2,percent of total billed charges,2053.978182,,,,2420.56,percent of total billed charges,2335.944569,,,,2420.56,percent of total billed charges,2063.88435,,,,2451.2,percent of total billed charges,999999999,,,,2451.2,percent of total billed charges,999999999,,,,2144.8,percent of total billed charges,999999999,,,,2144.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1630.048,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1547.32,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,766,percent of total billed charges,727.5126295,,,,,,,,,,766,percent of total billed charges,715.410952,,,,,,,,,,766,percent of total billed charges,713.4228556,,,,,,,,,,766,percent of total billed charges,702.9177127,,,,,,,,,,766,percent of total billed charges,721.0048188,,,,,,,,,,766,percent of total billed charges,999999999,,,,,,,,,,766,percent of total billed charges,618.6729077,,,,,,,,,,766,percent of total billed charges,975.689839,,,,,,,,,,766,percent of total billed charges,999999999,,,,,,,,,,766,percent of total billed charges,667.0807019,,,,,,,,,,2757.6,percent of total billed charges,,,,,
STRESS ECHO WITH CONTRAST,93350,CDM,0056-2780-01,NDC,,both,1,EA,3203,3203,681.8672746,3203,3203,percent of total billed charges,2356.560889,,,,3203,percent of total billed charges,2497.907947,,,,3203,percent of total billed charges,2356.560889,,,,3203,percent of total billed charges,2497.907947,,,,3203,percent of total billed charges,999999999,,,,3203,percent of total billed charges,2440.465859,,,,3203,percent of total billed charges,2356.560889,,,,3203,percent of total billed charges,2497.907947,,,,2283.739,percent of total billed charges,1139.627554,,,,2283.739,percent of total billed charges,681.8672746,,,,2283.739,percent of total billed charges,1139.627554,,,,2283.739,percent of total billed charges,681.8672746,,,,2283.739,percent of total billed charges,1139.627554,,,,2283.739,percent of total billed charges,681.8672746,,,,2261.318,percent of total billed charges,2244.160766,,,,2261.318,percent of total billed charges,1547.779893,,,,,,,,,,2306.16,percent of total billed charges,1498.949731,,,,,,,,,,2306.16,percent of total billed charges,999999999,,,,,,,,,,2562.4,percent of total billed charges,2147.158002,,,,2530.37,percent of total billed charges,2441.915944,,,,2530.37,percent of total billed charges,2157.513568,,,,2562.4,percent of total billed charges,999999999,,,,2562.4,percent of total billed charges,999999999,,,,2242.1,percent of total billed charges,999999999,,,,2242.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1703.996,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1617.515,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,800.75,percent of total billed charges,760.5166294,,,,,,,,,,800.75,percent of total billed charges,747.8659527,,,,,,,,,,800.75,percent of total billed charges,745.7876653,,,,,,,,,,800.75,percent of total billed charges,734.805951,,,,,,,,,,800.75,percent of total billed charges,753.7135883,,,,,,,,,,800.75,percent of total billed charges,999999999,,,,,,,,,,800.75,percent of total billed charges,646.7393353,,,,,,,,,,800.75,percent of total billed charges,1019.952531,,,,,,,,,,800.75,percent of total billed charges,999999999,,,,,,,,,,800.75,percent of total billed charges,697.343175,,,,,,,,,,2882.7,percent of total billed charges,,,,,
"INJECTION,SULFUR HEXAFLOURIDE PER ML",Q9950,CDM,0056-2780-01,NDC,,both,1,EA,150,150,31.93259169,150,150,percent of total billed charges,110.3603289,,,,150,percent of total billed charges,116.9797665,,,,150,percent of total billed charges,110.3603289,,,,150,percent of total billed charges,116.9797665,,,,150,percent of total billed charges,999999999,,,,150,percent of total billed charges,114.2896906,,,,150,percent of total billed charges,110.3603289,,,,150,percent of total billed charges,116.9797665,,,,106.95,percent of total billed charges,53.37000719,,,,106.95,percent of total billed charges,31.93259169,,,,106.95,percent of total billed charges,53.37000719,,,,106.95,percent of total billed charges,31.93259169,,,,106.95,percent of total billed charges,53.37000719,,,,106.95,percent of total billed charges,31.93259169,,,,105.9,percent of total billed charges,105.0965079,,,,105.9,percent of total billed charges,72.48422851,,,,,,,,,,108,percent of total billed charges,70.19745853,,,,,,,,,,108,percent of total billed charges,999999999,,,,,,,,,,120,percent of total billed charges,100.5537622,,,,118.5,percent of total billed charges,114.3575996,,,,118.5,percent of total billed charges,101.0387247,,,,120,percent of total billed charges,999999999,,,,120,percent of total billed charges,999999999,,,,105,percent of total billed charges,999999999,,,,105,percent of total billed charges,999999999,,,,,,,,,,,,,,,,79.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,75.75,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,37.5,percent of total billed charges,35.61582716,,,,,,,,,,37.5,percent of total billed charges,35.02338211,,,,,,,,,,37.5,percent of total billed charges,34.92605363,,,,,,,,,,37.5,percent of total billed charges,34.41176792,,,,,,,,,,37.5,percent of total billed charges,35.2972333,,,,,,,,,,37.5,percent of total billed charges,999999999,,,,,,,,,,37.5,percent of total billed charges,30.2875118,,,,,,,,,,37.5,percent of total billed charges,47.76549473,,,,,,,,,,37.5,percent of total billed charges,999999999,,,,,,,,,,37.5,percent of total billed charges,32.65734506,,,,,,,,,,135,percent of total billed charges,,,,,
STRESS TESTING (ECHO),93017,CDM,0056-2780-01,NDC,,both,1,EA,1646,1646,350.4069729,1646,1646,percent of total billed charges,1211.020675,,,,1646,percent of total billed charges,1283.657971,,,,1646,percent of total billed charges,1211.020675,,,,1646,percent of total billed charges,1283.657971,,,,1646,percent of total billed charges,999999999,,,,1646,percent of total billed charges,1254.138871,,,,1646,percent of total billed charges,1211.020675,,,,1646,percent of total billed charges,1283.657971,,,,1173.598,percent of total billed charges,585.6468789,,,,1173.598,percent of total billed charges,350.4069729,,,,1173.598,percent of total billed charges,585.6468789,,,,1173.598,percent of total billed charges,350.4069729,,,,1173.598,percent of total billed charges,585.6468789,,,,1173.598,percent of total billed charges,350.4069729,,,,1162.076,percent of total billed charges,1153.259013,,,,1162.076,percent of total billed charges,795.3936008,,,,,,,,,,1185.12,percent of total billed charges,770.3001116,,,,,,,,,,1185.12,percent of total billed charges,999999999,,,,,,,,,,1316.8,percent of total billed charges,1103.40995,,,,1300.34,percent of total billed charges,1254.88406,,,,1300.34,percent of total billed charges,1108.731606,,,,1316.8,percent of total billed charges,999999999,,,,1316.8,percent of total billed charges,999999999,,,,1152.2,percent of total billed charges,999999999,,,,1152.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,875.672,percent of total billed charges,999999999,,,,,,,,,,,,,,,,831.23,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,411.5,percent of total billed charges,390.8243434,,,,,,,,,,411.5,percent of total billed charges,384.3232464,,,,,,,,,,411.5,percent of total billed charges,383.2552285,,,,,,,,,,411.5,percent of total billed charges,377.6118,,,,,,,,,,411.5,percent of total billed charges,387.3283067,,,,,,,,,,411.5,percent of total billed charges,999999999,,,,,,,,,,411.5,percent of total billed charges,332.3549628,,,,,,,,,,411.5,percent of total billed charges,524.1466955,,,,,,,,,,411.5,percent of total billed charges,999999999,,,,,,,,,,411.5,percent of total billed charges,358.3599332,,,,,,,,,,1481.4,percent of total billed charges,,,,,
ECHO STRAIN,93356,CDM,0056-2780-01,NDC,,both,1,EA,892,892,189.8924786,892,892,percent of total billed charges,656.2760889,,,,892,percent of total billed charges,695.6396781,,,,892,percent of total billed charges,656.2760889,,,,892,percent of total billed charges,695.6396781,,,,892,percent of total billed charges,999999999,,,,892,percent of total billed charges,679.6426932,,,,892,percent of total billed charges,656.2760889,,,,892,percent of total billed charges,695.6396781,,,,635.996,percent of total billed charges,317.3736428,,,,635.996,percent of total billed charges,189.8924786,,,,635.996,percent of total billed charges,317.3736428,,,,635.996,percent of total billed charges,189.8924786,,,,635.996,percent of total billed charges,317.3736428,,,,635.996,percent of total billed charges,189.8924786,,,,629.752,percent of total billed charges,624.9739004,,,,629.752,percent of total billed charges,431.0395455,,,,,,,,,,642.24,percent of total billed charges,417.4408867,,,,,,,,,,642.24,percent of total billed charges,999999999,,,,,,,,,,713.6,percent of total billed charges,597.9597058,,,,704.68,percent of total billed charges,680.0465258,,,,704.68,percent of total billed charges,600.8436162,,,,713.6,percent of total billed charges,999999999,,,,713.6,percent of total billed charges,999999999,,,,624.4,percent of total billed charges,999999999,,,,624.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,474.544,percent of total billed charges,999999999,,,,,,,,,,,,,,,,450.46,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,223,percent of total billed charges,211.7954522,,,,,,,,,,223,percent of total billed charges,208.272379,,,,,,,,,,223,percent of total billed charges,207.6935989,,,,,,,,,,223,percent of total billed charges,204.6353132,,,,,,,,,,223,percent of total billed charges,209.9008807,,,,,,,,,,223,percent of total billed charges,999999999,,,,,,,,,,223,percent of total billed charges,180.1097368,,,,,,,,,,223,percent of total billed charges,284.0454753,,,,,,,,,,223,percent of total billed charges,999999999,,,,,,,,,,223,percent of total billed charges,194.2023453,,,,,,,,,,802.8,percent of total billed charges,,,,,
DOPPLER COLOR FLOW ADD ON,93325,CDM,0056-2780-01,NDC,,both,1,EA,1053,1053,224.1667937,1053,1053,percent of total billed charges,774.7295086,,,,1053,percent of total billed charges,821.1979608,,,,1053,percent of total billed charges,774.7295086,,,,1053,percent of total billed charges,821.1979608,,,,1053,percent of total billed charges,999999999,,,,1053,percent of total billed charges,802.3136278,,,,1053,percent of total billed charges,774.7295086,,,,1053,percent of total billed charges,821.1979608,,,,750.789,percent of total billed charges,374.6574505,,,,750.789,percent of total billed charges,224.1667937,,,,750.789,percent of total billed charges,374.6574505,,,,750.789,percent of total billed charges,224.1667937,,,,750.789,percent of total billed charges,374.6574505,,,,750.789,percent of total billed charges,224.1667937,,,,743.418,percent of total billed charges,737.7774855,,,,743.418,percent of total billed charges,508.8392841,,,,,,,,,,758.16,percent of total billed charges,492.7861589,,,,,,,,,,758.16,percent of total billed charges,999999999,,,,,,,,,,842.4,percent of total billed charges,705.8874106,,,,831.87,percent of total billed charges,802.7903495,,,,831.87,percent of total billed charges,709.2918473,,,,842.4,percent of total billed charges,999999999,,,,842.4,percent of total billed charges,999999999,,,,737.1,percent of total billed charges,999999999,,,,737.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,560.196,percent of total billed charges,999999999,,,,,,,,,,,,,,,,531.765,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,263.25,percent of total billed charges,250.0231067,,,,,,,,,,263.25,percent of total billed charges,245.8641424,,,,,,,,,,263.25,percent of total billed charges,245.1808965,,,,,,,,,,263.25,percent of total billed charges,241.5706108,,,,,,,,,,263.25,percent of total billed charges,247.7865777,,,,,,,,,,263.25,percent of total billed charges,999999999,,,,,,,,,,263.25,percent of total billed charges,212.6183328,,,,,,,,,,263.25,percent of total billed charges,335.313773,,,,,,,,,,263.25,percent of total billed charges,999999999,,,,,,,,,,263.25,percent of total billed charges,229.2545624,,,,,,,,,,947.7,percent of total billed charges,,,,,
DOPPLER ECHO COMPLETE,93320,CDM,0056-2780-01,NDC,,both,1,EA,1178,1178,250.7772868,1178,1178,percent of total billed charges,866.6964493,,,,1178,percent of total billed charges,918.6810996,,,,1178,percent of total billed charges,866.6964493,,,,1178,percent of total billed charges,918.6810996,,,,1178,percent of total billed charges,999999999,,,,1178,percent of total billed charges,897.5550366,,,,1178,percent of total billed charges,866.6964493,,,,1178,percent of total billed charges,918.6810996,,,,839.914,percent of total billed charges,419.1324565,,,,839.914,percent of total billed charges,250.7772868,,,,839.914,percent of total billed charges,419.1324565,,,,839.914,percent of total billed charges,250.7772868,,,,839.914,percent of total billed charges,419.1324565,,,,839.914,percent of total billed charges,250.7772868,,,,831.668,percent of total billed charges,825.3579088,,,,831.668,percent of total billed charges,569.2428079,,,,,,,,,,848.16,percent of total billed charges,551.284041,,,,,,,,,,848.16,percent of total billed charges,999999999,,,,,,,,,,942.4,percent of total billed charges,789.6822124,,,,930.62,percent of total billed charges,898.0883492,,,,930.62,percent of total billed charges,793.4907846,,,,942.4,percent of total billed charges,999999999,,,,942.4,percent of total billed charges,999999999,,,,824.6,percent of total billed charges,999999999,,,,824.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,626.696,percent of total billed charges,999999999,,,,,,,,,,,,,,,,594.89,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,294.5,percent of total billed charges,279.7029627,,,,,,,,,,294.5,percent of total billed charges,275.0502942,,,,,,,,,,294.5,percent of total billed charges,274.2859412,,,,,,,,,,294.5,percent of total billed charges,270.2470841,,,,,,,,,,294.5,percent of total billed charges,277.2009388,,,,,,,,,,294.5,percent of total billed charges,999999999,,,,,,,,,,294.5,percent of total billed charges,237.857926,,,,,,,,,,294.5,percent of total billed charges,375.1183519,,,,,,,,,,294.5,percent of total billed charges,999999999,,,,,,,,,,294.5,percent of total billed charges,256.4690166,,,,,,,,,,1060.2,percent of total billed charges,,,,,
HOLTER MONITOR 8-15 DAYS,93246,CDM,0056-2780-01,NDC,,both,1,EA,830,830,176.693674,830,830,percent of total billed charges,610.6604863,,,,830,percent of total billed charges,647.2880413,,,,830,percent of total billed charges,610.6604863,,,,830,percent of total billed charges,647.2880413,,,,830,percent of total billed charges,999999999,,,,830,percent of total billed charges,632.4029545,,,,830,percent of total billed charges,610.6604863,,,,830,percent of total billed charges,647.2880413,,,,591.79,percent of total billed charges,295.3140398,,,,591.79,percent of total billed charges,176.693674,,,,591.79,percent of total billed charges,295.3140398,,,,591.79,percent of total billed charges,176.693674,,,,591.79,percent of total billed charges,295.3140398,,,,591.79,percent of total billed charges,176.693674,,,,585.98,percent of total billed charges,581.5340104,,,,585.98,percent of total billed charges,401.0793977,,,,,,,,,,597.6,percent of total billed charges,388.4259372,,,,,,,,,,597.6,percent of total billed charges,999999999,,,,,,,,,,664,percent of total billed charges,556.3974841,,,,655.7,percent of total billed charges,632.778718,,,,655.7,percent of total billed charges,559.0809433,,,,664,percent of total billed charges,999999999,,,,664,percent of total billed charges,999999999,,,,581,percent of total billed charges,999999999,,,,581,percent of total billed charges,999999999,,,,,,,,,,,,,,,,441.56,percent of total billed charges,999999999,,,,,,,,,,,,,,,,419.15,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,207.5,percent of total billed charges,197.0742436,,,,,,,,,,207.5,percent of total billed charges,193.7960477,,,,,,,,,,207.5,percent of total billed charges,193.2574968,,,,,,,,,,207.5,percent of total billed charges,190.4117825,,,,,,,,,,207.5,percent of total billed charges,195.3113576,,,,,,,,,,207.5,percent of total billed charges,999999999,,,,,,,,,,207.5,percent of total billed charges,167.5908986,,,,,,,,,,207.5,percent of total billed charges,264.3024042,,,,,,,,,,207.5,percent of total billed charges,999999999,,,,,,,,,,207.5,percent of total billed charges,180.703976,,,,,,,,,,747,percent of total billed charges,,,,,
**US ECHOCARDIOGRAM,93306,CDM,0056-2780-01,NDC,,both,1,EA,3277,3277,697.6206865,3277,3277,percent of total billed charges,2411.005318,,,,3277,percent of total billed charges,2555.617965,,,,3277,percent of total billed charges,2411.005318,,,,3277,percent of total billed charges,2555.617965,,,,3277,percent of total billed charges,999999999,,,,3277,percent of total billed charges,2496.848773,,,,3277,percent of total billed charges,2411.005318,,,,3277,percent of total billed charges,2555.617965,,,,2336.501,percent of total billed charges,1165.956757,,,,2336.501,percent of total billed charges,697.6206865,,,,2336.501,percent of total billed charges,1165.956757,,,,2336.501,percent of total billed charges,697.6206865,,,,2336.501,percent of total billed charges,1165.956757,,,,2336.501,percent of total billed charges,697.6206865,,,,2313.562,percent of total billed charges,2296.008376,,,,2313.562,percent of total billed charges,1583.538779,,,,,,,,,,2359.44,percent of total billed charges,1533.580477,,,,,,,,,,2359.44,percent of total billed charges,999999999,,,,,,,,,,2621.6,percent of total billed charges,2196.764525,,,,2588.83,percent of total billed charges,2498.33236,,,,2588.83,percent of total billed charges,2207.359339,,,,2621.6,percent of total billed charges,999999999,,,,2621.6,percent of total billed charges,999999999,,,,2293.9,percent of total billed charges,999999999,,,,2293.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1743.364,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1654.885,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,819.25,percent of total billed charges,778.0871041,,,,,,,,,,819.25,percent of total billed charges,765.1441546,,,,,,,,,,819.25,percent of total billed charges,763.0178517,,,,,,,,,,819.25,percent of total billed charges,751.7824232,,,,,,,,,,819.25,percent of total billed charges,771.1268901,,,,,,,,,,819.25,percent of total billed charges,999999999,,,,,,,,,,819.25,percent of total billed charges,661.6811745,,,,,,,,,,819.25,percent of total billed charges,1043.516841,,,,,,,,,,819.25,percent of total billed charges,999999999,,,,,,,,,,819.25,percent of total billed charges,713.4541319,,,,,,,,,,2949.3,percent of total billed charges,,,,,
**US ECHOCARDIOGRAM,93306,CDM,0056-2780-01,NDC,,both,1,EA,975,975,207.561846,975,975,percent of total billed charges,717.3421376,,,,975,percent of total billed charges,760.3684823,,,,975,percent of total billed charges,717.3421376,,,,975,percent of total billed charges,760.3684823,,,,975,percent of total billed charges,999999999,,,,975,percent of total billed charges,742.8829887,,,,975,percent of total billed charges,717.3421376,,,,975,percent of total billed charges,760.3684823,,,,695.175,percent of total billed charges,346.9050467,,,,695.175,percent of total billed charges,207.561846,,,,695.175,percent of total billed charges,346.9050467,,,,695.175,percent of total billed charges,207.561846,,,,695.175,percent of total billed charges,346.9050467,,,,695.175,percent of total billed charges,207.561846,,,,688.35,percent of total billed charges,683.1273014,,,,688.35,percent of total billed charges,471.1474853,,,,,,,,,,702,percent of total billed charges,456.2834805,,,,,,,,,,702,percent of total billed charges,999999999,,,,,,,,,,780,percent of total billed charges,653.5994542,,,,770.25,percent of total billed charges,743.3243976,,,,770.25,percent of total billed charges,656.7517105,,,,780,percent of total billed charges,999999999,,,,780,percent of total billed charges,999999999,,,,682.5,percent of total billed charges,999999999,,,,682.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,518.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,492.375,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,243.75,percent of total billed charges,231.5028766,,,,,,,,,,243.75,percent of total billed charges,227.6519837,,,,,,,,,,243.75,percent of total billed charges,227.0193486,,,,,,,,,,243.75,percent of total billed charges,223.6764915,,,,,,,,,,243.75,percent of total billed charges,229.4320164,,,,,,,,,,243.75,percent of total billed charges,999999999,,,,,,,,,,243.75,percent of total billed charges,196.8688267,,,,,,,,,,243.75,percent of total billed charges,310.4757157,,,,,,,,,,243.75,percent of total billed charges,999999999,,,,,,,,,,243.75,percent of total billed charges,212.2727429,,,,,,,,,,877.5,percent of total billed charges,,,,,
**US DR. MARTIN ECHOCARDIOGRAM W/PROFEE,93306,CDM,0056-2780-01,NDC,,both,1,EA,1614,1614,343.5946866,1614,1614,percent of total billed charges,1187.477139,,,,1614,percent of total billed charges,1258.702288,,,,1614,percent of total billed charges,1187.477139,,,,1614,percent of total billed charges,1258.702288,,,,1614,percent of total billed charges,999999999,,,,1614,percent of total billed charges,1229.75707,,,,1614,percent of total billed charges,1187.477139,,,,1614,percent of total billed charges,1258.702288,,,,1150.782,percent of total billed charges,574.2612774,,,,1150.782,percent of total billed charges,343.5946866,,,,1150.782,percent of total billed charges,574.2612774,,,,1150.782,percent of total billed charges,343.5946866,,,,1150.782,percent of total billed charges,574.2612774,,,,1150.782,percent of total billed charges,343.5946866,,,,1139.484,percent of total billed charges,1130.838425,,,,1139.484,percent of total billed charges,779.9302987,,,,,,,,,,1162.08,percent of total billed charges,755.3246538,,,,,,,,,,1162.08,percent of total billed charges,999999999,,,,,,,,,,1291.2,percent of total billed charges,1081.958481,,,,1275.06,percent of total billed charges,1230.487772,,,,1275.06,percent of total billed charges,1087.176678,,,,1291.2,percent of total billed charges,999999999,,,,1291.2,percent of total billed charges,999999999,,,,1129.8,percent of total billed charges,999999999,,,,1129.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,858.648,percent of total billed charges,999999999,,,,,,,,,,,,,,,,815.07,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,403.5,percent of total billed charges,383.2263003,,,,,,,,,,403.5,percent of total billed charges,376.8515915,,,,,,,,,,403.5,percent of total billed charges,375.8043371,,,,,,,,,,403.5,percent of total billed charges,370.2706228,,,,,,,,,,403.5,percent of total billed charges,379.7982303,,,,,,,,,,403.5,percent of total billed charges,999999999,,,,,,,,,,403.5,percent of total billed charges,325.893627,,,,,,,,,,403.5,percent of total billed charges,513.9567233,,,,,,,,,,403.5,percent of total billed charges,999999999,,,,,,,,,,403.5,percent of total billed charges,351.3930329,,,,,,,,,,1452.6,percent of total billed charges,,,,,
**US DR. GILL ECHOCARDIOGRAM W/PROFEE,93306,CDM,0056-2780-01,NDC,,both,1,EA,1614,1614,343.5946866,1614,1614,percent of total billed charges,1187.477139,,,,1614,percent of total billed charges,1258.702288,,,,1614,percent of total billed charges,1187.477139,,,,1614,percent of total billed charges,1258.702288,,,,1614,percent of total billed charges,999999999,,,,1614,percent of total billed charges,1229.75707,,,,1614,percent of total billed charges,1187.477139,,,,1614,percent of total billed charges,1258.702288,,,,1150.782,percent of total billed charges,574.2612774,,,,1150.782,percent of total billed charges,343.5946866,,,,1150.782,percent of total billed charges,574.2612774,,,,1150.782,percent of total billed charges,343.5946866,,,,1150.782,percent of total billed charges,574.2612774,,,,1150.782,percent of total billed charges,343.5946866,,,,1139.484,percent of total billed charges,1130.838425,,,,1139.484,percent of total billed charges,779.9302987,,,,,,,,,,1162.08,percent of total billed charges,755.3246538,,,,,,,,,,1162.08,percent of total billed charges,999999999,,,,,,,,,,1291.2,percent of total billed charges,1081.958481,,,,1275.06,percent of total billed charges,1230.487772,,,,1275.06,percent of total billed charges,1087.176678,,,,1291.2,percent of total billed charges,999999999,,,,1291.2,percent of total billed charges,999999999,,,,1129.8,percent of total billed charges,999999999,,,,1129.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,858.648,percent of total billed charges,999999999,,,,,,,,,,,,,,,,815.07,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,403.5,percent of total billed charges,383.2263003,,,,,,,,,,403.5,percent of total billed charges,376.8515915,,,,,,,,,,403.5,percent of total billed charges,375.8043371,,,,,,,,,,403.5,percent of total billed charges,370.2706228,,,,,,,,,,403.5,percent of total billed charges,379.7982303,,,,,,,,,,403.5,percent of total billed charges,999999999,,,,,,,,,,403.5,percent of total billed charges,325.893627,,,,,,,,,,403.5,percent of total billed charges,513.9567233,,,,,,,,,,403.5,percent of total billed charges,999999999,,,,,,,,,,403.5,percent of total billed charges,351.3930329,,,,,,,,,,1452.6,percent of total billed charges,,,,,
**US CARDIAC DOPPLER DR.GILL W/PROFEE,93320,CDM,0056-2780-01,NDC,,both,1,EA,1365,1365,290.5865844,1365,1365,percent of total billed charges,1004.278993,,,,1365,percent of total billed charges,1064.515875,,,,1365,percent of total billed charges,1004.278993,,,,1365,percent of total billed charges,1064.515875,,,,1365,percent of total billed charges,999999999,,,,1365,percent of total billed charges,1040.036184,,,,1365,percent of total billed charges,1004.278993,,,,1365,percent of total billed charges,1064.515875,,,,973.245,percent of total billed charges,485.6670654,,,,973.245,percent of total billed charges,290.5865844,,,,973.245,percent of total billed charges,485.6670654,,,,973.245,percent of total billed charges,290.5865844,,,,973.245,percent of total billed charges,485.6670654,,,,973.245,percent of total billed charges,290.5865844,,,,963.69,percent of total billed charges,956.378222,,,,963.69,percent of total billed charges,659.6064794,,,,,,,,,,982.8,percent of total billed charges,638.7968726,,,,,,,,,,982.8,percent of total billed charges,999999999,,,,,,,,,,1092,percent of total billed charges,915.0392359,,,,1078.35,percent of total billed charges,1040.654157,,,,1078.35,percent of total billed charges,919.4523947,,,,1092,percent of total billed charges,999999999,,,,1092,percent of total billed charges,999999999,,,,955.5,percent of total billed charges,999999999,,,,955.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,726.18,percent of total billed charges,999999999,,,,,,,,,,,,,,,,689.325,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,341.25,percent of total billed charges,324.1040272,,,,,,,,,,341.25,percent of total billed charges,318.7127772,,,,,,,,,,341.25,percent of total billed charges,317.8270881,,,,,,,,,,341.25,percent of total billed charges,313.1470881,,,,,,,,,,341.25,percent of total billed charges,321.204823,,,,,,,,,,341.25,percent of total billed charges,999999999,,,,,,,,,,341.25,percent of total billed charges,275.6163574,,,,,,,,,,341.25,percent of total billed charges,434.666002,,,,,,,,,,341.25,percent of total billed charges,999999999,,,,,,,,,,341.25,percent of total billed charges,297.1818401,,,,,,,,,,1228.5,percent of total billed charges,,,,,
**US COLOR DOPPLR MAPPING DR GILL W/PRO,93325,CDM,0056-2780-01,NDC,,both,1,EA,1219,1219,259.5055285,1219,1219,percent of total billed charges,896.8616059,,,,1219,percent of total billed charges,950.6555691,,,,1219,percent of total billed charges,896.8616059,,,,1219,percent of total billed charges,950.6555691,,,,1219,percent of total billed charges,999999999,,,,1219,percent of total billed charges,928.7942186,,,,1219,percent of total billed charges,896.8616059,,,,1219,percent of total billed charges,950.6555691,,,,869.147,percent of total billed charges,433.7202584,,,,869.147,percent of total billed charges,259.5055285,,,,869.147,percent of total billed charges,433.7202584,,,,869.147,percent of total billed charges,259.5055285,,,,869.147,percent of total billed charges,433.7202584,,,,869.147,percent of total billed charges,259.5055285,,,,860.614,percent of total billed charges,854.0842876,,,,860.614,percent of total billed charges,589.0551637,,,,,,,,,,877.68,percent of total billed charges,570.4713463,,,,,,,,,,877.68,percent of total billed charges,999999999,,,,,,,,,,975.2,percent of total billed charges,817.1669074,,,,963.01,percent of total billed charges,929.3460931,,,,963.01,percent of total billed charges,821.108036,,,,975.2,percent of total billed charges,999999999,,,,975.2,percent of total billed charges,999999999,,,,853.3,percent of total billed charges,999999999,,,,853.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,648.508,percent of total billed charges,999999999,,,,,,,,,,,,,,,,615.595,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,304.75,percent of total billed charges,289.4379554,,,,,,,,,,304.75,percent of total billed charges,284.623352,,,,,,,,,,304.75,percent of total billed charges,283.8323959,,,,,,,,,,304.75,percent of total billed charges,279.6529673,,,,,,,,,,304.75,percent of total billed charges,286.8488493,,,,,,,,,,304.75,percent of total billed charges,999999999,,,,,,,,,,304.75,percent of total billed charges,246.1365126,,,,,,,,,,304.75,percent of total billed charges,388.1742538,,,,,,,,,,304.75,percent of total billed charges,999999999,,,,,,,,,,304.75,percent of total billed charges,265.3953576,,,,,,,,,,1097.1,percent of total billed charges,,,,,
**US CARDIAC DOPPLER,93320,CDM,0056-2780-01,NDC,,both,1,EA,1178,1178,250.7772868,1178,1178,percent of total billed charges,866.6964493,,,,1178,percent of total billed charges,918.6810996,,,,1178,percent of total billed charges,866.6964493,,,,1178,percent of total billed charges,918.6810996,,,,1178,percent of total billed charges,999999999,,,,1178,percent of total billed charges,897.5550366,,,,1178,percent of total billed charges,866.6964493,,,,1178,percent of total billed charges,918.6810996,,,,839.914,percent of total billed charges,419.1324565,,,,839.914,percent of total billed charges,250.7772868,,,,839.914,percent of total billed charges,419.1324565,,,,839.914,percent of total billed charges,250.7772868,,,,839.914,percent of total billed charges,419.1324565,,,,839.914,percent of total billed charges,250.7772868,,,,831.668,percent of total billed charges,825.3579088,,,,831.668,percent of total billed charges,569.2428079,,,,,,,,,,848.16,percent of total billed charges,551.284041,,,,,,,,,,848.16,percent of total billed charges,999999999,,,,,,,,,,942.4,percent of total billed charges,789.6822124,,,,930.62,percent of total billed charges,898.0883492,,,,930.62,percent of total billed charges,793.4907846,,,,942.4,percent of total billed charges,999999999,,,,942.4,percent of total billed charges,999999999,,,,824.6,percent of total billed charges,999999999,,,,824.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,626.696,percent of total billed charges,999999999,,,,,,,,,,,,,,,,594.89,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,294.5,percent of total billed charges,279.7029627,,,,,,,,,,294.5,percent of total billed charges,275.0502942,,,,,,,,,,294.5,percent of total billed charges,274.2859412,,,,,,,,,,294.5,percent of total billed charges,270.2470841,,,,,,,,,,294.5,percent of total billed charges,277.2009388,,,,,,,,,,294.5,percent of total billed charges,999999999,,,,,,,,,,294.5,percent of total billed charges,237.857926,,,,,,,,,,294.5,percent of total billed charges,375.1183519,,,,,,,,,,294.5,percent of total billed charges,999999999,,,,,,,,,,294.5,percent of total billed charges,256.4690166,,,,,,,,,,1060.2,percent of total billed charges,,,,,
**US ECHO PROFEE MARTIN,93306,CDM,0056-2780-01,NDC,26,both,1,EA,948,948,201.8139795,948,948,percent of total billed charges,697.4772784,,,,948,percent of total billed charges,739.3121243,,,,948,percent of total billed charges,697.4772784,,,,948,percent of total billed charges,739.3121243,,,,948,percent of total billed charges,999999999,,,,948,percent of total billed charges,722.3108444,,,,948,percent of total billed charges,697.4772784,,,,948,percent of total billed charges,739.3121243,,,,675.924,percent of total billed charges,337.2984454,,,,675.924,percent of total billed charges,201.8139795,,,,675.924,percent of total billed charges,337.2984454,,,,675.924,percent of total billed charges,201.8139795,,,,675.924,percent of total billed charges,337.2984454,,,,675.924,percent of total billed charges,201.8139795,,,,669.288,percent of total billed charges,664.20993,,,,669.288,percent of total billed charges,458.1003242,,,,,,,,,,682.56,percent of total billed charges,443.6479379,,,,,,,,,,682.56,percent of total billed charges,999999999,,,,,,,,,,758.4,percent of total billed charges,635.499777,,,,748.92,percent of total billed charges,722.7400297,,,,748.92,percent of total billed charges,638.56474,,,,758.4,percent of total billed charges,999999999,,,,758.4,percent of total billed charges,999999999,,,,663.6,percent of total billed charges,999999999,,,,663.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,504.336,percent of total billed charges,999999999,,,,,,,,,,,,,,,,478.74,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,237,percent of total billed charges,225.0920277,,,,,,,,,,237,percent of total billed charges,221.347775,,,,,,,,,,237,percent of total billed charges,220.732659,,,,,,,,,,237,percent of total billed charges,217.4823733,,,,,,,,,,237,percent of total billed charges,223.0785144,,,,,,,,,,237,percent of total billed charges,999999999,,,,,,,,,,237,percent of total billed charges,191.4170746,,,,,,,,,,237,percent of total billed charges,301.8779267,,,,,,,,,,237,percent of total billed charges,999999999,,,,,,,,,,237,percent of total billed charges,206.3944208,,,,,,,,,,853.2,percent of total billed charges,,,,,
**US CARDIAC DOPPLER DR.MARTIN W/PROFEE,93320,CDM,0056-2780-01,NDC,,both,1,EA,1365,1365,290.5865844,1365,1365,percent of total billed charges,1004.278993,,,,1365,percent of total billed charges,1064.515875,,,,1365,percent of total billed charges,1004.278993,,,,1365,percent of total billed charges,1064.515875,,,,1365,percent of total billed charges,999999999,,,,1365,percent of total billed charges,1040.036184,,,,1365,percent of total billed charges,1004.278993,,,,1365,percent of total billed charges,1064.515875,,,,973.245,percent of total billed charges,485.6670654,,,,973.245,percent of total billed charges,290.5865844,,,,973.245,percent of total billed charges,485.6670654,,,,973.245,percent of total billed charges,290.5865844,,,,973.245,percent of total billed charges,485.6670654,,,,973.245,percent of total billed charges,290.5865844,,,,963.69,percent of total billed charges,956.378222,,,,963.69,percent of total billed charges,659.6064794,,,,,,,,,,982.8,percent of total billed charges,638.7968726,,,,,,,,,,982.8,percent of total billed charges,999999999,,,,,,,,,,1092,percent of total billed charges,915.0392359,,,,1078.35,percent of total billed charges,1040.654157,,,,1078.35,percent of total billed charges,919.4523947,,,,1092,percent of total billed charges,999999999,,,,1092,percent of total billed charges,999999999,,,,955.5,percent of total billed charges,999999999,,,,955.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,726.18,percent of total billed charges,999999999,,,,,,,,,,,,,,,,689.325,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,341.25,percent of total billed charges,324.1040272,,,,,,,,,,341.25,percent of total billed charges,318.7127772,,,,,,,,,,341.25,percent of total billed charges,317.8270881,,,,,,,,,,341.25,percent of total billed charges,313.1470881,,,,,,,,,,341.25,percent of total billed charges,321.204823,,,,,,,,,,341.25,percent of total billed charges,999999999,,,,,,,,,,341.25,percent of total billed charges,275.6163574,,,,,,,,,,341.25,percent of total billed charges,434.666002,,,,,,,,,,341.25,percent of total billed charges,999999999,,,,,,,,,,341.25,percent of total billed charges,297.1818401,,,,,,,,,,1228.5,percent of total billed charges,,,,,
US CAROTID DOP BILATERAL,93880,CDM,0056-2780-01,NDC,,both,1,EA,1818,1818,387.0230113,1818,1818,percent of total billed charges,1337.567186,,,,1818,percent of total billed charges,1417.79477,,,,1818,percent of total billed charges,1337.567186,,,,1818,percent of total billed charges,1417.79477,,,,1818,percent of total billed charges,999999999,,,,1818,percent of total billed charges,1385.19105,,,,1818,percent of total billed charges,1337.567186,,,,1818,percent of total billed charges,1417.79477,,,,1296.234,percent of total billed charges,646.8444871,,,,1296.234,percent of total billed charges,387.0230113,,,,1296.234,percent of total billed charges,646.8444871,,,,1296.234,percent of total billed charges,387.0230113,,,,1296.234,percent of total billed charges,646.8444871,,,,1296.234,percent of total billed charges,387.0230113,,,,1283.508,percent of total billed charges,1273.769676,,,,1283.508,percent of total billed charges,878.5088495,,,,,,,,,,1308.96,percent of total billed charges,850.7931974,,,,,,,,,,1308.96,percent of total billed charges,999999999,,,,,,,,,,1454.4,percent of total billed charges,1218.711598,,,,1436.22,percent of total billed charges,1386.014108,,,,1436.22,percent of total billed charges,1224.589343,,,,1454.4,percent of total billed charges,999999999,,,,1454.4,percent of total billed charges,999999999,,,,1272.6,percent of total billed charges,999999999,,,,1272.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,967.176,percent of total billed charges,999999999,,,,,,,,,,,,,,,,918.09,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,454.5,percent of total billed charges,431.6638252,,,,,,,,,,454.5,percent of total billed charges,424.4833912,,,,,,,,,,454.5,percent of total billed charges,423.3037701,,,,,,,,,,454.5,percent of total billed charges,417.0706272,,,,,,,,,,454.5,percent of total billed charges,427.8024676,,,,,,,,,,454.5,percent of total billed charges,999999999,,,,,,,,,,454.5,percent of total billed charges,367.084643,,,,,,,,,,454.5,percent of total billed charges,578.9177961,,,,,,,,,,454.5,percent of total billed charges,999999999,,,,,,,,,,454.5,percent of total billed charges,395.8070222,,,,,,,,,,1636.2,percent of total billed charges,,,,,
**ECHOCARDIOGRAM 2003-04,93307,CDM,0056-2780-01,NDC,,both,1,EA,1338,1338,284.8387179,1338,1338,percent of total billed charges,984.4141334,,,,1338,percent of total billed charges,1043.459517,,,,1338,percent of total billed charges,984.4141334,,,,1338,percent of total billed charges,1043.459517,,,,1338,percent of total billed charges,999999999,,,,1338,percent of total billed charges,1019.46404,,,,1338,percent of total billed charges,984.4141334,,,,1338,percent of total billed charges,1043.459517,,,,953.994,percent of total billed charges,476.0604641,,,,953.994,percent of total billed charges,284.8387179,,,,953.994,percent of total billed charges,476.0604641,,,,953.994,percent of total billed charges,284.8387179,,,,953.994,percent of total billed charges,476.0604641,,,,953.994,percent of total billed charges,284.8387179,,,,944.628,percent of total billed charges,937.4608506,,,,944.628,percent of total billed charges,646.5593183,,,,,,,,,,963.36,percent of total billed charges,626.1613301,,,,,,,,,,963.36,percent of total billed charges,999999999,,,,,,,,,,1070.4,percent of total billed charges,896.9395587,,,,1057.02,percent of total billed charges,1020.069789,,,,1057.02,percent of total billed charges,901.2654242,,,,1070.4,percent of total billed charges,999999999,,,,1070.4,percent of total billed charges,999999999,,,,936.6,percent of total billed charges,999999999,,,,936.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,711.816,percent of total billed charges,999999999,,,,,,,,,,,,,,,,675.69,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,334.5,percent of total billed charges,317.6931783,,,,,,,,,,334.5,percent of total billed charges,312.4085685,,,,,,,,,,334.5,percent of total billed charges,311.5403984,,,,,,,,,,334.5,percent of total billed charges,306.9529698,,,,,,,,,,334.5,percent of total billed charges,314.851321,,,,,,,,,,334.5,percent of total billed charges,999999999,,,,,,,,,,334.5,percent of total billed charges,270.1646053,,,,,,,,,,334.5,percent of total billed charges,426.068213,,,,,,,,,,334.5,percent of total billed charges,999999999,,,,,,,,,,334.5,percent of total billed charges,291.303518,,,,,,,,,,1204.2,percent of total billed charges,,,,,
**ECHO PROFEE 2003-04,93307,CDM,0056-2780-01,NDC,26,both,1,EA,493,493,104.9517847,493,493,percent of total billed charges,362.7176142,,,,493,percent of total billed charges,384.4734992,,,,493,percent of total billed charges,362.7176142,,,,493,percent of total billed charges,384.4734992,,,,493,percent of total billed charges,999999999,,,,493,percent of total billed charges,375.6321163,,,,493,percent of total billed charges,362.7176142,,,,493,percent of total billed charges,384.4734992,,,,351.509,percent of total billed charges,175.4094236,,,,351.509,percent of total billed charges,104.9517847,,,,351.509,percent of total billed charges,175.4094236,,,,351.509,percent of total billed charges,104.9517847,,,,351.509,percent of total billed charges,175.4094236,,,,351.509,percent of total billed charges,104.9517847,,,,348.058,percent of total billed charges,345.4171893,,,,348.058,percent of total billed charges,238.2314977,,,,,,,,,,354.96,percent of total billed charges,230.715647,,,,,,,,,,354.96,percent of total billed charges,999999999,,,,,,,,,,394.4,percent of total billed charges,330.4866984,,,,389.47,percent of total billed charges,375.8553108,,,,389.47,percent of total billed charges,332.0806085,,,,394.4,percent of total billed charges,999999999,,,,394.4,percent of total billed charges,999999999,,,,345.1,percent of total billed charges,999999999,,,,345.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,262.276,percent of total billed charges,999999999,,,,,,,,,,,,,,,,248.965,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,123.25,percent of total billed charges,117.0573519,,,,,,,,,,123.25,percent of total billed charges,115.1101825,,,,,,,,,,123.25,percent of total billed charges,114.7902963,,,,,,,,,,123.25,percent of total billed charges,113.1000106,,,,,,,,,,123.25,percent of total billed charges,116.0102401,,,,,,,,,,123.25,percent of total billed charges,999999999,,,,,,,,,,123.25,percent of total billed charges,99.54495545,,,,,,,,,,123.25,percent of total billed charges,156.9892593,,,,,,,,,,123.25,percent of total billed charges,999999999,,,,,,,,,,123.25,percent of total billed charges,107.3338074,,,,,,,,,,443.7,percent of total billed charges,,,,,
**ECHOCARDIOGRAM 2003-04,93307,CDM,0056-2780-01,NDC,,both,1,EA,847,847,180.3127011,847,847,percent of total billed charges,623.1679903,,,,847,percent of total billed charges,660.5457482,,,,847,percent of total billed charges,623.1679903,,,,847,percent of total billed charges,660.5457482,,,,847,percent of total billed charges,999999999,,,,847,percent of total billed charges,645.3557861,,,,847,percent of total billed charges,623.1679903,,,,847,percent of total billed charges,660.5457482,,,,603.911,percent of total billed charges,301.3626406,,,,603.911,percent of total billed charges,180.3127011,,,,603.911,percent of total billed charges,301.3626406,,,,603.911,percent of total billed charges,180.3127011,,,,603.911,percent of total billed charges,301.3626406,,,,603.911,percent of total billed charges,180.3127011,,,,597.982,percent of total billed charges,593.444948,,,,597.982,percent of total billed charges,409.294277,,,,,,,,,,609.84,percent of total billed charges,396.3816492,,,,,,,,,,609.84,percent of total billed charges,999999999,,,,,,,,,,677.6,percent of total billed charges,567.7935772,,,,669.13,percent of total billed charges,645.739246,,,,669.13,percent of total billed charges,570.5319988,,,,677.6,percent of total billed charges,999999999,,,,677.6,percent of total billed charges,999999999,,,,592.9,percent of total billed charges,999999999,,,,592.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,450.604,percent of total billed charges,999999999,,,,,,,,,,,,,,,,427.735,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,211.75,percent of total billed charges,201.1107041,,,,,,,,,,211.75,percent of total billed charges,197.7653643,,,,,,,,,,211.75,percent of total billed charges,197.2157829,,,,,,,,,,211.75,percent of total billed charges,194.3117829,,,,,,,,,,211.75,percent of total billed charges,199.3117107,,,,,,,,,,211.75,percent of total billed charges,999999999,,,,,,,,,,211.75,percent of total billed charges,171.0234833,,,,,,,,,,211.75,percent of total billed charges,269.7158269,,,,,,,,,,211.75,percent of total billed charges,999999999,,,,,,,,,,211.75,percent of total billed charges,184.4051418,,,,,,,,,,762.3,percent of total billed charges,,,,,
**ECHOCARDOPGRAM 2004,93307,CDM,0056-2780-01,NDC,,both,1,EA,1432,1432,304.8498087,1432,1432,percent of total billed charges,1053.573273,,,,1432,percent of total billed charges,1116.766838,,,,1432,percent of total billed charges,1053.573273,,,,1432,percent of total billed charges,1116.766838,,,,1432,percent of total billed charges,999999999,,,,1432,percent of total billed charges,1091.085579,,,,1432,percent of total billed charges,1053.573273,,,,1432,percent of total billed charges,1116.766838,,,,1021.016,percent of total billed charges,509.5056686,,,,1021.016,percent of total billed charges,304.8498087,,,,1021.016,percent of total billed charges,509.5056686,,,,1021.016,percent of total billed charges,304.8498087,,,,1021.016,percent of total billed charges,509.5056686,,,,1021.016,percent of total billed charges,304.8498087,,,,1010.992,percent of total billed charges,1003.321329,,,,1010.992,percent of total billed charges,691.9827681,,,,,,,,,,1031.04,percent of total billed charges,670.1517374,,,,,,,,,,1031.04,percent of total billed charges,999999999,,,,,,,,,,1145.6,percent of total billed charges,959.9532497,,,,1131.28,percent of total billed charges,1091.733885,,,,1131.28,percent of total billed charges,964.5830251,,,,1145.6,percent of total billed charges,999999999,,,,1145.6,percent of total billed charges,999999999,,,,1002.4,percent of total billed charges,999999999,,,,1002.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,761.824,percent of total billed charges,999999999,,,,,,,,,,,,,,,,723.16,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,358,percent of total billed charges,340.01243,,,,,,,,,,358,percent of total billed charges,334.3565546,,,,,,,,,,358,percent of total billed charges,333.427392,,,,,,,,,,358,percent of total billed charges,328.5176777,,,,,,,,,,358,percent of total billed charges,336.9709205,,,,,,,,,,358,percent of total billed charges,999999999,,,,,,,,,,358,percent of total billed charges,289.1447793,,,,,,,,,,358,percent of total billed charges,456.0012563,,,,,,,,,,358,percent of total billed charges,999999999,,,,,,,,,,358,percent of total billed charges,311.7687876,,,,,,,,,,1288.8,percent of total billed charges,,,,,
US ARTERIAL DOPPLER LE SINGLE LEVEL,93922,CDM,0056-2780-01,NDC,,both,1,EA,746,746,158.8114227,746,746,percent of total billed charges,548.8587022,,,,746,percent of total billed charges,581.7793721,,,,746,percent of total billed charges,548.8587022,,,,746,percent of total billed charges,581.7793721,,,,746,percent of total billed charges,999999999,,,,746,percent of total billed charges,568.4007277,,,,746,percent of total billed charges,548.8587022,,,,746,percent of total billed charges,581.7793721,,,,531.898,percent of total billed charges,265.4268358,,,,531.898,percent of total billed charges,158.8114227,,,,531.898,percent of total billed charges,265.4268358,,,,531.898,percent of total billed charges,158.8114227,,,,531.898,percent of total billed charges,265.4268358,,,,531.898,percent of total billed charges,158.8114227,,,,526.676,percent of total billed charges,522.679966,,,,526.676,percent of total billed charges,360.4882298,,,,,,,,,,537.12,percent of total billed charges,349.1153604,,,,,,,,,,537.12,percent of total billed charges,999999999,,,,,,,,,,596.8,percent of total billed charges,500.0873773,,,,589.34,percent of total billed charges,568.7384622,,,,589.34,percent of total billed charges,502.4992575,,,,596.8,percent of total billed charges,999999999,,,,596.8,percent of total billed charges,999999999,,,,522.2,percent of total billed charges,999999999,,,,522.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,396.872,percent of total billed charges,999999999,,,,,,,,,,,,,,,,376.73,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,186.5,percent of total billed charges,177.1293804,,,,,,,,,,186.5,percent of total billed charges,174.1829537,,,,,,,,,,186.5,percent of total billed charges,173.6989067,,,,,,,,,,186.5,percent of total billed charges,171.1411925,,,,,,,,,,186.5,percent of total billed charges,175.5449069,,,,,,,,,,186.5,percent of total billed charges,999999999,,,,,,,,,,186.5,percent of total billed charges,150.629892,,,,,,,,,,186.5,percent of total billed charges,237.5537271,,,,,,,,,,186.5,percent of total billed charges,999999999,,,,,,,,,,186.5,percent of total billed charges,162.4158628,,,,,,,,,,671.4,percent of total billed charges,,,,,
**ARTERIAL IMAGING LE LTD LT,93926,CDM,0056-2780-01,NDC,LT,both,1,EA,971,971,206.7103102,971,971,percent of total billed charges,714.3991955,,,,971,percent of total billed charges,757.2490218,,,,971,percent of total billed charges,714.3991955,,,,971,percent of total billed charges,757.2490218,,,,971,percent of total billed charges,999999999,,,,971,percent of total billed charges,739.8352636,,,,971,percent of total billed charges,714.3991955,,,,971,percent of total billed charges,757.2490218,,,,692.323,percent of total billed charges,345.4818465,,,,692.323,percent of total billed charges,206.7103102,,,,692.323,percent of total billed charges,345.4818465,,,,692.323,percent of total billed charges,206.7103102,,,,692.323,percent of total billed charges,345.4818465,,,,692.323,percent of total billed charges,206.7103102,,,,685.526,percent of total billed charges,680.3247279,,,,685.526,percent of total billed charges,469.2145725,,,,,,,,,,699.12,percent of total billed charges,454.4115482,,,,,,,,,,699.12,percent of total billed charges,999999999,,,,,,,,,,776.8,percent of total billed charges,650.9180206,,,,767.09,percent of total billed charges,740.2748617,,,,767.09,percent of total billed charges,654.0573445,,,,776.8,percent of total billed charges,999999999,,,,776.8,percent of total billed charges,999999999,,,,679.7,percent of total billed charges,999999999,,,,679.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,516.572,percent of total billed charges,999999999,,,,,,,,,,,,,,,,490.355,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,242.75,percent of total billed charges,230.5531212,,,,,,,,,,242.75,percent of total billed charges,226.7180269,,,,,,,,,,242.75,percent of total billed charges,226.0879872,,,,,,,,,,242.75,percent of total billed charges,222.7588443,,,,,,,,,,242.75,percent of total billed charges,228.4907569,,,,,,,,,,242.75,percent of total billed charges,999999999,,,,,,,,,,242.75,percent of total billed charges,196.0611597,,,,,,,,,,242.75,percent of total billed charges,309.2019692,,,,,,,,,,242.75,percent of total billed charges,999999999,,,,,,,,,,242.75,percent of total billed charges,211.4018804,,,,,,,,,,873.9,percent of total billed charges,,,,,
**ARTERIAL IMAGING LE LIMITED RT,93926,CDM,0056-2780-01,NDC,RT,both,1,EA,971,971,206.7103102,971,971,percent of total billed charges,714.3991955,,,,971,percent of total billed charges,757.2490218,,,,971,percent of total billed charges,714.3991955,,,,971,percent of total billed charges,757.2490218,,,,971,percent of total billed charges,999999999,,,,971,percent of total billed charges,739.8352636,,,,971,percent of total billed charges,714.3991955,,,,971,percent of total billed charges,757.2490218,,,,692.323,percent of total billed charges,345.4818465,,,,692.323,percent of total billed charges,206.7103102,,,,692.323,percent of total billed charges,345.4818465,,,,692.323,percent of total billed charges,206.7103102,,,,692.323,percent of total billed charges,345.4818465,,,,692.323,percent of total billed charges,206.7103102,,,,685.526,percent of total billed charges,680.3247279,,,,685.526,percent of total billed charges,469.2145725,,,,,,,,,,699.12,percent of total billed charges,454.4115482,,,,,,,,,,699.12,percent of total billed charges,999999999,,,,,,,,,,776.8,percent of total billed charges,650.9180206,,,,767.09,percent of total billed charges,740.2748617,,,,767.09,percent of total billed charges,654.0573445,,,,776.8,percent of total billed charges,999999999,,,,776.8,percent of total billed charges,999999999,,,,679.7,percent of total billed charges,999999999,,,,679.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,516.572,percent of total billed charges,999999999,,,,,,,,,,,,,,,,490.355,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,242.75,percent of total billed charges,230.5531212,,,,,,,,,,242.75,percent of total billed charges,226.7180269,,,,,,,,,,242.75,percent of total billed charges,226.0879872,,,,,,,,,,242.75,percent of total billed charges,222.7588443,,,,,,,,,,242.75,percent of total billed charges,228.4907569,,,,,,,,,,242.75,percent of total billed charges,999999999,,,,,,,,,,242.75,percent of total billed charges,196.0611597,,,,,,,,,,242.75,percent of total billed charges,309.2019692,,,,,,,,,,242.75,percent of total billed charges,999999999,,,,,,,,,,242.75,percent of total billed charges,211.4018804,,,,,,,,,,873.9,percent of total billed charges,,,,,
**ARTERIAL IMAGING UE LTD LT,93931,CDM,0056-2780-01,NDC,LT,both,1,EA,971,971,206.7103102,971,971,percent of total billed charges,714.3991955,,,,971,percent of total billed charges,757.2490218,,,,971,percent of total billed charges,714.3991955,,,,971,percent of total billed charges,757.2490218,,,,971,percent of total billed charges,999999999,,,,971,percent of total billed charges,739.8352636,,,,971,percent of total billed charges,714.3991955,,,,971,percent of total billed charges,757.2490218,,,,692.323,percent of total billed charges,345.4818465,,,,692.323,percent of total billed charges,206.7103102,,,,692.323,percent of total billed charges,345.4818465,,,,692.323,percent of total billed charges,206.7103102,,,,692.323,percent of total billed charges,345.4818465,,,,692.323,percent of total billed charges,206.7103102,,,,685.526,percent of total billed charges,680.3247279,,,,685.526,percent of total billed charges,469.2145725,,,,,,,,,,699.12,percent of total billed charges,454.4115482,,,,,,,,,,699.12,percent of total billed charges,999999999,,,,,,,,,,776.8,percent of total billed charges,650.9180206,,,,767.09,percent of total billed charges,740.2748617,,,,767.09,percent of total billed charges,654.0573445,,,,776.8,percent of total billed charges,999999999,,,,776.8,percent of total billed charges,999999999,,,,679.7,percent of total billed charges,999999999,,,,679.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,516.572,percent of total billed charges,999999999,,,,,,,,,,,,,,,,490.355,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,242.75,percent of total billed charges,230.5531212,,,,,,,,,,242.75,percent of total billed charges,226.7180269,,,,,,,,,,242.75,percent of total billed charges,226.0879872,,,,,,,,,,242.75,percent of total billed charges,222.7588443,,,,,,,,,,242.75,percent of total billed charges,228.4907569,,,,,,,,,,242.75,percent of total billed charges,999999999,,,,,,,,,,242.75,percent of total billed charges,196.0611597,,,,,,,,,,242.75,percent of total billed charges,309.2019692,,,,,,,,,,242.75,percent of total billed charges,999999999,,,,,,,,,,242.75,percent of total billed charges,211.4018804,,,,,,,,,,873.9,percent of total billed charges,,,,,
**ARTERIAL IMAGING UE LTD RT,93931,CDM,0056-2780-01,NDC,RT,both,1,EA,971,971,206.7103102,971,971,percent of total billed charges,714.3991955,,,,971,percent of total billed charges,757.2490218,,,,971,percent of total billed charges,714.3991955,,,,971,percent of total billed charges,757.2490218,,,,971,percent of total billed charges,999999999,,,,971,percent of total billed charges,739.8352636,,,,971,percent of total billed charges,714.3991955,,,,971,percent of total billed charges,757.2490218,,,,692.323,percent of total billed charges,345.4818465,,,,692.323,percent of total billed charges,206.7103102,,,,692.323,percent of total billed charges,345.4818465,,,,692.323,percent of total billed charges,206.7103102,,,,692.323,percent of total billed charges,345.4818465,,,,692.323,percent of total billed charges,206.7103102,,,,685.526,percent of total billed charges,680.3247279,,,,685.526,percent of total billed charges,469.2145725,,,,,,,,,,699.12,percent of total billed charges,454.4115482,,,,,,,,,,699.12,percent of total billed charges,999999999,,,,,,,,,,776.8,percent of total billed charges,650.9180206,,,,767.09,percent of total billed charges,740.2748617,,,,767.09,percent of total billed charges,654.0573445,,,,776.8,percent of total billed charges,999999999,,,,776.8,percent of total billed charges,999999999,,,,679.7,percent of total billed charges,999999999,,,,679.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,516.572,percent of total billed charges,999999999,,,,,,,,,,,,,,,,490.355,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,242.75,percent of total billed charges,230.5531212,,,,,,,,,,242.75,percent of total billed charges,226.7180269,,,,,,,,,,242.75,percent of total billed charges,226.0879872,,,,,,,,,,242.75,percent of total billed charges,222.7588443,,,,,,,,,,242.75,percent of total billed charges,228.4907569,,,,,,,,,,242.75,percent of total billed charges,999999999,,,,,,,,,,242.75,percent of total billed charges,196.0611597,,,,,,,,,,242.75,percent of total billed charges,309.2019692,,,,,,,,,,242.75,percent of total billed charges,999999999,,,,,,,,,,242.75,percent of total billed charges,211.4018804,,,,,,,,,,873.9,percent of total billed charges,,,,,
**ARTERIAL DOPPLER MULTI LEVEL,93923,CDM,0056-2780-01,NDC,,both,1,EA,1457,1457,310.1719073,1457,1457,percent of total billed charges,1071.966661,,,,1457,percent of total billed charges,1136.263465,,,,1457,percent of total billed charges,1071.966661,,,,1457,percent of total billed charges,1136.263465,,,,1457,percent of total billed charges,999999999,,,,1457,percent of total billed charges,1110.133861,,,,1457,percent of total billed charges,1071.966661,,,,1457,percent of total billed charges,1136.263465,,,,1038.841,percent of total billed charges,518.4006698,,,,1038.841,percent of total billed charges,310.1719073,,,,1038.841,percent of total billed charges,518.4006698,,,,1038.841,percent of total billed charges,310.1719073,,,,1038.841,percent of total billed charges,518.4006698,,,,1038.841,percent of total billed charges,310.1719073,,,,1028.642,percent of total billed charges,1020.837414,,,,1028.642,percent of total billed charges,704.0634729,,,,,,,,,,1049.04,percent of total billed charges,681.8513139,,,,,,,,,,1049.04,percent of total billed charges,999999999,,,,,,,,,,1165.6,percent of total billed charges,976.7122101,,,,1151.03,percent of total billed charges,1110.793484,,,,1151.03,percent of total billed charges,981.4228125,,,,1165.6,percent of total billed charges,999999999,,,,1165.6,percent of total billed charges,999999999,,,,1019.9,percent of total billed charges,999999999,,,,1019.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,775.124,percent of total billed charges,999999999,,,,,,,,,,,,,,,,735.785,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,364.25,percent of total billed charges,345.9484012,,,,,,,,,,364.25,percent of total billed charges,340.1937849,,,,,,,,,,364.25,percent of total billed charges,339.248401,,,,,,,,,,364.25,percent of total billed charges,334.2529724,,,,,,,,,,364.25,percent of total billed charges,342.8537928,,,,,,,,,,364.25,percent of total billed charges,999999999,,,,,,,,,,364.25,percent of total billed charges,294.192698,,,,,,,,,,364.25,percent of total billed charges,463.9621721,,,,,,,,,,364.25,percent of total billed charges,999999999,,,,,,,,,,364.25,percent of total billed charges,317.2116784,,,,,,,,,,1311.3,percent of total billed charges,,,,,
US VENOUS BILATERAL DUPLEX,93970,CDM,0056-2780-01,NDC,,both,1,EA,2097,2097,446.4176319,2097,2097,percent of total billed charges,1542.837397,,,,2097,percent of total billed charges,1635.377136,,,,2097,percent of total billed charges,1542.837397,,,,2097,percent of total billed charges,1635.377136,,,,2097,percent of total billed charges,999999999,,,,2097,percent of total billed charges,1597.769874,,,,2097,percent of total billed charges,1542.837397,,,,2097,percent of total billed charges,1635.377136,,,,1495.161,percent of total billed charges,746.1127005,,,,1495.161,percent of total billed charges,446.4176319,,,,1495.161,percent of total billed charges,746.1127005,,,,1495.161,percent of total billed charges,446.4176319,,,,1495.161,percent of total billed charges,746.1127005,,,,1495.161,percent of total billed charges,446.4176319,,,,1480.482,percent of total billed charges,1469.249181,,,,1480.482,percent of total billed charges,1013.329515,,,,,,,,,,1509.84,percent of total billed charges,981.3604703,,,,,,,,,,1509.84,percent of total billed charges,999999999,,,,,,,,,,1677.6,percent of total billed charges,1405.741595,,,,1656.63,percent of total billed charges,1598.719243,,,,1656.63,percent of total billed charges,1412.521371,,,,1677.6,percent of total billed charges,999999999,,,,1677.6,percent of total billed charges,999999999,,,,1467.9,percent of total billed charges,999999999,,,,1467.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1115.604,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1058.985,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,524.25,percent of total billed charges,497.9092638,,,,,,,,,,524.25,percent of total billed charges,489.6268819,,,,,,,,,,524.25,percent of total billed charges,488.2662298,,,,,,,,,,524.25,percent of total billed charges,481.0765155,,,,,,,,,,524.25,percent of total billed charges,493.4553215,,,,,,,,,,524.25,percent of total billed charges,999999999,,,,,,,,,,524.25,percent of total billed charges,423.419415,,,,,,,,,,524.25,percent of total billed charges,667.7616163,,,,,,,,,,524.25,percent of total billed charges,999999999,,,,,,,,,,524.25,percent of total billed charges,456.549684,,,,,,,,,,1887.3,percent of total billed charges,,,,,
US VENOUS LT DUPLEX,93971,CDM,0056-2780-01,NDC,LT,both,1,EA,1497,1497,318.6872651,1497,1497,percent of total billed charges,1101.396082,,,,1497,percent of total billed charges,1167.45807,,,,1497,percent of total billed charges,1101.396082,,,,1497,percent of total billed charges,1167.45807,,,,1497,percent of total billed charges,999999999,,,,1497,percent of total billed charges,1140.611112,,,,1497,percent of total billed charges,1101.396082,,,,1497,percent of total billed charges,1167.45807,,,,1067.361,percent of total billed charges,532.6326717,,,,1067.361,percent of total billed charges,318.6872651,,,,1067.361,percent of total billed charges,532.6326717,,,,1067.361,percent of total billed charges,318.6872651,,,,1067.361,percent of total billed charges,532.6326717,,,,1067.361,percent of total billed charges,318.6872651,,,,1056.882,percent of total billed charges,1048.863149,,,,1056.882,percent of total billed charges,723.3926005,,,,,,,,,,1077.84,percent of total billed charges,700.5706361,,,,,,,,,,1077.84,percent of total billed charges,999999999,,,,,,,,,,1197.6,percent of total billed charges,1003.526547,,,,1182.63,percent of total billed charges,1141.288844,,,,1182.63,percent of total billed charges,1008.366472,,,,1197.6,percent of total billed charges,999999999,,,,1197.6,percent of total billed charges,999999999,,,,1047.9,percent of total billed charges,999999999,,,,1047.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,796.404,percent of total billed charges,999999999,,,,,,,,,,,,,,,,755.985,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,374.25,percent of total billed charges,355.4459551,,,,,,,,,,374.25,percent of total billed charges,349.5333535,,,,,,,,,,374.25,percent of total billed charges,348.5620153,,,,,,,,,,374.25,percent of total billed charges,343.4294438,,,,,,,,,,374.25,percent of total billed charges,352.2663883,,,,,,,,,,374.25,percent of total billed charges,999999999,,,,,,,,,,374.25,percent of total billed charges,302.2693678,,,,,,,,,,374.25,percent of total billed charges,476.6996374,,,,,,,,,,374.25,percent of total billed charges,999999999,,,,,,,,,,374.25,percent of total billed charges,325.9203037,,,,,,,,,,1347.3,percent of total billed charges,,,,,
US VENOUS RT DUPLEX,93971,CDM,0056-2780-01,NDC,RT,both,1,EA,1497,1497,318.6872651,1497,1497,percent of total billed charges,1101.396082,,,,1497,percent of total billed charges,1167.45807,,,,1497,percent of total billed charges,1101.396082,,,,1497,percent of total billed charges,1167.45807,,,,1497,percent of total billed charges,999999999,,,,1497,percent of total billed charges,1140.611112,,,,1497,percent of total billed charges,1101.396082,,,,1497,percent of total billed charges,1167.45807,,,,1067.361,percent of total billed charges,532.6326717,,,,1067.361,percent of total billed charges,318.6872651,,,,1067.361,percent of total billed charges,532.6326717,,,,1067.361,percent of total billed charges,318.6872651,,,,1067.361,percent of total billed charges,532.6326717,,,,1067.361,percent of total billed charges,318.6872651,,,,1056.882,percent of total billed charges,1048.863149,,,,1056.882,percent of total billed charges,723.3926005,,,,,,,,,,1077.84,percent of total billed charges,700.5706361,,,,,,,,,,1077.84,percent of total billed charges,999999999,,,,,,,,,,1197.6,percent of total billed charges,1003.526547,,,,1182.63,percent of total billed charges,1141.288844,,,,1182.63,percent of total billed charges,1008.366472,,,,1197.6,percent of total billed charges,999999999,,,,1197.6,percent of total billed charges,999999999,,,,1047.9,percent of total billed charges,999999999,,,,1047.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,796.404,percent of total billed charges,999999999,,,,,,,,,,,,,,,,755.985,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,374.25,percent of total billed charges,355.4459551,,,,,,,,,,374.25,percent of total billed charges,349.5333535,,,,,,,,,,374.25,percent of total billed charges,348.5620153,,,,,,,,,,374.25,percent of total billed charges,343.4294438,,,,,,,,,,374.25,percent of total billed charges,352.2663883,,,,,,,,,,374.25,percent of total billed charges,999999999,,,,,,,,,,374.25,percent of total billed charges,302.2693678,,,,,,,,,,374.25,percent of total billed charges,476.6996374,,,,,,,,,,374.25,percent of total billed charges,999999999,,,,,,,,,,374.25,percent of total billed charges,325.9203037,,,,,,,,,,1347.3,percent of total billed charges,,,,,
**US VENOUS DOPPLER,93965,CDM,0056-2780-01,NDC,,both,1,EA,387,387,82.38608657,387,387,percent of total billed charges,284.7296485,,,,387,percent of total billed charges,301.8077976,,,,387,percent of total billed charges,284.7296485,,,,387,percent of total billed charges,301.8077976,,,,387,percent of total billed charges,999999999,,,,387,percent of total billed charges,294.8674017,,,,387,percent of total billed charges,284.7296485,,,,387,percent of total billed charges,301.8077976,,,,275.931,percent of total billed charges,137.6946185,,,,275.931,percent of total billed charges,82.38608657,,,,275.931,percent of total billed charges,137.6946185,,,,275.931,percent of total billed charges,82.38608657,,,,275.931,percent of total billed charges,137.6946185,,,,275.931,percent of total billed charges,82.38608657,,,,273.222,percent of total billed charges,271.1489904,,,,273.222,percent of total billed charges,187.0093095,,,,,,,,,,278.64,percent of total billed charges,181.109443,,,,,,,,,,278.64,percent of total billed charges,999999999,,,,,,,,,,309.6,percent of total billed charges,259.4287064,,,,305.73,percent of total billed charges,295.0426071,,,,305.73,percent of total billed charges,260.6799097,,,,309.6,percent of total billed charges,999999999,,,,309.6,percent of total billed charges,999999999,,,,270.9,percent of total billed charges,999999999,,,,270.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,205.884,percent of total billed charges,999999999,,,,,,,,,,,,,,,,195.435,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,96.75,percent of total billed charges,91.88883408,,,,,,,,,,96.75,percent of total billed charges,90.36032585,,,,,,,,,,96.75,percent of total billed charges,90.10921838,,,,,,,,,,96.75,percent of total billed charges,88.78236123,,,,,,,,,,96.75,percent of total billed charges,91.06686191,,,,,,,,,,96.75,percent of total billed charges,999999999,,,,,,,,,,96.75,percent of total billed charges,78.14178045,,,,,,,,,,96.75,percent of total billed charges,123.2349764,,,,,,,,,,96.75,percent of total billed charges,999999999,,,,,,,,,,96.75,percent of total billed charges,84.25595027,,,,,,,,,,348.3,percent of total billed charges,,,,,
**US ECHO-FOLLOW UP/LIMITED,93308,CDM,0056-2780-01,NDC,,both,1,EA,1346,1346,286.5417895,1346,1346,percent of total billed charges,990.3000176,,,,1346,percent of total billed charges,1049.698438,,,,1346,percent of total billed charges,990.3000176,,,,1346,percent of total billed charges,1049.698438,,,,1346,percent of total billed charges,999999999,,,,1346,percent of total billed charges,1025.55949,,,,1346,percent of total billed charges,990.3000176,,,,1346,percent of total billed charges,1049.698438,,,,959.698,percent of total billed charges,478.9068645,,,,959.698,percent of total billed charges,286.5417895,,,,959.698,percent of total billed charges,478.9068645,,,,959.698,percent of total billed charges,286.5417895,,,,959.698,percent of total billed charges,478.9068645,,,,959.698,percent of total billed charges,286.5417895,,,,950.276,percent of total billed charges,943.0659977,,,,950.276,percent of total billed charges,650.4251438,,,,,,,,,,969.12,percent of total billed charges,629.9051946,,,,,,,,,,969.12,percent of total billed charges,999999999,,,,,,,,,,1076.8,percent of total billed charges,902.302426,,,,1063.34,percent of total billed charges,1026.168861,,,,1063.34,percent of total billed charges,906.6541562,,,,1076.8,percent of total billed charges,999999999,,,,1076.8,percent of total billed charges,999999999,,,,942.2,percent of total billed charges,999999999,,,,942.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,716.072,percent of total billed charges,999999999,,,,,,,,,,,,,,,,679.73,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,336.5,percent of total billed charges,319.5926891,,,,,,,,,,336.5,percent of total billed charges,314.2764822,,,,,,,,,,336.5,percent of total billed charges,313.4031213,,,,,,,,,,336.5,percent of total billed charges,308.7882641,,,,,,,,,,336.5,percent of total billed charges,316.7338401,,,,,,,,,,336.5,percent of total billed charges,999999999,,,,,,,,,,336.5,percent of total billed charges,271.7799392,,,,,,,,,,336.5,percent of total billed charges,428.615706,,,,,,,,,,336.5,percent of total billed charges,999999999,,,,,,,,,,336.5,percent of total billed charges,293.045243,,,,,,,,,,1211.4,percent of total billed charges,,,,,
**US DR MARTIN ECHO-FOLLOW UP/LIMITED,93308,CDM,0056-2780-01,NDC,,both,1,EA,1219,1219,259.5055285,1219,1219,percent of total billed charges,896.8616059,,,,1219,percent of total billed charges,950.6555691,,,,1219,percent of total billed charges,896.8616059,,,,1219,percent of total billed charges,950.6555691,,,,1219,percent of total billed charges,999999999,,,,1219,percent of total billed charges,928.7942186,,,,1219,percent of total billed charges,896.8616059,,,,1219,percent of total billed charges,950.6555691,,,,869.147,percent of total billed charges,433.7202584,,,,869.147,percent of total billed charges,259.5055285,,,,869.147,percent of total billed charges,433.7202584,,,,869.147,percent of total billed charges,259.5055285,,,,869.147,percent of total billed charges,433.7202584,,,,869.147,percent of total billed charges,259.5055285,,,,860.614,percent of total billed charges,854.0842876,,,,860.614,percent of total billed charges,589.0551637,,,,,,,,,,877.68,percent of total billed charges,570.4713463,,,,,,,,,,877.68,percent of total billed charges,999999999,,,,,,,,,,975.2,percent of total billed charges,817.1669074,,,,963.01,percent of total billed charges,929.3460931,,,,963.01,percent of total billed charges,821.108036,,,,975.2,percent of total billed charges,999999999,,,,975.2,percent of total billed charges,999999999,,,,853.3,percent of total billed charges,999999999,,,,853.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,648.508,percent of total billed charges,999999999,,,,,,,,,,,,,,,,615.595,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,304.75,percent of total billed charges,289.4379554,,,,,,,,,,304.75,percent of total billed charges,284.623352,,,,,,,,,,304.75,percent of total billed charges,283.8323959,,,,,,,,,,304.75,percent of total billed charges,279.6529673,,,,,,,,,,304.75,percent of total billed charges,286.8488493,,,,,,,,,,304.75,percent of total billed charges,999999999,,,,,,,,,,304.75,percent of total billed charges,246.1365126,,,,,,,,,,304.75,percent of total billed charges,388.1742538,,,,,,,,,,304.75,percent of total billed charges,999999999,,,,,,,,,,304.75,percent of total billed charges,265.3953576,,,,,,,,,,1097.1,percent of total billed charges,,,,,
**US TEE,93312,CDM,0056-2780-01,NDC,,both,1,EA,3003,3003,639.2904857,3003,3003,percent of total billed charges,2209.413784,,,,3003,percent of total billed charges,2341.934925,,,,3003,percent of total billed charges,2209.413784,,,,3003,percent of total billed charges,2341.934925,,,,3003,percent of total billed charges,999999999,,,,3003,percent of total billed charges,2288.079605,,,,3003,percent of total billed charges,2209.413784,,,,3003,percent of total billed charges,2341.934925,,,,2141.139,percent of total billed charges,1068.467544,,,,2141.139,percent of total billed charges,639.2904857,,,,2141.139,percent of total billed charges,1068.467544,,,,2141.139,percent of total billed charges,639.2904857,,,,2141.139,percent of total billed charges,1068.467544,,,,2141.139,percent of total billed charges,639.2904857,,,,2120.118,percent of total billed charges,2104.032088,,,,2120.118,percent of total billed charges,1451.134255,,,,,,,,,,2162.16,percent of total billed charges,1405.35312,,,,,,,,,,2162.16,percent of total billed charges,999999999,,,,,,,,,,2402.4,percent of total billed charges,2013.086319,,,,2372.37,percent of total billed charges,2289.439145,,,,2372.37,percent of total billed charges,2022.795268,,,,2402.4,percent of total billed charges,999999999,,,,2402.4,percent of total billed charges,999999999,,,,2102.1,percent of total billed charges,999999999,,,,2102.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1597.596,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1516.515,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,750.75,percent of total billed charges,713.0288598,,,,,,,,,,750.75,percent of total billed charges,701.1681099,,,,,,,,,,750.75,percent of total billed charges,699.2195938,,,,,,,,,,750.75,percent of total billed charges,688.9235938,,,,,,,,,,750.75,percent of total billed charges,706.6506106,,,,,,,,,,750.75,percent of total billed charges,999999999,,,,,,,,,,750.75,percent of total billed charges,606.3559863,,,,,,,,,,750.75,percent of total billed charges,956.2652044,,,,,,,,,,750.75,percent of total billed charges,999999999,,,,,,,,,,750.75,percent of total billed charges,653.8000482,,,,,,,,,,2702.7,percent of total billed charges,,,,,
**TEE (ERROR),93312,CDM,0056-2780-01,NDC,,both,1,EA,1357,1357,288.8835129,1357,1357,percent of total billed charges,998.3931084,,,,1357,percent of total billed charges,1058.276954,,,,1357,percent of total billed charges,998.3931084,,,,1357,percent of total billed charges,1058.276954,,,,1357,percent of total billed charges,999999999,,,,1357,percent of total billed charges,1033.940734,,,,1357,percent of total billed charges,998.3931084,,,,1357,percent of total billed charges,1058.276954,,,,967.541,percent of total billed charges,482.820665,,,,967.541,percent of total billed charges,288.8835129,,,,967.541,percent of total billed charges,482.820665,,,,967.541,percent of total billed charges,288.8835129,,,,967.541,percent of total billed charges,482.820665,,,,967.541,percent of total billed charges,288.8835129,,,,958.042,percent of total billed charges,950.7730749,,,,958.042,percent of total billed charges,655.7406539,,,,,,,,,,977.04,percent of total billed charges,635.0530082,,,,,,,,,,977.04,percent of total billed charges,999999999,,,,,,,,,,1085.6,percent of total billed charges,909.6763686,,,,1072.03,percent of total billed charges,1034.555085,,,,1072.03,percent of total billed charges,914.0636627,,,,1085.6,percent of total billed charges,999999999,,,,1085.6,percent of total billed charges,999999999,,,,949.9,percent of total billed charges,999999999,,,,949.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,721.924,percent of total billed charges,999999999,,,,,,,,,,,,,,,,685.285,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,339.25,percent of total billed charges,322.2045164,,,,,,,,,,339.25,percent of total billed charges,316.8448635,,,,,,,,,,339.25,percent of total billed charges,315.9643652,,,,,,,,,,339.25,percent of total billed charges,311.3117938,,,,,,,,,,339.25,percent of total billed charges,319.3223039,,,,,,,,,,339.25,percent of total billed charges,999999999,,,,,,,,,,339.25,percent of total billed charges,274.0010234,,,,,,,,,,339.25,percent of total billed charges,432.118509,,,,,,,,,,339.25,percent of total billed charges,999999999,,,,,,,,,,339.25,percent of total billed charges,295.440115,,,,,,,,,,1221.3,percent of total billed charges,,,,,
DOPPLER ECHO FOLLOW UP/LIMITED,93321,CDM,0056-2780-01,NDC,,both,1,EA,705,705,150.083181,705,705,percent of total billed charges,518.6935456,,,,705,percent of total billed charges,549.8049026,,,,705,percent of total billed charges,518.6935456,,,,705,percent of total billed charges,549.8049026,,,,705,percent of total billed charges,999999999,,,,705,percent of total billed charges,537.1615457,,,,705,percent of total billed charges,518.6935456,,,,705,percent of total billed charges,549.8049026,,,,502.665,percent of total billed charges,250.8390338,,,,502.665,percent of total billed charges,150.083181,,,,502.665,percent of total billed charges,250.8390338,,,,502.665,percent of total billed charges,150.083181,,,,502.665,percent of total billed charges,250.8390338,,,,502.665,percent of total billed charges,150.083181,,,,497.73,percent of total billed charges,493.9535872,,,,497.73,percent of total billed charges,340.675874,,,,,,,,,,507.6,percent of total billed charges,329.9280551,,,,,,,,,,507.6,percent of total billed charges,999999999,,,,,,,,,,564,percent of total billed charges,472.6026823,,,,556.95,percent of total billed charges,537.4807183,,,,556.95,percent of total billed charges,474.882006,,,,564,percent of total billed charges,999999999,,,,564,percent of total billed charges,999999999,,,,493.5,percent of total billed charges,999999999,,,,493.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,375.06,percent of total billed charges,999999999,,,,,,,,,,,,,,,,356.025,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,176.25,percent of total billed charges,167.3943877,,,,,,,,,,176.25,percent of total billed charges,164.6098959,,,,,,,,,,176.25,percent of total billed charges,164.1524521,,,,,,,,,,176.25,percent of total billed charges,161.7353092,,,,,,,,,,176.25,percent of total billed charges,165.8969965,,,,,,,,,,176.25,percent of total billed charges,999999999,,,,,,,,,,176.25,percent of total billed charges,142.3513055,,,,,,,,,,176.25,percent of total billed charges,224.4978252,,,,,,,,,,176.25,percent of total billed charges,999999999,,,,,,,,,,176.25,percent of total billed charges,153.4895218,,,,,,,,,,634.5,percent of total billed charges,,,,,
US ABD VASCULATURE,93978,CDM,0056-2780-01,NDC,,both,1,EA,1716,1716,365.308849,1716,1716,percent of total billed charges,1262.522162,,,,1716,percent of total billed charges,1338.248529,,,,1716,percent of total billed charges,1262.522162,,,,1716,percent of total billed charges,1338.248529,,,,1716,percent of total billed charges,999999999,,,,1716,percent of total billed charges,1307.47406,,,,1716,percent of total billed charges,1262.522162,,,,1716,percent of total billed charges,1338.248529,,,,1223.508,percent of total billed charges,610.5528822,,,,1223.508,percent of total billed charges,365.308849,,,,1223.508,percent of total billed charges,610.5528822,,,,1223.508,percent of total billed charges,365.308849,,,,1223.508,percent of total billed charges,610.5528822,,,,1223.508,percent of total billed charges,365.308849,,,,1211.496,percent of total billed charges,1202.30405,,,,1211.496,percent of total billed charges,829.2195741,,,,,,,,,,1235.52,percent of total billed charges,803.0589256,,,,,,,,,,1235.52,percent of total billed charges,999999999,,,,,,,,,,1372.8,percent of total billed charges,1150.335039,,,,1355.64,percent of total billed charges,1308.25094,,,,1355.64,percent of total billed charges,1155.88301,,,,1372.8,percent of total billed charges,999999999,,,,1372.8,percent of total billed charges,999999999,,,,1201.2,percent of total billed charges,999999999,,,,1201.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,912.912,percent of total billed charges,999999999,,,,,,,,,,,,,,,,866.58,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,429,percent of total billed charges,407.4450628,,,,,,,,,,429,percent of total billed charges,400.6674914,,,,,,,,,,429,percent of total billed charges,399.5540536,,,,,,,,,,429,percent of total billed charges,393.670625,,,,,,,,,,429,percent of total billed charges,403.8003489,,,,,,,,,,429,percent of total billed charges,999999999,,,,,,,,,,429,percent of total billed charges,346.489135,,,,,,,,,,429,percent of total billed charges,546.4372597,,,,,,,,,,429,percent of total billed charges,999999999,,,,,,,,,,429,percent of total billed charges,373.6000275,,,,,,,,,,1544.4,percent of total billed charges,,,,,
US ABD VASCULATURE LIMITED,93979,CDM,0056-2780-01,NDC,,both,1,EA,1056,1056,224.8054455,1056,1056,percent of total billed charges,776.9367152,,,,1056,percent of total billed charges,823.5375562,,,,1056,percent of total billed charges,776.9367152,,,,1056,percent of total billed charges,823.5375562,,,,1056,percent of total billed charges,999999999,,,,1056,percent of total billed charges,804.5994216,,,,1056,percent of total billed charges,776.9367152,,,,1056,percent of total billed charges,823.5375562,,,,752.928,percent of total billed charges,375.7248506,,,,752.928,percent of total billed charges,224.8054455,,,,752.928,percent of total billed charges,375.7248506,,,,752.928,percent of total billed charges,224.8054455,,,,752.928,percent of total billed charges,375.7248506,,,,752.928,percent of total billed charges,224.8054455,,,,745.536,percent of total billed charges,739.8794157,,,,745.536,percent of total billed charges,510.2889687,,,,,,,,,,760.32,percent of total billed charges,494.1901081,,,,,,,,,,760.32,percent of total billed charges,999999999,,,,,,,,,,844.8,percent of total billed charges,707.8984858,,,,834.24,percent of total billed charges,805.0775014,,,,834.24,percent of total billed charges,711.3126218,,,,844.8,percent of total billed charges,999999999,,,,844.8,percent of total billed charges,999999999,,,,739.2,percent of total billed charges,999999999,,,,739.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,561.792,percent of total billed charges,999999999,,,,,,,,,,,,,,,,533.28,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,264,percent of total billed charges,250.7354232,,,,,,,,,,264,percent of total billed charges,246.5646101,,,,,,,,,,264,percent of total billed charges,245.8794176,,,,,,,,,,264,percent of total billed charges,242.2588462,,,,,,,,,,264,percent of total billed charges,248.4925224,,,,,,,,,,264,percent of total billed charges,999999999,,,,,,,,,,264,percent of total billed charges,213.2240831,,,,,,,,,,264,percent of total billed charges,336.2690829,,,,,,,,,,264,percent of total billed charges,999999999,,,,,,,,,,264,percent of total billed charges,229.9077093,,,,,,,,,,950.4,percent of total billed charges,,,,,
US ABD DUPLEX LIMIT,93976,CDM,0056-2780-01,NDC,,both,1,EA,1222,1222,260.1441803,1222,1222,percent of total billed charges,899.0688124,,,,1222,percent of total billed charges,952.9951644,,,,1222,percent of total billed charges,899.0688124,,,,1222,percent of total billed charges,952.9951644,,,,1222,percent of total billed charges,999999999,,,,1222,percent of total billed charges,931.0800125,,,,1222,percent of total billed charges,899.0688124,,,,1222,percent of total billed charges,952.9951644,,,,871.286,percent of total billed charges,434.7876586,,,,871.286,percent of total billed charges,260.1441803,,,,871.286,percent of total billed charges,434.7876586,,,,871.286,percent of total billed charges,260.1441803,,,,871.286,percent of total billed charges,434.7876586,,,,871.286,percent of total billed charges,260.1441803,,,,862.732,percent of total billed charges,856.1862178,,,,862.732,percent of total billed charges,590.5048482,,,,,,,,,,879.84,percent of total billed charges,571.8752955,,,,,,,,,,879.84,percent of total billed charges,999999999,,,,,,,,,,977.6,percent of total billed charges,819.1779826,,,,965.38,percent of total billed charges,931.633245,,,,965.38,percent of total billed charges,823.1288105,,,,977.6,percent of total billed charges,999999999,,,,977.6,percent of total billed charges,999999999,,,,855.4,percent of total billed charges,999999999,,,,855.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,650.104,percent of total billed charges,999999999,,,,,,,,,,,,,,,,617.11,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,305.5,percent of total billed charges,290.150272,,,,,,,,,,305.5,percent of total billed charges,285.3238196,,,,,,,,,,305.5,percent of total billed charges,284.5309169,,,,,,,,,,305.5,percent of total billed charges,280.3412027,,,,,,,,,,305.5,percent of total billed charges,287.5547939,,,,,,,,,,305.5,percent of total billed charges,999999999,,,,,,,,,,305.5,percent of total billed charges,246.7422628,,,,,,,,,,305.5,percent of total billed charges,389.1295637,,,,,,,,,,305.5,percent of total billed charges,999999999,,,,,,,,,,305.5,percent of total billed charges,266.0485045,,,,,,,,,,1099.8,percent of total billed charges,,,,,
**US ABD DUPLEX,93975,CDM,0056-2780-01,NDC,,both,1,EA,2097,2097,446.4176319,2097,2097,percent of total billed charges,1542.837397,,,,2097,percent of total billed charges,1635.377136,,,,2097,percent of total billed charges,1542.837397,,,,2097,percent of total billed charges,1635.377136,,,,2097,percent of total billed charges,999999999,,,,2097,percent of total billed charges,1597.769874,,,,2097,percent of total billed charges,1542.837397,,,,2097,percent of total billed charges,1635.377136,,,,1495.161,percent of total billed charges,746.1127005,,,,1495.161,percent of total billed charges,446.4176319,,,,1495.161,percent of total billed charges,746.1127005,,,,1495.161,percent of total billed charges,446.4176319,,,,1495.161,percent of total billed charges,746.1127005,,,,1495.161,percent of total billed charges,446.4176319,,,,1480.482,percent of total billed charges,1469.249181,,,,1480.482,percent of total billed charges,1013.329515,,,,,,,,,,1509.84,percent of total billed charges,981.3604703,,,,,,,,,,1509.84,percent of total billed charges,999999999,,,,,,,,,,1677.6,percent of total billed charges,1405.741595,,,,1656.63,percent of total billed charges,1598.719243,,,,1656.63,percent of total billed charges,1412.521371,,,,1677.6,percent of total billed charges,999999999,,,,1677.6,percent of total billed charges,999999999,,,,1467.9,percent of total billed charges,999999999,,,,1467.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1115.604,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1058.985,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,524.25,percent of total billed charges,497.9092638,,,,,,,,,,524.25,percent of total billed charges,489.6268819,,,,,,,,,,524.25,percent of total billed charges,488.2662298,,,,,,,,,,524.25,percent of total billed charges,481.0765155,,,,,,,,,,524.25,percent of total billed charges,493.4553215,,,,,,,,,,524.25,percent of total billed charges,999999999,,,,,,,,,,524.25,percent of total billed charges,423.419415,,,,,,,,,,524.25,percent of total billed charges,667.7616163,,,,,,,,,,524.25,percent of total billed charges,999999999,,,,,,,,,,524.25,percent of total billed charges,456.549684,,,,,,,,,,1887.3,percent of total billed charges,,,,,
**US VENOUS DUPLEX-LIMITED-UNILATERAL,93971,CDM,0056-2780-01,NDC,,both,1,EA,668,668,142.206475,668,668,percent of total billed charges,491.4713312,,,,668,percent of total billed charges,520.9498935,,,,668,percent of total billed charges,491.4713312,,,,668,percent of total billed charges,520.9498935,,,,668,percent of total billed charges,999999999,,,,668,percent of total billed charges,508.9700886,,,,668,percent of total billed charges,491.4713312,,,,668,percent of total billed charges,520.9498935,,,,476.284,percent of total billed charges,237.674432,,,,476.284,percent of total billed charges,142.206475,,,,476.284,percent of total billed charges,237.674432,,,,476.284,percent of total billed charges,142.206475,,,,476.284,percent of total billed charges,237.674432,,,,476.284,percent of total billed charges,142.206475,,,,471.608,percent of total billed charges,468.0297819,,,,471.608,percent of total billed charges,322.7964309,,,,,,,,,,480.96,percent of total billed charges,312.612682,,,,,,,,,,480.96,percent of total billed charges,999999999,,,,,,,,,,534.4,percent of total billed charges,447.7994209,,,,527.72,percent of total billed charges,509.2725104,,,,527.72,percent of total billed charges,449.9591206,,,,534.4,percent of total billed charges,999999999,,,,534.4,percent of total billed charges,999999999,,,,467.6,percent of total billed charges,999999999,,,,467.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,355.376,percent of total billed charges,999999999,,,,,,,,,,,,,,,,337.34,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,167,percent of total billed charges,158.6091503,,,,,,,,,,167,percent of total billed charges,155.970795,,,,,,,,,,167,percent of total billed charges,155.5373589,,,,,,,,,,167,percent of total billed charges,153.2470731,,,,,,,,,,167,percent of total billed charges,157.1903456,,,,,,,,,,167,percent of total billed charges,999999999,,,,,,,,,,167,percent of total billed charges,134.8803859,,,,,,,,,,167,percent of total billed charges,212.7156699,,,,,,,,,,167,percent of total billed charges,999999999,,,,,,,,,,167,percent of total billed charges,145.4340434,,,,,,,,,,601.2,percent of total billed charges,,,,,
**US COLOR DOPPLER MAPPING,93325,CDM,0056-2780-01,NDC,,both,1,EA,1053,1053,224.1667937,1053,1053,percent of total billed charges,774.7295086,,,,1053,percent of total billed charges,821.1979608,,,,1053,percent of total billed charges,774.7295086,,,,1053,percent of total billed charges,821.1979608,,,,1053,percent of total billed charges,999999999,,,,1053,percent of total billed charges,802.3136278,,,,1053,percent of total billed charges,774.7295086,,,,1053,percent of total billed charges,821.1979608,,,,750.789,percent of total billed charges,374.6574505,,,,750.789,percent of total billed charges,224.1667937,,,,750.789,percent of total billed charges,374.6574505,,,,750.789,percent of total billed charges,224.1667937,,,,750.789,percent of total billed charges,374.6574505,,,,750.789,percent of total billed charges,224.1667937,,,,743.418,percent of total billed charges,737.7774855,,,,743.418,percent of total billed charges,508.8392841,,,,,,,,,,758.16,percent of total billed charges,492.7861589,,,,,,,,,,758.16,percent of total billed charges,999999999,,,,,,,,,,842.4,percent of total billed charges,705.8874106,,,,831.87,percent of total billed charges,802.7903495,,,,831.87,percent of total billed charges,709.2918473,,,,842.4,percent of total billed charges,999999999,,,,842.4,percent of total billed charges,999999999,,,,737.1,percent of total billed charges,999999999,,,,737.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,560.196,percent of total billed charges,999999999,,,,,,,,,,,,,,,,531.765,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,263.25,percent of total billed charges,250.0231067,,,,,,,,,,263.25,percent of total billed charges,245.8641424,,,,,,,,,,263.25,percent of total billed charges,245.1808965,,,,,,,,,,263.25,percent of total billed charges,241.5706108,,,,,,,,,,263.25,percent of total billed charges,247.7865777,,,,,,,,,,263.25,percent of total billed charges,999999999,,,,,,,,,,263.25,percent of total billed charges,212.6183328,,,,,,,,,,263.25,percent of total billed charges,335.313773,,,,,,,,,,263.25,percent of total billed charges,999999999,,,,,,,,,,263.25,percent of total billed charges,229.2545624,,,,,,,,,,947.7,percent of total billed charges,,,,,
**US COLOR DOPPLR MAPPING DR MARTIN W/PR,93325,CDM,0056-2780-01,NDC,,both,1,EA,1219,1219,259.5055285,1219,1219,percent of total billed charges,896.8616059,,,,1219,percent of total billed charges,950.6555691,,,,1219,percent of total billed charges,896.8616059,,,,1219,percent of total billed charges,950.6555691,,,,1219,percent of total billed charges,999999999,,,,1219,percent of total billed charges,928.7942186,,,,1219,percent of total billed charges,896.8616059,,,,1219,percent of total billed charges,950.6555691,,,,869.147,percent of total billed charges,433.7202584,,,,869.147,percent of total billed charges,259.5055285,,,,869.147,percent of total billed charges,433.7202584,,,,869.147,percent of total billed charges,259.5055285,,,,869.147,percent of total billed charges,433.7202584,,,,869.147,percent of total billed charges,259.5055285,,,,860.614,percent of total billed charges,854.0842876,,,,860.614,percent of total billed charges,589.0551637,,,,,,,,,,877.68,percent of total billed charges,570.4713463,,,,,,,,,,877.68,percent of total billed charges,999999999,,,,,,,,,,975.2,percent of total billed charges,817.1669074,,,,963.01,percent of total billed charges,929.3460931,,,,963.01,percent of total billed charges,821.108036,,,,975.2,percent of total billed charges,999999999,,,,975.2,percent of total billed charges,999999999,,,,853.3,percent of total billed charges,999999999,,,,853.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,648.508,percent of total billed charges,999999999,,,,,,,,,,,,,,,,615.595,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,304.75,percent of total billed charges,289.4379554,,,,,,,,,,304.75,percent of total billed charges,284.623352,,,,,,,,,,304.75,percent of total billed charges,283.8323959,,,,,,,,,,304.75,percent of total billed charges,279.6529673,,,,,,,,,,304.75,percent of total billed charges,286.8488493,,,,,,,,,,304.75,percent of total billed charges,999999999,,,,,,,,,,304.75,percent of total billed charges,246.1365126,,,,,,,,,,304.75,percent of total billed charges,388.1742538,,,,,,,,,,304.75,percent of total billed charges,999999999,,,,,,,,,,304.75,percent of total billed charges,265.3953576,,,,,,,,,,1097.1,percent of total billed charges,,,,,
**ARTERIAL IMAGING UE BILATERAL,93930,CDM,0056-2780-01,NDC,,both,1,EA,1293,1293,275.2589404,1293,1293,percent of total billed charges,951.3060348,,,,1293,percent of total billed charges,1008.365587,,,,1293,percent of total billed charges,951.3060348,,,,1293,percent of total billed charges,1008.365587,,,,1293,percent of total billed charges,999999999,,,,1293,percent of total billed charges,985.1771327,,,,1293,percent of total billed charges,951.3060348,,,,1293,percent of total billed charges,1008.365587,,,,921.909,percent of total billed charges,460.049462,,,,921.909,percent of total billed charges,275.2589404,,,,921.909,percent of total billed charges,460.049462,,,,921.909,percent of total billed charges,275.2589404,,,,921.909,percent of total billed charges,460.049462,,,,921.909,percent of total billed charges,275.2589404,,,,912.858,percent of total billed charges,905.9318982,,,,912.858,percent of total billed charges,624.8140497,,,,,,,,,,930.96,percent of total billed charges,605.1020925,,,,,,,,,,930.96,percent of total billed charges,999999999,,,,,,,,,,1034.4,percent of total billed charges,866.7734301,,,,1021.47,percent of total billed charges,985.7625089,,,,1021.47,percent of total billed charges,870.9538068,,,,1034.4,percent of total billed charges,999999999,,,,1034.4,percent of total billed charges,999999999,,,,905.1,percent of total billed charges,999999999,,,,905.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,687.876,percent of total billed charges,999999999,,,,,,,,,,,,,,,,652.965,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,323.25,percent of total billed charges,307.0084302,,,,,,,,,,323.25,percent of total billed charges,301.9015538,,,,,,,,,,323.25,percent of total billed charges,301.0625823,,,,,,,,,,323.25,percent of total billed charges,296.6294395,,,,,,,,,,323.25,percent of total billed charges,304.262151,,,,,,,,,,323.25,percent of total billed charges,999999999,,,,,,,,,,323.25,percent of total billed charges,261.0783517,,,,,,,,,,323.25,percent of total billed charges,411.7385646,,,,,,,,,,323.25,percent of total billed charges,999999999,,,,,,,,,,323.25,percent of total billed charges,281.5063145,,,,,,,,,,1163.7,percent of total billed charges,,,,,
**ARTERIAL IMAGING LE LTD,93926,CDM,0056-2780-01,NDC,,both,1,EA,971,971,206.7103102,971,971,percent of total billed charges,714.3991955,,,,971,percent of total billed charges,757.2490218,,,,971,percent of total billed charges,714.3991955,,,,971,percent of total billed charges,757.2490218,,,,971,percent of total billed charges,999999999,,,,971,percent of total billed charges,739.8352636,,,,971,percent of total billed charges,714.3991955,,,,971,percent of total billed charges,757.2490218,,,,692.323,percent of total billed charges,345.4818465,,,,692.323,percent of total billed charges,206.7103102,,,,692.323,percent of total billed charges,345.4818465,,,,692.323,percent of total billed charges,206.7103102,,,,692.323,percent of total billed charges,345.4818465,,,,692.323,percent of total billed charges,206.7103102,,,,685.526,percent of total billed charges,680.3247279,,,,685.526,percent of total billed charges,469.2145725,,,,,,,,,,699.12,percent of total billed charges,454.4115482,,,,,,,,,,699.12,percent of total billed charges,999999999,,,,,,,,,,776.8,percent of total billed charges,650.9180206,,,,767.09,percent of total billed charges,740.2748617,,,,767.09,percent of total billed charges,654.0573445,,,,776.8,percent of total billed charges,999999999,,,,776.8,percent of total billed charges,999999999,,,,679.7,percent of total billed charges,999999999,,,,679.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,516.572,percent of total billed charges,999999999,,,,,,,,,,,,,,,,490.355,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,242.75,percent of total billed charges,230.5531212,,,,,,,,,,242.75,percent of total billed charges,226.7180269,,,,,,,,,,242.75,percent of total billed charges,226.0879872,,,,,,,,,,242.75,percent of total billed charges,222.7588443,,,,,,,,,,242.75,percent of total billed charges,228.4907569,,,,,,,,,,242.75,percent of total billed charges,999999999,,,,,,,,,,242.75,percent of total billed charges,196.0611597,,,,,,,,,,242.75,percent of total billed charges,309.2019692,,,,,,,,,,242.75,percent of total billed charges,999999999,,,,,,,,,,242.75,percent of total billed charges,211.4018804,,,,,,,,,,873.9,percent of total billed charges,,,,,
**ARTERIAL IMAGING LE-BILATERAL,93925,CDM,0056-2780-01,NDC,,both,1,EA,1486,1486,316.3455417,1486,1486,percent of total billed charges,1093.302991,,,,1486,percent of total billed charges,1158.879553,,,,1486,percent of total billed charges,1093.302991,,,,1486,percent of total billed charges,1158.879553,,,,1486,percent of total billed charges,999999999,,,,1486,percent of total billed charges,1132.229868,,,,1486,percent of total billed charges,1093.302991,,,,1486,percent of total billed charges,1158.879553,,,,1059.518,percent of total billed charges,528.7188712,,,,1059.518,percent of total billed charges,316.3455417,,,,1059.518,percent of total billed charges,528.7188712,,,,1059.518,percent of total billed charges,316.3455417,,,,1059.518,percent of total billed charges,528.7188712,,,,1059.518,percent of total billed charges,316.3455417,,,,1049.116,percent of total billed charges,1041.156072,,,,1049.116,percent of total billed charges,718.0770904,,,,,,,,,,1069.92,percent of total billed charges,695.4228225,,,,,,,,,,1069.92,percent of total billed charges,999999999,,,,,,,,,,1188.8,percent of total billed charges,996.1526041,,,,1173.94,percent of total billed charges,1132.90262,,,,1173.94,percent of total billed charges,1000.956966,,,,1188.8,percent of total billed charges,999999999,,,,1188.8,percent of total billed charges,999999999,,,,1040.2,percent of total billed charges,999999999,,,,1040.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,790.552,percent of total billed charges,999999999,,,,,,,,,,,,,,,,750.43,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,371.5,percent of total billed charges,352.8341278,,,,,,,,,,371.5,percent of total billed charges,346.9649721,,,,,,,,,,371.5,percent of total billed charges,346.0007713,,,,,,,,,,371.5,percent of total billed charges,340.9059142,,,,,,,,,,371.5,percent of total billed charges,349.6779245,,,,,,,,,,371.5,percent of total billed charges,999999999,,,,,,,,,,371.5,percent of total billed charges,300.0482836,,,,,,,,,,371.5,percent of total billed charges,473.1968344,,,,,,,,,,371.5,percent of total billed charges,999999999,,,,,,,,,,371.5,percent of total billed charges,323.5254318,,,,,,,,,,1337.4,percent of total billed charges,,,,,
**ARTERIAL IMAGING UE LIMITED,93931,CDM,0056-2780-01,NDC,,both,1,EA,939,939,199.898024,939,939,percent of total billed charges,690.8556587,,,,939,percent of total billed charges,732.2933383,,,,939,percent of total billed charges,690.8556587,,,,939,percent of total billed charges,732.2933383,,,,939,percent of total billed charges,999999999,,,,939,percent of total billed charges,715.4534629,,,,939,percent of total billed charges,690.8556587,,,,939,percent of total billed charges,732.2933383,,,,669.507,percent of total billed charges,334.096245,,,,669.507,percent of total billed charges,199.898024,,,,669.507,percent of total billed charges,334.096245,,,,669.507,percent of total billed charges,199.898024,,,,669.507,percent of total billed charges,334.096245,,,,669.507,percent of total billed charges,199.898024,,,,662.934,percent of total billed charges,657.9041395,,,,662.934,percent of total billed charges,453.7512704,,,,,,,,,,676.08,percent of total billed charges,439.4360904,,,,,,,,,,676.08,percent of total billed charges,999999999,,,,,,,,,,751.2,percent of total billed charges,629.4665513,,,,741.81,percent of total billed charges,715.8785737,,,,741.81,percent of total billed charges,632.5024166,,,,751.2,percent of total billed charges,999999999,,,,751.2,percent of total billed charges,999999999,,,,657.3,percent of total billed charges,999999999,,,,657.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,499.548,percent of total billed charges,999999999,,,,,,,,,,,,,,,,474.195,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,234.75,percent of total billed charges,222.9550781,,,,,,,,,,234.75,percent of total billed charges,219.246372,,,,,,,,,,234.75,percent of total billed charges,218.6370958,,,,,,,,,,234.75,percent of total billed charges,215.4176672,,,,,,,,,,234.75,percent of total billed charges,220.9606804,,,,,,,,,,234.75,percent of total billed charges,999999999,,,,,,,,,,234.75,percent of total billed charges,189.5998239,,,,,,,,,,234.75,percent of total billed charges,299.011997,,,,,,,,,,234.75,percent of total billed charges,999999999,,,,,,,,,,234.75,percent of total billed charges,204.4349801,,,,,,,,,,845.1,percent of total billed charges,,,,,
US DOPPLER COMPLETE,93975,CDM,0056-2780-01,NDC,,both,1,EA,2095,2095,445.991864,2095,2095,percent of total billed charges,1541.365926,,,,2095,percent of total billed charges,1633.817405,,,,2095,percent of total billed charges,1541.365926,,,,2095,percent of total billed charges,1633.817405,,,,2095,percent of total billed charges,999999999,,,,2095,percent of total billed charges,1596.246012,,,,2095,percent of total billed charges,1541.365926,,,,2095,percent of total billed charges,1633.817405,,,,1493.735,percent of total billed charges,745.4011004,,,,1493.735,percent of total billed charges,445.991864,,,,1493.735,percent of total billed charges,745.4011004,,,,1493.735,percent of total billed charges,445.991864,,,,1493.735,percent of total billed charges,745.4011004,,,,1493.735,percent of total billed charges,445.991864,,,,1479.07,percent of total billed charges,1467.847894,,,,1479.07,percent of total billed charges,1012.363058,,,,,,,,,,1508.4,percent of total billed charges,980.4245042,,,,,,,,,,1508.4,percent of total billed charges,999999999,,,,,,,,,,1676,percent of total billed charges,1404.400879,,,,1655.05,percent of total billed charges,1597.194475,,,,1655.05,percent of total billed charges,1411.174188,,,,1676,percent of total billed charges,999999999,,,,1676,percent of total billed charges,999999999,,,,1466.5,percent of total billed charges,999999999,,,,1466.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1114.54,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1057.975,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,523.75,percent of total billed charges,497.4343861,,,,,,,,,,523.75,percent of total billed charges,489.1599035,,,,,,,,,,523.75,percent of total billed charges,487.8005491,,,,,,,,,,523.75,percent of total billed charges,480.6176919,,,,,,,,,,523.75,percent of total billed charges,492.9846917,,,,,,,,,,523.75,percent of total billed charges,999999999,,,,,,,,,,523.75,percent of total billed charges,423.0155815,,,,,,,,,,523.75,percent of total billed charges,667.124743,,,,,,,,,,523.75,percent of total billed charges,999999999,,,,,,,,,,523.75,percent of total billed charges,456.1142527,,,,,,,,,,1885.5,percent of total billed charges,,,,,
US DOPPLER LIMITED,93976,CDM,0056-2780-01,NDC,,both,1,EA,1222,1222,260.1441803,1222,1222,percent of total billed charges,899.0688124,,,,1222,percent of total billed charges,952.9951644,,,,1222,percent of total billed charges,899.0688124,,,,1222,percent of total billed charges,952.9951644,,,,1222,percent of total billed charges,999999999,,,,1222,percent of total billed charges,931.0800125,,,,1222,percent of total billed charges,899.0688124,,,,1222,percent of total billed charges,952.9951644,,,,871.286,percent of total billed charges,434.7876586,,,,871.286,percent of total billed charges,260.1441803,,,,871.286,percent of total billed charges,434.7876586,,,,871.286,percent of total billed charges,260.1441803,,,,871.286,percent of total billed charges,434.7876586,,,,871.286,percent of total billed charges,260.1441803,,,,862.732,percent of total billed charges,856.1862178,,,,862.732,percent of total billed charges,590.5048482,,,,,,,,,,879.84,percent of total billed charges,571.8752955,,,,,,,,,,879.84,percent of total billed charges,999999999,,,,,,,,,,977.6,percent of total billed charges,819.1779826,,,,965.38,percent of total billed charges,931.633245,,,,965.38,percent of total billed charges,823.1288105,,,,977.6,percent of total billed charges,999999999,,,,977.6,percent of total billed charges,999999999,,,,855.4,percent of total billed charges,999999999,,,,855.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,650.104,percent of total billed charges,999999999,,,,,,,,,,,,,,,,617.11,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,305.5,percent of total billed charges,290.150272,,,,,,,,,,305.5,percent of total billed charges,285.3238196,,,,,,,,,,305.5,percent of total billed charges,284.5309169,,,,,,,,,,305.5,percent of total billed charges,280.3412027,,,,,,,,,,305.5,percent of total billed charges,287.5547939,,,,,,,,,,305.5,percent of total billed charges,999999999,,,,,,,,,,305.5,percent of total billed charges,246.7422628,,,,,,,,,,305.5,percent of total billed charges,389.1295637,,,,,,,,,,305.5,percent of total billed charges,999999999,,,,,,,,,,305.5,percent of total billed charges,266.0485045,,,,,,,,,,1099.8,percent of total billed charges,,,,,
US PSEUDOANEURYSM UE LT,93931,CDM,0056-2780-01,NDC,,both,1,EA,1145,1145,243.7521166,1145,1145,percent of total billed charges,842.417177,,,,1145,percent of total billed charges,892.945551,,,,1145,percent of total billed charges,842.417177,,,,1145,percent of total billed charges,892.945551,,,,1145,percent of total billed charges,999999999,,,,1145,percent of total billed charges,872.4113046,,,,1145,percent of total billed charges,842.417177,,,,1145,percent of total billed charges,892.945551,,,,816.385,percent of total billed charges,407.3910549,,,,816.385,percent of total billed charges,243.7521166,,,,816.385,percent of total billed charges,407.3910549,,,,816.385,percent of total billed charges,243.7521166,,,,816.385,percent of total billed charges,407.3910549,,,,816.385,percent of total billed charges,243.7521166,,,,808.37,percent of total billed charges,802.2366771,,,,808.37,percent of total billed charges,553.2962776,,,,,,,,,,824.4,percent of total billed charges,535.8406001,,,,,,,,,,824.4,percent of total billed charges,999999999,,,,,,,,,,916,percent of total billed charges,767.5603847,,,,904.55,percent of total billed charges,872.9296772,,,,904.55,percent of total billed charges,771.2622651,,,,916,percent of total billed charges,999999999,,,,916,percent of total billed charges,999999999,,,,801.5,percent of total billed charges,999999999,,,,801.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,609.14,percent of total billed charges,999999999,,,,,,,,,,,,,,,,578.225,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,286.25,percent of total billed charges,271.8674807,,,,,,,,,,286.25,percent of total billed charges,267.3451501,,,,,,,,,,286.25,percent of total billed charges,266.6022094,,,,,,,,,,286.25,percent of total billed charges,262.6764951,,,,,,,,,,286.25,percent of total billed charges,269.4355475,,,,,,,,,,286.25,percent of total billed charges,999999999,,,,,,,,,,286.25,percent of total billed charges,231.1946734,,,,,,,,,,286.25,percent of total billed charges,364.6099431,,,,,,,,,,286.25,percent of total billed charges,999999999,,,,,,,,,,286.25,percent of total billed charges,249.2844007,,,,,,,,,,1030.5,percent of total billed charges,,,,,
US PSEUDOANEURYSM UE RT,93931,CDM,0056-2780-01,NDC,,both,1,EA,1145,1145,243.7521166,1145,1145,percent of total billed charges,842.417177,,,,1145,percent of total billed charges,892.945551,,,,1145,percent of total billed charges,842.417177,,,,1145,percent of total billed charges,892.945551,,,,1145,percent of total billed charges,999999999,,,,1145,percent of total billed charges,872.4113046,,,,1145,percent of total billed charges,842.417177,,,,1145,percent of total billed charges,892.945551,,,,816.385,percent of total billed charges,407.3910549,,,,816.385,percent of total billed charges,243.7521166,,,,816.385,percent of total billed charges,407.3910549,,,,816.385,percent of total billed charges,243.7521166,,,,816.385,percent of total billed charges,407.3910549,,,,816.385,percent of total billed charges,243.7521166,,,,808.37,percent of total billed charges,802.2366771,,,,808.37,percent of total billed charges,553.2962776,,,,,,,,,,824.4,percent of total billed charges,535.8406001,,,,,,,,,,824.4,percent of total billed charges,999999999,,,,,,,,,,916,percent of total billed charges,767.5603847,,,,904.55,percent of total billed charges,872.9296772,,,,904.55,percent of total billed charges,771.2622651,,,,916,percent of total billed charges,999999999,,,,916,percent of total billed charges,999999999,,,,801.5,percent of total billed charges,999999999,,,,801.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,609.14,percent of total billed charges,999999999,,,,,,,,,,,,,,,,578.225,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,286.25,percent of total billed charges,271.8674807,,,,,,,,,,286.25,percent of total billed charges,267.3451501,,,,,,,,,,286.25,percent of total billed charges,266.6022094,,,,,,,,,,286.25,percent of total billed charges,262.6764951,,,,,,,,,,286.25,percent of total billed charges,269.4355475,,,,,,,,,,286.25,percent of total billed charges,999999999,,,,,,,,,,286.25,percent of total billed charges,231.1946734,,,,,,,,,,286.25,percent of total billed charges,364.6099431,,,,,,,,,,286.25,percent of total billed charges,999999999,,,,,,,,,,286.25,percent of total billed charges,249.2844007,,,,,,,,,,1030.5,percent of total billed charges,,,,,
US PSEUDOANEURYSM LE LT,93926,CDM,0056-2780-01,NDC,,both,1,EA,1260,1260,268.2337702,1260,1260,percent of total billed charges,927.0267624,,,,1260,percent of total billed charges,982.6300386,,,,1260,percent of total billed charges,927.0267624,,,,1260,percent of total billed charges,982.6300386,,,,1260,percent of total billed charges,999999999,,,,1260,percent of total billed charges,960.0334007,,,,1260,percent of total billed charges,927.0267624,,,,1260,percent of total billed charges,982.6300386,,,,898.38,percent of total billed charges,448.3080604,,,,898.38,percent of total billed charges,268.2337702,,,,898.38,percent of total billed charges,448.3080604,,,,898.38,percent of total billed charges,268.2337702,,,,898.38,percent of total billed charges,448.3080604,,,,898.38,percent of total billed charges,268.2337702,,,,889.56,percent of total billed charges,882.8106665,,,,889.56,percent of total billed charges,608.8675195,,,,,,,,,,907.2,percent of total billed charges,589.6586517,,,,,,,,,,907.2,percent of total billed charges,999999999,,,,,,,,,,1008,percent of total billed charges,844.6516024,,,,995.4,percent of total billed charges,960.603837,,,,995.4,percent of total billed charges,848.7252874,,,,1008,percent of total billed charges,999999999,,,,1008,percent of total billed charges,999999999,,,,882,percent of total billed charges,999999999,,,,882,percent of total billed charges,999999999,,,,,,,,,,,,,,,,670.32,percent of total billed charges,999999999,,,,,,,,,,,,,,,,636.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,315,percent of total billed charges,299.1729482,,,,,,,,,,315,percent of total billed charges,294.1964098,,,,,,,,,,315,percent of total billed charges,293.3788505,,,,,,,,,,315,percent of total billed charges,289.0588505,,,,,,,,,,315,percent of total billed charges,296.4967597,,,,,,,,,,315,percent of total billed charges,999999999,,,,,,,,,,315,percent of total billed charges,254.4150991,,,,,,,,,,315,percent of total billed charges,401.2301557,,,,,,,,,,315,percent of total billed charges,999999999,,,,,,,,,,315,percent of total billed charges,274.3216985,,,,,,,,,,1134,percent of total billed charges,,,,,
US PSEUDOANEURYSM LE RT,93926,CDM,0056-2780-01,NDC,,both,1,EA,1260,1260,268.2337702,1260,1260,percent of total billed charges,927.0267624,,,,1260,percent of total billed charges,982.6300386,,,,1260,percent of total billed charges,927.0267624,,,,1260,percent of total billed charges,982.6300386,,,,1260,percent of total billed charges,999999999,,,,1260,percent of total billed charges,960.0334007,,,,1260,percent of total billed charges,927.0267624,,,,1260,percent of total billed charges,982.6300386,,,,898.38,percent of total billed charges,448.3080604,,,,898.38,percent of total billed charges,268.2337702,,,,898.38,percent of total billed charges,448.3080604,,,,898.38,percent of total billed charges,268.2337702,,,,898.38,percent of total billed charges,448.3080604,,,,898.38,percent of total billed charges,268.2337702,,,,889.56,percent of total billed charges,882.8106665,,,,889.56,percent of total billed charges,608.8675195,,,,,,,,,,907.2,percent of total billed charges,589.6586517,,,,,,,,,,907.2,percent of total billed charges,999999999,,,,,,,,,,1008,percent of total billed charges,844.6516024,,,,995.4,percent of total billed charges,960.603837,,,,995.4,percent of total billed charges,848.7252874,,,,1008,percent of total billed charges,999999999,,,,1008,percent of total billed charges,999999999,,,,882,percent of total billed charges,999999999,,,,882,percent of total billed charges,999999999,,,,,,,,,,,,,,,,670.32,percent of total billed charges,999999999,,,,,,,,,,,,,,,,636.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,315,percent of total billed charges,299.1729482,,,,,,,,,,315,percent of total billed charges,294.1964098,,,,,,,,,,315,percent of total billed charges,293.3788505,,,,,,,,,,315,percent of total billed charges,289.0588505,,,,,,,,,,315,percent of total billed charges,296.4967597,,,,,,,,,,315,percent of total billed charges,999999999,,,,,,,,,,315,percent of total billed charges,254.4150991,,,,,,,,,,315,percent of total billed charges,401.2301557,,,,,,,,,,315,percent of total billed charges,999999999,,,,,,,,,,315,percent of total billed charges,274.3216985,,,,,,,,,,1134,percent of total billed charges,,,,,
EEG INCLUDING REC AWAKE & ASLEEP,95819,CDM,0056-2780-01,NDC,,both,1,EA,1416,1416,301.4436656,1416,1416,percent of total billed charges,1041.801504,,,,1416,percent of total billed charges,1104.288996,,,,1416,percent of total billed charges,1041.801504,,,,1416,percent of total billed charges,1104.288996,,,,1416,percent of total billed charges,999999999,,,,1416,percent of total billed charges,1078.894679,,,,1416,percent of total billed charges,1041.801504,,,,1416,percent of total billed charges,1104.288996,,,,1009.608,percent of total billed charges,503.8128679,,,,1009.608,percent of total billed charges,301.4436656,,,,1009.608,percent of total billed charges,503.8128679,,,,1009.608,percent of total billed charges,301.4436656,,,,1009.608,percent of total billed charges,503.8128679,,,,1009.608,percent of total billed charges,301.4436656,,,,999.696,percent of total billed charges,992.1110347,,,,999.696,percent of total billed charges,684.2511171,,,,,,,,,,1019.52,percent of total billed charges,662.6640085,,,,,,,,,,1019.52,percent of total billed charges,999999999,,,,,,,,,,1132.8,percent of total billed charges,949.2275151,,,,1118.64,percent of total billed charges,1079.535741,,,,1118.64,percent of total billed charges,953.8055611,,,,1132.8,percent of total billed charges,999999999,,,,1132.8,percent of total billed charges,999999999,,,,991.2,percent of total billed charges,999999999,,,,991.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,753.312,percent of total billed charges,999999999,,,,,,,,,,,,,,,,715.08,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,354,percent of total billed charges,336.2134084,,,,,,,,,,354,percent of total billed charges,330.6207272,,,,,,,,,,354,percent of total billed charges,329.7019463,,,,,,,,,,354,percent of total billed charges,324.8470892,,,,,,,,,,354,percent of total billed charges,333.2058823,,,,,,,,,,354,percent of total billed charges,999999999,,,,,,,,,,354,percent of total billed charges,285.9141114,,,,,,,,,,354,percent of total billed charges,450.9062702,,,,,,,,,,354,percent of total billed charges,999999999,,,,,,,,,,354,percent of total billed charges,308.2853374,,,,,,,,,,1274.4,percent of total billed charges,,,,,
**EMG ONE EXTREMITY,95860,CDM,0056-2780-01,NDC,,both,1,EA,146,146,31.08105592,146,146,percent of total billed charges,107.4173868,,,,146,percent of total billed charges,113.8603061,,,,146,percent of total billed charges,107.4173868,,,,146,percent of total billed charges,113.8603061,,,,146,percent of total billed charges,999999999,,,,146,percent of total billed charges,111.2419655,,,,146,percent of total billed charges,107.4173868,,,,146,percent of total billed charges,113.8603061,,,,104.098,percent of total billed charges,51.946807,,,,104.098,percent of total billed charges,31.08105592,,,,104.098,percent of total billed charges,51.946807,,,,104.098,percent of total billed charges,31.08105592,,,,104.098,percent of total billed charges,51.946807,,,,104.098,percent of total billed charges,31.08105592,,,,103.076,percent of total billed charges,102.2939344,,,,103.076,percent of total billed charges,70.55131575,,,,,,,,,,105.12,percent of total billed charges,68.3255263,,,,,,,,,,105.12,percent of total billed charges,999999999,,,,,,,,,,116.8,percent of total billed charges,97.87232853,,,,115.34,percent of total billed charges,111.3080636,,,,115.34,percent of total billed charges,98.3443587,,,,116.8,percent of total billed charges,999999999,,,,116.8,percent of total billed charges,999999999,,,,102.2,percent of total billed charges,999999999,,,,102.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,77.672,percent of total billed charges,999999999,,,,,,,,,,,,,,,,73.73,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,36.5,percent of total billed charges,34.66607177,,,,,,,,,,36.5,percent of total billed charges,34.08942526,,,,,,,,,,36.5,percent of total billed charges,33.9946922,,,,,,,,,,36.5,percent of total billed charges,33.49412078,,,,,,,,,,36.5,percent of total billed charges,34.35597374,,,,,,,,,,36.5,percent of total billed charges,999999999,,,,,,,,,,36.5,percent of total billed charges,29.47984482,,,,,,,,,,36.5,percent of total billed charges,46.4917482,,,,,,,,,,36.5,percent of total billed charges,999999999,,,,,,,,,,36.5,percent of total billed charges,31.78648253,,,,,,,,,,131.4,percent of total billed charges,,,,,
**EMG TWO EXTREMITY,95861,CDM,0056-2780-01,NDC,,both,1,EA,237,237,50.45349488,237,237,percent of total billed charges,174.3693196,,,,237,percent of total billed charges,184.8280311,,,,237,percent of total billed charges,174.3693196,,,,237,percent of total billed charges,184.8280311,,,,237,percent of total billed charges,999999999,,,,237,percent of total billed charges,180.5777111,,,,237,percent of total billed charges,174.3693196,,,,237,percent of total billed charges,184.8280311,,,,168.981,percent of total billed charges,84.32461136,,,,168.981,percent of total billed charges,50.45349488,,,,168.981,percent of total billed charges,84.32461136,,,,168.981,percent of total billed charges,50.45349488,,,,168.981,percent of total billed charges,84.32461136,,,,168.981,percent of total billed charges,50.45349488,,,,167.322,percent of total billed charges,166.0524825,,,,167.322,percent of total billed charges,114.525081,,,,,,,,,,170.64,percent of total billed charges,110.9119845,,,,,,,,,,170.64,percent of total billed charges,999999999,,,,,,,,,,189.6,percent of total billed charges,158.8749443,,,,187.23,percent of total billed charges,180.6850074,,,,187.23,percent of total billed charges,159.641185,,,,189.6,percent of total billed charges,999999999,,,,189.6,percent of total billed charges,999999999,,,,165.9,percent of total billed charges,999999999,,,,165.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,126.084,percent of total billed charges,999999999,,,,,,,,,,,,,,,,119.685,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,59.25,percent of total billed charges,56.27300692,,,,,,,,,,59.25,percent of total billed charges,55.33694374,,,,,,,,,,59.25,percent of total billed charges,55.18316474,,,,,,,,,,59.25,percent of total billed charges,54.37059331,,,,,,,,,,59.25,percent of total billed charges,55.76962861,,,,,,,,,,59.25,percent of total billed charges,999999999,,,,,,,,,,59.25,percent of total billed charges,47.85426865,,,,,,,,,,59.25,percent of total billed charges,75.46948167,,,,,,,,,,59.25,percent of total billed charges,999999999,,,,,,,,,,59.25,percent of total billed charges,51.5986052,,,,,,,,,,213.3,percent of total billed charges,,,,,
**EMG THREE EXTREMITY,95863,CDM,0056-2780-01,NDC,,both,1,EA,327,327,69.61304989,327,327,percent of total billed charges,240.5855169,,,,327,percent of total billed charges,255.015891,,,,327,percent of total billed charges,240.5855169,,,,327,percent of total billed charges,255.015891,,,,327,percent of total billed charges,999999999,,,,327,percent of total billed charges,249.1515254,,,,327,percent of total billed charges,240.5855169,,,,327,percent of total billed charges,255.015891,,,,233.151,percent of total billed charges,116.3466157,,,,233.151,percent of total billed charges,69.61304989,,,,233.151,percent of total billed charges,116.3466157,,,,233.151,percent of total billed charges,69.61304989,,,,233.151,percent of total billed charges,116.3466157,,,,233.151,percent of total billed charges,69.61304989,,,,230.862,percent of total billed charges,229.1103872,,,,230.862,percent of total billed charges,158.0156181,,,,,,,,,,235.44,percent of total billed charges,153.0304596,,,,,,,,,,235.44,percent of total billed charges,999999999,,,,,,,,,,261.6,percent of total billed charges,219.2072016,,,,258.33,percent of total billed charges,249.2995672,,,,258.33,percent of total billed charges,220.2644198,,,,261.6,percent of total billed charges,999999999,,,,261.6,percent of total billed charges,999999999,,,,228.9,percent of total billed charges,999999999,,,,228.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,173.964,percent of total billed charges,999999999,,,,,,,,,,,,,,,,165.135,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,81.75,percent of total billed charges,77.64250322,,,,,,,,,,81.75,percent of total billed charges,76.35097301,,,,,,,,,,81.75,percent of total billed charges,76.13879692,,,,,,,,,,81.75,percent of total billed charges,75.01765407,,,,,,,,,,81.75,percent of total billed charges,76.94796859,,,,,,,,,,81.75,percent of total billed charges,999999999,,,,,,,,,,81.75,percent of total billed charges,66.02677573,,,,,,,,,,81.75,percent of total billed charges,104.1287785,,,,,,,,,,81.75,percent of total billed charges,999999999,,,,,,,,,,81.75,percent of total billed charges,71.19301224,,,,,,,,,,294.3,percent of total billed charges,,,,,
**EMG FOUR EXTREMITY,95864,CDM,0056-2780-01,NDC,,both,1,EA,406,406,86.43088152,406,406,percent of total billed charges,298.7086234,,,,406,percent of total billed charges,316.6252347,,,,406,percent of total billed charges,298.7086234,,,,406,percent of total billed charges,316.6252347,,,,406,percent of total billed charges,999999999,,,,406,percent of total billed charges,309.3440958,,,,406,percent of total billed charges,298.7086234,,,,406,percent of total billed charges,316.6252347,,,,289.478,percent of total billed charges,144.4548195,,,,289.478,percent of total billed charges,86.43088152,,,,289.478,percent of total billed charges,144.4548195,,,,289.478,percent of total billed charges,86.43088152,,,,289.478,percent of total billed charges,144.4548195,,,,289.478,percent of total billed charges,86.43088152,,,,286.636,percent of total billed charges,284.4612147,,,,286.636,percent of total billed charges,196.1906452,,,,,,,,,,292.32,percent of total billed charges,190.0011211,,,,,,,,,,292.32,percent of total billed charges,999999999,,,,,,,,,,324.8,percent of total billed charges,272.1655163,,,,320.74,percent of total billed charges,309.527903,,,,320.74,percent of total billed charges,273.4781482,,,,324.8,percent of total billed charges,999999999,,,,324.8,percent of total billed charges,999999999,,,,284.2,percent of total billed charges,999999999,,,,284.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,215.992,percent of total billed charges,999999999,,,,,,,,,,,,,,,,205.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,101.5,percent of total billed charges,96.40017219,,,,,,,,,,101.5,percent of total billed charges,94.79662092,,,,,,,,,,101.5,percent of total billed charges,94.53318517,,,,,,,,,,101.5,percent of total billed charges,93.14118517,,,,,,,,,,101.5,percent of total billed charges,95.53784479,,,,,,,,,,101.5,percent of total billed charges,999999999,,,,,,,,,,101.5,percent of total billed charges,81.97819861,,,,,,,,,,101.5,percent of total billed charges,129.2852724,,,,,,,,,,101.5,percent of total billed charges,999999999,,,,,,,,,,101.5,percent of total billed charges,88.39254731,,,,,,,,,,365.4,percent of total billed charges,,,,,
**EMG CRANIAL NERVE UNILATERAL,95867,CDM,0056-2780-01,NDC,,both,1,EA,443,443,94.30758747,443,443,percent of total billed charges,325.9308379,,,,443,percent of total billed charges,345.4802437,,,,443,percent of total billed charges,325.9308379,,,,443,percent of total billed charges,345.4802437,,,,443,percent of total billed charges,999999999,,,,443,percent of total billed charges,337.5355528,,,,443,percent of total billed charges,325.9308379,,,,443,percent of total billed charges,345.4802437,,,,315.859,percent of total billed charges,157.6194212,,,,315.859,percent of total billed charges,94.30758747,,,,315.859,percent of total billed charges,157.6194212,,,,315.859,percent of total billed charges,94.30758747,,,,315.859,percent of total billed charges,157.6194212,,,,315.859,percent of total billed charges,94.30758747,,,,312.758,percent of total billed charges,310.38502,,,,312.758,percent of total billed charges,214.0700882,,,,,,,,,,318.96,percent of total billed charges,207.3164942,,,,,,,,,,318.96,percent of total billed charges,999999999,,,,,,,,,,354.4,percent of total billed charges,296.9687777,,,,349.97,percent of total billed charges,337.7361109,,,,349.97,percent of total billed charges,298.4010336,,,,354.4,percent of total billed charges,999999999,,,,354.4,percent of total billed charges,999999999,,,,310.1,percent of total billed charges,999999999,,,,310.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,235.676,percent of total billed charges,999999999,,,,,,,,,,,,,,,,223.715,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,110.75,percent of total billed charges,105.1854096,,,,,,,,,,110.75,percent of total billed charges,103.4357218,,,,,,,,,,110.75,percent of total billed charges,103.1482784,,,,,,,,,,110.75,percent of total billed charges,101.6294213,,,,,,,,,,110.75,percent of total billed charges,104.2444957,,,,,,,,,,110.75,percent of total billed charges,999999999,,,,,,,,,,110.75,percent of total billed charges,89.44911819,,,,,,,,,,110.75,percent of total billed charges,141.0674278,,,,,,,,,,110.75,percent of total billed charges,999999999,,,,,,,,,,110.75,percent of total billed charges,96.44802576,,,,,,,,,,398.7,percent of total billed charges,,,,,
**NERVE CONDUCTION W/O F WAVE,95900,CDM,0056-2780-01,NDC,,both,1,EA,508,508,108.1450439,508,508,percent of total billed charges,373.7536471,,,,508,percent of total billed charges,396.1714759,,,,508,percent of total billed charges,373.7536471,,,,508,percent of total billed charges,396.1714759,,,,508,percent of total billed charges,999999999,,,,508,percent of total billed charges,387.0610854,,,,508,percent of total billed charges,373.7536471,,,,508,percent of total billed charges,396.1714759,,,,362.204,percent of total billed charges,180.7464243,,,,362.204,percent of total billed charges,108.1450439,,,,362.204,percent of total billed charges,180.7464243,,,,362.204,percent of total billed charges,108.1450439,,,,362.204,percent of total billed charges,180.7464243,,,,362.204,percent of total billed charges,108.1450439,,,,358.648,percent of total billed charges,355.9268401,,,,358.648,percent of total billed charges,245.4799205,,,,,,,,,,365.76,percent of total billed charges,237.7353929,,,,,,,,,,365.76,percent of total billed charges,999999999,,,,,,,,,,406.4,percent of total billed charges,340.5420746,,,,401.32,percent of total billed charges,387.2910708,,,,401.32,percent of total billed charges,342.184481,,,,406.4,percent of total billed charges,999999999,,,,406.4,percent of total billed charges,999999999,,,,355.6,percent of total billed charges,999999999,,,,355.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,270.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,256.54,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,127,percent of total billed charges,120.6189347,,,,,,,,,,127,percent of total billed charges,118.6125208,,,,,,,,,,127,percent of total billed charges,118.2829016,,,,,,,,,,127,percent of total billed charges,116.5411874,,,,,,,,,,127,percent of total billed charges,119.5399634,,,,,,,,,,127,percent of total billed charges,999999999,,,,,,,,,,127,percent of total billed charges,102.5737066,,,,,,,,,,127,percent of total billed charges,161.7658088,,,,,,,,,,127,percent of total billed charges,999999999,,,,,,,,,,127,percent of total billed charges,110.599542,,,,,,,,,,457.2,percent of total billed charges,,,,,
**NERVE CONDUCTION W / F WAVE,95903,CDM,0056-2780-01,NDC,,both,1,EA,591,591,125.8144113,591,591,percent of total billed charges,434.8196957,,,,591,percent of total billed charges,460.90028,,,,591,percent of total billed charges,434.8196957,,,,591,percent of total billed charges,460.90028,,,,591,percent of total billed charges,999999999,,,,591,percent of total billed charges,450.3013808,,,,591,percent of total billed charges,434.8196957,,,,591,percent of total billed charges,460.90028,,,,421.383,percent of total billed charges,210.2778283,,,,421.383,percent of total billed charges,125.8144113,,,,421.383,percent of total billed charges,210.2778283,,,,421.383,percent of total billed charges,125.8144113,,,,421.383,percent of total billed charges,210.2778283,,,,421.383,percent of total billed charges,125.8144113,,,,417.246,percent of total billed charges,414.0802412,,,,417.246,percent of total billed charges,285.5878603,,,,,,,,,,425.52,percent of total billed charges,276.5779866,,,,,,,,,,425.52,percent of total billed charges,999999999,,,,,,,,,,472.8,percent of total billed charges,396.181823,,,,466.89,percent of total billed charges,450.5689426,,,,466.89,percent of total billed charges,398.0925753,,,,472.8,percent of total billed charges,999999999,,,,472.8,percent of total billed charges,999999999,,,,413.7,percent of total billed charges,999999999,,,,413.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,314.412,percent of total billed charges,999999999,,,,,,,,,,,,,,,,298.455,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,147.75,percent of total billed charges,140.326359,,,,,,,,,,147.75,percent of total billed charges,137.9921255,,,,,,,,,,147.75,percent of total billed charges,137.6086513,,,,,,,,,,147.75,percent of total billed charges,135.5823656,,,,,,,,,,147.75,percent of total billed charges,139.0710992,,,,,,,,,,147.75,percent of total billed charges,999999999,,,,,,,,,,147.75,percent of total billed charges,119.3327965,,,,,,,,,,147.75,percent of total billed charges,188.1960492,,,,,,,,,,147.75,percent of total billed charges,999999999,,,,,,,,,,147.75,percent of total billed charges,128.6699396,,,,,,,,,,531.9,percent of total billed charges,,,,,
**SENSORY NERVE CONDUCTION,95904,CDM,0056-2780-01,NDC,,both,1,EA,645,645,137.3101443,645,645,percent of total billed charges,474.5494141,,,,645,percent of total billed charges,503.012996,,,,645,percent of total billed charges,474.5494141,,,,645,percent of total billed charges,503.012996,,,,645,percent of total billed charges,999999999,,,,645,percent of total billed charges,491.4456694,,,,645,percent of total billed charges,474.5494141,,,,645,percent of total billed charges,503.012996,,,,459.885,percent of total billed charges,229.4910309,,,,459.885,percent of total billed charges,137.3101443,,,,459.885,percent of total billed charges,229.4910309,,,,459.885,percent of total billed charges,137.3101443,,,,459.885,percent of total billed charges,229.4910309,,,,459.885,percent of total billed charges,137.3101443,,,,455.37,percent of total billed charges,451.914984,,,,455.37,percent of total billed charges,311.6821826,,,,,,,,,,464.4,percent of total billed charges,301.8490717,,,,,,,,,,464.4,percent of total billed charges,999999999,,,,,,,,,,516,percent of total billed charges,432.3811774,,,,509.55,percent of total billed charges,491.7376784,,,,509.55,percent of total billed charges,434.4665162,,,,516,percent of total billed charges,999999999,,,,516,percent of total billed charges,999999999,,,,451.5,percent of total billed charges,999999999,,,,451.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,343.14,percent of total billed charges,999999999,,,,,,,,,,,,,,,,325.725,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,161.25,percent of total billed charges,153.1480568,,,,,,,,,,161.25,percent of total billed charges,150.6005431,,,,,,,,,,161.25,percent of total billed charges,150.1820306,,,,,,,,,,161.25,percent of total billed charges,147.9706021,,,,,,,,,,161.25,percent of total billed charges,151.7781032,,,,,,,,,,161.25,percent of total billed charges,999999999,,,,,,,,,,161.25,percent of total billed charges,130.2363007,,,,,,,,,,161.25,percent of total billed charges,205.3916273,,,,,,,,,,161.25,percent of total billed charges,999999999,,,,,,,,,,161.25,percent of total billed charges,140.4265838,,,,,,,,,,580.5,percent of total billed charges,,,,,
**MM UNILAT DIAGNOSTIC,77055,CDM,0056-2780-01,NDC,,both,1,EA,393,393,83.66339024,393,393,percent of total billed charges,289.1440616,,,,393,percent of total billed charges,306.4869882,,,,393,percent of total billed charges,289.1440616,,,,393,percent of total billed charges,306.4869882,,,,393,percent of total billed charges,999999999,,,,393,percent of total billed charges,299.4389893,,,,393,percent of total billed charges,289.1440616,,,,393,percent of total billed charges,306.4869882,,,,280.209,percent of total billed charges,139.8294188,,,,280.209,percent of total billed charges,83.66339024,,,,280.209,percent of total billed charges,139.8294188,,,,280.209,percent of total billed charges,83.66339024,,,,280.209,percent of total billed charges,139.8294188,,,,280.209,percent of total billed charges,83.66339024,,,,277.458,percent of total billed charges,275.3528507,,,,277.458,percent of total billed charges,189.9086787,,,,,,,,,,282.96,percent of total billed charges,183.9173414,,,,,,,,,,282.96,percent of total billed charges,999999999,,,,,,,,,,314.4,percent of total billed charges,263.4508569,,,,310.47,percent of total billed charges,299.6169111,,,,310.47,percent of total billed charges,264.7214587,,,,314.4,percent of total billed charges,999999999,,,,314.4,percent of total billed charges,999999999,,,,275.1,percent of total billed charges,999999999,,,,275.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,209.076,percent of total billed charges,999999999,,,,,,,,,,,,,,,,198.465,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,98.25,percent of total billed charges,93.31346717,,,,,,,,,,98.25,percent of total billed charges,91.76126114,,,,,,,,,,98.25,percent of total billed charges,91.50626052,,,,,,,,,,98.25,percent of total billed charges,90.15883195,,,,,,,,,,98.25,percent of total billed charges,92.47875124,,,,,,,,,,98.25,percent of total billed charges,999999999,,,,,,,,,,98.25,percent of total billed charges,79.35328092,,,,,,,,,,98.25,percent of total billed charges,125.1455962,,,,,,,,,,98.25,percent of total billed charges,999999999,,,,,,,,,,98.25,percent of total billed charges,85.56224407,,,,,,,,,,353.7,percent of total billed charges,,,,,
**MM BILATERAL SCREEN/DX,76091,CDM,0056-2780-01,NDC,GH,both,1,EA,489,489,104.1002489,489,489,percent of total billed charges,359.7746721,,,,489,percent of total billed charges,381.3540388,,,,489,percent of total billed charges,359.7746721,,,,489,percent of total billed charges,381.3540388,,,,489,percent of total billed charges,999999999,,,,489,percent of total billed charges,372.5843912,,,,489,percent of total billed charges,359.7746721,,,,489,percent of total billed charges,381.3540388,,,,348.657,percent of total billed charges,173.9862234,,,,348.657,percent of total billed charges,104.1002489,,,,348.657,percent of total billed charges,173.9862234,,,,348.657,percent of total billed charges,104.1002489,,,,348.657,percent of total billed charges,173.9862234,,,,348.657,percent of total billed charges,104.1002489,,,,345.234,percent of total billed charges,342.6146158,,,,345.234,percent of total billed charges,236.2985849,,,,,,,,,,352.08,percent of total billed charges,228.8437148,,,,,,,,,,352.08,percent of total billed charges,999999999,,,,,,,,,,391.2,percent of total billed charges,327.8052647,,,,386.31,percent of total billed charges,372.8057748,,,,386.31,percent of total billed charges,329.3862425,,,,391.2,percent of total billed charges,999999999,,,,391.2,percent of total billed charges,999999999,,,,342.3,percent of total billed charges,999999999,,,,342.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,260.148,percent of total billed charges,999999999,,,,,,,,,,,,,,,,246.945,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,122.25,percent of total billed charges,116.1075966,,,,,,,,,,122.25,percent of total billed charges,114.1762257,,,,,,,,,,122.25,percent of total billed charges,113.8589348,,,,,,,,,,122.25,percent of total billed charges,112.1823634,,,,,,,,,,122.25,percent of total billed charges,115.0689805,,,,,,,,,,122.25,percent of total billed charges,999999999,,,,,,,,,,122.25,percent of total billed charges,98.73728847,,,,,,,,,,122.25,percent of total billed charges,155.7155128,,,,,,,,,,122.25,percent of total billed charges,999999999,,,,,,,,,,122.25,percent of total billed charges,106.4629449,,,,,,,,,,440.1,percent of total billed charges,,,,,
**MM UNILATERAL DIAGNOSTIC,76090,CDM,0056-2780-01,NDC,,both,1,EA,237,237,50.45349488,237,237,percent of total billed charges,174.3693196,,,,237,percent of total billed charges,184.8280311,,,,237,percent of total billed charges,174.3693196,,,,237,percent of total billed charges,184.8280311,,,,237,percent of total billed charges,999999999,,,,237,percent of total billed charges,180.5777111,,,,237,percent of total billed charges,174.3693196,,,,237,percent of total billed charges,184.8280311,,,,168.981,percent of total billed charges,84.32461136,,,,168.981,percent of total billed charges,50.45349488,,,,168.981,percent of total billed charges,84.32461136,,,,168.981,percent of total billed charges,50.45349488,,,,168.981,percent of total billed charges,84.32461136,,,,168.981,percent of total billed charges,50.45349488,,,,167.322,percent of total billed charges,166.0524825,,,,167.322,percent of total billed charges,114.525081,,,,,,,,,,170.64,percent of total billed charges,110.9119845,,,,,,,,,,170.64,percent of total billed charges,999999999,,,,,,,,,,189.6,percent of total billed charges,158.8749443,,,,187.23,percent of total billed charges,180.6850074,,,,187.23,percent of total billed charges,159.641185,,,,189.6,percent of total billed charges,999999999,,,,189.6,percent of total billed charges,999999999,,,,165.9,percent of total billed charges,999999999,,,,165.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,126.084,percent of total billed charges,999999999,,,,,,,,,,,,,,,,119.685,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,59.25,percent of total billed charges,56.27300692,,,,,,,,,,59.25,percent of total billed charges,55.33694374,,,,,,,,,,59.25,percent of total billed charges,55.18316474,,,,,,,,,,59.25,percent of total billed charges,54.37059331,,,,,,,,,,59.25,percent of total billed charges,55.76962861,,,,,,,,,,59.25,percent of total billed charges,999999999,,,,,,,,,,59.25,percent of total billed charges,47.85426865,,,,,,,,,,59.25,percent of total billed charges,75.46948167,,,,,,,,,,59.25,percent of total billed charges,999999999,,,,,,,,,,59.25,percent of total billed charges,51.5986052,,,,,,,,,,213.3,percent of total billed charges,,,,,
**MM SCREENING,77057,CDM,0056-2780-01,NDC,,both,1,EA,364,364,77.48975584,364,364,percent of total billed charges,267.8077314,,,,364,percent of total billed charges,283.8709,,,,364,percent of total billed charges,267.8077314,,,,364,percent of total billed charges,283.8709,,,,364,percent of total billed charges,999999999,,,,364,percent of total billed charges,277.3429824,,,,364,percent of total billed charges,267.8077314,,,,364,percent of total billed charges,283.8709,,,,259.532,percent of total billed charges,129.5112174,,,,259.532,percent of total billed charges,77.48975584,,,,259.532,percent of total billed charges,129.5112174,,,,259.532,percent of total billed charges,77.48975584,,,,259.532,percent of total billed charges,129.5112174,,,,259.532,percent of total billed charges,77.48975584,,,,256.984,percent of total billed charges,255.0341925,,,,256.984,percent of total billed charges,175.8950612,,,,,,,,,,262.08,percent of total billed charges,170.3458327,,,,,,,,,,262.08,percent of total billed charges,999999999,,,,,,,,,,291.2,percent of total billed charges,244.0104629,,,,287.56,percent of total billed charges,277.5077751,,,,287.56,percent of total billed charges,245.1873053,,,,291.2,percent of total billed charges,999999999,,,,291.2,percent of total billed charges,999999999,,,,254.8,percent of total billed charges,999999999,,,,254.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,193.648,percent of total billed charges,999999999,,,,,,,,,,,,,,,,183.82,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,91,percent of total billed charges,86.42774059,,,,,,,,,,91,percent of total billed charges,84.99007393,,,,,,,,,,91,percent of total billed charges,84.75389015,,,,,,,,,,91,percent of total billed charges,83.50589015,,,,,,,,,,91,percent of total billed charges,85.65461947,,,,,,,,,,91,percent of total billed charges,999999999,,,,,,,,,,91,percent of total billed charges,73.49769531,,,,,,,,,,91,percent of total billed charges,115.9109339,,,,,,,,,,91,percent of total billed charges,999999999,,,,,,,,,,91,percent of total billed charges,79.24849069,,,,,,,,,,327.6,percent of total billed charges,,,,,
**MM BILAT DIAGNOSTIC,77056,CDM,0056-2780-01,NDC,,both,1,EA,559,559,119.002125,559,559,percent of total billed charges,411.2761589,,,,559,percent of total billed charges,435.9445965,,,,559,percent of total billed charges,411.2761589,,,,559,percent of total billed charges,435.9445965,,,,559,percent of total billed charges,999999999,,,,559,percent of total billed charges,425.9195802,,,,559,percent of total billed charges,411.2761589,,,,559,percent of total billed charges,435.9445965,,,,398.567,percent of total billed charges,198.8922268,,,,398.567,percent of total billed charges,119.002125,,,,398.567,percent of total billed charges,198.8922268,,,,398.567,percent of total billed charges,119.002125,,,,398.567,percent of total billed charges,198.8922268,,,,398.567,percent of total billed charges,119.002125,,,,394.654,percent of total billed charges,391.6596528,,,,394.654,percent of total billed charges,270.1245582,,,,,,,,,,402.48,percent of total billed charges,261.6025288,,,,,,,,,,402.48,percent of total billed charges,999999999,,,,,,,,,,447.2,percent of total billed charges,374.7303538,,,,441.61,percent of total billed charges,426.1726546,,,,441.61,percent of total billed charges,376.5376473,,,,447.2,percent of total billed charges,999999999,,,,447.2,percent of total billed charges,999999999,,,,391.3,percent of total billed charges,999999999,,,,391.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,297.388,percent of total billed charges,999999999,,,,,,,,,,,,,,,,282.295,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,139.75,percent of total billed charges,132.7283159,,,,,,,,,,139.75,percent of total billed charges,130.5204707,,,,,,,,,,139.75,percent of total billed charges,130.1577599,,,,,,,,,,139.75,percent of total billed charges,128.2411884,,,,,,,,,,139.75,percent of total billed charges,131.5410228,,,,,,,,,,139.75,percent of total billed charges,999999999,,,,,,,,,,139.75,percent of total billed charges,112.8714606,,,,,,,,,,139.75,percent of total billed charges,178.006077,,,,,,,,,,139.75,percent of total billed charges,999999999,,,,,,,,,,139.75,percent of total billed charges,121.7030393,,,,,,,,,,503.1,percent of total billed charges,,,,,
**MM MAMMO GUIDANCE FOR NEEDLE,77032,CDM,0056-2780-01,NDC,,both,1,EA,698,698,148.5929933,698,698,percent of total billed charges,513.543397,,,,698,percent of total billed charges,544.3458468,,,,698,percent of total billed charges,513.543397,,,,698,percent of total billed charges,544.3458468,,,,698,percent of total billed charges,999999999,,,,698,percent of total billed charges,531.8280268,,,,698,percent of total billed charges,513.543397,,,,698,percent of total billed charges,544.3458468,,,,497.674,percent of total billed charges,248.3484335,,,,497.674,percent of total billed charges,148.5929933,,,,497.674,percent of total billed charges,248.3484335,,,,497.674,percent of total billed charges,148.5929933,,,,497.674,percent of total billed charges,248.3484335,,,,497.674,percent of total billed charges,148.5929933,,,,492.788,percent of total billed charges,489.0490835,,,,492.788,percent of total billed charges,337.2932766,,,,,,,,,,502.56,percent of total billed charges,326.6521737,,,,,,,,,,502.56,percent of total billed charges,999999999,,,,,,,,,,558.4,percent of total billed charges,467.9101734,,,,551.42,percent of total billed charges,532.1440303,,,,551.42,percent of total billed charges,470.1668656,,,,558.4,percent of total billed charges,999999999,,,,558.4,percent of total billed charges,999999999,,,,488.6,percent of total billed charges,999999999,,,,488.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,371.336,percent of total billed charges,999999999,,,,,,,,,,,,,,,,352.49,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,174.5,percent of total billed charges,165.7323157,,,,,,,,,,174.5,percent of total billed charges,162.9754714,,,,,,,,,,174.5,percent of total billed charges,162.5225696,,,,,,,,,,174.5,percent of total billed charges,160.1294267,,,,,,,,,,174.5,percent of total billed charges,164.2497923,,,,,,,,,,174.5,percent of total billed charges,999999999,,,,,,,,,,174.5,percent of total billed charges,140.9378883,,,,,,,,,,174.5,percent of total billed charges,222.2687688,,,,,,,,,,174.5,percent of total billed charges,999999999,,,,,,,,,,174.5,percent of total billed charges,151.9655124,,,,,,,,,,628.2,percent of total billed charges,,,,,
**MM BREAST LOCALIZATION BILAT WIRE,19281,CDM,0056-2780-01,NDC,50,both,1,EA,1521,1521,323.7964798,1521,1521,percent of total billed charges,1119.053735,,,,1521,percent of total billed charges,1186.174832,,,,1521,percent of total billed charges,1119.053735,,,,1521,percent of total billed charges,1186.174832,,,,1521,percent of total billed charges,999999999,,,,1521,percent of total billed charges,1158.897462,,,,1521,percent of total billed charges,1119.053735,,,,1521,percent of total billed charges,1186.174832,,,,1084.473,percent of total billed charges,541.1718729,,,,1084.473,percent of total billed charges,323.7964798,,,,1084.473,percent of total billed charges,541.1718729,,,,1084.473,percent of total billed charges,323.7964798,,,,1084.473,percent of total billed charges,541.1718729,,,,1084.473,percent of total billed charges,323.7964798,,,,1073.826,percent of total billed charges,1065.67859,,,,1073.826,percent of total billed charges,734.9900771,,,,,,,,,,1095.12,percent of total billed charges,711.8022295,,,,,,,,,,1095.12,percent of total billed charges,999999999,,,,,,,,,,1216.8,percent of total billed charges,1019.615149,,,,1201.59,percent of total billed charges,1159.58606,,,,1201.59,percent of total billed charges,1024.532668,,,,1216.8,percent of total billed charges,999999999,,,,1216.8,percent of total billed charges,999999999,,,,1064.7,percent of total billed charges,999999999,,,,1064.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,809.172,percent of total billed charges,999999999,,,,,,,,,,,,,,,,768.105,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,380.25,percent of total billed charges,361.1444874,,,,,,,,,,380.25,percent of total billed charges,355.1370946,,,,,,,,,,380.25,percent of total billed charges,354.1501839,,,,,,,,,,380.25,percent of total billed charges,348.9353267,,,,,,,,,,380.25,percent of total billed charges,357.9139456,,,,,,,,,,380.25,percent of total billed charges,999999999,,,,,,,,,,380.25,percent of total billed charges,307.1153697,,,,,,,,,,380.25,percent of total billed charges,484.3421165,,,,,,,,,,380.25,percent of total billed charges,999999999,,,,,,,,,,380.25,percent of total billed charges,331.145479,,,,,,,,,,1368.9,percent of total billed charges,,,,,
MM SURGICAL SPECIMEN  RADIOLOGICAL EXAM,76098,CDM,0056-2780-01,NDC,,both,1,EA,979,979,208.4133818,979,979,percent of total billed charges,720.2850797,,,,979,percent of total billed charges,763.4879427,,,,979,percent of total billed charges,720.2850797,,,,979,percent of total billed charges,763.4879427,,,,979,percent of total billed charges,999999999,,,,979,percent of total billed charges,745.9307137,,,,979,percent of total billed charges,720.2850797,,,,979,percent of total billed charges,763.4879427,,,,698.027,percent of total billed charges,348.3282469,,,,698.027,percent of total billed charges,208.4133818,,,,698.027,percent of total billed charges,348.3282469,,,,698.027,percent of total billed charges,208.4133818,,,,698.027,percent of total billed charges,348.3282469,,,,698.027,percent of total billed charges,208.4133818,,,,691.174,percent of total billed charges,685.929875,,,,691.174,percent of total billed charges,473.080398,,,,,,,,,,704.88,percent of total billed charges,458.1554127,,,,,,,,,,704.88,percent of total billed charges,999999999,,,,,,,,,,783.2,percent of total billed charges,656.2808879,,,,773.41,percent of total billed charges,746.3739336,,,,773.41,percent of total billed charges,659.4460765,,,,783.2,percent of total billed charges,999999999,,,,783.2,percent of total billed charges,999999999,,,,685.3,percent of total billed charges,999999999,,,,685.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,520.828,percent of total billed charges,999999999,,,,,,,,,,,,,,,,494.395,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,244.75,percent of total billed charges,232.452632,,,,,,,,,,244.75,percent of total billed charges,228.5859406,,,,,,,,,,244.75,percent of total billed charges,227.9507101,,,,,,,,,,244.75,percent of total billed charges,224.5941386,,,,,,,,,,244.75,percent of total billed charges,230.373276,,,,,,,,,,244.75,percent of total billed charges,999999999,,,,,,,,,,244.75,percent of total billed charges,197.6764937,,,,,,,,,,244.75,percent of total billed charges,311.7494623,,,,,,,,,,244.75,percent of total billed charges,999999999,,,,,,,,,,244.75,percent of total billed charges,213.1436055,,,,,,,,,,881.1,percent of total billed charges,,,,,
**MM NEEDLE LOC OF TUMOR EA LESION,76096,CDM,0056-2780-01,NDC,,both,1,EA,353,353,75.14803245,353,353,percent of total billed charges,259.7146406,,,,353,percent of total billed charges,275.2923838,,,,353,percent of total billed charges,259.7146406,,,,353,percent of total billed charges,275.2923838,,,,353,percent of total billed charges,999999999,,,,353,percent of total billed charges,268.9617385,,,,353,percent of total billed charges,259.7146406,,,,353,percent of total billed charges,275.2923838,,,,251.689,percent of total billed charges,125.5974169,,,,251.689,percent of total billed charges,75.14803245,,,,251.689,percent of total billed charges,125.5974169,,,,251.689,percent of total billed charges,75.14803245,,,,251.689,percent of total billed charges,125.5974169,,,,251.689,percent of total billed charges,75.14803245,,,,249.218,percent of total billed charges,247.3271153,,,,249.218,percent of total billed charges,170.5795511,,,,,,,,,,254.16,percent of total billed charges,165.1980191,,,,,,,,,,254.16,percent of total billed charges,999999999,,,,,,,,,,282.4,percent of total billed charges,236.6365204,,,,278.87,percent of total billed charges,269.1215511,,,,278.87,percent of total billed charges,237.7777988,,,,282.4,percent of total billed charges,999999999,,,,282.4,percent of total billed charges,999999999,,,,247.1,percent of total billed charges,999999999,,,,247.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,187.796,percent of total billed charges,999999999,,,,,,,,,,,,,,,,178.265,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,88.25,percent of total billed charges,83.81591326,,,,,,,,,,88.25,percent of total billed charges,82.42169257,,,,,,,,,,88.25,percent of total billed charges,82.19264622,,,,,,,,,,88.25,percent of total billed charges,80.9823605,,,,,,,,,,88.25,percent of total billed charges,83.06615569,,,,,,,,,,88.25,percent of total billed charges,999999999,,,,,,,,,,88.25,percent of total billed charges,71.27661111,,,,,,,,,,88.25,percent of total billed charges,112.4081309,,,,,,,,,,88.25,percent of total billed charges,999999999,,,,,,,,,,88.25,percent of total billed charges,76.85361872,,,,,,,,,,317.7,percent of total billed charges,,,,,
**MM BREAST LOCALIZATION WIRE,19281,CDM,0056-2780-01,NDC,,both,1,EA,764,764,162.6433337,764,764,percent of total billed charges,562.1019417,,,,764,percent of total billed charges,595.816944,,,,764,percent of total billed charges,562.1019417,,,,764,percent of total billed charges,595.816944,,,,764,percent of total billed charges,999999999,,,,764,percent of total billed charges,582.1154906,,,,764,percent of total billed charges,562.1019417,,,,764,percent of total billed charges,595.816944,,,,544.732,percent of total billed charges,271.8312366,,,,544.732,percent of total billed charges,162.6433337,,,,544.732,percent of total billed charges,271.8312366,,,,544.732,percent of total billed charges,162.6433337,,,,544.732,percent of total billed charges,271.8312366,,,,544.732,percent of total billed charges,162.6433337,,,,539.384,percent of total billed charges,535.291547,,,,539.384,percent of total billed charges,369.1863372,,,,,,,,,,550.08,percent of total billed charges,357.5390555,,,,,,,,,,550.08,percent of total billed charges,999999999,,,,,,,,,,611.2,percent of total billed charges,512.1538288,,,,603.56,percent of total billed charges,582.4613742,,,,603.56,percent of total billed charges,514.6239044,,,,611.2,percent of total billed charges,999999999,,,,611.2,percent of total billed charges,999999999,,,,534.8,percent of total billed charges,999999999,,,,534.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,406.448,percent of total billed charges,999999999,,,,,,,,,,,,,,,,385.82,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,191,percent of total billed charges,181.4032797,,,,,,,,,,191,percent of total billed charges,178.3857596,,,,,,,,,,191,percent of total billed charges,177.8900332,,,,,,,,,,191,percent of total billed charges,175.2706046,,,,,,,,,,191,percent of total billed charges,179.7805749,,,,,,,,,,191,percent of total billed charges,999999999,,,,,,,,,,191,percent of total billed charges,154.2643934,,,,,,,,,,191,percent of total billed charges,243.2855865,,,,,,,,,,191,percent of total billed charges,999999999,,,,,,,,,,191,percent of total billed charges,166.3347442,,,,,,,,,,687.6,percent of total billed charges,,,,,
**MM BREAST LOCALIZATION EACH ADDITIONAL,19282,CDM,0056-2780-01,NDC,,both,1,EA,2124,2124,452.1654984,2124,2124,percent of total billed charges,1562.702257,,,,2124,percent of total billed charges,1656.433494,,,,2124,percent of total billed charges,1562.702257,,,,2124,percent of total billed charges,1656.433494,,,,2124,percent of total billed charges,999999999,,,,2124,percent of total billed charges,1618.342018,,,,2124,percent of total billed charges,1562.702257,,,,2124,percent of total billed charges,1656.433494,,,,1514.412,percent of total billed charges,755.7193018,,,,1514.412,percent of total billed charges,452.1654984,,,,1514.412,percent of total billed charges,755.7193018,,,,1514.412,percent of total billed charges,452.1654984,,,,1514.412,percent of total billed charges,755.7193018,,,,1514.412,percent of total billed charges,452.1654984,,,,1499.544,percent of total billed charges,1488.166552,,,,1499.544,percent of total billed charges,1026.376676,,,,,,,,,,1529.28,percent of total billed charges,993.9960128,,,,,,,,,,1529.28,percent of total billed charges,999999999,,,,,,,,,,1699.2,percent of total billed charges,1423.841273,,,,1677.96,percent of total billed charges,1619.303611,,,,1677.96,percent of total billed charges,1430.708342,,,,1699.2,percent of total billed charges,999999999,,,,1699.2,percent of total billed charges,999999999,,,,1486.8,percent of total billed charges,999999999,,,,1486.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1129.968,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1072.62,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,531,percent of total billed charges,504.3201127,,,,,,,,,,531,percent of total billed charges,495.9310907,,,,,,,,,,531,percent of total billed charges,494.5529195,,,,,,,,,,531,percent of total billed charges,487.2706337,,,,,,,,,,531,percent of total billed charges,499.8088235,,,,,,,,,,531,percent of total billed charges,999999999,,,,,,,,,,531,percent of total billed charges,428.8711671,,,,,,,,,,531,percent of total billed charges,676.3594053,,,,,,,,,,531,percent of total billed charges,999999999,,,,,,,,,,531,percent of total billed charges,462.4280061,,,,,,,,,,1911.6,percent of total billed charges,,,,,
**MM NEEDLE LOC OF TUMOR LT EA LESION,76096,CDM,0056-2780-01,NDC,LT,both,1,EA,1219,1219,259.5055285,1219,1219,percent of total billed charges,896.8616059,,,,1219,percent of total billed charges,950.6555691,,,,1219,percent of total billed charges,896.8616059,,,,1219,percent of total billed charges,950.6555691,,,,1219,percent of total billed charges,999999999,,,,1219,percent of total billed charges,928.7942186,,,,1219,percent of total billed charges,896.8616059,,,,1219,percent of total billed charges,950.6555691,,,,869.147,percent of total billed charges,433.7202584,,,,869.147,percent of total billed charges,259.5055285,,,,869.147,percent of total billed charges,433.7202584,,,,869.147,percent of total billed charges,259.5055285,,,,869.147,percent of total billed charges,433.7202584,,,,869.147,percent of total billed charges,259.5055285,,,,860.614,percent of total billed charges,854.0842876,,,,860.614,percent of total billed charges,589.0551637,,,,,,,,,,877.68,percent of total billed charges,570.4713463,,,,,,,,,,877.68,percent of total billed charges,999999999,,,,,,,,,,975.2,percent of total billed charges,817.1669074,,,,963.01,percent of total billed charges,929.3460931,,,,963.01,percent of total billed charges,821.108036,,,,975.2,percent of total billed charges,999999999,,,,975.2,percent of total billed charges,999999999,,,,853.3,percent of total billed charges,999999999,,,,853.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,648.508,percent of total billed charges,999999999,,,,,,,,,,,,,,,,615.595,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,304.75,percent of total billed charges,289.4379554,,,,,,,,,,304.75,percent of total billed charges,284.623352,,,,,,,,,,304.75,percent of total billed charges,283.8323959,,,,,,,,,,304.75,percent of total billed charges,279.6529673,,,,,,,,,,304.75,percent of total billed charges,286.8488493,,,,,,,,,,304.75,percent of total billed charges,999999999,,,,,,,,,,304.75,percent of total billed charges,246.1365126,,,,,,,,,,304.75,percent of total billed charges,388.1742538,,,,,,,,,,304.75,percent of total billed charges,999999999,,,,,,,,,,304.75,percent of total billed charges,265.3953576,,,,,,,,,,1097.1,percent of total billed charges,,,,,
**MM NEEDLE LOC OF TUMOR RT EA LESION,76096,CDM,0056-2780-01,NDC,RT,both,1,EA,1219,1219,259.5055285,1219,1219,percent of total billed charges,896.8616059,,,,1219,percent of total billed charges,950.6555691,,,,1219,percent of total billed charges,896.8616059,,,,1219,percent of total billed charges,950.6555691,,,,1219,percent of total billed charges,999999999,,,,1219,percent of total billed charges,928.7942186,,,,1219,percent of total billed charges,896.8616059,,,,1219,percent of total billed charges,950.6555691,,,,869.147,percent of total billed charges,433.7202584,,,,869.147,percent of total billed charges,259.5055285,,,,869.147,percent of total billed charges,433.7202584,,,,869.147,percent of total billed charges,259.5055285,,,,869.147,percent of total billed charges,433.7202584,,,,869.147,percent of total billed charges,259.5055285,,,,860.614,percent of total billed charges,854.0842876,,,,860.614,percent of total billed charges,589.0551637,,,,,,,,,,877.68,percent of total billed charges,570.4713463,,,,,,,,,,877.68,percent of total billed charges,999999999,,,,,,,,,,975.2,percent of total billed charges,817.1669074,,,,963.01,percent of total billed charges,929.3460931,,,,963.01,percent of total billed charges,821.108036,,,,975.2,percent of total billed charges,999999999,,,,975.2,percent of total billed charges,999999999,,,,853.3,percent of total billed charges,999999999,,,,853.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,648.508,percent of total billed charges,999999999,,,,,,,,,,,,,,,,615.595,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,304.75,percent of total billed charges,289.4379554,,,,,,,,,,304.75,percent of total billed charges,284.623352,,,,,,,,,,304.75,percent of total billed charges,283.8323959,,,,,,,,,,304.75,percent of total billed charges,279.6529673,,,,,,,,,,304.75,percent of total billed charges,286.8488493,,,,,,,,,,304.75,percent of total billed charges,999999999,,,,,,,,,,304.75,percent of total billed charges,246.1365126,,,,,,,,,,304.75,percent of total billed charges,388.1742538,,,,,,,,,,304.75,percent of total billed charges,999999999,,,,,,,,,,304.75,percent of total billed charges,265.3953576,,,,,,,,,,1097.1,percent of total billed charges,,,,,
**MM DIAGNOSTIC CAD,77051,CDM,0056-2780-01,NDC,,both,1,EA,133,133,28.31356463,133,133,percent of total billed charges,97.85282492,,,,133,percent of total billed charges,103.7220596,,,,133,percent of total billed charges,97.85282492,,,,133,percent of total billed charges,103.7220596,,,,133,percent of total billed charges,999999999,,,,133,percent of total billed charges,101.336859,,,,133,percent of total billed charges,97.85282492,,,,133,percent of total billed charges,103.7220596,,,,94.829,percent of total billed charges,47.32140637,,,,94.829,percent of total billed charges,28.31356463,,,,94.829,percent of total billed charges,47.32140637,,,,94.829,percent of total billed charges,28.31356463,,,,94.829,percent of total billed charges,47.32140637,,,,94.829,percent of total billed charges,28.31356463,,,,93.898,percent of total billed charges,93.18557035,,,,93.898,percent of total billed charges,64.26934928,,,,,,,,,,95.76,percent of total billed charges,62.24174656,,,,,,,,,,95.76,percent of total billed charges,999999999,,,,,,,,,,106.4,percent of total billed charges,89.15766914,,,,105.07,percent of total billed charges,101.3970717,,,,105.07,percent of total billed charges,89.58766923,,,,106.4,percent of total billed charges,999999999,,,,106.4,percent of total billed charges,999999999,,,,93.1,percent of total billed charges,999999999,,,,93.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,70.756,percent of total billed charges,999999999,,,,,,,,,,,,,,,,67.165,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,33.25,percent of total billed charges,31.57936675,,,,,,,,,,33.25,percent of total billed charges,31.05406547,,,,,,,,,,33.25,percent of total billed charges,30.96776756,,,,,,,,,,33.25,percent of total billed charges,30.51176756,,,,,,,,,,33.25,percent of total billed charges,31.29688019,,,,,,,,,,33.25,percent of total billed charges,999999999,,,,,,,,,,33.25,percent of total billed charges,26.85492713,,,,,,,,,,33.25,percent of total billed charges,42.35207199,,,,,,,,,,33.25,percent of total billed charges,999999999,,,,,,,,,,33.25,percent of total billed charges,28.95617929,,,,,,,,,,119.7,percent of total billed charges,,,,,
**MM SCREENING CAD,77052,CDM,0056-2780-01,NDC,,both,1,EA,122,122,25.97184124,122,122,percent of total billed charges,89.75973414,,,,122,percent of total billed charges,95.14354342,,,,122,percent of total billed charges,89.75973414,,,,122,percent of total billed charges,95.14354342,,,,122,percent of total billed charges,999999999,,,,122,percent of total billed charges,92.95561499,,,,122,percent of total billed charges,89.75973414,,,,122,percent of total billed charges,95.14354342,,,,86.986,percent of total billed charges,43.40760585,,,,86.986,percent of total billed charges,25.97184124,,,,86.986,percent of total billed charges,43.40760585,,,,86.986,percent of total billed charges,25.97184124,,,,86.986,percent of total billed charges,43.40760585,,,,86.986,percent of total billed charges,25.97184124,,,,86.132,percent of total billed charges,85.4784931,,,,86.132,percent of total billed charges,58.95383918,,,,,,,,,,87.84,percent of total billed charges,57.09393294,,,,,,,,,,87.84,percent of total billed charges,999999999,,,,,,,,,,97.6,percent of total billed charges,81.78372658,,,,96.38,percent of total billed charges,93.01084771,,,,96.38,percent of total billed charges,82.17816275,,,,97.6,percent of total billed charges,999999999,,,,97.6,percent of total billed charges,999999999,,,,85.4,percent of total billed charges,999999999,,,,85.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,64.904,percent of total billed charges,999999999,,,,,,,,,,,,,,,,61.61,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,30.5,percent of total billed charges,28.96753943,,,,,,,,,,30.5,percent of total billed charges,28.48568412,,,,,,,,,,30.5,percent of total billed charges,28.40652362,,,,,,,,,,30.5,percent of total billed charges,27.98823791,,,,,,,,,,30.5,percent of total billed charges,28.70841641,,,,,,,,,,30.5,percent of total billed charges,999999999,,,,,,,,,,30.5,percent of total billed charges,24.63384293,,,,,,,,,,30.5,percent of total billed charges,38.84926905,,,,,,,,,,30.5,percent of total billed charges,999999999,,,,,,,,,,30.5,percent of total billed charges,26.56130732,,,,,,,,,,109.8,percent of total billed charges,,,,,
NM SENTINAL NODE IMAGING,78195,CDM,0056-2780-01,NDC,,both,1,EA,2767,2767,589.0498748,2767,2767,percent of total billed charges,2035.7802,,,,2767,percent of total billed charges,2157.886759,,,,2767,percent of total billed charges,2035.7802,,,,2767,percent of total billed charges,2157.886759,,,,2767,percent of total billed charges,999999999,,,,2767,percent of total billed charges,2108.263825,,,,2767,percent of total billed charges,2035.7802,,,,2767,percent of total billed charges,2157.886759,,,,1972.871,percent of total billed charges,984.4987326,,,,1972.871,percent of total billed charges,589.0498748,,,,1972.871,percent of total billed charges,984.4987326,,,,1972.871,percent of total billed charges,589.0498748,,,,1972.871,percent of total billed charges,984.4987326,,,,1972.871,percent of total billed charges,589.0498748,,,,1953.502,percent of total billed charges,1938.680249,,,,1953.502,percent of total billed charges,1337.092402,,,,,,,,,,1992.24,percent of total billed charges,1294.909118,,,,,,,,,,1992.24,percent of total billed charges,999999999,,,,,,,,,,2213.6,percent of total billed charges,1854.881733,,,,2185.93,percent of total billed charges,2109.516521,,,,2185.93,percent of total billed charges,1863.827675,,,,2213.6,percent of total billed charges,999999999,,,,2213.6,percent of total billed charges,999999999,,,,1936.9,percent of total billed charges,999999999,,,,1936.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1472.044,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1397.335,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,691.75,percent of total billed charges,656.9932918,,,,,,,,,,691.75,percent of total billed charges,646.0646554,,,,,,,,,,691.75,percent of total billed charges,644.2692694,,,,,,,,,,691.75,percent of total billed charges,634.7824122,,,,,,,,,,691.75,percent of total billed charges,651.1162969,,,,,,,,,,691.75,percent of total billed charges,999999999,,,,,,,,,,691.75,percent of total billed charges,558.7036344,,,,,,,,,,691.75,percent of total billed charges,881.1141594,,,,,,,,,,691.75,percent of total billed charges,999999999,,,,,,,,,,691.75,percent of total billed charges,602.4191586,,,,,,,,,,2490.3,percent of total billed charges,,,,,
NM INJECTION FOR SENTINAL NODE IMAGING,38792,CDM,0056-2780-01,NDC,,both,1,EA,2077,2077,442.159953,2077,2077,percent of total billed charges,1528.122687,,,,2077,percent of total billed charges,1619.779833,,,,2077,percent of total billed charges,1528.122687,,,,2077,percent of total billed charges,1619.779833,,,,2077,percent of total billed charges,999999999,,,,2077,percent of total billed charges,1582.531249,,,,2077,percent of total billed charges,1528.122687,,,,2077,percent of total billed charges,1619.779833,,,,1480.901,percent of total billed charges,738.9966995,,,,1480.901,percent of total billed charges,442.159953,,,,1480.901,percent of total billed charges,738.9966995,,,,1480.901,percent of total billed charges,442.159953,,,,1480.901,percent of total billed charges,738.9966995,,,,1480.901,percent of total billed charges,442.159953,,,,1466.362,percent of total billed charges,1455.236313,,,,1466.362,percent of total billed charges,1003.664951,,,,,,,,,,1495.44,percent of total billed charges,972.0008091,,,,,,,,,,1495.44,percent of total billed charges,999999999,,,,,,,,,,1661.6,percent of total billed charges,1392.334427,,,,1640.83,percent of total billed charges,1583.471563,,,,1640.83,percent of total billed charges,1399.049541,,,,1661.6,percent of total billed charges,999999999,,,,1661.6,percent of total billed charges,999999999,,,,1453.9,percent of total billed charges,999999999,,,,1453.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1104.964,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1048.885,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,519.25,percent of total billed charges,493.1604868,,,,,,,,,,519.25,percent of total billed charges,484.9570977,,,,,,,,,,519.25,percent of total billed charges,483.6094227,,,,,,,,,,519.25,percent of total billed charges,476.4882798,,,,,,,,,,519.25,percent of total billed charges,488.7490237,,,,,,,,,,519.25,percent of total billed charges,999999999,,,,,,,,,,519.25,percent of total billed charges,419.3810801,,,,,,,,,,519.25,percent of total billed charges,661.3928837,,,,,,,,,,519.25,percent of total billed charges,999999999,,,,,,,,,,519.25,percent of total billed charges,452.1953713,,,,,,,,,,1869.3,percent of total billed charges,,,,,
NM THALLIUM,A9505,CDM,0056-2780-01,NDC,,both,1,EA,254,254,54.07252193,254,254,percent of total billed charges,186.8768235,,,,254,percent of total billed charges,198.0857379,,,,254,percent of total billed charges,186.8768235,,,,254,percent of total billed charges,198.0857379,,,,254,percent of total billed charges,999999999,,,,254,percent of total billed charges,193.5305427,,,,254,percent of total billed charges,186.8768235,,,,254,percent of total billed charges,198.0857379,,,,181.102,percent of total billed charges,90.37321217,,,,181.102,percent of total billed charges,54.07252193,,,,181.102,percent of total billed charges,90.37321217,,,,181.102,percent of total billed charges,54.07252193,,,,181.102,percent of total billed charges,90.37321217,,,,181.102,percent of total billed charges,54.07252193,,,,179.324,percent of total billed charges,177.9634201,,,,179.324,percent of total billed charges,122.7399603,,,,,,,,,,182.88,percent of total billed charges,118.8676964,,,,,,,,,,182.88,percent of total billed charges,999999999,,,,,,,,,,203.2,percent of total billed charges,170.2710373,,,,200.66,percent of total billed charges,193.6455354,,,,200.66,percent of total billed charges,171.0922405,,,,203.2,percent of total billed charges,999999999,,,,203.2,percent of total billed charges,999999999,,,,177.8,percent of total billed charges,999999999,,,,177.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,135.128,percent of total billed charges,999999999,,,,,,,,,,,,,,,,128.27,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,63.5,percent of total billed charges,60.30946733,,,,,,,,,,63.5,percent of total billed charges,59.30626038,,,,,,,,,,63.5,percent of total billed charges,59.14145082,,,,,,,,,,63.5,percent of total billed charges,58.27059368,,,,,,,,,,63.5,percent of total billed charges,59.76998172,,,,,,,,,,63.5,percent of total billed charges,999999999,,,,,,,,,,63.5,percent of total billed charges,51.28685332,,,,,,,,,,63.5,percent of total billed charges,80.88290441,,,,,,,,,,63.5,percent of total billed charges,999999999,,,,,,,,,,63.5,percent of total billed charges,55.29977098,,,,,,,,,,228.6,percent of total billed charges,,,,,
NM PARATHYROID IMAGING,78071,CDM,0056-2780-01,NDC,,both,1,EA,2672,2672,568.8259,2672,2672,percent of total billed charges,1965.885325,,,,2672,percent of total billed charges,2083.799574,,,,2672,percent of total billed charges,1965.885325,,,,2672,percent of total billed charges,2083.799574,,,,2672,percent of total billed charges,999999999,,,,2672,percent of total billed charges,2035.880355,,,,2672,percent of total billed charges,1965.885325,,,,2672,percent of total billed charges,2083.799574,,,,1905.136,percent of total billed charges,950.6977281,,,,1905.136,percent of total billed charges,568.8259,,,,1905.136,percent of total billed charges,950.6977281,,,,1905.136,percent of total billed charges,568.8259,,,,1905.136,percent of total billed charges,950.6977281,,,,1905.136,percent of total billed charges,568.8259,,,,1886.432,percent of total billed charges,1872.119128,,,,1886.432,percent of total billed charges,1291.185724,,,,,,,,,,1923.84,percent of total billed charges,1250.450728,,,,,,,,,,1923.84,percent of total billed charges,999999999,,,,,,,,,,2137.6,percent of total billed charges,1791.197684,,,,2110.88,percent of total billed charges,2037.090042,,,,2110.88,percent of total billed charges,1799.836483,,,,2137.6,percent of total billed charges,999999999,,,,2137.6,percent of total billed charges,999999999,,,,1870.4,percent of total billed charges,999999999,,,,1870.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1421.504,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1349.36,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,668,percent of total billed charges,634.4366012,,,,,,,,,,668,percent of total billed charges,623.8831801,,,,,,,,,,668,percent of total billed charges,622.1494354,,,,,,,,,,668,percent of total billed charges,612.9882925,,,,,,,,,,668,percent of total billed charges,628.7613825,,,,,,,,,,668,percent of total billed charges,999999999,,,,,,,,,,668,percent of total billed charges,539.5215436,,,,,,,,,,668,percent of total billed charges,850.8626794,,,,,,,,,,668,percent of total billed charges,999999999,,,,,,,,,,668,percent of total billed charges,581.7361734,,,,,,,,,,2404.8,percent of total billed charges,,,,,
NM PARATHYROID SPECT/CT IMAGING,78072,CDM,0056-2780-01,NDC,,both,1,EA,3133,3133,666.9653985,3133,3133,percent of total billed charges,2305.059402,,,,3133,percent of total billed charges,2443.31739,,,,3133,percent of total billed charges,2305.059402,,,,3133,percent of total billed charges,2443.31739,,,,3133,percent of total billed charges,999999999,,,,3133,percent of total billed charges,2387.13067,,,,3133,percent of total billed charges,2305.059402,,,,3133,percent of total billed charges,2443.31739,,,,2233.829,percent of total billed charges,1114.72155,,,,2233.829,percent of total billed charges,666.9653985,,,,2233.829,percent of total billed charges,1114.72155,,,,2233.829,percent of total billed charges,666.9653985,,,,2233.829,percent of total billed charges,1114.72155,,,,2233.829,percent of total billed charges,666.9653985,,,,2211.898,percent of total billed charges,2195.115729,,,,2211.898,percent of total billed charges,1513.953919,,,,,,,,,,2255.76,percent of total billed charges,1466.190917,,,,,,,,,,2255.76,percent of total billed charges,999999999,,,,,,,,,,2506.4,percent of total billed charges,2100.232913,,,,2475.07,percent of total billed charges,2388.549064,,,,2475.07,percent of total billed charges,2110.362163,,,,2506.4,percent of total billed charges,999999999,,,,2506.4,percent of total billed charges,999999999,,,,2193.1,percent of total billed charges,999999999,,,,2193.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1666.756,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1582.165,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,783.25,percent of total billed charges,743.89591,,,,,,,,,,783.25,percent of total billed charges,731.5217077,,,,,,,,,,783.25,percent of total billed charges,729.4888402,,,,,,,,,,783.25,percent of total billed charges,718.747126,,,,,,,,,,783.25,percent of total billed charges,737.2415461,,,,,,,,,,783.25,percent of total billed charges,999999999,,,,,,,,,,783.25,percent of total billed charges,632.6051632,,,,,,,,,,783.25,percent of total billed charges,997.6619665,,,,,,,,,,783.25,percent of total billed charges,999999999,,,,,,,,,,783.25,percent of total billed charges,682.1030806,,,,,,,,,,2819.7,percent of total billed charges,,,,,
NM KINEVAC 5MCG,250,RC,0056-2780-01,NDC,,both,1,EA,163,163,34.70008297,163,163,percent of total billed charges,119.9248907,,,,163,percent of total billed charges,127.1180129,,,,163,percent of total billed charges,119.9248907,,,,163,percent of total billed charges,127.1180129,,,,163,percent of total billed charges,999999999,,,,163,percent of total billed charges,124.1947971,,,,163,percent of total billed charges,119.9248907,,,,163,percent of total billed charges,127.1180129,,,,116.219,percent of total billed charges,57.99540781,,,,116.219,percent of total billed charges,34.70008297,,,,116.219,percent of total billed charges,57.99540781,,,,116.219,percent of total billed charges,34.70008297,,,,116.219,percent of total billed charges,57.99540781,,,,116.219,percent of total billed charges,34.70008297,,,,115.078,percent of total billed charges,114.2048719,,,,115.078,percent of total billed charges,78.76619498,,,,,,,,,,117.36,percent of total billed charges,76.28123827,,,,,,,,,,117.36,percent of total billed charges,999999999,,,,,,,,,,130.4,percent of total billed charges,109.2684216,,,,128.77,percent of total billed charges,124.2685916,,,,128.77,percent of total billed charges,109.7954142,,,,130.4,percent of total billed charges,999999999,,,,130.4,percent of total billed charges,999999999,,,,114.1,percent of total billed charges,999999999,,,,114.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,86.716,percent of total billed charges,999999999,,,,,,,,,,,,,,,,82.315,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,40.75,percent of total billed charges,38.70253219,,,,,,,,,,40.75,percent of total billed charges,38.0587419,,,,,,,,,,40.75,percent of total billed charges,37.95297828,,,,,,,,,,40.75,percent of total billed charges,37.39412114,,,,,,,,,,40.75,percent of total billed charges,38.35632685,,,,,,,,,,40.75,percent of total billed charges,999999999,,,,,,,,,,40.75,percent of total billed charges,32.91242949,,,,,,,,,,40.75,percent of total billed charges,51.90517094,,,,,,,,,,40.75,percent of total billed charges,999999999,,,,,,,,,,40.75,percent of total billed charges,35.4876483,,,,,,,,,,146.7,percent of total billed charges,,,,,
NM 123 IODINE,A9516,CDM,0056-2780-01,NDC,,both,1,EA,247,247,52.58233432,247,247,percent of total billed charges,181.7266749,,,,247,percent of total billed charges,192.6266822,,,,247,percent of total billed charges,181.7266749,,,,247,percent of total billed charges,192.6266822,,,,247,percent of total billed charges,999999999,,,,247,percent of total billed charges,188.1970238,,,,247,percent of total billed charges,181.7266749,,,,247,percent of total billed charges,192.6266822,,,,176.111,percent of total billed charges,87.88261184,,,,176.111,percent of total billed charges,52.58233432,,,,176.111,percent of total billed charges,87.88261184,,,,176.111,percent of total billed charges,52.58233432,,,,176.111,percent of total billed charges,87.88261184,,,,176.111,percent of total billed charges,52.58233432,,,,174.382,percent of total billed charges,173.0589164,,,,174.382,percent of total billed charges,119.3573629,,,,,,,,,,177.84,percent of total billed charges,115.591815,,,,,,,,,,177.84,percent of total billed charges,999999999,,,,,,,,,,197.6,percent of total billed charges,165.5785284,,,,195.13,percent of total billed charges,188.3088474,,,,195.13,percent of total billed charges,166.3771,,,,197.6,percent of total billed charges,999999999,,,,197.6,percent of total billed charges,999999999,,,,172.9,percent of total billed charges,999999999,,,,172.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,131.404,percent of total billed charges,999999999,,,,,,,,,,,,,,,,124.735,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,61.75,percent of total billed charges,58.6473954,,,,,,,,,,61.75,percent of total billed charges,57.67183588,,,,,,,,,,61.75,percent of total billed charges,57.51156832,,,,,,,,,,61.75,percent of total billed charges,56.66471117,,,,,,,,,,61.75,percent of total billed charges,58.1227775,,,,,,,,,,61.75,percent of total billed charges,999999999,,,,,,,,,,61.75,percent of total billed charges,49.8734361,,,,,,,,,,61.75,percent of total billed charges,78.65384799,,,,,,,,,,61.75,percent of total billed charges,999999999,,,,,,,,,,61.75,percent of total billed charges,53.77576154,,,,,,,,,,222.3,percent of total billed charges,,,,,
NM GALLIUM,A9556,CDM,0056-2780-01,NDC,,both,1,EA,211,211,44.91851232,211,211,percent of total billed charges,155.2401959,,,,211,percent of total billed charges,164.5515382,,,,211,percent of total billed charges,155.2401959,,,,211,percent of total billed charges,164.5515382,,,,211,percent of total billed charges,999999999,,,,211,percent of total billed charges,160.7674981,,,,211,percent of total billed charges,155.2401959,,,,211,percent of total billed charges,164.5515382,,,,150.443,percent of total billed charges,75.07381011,,,,150.443,percent of total billed charges,44.91851232,,,,150.443,percent of total billed charges,75.07381011,,,,150.443,percent of total billed charges,44.91851232,,,,150.443,percent of total billed charges,75.07381011,,,,150.443,percent of total billed charges,44.91851232,,,,148.966,percent of total billed charges,147.8357545,,,,148.966,percent of total billed charges,101.9611481,,,,,,,,,,151.92,percent of total billed charges,98.744425,,,,,,,,,,151.92,percent of total billed charges,999999999,,,,,,,,,,168.8,percent of total billed charges,141.4456255,,,,166.69,percent of total billed charges,160.8630235,,,,166.69,percent of total billed charges,142.1278061,,,,168.8,percent of total billed charges,999999999,,,,168.8,percent of total billed charges,999999999,,,,147.7,percent of total billed charges,999999999,,,,147.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,112.252,percent of total billed charges,999999999,,,,,,,,,,,,,,,,106.555,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,52.75,percent of total billed charges,50.09959688,,,,,,,,,,52.75,percent of total billed charges,49.26622417,,,,,,,,,,52.75,percent of total billed charges,49.12931545,,,,,,,,,,52.75,percent of total billed charges,48.40588687,,,,,,,,,,52.75,percent of total billed charges,49.6514415,,,,,,,,,,52.75,percent of total billed charges,999999999,,,,,,,,,,52.75,percent of total billed charges,42.60443327,,,,,,,,,,52.75,percent of total billed charges,67.19012925,,,,,,,,,,52.75,percent of total billed charges,999999999,,,,,,,,,,52.75,percent of total billed charges,45.93799872,,,,,,,,,,189.9,percent of total billed charges,,,,,
NM XENON GAS,A9558,CDM,0056-2780-01,NDC,,both,1,EA,362,362,77.06398795,362,362,percent of total billed charges,266.3362603,,,,362,percent of total billed charges,282.3111698,,,,362,percent of total billed charges,266.3362603,,,,362,percent of total billed charges,282.3111698,,,,362,percent of total billed charges,999999999,,,,362,percent of total billed charges,275.8191199,,,,362,percent of total billed charges,266.3362603,,,,362,percent of total billed charges,282.3111698,,,,258.106,percent of total billed charges,128.7996173,,,,258.106,percent of total billed charges,77.06398795,,,,258.106,percent of total billed charges,128.7996173,,,,258.106,percent of total billed charges,77.06398795,,,,258.106,percent of total billed charges,128.7996173,,,,258.106,percent of total billed charges,77.06398795,,,,255.572,percent of total billed charges,253.6329058,,,,255.572,percent of total billed charges,174.9286048,,,,,,,,,,260.64,percent of total billed charges,169.4098666,,,,,,,,,,260.64,percent of total billed charges,999999999,,,,,,,,,,289.6,percent of total billed charges,242.6697461,,,,285.98,percent of total billed charges,275.9830071,,,,285.98,percent of total billed charges,243.8401223,,,,289.6,percent of total billed charges,999999999,,,,289.6,percent of total billed charges,999999999,,,,253.4,percent of total billed charges,999999999,,,,253.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,192.584,percent of total billed charges,999999999,,,,,,,,,,,,,,,,182.81,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,90.5,percent of total billed charges,85.95286289,,,,,,,,,,90.5,percent of total billed charges,84.5230955,,,,,,,,,,90.5,percent of total billed charges,84.28820944,,,,,,,,,,90.5,percent of total billed charges,83.04706658,,,,,,,,,,90.5,percent of total billed charges,85.18398969,,,,,,,,,,90.5,percent of total billed charges,999999999,,,,,,,,,,90.5,percent of total billed charges,73.09386181,,,,,,,,,,90.5,percent of total billed charges,115.2740606,,,,,,,,,,90.5,percent of total billed charges,999999999,,,,,,,,,,90.5,percent of total billed charges,78.81305942,,,,,,,,,,325.8,percent of total billed charges,,,,,
NM MAG3,A9562,CDM,0056-2780-01,NDC,,both,1,EA,1293,1293,275.2589404,1293,1293,percent of total billed charges,951.3060348,,,,1293,percent of total billed charges,1008.365587,,,,1293,percent of total billed charges,951.3060348,,,,1293,percent of total billed charges,1008.365587,,,,1293,percent of total billed charges,999999999,,,,1293,percent of total billed charges,985.1771327,,,,1293,percent of total billed charges,951.3060348,,,,1293,percent of total billed charges,1008.365587,,,,921.909,percent of total billed charges,460.049462,,,,921.909,percent of total billed charges,275.2589404,,,,921.909,percent of total billed charges,460.049462,,,,921.909,percent of total billed charges,275.2589404,,,,921.909,percent of total billed charges,460.049462,,,,921.909,percent of total billed charges,275.2589404,,,,912.858,percent of total billed charges,905.9318982,,,,912.858,percent of total billed charges,624.8140497,,,,,,,,,,930.96,percent of total billed charges,605.1020925,,,,,,,,,,930.96,percent of total billed charges,999999999,,,,,,,,,,1034.4,percent of total billed charges,866.7734301,,,,1021.47,percent of total billed charges,985.7625089,,,,1021.47,percent of total billed charges,870.9538068,,,,1034.4,percent of total billed charges,999999999,,,,1034.4,percent of total billed charges,999999999,,,,905.1,percent of total billed charges,999999999,,,,905.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,687.876,percent of total billed charges,999999999,,,,,,,,,,,,,,,,652.965,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,323.25,percent of total billed charges,307.0084302,,,,,,,,,,323.25,percent of total billed charges,301.9015538,,,,,,,,,,323.25,percent of total billed charges,301.0625823,,,,,,,,,,323.25,percent of total billed charges,296.6294395,,,,,,,,,,323.25,percent of total billed charges,304.262151,,,,,,,,,,323.25,percent of total billed charges,999999999,,,,,,,,,,323.25,percent of total billed charges,261.0783517,,,,,,,,,,323.25,percent of total billed charges,411.7385646,,,,,,,,,,323.25,percent of total billed charges,999999999,,,,,,,,,,323.25,percent of total billed charges,281.5063145,,,,,,,,,,1163.7,percent of total billed charges,,,,,
NM SULFUR COLLOID,A9541,CDM,0056-2780-01,NDC,,both,1,EA,455,455,96.8621948,455,455,percent of total billed charges,334.7596642,,,,455,percent of total billed charges,354.8386251,,,,455,percent of total billed charges,334.7596642,,,,455,percent of total billed charges,354.8386251,,,,455,percent of total billed charges,999999999,,,,455,percent of total billed charges,346.678728,,,,455,percent of total billed charges,334.7596642,,,,455,percent of total billed charges,354.8386251,,,,324.415,percent of total billed charges,161.8890218,,,,324.415,percent of total billed charges,96.8621948,,,,324.415,percent of total billed charges,161.8890218,,,,324.415,percent of total billed charges,96.8621948,,,,324.415,percent of total billed charges,161.8890218,,,,324.415,percent of total billed charges,96.8621948,,,,321.23,percent of total billed charges,318.7927407,,,,321.23,percent of total billed charges,219.8688265,,,,,,,,,,327.6,percent of total billed charges,212.9322909,,,,,,,,,,327.6,percent of total billed charges,999999999,,,,,,,,,,364,percent of total billed charges,305.0130786,,,,359.45,percent of total billed charges,346.8847189,,,,359.45,percent of total billed charges,306.4841316,,,,364,percent of total billed charges,999999999,,,,364,percent of total billed charges,999999999,,,,318.5,percent of total billed charges,999999999,,,,318.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,242.06,percent of total billed charges,999999999,,,,,,,,,,,,,,,,229.775,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,113.75,percent of total billed charges,108.0346757,,,,,,,,,,113.75,percent of total billed charges,106.2375924,,,,,,,,,,113.75,percent of total billed charges,105.9423627,,,,,,,,,,113.75,percent of total billed charges,104.3823627,,,,,,,,,,113.75,percent of total billed charges,107.0682743,,,,,,,,,,113.75,percent of total billed charges,999999999,,,,,,,,,,113.75,percent of total billed charges,91.87211913,,,,,,,,,,113.75,percent of total billed charges,144.8886673,,,,,,,,,,113.75,percent of total billed charges,999999999,,,,,,,,,,113.75,percent of total billed charges,99.06061336,,,,,,,,,,409.5,percent of total billed charges,,,,,
NM 99MTC-PERTECHNETATE,A9512,CDM,0056-2780-01,NDC,,both,1,EA,41,41,8.72824173,41,41,percent of total billed charges,30.16515655,,,,41,percent of total billed charges,31.97446951,,,,41,percent of total billed charges,30.16515655,,,,41,percent of total billed charges,31.97446951,,,,41,percent of total billed charges,999999999,,,,41,percent of total billed charges,31.23918209,,,,41,percent of total billed charges,30.16515655,,,,41,percent of total billed charges,31.97446951,,,,29.233,percent of total billed charges,14.58780197,,,,29.233,percent of total billed charges,8.72824173,,,,29.233,percent of total billed charges,14.58780197,,,,29.233,percent of total billed charges,8.72824173,,,,29.233,percent of total billed charges,14.58780197,,,,29.233,percent of total billed charges,8.72824173,,,,28.946,percent of total billed charges,28.72637883,,,,28.946,percent of total billed charges,19.81235579,,,,,,,,,,29.52,percent of total billed charges,19.18730533,,,,,,,,,,29.52,percent of total billed charges,999999999,,,,,,,,,,32.8,percent of total billed charges,27.484695,,,,32.39,percent of total billed charges,31.2577439,,,,32.39,percent of total billed charges,27.61725142,,,,32.8,percent of total billed charges,999999999,,,,32.8,percent of total billed charges,999999999,,,,28.7,percent of total billed charges,999999999,,,,28.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,21.812,percent of total billed charges,999999999,,,,,,,,,,,,,,,,20.705,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10.25,percent of total billed charges,9.734992758,,,,,,,,,,10.25,percent of total billed charges,9.573057778,,,,,,,,,,10.25,percent of total billed charges,9.54645466,,,,,,,,,,10.25,percent of total billed charges,9.405883231,,,,,,,,,,10.25,percent of total billed charges,9.647910435,,,,,,,,,,10.25,percent of total billed charges,999999999,,,,,,,,,,10.25,percent of total billed charges,8.278586559,,,,,,,,,,10.25,percent of total billed charges,13.05590189,,,,,,,,,,10.25,percent of total billed charges,999999999,,,,,,,,,,10.25,percent of total billed charges,8.926340984,,,,,,,,,,36.9,percent of total billed charges,,,,,
NM CHOLETEC,A9537,CDM,0056-2780-01,NDC,,both,1,EA,373,373,79.40571134,373,373,percent of total billed charges,274.4293511,,,,373,percent of total billed charges,290.889686,,,,373,percent of total billed charges,274.4293511,,,,373,percent of total billed charges,290.889686,,,,373,percent of total billed charges,999999999,,,,373,percent of total billed charges,284.2003639,,,,373,percent of total billed charges,274.4293511,,,,373,percent of total billed charges,290.889686,,,,265.949,percent of total billed charges,132.7134179,,,,265.949,percent of total billed charges,79.40571134,,,,265.949,percent of total billed charges,132.7134179,,,,265.949,percent of total billed charges,79.40571134,,,,265.949,percent of total billed charges,132.7134179,,,,265.949,percent of total billed charges,79.40571134,,,,263.338,percent of total billed charges,261.339983,,,,263.338,percent of total billed charges,180.2441149,,,,,,,,,,268.56,percent of total billed charges,174.5576802,,,,,,,,,,268.56,percent of total billed charges,999999999,,,,,,,,,,298.4,percent of total billed charges,250.0436886,,,,294.67,percent of total billed charges,284.3692311,,,,294.67,percent of total billed charges,251.2496287,,,,298.4,percent of total billed charges,999999999,,,,298.4,percent of total billed charges,999999999,,,,261.1,percent of total billed charges,999999999,,,,261.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,198.436,percent of total billed charges,999999999,,,,,,,,,,,,,,,,188.365,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,93.25,percent of total billed charges,88.56469022,,,,,,,,,,93.25,percent of total billed charges,87.09147686,,,,,,,,,,93.25,percent of total billed charges,86.84945337,,,,,,,,,,93.25,percent of total billed charges,85.57059623,,,,,,,,,,93.25,percent of total billed charges,87.77245347,,,,,,,,,,93.25,percent of total billed charges,999999999,,,,,,,,,,93.25,percent of total billed charges,75.31494601,,,,,,,,,,93.25,percent of total billed charges,118.7768636,,,,,,,,,,93.25,percent of total billed charges,999999999,,,,,,,,,,93.25,percent of total billed charges,81.20793139,,,,,,,,,,335.7,percent of total billed charges,,,,,
NM MAA,A9540,CDM,0056-2780-01,NDC,,both,1,EA,433,433,92.17874802,433,433,percent of total billed charges,318.5734826,,,,433,percent of total billed charges,337.6815926,,,,433,percent of total billed charges,318.5734826,,,,433,percent of total billed charges,337.6815926,,,,433,percent of total billed charges,999999999,,,,433,percent of total billed charges,329.9162401,,,,433,percent of total billed charges,318.5734826,,,,433,percent of total billed charges,337.6815926,,,,308.729,percent of total billed charges,154.0614208,,,,308.729,percent of total billed charges,92.17874802,,,,308.729,percent of total billed charges,154.0614208,,,,308.729,percent of total billed charges,92.17874802,,,,308.729,percent of total billed charges,154.0614208,,,,308.729,percent of total billed charges,92.17874802,,,,305.698,percent of total billed charges,303.3785862,,,,305.698,percent of total billed charges,209.2378063,,,,,,,,,,311.76,percent of total billed charges,202.6366636,,,,,,,,,,311.76,percent of total billed charges,999999999,,,,,,,,,,346.4,percent of total billed charges,290.2651935,,,,342.07,percent of total billed charges,330.112271,,,,342.07,percent of total billed charges,291.6651186,,,,346.4,percent of total billed charges,999999999,,,,346.4,percent of total billed charges,999999999,,,,303.1,percent of total billed charges,999999999,,,,303.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,230.356,percent of total billed charges,999999999,,,,,,,,,,,,,,,,218.665,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,108.25,percent of total billed charges,102.8110211,,,,,,,,,,108.25,percent of total billed charges,101.1008297,,,,,,,,,,108.25,percent of total billed charges,100.8198748,,,,,,,,,,108.25,percent of total billed charges,99.3353034,,,,,,,,,,108.25,percent of total billed charges,101.8913468,,,,,,,,,,108.25,percent of total billed charges,999999999,,,,,,,,,,108.25,percent of total billed charges,87.42995073,,,,,,,,,,108.25,percent of total billed charges,137.8830614,,,,,,,,,,108.25,percent of total billed charges,999999999,,,,,,,,,,108.25,percent of total billed charges,94.27086942,,,,,,,,,,389.7,percent of total billed charges,,,,,
**NM MYOCARD PERF/EJECTION FRACTION,78480,CDM,0056-2780-01,NDC,,both,1,EA,736,736,156.6825832,736,736,percent of total billed charges,541.5013469,,,,736,percent of total billed charges,573.980721,,,,736,percent of total billed charges,541.5013469,,,,736,percent of total billed charges,573.980721,,,,736,percent of total billed charges,999999999,,,,736,percent of total billed charges,560.781415,,,,736,percent of total billed charges,541.5013469,,,,736,percent of total billed charges,573.980721,,,,524.768,percent of total billed charges,261.8688353,,,,524.768,percent of total billed charges,156.6825832,,,,524.768,percent of total billed charges,261.8688353,,,,524.768,percent of total billed charges,156.6825832,,,,524.768,percent of total billed charges,261.8688353,,,,524.768,percent of total billed charges,156.6825832,,,,519.616,percent of total billed charges,515.6735321,,,,519.616,percent of total billed charges,355.6559479,,,,,,,,,,529.92,percent of total billed charges,344.4355299,,,,,,,,,,529.92,percent of total billed charges,999999999,,,,,,,,,,588.8,percent of total billed charges,493.3837931,,,,581.44,percent of total billed charges,561.1146222,,,,581.44,percent of total billed charges,495.7633425,,,,588.8,percent of total billed charges,999999999,,,,588.8,percent of total billed charges,999999999,,,,515.2,percent of total billed charges,999999999,,,,515.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,391.552,percent of total billed charges,999999999,,,,,,,,,,,,,,,,371.68,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,184,percent of total billed charges,174.754992,,,,,,,,,,184,percent of total billed charges,171.8480616,,,,,,,,,,184,percent of total billed charges,171.3705032,,,,,,,,,,184,percent of total billed charges,168.8470746,,,,,,,,,,184,percent of total billed charges,173.191758,,,,,,,,,,184,percent of total billed charges,999999999,,,,,,,,,,184,percent of total billed charges,148.6107246,,,,,,,,,,184,percent of total billed charges,234.3693608,,,,,,,,,,184,percent of total billed charges,999999999,,,,,,,,,,184,percent of total billed charges,160.2387065,,,,,,,,,,662.4,percent of total billed charges,,,,,
**NM MYOCARDIAL PERF/WALL MOTION,78478,CDM,0056-2780-01,NDC,,both,1,EA,752,752,160.0887264,752,752,percent of total billed charges,553.2731153,,,,752,percent of total billed charges,586.4585627,,,,752,percent of total billed charges,553.2731153,,,,752,percent of total billed charges,586.4585627,,,,752,percent of total billed charges,999999999,,,,752,percent of total billed charges,572.9723154,,,,752,percent of total billed charges,553.2731153,,,,752,percent of total billed charges,586.4585627,,,,536.176,percent of total billed charges,267.561636,,,,536.176,percent of total billed charges,160.0887264,,,,536.176,percent of total billed charges,267.561636,,,,536.176,percent of total billed charges,160.0887264,,,,536.176,percent of total billed charges,267.561636,,,,536.176,percent of total billed charges,160.0887264,,,,530.912,percent of total billed charges,526.8838263,,,,530.912,percent of total billed charges,363.3875989,,,,,,,,,,541.44,percent of total billed charges,351.9232588,,,,,,,,,,541.44,percent of total billed charges,999999999,,,,,,,,,,601.6,percent of total billed charges,504.1095278,,,,594.08,percent of total billed charges,573.3127662,,,,594.08,percent of total billed charges,506.5408065,,,,601.6,percent of total billed charges,999999999,,,,601.6,percent of total billed charges,999999999,,,,526.4,percent of total billed charges,999999999,,,,526.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,400.064,percent of total billed charges,999999999,,,,,,,,,,,,,,,,379.76,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,188,percent of total billed charges,178.5540135,,,,,,,,,,188,percent of total billed charges,175.583889,,,,,,,,,,188,percent of total billed charges,175.0959489,,,,,,,,,,188,percent of total billed charges,172.5176632,,,,,,,,,,188,percent of total billed charges,176.9567963,,,,,,,,,,188,percent of total billed charges,999999999,,,,,,,,,,188,percent of total billed charges,151.8413925,,,,,,,,,,188,percent of total billed charges,239.4643469,,,,,,,,,,188,percent of total billed charges,999999999,,,,,,,,,,188,percent of total billed charges,163.7221566,,,,,,,,,,676.8,percent of total billed charges,,,,,
NM HEPATOBILIARY SCAN,78226,CDM,0056-2780-01,NDC,,both,1,EA,3085,3085,656.7469692,3085,3085,percent of total billed charges,2269.744097,,,,3085,percent of total billed charges,2405.883864,,,,3085,percent of total billed charges,2269.744097,,,,3085,percent of total billed charges,2405.883864,,,,3085,percent of total billed charges,999999999,,,,3085,percent of total billed charges,2350.557969,,,,3085,percent of total billed charges,2269.744097,,,,3085,percent of total billed charges,2405.883864,,,,2199.605,percent of total billed charges,1097.643148,,,,2199.605,percent of total billed charges,656.7469692,,,,2199.605,percent of total billed charges,1097.643148,,,,2199.605,percent of total billed charges,656.7469692,,,,2199.605,percent of total billed charges,1097.643148,,,,2199.605,percent of total billed charges,656.7469692,,,,2178.01,percent of total billed charges,2161.484846,,,,2178.01,percent of total billed charges,1490.758966,,,,,,,,,,2221.2,percent of total billed charges,1443.72773,,,,,,,,,,2221.2,percent of total billed charges,999999999,,,,,,,,,,2468,percent of total billed charges,2068.055709,,,,2437.15,percent of total billed charges,2351.954633,,,,2437.15,percent of total billed charges,2078.029771,,,,2468,percent of total billed charges,999999999,,,,2468,percent of total billed charges,999999999,,,,2159.5,percent of total billed charges,999999999,,,,2159.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1641.22,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1557.925,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,771.25,percent of total billed charges,732.4988454,,,,,,,,,,771.25,percent of total billed charges,720.3142255,,,,,,,,,,771.25,percent of total billed charges,718.3125031,,,,,,,,,,771.25,percent of total billed charges,707.7353602,,,,,,,,,,771.25,percent of total billed charges,725.9464315,,,,,,,,,,771.25,percent of total billed charges,999999999,,,,,,,,,,771.25,percent of total billed charges,622.9131594,,,,,,,,,,771.25,percent of total billed charges,982.3770082,,,,,,,,,,771.25,percent of total billed charges,999999999,,,,,,,,,,771.25,percent of total billed charges,671.6527302,,,,,,,,,,2776.5,percent of total billed charges,,,,,
NM HEPATOBILIARY SCAN W EF,78227,CDM,0056-2780-01,NDC,,both,1,EA,3280,3280,698.2593384,3280,3280,percent of total billed charges,2413.212524,,,,3280,percent of total billed charges,2557.957561,,,,3280,percent of total billed charges,2413.212524,,,,3280,percent of total billed charges,2557.957561,,,,3280,percent of total billed charges,999999999,,,,3280,percent of total billed charges,2499.134567,,,,3280,percent of total billed charges,2413.212524,,,,3280,percent of total billed charges,2557.957561,,,,2338.64,percent of total billed charges,1167.024157,,,,2338.64,percent of total billed charges,698.2593384,,,,2338.64,percent of total billed charges,1167.024157,,,,2338.64,percent of total billed charges,698.2593384,,,,2338.64,percent of total billed charges,1167.024157,,,,2338.64,percent of total billed charges,698.2593384,,,,2315.68,percent of total billed charges,2298.110306,,,,2315.68,percent of total billed charges,1584.988463,,,,,,,,,,2361.6,percent of total billed charges,1534.984427,,,,,,,,,,2361.6,percent of total billed charges,999999999,,,,,,,,,,2624,percent of total billed charges,2198.7756,,,,2591.2,percent of total billed charges,2500.619512,,,,2591.2,percent of total billed charges,2209.380113,,,,2624,percent of total billed charges,999999999,,,,2624,percent of total billed charges,999999999,,,,2296,percent of total billed charges,999999999,,,,2296,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1744.96,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1656.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,820,percent of total billed charges,778.7994207,,,,,,,,,,820,percent of total billed charges,765.8446222,,,,,,,,,,820,percent of total billed charges,763.7163728,,,,,,,,,,820,percent of total billed charges,752.4706585,,,,,,,,,,820,percent of total billed charges,771.8328348,,,,,,,,,,820,percent of total billed charges,999999999,,,,,,,,,,820,percent of total billed charges,662.2869247,,,,,,,,,,820,percent of total billed charges,1044.472151,,,,,,,,,,820,percent of total billed charges,999999999,,,,,,,,,,820,percent of total billed charges,714.1072788,,,,,,,,,,2952,percent of total billed charges,,,,,
NM GASTRIC EMPTYING STUDY,78264,CDM,0056-2780-01,NDC,,both,1,EA,3084,3084,656.5340852,3084,3084,percent of total billed charges,2269.008361,,,,3084,percent of total billed charges,2405.103999,,,,3084,percent of total billed charges,2269.008361,,,,3084,percent of total billed charges,2405.103999,,,,3084,percent of total billed charges,999999999,,,,3084,percent of total billed charges,2349.796038,,,,3084,percent of total billed charges,2269.008361,,,,3084,percent of total billed charges,2405.103999,,,,2198.892,percent of total billed charges,1097.287348,,,,2198.892,percent of total billed charges,656.5340852,,,,2198.892,percent of total billed charges,1097.287348,,,,2198.892,percent of total billed charges,656.5340852,,,,2198.892,percent of total billed charges,1097.287348,,,,2198.892,percent of total billed charges,656.5340852,,,,2177.304,percent of total billed charges,2160.784203,,,,2177.304,percent of total billed charges,1490.275738,,,,,,,,,,2220.48,percent of total billed charges,1443.259747,,,,,,,,,,2220.48,percent of total billed charges,999999999,,,,,,,,,,2467.2,percent of total billed charges,2067.385351,,,,2436.36,percent of total billed charges,2351.192249,,,,2436.36,percent of total billed charges,2077.35618,,,,2467.2,percent of total billed charges,999999999,,,,2467.2,percent of total billed charges,999999999,,,,2158.8,percent of total billed charges,999999999,,,,2158.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1640.688,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1557.42,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,771,percent of total billed charges,732.2614065,,,,,,,,,,771,percent of total billed charges,720.0807363,,,,,,,,,,771,percent of total billed charges,718.0796627,,,,,,,,,,771,percent of total billed charges,707.5059484,,,,,,,,,,771,percent of total billed charges,725.7111166,,,,,,,,,,771,percent of total billed charges,999999999,,,,,,,,,,771,percent of total billed charges,622.7112426,,,,,,,,,,771,percent of total billed charges,982.0585716,,,,,,,,,,771,percent of total billed charges,999999999,,,,,,,,,,771,percent of total billed charges,671.4350145,,,,,,,,,,2775.6,percent of total billed charges,,,,,
NM GI BLEEDING SCAN,78278,CDM,0056-2780-01,NDC,,both,1,EA,2676,2676,569.6774358,2676,2676,percent of total billed charges,1968.828267,,,,2676,percent of total billed charges,2086.919034,,,,2676,percent of total billed charges,1968.828267,,,,2676,percent of total billed charges,2086.919034,,,,2676,percent of total billed charges,999999999,,,,2676,percent of total billed charges,2038.92808,,,,2676,percent of total billed charges,1968.828267,,,,2676,percent of total billed charges,2086.919034,,,,1907.988,percent of total billed charges,952.1209283,,,,1907.988,percent of total billed charges,569.6774358,,,,1907.988,percent of total billed charges,952.1209283,,,,1907.988,percent of total billed charges,569.6774358,,,,1907.988,percent of total billed charges,952.1209283,,,,1907.988,percent of total billed charges,569.6774358,,,,1889.256,percent of total billed charges,1874.921701,,,,1889.256,percent of total billed charges,1293.118637,,,,,,,,,,1926.72,percent of total billed charges,1252.32266,,,,,,,,,,1926.72,percent of total billed charges,999999999,,,,,,,,,,2140.8,percent of total billed charges,1793.879117,,,,2114.04,percent of total billed charges,2040.139578,,,,2114.04,percent of total billed charges,1802.530848,,,,2140.8,percent of total billed charges,999999999,,,,2140.8,percent of total billed charges,999999999,,,,1873.2,percent of total billed charges,999999999,,,,1873.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1423.632,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1351.38,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,669,percent of total billed charges,635.3863566,,,,,,,,,,669,percent of total billed charges,624.8171369,,,,,,,,,,669,percent of total billed charges,623.0807968,,,,,,,,,,669,percent of total billed charges,613.9059397,,,,,,,,,,669,percent of total billed charges,629.702642,,,,,,,,,,669,percent of total billed charges,999999999,,,,,,,,,,669,percent of total billed charges,540.3292105,,,,,,,,,,669,percent of total billed charges,852.1364259,,,,,,,,,,669,percent of total billed charges,999999999,,,,,,,,,,669,percent of total billed charges,582.607036,,,,,,,,,,2408.4,percent of total billed charges,,,,,
NM MUGA SCAN SINGLE,78472,CDM,0056-2780-01,NDC,,both,1,EA,3130,3130,666.3267467,3130,3130,percent of total billed charges,2302.852196,,,,3130,percent of total billed charges,2440.977794,,,,3130,percent of total billed charges,2302.852196,,,,3130,percent of total billed charges,2440.977794,,,,3130,percent of total billed charges,999999999,,,,3130,percent of total billed charges,2384.844876,,,,3130,percent of total billed charges,2302.852196,,,,3130,percent of total billed charges,2440.977794,,,,2231.69,percent of total billed charges,1113.65415,,,,2231.69,percent of total billed charges,666.3267467,,,,2231.69,percent of total billed charges,1113.65415,,,,2231.69,percent of total billed charges,666.3267467,,,,2231.69,percent of total billed charges,1113.65415,,,,2231.69,percent of total billed charges,666.3267467,,,,2209.78,percent of total billed charges,2193.013798,,,,2209.78,percent of total billed charges,1512.504235,,,,,,,,,,2253.6,percent of total billed charges,1464.786968,,,,,,,,,,2253.6,percent of total billed charges,999999999,,,,,,,,,,2504,percent of total billed charges,2098.221838,,,,2472.7,percent of total billed charges,2386.261912,,,,2472.7,percent of total billed charges,2108.341389,,,,2504,percent of total billed charges,999999999,,,,2504,percent of total billed charges,999999999,,,,2191,percent of total billed charges,999999999,,,,2191,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1665.16,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1580.65,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,782.5,percent of total billed charges,743.1835935,,,,,,,,,,782.5,percent of total billed charges,730.8212401,,,,,,,,,,782.5,percent of total billed charges,728.7903192,,,,,,,,,,782.5,percent of total billed charges,718.0588906,,,,,,,,,,782.5,percent of total billed charges,736.5356015,,,,,,,,,,782.5,percent of total billed charges,999999999,,,,,,,,,,782.5,percent of total billed charges,631.9994129,,,,,,,,,,782.5,percent of total billed charges,996.7066567,,,,,,,,,,782.5,percent of total billed charges,999999999,,,,,,,,,,782.5,percent of total billed charges,681.4499337,,,,,,,,,,2817,percent of total billed charges,,,,,
NM MUGA SCAN STRESS AND REST,78473,CDM,0056-2780-01,NDC,,both,1,EA,2838,2838,604.1646348,2838,2838,percent of total billed charges,2088.017422,,,,2838,percent of total billed charges,2213.257182,,,,2838,percent of total billed charges,2088.017422,,,,2838,percent of total billed charges,2213.257182,,,,2838,percent of total billed charges,999999999,,,,2838,percent of total billed charges,2162.360945,,,,2838,percent of total billed charges,2088.017422,,,,2838,percent of total billed charges,2213.257182,,,,2023.494,percent of total billed charges,1009.760536,,,,2023.494,percent of total billed charges,604.1646348,,,,2023.494,percent of total billed charges,1009.760536,,,,2023.494,percent of total billed charges,604.1646348,,,,2023.494,percent of total billed charges,1009.760536,,,,2023.494,percent of total billed charges,604.1646348,,,,2003.628,percent of total billed charges,1988.42593,,,,2003.628,percent of total billed charges,1371.401603,,,,,,,,,,2043.36,percent of total billed charges,1328.135915,,,,,,,,,,2043.36,percent of total billed charges,999999999,,,,,,,,,,2270.4,percent of total billed charges,1902.477181,,,,2242.02,percent of total billed charges,2163.645785,,,,2242.02,percent of total billed charges,1911.652671,,,,2270.4,percent of total billed charges,999999999,,,,2270.4,percent of total billed charges,999999999,,,,1986.6,percent of total billed charges,999999999,,,,1986.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1509.816,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1433.19,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,709.5,percent of total billed charges,673.85145,,,,,,,,,,709.5,percent of total billed charges,662.6423896,,,,,,,,,,709.5,percent of total billed charges,660.8009348,,,,,,,,,,709.5,percent of total billed charges,651.070649,,,,,,,,,,709.5,percent of total billed charges,667.823654,,,,,,,,,,709.5,percent of total billed charges,999999999,,,,,,,,,,709.5,percent of total billed charges,573.0397233,,,,,,,,,,709.5,percent of total billed charges,903.7231602,,,,,,,,,,709.5,percent of total billed charges,999999999,,,,,,,,,,709.5,percent of total billed charges,617.8769686,,,,,,,,,,2554.2,percent of total billed charges,,,,,
**NM THYROID SCAN UPTAKE-99MTC,78006,CDM,0056-2780-01,NDC,,both,1,EA,1884,1884,401.0733517,1884,1884,percent of total billed charges,1386.12573,,,,1884,percent of total billed charges,1469.265867,,,,1884,percent of total billed charges,1386.12573,,,,1884,percent of total billed charges,1469.265867,,,,1884,percent of total billed charges,999999999,,,,1884,percent of total billed charges,1435.478513,,,,1884,percent of total billed charges,1386.12573,,,,1884,percent of total billed charges,1469.265867,,,,1343.292,percent of total billed charges,670.3272903,,,,1343.292,percent of total billed charges,401.0733517,,,,1343.292,percent of total billed charges,670.3272903,,,,1343.292,percent of total billed charges,401.0733517,,,,1343.292,percent of total billed charges,670.3272903,,,,1343.292,percent of total billed charges,401.0733517,,,,1330.104,percent of total billed charges,1320.012139,,,,1330.104,percent of total billed charges,910.40191,,,,,,,,,,1356.48,percent of total billed charges,881.6800792,,,,,,,,,,1356.48,percent of total billed charges,999999999,,,,,,,,,,1507.2,percent of total billed charges,1262.955253,,,,1488.36,percent of total billed charges,1436.331451,,,,1488.36,percent of total billed charges,1269.046382,,,,1507.2,percent of total billed charges,999999999,,,,1507.2,percent of total billed charges,999999999,,,,1318.8,percent of total billed charges,999999999,,,,1318.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1002.288,percent of total billed charges,999999999,,,,,,,,,,,,,,,,951.42,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,471,percent of total billed charges,447.3347892,,,,,,,,,,471,percent of total billed charges,439.8936793,,,,,,,,,,471,percent of total billed charges,438.6712336,,,,,,,,,,471,percent of total billed charges,432.2118051,,,,,,,,,,471,percent of total billed charges,443.3332502,,,,,,,,,,471,percent of total billed charges,999999999,,,,,,,,,,471,percent of total billed charges,380.4111482,,,,,,,,,,471,percent of total billed charges,599.9346138,,,,,,,,,,471,percent of total billed charges,999999999,,,,,,,,,,471,percent of total billed charges,410.176254,,,,,,,,,,1695.6,percent of total billed charges,,,,,
NM THYROID IMAGING AND UPTAKE,78014,CDM,0056-2780-01,NDC,,both,1,EA,2206,2206,469.6219818,2206,2206,percent of total billed charges,1623.03257,,,,2206,percent of total billed charges,1720.382433,,,,2206,percent of total billed charges,1623.03257,,,,2206,percent of total billed charges,1720.382433,,,,2206,percent of total billed charges,999999999,,,,2206,percent of total billed charges,1680.820383,,,,2206,percent of total billed charges,1623.03257,,,,2206,percent of total billed charges,1720.382433,,,,1572.878,percent of total billed charges,784.8949057,,,,1572.878,percent of total billed charges,469.6219818,,,,1572.878,percent of total billed charges,784.8949057,,,,1572.878,percent of total billed charges,469.6219818,,,,1572.878,percent of total billed charges,784.8949057,,,,1572.878,percent of total billed charges,469.6219818,,,,1557.436,percent of total billed charges,1545.61931,,,,1557.436,percent of total billed charges,1066.001387,,,,,,,,,,1588.32,percent of total billed charges,1032.370623,,,,,,,,,,1588.32,percent of total billed charges,999999999,,,,,,,,,,1764.8,percent of total billed charges,1478.810663,,,,1742.74,percent of total billed charges,1681.819099,,,,1742.74,percent of total billed charges,1485.942844,,,,1764.8,percent of total billed charges,999999999,,,,1764.8,percent of total billed charges,999999999,,,,1544.2,percent of total billed charges,999999999,,,,1544.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1173.592,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1114.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,551.5,percent of total billed charges,523.7900982,,,,,,,,,,551.5,percent of total billed charges,515.0772063,,,,,,,,,,551.5,percent of total billed charges,513.6458288,,,,,,,,,,551.5,percent of total billed charges,506.0824002,,,,,,,,,,551.5,percent of total billed charges,519.1046444,,,,,,,,,,551.5,percent of total billed charges,999999999,,,,,,,,,,551.5,percent of total billed charges,445.4283402,,,,,,,,,,551.5,percent of total billed charges,702.4712091,,,,,,,,,,551.5,percent of total billed charges,999999999,,,,,,,,,,551.5,percent of total billed charges,480.2806881,,,,,,,,,,1985.4,percent of total billed charges,,,,,
**NM BONE IMAGING SPECT,78320,CDM,0056-2780-01,NDC,,both,1,EA,2938,2938,625.4530293,2938,2938,percent of total billed charges,2161.590975,,,,2938,percent of total billed charges,2291.243693,,,,2938,percent of total billed charges,2161.590975,,,,2938,percent of total billed charges,2291.243693,,,,2938,percent of total billed charges,999999999,,,,2938,percent of total billed charges,2238.554073,,,,2938,percent of total billed charges,2161.590975,,,,2938,percent of total billed charges,2291.243693,,,,2094.794,percent of total billed charges,1045.340541,,,,2094.794,percent of total billed charges,625.4530293,,,,2094.794,percent of total billed charges,1045.340541,,,,2094.794,percent of total billed charges,625.4530293,,,,2094.794,percent of total billed charges,1045.340541,,,,2094.794,percent of total billed charges,625.4530293,,,,2074.228,percent of total billed charges,2058.490268,,,,2074.228,percent of total billed charges,1419.724422,,,,,,,,,,2115.36,percent of total billed charges,1374.934221,,,,,,,,,,2115.36,percent of total billed charges,999999999,,,,,,,,,,2350.4,percent of total billed charges,1969.513022,,,,2321.02,percent of total billed charges,2239.884185,,,,2321.02,percent of total billed charges,1979.011821,,,,2350.4,percent of total billed charges,999999999,,,,2350.4,percent of total billed charges,999999999,,,,2056.6,percent of total billed charges,999999999,,,,2056.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1563.016,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1483.69,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,734.5,percent of total billed charges,697.5953347,,,,,,,,,,734.5,percent of total billed charges,685.991311,,,,,,,,,,734.5,percent of total billed charges,684.0849705,,,,,,,,,,734.5,percent of total billed charges,674.0118277,,,,,,,,,,734.5,percent of total billed charges,691.3551428,,,,,,,,,,734.5,percent of total billed charges,999999999,,,,,,,,,,734.5,percent of total billed charges,593.2313978,,,,,,,,,,734.5,percent of total billed charges,935.5668234,,,,,,,,,,734.5,percent of total billed charges,999999999,,,,,,,,,,734.5,percent of total billed charges,639.648532,,,,,,,,,,2644.2,percent of total billed charges,,,,,
**NM THYROID SCAN IMAGING-99MTC,78010,CDM,0056-2780-01,NDC,,both,1,EA,1285,1285,273.5558688,1285,1285,percent of total billed charges,945.4201506,,,,1285,percent of total billed charges,1002.126666,,,,1285,percent of total billed charges,945.4201506,,,,1285,percent of total billed charges,1002.126666,,,,1285,percent of total billed charges,999999999,,,,1285,percent of total billed charges,979.0816825,,,,1285,percent of total billed charges,945.4201506,,,,1285,percent of total billed charges,1002.126666,,,,916.205,percent of total billed charges,457.2030616,,,,916.205,percent of total billed charges,273.5558688,,,,916.205,percent of total billed charges,457.2030616,,,,916.205,percent of total billed charges,273.5558688,,,,916.205,percent of total billed charges,457.2030616,,,,916.205,percent of total billed charges,273.5558688,,,,907.21,percent of total billed charges,900.3267511,,,,907.21,percent of total billed charges,620.9482242,,,,,,,,,,925.2,percent of total billed charges,601.3582281,,,,,,,,,,925.2,percent of total billed charges,999999999,,,,,,,,,,1028,percent of total billed charges,861.4105628,,,,1015.15,percent of total billed charges,979.6634369,,,,1015.15,percent of total billed charges,865.5650749,,,,1028,percent of total billed charges,999999999,,,,1028,percent of total billed charges,999999999,,,,899.5,percent of total billed charges,999999999,,,,899.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,683.62,percent of total billed charges,999999999,,,,,,,,,,,,,,,,648.925,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,321.25,percent of total billed charges,305.1089194,,,,,,,,,,321.25,percent of total billed charges,300.0336401,,,,,,,,,,321.25,percent of total billed charges,299.1998595,,,,,,,,,,321.25,percent of total billed charges,294.7941452,,,,,,,,,,321.25,percent of total billed charges,302.3796319,,,,,,,,,,321.25,percent of total billed charges,999999999,,,,,,,,,,321.25,percent of total billed charges,259.4630178,,,,,,,,,,321.25,percent of total billed charges,409.1910715,,,,,,,,,,321.25,percent of total billed charges,999999999,,,,,,,,,,321.25,percent of total billed charges,279.7645894,,,,,,,,,,1156.5,percent of total billed charges,,,,,
**NM THYROID SCAN IMAGING,78010,CDM,0056-2780-01,NDC,,both,1,EA,1384,1384,294.6313794,1384,1384,percent of total billed charges,1018.257968,,,,1384,percent of total billed charges,1079.333312,,,,1384,percent of total billed charges,1018.257968,,,,1384,percent of total billed charges,1079.333312,,,,1384,percent of total billed charges,999999999,,,,1384,percent of total billed charges,1054.512878,,,,1384,percent of total billed charges,1018.257968,,,,1384,percent of total billed charges,1079.333312,,,,986.792,percent of total billed charges,492.4272663,,,,986.792,percent of total billed charges,294.6313794,,,,986.792,percent of total billed charges,492.4272663,,,,986.792,percent of total billed charges,294.6313794,,,,986.792,percent of total billed charges,492.4272663,,,,986.792,percent of total billed charges,294.6313794,,,,977.104,percent of total billed charges,969.6904463,,,,977.104,percent of total billed charges,668.787815,,,,,,,,,,996.48,percent of total billed charges,647.6885507,,,,,,,,,,996.48,percent of total billed charges,999999999,,,,,,,,,,1107.2,percent of total billed charges,927.7760458,,,,1093.36,percent of total billed charges,1055.139453,,,,1093.36,percent of total billed charges,932.2506332,,,,1107.2,percent of total billed charges,999999999,,,,1107.2,percent of total billed charges,999999999,,,,968.8,percent of total billed charges,999999999,,,,968.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,736.288,percent of total billed charges,999999999,,,,,,,,,,,,,,,,698.92,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,346,percent of total billed charges,328.6153653,,,,,,,,,,346,percent of total billed charges,323.1490723,,,,,,,,,,346,percent of total billed charges,322.2510549,,,,,,,,,,346,percent of total billed charges,317.505912,,,,,,,,,,346,percent of total billed charges,325.6758059,,,,,,,,,,346,percent of total billed charges,999999999,,,,,,,,,,346,percent of total billed charges,279.4527756,,,,,,,,,,346,percent of total billed charges,440.716298,,,,,,,,,,346,percent of total billed charges,999999999,,,,,,,,,,346,percent of total billed charges,301.3184371,,,,,,,,,,1245.6,percent of total billed charges,,,,,
NM SPLEEN SCAN-SULFUR COLLOID,78185,CDM,0056-2780-01,NDC,,both,1,EA,1459,1459,310.5976752,1459,1459,percent of total billed charges,1073.438132,,,,1459,percent of total billed charges,1137.823195,,,,1459,percent of total billed charges,1073.438132,,,,1459,percent of total billed charges,1137.823195,,,,1459,percent of total billed charges,999999999,,,,1459,percent of total billed charges,1111.657724,,,,1459,percent of total billed charges,1073.438132,,,,1459,percent of total billed charges,1137.823195,,,,1040.267,percent of total billed charges,519.1122699,,,,1040.267,percent of total billed charges,310.5976752,,,,1040.267,percent of total billed charges,519.1122699,,,,1040.267,percent of total billed charges,310.5976752,,,,1040.267,percent of total billed charges,519.1122699,,,,1040.267,percent of total billed charges,310.5976752,,,,1030.054,percent of total billed charges,1022.2387,,,,1030.054,percent of total billed charges,705.0299293,,,,,,,,,,1050.48,percent of total billed charges,682.78728,,,,,,,,,,1050.48,percent of total billed charges,999999999,,,,,,,,,,1167.2,percent of total billed charges,978.0529269,,,,1152.61,percent of total billed charges,1112.318252,,,,1152.61,percent of total billed charges,982.7699955,,,,1167.2,percent of total billed charges,999999999,,,,1167.2,percent of total billed charges,999999999,,,,1021.3,percent of total billed charges,999999999,,,,1021.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,776.188,percent of total billed charges,999999999,,,,,,,,,,,,,,,,736.795,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,364.75,percent of total billed charges,346.4232789,,,,,,,,,,364.75,percent of total billed charges,340.6607634,,,,,,,,,,364.75,percent of total billed charges,339.7140817,,,,,,,,,,364.75,percent of total billed charges,334.711796,,,,,,,,,,364.75,percent of total billed charges,343.3244225,,,,,,,,,,364.75,percent of total billed charges,999999999,,,,,,,,,,364.75,percent of total billed charges,294.5965315,,,,,,,,,,364.75,percent of total billed charges,464.5990454,,,,,,,,,,364.75,percent of total billed charges,999999999,,,,,,,,,,364.75,percent of total billed charges,317.6471097,,,,,,,,,,1313.1,percent of total billed charges,,,,,
NM LIVER SCAN-SULFUR COLLOID,78201,CDM,0056-2780-01,NDC,,both,1,EA,2073,2073,441.3084172,2073,2073,percent of total billed charges,1525.179745,,,,2073,percent of total billed charges,1616.660373,,,,2073,percent of total billed charges,1525.179745,,,,2073,percent of total billed charges,1616.660373,,,,2073,percent of total billed charges,999999999,,,,2073,percent of total billed charges,1579.483524,,,,2073,percent of total billed charges,1525.179745,,,,2073,percent of total billed charges,1616.660373,,,,1478.049,percent of total billed charges,737.5734994,,,,1478.049,percent of total billed charges,441.3084172,,,,1478.049,percent of total billed charges,737.5734994,,,,1478.049,percent of total billed charges,441.3084172,,,,1478.049,percent of total billed charges,737.5734994,,,,1478.049,percent of total billed charges,441.3084172,,,,1463.538,percent of total billed charges,1452.433739,,,,1463.538,percent of total billed charges,1001.732038,,,,,,,,,,1492.56,percent of total billed charges,970.1288769,,,,,,,,,,1492.56,percent of total billed charges,999999999,,,,,,,,,,1658.4,percent of total billed charges,1389.652993,,,,1637.67,percent of total billed charges,1580.422027,,,,1637.67,percent of total billed charges,1396.355175,,,,1658.4,percent of total billed charges,999999999,,,,1658.4,percent of total billed charges,999999999,,,,1451.1,percent of total billed charges,999999999,,,,1451.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1102.836,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1046.865,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,518.25,percent of total billed charges,492.2107314,,,,,,,,,,518.25,percent of total billed charges,484.0231408,,,,,,,,,,518.25,percent of total billed charges,482.6780612,,,,,,,,,,518.25,percent of total billed charges,475.5706327,,,,,,,,,,518.25,percent of total billed charges,487.8077642,,,,,,,,,,518.25,percent of total billed charges,999999999,,,,,,,,,,518.25,percent of total billed charges,418.5734131,,,,,,,,,,518.25,percent of total billed charges,660.1191371,,,,,,,,,,518.25,percent of total billed charges,999999999,,,,,,,,,,518.25,percent of total billed charges,451.3245088,,,,,,,,,,1865.7,percent of total billed charges,,,,,
**NM LIVER IMAGING SPECT,78205,CDM,0056-2780-01,NDC,,both,1,EA,2974,2974,633.1168513,2974,2974,percent of total billed charges,2188.077453,,,,2974,percent of total billed charges,2319.318837,,,,2974,percent of total billed charges,2188.077453,,,,2974,percent of total billed charges,2319.318837,,,,2974,percent of total billed charges,999999999,,,,2974,percent of total billed charges,2265.983598,,,,2974,percent of total billed charges,2188.077453,,,,2974,percent of total billed charges,2319.318837,,,,2120.462,percent of total billed charges,1058.149343,,,,2120.462,percent of total billed charges,633.1168513,,,,2120.462,percent of total billed charges,1058.149343,,,,2120.462,percent of total billed charges,633.1168513,,,,2120.462,percent of total billed charges,1058.149343,,,,2120.462,percent of total billed charges,633.1168513,,,,2099.644,percent of total billed charges,2083.71343,,,,2099.644,percent of total billed charges,1437.120637,,,,,,,,,,2141.28,percent of total billed charges,1391.781611,,,,,,,,,,2141.28,percent of total billed charges,999999999,,,,,,,,,,2379.2,percent of total billed charges,1993.645925,,,,2349.46,percent of total billed charges,2267.330009,,,,2349.46,percent of total billed charges,2003.261115,,,,2379.2,percent of total billed charges,999999999,,,,2379.2,percent of total billed charges,999999999,,,,2081.8,percent of total billed charges,999999999,,,,2081.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1582.168,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1501.87,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,743.5,percent of total billed charges,706.1431333,,,,,,,,,,743.5,percent of total billed charges,694.3969227,,,,,,,,,,743.5,percent of total billed charges,692.4672234,,,,,,,,,,743.5,percent of total billed charges,682.270652,,,,,,,,,,743.5,percent of total billed charges,699.8264788,,,,,,,,,,743.5,percent of total billed charges,999999999,,,,,,,,,,743.5,percent of total billed charges,600.5004007,,,,,,,,,,743.5,percent of total billed charges,947.0305421,,,,,,,,,,743.5,percent of total billed charges,999999999,,,,,,,,,,743.5,percent of total billed charges,647.4862948,,,,,,,,,,2676.6,percent of total billed charges,,,,,
NM LIVER AND SPLEEN SCAN,78215,CDM,0056-2780-01,NDC,,both,1,EA,2666,2666,567.5485964,2666,2666,percent of total billed charges,1961.470912,,,,2666,percent of total billed charges,2079.120383,,,,2666,percent of total billed charges,1961.470912,,,,2666,percent of total billed charges,2079.120383,,,,2666,percent of total billed charges,999999999,,,,2666,percent of total billed charges,2031.308767,,,,2666,percent of total billed charges,1961.470912,,,,2666,percent of total billed charges,2079.120383,,,,1900.858,percent of total billed charges,948.5629278,,,,1900.858,percent of total billed charges,567.5485964,,,,1900.858,percent of total billed charges,948.5629278,,,,1900.858,percent of total billed charges,567.5485964,,,,1900.858,percent of total billed charges,948.5629278,,,,1900.858,percent of total billed charges,567.5485964,,,,1882.196,percent of total billed charges,1867.915267,,,,1882.196,percent of total billed charges,1288.286355,,,,,,,,,,1919.52,percent of total billed charges,1247.64283,,,,,,,,,,1919.52,percent of total billed charges,999999999,,,,,,,,,,2132.8,percent of total billed charges,1787.175533,,,,2106.14,percent of total billed charges,2032.515738,,,,2106.14,percent of total billed charges,1795.794934,,,,2132.8,percent of total billed charges,999999999,,,,2132.8,percent of total billed charges,999999999,,,,1866.2,percent of total billed charges,999999999,,,,1866.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1418.312,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1346.33,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,666.5,percent of total billed charges,633.0119681,,,,,,,,,,666.5,percent of total billed charges,622.4822448,,,,,,,,,,666.5,percent of total billed charges,620.7523933,,,,,,,,,,666.5,percent of total billed charges,611.6118218,,,,,,,,,,666.5,percent of total billed charges,627.3494931,,,,,,,,,,666.5,percent of total billed charges,999999999,,,,,,,,,,666.5,percent of total billed charges,538.3100431,,,,,,,,,,666.5,percent of total billed charges,848.9520596,,,,,,,,,,666.5,percent of total billed charges,999999999,,,,,,,,,,666.5,percent of total billed charges,580.4298796,,,,,,,,,,2399.4,percent of total billed charges,,,,,
NM MECKLES SCAN,78290,CDM,0056-2780-01,NDC,,both,1,EA,2163,2163,460.4679722,2163,2163,percent of total billed charges,1591.395942,,,,2163,percent of total billed charges,1686.848233,,,,2163,percent of total billed charges,1591.395942,,,,2163,percent of total billed charges,1686.848233,,,,2163,percent of total billed charges,999999999,,,,2163,percent of total billed charges,1648.057338,,,,2163,percent of total billed charges,1591.395942,,,,2163,percent of total billed charges,1686.848233,,,,1542.219,percent of total billed charges,769.5955037,,,,1542.219,percent of total billed charges,460.4679722,,,,1542.219,percent of total billed charges,769.5955037,,,,1542.219,percent of total billed charges,460.4679722,,,,1542.219,percent of total billed charges,769.5955037,,,,1542.219,percent of total billed charges,460.4679722,,,,1527.078,percent of total billed charges,1515.491644,,,,1527.078,percent of total billed charges,1045.222575,,,,,,,,,,1557.36,percent of total billed charges,1012.247352,,,,,,,,,,1557.36,percent of total billed charges,999999999,,,,,,,,,,1730.4,percent of total billed charges,1449.985251,,,,1708.77,percent of total billed charges,1649.036587,,,,1708.77,percent of total billed charges,1456.97841,,,,1730.4,percent of total billed charges,999999999,,,,1730.4,percent of total billed charges,999999999,,,,1514.1,percent of total billed charges,999999999,,,,1514.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1150.716,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1092.315,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,540.75,percent of total billed charges,513.5802277,,,,,,,,,,540.75,percent of total billed charges,505.0371701,,,,,,,,,,540.75,percent of total billed charges,503.6336934,,,,,,,,,,540.75,percent of total billed charges,496.2176934,,,,,,,,,,540.75,percent of total billed charges,508.9861041,,,,,,,,,,540.75,percent of total billed charges,999999999,,,,,,,,,,540.75,percent of total billed charges,436.7459202,,,,,,,,,,540.75,percent of total billed charges,688.778434,,,,,,,,,,540.75,percent of total billed charges,999999999,,,,,,,,,,540.75,percent of total billed charges,470.9189158,,,,,,,,,,1946.7,percent of total billed charges,,,,,
NM BONE LIMITED,78300,CDM,0056-2780-01,NDC,,both,1,EA,1778,1778,378.5076535,1778,1778,percent of total billed charges,1308.137765,,,,1778,percent of total billed charges,1386.600166,,,,1778,percent of total billed charges,1308.137765,,,,1778,percent of total billed charges,1386.600166,,,,1778,percent of total billed charges,999999999,,,,1778,percent of total billed charges,1354.713799,,,,1778,percent of total billed charges,1308.137765,,,,1778,percent of total billed charges,1386.600166,,,,1267.714,percent of total billed charges,632.6124852,,,,1267.714,percent of total billed charges,378.5076535,,,,1267.714,percent of total billed charges,632.6124852,,,,1267.714,percent of total billed charges,378.5076535,,,,1267.714,percent of total billed charges,632.6124852,,,,1267.714,percent of total billed charges,378.5076535,,,,1255.268,percent of total billed charges,1245.74394,,,,1255.268,percent of total billed charges,859.1797219,,,,,,,,,,1280.16,percent of total billed charges,832.0738751,,,,,,,,,,1280.16,percent of total billed charges,999999999,,,,,,,,,,1422.4,percent of total billed charges,1191.897261,,,,1404.62,percent of total billed charges,1355.518748,,,,1404.62,percent of total billed charges,1197.645683,,,,1422.4,percent of total billed charges,999999999,,,,1422.4,percent of total billed charges,999999999,,,,1244.6,percent of total billed charges,999999999,,,,1244.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,945.896,percent of total billed charges,999999999,,,,,,,,,,,,,,,,897.89,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,444.5,percent of total billed charges,422.1662713,,,,,,,,,,444.5,percent of total billed charges,415.1438227,,,,,,,,,,444.5,percent of total billed charges,413.9901557,,,,,,,,,,444.5,percent of total billed charges,407.8941557,,,,,,,,,,444.5,percent of total billed charges,418.389872,,,,,,,,,,444.5,percent of total billed charges,999999999,,,,,,,,,,444.5,percent of total billed charges,359.0079732,,,,,,,,,,444.5,percent of total billed charges,566.1803308,,,,,,,,,,444.5,percent of total billed charges,999999999,,,,,,,,,,444.5,percent of total billed charges,387.0983968,,,,,,,,,,1600.2,percent of total billed charges,,,,,
NM BONE SCAN MULTIPLE-MDP,78305,CDM,0056-2780-01,NDC,,both,1,EA,2219,2219,472.3894731,2219,2219,percent of total billed charges,1632.597132,,,,2219,percent of total billed charges,1730.520679,,,,2219,percent of total billed charges,1632.597132,,,,2219,percent of total billed charges,1730.520679,,,,2219,percent of total billed charges,999999999,,,,2219,percent of total billed charges,1690.725489,,,,2219,percent of total billed charges,1632.597132,,,,2219,percent of total billed charges,1730.520679,,,,1582.147,percent of total billed charges,789.5203064,,,,1582.147,percent of total billed charges,472.3894731,,,,1582.147,percent of total billed charges,789.5203064,,,,1582.147,percent of total billed charges,472.3894731,,,,1582.147,percent of total billed charges,789.5203064,,,,1582.147,percent of total billed charges,472.3894731,,,,1566.614,percent of total billed charges,1554.727674,,,,1566.614,percent of total billed charges,1072.283354,,,,,,,,,,1597.68,percent of total billed charges,1038.454403,,,,,,,,,,1597.68,percent of total billed charges,999999999,,,,,,,,,,1775.2,percent of total billed charges,1487.525322,,,,1753.01,percent of total billed charges,1691.730091,,,,1753.01,percent of total billed charges,1494.699534,,,,1775.2,percent of total billed charges,999999999,,,,1775.2,percent of total billed charges,999999999,,,,1553.3,percent of total billed charges,999999999,,,,1553.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1180.508,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1120.595,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,554.75,percent of total billed charges,526.8768032,,,,,,,,,,554.75,percent of total billed charges,518.1125661,,,,,,,,,,554.75,percent of total billed charges,516.6727534,,,,,,,,,,554.75,percent of total billed charges,509.0647534,,,,,,,,,,554.75,percent of total billed charges,522.1637379,,,,,,,,,,554.75,percent of total billed charges,999999999,,,,,,,,,,554.75,percent of total billed charges,448.0532579,,,,,,,,,,554.75,percent of total billed charges,706.6108853,,,,,,,,,,554.75,percent of total billed charges,999999999,,,,,,,,,,554.75,percent of total billed charges,483.1109913,,,,,,,,,,1997.1,percent of total billed charges,,,,,
NM BONE SCAN - WHOLE BODY,78306,CDM,0056-2780-01,NDC,,both,1,EA,3262,3262,694.4274274,3262,3262,percent of total billed charges,2399.969285,,,,3262,percent of total billed charges,2543.919989,,,,3262,percent of total billed charges,2399.969285,,,,3262,percent of total billed charges,2543.919989,,,,3262,percent of total billed charges,999999999,,,,3262,percent of total billed charges,2485.419804,,,,3262,percent of total billed charges,2399.969285,,,,3262,percent of total billed charges,2543.919989,,,,2325.806,percent of total billed charges,1160.619756,,,,2325.806,percent of total billed charges,694.4274274,,,,2325.806,percent of total billed charges,1160.619756,,,,2325.806,percent of total billed charges,694.4274274,,,,2325.806,percent of total billed charges,1160.619756,,,,2325.806,percent of total billed charges,694.4274274,,,,2302.972,percent of total billed charges,2285.498725,,,,2302.972,percent of total billed charges,1576.290356,,,,,,,,,,2348.64,percent of total billed charges,1526.560732,,,,,,,,,,2348.64,percent of total billed charges,999999999,,,,,,,,,,2609.6,percent of total billed charges,2186.709148,,,,2576.98,percent of total billed charges,2486.8966,,,,2576.98,percent of total billed charges,2197.255466,,,,2609.6,percent of total billed charges,999999999,,,,2609.6,percent of total billed charges,999999999,,,,2283.4,percent of total billed charges,999999999,,,,2283.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1735.384,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1647.31,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,815.5,percent of total billed charges,774.5255214,,,,,,,,,,815.5,percent of total billed charges,761.6418164,,,,,,,,,,815.5,percent of total billed charges,759.5252464,,,,,,,,,,815.5,percent of total billed charges,748.3412464,,,,,,,,,,815.5,percent of total billed charges,767.5971668,,,,,,,,,,815.5,percent of total billed charges,999999999,,,,,,,,,,815.5,percent of total billed charges,658.6524233,,,,,,,,,,815.5,percent of total billed charges,1038.740292,,,,,,,,,,815.5,percent of total billed charges,999999999,,,,,,,,,,815.5,percent of total billed charges,710.1883973,,,,,,,,,,2935.8,percent of total billed charges,,,,,
NM BONE SCAN 3 PHASE,78315,CDM,0056-2780-01,NDC,,both,1,EA,3437,3437,731.6821177,3437,3437,percent of total billed charges,2528.723002,,,,3437,percent of total billed charges,2680.396383,,,,3437,percent of total billed charges,2528.723002,,,,3437,percent of total billed charges,2680.396383,,,,3437,percent of total billed charges,999999999,,,,3437,percent of total billed charges,2618.757776,,,,3437,percent of total billed charges,2528.723002,,,,3437,percent of total billed charges,2680.396383,,,,2450.581,percent of total billed charges,1222.884765,,,,2450.581,percent of total billed charges,731.6821177,,,,2450.581,percent of total billed charges,1222.884765,,,,2450.581,percent of total billed charges,731.6821177,,,,2450.581,percent of total billed charges,1222.884765,,,,2450.581,percent of total billed charges,731.6821177,,,,2426.522,percent of total billed charges,2408.111318,,,,2426.522,percent of total billed charges,1660.855289,,,,,,,,,,2474.64,percent of total billed charges,1608.457766,,,,,,,,,,2474.64,percent of total billed charges,999999999,,,,,,,,,,2749.6,percent of total billed charges,2304.021871,,,,2715.23,percent of total billed charges,2620.3138,,,,2715.23,percent of total billed charges,2315.133978,,,,2749.6,percent of total billed charges,999999999,,,,2749.6,percent of total billed charges,999999999,,,,2405.9,percent of total billed charges,999999999,,,,2405.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1828.484,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1735.685,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,859.25,percent of total billed charges,816.0773198,,,,,,,,,,859.25,percent of total billed charges,802.5024288,,,,,,,,,,859.25,percent of total billed charges,800.2723089,,,,,,,,,,859.25,percent of total billed charges,788.4883089,,,,,,,,,,859.25,percent of total billed charges,808.7772723,,,,,,,,,,859.25,percent of total billed charges,999999999,,,,,,,,,,859.25,percent of total billed charges,693.9878537,,,,,,,,,,859.25,percent of total billed charges,1094.466703,,,,,,,,,,859.25,percent of total billed charges,999999999,,,,,,,,,,859.25,percent of total billed charges,748.2886333,,,,,,,,,,3093.3,percent of total billed charges,,,,,
**NM BONE SCAN-(SPECT)-MDP,78320,CDM,0056-2780-01,NDC,,both,1,EA,2643,2643,562.6522656,2643,2643,percent of total billed charges,1944.548994,,,,2643,percent of total billed charges,2061.183486,,,,2643,percent of total billed charges,1944.548994,,,,2643,percent of total billed charges,2061.183486,,,,2643,percent of total billed charges,999999999,,,,2643,percent of total billed charges,2013.784348,,,,2643,percent of total billed charges,1944.548994,,,,2643,percent of total billed charges,2061.183486,,,,1884.459,percent of total billed charges,940.3795267,,,,1884.459,percent of total billed charges,562.6522656,,,,1884.459,percent of total billed charges,940.3795267,,,,1884.459,percent of total billed charges,562.6522656,,,,1884.459,percent of total billed charges,940.3795267,,,,1884.459,percent of total billed charges,562.6522656,,,,1865.958,percent of total billed charges,1851.800469,,,,1865.958,percent of total billed charges,1277.172106,,,,,,,,,,1902.96,percent of total billed charges,1236.879219,,,,,,,,,,1902.96,percent of total billed charges,999999999,,,,,,,,,,2114.4,percent of total billed charges,1771.75729,,,,2087.97,percent of total billed charges,2014.980906,,,,2087.97,percent of total billed charges,1780.302329,,,,2114.4,percent of total billed charges,999999999,,,,2114.4,percent of total billed charges,999999999,,,,1850.1,percent of total billed charges,999999999,,,,1850.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1406.076,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1334.715,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,660.75,percent of total billed charges,627.5508746,,,,,,,,,,660.75,percent of total billed charges,617.1119928,,,,,,,,,,660.75,percent of total billed charges,615.397065,,,,,,,,,,660.75,percent of total billed charges,606.3353507,,,,,,,,,,660.75,percent of total billed charges,621.9372507,,,,,,,,,,660.75,percent of total billed charges,999999999,,,,,,,,,,660.75,percent of total billed charges,533.6659579,,,,,,,,,,660.75,percent of total billed charges,841.6280171,,,,,,,,,,660.75,percent of total billed charges,999999999,,,,,,,,,,660.75,percent of total billed charges,575.42242,,,,,,,,,,2378.7,percent of total billed charges,,,,,
**NM MYOCARDI PERF TOMO SINGLE,78464,CDM,0056-2780-01,NDC,,both,1,EA,2137,2137,454.9329897,2137,2137,percent of total billed charges,1572.266818,,,,2137,percent of total billed charges,1666.57174,,,,2137,percent of total billed charges,1572.266818,,,,2137,percent of total billed charges,1666.57174,,,,2137,percent of total billed charges,999999999,,,,2137,percent of total billed charges,1628.247125,,,,2137,percent of total billed charges,1572.266818,,,,2137,percent of total billed charges,1666.57174,,,,1523.681,percent of total billed charges,760.3447024,,,,1523.681,percent of total billed charges,454.9329897,,,,1523.681,percent of total billed charges,760.3447024,,,,1523.681,percent of total billed charges,454.9329897,,,,1523.681,percent of total billed charges,760.3447024,,,,1523.681,percent of total billed charges,454.9329897,,,,1508.722,percent of total billed charges,1497.274916,,,,1508.722,percent of total billed charges,1032.658642,,,,,,,,,,1538.64,percent of total billed charges,1000.079793,,,,,,,,,,1538.64,percent of total billed charges,999999999,,,,,,,,,,1709.6,percent of total billed charges,1432.555932,,,,1688.23,percent of total billed charges,1629.214603,,,,1688.23,percent of total billed charges,1439.465031,,,,1709.6,percent of total billed charges,999999999,,,,1709.6,percent of total billed charges,999999999,,,,1495.9,percent of total billed charges,999999999,,,,1495.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1136.884,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1079.185,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,534.25,percent of total billed charges,507.4068177,,,,,,,,,,534.25,percent of total billed charges,498.9664505,,,,,,,,,,534.25,percent of total billed charges,497.5798441,,,,,,,,,,534.25,percent of total billed charges,490.252987,,,,,,,,,,534.25,percent of total billed charges,502.867917,,,,,,,,,,534.25,percent of total billed charges,999999999,,,,,,,,,,534.25,percent of total billed charges,431.4960848,,,,,,,,,,534.25,percent of total billed charges,680.4990816,,,,,,,,,,534.25,percent of total billed charges,999999999,,,,,,,,,,534.25,percent of total billed charges,465.2583094,,,,,,,,,,1923.3,percent of total billed charges,,,,,
**NM MYOCARD PERF IMAGING MULT-CARDIOL,78465,CDM,0056-2780-01,NDC,,both,1,EA,2996,2996,637.8002981,2996,2996,percent of total billed charges,2204.263635,,,,2996,percent of total billed charges,2336.47587,,,,2996,percent of total billed charges,2204.263635,,,,2996,percent of total billed charges,2336.47587,,,,2996,percent of total billed charges,999999999,,,,2996,percent of total billed charges,2282.746086,,,,2996,percent of total billed charges,2204.263635,,,,2996,percent of total billed charges,2336.47587,,,,2136.148,percent of total billed charges,1065.976944,,,,2136.148,percent of total billed charges,637.8002981,,,,2136.148,percent of total billed charges,1065.976944,,,,2136.148,percent of total billed charges,637.8002981,,,,2136.148,percent of total billed charges,1065.976944,,,,2136.148,percent of total billed charges,637.8002981,,,,2115.176,percent of total billed charges,2099.127585,,,,2115.176,percent of total billed charges,1447.751657,,,,,,,,,,2157.12,percent of total billed charges,1402.077238,,,,,,,,,,2157.12,percent of total billed charges,999999999,,,,,,,,,,2396.8,percent of total billed charges,2008.39381,,,,2366.84,percent of total billed charges,2284.102457,,,,2366.84,percent of total billed charges,2018.080128,,,,2396.8,percent of total billed charges,999999999,,,,2396.8,percent of total billed charges,999999999,,,,2097.2,percent of total billed charges,999999999,,,,2097.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1593.872,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1512.98,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,749,percent of total billed charges,711.3667879,,,,,,,,,,749,percent of total billed charges,699.5336854,,,,,,,,,,749,percent of total billed charges,697.5897113,,,,,,,,,,749,percent of total billed charges,687.3177113,,,,,,,,,,749,percent of total billed charges,705.0034064,,,,,,,,,,749,percent of total billed charges,999999999,,,,,,,,,,749,percent of total billed charges,604.9425691,,,,,,,,,,749,percent of total billed charges,954.036148,,,,,,,,,,749,percent of total billed charges,999999999,,,,,,,,,,749,percent of total billed charges,652.2760388,,,,,,,,,,2696.4,percent of total billed charges,,,,,
NM LUNG PERF,78580,CDM,0056-2780-01,NDC,,both,1,EA,2467,2467,525.1846914,2467,2467,percent of total billed charges,1815.059542,,,,2467,percent of total billed charges,1923.927226,,,,2467,percent of total billed charges,1815.059542,,,,2467,percent of total billed charges,1923.927226,,,,2467,percent of total billed charges,999999999,,,,2467,percent of total billed charges,1879.684444,,,,2467,percent of total billed charges,1815.059542,,,,2467,percent of total billed charges,1923.927226,,,,1758.971,percent of total billed charges,877.7587182,,,,1758.971,percent of total billed charges,525.1846914,,,,1758.971,percent of total billed charges,877.7587182,,,,1758.971,percent of total billed charges,525.1846914,,,,1758.971,percent of total billed charges,877.7587182,,,,1758.971,percent of total billed charges,525.1846914,,,,1741.702,percent of total billed charges,1728.487233,,,,1741.702,percent of total billed charges,1192.123945,,,,,,,,,,1776.24,percent of total billed charges,1154.514201,,,,,,,,,,1776.24,percent of total billed charges,999999999,,,,,,,,,,1973.6,percent of total billed charges,1653.774209,,,,1948.93,percent of total billed charges,1880.801322,,,,1948.93,percent of total billed charges,1661.750225,,,,1973.6,percent of total billed charges,999999999,,,,1973.6,percent of total billed charges,999999999,,,,1726.9,percent of total billed charges,999999999,,,,1726.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1312.444,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1245.835,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,616.75,percent of total billed charges,585.7616374,,,,,,,,,,616.75,percent of total billed charges,576.0178912,,,,,,,,,,616.75,percent of total billed charges,574.4171621,,,,,,,,,,616.75,percent of total billed charges,565.9588764,,,,,,,,,,616.75,percent of total billed charges,580.5218303,,,,,,,,,,616.75,percent of total billed charges,999999999,,,,,,,,,,616.75,percent of total billed charges,498.1286108,,,,,,,,,,616.75,percent of total billed charges,785.58317,,,,,,,,,,616.75,percent of total billed charges,999999999,,,,,,,,,,616.75,percent of total billed charges,537.1044685,,,,,,,,,,2220.3,percent of total billed charges,,,,,
NM LUNG VENT,78579,CDM,0056-2780-01,NDC,,both,1,EA,2399,2399,510.7085832,2399,2399,percent of total billed charges,1765.029526,,,,2399,percent of total billed charges,1870.896399,,,,2399,percent of total billed charges,1765.029526,,,,2399,percent of total billed charges,1870.896399,,,,2399,percent of total billed charges,999999999,,,,2399,percent of total billed charges,1827.873118,,,,2399,percent of total billed charges,1765.029526,,,,2399,percent of total billed charges,1870.896399,,,,1710.487,percent of total billed charges,853.564315,,,,1710.487,percent of total billed charges,510.7085832,,,,1710.487,percent of total billed charges,853.564315,,,,1710.487,percent of total billed charges,510.7085832,,,,1710.487,percent of total billed charges,853.564315,,,,1710.487,percent of total billed charges,510.7085832,,,,1693.694,percent of total billed charges,1680.843483,,,,1693.694,percent of total billed charges,1159.264428,,,,,,,,,,1727.28,percent of total billed charges,1122.691353,,,,,,,,,,1727.28,percent of total billed charges,999999999,,,,,,,,,,1919.2,percent of total billed charges,1608.189837,,,,1895.21,percent of total billed charges,1828.95921,,,,1895.21,percent of total billed charges,1615.946004,,,,1919.2,percent of total billed charges,999999999,,,,1919.2,percent of total billed charges,999999999,,,,1679.3,percent of total billed charges,999999999,,,,1679.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1276.268,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1211.495,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,599.75,percent of total billed charges,569.6157958,,,,,,,,,,599.75,percent of total billed charges,560.1406246,,,,,,,,,,599.75,percent of total billed charges,558.5840178,,,,,,,,,,599.75,percent of total billed charges,550.3588749,,,,,,,,,,599.75,percent of total billed charges,564.5204179,,,,,,,,,,599.75,percent of total billed charges,999999999,,,,,,,,,,599.75,percent of total billed charges,484.3982721,,,,,,,,,,599.75,percent of total billed charges,763.929479,,,,,,,,,,599.75,percent of total billed charges,999999999,,,,,,,,,,599.75,percent of total billed charges,522.2998054,,,,,,,,,,2159.1,percent of total billed charges,,,,,
NM LUNG VENT/PERF,78582,CDM,0056-2780-01,NDC,,both,1,EA,3528,3528,751.0545566,3528,3528,percent of total billed charges,2595.674935,,,,3528,percent of total billed charges,2751.364108,,,,3528,percent of total billed charges,2595.674935,,,,3528,percent of total billed charges,2751.364108,,,,3528,percent of total billed charges,999999999,,,,3528,percent of total billed charges,2688.093522,,,,3528,percent of total billed charges,2595.674935,,,,3528,percent of total billed charges,2751.364108,,,,2515.464,percent of total billed charges,1255.262569,,,,2515.464,percent of total billed charges,751.0545566,,,,2515.464,percent of total billed charges,1255.262569,,,,2515.464,percent of total billed charges,751.0545566,,,,2515.464,percent of total billed charges,1255.262569,,,,2515.464,percent of total billed charges,751.0545566,,,,2490.768,percent of total billed charges,2471.869866,,,,2490.768,percent of total billed charges,1704.829054,,,,,,,,,,2540.16,percent of total billed charges,1651.044225,,,,,,,,,,2540.16,percent of total billed charges,999999999,,,,,,,,,,2822.4,percent of total billed charges,2365.024487,,,,2787.12,percent of total billed charges,2689.690743,,,,2787.12,percent of total billed charges,2376.430805,,,,2822.4,percent of total billed charges,999999999,,,,2822.4,percent of total billed charges,999999999,,,,2469.6,percent of total billed charges,999999999,,,,2469.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1876.896,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1781.64,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,882,percent of total billed charges,837.6842549,,,,,,,,,,882,percent of total billed charges,823.7499473,,,,,,,,,,882,percent of total billed charges,821.4607815,,,,,,,,,,882,percent of total billed charges,809.3647815,,,,,,,,,,882,percent of total billed charges,830.1909271,,,,,,,,,,882,percent of total billed charges,999999999,,,,,,,,,,882,percent of total billed charges,712.3622776,,,,,,,,,,882,percent of total billed charges,1123.444436,,,,,,,,,,882,percent of total billed charges,999999999,,,,,,,,,,882,percent of total billed charges,768.1007559,,,,,,,,,,3175.2,percent of total billed charges,,,,,
NM KIDNEY FUNC W/LASIX,78708,CDM,0056-2780-01,NDC,,both,1,EA,3232,3232,688.040909,3232,3232,percent of total billed charges,2377.897219,,,,3232,percent of total billed charges,2520.524036,,,,3232,percent of total billed charges,2377.897219,,,,3232,percent of total billed charges,2520.524036,,,,3232,percent of total billed charges,999999999,,,,3232,percent of total billed charges,2462.561866,,,,3232,percent of total billed charges,2377.897219,,,,3232,percent of total billed charges,2520.524036,,,,2304.416,percent of total billed charges,1149.945755,,,,2304.416,percent of total billed charges,688.040909,,,,2304.416,percent of total billed charges,1149.945755,,,,2304.416,percent of total billed charges,688.040909,,,,2304.416,percent of total billed charges,1149.945755,,,,2304.416,percent of total billed charges,688.040909,,,,2281.792,percent of total billed charges,2264.479424,,,,2281.792,percent of total billed charges,1561.79351,,,,,,,,,,2327.04,percent of total billed charges,1512.52124,,,,,,,,,,2327.04,percent of total billed charges,999999999,,,,,,,,,,2585.6,percent of total billed charges,2166.598396,,,,2553.28,percent of total billed charges,2464.02508,,,,2553.28,percent of total billed charges,2177.047721,,,,2585.6,percent of total billed charges,999999999,,,,2585.6,percent of total billed charges,999999999,,,,2262.4,percent of total billed charges,999999999,,,,2262.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1719.424,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1632.16,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,808,percent of total billed charges,767.402356,,,,,,,,,,808,percent of total billed charges,754.6371399,,,,,,,,,,808,percent of total billed charges,752.5400356,,,,,,,,,,808,percent of total billed charges,741.4588928,,,,,,,,,,808,percent of total billed charges,760.5377201,,,,,,,,,,808,percent of total billed charges,999999999,,,,,,,,,,808,percent of total billed charges,652.594921,,,,,,,,,,808,percent of total billed charges,1029.187193,,,,,,,,,,808,percent of total billed charges,999999999,,,,,,,,,,808,percent of total billed charges,703.6569283,,,,,,,,,,2908.8,percent of total billed charges,,,,,
NM KIDNEY FUNC SINGLE STUDY,78707,CDM,0056-2780-01,NDC,,both,1,EA,2394,2394,509.6441634,2394,2394,percent of total billed charges,1761.350849,,,,2394,percent of total billed charges,1866.997073,,,,2394,percent of total billed charges,1761.350849,,,,2394,percent of total billed charges,1866.997073,,,,2394,percent of total billed charges,999999999,,,,2394,percent of total billed charges,1824.063461,,,,2394,percent of total billed charges,1761.350849,,,,2394,percent of total billed charges,1866.997073,,,,1706.922,percent of total billed charges,851.7853147,,,,1706.922,percent of total billed charges,509.6441634,,,,1706.922,percent of total billed charges,851.7853147,,,,1706.922,percent of total billed charges,509.6441634,,,,1706.922,percent of total billed charges,851.7853147,,,,1706.922,percent of total billed charges,509.6441634,,,,1690.164,percent of total billed charges,1677.340266,,,,1690.164,percent of total billed charges,1156.848287,,,,,,,,,,1723.68,percent of total billed charges,1120.351438,,,,,,,,,,1723.68,percent of total billed charges,999999999,,,,,,,,,,1915.2,percent of total billed charges,1604.838045,,,,1891.26,percent of total billed charges,1825.14729,,,,1891.26,percent of total billed charges,1612.578046,,,,1915.2,percent of total billed charges,999999999,,,,1915.2,percent of total billed charges,999999999,,,,1675.8,percent of total billed charges,999999999,,,,1675.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1273.608,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1208.97,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,598.5,percent of total billed charges,568.4286015,,,,,,,,,,598.5,percent of total billed charges,558.9731785,,,,,,,,,,598.5,percent of total billed charges,557.419816,,,,,,,,,,598.5,percent of total billed charges,549.211816,,,,,,,,,,598.5,percent of total billed charges,563.3438434,,,,,,,,,,598.5,percent of total billed charges,999999999,,,,,,,,,,598.5,percent of total billed charges,483.3886884,,,,,,,,,,598.5,percent of total billed charges,762.3372959,,,,,,,,,,598.5,percent of total billed charges,999999999,,,,,,,,,,598.5,percent of total billed charges,521.2112272,,,,,,,,,,2154.6,percent of total billed charges,,,,,
NM KIDNEY FUNC STUDY W/CAPTOPRIL,78709,CDM,0056-2780-01,NDC,,both,1,EA,3399,3399,723.5925278,3399,3399,percent of total billed charges,2500.765052,,,,3399,percent of total billed charges,2650.761509,,,,3399,percent of total billed charges,2500.765052,,,,3399,percent of total billed charges,2650.761509,,,,3399,percent of total billed charges,999999999,,,,3399,percent of total billed charges,2589.804388,,,,3399,percent of total billed charges,2500.765052,,,,3399,percent of total billed charges,2650.761509,,,,2423.487,percent of total billed charges,1209.364363,,,,2423.487,percent of total billed charges,723.5925278,,,,2423.487,percent of total billed charges,1209.364363,,,,2423.487,percent of total billed charges,723.5925278,,,,2423.487,percent of total billed charges,1209.364363,,,,2423.487,percent of total billed charges,723.5925278,,,,2399.694,percent of total billed charges,2381.486869,,,,2399.694,percent of total billed charges,1642.492618,,,,,,,,,,2447.28,percent of total billed charges,1590.67441,,,,,,,,,,2447.28,percent of total billed charges,999999999,,,,,,,,,,2719.2,percent of total billed charges,2278.548251,,,,2685.21,percent of total billed charges,2591.343208,,,,2685.21,percent of total billed charges,2289.537502,,,,2719.2,percent of total billed charges,999999999,,,,2719.2,percent of total billed charges,999999999,,,,2379.3,percent of total billed charges,999999999,,,,2379.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1808.268,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1716.495,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,849.75,percent of total billed charges,807.0546436,,,,,,,,,,849.75,percent of total billed charges,793.6298387,,,,,,,,,,849.75,percent of total billed charges,791.4243754,,,,,,,,,,849.75,percent of total billed charges,779.7706611,,,,,,,,,,849.75,percent of total billed charges,799.8353065,,,,,,,,,,849.75,percent of total billed charges,999999999,,,,,,,,,,849.75,percent of total billed charges,686.3150174,,,,,,,,,,849.75,percent of total billed charges,1082.366111,,,,,,,,,,849.75,percent of total billed charges,999999999,,,,,,,,,,849.75,percent of total billed charges,740.0154392,,,,,,,,,,3059.1,percent of total billed charges,,,,,
NM TESTICULAR SCAN,78761,CDM,0056-2780-01,NDC,,both,1,EA,1717,1717,365.5217329,1717,1717,percent of total billed charges,1263.257898,,,,1717,percent of total billed charges,1339.028394,,,,1717,percent of total billed charges,1263.257898,,,,1717,percent of total billed charges,1339.028394,,,,1717,percent of total billed charges,999999999,,,,1717,percent of total billed charges,1308.235991,,,,1717,percent of total billed charges,1263.257898,,,,1717,percent of total billed charges,1339.028394,,,,1224.221,percent of total billed charges,610.9086823,,,,1224.221,percent of total billed charges,365.5217329,,,,1224.221,percent of total billed charges,610.9086823,,,,1224.221,percent of total billed charges,365.5217329,,,,1224.221,percent of total billed charges,610.9086823,,,,1224.221,percent of total billed charges,365.5217329,,,,1212.202,percent of total billed charges,1203.004694,,,,1212.202,percent of total billed charges,829.7028023,,,,,,,,,,1236.24,percent of total billed charges,803.5269087,,,,,,,,,,1236.24,percent of total billed charges,999999999,,,,,,,,,,1373.6,percent of total billed charges,1151.005398,,,,1356.43,percent of total billed charges,1309.013324,,,,1356.43,percent of total billed charges,1156.556602,,,,1373.6,percent of total billed charges,999999999,,,,1373.6,percent of total billed charges,999999999,,,,1201.9,percent of total billed charges,999999999,,,,1201.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,913.444,percent of total billed charges,999999999,,,,,,,,,,,,,,,,867.085,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,429.25,percent of total billed charges,407.6825016,,,,,,,,,,429.25,percent of total billed charges,400.9009806,,,,,,,,,,429.25,percent of total billed charges,399.7868939,,,,,,,,,,429.25,percent of total billed charges,393.9000368,,,,,,,,,,429.25,percent of total billed charges,404.0356638,,,,,,,,,,429.25,percent of total billed charges,999999999,,,,,,,,,,429.25,percent of total billed charges,346.6910518,,,,,,,,,,429.25,percent of total billed charges,546.7556963,,,,,,,,,,429.25,percent of total billed charges,999999999,,,,,,,,,,429.25,percent of total billed charges,373.8177432,,,,,,,,,,1545.3,percent of total billed charges,,,,,
NM RADIOPHARM LOC WB,78802,CDM,0056-2780-01,NDC,,both,1,EA,4167,4167,887.0873972,4167,4167,percent of total billed charges,3065.809936,,,,4167,percent of total billed charges,3249.697913,,,,4167,percent of total billed charges,3065.809936,,,,4167,percent of total billed charges,3249.697913,,,,4167,percent of total billed charges,999999999,,,,4167,percent of total billed charges,3174.967604,,,,4167,percent of total billed charges,3065.809936,,,,4167,percent of total billed charges,3249.697913,,,,2971.071,percent of total billed charges,1482.6188,,,,2971.071,percent of total billed charges,887.0873972,,,,2971.071,percent of total billed charges,1482.6188,,,,2971.071,percent of total billed charges,887.0873972,,,,2971.071,percent of total billed charges,1482.6188,,,,2971.071,percent of total billed charges,887.0873972,,,,2941.902,percent of total billed charges,2919.58099,,,,2941.902,percent of total billed charges,2013.611868,,,,,,,,,,3000.24,percent of total billed charges,1950.085398,,,,,,,,,,3000.24,percent of total billed charges,999999999,,,,,,,,,,3333.6,percent of total billed charges,2793.383514,,,,3291.93,percent of total billed charges,3176.854118,,,,3291.93,percent of total billed charges,2806.855772,,,,3333.6,percent of total billed charges,999999999,,,,3333.6,percent of total billed charges,999999999,,,,2916.9,percent of total billed charges,999999999,,,,2916.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2216.844,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2104.335,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1041.75,percent of total billed charges,989.4076786,,,,,,,,,,1041.75,percent of total billed charges,972.9495551,,,,,,,,,,1041.75,percent of total billed charges,970.24577,,,,,,,,,,1041.75,percent of total billed charges,955.9589128,,,,,,,,,,1041.75,percent of total billed charges,980.557141,,,,,,,,,,1041.75,percent of total billed charges,999999999,,,,,,,,,,1041.75,percent of total billed charges,841.3870778,,,,,,,,,,1041.75,percent of total billed charges,1326.925444,,,,,,,,,,1041.75,percent of total billed charges,999999999,,,,,,,,,,1041.75,percent of total billed charges,907.2210459,,,,,,,,,,3750.3,percent of total billed charges,,,,,
NM RADIOPHARM LOC SPECT SINGLE,78803,CDM,0056-2780-01,NDC,,both,1,EA,4053,4053,862.8186276,4053,4053,percent of total billed charges,2981.936086,,,,4053,percent of total billed charges,3160.793291,,,,4053,percent of total billed charges,2981.936086,,,,4053,percent of total billed charges,3160.793291,,,,4053,percent of total billed charges,999999999,,,,4053,percent of total billed charges,3088.107439,,,,4053,percent of total billed charges,2981.936086,,,,4053,percent of total billed charges,3160.793291,,,,2889.789,percent of total billed charges,1442.057594,,,,2889.789,percent of total billed charges,862.8186276,,,,2889.789,percent of total billed charges,1442.057594,,,,2889.789,percent of total billed charges,862.8186276,,,,2889.789,percent of total billed charges,1442.057594,,,,2889.789,percent of total billed charges,862.8186276,,,,2861.418,percent of total billed charges,2839.707644,,,,2861.418,percent of total billed charges,1958.523854,,,,,,,,,,2918.16,percent of total billed charges,1896.73533,,,,,,,,,,2918.16,percent of total billed charges,999999999,,,,,,,,,,3242.4,percent of total billed charges,2716.962654,,,,3201.87,percent of total billed charges,3089.942342,,,,3201.87,percent of total billed charges,2730.066341,,,,3242.4,percent of total billed charges,999999999,,,,3242.4,percent of total billed charges,999999999,,,,2837.1,percent of total billed charges,999999999,,,,2837.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2156.196,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2046.765,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1013.25,percent of total billed charges,962.33965,,,,,,,,,,1013.25,percent of total billed charges,946.3317847,,,,,,,,,,1013.25,percent of total billed charges,943.7019692,,,,,,,,,,1013.25,percent of total billed charges,929.8059692,,,,,,,,,,1013.25,percent of total billed charges,953.7312437,,,,,,,,,,1013.25,percent of total billed charges,999999999,,,,,,,,,,1013.25,percent of total billed charges,818.3685689,,,,,,,,,,1013.25,percent of total billed charges,1290.623668,,,,,,,,,,1013.25,percent of total billed charges,999999999,,,,,,,,,,1013.25,percent of total billed charges,882.4014637,,,,,,,,,,3647.7,percent of total billed charges,,,,,
**NM RADIOPHARM LOC ABSC LTD,78805,CDM,0056-2780-01,NDC,,both,1,EA,2988,2988,636.0972265,2988,2988,percent of total billed charges,2198.377751,,,,2988,percent of total billed charges,2330.236949,,,,2988,percent of total billed charges,2198.377751,,,,2988,percent of total billed charges,2330.236949,,,,2988,percent of total billed charges,999999999,,,,2988,percent of total billed charges,2276.650636,,,,2988,percent of total billed charges,2198.377751,,,,2988,percent of total billed charges,2330.236949,,,,2130.444,percent of total billed charges,1063.130543,,,,2130.444,percent of total billed charges,636.0972265,,,,2130.444,percent of total billed charges,1063.130543,,,,2130.444,percent of total billed charges,636.0972265,,,,2130.444,percent of total billed charges,1063.130543,,,,2130.444,percent of total billed charges,636.0972265,,,,2109.528,percent of total billed charges,2093.522438,,,,2109.528,percent of total billed charges,1443.885832,,,,,,,,,,2151.36,percent of total billed charges,1398.333374,,,,,,,,,,2151.36,percent of total billed charges,999999999,,,,,,,,,,2390.4,percent of total billed charges,2003.030943,,,,2360.52,percent of total billed charges,2278.003385,,,,2360.52,percent of total billed charges,2012.691396,,,,2390.4,percent of total billed charges,999999999,,,,2390.4,percent of total billed charges,999999999,,,,2091.6,percent of total billed charges,999999999,,,,2091.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1589.616,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1508.94,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,747,percent of total billed charges,709.4672771,,,,,,,,,,747,percent of total billed charges,697.6657717,,,,,,,,,,747,percent of total billed charges,695.7269884,,,,,,,,,,747,percent of total billed charges,685.482417,,,,,,,,,,747,percent of total billed charges,703.1208873,,,,,,,,,,747,percent of total billed charges,999999999,,,,,,,,,,747,percent of total billed charges,603.3272351,,,,,,,,,,747,percent of total billed charges,951.488655,,,,,,,,,,747,percent of total billed charges,999999999,,,,,,,,,,747,percent of total billed charges,650.5343137,,,,,,,,,,2689.2,percent of total billed charges,,,,,
**NM RADIOPHARM LOC ABSC WB,78806,CDM,0056-2780-01,NDC,,both,1,EA,4377,4377,931.7930256,4377,4377,percent of total billed charges,3220.314396,,,,4377,percent of total billed charges,3413.469586,,,,4377,percent of total billed charges,3220.314396,,,,4377,percent of total billed charges,3413.469586,,,,4377,percent of total billed charges,999999999,,,,4377,percent of total billed charges,3334.973171,,,,4377,percent of total billed charges,3220.314396,,,,4377,percent of total billed charges,3413.469586,,,,3120.801,percent of total billed charges,1557.33681,,,,3120.801,percent of total billed charges,931.7930256,,,,3120.801,percent of total billed charges,1557.33681,,,,3120.801,percent of total billed charges,931.7930256,,,,3120.801,percent of total billed charges,1557.33681,,,,3120.801,percent of total billed charges,931.7930256,,,,3090.162,percent of total billed charges,3066.716101,,,,3090.162,percent of total billed charges,2115.089788,,,,,,,,,,3151.44,percent of total billed charges,2048.36184,,,,,,,,,,3151.44,percent of total billed charges,999999999,,,,,,,,,,3501.6,percent of total billed charges,2934.158781,,,,3457.83,percent of total billed charges,3336.954757,,,,3457.83,percent of total billed charges,2948.309986,,,,3501.6,percent of total billed charges,999999999,,,,3501.6,percent of total billed charges,999999999,,,,3063.9,percent of total billed charges,999999999,,,,3063.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2328.564,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2210.385,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1094.25,percent of total billed charges,1039.269837,,,,,,,,,,1094.25,percent of total billed charges,1021.98229,,,,,,,,,,1094.25,percent of total billed charges,1019.142245,,,,,,,,,,1094.25,percent of total billed charges,1004.135388,,,,,,,,,,1094.25,percent of total billed charges,1029.973268,,,,,,,,,,1094.25,percent of total billed charges,999999999,,,,,,,,,,1094.25,percent of total billed charges,883.7895944,,,,,,,,,,1094.25,percent of total billed charges,1393.797136,,,,,,,,,,1094.25,percent of total billed charges,999999999,,,,,,,,,,1094.25,percent of total billed charges,952.941329,,,,,,,,,,3939.3,percent of total billed charges,,,,,
**NM RADIOPHARM LOC ABSC LTD W/SPECT,78807,CDM,0056-2780-01,NDC,,both,1,EA,2437,2437,518.798173,2437,2437,percent of total billed charges,1792.987476,,,,2437,percent of total billed charges,1900.531273,,,,2437,percent of total billed charges,1792.987476,,,,2437,percent of total billed charges,1900.531273,,,,2437,percent of total billed charges,999999999,,,,2437,percent of total billed charges,1856.826506,,,,2437,percent of total billed charges,1792.987476,,,,2437,percent of total billed charges,1900.531273,,,,1737.581,percent of total billed charges,867.0847168,,,,1737.581,percent of total billed charges,518.798173,,,,1737.581,percent of total billed charges,867.0847168,,,,1737.581,percent of total billed charges,518.798173,,,,1737.581,percent of total billed charges,867.0847168,,,,1737.581,percent of total billed charges,518.798173,,,,1720.522,percent of total billed charges,1707.467932,,,,1720.522,percent of total billed charges,1177.627099,,,,,,,,,,1754.64,percent of total billed charges,1140.47471,,,,,,,,,,1754.64,percent of total billed charges,999999999,,,,,,,,,,1949.6,percent of total billed charges,1633.663456,,,,1925.23,percent of total billed charges,1857.929802,,,,1925.23,percent of total billed charges,1641.54248,,,,1949.6,percent of total billed charges,999999999,,,,1949.6,percent of total billed charges,999999999,,,,1705.9,percent of total billed charges,999999999,,,,1705.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1296.484,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1230.685,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,609.25,percent of total billed charges,578.638472,,,,,,,,,,609.25,percent of total billed charges,569.0132147,,,,,,,,,,609.25,percent of total billed charges,567.4319514,,,,,,,,,,609.25,percent of total billed charges,559.0765228,,,,,,,,,,609.25,percent of total billed charges,573.4623836,,,,,,,,,,609.25,percent of total billed charges,999999999,,,,,,,,,,609.25,percent of total billed charges,492.0711084,,,,,,,,,,609.25,percent of total billed charges,776.030071,,,,,,,,,,609.25,percent of total billed charges,999999999,,,,,,,,,,609.25,percent of total billed charges,530.5729995,,,,,,,,,,2193.3,percent of total billed charges,,,,,
NM MEDRONATE (MDP),A9503,CDM,0056-2780-01,NDC,,both,1,EA,232,232,49.38907515,232,232,percent of total billed charges,170.690642,,,,232,percent of total billed charges,180.9287055,,,,232,percent of total billed charges,170.690642,,,,232,percent of total billed charges,180.9287055,,,,232,percent of total billed charges,999999999,,,,232,percent of total billed charges,176.7680547,,,,232,percent of total billed charges,170.690642,,,,232,percent of total billed charges,180.9287055,,,,165.416,percent of total billed charges,82.54561112,,,,165.416,percent of total billed charges,49.38907515,,,,165.416,percent of total billed charges,82.54561112,,,,165.416,percent of total billed charges,49.38907515,,,,165.416,percent of total billed charges,82.54561112,,,,165.416,percent of total billed charges,49.38907515,,,,163.792,percent of total billed charges,162.5492656,,,,163.792,percent of total billed charges,112.1089401,,,,,,,,,,167.04,percent of total billed charges,108.5720692,,,,,,,,,,167.04,percent of total billed charges,999999999,,,,,,,,,,185.6,percent of total billed charges,155.5231522,,,,183.28,percent of total billed charges,176.8730874,,,,183.28,percent of total billed charges,156.2732275,,,,185.6,percent of total billed charges,999999999,,,,185.6,percent of total billed charges,999999999,,,,162.4,percent of total billed charges,999999999,,,,162.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,123.424,percent of total billed charges,999999999,,,,,,,,,,,,,,,,117.16,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,58,percent of total billed charges,55.08581268,,,,,,,,,,58,percent of total billed charges,54.16949767,,,,,,,,,,58,percent of total billed charges,54.01896295,,,,,,,,,,58,percent of total billed charges,53.22353438,,,,,,,,,,58,percent of total billed charges,54.59305417,,,,,,,,,,58,percent of total billed charges,999999999,,,,,,,,,,58,percent of total billed charges,46.84468492,,,,,,,,,,58,percent of total billed charges,73.87729851,,,,,,,,,,58,percent of total billed charges,999999999,,,,,,,,,,58,percent of total billed charges,50.51002703,,,,,,,,,,208.8,percent of total billed charges,,,,,
NM MYOCARD PERF SINGLE,78451,CDM,0056-2780-01,NDC,,both,1,EA,5237,5237,1114.873218,5237,5237,percent of total billed charges,3853.046948,,,,5237,percent of total billed charges,4084.153581,,,,5237,percent of total billed charges,3853.046948,,,,5237,percent of total billed charges,4084.153581,,,,5237,percent of total billed charges,999999999,,,,5237,percent of total billed charges,3990.234063,,,,5237,percent of total billed charges,3853.046948,,,,5237,percent of total billed charges,4084.153581,,,,3733.981,percent of total billed charges,1863.324851,,,,3733.981,percent of total billed charges,1114.873218,,,,3733.981,percent of total billed charges,1863.324851,,,,3733.981,percent of total billed charges,1114.873218,,,,3733.981,percent of total billed charges,1863.324851,,,,3733.981,percent of total billed charges,1114.873218,,,,3697.322,percent of total billed charges,3669.269413,,,,3697.322,percent of total billed charges,2530.666031,,,,,,,,,,3770.64,percent of total billed charges,2450.827269,,,,,,,,,,3770.64,percent of total billed charges,999999999,,,,,,,,,,4189.6,percent of total billed charges,3510.667017,,,,4137.23,percent of total billed charges,3992.604995,,,,4137.23,percent of total billed charges,3527.598675,,,,4189.6,percent of total billed charges,999999999,,,,4189.6,percent of total billed charges,999999999,,,,3665.9,percent of total billed charges,999999999,,,,3665.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2786.084,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2644.685,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1309.25,percent of total billed charges,1243.467246,,,,,,,,,,1309.25,percent of total billed charges,1222.783014,,,,,,,,,,1309.25,percent of total billed charges,1219.384953,,,,,,,,,,1309.25,percent of total billed charges,1201.429524,,,,,,,,,,1309.25,percent of total billed charges,1232.344072,,,,,,,,,,1309.25,percent of total billed charges,999999999,,,,,,,,,,1309.25,percent of total billed charges,1057.437995,,,,,,,,,,1309.25,percent of total billed charges,1667.652639,,,,,,,,,,1309.25,percent of total billed charges,999999999,,,,,,,,,,1309.25,percent of total billed charges,1140.176774,,,,,,,,,,4713.3,percent of total billed charges,,,,,
NM MYOCARD PERF MULTI,78452,CDM,0056-2780-01,NDC,,both,1,EA,7339,7339,1562.35527,7339,7339,percent of total billed charges,5399.563023,,,,7339,percent of total billed charges,5723.430042,,,,7339,percent of total billed charges,5399.563023,,,,7339,percent of total billed charges,5723.430042,,,,7339,percent of total billed charges,999999999,,,,7339,percent of total billed charges,5591.813594,,,,7339,percent of total billed charges,5399.563023,,,,7339,percent of total billed charges,5723.430042,,,,5232.707,percent of total billed charges,2611.216552,,,,5232.707,percent of total billed charges,1562.35527,,,,5232.707,percent of total billed charges,2611.216552,,,,5232.707,percent of total billed charges,1562.35527,,,,5232.707,percent of total billed charges,2611.216552,,,,5232.707,percent of total billed charges,1562.35527,,,,5181.334,percent of total billed charges,5142.02181,,,,5181.334,percent of total billed charges,3546.411687,,,,,,,,,,5284.08,percent of total billed charges,3434.527654,,,,,,,,,,5284.08,percent of total billed charges,999999999,,,,,,,,,,5871.2,percent of total billed charges,4919.760405,,,,5797.81,percent of total billed charges,5595.136158,,,,5797.81,percent of total billed charges,4943.488003,,,,5871.2,percent of total billed charges,999999999,,,,5871.2,percent of total billed charges,999999999,,,,5137.3,percent of total billed charges,999999999,,,,5137.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3904.348,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3706.195,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1834.75,percent of total billed charges,1742.563704,,,,,,,,,,1834.75,percent of total billed charges,1713.577342,,,,,,,,,,1834.75,percent of total billed charges,1708.815384,,,,,,,,,,1834.75,percent of total billed charges,1683.653098,,,,,,,,,,1834.75,percent of total billed charges,1726.975968,,,,,,,,,,1834.75,percent of total billed charges,999999999,,,,,,,,,,1834.75,percent of total billed charges,1481.866994,,,,,,,,,,1834.75,percent of total billed charges,2337.006439,,,,,,,,,,1834.75,percent of total billed charges,999999999,,,,,,,,,,1834.75,percent of total billed charges,1597.815036,,,,,,,,,,6605.1,percent of total billed charges,,,,,
NM MYOCARD PERF PLANAR,78453,CDM,0056-2780-01,NDC,,both,1,EA,3738,3738,795.760185,3738,3738,percent of total billed charges,2750.179395,,,,3738,percent of total billed charges,2915.135781,,,,3738,percent of total billed charges,2750.179395,,,,3738,percent of total billed charges,2915.135781,,,,3738,percent of total billed charges,999999999,,,,3738,percent of total billed charges,2848.099089,,,,3738,percent of total billed charges,2750.179395,,,,3738,percent of total billed charges,2915.135781,,,,2665.194,percent of total billed charges,1329.980579,,,,2665.194,percent of total billed charges,795.760185,,,,2665.194,percent of total billed charges,1329.980579,,,,2665.194,percent of total billed charges,795.760185,,,,2665.194,percent of total billed charges,1329.980579,,,,2665.194,percent of total billed charges,795.760185,,,,2639.028,percent of total billed charges,2619.004977,,,,2639.028,percent of total billed charges,1806.306974,,,,,,,,,,2691.36,percent of total billed charges,1749.320667,,,,,,,,,,2691.36,percent of total billed charges,999999999,,,,,,,,,,2990.4,percent of total billed charges,2505.799754,,,,2953.02,percent of total billed charges,2849.791383,,,,2953.02,percent of total billed charges,2517.885019,,,,2990.4,percent of total billed charges,999999999,,,,2990.4,percent of total billed charges,999999999,,,,2616.6,percent of total billed charges,999999999,,,,2616.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1988.616,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1887.69,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,934.5,percent of total billed charges,887.5464129,,,,,,,,,,934.5,percent of total billed charges,872.7826823,,,,,,,,,,934.5,percent of total billed charges,870.3572566,,,,,,,,,,934.5,percent of total billed charges,857.5412566,,,,,,,,,,934.5,percent of total billed charges,879.6070538,,,,,,,,,,934.5,percent of total billed charges,999999999,,,,,,,,,,934.5,percent of total billed charges,754.7647941,,,,,,,,,,934.5,percent of total billed charges,1190.316129,,,,,,,,,,934.5,percent of total billed charges,999999999,,,,,,,,,,934.5,percent of total billed charges,813.821039,,,,,,,,,,3364.2,percent of total billed charges,,,,,
NM SESTAMIBI,A9500,CDM,0056-2780-01,NDC,,both,1,EA,767,767,163.2819855,767,767,percent of total billed charges,564.3091482,,,,767,percent of total billed charges,598.1565394,,,,767,percent of total billed charges,564.3091482,,,,767,percent of total billed charges,598.1565394,,,,767,percent of total billed charges,999999999,,,,767,percent of total billed charges,584.4012844,,,,767,percent of total billed charges,564.3091482,,,,767,percent of total billed charges,598.1565394,,,,546.871,percent of total billed charges,272.8986368,,,,546.871,percent of total billed charges,163.2819855,,,,546.871,percent of total billed charges,272.8986368,,,,546.871,percent of total billed charges,163.2819855,,,,546.871,percent of total billed charges,272.8986368,,,,546.871,percent of total billed charges,163.2819855,,,,541.502,percent of total billed charges,537.3934771,,,,541.502,percent of total billed charges,370.6360218,,,,,,,,,,552.24,percent of total billed charges,358.9430046,,,,,,,,,,552.24,percent of total billed charges,999999999,,,,,,,,,,613.6,percent of total billed charges,514.164904,,,,605.93,percent of total billed charges,584.7485261,,,,605.93,percent of total billed charges,516.6446789,,,,613.6,percent of total billed charges,999999999,,,,613.6,percent of total billed charges,999999999,,,,536.9,percent of total billed charges,999999999,,,,536.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,408.044,percent of total billed charges,999999999,,,,,,,,,,,,,,,,387.335,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,191.75,percent of total billed charges,182.1155962,,,,,,,,,,191.75,percent of total billed charges,179.0862272,,,,,,,,,,191.75,percent of total billed charges,178.5885543,,,,,,,,,,191.75,percent of total billed charges,175.95884,,,,,,,,,,191.75,percent of total billed charges,180.4865196,,,,,,,,,,191.75,percent of total billed charges,999999999,,,,,,,,,,191.75,percent of total billed charges,154.8701437,,,,,,,,,,191.75,percent of total billed charges,244.2408964,,,,,,,,,,191.75,percent of total billed charges,999999999,,,,,,,,,,191.75,percent of total billed charges,166.9878911,,,,,,,,,,690.3,percent of total billed charges,,,,,
NM MYOVIEW,A9502,CDM,0056-2780-01,NDC,,both,1,EA,670,670,142.6322429,670,670,percent of total billed charges,492.9428022,,,,670,percent of total billed charges,522.5096237,,,,670,percent of total billed charges,492.9428022,,,,670,percent of total billed charges,522.5096237,,,,670,percent of total billed charges,999999999,,,,670,percent of total billed charges,510.4939512,,,,670,percent of total billed charges,492.9428022,,,,670,percent of total billed charges,522.5096237,,,,477.71,percent of total billed charges,238.3860321,,,,477.71,percent of total billed charges,142.6322429,,,,477.71,percent of total billed charges,238.3860321,,,,477.71,percent of total billed charges,142.6322429,,,,477.71,percent of total billed charges,238.3860321,,,,477.71,percent of total billed charges,142.6322429,,,,473.02,percent of total billed charges,469.4310687,,,,473.02,percent of total billed charges,323.7628873,,,,,,,,,,482.4,percent of total billed charges,313.5486481,,,,,,,,,,482.4,percent of total billed charges,999999999,,,,,,,,,,536,percent of total billed charges,449.1401378,,,,529.3,percent of total billed charges,510.7972784,,,,529.3,percent of total billed charges,451.3063036,,,,536,percent of total billed charges,999999999,,,,536,percent of total billed charges,999999999,,,,469,percent of total billed charges,999999999,,,,469,percent of total billed charges,999999999,,,,,,,,,,,,,,,,356.44,percent of total billed charges,999999999,,,,,,,,,,,,,,,,338.35,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,167.5,percent of total billed charges,159.084028,,,,,,,,,,167.5,percent of total billed charges,156.4377734,,,,,,,,,,167.5,percent of total billed charges,156.0030396,,,,,,,,,,167.5,percent of total billed charges,153.7058967,,,,,,,,,,167.5,percent of total billed charges,157.6609754,,,,,,,,,,167.5,percent of total billed charges,999999999,,,,,,,,,,167.5,percent of total billed charges,135.2842194,,,,,,,,,,167.5,percent of total billed charges,213.3525431,,,,,,,,,,167.5,percent of total billed charges,999999999,,,,,,,,,,167.5,percent of total billed charges,145.8694746,,,,,,,,,,603,percent of total billed charges,,,,,
NM RP LOC W/SPECT MULTI,78831,CDM,0056-2780-01,NDC,,both,1,EA,4167,4167,887.0873972,4167,4167,percent of total billed charges,3065.809936,,,,4167,percent of total billed charges,3249.697913,,,,4167,percent of total billed charges,3065.809936,,,,4167,percent of total billed charges,3249.697913,,,,4167,percent of total billed charges,999999999,,,,4167,percent of total billed charges,3174.967604,,,,4167,percent of total billed charges,3065.809936,,,,4167,percent of total billed charges,3249.697913,,,,2971.071,percent of total billed charges,1482.6188,,,,2971.071,percent of total billed charges,887.0873972,,,,2971.071,percent of total billed charges,1482.6188,,,,2971.071,percent of total billed charges,887.0873972,,,,2971.071,percent of total billed charges,1482.6188,,,,2971.071,percent of total billed charges,887.0873972,,,,2941.902,percent of total billed charges,2919.58099,,,,2941.902,percent of total billed charges,2013.611868,,,,,,,,,,3000.24,percent of total billed charges,1950.085398,,,,,,,,,,3000.24,percent of total billed charges,999999999,,,,,,,,,,3333.6,percent of total billed charges,2793.383514,,,,3291.93,percent of total billed charges,3176.854118,,,,3291.93,percent of total billed charges,2806.855772,,,,3333.6,percent of total billed charges,999999999,,,,3333.6,percent of total billed charges,999999999,,,,2916.9,percent of total billed charges,999999999,,,,2916.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2216.844,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2104.335,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1041.75,percent of total billed charges,989.4076786,,,,,,,,,,1041.75,percent of total billed charges,972.9495551,,,,,,,,,,1041.75,percent of total billed charges,970.24577,,,,,,,,,,1041.75,percent of total billed charges,955.9589128,,,,,,,,,,1041.75,percent of total billed charges,980.557141,,,,,,,,,,1041.75,percent of total billed charges,999999999,,,,,,,,,,1041.75,percent of total billed charges,841.3870778,,,,,,,,,,1041.75,percent of total billed charges,1326.925444,,,,,,,,,,1041.75,percent of total billed charges,999999999,,,,,,,,,,1041.75,percent of total billed charges,907.2210459,,,,,,,,,,3750.3,percent of total billed charges,,,,,
NM RP LOC W/SPECT CT SINGLE,78830,CDM,0056-2780-01,NDC,,both,1,EA,4377,4377,931.7930256,4377,4377,percent of total billed charges,3220.314396,,,,4377,percent of total billed charges,3413.469586,,,,4377,percent of total billed charges,3220.314396,,,,4377,percent of total billed charges,3413.469586,,,,4377,percent of total billed charges,999999999,,,,4377,percent of total billed charges,3334.973171,,,,4377,percent of total billed charges,3220.314396,,,,4377,percent of total billed charges,3413.469586,,,,3120.801,percent of total billed charges,1557.33681,,,,3120.801,percent of total billed charges,931.7930256,,,,3120.801,percent of total billed charges,1557.33681,,,,3120.801,percent of total billed charges,931.7930256,,,,3120.801,percent of total billed charges,1557.33681,,,,3120.801,percent of total billed charges,931.7930256,,,,3090.162,percent of total billed charges,3066.716101,,,,3090.162,percent of total billed charges,2115.089788,,,,,,,,,,3151.44,percent of total billed charges,2048.36184,,,,,,,,,,3151.44,percent of total billed charges,999999999,,,,,,,,,,3501.6,percent of total billed charges,2934.158781,,,,3457.83,percent of total billed charges,3336.954757,,,,3457.83,percent of total billed charges,2948.309986,,,,3501.6,percent of total billed charges,999999999,,,,3501.6,percent of total billed charges,999999999,,,,3063.9,percent of total billed charges,999999999,,,,3063.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2328.564,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2210.385,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1094.25,percent of total billed charges,1039.269837,,,,,,,,,,1094.25,percent of total billed charges,1021.98229,,,,,,,,,,1094.25,percent of total billed charges,1019.142245,,,,,,,,,,1094.25,percent of total billed charges,1004.135388,,,,,,,,,,1094.25,percent of total billed charges,1029.973268,,,,,,,,,,1094.25,percent of total billed charges,999999999,,,,,,,,,,1094.25,percent of total billed charges,883.7895944,,,,,,,,,,1094.25,percent of total billed charges,1393.797136,,,,,,,,,,1094.25,percent of total billed charges,999999999,,,,,,,,,,1094.25,percent of total billed charges,952.941329,,,,,,,,,,3939.3,percent of total billed charges,,,,,
NM RP LOC PLANAR IMAGING,78800,CDM,0056-2780-01,NDC,,both,1,EA,2357,2357,501.7674575,2357,2357,percent of total billed charges,1734.128634,,,,2357,percent of total billed charges,1838.142064,,,,2357,percent of total billed charges,1734.128634,,,,2357,percent of total billed charges,1838.142064,,,,2357,percent of total billed charges,999999999,,,,2357,percent of total billed charges,1795.872004,,,,2357,percent of total billed charges,1734.128634,,,,2357,percent of total billed charges,1838.142064,,,,1680.541,percent of total billed charges,838.620713,,,,1680.541,percent of total billed charges,501.7674575,,,,1680.541,percent of total billed charges,838.620713,,,,1680.541,percent of total billed charges,501.7674575,,,,1680.541,percent of total billed charges,838.620713,,,,1680.541,percent of total billed charges,501.7674575,,,,1664.042,percent of total billed charges,1651.416461,,,,1664.042,percent of total billed charges,1138.968844,,,,,,,,,,1697.04,percent of total billed charges,1103.036065,,,,,,,,,,1697.04,percent of total billed charges,999999999,,,,,,,,,,1885.6,percent of total billed charges,1580.034783,,,,1862.03,percent of total billed charges,1796.939082,,,,1862.03,percent of total billed charges,1587.655161,,,,1885.6,percent of total billed charges,999999999,,,,1885.6,percent of total billed charges,999999999,,,,1649.9,percent of total billed charges,999999999,,,,1649.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1253.924,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1190.285,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,589.25,percent of total billed charges,559.6433642,,,,,,,,,,589.25,percent of total billed charges,550.3340776,,,,,,,,,,589.25,percent of total billed charges,548.8047228,,,,,,,,,,589.25,percent of total billed charges,540.7235799,,,,,,,,,,589.25,percent of total billed charges,554.6371925,,,,,,,,,,589.25,percent of total billed charges,999999999,,,,,,,,,,589.25,percent of total billed charges,475.9177688,,,,,,,,,,589.25,percent of total billed charges,750.5551405,,,,,,,,,,589.25,percent of total billed charges,999999999,,,,,,,,,,589.25,percent of total billed charges,513.1557488,,,,,,,,,,2121.3,percent of total billed charges,,,,,
NM BONE MARROW IMAGING,78102,CDM,0056-2780-01,NDC,,both,1,EA,1822,1822,387.8745471,1822,1822,percent of total billed charges,1340.510128,,,,1822,percent of total billed charges,1420.91423,,,,1822,percent of total billed charges,1340.510128,,,,1822,percent of total billed charges,1420.91423,,,,1822,percent of total billed charges,999999999,,,,1822,percent of total billed charges,1388.238775,,,,1822,percent of total billed charges,1340.510128,,,,1822,percent of total billed charges,1420.91423,,,,1299.086,percent of total billed charges,648.2676873,,,,1299.086,percent of total billed charges,387.8745471,,,,1299.086,percent of total billed charges,648.2676873,,,,1299.086,percent of total billed charges,387.8745471,,,,1299.086,percent of total billed charges,648.2676873,,,,1299.086,percent of total billed charges,387.8745471,,,,1286.332,percent of total billed charges,1276.572249,,,,1286.332,percent of total billed charges,880.4417623,,,,,,,,,,1311.84,percent of total billed charges,852.6651296,,,,,,,,,,1311.84,percent of total billed charges,999999999,,,,,,,,,,1457.6,percent of total billed charges,1221.393031,,,,1439.38,percent of total billed charges,1389.063644,,,,1439.38,percent of total billed charges,1227.283709,,,,1457.6,percent of total billed charges,999999999,,,,1457.6,percent of total billed charges,999999999,,,,1275.4,percent of total billed charges,999999999,,,,1275.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,969.304,percent of total billed charges,999999999,,,,,,,,,,,,,,,,920.11,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,455.5,percent of total billed charges,432.6135806,,,,,,,,,,455.5,percent of total billed charges,425.4173481,,,,,,,,,,455.5,percent of total billed charges,424.2351315,,,,,,,,,,455.5,percent of total billed charges,417.9882743,,,,,,,,,,455.5,percent of total billed charges,428.7437271,,,,,,,,,,455.5,percent of total billed charges,999999999,,,,,,,,,,455.5,percent of total billed charges,367.89231,,,,,,,,,,455.5,percent of total billed charges,580.1915426,,,,,,,,,,455.5,percent of total billed charges,999999999,,,,,,,,,,455.5,percent of total billed charges,396.6778847,,,,,,,,,,1639.8,percent of total billed charges,,,,,
NM OXIDRONATE (HDP),A9561,CDM,0056-2780-01,NDC,,both,1,EA,556,556,118.3634732,556,556,percent of total billed charges,409.0689523,,,,556,percent of total billed charges,433.6050012,,,,556,percent of total billed charges,409.0689523,,,,556,percent of total billed charges,433.6050012,,,,556,percent of total billed charges,999999999,,,,556,percent of total billed charges,423.6337864,,,,556,percent of total billed charges,409.0689523,,,,556,percent of total billed charges,433.6050012,,,,396.428,percent of total billed charges,197.8248266,,,,396.428,percent of total billed charges,118.3634732,,,,396.428,percent of total billed charges,197.8248266,,,,396.428,percent of total billed charges,118.3634732,,,,396.428,percent of total billed charges,197.8248266,,,,396.428,percent of total billed charges,118.3634732,,,,392.536,percent of total billed charges,389.5577227,,,,392.536,percent of total billed charges,268.6748737,,,,,,,,,,400.32,percent of total billed charges,260.1985796,,,,,,,,,,400.32,percent of total billed charges,999999999,,,,,,,,,,444.8,percent of total billed charges,372.7192785,,,,439.24,percent of total billed charges,423.8855027,,,,439.24,percent of total billed charges,374.5168729,,,,444.8,percent of total billed charges,999999999,,,,444.8,percent of total billed charges,999999999,,,,389.2,percent of total billed charges,999999999,,,,389.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,295.792,percent of total billed charges,999999999,,,,,,,,,,,,,,,,280.78,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,139,percent of total billed charges,132.0159994,,,,,,,,,,139,percent of total billed charges,129.820003,,,,,,,,,,139,percent of total billed charges,129.4592388,,,,,,,,,,139,percent of total billed charges,127.5529531,,,,,,,,,,139,percent of total billed charges,130.8350781,,,,,,,,,,139,percent of total billed charges,999999999,,,,,,,,,,139,percent of total billed charges,112.2657104,,,,,,,,,,139,percent of total billed charges,177.0507671,,,,,,,,,,139,percent of total billed charges,999999999,,,,,,,,,,139,percent of total billed charges,121.0498924,,,,,,,,,,500.4,percent of total billed charges,,,,,
NM LUNG QUANTITATIVE,78598,CDM,0056-2780-01,NDC,,both,1,EA,3472,3472,739.1330557,3472,3472,percent of total billed charges,2554.473745,,,,3472,percent of total billed charges,2707.691662,,,,3472,percent of total billed charges,2554.473745,,,,3472,percent of total billed charges,2707.691662,,,,3472,percent of total billed charges,999999999,,,,3472,percent of total billed charges,2645.425371,,,,3472,percent of total billed charges,2554.473745,,,,3472,percent of total billed charges,2707.691662,,,,2475.536,percent of total billed charges,1235.337766,,,,2475.536,percent of total billed charges,739.1330557,,,,2475.536,percent of total billed charges,1235.337766,,,,2475.536,percent of total billed charges,739.1330557,,,,2475.536,percent of total billed charges,1235.337766,,,,2475.536,percent of total billed charges,739.1330557,,,,2451.232,percent of total billed charges,2432.633836,,,,2451.232,percent of total billed charges,1677.768276,,,,,,,,,,2499.84,percent of total billed charges,1624.837173,,,,,,,,,,2499.84,percent of total billed charges,999999999,,,,,,,,,,2777.6,percent of total billed charges,2327.484415,,,,2742.88,percent of total billed charges,2646.99724,,,,2742.88,percent of total billed charges,2338.709681,,,,2777.6,percent of total billed charges,999999999,,,,2777.6,percent of total billed charges,999999999,,,,2430.4,percent of total billed charges,999999999,,,,2430.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1847.104,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1753.36,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,868,percent of total billed charges,824.3876794,,,,,,,,,,868,percent of total billed charges,810.6745513,,,,,,,,,,868,percent of total billed charges,808.4217215,,,,,,,,,,868,percent of total billed charges,796.5177215,,,,,,,,,,868,percent of total billed charges,817.0132934,,,,,,,,,,868,percent of total billed charges,999999999,,,,,,,,,,868,percent of total billed charges,701.0549398,,,,,,,,,,868,percent of total billed charges,1105.611985,,,,,,,,,,868,percent of total billed charges,999999999,,,,,,,,,,868,percent of total billed charges,755.9086804,,,,,,,,,,3124.8,percent of total billed charges,,,,,
NM MYOCARD SCARD,78452,CDM,0056-2780-01,NDC,,both,1,EA,7339,7339,1562.35527,7339,7339,percent of total billed charges,5399.563023,,,,7339,percent of total billed charges,5723.430042,,,,7339,percent of total billed charges,5399.563023,,,,7339,percent of total billed charges,5723.430042,,,,7339,percent of total billed charges,999999999,,,,7339,percent of total billed charges,5591.813594,,,,7339,percent of total billed charges,5399.563023,,,,7339,percent of total billed charges,5723.430042,,,,5232.707,percent of total billed charges,2611.216552,,,,5232.707,percent of total billed charges,1562.35527,,,,5232.707,percent of total billed charges,2611.216552,,,,5232.707,percent of total billed charges,1562.35527,,,,5232.707,percent of total billed charges,2611.216552,,,,5232.707,percent of total billed charges,1562.35527,,,,5181.334,percent of total billed charges,5142.02181,,,,5181.334,percent of total billed charges,3546.411687,,,,,,,,,,5284.08,percent of total billed charges,3434.527654,,,,,,,,,,5284.08,percent of total billed charges,999999999,,,,,,,,,,5871.2,percent of total billed charges,4919.760405,,,,5797.81,percent of total billed charges,5595.136158,,,,5797.81,percent of total billed charges,4943.488003,,,,5871.2,percent of total billed charges,999999999,,,,5871.2,percent of total billed charges,999999999,,,,5137.3,percent of total billed charges,999999999,,,,5137.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3904.348,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3706.195,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1834.75,percent of total billed charges,1742.563704,,,,,,,,,,1834.75,percent of total billed charges,1713.577342,,,,,,,,,,1834.75,percent of total billed charges,1708.815384,,,,,,,,,,1834.75,percent of total billed charges,1683.653098,,,,,,,,,,1834.75,percent of total billed charges,1726.975968,,,,,,,,,,1834.75,percent of total billed charges,999999999,,,,,,,,,,1834.75,percent of total billed charges,1481.866994,,,,,,,,,,1834.75,percent of total billed charges,2337.006439,,,,,,,,,,1834.75,percent of total billed charges,999999999,,,,,,,,,,1834.75,percent of total billed charges,1597.815036,,,,,,,,,,6605.1,percent of total billed charges,,,,,
**NM MYOCARD PERF PLANAR,78453,CDM,0056-2780-01,NDC,,both,1,EA,1546,1546,329.1185784,1546,1546,percent of total billed charges,1137.447123,,,,1546,percent of total billed charges,1205.67146,,,,1546,percent of total billed charges,1137.447123,,,,1546,percent of total billed charges,1205.67146,,,,1546,percent of total billed charges,999999999,,,,1546,percent of total billed charges,1177.945744,,,,1546,percent of total billed charges,1137.447123,,,,1546,percent of total billed charges,1205.67146,,,,1102.298,percent of total billed charges,550.0668741,,,,1102.298,percent of total billed charges,329.1185784,,,,1102.298,percent of total billed charges,550.0668741,,,,1102.298,percent of total billed charges,329.1185784,,,,1102.298,percent of total billed charges,550.0668741,,,,1102.298,percent of total billed charges,329.1185784,,,,1091.476,percent of total billed charges,1083.194675,,,,1091.476,percent of total billed charges,747.0707818,,,,,,,,,,1113.12,percent of total billed charges,723.5018059,,,,,,,,,,1113.12,percent of total billed charges,999999999,,,,,,,,,,1236.8,percent of total billed charges,1036.374109,,,,1221.34,percent of total billed charges,1178.64566,,,,1221.34,percent of total billed charges,1041.372456,,,,1236.8,percent of total billed charges,999999999,,,,1236.8,percent of total billed charges,999999999,,,,1082.2,percent of total billed charges,999999999,,,,1082.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,822.472,percent of total billed charges,999999999,,,,,,,,,,,,,,,,780.73,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,386.5,percent of total billed charges,367.0804586,,,,,,,,,,386.5,percent of total billed charges,360.974325,,,,,,,,,,386.5,percent of total billed charges,359.9711928,,,,,,,,,,386.5,percent of total billed charges,354.6706214,,,,,,,,,,386.5,percent of total billed charges,363.7968178,,,,,,,,,,386.5,percent of total billed charges,999999999,,,,,,,,,,386.5,percent of total billed charges,312.1632883,,,,,,,,,,386.5,percent of total billed charges,492.3030323,,,,,,,,,,386.5,percent of total billed charges,999999999,,,,,,,,,,386.5,percent of total billed charges,336.5883698,,,,,,,,,,1391.4,percent of total billed charges,,,,,
CT THORACIC SPINE W/ CONTRAST,72129,CDM,0056-2780-01,NDC,,both,1,EA,4114,4114,875.8045482,4114,4114,percent of total billed charges,3026.815953,,,,4114,percent of total billed charges,3208.365063,,,,4114,percent of total billed charges,3026.815953,,,,4114,percent of total billed charges,3208.365063,,,,4114,percent of total billed charges,999999999,,,,4114,percent of total billed charges,3134.585247,,,,4114,percent of total billed charges,3026.815953,,,,4114,percent of total billed charges,3208.365063,,,,2933.282,percent of total billed charges,1463.761397,,,,2933.282,percent of total billed charges,875.8045482,,,,2933.282,percent of total billed charges,1463.761397,,,,2933.282,percent of total billed charges,875.8045482,,,,2933.282,percent of total billed charges,1463.761397,,,,2933.282,percent of total billed charges,875.8045482,,,,2904.484,percent of total billed charges,2882.44689,,,,2904.484,percent of total billed charges,1988.000774,,,,,,,,,,2962.08,percent of total billed charges,1925.282296,,,,,,,,,,2962.08,percent of total billed charges,999999999,,,,,,,,,,3291.2,percent of total billed charges,2757.854518,,,,3250.06,percent of total billed charges,3136.447766,,,,3250.06,percent of total billed charges,2771.155423,,,,3291.2,percent of total billed charges,999999999,,,,3291.2,percent of total billed charges,999999999,,,,2879.8,percent of total billed charges,999999999,,,,2879.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2188.648,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2077.57,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1028.5,percent of total billed charges,976.8234197,,,,,,,,,,1028.5,percent of total billed charges,960.5746268,,,,,,,,,,1028.5,percent of total billed charges,957.905231,,,,,,,,,,1028.5,percent of total billed charges,943.8000881,,,,,,,,,,1028.5,percent of total billed charges,968.0854519,,,,,,,,,,1028.5,percent of total billed charges,999999999,,,,,,,,,,1028.5,percent of total billed charges,830.6854903,,,,,,,,,,1028.5,percent of total billed charges,1310.048302,,,,,,,,,,1028.5,percent of total billed charges,999999999,,,,,,,,,,1028.5,percent of total billed charges,895.6821173,,,,,,,,,,3702.6,percent of total billed charges,,,,,
CT ANGIO ABDOM W/O AND W,74175,CDM,0056-2780-01,NDC,,both,1,EA,5277,5277,1123.388576,5277,5277,percent of total billed charges,3882.476369,,,,5277,percent of total billed charges,4115.348185,,,,5277,percent of total billed charges,3882.476369,,,,5277,percent of total billed charges,4115.348185,,,,5277,percent of total billed charges,999999999,,,,5277,percent of total billed charges,4020.711314,,,,5277,percent of total billed charges,3882.476369,,,,5277,percent of total billed charges,4115.348185,,,,3762.501,percent of total billed charges,1877.556853,,,,3762.501,percent of total billed charges,1123.388576,,,,3762.501,percent of total billed charges,1877.556853,,,,3762.501,percent of total billed charges,1123.388576,,,,3762.501,percent of total billed charges,1877.556853,,,,3762.501,percent of total billed charges,1123.388576,,,,3725.562,percent of total billed charges,3697.295148,,,,3725.562,percent of total billed charges,2549.995159,,,,,,,,,,3799.44,percent of total billed charges,2469.546591,,,,,,,,,,3799.44,percent of total billed charges,999999999,,,,,,,,,,4221.6,percent of total billed charges,3537.481354,,,,4168.83,percent of total billed charges,4023.100355,,,,4168.83,percent of total billed charges,3554.542335,,,,4221.6,percent of total billed charges,999999999,,,,4221.6,percent of total billed charges,999999999,,,,3693.9,percent of total billed charges,999999999,,,,3693.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2807.364,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2664.885,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1319.25,percent of total billed charges,1252.9648,,,,,,,,,,1319.25,percent of total billed charges,1232.122583,,,,,,,,,,1319.25,percent of total billed charges,1228.698567,,,,,,,,,,1319.25,percent of total billed charges,1210.605995,,,,,,,,,,1319.25,percent of total billed charges,1241.756667,,,,,,,,,,1319.25,percent of total billed charges,999999999,,,,,,,,,,1319.25,percent of total billed charges,1065.514665,,,,,,,,,,1319.25,percent of total billed charges,1680.390105,,,,,,,,,,1319.25,percent of total billed charges,999999999,,,,,,,,,,1319.25,percent of total billed charges,1148.885399,,,,,,,,,,4749.3,percent of total billed charges,,,,,
CT ANGIO CHEST,71275,CDM,0056-2780-01,NDC,,both,1,EA,5294,5294,1127.007603,5294,5294,percent of total billed charges,3894.983873,,,,5294,percent of total billed charges,4128.605892,,,,5294,percent of total billed charges,3894.983873,,,,5294,percent of total billed charges,4128.605892,,,,5294,percent of total billed charges,999999999,,,,5294,percent of total billed charges,4033.664146,,,,5294,percent of total billed charges,3894.983873,,,,5294,percent of total billed charges,4128.605892,,,,3774.622,percent of total billed charges,1883.605454,,,,3774.622,percent of total billed charges,1127.007603,,,,3774.622,percent of total billed charges,1883.605454,,,,3774.622,percent of total billed charges,1127.007603,,,,3774.622,percent of total billed charges,1883.605454,,,,3774.622,percent of total billed charges,1127.007603,,,,3737.564,percent of total billed charges,3709.206086,,,,3737.564,percent of total billed charges,2558.210038,,,,,,,,,,3811.68,percent of total billed charges,2477.502303,,,,,,,,,,3811.68,percent of total billed charges,999999999,,,,,,,,,,4235.2,percent of total billed charges,3548.877447,,,,4182.26,percent of total billed charges,4036.060883,,,,4182.26,percent of total billed charges,3565.99339,,,,4235.2,percent of total billed charges,999999999,,,,4235.2,percent of total billed charges,999999999,,,,3705.8,percent of total billed charges,999999999,,,,3705.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2816.408,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2673.47,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1323.5,percent of total billed charges,1257.00126,,,,,,,,,,1323.5,percent of total billed charges,1236.091899,,,,,,,,,,1323.5,percent of total billed charges,1232.656853,,,,,,,,,,1323.5,percent of total billed charges,1214.505996,,,,,,,,,,1323.5,percent of total billed charges,1245.75702,,,,,,,,,,1323.5,percent of total billed charges,999999999,,,,,,,,,,1323.5,percent of total billed charges,1068.94725,,,,,,,,,,1323.5,percent of total billed charges,1685.803527,,,,,,,,,,1323.5,percent of total billed charges,999999999,,,,,,,,,,1323.5,percent of total billed charges,1152.586565,,,,,,,,,,4764.6,percent of total billed charges,,,,,
CT ANGIO NECK,70498,CDM,0056-2780-01,NDC,,both,1,EA,4858,4858,1034.190203,4858,4858,percent of total billed charges,3574.203184,,,,4858,percent of total billed charges,3788.584704,,,,4858,percent of total billed charges,3574.203184,,,,4858,percent of total billed charges,3788.584704,,,,4858,percent of total billed charges,999999999,,,,4858,percent of total billed charges,3701.462112,,,,4858,percent of total billed charges,3574.203184,,,,4858,percent of total billed charges,3788.584704,,,,3463.754,percent of total billed charges,1728.476633,,,,3463.754,percent of total billed charges,1034.190203,,,,3463.754,percent of total billed charges,1728.476633,,,,3463.754,percent of total billed charges,1034.190203,,,,3463.754,percent of total billed charges,1728.476633,,,,3463.754,percent of total billed charges,1034.190203,,,,3429.748,percent of total billed charges,3403.72557,,,,3429.748,percent of total billed charges,2347.522547,,,,,,,,,,3497.76,percent of total billed charges,2273.46169,,,,,,,,,,3497.76,percent of total billed charges,999999999,,,,,,,,,,3886.4,percent of total billed charges,3256.601178,,,,3837.82,percent of total billed charges,3703.66146,,,,3837.82,percent of total billed charges,3272.307497,,,,3886.4,percent of total billed charges,999999999,,,,3886.4,percent of total billed charges,999999999,,,,3400.6,percent of total billed charges,999999999,,,,3400.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2584.456,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2453.29,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1214.5,percent of total billed charges,1153.477922,,,,,,,,,,1214.5,percent of total billed charges,1134.290602,,,,,,,,,,1214.5,percent of total billed charges,1131.138457,,,,,,,,,,1214.5,percent of total billed charges,1114.482457,,,,,,,,,,1214.5,percent of total billed charges,1143.159729,,,,,,,,,,1214.5,percent of total billed charges,999999999,,,,,,,,,,1214.5,percent of total billed charges,980.9115489,,,,,,,,,,1214.5,percent of total billed charges,1546.965156,,,,,,,,,,1214.5,percent of total billed charges,999999999,,,,,,,,,,1214.5,percent of total billed charges,1057.662549,,,,,,,,,,4372.2,percent of total billed charges,,,,,
CT ANGIO ABD ARTERIES  BIL LOWER EXT,75635,CDM,0056-2780-01,NDC,,both,1,EA,5246,5246,1116.789173,5246,5246,percent of total billed charges,3859.668568,,,,5246,percent of total billed charges,4091.172367,,,,5246,percent of total billed charges,3859.668568,,,,5246,percent of total billed charges,4091.172367,,,,5246,percent of total billed charges,999999999,,,,5246,percent of total billed charges,3997.091445,,,,5246,percent of total billed charges,3859.668568,,,,5246,percent of total billed charges,4091.172367,,,,3740.398,percent of total billed charges,1866.527051,,,,3740.398,percent of total billed charges,1116.789173,,,,3740.398,percent of total billed charges,1866.527051,,,,3740.398,percent of total billed charges,1116.789173,,,,3740.398,percent of total billed charges,1866.527051,,,,3740.398,percent of total billed charges,1116.789173,,,,3703.676,percent of total billed charges,3675.575203,,,,3703.676,percent of total billed charges,2535.015085,,,,,,,,,,3777.12,percent of total billed charges,2455.039116,,,,,,,,,,3777.12,percent of total billed charges,999999999,,,,,,,,,,4196.8,percent of total billed charges,3516.700243,,,,4144.34,percent of total billed charges,3999.466451,,,,4144.34,percent of total billed charges,3533.660998,,,,4196.8,percent of total billed charges,999999999,,,,4196.8,percent of total billed charges,999999999,,,,3672.2,percent of total billed charges,999999999,,,,3672.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2790.872,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2649.23,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1311.5,percent of total billed charges,1245.604195,,,,,,,,,,1311.5,percent of total billed charges,1224.884417,,,,,,,,,,1311.5,percent of total billed charges,1221.480516,,,,,,,,,,1311.5,percent of total billed charges,1203.49423,,,,,,,,,,1311.5,percent of total billed charges,1234.461906,,,,,,,,,,1311.5,percent of total billed charges,999999999,,,,,,,,,,1311.5,percent of total billed charges,1059.255246,,,,,,,,,,1311.5,percent of total billed charges,1670.518569,,,,,,,,,,1311.5,percent of total billed charges,999999999,,,,,,,,,,1311.5,percent of total billed charges,1142.136215,,,,,,,,,,4721.4,percent of total billed charges,,,,,
CT ANGIO PELVIS W/O AND W,72191,CDM,0056-2780-01,NDC,,both,1,EA,4301,4301,915.6138458,4301,4301,percent of total billed charges,3164.398496,,,,4301,percent of total billed charges,3354.199838,,,,4301,percent of total billed charges,3164.398496,,,,4301,percent of total billed charges,3354.199838,,,,4301,percent of total billed charges,999999999,,,,4301,percent of total billed charges,3277.066394,,,,4301,percent of total billed charges,3164.398496,,,,4301,percent of total billed charges,3354.199838,,,,3066.613,percent of total billed charges,1530.296006,,,,3066.613,percent of total billed charges,915.6138458,,,,3066.613,percent of total billed charges,1530.296006,,,,3066.613,percent of total billed charges,915.6138458,,,,3066.613,percent of total billed charges,1530.296006,,,,3066.613,percent of total billed charges,915.6138458,,,,3036.506,percent of total billed charges,3013.467203,,,,3036.506,percent of total billed charges,2078.364445,,,,,,,,,,3096.72,percent of total billed charges,2012.795128,,,,,,,,,,3096.72,percent of total billed charges,999999999,,,,,,,,,,3440.8,percent of total billed charges,2883.211541,,,,3397.79,percent of total billed charges,3279.013574,,,,3397.79,percent of total billed charges,2897.117033,,,,3440.8,percent of total billed charges,999999999,,,,3440.8,percent of total billed charges,999999999,,,,3010.7,percent of total billed charges,999999999,,,,3010.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2288.132,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2172.005,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1075.25,percent of total billed charges,1021.224484,,,,,,,,,,1075.25,percent of total billed charges,1004.23711,,,,,,,,,,1075.25,percent of total billed charges,1001.446378,,,,,,,,,,1075.25,percent of total billed charges,986.7000922,,,,,,,,,,1075.25,percent of total billed charges,1012.089336,,,,,,,,,,1075.25,percent of total billed charges,999999999,,,,,,,,,,1075.25,percent of total billed charges,868.4439217,,,,,,,,,,1075.25,percent of total billed charges,1369.595952,,,,,,,,,,1075.25,percent of total billed charges,999999999,,,,,,,,,,1075.25,percent of total billed charges,936.3949408,,,,,,,,,,3870.9,percent of total billed charges,,,,,
CT ANGIO HEAD,70496,CDM,0056-2780-01,NDC,,both,1,EA,5011,5011,1066.761447,5011,5011,percent of total billed charges,3686.770719,,,,5011,percent of total billed charges,3907.904066,,,,5011,percent of total billed charges,3686.770719,,,,5011,percent of total billed charges,3907.904066,,,,5011,percent of total billed charges,999999999,,,,5011,percent of total billed charges,3818.037596,,,,5011,percent of total billed charges,3686.770719,,,,5011,percent of total billed charges,3907.904066,,,,3572.843,percent of total billed charges,1782.91404,,,,3572.843,percent of total billed charges,1066.761447,,,,3572.843,percent of total billed charges,1782.91404,,,,3572.843,percent of total billed charges,1066.761447,,,,3572.843,percent of total billed charges,1782.91404,,,,3572.843,percent of total billed charges,1066.761447,,,,3537.766,percent of total billed charges,3510.924008,,,,3537.766,percent of total billed charges,2421.45646,,,,,,,,,,3607.92,percent of total billed charges,2345.063098,,,,,,,,,,3607.92,percent of total billed charges,999999999,,,,,,,,,,4008.8,percent of total billed charges,3359.166016,,,,3958.69,percent of total billed charges,3820.306212,,,,3958.69,percent of total billed charges,3375.366996,,,,4008.8,percent of total billed charges,999999999,,,,4008.8,percent of total billed charges,999999999,,,,3507.7,percent of total billed charges,999999999,,,,3507.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2665.852,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2530.555,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1252.75,percent of total billed charges,1189.806066,,,,,,,,,,1252.75,percent of total billed charges,1170.014452,,,,,,,,,,1252.75,percent of total billed charges,1166.763032,,,,,,,,,,1252.75,percent of total billed charges,1149.58246,,,,,,,,,,1252.75,percent of total billed charges,1179.162907,,,,,,,,,,1252.75,percent of total billed charges,999999999,,,,,,,,,,1252.75,percent of total billed charges,1011.804811,,,,,,,,,,1252.75,percent of total billed charges,1595.685961,,,,,,,,,,1252.75,percent of total billed charges,999999999,,,,,,,,,,1252.75,percent of total billed charges,1090.973041,,,,,,,,,,4509.9,percent of total billed charges,,,,,
CT ANGIO ABD/PELVIS W OR W&W/O,74174,CDM,0056-2780-01,NDC,,both,1,EA,8517,8517,1813.132556,8517,8517,percent of total billed charges,6266.259473,,,,8517,percent of total billed charges,6642.111142,,,,8517,percent of total billed charges,6266.259473,,,,8517,percent of total billed charges,6642.111142,,,,8517,percent of total billed charges,999999999,,,,8517,percent of total billed charges,6489.36863,,,,8517,percent of total billed charges,6266.259473,,,,8517,percent of total billed charges,6642.111142,,,,6072.621,percent of total billed charges,3030.349008,,,,6072.621,percent of total billed charges,1813.132556,,,,6072.621,percent of total billed charges,3030.349008,,,,6072.621,percent of total billed charges,1813.132556,,,,6072.621,percent of total billed charges,3030.349008,,,,6072.621,percent of total billed charges,1813.132556,,,,6013.002,percent of total billed charges,5967.379719,,,,6013.002,percent of total billed charges,4115.654495,,,,,,,,,,6132.24,percent of total billed charges,3985.811695,,,,,,,,,,6132.24,percent of total billed charges,999999999,,,,,,,,,,6813.6,percent of total billed charges,5709.442617,,,,6728.43,percent of total billed charges,6493.224507,,,,6728.43,percent of total billed charges,5736.978788,,,,6813.6,percent of total billed charges,999999999,,,,6813.6,percent of total billed charges,999999999,,,,5961.9,percent of total billed charges,999999999,,,,5961.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4531.044,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4301.085,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2129.25,percent of total billed charges,2022.266666,,,,,,,,,,2129.25,percent of total billed charges,1988.627636,,,,,,,,,,2129.25,percent of total billed charges,1983.101325,,,,,,,,,,2129.25,percent of total billed charges,1953.900182,,,,,,,,,,2129.25,percent of total billed charges,2004.176907,,,,,,,,,,2129.25,percent of total billed charges,999999999,,,,,,,,,,2129.25,percent of total billed charges,1719.72492,,,,,,,,,,2129.25,percent of total billed charges,2712.124791,,,,,,,,,,2129.25,percent of total billed charges,999999999,,,,,,,,,,2129.25,percent of total billed charges,1854.284053,,,,,,,,,,7665.3,percent of total billed charges,,,,,
**CT SCAN FOR NEEDLE BIOPSY,77012,CDM,0056-2780-01,NDC,,both,1,EA,2131,2131,453.655686,2131,2131,percent of total billed charges,1567.852405,,,,2131,percent of total billed charges,1661.892549,,,,2131,percent of total billed charges,1567.852405,,,,2131,percent of total billed charges,1661.892549,,,,2131,percent of total billed charges,999999999,,,,2131,percent of total billed charges,1623.675537,,,,2131,percent of total billed charges,1567.852405,,,,2131,percent of total billed charges,1661.892549,,,,1519.403,percent of total billed charges,758.2099021,,,,1519.403,percent of total billed charges,453.655686,,,,1519.403,percent of total billed charges,758.2099021,,,,1519.403,percent of total billed charges,453.655686,,,,1519.403,percent of total billed charges,758.2099021,,,,1519.403,percent of total billed charges,453.655686,,,,1504.486,percent of total billed charges,1493.071056,,,,1504.486,percent of total billed charges,1029.759273,,,,,,,,,,1534.32,percent of total billed charges,997.2718942,,,,,,,,,,1534.32,percent of total billed charges,999999999,,,,,,,,,,1704.8,percent of total billed charges,1428.533782,,,,1683.49,percent of total billed charges,1624.640299,,,,1683.49,percent of total billed charges,1435.423482,,,,1704.8,percent of total billed charges,999999999,,,,1704.8,percent of total billed charges,999999999,,,,1491.7,percent of total billed charges,999999999,,,,1491.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1133.692,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1076.155,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,532.75,percent of total billed charges,505.9821846,,,,,,,,,,532.75,percent of total billed charges,497.5655152,,,,,,,,,,532.75,percent of total billed charges,496.182802,,,,,,,,,,532.75,percent of total billed charges,488.8765162,,,,,,,,,,532.75,percent of total billed charges,501.4560277,,,,,,,,,,532.75,percent of total billed charges,999999999,,,,,,,,,,532.75,percent of total billed charges,430.2845843,,,,,,,,,,532.75,percent of total billed charges,678.5884618,,,,,,,,,,532.75,percent of total billed charges,999999999,,,,,,,,,,532.75,percent of total billed charges,463.9520156,,,,,,,,,,1917.9,percent of total billed charges,,,,,
**CT BIOPSY-LUNG SURG,32405,CDM,0056-2780-01,NDC,,both,1,EA,2131,2131,453.655686,2131,2131,percent of total billed charges,1567.852405,,,,2131,percent of total billed charges,1661.892549,,,,2131,percent of total billed charges,1567.852405,,,,2131,percent of total billed charges,1661.892549,,,,2131,percent of total billed charges,999999999,,,,2131,percent of total billed charges,1623.675537,,,,2131,percent of total billed charges,1567.852405,,,,2131,percent of total billed charges,1661.892549,,,,1519.403,percent of total billed charges,758.2099021,,,,1519.403,percent of total billed charges,453.655686,,,,1519.403,percent of total billed charges,758.2099021,,,,1519.403,percent of total billed charges,453.655686,,,,1519.403,percent of total billed charges,758.2099021,,,,1519.403,percent of total billed charges,453.655686,,,,1504.486,percent of total billed charges,1493.071056,,,,1504.486,percent of total billed charges,1029.759273,,,,,,,,,,1534.32,percent of total billed charges,997.2718942,,,,,,,,,,1534.32,percent of total billed charges,999999999,,,,,,,,,,1704.8,percent of total billed charges,1428.533782,,,,1683.49,percent of total billed charges,1624.640299,,,,1683.49,percent of total billed charges,1435.423482,,,,1704.8,percent of total billed charges,999999999,,,,1704.8,percent of total billed charges,999999999,,,,1491.7,percent of total billed charges,999999999,,,,1491.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1133.692,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1076.155,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,532.75,percent of total billed charges,505.9821846,,,,,,,,,,532.75,percent of total billed charges,497.5655152,,,,,,,,,,532.75,percent of total billed charges,496.182802,,,,,,,,,,532.75,percent of total billed charges,488.8765162,,,,,,,,,,532.75,percent of total billed charges,501.4560277,,,,,,,,,,532.75,percent of total billed charges,999999999,,,,,,,,,,532.75,percent of total billed charges,430.2845843,,,,,,,,,,532.75,percent of total billed charges,678.5884618,,,,,,,,,,532.75,percent of total billed charges,999999999,,,,,,,,,,532.75,percent of total billed charges,463.9520156,,,,,,,,,,1917.9,percent of total billed charges,,,,,
**CT BIOPSY-LIVER SURG,47000,CDM,0056-2780-01,NDC,,both,1,EA,2131,2131,453.655686,2131,2131,percent of total billed charges,1567.852405,,,,2131,percent of total billed charges,1661.892549,,,,2131,percent of total billed charges,1567.852405,,,,2131,percent of total billed charges,1661.892549,,,,2131,percent of total billed charges,999999999,,,,2131,percent of total billed charges,1623.675537,,,,2131,percent of total billed charges,1567.852405,,,,2131,percent of total billed charges,1661.892549,,,,1519.403,percent of total billed charges,758.2099021,,,,1519.403,percent of total billed charges,453.655686,,,,1519.403,percent of total billed charges,758.2099021,,,,1519.403,percent of total billed charges,453.655686,,,,1519.403,percent of total billed charges,758.2099021,,,,1519.403,percent of total billed charges,453.655686,,,,1504.486,percent of total billed charges,1493.071056,,,,1504.486,percent of total billed charges,1029.759273,,,,,,,,,,1534.32,percent of total billed charges,997.2718942,,,,,,,,,,1534.32,percent of total billed charges,999999999,,,,,,,,,,1704.8,percent of total billed charges,1428.533782,,,,1683.49,percent of total billed charges,1624.640299,,,,1683.49,percent of total billed charges,1435.423482,,,,1704.8,percent of total billed charges,999999999,,,,1704.8,percent of total billed charges,999999999,,,,1491.7,percent of total billed charges,999999999,,,,1491.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1133.692,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1076.155,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,532.75,percent of total billed charges,505.9821846,,,,,,,,,,532.75,percent of total billed charges,497.5655152,,,,,,,,,,532.75,percent of total billed charges,496.182802,,,,,,,,,,532.75,percent of total billed charges,488.8765162,,,,,,,,,,532.75,percent of total billed charges,501.4560277,,,,,,,,,,532.75,percent of total billed charges,999999999,,,,,,,,,,532.75,percent of total billed charges,430.2845843,,,,,,,,,,532.75,percent of total billed charges,678.5884618,,,,,,,,,,532.75,percent of total billed charges,999999999,,,,,,,,,,532.75,percent of total billed charges,463.9520156,,,,,,,,,,1917.9,percent of total billed charges,,,,,
CT MAXILLOFACIAL WO CONTRAST,70486,CDM,0056-2780-01,NDC,,both,1,EA,2873,2873,611.6155729,2873,2873,percent of total billed charges,2113.768165,,,,2873,percent of total billed charges,2240.552461,,,,2873,percent of total billed charges,2113.768165,,,,2873,percent of total billed charges,2240.552461,,,,2873,percent of total billed charges,999999999,,,,2873,percent of total billed charges,2189.02854,,,,2873,percent of total billed charges,2113.768165,,,,2873,percent of total billed charges,2240.552461,,,,2048.449,percent of total billed charges,1022.213538,,,,2048.449,percent of total billed charges,611.6155729,,,,2048.449,percent of total billed charges,1022.213538,,,,2048.449,percent of total billed charges,611.6155729,,,,2048.449,percent of total billed charges,1022.213538,,,,2048.449,percent of total billed charges,611.6155729,,,,2028.338,percent of total billed charges,2012.948448,,,,2028.338,percent of total billed charges,1388.31459,,,,,,,,,,2068.56,percent of total billed charges,1344.515322,,,,,,,,,,2068.56,percent of total billed charges,999999999,,,,,,,,,,2298.4,percent of total billed charges,1925.939725,,,,2269.67,percent of total billed charges,2190.329225,,,,2269.67,percent of total billed charges,1935.228374,,,,2298.4,percent of total billed charges,999999999,,,,2298.4,percent of total billed charges,999999999,,,,2011.1,percent of total billed charges,999999999,,,,2011.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1528.436,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1450.865,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,718.25,percent of total billed charges,682.1618096,,,,,,,,,,718.25,percent of total billed charges,670.8145121,,,,,,,,,,718.25,percent of total billed charges,668.9503473,,,,,,,,,,718.25,percent of total billed charges,659.1000616,,,,,,,,,,718.25,percent of total billed charges,676.0596751,,,,,,,,,,718.25,percent of total billed charges,999999999,,,,,,,,,,718.25,percent of total billed charges,580.1068094,,,,,,,,,,718.25,percent of total billed charges,914.8684424,,,,,,,,,,718.25,percent of total billed charges,999999999,,,,,,,,,,718.25,percent of total billed charges,625.4970158,,,,,,,,,,2585.7,percent of total billed charges,,,,,
CT ORBITS SELLA IAC W/O CONTRAST,70480,CDM,0056-2780-01,NDC,,both,1,EA,3718,3718,791.5025061,3718,3718,percent of total billed charges,2735.464685,,,,3718,percent of total billed charges,2899.538479,,,,3718,percent of total billed charges,2735.464685,,,,3718,percent of total billed charges,2899.538479,,,,3718,percent of total billed charges,999999999,,,,3718,percent of total billed charges,2832.860463,,,,3718,percent of total billed charges,2735.464685,,,,3718,percent of total billed charges,2899.538479,,,,2650.934,percent of total billed charges,1322.864578,,,,2650.934,percent of total billed charges,791.5025061,,,,2650.934,percent of total billed charges,1322.864578,,,,2650.934,percent of total billed charges,791.5025061,,,,2650.934,percent of total billed charges,1322.864578,,,,2650.934,percent of total billed charges,791.5025061,,,,2624.908,percent of total billed charges,2604.992109,,,,2624.908,percent of total billed charges,1796.642411,,,,,,,,,,2676.96,percent of total billed charges,1739.961005,,,,,,,,,,2676.96,percent of total billed charges,999999999,,,,,,,,,,2974.4,percent of total billed charges,2492.392585,,,,2937.22,percent of total billed charges,2834.543703,,,,2937.22,percent of total billed charges,2504.413189,,,,2974.4,percent of total billed charges,999999999,,,,2974.4,percent of total billed charges,999999999,,,,2602.6,percent of total billed charges,999999999,,,,2602.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1977.976,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1877.59,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,929.5,percent of total billed charges,882.797636,,,,,,,,,,929.5,percent of total billed charges,868.112898,,,,,,,,,,929.5,percent of total billed charges,865.7004494,,,,,,,,,,929.5,percent of total billed charges,852.9530208,,,,,,,,,,929.5,percent of total billed charges,874.900756,,,,,,,,,,929.5,percent of total billed charges,999999999,,,,,,,,,,929.5,percent of total billed charges,750.7264592,,,,,,,,,,929.5,percent of total billed charges,1183.947396,,,,,,,,,,929.5,percent of total billed charges,999999999,,,,,,,,,,929.5,percent of total billed charges,809.4667263,,,,,,,,,,3346.2,percent of total billed charges,,,,,
CT ORBITS SELLA IAC W CONTRAST,70481,CDM,0056-2780-01,NDC,,both,1,EA,3589,3589,764.0404773,3589,3589,percent of total billed charges,2640.554802,,,,3589,percent of total billed charges,2798.93588,,,,3589,percent of total billed charges,2640.554802,,,,3589,percent of total billed charges,2798.93588,,,,3589,percent of total billed charges,999999999,,,,3589,percent of total billed charges,2734.57133,,,,3589,percent of total billed charges,2640.554802,,,,3589,percent of total billed charges,2798.93588,,,,2558.957,percent of total billed charges,1276.966372,,,,2558.957,percent of total billed charges,764.0404773,,,,2558.957,percent of total billed charges,1276.966372,,,,2558.957,percent of total billed charges,764.0404773,,,,2558.957,percent of total billed charges,1276.966372,,,,2558.957,percent of total billed charges,764.0404773,,,,2533.834,percent of total billed charges,2514.609113,,,,2533.834,percent of total billed charges,1734.305974,,,,,,,,,,2584.08,percent of total billed charges,1679.591191,,,,,,,,,,2584.08,percent of total billed charges,999999999,,,,,,,,,,2871.2,percent of total billed charges,2405.91635,,,,2835.31,percent of total billed charges,2736.196167,,,,2835.31,percent of total billed charges,2417.519886,,,,2871.2,percent of total billed charges,999999999,,,,2871.2,percent of total billed charges,999999999,,,,2512.3,percent of total billed charges,999999999,,,,2512.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1909.348,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1812.445,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,897.25,percent of total billed charges,852.1680246,,,,,,,,,,897.25,percent of total billed charges,837.9927894,,,,,,,,,,897.25,percent of total billed charges,835.6640433,,,,,,,,,,897.25,percent of total billed charges,823.3589004,,,,,,,,,,897.25,percent of total billed charges,844.5451354,,,,,,,,,,897.25,percent of total billed charges,999999999,,,,,,,,,,897.25,percent of total billed charges,724.679199,,,,,,,,,,897.25,percent of total billed charges,1142.869071,,,,,,,,,,897.25,percent of total billed charges,999999999,,,,,,,,,,897.25,percent of total billed charges,781.3814096,,,,,,,,,,3230.1,percent of total billed charges,,,,,
CT ORBITS SELLA IAC W AND WO CONTRAST,70482,CDM,0056-2780-01,NDC,,both,1,EA,4549,4549,968.4090641,4549,4549,percent of total billed charges,3346.860907,,,,4549,percent of total billed charges,3547.606385,,,,4549,percent of total billed charges,3346.860907,,,,4549,percent of total billed charges,3547.606385,,,,4549,percent of total billed charges,999999999,,,,4549,percent of total billed charges,3466.025349,,,,4549,percent of total billed charges,3346.860907,,,,4549,percent of total billed charges,3547.606385,,,,3243.437,percent of total billed charges,1618.534418,,,,3243.437,percent of total billed charges,968.4090641,,,,3243.437,percent of total billed charges,1618.534418,,,,3243.437,percent of total billed charges,968.4090641,,,,3243.437,percent of total billed charges,1618.534418,,,,3243.437,percent of total billed charges,968.4090641,,,,3211.594,percent of total billed charges,3187.226763,,,,3211.594,percent of total billed charges,2198.205036,,,,,,,,,,3275.28,percent of total billed charges,2128.854926,,,,,,,,,,3275.28,percent of total billed charges,999999999,,,,,,,,,,3639.2,percent of total billed charges,3049.460428,,,,3593.71,percent of total billed charges,3468.084805,,,,3593.71,percent of total billed charges,3064.167724,,,,3639.2,percent of total billed charges,999999999,,,,3639.2,percent of total billed charges,999999999,,,,3184.3,percent of total billed charges,999999999,,,,3184.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2420.068,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2297.245,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1137.25,percent of total billed charges,1080.109318,,,,,,,,,,1137.25,percent of total billed charges,1062.142435,,,,,,,,,,1137.25,percent of total billed charges,1059.190787,,,,,,,,,,1137.25,percent of total billed charges,1043.594215,,,,,,,,,,1137.25,percent of total billed charges,1070.447428,,,,,,,,,,1137.25,percent of total billed charges,999999999,,,,,,,,,,1137.25,percent of total billed charges,918.5192746,,,,,,,,,,1137.25,percent of total billed charges,1448.568237,,,,,,,,,,1137.25,percent of total billed charges,999999999,,,,,,,,,,1137.25,percent of total billed charges,990.388418,,,,,,,,,,4094.1,percent of total billed charges,,,,,
CT HEAD SCAN W CONT,70460,CDM,0056-2780-01,NDC,,both,1,EA,3762,3762,800.8693997,3762,3762,percent of total billed charges,2767.837048,,,,3762,percent of total billed charges,2933.852544,,,,3762,percent of total billed charges,2767.837048,,,,3762,percent of total billed charges,2933.852544,,,,3762,percent of total billed charges,999999999,,,,3762,percent of total billed charges,2866.385439,,,,3762,percent of total billed charges,2767.837048,,,,3762,percent of total billed charges,2933.852544,,,,2682.306,percent of total billed charges,1338.51978,,,,2682.306,percent of total billed charges,800.8693997,,,,2682.306,percent of total billed charges,1338.51978,,,,2682.306,percent of total billed charges,800.8693997,,,,2682.306,percent of total billed charges,1338.51978,,,,2682.306,percent of total billed charges,800.8693997,,,,2655.972,percent of total billed charges,2635.820418,,,,2655.972,percent of total billed charges,1817.904451,,,,,,,,,,2708.64,percent of total billed charges,1760.55226,,,,,,,,,,2708.64,percent of total billed charges,999999999,,,,,,,,,,3009.6,percent of total billed charges,2521.888356,,,,2971.98,percent of total billed charges,2868.088599,,,,2971.98,percent of total billed charges,2534.051215,,,,3009.6,percent of total billed charges,999999999,,,,3009.6,percent of total billed charges,999999999,,,,2633.4,percent of total billed charges,999999999,,,,2633.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2001.384,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1899.81,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,940.5,percent of total billed charges,893.2449453,,,,,,,,,,940.5,percent of total billed charges,878.3864234,,,,,,,,,,940.5,percent of total billed charges,875.9454252,,,,,,,,,,940.5,percent of total billed charges,863.0471394,,,,,,,,,,940.5,percent of total billed charges,885.2546111,,,,,,,,,,940.5,percent of total billed charges,999999999,,,,,,,,,,940.5,percent of total billed charges,759.610796,,,,,,,,,,940.5,percent of total billed charges,1197.958608,,,,,,,,,,940.5,percent of total billed charges,999999999,,,,,,,,,,940.5,percent of total billed charges,819.0462142,,,,,,,,,,3385.8,percent of total billed charges,,,,,
CT HEAD SCAN W/O CONTRAST,70450,CDM,0056-2780-01,NDC,,both,1,EA,3488,3488,742.5391988,3488,3488,percent of total billed charges,2566.245514,,,,3488,percent of total billed charges,2720.169504,,,,3488,percent of total billed charges,2566.245514,,,,3488,percent of total billed charges,2720.169504,,,,3488,percent of total billed charges,999999999,,,,3488,percent of total billed charges,2657.616271,,,,3488,percent of total billed charges,2566.245514,,,,3488,percent of total billed charges,2720.169504,,,,2486.944,percent of total billed charges,1241.030567,,,,2486.944,percent of total billed charges,742.5391988,,,,2486.944,percent of total billed charges,1241.030567,,,,2486.944,percent of total billed charges,742.5391988,,,,2486.944,percent of total billed charges,1241.030567,,,,2486.944,percent of total billed charges,742.5391988,,,,2462.528,percent of total billed charges,2443.844131,,,,2462.528,percent of total billed charges,1685.499927,,,,,,,,,,2511.36,percent of total billed charges,1632.324902,,,,,,,,,,2511.36,percent of total billed charges,999999999,,,,,,,,,,2790.4,percent of total billed charges,2338.21015,,,,2755.52,percent of total billed charges,2659.195384,,,,2755.52,percent of total billed charges,2349.487145,,,,2790.4,percent of total billed charges,999999999,,,,2790.4,percent of total billed charges,999999999,,,,2441.6,percent of total billed charges,999999999,,,,2441.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1855.616,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1761.44,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,872,percent of total billed charges,828.186701,,,,,,,,,,872,percent of total billed charges,814.4103788,,,,,,,,,,872,percent of total billed charges,812.1471672,,,,,,,,,,872,percent of total billed charges,800.18831,,,,,,,,,,872,percent of total billed charges,820.7783316,,,,,,,,,,872,percent of total billed charges,999999999,,,,,,,,,,872,percent of total billed charges,704.2856078,,,,,,,,,,872,percent of total billed charges,1110.706971,,,,,,,,,,872,percent of total billed charges,999999999,,,,,,,,,,872,percent of total billed charges,759.3921306,,,,,,,,,,3139.2,percent of total billed charges,,,,,
CT HEAD W AND W/O CONTRAST,70470,CDM,0056-2780-01,NDC,,both,1,EA,4437,4437,944.5660623,4437,4437,percent of total billed charges,3264.458528,,,,4437,percent of total billed charges,3460.261493,,,,4437,percent of total billed charges,3264.458528,,,,4437,percent of total billed charges,3460.261493,,,,4437,percent of total billed charges,999999999,,,,4437,percent of total billed charges,3380.689047,,,,4437,percent of total billed charges,3264.458528,,,,4437,percent of total billed charges,3460.261493,,,,3163.581,percent of total billed charges,1578.684813,,,,3163.581,percent of total billed charges,944.5660623,,,,3163.581,percent of total billed charges,1578.684813,,,,3163.581,percent of total billed charges,944.5660623,,,,3163.581,percent of total billed charges,1578.684813,,,,3163.581,percent of total billed charges,944.5660623,,,,3132.522,percent of total billed charges,3108.754704,,,,3132.522,percent of total billed charges,2144.083479,,,,,,,,,,3194.64,percent of total billed charges,2076.440823,,,,,,,,,,3194.64,percent of total billed charges,999999999,,,,,,,,,,3549.6,percent of total billed charges,2974.380286,,,,3505.23,percent of total billed charges,3382.697797,,,,3505.23,percent of total billed charges,2988.725476,,,,3549.6,percent of total billed charges,999999999,,,,3549.6,percent of total billed charges,999999999,,,,3105.9,percent of total billed charges,999999999,,,,3105.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2360.484,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2240.685,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1109.25,percent of total billed charges,1053.516168,,,,,,,,,,1109.25,percent of total billed charges,1035.991643,,,,,,,,,,1109.25,percent of total billed charges,1033.112667,,,,,,,,,,1109.25,percent of total billed charges,1017.900095,,,,,,,,,,1109.25,percent of total billed charges,1044.092161,,,,,,,,,,1109.25,percent of total billed charges,999999999,,,,,,,,,,1109.25,percent of total billed charges,895.9045991,,,,,,,,,,1109.25,percent of total billed charges,1412.903334,,,,,,,,,,1109.25,percent of total billed charges,999999999,,,,,,,,,,1109.25,percent of total billed charges,966.004267,,,,,,,,,,3993.3,percent of total billed charges,,,,,
CT SOFT TISSUE NECK WO CON,70490,CDM,0056-2780-01,NDC,,both,1,EA,3577,3577,761.4858699,3577,3577,percent of total billed charges,2631.725976,,,,3577,percent of total billed charges,2789.577498,,,,3577,percent of total billed charges,2631.725976,,,,3577,percent of total billed charges,2789.577498,,,,3577,percent of total billed charges,999999999,,,,3577,percent of total billed charges,2725.428154,,,,3577,percent of total billed charges,2631.725976,,,,3577,percent of total billed charges,2789.577498,,,,2550.401,percent of total billed charges,1272.696771,,,,2550.401,percent of total billed charges,761.4858699,,,,2550.401,percent of total billed charges,1272.696771,,,,2550.401,percent of total billed charges,761.4858699,,,,2550.401,percent of total billed charges,1272.696771,,,,2550.401,percent of total billed charges,761.4858699,,,,2525.362,percent of total billed charges,2506.201392,,,,2525.362,percent of total billed charges,1728.507236,,,,,,,,,,2575.44,percent of total billed charges,1673.975394,,,,,,,,,,2575.44,percent of total billed charges,999999999,,,,,,,,,,2861.6,percent of total billed charges,2397.872049,,,,2825.83,percent of total billed charges,2727.047559,,,,2825.83,percent of total billed charges,2409.436788,,,,2861.6,percent of total billed charges,999999999,,,,2861.6,percent of total billed charges,999999999,,,,2503.9,percent of total billed charges,999999999,,,,2503.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1902.964,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1806.385,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,894.25,percent of total billed charges,849.3187585,,,,,,,,,,894.25,percent of total billed charges,835.1909188,,,,,,,,,,894.25,percent of total billed charges,832.869959,,,,,,,,,,894.25,percent of total billed charges,820.605959,,,,,,,,,,894.25,percent of total billed charges,841.7213567,,,,,,,,,,894.25,percent of total billed charges,999999999,,,,,,,,,,894.25,percent of total billed charges,722.2561981,,,,,,,,,,894.25,percent of total billed charges,1139.047831,,,,,,,,,,894.25,percent of total billed charges,999999999,,,,,,,,,,894.25,percent of total billed charges,778.768822,,,,,,,,,,3219.3,percent of total billed charges,,,,,
CT SOFT TISSUE NECK WITH CON,70491,CDM,0056-2780-01,NDC,,both,1,EA,4094,4094,871.5468693,4094,4094,percent of total billed charges,3012.101242,,,,4094,percent of total billed charges,3192.76776,,,,4094,percent of total billed charges,3012.101242,,,,4094,percent of total billed charges,3192.76776,,,,4094,percent of total billed charges,999999999,,,,4094,percent of total billed charges,3119.346621,,,,4094,percent of total billed charges,3012.101242,,,,4094,percent of total billed charges,3192.76776,,,,2919.022,percent of total billed charges,1456.645396,,,,2919.022,percent of total billed charges,871.5468693,,,,2919.022,percent of total billed charges,1456.645396,,,,2919.022,percent of total billed charges,871.5468693,,,,2919.022,percent of total billed charges,1456.645396,,,,2919.022,percent of total billed charges,871.5468693,,,,2890.364,percent of total billed charges,2868.434023,,,,2890.364,percent of total billed charges,1978.33621,,,,,,,,,,2947.68,percent of total billed charges,1915.922635,,,,,,,,,,2947.68,percent of total billed charges,999999999,,,,,,,,,,3275.2,percent of total billed charges,2744.447349,,,,3234.26,percent of total billed charges,3121.200086,,,,3234.26,percent of total billed charges,2757.683593,,,,3275.2,percent of total billed charges,999999999,,,,3275.2,percent of total billed charges,999999999,,,,2865.8,percent of total billed charges,999999999,,,,2865.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2178.008,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2067.47,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1023.5,percent of total billed charges,972.0746427,,,,,,,,,,1023.5,percent of total billed charges,955.9048425,,,,,,,,,,1023.5,percent of total billed charges,953.2484239,,,,,,,,,,1023.5,percent of total billed charges,939.2118524,,,,,,,,,,1023.5,percent of total billed charges,963.3791541,,,,,,,,,,1023.5,percent of total billed charges,999999999,,,,,,,,,,1023.5,percent of total billed charges,826.6471554,,,,,,,,,,1023.5,percent of total billed charges,1303.679569,,,,,,,,,,1023.5,percent of total billed charges,999999999,,,,,,,,,,1023.5,percent of total billed charges,891.3278046,,,,,,,,,,3684.6,percent of total billed charges,,,,,
CT SOFT TISSUE NECK W/WO CON,70492,CDM,0056-2780-01,NDC,,both,1,EA,4728,4728,1006.51529,4728,4728,percent of total billed charges,3478.557566,,,,4728,percent of total billed charges,3687.20224,,,,4728,percent of total billed charges,3478.557566,,,,4728,percent of total billed charges,3687.20224,,,,4728,percent of total billed charges,999999999,,,,4728,percent of total billed charges,3602.411047,,,,4728,percent of total billed charges,3478.557566,,,,4728,percent of total billed charges,3687.20224,,,,3371.064,percent of total billed charges,1682.222627,,,,3371.064,percent of total billed charges,1006.51529,,,,3371.064,percent of total billed charges,1682.222627,,,,3371.064,percent of total billed charges,1006.51529,,,,3371.064,percent of total billed charges,1682.222627,,,,3371.064,percent of total billed charges,1006.51529,,,,3337.968,percent of total billed charges,3312.641929,,,,3337.968,percent of total billed charges,2284.702883,,,,,,,,,,3404.16,percent of total billed charges,2212.623893,,,,,,,,,,3404.16,percent of total billed charges,999999999,,,,,,,,,,3782.4,percent of total billed charges,3169.454584,,,,3735.12,percent of total billed charges,3604.551541,,,,3735.12,percent of total billed charges,3184.740602,,,,3782.4,percent of total billed charges,999999999,,,,3782.4,percent of total billed charges,999999999,,,,3309.6,percent of total billed charges,999999999,,,,3309.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2515.296,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2387.64,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1182,percent of total billed charges,1122.610872,,,,,,,,,,1182,percent of total billed charges,1103.937004,,,,,,,,,,1182,percent of total billed charges,1100.869211,,,,,,,,,,1182,percent of total billed charges,1084.658925,,,,,,,,,,1182,percent of total billed charges,1112.568794,,,,,,,,,,1182,percent of total billed charges,999999999,,,,,,,,,,1182,percent of total billed charges,954.662372,,,,,,,,,,1182,percent of total billed charges,1505.568394,,,,,,,,,,1182,percent of total billed charges,999999999,,,,,,,,,,1182,percent of total billed charges,1029.359516,,,,,,,,,,4255.2,percent of total billed charges,,,,,
CT THORACIC SPINE W/O CONTRAST,72128,CDM,0056-2780-01,NDC,,both,1,EA,3963,3963,843.6590725,3963,3963,percent of total billed charges,2915.719888,,,,3963,percent of total billed charges,3090.605431,,,,3963,percent of total billed charges,2915.719888,,,,3963,percent of total billed charges,3090.605431,,,,3963,percent of total billed charges,999999999,,,,3963,percent of total billed charges,3019.533625,,,,3963,percent of total billed charges,2915.719888,,,,3963,percent of total billed charges,3090.605431,,,,2825.619,percent of total billed charges,1410.03559,,,,2825.619,percent of total billed charges,843.6590725,,,,2825.619,percent of total billed charges,1410.03559,,,,2825.619,percent of total billed charges,843.6590725,,,,2825.619,percent of total billed charges,1410.03559,,,,2825.619,percent of total billed charges,843.6590725,,,,2797.878,percent of total billed charges,2776.649739,,,,2797.878,percent of total billed charges,1915.033317,,,,,,,,,,2853.36,percent of total billed charges,1854.616854,,,,,,,,,,2853.36,percent of total billed charges,999999999,,,,,,,,,,3170.4,percent of total billed charges,2656.630397,,,,3130.77,percent of total billed charges,3021.327782,,,,3130.77,percent of total billed charges,2669.443106,,,,3170.4,percent of total billed charges,999999999,,,,3170.4,percent of total billed charges,999999999,,,,2774.1,percent of total billed charges,999999999,,,,2774.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2108.316,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2001.315,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,990.75,percent of total billed charges,940.9701537,,,,,,,,,,990.75,percent of total billed charges,925.3177554,,,,,,,,,,990.75,percent of total billed charges,922.746337,,,,,,,,,,990.75,percent of total billed charges,909.1589084,,,,,,,,,,990.75,percent of total billed charges,932.5529037,,,,,,,,,,990.75,percent of total billed charges,999999999,,,,,,,,,,990.75,percent of total billed charges,800.1960618,,,,,,,,,,990.75,percent of total billed charges,1261.964371,,,,,,,,,,990.75,percent of total billed charges,999999999,,,,,,,,,,990.75,percent of total billed charges,862.8070566,,,,,,,,,,3566.7,percent of total billed charges,,,,,
CT C-SPINE W CONTRAST,72126,CDM,0056-2780-01,NDC,,both,1,EA,4521,4521,962.4483136,4521,4521,percent of total billed charges,3326.260312,,,,4521,percent of total billed charges,3525.770162,,,,4521,percent of total billed charges,3326.260312,,,,4521,percent of total billed charges,3525.770162,,,,4521,percent of total billed charges,999999999,,,,4521,percent of total billed charges,3444.691274,,,,4521,percent of total billed charges,3326.260312,,,,4521,percent of total billed charges,3525.770162,,,,3223.473,percent of total billed charges,1608.572017,,,,3223.473,percent of total billed charges,962.4483136,,,,3223.473,percent of total billed charges,1608.572017,,,,3223.473,percent of total billed charges,962.4483136,,,,3223.473,percent of total billed charges,1608.572017,,,,3223.473,percent of total billed charges,962.4483136,,,,3191.826,percent of total billed charges,3167.608748,,,,3191.826,percent of total billed charges,2184.674647,,,,,,,,,,3255.12,percent of total billed charges,2115.7514,,,,,,,,,,3255.12,percent of total billed charges,999999999,,,,,,,,,,3616.8,percent of total billed charges,3030.690392,,,,3571.59,percent of total billed charges,3446.738053,,,,3571.59,percent of total billed charges,3045.307162,,,,3616.8,percent of total billed charges,999999999,,,,3616.8,percent of total billed charges,999999999,,,,3164.7,percent of total billed charges,999999999,,,,3164.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2405.172,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2283.105,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1130.25,percent of total billed charges,1073.461031,,,,,,,,,,1130.25,percent of total billed charges,1055.604737,,,,,,,,,,1130.25,percent of total billed charges,1052.671257,,,,,,,,,,1130.25,percent of total billed charges,1037.170685,,,,,,,,,,1130.25,percent of total billed charges,1063.858612,,,,,,,,,,1130.25,percent of total billed charges,999999999,,,,,,,,,,1130.25,percent of total billed charges,912.8656057,,,,,,,,,,1130.25,percent of total billed charges,1439.652011,,,,,,,,,,1130.25,percent of total billed charges,999999999,,,,,,,,,,1130.25,percent of total billed charges,984.2923803,,,,,,,,,,4068.9,percent of total billed charges,,,,,
CT C-SPINE W AND W/O CONTRAST,72127,CDM,0056-2780-01,NDC,,both,1,EA,4530,4530,964.3642691,4530,4530,percent of total billed charges,3332.881932,,,,4530,percent of total billed charges,3532.788948,,,,4530,percent of total billed charges,3332.881932,,,,4530,percent of total billed charges,3532.788948,,,,4530,percent of total billed charges,999999999,,,,4530,percent of total billed charges,3451.548655,,,,4530,percent of total billed charges,3332.881932,,,,4530,percent of total billed charges,3532.788948,,,,3229.89,percent of total billed charges,1611.774217,,,,3229.89,percent of total billed charges,964.3642691,,,,3229.89,percent of total billed charges,1611.774217,,,,3229.89,percent of total billed charges,964.3642691,,,,3229.89,percent of total billed charges,1611.774217,,,,3229.89,percent of total billed charges,964.3642691,,,,3198.18,percent of total billed charges,3173.914539,,,,3198.18,percent of total billed charges,2189.023701,,,,,,,,,,3261.6,percent of total billed charges,2119.963248,,,,,,,,,,3261.6,percent of total billed charges,999999999,,,,,,,,,,3624,percent of total billed charges,3036.723618,,,,3578.7,percent of total billed charges,3453.599509,,,,3578.7,percent of total billed charges,3051.369486,,,,3624,percent of total billed charges,999999999,,,,3624,percent of total billed charges,999999999,,,,3171,percent of total billed charges,999999999,,,,3171,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2409.96,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2287.65,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1132.5,percent of total billed charges,1075.59798,,,,,,,,,,1132.5,percent of total billed charges,1057.70614,,,,,,,,,,1132.5,percent of total billed charges,1054.76682,,,,,,,,,,1132.5,percent of total billed charges,1039.235391,,,,,,,,,,1132.5,percent of total billed charges,1065.976446,,,,,,,,,,1132.5,percent of total billed charges,999999999,,,,,,,,,,1132.5,percent of total billed charges,914.6828564,,,,,,,,,,1132.5,percent of total billed charges,1442.517941,,,,,,,,,,1132.5,percent of total billed charges,999999999,,,,,,,,,,1132.5,percent of total billed charges,986.251821,,,,,,,,,,4077,percent of total billed charges,,,,,
CT C-SPINE WO CONTRAST,72125,CDM,0056-2780-01,NDC,,both,1,EA,3918,3918,834.079295,3918,3918,percent of total billed charges,2882.61179,,,,3918,percent of total billed charges,3055.511501,,,,3918,percent of total billed charges,2882.61179,,,,3918,percent of total billed charges,3055.511501,,,,3918,percent of total billed charges,999999999,,,,3918,percent of total billed charges,2985.246718,,,,3918,percent of total billed charges,2882.61179,,,,3918,percent of total billed charges,3055.511501,,,,2793.534,percent of total billed charges,1394.024588,,,,2793.534,percent of total billed charges,834.079295,,,,2793.534,percent of total billed charges,1394.024588,,,,2793.534,percent of total billed charges,834.079295,,,,2793.534,percent of total billed charges,1394.024588,,,,2793.534,percent of total billed charges,834.079295,,,,2766.108,percent of total billed charges,2745.120787,,,,2766.108,percent of total billed charges,1893.288049,,,,,,,,,,2820.96,percent of total billed charges,1833.557617,,,,,,,,,,2820.96,percent of total billed charges,999999999,,,,,,,,,,3134.4,percent of total billed charges,2626.464268,,,,3095.22,percent of total billed charges,2987.020503,,,,3095.22,percent of total billed charges,2639.131489,,,,3134.4,percent of total billed charges,999999999,,,,3134.4,percent of total billed charges,999999999,,,,2742.6,percent of total billed charges,999999999,,,,2742.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2084.376,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1978.59,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,979.5,percent of total billed charges,930.2854055,,,,,,,,,,979.5,percent of total billed charges,914.8107408,,,,,,,,,,979.5,percent of total billed charges,912.2685209,,,,,,,,,,979.5,percent of total billed charges,898.8353781,,,,,,,,,,979.5,percent of total billed charges,921.9637337,,,,,,,,,,979.5,percent of total billed charges,999999999,,,,,,,,,,979.5,percent of total billed charges,791.1098083,,,,,,,,,,979.5,percent of total billed charges,1247.634722,,,,,,,,,,979.5,percent of total billed charges,999999999,,,,,,,,,,979.5,percent of total billed charges,853.0098531,,,,,,,,,,3526.2,percent of total billed charges,,,,,
CT LUMBAR SPINE W/O CONTRAST,72131,CDM,0056-2780-01,NDC,,both,1,EA,4131,4131,879.4235752,4131,4131,percent of total billed charges,3039.323457,,,,4131,percent of total billed charges,3221.622769,,,,4131,percent of total billed charges,3039.323457,,,,4131,percent of total billed charges,3221.622769,,,,4131,percent of total billed charges,999999999,,,,4131,percent of total billed charges,3147.538078,,,,4131,percent of total billed charges,3039.323457,,,,4131,percent of total billed charges,3221.622769,,,,2945.403,percent of total billed charges,1469.809998,,,,2945.403,percent of total billed charges,879.4235752,,,,2945.403,percent of total billed charges,1469.809998,,,,2945.403,percent of total billed charges,879.4235752,,,,2945.403,percent of total billed charges,1469.809998,,,,2945.403,percent of total billed charges,879.4235752,,,,2916.486,percent of total billed charges,2894.357828,,,,2916.486,percent of total billed charges,1996.215653,,,,,,,,,,2974.32,percent of total billed charges,1933.238008,,,,,,,,,,2974.32,percent of total billed charges,999999999,,,,,,,,,,3304.8,percent of total billed charges,2769.250611,,,,3263.49,percent of total billed charges,3149.408294,,,,3263.49,percent of total billed charges,2782.606478,,,,3304.8,percent of total billed charges,999999999,,,,3304.8,percent of total billed charges,999999999,,,,2891.7,percent of total billed charges,999999999,,,,2891.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2197.692,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2086.155,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1032.75,percent of total billed charges,980.8598801,,,,,,,,,,1032.75,percent of total billed charges,964.5439434,,,,,,,,,,1032.75,percent of total billed charges,961.8635171,,,,,,,,,,1032.75,percent of total billed charges,947.7000885,,,,,,,,,,1032.75,percent of total billed charges,972.085805,,,,,,,,,,1032.75,percent of total billed charges,999999999,,,,,,,,,,1032.75,percent of total billed charges,834.118075,,,,,,,,,,1032.75,percent of total billed charges,1315.461725,,,,,,,,,,1032.75,percent of total billed charges,999999999,,,,,,,,,,1032.75,percent of total billed charges,899.3832831,,,,,,,,,,3717.9,percent of total billed charges,,,,,
CT LUMBAR SPINE W/ CONTRAST,72132,CDM,0056-2780-01,NDC,,both,1,EA,4678,4678,995.871093,4678,4678,percent of total billed charges,3441.770789,,,,4678,percent of total billed charges,3648.208985,,,,4678,percent of total billed charges,3441.770789,,,,4678,percent of total billed charges,3648.208985,,,,4678,percent of total billed charges,999999999,,,,4678,percent of total billed charges,3564.314483,,,,4678,percent of total billed charges,3441.770789,,,,4678,percent of total billed charges,3648.208985,,,,3335.414,percent of total billed charges,1664.432624,,,,3335.414,percent of total billed charges,995.871093,,,,3335.414,percent of total billed charges,1664.432624,,,,3335.414,percent of total billed charges,995.871093,,,,3335.414,percent of total billed charges,1664.432624,,,,3335.414,percent of total billed charges,995.871093,,,,3302.668,percent of total billed charges,3277.60976,,,,3302.668,percent of total billed charges,2260.541473,,,,,,,,,,3368.16,percent of total billed charges,2189.22474,,,,,,,,,,3368.16,percent of total billed charges,999999999,,,,,,,,,,3742.4,percent of total billed charges,3135.936663,,,,3695.62,percent of total billed charges,3566.432341,,,,3695.62,percent of total billed charges,3151.061027,,,,3742.4,percent of total billed charges,999999999,,,,3742.4,percent of total billed charges,999999999,,,,3274.6,percent of total billed charges,999999999,,,,3274.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2488.696,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2362.39,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1169.5,percent of total billed charges,1110.73893,,,,,,,,,,1169.5,percent of total billed charges,1092.262544,,,,,,,,,,1169.5,percent of total billed charges,1089.227193,,,,,,,,,,1169.5,percent of total billed charges,1073.188336,,,,,,,,,,1169.5,percent of total billed charges,1100.803049,,,,,,,,,,1169.5,percent of total billed charges,999999999,,,,,,,,,,1169.5,percent of total billed charges,944.5665347,,,,,,,,,,1169.5,percent of total billed charges,1489.646562,,,,,,,,,,1169.5,percent of total billed charges,999999999,,,,,,,,,,1169.5,percent of total billed charges,1018.473735,,,,,,,,,,4210.2,percent of total billed charges,,,,,
CT CHEST W/O CONTRAST,71250,CDM,0056-2780-01,NDC,,both,1,EA,2928,2928,623.3241899,2928,2928,percent of total billed charges,2154.233619,,,,2928,percent of total billed charges,2283.445042,,,,2928,percent of total billed charges,2154.233619,,,,2928,percent of total billed charges,2283.445042,,,,2928,percent of total billed charges,999999999,,,,2928,percent of total billed charges,2230.93476,,,,2928,percent of total billed charges,2154.233619,,,,2928,percent of total billed charges,2283.445042,,,,2087.664,percent of total billed charges,1041.78254,,,,2087.664,percent of total billed charges,623.3241899,,,,2087.664,percent of total billed charges,1041.78254,,,,2087.664,percent of total billed charges,623.3241899,,,,2087.664,percent of total billed charges,1041.78254,,,,2087.664,percent of total billed charges,623.3241899,,,,2067.168,percent of total billed charges,2051.483834,,,,2067.168,percent of total billed charges,1414.89214,,,,,,,,,,2108.16,percent of total billed charges,1370.254391,,,,,,,,,,2108.16,percent of total billed charges,999999999,,,,,,,,,,2342.4,percent of total billed charges,1962.809438,,,,2313.12,percent of total billed charges,2232.260345,,,,2313.12,percent of total billed charges,1972.275906,,,,2342.4,percent of total billed charges,999999999,,,,2342.4,percent of total billed charges,999999999,,,,2049.6,percent of total billed charges,999999999,,,,2049.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1557.696,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1478.64,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,732,percent of total billed charges,695.2209463,,,,,,,,,,732,percent of total billed charges,683.6564189,,,,,,,,,,732,percent of total billed charges,681.7565669,,,,,,,,,,732,percent of total billed charges,671.7177098,,,,,,,,,,732,percent of total billed charges,689.001994,,,,,,,,,,732,percent of total billed charges,999999999,,,,,,,,,,732,percent of total billed charges,591.2122304,,,,,,,,,,732,percent of total billed charges,932.3824571,,,,,,,,,,732,percent of total billed charges,999999999,,,,,,,,,,732,percent of total billed charges,637.4713757,,,,,,,,,,2635.2,percent of total billed charges,,,,,
CT CHEST W CONTRAST,71260,CDM,0056-2780-01,NDC,,both,1,EA,3609,3609,768.2981561,3609,3609,percent of total billed charges,2655.269512,,,,3609,percent of total billed charges,2814.533182,,,,3609,percent of total billed charges,2655.269512,,,,3609,percent of total billed charges,2814.533182,,,,3609,percent of total billed charges,999999999,,,,3609,percent of total billed charges,2749.809955,,,,3609,percent of total billed charges,2655.269512,,,,3609,percent of total billed charges,2814.533182,,,,2573.217,percent of total billed charges,1284.082373,,,,2573.217,percent of total billed charges,768.2981561,,,,2573.217,percent of total billed charges,1284.082373,,,,2573.217,percent of total billed charges,768.2981561,,,,2573.217,percent of total billed charges,1284.082373,,,,2573.217,percent of total billed charges,768.2981561,,,,2547.954,percent of total billed charges,2528.62198,,,,2547.954,percent of total billed charges,1743.970538,,,,,,,,,,2598.48,percent of total billed charges,1688.950852,,,,,,,,,,2598.48,percent of total billed charges,999999999,,,,,,,,,,2887.2,percent of total billed charges,2419.323518,,,,2851.11,percent of total billed charges,2751.443847,,,,2851.11,percent of total billed charges,2430.991716,,,,2887.2,percent of total billed charges,999999999,,,,2887.2,percent of total billed charges,999999999,,,,2526.3,percent of total billed charges,999999999,,,,2526.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1919.988,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1822.545,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,902.25,percent of total billed charges,856.9168016,,,,,,,,,,902.25,percent of total billed charges,842.6625737,,,,,,,,,,902.25,percent of total billed charges,840.3208504,,,,,,,,,,902.25,percent of total billed charges,827.9471362,,,,,,,,,,902.25,percent of total billed charges,849.2514331,,,,,,,,,,902.25,percent of total billed charges,999999999,,,,,,,,,,902.25,percent of total billed charges,728.7175339,,,,,,,,,,902.25,percent of total billed charges,1149.237803,,,,,,,,,,902.25,percent of total billed charges,999999999,,,,,,,,,,902.25,percent of total billed charges,785.7357223,,,,,,,,,,3248.1,percent of total billed charges,,,,,
CT LIMITED STUDY OR FOLLOW UP,76380,CDM,0056-2780-01,NDC,,both,1,EA,1553,1553,330.608766,1553,1553,percent of total billed charges,1142.597271,,,,1553,percent of total billed charges,1211.130516,,,,1553,percent of total billed charges,1142.597271,,,,1553,percent of total billed charges,1211.130516,,,,1553,percent of total billed charges,999999999,,,,1553,percent of total billed charges,1183.279263,,,,1553,percent of total billed charges,1142.597271,,,,1553,percent of total billed charges,1211.130516,,,,1107.289,percent of total billed charges,552.5574744,,,,1107.289,percent of total billed charges,330.608766,,,,1107.289,percent of total billed charges,552.5574744,,,,1107.289,percent of total billed charges,330.608766,,,,1107.289,percent of total billed charges,552.5574744,,,,1107.289,percent of total billed charges,330.608766,,,,1096.418,percent of total billed charges,1088.099179,,,,1096.418,percent of total billed charges,750.4533791,,,,,,,,,,1118.16,percent of total billed charges,726.7776873,,,,,,,,,,1118.16,percent of total billed charges,999999999,,,,,,,,,,1242.4,percent of total billed charges,1041.066618,,,,1226.87,percent of total billed charges,1183.982348,,,,1226.87,percent of total billed charges,1046.087596,,,,1242.4,percent of total billed charges,999999999,,,,1242.4,percent of total billed charges,999999999,,,,1087.1,percent of total billed charges,999999999,,,,1087.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,826.196,percent of total billed charges,999999999,,,,,,,,,,,,,,,,784.265,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,388.25,percent of total billed charges,368.7425306,,,,,,,,,,388.25,percent of total billed charges,362.6087495,,,,,,,,,,388.25,percent of total billed charges,361.6010753,,,,,,,,,,388.25,percent of total billed charges,356.2765039,,,,,,,,,,388.25,percent of total billed charges,365.4440221,,,,,,,,,,388.25,percent of total billed charges,999999999,,,,,,,,,,388.25,percent of total billed charges,313.5767055,,,,,,,,,,388.25,percent of total billed charges,494.5320887,,,,,,,,,,388.25,percent of total billed charges,999999999,,,,,,,,,,388.25,percent of total billed charges,338.1123792,,,,,,,,,,1397.7,percent of total billed charges,,,,,
CT ABDOMEN W CONTRAST,74160,CDM,0056-2780-01,NDC,,both,1,EA,4360,4360,928.1739986,4360,4360,percent of total billed charges,3207.806892,,,,4360,percent of total billed charges,3400.21188,,,,4360,percent of total billed charges,3207.806892,,,,4360,percent of total billed charges,3400.21188,,,,4360,percent of total billed charges,999999999,,,,4360,percent of total billed charges,3322.020339,,,,4360,percent of total billed charges,3207.806892,,,,4360,percent of total billed charges,3400.21188,,,,3108.68,percent of total billed charges,1551.288209,,,,3108.68,percent of total billed charges,928.1739986,,,,3108.68,percent of total billed charges,1551.288209,,,,3108.68,percent of total billed charges,928.1739986,,,,3108.68,percent of total billed charges,1551.288209,,,,3108.68,percent of total billed charges,928.1739986,,,,3078.16,percent of total billed charges,3054.805163,,,,3078.16,percent of total billed charges,2106.874909,,,,,,,,,,3139.2,percent of total billed charges,2040.406128,,,,,,,,,,3139.2,percent of total billed charges,999999999,,,,,,,,,,3488,percent of total billed charges,2922.762688,,,,3444.4,percent of total billed charges,3323.994229,,,,3444.4,percent of total billed charges,2936.858931,,,,3488,percent of total billed charges,999999999,,,,3488,percent of total billed charges,999999999,,,,3052,percent of total billed charges,999999999,,,,3052,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2319.52,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2201.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1090,percent of total billed charges,1035.233376,,,,,,,,,,1090,percent of total billed charges,1018.012973,,,,,,,,,,1090,percent of total billed charges,1015.183959,,,,,,,,,,1090,percent of total billed charges,1000.235388,,,,,,,,,,1090,percent of total billed charges,1025.972914,,,,,,,,,,1090,percent of total billed charges,999999999,,,,,,,,,,1090,percent of total billed charges,880.3570097,,,,,,,,,,1090,percent of total billed charges,1388.383713,,,,,,,,,,1090,percent of total billed charges,999999999,,,,,,,,,,1090,percent of total billed charges,949.2401632,,,,,,,,,,3924,percent of total billed charges,,,,,
CT ABDOMEN W/O CONTRAST,74150,CDM,0056-2780-01,NDC,,both,1,EA,3775,3775,803.636891,3775,3775,percent of total billed charges,2777.40161,,,,3775,percent of total billed charges,2943.99079,,,,3775,percent of total billed charges,2777.40161,,,,3775,percent of total billed charges,2943.99079,,,,3775,percent of total billed charges,999999999,,,,3775,percent of total billed charges,2876.290546,,,,3775,percent of total billed charges,2777.40161,,,,3775,percent of total billed charges,2943.99079,,,,2691.575,percent of total billed charges,1343.145181,,,,2691.575,percent of total billed charges,803.636891,,,,2691.575,percent of total billed charges,1343.145181,,,,2691.575,percent of total billed charges,803.636891,,,,2691.575,percent of total billed charges,1343.145181,,,,2691.575,percent of total billed charges,803.636891,,,,2665.15,percent of total billed charges,2644.928782,,,,2665.15,percent of total billed charges,1824.186417,,,,,,,,,,2718,percent of total billed charges,1766.63604,,,,,,,,,,2718,percent of total billed charges,999999999,,,,,,,,,,3020,percent of total billed charges,2530.603015,,,,2982.25,percent of total billed charges,2877.999591,,,,2982.25,percent of total billed charges,2542.807905,,,,3020,percent of total billed charges,999999999,,,,3020,percent of total billed charges,999999999,,,,2642.5,percent of total billed charges,999999999,,,,2642.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2008.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1906.375,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,943.75,percent of total billed charges,896.3316503,,,,,,,,,,943.75,percent of total billed charges,881.4217832,,,,,,,,,,943.75,percent of total billed charges,878.9723498,,,,,,,,,,943.75,percent of total billed charges,866.0294926,,,,,,,,,,943.75,percent of total billed charges,888.3137046,,,,,,,,,,943.75,percent of total billed charges,999999999,,,,,,,,,,943.75,percent of total billed charges,762.2357137,,,,,,,,,,943.75,percent of total billed charges,1202.098284,,,,,,,,,,943.75,percent of total billed charges,999999999,,,,,,,,,,943.75,percent of total billed charges,821.8765175,,,,,,,,,,3397.5,percent of total billed charges,,,,,
CT PELVIS WO CONTRAST,72192,CDM,0056-2780-01,NDC,,both,1,EA,3749,3749,798.1019084,3749,3749,percent of total billed charges,2758.272486,,,,3749,percent of total billed charges,2923.714297,,,,3749,percent of total billed charges,2758.272486,,,,3749,percent of total billed charges,2923.714297,,,,3749,percent of total billed charges,999999999,,,,3749,percent of total billed charges,2856.480333,,,,3749,percent of total billed charges,2758.272486,,,,3749,percent of total billed charges,2923.714297,,,,2673.037,percent of total billed charges,1333.89438,,,,2673.037,percent of total billed charges,798.1019084,,,,2673.037,percent of total billed charges,1333.89438,,,,2673.037,percent of total billed charges,798.1019084,,,,2673.037,percent of total billed charges,1333.89438,,,,2673.037,percent of total billed charges,798.1019084,,,,2646.794,percent of total billed charges,2626.712054,,,,2646.794,percent of total billed charges,1811.622484,,,,,,,,,,2699.28,percent of total billed charges,1754.46848,,,,,,,,,,2699.28,percent of total billed charges,999999999,,,,,,,,,,2999.2,percent of total billed charges,2513.173696,,,,2961.71,percent of total billed charges,2858.177607,,,,2961.71,percent of total billed charges,2525.294526,,,,2999.2,percent of total billed charges,999999999,,,,2999.2,percent of total billed charges,999999999,,,,2624.3,percent of total billed charges,999999999,,,,2624.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1994.468,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1893.245,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,937.25,percent of total billed charges,890.1582403,,,,,,,,,,937.25,percent of total billed charges,875.3510636,,,,,,,,,,937.25,percent of total billed charges,872.9185005,,,,,,,,,,937.25,percent of total billed charges,860.0647862,,,,,,,,,,937.25,percent of total billed charges,882.1955175,,,,,,,,,,937.25,percent of total billed charges,999999999,,,,,,,,,,937.25,percent of total billed charges,756.9858783,,,,,,,,,,937.25,percent of total billed charges,1193.818932,,,,,,,,,,937.25,percent of total billed charges,999999999,,,,,,,,,,937.25,percent of total billed charges,816.215911,,,,,,,,,,3374.1,percent of total billed charges,,,,,
CT PELVIS W CONTRAST,72193,CDM,0056-2780-01,NDC,,both,1,EA,4403,4403,937.3280082,4403,4403,percent of total billed charges,3239.44352,,,,4403,percent of total billed charges,3433.746079,,,,4403,percent of total billed charges,3239.44352,,,,4403,percent of total billed charges,3433.746079,,,,4403,percent of total billed charges,999999999,,,,4403,percent of total billed charges,3354.783384,,,,4403,percent of total billed charges,3239.44352,,,,4403,percent of total billed charges,3433.746079,,,,3139.339,percent of total billed charges,1566.587611,,,,3139.339,percent of total billed charges,937.3280082,,,,3139.339,percent of total billed charges,1566.587611,,,,3139.339,percent of total billed charges,937.3280082,,,,3139.339,percent of total billed charges,1566.587611,,,,3139.339,percent of total billed charges,937.3280082,,,,3108.518,percent of total billed charges,3084.932829,,,,3108.518,percent of total billed charges,2127.653721,,,,,,,,,,3170.16,percent of total billed charges,2060.529399,,,,,,,,,,3170.16,percent of total billed charges,999999999,,,,,,,,,,3522.4,percent of total billed charges,2951.588099,,,,3478.37,percent of total billed charges,3356.776741,,,,3478.37,percent of total billed charges,2965.823365,,,,3522.4,percent of total billed charges,999999999,,,,3522.4,percent of total billed charges,999999999,,,,3082.1,percent of total billed charges,999999999,,,,3082.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2342.396,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2223.515,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1100.75,percent of total billed charges,1045.443247,,,,,,,,,,1100.75,percent of total billed charges,1028.05301,,,,,,,,,,1100.75,percent of total billed charges,1025.196094,,,,,,,,,,1100.75,percent of total billed charges,1010.100094,,,,,,,,,,1100.75,percent of total billed charges,1036.091455,,,,,,,,,,1100.75,percent of total billed charges,999999999,,,,,,,,,,1100.75,percent of total billed charges,889.0394297,,,,,,,,,,1100.75,percent of total billed charges,1402.076489,,,,,,,,,,1100.75,percent of total billed charges,999999999,,,,,,,,,,1100.75,percent of total billed charges,958.6019355,,,,,,,,,,3962.7,percent of total billed charges,,,,,
CT ABD PELVIS W CONTRAST,74177,CDM,0056-2780-01,NDC,,both,1,EA,7676,7676,1634.097159,7676,7676,percent of total billed charges,5647.505895,,,,7676,percent of total billed charges,5986.244584,,,,7676,percent of total billed charges,5647.505895,,,,7676,percent of total billed charges,5986.244584,,,,7676,percent of total billed charges,999999999,,,,7676,percent of total billed charges,5848.584432,,,,7676,percent of total billed charges,5647.505895,,,,7676,percent of total billed charges,5986.244584,,,,5472.988,percent of total billed charges,2731.121168,,,,5472.988,percent of total billed charges,1634.097159,,,,5472.988,percent of total billed charges,2731.121168,,,,5472.988,percent of total billed charges,1634.097159,,,,5472.988,percent of total billed charges,2731.121168,,,,5472.988,percent of total billed charges,1634.097159,,,,5419.256,percent of total billed charges,5378.138631,,,,5419.256,percent of total billed charges,3709.259587,,,,,,,,,,5526.72,percent of total billed charges,3592.237945,,,,,,,,,,5526.72,percent of total billed charges,999999999,,,,,,,,,,6140.8,percent of total billed charges,5145.67119,,,,6064.04,percent of total billed charges,5852.059565,,,,6064.04,percent of total billed charges,5170.488338,,,,6140.8,percent of total billed charges,999999999,,,,6140.8,percent of total billed charges,999999999,,,,5373.2,percent of total billed charges,999999999,,,,5373.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4083.632,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3876.38,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1919,percent of total billed charges,1822.580595,,,,,,,,,,1919,percent of total billed charges,1792.263207,,,,,,,,,,1919,percent of total billed charges,1787.282585,,,,,,,,,,1919,percent of total billed charges,1760.96487,,,,,,,,,,1919,percent of total billed charges,1806.277085,,,,,,,,,,1919,percent of total billed charges,999999999,,,,,,,,,,1919,percent of total billed charges,1549.912937,,,,,,,,,,1919,percent of total billed charges,2444.319584,,,,,,,,,,1919,percent of total billed charges,999999999,,,,,,,,,,1919,percent of total billed charges,1671.185205,,,,,,,,,,6908.4,percent of total billed charges,,,,,
CT ABD PELVIS WO CONTRAST,74176,CDM,0056-2780-01,NDC,,both,1,EA,6617,6617,1408.653062,6617,6617,percent of total billed charges,4868.361974,,,,6617,percent of total billed charges,5160.367433,,,,6617,percent of total billed charges,4868.361974,,,,6617,percent of total billed charges,5160.367433,,,,6617,percent of total billed charges,999999999,,,,6617,percent of total billed charges,5041.699216,,,,6617,percent of total billed charges,4868.361974,,,,6617,percent of total billed charges,5160.367433,,,,4717.921,percent of total billed charges,2354.328917,,,,4717.921,percent of total billed charges,1408.653062,,,,4717.921,percent of total billed charges,2354.328917,,,,4717.921,percent of total billed charges,1408.653062,,,,4717.921,percent of total billed charges,2354.328917,,,,4717.921,percent of total billed charges,1408.653062,,,,4671.602,percent of total billed charges,4636.157286,,,,4671.602,percent of total billed charges,3197.520933,,,,,,,,,,4764.24,percent of total billed charges,3096.643887,,,,,,,,,,4764.24,percent of total billed charges,999999999,,,,,,,,,,5293.6,percent of total billed charges,4435.761629,,,,5227.43,percent of total billed charges,5044.694912,,,,5227.43,percent of total billed charges,4457.154942,,,,5293.6,percent of total billed charges,999999999,,,,5293.6,percent of total billed charges,999999999,,,,4631.9,percent of total billed charges,999999999,,,,4631.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3520.244,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3341.585,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1654.25,percent of total billed charges,1571.132856,,,,,,,,,,1654.25,percent of total billed charges,1544.99813,,,,,,,,,,1654.25,percent of total billed charges,1540.704646,,,,,,,,,,1654.25,percent of total billed charges,1518.017789,,,,,,,,,,1654.25,percent of total billed charges,1557.078618,,,,,,,,,,1654.25,percent of total billed charges,999999999,,,,,,,,,,1654.25,percent of total billed charges,1336.083104,,,,,,,,,,1654.25,percent of total billed charges,2107.095191,,,,,,,,,,1654.25,percent of total billed charges,999999999,,,,,,,,,,1654.25,percent of total billed charges,1440.624349,,,,,,,,,,5955.3,percent of total billed charges,,,,,
CT ABD PELVIS  W/WO CONTRAST,74178,CDM,0056-2780-01,NDC,,both,1,EA,7177,7177,1527.868071,7177,7177,percent of total billed charges,5280.373868,,,,7177,percent of total billed charges,5597.091895,,,,7177,percent of total billed charges,5280.373868,,,,7177,percent of total billed charges,5597.091895,,,,7177,percent of total billed charges,999999999,,,,7177,percent of total billed charges,5468.380728,,,,7177,percent of total billed charges,5280.373868,,,,7177,percent of total billed charges,5597.091895,,,,5117.201,percent of total billed charges,2553.576944,,,,5117.201,percent of total billed charges,1527.868071,,,,5117.201,percent of total billed charges,2553.576944,,,,5117.201,percent of total billed charges,1527.868071,,,,5117.201,percent of total billed charges,2553.576944,,,,5117.201,percent of total billed charges,1527.868071,,,,5066.962,percent of total billed charges,5028.517582,,,,5066.962,percent of total billed charges,3468.12872,,,,,,,,,,5167.44,percent of total billed charges,3358.714399,,,,,,,,,,5167.44,percent of total billed charges,999999999,,,,,,,,,,5741.6,percent of total billed charges,4811.162342,,,,5669.83,percent of total billed charges,5471.629951,,,,5669.83,percent of total billed charges,4834.366181,,,,5741.6,percent of total billed charges,999999999,,,,5741.6,percent of total billed charges,999999999,,,,5023.9,percent of total billed charges,999999999,,,,5023.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3818.164,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3624.385,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1794.25,percent of total billed charges,1704.09861,,,,,,,,,,1794.25,percent of total billed charges,1675.75209,,,,,,,,,,1794.25,percent of total billed charges,1671.095246,,,,,,,,,,1794.25,percent of total billed charges,1646.488389,,,,,,,,,,1794.25,percent of total billed charges,1688.854956,,,,,,,,,,1794.25,percent of total billed charges,999999999,,,,,,,,,,1794.25,percent of total billed charges,1449.156481,,,,,,,,,,1794.25,percent of total billed charges,2285.419704,,,,,,,,,,1794.25,percent of total billed charges,999999999,,,,,,,,,,1794.25,percent of total billed charges,1562.545104,,,,,,,,,,6459.3,percent of total billed charges,,,,,
CT CHEST W AND WO CONTRAST,71270,CDM,0056-2780-01,NDC,,both,1,EA,4231,4231,900.7119697,4231,4231,percent of total billed charges,3112.897009,,,,4231,percent of total billed charges,3299.60928,,,,4231,percent of total billed charges,3112.897009,,,,4231,percent of total billed charges,3299.60928,,,,4231,percent of total billed charges,999999999,,,,4231,percent of total billed charges,3223.731205,,,,4231,percent of total billed charges,3112.897009,,,,4231,percent of total billed charges,3299.60928,,,,3016.703,percent of total billed charges,1505.390003,,,,3016.703,percent of total billed charges,900.7119697,,,,3016.703,percent of total billed charges,1505.390003,,,,3016.703,percent of total billed charges,900.7119697,,,,3016.703,percent of total billed charges,1505.390003,,,,3016.703,percent of total billed charges,900.7119697,,,,2987.086,percent of total billed charges,2964.422166,,,,2987.086,percent of total billed charges,2044.538472,,,,,,,,,,3046.32,percent of total billed charges,1980.036314,,,,,,,,,,3046.32,percent of total billed charges,999999999,,,,,,,,,,3384.8,percent of total billed charges,2836.286452,,,,3342.49,percent of total billed charges,3225.646694,,,,3342.49,percent of total billed charges,2849.965628,,,,3384.8,percent of total billed charges,999999999,,,,3384.8,percent of total billed charges,999999999,,,,2961.7,percent of total billed charges,999999999,,,,2961.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2250.892,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2136.655,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1057.75,percent of total billed charges,1004.603765,,,,,,,,,,1057.75,percent of total billed charges,987.8928648,,,,,,,,,,1057.75,percent of total billed charges,985.1475529,,,,,,,,,,1057.75,percent of total billed charges,970.6412671,,,,,,,,,,1057.75,percent of total billed charges,995.6172939,,,,,,,,,,1057.75,percent of total billed charges,999999999,,,,,,,,,,1057.75,percent of total billed charges,854.3097496,,,,,,,,,,1057.75,percent of total billed charges,1347.305388,,,,,,,,,,1057.75,percent of total billed charges,999999999,,,,,,,,,,1057.75,percent of total billed charges,921.1548465,,,,,,,,,,3807.9,percent of total billed charges,,,,,
CT ABDOMEN W/WO CONTRAST,74170,CDM,0056-2780-01,NDC,,both,1,EA,5521,5521,1175.332258,5521,5521,percent of total billed charges,4061.995838,,,,5521,percent of total billed charges,4305.635272,,,,5521,percent of total billed charges,4061.995838,,,,5521,percent of total billed charges,4305.635272,,,,5521,percent of total billed charges,999999999,,,,5521,percent of total billed charges,4206.622544,,,,5521,percent of total billed charges,4061.995838,,,,5521,percent of total billed charges,4305.635272,,,,3936.473,percent of total billed charges,1964.372065,,,,3936.473,percent of total billed charges,1175.332258,,,,3936.473,percent of total billed charges,1964.372065,,,,3936.473,percent of total billed charges,1175.332258,,,,3936.473,percent of total billed charges,1964.372065,,,,3936.473,percent of total billed charges,1175.332258,,,,3897.826,percent of total billed charges,3868.252135,,,,3897.826,percent of total billed charges,2667.902837,,,,,,,,,,3975.12,percent of total billed charges,2583.734457,,,,,,,,,,3975.12,percent of total billed charges,999999999,,,,,,,,,,4416.8,percent of total billed charges,3701.048807,,,,4361.59,percent of total billed charges,4209.122051,,,,4361.59,percent of total billed charges,3718.89866,,,,4416.8,percent of total billed charges,999999999,,,,4416.8,percent of total billed charges,999999999,,,,3864.7,percent of total billed charges,999999999,,,,3864.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2937.172,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2788.105,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1380.25,percent of total billed charges,1310.899879,,,,,,,,,,1380.25,percent of total billed charges,1289.093951,,,,,,,,,,1380.25,percent of total billed charges,1285.511614,,,,,,,,,,1380.25,percent of total billed charges,1266.582471,,,,,,,,,,1380.25,percent of total billed charges,1299.1735,,,,,,,,,,1380.25,percent of total billed charges,999999999,,,,,,,,,,1380.25,percent of total billed charges,1114.782351,,,,,,,,,,1380.25,percent of total billed charges,1758.088643,,,,,,,,,,1380.25,percent of total billed charges,999999999,,,,,,,,,,1380.25,percent of total billed charges,1202.008014,,,,,,,,,,4968.9,percent of total billed charges,,,,,
CT IVP,74178,CDM,0056-2780-01,NDC,,both,1,EA,7177,7177,1527.868071,7177,7177,percent of total billed charges,5280.373868,,,,7177,percent of total billed charges,5597.091895,,,,7177,percent of total billed charges,5280.373868,,,,7177,percent of total billed charges,5597.091895,,,,7177,percent of total billed charges,999999999,,,,7177,percent of total billed charges,5468.380728,,,,7177,percent of total billed charges,5280.373868,,,,7177,percent of total billed charges,5597.091895,,,,5117.201,percent of total billed charges,2553.576944,,,,5117.201,percent of total billed charges,1527.868071,,,,5117.201,percent of total billed charges,2553.576944,,,,5117.201,percent of total billed charges,1527.868071,,,,5117.201,percent of total billed charges,2553.576944,,,,5117.201,percent of total billed charges,1527.868071,,,,5066.962,percent of total billed charges,5028.517582,,,,5066.962,percent of total billed charges,3468.12872,,,,,,,,,,5167.44,percent of total billed charges,3358.714399,,,,,,,,,,5167.44,percent of total billed charges,999999999,,,,,,,,,,5741.6,percent of total billed charges,4811.162342,,,,5669.83,percent of total billed charges,5471.629951,,,,5669.83,percent of total billed charges,4834.366181,,,,5741.6,percent of total billed charges,999999999,,,,5741.6,percent of total billed charges,999999999,,,,5023.9,percent of total billed charges,999999999,,,,5023.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3818.164,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3624.385,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1794.25,percent of total billed charges,1704.09861,,,,,,,,,,1794.25,percent of total billed charges,1675.75209,,,,,,,,,,1794.25,percent of total billed charges,1671.095246,,,,,,,,,,1794.25,percent of total billed charges,1646.488389,,,,,,,,,,1794.25,percent of total billed charges,1688.854956,,,,,,,,,,1794.25,percent of total billed charges,999999999,,,,,,,,,,1794.25,percent of total billed charges,1449.156481,,,,,,,,,,1794.25,percent of total billed charges,2285.419704,,,,,,,,,,1794.25,percent of total billed charges,999999999,,,,,,,,,,1794.25,percent of total billed charges,1562.545104,,,,,,,,,,6459.3,percent of total billed charges,,,,,
CT PELVIMETRY,74710,CDM,0056-2780-01,NDC,,both,1,EA,2131,2131,453.655686,2131,2131,percent of total billed charges,1567.852405,,,,2131,percent of total billed charges,1661.892549,,,,2131,percent of total billed charges,1567.852405,,,,2131,percent of total billed charges,1661.892549,,,,2131,percent of total billed charges,999999999,,,,2131,percent of total billed charges,1623.675537,,,,2131,percent of total billed charges,1567.852405,,,,2131,percent of total billed charges,1661.892549,,,,1519.403,percent of total billed charges,758.2099021,,,,1519.403,percent of total billed charges,453.655686,,,,1519.403,percent of total billed charges,758.2099021,,,,1519.403,percent of total billed charges,453.655686,,,,1519.403,percent of total billed charges,758.2099021,,,,1519.403,percent of total billed charges,453.655686,,,,1504.486,percent of total billed charges,1493.071056,,,,1504.486,percent of total billed charges,1029.759273,,,,,,,,,,1534.32,percent of total billed charges,997.2718942,,,,,,,,,,1534.32,percent of total billed charges,999999999,,,,,,,,,,1704.8,percent of total billed charges,1428.533782,,,,1683.49,percent of total billed charges,1624.640299,,,,1683.49,percent of total billed charges,1435.423482,,,,1704.8,percent of total billed charges,999999999,,,,1704.8,percent of total billed charges,999999999,,,,1491.7,percent of total billed charges,999999999,,,,1491.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1133.692,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1076.155,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,532.75,percent of total billed charges,505.9821846,,,,,,,,,,532.75,percent of total billed charges,497.5655152,,,,,,,,,,532.75,percent of total billed charges,496.182802,,,,,,,,,,532.75,percent of total billed charges,488.8765162,,,,,,,,,,532.75,percent of total billed charges,501.4560277,,,,,,,,,,532.75,percent of total billed charges,999999999,,,,,,,,,,532.75,percent of total billed charges,430.2845843,,,,,,,,,,532.75,percent of total billed charges,678.5884618,,,,,,,,,,532.75,percent of total billed charges,999999999,,,,,,,,,,532.75,percent of total billed charges,463.9520156,,,,,,,,,,1917.9,percent of total billed charges,,,,,
CT PELVIS W AND WO CONTRAST,72194,CDM,0056-2780-01,NDC,,both,1,EA,4634,4634,986.5041994,4634,4634,percent of total billed charges,3409.398426,,,,4634,percent of total billed charges,3613.89492,,,,4634,percent of total billed charges,3409.398426,,,,4634,percent of total billed charges,3613.89492,,,,4634,percent of total billed charges,999999999,,,,4634,percent of total billed charges,3530.789507,,,,4634,percent of total billed charges,3409.398426,,,,4634,percent of total billed charges,3613.89492,,,,3304.042,percent of total billed charges,1648.777422,,,,3304.042,percent of total billed charges,986.5041994,,,,3304.042,percent of total billed charges,1648.777422,,,,3304.042,percent of total billed charges,986.5041994,,,,3304.042,percent of total billed charges,1648.777422,,,,3304.042,percent of total billed charges,986.5041994,,,,3271.604,percent of total billed charges,3246.781451,,,,3271.604,percent of total billed charges,2239.279433,,,,,,,,,,3336.48,percent of total billed charges,2168.633486,,,,,,,,,,3336.48,percent of total billed charges,999999999,,,,,,,,,,3707.2,percent of total billed charges,3106.440893,,,,3660.86,percent of total billed charges,3532.887445,,,,3660.86,percent of total billed charges,3121.423001,,,,3707.2,percent of total billed charges,999999999,,,,3707.2,percent of total billed charges,999999999,,,,3243.8,percent of total billed charges,999999999,,,,3243.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2465.288,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2340.17,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1158.5,percent of total billed charges,1100.291621,,,,,,,,,,1158.5,percent of total billed charges,1081.989018,,,,,,,,,,1158.5,percent of total billed charges,1078.982217,,,,,,,,,,1158.5,percent of total billed charges,1063.094217,,,,,,,,,,1158.5,percent of total billed charges,1090.449194,,,,,,,,,,1158.5,percent of total billed charges,999999999,,,,,,,,,,1158.5,percent of total billed charges,935.6821979,,,,,,,,,,1158.5,percent of total billed charges,1475.63535,,,,,,,,,,1158.5,percent of total billed charges,999999999,,,,,,,,,,1158.5,percent of total billed charges,1008.894247,,,,,,,,,,4170.6,percent of total billed charges,,,,,
CT SINUSES W/O CONTRAST,70486,CDM,0056-2780-01,NDC,,both,1,EA,2768,2768,589.2627587,2768,2768,percent of total billed charges,2036.515935,,,,2768,percent of total billed charges,2158.666624,,,,2768,percent of total billed charges,2036.515935,,,,2768,percent of total billed charges,2158.666624,,,,2768,percent of total billed charges,999999999,,,,2768,percent of total billed charges,2109.025757,,,,2768,percent of total billed charges,2036.515935,,,,2768,percent of total billed charges,2158.666624,,,,1973.584,percent of total billed charges,984.8545327,,,,1973.584,percent of total billed charges,589.2627587,,,,1973.584,percent of total billed charges,984.8545327,,,,1973.584,percent of total billed charges,589.2627587,,,,1973.584,percent of total billed charges,984.8545327,,,,1973.584,percent of total billed charges,589.2627587,,,,1954.208,percent of total billed charges,1939.380893,,,,1954.208,percent of total billed charges,1337.57563,,,,,,,,,,1992.96,percent of total billed charges,1295.377101,,,,,,,,,,1992.96,percent of total billed charges,999999999,,,,,,,,,,2214.4,percent of total billed charges,1855.552092,,,,2186.72,percent of total billed charges,2110.278905,,,,2186.72,percent of total billed charges,1864.501266,,,,2214.4,percent of total billed charges,999999999,,,,2214.4,percent of total billed charges,999999999,,,,1937.6,percent of total billed charges,999999999,,,,1937.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1472.576,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1397.84,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,692,percent of total billed charges,657.2307306,,,,,,,,,,692,percent of total billed charges,646.2981446,,,,,,,,,,692,percent of total billed charges,644.5021097,,,,,,,,,,692,percent of total billed charges,635.011824,,,,,,,,,,692,percent of total billed charges,651.3516118,,,,,,,,,,692,percent of total billed charges,999999999,,,,,,,,,,692,percent of total billed charges,558.9055511,,,,,,,,,,692,percent of total billed charges,881.432596,,,,,,,,,,692,percent of total billed charges,999999999,,,,,,,,,,692,percent of total billed charges,602.6368743,,,,,,,,,,2491.2,percent of total billed charges,,,,,
CT SINUSES W / WO CONTRAST,70488,CDM,0056-2780-01,NDC,,both,1,EA,4564,4564,971.6023233,4564,4564,percent of total billed charges,3357.896939,,,,4564,percent of total billed charges,3559.304362,,,,4564,percent of total billed charges,3357.896939,,,,4564,percent of total billed charges,3559.304362,,,,4564,percent of total billed charges,999999999,,,,4564,percent of total billed charges,3477.454318,,,,4564,percent of total billed charges,3357.896939,,,,4564,percent of total billed charges,3559.304362,,,,3254.132,percent of total billed charges,1623.871419,,,,3254.132,percent of total billed charges,971.6023233,,,,3254.132,percent of total billed charges,1623.871419,,,,3254.132,percent of total billed charges,971.6023233,,,,3254.132,percent of total billed charges,1623.871419,,,,3254.132,percent of total billed charges,971.6023233,,,,3222.184,percent of total billed charges,3197.736414,,,,3222.184,percent of total billed charges,2205.453459,,,,,,,,,,3286.08,percent of total billed charges,2135.874672,,,,,,,,,,3286.08,percent of total billed charges,999999999,,,,,,,,,,3651.2,percent of total billed charges,3059.515804,,,,3605.56,percent of total billed charges,3479.520565,,,,3605.56,percent of total billed charges,3074.271597,,,,3651.2,percent of total billed charges,999999999,,,,3651.2,percent of total billed charges,999999999,,,,3194.8,percent of total billed charges,999999999,,,,3194.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2428.048,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2304.82,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1141,percent of total billed charges,1083.670901,,,,,,,,,,1141,percent of total billed charges,1065.644773,,,,,,,,,,1141,percent of total billed charges,1062.683392,,,,,,,,,,1141,percent of total billed charges,1047.035392,,,,,,,,,,1141,percent of total billed charges,1073.977152,,,,,,,,,,1141,percent of total billed charges,999999999,,,,,,,,,,1141,percent of total billed charges,921.5480258,,,,,,,,,,1141,percent of total billed charges,1453.344786,,,,,,,,,,1141,percent of total billed charges,999999999,,,,,,,,,,1141,percent of total billed charges,993.6541525,,,,,,,,,,4107.6,percent of total billed charges,,,,,
CT SINUSES W/ CONTRAST,70487,CDM,0056-2780-01,NDC,,both,1,EA,3930,3930,836.6339024,3930,3930,percent of total billed charges,2891.440616,,,,3930,percent of total billed charges,3064.869882,,,,3930,percent of total billed charges,2891.440616,,,,3930,percent of total billed charges,3064.869882,,,,3930,percent of total billed charges,999999999,,,,3930,percent of total billed charges,2994.389893,,,,3930,percent of total billed charges,2891.440616,,,,3930,percent of total billed charges,3064.869882,,,,2802.09,percent of total billed charges,1398.294188,,,,2802.09,percent of total billed charges,836.6339024,,,,2802.09,percent of total billed charges,1398.294188,,,,2802.09,percent of total billed charges,836.6339024,,,,2802.09,percent of total billed charges,1398.294188,,,,2802.09,percent of total billed charges,836.6339024,,,,2774.58,percent of total billed charges,2753.528507,,,,2774.58,percent of total billed charges,1899.086787,,,,,,,,,,2829.6,percent of total billed charges,1839.173414,,,,,,,,,,2829.6,percent of total billed charges,999999999,,,,,,,,,,3144,percent of total billed charges,2634.508569,,,,3104.7,percent of total billed charges,2996.169111,,,,3104.7,percent of total billed charges,2647.214587,,,,3144,percent of total billed charges,999999999,,,,3144,percent of total billed charges,999999999,,,,2751,percent of total billed charges,999999999,,,,2751,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2090.76,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1984.65,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,982.5,percent of total billed charges,933.1346717,,,,,,,,,,982.5,percent of total billed charges,917.6126114,,,,,,,,,,982.5,percent of total billed charges,915.0626052,,,,,,,,,,982.5,percent of total billed charges,901.5883195,,,,,,,,,,982.5,percent of total billed charges,924.7875124,,,,,,,,,,982.5,percent of total billed charges,999999999,,,,,,,,,,982.5,percent of total billed charges,793.5328092,,,,,,,,,,982.5,percent of total billed charges,1251.455962,,,,,,,,,,982.5,percent of total billed charges,999999999,,,,,,,,,,982.5,percent of total billed charges,855.6224407,,,,,,,,,,3537,percent of total billed charges,,,,,
**CT UE W/ CONTRAST BI,73201,CDM,0056-2780-01,NDC,50,both,1,EA,5955,5955,1267.72389,5955,5955,percent of total billed charges,4381.305056,,,,5955,percent of total billed charges,4644.09673,,,,5955,percent of total billed charges,4381.305056,,,,5955,percent of total billed charges,4644.09673,,,,5955,percent of total billed charges,999999999,,,,5955,percent of total billed charges,4537.300715,,,,5955,percent of total billed charges,4381.305056,,,,5955,percent of total billed charges,4644.09673,,,,4245.915,percent of total billed charges,2118.789285,,,,4245.915,percent of total billed charges,1267.72389,,,,4245.915,percent of total billed charges,2118.789285,,,,4245.915,percent of total billed charges,1267.72389,,,,4245.915,percent of total billed charges,2118.789285,,,,4245.915,percent of total billed charges,1267.72389,,,,4204.23,percent of total billed charges,4172.331364,,,,4204.23,percent of total billed charges,2877.623872,,,,,,,,,,4287.6,percent of total billed charges,2786.839104,,,,,,,,,,4287.6,percent of total billed charges,999999999,,,,,,,,,,4764,percent of total billed charges,3991.984359,,,,4704.45,percent of total billed charges,4539.996706,,,,4704.45,percent of total billed charges,4011.23737,,,,4764,percent of total billed charges,999999999,,,,4764,percent of total billed charges,999999999,,,,4168.5,percent of total billed charges,999999999,,,,4168.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3168.06,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3007.275,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1488.75,percent of total billed charges,1413.948338,,,,,,,,,,1488.75,percent of total billed charges,1390.42827,,,,,,,,,,1488.75,percent of total billed charges,1386.564329,,,,,,,,,,1488.75,percent of total billed charges,1366.147186,,,,,,,,,,1488.75,percent of total billed charges,1401.300162,,,,,,,,,,1488.75,percent of total billed charges,999999999,,,,,,,,,,1488.75,percent of total billed charges,1202.414219,,,,,,,,,,1488.75,percent of total billed charges,1896.290141,,,,,,,,,,1488.75,percent of total billed charges,999999999,,,,,,,,,,1488.75,percent of total billed charges,1296.496599,,,,,,,,,,5359.5,percent of total billed charges,,,,,
CT UE W CONTRAST LT,73201,CDM,0056-2780-01,NDC,LT,both,1,EA,3152,3152,671.0101935,3152,3152,percent of total billed charges,2319.038377,,,,3152,percent of total billed charges,2458.134827,,,,3152,percent of total billed charges,2319.038377,,,,3152,percent of total billed charges,2458.134827,,,,3152,percent of total billed charges,999999999,,,,3152,percent of total billed charges,2401.607364,,,,3152,percent of total billed charges,2319.038377,,,,3152,percent of total billed charges,2458.134827,,,,2247.376,percent of total billed charges,1121.481751,,,,2247.376,percent of total billed charges,671.0101935,,,,2247.376,percent of total billed charges,1121.481751,,,,2247.376,percent of total billed charges,671.0101935,,,,2247.376,percent of total billed charges,1121.481751,,,,2247.376,percent of total billed charges,671.0101935,,,,2225.312,percent of total billed charges,2208.427953,,,,2225.312,percent of total billed charges,1523.135255,,,,,,,,,,2269.44,percent of total billed charges,1475.082595,,,,,,,,,,2269.44,percent of total billed charges,999999999,,,,,,,,,,2521.6,percent of total billed charges,2112.969723,,,,2490.08,percent of total billed charges,2403.03436,,,,2490.08,percent of total billed charges,2123.160402,,,,2521.6,percent of total billed charges,999999999,,,,2521.6,percent of total billed charges,999999999,,,,2206.4,percent of total billed charges,999999999,,,,2206.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1676.864,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1591.76,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,788,percent of total billed charges,748.4072482,,,,,,,,,,788,percent of total billed charges,735.9580028,,,,,,,,,,788,percent of total billed charges,733.912807,,,,,,,,,,788,percent of total billed charges,723.1059499,,,,,,,,,,788,percent of total billed charges,741.712529,,,,,,,,,,788,percent of total billed charges,999999999,,,,,,,,,,788,percent of total billed charges,636.4415813,,,,,,,,,,788,percent of total billed charges,1003.712263,,,,,,,,,,788,percent of total billed charges,999999999,,,,,,,,,,788,percent of total billed charges,686.2396776,,,,,,,,,,2836.8,percent of total billed charges,,,,,
CT UE W CONTRAST RT,73201,CDM,0056-2780-01,NDC,RT,both,1,EA,3152,3152,671.0101935,3152,3152,percent of total billed charges,2319.038377,,,,3152,percent of total billed charges,2458.134827,,,,3152,percent of total billed charges,2319.038377,,,,3152,percent of total billed charges,2458.134827,,,,3152,percent of total billed charges,999999999,,,,3152,percent of total billed charges,2401.607364,,,,3152,percent of total billed charges,2319.038377,,,,3152,percent of total billed charges,2458.134827,,,,2247.376,percent of total billed charges,1121.481751,,,,2247.376,percent of total billed charges,671.0101935,,,,2247.376,percent of total billed charges,1121.481751,,,,2247.376,percent of total billed charges,671.0101935,,,,2247.376,percent of total billed charges,1121.481751,,,,2247.376,percent of total billed charges,671.0101935,,,,2225.312,percent of total billed charges,2208.427953,,,,2225.312,percent of total billed charges,1523.135255,,,,,,,,,,2269.44,percent of total billed charges,1475.082595,,,,,,,,,,2269.44,percent of total billed charges,999999999,,,,,,,,,,2521.6,percent of total billed charges,2112.969723,,,,2490.08,percent of total billed charges,2403.03436,,,,2490.08,percent of total billed charges,2123.160402,,,,2521.6,percent of total billed charges,999999999,,,,2521.6,percent of total billed charges,999999999,,,,2206.4,percent of total billed charges,999999999,,,,2206.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1676.864,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1591.76,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,788,percent of total billed charges,748.4072482,,,,,,,,,,788,percent of total billed charges,735.9580028,,,,,,,,,,788,percent of total billed charges,733.912807,,,,,,,,,,788,percent of total billed charges,723.1059499,,,,,,,,,,788,percent of total billed charges,741.712529,,,,,,,,,,788,percent of total billed charges,999999999,,,,,,,,,,788,percent of total billed charges,636.4415813,,,,,,,,,,788,percent of total billed charges,1003.712263,,,,,,,,,,788,percent of total billed charges,999999999,,,,,,,,,,788,percent of total billed charges,686.2396776,,,,,,,,,,2836.8,percent of total billed charges,,,,,
CT LE W/WO CONTRAST,73702,CDM,0056-2780-01,NDC,,both,1,EA,3907,3907,831.7375716,3907,3907,percent of total billed charges,2874.518699,,,,3907,percent of total billed charges,3046.932985,,,,3907,percent of total billed charges,2874.518699,,,,3907,percent of total billed charges,3046.932985,,,,3907,percent of total billed charges,999999999,,,,3907,percent of total billed charges,2976.865474,,,,3907,percent of total billed charges,2874.518699,,,,3907,percent of total billed charges,3046.932985,,,,2785.691,percent of total billed charges,1390.110787,,,,2785.691,percent of total billed charges,831.7375716,,,,2785.691,percent of total billed charges,1390.110787,,,,2785.691,percent of total billed charges,831.7375716,,,,2785.691,percent of total billed charges,1390.110787,,,,2785.691,percent of total billed charges,831.7375716,,,,2758.342,percent of total billed charges,2737.413709,,,,2758.342,percent of total billed charges,1887.972538,,,,,,,,,,2813.04,percent of total billed charges,1828.409803,,,,,,,,,,2813.04,percent of total billed charges,999999999,,,,,,,,,,3125.6,percent of total billed charges,2619.090326,,,,3086.53,percent of total billed charges,2978.634279,,,,3086.53,percent of total billed charges,2631.721982,,,,3125.6,percent of total billed charges,999999999,,,,3125.6,percent of total billed charges,999999999,,,,2734.9,percent of total billed charges,999999999,,,,2734.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2078.524,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1973.035,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,976.75,percent of total billed charges,927.6735782,,,,,,,,,,976.75,percent of total billed charges,912.2423595,,,,,,,,,,976.75,percent of total billed charges,909.707277,,,,,,,,,,976.75,percent of total billed charges,896.3118484,,,,,,,,,,976.75,percent of total billed charges,919.3752699,,,,,,,,,,976.75,percent of total billed charges,999999999,,,,,,,,,,976.75,percent of total billed charges,788.8887241,,,,,,,,,,976.75,percent of total billed charges,1244.131919,,,,,,,,,,976.75,percent of total billed charges,999999999,,,,,,,,,,976.75,percent of total billed charges,850.6149811,,,,,,,,,,3516.3,percent of total billed charges,,,,,
CT LE W CONTRAST,73701,CDM,0056-2780-01,NDC,,both,1,EA,3550,3550,755.7380034,3550,3550,percent of total billed charges,2611.861116,,,,3550,percent of total billed charges,2768.521141,,,,3550,percent of total billed charges,2611.861116,,,,3550,percent of total billed charges,2768.521141,,,,3550,percent of total billed charges,999999999,,,,3550,percent of total billed charges,2704.85601,,,,3550,percent of total billed charges,2611.861116,,,,3550,percent of total billed charges,2768.521141,,,,2531.15,percent of total billed charges,1263.09017,,,,2531.15,percent of total billed charges,755.7380034,,,,2531.15,percent of total billed charges,1263.09017,,,,2531.15,percent of total billed charges,755.7380034,,,,2531.15,percent of total billed charges,1263.09017,,,,2531.15,percent of total billed charges,755.7380034,,,,2506.3,percent of total billed charges,2487.284021,,,,2506.3,percent of total billed charges,1715.460075,,,,,,,,,,2556,percent of total billed charges,1661.339852,,,,,,,,,,2556,percent of total billed charges,999999999,,,,,,,,,,2840,percent of total billed charges,2379.772372,,,,2804.5,percent of total billed charges,2706.463191,,,,2804.5,percent of total billed charges,2391.249818,,,,2840,percent of total billed charges,999999999,,,,2840,percent of total billed charges,999999999,,,,2485,percent of total billed charges,999999999,,,,2485,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1888.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1792.75,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,887.5,percent of total billed charges,842.9079096,,,,,,,,,,887.5,percent of total billed charges,828.88671,,,,,,,,,,887.5,percent of total billed charges,826.5832694,,,,,,,,,,887.5,percent of total billed charges,814.4118408,,,,,,,,,,887.5,percent of total billed charges,835.3678547,,,,,,,,,,887.5,percent of total billed charges,999999999,,,,,,,,,,887.5,percent of total billed charges,716.804446,,,,,,,,,,887.5,percent of total billed charges,1130.450042,,,,,,,,,,887.5,percent of total billed charges,999999999,,,,,,,,,,887.5,percent of total billed charges,772.8904999,,,,,,,,,,3195,percent of total billed charges,,,,,
CT LE W/O CONT LT,73700,CDM,0056-2780-01,NDC,LT,both,1,EA,2767,2767,589.0498748,2767,2767,percent of total billed charges,2035.7802,,,,2767,percent of total billed charges,2157.886759,,,,2767,percent of total billed charges,2035.7802,,,,2767,percent of total billed charges,2157.886759,,,,2767,percent of total billed charges,999999999,,,,2767,percent of total billed charges,2108.263825,,,,2767,percent of total billed charges,2035.7802,,,,2767,percent of total billed charges,2157.886759,,,,1972.871,percent of total billed charges,984.4987326,,,,1972.871,percent of total billed charges,589.0498748,,,,1972.871,percent of total billed charges,984.4987326,,,,1972.871,percent of total billed charges,589.0498748,,,,1972.871,percent of total billed charges,984.4987326,,,,1972.871,percent of total billed charges,589.0498748,,,,1953.502,percent of total billed charges,1938.680249,,,,1953.502,percent of total billed charges,1337.092402,,,,,,,,,,1992.24,percent of total billed charges,1294.909118,,,,,,,,,,1992.24,percent of total billed charges,999999999,,,,,,,,,,2213.6,percent of total billed charges,1854.881733,,,,2185.93,percent of total billed charges,2109.516521,,,,2185.93,percent of total billed charges,1863.827675,,,,2213.6,percent of total billed charges,999999999,,,,2213.6,percent of total billed charges,999999999,,,,1936.9,percent of total billed charges,999999999,,,,1936.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1472.044,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1397.335,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,691.75,percent of total billed charges,656.9932918,,,,,,,,,,691.75,percent of total billed charges,646.0646554,,,,,,,,,,691.75,percent of total billed charges,644.2692694,,,,,,,,,,691.75,percent of total billed charges,634.7824122,,,,,,,,,,691.75,percent of total billed charges,651.1162969,,,,,,,,,,691.75,percent of total billed charges,999999999,,,,,,,,,,691.75,percent of total billed charges,558.7036344,,,,,,,,,,691.75,percent of total billed charges,881.1141594,,,,,,,,,,691.75,percent of total billed charges,999999999,,,,,,,,,,691.75,percent of total billed charges,602.4191586,,,,,,,,,,2490.3,percent of total billed charges,,,,,
**CT UE W CONTRAST,73201,CDM,0056-2780-01,NDC,,both,1,EA,4968,4968,1057.607437,4968,4968,percent of total billed charges,3655.134092,,,,4968,percent of total billed charges,3874.369867,,,,4968,percent of total billed charges,3655.134092,,,,4968,percent of total billed charges,3874.369867,,,,4968,percent of total billed charges,999999999,,,,4968,percent of total billed charges,3785.274551,,,,4968,percent of total billed charges,3655.134092,,,,4968,percent of total billed charges,3874.369867,,,,3542.184,percent of total billed charges,1767.614638,,,,3542.184,percent of total billed charges,1057.607437,,,,3542.184,percent of total billed charges,1767.614638,,,,3542.184,percent of total billed charges,1057.607437,,,,3542.184,percent of total billed charges,1767.614638,,,,3542.184,percent of total billed charges,1057.607437,,,,3507.408,percent of total billed charges,3480.796342,,,,3507.408,percent of total billed charges,2400.677648,,,,,,,,,,3576.96,percent of total billed charges,2324.939827,,,,,,,,,,3576.96,percent of total billed charges,999999999,,,,,,,,,,3974.4,percent of total billed charges,3330.340604,,,,3924.72,percent of total billed charges,3787.5237,,,,3924.72,percent of total billed charges,3346.402562,,,,3974.4,percent of total billed charges,999999999,,,,3974.4,percent of total billed charges,999999999,,,,3477.6,percent of total billed charges,999999999,,,,3477.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2642.976,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2508.84,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1242,percent of total billed charges,1179.596196,,,,,,,,,,1242,percent of total billed charges,1159.974416,,,,,,,,,,1242,percent of total billed charges,1156.750896,,,,,,,,,,1242,percent of total billed charges,1139.717754,,,,,,,,,,1242,percent of total billed charges,1169.044367,,,,,,,,,,1242,percent of total billed charges,999999999,,,,,,,,,,1242,percent of total billed charges,1003.122391,,,,,,,,,,1242,percent of total billed charges,1581.993185,,,,,,,,,,1242,percent of total billed charges,999999999,,,,,,,,,,1242,percent of total billed charges,1081.611269,,,,,,,,,,4471.2,percent of total billed charges,,,,,
**CT UE W/O CONTRAST,73200,CDM,0056-2780-01,NDC,,both,1,EA,4089,4089,870.4824496,4089,4089,percent of total billed charges,3008.422565,,,,4089,percent of total billed charges,3188.868435,,,,4089,percent of total billed charges,3008.422565,,,,4089,percent of total billed charges,3188.868435,,,,4089,percent of total billed charges,999999999,,,,4089,percent of total billed charges,3115.536965,,,,4089,percent of total billed charges,3008.422565,,,,4089,percent of total billed charges,3188.868435,,,,2915.457,percent of total billed charges,1454.866396,,,,2915.457,percent of total billed charges,870.4824496,,,,2915.457,percent of total billed charges,1454.866396,,,,2915.457,percent of total billed charges,870.4824496,,,,2915.457,percent of total billed charges,1454.866396,,,,2915.457,percent of total billed charges,870.4824496,,,,2886.834,percent of total billed charges,2864.930806,,,,2886.834,percent of total billed charges,1975.920069,,,,,,,,,,2944.08,percent of total billed charges,1913.58272,,,,,,,,,,2944.08,percent of total billed charges,999999999,,,,,,,,,,3271.2,percent of total billed charges,2741.095557,,,,3230.31,percent of total billed charges,3117.388166,,,,3230.31,percent of total billed charges,2754.315635,,,,3271.2,percent of total billed charges,999999999,,,,3271.2,percent of total billed charges,999999999,,,,2862.3,percent of total billed charges,999999999,,,,2862.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2175.348,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2064.945,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1022.25,percent of total billed charges,970.8874485,,,,,,,,,,1022.25,percent of total billed charges,954.7373964,,,,,,,,,,1022.25,percent of total billed charges,952.0842221,,,,,,,,,,1022.25,percent of total billed charges,938.0647935,,,,,,,,,,1022.25,percent of total billed charges,962.2025797,,,,,,,,,,1022.25,percent of total billed charges,999999999,,,,,,,,,,1022.25,percent of total billed charges,825.6375717,,,,,,,,,,1022.25,percent of total billed charges,1302.087386,,,,,,,,,,1022.25,percent of total billed charges,999999999,,,,,,,,,,1022.25,percent of total billed charges,890.2392265,,,,,,,,,,3680.1,percent of total billed charges,,,,,
**CT UE W/WO CONTRAST,73202,CDM,0056-2780-01,NDC,,both,1,EA,5840,5840,1243.242237,5840,5840,percent of total billed charges,4296.69547,,,,5840,percent of total billed charges,4554.412242,,,,5840,percent of total billed charges,4296.69547,,,,5840,percent of total billed charges,4554.412242,,,,5840,percent of total billed charges,999999999,,,,5840,percent of total billed charges,4449.678619,,,,5840,percent of total billed charges,4296.69547,,,,5840,percent of total billed charges,4554.412242,,,,4163.92,percent of total billed charges,2077.87228,,,,4163.92,percent of total billed charges,1243.242237,,,,4163.92,percent of total billed charges,2077.87228,,,,4163.92,percent of total billed charges,1243.242237,,,,4163.92,percent of total billed charges,2077.87228,,,,4163.92,percent of total billed charges,1243.242237,,,,4123.04,percent of total billed charges,4091.757375,,,,4123.04,percent of total billed charges,2822.05263,,,,,,,,,,4204.8,percent of total billed charges,2733.021052,,,,,,,,,,4204.8,percent of total billed charges,999999999,,,,,,,,,,4672,percent of total billed charges,3914.893141,,,,4613.6,percent of total billed charges,4452.322546,,,,4613.6,percent of total billed charges,3933.774348,,,,4672,percent of total billed charges,999999999,,,,4672,percent of total billed charges,999999999,,,,4088,percent of total billed charges,999999999,,,,4088,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3106.88,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2949.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1460,percent of total billed charges,1386.642871,,,,,,,,,,1460,percent of total billed charges,1363.57701,,,,,,,,,,1460,percent of total billed charges,1359.787688,,,,,,,,,,1460,percent of total billed charges,1339.764831,,,,,,,,,,1460,percent of total billed charges,1374.23895,,,,,,,,,,1460,percent of total billed charges,999999999,,,,,,,,,,1460,percent of total billed charges,1179.193793,,,,,,,,,,1460,percent of total billed charges,1859.669928,,,,,,,,,,1460,percent of total billed charges,999999999,,,,,,,,,,1460,percent of total billed charges,1271.459301,,,,,,,,,,5256,percent of total billed charges,,,,,
**CT UE W/O CONTRAST BI,73200,CDM,0056-2780-01,NDC,50,both,1,EA,6728,6728,1432.283179,6728,6728,percent of total billed charges,4950.028617,,,,6728,percent of total billed charges,5246.93246,,,,6728,percent of total billed charges,4950.028617,,,,6728,percent of total billed charges,5246.93246,,,,6728,percent of total billed charges,999999999,,,,6728,percent of total billed charges,5126.273587,,,,6728,percent of total billed charges,4950.028617,,,,6728,percent of total billed charges,5246.93246,,,,4797.064,percent of total billed charges,2393.822722,,,,4797.064,percent of total billed charges,1432.283179,,,,4797.064,percent of total billed charges,2393.822722,,,,4797.064,percent of total billed charges,1432.283179,,,,4797.064,percent of total billed charges,2393.822722,,,,4797.064,percent of total billed charges,1432.283179,,,,4749.968,percent of total billed charges,4713.928701,,,,4749.968,percent of total billed charges,3251.159263,,,,,,,,,,4844.16,percent of total billed charges,3148.590007,,,,,,,,,,4844.16,percent of total billed charges,999999999,,,,,,,,,,5382.4,percent of total billed charges,4510.171413,,,,5315.12,percent of total billed charges,5129.319536,,,,5315.12,percent of total billed charges,4531.923598,,,,5382.4,percent of total billed charges,999999999,,,,5382.4,percent of total billed charges,999999999,,,,4709.6,percent of total billed charges,999999999,,,,4709.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3579.296,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3397.64,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1682,percent of total billed charges,1597.488568,,,,,,,,,,1682,percent of total billed charges,1570.915432,,,,,,,,,,1682,percent of total billed charges,1566.549926,,,,,,,,,,1682,percent of total billed charges,1543.482497,,,,,,,,,,1682,percent of total billed charges,1583.198571,,,,,,,,,,1682,percent of total billed charges,999999999,,,,,,,,,,1682,percent of total billed charges,1358.495863,,,,,,,,,,1682,percent of total billed charges,2142.441657,,,,,,,,,,1682,percent of total billed charges,999999999,,,,,,,,,,1682,percent of total billed charges,1464.790784,,,,,,,,,,6055.2,percent of total billed charges,,,,,
CT UE W/O CONTRAST LT,73200,CDM,0056-2780-01,NDC,LT,both,1,EA,2736,2736,582.4504725,2736,2736,percent of total billed charges,2012.972398,,,,2736,percent of total billed charges,2133.710941,,,,2736,percent of total billed charges,2012.972398,,,,2736,percent of total billed charges,2133.710941,,,,2736,percent of total billed charges,999999999,,,,2736,percent of total billed charges,2084.643956,,,,2736,percent of total billed charges,2012.972398,,,,2736,percent of total billed charges,2133.710941,,,,1950.768,percent of total billed charges,973.4689311,,,,1950.768,percent of total billed charges,582.4504725,,,,1950.768,percent of total billed charges,973.4689311,,,,1950.768,percent of total billed charges,582.4504725,,,,1950.768,percent of total billed charges,973.4689311,,,,1950.768,percent of total billed charges,582.4504725,,,,1931.616,percent of total billed charges,1916.960304,,,,1931.616,percent of total billed charges,1322.112328,,,,,,,,,,1969.92,percent of total billed charges,1280.401644,,,,,,,,,,1969.92,percent of total billed charges,999999999,,,,,,,,,,2188.8,percent of total billed charges,1834.100622,,,,2161.44,percent of total billed charges,2085.882617,,,,2161.44,percent of total billed charges,1842.946338,,,,2188.8,percent of total billed charges,999999999,,,,2188.8,percent of total billed charges,999999999,,,,1915.2,percent of total billed charges,999999999,,,,1915.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1455.552,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1381.68,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,684,percent of total billed charges,649.6326875,,,,,,,,,,684,percent of total billed charges,638.8264898,,,,,,,,,,684,percent of total billed charges,637.0512183,,,,,,,,,,684,percent of total billed charges,627.6706469,,,,,,,,,,684,percent of total billed charges,643.8215353,,,,,,,,,,684,percent of total billed charges,999999999,,,,,,,,,,684,percent of total billed charges,552.4442153,,,,,,,,,,684,percent of total billed charges,871.2426238,,,,,,,,,,684,percent of total billed charges,999999999,,,,,,,,,,684,percent of total billed charges,595.669974,,,,,,,,,,2462.4,percent of total billed charges,,,,,
CT UE W/O CONTRAST RT,73200,CDM,0056-2780-01,NDC,RT,both,1,EA,2736,2736,582.4504725,2736,2736,percent of total billed charges,2012.972398,,,,2736,percent of total billed charges,2133.710941,,,,2736,percent of total billed charges,2012.972398,,,,2736,percent of total billed charges,2133.710941,,,,2736,percent of total billed charges,999999999,,,,2736,percent of total billed charges,2084.643956,,,,2736,percent of total billed charges,2012.972398,,,,2736,percent of total billed charges,2133.710941,,,,1950.768,percent of total billed charges,973.4689311,,,,1950.768,percent of total billed charges,582.4504725,,,,1950.768,percent of total billed charges,973.4689311,,,,1950.768,percent of total billed charges,582.4504725,,,,1950.768,percent of total billed charges,973.4689311,,,,1950.768,percent of total billed charges,582.4504725,,,,1931.616,percent of total billed charges,1916.960304,,,,1931.616,percent of total billed charges,1322.112328,,,,,,,,,,1969.92,percent of total billed charges,1280.401644,,,,,,,,,,1969.92,percent of total billed charges,999999999,,,,,,,,,,2188.8,percent of total billed charges,1834.100622,,,,2161.44,percent of total billed charges,2085.882617,,,,2161.44,percent of total billed charges,1842.946338,,,,2188.8,percent of total billed charges,999999999,,,,2188.8,percent of total billed charges,999999999,,,,1915.2,percent of total billed charges,999999999,,,,1915.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1455.552,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1381.68,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,684,percent of total billed charges,649.6326875,,,,,,,,,,684,percent of total billed charges,638.8264898,,,,,,,,,,684,percent of total billed charges,637.0512183,,,,,,,,,,684,percent of total billed charges,627.6706469,,,,,,,,,,684,percent of total billed charges,643.8215353,,,,,,,,,,684,percent of total billed charges,999999999,,,,,,,,,,684,percent of total billed charges,552.4442153,,,,,,,,,,684,percent of total billed charges,871.2426238,,,,,,,,,,684,percent of total billed charges,999999999,,,,,,,,,,684,percent of total billed charges,595.669974,,,,,,,,,,2462.4,percent of total billed charges,,,,,
**CT UE W/WO CONTRAST BI,73202,CDM,0056-2780-01,NDC,50,both,1,EA,7007,7007,1491.6778,7007,7007,percent of total billed charges,5155.298829,,,,7007,percent of total billed charges,5464.514826,,,,7007,percent of total billed charges,5155.298829,,,,7007,percent of total billed charges,5464.514826,,,,7007,percent of total billed charges,999999999,,,,7007,percent of total billed charges,5338.852412,,,,7007,percent of total billed charges,5155.298829,,,,7007,percent of total billed charges,5464.514826,,,,4995.991,percent of total billed charges,2493.090936,,,,4995.991,percent of total billed charges,1491.6778,,,,4995.991,percent of total billed charges,2493.090936,,,,4995.991,percent of total billed charges,1491.6778,,,,4995.991,percent of total billed charges,2493.090936,,,,4995.991,percent of total billed charges,1491.6778,,,,4946.942,percent of total billed charges,4909.408206,,,,4946.942,percent of total billed charges,3385.979928,,,,,,,,,,5045.04,percent of total billed charges,3279.15728,,,,,,,,,,5045.04,percent of total billed charges,999999999,,,,,,,,,,5605.6,percent of total billed charges,4697.201411,,,,5535.53,percent of total billed charges,5342.024671,,,,5535.53,percent of total billed charges,4719.855626,,,,5605.6,percent of total billed charges,999999999,,,,5605.6,percent of total billed charges,999999999,,,,4904.9,percent of total billed charges,999999999,,,,4904.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3727.724,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3538.535,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1751.75,percent of total billed charges,1663.734006,,,,,,,,,,1751.75,percent of total billed charges,1636.058923,,,,,,,,,,1751.75,percent of total billed charges,1631.512385,,,,,,,,,,1751.75,percent of total billed charges,1607.488385,,,,,,,,,,1751.75,percent of total billed charges,1648.851425,,,,,,,,,,1751.75,percent of total billed charges,999999999,,,,,,,,,,1751.75,percent of total billed charges,1414.830635,,,,,,,,,,1751.75,percent of total billed charges,2231.285477,,,,,,,,,,1751.75,percent of total billed charges,999999999,,,,,,,,,,1751.75,percent of total billed charges,1525.533446,,,,,,,,,,6306.3,percent of total billed charges,,,,,
CT UE W/WO CONTRAST LT,73202,CDM,0056-2780-01,NDC,LT,both,1,EA,3769,3769,802.3595873,3769,3769,percent of total billed charges,2772.987196,,,,3769,percent of total billed charges,2939.3116,,,,3769,percent of total billed charges,2772.987196,,,,3769,percent of total billed charges,2939.3116,,,,3769,percent of total billed charges,999999999,,,,3769,percent of total billed charges,2871.718958,,,,3769,percent of total billed charges,2772.987196,,,,3769,percent of total billed charges,2939.3116,,,,2687.297,percent of total billed charges,1341.010381,,,,2687.297,percent of total billed charges,802.3595873,,,,2687.297,percent of total billed charges,1341.010381,,,,2687.297,percent of total billed charges,802.3595873,,,,2687.297,percent of total billed charges,1341.010381,,,,2687.297,percent of total billed charges,802.3595873,,,,2660.914,percent of total billed charges,2640.724922,,,,2660.914,percent of total billed charges,1821.287048,,,,,,,,,,2713.68,percent of total billed charges,1763.828141,,,,,,,,,,2713.68,percent of total billed charges,999999999,,,,,,,,,,3015.2,percent of total billed charges,2526.580865,,,,2977.51,percent of total billed charges,2873.425287,,,,2977.51,percent of total billed charges,2538.766356,,,,3015.2,percent of total billed charges,999999999,,,,3015.2,percent of total billed charges,999999999,,,,2638.3,percent of total billed charges,999999999,,,,2638.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2005.108,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1903.345,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,942.25,percent of total billed charges,894.9070172,,,,,,,,,,942.25,percent of total billed charges,880.0208479,,,,,,,,,,942.25,percent of total billed charges,877.5753077,,,,,,,,,,942.25,percent of total billed charges,864.6530219,,,,,,,,,,942.25,percent of total billed charges,886.9018153,,,,,,,,,,942.25,percent of total billed charges,999999999,,,,,,,,,,942.25,percent of total billed charges,761.0242132,,,,,,,,,,942.25,percent of total billed charges,1200.187664,,,,,,,,,,942.25,percent of total billed charges,999999999,,,,,,,,,,942.25,percent of total billed charges,820.5702237,,,,,,,,,,3392.1,percent of total billed charges,,,,,
CT UE W/WO CONTRAST RT,73202,CDM,0056-2780-01,NDC,RT,both,1,EA,3769,3769,802.3595873,3769,3769,percent of total billed charges,2772.987196,,,,3769,percent of total billed charges,2939.3116,,,,3769,percent of total billed charges,2772.987196,,,,3769,percent of total billed charges,2939.3116,,,,3769,percent of total billed charges,999999999,,,,3769,percent of total billed charges,2871.718958,,,,3769,percent of total billed charges,2772.987196,,,,3769,percent of total billed charges,2939.3116,,,,2687.297,percent of total billed charges,1341.010381,,,,2687.297,percent of total billed charges,802.3595873,,,,2687.297,percent of total billed charges,1341.010381,,,,2687.297,percent of total billed charges,802.3595873,,,,2687.297,percent of total billed charges,1341.010381,,,,2687.297,percent of total billed charges,802.3595873,,,,2660.914,percent of total billed charges,2640.724922,,,,2660.914,percent of total billed charges,1821.287048,,,,,,,,,,2713.68,percent of total billed charges,1763.828141,,,,,,,,,,2713.68,percent of total billed charges,999999999,,,,,,,,,,3015.2,percent of total billed charges,2526.580865,,,,2977.51,percent of total billed charges,2873.425287,,,,2977.51,percent of total billed charges,2538.766356,,,,3015.2,percent of total billed charges,999999999,,,,3015.2,percent of total billed charges,999999999,,,,2638.3,percent of total billed charges,999999999,,,,2638.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2005.108,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1903.345,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,942.25,percent of total billed charges,894.9070172,,,,,,,,,,942.25,percent of total billed charges,880.0208479,,,,,,,,,,942.25,percent of total billed charges,877.5753077,,,,,,,,,,942.25,percent of total billed charges,864.6530219,,,,,,,,,,942.25,percent of total billed charges,886.9018153,,,,,,,,,,942.25,percent of total billed charges,999999999,,,,,,,,,,942.25,percent of total billed charges,761.0242132,,,,,,,,,,942.25,percent of total billed charges,1200.187664,,,,,,,,,,942.25,percent of total billed charges,999999999,,,,,,,,,,942.25,percent of total billed charges,820.5702237,,,,,,,,,,3392.1,percent of total billed charges,,,,,
CT LE W/O CONT RT,73700,CDM,0056-2780-01,NDC,RT,both,1,EA,2767,2767,589.0498748,2767,2767,percent of total billed charges,2035.7802,,,,2767,percent of total billed charges,2157.886759,,,,2767,percent of total billed charges,2035.7802,,,,2767,percent of total billed charges,2157.886759,,,,2767,percent of total billed charges,999999999,,,,2767,percent of total billed charges,2108.263825,,,,2767,percent of total billed charges,2035.7802,,,,2767,percent of total billed charges,2157.886759,,,,1972.871,percent of total billed charges,984.4987326,,,,1972.871,percent of total billed charges,589.0498748,,,,1972.871,percent of total billed charges,984.4987326,,,,1972.871,percent of total billed charges,589.0498748,,,,1972.871,percent of total billed charges,984.4987326,,,,1972.871,percent of total billed charges,589.0498748,,,,1953.502,percent of total billed charges,1938.680249,,,,1953.502,percent of total billed charges,1337.092402,,,,,,,,,,1992.24,percent of total billed charges,1294.909118,,,,,,,,,,1992.24,percent of total billed charges,999999999,,,,,,,,,,2213.6,percent of total billed charges,1854.881733,,,,2185.93,percent of total billed charges,2109.516521,,,,2185.93,percent of total billed charges,1863.827675,,,,2213.6,percent of total billed charges,999999999,,,,2213.6,percent of total billed charges,999999999,,,,1936.9,percent of total billed charges,999999999,,,,1936.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1472.044,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1397.335,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,691.75,percent of total billed charges,656.9932918,,,,,,,,,,691.75,percent of total billed charges,646.0646554,,,,,,,,,,691.75,percent of total billed charges,644.2692694,,,,,,,,,,691.75,percent of total billed charges,634.7824122,,,,,,,,,,691.75,percent of total billed charges,651.1162969,,,,,,,,,,691.75,percent of total billed charges,999999999,,,,,,,,,,691.75,percent of total billed charges,558.7036344,,,,,,,,,,691.75,percent of total billed charges,881.1141594,,,,,,,,,,691.75,percent of total billed charges,999999999,,,,,,,,,,691.75,percent of total billed charges,602.4191586,,,,,,,,,,2490.3,percent of total billed charges,,,,,
CT EXTREM LOWER W/O CONTRAST LT,73700,CDM,0056-2780-01,NDC,LT,both,1,EA,2767,2767,589.0498748,2767,2767,percent of total billed charges,2035.7802,,,,2767,percent of total billed charges,2157.886759,,,,2767,percent of total billed charges,2035.7802,,,,2767,percent of total billed charges,2157.886759,,,,2767,percent of total billed charges,999999999,,,,2767,percent of total billed charges,2108.263825,,,,2767,percent of total billed charges,2035.7802,,,,2767,percent of total billed charges,2157.886759,,,,1972.871,percent of total billed charges,984.4987326,,,,1972.871,percent of total billed charges,589.0498748,,,,1972.871,percent of total billed charges,984.4987326,,,,1972.871,percent of total billed charges,589.0498748,,,,1972.871,percent of total billed charges,984.4987326,,,,1972.871,percent of total billed charges,589.0498748,,,,1953.502,percent of total billed charges,1938.680249,,,,1953.502,percent of total billed charges,1337.092402,,,,,,,,,,1992.24,percent of total billed charges,1294.909118,,,,,,,,,,1992.24,percent of total billed charges,999999999,,,,,,,,,,2213.6,percent of total billed charges,1854.881733,,,,2185.93,percent of total billed charges,2109.516521,,,,2185.93,percent of total billed charges,1863.827675,,,,2213.6,percent of total billed charges,999999999,,,,2213.6,percent of total billed charges,999999999,,,,1936.9,percent of total billed charges,999999999,,,,1936.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1472.044,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1397.335,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,691.75,percent of total billed charges,656.9932918,,,,,,,,,,691.75,percent of total billed charges,646.0646554,,,,,,,,,,691.75,percent of total billed charges,644.2692694,,,,,,,,,,691.75,percent of total billed charges,634.7824122,,,,,,,,,,691.75,percent of total billed charges,651.1162969,,,,,,,,,,691.75,percent of total billed charges,999999999,,,,,,,,,,691.75,percent of total billed charges,558.7036344,,,,,,,,,,691.75,percent of total billed charges,881.1141594,,,,,,,,,,691.75,percent of total billed charges,999999999,,,,,,,,,,691.75,percent of total billed charges,602.4191586,,,,,,,,,,2490.3,percent of total billed charges,,,,,
CT LE W CONTRAST LT,73701,CDM,0056-2780-01,NDC,LT,both,1,EA,3328,3328,708.4777677,3328,3328,percent of total billed charges,2448.52783,,,,3328,percent of total billed charges,2595.391086,,,,3328,percent of total billed charges,2448.52783,,,,3328,percent of total billed charges,2595.391086,,,,3328,percent of total billed charges,999999999,,,,3328,percent of total billed charges,2535.707268,,,,3328,percent of total billed charges,2448.52783,,,,3328,percent of total billed charges,2595.391086,,,,2372.864,percent of total billed charges,1184.10256,,,,2372.864,percent of total billed charges,708.4777677,,,,2372.864,percent of total billed charges,1184.10256,,,,2372.864,percent of total billed charges,708.4777677,,,,2372.864,percent of total billed charges,1184.10256,,,,2372.864,percent of total billed charges,708.4777677,,,,2349.568,percent of total billed charges,2331.741189,,,,2349.568,percent of total billed charges,1608.183416,,,,,,,,,,2396.16,percent of total billed charges,1557.447613,,,,,,,,,,2396.16,percent of total billed charges,999999999,,,,,,,,,,2662.4,percent of total billed charges,2230.952804,,,,2629.12,percent of total billed charges,2537.213944,,,,2629.12,percent of total billed charges,2241.712505,,,,2662.4,percent of total billed charges,999999999,,,,2662.4,percent of total billed charges,999999999,,,,2329.6,percent of total billed charges,999999999,,,,2329.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1770.496,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1680.64,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,832,percent of total billed charges,790.1964854,,,,,,,,,,832,percent of total billed charges,777.0521045,,,,,,,,,,832,percent of total billed charges,774.89271,,,,,,,,,,832,percent of total billed charges,763.4824242,,,,,,,,,,832,percent of total billed charges,783.1279494,,,,,,,,,,832,percent of total billed charges,999999999,,,,,,,,,,832,percent of total billed charges,671.9789285,,,,,,,,,,832,percent of total billed charges,1059.75711,,,,,,,,,,832,percent of total billed charges,999999999,,,,,,,,,,832,percent of total billed charges,724.5576292,,,,,,,,,,2995.2,percent of total billed charges,,,,,
CT LE W CONTRAST RT,73701,CDM,0056-2780-01,NDC,RT,both,1,EA,3328,3328,708.4777677,3328,3328,percent of total billed charges,2448.52783,,,,3328,percent of total billed charges,2595.391086,,,,3328,percent of total billed charges,2448.52783,,,,3328,percent of total billed charges,2595.391086,,,,3328,percent of total billed charges,999999999,,,,3328,percent of total billed charges,2535.707268,,,,3328,percent of total billed charges,2448.52783,,,,3328,percent of total billed charges,2595.391086,,,,2372.864,percent of total billed charges,1184.10256,,,,2372.864,percent of total billed charges,708.4777677,,,,2372.864,percent of total billed charges,1184.10256,,,,2372.864,percent of total billed charges,708.4777677,,,,2372.864,percent of total billed charges,1184.10256,,,,2372.864,percent of total billed charges,708.4777677,,,,2349.568,percent of total billed charges,2331.741189,,,,2349.568,percent of total billed charges,1608.183416,,,,,,,,,,2396.16,percent of total billed charges,1557.447613,,,,,,,,,,2396.16,percent of total billed charges,999999999,,,,,,,,,,2662.4,percent of total billed charges,2230.952804,,,,2629.12,percent of total billed charges,2537.213944,,,,2629.12,percent of total billed charges,2241.712505,,,,2662.4,percent of total billed charges,999999999,,,,2662.4,percent of total billed charges,999999999,,,,2329.6,percent of total billed charges,999999999,,,,2329.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1770.496,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1680.64,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,832,percent of total billed charges,790.1964854,,,,,,,,,,832,percent of total billed charges,777.0521045,,,,,,,,,,832,percent of total billed charges,774.89271,,,,,,,,,,832,percent of total billed charges,763.4824242,,,,,,,,,,832,percent of total billed charges,783.1279494,,,,,,,,,,832,percent of total billed charges,999999999,,,,,,,,,,832,percent of total billed charges,671.9789285,,,,,,,,,,832,percent of total billed charges,1059.75711,,,,,,,,,,832,percent of total billed charges,999999999,,,,,,,,,,832,percent of total billed charges,724.5576292,,,,,,,,,,2995.2,percent of total billed charges,,,,,
CT LE W/WO CONT LT,73702,CDM,0056-2780-01,NDC,LT,both,1,EA,4495,4495,956.9133311,4495,4495,percent of total billed charges,3307.131188,,,,4495,percent of total billed charges,3505.493669,,,,4495,percent of total billed charges,3307.131188,,,,4495,percent of total billed charges,3505.493669,,,,4495,percent of total billed charges,999999999,,,,4495,percent of total billed charges,3424.881061,,,,4495,percent of total billed charges,3307.131188,,,,4495,percent of total billed charges,3505.493669,,,,3204.935,percent of total billed charges,1599.321215,,,,3204.935,percent of total billed charges,956.9133311,,,,3204.935,percent of total billed charges,1599.321215,,,,3204.935,percent of total billed charges,956.9133311,,,,3204.935,percent of total billed charges,1599.321215,,,,3204.935,percent of total billed charges,956.9133311,,,,3173.47,percent of total billed charges,3149.39202,,,,3173.47,percent of total billed charges,2172.110714,,,,,,,,,,3236.4,percent of total billed charges,2103.583841,,,,,,,,,,3236.4,percent of total billed charges,999999999,,,,,,,,,,3596,percent of total billed charges,3013.261074,,,,3551.05,percent of total billed charges,3426.916069,,,,3551.05,percent of total billed charges,3027.793783,,,,3596,percent of total billed charges,999999999,,,,3596,percent of total billed charges,999999999,,,,3146.5,percent of total billed charges,999999999,,,,3146.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2391.34,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2269.975,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1123.75,percent of total billed charges,1067.287621,,,,,,,,,,1123.75,percent of total billed charges,1049.534017,,,,,,,,,,1123.75,percent of total billed charges,1046.617407,,,,,,,,,,1123.75,percent of total billed charges,1031.205979,,,,,,,,,,1123.75,percent of total billed charges,1057.740424,,,,,,,,,,1123.75,percent of total billed charges,999999999,,,,,,,,,,1123.75,percent of total billed charges,907.6157703,,,,,,,,,,1123.75,percent of total billed charges,1431.372659,,,,,,,,,,1123.75,percent of total billed charges,999999999,,,,,,,,,,1123.75,percent of total billed charges,978.6317738,,,,,,,,,,4045.5,percent of total billed charges,,,,,
CT LE W/WO CONTRAST RT,73702,CDM,0056-2780-01,NDC,RT,both,1,EA,4495,4495,956.9133311,4495,4495,percent of total billed charges,3307.131188,,,,4495,percent of total billed charges,3505.493669,,,,4495,percent of total billed charges,3307.131188,,,,4495,percent of total billed charges,3505.493669,,,,4495,percent of total billed charges,999999999,,,,4495,percent of total billed charges,3424.881061,,,,4495,percent of total billed charges,3307.131188,,,,4495,percent of total billed charges,3505.493669,,,,3204.935,percent of total billed charges,1599.321215,,,,3204.935,percent of total billed charges,956.9133311,,,,3204.935,percent of total billed charges,1599.321215,,,,3204.935,percent of total billed charges,956.9133311,,,,3204.935,percent of total billed charges,1599.321215,,,,3204.935,percent of total billed charges,956.9133311,,,,3173.47,percent of total billed charges,3149.39202,,,,3173.47,percent of total billed charges,2172.110714,,,,,,,,,,3236.4,percent of total billed charges,2103.583841,,,,,,,,,,3236.4,percent of total billed charges,999999999,,,,,,,,,,3596,percent of total billed charges,3013.261074,,,,3551.05,percent of total billed charges,3426.916069,,,,3551.05,percent of total billed charges,3027.793783,,,,3596,percent of total billed charges,999999999,,,,3596,percent of total billed charges,999999999,,,,3146.5,percent of total billed charges,999999999,,,,3146.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2391.34,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2269.975,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1123.75,percent of total billed charges,1067.287621,,,,,,,,,,1123.75,percent of total billed charges,1049.534017,,,,,,,,,,1123.75,percent of total billed charges,1046.617407,,,,,,,,,,1123.75,percent of total billed charges,1031.205979,,,,,,,,,,1123.75,percent of total billed charges,1057.740424,,,,,,,,,,1123.75,percent of total billed charges,999999999,,,,,,,,,,1123.75,percent of total billed charges,907.6157703,,,,,,,,,,1123.75,percent of total billed charges,1431.372659,,,,,,,,,,1123.75,percent of total billed charges,999999999,,,,,,,,,,1123.75,percent of total billed charges,978.6317738,,,,,,,,,,4045.5,percent of total billed charges,,,,,
CT DVT,73706,CDM,0056-2780-01,NDC,,both,1,EA,4426,4426,942.2243389,4426,4426,percent of total billed charges,3256.365437,,,,4426,percent of total billed charges,3451.682977,,,,4426,percent of total billed charges,3256.365437,,,,4426,percent of total billed charges,3451.682977,,,,4426,percent of total billed charges,999999999,,,,4426,percent of total billed charges,3372.307803,,,,4426,percent of total billed charges,3256.365437,,,,4426,percent of total billed charges,3451.682977,,,,3155.738,percent of total billed charges,1574.771012,,,,3155.738,percent of total billed charges,942.2243389,,,,3155.738,percent of total billed charges,1574.771012,,,,3155.738,percent of total billed charges,942.2243389,,,,3155.738,percent of total billed charges,1574.771012,,,,3155.738,percent of total billed charges,942.2243389,,,,3124.756,percent of total billed charges,3101.047627,,,,3124.756,percent of total billed charges,2138.767969,,,,,,,,,,3186.72,percent of total billed charges,2071.29301,,,,,,,,,,3186.72,percent of total billed charges,999999999,,,,,,,,,,3540.8,percent of total billed charges,2967.006343,,,,3496.54,percent of total billed charges,3374.311573,,,,3496.54,percent of total billed charges,2981.31597,,,,3540.8,percent of total billed charges,999999999,,,,3540.8,percent of total billed charges,999999999,,,,3098.2,percent of total billed charges,999999999,,,,3098.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2354.632,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2235.13,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1106.5,percent of total billed charges,1050.90434,,,,,,,,,,1106.5,percent of total billed charges,1033.423262,,,,,,,,,,1106.5,percent of total billed charges,1030.551423,,,,,,,,,,1106.5,percent of total billed charges,1015.376565,,,,,,,,,,1106.5,percent of total billed charges,1041.503697,,,,,,,,,,1106.5,percent of total billed charges,999999999,,,,,,,,,,1106.5,percent of total billed charges,893.6835149,,,,,,,,,,1106.5,percent of total billed charges,1409.400531,,,,,,,,,,1106.5,percent of total billed charges,999999999,,,,,,,,,,1106.5,percent of total billed charges,963.609395,,,,,,,,,,3983.4,percent of total billed charges,,,,,
CT LUNG SCREENING,71271,CDM,0056-2780-01,NDC,,both,1,EA,1267,1267,269.7239578,1267,1267,percent of total billed charges,932.1769111,,,,1267,percent of total billed charges,988.0890944,,,,1267,percent of total billed charges,932.1769111,,,,1267,percent of total billed charges,988.0890944,,,,1267,percent of total billed charges,999999999,,,,1267,percent of total billed charges,965.3669196,,,,1267,percent of total billed charges,932.1769111,,,,1267,percent of total billed charges,988.0890944,,,,903.371,percent of total billed charges,450.7986607,,,,903.371,percent of total billed charges,269.7239578,,,,903.371,percent of total billed charges,450.7986607,,,,903.371,percent of total billed charges,269.7239578,,,,903.371,percent of total billed charges,450.7986607,,,,903.371,percent of total billed charges,269.7239578,,,,894.502,percent of total billed charges,887.7151702,,,,894.502,percent of total billed charges,612.2501168,,,,,,,,,,912.24,percent of total billed charges,592.9345331,,,,,,,,,,912.24,percent of total billed charges,999999999,,,,,,,,,,1013.6,percent of total billed charges,849.3441113,,,,1000.93,percent of total billed charges,965.9405249,,,,1000.93,percent of total billed charges,853.4404279,,,,1013.6,percent of total billed charges,999999999,,,,1013.6,percent of total billed charges,999999999,,,,886.9,percent of total billed charges,999999999,,,,886.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,674.044,percent of total billed charges,999999999,,,,,,,,,,,,,,,,639.835,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,316.75,percent of total billed charges,300.8350201,,,,,,,,,,316.75,percent of total billed charges,295.8308343,,,,,,,,,,316.75,percent of total billed charges,295.008733,,,,,,,,,,316.75,percent of total billed charges,290.664733,,,,,,,,,,316.75,percent of total billed charges,298.1439639,,,,,,,,,,316.75,percent of total billed charges,999999999,,,,,,,,,,316.75,percent of total billed charges,255.8285164,,,,,,,,,,316.75,percent of total billed charges,403.4592121,,,,,,,,,,316.75,percent of total billed charges,999999999,,,,,,,,,,316.75,percent of total billed charges,275.845708,,,,,,,,,,1140.3,percent of total billed charges,,,,,
CT LUMBAR SPINE W AND W/O CONTRAST,72133,CDM,0056-2780-01,NDC,,both,1,EA,5173,5173,1101.248646,5173,5173,percent of total billed charges,3805.959875,,,,5173,percent of total billed charges,4034.242214,,,,5173,percent of total billed charges,3805.959875,,,,5173,percent of total billed charges,4034.242214,,,,5173,percent of total billed charges,999999999,,,,5173,percent of total billed charges,3941.470462,,,,5173,percent of total billed charges,3805.959875,,,,5173,percent of total billed charges,4034.242214,,,,3688.349,percent of total billed charges,1840.553648,,,,3688.349,percent of total billed charges,1101.248646,,,,3688.349,percent of total billed charges,1840.553648,,,,3688.349,percent of total billed charges,1101.248646,,,,3688.349,percent of total billed charges,1840.553648,,,,3688.349,percent of total billed charges,1101.248646,,,,3652.138,percent of total billed charges,3624.428236,,,,3652.138,percent of total billed charges,2499.739427,,,,,,,,,,3724.56,percent of total billed charges,2420.876353,,,,,,,,,,3724.56,percent of total billed charges,999999999,,,,,,,,,,4138.4,percent of total billed charges,3467.764079,,,,4086.67,percent of total billed charges,3943.812419,,,,4086.67,percent of total billed charges,3484.488819,,,,4138.4,percent of total billed charges,999999999,,,,4138.4,percent of total billed charges,999999999,,,,3621.1,percent of total billed charges,999999999,,,,3621.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2752.036,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2612.365,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1293.25,percent of total billed charges,1228.271159,,,,,,,,,,1293.25,percent of total billed charges,1207.839704,,,,,,,,,,1293.25,percent of total billed charges,1204.48317,,,,,,,,,,1293.25,percent of total billed charges,1186.74717,,,,,,,,,,1293.25,percent of total billed charges,1217.283919,,,,,,,,,,1293.25,percent of total billed charges,999999999,,,,,,,,,,1293.25,percent of total billed charges,1044.515324,,,,,,,,,,1293.25,percent of total billed charges,1647.272695,,,,,,,,,,1293.25,percent of total billed charges,999999999,,,,,,,,,,1293.25,percent of total billed charges,1126.242973,,,,,,,,,,4655.7,percent of total billed charges,,,,,
CT MAXILLOFACIAL W/ CONTRAST,70487,CDM,0056-2780-01,NDC,,both,1,EA,3399,3399,723.5925278,3399,3399,percent of total billed charges,2500.765052,,,,3399,percent of total billed charges,2650.761509,,,,3399,percent of total billed charges,2500.765052,,,,3399,percent of total billed charges,2650.761509,,,,3399,percent of total billed charges,999999999,,,,3399,percent of total billed charges,2589.804388,,,,3399,percent of total billed charges,2500.765052,,,,3399,percent of total billed charges,2650.761509,,,,2423.487,percent of total billed charges,1209.364363,,,,2423.487,percent of total billed charges,723.5925278,,,,2423.487,percent of total billed charges,1209.364363,,,,2423.487,percent of total billed charges,723.5925278,,,,2423.487,percent of total billed charges,1209.364363,,,,2423.487,percent of total billed charges,723.5925278,,,,2399.694,percent of total billed charges,2381.486869,,,,2399.694,percent of total billed charges,1642.492618,,,,,,,,,,2447.28,percent of total billed charges,1590.67441,,,,,,,,,,2447.28,percent of total billed charges,999999999,,,,,,,,,,2719.2,percent of total billed charges,2278.548251,,,,2685.21,percent of total billed charges,2591.343208,,,,2685.21,percent of total billed charges,2289.537502,,,,2719.2,percent of total billed charges,999999999,,,,2719.2,percent of total billed charges,999999999,,,,2379.3,percent of total billed charges,999999999,,,,2379.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1808.268,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1716.495,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,849.75,percent of total billed charges,807.0546436,,,,,,,,,,849.75,percent of total billed charges,793.6298387,,,,,,,,,,849.75,percent of total billed charges,791.4243754,,,,,,,,,,849.75,percent of total billed charges,779.7706611,,,,,,,,,,849.75,percent of total billed charges,799.8353065,,,,,,,,,,849.75,percent of total billed charges,999999999,,,,,,,,,,849.75,percent of total billed charges,686.3150174,,,,,,,,,,849.75,percent of total billed charges,1082.366111,,,,,,,,,,849.75,percent of total billed charges,999999999,,,,,,,,,,849.75,percent of total billed charges,740.0154392,,,,,,,,,,3059.1,percent of total billed charges,,,,,
CT MAXILLOFACIAL W AND W/O CONTRAST,70488,CDM,0056-2780-01,NDC,,both,1,EA,4564,4564,971.6023233,4564,4564,percent of total billed charges,3357.896939,,,,4564,percent of total billed charges,3559.304362,,,,4564,percent of total billed charges,3357.896939,,,,4564,percent of total billed charges,3559.304362,,,,4564,percent of total billed charges,999999999,,,,4564,percent of total billed charges,3477.454318,,,,4564,percent of total billed charges,3357.896939,,,,4564,percent of total billed charges,3559.304362,,,,3254.132,percent of total billed charges,1623.871419,,,,3254.132,percent of total billed charges,971.6023233,,,,3254.132,percent of total billed charges,1623.871419,,,,3254.132,percent of total billed charges,971.6023233,,,,3254.132,percent of total billed charges,1623.871419,,,,3254.132,percent of total billed charges,971.6023233,,,,3222.184,percent of total billed charges,3197.736414,,,,3222.184,percent of total billed charges,2205.453459,,,,,,,,,,3286.08,percent of total billed charges,2135.874672,,,,,,,,,,3286.08,percent of total billed charges,999999999,,,,,,,,,,3651.2,percent of total billed charges,3059.515804,,,,3605.56,percent of total billed charges,3479.520565,,,,3605.56,percent of total billed charges,3074.271597,,,,3651.2,percent of total billed charges,999999999,,,,3651.2,percent of total billed charges,999999999,,,,3194.8,percent of total billed charges,999999999,,,,3194.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2428.048,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2304.82,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1141,percent of total billed charges,1083.670901,,,,,,,,,,1141,percent of total billed charges,1065.644773,,,,,,,,,,1141,percent of total billed charges,1062.683392,,,,,,,,,,1141,percent of total billed charges,1047.035392,,,,,,,,,,1141,percent of total billed charges,1073.977152,,,,,,,,,,1141,percent of total billed charges,999999999,,,,,,,,,,1141,percent of total billed charges,921.5480258,,,,,,,,,,1141,percent of total billed charges,1453.344786,,,,,,,,,,1141,percent of total billed charges,999999999,,,,,,,,,,1141,percent of total billed charges,993.6541525,,,,,,,,,,4107.6,percent of total billed charges,,,,,
CT CHEST ABD/PELVIS W/O,71250,CDM,0056-2780-01,NDC,,both,1,EA,3124,3124,665.049443,3124,3124,percent of total billed charges,2298.437782,,,,3124,percent of total billed charges,2436.298604,,,,3124,percent of total billed charges,2298.437782,,,,3124,percent of total billed charges,2436.298604,,,,3124,percent of total billed charges,999999999,,,,3124,percent of total billed charges,2380.273289,,,,3124,percent of total billed charges,2298.437782,,,,3124,percent of total billed charges,2436.298604,,,,2227.412,percent of total billed charges,1111.51935,,,,2227.412,percent of total billed charges,665.049443,,,,2227.412,percent of total billed charges,1111.51935,,,,2227.412,percent of total billed charges,665.049443,,,,2227.412,percent of total billed charges,1111.51935,,,,2227.412,percent of total billed charges,665.049443,,,,2205.544,percent of total billed charges,2188.809938,,,,2205.544,percent of total billed charges,1509.604866,,,,,,,,,,2249.28,percent of total billed charges,1461.97907,,,,,,,,,,2249.28,percent of total billed charges,999999999,,,,,,,,,,2499.2,percent of total billed charges,2094.199687,,,,2467.96,percent of total billed charges,2381.687608,,,,2467.96,percent of total billed charges,2104.29984,,,,2499.2,percent of total billed charges,999999999,,,,2499.2,percent of total billed charges,999999999,,,,2186.8,percent of total billed charges,999999999,,,,2186.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1661.968,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1577.62,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,781,percent of total billed charges,741.7589604,,,,,,,,,,781,percent of total billed charges,729.4203048,,,,,,,,,,781,percent of total billed charges,727.393277,,,,,,,,,,781,percent of total billed charges,716.6824199,,,,,,,,,,781,percent of total billed charges,735.1237121,,,,,,,,,,781,percent of total billed charges,999999999,,,,,,,,,,781,percent of total billed charges,630.7879125,,,,,,,,,,781,percent of total billed charges,994.7960369,,,,,,,,,,781,percent of total billed charges,999999999,,,,,,,,,,781,percent of total billed charges,680.1436399,,,,,,,,,,2811.6,percent of total billed charges,,,,,
CT CHEST ABD/PELVIS W,71260,CDM,0056-2780-01,NDC,,both,1,EA,3849,3849,819.3903029,3849,3849,percent of total billed charges,2831.846039,,,,3849,percent of total billed charges,3001.700808,,,,3849,percent of total billed charges,2831.846039,,,,3849,percent of total billed charges,3001.700808,,,,3849,percent of total billed charges,999999999,,,,3849,percent of total billed charges,2932.67346,,,,3849,percent of total billed charges,2831.846039,,,,3849,percent of total billed charges,3001.700808,,,,2744.337,percent of total billed charges,1369.474384,,,,2744.337,percent of total billed charges,819.3903029,,,,2744.337,percent of total billed charges,1369.474384,,,,2744.337,percent of total billed charges,819.3903029,,,,2744.337,percent of total billed charges,1369.474384,,,,2744.337,percent of total billed charges,819.3903029,,,,2717.394,percent of total billed charges,2696.776393,,,,2717.394,percent of total billed charges,1859.945303,,,,,,,,,,2771.28,percent of total billed charges,1801.266786,,,,,,,,,,2771.28,percent of total billed charges,999999999,,,,,,,,,,3079.2,percent of total billed charges,2580.209538,,,,3040.71,percent of total billed charges,2934.416007,,,,3040.71,percent of total billed charges,2592.653676,,,,3079.2,percent of total billed charges,999999999,,,,3079.2,percent of total billed charges,999999999,,,,2694.3,percent of total billed charges,999999999,,,,2694.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2047.668,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1943.745,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,962.25,percent of total billed charges,913.902125,,,,,,,,,,962.25,percent of total billed charges,898.699985,,,,,,,,,,962.25,percent of total billed charges,896.2025363,,,,,,,,,,962.25,percent of total billed charges,883.0059648,,,,,,,,,,962.25,percent of total billed charges,905.7270064,,,,,,,,,,962.25,percent of total billed charges,999999999,,,,,,,,,,962.25,percent of total billed charges,777.1775528,,,,,,,,,,962.25,percent of total billed charges,1225.662595,,,,,,,,,,962.25,percent of total billed charges,999999999,,,,,,,,,,962.25,percent of total billed charges,837.9874744,,,,,,,,,,3464.1,percent of total billed charges,,,,,
CT CHEST ABD/PELVIS W/O AND W,71270,CDM,0056-2780-01,NDC,,both,1,EA,4231,4231,900.7119697,4231,4231,percent of total billed charges,3112.897009,,,,4231,percent of total billed charges,3299.60928,,,,4231,percent of total billed charges,3112.897009,,,,4231,percent of total billed charges,3299.60928,,,,4231,percent of total billed charges,999999999,,,,4231,percent of total billed charges,3223.731205,,,,4231,percent of total billed charges,3112.897009,,,,4231,percent of total billed charges,3299.60928,,,,3016.703,percent of total billed charges,1505.390003,,,,3016.703,percent of total billed charges,900.7119697,,,,3016.703,percent of total billed charges,1505.390003,,,,3016.703,percent of total billed charges,900.7119697,,,,3016.703,percent of total billed charges,1505.390003,,,,3016.703,percent of total billed charges,900.7119697,,,,2987.086,percent of total billed charges,2964.422166,,,,2987.086,percent of total billed charges,2044.538472,,,,,,,,,,3046.32,percent of total billed charges,1980.036314,,,,,,,,,,3046.32,percent of total billed charges,999999999,,,,,,,,,,3384.8,percent of total billed charges,2836.286452,,,,3342.49,percent of total billed charges,3225.646694,,,,3342.49,percent of total billed charges,2849.965628,,,,3384.8,percent of total billed charges,999999999,,,,3384.8,percent of total billed charges,999999999,,,,2961.7,percent of total billed charges,999999999,,,,2961.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2250.892,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2136.655,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1057.75,percent of total billed charges,1004.603765,,,,,,,,,,1057.75,percent of total billed charges,987.8928648,,,,,,,,,,1057.75,percent of total billed charges,985.1475529,,,,,,,,,,1057.75,percent of total billed charges,970.6412671,,,,,,,,,,1057.75,percent of total billed charges,995.6172939,,,,,,,,,,1057.75,percent of total billed charges,999999999,,,,,,,,,,1057.75,percent of total billed charges,854.3097496,,,,,,,,,,1057.75,percent of total billed charges,1347.305388,,,,,,,,,,1057.75,percent of total billed charges,999999999,,,,,,,,,,1057.75,percent of total billed charges,921.1548465,,,,,,,,,,3807.9,percent of total billed charges,,,,,
CT LUNG SCR FOLLOW UP,71250,CDM,0056-2780-01,NDC,,both,1,EA,2928,2928,623.3241899,2928,2928,percent of total billed charges,2154.233619,,,,2928,percent of total billed charges,2283.445042,,,,2928,percent of total billed charges,2154.233619,,,,2928,percent of total billed charges,2283.445042,,,,2928,percent of total billed charges,999999999,,,,2928,percent of total billed charges,2230.93476,,,,2928,percent of total billed charges,2154.233619,,,,2928,percent of total billed charges,2283.445042,,,,2087.664,percent of total billed charges,1041.78254,,,,2087.664,percent of total billed charges,623.3241899,,,,2087.664,percent of total billed charges,1041.78254,,,,2087.664,percent of total billed charges,623.3241899,,,,2087.664,percent of total billed charges,1041.78254,,,,2087.664,percent of total billed charges,623.3241899,,,,2067.168,percent of total billed charges,2051.483834,,,,2067.168,percent of total billed charges,1414.89214,,,,,,,,,,2108.16,percent of total billed charges,1370.254391,,,,,,,,,,2108.16,percent of total billed charges,999999999,,,,,,,,,,2342.4,percent of total billed charges,1962.809438,,,,2313.12,percent of total billed charges,2232.260345,,,,2313.12,percent of total billed charges,1972.275906,,,,2342.4,percent of total billed charges,999999999,,,,2342.4,percent of total billed charges,999999999,,,,2049.6,percent of total billed charges,999999999,,,,2049.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1557.696,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1478.64,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,732,percent of total billed charges,695.2209463,,,,,,,,,,732,percent of total billed charges,683.6564189,,,,,,,,,,732,percent of total billed charges,681.7565669,,,,,,,,,,732,percent of total billed charges,671.7177098,,,,,,,,,,732,percent of total billed charges,689.001994,,,,,,,,,,732,percent of total billed charges,999999999,,,,,,,,,,732,percent of total billed charges,591.2122304,,,,,,,,,,732,percent of total billed charges,932.3824571,,,,,,,,,,732,percent of total billed charges,999999999,,,,,,,,,,732,percent of total billed charges,637.4713757,,,,,,,,,,2635.2,percent of total billed charges,,,,,
CT ANGIO HEAD AND NECK,70496,CDM,0056-2780-01,NDC,,both,1,EA,5011,5011,1066.761447,5011,5011,percent of total billed charges,3686.770719,,,,5011,percent of total billed charges,3907.904066,,,,5011,percent of total billed charges,3686.770719,,,,5011,percent of total billed charges,3907.904066,,,,5011,percent of total billed charges,999999999,,,,5011,percent of total billed charges,3818.037596,,,,5011,percent of total billed charges,3686.770719,,,,5011,percent of total billed charges,3907.904066,,,,3572.843,percent of total billed charges,1782.91404,,,,3572.843,percent of total billed charges,1066.761447,,,,3572.843,percent of total billed charges,1782.91404,,,,3572.843,percent of total billed charges,1066.761447,,,,3572.843,percent of total billed charges,1782.91404,,,,3572.843,percent of total billed charges,1066.761447,,,,3537.766,percent of total billed charges,3510.924008,,,,3537.766,percent of total billed charges,2421.45646,,,,,,,,,,3607.92,percent of total billed charges,2345.063098,,,,,,,,,,3607.92,percent of total billed charges,999999999,,,,,,,,,,4008.8,percent of total billed charges,3359.166016,,,,3958.69,percent of total billed charges,3820.306212,,,,3958.69,percent of total billed charges,3375.366996,,,,4008.8,percent of total billed charges,999999999,,,,4008.8,percent of total billed charges,999999999,,,,3507.7,percent of total billed charges,999999999,,,,3507.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2665.852,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2530.555,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1252.75,percent of total billed charges,1189.806066,,,,,,,,,,1252.75,percent of total billed charges,1170.014452,,,,,,,,,,1252.75,percent of total billed charges,1166.763032,,,,,,,,,,1252.75,percent of total billed charges,1149.58246,,,,,,,,,,1252.75,percent of total billed charges,1179.162907,,,,,,,,,,1252.75,percent of total billed charges,999999999,,,,,,,,,,1252.75,percent of total billed charges,1011.804811,,,,,,,,,,1252.75,percent of total billed charges,1595.685961,,,,,,,,,,1252.75,percent of total billed charges,999999999,,,,,,,,,,1252.75,percent of total billed charges,1090.973041,,,,,,,,,,4509.9,percent of total billed charges,,,,,
CT ANGIO CHEST ABD/PELVIS,71275,CDM,0056-2780-01,NDC,,both,1,EA,5294,5294,1127.007603,5294,5294,percent of total billed charges,3894.983873,,,,5294,percent of total billed charges,4128.605892,,,,5294,percent of total billed charges,3894.983873,,,,5294,percent of total billed charges,4128.605892,,,,5294,percent of total billed charges,999999999,,,,5294,percent of total billed charges,4033.664146,,,,5294,percent of total billed charges,3894.983873,,,,5294,percent of total billed charges,4128.605892,,,,3774.622,percent of total billed charges,1883.605454,,,,3774.622,percent of total billed charges,1127.007603,,,,3774.622,percent of total billed charges,1883.605454,,,,3774.622,percent of total billed charges,1127.007603,,,,3774.622,percent of total billed charges,1883.605454,,,,3774.622,percent of total billed charges,1127.007603,,,,3737.564,percent of total billed charges,3709.206086,,,,3737.564,percent of total billed charges,2558.210038,,,,,,,,,,3811.68,percent of total billed charges,2477.502303,,,,,,,,,,3811.68,percent of total billed charges,999999999,,,,,,,,,,4235.2,percent of total billed charges,3548.877447,,,,4182.26,percent of total billed charges,4036.060883,,,,4182.26,percent of total billed charges,3565.99339,,,,4235.2,percent of total billed charges,999999999,,,,4235.2,percent of total billed charges,999999999,,,,3705.8,percent of total billed charges,999999999,,,,3705.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2816.408,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2673.47,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1323.5,percent of total billed charges,1257.00126,,,,,,,,,,1323.5,percent of total billed charges,1236.091899,,,,,,,,,,1323.5,percent of total billed charges,1232.656853,,,,,,,,,,1323.5,percent of total billed charges,1214.505996,,,,,,,,,,1323.5,percent of total billed charges,1245.75702,,,,,,,,,,1323.5,percent of total billed charges,999999999,,,,,,,,,,1323.5,percent of total billed charges,1068.94725,,,,,,,,,,1323.5,percent of total billed charges,1685.803527,,,,,,,,,,1323.5,percent of total billed charges,999999999,,,,,,,,,,1323.5,percent of total billed charges,1152.586565,,,,,,,,,,4764.6,percent of total billed charges,,,,,
CT ANGIO CHEST ABDOMEN,71275,CDM,0056-2780-01,NDC,,both,1,EA,5294,5294,1127.007603,5294,5294,percent of total billed charges,3894.983873,,,,5294,percent of total billed charges,4128.605892,,,,5294,percent of total billed charges,3894.983873,,,,5294,percent of total billed charges,4128.605892,,,,5294,percent of total billed charges,999999999,,,,5294,percent of total billed charges,4033.664146,,,,5294,percent of total billed charges,3894.983873,,,,5294,percent of total billed charges,4128.605892,,,,3774.622,percent of total billed charges,1883.605454,,,,3774.622,percent of total billed charges,1127.007603,,,,3774.622,percent of total billed charges,1883.605454,,,,3774.622,percent of total billed charges,1127.007603,,,,3774.622,percent of total billed charges,1883.605454,,,,3774.622,percent of total billed charges,1127.007603,,,,3737.564,percent of total billed charges,3709.206086,,,,3737.564,percent of total billed charges,2558.210038,,,,,,,,,,3811.68,percent of total billed charges,2477.502303,,,,,,,,,,3811.68,percent of total billed charges,999999999,,,,,,,,,,4235.2,percent of total billed charges,3548.877447,,,,4182.26,percent of total billed charges,4036.060883,,,,4182.26,percent of total billed charges,3565.99339,,,,4235.2,percent of total billed charges,999999999,,,,4235.2,percent of total billed charges,999999999,,,,3705.8,percent of total billed charges,999999999,,,,3705.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2816.408,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2673.47,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1323.5,percent of total billed charges,1257.00126,,,,,,,,,,1323.5,percent of total billed charges,1236.091899,,,,,,,,,,1323.5,percent of total billed charges,1232.656853,,,,,,,,,,1323.5,percent of total billed charges,1214.505996,,,,,,,,,,1323.5,percent of total billed charges,1245.75702,,,,,,,,,,1323.5,percent of total billed charges,999999999,,,,,,,,,,1323.5,percent of total billed charges,1068.94725,,,,,,,,,,1323.5,percent of total billed charges,1685.803527,,,,,,,,,,1323.5,percent of total billed charges,999999999,,,,,,,,,,1323.5,percent of total billed charges,1152.586565,,,,,,,,,,4764.6,percent of total billed charges,,,,,
CT CHEST ABDOMEN W CONTRAST,71260,CDM,0056-2780-01,NDC,,both,1,EA,3609,3609,768.2981561,3609,3609,percent of total billed charges,2655.269512,,,,3609,percent of total billed charges,2814.533182,,,,3609,percent of total billed charges,2655.269512,,,,3609,percent of total billed charges,2814.533182,,,,3609,percent of total billed charges,999999999,,,,3609,percent of total billed charges,2749.809955,,,,3609,percent of total billed charges,2655.269512,,,,3609,percent of total billed charges,2814.533182,,,,2573.217,percent of total billed charges,1284.082373,,,,2573.217,percent of total billed charges,768.2981561,,,,2573.217,percent of total billed charges,1284.082373,,,,2573.217,percent of total billed charges,768.2981561,,,,2573.217,percent of total billed charges,1284.082373,,,,2573.217,percent of total billed charges,768.2981561,,,,2547.954,percent of total billed charges,2528.62198,,,,2547.954,percent of total billed charges,1743.970538,,,,,,,,,,2598.48,percent of total billed charges,1688.950852,,,,,,,,,,2598.48,percent of total billed charges,999999999,,,,,,,,,,2887.2,percent of total billed charges,2419.323518,,,,2851.11,percent of total billed charges,2751.443847,,,,2851.11,percent of total billed charges,2430.991716,,,,2887.2,percent of total billed charges,999999999,,,,2887.2,percent of total billed charges,999999999,,,,2526.3,percent of total billed charges,999999999,,,,2526.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1919.988,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1822.545,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,902.25,percent of total billed charges,856.9168016,,,,,,,,,,902.25,percent of total billed charges,842.6625737,,,,,,,,,,902.25,percent of total billed charges,840.3208504,,,,,,,,,,902.25,percent of total billed charges,827.9471362,,,,,,,,,,902.25,percent of total billed charges,849.2514331,,,,,,,,,,902.25,percent of total billed charges,999999999,,,,,,,,,,902.25,percent of total billed charges,728.7175339,,,,,,,,,,902.25,percent of total billed charges,1149.237803,,,,,,,,,,902.25,percent of total billed charges,999999999,,,,,,,,,,902.25,percent of total billed charges,785.7357223,,,,,,,,,,3248.1,percent of total billed charges,,,,,
CT CHEST ABDOMEN W/O CONTRAST,71250,CDM,0056-2780-01,NDC,,both,1,EA,2928,2928,623.3241899,2928,2928,percent of total billed charges,2154.233619,,,,2928,percent of total billed charges,2283.445042,,,,2928,percent of total billed charges,2154.233619,,,,2928,percent of total billed charges,2283.445042,,,,2928,percent of total billed charges,999999999,,,,2928,percent of total billed charges,2230.93476,,,,2928,percent of total billed charges,2154.233619,,,,2928,percent of total billed charges,2283.445042,,,,2087.664,percent of total billed charges,1041.78254,,,,2087.664,percent of total billed charges,623.3241899,,,,2087.664,percent of total billed charges,1041.78254,,,,2087.664,percent of total billed charges,623.3241899,,,,2087.664,percent of total billed charges,1041.78254,,,,2087.664,percent of total billed charges,623.3241899,,,,2067.168,percent of total billed charges,2051.483834,,,,2067.168,percent of total billed charges,1414.89214,,,,,,,,,,2108.16,percent of total billed charges,1370.254391,,,,,,,,,,2108.16,percent of total billed charges,999999999,,,,,,,,,,2342.4,percent of total billed charges,1962.809438,,,,2313.12,percent of total billed charges,2232.260345,,,,2313.12,percent of total billed charges,1972.275906,,,,2342.4,percent of total billed charges,999999999,,,,2342.4,percent of total billed charges,999999999,,,,2049.6,percent of total billed charges,999999999,,,,2049.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1557.696,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1478.64,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,732,percent of total billed charges,695.2209463,,,,,,,,,,732,percent of total billed charges,683.6564189,,,,,,,,,,732,percent of total billed charges,681.7565669,,,,,,,,,,732,percent of total billed charges,671.7177098,,,,,,,,,,732,percent of total billed charges,689.001994,,,,,,,,,,732,percent of total billed charges,999999999,,,,,,,,,,732,percent of total billed charges,591.2122304,,,,,,,,,,732,percent of total billed charges,932.3824571,,,,,,,,,,732,percent of total billed charges,999999999,,,,,,,,,,732,percent of total billed charges,637.4713757,,,,,,,,,,2635.2,percent of total billed charges,,,,,
CT CHEST ABDOMEN W/O AND W CONTRAST,71270,CDM,0056-2780-01,NDC,,both,1,EA,4231,4231,900.7119697,4231,4231,percent of total billed charges,3112.897009,,,,4231,percent of total billed charges,3299.60928,,,,4231,percent of total billed charges,3112.897009,,,,4231,percent of total billed charges,3299.60928,,,,4231,percent of total billed charges,999999999,,,,4231,percent of total billed charges,3223.731205,,,,4231,percent of total billed charges,3112.897009,,,,4231,percent of total billed charges,3299.60928,,,,3016.703,percent of total billed charges,1505.390003,,,,3016.703,percent of total billed charges,900.7119697,,,,3016.703,percent of total billed charges,1505.390003,,,,3016.703,percent of total billed charges,900.7119697,,,,3016.703,percent of total billed charges,1505.390003,,,,3016.703,percent of total billed charges,900.7119697,,,,2987.086,percent of total billed charges,2964.422166,,,,2987.086,percent of total billed charges,2044.538472,,,,,,,,,,3046.32,percent of total billed charges,1980.036314,,,,,,,,,,3046.32,percent of total billed charges,999999999,,,,,,,,,,3384.8,percent of total billed charges,2836.286452,,,,3342.49,percent of total billed charges,3225.646694,,,,3342.49,percent of total billed charges,2849.965628,,,,3384.8,percent of total billed charges,999999999,,,,3384.8,percent of total billed charges,999999999,,,,2961.7,percent of total billed charges,999999999,,,,2961.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2250.892,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2136.655,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1057.75,percent of total billed charges,1004.603765,,,,,,,,,,1057.75,percent of total billed charges,987.8928648,,,,,,,,,,1057.75,percent of total billed charges,985.1475529,,,,,,,,,,1057.75,percent of total billed charges,970.6412671,,,,,,,,,,1057.75,percent of total billed charges,995.6172939,,,,,,,,,,1057.75,percent of total billed charges,999999999,,,,,,,,,,1057.75,percent of total billed charges,854.3097496,,,,,,,,,,1057.75,percent of total billed charges,1347.305388,,,,,,,,,,1057.75,percent of total billed charges,999999999,,,,,,,,,,1057.75,percent of total billed charges,921.1548465,,,,,,,,,,3807.9,percent of total billed charges,,,,,
CT ANGIO UPPER EXT,73206,CDM,0056-2780-01,NDC,,both,1,EA,3281,3281,698.4722223,3281,3281,percent of total billed charges,2413.94826,,,,3281,percent of total billed charges,2558.737426,,,,3281,percent of total billed charges,2413.94826,,,,3281,percent of total billed charges,2558.737426,,,,3281,percent of total billed charges,999999999,,,,3281,percent of total billed charges,2499.896498,,,,3281,percent of total billed charges,2413.94826,,,,3281,percent of total billed charges,2558.737426,,,,2339.353,percent of total billed charges,1167.379957,,,,2339.353,percent of total billed charges,698.4722223,,,,2339.353,percent of total billed charges,1167.379957,,,,2339.353,percent of total billed charges,698.4722223,,,,2339.353,percent of total billed charges,1167.379957,,,,2339.353,percent of total billed charges,698.4722223,,,,2316.386,percent of total billed charges,2298.81095,,,,2316.386,percent of total billed charges,1585.471692,,,,,,,,,,2362.32,percent of total billed charges,1535.45241,,,,,,,,,,2362.32,percent of total billed charges,999999999,,,,,,,,,,2624.8,percent of total billed charges,2199.445958,,,,2591.99,percent of total billed charges,2501.381896,,,,2591.99,percent of total billed charges,2210.053705,,,,2624.8,percent of total billed charges,999999999,,,,2624.8,percent of total billed charges,999999999,,,,2296.7,percent of total billed charges,999999999,,,,2296.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1745.492,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1656.905,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,820.25,percent of total billed charges,779.0368595,,,,,,,,,,820.25,percent of total billed charges,766.0781114,,,,,,,,,,820.25,percent of total billed charges,763.9492132,,,,,,,,,,820.25,percent of total billed charges,752.7000703,,,,,,,,,,820.25,percent of total billed charges,772.0681496,,,,,,,,,,820.25,percent of total billed charges,999999999,,,,,,,,,,820.25,percent of total billed charges,662.4888415,,,,,,,,,,820.25,percent of total billed charges,1044.790588,,,,,,,,,,820.25,percent of total billed charges,999999999,,,,,,,,,,820.25,percent of total billed charges,714.3249944,,,,,,,,,,2952.9,percent of total billed charges,,,,,
**CT RECONSTRUCTION,76375,CDM,0056-2780-01,NDC,,both,1,EA,876,876,186.4863355,876,876,percent of total billed charges,644.5043205,,,,876,percent of total billed charges,683.1618364,,,,876,percent of total billed charges,644.5043205,,,,876,percent of total billed charges,683.1618364,,,,876,percent of total billed charges,999999999,,,,876,percent of total billed charges,667.4517929,,,,876,percent of total billed charges,644.5043205,,,,876,percent of total billed charges,683.1618364,,,,624.588,percent of total billed charges,311.680842,,,,624.588,percent of total billed charges,186.4863355,,,,624.588,percent of total billed charges,311.680842,,,,624.588,percent of total billed charges,186.4863355,,,,624.588,percent of total billed charges,311.680842,,,,624.588,percent of total billed charges,186.4863355,,,,618.456,percent of total billed charges,613.7636062,,,,618.456,percent of total billed charges,423.3078945,,,,,,,,,,630.72,percent of total billed charges,409.9531578,,,,,,,,,,630.72,percent of total billed charges,999999999,,,,,,,,,,700.8,percent of total billed charges,587.2339712,,,,692.04,percent of total billed charges,667.8483819,,,,692.04,percent of total billed charges,590.0661522,,,,700.8,percent of total billed charges,999999999,,,,700.8,percent of total billed charges,999999999,,,,613.2,percent of total billed charges,999999999,,,,613.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,466.032,percent of total billed charges,999999999,,,,,,,,,,,,,,,,442.38,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,219,percent of total billed charges,207.9964306,,,,,,,,,,219,percent of total billed charges,204.5365515,,,,,,,,,,219,percent of total billed charges,203.9681532,,,,,,,,,,219,percent of total billed charges,200.9647247,,,,,,,,,,219,percent of total billed charges,206.1358425,,,,,,,,,,219,percent of total billed charges,999999999,,,,,,,,,,219,percent of total billed charges,176.8790689,,,,,,,,,,219,percent of total billed charges,278.9504892,,,,,,,,,,219,percent of total billed charges,999999999,,,,,,,,,,219,percent of total billed charges,190.7188952,,,,,,,,,,788.4,percent of total billed charges,,,,,
INFANT UPPER EXT LT 2 VIEWS,73092,CDM,0056-2780-01,NDC,LT,both,1,EA,256,256,54.49828982,256,256,percent of total billed charges,188.3482946,,,,256,percent of total billed charges,199.6454682,,,,256,percent of total billed charges,188.3482946,,,,256,percent of total billed charges,199.6454682,,,,256,percent of total billed charges,999999999,,,,256,percent of total billed charges,195.0544052,,,,256,percent of total billed charges,188.3482946,,,,256,percent of total billed charges,199.6454682,,,,182.528,percent of total billed charges,91.08481227,,,,182.528,percent of total billed charges,54.49828982,,,,182.528,percent of total billed charges,91.08481227,,,,182.528,percent of total billed charges,54.49828982,,,,182.528,percent of total billed charges,91.08481227,,,,182.528,percent of total billed charges,54.49828982,,,,180.736,percent of total billed charges,179.3647068,,,,180.736,percent of total billed charges,123.7064167,,,,,,,,,,184.32,percent of total billed charges,119.8036626,,,,,,,,,,184.32,percent of total billed charges,999999999,,,,,,,,,,204.8,percent of total billed charges,171.6117541,,,,202.24,percent of total billed charges,195.1703034,,,,202.24,percent of total billed charges,172.4394235,,,,204.8,percent of total billed charges,999999999,,,,204.8,percent of total billed charges,999999999,,,,179.2,percent of total billed charges,999999999,,,,179.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,136.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,129.28,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,64,percent of total billed charges,60.78434503,,,,,,,,,,64,percent of total billed charges,59.77323881,,,,,,,,,,64,percent of total billed charges,59.60713154,,,,,,,,,,64,percent of total billed charges,58.72941725,,,,,,,,,,64,percent of total billed charges,60.24061149,,,,,,,,,,64,percent of total billed charges,999999999,,,,,,,,,,64,percent of total billed charges,51.69068681,,,,,,,,,,64,percent of total billed charges,81.51977767,,,,,,,,,,64,percent of total billed charges,999999999,,,,,,,,,,64,percent of total billed charges,55.73520224,,,,,,,,,,230.4,percent of total billed charges,,,,,
SPINE AP VIEWS (CER/THOR/LUM,72081,CDM,0056-2780-01,NDC,,both,1,EA,543,543,115.5959819,543,543,percent of total billed charges,399.5043905,,,,543,percent of total billed charges,423.4667547,,,,543,percent of total billed charges,399.5043905,,,,543,percent of total billed charges,423.4667547,,,,543,percent of total billed charges,999999999,,,,543,percent of total billed charges,413.7286798,,,,543,percent of total billed charges,399.5043905,,,,543,percent of total billed charges,423.4667547,,,,387.159,percent of total billed charges,193.199426,,,,387.159,percent of total billed charges,115.5959819,,,,387.159,percent of total billed charges,193.199426,,,,387.159,percent of total billed charges,115.5959819,,,,387.159,percent of total billed charges,193.199426,,,,387.159,percent of total billed charges,115.5959819,,,,383.358,percent of total billed charges,380.4493586,,,,383.358,percent of total billed charges,262.3929072,,,,,,,,,,390.96,percent of total billed charges,254.1147999,,,,,,,,,,390.96,percent of total billed charges,999999999,,,,,,,,,,434.4,percent of total billed charges,364.0046191,,,,428.97,percent of total billed charges,413.9745107,,,,428.97,percent of total billed charges,365.7601834,,,,434.4,percent of total billed charges,999999999,,,,434.4,percent of total billed charges,999999999,,,,380.1,percent of total billed charges,999999999,,,,380.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,288.876,percent of total billed charges,999999999,,,,,,,,,,,,,,,,274.215,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,135.75,percent of total billed charges,128.9292943,,,,,,,,,,135.75,percent of total billed charges,126.7846433,,,,,,,,,,135.75,percent of total billed charges,126.4323142,,,,,,,,,,135.75,percent of total billed charges,124.5705999,,,,,,,,,,135.75,percent of total billed charges,127.7759845,,,,,,,,,,135.75,percent of total billed charges,999999999,,,,,,,,,,135.75,percent of total billed charges,109.6407927,,,,,,,,,,135.75,percent of total billed charges,172.9110909,,,,,,,,,,135.75,percent of total billed charges,999999999,,,,,,,,,,135.75,percent of total billed charges,118.2195891,,,,,,,,,,488.7,percent of total billed charges,,,,,
ABDOMEN 3 OR 4 VIEWS (OBST SERIES),74021,CDM,0056-2780-01,NDC,,both,1,EA,727,727,154.7666277,727,727,percent of total billed charges,534.8797272,,,,727,percent of total billed charges,566.961935,,,,727,percent of total billed charges,534.8797272,,,,727,percent of total billed charges,566.961935,,,,727,percent of total billed charges,999999999,,,,727,percent of total billed charges,553.9240336,,,,727,percent of total billed charges,534.8797272,,,,727,percent of total billed charges,566.961935,,,,518.351,percent of total billed charges,258.6666348,,,,518.351,percent of total billed charges,154.7666277,,,,518.351,percent of total billed charges,258.6666348,,,,518.351,percent of total billed charges,154.7666277,,,,518.351,percent of total billed charges,258.6666348,,,,518.351,percent of total billed charges,154.7666277,,,,513.262,percent of total billed charges,509.3677417,,,,513.262,percent of total billed charges,351.3068942,,,,,,,,,,523.44,percent of total billed charges,340.2236824,,,,,,,,,,523.44,percent of total billed charges,999999999,,,,,,,,,,581.6,percent of total billed charges,487.3505674,,,,574.33,percent of total billed charges,554.2531662,,,,574.33,percent of total billed charges,489.701019,,,,581.6,percent of total billed charges,999999999,,,,581.6,percent of total billed charges,999999999,,,,508.9,percent of total billed charges,999999999,,,,508.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,386.764,percent of total billed charges,999999999,,,,,,,,,,,,,,,,367.135,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,181.75,percent of total billed charges,172.6180423,,,,,,,,,,181.75,percent of total billed charges,169.7466586,,,,,,,,,,181.75,percent of total billed charges,169.2749399,,,,,,,,,,181.75,percent of total billed charges,166.7823685,,,,,,,,,,181.75,percent of total billed charges,171.073924,,,,,,,,,,181.75,percent of total billed charges,999999999,,,,,,,,,,181.75,percent of total billed charges,146.7934739,,,,,,,,,,181.75,percent of total billed charges,231.5034311,,,,,,,,,,181.75,percent of total billed charges,999999999,,,,,,,,,,181.75,percent of total billed charges,158.2792657,,,,,,,,,,654.3,percent of total billed charges,,,,,
ARTHROGRAM TRAY & NEEDLE,621,RC,0056-2780-01,NDC,,both,1,EA,607,607,129.2205544,607,607,percent of total billed charges,446.5914641,,,,607,percent of total billed charges,473.3781218,,,,607,percent of total billed charges,446.5914641,,,,607,percent of total billed charges,473.3781218,,,,607,percent of total billed charges,999999999,,,,607,percent of total billed charges,462.4922811,,,,607,percent of total billed charges,446.5914641,,,,607,percent of total billed charges,473.3781218,,,,432.791,percent of total billed charges,215.9706291,,,,432.791,percent of total billed charges,129.2205544,,,,432.791,percent of total billed charges,215.9706291,,,,432.791,percent of total billed charges,129.2205544,,,,432.791,percent of total billed charges,215.9706291,,,,432.791,percent of total billed charges,129.2205544,,,,428.542,percent of total billed charges,425.2905353,,,,428.542,percent of total billed charges,293.3195114,,,,,,,,,,437.04,percent of total billed charges,284.0657155,,,,,,,,,,437.04,percent of total billed charges,999999999,,,,,,,,,,485.6,percent of total billed charges,406.9075577,,,,479.53,percent of total billed charges,462.7670865,,,,479.53,percent of total billed charges,408.8700393,,,,485.6,percent of total billed charges,999999999,,,,485.6,percent of total billed charges,999999999,,,,424.9,percent of total billed charges,999999999,,,,424.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,322.924,percent of total billed charges,999999999,,,,,,,,,,,,,,,,306.535,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,151.75,percent of total billed charges,144.1253806,,,,,,,,,,151.75,percent of total billed charges,141.727953,,,,,,,,,,151.75,percent of total billed charges,141.334097,,,,,,,,,,151.75,percent of total billed charges,139.2529542,,,,,,,,,,151.75,percent of total billed charges,142.8361374,,,,,,,,,,151.75,percent of total billed charges,999999999,,,,,,,,,,151.75,percent of total billed charges,122.5634644,,,,,,,,,,151.75,percent of total billed charges,193.2910353,,,,,,,,,,151.75,percent of total billed charges,999999999,,,,,,,,,,151.75,percent of total billed charges,132.1533897,,,,,,,,,,546.3,percent of total billed charges,,,,,
**ARTHROGRAM HIP,73525,CDM,0056-2780-01,NDC,,both,1,EA,482,482,102.6100613,482,482,percent of total billed charges,354.6245234,,,,482,percent of total billed charges,375.894983,,,,482,percent of total billed charges,354.6245234,,,,482,percent of total billed charges,375.894983,,,,482,percent of total billed charges,999999999,,,,482,percent of total billed charges,367.2508723,,,,482,percent of total billed charges,354.6245234,,,,482,percent of total billed charges,375.894983,,,,343.666,percent of total billed charges,171.4956231,,,,343.666,percent of total billed charges,102.6100613,,,,343.666,percent of total billed charges,171.4956231,,,,343.666,percent of total billed charges,102.6100613,,,,343.666,percent of total billed charges,171.4956231,,,,343.666,percent of total billed charges,102.6100613,,,,340.292,percent of total billed charges,337.7101121,,,,340.292,percent of total billed charges,232.9159876,,,,,,,,,,347.04,percent of total billed charges,225.5678334,,,,,,,,,,347.04,percent of total billed charges,999999999,,,,,,,,,,385.6,percent of total billed charges,323.1127558,,,,380.78,percent of total billed charges,367.4690868,,,,380.78,percent of total billed charges,324.671102,,,,385.6,percent of total billed charges,999999999,,,,385.6,percent of total billed charges,999999999,,,,337.4,percent of total billed charges,999999999,,,,337.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,256.424,percent of total billed charges,999999999,,,,,,,,,,,,,,,,243.41,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,120.5,percent of total billed charges,114.4455246,,,,,,,,,,120.5,percent of total billed charges,112.5418012,,,,,,,,,,120.5,percent of total billed charges,112.2290523,,,,,,,,,,120.5,percent of total billed charges,110.5764809,,,,,,,,,,120.5,percent of total billed charges,113.4217763,,,,,,,,,,120.5,percent of total billed charges,999999999,,,,,,,,,,120.5,percent of total billed charges,97.32387126,,,,,,,,,,120.5,percent of total billed charges,153.4864564,,,,,,,,,,120.5,percent of total billed charges,999999999,,,,,,,,,,120.5,percent of total billed charges,104.9389355,,,,,,,,,,433.8,percent of total billed charges,,,,,
ACR-CLAV JOINTS BILATERAL,73050,CDM,0056-2780-01,NDC,,both,1,EA,578,578,123.04692,578,578,percent of total billed charges,425.2551339,,,,578,percent of total billed charges,450.7620336,,,,578,percent of total billed charges,425.2551339,,,,578,percent of total billed charges,450.7620336,,,,578,percent of total billed charges,999999999,,,,578,percent of total billed charges,440.3962743,,,,578,percent of total billed charges,425.2551339,,,,578,percent of total billed charges,450.7620336,,,,412.114,percent of total billed charges,205.6524277,,,,412.114,percent of total billed charges,123.04692,,,,412.114,percent of total billed charges,205.6524277,,,,412.114,percent of total billed charges,123.04692,,,,412.114,percent of total billed charges,205.6524277,,,,412.114,percent of total billed charges,123.04692,,,,408.068,percent of total billed charges,404.9718771,,,,408.068,percent of total billed charges,279.3058938,,,,,,,,,,416.16,percent of total billed charges,270.4942069,,,,,,,,,,416.16,percent of total billed charges,999999999,,,,,,,,,,462.4,percent of total billed charges,387.4671636,,,,456.62,percent of total billed charges,440.6579506,,,,456.62,percent of total billed charges,389.3358858,,,,462.4,percent of total billed charges,999999999,,,,462.4,percent of total billed charges,999999999,,,,404.6,percent of total billed charges,999999999,,,,404.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,307.496,percent of total billed charges,999999999,,,,,,,,,,,,,,,,291.89,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,144.5,percent of total billed charges,137.239654,,,,,,,,,,144.5,percent of total billed charges,134.9567657,,,,,,,,,,144.5,percent of total billed charges,134.5817267,,,,,,,,,,144.5,percent of total billed charges,132.6000124,,,,,,,,,,144.5,percent of total billed charges,136.0120056,,,,,,,,,,144.5,percent of total billed charges,999999999,,,,,,,,,,144.5,percent of total billed charges,116.7078788,,,,,,,,,,144.5,percent of total billed charges,184.056373,,,,,,,,,,144.5,percent of total billed charges,999999999,,,,,,,,,,144.5,percent of total billed charges,125.8396363,,,,,,,,,,520.2,percent of total billed charges,,,,,
INJECTION ARTHROGRAM HIP,27093,CDM,0056-2780-01,NDC,,both,1,EA,976,976,207.77473,976,976,percent of total billed charges,718.0778731,,,,976,percent of total billed charges,761.1483474,,,,976,percent of total billed charges,718.0778731,,,,976,percent of total billed charges,761.1483474,,,,976,percent of total billed charges,999999999,,,,976,percent of total billed charges,743.6449199,,,,976,percent of total billed charges,718.0778731,,,,976,percent of total billed charges,761.1483474,,,,695.888,percent of total billed charges,347.2608468,,,,695.888,percent of total billed charges,207.77473,,,,695.888,percent of total billed charges,347.2608468,,,,695.888,percent of total billed charges,207.77473,,,,695.888,percent of total billed charges,347.2608468,,,,695.888,percent of total billed charges,207.77473,,,,689.056,percent of total billed charges,683.8279448,,,,689.056,percent of total billed charges,471.6307135,,,,,,,,,,702.72,percent of total billed charges,456.7514635,,,,,,,,,,702.72,percent of total billed charges,999999999,,,,,,,,,,780.8,percent of total billed charges,654.2698126,,,,771.04,percent of total billed charges,744.0867816,,,,771.04,percent of total billed charges,657.425302,,,,780.8,percent of total billed charges,999999999,,,,780.8,percent of total billed charges,999999999,,,,683.2,percent of total billed charges,999999999,,,,683.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,519.232,percent of total billed charges,999999999,,,,,,,,,,,,,,,,492.88,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,244,percent of total billed charges,231.7403154,,,,,,,,,,244,percent of total billed charges,227.885473,,,,,,,,,,244,percent of total billed charges,227.252189,,,,,,,,,,244,percent of total billed charges,223.9059033,,,,,,,,,,244,percent of total billed charges,229.6673313,,,,,,,,,,244,percent of total billed charges,999999999,,,,,,,,,,244,percent of total billed charges,197.0707435,,,,,,,,,,244,percent of total billed charges,310.7941524,,,,,,,,,,244,percent of total billed charges,999999999,,,,,,,,,,244,percent of total billed charges,212.4904586,,,,,,,,,,878.4,percent of total billed charges,,,,,
ARTHROGRAM HIP LT,73525,CDM,0056-2780-01,NDC,LT,both,1,EA,1548,1548,329.5443463,1548,1548,percent of total billed charges,1138.918594,,,,1548,percent of total billed charges,1207.23119,,,,1548,percent of total billed charges,1138.918594,,,,1548,percent of total billed charges,1207.23119,,,,1548,percent of total billed charges,999999999,,,,1548,percent of total billed charges,1179.469607,,,,1548,percent of total billed charges,1138.918594,,,,1548,percent of total billed charges,1207.23119,,,,1103.724,percent of total billed charges,550.7784742,,,,1103.724,percent of total billed charges,329.5443463,,,,1103.724,percent of total billed charges,550.7784742,,,,1103.724,percent of total billed charges,329.5443463,,,,1103.724,percent of total billed charges,550.7784742,,,,1103.724,percent of total billed charges,329.5443463,,,,1092.888,percent of total billed charges,1084.595962,,,,1092.888,percent of total billed charges,748.0372382,,,,,,,,,,1114.56,percent of total billed charges,724.437772,,,,,,,,,,1114.56,percent of total billed charges,999999999,,,,,,,,,,1238.4,percent of total billed charges,1037.714826,,,,1222.92,percent of total billed charges,1180.170428,,,,1222.92,percent of total billed charges,1042.719639,,,,1238.4,percent of total billed charges,999999999,,,,1238.4,percent of total billed charges,999999999,,,,1083.6,percent of total billed charges,999999999,,,,1083.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,823.536,percent of total billed charges,999999999,,,,,,,,,,,,,,,,781.74,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,387,percent of total billed charges,367.5553363,,,,,,,,,,387,percent of total billed charges,361.4413034,,,,,,,,,,387,percent of total billed charges,360.4368735,,,,,,,,,,387,percent of total billed charges,355.1294449,,,,,,,,,,387,percent of total billed charges,364.2674476,,,,,,,,,,387,percent of total billed charges,999999999,,,,,,,,,,387,percent of total billed charges,312.5671218,,,,,,,,,,387,percent of total billed charges,492.9399056,,,,,,,,,,387,percent of total billed charges,999999999,,,,,,,,,,387,percent of total billed charges,337.0238011,,,,,,,,,,1393.2,percent of total billed charges,,,,,
ARTHROGRAM HIP RT,73525,CDM,0056-2780-01,NDC,RT,both,1,EA,1548,1548,329.5443463,1548,1548,percent of total billed charges,1138.918594,,,,1548,percent of total billed charges,1207.23119,,,,1548,percent of total billed charges,1138.918594,,,,1548,percent of total billed charges,1207.23119,,,,1548,percent of total billed charges,999999999,,,,1548,percent of total billed charges,1179.469607,,,,1548,percent of total billed charges,1138.918594,,,,1548,percent of total billed charges,1207.23119,,,,1103.724,percent of total billed charges,550.7784742,,,,1103.724,percent of total billed charges,329.5443463,,,,1103.724,percent of total billed charges,550.7784742,,,,1103.724,percent of total billed charges,329.5443463,,,,1103.724,percent of total billed charges,550.7784742,,,,1103.724,percent of total billed charges,329.5443463,,,,1092.888,percent of total billed charges,1084.595962,,,,1092.888,percent of total billed charges,748.0372382,,,,,,,,,,1114.56,percent of total billed charges,724.437772,,,,,,,,,,1114.56,percent of total billed charges,999999999,,,,,,,,,,1238.4,percent of total billed charges,1037.714826,,,,1222.92,percent of total billed charges,1180.170428,,,,1222.92,percent of total billed charges,1042.719639,,,,1238.4,percent of total billed charges,999999999,,,,1238.4,percent of total billed charges,999999999,,,,1083.6,percent of total billed charges,999999999,,,,1083.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,823.536,percent of total billed charges,999999999,,,,,,,,,,,,,,,,781.74,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,387,percent of total billed charges,367.5553363,,,,,,,,,,387,percent of total billed charges,361.4413034,,,,,,,,,,387,percent of total billed charges,360.4368735,,,,,,,,,,387,percent of total billed charges,355.1294449,,,,,,,,,,387,percent of total billed charges,364.2674476,,,,,,,,,,387,percent of total billed charges,999999999,,,,,,,,,,387,percent of total billed charges,312.5671218,,,,,,,,,,387,percent of total billed charges,492.9399056,,,,,,,,,,387,percent of total billed charges,999999999,,,,,,,,,,387,percent of total billed charges,337.0238011,,,,,,,,,,1393.2,percent of total billed charges,,,,,
**ANKLE 3 VIEWS,73610,CDM,0056-2780-01,NDC,,both,1,EA,565,565,120.2794287,565,565,percent of total billed charges,415.690572,,,,565,percent of total billed charges,440.6237872,,,,565,percent of total billed charges,415.690572,,,,565,percent of total billed charges,440.6237872,,,,565,percent of total billed charges,999999999,,,,565,percent of total billed charges,430.4911678,,,,565,percent of total billed charges,415.690572,,,,565,percent of total billed charges,440.6237872,,,,402.845,percent of total billed charges,201.0270271,,,,402.845,percent of total billed charges,120.2794287,,,,402.845,percent of total billed charges,201.0270271,,,,402.845,percent of total billed charges,120.2794287,,,,402.845,percent of total billed charges,201.0270271,,,,402.845,percent of total billed charges,120.2794287,,,,398.89,percent of total billed charges,395.8635131,,,,398.89,percent of total billed charges,273.0239274,,,,,,,,,,406.8,percent of total billed charges,264.4104271,,,,,,,,,,406.8,percent of total billed charges,999999999,,,,,,,,,,452,percent of total billed charges,378.7525042,,,,446.35,percent of total billed charges,430.7469586,,,,446.35,percent of total billed charges,380.5791963,,,,452,percent of total billed charges,999999999,,,,452,percent of total billed charges,999999999,,,,395.5,percent of total billed charges,999999999,,,,395.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,300.58,percent of total billed charges,999999999,,,,,,,,,,,,,,,,285.325,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,141.25,percent of total billed charges,134.152949,,,,,,,,,,141.25,percent of total billed charges,131.921406,,,,,,,,,,141.25,percent of total billed charges,131.554802,,,,,,,,,,141.25,percent of total billed charges,129.6176592,,,,,,,,,,141.25,percent of total billed charges,132.9529121,,,,,,,,,,141.25,percent of total billed charges,999999999,,,,,,,,,,141.25,percent of total billed charges,114.0829611,,,,,,,,,,141.25,percent of total billed charges,179.9166968,,,,,,,,,,141.25,percent of total billed charges,999999999,,,,,,,,,,141.25,percent of total billed charges,123.0093331,,,,,,,,,,508.5,percent of total billed charges,,,,,
**ANKLE 3 VIEWS BI,73610,CDM,0056-2780-01,NDC,50,both,1,EA,680,680,144.7610823,680,680,percent of total billed charges,500.3001575,,,,680,percent of total billed charges,530.3082748,,,,680,percent of total billed charges,500.3001575,,,,680,percent of total billed charges,530.3082748,,,,680,percent of total billed charges,999999999,,,,680,percent of total billed charges,518.1132639,,,,680,percent of total billed charges,500.3001575,,,,680,percent of total billed charges,530.3082748,,,,484.84,percent of total billed charges,241.9440326,,,,484.84,percent of total billed charges,144.7610823,,,,484.84,percent of total billed charges,241.9440326,,,,484.84,percent of total billed charges,144.7610823,,,,484.84,percent of total billed charges,241.9440326,,,,484.84,percent of total billed charges,144.7610823,,,,480.08,percent of total billed charges,476.4375025,,,,480.08,percent of total billed charges,328.5951692,,,,,,,,,,489.6,percent of total billed charges,318.2284787,,,,,,,,,,489.6,percent of total billed charges,999999999,,,,,,,,,,544,percent of total billed charges,455.8437219,,,,537.2,percent of total billed charges,518.4211184,,,,537.2,percent of total billed charges,458.0422186,,,,544,percent of total billed charges,999999999,,,,544,percent of total billed charges,999999999,,,,476,percent of total billed charges,999999999,,,,476,percent of total billed charges,999999999,,,,,,,,,,,,,,,,361.76,percent of total billed charges,999999999,,,,,,,,,,,,,,,,343.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,170,percent of total billed charges,161.4584165,,,,,,,,,,170,percent of total billed charges,158.7726656,,,,,,,,,,170,percent of total billed charges,158.3314431,,,,,,,,,,170,percent of total billed charges,156.0000146,,,,,,,,,,170,percent of total billed charges,160.0141243,,,,,,,,,,170,percent of total billed charges,999999999,,,,,,,,,,170,percent of total billed charges,137.3033868,,,,,,,,,,170,percent of total billed charges,216.5369094,,,,,,,,,,170,percent of total billed charges,999999999,,,,,,,,,,170,percent of total billed charges,148.046631,,,,,,,,,,612,percent of total billed charges,,,,,
ANKLE 3 VIEWS RT,73610,CDM,0056-2780-01,NDC,RT,both,1,EA,596,596,126.878831,596,596,percent of total billed charges,438.4983733,,,,596,percent of total billed charges,464.7996056,,,,596,percent of total billed charges,438.4983733,,,,596,percent of total billed charges,464.7996056,,,,596,percent of total billed charges,999999999,,,,596,percent of total billed charges,454.1110372,,,,596,percent of total billed charges,438.4983733,,,,596,percent of total billed charges,464.7996056,,,,424.948,percent of total billed charges,212.0568286,,,,424.948,percent of total billed charges,126.878831,,,,424.948,percent of total billed charges,212.0568286,,,,424.948,percent of total billed charges,126.878831,,,,424.948,percent of total billed charges,212.0568286,,,,424.948,percent of total billed charges,126.878831,,,,420.776,percent of total billed charges,417.5834581,,,,420.776,percent of total billed charges,288.0040013,,,,,,,,,,429.12,percent of total billed charges,278.9179019,,,,,,,,,,429.12,percent of total billed charges,999999999,,,,,,,,,,476.8,percent of total billed charges,399.5336151,,,,470.84,percent of total billed charges,454.3808626,,,,470.84,percent of total billed charges,401.4605328,,,,476.8,percent of total billed charges,999999999,,,,476.8,percent of total billed charges,999999999,,,,417.2,percent of total billed charges,999999999,,,,417.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,317.072,percent of total billed charges,999999999,,,,,,,,,,,,,,,,300.98,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,149,percent of total billed charges,141.5135533,,,,,,,,,,149,percent of total billed charges,139.1595716,,,,,,,,,,149,percent of total billed charges,138.7728531,,,,,,,,,,149,percent of total billed charges,136.7294245,,,,,,,,,,149,percent of total billed charges,140.2476736,,,,,,,,,,149,percent of total billed charges,999999999,,,,,,,,,,149,percent of total billed charges,120.3423802,,,,,,,,,,149,percent of total billed charges,189.7882324,,,,,,,,,,149,percent of total billed charges,999999999,,,,,,,,,,149,percent of total billed charges,129.7585177,,,,,,,,,,536.4,percent of total billed charges,,,,,
ANKLE 3 VIEWS LT,73610,CDM,0056-2780-01,NDC,LT,both,1,EA,596,596,126.878831,596,596,percent of total billed charges,438.4983733,,,,596,percent of total billed charges,464.7996056,,,,596,percent of total billed charges,438.4983733,,,,596,percent of total billed charges,464.7996056,,,,596,percent of total billed charges,999999999,,,,596,percent of total billed charges,454.1110372,,,,596,percent of total billed charges,438.4983733,,,,596,percent of total billed charges,464.7996056,,,,424.948,percent of total billed charges,212.0568286,,,,424.948,percent of total billed charges,126.878831,,,,424.948,percent of total billed charges,212.0568286,,,,424.948,percent of total billed charges,126.878831,,,,424.948,percent of total billed charges,212.0568286,,,,424.948,percent of total billed charges,126.878831,,,,420.776,percent of total billed charges,417.5834581,,,,420.776,percent of total billed charges,288.0040013,,,,,,,,,,429.12,percent of total billed charges,278.9179019,,,,,,,,,,429.12,percent of total billed charges,999999999,,,,,,,,,,476.8,percent of total billed charges,399.5336151,,,,470.84,percent of total billed charges,454.3808626,,,,470.84,percent of total billed charges,401.4605328,,,,476.8,percent of total billed charges,999999999,,,,476.8,percent of total billed charges,999999999,,,,417.2,percent of total billed charges,999999999,,,,417.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,317.072,percent of total billed charges,999999999,,,,,,,,,,,,,,,,300.98,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,149,percent of total billed charges,141.5135533,,,,,,,,,,149,percent of total billed charges,139.1595716,,,,,,,,,,149,percent of total billed charges,138.7728531,,,,,,,,,,149,percent of total billed charges,136.7294245,,,,,,,,,,149,percent of total billed charges,140.2476736,,,,,,,,,,149,percent of total billed charges,999999999,,,,,,,,,,149,percent of total billed charges,120.3423802,,,,,,,,,,149,percent of total billed charges,189.7882324,,,,,,,,,,149,percent of total billed charges,999999999,,,,,,,,,,149,percent of total billed charges,129.7585177,,,,,,,,,,536.4,percent of total billed charges,,,,,
**ARTHROGRAM SHOULDER BILATERAL,73040,CDM,0056-2780-01,NDC,50,both,1,EA,907,907,193.0857378,907,907,percent of total billed charges,667.3121218,,,,907,percent of total billed charges,707.3376548,,,,907,percent of total billed charges,667.3121218,,,,907,percent of total billed charges,707.3376548,,,,907,percent of total billed charges,999999999,,,,907,percent of total billed charges,691.0716623,,,,907,percent of total billed charges,667.3121218,,,,907,percent of total billed charges,707.3376548,,,,646.691,percent of total billed charges,322.7106435,,,,646.691,percent of total billed charges,193.0857378,,,,646.691,percent of total billed charges,322.7106435,,,,646.691,percent of total billed charges,193.0857378,,,,646.691,percent of total billed charges,322.7106435,,,,646.691,percent of total billed charges,193.0857378,,,,640.342,percent of total billed charges,635.4835512,,,,640.342,percent of total billed charges,438.2879684,,,,,,,,,,653.04,percent of total billed charges,424.4606326,,,,,,,,,,653.04,percent of total billed charges,999999999,,,,,,,,,,725.6,percent of total billed charges,608.015082,,,,716.53,percent of total billed charges,691.4822858,,,,716.53,percent of total billed charges,610.9474886,,,,725.6,percent of total billed charges,999999999,,,,725.6,percent of total billed charges,999999999,,,,634.9,percent of total billed charges,999999999,,,,634.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,482.524,percent of total billed charges,999999999,,,,,,,,,,,,,,,,458.035,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,226.75,percent of total billed charges,215.3570349,,,,,,,,,,226.75,percent of total billed charges,211.7747172,,,,,,,,,,226.75,percent of total billed charges,211.1862043,,,,,,,,,,226.75,percent of total billed charges,208.07649,,,,,,,,,,226.75,percent of total billed charges,213.430604,,,,,,,,,,226.75,percent of total billed charges,999999999,,,,,,,,,,226.75,percent of total billed charges,183.138488,,,,,,,,,,226.75,percent of total billed charges,288.8220248,,,,,,,,,,226.75,percent of total billed charges,999999999,,,,,,,,,,226.75,percent of total billed charges,197.4680798,,,,,,,,,,816.3,percent of total billed charges,,,,,
**ANKLE 2 VIEWS,73600,CDM,0056-2780-01,NDC,,both,1,EA,433,433,92.17874802,433,433,percent of total billed charges,318.5734826,,,,433,percent of total billed charges,337.6815926,,,,433,percent of total billed charges,318.5734826,,,,433,percent of total billed charges,337.6815926,,,,433,percent of total billed charges,999999999,,,,433,percent of total billed charges,329.9162401,,,,433,percent of total billed charges,318.5734826,,,,433,percent of total billed charges,337.6815926,,,,308.729,percent of total billed charges,154.0614208,,,,308.729,percent of total billed charges,92.17874802,,,,308.729,percent of total billed charges,154.0614208,,,,308.729,percent of total billed charges,92.17874802,,,,308.729,percent of total billed charges,154.0614208,,,,308.729,percent of total billed charges,92.17874802,,,,305.698,percent of total billed charges,303.3785862,,,,305.698,percent of total billed charges,209.2378063,,,,,,,,,,311.76,percent of total billed charges,202.6366636,,,,,,,,,,311.76,percent of total billed charges,999999999,,,,,,,,,,346.4,percent of total billed charges,290.2651935,,,,342.07,percent of total billed charges,330.112271,,,,342.07,percent of total billed charges,291.6651186,,,,346.4,percent of total billed charges,999999999,,,,346.4,percent of total billed charges,999999999,,,,303.1,percent of total billed charges,999999999,,,,303.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,230.356,percent of total billed charges,999999999,,,,,,,,,,,,,,,,218.665,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,108.25,percent of total billed charges,102.8110211,,,,,,,,,,108.25,percent of total billed charges,101.1008297,,,,,,,,,,108.25,percent of total billed charges,100.8198748,,,,,,,,,,108.25,percent of total billed charges,99.3353034,,,,,,,,,,108.25,percent of total billed charges,101.8913468,,,,,,,,,,108.25,percent of total billed charges,999999999,,,,,,,,,,108.25,percent of total billed charges,87.42995073,,,,,,,,,,108.25,percent of total billed charges,137.8830614,,,,,,,,,,108.25,percent of total billed charges,999999999,,,,,,,,,,108.25,percent of total billed charges,94.27086942,,,,,,,,,,389.7,percent of total billed charges,,,,,
**ANKLE 2 VIEWS BI,73600,CDM,0056-2780-01,NDC,50,both,1,EA,446,446,94.9462393,446,446,percent of total billed charges,328.1380445,,,,446,percent of total billed charges,347.8198391,,,,446,percent of total billed charges,328.1380445,,,,446,percent of total billed charges,347.8198391,,,,446,percent of total billed charges,999999999,,,,446,percent of total billed charges,339.8213466,,,,446,percent of total billed charges,328.1380445,,,,446,percent of total billed charges,347.8198391,,,,317.998,percent of total billed charges,158.6868214,,,,317.998,percent of total billed charges,94.9462393,,,,317.998,percent of total billed charges,158.6868214,,,,317.998,percent of total billed charges,94.9462393,,,,317.998,percent of total billed charges,158.6868214,,,,317.998,percent of total billed charges,94.9462393,,,,314.876,percent of total billed charges,312.4869502,,,,314.876,percent of total billed charges,215.5197728,,,,,,,,,,321.12,percent of total billed charges,208.7204434,,,,,,,,,,321.12,percent of total billed charges,999999999,,,,,,,,,,356.8,percent of total billed charges,298.9798529,,,,352.34,percent of total billed charges,340.0232629,,,,352.34,percent of total billed charges,300.4218081,,,,356.8,percent of total billed charges,999999999,,,,356.8,percent of total billed charges,999999999,,,,312.2,percent of total billed charges,999999999,,,,312.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,237.272,percent of total billed charges,999999999,,,,,,,,,,,,,,,,225.23,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,111.5,percent of total billed charges,105.8977261,,,,,,,,,,111.5,percent of total billed charges,104.1361895,,,,,,,,,,111.5,percent of total billed charges,103.8467995,,,,,,,,,,111.5,percent of total billed charges,102.3176566,,,,,,,,,,111.5,percent of total billed charges,104.9504403,,,,,,,,,,111.5,percent of total billed charges,999999999,,,,,,,,,,111.5,percent of total billed charges,90.05486842,,,,,,,,,,111.5,percent of total billed charges,142.0227377,,,,,,,,,,111.5,percent of total billed charges,999999999,,,,,,,,,,111.5,percent of total billed charges,97.10117266,,,,,,,,,,401.4,percent of total billed charges,,,,,
ANKLE 2 VIEWS RT,73600,CDM,0056-2780-01,NDC,RT,both,1,EA,497,497,105.8033205,497,497,percent of total billed charges,365.6605563,,,,497,percent of total billed charges,387.5929597,,,,497,percent of total billed charges,365.6605563,,,,497,percent of total billed charges,387.5929597,,,,497,percent of total billed charges,999999999,,,,497,percent of total billed charges,378.6798414,,,,497,percent of total billed charges,365.6605563,,,,497,percent of total billed charges,387.5929597,,,,354.361,percent of total billed charges,176.8326238,,,,354.361,percent of total billed charges,105.8033205,,,,354.361,percent of total billed charges,176.8326238,,,,354.361,percent of total billed charges,105.8033205,,,,354.361,percent of total billed charges,176.8326238,,,,354.361,percent of total billed charges,105.8033205,,,,350.882,percent of total billed charges,348.2197629,,,,350.882,percent of total billed charges,240.1644105,,,,,,,,,,357.84,percent of total billed charges,232.5875793,,,,,,,,,,357.84,percent of total billed charges,999999999,,,,,,,,,,397.6,percent of total billed charges,333.1681321,,,,392.63,percent of total billed charges,378.9048468,,,,392.63,percent of total billed charges,334.7749745,,,,397.6,percent of total billed charges,999999999,,,,397.6,percent of total billed charges,999999999,,,,347.9,percent of total billed charges,999999999,,,,347.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,264.404,percent of total billed charges,999999999,,,,,,,,,,,,,,,,250.985,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,124.25,percent of total billed charges,118.0071073,,,,,,,,,,124.25,percent of total billed charges,116.0441394,,,,,,,,,,124.25,percent of total billed charges,115.7216577,,,,,,,,,,124.25,percent of total billed charges,114.0176577,,,,,,,,,,124.25,percent of total billed charges,116.9514997,,,,,,,,,,124.25,percent of total billed charges,999999999,,,,,,,,,,124.25,percent of total billed charges,100.3526224,,,,,,,,,,124.25,percent of total billed charges,158.2630059,,,,,,,,,,124.25,percent of total billed charges,999999999,,,,,,,,,,124.25,percent of total billed charges,108.20467,,,,,,,,,,447.3,percent of total billed charges,,,,,
ANKLE 2 VIEWS LT,73600,CDM,0056-2780-01,NDC,LT,both,1,EA,497,497,105.8033205,497,497,percent of total billed charges,365.6605563,,,,497,percent of total billed charges,387.5929597,,,,497,percent of total billed charges,365.6605563,,,,497,percent of total billed charges,387.5929597,,,,497,percent of total billed charges,999999999,,,,497,percent of total billed charges,378.6798414,,,,497,percent of total billed charges,365.6605563,,,,497,percent of total billed charges,387.5929597,,,,354.361,percent of total billed charges,176.8326238,,,,354.361,percent of total billed charges,105.8033205,,,,354.361,percent of total billed charges,176.8326238,,,,354.361,percent of total billed charges,105.8033205,,,,354.361,percent of total billed charges,176.8326238,,,,354.361,percent of total billed charges,105.8033205,,,,350.882,percent of total billed charges,348.2197629,,,,350.882,percent of total billed charges,240.1644105,,,,,,,,,,357.84,percent of total billed charges,232.5875793,,,,,,,,,,357.84,percent of total billed charges,999999999,,,,,,,,,,397.6,percent of total billed charges,333.1681321,,,,392.63,percent of total billed charges,378.9048468,,,,392.63,percent of total billed charges,334.7749745,,,,397.6,percent of total billed charges,999999999,,,,397.6,percent of total billed charges,999999999,,,,347.9,percent of total billed charges,999999999,,,,347.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,264.404,percent of total billed charges,999999999,,,,,,,,,,,,,,,,250.985,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,124.25,percent of total billed charges,118.0071073,,,,,,,,,,124.25,percent of total billed charges,116.0441394,,,,,,,,,,124.25,percent of total billed charges,115.7216577,,,,,,,,,,124.25,percent of total billed charges,114.0176577,,,,,,,,,,124.25,percent of total billed charges,116.9514997,,,,,,,,,,124.25,percent of total billed charges,999999999,,,,,,,,,,124.25,percent of total billed charges,100.3526224,,,,,,,,,,124.25,percent of total billed charges,158.2630059,,,,,,,,,,124.25,percent of total billed charges,999999999,,,,,,,,,,124.25,percent of total billed charges,108.20467,,,,,,,,,,447.3,percent of total billed charges,,,,,
**ARTHROGRAM HIP BILATERAL,73525,CDM,0056-2780-01,NDC,50,both,1,EA,951,951,202.4526313,951,951,percent of total billed charges,699.684485,,,,951,percent of total billed charges,741.6517196,,,,951,percent of total billed charges,699.684485,,,,951,percent of total billed charges,741.6517196,,,,951,percent of total billed charges,999999999,,,,951,percent of total billed charges,724.5966382,,,,951,percent of total billed charges,699.684485,,,,951,percent of total billed charges,741.6517196,,,,678.063,percent of total billed charges,338.3658456,,,,678.063,percent of total billed charges,202.4526313,,,,678.063,percent of total billed charges,338.3658456,,,,678.063,percent of total billed charges,202.4526313,,,,678.063,percent of total billed charges,338.3658456,,,,678.063,percent of total billed charges,202.4526313,,,,671.406,percent of total billed charges,666.3118602,,,,671.406,percent of total billed charges,459.5500087,,,,,,,,,,684.72,percent of total billed charges,445.0518871,,,,,,,,,,684.72,percent of total billed charges,999999999,,,,,,,,,,760.8,percent of total billed charges,637.5108523,,,,751.29,percent of total billed charges,725.0271817,,,,751.29,percent of total billed charges,640.5855145,,,,760.8,percent of total billed charges,999999999,,,,760.8,percent of total billed charges,999999999,,,,665.7,percent of total billed charges,999999999,,,,665.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,505.932,percent of total billed charges,999999999,,,,,,,,,,,,,,,,480.255,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,237.75,percent of total billed charges,225.8043442,,,,,,,,,,237.75,percent of total billed charges,222.0482426,,,,,,,,,,237.75,percent of total billed charges,221.43118,,,,,,,,,,237.75,percent of total billed charges,218.1706086,,,,,,,,,,237.75,percent of total billed charges,223.7844591,,,,,,,,,,237.75,percent of total billed charges,999999999,,,,,,,,,,237.75,percent of total billed charges,192.0228248,,,,,,,,,,237.75,percent of total billed charges,302.8332366,,,,,,,,,,237.75,percent of total billed charges,999999999,,,,,,,,,,237.75,percent of total billed charges,207.0475677,,,,,,,,,,855.9,percent of total billed charges,,,,,
INJECTION ARTHROGRAM HIP BILATERAL,27093,CDM,0056-2780-01,NDC,50,both,1,EA,976,976,207.77473,976,976,percent of total billed charges,718.0778731,,,,976,percent of total billed charges,761.1483474,,,,976,percent of total billed charges,718.0778731,,,,976,percent of total billed charges,761.1483474,,,,976,percent of total billed charges,999999999,,,,976,percent of total billed charges,743.6449199,,,,976,percent of total billed charges,718.0778731,,,,976,percent of total billed charges,761.1483474,,,,695.888,percent of total billed charges,347.2608468,,,,695.888,percent of total billed charges,207.77473,,,,695.888,percent of total billed charges,347.2608468,,,,695.888,percent of total billed charges,207.77473,,,,695.888,percent of total billed charges,347.2608468,,,,695.888,percent of total billed charges,207.77473,,,,689.056,percent of total billed charges,683.8279448,,,,689.056,percent of total billed charges,471.6307135,,,,,,,,,,702.72,percent of total billed charges,456.7514635,,,,,,,,,,702.72,percent of total billed charges,999999999,,,,,,,,,,780.8,percent of total billed charges,654.2698126,,,,771.04,percent of total billed charges,744.0867816,,,,771.04,percent of total billed charges,657.425302,,,,780.8,percent of total billed charges,999999999,,,,780.8,percent of total billed charges,999999999,,,,683.2,percent of total billed charges,999999999,,,,683.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,519.232,percent of total billed charges,999999999,,,,,,,,,,,,,,,,492.88,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,244,percent of total billed charges,231.7403154,,,,,,,,,,244,percent of total billed charges,227.885473,,,,,,,,,,244,percent of total billed charges,227.252189,,,,,,,,,,244,percent of total billed charges,223.9059033,,,,,,,,,,244,percent of total billed charges,229.6673313,,,,,,,,,,244,percent of total billed charges,999999999,,,,,,,,,,244,percent of total billed charges,197.0707435,,,,,,,,,,244,percent of total billed charges,310.7941524,,,,,,,,,,244,percent of total billed charges,999999999,,,,,,,,,,244,percent of total billed charges,212.4904586,,,,,,,,,,878.4,percent of total billed charges,,,,,
BARIUM SWALLOW,74220,CDM,0056-2780-01,NDC,,both,1,EA,899,899,191.3826662,899,899,percent of total billed charges,661.4262376,,,,899,percent of total billed charges,701.0987339,,,,899,percent of total billed charges,661.4262376,,,,899,percent of total billed charges,701.0987339,,,,899,percent of total billed charges,999999999,,,,899,percent of total billed charges,684.9762121,,,,899,percent of total billed charges,661.4262376,,,,899,percent of total billed charges,701.0987339,,,,640.987,percent of total billed charges,319.8642431,,,,640.987,percent of total billed charges,191.3826662,,,,640.987,percent of total billed charges,319.8642431,,,,640.987,percent of total billed charges,191.3826662,,,,640.987,percent of total billed charges,319.8642431,,,,640.987,percent of total billed charges,191.3826662,,,,634.694,percent of total billed charges,629.8784041,,,,634.694,percent of total billed charges,434.4221428,,,,,,,,,,647.28,percent of total billed charges,420.7167681,,,,,,,,,,647.28,percent of total billed charges,999999999,,,,,,,,,,719.2,percent of total billed charges,602.6522147,,,,710.21,percent of total billed charges,685.3832138,,,,710.21,percent of total billed charges,605.5587566,,,,719.2,percent of total billed charges,999999999,,,,719.2,percent of total billed charges,999999999,,,,629.3,percent of total billed charges,999999999,,,,629.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,478.268,percent of total billed charges,999999999,,,,,,,,,,,,,,,,453.995,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,224.75,percent of total billed charges,213.4575241,,,,,,,,,,224.75,percent of total billed charges,209.9068035,,,,,,,,,,224.75,percent of total billed charges,209.3234814,,,,,,,,,,224.75,percent of total billed charges,206.2411957,,,,,,,,,,224.75,percent of total billed charges,211.5480849,,,,,,,,,,224.75,percent of total billed charges,999999999,,,,,,,,,,224.75,percent of total billed charges,181.5231541,,,,,,,,,,224.75,percent of total billed charges,286.2745317,,,,,,,,,,224.75,percent of total billed charges,999999999,,,,,,,,,,224.75,percent of total billed charges,195.7263548,,,,,,,,,,809.1,percent of total billed charges,,,,,
CENTRAL LINE CATH CK,75898,CDM,0056-2780-01,NDC,,both,1,EA,2402,2402,511.347235,2402,2402,percent of total billed charges,1767.236733,,,,2402,percent of total billed charges,1873.235994,,,,2402,percent of total billed charges,1767.236733,,,,2402,percent of total billed charges,1873.235994,,,,2402,percent of total billed charges,999999999,,,,2402,percent of total billed charges,1830.158912,,,,2402,percent of total billed charges,1767.236733,,,,2402,percent of total billed charges,1873.235994,,,,1712.626,percent of total billed charges,854.6317151,,,,1712.626,percent of total billed charges,511.347235,,,,1712.626,percent of total billed charges,854.6317151,,,,1712.626,percent of total billed charges,511.347235,,,,1712.626,percent of total billed charges,854.6317151,,,,1712.626,percent of total billed charges,511.347235,,,,1695.812,percent of total billed charges,1682.945413,,,,1695.812,percent of total billed charges,1160.714112,,,,,,,,,,1729.44,percent of total billed charges,1124.095303,,,,,,,,,,1729.44,percent of total billed charges,999999999,,,,,,,,,,1921.6,percent of total billed charges,1610.200912,,,,1897.58,percent of total billed charges,1831.246362,,,,1897.58,percent of total billed charges,1617.966778,,,,1921.6,percent of total billed charges,999999999,,,,1921.6,percent of total billed charges,999999999,,,,1681.4,percent of total billed charges,999999999,,,,1681.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1277.864,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1213.01,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,600.5,percent of total billed charges,570.3281123,,,,,,,,,,600.5,percent of total billed charges,560.8410922,,,,,,,,,,600.5,percent of total billed charges,559.2825389,,,,,,,,,,600.5,percent of total billed charges,551.0471103,,,,,,,,,,600.5,percent of total billed charges,565.2263625,,,,,,,,,,600.5,percent of total billed charges,999999999,,,,,,,,,,600.5,percent of total billed charges,485.0040223,,,,,,,,,,600.5,percent of total billed charges,764.8847889,,,,,,,,,,600.5,percent of total billed charges,999999999,,,,,,,,,,600.5,percent of total billed charges,522.9529523,,,,,,,,,,2161.8,percent of total billed charges,,,,,
**CHEST DECUB / SPECIAL,71035,CDM,0056-2780-01,NDC,,both,1,EA,564,564,120.0665448,564,564,percent of total billed charges,414.9548365,,,,564,percent of total billed charges,439.843922,,,,564,percent of total billed charges,414.9548365,,,,564,percent of total billed charges,439.843922,,,,564,percent of total billed charges,999999999,,,,564,percent of total billed charges,429.7292365,,,,564,percent of total billed charges,414.9548365,,,,564,percent of total billed charges,439.843922,,,,402.132,percent of total billed charges,200.671227,,,,402.132,percent of total billed charges,120.0665448,,,,402.132,percent of total billed charges,200.671227,,,,402.132,percent of total billed charges,120.0665448,,,,402.132,percent of total billed charges,200.671227,,,,402.132,percent of total billed charges,120.0665448,,,,398.184,percent of total billed charges,395.1628697,,,,398.184,percent of total billed charges,272.5406992,,,,,,,,,,406.08,percent of total billed charges,263.9424441,,,,,,,,,,406.08,percent of total billed charges,999999999,,,,,,,,,,451.2,percent of total billed charges,378.0821458,,,,445.56,percent of total billed charges,429.9845746,,,,445.56,percent of total billed charges,379.9056048,,,,451.2,percent of total billed charges,999999999,,,,451.2,percent of total billed charges,999999999,,,,394.8,percent of total billed charges,999999999,,,,394.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,300.048,percent of total billed charges,999999999,,,,,,,,,,,,,,,,284.82,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,141,percent of total billed charges,133.9155101,,,,,,,,,,141,percent of total billed charges,131.6879167,,,,,,,,,,141,percent of total billed charges,131.3219617,,,,,,,,,,141,percent of total billed charges,129.3882474,,,,,,,,,,141,percent of total billed charges,132.7175972,,,,,,,,,,141,percent of total billed charges,999999999,,,,,,,,,,141,percent of total billed charges,113.8810444,,,,,,,,,,141,percent of total billed charges,179.5982602,,,,,,,,,,141,percent of total billed charges,999999999,,,,,,,,,,141,percent of total billed charges,122.7916174,,,,,,,,,,507.6,percent of total billed charges,,,,,
CHEST PA AND LATERAL 2 VIEWS,71046,CDM,0056-2780-01,NDC,,both,1,EA,648,648,137.9487961,648,648,percent of total billed charges,476.7566207,,,,648,percent of total billed charges,505.3525913,,,,648,percent of total billed charges,476.7566207,,,,648,percent of total billed charges,505.3525913,,,,648,percent of total billed charges,999999999,,,,648,percent of total billed charges,493.7314632,,,,648,percent of total billed charges,476.7566207,,,,648,percent of total billed charges,505.3525913,,,,462.024,percent of total billed charges,230.5584311,,,,462.024,percent of total billed charges,137.9487961,,,,462.024,percent of total billed charges,230.5584311,,,,462.024,percent of total billed charges,137.9487961,,,,462.024,percent of total billed charges,230.5584311,,,,462.024,percent of total billed charges,137.9487961,,,,457.488,percent of total billed charges,454.0169142,,,,457.488,percent of total billed charges,313.1318671,,,,,,,,,,466.56,percent of total billed charges,303.2530209,,,,,,,,,,466.56,percent of total billed charges,999999999,,,,,,,,,,518.4,percent of total billed charges,434.3922527,,,,511.92,percent of total billed charges,494.0248304,,,,511.92,percent of total billed charges,436.4872907,,,,518.4,percent of total billed charges,999999999,,,,518.4,percent of total billed charges,999999999,,,,453.6,percent of total billed charges,999999999,,,,453.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,344.736,percent of total billed charges,999999999,,,,,,,,,,,,,,,,327.24,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,162,percent of total billed charges,153.8603734,,,,,,,,,,162,percent of total billed charges,151.3010107,,,,,,,,,,162,percent of total billed charges,150.8805517,,,,,,,,,,162,percent of total billed charges,148.6588374,,,,,,,,,,162,percent of total billed charges,152.4840478,,,,,,,,,,162,percent of total billed charges,999999999,,,,,,,,,,162,percent of total billed charges,130.842051,,,,,,,,,,162,percent of total billed charges,206.3469372,,,,,,,,,,162,percent of total billed charges,999999999,,,,,,,,,,162,percent of total billed charges,141.0797307,,,,,,,,,,583.2,percent of total billed charges,,,,,
CHEST 3 VIEWS,71047,CDM,0056-2780-01,NDC,,both,1,EA,614,614,130.710742,614,614,percent of total billed charges,451.7416128,,,,614,percent of total billed charges,478.8371775,,,,614,percent of total billed charges,451.7416128,,,,614,percent of total billed charges,478.8371775,,,,614,percent of total billed charges,999999999,,,,614,percent of total billed charges,467.8258,,,,614,percent of total billed charges,451.7416128,,,,614,percent of total billed charges,478.8371775,,,,437.782,percent of total billed charges,218.4612294,,,,437.782,percent of total billed charges,130.710742,,,,437.782,percent of total billed charges,218.4612294,,,,437.782,percent of total billed charges,130.710742,,,,437.782,percent of total billed charges,218.4612294,,,,437.782,percent of total billed charges,130.710742,,,,433.484,percent of total billed charges,430.195039,,,,433.484,percent of total billed charges,296.7021087,,,,,,,,,,442.08,percent of total billed charges,287.3415969,,,,,,,,,,442.08,percent of total billed charges,999999999,,,,,,,,,,491.2,percent of total billed charges,411.6000666,,,,485.06,percent of total billed charges,468.1037745,,,,485.06,percent of total billed charges,413.5851797,,,,491.2,percent of total billed charges,999999999,,,,491.2,percent of total billed charges,999999999,,,,429.8,percent of total billed charges,999999999,,,,429.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,326.648,percent of total billed charges,999999999,,,,,,,,,,,,,,,,310.07,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,153.5,percent of total billed charges,145.7874525,,,,,,,,,,153.5,percent of total billed charges,143.3623775,,,,,,,,,,153.5,percent of total billed charges,142.9639795,,,,,,,,,,153.5,percent of total billed charges,140.8588367,,,,,,,,,,153.5,percent of total billed charges,144.4833416,,,,,,,,,,153.5,percent of total billed charges,999999999,,,,,,,,,,153.5,percent of total billed charges,123.9768816,,,,,,,,,,153.5,percent of total billed charges,195.5200918,,,,,,,,,,153.5,percent of total billed charges,999999999,,,,,,,,,,153.5,percent of total billed charges,133.6773991,,,,,,,,,,552.6,percent of total billed charges,,,,,
CHEST 1 VIEW,71045,CDM,0056-2780-01,NDC,,both,1,EA,595,595,126.6659471,595,595,percent of total billed charges,437.7626378,,,,595,percent of total billed charges,464.0197405,,,,595,percent of total billed charges,437.7626378,,,,595,percent of total billed charges,464.0197405,,,,595,percent of total billed charges,999999999,,,,595,percent of total billed charges,453.3491059,,,,595,percent of total billed charges,437.7626378,,,,595,percent of total billed charges,464.0197405,,,,424.235,percent of total billed charges,211.7010285,,,,424.235,percent of total billed charges,126.6659471,,,,424.235,percent of total billed charges,211.7010285,,,,424.235,percent of total billed charges,126.6659471,,,,424.235,percent of total billed charges,211.7010285,,,,424.235,percent of total billed charges,126.6659471,,,,420.07,percent of total billed charges,416.8828147,,,,420.07,percent of total billed charges,287.5207731,,,,,,,,,,428.4,percent of total billed charges,278.4499188,,,,,,,,,,428.4,percent of total billed charges,999999999,,,,,,,,,,476,percent of total billed charges,398.8632567,,,,470.05,percent of total billed charges,453.6184786,,,,470.05,percent of total billed charges,400.7869413,,,,476,percent of total billed charges,999999999,,,,476,percent of total billed charges,999999999,,,,416.5,percent of total billed charges,999999999,,,,416.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,316.54,percent of total billed charges,999999999,,,,,,,,,,,,,,,,300.475,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,148.75,percent of total billed charges,141.2761144,,,,,,,,,,148.75,percent of total billed charges,138.9260824,,,,,,,,,,148.75,percent of total billed charges,138.5400128,,,,,,,,,,148.75,percent of total billed charges,136.5000127,,,,,,,,,,148.75,percent of total billed charges,140.0123587,,,,,,,,,,148.75,percent of total billed charges,999999999,,,,,,,,,,148.75,percent of total billed charges,120.1404635,,,,,,,,,,148.75,percent of total billed charges,189.4697958,,,,,,,,,,148.75,percent of total billed charges,999999999,,,,,,,,,,148.75,percent of total billed charges,129.5408021,,,,,,,,,,535.5,percent of total billed charges,,,,,
**CHEST PA W/PROFEE (FREEMAN COAL),71010,CDM,0056-2780-01,NDC,,both,1,EA,461,461,98.13949847,461,461,percent of total billed charges,339.1740774,,,,461,percent of total billed charges,359.5178157,,,,461,percent of total billed charges,339.1740774,,,,461,percent of total billed charges,359.5178157,,,,461,percent of total billed charges,999999999,,,,461,percent of total billed charges,351.2503157,,,,461,percent of total billed charges,339.1740774,,,,461,percent of total billed charges,359.5178157,,,,328.693,percent of total billed charges,164.0238221,,,,328.693,percent of total billed charges,98.13949847,,,,328.693,percent of total billed charges,164.0238221,,,,328.693,percent of total billed charges,98.13949847,,,,328.693,percent of total billed charges,164.0238221,,,,328.693,percent of total billed charges,98.13949847,,,,325.466,percent of total billed charges,322.996601,,,,325.466,percent of total billed charges,222.7681956,,,,,,,,,,331.92,percent of total billed charges,215.7401892,,,,,,,,,,331.92,percent of total billed charges,999999999,,,,,,,,,,368.8,percent of total billed charges,309.0352291,,,,364.19,percent of total billed charges,351.4590229,,,,364.19,percent of total billed charges,310.5256806,,,,368.8,percent of total billed charges,999999999,,,,368.8,percent of total billed charges,999999999,,,,322.7,percent of total billed charges,999999999,,,,322.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,245.252,percent of total billed charges,999999999,,,,,,,,,,,,,,,,232.805,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,115.25,percent of total billed charges,109.4593088,,,,,,,,,,115.25,percent of total billed charges,107.6385277,,,,,,,,,,115.25,percent of total billed charges,107.3394048,,,,,,,,,,115.25,percent of total billed charges,105.7588334,,,,,,,,,,115.25,percent of total billed charges,108.4801637,,,,,,,,,,115.25,percent of total billed charges,999999999,,,,,,,,,,115.25,percent of total billed charges,93.0836196,,,,,,,,,,115.25,percent of total billed charges,146.7992871,,,,,,,,,,115.25,percent of total billed charges,999999999,,,,,,,,,,115.25,percent of total billed charges,100.3669072,,,,,,,,,,414.9,percent of total billed charges,,,,,
CHEST 4 VIEWS,71048,CDM,0056-2780-01,NDC,,both,1,EA,858,858,182.6544245,858,858,percent of total billed charges,631.2610811,,,,858,percent of total billed charges,669.1242644,,,,858,percent of total billed charges,631.2610811,,,,858,percent of total billed charges,669.1242644,,,,858,percent of total billed charges,999999999,,,,858,percent of total billed charges,653.73703,,,,858,percent of total billed charges,631.2610811,,,,858,percent of total billed charges,669.1242644,,,,611.754,percent of total billed charges,305.2764411,,,,611.754,percent of total billed charges,182.6544245,,,,611.754,percent of total billed charges,305.2764411,,,,611.754,percent of total billed charges,182.6544245,,,,611.754,percent of total billed charges,305.2764411,,,,611.754,percent of total billed charges,182.6544245,,,,605.748,percent of total billed charges,601.1520252,,,,605.748,percent of total billed charges,414.6097871,,,,,,,,,,617.76,percent of total billed charges,401.5294628,,,,,,,,,,617.76,percent of total billed charges,999999999,,,,,,,,,,686.4,percent of total billed charges,575.1675197,,,,677.82,percent of total billed charges,654.1254699,,,,677.82,percent of total billed charges,577.9415052,,,,686.4,percent of total billed charges,999999999,,,,686.4,percent of total billed charges,999999999,,,,600.6,percent of total billed charges,999999999,,,,600.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,456.456,percent of total billed charges,999999999,,,,,,,,,,,,,,,,433.29,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,214.5,percent of total billed charges,203.7225314,,,,,,,,,,214.5,percent of total billed charges,200.3337457,,,,,,,,,,214.5,percent of total billed charges,199.7770268,,,,,,,,,,214.5,percent of total billed charges,196.8353125,,,,,,,,,,214.5,percent of total billed charges,201.9001745,,,,,,,,,,214.5,percent of total billed charges,999999999,,,,,,,,,,214.5,percent of total billed charges,173.2445675,,,,,,,,,,214.5,percent of total billed charges,273.2186298,,,,,,,,,,214.5,percent of total billed charges,999999999,,,,,,,,,,214.5,percent of total billed charges,186.8000138,,,,,,,,,,772.2,percent of total billed charges,,,,,
**FLUOROSCOPY - SPECIAL,76001,CDM,0056-2780-01,NDC,,both,1,EA,1653,1653,351.8971605,1653,1653,percent of total billed charges,1216.170824,,,,1653,percent of total billed charges,1289.117027,,,,1653,percent of total billed charges,1216.170824,,,,1653,percent of total billed charges,1289.117027,,,,1653,percent of total billed charges,999999999,,,,1653,percent of total billed charges,1259.47239,,,,1653,percent of total billed charges,1216.170824,,,,1653,percent of total billed charges,1289.117027,,,,1178.589,percent of total billed charges,588.1374792,,,,1178.589,percent of total billed charges,351.8971605,,,,1178.589,percent of total billed charges,588.1374792,,,,1178.589,percent of total billed charges,351.8971605,,,,1178.589,percent of total billed charges,588.1374792,,,,1178.589,percent of total billed charges,351.8971605,,,,1167.018,percent of total billed charges,1158.163517,,,,1167.018,percent of total billed charges,798.7761981,,,,,,,,,,1190.16,percent of total billed charges,773.575993,,,,,,,,,,1190.16,percent of total billed charges,999999999,,,,,,,,,,1322.4,percent of total billed charges,1108.102459,,,,1305.87,percent of total billed charges,1260.220748,,,,1305.87,percent of total billed charges,1113.446746,,,,1322.4,percent of total billed charges,999999999,,,,1322.4,percent of total billed charges,999999999,,,,1157.1,percent of total billed charges,999999999,,,,1157.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,879.396,percent of total billed charges,999999999,,,,,,,,,,,,,,,,834.765,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,413.25,percent of total billed charges,392.4864154,,,,,,,,,,413.25,percent of total billed charges,385.9576709,,,,,,,,,,413.25,percent of total billed charges,384.8851111,,,,,,,,,,413.25,percent of total billed charges,379.2176825,,,,,,,,,,413.25,percent of total billed charges,388.9755109,,,,,,,,,,413.25,percent of total billed charges,999999999,,,,,,,,,,413.25,percent of total billed charges,333.7683801,,,,,,,,,,413.25,percent of total billed charges,526.3757519,,,,,,,,,,413.25,percent of total billed charges,999999999,,,,,,,,,,413.25,percent of total billed charges,359.8839426,,,,,,,,,,1487.7,percent of total billed charges,,,,,
**CLAVICLE - BI,73000,CDM,0056-2780-01,NDC,50,both,1,EA,604,604,128.5819026,604,604,percent of total billed charges,444.3842575,,,,604,percent of total billed charges,471.0385264,,,,604,percent of total billed charges,444.3842575,,,,604,percent of total billed charges,471.0385264,,,,604,percent of total billed charges,999999999,,,,604,percent of total billed charges,460.2064873,,,,604,percent of total billed charges,444.3842575,,,,604,percent of total billed charges,471.0385264,,,,430.652,percent of total billed charges,214.9032289,,,,430.652,percent of total billed charges,128.5819026,,,,430.652,percent of total billed charges,214.9032289,,,,430.652,percent of total billed charges,128.5819026,,,,430.652,percent of total billed charges,214.9032289,,,,430.652,percent of total billed charges,128.5819026,,,,426.424,percent of total billed charges,423.1886052,,,,426.424,percent of total billed charges,291.8698268,,,,,,,,,,434.88,percent of total billed charges,282.6617664,,,,,,,,,,434.88,percent of total billed charges,999999999,,,,,,,,,,483.2,percent of total billed charges,404.8964824,,,,477.16,percent of total billed charges,460.4799345,,,,477.16,percent of total billed charges,406.8492648,,,,483.2,percent of total billed charges,999999999,,,,483.2,percent of total billed charges,999999999,,,,422.8,percent of total billed charges,999999999,,,,422.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,321.328,percent of total billed charges,999999999,,,,,,,,,,,,,,,,305.02,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,151,percent of total billed charges,143.413064,,,,,,,,,,151,percent of total billed charges,141.0274853,,,,,,,,,,151,percent of total billed charges,140.635576,,,,,,,,,,151,percent of total billed charges,138.5647188,,,,,,,,,,151,percent of total billed charges,142.1301927,,,,,,,,,,151,percent of total billed charges,999999999,,,,,,,,,,151,percent of total billed charges,121.9577142,,,,,,,,,,151,percent of total billed charges,192.3357254,,,,,,,,,,151,percent of total billed charges,999999999,,,,,,,,,,151,percent of total billed charges,131.5002428,,,,,,,,,,543.6,percent of total billed charges,,,,,
CLAVICLE RT,73000,CDM,0056-2780-01,NDC,RT,both,1,EA,532,532,113.2542585,532,532,percent of total billed charges,391.4112997,,,,532,percent of total billed charges,414.8882385,,,,532,percent of total billed charges,391.4112997,,,,532,percent of total billed charges,414.8882385,,,,532,percent of total billed charges,999999999,,,,532,percent of total billed charges,405.3474359,,,,532,percent of total billed charges,391.4112997,,,,532,percent of total billed charges,414.8882385,,,,379.316,percent of total billed charges,189.2856255,,,,379.316,percent of total billed charges,113.2542585,,,,379.316,percent of total billed charges,189.2856255,,,,379.316,percent of total billed charges,113.2542585,,,,379.316,percent of total billed charges,189.2856255,,,,379.316,percent of total billed charges,113.2542585,,,,375.592,percent of total billed charges,372.7422814,,,,375.592,percent of total billed charges,257.0773971,,,,,,,,,,383.04,percent of total billed charges,248.9669863,,,,,,,,,,383.04,percent of total billed charges,999999999,,,,,,,,,,425.6,percent of total billed charges,356.6306766,,,,420.28,percent of total billed charges,405.5882867,,,,420.28,percent of total billed charges,358.3506769,,,,425.6,percent of total billed charges,999999999,,,,425.6,percent of total billed charges,999999999,,,,372.4,percent of total billed charges,999999999,,,,372.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,283.024,percent of total billed charges,999999999,,,,,,,,,,,,,,,,268.66,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,133,percent of total billed charges,126.317467,,,,,,,,,,133,percent of total billed charges,124.2162619,,,,,,,,,,133,percent of total billed charges,123.8710702,,,,,,,,,,133,percent of total billed charges,122.0470702,,,,,,,,,,133,percent of total billed charges,125.1875208,,,,,,,,,,133,percent of total billed charges,999999999,,,,,,,,,,133,percent of total billed charges,107.4197085,,,,,,,,,,133,percent of total billed charges,169.408288,,,,,,,,,,133,percent of total billed charges,999999999,,,,,,,,,,133,percent of total billed charges,115.8247172,,,,,,,,,,478.8,percent of total billed charges,,,,,
CLAVICLE LT,73000,CDM,0056-2780-01,NDC,LT,both,1,EA,532,532,113.2542585,532,532,percent of total billed charges,391.4112997,,,,532,percent of total billed charges,414.8882385,,,,532,percent of total billed charges,391.4112997,,,,532,percent of total billed charges,414.8882385,,,,532,percent of total billed charges,999999999,,,,532,percent of total billed charges,405.3474359,,,,532,percent of total billed charges,391.4112997,,,,532,percent of total billed charges,414.8882385,,,,379.316,percent of total billed charges,189.2856255,,,,379.316,percent of total billed charges,113.2542585,,,,379.316,percent of total billed charges,189.2856255,,,,379.316,percent of total billed charges,113.2542585,,,,379.316,percent of total billed charges,189.2856255,,,,379.316,percent of total billed charges,113.2542585,,,,375.592,percent of total billed charges,372.7422814,,,,375.592,percent of total billed charges,257.0773971,,,,,,,,,,383.04,percent of total billed charges,248.9669863,,,,,,,,,,383.04,percent of total billed charges,999999999,,,,,,,,,,425.6,percent of total billed charges,356.6306766,,,,420.28,percent of total billed charges,405.5882867,,,,420.28,percent of total billed charges,358.3506769,,,,425.6,percent of total billed charges,999999999,,,,425.6,percent of total billed charges,999999999,,,,372.4,percent of total billed charges,999999999,,,,372.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,283.024,percent of total billed charges,999999999,,,,,,,,,,,,,,,,268.66,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,133,percent of total billed charges,126.317467,,,,,,,,,,133,percent of total billed charges,124.2162619,,,,,,,,,,133,percent of total billed charges,123.8710702,,,,,,,,,,133,percent of total billed charges,122.0470702,,,,,,,,,,133,percent of total billed charges,125.1875208,,,,,,,,,,133,percent of total billed charges,999999999,,,,,,,,,,133,percent of total billed charges,107.4197085,,,,,,,,,,133,percent of total billed charges,169.408288,,,,,,,,,,133,percent of total billed charges,999999999,,,,,,,,,,133,percent of total billed charges,115.8247172,,,,,,,,,,478.8,percent of total billed charges,,,,,
**CLAVICLE-COMPLETE,73000,CDM,0056-2780-01,NDC,,both,1,EA,514,514,109.4223475,514,514,percent of total billed charges,378.1680602,,,,514,percent of total billed charges,400.8506665,,,,514,percent of total billed charges,378.1680602,,,,514,percent of total billed charges,400.8506665,,,,514,percent of total billed charges,999999999,,,,514,percent of total billed charges,391.632673,,,,514,percent of total billed charges,378.1680602,,,,514,percent of total billed charges,400.8506665,,,,366.482,percent of total billed charges,182.8812246,,,,366.482,percent of total billed charges,109.4223475,,,,366.482,percent of total billed charges,182.8812246,,,,366.482,percent of total billed charges,109.4223475,,,,366.482,percent of total billed charges,182.8812246,,,,366.482,percent of total billed charges,109.4223475,,,,362.884,percent of total billed charges,360.1307004,,,,362.884,percent of total billed charges,248.3792897,,,,,,,,,,370.08,percent of total billed charges,240.5432912,,,,,,,,,,370.08,percent of total billed charges,999999999,,,,,,,,,,411.2,percent of total billed charges,344.5642251,,,,406.06,percent of total billed charges,391.8653748,,,,406.06,percent of total billed charges,346.2260299,,,,411.2,percent of total billed charges,999999999,,,,411.2,percent of total billed charges,999999999,,,,359.8,percent of total billed charges,999999999,,,,359.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,273.448,percent of total billed charges,999999999,,,,,,,,,,,,,,,,259.57,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,128.5,percent of total billed charges,122.0435678,,,,,,,,,,128.5,percent of total billed charges,120.013456,,,,,,,,,,128.5,percent of total billed charges,119.6799438,,,,,,,,,,128.5,percent of total billed charges,117.9176581,,,,,,,,,,128.5,percent of total billed charges,120.9518528,,,,,,,,,,128.5,percent of total billed charges,999999999,,,,,,,,,,128.5,percent of total billed charges,103.7852071,,,,,,,,,,128.5,percent of total billed charges,163.6764286,,,,,,,,,,128.5,percent of total billed charges,999999999,,,,,,,,,,128.5,percent of total billed charges,111.9058358,,,,,,,,,,462.6,percent of total billed charges,,,,,
CHEST FLUOROSCOPY,76000,CDM,0056-2780-01,NDC,,both,1,EA,983,983,209.2649176,983,983,percent of total billed charges,723.2280218,,,,983,percent of total billed charges,766.6074031,,,,983,percent of total billed charges,723.2280218,,,,983,percent of total billed charges,766.6074031,,,,983,percent of total billed charges,999999999,,,,983,percent of total billed charges,748.9784388,,,,983,percent of total billed charges,723.2280218,,,,983,percent of total billed charges,766.6074031,,,,700.879,percent of total billed charges,349.7514471,,,,700.879,percent of total billed charges,209.2649176,,,,700.879,percent of total billed charges,349.7514471,,,,700.879,percent of total billed charges,209.2649176,,,,700.879,percent of total billed charges,349.7514471,,,,700.879,percent of total billed charges,209.2649176,,,,693.998,percent of total billed charges,688.7324485,,,,693.998,percent of total billed charges,475.0133108,,,,,,,,,,707.76,percent of total billed charges,460.0273449,,,,,,,,,,707.76,percent of total billed charges,999999999,,,,,,,,,,786.4,percent of total billed charges,658.9623215,,,,776.57,percent of total billed charges,749.4234696,,,,776.57,percent of total billed charges,662.1404425,,,,786.4,percent of total billed charges,999999999,,,,786.4,percent of total billed charges,999999999,,,,688.1,percent of total billed charges,999999999,,,,688.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,522.956,percent of total billed charges,999999999,,,,,,,,,,,,,,,,496.415,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,245.75,percent of total billed charges,233.4023874,,,,,,,,,,245.75,percent of total billed charges,229.5198975,,,,,,,,,,245.75,percent of total billed charges,228.8820715,,,,,,,,,,245.75,percent of total billed charges,225.5117858,,,,,,,,,,245.75,percent of total billed charges,231.3145355,,,,,,,,,,245.75,percent of total billed charges,999999999,,,,,,,,,,245.75,percent of total billed charges,198.4841607,,,,,,,,,,245.75,percent of total billed charges,313.0232088,,,,,,,,,,245.75,percent of total billed charges,999999999,,,,,,,,,,245.75,percent of total billed charges,214.014468,,,,,,,,,,884.7,percent of total billed charges,,,,,
AIR CONTRAST COLON,74280,CDM,0056-2780-01,NDC,,both,1,EA,1645,1645,350.1940889,1645,1645,percent of total billed charges,1210.28494,,,,1645,percent of total billed charges,1282.878106,,,,1645,percent of total billed charges,1210.28494,,,,1645,percent of total billed charges,1282.878106,,,,1645,percent of total billed charges,999999999,,,,1645,percent of total billed charges,1253.37694,,,,1645,percent of total billed charges,1210.28494,,,,1645,percent of total billed charges,1282.878106,,,,1172.885,percent of total billed charges,585.2910788,,,,1172.885,percent of total billed charges,350.1940889,,,,1172.885,percent of total billed charges,585.2910788,,,,1172.885,percent of total billed charges,350.1940889,,,,1172.885,percent of total billed charges,585.2910788,,,,1172.885,percent of total billed charges,350.1940889,,,,1161.37,percent of total billed charges,1152.55837,,,,1161.37,percent of total billed charges,794.9103726,,,,,,,,,,1184.4,percent of total billed charges,769.8321286,,,,,,,,,,1184.4,percent of total billed charges,999999999,,,,,,,,,,1316,percent of total billed charges,1102.739592,,,,1299.55,percent of total billed charges,1254.121676,,,,1299.55,percent of total billed charges,1108.058014,,,,1316,percent of total billed charges,999999999,,,,1316,percent of total billed charges,999999999,,,,1151.5,percent of total billed charges,999999999,,,,1151.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,875.14,percent of total billed charges,999999999,,,,,,,,,,,,,,,,830.725,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,411.25,percent of total billed charges,390.5869046,,,,,,,,,,411.25,percent of total billed charges,384.0897572,,,,,,,,,,411.25,percent of total billed charges,383.0223882,,,,,,,,,,411.25,percent of total billed charges,377.3823882,,,,,,,,,,411.25,percent of total billed charges,387.0929918,,,,,,,,,,411.25,percent of total billed charges,999999999,,,,,,,,,,411.25,percent of total billed charges,332.1530461,,,,,,,,,,411.25,percent of total billed charges,523.8282588,,,,,,,,,,411.25,percent of total billed charges,999999999,,,,,,,,,,411.25,percent of total billed charges,358.1422175,,,,,,,,,,1480.5,percent of total billed charges,,,,,
COCCYX AND SACRUM,72220,CDM,0056-2780-01,NDC,,both,1,EA,689,689,146.6770378,689,689,percent of total billed charges,506.9217772,,,,689,percent of total billed charges,537.3270608,,,,689,percent of total billed charges,506.9217772,,,,689,percent of total billed charges,537.3270608,,,,689,percent of total billed charges,999999999,,,,689,percent of total billed charges,524.9706453,,,,689,percent of total billed charges,506.9217772,,,,689,percent of total billed charges,537.3270608,,,,491.257,percent of total billed charges,245.146233,,,,491.257,percent of total billed charges,146.6770378,,,,491.257,percent of total billed charges,245.146233,,,,491.257,percent of total billed charges,146.6770378,,,,491.257,percent of total billed charges,245.146233,,,,491.257,percent of total billed charges,146.6770378,,,,486.434,percent of total billed charges,482.743293,,,,486.434,percent of total billed charges,332.9442229,,,,,,,,,,496.08,percent of total billed charges,322.4403262,,,,,,,,,,496.08,percent of total billed charges,999999999,,,,,,,,,,551.2,percent of total billed charges,461.8769477,,,,544.31,percent of total billed charges,525.2825743,,,,544.31,percent of total billed charges,464.1045421,,,,551.2,percent of total billed charges,999999999,,,,551.2,percent of total billed charges,999999999,,,,482.3,percent of total billed charges,999999999,,,,482.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,366.548,percent of total billed charges,999999999,,,,,,,,,,,,,,,,347.945,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,172.25,percent of total billed charges,163.5953661,,,,,,,,,,172.25,percent of total billed charges,160.8740685,,,,,,,,,,172.25,percent of total billed charges,160.4270064,,,,,,,,,,172.25,percent of total billed charges,158.0647206,,,,,,,,,,172.25,percent of total billed charges,162.1319583,,,,,,,,,,172.25,percent of total billed charges,999999999,,,,,,,,,,172.25,percent of total billed charges,139.1206375,,,,,,,,,,172.25,percent of total billed charges,219.4028391,,,,,,,,,,172.25,percent of total billed charges,999999999,,,,,,,,,,172.25,percent of total billed charges,150.0060717,,,,,,,,,,620.1,percent of total billed charges,,,,,
**CONTRAST NONIONIC 240 50CC,A4645,CDM,0056-2780-01,NDC,,both,1,EA,191,191,40.66083342,191,191,percent of total billed charges,140.5254854,,,,191,percent of total billed charges,148.954236,,,,191,percent of total billed charges,140.5254854,,,,191,percent of total billed charges,148.954236,,,,191,percent of total billed charges,999999999,,,,191,percent of total billed charges,145.5288727,,,,191,percent of total billed charges,140.5254854,,,,191,percent of total billed charges,148.954236,,,,136.183,percent of total billed charges,67.95780915,,,,136.183,percent of total billed charges,40.66083342,,,,136.183,percent of total billed charges,67.95780915,,,,136.183,percent of total billed charges,40.66083342,,,,136.183,percent of total billed charges,67.95780915,,,,136.183,percent of total billed charges,40.66083342,,,,134.846,percent of total billed charges,133.8228867,,,,134.846,percent of total billed charges,92.2965843,,,,,,,,,,137.52,percent of total billed charges,89.38476386,,,,,,,,,,137.52,percent of total billed charges,999999999,,,,,,,,,,152.8,percent of total billed charges,128.0384572,,,,150.89,percent of total billed charges,145.6153435,,,,150.89,percent of total billed charges,128.6559761,,,,152.8,percent of total billed charges,999999999,,,,152.8,percent of total billed charges,999999999,,,,133.7,percent of total billed charges,999999999,,,,133.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,101.612,percent of total billed charges,999999999,,,,,,,,,,,,,,,,96.455,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,47.75,percent of total billed charges,45.35081992,,,,,,,,,,47.75,percent of total billed charges,44.59643989,,,,,,,,,,47.75,percent of total billed charges,44.47250829,,,,,,,,,,47.75,percent of total billed charges,43.81765115,,,,,,,,,,47.75,percent of total billed charges,44.94514373,,,,,,,,,,47.75,percent of total billed charges,999999999,,,,,,,,,,47.75,percent of total billed charges,38.56609836,,,,,,,,,,47.75,percent of total billed charges,60.82139662,,,,,,,,,,47.75,percent of total billed charges,999999999,,,,,,,,,,47.75,percent of total billed charges,41.58368605,,,,,,,,,,171.9,percent of total billed charges,,,,,
**CYSTO CONRAY II,621,RC,0056-2780-01,NDC,,both,1,EA,71,71,15.11476007,71,71,percent of total billed charges,52.23722233,,,,71,percent of total billed charges,55.37042281,,,,71,percent of total billed charges,52.23722233,,,,71,percent of total billed charges,55.37042281,,,,71,percent of total billed charges,999999999,,,,71,percent of total billed charges,54.0971202,,,,71,percent of total billed charges,52.23722233,,,,71,percent of total billed charges,55.37042281,,,,50.623,percent of total billed charges,25.2618034,,,,50.623,percent of total billed charges,15.11476007,,,,50.623,percent of total billed charges,25.2618034,,,,50.623,percent of total billed charges,15.11476007,,,,50.623,percent of total billed charges,25.2618034,,,,50.623,percent of total billed charges,15.11476007,,,,50.126,percent of total billed charges,49.74568041,,,,50.126,percent of total billed charges,34.30920149,,,,,,,,,,51.12,percent of total billed charges,33.22679704,,,,,,,,,,51.12,percent of total billed charges,999999999,,,,,,,,,,56.8,percent of total billed charges,47.59544744,,,,56.09,percent of total billed charges,54.12926383,,,,56.09,percent of total billed charges,47.82499635,,,,56.8,percent of total billed charges,999999999,,,,56.8,percent of total billed charges,999999999,,,,49.7,percent of total billed charges,999999999,,,,49.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,37.772,percent of total billed charges,999999999,,,,,,,,,,,,,,,,35.855,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17.75,percent of total billed charges,16.85815819,,,,,,,,,,17.75,percent of total billed charges,16.5777342,,,,,,,,,,17.75,percent of total billed charges,16.53166539,,,,,,,,,,17.75,percent of total billed charges,16.28823682,,,,,,,,,,17.75,percent of total billed charges,16.70735709,,,,,,,,,,17.75,percent of total billed charges,999999999,,,,,,,,,,17.75,percent of total billed charges,14.33608892,,,,,,,,,,17.75,percent of total billed charges,22.60900084,,,,,,,,,,17.75,percent of total billed charges,999999999,,,,,,,,,,17.75,percent of total billed charges,15.45781,,,,,,,,,,63.9,percent of total billed charges,,,,,
CYSTOGRAM W/INJ FOR CYSTO OR VOID UR,74430,CDM,0056-2780-01,NDC,,both,1,EA,1103,1103,234.8109909,1103,1103,percent of total billed charges,811.5162849,,,,1103,percent of total billed charges,860.1912163,,,,1103,percent of total billed charges,811.5162849,,,,1103,percent of total billed charges,860.1912163,,,,1103,percent of total billed charges,999999999,,,,1103,percent of total billed charges,840.4101913,,,,1103,percent of total billed charges,811.5162849,,,,1103,percent of total billed charges,860.1912163,,,,786.439,percent of total billed charges,392.4474529,,,,786.439,percent of total billed charges,234.8109909,,,,786.439,percent of total billed charges,392.4474529,,,,786.439,percent of total billed charges,234.8109909,,,,786.439,percent of total billed charges,392.4474529,,,,786.439,percent of total billed charges,234.8109909,,,,778.718,percent of total billed charges,772.8096548,,,,778.718,percent of total billed charges,533.0006936,,,,,,,,,,794.16,percent of total billed charges,516.1853117,,,,,,,,,,794.16,percent of total billed charges,999999999,,,,,,,,,,882.4,percent of total billed charges,739.4053313,,,,871.37,percent of total billed charges,840.9095493,,,,871.37,percent of total billed charges,742.9714222,,,,882.4,percent of total billed charges,999999999,,,,882.4,percent of total billed charges,999999999,,,,772.1,percent of total billed charges,999999999,,,,772.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,586.796,percent of total billed charges,999999999,,,,,,,,,,,,,,,,557.015,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,275.75,percent of total billed charges,261.8950491,,,,,,,,,,275.75,percent of total billed charges,257.5386031,,,,,,,,,,275.75,percent of total billed charges,256.8229144,,,,,,,,,,275.75,percent of total billed charges,253.0412001,,,,,,,,,,275.75,percent of total billed charges,259.5523222,,,,,,,,,,275.75,percent of total billed charges,999999999,,,,,,,,,,275.75,percent of total billed charges,222.7141701,,,,,,,,,,275.75,percent of total billed charges,351.2356046,,,,,,,,,,275.75,percent of total billed charges,999999999,,,,,,,,,,275.75,percent of total billed charges,240.140344,,,,,,,,,,992.7,percent of total billed charges,,,,,
CYSTOGRAM,74430,CDM,0056-2780-01,NDC,,both,1,EA,1032,1032,219.6962309,1032,1032,percent of total billed charges,759.2790625,,,,1032,percent of total billed charges,804.8207935,,,,1032,percent of total billed charges,759.2790625,,,,1032,percent of total billed charges,804.8207935,,,,1032,percent of total billed charges,999999999,,,,1032,percent of total billed charges,786.3130711,,,,1032,percent of total billed charges,759.2790625,,,,1032,percent of total billed charges,804.8207935,,,,735.816,percent of total billed charges,367.1856495,,,,735.816,percent of total billed charges,219.6962309,,,,735.816,percent of total billed charges,367.1856495,,,,735.816,percent of total billed charges,219.6962309,,,,735.816,percent of total billed charges,367.1856495,,,,735.816,percent of total billed charges,219.6962309,,,,728.592,percent of total billed charges,723.0639744,,,,728.592,percent of total billed charges,498.6914921,,,,,,,,,,743.04,percent of total billed charges,482.9585147,,,,,,,,,,743.04,percent of total billed charges,999999999,,,,,,,,,,825.6,percent of total billed charges,691.8098839,,,,815.28,percent of total billed charges,786.7802855,,,,815.28,percent of total billed charges,695.1464259,,,,825.6,percent of total billed charges,999999999,,,,825.6,percent of total billed charges,999999999,,,,722.4,percent of total billed charges,999999999,,,,722.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,549.024,percent of total billed charges,999999999,,,,,,,,,,,,,,,,521.16,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,258,percent of total billed charges,245.0368909,,,,,,,,,,258,percent of total billed charges,240.9608689,,,,,,,,,,258,percent of total billed charges,240.291249,,,,,,,,,,258,percent of total billed charges,236.7529633,,,,,,,,,,258,percent of total billed charges,242.8449651,,,,,,,,,,258,percent of total billed charges,999999999,,,,,,,,,,258,percent of total billed charges,208.3780812,,,,,,,,,,258,percent of total billed charges,328.6266037,,,,,,,,,,258,percent of total billed charges,999999999,,,,,,,,,,258,percent of total billed charges,224.682534,,,,,,,,,,928.8,percent of total billed charges,,,,,
TOMOGRAPHY,76100,CDM,0056-2780-01,NDC,,both,1,EA,909,909,193.5115057,909,909,percent of total billed charges,668.7835929,,,,909,percent of total billed charges,708.897385,,,,909,percent of total billed charges,668.7835929,,,,909,percent of total billed charges,708.897385,,,,909,percent of total billed charges,999999999,,,,909,percent of total billed charges,692.5955248,,,,909,percent of total billed charges,668.7835929,,,,909,percent of total billed charges,708.897385,,,,648.117,percent of total billed charges,323.4222436,,,,648.117,percent of total billed charges,193.5115057,,,,648.117,percent of total billed charges,323.4222436,,,,648.117,percent of total billed charges,193.5115057,,,,648.117,percent of total billed charges,323.4222436,,,,648.117,percent of total billed charges,193.5115057,,,,641.754,percent of total billed charges,636.8848379,,,,641.754,percent of total billed charges,439.2544247,,,,,,,,,,654.48,percent of total billed charges,425.3965987,,,,,,,,,,654.48,percent of total billed charges,999999999,,,,,,,,,,727.2,percent of total billed charges,609.3557989,,,,718.11,percent of total billed charges,693.0070538,,,,718.11,percent of total billed charges,612.2946716,,,,727.2,percent of total billed charges,999999999,,,,727.2,percent of total billed charges,999999999,,,,636.3,percent of total billed charges,999999999,,,,636.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,483.588,percent of total billed charges,999999999,,,,,,,,,,,,,,,,459.045,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,227.25,percent of total billed charges,215.8319126,,,,,,,,,,227.25,percent of total billed charges,212.2416956,,,,,,,,,,227.25,percent of total billed charges,211.651885,,,,,,,,,,227.25,percent of total billed charges,208.5353136,,,,,,,,,,227.25,percent of total billed charges,213.9012338,,,,,,,,,,227.25,percent of total billed charges,999999999,,,,,,,,,,227.25,percent of total billed charges,183.5423215,,,,,,,,,,227.25,percent of total billed charges,289.4588981,,,,,,,,,,227.25,percent of total billed charges,999999999,,,,,,,,,,227.25,percent of total billed charges,197.9035111,,,,,,,,,,818.1,percent of total billed charges,,,,,
CHOLANGIOGRAM (OR-3),74300,CDM,0056-2780-01,NDC,,both,1,EA,1422,1422,302.7209693,1422,1422,percent of total billed charges,1046.215918,,,,1422,percent of total billed charges,1108.968186,,,,1422,percent of total billed charges,1046.215918,,,,1422,percent of total billed charges,1108.968186,,,,1422,percent of total billed charges,999999999,,,,1422,percent of total billed charges,1083.466267,,,,1422,percent of total billed charges,1046.215918,,,,1422,percent of total billed charges,1108.968186,,,,1013.886,percent of total billed charges,505.9476682,,,,1013.886,percent of total billed charges,302.7209693,,,,1013.886,percent of total billed charges,505.9476682,,,,1013.886,percent of total billed charges,302.7209693,,,,1013.886,percent of total billed charges,505.9476682,,,,1013.886,percent of total billed charges,302.7209693,,,,1003.932,percent of total billed charges,996.314895,,,,1003.932,percent of total billed charges,687.1504862,,,,,,,,,,1023.84,percent of total billed charges,665.4719069,,,,,,,,,,1023.84,percent of total billed charges,999999999,,,,,,,,,,1137.6,percent of total billed charges,953.2496656,,,,1123.38,percent of total billed charges,1084.110045,,,,1123.38,percent of total billed charges,957.8471101,,,,1137.6,percent of total billed charges,999999999,,,,1137.6,percent of total billed charges,999999999,,,,995.4,percent of total billed charges,999999999,,,,995.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,756.504,percent of total billed charges,999999999,,,,,,,,,,,,,,,,718.11,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,355.5,percent of total billed charges,337.6380415,,,,,,,,,,355.5,percent of total billed charges,332.0216624,,,,,,,,,,355.5,percent of total billed charges,331.0989885,,,,,,,,,,355.5,percent of total billed charges,326.2235599,,,,,,,,,,355.5,percent of total billed charges,334.6177717,,,,,,,,,,355.5,percent of total billed charges,999999999,,,,,,,,,,355.5,percent of total billed charges,287.1256119,,,,,,,,,,355.5,percent of total billed charges,452.81689,,,,,,,,,,355.5,percent of total billed charges,999999999,,,,,,,,,,355.5,percent of total billed charges,309.5916312,,,,,,,,,,1279.8,percent of total billed charges,,,,,
GALLBLADDER ORAL CONTRAST,74290,CDM,0056-2780-01,NDC,,both,1,EA,665,665,141.5678232,665,665,percent of total billed charges,489.2641246,,,,665,percent of total billed charges,518.6102982,,,,665,percent of total billed charges,489.2641246,,,,665,percent of total billed charges,518.6102982,,,,665,percent of total billed charges,999999999,,,,665,percent of total billed charges,506.6842948,,,,665,percent of total billed charges,489.2641246,,,,665,percent of total billed charges,518.6102982,,,,474.145,percent of total billed charges,236.6070319,,,,474.145,percent of total billed charges,141.5678232,,,,474.145,percent of total billed charges,236.6070319,,,,474.145,percent of total billed charges,141.5678232,,,,474.145,percent of total billed charges,236.6070319,,,,474.145,percent of total billed charges,141.5678232,,,,469.49,percent of total billed charges,465.9278517,,,,469.49,percent of total billed charges,321.3467464,,,,,,,,,,478.8,percent of total billed charges,311.2087328,,,,,,,,,,478.8,percent of total billed charges,999999999,,,,,,,,,,532,percent of total billed charges,445.7883457,,,,525.35,percent of total billed charges,506.9853584,,,,525.35,percent of total billed charges,447.9383461,,,,532,percent of total billed charges,999999999,,,,532,percent of total billed charges,999999999,,,,465.5,percent of total billed charges,999999999,,,,465.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,353.78,percent of total billed charges,999999999,,,,,,,,,,,,,,,,335.825,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,166.25,percent of total billed charges,157.8968338,,,,,,,,,,166.25,percent of total billed charges,155.2703274,,,,,,,,,,166.25,percent of total billed charges,154.8388378,,,,,,,,,,166.25,percent of total billed charges,152.5588378,,,,,,,,,,166.25,percent of total billed charges,156.484401,,,,,,,,,,166.25,percent of total billed charges,999999999,,,,,,,,,,166.25,percent of total billed charges,134.2746357,,,,,,,,,,166.25,percent of total billed charges,211.76036,,,,,,,,,,166.25,percent of total billed charges,999999999,,,,,,,,,,166.25,percent of total billed charges,144.7808965,,,,,,,,,,598.5,percent of total billed charges,,,,,
**T-TUBE CHOLANGIOGRAM POST-OP,74305,CDM,0056-2780-01,NDC,,both,1,EA,863,863,183.7188442,863,863,percent of total billed charges,634.9397587,,,,863,percent of total billed charges,673.0235899,,,,863,percent of total billed charges,634.9397587,,,,863,percent of total billed charges,673.0235899,,,,863,percent of total billed charges,999999999,,,,863,percent of total billed charges,657.5466864,,,,863,percent of total billed charges,634.9397587,,,,863,percent of total billed charges,673.0235899,,,,615.319,percent of total billed charges,307.0554414,,,,615.319,percent of total billed charges,183.7188442,,,,615.319,percent of total billed charges,307.0554414,,,,615.319,percent of total billed charges,183.7188442,,,,615.319,percent of total billed charges,307.0554414,,,,615.319,percent of total billed charges,183.7188442,,,,609.278,percent of total billed charges,604.6552422,,,,609.278,percent of total billed charges,417.025928,,,,,,,,,,621.36,percent of total billed charges,403.8693781,,,,,,,,,,621.36,percent of total billed charges,999999999,,,,,,,,,,690.4,percent of total billed charges,578.5193118,,,,681.77,percent of total billed charges,657.9373899,,,,681.77,percent of total billed charges,581.3094627,,,,690.4,percent of total billed charges,999999999,,,,690.4,percent of total billed charges,999999999,,,,604.1,percent of total billed charges,999999999,,,,604.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,459.116,percent of total billed charges,999999999,,,,,,,,,,,,,,,,435.815,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,215.75,percent of total billed charges,204.9097256,,,,,,,,,,215.75,percent of total billed charges,201.5011918,,,,,,,,,,215.75,percent of total billed charges,200.9412286,,,,,,,,,,215.75,percent of total billed charges,197.9823714,,,,,,,,,,215.75,percent of total billed charges,203.0767489,,,,,,,,,,215.75,percent of total billed charges,999999999,,,,,,,,,,215.75,percent of total billed charges,174.2541512,,,,,,,,,,215.75,percent of total billed charges,274.810813,,,,,,,,,,215.75,percent of total billed charges,999999999,,,,,,,,,,215.75,percent of total billed charges,187.8885919,,,,,,,,,,776.7,percent of total billed charges,,,,,
**ELBOW 2 VIEWS,73070,CDM,0056-2780-01,NDC,,both,1,EA,480,480,102.1842934,480,480,percent of total billed charges,353.1530523,,,,480,percent of total billed charges,374.3352528,,,,480,percent of total billed charges,353.1530523,,,,480,percent of total billed charges,374.3352528,,,,480,percent of total billed charges,999999999,,,,480,percent of total billed charges,365.7270098,,,,480,percent of total billed charges,353.1530523,,,,480,percent of total billed charges,374.3352528,,,,342.24,percent of total billed charges,170.784023,,,,342.24,percent of total billed charges,102.1842934,,,,342.24,percent of total billed charges,170.784023,,,,342.24,percent of total billed charges,102.1842934,,,,342.24,percent of total billed charges,170.784023,,,,342.24,percent of total billed charges,102.1842934,,,,338.88,percent of total billed charges,336.3088253,,,,338.88,percent of total billed charges,231.9495312,,,,,,,,,,345.6,percent of total billed charges,224.6318673,,,,,,,,,,345.6,percent of total billed charges,999999999,,,,,,,,,,384,percent of total billed charges,321.772039,,,,379.2,percent of total billed charges,365.9443188,,,,379.2,percent of total billed charges,323.323919,,,,384,percent of total billed charges,999999999,,,,384,percent of total billed charges,999999999,,,,336,percent of total billed charges,999999999,,,,336,percent of total billed charges,999999999,,,,,,,,,,,,,,,,255.36,percent of total billed charges,999999999,,,,,,,,,,,,,,,,242.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,120,percent of total billed charges,113.9706469,,,,,,,,,,120,percent of total billed charges,112.0748228,,,,,,,,,,120,percent of total billed charges,111.7633716,,,,,,,,,,120,percent of total billed charges,110.1176573,,,,,,,,,,120,percent of total billed charges,112.9511466,,,,,,,,,,120,percent of total billed charges,999999999,,,,,,,,,,120,percent of total billed charges,96.92003777,,,,,,,,,,120,percent of total billed charges,152.8495831,,,,,,,,,,120,percent of total billed charges,999999999,,,,,,,,,,120,percent of total billed charges,104.5035042,,,,,,,,,,432,percent of total billed charges,,,,,
ESOPHAGUS,74220,CDM,0056-2780-01,NDC,,both,1,EA,899,899,191.3826662,899,899,percent of total billed charges,661.4262376,,,,899,percent of total billed charges,701.0987339,,,,899,percent of total billed charges,661.4262376,,,,899,percent of total billed charges,701.0987339,,,,899,percent of total billed charges,999999999,,,,899,percent of total billed charges,684.9762121,,,,899,percent of total billed charges,661.4262376,,,,899,percent of total billed charges,701.0987339,,,,640.987,percent of total billed charges,319.8642431,,,,640.987,percent of total billed charges,191.3826662,,,,640.987,percent of total billed charges,319.8642431,,,,640.987,percent of total billed charges,191.3826662,,,,640.987,percent of total billed charges,319.8642431,,,,640.987,percent of total billed charges,191.3826662,,,,634.694,percent of total billed charges,629.8784041,,,,634.694,percent of total billed charges,434.4221428,,,,,,,,,,647.28,percent of total billed charges,420.7167681,,,,,,,,,,647.28,percent of total billed charges,999999999,,,,,,,,,,719.2,percent of total billed charges,602.6522147,,,,710.21,percent of total billed charges,685.3832138,,,,710.21,percent of total billed charges,605.5587566,,,,719.2,percent of total billed charges,999999999,,,,719.2,percent of total billed charges,999999999,,,,629.3,percent of total billed charges,999999999,,,,629.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,478.268,percent of total billed charges,999999999,,,,,,,,,,,,,,,,453.995,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,224.75,percent of total billed charges,213.4575241,,,,,,,,,,224.75,percent of total billed charges,209.9068035,,,,,,,,,,224.75,percent of total billed charges,209.3234814,,,,,,,,,,224.75,percent of total billed charges,206.2411957,,,,,,,,,,224.75,percent of total billed charges,211.5480849,,,,,,,,,,224.75,percent of total billed charges,999999999,,,,,,,,,,224.75,percent of total billed charges,181.5231541,,,,,,,,,,224.75,percent of total billed charges,286.2745317,,,,,,,,,,224.75,percent of total billed charges,999999999,,,,,,,,,,224.75,percent of total billed charges,195.7263548,,,,,,,,,,809.1,percent of total billed charges,,,,,
FISTULA SINUS STUDY,76080,CDM,0056-2780-01,NDC,,both,1,EA,1230,1230,261.8472519,1230,1230,percent of total billed charges,904.9546966,,,,1230,percent of total billed charges,959.2340853,,,,1230,percent of total billed charges,904.9546966,,,,1230,percent of total billed charges,959.2340853,,,,1230,percent of total billed charges,999999999,,,,1230,percent of total billed charges,937.1754626,,,,1230,percent of total billed charges,904.9546966,,,,1230,percent of total billed charges,959.2340853,,,,876.99,percent of total billed charges,437.634059,,,,876.99,percent of total billed charges,261.8472519,,,,876.99,percent of total billed charges,437.634059,,,,876.99,percent of total billed charges,261.8472519,,,,876.99,percent of total billed charges,437.634059,,,,876.99,percent of total billed charges,261.8472519,,,,868.38,percent of total billed charges,861.7913649,,,,868.38,percent of total billed charges,594.3706737,,,,,,,,,,885.6,percent of total billed charges,575.61916,,,,,,,,,,885.6,percent of total billed charges,999999999,,,,,,,,,,984,percent of total billed charges,824.54085,,,,971.7,percent of total billed charges,937.732317,,,,971.7,percent of total billed charges,828.5175425,,,,984,percent of total billed charges,999999999,,,,984,percent of total billed charges,999999999,,,,861,percent of total billed charges,999999999,,,,861,percent of total billed charges,999999999,,,,,,,,,,,,,,,,654.36,percent of total billed charges,999999999,,,,,,,,,,,,,,,,621.15,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,307.5,percent of total billed charges,292.0497827,,,,,,,,,,307.5,percent of total billed charges,287.1917333,,,,,,,,,,307.5,percent of total billed charges,286.3936398,,,,,,,,,,307.5,percent of total billed charges,282.1764969,,,,,,,,,,307.5,percent of total billed charges,289.437313,,,,,,,,,,307.5,percent of total billed charges,999999999,,,,,,,,,,307.5,percent of total billed charges,248.3575968,,,,,,,,,,307.5,percent of total billed charges,391.6770568,,,,,,,,,,307.5,percent of total billed charges,999999999,,,,,,,,,,307.5,percent of total billed charges,267.7902295,,,,,,,,,,1107,percent of total billed charges,,,,,
INJECTION SINUS TRACT DX (SINOGRAM),20501,CDM,0056-2780-01,NDC,,both,1,EA,1007,1007,214.3741322,1007,1007,percent of total billed charges,740.8856744,,,,1007,percent of total billed charges,785.3241658,,,,1007,percent of total billed charges,740.8856744,,,,1007,percent of total billed charges,785.3241658,,,,1007,percent of total billed charges,999999999,,,,1007,percent of total billed charges,767.2647893,,,,1007,percent of total billed charges,740.8856744,,,,1007,percent of total billed charges,785.3241658,,,,717.991,percent of total billed charges,358.2906483,,,,717.991,percent of total billed charges,214.3741322,,,,717.991,percent of total billed charges,358.2906483,,,,717.991,percent of total billed charges,214.3741322,,,,717.991,percent of total billed charges,358.2906483,,,,717.991,percent of total billed charges,214.3741322,,,,710.942,percent of total billed charges,705.5478898,,,,710.942,percent of total billed charges,486.6107874,,,,,,,,,,725.04,percent of total billed charges,471.2589383,,,,,,,,,,725.04,percent of total billed charges,999999999,,,,,,,,,,805.6,percent of total billed charges,675.0509235,,,,795.53,percent of total billed charges,767.7206856,,,,795.53,percent of total billed charges,678.3066384,,,,805.6,percent of total billed charges,999999999,,,,805.6,percent of total billed charges,999999999,,,,704.9,percent of total billed charges,999999999,,,,704.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,535.724,percent of total billed charges,999999999,,,,,,,,,,,,,,,,508.535,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,251.75,percent of total billed charges,239.1009197,,,,,,,,,,251.75,percent of total billed charges,235.1236386,,,,,,,,,,251.75,percent of total billed charges,234.4702401,,,,,,,,,,251.75,percent of total billed charges,231.0176686,,,,,,,,,,251.75,percent of total billed charges,236.9620929,,,,,,,,,,251.75,percent of total billed charges,999999999,,,,,,,,,,251.75,percent of total billed charges,203.3301626,,,,,,,,,,251.75,percent of total billed charges,320.6656879,,,,,,,,,,251.75,percent of total billed charges,999999999,,,,,,,,,,251.75,percent of total billed charges,219.2396432,,,,,,,,,,906.3,percent of total billed charges,,,,,
FACIAL BONES LESS 3VIEWS,70140,CDM,0056-2780-01,NDC,,both,1,EA,583,583,124.1113397,583,583,percent of total billed charges,428.9338115,,,,583,percent of total billed charges,454.6613591,,,,583,percent of total billed charges,428.9338115,,,,583,percent of total billed charges,454.6613591,,,,583,percent of total billed charges,999999999,,,,583,percent of total billed charges,444.2059307,,,,583,percent of total billed charges,428.9338115,,,,583,percent of total billed charges,454.6613591,,,,415.679,percent of total billed charges,207.4314279,,,,415.679,percent of total billed charges,124.1113397,,,,415.679,percent of total billed charges,207.4314279,,,,415.679,percent of total billed charges,124.1113397,,,,415.679,percent of total billed charges,207.4314279,,,,415.679,percent of total billed charges,124.1113397,,,,411.598,percent of total billed charges,408.4750941,,,,411.598,percent of total billed charges,281.7220348,,,,,,,,,,419.76,percent of total billed charges,272.8341222,,,,,,,,,,419.76,percent of total billed charges,999999999,,,,,,,,,,466.4,percent of total billed charges,390.8189557,,,,460.57,percent of total billed charges,444.4698706,,,,460.57,percent of total billed charges,392.7038433,,,,466.4,percent of total billed charges,999999999,,,,466.4,percent of total billed charges,999999999,,,,408.1,percent of total billed charges,999999999,,,,408.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,310.156,percent of total billed charges,999999999,,,,,,,,,,,,,,,,294.415,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,145.75,percent of total billed charges,138.4268482,,,,,,,,,,145.75,percent of total billed charges,136.1242118,,,,,,,,,,145.75,percent of total billed charges,135.7459285,,,,,,,,,,145.75,percent of total billed charges,133.7470713,,,,,,,,,,145.75,percent of total billed charges,137.1885801,,,,,,,,,,145.75,percent of total billed charges,999999999,,,,,,,,,,145.75,percent of total billed charges,117.7174625,,,,,,,,,,145.75,percent of total billed charges,185.6485562,,,,,,,,,,145.75,percent of total billed charges,999999999,,,,,,,,,,145.75,percent of total billed charges,126.9282145,,,,,,,,,,524.7,percent of total billed charges,,,,,
**INJ CONTRAST ABSCESS/CYST VIA CATH,49424,CDM,0056-2780-01,NDC,,both,1,EA,609,609,129.6463223,609,609,percent of total billed charges,448.0629352,,,,609,percent of total billed charges,474.937852,,,,609,percent of total billed charges,448.0629352,,,,609,percent of total billed charges,474.937852,,,,609,percent of total billed charges,999999999,,,,609,percent of total billed charges,464.0161437,,,,609,percent of total billed charges,448.0629352,,,,609,percent of total billed charges,474.937852,,,,434.217,percent of total billed charges,216.6822292,,,,434.217,percent of total billed charges,129.6463223,,,,434.217,percent of total billed charges,216.6822292,,,,434.217,percent of total billed charges,129.6463223,,,,434.217,percent of total billed charges,216.6822292,,,,434.217,percent of total billed charges,129.6463223,,,,429.954,percent of total billed charges,426.6918221,,,,429.954,percent of total billed charges,294.2859677,,,,,,,,,,438.48,percent of total billed charges,285.0016816,,,,,,,,,,438.48,percent of total billed charges,999999999,,,,,,,,,,487.2,percent of total billed charges,408.2482745,,,,481.11,percent of total billed charges,464.2918545,,,,481.11,percent of total billed charges,410.2172222,,,,487.2,percent of total billed charges,999999999,,,,487.2,percent of total billed charges,999999999,,,,426.3,percent of total billed charges,999999999,,,,426.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,323.988,percent of total billed charges,999999999,,,,,,,,,,,,,,,,307.545,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,152.25,percent of total billed charges,144.6002583,,,,,,,,,,152.25,percent of total billed charges,142.1949314,,,,,,,,,,152.25,percent of total billed charges,141.7997778,,,,,,,,,,152.25,percent of total billed charges,139.7117778,,,,,,,,,,152.25,percent of total billed charges,143.3067672,,,,,,,,,,152.25,percent of total billed charges,999999999,,,,,,,,,,152.25,percent of total billed charges,122.9672979,,,,,,,,,,152.25,percent of total billed charges,193.9279086,,,,,,,,,,152.25,percent of total billed charges,999999999,,,,,,,,,,152.25,percent of total billed charges,132.588821,,,,,,,,,,548.1,percent of total billed charges,,,,,
FACIAL BONES COMPLETE MIN 3 VIEWS,70150,CDM,0056-2780-01,NDC,,both,1,EA,894,894,190.3182465,894,894,percent of total billed charges,657.74756,,,,894,percent of total billed charges,697.1994083,,,,894,percent of total billed charges,657.74756,,,,894,percent of total billed charges,697.1994083,,,,894,percent of total billed charges,999999999,,,,894,percent of total billed charges,681.1665558,,,,894,percent of total billed charges,657.74756,,,,894,percent of total billed charges,697.1994083,,,,637.422,percent of total billed charges,318.0852428,,,,637.422,percent of total billed charges,190.3182465,,,,637.422,percent of total billed charges,318.0852428,,,,637.422,percent of total billed charges,190.3182465,,,,637.422,percent of total billed charges,318.0852428,,,,637.422,percent of total billed charges,190.3182465,,,,631.164,percent of total billed charges,626.3751871,,,,631.164,percent of total billed charges,432.0060019,,,,,,,,,,643.68,percent of total billed charges,418.3768528,,,,,,,,,,643.68,percent of total billed charges,999999999,,,,,,,,,,715.2,percent of total billed charges,599.3004226,,,,706.26,percent of total billed charges,681.5712938,,,,706.26,percent of total billed charges,602.1907992,,,,715.2,percent of total billed charges,999999999,,,,715.2,percent of total billed charges,999999999,,,,625.8,percent of total billed charges,999999999,,,,625.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,475.608,percent of total billed charges,999999999,,,,,,,,,,,,,,,,451.47,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,223.5,percent of total billed charges,212.2703299,,,,,,,,,,223.5,percent of total billed charges,208.7393574,,,,,,,,,,223.5,percent of total billed charges,208.1592797,,,,,,,,,,223.5,percent of total billed charges,205.0941368,,,,,,,,,,223.5,percent of total billed charges,210.3715105,,,,,,,,,,223.5,percent of total billed charges,999999999,,,,,,,,,,223.5,percent of total billed charges,180.5135703,,,,,,,,,,223.5,percent of total billed charges,284.6823486,,,,,,,,,,223.5,percent of total billed charges,999999999,,,,,,,,,,223.5,percent of total billed charges,194.6377766,,,,,,,,,,804.6,percent of total billed charges,,,,,
FINGER 1ST DIGIT RT HAND,73140,CDM,0056-2780-01,NDC,F5,both,1,EA,450,450,95.79777508,450,450,percent of total billed charges,331.0809866,,,,450,percent of total billed charges,350.9392995,,,,450,percent of total billed charges,331.0809866,,,,450,percent of total billed charges,350.9392995,,,,450,percent of total billed charges,999999999,,,,450,percent of total billed charges,342.8690717,,,,450,percent of total billed charges,331.0809866,,,,450,percent of total billed charges,350.9392995,,,,320.85,percent of total billed charges,160.1100216,,,,320.85,percent of total billed charges,95.79777508,,,,320.85,percent of total billed charges,160.1100216,,,,320.85,percent of total billed charges,95.79777508,,,,320.85,percent of total billed charges,160.1100216,,,,320.85,percent of total billed charges,95.79777508,,,,317.7,percent of total billed charges,315.2895237,,,,317.7,percent of total billed charges,217.4526855,,,,,,,,,,324,percent of total billed charges,210.5923756,,,,,,,,,,324,percent of total billed charges,999999999,,,,,,,,,,360,percent of total billed charges,301.6612866,,,,355.5,percent of total billed charges,343.0727989,,,,355.5,percent of total billed charges,303.1161741,,,,360,percent of total billed charges,999999999,,,,360,percent of total billed charges,999999999,,,,315,percent of total billed charges,999999999,,,,315,percent of total billed charges,999999999,,,,,,,,,,,,,,,,239.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,227.25,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,112.5,percent of total billed charges,106.8474815,,,,,,,,,,112.5,percent of total billed charges,105.0701463,,,,,,,,,,112.5,percent of total billed charges,104.7781609,,,,,,,,,,112.5,percent of total billed charges,103.2353038,,,,,,,,,,112.5,percent of total billed charges,105.8916999,,,,,,,,,,112.5,percent of total billed charges,999999999,,,,,,,,,,112.5,percent of total billed charges,90.8625354,,,,,,,,,,112.5,percent of total billed charges,143.2964842,,,,,,,,,,112.5,percent of total billed charges,999999999,,,,,,,,,,112.5,percent of total billed charges,97.97203519,,,,,,,,,,405,percent of total billed charges,,,,,
FINGER 1ST DIGIT LT HAND,73140,CDM,0056-2780-01,NDC,FA,both,1,EA,450,450,95.79777508,450,450,percent of total billed charges,331.0809866,,,,450,percent of total billed charges,350.9392995,,,,450,percent of total billed charges,331.0809866,,,,450,percent of total billed charges,350.9392995,,,,450,percent of total billed charges,999999999,,,,450,percent of total billed charges,342.8690717,,,,450,percent of total billed charges,331.0809866,,,,450,percent of total billed charges,350.9392995,,,,320.85,percent of total billed charges,160.1100216,,,,320.85,percent of total billed charges,95.79777508,,,,320.85,percent of total billed charges,160.1100216,,,,320.85,percent of total billed charges,95.79777508,,,,320.85,percent of total billed charges,160.1100216,,,,320.85,percent of total billed charges,95.79777508,,,,317.7,percent of total billed charges,315.2895237,,,,317.7,percent of total billed charges,217.4526855,,,,,,,,,,324,percent of total billed charges,210.5923756,,,,,,,,,,324,percent of total billed charges,999999999,,,,,,,,,,360,percent of total billed charges,301.6612866,,,,355.5,percent of total billed charges,343.0727989,,,,355.5,percent of total billed charges,303.1161741,,,,360,percent of total billed charges,999999999,,,,360,percent of total billed charges,999999999,,,,315,percent of total billed charges,999999999,,,,315,percent of total billed charges,999999999,,,,,,,,,,,,,,,,239.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,227.25,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,112.5,percent of total billed charges,106.8474815,,,,,,,,,,112.5,percent of total billed charges,105.0701463,,,,,,,,,,112.5,percent of total billed charges,104.7781609,,,,,,,,,,112.5,percent of total billed charges,103.2353038,,,,,,,,,,112.5,percent of total billed charges,105.8916999,,,,,,,,,,112.5,percent of total billed charges,999999999,,,,,,,,,,112.5,percent of total billed charges,90.8625354,,,,,,,,,,112.5,percent of total billed charges,143.2964842,,,,,,,,,,112.5,percent of total billed charges,999999999,,,,,,,,,,112.5,percent of total billed charges,97.97203519,,,,,,,,,,405,percent of total billed charges,,,,,
FINGER 2ND DIGIT LT HAND,73140,CDM,0056-2780-01,NDC,F1,both,1,EA,450,450,95.79777508,450,450,percent of total billed charges,331.0809866,,,,450,percent of total billed charges,350.9392995,,,,450,percent of total billed charges,331.0809866,,,,450,percent of total billed charges,350.9392995,,,,450,percent of total billed charges,999999999,,,,450,percent of total billed charges,342.8690717,,,,450,percent of total billed charges,331.0809866,,,,450,percent of total billed charges,350.9392995,,,,320.85,percent of total billed charges,160.1100216,,,,320.85,percent of total billed charges,95.79777508,,,,320.85,percent of total billed charges,160.1100216,,,,320.85,percent of total billed charges,95.79777508,,,,320.85,percent of total billed charges,160.1100216,,,,320.85,percent of total billed charges,95.79777508,,,,317.7,percent of total billed charges,315.2895237,,,,317.7,percent of total billed charges,217.4526855,,,,,,,,,,324,percent of total billed charges,210.5923756,,,,,,,,,,324,percent of total billed charges,999999999,,,,,,,,,,360,percent of total billed charges,301.6612866,,,,355.5,percent of total billed charges,343.0727989,,,,355.5,percent of total billed charges,303.1161741,,,,360,percent of total billed charges,999999999,,,,360,percent of total billed charges,999999999,,,,315,percent of total billed charges,999999999,,,,315,percent of total billed charges,999999999,,,,,,,,,,,,,,,,239.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,227.25,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,112.5,percent of total billed charges,106.8474815,,,,,,,,,,112.5,percent of total billed charges,105.0701463,,,,,,,,,,112.5,percent of total billed charges,104.7781609,,,,,,,,,,112.5,percent of total billed charges,103.2353038,,,,,,,,,,112.5,percent of total billed charges,105.8916999,,,,,,,,,,112.5,percent of total billed charges,999999999,,,,,,,,,,112.5,percent of total billed charges,90.8625354,,,,,,,,,,112.5,percent of total billed charges,143.2964842,,,,,,,,,,112.5,percent of total billed charges,999999999,,,,,,,,,,112.5,percent of total billed charges,97.97203519,,,,,,,,,,405,percent of total billed charges,,,,,
FINGER 2ND DIGIT RT HAND,73140,CDM,0056-2780-01,NDC,F6,both,1,EA,450,450,95.79777508,450,450,percent of total billed charges,331.0809866,,,,450,percent of total billed charges,350.9392995,,,,450,percent of total billed charges,331.0809866,,,,450,percent of total billed charges,350.9392995,,,,450,percent of total billed charges,999999999,,,,450,percent of total billed charges,342.8690717,,,,450,percent of total billed charges,331.0809866,,,,450,percent of total billed charges,350.9392995,,,,320.85,percent of total billed charges,160.1100216,,,,320.85,percent of total billed charges,95.79777508,,,,320.85,percent of total billed charges,160.1100216,,,,320.85,percent of total billed charges,95.79777508,,,,320.85,percent of total billed charges,160.1100216,,,,320.85,percent of total billed charges,95.79777508,,,,317.7,percent of total billed charges,315.2895237,,,,317.7,percent of total billed charges,217.4526855,,,,,,,,,,324,percent of total billed charges,210.5923756,,,,,,,,,,324,percent of total billed charges,999999999,,,,,,,,,,360,percent of total billed charges,301.6612866,,,,355.5,percent of total billed charges,343.0727989,,,,355.5,percent of total billed charges,303.1161741,,,,360,percent of total billed charges,999999999,,,,360,percent of total billed charges,999999999,,,,315,percent of total billed charges,999999999,,,,315,percent of total billed charges,999999999,,,,,,,,,,,,,,,,239.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,227.25,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,112.5,percent of total billed charges,106.8474815,,,,,,,,,,112.5,percent of total billed charges,105.0701463,,,,,,,,,,112.5,percent of total billed charges,104.7781609,,,,,,,,,,112.5,percent of total billed charges,103.2353038,,,,,,,,,,112.5,percent of total billed charges,105.8916999,,,,,,,,,,112.5,percent of total billed charges,999999999,,,,,,,,,,112.5,percent of total billed charges,90.8625354,,,,,,,,,,112.5,percent of total billed charges,143.2964842,,,,,,,,,,112.5,percent of total billed charges,999999999,,,,,,,,,,112.5,percent of total billed charges,97.97203519,,,,,,,,,,405,percent of total billed charges,,,,,
FINGER 3RD DIGIT LT HAND,73140,CDM,0056-2780-01,NDC,F2,both,1,EA,450,450,95.79777508,450,450,percent of total billed charges,331.0809866,,,,450,percent of total billed charges,350.9392995,,,,450,percent of total billed charges,331.0809866,,,,450,percent of total billed charges,350.9392995,,,,450,percent of total billed charges,999999999,,,,450,percent of total billed charges,342.8690717,,,,450,percent of total billed charges,331.0809866,,,,450,percent of total billed charges,350.9392995,,,,320.85,percent of total billed charges,160.1100216,,,,320.85,percent of total billed charges,95.79777508,,,,320.85,percent of total billed charges,160.1100216,,,,320.85,percent of total billed charges,95.79777508,,,,320.85,percent of total billed charges,160.1100216,,,,320.85,percent of total billed charges,95.79777508,,,,317.7,percent of total billed charges,315.2895237,,,,317.7,percent of total billed charges,217.4526855,,,,,,,,,,324,percent of total billed charges,210.5923756,,,,,,,,,,324,percent of total billed charges,999999999,,,,,,,,,,360,percent of total billed charges,301.6612866,,,,355.5,percent of total billed charges,343.0727989,,,,355.5,percent of total billed charges,303.1161741,,,,360,percent of total billed charges,999999999,,,,360,percent of total billed charges,999999999,,,,315,percent of total billed charges,999999999,,,,315,percent of total billed charges,999999999,,,,,,,,,,,,,,,,239.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,227.25,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,112.5,percent of total billed charges,106.8474815,,,,,,,,,,112.5,percent of total billed charges,105.0701463,,,,,,,,,,112.5,percent of total billed charges,104.7781609,,,,,,,,,,112.5,percent of total billed charges,103.2353038,,,,,,,,,,112.5,percent of total billed charges,105.8916999,,,,,,,,,,112.5,percent of total billed charges,999999999,,,,,,,,,,112.5,percent of total billed charges,90.8625354,,,,,,,,,,112.5,percent of total billed charges,143.2964842,,,,,,,,,,112.5,percent of total billed charges,999999999,,,,,,,,,,112.5,percent of total billed charges,97.97203519,,,,,,,,,,405,percent of total billed charges,,,,,
FEMUR 2 VIEWS LT,73552,CDM,0056-2780-01,NDC,LT,both,1,EA,540,540,114.9573301,540,540,percent of total billed charges,397.2971839,,,,540,percent of total billed charges,421.1271594,,,,540,percent of total billed charges,397.2971839,,,,540,percent of total billed charges,421.1271594,,,,540,percent of total billed charges,999999999,,,,540,percent of total billed charges,411.442886,,,,540,percent of total billed charges,397.2971839,,,,540,percent of total billed charges,421.1271594,,,,385.02,percent of total billed charges,192.1320259,,,,385.02,percent of total billed charges,114.9573301,,,,385.02,percent of total billed charges,192.1320259,,,,385.02,percent of total billed charges,114.9573301,,,,385.02,percent of total billed charges,192.1320259,,,,385.02,percent of total billed charges,114.9573301,,,,381.24,percent of total billed charges,378.3474285,,,,381.24,percent of total billed charges,260.9432226,,,,,,,,,,388.8,percent of total billed charges,252.7108507,,,,,,,,,,388.8,percent of total billed charges,999999999,,,,,,,,,,432,percent of total billed charges,361.9935439,,,,426.6,percent of total billed charges,411.6873587,,,,426.6,percent of total billed charges,363.7394089,,,,432,percent of total billed charges,999999999,,,,432,percent of total billed charges,999999999,,,,378,percent of total billed charges,999999999,,,,378,percent of total billed charges,999999999,,,,,,,,,,,,,,,,287.28,percent of total billed charges,999999999,,,,,,,,,,,,,,,,272.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,135,percent of total billed charges,128.2169778,,,,,,,,,,135,percent of total billed charges,126.0841756,,,,,,,,,,135,percent of total billed charges,125.7337931,,,,,,,,,,135,percent of total billed charges,123.8823645,,,,,,,,,,135,percent of total billed charges,127.0700399,,,,,,,,,,135,percent of total billed charges,999999999,,,,,,,,,,135,percent of total billed charges,109.0350425,,,,,,,,,,135,percent of total billed charges,171.955781,,,,,,,,,,135,percent of total billed charges,999999999,,,,,,,,,,135,percent of total billed charges,117.5664422,,,,,,,,,,486,percent of total billed charges,,,,,
FEMUR 2 VIEWS RT,73552,CDM,0056-2780-01,NDC,RT,both,1,EA,540,540,114.9573301,540,540,percent of total billed charges,397.2971839,,,,540,percent of total billed charges,421.1271594,,,,540,percent of total billed charges,397.2971839,,,,540,percent of total billed charges,421.1271594,,,,540,percent of total billed charges,999999999,,,,540,percent of total billed charges,411.442886,,,,540,percent of total billed charges,397.2971839,,,,540,percent of total billed charges,421.1271594,,,,385.02,percent of total billed charges,192.1320259,,,,385.02,percent of total billed charges,114.9573301,,,,385.02,percent of total billed charges,192.1320259,,,,385.02,percent of total billed charges,114.9573301,,,,385.02,percent of total billed charges,192.1320259,,,,385.02,percent of total billed charges,114.9573301,,,,381.24,percent of total billed charges,378.3474285,,,,381.24,percent of total billed charges,260.9432226,,,,,,,,,,388.8,percent of total billed charges,252.7108507,,,,,,,,,,388.8,percent of total billed charges,999999999,,,,,,,,,,432,percent of total billed charges,361.9935439,,,,426.6,percent of total billed charges,411.6873587,,,,426.6,percent of total billed charges,363.7394089,,,,432,percent of total billed charges,999999999,,,,432,percent of total billed charges,999999999,,,,378,percent of total billed charges,999999999,,,,378,percent of total billed charges,999999999,,,,,,,,,,,,,,,,287.28,percent of total billed charges,999999999,,,,,,,,,,,,,,,,272.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,135,percent of total billed charges,128.2169778,,,,,,,,,,135,percent of total billed charges,126.0841756,,,,,,,,,,135,percent of total billed charges,125.7337931,,,,,,,,,,135,percent of total billed charges,123.8823645,,,,,,,,,,135,percent of total billed charges,127.0700399,,,,,,,,,,135,percent of total billed charges,999999999,,,,,,,,,,135,percent of total billed charges,109.0350425,,,,,,,,,,135,percent of total billed charges,171.955781,,,,,,,,,,135,percent of total billed charges,999999999,,,,,,,,,,135,percent of total billed charges,117.5664422,,,,,,,,,,486,percent of total billed charges,,,,,
**FEMUR 2 VIEWS BI,73550,CDM,0056-2780-01,NDC,50,both,1,EA,580,580,123.4726879,580,580,percent of total billed charges,426.7266049,,,,580,percent of total billed charges,452.3217638,,,,580,percent of total billed charges,426.7266049,,,,580,percent of total billed charges,452.3217638,,,,580,percent of total billed charges,999999999,,,,580,percent of total billed charges,441.9201368,,,,580,percent of total billed charges,426.7266049,,,,580,percent of total billed charges,452.3217638,,,,413.54,percent of total billed charges,206.3640278,,,,413.54,percent of total billed charges,123.4726879,,,,413.54,percent of total billed charges,206.3640278,,,,413.54,percent of total billed charges,123.4726879,,,,413.54,percent of total billed charges,206.3640278,,,,413.54,percent of total billed charges,123.4726879,,,,409.48,percent of total billed charges,406.3731639,,,,409.48,percent of total billed charges,280.2723502,,,,,,,,,,417.6,percent of total billed charges,271.430173,,,,,,,,,,417.6,percent of total billed charges,999999999,,,,,,,,,,464,percent of total billed charges,388.8078805,,,,458.2,percent of total billed charges,442.1827186,,,,458.2,percent of total billed charges,390.6830688,,,,464,percent of total billed charges,999999999,,,,464,percent of total billed charges,999999999,,,,406,percent of total billed charges,999999999,,,,406,percent of total billed charges,999999999,,,,,,,,,,,,,,,,308.56,percent of total billed charges,999999999,,,,,,,,,,,,,,,,292.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,145,percent of total billed charges,137.7145317,,,,,,,,,,145,percent of total billed charges,135.4237442,,,,,,,,,,145,percent of total billed charges,135.0474074,,,,,,,,,,145,percent of total billed charges,133.058836,,,,,,,,,,145,percent of total billed charges,136.4826354,,,,,,,,,,145,percent of total billed charges,999999999,,,,,,,,,,145,percent of total billed charges,117.1117123,,,,,,,,,,145,percent of total billed charges,184.6932463,,,,,,,,,,145,percent of total billed charges,999999999,,,,,,,,,,145,percent of total billed charges,126.2750676,,,,,,,,,,522,percent of total billed charges,,,,,
**FEMUR 2 VIEWS,73550,CDM,0056-2780-01,NDC,,both,1,EA,670,670,142.6322429,670,670,percent of total billed charges,492.9428022,,,,670,percent of total billed charges,522.5096237,,,,670,percent of total billed charges,492.9428022,,,,670,percent of total billed charges,522.5096237,,,,670,percent of total billed charges,999999999,,,,670,percent of total billed charges,510.4939512,,,,670,percent of total billed charges,492.9428022,,,,670,percent of total billed charges,522.5096237,,,,477.71,percent of total billed charges,238.3860321,,,,477.71,percent of total billed charges,142.6322429,,,,477.71,percent of total billed charges,238.3860321,,,,477.71,percent of total billed charges,142.6322429,,,,477.71,percent of total billed charges,238.3860321,,,,477.71,percent of total billed charges,142.6322429,,,,473.02,percent of total billed charges,469.4310687,,,,473.02,percent of total billed charges,323.7628873,,,,,,,,,,482.4,percent of total billed charges,313.5486481,,,,,,,,,,482.4,percent of total billed charges,999999999,,,,,,,,,,536,percent of total billed charges,449.1401378,,,,529.3,percent of total billed charges,510.7972784,,,,529.3,percent of total billed charges,451.3063036,,,,536,percent of total billed charges,999999999,,,,536,percent of total billed charges,999999999,,,,469,percent of total billed charges,999999999,,,,469,percent of total billed charges,999999999,,,,,,,,,,,,,,,,356.44,percent of total billed charges,999999999,,,,,,,,,,,,,,,,338.35,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,167.5,percent of total billed charges,159.084028,,,,,,,,,,167.5,percent of total billed charges,156.4377734,,,,,,,,,,167.5,percent of total billed charges,156.0030396,,,,,,,,,,167.5,percent of total billed charges,153.7058967,,,,,,,,,,167.5,percent of total billed charges,157.6609754,,,,,,,,,,167.5,percent of total billed charges,999999999,,,,,,,,,,167.5,percent of total billed charges,135.2842194,,,,,,,,,,167.5,percent of total billed charges,213.3525431,,,,,,,,,,167.5,percent of total billed charges,999999999,,,,,,,,,,167.5,percent of total billed charges,145.8694746,,,,,,,,,,603,percent of total billed charges,,,,,
FINGERS 2 VIEWS,73140,CDM,0056-2780-01,NDC,,both,1,EA,427,427,90.90144435,427,427,percent of total billed charges,314.1590695,,,,427,percent of total billed charges,333.002402,,,,427,percent of total billed charges,314.1590695,,,,427,percent of total billed charges,333.002402,,,,427,percent of total billed charges,999999999,,,,427,percent of total billed charges,325.3446525,,,,427,percent of total billed charges,314.1590695,,,,427,percent of total billed charges,333.002402,,,,304.451,percent of total billed charges,151.9266205,,,,304.451,percent of total billed charges,90.90144435,,,,304.451,percent of total billed charges,151.9266205,,,,304.451,percent of total billed charges,90.90144435,,,,304.451,percent of total billed charges,151.9266205,,,,304.451,percent of total billed charges,90.90144435,,,,301.462,percent of total billed charges,299.1747259,,,,301.462,percent of total billed charges,206.3384371,,,,,,,,,,307.44,percent of total billed charges,199.8287653,,,,,,,,,,307.44,percent of total billed charges,999999999,,,,,,,,,,341.6,percent of total billed charges,286.243043,,,,337.33,percent of total billed charges,325.537967,,,,337.33,percent of total billed charges,287.6235696,,,,341.6,percent of total billed charges,999999999,,,,341.6,percent of total billed charges,999999999,,,,298.9,percent of total billed charges,999999999,,,,298.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,227.164,percent of total billed charges,999999999,,,,,,,,,,,,,,,,215.635,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,106.75,percent of total billed charges,101.386388,,,,,,,,,,106.75,percent of total billed charges,99.69989442,,,,,,,,,,106.75,percent of total billed charges,99.42283268,,,,,,,,,,106.75,percent of total billed charges,97.95883268,,,,,,,,,,106.75,percent of total billed charges,100.4794575,,,,,,,,,,106.75,percent of total billed charges,999999999,,,,,,,,,,106.75,percent of total billed charges,86.21845026,,,,,,,,,,106.75,percent of total billed charges,135.9724417,,,,,,,,,,106.75,percent of total billed charges,999999999,,,,,,,,,,106.75,percent of total billed charges,92.96457562,,,,,,,,,,384.3,percent of total billed charges,,,,,
FLUORO GUIDE OR,76000,CDM,0056-2780-01,NDC,,both,1,EA,983,983,209.2649176,983,983,percent of total billed charges,723.2280218,,,,983,percent of total billed charges,766.6074031,,,,983,percent of total billed charges,723.2280218,,,,983,percent of total billed charges,766.6074031,,,,983,percent of total billed charges,999999999,,,,983,percent of total billed charges,748.9784388,,,,983,percent of total billed charges,723.2280218,,,,983,percent of total billed charges,766.6074031,,,,700.879,percent of total billed charges,349.7514471,,,,700.879,percent of total billed charges,209.2649176,,,,700.879,percent of total billed charges,349.7514471,,,,700.879,percent of total billed charges,209.2649176,,,,700.879,percent of total billed charges,349.7514471,,,,700.879,percent of total billed charges,209.2649176,,,,693.998,percent of total billed charges,688.7324485,,,,693.998,percent of total billed charges,475.0133108,,,,,,,,,,707.76,percent of total billed charges,460.0273449,,,,,,,,,,707.76,percent of total billed charges,999999999,,,,,,,,,,786.4,percent of total billed charges,658.9623215,,,,776.57,percent of total billed charges,749.4234696,,,,776.57,percent of total billed charges,662.1404425,,,,786.4,percent of total billed charges,999999999,,,,786.4,percent of total billed charges,999999999,,,,688.1,percent of total billed charges,999999999,,,,688.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,522.956,percent of total billed charges,999999999,,,,,,,,,,,,,,,,496.415,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,245.75,percent of total billed charges,233.4023874,,,,,,,,,,245.75,percent of total billed charges,229.5198975,,,,,,,,,,245.75,percent of total billed charges,228.8820715,,,,,,,,,,245.75,percent of total billed charges,225.5117858,,,,,,,,,,245.75,percent of total billed charges,231.3145355,,,,,,,,,,245.75,percent of total billed charges,999999999,,,,,,,,,,245.75,percent of total billed charges,198.4841607,,,,,,,,,,245.75,percent of total billed charges,313.0232088,,,,,,,,,,245.75,percent of total billed charges,999999999,,,,,,,,,,245.75,percent of total billed charges,214.014468,,,,,,,,,,884.7,percent of total billed charges,,,,,
FINGER 3RD DIGIT RT HAND,73140,CDM,0056-2780-01,NDC,F7,both,1,EA,450,450,95.79777508,450,450,percent of total billed charges,331.0809866,,,,450,percent of total billed charges,350.9392995,,,,450,percent of total billed charges,331.0809866,,,,450,percent of total billed charges,350.9392995,,,,450,percent of total billed charges,999999999,,,,450,percent of total billed charges,342.8690717,,,,450,percent of total billed charges,331.0809866,,,,450,percent of total billed charges,350.9392995,,,,320.85,percent of total billed charges,160.1100216,,,,320.85,percent of total billed charges,95.79777508,,,,320.85,percent of total billed charges,160.1100216,,,,320.85,percent of total billed charges,95.79777508,,,,320.85,percent of total billed charges,160.1100216,,,,320.85,percent of total billed charges,95.79777508,,,,317.7,percent of total billed charges,315.2895237,,,,317.7,percent of total billed charges,217.4526855,,,,,,,,,,324,percent of total billed charges,210.5923756,,,,,,,,,,324,percent of total billed charges,999999999,,,,,,,,,,360,percent of total billed charges,301.6612866,,,,355.5,percent of total billed charges,343.0727989,,,,355.5,percent of total billed charges,303.1161741,,,,360,percent of total billed charges,999999999,,,,360,percent of total billed charges,999999999,,,,315,percent of total billed charges,999999999,,,,315,percent of total billed charges,999999999,,,,,,,,,,,,,,,,239.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,227.25,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,112.5,percent of total billed charges,106.8474815,,,,,,,,,,112.5,percent of total billed charges,105.0701463,,,,,,,,,,112.5,percent of total billed charges,104.7781609,,,,,,,,,,112.5,percent of total billed charges,103.2353038,,,,,,,,,,112.5,percent of total billed charges,105.8916999,,,,,,,,,,112.5,percent of total billed charges,999999999,,,,,,,,,,112.5,percent of total billed charges,90.8625354,,,,,,,,,,112.5,percent of total billed charges,143.2964842,,,,,,,,,,112.5,percent of total billed charges,999999999,,,,,,,,,,112.5,percent of total billed charges,97.97203519,,,,,,,,,,405,percent of total billed charges,,,,,
FINGER 4TH DIGIT LT HAND,73140,CDM,0056-2780-01,NDC,F3,both,1,EA,450,450,95.79777508,450,450,percent of total billed charges,331.0809866,,,,450,percent of total billed charges,350.9392995,,,,450,percent of total billed charges,331.0809866,,,,450,percent of total billed charges,350.9392995,,,,450,percent of total billed charges,999999999,,,,450,percent of total billed charges,342.8690717,,,,450,percent of total billed charges,331.0809866,,,,450,percent of total billed charges,350.9392995,,,,320.85,percent of total billed charges,160.1100216,,,,320.85,percent of total billed charges,95.79777508,,,,320.85,percent of total billed charges,160.1100216,,,,320.85,percent of total billed charges,95.79777508,,,,320.85,percent of total billed charges,160.1100216,,,,320.85,percent of total billed charges,95.79777508,,,,317.7,percent of total billed charges,315.2895237,,,,317.7,percent of total billed charges,217.4526855,,,,,,,,,,324,percent of total billed charges,210.5923756,,,,,,,,,,324,percent of total billed charges,999999999,,,,,,,,,,360,percent of total billed charges,301.6612866,,,,355.5,percent of total billed charges,343.0727989,,,,355.5,percent of total billed charges,303.1161741,,,,360,percent of total billed charges,999999999,,,,360,percent of total billed charges,999999999,,,,315,percent of total billed charges,999999999,,,,315,percent of total billed charges,999999999,,,,,,,,,,,,,,,,239.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,227.25,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,112.5,percent of total billed charges,106.8474815,,,,,,,,,,112.5,percent of total billed charges,105.0701463,,,,,,,,,,112.5,percent of total billed charges,104.7781609,,,,,,,,,,112.5,percent of total billed charges,103.2353038,,,,,,,,,,112.5,percent of total billed charges,105.8916999,,,,,,,,,,112.5,percent of total billed charges,999999999,,,,,,,,,,112.5,percent of total billed charges,90.8625354,,,,,,,,,,112.5,percent of total billed charges,143.2964842,,,,,,,,,,112.5,percent of total billed charges,999999999,,,,,,,,,,112.5,percent of total billed charges,97.97203519,,,,,,,,,,405,percent of total billed charges,,,,,
FINGER 4TH DIGIT RT HAND,73140,CDM,0056-2780-01,NDC,F8,both,1,EA,450,450,95.79777508,450,450,percent of total billed charges,331.0809866,,,,450,percent of total billed charges,350.9392995,,,,450,percent of total billed charges,331.0809866,,,,450,percent of total billed charges,350.9392995,,,,450,percent of total billed charges,999999999,,,,450,percent of total billed charges,342.8690717,,,,450,percent of total billed charges,331.0809866,,,,450,percent of total billed charges,350.9392995,,,,320.85,percent of total billed charges,160.1100216,,,,320.85,percent of total billed charges,95.79777508,,,,320.85,percent of total billed charges,160.1100216,,,,320.85,percent of total billed charges,95.79777508,,,,320.85,percent of total billed charges,160.1100216,,,,320.85,percent of total billed charges,95.79777508,,,,317.7,percent of total billed charges,315.2895237,,,,317.7,percent of total billed charges,217.4526855,,,,,,,,,,324,percent of total billed charges,210.5923756,,,,,,,,,,324,percent of total billed charges,999999999,,,,,,,,,,360,percent of total billed charges,301.6612866,,,,355.5,percent of total billed charges,343.0727989,,,,355.5,percent of total billed charges,303.1161741,,,,360,percent of total billed charges,999999999,,,,360,percent of total billed charges,999999999,,,,315,percent of total billed charges,999999999,,,,315,percent of total billed charges,999999999,,,,,,,,,,,,,,,,239.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,227.25,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,112.5,percent of total billed charges,106.8474815,,,,,,,,,,112.5,percent of total billed charges,105.0701463,,,,,,,,,,112.5,percent of total billed charges,104.7781609,,,,,,,,,,112.5,percent of total billed charges,103.2353038,,,,,,,,,,112.5,percent of total billed charges,105.8916999,,,,,,,,,,112.5,percent of total billed charges,999999999,,,,,,,,,,112.5,percent of total billed charges,90.8625354,,,,,,,,,,112.5,percent of total billed charges,143.2964842,,,,,,,,,,112.5,percent of total billed charges,999999999,,,,,,,,,,112.5,percent of total billed charges,97.97203519,,,,,,,,,,405,percent of total billed charges,,,,,
FINGER 5TH DIGIT LT HAND,73140,CDM,0056-2780-01,NDC,F4,both,1,EA,450,450,95.79777508,450,450,percent of total billed charges,331.0809866,,,,450,percent of total billed charges,350.9392995,,,,450,percent of total billed charges,331.0809866,,,,450,percent of total billed charges,350.9392995,,,,450,percent of total billed charges,999999999,,,,450,percent of total billed charges,342.8690717,,,,450,percent of total billed charges,331.0809866,,,,450,percent of total billed charges,350.9392995,,,,320.85,percent of total billed charges,160.1100216,,,,320.85,percent of total billed charges,95.79777508,,,,320.85,percent of total billed charges,160.1100216,,,,320.85,percent of total billed charges,95.79777508,,,,320.85,percent of total billed charges,160.1100216,,,,320.85,percent of total billed charges,95.79777508,,,,317.7,percent of total billed charges,315.2895237,,,,317.7,percent of total billed charges,217.4526855,,,,,,,,,,324,percent of total billed charges,210.5923756,,,,,,,,,,324,percent of total billed charges,999999999,,,,,,,,,,360,percent of total billed charges,301.6612866,,,,355.5,percent of total billed charges,343.0727989,,,,355.5,percent of total billed charges,303.1161741,,,,360,percent of total billed charges,999999999,,,,360,percent of total billed charges,999999999,,,,315,percent of total billed charges,999999999,,,,315,percent of total billed charges,999999999,,,,,,,,,,,,,,,,239.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,227.25,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,112.5,percent of total billed charges,106.8474815,,,,,,,,,,112.5,percent of total billed charges,105.0701463,,,,,,,,,,112.5,percent of total billed charges,104.7781609,,,,,,,,,,112.5,percent of total billed charges,103.2353038,,,,,,,,,,112.5,percent of total billed charges,105.8916999,,,,,,,,,,112.5,percent of total billed charges,999999999,,,,,,,,,,112.5,percent of total billed charges,90.8625354,,,,,,,,,,112.5,percent of total billed charges,143.2964842,,,,,,,,,,112.5,percent of total billed charges,999999999,,,,,,,,,,112.5,percent of total billed charges,97.97203519,,,,,,,,,,405,percent of total billed charges,,,,,
**FOOT 2 VIEWS,73620,CDM,0056-2780-01,NDC,,both,1,EA,578,578,123.04692,578,578,percent of total billed charges,425.2551339,,,,578,percent of total billed charges,450.7620336,,,,578,percent of total billed charges,425.2551339,,,,578,percent of total billed charges,450.7620336,,,,578,percent of total billed charges,999999999,,,,578,percent of total billed charges,440.3962743,,,,578,percent of total billed charges,425.2551339,,,,578,percent of total billed charges,450.7620336,,,,412.114,percent of total billed charges,205.6524277,,,,412.114,percent of total billed charges,123.04692,,,,412.114,percent of total billed charges,205.6524277,,,,412.114,percent of total billed charges,123.04692,,,,412.114,percent of total billed charges,205.6524277,,,,412.114,percent of total billed charges,123.04692,,,,408.068,percent of total billed charges,404.9718771,,,,408.068,percent of total billed charges,279.3058938,,,,,,,,,,416.16,percent of total billed charges,270.4942069,,,,,,,,,,416.16,percent of total billed charges,999999999,,,,,,,,,,462.4,percent of total billed charges,387.4671636,,,,456.62,percent of total billed charges,440.6579506,,,,456.62,percent of total billed charges,389.3358858,,,,462.4,percent of total billed charges,999999999,,,,462.4,percent of total billed charges,999999999,,,,404.6,percent of total billed charges,999999999,,,,404.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,307.496,percent of total billed charges,999999999,,,,,,,,,,,,,,,,291.89,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,144.5,percent of total billed charges,137.239654,,,,,,,,,,144.5,percent of total billed charges,134.9567657,,,,,,,,,,144.5,percent of total billed charges,134.5817267,,,,,,,,,,144.5,percent of total billed charges,132.6000124,,,,,,,,,,144.5,percent of total billed charges,136.0120056,,,,,,,,,,144.5,percent of total billed charges,999999999,,,,,,,,,,144.5,percent of total billed charges,116.7078788,,,,,,,,,,144.5,percent of total billed charges,184.056373,,,,,,,,,,144.5,percent of total billed charges,999999999,,,,,,,,,,144.5,percent of total billed charges,125.8396363,,,,,,,,,,520.2,percent of total billed charges,,,,,
**FOOT 3 VIEWS,73630,CDM,0056-2780-01,NDC,,both,1,EA,673,673,143.2708947,673,673,percent of total billed charges,495.1500088,,,,673,percent of total billed charges,524.849219,,,,673,percent of total billed charges,495.1500088,,,,673,percent of total billed charges,524.849219,,,,673,percent of total billed charges,999999999,,,,673,percent of total billed charges,512.779745,,,,673,percent of total billed charges,495.1500088,,,,673,percent of total billed charges,524.849219,,,,479.849,percent of total billed charges,239.4534323,,,,479.849,percent of total billed charges,143.2708947,,,,479.849,percent of total billed charges,239.4534323,,,,479.849,percent of total billed charges,143.2708947,,,,479.849,percent of total billed charges,239.4534323,,,,479.849,percent of total billed charges,143.2708947,,,,475.138,percent of total billed charges,471.5329988,,,,475.138,percent of total billed charges,325.2125719,,,,,,,,,,484.56,percent of total billed charges,314.9525973,,,,,,,,,,484.56,percent of total billed charges,999999999,,,,,,,,,,538.4,percent of total billed charges,451.151213,,,,531.67,percent of total billed charges,513.0844304,,,,531.67,percent of total billed charges,453.3270781,,,,538.4,percent of total billed charges,999999999,,,,538.4,percent of total billed charges,999999999,,,,471.1,percent of total billed charges,999999999,,,,471.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,358.036,percent of total billed charges,999999999,,,,,,,,,,,,,,,,339.865,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,168.25,percent of total billed charges,159.7963445,,,,,,,,,,168.25,percent of total billed charges,157.1382411,,,,,,,,,,168.25,percent of total billed charges,156.7015606,,,,,,,,,,168.25,percent of total billed charges,154.3941321,,,,,,,,,,168.25,percent of total billed charges,158.3669201,,,,,,,,,,168.25,percent of total billed charges,999999999,,,,,,,,,,168.25,percent of total billed charges,135.8899696,,,,,,,,,,168.25,percent of total billed charges,214.307853,,,,,,,,,,168.25,percent of total billed charges,999999999,,,,,,,,,,168.25,percent of total billed charges,146.5226215,,,,,,,,,,605.7,percent of total billed charges,,,,,
FINGER 5TH DIGIT RT HAND,73140,CDM,0056-2780-01,NDC,F9,both,1,EA,450,450,95.79777508,450,450,percent of total billed charges,331.0809866,,,,450,percent of total billed charges,350.9392995,,,,450,percent of total billed charges,331.0809866,,,,450,percent of total billed charges,350.9392995,,,,450,percent of total billed charges,999999999,,,,450,percent of total billed charges,342.8690717,,,,450,percent of total billed charges,331.0809866,,,,450,percent of total billed charges,350.9392995,,,,320.85,percent of total billed charges,160.1100216,,,,320.85,percent of total billed charges,95.79777508,,,,320.85,percent of total billed charges,160.1100216,,,,320.85,percent of total billed charges,95.79777508,,,,320.85,percent of total billed charges,160.1100216,,,,320.85,percent of total billed charges,95.79777508,,,,317.7,percent of total billed charges,315.2895237,,,,317.7,percent of total billed charges,217.4526855,,,,,,,,,,324,percent of total billed charges,210.5923756,,,,,,,,,,324,percent of total billed charges,999999999,,,,,,,,,,360,percent of total billed charges,301.6612866,,,,355.5,percent of total billed charges,343.0727989,,,,355.5,percent of total billed charges,303.1161741,,,,360,percent of total billed charges,999999999,,,,360,percent of total billed charges,999999999,,,,315,percent of total billed charges,999999999,,,,315,percent of total billed charges,999999999,,,,,,,,,,,,,,,,239.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,227.25,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,112.5,percent of total billed charges,106.8474815,,,,,,,,,,112.5,percent of total billed charges,105.0701463,,,,,,,,,,112.5,percent of total billed charges,104.7781609,,,,,,,,,,112.5,percent of total billed charges,103.2353038,,,,,,,,,,112.5,percent of total billed charges,105.8916999,,,,,,,,,,112.5,percent of total billed charges,999999999,,,,,,,,,,112.5,percent of total billed charges,90.8625354,,,,,,,,,,112.5,percent of total billed charges,143.2964842,,,,,,,,,,112.5,percent of total billed charges,999999999,,,,,,,,,,112.5,percent of total billed charges,97.97203519,,,,,,,,,,405,percent of total billed charges,,,,,
**FOREARM 2 VIEWS,73090,CDM,0056-2780-01,NDC,,both,1,EA,363,363,77.2768719,363,363,percent of total billed charges,267.0719958,,,,363,percent of total billed charges,283.0910349,,,,363,percent of total billed charges,267.0719958,,,,363,percent of total billed charges,283.0910349,,,,363,percent of total billed charges,999999999,,,,363,percent of total billed charges,276.5810512,,,,363,percent of total billed charges,267.0719958,,,,363,percent of total billed charges,283.0910349,,,,258.819,percent of total billed charges,129.1554174,,,,258.819,percent of total billed charges,77.2768719,,,,258.819,percent of total billed charges,129.1554174,,,,258.819,percent of total billed charges,77.2768719,,,,258.819,percent of total billed charges,129.1554174,,,,258.819,percent of total billed charges,77.2768719,,,,256.278,percent of total billed charges,254.3335491,,,,256.278,percent of total billed charges,175.411833,,,,,,,,,,261.36,percent of total billed charges,169.8778496,,,,,,,,,,261.36,percent of total billed charges,999999999,,,,,,,,,,290.4,percent of total billed charges,243.3401045,,,,286.77,percent of total billed charges,276.7453911,,,,286.77,percent of total billed charges,244.5137138,,,,290.4,percent of total billed charges,999999999,,,,290.4,percent of total billed charges,999999999,,,,254.1,percent of total billed charges,999999999,,,,254.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,193.116,percent of total billed charges,999999999,,,,,,,,,,,,,,,,183.315,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,90.75,percent of total billed charges,86.19030174,,,,,,,,,,90.75,percent of total billed charges,84.75658472,,,,,,,,,,90.75,percent of total billed charges,84.5210498,,,,,,,,,,90.75,percent of total billed charges,83.27647837,,,,,,,,,,90.75,percent of total billed charges,85.41930458,,,,,,,,,,90.75,percent of total billed charges,999999999,,,,,,,,,,90.75,percent of total billed charges,73.29577856,,,,,,,,,,90.75,percent of total billed charges,115.5924972,,,,,,,,,,90.75,percent of total billed charges,999999999,,,,,,,,,,90.75,percent of total billed charges,79.03077506,,,,,,,,,,326.7,percent of total billed charges,,,,,
FOREARM 2 VIEWS LT,73090,CDM,0056-2780-01,NDC,LT,both,1,EA,533,533,113.4671425,533,533,percent of total billed charges,392.1470352,,,,533,percent of total billed charges,415.6681036,,,,533,percent of total billed charges,392.1470352,,,,533,percent of total billed charges,415.6681036,,,,533,percent of total billed charges,999999999,,,,533,percent of total billed charges,406.1093671,,,,533,percent of total billed charges,392.1470352,,,,533,percent of total billed charges,415.6681036,,,,380.029,percent of total billed charges,189.6414255,,,,380.029,percent of total billed charges,113.4671425,,,,380.029,percent of total billed charges,189.6414255,,,,380.029,percent of total billed charges,113.4671425,,,,380.029,percent of total billed charges,189.6414255,,,,380.029,percent of total billed charges,113.4671425,,,,376.298,percent of total billed charges,373.4429248,,,,376.298,percent of total billed charges,257.5606253,,,,,,,,,,383.76,percent of total billed charges,249.4349693,,,,,,,,,,383.76,percent of total billed charges,999999999,,,,,,,,,,426.4,percent of total billed charges,357.301035,,,,421.07,percent of total billed charges,406.3506707,,,,421.07,percent of total billed charges,359.0242684,,,,426.4,percent of total billed charges,999999999,,,,426.4,percent of total billed charges,999999999,,,,373.1,percent of total billed charges,999999999,,,,373.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,283.556,percent of total billed charges,999999999,,,,,,,,,,,,,,,,269.165,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,133.25,percent of total billed charges,126.5549059,,,,,,,,,,133.25,percent of total billed charges,124.4497511,,,,,,,,,,133.25,percent of total billed charges,124.1039106,,,,,,,,,,133.25,percent of total billed charges,122.276482,,,,,,,,,,133.25,percent of total billed charges,125.4228356,,,,,,,,,,133.25,percent of total billed charges,999999999,,,,,,,,,,133.25,percent of total billed charges,107.6216253,,,,,,,,,,133.25,percent of total billed charges,169.7267246,,,,,,,,,,133.25,percent of total billed charges,999999999,,,,,,,,,,133.25,percent of total billed charges,116.0424328,,,,,,,,,,479.7,percent of total billed charges,,,,,
FOREARM 2 VIEWS RT,73090,CDM,0056-2780-01,NDC,RT,both,1,EA,533,533,113.4671425,533,533,percent of total billed charges,392.1470352,,,,533,percent of total billed charges,415.6681036,,,,533,percent of total billed charges,392.1470352,,,,533,percent of total billed charges,415.6681036,,,,533,percent of total billed charges,999999999,,,,533,percent of total billed charges,406.1093671,,,,533,percent of total billed charges,392.1470352,,,,533,percent of total billed charges,415.6681036,,,,380.029,percent of total billed charges,189.6414255,,,,380.029,percent of total billed charges,113.4671425,,,,380.029,percent of total billed charges,189.6414255,,,,380.029,percent of total billed charges,113.4671425,,,,380.029,percent of total billed charges,189.6414255,,,,380.029,percent of total billed charges,113.4671425,,,,376.298,percent of total billed charges,373.4429248,,,,376.298,percent of total billed charges,257.5606253,,,,,,,,,,383.76,percent of total billed charges,249.4349693,,,,,,,,,,383.76,percent of total billed charges,999999999,,,,,,,,,,426.4,percent of total billed charges,357.301035,,,,421.07,percent of total billed charges,406.3506707,,,,421.07,percent of total billed charges,359.0242684,,,,426.4,percent of total billed charges,999999999,,,,426.4,percent of total billed charges,999999999,,,,373.1,percent of total billed charges,999999999,,,,373.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,283.556,percent of total billed charges,999999999,,,,,,,,,,,,,,,,269.165,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,133.25,percent of total billed charges,126.5549059,,,,,,,,,,133.25,percent of total billed charges,124.4497511,,,,,,,,,,133.25,percent of total billed charges,124.1039106,,,,,,,,,,133.25,percent of total billed charges,122.276482,,,,,,,,,,133.25,percent of total billed charges,125.4228356,,,,,,,,,,133.25,percent of total billed charges,999999999,,,,,,,,,,133.25,percent of total billed charges,107.6216253,,,,,,,,,,133.25,percent of total billed charges,169.7267246,,,,,,,,,,133.25,percent of total billed charges,999999999,,,,,,,,,,133.25,percent of total billed charges,116.0424328,,,,,,,,,,479.7,percent of total billed charges,,,,,
**FOOT 3 VIEWS BI,73630,CDM,0056-2780-01,NDC,50,both,1,EA,673,673,143.2708947,673,673,percent of total billed charges,495.1500088,,,,673,percent of total billed charges,524.849219,,,,673,percent of total billed charges,495.1500088,,,,673,percent of total billed charges,524.849219,,,,673,percent of total billed charges,999999999,,,,673,percent of total billed charges,512.779745,,,,673,percent of total billed charges,495.1500088,,,,673,percent of total billed charges,524.849219,,,,479.849,percent of total billed charges,239.4534323,,,,479.849,percent of total billed charges,143.2708947,,,,479.849,percent of total billed charges,239.4534323,,,,479.849,percent of total billed charges,143.2708947,,,,479.849,percent of total billed charges,239.4534323,,,,479.849,percent of total billed charges,143.2708947,,,,475.138,percent of total billed charges,471.5329988,,,,475.138,percent of total billed charges,325.2125719,,,,,,,,,,484.56,percent of total billed charges,314.9525973,,,,,,,,,,484.56,percent of total billed charges,999999999,,,,,,,,,,538.4,percent of total billed charges,451.151213,,,,531.67,percent of total billed charges,513.0844304,,,,531.67,percent of total billed charges,453.3270781,,,,538.4,percent of total billed charges,999999999,,,,538.4,percent of total billed charges,999999999,,,,471.1,percent of total billed charges,999999999,,,,471.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,358.036,percent of total billed charges,999999999,,,,,,,,,,,,,,,,339.865,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,168.25,percent of total billed charges,159.7963445,,,,,,,,,,168.25,percent of total billed charges,157.1382411,,,,,,,,,,168.25,percent of total billed charges,156.7015606,,,,,,,,,,168.25,percent of total billed charges,154.3941321,,,,,,,,,,168.25,percent of total billed charges,158.3669201,,,,,,,,,,168.25,percent of total billed charges,999999999,,,,,,,,,,168.25,percent of total billed charges,135.8899696,,,,,,,,,,168.25,percent of total billed charges,214.307853,,,,,,,,,,168.25,percent of total billed charges,999999999,,,,,,,,,,168.25,percent of total billed charges,146.5226215,,,,,,,,,,605.7,percent of total billed charges,,,,,
FOOT 3 VIEWS LT,73630,CDM,0056-2780-01,NDC,LT,both,1,EA,583,583,124.1113397,583,583,percent of total billed charges,428.9338115,,,,583,percent of total billed charges,454.6613591,,,,583,percent of total billed charges,428.9338115,,,,583,percent of total billed charges,454.6613591,,,,583,percent of total billed charges,999999999,,,,583,percent of total billed charges,444.2059307,,,,583,percent of total billed charges,428.9338115,,,,583,percent of total billed charges,454.6613591,,,,415.679,percent of total billed charges,207.4314279,,,,415.679,percent of total billed charges,124.1113397,,,,415.679,percent of total billed charges,207.4314279,,,,415.679,percent of total billed charges,124.1113397,,,,415.679,percent of total billed charges,207.4314279,,,,415.679,percent of total billed charges,124.1113397,,,,411.598,percent of total billed charges,408.4750941,,,,411.598,percent of total billed charges,281.7220348,,,,,,,,,,419.76,percent of total billed charges,272.8341222,,,,,,,,,,419.76,percent of total billed charges,999999999,,,,,,,,,,466.4,percent of total billed charges,390.8189557,,,,460.57,percent of total billed charges,444.4698706,,,,460.57,percent of total billed charges,392.7038433,,,,466.4,percent of total billed charges,999999999,,,,466.4,percent of total billed charges,999999999,,,,408.1,percent of total billed charges,999999999,,,,408.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,310.156,percent of total billed charges,999999999,,,,,,,,,,,,,,,,294.415,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,145.75,percent of total billed charges,138.4268482,,,,,,,,,,145.75,percent of total billed charges,136.1242118,,,,,,,,,,145.75,percent of total billed charges,135.7459285,,,,,,,,,,145.75,percent of total billed charges,133.7470713,,,,,,,,,,145.75,percent of total billed charges,137.1885801,,,,,,,,,,145.75,percent of total billed charges,999999999,,,,,,,,,,145.75,percent of total billed charges,117.7174625,,,,,,,,,,145.75,percent of total billed charges,185.6485562,,,,,,,,,,145.75,percent of total billed charges,999999999,,,,,,,,,,145.75,percent of total billed charges,126.9282145,,,,,,,,,,524.7,percent of total billed charges,,,,,
FOOT 3 VIEWS RT,73630,CDM,0056-2780-01,NDC,RT,both,1,EA,583,583,124.1113397,583,583,percent of total billed charges,428.9338115,,,,583,percent of total billed charges,454.6613591,,,,583,percent of total billed charges,428.9338115,,,,583,percent of total billed charges,454.6613591,,,,583,percent of total billed charges,999999999,,,,583,percent of total billed charges,444.2059307,,,,583,percent of total billed charges,428.9338115,,,,583,percent of total billed charges,454.6613591,,,,415.679,percent of total billed charges,207.4314279,,,,415.679,percent of total billed charges,124.1113397,,,,415.679,percent of total billed charges,207.4314279,,,,415.679,percent of total billed charges,124.1113397,,,,415.679,percent of total billed charges,207.4314279,,,,415.679,percent of total billed charges,124.1113397,,,,411.598,percent of total billed charges,408.4750941,,,,411.598,percent of total billed charges,281.7220348,,,,,,,,,,419.76,percent of total billed charges,272.8341222,,,,,,,,,,419.76,percent of total billed charges,999999999,,,,,,,,,,466.4,percent of total billed charges,390.8189557,,,,460.57,percent of total billed charges,444.4698706,,,,460.57,percent of total billed charges,392.7038433,,,,466.4,percent of total billed charges,999999999,,,,466.4,percent of total billed charges,999999999,,,,408.1,percent of total billed charges,999999999,,,,408.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,310.156,percent of total billed charges,999999999,,,,,,,,,,,,,,,,294.415,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,145.75,percent of total billed charges,138.4268482,,,,,,,,,,145.75,percent of total billed charges,136.1242118,,,,,,,,,,145.75,percent of total billed charges,135.7459285,,,,,,,,,,145.75,percent of total billed charges,133.7470713,,,,,,,,,,145.75,percent of total billed charges,137.1885801,,,,,,,,,,145.75,percent of total billed charges,999999999,,,,,,,,,,145.75,percent of total billed charges,117.7174625,,,,,,,,,,145.75,percent of total billed charges,185.6485562,,,,,,,,,,145.75,percent of total billed charges,999999999,,,,,,,,,,145.75,percent of total billed charges,126.9282145,,,,,,,,,,524.7,percent of total billed charges,,,,,
**FOOT 2 VIEWS BI,73620,CDM,0056-2780-01,NDC,50,both,1,EA,453,453,96.43642691,453,453,percent of total billed charges,333.2881932,,,,453,percent of total billed charges,353.2788948,,,,453,percent of total billed charges,333.2881932,,,,453,percent of total billed charges,353.2788948,,,,453,percent of total billed charges,999999999,,,,453,percent of total billed charges,345.1548655,,,,453,percent of total billed charges,333.2881932,,,,453,percent of total billed charges,353.2788948,,,,322.989,percent of total billed charges,161.1774217,,,,322.989,percent of total billed charges,96.43642691,,,,322.989,percent of total billed charges,161.1774217,,,,322.989,percent of total billed charges,96.43642691,,,,322.989,percent of total billed charges,161.1774217,,,,322.989,percent of total billed charges,96.43642691,,,,319.818,percent of total billed charges,317.3914539,,,,319.818,percent of total billed charges,218.9023701,,,,,,,,,,326.16,percent of total billed charges,211.9963248,,,,,,,,,,326.16,percent of total billed charges,999999999,,,,,,,,,,362.4,percent of total billed charges,303.6723618,,,,357.87,percent of total billed charges,345.3599509,,,,357.87,percent of total billed charges,305.1369486,,,,362.4,percent of total billed charges,999999999,,,,362.4,percent of total billed charges,999999999,,,,317.1,percent of total billed charges,999999999,,,,317.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,240.996,percent of total billed charges,999999999,,,,,,,,,,,,,,,,228.765,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,113.25,percent of total billed charges,107.559798,,,,,,,,,,113.25,percent of total billed charges,105.770614,,,,,,,,,,113.25,percent of total billed charges,105.476682,,,,,,,,,,113.25,percent of total billed charges,103.9235391,,,,,,,,,,113.25,percent of total billed charges,106.5976446,,,,,,,,,,113.25,percent of total billed charges,999999999,,,,,,,,,,113.25,percent of total billed charges,91.46828564,,,,,,,,,,113.25,percent of total billed charges,144.2517941,,,,,,,,,,113.25,percent of total billed charges,999999999,,,,,,,,,,113.25,percent of total billed charges,98.6251821,,,,,,,,,,407.7,percent of total billed charges,,,,,
FOOT 2 VIEWS RT,73620,CDM,0056-2780-01,NDC,RT,both,1,EA,491,491,104.5260168,491,491,percent of total billed charges,361.2461431,,,,491,percent of total billed charges,382.913769,,,,491,percent of total billed charges,361.2461431,,,,491,percent of total billed charges,382.913769,,,,491,percent of total billed charges,999999999,,,,491,percent of total billed charges,374.1082538,,,,491,percent of total billed charges,361.2461431,,,,491,percent of total billed charges,382.913769,,,,350.083,percent of total billed charges,174.6978235,,,,350.083,percent of total billed charges,104.5260168,,,,350.083,percent of total billed charges,174.6978235,,,,350.083,percent of total billed charges,104.5260168,,,,350.083,percent of total billed charges,174.6978235,,,,350.083,percent of total billed charges,104.5260168,,,,346.646,percent of total billed charges,344.0159026,,,,346.646,percent of total billed charges,237.2650413,,,,,,,,,,353.52,percent of total billed charges,229.7796809,,,,,,,,,,353.52,percent of total billed charges,999999999,,,,,,,,,,392.8,percent of total billed charges,329.1459816,,,,387.89,percent of total billed charges,374.3305428,,,,387.89,percent of total billed charges,330.7334255,,,,392.8,percent of total billed charges,999999999,,,,392.8,percent of total billed charges,999999999,,,,343.7,percent of total billed charges,999999999,,,,343.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,261.212,percent of total billed charges,999999999,,,,,,,,,,,,,,,,247.955,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,122.75,percent of total billed charges,116.5824743,,,,,,,,,,122.75,percent of total billed charges,114.6432041,,,,,,,,,,122.75,percent of total billed charges,114.3246156,,,,,,,,,,122.75,percent of total billed charges,112.641187,,,,,,,,,,122.75,percent of total billed charges,115.5396103,,,,,,,,,,122.75,percent of total billed charges,999999999,,,,,,,,,,122.75,percent of total billed charges,99.14112196,,,,,,,,,,122.75,percent of total billed charges,156.3523861,,,,,,,,,,122.75,percent of total billed charges,999999999,,,,,,,,,,122.75,percent of total billed charges,106.8983762,,,,,,,,,,441.9,percent of total billed charges,,,,,
FOOT 2 VIEWS LT,73620,CDM,0056-2780-01,NDC,LT,both,1,EA,491,491,104.5260168,491,491,percent of total billed charges,361.2461431,,,,491,percent of total billed charges,382.913769,,,,491,percent of total billed charges,361.2461431,,,,491,percent of total billed charges,382.913769,,,,491,percent of total billed charges,999999999,,,,491,percent of total billed charges,374.1082538,,,,491,percent of total billed charges,361.2461431,,,,491,percent of total billed charges,382.913769,,,,350.083,percent of total billed charges,174.6978235,,,,350.083,percent of total billed charges,104.5260168,,,,350.083,percent of total billed charges,174.6978235,,,,350.083,percent of total billed charges,104.5260168,,,,350.083,percent of total billed charges,174.6978235,,,,350.083,percent of total billed charges,104.5260168,,,,346.646,percent of total billed charges,344.0159026,,,,346.646,percent of total billed charges,237.2650413,,,,,,,,,,353.52,percent of total billed charges,229.7796809,,,,,,,,,,353.52,percent of total billed charges,999999999,,,,,,,,,,392.8,percent of total billed charges,329.1459816,,,,387.89,percent of total billed charges,374.3305428,,,,387.89,percent of total billed charges,330.7334255,,,,392.8,percent of total billed charges,999999999,,,,392.8,percent of total billed charges,999999999,,,,343.7,percent of total billed charges,999999999,,,,343.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,261.212,percent of total billed charges,999999999,,,,,,,,,,,,,,,,247.955,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,122.75,percent of total billed charges,116.5824743,,,,,,,,,,122.75,percent of total billed charges,114.6432041,,,,,,,,,,122.75,percent of total billed charges,114.3246156,,,,,,,,,,122.75,percent of total billed charges,112.641187,,,,,,,,,,122.75,percent of total billed charges,115.5396103,,,,,,,,,,122.75,percent of total billed charges,999999999,,,,,,,,,,122.75,percent of total billed charges,99.14112196,,,,,,,,,,122.75,percent of total billed charges,156.3523861,,,,,,,,,,122.75,percent of total billed charges,999999999,,,,,,,,,,122.75,percent of total billed charges,106.8983762,,,,,,,,,,441.9,percent of total billed charges,,,,,
HAND 2 VIEWS LT,73120,CDM,0056-2780-01,NDC,LT,both,1,EA,519,519,110.4867673,519,519,percent of total billed charges,381.8467378,,,,519,percent of total billed charges,404.7499921,,,,519,percent of total billed charges,381.8467378,,,,519,percent of total billed charges,404.7499921,,,,519,percent of total billed charges,999999999,,,,519,percent of total billed charges,395.4423294,,,,519,percent of total billed charges,381.8467378,,,,519,percent of total billed charges,404.7499921,,,,370.047,percent of total billed charges,184.6602249,,,,370.047,percent of total billed charges,110.4867673,,,,370.047,percent of total billed charges,184.6602249,,,,370.047,percent of total billed charges,110.4867673,,,,370.047,percent of total billed charges,184.6602249,,,,370.047,percent of total billed charges,110.4867673,,,,366.414,percent of total billed charges,363.6339174,,,,366.414,percent of total billed charges,250.7954306,,,,,,,,,,373.68,percent of total billed charges,242.8832065,,,,,,,,,,373.68,percent of total billed charges,999999999,,,,,,,,,,415.2,percent of total billed charges,347.9160172,,,,410.01,percent of total billed charges,395.6772947,,,,410.01,percent of total billed charges,349.5939874,,,,415.2,percent of total billed charges,999999999,,,,415.2,percent of total billed charges,999999999,,,,363.3,percent of total billed charges,999999999,,,,363.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,276.108,percent of total billed charges,999999999,,,,,,,,,,,,,,,,262.095,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,129.75,percent of total billed charges,123.230762,,,,,,,,,,129.75,percent of total billed charges,121.1809021,,,,,,,,,,129.75,percent of total billed charges,120.8441456,,,,,,,,,,129.75,percent of total billed charges,119.064717,,,,,,,,,,129.75,percent of total billed charges,122.1284272,,,,,,,,,,129.75,percent of total billed charges,999999999,,,,,,,,,,129.75,percent of total billed charges,104.7947908,,,,,,,,,,129.75,percent of total billed charges,165.2686118,,,,,,,,,,129.75,percent of total billed charges,999999999,,,,,,,,,,129.75,percent of total billed charges,112.9944139,,,,,,,,,,467.1,percent of total billed charges,,,,,
HAND 2 VIEWS RT,73120,CDM,0056-2780-01,NDC,RT,both,1,EA,519,519,110.4867673,519,519,percent of total billed charges,381.8467378,,,,519,percent of total billed charges,404.7499921,,,,519,percent of total billed charges,381.8467378,,,,519,percent of total billed charges,404.7499921,,,,519,percent of total billed charges,999999999,,,,519,percent of total billed charges,395.4423294,,,,519,percent of total billed charges,381.8467378,,,,519,percent of total billed charges,404.7499921,,,,370.047,percent of total billed charges,184.6602249,,,,370.047,percent of total billed charges,110.4867673,,,,370.047,percent of total billed charges,184.6602249,,,,370.047,percent of total billed charges,110.4867673,,,,370.047,percent of total billed charges,184.6602249,,,,370.047,percent of total billed charges,110.4867673,,,,366.414,percent of total billed charges,363.6339174,,,,366.414,percent of total billed charges,250.7954306,,,,,,,,,,373.68,percent of total billed charges,242.8832065,,,,,,,,,,373.68,percent of total billed charges,999999999,,,,,,,,,,415.2,percent of total billed charges,347.9160172,,,,410.01,percent of total billed charges,395.6772947,,,,410.01,percent of total billed charges,349.5939874,,,,415.2,percent of total billed charges,999999999,,,,415.2,percent of total billed charges,999999999,,,,363.3,percent of total billed charges,999999999,,,,363.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,276.108,percent of total billed charges,999999999,,,,,,,,,,,,,,,,262.095,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,129.75,percent of total billed charges,123.230762,,,,,,,,,,129.75,percent of total billed charges,121.1809021,,,,,,,,,,129.75,percent of total billed charges,120.8441456,,,,,,,,,,129.75,percent of total billed charges,119.064717,,,,,,,,,,129.75,percent of total billed charges,122.1284272,,,,,,,,,,129.75,percent of total billed charges,999999999,,,,,,,,,,129.75,percent of total billed charges,104.7947908,,,,,,,,,,129.75,percent of total billed charges,165.2686118,,,,,,,,,,129.75,percent of total billed charges,999999999,,,,,,,,,,129.75,percent of total billed charges,112.9944139,,,,,,,,,,467.1,percent of total billed charges,,,,,
**HAND 2 VIEWS BI,73120,CDM,0056-2780-01,NDC,50,both,1,EA,447,447,95.15912325,447,447,percent of total billed charges,328.87378,,,,447,percent of total billed charges,348.5997042,,,,447,percent of total billed charges,328.87378,,,,447,percent of total billed charges,348.5997042,,,,447,percent of total billed charges,999999999,,,,447,percent of total billed charges,340.5832779,,,,447,percent of total billed charges,328.87378,,,,447,percent of total billed charges,348.5997042,,,,318.711,percent of total billed charges,159.0426214,,,,318.711,percent of total billed charges,95.15912325,,,,318.711,percent of total billed charges,159.0426214,,,,318.711,percent of total billed charges,95.15912325,,,,318.711,percent of total billed charges,159.0426214,,,,318.711,percent of total billed charges,95.15912325,,,,315.582,percent of total billed charges,313.1875936,,,,315.582,percent of total billed charges,216.0030009,,,,,,,,,,321.84,percent of total billed charges,209.1884264,,,,,,,,,,321.84,percent of total billed charges,999999999,,,,,,,,,,357.6,percent of total billed charges,299.6502113,,,,353.13,percent of total billed charges,340.7856469,,,,353.13,percent of total billed charges,301.0953996,,,,357.6,percent of total billed charges,999999999,,,,357.6,percent of total billed charges,999999999,,,,312.9,percent of total billed charges,999999999,,,,312.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,237.804,percent of total billed charges,999999999,,,,,,,,,,,,,,,,225.735,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,111.75,percent of total billed charges,106.135165,,,,,,,,,,111.75,percent of total billed charges,104.3696787,,,,,,,,,,111.75,percent of total billed charges,104.0796398,,,,,,,,,,111.75,percent of total billed charges,102.5470684,,,,,,,,,,111.75,percent of total billed charges,105.1857552,,,,,,,,,,111.75,percent of total billed charges,999999999,,,,,,,,,,111.75,percent of total billed charges,90.25678517,,,,,,,,,,111.75,percent of total billed charges,142.3411743,,,,,,,,,,111.75,percent of total billed charges,999999999,,,,,,,,,,111.75,percent of total billed charges,97.31888829,,,,,,,,,,402.3,percent of total billed charges,,,,,
**HAND 2 VIEWS,73120,CDM,0056-2780-01,NDC,,both,1,EA,426,426,90.68856041,426,426,percent of total billed charges,313.423334,,,,426,percent of total billed charges,332.2225369,,,,426,percent of total billed charges,313.423334,,,,426,percent of total billed charges,332.2225369,,,,426,percent of total billed charges,999999999,,,,426,percent of total billed charges,324.5827212,,,,426,percent of total billed charges,313.423334,,,,426,percent of total billed charges,332.2225369,,,,303.738,percent of total billed charges,151.5708204,,,,303.738,percent of total billed charges,90.68856041,,,,303.738,percent of total billed charges,151.5708204,,,,303.738,percent of total billed charges,90.68856041,,,,303.738,percent of total billed charges,151.5708204,,,,303.738,percent of total billed charges,90.68856041,,,,300.756,percent of total billed charges,298.4740825,,,,300.756,percent of total billed charges,205.855209,,,,,,,,,,306.72,percent of total billed charges,199.3607822,,,,,,,,,,306.72,percent of total billed charges,999999999,,,,,,,,,,340.8,percent of total billed charges,285.5726846,,,,336.54,percent of total billed charges,324.775583,,,,336.54,percent of total billed charges,286.9499781,,,,340.8,percent of total billed charges,999999999,,,,340.8,percent of total billed charges,999999999,,,,298.2,percent of total billed charges,999999999,,,,298.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,226.632,percent of total billed charges,999999999,,,,,,,,,,,,,,,,215.13,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,106.5,percent of total billed charges,101.1489491,,,,,,,,,,106.5,percent of total billed charges,99.4664052,,,,,,,,,,106.5,percent of total billed charges,99.18999232,,,,,,,,,,106.5,percent of total billed charges,97.72942089,,,,,,,,,,106.5,percent of total billed charges,100.2441426,,,,,,,,,,106.5,percent of total billed charges,999999999,,,,,,,,,,106.5,percent of total billed charges,86.01653352,,,,,,,,,,106.5,percent of total billed charges,135.654005,,,,,,,,,,106.5,percent of total billed charges,999999999,,,,,,,,,,106.5,percent of total billed charges,92.74685998,,,,,,,,,,383.4,percent of total billed charges,,,,,
**HAND 3 VIEWS,73130,CDM,0056-2780-01,NDC,,both,1,EA,565,565,120.2794287,565,565,percent of total billed charges,415.690572,,,,565,percent of total billed charges,440.6237872,,,,565,percent of total billed charges,415.690572,,,,565,percent of total billed charges,440.6237872,,,,565,percent of total billed charges,999999999,,,,565,percent of total billed charges,430.4911678,,,,565,percent of total billed charges,415.690572,,,,565,percent of total billed charges,440.6237872,,,,402.845,percent of total billed charges,201.0270271,,,,402.845,percent of total billed charges,120.2794287,,,,402.845,percent of total billed charges,201.0270271,,,,402.845,percent of total billed charges,120.2794287,,,,402.845,percent of total billed charges,201.0270271,,,,402.845,percent of total billed charges,120.2794287,,,,398.89,percent of total billed charges,395.8635131,,,,398.89,percent of total billed charges,273.0239274,,,,,,,,,,406.8,percent of total billed charges,264.4104271,,,,,,,,,,406.8,percent of total billed charges,999999999,,,,,,,,,,452,percent of total billed charges,378.7525042,,,,446.35,percent of total billed charges,430.7469586,,,,446.35,percent of total billed charges,380.5791963,,,,452,percent of total billed charges,999999999,,,,452,percent of total billed charges,999999999,,,,395.5,percent of total billed charges,999999999,,,,395.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,300.58,percent of total billed charges,999999999,,,,,,,,,,,,,,,,285.325,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,141.25,percent of total billed charges,134.152949,,,,,,,,,,141.25,percent of total billed charges,131.921406,,,,,,,,,,141.25,percent of total billed charges,131.554802,,,,,,,,,,141.25,percent of total billed charges,129.6176592,,,,,,,,,,141.25,percent of total billed charges,132.9529121,,,,,,,,,,141.25,percent of total billed charges,999999999,,,,,,,,,,141.25,percent of total billed charges,114.0829611,,,,,,,,,,141.25,percent of total billed charges,179.9166968,,,,,,,,,,141.25,percent of total billed charges,999999999,,,,,,,,,,141.25,percent of total billed charges,123.0093331,,,,,,,,,,508.5,percent of total billed charges,,,,,
**HAND 3 VIEWS BI,73130,CDM,0056-2780-01,NDC,50,both,1,EA,683,683,145.3997342,683,683,percent of total billed charges,502.5073641,,,,683,percent of total billed charges,532.6478701,,,,683,percent of total billed charges,502.5073641,,,,683,percent of total billed charges,532.6478701,,,,683,percent of total billed charges,999999999,,,,683,percent of total billed charges,520.3990577,,,,683,percent of total billed charges,502.5073641,,,,683,percent of total billed charges,532.6478701,,,,486.979,percent of total billed charges,243.0114327,,,,486.979,percent of total billed charges,145.3997342,,,,486.979,percent of total billed charges,243.0114327,,,,486.979,percent of total billed charges,145.3997342,,,,486.979,percent of total billed charges,243.0114327,,,,486.979,percent of total billed charges,145.3997342,,,,482.198,percent of total billed charges,478.5394327,,,,482.198,percent of total billed charges,330.0448538,,,,,,,,,,491.76,percent of total billed charges,319.6324278,,,,,,,,,,491.76,percent of total billed charges,999999999,,,,,,,,,,546.4,percent of total billed charges,457.8547972,,,,539.57,percent of total billed charges,520.7082703,,,,539.57,percent of total billed charges,460.0629931,,,,546.4,percent of total billed charges,999999999,,,,546.4,percent of total billed charges,999999999,,,,478.1,percent of total billed charges,999999999,,,,478.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,363.356,percent of total billed charges,999999999,,,,,,,,,,,,,,,,344.915,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,170.75,percent of total billed charges,162.170733,,,,,,,,,,170.75,percent of total billed charges,159.4731332,,,,,,,,,,170.75,percent of total billed charges,159.0299642,,,,,,,,,,170.75,percent of total billed charges,156.6882499,,,,,,,,,,170.75,percent of total billed charges,160.7200689,,,,,,,,,,170.75,percent of total billed charges,999999999,,,,,,,,,,170.75,percent of total billed charges,137.9091371,,,,,,,,,,170.75,percent of total billed charges,217.4922193,,,,,,,,,,170.75,percent of total billed charges,999999999,,,,,,,,,,170.75,percent of total billed charges,148.6997779,,,,,,,,,,614.7,percent of total billed charges,,,,,
HAND 3 VIEWS LT,73130,CDM,0056-2780-01,NDC,LT,both,1,EA,586,586,124.7499915,586,586,percent of total billed charges,431.1410181,,,,586,percent of total billed charges,457.0009545,,,,586,percent of total billed charges,431.1410181,,,,586,percent of total billed charges,457.0009545,,,,586,percent of total billed charges,999999999,,,,586,percent of total billed charges,446.4917245,,,,586,percent of total billed charges,431.1410181,,,,586,percent of total billed charges,457.0009545,,,,417.818,percent of total billed charges,208.4988281,,,,417.818,percent of total billed charges,124.7499915,,,,417.818,percent of total billed charges,208.4988281,,,,417.818,percent of total billed charges,124.7499915,,,,417.818,percent of total billed charges,208.4988281,,,,417.818,percent of total billed charges,124.7499915,,,,413.716,percent of total billed charges,410.5770242,,,,413.716,percent of total billed charges,283.1717194,,,,,,,,,,421.92,percent of total billed charges,274.2380713,,,,,,,,,,421.92,percent of total billed charges,999999999,,,,,,,,,,468.8,percent of total billed charges,392.830031,,,,462.94,percent of total billed charges,446.7570226,,,,462.94,percent of total billed charges,394.7246178,,,,468.8,percent of total billed charges,999999999,,,,468.8,percent of total billed charges,999999999,,,,410.2,percent of total billed charges,999999999,,,,410.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,311.752,percent of total billed charges,999999999,,,,,,,,,,,,,,,,295.93,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,146.5,percent of total billed charges,139.1391648,,,,,,,,,,146.5,percent of total billed charges,136.8246795,,,,,,,,,,146.5,percent of total billed charges,136.4444495,,,,,,,,,,146.5,percent of total billed charges,134.4353067,,,,,,,,,,146.5,percent of total billed charges,137.8945247,,,,,,,,,,146.5,percent of total billed charges,999999999,,,,,,,,,,146.5,percent of total billed charges,118.3232128,,,,,,,,,,146.5,percent of total billed charges,186.6038661,,,,,,,,,,146.5,percent of total billed charges,999999999,,,,,,,,,,146.5,percent of total billed charges,127.5813614,,,,,,,,,,527.4,percent of total billed charges,,,,,
HAND 3 VIEWS RT,73130,CDM,0056-2780-01,NDC,RT,both,1,EA,586,586,124.7499915,586,586,percent of total billed charges,431.1410181,,,,586,percent of total billed charges,457.0009545,,,,586,percent of total billed charges,431.1410181,,,,586,percent of total billed charges,457.0009545,,,,586,percent of total billed charges,999999999,,,,586,percent of total billed charges,446.4917245,,,,586,percent of total billed charges,431.1410181,,,,586,percent of total billed charges,457.0009545,,,,417.818,percent of total billed charges,208.4988281,,,,417.818,percent of total billed charges,124.7499915,,,,417.818,percent of total billed charges,208.4988281,,,,417.818,percent of total billed charges,124.7499915,,,,417.818,percent of total billed charges,208.4988281,,,,417.818,percent of total billed charges,124.7499915,,,,413.716,percent of total billed charges,410.5770242,,,,413.716,percent of total billed charges,283.1717194,,,,,,,,,,421.92,percent of total billed charges,274.2380713,,,,,,,,,,421.92,percent of total billed charges,999999999,,,,,,,,,,468.8,percent of total billed charges,392.830031,,,,462.94,percent of total billed charges,446.7570226,,,,462.94,percent of total billed charges,394.7246178,,,,468.8,percent of total billed charges,999999999,,,,468.8,percent of total billed charges,999999999,,,,410.2,percent of total billed charges,999999999,,,,410.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,311.752,percent of total billed charges,999999999,,,,,,,,,,,,,,,,295.93,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,146.5,percent of total billed charges,139.1391648,,,,,,,,,,146.5,percent of total billed charges,136.8246795,,,,,,,,,,146.5,percent of total billed charges,136.4444495,,,,,,,,,,146.5,percent of total billed charges,134.4353067,,,,,,,,,,146.5,percent of total billed charges,137.8945247,,,,,,,,,,146.5,percent of total billed charges,999999999,,,,,,,,,,146.5,percent of total billed charges,118.3232128,,,,,,,,,,146.5,percent of total billed charges,186.6038661,,,,,,,,,,146.5,percent of total billed charges,999999999,,,,,,,,,,146.5,percent of total billed charges,127.5813614,,,,,,,,,,527.4,percent of total billed charges,,,,,
**CALCANEUS 2 VIEWS,73650,CDM,0056-2780-01,NDC,,both,1,EA,433,433,92.17874802,433,433,percent of total billed charges,318.5734826,,,,433,percent of total billed charges,337.6815926,,,,433,percent of total billed charges,318.5734826,,,,433,percent of total billed charges,337.6815926,,,,433,percent of total billed charges,999999999,,,,433,percent of total billed charges,329.9162401,,,,433,percent of total billed charges,318.5734826,,,,433,percent of total billed charges,337.6815926,,,,308.729,percent of total billed charges,154.0614208,,,,308.729,percent of total billed charges,92.17874802,,,,308.729,percent of total billed charges,154.0614208,,,,308.729,percent of total billed charges,92.17874802,,,,308.729,percent of total billed charges,154.0614208,,,,308.729,percent of total billed charges,92.17874802,,,,305.698,percent of total billed charges,303.3785862,,,,305.698,percent of total billed charges,209.2378063,,,,,,,,,,311.76,percent of total billed charges,202.6366636,,,,,,,,,,311.76,percent of total billed charges,999999999,,,,,,,,,,346.4,percent of total billed charges,290.2651935,,,,342.07,percent of total billed charges,330.112271,,,,342.07,percent of total billed charges,291.6651186,,,,346.4,percent of total billed charges,999999999,,,,346.4,percent of total billed charges,999999999,,,,303.1,percent of total billed charges,999999999,,,,303.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,230.356,percent of total billed charges,999999999,,,,,,,,,,,,,,,,218.665,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,108.25,percent of total billed charges,102.8110211,,,,,,,,,,108.25,percent of total billed charges,101.1008297,,,,,,,,,,108.25,percent of total billed charges,100.8198748,,,,,,,,,,108.25,percent of total billed charges,99.3353034,,,,,,,,,,108.25,percent of total billed charges,101.8913468,,,,,,,,,,108.25,percent of total billed charges,999999999,,,,,,,,,,108.25,percent of total billed charges,87.42995073,,,,,,,,,,108.25,percent of total billed charges,137.8830614,,,,,,,,,,108.25,percent of total billed charges,999999999,,,,,,,,,,108.25,percent of total billed charges,94.27086942,,,,,,,,,,389.7,percent of total billed charges,,,,,
**CALCANEOUS 2 VIEWS BI,73650,CDM,0056-2780-01,NDC,50,both,1,EA,543,543,115.5959819,543,543,percent of total billed charges,399.5043905,,,,543,percent of total billed charges,423.4667547,,,,543,percent of total billed charges,399.5043905,,,,543,percent of total billed charges,423.4667547,,,,543,percent of total billed charges,999999999,,,,543,percent of total billed charges,413.7286798,,,,543,percent of total billed charges,399.5043905,,,,543,percent of total billed charges,423.4667547,,,,387.159,percent of total billed charges,193.199426,,,,387.159,percent of total billed charges,115.5959819,,,,387.159,percent of total billed charges,193.199426,,,,387.159,percent of total billed charges,115.5959819,,,,387.159,percent of total billed charges,193.199426,,,,387.159,percent of total billed charges,115.5959819,,,,383.358,percent of total billed charges,380.4493586,,,,383.358,percent of total billed charges,262.3929072,,,,,,,,,,390.96,percent of total billed charges,254.1147999,,,,,,,,,,390.96,percent of total billed charges,999999999,,,,,,,,,,434.4,percent of total billed charges,364.0046191,,,,428.97,percent of total billed charges,413.9745107,,,,428.97,percent of total billed charges,365.7601834,,,,434.4,percent of total billed charges,999999999,,,,434.4,percent of total billed charges,999999999,,,,380.1,percent of total billed charges,999999999,,,,380.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,288.876,percent of total billed charges,999999999,,,,,,,,,,,,,,,,274.215,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,135.75,percent of total billed charges,128.9292943,,,,,,,,,,135.75,percent of total billed charges,126.7846433,,,,,,,,,,135.75,percent of total billed charges,126.4323142,,,,,,,,,,135.75,percent of total billed charges,124.5705999,,,,,,,,,,135.75,percent of total billed charges,127.7759845,,,,,,,,,,135.75,percent of total billed charges,999999999,,,,,,,,,,135.75,percent of total billed charges,109.6407927,,,,,,,,,,135.75,percent of total billed charges,172.9110909,,,,,,,,,,135.75,percent of total billed charges,999999999,,,,,,,,,,135.75,percent of total billed charges,118.2195891,,,,,,,,,,488.7,percent of total billed charges,,,,,
CALCANEUS 2 VIEWS LT,73650,CDM,0056-2780-01,NDC,LT,both,1,EA,477,477,101.5456416,477,477,percent of total billed charges,350.9458458,,,,477,percent of total billed charges,371.9956575,,,,477,percent of total billed charges,350.9458458,,,,477,percent of total billed charges,371.9956575,,,,477,percent of total billed charges,999999999,,,,477,percent of total billed charges,363.441216,,,,477,percent of total billed charges,350.9458458,,,,477,percent of total billed charges,371.9956575,,,,340.101,percent of total billed charges,169.7166229,,,,340.101,percent of total billed charges,101.5456416,,,,340.101,percent of total billed charges,169.7166229,,,,340.101,percent of total billed charges,101.5456416,,,,340.101,percent of total billed charges,169.7166229,,,,340.101,percent of total billed charges,101.5456416,,,,336.762,percent of total billed charges,334.2068952,,,,336.762,percent of total billed charges,230.4998466,,,,,,,,,,343.44,percent of total billed charges,223.2279181,,,,,,,,,,343.44,percent of total billed charges,999999999,,,,,,,,,,381.6,percent of total billed charges,319.7609638,,,,376.83,percent of total billed charges,363.6571668,,,,376.83,percent of total billed charges,321.3031445,,,,381.6,percent of total billed charges,999999999,,,,381.6,percent of total billed charges,999999999,,,,333.9,percent of total billed charges,999999999,,,,333.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,253.764,percent of total billed charges,999999999,,,,,,,,,,,,,,,,240.885,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,119.25,percent of total billed charges,113.2583304,,,,,,,,,,119.25,percent of total billed charges,111.3743551,,,,,,,,,,119.25,percent of total billed charges,111.0648506,,,,,,,,,,119.25,percent of total billed charges,109.429422,,,,,,,,,,119.25,percent of total billed charges,112.2452019,,,,,,,,,,119.25,percent of total billed charges,999999999,,,,,,,,,,119.25,percent of total billed charges,96.31428753,,,,,,,,,,119.25,percent of total billed charges,151.8942732,,,,,,,,,,119.25,percent of total billed charges,999999999,,,,,,,,,,119.25,percent of total billed charges,103.8503573,,,,,,,,,,429.3,percent of total billed charges,,,,,
CALCANEUS 2 VIEWS RT,73650,CDM,0056-2780-01,NDC,RT,both,1,EA,477,477,101.5456416,477,477,percent of total billed charges,350.9458458,,,,477,percent of total billed charges,371.9956575,,,,477,percent of total billed charges,350.9458458,,,,477,percent of total billed charges,371.9956575,,,,477,percent of total billed charges,999999999,,,,477,percent of total billed charges,363.441216,,,,477,percent of total billed charges,350.9458458,,,,477,percent of total billed charges,371.9956575,,,,340.101,percent of total billed charges,169.7166229,,,,340.101,percent of total billed charges,101.5456416,,,,340.101,percent of total billed charges,169.7166229,,,,340.101,percent of total billed charges,101.5456416,,,,340.101,percent of total billed charges,169.7166229,,,,340.101,percent of total billed charges,101.5456416,,,,336.762,percent of total billed charges,334.2068952,,,,336.762,percent of total billed charges,230.4998466,,,,,,,,,,343.44,percent of total billed charges,223.2279181,,,,,,,,,,343.44,percent of total billed charges,999999999,,,,,,,,,,381.6,percent of total billed charges,319.7609638,,,,376.83,percent of total billed charges,363.6571668,,,,376.83,percent of total billed charges,321.3031445,,,,381.6,percent of total billed charges,999999999,,,,381.6,percent of total billed charges,999999999,,,,333.9,percent of total billed charges,999999999,,,,333.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,253.764,percent of total billed charges,999999999,,,,,,,,,,,,,,,,240.885,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,119.25,percent of total billed charges,113.2583304,,,,,,,,,,119.25,percent of total billed charges,111.3743551,,,,,,,,,,119.25,percent of total billed charges,111.0648506,,,,,,,,,,119.25,percent of total billed charges,109.429422,,,,,,,,,,119.25,percent of total billed charges,112.2452019,,,,,,,,,,119.25,percent of total billed charges,999999999,,,,,,,,,,119.25,percent of total billed charges,96.31428753,,,,,,,,,,119.25,percent of total billed charges,151.8942732,,,,,,,,,,119.25,percent of total billed charges,999999999,,,,,,,,,,119.25,percent of total billed charges,103.8503573,,,,,,,,,,429.3,percent of total billed charges,,,,,
**HIP 1 VIEW,73500,CDM,0056-2780-01,NDC,,both,1,EA,444,444,94.52047141,444,444,percent of total billed charges,326.6665734,,,,444,percent of total billed charges,346.2601088,,,,444,percent of total billed charges,326.6665734,,,,444,percent of total billed charges,346.2601088,,,,444,percent of total billed charges,999999999,,,,444,percent of total billed charges,338.2974841,,,,444,percent of total billed charges,326.6665734,,,,444,percent of total billed charges,346.2601088,,,,316.572,percent of total billed charges,157.9752213,,,,316.572,percent of total billed charges,94.52047141,,,,316.572,percent of total billed charges,157.9752213,,,,316.572,percent of total billed charges,94.52047141,,,,316.572,percent of total billed charges,157.9752213,,,,316.572,percent of total billed charges,94.52047141,,,,313.464,percent of total billed charges,311.0856634,,,,313.464,percent of total billed charges,214.5533164,,,,,,,,,,319.68,percent of total billed charges,207.7844773,,,,,,,,,,319.68,percent of total billed charges,999999999,,,,,,,,,,355.2,percent of total billed charges,297.6391361,,,,350.76,percent of total billed charges,338.4984949,,,,350.76,percent of total billed charges,299.0746251,,,,355.2,percent of total billed charges,999999999,,,,355.2,percent of total billed charges,999999999,,,,310.8,percent of total billed charges,999999999,,,,310.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,236.208,percent of total billed charges,999999999,,,,,,,,,,,,,,,,224.22,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,111,percent of total billed charges,105.4228484,,,,,,,,,,111,percent of total billed charges,103.6692111,,,,,,,,,,111,percent of total billed charges,103.3811188,,,,,,,,,,111,percent of total billed charges,101.858833,,,,,,,,,,111,percent of total billed charges,104.4798106,,,,,,,,,,111,percent of total billed charges,999999999,,,,,,,,,,111,percent of total billed charges,89.65103493,,,,,,,,,,111,percent of total billed charges,141.3858644,,,,,,,,,,111,percent of total billed charges,999999999,,,,,,,,,,111,percent of total billed charges,96.66574139,,,,,,,,,,399.6,percent of total billed charges,,,,,
**HIP 2 VIEWS,73510,CDM,0056-2780-01,NDC,,both,1,EA,591,591,125.8144113,591,591,percent of total billed charges,434.8196957,,,,591,percent of total billed charges,460.90028,,,,591,percent of total billed charges,434.8196957,,,,591,percent of total billed charges,460.90028,,,,591,percent of total billed charges,999999999,,,,591,percent of total billed charges,450.3013808,,,,591,percent of total billed charges,434.8196957,,,,591,percent of total billed charges,460.90028,,,,421.383,percent of total billed charges,210.2778283,,,,421.383,percent of total billed charges,125.8144113,,,,421.383,percent of total billed charges,210.2778283,,,,421.383,percent of total billed charges,125.8144113,,,,421.383,percent of total billed charges,210.2778283,,,,421.383,percent of total billed charges,125.8144113,,,,417.246,percent of total billed charges,414.0802412,,,,417.246,percent of total billed charges,285.5878603,,,,,,,,,,425.52,percent of total billed charges,276.5779866,,,,,,,,,,425.52,percent of total billed charges,999999999,,,,,,,,,,472.8,percent of total billed charges,396.181823,,,,466.89,percent of total billed charges,450.5689426,,,,466.89,percent of total billed charges,398.0925753,,,,472.8,percent of total billed charges,999999999,,,,472.8,percent of total billed charges,999999999,,,,413.7,percent of total billed charges,999999999,,,,413.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,314.412,percent of total billed charges,999999999,,,,,,,,,,,,,,,,298.455,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,147.75,percent of total billed charges,140.326359,,,,,,,,,,147.75,percent of total billed charges,137.9921255,,,,,,,,,,147.75,percent of total billed charges,137.6086513,,,,,,,,,,147.75,percent of total billed charges,135.5823656,,,,,,,,,,147.75,percent of total billed charges,139.0710992,,,,,,,,,,147.75,percent of total billed charges,999999999,,,,,,,,,,147.75,percent of total billed charges,119.3327965,,,,,,,,,,147.75,percent of total billed charges,188.1960492,,,,,,,,,,147.75,percent of total billed charges,999999999,,,,,,,,,,147.75,percent of total billed charges,128.6699396,,,,,,,,,,531.9,percent of total billed charges,,,,,
**HIP 1 VIEW LT,73500,CDM,0056-2780-01,NDC,LT,both,1,EA,415,415,88.34683702,415,415,percent of total billed charges,305.3302432,,,,415,percent of total billed charges,323.6440207,,,,415,percent of total billed charges,305.3302432,,,,415,percent of total billed charges,323.6440207,,,,415,percent of total billed charges,999999999,,,,415,percent of total billed charges,316.2014772,,,,415,percent of total billed charges,305.3302432,,,,415,percent of total billed charges,323.6440207,,,,295.895,percent of total billed charges,147.6570199,,,,295.895,percent of total billed charges,88.34683702,,,,295.895,percent of total billed charges,147.6570199,,,,295.895,percent of total billed charges,88.34683702,,,,295.895,percent of total billed charges,147.6570199,,,,295.895,percent of total billed charges,88.34683702,,,,292.99,percent of total billed charges,290.7670052,,,,292.99,percent of total billed charges,200.5396989,,,,,,,,,,298.8,percent of total billed charges,194.2129686,,,,,,,,,,298.8,percent of total billed charges,999999999,,,,,,,,,,332,percent of total billed charges,278.1987421,,,,327.85,percent of total billed charges,316.389359,,,,327.85,percent of total billed charges,279.5404716,,,,332,percent of total billed charges,999999999,,,,332,percent of total billed charges,999999999,,,,290.5,percent of total billed charges,999999999,,,,290.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,220.78,percent of total billed charges,999999999,,,,,,,,,,,,,,,,209.575,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,103.75,percent of total billed charges,98.53712182,,,,,,,,,,103.75,percent of total billed charges,96.89802385,,,,,,,,,,103.75,percent of total billed charges,96.62874839,,,,,,,,,,103.75,percent of total billed charges,95.20589124,,,,,,,,,,103.75,percent of total billed charges,97.65567879,,,,,,,,,,103.75,percent of total billed charges,999999999,,,,,,,,,,103.75,percent of total billed charges,83.79544932,,,,,,,,,,103.75,percent of total billed charges,132.1512021,,,,,,,,,,103.75,percent of total billed charges,999999999,,,,,,,,,,103.75,percent of total billed charges,90.35198801,,,,,,,,,,373.5,percent of total billed charges,,,,,
**HIP 1 VIEW RT,73500,CDM,0056-2780-01,NDC,RT,both,1,EA,455,455,96.8621948,455,455,percent of total billed charges,334.7596642,,,,455,percent of total billed charges,354.8386251,,,,455,percent of total billed charges,334.7596642,,,,455,percent of total billed charges,354.8386251,,,,455,percent of total billed charges,999999999,,,,455,percent of total billed charges,346.678728,,,,455,percent of total billed charges,334.7596642,,,,455,percent of total billed charges,354.8386251,,,,324.415,percent of total billed charges,161.8890218,,,,324.415,percent of total billed charges,96.8621948,,,,324.415,percent of total billed charges,161.8890218,,,,324.415,percent of total billed charges,96.8621948,,,,324.415,percent of total billed charges,161.8890218,,,,324.415,percent of total billed charges,96.8621948,,,,321.23,percent of total billed charges,318.7927407,,,,321.23,percent of total billed charges,219.8688265,,,,,,,,,,327.6,percent of total billed charges,212.9322909,,,,,,,,,,327.6,percent of total billed charges,999999999,,,,,,,,,,364,percent of total billed charges,305.0130786,,,,359.45,percent of total billed charges,346.8847189,,,,359.45,percent of total billed charges,306.4841316,,,,364,percent of total billed charges,999999999,,,,364,percent of total billed charges,999999999,,,,318.5,percent of total billed charges,999999999,,,,318.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,242.06,percent of total billed charges,999999999,,,,,,,,,,,,,,,,229.775,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,113.75,percent of total billed charges,108.0346757,,,,,,,,,,113.75,percent of total billed charges,106.2375924,,,,,,,,,,113.75,percent of total billed charges,105.9423627,,,,,,,,,,113.75,percent of total billed charges,104.3823627,,,,,,,,,,113.75,percent of total billed charges,107.0682743,,,,,,,,,,113.75,percent of total billed charges,999999999,,,,,,,,,,113.75,percent of total billed charges,91.87211913,,,,,,,,,,113.75,percent of total billed charges,144.8886673,,,,,,,,,,113.75,percent of total billed charges,999999999,,,,,,,,,,113.75,percent of total billed charges,99.06061336,,,,,,,,,,409.5,percent of total billed charges,,,,,
**HIP 2 VIEWS LT,73502,CDM,0056-2780-01,NDC,LT,both,1,EA,662,662,140.9291713,662,662,percent of total billed charges,487.056918,,,,662,percent of total billed charges,516.2707028,,,,662,percent of total billed charges,487.056918,,,,662,percent of total billed charges,516.2707028,,,,662,percent of total billed charges,999999999,,,,662,percent of total billed charges,504.398501,,,,662,percent of total billed charges,487.056918,,,,662,percent of total billed charges,516.2707028,,,,472.006,percent of total billed charges,235.5396317,,,,472.006,percent of total billed charges,140.9291713,,,,472.006,percent of total billed charges,235.5396317,,,,472.006,percent of total billed charges,140.9291713,,,,472.006,percent of total billed charges,235.5396317,,,,472.006,percent of total billed charges,140.9291713,,,,467.372,percent of total billed charges,463.8259216,,,,467.372,percent of total billed charges,319.8970618,,,,,,,,,,476.64,percent of total billed charges,309.8047837,,,,,,,,,,476.64,percent of total billed charges,999999999,,,,,,,,,,529.6,percent of total billed charges,443.7772705,,,,522.98,percent of total billed charges,504.6982064,,,,522.98,percent of total billed charges,445.9175716,,,,529.6,percent of total billed charges,999999999,,,,529.6,percent of total billed charges,999999999,,,,463.4,percent of total billed charges,999999999,,,,463.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,352.184,percent of total billed charges,999999999,,,,,,,,,,,,,,,,334.31,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,165.5,percent of total billed charges,157.1845172,,,,,,,,,,165.5,percent of total billed charges,154.5698597,,,,,,,,,,165.5,percent of total billed charges,154.1403167,,,,,,,,,,165.5,percent of total billed charges,151.8706024,,,,,,,,,,165.5,percent of total billed charges,155.7784563,,,,,,,,,,165.5,percent of total billed charges,999999999,,,,,,,,,,165.5,percent of total billed charges,133.6688854,,,,,,,,,,165.5,percent of total billed charges,210.8050501,,,,,,,,,,165.5,percent of total billed charges,999999999,,,,,,,,,,165.5,percent of total billed charges,144.1277496,,,,,,,,,,595.8,percent of total billed charges,,,,,
**HIP 2 VIEWS BI AP PELVIS,73520,CDM,0056-2780-01,NDC,,both,1,EA,885,885,188.402291,885,885,percent of total billed charges,651.1259403,,,,885,percent of total billed charges,690.1806224,,,,885,percent of total billed charges,651.1259403,,,,885,percent of total billed charges,690.1806224,,,,885,percent of total billed charges,999999999,,,,885,percent of total billed charges,674.3091743,,,,885,percent of total billed charges,651.1259403,,,,885,percent of total billed charges,690.1806224,,,,631.005,percent of total billed charges,314.8830424,,,,631.005,percent of total billed charges,188.402291,,,,631.005,percent of total billed charges,314.8830424,,,,631.005,percent of total billed charges,188.402291,,,,631.005,percent of total billed charges,314.8830424,,,,631.005,percent of total billed charges,188.402291,,,,624.81,percent of total billed charges,620.0693967,,,,624.81,percent of total billed charges,427.6569482,,,,,,,,,,637.2,percent of total billed charges,414.1650053,,,,,,,,,,637.2,percent of total billed charges,999999999,,,,,,,,,,708,percent of total billed charges,593.2671969,,,,699.15,percent of total billed charges,674.7098379,,,,699.15,percent of total billed charges,596.1284757,,,,708,percent of total billed charges,999999999,,,,708,percent of total billed charges,999999999,,,,619.5,percent of total billed charges,999999999,,,,619.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,470.82,percent of total billed charges,999999999,,,,,,,,,,,,,,,,446.925,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,221.25,percent of total billed charges,210.1333803,,,,,,,,,,221.25,percent of total billed charges,206.6379545,,,,,,,,,,221.25,percent of total billed charges,206.0637164,,,,,,,,,,221.25,percent of total billed charges,203.0294307,,,,,,,,,,221.25,percent of total billed charges,208.2536765,,,,,,,,,,221.25,percent of total billed charges,999999999,,,,,,,,,,221.25,percent of total billed charges,178.6963196,,,,,,,,,,221.25,percent of total billed charges,281.8164189,,,,,,,,,,221.25,percent of total billed charges,999999999,,,,,,,,,,221.25,percent of total billed charges,192.6783359,,,,,,,,,,796.5,percent of total billed charges,,,,,
**HIP 2 VIEWS RT,73502,CDM,0056-2780-01,NDC,RT,both,1,EA,662,662,140.9291713,662,662,percent of total billed charges,487.056918,,,,662,percent of total billed charges,516.2707028,,,,662,percent of total billed charges,487.056918,,,,662,percent of total billed charges,516.2707028,,,,662,percent of total billed charges,999999999,,,,662,percent of total billed charges,504.398501,,,,662,percent of total billed charges,487.056918,,,,662,percent of total billed charges,516.2707028,,,,472.006,percent of total billed charges,235.5396317,,,,472.006,percent of total billed charges,140.9291713,,,,472.006,percent of total billed charges,235.5396317,,,,472.006,percent of total billed charges,140.9291713,,,,472.006,percent of total billed charges,235.5396317,,,,472.006,percent of total billed charges,140.9291713,,,,467.372,percent of total billed charges,463.8259216,,,,467.372,percent of total billed charges,319.8970618,,,,,,,,,,476.64,percent of total billed charges,309.8047837,,,,,,,,,,476.64,percent of total billed charges,999999999,,,,,,,,,,529.6,percent of total billed charges,443.7772705,,,,522.98,percent of total billed charges,504.6982064,,,,522.98,percent of total billed charges,445.9175716,,,,529.6,percent of total billed charges,999999999,,,,529.6,percent of total billed charges,999999999,,,,463.4,percent of total billed charges,999999999,,,,463.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,352.184,percent of total billed charges,999999999,,,,,,,,,,,,,,,,334.31,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,165.5,percent of total billed charges,157.1845172,,,,,,,,,,165.5,percent of total billed charges,154.5698597,,,,,,,,,,165.5,percent of total billed charges,154.1403167,,,,,,,,,,165.5,percent of total billed charges,151.8706024,,,,,,,,,,165.5,percent of total billed charges,155.7784563,,,,,,,,,,165.5,percent of total billed charges,999999999,,,,,,,,,,165.5,percent of total billed charges,133.6688854,,,,,,,,,,165.5,percent of total billed charges,210.8050501,,,,,,,,,,165.5,percent of total billed charges,999999999,,,,,,,,,,165.5,percent of total billed charges,144.1277496,,,,,,,,,,595.8,percent of total billed charges,,,,,
HUMERUS 2V RT,73060,CDM,0056-2780-01,NDC,RT,both,1,EA,539,539,114.7444462,539,539,percent of total billed charges,396.5614484,,,,539,percent of total billed charges,420.3472943,,,,539,percent of total billed charges,396.5614484,,,,539,percent of total billed charges,420.3472943,,,,539,percent of total billed charges,999999999,,,,539,percent of total billed charges,410.6809548,,,,539,percent of total billed charges,396.5614484,,,,539,percent of total billed charges,420.3472943,,,,384.307,percent of total billed charges,191.7762258,,,,384.307,percent of total billed charges,114.7444462,,,,384.307,percent of total billed charges,191.7762258,,,,384.307,percent of total billed charges,114.7444462,,,,384.307,percent of total billed charges,191.7762258,,,,384.307,percent of total billed charges,114.7444462,,,,380.534,percent of total billed charges,377.6467851,,,,380.534,percent of total billed charges,260.4599944,,,,,,,,,,388.08,percent of total billed charges,252.2428677,,,,,,,,,,388.08,percent of total billed charges,999999999,,,,,,,,,,431.2,percent of total billed charges,361.3231855,,,,425.81,percent of total billed charges,410.9249747,,,,425.81,percent of total billed charges,363.0658174,,,,431.2,percent of total billed charges,999999999,,,,431.2,percent of total billed charges,999999999,,,,377.3,percent of total billed charges,999999999,,,,377.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,286.748,percent of total billed charges,999999999,,,,,,,,,,,,,,,,272.195,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,134.75,percent of total billed charges,127.9795389,,,,,,,,,,134.75,percent of total billed charges,125.8506864,,,,,,,,,,134.75,percent of total billed charges,125.5009527,,,,,,,,,,134.75,percent of total billed charges,123.6529527,,,,,,,,,,134.75,percent of total billed charges,126.834725,,,,,,,,,,134.75,percent of total billed charges,999999999,,,,,,,,,,134.75,percent of total billed charges,108.8331257,,,,,,,,,,134.75,percent of total billed charges,171.6373444,,,,,,,,,,134.75,percent of total billed charges,999999999,,,,,,,,,,134.75,percent of total billed charges,117.3487266,,,,,,,,,,485.1,percent of total billed charges,,,,,
HUMERUS 2V LT,73060,CDM,0056-2780-01,NDC,LT,both,1,EA,539,539,114.7444462,539,539,percent of total billed charges,396.5614484,,,,539,percent of total billed charges,420.3472943,,,,539,percent of total billed charges,396.5614484,,,,539,percent of total billed charges,420.3472943,,,,539,percent of total billed charges,999999999,,,,539,percent of total billed charges,410.6809548,,,,539,percent of total billed charges,396.5614484,,,,539,percent of total billed charges,420.3472943,,,,384.307,percent of total billed charges,191.7762258,,,,384.307,percent of total billed charges,114.7444462,,,,384.307,percent of total billed charges,191.7762258,,,,384.307,percent of total billed charges,114.7444462,,,,384.307,percent of total billed charges,191.7762258,,,,384.307,percent of total billed charges,114.7444462,,,,380.534,percent of total billed charges,377.6467851,,,,380.534,percent of total billed charges,260.4599944,,,,,,,,,,388.08,percent of total billed charges,252.2428677,,,,,,,,,,388.08,percent of total billed charges,999999999,,,,,,,,,,431.2,percent of total billed charges,361.3231855,,,,425.81,percent of total billed charges,410.9249747,,,,425.81,percent of total billed charges,363.0658174,,,,431.2,percent of total billed charges,999999999,,,,431.2,percent of total billed charges,999999999,,,,377.3,percent of total billed charges,999999999,,,,377.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,286.748,percent of total billed charges,999999999,,,,,,,,,,,,,,,,272.195,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,134.75,percent of total billed charges,127.9795389,,,,,,,,,,134.75,percent of total billed charges,125.8506864,,,,,,,,,,134.75,percent of total billed charges,125.5009527,,,,,,,,,,134.75,percent of total billed charges,123.6529527,,,,,,,,,,134.75,percent of total billed charges,126.834725,,,,,,,,,,134.75,percent of total billed charges,999999999,,,,,,,,,,134.75,percent of total billed charges,108.8331257,,,,,,,,,,134.75,percent of total billed charges,171.6373444,,,,,,,,,,134.75,percent of total billed charges,999999999,,,,,,,,,,134.75,percent of total billed charges,117.3487266,,,,,,,,,,485.1,percent of total billed charges,,,,,
**HUMERUS 2 VIEWS BI,73060,CDM,0056-2780-01,NDC,50,both,1,EA,541,541,115.170214,541,541,percent of total billed charges,398.0329194,,,,541,percent of total billed charges,421.9070245,,,,541,percent of total billed charges,398.0329194,,,,541,percent of total billed charges,421.9070245,,,,541,percent of total billed charges,999999999,,,,541,percent of total billed charges,412.2048173,,,,541,percent of total billed charges,398.0329194,,,,541,percent of total billed charges,421.9070245,,,,385.733,percent of total billed charges,192.4878259,,,,385.733,percent of total billed charges,115.170214,,,,385.733,percent of total billed charges,192.4878259,,,,385.733,percent of total billed charges,115.170214,,,,385.733,percent of total billed charges,192.4878259,,,,385.733,percent of total billed charges,115.170214,,,,381.946,percent of total billed charges,379.0480719,,,,381.946,percent of total billed charges,261.4264508,,,,,,,,,,389.52,percent of total billed charges,253.1788338,,,,,,,,,,389.52,percent of total billed charges,999999999,,,,,,,,,,432.8,percent of total billed charges,362.6639023,,,,427.39,percent of total billed charges,412.4497427,,,,427.39,percent of total billed charges,364.4130004,,,,432.8,percent of total billed charges,999999999,,,,432.8,percent of total billed charges,999999999,,,,378.7,percent of total billed charges,999999999,,,,378.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,287.812,percent of total billed charges,999999999,,,,,,,,,,,,,,,,273.205,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,135.25,percent of total billed charges,128.4544166,,,,,,,,,,135.25,percent of total billed charges,126.3176648,,,,,,,,,,135.25,percent of total billed charges,125.9666334,,,,,,,,,,135.25,percent of total billed charges,124.1117763,,,,,,,,,,135.25,percent of total billed charges,127.3053548,,,,,,,,,,135.25,percent of total billed charges,999999999,,,,,,,,,,135.25,percent of total billed charges,109.2369592,,,,,,,,,,135.25,percent of total billed charges,172.2742177,,,,,,,,,,135.25,percent of total billed charges,999999999,,,,,,,,,,135.25,percent of total billed charges,117.7841579,,,,,,,,,,486.9,percent of total billed charges,,,,,
**HUMERUS 2 VIEWS,73060,CDM,0056-2780-01,NDC,,both,1,EA,541,541,115.170214,541,541,percent of total billed charges,398.0329194,,,,541,percent of total billed charges,421.9070245,,,,541,percent of total billed charges,398.0329194,,,,541,percent of total billed charges,421.9070245,,,,541,percent of total billed charges,999999999,,,,541,percent of total billed charges,412.2048173,,,,541,percent of total billed charges,398.0329194,,,,541,percent of total billed charges,421.9070245,,,,385.733,percent of total billed charges,192.4878259,,,,385.733,percent of total billed charges,115.170214,,,,385.733,percent of total billed charges,192.4878259,,,,385.733,percent of total billed charges,115.170214,,,,385.733,percent of total billed charges,192.4878259,,,,385.733,percent of total billed charges,115.170214,,,,381.946,percent of total billed charges,379.0480719,,,,381.946,percent of total billed charges,261.4264508,,,,,,,,,,389.52,percent of total billed charges,253.1788338,,,,,,,,,,389.52,percent of total billed charges,999999999,,,,,,,,,,432.8,percent of total billed charges,362.6639023,,,,427.39,percent of total billed charges,412.4497427,,,,427.39,percent of total billed charges,364.4130004,,,,432.8,percent of total billed charges,999999999,,,,432.8,percent of total billed charges,999999999,,,,378.7,percent of total billed charges,999999999,,,,378.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,287.812,percent of total billed charges,999999999,,,,,,,,,,,,,,,,273.205,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,135.25,percent of total billed charges,128.4544166,,,,,,,,,,135.25,percent of total billed charges,126.3176648,,,,,,,,,,135.25,percent of total billed charges,125.9666334,,,,,,,,,,135.25,percent of total billed charges,124.1117763,,,,,,,,,,135.25,percent of total billed charges,127.3053548,,,,,,,,,,135.25,percent of total billed charges,999999999,,,,,,,,,,135.25,percent of total billed charges,109.2369592,,,,,,,,,,135.25,percent of total billed charges,172.2742177,,,,,,,,,,135.25,percent of total billed charges,999999999,,,,,,,,,,135.25,percent of total billed charges,117.7841579,,,,,,,,,,486.9,percent of total billed charges,,,,,
**IVP W/TOMOGRAMS,74415,CDM,0056-2780-01,NDC,,both,1,EA,1872,1872,398.5187443,1872,1872,percent of total billed charges,1377.296904,,,,1872,percent of total billed charges,1459.907486,,,,1872,percent of total billed charges,1377.296904,,,,1872,percent of total billed charges,1459.907486,,,,1872,percent of total billed charges,999999999,,,,1872,percent of total billed charges,1426.335338,,,,1872,percent of total billed charges,1377.296904,,,,1872,percent of total billed charges,1459.907486,,,,1334.736,percent of total billed charges,666.0576897,,,,1334.736,percent of total billed charges,398.5187443,,,,1334.736,percent of total billed charges,666.0576897,,,,1334.736,percent of total billed charges,398.5187443,,,,1334.736,percent of total billed charges,666.0576897,,,,1334.736,percent of total billed charges,398.5187443,,,,1321.632,percent of total billed charges,1311.604419,,,,1321.632,percent of total billed charges,904.6031718,,,,,,,,,,1347.84,percent of total billed charges,876.0642825,,,,,,,,,,1347.84,percent of total billed charges,999999999,,,,,,,,,,1497.6,percent of total billed charges,1254.910952,,,,1478.88,percent of total billed charges,1427.182843,,,,1478.88,percent of total billed charges,1260.963284,,,,1497.6,percent of total billed charges,999999999,,,,1497.6,percent of total billed charges,999999999,,,,1310.4,percent of total billed charges,999999999,,,,1310.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,995.904,percent of total billed charges,999999999,,,,,,,,,,,,,,,,945.36,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,468,percent of total billed charges,444.485523,,,,,,,,,,468,percent of total billed charges,437.0918088,,,,,,,,,,468,percent of total billed charges,435.8771494,,,,,,,,,,468,percent of total billed charges,429.4588636,,,,,,,,,,468,percent of total billed charges,440.5094715,,,,,,,,,,468,percent of total billed charges,999999999,,,,,,,,,,468,percent of total billed charges,377.9881473,,,,,,,,,,468,percent of total billed charges,596.1133742,,,,,,,,,,468,percent of total billed charges,999999999,,,,,,,,,,468,percent of total billed charges,407.5636664,,,,,,,,,,1684.8,percent of total billed charges,,,,,
IVP LIMITED,74400,CDM,0056-2780-01,NDC,,both,1,EA,1566,1566,333.3762573,1566,1566,percent of total billed charges,1152.161833,,,,1566,percent of total billed charges,1221.268762,,,,1566,percent of total billed charges,1152.161833,,,,1566,percent of total billed charges,1221.268762,,,,1566,percent of total billed charges,999999999,,,,1566,percent of total billed charges,1193.184369,,,,1566,percent of total billed charges,1152.161833,,,,1566,percent of total billed charges,1221.268762,,,,1116.558,percent of total billed charges,557.1828751,,,,1116.558,percent of total billed charges,333.3762573,,,,1116.558,percent of total billed charges,557.1828751,,,,1116.558,percent of total billed charges,333.3762573,,,,1116.558,percent of total billed charges,557.1828751,,,,1116.558,percent of total billed charges,333.3762573,,,,1105.596,percent of total billed charges,1097.207543,,,,1105.596,percent of total billed charges,756.7353456,,,,,,,,,,1127.52,percent of total billed charges,732.8614671,,,,,,,,,,1127.52,percent of total billed charges,999999999,,,,,,,,,,1252.8,percent of total billed charges,1049.781277,,,,1237.14,percent of total billed charges,1193.89334,,,,1237.14,percent of total billed charges,1054.844286,,,,1252.8,percent of total billed charges,999999999,,,,1252.8,percent of total billed charges,999999999,,,,1096.2,percent of total billed charges,999999999,,,,1096.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,833.112,percent of total billed charges,999999999,,,,,,,,,,,,,,,,790.83,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,391.5,percent of total billed charges,371.8292356,,,,,,,,,,391.5,percent of total billed charges,365.6441093,,,,,,,,,,391.5,percent of total billed charges,364.6279999,,,,,,,,,,391.5,percent of total billed charges,359.2588571,,,,,,,,,,391.5,percent of total billed charges,368.5031156,,,,,,,,,,391.5,percent of total billed charges,999999999,,,,,,,,,,391.5,percent of total billed charges,316.2016232,,,,,,,,,,391.5,percent of total billed charges,498.671765,,,,,,,,,,391.5,percent of total billed charges,999999999,,,,,,,,,,391.5,percent of total billed charges,340.9426825,,,,,,,,,,1409.4,percent of total billed charges,,,,,
MANDIBLE 4 VIEWS,70110,CDM,0056-2780-01,NDC,,both,1,EA,793,793,168.8169681,793,793,percent of total billed charges,583.4382719,,,,793,percent of total billed charges,618.4330322,,,,793,percent of total billed charges,583.4382719,,,,793,percent of total billed charges,618.4330322,,,,793,percent of total billed charges,999999999,,,,793,percent of total billed charges,604.2114974,,,,793,percent of total billed charges,583.4382719,,,,793,percent of total billed charges,618.4330322,,,,565.409,percent of total billed charges,282.149438,,,,565.409,percent of total billed charges,168.8169681,,,,565.409,percent of total billed charges,282.149438,,,,565.409,percent of total billed charges,168.8169681,,,,565.409,percent of total billed charges,282.149438,,,,565.409,percent of total billed charges,168.8169681,,,,559.858,percent of total billed charges,555.6102052,,,,559.858,percent of total billed charges,383.1999547,,,,,,,,,,570.96,percent of total billed charges,371.1105641,,,,,,,,,,570.96,percent of total billed charges,999999999,,,,,,,,,,634.4,percent of total billed charges,531.5942228,,,,626.47,percent of total billed charges,604.5705101,,,,626.47,percent of total billed charges,534.1580579,,,,634.4,percent of total billed charges,999999999,,,,634.4,percent of total billed charges,999999999,,,,555.1,percent of total billed charges,999999999,,,,555.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,421.876,percent of total billed charges,999999999,,,,,,,,,,,,,,,,400.465,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,198.25,percent of total billed charges,188.2890063,,,,,,,,,,198.25,percent of total billed charges,185.1569468,,,,,,,,,,198.25,percent of total billed charges,184.6424035,,,,,,,,,,198.25,percent of total billed charges,181.9235464,,,,,,,,,,198.25,percent of total billed charges,186.6047067,,,,,,,,,,198.25,percent of total billed charges,999999999,,,,,,,,,,198.25,percent of total billed charges,160.1199791,,,,,,,,,,198.25,percent of total billed charges,252.5202488,,,,,,,,,,198.25,percent of total billed charges,999999999,,,,,,,,,,198.25,percent of total billed charges,172.6484976,,,,,,,,,,713.7,percent of total billed charges,,,,,
MANDIBLE PARTIAL LESS THAN 4 VIEWS,70100,CDM,0056-2780-01,NDC,,both,1,EA,541,541,115.170214,541,541,percent of total billed charges,398.0329194,,,,541,percent of total billed charges,421.9070245,,,,541,percent of total billed charges,398.0329194,,,,541,percent of total billed charges,421.9070245,,,,541,percent of total billed charges,999999999,,,,541,percent of total billed charges,412.2048173,,,,541,percent of total billed charges,398.0329194,,,,541,percent of total billed charges,421.9070245,,,,385.733,percent of total billed charges,192.4878259,,,,385.733,percent of total billed charges,115.170214,,,,385.733,percent of total billed charges,192.4878259,,,,385.733,percent of total billed charges,115.170214,,,,385.733,percent of total billed charges,192.4878259,,,,385.733,percent of total billed charges,115.170214,,,,381.946,percent of total billed charges,379.0480719,,,,381.946,percent of total billed charges,261.4264508,,,,,,,,,,389.52,percent of total billed charges,253.1788338,,,,,,,,,,389.52,percent of total billed charges,999999999,,,,,,,,,,432.8,percent of total billed charges,362.6639023,,,,427.39,percent of total billed charges,412.4497427,,,,427.39,percent of total billed charges,364.4130004,,,,432.8,percent of total billed charges,999999999,,,,432.8,percent of total billed charges,999999999,,,,378.7,percent of total billed charges,999999999,,,,378.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,287.812,percent of total billed charges,999999999,,,,,,,,,,,,,,,,273.205,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,135.25,percent of total billed charges,128.4544166,,,,,,,,,,135.25,percent of total billed charges,126.3176648,,,,,,,,,,135.25,percent of total billed charges,125.9666334,,,,,,,,,,135.25,percent of total billed charges,124.1117763,,,,,,,,,,135.25,percent of total billed charges,127.3053548,,,,,,,,,,135.25,percent of total billed charges,999999999,,,,,,,,,,135.25,percent of total billed charges,109.2369592,,,,,,,,,,135.25,percent of total billed charges,172.2742177,,,,,,,,,,135.25,percent of total billed charges,999999999,,,,,,,,,,135.25,percent of total billed charges,117.7841579,,,,,,,,,,486.9,percent of total billed charges,,,,,
**KNEE 1 OR 2 VIEWS BI,73560,CDM,0056-2780-01,NDC,50,both,1,EA,595,595,126.6659471,595,595,percent of total billed charges,437.7626378,,,,595,percent of total billed charges,464.0197405,,,,595,percent of total billed charges,437.7626378,,,,595,percent of total billed charges,464.0197405,,,,595,percent of total billed charges,999999999,,,,595,percent of total billed charges,453.3491059,,,,595,percent of total billed charges,437.7626378,,,,595,percent of total billed charges,464.0197405,,,,424.235,percent of total billed charges,211.7010285,,,,424.235,percent of total billed charges,126.6659471,,,,424.235,percent of total billed charges,211.7010285,,,,424.235,percent of total billed charges,126.6659471,,,,424.235,percent of total billed charges,211.7010285,,,,424.235,percent of total billed charges,126.6659471,,,,420.07,percent of total billed charges,416.8828147,,,,420.07,percent of total billed charges,287.5207731,,,,,,,,,,428.4,percent of total billed charges,278.4499188,,,,,,,,,,428.4,percent of total billed charges,999999999,,,,,,,,,,476,percent of total billed charges,398.8632567,,,,470.05,percent of total billed charges,453.6184786,,,,470.05,percent of total billed charges,400.7869413,,,,476,percent of total billed charges,999999999,,,,476,percent of total billed charges,999999999,,,,416.5,percent of total billed charges,999999999,,,,416.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,316.54,percent of total billed charges,999999999,,,,,,,,,,,,,,,,300.475,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,148.75,percent of total billed charges,141.2761144,,,,,,,,,,148.75,percent of total billed charges,138.9260824,,,,,,,,,,148.75,percent of total billed charges,138.5400128,,,,,,,,,,148.75,percent of total billed charges,136.5000127,,,,,,,,,,148.75,percent of total billed charges,140.0123587,,,,,,,,,,148.75,percent of total billed charges,999999999,,,,,,,,,,148.75,percent of total billed charges,120.1404635,,,,,,,,,,148.75,percent of total billed charges,189.4697958,,,,,,,,,,148.75,percent of total billed charges,999999999,,,,,,,,,,148.75,percent of total billed charges,129.5408021,,,,,,,,,,535.5,percent of total billed charges,,,,,
KNEE 1 OR 2 VIEWS RT,73560,CDM,0056-2780-01,NDC,RT,both,1,EA,520,520,110.6996512,520,520,percent of total billed charges,382.5824734,,,,520,percent of total billed charges,405.5298572,,,,520,percent of total billed charges,382.5824734,,,,520,percent of total billed charges,405.5298572,,,,520,percent of total billed charges,999999999,,,,520,percent of total billed charges,396.2042606,,,,520,percent of total billed charges,382.5824734,,,,520,percent of total billed charges,405.5298572,,,,370.76,percent of total billed charges,185.0160249,,,,370.76,percent of total billed charges,110.6996512,,,,370.76,percent of total billed charges,185.0160249,,,,370.76,percent of total billed charges,110.6996512,,,,370.76,percent of total billed charges,185.0160249,,,,370.76,percent of total billed charges,110.6996512,,,,367.12,percent of total billed charges,364.3345608,,,,367.12,percent of total billed charges,251.2786588,,,,,,,,,,374.4,percent of total billed charges,243.3511896,,,,,,,,,,374.4,percent of total billed charges,999999999,,,,,,,,,,416,percent of total billed charges,348.5863756,,,,410.8,percent of total billed charges,396.4396787,,,,410.8,percent of total billed charges,350.2675789,,,,416,percent of total billed charges,999999999,,,,416,percent of total billed charges,999999999,,,,364,percent of total billed charges,999999999,,,,364,percent of total billed charges,999999999,,,,,,,,,,,,,,,,276.64,percent of total billed charges,999999999,,,,,,,,,,,,,,,,262.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,130,percent of total billed charges,123.4682008,,,,,,,,,,130,percent of total billed charges,121.4143913,,,,,,,,,,130,percent of total billed charges,121.0769859,,,,,,,,,,130,percent of total billed charges,119.2941288,,,,,,,,,,130,percent of total billed charges,122.3637421,,,,,,,,,,130,percent of total billed charges,999999999,,,,,,,,,,130,percent of total billed charges,104.9967076,,,,,,,,,,130,percent of total billed charges,165.5870484,,,,,,,,,,130,percent of total billed charges,999999999,,,,,,,,,,130,percent of total billed charges,113.2121296,,,,,,,,,,468,percent of total billed charges,,,,,
KNEE 1 OR 2 VIEWS LT,73560,CDM,0056-2780-01,NDC,LT,both,1,EA,520,520,110.6996512,520,520,percent of total billed charges,382.5824734,,,,520,percent of total billed charges,405.5298572,,,,520,percent of total billed charges,382.5824734,,,,520,percent of total billed charges,405.5298572,,,,520,percent of total billed charges,999999999,,,,520,percent of total billed charges,396.2042606,,,,520,percent of total billed charges,382.5824734,,,,520,percent of total billed charges,405.5298572,,,,370.76,percent of total billed charges,185.0160249,,,,370.76,percent of total billed charges,110.6996512,,,,370.76,percent of total billed charges,185.0160249,,,,370.76,percent of total billed charges,110.6996512,,,,370.76,percent of total billed charges,185.0160249,,,,370.76,percent of total billed charges,110.6996512,,,,367.12,percent of total billed charges,364.3345608,,,,367.12,percent of total billed charges,251.2786588,,,,,,,,,,374.4,percent of total billed charges,243.3511896,,,,,,,,,,374.4,percent of total billed charges,999999999,,,,,,,,,,416,percent of total billed charges,348.5863756,,,,410.8,percent of total billed charges,396.4396787,,,,410.8,percent of total billed charges,350.2675789,,,,416,percent of total billed charges,999999999,,,,416,percent of total billed charges,999999999,,,,364,percent of total billed charges,999999999,,,,364,percent of total billed charges,999999999,,,,,,,,,,,,,,,,276.64,percent of total billed charges,999999999,,,,,,,,,,,,,,,,262.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,130,percent of total billed charges,123.4682008,,,,,,,,,,130,percent of total billed charges,121.4143913,,,,,,,,,,130,percent of total billed charges,121.0769859,,,,,,,,,,130,percent of total billed charges,119.2941288,,,,,,,,,,130,percent of total billed charges,122.3637421,,,,,,,,,,130,percent of total billed charges,999999999,,,,,,,,,,130,percent of total billed charges,104.9967076,,,,,,,,,,130,percent of total billed charges,165.5870484,,,,,,,,,,130,percent of total billed charges,999999999,,,,,,,,,,130,percent of total billed charges,113.2121296,,,,,,,,,,468,percent of total billed charges,,,,,
**KNEE 1 OR 2 VIEWS,73560,CDM,0056-2780-01,NDC,,both,1,EA,503,503,107.0806241,503,503,percent of total billed charges,370.0749694,,,,503,percent of total billed charges,392.2721503,,,,503,percent of total billed charges,370.0749694,,,,503,percent of total billed charges,392.2721503,,,,503,percent of total billed charges,999999999,,,,503,percent of total billed charges,383.251429,,,,503,percent of total billed charges,370.0749694,,,,503,percent of total billed charges,392.2721503,,,,358.639,percent of total billed charges,178.9674241,,,,358.639,percent of total billed charges,107.0806241,,,,358.639,percent of total billed charges,178.9674241,,,,358.639,percent of total billed charges,107.0806241,,,,358.639,percent of total billed charges,178.9674241,,,,358.639,percent of total billed charges,107.0806241,,,,355.118,percent of total billed charges,352.4236232,,,,355.118,percent of total billed charges,243.0637796,,,,,,,,,,362.16,percent of total billed charges,235.3954776,,,,,,,,,,362.16,percent of total billed charges,999999999,,,,,,,,,,402.4,percent of total billed charges,337.1902825,,,,397.37,percent of total billed charges,383.4791508,,,,397.37,percent of total billed charges,338.8165235,,,,402.4,percent of total billed charges,999999999,,,,402.4,percent of total billed charges,999999999,,,,352.1,percent of total billed charges,999999999,,,,352.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,267.596,percent of total billed charges,999999999,,,,,,,,,,,,,,,,254.015,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,125.75,percent of total billed charges,119.4317404,,,,,,,,,,125.75,percent of total billed charges,117.4450747,,,,,,,,,,125.75,percent of total billed charges,117.1186999,,,,,,,,,,125.75,percent of total billed charges,115.3941284,,,,,,,,,,125.75,percent of total billed charges,118.363389,,,,,,,,,,125.75,percent of total billed charges,999999999,,,,,,,,,,125.75,percent of total billed charges,101.5641229,,,,,,,,,,125.75,percent of total billed charges,160.1736257,,,,,,,,,,125.75,percent of total billed charges,999999999,,,,,,,,,,125.75,percent of total billed charges,109.5109638,,,,,,,,,,452.7,percent of total billed charges,,,,,
**KNEE 4 OR MORE,73564,CDM,0056-2780-01,NDC,,both,1,EA,632,632,134.542653,632,632,percent of total billed charges,464.9848523,,,,632,percent of total billed charges,492.8747495,,,,632,percent of total billed charges,464.9848523,,,,632,percent of total billed charges,492.8747495,,,,632,percent of total billed charges,999999999,,,,632,percent of total billed charges,481.5405629,,,,632,percent of total billed charges,464.9848523,,,,632,percent of total billed charges,492.8747495,,,,450.616,percent of total billed charges,224.8656303,,,,450.616,percent of total billed charges,134.542653,,,,450.616,percent of total billed charges,224.8656303,,,,450.616,percent of total billed charges,134.542653,,,,450.616,percent of total billed charges,224.8656303,,,,450.616,percent of total billed charges,134.542653,,,,446.192,percent of total billed charges,442.80662,,,,446.192,percent of total billed charges,305.4002161,,,,,,,,,,455.04,percent of total billed charges,295.7652919,,,,,,,,,,455.04,percent of total billed charges,999999999,,,,,,,,,,505.6,percent of total billed charges,423.666518,,,,499.28,percent of total billed charges,481.8266865,,,,499.28,percent of total billed charges,425.7098267,,,,505.6,percent of total billed charges,999999999,,,,505.6,percent of total billed charges,999999999,,,,442.4,percent of total billed charges,999999999,,,,442.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,336.224,percent of total billed charges,999999999,,,,,,,,,,,,,,,,319.16,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,158,percent of total billed charges,150.0613518,,,,,,,,,,158,percent of total billed charges,147.5651833,,,,,,,,,,158,percent of total billed charges,147.155106,,,,,,,,,,158,percent of total billed charges,144.9882488,,,,,,,,,,158,percent of total billed charges,148.7190096,,,,,,,,,,158,percent of total billed charges,999999999,,,,,,,,,,158,percent of total billed charges,127.6113831,,,,,,,,,,158,percent of total billed charges,201.2519511,,,,,,,,,,158,percent of total billed charges,999999999,,,,,,,,,,158,percent of total billed charges,137.5962805,,,,,,,,,,568.8,percent of total billed charges,,,,,
KNEE 4 OR MORE RT,73564,CDM,0056-2780-01,NDC,RT,both,1,EA,744,744,158.3856548,744,744,percent of total billed charges,547.3872311,,,,744,percent of total billed charges,580.2196418,,,,744,percent of total billed charges,547.3872311,,,,744,percent of total billed charges,580.2196418,,,,744,percent of total billed charges,999999999,,,,744,percent of total billed charges,566.8768652,,,,744,percent of total billed charges,547.3872311,,,,744,percent of total billed charges,580.2196418,,,,530.472,percent of total billed charges,264.7152357,,,,530.472,percent of total billed charges,158.3856548,,,,530.472,percent of total billed charges,264.7152357,,,,530.472,percent of total billed charges,158.3856548,,,,530.472,percent of total billed charges,264.7152357,,,,530.472,percent of total billed charges,158.3856548,,,,525.264,percent of total billed charges,521.2786792,,,,525.264,percent of total billed charges,359.5217734,,,,,,,,,,535.68,percent of total billed charges,348.1793943,,,,,,,,,,535.68,percent of total billed charges,999999999,,,,,,,,,,595.2,percent of total billed charges,498.7466605,,,,587.76,percent of total billed charges,567.2136942,,,,587.76,percent of total billed charges,501.1520745,,,,595.2,percent of total billed charges,999999999,,,,595.2,percent of total billed charges,999999999,,,,520.8,percent of total billed charges,999999999,,,,520.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,395.808,percent of total billed charges,999999999,,,,,,,,,,,,,,,,375.72,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,186,percent of total billed charges,176.6545027,,,,,,,,,,186,percent of total billed charges,173.7159753,,,,,,,,,,186,percent of total billed charges,173.233226,,,,,,,,,,186,percent of total billed charges,170.6823689,,,,,,,,,,186,percent of total billed charges,175.0742772,,,,,,,,,,186,percent of total billed charges,999999999,,,,,,,,,,186,percent of total billed charges,150.2260585,,,,,,,,,,186,percent of total billed charges,236.9168538,,,,,,,,,,186,percent of total billed charges,999999999,,,,,,,,,,186,percent of total billed charges,161.9804315,,,,,,,,,,669.6,percent of total billed charges,,,,,
KNEE 4 OR MORE LT,73564,CDM,0056-2780-01,NDC,LT,both,1,EA,744,744,158.3856548,744,744,percent of total billed charges,547.3872311,,,,744,percent of total billed charges,580.2196418,,,,744,percent of total billed charges,547.3872311,,,,744,percent of total billed charges,580.2196418,,,,744,percent of total billed charges,999999999,,,,744,percent of total billed charges,566.8768652,,,,744,percent of total billed charges,547.3872311,,,,744,percent of total billed charges,580.2196418,,,,530.472,percent of total billed charges,264.7152357,,,,530.472,percent of total billed charges,158.3856548,,,,530.472,percent of total billed charges,264.7152357,,,,530.472,percent of total billed charges,158.3856548,,,,530.472,percent of total billed charges,264.7152357,,,,530.472,percent of total billed charges,158.3856548,,,,525.264,percent of total billed charges,521.2786792,,,,525.264,percent of total billed charges,359.5217734,,,,,,,,,,535.68,percent of total billed charges,348.1793943,,,,,,,,,,535.68,percent of total billed charges,999999999,,,,,,,,,,595.2,percent of total billed charges,498.7466605,,,,587.76,percent of total billed charges,567.2136942,,,,587.76,percent of total billed charges,501.1520745,,,,595.2,percent of total billed charges,999999999,,,,595.2,percent of total billed charges,999999999,,,,520.8,percent of total billed charges,999999999,,,,520.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,395.808,percent of total billed charges,999999999,,,,,,,,,,,,,,,,375.72,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,186,percent of total billed charges,176.6545027,,,,,,,,,,186,percent of total billed charges,173.7159753,,,,,,,,,,186,percent of total billed charges,173.233226,,,,,,,,,,186,percent of total billed charges,170.6823689,,,,,,,,,,186,percent of total billed charges,175.0742772,,,,,,,,,,186,percent of total billed charges,999999999,,,,,,,,,,186,percent of total billed charges,150.2260585,,,,,,,,,,186,percent of total billed charges,236.9168538,,,,,,,,,,186,percent of total billed charges,999999999,,,,,,,,,,186,percent of total billed charges,161.9804315,,,,,,,,,,669.6,percent of total billed charges,,,,,
**KNEE 4 OR MORE BI,73564,CDM,0056-2780-01,NDC,50,both,1,EA,1129,1129,240.3459735,1129,1129,percent of total billed charges,830.6454085,,,,1129,percent of total billed charges,880.4677092,,,,1129,percent of total billed charges,830.6454085,,,,1129,percent of total billed charges,880.4677092,,,,1129,percent of total billed charges,999999999,,,,1129,percent of total billed charges,860.2204043,,,,1129,percent of total billed charges,830.6454085,,,,1129,percent of total billed charges,880.4677092,,,,804.977,percent of total billed charges,401.6982541,,,,804.977,percent of total billed charges,240.3459735,,,,804.977,percent of total billed charges,401.6982541,,,,804.977,percent of total billed charges,240.3459735,,,,804.977,percent of total billed charges,401.6982541,,,,804.977,percent of total billed charges,240.3459735,,,,797.074,percent of total billed charges,791.0263829,,,,797.074,percent of total billed charges,545.5646266,,,,,,,,,,812.88,percent of total billed charges,528.3528712,,,,,,,,,,812.88,percent of total billed charges,999999999,,,,,,,,,,903.2,percent of total billed charges,756.8346501,,,,891.91,percent of total billed charges,860.7315333,,,,891.91,percent of total billed charges,760.4848012,,,,903.2,percent of total billed charges,999999999,,,,903.2,percent of total billed charges,999999999,,,,790.3,percent of total billed charges,999999999,,,,790.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,600.628,percent of total billed charges,999999999,,,,,,,,,,,,,,,,570.145,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,282.25,percent of total billed charges,268.0684591,,,,,,,,,,282.25,percent of total billed charges,263.6093227,,,,,,,,,,282.25,percent of total billed charges,262.8767637,,,,,,,,,,282.25,percent of total billed charges,259.0059065,,,,,,,,,,282.25,percent of total billed charges,265.6705093,,,,,,,,,,282.25,percent of total billed charges,999999999,,,,,,,,,,282.25,percent of total billed charges,227.9640055,,,,,,,,,,282.25,percent of total billed charges,359.514957,,,,,,,,,,282.25,percent of total billed charges,999999999,,,,,,,,,,282.25,percent of total billed charges,245.8009505,,,,,,,,,,1016.1,percent of total billed charges,,,,,
KNEES BILATERAL STANDING,73565,CDM,0056-2780-01,NDC,,both,1,EA,481,481,102.3971774,481,481,percent of total billed charges,353.8887879,,,,481,percent of total billed charges,375.1151179,,,,481,percent of total billed charges,353.8887879,,,,481,percent of total billed charges,375.1151179,,,,481,percent of total billed charges,999999999,,,,481,percent of total billed charges,366.4889411,,,,481,percent of total billed charges,353.8887879,,,,481,percent of total billed charges,375.1151179,,,,342.953,percent of total billed charges,171.1398231,,,,342.953,percent of total billed charges,102.3971774,,,,342.953,percent of total billed charges,171.1398231,,,,342.953,percent of total billed charges,102.3971774,,,,342.953,percent of total billed charges,171.1398231,,,,342.953,percent of total billed charges,102.3971774,,,,339.586,percent of total billed charges,337.0094687,,,,339.586,percent of total billed charges,232.4327594,,,,,,,,,,346.32,percent of total billed charges,225.0998504,,,,,,,,,,346.32,percent of total billed charges,999999999,,,,,,,,,,384.8,percent of total billed charges,322.4423974,,,,379.99,percent of total billed charges,366.7067028,,,,379.99,percent of total billed charges,323.9975105,,,,384.8,percent of total billed charges,999999999,,,,384.8,percent of total billed charges,999999999,,,,336.7,percent of total billed charges,999999999,,,,336.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,255.892,percent of total billed charges,999999999,,,,,,,,,,,,,,,,242.905,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,120.25,percent of total billed charges,114.2080858,,,,,,,,,,120.25,percent of total billed charges,112.308312,,,,,,,,,,120.25,percent of total billed charges,111.996212,,,,,,,,,,120.25,percent of total billed charges,110.3470691,,,,,,,,,,120.25,percent of total billed charges,113.1864614,,,,,,,,,,120.25,percent of total billed charges,999999999,,,,,,,,,,120.25,percent of total billed charges,97.12195451,,,,,,,,,,120.25,percent of total billed charges,153.1680198,,,,,,,,,,120.25,percent of total billed charges,999999999,,,,,,,,,,120.25,percent of total billed charges,104.7212198,,,,,,,,,,432.9,percent of total billed charges,,,,,
**ELBOW 3 VIEWS,73080,CDM,0056-2780-01,NDC,,both,1,EA,583,583,124.1113397,583,583,percent of total billed charges,428.9338115,,,,583,percent of total billed charges,454.6613591,,,,583,percent of total billed charges,428.9338115,,,,583,percent of total billed charges,454.6613591,,,,583,percent of total billed charges,999999999,,,,583,percent of total billed charges,444.2059307,,,,583,percent of total billed charges,428.9338115,,,,583,percent of total billed charges,454.6613591,,,,415.679,percent of total billed charges,207.4314279,,,,415.679,percent of total billed charges,124.1113397,,,,415.679,percent of total billed charges,207.4314279,,,,415.679,percent of total billed charges,124.1113397,,,,415.679,percent of total billed charges,207.4314279,,,,415.679,percent of total billed charges,124.1113397,,,,411.598,percent of total billed charges,408.4750941,,,,411.598,percent of total billed charges,281.7220348,,,,,,,,,,419.76,percent of total billed charges,272.8341222,,,,,,,,,,419.76,percent of total billed charges,999999999,,,,,,,,,,466.4,percent of total billed charges,390.8189557,,,,460.57,percent of total billed charges,444.4698706,,,,460.57,percent of total billed charges,392.7038433,,,,466.4,percent of total billed charges,999999999,,,,466.4,percent of total billed charges,999999999,,,,408.1,percent of total billed charges,999999999,,,,408.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,310.156,percent of total billed charges,999999999,,,,,,,,,,,,,,,,294.415,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,145.75,percent of total billed charges,138.4268482,,,,,,,,,,145.75,percent of total billed charges,136.1242118,,,,,,,,,,145.75,percent of total billed charges,135.7459285,,,,,,,,,,145.75,percent of total billed charges,133.7470713,,,,,,,,,,145.75,percent of total billed charges,137.1885801,,,,,,,,,,145.75,percent of total billed charges,999999999,,,,,,,,,,145.75,percent of total billed charges,117.7174625,,,,,,,,,,145.75,percent of total billed charges,185.6485562,,,,,,,,,,145.75,percent of total billed charges,999999999,,,,,,,,,,145.75,percent of total billed charges,126.9282145,,,,,,,,,,524.7,percent of total billed charges,,,,,
**ELBOW 3 VIEWS BI,73080,CDM,0056-2780-01,NDC,50,both,1,EA,583,583,124.1113397,583,583,percent of total billed charges,428.9338115,,,,583,percent of total billed charges,454.6613591,,,,583,percent of total billed charges,428.9338115,,,,583,percent of total billed charges,454.6613591,,,,583,percent of total billed charges,999999999,,,,583,percent of total billed charges,444.2059307,,,,583,percent of total billed charges,428.9338115,,,,583,percent of total billed charges,454.6613591,,,,415.679,percent of total billed charges,207.4314279,,,,415.679,percent of total billed charges,124.1113397,,,,415.679,percent of total billed charges,207.4314279,,,,415.679,percent of total billed charges,124.1113397,,,,415.679,percent of total billed charges,207.4314279,,,,415.679,percent of total billed charges,124.1113397,,,,411.598,percent of total billed charges,408.4750941,,,,411.598,percent of total billed charges,281.7220348,,,,,,,,,,419.76,percent of total billed charges,272.8341222,,,,,,,,,,419.76,percent of total billed charges,999999999,,,,,,,,,,466.4,percent of total billed charges,390.8189557,,,,460.57,percent of total billed charges,444.4698706,,,,460.57,percent of total billed charges,392.7038433,,,,466.4,percent of total billed charges,999999999,,,,466.4,percent of total billed charges,999999999,,,,408.1,percent of total billed charges,999999999,,,,408.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,310.156,percent of total billed charges,999999999,,,,,,,,,,,,,,,,294.415,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,145.75,percent of total billed charges,138.4268482,,,,,,,,,,145.75,percent of total billed charges,136.1242118,,,,,,,,,,145.75,percent of total billed charges,135.7459285,,,,,,,,,,145.75,percent of total billed charges,133.7470713,,,,,,,,,,145.75,percent of total billed charges,137.1885801,,,,,,,,,,145.75,percent of total billed charges,999999999,,,,,,,,,,145.75,percent of total billed charges,117.7174625,,,,,,,,,,145.75,percent of total billed charges,185.6485562,,,,,,,,,,145.75,percent of total billed charges,999999999,,,,,,,,,,145.75,percent of total billed charges,126.9282145,,,,,,,,,,524.7,percent of total billed charges,,,,,
ELBOW 3 VIEWS RT,73080,CDM,0056-2780-01,NDC,RT,both,1,EA,594,594,126.4530631,594,594,percent of total billed charges,437.0269023,,,,594,percent of total billed charges,463.2398753,,,,594,percent of total billed charges,437.0269023,,,,594,percent of total billed charges,463.2398753,,,,594,percent of total billed charges,999999999,,,,594,percent of total billed charges,452.5871746,,,,594,percent of total billed charges,437.0269023,,,,594,percent of total billed charges,463.2398753,,,,423.522,percent of total billed charges,211.3452285,,,,423.522,percent of total billed charges,126.4530631,,,,423.522,percent of total billed charges,211.3452285,,,,423.522,percent of total billed charges,126.4530631,,,,423.522,percent of total billed charges,211.3452285,,,,423.522,percent of total billed charges,126.4530631,,,,419.364,percent of total billed charges,416.1821713,,,,419.364,percent of total billed charges,287.0375449,,,,,,,,,,427.68,percent of total billed charges,277.9819358,,,,,,,,,,427.68,percent of total billed charges,999999999,,,,,,,,,,475.2,percent of total billed charges,398.1928983,,,,469.26,percent of total billed charges,452.8560946,,,,469.26,percent of total billed charges,400.1133498,,,,475.2,percent of total billed charges,999999999,,,,475.2,percent of total billed charges,999999999,,,,415.8,percent of total billed charges,999999999,,,,415.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,316.008,percent of total billed charges,999999999,,,,,,,,,,,,,,,,299.97,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,148.5,percent of total billed charges,141.0386756,,,,,,,,,,148.5,percent of total billed charges,138.6925932,,,,,,,,,,148.5,percent of total billed charges,138.3071724,,,,,,,,,,148.5,percent of total billed charges,136.270601,,,,,,,,,,148.5,percent of total billed charges,139.7770439,,,,,,,,,,148.5,percent of total billed charges,999999999,,,,,,,,,,148.5,percent of total billed charges,119.9385467,,,,,,,,,,148.5,percent of total billed charges,189.1513591,,,,,,,,,,148.5,percent of total billed charges,999999999,,,,,,,,,,148.5,percent of total billed charges,129.3230865,,,,,,,,,,534.6,percent of total billed charges,,,,,
ELBOW 3 VIEWS LT,73080,CDM,0056-2780-01,NDC,LT,both,1,EA,594,594,126.4530631,594,594,percent of total billed charges,437.0269023,,,,594,percent of total billed charges,463.2398753,,,,594,percent of total billed charges,437.0269023,,,,594,percent of total billed charges,463.2398753,,,,594,percent of total billed charges,999999999,,,,594,percent of total billed charges,452.5871746,,,,594,percent of total billed charges,437.0269023,,,,594,percent of total billed charges,463.2398753,,,,423.522,percent of total billed charges,211.3452285,,,,423.522,percent of total billed charges,126.4530631,,,,423.522,percent of total billed charges,211.3452285,,,,423.522,percent of total billed charges,126.4530631,,,,423.522,percent of total billed charges,211.3452285,,,,423.522,percent of total billed charges,126.4530631,,,,419.364,percent of total billed charges,416.1821713,,,,419.364,percent of total billed charges,287.0375449,,,,,,,,,,427.68,percent of total billed charges,277.9819358,,,,,,,,,,427.68,percent of total billed charges,999999999,,,,,,,,,,475.2,percent of total billed charges,398.1928983,,,,469.26,percent of total billed charges,452.8560946,,,,469.26,percent of total billed charges,400.1133498,,,,475.2,percent of total billed charges,999999999,,,,475.2,percent of total billed charges,999999999,,,,415.8,percent of total billed charges,999999999,,,,415.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,316.008,percent of total billed charges,999999999,,,,,,,,,,,,,,,,299.97,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,148.5,percent of total billed charges,141.0386756,,,,,,,,,,148.5,percent of total billed charges,138.6925932,,,,,,,,,,148.5,percent of total billed charges,138.3071724,,,,,,,,,,148.5,percent of total billed charges,136.270601,,,,,,,,,,148.5,percent of total billed charges,139.7770439,,,,,,,,,,148.5,percent of total billed charges,999999999,,,,,,,,,,148.5,percent of total billed charges,119.9385467,,,,,,,,,,148.5,percent of total billed charges,189.1513591,,,,,,,,,,148.5,percent of total billed charges,999999999,,,,,,,,,,148.5,percent of total billed charges,129.3230865,,,,,,,,,,534.6,percent of total billed charges,,,,,
ELBOW 2 VIEWS RT,73070,CDM,0056-2780-01,NDC,RT,both,1,EA,491,491,104.5260168,491,491,percent of total billed charges,361.2461431,,,,491,percent of total billed charges,382.913769,,,,491,percent of total billed charges,361.2461431,,,,491,percent of total billed charges,382.913769,,,,491,percent of total billed charges,999999999,,,,491,percent of total billed charges,374.1082538,,,,491,percent of total billed charges,361.2461431,,,,491,percent of total billed charges,382.913769,,,,350.083,percent of total billed charges,174.6978235,,,,350.083,percent of total billed charges,104.5260168,,,,350.083,percent of total billed charges,174.6978235,,,,350.083,percent of total billed charges,104.5260168,,,,350.083,percent of total billed charges,174.6978235,,,,350.083,percent of total billed charges,104.5260168,,,,346.646,percent of total billed charges,344.0159026,,,,346.646,percent of total billed charges,237.2650413,,,,,,,,,,353.52,percent of total billed charges,229.7796809,,,,,,,,,,353.52,percent of total billed charges,999999999,,,,,,,,,,392.8,percent of total billed charges,329.1459816,,,,387.89,percent of total billed charges,374.3305428,,,,387.89,percent of total billed charges,330.7334255,,,,392.8,percent of total billed charges,999999999,,,,392.8,percent of total billed charges,999999999,,,,343.7,percent of total billed charges,999999999,,,,343.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,261.212,percent of total billed charges,999999999,,,,,,,,,,,,,,,,247.955,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,122.75,percent of total billed charges,116.5824743,,,,,,,,,,122.75,percent of total billed charges,114.6432041,,,,,,,,,,122.75,percent of total billed charges,114.3246156,,,,,,,,,,122.75,percent of total billed charges,112.641187,,,,,,,,,,122.75,percent of total billed charges,115.5396103,,,,,,,,,,122.75,percent of total billed charges,999999999,,,,,,,,,,122.75,percent of total billed charges,99.14112196,,,,,,,,,,122.75,percent of total billed charges,156.3523861,,,,,,,,,,122.75,percent of total billed charges,999999999,,,,,,,,,,122.75,percent of total billed charges,106.8983762,,,,,,,,,,441.9,percent of total billed charges,,,,,
**ELBOW 2 VIEWS BI,73070,CDM,0056-2780-01,NDC,50,both,1,EA,852,852,181.3771208,852,852,percent of total billed charges,626.8466679,,,,852,percent of total billed charges,664.4450737,,,,852,percent of total billed charges,626.8466679,,,,852,percent of total billed charges,664.4450737,,,,852,percent of total billed charges,999999999,,,,852,percent of total billed charges,649.1654424,,,,852,percent of total billed charges,626.8466679,,,,852,percent of total billed charges,664.4450737,,,,607.476,percent of total billed charges,303.1416408,,,,607.476,percent of total billed charges,181.3771208,,,,607.476,percent of total billed charges,303.1416408,,,,607.476,percent of total billed charges,181.3771208,,,,607.476,percent of total billed charges,303.1416408,,,,607.476,percent of total billed charges,181.3771208,,,,601.512,percent of total billed charges,596.9481649,,,,601.512,percent of total billed charges,411.7104179,,,,,,,,,,613.44,percent of total billed charges,398.7215645,,,,,,,,,,613.44,percent of total billed charges,999999999,,,,,,,,,,681.6,percent of total billed charges,571.1453692,,,,673.08,percent of total billed charges,649.5511659,,,,673.08,percent of total billed charges,573.8999562,,,,681.6,percent of total billed charges,999999999,,,,681.6,percent of total billed charges,999999999,,,,596.4,percent of total billed charges,999999999,,,,596.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,453.264,percent of total billed charges,999999999,,,,,,,,,,,,,,,,430.26,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,213,percent of total billed charges,202.2978983,,,,,,,,,,213,percent of total billed charges,198.9328104,,,,,,,,,,213,percent of total billed charges,198.3799846,,,,,,,,,,213,percent of total billed charges,195.4588418,,,,,,,,,,213,percent of total billed charges,200.4882851,,,,,,,,,,213,percent of total billed charges,999999999,,,,,,,,,,213,percent of total billed charges,172.033067,,,,,,,,,,213,percent of total billed charges,271.3080101,,,,,,,,,,213,percent of total billed charges,999999999,,,,,,,,,,213,percent of total billed charges,185.49372,,,,,,,,,,766.8,percent of total billed charges,,,,,
ELBOW 2 VIEWS LT,73070,CDM,0056-2780-01,NDC,LT,both,1,EA,491,491,104.5260168,491,491,percent of total billed charges,361.2461431,,,,491,percent of total billed charges,382.913769,,,,491,percent of total billed charges,361.2461431,,,,491,percent of total billed charges,382.913769,,,,491,percent of total billed charges,999999999,,,,491,percent of total billed charges,374.1082538,,,,491,percent of total billed charges,361.2461431,,,,491,percent of total billed charges,382.913769,,,,350.083,percent of total billed charges,174.6978235,,,,350.083,percent of total billed charges,104.5260168,,,,350.083,percent of total billed charges,174.6978235,,,,350.083,percent of total billed charges,104.5260168,,,,350.083,percent of total billed charges,174.6978235,,,,350.083,percent of total billed charges,104.5260168,,,,346.646,percent of total billed charges,344.0159026,,,,346.646,percent of total billed charges,237.2650413,,,,,,,,,,353.52,percent of total billed charges,229.7796809,,,,,,,,,,353.52,percent of total billed charges,999999999,,,,,,,,,,392.8,percent of total billed charges,329.1459816,,,,387.89,percent of total billed charges,374.3305428,,,,387.89,percent of total billed charges,330.7334255,,,,392.8,percent of total billed charges,999999999,,,,392.8,percent of total billed charges,999999999,,,,343.7,percent of total billed charges,999999999,,,,343.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,261.212,percent of total billed charges,999999999,,,,,,,,,,,,,,,,247.955,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,122.75,percent of total billed charges,116.5824743,,,,,,,,,,122.75,percent of total billed charges,114.6432041,,,,,,,,,,122.75,percent of total billed charges,114.3246156,,,,,,,,,,122.75,percent of total billed charges,112.641187,,,,,,,,,,122.75,percent of total billed charges,115.5396103,,,,,,,,,,122.75,percent of total billed charges,999999999,,,,,,,,,,122.75,percent of total billed charges,99.14112196,,,,,,,,,,122.75,percent of total billed charges,156.3523861,,,,,,,,,,122.75,percent of total billed charges,999999999,,,,,,,,,,122.75,percent of total billed charges,106.8983762,,,,,,,,,,441.9,percent of total billed charges,,,,,
**HYSTEROSALPINGOGRAM,74740,CDM,0056-2780-01,NDC,,both,1,EA,325,325,69.187282,325,325,percent of total billed charges,239.1140459,,,,325,percent of total billed charges,253.4561608,,,,325,percent of total billed charges,239.1140459,,,,325,percent of total billed charges,253.4561608,,,,325,percent of total billed charges,999999999,,,,325,percent of total billed charges,247.6276629,,,,325,percent of total billed charges,239.1140459,,,,325,percent of total billed charges,253.4561608,,,,231.725,percent of total billed charges,115.6350156,,,,231.725,percent of total billed charges,69.187282,,,,231.725,percent of total billed charges,115.6350156,,,,231.725,percent of total billed charges,69.187282,,,,231.725,percent of total billed charges,115.6350156,,,,231.725,percent of total billed charges,69.187282,,,,229.45,percent of total billed charges,227.7091005,,,,229.45,percent of total billed charges,157.0491618,,,,,,,,,,234,percent of total billed charges,152.0944935,,,,,,,,,,234,percent of total billed charges,999999999,,,,,,,,,,260,percent of total billed charges,217.8664847,,,,256.75,percent of total billed charges,247.7747992,,,,256.75,percent of total billed charges,218.9172368,,,,260,percent of total billed charges,999999999,,,,260,percent of total billed charges,999999999,,,,227.5,percent of total billed charges,999999999,,,,227.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,172.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,164.125,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,81.25,percent of total billed charges,77.16762552,,,,,,,,,,81.25,percent of total billed charges,75.88399458,,,,,,,,,,81.25,percent of total billed charges,75.67311621,,,,,,,,,,81.25,percent of total billed charges,74.55883049,,,,,,,,,,81.25,percent of total billed charges,76.47733881,,,,,,,,,,81.25,percent of total billed charges,999999999,,,,,,,,,,81.25,percent of total billed charges,65.62294224,,,,,,,,,,81.25,percent of total billed charges,103.4919052,,,,,,,,,,81.25,percent of total billed charges,999999999,,,,,,,,,,81.25,percent of total billed charges,70.75758097,,,,,,,,,,292.5,percent of total billed charges,,,,,
CATH & INTRO OF SALINE OR CONTRAST,58340,CDM,0056-2780-01,NDC,,both,1,EA,783,783,166.6881286,783,783,percent of total billed charges,576.0809166,,,,783,percent of total billed charges,610.6343811,,,,783,percent of total billed charges,576.0809166,,,,783,percent of total billed charges,610.6343811,,,,783,percent of total billed charges,999999999,,,,783,percent of total billed charges,596.5921847,,,,783,percent of total billed charges,576.0809166,,,,783,percent of total billed charges,610.6343811,,,,558.279,percent of total billed charges,278.5914375,,,,558.279,percent of total billed charges,166.6881286,,,,558.279,percent of total billed charges,278.5914375,,,,558.279,percent of total billed charges,166.6881286,,,,558.279,percent of total billed charges,278.5914375,,,,558.279,percent of total billed charges,166.6881286,,,,552.798,percent of total billed charges,548.6037713,,,,552.798,percent of total billed charges,378.3676728,,,,,,,,,,563.76,percent of total billed charges,366.4307335,,,,,,,,,,563.76,percent of total billed charges,999999999,,,,,,,,,,626.4,percent of total billed charges,524.8906386,,,,618.57,percent of total billed charges,596.9466701,,,,618.57,percent of total billed charges,527.4221429,,,,626.4,percent of total billed charges,999999999,,,,626.4,percent of total billed charges,999999999,,,,548.1,percent of total billed charges,999999999,,,,548.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,416.556,percent of total billed charges,999999999,,,,,,,,,,,,,,,,395.415,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,195.75,percent of total billed charges,185.9146178,,,,,,,,,,195.75,percent of total billed charges,182.8220546,,,,,,,,,,195.75,percent of total billed charges,182.314,,,,,,,,,,195.75,percent of total billed charges,179.6294285,,,,,,,,,,195.75,percent of total billed charges,184.2515578,,,,,,,,,,195.75,percent of total billed charges,999999999,,,,,,,,,,195.75,percent of total billed charges,158.1008116,,,,,,,,,,195.75,percent of total billed charges,249.3358825,,,,,,,,,,195.75,percent of total billed charges,999999999,,,,,,,,,,195.75,percent of total billed charges,170.4713412,,,,,,,,,,704.7,percent of total billed charges,,,,,
**LOWER LEG 2 VIEWS,73590,CDM,0056-2780-01,NDC,,both,1,EA,662,662,140.9291713,662,662,percent of total billed charges,487.056918,,,,662,percent of total billed charges,516.2707028,,,,662,percent of total billed charges,487.056918,,,,662,percent of total billed charges,516.2707028,,,,662,percent of total billed charges,999999999,,,,662,percent of total billed charges,504.398501,,,,662,percent of total billed charges,487.056918,,,,662,percent of total billed charges,516.2707028,,,,472.006,percent of total billed charges,235.5396317,,,,472.006,percent of total billed charges,140.9291713,,,,472.006,percent of total billed charges,235.5396317,,,,472.006,percent of total billed charges,140.9291713,,,,472.006,percent of total billed charges,235.5396317,,,,472.006,percent of total billed charges,140.9291713,,,,467.372,percent of total billed charges,463.8259216,,,,467.372,percent of total billed charges,319.8970618,,,,,,,,,,476.64,percent of total billed charges,309.8047837,,,,,,,,,,476.64,percent of total billed charges,999999999,,,,,,,,,,529.6,percent of total billed charges,443.7772705,,,,522.98,percent of total billed charges,504.6982064,,,,522.98,percent of total billed charges,445.9175716,,,,529.6,percent of total billed charges,999999999,,,,529.6,percent of total billed charges,999999999,,,,463.4,percent of total billed charges,999999999,,,,463.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,352.184,percent of total billed charges,999999999,,,,,,,,,,,,,,,,334.31,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,165.5,percent of total billed charges,157.1845172,,,,,,,,,,165.5,percent of total billed charges,154.5698597,,,,,,,,,,165.5,percent of total billed charges,154.1403167,,,,,,,,,,165.5,percent of total billed charges,151.8706024,,,,,,,,,,165.5,percent of total billed charges,155.7784563,,,,,,,,,,165.5,percent of total billed charges,999999999,,,,,,,,,,165.5,percent of total billed charges,133.6688854,,,,,,,,,,165.5,percent of total billed charges,210.8050501,,,,,,,,,,165.5,percent of total billed charges,999999999,,,,,,,,,,165.5,percent of total billed charges,144.1277496,,,,,,,,,,595.8,percent of total billed charges,,,,,
LOWER LEG 2 VIEWS RT,73590,CDM,0056-2780-01,NDC,RT,both,1,EA,554,554,117.9377053,554,554,percent of total billed charges,407.5974812,,,,554,percent of total billed charges,432.0452709,,,,554,percent of total billed charges,407.5974812,,,,554,percent of total billed charges,432.0452709,,,,554,percent of total billed charges,999999999,,,,554,percent of total billed charges,422.1099238,,,,554,percent of total billed charges,407.5974812,,,,554,percent of total billed charges,432.0452709,,,,395.002,percent of total billed charges,197.1132266,,,,395.002,percent of total billed charges,117.9377053,,,,395.002,percent of total billed charges,197.1132266,,,,395.002,percent of total billed charges,117.9377053,,,,395.002,percent of total billed charges,197.1132266,,,,395.002,percent of total billed charges,117.9377053,,,,391.124,percent of total billed charges,388.1564359,,,,391.124,percent of total billed charges,267.7084173,,,,,,,,,,398.88,percent of total billed charges,259.2626135,,,,,,,,,,398.88,percent of total billed charges,999999999,,,,,,,,,,443.2,percent of total billed charges,371.3785617,,,,437.66,percent of total billed charges,422.3607347,,,,437.66,percent of total billed charges,373.1696899,,,,443.2,percent of total billed charges,999999999,,,,443.2,percent of total billed charges,999999999,,,,387.8,percent of total billed charges,999999999,,,,387.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,294.728,percent of total billed charges,999999999,,,,,,,,,,,,,,,,279.77,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,138.5,percent of total billed charges,131.5411217,,,,,,,,,,138.5,percent of total billed charges,129.3530246,,,,,,,,,,138.5,percent of total billed charges,128.9935581,,,,,,,,,,138.5,percent of total billed charges,127.0941295,,,,,,,,,,138.5,percent of total billed charges,130.3644483,,,,,,,,,,138.5,percent of total billed charges,999999999,,,,,,,,,,138.5,percent of total billed charges,111.8618769,,,,,,,,,,138.5,percent of total billed charges,176.4138939,,,,,,,,,,138.5,percent of total billed charges,999999999,,,,,,,,,,138.5,percent of total billed charges,120.6144611,,,,,,,,,,498.6,percent of total billed charges,,,,,
**LOWER LEG 2 VIEWS BI,73590,CDM,0056-2780-01,NDC,50,both,1,EA,662,662,140.9291713,662,662,percent of total billed charges,487.056918,,,,662,percent of total billed charges,516.2707028,,,,662,percent of total billed charges,487.056918,,,,662,percent of total billed charges,516.2707028,,,,662,percent of total billed charges,999999999,,,,662,percent of total billed charges,504.398501,,,,662,percent of total billed charges,487.056918,,,,662,percent of total billed charges,516.2707028,,,,472.006,percent of total billed charges,235.5396317,,,,472.006,percent of total billed charges,140.9291713,,,,472.006,percent of total billed charges,235.5396317,,,,472.006,percent of total billed charges,140.9291713,,,,472.006,percent of total billed charges,235.5396317,,,,472.006,percent of total billed charges,140.9291713,,,,467.372,percent of total billed charges,463.8259216,,,,467.372,percent of total billed charges,319.8970618,,,,,,,,,,476.64,percent of total billed charges,309.8047837,,,,,,,,,,476.64,percent of total billed charges,999999999,,,,,,,,,,529.6,percent of total billed charges,443.7772705,,,,522.98,percent of total billed charges,504.6982064,,,,522.98,percent of total billed charges,445.9175716,,,,529.6,percent of total billed charges,999999999,,,,529.6,percent of total billed charges,999999999,,,,463.4,percent of total billed charges,999999999,,,,463.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,352.184,percent of total billed charges,999999999,,,,,,,,,,,,,,,,334.31,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,165.5,percent of total billed charges,157.1845172,,,,,,,,,,165.5,percent of total billed charges,154.5698597,,,,,,,,,,165.5,percent of total billed charges,154.1403167,,,,,,,,,,165.5,percent of total billed charges,151.8706024,,,,,,,,,,165.5,percent of total billed charges,155.7784563,,,,,,,,,,165.5,percent of total billed charges,999999999,,,,,,,,,,165.5,percent of total billed charges,133.6688854,,,,,,,,,,165.5,percent of total billed charges,210.8050501,,,,,,,,,,165.5,percent of total billed charges,999999999,,,,,,,,,,165.5,percent of total billed charges,144.1277496,,,,,,,,,,595.8,percent of total billed charges,,,,,
LOWER LEG 2 VIEWS LT,73590,CDM,0056-2780-01,NDC,LT,both,1,EA,554,554,117.9377053,554,554,percent of total billed charges,407.5974812,,,,554,percent of total billed charges,432.0452709,,,,554,percent of total billed charges,407.5974812,,,,554,percent of total billed charges,432.0452709,,,,554,percent of total billed charges,999999999,,,,554,percent of total billed charges,422.1099238,,,,554,percent of total billed charges,407.5974812,,,,554,percent of total billed charges,432.0452709,,,,395.002,percent of total billed charges,197.1132266,,,,395.002,percent of total billed charges,117.9377053,,,,395.002,percent of total billed charges,197.1132266,,,,395.002,percent of total billed charges,117.9377053,,,,395.002,percent of total billed charges,197.1132266,,,,395.002,percent of total billed charges,117.9377053,,,,391.124,percent of total billed charges,388.1564359,,,,391.124,percent of total billed charges,267.7084173,,,,,,,,,,398.88,percent of total billed charges,259.2626135,,,,,,,,,,398.88,percent of total billed charges,999999999,,,,,,,,,,443.2,percent of total billed charges,371.3785617,,,,437.66,percent of total billed charges,422.3607347,,,,437.66,percent of total billed charges,373.1696899,,,,443.2,percent of total billed charges,999999999,,,,443.2,percent of total billed charges,999999999,,,,387.8,percent of total billed charges,999999999,,,,387.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,294.728,percent of total billed charges,999999999,,,,,,,,,,,,,,,,279.77,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,138.5,percent of total billed charges,131.5411217,,,,,,,,,,138.5,percent of total billed charges,129.3530246,,,,,,,,,,138.5,percent of total billed charges,128.9935581,,,,,,,,,,138.5,percent of total billed charges,127.0941295,,,,,,,,,,138.5,percent of total billed charges,130.3644483,,,,,,,,,,138.5,percent of total billed charges,999999999,,,,,,,,,,138.5,percent of total billed charges,111.8618769,,,,,,,,,,138.5,percent of total billed charges,176.4138939,,,,,,,,,,138.5,percent of total billed charges,999999999,,,,,,,,,,138.5,percent of total billed charges,120.6144611,,,,,,,,,,498.6,percent of total billed charges,,,,,
LOOPOGRAM (URETEROGRAPHY OR PYELOGRA,74425,CDM,0056-2780-01,NDC,,both,1,EA,1186,1186,252.4803583,1186,1186,percent of total billed charges,872.5823335,,,,1186,percent of total billed charges,924.9200205,,,,1186,percent of total billed charges,872.5823335,,,,1186,percent of total billed charges,924.9200205,,,,1186,percent of total billed charges,999999999,,,,1186,percent of total billed charges,903.6504867,,,,1186,percent of total billed charges,872.5823335,,,,1186,percent of total billed charges,924.9200205,,,,845.618,percent of total billed charges,421.9788568,,,,845.618,percent of total billed charges,252.4803583,,,,845.618,percent of total billed charges,421.9788568,,,,845.618,percent of total billed charges,252.4803583,,,,845.618,percent of total billed charges,421.9788568,,,,845.618,percent of total billed charges,252.4803583,,,,837.316,percent of total billed charges,830.9630559,,,,837.316,percent of total billed charges,573.1086334,,,,,,,,,,853.92,percent of total billed charges,555.0279055,,,,,,,,,,853.92,percent of total billed charges,999999999,,,,,,,,,,948.8,percent of total billed charges,795.0450797,,,,936.94,percent of total billed charges,904.1874211,,,,936.94,percent of total billed charges,798.8795166,,,,948.8,percent of total billed charges,999999999,,,,948.8,percent of total billed charges,999999999,,,,830.2,percent of total billed charges,999999999,,,,830.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,630.952,percent of total billed charges,999999999,,,,,,,,,,,,,,,,598.93,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,296.5,percent of total billed charges,281.6024734,,,,,,,,,,296.5,percent of total billed charges,276.9182079,,,,,,,,,,296.5,percent of total billed charges,276.1486641,,,,,,,,,,296.5,percent of total billed charges,272.0823784,,,,,,,,,,296.5,percent of total billed charges,279.0834579,,,,,,,,,,296.5,percent of total billed charges,999999999,,,,,,,,,,296.5,percent of total billed charges,239.47326,,,,,,,,,,296.5,percent of total billed charges,377.665845,,,,,,,,,,296.5,percent of total billed charges,999999999,,,,,,,,,,296.5,percent of total billed charges,258.2107416,,,,,,,,,,1067.4,percent of total billed charges,,,,,
INJECTION URETEROGRAPHY,50684,CDM,0056-2780-01,NDC,,both,1,EA,1577,1577,335.7179807,1577,1577,percent of total billed charges,1160.254924,,,,1577,percent of total billed charges,1229.847278,,,,1577,percent of total billed charges,1160.254924,,,,1577,percent of total billed charges,1229.847278,,,,1577,percent of total billed charges,999999999,,,,1577,percent of total billed charges,1201.565613,,,,1577,percent of total billed charges,1160.254924,,,,1577,percent of total billed charges,1229.847278,,,,1124.401,percent of total billed charges,561.0966756,,,,1124.401,percent of total billed charges,335.7179807,,,,1124.401,percent of total billed charges,561.0966756,,,,1124.401,percent of total billed charges,335.7179807,,,,1124.401,percent of total billed charges,561.0966756,,,,1124.401,percent of total billed charges,335.7179807,,,,1113.362,percent of total billed charges,1104.91462,,,,1113.362,percent of total billed charges,762.0508557,,,,,,,,,,1135.44,percent of total billed charges,738.0092807,,,,,,,,,,1135.44,percent of total billed charges,999999999,,,,,,,,,,1261.6,percent of total billed charges,1057.15522,,,,1245.83,percent of total billed charges,1202.279564,,,,1245.83,percent of total billed charges,1062.253792,,,,1261.6,percent of total billed charges,999999999,,,,1261.6,percent of total billed charges,999999999,,,,1103.9,percent of total billed charges,999999999,,,,1103.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,838.964,percent of total billed charges,999999999,,,,,,,,,,,,,,,,796.385,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,394.25,percent of total billed charges,374.4410629,,,,,,,,,,394.25,percent of total billed charges,368.2124906,,,,,,,,,,394.25,percent of total billed charges,367.1892439,,,,,,,,,,394.25,percent of total billed charges,361.7823867,,,,,,,,,,394.25,percent of total billed charges,371.0915794,,,,,,,,,,394.25,percent of total billed charges,999999999,,,,,,,,,,394.25,percent of total billed charges,318.4227074,,,,,,,,,,394.25,percent of total billed charges,502.1745679,,,,,,,,,,394.25,percent of total billed charges,999999999,,,,,,,,,,394.25,percent of total billed charges,343.3375544,,,,,,,,,,1419.3,percent of total billed charges,,,,,
**INJECTION PYELOGRAPHY,50394,CDM,0056-2780-01,NDC,,both,1,EA,628,628,133.6911172,628,628,percent of total billed charges,462.0419102,,,,628,percent of total billed charges,489.7552891,,,,628,percent of total billed charges,462.0419102,,,,628,percent of total billed charges,489.7552891,,,,628,percent of total billed charges,999999999,,,,628,percent of total billed charges,478.4928378,,,,628,percent of total billed charges,462.0419102,,,,628,percent of total billed charges,489.7552891,,,,447.764,percent of total billed charges,223.4424301,,,,447.764,percent of total billed charges,133.6911172,,,,447.764,percent of total billed charges,223.4424301,,,,447.764,percent of total billed charges,133.6911172,,,,447.764,percent of total billed charges,223.4424301,,,,447.764,percent of total billed charges,133.6911172,,,,443.368,percent of total billed charges,440.0040465,,,,443.368,percent of total billed charges,303.4673033,,,,,,,,,,452.16,percent of total billed charges,293.8933597,,,,,,,,,,452.16,percent of total billed charges,999999999,,,,,,,,,,502.4,percent of total billed charges,420.9850844,,,,496.12,percent of total billed charges,478.7771505,,,,496.12,percent of total billed charges,423.0154607,,,,502.4,percent of total billed charges,999999999,,,,502.4,percent of total billed charges,999999999,,,,439.6,percent of total billed charges,999999999,,,,439.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,334.096,percent of total billed charges,999999999,,,,,,,,,,,,,,,,317.14,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,157,percent of total billed charges,149.1115964,,,,,,,,,,157,percent of total billed charges,146.6312264,,,,,,,,,,157,percent of total billed charges,146.2237445,,,,,,,,,,157,percent of total billed charges,144.0706017,,,,,,,,,,157,percent of total billed charges,147.7777501,,,,,,,,,,157,percent of total billed charges,999999999,,,,,,,,,,157,percent of total billed charges,126.8037161,,,,,,,,,,157,percent of total billed charges,199.9782046,,,,,,,,,,157,percent of total billed charges,999999999,,,,,,,,,,157,percent of total billed charges,136.725418,,,,,,,,,,565.2,percent of total billed charges,,,,,
MASTOIDS 3 VIEWS,70130,CDM,0056-2780-01,NDC,,both,1,EA,536,536,114.1057943,536,536,percent of total billed charges,394.3542418,,,,536,percent of total billed charges,418.007699,,,,536,percent of total billed charges,394.3542418,,,,536,percent of total billed charges,418.007699,,,,536,percent of total billed charges,999999999,,,,536,percent of total billed charges,408.3951609,,,,536,percent of total billed charges,394.3542418,,,,536,percent of total billed charges,418.007699,,,,382.168,percent of total billed charges,190.7088257,,,,382.168,percent of total billed charges,114.1057943,,,,382.168,percent of total billed charges,190.7088257,,,,382.168,percent of total billed charges,114.1057943,,,,382.168,percent of total billed charges,190.7088257,,,,382.168,percent of total billed charges,114.1057943,,,,378.416,percent of total billed charges,375.5448549,,,,378.416,percent of total billed charges,259.0103099,,,,,,,,,,385.92,percent of total billed charges,250.8389185,,,,,,,,,,385.92,percent of total billed charges,999999999,,,,,,,,,,428.8,percent of total billed charges,359.3121102,,,,423.44,percent of total billed charges,408.6378227,,,,423.44,percent of total billed charges,361.0450429,,,,428.8,percent of total billed charges,999999999,,,,428.8,percent of total billed charges,999999999,,,,375.2,percent of total billed charges,999999999,,,,375.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,285.152,percent of total billed charges,999999999,,,,,,,,,,,,,,,,270.68,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,134,percent of total billed charges,127.2672224,,,,,,,,,,134,percent of total billed charges,125.1502188,,,,,,,,,,134,percent of total billed charges,124.8024317,,,,,,,,,,134,percent of total billed charges,122.9647174,,,,,,,,,,134,percent of total billed charges,126.1287803,,,,,,,,,,134,percent of total billed charges,999999999,,,,,,,,,,134,percent of total billed charges,108.2273755,,,,,,,,,,134,percent of total billed charges,170.6820345,,,,,,,,,,134,percent of total billed charges,999999999,,,,,,,,,,134,percent of total billed charges,116.6955797,,,,,,,,,,482.4,percent of total billed charges,,,,,
NECK-SOFT TISSUE FB-2 VIEWS,70360,CDM,0056-2780-01,NDC,,both,1,EA,606,606,129.0076704,606,606,percent of total billed charges,445.8557286,,,,606,percent of total billed charges,472.5982567,,,,606,percent of total billed charges,445.8557286,,,,606,percent of total billed charges,472.5982567,,,,606,percent of total billed charges,999999999,,,,606,percent of total billed charges,461.7303499,,,,606,percent of total billed charges,445.8557286,,,,606,percent of total billed charges,472.5982567,,,,432.078,percent of total billed charges,215.614829,,,,432.078,percent of total billed charges,129.0076704,,,,432.078,percent of total billed charges,215.614829,,,,432.078,percent of total billed charges,129.0076704,,,,432.078,percent of total billed charges,215.614829,,,,432.078,percent of total billed charges,129.0076704,,,,427.836,percent of total billed charges,424.589892,,,,427.836,percent of total billed charges,292.8362832,,,,,,,,,,436.32,percent of total billed charges,283.5977325,,,,,,,,,,436.32,percent of total billed charges,999999999,,,,,,,,,,484.8,percent of total billed charges,406.2371992,,,,478.74,percent of total billed charges,462.0047025,,,,478.74,percent of total billed charges,408.1964478,,,,484.8,percent of total billed charges,999999999,,,,484.8,percent of total billed charges,999999999,,,,424.2,percent of total billed charges,999999999,,,,424.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,322.392,percent of total billed charges,999999999,,,,,,,,,,,,,,,,306.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,151.5,percent of total billed charges,143.8879417,,,,,,,,,,151.5,percent of total billed charges,141.4944637,,,,,,,,,,151.5,percent of total billed charges,141.1012567,,,,,,,,,,151.5,percent of total billed charges,139.0235424,,,,,,,,,,151.5,percent of total billed charges,142.6008225,,,,,,,,,,151.5,percent of total billed charges,999999999,,,,,,,,,,151.5,percent of total billed charges,122.3615477,,,,,,,,,,151.5,percent of total billed charges,192.9725987,,,,,,,,,,151.5,percent of total billed charges,999999999,,,,,,,,,,151.5,percent of total billed charges,131.9356741,,,,,,,,,,545.4,percent of total billed charges,,,,,
NASAL BONES XRAY COMP MIN 3 VIEWS,70160,CDM,0056-2780-01,NDC,,both,1,EA,701,701,149.2316452,701,701,percent of total billed charges,515.7506035,,,,701,percent of total billed charges,546.6854421,,,,701,percent of total billed charges,515.7506035,,,,701,percent of total billed charges,546.6854421,,,,701,percent of total billed charges,999999999,,,,701,percent of total billed charges,534.1138206,,,,701,percent of total billed charges,515.7506035,,,,701,percent of total billed charges,546.6854421,,,,499.813,percent of total billed charges,249.4158336,,,,499.813,percent of total billed charges,149.2316452,,,,499.813,percent of total billed charges,249.4158336,,,,499.813,percent of total billed charges,149.2316452,,,,499.813,percent of total billed charges,249.4158336,,,,499.813,percent of total billed charges,149.2316452,,,,494.906,percent of total billed charges,491.1510136,,,,494.906,percent of total billed charges,338.7429612,,,,,,,,,,504.72,percent of total billed charges,328.0561229,,,,,,,,,,504.72,percent of total billed charges,999999999,,,,,,,,,,560.8,percent of total billed charges,469.9212486,,,,553.79,percent of total billed charges,534.4311823,,,,553.79,percent of total billed charges,472.1876401,,,,560.8,percent of total billed charges,999999999,,,,560.8,percent of total billed charges,999999999,,,,490.7,percent of total billed charges,999999999,,,,490.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,372.932,percent of total billed charges,999999999,,,,,,,,,,,,,,,,354.005,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,175.25,percent of total billed charges,166.4446323,,,,,,,,,,175.25,percent of total billed charges,163.6759391,,,,,,,,,,175.25,percent of total billed charges,163.2210907,,,,,,,,,,175.25,percent of total billed charges,160.8176621,,,,,,,,,,175.25,percent of total billed charges,164.9557369,,,,,,,,,,175.25,percent of total billed charges,999999999,,,,,,,,,,175.25,percent of total billed charges,141.5436385,,,,,,,,,,175.25,percent of total billed charges,223.2240787,,,,,,,,,,175.25,percent of total billed charges,999999999,,,,,,,,,,175.25,percent of total billed charges,152.6186593,,,,,,,,,,630.9,percent of total billed charges,,,,,
SINUSES MIN 3 VIEWS,70220,CDM,0056-2780-01,NDC,,both,1,EA,841,841,179.0353974,841,841,percent of total billed charges,618.7535771,,,,841,percent of total billed charges,655.8665575,,,,841,percent of total billed charges,618.7535771,,,,841,percent of total billed charges,655.8665575,,,,841,percent of total billed charges,999999999,,,,841,percent of total billed charges,640.7841984,,,,841,percent of total billed charges,618.7535771,,,,841,percent of total billed charges,655.8665575,,,,599.633,percent of total billed charges,299.2278403,,,,599.633,percent of total billed charges,179.0353974,,,,599.633,percent of total billed charges,299.2278403,,,,599.633,percent of total billed charges,179.0353974,,,,599.633,percent of total billed charges,299.2278403,,,,599.633,percent of total billed charges,179.0353974,,,,593.746,percent of total billed charges,589.2410877,,,,593.746,percent of total billed charges,406.3949078,,,,,,,,,,605.52,percent of total billed charges,393.5737508,,,,,,,,,,605.52,percent of total billed charges,999999999,,,,,,,,,,672.8,percent of total billed charges,563.7714267,,,,664.39,percent of total billed charges,641.164942,,,,664.39,percent of total billed charges,566.4904498,,,,672.8,percent of total billed charges,999999999,,,,672.8,percent of total billed charges,999999999,,,,588.7,percent of total billed charges,999999999,,,,588.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,447.412,percent of total billed charges,999999999,,,,,,,,,,,,,,,,424.705,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,210.25,percent of total billed charges,199.686071,,,,,,,,,,210.25,percent of total billed charges,196.3644291,,,,,,,,,,210.25,percent of total billed charges,195.8187407,,,,,,,,,,210.25,percent of total billed charges,192.9353121,,,,,,,,,,210.25,percent of total billed charges,197.8998214,,,,,,,,,,210.25,percent of total billed charges,999999999,,,,,,,,,,210.25,percent of total billed charges,169.8119828,,,,,,,,,,210.25,percent of total billed charges,267.8052071,,,,,,,,,,210.25,percent of total billed charges,999999999,,,,,,,,,,210.25,percent of total billed charges,183.098848,,,,,,,,,,756.9,percent of total billed charges,,,,,
**KNEE 3 VIEWS BI,73562,CDM,0056-2780-01,NDC,50,both,1,EA,738,738,157.1083511,738,738,percent of total billed charges,542.972818,,,,738,percent of total billed charges,575.5404512,,,,738,percent of total billed charges,542.972818,,,,738,percent of total billed charges,575.5404512,,,,738,percent of total billed charges,999999999,,,,738,percent of total billed charges,562.3052776,,,,738,percent of total billed charges,542.972818,,,,738,percent of total billed charges,575.5404512,,,,526.194,percent of total billed charges,262.5804354,,,,526.194,percent of total billed charges,157.1083511,,,,526.194,percent of total billed charges,262.5804354,,,,526.194,percent of total billed charges,157.1083511,,,,526.194,percent of total billed charges,262.5804354,,,,526.194,percent of total billed charges,157.1083511,,,,521.028,percent of total billed charges,517.0748189,,,,521.028,percent of total billed charges,356.6224042,,,,,,,,,,531.36,percent of total billed charges,345.371496,,,,,,,,,,531.36,percent of total billed charges,999999999,,,,,,,,,,590.4,percent of total billed charges,494.72451,,,,583.02,percent of total billed charges,562.6393902,,,,583.02,percent of total billed charges,497.1105255,,,,590.4,percent of total billed charges,999999999,,,,590.4,percent of total billed charges,999999999,,,,516.6,percent of total billed charges,999999999,,,,516.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,392.616,percent of total billed charges,999999999,,,,,,,,,,,,,,,,372.69,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,184.5,percent of total billed charges,175.2298696,,,,,,,,,,184.5,percent of total billed charges,172.31504,,,,,,,,,,184.5,percent of total billed charges,171.8361839,,,,,,,,,,184.5,percent of total billed charges,169.3058982,,,,,,,,,,184.5,percent of total billed charges,173.6623878,,,,,,,,,,184.5,percent of total billed charges,999999999,,,,,,,,,,184.5,percent of total billed charges,149.0145581,,,,,,,,,,184.5,percent of total billed charges,235.0062341,,,,,,,,,,184.5,percent of total billed charges,999999999,,,,,,,,,,184.5,percent of total billed charges,160.6741377,,,,,,,,,,664.2,percent of total billed charges,,,,,
KNEE 3 VIEWS LT,73562,CDM,0056-2780-01,NDC,LT,both,1,EA,629,629,133.9040012,629,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,629,percent of total billed charges,999999999,,,,629,percent of total billed charges,479.2547691,,,,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,444.074,percent of total billed charges,440.7046898,,,,444.074,percent of total billed charges,303.9505315,,,,,,,,,,452.88,percent of total billed charges,294.3613428,,,,,,,,,,452.88,percent of total billed charges,999999999,,,,,,,,,,503.2,percent of total billed charges,421.6554428,,,,496.91,percent of total billed charges,479.5395345,,,,496.91,percent of total billed charges,423.6890522,,,,503.2,percent of total billed charges,999999999,,,,503.2,percent of total billed charges,999999999,,,,440.3,percent of total billed charges,999999999,,,,440.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,334.628,percent of total billed charges,999999999,,,,,,,,,,,,,,,,317.645,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,157.25,percent of total billed charges,149.3490352,,,,,,,,,,157.25,percent of total billed charges,146.8647157,,,,,,,,,,157.25,percent of total billed charges,146.4565849,,,,,,,,,,157.25,percent of total billed charges,144.3000135,,,,,,,,,,157.25,percent of total billed charges,148.013065,,,,,,,,,,157.25,percent of total billed charges,999999999,,,,,,,,,,157.25,percent of total billed charges,127.0056328,,,,,,,,,,157.25,percent of total billed charges,200.2966412,,,,,,,,,,157.25,percent of total billed charges,999999999,,,,,,,,,,157.25,percent of total billed charges,136.9431336,,,,,,,,,,566.1,percent of total billed charges,,,,,
**KNEE 3 VIEWS,73562,CDM,0056-2780-01,NDC,,both,1,EA,738,738,157.1083511,738,738,percent of total billed charges,542.972818,,,,738,percent of total billed charges,575.5404512,,,,738,percent of total billed charges,542.972818,,,,738,percent of total billed charges,575.5404512,,,,738,percent of total billed charges,999999999,,,,738,percent of total billed charges,562.3052776,,,,738,percent of total billed charges,542.972818,,,,738,percent of total billed charges,575.5404512,,,,526.194,percent of total billed charges,262.5804354,,,,526.194,percent of total billed charges,157.1083511,,,,526.194,percent of total billed charges,262.5804354,,,,526.194,percent of total billed charges,157.1083511,,,,526.194,percent of total billed charges,262.5804354,,,,526.194,percent of total billed charges,157.1083511,,,,521.028,percent of total billed charges,517.0748189,,,,521.028,percent of total billed charges,356.6224042,,,,,,,,,,531.36,percent of total billed charges,345.371496,,,,,,,,,,531.36,percent of total billed charges,999999999,,,,,,,,,,590.4,percent of total billed charges,494.72451,,,,583.02,percent of total billed charges,562.6393902,,,,583.02,percent of total billed charges,497.1105255,,,,590.4,percent of total billed charges,999999999,,,,590.4,percent of total billed charges,999999999,,,,516.6,percent of total billed charges,999999999,,,,516.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,392.616,percent of total billed charges,999999999,,,,,,,,,,,,,,,,372.69,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,184.5,percent of total billed charges,175.2298696,,,,,,,,,,184.5,percent of total billed charges,172.31504,,,,,,,,,,184.5,percent of total billed charges,171.8361839,,,,,,,,,,184.5,percent of total billed charges,169.3058982,,,,,,,,,,184.5,percent of total billed charges,173.6623878,,,,,,,,,,184.5,percent of total billed charges,999999999,,,,,,,,,,184.5,percent of total billed charges,149.0145581,,,,,,,,,,184.5,percent of total billed charges,235.0062341,,,,,,,,,,184.5,percent of total billed charges,999999999,,,,,,,,,,184.5,percent of total billed charges,160.6741377,,,,,,,,,,664.2,percent of total billed charges,,,,,
KNEE 3 VIEWS RT,73562,CDM,0056-2780-01,NDC,RT,both,1,EA,629,629,133.9040012,629,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,629,percent of total billed charges,999999999,,,,629,percent of total billed charges,479.2547691,,,,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,444.074,percent of total billed charges,440.7046898,,,,444.074,percent of total billed charges,303.9505315,,,,,,,,,,452.88,percent of total billed charges,294.3613428,,,,,,,,,,452.88,percent of total billed charges,999999999,,,,,,,,,,503.2,percent of total billed charges,421.6554428,,,,496.91,percent of total billed charges,479.5395345,,,,496.91,percent of total billed charges,423.6890522,,,,503.2,percent of total billed charges,999999999,,,,503.2,percent of total billed charges,999999999,,,,440.3,percent of total billed charges,999999999,,,,440.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,334.628,percent of total billed charges,999999999,,,,,,,,,,,,,,,,317.645,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,157.25,percent of total billed charges,149.3490352,,,,,,,,,,157.25,percent of total billed charges,146.8647157,,,,,,,,,,157.25,percent of total billed charges,146.4565849,,,,,,,,,,157.25,percent of total billed charges,144.3000135,,,,,,,,,,157.25,percent of total billed charges,148.013065,,,,,,,,,,157.25,percent of total billed charges,999999999,,,,,,,,,,157.25,percent of total billed charges,127.0056328,,,,,,,,,,157.25,percent of total billed charges,200.2966412,,,,,,,,,,157.25,percent of total billed charges,999999999,,,,,,,,,,157.25,percent of total billed charges,136.9431336,,,,,,,,,,566.1,percent of total billed charges,,,,,
**PELVIMETRY,74710,CDM,0056-2780-01,NDC,,both,1,EA,650,650,138.374564,650,650,percent of total billed charges,478.2280917,,,,650,percent of total billed charges,506.9123215,,,,650,percent of total billed charges,478.2280917,,,,650,percent of total billed charges,506.9123215,,,,650,percent of total billed charges,999999999,,,,650,percent of total billed charges,495.2553258,,,,650,percent of total billed charges,478.2280917,,,,650,percent of total billed charges,506.9123215,,,,463.45,percent of total billed charges,231.2700312,,,,463.45,percent of total billed charges,138.374564,,,,463.45,percent of total billed charges,231.2700312,,,,463.45,percent of total billed charges,138.374564,,,,463.45,percent of total billed charges,231.2700312,,,,463.45,percent of total billed charges,138.374564,,,,458.9,percent of total billed charges,455.4182009,,,,458.9,percent of total billed charges,314.0983235,,,,,,,,,,468,percent of total billed charges,304.188987,,,,,,,,,,468,percent of total billed charges,999999999,,,,,,,,,,520,percent of total billed charges,435.7329695,,,,513.5,percent of total billed charges,495.5495984,,,,513.5,percent of total billed charges,437.8344737,,,,520,percent of total billed charges,999999999,,,,520,percent of total billed charges,999999999,,,,455,percent of total billed charges,999999999,,,,455,percent of total billed charges,999999999,,,,,,,,,,,,,,,,345.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,328.25,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,162.5,percent of total billed charges,154.335251,,,,,,,,,,162.5,percent of total billed charges,151.7679892,,,,,,,,,,162.5,percent of total billed charges,151.3462324,,,,,,,,,,162.5,percent of total billed charges,149.117661,,,,,,,,,,162.5,percent of total billed charges,152.9546776,,,,,,,,,,162.5,percent of total billed charges,999999999,,,,,,,,,,162.5,percent of total billed charges,131.2458845,,,,,,,,,,162.5,percent of total billed charges,206.9838105,,,,,,,,,,162.5,percent of total billed charges,999999999,,,,,,,,,,162.5,percent of total billed charges,141.5151619,,,,,,,,,,585,percent of total billed charges,,,,,
PELVIS 1 OR 2 VIEWS,72170,CDM,0056-2780-01,NDC,,both,1,EA,594,594,126.4530631,594,594,percent of total billed charges,437.0269023,,,,594,percent of total billed charges,463.2398753,,,,594,percent of total billed charges,437.0269023,,,,594,percent of total billed charges,463.2398753,,,,594,percent of total billed charges,999999999,,,,594,percent of total billed charges,452.5871746,,,,594,percent of total billed charges,437.0269023,,,,594,percent of total billed charges,463.2398753,,,,423.522,percent of total billed charges,211.3452285,,,,423.522,percent of total billed charges,126.4530631,,,,423.522,percent of total billed charges,211.3452285,,,,423.522,percent of total billed charges,126.4530631,,,,423.522,percent of total billed charges,211.3452285,,,,423.522,percent of total billed charges,126.4530631,,,,419.364,percent of total billed charges,416.1821713,,,,419.364,percent of total billed charges,287.0375449,,,,,,,,,,427.68,percent of total billed charges,277.9819358,,,,,,,,,,427.68,percent of total billed charges,999999999,,,,,,,,,,475.2,percent of total billed charges,398.1928983,,,,469.26,percent of total billed charges,452.8560946,,,,469.26,percent of total billed charges,400.1133498,,,,475.2,percent of total billed charges,999999999,,,,475.2,percent of total billed charges,999999999,,,,415.8,percent of total billed charges,999999999,,,,415.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,316.008,percent of total billed charges,999999999,,,,,,,,,,,,,,,,299.97,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,148.5,percent of total billed charges,141.0386756,,,,,,,,,,148.5,percent of total billed charges,138.6925932,,,,,,,,,,148.5,percent of total billed charges,138.3071724,,,,,,,,,,148.5,percent of total billed charges,136.270601,,,,,,,,,,148.5,percent of total billed charges,139.7770439,,,,,,,,,,148.5,percent of total billed charges,999999999,,,,,,,,,,148.5,percent of total billed charges,119.9385467,,,,,,,,,,148.5,percent of total billed charges,189.1513591,,,,,,,,,,148.5,percent of total billed charges,999999999,,,,,,,,,,148.5,percent of total billed charges,129.3230865,,,,,,,,,,534.6,percent of total billed charges,,,,,
PELVIS COMP 3 VIEWS,72190,CDM,0056-2780-01,NDC,,both,1,EA,640,640,136.2457246,640,640,percent of total billed charges,470.8707365,,,,640,percent of total billed charges,499.1136704,,,,640,percent of total billed charges,470.8707365,,,,640,percent of total billed charges,499.1136704,,,,640,percent of total billed charges,999999999,,,,640,percent of total billed charges,487.6360131,,,,640,percent of total billed charges,470.8707365,,,,640,percent of total billed charges,499.1136704,,,,456.32,percent of total billed charges,227.7120307,,,,456.32,percent of total billed charges,136.2457246,,,,456.32,percent of total billed charges,227.7120307,,,,456.32,percent of total billed charges,136.2457246,,,,456.32,percent of total billed charges,227.7120307,,,,456.32,percent of total billed charges,136.2457246,,,,451.84,percent of total billed charges,448.4117671,,,,451.84,percent of total billed charges,309.2660416,,,,,,,,,,460.8,percent of total billed charges,299.5091564,,,,,,,,,,460.8,percent of total billed charges,999999999,,,,,,,,,,512,percent of total billed charges,429.0293853,,,,505.6,percent of total billed charges,487.9257585,,,,505.6,percent of total billed charges,431.0985587,,,,512,percent of total billed charges,999999999,,,,512,percent of total billed charges,999999999,,,,448,percent of total billed charges,999999999,,,,448,percent of total billed charges,999999999,,,,,,,,,,,,,,,,340.48,percent of total billed charges,999999999,,,,,,,,,,,,,,,,323.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,160,percent of total billed charges,151.9608626,,,,,,,,,,160,percent of total billed charges,149.433097,,,,,,,,,,160,percent of total billed charges,149.0178288,,,,,,,,,,160,percent of total billed charges,146.8235431,,,,,,,,,,160,percent of total billed charges,150.6015287,,,,,,,,,,160,percent of total billed charges,999999999,,,,,,,,,,160,percent of total billed charges,129.226717,,,,,,,,,,160,percent of total billed charges,203.7994442,,,,,,,,,,160,percent of total billed charges,999999999,,,,,,,,,,160,percent of total billed charges,139.3380056,,,,,,,,,,576,percent of total billed charges,,,,,
RETROGRADE URETHRA,74450,CDM,0056-2780-01,NDC,,both,1,EA,1260,1260,268.2337702,1260,1260,percent of total billed charges,927.0267624,,,,1260,percent of total billed charges,982.6300386,,,,1260,percent of total billed charges,927.0267624,,,,1260,percent of total billed charges,982.6300386,,,,1260,percent of total billed charges,999999999,,,,1260,percent of total billed charges,960.0334007,,,,1260,percent of total billed charges,927.0267624,,,,1260,percent of total billed charges,982.6300386,,,,898.38,percent of total billed charges,448.3080604,,,,898.38,percent of total billed charges,268.2337702,,,,898.38,percent of total billed charges,448.3080604,,,,898.38,percent of total billed charges,268.2337702,,,,898.38,percent of total billed charges,448.3080604,,,,898.38,percent of total billed charges,268.2337702,,,,889.56,percent of total billed charges,882.8106665,,,,889.56,percent of total billed charges,608.8675195,,,,,,,,,,907.2,percent of total billed charges,589.6586517,,,,,,,,,,907.2,percent of total billed charges,999999999,,,,,,,,,,1008,percent of total billed charges,844.6516024,,,,995.4,percent of total billed charges,960.603837,,,,995.4,percent of total billed charges,848.7252874,,,,1008,percent of total billed charges,999999999,,,,1008,percent of total billed charges,999999999,,,,882,percent of total billed charges,999999999,,,,882,percent of total billed charges,999999999,,,,,,,,,,,,,,,,670.32,percent of total billed charges,999999999,,,,,,,,,,,,,,,,636.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,315,percent of total billed charges,299.1729482,,,,,,,,,,315,percent of total billed charges,294.1964098,,,,,,,,,,315,percent of total billed charges,293.3788505,,,,,,,,,,315,percent of total billed charges,289.0588505,,,,,,,,,,315,percent of total billed charges,296.4967597,,,,,,,,,,315,percent of total billed charges,999999999,,,,,,,,,,315,percent of total billed charges,254.4150991,,,,,,,,,,315,percent of total billed charges,401.2301557,,,,,,,,,,315,percent of total billed charges,999999999,,,,,,,,,,315,percent of total billed charges,274.3216985,,,,,,,,,,1134,percent of total billed charges,,,,,
INJECTION-RETROGRADE URETHROCYST,51610,CDM,0056-2780-01,NDC,,both,1,EA,1578,1578,335.9308646,1578,1578,percent of total billed charges,1160.99066,,,,1578,percent of total billed charges,1230.627144,,,,1578,percent of total billed charges,1160.99066,,,,1578,percent of total billed charges,1230.627144,,,,1578,percent of total billed charges,999999999,,,,1578,percent of total billed charges,1202.327545,,,,1578,percent of total billed charges,1160.99066,,,,1578,percent of total billed charges,1230.627144,,,,1125.114,percent of total billed charges,561.4524756,,,,1125.114,percent of total billed charges,335.9308646,,,,1125.114,percent of total billed charges,561.4524756,,,,1125.114,percent of total billed charges,335.9308646,,,,1125.114,percent of total billed charges,561.4524756,,,,1125.114,percent of total billed charges,335.9308646,,,,1114.068,percent of total billed charges,1105.615263,,,,1114.068,percent of total billed charges,762.5340839,,,,,,,,,,1136.16,percent of total billed charges,738.4772638,,,,,,,,,,1136.16,percent of total billed charges,999999999,,,,,,,,,,1262.4,percent of total billed charges,1057.825578,,,,1246.62,percent of total billed charges,1203.041948,,,,1246.62,percent of total billed charges,1062.927384,,,,1262.4,percent of total billed charges,999999999,,,,1262.4,percent of total billed charges,999999999,,,,1104.6,percent of total billed charges,999999999,,,,1104.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,839.496,percent of total billed charges,999999999,,,,,,,,,,,,,,,,796.89,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,394.5,percent of total billed charges,374.6785018,,,,,,,,,,394.5,percent of total billed charges,368.4459798,,,,,,,,,,394.5,percent of total billed charges,367.4220842,,,,,,,,,,394.5,percent of total billed charges,362.0117985,,,,,,,,,,394.5,percent of total billed charges,371.3268943,,,,,,,,,,394.5,percent of total billed charges,999999999,,,,,,,,,,394.5,percent of total billed charges,318.6246242,,,,,,,,,,394.5,percent of total billed charges,502.4930045,,,,,,,,,,394.5,percent of total billed charges,999999999,,,,,,,,,,394.5,percent of total billed charges,343.5552701,,,,,,,,,,1420.2,percent of total billed charges,,,,,
RETROGRADE,74420,CDM,0056-2780-01,NDC,,both,1,EA,1562,1562,332.5247215,1562,1562,percent of total billed charges,1149.218891,,,,1562,percent of total billed charges,1218.149302,,,,1562,percent of total billed charges,1149.218891,,,,1562,percent of total billed charges,1218.149302,,,,1562,percent of total billed charges,999999999,,,,1562,percent of total billed charges,1190.136644,,,,1562,percent of total billed charges,1149.218891,,,,1562,percent of total billed charges,1218.149302,,,,1113.706,percent of total billed charges,555.7596749,,,,1113.706,percent of total billed charges,332.5247215,,,,1113.706,percent of total billed charges,555.7596749,,,,1113.706,percent of total billed charges,332.5247215,,,,1113.706,percent of total billed charges,555.7596749,,,,1113.706,percent of total billed charges,332.5247215,,,,1102.772,percent of total billed charges,1094.404969,,,,1102.772,percent of total billed charges,754.8024328,,,,,,,,,,1124.64,percent of total billed charges,730.9895348,,,,,,,,,,1124.64,percent of total billed charges,999999999,,,,,,,,,,1249.6,percent of total billed charges,1047.099844,,,,1233.98,percent of total billed charges,1190.843804,,,,1233.98,percent of total billed charges,1052.14992,,,,1249.6,percent of total billed charges,999999999,,,,1249.6,percent of total billed charges,999999999,,,,1093.4,percent of total billed charges,999999999,,,,1093.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,830.984,percent of total billed charges,999999999,,,,,,,,,,,,,,,,788.81,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,390.5,percent of total billed charges,370.8794802,,,,,,,,,,390.5,percent of total billed charges,364.7101524,,,,,,,,,,390.5,percent of total billed charges,363.6966385,,,,,,,,,,390.5,percent of total billed charges,358.3412099,,,,,,,,,,390.5,percent of total billed charges,367.5618561,,,,,,,,,,390.5,percent of total billed charges,999999999,,,,,,,,,,390.5,percent of total billed charges,315.3939562,,,,,,,,,,390.5,percent of total billed charges,497.3980184,,,,,,,,,,390.5,percent of total billed charges,999999999,,,,,,,,,,390.5,percent of total billed charges,340.0718199,,,,,,,,,,1405.8,percent of total billed charges,,,,,
RIBS UNILATERAL MIN 3 VIEWS,71101,CDM,0056-2780-01,NDC,,both,1,EA,868,868,184.7832639,868,868,percent of total billed charges,638.6184363,,,,868,percent of total billed charges,676.9229155,,,,868,percent of total billed charges,638.6184363,,,,868,percent of total billed charges,676.9229155,,,,868,percent of total billed charges,999999999,,,,868,percent of total billed charges,661.3563427,,,,868,percent of total billed charges,638.6184363,,,,868,percent of total billed charges,676.9229155,,,,618.884,percent of total billed charges,308.8344416,,,,618.884,percent of total billed charges,184.7832639,,,,618.884,percent of total billed charges,308.8344416,,,,618.884,percent of total billed charges,184.7832639,,,,618.884,percent of total billed charges,308.8344416,,,,618.884,percent of total billed charges,184.7832639,,,,612.808,percent of total billed charges,608.1584591,,,,612.808,percent of total billed charges,419.442069,,,,,,,,,,624.96,percent of total billed charges,406.2092934,,,,,,,,,,624.96,percent of total billed charges,999999999,,,,,,,,,,694.4,percent of total billed charges,581.8711039,,,,685.72,percent of total billed charges,661.7493099,,,,685.72,percent of total billed charges,584.6774202,,,,694.4,percent of total billed charges,999999999,,,,694.4,percent of total billed charges,999999999,,,,607.6,percent of total billed charges,999999999,,,,607.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,461.776,percent of total billed charges,999999999,,,,,,,,,,,,,,,,438.34,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,217,percent of total billed charges,206.0969199,,,,,,,,,,217,percent of total billed charges,202.6686378,,,,,,,,,,217,percent of total billed charges,202.1054304,,,,,,,,,,217,percent of total billed charges,199.1294304,,,,,,,,,,217,percent of total billed charges,204.2533233,,,,,,,,,,217,percent of total billed charges,999999999,,,,,,,,,,217,percent of total billed charges,175.263735,,,,,,,,,,217,percent of total billed charges,276.4029962,,,,,,,,,,217,percent of total billed charges,999999999,,,,,,,,,,217,percent of total billed charges,188.9771701,,,,,,,,,,781.2,percent of total billed charges,,,,,
RIBS 3 VIEWS LT W PA CHEST,71101,CDM,0056-2780-01,NDC,LT,both,1,EA,727,727,154.7666277,727,727,percent of total billed charges,534.8797272,,,,727,percent of total billed charges,566.961935,,,,727,percent of total billed charges,534.8797272,,,,727,percent of total billed charges,566.961935,,,,727,percent of total billed charges,999999999,,,,727,percent of total billed charges,553.9240336,,,,727,percent of total billed charges,534.8797272,,,,727,percent of total billed charges,566.961935,,,,518.351,percent of total billed charges,258.6666348,,,,518.351,percent of total billed charges,154.7666277,,,,518.351,percent of total billed charges,258.6666348,,,,518.351,percent of total billed charges,154.7666277,,,,518.351,percent of total billed charges,258.6666348,,,,518.351,percent of total billed charges,154.7666277,,,,513.262,percent of total billed charges,509.3677417,,,,513.262,percent of total billed charges,351.3068942,,,,,,,,,,523.44,percent of total billed charges,340.2236824,,,,,,,,,,523.44,percent of total billed charges,999999999,,,,,,,,,,581.6,percent of total billed charges,487.3505674,,,,574.33,percent of total billed charges,554.2531662,,,,574.33,percent of total billed charges,489.701019,,,,581.6,percent of total billed charges,999999999,,,,581.6,percent of total billed charges,999999999,,,,508.9,percent of total billed charges,999999999,,,,508.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,386.764,percent of total billed charges,999999999,,,,,,,,,,,,,,,,367.135,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,181.75,percent of total billed charges,172.6180423,,,,,,,,,,181.75,percent of total billed charges,169.7466586,,,,,,,,,,181.75,percent of total billed charges,169.2749399,,,,,,,,,,181.75,percent of total billed charges,166.7823685,,,,,,,,,,181.75,percent of total billed charges,171.073924,,,,,,,,,,181.75,percent of total billed charges,999999999,,,,,,,,,,181.75,percent of total billed charges,146.7934739,,,,,,,,,,181.75,percent of total billed charges,231.5034311,,,,,,,,,,181.75,percent of total billed charges,999999999,,,,,,,,,,181.75,percent of total billed charges,158.2792657,,,,,,,,,,654.3,percent of total billed charges,,,,,
RIBS 3 VIEWS RT W PA CHEST,71101,CDM,0056-2780-01,NDC,RT,both,1,EA,727,727,154.7666277,727,727,percent of total billed charges,534.8797272,,,,727,percent of total billed charges,566.961935,,,,727,percent of total billed charges,534.8797272,,,,727,percent of total billed charges,566.961935,,,,727,percent of total billed charges,999999999,,,,727,percent of total billed charges,553.9240336,,,,727,percent of total billed charges,534.8797272,,,,727,percent of total billed charges,566.961935,,,,518.351,percent of total billed charges,258.6666348,,,,518.351,percent of total billed charges,154.7666277,,,,518.351,percent of total billed charges,258.6666348,,,,518.351,percent of total billed charges,154.7666277,,,,518.351,percent of total billed charges,258.6666348,,,,518.351,percent of total billed charges,154.7666277,,,,513.262,percent of total billed charges,509.3677417,,,,513.262,percent of total billed charges,351.3068942,,,,,,,,,,523.44,percent of total billed charges,340.2236824,,,,,,,,,,523.44,percent of total billed charges,999999999,,,,,,,,,,581.6,percent of total billed charges,487.3505674,,,,574.33,percent of total billed charges,554.2531662,,,,574.33,percent of total billed charges,489.701019,,,,581.6,percent of total billed charges,999999999,,,,581.6,percent of total billed charges,999999999,,,,508.9,percent of total billed charges,999999999,,,,508.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,386.764,percent of total billed charges,999999999,,,,,,,,,,,,,,,,367.135,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,181.75,percent of total billed charges,172.6180423,,,,,,,,,,181.75,percent of total billed charges,169.7466586,,,,,,,,,,181.75,percent of total billed charges,169.2749399,,,,,,,,,,181.75,percent of total billed charges,166.7823685,,,,,,,,,,181.75,percent of total billed charges,171.073924,,,,,,,,,,181.75,percent of total billed charges,999999999,,,,,,,,,,181.75,percent of total billed charges,146.7934739,,,,,,,,,,181.75,percent of total billed charges,231.5034311,,,,,,,,,,181.75,percent of total billed charges,999999999,,,,,,,,,,181.75,percent of total billed charges,158.2792657,,,,,,,,,,654.3,percent of total billed charges,,,,,
RIBS BILATERAL 4 VIEWS W PA CHEST,71111,CDM,0056-2780-01,NDC,,both,1,EA,941,941,200.3237919,941,941,percent of total billed charges,692.3271297,,,,941,percent of total billed charges,733.8530685,,,,941,percent of total billed charges,692.3271297,,,,941,percent of total billed charges,733.8530685,,,,941,percent of total billed charges,999999999,,,,941,percent of total billed charges,716.9773255,,,,941,percent of total billed charges,692.3271297,,,,941,percent of total billed charges,733.8530685,,,,670.933,percent of total billed charges,334.8078451,,,,670.933,percent of total billed charges,200.3237919,,,,670.933,percent of total billed charges,334.8078451,,,,670.933,percent of total billed charges,200.3237919,,,,670.933,percent of total billed charges,334.8078451,,,,670.933,percent of total billed charges,200.3237919,,,,664.346,percent of total billed charges,659.3054263,,,,664.346,percent of total billed charges,454.7177268,,,,,,,,,,677.52,percent of total billed charges,440.3720565,,,,,,,,,,677.52,percent of total billed charges,999999999,,,,,,,,,,752.8,percent of total billed charges,630.8072681,,,,743.39,percent of total billed charges,717.4033417,,,,743.39,percent of total billed charges,633.8495996,,,,752.8,percent of total billed charges,999999999,,,,752.8,percent of total billed charges,999999999,,,,658.7,percent of total billed charges,999999999,,,,658.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,500.612,percent of total billed charges,999999999,,,,,,,,,,,,,,,,475.205,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,235.25,percent of total billed charges,223.4299557,,,,,,,,,,235.25,percent of total billed charges,219.7133505,,,,,,,,,,235.25,percent of total billed charges,219.1027765,,,,,,,,,,235.25,percent of total billed charges,215.8764908,,,,,,,,,,235.25,percent of total billed charges,221.4313102,,,,,,,,,,235.25,percent of total billed charges,999999999,,,,,,,,,,235.25,percent of total billed charges,190.0036574,,,,,,,,,,235.25,percent of total billed charges,299.6488703,,,,,,,,,,235.25,percent of total billed charges,999999999,,,,,,,,,,235.25,percent of total billed charges,204.8704114,,,,,,,,,,846.9,percent of total billed charges,,,,,
SACROILIAC JOINTS 3 OR MORE VIEWS,72202,CDM,0056-2780-01,NDC,,both,1,EA,667,667,141.9935911,667,667,percent of total billed charges,490.7355957,,,,667,percent of total billed charges,520.1700284,,,,667,percent of total billed charges,490.7355957,,,,667,percent of total billed charges,520.1700284,,,,667,percent of total billed charges,999999999,,,,667,percent of total billed charges,508.2081574,,,,667,percent of total billed charges,490.7355957,,,,667,percent of total billed charges,520.1700284,,,,475.571,percent of total billed charges,237.318632,,,,475.571,percent of total billed charges,141.9935911,,,,475.571,percent of total billed charges,237.318632,,,,475.571,percent of total billed charges,141.9935911,,,,475.571,percent of total billed charges,237.318632,,,,475.571,percent of total billed charges,141.9935911,,,,470.902,percent of total billed charges,467.3291385,,,,470.902,percent of total billed charges,322.3132028,,,,,,,,,,480.24,percent of total billed charges,312.1446989,,,,,,,,,,480.24,percent of total billed charges,999999999,,,,,,,,,,533.6,percent of total billed charges,447.1290625,,,,526.93,percent of total billed charges,508.5101264,,,,526.93,percent of total billed charges,449.2855291,,,,533.6,percent of total billed charges,999999999,,,,533.6,percent of total billed charges,999999999,,,,466.9,percent of total billed charges,999999999,,,,466.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,354.844,percent of total billed charges,999999999,,,,,,,,,,,,,,,,336.835,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,166.75,percent of total billed charges,158.3717115,,,,,,,,,,166.75,percent of total billed charges,155.7373058,,,,,,,,,,166.75,percent of total billed charges,155.3045185,,,,,,,,,,166.75,percent of total billed charges,153.0176613,,,,,,,,,,166.75,percent of total billed charges,156.9550307,,,,,,,,,,166.75,percent of total billed charges,999999999,,,,,,,,,,166.75,percent of total billed charges,134.6784691,,,,,,,,,,166.75,percent of total billed charges,212.3972332,,,,,,,,,,166.75,percent of total billed charges,999999999,,,,,,,,,,166.75,percent of total billed charges,145.2163277,,,,,,,,,,600.3,percent of total billed charges,,,,,
SCAPULA COMPLETE RT,73010,CDM,0056-2780-01,NDC,RT,both,1,EA,551,551,117.2990535,551,551,percent of total billed charges,405.3902747,,,,551,percent of total billed charges,429.7056756,,,,551,percent of total billed charges,405.3902747,,,,551,percent of total billed charges,429.7056756,,,,551,percent of total billed charges,999999999,,,,551,percent of total billed charges,419.82413,,,,551,percent of total billed charges,405.3902747,,,,551,percent of total billed charges,429.7056756,,,,392.863,percent of total billed charges,196.0458264,,,,392.863,percent of total billed charges,117.2990535,,,,392.863,percent of total billed charges,196.0458264,,,,392.863,percent of total billed charges,117.2990535,,,,392.863,percent of total billed charges,196.0458264,,,,392.863,percent of total billed charges,117.2990535,,,,389.006,percent of total billed charges,386.0545057,,,,389.006,percent of total billed charges,266.2587327,,,,,,,,,,396.72,percent of total billed charges,257.8586643,,,,,,,,,,396.72,percent of total billed charges,999999999,,,,,,,,,,440.8,percent of total billed charges,369.3674864,,,,435.29,percent of total billed charges,420.0735827,,,,435.29,percent of total billed charges,371.1489154,,,,440.8,percent of total billed charges,999999999,,,,440.8,percent of total billed charges,999999999,,,,385.7,percent of total billed charges,999999999,,,,385.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,293.132,percent of total billed charges,999999999,,,,,,,,,,,,,,,,278.255,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,137.75,percent of total billed charges,130.8288051,,,,,,,,,,137.75,percent of total billed charges,128.652557,,,,,,,,,,137.75,percent of total billed charges,128.295037,,,,,,,,,,137.75,percent of total billed charges,126.4058942,,,,,,,,,,137.75,percent of total billed charges,129.6585036,,,,,,,,,,137.75,percent of total billed charges,999999999,,,,,,,,,,137.75,percent of total billed charges,111.2561267,,,,,,,,,,137.75,percent of total billed charges,175.458584,,,,,,,,,,137.75,percent of total billed charges,999999999,,,,,,,,,,137.75,percent of total billed charges,119.9613142,,,,,,,,,,495.9,percent of total billed charges,,,,,
SCAPULA COMPLETE LT,73010,CDM,0056-2780-01,NDC,LT,both,1,EA,551,551,117.2990535,551,551,percent of total billed charges,405.3902747,,,,551,percent of total billed charges,429.7056756,,,,551,percent of total billed charges,405.3902747,,,,551,percent of total billed charges,429.7056756,,,,551,percent of total billed charges,999999999,,,,551,percent of total billed charges,419.82413,,,,551,percent of total billed charges,405.3902747,,,,551,percent of total billed charges,429.7056756,,,,392.863,percent of total billed charges,196.0458264,,,,392.863,percent of total billed charges,117.2990535,,,,392.863,percent of total billed charges,196.0458264,,,,392.863,percent of total billed charges,117.2990535,,,,392.863,percent of total billed charges,196.0458264,,,,392.863,percent of total billed charges,117.2990535,,,,389.006,percent of total billed charges,386.0545057,,,,389.006,percent of total billed charges,266.2587327,,,,,,,,,,396.72,percent of total billed charges,257.8586643,,,,,,,,,,396.72,percent of total billed charges,999999999,,,,,,,,,,440.8,percent of total billed charges,369.3674864,,,,435.29,percent of total billed charges,420.0735827,,,,435.29,percent of total billed charges,371.1489154,,,,440.8,percent of total billed charges,999999999,,,,440.8,percent of total billed charges,999999999,,,,385.7,percent of total billed charges,999999999,,,,385.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,293.132,percent of total billed charges,999999999,,,,,,,,,,,,,,,,278.255,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,137.75,percent of total billed charges,130.8288051,,,,,,,,,,137.75,percent of total billed charges,128.652557,,,,,,,,,,137.75,percent of total billed charges,128.295037,,,,,,,,,,137.75,percent of total billed charges,126.4058942,,,,,,,,,,137.75,percent of total billed charges,129.6585036,,,,,,,,,,137.75,percent of total billed charges,999999999,,,,,,,,,,137.75,percent of total billed charges,111.2561267,,,,,,,,,,137.75,percent of total billed charges,175.458584,,,,,,,,,,137.75,percent of total billed charges,999999999,,,,,,,,,,137.75,percent of total billed charges,119.9613142,,,,,,,,,,495.9,percent of total billed charges,,,,,
**SCAPULA COMPLETE,73010,CDM,0056-2780-01,NDC,,both,1,EA,549,549,116.8732856,549,549,percent of total billed charges,403.9188036,,,,549,percent of total billed charges,428.1459454,,,,549,percent of total billed charges,403.9188036,,,,549,percent of total billed charges,428.1459454,,,,549,percent of total billed charges,999999999,,,,549,percent of total billed charges,418.3002675,,,,549,percent of total billed charges,403.9188036,,,,549,percent of total billed charges,428.1459454,,,,391.437,percent of total billed charges,195.3342263,,,,391.437,percent of total billed charges,116.8732856,,,,391.437,percent of total billed charges,195.3342263,,,,391.437,percent of total billed charges,116.8732856,,,,391.437,percent of total billed charges,195.3342263,,,,391.437,percent of total billed charges,116.8732856,,,,387.594,percent of total billed charges,384.653219,,,,387.594,percent of total billed charges,265.2922763,,,,,,,,,,395.28,percent of total billed charges,256.9226982,,,,,,,,,,395.28,percent of total billed charges,999999999,,,,,,,,,,439.2,percent of total billed charges,368.0267696,,,,433.71,percent of total billed charges,418.5488147,,,,433.71,percent of total billed charges,369.8017324,,,,439.2,percent of total billed charges,999999999,,,,439.2,percent of total billed charges,999999999,,,,384.3,percent of total billed charges,999999999,,,,384.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,292.068,percent of total billed charges,999999999,,,,,,,,,,,,,,,,277.245,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,137.25,percent of total billed charges,130.3539274,,,,,,,,,,137.25,percent of total billed charges,128.1855785,,,,,,,,,,137.25,percent of total billed charges,127.8293563,,,,,,,,,,137.25,percent of total billed charges,125.9470706,,,,,,,,,,137.25,percent of total billed charges,129.1878739,,,,,,,,,,137.25,percent of total billed charges,999999999,,,,,,,,,,137.25,percent of total billed charges,110.8522932,,,,,,,,,,137.25,percent of total billed charges,174.8217107,,,,,,,,,,137.25,percent of total billed charges,999999999,,,,,,,,,,137.25,percent of total billed charges,119.5258829,,,,,,,,,,494.1,percent of total billed charges,,,,,
**SCAPULA COMPLETE BI,73010,CDM,0056-2780-01,NDC,50,both,1,EA,645,645,137.3101443,645,645,percent of total billed charges,474.5494141,,,,645,percent of total billed charges,503.012996,,,,645,percent of total billed charges,474.5494141,,,,645,percent of total billed charges,503.012996,,,,645,percent of total billed charges,999999999,,,,645,percent of total billed charges,491.4456694,,,,645,percent of total billed charges,474.5494141,,,,645,percent of total billed charges,503.012996,,,,459.885,percent of total billed charges,229.4910309,,,,459.885,percent of total billed charges,137.3101443,,,,459.885,percent of total billed charges,229.4910309,,,,459.885,percent of total billed charges,137.3101443,,,,459.885,percent of total billed charges,229.4910309,,,,459.885,percent of total billed charges,137.3101443,,,,455.37,percent of total billed charges,451.914984,,,,455.37,percent of total billed charges,311.6821826,,,,,,,,,,464.4,percent of total billed charges,301.8490717,,,,,,,,,,464.4,percent of total billed charges,999999999,,,,,,,,,,516,percent of total billed charges,432.3811774,,,,509.55,percent of total billed charges,491.7376784,,,,509.55,percent of total billed charges,434.4665162,,,,516,percent of total billed charges,999999999,,,,516,percent of total billed charges,999999999,,,,451.5,percent of total billed charges,999999999,,,,451.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,343.14,percent of total billed charges,999999999,,,,,,,,,,,,,,,,325.725,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,161.25,percent of total billed charges,153.1480568,,,,,,,,,,161.25,percent of total billed charges,150.6005431,,,,,,,,,,161.25,percent of total billed charges,150.1820306,,,,,,,,,,161.25,percent of total billed charges,147.9706021,,,,,,,,,,161.25,percent of total billed charges,151.7781032,,,,,,,,,,161.25,percent of total billed charges,999999999,,,,,,,,,,161.25,percent of total billed charges,130.2363007,,,,,,,,,,161.25,percent of total billed charges,205.3916273,,,,,,,,,,161.25,percent of total billed charges,999999999,,,,,,,,,,161.25,percent of total billed charges,140.4265838,,,,,,,,,,580.5,percent of total billed charges,,,,,
SHOULDER LT,73030,CDM,0056-2780-01,NDC,LT,both,1,EA,604,604,128.5819026,604,604,percent of total billed charges,444.3842575,,,,604,percent of total billed charges,471.0385264,,,,604,percent of total billed charges,444.3842575,,,,604,percent of total billed charges,471.0385264,,,,604,percent of total billed charges,999999999,,,,604,percent of total billed charges,460.2064873,,,,604,percent of total billed charges,444.3842575,,,,604,percent of total billed charges,471.0385264,,,,430.652,percent of total billed charges,214.9032289,,,,430.652,percent of total billed charges,128.5819026,,,,430.652,percent of total billed charges,214.9032289,,,,430.652,percent of total billed charges,128.5819026,,,,430.652,percent of total billed charges,214.9032289,,,,430.652,percent of total billed charges,128.5819026,,,,426.424,percent of total billed charges,423.1886052,,,,426.424,percent of total billed charges,291.8698268,,,,,,,,,,434.88,percent of total billed charges,282.6617664,,,,,,,,,,434.88,percent of total billed charges,999999999,,,,,,,,,,483.2,percent of total billed charges,404.8964824,,,,477.16,percent of total billed charges,460.4799345,,,,477.16,percent of total billed charges,406.8492648,,,,483.2,percent of total billed charges,999999999,,,,483.2,percent of total billed charges,999999999,,,,422.8,percent of total billed charges,999999999,,,,422.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,321.328,percent of total billed charges,999999999,,,,,,,,,,,,,,,,305.02,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,151,percent of total billed charges,143.413064,,,,,,,,,,151,percent of total billed charges,141.0274853,,,,,,,,,,151,percent of total billed charges,140.635576,,,,,,,,,,151,percent of total billed charges,138.5647188,,,,,,,,,,151,percent of total billed charges,142.1301927,,,,,,,,,,151,percent of total billed charges,999999999,,,,,,,,,,151,percent of total billed charges,121.9577142,,,,,,,,,,151,percent of total billed charges,192.3357254,,,,,,,,,,151,percent of total billed charges,999999999,,,,,,,,,,151,percent of total billed charges,131.5002428,,,,,,,,,,543.6,percent of total billed charges,,,,,
SHOULDER RT,73030,CDM,0056-2780-01,NDC,RT,both,1,EA,604,604,128.5819026,604,604,percent of total billed charges,444.3842575,,,,604,percent of total billed charges,471.0385264,,,,604,percent of total billed charges,444.3842575,,,,604,percent of total billed charges,471.0385264,,,,604,percent of total billed charges,999999999,,,,604,percent of total billed charges,460.2064873,,,,604,percent of total billed charges,444.3842575,,,,604,percent of total billed charges,471.0385264,,,,430.652,percent of total billed charges,214.9032289,,,,430.652,percent of total billed charges,128.5819026,,,,430.652,percent of total billed charges,214.9032289,,,,430.652,percent of total billed charges,128.5819026,,,,430.652,percent of total billed charges,214.9032289,,,,430.652,percent of total billed charges,128.5819026,,,,426.424,percent of total billed charges,423.1886052,,,,426.424,percent of total billed charges,291.8698268,,,,,,,,,,434.88,percent of total billed charges,282.6617664,,,,,,,,,,434.88,percent of total billed charges,999999999,,,,,,,,,,483.2,percent of total billed charges,404.8964824,,,,477.16,percent of total billed charges,460.4799345,,,,477.16,percent of total billed charges,406.8492648,,,,483.2,percent of total billed charges,999999999,,,,483.2,percent of total billed charges,999999999,,,,422.8,percent of total billed charges,999999999,,,,422.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,321.328,percent of total billed charges,999999999,,,,,,,,,,,,,,,,305.02,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,151,percent of total billed charges,143.413064,,,,,,,,,,151,percent of total billed charges,141.0274853,,,,,,,,,,151,percent of total billed charges,140.635576,,,,,,,,,,151,percent of total billed charges,138.5647188,,,,,,,,,,151,percent of total billed charges,142.1301927,,,,,,,,,,151,percent of total billed charges,999999999,,,,,,,,,,151,percent of total billed charges,121.9577142,,,,,,,,,,151,percent of total billed charges,192.3357254,,,,,,,,,,151,percent of total billed charges,999999999,,,,,,,,,,151,percent of total billed charges,131.5002428,,,,,,,,,,543.6,percent of total billed charges,,,,,
**SHOULDER 2 VIEWS BI,73030,CDM,0056-2780-01,NDC,50,both,1,EA,703,703,149.6574131,703,703,percent of total billed charges,517.2220746,,,,703,percent of total billed charges,548.2451723,,,,703,percent of total billed charges,517.2220746,,,,703,percent of total billed charges,548.2451723,,,,703,percent of total billed charges,999999999,,,,703,percent of total billed charges,535.6376831,,,,703,percent of total billed charges,517.2220746,,,,703,percent of total billed charges,548.2451723,,,,501.239,percent of total billed charges,250.1274337,,,,501.239,percent of total billed charges,149.6574131,,,,501.239,percent of total billed charges,250.1274337,,,,501.239,percent of total billed charges,149.6574131,,,,501.239,percent of total billed charges,250.1274337,,,,501.239,percent of total billed charges,149.6574131,,,,496.318,percent of total billed charges,492.5523004,,,,496.318,percent of total billed charges,339.7094176,,,,,,,,,,506.16,percent of total billed charges,328.992089,,,,,,,,,,506.16,percent of total billed charges,999999999,,,,,,,,,,562.4,percent of total billed charges,471.2619655,,,,555.37,percent of total billed charges,535.9559503,,,,555.37,percent of total billed charges,473.5348231,,,,562.4,percent of total billed charges,999999999,,,,562.4,percent of total billed charges,999999999,,,,492.1,percent of total billed charges,999999999,,,,492.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,373.996,percent of total billed charges,999999999,,,,,,,,,,,,,,,,355.015,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,175.75,percent of total billed charges,166.91951,,,,,,,,,,175.75,percent of total billed charges,164.1429175,,,,,,,,,,175.75,percent of total billed charges,163.6867714,,,,,,,,,,175.75,percent of total billed charges,161.2764857,,,,,,,,,,175.75,percent of total billed charges,165.4263667,,,,,,,,,,175.75,percent of total billed charges,999999999,,,,,,,,,,175.75,percent of total billed charges,141.947472,,,,,,,,,,175.75,percent of total billed charges,223.860952,,,,,,,,,,175.75,percent of total billed charges,999999999,,,,,,,,,,175.75,percent of total billed charges,153.0540905,,,,,,,,,,632.7,percent of total billed charges,,,,,
**SHOULDER 2 VIEWS,73030,CDM,0056-2780-01,NDC,,both,1,EA,603,603,128.3690186,603,603,percent of total billed charges,443.648522,,,,603,percent of total billed charges,470.2586613,,,,603,percent of total billed charges,443.648522,,,,603,percent of total billed charges,470.2586613,,,,603,percent of total billed charges,999999999,,,,603,percent of total billed charges,459.4445561,,,,603,percent of total billed charges,443.648522,,,,603,percent of total billed charges,470.2586613,,,,429.939,percent of total billed charges,214.5474289,,,,429.939,percent of total billed charges,128.3690186,,,,429.939,percent of total billed charges,214.5474289,,,,429.939,percent of total billed charges,128.3690186,,,,429.939,percent of total billed charges,214.5474289,,,,429.939,percent of total billed charges,128.3690186,,,,425.718,percent of total billed charges,422.4879618,,,,425.718,percent of total billed charges,291.3865986,,,,,,,,,,434.16,percent of total billed charges,282.1937833,,,,,,,,,,434.16,percent of total billed charges,999999999,,,,,,,,,,482.4,percent of total billed charges,404.226124,,,,476.37,percent of total billed charges,459.7175505,,,,476.37,percent of total billed charges,406.1756733,,,,482.4,percent of total billed charges,999999999,,,,482.4,percent of total billed charges,999999999,,,,422.1,percent of total billed charges,999999999,,,,422.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,320.796,percent of total billed charges,999999999,,,,,,,,,,,,,,,,304.515,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,150.75,percent of total billed charges,143.1756252,,,,,,,,,,150.75,percent of total billed charges,140.7939961,,,,,,,,,,150.75,percent of total billed charges,140.4027356,,,,,,,,,,150.75,percent of total billed charges,138.335307,,,,,,,,,,150.75,percent of total billed charges,141.8948779,,,,,,,,,,150.75,percent of total billed charges,999999999,,,,,,,,,,150.75,percent of total billed charges,121.7557974,,,,,,,,,,150.75,percent of total billed charges,192.0172888,,,,,,,,,,150.75,percent of total billed charges,999999999,,,,,,,,,,150.75,percent of total billed charges,131.2825272,,,,,,,,,,542.7,percent of total billed charges,,,,,
ORBITS,70200,CDM,0056-2780-01,NDC,,both,1,EA,820,820,174.5648346,820,820,percent of total billed charges,603.3031311,,,,820,percent of total billed charges,639.4893902,,,,820,percent of total billed charges,603.3031311,,,,820,percent of total billed charges,639.4893902,,,,820,percent of total billed charges,999999999,,,,820,percent of total billed charges,624.7836417,,,,820,percent of total billed charges,603.3031311,,,,820,percent of total billed charges,639.4893902,,,,584.66,percent of total billed charges,291.7560393,,,,584.66,percent of total billed charges,174.5648346,,,,584.66,percent of total billed charges,291.7560393,,,,584.66,percent of total billed charges,174.5648346,,,,584.66,percent of total billed charges,291.7560393,,,,584.66,percent of total billed charges,174.5648346,,,,578.92,percent of total billed charges,574.5275766,,,,578.92,percent of total billed charges,396.2471158,,,,,,,,,,590.4,percent of total billed charges,383.7461066,,,,,,,,,,590.4,percent of total billed charges,999999999,,,,,,,,,,656,percent of total billed charges,549.6939,,,,647.8,percent of total billed charges,625.154878,,,,647.8,percent of total billed charges,552.3450283,,,,656,percent of total billed charges,999999999,,,,656,percent of total billed charges,999999999,,,,574,percent of total billed charges,999999999,,,,574,percent of total billed charges,999999999,,,,,,,,,,,,,,,,436.24,percent of total billed charges,999999999,,,,,,,,,,,,,,,,414.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,205,percent of total billed charges,194.6998552,,,,,,,,,,205,percent of total billed charges,191.4611556,,,,,,,,,,205,percent of total billed charges,190.9290932,,,,,,,,,,205,percent of total billed charges,188.1176646,,,,,,,,,,205,percent of total billed charges,192.9582087,,,,,,,,,,205,percent of total billed charges,999999999,,,,,,,,,,205,percent of total billed charges,165.5717312,,,,,,,,,,205,percent of total billed charges,261.1180378,,,,,,,,,,205,percent of total billed charges,999999999,,,,,,,,,,205,percent of total billed charges,178.5268197,,,,,,,,,,738,percent of total billed charges,,,,,
SKULL 4 VIEWS,70260,CDM,0056-2780-01,NDC,,both,1,EA,1009,1009,214.7999001,1009,1009,percent of total billed charges,742.3571455,,,,1009,percent of total billed charges,786.883896,,,,1009,percent of total billed charges,742.3571455,,,,1009,percent of total billed charges,786.883896,,,,1009,percent of total billed charges,999999999,,,,1009,percent of total billed charges,768.7886519,,,,1009,percent of total billed charges,742.3571455,,,,1009,percent of total billed charges,786.883896,,,,719.417,percent of total billed charges,359.0022484,,,,719.417,percent of total billed charges,214.7999001,,,,719.417,percent of total billed charges,359.0022484,,,,719.417,percent of total billed charges,214.7999001,,,,719.417,percent of total billed charges,359.0022484,,,,719.417,percent of total billed charges,214.7999001,,,,712.354,percent of total billed charges,706.9491765,,,,712.354,percent of total billed charges,487.5772438,,,,,,,,,,726.48,percent of total billed charges,472.1949044,,,,,,,,,,726.48,percent of total billed charges,999999999,,,,,,,,,,807.2,percent of total billed charges,676.3916403,,,,797.11,percent of total billed charges,769.2454536,,,,797.11,percent of total billed charges,679.6538214,,,,807.2,percent of total billed charges,999999999,,,,807.2,percent of total billed charges,999999999,,,,706.3,percent of total billed charges,999999999,,,,706.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,536.788,percent of total billed charges,999999999,,,,,,,,,,,,,,,,509.545,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,252.25,percent of total billed charges,239.5757974,,,,,,,,,,252.25,percent of total billed charges,235.590617,,,,,,,,,,252.25,percent of total billed charges,234.9359208,,,,,,,,,,252.25,percent of total billed charges,231.4764922,,,,,,,,,,252.25,percent of total billed charges,237.4327226,,,,,,,,,,252.25,percent of total billed charges,999999999,,,,,,,,,,252.25,percent of total billed charges,203.7339961,,,,,,,,,,252.25,percent of total billed charges,321.3025612,,,,,,,,,,252.25,percent of total billed charges,999999999,,,,,,,,,,252.25,percent of total billed charges,219.6750745,,,,,,,,,,908.1,percent of total billed charges,,,,,
TM JOINTS BIL,70330,CDM,0056-2780-01,NDC,,both,1,EA,594,594,126.4530631,594,594,percent of total billed charges,437.0269023,,,,594,percent of total billed charges,463.2398753,,,,594,percent of total billed charges,437.0269023,,,,594,percent of total billed charges,463.2398753,,,,594,percent of total billed charges,999999999,,,,594,percent of total billed charges,452.5871746,,,,594,percent of total billed charges,437.0269023,,,,594,percent of total billed charges,463.2398753,,,,423.522,percent of total billed charges,211.3452285,,,,423.522,percent of total billed charges,126.4530631,,,,423.522,percent of total billed charges,211.3452285,,,,423.522,percent of total billed charges,126.4530631,,,,423.522,percent of total billed charges,211.3452285,,,,423.522,percent of total billed charges,126.4530631,,,,419.364,percent of total billed charges,416.1821713,,,,419.364,percent of total billed charges,287.0375449,,,,,,,,,,427.68,percent of total billed charges,277.9819358,,,,,,,,,,427.68,percent of total billed charges,999999999,,,,,,,,,,475.2,percent of total billed charges,398.1928983,,,,469.26,percent of total billed charges,452.8560946,,,,469.26,percent of total billed charges,400.1133498,,,,475.2,percent of total billed charges,999999999,,,,475.2,percent of total billed charges,999999999,,,,415.8,percent of total billed charges,999999999,,,,415.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,316.008,percent of total billed charges,999999999,,,,,,,,,,,,,,,,299.97,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,148.5,percent of total billed charges,141.0386756,,,,,,,,,,148.5,percent of total billed charges,138.6925932,,,,,,,,,,148.5,percent of total billed charges,138.3071724,,,,,,,,,,148.5,percent of total billed charges,136.270601,,,,,,,,,,148.5,percent of total billed charges,139.7770439,,,,,,,,,,148.5,percent of total billed charges,999999999,,,,,,,,,,148.5,percent of total billed charges,119.9385467,,,,,,,,,,148.5,percent of total billed charges,189.1513591,,,,,,,,,,148.5,percent of total billed charges,999999999,,,,,,,,,,148.5,percent of total billed charges,129.3230865,,,,,,,,,,534.6,percent of total billed charges,,,,,
TM JOINTS RT,70328,CDM,0056-2780-01,NDC,RT,both,1,EA,491,491,104.5260168,491,491,percent of total billed charges,361.2461431,,,,491,percent of total billed charges,382.913769,,,,491,percent of total billed charges,361.2461431,,,,491,percent of total billed charges,382.913769,,,,491,percent of total billed charges,999999999,,,,491,percent of total billed charges,374.1082538,,,,491,percent of total billed charges,361.2461431,,,,491,percent of total billed charges,382.913769,,,,350.083,percent of total billed charges,174.6978235,,,,350.083,percent of total billed charges,104.5260168,,,,350.083,percent of total billed charges,174.6978235,,,,350.083,percent of total billed charges,104.5260168,,,,350.083,percent of total billed charges,174.6978235,,,,350.083,percent of total billed charges,104.5260168,,,,346.646,percent of total billed charges,344.0159026,,,,346.646,percent of total billed charges,237.2650413,,,,,,,,,,353.52,percent of total billed charges,229.7796809,,,,,,,,,,353.52,percent of total billed charges,999999999,,,,,,,,,,392.8,percent of total billed charges,329.1459816,,,,387.89,percent of total billed charges,374.3305428,,,,387.89,percent of total billed charges,330.7334255,,,,392.8,percent of total billed charges,999999999,,,,392.8,percent of total billed charges,999999999,,,,343.7,percent of total billed charges,999999999,,,,343.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,261.212,percent of total billed charges,999999999,,,,,,,,,,,,,,,,247.955,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,122.75,percent of total billed charges,116.5824743,,,,,,,,,,122.75,percent of total billed charges,114.6432041,,,,,,,,,,122.75,percent of total billed charges,114.3246156,,,,,,,,,,122.75,percent of total billed charges,112.641187,,,,,,,,,,122.75,percent of total billed charges,115.5396103,,,,,,,,,,122.75,percent of total billed charges,999999999,,,,,,,,,,122.75,percent of total billed charges,99.14112196,,,,,,,,,,122.75,percent of total billed charges,156.3523861,,,,,,,,,,122.75,percent of total billed charges,999999999,,,,,,,,,,122.75,percent of total billed charges,106.8983762,,,,,,,,,,441.9,percent of total billed charges,,,,,
TM JOINTS LT,70328,CDM,0056-2780-01,NDC,LT,both,1,EA,491,491,104.5260168,491,491,percent of total billed charges,361.2461431,,,,491,percent of total billed charges,382.913769,,,,491,percent of total billed charges,361.2461431,,,,491,percent of total billed charges,382.913769,,,,491,percent of total billed charges,999999999,,,,491,percent of total billed charges,374.1082538,,,,491,percent of total billed charges,361.2461431,,,,491,percent of total billed charges,382.913769,,,,350.083,percent of total billed charges,174.6978235,,,,350.083,percent of total billed charges,104.5260168,,,,350.083,percent of total billed charges,174.6978235,,,,350.083,percent of total billed charges,104.5260168,,,,350.083,percent of total billed charges,174.6978235,,,,350.083,percent of total billed charges,104.5260168,,,,346.646,percent of total billed charges,344.0159026,,,,346.646,percent of total billed charges,237.2650413,,,,,,,,,,353.52,percent of total billed charges,229.7796809,,,,,,,,,,353.52,percent of total billed charges,999999999,,,,,,,,,,392.8,percent of total billed charges,329.1459816,,,,387.89,percent of total billed charges,374.3305428,,,,387.89,percent of total billed charges,330.7334255,,,,392.8,percent of total billed charges,999999999,,,,392.8,percent of total billed charges,999999999,,,,343.7,percent of total billed charges,999999999,,,,343.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,261.212,percent of total billed charges,999999999,,,,,,,,,,,,,,,,247.955,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,122.75,percent of total billed charges,116.5824743,,,,,,,,,,122.75,percent of total billed charges,114.6432041,,,,,,,,,,122.75,percent of total billed charges,114.3246156,,,,,,,,,,122.75,percent of total billed charges,112.641187,,,,,,,,,,122.75,percent of total billed charges,115.5396103,,,,,,,,,,122.75,percent of total billed charges,999999999,,,,,,,,,,122.75,percent of total billed charges,99.14112196,,,,,,,,,,122.75,percent of total billed charges,156.3523861,,,,,,,,,,122.75,percent of total billed charges,999999999,,,,,,,,,,122.75,percent of total billed charges,106.8983762,,,,,,,,,,441.9,percent of total billed charges,,,,,
TM JOINTS 1 SIDE,70328,CDM,0056-2780-01,NDC,,both,1,EA,491,491,104.5260168,491,491,percent of total billed charges,361.2461431,,,,491,percent of total billed charges,382.913769,,,,491,percent of total billed charges,361.2461431,,,,491,percent of total billed charges,382.913769,,,,491,percent of total billed charges,999999999,,,,491,percent of total billed charges,374.1082538,,,,491,percent of total billed charges,361.2461431,,,,491,percent of total billed charges,382.913769,,,,350.083,percent of total billed charges,174.6978235,,,,350.083,percent of total billed charges,104.5260168,,,,350.083,percent of total billed charges,174.6978235,,,,350.083,percent of total billed charges,104.5260168,,,,350.083,percent of total billed charges,174.6978235,,,,350.083,percent of total billed charges,104.5260168,,,,346.646,percent of total billed charges,344.0159026,,,,346.646,percent of total billed charges,237.2650413,,,,,,,,,,353.52,percent of total billed charges,229.7796809,,,,,,,,,,353.52,percent of total billed charges,999999999,,,,,,,,,,392.8,percent of total billed charges,329.1459816,,,,387.89,percent of total billed charges,374.3305428,,,,387.89,percent of total billed charges,330.7334255,,,,392.8,percent of total billed charges,999999999,,,,392.8,percent of total billed charges,999999999,,,,343.7,percent of total billed charges,999999999,,,,343.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,261.212,percent of total billed charges,999999999,,,,,,,,,,,,,,,,247.955,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,122.75,percent of total billed charges,116.5824743,,,,,,,,,,122.75,percent of total billed charges,114.6432041,,,,,,,,,,122.75,percent of total billed charges,114.3246156,,,,,,,,,,122.75,percent of total billed charges,112.641187,,,,,,,,,,122.75,percent of total billed charges,115.5396103,,,,,,,,,,122.75,percent of total billed charges,999999999,,,,,,,,,,122.75,percent of total billed charges,99.14112196,,,,,,,,,,122.75,percent of total billed charges,156.3523861,,,,,,,,,,122.75,percent of total billed charges,999999999,,,,,,,,,,122.75,percent of total billed charges,106.8983762,,,,,,,,,,441.9,percent of total billed charges,,,,,
SKULL 2 VIEWS,70250,CDM,0056-2780-01,NDC,,both,1,EA,673,673,143.2708947,673,673,percent of total billed charges,495.1500088,,,,673,percent of total billed charges,524.849219,,,,673,percent of total billed charges,495.1500088,,,,673,percent of total billed charges,524.849219,,,,673,percent of total billed charges,999999999,,,,673,percent of total billed charges,512.779745,,,,673,percent of total billed charges,495.1500088,,,,673,percent of total billed charges,524.849219,,,,479.849,percent of total billed charges,239.4534323,,,,479.849,percent of total billed charges,143.2708947,,,,479.849,percent of total billed charges,239.4534323,,,,479.849,percent of total billed charges,143.2708947,,,,479.849,percent of total billed charges,239.4534323,,,,479.849,percent of total billed charges,143.2708947,,,,475.138,percent of total billed charges,471.5329988,,,,475.138,percent of total billed charges,325.2125719,,,,,,,,,,484.56,percent of total billed charges,314.9525973,,,,,,,,,,484.56,percent of total billed charges,999999999,,,,,,,,,,538.4,percent of total billed charges,451.151213,,,,531.67,percent of total billed charges,513.0844304,,,,531.67,percent of total billed charges,453.3270781,,,,538.4,percent of total billed charges,999999999,,,,538.4,percent of total billed charges,999999999,,,,471.1,percent of total billed charges,999999999,,,,471.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,358.036,percent of total billed charges,999999999,,,,,,,,,,,,,,,,339.865,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,168.25,percent of total billed charges,159.7963445,,,,,,,,,,168.25,percent of total billed charges,157.1382411,,,,,,,,,,168.25,percent of total billed charges,156.7015606,,,,,,,,,,168.25,percent of total billed charges,154.3941321,,,,,,,,,,168.25,percent of total billed charges,158.3669201,,,,,,,,,,168.25,percent of total billed charges,999999999,,,,,,,,,,168.25,percent of total billed charges,135.8899696,,,,,,,,,,168.25,percent of total billed charges,214.307853,,,,,,,,,,168.25,percent of total billed charges,999999999,,,,,,,,,,168.25,percent of total billed charges,146.5226215,,,,,,,,,,605.7,percent of total billed charges,,,,,
SM BOWEL SERIES,74250,CDM,0056-2780-01,NDC,,both,1,EA,1306,1306,278.0264317,1306,1306,percent of total billed charges,960.8705966,,,,1306,percent of total billed charges,1018.503834,,,,1306,percent of total billed charges,960.8705966,,,,1306,percent of total billed charges,1018.503834,,,,1306,percent of total billed charges,999999999,,,,1306,percent of total billed charges,995.0822392,,,,1306,percent of total billed charges,960.8705966,,,,1306,percent of total billed charges,1018.503834,,,,931.178,percent of total billed charges,464.6748626,,,,931.178,percent of total billed charges,278.0264317,,,,931.178,percent of total billed charges,464.6748626,,,,931.178,percent of total billed charges,278.0264317,,,,931.178,percent of total billed charges,464.6748626,,,,931.178,percent of total billed charges,278.0264317,,,,922.036,percent of total billed charges,915.0402622,,,,922.036,percent of total billed charges,631.0960162,,,,,,,,,,940.32,percent of total billed charges,611.1858723,,,,,,,,,,940.32,percent of total billed charges,999999999,,,,,,,,,,1044.8,percent of total billed charges,875.4880895,,,,1031.74,percent of total billed charges,995.6735008,,,,1031.74,percent of total billed charges,879.7104963,,,,1044.8,percent of total billed charges,999999999,,,,1044.8,percent of total billed charges,999999999,,,,914.2,percent of total billed charges,999999999,,,,914.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,694.792,percent of total billed charges,999999999,,,,,,,,,,,,,,,,659.53,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,326.5,percent of total billed charges,310.0951352,,,,,,,,,,326.5,percent of total billed charges,304.9369136,,,,,,,,,,326.5,percent of total billed charges,304.089507,,,,,,,,,,326.5,percent of total billed charges,299.6117927,,,,,,,,,,326.5,percent of total billed charges,307.3212446,,,,,,,,,,326.5,percent of total billed charges,999999999,,,,,,,,,,326.5,percent of total billed charges,263.7032694,,,,,,,,,,326.5,percent of total billed charges,415.8782408,,,,,,,,,,326.5,percent of total billed charges,999999999,,,,,,,,,,326.5,percent of total billed charges,284.3366177,,,,,,,,,,1175.4,percent of total billed charges,,,,,
C-SPINE 2 OR 3 VIEWS,72040,CDM,0056-2780-01,NDC,,both,1,EA,754,754,160.5144942,754,754,percent of total billed charges,554.7445864,,,,754,percent of total billed charges,588.0182929,,,,754,percent of total billed charges,554.7445864,,,,754,percent of total billed charges,588.0182929,,,,754,percent of total billed charges,999999999,,,,754,percent of total billed charges,574.4961779,,,,754,percent of total billed charges,554.7445864,,,,754,percent of total billed charges,588.0182929,,,,537.602,percent of total billed charges,268.2732361,,,,537.602,percent of total billed charges,160.5144942,,,,537.602,percent of total billed charges,268.2732361,,,,537.602,percent of total billed charges,160.5144942,,,,537.602,percent of total billed charges,268.2732361,,,,537.602,percent of total billed charges,160.5144942,,,,532.324,percent of total billed charges,528.2851131,,,,532.324,percent of total billed charges,364.3540553,,,,,,,,,,542.88,percent of total billed charges,352.8592249,,,,,,,,,,542.88,percent of total billed charges,999999999,,,,,,,,,,603.2,percent of total billed charges,505.4502446,,,,595.66,percent of total billed charges,574.8375342,,,,595.66,percent of total billed charges,507.8879894,,,,603.2,percent of total billed charges,999999999,,,,603.2,percent of total billed charges,999999999,,,,527.8,percent of total billed charges,999999999,,,,527.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,401.128,percent of total billed charges,999999999,,,,,,,,,,,,,,,,380.77,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,188.5,percent of total billed charges,179.0288912,,,,,,,,,,188.5,percent of total billed charges,176.0508674,,,,,,,,,,188.5,percent of total billed charges,175.5616296,,,,,,,,,,188.5,percent of total billed charges,172.9764867,,,,,,,,,,188.5,percent of total billed charges,177.427426,,,,,,,,,,188.5,percent of total billed charges,999999999,,,,,,,,,,188.5,percent of total billed charges,152.245226,,,,,,,,,,188.5,percent of total billed charges,240.1012202,,,,,,,,,,188.5,percent of total billed charges,999999999,,,,,,,,,,188.5,percent of total billed charges,164.1575879,,,,,,,,,,678.6,percent of total billed charges,,,,,
SPINE 1 VIEW,72020,CDM,0056-2780-01,NDC,,both,1,EA,489,489,104.1002489,489,489,percent of total billed charges,359.7746721,,,,489,percent of total billed charges,381.3540388,,,,489,percent of total billed charges,359.7746721,,,,489,percent of total billed charges,381.3540388,,,,489,percent of total billed charges,999999999,,,,489,percent of total billed charges,372.5843912,,,,489,percent of total billed charges,359.7746721,,,,489,percent of total billed charges,381.3540388,,,,348.657,percent of total billed charges,173.9862234,,,,348.657,percent of total billed charges,104.1002489,,,,348.657,percent of total billed charges,173.9862234,,,,348.657,percent of total billed charges,104.1002489,,,,348.657,percent of total billed charges,173.9862234,,,,348.657,percent of total billed charges,104.1002489,,,,345.234,percent of total billed charges,342.6146158,,,,345.234,percent of total billed charges,236.2985849,,,,,,,,,,352.08,percent of total billed charges,228.8437148,,,,,,,,,,352.08,percent of total billed charges,999999999,,,,,,,,,,391.2,percent of total billed charges,327.8052647,,,,386.31,percent of total billed charges,372.8057748,,,,386.31,percent of total billed charges,329.3862425,,,,391.2,percent of total billed charges,999999999,,,,391.2,percent of total billed charges,999999999,,,,342.3,percent of total billed charges,999999999,,,,342.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,260.148,percent of total billed charges,999999999,,,,,,,,,,,,,,,,246.945,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,122.25,percent of total billed charges,116.1075966,,,,,,,,,,122.25,percent of total billed charges,114.1762257,,,,,,,,,,122.25,percent of total billed charges,113.8589348,,,,,,,,,,122.25,percent of total billed charges,112.1823634,,,,,,,,,,122.25,percent of total billed charges,115.0689805,,,,,,,,,,122.25,percent of total billed charges,999999999,,,,,,,,,,122.25,percent of total billed charges,98.73728847,,,,,,,,,,122.25,percent of total billed charges,155.7155128,,,,,,,,,,122.25,percent of total billed charges,999999999,,,,,,,,,,122.25,percent of total billed charges,106.4629449,,,,,,,,,,440.1,percent of total billed charges,,,,,
C-SPINE 4 OR 5 VIEWS,72050,CDM,0056-2780-01,NDC,,both,1,EA,1051,1051,223.7410258,1051,1051,percent of total billed charges,773.2580375,,,,1051,percent of total billed charges,819.6382306,,,,1051,percent of total billed charges,773.2580375,,,,1051,percent of total billed charges,819.6382306,,,,1051,percent of total billed charges,999999999,,,,1051,percent of total billed charges,800.7897652,,,,1051,percent of total billed charges,773.2580375,,,,1051,percent of total billed charges,819.6382306,,,,749.363,percent of total billed charges,373.9458504,,,,749.363,percent of total billed charges,223.7410258,,,,749.363,percent of total billed charges,373.9458504,,,,749.363,percent of total billed charges,223.7410258,,,,749.363,percent of total billed charges,373.9458504,,,,749.363,percent of total billed charges,223.7410258,,,,742.006,percent of total billed charges,736.3761988,,,,742.006,percent of total billed charges,507.8728277,,,,,,,,,,756.72,percent of total billed charges,491.8501928,,,,,,,,,,756.72,percent of total billed charges,999999999,,,,,,,,,,840.8,percent of total billed charges,704.5466937,,,,830.29,percent of total billed charges,801.2655815,,,,830.29,percent of total billed charges,707.9446643,,,,840.8,percent of total billed charges,999999999,,,,840.8,percent of total billed charges,999999999,,,,735.7,percent of total billed charges,999999999,,,,735.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,559.132,percent of total billed charges,999999999,,,,,,,,,,,,,,,,530.755,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,262.75,percent of total billed charges,249.548229,,,,,,,,,,262.75,percent of total billed charges,245.397164,,,,,,,,,,262.75,percent of total billed charges,244.7152158,,,,,,,,,,262.75,percent of total billed charges,241.1117872,,,,,,,,,,262.75,percent of total billed charges,247.315948,,,,,,,,,,262.75,percent of total billed charges,999999999,,,,,,,,,,262.75,percent of total billed charges,212.2144994,,,,,,,,,,262.75,percent of total billed charges,334.6768997,,,,,,,,,,262.75,percent of total billed charges,999999999,,,,,,,,,,262.75,percent of total billed charges,228.8191311,,,,,,,,,,945.9,percent of total billed charges,,,,,
BARIUM RING,621,RC,0056-2780-01,NDC,,both,1,EA,34,34,7.238054117,34,34,percent of total billed charges,25.01500787,,,,34,percent of total billed charges,26.51541374,,,,34,percent of total billed charges,25.01500787,,,,34,percent of total billed charges,26.51541374,,,,34,percent of total billed charges,999999999,,,,34,percent of total billed charges,25.90566319,,,,34,percent of total billed charges,25.01500787,,,,34,percent of total billed charges,26.51541374,,,,24.242,percent of total billed charges,12.09720163,,,,24.242,percent of total billed charges,7.238054117,,,,24.242,percent of total billed charges,12.09720163,,,,24.242,percent of total billed charges,7.238054117,,,,24.242,percent of total billed charges,12.09720163,,,,24.242,percent of total billed charges,7.238054117,,,,24.004,percent of total billed charges,23.82187513,,,,24.004,percent of total billed charges,16.42975846,,,,,,,,,,24.48,percent of total billed charges,15.91142393,,,,,,,,,,24.48,percent of total billed charges,999999999,,,,,,,,,,27.2,percent of total billed charges,22.7921861,,,,26.86,percent of total billed charges,25.92105592,,,,26.86,percent of total billed charges,22.90211093,,,,27.2,percent of total billed charges,999999999,,,,27.2,percent of total billed charges,999999999,,,,23.8,percent of total billed charges,999999999,,,,23.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,18.088,percent of total billed charges,999999999,,,,,,,,,,,,,,,,17.17,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8.5,percent of total billed charges,8.072920824,,,,,,,,,,8.5,percent of total billed charges,7.938633279,,,,,,,,,,8.5,percent of total billed charges,7.916572157,,,,,,,,,,8.5,percent of total billed charges,7.800000728,,,,,,,,,,8.5,percent of total billed charges,8.000706214,,,,,,,,,,8.5,percent of total billed charges,999999999,,,,,,,,,,8.5,percent of total billed charges,6.865169342,,,,,,,,,,8.5,percent of total billed charges,10.82684547,,,,,,,,,,8.5,percent of total billed charges,999999999,,,,,,,,,,8.5,percent of total billed charges,7.402331548,,,,,,,,,,30.6,percent of total billed charges,,,,,
L-SPINE 2 OR 3 VIEWS,72100,CDM,0056-2780-01,NDC,,both,1,EA,793,793,168.8169681,793,793,percent of total billed charges,583.4382719,,,,793,percent of total billed charges,618.4330322,,,,793,percent of total billed charges,583.4382719,,,,793,percent of total billed charges,618.4330322,,,,793,percent of total billed charges,999999999,,,,793,percent of total billed charges,604.2114974,,,,793,percent of total billed charges,583.4382719,,,,793,percent of total billed charges,618.4330322,,,,565.409,percent of total billed charges,282.149438,,,,565.409,percent of total billed charges,168.8169681,,,,565.409,percent of total billed charges,282.149438,,,,565.409,percent of total billed charges,168.8169681,,,,565.409,percent of total billed charges,282.149438,,,,565.409,percent of total billed charges,168.8169681,,,,559.858,percent of total billed charges,555.6102052,,,,559.858,percent of total billed charges,383.1999547,,,,,,,,,,570.96,percent of total billed charges,371.1105641,,,,,,,,,,570.96,percent of total billed charges,999999999,,,,,,,,,,634.4,percent of total billed charges,531.5942228,,,,626.47,percent of total billed charges,604.5705101,,,,626.47,percent of total billed charges,534.1580579,,,,634.4,percent of total billed charges,999999999,,,,634.4,percent of total billed charges,999999999,,,,555.1,percent of total billed charges,999999999,,,,555.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,421.876,percent of total billed charges,999999999,,,,,,,,,,,,,,,,400.465,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,198.25,percent of total billed charges,188.2890063,,,,,,,,,,198.25,percent of total billed charges,185.1569468,,,,,,,,,,198.25,percent of total billed charges,184.6424035,,,,,,,,,,198.25,percent of total billed charges,181.9235464,,,,,,,,,,198.25,percent of total billed charges,186.6047067,,,,,,,,,,198.25,percent of total billed charges,999999999,,,,,,,,,,198.25,percent of total billed charges,160.1199791,,,,,,,,,,198.25,percent of total billed charges,252.5202488,,,,,,,,,,198.25,percent of total billed charges,999999999,,,,,,,,,,198.25,percent of total billed charges,172.6484976,,,,,,,,,,713.7,percent of total billed charges,,,,,
L-SPINE 4 VIEWS,72110,CDM,0056-2780-01,NDC,,both,1,EA,1145,1145,243.7521166,1145,1145,percent of total billed charges,842.417177,,,,1145,percent of total billed charges,892.945551,,,,1145,percent of total billed charges,842.417177,,,,1145,percent of total billed charges,892.945551,,,,1145,percent of total billed charges,999999999,,,,1145,percent of total billed charges,872.4113046,,,,1145,percent of total billed charges,842.417177,,,,1145,percent of total billed charges,892.945551,,,,816.385,percent of total billed charges,407.3910549,,,,816.385,percent of total billed charges,243.7521166,,,,816.385,percent of total billed charges,407.3910549,,,,816.385,percent of total billed charges,243.7521166,,,,816.385,percent of total billed charges,407.3910549,,,,816.385,percent of total billed charges,243.7521166,,,,808.37,percent of total billed charges,802.2366771,,,,808.37,percent of total billed charges,553.2962776,,,,,,,,,,824.4,percent of total billed charges,535.8406001,,,,,,,,,,824.4,percent of total billed charges,999999999,,,,,,,,,,916,percent of total billed charges,767.5603847,,,,904.55,percent of total billed charges,872.9296772,,,,904.55,percent of total billed charges,771.2622651,,,,916,percent of total billed charges,999999999,,,,916,percent of total billed charges,999999999,,,,801.5,percent of total billed charges,999999999,,,,801.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,609.14,percent of total billed charges,999999999,,,,,,,,,,,,,,,,578.225,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,286.25,percent of total billed charges,271.8674807,,,,,,,,,,286.25,percent of total billed charges,267.3451501,,,,,,,,,,286.25,percent of total billed charges,266.6022094,,,,,,,,,,286.25,percent of total billed charges,262.6764951,,,,,,,,,,286.25,percent of total billed charges,269.4355475,,,,,,,,,,286.25,percent of total billed charges,999999999,,,,,,,,,,286.25,percent of total billed charges,231.1946734,,,,,,,,,,286.25,percent of total billed charges,364.6099431,,,,,,,,,,286.25,percent of total billed charges,999999999,,,,,,,,,,286.25,percent of total billed charges,249.2844007,,,,,,,,,,1030.5,percent of total billed charges,,,,,
L-SPINE W/ BENDING MIN 6 VIEWS,72114,CDM,0056-2780-01,NDC,,both,1,EA,1249,1249,265.8920468,1249,1249,percent of total billed charges,918.9336716,,,,1249,percent of total billed charges,974.0515224,,,,1249,percent of total billed charges,918.9336716,,,,1249,percent of total billed charges,974.0515224,,,,1249,percent of total billed charges,999999999,,,,1249,percent of total billed charges,951.6521568,,,,1249,percent of total billed charges,918.9336716,,,,1249,percent of total billed charges,974.0515224,,,,890.537,percent of total billed charges,444.3942599,,,,890.537,percent of total billed charges,265.8920468,,,,890.537,percent of total billed charges,444.3942599,,,,890.537,percent of total billed charges,265.8920468,,,,890.537,percent of total billed charges,444.3942599,,,,890.537,percent of total billed charges,265.8920468,,,,881.794,percent of total billed charges,875.1035892,,,,881.794,percent of total billed charges,603.5520094,,,,,,,,,,899.28,percent of total billed charges,584.510838,,,,,,,,,,899.28,percent of total billed charges,999999999,,,,,,,,,,999.2,percent of total billed charges,837.2776598,,,,986.71,percent of total billed charges,952.217613,,,,986.71,percent of total billed charges,841.3157809,,,,999.2,percent of total billed charges,999999999,,,,999.2,percent of total billed charges,999999999,,,,874.3,percent of total billed charges,999999999,,,,874.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,664.468,percent of total billed charges,999999999,,,,,,,,,,,,,,,,630.745,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,312.25,percent of total billed charges,296.5611209,,,,,,,,,,312.25,percent of total billed charges,291.6280284,,,,,,,,,,312.25,percent of total billed charges,290.8176066,,,,,,,,,,312.25,percent of total billed charges,286.5353209,,,,,,,,,,312.25,percent of total billed charges,293.9082959,,,,,,,,,,312.25,percent of total billed charges,999999999,,,,,,,,,,312.25,percent of total billed charges,252.1940149,,,,,,,,,,312.25,percent of total billed charges,397.7273528,,,,,,,,,,312.25,percent of total billed charges,999999999,,,,,,,,,,312.25,percent of total billed charges,271.9268266,,,,,,,,,,1124.1,percent of total billed charges,,,,,
L-SPINE BENDING VIEWS ONLY 2 OR 3,72120,CDM,0056-2780-01,NDC,,both,1,EA,786,786,167.3267805,786,786,percent of total billed charges,578.2881232,,,,786,percent of total billed charges,612.9739765,,,,786,percent of total billed charges,578.2881232,,,,786,percent of total billed charges,612.9739765,,,,786,percent of total billed charges,999999999,,,,786,percent of total billed charges,598.8779786,,,,786,percent of total billed charges,578.2881232,,,,786,percent of total billed charges,612.9739765,,,,560.418,percent of total billed charges,279.6588377,,,,560.418,percent of total billed charges,167.3267805,,,,560.418,percent of total billed charges,279.6588377,,,,560.418,percent of total billed charges,167.3267805,,,,560.418,percent of total billed charges,279.6588377,,,,560.418,percent of total billed charges,167.3267805,,,,554.916,percent of total billed charges,550.7057015,,,,554.916,percent of total billed charges,379.8173574,,,,,,,,,,565.92,percent of total billed charges,367.8346827,,,,,,,,,,565.92,percent of total billed charges,999999999,,,,,,,,,,628.8,percent of total billed charges,526.9017139,,,,620.94,percent of total billed charges,599.2338221,,,,620.94,percent of total billed charges,529.4429174,,,,628.8,percent of total billed charges,999999999,,,,628.8,percent of total billed charges,999999999,,,,550.2,percent of total billed charges,999999999,,,,550.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,418.152,percent of total billed charges,999999999,,,,,,,,,,,,,,,,396.93,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,196.5,percent of total billed charges,186.6269343,,,,,,,,,,196.5,percent of total billed charges,183.5225223,,,,,,,,,,196.5,percent of total billed charges,183.012521,,,,,,,,,,196.5,percent of total billed charges,180.3176639,,,,,,,,,,196.5,percent of total billed charges,184.9575025,,,,,,,,,,196.5,percent of total billed charges,999999999,,,,,,,,,,196.5,percent of total billed charges,158.7065618,,,,,,,,,,196.5,percent of total billed charges,250.2911924,,,,,,,,,,196.5,percent of total billed charges,999999999,,,,,,,,,,196.5,percent of total billed charges,171.1244881,,,,,,,,,,707.4,percent of total billed charges,,,,,
T SPINE 3 VIEWS,72072,CDM,0056-2780-01,NDC,,both,1,EA,856,856,182.2286566,856,856,percent of total billed charges,629.78961,,,,856,percent of total billed charges,667.5645342,,,,856,percent of total billed charges,629.78961,,,,856,percent of total billed charges,667.5645342,,,,856,percent of total billed charges,999999999,,,,856,percent of total billed charges,652.2131675,,,,856,percent of total billed charges,629.78961,,,,856,percent of total billed charges,667.5645342,,,,610.328,percent of total billed charges,304.564841,,,,610.328,percent of total billed charges,182.2286566,,,,610.328,percent of total billed charges,304.564841,,,,610.328,percent of total billed charges,182.2286566,,,,610.328,percent of total billed charges,304.564841,,,,610.328,percent of total billed charges,182.2286566,,,,604.336,percent of total billed charges,599.7507385,,,,604.336,percent of total billed charges,413.6433307,,,,,,,,,,616.32,percent of total billed charges,400.5934967,,,,,,,,,,616.32,percent of total billed charges,999999999,,,,,,,,,,684.8,percent of total billed charges,573.8268029,,,,676.24,percent of total billed charges,652.6007019,,,,676.24,percent of total billed charges,576.5943222,,,,684.8,percent of total billed charges,999999999,,,,684.8,percent of total billed charges,999999999,,,,599.2,percent of total billed charges,999999999,,,,599.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,455.392,percent of total billed charges,999999999,,,,,,,,,,,,,,,,432.28,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,214,percent of total billed charges,203.2476537,,,,,,,,,,214,percent of total billed charges,199.8667673,,,,,,,,,,214,percent of total billed charges,199.3113461,,,,,,,,,,214,percent of total billed charges,196.3764889,,,,,,,,,,214,percent of total billed charges,201.4295447,,,,,,,,,,214,percent of total billed charges,999999999,,,,,,,,,,214,percent of total billed charges,172.840734,,,,,,,,,,214,percent of total billed charges,272.5817566,,,,,,,,,,214,percent of total billed charges,999999999,,,,,,,,,,214,percent of total billed charges,186.3645825,,,,,,,,,,770.4,percent of total billed charges,,,,,
T SPINE 4 VIEWS,72074,CDM,0056-2780-01,NDC,,both,1,EA,860,860,183.0801924,860,860,percent of total billed charges,632.7325521,,,,860,percent of total billed charges,670.6839946,,,,860,percent of total billed charges,632.7325521,,,,860,percent of total billed charges,670.6839946,,,,860,percent of total billed charges,999999999,,,,860,percent of total billed charges,655.2608926,,,,860,percent of total billed charges,632.7325521,,,,860,percent of total billed charges,670.6839946,,,,613.18,percent of total billed charges,305.9880412,,,,613.18,percent of total billed charges,183.0801924,,,,613.18,percent of total billed charges,305.9880412,,,,613.18,percent of total billed charges,183.0801924,,,,613.18,percent of total billed charges,305.9880412,,,,613.18,percent of total billed charges,183.0801924,,,,607.16,percent of total billed charges,602.553312,,,,607.16,percent of total billed charges,415.5762434,,,,,,,,,,619.2,percent of total billed charges,402.4654289,,,,,,,,,,619.2,percent of total billed charges,999999999,,,,,,,,,,688,percent of total billed charges,576.5082366,,,,679.4,percent of total billed charges,655.6502379,,,,679.4,percent of total billed charges,579.2886882,,,,688,percent of total billed charges,999999999,,,,688,percent of total billed charges,999999999,,,,602,percent of total billed charges,999999999,,,,602,percent of total billed charges,999999999,,,,,,,,,,,,,,,,457.52,percent of total billed charges,999999999,,,,,,,,,,,,,,,,434.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,215,percent of total billed charges,204.1974091,,,,,,,,,,215,percent of total billed charges,200.8007241,,,,,,,,,,215,percent of total billed charges,200.2427075,,,,,,,,,,215,percent of total billed charges,197.2941361,,,,,,,,,,215,percent of total billed charges,202.3708042,,,,,,,,,,215,percent of total billed charges,999999999,,,,,,,,,,215,percent of total billed charges,173.648401,,,,,,,,,,215,percent of total billed charges,273.8555031,,,,,,,,,,215,percent of total billed charges,999999999,,,,,,,,,,215,percent of total billed charges,187.235445,,,,,,,,,,774,percent of total billed charges,,,,,
STERNO-CLAVIC,71130,CDM,0056-2780-01,NDC,,both,1,EA,516,516,109.8481154,516,516,percent of total billed charges,379.6395313,,,,516,percent of total billed charges,402.4103968,,,,516,percent of total billed charges,379.6395313,,,,516,percent of total billed charges,402.4103968,,,,516,percent of total billed charges,999999999,,,,516,percent of total billed charges,393.1565355,,,,516,percent of total billed charges,379.6395313,,,,516,percent of total billed charges,402.4103968,,,,367.908,percent of total billed charges,183.5928247,,,,367.908,percent of total billed charges,109.8481154,,,,367.908,percent of total billed charges,183.5928247,,,,367.908,percent of total billed charges,109.8481154,,,,367.908,percent of total billed charges,183.5928247,,,,367.908,percent of total billed charges,109.8481154,,,,364.296,percent of total billed charges,361.5319872,,,,364.296,percent of total billed charges,249.3457461,,,,,,,,,,371.52,percent of total billed charges,241.4792573,,,,,,,,,,371.52,percent of total billed charges,999999999,,,,,,,,,,412.8,percent of total billed charges,345.9049419,,,,407.64,percent of total billed charges,393.3901428,,,,407.64,percent of total billed charges,347.5732129,,,,412.8,percent of total billed charges,999999999,,,,412.8,percent of total billed charges,999999999,,,,361.2,percent of total billed charges,999999999,,,,361.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,274.512,percent of total billed charges,999999999,,,,,,,,,,,,,,,,260.58,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,129,percent of total billed charges,122.5184454,,,,,,,,,,129,percent of total billed charges,120.4804345,,,,,,,,,,129,percent of total billed charges,120.1456245,,,,,,,,,,129,percent of total billed charges,118.3764816,,,,,,,,,,129,percent of total billed charges,121.4224825,,,,,,,,,,129,percent of total billed charges,999999999,,,,,,,,,,129,percent of total billed charges,104.1890406,,,,,,,,,,129,percent of total billed charges,164.3133019,,,,,,,,,,129,percent of total billed charges,999999999,,,,,,,,,,129,percent of total billed charges,112.341267,,,,,,,,,,464.4,percent of total billed charges,,,,,
STERNUM MIN 2 VIEWS,71120,CDM,0056-2780-01,NDC,,both,1,EA,663,663,141.1420553,663,663,percent of total billed charges,487.7926536,,,,663,percent of total billed charges,517.0505679,,,,663,percent of total billed charges,487.7926536,,,,663,percent of total billed charges,517.0505679,,,,663,percent of total billed charges,999999999,,,,663,percent of total billed charges,505.1604323,,,,663,percent of total billed charges,487.7926536,,,,663,percent of total billed charges,517.0505679,,,,472.719,percent of total billed charges,235.8954318,,,,472.719,percent of total billed charges,141.1420553,,,,472.719,percent of total billed charges,235.8954318,,,,472.719,percent of total billed charges,141.1420553,,,,472.719,percent of total billed charges,235.8954318,,,,472.719,percent of total billed charges,141.1420553,,,,468.078,percent of total billed charges,464.526565,,,,468.078,percent of total billed charges,320.38029,,,,,,,,,,477.36,percent of total billed charges,310.2727667,,,,,,,,,,477.36,percent of total billed charges,999999999,,,,,,,,,,530.4,percent of total billed charges,444.4476289,,,,523.77,percent of total billed charges,505.4605904,,,,523.77,percent of total billed charges,446.5911631,,,,530.4,percent of total billed charges,999999999,,,,530.4,percent of total billed charges,999999999,,,,464.1,percent of total billed charges,999999999,,,,464.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,352.716,percent of total billed charges,999999999,,,,,,,,,,,,,,,,334.815,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,165.75,percent of total billed charges,157.4219561,,,,,,,,,,165.75,percent of total billed charges,154.8033489,,,,,,,,,,165.75,percent of total billed charges,154.3731571,,,,,,,,,,165.75,percent of total billed charges,152.1000142,,,,,,,,,,165.75,percent of total billed charges,156.0137712,,,,,,,,,,165.75,percent of total billed charges,999999999,,,,,,,,,,165.75,percent of total billed charges,133.8708022,,,,,,,,,,165.75,percent of total billed charges,211.1234867,,,,,,,,,,165.75,percent of total billed charges,999999999,,,,,,,,,,165.75,percent of total billed charges,144.3454652,,,,,,,,,,596.7,percent of total billed charges,,,,,
TOES 1ST DIGIT LT,73660,CDM,0056-2780-01,NDC,TA ,both,1,EA,441,441,93.88181958,441,441,percent of total billed charges,324.4593668,,,,441,percent of total billed charges,343.9205135,,,,441,percent of total billed charges,324.4593668,,,,441,percent of total billed charges,343.9205135,,,,441,percent of total billed charges,999999999,,,,441,percent of total billed charges,336.0116903,,,,441,percent of total billed charges,324.4593668,,,,441,percent of total billed charges,343.9205135,,,,314.433,percent of total billed charges,156.9078211,,,,314.433,percent of total billed charges,93.88181958,,,,314.433,percent of total billed charges,156.9078211,,,,314.433,percent of total billed charges,93.88181958,,,,314.433,percent of total billed charges,156.9078211,,,,314.433,percent of total billed charges,93.88181958,,,,311.346,percent of total billed charges,308.9837333,,,,311.346,percent of total billed charges,213.1036318,,,,,,,,,,317.52,percent of total billed charges,206.3805281,,,,,,,,,,317.52,percent of total billed charges,999999999,,,,,,,,,,352.8,percent of total billed charges,295.6280608,,,,348.39,percent of total billed charges,336.2113429,,,,348.39,percent of total billed charges,297.0538506,,,,352.8,percent of total billed charges,999999999,,,,352.8,percent of total billed charges,999999999,,,,308.7,percent of total billed charges,999999999,,,,308.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,234.612,percent of total billed charges,999999999,,,,,,,,,,,,,,,,222.705,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,110.25,percent of total billed charges,104.7105319,,,,,,,,,,110.25,percent of total billed charges,102.9687434,,,,,,,,,,110.25,percent of total billed charges,102.6825977,,,,,,,,,,110.25,percent of total billed charges,101.1705977,,,,,,,,,,110.25,percent of total billed charges,103.7738659,,,,,,,,,,110.25,percent of total billed charges,999999999,,,,,,,,,,110.25,percent of total billed charges,89.0452847,,,,,,,,,,110.25,percent of total billed charges,140.4305545,,,,,,,,,,110.25,percent of total billed charges,999999999,,,,,,,,,,110.25,percent of total billed charges,96.01259449,,,,,,,,,,396.9,percent of total billed charges,,,,,
TOES 1ST DIGIT RT,73660,CDM,0056-2780-01,NDC,T5,both,1,EA,441,441,93.88181958,441,441,percent of total billed charges,324.4593668,,,,441,percent of total billed charges,343.9205135,,,,441,percent of total billed charges,324.4593668,,,,441,percent of total billed charges,343.9205135,,,,441,percent of total billed charges,999999999,,,,441,percent of total billed charges,336.0116903,,,,441,percent of total billed charges,324.4593668,,,,441,percent of total billed charges,343.9205135,,,,314.433,percent of total billed charges,156.9078211,,,,314.433,percent of total billed charges,93.88181958,,,,314.433,percent of total billed charges,156.9078211,,,,314.433,percent of total billed charges,93.88181958,,,,314.433,percent of total billed charges,156.9078211,,,,314.433,percent of total billed charges,93.88181958,,,,311.346,percent of total billed charges,308.9837333,,,,311.346,percent of total billed charges,213.1036318,,,,,,,,,,317.52,percent of total billed charges,206.3805281,,,,,,,,,,317.52,percent of total billed charges,999999999,,,,,,,,,,352.8,percent of total billed charges,295.6280608,,,,348.39,percent of total billed charges,336.2113429,,,,348.39,percent of total billed charges,297.0538506,,,,352.8,percent of total billed charges,999999999,,,,352.8,percent of total billed charges,999999999,,,,308.7,percent of total billed charges,999999999,,,,308.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,234.612,percent of total billed charges,999999999,,,,,,,,,,,,,,,,222.705,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,110.25,percent of total billed charges,104.7105319,,,,,,,,,,110.25,percent of total billed charges,102.9687434,,,,,,,,,,110.25,percent of total billed charges,102.6825977,,,,,,,,,,110.25,percent of total billed charges,101.1705977,,,,,,,,,,110.25,percent of total billed charges,103.7738659,,,,,,,,,,110.25,percent of total billed charges,999999999,,,,,,,,,,110.25,percent of total billed charges,89.0452847,,,,,,,,,,110.25,percent of total billed charges,140.4305545,,,,,,,,,,110.25,percent of total billed charges,999999999,,,,,,,,,,110.25,percent of total billed charges,96.01259449,,,,,,,,,,396.9,percent of total billed charges,,,,,
TOES 2ND DIGIT RT,73660,CDM,0056-2780-01,NDC,T6,both,1,EA,441,441,93.88181958,441,441,percent of total billed charges,324.4593668,,,,441,percent of total billed charges,343.9205135,,,,441,percent of total billed charges,324.4593668,,,,441,percent of total billed charges,343.9205135,,,,441,percent of total billed charges,999999999,,,,441,percent of total billed charges,336.0116903,,,,441,percent of total billed charges,324.4593668,,,,441,percent of total billed charges,343.9205135,,,,314.433,percent of total billed charges,156.9078211,,,,314.433,percent of total billed charges,93.88181958,,,,314.433,percent of total billed charges,156.9078211,,,,314.433,percent of total billed charges,93.88181958,,,,314.433,percent of total billed charges,156.9078211,,,,314.433,percent of total billed charges,93.88181958,,,,311.346,percent of total billed charges,308.9837333,,,,311.346,percent of total billed charges,213.1036318,,,,,,,,,,317.52,percent of total billed charges,206.3805281,,,,,,,,,,317.52,percent of total billed charges,999999999,,,,,,,,,,352.8,percent of total billed charges,295.6280608,,,,348.39,percent of total billed charges,336.2113429,,,,348.39,percent of total billed charges,297.0538506,,,,352.8,percent of total billed charges,999999999,,,,352.8,percent of total billed charges,999999999,,,,308.7,percent of total billed charges,999999999,,,,308.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,234.612,percent of total billed charges,999999999,,,,,,,,,,,,,,,,222.705,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,110.25,percent of total billed charges,104.7105319,,,,,,,,,,110.25,percent of total billed charges,102.9687434,,,,,,,,,,110.25,percent of total billed charges,102.6825977,,,,,,,,,,110.25,percent of total billed charges,101.1705977,,,,,,,,,,110.25,percent of total billed charges,103.7738659,,,,,,,,,,110.25,percent of total billed charges,999999999,,,,,,,,,,110.25,percent of total billed charges,89.0452847,,,,,,,,,,110.25,percent of total billed charges,140.4305545,,,,,,,,,,110.25,percent of total billed charges,999999999,,,,,,,,,,110.25,percent of total billed charges,96.01259449,,,,,,,,,,396.9,percent of total billed charges,,,,,
TOES 2ND DIGIT LT,73660,CDM,0056-2780-01,NDC,T1,both,1,EA,441,441,93.88181958,441,441,percent of total billed charges,324.4593668,,,,441,percent of total billed charges,343.9205135,,,,441,percent of total billed charges,324.4593668,,,,441,percent of total billed charges,343.9205135,,,,441,percent of total billed charges,999999999,,,,441,percent of total billed charges,336.0116903,,,,441,percent of total billed charges,324.4593668,,,,441,percent of total billed charges,343.9205135,,,,314.433,percent of total billed charges,156.9078211,,,,314.433,percent of total billed charges,93.88181958,,,,314.433,percent of total billed charges,156.9078211,,,,314.433,percent of total billed charges,93.88181958,,,,314.433,percent of total billed charges,156.9078211,,,,314.433,percent of total billed charges,93.88181958,,,,311.346,percent of total billed charges,308.9837333,,,,311.346,percent of total billed charges,213.1036318,,,,,,,,,,317.52,percent of total billed charges,206.3805281,,,,,,,,,,317.52,percent of total billed charges,999999999,,,,,,,,,,352.8,percent of total billed charges,295.6280608,,,,348.39,percent of total billed charges,336.2113429,,,,348.39,percent of total billed charges,297.0538506,,,,352.8,percent of total billed charges,999999999,,,,352.8,percent of total billed charges,999999999,,,,308.7,percent of total billed charges,999999999,,,,308.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,234.612,percent of total billed charges,999999999,,,,,,,,,,,,,,,,222.705,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,110.25,percent of total billed charges,104.7105319,,,,,,,,,,110.25,percent of total billed charges,102.9687434,,,,,,,,,,110.25,percent of total billed charges,102.6825977,,,,,,,,,,110.25,percent of total billed charges,101.1705977,,,,,,,,,,110.25,percent of total billed charges,103.7738659,,,,,,,,,,110.25,percent of total billed charges,999999999,,,,,,,,,,110.25,percent of total billed charges,89.0452847,,,,,,,,,,110.25,percent of total billed charges,140.4305545,,,,,,,,,,110.25,percent of total billed charges,999999999,,,,,,,,,,110.25,percent of total billed charges,96.01259449,,,,,,,,,,396.9,percent of total billed charges,,,,,
TOES 3RD DIGIT RT,73660,CDM,0056-2780-01,NDC,T7,both,1,EA,441,441,93.88181958,441,441,percent of total billed charges,324.4593668,,,,441,percent of total billed charges,343.9205135,,,,441,percent of total billed charges,324.4593668,,,,441,percent of total billed charges,343.9205135,,,,441,percent of total billed charges,999999999,,,,441,percent of total billed charges,336.0116903,,,,441,percent of total billed charges,324.4593668,,,,441,percent of total billed charges,343.9205135,,,,314.433,percent of total billed charges,156.9078211,,,,314.433,percent of total billed charges,93.88181958,,,,314.433,percent of total billed charges,156.9078211,,,,314.433,percent of total billed charges,93.88181958,,,,314.433,percent of total billed charges,156.9078211,,,,314.433,percent of total billed charges,93.88181958,,,,311.346,percent of total billed charges,308.9837333,,,,311.346,percent of total billed charges,213.1036318,,,,,,,,,,317.52,percent of total billed charges,206.3805281,,,,,,,,,,317.52,percent of total billed charges,999999999,,,,,,,,,,352.8,percent of total billed charges,295.6280608,,,,348.39,percent of total billed charges,336.2113429,,,,348.39,percent of total billed charges,297.0538506,,,,352.8,percent of total billed charges,999999999,,,,352.8,percent of total billed charges,999999999,,,,308.7,percent of total billed charges,999999999,,,,308.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,234.612,percent of total billed charges,999999999,,,,,,,,,,,,,,,,222.705,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,110.25,percent of total billed charges,104.7105319,,,,,,,,,,110.25,percent of total billed charges,102.9687434,,,,,,,,,,110.25,percent of total billed charges,102.6825977,,,,,,,,,,110.25,percent of total billed charges,101.1705977,,,,,,,,,,110.25,percent of total billed charges,103.7738659,,,,,,,,,,110.25,percent of total billed charges,999999999,,,,,,,,,,110.25,percent of total billed charges,89.0452847,,,,,,,,,,110.25,percent of total billed charges,140.4305545,,,,,,,,,,110.25,percent of total billed charges,999999999,,,,,,,,,,110.25,percent of total billed charges,96.01259449,,,,,,,,,,396.9,percent of total billed charges,,,,,
TOES 3RD DIGIT LT,73660,CDM,0056-2780-01,NDC,T2,both,1,EA,441,441,93.88181958,441,441,percent of total billed charges,324.4593668,,,,441,percent of total billed charges,343.9205135,,,,441,percent of total billed charges,324.4593668,,,,441,percent of total billed charges,343.9205135,,,,441,percent of total billed charges,999999999,,,,441,percent of total billed charges,336.0116903,,,,441,percent of total billed charges,324.4593668,,,,441,percent of total billed charges,343.9205135,,,,314.433,percent of total billed charges,156.9078211,,,,314.433,percent of total billed charges,93.88181958,,,,314.433,percent of total billed charges,156.9078211,,,,314.433,percent of total billed charges,93.88181958,,,,314.433,percent of total billed charges,156.9078211,,,,314.433,percent of total billed charges,93.88181958,,,,311.346,percent of total billed charges,308.9837333,,,,311.346,percent of total billed charges,213.1036318,,,,,,,,,,317.52,percent of total billed charges,206.3805281,,,,,,,,,,317.52,percent of total billed charges,999999999,,,,,,,,,,352.8,percent of total billed charges,295.6280608,,,,348.39,percent of total billed charges,336.2113429,,,,348.39,percent of total billed charges,297.0538506,,,,352.8,percent of total billed charges,999999999,,,,352.8,percent of total billed charges,999999999,,,,308.7,percent of total billed charges,999999999,,,,308.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,234.612,percent of total billed charges,999999999,,,,,,,,,,,,,,,,222.705,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,110.25,percent of total billed charges,104.7105319,,,,,,,,,,110.25,percent of total billed charges,102.9687434,,,,,,,,,,110.25,percent of total billed charges,102.6825977,,,,,,,,,,110.25,percent of total billed charges,101.1705977,,,,,,,,,,110.25,percent of total billed charges,103.7738659,,,,,,,,,,110.25,percent of total billed charges,999999999,,,,,,,,,,110.25,percent of total billed charges,89.0452847,,,,,,,,,,110.25,percent of total billed charges,140.4305545,,,,,,,,,,110.25,percent of total billed charges,999999999,,,,,,,,,,110.25,percent of total billed charges,96.01259449,,,,,,,,,,396.9,percent of total billed charges,,,,,
TOES 4TH DIGIT RT,73660,CDM,0056-2780-01,NDC,T8,both,1,EA,441,441,93.88181958,441,441,percent of total billed charges,324.4593668,,,,441,percent of total billed charges,343.9205135,,,,441,percent of total billed charges,324.4593668,,,,441,percent of total billed charges,343.9205135,,,,441,percent of total billed charges,999999999,,,,441,percent of total billed charges,336.0116903,,,,441,percent of total billed charges,324.4593668,,,,441,percent of total billed charges,343.9205135,,,,314.433,percent of total billed charges,156.9078211,,,,314.433,percent of total billed charges,93.88181958,,,,314.433,percent of total billed charges,156.9078211,,,,314.433,percent of total billed charges,93.88181958,,,,314.433,percent of total billed charges,156.9078211,,,,314.433,percent of total billed charges,93.88181958,,,,311.346,percent of total billed charges,308.9837333,,,,311.346,percent of total billed charges,213.1036318,,,,,,,,,,317.52,percent of total billed charges,206.3805281,,,,,,,,,,317.52,percent of total billed charges,999999999,,,,,,,,,,352.8,percent of total billed charges,295.6280608,,,,348.39,percent of total billed charges,336.2113429,,,,348.39,percent of total billed charges,297.0538506,,,,352.8,percent of total billed charges,999999999,,,,352.8,percent of total billed charges,999999999,,,,308.7,percent of total billed charges,999999999,,,,308.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,234.612,percent of total billed charges,999999999,,,,,,,,,,,,,,,,222.705,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,110.25,percent of total billed charges,104.7105319,,,,,,,,,,110.25,percent of total billed charges,102.9687434,,,,,,,,,,110.25,percent of total billed charges,102.6825977,,,,,,,,,,110.25,percent of total billed charges,101.1705977,,,,,,,,,,110.25,percent of total billed charges,103.7738659,,,,,,,,,,110.25,percent of total billed charges,999999999,,,,,,,,,,110.25,percent of total billed charges,89.0452847,,,,,,,,,,110.25,percent of total billed charges,140.4305545,,,,,,,,,,110.25,percent of total billed charges,999999999,,,,,,,,,,110.25,percent of total billed charges,96.01259449,,,,,,,,,,396.9,percent of total billed charges,,,,,
TOES 4TH DIGIT LT,73660,CDM,0056-2780-01,NDC,T3,both,1,EA,441,441,93.88181958,441,441,percent of total billed charges,324.4593668,,,,441,percent of total billed charges,343.9205135,,,,441,percent of total billed charges,324.4593668,,,,441,percent of total billed charges,343.9205135,,,,441,percent of total billed charges,999999999,,,,441,percent of total billed charges,336.0116903,,,,441,percent of total billed charges,324.4593668,,,,441,percent of total billed charges,343.9205135,,,,314.433,percent of total billed charges,156.9078211,,,,314.433,percent of total billed charges,93.88181958,,,,314.433,percent of total billed charges,156.9078211,,,,314.433,percent of total billed charges,93.88181958,,,,314.433,percent of total billed charges,156.9078211,,,,314.433,percent of total billed charges,93.88181958,,,,311.346,percent of total billed charges,308.9837333,,,,311.346,percent of total billed charges,213.1036318,,,,,,,,,,317.52,percent of total billed charges,206.3805281,,,,,,,,,,317.52,percent of total billed charges,999999999,,,,,,,,,,352.8,percent of total billed charges,295.6280608,,,,348.39,percent of total billed charges,336.2113429,,,,348.39,percent of total billed charges,297.0538506,,,,352.8,percent of total billed charges,999999999,,,,352.8,percent of total billed charges,999999999,,,,308.7,percent of total billed charges,999999999,,,,308.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,234.612,percent of total billed charges,999999999,,,,,,,,,,,,,,,,222.705,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,110.25,percent of total billed charges,104.7105319,,,,,,,,,,110.25,percent of total billed charges,102.9687434,,,,,,,,,,110.25,percent of total billed charges,102.6825977,,,,,,,,,,110.25,percent of total billed charges,101.1705977,,,,,,,,,,110.25,percent of total billed charges,103.7738659,,,,,,,,,,110.25,percent of total billed charges,999999999,,,,,,,,,,110.25,percent of total billed charges,89.0452847,,,,,,,,,,110.25,percent of total billed charges,140.4305545,,,,,,,,,,110.25,percent of total billed charges,999999999,,,,,,,,,,110.25,percent of total billed charges,96.01259449,,,,,,,,,,396.9,percent of total billed charges,,,,,
TOES 5TH DIGIT RT,73660,CDM,0056-2780-01,NDC,T9 ,both,1,EA,441,441,93.88181958,441,441,percent of total billed charges,324.4593668,,,,441,percent of total billed charges,343.9205135,,,,441,percent of total billed charges,324.4593668,,,,441,percent of total billed charges,343.9205135,,,,441,percent of total billed charges,999999999,,,,441,percent of total billed charges,336.0116903,,,,441,percent of total billed charges,324.4593668,,,,441,percent of total billed charges,343.9205135,,,,314.433,percent of total billed charges,156.9078211,,,,314.433,percent of total billed charges,93.88181958,,,,314.433,percent of total billed charges,156.9078211,,,,314.433,percent of total billed charges,93.88181958,,,,314.433,percent of total billed charges,156.9078211,,,,314.433,percent of total billed charges,93.88181958,,,,311.346,percent of total billed charges,308.9837333,,,,311.346,percent of total billed charges,213.1036318,,,,,,,,,,317.52,percent of total billed charges,206.3805281,,,,,,,,,,317.52,percent of total billed charges,999999999,,,,,,,,,,352.8,percent of total billed charges,295.6280608,,,,348.39,percent of total billed charges,336.2113429,,,,348.39,percent of total billed charges,297.0538506,,,,352.8,percent of total billed charges,999999999,,,,352.8,percent of total billed charges,999999999,,,,308.7,percent of total billed charges,999999999,,,,308.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,234.612,percent of total billed charges,999999999,,,,,,,,,,,,,,,,222.705,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,110.25,percent of total billed charges,104.7105319,,,,,,,,,,110.25,percent of total billed charges,102.9687434,,,,,,,,,,110.25,percent of total billed charges,102.6825977,,,,,,,,,,110.25,percent of total billed charges,101.1705977,,,,,,,,,,110.25,percent of total billed charges,103.7738659,,,,,,,,,,110.25,percent of total billed charges,999999999,,,,,,,,,,110.25,percent of total billed charges,89.0452847,,,,,,,,,,110.25,percent of total billed charges,140.4305545,,,,,,,,,,110.25,percent of total billed charges,999999999,,,,,,,,,,110.25,percent of total billed charges,96.01259449,,,,,,,,,,396.9,percent of total billed charges,,,,,
TOES 5TH DIGIT LT,73660,CDM,0056-2780-01,NDC,T4,both,1,EA,441,441,93.88181958,441,441,percent of total billed charges,324.4593668,,,,441,percent of total billed charges,343.9205135,,,,441,percent of total billed charges,324.4593668,,,,441,percent of total billed charges,343.9205135,,,,441,percent of total billed charges,999999999,,,,441,percent of total billed charges,336.0116903,,,,441,percent of total billed charges,324.4593668,,,,441,percent of total billed charges,343.9205135,,,,314.433,percent of total billed charges,156.9078211,,,,314.433,percent of total billed charges,93.88181958,,,,314.433,percent of total billed charges,156.9078211,,,,314.433,percent of total billed charges,93.88181958,,,,314.433,percent of total billed charges,156.9078211,,,,314.433,percent of total billed charges,93.88181958,,,,311.346,percent of total billed charges,308.9837333,,,,311.346,percent of total billed charges,213.1036318,,,,,,,,,,317.52,percent of total billed charges,206.3805281,,,,,,,,,,317.52,percent of total billed charges,999999999,,,,,,,,,,352.8,percent of total billed charges,295.6280608,,,,348.39,percent of total billed charges,336.2113429,,,,348.39,percent of total billed charges,297.0538506,,,,352.8,percent of total billed charges,999999999,,,,352.8,percent of total billed charges,999999999,,,,308.7,percent of total billed charges,999999999,,,,308.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,234.612,percent of total billed charges,999999999,,,,,,,,,,,,,,,,222.705,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,110.25,percent of total billed charges,104.7105319,,,,,,,,,,110.25,percent of total billed charges,102.9687434,,,,,,,,,,110.25,percent of total billed charges,102.6825977,,,,,,,,,,110.25,percent of total billed charges,101.1705977,,,,,,,,,,110.25,percent of total billed charges,103.7738659,,,,,,,,,,110.25,percent of total billed charges,999999999,,,,,,,,,,110.25,percent of total billed charges,89.0452847,,,,,,,,,,110.25,percent of total billed charges,140.4305545,,,,,,,,,,110.25,percent of total billed charges,999999999,,,,,,,,,,110.25,percent of total billed charges,96.01259449,,,,,,,,,,396.9,percent of total billed charges,,,,,
UGI W OR W/O KUB,74240,CDM,0056-2780-01,NDC,,both,1,EA,1375,1375,292.7154239,1375,1375,percent of total billed charges,1011.636348,,,,1375,percent of total billed charges,1072.314526,,,,1375,percent of total billed charges,1011.636348,,,,1375,percent of total billed charges,1072.314526,,,,1375,percent of total billed charges,999999999,,,,1375,percent of total billed charges,1047.655497,,,,1375,percent of total billed charges,1011.636348,,,,1375,percent of total billed charges,1072.314526,,,,980.375,percent of total billed charges,489.2250659,,,,980.375,percent of total billed charges,292.7154239,,,,980.375,percent of total billed charges,489.2250659,,,,980.375,percent of total billed charges,292.7154239,,,,980.375,percent of total billed charges,489.2250659,,,,980.375,percent of total billed charges,292.7154239,,,,970.75,percent of total billed charges,963.3846558,,,,970.75,percent of total billed charges,664.4387613,,,,,,,,,,990,percent of total billed charges,643.4767032,,,,,,,,,,990,percent of total billed charges,999999999,,,,,,,,,,1100,percent of total billed charges,921.7428201,,,,1086.25,percent of total billed charges,1048.277997,,,,1086.25,percent of total billed charges,926.1883097,,,,1100,percent of total billed charges,999999999,,,,1100,percent of total billed charges,999999999,,,,962.5,percent of total billed charges,999999999,,,,962.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,731.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,694.375,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,343.75,percent of total billed charges,326.4784157,,,,,,,,,,343.75,percent of total billed charges,321.0476694,,,,,,,,,,343.75,percent of total billed charges,320.1554916,,,,,,,,,,343.75,percent of total billed charges,315.4412059,,,,,,,,,,343.75,percent of total billed charges,323.5579719,,,,,,,,,,343.75,percent of total billed charges,999999999,,,,,,,,,,343.75,percent of total billed charges,277.6355248,,,,,,,,,,343.75,percent of total billed charges,437.8503683,,,,,,,,,,343.75,percent of total billed charges,999999999,,,,,,,,,,343.75,percent of total billed charges,299.3589964,,,,,,,,,,1237.5,percent of total billed charges,,,,,
**UGI WITH SMALL BOWEL A/C,74249,CDM,0056-2780-01,NDC,,both,1,EA,2064,2064,439.3924617,2064,2064,percent of total billed charges,1518.558125,,,,2064,percent of total billed charges,1609.641587,,,,2064,percent of total billed charges,1518.558125,,,,2064,percent of total billed charges,1609.641587,,,,2064,percent of total billed charges,999999999,,,,2064,percent of total billed charges,1572.626142,,,,2064,percent of total billed charges,1518.558125,,,,2064,percent of total billed charges,1609.641587,,,,1471.632,percent of total billed charges,734.3712989,,,,1471.632,percent of total billed charges,439.3924617,,,,1471.632,percent of total billed charges,734.3712989,,,,1471.632,percent of total billed charges,439.3924617,,,,1471.632,percent of total billed charges,734.3712989,,,,1471.632,percent of total billed charges,439.3924617,,,,1457.184,percent of total billed charges,1446.127949,,,,1457.184,percent of total billed charges,997.3829842,,,,,,,,,,1486.08,percent of total billed charges,965.9170294,,,,,,,,,,1486.08,percent of total billed charges,999999999,,,,,,,,,,1651.2,percent of total billed charges,1383.619768,,,,1630.56,percent of total billed charges,1573.560571,,,,1630.56,percent of total billed charges,1390.292852,,,,1651.2,percent of total billed charges,999999999,,,,1651.2,percent of total billed charges,999999999,,,,1444.8,percent of total billed charges,999999999,,,,1444.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1098.048,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1042.32,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,516,percent of total billed charges,490.0737818,,,,,,,,,,516,percent of total billed charges,481.9217379,,,,,,,,,,516,percent of total billed charges,480.582498,,,,,,,,,,516,percent of total billed charges,473.5059266,,,,,,,,,,516,percent of total billed charges,485.6899302,,,,,,,,,,516,percent of total billed charges,999999999,,,,,,,,,,516,percent of total billed charges,416.7561624,,,,,,,,,,516,percent of total billed charges,657.2532075,,,,,,,,,,516,percent of total billed charges,999999999,,,,,,,,,,516,percent of total billed charges,449.3650681,,,,,,,,,,1857.6,percent of total billed charges,,,,,
**UGI WITH KUB,74241,CDM,0056-2780-01,NDC,,both,1,EA,1304,1304,277.6006638,1304,1304,percent of total billed charges,959.3991255,,,,1304,percent of total billed charges,1016.944103,,,,1304,percent of total billed charges,959.3991255,,,,1304,percent of total billed charges,1016.944103,,,,1304,percent of total billed charges,999999999,,,,1304,percent of total billed charges,993.5583766,,,,1304,percent of total billed charges,959.3991255,,,,1304,percent of total billed charges,1016.944103,,,,929.752,percent of total billed charges,463.9632625,,,,929.752,percent of total billed charges,277.6006638,,,,929.752,percent of total billed charges,463.9632625,,,,929.752,percent of total billed charges,277.6006638,,,,929.752,percent of total billed charges,463.9632625,,,,929.752,percent of total billed charges,277.6006638,,,,920.624,percent of total billed charges,913.6389754,,,,920.624,percent of total billed charges,630.1295598,,,,,,,,,,938.88,percent of total billed charges,610.2499062,,,,,,,,,,938.88,percent of total billed charges,999999999,,,,,,,,,,1043.2,percent of total billed charges,874.1473726,,,,1030.16,percent of total billed charges,994.1487328,,,,1030.16,percent of total billed charges,878.3633133,,,,1043.2,percent of total billed charges,999999999,,,,1043.2,percent of total billed charges,999999999,,,,912.8,percent of total billed charges,999999999,,,,912.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,693.728,percent of total billed charges,999999999,,,,,,,,,,,,,,,,658.52,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,326,percent of total billed charges,309.6202575,,,,,,,,,,326,percent of total billed charges,304.4699352,,,,,,,,,,326,percent of total billed charges,303.6238263,,,,,,,,,,326,percent of total billed charges,299.1529691,,,,,,,,,,326,percent of total billed charges,306.8506148,,,,,,,,,,326,percent of total billed charges,999999999,,,,,,,,,,326,percent of total billed charges,263.2994359,,,,,,,,,,326,percent of total billed charges,415.2413675,,,,,,,,,,326,percent of total billed charges,999999999,,,,,,,,,,326,percent of total billed charges,283.9011864,,,,,,,,,,1173.6,percent of total billed charges,,,,,
COLON W OR W/O KUB,74270,CDM,0056-2780-01,NDC,,both,1,EA,1521,1521,323.7964798,1521,1521,percent of total billed charges,1119.053735,,,,1521,percent of total billed charges,1186.174832,,,,1521,percent of total billed charges,1119.053735,,,,1521,percent of total billed charges,1186.174832,,,,1521,percent of total billed charges,999999999,,,,1521,percent of total billed charges,1158.897462,,,,1521,percent of total billed charges,1119.053735,,,,1521,percent of total billed charges,1186.174832,,,,1084.473,percent of total billed charges,541.1718729,,,,1084.473,percent of total billed charges,323.7964798,,,,1084.473,percent of total billed charges,541.1718729,,,,1084.473,percent of total billed charges,323.7964798,,,,1084.473,percent of total billed charges,541.1718729,,,,1084.473,percent of total billed charges,323.7964798,,,,1073.826,percent of total billed charges,1065.67859,,,,1073.826,percent of total billed charges,734.9900771,,,,,,,,,,1095.12,percent of total billed charges,711.8022295,,,,,,,,,,1095.12,percent of total billed charges,999999999,,,,,,,,,,1216.8,percent of total billed charges,1019.615149,,,,1201.59,percent of total billed charges,1159.58606,,,,1201.59,percent of total billed charges,1024.532668,,,,1216.8,percent of total billed charges,999999999,,,,1216.8,percent of total billed charges,999999999,,,,1064.7,percent of total billed charges,999999999,,,,1064.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,809.172,percent of total billed charges,999999999,,,,,,,,,,,,,,,,768.105,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,380.25,percent of total billed charges,361.1444874,,,,,,,,,,380.25,percent of total billed charges,355.1370946,,,,,,,,,,380.25,percent of total billed charges,354.1501839,,,,,,,,,,380.25,percent of total billed charges,348.9353267,,,,,,,,,,380.25,percent of total billed charges,357.9139456,,,,,,,,,,380.25,percent of total billed charges,999999999,,,,,,,,,,380.25,percent of total billed charges,307.1153697,,,,,,,,,,380.25,percent of total billed charges,484.3421165,,,,,,,,,,380.25,percent of total billed charges,999999999,,,,,,,,,,380.25,percent of total billed charges,331.145479,,,,,,,,,,1368.9,percent of total billed charges,,,,,
UGI AIR CONTRAST EXAM,74246,CDM,0056-2780-01,NDC,,both,1,EA,1246,1246,265.253395,1246,1246,percent of total billed charges,916.726465,,,,1246,percent of total billed charges,971.7119271,,,,1246,percent of total billed charges,916.726465,,,,1246,percent of total billed charges,971.7119271,,,,1246,percent of total billed charges,999999999,,,,1246,percent of total billed charges,949.366363,,,,1246,percent of total billed charges,916.726465,,,,1246,percent of total billed charges,971.7119271,,,,888.398,percent of total billed charges,443.3268597,,,,888.398,percent of total billed charges,265.253395,,,,888.398,percent of total billed charges,443.3268597,,,,888.398,percent of total billed charges,265.253395,,,,888.398,percent of total billed charges,443.3268597,,,,888.398,percent of total billed charges,265.253395,,,,879.676,percent of total billed charges,873.001659,,,,879.676,percent of total billed charges,602.1023248,,,,,,,,,,897.12,percent of total billed charges,583.1068889,,,,,,,,,,897.12,percent of total billed charges,999999999,,,,,,,,,,996.8,percent of total billed charges,835.2665846,,,,984.34,percent of total billed charges,949.930461,,,,984.34,percent of total billed charges,839.2950064,,,,996.8,percent of total billed charges,999999999,,,,996.8,percent of total billed charges,999999999,,,,872.2,percent of total billed charges,999999999,,,,872.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,662.872,percent of total billed charges,999999999,,,,,,,,,,,,,,,,629.23,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,311.5,percent of total billed charges,295.8488043,,,,,,,,,,311.5,percent of total billed charges,290.9275608,,,,,,,,,,311.5,percent of total billed charges,290.1190855,,,,,,,,,,311.5,percent of total billed charges,285.8470855,,,,,,,,,,311.5,percent of total billed charges,293.2023513,,,,,,,,,,311.5,percent of total billed charges,999999999,,,,,,,,,,311.5,percent of total billed charges,251.5882647,,,,,,,,,,311.5,percent of total billed charges,396.7720429,,,,,,,,,,311.5,percent of total billed charges,999999999,,,,,,,,,,311.5,percent of total billed charges,271.2736797,,,,,,,,,,1121.4,percent of total billed charges,,,,,
**UGI A/C KUB,74247,CDM,0056-2780-01,NDC,,both,1,EA,1658,1658,352.9615802,1658,1658,percent of total billed charges,1219.849502,,,,1658,percent of total billed charges,1293.016352,,,,1658,percent of total billed charges,1219.849502,,,,1658,percent of total billed charges,1293.016352,,,,1658,percent of total billed charges,999999999,,,,1658,percent of total billed charges,1263.282046,,,,1658,percent of total billed charges,1219.849502,,,,1658,percent of total billed charges,1293.016352,,,,1182.154,percent of total billed charges,589.9164795,,,,1182.154,percent of total billed charges,352.9615802,,,,1182.154,percent of total billed charges,589.9164795,,,,1182.154,percent of total billed charges,352.9615802,,,,1182.154,percent of total billed charges,589.9164795,,,,1182.154,percent of total billed charges,352.9615802,,,,1170.548,percent of total billed charges,1161.666734,,,,1170.548,percent of total billed charges,801.1923391,,,,,,,,,,1193.76,percent of total billed charges,775.9159083,,,,,,,,,,1193.76,percent of total billed charges,999999999,,,,,,,,,,1326.4,percent of total billed charges,1111.454251,,,,1309.82,percent of total billed charges,1264.032668,,,,1309.82,percent of total billed charges,1116.814704,,,,1326.4,percent of total billed charges,999999999,,,,1326.4,percent of total billed charges,999999999,,,,1160.6,percent of total billed charges,999999999,,,,1160.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,882.056,percent of total billed charges,999999999,,,,,,,,,,,,,,,,837.29,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,414.5,percent of total billed charges,393.6736096,,,,,,,,,,414.5,percent of total billed charges,387.125117,,,,,,,,,,414.5,percent of total billed charges,386.0493128,,,,,,,,,,414.5,percent of total billed charges,380.3647414,,,,,,,,,,414.5,percent of total billed charges,390.1520854,,,,,,,,,,414.5,percent of total billed charges,999999999,,,,,,,,,,414.5,percent of total billed charges,334.7779638,,,,,,,,,,414.5,percent of total billed charges,527.9679351,,,,,,,,,,414.5,percent of total billed charges,999999999,,,,,,,,,,414.5,percent of total billed charges,360.9725208,,,,,,,,,,1492.2,percent of total billed charges,,,,,
**UGI WITH SMALL BOWEL,74245,CDM,0056-2780-01,NDC,,both,1,EA,2063,2063,439.1795778,2063,2063,percent of total billed charges,1517.82239,,,,2063,percent of total billed charges,1608.861722,,,,2063,percent of total billed charges,1517.82239,,,,2063,percent of total billed charges,1608.861722,,,,2063,percent of total billed charges,999999999,,,,2063,percent of total billed charges,1571.864211,,,,2063,percent of total billed charges,1517.82239,,,,2063,percent of total billed charges,1608.861722,,,,1470.919,percent of total billed charges,734.0154989,,,,1470.919,percent of total billed charges,439.1795778,,,,1470.919,percent of total billed charges,734.0154989,,,,1470.919,percent of total billed charges,439.1795778,,,,1470.919,percent of total billed charges,734.0154989,,,,1470.919,percent of total billed charges,439.1795778,,,,1456.478,percent of total billed charges,1445.427305,,,,1456.478,percent of total billed charges,996.8997561,,,,,,,,,,1485.36,percent of total billed charges,965.4490463,,,,,,,,,,1485.36,percent of total billed charges,999999999,,,,,,,,,,1650.4,percent of total billed charges,1382.949409,,,,1629.77,percent of total billed charges,1572.798187,,,,1629.77,percent of total billed charges,1389.61926,,,,1650.4,percent of total billed charges,999999999,,,,1650.4,percent of total billed charges,999999999,,,,1444.1,percent of total billed charges,999999999,,,,1444.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1097.516,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1041.815,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,515.75,percent of total billed charges,489.8363429,,,,,,,,,,515.75,percent of total billed charges,481.6882487,,,,,,,,,,515.75,percent of total billed charges,480.3496577,,,,,,,,,,515.75,percent of total billed charges,473.2765148,,,,,,,,,,515.75,percent of total billed charges,485.4546153,,,,,,,,,,515.75,percent of total billed charges,999999999,,,,,,,,,,515.75,percent of total billed charges,416.5542456,,,,,,,,,,515.75,percent of total billed charges,656.9347708,,,,,,,,,,515.75,percent of total billed charges,999999999,,,,,,,,,,515.75,percent of total billed charges,449.1473525,,,,,,,,,,1856.7,percent of total billed charges,,,,,
VOIDING CYSTOGRAM,74455,CDM,0056-2780-01,NDC,,both,1,EA,1425,1425,303.3596211,1425,1425,percent of total billed charges,1048.423124,,,,1425,percent of total billed charges,1111.307782,,,,1425,percent of total billed charges,1048.423124,,,,1425,percent of total billed charges,1111.307782,,,,1425,percent of total billed charges,999999999,,,,1425,percent of total billed charges,1085.75206,,,,1425,percent of total billed charges,1048.423124,,,,1425,percent of total billed charges,1111.307782,,,,1016.025,percent of total billed charges,507.0150683,,,,1016.025,percent of total billed charges,303.3596211,,,,1016.025,percent of total billed charges,507.0150683,,,,1016.025,percent of total billed charges,303.3596211,,,,1016.025,percent of total billed charges,507.0150683,,,,1016.025,percent of total billed charges,303.3596211,,,,1006.05,percent of total billed charges,998.4168252,,,,1006.05,percent of total billed charges,688.6001708,,,,,,,,,,1026,percent of total billed charges,666.8758561,,,,,,,,,,1026,percent of total billed charges,999999999,,,,,,,,,,1140,percent of total billed charges,955.2607408,,,,1125.75,percent of total billed charges,1086.397197,,,,1125.75,percent of total billed charges,959.8678846,,,,1140,percent of total billed charges,999999999,,,,1140,percent of total billed charges,999999999,,,,997.5,percent of total billed charges,999999999,,,,997.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,758.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,719.625,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,356.25,percent of total billed charges,338.3503581,,,,,,,,,,356.25,percent of total billed charges,332.7221301,,,,,,,,,,356.25,percent of total billed charges,331.7975095,,,,,,,,,,356.25,percent of total billed charges,326.9117952,,,,,,,,,,356.25,percent of total billed charges,335.3237163,,,,,,,,,,356.25,percent of total billed charges,999999999,,,,,,,,,,356.25,percent of total billed charges,287.7313621,,,,,,,,,,356.25,percent of total billed charges,453.7721999,,,,,,,,,,356.25,percent of total billed charges,999999999,,,,,,,,,,356.25,percent of total billed charges,310.2447781,,,,,,,,,,1282.5,percent of total billed charges,,,,,
INJECTION CYSTOGRAPHY,51600,CDM,0056-2780-01,NDC,,both,1,EA,1080,1080,229.9146602,1080,1080,percent of total billed charges,794.5943678,,,,1080,percent of total billed charges,842.2543188,,,,1080,percent of total billed charges,794.5943678,,,,1080,percent of total billed charges,842.2543188,,,,1080,percent of total billed charges,999999999,,,,1080,percent of total billed charges,822.8857721,,,,1080,percent of total billed charges,794.5943678,,,,1080,percent of total billed charges,842.2543188,,,,770.04,percent of total billed charges,384.2640518,,,,770.04,percent of total billed charges,229.9146602,,,,770.04,percent of total billed charges,384.2640518,,,,770.04,percent of total billed charges,229.9146602,,,,770.04,percent of total billed charges,384.2640518,,,,770.04,percent of total billed charges,229.9146602,,,,762.48,percent of total billed charges,756.694857,,,,762.48,percent of total billed charges,521.8864452,,,,,,,,,,777.6,percent of total billed charges,505.4217014,,,,,,,,,,777.6,percent of total billed charges,999999999,,,,,,,,,,864,percent of total billed charges,723.9870878,,,,853.2,percent of total billed charges,823.3747174,,,,853.2,percent of total billed charges,727.4788178,,,,864,percent of total billed charges,999999999,,,,864,percent of total billed charges,999999999,,,,756,percent of total billed charges,999999999,,,,756,percent of total billed charges,999999999,,,,,,,,,,,,,,,,574.56,percent of total billed charges,999999999,,,,,,,,,,,,,,,,545.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,270,percent of total billed charges,256.4339556,,,,,,,,,,270,percent of total billed charges,252.1683512,,,,,,,,,,270,percent of total billed charges,251.4675862,,,,,,,,,,270,percent of total billed charges,247.764729,,,,,,,,,,270,percent of total billed charges,254.1400797,,,,,,,,,,270,percent of total billed charges,999999999,,,,,,,,,,270,percent of total billed charges,218.070085,,,,,,,,,,270,percent of total billed charges,343.911562,,,,,,,,,,270,percent of total billed charges,999999999,,,,,,,,,,270,percent of total billed charges,235.1328845,,,,,,,,,,972,percent of total billed charges,,,,,
VIDEO ESOPHAGRAM,74230,CDM,0056-2780-01,NDC,,both,1,EA,1117,1117,237.7913661,1117,1117,percent of total billed charges,821.8165822,,,,1117,percent of total billed charges,871.1093279,,,,1117,percent of total billed charges,821.8165822,,,,1117,percent of total billed charges,871.1093279,,,,1117,percent of total billed charges,999999999,,,,1117,percent of total billed charges,851.0772291,,,,1117,percent of total billed charges,821.8165822,,,,1117,percent of total billed charges,871.1093279,,,,796.421,percent of total billed charges,397.4286535,,,,796.421,percent of total billed charges,237.7913661,,,,796.421,percent of total billed charges,397.4286535,,,,796.421,percent of total billed charges,237.7913661,,,,796.421,percent of total billed charges,397.4286535,,,,796.421,percent of total billed charges,237.7913661,,,,788.602,percent of total billed charges,782.6186622,,,,788.602,percent of total billed charges,539.7658883,,,,,,,,,,804.24,percent of total billed charges,522.7370745,,,,,,,,,,804.24,percent of total billed charges,999999999,,,,,,,,,,893.6,percent of total billed charges,748.7903491,,,,882.43,percent of total billed charges,851.5829253,,,,882.43,percent of total billed charges,752.4017032,,,,893.6,percent of total billed charges,999999999,,,,893.6,percent of total billed charges,999999999,,,,781.9,percent of total billed charges,999999999,,,,781.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,594.244,percent of total billed charges,999999999,,,,,,,,,,,,,,,,564.085,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,279.25,percent of total billed charges,265.219193,,,,,,,,,,279.25,percent of total billed charges,260.8074521,,,,,,,,,,279.25,percent of total billed charges,260.0826794,,,,,,,,,,279.25,percent of total billed charges,256.2529651,,,,,,,,,,279.25,percent of total billed charges,262.8467306,,,,,,,,,,279.25,percent of total billed charges,999999999,,,,,,,,,,279.25,percent of total billed charges,225.5410045,,,,,,,,,,279.25,percent of total billed charges,355.6937174,,,,,,,,,,279.25,percent of total billed charges,999999999,,,,,,,,,,279.25,percent of total billed charges,243.1883629,,,,,,,,,,1005.3,percent of total billed charges,,,,,
**VENOGRAM BILATERAL,75822,CDM,0056-2780-01,NDC,,both,1,EA,2347,2347,499.638618,2347,2347,percent of total billed charges,1726.771279,,,,2347,percent of total billed charges,1830.343413,,,,2347,percent of total billed charges,1726.771279,,,,2347,percent of total billed charges,1830.343413,,,,2347,percent of total billed charges,999999999,,,,2347,percent of total billed charges,1788.252692,,,,2347,percent of total billed charges,1726.771279,,,,2347,percent of total billed charges,1830.343413,,,,1673.411,percent of total billed charges,835.0627125,,,,1673.411,percent of total billed charges,499.638618,,,,1673.411,percent of total billed charges,835.0627125,,,,1673.411,percent of total billed charges,499.638618,,,,1673.411,percent of total billed charges,835.0627125,,,,1673.411,percent of total billed charges,499.638618,,,,1656.982,percent of total billed charges,1644.410027,,,,1656.982,percent of total billed charges,1134.136562,,,,,,,,,,1689.84,percent of total billed charges,1098.356234,,,,,,,,,,1689.84,percent of total billed charges,999999999,,,,,,,,,,1877.6,percent of total billed charges,1573.331199,,,,1854.13,percent of total billed charges,1789.315242,,,,1854.13,percent of total billed charges,1580.919246,,,,1877.6,percent of total billed charges,999999999,,,,1877.6,percent of total billed charges,999999999,,,,1642.9,percent of total billed charges,999999999,,,,1642.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1248.604,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1185.235,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,586.75,percent of total billed charges,557.2689757,,,,,,,,,,586.75,percent of total billed charges,547.9991855,,,,,,,,,,586.75,percent of total billed charges,546.4763192,,,,,,,,,,586.75,percent of total billed charges,538.4294621,,,,,,,,,,586.75,percent of total billed charges,552.2840437,,,,,,,,,,586.75,percent of total billed charges,999999999,,,,,,,,,,586.75,percent of total billed charges,473.8986013,,,,,,,,,,586.75,percent of total billed charges,747.3707742,,,,,,,,,,586.75,percent of total billed charges,999999999,,,,,,,,,,586.75,percent of total billed charges,510.9785924,,,,,,,,,,2112.3,percent of total billed charges,,,,,
INTRO NEEDLE OR INTRACATHETER  VEIN,36000,CDM,0056-2780-01,NDC,,both,1,EA,396,396,84.30204207,396,396,percent of total billed charges,291.3512682,,,,396,percent of total billed charges,308.8265836,,,,396,percent of total billed charges,291.3512682,,,,396,percent of total billed charges,308.8265836,,,,396,percent of total billed charges,999999999,,,,396,percent of total billed charges,301.7247831,,,,396,percent of total billed charges,291.3512682,,,,396,percent of total billed charges,308.8265836,,,,282.348,percent of total billed charges,140.896819,,,,282.348,percent of total billed charges,84.30204207,,,,282.348,percent of total billed charges,140.896819,,,,282.348,percent of total billed charges,84.30204207,,,,282.348,percent of total billed charges,140.896819,,,,282.348,percent of total billed charges,84.30204207,,,,279.576,percent of total billed charges,277.4547809,,,,279.576,percent of total billed charges,191.3583633,,,,,,,,,,285.12,percent of total billed charges,185.3212905,,,,,,,,,,285.12,percent of total billed charges,999999999,,,,,,,,,,316.8,percent of total billed charges,265.4619322,,,,312.84,percent of total billed charges,301.904063,,,,312.84,percent of total billed charges,266.7422332,,,,316.8,percent of total billed charges,999999999,,,,316.8,percent of total billed charges,999999999,,,,277.2,percent of total billed charges,999999999,,,,277.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,210.672,percent of total billed charges,999999999,,,,,,,,,,,,,,,,199.98,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,99,percent of total billed charges,94.02578371,,,,,,,,,,99,percent of total billed charges,92.46172878,,,,,,,,,,99,percent of total billed charges,92.2047816,,,,,,,,,,99,percent of total billed charges,90.84706731,,,,,,,,,,99,percent of total billed charges,93.1846959,,,,,,,,,,99,percent of total billed charges,999999999,,,,,,,,,,99,percent of total billed charges,79.95903116,,,,,,,,,,99,percent of total billed charges,126.1009061,,,,,,,,,,99,percent of total billed charges,999999999,,,,,,,,,,99,percent of total billed charges,86.21539097,,,,,,,,,,356.4,percent of total billed charges,,,,,
**VENOGRAM UNILATERAL,75820,CDM,0056-2780-01,NDC,,both,1,EA,1900,1900,404.4794948,1900,1900,percent of total billed charges,1397.897499,,,,1900,percent of total billed charges,1481.743709,,,,1900,percent of total billed charges,1397.897499,,,,1900,percent of total billed charges,1481.743709,,,,1900,percent of total billed charges,999999999,,,,1900,percent of total billed charges,1447.669414,,,,1900,percent of total billed charges,1397.897499,,,,1900,percent of total billed charges,1481.743709,,,,1354.7,percent of total billed charges,676.0200911,,,,1354.7,percent of total billed charges,404.4794948,,,,1354.7,percent of total billed charges,676.0200911,,,,1354.7,percent of total billed charges,404.4794948,,,,1354.7,percent of total billed charges,676.0200911,,,,1354.7,percent of total billed charges,404.4794948,,,,1341.4,percent of total billed charges,1331.222434,,,,1341.4,percent of total billed charges,918.1335611,,,,,,,,,,1368,percent of total billed charges,889.1678081,,,,,,,,,,1368,percent of total billed charges,999999999,,,,,,,,,,1520,percent of total billed charges,1273.680988,,,,1501,percent of total billed charges,1448.529595,,,,1501,percent of total billed charges,1279.823846,,,,1520,percent of total billed charges,999999999,,,,1520,percent of total billed charges,999999999,,,,1330,percent of total billed charges,999999999,,,,1330,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1010.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,959.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,475,percent of total billed charges,451.1338108,,,,,,,,,,475,percent of total billed charges,443.6295068,,,,,,,,,,475,percent of total billed charges,442.3966794,,,,,,,,,,475,percent of total billed charges,435.8823937,,,,,,,,,,475,percent of total billed charges,447.0982884,,,,,,,,,,475,percent of total billed charges,999999999,,,,,,,,,,475,percent of total billed charges,383.6418162,,,,,,,,,,475,percent of total billed charges,605.0295999,,,,,,,,,,475,percent of total billed charges,999999999,,,,,,,,,,475,percent of total billed charges,413.6597042,,,,,,,,,,1710,percent of total billed charges,,,,,
**VENOGRAM LT,75820,CDM,0056-2780-01,NDC,LT,both,1,EA,1900,1900,404.4794948,1900,1900,percent of total billed charges,1397.897499,,,,1900,percent of total billed charges,1481.743709,,,,1900,percent of total billed charges,1397.897499,,,,1900,percent of total billed charges,1481.743709,,,,1900,percent of total billed charges,999999999,,,,1900,percent of total billed charges,1447.669414,,,,1900,percent of total billed charges,1397.897499,,,,1900,percent of total billed charges,1481.743709,,,,1354.7,percent of total billed charges,676.0200911,,,,1354.7,percent of total billed charges,404.4794948,,,,1354.7,percent of total billed charges,676.0200911,,,,1354.7,percent of total billed charges,404.4794948,,,,1354.7,percent of total billed charges,676.0200911,,,,1354.7,percent of total billed charges,404.4794948,,,,1341.4,percent of total billed charges,1331.222434,,,,1341.4,percent of total billed charges,918.1335611,,,,,,,,,,1368,percent of total billed charges,889.1678081,,,,,,,,,,1368,percent of total billed charges,999999999,,,,,,,,,,1520,percent of total billed charges,1273.680988,,,,1501,percent of total billed charges,1448.529595,,,,1501,percent of total billed charges,1279.823846,,,,1520,percent of total billed charges,999999999,,,,1520,percent of total billed charges,999999999,,,,1330,percent of total billed charges,999999999,,,,1330,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1010.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,959.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,475,percent of total billed charges,451.1338108,,,,,,,,,,475,percent of total billed charges,443.6295068,,,,,,,,,,475,percent of total billed charges,442.3966794,,,,,,,,,,475,percent of total billed charges,435.8823937,,,,,,,,,,475,percent of total billed charges,447.0982884,,,,,,,,,,475,percent of total billed charges,999999999,,,,,,,,,,475,percent of total billed charges,383.6418162,,,,,,,,,,475,percent of total billed charges,605.0295999,,,,,,,,,,475,percent of total billed charges,999999999,,,,,,,,,,475,percent of total billed charges,413.6597042,,,,,,,,,,1710,percent of total billed charges,,,,,
INTRO NEEDLE/INTRACATHETER  VEIN BILA,36000,CDM,0056-2780-01,NDC,50,both,1,EA,396,396,84.30204207,396,396,percent of total billed charges,291.3512682,,,,396,percent of total billed charges,308.8265836,,,,396,percent of total billed charges,291.3512682,,,,396,percent of total billed charges,308.8265836,,,,396,percent of total billed charges,999999999,,,,396,percent of total billed charges,301.7247831,,,,396,percent of total billed charges,291.3512682,,,,396,percent of total billed charges,308.8265836,,,,282.348,percent of total billed charges,140.896819,,,,282.348,percent of total billed charges,84.30204207,,,,282.348,percent of total billed charges,140.896819,,,,282.348,percent of total billed charges,84.30204207,,,,282.348,percent of total billed charges,140.896819,,,,282.348,percent of total billed charges,84.30204207,,,,279.576,percent of total billed charges,277.4547809,,,,279.576,percent of total billed charges,191.3583633,,,,,,,,,,285.12,percent of total billed charges,185.3212905,,,,,,,,,,285.12,percent of total billed charges,999999999,,,,,,,,,,316.8,percent of total billed charges,265.4619322,,,,312.84,percent of total billed charges,301.904063,,,,312.84,percent of total billed charges,266.7422332,,,,316.8,percent of total billed charges,999999999,,,,316.8,percent of total billed charges,999999999,,,,277.2,percent of total billed charges,999999999,,,,277.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,210.672,percent of total billed charges,999999999,,,,,,,,,,,,,,,,199.98,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,99,percent of total billed charges,94.02578371,,,,,,,,,,99,percent of total billed charges,92.46172878,,,,,,,,,,99,percent of total billed charges,92.2047816,,,,,,,,,,99,percent of total billed charges,90.84706731,,,,,,,,,,99,percent of total billed charges,93.1846959,,,,,,,,,,99,percent of total billed charges,999999999,,,,,,,,,,99,percent of total billed charges,79.95903116,,,,,,,,,,99,percent of total billed charges,126.1009061,,,,,,,,,,99,percent of total billed charges,999999999,,,,,,,,,,99,percent of total billed charges,86.21539097,,,,,,,,,,356.4,percent of total billed charges,,,,,
**VENOGRAM RT,75820,CDM,0056-2780-01,NDC,RT,both,1,EA,1900,1900,404.4794948,1900,1900,percent of total billed charges,1397.897499,,,,1900,percent of total billed charges,1481.743709,,,,1900,percent of total billed charges,1397.897499,,,,1900,percent of total billed charges,1481.743709,,,,1900,percent of total billed charges,999999999,,,,1900,percent of total billed charges,1447.669414,,,,1900,percent of total billed charges,1397.897499,,,,1900,percent of total billed charges,1481.743709,,,,1354.7,percent of total billed charges,676.0200911,,,,1354.7,percent of total billed charges,404.4794948,,,,1354.7,percent of total billed charges,676.0200911,,,,1354.7,percent of total billed charges,404.4794948,,,,1354.7,percent of total billed charges,676.0200911,,,,1354.7,percent of total billed charges,404.4794948,,,,1341.4,percent of total billed charges,1331.222434,,,,1341.4,percent of total billed charges,918.1335611,,,,,,,,,,1368,percent of total billed charges,889.1678081,,,,,,,,,,1368,percent of total billed charges,999999999,,,,,,,,,,1520,percent of total billed charges,1273.680988,,,,1501,percent of total billed charges,1448.529595,,,,1501,percent of total billed charges,1279.823846,,,,1520,percent of total billed charges,999999999,,,,1520,percent of total billed charges,999999999,,,,1330,percent of total billed charges,999999999,,,,1330,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1010.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,959.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,475,percent of total billed charges,451.1338108,,,,,,,,,,475,percent of total billed charges,443.6295068,,,,,,,,,,475,percent of total billed charges,442.3966794,,,,,,,,,,475,percent of total billed charges,435.8823937,,,,,,,,,,475,percent of total billed charges,447.0982884,,,,,,,,,,475,percent of total billed charges,999999999,,,,,,,,,,475,percent of total billed charges,383.6418162,,,,,,,,,,475,percent of total billed charges,605.0295999,,,,,,,,,,475,percent of total billed charges,999999999,,,,,,,,,,475,percent of total billed charges,413.6597042,,,,,,,,,,1710,percent of total billed charges,,,,,
**WRIST 3 VIEWS,73110,CDM,0056-2780-01,NDC,,both,1,EA,558,558,118.7892411,558,558,percent of total billed charges,410.5404234,,,,558,percent of total billed charges,435.1647314,,,,558,percent of total billed charges,410.5404234,,,,558,percent of total billed charges,435.1647314,,,,558,percent of total billed charges,999999999,,,,558,percent of total billed charges,425.1576489,,,,558,percent of total billed charges,410.5404234,,,,558,percent of total billed charges,435.1647314,,,,397.854,percent of total billed charges,198.5364267,,,,397.854,percent of total billed charges,118.7892411,,,,397.854,percent of total billed charges,198.5364267,,,,397.854,percent of total billed charges,118.7892411,,,,397.854,percent of total billed charges,198.5364267,,,,397.854,percent of total billed charges,118.7892411,,,,393.948,percent of total billed charges,390.9590094,,,,393.948,percent of total billed charges,269.64133,,,,,,,,,,401.76,percent of total billed charges,261.1345457,,,,,,,,,,401.76,percent of total billed charges,999999999,,,,,,,,,,446.4,percent of total billed charges,374.0599953,,,,440.82,percent of total billed charges,425.4102707,,,,440.82,percent of total billed charges,375.8640559,,,,446.4,percent of total billed charges,999999999,,,,446.4,percent of total billed charges,999999999,,,,390.6,percent of total billed charges,999999999,,,,390.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,296.856,percent of total billed charges,999999999,,,,,,,,,,,,,,,,281.79,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,139.5,percent of total billed charges,132.4908771,,,,,,,,,,139.5,percent of total billed charges,130.2869815,,,,,,,,,,139.5,percent of total billed charges,129.9249195,,,,,,,,,,139.5,percent of total billed charges,128.0117767,,,,,,,,,,139.5,percent of total billed charges,131.3057079,,,,,,,,,,139.5,percent of total billed charges,999999999,,,,,,,,,,139.5,percent of total billed charges,112.6695439,,,,,,,,,,139.5,percent of total billed charges,177.6876404,,,,,,,,,,139.5,percent of total billed charges,999999999,,,,,,,,,,139.5,percent of total billed charges,121.4853236,,,,,,,,,,502.2,percent of total billed charges,,,,,
**WRIST 3 VIEWS BI,73110,CDM,0056-2780-01,NDC,50,both,1,EA,683,683,145.3997342,683,683,percent of total billed charges,502.5073641,,,,683,percent of total billed charges,532.6478701,,,,683,percent of total billed charges,502.5073641,,,,683,percent of total billed charges,532.6478701,,,,683,percent of total billed charges,999999999,,,,683,percent of total billed charges,520.3990577,,,,683,percent of total billed charges,502.5073641,,,,683,percent of total billed charges,532.6478701,,,,486.979,percent of total billed charges,243.0114327,,,,486.979,percent of total billed charges,145.3997342,,,,486.979,percent of total billed charges,243.0114327,,,,486.979,percent of total billed charges,145.3997342,,,,486.979,percent of total billed charges,243.0114327,,,,486.979,percent of total billed charges,145.3997342,,,,482.198,percent of total billed charges,478.5394327,,,,482.198,percent of total billed charges,330.0448538,,,,,,,,,,491.76,percent of total billed charges,319.6324278,,,,,,,,,,491.76,percent of total billed charges,999999999,,,,,,,,,,546.4,percent of total billed charges,457.8547972,,,,539.57,percent of total billed charges,520.7082703,,,,539.57,percent of total billed charges,460.0629931,,,,546.4,percent of total billed charges,999999999,,,,546.4,percent of total billed charges,999999999,,,,478.1,percent of total billed charges,999999999,,,,478.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,363.356,percent of total billed charges,999999999,,,,,,,,,,,,,,,,344.915,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,170.75,percent of total billed charges,162.170733,,,,,,,,,,170.75,percent of total billed charges,159.4731332,,,,,,,,,,170.75,percent of total billed charges,159.0299642,,,,,,,,,,170.75,percent of total billed charges,156.6882499,,,,,,,,,,170.75,percent of total billed charges,160.7200689,,,,,,,,,,170.75,percent of total billed charges,999999999,,,,,,,,,,170.75,percent of total billed charges,137.9091371,,,,,,,,,,170.75,percent of total billed charges,217.4922193,,,,,,,,,,170.75,percent of total billed charges,999999999,,,,,,,,,,170.75,percent of total billed charges,148.6997779,,,,,,,,,,614.7,percent of total billed charges,,,,,
WRIST 3 VIEWS LT,73110,CDM,0056-2780-01,NDC,LT,both,1,EA,579,579,123.2598039,579,579,percent of total billed charges,425.9908694,,,,579,percent of total billed charges,451.5418987,,,,579,percent of total billed charges,425.9908694,,,,579,percent of total billed charges,451.5418987,,,,579,percent of total billed charges,999999999,,,,579,percent of total billed charges,441.1582056,,,,579,percent of total billed charges,425.9908694,,,,579,percent of total billed charges,451.5418987,,,,412.827,percent of total billed charges,206.0082277,,,,412.827,percent of total billed charges,123.2598039,,,,412.827,percent of total billed charges,206.0082277,,,,412.827,percent of total billed charges,123.2598039,,,,412.827,percent of total billed charges,206.0082277,,,,412.827,percent of total billed charges,123.2598039,,,,408.774,percent of total billed charges,405.6725205,,,,408.774,percent of total billed charges,279.789122,,,,,,,,,,416.88,percent of total billed charges,270.9621899,,,,,,,,,,416.88,percent of total billed charges,999999999,,,,,,,,,,463.2,percent of total billed charges,388.1375221,,,,457.41,percent of total billed charges,441.4203346,,,,457.41,percent of total billed charges,390.0094773,,,,463.2,percent of total billed charges,999999999,,,,463.2,percent of total billed charges,999999999,,,,405.3,percent of total billed charges,999999999,,,,405.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,308.028,percent of total billed charges,999999999,,,,,,,,,,,,,,,,292.395,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,144.75,percent of total billed charges,137.4770929,,,,,,,,,,144.75,percent of total billed charges,135.190255,,,,,,,,,,144.75,percent of total billed charges,134.814567,,,,,,,,,,144.75,percent of total billed charges,132.8294242,,,,,,,,,,144.75,percent of total billed charges,136.2473205,,,,,,,,,,144.75,percent of total billed charges,999999999,,,,,,,,,,144.75,percent of total billed charges,116.9097956,,,,,,,,,,144.75,percent of total billed charges,184.3748096,,,,,,,,,,144.75,percent of total billed charges,999999999,,,,,,,,,,144.75,percent of total billed charges,126.057352,,,,,,,,,,521.1,percent of total billed charges,,,,,
WRIST 3 VIEWS RT,73110,CDM,0056-2780-01,NDC,RT,both,1,EA,579,579,123.2598039,579,579,percent of total billed charges,425.9908694,,,,579,percent of total billed charges,451.5418987,,,,579,percent of total billed charges,425.9908694,,,,579,percent of total billed charges,451.5418987,,,,579,percent of total billed charges,999999999,,,,579,percent of total billed charges,441.1582056,,,,579,percent of total billed charges,425.9908694,,,,579,percent of total billed charges,451.5418987,,,,412.827,percent of total billed charges,206.0082277,,,,412.827,percent of total billed charges,123.2598039,,,,412.827,percent of total billed charges,206.0082277,,,,412.827,percent of total billed charges,123.2598039,,,,412.827,percent of total billed charges,206.0082277,,,,412.827,percent of total billed charges,123.2598039,,,,408.774,percent of total billed charges,405.6725205,,,,408.774,percent of total billed charges,279.789122,,,,,,,,,,416.88,percent of total billed charges,270.9621899,,,,,,,,,,416.88,percent of total billed charges,999999999,,,,,,,,,,463.2,percent of total billed charges,388.1375221,,,,457.41,percent of total billed charges,441.4203346,,,,457.41,percent of total billed charges,390.0094773,,,,463.2,percent of total billed charges,999999999,,,,463.2,percent of total billed charges,999999999,,,,405.3,percent of total billed charges,999999999,,,,405.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,308.028,percent of total billed charges,999999999,,,,,,,,,,,,,,,,292.395,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,144.75,percent of total billed charges,137.4770929,,,,,,,,,,144.75,percent of total billed charges,135.190255,,,,,,,,,,144.75,percent of total billed charges,134.814567,,,,,,,,,,144.75,percent of total billed charges,132.8294242,,,,,,,,,,144.75,percent of total billed charges,136.2473205,,,,,,,,,,144.75,percent of total billed charges,999999999,,,,,,,,,,144.75,percent of total billed charges,116.9097956,,,,,,,,,,144.75,percent of total billed charges,184.3748096,,,,,,,,,,144.75,percent of total billed charges,999999999,,,,,,,,,,144.75,percent of total billed charges,126.057352,,,,,,,,,,521.1,percent of total billed charges,,,,,
**WRIST 2 VIEWS,73100,CDM,0056-2780-01,NDC,,both,1,EA,446,446,94.9462393,446,446,percent of total billed charges,328.1380445,,,,446,percent of total billed charges,347.8198391,,,,446,percent of total billed charges,328.1380445,,,,446,percent of total billed charges,347.8198391,,,,446,percent of total billed charges,999999999,,,,446,percent of total billed charges,339.8213466,,,,446,percent of total billed charges,328.1380445,,,,446,percent of total billed charges,347.8198391,,,,317.998,percent of total billed charges,158.6868214,,,,317.998,percent of total billed charges,94.9462393,,,,317.998,percent of total billed charges,158.6868214,,,,317.998,percent of total billed charges,94.9462393,,,,317.998,percent of total billed charges,158.6868214,,,,317.998,percent of total billed charges,94.9462393,,,,314.876,percent of total billed charges,312.4869502,,,,314.876,percent of total billed charges,215.5197728,,,,,,,,,,321.12,percent of total billed charges,208.7204434,,,,,,,,,,321.12,percent of total billed charges,999999999,,,,,,,,,,356.8,percent of total billed charges,298.9798529,,,,352.34,percent of total billed charges,340.0232629,,,,352.34,percent of total billed charges,300.4218081,,,,356.8,percent of total billed charges,999999999,,,,356.8,percent of total billed charges,999999999,,,,312.2,percent of total billed charges,999999999,,,,312.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,237.272,percent of total billed charges,999999999,,,,,,,,,,,,,,,,225.23,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,111.5,percent of total billed charges,105.8977261,,,,,,,,,,111.5,percent of total billed charges,104.1361895,,,,,,,,,,111.5,percent of total billed charges,103.8467995,,,,,,,,,,111.5,percent of total billed charges,102.3176566,,,,,,,,,,111.5,percent of total billed charges,104.9504403,,,,,,,,,,111.5,percent of total billed charges,999999999,,,,,,,,,,111.5,percent of total billed charges,90.05486842,,,,,,,,,,111.5,percent of total billed charges,142.0227377,,,,,,,,,,111.5,percent of total billed charges,999999999,,,,,,,,,,111.5,percent of total billed charges,97.10117266,,,,,,,,,,401.4,percent of total billed charges,,,,,
**WRIST 2 VIEWS BI,73100,CDM,0056-2780-01,NDC,50,both,1,EA,723,723,153.915092,723,723,percent of total billed charges,531.9367851,,,,723,percent of total billed charges,563.8424745,,,,723,percent of total billed charges,531.9367851,,,,723,percent of total billed charges,563.8424745,,,,723,percent of total billed charges,999999999,,,,723,percent of total billed charges,550.8763085,,,,723,percent of total billed charges,531.9367851,,,,723,percent of total billed charges,563.8424745,,,,515.499,percent of total billed charges,257.2434347,,,,515.499,percent of total billed charges,153.915092,,,,515.499,percent of total billed charges,257.2434347,,,,515.499,percent of total billed charges,153.915092,,,,515.499,percent of total billed charges,257.2434347,,,,515.499,percent of total billed charges,153.915092,,,,510.438,percent of total billed charges,506.5651681,,,,510.438,percent of total billed charges,349.3739814,,,,,,,,,,520.56,percent of total billed charges,338.3517501,,,,,,,,,,520.56,percent of total billed charges,999999999,,,,,,,,,,578.4,percent of total billed charges,484.6691338,,,,571.17,percent of total billed charges,551.2036303,,,,571.17,percent of total billed charges,487.006653,,,,578.4,percent of total billed charges,999999999,,,,578.4,percent of total billed charges,999999999,,,,506.1,percent of total billed charges,999999999,,,,506.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,384.636,percent of total billed charges,999999999,,,,,,,,,,,,,,,,365.115,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,180.75,percent of total billed charges,171.6682869,,,,,,,,,,180.75,percent of total billed charges,168.8127018,,,,,,,,,,180.75,percent of total billed charges,168.3435785,,,,,,,,,,180.75,percent of total billed charges,165.8647214,,,,,,,,,,180.75,percent of total billed charges,170.1326645,,,,,,,,,,180.75,percent of total billed charges,999999999,,,,,,,,,,180.75,percent of total billed charges,145.9858069,,,,,,,,,,180.75,percent of total billed charges,230.2296846,,,,,,,,,,180.75,percent of total billed charges,999999999,,,,,,,,,,180.75,percent of total billed charges,157.4084032,,,,,,,,,,650.7,percent of total billed charges,,,,,
WRIST 2 VIEWS RT,73100,CDM,0056-2780-01,NDC,RT,both,1,EA,487,487,103.674481,487,487,percent of total billed charges,358.303201,,,,487,percent of total billed charges,379.7943086,,,,487,percent of total billed charges,358.303201,,,,487,percent of total billed charges,379.7943086,,,,487,percent of total billed charges,999999999,,,,487,percent of total billed charges,371.0605287,,,,487,percent of total billed charges,358.303201,,,,487,percent of total billed charges,379.7943086,,,,347.231,percent of total billed charges,173.2746233,,,,347.231,percent of total billed charges,103.674481,,,,347.231,percent of total billed charges,173.2746233,,,,347.231,percent of total billed charges,103.674481,,,,347.231,percent of total billed charges,173.2746233,,,,347.231,percent of total billed charges,103.674481,,,,343.822,percent of total billed charges,341.213329,,,,343.822,percent of total billed charges,235.3321285,,,,,,,,,,350.64,percent of total billed charges,227.9077487,,,,,,,,,,350.64,percent of total billed charges,999999999,,,,,,,,,,389.6,percent of total billed charges,326.4645479,,,,384.73,percent of total billed charges,371.2810068,,,,384.73,percent of total billed charges,328.0390595,,,,389.6,percent of total billed charges,999999999,,,,389.6,percent of total billed charges,999999999,,,,340.9,percent of total billed charges,999999999,,,,340.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,259.084,percent of total billed charges,999999999,,,,,,,,,,,,,,,,245.935,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,121.75,percent of total billed charges,115.6327189,,,,,,,,,,121.75,percent of total billed charges,113.7092473,,,,,,,,,,121.75,percent of total billed charges,113.3932541,,,,,,,,,,121.75,percent of total billed charges,111.7235398,,,,,,,,,,121.75,percent of total billed charges,114.5983508,,,,,,,,,,121.75,percent of total billed charges,999999999,,,,,,,,,,121.75,percent of total billed charges,98.33345498,,,,,,,,,,121.75,percent of total billed charges,155.0786395,,,,,,,,,,121.75,percent of total billed charges,999999999,,,,,,,,,,121.75,percent of total billed charges,106.0275136,,,,,,,,,,438.3,percent of total billed charges,,,,,
WRIST 2 VIEWS LT,73100,CDM,0056-2780-01,NDC,LT,both,1,EA,487,487,103.674481,487,487,percent of total billed charges,358.303201,,,,487,percent of total billed charges,379.7943086,,,,487,percent of total billed charges,358.303201,,,,487,percent of total billed charges,379.7943086,,,,487,percent of total billed charges,999999999,,,,487,percent of total billed charges,371.0605287,,,,487,percent of total billed charges,358.303201,,,,487,percent of total billed charges,379.7943086,,,,347.231,percent of total billed charges,173.2746233,,,,347.231,percent of total billed charges,103.674481,,,,347.231,percent of total billed charges,173.2746233,,,,347.231,percent of total billed charges,103.674481,,,,347.231,percent of total billed charges,173.2746233,,,,347.231,percent of total billed charges,103.674481,,,,343.822,percent of total billed charges,341.213329,,,,343.822,percent of total billed charges,235.3321285,,,,,,,,,,350.64,percent of total billed charges,227.9077487,,,,,,,,,,350.64,percent of total billed charges,999999999,,,,,,,,,,389.6,percent of total billed charges,326.4645479,,,,384.73,percent of total billed charges,371.2810068,,,,384.73,percent of total billed charges,328.0390595,,,,389.6,percent of total billed charges,999999999,,,,389.6,percent of total billed charges,999999999,,,,340.9,percent of total billed charges,999999999,,,,340.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,259.084,percent of total billed charges,999999999,,,,,,,,,,,,,,,,245.935,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,121.75,percent of total billed charges,115.6327189,,,,,,,,,,121.75,percent of total billed charges,113.7092473,,,,,,,,,,121.75,percent of total billed charges,113.3932541,,,,,,,,,,121.75,percent of total billed charges,111.7235398,,,,,,,,,,121.75,percent of total billed charges,114.5983508,,,,,,,,,,121.75,percent of total billed charges,999999999,,,,,,,,,,121.75,percent of total billed charges,98.33345498,,,,,,,,,,121.75,percent of total billed charges,155.0786395,,,,,,,,,,121.75,percent of total billed charges,999999999,,,,,,,,,,121.75,percent of total billed charges,106.0275136,,,,,,,,,,438.3,percent of total billed charges,,,,,
**CHEST PA (TB),71010,CDM,0056-2780-01,NDC,,both,1,EA,595,595,126.6659471,595,595,percent of total billed charges,437.7626378,,,,595,percent of total billed charges,464.0197405,,,,595,percent of total billed charges,437.7626378,,,,595,percent of total billed charges,464.0197405,,,,595,percent of total billed charges,999999999,,,,595,percent of total billed charges,453.3491059,,,,595,percent of total billed charges,437.7626378,,,,595,percent of total billed charges,464.0197405,,,,424.235,percent of total billed charges,211.7010285,,,,424.235,percent of total billed charges,126.6659471,,,,424.235,percent of total billed charges,211.7010285,,,,424.235,percent of total billed charges,126.6659471,,,,424.235,percent of total billed charges,211.7010285,,,,424.235,percent of total billed charges,126.6659471,,,,420.07,percent of total billed charges,416.8828147,,,,420.07,percent of total billed charges,287.5207731,,,,,,,,,,428.4,percent of total billed charges,278.4499188,,,,,,,,,,428.4,percent of total billed charges,999999999,,,,,,,,,,476,percent of total billed charges,398.8632567,,,,470.05,percent of total billed charges,453.6184786,,,,470.05,percent of total billed charges,400.7869413,,,,476,percent of total billed charges,999999999,,,,476,percent of total billed charges,999999999,,,,416.5,percent of total billed charges,999999999,,,,416.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,316.54,percent of total billed charges,999999999,,,,,,,,,,,,,,,,300.475,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,148.75,percent of total billed charges,141.2761144,,,,,,,,,,148.75,percent of total billed charges,138.9260824,,,,,,,,,,148.75,percent of total billed charges,138.5400128,,,,,,,,,,148.75,percent of total billed charges,136.5000127,,,,,,,,,,148.75,percent of total billed charges,140.0123587,,,,,,,,,,148.75,percent of total billed charges,999999999,,,,,,,,,,148.75,percent of total billed charges,120.1404635,,,,,,,,,,148.75,percent of total billed charges,189.4697958,,,,,,,,,,148.75,percent of total billed charges,999999999,,,,,,,,,,148.75,percent of total billed charges,129.5408021,,,,,,,,,,535.5,percent of total billed charges,,,,,
**ARTHROGRAM SHOULDER,73040,CDM,0056-2780-01,NDC,,both,1,EA,457,457,97.28796269,457,457,percent of total billed charges,336.2311353,,,,457,percent of total billed charges,356.3983553,,,,457,percent of total billed charges,336.2311353,,,,457,percent of total billed charges,356.3983553,,,,457,percent of total billed charges,999999999,,,,457,percent of total billed charges,348.2025906,,,,457,percent of total billed charges,336.2311353,,,,457,percent of total billed charges,356.3983553,,,,325.841,percent of total billed charges,162.6006219,,,,325.841,percent of total billed charges,97.28796269,,,,325.841,percent of total billed charges,162.6006219,,,,325.841,percent of total billed charges,97.28796269,,,,325.841,percent of total billed charges,162.6006219,,,,325.841,percent of total billed charges,97.28796269,,,,322.642,percent of total billed charges,320.1940274,,,,322.642,percent of total billed charges,220.8352828,,,,,,,,,,329.04,percent of total billed charges,213.868257,,,,,,,,,,329.04,percent of total billed charges,999999999,,,,,,,,,,365.6,percent of total billed charges,306.3537955,,,,361.03,percent of total billed charges,348.4094869,,,,361.03,percent of total billed charges,307.8313146,,,,365.6,percent of total billed charges,999999999,,,,365.6,percent of total billed charges,999999999,,,,319.9,percent of total billed charges,999999999,,,,319.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,243.124,percent of total billed charges,999999999,,,,,,,,,,,,,,,,230.785,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,114.25,percent of total billed charges,108.5095534,,,,,,,,,,114.25,percent of total billed charges,106.7045708,,,,,,,,,,114.25,percent of total billed charges,106.4080434,,,,,,,,,,114.25,percent of total billed charges,104.8411863,,,,,,,,,,114.25,percent of total billed charges,107.5389041,,,,,,,,,,114.25,percent of total billed charges,999999999,,,,,,,,,,114.25,percent of total billed charges,92.27595262,,,,,,,,,,114.25,percent of total billed charges,145.5255406,,,,,,,,,,114.25,percent of total billed charges,999999999,,,,,,,,,,114.25,percent of total billed charges,99.49604463,,,,,,,,,,411.3,percent of total billed charges,,,,,
INJECTION SHOULDER ARTHROGRAM,23350,CDM,0056-2780-01,NDC,,both,1,EA,931,931,198.1949524,931,931,percent of total billed charges,684.9697744,,,,931,percent of total billed charges,726.0544174,,,,931,percent of total billed charges,684.9697744,,,,931,percent of total billed charges,726.0544174,,,,931,percent of total billed charges,999999999,,,,931,percent of total billed charges,709.3580128,,,,931,percent of total billed charges,684.9697744,,,,931,percent of total billed charges,726.0544174,,,,663.803,percent of total billed charges,331.2498446,,,,663.803,percent of total billed charges,198.1949524,,,,663.803,percent of total billed charges,331.2498446,,,,663.803,percent of total billed charges,198.1949524,,,,663.803,percent of total billed charges,331.2498446,,,,663.803,percent of total billed charges,198.1949524,,,,657.286,percent of total billed charges,652.2989924,,,,657.286,percent of total billed charges,449.8854449,,,,,,,,,,670.32,percent of total billed charges,435.692226,,,,,,,,,,670.32,percent of total billed charges,999999999,,,,,,,,,,744.8,percent of total billed charges,624.103684,,,,735.49,percent of total billed charges,709.7795017,,,,735.49,percent of total billed charges,627.1136846,,,,744.8,percent of total billed charges,999999999,,,,744.8,percent of total billed charges,999999999,,,,651.7,percent of total billed charges,999999999,,,,651.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,495.292,percent of total billed charges,999999999,,,,,,,,,,,,,,,,470.155,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,232.75,percent of total billed charges,221.0555673,,,,,,,,,,232.75,percent of total billed charges,217.3784583,,,,,,,,,,232.75,percent of total billed charges,216.7743729,,,,,,,,,,232.75,percent of total billed charges,213.5823729,,,,,,,,,,232.75,percent of total billed charges,219.0781613,,,,,,,,,,232.75,percent of total billed charges,999999999,,,,,,,,,,232.75,percent of total billed charges,187.9844899,,,,,,,,,,232.75,percent of total billed charges,296.4645039,,,,,,,,,,232.75,percent of total billed charges,999999999,,,,,,,,,,232.75,percent of total billed charges,202.693255,,,,,,,,,,837.9,percent of total billed charges,,,,,
ARTHROGRAM SHOULDER LT,73040,CDM,0056-2780-01,NDC,LT,both,1,EA,1620,1620,344.8719903,1620,1620,percent of total billed charges,1191.891552,,,,1620,percent of total billed charges,1263.381478,,,,1620,percent of total billed charges,1191.891552,,,,1620,percent of total billed charges,1263.381478,,,,1620,percent of total billed charges,999999999,,,,1620,percent of total billed charges,1234.328658,,,,1620,percent of total billed charges,1191.891552,,,,1620,percent of total billed charges,1263.381478,,,,1155.06,percent of total billed charges,576.3960776,,,,1155.06,percent of total billed charges,344.8719903,,,,1155.06,percent of total billed charges,576.3960776,,,,1155.06,percent of total billed charges,344.8719903,,,,1155.06,percent of total billed charges,576.3960776,,,,1155.06,percent of total billed charges,344.8719903,,,,1143.72,percent of total billed charges,1135.042285,,,,1143.72,percent of total billed charges,782.8296679,,,,,,,,,,1166.4,percent of total billed charges,758.1325521,,,,,,,,,,1166.4,percent of total billed charges,999999999,,,,,,,,,,1296,percent of total billed charges,1085.980632,,,,1279.8,percent of total billed charges,1235.062076,,,,1279.8,percent of total billed charges,1091.218227,,,,1296,percent of total billed charges,999999999,,,,1296,percent of total billed charges,999999999,,,,1134,percent of total billed charges,999999999,,,,1134,percent of total billed charges,999999999,,,,,,,,,,,,,,,,861.84,percent of total billed charges,999999999,,,,,,,,,,,,,,,,818.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,405,percent of total billed charges,384.6509334,,,,,,,,,,405,percent of total billed charges,378.2525268,,,,,,,,,,405,percent of total billed charges,377.2013793,,,,,,,,,,405,percent of total billed charges,371.6470935,,,,,,,,,,405,percent of total billed charges,381.2101196,,,,,,,,,,405,percent of total billed charges,999999999,,,,,,,,,,405,percent of total billed charges,327.1051275,,,,,,,,,,405,percent of total billed charges,515.8673431,,,,,,,,,,405,percent of total billed charges,999999999,,,,,,,,,,405,percent of total billed charges,352.6993267,,,,,,,,,,1458,percent of total billed charges,,,,,
ARTHROGRAM SHOULDER RT,73040,CDM,0056-2780-01,NDC,RT,both,1,EA,1620,1620,344.8719903,1620,1620,percent of total billed charges,1191.891552,,,,1620,percent of total billed charges,1263.381478,,,,1620,percent of total billed charges,1191.891552,,,,1620,percent of total billed charges,1263.381478,,,,1620,percent of total billed charges,999999999,,,,1620,percent of total billed charges,1234.328658,,,,1620,percent of total billed charges,1191.891552,,,,1620,percent of total billed charges,1263.381478,,,,1155.06,percent of total billed charges,576.3960776,,,,1155.06,percent of total billed charges,344.8719903,,,,1155.06,percent of total billed charges,576.3960776,,,,1155.06,percent of total billed charges,344.8719903,,,,1155.06,percent of total billed charges,576.3960776,,,,1155.06,percent of total billed charges,344.8719903,,,,1143.72,percent of total billed charges,1135.042285,,,,1143.72,percent of total billed charges,782.8296679,,,,,,,,,,1166.4,percent of total billed charges,758.1325521,,,,,,,,,,1166.4,percent of total billed charges,999999999,,,,,,,,,,1296,percent of total billed charges,1085.980632,,,,1279.8,percent of total billed charges,1235.062076,,,,1279.8,percent of total billed charges,1091.218227,,,,1296,percent of total billed charges,999999999,,,,1296,percent of total billed charges,999999999,,,,1134,percent of total billed charges,999999999,,,,1134,percent of total billed charges,999999999,,,,,,,,,,,,,,,,861.84,percent of total billed charges,999999999,,,,,,,,,,,,,,,,818.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,405,percent of total billed charges,384.6509334,,,,,,,,,,405,percent of total billed charges,378.2525268,,,,,,,,,,405,percent of total billed charges,377.2013793,,,,,,,,,,405,percent of total billed charges,371.6470935,,,,,,,,,,405,percent of total billed charges,381.2101196,,,,,,,,,,405,percent of total billed charges,999999999,,,,,,,,,,405,percent of total billed charges,327.1051275,,,,,,,,,,405,percent of total billed charges,515.8673431,,,,,,,,,,405,percent of total billed charges,999999999,,,,,,,,,,405,percent of total billed charges,352.6993267,,,,,,,,,,1458,percent of total billed charges,,,,,
INJECTION ARTHROGRAM SHOULDER BILATE,23350,CDM,0056-2780-01,NDC,50,both,1,EA,916,916,195.0016933,916,916,percent of total billed charges,673.9337416,,,,916,percent of total billed charges,714.3564408,,,,916,percent of total billed charges,673.9337416,,,,916,percent of total billed charges,714.3564408,,,,916,percent of total billed charges,999999999,,,,916,percent of total billed charges,697.9290437,,,,916,percent of total billed charges,673.9337416,,,,916,percent of total billed charges,714.3564408,,,,653.108,percent of total billed charges,325.9128439,,,,653.108,percent of total billed charges,195.0016933,,,,653.108,percent of total billed charges,325.9128439,,,,653.108,percent of total billed charges,195.0016933,,,,653.108,percent of total billed charges,325.9128439,,,,653.108,percent of total billed charges,195.0016933,,,,646.696,percent of total billed charges,641.7893416,,,,646.696,percent of total billed charges,442.6370221,,,,,,,,,,659.52,percent of total billed charges,428.6724801,,,,,,,,,,659.52,percent of total billed charges,999999999,,,,,,,,,,732.8,percent of total billed charges,614.0483078,,,,723.64,percent of total billed charges,698.3437418,,,,723.64,percent of total billed charges,617.0098121,,,,732.8,percent of total billed charges,999999999,,,,732.8,percent of total billed charges,999999999,,,,641.2,percent of total billed charges,999999999,,,,641.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,487.312,percent of total billed charges,999999999,,,,,,,,,,,,,,,,462.58,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,229,percent of total billed charges,217.4939846,,,,,,,,,,229,percent of total billed charges,213.8761201,,,,,,,,,,229,percent of total billed charges,213.2817675,,,,,,,,,,229,percent of total billed charges,210.1411961,,,,,,,,,,229,percent of total billed charges,215.548438,,,,,,,,,,229,percent of total billed charges,999999999,,,,,,,,,,229,percent of total billed charges,184.9557387,,,,,,,,,,229,percent of total billed charges,291.6879545,,,,,,,,,,229,percent of total billed charges,999999999,,,,,,,,,,229,percent of total billed charges,199.4275205,,,,,,,,,,824.4,percent of total billed charges,,,,,
**ARTHROGRAM WRIST BILATERAL,73115,CDM,0056-2780-01,NDC,50,both,1,EA,951,951,202.4526313,951,951,percent of total billed charges,699.684485,,,,951,percent of total billed charges,741.6517196,,,,951,percent of total billed charges,699.684485,,,,951,percent of total billed charges,741.6517196,,,,951,percent of total billed charges,999999999,,,,951,percent of total billed charges,724.5966382,,,,951,percent of total billed charges,699.684485,,,,951,percent of total billed charges,741.6517196,,,,678.063,percent of total billed charges,338.3658456,,,,678.063,percent of total billed charges,202.4526313,,,,678.063,percent of total billed charges,338.3658456,,,,678.063,percent of total billed charges,202.4526313,,,,678.063,percent of total billed charges,338.3658456,,,,678.063,percent of total billed charges,202.4526313,,,,671.406,percent of total billed charges,666.3118602,,,,671.406,percent of total billed charges,459.5500087,,,,,,,,,,684.72,percent of total billed charges,445.0518871,,,,,,,,,,684.72,percent of total billed charges,999999999,,,,,,,,,,760.8,percent of total billed charges,637.5108523,,,,751.29,percent of total billed charges,725.0271817,,,,751.29,percent of total billed charges,640.5855145,,,,760.8,percent of total billed charges,999999999,,,,760.8,percent of total billed charges,999999999,,,,665.7,percent of total billed charges,999999999,,,,665.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,505.932,percent of total billed charges,999999999,,,,,,,,,,,,,,,,480.255,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,237.75,percent of total billed charges,225.8043442,,,,,,,,,,237.75,percent of total billed charges,222.0482426,,,,,,,,,,237.75,percent of total billed charges,221.43118,,,,,,,,,,237.75,percent of total billed charges,218.1706086,,,,,,,,,,237.75,percent of total billed charges,223.7844591,,,,,,,,,,237.75,percent of total billed charges,999999999,,,,,,,,,,237.75,percent of total billed charges,192.0228248,,,,,,,,,,237.75,percent of total billed charges,302.8332366,,,,,,,,,,237.75,percent of total billed charges,999999999,,,,,,,,,,237.75,percent of total billed charges,207.0475677,,,,,,,,,,855.9,percent of total billed charges,,,,,
INJECTION ARTHROGRAM WRIST BILATERAL,25246,CDM,0056-2780-01,NDC,50,both,1,EA,838,838,178.3967456,838,838,percent of total billed charges,616.5463706,,,,838,percent of total billed charges,653.5269622,,,,838,percent of total billed charges,616.5463706,,,,838,percent of total billed charges,653.5269622,,,,838,percent of total billed charges,999999999,,,,838,percent of total billed charges,638.4984046,,,,838,percent of total billed charges,616.5463706,,,,838,percent of total billed charges,653.5269622,,,,597.494,percent of total billed charges,298.1604402,,,,597.494,percent of total billed charges,178.3967456,,,,597.494,percent of total billed charges,298.1604402,,,,597.494,percent of total billed charges,178.3967456,,,,597.494,percent of total billed charges,298.1604402,,,,597.494,percent of total billed charges,178.3967456,,,,591.628,percent of total billed charges,587.1391575,,,,591.628,percent of total billed charges,404.9452233,,,,,,,,,,603.36,percent of total billed charges,392.1698017,,,,,,,,,,603.36,percent of total billed charges,999999999,,,,,,,,,,670.4,percent of total billed charges,561.7603514,,,,662.02,percent of total billed charges,638.87779,,,,662.02,percent of total billed charges,564.4696753,,,,670.4,percent of total billed charges,999999999,,,,670.4,percent of total billed charges,999999999,,,,586.6,percent of total billed charges,999999999,,,,586.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,445.816,percent of total billed charges,999999999,,,,,,,,,,,,,,,,423.19,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,209.5,percent of total billed charges,198.9737544,,,,,,,,,,209.5,percent of total billed charges,195.6639614,,,,,,,,,,209.5,percent of total billed charges,195.1202196,,,,,,,,,,209.5,percent of total billed charges,192.2470768,,,,,,,,,,209.5,percent of total billed charges,197.1938767,,,,,,,,,,209.5,percent of total billed charges,999999999,,,,,,,,,,209.5,percent of total billed charges,169.2062326,,,,,,,,,,209.5,percent of total billed charges,266.8498972,,,,,,,,,,209.5,percent of total billed charges,999999999,,,,,,,,,,209.5,percent of total billed charges,182.4457011,,,,,,,,,,754.2,percent of total billed charges,,,,,
**ARTHROGRAM WRIST,73115,CDM,0056-2780-01,NDC,,both,1,EA,482,482,102.6100613,482,482,percent of total billed charges,354.6245234,,,,482,percent of total billed charges,375.894983,,,,482,percent of total billed charges,354.6245234,,,,482,percent of total billed charges,375.894983,,,,482,percent of total billed charges,999999999,,,,482,percent of total billed charges,367.2508723,,,,482,percent of total billed charges,354.6245234,,,,482,percent of total billed charges,375.894983,,,,343.666,percent of total billed charges,171.4956231,,,,343.666,percent of total billed charges,102.6100613,,,,343.666,percent of total billed charges,171.4956231,,,,343.666,percent of total billed charges,102.6100613,,,,343.666,percent of total billed charges,171.4956231,,,,343.666,percent of total billed charges,102.6100613,,,,340.292,percent of total billed charges,337.7101121,,,,340.292,percent of total billed charges,232.9159876,,,,,,,,,,347.04,percent of total billed charges,225.5678334,,,,,,,,,,347.04,percent of total billed charges,999999999,,,,,,,,,,385.6,percent of total billed charges,323.1127558,,,,380.78,percent of total billed charges,367.4690868,,,,380.78,percent of total billed charges,324.671102,,,,385.6,percent of total billed charges,999999999,,,,385.6,percent of total billed charges,999999999,,,,337.4,percent of total billed charges,999999999,,,,337.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,256.424,percent of total billed charges,999999999,,,,,,,,,,,,,,,,243.41,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,120.5,percent of total billed charges,114.4455246,,,,,,,,,,120.5,percent of total billed charges,112.5418012,,,,,,,,,,120.5,percent of total billed charges,112.2290523,,,,,,,,,,120.5,percent of total billed charges,110.5764809,,,,,,,,,,120.5,percent of total billed charges,113.4217763,,,,,,,,,,120.5,percent of total billed charges,999999999,,,,,,,,,,120.5,percent of total billed charges,97.32387126,,,,,,,,,,120.5,percent of total billed charges,153.4864564,,,,,,,,,,120.5,percent of total billed charges,999999999,,,,,,,,,,120.5,percent of total billed charges,104.9389355,,,,,,,,,,433.8,percent of total billed charges,,,,,
INJECTION ARTHROGRAM WRIST,25246,CDM,0056-2780-01,NDC,,both,1,EA,838,838,178.3967456,838,838,percent of total billed charges,616.5463706,,,,838,percent of total billed charges,653.5269622,,,,838,percent of total billed charges,616.5463706,,,,838,percent of total billed charges,653.5269622,,,,838,percent of total billed charges,999999999,,,,838,percent of total billed charges,638.4984046,,,,838,percent of total billed charges,616.5463706,,,,838,percent of total billed charges,653.5269622,,,,597.494,percent of total billed charges,298.1604402,,,,597.494,percent of total billed charges,178.3967456,,,,597.494,percent of total billed charges,298.1604402,,,,597.494,percent of total billed charges,178.3967456,,,,597.494,percent of total billed charges,298.1604402,,,,597.494,percent of total billed charges,178.3967456,,,,591.628,percent of total billed charges,587.1391575,,,,591.628,percent of total billed charges,404.9452233,,,,,,,,,,603.36,percent of total billed charges,392.1698017,,,,,,,,,,603.36,percent of total billed charges,999999999,,,,,,,,,,670.4,percent of total billed charges,561.7603514,,,,662.02,percent of total billed charges,638.87779,,,,662.02,percent of total billed charges,564.4696753,,,,670.4,percent of total billed charges,999999999,,,,670.4,percent of total billed charges,999999999,,,,586.6,percent of total billed charges,999999999,,,,586.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,445.816,percent of total billed charges,999999999,,,,,,,,,,,,,,,,423.19,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,209.5,percent of total billed charges,198.9737544,,,,,,,,,,209.5,percent of total billed charges,195.6639614,,,,,,,,,,209.5,percent of total billed charges,195.1202196,,,,,,,,,,209.5,percent of total billed charges,192.2470768,,,,,,,,,,209.5,percent of total billed charges,197.1938767,,,,,,,,,,209.5,percent of total billed charges,999999999,,,,,,,,,,209.5,percent of total billed charges,169.2062326,,,,,,,,,,209.5,percent of total billed charges,266.8498972,,,,,,,,,,209.5,percent of total billed charges,999999999,,,,,,,,,,209.5,percent of total billed charges,182.4457011,,,,,,,,,,754.2,percent of total billed charges,,,,,
ARTHROGRAM WRIST LT,73115,CDM,0056-2780-01,NDC,LT,both,1,EA,1434,1434,305.2755766,1434,1434,percent of total billed charges,1055.044744,,,,1434,percent of total billed charges,1118.326568,,,,1434,percent of total billed charges,1055.044744,,,,1434,percent of total billed charges,1118.326568,,,,1434,percent of total billed charges,999999999,,,,1434,percent of total billed charges,1092.609442,,,,1434,percent of total billed charges,1055.044744,,,,1434,percent of total billed charges,1118.326568,,,,1022.442,percent of total billed charges,510.2172687,,,,1022.442,percent of total billed charges,305.2755766,,,,1022.442,percent of total billed charges,510.2172687,,,,1022.442,percent of total billed charges,305.2755766,,,,1022.442,percent of total billed charges,510.2172687,,,,1022.442,percent of total billed charges,305.2755766,,,,1012.404,percent of total billed charges,1004.722616,,,,1012.404,percent of total billed charges,692.9492245,,,,,,,,,,1032.48,percent of total billed charges,671.0877036,,,,,,,,,,1032.48,percent of total billed charges,999999999,,,,,,,,,,1147.2,percent of total billed charges,961.2939665,,,,1132.86,percent of total billed charges,1093.258653,,,,1132.86,percent of total billed charges,965.930208,,,,1147.2,percent of total billed charges,999999999,,,,1147.2,percent of total billed charges,999999999,,,,1003.8,percent of total billed charges,999999999,,,,1003.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,762.888,percent of total billed charges,999999999,,,,,,,,,,,,,,,,724.17,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,358.5,percent of total billed charges,340.4873077,,,,,,,,,,358.5,percent of total billed charges,334.823533,,,,,,,,,,358.5,percent of total billed charges,333.8930727,,,,,,,,,,358.5,percent of total billed charges,328.9765013,,,,,,,,,,358.5,percent of total billed charges,337.4415503,,,,,,,,,,358.5,percent of total billed charges,999999999,,,,,,,,,,358.5,percent of total billed charges,289.5486128,,,,,,,,,,358.5,percent of total billed charges,456.6381296,,,,,,,,,,358.5,percent of total billed charges,999999999,,,,,,,,,,358.5,percent of total billed charges,312.2042188,,,,,,,,,,1290.6,percent of total billed charges,,,,,
ARTHROGRAM WRIST RT,73115,CDM,0056-2780-01,NDC,RT,both,1,EA,1434,1434,305.2755766,1434,1434,percent of total billed charges,1055.044744,,,,1434,percent of total billed charges,1118.326568,,,,1434,percent of total billed charges,1055.044744,,,,1434,percent of total billed charges,1118.326568,,,,1434,percent of total billed charges,999999999,,,,1434,percent of total billed charges,1092.609442,,,,1434,percent of total billed charges,1055.044744,,,,1434,percent of total billed charges,1118.326568,,,,1022.442,percent of total billed charges,510.2172687,,,,1022.442,percent of total billed charges,305.2755766,,,,1022.442,percent of total billed charges,510.2172687,,,,1022.442,percent of total billed charges,305.2755766,,,,1022.442,percent of total billed charges,510.2172687,,,,1022.442,percent of total billed charges,305.2755766,,,,1012.404,percent of total billed charges,1004.722616,,,,1012.404,percent of total billed charges,692.9492245,,,,,,,,,,1032.48,percent of total billed charges,671.0877036,,,,,,,,,,1032.48,percent of total billed charges,999999999,,,,,,,,,,1147.2,percent of total billed charges,961.2939665,,,,1132.86,percent of total billed charges,1093.258653,,,,1132.86,percent of total billed charges,965.930208,,,,1147.2,percent of total billed charges,999999999,,,,1147.2,percent of total billed charges,999999999,,,,1003.8,percent of total billed charges,999999999,,,,1003.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,762.888,percent of total billed charges,999999999,,,,,,,,,,,,,,,,724.17,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,358.5,percent of total billed charges,340.4873077,,,,,,,,,,358.5,percent of total billed charges,334.823533,,,,,,,,,,358.5,percent of total billed charges,333.8930727,,,,,,,,,,358.5,percent of total billed charges,328.9765013,,,,,,,,,,358.5,percent of total billed charges,337.4415503,,,,,,,,,,358.5,percent of total billed charges,999999999,,,,,,,,,,358.5,percent of total billed charges,289.5486128,,,,,,,,,,358.5,percent of total billed charges,456.6381296,,,,,,,,,,358.5,percent of total billed charges,999999999,,,,,,,,,,358.5,percent of total billed charges,312.2042188,,,,,,,,,,1290.6,percent of total billed charges,,,,,
**ARTHROGRAM KNEE BILATERAL,73580,CDM,0056-2780-01,NDC,50,both,1,EA,1088,1088,231.6177318,1088,1088,percent of total billed charges,800.480252,,,,1088,percent of total billed charges,848.4932397,,,,1088,percent of total billed charges,800.480252,,,,1088,percent of total billed charges,848.4932397,,,,1088,percent of total billed charges,999999999,,,,1088,percent of total billed charges,828.9812222,,,,1088,percent of total billed charges,800.480252,,,,1088,percent of total billed charges,848.4932397,,,,775.744,percent of total billed charges,387.1104521,,,,775.744,percent of total billed charges,231.6177318,,,,775.744,percent of total billed charges,387.1104521,,,,775.744,percent of total billed charges,231.6177318,,,,775.744,percent of total billed charges,387.1104521,,,,775.744,percent of total billed charges,231.6177318,,,,768.128,percent of total billed charges,762.300004,,,,768.128,percent of total billed charges,525.7522708,,,,,,,,,,783.36,percent of total billed charges,509.1655659,,,,,,,,,,783.36,percent of total billed charges,999999999,,,,,,,,,,870.4,percent of total billed charges,729.3499551,,,,859.52,percent of total billed charges,829.4737894,,,,859.52,percent of total billed charges,732.8675498,,,,870.4,percent of total billed charges,999999999,,,,870.4,percent of total billed charges,999999999,,,,761.6,percent of total billed charges,999999999,,,,761.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,578.816,percent of total billed charges,999999999,,,,,,,,,,,,,,,,549.44,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,272,percent of total billed charges,258.3334664,,,,,,,,,,272,percent of total billed charges,254.0362649,,,,,,,,,,272,percent of total billed charges,253.330309,,,,,,,,,,272,percent of total billed charges,249.6000233,,,,,,,,,,272,percent of total billed charges,256.0225988,,,,,,,,,,272,percent of total billed charges,999999999,,,,,,,,,,272,percent of total billed charges,219.6854189,,,,,,,,,,272,percent of total billed charges,346.4590551,,,,,,,,,,272,percent of total billed charges,999999999,,,,,,,,,,272,percent of total billed charges,236.8746095,,,,,,,,,,979.2,percent of total billed charges,,,,,
**INJECTION ARTHROGRAM KNEE BI,27370,CDM,0056-2780-01,NDC,50,both,1,EA,1996,1996,424.9163535,1996,1996,percent of total billed charges,1468.528109,,,,1996,percent of total billed charges,1556.61076,,,,1996,percent of total billed charges,1468.528109,,,,1996,percent of total billed charges,1556.61076,,,,1996,percent of total billed charges,999999999,,,,1996,percent of total billed charges,1520.814816,,,,1996,percent of total billed charges,1468.528109,,,,1996,percent of total billed charges,1556.61076,,,,1423.148,percent of total billed charges,710.1768957,,,,1423.148,percent of total billed charges,424.9163535,,,,1423.148,percent of total billed charges,710.1768957,,,,1423.148,percent of total billed charges,424.9163535,,,,1423.148,percent of total billed charges,710.1768957,,,,1423.148,percent of total billed charges,424.9163535,,,,1409.176,percent of total billed charges,1398.484199,,,,1409.176,percent of total billed charges,964.5234673,,,,,,,,,,1437.12,percent of total billed charges,934.0941815,,,,,,,,,,1437.12,percent of total billed charges,999999999,,,,,,,,,,1596.8,percent of total billed charges,1338.035396,,,,1576.84,percent of total billed charges,1521.718459,,,,1576.84,percent of total billed charges,1344.48863,,,,1596.8,percent of total billed charges,999999999,,,,1596.8,percent of total billed charges,999999999,,,,1397.2,percent of total billed charges,999999999,,,,1397.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1061.872,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1007.98,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,499,percent of total billed charges,473.9279401,,,,,,,,,,499,percent of total billed charges,466.0444713,,,,,,,,,,499,percent of total billed charges,464.7493537,,,,,,,,,,499,percent of total billed charges,457.9059251,,,,,,,,,,499,percent of total billed charges,469.6885177,,,,,,,,,,499,percent of total billed charges,999999999,,,,,,,,,,499,percent of total billed charges,403.0258237,,,,,,,,,,499,percent of total billed charges,635.5995165,,,,,,,,,,499,percent of total billed charges,999999999,,,,,,,,,,499,percent of total billed charges,434.560405,,,,,,,,,,1796.4,percent of total billed charges,,,,,
INJECTION ARTHROGRAM KNEE,27369,CDM,0056-2780-01,NDC,,both,1,EA,1003,1003,213.5225965,1003,1003,percent of total billed charges,737.9427323,,,,1003,percent of total billed charges,782.2047053,,,,1003,percent of total billed charges,737.9427323,,,,1003,percent of total billed charges,782.2047053,,,,1003,percent of total billed charges,999999999,,,,1003,percent of total billed charges,764.2170642,,,,1003,percent of total billed charges,737.9427323,,,,1003,percent of total billed charges,782.2047053,,,,715.139,percent of total billed charges,356.8674481,,,,715.139,percent of total billed charges,213.5225965,,,,715.139,percent of total billed charges,356.8674481,,,,715.139,percent of total billed charges,213.5225965,,,,715.139,percent of total billed charges,356.8674481,,,,715.139,percent of total billed charges,213.5225965,,,,708.118,percent of total billed charges,702.7453162,,,,708.118,percent of total billed charges,484.6778746,,,,,,,,,,722.16,percent of total billed charges,469.387006,,,,,,,,,,722.16,percent of total billed charges,999999999,,,,,,,,,,802.4,percent of total billed charges,672.3694898,,,,792.37,percent of total billed charges,764.6711496,,,,792.37,percent of total billed charges,675.6122724,,,,802.4,percent of total billed charges,999999999,,,,802.4,percent of total billed charges,999999999,,,,702.1,percent of total billed charges,999999999,,,,702.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,533.596,percent of total billed charges,999999999,,,,,,,,,,,,,,,,506.515,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,250.75,percent of total billed charges,238.1511643,,,,,,,,,,250.75,percent of total billed charges,234.1896817,,,,,,,,,,250.75,percent of total billed charges,233.5388786,,,,,,,,,,250.75,percent of total billed charges,230.1000215,,,,,,,,,,250.75,percent of total billed charges,236.0208333,,,,,,,,,,250.75,percent of total billed charges,999999999,,,,,,,,,,250.75,percent of total billed charges,202.5224956,,,,,,,,,,250.75,percent of total billed charges,319.3919414,,,,,,,,,,250.75,percent of total billed charges,999999999,,,,,,,,,,250.75,percent of total billed charges,218.3687807,,,,,,,,,,902.7,percent of total billed charges,,,,,
**ARTHROGRAM KNEE,27369,CDM,0056-2780-01,NDC,,both,1,EA,547,547,116.4475177,547,547,percent of total billed charges,402.4473326,,,,547,percent of total billed charges,426.5862152,,,,547,percent of total billed charges,402.4473326,,,,547,percent of total billed charges,426.5862152,,,,547,percent of total billed charges,999999999,,,,547,percent of total billed charges,416.7764049,,,,547,percent of total billed charges,402.4473326,,,,547,percent of total billed charges,426.5862152,,,,390.011,percent of total billed charges,194.6226262,,,,390.011,percent of total billed charges,116.4475177,,,,390.011,percent of total billed charges,194.6226262,,,,390.011,percent of total billed charges,116.4475177,,,,390.011,percent of total billed charges,194.6226262,,,,390.011,percent of total billed charges,116.4475177,,,,386.182,percent of total billed charges,383.2519322,,,,386.182,percent of total billed charges,264.32582,,,,,,,,,,393.84,percent of total billed charges,255.9867321,,,,,,,,,,393.84,percent of total billed charges,999999999,,,,,,,,,,437.6,percent of total billed charges,366.6860528,,,,432.13,percent of total billed charges,417.0240467,,,,432.13,percent of total billed charges,368.4545494,,,,437.6,percent of total billed charges,999999999,,,,437.6,percent of total billed charges,999999999,,,,382.9,percent of total billed charges,999999999,,,,382.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,291.004,percent of total billed charges,999999999,,,,,,,,,,,,,,,,276.235,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,136.75,percent of total billed charges,129.8790497,,,,,,,,,,136.75,percent of total billed charges,127.7186001,,,,,,,,,,136.75,percent of total billed charges,127.3636756,,,,,,,,,,136.75,percent of total billed charges,125.488247,,,,,,,,,,136.75,percent of total billed charges,128.7172441,,,,,,,,,,136.75,percent of total billed charges,999999999,,,,,,,,,,136.75,percent of total billed charges,110.4484597,,,,,,,,,,136.75,percent of total billed charges,174.1848374,,,,,,,,,,136.75,percent of total billed charges,999999999,,,,,,,,,,136.75,percent of total billed charges,119.0904517,,,,,,,,,,492.3,percent of total billed charges,,,,,
ARTHROGRAM KNEE LT,73580,CDM,0056-2780-01,NDC,LT,both,1,EA,1547,1547,329.3314623,1547,1547,percent of total billed charges,1138.182858,,,,1547,percent of total billed charges,1206.451325,,,,1547,percent of total billed charges,1138.182858,,,,1547,percent of total billed charges,1206.451325,,,,1547,percent of total billed charges,999999999,,,,1547,percent of total billed charges,1178.707675,,,,1547,percent of total billed charges,1138.182858,,,,1547,percent of total billed charges,1206.451325,,,,1103.011,percent of total billed charges,550.4226741,,,,1103.011,percent of total billed charges,329.3314623,,,,1103.011,percent of total billed charges,550.4226741,,,,1103.011,percent of total billed charges,329.3314623,,,,1103.011,percent of total billed charges,550.4226741,,,,1103.011,percent of total billed charges,329.3314623,,,,1092.182,percent of total billed charges,1083.895318,,,,1092.182,percent of total billed charges,747.55401,,,,,,,,,,1113.84,percent of total billed charges,723.969789,,,,,,,,,,1113.84,percent of total billed charges,999999999,,,,,,,,,,1237.6,percent of total billed charges,1037.044467,,,,1222.13,percent of total billed charges,1179.408044,,,,1222.13,percent of total billed charges,1042.046047,,,,1237.6,percent of total billed charges,999999999,,,,1237.6,percent of total billed charges,999999999,,,,1082.9,percent of total billed charges,999999999,,,,1082.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,823.004,percent of total billed charges,999999999,,,,,,,,,,,,,,,,781.235,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,386.75,percent of total billed charges,367.3178975,,,,,,,,,,386.75,percent of total billed charges,361.2078142,,,,,,,,,,386.75,percent of total billed charges,360.2040332,,,,,,,,,,386.75,percent of total billed charges,354.9000331,,,,,,,,,,386.75,percent of total billed charges,364.0321327,,,,,,,,,,386.75,percent of total billed charges,999999999,,,,,,,,,,386.75,percent of total billed charges,312.365205,,,,,,,,,,386.75,percent of total billed charges,492.621469,,,,,,,,,,386.75,percent of total billed charges,999999999,,,,,,,,,,386.75,percent of total billed charges,336.8060854,,,,,,,,,,1392.3,percent of total billed charges,,,,,
ARTHROGRAM KNEE RT,73580,CDM,0056-2780-01,NDC,RT,both,1,EA,1547,1547,329.3314623,1547,1547,percent of total billed charges,1138.182858,,,,1547,percent of total billed charges,1206.451325,,,,1547,percent of total billed charges,1138.182858,,,,1547,percent of total billed charges,1206.451325,,,,1547,percent of total billed charges,999999999,,,,1547,percent of total billed charges,1178.707675,,,,1547,percent of total billed charges,1138.182858,,,,1547,percent of total billed charges,1206.451325,,,,1103.011,percent of total billed charges,550.4226741,,,,1103.011,percent of total billed charges,329.3314623,,,,1103.011,percent of total billed charges,550.4226741,,,,1103.011,percent of total billed charges,329.3314623,,,,1103.011,percent of total billed charges,550.4226741,,,,1103.011,percent of total billed charges,329.3314623,,,,1092.182,percent of total billed charges,1083.895318,,,,1092.182,percent of total billed charges,747.55401,,,,,,,,,,1113.84,percent of total billed charges,723.969789,,,,,,,,,,1113.84,percent of total billed charges,999999999,,,,,,,,,,1237.6,percent of total billed charges,1037.044467,,,,1222.13,percent of total billed charges,1179.408044,,,,1222.13,percent of total billed charges,1042.046047,,,,1237.6,percent of total billed charges,999999999,,,,1237.6,percent of total billed charges,999999999,,,,1082.9,percent of total billed charges,999999999,,,,1082.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,823.004,percent of total billed charges,999999999,,,,,,,,,,,,,,,,781.235,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,386.75,percent of total billed charges,367.3178975,,,,,,,,,,386.75,percent of total billed charges,361.2078142,,,,,,,,,,386.75,percent of total billed charges,360.2040332,,,,,,,,,,386.75,percent of total billed charges,354.9000331,,,,,,,,,,386.75,percent of total billed charges,364.0321327,,,,,,,,,,386.75,percent of total billed charges,999999999,,,,,,,,,,386.75,percent of total billed charges,312.365205,,,,,,,,,,386.75,percent of total billed charges,492.621469,,,,,,,,,,386.75,percent of total billed charges,999999999,,,,,,,,,,386.75,percent of total billed charges,336.8060854,,,,,,,,,,1392.3,percent of total billed charges,,,,,
GASTROVIEW,Q9963,CDM,0056-2780-01,NDC,,both,1,EA,273,273,58.11731688,273,273,percent of total billed charges,200.8557985,,,,273,percent of total billed charges,212.903175,,,,273,percent of total billed charges,200.8557985,,,,273,percent of total billed charges,212.903175,,,,273,percent of total billed charges,999999999,,,,273,percent of total billed charges,208.0072368,,,,273,percent of total billed charges,200.8557985,,,,273,percent of total billed charges,212.903175,,,,194.649,percent of total billed charges,97.13341308,,,,194.649,percent of total billed charges,58.11731688,,,,194.649,percent of total billed charges,97.13341308,,,,194.649,percent of total billed charges,58.11731688,,,,194.649,percent of total billed charges,97.13341308,,,,194.649,percent of total billed charges,58.11731688,,,,192.738,percent of total billed charges,191.2756444,,,,192.738,percent of total billed charges,131.9212959,,,,,,,,,,196.56,percent of total billed charges,127.7593745,,,,,,,,,,196.56,percent of total billed charges,999999999,,,,,,,,,,218.4,percent of total billed charges,183.0078472,,,,215.67,percent of total billed charges,208.1308313,,,,215.67,percent of total billed charges,183.8904789,,,,218.4,percent of total billed charges,999999999,,,,218.4,percent of total billed charges,999999999,,,,191.1,percent of total billed charges,999999999,,,,191.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,145.236,percent of total billed charges,999999999,,,,,,,,,,,,,,,,137.865,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,68.25,percent of total billed charges,64.82080544,,,,,,,,,,68.25,percent of total billed charges,63.74255545,,,,,,,,,,68.25,percent of total billed charges,63.56541761,,,,,,,,,,68.25,percent of total billed charges,62.62941761,,,,,,,,,,68.25,percent of total billed charges,64.2409646,,,,,,,,,,68.25,percent of total billed charges,999999999,,,,,,,,,,68.25,percent of total billed charges,55.12327148,,,,,,,,,,68.25,percent of total billed charges,86.9332004,,,,,,,,,,68.25,percent of total billed charges,999999999,,,,,,,,,,68.25,percent of total billed charges,59.43636802,,,,,,,,,,245.7,percent of total billed charges,,,,,
FEMUR 1 VIEW LT,73551,CDM,0056-2780-01,NDC,LT,both,1,EA,445,445,94.73335536,445,445,percent of total billed charges,327.4023089,,,,445,percent of total billed charges,347.039974,,,,445,percent of total billed charges,327.4023089,,,,445,percent of total billed charges,347.039974,,,,445,percent of total billed charges,999999999,,,,445,percent of total billed charges,339.0594153,,,,445,percent of total billed charges,327.4023089,,,,445,percent of total billed charges,347.039974,,,,317.285,percent of total billed charges,158.3310213,,,,317.285,percent of total billed charges,94.73335536,,,,317.285,percent of total billed charges,158.3310213,,,,317.285,percent of total billed charges,94.73335536,,,,317.285,percent of total billed charges,158.3310213,,,,317.285,percent of total billed charges,94.73335536,,,,314.17,percent of total billed charges,311.7863068,,,,314.17,percent of total billed charges,215.0365446,,,,,,,,,,320.4,percent of total billed charges,208.2524603,,,,,,,,,,320.4,percent of total billed charges,999999999,,,,,,,,,,356,percent of total billed charges,298.3094945,,,,351.55,percent of total billed charges,339.2608789,,,,351.55,percent of total billed charges,299.7482166,,,,356,percent of total billed charges,999999999,,,,356,percent of total billed charges,999999999,,,,311.5,percent of total billed charges,999999999,,,,311.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,236.74,percent of total billed charges,999999999,,,,,,,,,,,,,,,,224.725,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,111.25,percent of total billed charges,105.6602873,,,,,,,,,,111.25,percent of total billed charges,103.9027003,,,,,,,,,,111.25,percent of total billed charges,103.6139591,,,,,,,,,,111.25,percent of total billed charges,102.0882448,,,,,,,,,,111.25,percent of total billed charges,104.7151254,,,,,,,,,,111.25,percent of total billed charges,999999999,,,,,,,,,,111.25,percent of total billed charges,89.85295168,,,,,,,,,,111.25,percent of total billed charges,141.704301,,,,,,,,,,111.25,percent of total billed charges,999999999,,,,,,,,,,111.25,percent of total billed charges,96.88345703,,,,,,,,,,400.5,percent of total billed charges,,,,,
FEMUR 1 VIEW RT,73551,CDM,0056-2780-01,NDC,RT,both,1,EA,476,476,101.3327576,476,476,percent of total billed charges,350.2101102,,,,476,percent of total billed charges,371.2157924,,,,476,percent of total billed charges,350.2101102,,,,476,percent of total billed charges,371.2157924,,,,476,percent of total billed charges,999999999,,,,476,percent of total billed charges,362.6792847,,,,476,percent of total billed charges,350.2101102,,,,476,percent of total billed charges,371.2157924,,,,339.388,percent of total billed charges,169.3608228,,,,339.388,percent of total billed charges,101.3327576,,,,339.388,percent of total billed charges,169.3608228,,,,339.388,percent of total billed charges,101.3327576,,,,339.388,percent of total billed charges,169.3608228,,,,339.388,percent of total billed charges,101.3327576,,,,336.056,percent of total billed charges,333.5062518,,,,336.056,percent of total billed charges,230.0166185,,,,,,,,,,342.72,percent of total billed charges,222.7599351,,,,,,,,,,342.72,percent of total billed charges,999999999,,,,,,,,,,380.8,percent of total billed charges,319.0906053,,,,376.04,percent of total billed charges,362.8947828,,,,376.04,percent of total billed charges,320.629553,,,,380.8,percent of total billed charges,999999999,,,,380.8,percent of total billed charges,999999999,,,,333.2,percent of total billed charges,999999999,,,,333.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,253.232,percent of total billed charges,999999999,,,,,,,,,,,,,,,,240.38,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,119,percent of total billed charges,113.0208915,,,,,,,,,,119,percent of total billed charges,111.1408659,,,,,,,,,,119,percent of total billed charges,110.8320102,,,,,,,,,,119,percent of total billed charges,109.2000102,,,,,,,,,,119,percent of total billed charges,112.009887,,,,,,,,,,119,percent of total billed charges,999999999,,,,,,,,,,119,percent of total billed charges,96.11237078,,,,,,,,,,119,percent of total billed charges,151.5758366,,,,,,,,,,119,percent of total billed charges,999999999,,,,,,,,,,119,percent of total billed charges,103.6326417,,,,,,,,,,428.4,percent of total billed charges,,,,,
HIP 1V LT W/WO PELVIS,73501,CDM,0056-2780-01,NDC,LT,both,1,EA,454,454,96.64931086,454,454,percent of total billed charges,334.0239287,,,,454,percent of total billed charges,354.0587599,,,,454,percent of total billed charges,334.0239287,,,,454,percent of total billed charges,354.0587599,,,,454,percent of total billed charges,999999999,,,,454,percent of total billed charges,345.9167968,,,,454,percent of total billed charges,334.0239287,,,,454,percent of total billed charges,354.0587599,,,,323.702,percent of total billed charges,161.5332218,,,,323.702,percent of total billed charges,96.64931086,,,,323.702,percent of total billed charges,161.5332218,,,,323.702,percent of total billed charges,96.64931086,,,,323.702,percent of total billed charges,161.5332218,,,,323.702,percent of total billed charges,96.64931086,,,,320.524,percent of total billed charges,318.0920973,,,,320.524,percent of total billed charges,219.3855983,,,,,,,,,,326.88,percent of total billed charges,212.4643078,,,,,,,,,,326.88,percent of total billed charges,999999999,,,,,,,,,,363.2,percent of total billed charges,304.3427202,,,,358.66,percent of total billed charges,346.1223349,,,,358.66,percent of total billed charges,305.8105401,,,,363.2,percent of total billed charges,999999999,,,,363.2,percent of total billed charges,999999999,,,,317.8,percent of total billed charges,999999999,,,,317.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,241.528,percent of total billed charges,999999999,,,,,,,,,,,,,,,,229.27,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,113.5,percent of total billed charges,107.7972369,,,,,,,,,,113.5,percent of total billed charges,106.0041032,,,,,,,,,,113.5,percent of total billed charges,105.7095223,,,,,,,,,,113.5,percent of total billed charges,104.1529509,,,,,,,,,,113.5,percent of total billed charges,106.8329594,,,,,,,,,,113.5,percent of total billed charges,999999999,,,,,,,,,,113.5,percent of total billed charges,91.67020239,,,,,,,,,,113.5,percent of total billed charges,144.5702307,,,,,,,,,,113.5,percent of total billed charges,999999999,,,,,,,,,,113.5,percent of total billed charges,98.84289773,,,,,,,,,,408.6,percent of total billed charges,,,,,
HIP 1V RT W/WO PELVIS,73501,CDM,0056-2780-01,NDC,RT,both,1,EA,454,454,96.64931086,454,454,percent of total billed charges,334.0239287,,,,454,percent of total billed charges,354.0587599,,,,454,percent of total billed charges,334.0239287,,,,454,percent of total billed charges,354.0587599,,,,454,percent of total billed charges,999999999,,,,454,percent of total billed charges,345.9167968,,,,454,percent of total billed charges,334.0239287,,,,454,percent of total billed charges,354.0587599,,,,323.702,percent of total billed charges,161.5332218,,,,323.702,percent of total billed charges,96.64931086,,,,323.702,percent of total billed charges,161.5332218,,,,323.702,percent of total billed charges,96.64931086,,,,323.702,percent of total billed charges,161.5332218,,,,323.702,percent of total billed charges,96.64931086,,,,320.524,percent of total billed charges,318.0920973,,,,320.524,percent of total billed charges,219.3855983,,,,,,,,,,326.88,percent of total billed charges,212.4643078,,,,,,,,,,326.88,percent of total billed charges,999999999,,,,,,,,,,363.2,percent of total billed charges,304.3427202,,,,358.66,percent of total billed charges,346.1223349,,,,358.66,percent of total billed charges,305.8105401,,,,363.2,percent of total billed charges,999999999,,,,363.2,percent of total billed charges,999999999,,,,317.8,percent of total billed charges,999999999,,,,317.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,241.528,percent of total billed charges,999999999,,,,,,,,,,,,,,,,229.27,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,113.5,percent of total billed charges,107.7972369,,,,,,,,,,113.5,percent of total billed charges,106.0041032,,,,,,,,,,113.5,percent of total billed charges,105.7095223,,,,,,,,,,113.5,percent of total billed charges,104.1529509,,,,,,,,,,113.5,percent of total billed charges,106.8329594,,,,,,,,,,113.5,percent of total billed charges,999999999,,,,,,,,,,113.5,percent of total billed charges,91.67020239,,,,,,,,,,113.5,percent of total billed charges,144.5702307,,,,,,,,,,113.5,percent of total billed charges,999999999,,,,,,,,,,113.5,percent of total billed charges,98.84289773,,,,,,,,,,408.6,percent of total billed charges,,,,,
HIP 2V LT W/WO PELVIS,73502,CDM,0056-2780-01,NDC,LT,both,1,EA,565,565,120.2794287,565,565,percent of total billed charges,415.690572,,,,565,percent of total billed charges,440.6237872,,,,565,percent of total billed charges,415.690572,,,,565,percent of total billed charges,440.6237872,,,,565,percent of total billed charges,999999999,,,,565,percent of total billed charges,430.4911678,,,,565,percent of total billed charges,415.690572,,,,565,percent of total billed charges,440.6237872,,,,402.845,percent of total billed charges,201.0270271,,,,402.845,percent of total billed charges,120.2794287,,,,402.845,percent of total billed charges,201.0270271,,,,402.845,percent of total billed charges,120.2794287,,,,402.845,percent of total billed charges,201.0270271,,,,402.845,percent of total billed charges,120.2794287,,,,398.89,percent of total billed charges,395.8635131,,,,398.89,percent of total billed charges,273.0239274,,,,,,,,,,406.8,percent of total billed charges,264.4104271,,,,,,,,,,406.8,percent of total billed charges,999999999,,,,,,,,,,452,percent of total billed charges,378.7525042,,,,446.35,percent of total billed charges,430.7469586,,,,446.35,percent of total billed charges,380.5791963,,,,452,percent of total billed charges,999999999,,,,452,percent of total billed charges,999999999,,,,395.5,percent of total billed charges,999999999,,,,395.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,300.58,percent of total billed charges,999999999,,,,,,,,,,,,,,,,285.325,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,141.25,percent of total billed charges,134.152949,,,,,,,,,,141.25,percent of total billed charges,131.921406,,,,,,,,,,141.25,percent of total billed charges,131.554802,,,,,,,,,,141.25,percent of total billed charges,129.6176592,,,,,,,,,,141.25,percent of total billed charges,132.9529121,,,,,,,,,,141.25,percent of total billed charges,999999999,,,,,,,,,,141.25,percent of total billed charges,114.0829611,,,,,,,,,,141.25,percent of total billed charges,179.9166968,,,,,,,,,,141.25,percent of total billed charges,999999999,,,,,,,,,,141.25,percent of total billed charges,123.0093331,,,,,,,,,,508.5,percent of total billed charges,,,,,
HIP 2V RT W/WO PELVIS,73502,CDM,0056-2780-01,NDC,RT,both,1,EA,565,565,120.2794287,565,565,percent of total billed charges,415.690572,,,,565,percent of total billed charges,440.6237872,,,,565,percent of total billed charges,415.690572,,,,565,percent of total billed charges,440.6237872,,,,565,percent of total billed charges,999999999,,,,565,percent of total billed charges,430.4911678,,,,565,percent of total billed charges,415.690572,,,,565,percent of total billed charges,440.6237872,,,,402.845,percent of total billed charges,201.0270271,,,,402.845,percent of total billed charges,120.2794287,,,,402.845,percent of total billed charges,201.0270271,,,,402.845,percent of total billed charges,120.2794287,,,,402.845,percent of total billed charges,201.0270271,,,,402.845,percent of total billed charges,120.2794287,,,,398.89,percent of total billed charges,395.8635131,,,,398.89,percent of total billed charges,273.0239274,,,,,,,,,,406.8,percent of total billed charges,264.4104271,,,,,,,,,,406.8,percent of total billed charges,999999999,,,,,,,,,,452,percent of total billed charges,378.7525042,,,,446.35,percent of total billed charges,430.7469586,,,,446.35,percent of total billed charges,380.5791963,,,,452,percent of total billed charges,999999999,,,,452,percent of total billed charges,999999999,,,,395.5,percent of total billed charges,999999999,,,,395.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,300.58,percent of total billed charges,999999999,,,,,,,,,,,,,,,,285.325,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,141.25,percent of total billed charges,134.152949,,,,,,,,,,141.25,percent of total billed charges,131.921406,,,,,,,,,,141.25,percent of total billed charges,131.554802,,,,,,,,,,141.25,percent of total billed charges,129.6176592,,,,,,,,,,141.25,percent of total billed charges,132.9529121,,,,,,,,,,141.25,percent of total billed charges,999999999,,,,,,,,,,141.25,percent of total billed charges,114.0829611,,,,,,,,,,141.25,percent of total billed charges,179.9166968,,,,,,,,,,141.25,percent of total billed charges,999999999,,,,,,,,,,141.25,percent of total billed charges,123.0093331,,,,,,,,,,508.5,percent of total billed charges,,,,,
HIP 2V BI W/WO PELVIS,73521,CDM,0056-2780-01,NDC,,both,1,EA,706,706,150.2960649,706,706,percent of total billed charges,519.4292812,,,,706,percent of total billed charges,550.5847677,,,,706,percent of total billed charges,519.4292812,,,,706,percent of total billed charges,550.5847677,,,,706,percent of total billed charges,999999999,,,,706,percent of total billed charges,537.9234769,,,,706,percent of total billed charges,519.4292812,,,,706,percent of total billed charges,550.5847677,,,,503.378,percent of total billed charges,251.1948338,,,,503.378,percent of total billed charges,150.2960649,,,,503.378,percent of total billed charges,251.1948338,,,,503.378,percent of total billed charges,150.2960649,,,,503.378,percent of total billed charges,251.1948338,,,,503.378,percent of total billed charges,150.2960649,,,,498.436,percent of total billed charges,494.6542306,,,,498.436,percent of total billed charges,341.1591022,,,,,,,,,,508.32,percent of total billed charges,330.3960382,,,,,,,,,,508.32,percent of total billed charges,999999999,,,,,,,,,,564.8,percent of total billed charges,473.2730407,,,,557.74,percent of total billed charges,538.2431023,,,,557.74,percent of total billed charges,475.5555975,,,,564.8,percent of total billed charges,999999999,,,,564.8,percent of total billed charges,999999999,,,,494.2,percent of total billed charges,999999999,,,,494.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,375.592,percent of total billed charges,999999999,,,,,,,,,,,,,,,,356.53,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,176.5,percent of total billed charges,167.6318265,,,,,,,,,,176.5,percent of total billed charges,164.8433851,,,,,,,,,,176.5,percent of total billed charges,164.3852924,,,,,,,,,,176.5,percent of total billed charges,161.964721,,,,,,,,,,176.5,percent of total billed charges,166.1323114,,,,,,,,,,176.5,percent of total billed charges,999999999,,,,,,,,,,176.5,percent of total billed charges,142.5532222,,,,,,,,,,176.5,percent of total billed charges,224.8162619,,,,,,,,,,176.5,percent of total billed charges,999999999,,,,,,,,,,176.5,percent of total billed charges,153.7072374,,,,,,,,,,635.4,percent of total billed charges,,,,,
INFANT UPPER EXT RT 2 VIEWS,73092,CDM,0056-2780-01,NDC,RT,both,1,EA,256,256,54.49828982,256,256,percent of total billed charges,188.3482946,,,,256,percent of total billed charges,199.6454682,,,,256,percent of total billed charges,188.3482946,,,,256,percent of total billed charges,199.6454682,,,,256,percent of total billed charges,999999999,,,,256,percent of total billed charges,195.0544052,,,,256,percent of total billed charges,188.3482946,,,,256,percent of total billed charges,199.6454682,,,,182.528,percent of total billed charges,91.08481227,,,,182.528,percent of total billed charges,54.49828982,,,,182.528,percent of total billed charges,91.08481227,,,,182.528,percent of total billed charges,54.49828982,,,,182.528,percent of total billed charges,91.08481227,,,,182.528,percent of total billed charges,54.49828982,,,,180.736,percent of total billed charges,179.3647068,,,,180.736,percent of total billed charges,123.7064167,,,,,,,,,,184.32,percent of total billed charges,119.8036626,,,,,,,,,,184.32,percent of total billed charges,999999999,,,,,,,,,,204.8,percent of total billed charges,171.6117541,,,,202.24,percent of total billed charges,195.1703034,,,,202.24,percent of total billed charges,172.4394235,,,,204.8,percent of total billed charges,999999999,,,,204.8,percent of total billed charges,999999999,,,,179.2,percent of total billed charges,999999999,,,,179.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,136.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,129.28,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,64,percent of total billed charges,60.78434503,,,,,,,,,,64,percent of total billed charges,59.77323881,,,,,,,,,,64,percent of total billed charges,59.60713154,,,,,,,,,,64,percent of total billed charges,58.72941725,,,,,,,,,,64,percent of total billed charges,60.24061149,,,,,,,,,,64,percent of total billed charges,999999999,,,,,,,,,,64,percent of total billed charges,51.69068681,,,,,,,,,,64,percent of total billed charges,81.51977767,,,,,,,,,,64,percent of total billed charges,999999999,,,,,,,,,,64,percent of total billed charges,55.73520224,,,,,,,,,,230.4,percent of total billed charges,,,,,
INFANT LOWER EXT LT 2 VIEWS,73592,CDM,0056-2780-01,NDC,LT,both,1,EA,256,256,54.49828982,256,256,percent of total billed charges,188.3482946,,,,256,percent of total billed charges,199.6454682,,,,256,percent of total billed charges,188.3482946,,,,256,percent of total billed charges,199.6454682,,,,256,percent of total billed charges,999999999,,,,256,percent of total billed charges,195.0544052,,,,256,percent of total billed charges,188.3482946,,,,256,percent of total billed charges,199.6454682,,,,182.528,percent of total billed charges,91.08481227,,,,182.528,percent of total billed charges,54.49828982,,,,182.528,percent of total billed charges,91.08481227,,,,182.528,percent of total billed charges,54.49828982,,,,182.528,percent of total billed charges,91.08481227,,,,182.528,percent of total billed charges,54.49828982,,,,180.736,percent of total billed charges,179.3647068,,,,180.736,percent of total billed charges,123.7064167,,,,,,,,,,184.32,percent of total billed charges,119.8036626,,,,,,,,,,184.32,percent of total billed charges,999999999,,,,,,,,,,204.8,percent of total billed charges,171.6117541,,,,202.24,percent of total billed charges,195.1703034,,,,202.24,percent of total billed charges,172.4394235,,,,204.8,percent of total billed charges,999999999,,,,204.8,percent of total billed charges,999999999,,,,179.2,percent of total billed charges,999999999,,,,179.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,136.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,129.28,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,64,percent of total billed charges,60.78434503,,,,,,,,,,64,percent of total billed charges,59.77323881,,,,,,,,,,64,percent of total billed charges,59.60713154,,,,,,,,,,64,percent of total billed charges,58.72941725,,,,,,,,,,64,percent of total billed charges,60.24061149,,,,,,,,,,64,percent of total billed charges,999999999,,,,,,,,,,64,percent of total billed charges,51.69068681,,,,,,,,,,64,percent of total billed charges,81.51977767,,,,,,,,,,64,percent of total billed charges,999999999,,,,,,,,,,64,percent of total billed charges,55.73520224,,,,,,,,,,230.4,percent of total billed charges,,,,,
INFANT LOWER EXT RT 2 VIEWS,73592,CDM,0056-2780-01,NDC,RT,both,1,EA,256,256,54.49828982,256,256,percent of total billed charges,188.3482946,,,,256,percent of total billed charges,199.6454682,,,,256,percent of total billed charges,188.3482946,,,,256,percent of total billed charges,199.6454682,,,,256,percent of total billed charges,999999999,,,,256,percent of total billed charges,195.0544052,,,,256,percent of total billed charges,188.3482946,,,,256,percent of total billed charges,199.6454682,,,,182.528,percent of total billed charges,91.08481227,,,,182.528,percent of total billed charges,54.49828982,,,,182.528,percent of total billed charges,91.08481227,,,,182.528,percent of total billed charges,54.49828982,,,,182.528,percent of total billed charges,91.08481227,,,,182.528,percent of total billed charges,54.49828982,,,,180.736,percent of total billed charges,179.3647068,,,,180.736,percent of total billed charges,123.7064167,,,,,,,,,,184.32,percent of total billed charges,119.8036626,,,,,,,,,,184.32,percent of total billed charges,999999999,,,,,,,,,,204.8,percent of total billed charges,171.6117541,,,,202.24,percent of total billed charges,195.1703034,,,,202.24,percent of total billed charges,172.4394235,,,,204.8,percent of total billed charges,999999999,,,,204.8,percent of total billed charges,999999999,,,,179.2,percent of total billed charges,999999999,,,,179.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,136.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,129.28,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,64,percent of total billed charges,60.78434503,,,,,,,,,,64,percent of total billed charges,59.77323881,,,,,,,,,,64,percent of total billed charges,59.60713154,,,,,,,,,,64,percent of total billed charges,58.72941725,,,,,,,,,,64,percent of total billed charges,60.24061149,,,,,,,,,,64,percent of total billed charges,999999999,,,,,,,,,,64,percent of total billed charges,51.69068681,,,,,,,,,,64,percent of total billed charges,81.51977767,,,,,,,,,,64,percent of total billed charges,999999999,,,,,,,,,,64,percent of total billed charges,55.73520224,,,,,,,,,,230.4,percent of total billed charges,,,,,
REMOVAL CENTRAL VENOUS CATHETER,36589,CDM,0056-2780-01,NDC,,both,1,EA,3262,3262,694.4274274,3262,3262,percent of total billed charges,2399.969285,,,,3262,percent of total billed charges,2543.919989,,,,3262,percent of total billed charges,2399.969285,,,,3262,percent of total billed charges,2543.919989,,,,3262,percent of total billed charges,999999999,,,,3262,percent of total billed charges,2485.419804,,,,3262,percent of total billed charges,2399.969285,,,,3262,percent of total billed charges,2543.919989,,,,2325.806,percent of total billed charges,1160.619756,,,,2325.806,percent of total billed charges,694.4274274,,,,2325.806,percent of total billed charges,1160.619756,,,,2325.806,percent of total billed charges,694.4274274,,,,2325.806,percent of total billed charges,1160.619756,,,,2325.806,percent of total billed charges,694.4274274,,,,2302.972,percent of total billed charges,2285.498725,,,,2302.972,percent of total billed charges,1576.290356,,,,,,,,,,2348.64,percent of total billed charges,1526.560732,,,,,,,,,,2348.64,percent of total billed charges,999999999,,,,,,,,,,2609.6,percent of total billed charges,2186.709148,,,,2576.98,percent of total billed charges,2486.8966,,,,2576.98,percent of total billed charges,2197.255466,,,,2609.6,percent of total billed charges,999999999,,,,2609.6,percent of total billed charges,999999999,,,,2283.4,percent of total billed charges,999999999,,,,2283.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1735.384,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1647.31,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,815.5,percent of total billed charges,774.5255214,,,,,,,,,,815.5,percent of total billed charges,761.6418164,,,,,,,,,,815.5,percent of total billed charges,759.5252464,,,,,,,,,,815.5,percent of total billed charges,748.3412464,,,,,,,,,,815.5,percent of total billed charges,767.5971668,,,,,,,,,,815.5,percent of total billed charges,999999999,,,,,,,,,,815.5,percent of total billed charges,658.6524233,,,,,,,,,,815.5,percent of total billed charges,1038.740292,,,,,,,,,,815.5,percent of total billed charges,999999999,,,,,,,,,,815.5,percent of total billed charges,710.1883973,,,,,,,,,,2935.8,percent of total billed charges,,,,,
SPINE AP LAT COMPLETE,72082,CDM,0056-2780-01,NDC,,both,1,EA,1083,1083,230.553312,1083,1083,percent of total billed charges,796.8015744,,,,1083,percent of total billed charges,844.5939141,,,,1083,percent of total billed charges,796.8015744,,,,1083,percent of total billed charges,844.5939141,,,,1083,percent of total billed charges,999999999,,,,1083,percent of total billed charges,825.1715659,,,,1083,percent of total billed charges,796.8015744,,,,1083,percent of total billed charges,844.5939141,,,,772.179,percent of total billed charges,385.3314519,,,,772.179,percent of total billed charges,230.553312,,,,772.179,percent of total billed charges,385.3314519,,,,772.179,percent of total billed charges,230.553312,,,,772.179,percent of total billed charges,385.3314519,,,,772.179,percent of total billed charges,230.553312,,,,764.598,percent of total billed charges,758.7967871,,,,764.598,percent of total billed charges,523.3361298,,,,,,,,,,779.76,percent of total billed charges,506.8256506,,,,,,,,,,779.76,percent of total billed charges,999999999,,,,,,,,,,866.4,percent of total billed charges,725.998163,,,,855.57,percent of total billed charges,825.6618694,,,,855.57,percent of total billed charges,729.4995923,,,,866.4,percent of total billed charges,999999999,,,,866.4,percent of total billed charges,999999999,,,,758.1,percent of total billed charges,999999999,,,,758.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,576.156,percent of total billed charges,999999999,,,,,,,,,,,,,,,,546.915,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,270.75,percent of total billed charges,257.1462721,,,,,,,,,,270.75,percent of total billed charges,252.8688189,,,,,,,,,,270.75,percent of total billed charges,252.1661072,,,,,,,,,,270.75,percent of total billed charges,248.4529644,,,,,,,,,,270.75,percent of total billed charges,254.8460244,,,,,,,,,,270.75,percent of total billed charges,999999999,,,,,,,,,,270.75,percent of total billed charges,218.6758352,,,,,,,,,,270.75,percent of total billed charges,344.8668719,,,,,,,,,,270.75,percent of total billed charges,999999999,,,,,,,,,,270.75,percent of total billed charges,235.7860314,,,,,,,,,,974.7,percent of total billed charges,,,,,
SPINAL TAP LUMBAR DIAGNOSTIC,62270,CDM,0056-2780-01,NDC,,both,1,EA,1693,1693,360.4125182,1693,1693,percent of total billed charges,1245.600245,,,,1693,percent of total billed charges,1320.311631,,,,1693,percent of total billed charges,1245.600245,,,,1693,percent of total billed charges,1320.311631,,,,1693,percent of total billed charges,999999999,,,,1693,percent of total billed charges,1289.949641,,,,1693,percent of total billed charges,1245.600245,,,,1693,percent of total billed charges,1320.311631,,,,1207.109,percent of total billed charges,602.3694811,,,,1207.109,percent of total billed charges,360.4125182,,,,1207.109,percent of total billed charges,602.3694811,,,,1207.109,percent of total billed charges,360.4125182,,,,1207.109,percent of total billed charges,602.3694811,,,,1207.109,percent of total billed charges,360.4125182,,,,1195.258,percent of total billed charges,1186.189253,,,,1195.258,percent of total billed charges,818.1053257,,,,,,,,,,1218.96,percent of total billed charges,792.2953153,,,,,,,,,,1218.96,percent of total billed charges,999999999,,,,,,,,,,1354.4,percent of total billed charges,1134.916796,,,,1337.47,percent of total billed charges,1290.716108,,,,1337.47,percent of total billed charges,1140.390406,,,,1354.4,percent of total billed charges,999999999,,,,1354.4,percent of total billed charges,999999999,,,,1185.1,percent of total billed charges,999999999,,,,1185.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,900.676,percent of total billed charges,999999999,,,,,,,,,,,,,,,,854.965,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,423.25,percent of total billed charges,401.9839693,,,,,,,,,,423.25,percent of total billed charges,395.2972395,,,,,,,,,,423.25,percent of total billed charges,394.1987254,,,,,,,,,,423.25,percent of total billed charges,388.3941539,,,,,,,,,,423.25,percent of total billed charges,398.3881065,,,,,,,,,,423.25,percent of total billed charges,999999999,,,,,,,,,,423.25,percent of total billed charges,341.8450499,,,,,,,,,,423.25,percent of total billed charges,539.1132172,,,,,,,,,,423.25,percent of total billed charges,999999999,,,,,,,,,,423.25,percent of total billed charges,368.592568,,,,,,,,,,1523.7,percent of total billed charges,,,,,
ESOPHAGUS A/C,74221,CDM,0056-2780-01,NDC,,both,1,EA,912,912,194.1501575,912,912,percent of total billed charges,670.9907995,,,,912,percent of total billed charges,711.2369803,,,,912,percent of total billed charges,670.9907995,,,,912,percent of total billed charges,711.2369803,,,,912,percent of total billed charges,999999999,,,,912,percent of total billed charges,694.8813186,,,,912,percent of total billed charges,670.9907995,,,,912,percent of total billed charges,711.2369803,,,,650.256,percent of total billed charges,324.4896437,,,,650.256,percent of total billed charges,194.1501575,,,,650.256,percent of total billed charges,324.4896437,,,,650.256,percent of total billed charges,194.1501575,,,,650.256,percent of total billed charges,324.4896437,,,,650.256,percent of total billed charges,194.1501575,,,,643.872,percent of total billed charges,638.9867681,,,,643.872,percent of total billed charges,440.7041093,,,,,,,,,,656.64,percent of total billed charges,426.8005479,,,,,,,,,,656.64,percent of total billed charges,999999999,,,,,,,,,,729.6,percent of total billed charges,611.3668741,,,,720.48,percent of total billed charges,695.2942058,,,,720.48,percent of total billed charges,614.3154461,,,,729.6,percent of total billed charges,999999999,,,,729.6,percent of total billed charges,999999999,,,,638.4,percent of total billed charges,999999999,,,,638.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,485.184,percent of total billed charges,999999999,,,,,,,,,,,,,,,,460.56,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,228,percent of total billed charges,216.5442292,,,,,,,,,,228,percent of total billed charges,212.9421633,,,,,,,,,,228,percent of total billed charges,212.3504061,,,,,,,,,,228,percent of total billed charges,209.223549,,,,,,,,,,228,percent of total billed charges,214.6071784,,,,,,,,,,228,percent of total billed charges,999999999,,,,,,,,,,228,percent of total billed charges,184.1480718,,,,,,,,,,228,percent of total billed charges,290.4142079,,,,,,,,,,228,percent of total billed charges,999999999,,,,,,,,,,228,percent of total billed charges,198.556658,,,,,,,,,,820.8,percent of total billed charges,,,,,
SM BOWEL SERIES (ADD ON),74248,CDM,0056-2780-01,NDC,,both,1,EA,693,693,147.5285736,693,693,percent of total billed charges,509.8647193,,,,693,percent of total billed charges,540.4465212,,,,693,percent of total billed charges,509.8647193,,,,693,percent of total billed charges,540.4465212,,,,693,percent of total billed charges,999999999,,,,693,percent of total billed charges,528.0183704,,,,693,percent of total billed charges,509.8647193,,,,693,percent of total billed charges,540.4465212,,,,494.109,percent of total billed charges,246.5694332,,,,494.109,percent of total billed charges,147.5285736,,,,494.109,percent of total billed charges,246.5694332,,,,494.109,percent of total billed charges,147.5285736,,,,494.109,percent of total billed charges,246.5694332,,,,494.109,percent of total billed charges,147.5285736,,,,489.258,percent of total billed charges,485.5458665,,,,489.258,percent of total billed charges,334.8771357,,,,,,,,,,498.96,percent of total billed charges,324.3122584,,,,,,,,,,498.96,percent of total billed charges,999999999,,,,,,,,,,554.4,percent of total billed charges,464.5583813,,,,547.47,percent of total billed charges,528.3321103,,,,547.47,percent of total billed charges,466.7989081,,,,554.4,percent of total billed charges,999999999,,,,554.4,percent of total billed charges,999999999,,,,485.1,percent of total billed charges,999999999,,,,485.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,368.676,percent of total billed charges,999999999,,,,,,,,,,,,,,,,349.965,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,173.25,percent of total billed charges,164.5451215,,,,,,,,,,173.25,percent of total billed charges,161.8080254,,,,,,,,,,173.25,percent of total billed charges,161.3583678,,,,,,,,,,173.25,percent of total billed charges,158.9823678,,,,,,,,,,173.25,percent of total billed charges,163.0732178,,,,,,,,,,173.25,percent of total billed charges,999999999,,,,,,,,,,173.25,percent of total billed charges,139.9283045,,,,,,,,,,173.25,percent of total billed charges,220.6765856,,,,,,,,,,173.25,percent of total billed charges,999999999,,,,,,,,,,173.25,percent of total billed charges,150.8769342,,,,,,,,,,623.7,percent of total billed charges,,,,,
UGI WITH SBFT,74240,CDM,0056-2780-01,NDC,,both,1,EA,1243,1243,264.6147432,1243,1243,percent of total billed charges,914.5192585,,,,1243,percent of total billed charges,969.3723317,,,,1243,percent of total billed charges,914.5192585,,,,1243,percent of total billed charges,969.3723317,,,,1243,percent of total billed charges,999999999,,,,1243,percent of total billed charges,947.0805691,,,,1243,percent of total billed charges,914.5192585,,,,1243,percent of total billed charges,969.3723317,,,,886.259,percent of total billed charges,442.2594596,,,,886.259,percent of total billed charges,264.6147432,,,,886.259,percent of total billed charges,442.2594596,,,,886.259,percent of total billed charges,264.6147432,,,,886.259,percent of total billed charges,442.2594596,,,,886.259,percent of total billed charges,264.6147432,,,,877.558,percent of total billed charges,870.8997289,,,,877.558,percent of total billed charges,600.6526402,,,,,,,,,,894.96,percent of total billed charges,581.7029397,,,,,,,,,,894.96,percent of total billed charges,999999999,,,,,,,,,,994.4,percent of total billed charges,833.2555093,,,,981.97,percent of total billed charges,947.643309,,,,981.97,percent of total billed charges,837.2742319,,,,994.4,percent of total billed charges,999999999,,,,994.4,percent of total billed charges,999999999,,,,870.1,percent of total billed charges,999999999,,,,870.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,661.276,percent of total billed charges,999999999,,,,,,,,,,,,,,,,627.715,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,310.75,percent of total billed charges,295.1364878,,,,,,,,,,310.75,percent of total billed charges,290.2270931,,,,,,,,,,310.75,percent of total billed charges,289.4205645,,,,,,,,,,310.75,percent of total billed charges,285.1588502,,,,,,,,,,310.75,percent of total billed charges,292.4964066,,,,,,,,,,310.75,percent of total billed charges,999999999,,,,,,,,,,310.75,percent of total billed charges,250.9825145,,,,,,,,,,310.75,percent of total billed charges,395.816733,,,,,,,,,,310.75,percent of total billed charges,999999999,,,,,,,,,,310.75,percent of total billed charges,270.6205328,,,,,,,,,,1118.7,percent of total billed charges,,,,,
UGI A/C WITH SBFT,74246,CDM,0056-2780-01,NDC,,both,1,EA,1322,1322,281.4325748,1322,1322,percent of total billed charges,972.642365,,,,1322,percent of total billed charges,1030.981675,,,,1322,percent of total billed charges,972.642365,,,,1322,percent of total billed charges,1030.981675,,,,1322,percent of total billed charges,999999999,,,,1322,percent of total billed charges,1007.27314,,,,1322,percent of total billed charges,972.642365,,,,1322,percent of total billed charges,1030.981675,,,,942.586,percent of total billed charges,470.3676634,,,,942.586,percent of total billed charges,281.4325748,,,,942.586,percent of total billed charges,470.3676634,,,,942.586,percent of total billed charges,281.4325748,,,,942.586,percent of total billed charges,470.3676634,,,,942.586,percent of total billed charges,281.4325748,,,,933.332,percent of total billed charges,926.2505564,,,,933.332,percent of total billed charges,638.8276672,,,,,,,,,,951.84,percent of total billed charges,618.6736012,,,,,,,,,,951.84,percent of total billed charges,999999999,,,,,,,,,,1057.6,percent of total billed charges,886.2138241,,,,1044.38,percent of total billed charges,1007.871645,,,,1044.38,percent of total billed charges,890.4879603,,,,1057.6,percent of total billed charges,999999999,,,,1057.6,percent of total billed charges,999999999,,,,925.4,percent of total billed charges,999999999,,,,925.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,703.304,percent of total billed charges,999999999,,,,,,,,,,,,,,,,667.61,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,330.5,percent of total billed charges,313.8941567,,,,,,,,,,330.5,percent of total billed charges,308.672741,,,,,,,,,,330.5,percent of total billed charges,307.8149527,,,,,,,,,,330.5,percent of total billed charges,303.2823813,,,,,,,,,,330.5,percent of total billed charges,311.0862828,,,,,,,,,,330.5,percent of total billed charges,999999999,,,,,,,,,,330.5,percent of total billed charges,266.9339373,,,,,,,,,,330.5,percent of total billed charges,420.9732269,,,,,,,,,,330.5,percent of total billed charges,999999999,,,,,,,,,,330.5,percent of total billed charges,287.8200678,,,,,,,,,,1189.8,percent of total billed charges,,,,,
SM BOWEL SERIES A/C,74251,CDM,0056-2780-01,NDC,,both,1,EA,1810,1810,385.3199398,1810,1810,percent of total billed charges,1331.681302,,,,1810,percent of total billed charges,1411.555849,,,,1810,percent of total billed charges,1331.681302,,,,1810,percent of total billed charges,1411.555849,,,,1810,percent of total billed charges,999999999,,,,1810,percent of total billed charges,1379.095599,,,,1810,percent of total billed charges,1331.681302,,,,1810,percent of total billed charges,1411.555849,,,,1290.53,percent of total billed charges,643.9980867,,,,1290.53,percent of total billed charges,385.3199398,,,,1290.53,percent of total billed charges,643.9980867,,,,1290.53,percent of total billed charges,385.3199398,,,,1290.53,percent of total billed charges,643.9980867,,,,1290.53,percent of total billed charges,385.3199398,,,,1277.86,percent of total billed charges,1268.164529,,,,1277.86,percent of total billed charges,874.643024,,,,,,,,,,1303.2,percent of total billed charges,847.049333,,,,,,,,,,1303.2,percent of total billed charges,999999999,,,,,,,,,,1448,percent of total billed charges,1213.34873,,,,1429.9,percent of total billed charges,1379.915036,,,,1429.9,percent of total billed charges,1219.200611,,,,1448,percent of total billed charges,999999999,,,,1448,percent of total billed charges,999999999,,,,1267,percent of total billed charges,999999999,,,,1267,percent of total billed charges,999999999,,,,,,,,,,,,,,,,962.92,percent of total billed charges,999999999,,,,,,,,,,,,,,,,914.05,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,452.5,percent of total billed charges,429.7643145,,,,,,,,,,452.5,percent of total billed charges,422.6154775,,,,,,,,,,452.5,percent of total billed charges,421.4410472,,,,,,,,,,452.5,percent of total billed charges,415.2353329,,,,,,,,,,452.5,percent of total billed charges,425.9199485,,,,,,,,,,452.5,percent of total billed charges,999999999,,,,,,,,,,452.5,percent of total billed charges,365.4693091,,,,,,,,,,452.5,percent of total billed charges,576.370303,,,,,,,,,,452.5,percent of total billed charges,999999999,,,,,,,,,,452.5,percent of total billed charges,394.0652971,,,,,,,,,,1629,percent of total billed charges,,,,,
ABD 2V OR MORE WITH 1V CHEST,74022,CDM,0056-2780-01,NDC,,both,1,EA,947,947,201.6010956,947,947,percent of total billed charges,696.7415429,,,,947,percent of total billed charges,738.5322592,,,,947,percent of total billed charges,696.7415429,,,,947,percent of total billed charges,738.5322592,,,,947,percent of total billed charges,999999999,,,,947,percent of total billed charges,721.5489131,,,,947,percent of total billed charges,696.7415429,,,,947,percent of total billed charges,738.5322592,,,,675.211,percent of total billed charges,336.9426454,,,,675.211,percent of total billed charges,201.6010956,,,,675.211,percent of total billed charges,336.9426454,,,,675.211,percent of total billed charges,201.6010956,,,,675.211,percent of total billed charges,336.9426454,,,,675.211,percent of total billed charges,201.6010956,,,,668.582,percent of total billed charges,663.5092866,,,,668.582,percent of total billed charges,457.617096,,,,,,,,,,681.84,percent of total billed charges,443.1799549,,,,,,,,,,681.84,percent of total billed charges,999999999,,,,,,,,,,757.6,percent of total billed charges,634.8294186,,,,748.13,percent of total billed charges,721.9776457,,,,748.13,percent of total billed charges,637.8911486,,,,757.6,percent of total billed charges,999999999,,,,757.6,percent of total billed charges,999999999,,,,662.9,percent of total billed charges,999999999,,,,662.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,503.804,percent of total billed charges,999999999,,,,,,,,,,,,,,,,478.235,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,236.75,percent of total billed charges,224.8545888,,,,,,,,,,236.75,percent of total billed charges,221.1142857,,,,,,,,,,236.75,percent of total billed charges,220.4998186,,,,,,,,,,236.75,percent of total billed charges,217.2529615,,,,,,,,,,236.75,percent of total billed charges,222.8431995,,,,,,,,,,236.75,percent of total billed charges,999999999,,,,,,,,,,236.75,percent of total billed charges,191.2151578,,,,,,,,,,236.75,percent of total billed charges,301.55949,,,,,,,,,,236.75,percent of total billed charges,999999999,,,,,,,,,,236.75,percent of total billed charges,206.1767052,,,,,,,,,,852.3,percent of total billed charges,,,,,
THORACOLUMBAR 2 VIEWS,72080,CDM,0056-2780-01,NDC,,both,1,EA,689,689,146.6770378,689,689,percent of total billed charges,506.9217772,,,,689,percent of total billed charges,537.3270608,,,,689,percent of total billed charges,506.9217772,,,,689,percent of total billed charges,537.3270608,,,,689,percent of total billed charges,999999999,,,,689,percent of total billed charges,524.9706453,,,,689,percent of total billed charges,506.9217772,,,,689,percent of total billed charges,537.3270608,,,,491.257,percent of total billed charges,245.146233,,,,491.257,percent of total billed charges,146.6770378,,,,491.257,percent of total billed charges,245.146233,,,,491.257,percent of total billed charges,146.6770378,,,,491.257,percent of total billed charges,245.146233,,,,491.257,percent of total billed charges,146.6770378,,,,486.434,percent of total billed charges,482.743293,,,,486.434,percent of total billed charges,332.9442229,,,,,,,,,,496.08,percent of total billed charges,322.4403262,,,,,,,,,,496.08,percent of total billed charges,999999999,,,,,,,,,,551.2,percent of total billed charges,461.8769477,,,,544.31,percent of total billed charges,525.2825743,,,,544.31,percent of total billed charges,464.1045421,,,,551.2,percent of total billed charges,999999999,,,,551.2,percent of total billed charges,999999999,,,,482.3,percent of total billed charges,999999999,,,,482.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,366.548,percent of total billed charges,999999999,,,,,,,,,,,,,,,,347.945,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,172.25,percent of total billed charges,163.5953661,,,,,,,,,,172.25,percent of total billed charges,160.8740685,,,,,,,,,,172.25,percent of total billed charges,160.4270064,,,,,,,,,,172.25,percent of total billed charges,158.0647206,,,,,,,,,,172.25,percent of total billed charges,162.1319583,,,,,,,,,,172.25,percent of total billed charges,999999999,,,,,,,,,,172.25,percent of total billed charges,139.1206375,,,,,,,,,,172.25,percent of total billed charges,219.4028391,,,,,,,,,,172.25,percent of total billed charges,999999999,,,,,,,,,,172.25,percent of total billed charges,150.0060717,,,,,,,,,,620.1,percent of total billed charges,,,,,
HIP 3-4V BI W/WO PELVIS,73522,CDM,0056-2780-01,NDC,,both,1,EA,940,940,200.1109079,940,940,percent of total billed charges,691.5913942,,,,940,percent of total billed charges,733.0732034,,,,940,percent of total billed charges,691.5913942,,,,940,percent of total billed charges,733.0732034,,,,940,percent of total billed charges,999999999,,,,940,percent of total billed charges,716.2153942,,,,940,percent of total billed charges,691.5913942,,,,940,percent of total billed charges,733.0732034,,,,670.22,percent of total billed charges,334.4520451,,,,670.22,percent of total billed charges,200.1109079,,,,670.22,percent of total billed charges,334.4520451,,,,670.22,percent of total billed charges,200.1109079,,,,670.22,percent of total billed charges,334.4520451,,,,670.22,percent of total billed charges,200.1109079,,,,663.64,percent of total billed charges,658.6047829,,,,663.64,percent of total billed charges,454.2344986,,,,,,,,,,676.8,percent of total billed charges,439.9040735,,,,,,,,,,676.8,percent of total billed charges,999999999,,,,,,,,,,752,percent of total billed charges,630.1369097,,,,742.6,percent of total billed charges,716.6409577,,,,742.6,percent of total billed charges,633.1760081,,,,752,percent of total billed charges,999999999,,,,752,percent of total billed charges,999999999,,,,658,percent of total billed charges,999999999,,,,658,percent of total billed charges,999999999,,,,,,,,,,,,,,,,500.08,percent of total billed charges,999999999,,,,,,,,,,,,,,,,474.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,235,percent of total billed charges,223.1925169,,,,,,,,,,235,percent of total billed charges,219.4798612,,,,,,,,,,235,percent of total billed charges,218.8699361,,,,,,,,,,235,percent of total billed charges,215.647079,,,,,,,,,,235,percent of total billed charges,221.1959953,,,,,,,,,,235,percent of total billed charges,999999999,,,,,,,,,,235,percent of total billed charges,189.8017406,,,,,,,,,,235,percent of total billed charges,299.3304336,,,,,,,,,,235,percent of total billed charges,999999999,,,,,,,,,,235,percent of total billed charges,204.6526957,,,,,,,,,,846,percent of total billed charges,,,,,
HANDS BILATERAL PA,73120,CDM,0056-2780-01,NDC,,both,1,EA,519,519,110.4867673,519,519,percent of total billed charges,381.8467378,,,,519,percent of total billed charges,404.7499921,,,,519,percent of total billed charges,381.8467378,,,,519,percent of total billed charges,404.7499921,,,,519,percent of total billed charges,999999999,,,,519,percent of total billed charges,395.4423294,,,,519,percent of total billed charges,381.8467378,,,,519,percent of total billed charges,404.7499921,,,,370.047,percent of total billed charges,184.6602249,,,,370.047,percent of total billed charges,110.4867673,,,,370.047,percent of total billed charges,184.6602249,,,,370.047,percent of total billed charges,110.4867673,,,,370.047,percent of total billed charges,184.6602249,,,,370.047,percent of total billed charges,110.4867673,,,,366.414,percent of total billed charges,363.6339174,,,,366.414,percent of total billed charges,250.7954306,,,,,,,,,,373.68,percent of total billed charges,242.8832065,,,,,,,,,,373.68,percent of total billed charges,999999999,,,,,,,,,,415.2,percent of total billed charges,347.9160172,,,,410.01,percent of total billed charges,395.6772947,,,,410.01,percent of total billed charges,349.5939874,,,,415.2,percent of total billed charges,999999999,,,,415.2,percent of total billed charges,999999999,,,,363.3,percent of total billed charges,999999999,,,,363.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,276.108,percent of total billed charges,999999999,,,,,,,,,,,,,,,,262.095,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,129.75,percent of total billed charges,123.230762,,,,,,,,,,129.75,percent of total billed charges,121.1809021,,,,,,,,,,129.75,percent of total billed charges,120.8441456,,,,,,,,,,129.75,percent of total billed charges,119.064717,,,,,,,,,,129.75,percent of total billed charges,122.1284272,,,,,,,,,,129.75,percent of total billed charges,999999999,,,,,,,,,,129.75,percent of total billed charges,104.7947908,,,,,,,,,,129.75,percent of total billed charges,165.2686118,,,,,,,,,,129.75,percent of total billed charges,999999999,,,,,,,,,,129.75,percent of total billed charges,112.9944139,,,,,,,,,,467.1,percent of total billed charges,,,,,
NOSE TO RECTUM FOREIGN BODY 1 VIEW PEDIA,76010,CDM,0056-2780-01,NDC,,both,1,EA,492,492,104.7389008,492,492,percent of total billed charges,361.9818787,,,,492,percent of total billed charges,383.6936341,,,,492,percent of total billed charges,361.9818787,,,,492,percent of total billed charges,383.6936341,,,,492,percent of total billed charges,999999999,,,,492,percent of total billed charges,374.870185,,,,492,percent of total billed charges,361.9818787,,,,492,percent of total billed charges,383.6936341,,,,350.796,percent of total billed charges,175.0536236,,,,350.796,percent of total billed charges,104.7389008,,,,350.796,percent of total billed charges,175.0536236,,,,350.796,percent of total billed charges,104.7389008,,,,350.796,percent of total billed charges,175.0536236,,,,350.796,percent of total billed charges,104.7389008,,,,347.352,percent of total billed charges,344.7165459,,,,347.352,percent of total billed charges,237.7482695,,,,,,,,,,354.24,percent of total billed charges,230.247664,,,,,,,,,,354.24,percent of total billed charges,999999999,,,,,,,,,,393.6,percent of total billed charges,329.81634,,,,388.68,percent of total billed charges,375.0929268,,,,388.68,percent of total billed charges,331.407017,,,,393.6,percent of total billed charges,999999999,,,,393.6,percent of total billed charges,999999999,,,,344.4,percent of total billed charges,999999999,,,,344.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,261.744,percent of total billed charges,999999999,,,,,,,,,,,,,,,,248.46,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,123,percent of total billed charges,116.8199131,,,,,,,,,,123,percent of total billed charges,114.8766933,,,,,,,,,,123,percent of total billed charges,114.5574559,,,,,,,,,,123,percent of total billed charges,112.8705988,,,,,,,,,,123,percent of total billed charges,115.7749252,,,,,,,,,,123,percent of total billed charges,999999999,,,,,,,,,,123,percent of total billed charges,99.34303871,,,,,,,,,,123,percent of total billed charges,156.6708227,,,,,,,,,,123,percent of total billed charges,999999999,,,,,,,,,,123,percent of total billed charges,107.1160918,,,,,,,,,,442.8,percent of total billed charges,,,,,
US ABD SONOGRAM,76700,CDM,0056-2780-01,NDC,,both,1,EA,1869,1869,397.8800925,1869,1869,percent of total billed charges,1375.089698,,,,1869,percent of total billed charges,1457.567891,,,,1869,percent of total billed charges,1375.089698,,,,1869,percent of total billed charges,1457.567891,,,,1869,percent of total billed charges,999999999,,,,1869,percent of total billed charges,1424.049544,,,,1869,percent of total billed charges,1375.089698,,,,1869,percent of total billed charges,1457.567891,,,,1332.597,percent of total billed charges,664.9902896,,,,1332.597,percent of total billed charges,397.8800925,,,,1332.597,percent of total billed charges,664.9902896,,,,1332.597,percent of total billed charges,397.8800925,,,,1332.597,percent of total billed charges,664.9902896,,,,1332.597,percent of total billed charges,397.8800925,,,,1319.514,percent of total billed charges,1309.502489,,,,1319.514,percent of total billed charges,903.1534872,,,,,,,,,,1345.68,percent of total billed charges,874.6603333,,,,,,,,,,1345.68,percent of total billed charges,999999999,,,,,,,,,,1495.2,percent of total billed charges,1252.899877,,,,1476.51,percent of total billed charges,1424.895691,,,,1476.51,percent of total billed charges,1258.94251,,,,1495.2,percent of total billed charges,999999999,,,,1495.2,percent of total billed charges,999999999,,,,1308.3,percent of total billed charges,999999999,,,,1308.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,994.308,percent of total billed charges,999999999,,,,,,,,,,,,,,,,943.845,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,467.25,percent of total billed charges,443.7732065,,,,,,,,,,467.25,percent of total billed charges,436.3913411,,,,,,,,,,467.25,percent of total billed charges,435.1786283,,,,,,,,,,467.25,percent of total billed charges,428.7706283,,,,,,,,,,467.25,percent of total billed charges,439.8035269,,,,,,,,,,467.25,percent of total billed charges,999999999,,,,,,,,,,467.25,percent of total billed charges,377.382397,,,,,,,,,,467.25,percent of total billed charges,595.1580643,,,,,,,,,,467.25,percent of total billed charges,999999999,,,,,,,,,,467.25,percent of total billed charges,406.9105195,,,,,,,,,,1682.1,percent of total billed charges,,,,,
US ABD AORTA SONOGRAM,76775,CDM,0056-2780-01,NDC,,both,1,EA,1012,1012,215.438552,1012,1012,percent of total billed charges,744.564352,,,,1012,percent of total billed charges,789.2234913,,,,1012,percent of total billed charges,744.564352,,,,1012,percent of total billed charges,789.2234913,,,,1012,percent of total billed charges,999999999,,,,1012,percent of total billed charges,771.0744457,,,,1012,percent of total billed charges,744.564352,,,,1012,percent of total billed charges,789.2234913,,,,721.556,percent of total billed charges,360.0696485,,,,721.556,percent of total billed charges,215.438552,,,,721.556,percent of total billed charges,360.0696485,,,,721.556,percent of total billed charges,215.438552,,,,721.556,percent of total billed charges,360.0696485,,,,721.556,percent of total billed charges,215.438552,,,,714.472,percent of total billed charges,709.0511067,,,,714.472,percent of total billed charges,489.0269283,,,,,,,,,,728.64,percent of total billed charges,473.5988536,,,,,,,,,,728.64,percent of total billed charges,999999999,,,,,,,,,,809.6,percent of total billed charges,678.4027156,,,,799.48,percent of total billed charges,771.5326056,,,,799.48,percent of total billed charges,681.6745959,,,,809.6,percent of total billed charges,999999999,,,,809.6,percent of total billed charges,999999999,,,,708.4,percent of total billed charges,999999999,,,,708.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,538.384,percent of total billed charges,999999999,,,,,,,,,,,,,,,,511.06,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,253,percent of total billed charges,240.2881139,,,,,,,,,,253,percent of total billed charges,236.2910847,,,,,,,,,,253,percent of total billed charges,235.6344419,,,,,,,,,,253,percent of total billed charges,232.1647276,,,,,,,,,,253,percent of total billed charges,238.1386673,,,,,,,,,,253,percent of total billed charges,999999999,,,,,,,,,,253,percent of total billed charges,204.3397463,,,,,,,,,,253,percent of total billed charges,322.2578711,,,,,,,,,,253,percent of total billed charges,999999999,,,,,,,,,,253,percent of total billed charges,220.3282214,,,,,,,,,,910.8,percent of total billed charges,,,,,
US AORTIC ANEURYSM SCREENING,76706,CDM,0056-2780-01,NDC,,both,1,EA,864,864,183.9317282,864,864,percent of total billed charges,635.6754942,,,,864,percent of total billed charges,673.803455,,,,864,percent of total billed charges,635.6754942,,,,864,percent of total billed charges,673.803455,,,,864,percent of total billed charges,999999999,,,,864,percent of total billed charges,658.3086176,,,,864,percent of total billed charges,635.6754942,,,,864,percent of total billed charges,673.803455,,,,616.032,percent of total billed charges,307.4112414,,,,616.032,percent of total billed charges,183.9317282,,,,616.032,percent of total billed charges,307.4112414,,,,616.032,percent of total billed charges,183.9317282,,,,616.032,percent of total billed charges,307.4112414,,,,616.032,percent of total billed charges,183.9317282,,,,609.984,percent of total billed charges,605.3558856,,,,609.984,percent of total billed charges,417.5091562,,,,,,,,,,622.08,percent of total billed charges,404.3373611,,,,,,,,,,622.08,percent of total billed charges,999999999,,,,,,,,,,691.2,percent of total billed charges,579.1896702,,,,682.56,percent of total billed charges,658.6997739,,,,682.56,percent of total billed charges,581.9830542,,,,691.2,percent of total billed charges,999999999,,,,691.2,percent of total billed charges,999999999,,,,604.8,percent of total billed charges,999999999,,,,604.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,459.648,percent of total billed charges,999999999,,,,,,,,,,,,,,,,436.32,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,216,percent of total billed charges,205.1471645,,,,,,,,,,216,percent of total billed charges,201.734681,,,,,,,,,,216,percent of total billed charges,201.1740689,,,,,,,,,,216,percent of total billed charges,198.2117832,,,,,,,,,,216,percent of total billed charges,203.3120638,,,,,,,,,,216,percent of total billed charges,999999999,,,,,,,,,,216,percent of total billed charges,174.456068,,,,,,,,,,216,percent of total billed charges,275.1292496,,,,,,,,,,216,percent of total billed charges,999999999,,,,,,,,,,216,percent of total billed charges,188.1063076,,,,,,,,,,777.6,percent of total billed charges,,,,,
US RENAL ARTERY DOPPLER,93975,CDM,0056-2780-01,NDC,,both,1,EA,1469,1469,312.7265147,1469,1469,percent of total billed charges,1080.795487,,,,1469,percent of total billed charges,1145.621847,,,,1469,percent of total billed charges,1080.795487,,,,1469,percent of total billed charges,1145.621847,,,,1469,percent of total billed charges,999999999,,,,1469,percent of total billed charges,1119.277036,,,,1469,percent of total billed charges,1080.795487,,,,1469,percent of total billed charges,1145.621847,,,,1047.397,percent of total billed charges,522.6702704,,,,1047.397,percent of total billed charges,312.7265147,,,,1047.397,percent of total billed charges,522.6702704,,,,1047.397,percent of total billed charges,312.7265147,,,,1047.397,percent of total billed charges,522.6702704,,,,1047.397,percent of total billed charges,312.7265147,,,,1037.114,percent of total billed charges,1029.245134,,,,1037.114,percent of total billed charges,709.8622112,,,,,,,,,,1057.68,percent of total billed charges,687.4671106,,,,,,,,,,1057.68,percent of total billed charges,999999999,,,,,,,,,,1175.2,percent of total billed charges,984.756511,,,,1160.51,percent of total billed charges,1119.942092,,,,1160.51,percent of total billed charges,989.5059105,,,,1175.2,percent of total billed charges,999999999,,,,1175.2,percent of total billed charges,999999999,,,,1028.3,percent of total billed charges,999999999,,,,1028.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,781.508,percent of total billed charges,999999999,,,,,,,,,,,,,,,,741.845,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,367.25,percent of total billed charges,348.7976674,,,,,,,,,,367.25,percent of total billed charges,342.9956555,,,,,,,,,,367.25,percent of total billed charges,342.0424853,,,,,,,,,,367.25,percent of total billed charges,337.0059138,,,,,,,,,,367.25,percent of total billed charges,345.6775714,,,,,,,,,,367.25,percent of total billed charges,999999999,,,,,,,,,,367.25,percent of total billed charges,296.6156989,,,,,,,,,,367.25,percent of total billed charges,467.7834117,,,,,,,,,,367.25,percent of total billed charges,999999999,,,,,,,,,,367.25,percent of total billed charges,319.824266,,,,,,,,,,1322.1,percent of total billed charges,,,,,
US ABD LIMITED,76705,CDM,0056-2780-01,NDC,,both,1,EA,1145,1145,243.7521166,1145,1145,percent of total billed charges,842.417177,,,,1145,percent of total billed charges,892.945551,,,,1145,percent of total billed charges,842.417177,,,,1145,percent of total billed charges,892.945551,,,,1145,percent of total billed charges,999999999,,,,1145,percent of total billed charges,872.4113046,,,,1145,percent of total billed charges,842.417177,,,,1145,percent of total billed charges,892.945551,,,,816.385,percent of total billed charges,407.3910549,,,,816.385,percent of total billed charges,243.7521166,,,,816.385,percent of total billed charges,407.3910549,,,,816.385,percent of total billed charges,243.7521166,,,,816.385,percent of total billed charges,407.3910549,,,,816.385,percent of total billed charges,243.7521166,,,,808.37,percent of total billed charges,802.2366771,,,,808.37,percent of total billed charges,553.2962776,,,,,,,,,,824.4,percent of total billed charges,535.8406001,,,,,,,,,,824.4,percent of total billed charges,999999999,,,,,,,,,,916,percent of total billed charges,767.5603847,,,,904.55,percent of total billed charges,872.9296772,,,,904.55,percent of total billed charges,771.2622651,,,,916,percent of total billed charges,999999999,,,,916,percent of total billed charges,999999999,,,,801.5,percent of total billed charges,999999999,,,,801.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,609.14,percent of total billed charges,999999999,,,,,,,,,,,,,,,,578.225,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,286.25,percent of total billed charges,271.8674807,,,,,,,,,,286.25,percent of total billed charges,267.3451501,,,,,,,,,,286.25,percent of total billed charges,266.6022094,,,,,,,,,,286.25,percent of total billed charges,262.6764951,,,,,,,,,,286.25,percent of total billed charges,269.4355475,,,,,,,,,,286.25,percent of total billed charges,999999999,,,,,,,,,,286.25,percent of total billed charges,231.1946734,,,,,,,,,,286.25,percent of total billed charges,364.6099431,,,,,,,,,,286.25,percent of total billed charges,999999999,,,,,,,,,,286.25,percent of total billed charges,249.2844007,,,,,,,,,,1030.5,percent of total billed charges,,,,,
US OB ADDITIONAL GEST 2 AND 3 TRI,76810,CDM,0056-2780-01,NDC,,both,1,EA,1010,1010,215.0127841,1010,1010,percent of total billed charges,743.092881,,,,1010,percent of total billed charges,787.6637611,,,,1010,percent of total billed charges,743.092881,,,,1010,percent of total billed charges,787.6637611,,,,1010,percent of total billed charges,999999999,,,,1010,percent of total billed charges,769.5505831,,,,1010,percent of total billed charges,743.092881,,,,1010,percent of total billed charges,787.6637611,,,,720.13,percent of total billed charges,359.3580484,,,,720.13,percent of total billed charges,215.0127841,,,,720.13,percent of total billed charges,359.3580484,,,,720.13,percent of total billed charges,215.0127841,,,,720.13,percent of total billed charges,359.3580484,,,,720.13,percent of total billed charges,215.0127841,,,,713.06,percent of total billed charges,707.6498199,,,,713.06,percent of total billed charges,488.0604719,,,,,,,,,,727.2,percent of total billed charges,472.6628874,,,,,,,,,,727.2,percent of total billed charges,999999999,,,,,,,,,,808,percent of total billed charges,677.0619987,,,,797.9,percent of total billed charges,770.0078376,,,,797.9,percent of total billed charges,680.3274129,,,,808,percent of total billed charges,999999999,,,,808,percent of total billed charges,999999999,,,,707,percent of total billed charges,999999999,,,,707,percent of total billed charges,999999999,,,,,,,,,,,,,,,,537.32,percent of total billed charges,999999999,,,,,,,,,,,,,,,,510.05,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,252.5,percent of total billed charges,239.8132362,,,,,,,,,,252.5,percent of total billed charges,235.8241062,,,,,,,,,,252.5,percent of total billed charges,235.1687611,,,,,,,,,,252.5,percent of total billed charges,231.705904,,,,,,,,,,252.5,percent of total billed charges,237.6680375,,,,,,,,,,252.5,percent of total billed charges,999999999,,,,,,,,,,252.5,percent of total billed charges,203.9359128,,,,,,,,,,252.5,percent of total billed charges,321.6209978,,,,,,,,,,252.5,percent of total billed charges,999999999,,,,,,,,,,252.5,percent of total billed charges,219.8927901,,,,,,,,,,909,percent of total billed charges,,,,,
**US BREAST SONOGRAM UNI,76645,CDM,0056-2780-01,NDC,,both,1,EA,550,550,117.0861695,550,550,percent of total billed charges,404.6545391,,,,550,percent of total billed charges,428.9258105,,,,550,percent of total billed charges,404.6545391,,,,550,percent of total billed charges,428.9258105,,,,550,percent of total billed charges,999999999,,,,550,percent of total billed charges,419.0621987,,,,550,percent of total billed charges,404.6545391,,,,550,percent of total billed charges,428.9258105,,,,392.15,percent of total billed charges,195.6900264,,,,392.15,percent of total billed charges,117.0861695,,,,392.15,percent of total billed charges,195.6900264,,,,392.15,percent of total billed charges,117.0861695,,,,392.15,percent of total billed charges,195.6900264,,,,392.15,percent of total billed charges,117.0861695,,,,388.3,percent of total billed charges,385.3538623,,,,388.3,percent of total billed charges,265.7755045,,,,,,,,,,396,percent of total billed charges,257.3906813,,,,,,,,,,396,percent of total billed charges,999999999,,,,,,,,,,440,percent of total billed charges,368.697128,,,,434.5,percent of total billed charges,419.3111987,,,,434.5,percent of total billed charges,370.4753239,,,,440,percent of total billed charges,999999999,,,,440,percent of total billed charges,999999999,,,,385,percent of total billed charges,999999999,,,,385,percent of total billed charges,999999999,,,,,,,,,,,,,,,,292.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,277.75,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,137.5,percent of total billed charges,130.5913663,,,,,,,,,,137.5,percent of total billed charges,128.4190678,,,,,,,,,,137.5,percent of total billed charges,128.0621967,,,,,,,,,,137.5,percent of total billed charges,126.1764824,,,,,,,,,,137.5,percent of total billed charges,129.4231888,,,,,,,,,,137.5,percent of total billed charges,999999999,,,,,,,,,,137.5,percent of total billed charges,111.0542099,,,,,,,,,,137.5,percent of total billed charges,175.1401473,,,,,,,,,,137.5,percent of total billed charges,999999999,,,,,,,,,,137.5,percent of total billed charges,119.7435986,,,,,,,,,,495,percent of total billed charges,,,,,
US BREAST COMPLETE,76642,CDM,0056-2780-01,NDC,,both,1,EA,741,741,157.747003,741,741,percent of total billed charges,545.1800246,,,,741,percent of total billed charges,577.8800465,,,,741,percent of total billed charges,545.1800246,,,,741,percent of total billed charges,577.8800465,,,,741,percent of total billed charges,999999999,,,,741,percent of total billed charges,564.5910714,,,,741,percent of total billed charges,545.1800246,,,,741,percent of total billed charges,577.8800465,,,,528.333,percent of total billed charges,263.6478355,,,,528.333,percent of total billed charges,157.747003,,,,528.333,percent of total billed charges,263.6478355,,,,528.333,percent of total billed charges,157.747003,,,,528.333,percent of total billed charges,263.6478355,,,,528.333,percent of total billed charges,157.747003,,,,523.146,percent of total billed charges,519.1767491,,,,523.146,percent of total billed charges,358.0720888,,,,,,,,,,533.52,percent of total billed charges,346.7754451,,,,,,,,,,533.52,percent of total billed charges,999999999,,,,,,,,,,592.8,percent of total billed charges,496.7355852,,,,585.39,percent of total billed charges,564.9265422,,,,585.39,percent of total billed charges,499.1313,,,,592.8,percent of total billed charges,999999999,,,,592.8,percent of total billed charges,999999999,,,,518.7,percent of total billed charges,999999999,,,,518.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,394.212,percent of total billed charges,999999999,,,,,,,,,,,,,,,,374.205,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,185.25,percent of total billed charges,175.9421862,,,,,,,,,,185.25,percent of total billed charges,173.0155076,,,,,,,,,,185.25,percent of total billed charges,172.534705,,,,,,,,,,185.25,percent of total billed charges,169.9941335,,,,,,,,,,185.25,percent of total billed charges,174.3683325,,,,,,,,,,185.25,percent of total billed charges,999999999,,,,,,,,,,185.25,percent of total billed charges,149.6203083,,,,,,,,,,185.25,percent of total billed charges,235.961544,,,,,,,,,,185.25,percent of total billed charges,999999999,,,,,,,,,,185.25,percent of total billed charges,161.3272846,,,,,,,,,,666.9,percent of total billed charges,,,,,
US BREAST UNI LT,76642,CDM,0056-2780-01,NDC,LT,both,1,EA,695,695,147.9543415,695,695,percent of total billed charges,511.3361904,,,,695,percent of total billed charges,542.0062515,,,,695,percent of total billed charges,511.3361904,,,,695,percent of total billed charges,542.0062515,,,,695,percent of total billed charges,999999999,,,,695,percent of total billed charges,529.5422329,,,,695,percent of total billed charges,511.3361904,,,,695,percent of total billed charges,542.0062515,,,,495.535,percent of total billed charges,247.2810333,,,,495.535,percent of total billed charges,147.9543415,,,,495.535,percent of total billed charges,247.2810333,,,,495.535,percent of total billed charges,147.9543415,,,,495.535,percent of total billed charges,247.2810333,,,,495.535,percent of total billed charges,147.9543415,,,,490.67,percent of total billed charges,486.9471533,,,,490.67,percent of total billed charges,335.8435921,,,,,,,,,,500.4,percent of total billed charges,325.2482245,,,,,,,,,,500.4,percent of total billed charges,999999999,,,,,,,,,,556,percent of total billed charges,465.8990981,,,,549.05,percent of total billed charges,529.8568783,,,,549.05,percent of total billed charges,468.1460911,,,,556,percent of total billed charges,999999999,,,,556,percent of total billed charges,999999999,,,,486.5,percent of total billed charges,999999999,,,,486.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,369.74,percent of total billed charges,999999999,,,,,,,,,,,,,,,,350.975,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,173.75,percent of total billed charges,165.0199992,,,,,,,,,,173.75,percent of total billed charges,162.2750038,,,,,,,,,,173.75,percent of total billed charges,161.8240485,,,,,,,,,,173.75,percent of total billed charges,159.4411914,,,,,,,,,,173.75,percent of total billed charges,163.5438476,,,,,,,,,,173.75,percent of total billed charges,999999999,,,,,,,,,,173.75,percent of total billed charges,140.332138,,,,,,,,,,173.75,percent of total billed charges,221.3134589,,,,,,,,,,173.75,percent of total billed charges,999999999,,,,,,,,,,173.75,percent of total billed charges,151.3123655,,,,,,,,,,625.5,percent of total billed charges,,,,,
US BREAST UNI RT,76642,CDM,0056-2780-01,NDC,RT,both,1,EA,695,695,147.9543415,695,695,percent of total billed charges,511.3361904,,,,695,percent of total billed charges,542.0062515,,,,695,percent of total billed charges,511.3361904,,,,695,percent of total billed charges,542.0062515,,,,695,percent of total billed charges,999999999,,,,695,percent of total billed charges,529.5422329,,,,695,percent of total billed charges,511.3361904,,,,695,percent of total billed charges,542.0062515,,,,495.535,percent of total billed charges,247.2810333,,,,495.535,percent of total billed charges,147.9543415,,,,495.535,percent of total billed charges,247.2810333,,,,495.535,percent of total billed charges,147.9543415,,,,495.535,percent of total billed charges,247.2810333,,,,495.535,percent of total billed charges,147.9543415,,,,490.67,percent of total billed charges,486.9471533,,,,490.67,percent of total billed charges,335.8435921,,,,,,,,,,500.4,percent of total billed charges,325.2482245,,,,,,,,,,500.4,percent of total billed charges,999999999,,,,,,,,,,556,percent of total billed charges,465.8990981,,,,549.05,percent of total billed charges,529.8568783,,,,549.05,percent of total billed charges,468.1460911,,,,556,percent of total billed charges,999999999,,,,556,percent of total billed charges,999999999,,,,486.5,percent of total billed charges,999999999,,,,486.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,369.74,percent of total billed charges,999999999,,,,,,,,,,,,,,,,350.975,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,173.75,percent of total billed charges,165.0199992,,,,,,,,,,173.75,percent of total billed charges,162.2750038,,,,,,,,,,173.75,percent of total billed charges,161.8240485,,,,,,,,,,173.75,percent of total billed charges,159.4411914,,,,,,,,,,173.75,percent of total billed charges,163.5438476,,,,,,,,,,173.75,percent of total billed charges,999999999,,,,,,,,,,173.75,percent of total billed charges,140.332138,,,,,,,,,,173.75,percent of total billed charges,221.3134589,,,,,,,,,,173.75,percent of total billed charges,999999999,,,,,,,,,,173.75,percent of total billed charges,151.3123655,,,,,,,,,,625.5,percent of total billed charges,,,,,
US BREAST ASPIR EA ADDL CYST,19001,CDM,0056-2780-01,NDC,,both,1,EA,708,708,150.7218328,708,708,percent of total billed charges,520.9007522,,,,708,percent of total billed charges,552.1444979,,,,708,percent of total billed charges,520.9007522,,,,708,percent of total billed charges,552.1444979,,,,708,percent of total billed charges,999999999,,,,708,percent of total billed charges,539.4473395,,,,708,percent of total billed charges,520.9007522,,,,708,percent of total billed charges,552.1444979,,,,504.804,percent of total billed charges,251.9064339,,,,504.804,percent of total billed charges,150.7218328,,,,504.804,percent of total billed charges,251.9064339,,,,504.804,percent of total billed charges,150.7218328,,,,504.804,percent of total billed charges,251.9064339,,,,504.804,percent of total billed charges,150.7218328,,,,499.848,percent of total billed charges,496.0555173,,,,499.848,percent of total billed charges,342.1255585,,,,,,,,,,509.76,percent of total billed charges,331.3320043,,,,,,,,,,509.76,percent of total billed charges,999999999,,,,,,,,,,566.4,percent of total billed charges,474.6137575,,,,559.32,percent of total billed charges,539.7678703,,,,559.32,percent of total billed charges,476.9027805,,,,566.4,percent of total billed charges,999999999,,,,566.4,percent of total billed charges,999999999,,,,495.6,percent of total billed charges,999999999,,,,495.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,376.656,percent of total billed charges,999999999,,,,,,,,,,,,,,,,357.54,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,177,percent of total billed charges,168.1067042,,,,,,,,,,177,percent of total billed charges,165.3103636,,,,,,,,,,177,percent of total billed charges,164.8509732,,,,,,,,,,177,percent of total billed charges,162.4235446,,,,,,,,,,177,percent of total billed charges,166.6029412,,,,,,,,,,177,percent of total billed charges,999999999,,,,,,,,,,177,percent of total billed charges,142.9570557,,,,,,,,,,177,percent of total billed charges,225.4531351,,,,,,,,,,177,percent of total billed charges,999999999,,,,,,,,,,177,percent of total billed charges,154.1426687,,,,,,,,,,637.2,percent of total billed charges,,,,,
US BREAST ASPIR SURGICAL,19000,CDM,0056-2780-01,NDC,,both,1,EA,1429,1429,304.2111569,1429,1429,percent of total billed charges,1051.366066,,,,1429,percent of total billed charges,1114.427242,,,,1429,percent of total billed charges,1051.366066,,,,1429,percent of total billed charges,1114.427242,,,,1429,percent of total billed charges,999999999,,,,1429,percent of total billed charges,1088.799785,,,,1429,percent of total billed charges,1051.366066,,,,1429,percent of total billed charges,1114.427242,,,,1018.877,percent of total billed charges,508.4382685,,,,1018.877,percent of total billed charges,304.2111569,,,,1018.877,percent of total billed charges,508.4382685,,,,1018.877,percent of total billed charges,304.2111569,,,,1018.877,percent of total billed charges,508.4382685,,,,1018.877,percent of total billed charges,304.2111569,,,,1008.874,percent of total billed charges,1001.219399,,,,1008.874,percent of total billed charges,690.5330836,,,,,,,,,,1028.88,percent of total billed charges,668.7477883,,,,,,,,,,1028.88,percent of total billed charges,999999999,,,,,,,,,,1143.2,percent of total billed charges,957.9421745,,,,1128.91,percent of total billed charges,1089.446733,,,,1128.91,percent of total billed charges,962.5622506,,,,1143.2,percent of total billed charges,999999999,,,,1143.2,percent of total billed charges,999999999,,,,1000.3,percent of total billed charges,999999999,,,,1000.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,760.228,percent of total billed charges,999999999,,,,,,,,,,,,,,,,721.645,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,357.25,percent of total billed charges,339.3001135,,,,,,,,,,357.25,percent of total billed charges,333.6560869,,,,,,,,,,357.25,percent of total billed charges,332.728871,,,,,,,,,,357.25,percent of total billed charges,327.8294424,,,,,,,,,,357.25,percent of total billed charges,336.2649759,,,,,,,,,,357.25,percent of total billed charges,999999999,,,,,,,,,,357.25,percent of total billed charges,288.5390291,,,,,,,,,,357.25,percent of total billed charges,455.0459464,,,,,,,,,,357.25,percent of total billed charges,999999999,,,,,,,,,,357.25,percent of total billed charges,311.1156407,,,,,,,,,,1286.1,percent of total billed charges,,,,,
**US BREAST CYST ASPIR W/ US,76942,CDM,0056-2780-01,NDC,,both,1,EA,548,548,116.6604017,548,548,percent of total billed charges,403.1830681,,,,548,percent of total billed charges,427.3660803,,,,548,percent of total billed charges,403.1830681,,,,548,percent of total billed charges,427.3660803,,,,548,percent of total billed charges,999999999,,,,548,percent of total billed charges,417.5383362,,,,548,percent of total billed charges,403.1830681,,,,548,percent of total billed charges,427.3660803,,,,390.724,percent of total billed charges,194.9784263,,,,390.724,percent of total billed charges,116.6604017,,,,390.724,percent of total billed charges,194.9784263,,,,390.724,percent of total billed charges,116.6604017,,,,390.724,percent of total billed charges,194.9784263,,,,390.724,percent of total billed charges,116.6604017,,,,386.888,percent of total billed charges,383.9525756,,,,386.888,percent of total billed charges,264.8090481,,,,,,,,,,394.56,percent of total billed charges,256.4547152,,,,,,,,,,394.56,percent of total billed charges,999999999,,,,,,,,,,438.4,percent of total billed charges,367.3564112,,,,432.92,percent of total billed charges,417.7864307,,,,432.92,percent of total billed charges,369.1281409,,,,438.4,percent of total billed charges,999999999,,,,438.4,percent of total billed charges,999999999,,,,383.6,percent of total billed charges,999999999,,,,383.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,291.536,percent of total billed charges,999999999,,,,,,,,,,,,,,,,276.74,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,137,percent of total billed charges,130.1164886,,,,,,,,,,137,percent of total billed charges,127.9520893,,,,,,,,,,137,percent of total billed charges,127.5965159,,,,,,,,,,137,percent of total billed charges,125.7176588,,,,,,,,,,137,percent of total billed charges,128.952559,,,,,,,,,,137,percent of total billed charges,999999999,,,,,,,,,,137,percent of total billed charges,110.6503764,,,,,,,,,,137,percent of total billed charges,174.5032741,,,,,,,,,,137,percent of total billed charges,999999999,,,,,,,,,,137,percent of total billed charges,119.3081673,,,,,,,,,,493.2,percent of total billed charges,,,,,
US BREAST BIOPSY LT,19083,CDM,0056-2780-01,NDC,,both,1,EA,4708,4708,1002.257611,4708,4708,percent of total billed charges,3463.842855,,,,4708,percent of total billed charges,3671.604938,,,,4708,percent of total billed charges,3463.842855,,,,4708,percent of total billed charges,3671.604938,,,,4708,percent of total billed charges,999999999,,,,4708,percent of total billed charges,3587.172421,,,,4708,percent of total billed charges,3463.842855,,,,4708,percent of total billed charges,3671.604938,,,,3356.804,percent of total billed charges,1675.106626,,,,3356.804,percent of total billed charges,1002.257611,,,,3356.804,percent of total billed charges,1675.106626,,,,3356.804,percent of total billed charges,1002.257611,,,,3356.804,percent of total billed charges,1675.106626,,,,3356.804,percent of total billed charges,1002.257611,,,,3323.848,percent of total billed charges,3298.629062,,,,3323.848,percent of total billed charges,2275.038319,,,,,,,,,,3389.76,percent of total billed charges,2203.264232,,,,,,,,,,3389.76,percent of total billed charges,999999999,,,,,,,,,,3766.4,percent of total billed charges,3156.047416,,,,3719.32,percent of total billed charges,3589.303861,,,,3719.32,percent of total billed charges,3171.268772,,,,3766.4,percent of total billed charges,999999999,,,,3766.4,percent of total billed charges,999999999,,,,3295.6,percent of total billed charges,999999999,,,,3295.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2504.656,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2377.54,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1177,percent of total billed charges,1117.862095,,,,,,,,,,1177,percent of total billed charges,1099.26722,,,,,,,,,,1177,percent of total billed charges,1096.212403,,,,,,,,,,1177,percent of total billed charges,1080.070689,,,,,,,,,,1177,percent of total billed charges,1107.862496,,,,,,,,,,1177,percent of total billed charges,999999999,,,,,,,,,,1177,percent of total billed charges,950.6240371,,,,,,,,,,1177,percent of total billed charges,1499.199661,,,,,,,,,,1177,percent of total billed charges,999999999,,,,,,,,,,1177,percent of total billed charges,1025.005204,,,,,,,,,,4237.2,percent of total billed charges,,,,,
US BREAST GUIDANCE,76942,CDM,0056-2780-01,NDC,,both,1,EA,1319,1319,280.793923,1319,1319,percent of total billed charges,970.4351584,,,,1319,percent of total billed charges,1028.64208,,,,1319,percent of total billed charges,970.4351584,,,,1319,percent of total billed charges,1028.64208,,,,1319,percent of total billed charges,999999999,,,,1319,percent of total billed charges,1004.987346,,,,1319,percent of total billed charges,970.4351584,,,,1319,percent of total billed charges,1028.64208,,,,940.447,percent of total billed charges,469.3002632,,,,940.447,percent of total billed charges,280.793923,,,,940.447,percent of total billed charges,469.3002632,,,,940.447,percent of total billed charges,280.793923,,,,940.447,percent of total billed charges,469.3002632,,,,940.447,percent of total billed charges,280.793923,,,,931.214,percent of total billed charges,924.1486262,,,,931.214,percent of total billed charges,637.3779827,,,,,,,,,,949.68,percent of total billed charges,617.269652,,,,,,,,,,949.68,percent of total billed charges,999999999,,,,,,,,,,1055.2,percent of total billed charges,884.2027489,,,,1042.01,percent of total billed charges,1005.584493,,,,1042.01,percent of total billed charges,888.4671858,,,,1055.2,percent of total billed charges,999999999,,,,1055.2,percent of total billed charges,999999999,,,,923.3,percent of total billed charges,999999999,,,,923.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,701.708,percent of total billed charges,999999999,,,,,,,,,,,,,,,,666.095,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,329.75,percent of total billed charges,313.1818402,,,,,,,,,,329.75,percent of total billed charges,307.9722734,,,,,,,,,,329.75,percent of total billed charges,307.1164316,,,,,,,,,,329.75,percent of total billed charges,302.5941459,,,,,,,,,,329.75,percent of total billed charges,310.3803381,,,,,,,,,,329.75,percent of total billed charges,999999999,,,,,,,,,,329.75,percent of total billed charges,266.3281871,,,,,,,,,,329.75,percent of total billed charges,420.017917,,,,,,,,,,329.75,percent of total billed charges,999999999,,,,,,,,,,329.75,percent of total billed charges,287.1669209,,,,,,,,,,1187.1,percent of total billed charges,,,,,
US BREAST BX RT EA ADDITIONAL,19084,CDM,0056-2780-01,NDC,,both,1,EA,3124,3124,665.049443,3124,3124,percent of total billed charges,2298.437782,,,,3124,percent of total billed charges,2436.298604,,,,3124,percent of total billed charges,2298.437782,,,,3124,percent of total billed charges,2436.298604,,,,3124,percent of total billed charges,999999999,,,,3124,percent of total billed charges,2380.273289,,,,3124,percent of total billed charges,2298.437782,,,,3124,percent of total billed charges,2436.298604,,,,2227.412,percent of total billed charges,1111.51935,,,,2227.412,percent of total billed charges,665.049443,,,,2227.412,percent of total billed charges,1111.51935,,,,2227.412,percent of total billed charges,665.049443,,,,2227.412,percent of total billed charges,1111.51935,,,,2227.412,percent of total billed charges,665.049443,,,,2205.544,percent of total billed charges,2188.809938,,,,2205.544,percent of total billed charges,1509.604866,,,,,,,,,,2249.28,percent of total billed charges,1461.97907,,,,,,,,,,2249.28,percent of total billed charges,999999999,,,,,,,,,,2499.2,percent of total billed charges,2094.199687,,,,2467.96,percent of total billed charges,2381.687608,,,,2467.96,percent of total billed charges,2104.29984,,,,2499.2,percent of total billed charges,999999999,,,,2499.2,percent of total billed charges,999999999,,,,2186.8,percent of total billed charges,999999999,,,,2186.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1661.968,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1577.62,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,781,percent of total billed charges,741.7589604,,,,,,,,,,781,percent of total billed charges,729.4203048,,,,,,,,,,781,percent of total billed charges,727.393277,,,,,,,,,,781,percent of total billed charges,716.6824199,,,,,,,,,,781,percent of total billed charges,735.1237121,,,,,,,,,,781,percent of total billed charges,999999999,,,,,,,,,,781,percent of total billed charges,630.7879125,,,,,,,,,,781,percent of total billed charges,994.7960369,,,,,,,,,,781,percent of total billed charges,999999999,,,,,,,,,,781,percent of total billed charges,680.1436399,,,,,,,,,,2811.6,percent of total billed charges,,,,,
US BREAST ASPIR W/US LT,76942,CDM,0056-2780-01,NDC,,both,1,EA,1319,1319,280.793923,1319,1319,percent of total billed charges,970.4351584,,,,1319,percent of total billed charges,1028.64208,,,,1319,percent of total billed charges,970.4351584,,,,1319,percent of total billed charges,1028.64208,,,,1319,percent of total billed charges,999999999,,,,1319,percent of total billed charges,1004.987346,,,,1319,percent of total billed charges,970.4351584,,,,1319,percent of total billed charges,1028.64208,,,,940.447,percent of total billed charges,469.3002632,,,,940.447,percent of total billed charges,280.793923,,,,940.447,percent of total billed charges,469.3002632,,,,940.447,percent of total billed charges,280.793923,,,,940.447,percent of total billed charges,469.3002632,,,,940.447,percent of total billed charges,280.793923,,,,931.214,percent of total billed charges,924.1486262,,,,931.214,percent of total billed charges,637.3779827,,,,,,,,,,949.68,percent of total billed charges,617.269652,,,,,,,,,,949.68,percent of total billed charges,999999999,,,,,,,,,,1055.2,percent of total billed charges,884.2027489,,,,1042.01,percent of total billed charges,1005.584493,,,,1042.01,percent of total billed charges,888.4671858,,,,1055.2,percent of total billed charges,999999999,,,,1055.2,percent of total billed charges,999999999,,,,923.3,percent of total billed charges,999999999,,,,923.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,701.708,percent of total billed charges,999999999,,,,,,,,,,,,,,,,666.095,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,329.75,percent of total billed charges,313.1818402,,,,,,,,,,329.75,percent of total billed charges,307.9722734,,,,,,,,,,329.75,percent of total billed charges,307.1164316,,,,,,,,,,329.75,percent of total billed charges,302.5941459,,,,,,,,,,329.75,percent of total billed charges,310.3803381,,,,,,,,,,329.75,percent of total billed charges,999999999,,,,,,,,,,329.75,percent of total billed charges,266.3281871,,,,,,,,,,329.75,percent of total billed charges,420.017917,,,,,,,,,,329.75,percent of total billed charges,999999999,,,,,,,,,,329.75,percent of total billed charges,287.1669209,,,,,,,,,,1187.1,percent of total billed charges,,,,,
US BREAST ASPIR W/US RT,76942,CDM,0056-2780-01,NDC,,both,1,EA,1319,1319,280.793923,1319,1319,percent of total billed charges,970.4351584,,,,1319,percent of total billed charges,1028.64208,,,,1319,percent of total billed charges,970.4351584,,,,1319,percent of total billed charges,1028.64208,,,,1319,percent of total billed charges,999999999,,,,1319,percent of total billed charges,1004.987346,,,,1319,percent of total billed charges,970.4351584,,,,1319,percent of total billed charges,1028.64208,,,,940.447,percent of total billed charges,469.3002632,,,,940.447,percent of total billed charges,280.793923,,,,940.447,percent of total billed charges,469.3002632,,,,940.447,percent of total billed charges,280.793923,,,,940.447,percent of total billed charges,469.3002632,,,,940.447,percent of total billed charges,280.793923,,,,931.214,percent of total billed charges,924.1486262,,,,931.214,percent of total billed charges,637.3779827,,,,,,,,,,949.68,percent of total billed charges,617.269652,,,,,,,,,,949.68,percent of total billed charges,999999999,,,,,,,,,,1055.2,percent of total billed charges,884.2027489,,,,1042.01,percent of total billed charges,1005.584493,,,,1042.01,percent of total billed charges,888.4671858,,,,1055.2,percent of total billed charges,999999999,,,,1055.2,percent of total billed charges,999999999,,,,923.3,percent of total billed charges,999999999,,,,923.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,701.708,percent of total billed charges,999999999,,,,,,,,,,,,,,,,666.095,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,329.75,percent of total billed charges,313.1818402,,,,,,,,,,329.75,percent of total billed charges,307.9722734,,,,,,,,,,329.75,percent of total billed charges,307.1164316,,,,,,,,,,329.75,percent of total billed charges,302.5941459,,,,,,,,,,329.75,percent of total billed charges,310.3803381,,,,,,,,,,329.75,percent of total billed charges,999999999,,,,,,,,,,329.75,percent of total billed charges,266.3281871,,,,,,,,,,329.75,percent of total billed charges,420.017917,,,,,,,,,,329.75,percent of total billed charges,999999999,,,,,,,,,,329.75,percent of total billed charges,287.1669209,,,,,,,,,,1187.1,percent of total billed charges,,,,,
US THYROID BIOPSY W/ US GUIDANCE,76942,CDM,0056-2780-01,NDC,,both,1,EA,1319,1319,280.793923,1319,1319,percent of total billed charges,970.4351584,,,,1319,percent of total billed charges,1028.64208,,,,1319,percent of total billed charges,970.4351584,,,,1319,percent of total billed charges,1028.64208,,,,1319,percent of total billed charges,999999999,,,,1319,percent of total billed charges,1004.987346,,,,1319,percent of total billed charges,970.4351584,,,,1319,percent of total billed charges,1028.64208,,,,940.447,percent of total billed charges,469.3002632,,,,940.447,percent of total billed charges,280.793923,,,,940.447,percent of total billed charges,469.3002632,,,,940.447,percent of total billed charges,280.793923,,,,940.447,percent of total billed charges,469.3002632,,,,940.447,percent of total billed charges,280.793923,,,,931.214,percent of total billed charges,924.1486262,,,,931.214,percent of total billed charges,637.3779827,,,,,,,,,,949.68,percent of total billed charges,617.269652,,,,,,,,,,949.68,percent of total billed charges,999999999,,,,,,,,,,1055.2,percent of total billed charges,884.2027489,,,,1042.01,percent of total billed charges,1005.584493,,,,1042.01,percent of total billed charges,888.4671858,,,,1055.2,percent of total billed charges,999999999,,,,1055.2,percent of total billed charges,999999999,,,,923.3,percent of total billed charges,999999999,,,,923.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,701.708,percent of total billed charges,999999999,,,,,,,,,,,,,,,,666.095,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,329.75,percent of total billed charges,313.1818402,,,,,,,,,,329.75,percent of total billed charges,307.9722734,,,,,,,,,,329.75,percent of total billed charges,307.1164316,,,,,,,,,,329.75,percent of total billed charges,302.5941459,,,,,,,,,,329.75,percent of total billed charges,310.3803381,,,,,,,,,,329.75,percent of total billed charges,999999999,,,,,,,,,,329.75,percent of total billed charges,266.3281871,,,,,,,,,,329.75,percent of total billed charges,420.017917,,,,,,,,,,329.75,percent of total billed charges,999999999,,,,,,,,,,329.75,percent of total billed charges,287.1669209,,,,,,,,,,1187.1,percent of total billed charges,,,,,
US BREAST ASPIR BILATERAL,76942,CDM,0056-2780-01,NDC,,both,1,EA,1420,1420,302.2952014,1420,1420,percent of total billed charges,1044.744447,,,,1420,percent of total billed charges,1107.408456,,,,1420,percent of total billed charges,1044.744447,,,,1420,percent of total billed charges,1107.408456,,,,1420,percent of total billed charges,999999999,,,,1420,percent of total billed charges,1081.942404,,,,1420,percent of total billed charges,1044.744447,,,,1420,percent of total billed charges,1107.408456,,,,1012.46,percent of total billed charges,505.2360681,,,,1012.46,percent of total billed charges,302.2952014,,,,1012.46,percent of total billed charges,505.2360681,,,,1012.46,percent of total billed charges,302.2952014,,,,1012.46,percent of total billed charges,505.2360681,,,,1012.46,percent of total billed charges,302.2952014,,,,1002.52,percent of total billed charges,994.9136082,,,,1002.52,percent of total billed charges,686.1840299,,,,,,,,,,1022.4,percent of total billed charges,664.5359408,,,,,,,,,,1022.4,percent of total billed charges,999999999,,,,,,,,,,1136,percent of total billed charges,951.9089487,,,,1121.8,percent of total billed charges,1082.585277,,,,1121.8,percent of total billed charges,956.4999271,,,,1136,percent of total billed charges,999999999,,,,1136,percent of total billed charges,999999999,,,,994,percent of total billed charges,999999999,,,,994,percent of total billed charges,999999999,,,,,,,,,,,,,,,,755.44,percent of total billed charges,999999999,,,,,,,,,,,,,,,,717.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,355,percent of total billed charges,337.1631638,,,,,,,,,,355,percent of total billed charges,331.554684,,,,,,,,,,355,percent of total billed charges,330.6333077,,,,,,,,,,355,percent of total billed charges,325.7647363,,,,,,,,,,355,percent of total billed charges,334.1471419,,,,,,,,,,355,percent of total billed charges,999999999,,,,,,,,,,355,percent of total billed charges,286.7217784,,,,,,,,,,355,percent of total billed charges,452.1800168,,,,,,,,,,355,percent of total billed charges,999999999,,,,,,,,,,355,percent of total billed charges,309.1561999,,,,,,,,,,1278,percent of total billed charges,,,,,
US BREAST ASPIR BI SURG,19000,CDM,0056-2780-01,NDC,50,both,1,EA,1429,1429,304.2111569,1429,1429,percent of total billed charges,1051.366066,,,,1429,percent of total billed charges,1114.427242,,,,1429,percent of total billed charges,1051.366066,,,,1429,percent of total billed charges,1114.427242,,,,1429,percent of total billed charges,999999999,,,,1429,percent of total billed charges,1088.799785,,,,1429,percent of total billed charges,1051.366066,,,,1429,percent of total billed charges,1114.427242,,,,1018.877,percent of total billed charges,508.4382685,,,,1018.877,percent of total billed charges,304.2111569,,,,1018.877,percent of total billed charges,508.4382685,,,,1018.877,percent of total billed charges,304.2111569,,,,1018.877,percent of total billed charges,508.4382685,,,,1018.877,percent of total billed charges,304.2111569,,,,1008.874,percent of total billed charges,1001.219399,,,,1008.874,percent of total billed charges,690.5330836,,,,,,,,,,1028.88,percent of total billed charges,668.7477883,,,,,,,,,,1028.88,percent of total billed charges,999999999,,,,,,,,,,1143.2,percent of total billed charges,957.9421745,,,,1128.91,percent of total billed charges,1089.446733,,,,1128.91,percent of total billed charges,962.5622506,,,,1143.2,percent of total billed charges,999999999,,,,1143.2,percent of total billed charges,999999999,,,,1000.3,percent of total billed charges,999999999,,,,1000.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,760.228,percent of total billed charges,999999999,,,,,,,,,,,,,,,,721.645,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,357.25,percent of total billed charges,339.3001135,,,,,,,,,,357.25,percent of total billed charges,333.6560869,,,,,,,,,,357.25,percent of total billed charges,332.728871,,,,,,,,,,357.25,percent of total billed charges,327.8294424,,,,,,,,,,357.25,percent of total billed charges,336.2649759,,,,,,,,,,357.25,percent of total billed charges,999999999,,,,,,,,,,357.25,percent of total billed charges,288.5390291,,,,,,,,,,357.25,percent of total billed charges,455.0459464,,,,,,,,,,357.25,percent of total billed charges,999999999,,,,,,,,,,357.25,percent of total billed charges,311.1156407,,,,,,,,,,1286.1,percent of total billed charges,,,,,
US LIVER BIOPSY W/ US GUIDANCE,47000,CDM,0056-2780-01,NDC,,both,1,EA,3238,3238,689.3182127,3238,3238,percent of total billed charges,2382.311632,,,,3238,percent of total billed charges,2525.203226,,,,3238,percent of total billed charges,2382.311632,,,,3238,percent of total billed charges,2525.203226,,,,3238,percent of total billed charges,999999999,,,,3238,percent of total billed charges,2467.133454,,,,3238,percent of total billed charges,2382.311632,,,,3238,percent of total billed charges,2525.203226,,,,2308.694,percent of total billed charges,1152.080555,,,,2308.694,percent of total billed charges,689.3182127,,,,2308.694,percent of total billed charges,1152.080555,,,,2308.694,percent of total billed charges,689.3182127,,,,2308.694,percent of total billed charges,1152.080555,,,,2308.694,percent of total billed charges,689.3182127,,,,2286.028,percent of total billed charges,2268.683284,,,,2286.028,percent of total billed charges,1564.692879,,,,,,,,,,2331.36,percent of total billed charges,1515.329138,,,,,,,,,,2331.36,percent of total billed charges,999999999,,,,,,,,,,2590.4,percent of total billed charges,2170.620546,,,,2558.02,percent of total billed charges,2468.599384,,,,2558.02,percent of total billed charges,2181.08927,,,,2590.4,percent of total billed charges,999999999,,,,2590.4,percent of total billed charges,999999999,,,,2266.6,percent of total billed charges,999999999,,,,2266.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1722.616,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1635.19,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,809.5,percent of total billed charges,768.8269891,,,,,,,,,,809.5,percent of total billed charges,756.0380752,,,,,,,,,,809.5,percent of total billed charges,753.9370778,,,,,,,,,,809.5,percent of total billed charges,742.8353635,,,,,,,,,,809.5,percent of total billed charges,761.9496094,,,,,,,,,,809.5,percent of total billed charges,999999999,,,,,,,,,,809.5,percent of total billed charges,653.8064214,,,,,,,,,,809.5,percent of total billed charges,1031.097813,,,,,,,,,,809.5,percent of total billed charges,999999999,,,,,,,,,,809.5,percent of total billed charges,704.9632221,,,,,,,,,,2914.2,percent of total billed charges,,,,,
US BIOPHYSICAL PROFILE,76819,CDM,0056-2780-01,NDC,,both,1,EA,1211,1211,257.8024569,1211,1211,percent of total billed charges,890.9757216,,,,1211,percent of total billed charges,944.4166482,,,,1211,percent of total billed charges,890.9757216,,,,1211,percent of total billed charges,944.4166482,,,,1211,percent of total billed charges,999999999,,,,1211,percent of total billed charges,922.6987685,,,,1211,percent of total billed charges,890.9757216,,,,1211,percent of total billed charges,944.4166482,,,,863.443,percent of total billed charges,430.873858,,,,863.443,percent of total billed charges,257.8024569,,,,863.443,percent of total billed charges,430.873858,,,,863.443,percent of total billed charges,257.8024569,,,,863.443,percent of total billed charges,430.873858,,,,863.443,percent of total billed charges,257.8024569,,,,854.966,percent of total billed charges,848.4791405,,,,854.966,percent of total billed charges,585.1893381,,,,,,,,,,871.92,percent of total billed charges,566.7274819,,,,,,,,,,871.92,percent of total billed charges,999999999,,,,,,,,,,968.8,percent of total billed charges,811.8040401,,,,956.69,percent of total billed charges,923.2470211,,,,956.69,percent of total billed charges,815.719304,,,,968.8,percent of total billed charges,999999999,,,,968.8,percent of total billed charges,999999999,,,,847.7,percent of total billed charges,999999999,,,,847.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,644.252,percent of total billed charges,999999999,,,,,,,,,,,,,,,,611.555,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,302.75,percent of total billed charges,287.5384446,,,,,,,,,,302.75,percent of total billed charges,282.7554383,,,,,,,,,,302.75,percent of total billed charges,281.969673,,,,,,,,,,302.75,percent of total billed charges,277.817673,,,,,,,,,,302.75,percent of total billed charges,284.9663302,,,,,,,,,,302.75,percent of total billed charges,999999999,,,,,,,,,,302.75,percent of total billed charges,244.5211786,,,,,,,,,,302.75,percent of total billed charges,385.6267608,,,,,,,,,,302.75,percent of total billed charges,999999999,,,,,,,,,,302.75,percent of total billed charges,263.6536325,,,,,,,,,,1089.9,percent of total billed charges,,,,,
US LYMPH NODE BIOPSY,38505,CDM,0056-2780-01,NDC,,both,1,EA,2498,2498,531.7840937,2498,2498,percent of total billed charges,1837.867343,,,,2498,percent of total billed charges,1948.103045,,,,2498,percent of total billed charges,1837.867343,,,,2498,percent of total billed charges,1948.103045,,,,2498,percent of total billed charges,999999999,,,,2498,percent of total billed charges,1903.304314,,,,2498,percent of total billed charges,1837.867343,,,,2498,percent of total billed charges,1948.103045,,,,1781.074,percent of total billed charges,888.7885197,,,,1781.074,percent of total billed charges,531.7840937,,,,1781.074,percent of total billed charges,888.7885197,,,,1781.074,percent of total billed charges,531.7840937,,,,1781.074,percent of total billed charges,888.7885197,,,,1781.074,percent of total billed charges,531.7840937,,,,1763.588,percent of total billed charges,1750.207178,,,,1763.588,percent of total billed charges,1207.104019,,,,,,,,,,1798.56,percent of total billed charges,1169.021676,,,,,,,,,,1798.56,percent of total billed charges,999999999,,,,,,,,,,1998.4,percent of total billed charges,1674.55532,,,,1973.42,percent of total billed charges,1904.435226,,,,1973.42,percent of total billed charges,1682.631562,,,,1998.4,percent of total billed charges,999999999,,,,1998.4,percent of total billed charges,999999999,,,,1748.6,percent of total billed charges,999999999,,,,1748.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1328.936,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1261.49,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,624.5,percent of total billed charges,593.1222417,,,,,,,,,,624.5,percent of total billed charges,583.2560568,,,,,,,,,,624.5,percent of total billed charges,581.6352132,,,,,,,,,,624.5,percent of total billed charges,573.0706418,,,,,,,,,,624.5,percent of total billed charges,587.8165918,,,,,,,,,,624.5,percent of total billed charges,999999999,,,,,,,,,,624.5,percent of total billed charges,504.3880299,,,,,,,,,,624.5,percent of total billed charges,795.4547055,,,,,,,,,,624.5,percent of total billed charges,999999999,,,,,,,,,,624.5,percent of total billed charges,543.8536531,,,,,,,,,,2248.2,percent of total billed charges,,,,,
US ULTRASOUND GUIDANCE,76942,CDM,0056-2780-01,NDC,,both,1,EA,1542,1542,328.2670426,1542,1542,percent of total billed charges,1134.504181,,,,1542,percent of total billed charges,1202.552,,,,1542,percent of total billed charges,1134.504181,,,,1542,percent of total billed charges,1202.552,,,,1542,percent of total billed charges,999999999,,,,1542,percent of total billed charges,1174.898019,,,,1542,percent of total billed charges,1134.504181,,,,1542,percent of total billed charges,1202.552,,,,1099.446,percent of total billed charges,548.6436739,,,,1099.446,percent of total billed charges,328.2670426,,,,1099.446,percent of total billed charges,548.6436739,,,,1099.446,percent of total billed charges,328.2670426,,,,1099.446,percent of total billed charges,548.6436739,,,,1099.446,percent of total billed charges,328.2670426,,,,1088.652,percent of total billed charges,1080.392101,,,,1088.652,percent of total billed charges,745.137869,,,,,,,,,,1110.24,percent of total billed charges,721.6298737,,,,,,,,,,1110.24,percent of total billed charges,999999999,,,,,,,,,,1233.6,percent of total billed charges,1033.692675,,,,1218.18,percent of total billed charges,1175.596124,,,,1218.18,percent of total billed charges,1038.67809,,,,1233.6,percent of total billed charges,999999999,,,,1233.6,percent of total billed charges,999999999,,,,1079.4,percent of total billed charges,999999999,,,,1079.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,820.344,percent of total billed charges,999999999,,,,,,,,,,,,,,,,778.71,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,385.5,percent of total billed charges,366.1307033,,,,,,,,,,385.5,percent of total billed charges,360.0403681,,,,,,,,,,385.5,percent of total billed charges,359.0398314,,,,,,,,,,385.5,percent of total billed charges,353.7529742,,,,,,,,,,385.5,percent of total billed charges,362.8555583,,,,,,,,,,385.5,percent of total billed charges,999999999,,,,,,,,,,385.5,percent of total billed charges,311.3556213,,,,,,,,,,385.5,percent of total billed charges,491.0292858,,,,,,,,,,385.5,percent of total billed charges,999999999,,,,,,,,,,385.5,percent of total billed charges,335.7175073,,,,,,,,,,1387.8,percent of total billed charges,,,,,
**US FINE NEEDLE ASPIRATION,10022,CDM,0056-2780-01,NDC,,both,1,EA,1539,1539,327.6283908,1539,1539,percent of total billed charges,1132.296974,,,,1539,percent of total billed charges,1200.212404,,,,1539,percent of total billed charges,1132.296974,,,,1539,percent of total billed charges,1200.212404,,,,1539,percent of total billed charges,999999999,,,,1539,percent of total billed charges,1172.612225,,,,1539,percent of total billed charges,1132.296974,,,,1539,percent of total billed charges,1200.212404,,,,1097.307,percent of total billed charges,547.5762738,,,,1097.307,percent of total billed charges,327.6283908,,,,1097.307,percent of total billed charges,547.5762738,,,,1097.307,percent of total billed charges,327.6283908,,,,1097.307,percent of total billed charges,547.5762738,,,,1097.307,percent of total billed charges,327.6283908,,,,1086.534,percent of total billed charges,1078.290171,,,,1086.534,percent of total billed charges,743.6881845,,,,,,,,,,1108.08,percent of total billed charges,720.2259245,,,,,,,,,,1108.08,percent of total billed charges,999999999,,,,,,,,,,1231.2,percent of total billed charges,1031.6816,,,,1215.81,percent of total billed charges,1173.308972,,,,1215.81,percent of total billed charges,1036.657315,,,,1231.2,percent of total billed charges,999999999,,,,1231.2,percent of total billed charges,999999999,,,,1077.3,percent of total billed charges,999999999,,,,1077.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,818.748,percent of total billed charges,999999999,,,,,,,,,,,,,,,,777.195,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,384.75,percent of total billed charges,365.4183867,,,,,,,,,,384.75,percent of total billed charges,359.3399005,,,,,,,,,,384.75,percent of total billed charges,358.3413103,,,,,,,,,,384.75,percent of total billed charges,353.0647389,,,,,,,,,,384.75,percent of total billed charges,362.1496136,,,,,,,,,,384.75,percent of total billed charges,999999999,,,,,,,,,,384.75,percent of total billed charges,310.7498711,,,,,,,,,,384.75,percent of total billed charges,490.0739759,,,,,,,,,,384.75,percent of total billed charges,999999999,,,,,,,,,,384.75,percent of total billed charges,335.0643604,,,,,,,,,,1385.1,percent of total billed charges,,,,,
**US BREAST CLIP PLACEMENT,19295,CDM,0056-2780-01,NDC,,both,1,EA,1129,1129,240.3459735,1129,1129,percent of total billed charges,830.6454085,,,,1129,percent of total billed charges,880.4677092,,,,1129,percent of total billed charges,830.6454085,,,,1129,percent of total billed charges,880.4677092,,,,1129,percent of total billed charges,999999999,,,,1129,percent of total billed charges,860.2204043,,,,1129,percent of total billed charges,830.6454085,,,,1129,percent of total billed charges,880.4677092,,,,804.977,percent of total billed charges,401.6982541,,,,804.977,percent of total billed charges,240.3459735,,,,804.977,percent of total billed charges,401.6982541,,,,804.977,percent of total billed charges,240.3459735,,,,804.977,percent of total billed charges,401.6982541,,,,804.977,percent of total billed charges,240.3459735,,,,797.074,percent of total billed charges,791.0263829,,,,797.074,percent of total billed charges,545.5646266,,,,,,,,,,812.88,percent of total billed charges,528.3528712,,,,,,,,,,812.88,percent of total billed charges,999999999,,,,,,,,,,903.2,percent of total billed charges,756.8346501,,,,891.91,percent of total billed charges,860.7315333,,,,891.91,percent of total billed charges,760.4848012,,,,903.2,percent of total billed charges,999999999,,,,903.2,percent of total billed charges,999999999,,,,790.3,percent of total billed charges,999999999,,,,790.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,600.628,percent of total billed charges,999999999,,,,,,,,,,,,,,,,570.145,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,282.25,percent of total billed charges,268.0684591,,,,,,,,,,282.25,percent of total billed charges,263.6093227,,,,,,,,,,282.25,percent of total billed charges,262.8767637,,,,,,,,,,282.25,percent of total billed charges,259.0059065,,,,,,,,,,282.25,percent of total billed charges,265.6705093,,,,,,,,,,282.25,percent of total billed charges,999999999,,,,,,,,,,282.25,percent of total billed charges,227.9640055,,,,,,,,,,282.25,percent of total billed charges,359.514957,,,,,,,,,,282.25,percent of total billed charges,999999999,,,,,,,,,,282.25,percent of total billed charges,245.8009505,,,,,,,,,,1016.1,percent of total billed charges,,,,,
US BREAST CLIP/COIL,A4648,CDM,0056-2780-01,NDC,,both,1,EA,587,587,124.9628755,587,587,percent of total billed charges,431.8767536,,,,587,percent of total billed charges,457.7808196,,,,587,percent of total billed charges,431.8767536,,,,587,percent of total billed charges,457.7808196,,,,587,percent of total billed charges,999999999,,,,587,percent of total billed charges,447.2536557,,,,587,percent of total billed charges,431.8767536,,,,587,percent of total billed charges,457.7808196,,,,418.531,percent of total billed charges,208.8546281,,,,418.531,percent of total billed charges,124.9628755,,,,418.531,percent of total billed charges,208.8546281,,,,418.531,percent of total billed charges,124.9628755,,,,418.531,percent of total billed charges,208.8546281,,,,418.531,percent of total billed charges,124.9628755,,,,414.422,percent of total billed charges,411.2776676,,,,414.422,percent of total billed charges,283.6549476,,,,,,,,,,422.64,percent of total billed charges,274.7060544,,,,,,,,,,422.64,percent of total billed charges,999999999,,,,,,,,,,469.6,percent of total billed charges,393.5003894,,,,463.73,percent of total billed charges,447.5194066,,,,463.73,percent of total billed charges,395.3982093,,,,469.6,percent of total billed charges,999999999,,,,469.6,percent of total billed charges,999999999,,,,410.9,percent of total billed charges,999999999,,,,410.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,312.284,percent of total billed charges,999999999,,,,,,,,,,,,,,,,296.435,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,146.75,percent of total billed charges,139.3766036,,,,,,,,,,146.75,percent of total billed charges,137.0581687,,,,,,,,,,146.75,percent of total billed charges,136.6772899,,,,,,,,,,146.75,percent of total billed charges,134.6647185,,,,,,,,,,146.75,percent of total billed charges,138.1298396,,,,,,,,,,146.75,percent of total billed charges,999999999,,,,,,,,,,146.75,percent of total billed charges,118.5251295,,,,,,,,,,146.75,percent of total billed charges,186.9223027,,,,,,,,,,146.75,percent of total billed charges,999999999,,,,,,,,,,146.75,percent of total billed charges,127.799077,,,,,,,,,,528.3,percent of total billed charges,,,,,
US GALLBLADDER,76705,CDM,0056-2780-01,NDC,,both,1,EA,1145,1145,243.7521166,1145,1145,percent of total billed charges,842.417177,,,,1145,percent of total billed charges,892.945551,,,,1145,percent of total billed charges,842.417177,,,,1145,percent of total billed charges,892.945551,,,,1145,percent of total billed charges,999999999,,,,1145,percent of total billed charges,872.4113046,,,,1145,percent of total billed charges,842.417177,,,,1145,percent of total billed charges,892.945551,,,,816.385,percent of total billed charges,407.3910549,,,,816.385,percent of total billed charges,243.7521166,,,,816.385,percent of total billed charges,407.3910549,,,,816.385,percent of total billed charges,243.7521166,,,,816.385,percent of total billed charges,407.3910549,,,,816.385,percent of total billed charges,243.7521166,,,,808.37,percent of total billed charges,802.2366771,,,,808.37,percent of total billed charges,553.2962776,,,,,,,,,,824.4,percent of total billed charges,535.8406001,,,,,,,,,,824.4,percent of total billed charges,999999999,,,,,,,,,,916,percent of total billed charges,767.5603847,,,,904.55,percent of total billed charges,872.9296772,,,,904.55,percent of total billed charges,771.2622651,,,,916,percent of total billed charges,999999999,,,,916,percent of total billed charges,999999999,,,,801.5,percent of total billed charges,999999999,,,,801.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,609.14,percent of total billed charges,999999999,,,,,,,,,,,,,,,,578.225,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,286.25,percent of total billed charges,271.8674807,,,,,,,,,,286.25,percent of total billed charges,267.3451501,,,,,,,,,,286.25,percent of total billed charges,266.6022094,,,,,,,,,,286.25,percent of total billed charges,262.6764951,,,,,,,,,,286.25,percent of total billed charges,269.4355475,,,,,,,,,,286.25,percent of total billed charges,999999999,,,,,,,,,,286.25,percent of total billed charges,231.1946734,,,,,,,,,,286.25,percent of total billed charges,364.6099431,,,,,,,,,,286.25,percent of total billed charges,999999999,,,,,,,,,,286.25,percent of total billed charges,249.2844007,,,,,,,,,,1030.5,percent of total billed charges,,,,,
US CHEST,76604,CDM,0056-2780-01,NDC,,both,1,EA,1068,1068,227.3600529,1068,1068,percent of total billed charges,785.7655415,,,,1068,percent of total billed charges,832.8959375,,,,1068,percent of total billed charges,785.7655415,,,,1068,percent of total billed charges,832.8959375,,,,1068,percent of total billed charges,999999999,,,,1068,percent of total billed charges,813.7425968,,,,1068,percent of total billed charges,785.7655415,,,,1068,percent of total billed charges,832.8959375,,,,761.484,percent of total billed charges,379.9944512,,,,761.484,percent of total billed charges,227.3600529,,,,761.484,percent of total billed charges,379.9944512,,,,761.484,percent of total billed charges,227.3600529,,,,761.484,percent of total billed charges,379.9944512,,,,761.484,percent of total billed charges,227.3600529,,,,754.008,percent of total billed charges,748.2871363,,,,754.008,percent of total billed charges,516.087707,,,,,,,,,,768.96,percent of total billed charges,499.8059047,,,,,,,,,,768.96,percent of total billed charges,999999999,,,,,,,,,,854.4,percent of total billed charges,715.9427868,,,,843.72,percent of total billed charges,814.2261094,,,,843.72,percent of total billed charges,719.3957198,,,,854.4,percent of total billed charges,999999999,,,,854.4,percent of total billed charges,999999999,,,,747.6,percent of total billed charges,999999999,,,,747.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,568.176,percent of total billed charges,999999999,,,,,,,,,,,,,,,,539.34,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,267,percent of total billed charges,253.5846894,,,,,,,,,,267,percent of total billed charges,249.3664806,,,,,,,,,,267,percent of total billed charges,248.6735019,,,,,,,,,,267,percent of total billed charges,245.0117876,,,,,,,,,,267,percent of total billed charges,251.3163011,,,,,,,,,,267,percent of total billed charges,999999999,,,,,,,,,,267,percent of total billed charges,215.647084,,,,,,,,,,267,percent of total billed charges,340.0903225,,,,,,,,,,267,percent of total billed charges,999999999,,,,,,,,,,267,percent of total billed charges,232.5202969,,,,,,,,,,961.2,percent of total billed charges,,,,,
US LIVER,76705,CDM,0056-2780-01,NDC,,both,1,EA,1145,1145,243.7521166,1145,1145,percent of total billed charges,842.417177,,,,1145,percent of total billed charges,892.945551,,,,1145,percent of total billed charges,842.417177,,,,1145,percent of total billed charges,892.945551,,,,1145,percent of total billed charges,999999999,,,,1145,percent of total billed charges,872.4113046,,,,1145,percent of total billed charges,842.417177,,,,1145,percent of total billed charges,892.945551,,,,816.385,percent of total billed charges,407.3910549,,,,816.385,percent of total billed charges,243.7521166,,,,816.385,percent of total billed charges,407.3910549,,,,816.385,percent of total billed charges,243.7521166,,,,816.385,percent of total billed charges,407.3910549,,,,816.385,percent of total billed charges,243.7521166,,,,808.37,percent of total billed charges,802.2366771,,,,808.37,percent of total billed charges,553.2962776,,,,,,,,,,824.4,percent of total billed charges,535.8406001,,,,,,,,,,824.4,percent of total billed charges,999999999,,,,,,,,,,916,percent of total billed charges,767.5603847,,,,904.55,percent of total billed charges,872.9296772,,,,904.55,percent of total billed charges,771.2622651,,,,916,percent of total billed charges,999999999,,,,916,percent of total billed charges,999999999,,,,801.5,percent of total billed charges,999999999,,,,801.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,609.14,percent of total billed charges,999999999,,,,,,,,,,,,,,,,578.225,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,286.25,percent of total billed charges,271.8674807,,,,,,,,,,286.25,percent of total billed charges,267.3451501,,,,,,,,,,286.25,percent of total billed charges,266.6022094,,,,,,,,,,286.25,percent of total billed charges,262.6764951,,,,,,,,,,286.25,percent of total billed charges,269.4355475,,,,,,,,,,286.25,percent of total billed charges,999999999,,,,,,,,,,286.25,percent of total billed charges,231.1946734,,,,,,,,,,286.25,percent of total billed charges,364.6099431,,,,,,,,,,286.25,percent of total billed charges,999999999,,,,,,,,,,286.25,percent of total billed charges,249.2844007,,,,,,,,,,1030.5,percent of total billed charges,,,,,
US PANCREAS,76705,CDM,0056-2780-01,NDC,,both,1,EA,1145,1145,243.7521166,1145,1145,percent of total billed charges,842.417177,,,,1145,percent of total billed charges,892.945551,,,,1145,percent of total billed charges,842.417177,,,,1145,percent of total billed charges,892.945551,,,,1145,percent of total billed charges,999999999,,,,1145,percent of total billed charges,872.4113046,,,,1145,percent of total billed charges,842.417177,,,,1145,percent of total billed charges,892.945551,,,,816.385,percent of total billed charges,407.3910549,,,,816.385,percent of total billed charges,243.7521166,,,,816.385,percent of total billed charges,407.3910549,,,,816.385,percent of total billed charges,243.7521166,,,,816.385,percent of total billed charges,407.3910549,,,,816.385,percent of total billed charges,243.7521166,,,,808.37,percent of total billed charges,802.2366771,,,,808.37,percent of total billed charges,553.2962776,,,,,,,,,,824.4,percent of total billed charges,535.8406001,,,,,,,,,,824.4,percent of total billed charges,999999999,,,,,,,,,,916,percent of total billed charges,767.5603847,,,,904.55,percent of total billed charges,872.9296772,,,,904.55,percent of total billed charges,771.2622651,,,,916,percent of total billed charges,999999999,,,,916,percent of total billed charges,999999999,,,,801.5,percent of total billed charges,999999999,,,,801.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,609.14,percent of total billed charges,999999999,,,,,,,,,,,,,,,,578.225,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,286.25,percent of total billed charges,271.8674807,,,,,,,,,,286.25,percent of total billed charges,267.3451501,,,,,,,,,,286.25,percent of total billed charges,266.6022094,,,,,,,,,,286.25,percent of total billed charges,262.6764951,,,,,,,,,,286.25,percent of total billed charges,269.4355475,,,,,,,,,,286.25,percent of total billed charges,999999999,,,,,,,,,,286.25,percent of total billed charges,231.1946734,,,,,,,,,,286.25,percent of total billed charges,364.6099431,,,,,,,,,,286.25,percent of total billed charges,999999999,,,,,,,,,,286.25,percent of total billed charges,249.2844007,,,,,,,,,,1030.5,percent of total billed charges,,,,,
US FETAL FOLLOW UP,76816,CDM,0056-2780-01,NDC,,both,1,EA,786,786,167.3267805,786,786,percent of total billed charges,578.2881232,,,,786,percent of total billed charges,612.9739765,,,,786,percent of total billed charges,578.2881232,,,,786,percent of total billed charges,612.9739765,,,,786,percent of total billed charges,999999999,,,,786,percent of total billed charges,598.8779786,,,,786,percent of total billed charges,578.2881232,,,,786,percent of total billed charges,612.9739765,,,,560.418,percent of total billed charges,279.6588377,,,,560.418,percent of total billed charges,167.3267805,,,,560.418,percent of total billed charges,279.6588377,,,,560.418,percent of total billed charges,167.3267805,,,,560.418,percent of total billed charges,279.6588377,,,,560.418,percent of total billed charges,167.3267805,,,,554.916,percent of total billed charges,550.7057015,,,,554.916,percent of total billed charges,379.8173574,,,,,,,,,,565.92,percent of total billed charges,367.8346827,,,,,,,,,,565.92,percent of total billed charges,999999999,,,,,,,,,,628.8,percent of total billed charges,526.9017139,,,,620.94,percent of total billed charges,599.2338221,,,,620.94,percent of total billed charges,529.4429174,,,,628.8,percent of total billed charges,999999999,,,,628.8,percent of total billed charges,999999999,,,,550.2,percent of total billed charges,999999999,,,,550.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,418.152,percent of total billed charges,999999999,,,,,,,,,,,,,,,,396.93,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,196.5,percent of total billed charges,186.6269343,,,,,,,,,,196.5,percent of total billed charges,183.5225223,,,,,,,,,,196.5,percent of total billed charges,183.012521,,,,,,,,,,196.5,percent of total billed charges,180.3176639,,,,,,,,,,196.5,percent of total billed charges,184.9575025,,,,,,,,,,196.5,percent of total billed charges,999999999,,,,,,,,,,196.5,percent of total billed charges,158.7065618,,,,,,,,,,196.5,percent of total billed charges,250.2911924,,,,,,,,,,196.5,percent of total billed charges,999999999,,,,,,,,,,196.5,percent of total billed charges,171.1244881,,,,,,,,,,707.4,percent of total billed charges,,,,,
US INFANT HEAD,76506,CDM,0056-2780-01,NDC,,both,1,EA,807,807,171.7973433,807,807,percent of total billed charges,593.7385693,,,,807,percent of total billed charges,629.3511438,,,,807,percent of total billed charges,593.7385693,,,,807,percent of total billed charges,629.3511438,,,,807,percent of total billed charges,999999999,,,,807,percent of total billed charges,614.8785352,,,,807,percent of total billed charges,593.7385693,,,,807,percent of total billed charges,629.3511438,,,,575.391,percent of total billed charges,287.1306387,,,,575.391,percent of total billed charges,171.7973433,,,,575.391,percent of total billed charges,287.1306387,,,,575.391,percent of total billed charges,171.7973433,,,,575.391,percent of total billed charges,287.1306387,,,,575.391,percent of total billed charges,171.7973433,,,,569.742,percent of total billed charges,565.4192126,,,,569.742,percent of total billed charges,389.9651494,,,,,,,,,,581.04,percent of total billed charges,377.6623269,,,,,,,,,,581.04,percent of total billed charges,999999999,,,,,,,,,,645.6,percent of total billed charges,540.9792406,,,,637.53,percent of total billed charges,615.243886,,,,637.53,percent of total billed charges,543.5883388,,,,645.6,percent of total billed charges,999999999,,,,645.6,percent of total billed charges,999999999,,,,564.9,percent of total billed charges,999999999,,,,564.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,429.324,percent of total billed charges,999999999,,,,,,,,,,,,,,,,407.535,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,201.75,percent of total billed charges,191.6131501,,,,,,,,,,201.75,percent of total billed charges,188.4257958,,,,,,,,,,201.75,percent of total billed charges,187.9021686,,,,,,,,,,201.75,percent of total billed charges,185.1353114,,,,,,,,,,201.75,percent of total billed charges,189.8991151,,,,,,,,,,201.75,percent of total billed charges,999999999,,,,,,,,,,201.75,percent of total billed charges,162.9468135,,,,,,,,,,201.75,percent of total billed charges,256.9783616,,,,,,,,,,201.75,percent of total billed charges,999999999,,,,,,,,,,201.75,percent of total billed charges,175.6965164,,,,,,,,,,726.3,percent of total billed charges,,,,,
US RENAL CYST ASPIRATION,76942,CDM,0056-2780-01,NDC,,both,1,EA,1156,1156,246.09384,1156,1156,percent of total billed charges,850.5102677,,,,1156,percent of total billed charges,901.5240672,,,,1156,percent of total billed charges,850.5102677,,,,1156,percent of total billed charges,901.5240672,,,,1156,percent of total billed charges,999999999,,,,1156,percent of total billed charges,880.7925486,,,,1156,percent of total billed charges,850.5102677,,,,1156,percent of total billed charges,901.5240672,,,,824.228,percent of total billed charges,411.3048554,,,,824.228,percent of total billed charges,246.09384,,,,824.228,percent of total billed charges,411.3048554,,,,824.228,percent of total billed charges,246.09384,,,,824.228,percent of total billed charges,411.3048554,,,,824.228,percent of total billed charges,246.09384,,,,816.136,percent of total billed charges,809.9437543,,,,816.136,percent of total billed charges,558.6117877,,,,,,,,,,832.32,percent of total billed charges,540.9884138,,,,,,,,,,832.32,percent of total billed charges,999999999,,,,,,,,,,924.8,percent of total billed charges,774.9343273,,,,913.24,percent of total billed charges,881.3159012,,,,913.24,percent of total billed charges,778.6717716,,,,924.8,percent of total billed charges,999999999,,,,924.8,percent of total billed charges,999999999,,,,809.2,percent of total billed charges,999999999,,,,809.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,614.992,percent of total billed charges,999999999,,,,,,,,,,,,,,,,583.78,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,289,percent of total billed charges,274.479308,,,,,,,,,,289,percent of total billed charges,269.9135315,,,,,,,,,,289,percent of total billed charges,269.1634533,,,,,,,,,,289,percent of total billed charges,265.2000248,,,,,,,,,,289,percent of total billed charges,272.0240113,,,,,,,,,,289,percent of total billed charges,999999999,,,,,,,,,,289,percent of total billed charges,233.4157576,,,,,,,,,,289,percent of total billed charges,368.112746,,,,,,,,,,289,percent of total billed charges,999999999,,,,,,,,,,289,percent of total billed charges,251.6792726,,,,,,,,,,1040.4,percent of total billed charges,,,,,
US ASP/ INJ RENAL CYST,50390,CDM,0056-2780-01,NDC,,both,1,EA,2948,2948,627.5818688,2948,2948,percent of total billed charges,2168.94833,,,,2948,percent of total billed charges,2299.042344,,,,2948,percent of total billed charges,2168.94833,,,,2948,percent of total billed charges,2299.042344,,,,2948,percent of total billed charges,999999999,,,,2948,percent of total billed charges,2246.173385,,,,2948,percent of total billed charges,2168.94833,,,,2948,percent of total billed charges,2299.042344,,,,2101.924,percent of total billed charges,1048.898541,,,,2101.924,percent of total billed charges,627.5818688,,,,2101.924,percent of total billed charges,1048.898541,,,,2101.924,percent of total billed charges,627.5818688,,,,2101.924,percent of total billed charges,1048.898541,,,,2101.924,percent of total billed charges,627.5818688,,,,2081.288,percent of total billed charges,2065.496702,,,,2081.288,percent of total billed charges,1424.556704,,,,,,,,,,2122.56,percent of total billed charges,1379.614052,,,,,,,,,,2122.56,percent of total billed charges,999999999,,,,,,,,,,2358.4,percent of total billed charges,1976.216606,,,,2328.92,percent of total billed charges,2247.508025,,,,2328.92,percent of total billed charges,1985.747736,,,,2358.4,percent of total billed charges,999999999,,,,2358.4,percent of total billed charges,999999999,,,,2063.6,percent of total billed charges,999999999,,,,2063.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1568.336,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1488.74,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,737,percent of total billed charges,699.9697232,,,,,,,,,,737,percent of total billed charges,688.3262031,,,,,,,,,,737,percent of total billed charges,686.4133741,,,,,,,,,,737,percent of total billed charges,676.3059455,,,,,,,,,,737,percent of total billed charges,693.7082917,,,,,,,,,,737,percent of total billed charges,999999999,,,,,,,,,,737,percent of total billed charges,595.2505653,,,,,,,,,,737,percent of total billed charges,938.7511897,,,,,,,,,,737,percent of total billed charges,999999999,,,,,,,,,,737,percent of total billed charges,641.8256883,,,,,,,,,,2653.2,percent of total billed charges,,,,,
US AMNIOCENTESIS GUIDANCE,76946,CDM,0056-2780-01,NDC,,both,1,EA,1006,1006,214.1612483,1006,1006,percent of total billed charges,740.1499389,,,,1006,percent of total billed charges,784.5443007,,,,1006,percent of total billed charges,740.1499389,,,,1006,percent of total billed charges,784.5443007,,,,1006,percent of total billed charges,999999999,,,,1006,percent of total billed charges,766.502858,,,,1006,percent of total billed charges,740.1499389,,,,1006,percent of total billed charges,784.5443007,,,,717.278,percent of total billed charges,357.9348482,,,,717.278,percent of total billed charges,214.1612483,,,,717.278,percent of total billed charges,357.9348482,,,,717.278,percent of total billed charges,214.1612483,,,,717.278,percent of total billed charges,357.9348482,,,,717.278,percent of total billed charges,214.1612483,,,,710.236,percent of total billed charges,704.8472464,,,,710.236,percent of total billed charges,486.1275592,,,,,,,,,,724.32,percent of total billed charges,470.7909552,,,,,,,,,,724.32,percent of total billed charges,999999999,,,,,,,,,,804.8,percent of total billed charges,674.3805651,,,,794.74,percent of total billed charges,766.9583016,,,,794.74,percent of total billed charges,677.6330469,,,,804.8,percent of total billed charges,999999999,,,,804.8,percent of total billed charges,999999999,,,,704.2,percent of total billed charges,999999999,,,,704.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,535.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,508.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,251.5,percent of total billed charges,238.8634809,,,,,,,,,,251.5,percent of total billed charges,234.8901494,,,,,,,,,,251.5,percent of total billed charges,234.2373997,,,,,,,,,,251.5,percent of total billed charges,230.7882568,,,,,,,,,,251.5,percent of total billed charges,236.726778,,,,,,,,,,251.5,percent of total billed charges,999999999,,,,,,,,,,251.5,percent of total billed charges,203.1282458,,,,,,,,,,251.5,percent of total billed charges,320.3472513,,,,,,,,,,251.5,percent of total billed charges,999999999,,,,,,,,,,251.5,percent of total billed charges,219.0219276,,,,,,,,,,905.4,percent of total billed charges,,,,,
US AMNIOCENTESIS ANY METHOD,59000,CDM,0056-2780-01,NDC,,both,1,EA,956,956,203.5170511,956,956,percent of total billed charges,703.3631626,,,,956,percent of total billed charges,745.5510452,,,,956,percent of total billed charges,703.3631626,,,,956,percent of total billed charges,745.5510452,,,,956,percent of total billed charges,999999999,,,,956,percent of total billed charges,728.4062945,,,,956,percent of total billed charges,703.3631626,,,,956,percent of total billed charges,745.5510452,,,,681.628,percent of total billed charges,340.1448458,,,,681.628,percent of total billed charges,203.5170511,,,,681.628,percent of total billed charges,340.1448458,,,,681.628,percent of total billed charges,203.5170511,,,,681.628,percent of total billed charges,340.1448458,,,,681.628,percent of total billed charges,203.5170511,,,,674.936,percent of total billed charges,669.8150771,,,,674.936,percent of total billed charges,461.9661497,,,,,,,,,,688.32,percent of total billed charges,447.3918024,,,,,,,,,,688.32,percent of total billed charges,999999999,,,,,,,,,,764.8,percent of total billed charges,640.8626444,,,,755.24,percent of total billed charges,728.8391017,,,,755.24,percent of total billed charges,643.953472,,,,764.8,percent of total billed charges,999999999,,,,764.8,percent of total billed charges,999999999,,,,669.2,percent of total billed charges,999999999,,,,669.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,508.592,percent of total billed charges,999999999,,,,,,,,,,,,,,,,482.78,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,239,percent of total billed charges,226.9915385,,,,,,,,,,239,percent of total billed charges,223.2156887,,,,,,,,,,239,percent of total billed charges,222.5953818,,,,,,,,,,239,percent of total billed charges,219.3176675,,,,,,,,,,239,percent of total billed charges,224.9610335,,,,,,,,,,239,percent of total billed charges,999999999,,,,,,,,,,239,percent of total billed charges,193.0324085,,,,,,,,,,239,percent of total billed charges,304.4254197,,,,,,,,,,239,percent of total billed charges,999999999,,,,,,,,,,239,percent of total billed charges,208.1361459,,,,,,,,,,860.4,percent of total billed charges,,,,,
US RENAL SONOGRAM,76770,CDM,0056-2780-01,NDC,,both,1,EA,1469,1469,312.7265147,1469,1469,percent of total billed charges,1080.795487,,,,1469,percent of total billed charges,1145.621847,,,,1469,percent of total billed charges,1080.795487,,,,1469,percent of total billed charges,1145.621847,,,,1469,percent of total billed charges,999999999,,,,1469,percent of total billed charges,1119.277036,,,,1469,percent of total billed charges,1080.795487,,,,1469,percent of total billed charges,1145.621847,,,,1047.397,percent of total billed charges,522.6702704,,,,1047.397,percent of total billed charges,312.7265147,,,,1047.397,percent of total billed charges,522.6702704,,,,1047.397,percent of total billed charges,312.7265147,,,,1047.397,percent of total billed charges,522.6702704,,,,1047.397,percent of total billed charges,312.7265147,,,,1037.114,percent of total billed charges,1029.245134,,,,1037.114,percent of total billed charges,709.8622112,,,,,,,,,,1057.68,percent of total billed charges,687.4671106,,,,,,,,,,1057.68,percent of total billed charges,999999999,,,,,,,,,,1175.2,percent of total billed charges,984.756511,,,,1160.51,percent of total billed charges,1119.942092,,,,1160.51,percent of total billed charges,989.5059105,,,,1175.2,percent of total billed charges,999999999,,,,1175.2,percent of total billed charges,999999999,,,,1028.3,percent of total billed charges,999999999,,,,1028.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,781.508,percent of total billed charges,999999999,,,,,,,,,,,,,,,,741.845,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,367.25,percent of total billed charges,348.7976674,,,,,,,,,,367.25,percent of total billed charges,342.9956555,,,,,,,,,,367.25,percent of total billed charges,342.0424853,,,,,,,,,,367.25,percent of total billed charges,337.0059138,,,,,,,,,,367.25,percent of total billed charges,345.6775714,,,,,,,,,,367.25,percent of total billed charges,999999999,,,,,,,,,,367.25,percent of total billed charges,296.6156989,,,,,,,,,,367.25,percent of total billed charges,467.7834117,,,,,,,,,,367.25,percent of total billed charges,999999999,,,,,,,,,,367.25,percent of total billed charges,319.824266,,,,,,,,,,1322.1,percent of total billed charges,,,,,
US SPLEEN,76705,CDM,0056-2780-01,NDC,,both,1,EA,1145,1145,243.7521166,1145,1145,percent of total billed charges,842.417177,,,,1145,percent of total billed charges,892.945551,,,,1145,percent of total billed charges,842.417177,,,,1145,percent of total billed charges,892.945551,,,,1145,percent of total billed charges,999999999,,,,1145,percent of total billed charges,872.4113046,,,,1145,percent of total billed charges,842.417177,,,,1145,percent of total billed charges,892.945551,,,,816.385,percent of total billed charges,407.3910549,,,,816.385,percent of total billed charges,243.7521166,,,,816.385,percent of total billed charges,407.3910549,,,,816.385,percent of total billed charges,243.7521166,,,,816.385,percent of total billed charges,407.3910549,,,,816.385,percent of total billed charges,243.7521166,,,,808.37,percent of total billed charges,802.2366771,,,,808.37,percent of total billed charges,553.2962776,,,,,,,,,,824.4,percent of total billed charges,535.8406001,,,,,,,,,,824.4,percent of total billed charges,999999999,,,,,,,,,,916,percent of total billed charges,767.5603847,,,,904.55,percent of total billed charges,872.9296772,,,,904.55,percent of total billed charges,771.2622651,,,,916,percent of total billed charges,999999999,,,,916,percent of total billed charges,999999999,,,,801.5,percent of total billed charges,999999999,,,,801.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,609.14,percent of total billed charges,999999999,,,,,,,,,,,,,,,,578.225,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,286.25,percent of total billed charges,271.8674807,,,,,,,,,,286.25,percent of total billed charges,267.3451501,,,,,,,,,,286.25,percent of total billed charges,266.6022094,,,,,,,,,,286.25,percent of total billed charges,262.6764951,,,,,,,,,,286.25,percent of total billed charges,269.4355475,,,,,,,,,,286.25,percent of total billed charges,999999999,,,,,,,,,,286.25,percent of total billed charges,231.1946734,,,,,,,,,,286.25,percent of total billed charges,364.6099431,,,,,,,,,,286.25,percent of total billed charges,999999999,,,,,,,,,,286.25,percent of total billed charges,249.2844007,,,,,,,,,,1030.5,percent of total billed charges,,,,,
US VASCULAR LIMITED,76775,CDM,0056-2780-01,NDC,,both,1,EA,1080,1080,229.9146602,1080,1080,percent of total billed charges,794.5943678,,,,1080,percent of total billed charges,842.2543188,,,,1080,percent of total billed charges,794.5943678,,,,1080,percent of total billed charges,842.2543188,,,,1080,percent of total billed charges,999999999,,,,1080,percent of total billed charges,822.8857721,,,,1080,percent of total billed charges,794.5943678,,,,1080,percent of total billed charges,842.2543188,,,,770.04,percent of total billed charges,384.2640518,,,,770.04,percent of total billed charges,229.9146602,,,,770.04,percent of total billed charges,384.2640518,,,,770.04,percent of total billed charges,229.9146602,,,,770.04,percent of total billed charges,384.2640518,,,,770.04,percent of total billed charges,229.9146602,,,,762.48,percent of total billed charges,756.694857,,,,762.48,percent of total billed charges,521.8864452,,,,,,,,,,777.6,percent of total billed charges,505.4217014,,,,,,,,,,777.6,percent of total billed charges,999999999,,,,,,,,,,864,percent of total billed charges,723.9870878,,,,853.2,percent of total billed charges,823.3747174,,,,853.2,percent of total billed charges,727.4788178,,,,864,percent of total billed charges,999999999,,,,864,percent of total billed charges,999999999,,,,756,percent of total billed charges,999999999,,,,756,percent of total billed charges,999999999,,,,,,,,,,,,,,,,574.56,percent of total billed charges,999999999,,,,,,,,,,,,,,,,545.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,270,percent of total billed charges,256.4339556,,,,,,,,,,270,percent of total billed charges,252.1683512,,,,,,,,,,270,percent of total billed charges,251.4675862,,,,,,,,,,270,percent of total billed charges,247.764729,,,,,,,,,,270,percent of total billed charges,254.1400797,,,,,,,,,,270,percent of total billed charges,999999999,,,,,,,,,,270,percent of total billed charges,218.070085,,,,,,,,,,270,percent of total billed charges,343.911562,,,,,,,,,,270,percent of total billed charges,999999999,,,,,,,,,,270,percent of total billed charges,235.1328845,,,,,,,,,,972,percent of total billed charges,,,,,
US PELVIC SONOGRAM,76856,CDM,0056-2780-01,NDC,,both,1,EA,1539,1539,327.6283908,1539,1539,percent of total billed charges,1132.296974,,,,1539,percent of total billed charges,1200.212404,,,,1539,percent of total billed charges,1132.296974,,,,1539,percent of total billed charges,1200.212404,,,,1539,percent of total billed charges,999999999,,,,1539,percent of total billed charges,1172.612225,,,,1539,percent of total billed charges,1132.296974,,,,1539,percent of total billed charges,1200.212404,,,,1097.307,percent of total billed charges,547.5762738,,,,1097.307,percent of total billed charges,327.6283908,,,,1097.307,percent of total billed charges,547.5762738,,,,1097.307,percent of total billed charges,327.6283908,,,,1097.307,percent of total billed charges,547.5762738,,,,1097.307,percent of total billed charges,327.6283908,,,,1086.534,percent of total billed charges,1078.290171,,,,1086.534,percent of total billed charges,743.6881845,,,,,,,,,,1108.08,percent of total billed charges,720.2259245,,,,,,,,,,1108.08,percent of total billed charges,999999999,,,,,,,,,,1231.2,percent of total billed charges,1031.6816,,,,1215.81,percent of total billed charges,1173.308972,,,,1215.81,percent of total billed charges,1036.657315,,,,1231.2,percent of total billed charges,999999999,,,,1231.2,percent of total billed charges,999999999,,,,1077.3,percent of total billed charges,999999999,,,,1077.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,818.748,percent of total billed charges,999999999,,,,,,,,,,,,,,,,777.195,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,384.75,percent of total billed charges,365.4183867,,,,,,,,,,384.75,percent of total billed charges,359.3399005,,,,,,,,,,384.75,percent of total billed charges,358.3413103,,,,,,,,,,384.75,percent of total billed charges,353.0647389,,,,,,,,,,384.75,percent of total billed charges,362.1496136,,,,,,,,,,384.75,percent of total billed charges,999999999,,,,,,,,,,384.75,percent of total billed charges,310.7498711,,,,,,,,,,384.75,percent of total billed charges,490.0739759,,,,,,,,,,384.75,percent of total billed charges,999999999,,,,,,,,,,384.75,percent of total billed charges,335.0643604,,,,,,,,,,1385.1,percent of total billed charges,,,,,
US PELVIC SONOGRAM LIMITED,76857,CDM,0056-2780-01,NDC,,both,1,EA,947,947,201.6010956,947,947,percent of total billed charges,696.7415429,,,,947,percent of total billed charges,738.5322592,,,,947,percent of total billed charges,696.7415429,,,,947,percent of total billed charges,738.5322592,,,,947,percent of total billed charges,999999999,,,,947,percent of total billed charges,721.5489131,,,,947,percent of total billed charges,696.7415429,,,,947,percent of total billed charges,738.5322592,,,,675.211,percent of total billed charges,336.9426454,,,,675.211,percent of total billed charges,201.6010956,,,,675.211,percent of total billed charges,336.9426454,,,,675.211,percent of total billed charges,201.6010956,,,,675.211,percent of total billed charges,336.9426454,,,,675.211,percent of total billed charges,201.6010956,,,,668.582,percent of total billed charges,663.5092866,,,,668.582,percent of total billed charges,457.617096,,,,,,,,,,681.84,percent of total billed charges,443.1799549,,,,,,,,,,681.84,percent of total billed charges,999999999,,,,,,,,,,757.6,percent of total billed charges,634.8294186,,,,748.13,percent of total billed charges,721.9776457,,,,748.13,percent of total billed charges,637.8911486,,,,757.6,percent of total billed charges,999999999,,,,757.6,percent of total billed charges,999999999,,,,662.9,percent of total billed charges,999999999,,,,662.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,503.804,percent of total billed charges,999999999,,,,,,,,,,,,,,,,478.235,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,236.75,percent of total billed charges,224.8545888,,,,,,,,,,236.75,percent of total billed charges,221.1142857,,,,,,,,,,236.75,percent of total billed charges,220.4998186,,,,,,,,,,236.75,percent of total billed charges,217.2529615,,,,,,,,,,236.75,percent of total billed charges,222.8431995,,,,,,,,,,236.75,percent of total billed charges,999999999,,,,,,,,,,236.75,percent of total billed charges,191.2151578,,,,,,,,,,236.75,percent of total billed charges,301.55949,,,,,,,,,,236.75,percent of total billed charges,999999999,,,,,,,,,,236.75,percent of total billed charges,206.1767052,,,,,,,,,,852.3,percent of total billed charges,,,,,
US OB LIMITED,76815,CDM,0056-2780-01,NDC,,both,1,EA,904,904,192.4470859,904,904,percent of total billed charges,665.1049153,,,,904,percent of total billed charges,704.9980594,,,,904,percent of total billed charges,665.1049153,,,,904,percent of total billed charges,704.9980594,,,,904,percent of total billed charges,999999999,,,,904,percent of total billed charges,688.7858685,,,,904,percent of total billed charges,665.1049153,,,,904,percent of total billed charges,704.9980594,,,,644.552,percent of total billed charges,321.6432433,,,,644.552,percent of total billed charges,192.4470859,,,,644.552,percent of total billed charges,321.6432433,,,,644.552,percent of total billed charges,192.4470859,,,,644.552,percent of total billed charges,321.6432433,,,,644.552,percent of total billed charges,192.4470859,,,,638.224,percent of total billed charges,633.381621,,,,638.224,percent of total billed charges,436.8382838,,,,,,,,,,650.88,percent of total billed charges,423.0566834,,,,,,,,,,650.88,percent of total billed charges,999999999,,,,,,,,,,723.2,percent of total billed charges,606.0040068,,,,714.16,percent of total billed charges,689.1951338,,,,714.16,percent of total billed charges,608.9267141,,,,723.2,percent of total billed charges,999999999,,,,723.2,percent of total billed charges,999999999,,,,632.8,percent of total billed charges,999999999,,,,632.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,480.928,percent of total billed charges,999999999,,,,,,,,,,,,,,,,456.52,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,226,percent of total billed charges,214.6447184,,,,,,,,,,226,percent of total billed charges,211.0742495,,,,,,,,,,226,percent of total billed charges,210.4876832,,,,,,,,,,226,percent of total billed charges,207.3882547,,,,,,,,,,226,percent of total billed charges,212.7246593,,,,,,,,,,226,percent of total billed charges,999999999,,,,,,,,,,226,percent of total billed charges,182.5327378,,,,,,,,,,226,percent of total billed charges,287.8667149,,,,,,,,,,226,percent of total billed charges,999999999,,,,,,,,,,226,percent of total billed charges,196.8149329,,,,,,,,,,813.6,percent of total billed charges,,,,,
US OB 2 AND 3 TRI 14 WKS +,76805,CDM,0056-2780-01,NDC,,both,1,EA,1386,1386,295.0571472,1386,1386,percent of total billed charges,1019.729439,,,,1386,percent of total billed charges,1080.893042,,,,1386,percent of total billed charges,1019.729439,,,,1386,percent of total billed charges,1080.893042,,,,1386,percent of total billed charges,999999999,,,,1386,percent of total billed charges,1056.036741,,,,1386,percent of total billed charges,1019.729439,,,,1386,percent of total billed charges,1080.893042,,,,988.218,percent of total billed charges,493.1388664,,,,988.218,percent of total billed charges,295.0571472,,,,988.218,percent of total billed charges,493.1388664,,,,988.218,percent of total billed charges,295.0571472,,,,988.218,percent of total billed charges,493.1388664,,,,988.218,percent of total billed charges,295.0571472,,,,978.516,percent of total billed charges,971.0917331,,,,978.516,percent of total billed charges,669.7542714,,,,,,,,,,997.92,percent of total billed charges,648.6245168,,,,,,,,,,997.92,percent of total billed charges,999999999,,,,,,,,,,1108.8,percent of total billed charges,929.1167626,,,,1094.94,percent of total billed charges,1056.664221,,,,1094.94,percent of total billed charges,933.5978161,,,,1108.8,percent of total billed charges,999999999,,,,1108.8,percent of total billed charges,999999999,,,,970.2,percent of total billed charges,999999999,,,,970.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,737.352,percent of total billed charges,999999999,,,,,,,,,,,,,,,,699.93,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,346.5,percent of total billed charges,329.090243,,,,,,,,,,346.5,percent of total billed charges,323.6160507,,,,,,,,,,346.5,percent of total billed charges,322.7167356,,,,,,,,,,346.5,percent of total billed charges,317.9647356,,,,,,,,,,346.5,percent of total billed charges,326.1464357,,,,,,,,,,346.5,percent of total billed charges,999999999,,,,,,,,,,346.5,percent of total billed charges,279.856609,,,,,,,,,,346.5,percent of total billed charges,441.3531713,,,,,,,,,,346.5,percent of total billed charges,999999999,,,,,,,,,,346.5,percent of total billed charges,301.7538684,,,,,,,,,,1247.4,percent of total billed charges,,,,,
US TESTICULAR,76870,CDM,0056-2780-01,NDC,,both,1,EA,1384,1384,294.6313794,1384,1384,percent of total billed charges,1018.257968,,,,1384,percent of total billed charges,1079.333312,,,,1384,percent of total billed charges,1018.257968,,,,1384,percent of total billed charges,1079.333312,,,,1384,percent of total billed charges,999999999,,,,1384,percent of total billed charges,1054.512878,,,,1384,percent of total billed charges,1018.257968,,,,1384,percent of total billed charges,1079.333312,,,,986.792,percent of total billed charges,492.4272663,,,,986.792,percent of total billed charges,294.6313794,,,,986.792,percent of total billed charges,492.4272663,,,,986.792,percent of total billed charges,294.6313794,,,,986.792,percent of total billed charges,492.4272663,,,,986.792,percent of total billed charges,294.6313794,,,,977.104,percent of total billed charges,969.6904463,,,,977.104,percent of total billed charges,668.787815,,,,,,,,,,996.48,percent of total billed charges,647.6885507,,,,,,,,,,996.48,percent of total billed charges,999999999,,,,,,,,,,1107.2,percent of total billed charges,927.7760458,,,,1093.36,percent of total billed charges,1055.139453,,,,1093.36,percent of total billed charges,932.2506332,,,,1107.2,percent of total billed charges,999999999,,,,1107.2,percent of total billed charges,999999999,,,,968.8,percent of total billed charges,999999999,,,,968.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,736.288,percent of total billed charges,999999999,,,,,,,,,,,,,,,,698.92,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,346,percent of total billed charges,328.6153653,,,,,,,,,,346,percent of total billed charges,323.1490723,,,,,,,,,,346,percent of total billed charges,322.2510549,,,,,,,,,,346,percent of total billed charges,317.505912,,,,,,,,,,346,percent of total billed charges,325.6758059,,,,,,,,,,346,percent of total billed charges,999999999,,,,,,,,,,346,percent of total billed charges,279.4527756,,,,,,,,,,346,percent of total billed charges,440.716298,,,,,,,,,,346,percent of total billed charges,999999999,,,,,,,,,,346,percent of total billed charges,301.3184371,,,,,,,,,,1245.6,percent of total billed charges,,,,,
US THOR OR PARACENTESIS,76942,CDM,0056-2780-01,NDC,,both,1,EA,1319,1319,280.793923,1319,1319,percent of total billed charges,970.4351584,,,,1319,percent of total billed charges,1028.64208,,,,1319,percent of total billed charges,970.4351584,,,,1319,percent of total billed charges,1028.64208,,,,1319,percent of total billed charges,999999999,,,,1319,percent of total billed charges,1004.987346,,,,1319,percent of total billed charges,970.4351584,,,,1319,percent of total billed charges,1028.64208,,,,940.447,percent of total billed charges,469.3002632,,,,940.447,percent of total billed charges,280.793923,,,,940.447,percent of total billed charges,469.3002632,,,,940.447,percent of total billed charges,280.793923,,,,940.447,percent of total billed charges,469.3002632,,,,940.447,percent of total billed charges,280.793923,,,,931.214,percent of total billed charges,924.1486262,,,,931.214,percent of total billed charges,637.3779827,,,,,,,,,,949.68,percent of total billed charges,617.269652,,,,,,,,,,949.68,percent of total billed charges,999999999,,,,,,,,,,1055.2,percent of total billed charges,884.2027489,,,,1042.01,percent of total billed charges,1005.584493,,,,1042.01,percent of total billed charges,888.4671858,,,,1055.2,percent of total billed charges,999999999,,,,1055.2,percent of total billed charges,999999999,,,,923.3,percent of total billed charges,999999999,,,,923.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,701.708,percent of total billed charges,999999999,,,,,,,,,,,,,,,,666.095,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,329.75,percent of total billed charges,313.1818402,,,,,,,,,,329.75,percent of total billed charges,307.9722734,,,,,,,,,,329.75,percent of total billed charges,307.1164316,,,,,,,,,,329.75,percent of total billed charges,302.5941459,,,,,,,,,,329.75,percent of total billed charges,310.3803381,,,,,,,,,,329.75,percent of total billed charges,999999999,,,,,,,,,,329.75,percent of total billed charges,266.3281871,,,,,,,,,,329.75,percent of total billed charges,420.017917,,,,,,,,,,329.75,percent of total billed charges,999999999,,,,,,,,,,329.75,percent of total billed charges,287.1669209,,,,,,,,,,1187.1,percent of total billed charges,,,,,
US PARACENTESIS INITIAL OR SUBSQNT,49083,CDM,0056-2780-01,NDC,,both,1,EA,2995,2995,637.5874141,2995,2995,percent of total billed charges,2203.5279,,,,2995,percent of total billed charges,2335.696004,,,,2995,percent of total billed charges,2203.5279,,,,2995,percent of total billed charges,2335.696004,,,,2995,percent of total billed charges,999999999,,,,2995,percent of total billed charges,2281.984155,,,,2995,percent of total billed charges,2203.5279,,,,2995,percent of total billed charges,2335.696004,,,,2135.435,percent of total billed charges,1065.621144,,,,2135.435,percent of total billed charges,637.5874141,,,,2135.435,percent of total billed charges,1065.621144,,,,2135.435,percent of total billed charges,637.5874141,,,,2135.435,percent of total billed charges,1065.621144,,,,2135.435,percent of total billed charges,637.5874141,,,,2114.47,percent of total billed charges,2098.426941,,,,2114.47,percent of total billed charges,1447.268429,,,,,,,,,,2156.4,percent of total billed charges,1401.609255,,,,,,,,,,2156.4,percent of total billed charges,999999999,,,,,,,,,,2396,percent of total billed charges,2007.723452,,,,2366.05,percent of total billed charges,2283.340073,,,,2366.05,percent of total billed charges,2017.406536,,,,2396,percent of total billed charges,999999999,,,,2396,percent of total billed charges,999999999,,,,2096.5,percent of total billed charges,999999999,,,,2096.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1593.34,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1512.475,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,748.75,percent of total billed charges,711.1293491,,,,,,,,,,748.75,percent of total billed charges,699.3001962,,,,,,,,,,748.75,percent of total billed charges,697.3568709,,,,,,,,,,748.75,percent of total billed charges,687.0882995,,,,,,,,,,748.75,percent of total billed charges,704.7680915,,,,,,,,,,748.75,percent of total billed charges,999999999,,,,,,,,,,748.75,percent of total billed charges,604.7406523,,,,,,,,,,748.75,percent of total billed charges,953.7177114,,,,,,,,,,748.75,percent of total billed charges,999999999,,,,,,,,,,748.75,percent of total billed charges,652.0583231,,,,,,,,,,2695.5,percent of total billed charges,,,,,
US THORACENTESIS INITIAL OR SUBSQNT,32555,CDM,0056-2780-01,NDC,,both,1,EA,2678,2678,570.1032037,2678,2678,percent of total billed charges,1970.299738,,,,2678,percent of total billed charges,2088.478765,,,,2678,percent of total billed charges,1970.299738,,,,2678,percent of total billed charges,2088.478765,,,,2678,percent of total billed charges,999999999,,,,2678,percent of total billed charges,2040.451942,,,,2678,percent of total billed charges,1970.299738,,,,2678,percent of total billed charges,2088.478765,,,,1909.414,percent of total billed charges,952.8325283,,,,1909.414,percent of total billed charges,570.1032037,,,,1909.414,percent of total billed charges,952.8325283,,,,1909.414,percent of total billed charges,570.1032037,,,,1909.414,percent of total billed charges,952.8325283,,,,1909.414,percent of total billed charges,570.1032037,,,,1890.668,percent of total billed charges,1876.322988,,,,1890.668,percent of total billed charges,1294.085093,,,,,,,,,,1928.16,percent of total billed charges,1253.258626,,,,,,,,,,1928.16,percent of total billed charges,999999999,,,,,,,,,,2142.4,percent of total billed charges,1795.219834,,,,2115.62,percent of total billed charges,2041.664346,,,,2115.62,percent of total billed charges,1803.878031,,,,2142.4,percent of total billed charges,999999999,,,,2142.4,percent of total billed charges,999999999,,,,1874.6,percent of total billed charges,999999999,,,,1874.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1424.696,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1352.39,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,669.5,percent of total billed charges,635.8612343,,,,,,,,,,669.5,percent of total billed charges,625.2841153,,,,,,,,,,669.5,percent of total billed charges,623.5464776,,,,,,,,,,669.5,percent of total billed charges,614.3647633,,,,,,,,,,669.5,percent of total billed charges,630.1732718,,,,,,,,,,669.5,percent of total billed charges,999999999,,,,,,,,,,669.5,percent of total billed charges,540.733044,,,,,,,,,,669.5,percent of total billed charges,852.7732992,,,,,,,,,,669.5,percent of total billed charges,999999999,,,,,,,,,,669.5,percent of total billed charges,583.0424672,,,,,,,,,,2410.2,percent of total billed charges,,,,,
US SOFT TISSUE NECK/HEAD SONOGRAM,76536,CDM,0056-2780-01,NDC,,both,1,EA,1298,1298,276.3233601,1298,1298,percent of total billed charges,954.9847124,,,,1298,percent of total billed charges,1012.264913,,,,1298,percent of total billed charges,954.9847124,,,,1298,percent of total billed charges,1012.264913,,,,1298,percent of total billed charges,999999999,,,,1298,percent of total billed charges,988.986789,,,,1298,percent of total billed charges,954.9847124,,,,1298,percent of total billed charges,1012.264913,,,,925.474,percent of total billed charges,461.8284622,,,,925.474,percent of total billed charges,276.3233601,,,,925.474,percent of total billed charges,461.8284622,,,,925.474,percent of total billed charges,276.3233601,,,,925.474,percent of total billed charges,461.8284622,,,,925.474,percent of total billed charges,276.3233601,,,,916.388,percent of total billed charges,909.4351151,,,,916.388,percent of total billed charges,627.2301907,,,,,,,,,,934.56,percent of total billed charges,607.4420078,,,,,,,,,,934.56,percent of total billed charges,999999999,,,,,,,,,,1038.4,percent of total billed charges,870.1252221,,,,1025.42,percent of total billed charges,989.5744289,,,,1025.42,percent of total billed charges,874.3217643,,,,1038.4,percent of total billed charges,999999999,,,,1038.4,percent of total billed charges,999999999,,,,908.6,percent of total billed charges,999999999,,,,908.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,690.536,percent of total billed charges,999999999,,,,,,,,,,,,,,,,655.49,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,324.5,percent of total billed charges,308.1956244,,,,,,,,,,324.5,percent of total billed charges,303.0689999,,,,,,,,,,324.5,percent of total billed charges,302.2267841,,,,,,,,,,324.5,percent of total billed charges,297.7764984,,,,,,,,,,324.5,percent of total billed charges,305.4387255,,,,,,,,,,324.5,percent of total billed charges,999999999,,,,,,,,,,324.5,percent of total billed charges,262.0879355,,,,,,,,,,324.5,percent of total billed charges,413.3307477,,,,,,,,,,324.5,percent of total billed charges,999999999,,,,,,,,,,324.5,percent of total billed charges,282.5948926,,,,,,,,,,1168.2,percent of total billed charges,,,,,
US LOWER EXT (BAKERS CYST),76881,CDM,0056-2780-01,NDC,,both,1,EA,980,980,208.6262657,980,980,percent of total billed charges,721.0208152,,,,980,percent of total billed charges,764.2678078,,,,980,percent of total billed charges,721.0208152,,,,980,percent of total billed charges,764.2678078,,,,980,percent of total billed charges,999999999,,,,980,percent of total billed charges,746.692645,,,,980,percent of total billed charges,721.0208152,,,,980,percent of total billed charges,764.2678078,,,,698.74,percent of total billed charges,348.684047,,,,698.74,percent of total billed charges,208.6262657,,,,698.74,percent of total billed charges,348.684047,,,,698.74,percent of total billed charges,208.6262657,,,,698.74,percent of total billed charges,348.684047,,,,698.74,percent of total billed charges,208.6262657,,,,691.88,percent of total billed charges,686.6305184,,,,691.88,percent of total billed charges,473.5636262,,,,,,,,,,705.6,percent of total billed charges,458.6233957,,,,,,,,,,705.6,percent of total billed charges,999999999,,,,,,,,,,784,percent of total billed charges,656.9512463,,,,774.2,percent of total billed charges,747.1363176,,,,774.2,percent of total billed charges,660.119668,,,,784,percent of total billed charges,999999999,,,,784,percent of total billed charges,999999999,,,,686,percent of total billed charges,999999999,,,,686,percent of total billed charges,999999999,,,,,,,,,,,,,,,,521.36,percent of total billed charges,999999999,,,,,,,,,,,,,,,,494.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,245,percent of total billed charges,232.6900708,,,,,,,,,,245,percent of total billed charges,228.8194298,,,,,,,,,,245,percent of total billed charges,228.1835504,,,,,,,,,,245,percent of total billed charges,224.8235504,,,,,,,,,,245,percent of total billed charges,230.6085909,,,,,,,,,,245,percent of total billed charges,999999999,,,,,,,,,,245,percent of total billed charges,197.8784104,,,,,,,,,,245,percent of total billed charges,312.0678989,,,,,,,,,,245,percent of total billed charges,999999999,,,,,,,,,,245,percent of total billed charges,213.3613211,,,,,,,,,,882,percent of total billed charges,,,,,
**US EXT NON-VASC LT,76880,CDM,0056-2780-01,NDC,LT,both,1,EA,659,659,140.2905195,659,659,percent of total billed charges,484.8497115,,,,659,percent of total billed charges,513.9311075,,,,659,percent of total billed charges,484.8497115,,,,659,percent of total billed charges,513.9311075,,,,659,percent of total billed charges,999999999,,,,659,percent of total billed charges,502.1127072,,,,659,percent of total billed charges,484.8497115,,,,659,percent of total billed charges,513.9311075,,,,469.867,percent of total billed charges,234.4722316,,,,469.867,percent of total billed charges,140.2905195,,,,469.867,percent of total billed charges,234.4722316,,,,469.867,percent of total billed charges,140.2905195,,,,469.867,percent of total billed charges,234.4722316,,,,469.867,percent of total billed charges,140.2905195,,,,465.254,percent of total billed charges,461.7239914,,,,465.254,percent of total billed charges,318.4473772,,,,,,,,,,474.48,percent of total billed charges,308.4008345,,,,,,,,,,474.48,percent of total billed charges,999999999,,,,,,,,,,527.2,percent of total billed charges,441.7661952,,,,520.61,percent of total billed charges,502.4110544,,,,520.61,percent of total billed charges,443.8967971,,,,527.2,percent of total billed charges,999999999,,,,527.2,percent of total billed charges,999999999,,,,461.3,percent of total billed charges,999999999,,,,461.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,350.588,percent of total billed charges,999999999,,,,,,,,,,,,,,,,332.795,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,164.75,percent of total billed charges,156.4722007,,,,,,,,,,164.75,percent of total billed charges,153.8693921,,,,,,,,,,164.75,percent of total billed charges,153.4417956,,,,,,,,,,164.75,percent of total billed charges,151.1823671,,,,,,,,,,164.75,percent of total billed charges,155.0725116,,,,,,,,,,164.75,percent of total billed charges,999999999,,,,,,,,,,164.75,percent of total billed charges,133.0631352,,,,,,,,,,164.75,percent of total billed charges,209.8497402,,,,,,,,,,164.75,percent of total billed charges,999999999,,,,,,,,,,164.75,percent of total billed charges,143.4746027,,,,,,,,,,593.1,percent of total billed charges,,,,,
**US EXTNON-VASC RT,76880,CDM,0056-2780-01,NDC,RT,both,1,EA,659,659,140.2905195,659,659,percent of total billed charges,484.8497115,,,,659,percent of total billed charges,513.9311075,,,,659,percent of total billed charges,484.8497115,,,,659,percent of total billed charges,513.9311075,,,,659,percent of total billed charges,999999999,,,,659,percent of total billed charges,502.1127072,,,,659,percent of total billed charges,484.8497115,,,,659,percent of total billed charges,513.9311075,,,,469.867,percent of total billed charges,234.4722316,,,,469.867,percent of total billed charges,140.2905195,,,,469.867,percent of total billed charges,234.4722316,,,,469.867,percent of total billed charges,140.2905195,,,,469.867,percent of total billed charges,234.4722316,,,,469.867,percent of total billed charges,140.2905195,,,,465.254,percent of total billed charges,461.7239914,,,,465.254,percent of total billed charges,318.4473772,,,,,,,,,,474.48,percent of total billed charges,308.4008345,,,,,,,,,,474.48,percent of total billed charges,999999999,,,,,,,,,,527.2,percent of total billed charges,441.7661952,,,,520.61,percent of total billed charges,502.4110544,,,,520.61,percent of total billed charges,443.8967971,,,,527.2,percent of total billed charges,999999999,,,,527.2,percent of total billed charges,999999999,,,,461.3,percent of total billed charges,999999999,,,,461.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,350.588,percent of total billed charges,999999999,,,,,,,,,,,,,,,,332.795,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,164.75,percent of total billed charges,156.4722007,,,,,,,,,,164.75,percent of total billed charges,153.8693921,,,,,,,,,,164.75,percent of total billed charges,153.4417956,,,,,,,,,,164.75,percent of total billed charges,151.1823671,,,,,,,,,,164.75,percent of total billed charges,155.0725116,,,,,,,,,,164.75,percent of total billed charges,999999999,,,,,,,,,,164.75,percent of total billed charges,133.0631352,,,,,,,,,,164.75,percent of total billed charges,209.8497402,,,,,,,,,,164.75,percent of total billed charges,999999999,,,,,,,,,,164.75,percent of total billed charges,143.4746027,,,,,,,,,,593.1,percent of total billed charges,,,,,
US TRANSVAGINAL,76830,CDM,0056-2780-01,NDC,,both,1,EA,1261,1261,268.4466542,1261,1261,percent of total billed charges,927.7624979,,,,1261,percent of total billed charges,983.4099037,,,,1261,percent of total billed charges,927.7624979,,,,1261,percent of total billed charges,983.4099037,,,,1261,percent of total billed charges,999999999,,,,1261,percent of total billed charges,960.795332,,,,1261,percent of total billed charges,927.7624979,,,,1261,percent of total billed charges,983.4099037,,,,899.093,percent of total billed charges,448.6638604,,,,899.093,percent of total billed charges,268.4466542,,,,899.093,percent of total billed charges,448.6638604,,,,899.093,percent of total billed charges,268.4466542,,,,899.093,percent of total billed charges,448.6638604,,,,899.093,percent of total billed charges,268.4466542,,,,890.266,percent of total billed charges,883.5113098,,,,890.266,percent of total billed charges,609.3507476,,,,,,,,,,907.92,percent of total billed charges,590.1266347,,,,,,,,,,907.92,percent of total billed charges,999999999,,,,,,,,,,1008.8,percent of total billed charges,845.3219608,,,,996.19,percent of total billed charges,961.366221,,,,996.19,percent of total billed charges,849.3988789,,,,1008.8,percent of total billed charges,999999999,,,,1008.8,percent of total billed charges,999999999,,,,882.7,percent of total billed charges,999999999,,,,882.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,670.852,percent of total billed charges,999999999,,,,,,,,,,,,,,,,636.805,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,315.25,percent of total billed charges,299.410387,,,,,,,,,,315.25,percent of total billed charges,294.429899,,,,,,,,,,315.25,percent of total billed charges,293.6116909,,,,,,,,,,315.25,percent of total billed charges,289.2882623,,,,,,,,,,315.25,percent of total billed charges,296.7320746,,,,,,,,,,315.25,percent of total billed charges,999999999,,,,,,,,,,315.25,percent of total billed charges,254.6170159,,,,,,,,,,315.25,percent of total billed charges,401.5485923,,,,,,,,,,315.25,percent of total billed charges,999999999,,,,,,,,,,315.25,percent of total billed charges,274.5394142,,,,,,,,,,1134.9,percent of total billed charges,,,,,
US THYROID BIOPSY PERCUTANEOUS CORE NE,60100,CDM,0056-2780-01,NDC,,both,1,EA,1787,1787,380.423609,1787,1787,percent of total billed charges,1314.759384,,,,1787,percent of total billed charges,1393.618952,,,,1787,percent of total billed charges,1314.759384,,,,1787,percent of total billed charges,1393.618952,,,,1787,percent of total billed charges,999999999,,,,1787,percent of total billed charges,1361.57118,,,,1787,percent of total billed charges,1314.759384,,,,1787,percent of total billed charges,1393.618952,,,,1274.131,percent of total billed charges,635.8146856,,,,1274.131,percent of total billed charges,380.423609,,,,1274.131,percent of total billed charges,635.8146856,,,,1274.131,percent of total billed charges,380.423609,,,,1274.131,percent of total billed charges,635.8146856,,,,1274.131,percent of total billed charges,380.423609,,,,1261.622,percent of total billed charges,1252.049731,,,,1261.622,percent of total billed charges,863.5287756,,,,,,,,,,1286.64,percent of total billed charges,836.2857226,,,,,,,,,,1286.64,percent of total billed charges,999999999,,,,,,,,,,1429.6,percent of total billed charges,1197.930487,,,,1411.73,percent of total billed charges,1362.380204,,,,1411.73,percent of total billed charges,1203.708007,,,,1429.6,percent of total billed charges,999999999,,,,1429.6,percent of total billed charges,999999999,,,,1250.9,percent of total billed charges,999999999,,,,1250.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,950.684,percent of total billed charges,999999999,,,,,,,,,,,,,,,,902.435,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,446.75,percent of total billed charges,424.303221,,,,,,,,,,446.75,percent of total billed charges,417.2452256,,,,,,,,,,446.75,percent of total billed charges,416.085719,,,,,,,,,,446.75,percent of total billed charges,409.9588618,,,,,,,,,,446.75,percent of total billed charges,420.507706,,,,,,,,,,446.75,percent of total billed charges,999999999,,,,,,,,,,446.75,percent of total billed charges,360.8252239,,,,,,,,,,446.75,percent of total billed charges,569.0462605,,,,,,,,,,446.75,percent of total billed charges,999999999,,,,,,,,,,446.75,percent of total billed charges,389.0578375,,,,,,,,,,1608.3,percent of total billed charges,,,,,
US TRANSPLANT KIDNEY,76776,CDM,0056-2780-01,NDC,,both,1,EA,1280,1280,272.4914491,1280,1280,percent of total billed charges,941.7414729,,,,1280,percent of total billed charges,998.2273408,,,,1280,percent of total billed charges,941.7414729,,,,1280,percent of total billed charges,998.2273408,,,,1280,percent of total billed charges,999999999,,,,1280,percent of total billed charges,975.2720261,,,,1280,percent of total billed charges,941.7414729,,,,1280,percent of total billed charges,998.2273408,,,,912.64,percent of total billed charges,455.4240613,,,,912.64,percent of total billed charges,272.4914491,,,,912.64,percent of total billed charges,455.4240613,,,,912.64,percent of total billed charges,272.4914491,,,,912.64,percent of total billed charges,455.4240613,,,,912.64,percent of total billed charges,272.4914491,,,,903.68,percent of total billed charges,896.8235342,,,,903.68,percent of total billed charges,618.5320833,,,,,,,,,,921.6,percent of total billed charges,599.0183128,,,,,,,,,,921.6,percent of total billed charges,999999999,,,,,,,,,,1024,percent of total billed charges,858.0587707,,,,1011.2,percent of total billed charges,975.8515169,,,,1011.2,percent of total billed charges,862.1971174,,,,1024,percent of total billed charges,999999999,,,,1024,percent of total billed charges,999999999,,,,896,percent of total billed charges,999999999,,,,896,percent of total billed charges,999999999,,,,,,,,,,,,,,,,680.96,percent of total billed charges,999999999,,,,,,,,,,,,,,,,646.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,320,percent of total billed charges,303.9217251,,,,,,,,,,320,percent of total billed charges,298.866194,,,,,,,,,,320,percent of total billed charges,298.0356577,,,,,,,,,,320,percent of total billed charges,293.6470862,,,,,,,,,,320,percent of total billed charges,301.2030575,,,,,,,,,,320,percent of total billed charges,999999999,,,,,,,,,,320,percent of total billed charges,258.453434,,,,,,,,,,320,percent of total billed charges,407.5988883,,,,,,,,,,320,percent of total billed charges,999999999,,,,,,,,,,320,percent of total billed charges,278.6760112,,,,,,,,,,1152,percent of total billed charges,,,,,
US LOCALIZED SOFT TISSUE,76999,CDM,0056-2780-01,NDC,,both,1,EA,779,779,165.8365929,779,779,percent of total billed charges,573.1379745,,,,779,percent of total billed charges,607.5149207,,,,779,percent of total billed charges,573.1379745,,,,779,percent of total billed charges,607.5149207,,,,779,percent of total billed charges,999999999,,,,779,percent of total billed charges,593.5444597,,,,779,percent of total billed charges,573.1379745,,,,779,percent of total billed charges,607.5149207,,,,555.427,percent of total billed charges,277.1682373,,,,555.427,percent of total billed charges,165.8365929,,,,555.427,percent of total billed charges,277.1682373,,,,555.427,percent of total billed charges,165.8365929,,,,555.427,percent of total billed charges,277.1682373,,,,555.427,percent of total billed charges,165.8365929,,,,549.974,percent of total billed charges,545.8011978,,,,549.974,percent of total billed charges,376.43476,,,,,,,,,,560.88,percent of total billed charges,364.5588013,,,,,,,,,,560.88,percent of total billed charges,999999999,,,,,,,,,,623.2,percent of total billed charges,522.209205,,,,615.41,percent of total billed charges,593.8971341,,,,615.41,percent of total billed charges,524.7277769,,,,623.2,percent of total billed charges,999999999,,,,623.2,percent of total billed charges,999999999,,,,545.3,percent of total billed charges,999999999,,,,545.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,414.428,percent of total billed charges,999999999,,,,,,,,,,,,,,,,393.395,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,194.75,percent of total billed charges,184.9648624,,,,,,,,,,194.75,percent of total billed charges,181.8880978,,,,,,,,,,194.75,percent of total billed charges,181.3826385,,,,,,,,,,194.75,percent of total billed charges,178.7117814,,,,,,,,,,194.75,percent of total billed charges,183.3102983,,,,,,,,,,194.75,percent of total billed charges,999999999,,,,,,,,,,194.75,percent of total billed charges,157.2931446,,,,,,,,,,194.75,percent of total billed charges,248.062136,,,,,,,,,,194.75,percent of total billed charges,999999999,,,,,,,,,,194.75,percent of total billed charges,169.6004787,,,,,,,,,,701.1,percent of total billed charges,,,,,
US BREAST BX LT EA ADDITIONAL,19084,CDM,0056-2780-01,NDC,,both,1,EA,3124,3124,665.049443,3124,3124,percent of total billed charges,2298.437782,,,,3124,percent of total billed charges,2436.298604,,,,3124,percent of total billed charges,2298.437782,,,,3124,percent of total billed charges,2436.298604,,,,3124,percent of total billed charges,999999999,,,,3124,percent of total billed charges,2380.273289,,,,3124,percent of total billed charges,2298.437782,,,,3124,percent of total billed charges,2436.298604,,,,2227.412,percent of total billed charges,1111.51935,,,,2227.412,percent of total billed charges,665.049443,,,,2227.412,percent of total billed charges,1111.51935,,,,2227.412,percent of total billed charges,665.049443,,,,2227.412,percent of total billed charges,1111.51935,,,,2227.412,percent of total billed charges,665.049443,,,,2205.544,percent of total billed charges,2188.809938,,,,2205.544,percent of total billed charges,1509.604866,,,,,,,,,,2249.28,percent of total billed charges,1461.97907,,,,,,,,,,2249.28,percent of total billed charges,999999999,,,,,,,,,,2499.2,percent of total billed charges,2094.199687,,,,2467.96,percent of total billed charges,2381.687608,,,,2467.96,percent of total billed charges,2104.29984,,,,2499.2,percent of total billed charges,999999999,,,,2499.2,percent of total billed charges,999999999,,,,2186.8,percent of total billed charges,999999999,,,,2186.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1661.968,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1577.62,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,781,percent of total billed charges,741.7589604,,,,,,,,,,781,percent of total billed charges,729.4203048,,,,,,,,,,781,percent of total billed charges,727.393277,,,,,,,,,,781,percent of total billed charges,716.6824199,,,,,,,,,,781,percent of total billed charges,735.1237121,,,,,,,,,,781,percent of total billed charges,999999999,,,,,,,,,,781,percent of total billed charges,630.7879125,,,,,,,,,,781,percent of total billed charges,994.7960369,,,,,,,,,,781,percent of total billed charges,999999999,,,,,,,,,,781,percent of total billed charges,680.1436399,,,,,,,,,,2811.6,percent of total billed charges,,,,,
US GUIDANCE INTRAOPERATIVE,76998,CDM,0056-2780-01,NDC,,both,1,EA,1465,1465,311.8749789,1465,1465,percent of total billed charges,1077.852545,,,,1465,percent of total billed charges,1142.502386,,,,1465,percent of total billed charges,1077.852545,,,,1465,percent of total billed charges,1142.502386,,,,1465,percent of total billed charges,999999999,,,,1465,percent of total billed charges,1116.229311,,,,1465,percent of total billed charges,1077.852545,,,,1465,percent of total billed charges,1142.502386,,,,1044.545,percent of total billed charges,521.2470702,,,,1044.545,percent of total billed charges,311.8749789,,,,1044.545,percent of total billed charges,521.2470702,,,,1044.545,percent of total billed charges,311.8749789,,,,1044.545,percent of total billed charges,521.2470702,,,,1044.545,percent of total billed charges,311.8749789,,,,1034.29,percent of total billed charges,1026.442561,,,,1034.29,percent of total billed charges,707.9292984,,,,,,,,,,1054.8,percent of total billed charges,685.5951783,,,,,,,,,,1054.8,percent of total billed charges,999999999,,,,,,,,,,1172,percent of total billed charges,982.0750774,,,,1157.35,percent of total billed charges,1116.892556,,,,1157.35,percent of total billed charges,986.8115445,,,,1172,percent of total billed charges,999999999,,,,1172,percent of total billed charges,999999999,,,,1025.5,percent of total billed charges,999999999,,,,1025.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,779.38,percent of total billed charges,999999999,,,,,,,,,,,,,,,,739.825,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,366.25,percent of total billed charges,347.847912,,,,,,,,,,366.25,percent of total billed charges,342.0616986,,,,,,,,,,366.25,percent of total billed charges,341.1111238,,,,,,,,,,366.25,percent of total billed charges,336.0882667,,,,,,,,,,366.25,percent of total billed charges,344.7363119,,,,,,,,,,366.25,percent of total billed charges,999999999,,,,,,,,,,366.25,percent of total billed charges,295.8080319,,,,,,,,,,366.25,percent of total billed charges,466.5096652,,,,,,,,,,366.25,percent of total billed charges,999999999,,,,,,,,,,366.25,percent of total billed charges,318.9534035,,,,,,,,,,1318.5,percent of total billed charges,,,,,
US BREAST BIOPSY RT,19083,CDM,0056-2780-01,NDC,,both,1,EA,4708,4708,1002.257611,4708,4708,percent of total billed charges,3463.842855,,,,4708,percent of total billed charges,3671.604938,,,,4708,percent of total billed charges,3463.842855,,,,4708,percent of total billed charges,3671.604938,,,,4708,percent of total billed charges,999999999,,,,4708,percent of total billed charges,3587.172421,,,,4708,percent of total billed charges,3463.842855,,,,4708,percent of total billed charges,3671.604938,,,,3356.804,percent of total billed charges,1675.106626,,,,3356.804,percent of total billed charges,1002.257611,,,,3356.804,percent of total billed charges,1675.106626,,,,3356.804,percent of total billed charges,1002.257611,,,,3356.804,percent of total billed charges,1675.106626,,,,3356.804,percent of total billed charges,1002.257611,,,,3323.848,percent of total billed charges,3298.629062,,,,3323.848,percent of total billed charges,2275.038319,,,,,,,,,,3389.76,percent of total billed charges,2203.264232,,,,,,,,,,3389.76,percent of total billed charges,999999999,,,,,,,,,,3766.4,percent of total billed charges,3156.047416,,,,3719.32,percent of total billed charges,3589.303861,,,,3719.32,percent of total billed charges,3171.268772,,,,3766.4,percent of total billed charges,999999999,,,,3766.4,percent of total billed charges,999999999,,,,3295.6,percent of total billed charges,999999999,,,,3295.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2504.656,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2377.54,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1177,percent of total billed charges,1117.862095,,,,,,,,,,1177,percent of total billed charges,1099.26722,,,,,,,,,,1177,percent of total billed charges,1096.212403,,,,,,,,,,1177,percent of total billed charges,1080.070689,,,,,,,,,,1177,percent of total billed charges,1107.862496,,,,,,,,,,1177,percent of total billed charges,999999999,,,,,,,,,,1177,percent of total billed charges,950.6240371,,,,,,,,,,1177,percent of total billed charges,1499.199661,,,,,,,,,,1177,percent of total billed charges,999999999,,,,,,,,,,1177,percent of total billed charges,1025.005204,,,,,,,,,,4237.2,percent of total billed charges,,,,,
MRI GAD CONTRAST,A9579,CDM,0056-2780-01,NDC,,both,1,EA,953,953,202.8783992,953,953,percent of total billed charges,701.155956,,,,953,percent of total billed charges,743.2114498,,,,953,percent of total billed charges,701.155956,,,,953,percent of total billed charges,743.2114498,,,,953,percent of total billed charges,999999999,,,,953,percent of total billed charges,726.1205007,,,,953,percent of total billed charges,701.155956,,,,953,percent of total billed charges,743.2114498,,,,679.489,percent of total billed charges,339.0774457,,,,679.489,percent of total billed charges,202.8783992,,,,679.489,percent of total billed charges,339.0774457,,,,679.489,percent of total billed charges,202.8783992,,,,679.489,percent of total billed charges,339.0774457,,,,679.489,percent of total billed charges,202.8783992,,,,672.818,percent of total billed charges,667.7131469,,,,672.818,percent of total billed charges,460.5164651,,,,,,,,,,686.16,percent of total billed charges,445.9878532,,,,,,,,,,686.16,percent of total billed charges,999999999,,,,,,,,,,762.4,percent of total billed charges,638.8515691,,,,752.87,percent of total billed charges,726.5519497,,,,752.87,percent of total billed charges,641.9326975,,,,762.4,percent of total billed charges,999999999,,,,762.4,percent of total billed charges,999999999,,,,667.1,percent of total billed charges,999999999,,,,667.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,506.996,percent of total billed charges,999999999,,,,,,,,,,,,,,,,481.265,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,238.25,percent of total billed charges,226.2792219,,,,,,,,,,238.25,percent of total billed charges,222.515221,,,,,,,,,,238.25,percent of total billed charges,221.8968608,,,,,,,,,,238.25,percent of total billed charges,218.6294322,,,,,,,,,,238.25,percent of total billed charges,224.2550889,,,,,,,,,,238.25,percent of total billed charges,999999999,,,,,,,,,,238.25,percent of total billed charges,192.4266583,,,,,,,,,,238.25,percent of total billed charges,303.4701098,,,,,,,,,,238.25,percent of total billed charges,999999999,,,,,,,,,,238.25,percent of total billed charges,207.482999,,,,,,,,,,857.7,percent of total billed charges,,,,,
MRI TMJ JOINTS,70336,CDM,0056-2780-01,NDC,,both,1,EA,4225,4225,899.434666,4225,4225,percent of total billed charges,3108.482596,,,,4225,percent of total billed charges,3294.93009,,,,4225,percent of total billed charges,3108.482596,,,,4225,percent of total billed charges,3294.93009,,,,4225,percent of total billed charges,999999999,,,,4225,percent of total billed charges,3219.159618,,,,4225,percent of total billed charges,3108.482596,,,,4225,percent of total billed charges,3294.93009,,,,3012.425,percent of total billed charges,1503.255202,,,,3012.425,percent of total billed charges,899.434666,,,,3012.425,percent of total billed charges,1503.255202,,,,3012.425,percent of total billed charges,899.434666,,,,3012.425,percent of total billed charges,1503.255202,,,,3012.425,percent of total billed charges,899.434666,,,,2982.85,percent of total billed charges,2960.218306,,,,2982.85,percent of total billed charges,2041.639103,,,,,,,,,,3042,percent of total billed charges,1977.228415,,,,,,,,,,3042,percent of total billed charges,999999999,,,,,,,,,,3380,percent of total billed charges,2832.264302,,,,3337.75,percent of total billed charges,3221.07239,,,,3337.75,percent of total billed charges,2845.924079,,,,3380,percent of total billed charges,999999999,,,,3380,percent of total billed charges,999999999,,,,2957.5,percent of total billed charges,999999999,,,,2957.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2247.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2133.625,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1056.25,percent of total billed charges,1003.179132,,,,,,,,,,1056.25,percent of total billed charges,986.4919295,,,,,,,,,,1056.25,percent of total billed charges,983.7505107,,,,,,,,,,1056.25,percent of total billed charges,969.2647964,,,,,,,,,,1056.25,percent of total billed charges,994.2054045,,,,,,,,,,1056.25,percent of total billed charges,999999999,,,,,,,,,,1056.25,percent of total billed charges,853.0982491,,,,,,,,,,1056.25,percent of total billed charges,1345.394768,,,,,,,,,,1056.25,percent of total billed charges,999999999,,,,,,,,,,1056.25,percent of total billed charges,919.8485527,,,,,,,,,,3802.5,percent of total billed charges,,,,,
MRI ORBIT FACE NECK W/O CONTRAST,70540,CDM,0056-2780-01,NDC,,both,1,EA,4391,4391,934.7734008,4391,4391,percent of total billed charges,3230.614693,,,,4391,percent of total billed charges,3424.387698,,,,4391,percent of total billed charges,3230.614693,,,,4391,percent of total billed charges,3424.387698,,,,4391,percent of total billed charges,999999999,,,,4391,percent of total billed charges,3345.640208,,,,4391,percent of total billed charges,3230.614693,,,,4391,percent of total billed charges,3424.387698,,,,3130.783,percent of total billed charges,1562.31801,,,,3130.783,percent of total billed charges,934.7734008,,,,3130.783,percent of total billed charges,1562.31801,,,,3130.783,percent of total billed charges,934.7734008,,,,3130.783,percent of total billed charges,1562.31801,,,,3130.783,percent of total billed charges,934.7734008,,,,3100.046,percent of total billed charges,3076.525108,,,,3100.046,percent of total billed charges,2121.854982,,,,,,,,,,3161.52,percent of total billed charges,2054.913603,,,,,,,,,,3161.52,percent of total billed charges,999999999,,,,,,,,,,3512.8,percent of total billed charges,2943.543798,,,,3468.89,percent of total billed charges,3347.628133,,,,3468.89,percent of total billed charges,2957.740267,,,,3512.8,percent of total billed charges,999999999,,,,3512.8,percent of total billed charges,999999999,,,,3073.7,percent of total billed charges,999999999,,,,3073.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2336.012,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2217.455,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1097.75,percent of total billed charges,1042.593981,,,,,,,,,,1097.75,percent of total billed charges,1025.251139,,,,,,,,,,1097.75,percent of total billed charges,1022.40201,,,,,,,,,,1097.75,percent of total billed charges,1007.347153,,,,,,,,,,1097.75,percent of total billed charges,1033.267676,,,,,,,,,,1097.75,percent of total billed charges,999999999,,,,,,,,,,1097.75,percent of total billed charges,886.6164288,,,,,,,,,,1097.75,percent of total billed charges,1398.255249,,,,,,,,,,1097.75,percent of total billed charges,999999999,,,,,,,,,,1097.75,percent of total billed charges,955.9893479,,,,,,,,,,3951.9,percent of total billed charges,,,,,
MRI ORBIT FACE NECK W/CONTRAST,70542,CDM,0056-2780-01,NDC,,both,1,EA,5156,5156,1097.629618,5156,5156,percent of total billed charges,3793.452371,,,,5156,percent of total billed charges,4020.984507,,,,5156,percent of total billed charges,3793.452371,,,,5156,percent of total billed charges,4020.984507,,,,5156,percent of total billed charges,999999999,,,,5156,percent of total billed charges,3928.51763,,,,5156,percent of total billed charges,3793.452371,,,,5156,percent of total billed charges,4020.984507,,,,3676.228,percent of total billed charges,1834.505047,,,,3676.228,percent of total billed charges,1097.629618,,,,3676.228,percent of total billed charges,1834.505047,,,,3676.228,percent of total billed charges,1097.629618,,,,3676.228,percent of total billed charges,1834.505047,,,,3676.228,percent of total billed charges,1097.629618,,,,3640.136,percent of total billed charges,3612.517299,,,,3640.136,percent of total billed charges,2491.524548,,,,,,,,,,3712.32,percent of total billed charges,2412.920641,,,,,,,,,,3712.32,percent of total billed charges,999999999,,,,,,,,,,4124.8,percent of total billed charges,3456.367986,,,,4073.24,percent of total billed charges,3930.851892,,,,4073.24,percent of total billed charges,3473.037763,,,,4124.8,percent of total billed charges,999999999,,,,4124.8,percent of total billed charges,999999999,,,,3609.2,percent of total billed charges,999999999,,,,3609.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2742.992,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2603.78,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1289,percent of total billed charges,1224.234699,,,,,,,,,,1289,percent of total billed charges,1203.870388,,,,,,,,,,1289,percent of total billed charges,1200.524884,,,,,,,,,,1289,percent of total billed charges,1182.847169,,,,,,,,,,1289,percent of total billed charges,1213.283566,,,,,,,,,,1289,percent of total billed charges,999999999,,,,,,,,,,1289,percent of total billed charges,1041.082739,,,,,,,,,,1289,percent of total billed charges,1641.859272,,,,,,,,,,1289,percent of total billed charges,999999999,,,,,,,,,,1289,percent of total billed charges,1122.541808,,,,,,,,,,4640.4,percent of total billed charges,,,,,
MRI ORBIT FACE NECK W W/O CONTRAST,70543,CDM,0056-2780-01,NDC,,both,1,EA,7441,7441,1584.069432,7441,7441,percent of total billed charges,5474.608047,,,,7441,percent of total billed charges,5802.976284,,,,7441,percent of total billed charges,5474.608047,,,,7441,percent of total billed charges,5802.976284,,,,7441,percent of total billed charges,999999999,,,,7441,percent of total billed charges,5669.530583,,,,7441,percent of total billed charges,5474.608047,,,,7441,percent of total billed charges,5802.976284,,,,5305.433,percent of total billed charges,2647.508157,,,,5305.433,percent of total billed charges,1584.069432,,,,5305.433,percent of total billed charges,2647.508157,,,,5305.433,percent of total billed charges,1584.069432,,,,5305.433,percent of total billed charges,2647.508157,,,,5305.433,percent of total billed charges,1584.069432,,,,5253.346,percent of total billed charges,5213.487436,,,,5253.346,percent of total billed charges,3595.700962,,,,,,,,,,5357.52,percent of total billed charges,3482.261926,,,,,,,,,,5357.52,percent of total billed charges,999999999,,,,,,,,,,5952.8,percent of total billed charges,4988.136963,,,,5878.39,percent of total billed charges,5672.899326,,,,5878.39,percent of total billed charges,5012.194336,,,,5952.8,percent of total billed charges,999999999,,,,5952.8,percent of total billed charges,999999999,,,,5208.7,percent of total billed charges,999999999,,,,5208.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3958.612,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3757.705,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1860.25,percent of total billed charges,1766.782466,,,,,,,,,,1860.25,percent of total billed charges,1737.393242,,,,,,,,,,1860.25,percent of total billed charges,1732.565101,,,,,,,,,,1860.25,percent of total billed charges,1707.053101,,,,,,,,,,1860.25,percent of total billed charges,1750.978086,,,,,,,,,,1860.25,percent of total billed charges,999999999,,,,,,,,,,1860.25,percent of total billed charges,1502.462502,,,,,,,,,,1860.25,percent of total billed charges,2369.486975,,,,,,,,,,1860.25,percent of total billed charges,999999999,,,,,,,,,,1860.25,percent of total billed charges,1620.022031,,,,,,,,,,6696.9,percent of total billed charges,,,,,
MRA NECK AND OR HEAD W OR W/O CONTRAST,70540,CDM,0056-2780-01,NDC,,both,1,EA,4391,4391,934.7734008,4391,4391,percent of total billed charges,3230.614693,,,,4391,percent of total billed charges,3424.387698,,,,4391,percent of total billed charges,3230.614693,,,,4391,percent of total billed charges,3424.387698,,,,4391,percent of total billed charges,999999999,,,,4391,percent of total billed charges,3345.640208,,,,4391,percent of total billed charges,3230.614693,,,,4391,percent of total billed charges,3424.387698,,,,3130.783,percent of total billed charges,1562.31801,,,,3130.783,percent of total billed charges,934.7734008,,,,3130.783,percent of total billed charges,1562.31801,,,,3130.783,percent of total billed charges,934.7734008,,,,3130.783,percent of total billed charges,1562.31801,,,,3130.783,percent of total billed charges,934.7734008,,,,3100.046,percent of total billed charges,3076.525108,,,,3100.046,percent of total billed charges,2121.854982,,,,,,,,,,3161.52,percent of total billed charges,2054.913603,,,,,,,,,,3161.52,percent of total billed charges,999999999,,,,,,,,,,3512.8,percent of total billed charges,2943.543798,,,,3468.89,percent of total billed charges,3347.628133,,,,3468.89,percent of total billed charges,2957.740267,,,,3512.8,percent of total billed charges,999999999,,,,3512.8,percent of total billed charges,999999999,,,,3073.7,percent of total billed charges,999999999,,,,3073.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2336.012,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2217.455,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1097.75,percent of total billed charges,1042.593981,,,,,,,,,,1097.75,percent of total billed charges,1025.251139,,,,,,,,,,1097.75,percent of total billed charges,1022.40201,,,,,,,,,,1097.75,percent of total billed charges,1007.347153,,,,,,,,,,1097.75,percent of total billed charges,1033.267676,,,,,,,,,,1097.75,percent of total billed charges,999999999,,,,,,,,,,1097.75,percent of total billed charges,886.6164288,,,,,,,,,,1097.75,percent of total billed charges,1398.255249,,,,,,,,,,1097.75,percent of total billed charges,999999999,,,,,,,,,,1097.75,percent of total billed charges,955.9893479,,,,,,,,,,3951.9,percent of total billed charges,,,,,
MRI BRAIN W/O CONTRAST,70551,CDM,0056-2780-01,NDC,,both,1,EA,5363,5363,1141.696595,5363,5363,percent of total billed charges,3945.749624,,,,5363,percent of total billed charges,4182.416585,,,,5363,percent of total billed charges,3945.749624,,,,5363,percent of total billed charges,4182.416585,,,,5363,percent of total billed charges,999999999,,,,5363,percent of total billed charges,4086.237403,,,,5363,percent of total billed charges,3945.749624,,,,5363,percent of total billed charges,4182.416585,,,,3823.819,percent of total billed charges,1908.155657,,,,3823.819,percent of total billed charges,1141.696595,,,,3823.819,percent of total billed charges,1908.155657,,,,3823.819,percent of total billed charges,1141.696595,,,,3823.819,percent of total billed charges,1908.155657,,,,3823.819,percent of total billed charges,1141.696595,,,,3786.278,percent of total billed charges,3757.55048,,,,3786.278,percent of total billed charges,2591.552783,,,,,,,,,,3861.36,percent of total billed charges,2509.793134,,,,,,,,,,3861.36,percent of total billed charges,999999999,,,,,,,,,,4290.4,percent of total billed charges,3595.132177,,,,4236.77,percent of total billed charges,4088.665379,,,,4236.77,percent of total billed charges,3612.471203,,,,4290.4,percent of total billed charges,999999999,,,,4290.4,percent of total billed charges,999999999,,,,3754.1,percent of total billed charges,999999999,,,,3754.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2853.116,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2708.315,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1340.75,percent of total billed charges,1273.384541,,,,,,,,,,1340.75,percent of total billed charges,1252.202655,,,,,,,,,,1340.75,percent of total billed charges,1248.722838,,,,,,,,,,1340.75,percent of total billed charges,1230.335409,,,,,,,,,,1340.75,percent of total billed charges,1261.993748,,,,,,,,,,1340.75,percent of total billed charges,999999999,,,,,,,,,,1340.75,percent of total billed charges,1082.879505,,,,,,,,,,1340.75,percent of total billed charges,1707.775655,,,,,,,,,,1340.75,percent of total billed charges,999999999,,,,,,,,,,1340.75,percent of total billed charges,1167.608944,,,,,,,,,,4826.7,percent of total billed charges,,,,,
MRI BRAIN W/ CONTRAST,70552,CDM,0056-2780-01,NDC,,both,1,EA,6157,6157,1310.726447,6157,6157,percent of total billed charges,4529.923632,,,,6157,percent of total billed charges,4801.629482,,,,6157,percent of total billed charges,4529.923632,,,,6157,percent of total billed charges,4801.629482,,,,6157,percent of total billed charges,999999999,,,,6157,percent of total billed charges,4691.210832,,,,6157,percent of total billed charges,4529.923632,,,,6157,percent of total billed charges,4801.629482,,,,4389.941,percent of total billed charges,2190.660895,,,,4389.941,percent of total billed charges,1310.726447,,,,4389.941,percent of total billed charges,2190.660895,,,,4389.941,percent of total billed charges,1310.726447,,,,4389.941,percent of total billed charges,2190.660895,,,,4389.941,percent of total billed charges,1310.726447,,,,4346.842,percent of total billed charges,4313.861328,,,,4346.842,percent of total billed charges,2975.235966,,,,,,,,,,4433.04,percent of total billed charges,2881.371681,,,,,,,,,,4433.04,percent of total billed charges,999999999,,,,,,,,,,4925.6,percent of total billed charges,4127.396759,,,,4864.03,percent of total billed charges,4693.998273,,,,4864.03,percent of total billed charges,4147.302853,,,,4925.6,percent of total billed charges,999999999,,,,4925.6,percent of total billed charges,999999999,,,,4309.9,percent of total billed charges,999999999,,,,4309.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3275.524,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3109.285,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1539.25,percent of total billed charges,1461.910986,,,,,,,,,,1539.25,percent of total billed charges,1437.593091,,,,,,,,,,1539.25,percent of total billed charges,1433.598082,,,,,,,,,,1539.25,percent of total billed charges,1412.488367,,,,,,,,,,1539.25,percent of total billed charges,1448.833769,,,,,,,,,,1539.25,percent of total billed charges,999999999,,,,,,,,,,1539.25,percent of total billed charges,1243.201401,,,,,,,,,,1539.25,percent of total billed charges,1960.61434,,,,,,,,,,1539.25,percent of total billed charges,999999999,,,,,,,,,,1539.25,percent of total billed charges,1340.475157,,,,,,,,,,5541.3,percent of total billed charges,,,,,
MRI BRAIN W/O AND W CONTRAST,70553,CDM,0056-2780-01,NDC,,both,1,EA,7559,7559,1609.189737,7559,7559,percent of total billed charges,5561.424839,,,,7559,percent of total billed charges,5895.000367,,,,7559,percent of total billed charges,5561.424839,,,,7559,percent of total billed charges,5895.000367,,,,7559,percent of total billed charges,999999999,,,,7559,percent of total billed charges,5759.438473,,,,7559,percent of total billed charges,5561.424839,,,,7559,percent of total billed charges,5895.000367,,,,5389.567,percent of total billed charges,2689.492562,,,,5389.567,percent of total billed charges,1609.189737,,,,5389.567,percent of total billed charges,2689.492562,,,,5389.567,percent of total billed charges,1609.189737,,,,5389.567,percent of total billed charges,2689.492562,,,,5389.567,percent of total billed charges,1609.189737,,,,5336.654,percent of total billed charges,5296.163355,,,,5336.654,percent of total billed charges,3652.721889,,,,,,,,,,5442.48,percent of total billed charges,3537.483927,,,,,,,,,,5442.48,percent of total billed charges,999999999,,,,,,,,,,6047.2,percent of total billed charges,5067.239256,,,,5971.61,percent of total billed charges,5762.860638,,,,5971.61,percent of total billed charges,5091.678133,,,,6047.2,percent of total billed charges,999999999,,,,6047.2,percent of total billed charges,999999999,,,,5291.3,percent of total billed charges,999999999,,,,5291.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4021.388,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3817.295,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1889.75,percent of total billed charges,1794.80025,,,,,,,,,,1889.75,percent of total billed charges,1764.944969,,,,,,,,,,1889.75,percent of total billed charges,1760.040263,,,,,,,,,,1889.75,percent of total billed charges,1734.123691,,,,,,,,,,1889.75,percent of total billed charges,1778.745243,,,,,,,,,,1889.75,percent of total billed charges,999999999,,,,,,,,,,1889.75,percent of total billed charges,1526.288678,,,,,,,,,,1889.75,percent of total billed charges,2407.062498,,,,,,,,,,1889.75,percent of total billed charges,999999999,,,,,,,,,,1889.75,percent of total billed charges,1645.712476,,,,,,,,,,6803.1,percent of total billed charges,,,,,
MRA HEAD W/WO CONTRAST,70546,CDM,0056-2780-01,NDC,,both,1,EA,6795,6795,1446.546404,6795,6795,percent of total billed charges,4999.322897,,,,6795,percent of total billed charges,5299.183422,,,,6795,percent of total billed charges,4999.322897,,,,6795,percent of total billed charges,5299.183422,,,,6795,percent of total billed charges,999999999,,,,6795,percent of total billed charges,5177.322983,,,,6795,percent of total billed charges,4999.322897,,,,6795,percent of total billed charges,5299.183422,,,,4844.835,percent of total billed charges,2417.661326,,,,4844.835,percent of total billed charges,1446.546404,,,,4844.835,percent of total billed charges,2417.661326,,,,4844.835,percent of total billed charges,1446.546404,,,,4844.835,percent of total billed charges,2417.661326,,,,4844.835,percent of total billed charges,1446.546404,,,,4797.27,percent of total billed charges,4760.871808,,,,4797.27,percent of total billed charges,3283.535551,,,,,,,,,,4892.4,percent of total billed charges,3179.944871,,,,,,,,,,4892.4,percent of total billed charges,999999999,,,,,,,,,,5436,percent of total billed charges,4555.085427,,,,5368.05,percent of total billed charges,5180.399264,,,,5368.05,percent of total billed charges,4577.054229,,,,5436,percent of total billed charges,999999999,,,,5436,percent of total billed charges,999999999,,,,4756.5,percent of total billed charges,999999999,,,,4756.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3614.94,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3431.475,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1698.75,percent of total billed charges,1613.396971,,,,,,,,,,1698.75,percent of total billed charges,1586.55921,,,,,,,,,,1698.75,percent of total billed charges,1582.15023,,,,,,,,,,1698.75,percent of total billed charges,1558.853087,,,,,,,,,,1698.75,percent of total billed charges,1598.964668,,,,,,,,,,1698.75,percent of total billed charges,999999999,,,,,,,,,,1698.75,percent of total billed charges,1372.024285,,,,,,,,,,1698.75,percent of total billed charges,2163.776911,,,,,,,,,,1698.75,percent of total billed charges,999999999,,,,,,,,,,1698.75,percent of total billed charges,1479.377731,,,,,,,,,,6115.5,percent of total billed charges,,,,,
MRA HEAD W CONTRAST,70545,CDM,0056-2780-01,NDC,,both,1,EA,4776,4776,1016.73372,4776,4776,percent of total billed charges,3513.872871,,,,4776,percent of total billed charges,3724.635765,,,,4776,percent of total billed charges,3513.872871,,,,4776,percent of total billed charges,3724.635765,,,,4776,percent of total billed charges,999999999,,,,4776,percent of total billed charges,3638.983748,,,,4776,percent of total billed charges,3513.872871,,,,4776,percent of total billed charges,3724.635765,,,,3405.288,percent of total billed charges,1699.301029,,,,3405.288,percent of total billed charges,1016.73372,,,,3405.288,percent of total billed charges,1699.301029,,,,3405.288,percent of total billed charges,1016.73372,,,,3405.288,percent of total billed charges,1699.301029,,,,3405.288,percent of total billed charges,1016.73372,,,,3371.856,percent of total billed charges,3346.272812,,,,3371.856,percent of total billed charges,2307.897836,,,,,,,,,,3438.72,percent of total billed charges,2235.08708,,,,,,,,,,3438.72,percent of total billed charges,999999999,,,,,,,,,,3820.8,percent of total billed charges,3201.631788,,,,3773.04,percent of total billed charges,3641.145972,,,,3773.04,percent of total billed charges,3217.072994,,,,3820.8,percent of total billed charges,999999999,,,,3820.8,percent of total billed charges,999999999,,,,3343.2,percent of total billed charges,999999999,,,,3343.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2540.832,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2411.88,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1194,percent of total billed charges,1134.007937,,,,,,,,,,1194,percent of total billed charges,1115.144487,,,,,,,,,,1194,percent of total billed charges,1112.045548,,,,,,,,,,1194,percent of total billed charges,1095.670691,,,,,,,,,,1194,percent of total billed charges,1123.863908,,,,,,,,,,1194,percent of total billed charges,999999999,,,,,,,,,,1194,percent of total billed charges,964.3543758,,,,,,,,,,1194,percent of total billed charges,1520.853352,,,,,,,,,,1194,percent of total billed charges,999999999,,,,,,,,,,1194,percent of total billed charges,1039.809867,,,,,,,,,,4298.4,percent of total billed charges,,,,,
MRA HEAD W/O CONTRAST,70544,CDM,0056-2780-01,NDC,,both,1,EA,4855,4855,1033.551551,4855,4855,percent of total billed charges,3571.995977,,,,4855,percent of total billed charges,3786.245109,,,,4855,percent of total billed charges,3571.995977,,,,4855,percent of total billed charges,3786.245109,,,,4855,percent of total billed charges,999999999,,,,4855,percent of total billed charges,3699.176318,,,,4855,percent of total billed charges,3571.995977,,,,4855,percent of total billed charges,3786.245109,,,,3461.615,percent of total billed charges,1727.409233,,,,3461.615,percent of total billed charges,1033.551551,,,,3461.615,percent of total billed charges,1727.409233,,,,3461.615,percent of total billed charges,1033.551551,,,,3461.615,percent of total billed charges,1727.409233,,,,3461.615,percent of total billed charges,1033.551551,,,,3427.63,percent of total billed charges,3401.623639,,,,3427.63,percent of total billed charges,2346.072863,,,,,,,,,,3495.6,percent of total billed charges,2272.057741,,,,,,,,,,3495.6,percent of total billed charges,999999999,,,,,,,,,,3884,percent of total billed charges,3254.590103,,,,3835.45,percent of total billed charges,3701.374308,,,,3835.45,percent of total billed charges,3270.286723,,,,3884,percent of total billed charges,999999999,,,,3884,percent of total billed charges,999999999,,,,3398.5,percent of total billed charges,999999999,,,,3398.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2582.86,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2451.775,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1213.75,percent of total billed charges,1152.765606,,,,,,,,,,1213.75,percent of total billed charges,1133.590134,,,,,,,,,,1213.75,percent of total billed charges,1130.439936,,,,,,,,,,1213.75,percent of total billed charges,1113.794222,,,,,,,,,,1213.75,percent of total billed charges,1142.453784,,,,,,,,,,1213.75,percent of total billed charges,999999999,,,,,,,,,,1213.75,percent of total billed charges,980.3057986,,,,,,,,,,1213.75,percent of total billed charges,1546.009846,,,,,,,,,,1213.75,percent of total billed charges,999999999,,,,,,,,,,1213.75,percent of total billed charges,1057.009402,,,,,,,,,,4369.5,percent of total billed charges,,,,,
**MRA HEAD W/WO CONTRAST,70546,CDM,0056-2780-01,NDC,,both,1,EA,6906,6906,1470.176522,6906,6906,percent of total billed charges,5080.989541,,,,6906,percent of total billed charges,5385.74845,,,,6906,percent of total billed charges,5080.989541,,,,6906,percent of total billed charges,5385.74845,,,,6906,percent of total billed charges,999999999,,,,6906,percent of total billed charges,5261.897354,,,,6906,percent of total billed charges,5080.989541,,,,6906,percent of total billed charges,5385.74845,,,,4923.978,percent of total billed charges,2457.155131,,,,4923.978,percent of total billed charges,1470.176522,,,,4923.978,percent of total billed charges,2457.155131,,,,4923.978,percent of total billed charges,1470.176522,,,,4923.978,percent of total billed charges,2457.155131,,,,4923.978,percent of total billed charges,1470.176522,,,,4875.636,percent of total billed charges,4838.643224,,,,4875.636,percent of total billed charges,3337.17388,,,,,,,,,,4972.32,percent of total billed charges,3231.890991,,,,,,,,,,4972.32,percent of total billed charges,999999999,,,,,,,,,,5524.8,percent of total billed charges,4629.495211,,,,5455.74,percent of total billed charges,5265.023887,,,,5455.74,percent of total billed charges,4651.822885,,,,5524.8,percent of total billed charges,999999999,,,,5524.8,percent of total billed charges,999999999,,,,4834.2,percent of total billed charges,999999999,,,,4834.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3673.992,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3487.53,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1726.5,percent of total billed charges,1639.752683,,,,,,,,,,1726.5,percent of total billed charges,1612.476513,,,,,,,,,,1726.5,percent of total billed charges,1607.995509,,,,,,,,,,1726.5,percent of total billed charges,1584.317795,,,,,,,,,,1726.5,percent of total billed charges,1625.084621,,,,,,,,,,1726.5,percent of total billed charges,999999999,,,,,,,,,,1726.5,percent of total billed charges,1394.437043,,,,,,,,,,1726.5,percent of total billed charges,2199.123377,,,,,,,,,,1726.5,percent of total billed charges,999999999,,,,,,,,,,1726.5,percent of total billed charges,1503.544167,,,,,,,,,,6215.4,percent of total billed charges,,,,,
MRA NECK W CONTRAST,70548,CDM,0056-2780-01,NDC,,both,1,EA,4732,4732,1007.366826,4732,4732,percent of total billed charges,3481.500508,,,,4732,percent of total billed charges,3690.321701,,,,4732,percent of total billed charges,3481.500508,,,,4732,percent of total billed charges,3690.321701,,,,4732,percent of total billed charges,999999999,,,,4732,percent of total billed charges,3605.458772,,,,4732,percent of total billed charges,3481.500508,,,,4732,percent of total billed charges,3690.321701,,,,3373.916,percent of total billed charges,1683.645827,,,,3373.916,percent of total billed charges,1007.366826,,,,3373.916,percent of total billed charges,1683.645827,,,,3373.916,percent of total billed charges,1007.366826,,,,3373.916,percent of total billed charges,1683.645827,,,,3373.916,percent of total billed charges,1007.366826,,,,3340.792,percent of total billed charges,3315.444503,,,,3340.792,percent of total billed charges,2286.635795,,,,,,,,,,3407.04,percent of total billed charges,2214.495825,,,,,,,,,,3407.04,percent of total billed charges,999999999,,,,,,,,,,3785.6,percent of total billed charges,3172.136018,,,,3738.28,percent of total billed charges,3607.601077,,,,3738.28,percent of total billed charges,3187.434968,,,,3785.6,percent of total billed charges,999999999,,,,3785.6,percent of total billed charges,999999999,,,,3312.4,percent of total billed charges,999999999,,,,3312.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2517.424,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2389.66,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1183,percent of total billed charges,1123.560628,,,,,,,,,,1183,percent of total billed charges,1104.870961,,,,,,,,,,1183,percent of total billed charges,1101.800572,,,,,,,,,,1183,percent of total billed charges,1085.576572,,,,,,,,,,1183,percent of total billed charges,1113.510053,,,,,,,,,,1183,percent of total billed charges,999999999,,,,,,,,,,1183,percent of total billed charges,955.470039,,,,,,,,,,1183,percent of total billed charges,1506.84214,,,,,,,,,,1183,percent of total billed charges,999999999,,,,,,,,,,1183,percent of total billed charges,1030.230379,,,,,,,,,,4258.8,percent of total billed charges,,,,,
MRA NECK W W/O CONTRAST,70549,CDM,0056-2780-01,NDC,,both,1,EA,6585,6585,1401.840775,6585,6585,percent of total billed charges,4844.818437,,,,6585,percent of total billed charges,5135.411749,,,,6585,percent of total billed charges,4844.818437,,,,6585,percent of total billed charges,5135.411749,,,,6585,percent of total billed charges,999999999,,,,6585,percent of total billed charges,5017.317416,,,,6585,percent of total billed charges,4844.818437,,,,6585,percent of total billed charges,5135.411749,,,,4695.105,percent of total billed charges,2342.943316,,,,4695.105,percent of total billed charges,1401.840775,,,,4695.105,percent of total billed charges,2342.943316,,,,4695.105,percent of total billed charges,1401.840775,,,,4695.105,percent of total billed charges,2342.943316,,,,4695.105,percent of total billed charges,1401.840775,,,,4649.01,percent of total billed charges,4613.736697,,,,4649.01,percent of total billed charges,3182.057631,,,,,,,,,,4741.2,percent of total billed charges,3081.66843,,,,,,,,,,4741.2,percent of total billed charges,999999999,,,,,,,,,,5268,percent of total billed charges,4414.31016,,,,5202.15,percent of total billed charges,5020.298624,,,,5202.15,percent of total billed charges,4435.600014,,,,5268,percent of total billed charges,999999999,,,,5268,percent of total billed charges,999999999,,,,4609.5,percent of total billed charges,999999999,,,,4609.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3503.22,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3325.425,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1646.25,percent of total billed charges,1563.534813,,,,,,,,,,1646.25,percent of total billed charges,1537.526475,,,,,,,,,,1646.25,percent of total billed charges,1533.253755,,,,,,,,,,1646.25,percent of total billed charges,1510.676612,,,,,,,,,,1646.25,percent of total billed charges,1549.548542,,,,,,,,,,1646.25,percent of total billed charges,999999999,,,,,,,,,,1646.25,percent of total billed charges,1329.621768,,,,,,,,,,1646.25,percent of total billed charges,2096.905219,,,,,,,,,,1646.25,percent of total billed charges,999999999,,,,,,,,,,1646.25,percent of total billed charges,1433.657448,,,,,,,,,,5926.5,percent of total billed charges,,,,,
MRA NECK W/O CONTRAST,70547,CDM,0056-2780-01,NDC,,both,1,EA,4873,4873,1037.383462,4873,4873,percent of total billed charges,3585.239217,,,,4873,percent of total billed charges,3800.282681,,,,4873,percent of total billed charges,3585.239217,,,,4873,percent of total billed charges,3800.282681,,,,4873,percent of total billed charges,999999999,,,,4873,percent of total billed charges,3712.891081,,,,4873,percent of total billed charges,3585.239217,,,,4873,percent of total billed charges,3800.282681,,,,3474.449,percent of total billed charges,1733.813634,,,,3474.449,percent of total billed charges,1037.383462,,,,3474.449,percent of total billed charges,1733.813634,,,,3474.449,percent of total billed charges,1037.383462,,,,3474.449,percent of total billed charges,1733.813634,,,,3474.449,percent of total billed charges,1037.383462,,,,3440.338,percent of total billed charges,3414.23522,,,,3440.338,percent of total billed charges,2354.77097,,,,,,,,,,3508.56,percent of total billed charges,2280.481436,,,,,,,,,,3508.56,percent of total billed charges,999999999,,,,,,,,,,3898.4,percent of total billed charges,3266.656554,,,,3849.67,percent of total billed charges,3715.09722,,,,3849.67,percent of total billed charges,3282.411369,,,,3898.4,percent of total billed charges,999999999,,,,3898.4,percent of total billed charges,999999999,,,,3411.1,percent of total billed charges,999999999,,,,3411.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2592.436,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2460.865,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1218.25,percent of total billed charges,1157.039505,,,,,,,,,,1218.25,percent of total billed charges,1137.79294,,,,,,,,,,1218.25,percent of total billed charges,1134.631062,,,,,,,,,,1218.25,percent of total billed charges,1117.923634,,,,,,,,,,1218.25,percent of total billed charges,1146.689452,,,,,,,,,,1218.25,percent of total billed charges,999999999,,,,,,,,,,1218.25,percent of total billed charges,983.9403001,,,,,,,,,,1218.25,percent of total billed charges,1551.741705,,,,,,,,,,1218.25,percent of total billed charges,999999999,,,,,,,,,,1218.25,percent of total billed charges,1060.928283,,,,,,,,,,4385.7,percent of total billed charges,,,,,
**MRA ABDOMEN WITH CONTRAST,74185,CDM,0056-2780-01,NDC,,both,1,EA,6906,6906,1470.176522,6906,6906,percent of total billed charges,5080.989541,,,,6906,percent of total billed charges,5385.74845,,,,6906,percent of total billed charges,5080.989541,,,,6906,percent of total billed charges,5385.74845,,,,6906,percent of total billed charges,999999999,,,,6906,percent of total billed charges,5261.897354,,,,6906,percent of total billed charges,5080.989541,,,,6906,percent of total billed charges,5385.74845,,,,4923.978,percent of total billed charges,2457.155131,,,,4923.978,percent of total billed charges,1470.176522,,,,4923.978,percent of total billed charges,2457.155131,,,,4923.978,percent of total billed charges,1470.176522,,,,4923.978,percent of total billed charges,2457.155131,,,,4923.978,percent of total billed charges,1470.176522,,,,4875.636,percent of total billed charges,4838.643224,,,,4875.636,percent of total billed charges,3337.17388,,,,,,,,,,4972.32,percent of total billed charges,3231.890991,,,,,,,,,,4972.32,percent of total billed charges,999999999,,,,,,,,,,5524.8,percent of total billed charges,4629.495211,,,,5455.74,percent of total billed charges,5265.023887,,,,5455.74,percent of total billed charges,4651.822885,,,,5524.8,percent of total billed charges,999999999,,,,5524.8,percent of total billed charges,999999999,,,,4834.2,percent of total billed charges,999999999,,,,4834.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3673.992,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3487.53,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1726.5,percent of total billed charges,1639.752683,,,,,,,,,,1726.5,percent of total billed charges,1612.476513,,,,,,,,,,1726.5,percent of total billed charges,1607.995509,,,,,,,,,,1726.5,percent of total billed charges,1584.317795,,,,,,,,,,1726.5,percent of total billed charges,1625.084621,,,,,,,,,,1726.5,percent of total billed charges,999999999,,,,,,,,,,1726.5,percent of total billed charges,1394.437043,,,,,,,,,,1726.5,percent of total billed charges,2199.123377,,,,,,,,,,1726.5,percent of total billed charges,999999999,,,,,,,,,,1726.5,percent of total billed charges,1503.544167,,,,,,,,,,6215.4,percent of total billed charges,,,,,
**MRA CHEST WITH CONTRAST,71555,CDM,0056-2780-01,NDC,,both,1,EA,6906,6906,1470.176522,6906,6906,percent of total billed charges,5080.989541,,,,6906,percent of total billed charges,5385.74845,,,,6906,percent of total billed charges,5080.989541,,,,6906,percent of total billed charges,5385.74845,,,,6906,percent of total billed charges,999999999,,,,6906,percent of total billed charges,5261.897354,,,,6906,percent of total billed charges,5080.989541,,,,6906,percent of total billed charges,5385.74845,,,,4923.978,percent of total billed charges,2457.155131,,,,4923.978,percent of total billed charges,1470.176522,,,,4923.978,percent of total billed charges,2457.155131,,,,4923.978,percent of total billed charges,1470.176522,,,,4923.978,percent of total billed charges,2457.155131,,,,4923.978,percent of total billed charges,1470.176522,,,,4875.636,percent of total billed charges,4838.643224,,,,4875.636,percent of total billed charges,3337.17388,,,,,,,,,,4972.32,percent of total billed charges,3231.890991,,,,,,,,,,4972.32,percent of total billed charges,999999999,,,,,,,,,,5524.8,percent of total billed charges,4629.495211,,,,5455.74,percent of total billed charges,5265.023887,,,,5455.74,percent of total billed charges,4651.822885,,,,5524.8,percent of total billed charges,999999999,,,,5524.8,percent of total billed charges,999999999,,,,4834.2,percent of total billed charges,999999999,,,,4834.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3673.992,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3487.53,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1726.5,percent of total billed charges,1639.752683,,,,,,,,,,1726.5,percent of total billed charges,1612.476513,,,,,,,,,,1726.5,percent of total billed charges,1607.995509,,,,,,,,,,1726.5,percent of total billed charges,1584.317795,,,,,,,,,,1726.5,percent of total billed charges,1625.084621,,,,,,,,,,1726.5,percent of total billed charges,999999999,,,,,,,,,,1726.5,percent of total billed charges,1394.437043,,,,,,,,,,1726.5,percent of total billed charges,2199.123377,,,,,,,,,,1726.5,percent of total billed charges,999999999,,,,,,,,,,1726.5,percent of total billed charges,1503.544167,,,,,,,,,,6215.4,percent of total billed charges,,,,,
MRI C SPINE W/O CONTRAST,72141,CDM,0056-2780-01,NDC,,both,1,EA,5398,5398,1149.147533,5398,5398,percent of total billed charges,3971.500368,,,,5398,percent of total billed charges,4209.711864,,,,5398,percent of total billed charges,3971.500368,,,,5398,percent of total billed charges,4209.711864,,,,5398,percent of total billed charges,999999999,,,,5398,percent of total billed charges,4112.904998,,,,5398,percent of total billed charges,3971.500368,,,,5398,percent of total billed charges,4209.711864,,,,3848.774,percent of total billed charges,1920.608659,,,,3848.774,percent of total billed charges,1149.147533,,,,3848.774,percent of total billed charges,1920.608659,,,,3848.774,percent of total billed charges,1149.147533,,,,3848.774,percent of total billed charges,1920.608659,,,,3848.774,percent of total billed charges,1149.147533,,,,3810.988,percent of total billed charges,3782.072998,,,,3810.988,percent of total billed charges,2608.46577,,,,,,,,,,3886.56,percent of total billed charges,2526.172541,,,,,,,,,,3886.56,percent of total billed charges,999999999,,,,,,,,,,4318.4,percent of total billed charges,3618.594722,,,,4264.42,percent of total billed charges,4115.348819,,,,4264.42,percent of total billed charges,3636.046906,,,,4318.4,percent of total billed charges,999999999,,,,4318.4,percent of total billed charges,999999999,,,,3778.6,percent of total billed charges,999999999,,,,3778.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2871.736,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2725.99,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1349.5,percent of total billed charges,1281.6949,,,,,,,,,,1349.5,percent of total billed charges,1260.374778,,,,,,,,,,1349.5,percent of total billed charges,1256.87225,,,,,,,,,,1349.5,percent of total billed charges,1238.364822,,,,,,,,,,1349.5,percent of total billed charges,1270.229769,,,,,,,,,,1349.5,percent of total billed charges,999999999,,,,,,,,,,1349.5,percent of total billed charges,1089.946591,,,,,,,,,,1349.5,percent of total billed charges,1718.920937,,,,,,,,,,1349.5,percent of total billed charges,999999999,,,,,,,,,,1349.5,percent of total billed charges,1175.228991,,,,,,,,,,4858.2,percent of total billed charges,,,,,
MRI C SPINE W/ CONTRAST,72142,CDM,0056-2780-01,NDC,,both,1,EA,5273,5273,1122.53704,5273,5273,percent of total billed charges,3879.533427,,,,5273,percent of total billed charges,4112.228725,,,,5273,percent of total billed charges,3879.533427,,,,5273,percent of total billed charges,4112.228725,,,,5273,percent of total billed charges,999999999,,,,5273,percent of total billed charges,4017.663589,,,,5273,percent of total billed charges,3879.533427,,,,5273,percent of total billed charges,4112.228725,,,,3759.649,percent of total billed charges,1876.133653,,,,3759.649,percent of total billed charges,1122.53704,,,,3759.649,percent of total billed charges,1876.133653,,,,3759.649,percent of total billed charges,1122.53704,,,,3759.649,percent of total billed charges,1876.133653,,,,3759.649,percent of total billed charges,1122.53704,,,,3722.738,percent of total billed charges,3694.492575,,,,3722.738,percent of total billed charges,2548.062246,,,,,,,,,,3796.56,percent of total billed charges,2467.674659,,,,,,,,,,3796.56,percent of total billed charges,999999999,,,,,,,,,,4218.4,percent of total billed charges,3534.79992,,,,4165.67,percent of total billed charges,4020.050819,,,,4165.67,percent of total billed charges,3551.847969,,,,4218.4,percent of total billed charges,999999999,,,,4218.4,percent of total billed charges,999999999,,,,3691.1,percent of total billed charges,999999999,,,,3691.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2805.236,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2662.865,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1318.25,percent of total billed charges,1252.015044,,,,,,,,,,1318.25,percent of total billed charges,1231.188626,,,,,,,,,,1318.25,percent of total billed charges,1227.767205,,,,,,,,,,1318.25,percent of total billed charges,1209.688348,,,,,,,,,,1318.25,percent of total billed charges,1240.815408,,,,,,,,,,1318.25,percent of total billed charges,999999999,,,,,,,,,,1318.25,percent of total billed charges,1064.706998,,,,,,,,,,1318.25,percent of total billed charges,1679.116358,,,,,,,,,,1318.25,percent of total billed charges,999999999,,,,,,,,,,1318.25,percent of total billed charges,1148.014537,,,,,,,,,,4745.7,percent of total billed charges,,,,,
MRI T SPINE W/O CONTRAST,72146,CDM,0056-2780-01,NDC,,both,1,EA,5319,5319,1132.329701,5319,5319,percent of total billed charges,3913.377261,,,,5319,percent of total billed charges,4148.10252,,,,5319,percent of total billed charges,3913.377261,,,,5319,percent of total billed charges,4148.10252,,,,5319,percent of total billed charges,999999999,,,,5319,percent of total billed charges,4052.712427,,,,5319,percent of total billed charges,3913.377261,,,,5319,percent of total billed charges,4148.10252,,,,3792.447,percent of total billed charges,1892.500455,,,,3792.447,percent of total billed charges,1132.329701,,,,3792.447,percent of total billed charges,1892.500455,,,,3792.447,percent of total billed charges,1132.329701,,,,3792.447,percent of total billed charges,1892.500455,,,,3792.447,percent of total billed charges,1132.329701,,,,3755.214,percent of total billed charges,3726.722171,,,,3755.214,percent of total billed charges,2570.290743,,,,,,,,,,3829.68,percent of total billed charges,2489.20188,,,,,,,,,,3829.68,percent of total billed charges,999999999,,,,,,,,,,4255.2,percent of total billed charges,3565.636407,,,,4202.01,percent of total billed charges,4055.120483,,,,4202.01,percent of total billed charges,3582.833178,,,,4255.2,percent of total billed charges,999999999,,,,4255.2,percent of total billed charges,999999999,,,,3723.3,percent of total billed charges,999999999,,,,3723.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2829.708,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2686.095,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1329.75,percent of total billed charges,1262.937231,,,,,,,,,,1329.75,percent of total billed charges,1241.92913,,,,,,,,,,1329.75,percent of total billed charges,1238.477862,,,,,,,,,,1329.75,percent of total billed charges,1220.24129,,,,,,,,,,1329.75,percent of total billed charges,1251.639893,,,,,,,,,,1329.75,percent of total billed charges,999999999,,,,,,,,,,1329.75,percent of total billed charges,1073.995168,,,,,,,,,,1329.75,percent of total billed charges,1693.764443,,,,,,,,,,1329.75,percent of total billed charges,999999999,,,,,,,,,,1329.75,percent of total billed charges,1158.029456,,,,,,,,,,4787.1,percent of total billed charges,,,,,
MRI T SPINE W CONTRAST,72147,CDM,0056-2780-01,NDC,,both,1,EA,5152,5152,1096.778083,5152,5152,percent of total billed charges,3790.509429,,,,5152,percent of total billed charges,4017.865047,,,,5152,percent of total billed charges,3790.509429,,,,5152,percent of total billed charges,4017.865047,,,,5152,percent of total billed charges,999999999,,,,5152,percent of total billed charges,3925.469905,,,,5152,percent of total billed charges,3790.509429,,,,5152,percent of total billed charges,4017.865047,,,,3673.376,percent of total billed charges,1833.081847,,,,3673.376,percent of total billed charges,1096.778083,,,,3673.376,percent of total billed charges,1833.081847,,,,3673.376,percent of total billed charges,1096.778083,,,,3673.376,percent of total billed charges,1833.081847,,,,3673.376,percent of total billed charges,1096.778083,,,,3637.312,percent of total billed charges,3609.714725,,,,3637.312,percent of total billed charges,2489.591635,,,,,,,,,,3709.44,percent of total billed charges,2411.048709,,,,,,,,,,3709.44,percent of total billed charges,999999999,,,,,,,,,,4121.6,percent of total billed charges,3453.686552,,,,4070.08,percent of total billed charges,3927.802356,,,,4070.08,percent of total billed charges,3470.343397,,,,4121.6,percent of total billed charges,999999999,,,,4121.6,percent of total billed charges,999999999,,,,3606.4,percent of total billed charges,999999999,,,,3606.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2740.864,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2601.76,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1288,percent of total billed charges,1223.284944,,,,,,,,,,1288,percent of total billed charges,1202.936431,,,,,,,,,,1288,percent of total billed charges,1199.593522,,,,,,,,,,1288,percent of total billed charges,1181.929522,,,,,,,,,,1288,percent of total billed charges,1212.342306,,,,,,,,,,1288,percent of total billed charges,999999999,,,,,,,,,,1288,percent of total billed charges,1040.275072,,,,,,,,,,1288,percent of total billed charges,1640.585526,,,,,,,,,,1288,percent of total billed charges,999999999,,,,,,,,,,1288,percent of total billed charges,1121.670945,,,,,,,,,,4636.8,percent of total billed charges,,,,,
MRI LUMBAR SPINE W/O CONTRAST,72148,CDM,0056-2780-01,NDC,,both,1,EA,5665,5665,1205.987546,5665,5665,percent of total billed charges,4167.941753,,,,5665,percent of total billed charges,4417.935848,,,,5665,percent of total billed charges,4167.941753,,,,5665,percent of total billed charges,4417.935848,,,,5665,percent of total billed charges,999999999,,,,5665,percent of total billed charges,4316.340647,,,,5665,percent of total billed charges,4167.941753,,,,5665,percent of total billed charges,4417.935848,,,,4039.145,percent of total billed charges,2015.607272,,,,4039.145,percent of total billed charges,1205.987546,,,,4039.145,percent of total billed charges,2015.607272,,,,4039.145,percent of total billed charges,1205.987546,,,,4039.145,percent of total billed charges,2015.607272,,,,4039.145,percent of total billed charges,1205.987546,,,,3999.49,percent of total billed charges,3969.144782,,,,3999.49,percent of total billed charges,2737.487697,,,,,,,,,,4078.8,percent of total billed charges,2651.124017,,,,,,,,,,4078.8,percent of total billed charges,999999999,,,,,,,,,,4532,percent of total billed charges,3797.580419,,,,4475.35,percent of total billed charges,4318.905346,,,,4475.35,percent of total billed charges,3815.895836,,,,4532,percent of total billed charges,999999999,,,,4532,percent of total billed charges,999999999,,,,3965.5,percent of total billed charges,999999999,,,,3965.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3013.78,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2860.825,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1416.25,percent of total billed charges,1345.091073,,,,,,,,,,1416.25,percent of total billed charges,1322.716398,,,,,,,,,,1416.25,percent of total billed charges,1319.040626,,,,,,,,,,1416.25,percent of total billed charges,1299.617768,,,,,,,,,,1416.25,percent of total billed charges,1333.058844,,,,,,,,,,1416.25,percent of total billed charges,999999999,,,,,,,,,,1416.25,percent of total billed charges,1143.858362,,,,,,,,,,1416.25,percent of total billed charges,1803.943518,,,,,,,,,,1416.25,percent of total billed charges,999999999,,,,,,,,,,1416.25,percent of total billed charges,1233.359065,,,,,,,,,,5098.5,percent of total billed charges,,,,,
MRI LUMBAR SPINE W/ CONTRAST,72149,CDM,0056-2780-01,NDC,,both,1,EA,9412,9412,2003.663687,9412,9412,percent of total billed charges,6924.742768,,,,9412,percent of total billed charges,7340.090415,,,,9412,percent of total billed charges,6924.742768,,,,9412,percent of total billed charges,7340.090415,,,,9412,percent of total billed charges,999999999,,,,9412,percent of total billed charges,7171.297117,,,,9412,percent of total billed charges,6924.742768,,,,9412,percent of total billed charges,7340.090415,,,,6710.756,percent of total billed charges,3348.790051,,,,6710.756,percent of total billed charges,2003.663687,,,,6710.756,percent of total billed charges,3348.790051,,,,6710.756,percent of total billed charges,2003.663687,,,,6710.756,percent of total billed charges,3348.790051,,,,6710.756,percent of total billed charges,2003.663687,,,,6644.872,percent of total billed charges,6594.45555,,,,6644.872,percent of total billed charges,4548.143725,,,,,,,,,,6776.64,percent of total billed charges,4404.656531,,,,,,,,,,6776.64,percent of total billed charges,999999999,,,,,,,,,,7529.6,percent of total billed charges,6309.413398,,,,7435.48,percent of total billed charges,7175.558185,,,,7435.48,percent of total billed charges,6339.843179,,,,7529.6,percent of total billed charges,999999999,,,,7529.6,percent of total billed charges,999999999,,,,6588.4,percent of total billed charges,999999999,,,,6588.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5007.184,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4753.06,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2353,percent of total billed charges,2234.774435,,,,,,,,,,2353,percent of total billed charges,2197.600483,,,,,,,,,,2353,percent of total billed charges,2191.493445,,,,,,,,,,2353,percent of total billed charges,2159.223731,,,,,,,,,,2353,percent of total billed charges,2214.783732,,,,,,,,,,2353,percent of total billed charges,999999999,,,,,,,,,,2353,percent of total billed charges,1900.440407,,,,,,,,,,2353,percent of total billed charges,2997.125576,,,,,,,,,,2353,percent of total billed charges,999999999,,,,,,,,,,2353,percent of total billed charges,2049.139545,,,,,,,,,,8470.8,percent of total billed charges,,,,,
MRI C SPINE W/ AND W/O CONTRAST,72156,CDM,0056-2780-01,NDC,,both,1,EA,7645,7645,1627.497757,7645,7645,percent of total billed charges,5624.698094,,,,7645,percent of total billed charges,5962.068766,,,,7645,percent of total billed charges,5624.698094,,,,7645,percent of total billed charges,5962.068766,,,,7645,percent of total billed charges,999999999,,,,7645,percent of total billed charges,5824.964562,,,,7645,percent of total billed charges,5624.698094,,,,7645,percent of total billed charges,5962.068766,,,,5450.885,percent of total billed charges,2720.091366,,,,5450.885,percent of total billed charges,1627.497757,,,,5450.885,percent of total billed charges,2720.091366,,,,5450.885,percent of total billed charges,1627.497757,,,,5450.885,percent of total billed charges,2720.091366,,,,5450.885,percent of total billed charges,1627.497757,,,,5397.37,percent of total billed charges,5356.418687,,,,5397.37,percent of total billed charges,3694.279513,,,,,,,,,,5504.4,percent of total billed charges,3577.73047,,,,,,,,,,5504.4,percent of total billed charges,999999999,,,,,,,,,,6116,percent of total billed charges,5124.89008,,,,6039.55,percent of total billed charges,5828.425662,,,,6039.55,percent of total billed charges,5149.607002,,,,6116,percent of total billed charges,999999999,,,,6116,percent of total billed charges,999999999,,,,5351.5,percent of total billed charges,999999999,,,,5351.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4067.14,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3860.725,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1911.25,percent of total billed charges,1815.219991,,,,,,,,,,1911.25,percent of total billed charges,1785.025042,,,,,,,,,,1911.25,percent of total billed charges,1780.064534,,,,,,,,,,1911.25,percent of total billed charges,1753.853105,,,,,,,,,,1911.25,percent of total billed charges,1798.982324,,,,,,,,,,1911.25,percent of total billed charges,999999999,,,,,,,,,,1911.25,percent of total billed charges,1543.653518,,,,,,,,,,1911.25,percent of total billed charges,2434.448048,,,,,,,,,,1911.25,percent of total billed charges,999999999,,,,,,,,,,1911.25,percent of total billed charges,1664.43602,,,,,,,,,,6880.5,percent of total billed charges,,,,,
MRI T SPINE W/ WO CONTRAST,72157,CDM,0056-2780-01,NDC,,both,1,EA,7666,7666,1631.968319,7666,7666,percent of total billed charges,5640.14854,,,,7666,percent of total billed charges,5978.445933,,,,7666,percent of total billed charges,5640.14854,,,,7666,percent of total billed charges,5978.445933,,,,7666,percent of total billed charges,999999999,,,,7666,percent of total billed charges,5840.965119,,,,7666,percent of total billed charges,5640.14854,,,,7666,percent of total billed charges,5978.445933,,,,5465.858,percent of total billed charges,2727.563167,,,,5465.858,percent of total billed charges,1631.968319,,,,5465.858,percent of total billed charges,2727.563167,,,,5465.858,percent of total billed charges,1631.968319,,,,5465.858,percent of total billed charges,2727.563167,,,,5465.858,percent of total billed charges,1631.968319,,,,5412.196,percent of total billed charges,5371.132198,,,,5412.196,percent of total billed charges,3704.427305,,,,,,,,,,5519.52,percent of total billed charges,3587.558114,,,,,,,,,,5519.52,percent of total billed charges,999999999,,,,,,,,,,6132.8,percent of total billed charges,5138.967606,,,,6056.14,percent of total billed charges,5844.435725,,,,6056.14,percent of total billed charges,5163.752423,,,,6132.8,percent of total billed charges,999999999,,,,6132.8,percent of total billed charges,999999999,,,,5366.2,percent of total billed charges,999999999,,,,5366.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4078.312,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3871.33,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1916.5,percent of total billed charges,1820.206207,,,,,,,,,,1916.5,percent of total billed charges,1789.928315,,,,,,,,,,1916.5,percent of total billed charges,1784.954181,,,,,,,,,,1916.5,percent of total billed charges,1758.670752,,,,,,,,,,1916.5,percent of total billed charges,1803.923936,,,,,,,,,,1916.5,percent of total billed charges,999999999,,,,,,,,,,1916.5,percent of total billed charges,1547.89377,,,,,,,,,,1916.5,percent of total billed charges,2441.135217,,,,,,,,,,1916.5,percent of total billed charges,999999999,,,,,,,,,,1916.5,percent of total billed charges,1669.008048,,,,,,,,,,6899.4,percent of total billed charges,,,,,
MRI LUMBAR SPINE W/O AND W CONTRAST,72158,CDM,0056-2780-01,NDC,,both,1,EA,7481,7481,1592.58479,7481,7481,percent of total billed charges,5504.037468,,,,7481,percent of total billed charges,5834.170888,,,,7481,percent of total billed charges,5504.037468,,,,7481,percent of total billed charges,5834.170888,,,,7481,percent of total billed charges,999999999,,,,7481,percent of total billed charges,5700.007834,,,,7481,percent of total billed charges,5504.037468,,,,7481,percent of total billed charges,5834.170888,,,,5333.953,percent of total billed charges,2661.740159,,,,5333.953,percent of total billed charges,1592.58479,,,,5333.953,percent of total billed charges,2661.740159,,,,5333.953,percent of total billed charges,1592.58479,,,,5333.953,percent of total billed charges,2661.740159,,,,5333.953,percent of total billed charges,1592.58479,,,,5281.586,percent of total billed charges,5241.513171,,,,5281.586,percent of total billed charges,3615.03009,,,,,,,,,,5386.32,percent of total billed charges,3500.981249,,,,,,,,,,5386.32,percent of total billed charges,999999999,,,,,,,,,,5984.8,percent of total billed charges,5014.9513,,,,5909.99,percent of total billed charges,5703.394686,,,,5909.99,percent of total billed charges,5039.137996,,,,5984.8,percent of total billed charges,999999999,,,,5984.8,percent of total billed charges,999999999,,,,5236.7,percent of total billed charges,999999999,,,,5236.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3979.892,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3777.905,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1870.25,percent of total billed charges,1776.28002,,,,,,,,,,1870.25,percent of total billed charges,1746.732811,,,,,,,,,,1870.25,percent of total billed charges,1741.878715,,,,,,,,,,1870.25,percent of total billed charges,1716.229572,,,,,,,,,,1870.25,percent of total billed charges,1760.390682,,,,,,,,,,1870.25,percent of total billed charges,999999999,,,,,,,,,,1870.25,percent of total billed charges,1510.539172,,,,,,,,,,1870.25,percent of total billed charges,2382.22444,,,,,,,,,,1870.25,percent of total billed charges,999999999,,,,,,,,,,1870.25,percent of total billed charges,1628.730656,,,,,,,,,,6732.9,percent of total billed charges,,,,,
**MRA SPINE WITH CONTRAST,72159,CDM,0056-2780-01,NDC,,both,1,EA,7490,7490,1594.500745,7490,7490,percent of total billed charges,5510.659088,,,,7490,percent of total billed charges,5841.189674,,,,7490,percent of total billed charges,5510.659088,,,,7490,percent of total billed charges,5841.189674,,,,7490,percent of total billed charges,999999999,,,,7490,percent of total billed charges,5706.865215,,,,7490,percent of total billed charges,5510.659088,,,,7490,percent of total billed charges,5841.189674,,,,5340.37,percent of total billed charges,2664.942359,,,,5340.37,percent of total billed charges,1594.500745,,,,5340.37,percent of total billed charges,2664.942359,,,,5340.37,percent of total billed charges,1594.500745,,,,5340.37,percent of total billed charges,2664.942359,,,,5340.37,percent of total billed charges,1594.500745,,,,5287.94,percent of total billed charges,5247.818962,,,,5287.94,percent of total billed charges,3619.379143,,,,,,,,,,5392.8,percent of total billed charges,3505.193096,,,,,,,,,,5392.8,percent of total billed charges,999999999,,,,,,,,,,5992,percent of total billed charges,5020.984525,,,,5917.1,percent of total billed charges,5710.256142,,,,5917.1,percent of total billed charges,5045.20032,,,,5992,percent of total billed charges,999999999,,,,5992,percent of total billed charges,999999999,,,,5243,percent of total billed charges,999999999,,,,5243,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3984.68,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3782.45,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1872.5,percent of total billed charges,1778.41697,,,,,,,,,,1872.5,percent of total billed charges,1748.834214,,,,,,,,,,1872.5,percent of total billed charges,1743.974278,,,,,,,,,,1872.5,percent of total billed charges,1718.294278,,,,,,,,,,1872.5,percent of total billed charges,1762.508516,,,,,,,,,,1872.5,percent of total billed charges,999999999,,,,,,,,,,1872.5,percent of total billed charges,1512.356423,,,,,,,,,,1872.5,percent of total billed charges,2385.09037,,,,,,,,,,1872.5,percent of total billed charges,999999999,,,,,,,,,,1872.5,percent of total billed charges,1630.690097,,,,,,,,,,6741,percent of total billed charges,,,,,
**MRA PELVIS WITH CONTRAST,72198,CDM,0056-2780-01,NDC,,both,1,EA,7490,7490,1594.500745,7490,7490,percent of total billed charges,5510.659088,,,,7490,percent of total billed charges,5841.189674,,,,7490,percent of total billed charges,5510.659088,,,,7490,percent of total billed charges,5841.189674,,,,7490,percent of total billed charges,999999999,,,,7490,percent of total billed charges,5706.865215,,,,7490,percent of total billed charges,5510.659088,,,,7490,percent of total billed charges,5841.189674,,,,5340.37,percent of total billed charges,2664.942359,,,,5340.37,percent of total billed charges,1594.500745,,,,5340.37,percent of total billed charges,2664.942359,,,,5340.37,percent of total billed charges,1594.500745,,,,5340.37,percent of total billed charges,2664.942359,,,,5340.37,percent of total billed charges,1594.500745,,,,5287.94,percent of total billed charges,5247.818962,,,,5287.94,percent of total billed charges,3619.379143,,,,,,,,,,5392.8,percent of total billed charges,3505.193096,,,,,,,,,,5392.8,percent of total billed charges,999999999,,,,,,,,,,5992,percent of total billed charges,5020.984525,,,,5917.1,percent of total billed charges,5710.256142,,,,5917.1,percent of total billed charges,5045.20032,,,,5992,percent of total billed charges,999999999,,,,5992,percent of total billed charges,999999999,,,,5243,percent of total billed charges,999999999,,,,5243,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3984.68,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3782.45,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1872.5,percent of total billed charges,1778.41697,,,,,,,,,,1872.5,percent of total billed charges,1748.834214,,,,,,,,,,1872.5,percent of total billed charges,1743.974278,,,,,,,,,,1872.5,percent of total billed charges,1718.294278,,,,,,,,,,1872.5,percent of total billed charges,1762.508516,,,,,,,,,,1872.5,percent of total billed charges,999999999,,,,,,,,,,1872.5,percent of total billed charges,1512.356423,,,,,,,,,,1872.5,percent of total billed charges,2385.09037,,,,,,,,,,1872.5,percent of total billed charges,999999999,,,,,,,,,,1872.5,percent of total billed charges,1630.690097,,,,,,,,,,6741,percent of total billed charges,,,,,
MRI UE OTHER LT W AND W/O CONTRAST,73220,CDM,0056-2780-01,NDC,LT,both,1,EA,5328,5328,1134.245657,5328,5328,percent of total billed charges,3919.998881,,,,5328,percent of total billed charges,4155.121306,,,,5328,percent of total billed charges,3919.998881,,,,5328,percent of total billed charges,4155.121306,,,,5328,percent of total billed charges,999999999,,,,5328,percent of total billed charges,4059.569809,,,,5328,percent of total billed charges,3919.998881,,,,5328,percent of total billed charges,4155.121306,,,,3798.864,percent of total billed charges,1895.702655,,,,3798.864,percent of total billed charges,1134.245657,,,,3798.864,percent of total billed charges,1895.702655,,,,3798.864,percent of total billed charges,1134.245657,,,,3798.864,percent of total billed charges,1895.702655,,,,3798.864,percent of total billed charges,1134.245657,,,,3761.568,percent of total billed charges,3733.027961,,,,3761.568,percent of total billed charges,2574.639797,,,,,,,,,,3836.16,percent of total billed charges,2493.413727,,,,,,,,,,3836.16,percent of total billed charges,999999999,,,,,,,,,,4262.4,percent of total billed charges,3571.669633,,,,4209.12,percent of total billed charges,4061.981939,,,,4209.12,percent of total billed charges,3588.895501,,,,4262.4,percent of total billed charges,999999999,,,,4262.4,percent of total billed charges,999999999,,,,3729.6,percent of total billed charges,999999999,,,,3729.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2834.496,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2690.64,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1332,percent of total billed charges,1265.074181,,,,,,,,,,1332,percent of total billed charges,1244.030533,,,,,,,,,,1332,percent of total billed charges,1240.573425,,,,,,,,,,1332,percent of total billed charges,1222.305997,,,,,,,,,,1332,percent of total billed charges,1253.757727,,,,,,,,,,1332,percent of total billed charges,999999999,,,,,,,,,,1332,percent of total billed charges,1075.812419,,,,,,,,,,1332,percent of total billed charges,1696.630373,,,,,,,,,,1332,percent of total billed charges,999999999,,,,,,,,,,1332,percent of total billed charges,1159.988897,,,,,,,,,,4795.2,percent of total billed charges,,,,,
**MRI UE JNT BI W/O CONTRAST,73221,CDM,0056-2780-01,NDC,50,both,1,EA,10700,10700,2277.858207,10700,10700,percent of total billed charges,7872.370125,,,,10700,percent of total billed charges,8344.556677,,,,10700,percent of total billed charges,7872.370125,,,,10700,percent of total billed charges,8344.556677,,,,10700,percent of total billed charges,999999999,,,,10700,percent of total billed charges,8152.664594,,,,10700,percent of total billed charges,7872.370125,,,,10700,percent of total billed charges,8344.556677,,,,7629.1,percent of total billed charges,3807.060513,,,,7629.1,percent of total billed charges,2277.858207,,,,7629.1,percent of total billed charges,3807.060513,,,,7629.1,percent of total billed charges,2277.858207,,,,7629.1,percent of total billed charges,3807.060513,,,,7629.1,percent of total billed charges,2277.858207,,,,7554.2,percent of total billed charges,7496.884231,,,,7554.2,percent of total billed charges,5170.541633,,,,,,,,,,7704,percent of total billed charges,5007.418709,,,,,,,,,,7704,percent of total billed charges,999999999,,,,,,,,,,8560,percent of total billed charges,7172.835036,,,,8453,percent of total billed charges,8157.508774,,,,8453,percent of total billed charges,7207.429028,,,,8560,percent of total billed charges,999999999,,,,8560,percent of total billed charges,999999999,,,,7490,percent of total billed charges,999999999,,,,7490,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5692.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5403.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2675,percent of total billed charges,2540.595671,,,,,,,,,,2675,percent of total billed charges,2498.334591,,,,,,,,,,2675,percent of total billed charges,2491.391826,,,,,,,,,,2675,percent of total billed charges,2454.706112,,,,,,,,,,2675,percent of total billed charges,2517.869309,,,,,,,,,,2675,percent of total billed charges,999999999,,,,,,,,,,2675,percent of total billed charges,2160.509175,,,,,,,,,,2675,percent of total billed charges,3407.271957,,,,,,,,,,2675,percent of total billed charges,999999999,,,,,,,,,,2675,percent of total billed charges,2329.557281,,,,,,,,,,9630,percent of total billed charges,,,,,
MRI UE JNT RT W/O CONTRAST,73221,CDM,0056-2780-01,NDC,RT,both,1,EA,4224,4224,899.2217821,4224,4224,percent of total billed charges,3107.746861,,,,4224,percent of total billed charges,3294.150225,,,,4224,percent of total billed charges,3107.746861,,,,4224,percent of total billed charges,3294.150225,,,,4224,percent of total billed charges,999999999,,,,4224,percent of total billed charges,3218.397686,,,,4224,percent of total billed charges,3107.746861,,,,4224,percent of total billed charges,3294.150225,,,,3011.712,percent of total billed charges,1502.899402,,,,3011.712,percent of total billed charges,899.2217821,,,,3011.712,percent of total billed charges,1502.899402,,,,3011.712,percent of total billed charges,899.2217821,,,,3011.712,percent of total billed charges,1502.899402,,,,3011.712,percent of total billed charges,899.2217821,,,,2982.144,percent of total billed charges,2959.517663,,,,2982.144,percent of total billed charges,2041.155875,,,,,,,,,,3041.28,percent of total billed charges,1976.760432,,,,,,,,,,3041.28,percent of total billed charges,999999999,,,,,,,,,,3379.2,percent of total billed charges,2831.593943,,,,3336.96,percent of total billed charges,3220.310006,,,,3336.96,percent of total billed charges,2845.250487,,,,3379.2,percent of total billed charges,999999999,,,,3379.2,percent of total billed charges,999999999,,,,2956.8,percent of total billed charges,999999999,,,,2956.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2247.168,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2133.12,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1056,percent of total billed charges,1002.941693,,,,,,,,,,1056,percent of total billed charges,986.2584403,,,,,,,,,,1056,percent of total billed charges,983.5176703,,,,,,,,,,1056,percent of total billed charges,969.0353846,,,,,,,,,,1056,percent of total billed charges,993.9700896,,,,,,,,,,1056,percent of total billed charges,999999999,,,,,,,,,,1056,percent of total billed charges,852.8963323,,,,,,,,,,1056,percent of total billed charges,1345.076332,,,,,,,,,,1056,percent of total billed charges,999999999,,,,,,,,,,1056,percent of total billed charges,919.630837,,,,,,,,,,3801.6,percent of total billed charges,,,,,
MRI UE JNT LT W/O CONTRAST,73221,CDM,0056-2780-01,NDC,LT,both,1,EA,4224,4224,899.2217821,4224,4224,percent of total billed charges,3107.746861,,,,4224,percent of total billed charges,3294.150225,,,,4224,percent of total billed charges,3107.746861,,,,4224,percent of total billed charges,3294.150225,,,,4224,percent of total billed charges,999999999,,,,4224,percent of total billed charges,3218.397686,,,,4224,percent of total billed charges,3107.746861,,,,4224,percent of total billed charges,3294.150225,,,,3011.712,percent of total billed charges,1502.899402,,,,3011.712,percent of total billed charges,899.2217821,,,,3011.712,percent of total billed charges,1502.899402,,,,3011.712,percent of total billed charges,899.2217821,,,,3011.712,percent of total billed charges,1502.899402,,,,3011.712,percent of total billed charges,899.2217821,,,,2982.144,percent of total billed charges,2959.517663,,,,2982.144,percent of total billed charges,2041.155875,,,,,,,,,,3041.28,percent of total billed charges,1976.760432,,,,,,,,,,3041.28,percent of total billed charges,999999999,,,,,,,,,,3379.2,percent of total billed charges,2831.593943,,,,3336.96,percent of total billed charges,3220.310006,,,,3336.96,percent of total billed charges,2845.250487,,,,3379.2,percent of total billed charges,999999999,,,,3379.2,percent of total billed charges,999999999,,,,2956.8,percent of total billed charges,999999999,,,,2956.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2247.168,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2133.12,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1056,percent of total billed charges,1002.941693,,,,,,,,,,1056,percent of total billed charges,986.2584403,,,,,,,,,,1056,percent of total billed charges,983.5176703,,,,,,,,,,1056,percent of total billed charges,969.0353846,,,,,,,,,,1056,percent of total billed charges,993.9700896,,,,,,,,,,1056,percent of total billed charges,999999999,,,,,,,,,,1056,percent of total billed charges,852.8963323,,,,,,,,,,1056,percent of total billed charges,1345.076332,,,,,,,,,,1056,percent of total billed charges,999999999,,,,,,,,,,1056,percent of total billed charges,919.630837,,,,,,,,,,3801.6,percent of total billed charges,,,,,
**MRI UE JNT W/O CONTRAST,73221,CDM,0056-2780-01,NDC,,both,1,EA,7682,7682,1635.374463,7682,7682,percent of total billed charges,5651.920309,,,,7682,percent of total billed charges,5990.923775,,,,7682,percent of total billed charges,5651.920309,,,,7682,percent of total billed charges,5990.923775,,,,7682,percent of total billed charges,999999999,,,,7682,percent of total billed charges,5853.156019,,,,7682,percent of total billed charges,5651.920309,,,,7682,percent of total billed charges,5990.923775,,,,5477.266,percent of total billed charges,2733.255968,,,,5477.266,percent of total billed charges,1635.374463,,,,5477.266,percent of total billed charges,2733.255968,,,,5477.266,percent of total billed charges,1635.374463,,,,5477.266,percent of total billed charges,2733.255968,,,,5477.266,percent of total billed charges,1635.374463,,,,5423.492,percent of total billed charges,5382.342492,,,,5423.492,percent of total billed charges,3712.158956,,,,,,,,,,5531.04,percent of total billed charges,3595.045843,,,,,,,,,,5531.04,percent of total billed charges,999999999,,,,,,,,,,6145.6,percent of total billed charges,5149.693341,,,,6068.78,percent of total billed charges,5856.633869,,,,6068.78,percent of total billed charges,5174.529887,,,,6145.6,percent of total billed charges,999999999,,,,6145.6,percent of total billed charges,999999999,,,,5377.4,percent of total billed charges,999999999,,,,5377.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4086.824,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3879.41,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1920.5,percent of total billed charges,1824.005229,,,,,,,,,,1920.5,percent of total billed charges,1793.664143,,,,,,,,,,1920.5,percent of total billed charges,1788.679627,,,,,,,,,,1920.5,percent of total billed charges,1762.341341,,,,,,,,,,1920.5,percent of total billed charges,1807.688975,,,,,,,,,,1920.5,percent of total billed charges,999999999,,,,,,,,,,1920.5,percent of total billed charges,1551.124438,,,,,,,,,,1920.5,percent of total billed charges,2446.230203,,,,,,,,,,1920.5,percent of total billed charges,999999999,,,,,,,,,,1920.5,percent of total billed charges,1672.491499,,,,,,,,,,6913.8,percent of total billed charges,,,,,
**MRA UPPER EXT WITHOUT CONTRAST LT,73225,CDM,0056-2780-01,NDC,LT,both,1,EA,7490,7490,1594.500745,7490,7490,percent of total billed charges,5510.659088,,,,7490,percent of total billed charges,5841.189674,,,,7490,percent of total billed charges,5510.659088,,,,7490,percent of total billed charges,5841.189674,,,,7490,percent of total billed charges,999999999,,,,7490,percent of total billed charges,5706.865215,,,,7490,percent of total billed charges,5510.659088,,,,7490,percent of total billed charges,5841.189674,,,,5340.37,percent of total billed charges,2664.942359,,,,5340.37,percent of total billed charges,1594.500745,,,,5340.37,percent of total billed charges,2664.942359,,,,5340.37,percent of total billed charges,1594.500745,,,,5340.37,percent of total billed charges,2664.942359,,,,5340.37,percent of total billed charges,1594.500745,,,,5287.94,percent of total billed charges,5247.818962,,,,5287.94,percent of total billed charges,3619.379143,,,,,,,,,,5392.8,percent of total billed charges,3505.193096,,,,,,,,,,5392.8,percent of total billed charges,999999999,,,,,,,,,,5992,percent of total billed charges,5020.984525,,,,5917.1,percent of total billed charges,5710.256142,,,,5917.1,percent of total billed charges,5045.20032,,,,5992,percent of total billed charges,999999999,,,,5992,percent of total billed charges,999999999,,,,5243,percent of total billed charges,999999999,,,,5243,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3984.68,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3782.45,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1872.5,percent of total billed charges,1778.41697,,,,,,,,,,1872.5,percent of total billed charges,1748.834214,,,,,,,,,,1872.5,percent of total billed charges,1743.974278,,,,,,,,,,1872.5,percent of total billed charges,1718.294278,,,,,,,,,,1872.5,percent of total billed charges,1762.508516,,,,,,,,,,1872.5,percent of total billed charges,999999999,,,,,,,,,,1872.5,percent of total billed charges,1512.356423,,,,,,,,,,1872.5,percent of total billed charges,2385.09037,,,,,,,,,,1872.5,percent of total billed charges,999999999,,,,,,,,,,1872.5,percent of total billed charges,1630.690097,,,,,,,,,,6741,percent of total billed charges,,,,,
MRA UPPER EXT W and/or WO CONTRAST LT,73225,CDM,0056-2780-01,NDC,LT,both,1,EA,7490,7490,1594.500745,7490,7490,percent of total billed charges,5510.659088,,,,7490,percent of total billed charges,5841.189674,,,,7490,percent of total billed charges,5510.659088,,,,7490,percent of total billed charges,5841.189674,,,,7490,percent of total billed charges,999999999,,,,7490,percent of total billed charges,5706.865215,,,,7490,percent of total billed charges,5510.659088,,,,7490,percent of total billed charges,5841.189674,,,,5340.37,percent of total billed charges,2664.942359,,,,5340.37,percent of total billed charges,1594.500745,,,,5340.37,percent of total billed charges,2664.942359,,,,5340.37,percent of total billed charges,1594.500745,,,,5340.37,percent of total billed charges,2664.942359,,,,5340.37,percent of total billed charges,1594.500745,,,,5287.94,percent of total billed charges,5247.818962,,,,5287.94,percent of total billed charges,3619.379143,,,,,,,,,,5392.8,percent of total billed charges,3505.193096,,,,,,,,,,5392.8,percent of total billed charges,999999999,,,,,,,,,,5992,percent of total billed charges,5020.984525,,,,5917.1,percent of total billed charges,5710.256142,,,,5917.1,percent of total billed charges,5045.20032,,,,5992,percent of total billed charges,999999999,,,,5992,percent of total billed charges,999999999,,,,5243,percent of total billed charges,999999999,,,,5243,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3984.68,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3782.45,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1872.5,percent of total billed charges,1778.41697,,,,,,,,,,1872.5,percent of total billed charges,1748.834214,,,,,,,,,,1872.5,percent of total billed charges,1743.974278,,,,,,,,,,1872.5,percent of total billed charges,1718.294278,,,,,,,,,,1872.5,percent of total billed charges,1762.508516,,,,,,,,,,1872.5,percent of total billed charges,999999999,,,,,,,,,,1872.5,percent of total billed charges,1512.356423,,,,,,,,,,1872.5,percent of total billed charges,2385.09037,,,,,,,,,,1872.5,percent of total billed charges,999999999,,,,,,,,,,1872.5,percent of total billed charges,1630.690097,,,,,,,,,,6741,percent of total billed charges,,,,,
**MRI LOW EXT OTHER W & W/O CONTRAST,73720,CDM,0056-2780-01,NDC,,both,1,EA,9723,9723,2069.870594,9723,9723,percent of total billed charges,7153.556517,,,,9723,percent of total billed charges,7582.628465,,,,9723,percent of total billed charges,7153.556517,,,,9723,percent of total billed charges,7582.628465,,,,9723,percent of total billed charges,999999999,,,,9723,percent of total billed charges,7408.257742,,,,9723,percent of total billed charges,7153.556517,,,,9723,percent of total billed charges,7582.628465,,,,6932.499,percent of total billed charges,3459.443866,,,,6932.499,percent of total billed charges,2069.870594,,,,6932.499,percent of total billed charges,3459.443866,,,,6932.499,percent of total billed charges,2069.870594,,,,6932.499,percent of total billed charges,3459.443866,,,,6932.499,percent of total billed charges,2069.870594,,,,6864.438,percent of total billed charges,6812.355643,,,,6864.438,percent of total billed charges,4698.427692,,,,,,,,,,7000.56,percent of total billed charges,4550.199262,,,,,,,,,,7000.56,percent of total billed charges,999999999,,,,,,,,,,7778.4,percent of total billed charges,6517.894865,,,,7681.17,percent of total billed charges,7412.659608,,,,7681.17,percent of total billed charges,6549.330134,,,,7778.4,percent of total billed charges,999999999,,,,7778.4,percent of total billed charges,999999999,,,,6806.1,percent of total billed charges,999999999,,,,6806.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5172.636,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4910.115,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2430.75,percent of total billed charges,2308.617917,,,,,,,,,,2430.75,percent of total billed charges,2270.215629,,,,,,,,,,2430.75,percent of total billed charges,2263.906797,,,,,,,,,,2430.75,percent of total billed charges,2230.570797,,,,,,,,,,2430.75,percent of total billed charges,2287.966662,,,,,,,,,,2430.75,percent of total billed charges,999999999,,,,,,,,,,2430.75,percent of total billed charges,1963.236515,,,,,,,,,,2430.75,percent of total billed charges,3096.159368,,,,,,,,,,2430.75,percent of total billed charges,999999999,,,,,,,,,,2430.75,percent of total billed charges,2116.849107,,,,,,,,,,8750.7,percent of total billed charges,,,,,
MRI LE OTHER LT W AND W/O CONTRAST,73720,CDM,0056-2780-01,NDC,LT,both,1,EA,5546,5546,1180.654357,5546,5546,percent of total billed charges,4080.389226,,,,5546,percent of total billed charges,4325.1319,,,,5546,percent of total billed charges,4080.389226,,,,5546,percent of total billed charges,4325.1319,,,,5546,percent of total billed charges,999999999,,,,5546,percent of total billed charges,4225.670826,,,,5546,percent of total billed charges,4080.389226,,,,5546,percent of total billed charges,4325.1319,,,,3954.298,percent of total billed charges,1973.267066,,,,3954.298,percent of total billed charges,1180.654357,,,,3954.298,percent of total billed charges,1973.267066,,,,3954.298,percent of total billed charges,1180.654357,,,,3954.298,percent of total billed charges,1973.267066,,,,3954.298,percent of total billed charges,1180.654357,,,,3915.476,percent of total billed charges,3885.768219,,,,3915.476,percent of total billed charges,2679.983542,,,,,,,,,,3993.12,percent of total billed charges,2595.434033,,,,,,,,,,3993.12,percent of total billed charges,999999999,,,,,,,,,,4436.8,percent of total billed charges,3717.807767,,,,4381.34,percent of total billed charges,4228.181651,,,,4381.34,percent of total billed charges,3735.738448,,,,4436.8,percent of total billed charges,999999999,,,,4436.8,percent of total billed charges,999999999,,,,3882.2,percent of total billed charges,999999999,,,,3882.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2950.472,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2800.73,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1386.5,percent of total billed charges,1316.83585,,,,,,,,,,1386.5,percent of total billed charges,1294.931181,,,,,,,,,,1386.5,percent of total billed charges,1291.332623,,,,,,,,,,1386.5,percent of total billed charges,1272.317766,,,,,,,,,,1386.5,percent of total billed charges,1305.056372,,,,,,,,,,1386.5,percent of total billed charges,999999999,,,,,,,,,,1386.5,percent of total billed charges,1119.83027,,,,,,,,,,1386.5,percent of total billed charges,1766.049558,,,,,,,,,,1386.5,percent of total billed charges,999999999,,,,,,,,,,1386.5,percent of total billed charges,1207.450905,,,,,,,,,,4991.4,percent of total billed charges,,,,,
MRI LE OTHER RT W AND W/O CONTRAST,73720,CDM,0056-2780-01,NDC,RT,both,1,EA,5546,5546,1180.654357,5546,5546,percent of total billed charges,4080.389226,,,,5546,percent of total billed charges,4325.1319,,,,5546,percent of total billed charges,4080.389226,,,,5546,percent of total billed charges,4325.1319,,,,5546,percent of total billed charges,999999999,,,,5546,percent of total billed charges,4225.670826,,,,5546,percent of total billed charges,4080.389226,,,,5546,percent of total billed charges,4325.1319,,,,3954.298,percent of total billed charges,1973.267066,,,,3954.298,percent of total billed charges,1180.654357,,,,3954.298,percent of total billed charges,1973.267066,,,,3954.298,percent of total billed charges,1180.654357,,,,3954.298,percent of total billed charges,1973.267066,,,,3954.298,percent of total billed charges,1180.654357,,,,3915.476,percent of total billed charges,3885.768219,,,,3915.476,percent of total billed charges,2679.983542,,,,,,,,,,3993.12,percent of total billed charges,2595.434033,,,,,,,,,,3993.12,percent of total billed charges,999999999,,,,,,,,,,4436.8,percent of total billed charges,3717.807767,,,,4381.34,percent of total billed charges,4228.181651,,,,4381.34,percent of total billed charges,3735.738448,,,,4436.8,percent of total billed charges,999999999,,,,4436.8,percent of total billed charges,999999999,,,,3882.2,percent of total billed charges,999999999,,,,3882.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2950.472,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2800.73,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1386.5,percent of total billed charges,1316.83585,,,,,,,,,,1386.5,percent of total billed charges,1294.931181,,,,,,,,,,1386.5,percent of total billed charges,1291.332623,,,,,,,,,,1386.5,percent of total billed charges,1272.317766,,,,,,,,,,1386.5,percent of total billed charges,1305.056372,,,,,,,,,,1386.5,percent of total billed charges,999999999,,,,,,,,,,1386.5,percent of total billed charges,1119.83027,,,,,,,,,,1386.5,percent of total billed charges,1766.049558,,,,,,,,,,1386.5,percent of total billed charges,999999999,,,,,,,,,,1386.5,percent of total billed charges,1207.450905,,,,,,,,,,4991.4,percent of total billed charges,,,,,
**MRI LE JOINT W/O CONTRAST,73721,CDM,0056-2780-01,NDC,,both,1,EA,7682,7682,1635.374463,7682,7682,percent of total billed charges,5651.920309,,,,7682,percent of total billed charges,5990.923775,,,,7682,percent of total billed charges,5651.920309,,,,7682,percent of total billed charges,5990.923775,,,,7682,percent of total billed charges,999999999,,,,7682,percent of total billed charges,5853.156019,,,,7682,percent of total billed charges,5651.920309,,,,7682,percent of total billed charges,5990.923775,,,,5477.266,percent of total billed charges,2733.255968,,,,5477.266,percent of total billed charges,1635.374463,,,,5477.266,percent of total billed charges,2733.255968,,,,5477.266,percent of total billed charges,1635.374463,,,,5477.266,percent of total billed charges,2733.255968,,,,5477.266,percent of total billed charges,1635.374463,,,,5423.492,percent of total billed charges,5382.342492,,,,5423.492,percent of total billed charges,3712.158956,,,,,,,,,,5531.04,percent of total billed charges,3595.045843,,,,,,,,,,5531.04,percent of total billed charges,999999999,,,,,,,,,,6145.6,percent of total billed charges,5149.693341,,,,6068.78,percent of total billed charges,5856.633869,,,,6068.78,percent of total billed charges,5174.529887,,,,6145.6,percent of total billed charges,999999999,,,,6145.6,percent of total billed charges,999999999,,,,5377.4,percent of total billed charges,999999999,,,,5377.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4086.824,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3879.41,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1920.5,percent of total billed charges,1824.005229,,,,,,,,,,1920.5,percent of total billed charges,1793.664143,,,,,,,,,,1920.5,percent of total billed charges,1788.679627,,,,,,,,,,1920.5,percent of total billed charges,1762.341341,,,,,,,,,,1920.5,percent of total billed charges,1807.688975,,,,,,,,,,1920.5,percent of total billed charges,999999999,,,,,,,,,,1920.5,percent of total billed charges,1551.124438,,,,,,,,,,1920.5,percent of total billed charges,2446.230203,,,,,,,,,,1920.5,percent of total billed charges,999999999,,,,,,,,,,1920.5,percent of total billed charges,1672.491499,,,,,,,,,,6913.8,percent of total billed charges,,,,,
MRA LOWER EXT W and/or WO CONTRAST LT,73725,CDM,0056-2780-01,NDC,LT,both,1,EA,5462,5462,1162.772106,5462,5462,percent of total billed charges,4018.587441,,,,5462,percent of total billed charges,4259.623231,,,,5462,percent of total billed charges,4018.587441,,,,5462,percent of total billed charges,4259.623231,,,,5462,percent of total billed charges,999999999,,,,5462,percent of total billed charges,4161.668599,,,,5462,percent of total billed charges,4018.587441,,,,5462,percent of total billed charges,4259.623231,,,,3894.406,percent of total billed charges,1943.379862,,,,3894.406,percent of total billed charges,1162.772106,,,,3894.406,percent of total billed charges,1943.379862,,,,3894.406,percent of total billed charges,1162.772106,,,,3894.406,percent of total billed charges,1943.379862,,,,3894.406,percent of total billed charges,1162.772106,,,,3856.172,percent of total billed charges,3826.914175,,,,3856.172,percent of total billed charges,2639.392374,,,,,,,,,,3932.64,percent of total billed charges,2556.123457,,,,,,,,,,3932.64,percent of total billed charges,999999999,,,,,,,,,,4369.6,percent of total billed charges,3661.497661,,,,4314.98,percent of total billed charges,4164.141395,,,,4314.98,percent of total billed charges,3679.156762,,,,4369.6,percent of total billed charges,999999999,,,,4369.6,percent of total billed charges,999999999,,,,3823.4,percent of total billed charges,999999999,,,,3823.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2905.784,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2758.31,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1365.5,percent of total billed charges,1296.890986,,,,,,,,,,1365.5,percent of total billed charges,1275.318087,,,,,,,,,,1365.5,percent of total billed charges,1271.774033,,,,,,,,,,1365.5,percent of total billed charges,1253.047176,,,,,,,,,,1365.5,percent of total billed charges,1285.289922,,,,,,,,,,1365.5,percent of total billed charges,999999999,,,,,,,,,,1365.5,percent of total billed charges,1102.869263,,,,,,,,,,1365.5,percent of total billed charges,1739.300881,,,,,,,,,,1365.5,percent of total billed charges,999999999,,,,,,,,,,1365.5,percent of total billed charges,1189.162792,,,,,,,,,,4915.8,percent of total billed charges,,,,,
**MRA LOWER EXT WITHOUT CONTRAST LT,73725,CDM,0056-2780-01,NDC,LT,both,1,EA,5462,5462,1162.772106,5462,5462,percent of total billed charges,4018.587441,,,,5462,percent of total billed charges,4259.623231,,,,5462,percent of total billed charges,4018.587441,,,,5462,percent of total billed charges,4259.623231,,,,5462,percent of total billed charges,999999999,,,,5462,percent of total billed charges,4161.668599,,,,5462,percent of total billed charges,4018.587441,,,,5462,percent of total billed charges,4259.623231,,,,3894.406,percent of total billed charges,1943.379862,,,,3894.406,percent of total billed charges,1162.772106,,,,3894.406,percent of total billed charges,1943.379862,,,,3894.406,percent of total billed charges,1162.772106,,,,3894.406,percent of total billed charges,1943.379862,,,,3894.406,percent of total billed charges,1162.772106,,,,3856.172,percent of total billed charges,3826.914175,,,,3856.172,percent of total billed charges,2639.392374,,,,,,,,,,3932.64,percent of total billed charges,2556.123457,,,,,,,,,,3932.64,percent of total billed charges,999999999,,,,,,,,,,4369.6,percent of total billed charges,3661.497661,,,,4314.98,percent of total billed charges,4164.141395,,,,4314.98,percent of total billed charges,3679.156762,,,,4369.6,percent of total billed charges,999999999,,,,4369.6,percent of total billed charges,999999999,,,,3823.4,percent of total billed charges,999999999,,,,3823.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2905.784,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2758.31,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1365.5,percent of total billed charges,1296.890986,,,,,,,,,,1365.5,percent of total billed charges,1275.318087,,,,,,,,,,1365.5,percent of total billed charges,1271.774033,,,,,,,,,,1365.5,percent of total billed charges,1253.047176,,,,,,,,,,1365.5,percent of total billed charges,1285.289922,,,,,,,,,,1365.5,percent of total billed charges,999999999,,,,,,,,,,1365.5,percent of total billed charges,1102.869263,,,,,,,,,,1365.5,percent of total billed charges,1739.300881,,,,,,,,,,1365.5,percent of total billed charges,999999999,,,,,,,,,,1365.5,percent of total billed charges,1189.162792,,,,,,,,,,4915.8,percent of total billed charges,,,,,
**MRI LE JOINT W/WO CONTRAST,73723,CDM,0056-2780-01,NDC,,both,1,EA,9723,9723,2069.870594,9723,9723,percent of total billed charges,7153.556517,,,,9723,percent of total billed charges,7582.628465,,,,9723,percent of total billed charges,7153.556517,,,,9723,percent of total billed charges,7582.628465,,,,9723,percent of total billed charges,999999999,,,,9723,percent of total billed charges,7408.257742,,,,9723,percent of total billed charges,7153.556517,,,,9723,percent of total billed charges,7582.628465,,,,6932.499,percent of total billed charges,3459.443866,,,,6932.499,percent of total billed charges,2069.870594,,,,6932.499,percent of total billed charges,3459.443866,,,,6932.499,percent of total billed charges,2069.870594,,,,6932.499,percent of total billed charges,3459.443866,,,,6932.499,percent of total billed charges,2069.870594,,,,6864.438,percent of total billed charges,6812.355643,,,,6864.438,percent of total billed charges,4698.427692,,,,,,,,,,7000.56,percent of total billed charges,4550.199262,,,,,,,,,,7000.56,percent of total billed charges,999999999,,,,,,,,,,7778.4,percent of total billed charges,6517.894865,,,,7681.17,percent of total billed charges,7412.659608,,,,7681.17,percent of total billed charges,6549.330134,,,,7778.4,percent of total billed charges,999999999,,,,7778.4,percent of total billed charges,999999999,,,,6806.1,percent of total billed charges,999999999,,,,6806.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5172.636,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4910.115,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2430.75,percent of total billed charges,2308.617917,,,,,,,,,,2430.75,percent of total billed charges,2270.215629,,,,,,,,,,2430.75,percent of total billed charges,2263.906797,,,,,,,,,,2430.75,percent of total billed charges,2230.570797,,,,,,,,,,2430.75,percent of total billed charges,2287.966662,,,,,,,,,,2430.75,percent of total billed charges,999999999,,,,,,,,,,2430.75,percent of total billed charges,1963.236515,,,,,,,,,,2430.75,percent of total billed charges,3096.159368,,,,,,,,,,2430.75,percent of total billed charges,999999999,,,,,,,,,,2430.75,percent of total billed charges,2116.849107,,,,,,,,,,8750.7,percent of total billed charges,,,,,
**MRA UPPER EXTREMITY WITH CONTRST LT,73225,CDM,0056-2780-01,NDC,LT,both,1,EA,7490,7490,1594.500745,7490,7490,percent of total billed charges,5510.659088,,,,7490,percent of total billed charges,5841.189674,,,,7490,percent of total billed charges,5510.659088,,,,7490,percent of total billed charges,5841.189674,,,,7490,percent of total billed charges,999999999,,,,7490,percent of total billed charges,5706.865215,,,,7490,percent of total billed charges,5510.659088,,,,7490,percent of total billed charges,5841.189674,,,,5340.37,percent of total billed charges,2664.942359,,,,5340.37,percent of total billed charges,1594.500745,,,,5340.37,percent of total billed charges,2664.942359,,,,5340.37,percent of total billed charges,1594.500745,,,,5340.37,percent of total billed charges,2664.942359,,,,5340.37,percent of total billed charges,1594.500745,,,,5287.94,percent of total billed charges,5247.818962,,,,5287.94,percent of total billed charges,3619.379143,,,,,,,,,,5392.8,percent of total billed charges,3505.193096,,,,,,,,,,5392.8,percent of total billed charges,999999999,,,,,,,,,,5992,percent of total billed charges,5020.984525,,,,5917.1,percent of total billed charges,5710.256142,,,,5917.1,percent of total billed charges,5045.20032,,,,5992,percent of total billed charges,999999999,,,,5992,percent of total billed charges,999999999,,,,5243,percent of total billed charges,999999999,,,,5243,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3984.68,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3782.45,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1872.5,percent of total billed charges,1778.41697,,,,,,,,,,1872.5,percent of total billed charges,1748.834214,,,,,,,,,,1872.5,percent of total billed charges,1743.974278,,,,,,,,,,1872.5,percent of total billed charges,1718.294278,,,,,,,,,,1872.5,percent of total billed charges,1762.508516,,,,,,,,,,1872.5,percent of total billed charges,999999999,,,,,,,,,,1872.5,percent of total billed charges,1512.356423,,,,,,,,,,1872.5,percent of total billed charges,2385.09037,,,,,,,,,,1872.5,percent of total billed charges,999999999,,,,,,,,,,1872.5,percent of total billed charges,1630.690097,,,,,,,,,,6741,percent of total billed charges,,,,,
**MRI UE OTHER BI W & W/O CONTRAST,73220,CDM,0056-2780-01,NDC,50,both,1,EA,10700,10700,2277.858207,10700,10700,percent of total billed charges,7872.370125,,,,10700,percent of total billed charges,8344.556677,,,,10700,percent of total billed charges,7872.370125,,,,10700,percent of total billed charges,8344.556677,,,,10700,percent of total billed charges,999999999,,,,10700,percent of total billed charges,8152.664594,,,,10700,percent of total billed charges,7872.370125,,,,10700,percent of total billed charges,8344.556677,,,,7629.1,percent of total billed charges,3807.060513,,,,7629.1,percent of total billed charges,2277.858207,,,,7629.1,percent of total billed charges,3807.060513,,,,7629.1,percent of total billed charges,2277.858207,,,,7629.1,percent of total billed charges,3807.060513,,,,7629.1,percent of total billed charges,2277.858207,,,,7554.2,percent of total billed charges,7496.884231,,,,7554.2,percent of total billed charges,5170.541633,,,,,,,,,,7704,percent of total billed charges,5007.418709,,,,,,,,,,7704,percent of total billed charges,999999999,,,,,,,,,,8560,percent of total billed charges,7172.835036,,,,8453,percent of total billed charges,8157.508774,,,,8453,percent of total billed charges,7207.429028,,,,8560,percent of total billed charges,999999999,,,,8560,percent of total billed charges,999999999,,,,7490,percent of total billed charges,999999999,,,,7490,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5692.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5403.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2675,percent of total billed charges,2540.595671,,,,,,,,,,2675,percent of total billed charges,2498.334591,,,,,,,,,,2675,percent of total billed charges,2491.391826,,,,,,,,,,2675,percent of total billed charges,2454.706112,,,,,,,,,,2675,percent of total billed charges,2517.869309,,,,,,,,,,2675,percent of total billed charges,999999999,,,,,,,,,,2675,percent of total billed charges,2160.509175,,,,,,,,,,2675,percent of total billed charges,3407.271957,,,,,,,,,,2675,percent of total billed charges,999999999,,,,,,,,,,2675,percent of total billed charges,2329.557281,,,,,,,,,,9630,percent of total billed charges,,,,,
**MRI UP EXT OTHER LT W & W/O CONTRAST,73220,CDM,0056-2780-01,NDC,LT,both,1,EA,9723,9723,2069.870594,9723,9723,percent of total billed charges,7153.556517,,,,9723,percent of total billed charges,7582.628465,,,,9723,percent of total billed charges,7153.556517,,,,9723,percent of total billed charges,7582.628465,,,,9723,percent of total billed charges,999999999,,,,9723,percent of total billed charges,7408.257742,,,,9723,percent of total billed charges,7153.556517,,,,9723,percent of total billed charges,7582.628465,,,,6932.499,percent of total billed charges,3459.443866,,,,6932.499,percent of total billed charges,2069.870594,,,,6932.499,percent of total billed charges,3459.443866,,,,6932.499,percent of total billed charges,2069.870594,,,,6932.499,percent of total billed charges,3459.443866,,,,6932.499,percent of total billed charges,2069.870594,,,,6864.438,percent of total billed charges,6812.355643,,,,6864.438,percent of total billed charges,4698.427692,,,,,,,,,,7000.56,percent of total billed charges,4550.199262,,,,,,,,,,7000.56,percent of total billed charges,999999999,,,,,,,,,,7778.4,percent of total billed charges,6517.894865,,,,7681.17,percent of total billed charges,7412.659608,,,,7681.17,percent of total billed charges,6549.330134,,,,7778.4,percent of total billed charges,999999999,,,,7778.4,percent of total billed charges,999999999,,,,6806.1,percent of total billed charges,999999999,,,,6806.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5172.636,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4910.115,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2430.75,percent of total billed charges,2308.617917,,,,,,,,,,2430.75,percent of total billed charges,2270.215629,,,,,,,,,,2430.75,percent of total billed charges,2263.906797,,,,,,,,,,2430.75,percent of total billed charges,2230.570797,,,,,,,,,,2430.75,percent of total billed charges,2287.966662,,,,,,,,,,2430.75,percent of total billed charges,999999999,,,,,,,,,,2430.75,percent of total billed charges,1963.236515,,,,,,,,,,2430.75,percent of total billed charges,3096.159368,,,,,,,,,,2430.75,percent of total billed charges,999999999,,,,,,,,,,2430.75,percent of total billed charges,2116.849107,,,,,,,,,,8750.7,percent of total billed charges,,,,,
MRI UE OTHER RT W AND W/O CONTRAST,73220,CDM,0056-2780-01,NDC,RT,both,1,EA,5328,5328,1134.245657,5328,5328,percent of total billed charges,3919.998881,,,,5328,percent of total billed charges,4155.121306,,,,5328,percent of total billed charges,3919.998881,,,,5328,percent of total billed charges,4155.121306,,,,5328,percent of total billed charges,999999999,,,,5328,percent of total billed charges,4059.569809,,,,5328,percent of total billed charges,3919.998881,,,,5328,percent of total billed charges,4155.121306,,,,3798.864,percent of total billed charges,1895.702655,,,,3798.864,percent of total billed charges,1134.245657,,,,3798.864,percent of total billed charges,1895.702655,,,,3798.864,percent of total billed charges,1134.245657,,,,3798.864,percent of total billed charges,1895.702655,,,,3798.864,percent of total billed charges,1134.245657,,,,3761.568,percent of total billed charges,3733.027961,,,,3761.568,percent of total billed charges,2574.639797,,,,,,,,,,3836.16,percent of total billed charges,2493.413727,,,,,,,,,,3836.16,percent of total billed charges,999999999,,,,,,,,,,4262.4,percent of total billed charges,3571.669633,,,,4209.12,percent of total billed charges,4061.981939,,,,4209.12,percent of total billed charges,3588.895501,,,,4262.4,percent of total billed charges,999999999,,,,4262.4,percent of total billed charges,999999999,,,,3729.6,percent of total billed charges,999999999,,,,3729.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2834.496,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2690.64,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1332,percent of total billed charges,1265.074181,,,,,,,,,,1332,percent of total billed charges,1244.030533,,,,,,,,,,1332,percent of total billed charges,1240.573425,,,,,,,,,,1332,percent of total billed charges,1222.305997,,,,,,,,,,1332,percent of total billed charges,1253.757727,,,,,,,,,,1332,percent of total billed charges,999999999,,,,,,,,,,1332,percent of total billed charges,1075.812419,,,,,,,,,,1332,percent of total billed charges,1696.630373,,,,,,,,,,1332,percent of total billed charges,999999999,,,,,,,,,,1332,percent of total billed charges,1159.988897,,,,,,,,,,4795.2,percent of total billed charges,,,,,
**MRA LOWER EXT WITH CONTRAST LT,73725,CDM,0056-2780-01,NDC,LT,both,1,EA,5462,5462,1162.772106,5462,5462,percent of total billed charges,4018.587441,,,,5462,percent of total billed charges,4259.623231,,,,5462,percent of total billed charges,4018.587441,,,,5462,percent of total billed charges,4259.623231,,,,5462,percent of total billed charges,999999999,,,,5462,percent of total billed charges,4161.668599,,,,5462,percent of total billed charges,4018.587441,,,,5462,percent of total billed charges,4259.623231,,,,3894.406,percent of total billed charges,1943.379862,,,,3894.406,percent of total billed charges,1162.772106,,,,3894.406,percent of total billed charges,1943.379862,,,,3894.406,percent of total billed charges,1162.772106,,,,3894.406,percent of total billed charges,1943.379862,,,,3894.406,percent of total billed charges,1162.772106,,,,3856.172,percent of total billed charges,3826.914175,,,,3856.172,percent of total billed charges,2639.392374,,,,,,,,,,3932.64,percent of total billed charges,2556.123457,,,,,,,,,,3932.64,percent of total billed charges,999999999,,,,,,,,,,4369.6,percent of total billed charges,3661.497661,,,,4314.98,percent of total billed charges,4164.141395,,,,4314.98,percent of total billed charges,3679.156762,,,,4369.6,percent of total billed charges,999999999,,,,4369.6,percent of total billed charges,999999999,,,,3823.4,percent of total billed charges,999999999,,,,3823.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2905.784,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2758.31,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1365.5,percent of total billed charges,1296.890986,,,,,,,,,,1365.5,percent of total billed charges,1275.318087,,,,,,,,,,1365.5,percent of total billed charges,1271.774033,,,,,,,,,,1365.5,percent of total billed charges,1253.047176,,,,,,,,,,1365.5,percent of total billed charges,1285.289922,,,,,,,,,,1365.5,percent of total billed charges,999999999,,,,,,,,,,1365.5,percent of total billed charges,1102.869263,,,,,,,,,,1365.5,percent of total billed charges,1739.300881,,,,,,,,,,1365.5,percent of total billed charges,999999999,,,,,,,,,,1365.5,percent of total billed charges,1189.162792,,,,,,,,,,4915.8,percent of total billed charges,,,,,
**MRI LE JOINT BI W/O CONTRAST,73721,CDM,0056-2780-01,NDC,50,both,1,EA,8455,8455,1799.933752,8455,8455,percent of total billed charges,6220.64387,,,,8455,percent of total billed charges,6593.759505,,,,8455,percent of total billed charges,6220.64387,,,,8455,percent of total billed charges,6593.759505,,,,8455,percent of total billed charges,999999999,,,,8455,percent of total billed charges,6442.128891,,,,8455,percent of total billed charges,6220.64387,,,,8455,percent of total billed charges,6593.759505,,,,6028.415,percent of total billed charges,3008.289405,,,,6028.415,percent of total billed charges,1799.933752,,,,6028.415,percent of total billed charges,3008.289405,,,,6028.415,percent of total billed charges,1799.933752,,,,6028.415,percent of total billed charges,3008.289405,,,,6028.415,percent of total billed charges,1799.933752,,,,5969.23,percent of total billed charges,5923.939829,,,,5969.23,percent of total billed charges,4085.694347,,,,,,,,,,6087.6,percent of total billed charges,3956.796746,,,,,,,,,,6087.6,percent of total billed charges,999999999,,,,,,,,,,6764,percent of total billed charges,5667.880395,,,,6679.45,percent of total billed charges,6445.9567,,,,6679.45,percent of total billed charges,5695.216115,,,,6764,percent of total billed charges,999999999,,,,6764,percent of total billed charges,999999999,,,,5918.5,percent of total billed charges,999999999,,,,5918.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4498.06,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4269.775,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2113.75,percent of total billed charges,2007.545458,,,,,,,,,,2113.75,percent of total billed charges,1974.151305,,,,,,,,,,2113.75,percent of total billed charges,1968.665223,,,,,,,,,,2113.75,percent of total billed charges,1939.676652,,,,,,,,,,2113.75,percent of total billed charges,1989.587384,,,,,,,,,,2113.75,percent of total billed charges,999999999,,,,,,,,,,2113.75,percent of total billed charges,1707.206082,,,,,,,,,,2113.75,percent of total billed charges,2692.381719,,,,,,,,,,2113.75,percent of total billed charges,999999999,,,,,,,,,,2113.75,percent of total billed charges,1840.785683,,,,,,,,,,7609.5,percent of total billed charges,,,,,
MRI LE JNT LT W/O CONTRAST,73721,CDM,0056-2780-01,NDC,LT,both,1,EA,4256,4256,906.0340683,4256,4256,percent of total billed charges,3131.290397,,,,4256,percent of total billed charges,3319.105908,,,,4256,percent of total billed charges,3131.290397,,,,4256,percent of total billed charges,3319.105908,,,,4256,percent of total billed charges,999999999,,,,4256,percent of total billed charges,3242.779487,,,,4256,percent of total billed charges,3131.290397,,,,4256,percent of total billed charges,3319.105908,,,,3034.528,percent of total billed charges,1514.285004,,,,3034.528,percent of total billed charges,906.0340683,,,,3034.528,percent of total billed charges,1514.285004,,,,3034.528,percent of total billed charges,906.0340683,,,,3034.528,percent of total billed charges,1514.285004,,,,3034.528,percent of total billed charges,906.0340683,,,,3004.736,percent of total billed charges,2981.938251,,,,3004.736,percent of total billed charges,2056.619177,,,,,,,,,,3064.32,percent of total billed charges,1991.73589,,,,,,,,,,3064.32,percent of total billed charges,999999999,,,,,,,,,,3404.8,percent of total billed charges,2853.045413,,,,3362.24,percent of total billed charges,3244.706294,,,,3362.24,percent of total billed charges,2866.805415,,,,3404.8,percent of total billed charges,999999999,,,,3404.8,percent of total billed charges,999999999,,,,2979.2,percent of total billed charges,999999999,,,,2979.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2264.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2149.28,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1064,percent of total billed charges,1010.539736,,,,,,,,,,1064,percent of total billed charges,993.7300952,,,,,,,,,,1064,percent of total billed charges,990.9685618,,,,,,,,,,1064,percent of total billed charges,976.3765618,,,,,,,,,,1064,percent of total billed charges,1001.500166,,,,,,,,,,1064,percent of total billed charges,999999999,,,,,,,,,,1064,percent of total billed charges,859.3576682,,,,,,,,,,1064,percent of total billed charges,1355.266304,,,,,,,,,,1064,percent of total billed charges,999999999,,,,,,,,,,1064,percent of total billed charges,926.5977373,,,,,,,,,,3830.4,percent of total billed charges,,,,,
MRI LE JNT RT W/O CONTRAST,73721,CDM,0056-2780-01,NDC,RT,both,1,EA,4256,4256,906.0340683,4256,4256,percent of total billed charges,3131.290397,,,,4256,percent of total billed charges,3319.105908,,,,4256,percent of total billed charges,3131.290397,,,,4256,percent of total billed charges,3319.105908,,,,4256,percent of total billed charges,999999999,,,,4256,percent of total billed charges,3242.779487,,,,4256,percent of total billed charges,3131.290397,,,,4256,percent of total billed charges,3319.105908,,,,3034.528,percent of total billed charges,1514.285004,,,,3034.528,percent of total billed charges,906.0340683,,,,3034.528,percent of total billed charges,1514.285004,,,,3034.528,percent of total billed charges,906.0340683,,,,3034.528,percent of total billed charges,1514.285004,,,,3034.528,percent of total billed charges,906.0340683,,,,3004.736,percent of total billed charges,2981.938251,,,,3004.736,percent of total billed charges,2056.619177,,,,,,,,,,3064.32,percent of total billed charges,1991.73589,,,,,,,,,,3064.32,percent of total billed charges,999999999,,,,,,,,,,3404.8,percent of total billed charges,2853.045413,,,,3362.24,percent of total billed charges,3244.706294,,,,3362.24,percent of total billed charges,2866.805415,,,,3404.8,percent of total billed charges,999999999,,,,3404.8,percent of total billed charges,999999999,,,,2979.2,percent of total billed charges,999999999,,,,2979.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2264.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2149.28,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1064,percent of total billed charges,1010.539736,,,,,,,,,,1064,percent of total billed charges,993.7300952,,,,,,,,,,1064,percent of total billed charges,990.9685618,,,,,,,,,,1064,percent of total billed charges,976.3765618,,,,,,,,,,1064,percent of total billed charges,1001.500166,,,,,,,,,,1064,percent of total billed charges,999999999,,,,,,,,,,1064,percent of total billed charges,859.3576682,,,,,,,,,,1064,percent of total billed charges,1355.266304,,,,,,,,,,1064,percent of total billed charges,999999999,,,,,,,,,,1064,percent of total billed charges,926.5977373,,,,,,,,,,3830.4,percent of total billed charges,,,,,
MRI PELVIS W/O,72195,CDM,0056-2780-01,NDC,,both,1,EA,5127,5127,1091.455984,5127,5127,percent of total billed charges,3772.11604,,,,5127,percent of total billed charges,3998.368419,,,,5127,percent of total billed charges,3772.11604,,,,5127,percent of total billed charges,3998.368419,,,,5127,percent of total billed charges,999999999,,,,5127,percent of total billed charges,3906.421623,,,,5127,percent of total billed charges,3772.11604,,,,5127,percent of total billed charges,3998.368419,,,,3655.551,percent of total billed charges,1824.186846,,,,3655.551,percent of total billed charges,1091.455984,,,,3655.551,percent of total billed charges,1824.186846,,,,3655.551,percent of total billed charges,1091.455984,,,,3655.551,percent of total billed charges,1824.186846,,,,3655.551,percent of total billed charges,1091.455984,,,,3619.662,percent of total billed charges,3592.19864,,,,3619.662,percent of total billed charges,2477.51093,,,,,,,,,,3691.44,percent of total billed charges,2399.349133,,,,,,,,,,3691.44,percent of total billed charges,999999999,,,,,,,,,,4101.6,percent of total billed charges,3436.927592,,,,4050.33,percent of total billed charges,3908.742756,,,,4050.33,percent of total billed charges,3453.50361,,,,4101.6,percent of total billed charges,999999999,,,,4101.6,percent of total billed charges,999999999,,,,3588.9,percent of total billed charges,999999999,,,,3588.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2727.564,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2589.135,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1281.75,percent of total billed charges,1217.348972,,,,,,,,,,1281.75,percent of total billed charges,1197.099201,,,,,,,,,,1281.75,percent of total billed charges,1193.772513,,,,,,,,,,1281.75,percent of total billed charges,1176.194227,,,,,,,,,,1281.75,percent of total billed charges,1206.459434,,,,,,,,,,1281.75,percent of total billed charges,999999999,,,,,,,,,,1281.75,percent of total billed charges,1035.227153,,,,,,,,,,1281.75,percent of total billed charges,1632.62461,,,,,,,,,,1281.75,percent of total billed charges,999999999,,,,,,,,,,1281.75,percent of total billed charges,1116.228054,,,,,,,,,,4614.3,percent of total billed charges,,,,,
MRI PELVIS W/WO CONTRAST,72197,CDM,0056-2780-01,NDC,,both,1,EA,7104,7104,1512.327543,7104,7104,percent of total billed charges,5226.665175,,,,7104,percent of total billed charges,5540.161741,,,,7104,percent of total billed charges,5226.665175,,,,7104,percent of total billed charges,5540.161741,,,,7104,percent of total billed charges,999999999,,,,7104,percent of total billed charges,5412.759745,,,,7104,percent of total billed charges,5226.665175,,,,7104,percent of total billed charges,5540.161741,,,,5065.152,percent of total billed charges,2527.60354,,,,5065.152,percent of total billed charges,1512.327543,,,,5065.152,percent of total billed charges,2527.60354,,,,5065.152,percent of total billed charges,1512.327543,,,,5065.152,percent of total billed charges,2527.60354,,,,5065.152,percent of total billed charges,1512.327543,,,,5015.424,percent of total billed charges,4977.370615,,,,5015.424,percent of total billed charges,3432.853062,,,,,,,,,,5114.88,percent of total billed charges,3324.551636,,,,,,,,,,5114.88,percent of total billed charges,999999999,,,,,,,,,,5683.2,percent of total billed charges,4762.226177,,,,5612.16,percent of total billed charges,5415.975919,,,,5612.16,percent of total billed charges,4785.194001,,,,5683.2,percent of total billed charges,999999999,,,,5683.2,percent of total billed charges,999999999,,,,4972.8,percent of total billed charges,999999999,,,,4972.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3779.328,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3587.52,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1776,percent of total billed charges,1686.765575,,,,,,,,,,1776,percent of total billed charges,1658.707377,,,,,,,,,,1776,percent of total billed charges,1654.0979,,,,,,,,,,1776,percent of total billed charges,1629.741329,,,,,,,,,,1776,percent of total billed charges,1671.676969,,,,,,,,,,1776,percent of total billed charges,999999999,,,,,,,,,,1776,percent of total billed charges,1434.416559,,,,,,,,,,1776,percent of total billed charges,2262.17383,,,,,,,,,,1776,percent of total billed charges,999999999,,,,,,,,,,1776,percent of total billed charges,1546.651862,,,,,,,,,,6393.6,percent of total billed charges,,,,,
**MRI LE OTHER W/WO CONTRAST,73720,CDM,0056-2780-01,NDC,,both,1,EA,9723,9723,2069.870594,9723,9723,percent of total billed charges,7153.556517,,,,9723,percent of total billed charges,7582.628465,,,,9723,percent of total billed charges,7153.556517,,,,9723,percent of total billed charges,7582.628465,,,,9723,percent of total billed charges,999999999,,,,9723,percent of total billed charges,7408.257742,,,,9723,percent of total billed charges,7153.556517,,,,9723,percent of total billed charges,7582.628465,,,,6932.499,percent of total billed charges,3459.443866,,,,6932.499,percent of total billed charges,2069.870594,,,,6932.499,percent of total billed charges,3459.443866,,,,6932.499,percent of total billed charges,2069.870594,,,,6932.499,percent of total billed charges,3459.443866,,,,6932.499,percent of total billed charges,2069.870594,,,,6864.438,percent of total billed charges,6812.355643,,,,6864.438,percent of total billed charges,4698.427692,,,,,,,,,,7000.56,percent of total billed charges,4550.199262,,,,,,,,,,7000.56,percent of total billed charges,999999999,,,,,,,,,,7778.4,percent of total billed charges,6517.894865,,,,7681.17,percent of total billed charges,7412.659608,,,,7681.17,percent of total billed charges,6549.330134,,,,7778.4,percent of total billed charges,999999999,,,,7778.4,percent of total billed charges,999999999,,,,6806.1,percent of total billed charges,999999999,,,,6806.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5172.636,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4910.115,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2430.75,percent of total billed charges,2308.617917,,,,,,,,,,2430.75,percent of total billed charges,2270.215629,,,,,,,,,,2430.75,percent of total billed charges,2263.906797,,,,,,,,,,2430.75,percent of total billed charges,2230.570797,,,,,,,,,,2430.75,percent of total billed charges,2287.966662,,,,,,,,,,2430.75,percent of total billed charges,999999999,,,,,,,,,,2430.75,percent of total billed charges,1963.236515,,,,,,,,,,2430.75,percent of total billed charges,3096.159368,,,,,,,,,,2430.75,percent of total billed charges,999999999,,,,,,,,,,2430.75,percent of total billed charges,2116.849107,,,,,,,,,,8750.7,percent of total billed charges,,,,,
**MRI LE OTHER W/CONTRAST,73719,CDM,0056-2780-01,NDC,,both,1,EA,8560,8560,1822.286566,8560,8560,percent of total billed charges,6297.8961,,,,8560,percent of total billed charges,6675.645342,,,,8560,percent of total billed charges,6297.8961,,,,8560,percent of total billed charges,6675.645342,,,,8560,percent of total billed charges,999999999,,,,8560,percent of total billed charges,6522.131675,,,,8560,percent of total billed charges,6297.8961,,,,8560,percent of total billed charges,6675.645342,,,,6103.28,percent of total billed charges,3045.64841,,,,6103.28,percent of total billed charges,1822.286566,,,,6103.28,percent of total billed charges,3045.64841,,,,6103.28,percent of total billed charges,1822.286566,,,,6103.28,percent of total billed charges,3045.64841,,,,6103.28,percent of total billed charges,1822.286566,,,,6043.36,percent of total billed charges,5997.507385,,,,6043.36,percent of total billed charges,4136.433307,,,,,,,,,,6163.2,percent of total billed charges,4005.934967,,,,,,,,,,6163.2,percent of total billed charges,999999999,,,,,,,,,,6848,percent of total billed charges,5738.268029,,,,6762.4,percent of total billed charges,6526.007019,,,,6762.4,percent of total billed charges,5765.943222,,,,6848,percent of total billed charges,999999999,,,,6848,percent of total billed charges,999999999,,,,5992,percent of total billed charges,999999999,,,,5992,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4553.92,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4322.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2140,percent of total billed charges,2032.476537,,,,,,,,,,2140,percent of total billed charges,1998.667673,,,,,,,,,,2140,percent of total billed charges,1993.113461,,,,,,,,,,2140,percent of total billed charges,1963.764889,,,,,,,,,,2140,percent of total billed charges,2014.295447,,,,,,,,,,2140,percent of total billed charges,999999999,,,,,,,,,,2140,percent of total billed charges,1728.40734,,,,,,,,,,2140,percent of total billed charges,2725.817566,,,,,,,,,,2140,percent of total billed charges,999999999,,,,,,,,,,2140,percent of total billed charges,1863.645825,,,,,,,,,,7704,percent of total billed charges,,,,,
**MRI LE OTHER BI W / CONTRAST,73719,CDM,0056-2780-01,NDC,50,both,1,EA,9412,9412,2003.663687,9412,9412,percent of total billed charges,6924.742768,,,,9412,percent of total billed charges,7340.090415,,,,9412,percent of total billed charges,6924.742768,,,,9412,percent of total billed charges,7340.090415,,,,9412,percent of total billed charges,999999999,,,,9412,percent of total billed charges,7171.297117,,,,9412,percent of total billed charges,6924.742768,,,,9412,percent of total billed charges,7340.090415,,,,6710.756,percent of total billed charges,3348.790051,,,,6710.756,percent of total billed charges,2003.663687,,,,6710.756,percent of total billed charges,3348.790051,,,,6710.756,percent of total billed charges,2003.663687,,,,6710.756,percent of total billed charges,3348.790051,,,,6710.756,percent of total billed charges,2003.663687,,,,6644.872,percent of total billed charges,6594.45555,,,,6644.872,percent of total billed charges,4548.143725,,,,,,,,,,6776.64,percent of total billed charges,4404.656531,,,,,,,,,,6776.64,percent of total billed charges,999999999,,,,,,,,,,7529.6,percent of total billed charges,6309.413398,,,,7435.48,percent of total billed charges,7175.558185,,,,7435.48,percent of total billed charges,6339.843179,,,,7529.6,percent of total billed charges,999999999,,,,7529.6,percent of total billed charges,999999999,,,,6588.4,percent of total billed charges,999999999,,,,6588.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5007.184,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4753.06,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2353,percent of total billed charges,2234.774435,,,,,,,,,,2353,percent of total billed charges,2197.600483,,,,,,,,,,2353,percent of total billed charges,2191.493445,,,,,,,,,,2353,percent of total billed charges,2159.223731,,,,,,,,,,2353,percent of total billed charges,2214.783732,,,,,,,,,,2353,percent of total billed charges,999999999,,,,,,,,,,2353,percent of total billed charges,1900.440407,,,,,,,,,,2353,percent of total billed charges,2997.125576,,,,,,,,,,2353,percent of total billed charges,999999999,,,,,,,,,,2353,percent of total billed charges,2049.139545,,,,,,,,,,8470.8,percent of total billed charges,,,,,
MRI LE OTHER RT W/ CONTRAST,73719,CDM,0056-2780-01,NDC,RT,both,1,EA,5057,5057,1076.554108,5057,5057,percent of total billed charges,3720.614554,,,,5057,percent of total billed charges,3943.777861,,,,5057,percent of total billed charges,3720.614554,,,,5057,percent of total billed charges,3943.777861,,,,5057,percent of total billed charges,999999999,,,,5057,percent of total billed charges,3853.086435,,,,5057,percent of total billed charges,3720.614554,,,,5057,percent of total billed charges,3943.777861,,,,3605.641,percent of total billed charges,1799.280842,,,,3605.641,percent of total billed charges,1076.554108,,,,3605.641,percent of total billed charges,1799.280842,,,,3605.641,percent of total billed charges,1076.554108,,,,3605.641,percent of total billed charges,1799.280842,,,,3605.641,percent of total billed charges,1076.554108,,,,3570.242,percent of total billed charges,3543.153603,,,,3570.242,percent of total billed charges,2443.684957,,,,,,,,,,3641.04,percent of total billed charges,2366.590319,,,,,,,,,,3641.04,percent of total billed charges,999999999,,,,,,,,,,4045.6,percent of total billed charges,3390.002503,,,,3995.03,percent of total billed charges,3855.375876,,,,3995.03,percent of total billed charges,3406.352205,,,,4045.6,percent of total billed charges,999999999,,,,4045.6,percent of total billed charges,999999999,,,,3539.9,percent of total billed charges,999999999,,,,3539.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2690.324,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2553.785,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1264.25,percent of total billed charges,1200.728253,,,,,,,,,,1264.25,percent of total billed charges,1180.754956,,,,,,,,,,1264.25,percent of total billed charges,1177.473688,,,,,,,,,,1264.25,percent of total billed charges,1160.135402,,,,,,,,,,1264.25,percent of total billed charges,1189.987392,,,,,,,,,,1264.25,percent of total billed charges,999999999,,,,,,,,,,1264.25,percent of total billed charges,1021.092981,,,,,,,,,,1264.25,percent of total billed charges,1610.334046,,,,,,,,,,1264.25,percent of total billed charges,999999999,,,,,,,,,,1264.25,percent of total billed charges,1100.98796,,,,,,,,,,4551.3,percent of total billed charges,,,,,
MRI LE OTHER LT W/ CONTRAST,73719,CDM,0056-2780-01,NDC,LT,both,1,EA,5057,5057,1076.554108,5057,5057,percent of total billed charges,3720.614554,,,,5057,percent of total billed charges,3943.777861,,,,5057,percent of total billed charges,3720.614554,,,,5057,percent of total billed charges,3943.777861,,,,5057,percent of total billed charges,999999999,,,,5057,percent of total billed charges,3853.086435,,,,5057,percent of total billed charges,3720.614554,,,,5057,percent of total billed charges,3943.777861,,,,3605.641,percent of total billed charges,1799.280842,,,,3605.641,percent of total billed charges,1076.554108,,,,3605.641,percent of total billed charges,1799.280842,,,,3605.641,percent of total billed charges,1076.554108,,,,3605.641,percent of total billed charges,1799.280842,,,,3605.641,percent of total billed charges,1076.554108,,,,3570.242,percent of total billed charges,3543.153603,,,,3570.242,percent of total billed charges,2443.684957,,,,,,,,,,3641.04,percent of total billed charges,2366.590319,,,,,,,,,,3641.04,percent of total billed charges,999999999,,,,,,,,,,4045.6,percent of total billed charges,3390.002503,,,,3995.03,percent of total billed charges,3855.375876,,,,3995.03,percent of total billed charges,3406.352205,,,,4045.6,percent of total billed charges,999999999,,,,4045.6,percent of total billed charges,999999999,,,,3539.9,percent of total billed charges,999999999,,,,3539.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2690.324,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2553.785,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1264.25,percent of total billed charges,1200.728253,,,,,,,,,,1264.25,percent of total billed charges,1180.754956,,,,,,,,,,1264.25,percent of total billed charges,1177.473688,,,,,,,,,,1264.25,percent of total billed charges,1160.135402,,,,,,,,,,1264.25,percent of total billed charges,1189.987392,,,,,,,,,,1264.25,percent of total billed charges,999999999,,,,,,,,,,1264.25,percent of total billed charges,1021.092981,,,,,,,,,,1264.25,percent of total billed charges,1610.334046,,,,,,,,,,1264.25,percent of total billed charges,999999999,,,,,,,,,,1264.25,percent of total billed charges,1100.98796,,,,,,,,,,4551.3,percent of total billed charges,,,,,
MRI LE OTHER W/O CONTRAST,73718,CDM,0056-2780-01,NDC,,both,1,EA,4413,4413,939.4568476,4413,4413,percent of total billed charges,3246.800875,,,,4413,percent of total billed charges,3441.54473,,,,4413,percent of total billed charges,3246.800875,,,,4413,percent of total billed charges,3441.54473,,,,4413,percent of total billed charges,999999999,,,,4413,percent of total billed charges,3362.402696,,,,4413,percent of total billed charges,3246.800875,,,,4413,percent of total billed charges,3441.54473,,,,3146.469,percent of total billed charges,1570.145612,,,,3146.469,percent of total billed charges,939.4568476,,,,3146.469,percent of total billed charges,1570.145612,,,,3146.469,percent of total billed charges,939.4568476,,,,3146.469,percent of total billed charges,1570.145612,,,,3146.469,percent of total billed charges,939.4568476,,,,3115.578,percent of total billed charges,3091.939263,,,,3115.578,percent of total billed charges,2132.486003,,,,,,,,,,3177.36,percent of total billed charges,2065.20923,,,,,,,,,,3177.36,percent of total billed charges,999999999,,,,,,,,,,3530.4,percent of total billed charges,2958.291684,,,,3486.27,percent of total billed charges,3364.400581,,,,3486.27,percent of total billed charges,2972.55928,,,,3530.4,percent of total billed charges,999999999,,,,3530.4,percent of total billed charges,999999999,,,,3089.1,percent of total billed charges,999999999,,,,3089.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2347.716,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2228.565,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1103.25,percent of total billed charges,1047.817635,,,,,,,,,,1103.25,percent of total billed charges,1030.387902,,,,,,,,,,1103.25,percent of total billed charges,1027.524498,,,,,,,,,,1103.25,percent of total billed charges,1012.394212,,,,,,,,,,1103.25,percent of total billed charges,1038.444604,,,,,,,,,,1103.25,percent of total billed charges,999999999,,,,,,,,,,1103.25,percent of total billed charges,891.0585972,,,,,,,,,,1103.25,percent of total billed charges,1405.260855,,,,,,,,,,1103.25,percent of total billed charges,999999999,,,,,,,,,,1103.25,percent of total billed charges,960.7790918,,,,,,,,,,3971.7,percent of total billed charges,,,,,
MRI LE OTHER BI W/O CONTRAST,73720,CDM,0056-2780-01,NDC,50,both,1,EA,5915,5915,1259.208532,5915,5915,percent of total billed charges,4351.875635,,,,5915,percent of total billed charges,4612.902126,,,,5915,percent of total billed charges,4351.875635,,,,5915,percent of total billed charges,4612.902126,,,,5915,percent of total billed charges,999999999,,,,5915,percent of total billed charges,4506.823465,,,,5915,percent of total billed charges,4351.875635,,,,5915,percent of total billed charges,4612.902126,,,,4217.395,percent of total billed charges,2104.557283,,,,4217.395,percent of total billed charges,1259.208532,,,,4217.395,percent of total billed charges,2104.557283,,,,4217.395,percent of total billed charges,1259.208532,,,,4217.395,percent of total billed charges,2104.557283,,,,4217.395,percent of total billed charges,1259.208532,,,,4175.99,percent of total billed charges,4144.305629,,,,4175.99,percent of total billed charges,2858.294744,,,,,,,,,,4258.8,percent of total billed charges,2768.119781,,,,,,,,,,4258.8,percent of total billed charges,999999999,,,,,,,,,,4732,percent of total billed charges,3965.170022,,,,4672.85,percent of total billed charges,4509.501346,,,,4672.85,percent of total billed charges,3984.29371,,,,4732,percent of total billed charges,999999999,,,,4732,percent of total billed charges,999999999,,,,4140.5,percent of total billed charges,999999999,,,,4140.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3146.78,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2987.075,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1478.75,percent of total billed charges,1404.450785,,,,,,,,,,1478.75,percent of total billed charges,1381.088701,,,,,,,,,,1478.75,percent of total billed charges,1377.250715,,,,,,,,,,1478.75,percent of total billed charges,1356.970715,,,,,,,,,,1478.75,percent of total billed charges,1391.887566,,,,,,,,,,1478.75,percent of total billed charges,999999999,,,,,,,,,,1478.75,percent of total billed charges,1194.337549,,,,,,,,,,1478.75,percent of total billed charges,1883.552675,,,,,,,,,,1478.75,percent of total billed charges,999999999,,,,,,,,,,1478.75,percent of total billed charges,1287.787974,,,,,,,,,,5323.5,percent of total billed charges,,,,,
MRI LE OTHER RT W/O CONTRAST,73718,CDM,0056-2780-01,NDC,RT,both,1,EA,4138,4138,880.9137629,4138,4138,percent of total billed charges,3044.473605,,,,4138,percent of total billed charges,3227.081825,,,,4138,percent of total billed charges,3044.473605,,,,4138,percent of total billed charges,3227.081825,,,,4138,percent of total billed charges,999999999,,,,4138,percent of total billed charges,3152.871597,,,,4138,percent of total billed charges,3044.473605,,,,4138,percent of total billed charges,3227.081825,,,,2950.394,percent of total billed charges,1472.300598,,,,2950.394,percent of total billed charges,880.9137629,,,,2950.394,percent of total billed charges,1472.300598,,,,2950.394,percent of total billed charges,880.9137629,,,,2950.394,percent of total billed charges,1472.300598,,,,2950.394,percent of total billed charges,880.9137629,,,,2921.428,percent of total billed charges,2899.262332,,,,2921.428,percent of total billed charges,1999.59825,,,,,,,,,,2979.36,percent of total billed charges,1936.513889,,,,,,,,,,2979.36,percent of total billed charges,999999999,,,,,,,,,,3310.4,percent of total billed charges,2773.94312,,,,3269.02,percent of total billed charges,3154.744982,,,,3269.02,percent of total billed charges,2787.321618,,,,3310.4,percent of total billed charges,999999999,,,,3310.4,percent of total billed charges,999999999,,,,2896.6,percent of total billed charges,999999999,,,,2896.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2201.416,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2089.69,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1034.5,percent of total billed charges,982.521952,,,,,,,,,,1034.5,percent of total billed charges,966.1783679,,,,,,,,,,1034.5,percent of total billed charges,963.4933996,,,,,,,,,,1034.5,percent of total billed charges,949.305971,,,,,,,,,,1034.5,percent of total billed charges,973.7330092,,,,,,,,,,1034.5,percent of total billed charges,999999999,,,,,,,,,,1034.5,percent of total billed charges,835.5314922,,,,,,,,,,1034.5,percent of total billed charges,1317.690781,,,,,,,,,,1034.5,percent of total billed charges,999999999,,,,,,,,,,1034.5,percent of total billed charges,900.9072925,,,,,,,,,,3724.2,percent of total billed charges,,,,,
MRI LE OTHER LT W/O CONTRAST,73718,CDM,0056-2780-01,NDC,LT,both,1,EA,4138,4138,880.9137629,4138,4138,percent of total billed charges,3044.473605,,,,4138,percent of total billed charges,3227.081825,,,,4138,percent of total billed charges,3044.473605,,,,4138,percent of total billed charges,3227.081825,,,,4138,percent of total billed charges,999999999,,,,4138,percent of total billed charges,3152.871597,,,,4138,percent of total billed charges,3044.473605,,,,4138,percent of total billed charges,3227.081825,,,,2950.394,percent of total billed charges,1472.300598,,,,2950.394,percent of total billed charges,880.9137629,,,,2950.394,percent of total billed charges,1472.300598,,,,2950.394,percent of total billed charges,880.9137629,,,,2950.394,percent of total billed charges,1472.300598,,,,2950.394,percent of total billed charges,880.9137629,,,,2921.428,percent of total billed charges,2899.262332,,,,2921.428,percent of total billed charges,1999.59825,,,,,,,,,,2979.36,percent of total billed charges,1936.513889,,,,,,,,,,2979.36,percent of total billed charges,999999999,,,,,,,,,,3310.4,percent of total billed charges,2773.94312,,,,3269.02,percent of total billed charges,3154.744982,,,,3269.02,percent of total billed charges,2787.321618,,,,3310.4,percent of total billed charges,999999999,,,,3310.4,percent of total billed charges,999999999,,,,2896.6,percent of total billed charges,999999999,,,,2896.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2201.416,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2089.69,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1034.5,percent of total billed charges,982.521952,,,,,,,,,,1034.5,percent of total billed charges,966.1783679,,,,,,,,,,1034.5,percent of total billed charges,963.4933996,,,,,,,,,,1034.5,percent of total billed charges,949.305971,,,,,,,,,,1034.5,percent of total billed charges,973.7330092,,,,,,,,,,1034.5,percent of total billed charges,999999999,,,,,,,,,,1034.5,percent of total billed charges,835.5314922,,,,,,,,,,1034.5,percent of total billed charges,1317.690781,,,,,,,,,,1034.5,percent of total billed charges,999999999,,,,,,,,,,1034.5,percent of total billed charges,900.9072925,,,,,,,,,,3724.2,percent of total billed charges,,,,,
**MRI LE JNT W/ CONTRAST,73722,CDM,0056-2780-01,NDC,,both,1,EA,8560,8560,1822.286566,8560,8560,percent of total billed charges,6297.8961,,,,8560,percent of total billed charges,6675.645342,,,,8560,percent of total billed charges,6297.8961,,,,8560,percent of total billed charges,6675.645342,,,,8560,percent of total billed charges,999999999,,,,8560,percent of total billed charges,6522.131675,,,,8560,percent of total billed charges,6297.8961,,,,8560,percent of total billed charges,6675.645342,,,,6103.28,percent of total billed charges,3045.64841,,,,6103.28,percent of total billed charges,1822.286566,,,,6103.28,percent of total billed charges,3045.64841,,,,6103.28,percent of total billed charges,1822.286566,,,,6103.28,percent of total billed charges,3045.64841,,,,6103.28,percent of total billed charges,1822.286566,,,,6043.36,percent of total billed charges,5997.507385,,,,6043.36,percent of total billed charges,4136.433307,,,,,,,,,,6163.2,percent of total billed charges,4005.934967,,,,,,,,,,6163.2,percent of total billed charges,999999999,,,,,,,,,,6848,percent of total billed charges,5738.268029,,,,6762.4,percent of total billed charges,6526.007019,,,,6762.4,percent of total billed charges,5765.943222,,,,6848,percent of total billed charges,999999999,,,,6848,percent of total billed charges,999999999,,,,5992,percent of total billed charges,999999999,,,,5992,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4553.92,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4322.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2140,percent of total billed charges,2032.476537,,,,,,,,,,2140,percent of total billed charges,1998.667673,,,,,,,,,,2140,percent of total billed charges,1993.113461,,,,,,,,,,2140,percent of total billed charges,1963.764889,,,,,,,,,,2140,percent of total billed charges,2014.295447,,,,,,,,,,2140,percent of total billed charges,999999999,,,,,,,,,,2140,percent of total billed charges,1728.40734,,,,,,,,,,2140,percent of total billed charges,2725.817566,,,,,,,,,,2140,percent of total billed charges,999999999,,,,,,,,,,2140,percent of total billed charges,1863.645825,,,,,,,,,,7704,percent of total billed charges,,,,,
**MRI LE JNT BI W/ CONTRAST,73722,CDM,0056-2780-01,NDC,50,both,1,EA,9412,9412,2003.663687,9412,9412,percent of total billed charges,6924.742768,,,,9412,percent of total billed charges,7340.090415,,,,9412,percent of total billed charges,6924.742768,,,,9412,percent of total billed charges,7340.090415,,,,9412,percent of total billed charges,999999999,,,,9412,percent of total billed charges,7171.297117,,,,9412,percent of total billed charges,6924.742768,,,,9412,percent of total billed charges,7340.090415,,,,6710.756,percent of total billed charges,3348.790051,,,,6710.756,percent of total billed charges,2003.663687,,,,6710.756,percent of total billed charges,3348.790051,,,,6710.756,percent of total billed charges,2003.663687,,,,6710.756,percent of total billed charges,3348.790051,,,,6710.756,percent of total billed charges,2003.663687,,,,6644.872,percent of total billed charges,6594.45555,,,,6644.872,percent of total billed charges,4548.143725,,,,,,,,,,6776.64,percent of total billed charges,4404.656531,,,,,,,,,,6776.64,percent of total billed charges,999999999,,,,,,,,,,7529.6,percent of total billed charges,6309.413398,,,,7435.48,percent of total billed charges,7175.558185,,,,7435.48,percent of total billed charges,6339.843179,,,,7529.6,percent of total billed charges,999999999,,,,7529.6,percent of total billed charges,999999999,,,,6588.4,percent of total billed charges,999999999,,,,6588.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5007.184,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4753.06,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2353,percent of total billed charges,2234.774435,,,,,,,,,,2353,percent of total billed charges,2197.600483,,,,,,,,,,2353,percent of total billed charges,2191.493445,,,,,,,,,,2353,percent of total billed charges,2159.223731,,,,,,,,,,2353,percent of total billed charges,2214.783732,,,,,,,,,,2353,percent of total billed charges,999999999,,,,,,,,,,2353,percent of total billed charges,1900.440407,,,,,,,,,,2353,percent of total billed charges,2997.125576,,,,,,,,,,2353,percent of total billed charges,999999999,,,,,,,,,,2353,percent of total billed charges,2049.139545,,,,,,,,,,8470.8,percent of total billed charges,,,,,
MRI LE JNT RT W AND W/O CONTRAST,73723,CDM,0056-2780-01,NDC,RT,both,1,EA,5733,5733,1220.463655,5733,5733,percent of total billed charges,4217.971769,,,,5733,percent of total billed charges,4470.966676,,,,5733,percent of total billed charges,4217.971769,,,,5733,percent of total billed charges,4470.966676,,,,5733,percent of total billed charges,999999999,,,,5733,percent of total billed charges,4368.151973,,,,5733,percent of total billed charges,4217.971769,,,,5733,percent of total billed charges,4470.966676,,,,4087.629,percent of total billed charges,2039.801675,,,,4087.629,percent of total billed charges,1220.463655,,,,4087.629,percent of total billed charges,2039.801675,,,,4087.629,percent of total billed charges,1220.463655,,,,4087.629,percent of total billed charges,2039.801675,,,,4087.629,percent of total billed charges,1220.463655,,,,4047.498,percent of total billed charges,4016.788532,,,,4047.498,percent of total billed charges,2770.347214,,,,,,,,,,4127.76,percent of total billed charges,2682.946865,,,,,,,,,,4127.76,percent of total billed charges,999999999,,,,,,,,,,4586.4,percent of total billed charges,3843.164791,,,,4529.07,percent of total billed charges,4370.747458,,,,4529.07,percent of total billed charges,3861.700058,,,,4586.4,percent of total billed charges,999999999,,,,4586.4,percent of total billed charges,999999999,,,,4013.1,percent of total billed charges,999999999,,,,4013.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3049.956,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2895.165,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1433.25,percent of total billed charges,1361.236914,,,,,,,,,,1433.25,percent of total billed charges,1338.593664,,,,,,,,,,1433.25,percent of total billed charges,1334.87377,,,,,,,,,,1433.25,percent of total billed charges,1315.21777,,,,,,,,,,1433.25,percent of total billed charges,1349.060257,,,,,,,,,,1433.25,percent of total billed charges,999999999,,,,,,,,,,1433.25,percent of total billed charges,1157.588701,,,,,,,,,,1433.25,percent of total billed charges,1825.597208,,,,,,,,,,1433.25,percent of total billed charges,999999999,,,,,,,,,,1433.25,percent of total billed charges,1248.163728,,,,,,,,,,5159.7,percent of total billed charges,,,,,
MRI LE JNT LT W AND W/O CONTRAST,73723,CDM,0056-2780-01,NDC,LT,both,1,EA,5733,5733,1220.463655,5733,5733,percent of total billed charges,4217.971769,,,,5733,percent of total billed charges,4470.966676,,,,5733,percent of total billed charges,4217.971769,,,,5733,percent of total billed charges,4470.966676,,,,5733,percent of total billed charges,999999999,,,,5733,percent of total billed charges,4368.151973,,,,5733,percent of total billed charges,4217.971769,,,,5733,percent of total billed charges,4470.966676,,,,4087.629,percent of total billed charges,2039.801675,,,,4087.629,percent of total billed charges,1220.463655,,,,4087.629,percent of total billed charges,2039.801675,,,,4087.629,percent of total billed charges,1220.463655,,,,4087.629,percent of total billed charges,2039.801675,,,,4087.629,percent of total billed charges,1220.463655,,,,4047.498,percent of total billed charges,4016.788532,,,,4047.498,percent of total billed charges,2770.347214,,,,,,,,,,4127.76,percent of total billed charges,2682.946865,,,,,,,,,,4127.76,percent of total billed charges,999999999,,,,,,,,,,4586.4,percent of total billed charges,3843.164791,,,,4529.07,percent of total billed charges,4370.747458,,,,4529.07,percent of total billed charges,3861.700058,,,,4586.4,percent of total billed charges,999999999,,,,4586.4,percent of total billed charges,999999999,,,,4013.1,percent of total billed charges,999999999,,,,4013.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3049.956,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2895.165,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1433.25,percent of total billed charges,1361.236914,,,,,,,,,,1433.25,percent of total billed charges,1338.593664,,,,,,,,,,1433.25,percent of total billed charges,1334.87377,,,,,,,,,,1433.25,percent of total billed charges,1315.21777,,,,,,,,,,1433.25,percent of total billed charges,1349.060257,,,,,,,,,,1433.25,percent of total billed charges,999999999,,,,,,,,,,1433.25,percent of total billed charges,1157.588701,,,,,,,,,,1433.25,percent of total billed charges,1825.597208,,,,,,,,,,1433.25,percent of total billed charges,999999999,,,,,,,,,,1433.25,percent of total billed charges,1248.163728,,,,,,,,,,5159.7,percent of total billed charges,,,,,
**MRI LE JNT W & W/O CONTRAST,73723,CDM,0056-2780-01,NDC,,both,1,EA,6932,6932,1475.711504,6932,6932,percent of total billed charges,5100.118664,,,,6932,percent of total billed charges,5406.024943,,,,6932,percent of total billed charges,5100.118664,,,,6932,percent of total billed charges,5406.024943,,,,6932,percent of total billed charges,999999999,,,,6932,percent of total billed charges,5281.707567,,,,6932,percent of total billed charges,5100.118664,,,,6932,percent of total billed charges,5406.024943,,,,4942.516,percent of total billed charges,2466.405932,,,,4942.516,percent of total billed charges,1475.711504,,,,4942.516,percent of total billed charges,2466.405932,,,,4942.516,percent of total billed charges,1475.711504,,,,4942.516,percent of total billed charges,2466.405932,,,,4942.516,percent of total billed charges,1475.711504,,,,4893.992,percent of total billed charges,4856.859952,,,,4893.992,percent of total billed charges,3349.737813,,,,,,,,,,4991.04,percent of total billed charges,3244.05855,,,,,,,,,,4991.04,percent of total billed charges,999999999,,,,,,,,,,5545.6,percent of total billed charges,4646.92453,,,,5476.28,percent of total billed charges,5284.845871,,,,5476.28,percent of total billed charges,4669.336264,,,,5545.6,percent of total billed charges,999999999,,,,5545.6,percent of total billed charges,999999999,,,,4852.4,percent of total billed charges,999999999,,,,4852.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3687.824,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3500.66,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1733,percent of total billed charges,1645.926093,,,,,,,,,,1733,percent of total billed charges,1618.547232,,,,,,,,,,1733,percent of total billed charges,1614.049359,,,,,,,,,,1733,percent of total billed charges,1590.282501,,,,,,,,,,1733,percent of total billed charges,1631.202808,,,,,,,,,,1733,percent of total billed charges,999999999,,,,,,,,,,1733,percent of total billed charges,1399.686879,,,,,,,,,,1733,percent of total billed charges,2207.40273,,,,,,,,,,1733,percent of total billed charges,999999999,,,,,,,,,,1733,percent of total billed charges,1509.204773,,,,,,,,,,6238.8,percent of total billed charges,,,,,
**MRI LE JNT BI W & W/O CONTRAST,73723,CDM,0056-2780-01,NDC,50,both,1,EA,10700,10700,2277.858207,10700,10700,percent of total billed charges,7872.370125,,,,10700,percent of total billed charges,8344.556677,,,,10700,percent of total billed charges,7872.370125,,,,10700,percent of total billed charges,8344.556677,,,,10700,percent of total billed charges,999999999,,,,10700,percent of total billed charges,8152.664594,,,,10700,percent of total billed charges,7872.370125,,,,10700,percent of total billed charges,8344.556677,,,,7629.1,percent of total billed charges,3807.060513,,,,7629.1,percent of total billed charges,2277.858207,,,,7629.1,percent of total billed charges,3807.060513,,,,7629.1,percent of total billed charges,2277.858207,,,,7629.1,percent of total billed charges,3807.060513,,,,7629.1,percent of total billed charges,2277.858207,,,,7554.2,percent of total billed charges,7496.884231,,,,7554.2,percent of total billed charges,5170.541633,,,,,,,,,,7704,percent of total billed charges,5007.418709,,,,,,,,,,7704,percent of total billed charges,999999999,,,,,,,,,,8560,percent of total billed charges,7172.835036,,,,8453,percent of total billed charges,8157.508774,,,,8453,percent of total billed charges,7207.429028,,,,8560,percent of total billed charges,999999999,,,,8560,percent of total billed charges,999999999,,,,7490,percent of total billed charges,999999999,,,,7490,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5692.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5403.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2675,percent of total billed charges,2540.595671,,,,,,,,,,2675,percent of total billed charges,2498.334591,,,,,,,,,,2675,percent of total billed charges,2491.391826,,,,,,,,,,2675,percent of total billed charges,2454.706112,,,,,,,,,,2675,percent of total billed charges,2517.869309,,,,,,,,,,2675,percent of total billed charges,999999999,,,,,,,,,,2675,percent of total billed charges,2160.509175,,,,,,,,,,2675,percent of total billed charges,3407.271957,,,,,,,,,,2675,percent of total billed charges,999999999,,,,,,,,,,2675,percent of total billed charges,2329.557281,,,,,,,,,,9630,percent of total billed charges,,,,,
MRI LE JNT RT W/ CONTRAST,73722,CDM,0056-2780-01,NDC,RT,both,1,EA,4821,4821,1026.313497,4821,4821,percent of total billed charges,3546.98097,,,,4821,percent of total billed charges,3759.729695,,,,4821,percent of total billed charges,3546.98097,,,,4821,percent of total billed charges,3759.729695,,,,4821,percent of total billed charges,999999999,,,,4821,percent of total billed charges,3673.270655,,,,4821,percent of total billed charges,3546.98097,,,,4821,percent of total billed charges,3759.729695,,,,3437.373,percent of total billed charges,1715.312031,,,,3437.373,percent of total billed charges,1026.313497,,,,3437.373,percent of total billed charges,1715.312031,,,,3437.373,percent of total billed charges,1026.313497,,,,3437.373,percent of total billed charges,1715.312031,,,,3437.373,percent of total billed charges,1026.313497,,,,3403.626,percent of total billed charges,3377.801764,,,,3403.626,percent of total billed charges,2329.643104,,,,,,,,,,3471.12,percent of total billed charges,2256.146317,,,,,,,,,,3471.12,percent of total billed charges,999999999,,,,,,,,,,3856.8,percent of total billed charges,3231.797917,,,,3808.59,percent of total billed charges,3675.453252,,,,3808.59,percent of total billed charges,3247.384612,,,,3856.8,percent of total billed charges,999999999,,,,3856.8,percent of total billed charges,999999999,,,,3374.7,percent of total billed charges,999999999,,,,3374.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2564.772,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2434.605,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1205.25,percent of total billed charges,1144.692685,,,,,,,,,,1205.25,percent of total billed charges,1125.651501,,,,,,,,,,1205.25,percent of total billed charges,1122.523364,,,,,,,,,,1205.25,percent of total billed charges,1105.994221,,,,,,,,,,1205.25,percent of total billed charges,1134.453078,,,,,,,,,,1205.25,percent of total billed charges,999999999,,,,,,,,,,1205.25,percent of total billed charges,973.4406293,,,,,,,,,,1205.25,percent of total billed charges,1535.183001,,,,,,,,,,1205.25,percent of total billed charges,999999999,,,,,,,,,,1205.25,percent of total billed charges,1049.60707,,,,,,,,,,4338.9,percent of total billed charges,,,,,
MRI LE JNT LT W/ CONTRAST,73722,CDM,0056-2780-01,NDC,LT,both,1,EA,4821,4821,1026.313497,4821,4821,percent of total billed charges,3546.98097,,,,4821,percent of total billed charges,3759.729695,,,,4821,percent of total billed charges,3546.98097,,,,4821,percent of total billed charges,3759.729695,,,,4821,percent of total billed charges,999999999,,,,4821,percent of total billed charges,3673.270655,,,,4821,percent of total billed charges,3546.98097,,,,4821,percent of total billed charges,3759.729695,,,,3437.373,percent of total billed charges,1715.312031,,,,3437.373,percent of total billed charges,1026.313497,,,,3437.373,percent of total billed charges,1715.312031,,,,3437.373,percent of total billed charges,1026.313497,,,,3437.373,percent of total billed charges,1715.312031,,,,3437.373,percent of total billed charges,1026.313497,,,,3403.626,percent of total billed charges,3377.801764,,,,3403.626,percent of total billed charges,2329.643104,,,,,,,,,,3471.12,percent of total billed charges,2256.146317,,,,,,,,,,3471.12,percent of total billed charges,999999999,,,,,,,,,,3856.8,percent of total billed charges,3231.797917,,,,3808.59,percent of total billed charges,3675.453252,,,,3808.59,percent of total billed charges,3247.384612,,,,3856.8,percent of total billed charges,999999999,,,,3856.8,percent of total billed charges,999999999,,,,3374.7,percent of total billed charges,999999999,,,,3374.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2564.772,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2434.605,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1205.25,percent of total billed charges,1144.692685,,,,,,,,,,1205.25,percent of total billed charges,1125.651501,,,,,,,,,,1205.25,percent of total billed charges,1122.523364,,,,,,,,,,1205.25,percent of total billed charges,1105.994221,,,,,,,,,,1205.25,percent of total billed charges,1134.453078,,,,,,,,,,1205.25,percent of total billed charges,999999999,,,,,,,,,,1205.25,percent of total billed charges,973.4406293,,,,,,,,,,1205.25,percent of total billed charges,1535.183001,,,,,,,,,,1205.25,percent of total billed charges,999999999,,,,,,,,,,1205.25,percent of total billed charges,1049.60707,,,,,,,,,,4338.9,percent of total billed charges,,,,,
**MRI UE JNT W & W/O CONTRAST,73223,CDM,0056-2780-01,NDC,,both,1,EA,9723,9723,2069.870594,9723,9723,percent of total billed charges,7153.556517,,,,9723,percent of total billed charges,7582.628465,,,,9723,percent of total billed charges,7153.556517,,,,9723,percent of total billed charges,7582.628465,,,,9723,percent of total billed charges,999999999,,,,9723,percent of total billed charges,7408.257742,,,,9723,percent of total billed charges,7153.556517,,,,9723,percent of total billed charges,7582.628465,,,,6932.499,percent of total billed charges,3459.443866,,,,6932.499,percent of total billed charges,2069.870594,,,,6932.499,percent of total billed charges,3459.443866,,,,6932.499,percent of total billed charges,2069.870594,,,,6932.499,percent of total billed charges,3459.443866,,,,6932.499,percent of total billed charges,2069.870594,,,,6864.438,percent of total billed charges,6812.355643,,,,6864.438,percent of total billed charges,4698.427692,,,,,,,,,,7000.56,percent of total billed charges,4550.199262,,,,,,,,,,7000.56,percent of total billed charges,999999999,,,,,,,,,,7778.4,percent of total billed charges,6517.894865,,,,7681.17,percent of total billed charges,7412.659608,,,,7681.17,percent of total billed charges,6549.330134,,,,7778.4,percent of total billed charges,999999999,,,,7778.4,percent of total billed charges,999999999,,,,6806.1,percent of total billed charges,999999999,,,,6806.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5172.636,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4910.115,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2430.75,percent of total billed charges,2308.617917,,,,,,,,,,2430.75,percent of total billed charges,2270.215629,,,,,,,,,,2430.75,percent of total billed charges,2263.906797,,,,,,,,,,2430.75,percent of total billed charges,2230.570797,,,,,,,,,,2430.75,percent of total billed charges,2287.966662,,,,,,,,,,2430.75,percent of total billed charges,999999999,,,,,,,,,,2430.75,percent of total billed charges,1963.236515,,,,,,,,,,2430.75,percent of total billed charges,3096.159368,,,,,,,,,,2430.75,percent of total billed charges,999999999,,,,,,,,,,2430.75,percent of total billed charges,2116.849107,,,,,,,,,,8750.7,percent of total billed charges,,,,,
**MRI UE JNT BI W & W/O CONTRAST,73223,CDM,0056-2780-01,NDC,50,both,1,EA,10700,10700,2277.858207,10700,10700,percent of total billed charges,7872.370125,,,,10700,percent of total billed charges,8344.556677,,,,10700,percent of total billed charges,7872.370125,,,,10700,percent of total billed charges,8344.556677,,,,10700,percent of total billed charges,999999999,,,,10700,percent of total billed charges,8152.664594,,,,10700,percent of total billed charges,7872.370125,,,,10700,percent of total billed charges,8344.556677,,,,7629.1,percent of total billed charges,3807.060513,,,,7629.1,percent of total billed charges,2277.858207,,,,7629.1,percent of total billed charges,3807.060513,,,,7629.1,percent of total billed charges,2277.858207,,,,7629.1,percent of total billed charges,3807.060513,,,,7629.1,percent of total billed charges,2277.858207,,,,7554.2,percent of total billed charges,7496.884231,,,,7554.2,percent of total billed charges,5170.541633,,,,,,,,,,7704,percent of total billed charges,5007.418709,,,,,,,,,,7704,percent of total billed charges,999999999,,,,,,,,,,8560,percent of total billed charges,7172.835036,,,,8453,percent of total billed charges,8157.508774,,,,8453,percent of total billed charges,7207.429028,,,,8560,percent of total billed charges,999999999,,,,8560,percent of total billed charges,999999999,,,,7490,percent of total billed charges,999999999,,,,7490,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5692.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5403.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2675,percent of total billed charges,2540.595671,,,,,,,,,,2675,percent of total billed charges,2498.334591,,,,,,,,,,2675,percent of total billed charges,2491.391826,,,,,,,,,,2675,percent of total billed charges,2454.706112,,,,,,,,,,2675,percent of total billed charges,2517.869309,,,,,,,,,,2675,percent of total billed charges,999999999,,,,,,,,,,2675,percent of total billed charges,2160.509175,,,,,,,,,,2675,percent of total billed charges,3407.271957,,,,,,,,,,2675,percent of total billed charges,999999999,,,,,,,,,,2675,percent of total billed charges,2329.557281,,,,,,,,,,9630,percent of total billed charges,,,,,
MRI UE JNT RT W AND WO CONTRAST,73223,CDM,0056-2780-01,NDC,RT,both,1,EA,6269,6269,1334.569449,6269,6269,percent of total billed charges,4612.326011,,,,6269,percent of total billed charges,4888.974375,,,,6269,percent of total billed charges,4612.326011,,,,6269,percent of total billed charges,4888.974375,,,,6269,percent of total billed charges,999999999,,,,6269,percent of total billed charges,4776.547134,,,,6269,percent of total billed charges,4612.326011,,,,6269,percent of total billed charges,4888.974375,,,,4469.797,percent of total billed charges,2230.5105,,,,4469.797,percent of total billed charges,1334.569449,,,,4469.797,percent of total billed charges,2230.5105,,,,4469.797,percent of total billed charges,1334.569449,,,,4469.797,percent of total billed charges,2230.5105,,,,4469.797,percent of total billed charges,1334.569449,,,,4425.914,percent of total billed charges,4392.333387,,,,4425.914,percent of total billed charges,3029.357523,,,,,,,,,,4513.68,percent of total billed charges,2933.785784,,,,,,,,,,4513.68,percent of total billed charges,999999999,,,,,,,,,,5015.2,percent of total billed charges,4202.476901,,,,4952.51,percent of total billed charges,4779.385281,,,,4952.51,percent of total billed charges,4222.745101,,,,5015.2,percent of total billed charges,999999999,,,,5015.2,percent of total billed charges,999999999,,,,4388.3,percent of total billed charges,999999999,,,,4388.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3335.108,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3165.845,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1567.25,percent of total billed charges,1488.504137,,,,,,,,,,1567.25,percent of total billed charges,1463.743883,,,,,,,,,,1567.25,percent of total billed charges,1459.676202,,,,,,,,,,1567.25,percent of total billed charges,1438.182487,,,,,,,,,,1567.25,percent of total billed charges,1475.189037,,,,,,,,,,1567.25,percent of total billed charges,999999999,,,,,,,,,,1567.25,percent of total billed charges,1265.816077,,,,,,,,,,1567.25,percent of total billed charges,1996.279243,,,,,,,,,,1567.25,percent of total billed charges,999999999,,,,,,,,,,1567.25,percent of total billed charges,1364.859308,,,,,,,,,,5642.1,percent of total billed charges,,,,,
MRI UE JNT LT W AND W/O CONTRAST,73223,CDM,0056-2780-01,NDC,LT,both,1,EA,6269,6269,1334.569449,6269,6269,percent of total billed charges,4612.326011,,,,6269,percent of total billed charges,4888.974375,,,,6269,percent of total billed charges,4612.326011,,,,6269,percent of total billed charges,4888.974375,,,,6269,percent of total billed charges,999999999,,,,6269,percent of total billed charges,4776.547134,,,,6269,percent of total billed charges,4612.326011,,,,6269,percent of total billed charges,4888.974375,,,,4469.797,percent of total billed charges,2230.5105,,,,4469.797,percent of total billed charges,1334.569449,,,,4469.797,percent of total billed charges,2230.5105,,,,4469.797,percent of total billed charges,1334.569449,,,,4469.797,percent of total billed charges,2230.5105,,,,4469.797,percent of total billed charges,1334.569449,,,,4425.914,percent of total billed charges,4392.333387,,,,4425.914,percent of total billed charges,3029.357523,,,,,,,,,,4513.68,percent of total billed charges,2933.785784,,,,,,,,,,4513.68,percent of total billed charges,999999999,,,,,,,,,,5015.2,percent of total billed charges,4202.476901,,,,4952.51,percent of total billed charges,4779.385281,,,,4952.51,percent of total billed charges,4222.745101,,,,5015.2,percent of total billed charges,999999999,,,,5015.2,percent of total billed charges,999999999,,,,4388.3,percent of total billed charges,999999999,,,,4388.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3335.108,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3165.845,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1567.25,percent of total billed charges,1488.504137,,,,,,,,,,1567.25,percent of total billed charges,1463.743883,,,,,,,,,,1567.25,percent of total billed charges,1459.676202,,,,,,,,,,1567.25,percent of total billed charges,1438.182487,,,,,,,,,,1567.25,percent of total billed charges,1475.189037,,,,,,,,,,1567.25,percent of total billed charges,999999999,,,,,,,,,,1567.25,percent of total billed charges,1265.816077,,,,,,,,,,1567.25,percent of total billed charges,1996.279243,,,,,,,,,,1567.25,percent of total billed charges,999999999,,,,,,,,,,1567.25,percent of total billed charges,1364.859308,,,,,,,,,,5642.1,percent of total billed charges,,,,,
**MRI UE JNT W/CONTRAST,73222,CDM,0056-2780-01,NDC,,both,1,EA,8560,8560,1822.286566,8560,8560,percent of total billed charges,6297.8961,,,,8560,percent of total billed charges,6675.645342,,,,8560,percent of total billed charges,6297.8961,,,,8560,percent of total billed charges,6675.645342,,,,8560,percent of total billed charges,999999999,,,,8560,percent of total billed charges,6522.131675,,,,8560,percent of total billed charges,6297.8961,,,,8560,percent of total billed charges,6675.645342,,,,6103.28,percent of total billed charges,3045.64841,,,,6103.28,percent of total billed charges,1822.286566,,,,6103.28,percent of total billed charges,3045.64841,,,,6103.28,percent of total billed charges,1822.286566,,,,6103.28,percent of total billed charges,3045.64841,,,,6103.28,percent of total billed charges,1822.286566,,,,6043.36,percent of total billed charges,5997.507385,,,,6043.36,percent of total billed charges,4136.433307,,,,,,,,,,6163.2,percent of total billed charges,4005.934967,,,,,,,,,,6163.2,percent of total billed charges,999999999,,,,,,,,,,6848,percent of total billed charges,5738.268029,,,,6762.4,percent of total billed charges,6526.007019,,,,6762.4,percent of total billed charges,5765.943222,,,,6848,percent of total billed charges,999999999,,,,6848,percent of total billed charges,999999999,,,,5992,percent of total billed charges,999999999,,,,5992,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4553.92,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4322.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2140,percent of total billed charges,2032.476537,,,,,,,,,,2140,percent of total billed charges,1998.667673,,,,,,,,,,2140,percent of total billed charges,1993.113461,,,,,,,,,,2140,percent of total billed charges,1963.764889,,,,,,,,,,2140,percent of total billed charges,2014.295447,,,,,,,,,,2140,percent of total billed charges,999999999,,,,,,,,,,2140,percent of total billed charges,1728.40734,,,,,,,,,,2140,percent of total billed charges,2725.817566,,,,,,,,,,2140,percent of total billed charges,999999999,,,,,,,,,,2140,percent of total billed charges,1863.645825,,,,,,,,,,7704,percent of total billed charges,,,,,
**MRI UE JNT BI W/ CONTRAST,73222,CDM,0056-2780-01,NDC,50,both,1,EA,9412,9412,2003.663687,9412,9412,percent of total billed charges,6924.742768,,,,9412,percent of total billed charges,7340.090415,,,,9412,percent of total billed charges,6924.742768,,,,9412,percent of total billed charges,7340.090415,,,,9412,percent of total billed charges,999999999,,,,9412,percent of total billed charges,7171.297117,,,,9412,percent of total billed charges,6924.742768,,,,9412,percent of total billed charges,7340.090415,,,,6710.756,percent of total billed charges,3348.790051,,,,6710.756,percent of total billed charges,2003.663687,,,,6710.756,percent of total billed charges,3348.790051,,,,6710.756,percent of total billed charges,2003.663687,,,,6710.756,percent of total billed charges,3348.790051,,,,6710.756,percent of total billed charges,2003.663687,,,,6644.872,percent of total billed charges,6594.45555,,,,6644.872,percent of total billed charges,4548.143725,,,,,,,,,,6776.64,percent of total billed charges,4404.656531,,,,,,,,,,6776.64,percent of total billed charges,999999999,,,,,,,,,,7529.6,percent of total billed charges,6309.413398,,,,7435.48,percent of total billed charges,7175.558185,,,,7435.48,percent of total billed charges,6339.843179,,,,7529.6,percent of total billed charges,999999999,,,,7529.6,percent of total billed charges,999999999,,,,6588.4,percent of total billed charges,999999999,,,,6588.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5007.184,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4753.06,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2353,percent of total billed charges,2234.774435,,,,,,,,,,2353,percent of total billed charges,2197.600483,,,,,,,,,,2353,percent of total billed charges,2191.493445,,,,,,,,,,2353,percent of total billed charges,2159.223731,,,,,,,,,,2353,percent of total billed charges,2214.783732,,,,,,,,,,2353,percent of total billed charges,999999999,,,,,,,,,,2353,percent of total billed charges,1900.440407,,,,,,,,,,2353,percent of total billed charges,2997.125576,,,,,,,,,,2353,percent of total billed charges,999999999,,,,,,,,,,2353,percent of total billed charges,2049.139545,,,,,,,,,,8470.8,percent of total billed charges,,,,,
MRI UE JNT RT W/ CONTRAST,73222,CDM,0056-2780-01,NDC,RT,both,1,EA,4789,4789,1019.501211,4789,4789,percent of total billed charges,3523.437433,,,,4789,percent of total billed charges,3734.774012,,,,4789,percent of total billed charges,3523.437433,,,,4789,percent of total billed charges,3734.774012,,,,4789,percent of total billed charges,999999999,,,,4789,percent of total billed charges,3648.888854,,,,4789,percent of total billed charges,3523.437433,,,,4789,percent of total billed charges,3734.774012,,,,3414.557,percent of total billed charges,1703.92643,,,,3414.557,percent of total billed charges,1019.501211,,,,3414.557,percent of total billed charges,1703.92643,,,,3414.557,percent of total billed charges,1019.501211,,,,3414.557,percent of total billed charges,1703.92643,,,,3414.557,percent of total billed charges,1019.501211,,,,3381.034,percent of total billed charges,3355.381176,,,,3381.034,percent of total billed charges,2314.179802,,,,,,,,,,3448.08,percent of total billed charges,2241.170859,,,,,,,,,,3448.08,percent of total billed charges,999999999,,,,,,,,,,3831.2,percent of total billed charges,3210.346447,,,,3783.31,percent of total billed charges,3651.056964,,,,3783.31,percent of total billed charges,3225.829684,,,,3831.2,percent of total billed charges,999999999,,,,3831.2,percent of total billed charges,999999999,,,,3352.3,percent of total billed charges,999999999,,,,3352.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2547.748,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2418.445,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1197.25,percent of total billed charges,1137.094642,,,,,,,,,,1197.25,percent of total billed charges,1118.179846,,,,,,,,,,1197.25,percent of total billed charges,1115.072472,,,,,,,,,,1197.25,percent of total billed charges,1098.653044,,,,,,,,,,1197.25,percent of total billed charges,1126.923002,,,,,,,,,,1197.25,percent of total billed charges,999999999,,,,,,,,,,1197.25,percent of total billed charges,966.9792935,,,,,,,,,,1197.25,percent of total billed charges,1524.993028,,,,,,,,,,1197.25,percent of total billed charges,999999999,,,,,,,,,,1197.25,percent of total billed charges,1042.64017,,,,,,,,,,4310.1,percent of total billed charges,,,,,
MRI UE JNT LT W/ CONTRAST,73222,CDM,0056-2780-01,NDC,LT,both,1,EA,4789,4789,1019.501211,4789,4789,percent of total billed charges,3523.437433,,,,4789,percent of total billed charges,3734.774012,,,,4789,percent of total billed charges,3523.437433,,,,4789,percent of total billed charges,3734.774012,,,,4789,percent of total billed charges,999999999,,,,4789,percent of total billed charges,3648.888854,,,,4789,percent of total billed charges,3523.437433,,,,4789,percent of total billed charges,3734.774012,,,,3414.557,percent of total billed charges,1703.92643,,,,3414.557,percent of total billed charges,1019.501211,,,,3414.557,percent of total billed charges,1703.92643,,,,3414.557,percent of total billed charges,1019.501211,,,,3414.557,percent of total billed charges,1703.92643,,,,3414.557,percent of total billed charges,1019.501211,,,,3381.034,percent of total billed charges,3355.381176,,,,3381.034,percent of total billed charges,2314.179802,,,,,,,,,,3448.08,percent of total billed charges,2241.170859,,,,,,,,,,3448.08,percent of total billed charges,999999999,,,,,,,,,,3831.2,percent of total billed charges,3210.346447,,,,3783.31,percent of total billed charges,3651.056964,,,,3783.31,percent of total billed charges,3225.829684,,,,3831.2,percent of total billed charges,999999999,,,,3831.2,percent of total billed charges,999999999,,,,3352.3,percent of total billed charges,999999999,,,,3352.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2547.748,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2418.445,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1197.25,percent of total billed charges,1137.094642,,,,,,,,,,1197.25,percent of total billed charges,1118.179846,,,,,,,,,,1197.25,percent of total billed charges,1115.072472,,,,,,,,,,1197.25,percent of total billed charges,1098.653044,,,,,,,,,,1197.25,percent of total billed charges,1126.923002,,,,,,,,,,1197.25,percent of total billed charges,999999999,,,,,,,,,,1197.25,percent of total billed charges,966.9792935,,,,,,,,,,1197.25,percent of total billed charges,1524.993028,,,,,,,,,,1197.25,percent of total billed charges,999999999,,,,,,,,,,1197.25,percent of total billed charges,1042.64017,,,,,,,,,,4310.1,percent of total billed charges,,,,,
**MRI UE JNT OTHER W/ CONTRAST,73219,CDM,0056-2780-01,NDC,,both,1,EA,8560,8560,1822.286566,8560,8560,percent of total billed charges,6297.8961,,,,8560,percent of total billed charges,6675.645342,,,,8560,percent of total billed charges,6297.8961,,,,8560,percent of total billed charges,6675.645342,,,,8560,percent of total billed charges,999999999,,,,8560,percent of total billed charges,6522.131675,,,,8560,percent of total billed charges,6297.8961,,,,8560,percent of total billed charges,6675.645342,,,,6103.28,percent of total billed charges,3045.64841,,,,6103.28,percent of total billed charges,1822.286566,,,,6103.28,percent of total billed charges,3045.64841,,,,6103.28,percent of total billed charges,1822.286566,,,,6103.28,percent of total billed charges,3045.64841,,,,6103.28,percent of total billed charges,1822.286566,,,,6043.36,percent of total billed charges,5997.507385,,,,6043.36,percent of total billed charges,4136.433307,,,,,,,,,,6163.2,percent of total billed charges,4005.934967,,,,,,,,,,6163.2,percent of total billed charges,999999999,,,,,,,,,,6848,percent of total billed charges,5738.268029,,,,6762.4,percent of total billed charges,6526.007019,,,,6762.4,percent of total billed charges,5765.943222,,,,6848,percent of total billed charges,999999999,,,,6848,percent of total billed charges,999999999,,,,5992,percent of total billed charges,999999999,,,,5992,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4553.92,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4322.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2140,percent of total billed charges,2032.476537,,,,,,,,,,2140,percent of total billed charges,1998.667673,,,,,,,,,,2140,percent of total billed charges,1993.113461,,,,,,,,,,2140,percent of total billed charges,1963.764889,,,,,,,,,,2140,percent of total billed charges,2014.295447,,,,,,,,,,2140,percent of total billed charges,999999999,,,,,,,,,,2140,percent of total billed charges,1728.40734,,,,,,,,,,2140,percent of total billed charges,2725.817566,,,,,,,,,,2140,percent of total billed charges,999999999,,,,,,,,,,2140,percent of total billed charges,1863.645825,,,,,,,,,,7704,percent of total billed charges,,,,,
**MRI UE JNT BI OTHER W/ CONTRAST,73219,CDM,0056-2780-01,NDC,50,both,1,EA,9412,9412,2003.663687,9412,9412,percent of total billed charges,6924.742768,,,,9412,percent of total billed charges,7340.090415,,,,9412,percent of total billed charges,6924.742768,,,,9412,percent of total billed charges,7340.090415,,,,9412,percent of total billed charges,999999999,,,,9412,percent of total billed charges,7171.297117,,,,9412,percent of total billed charges,6924.742768,,,,9412,percent of total billed charges,7340.090415,,,,6710.756,percent of total billed charges,3348.790051,,,,6710.756,percent of total billed charges,2003.663687,,,,6710.756,percent of total billed charges,3348.790051,,,,6710.756,percent of total billed charges,2003.663687,,,,6710.756,percent of total billed charges,3348.790051,,,,6710.756,percent of total billed charges,2003.663687,,,,6644.872,percent of total billed charges,6594.45555,,,,6644.872,percent of total billed charges,4548.143725,,,,,,,,,,6776.64,percent of total billed charges,4404.656531,,,,,,,,,,6776.64,percent of total billed charges,999999999,,,,,,,,,,7529.6,percent of total billed charges,6309.413398,,,,7435.48,percent of total billed charges,7175.558185,,,,7435.48,percent of total billed charges,6339.843179,,,,7529.6,percent of total billed charges,999999999,,,,7529.6,percent of total billed charges,999999999,,,,6588.4,percent of total billed charges,999999999,,,,6588.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5007.184,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4753.06,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2353,percent of total billed charges,2234.774435,,,,,,,,,,2353,percent of total billed charges,2197.600483,,,,,,,,,,2353,percent of total billed charges,2191.493445,,,,,,,,,,2353,percent of total billed charges,2159.223731,,,,,,,,,,2353,percent of total billed charges,2214.783732,,,,,,,,,,2353,percent of total billed charges,999999999,,,,,,,,,,2353,percent of total billed charges,1900.440407,,,,,,,,,,2353,percent of total billed charges,2997.125576,,,,,,,,,,2353,percent of total billed charges,999999999,,,,,,,,,,2353,percent of total billed charges,2049.139545,,,,,,,,,,8470.8,percent of total billed charges,,,,,
MRI UE OTHER RT W CONTRAST,73219,CDM,0056-2780-01,NDC,RT,both,1,EA,5066,5066,1078.470063,5066,5066,percent of total billed charges,3727.236173,,,,5066,percent of total billed charges,3950.796647,,,,5066,percent of total billed charges,3727.236173,,,,5066,percent of total billed charges,3950.796647,,,,5066,percent of total billed charges,999999999,,,,5066,percent of total billed charges,3859.943816,,,,5066,percent of total billed charges,3727.236173,,,,5066,percent of total billed charges,3950.796647,,,,3612.058,percent of total billed charges,1802.483043,,,,3612.058,percent of total billed charges,1078.470063,,,,3612.058,percent of total billed charges,1802.483043,,,,3612.058,percent of total billed charges,1078.470063,,,,3612.058,percent of total billed charges,1802.483043,,,,3612.058,percent of total billed charges,1078.470063,,,,3576.596,percent of total billed charges,3549.459394,,,,3576.596,percent of total billed charges,2448.034011,,,,,,,,,,3647.52,percent of total billed charges,2370.802166,,,,,,,,,,3647.52,percent of total billed charges,999999999,,,,,,,,,,4052.8,percent of total billed charges,3396.035728,,,,4002.14,percent of total billed charges,3862.237332,,,,4002.14,percent of total billed charges,3412.414529,,,,4052.8,percent of total billed charges,999999999,,,,4052.8,percent of total billed charges,999999999,,,,3546.2,percent of total billed charges,999999999,,,,3546.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2695.112,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2558.33,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1266.5,percent of total billed charges,1202.865203,,,,,,,,,,1266.5,percent of total billed charges,1182.856359,,,,,,,,,,1266.5,percent of total billed charges,1179.569251,,,,,,,,,,1266.5,percent of total billed charges,1162.200109,,,,,,,,,,1266.5,percent of total billed charges,1192.105226,,,,,,,,,,1266.5,percent of total billed charges,999999999,,,,,,,,,,1266.5,percent of total billed charges,1022.910232,,,,,,,,,,1266.5,percent of total billed charges,1613.199975,,,,,,,,,,1266.5,percent of total billed charges,999999999,,,,,,,,,,1266.5,percent of total billed charges,1102.947401,,,,,,,,,,4559.4,percent of total billed charges,,,,,
MRI UE OTHER LT W CONTRAST,73219,CDM,0056-2780-01,NDC,LT,both,1,EA,5066,5066,1078.470063,5066,5066,percent of total billed charges,3727.236173,,,,5066,percent of total billed charges,3950.796647,,,,5066,percent of total billed charges,3727.236173,,,,5066,percent of total billed charges,3950.796647,,,,5066,percent of total billed charges,999999999,,,,5066,percent of total billed charges,3859.943816,,,,5066,percent of total billed charges,3727.236173,,,,5066,percent of total billed charges,3950.796647,,,,3612.058,percent of total billed charges,1802.483043,,,,3612.058,percent of total billed charges,1078.470063,,,,3612.058,percent of total billed charges,1802.483043,,,,3612.058,percent of total billed charges,1078.470063,,,,3612.058,percent of total billed charges,1802.483043,,,,3612.058,percent of total billed charges,1078.470063,,,,3576.596,percent of total billed charges,3549.459394,,,,3576.596,percent of total billed charges,2448.034011,,,,,,,,,,3647.52,percent of total billed charges,2370.802166,,,,,,,,,,3647.52,percent of total billed charges,999999999,,,,,,,,,,4052.8,percent of total billed charges,3396.035728,,,,4002.14,percent of total billed charges,3862.237332,,,,4002.14,percent of total billed charges,3412.414529,,,,4052.8,percent of total billed charges,999999999,,,,4052.8,percent of total billed charges,999999999,,,,3546.2,percent of total billed charges,999999999,,,,3546.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2695.112,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2558.33,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1266.5,percent of total billed charges,1202.865203,,,,,,,,,,1266.5,percent of total billed charges,1182.856359,,,,,,,,,,1266.5,percent of total billed charges,1179.569251,,,,,,,,,,1266.5,percent of total billed charges,1162.200109,,,,,,,,,,1266.5,percent of total billed charges,1192.105226,,,,,,,,,,1266.5,percent of total billed charges,999999999,,,,,,,,,,1266.5,percent of total billed charges,1022.910232,,,,,,,,,,1266.5,percent of total billed charges,1613.199975,,,,,,,,,,1266.5,percent of total billed charges,999999999,,,,,,,,,,1266.5,percent of total billed charges,1102.947401,,,,,,,,,,4559.4,percent of total billed charges,,,,,
**MRI UE JNT OTHER W/O CONTRAST,73218,CDM,0056-2780-01,NDC,,both,1,EA,4725,4725,1005.876638,4725,4725,percent of total billed charges,3476.350359,,,,4725,percent of total billed charges,3684.862645,,,,4725,percent of total billed charges,3476.350359,,,,4725,percent of total billed charges,3684.862645,,,,4725,percent of total billed charges,999999999,,,,4725,percent of total billed charges,3600.125253,,,,4725,percent of total billed charges,3476.350359,,,,4725,percent of total billed charges,3684.862645,,,,3368.925,percent of total billed charges,1681.155226,,,,3368.925,percent of total billed charges,1005.876638,,,,3368.925,percent of total billed charges,1681.155226,,,,3368.925,percent of total billed charges,1005.876638,,,,3368.925,percent of total billed charges,1681.155226,,,,3368.925,percent of total billed charges,1005.876638,,,,3335.85,percent of total billed charges,3310.539999,,,,3335.85,percent of total billed charges,2283.253198,,,,,,,,,,3402,percent of total billed charges,2211.219944,,,,,,,,,,3402,percent of total billed charges,999999999,,,,,,,,,,3780,percent of total billed charges,3167.443509,,,,3732.75,percent of total billed charges,3602.264389,,,,3732.75,percent of total billed charges,3182.719828,,,,3780,percent of total billed charges,999999999,,,,3780,percent of total billed charges,999999999,,,,3307.5,percent of total billed charges,999999999,,,,3307.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2513.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2386.125,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1181.25,percent of total billed charges,1121.898556,,,,,,,,,,1181.25,percent of total billed charges,1103.236537,,,,,,,,,,1181.25,percent of total billed charges,1100.170689,,,,,,,,,,1181.25,percent of total billed charges,1083.970689,,,,,,,,,,1181.25,percent of total billed charges,1111.862849,,,,,,,,,,1181.25,percent of total billed charges,999999999,,,,,,,,,,1181.25,percent of total billed charges,954.0566218,,,,,,,,,,1181.25,percent of total billed charges,1504.613084,,,,,,,,,,1181.25,percent of total billed charges,999999999,,,,,,,,,,1181.25,percent of total billed charges,1028.70637,,,,,,,,,,4252.5,percent of total billed charges,,,,,
**MRI UE JNT BI OTHER W/O CONTRAST,73218,CDM,0056-2780-01,NDC,50,both,1,EA,8455,8455,1799.933752,8455,8455,percent of total billed charges,6220.64387,,,,8455,percent of total billed charges,6593.759505,,,,8455,percent of total billed charges,6220.64387,,,,8455,percent of total billed charges,6593.759505,,,,8455,percent of total billed charges,999999999,,,,8455,percent of total billed charges,6442.128891,,,,8455,percent of total billed charges,6220.64387,,,,8455,percent of total billed charges,6593.759505,,,,6028.415,percent of total billed charges,3008.289405,,,,6028.415,percent of total billed charges,1799.933752,,,,6028.415,percent of total billed charges,3008.289405,,,,6028.415,percent of total billed charges,1799.933752,,,,6028.415,percent of total billed charges,3008.289405,,,,6028.415,percent of total billed charges,1799.933752,,,,5969.23,percent of total billed charges,5923.939829,,,,5969.23,percent of total billed charges,4085.694347,,,,,,,,,,6087.6,percent of total billed charges,3956.796746,,,,,,,,,,6087.6,percent of total billed charges,999999999,,,,,,,,,,6764,percent of total billed charges,5667.880395,,,,6679.45,percent of total billed charges,6445.9567,,,,6679.45,percent of total billed charges,5695.216115,,,,6764,percent of total billed charges,999999999,,,,6764,percent of total billed charges,999999999,,,,5918.5,percent of total billed charges,999999999,,,,5918.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4498.06,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4269.775,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2113.75,percent of total billed charges,2007.545458,,,,,,,,,,2113.75,percent of total billed charges,1974.151305,,,,,,,,,,2113.75,percent of total billed charges,1968.665223,,,,,,,,,,2113.75,percent of total billed charges,1939.676652,,,,,,,,,,2113.75,percent of total billed charges,1989.587384,,,,,,,,,,2113.75,percent of total billed charges,999999999,,,,,,,,,,2113.75,percent of total billed charges,1707.206082,,,,,,,,,,2113.75,percent of total billed charges,2692.381719,,,,,,,,,,2113.75,percent of total billed charges,999999999,,,,,,,,,,2113.75,percent of total billed charges,1840.785683,,,,,,,,,,7609.5,percent of total billed charges,,,,,
MRI UE OTHER RT W/O CONTRAST,73218,CDM,0056-2780-01,NDC,RT,both,1,EA,4022,4022,856.2192253,4022,4022,percent of total billed charges,2959.128284,,,,4022,percent of total billed charges,3136.617472,,,,4022,percent of total billed charges,2959.128284,,,,4022,percent of total billed charges,3136.617472,,,,4022,percent of total billed charges,999999999,,,,4022,percent of total billed charges,3064.48757,,,,4022,percent of total billed charges,2959.128284,,,,4022,percent of total billed charges,3136.617472,,,,2867.686,percent of total billed charges,1431.027793,,,,2867.686,percent of total billed charges,856.2192253,,,,2867.686,percent of total billed charges,1431.027793,,,,2867.686,percent of total billed charges,856.2192253,,,,2867.686,percent of total billed charges,1431.027793,,,,2867.686,percent of total billed charges,856.2192253,,,,2839.532,percent of total billed charges,2817.987699,,,,2839.532,percent of total billed charges,1943.54378,,,,,,,,,,2895.84,percent of total billed charges,1882.227855,,,,,,,,,,2895.84,percent of total billed charges,999999999,,,,,,,,,,3217.6,percent of total billed charges,2696.181543,,,,3177.38,percent of total billed charges,3066.308438,,,,3177.38,percent of total billed charges,2709.185005,,,,3217.6,percent of total billed charges,999999999,,,,3217.6,percent of total billed charges,999999999,,,,2815.4,percent of total billed charges,999999999,,,,2815.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2139.704,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2031.11,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1005.5,percent of total billed charges,954.9790457,,,,,,,,,,1005.5,percent of total billed charges,939.0936191,,,,,,,,,,1005.5,percent of total billed charges,936.4839181,,,,,,,,,,1005.5,percent of total billed charges,922.6942038,,,,,,,,,,1005.5,percent of total billed charges,946.4364821,,,,,,,,,,1005.5,percent of total billed charges,999999999,,,,,,,,,,1005.5,percent of total billed charges,812.1091498,,,,,,,,,,1005.5,percent of total billed charges,1280.752132,,,,,,,,,,1005.5,percent of total billed charges,999999999,,,,,,,,,,1005.5,percent of total billed charges,875.652279,,,,,,,,,,3619.8,percent of total billed charges,,,,,
MRI UE OTHER LT W/O CONTRAST,73218,CDM,0056-2780-01,NDC,LT,both,1,EA,4022,4022,856.2192253,4022,4022,percent of total billed charges,2959.128284,,,,4022,percent of total billed charges,3136.617472,,,,4022,percent of total billed charges,2959.128284,,,,4022,percent of total billed charges,3136.617472,,,,4022,percent of total billed charges,999999999,,,,4022,percent of total billed charges,3064.48757,,,,4022,percent of total billed charges,2959.128284,,,,4022,percent of total billed charges,3136.617472,,,,2867.686,percent of total billed charges,1431.027793,,,,2867.686,percent of total billed charges,856.2192253,,,,2867.686,percent of total billed charges,1431.027793,,,,2867.686,percent of total billed charges,856.2192253,,,,2867.686,percent of total billed charges,1431.027793,,,,2867.686,percent of total billed charges,856.2192253,,,,2839.532,percent of total billed charges,2817.987699,,,,2839.532,percent of total billed charges,1943.54378,,,,,,,,,,2895.84,percent of total billed charges,1882.227855,,,,,,,,,,2895.84,percent of total billed charges,999999999,,,,,,,,,,3217.6,percent of total billed charges,2696.181543,,,,3177.38,percent of total billed charges,3066.308438,,,,3177.38,percent of total billed charges,2709.185005,,,,3217.6,percent of total billed charges,999999999,,,,3217.6,percent of total billed charges,999999999,,,,2815.4,percent of total billed charges,999999999,,,,2815.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2139.704,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2031.11,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1005.5,percent of total billed charges,954.9790457,,,,,,,,,,1005.5,percent of total billed charges,939.0936191,,,,,,,,,,1005.5,percent of total billed charges,936.4839181,,,,,,,,,,1005.5,percent of total billed charges,922.6942038,,,,,,,,,,1005.5,percent of total billed charges,946.4364821,,,,,,,,,,1005.5,percent of total billed charges,999999999,,,,,,,,,,1005.5,percent of total billed charges,812.1091498,,,,,,,,,,1005.5,percent of total billed charges,1280.752132,,,,,,,,,,1005.5,percent of total billed charges,999999999,,,,,,,,,,1005.5,percent of total billed charges,875.652279,,,,,,,,,,3619.8,percent of total billed charges,,,,,
**MRA CHEST WITHOUT CONTRAST,71555,CDM,0056-2780-01,NDC,,both,1,EA,6906,6906,1470.176522,6906,6906,percent of total billed charges,5080.989541,,,,6906,percent of total billed charges,5385.74845,,,,6906,percent of total billed charges,5080.989541,,,,6906,percent of total billed charges,5385.74845,,,,6906,percent of total billed charges,999999999,,,,6906,percent of total billed charges,5261.897354,,,,6906,percent of total billed charges,5080.989541,,,,6906,percent of total billed charges,5385.74845,,,,4923.978,percent of total billed charges,2457.155131,,,,4923.978,percent of total billed charges,1470.176522,,,,4923.978,percent of total billed charges,2457.155131,,,,4923.978,percent of total billed charges,1470.176522,,,,4923.978,percent of total billed charges,2457.155131,,,,4923.978,percent of total billed charges,1470.176522,,,,4875.636,percent of total billed charges,4838.643224,,,,4875.636,percent of total billed charges,3337.17388,,,,,,,,,,4972.32,percent of total billed charges,3231.890991,,,,,,,,,,4972.32,percent of total billed charges,999999999,,,,,,,,,,5524.8,percent of total billed charges,4629.495211,,,,5455.74,percent of total billed charges,5265.023887,,,,5455.74,percent of total billed charges,4651.822885,,,,5524.8,percent of total billed charges,999999999,,,,5524.8,percent of total billed charges,999999999,,,,4834.2,percent of total billed charges,999999999,,,,4834.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3673.992,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3487.53,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1726.5,percent of total billed charges,1639.752683,,,,,,,,,,1726.5,percent of total billed charges,1612.476513,,,,,,,,,,1726.5,percent of total billed charges,1607.995509,,,,,,,,,,1726.5,percent of total billed charges,1584.317795,,,,,,,,,,1726.5,percent of total billed charges,1625.084621,,,,,,,,,,1726.5,percent of total billed charges,999999999,,,,,,,,,,1726.5,percent of total billed charges,1394.437043,,,,,,,,,,1726.5,percent of total billed charges,2199.123377,,,,,,,,,,1726.5,percent of total billed charges,999999999,,,,,,,,,,1726.5,percent of total billed charges,1503.544167,,,,,,,,,,6215.4,percent of total billed charges,,,,,
**MRA ABDOMEN WITHOUT CONTRAST,74185,CDM,0056-2780-01,NDC,,both,1,EA,6906,6906,1470.176522,6906,6906,percent of total billed charges,5080.989541,,,,6906,percent of total billed charges,5385.74845,,,,6906,percent of total billed charges,5080.989541,,,,6906,percent of total billed charges,5385.74845,,,,6906,percent of total billed charges,999999999,,,,6906,percent of total billed charges,5261.897354,,,,6906,percent of total billed charges,5080.989541,,,,6906,percent of total billed charges,5385.74845,,,,4923.978,percent of total billed charges,2457.155131,,,,4923.978,percent of total billed charges,1470.176522,,,,4923.978,percent of total billed charges,2457.155131,,,,4923.978,percent of total billed charges,1470.176522,,,,4923.978,percent of total billed charges,2457.155131,,,,4923.978,percent of total billed charges,1470.176522,,,,4875.636,percent of total billed charges,4838.643224,,,,4875.636,percent of total billed charges,3337.17388,,,,,,,,,,4972.32,percent of total billed charges,3231.890991,,,,,,,,,,4972.32,percent of total billed charges,999999999,,,,,,,,,,5524.8,percent of total billed charges,4629.495211,,,,5455.74,percent of total billed charges,5265.023887,,,,5455.74,percent of total billed charges,4651.822885,,,,5524.8,percent of total billed charges,999999999,,,,5524.8,percent of total billed charges,999999999,,,,4834.2,percent of total billed charges,999999999,,,,4834.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3673.992,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3487.53,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1726.5,percent of total billed charges,1639.752683,,,,,,,,,,1726.5,percent of total billed charges,1612.476513,,,,,,,,,,1726.5,percent of total billed charges,1607.995509,,,,,,,,,,1726.5,percent of total billed charges,1584.317795,,,,,,,,,,1726.5,percent of total billed charges,1625.084621,,,,,,,,,,1726.5,percent of total billed charges,999999999,,,,,,,,,,1726.5,percent of total billed charges,1394.437043,,,,,,,,,,1726.5,percent of total billed charges,2199.123377,,,,,,,,,,1726.5,percent of total billed charges,999999999,,,,,,,,,,1726.5,percent of total billed charges,1503.544167,,,,,,,,,,6215.4,percent of total billed charges,,,,,
**MRA LOWER EXT WITH CONTRAST RT,73725,CDM,0056-2780-01,NDC,RT,both,1,EA,5462,5462,1162.772106,5462,5462,percent of total billed charges,4018.587441,,,,5462,percent of total billed charges,4259.623231,,,,5462,percent of total billed charges,4018.587441,,,,5462,percent of total billed charges,4259.623231,,,,5462,percent of total billed charges,999999999,,,,5462,percent of total billed charges,4161.668599,,,,5462,percent of total billed charges,4018.587441,,,,5462,percent of total billed charges,4259.623231,,,,3894.406,percent of total billed charges,1943.379862,,,,3894.406,percent of total billed charges,1162.772106,,,,3894.406,percent of total billed charges,1943.379862,,,,3894.406,percent of total billed charges,1162.772106,,,,3894.406,percent of total billed charges,1943.379862,,,,3894.406,percent of total billed charges,1162.772106,,,,3856.172,percent of total billed charges,3826.914175,,,,3856.172,percent of total billed charges,2639.392374,,,,,,,,,,3932.64,percent of total billed charges,2556.123457,,,,,,,,,,3932.64,percent of total billed charges,999999999,,,,,,,,,,4369.6,percent of total billed charges,3661.497661,,,,4314.98,percent of total billed charges,4164.141395,,,,4314.98,percent of total billed charges,3679.156762,,,,4369.6,percent of total billed charges,999999999,,,,4369.6,percent of total billed charges,999999999,,,,3823.4,percent of total billed charges,999999999,,,,3823.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2905.784,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2758.31,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1365.5,percent of total billed charges,1296.890986,,,,,,,,,,1365.5,percent of total billed charges,1275.318087,,,,,,,,,,1365.5,percent of total billed charges,1271.774033,,,,,,,,,,1365.5,percent of total billed charges,1253.047176,,,,,,,,,,1365.5,percent of total billed charges,1285.289922,,,,,,,,,,1365.5,percent of total billed charges,999999999,,,,,,,,,,1365.5,percent of total billed charges,1102.869263,,,,,,,,,,1365.5,percent of total billed charges,1739.300881,,,,,,,,,,1365.5,percent of total billed charges,999999999,,,,,,,,,,1365.5,percent of total billed charges,1189.162792,,,,,,,,,,4915.8,percent of total billed charges,,,,,
**MRA LOWER EXT WITHOUT CONTRAST RT,73725,CDM,0056-2780-01,NDC,RT,both,1,EA,5462,5462,1162.772106,5462,5462,percent of total billed charges,4018.587441,,,,5462,percent of total billed charges,4259.623231,,,,5462,percent of total billed charges,4018.587441,,,,5462,percent of total billed charges,4259.623231,,,,5462,percent of total billed charges,999999999,,,,5462,percent of total billed charges,4161.668599,,,,5462,percent of total billed charges,4018.587441,,,,5462,percent of total billed charges,4259.623231,,,,3894.406,percent of total billed charges,1943.379862,,,,3894.406,percent of total billed charges,1162.772106,,,,3894.406,percent of total billed charges,1943.379862,,,,3894.406,percent of total billed charges,1162.772106,,,,3894.406,percent of total billed charges,1943.379862,,,,3894.406,percent of total billed charges,1162.772106,,,,3856.172,percent of total billed charges,3826.914175,,,,3856.172,percent of total billed charges,2639.392374,,,,,,,,,,3932.64,percent of total billed charges,2556.123457,,,,,,,,,,3932.64,percent of total billed charges,999999999,,,,,,,,,,4369.6,percent of total billed charges,3661.497661,,,,4314.98,percent of total billed charges,4164.141395,,,,4314.98,percent of total billed charges,3679.156762,,,,4369.6,percent of total billed charges,999999999,,,,4369.6,percent of total billed charges,999999999,,,,3823.4,percent of total billed charges,999999999,,,,3823.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2905.784,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2758.31,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1365.5,percent of total billed charges,1296.890986,,,,,,,,,,1365.5,percent of total billed charges,1275.318087,,,,,,,,,,1365.5,percent of total billed charges,1271.774033,,,,,,,,,,1365.5,percent of total billed charges,1253.047176,,,,,,,,,,1365.5,percent of total billed charges,1285.289922,,,,,,,,,,1365.5,percent of total billed charges,999999999,,,,,,,,,,1365.5,percent of total billed charges,1102.869263,,,,,,,,,,1365.5,percent of total billed charges,1739.300881,,,,,,,,,,1365.5,percent of total billed charges,999999999,,,,,,,,,,1365.5,percent of total billed charges,1189.162792,,,,,,,,,,4915.8,percent of total billed charges,,,,,
MRA LOWER EXT W and/or WO CONTRAST RT,73725,CDM,0056-2780-01,NDC,RT,both,1,EA,5462,5462,1162.772106,5462,5462,percent of total billed charges,4018.587441,,,,5462,percent of total billed charges,4259.623231,,,,5462,percent of total billed charges,4018.587441,,,,5462,percent of total billed charges,4259.623231,,,,5462,percent of total billed charges,999999999,,,,5462,percent of total billed charges,4161.668599,,,,5462,percent of total billed charges,4018.587441,,,,5462,percent of total billed charges,4259.623231,,,,3894.406,percent of total billed charges,1943.379862,,,,3894.406,percent of total billed charges,1162.772106,,,,3894.406,percent of total billed charges,1943.379862,,,,3894.406,percent of total billed charges,1162.772106,,,,3894.406,percent of total billed charges,1943.379862,,,,3894.406,percent of total billed charges,1162.772106,,,,3856.172,percent of total billed charges,3826.914175,,,,3856.172,percent of total billed charges,2639.392374,,,,,,,,,,3932.64,percent of total billed charges,2556.123457,,,,,,,,,,3932.64,percent of total billed charges,999999999,,,,,,,,,,4369.6,percent of total billed charges,3661.497661,,,,4314.98,percent of total billed charges,4164.141395,,,,4314.98,percent of total billed charges,3679.156762,,,,4369.6,percent of total billed charges,999999999,,,,4369.6,percent of total billed charges,999999999,,,,3823.4,percent of total billed charges,999999999,,,,3823.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2905.784,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2758.31,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1365.5,percent of total billed charges,1296.890986,,,,,,,,,,1365.5,percent of total billed charges,1275.318087,,,,,,,,,,1365.5,percent of total billed charges,1271.774033,,,,,,,,,,1365.5,percent of total billed charges,1253.047176,,,,,,,,,,1365.5,percent of total billed charges,1285.289922,,,,,,,,,,1365.5,percent of total billed charges,999999999,,,,,,,,,,1365.5,percent of total billed charges,1102.869263,,,,,,,,,,1365.5,percent of total billed charges,1739.300881,,,,,,,,,,1365.5,percent of total billed charges,999999999,,,,,,,,,,1365.5,percent of total billed charges,1189.162792,,,,,,,,,,4915.8,percent of total billed charges,,,,,
**MRA PELVIS WITHOUT CONTRAST,72198,CDM,0056-2780-01,NDC,,both,1,EA,7490,7490,1594.500745,7490,7490,percent of total billed charges,5510.659088,,,,7490,percent of total billed charges,5841.189674,,,,7490,percent of total billed charges,5510.659088,,,,7490,percent of total billed charges,5841.189674,,,,7490,percent of total billed charges,999999999,,,,7490,percent of total billed charges,5706.865215,,,,7490,percent of total billed charges,5510.659088,,,,7490,percent of total billed charges,5841.189674,,,,5340.37,percent of total billed charges,2664.942359,,,,5340.37,percent of total billed charges,1594.500745,,,,5340.37,percent of total billed charges,2664.942359,,,,5340.37,percent of total billed charges,1594.500745,,,,5340.37,percent of total billed charges,2664.942359,,,,5340.37,percent of total billed charges,1594.500745,,,,5287.94,percent of total billed charges,5247.818962,,,,5287.94,percent of total billed charges,3619.379143,,,,,,,,,,5392.8,percent of total billed charges,3505.193096,,,,,,,,,,5392.8,percent of total billed charges,999999999,,,,,,,,,,5992,percent of total billed charges,5020.984525,,,,5917.1,percent of total billed charges,5710.256142,,,,5917.1,percent of total billed charges,5045.20032,,,,5992,percent of total billed charges,999999999,,,,5992,percent of total billed charges,999999999,,,,5243,percent of total billed charges,999999999,,,,5243,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3984.68,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3782.45,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1872.5,percent of total billed charges,1778.41697,,,,,,,,,,1872.5,percent of total billed charges,1748.834214,,,,,,,,,,1872.5,percent of total billed charges,1743.974278,,,,,,,,,,1872.5,percent of total billed charges,1718.294278,,,,,,,,,,1872.5,percent of total billed charges,1762.508516,,,,,,,,,,1872.5,percent of total billed charges,999999999,,,,,,,,,,1872.5,percent of total billed charges,1512.356423,,,,,,,,,,1872.5,percent of total billed charges,2385.09037,,,,,,,,,,1872.5,percent of total billed charges,999999999,,,,,,,,,,1872.5,percent of total billed charges,1630.690097,,,,,,,,,,6741,percent of total billed charges,,,,,
**MRA SPINE WITHOUT CONTRAST,72159,CDM,0056-2780-01,NDC,,both,1,EA,7490,7490,1594.500745,7490,7490,percent of total billed charges,5510.659088,,,,7490,percent of total billed charges,5841.189674,,,,7490,percent of total billed charges,5510.659088,,,,7490,percent of total billed charges,5841.189674,,,,7490,percent of total billed charges,999999999,,,,7490,percent of total billed charges,5706.865215,,,,7490,percent of total billed charges,5510.659088,,,,7490,percent of total billed charges,5841.189674,,,,5340.37,percent of total billed charges,2664.942359,,,,5340.37,percent of total billed charges,1594.500745,,,,5340.37,percent of total billed charges,2664.942359,,,,5340.37,percent of total billed charges,1594.500745,,,,5340.37,percent of total billed charges,2664.942359,,,,5340.37,percent of total billed charges,1594.500745,,,,5287.94,percent of total billed charges,5247.818962,,,,5287.94,percent of total billed charges,3619.379143,,,,,,,,,,5392.8,percent of total billed charges,3505.193096,,,,,,,,,,5392.8,percent of total billed charges,999999999,,,,,,,,,,5992,percent of total billed charges,5020.984525,,,,5917.1,percent of total billed charges,5710.256142,,,,5917.1,percent of total billed charges,5045.20032,,,,5992,percent of total billed charges,999999999,,,,5992,percent of total billed charges,999999999,,,,5243,percent of total billed charges,999999999,,,,5243,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3984.68,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3782.45,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1872.5,percent of total billed charges,1778.41697,,,,,,,,,,1872.5,percent of total billed charges,1748.834214,,,,,,,,,,1872.5,percent of total billed charges,1743.974278,,,,,,,,,,1872.5,percent of total billed charges,1718.294278,,,,,,,,,,1872.5,percent of total billed charges,1762.508516,,,,,,,,,,1872.5,percent of total billed charges,999999999,,,,,,,,,,1872.5,percent of total billed charges,1512.356423,,,,,,,,,,1872.5,percent of total billed charges,2385.09037,,,,,,,,,,1872.5,percent of total billed charges,999999999,,,,,,,,,,1872.5,percent of total billed charges,1630.690097,,,,,,,,,,6741,percent of total billed charges,,,,,
MRA SPINE W and/or WO CONTRAST,72159,CDM,0056-2780-01,NDC,,both,1,EA,7490,7490,1594.500745,7490,7490,percent of total billed charges,5510.659088,,,,7490,percent of total billed charges,5841.189674,,,,7490,percent of total billed charges,5510.659088,,,,7490,percent of total billed charges,5841.189674,,,,7490,percent of total billed charges,999999999,,,,7490,percent of total billed charges,5706.865215,,,,7490,percent of total billed charges,5510.659088,,,,7490,percent of total billed charges,5841.189674,,,,5340.37,percent of total billed charges,2664.942359,,,,5340.37,percent of total billed charges,1594.500745,,,,5340.37,percent of total billed charges,2664.942359,,,,5340.37,percent of total billed charges,1594.500745,,,,5340.37,percent of total billed charges,2664.942359,,,,5340.37,percent of total billed charges,1594.500745,,,,5287.94,percent of total billed charges,5247.818962,,,,5287.94,percent of total billed charges,3619.379143,,,,,,,,,,5392.8,percent of total billed charges,3505.193096,,,,,,,,,,5392.8,percent of total billed charges,999999999,,,,,,,,,,5992,percent of total billed charges,5020.984525,,,,5917.1,percent of total billed charges,5710.256142,,,,5917.1,percent of total billed charges,5045.20032,,,,5992,percent of total billed charges,999999999,,,,5992,percent of total billed charges,999999999,,,,5243,percent of total billed charges,999999999,,,,5243,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3984.68,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3782.45,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1872.5,percent of total billed charges,1778.41697,,,,,,,,,,1872.5,percent of total billed charges,1748.834214,,,,,,,,,,1872.5,percent of total billed charges,1743.974278,,,,,,,,,,1872.5,percent of total billed charges,1718.294278,,,,,,,,,,1872.5,percent of total billed charges,1762.508516,,,,,,,,,,1872.5,percent of total billed charges,999999999,,,,,,,,,,1872.5,percent of total billed charges,1512.356423,,,,,,,,,,1872.5,percent of total billed charges,2385.09037,,,,,,,,,,1872.5,percent of total billed charges,999999999,,,,,,,,,,1872.5,percent of total billed charges,1630.690097,,,,,,,,,,6741,percent of total billed charges,,,,,
**MRA UPPER EXTREMITY WITH CONTRST RT,73225,CDM,0056-2780-01,NDC,RT,both,1,EA,7490,7490,1594.500745,7490,7490,percent of total billed charges,5510.659088,,,,7490,percent of total billed charges,5841.189674,,,,7490,percent of total billed charges,5510.659088,,,,7490,percent of total billed charges,5841.189674,,,,7490,percent of total billed charges,999999999,,,,7490,percent of total billed charges,5706.865215,,,,7490,percent of total billed charges,5510.659088,,,,7490,percent of total billed charges,5841.189674,,,,5340.37,percent of total billed charges,2664.942359,,,,5340.37,percent of total billed charges,1594.500745,,,,5340.37,percent of total billed charges,2664.942359,,,,5340.37,percent of total billed charges,1594.500745,,,,5340.37,percent of total billed charges,2664.942359,,,,5340.37,percent of total billed charges,1594.500745,,,,5287.94,percent of total billed charges,5247.818962,,,,5287.94,percent of total billed charges,3619.379143,,,,,,,,,,5392.8,percent of total billed charges,3505.193096,,,,,,,,,,5392.8,percent of total billed charges,999999999,,,,,,,,,,5992,percent of total billed charges,5020.984525,,,,5917.1,percent of total billed charges,5710.256142,,,,5917.1,percent of total billed charges,5045.20032,,,,5992,percent of total billed charges,999999999,,,,5992,percent of total billed charges,999999999,,,,5243,percent of total billed charges,999999999,,,,5243,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3984.68,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3782.45,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1872.5,percent of total billed charges,1778.41697,,,,,,,,,,1872.5,percent of total billed charges,1748.834214,,,,,,,,,,1872.5,percent of total billed charges,1743.974278,,,,,,,,,,1872.5,percent of total billed charges,1718.294278,,,,,,,,,,1872.5,percent of total billed charges,1762.508516,,,,,,,,,,1872.5,percent of total billed charges,999999999,,,,,,,,,,1872.5,percent of total billed charges,1512.356423,,,,,,,,,,1872.5,percent of total billed charges,2385.09037,,,,,,,,,,1872.5,percent of total billed charges,999999999,,,,,,,,,,1872.5,percent of total billed charges,1630.690097,,,,,,,,,,6741,percent of total billed charges,,,,,
**MRA UPPER EXT WITHOUT CONTRAST RT,73225,CDM,0056-2780-01,NDC,RT,both,1,EA,7490,7490,1594.500745,7490,7490,percent of total billed charges,5510.659088,,,,7490,percent of total billed charges,5841.189674,,,,7490,percent of total billed charges,5510.659088,,,,7490,percent of total billed charges,5841.189674,,,,7490,percent of total billed charges,999999999,,,,7490,percent of total billed charges,5706.865215,,,,7490,percent of total billed charges,5510.659088,,,,7490,percent of total billed charges,5841.189674,,,,5340.37,percent of total billed charges,2664.942359,,,,5340.37,percent of total billed charges,1594.500745,,,,5340.37,percent of total billed charges,2664.942359,,,,5340.37,percent of total billed charges,1594.500745,,,,5340.37,percent of total billed charges,2664.942359,,,,5340.37,percent of total billed charges,1594.500745,,,,5287.94,percent of total billed charges,5247.818962,,,,5287.94,percent of total billed charges,3619.379143,,,,,,,,,,5392.8,percent of total billed charges,3505.193096,,,,,,,,,,5392.8,percent of total billed charges,999999999,,,,,,,,,,5992,percent of total billed charges,5020.984525,,,,5917.1,percent of total billed charges,5710.256142,,,,5917.1,percent of total billed charges,5045.20032,,,,5992,percent of total billed charges,999999999,,,,5992,percent of total billed charges,999999999,,,,5243,percent of total billed charges,999999999,,,,5243,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3984.68,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3782.45,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1872.5,percent of total billed charges,1778.41697,,,,,,,,,,1872.5,percent of total billed charges,1748.834214,,,,,,,,,,1872.5,percent of total billed charges,1743.974278,,,,,,,,,,1872.5,percent of total billed charges,1718.294278,,,,,,,,,,1872.5,percent of total billed charges,1762.508516,,,,,,,,,,1872.5,percent of total billed charges,999999999,,,,,,,,,,1872.5,percent of total billed charges,1512.356423,,,,,,,,,,1872.5,percent of total billed charges,2385.09037,,,,,,,,,,1872.5,percent of total billed charges,999999999,,,,,,,,,,1872.5,percent of total billed charges,1630.690097,,,,,,,,,,6741,percent of total billed charges,,,,,
MRA UPPER EXT W and/or WO CONTRAST RT,73225,CDM,0056-2780-01,NDC,RT,both,1,EA,7490,7490,1594.500745,7490,7490,percent of total billed charges,5510.659088,,,,7490,percent of total billed charges,5841.189674,,,,7490,percent of total billed charges,5510.659088,,,,7490,percent of total billed charges,5841.189674,,,,7490,percent of total billed charges,999999999,,,,7490,percent of total billed charges,5706.865215,,,,7490,percent of total billed charges,5510.659088,,,,7490,percent of total billed charges,5841.189674,,,,5340.37,percent of total billed charges,2664.942359,,,,5340.37,percent of total billed charges,1594.500745,,,,5340.37,percent of total billed charges,2664.942359,,,,5340.37,percent of total billed charges,1594.500745,,,,5340.37,percent of total billed charges,2664.942359,,,,5340.37,percent of total billed charges,1594.500745,,,,5287.94,percent of total billed charges,5247.818962,,,,5287.94,percent of total billed charges,3619.379143,,,,,,,,,,5392.8,percent of total billed charges,3505.193096,,,,,,,,,,5392.8,percent of total billed charges,999999999,,,,,,,,,,5992,percent of total billed charges,5020.984525,,,,5917.1,percent of total billed charges,5710.256142,,,,5917.1,percent of total billed charges,5045.20032,,,,5992,percent of total billed charges,999999999,,,,5992,percent of total billed charges,999999999,,,,5243,percent of total billed charges,999999999,,,,5243,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3984.68,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3782.45,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1872.5,percent of total billed charges,1778.41697,,,,,,,,,,1872.5,percent of total billed charges,1748.834214,,,,,,,,,,1872.5,percent of total billed charges,1743.974278,,,,,,,,,,1872.5,percent of total billed charges,1718.294278,,,,,,,,,,1872.5,percent of total billed charges,1762.508516,,,,,,,,,,1872.5,percent of total billed charges,999999999,,,,,,,,,,1872.5,percent of total billed charges,1512.356423,,,,,,,,,,1872.5,percent of total billed charges,2385.09037,,,,,,,,,,1872.5,percent of total billed charges,999999999,,,,,,,,,,1872.5,percent of total billed charges,1630.690097,,,,,,,,,,6741,percent of total billed charges,,,,,
**MRA LOWER EXT W CONTRAST,73725,CDM,0056-2780-01,NDC,RT,both,1,EA,5462,5462,1162.772106,5462,5462,percent of total billed charges,4018.587441,,,,5462,percent of total billed charges,4259.623231,,,,5462,percent of total billed charges,4018.587441,,,,5462,percent of total billed charges,4259.623231,,,,5462,percent of total billed charges,999999999,,,,5462,percent of total billed charges,4161.668599,,,,5462,percent of total billed charges,4018.587441,,,,5462,percent of total billed charges,4259.623231,,,,3894.406,percent of total billed charges,1943.379862,,,,3894.406,percent of total billed charges,1162.772106,,,,3894.406,percent of total billed charges,1943.379862,,,,3894.406,percent of total billed charges,1162.772106,,,,3894.406,percent of total billed charges,1943.379862,,,,3894.406,percent of total billed charges,1162.772106,,,,3856.172,percent of total billed charges,3826.914175,,,,3856.172,percent of total billed charges,2639.392374,,,,,,,,,,3932.64,percent of total billed charges,2556.123457,,,,,,,,,,3932.64,percent of total billed charges,999999999,,,,,,,,,,4369.6,percent of total billed charges,3661.497661,,,,4314.98,percent of total billed charges,4164.141395,,,,4314.98,percent of total billed charges,3679.156762,,,,4369.6,percent of total billed charges,999999999,,,,4369.6,percent of total billed charges,999999999,,,,3823.4,percent of total billed charges,999999999,,,,3823.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2905.784,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2758.31,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1365.5,percent of total billed charges,1296.890986,,,,,,,,,,1365.5,percent of total billed charges,1275.318087,,,,,,,,,,1365.5,percent of total billed charges,1271.774033,,,,,,,,,,1365.5,percent of total billed charges,1253.047176,,,,,,,,,,1365.5,percent of total billed charges,1285.289922,,,,,,,,,,1365.5,percent of total billed charges,999999999,,,,,,,,,,1365.5,percent of total billed charges,1102.869263,,,,,,,,,,1365.5,percent of total billed charges,1739.300881,,,,,,,,,,1365.5,percent of total billed charges,999999999,,,,,,,,,,1365.5,percent of total billed charges,1189.162792,,,,,,,,,,4915.8,percent of total billed charges,,,,,
**MRA LOWER EXT W/O CONTRAST,73725,CDM,0056-2780-01,NDC,RT,both,1,EA,5462,5462,1162.772106,5462,5462,percent of total billed charges,4018.587441,,,,5462,percent of total billed charges,4259.623231,,,,5462,percent of total billed charges,4018.587441,,,,5462,percent of total billed charges,4259.623231,,,,5462,percent of total billed charges,999999999,,,,5462,percent of total billed charges,4161.668599,,,,5462,percent of total billed charges,4018.587441,,,,5462,percent of total billed charges,4259.623231,,,,3894.406,percent of total billed charges,1943.379862,,,,3894.406,percent of total billed charges,1162.772106,,,,3894.406,percent of total billed charges,1943.379862,,,,3894.406,percent of total billed charges,1162.772106,,,,3894.406,percent of total billed charges,1943.379862,,,,3894.406,percent of total billed charges,1162.772106,,,,3856.172,percent of total billed charges,3826.914175,,,,3856.172,percent of total billed charges,2639.392374,,,,,,,,,,3932.64,percent of total billed charges,2556.123457,,,,,,,,,,3932.64,percent of total billed charges,999999999,,,,,,,,,,4369.6,percent of total billed charges,3661.497661,,,,4314.98,percent of total billed charges,4164.141395,,,,4314.98,percent of total billed charges,3679.156762,,,,4369.6,percent of total billed charges,999999999,,,,4369.6,percent of total billed charges,999999999,,,,3823.4,percent of total billed charges,999999999,,,,3823.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2905.784,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2758.31,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1365.5,percent of total billed charges,1296.890986,,,,,,,,,,1365.5,percent of total billed charges,1275.318087,,,,,,,,,,1365.5,percent of total billed charges,1271.774033,,,,,,,,,,1365.5,percent of total billed charges,1253.047176,,,,,,,,,,1365.5,percent of total billed charges,1285.289922,,,,,,,,,,1365.5,percent of total billed charges,999999999,,,,,,,,,,1365.5,percent of total billed charges,1102.869263,,,,,,,,,,1365.5,percent of total billed charges,1739.300881,,,,,,,,,,1365.5,percent of total billed charges,999999999,,,,,,,,,,1365.5,percent of total billed charges,1189.162792,,,,,,,,,,4915.8,percent of total billed charges,,,,,
MRA LOWER EXT W and/or WO CONTRAST,73725,CDM,0056-2780-01,NDC,,both,1,EA,5462,5462,1162.772106,5462,5462,percent of total billed charges,4018.587441,,,,5462,percent of total billed charges,4259.623231,,,,5462,percent of total billed charges,4018.587441,,,,5462,percent of total billed charges,4259.623231,,,,5462,percent of total billed charges,999999999,,,,5462,percent of total billed charges,4161.668599,,,,5462,percent of total billed charges,4018.587441,,,,5462,percent of total billed charges,4259.623231,,,,3894.406,percent of total billed charges,1943.379862,,,,3894.406,percent of total billed charges,1162.772106,,,,3894.406,percent of total billed charges,1943.379862,,,,3894.406,percent of total billed charges,1162.772106,,,,3894.406,percent of total billed charges,1943.379862,,,,3894.406,percent of total billed charges,1162.772106,,,,3856.172,percent of total billed charges,3826.914175,,,,3856.172,percent of total billed charges,2639.392374,,,,,,,,,,3932.64,percent of total billed charges,2556.123457,,,,,,,,,,3932.64,percent of total billed charges,999999999,,,,,,,,,,4369.6,percent of total billed charges,3661.497661,,,,4314.98,percent of total billed charges,4164.141395,,,,4314.98,percent of total billed charges,3679.156762,,,,4369.6,percent of total billed charges,999999999,,,,4369.6,percent of total billed charges,999999999,,,,3823.4,percent of total billed charges,999999999,,,,3823.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2905.784,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2758.31,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1365.5,percent of total billed charges,1296.890986,,,,,,,,,,1365.5,percent of total billed charges,1275.318087,,,,,,,,,,1365.5,percent of total billed charges,1271.774033,,,,,,,,,,1365.5,percent of total billed charges,1253.047176,,,,,,,,,,1365.5,percent of total billed charges,1285.289922,,,,,,,,,,1365.5,percent of total billed charges,999999999,,,,,,,,,,1365.5,percent of total billed charges,1102.869263,,,,,,,,,,1365.5,percent of total billed charges,1739.300881,,,,,,,,,,1365.5,percent of total billed charges,999999999,,,,,,,,,,1365.5,percent of total billed charges,1189.162792,,,,,,,,,,4915.8,percent of total billed charges,,,,,
MRI GAD MULTIHANCE 15ML,A9577,CDM,0056-2780-01,NDC,,both,1,EA,484,484,103.0358292,484,484,percent of total billed charges,356.0959944,,,,484,percent of total billed charges,377.4547132,,,,484,percent of total billed charges,356.0959944,,,,484,percent of total billed charges,377.4547132,,,,484,percent of total billed charges,999999999,,,,484,percent of total billed charges,368.7747349,,,,484,percent of total billed charges,356.0959944,,,,484,percent of total billed charges,377.4547132,,,,345.092,percent of total billed charges,172.2072232,,,,345.092,percent of total billed charges,103.0358292,,,,345.092,percent of total billed charges,172.2072232,,,,345.092,percent of total billed charges,103.0358292,,,,345.092,percent of total billed charges,172.2072232,,,,345.092,percent of total billed charges,103.0358292,,,,341.704,percent of total billed charges,339.1113989,,,,341.704,percent of total billed charges,233.882444,,,,,,,,,,348.48,percent of total billed charges,226.5037995,,,,,,,,,,348.48,percent of total billed charges,999999999,,,,,,,,,,387.2,percent of total billed charges,324.4534727,,,,382.36,percent of total billed charges,368.9938548,,,,382.36,percent of total billed charges,326.018285,,,,387.2,percent of total billed charges,999999999,,,,387.2,percent of total billed charges,999999999,,,,338.8,percent of total billed charges,999999999,,,,338.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,257.488,percent of total billed charges,999999999,,,,,,,,,,,,,,,,244.42,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,121,percent of total billed charges,114.9204023,,,,,,,,,,121,percent of total billed charges,113.0087796,,,,,,,,,,121,percent of total billed charges,112.6947331,,,,,,,,,,121,percent of total billed charges,111.0353045,,,,,,,,,,121,percent of total billed charges,113.8924061,,,,,,,,,,121,percent of total billed charges,999999999,,,,,,,,,,121,percent of total billed charges,97.72770475,,,,,,,,,,121,percent of total billed charges,154.1233297,,,,,,,,,,121,percent of total billed charges,999999999,,,,,,,,,,121,percent of total billed charges,105.3743667,,,,,,,,,,435.6,percent of total billed charges,,,,,
MRI GAD DOTAREM 10ML,A9575,CDM,0056-2780-01,NDC,,both,1,EA,145,145,30.86817197,145,145,percent of total billed charges,106.6816512,,,,145,percent of total billed charges,113.080441,,,,145,percent of total billed charges,106.6816512,,,,145,percent of total billed charges,113.080441,,,,145,percent of total billed charges,999999999,,,,145,percent of total billed charges,110.4800342,,,,145,percent of total billed charges,106.6816512,,,,145,percent of total billed charges,113.080441,,,,103.385,percent of total billed charges,51.59100695,,,,103.385,percent of total billed charges,30.86817197,,,,103.385,percent of total billed charges,51.59100695,,,,103.385,percent of total billed charges,30.86817197,,,,103.385,percent of total billed charges,51.59100695,,,,103.385,percent of total billed charges,30.86817197,,,,102.37,percent of total billed charges,101.593291,,,,102.37,percent of total billed charges,70.06808756,,,,,,,,,,104.4,percent of total billed charges,67.85754325,,,,,,,,,,104.4,percent of total billed charges,999999999,,,,,,,,,,116,percent of total billed charges,97.20197012,,,,114.55,percent of total billed charges,110.5456796,,,,114.55,percent of total billed charges,97.6707672,,,,116,percent of total billed charges,999999999,,,,116,percent of total billed charges,999999999,,,,101.5,percent of total billed charges,999999999,,,,101.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,77.14,percent of total billed charges,999999999,,,,,,,,,,,,,,,,73.225,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,36.25,percent of total billed charges,34.42863293,,,,,,,,,,36.25,percent of total billed charges,33.85593604,,,,,,,,,,36.25,percent of total billed charges,33.76185185,,,,,,,,,,36.25,percent of total billed charges,33.26470899,,,,,,,,,,36.25,percent of total billed charges,34.12065885,,,,,,,,,,36.25,percent of total billed charges,999999999,,,,,,,,,,36.25,percent of total billed charges,29.27792807,,,,,,,,,,36.25,percent of total billed charges,46.17331157,,,,,,,,,,36.25,percent of total billed charges,999999999,,,,,,,,,,36.25,percent of total billed charges,31.5687669,,,,,,,,,,130.5,percent of total billed charges,,,,,
MRI GAD DOTAREM 15ML,A9575,CDM,0056-2780-01,NDC,,both,1,EA,216,216,45.98293204,216,216,percent of total billed charges,158.9188736,,,,216,percent of total billed charges,168.4508638,,,,216,percent of total billed charges,158.9188736,,,,216,percent of total billed charges,168.4508638,,,,216,percent of total billed charges,999999999,,,,216,percent of total billed charges,164.5771544,,,,216,percent of total billed charges,158.9188736,,,,216,percent of total billed charges,168.4508638,,,,154.008,percent of total billed charges,76.85281035,,,,154.008,percent of total billed charges,45.98293204,,,,154.008,percent of total billed charges,76.85281035,,,,154.008,percent of total billed charges,45.98293204,,,,154.008,percent of total billed charges,76.85281035,,,,154.008,percent of total billed charges,45.98293204,,,,152.496,percent of total billed charges,151.3389714,,,,152.496,percent of total billed charges,104.377289,,,,,,,,,,155.52,percent of total billed charges,101.0843403,,,,,,,,,,155.52,percent of total billed charges,999999999,,,,,,,,,,172.8,percent of total billed charges,144.7974176,,,,170.64,percent of total billed charges,164.6749435,,,,170.64,percent of total billed charges,145.4957636,,,,172.8,percent of total billed charges,999999999,,,,172.8,percent of total billed charges,999999999,,,,151.2,percent of total billed charges,999999999,,,,151.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,114.912,percent of total billed charges,999999999,,,,,,,,,,,,,,,,109.08,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,54,percent of total billed charges,51.28679112,,,,,,,,,,54,percent of total billed charges,50.43367024,,,,,,,,,,54,percent of total billed charges,50.29351723,,,,,,,,,,54,percent of total billed charges,49.5529458,,,,,,,,,,54,percent of total billed charges,50.82801595,,,,,,,,,,54,percent of total billed charges,999999999,,,,,,,,,,54,percent of total billed charges,43.61401699,,,,,,,,,,54,percent of total billed charges,68.78231241,,,,,,,,,,54,percent of total billed charges,999999999,,,,,,,,,,54,percent of total billed charges,47.02657689,,,,,,,,,,194.4,percent of total billed charges,,,,,
**P-AMINOSYN 3.5% 1000ML BTL TPN,270,RC,9999-9999-99,NDC,,both,1,EA,45,45,9.579777508,45,45,percent of total billed charges,33.10809866,,,,45,percent of total billed charges,35.09392995,,,,45,percent of total billed charges,33.10809866,,,,45,percent of total billed charges,35.09392995,,,,45,percent of total billed charges,999999999,,,,45,percent of total billed charges,34.28690717,,,,45,percent of total billed charges,33.10809866,,,,45,percent of total billed charges,35.09392995,,,,32.085,percent of total billed charges,16.01100216,,,,32.085,percent of total billed charges,9.579777508,,,,32.085,percent of total billed charges,16.01100216,,,,32.085,percent of total billed charges,9.579777508,,,,32.085,percent of total billed charges,16.01100216,,,,32.085,percent of total billed charges,9.579777508,,,,31.77,percent of total billed charges,31.52895237,,,,31.77,percent of total billed charges,21.74526855,,,,,,,,,,32.4,percent of total billed charges,21.05923756,,,,,,,,,,32.4,percent of total billed charges,999999999,,,,,,,,,,36,percent of total billed charges,30.16612866,,,,35.55,percent of total billed charges,34.30727989,,,,35.55,percent of total billed charges,30.31161741,,,,36,percent of total billed charges,999999999,,,,36,percent of total billed charges,999999999,,,,31.5,percent of total billed charges,999999999,,,,31.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,23.94,percent of total billed charges,999999999,,,,,,,,,,,,,,,,22.725,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11.25,percent of total billed charges,10.68474815,,,,,,,,,,11.25,percent of total billed charges,10.50701463,,,,,,,,,,11.25,percent of total billed charges,10.47781609,,,,,,,,,,11.25,percent of total billed charges,10.32353038,,,,,,,,,,11.25,percent of total billed charges,10.58916999,,,,,,,,,,11.25,percent of total billed charges,999999999,,,,,,,,,,11.25,percent of total billed charges,9.08625354,,,,,,,,,,11.25,percent of total billed charges,14.32964842,,,,,,,,,,11.25,percent of total billed charges,999999999,,,,,,,,,,11.25,percent of total billed charges,9.797203519,,,,,,,,,,40.5,percent of total billed charges,,,,,
**DEXTROSE 5% IN 0.225 NACL W/KCL 20M,270,RC,0040-9790-09,NDC,,both,1,EA,51,51,10.85708118,51,51,percent of total billed charges,37.52251181,,,,51,percent of total billed charges,39.77312061,,,,51,percent of total billed charges,37.52251181,,,,51,percent of total billed charges,39.77312061,,,,51,percent of total billed charges,999999999,,,,51,percent of total billed charges,38.85849479,,,,51,percent of total billed charges,37.52251181,,,,51,percent of total billed charges,39.77312061,,,,36.363,percent of total billed charges,18.14580244,,,,36.363,percent of total billed charges,10.85708118,,,,36.363,percent of total billed charges,18.14580244,,,,36.363,percent of total billed charges,10.85708118,,,,36.363,percent of total billed charges,18.14580244,,,,36.363,percent of total billed charges,10.85708118,,,,36.006,percent of total billed charges,35.73281269,,,,36.006,percent of total billed charges,24.64463769,,,,,,,,,,36.72,percent of total billed charges,23.8671359,,,,,,,,,,36.72,percent of total billed charges,999999999,,,,,,,,,,40.8,percent of total billed charges,34.18827914,,,,40.29,percent of total billed charges,38.88158388,,,,40.29,percent of total billed charges,34.3531664,,,,40.8,percent of total billed charges,999999999,,,,40.8,percent of total billed charges,999999999,,,,35.7,percent of total billed charges,999999999,,,,35.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,27.132,percent of total billed charges,999999999,,,,,,,,,,,,,,,,25.755,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12.75,percent of total billed charges,12.10938124,,,,,,,,,,12.75,percent of total billed charges,11.90794992,,,,,,,,,,12.75,percent of total billed charges,11.87485824,,,,,,,,,,12.75,percent of total billed charges,11.70000109,,,,,,,,,,12.75,percent of total billed charges,12.00105932,,,,,,,,,,12.75,percent of total billed charges,999999999,,,,,,,,,,12.75,percent of total billed charges,10.29775401,,,,,,,,,,12.75,percent of total billed charges,16.24026821,,,,,,,,,,12.75,percent of total billed charges,999999999,,,,,,,,,,12.75,percent of total billed charges,11.10349732,,,,,,,,,,45.9,percent of total billed charges,,,,,
**LOCAL ANES,Local,Local,,,,both,,,17,17,3.619027059,17,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,17,percent of total billed charges,999999999,,,,17,percent of total billed charges,12.9528316,,,,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.002,percent of total billed charges,11.91093756,,,,12.002,percent of total billed charges,8.214879231,,,,,,,,,,12.24,percent of total billed charges,7.955711967,,,,,,,,,,12.24,percent of total billed charges,999999999,,,,,,,,,,13.6,percent of total billed charges,11.39609305,,,,13.43,percent of total billed charges,12.96052796,,,,13.43,percent of total billed charges,11.45105547,,,,13.6,percent of total billed charges,999999999,,,,13.6,percent of total billed charges,999999999,,,,11.9,percent of total billed charges,999999999,,,,11.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.044,percent of total billed charges,999999999,,,,,,,,,,,,,,,,8.585,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4.25,percent of total billed charges,4.036460412,,,,,,,,,,4.25,percent of total billed charges,3.96931664,,,,,,,,,,4.25,percent of total billed charges,3.958286079,,,,,,,,,,4.25,percent of total billed charges,3.900000364,,,,,,,,,,4.25,percent of total billed charges,4.000353107,,,,,,,,,,4.25,percent of total billed charges,999999999,,,,,,,,,,4.25,percent of total billed charges,3.432584671,,,,,,,,,,4.25,percent of total billed charges,5.413422736,,,,,,,,,,4.25,percent of total billed charges,999999999,,,,,,,,,,4.25,percent of total billed charges,3.701165774,,,,,,,,,,15.3,percent of total billed charges,,,,,
SODIUM CHLORIDE 0.9% 10ML INJ,258,RC,0040-9488-10,NDC,,both,1,EA,7.28,7.28,1.549795117,7.28,7.28,percent of total billed charges,5.356154627,,,,7.28,percent of total billed charges,5.677418001,,,,7.28,percent of total billed charges,5.356154627,,,,7.28,percent of total billed charges,5.677418001,,,,7.28,percent of total billed charges,999999999,,,,7.28,percent of total billed charges,5.546859649,,,,7.28,percent of total billed charges,5.356154627,,,,7.28,percent of total billed charges,5.677418001,,,,5.19064,percent of total billed charges,2.590224349,,,,5.19064,percent of total billed charges,1.549795117,,,,5.19064,percent of total billed charges,2.590224349,,,,5.19064,percent of total billed charges,1.549795117,,,,5.19064,percent of total billed charges,2.590224349,,,,5.19064,percent of total billed charges,1.549795117,,,,5.13968,percent of total billed charges,5.100683851,,,,5.13968,percent of total billed charges,3.517901223,,,,,,,,,,5.2416,percent of total billed charges,3.406916654,,,,,,,,,,5.2416,percent of total billed charges,999999999,,,,,,,,,,5.824,percent of total billed charges,4.880209258,,,,5.7512,percent of total billed charges,5.550155502,,,,5.7512,percent of total billed charges,4.903746105,,,,5.824,percent of total billed charges,999999999,,,,5.824,percent of total billed charges,999999999,,,,5.096,percent of total billed charges,999999999,,,,5.096,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.87296,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.6764,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.82,percent of total billed charges,1.728554812,,,,,,,,,,1.82,percent of total billed charges,1.699801479,,,,,,,,,,1.82,percent of total billed charges,1.695077803,,,,,,,,,,1.82,percent of total billed charges,1.670117803,,,,,,,,,,1.82,percent of total billed charges,1.713092389,,,,,,,,,,1.82,percent of total billed charges,999999999,,,,,,,,,,1.82,percent of total billed charges,1.469953906,,,,,,,,,,1.82,percent of total billed charges,2.318218677,,,,,,,,,,1.82,percent of total billed charges,999999999,,,,,,,,,,1.82,percent of total billed charges,1.584969814,,,,,,,,,,6.552,percent of total billed charges,,,,,
FLUOCINONIDE (LIDEX) CRM: 0.05% 60 GM,637,RC,5167-2138-04,NDC,,both,1,EA,231.23,231.23,49.22515452,231.23,231.23,percent of total billed charges,170.1241256,,,,231.23,percent of total billed charges,180.3282094,,,,231.23,percent of total billed charges,170.1241256,,,,231.23,percent of total billed charges,180.3282094,,,,231.23,percent of total billed charges,999999999,,,,231.23,percent of total billed charges,176.1813677,,,,231.23,percent of total billed charges,170.1241256,,,,231.23,percent of total billed charges,180.3282094,,,,164.86699,percent of total billed charges,82.27164508,,,,164.86699,percent of total billed charges,49.22515452,,,,164.86699,percent of total billed charges,82.27164508,,,,164.86699,percent of total billed charges,49.22515452,,,,164.86699,percent of total billed charges,82.27164508,,,,164.86699,percent of total billed charges,49.22515452,,,,163.24838,percent of total billed charges,162.0097702,,,,163.24838,percent of total billed charges,111.7368544,,,,,,,,,,166.4856,percent of total billed charges,108.2117222,,,,,,,,,,166.4856,percent of total billed charges,999999999,,,,,,,,,,184.984,percent of total billed charges,155.0069762,,,,182.6717,percent of total billed charges,176.2860518,,,,182.6717,percent of total billed charges,155.7545621,,,,184.984,percent of total billed charges,999999999,,,,184.984,percent of total billed charges,999999999,,,,161.861,percent of total billed charges,999999999,,,,161.861,percent of total billed charges,999999999,,,,,,,,,,,,,,,,123.01436,percent of total billed charges,999999999,,,,,,,,,,,,,,,,116.77115,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,57.8075,percent of total billed charges,54.90298477,,,,,,,,,,57.8075,percent of total billed charges,53.98971097,,,,,,,,,,57.8075,percent of total billed charges,53.83967588,,,,,,,,,,57.8075,percent of total billed charges,53.04688731,,,,,,,,,,57.8075,percent of total billed charges,54.4118617,,,,,,,,,,57.8075,percent of total billed charges,999999999,,,,,,,,,,57.8075,percent of total billed charges,46.68920903,,,,,,,,,,57.8075,percent of total billed charges,73.63210231,,,,,,,,,,57.8075,percent of total billed charges,999999999,,,,,,,,,,57.8075,percent of total billed charges,50.342386,,,,,,,,,,208.107,percent of total billed charges,,,,,
ACETAMINOPHEN  120MG: SUPPOSITORY,637,RC,4580-2073-30,NDC,,both,1,EA,1.51,1.51,0.321454756,1.51,1.51,percent of total billed charges,1.110960644,,,,1.51,percent of total billed charges,1.177596316,,,,1.51,percent of total billed charges,1.110960644,,,,1.51,percent of total billed charges,1.177596316,,,,1.51,percent of total billed charges,999999999,,,,1.51,percent of total billed charges,1.150516218,,,,1.51,percent of total billed charges,1.110960644,,,,1.51,percent of total billed charges,1.177596316,,,,1.07663,percent of total billed charges,0.537258072,,,,1.07663,percent of total billed charges,0.321454756,,,,1.07663,percent of total billed charges,0.537258072,,,,1.07663,percent of total billed charges,0.321454756,,,,1.07663,percent of total billed charges,0.537258072,,,,1.07663,percent of total billed charges,0.321454756,,,,1.06606,percent of total billed charges,1.057971513,,,,1.06606,percent of total billed charges,0.729674567,,,,,,,,,,1.0872,percent of total billed charges,0.706654416,,,,,,,,,,1.0872,percent of total billed charges,999999999,,,,,,,,,,1.208,percent of total billed charges,1.012241206,,,,1.1929,percent of total billed charges,1.151199836,,,,1.1929,percent of total billed charges,1.017123162,,,,1.208,percent of total billed charges,999999999,,,,1.208,percent of total billed charges,999999999,,,,1.057,percent of total billed charges,999999999,,,,1.057,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.80332,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.76255,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.3775,percent of total billed charges,0.35853266,,,,,,,,,,0.3775,percent of total billed charges,0.352568713,,,,,,,,,,0.3775,percent of total billed charges,0.35158894,,,,,,,,,,0.3775,percent of total billed charges,0.346411797,,,,,,,,,,0.3775,percent of total billed charges,0.355325482,,,,,,,,,,0.3775,percent of total billed charges,999999999,,,,,,,,,,0.3775,percent of total billed charges,0.304894285,,,,,,,,,,0.3775,percent of total billed charges,0.480839314,,,,,,,,,,0.3775,percent of total billed charges,999999999,,,,,,,,,,0.3775,percent of total billed charges,0.328750607,,,,,,,,,,1.359,percent of total billed charges,,,,,
**ACETAMINOPHEN (TYLENOL) 325MG/10ML: EL,637,RC,0012-1065-11,NDC,,both,1,EA,3,3,0.638651834,3,3,percent of total billed charges,2.207206577,,,,3,percent of total billed charges,2.33959533,,,,3,percent of total billed charges,2.207206577,,,,3,percent of total billed charges,2.33959533,,,,3,percent of total billed charges,999999999,,,,3,percent of total billed charges,2.285793811,,,,3,percent of total billed charges,2.207206577,,,,3,percent of total billed charges,2.33959533,,,,2.139,percent of total billed charges,1.067400144,,,,2.139,percent of total billed charges,0.638651834,,,,2.139,percent of total billed charges,1.067400144,,,,2.139,percent of total billed charges,0.638651834,,,,2.139,percent of total billed charges,1.067400144,,,,2.139,percent of total billed charges,0.638651834,,,,2.118,percent of total billed charges,2.101930158,,,,2.118,percent of total billed charges,1.44968457,,,,,,,,,,2.16,percent of total billed charges,1.403949171,,,,,,,,,,2.16,percent of total billed charges,999999999,,,,,,,,,,2.4,percent of total billed charges,2.011075244,,,,2.37,percent of total billed charges,2.287151993,,,,2.37,percent of total billed charges,2.020774494,,,,2.4,percent of total billed charges,999999999,,,,2.4,percent of total billed charges,999999999,,,,2.1,percent of total billed charges,999999999,,,,2.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.596,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.515,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.75,percent of total billed charges,0.712316543,,,,,,,,,,0.75,percent of total billed charges,0.700467642,,,,,,,,,,0.75,percent of total billed charges,0.698521073,,,,,,,,,,0.75,percent of total billed charges,0.688235358,,,,,,,,,,0.75,percent of total billed charges,0.705944666,,,,,,,,,,0.75,percent of total billed charges,999999999,,,,,,,,,,0.75,percent of total billed charges,0.605750236,,,,,,,,,,0.75,percent of total billed charges,0.955309895,,,,,,,,,,0.75,percent of total billed charges,999999999,,,,,,,,,,0.75,percent of total billed charges,0.653146901,,,,,,,,,,2.7,percent of total billed charges,,,,,
ACETAMINOPHEN SUPPOSITORY 650 MG:,637,RC,4580-2073-32,NDC,,both,1,EA,0.77,0.77,0.163920637,0.77,0.77,percent of total billed charges,0.566516355,,,,0.77,percent of total billed charges,0.600496135,,,,0.77,percent of total billed charges,0.566516355,,,,0.77,percent of total billed charges,0.600496135,,,,0.77,percent of total billed charges,999999999,,,,0.77,percent of total billed charges,0.586687078,,,,0.77,percent of total billed charges,0.566516355,,,,0.77,percent of total billed charges,0.600496135,,,,0.54901,percent of total billed charges,0.273966037,,,,0.54901,percent of total billed charges,0.163920637,,,,0.54901,percent of total billed charges,0.273966037,,,,0.54901,percent of total billed charges,0.163920637,,,,0.54901,percent of total billed charges,0.273966037,,,,0.54901,percent of total billed charges,0.163920637,,,,0.54362,percent of total billed charges,0.539495407,,,,0.54362,percent of total billed charges,0.372085706,,,,,,,,,,0.5544,percent of total billed charges,0.360346954,,,,,,,,,,0.5544,percent of total billed charges,999999999,,,,,,,,,,0.616,percent of total billed charges,0.516175979,,,,0.6083,percent of total billed charges,0.587035678,,,,0.6083,percent of total billed charges,0.518665453,,,,0.616,percent of total billed charges,999999999,,,,0.616,percent of total billed charges,999999999,,,,0.539,percent of total billed charges,999999999,,,,0.539,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.40964,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.38885,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.1925,percent of total billed charges,0.182827913,,,,,,,,,,0.1925,percent of total billed charges,0.179786695,,,,,,,,,,0.1925,percent of total billed charges,0.179287075,,,,,,,,,,0.1925,percent of total billed charges,0.176647075,,,,,,,,,,0.1925,percent of total billed charges,0.181192464,,,,,,,,,,0.1925,percent of total billed charges,999999999,,,,,,,,,,0.1925,percent of total billed charges,0.155475894,,,,,,,,,,0.1925,percent of total billed charges,0.245196206,,,,,,,,,,0.1925,percent of total billed charges,999999999,,,,,,,,,,0.1925,percent of total billed charges,0.167641038,,,,,,,,,,0.693,percent of total billed charges,,,,,
ACETAMINOPHEN ELIXIR 160MG/5ML: U/D,250,RC,5295-9061-16,NDC,,both,1,EA,4.45,4.45,0.947333554,4.45,4.45,percent of total billed charges,3.274023089,,,,4.45,percent of total billed charges,3.47039974,,,,4.45,percent of total billed charges,3.274023089,,,,4.45,percent of total billed charges,3.47039974,,,,4.45,percent of total billed charges,999999999,,,,4.45,percent of total billed charges,3.390594153,,,,4.45,percent of total billed charges,3.274023089,,,,4.45,percent of total billed charges,3.47039974,,,,3.17285,percent of total billed charges,1.583310213,,,,3.17285,percent of total billed charges,0.947333554,,,,3.17285,percent of total billed charges,1.583310213,,,,3.17285,percent of total billed charges,0.947333554,,,,3.17285,percent of total billed charges,1.583310213,,,,3.17285,percent of total billed charges,0.947333554,,,,3.1417,percent of total billed charges,3.117863068,,,,3.1417,percent of total billed charges,2.150365446,,,,,,,,,,3.204,percent of total billed charges,2.082524603,,,,,,,,,,3.204,percent of total billed charges,999999999,,,,,,,,,,3.56,percent of total billed charges,2.983094945,,,,3.5155,percent of total billed charges,3.392608789,,,,3.5155,percent of total billed charges,2.997482166,,,,3.56,percent of total billed charges,999999999,,,,3.56,percent of total billed charges,999999999,,,,3.115,percent of total billed charges,999999999,,,,3.115,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2.3674,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2.24725,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.1125,percent of total billed charges,1.056602873,,,,,,,,,,1.1125,percent of total billed charges,1.039027003,,,,,,,,,,1.1125,percent of total billed charges,1.036139591,,,,,,,,,,1.1125,percent of total billed charges,1.020882448,,,,,,,,,,1.1125,percent of total billed charges,1.047151254,,,,,,,,,,1.1125,percent of total billed charges,999999999,,,,,,,,,,1.1125,percent of total billed charges,0.898529517,,,,,,,,,,1.1125,percent of total billed charges,1.41704301,,,,,,,,,,1.1125,percent of total billed charges,999999999,,,,,,,,,,1.1125,percent of total billed charges,0.96883457,,,,,,,,,,4.005,percent of total billed charges,,,,,
methazolAMIDE (NEPTAZANE) 25MG: TAB,259,RC,0057-4079-01,NDC,,both,1,EA,9,9,1.915955502,9,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,9,percent of total billed charges,999999999,,,,9,percent of total billed charges,6.857381434,,,,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.354,percent of total billed charges,6.305790475,,,,6.354,percent of total billed charges,4.34905371,,,,,,,,,,6.48,percent of total billed charges,4.211847512,,,,,,,,,,6.48,percent of total billed charges,999999999,,,,,,,,,,7.2,percent of total billed charges,6.033225731,,,,7.11,percent of total billed charges,6.861455978,,,,7.11,percent of total billed charges,6.062323481,,,,7.2,percent of total billed charges,999999999,,,,7.2,percent of total billed charges,999999999,,,,6.3,percent of total billed charges,999999999,,,,6.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.788,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.545,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.25,percent of total billed charges,2.13694963,,,,,,,,,,2.25,percent of total billed charges,2.101402927,,,,,,,,,,2.25,percent of total billed charges,2.095563218,,,,,,,,,,2.25,percent of total billed charges,2.064706075,,,,,,,,,,2.25,percent of total billed charges,2.117833998,,,,,,,,,,2.25,percent of total billed charges,999999999,,,,,,,,,,2.25,percent of total billed charges,1.817250708,,,,,,,,,,2.25,percent of total billed charges,2.865929684,,,,,,,,,,2.25,percent of total billed charges,999999999,,,,,,,,,,2.25,percent of total billed charges,1.959440704,,,,,,,,,,8.1,percent of total billed charges,,,,,
**CLARITIN D (LORATAD.5MG PSE 120MG): TA,259,RC,5786-6351-02,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
ACETAMINOPHEN (TYLENOL) 325MG TAB,637,RC,5058-0060-02,NDC,,both,1,EA,0.5,0.5,0.106441972,0.5,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,999999999,,,,0.5,percent of total billed charges,0.380965635,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.353,percent of total billed charges,0.350321693,,,,0.353,percent of total billed charges,0.241614095,,,,,,,,,,0.36,percent of total billed charges,0.233991528,,,,,,,,,,0.36,percent of total billed charges,999999999,,,,,,,,,,0.4,percent of total billed charges,0.335179207,,,,0.395,percent of total billed charges,0.381191999,,,,0.395,percent of total billed charges,0.336795749,,,,0.4,percent of total billed charges,999999999,,,,0.4,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.266,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.2525,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.125,percent of total billed charges,0.118719424,,,,,,,,,,0.125,percent of total billed charges,0.116744607,,,,,,,,,,0.125,percent of total billed charges,0.116420179,,,,,,,,,,0.125,percent of total billed charges,0.114705893,,,,,,,,,,0.125,percent of total billed charges,0.117657444,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.100958373,,,,,,,,,,0.125,percent of total billed charges,0.159218316,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.108857817,,,,,,,,,,0.45,percent of total billed charges,,,,,
ACETAMINOPHEN 500 MG: CAPLET,637,RC,0090-4673-61,NDC,,both,1,EA,0.5,0.5,0.106441972,0.5,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,999999999,,,,0.5,percent of total billed charges,0.380965635,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.353,percent of total billed charges,0.350321693,,,,0.353,percent of total billed charges,0.241614095,,,,,,,,,,0.36,percent of total billed charges,0.233991528,,,,,,,,,,0.36,percent of total billed charges,999999999,,,,,,,,,,0.4,percent of total billed charges,0.335179207,,,,0.395,percent of total billed charges,0.381191999,,,,0.395,percent of total billed charges,0.336795749,,,,0.4,percent of total billed charges,999999999,,,,0.4,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.266,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.2525,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.125,percent of total billed charges,0.118719424,,,,,,,,,,0.125,percent of total billed charges,0.116744607,,,,,,,,,,0.125,percent of total billed charges,0.116420179,,,,,,,,,,0.125,percent of total billed charges,0.114705893,,,,,,,,,,0.125,percent of total billed charges,0.117657444,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.100958373,,,,,,,,,,0.125,percent of total billed charges,0.159218316,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.108857817,,,,,,,,,,0.45,percent of total billed charges,,,,,
ACETAMINOPHEN SUSP 650MG/20ML UD,637,RC,0012-1065-21,NDC,,both,1,EA,6.58,6.58,1.400776356,6.58,6.58,percent of total billed charges,4.841139759,,,,6.58,percent of total billed charges,5.131512424,,,,6.58,percent of total billed charges,4.841139759,,,,6.58,percent of total billed charges,5.131512424,,,,6.58,percent of total billed charges,999999999,,,,6.58,percent of total billed charges,5.013507759,,,,6.58,percent of total billed charges,4.841139759,,,,6.58,percent of total billed charges,5.131512424,,,,4.69154,percent of total billed charges,2.341164315,,,,4.69154,percent of total billed charges,1.400776356,,,,4.69154,percent of total billed charges,2.341164315,,,,4.69154,percent of total billed charges,1.400776356,,,,4.69154,percent of total billed charges,2.341164315,,,,4.69154,percent of total billed charges,1.400776356,,,,4.64548,percent of total billed charges,4.61023348,,,,4.64548,percent of total billed charges,3.17964149,,,,,,,,,,4.7376,percent of total billed charges,3.079328514,,,,,,,,,,4.7376,percent of total billed charges,999999999,,,,,,,,,,5.264,percent of total billed charges,4.410958368,,,,5.1982,percent of total billed charges,5.016486704,,,,5.1982,percent of total billed charges,4.432232056,,,,5.264,percent of total billed charges,999999999,,,,5.264,percent of total billed charges,999999999,,,,4.606,percent of total billed charges,999999999,,,,4.606,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.50056,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.3229,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.645,percent of total billed charges,1.562347618,,,,,,,,,,1.645,percent of total billed charges,1.536359029,,,,,,,,,,1.645,percent of total billed charges,1.532089553,,,,,,,,,,1.645,percent of total billed charges,1.509529553,,,,,,,,,,1.645,percent of total billed charges,1.548371967,,,,,,,,,,1.645,percent of total billed charges,999999999,,,,,,,,,,1.645,percent of total billed charges,1.328612184,,,,,,,,,,1.645,percent of total billed charges,2.095313035,,,,,,,,,,1.645,percent of total billed charges,999999999,,,,,,,,,,1.645,percent of total billed charges,1.43256887,,,,,,,,,,5.922,percent of total billed charges,,,,,
**ACETAMINOPHEN (TYLNOL) 80 MG CHEW TAB,637,RC,0018-2214-17,NDC,,both,1,EA,2,2,0.425767889,2,2,percent of total billed charges,1.471471051,,,,2,percent of total billed charges,1.55973022,,,,2,percent of total billed charges,1.471471051,,,,2,percent of total billed charges,1.55973022,,,,2,percent of total billed charges,999999999,,,,2,percent of total billed charges,1.523862541,,,,2,percent of total billed charges,1.471471051,,,,2,percent of total billed charges,1.55973022,,,,1.426,percent of total billed charges,0.711600096,,,,1.426,percent of total billed charges,0.425767889,,,,1.426,percent of total billed charges,0.711600096,,,,1.426,percent of total billed charges,0.425767889,,,,1.426,percent of total billed charges,0.711600096,,,,1.426,percent of total billed charges,0.425767889,,,,1.412,percent of total billed charges,1.401286772,,,,1.412,percent of total billed charges,0.96645638,,,,,,,,,,1.44,percent of total billed charges,0.935966114,,,,,,,,,,1.44,percent of total billed charges,999999999,,,,,,,,,,1.6,percent of total billed charges,1.340716829,,,,1.58,percent of total billed charges,1.524767995,,,,1.58,percent of total billed charges,1.347182996,,,,1.6,percent of total billed charges,999999999,,,,1.6,percent of total billed charges,999999999,,,,1.4,percent of total billed charges,999999999,,,,1.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.064,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.01,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.5,percent of total billed charges,0.474877696,,,,,,,,,,0.5,percent of total billed charges,0.466978428,,,,,,,,,,0.5,percent of total billed charges,0.465680715,,,,,,,,,,0.5,percent of total billed charges,0.458823572,,,,,,,,,,0.5,percent of total billed charges,0.470629777,,,,,,,,,,0.5,percent of total billed charges,999999999,,,,,,,,,,0.5,percent of total billed charges,0.403833491,,,,,,,,,,0.5,percent of total billed charges,0.636873263,,,,,,,,,,0.5,percent of total billed charges,999999999,,,,,,,,,,0.5,percent of total billed charges,0.435431268,,,,,,,,,,1.8,percent of total billed charges,,,,,
**THEOPHYLLINE SYRUP 80 MG/15 ML: 120 ML,259,RC,0045-6064-16,NDC,,both,1,EA,52,52,11.06996512,52,52,percent of total billed charges,38.25824734,,,,52,percent of total billed charges,40.55298572,,,,52,percent of total billed charges,38.25824734,,,,52,percent of total billed charges,40.55298572,,,,52,percent of total billed charges,999999999,,,,52,percent of total billed charges,39.62042606,,,,52,percent of total billed charges,38.25824734,,,,52,percent of total billed charges,40.55298572,,,,37.076,percent of total billed charges,18.50160249,,,,37.076,percent of total billed charges,11.06996512,,,,37.076,percent of total billed charges,18.50160249,,,,37.076,percent of total billed charges,11.06996512,,,,37.076,percent of total billed charges,18.50160249,,,,37.076,percent of total billed charges,11.06996512,,,,36.712,percent of total billed charges,36.43345608,,,,36.712,percent of total billed charges,25.12786588,,,,,,,,,,37.44,percent of total billed charges,24.33511896,,,,,,,,,,37.44,percent of total billed charges,999999999,,,,,,,,,,41.6,percent of total billed charges,34.85863756,,,,41.08,percent of total billed charges,39.64396787,,,,41.08,percent of total billed charges,35.02675789,,,,41.6,percent of total billed charges,999999999,,,,41.6,percent of total billed charges,999999999,,,,36.4,percent of total billed charges,999999999,,,,36.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,27.664,percent of total billed charges,999999999,,,,,,,,,,,,,,,,26.26,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13,percent of total billed charges,12.34682008,,,,,,,,,,13,percent of total billed charges,12.14143913,,,,,,,,,,13,percent of total billed charges,12.10769859,,,,,,,,,,13,percent of total billed charges,11.92941288,,,,,,,,,,13,percent of total billed charges,12.23637421,,,,,,,,,,13,percent of total billed charges,999999999,,,,,,,,,,13,percent of total billed charges,10.49967076,,,,,,,,,,13,percent of total billed charges,16.55870484,,,,,,,,,,13,percent of total billed charges,999999999,,,,,,,,,,13,percent of total billed charges,11.32121296,,,,,,,,,,46.8,percent of total billed charges,,,,,
ACETAMINOPHEN 300MG/CODEINE 30MG TAB,637,RC,5009-0157-07,NDC,,both,1,EA,3.27,3.27,0.696130499,3.27,3.27,percent of total billed charges,2.405855169,,,,3.27,percent of total billed charges,2.55015891,,,,3.27,percent of total billed charges,2.405855169,,,,3.27,percent of total billed charges,2.55015891,,,,3.27,percent of total billed charges,999999999,,,,3.27,percent of total billed charges,2.491515254,,,,3.27,percent of total billed charges,2.405855169,,,,3.27,percent of total billed charges,2.55015891,,,,2.33151,percent of total billed charges,1.163466157,,,,2.33151,percent of total billed charges,0.696130499,,,,2.33151,percent of total billed charges,1.163466157,,,,2.33151,percent of total billed charges,0.696130499,,,,2.33151,percent of total billed charges,1.163466157,,,,2.33151,percent of total billed charges,0.696130499,,,,2.30862,percent of total billed charges,2.291103872,,,,2.30862,percent of total billed charges,1.580156181,,,,,,,,,,2.3544,percent of total billed charges,1.530304596,,,,,,,,,,2.3544,percent of total billed charges,999999999,,,,,,,,,,2.616,percent of total billed charges,2.192072016,,,,2.5833,percent of total billed charges,2.492995672,,,,2.5833,percent of total billed charges,2.202644198,,,,2.616,percent of total billed charges,999999999,,,,2.616,percent of total billed charges,999999999,,,,2.289,percent of total billed charges,999999999,,,,2.289,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.73964,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.65135,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.8175,percent of total billed charges,0.776425032,,,,,,,,,,0.8175,percent of total billed charges,0.76350973,,,,,,,,,,0.8175,percent of total billed charges,0.761387969,,,,,,,,,,0.8175,percent of total billed charges,0.750176541,,,,,,,,,,0.8175,percent of total billed charges,0.769479686,,,,,,,,,,0.8175,percent of total billed charges,999999999,,,,,,,,,,0.8175,percent of total billed charges,0.660267757,,,,,,,,,,0.8175,percent of total billed charges,1.041287785,,,,,,,,,,0.8175,percent of total billed charges,999999999,,,,,,,,,,0.8175,percent of total billed charges,0.711930122,,,,,,,,,,2.943,percent of total billed charges,,,,,
**ACETAMINOPHEN/CODEINE LIQ 12.5 ML UD,637,RC,0012-1100-12,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
acetaZOLAMIDE (DIAMOX) 250 MG: TAB,637,RC,6808-4054-01,NDC,,both,1,EA,11.97,11.97,2.548220817,11.97,11.97,percent of total billed charges,8.806754243,,,,11.97,percent of total billed charges,9.334985367,,,,11.97,percent of total billed charges,8.806754243,,,,11.97,percent of total billed charges,9.334985367,,,,11.97,percent of total billed charges,999999999,,,,11.97,percent of total billed charges,9.120317307,,,,11.97,percent of total billed charges,8.806754243,,,,11.97,percent of total billed charges,9.334985367,,,,8.53461,percent of total billed charges,4.258926574,,,,8.53461,percent of total billed charges,2.548220817,,,,8.53461,percent of total billed charges,4.258926574,,,,8.53461,percent of total billed charges,2.548220817,,,,8.53461,percent of total billed charges,4.258926574,,,,8.53461,percent of total billed charges,2.548220817,,,,8.45082,percent of total billed charges,8.386701331,,,,8.45082,percent of total billed charges,5.784241435,,,,,,,,,,8.6184,percent of total billed charges,5.601757191,,,,,,,,,,8.6184,percent of total billed charges,999999999,,,,,,,,,,9.576,percent of total billed charges,8.024190223,,,,9.4563,percent of total billed charges,9.125736451,,,,9.4563,percent of total billed charges,8.06289023,,,,9.576,percent of total billed charges,999999999,,,,9.576,percent of total billed charges,999999999,,,,8.379,percent of total billed charges,999999999,,,,8.379,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.36804,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.04485,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.9925,percent of total billed charges,2.842143008,,,,,,,,,,2.9925,percent of total billed charges,2.794865893,,,,,,,,,,2.9925,percent of total billed charges,2.78709908,,,,,,,,,,2.9925,percent of total billed charges,2.74605908,,,,,,,,,,2.9925,percent of total billed charges,2.816719217,,,,,,,,,,2.9925,percent of total billed charges,999999999,,,,,,,,,,2.9925,percent of total billed charges,2.416943442,,,,,,,,,,2.9925,percent of total billed charges,3.811686479,,,,,,,,,,2.9925,percent of total billed charges,999999999,,,,,,,,,,2.9925,percent of total billed charges,2.606056136,,,,,,,,,,10.773,percent of total billed charges,,,,,
**IPECAC SYRUP LIQUID: 30ML,259,RC,0057-4001-01,NDC,,both,1,EA,13,13,2.76749128,13,13,percent of total billed charges,9.564561834,,,,13,percent of total billed charges,10.13824643,,,,13,percent of total billed charges,9.564561834,,,,13,percent of total billed charges,10.13824643,,,,13,percent of total billed charges,999999999,,,,13,percent of total billed charges,9.905106516,,,,13,percent of total billed charges,9.564561834,,,,13,percent of total billed charges,10.13824643,,,,9.269,percent of total billed charges,4.625400623,,,,9.269,percent of total billed charges,2.76749128,,,,9.269,percent of total billed charges,4.625400623,,,,9.269,percent of total billed charges,2.76749128,,,,9.269,percent of total billed charges,4.625400623,,,,9.269,percent of total billed charges,2.76749128,,,,9.178,percent of total billed charges,9.108364019,,,,9.178,percent of total billed charges,6.281966471,,,,,,,,,,9.36,percent of total billed charges,6.083779739,,,,,,,,,,9.36,percent of total billed charges,999999999,,,,,,,,,,10.4,percent of total billed charges,8.71465939,,,,10.27,percent of total billed charges,9.910991969,,,,10.27,percent of total billed charges,8.756689473,,,,10.4,percent of total billed charges,999999999,,,,10.4,percent of total billed charges,999999999,,,,9.1,percent of total billed charges,999999999,,,,9.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.916,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.565,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3.25,percent of total billed charges,3.086705021,,,,,,,,,,3.25,percent of total billed charges,3.035359783,,,,,,,,,,3.25,percent of total billed charges,3.026924648,,,,,,,,,,3.25,percent of total billed charges,2.98235322,,,,,,,,,,3.25,percent of total billed charges,3.059093552,,,,,,,,,,3.25,percent of total billed charges,999999999,,,,,,,,,,3.25,percent of total billed charges,2.624917689,,,,,,,,,,3.25,percent of total billed charges,4.13967621,,,,,,,,,,3.25,percent of total billed charges,999999999,,,,,,,,,,3.25,percent of total billed charges,2.830303239,,,,,,,,,,11.7,percent of total billed charges,,,,,
BACITRACIN TOP OINT PKT: 1 GM,259,RC,0016-8011-09,NDC,,both,1,EA,0.67,0.67,0.142632243,0.67,0.67,percent of total billed charges,0.492942802,,,,0.67,percent of total billed charges,0.522509624,,,,0.67,percent of total billed charges,0.492942802,,,,0.67,percent of total billed charges,0.522509624,,,,0.67,percent of total billed charges,999999999,,,,0.67,percent of total billed charges,0.510493951,,,,0.67,percent of total billed charges,0.492942802,,,,0.67,percent of total billed charges,0.522509624,,,,0.47771,percent of total billed charges,0.238386032,,,,0.47771,percent of total billed charges,0.142632243,,,,0.47771,percent of total billed charges,0.238386032,,,,0.47771,percent of total billed charges,0.142632243,,,,0.47771,percent of total billed charges,0.238386032,,,,0.47771,percent of total billed charges,0.142632243,,,,0.47302,percent of total billed charges,0.469431069,,,,0.47302,percent of total billed charges,0.323762887,,,,,,,,,,0.4824,percent of total billed charges,0.313548648,,,,,,,,,,0.4824,percent of total billed charges,999999999,,,,,,,,,,0.536,percent of total billed charges,0.449140138,,,,0.5293,percent of total billed charges,0.510797278,,,,0.5293,percent of total billed charges,0.451306304,,,,0.536,percent of total billed charges,999999999,,,,0.536,percent of total billed charges,999999999,,,,0.469,percent of total billed charges,999999999,,,,0.469,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.35644,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.33835,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.1675,percent of total billed charges,0.159084028,,,,,,,,,,0.1675,percent of total billed charges,0.156437773,,,,,,,,,,0.1675,percent of total billed charges,0.15600304,,,,,,,,,,0.1675,percent of total billed charges,0.153705897,,,,,,,,,,0.1675,percent of total billed charges,0.157660975,,,,,,,,,,0.1675,percent of total billed charges,999999999,,,,,,,,,,0.1675,percent of total billed charges,0.135284219,,,,,,,,,,0.1675,percent of total billed charges,0.213352543,,,,,,,,,,0.1675,percent of total billed charges,999999999,,,,,,,,,,0.1675,percent of total billed charges,0.145869475,,,,,,,,,,0.603,percent of total billed charges,,,,,
ACETYLCYSTEIN (MUCOMYST) 20% SOL: 30ML,250,RC,6332-3096-30,NDC,,both,1,EA,91.7,91.7,19.52145772,91.7,91.7,percent of total billed charges,67.46694771,,,,91.7,percent of total billed charges,71.51363059,,,,91.7,percent of total billed charges,67.46694771,,,,91.7,percent of total billed charges,71.51363059,,,,91.7,percent of total billed charges,999999999,,,,91.7,percent of total billed charges,69.8690975,,,,91.7,percent of total billed charges,67.46694771,,,,91.7,percent of total billed charges,71.51363059,,,,65.3821,percent of total billed charges,32.62686439,,,,65.3821,percent of total billed charges,19.52145772,,,,65.3821,percent of total billed charges,32.62686439,,,,65.3821,percent of total billed charges,19.52145772,,,,65.3821,percent of total billed charges,32.62686439,,,,65.3821,percent of total billed charges,19.52145772,,,,64.7402,percent of total billed charges,64.2489985,,,,64.7402,percent of total billed charges,44.31202503,,,,,,,,,,66.024,percent of total billed charges,42.91404632,,,,,,,,,,66.024,percent of total billed charges,999999999,,,,,,,,,,73.36,percent of total billed charges,61.47186662,,,,72.443,percent of total billed charges,69.91061258,,,,72.443,percent of total billed charges,61.76834036,,,,73.36,percent of total billed charges,999999999,,,,73.36,percent of total billed charges,999999999,,,,64.19,percent of total billed charges,999999999,,,,64.19,percent of total billed charges,999999999,,,,,,,,,,,,,,,,48.7844,percent of total billed charges,999999999,,,,,,,,,,,,,,,,46.3085,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,22.925,percent of total billed charges,21.77314234,,,,,,,,,,22.925,percent of total billed charges,21.41096093,,,,,,,,,,22.925,percent of total billed charges,21.35146079,,,,,,,,,,22.925,percent of total billed charges,21.03706079,,,,,,,,,,22.925,percent of total billed charges,21.57837529,,,,,,,,,,22.925,percent of total billed charges,999999999,,,,,,,,,,22.925,percent of total billed charges,18.51576555,,,,,,,,,,22.925,percent of total billed charges,29.20063911,,,,,,,,,,22.925,percent of total billed charges,999999999,,,,,,,,,,22.925,percent of total billed charges,19.96452362,,,,,,,,,,82.53,percent of total billed charges,,,,,
LOTEPREDNOL (ALREX) 0.2%OPTH SUSP 5ML,259,RC,2420-8035-05,NDC,,both,1,EA,608.43,608.43,129.5249784,608.43,608.43,percent of total billed charges,447.6435659,,,,608.43,percent of total billed charges,474.4933289,,,,608.43,percent of total billed charges,447.6435659,,,,608.43,percent of total billed charges,474.4933289,,,,608.43,percent of total billed charges,999999999,,,,608.43,percent of total billed charges,463.5818429,,,,608.43,percent of total billed charges,447.6435659,,,,608.43,percent of total billed charges,474.4933289,,,,433.81059,percent of total billed charges,216.4794232,,,,433.81059,percent of total billed charges,129.5249784,,,,433.81059,percent of total billed charges,216.4794232,,,,433.81059,percent of total billed charges,129.5249784,,,,433.81059,percent of total billed charges,216.4794232,,,,433.81059,percent of total billed charges,129.5249784,,,,429.55158,percent of total billed charges,426.2924554,,,,429.55158,percent of total billed charges,294.0105277,,,,,,,,,,438.0696,percent of total billed charges,284.7349313,,,,,,,,,,438.0696,percent of total billed charges,999999999,,,,,,,,,,486.744,percent of total billed charges,407.8661702,,,,480.6597,percent of total billed charges,463.8572956,,,,480.6597,percent of total billed charges,409.8332751,,,,486.744,percent of total billed charges,999999999,,,,486.744,percent of total billed charges,999999999,,,,425.901,percent of total billed charges,999999999,,,,425.901,percent of total billed charges,999999999,,,,,,,,,,,,,,,,323.68476,percent of total billed charges,999999999,,,,,,,,,,,,,,,,307.25715,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,152.1075,percent of total billed charges,144.4649181,,,,,,,,,,152.1075,percent of total billed charges,142.0618425,,,,,,,,,,152.1075,percent of total billed charges,141.6670588,,,,,,,,,,152.1075,percent of total billed charges,139.581013,,,,,,,,,,152.1075,percent of total billed charges,143.1726377,,,,,,,,,,152.1075,percent of total billed charges,999999999,,,,,,,,,,152.1075,percent of total billed charges,122.8522054,,,,,,,,,,152.1075,percent of total billed charges,193.7463997,,,,,,,,,,152.1075,percent of total billed charges,999999999,,,,,,,,,,152.1075,percent of total billed charges,132.4647231,,,,,,,,,,547.587,percent of total billed charges,,,,,
**GAVISCON (AL0H2 80MG/MAG TRIS 20MG): T,259,RC,0008-8117-47,NDC,,both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
AZITHROMYCIN 250MG TAB: ZITHROMAX,637,RC,6808-4065-11,NDC,,both,1,EA,3,3,0.638651834,3,3,percent of total billed charges,2.207206577,,,,3,percent of total billed charges,2.33959533,,,,3,percent of total billed charges,2.207206577,,,,3,percent of total billed charges,2.33959533,,,,3,percent of total billed charges,999999999,,,,3,percent of total billed charges,2.285793811,,,,3,percent of total billed charges,2.207206577,,,,3,percent of total billed charges,2.33959533,,,,2.139,percent of total billed charges,1.067400144,,,,2.139,percent of total billed charges,0.638651834,,,,2.139,percent of total billed charges,1.067400144,,,,2.139,percent of total billed charges,0.638651834,,,,2.139,percent of total billed charges,1.067400144,,,,2.139,percent of total billed charges,0.638651834,,,,2.118,percent of total billed charges,2.101930158,,,,2.118,percent of total billed charges,1.44968457,,,,,,,,,,2.16,percent of total billed charges,1.403949171,,,,,,,,,,2.16,percent of total billed charges,999999999,,,,,,,,,,2.4,percent of total billed charges,2.011075244,,,,2.37,percent of total billed charges,2.287151993,,,,2.37,percent of total billed charges,2.020774494,,,,2.4,percent of total billed charges,999999999,,,,2.4,percent of total billed charges,999999999,,,,2.1,percent of total billed charges,999999999,,,,2.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.596,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.515,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.75,percent of total billed charges,0.712316543,,,,,,,,,,0.75,percent of total billed charges,0.700467642,,,,,,,,,,0.75,percent of total billed charges,0.698521073,,,,,,,,,,0.75,percent of total billed charges,0.688235358,,,,,,,,,,0.75,percent of total billed charges,0.705944666,,,,,,,,,,0.75,percent of total billed charges,999999999,,,,,,,,,,0.75,percent of total billed charges,0.605750236,,,,,,,,,,0.75,percent of total billed charges,0.955309895,,,,,,,,,,0.75,percent of total billed charges,999999999,,,,,,,,,,0.75,percent of total billed charges,0.653146901,,,,,,,,,,2.7,percent of total billed charges,,,,,
**ALBUTEROL SYRUP 2MG/5ML: 60ML,259,RC,5038-3074-16,NDC,,both,1,EA,18,18,3.831911003,18,18,percent of total billed charges,13.24323946,,,,18,percent of total billed charges,14.03757198,,,,18,percent of total billed charges,13.24323946,,,,18,percent of total billed charges,14.03757198,,,,18,percent of total billed charges,999999999,,,,18,percent of total billed charges,13.71476287,,,,18,percent of total billed charges,13.24323946,,,,18,percent of total billed charges,14.03757198,,,,12.834,percent of total billed charges,6.404400863,,,,12.834,percent of total billed charges,3.831911003,,,,12.834,percent of total billed charges,6.404400863,,,,12.834,percent of total billed charges,3.831911003,,,,12.834,percent of total billed charges,6.404400863,,,,12.834,percent of total billed charges,3.831911003,,,,12.708,percent of total billed charges,12.61158095,,,,12.708,percent of total billed charges,8.698107421,,,,,,,,,,12.96,percent of total billed charges,8.423695024,,,,,,,,,,12.96,percent of total billed charges,999999999,,,,,,,,,,14.4,percent of total billed charges,12.06645146,,,,14.22,percent of total billed charges,13.72291196,,,,14.22,percent of total billed charges,12.12464696,,,,14.4,percent of total billed charges,999999999,,,,14.4,percent of total billed charges,999999999,,,,12.6,percent of total billed charges,999999999,,,,12.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.576,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.09,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4.5,percent of total billed charges,4.27389926,,,,,,,,,,4.5,percent of total billed charges,4.202805854,,,,,,,,,,4.5,percent of total billed charges,4.191126436,,,,,,,,,,4.5,percent of total billed charges,4.12941215,,,,,,,,,,4.5,percent of total billed charges,4.235667996,,,,,,,,,,4.5,percent of total billed charges,999999999,,,,,,,,,,4.5,percent of total billed charges,3.634501416,,,,,,,,,,4.5,percent of total billed charges,5.731859367,,,,,,,,,,4.5,percent of total billed charges,999999999,,,,,,,,,,4.5,percent of total billed charges,3.918881408,,,,,,,,,,16.2,percent of total billed charges,,,,,
**ALBUTEROL 2MG TAB,259,RC,5107-9065-20,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
**ALBUTEROL 4MG: TAB,637,RC,5107-9065-20,NDC,,both,1,EA,32,32,6.812286228,32,32,percent of total billed charges,23.54353682,,,,32,percent of total billed charges,24.95568352,,,,32,percent of total billed charges,23.54353682,,,,32,percent of total billed charges,24.95568352,,,,32,percent of total billed charges,999999999,,,,32,percent of total billed charges,24.38180065,,,,32,percent of total billed charges,23.54353682,,,,32,percent of total billed charges,24.95568352,,,,22.816,percent of total billed charges,11.38560153,,,,22.816,percent of total billed charges,6.812286228,,,,22.816,percent of total billed charges,11.38560153,,,,22.816,percent of total billed charges,6.812286228,,,,22.816,percent of total billed charges,11.38560153,,,,22.816,percent of total billed charges,6.812286228,,,,22.592,percent of total billed charges,22.42058835,,,,22.592,percent of total billed charges,15.46330208,,,,,,,,,,23.04,percent of total billed charges,14.97545782,,,,,,,,,,23.04,percent of total billed charges,999999999,,,,,,,,,,25.6,percent of total billed charges,21.45146927,,,,25.28,percent of total billed charges,24.39628792,,,,25.28,percent of total billed charges,21.55492793,,,,25.6,percent of total billed charges,999999999,,,,25.6,percent of total billed charges,999999999,,,,22.4,percent of total billed charges,999999999,,,,22.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,17.024,percent of total billed charges,999999999,,,,,,,,,,,,,,,,16.16,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8,percent of total billed charges,7.598043128,,,,,,,,,,8,percent of total billed charges,7.471654851,,,,,,,,,,8,percent of total billed charges,7.450891442,,,,,,,,,,8,percent of total billed charges,7.341177156,,,,,,,,,,8,percent of total billed charges,7.530076437,,,,,,,,,,8,percent of total billed charges,999999999,,,,,,,,,,8,percent of total billed charges,6.461335851,,,,,,,,,,8,percent of total billed charges,10.18997221,,,,,,,,,,8,percent of total billed charges,999999999,,,,,,,,,,8,percent of total billed charges,6.966900281,,,,,,,,,,28.8,percent of total billed charges,,,,,
**ALBUTEROL (VOLMAX) 4 MG ER TAB,637,RC,6362-9273-01,NDC,,both,1,EA,10,10,2.128839446,10,10,percent of total billed charges,7.357355257,,,,10,percent of total billed charges,7.7986511,,,,10,percent of total billed charges,7.357355257,,,,10,percent of total billed charges,7.7986511,,,,10,percent of total billed charges,999999999,,,,10,percent of total billed charges,7.619312704,,,,10,percent of total billed charges,7.357355257,,,,10,percent of total billed charges,7.7986511,,,,7.13,percent of total billed charges,3.558000479,,,,7.13,percent of total billed charges,2.128839446,,,,7.13,percent of total billed charges,3.558000479,,,,7.13,percent of total billed charges,2.128839446,,,,7.13,percent of total billed charges,3.558000479,,,,7.13,percent of total billed charges,2.128839446,,,,7.06,percent of total billed charges,7.006433861,,,,7.06,percent of total billed charges,4.8322819,,,,,,,,,,7.2,percent of total billed charges,4.679830569,,,,,,,,,,7.2,percent of total billed charges,999999999,,,,,,,,,,8,percent of total billed charges,6.703584146,,,,7.9,percent of total billed charges,7.623839976,,,,7.9,percent of total billed charges,6.735914979,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,999999999,,,,7,percent of total billed charges,999999999,,,,7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.32,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.05,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.5,percent of total billed charges,2.374388478,,,,,,,,,,2.5,percent of total billed charges,2.334892141,,,,,,,,,,2.5,percent of total billed charges,2.328403576,,,,,,,,,,2.5,percent of total billed charges,2.294117861,,,,,,,,,,2.5,percent of total billed charges,2.353148886,,,,,,,,,,2.5,percent of total billed charges,999999999,,,,,,,,,,2.5,percent of total billed charges,2.019167453,,,,,,,,,,2.5,percent of total billed charges,3.184366315,,,,,,,,,,2.5,percent of total billed charges,999999999,,,,,,,,,,2.5,percent of total billed charges,2.177156338,,,,,,,,,,9,percent of total billed charges,,,,,
ALBUTEROL 90MCG (VENTOLIN) HFA INH,250,RC,0017-3068-24,NDC,,both,1,EA,89.9,89.9,19.13826662,89.9,89.9,percent of total billed charges,66.14262376,,,,89.9,percent of total billed charges,70.10987339,,,,89.9,percent of total billed charges,66.14262376,,,,89.9,percent of total billed charges,70.10987339,,,,89.9,percent of total billed charges,999999999,,,,89.9,percent of total billed charges,68.49762121,,,,89.9,percent of total billed charges,66.14262376,,,,89.9,percent of total billed charges,70.10987339,,,,64.0987,percent of total billed charges,31.98642431,,,,64.0987,percent of total billed charges,19.13826662,,,,64.0987,percent of total billed charges,31.98642431,,,,64.0987,percent of total billed charges,19.13826662,,,,64.0987,percent of total billed charges,31.98642431,,,,64.0987,percent of total billed charges,19.13826662,,,,63.4694,percent of total billed charges,62.98784041,,,,63.4694,percent of total billed charges,43.44221428,,,,,,,,,,64.728,percent of total billed charges,42.07167681,,,,,,,,,,64.728,percent of total billed charges,999999999,,,,,,,,,,71.92,percent of total billed charges,60.26522147,,,,71.021,percent of total billed charges,68.53832138,,,,71.021,percent of total billed charges,60.55587566,,,,71.92,percent of total billed charges,999999999,,,,71.92,percent of total billed charges,999999999,,,,62.93,percent of total billed charges,999999999,,,,62.93,percent of total billed charges,999999999,,,,,,,,,,,,,,,,47.8268,percent of total billed charges,999999999,,,,,,,,,,,,,,,,45.3995,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,22.475,percent of total billed charges,21.34575241,,,,,,,,,,22.475,percent of total billed charges,20.99068035,,,,,,,,,,22.475,percent of total billed charges,20.93234814,,,,,,,,,,22.475,percent of total billed charges,20.62411957,,,,,,,,,,22.475,percent of total billed charges,21.15480849,,,,,,,,,,22.475,percent of total billed charges,999999999,,,,,,,,,,22.475,percent of total billed charges,18.15231541,,,,,,,,,,22.475,percent of total billed charges,28.62745317,,,,,,,,,,22.475,percent of total billed charges,999999999,,,,,,,,,,22.475,percent of total billed charges,19.57263548,,,,,,,,,,80.91,percent of total billed charges,,,,,
**ISOPROPYL ALCOHOL RUBBING :480ML,259,RC,0057-4006-16,NDC,,both,1,EA,10,10,2.128839446,10,10,percent of total billed charges,7.357355257,,,,10,percent of total billed charges,7.7986511,,,,10,percent of total billed charges,7.357355257,,,,10,percent of total billed charges,7.7986511,,,,10,percent of total billed charges,999999999,,,,10,percent of total billed charges,7.619312704,,,,10,percent of total billed charges,7.357355257,,,,10,percent of total billed charges,7.7986511,,,,7.13,percent of total billed charges,3.558000479,,,,7.13,percent of total billed charges,2.128839446,,,,7.13,percent of total billed charges,3.558000479,,,,7.13,percent of total billed charges,2.128839446,,,,7.13,percent of total billed charges,3.558000479,,,,7.13,percent of total billed charges,2.128839446,,,,7.06,percent of total billed charges,7.006433861,,,,7.06,percent of total billed charges,4.8322819,,,,,,,,,,7.2,percent of total billed charges,4.679830569,,,,,,,,,,7.2,percent of total billed charges,999999999,,,,,,,,,,8,percent of total billed charges,6.703584146,,,,7.9,percent of total billed charges,7.623839976,,,,7.9,percent of total billed charges,6.735914979,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,999999999,,,,7,percent of total billed charges,999999999,,,,7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.32,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.05,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.5,percent of total billed charges,2.374388478,,,,,,,,,,2.5,percent of total billed charges,2.334892141,,,,,,,,,,2.5,percent of total billed charges,2.328403576,,,,,,,,,,2.5,percent of total billed charges,2.294117861,,,,,,,,,,2.5,percent of total billed charges,2.353148886,,,,,,,,,,2.5,percent of total billed charges,999999999,,,,,,,,,,2.5,percent of total billed charges,2.019167453,,,,,,,,,,2.5,percent of total billed charges,3.184366315,,,,,,,,,,2.5,percent of total billed charges,999999999,,,,,,,,,,2.5,percent of total billed charges,2.177156338,,,,,,,,,,9,percent of total billed charges,,,,,
ALLOPURINOL (ZYLOPRIM) 100 MG TAB,637,RC,5107-9020-20,NDC,,both,1,EA,0.78,0.78,0.166049477,0.78,0.78,percent of total billed charges,0.57387371,,,,0.78,percent of total billed charges,0.608294786,,,,0.78,percent of total billed charges,0.57387371,,,,0.78,percent of total billed charges,0.608294786,,,,0.78,percent of total billed charges,999999999,,,,0.78,percent of total billed charges,0.594306391,,,,0.78,percent of total billed charges,0.57387371,,,,0.78,percent of total billed charges,0.608294786,,,,0.55614,percent of total billed charges,0.277524037,,,,0.55614,percent of total billed charges,0.166049477,,,,0.55614,percent of total billed charges,0.277524037,,,,0.55614,percent of total billed charges,0.166049477,,,,0.55614,percent of total billed charges,0.277524037,,,,0.55614,percent of total billed charges,0.166049477,,,,0.55068,percent of total billed charges,0.546501841,,,,0.55068,percent of total billed charges,0.376917988,,,,,,,,,,0.5616,percent of total billed charges,0.365026784,,,,,,,,,,0.5616,percent of total billed charges,999999999,,,,,,,,,,0.624,percent of total billed charges,0.522879563,,,,0.6162,percent of total billed charges,0.594659518,,,,0.6162,percent of total billed charges,0.525401368,,,,0.624,percent of total billed charges,999999999,,,,0.624,percent of total billed charges,999999999,,,,0.546,percent of total billed charges,999999999,,,,0.546,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.41496,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.3939,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.195,percent of total billed charges,0.185202301,,,,,,,,,,0.195,percent of total billed charges,0.182121587,,,,,,,,,,0.195,percent of total billed charges,0.181615479,,,,,,,,,,0.195,percent of total billed charges,0.178941193,,,,,,,,,,0.195,percent of total billed charges,0.183545613,,,,,,,,,,0.195,percent of total billed charges,999999999,,,,,,,,,,0.195,percent of total billed charges,0.157495061,,,,,,,,,,0.195,percent of total billed charges,0.248380573,,,,,,,,,,0.195,percent of total billed charges,999999999,,,,,,,,,,0.195,percent of total billed charges,0.169818194,,,,,,,,,,0.702,percent of total billed charges,,,,,
ALLOPURINOL (ZYLOPRIM) 300 MG TAB,637,RC,5107-9020-20,NDC,,both,1,EA,1.96,1.96,0.417252531,1.96,1.96,percent of total billed charges,1.44204163,,,,1.96,percent of total billed charges,1.528535616,,,,1.96,percent of total billed charges,1.44204163,,,,1.96,percent of total billed charges,1.528535616,,,,1.96,percent of total billed charges,999999999,,,,1.96,percent of total billed charges,1.49338529,,,,1.96,percent of total billed charges,1.44204163,,,,1.96,percent of total billed charges,1.528535616,,,,1.39748,percent of total billed charges,0.697368094,,,,1.39748,percent of total billed charges,0.417252531,,,,1.39748,percent of total billed charges,0.697368094,,,,1.39748,percent of total billed charges,0.417252531,,,,1.39748,percent of total billed charges,0.697368094,,,,1.39748,percent of total billed charges,0.417252531,,,,1.38376,percent of total billed charges,1.373261037,,,,1.38376,percent of total billed charges,0.947127252,,,,,,,,,,1.4112,percent of total billed charges,0.917246791,,,,,,,,,,1.4112,percent of total billed charges,999999999,,,,,,,,,,1.568,percent of total billed charges,1.313902493,,,,1.5484,percent of total billed charges,1.494272635,,,,1.5484,percent of total billed charges,1.320239336,,,,1.568,percent of total billed charges,999999999,,,,1.568,percent of total billed charges,999999999,,,,1.372,percent of total billed charges,999999999,,,,1.372,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.04272,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.9898,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.49,percent of total billed charges,0.465380142,,,,,,,,,,0.49,percent of total billed charges,0.45763886,,,,,,,,,,0.49,percent of total billed charges,0.456367101,,,,,,,,,,0.49,percent of total billed charges,0.449647101,,,,,,,,,,0.49,percent of total billed charges,0.461217182,,,,,,,,,,0.49,percent of total billed charges,999999999,,,,,,,,,,0.49,percent of total billed charges,0.395756821,,,,,,,,,,0.49,percent of total billed charges,0.624135798,,,,,,,,,,0.49,percent of total billed charges,999999999,,,,,,,,,,0.49,percent of total billed charges,0.426722642,,,,,,,,,,1.764,percent of total billed charges,,,,,
ALPRAZolam (XANAX) 0.25 MG TAB,637,RC,5107-9078-20,NDC,,both,1,EA,0.54,0.54,0.11495733,0.54,0.54,percent of total billed charges,0.397297184,,,,0.54,percent of total billed charges,0.421127159,,,,0.54,percent of total billed charges,0.397297184,,,,0.54,percent of total billed charges,0.421127159,,,,0.54,percent of total billed charges,999999999,,,,0.54,percent of total billed charges,0.411442886,,,,0.54,percent of total billed charges,0.397297184,,,,0.54,percent of total billed charges,0.421127159,,,,0.38502,percent of total billed charges,0.192132026,,,,0.38502,percent of total billed charges,0.11495733,,,,0.38502,percent of total billed charges,0.192132026,,,,0.38502,percent of total billed charges,0.11495733,,,,0.38502,percent of total billed charges,0.192132026,,,,0.38502,percent of total billed charges,0.11495733,,,,0.38124,percent of total billed charges,0.378347428,,,,0.38124,percent of total billed charges,0.260943223,,,,,,,,,,0.3888,percent of total billed charges,0.252710851,,,,,,,,,,0.3888,percent of total billed charges,999999999,,,,,,,,,,0.432,percent of total billed charges,0.361993544,,,,0.4266,percent of total billed charges,0.411687359,,,,0.4266,percent of total billed charges,0.363739409,,,,0.432,percent of total billed charges,999999999,,,,0.432,percent of total billed charges,999999999,,,,0.378,percent of total billed charges,999999999,,,,0.378,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.28728,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.2727,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.135,percent of total billed charges,0.128216978,,,,,,,,,,0.135,percent of total billed charges,0.126084176,,,,,,,,,,0.135,percent of total billed charges,0.125733793,,,,,,,,,,0.135,percent of total billed charges,0.123882365,,,,,,,,,,0.135,percent of total billed charges,0.12707004,,,,,,,,,,0.135,percent of total billed charges,999999999,,,,,,,,,,0.135,percent of total billed charges,0.109035042,,,,,,,,,,0.135,percent of total billed charges,0.171955781,,,,,,,,,,0.135,percent of total billed charges,999999999,,,,,,,,,,0.135,percent of total billed charges,0.117566442,,,,,,,,,,0.486,percent of total billed charges,,,,,
ALPRAZolam (XANAX) 0.5MG TAB,637,RC,5107-9078-20,NDC,,both,1,EA,0.64,0.64,0.136245725,0.64,0.64,percent of total billed charges,0.470870736,,,,0.64,percent of total billed charges,0.49911367,,,,0.64,percent of total billed charges,0.470870736,,,,0.64,percent of total billed charges,0.49911367,,,,0.64,percent of total billed charges,999999999,,,,0.64,percent of total billed charges,0.487636013,,,,0.64,percent of total billed charges,0.470870736,,,,0.64,percent of total billed charges,0.49911367,,,,0.45632,percent of total billed charges,0.227712031,,,,0.45632,percent of total billed charges,0.136245725,,,,0.45632,percent of total billed charges,0.227712031,,,,0.45632,percent of total billed charges,0.136245725,,,,0.45632,percent of total billed charges,0.227712031,,,,0.45632,percent of total billed charges,0.136245725,,,,0.45184,percent of total billed charges,0.448411767,,,,0.45184,percent of total billed charges,0.309266042,,,,,,,,,,0.4608,percent of total billed charges,0.299509156,,,,,,,,,,0.4608,percent of total billed charges,999999999,,,,,,,,,,0.512,percent of total billed charges,0.429029385,,,,0.5056,percent of total billed charges,0.487925758,,,,0.5056,percent of total billed charges,0.431098559,,,,0.512,percent of total billed charges,999999999,,,,0.512,percent of total billed charges,999999999,,,,0.448,percent of total billed charges,999999999,,,,0.448,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.34048,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.3232,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.16,percent of total billed charges,0.151960863,,,,,,,,,,0.16,percent of total billed charges,0.149433097,,,,,,,,,,0.16,percent of total billed charges,0.149017829,,,,,,,,,,0.16,percent of total billed charges,0.146823543,,,,,,,,,,0.16,percent of total billed charges,0.150601529,,,,,,,,,,0.16,percent of total billed charges,999999999,,,,,,,,,,0.16,percent of total billed charges,0.129226717,,,,,,,,,,0.16,percent of total billed charges,0.203799444,,,,,,,,,,0.16,percent of total billed charges,999999999,,,,,,,,,,0.16,percent of total billed charges,0.139338006,,,,,,,,,,0.576,percent of total billed charges,,,,,
**NITROGLYCERIN (NITROBID) 6.5MG: CAP,259,RC,0018-5123-01,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
AMANTADINE (SYMMETREL) 100MG CAP,637,RC,6808-4061-11,NDC,,both,1,EA,4.84,4.84,1.030358292,4.84,4.84,percent of total billed charges,3.560959944,,,,4.84,percent of total billed charges,3.774547132,,,,4.84,percent of total billed charges,3.560959944,,,,4.84,percent of total billed charges,3.774547132,,,,4.84,percent of total billed charges,999999999,,,,4.84,percent of total billed charges,3.687747349,,,,4.84,percent of total billed charges,3.560959944,,,,4.84,percent of total billed charges,3.774547132,,,,3.45092,percent of total billed charges,1.722072232,,,,3.45092,percent of total billed charges,1.030358292,,,,3.45092,percent of total billed charges,1.722072232,,,,3.45092,percent of total billed charges,1.030358292,,,,3.45092,percent of total billed charges,1.722072232,,,,3.45092,percent of total billed charges,1.030358292,,,,3.41704,percent of total billed charges,3.391113989,,,,3.41704,percent of total billed charges,2.33882444,,,,,,,,,,3.4848,percent of total billed charges,2.265037995,,,,,,,,,,3.4848,percent of total billed charges,999999999,,,,,,,,,,3.872,percent of total billed charges,3.244534727,,,,3.8236,percent of total billed charges,3.689938548,,,,3.8236,percent of total billed charges,3.26018285,,,,3.872,percent of total billed charges,999999999,,,,3.872,percent of total billed charges,999999999,,,,3.388,percent of total billed charges,999999999,,,,3.388,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2.57488,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2.4442,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.21,percent of total billed charges,1.149204023,,,,,,,,,,1.21,percent of total billed charges,1.130087796,,,,,,,,,,1.21,percent of total billed charges,1.126947331,,,,,,,,,,1.21,percent of total billed charges,1.110353045,,,,,,,,,,1.21,percent of total billed charges,1.138924061,,,,,,,,,,1.21,percent of total billed charges,999999999,,,,,,,,,,1.21,percent of total billed charges,0.977277047,,,,,,,,,,1.21,percent of total billed charges,1.541233297,,,,,,,,,,1.21,percent of total billed charges,999999999,,,,,,,,,,1.21,percent of total billed charges,1.053743667,,,,,,,,,,4.356,percent of total billed charges,,,,,
HEMORRHOIDAL OINT (PREPARATION H) 30 GM,637,RC,4612-2010-46,NDC,,both,1,EA,26.23,26.23,5.583945867,26.23,26.23,percent of total billed charges,19.29834284,,,,26.23,percent of total billed charges,20.45586184,,,,26.23,percent of total billed charges,19.29834284,,,,26.23,percent of total billed charges,20.45586184,,,,26.23,percent of total billed charges,999999999,,,,26.23,percent of total billed charges,19.98545722,,,,26.23,percent of total billed charges,19.29834284,,,,26.23,percent of total billed charges,20.45586184,,,,18.70199,percent of total billed charges,9.332635257,,,,18.70199,percent of total billed charges,5.583945867,,,,18.70199,percent of total billed charges,9.332635257,,,,18.70199,percent of total billed charges,5.583945867,,,,18.70199,percent of total billed charges,9.332635257,,,,18.70199,percent of total billed charges,5.583945867,,,,18.51838,percent of total billed charges,18.37787602,,,,18.51838,percent of total billed charges,12.67507542,,,,,,,,,,18.8856,percent of total billed charges,12.27519558,,,,,,,,,,18.8856,percent of total billed charges,999999999,,,,,,,,,,20.984,percent of total billed charges,17.58350121,,,,20.7217,percent of total billed charges,19.99733226,,,,20.7217,percent of total billed charges,17.66830499,,,,20.984,percent of total billed charges,999999999,,,,20.984,percent of total billed charges,999999999,,,,18.361,percent of total billed charges,999999999,,,,18.361,percent of total billed charges,999999999,,,,,,,,,,,,,,,,13.95436,percent of total billed charges,999999999,,,,,,,,,,,,,,,,13.24615,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6.5575,percent of total billed charges,6.228020977,,,,,,,,,,6.5575,percent of total billed charges,6.124422086,,,,,,,,,,6.5575,percent of total billed charges,6.107402579,,,,,,,,,,6.5575,percent of total billed charges,6.01747115,,,,,,,,,,6.5575,percent of total billed charges,6.172309529,,,,,,,,,,6.5575,percent of total billed charges,999999999,,,,,,,,,,6.5575,percent of total billed charges,5.29627623,,,,,,,,,,6.5575,percent of total billed charges,8.352592845,,,,,,,,,,6.5575,percent of total billed charges,999999999,,,,,,,,,,6.5575,percent of total billed charges,5.710681074,,,,,,,,,,23.607,percent of total billed charges,,,,,
**AMINOCAPROIC (AMICAR) ACID 500 MG,259,RC,6647-9002-82,NDC,,both,1,EA,25,25,5.322098616,25,25,percent of total billed charges,18.39338814,,,,25,percent of total billed charges,19.49662775,,,,25,percent of total billed charges,18.39338814,,,,25,percent of total billed charges,19.49662775,,,,25,percent of total billed charges,999999999,,,,25,percent of total billed charges,19.04828176,,,,25,percent of total billed charges,18.39338814,,,,25,percent of total billed charges,19.49662775,,,,17.825,percent of total billed charges,8.895001198,,,,17.825,percent of total billed charges,5.322098616,,,,17.825,percent of total billed charges,8.895001198,,,,17.825,percent of total billed charges,5.322098616,,,,17.825,percent of total billed charges,8.895001198,,,,17.825,percent of total billed charges,5.322098616,,,,17.65,percent of total billed charges,17.51608465,,,,17.65,percent of total billed charges,12.08070475,,,,,,,,,,18,percent of total billed charges,11.69957642,,,,,,,,,,18,percent of total billed charges,999999999,,,,,,,,,,20,percent of total billed charges,16.75896036,,,,19.75,percent of total billed charges,19.05959994,,,,19.75,percent of total billed charges,16.83978745,,,,20,percent of total billed charges,999999999,,,,20,percent of total billed charges,999999999,,,,17.5,percent of total billed charges,999999999,,,,17.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,13.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,12.625,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6.25,percent of total billed charges,5.935971194,,,,,,,,,,6.25,percent of total billed charges,5.837230352,,,,,,,,,,6.25,percent of total billed charges,5.821008939,,,,,,,,,,6.25,percent of total billed charges,5.735294653,,,,,,,,,,6.25,percent of total billed charges,5.882872216,,,,,,,,,,6.25,percent of total billed charges,999999999,,,,,,,,,,6.25,percent of total billed charges,5.047918634,,,,,,,,,,6.25,percent of total billed charges,7.960915788,,,,,,,,,,6.25,percent of total billed charges,999999999,,,,,,,,,,6.25,percent of total billed charges,5.442890844,,,,,,,,,,22.5,percent of total billed charges,,,,,
ENOXAPARIN (LOVENOX) 30 MG SYRINGE,J1650,CDM,0054-8560-00,NDC,,both,1,EA,42.78,42.78,9.107175151,42.78,42.78,percent of total billed charges,31.47476579,,,,42.78,percent of total billed charges,33.36262941,,,,42.78,percent of total billed charges,31.47476579,,,,42.78,percent of total billed charges,33.36262941,,,,42.78,percent of total billed charges,999999999,,,,42.78,percent of total billed charges,32.59541975,,,,42.78,percent of total billed charges,31.47476579,,,,42.78,percent of total billed charges,33.36262941,,,,30.50214,percent of total billed charges,15.22112605,,,,30.50214,percent of total billed charges,9.107175151,,,,30.50214,percent of total billed charges,15.22112605,,,,30.50214,percent of total billed charges,9.107175151,,,,30.50214,percent of total billed charges,15.22112605,,,,30.50214,percent of total billed charges,9.107175151,,,,30.20268,percent of total billed charges,29.97352406,,,,30.20268,percent of total billed charges,20.67250197,,,,,,,,,,30.8016,percent of total billed charges,20.02031517,,,,,,,,,,30.8016,percent of total billed charges,999999999,,,,,,,,,,34.224,percent of total billed charges,28.67793298,,,,33.7962,percent of total billed charges,32.61478742,,,,33.7962,percent of total billed charges,28.81624428,,,,34.224,percent of total billed charges,999999999,,,,34.224,percent of total billed charges,999999999,,,,29.946,percent of total billed charges,999999999,,,,29.946,percent of total billed charges,999999999,,,,,,,,,,,,,,,,22.75896,percent of total billed charges,999999999,,,,,,,,,,,,,,,,21.6039,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10.695,percent of total billed charges,10.15763391,,,,,,,,,,10.695,percent of total billed charges,9.988668579,,,,,,,,,,10.695,percent of total billed charges,9.960910497,,,,,,,,,,10.695,percent of total billed charges,9.814236211,,,,,,,,,,10.695,percent of total billed charges,10.06677094,,,,,,,,,,10.695,percent of total billed charges,999999999,,,,,,,,,,10.695,percent of total billed charges,8.637998366,,,,,,,,,,10.695,percent of total billed charges,13.6227191,,,,,,,,,,10.695,percent of total billed charges,999999999,,,,,,,,,,10.695,percent of total billed charges,9.313874813,,,,,,,,,,38.502,percent of total billed charges,,,,,
AMIOdarone (CORDARONE) 200MG TAB,637,RC,6586-2073-05,NDC,,both,1,EA,0.92,0.92,0.195853229,0.92,0.92,percent of total billed charges,0.676876684,,,,0.92,percent of total billed charges,0.717475901,,,,0.92,percent of total billed charges,0.676876684,,,,0.92,percent of total billed charges,0.717475901,,,,0.92,percent of total billed charges,999999999,,,,0.92,percent of total billed charges,0.700976769,,,,0.92,percent of total billed charges,0.676876684,,,,0.92,percent of total billed charges,0.717475901,,,,0.65596,percent of total billed charges,0.327336044,,,,0.65596,percent of total billed charges,0.195853229,,,,0.65596,percent of total billed charges,0.327336044,,,,0.65596,percent of total billed charges,0.195853229,,,,0.65596,percent of total billed charges,0.327336044,,,,0.65596,percent of total billed charges,0.195853229,,,,0.64952,percent of total billed charges,0.644591915,,,,0.64952,percent of total billed charges,0.444569935,,,,,,,,,,0.6624,percent of total billed charges,0.430544412,,,,,,,,,,0.6624,percent of total billed charges,999999999,,,,,,,,,,0.736,percent of total billed charges,0.616729741,,,,0.7268,percent of total billed charges,0.701393278,,,,0.7268,percent of total billed charges,0.619704178,,,,0.736,percent of total billed charges,999999999,,,,0.736,percent of total billed charges,999999999,,,,0.644,percent of total billed charges,999999999,,,,0.644,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.48944,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.4646,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.23,percent of total billed charges,0.21844374,,,,,,,,,,0.23,percent of total billed charges,0.214810077,,,,,,,,,,0.23,percent of total billed charges,0.214213129,,,,,,,,,,0.23,percent of total billed charges,0.211058843,,,,,,,,,,0.23,percent of total billed charges,0.216489698,,,,,,,,,,0.23,percent of total billed charges,999999999,,,,,,,,,,0.23,percent of total billed charges,0.185763406,,,,,,,,,,0.23,percent of total billed charges,0.292961701,,,,,,,,,,0.23,percent of total billed charges,999999999,,,,,,,,,,0.23,percent of total billed charges,0.200298383,,,,,,,,,,0.828,percent of total billed charges,,,,,
AMITRIPTYLINE (ELAVIL) 10MG TAB,637,RC,0078-1148-01,NDC,,both,1,EA,0.5,0.5,0.106441972,0.5,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,999999999,,,,0.5,percent of total billed charges,0.380965635,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.353,percent of total billed charges,0.350321693,,,,0.353,percent of total billed charges,0.241614095,,,,,,,,,,0.36,percent of total billed charges,0.233991528,,,,,,,,,,0.36,percent of total billed charges,999999999,,,,,,,,,,0.4,percent of total billed charges,0.335179207,,,,0.395,percent of total billed charges,0.381191999,,,,0.395,percent of total billed charges,0.336795749,,,,0.4,percent of total billed charges,999999999,,,,0.4,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.266,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.2525,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.125,percent of total billed charges,0.118719424,,,,,,,,,,0.125,percent of total billed charges,0.116744607,,,,,,,,,,0.125,percent of total billed charges,0.116420179,,,,,,,,,,0.125,percent of total billed charges,0.114705893,,,,,,,,,,0.125,percent of total billed charges,0.117657444,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.100958373,,,,,,,,,,0.125,percent of total billed charges,0.159218316,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.108857817,,,,,,,,,,0.45,percent of total billed charges,,,,,
AMITRIPTYLINE (ELAVIL) 25 MG TAB,637,RC,6068-7043-01,NDC,,both,1,EA,1.39,1.39,0.295908683,1.39,1.39,percent of total billed charges,1.022672381,,,,1.39,percent of total billed charges,1.084012503,,,,1.39,percent of total billed charges,1.022672381,,,,1.39,percent of total billed charges,1.084012503,,,,1.39,percent of total billed charges,999999999,,,,1.39,percent of total billed charges,1.059084466,,,,1.39,percent of total billed charges,1.022672381,,,,1.39,percent of total billed charges,1.084012503,,,,0.99107,percent of total billed charges,0.494562067,,,,0.99107,percent of total billed charges,0.295908683,,,,0.99107,percent of total billed charges,0.494562067,,,,0.99107,percent of total billed charges,0.295908683,,,,0.99107,percent of total billed charges,0.494562067,,,,0.99107,percent of total billed charges,0.295908683,,,,0.98134,percent of total billed charges,0.973894307,,,,0.98134,percent of total billed charges,0.671687184,,,,,,,,,,1.0008,percent of total billed charges,0.650496449,,,,,,,,,,1.0008,percent of total billed charges,999999999,,,,,,,,,,1.112,percent of total billed charges,0.931798196,,,,1.0981,percent of total billed charges,1.059713757,,,,1.0981,percent of total billed charges,0.936292182,,,,1.112,percent of total billed charges,999999999,,,,1.112,percent of total billed charges,999999999,,,,0.973,percent of total billed charges,999999999,,,,0.973,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.73948,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.70195,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.3475,percent of total billed charges,0.330039998,,,,,,,,,,0.3475,percent of total billed charges,0.324550008,,,,,,,,,,0.3475,percent of total billed charges,0.323648097,,,,,,,,,,0.3475,percent of total billed charges,0.318882383,,,,,,,,,,0.3475,percent of total billed charges,0.327087695,,,,,,,,,,0.3475,percent of total billed charges,999999999,,,,,,,,,,0.3475,percent of total billed charges,0.280664276,,,,,,,,,,0.3475,percent of total billed charges,0.442626918,,,,,,,,,,0.3475,percent of total billed charges,999999999,,,,,,,,,,0.3475,percent of total billed charges,0.302624731,,,,,,,,,,1.251,percent of total billed charges,,,,,
AMITRIPTYLINE (ELAVIL) 50 MG TAB,637,RC,5295-9051-30,NDC,,both,1,EA,1.67,1.67,0.355516188,1.67,1.67,percent of total billed charges,1.228678328,,,,1.67,percent of total billed charges,1.302374734,,,,1.67,percent of total billed charges,1.228678328,,,,1.67,percent of total billed charges,1.302374734,,,,1.67,percent of total billed charges,999999999,,,,1.67,percent of total billed charges,1.272425222,,,,1.67,percent of total billed charges,1.228678328,,,,1.67,percent of total billed charges,1.302374734,,,,1.19071,percent of total billed charges,0.59418608,,,,1.19071,percent of total billed charges,0.355516188,,,,1.19071,percent of total billed charges,0.59418608,,,,1.19071,percent of total billed charges,0.355516188,,,,1.19071,percent of total billed charges,0.59418608,,,,1.19071,percent of total billed charges,0.355516188,,,,1.17902,percent of total billed charges,1.170074455,,,,1.17902,percent of total billed charges,0.806991077,,,,,,,,,,1.2024,percent of total billed charges,0.781531705,,,,,,,,,,1.2024,percent of total billed charges,999999999,,,,,,,,,,1.336,percent of total billed charges,1.119498552,,,,1.3193,percent of total billed charges,1.273181276,,,,1.3193,percent of total billed charges,1.124897802,,,,1.336,percent of total billed charges,999999999,,,,1.336,percent of total billed charges,999999999,,,,1.169,percent of total billed charges,999999999,,,,1.169,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.88844,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.84335,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.4175,percent of total billed charges,0.396522876,,,,,,,,,,0.4175,percent of total billed charges,0.389926988,,,,,,,,,,0.4175,percent of total billed charges,0.388843397,,,,,,,,,,0.4175,percent of total billed charges,0.383117683,,,,,,,,,,0.4175,percent of total billed charges,0.392975864,,,,,,,,,,0.4175,percent of total billed charges,999999999,,,,,,,,,,0.4175,percent of total billed charges,0.337200965,,,,,,,,,,0.4175,percent of total billed charges,0.531789175,,,,,,,,,,0.4175,percent of total billed charges,999999999,,,,,,,,,,0.4175,percent of total billed charges,0.363585108,,,,,,,,,,1.503,percent of total billed charges,,,,,
CLOBETASOL 0.05% (TEMOVATE CREAM):15 GM,637,RC,5167-2125-02,NDC,,both,1,EA,99.09,99.09,21.09467007,99.09,99.09,percent of total billed charges,72.90403324,,,,99.09,percent of total billed charges,77.27683375,,,,99.09,percent of total billed charges,72.90403324,,,,99.09,percent of total billed charges,77.27683375,,,,99.09,percent of total billed charges,999999999,,,,99.09,percent of total billed charges,75.49976959,,,,99.09,percent of total billed charges,72.90403324,,,,99.09,percent of total billed charges,77.27683375,,,,70.65117,percent of total billed charges,35.25622675,,,,70.65117,percent of total billed charges,21.09467007,,,,70.65117,percent of total billed charges,35.25622675,,,,70.65117,percent of total billed charges,21.09467007,,,,70.65117,percent of total billed charges,35.25622675,,,,70.65117,percent of total billed charges,21.09467007,,,,69.95754,percent of total billed charges,69.42675313,,,,69.95754,percent of total billed charges,47.88308135,,,,,,,,,,71.3448,percent of total billed charges,46.37244111,,,,,,,,,,71.3448,percent of total billed charges,999999999,,,,,,,,,,79.272,percent of total billed charges,66.4258153,,,,78.2811,percent of total billed charges,75.54463032,,,,78.2811,percent of total billed charges,66.74618153,,,,79.272,percent of total billed charges,999999999,,,,79.272,percent of total billed charges,999999999,,,,69.363,percent of total billed charges,999999999,,,,69.363,percent of total billed charges,999999999,,,,,,,,,,,,,,,,52.71588,percent of total billed charges,999999999,,,,,,,,,,,,,,,,50.04045,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,24.7725,percent of total billed charges,23.52781542,,,,,,,,,,24.7725,percent of total billed charges,23.13644622,,,,,,,,,,24.7725,percent of total billed charges,23.07215103,,,,,,,,,,24.7725,percent of total billed charges,22.73241389,,,,,,,,,,24.7725,percent of total billed charges,23.31735232,,,,,,,,,,24.7725,percent of total billed charges,999999999,,,,,,,,,,24.7725,percent of total billed charges,20.0079303,,,,,,,,,,24.7725,percent of total billed charges,31.55388582,,,,,,,,,,24.7725,percent of total billed charges,999999999,,,,,,,,,,24.7725,percent of total billed charges,21.57344215,,,,,,,,,,89.181,percent of total billed charges,,,,,
AMOXICILLIN (AMOXIL) 250 MG CAP,637,RC,0009-3310-01,NDC,,both,1,EA,0.5,0.5,0.106441972,0.5,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,999999999,,,,0.5,percent of total billed charges,0.380965635,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.353,percent of total billed charges,0.350321693,,,,0.353,percent of total billed charges,0.241614095,,,,,,,,,,0.36,percent of total billed charges,0.233991528,,,,,,,,,,0.36,percent of total billed charges,999999999,,,,,,,,,,0.4,percent of total billed charges,0.335179207,,,,0.395,percent of total billed charges,0.381191999,,,,0.395,percent of total billed charges,0.336795749,,,,0.4,percent of total billed charges,999999999,,,,0.4,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.266,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.2525,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.125,percent of total billed charges,0.118719424,,,,,,,,,,0.125,percent of total billed charges,0.116744607,,,,,,,,,,0.125,percent of total billed charges,0.116420179,,,,,,,,,,0.125,percent of total billed charges,0.114705893,,,,,,,,,,0.125,percent of total billed charges,0.117657444,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.100958373,,,,,,,,,,0.125,percent of total billed charges,0.159218316,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.108857817,,,,,,,,,,0.45,percent of total billed charges,,,,,
**ALPHA KERI BATH OIL:  BOTTLE,250,RC,5486-8499-00,NDC,,both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
AMPICILLIN (PRINCIPEN) 500MG CAP,259,RC,0078-1214-01,NDC,,both,1,EA,1.53,1.53,0.325712435,1.53,1.53,percent of total billed charges,1.125675354,,,,1.53,percent of total billed charges,1.193193618,,,,1.53,percent of total billed charges,1.125675354,,,,1.53,percent of total billed charges,1.193193618,,,,1.53,percent of total billed charges,999999999,,,,1.53,percent of total billed charges,1.165754844,,,,1.53,percent of total billed charges,1.125675354,,,,1.53,percent of total billed charges,1.193193618,,,,1.09089,percent of total billed charges,0.544374073,,,,1.09089,percent of total billed charges,0.325712435,,,,1.09089,percent of total billed charges,0.544374073,,,,1.09089,percent of total billed charges,0.325712435,,,,1.09089,percent of total billed charges,0.544374073,,,,1.09089,percent of total billed charges,0.325712435,,,,1.08018,percent of total billed charges,1.071984381,,,,1.08018,percent of total billed charges,0.739339131,,,,,,,,,,1.1016,percent of total billed charges,0.716014077,,,,,,,,,,1.1016,percent of total billed charges,999999999,,,,,,,,,,1.224,percent of total billed charges,1.025648374,,,,1.2087,percent of total billed charges,1.166447516,,,,1.2087,percent of total billed charges,1.030594992,,,,1.224,percent of total billed charges,999999999,,,,1.224,percent of total billed charges,999999999,,,,1.071,percent of total billed charges,999999999,,,,1.071,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.81396,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.77265,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.3825,percent of total billed charges,0.363281437,,,,,,,,,,0.3825,percent of total billed charges,0.357238498,,,,,,,,,,0.3825,percent of total billed charges,0.356245747,,,,,,,,,,0.3825,percent of total billed charges,0.351000033,,,,,,,,,,0.3825,percent of total billed charges,0.36003178,,,,,,,,,,0.3825,percent of total billed charges,999999999,,,,,,,,,,0.3825,percent of total billed charges,0.30893262,,,,,,,,,,0.3825,percent of total billed charges,0.487208046,,,,,,,,,,0.3825,percent of total billed charges,999999999,,,,,,,,,,0.3825,percent of total billed charges,0.33310492,,,,,,,,,,1.377,percent of total billed charges,,,,,
BECLOMETHASONE (BECONASE AQ) NAS SP:25GM,259,RC,0017-3038-79,NDC,,both,1,EA,585.07,585.07,124.5520095,585.07,585.07,percent of total billed charges,430.456784,,,,585.07,percent of total billed charges,456.2756799,,,,585.07,percent of total billed charges,430.456784,,,,585.07,percent of total billed charges,456.2756799,,,,585.07,percent of total billed charges,999999999,,,,585.07,percent of total billed charges,445.7831284,,,,585.07,percent of total billed charges,430.456784,,,,585.07,percent of total billed charges,456.2756799,,,,417.15491,percent of total billed charges,208.167934,,,,417.15491,percent of total billed charges,124.5520095,,,,417.15491,percent of total billed charges,208.167934,,,,417.15491,percent of total billed charges,124.5520095,,,,417.15491,percent of total billed charges,208.167934,,,,417.15491,percent of total billed charges,124.5520095,,,,413.05942,percent of total billed charges,409.9254259,,,,413.05942,percent of total billed charges,282.7223171,,,,,,,,,,421.2504,percent of total billed charges,273.8028471,,,,,,,,,,421.2504,percent of total billed charges,999999999,,,,,,,,,,468.056,percent of total billed charges,392.2065976,,,,462.2053,percent of total billed charges,446.0480055,,,,462.2053,percent of total billed charges,394.0981777,,,,468.056,percent of total billed charges,999999999,,,,468.056,percent of total billed charges,999999999,,,,409.549,percent of total billed charges,999999999,,,,409.549,percent of total billed charges,999999999,,,,,,,,,,,,,,,,311.25724,percent of total billed charges,999999999,,,,,,,,,,,,,,,,295.46035,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,146.2675,percent of total billed charges,138.9183467,,,,,,,,,,146.2675,percent of total billed charges,136.6075345,,,,,,,,,,146.2675,percent of total billed charges,136.227908,,,,,,,,,,146.2675,percent of total billed charges,134.2219537,,,,,,,,,,146.2675,percent of total billed charges,137.6756819,,,,,,,,,,146.2675,percent of total billed charges,999999999,,,,,,,,,,146.2675,percent of total billed charges,118.1354302,,,,,,,,,,146.2675,percent of total billed charges,186.30772,,,,,,,,,,146.2675,percent of total billed charges,999999999,,,,,,,,,,146.2675,percent of total billed charges,127.3788858,,,,,,,,,,526.563,percent of total billed charges,,,,,
IPRATROP/ALBUT (COMBIVENT) RESPIMATE INH,259,RC,0059-7001-14,NDC,,both,1,EA,678.02,678.02,144.3395721,678.02,678.02,percent of total billed charges,498.8434011,,,,678.02,percent of total billed charges,528.7641419,,,,678.02,percent of total billed charges,498.8434011,,,,678.02,percent of total billed charges,528.7641419,,,,678.02,percent of total billed charges,999999999,,,,678.02,percent of total billed charges,516.60464,,,,678.02,percent of total billed charges,498.8434011,,,,678.02,percent of total billed charges,528.7641419,,,,483.42826,percent of total billed charges,241.2395485,,,,483.42826,percent of total billed charges,144.3395721,,,,483.42826,percent of total billed charges,241.2395485,,,,483.42826,percent of total billed charges,144.3395721,,,,483.42826,percent of total billed charges,241.2395485,,,,483.42826,percent of total billed charges,144.3395721,,,,478.68212,percent of total billed charges,475.0502286,,,,478.68212,percent of total billed charges,327.6383774,,,,,,,,,,488.1744,percent of total billed charges,317.3018722,,,,,,,,,,488.1744,percent of total billed charges,999999999,,,,,,,,,,542.416,percent of total billed charges,454.5164123,,,,535.6358,percent of total billed charges,516.911598,,,,535.6358,percent of total billed charges,456.7085074,,,,542.416,percent of total billed charges,999999999,,,,542.416,percent of total billed charges,999999999,,,,474.614,percent of total billed charges,999999999,,,,474.614,percent of total billed charges,999999999,,,,,,,,,,,,,,,,360.70664,percent of total billed charges,999999999,,,,,,,,,,,,,,,,342.4001,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,169.505,percent of total billed charges,160.9882876,,,,,,,,,,169.505,percent of total billed charges,158.3103569,,,,,,,,,,169.505,percent of total billed charges,157.8704192,,,,,,,,,,169.505,percent of total billed charges,155.5457792,,,,,,,,,,169.505,percent of total billed charges,159.5482008,,,,,,,,,,169.505,percent of total billed charges,999999999,,,,,,,,,,169.505,percent of total billed charges,136.9035917,,,,,,,,,,169.505,percent of total billed charges,215.9064049,,,,,,,,,,169.505,percent of total billed charges,999999999,,,,,,,,,,169.505,percent of total billed charges,147.615554,,,,,,,,,,610.218,percent of total billed charges,,,,,
HYDROCORTISONE 25MG (ANUSOL HC) SUPP,637,RC,0057-4709-12,NDC,,both,1,EA,5.5,5.5,1.170861695,5.5,5.5,percent of total billed charges,4.046545391,,,,5.5,percent of total billed charges,4.289258105,,,,5.5,percent of total billed charges,4.046545391,,,,5.5,percent of total billed charges,4.289258105,,,,5.5,percent of total billed charges,999999999,,,,5.5,percent of total billed charges,4.190621987,,,,5.5,percent of total billed charges,4.046545391,,,,5.5,percent of total billed charges,4.289258105,,,,3.9215,percent of total billed charges,1.956900264,,,,3.9215,percent of total billed charges,1.170861695,,,,3.9215,percent of total billed charges,1.956900264,,,,3.9215,percent of total billed charges,1.170861695,,,,3.9215,percent of total billed charges,1.956900264,,,,3.9215,percent of total billed charges,1.170861695,,,,3.883,percent of total billed charges,3.853538623,,,,3.883,percent of total billed charges,2.657755045,,,,,,,,,,3.96,percent of total billed charges,2.573906813,,,,,,,,,,3.96,percent of total billed charges,999999999,,,,,,,,,,4.4,percent of total billed charges,3.68697128,,,,4.345,percent of total billed charges,4.193111987,,,,4.345,percent of total billed charges,3.704753239,,,,4.4,percent of total billed charges,999999999,,,,4.4,percent of total billed charges,999999999,,,,3.85,percent of total billed charges,999999999,,,,3.85,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2.926,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2.7775,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.375,percent of total billed charges,1.305913663,,,,,,,,,,1.375,percent of total billed charges,1.284190678,,,,,,,,,,1.375,percent of total billed charges,1.280621967,,,,,,,,,,1.375,percent of total billed charges,1.261764824,,,,,,,,,,1.375,percent of total billed charges,1.294231888,,,,,,,,,,1.375,percent of total billed charges,999999999,,,,,,,,,,1.375,percent of total billed charges,1.110542099,,,,,,,,,,1.375,percent of total billed charges,1.751401473,,,,,,,,,,1.375,percent of total billed charges,999999999,,,,,,,,,,1.375,percent of total billed charges,1.197435986,,,,,,,,,,4.95,percent of total billed charges,,,,,
**FIORINAL CODEINE (30MG) #3 CAPS: EA,259,RC,5254-4095-01,NDC,,both,1,EA,11,11,2.341723391,11,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,11,percent of total billed charges,999999999,,,,11,percent of total billed charges,8.381243975,,,,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.766,percent of total billed charges,7.707077247,,,,7.766,percent of total billed charges,5.31551009,,,,,,,,,,7.92,percent of total billed charges,5.147813626,,,,,,,,,,7.92,percent of total billed charges,999999999,,,,,,,,,,8.8,percent of total billed charges,7.373942561,,,,8.69,percent of total billed charges,8.386223973,,,,8.69,percent of total billed charges,7.409506477,,,,8.8,percent of total billed charges,999999999,,,,8.8,percent of total billed charges,999999999,,,,7.7,percent of total billed charges,999999999,,,,7.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.852,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.555,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.75,percent of total billed charges,2.611827325,,,,,,,,,,2.75,percent of total billed charges,2.568381355,,,,,,,,,,2.75,percent of total billed charges,2.561243933,,,,,,,,,,2.75,percent of total billed charges,2.523529647,,,,,,,,,,2.75,percent of total billed charges,2.588463775,,,,,,,,,,2.75,percent of total billed charges,999999999,,,,,,,,,,2.75,percent of total billed charges,2.221084199,,,,,,,,,,2.75,percent of total billed charges,3.502802947,,,,,,,,,,2.75,percent of total billed charges,999999999,,,,,,,,,,2.75,percent of total billed charges,2.394871971,,,,,,,,,,9.9,percent of total billed charges,,,,,
methylPREDNISolone (SOLU Medrol): 1GM,J2919,CDM,0000-9069-01,NDC,,both,1,EA,166.57,166.57,35.46007866,166.57,166.57,percent of total billed charges,122.5514665,,,,166.57,percent of total billed charges,129.9021314,,,,166.57,percent of total billed charges,122.5514665,,,,166.57,percent of total billed charges,129.9021314,,,,166.57,percent of total billed charges,999999999,,,,166.57,percent of total billed charges,126.9148917,,,,166.57,percent of total billed charges,122.5514665,,,,166.57,percent of total billed charges,129.9021314,,,,118.76441,percent of total billed charges,59.26561398,,,,118.76441,percent of total billed charges,35.46007866,,,,118.76441,percent of total billed charges,59.26561398,,,,118.76441,percent of total billed charges,35.46007866,,,,118.76441,percent of total billed charges,59.26561398,,,,118.76441,percent of total billed charges,35.46007866,,,,117.59842,percent of total billed charges,116.7061688,,,,117.59842,percent of total billed charges,80.49131962,,,,,,,,,,119.9304,percent of total billed charges,77.95193778,,,,,,,,,,119.9304,percent of total billed charges,999999999,,,,,,,,,,133.256,percent of total billed charges,111.6616011,,,,131.5903,percent of total billed charges,126.9903025,,,,131.5903,percent of total billed charges,112.2001358,,,,133.256,percent of total billed charges,999999999,,,,133.256,percent of total billed charges,999999999,,,,116.599,percent of total billed charges,999999999,,,,116.599,percent of total billed charges,999999999,,,,,,,,,,,,,,,,88.61524,percent of total billed charges,999999999,,,,,,,,,,,,,,,,84.11785,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,41.6425,percent of total billed charges,39.55018887,,,,,,,,,,41.6425,percent of total billed charges,38.89229839,,,,,,,,,,41.6425,percent of total billed charges,38.78421836,,,,,,,,,,41.6425,percent of total billed charges,38.21312122,,,,,,,,,,41.6425,percent of total billed charges,39.196401,,,,,,,,,,41.6425,percent of total billed charges,999999999,,,,,,,,,,41.6425,percent of total billed charges,33.63327227,,,,,,,,,,41.6425,percent of total billed charges,53.04198971,,,,,,,,,,41.6425,percent of total billed charges,999999999,,,,,,,,,,41.6425,percent of total billed charges,36.26489312,,,,,,,,,,149.913,percent of total billed charges,,,,,
DEXTROSE 50% SYR 50 ML:   SYRINGE,250,RC,0040-9751-16,NDC,,both,1,EA,238.55,238.55,50.78346499,238.55,238.55,percent of total billed charges,175.5097097,,,,238.55,percent of total billed charges,186.036822,,,,238.55,percent of total billed charges,175.5097097,,,,238.55,percent of total billed charges,186.036822,,,,238.55,percent of total billed charges,999999999,,,,238.55,percent of total billed charges,181.7587046,,,,238.55,percent of total billed charges,175.5097097,,,,238.55,percent of total billed charges,186.036822,,,,170.08615,percent of total billed charges,84.87610143,,,,170.08615,percent of total billed charges,50.78346499,,,,170.08615,percent of total billed charges,84.87610143,,,,170.08615,percent of total billed charges,50.78346499,,,,170.08615,percent of total billed charges,84.87610143,,,,170.08615,percent of total billed charges,50.78346499,,,,168.4163,percent of total billed charges,167.1384797,,,,168.4163,percent of total billed charges,115.2740847,,,,,,,,,,171.756,percent of total billed charges,111.6373582,,,,,,,,,,171.756,percent of total billed charges,999999999,,,,,,,,,,190.84,percent of total billed charges,159.9139998,,,,188.4545,percent of total billed charges,181.8667026,,,,188.4545,percent of total billed charges,160.6852518,,,,190.84,percent of total billed charges,999999999,,,,190.84,percent of total billed charges,999999999,,,,166.985,percent of total billed charges,999999999,,,,166.985,percent of total billed charges,999999999,,,,,,,,,,,,,,,,126.9086,percent of total billed charges,999999999,,,,,,,,,,,,,,,,120.46775,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,59.6375,percent of total billed charges,56.64103713,,,,,,,,,,59.6375,percent of total billed charges,55.69885202,,,,,,,,,,59.6375,percent of total billed charges,55.5440673,,,,,,,,,,59.6375,percent of total billed charges,54.72618158,,,,,,,,,,59.6375,percent of total billed charges,56.13436669,,,,,,,,,,59.6375,percent of total billed charges,999999999,,,,,,,,,,59.6375,percent of total billed charges,48.1672396,,,,,,,,,,59.6375,percent of total billed charges,75.96305845,,,,,,,,,,59.6375,percent of total billed charges,999999999,,,,,,,,,,59.6375,percent of total billed charges,51.93606443,,,,,,,,,,214.695,percent of total billed charges,,,,,
**ASPIRIN  600MG SUPPOSITORY,259,RC,0057-4703-12,NDC,,both,1,EA,10,10,2.128839446,10,10,percent of total billed charges,7.357355257,,,,10,percent of total billed charges,7.7986511,,,,10,percent of total billed charges,7.357355257,,,,10,percent of total billed charges,7.7986511,,,,10,percent of total billed charges,999999999,,,,10,percent of total billed charges,7.619312704,,,,10,percent of total billed charges,7.357355257,,,,10,percent of total billed charges,7.7986511,,,,7.13,percent of total billed charges,3.558000479,,,,7.13,percent of total billed charges,2.128839446,,,,7.13,percent of total billed charges,3.558000479,,,,7.13,percent of total billed charges,2.128839446,,,,7.13,percent of total billed charges,3.558000479,,,,7.13,percent of total billed charges,2.128839446,,,,7.06,percent of total billed charges,7.006433861,,,,7.06,percent of total billed charges,4.8322819,,,,,,,,,,7.2,percent of total billed charges,4.679830569,,,,,,,,,,7.2,percent of total billed charges,999999999,,,,,,,,,,8,percent of total billed charges,6.703584146,,,,7.9,percent of total billed charges,7.623839976,,,,7.9,percent of total billed charges,6.735914979,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,999999999,,,,7,percent of total billed charges,999999999,,,,7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.32,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.05,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.5,percent of total billed charges,2.374388478,,,,,,,,,,2.5,percent of total billed charges,2.334892141,,,,,,,,,,2.5,percent of total billed charges,2.328403576,,,,,,,,,,2.5,percent of total billed charges,2.294117861,,,,,,,,,,2.5,percent of total billed charges,2.353148886,,,,,,,,,,2.5,percent of total billed charges,999999999,,,,,,,,,,2.5,percent of total billed charges,2.019167453,,,,,,,,,,2.5,percent of total billed charges,3.184366315,,,,,,,,,,2.5,percent of total billed charges,999999999,,,,,,,,,,2.5,percent of total billed charges,2.177156338,,,,,,,,,,9,percent of total billed charges,,,,,
**ASPIRIN  325MG: TAB,259,RC,6655-3000-01,NDC,,both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
ASPIRIN EC (ECOTRIN) 325MG: TAB,637,RC,5789-6092-01,NDC,,both,1,EA,0.5,0.5,0.106441972,0.5,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,999999999,,,,0.5,percent of total billed charges,0.380965635,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.353,percent of total billed charges,0.350321693,,,,0.353,percent of total billed charges,0.241614095,,,,,,,,,,0.36,percent of total billed charges,0.233991528,,,,,,,,,,0.36,percent of total billed charges,999999999,,,,,,,,,,0.4,percent of total billed charges,0.335179207,,,,0.395,percent of total billed charges,0.381191999,,,,0.395,percent of total billed charges,0.336795749,,,,0.4,percent of total billed charges,999999999,,,,0.4,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.266,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.2525,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.125,percent of total billed charges,0.118719424,,,,,,,,,,0.125,percent of total billed charges,0.116744607,,,,,,,,,,0.125,percent of total billed charges,0.116420179,,,,,,,,,,0.125,percent of total billed charges,0.114705893,,,,,,,,,,0.125,percent of total billed charges,0.117657444,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.100958373,,,,,,,,,,0.125,percent of total billed charges,0.159218316,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.108857817,,,,,,,,,,0.45,percent of total billed charges,,,,,
ASPIRIN 81 MG CHEWABLE TAB,637,RC,6655-3000-01,NDC,,both,1,EA,0.55,0.55,0.11708617,0.55,0.55,percent of total billed charges,0.404654539,,,,0.55,percent of total billed charges,0.428925811,,,,0.55,percent of total billed charges,0.404654539,,,,0.55,percent of total billed charges,0.428925811,,,,0.55,percent of total billed charges,999999999,,,,0.55,percent of total billed charges,0.419062199,,,,0.55,percent of total billed charges,0.404654539,,,,0.55,percent of total billed charges,0.428925811,,,,0.39215,percent of total billed charges,0.195690026,,,,0.39215,percent of total billed charges,0.11708617,,,,0.39215,percent of total billed charges,0.195690026,,,,0.39215,percent of total billed charges,0.11708617,,,,0.39215,percent of total billed charges,0.195690026,,,,0.39215,percent of total billed charges,0.11708617,,,,0.3883,percent of total billed charges,0.385353862,,,,0.3883,percent of total billed charges,0.265775505,,,,,,,,,,0.396,percent of total billed charges,0.257390681,,,,,,,,,,0.396,percent of total billed charges,999999999,,,,,,,,,,0.44,percent of total billed charges,0.368697128,,,,0.4345,percent of total billed charges,0.419311199,,,,0.4345,percent of total billed charges,0.370475324,,,,0.44,percent of total billed charges,999999999,,,,0.44,percent of total billed charges,999999999,,,,0.385,percent of total billed charges,999999999,,,,0.385,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.2926,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.27775,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.1375,percent of total billed charges,0.130591366,,,,,,,,,,0.1375,percent of total billed charges,0.128419068,,,,,,,,,,0.1375,percent of total billed charges,0.128062197,,,,,,,,,,0.1375,percent of total billed charges,0.126176482,,,,,,,,,,0.1375,percent of total billed charges,0.129423189,,,,,,,,,,0.1375,percent of total billed charges,999999999,,,,,,,,,,0.1375,percent of total billed charges,0.11105421,,,,,,,,,,0.1375,percent of total billed charges,0.175140147,,,,,,,,,,0.1375,percent of total billed charges,999999999,,,,,,,,,,0.1375,percent of total billed charges,0.119743599,,,,,,,,,,0.495,percent of total billed charges,,,,,
ceFAZolin 1GM INJ,J0690,CDM,0078-1345-70,NDC,,both,1,EA,11,11,2.341723391,11,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,11,percent of total billed charges,999999999,,,,11,percent of total billed charges,8.381243975,,,,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.766,percent of total billed charges,7.707077247,,,,7.766,percent of total billed charges,5.31551009,,,,,,,,,,7.92,percent of total billed charges,5.147813626,,,,,,,,,,7.92,percent of total billed charges,999999999,,,,,,,,,,8.8,percent of total billed charges,7.373942561,,,,8.69,percent of total billed charges,8.386223973,,,,8.69,percent of total billed charges,7.409506477,,,,8.8,percent of total billed charges,999999999,,,,8.8,percent of total billed charges,999999999,,,,7.7,percent of total billed charges,999999999,,,,7.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.852,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.555,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.75,percent of total billed charges,2.611827325,,,,,,,,,,2.75,percent of total billed charges,2.568381355,,,,,,,,,,2.75,percent of total billed charges,2.561243933,,,,,,,,,,2.75,percent of total billed charges,2.523529647,,,,,,,,,,2.75,percent of total billed charges,2.588463775,,,,,,,,,,2.75,percent of total billed charges,999999999,,,,,,,,,,2.75,percent of total billed charges,2.221084199,,,,,,,,,,2.75,percent of total billed charges,3.502802947,,,,,,,,,,2.75,percent of total billed charges,999999999,,,,,,,,,,2.75,percent of total billed charges,2.394871971,,,,,,,,,,9.9,percent of total billed charges,,,,,
**ASPIRIN BUFF (BUFFERIN) 325 MG: TAB,259,RC,0018-2190-01,NDC,,both,1,EA,7,7,1.490187612,7,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,7,percent of total billed charges,999999999,,,,7,percent of total billed charges,5.333518893,,,,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.942,percent of total billed charges,4.904503703,,,,4.942,percent of total billed charges,3.38259733,,,,,,,,,,5.04,percent of total billed charges,3.275881398,,,,,,,,,,5.04,percent of total billed charges,999999999,,,,,,,,,,5.6,percent of total billed charges,4.692508902,,,,5.53,percent of total billed charges,5.336687983,,,,5.53,percent of total billed charges,4.715140486,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,4.9,percent of total billed charges,999999999,,,,4.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.724,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.535,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.75,percent of total billed charges,1.662071934,,,,,,,,,,1.75,percent of total billed charges,1.634424499,,,,,,,,,,1.75,percent of total billed charges,1.629882503,,,,,,,,,,1.75,percent of total billed charges,1.605882503,,,,,,,,,,1.75,percent of total billed charges,1.647204221,,,,,,,,,,1.75,percent of total billed charges,999999999,,,,,,,,,,1.75,percent of total billed charges,1.413417217,,,,,,,,,,1.75,percent of total billed charges,2.229056421,,,,,,,,,,1.75,percent of total billed charges,999999999,,,,,,,,,,1.75,percent of total billed charges,1.524009436,,,,,,,,,,6.3,percent of total billed charges,,,,,
CARVedilol (COREG) 6.25 MG TAB,637,RC,0090-4630-61,NDC,,both,1,EA,0.5,0.5,0.106441972,0.5,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,999999999,,,,0.5,percent of total billed charges,0.380965635,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.353,percent of total billed charges,0.350321693,,,,0.353,percent of total billed charges,0.241614095,,,,,,,,,,0.36,percent of total billed charges,0.233991528,,,,,,,,,,0.36,percent of total billed charges,999999999,,,,,,,,,,0.4,percent of total billed charges,0.335179207,,,,0.395,percent of total billed charges,0.381191999,,,,0.395,percent of total billed charges,0.336795749,,,,0.4,percent of total billed charges,999999999,,,,0.4,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.266,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.2525,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.125,percent of total billed charges,0.118719424,,,,,,,,,,0.125,percent of total billed charges,0.116744607,,,,,,,,,,0.125,percent of total billed charges,0.116420179,,,,,,,,,,0.125,percent of total billed charges,0.114705893,,,,,,,,,,0.125,percent of total billed charges,0.117657444,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.100958373,,,,,,,,,,0.125,percent of total billed charges,0.159218316,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.108857817,,,,,,,,,,0.45,percent of total billed charges,,,,,
**HYDRoxyzine (ATARAX) SYRUP 10MG/5ML,259,RC,5038-3079-16,NDC,,both,1,EA,96,96,20.43685868,96,96,percent of total billed charges,70.63061047,,,,96,percent of total billed charges,74.86705056,,,,96,percent of total billed charges,70.63061047,,,,96,percent of total billed charges,74.86705056,,,,96,percent of total billed charges,999999999,,,,96,percent of total billed charges,73.14540196,,,,96,percent of total billed charges,70.63061047,,,,96,percent of total billed charges,74.86705056,,,,68.448,percent of total billed charges,34.1568046,,,,68.448,percent of total billed charges,20.43685868,,,,68.448,percent of total billed charges,34.1568046,,,,68.448,percent of total billed charges,20.43685868,,,,68.448,percent of total billed charges,34.1568046,,,,68.448,percent of total billed charges,20.43685868,,,,67.776,percent of total billed charges,67.26176506,,,,67.776,percent of total billed charges,46.38990624,,,,,,,,,,69.12,percent of total billed charges,44.92637346,,,,,,,,,,69.12,percent of total billed charges,999999999,,,,,,,,,,76.8,percent of total billed charges,64.3544078,,,,75.84,percent of total billed charges,73.18886377,,,,75.84,percent of total billed charges,64.6647838,,,,76.8,percent of total billed charges,999999999,,,,76.8,percent of total billed charges,999999999,,,,67.2,percent of total billed charges,999999999,,,,67.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,51.072,percent of total billed charges,999999999,,,,,,,,,,,,,,,,48.48,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,24,percent of total billed charges,22.79412939,,,,,,,,,,24,percent of total billed charges,22.41496455,,,,,,,,,,24,percent of total billed charges,22.35267433,,,,,,,,,,24,percent of total billed charges,22.02353147,,,,,,,,,,24,percent of total billed charges,22.59022931,,,,,,,,,,24,percent of total billed charges,999999999,,,,,,,,,,24,percent of total billed charges,19.38400755,,,,,,,,,,24,percent of total billed charges,30.56991663,,,,,,,,,,24,percent of total billed charges,999999999,,,,,,,,,,24,percent of total billed charges,20.90070084,,,,,,,,,,86.4,percent of total billed charges,,,,,
ATENOLOL (TENORMIN)  25MG TAB,637,RC,5107-9075-20,NDC,,both,1,EA,0.5,0.5,0.106441972,0.5,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,999999999,,,,0.5,percent of total billed charges,0.380965635,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.353,percent of total billed charges,0.350321693,,,,0.353,percent of total billed charges,0.241614095,,,,,,,,,,0.36,percent of total billed charges,0.233991528,,,,,,,,,,0.36,percent of total billed charges,999999999,,,,,,,,,,0.4,percent of total billed charges,0.335179207,,,,0.395,percent of total billed charges,0.381191999,,,,0.395,percent of total billed charges,0.336795749,,,,0.4,percent of total billed charges,999999999,,,,0.4,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.266,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.2525,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.125,percent of total billed charges,0.118719424,,,,,,,,,,0.125,percent of total billed charges,0.116744607,,,,,,,,,,0.125,percent of total billed charges,0.116420179,,,,,,,,,,0.125,percent of total billed charges,0.114705893,,,,,,,,,,0.125,percent of total billed charges,0.117657444,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.100958373,,,,,,,,,,0.125,percent of total billed charges,0.159218316,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.108857817,,,,,,,,,,0.45,percent of total billed charges,,,,,
ATENOLOL  (TENORMIN)  50MG TAB,637,RC,6330-4062-01,NDC,,both,1,EA,0.5,0.5,0.106441972,0.5,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,999999999,,,,0.5,percent of total billed charges,0.380965635,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.353,percent of total billed charges,0.350321693,,,,0.353,percent of total billed charges,0.241614095,,,,,,,,,,0.36,percent of total billed charges,0.233991528,,,,,,,,,,0.36,percent of total billed charges,999999999,,,,,,,,,,0.4,percent of total billed charges,0.335179207,,,,0.395,percent of total billed charges,0.381191999,,,,0.395,percent of total billed charges,0.336795749,,,,0.4,percent of total billed charges,999999999,,,,0.4,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.266,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.2525,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.125,percent of total billed charges,0.118719424,,,,,,,,,,0.125,percent of total billed charges,0.116744607,,,,,,,,,,0.125,percent of total billed charges,0.116420179,,,,,,,,,,0.125,percent of total billed charges,0.114705893,,,,,,,,,,0.125,percent of total billed charges,0.117657444,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.100958373,,,,,,,,,,0.125,percent of total billed charges,0.159218316,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.108857817,,,,,,,,,,0.45,percent of total billed charges,,,,,
AMOXICILLIN/CLAV ACID 500MG/125MG,637,RC,6668-5100-02,NDC,,both,1,EA,1.62,1.62,0.34487199,1.62,1.62,percent of total billed charges,1.191891552,,,,1.62,percent of total billed charges,1.263381478,,,,1.62,percent of total billed charges,1.191891552,,,,1.62,percent of total billed charges,1.263381478,,,,1.62,percent of total billed charges,999999999,,,,1.62,percent of total billed charges,1.234328658,,,,1.62,percent of total billed charges,1.191891552,,,,1.62,percent of total billed charges,1.263381478,,,,1.15506,percent of total billed charges,0.576396078,,,,1.15506,percent of total billed charges,0.34487199,,,,1.15506,percent of total billed charges,0.576396078,,,,1.15506,percent of total billed charges,0.34487199,,,,1.15506,percent of total billed charges,0.576396078,,,,1.15506,percent of total billed charges,0.34487199,,,,1.14372,percent of total billed charges,1.135042285,,,,1.14372,percent of total billed charges,0.782829668,,,,,,,,,,1.1664,percent of total billed charges,0.758132552,,,,,,,,,,1.1664,percent of total billed charges,999999999,,,,,,,,,,1.296,percent of total billed charges,1.085980632,,,,1.2798,percent of total billed charges,1.235062076,,,,1.2798,percent of total billed charges,1.091218227,,,,1.296,percent of total billed charges,999999999,,,,1.296,percent of total billed charges,999999999,,,,1.134,percent of total billed charges,999999999,,,,1.134,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.86184,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.8181,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.405,percent of total billed charges,0.384650933,,,,,,,,,,0.405,percent of total billed charges,0.378252527,,,,,,,,,,0.405,percent of total billed charges,0.377201379,,,,,,,,,,0.405,percent of total billed charges,0.371647094,,,,,,,,,,0.405,percent of total billed charges,0.38121012,,,,,,,,,,0.405,percent of total billed charges,999999999,,,,,,,,,,0.405,percent of total billed charges,0.327105127,,,,,,,,,,0.405,percent of total billed charges,0.515867343,,,,,,,,,,0.405,percent of total billed charges,999999999,,,,,,,,,,0.405,percent of total billed charges,0.352699327,,,,,,,,,,1.458,percent of total billed charges,,,,,
**AMOX/CLAV 250MG TAB:AUGMENTIN,259,RC,0002-9607-31,NDC,,both,1,EA,13,13,2.76749128,13,13,percent of total billed charges,9.564561834,,,,13,percent of total billed charges,10.13824643,,,,13,percent of total billed charges,9.564561834,,,,13,percent of total billed charges,10.13824643,,,,13,percent of total billed charges,999999999,,,,13,percent of total billed charges,9.905106516,,,,13,percent of total billed charges,9.564561834,,,,13,percent of total billed charges,10.13824643,,,,9.269,percent of total billed charges,4.625400623,,,,9.269,percent of total billed charges,2.76749128,,,,9.269,percent of total billed charges,4.625400623,,,,9.269,percent of total billed charges,2.76749128,,,,9.269,percent of total billed charges,4.625400623,,,,9.269,percent of total billed charges,2.76749128,,,,9.178,percent of total billed charges,9.108364019,,,,9.178,percent of total billed charges,6.281966471,,,,,,,,,,9.36,percent of total billed charges,6.083779739,,,,,,,,,,9.36,percent of total billed charges,999999999,,,,,,,,,,10.4,percent of total billed charges,8.71465939,,,,10.27,percent of total billed charges,9.910991969,,,,10.27,percent of total billed charges,8.756689473,,,,10.4,percent of total billed charges,999999999,,,,10.4,percent of total billed charges,999999999,,,,9.1,percent of total billed charges,999999999,,,,9.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.916,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.565,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3.25,percent of total billed charges,3.086705021,,,,,,,,,,3.25,percent of total billed charges,3.035359783,,,,,,,,,,3.25,percent of total billed charges,3.026924648,,,,,,,,,,3.25,percent of total billed charges,2.98235322,,,,,,,,,,3.25,percent of total billed charges,3.059093552,,,,,,,,,,3.25,percent of total billed charges,999999999,,,,,,,,,,3.25,percent of total billed charges,2.624917689,,,,,,,,,,3.25,percent of total billed charges,4.13967621,,,,,,,,,,3.25,percent of total billed charges,999999999,,,,,,,,,,3.25,percent of total billed charges,2.830303239,,,,,,,,,,11.7,percent of total billed charges,,,,,
DESMOPRESSIN 10MCG/0.1ML NASAL SOLN: 5ML,250,RC,2420-8034-05,NDC,,both,1,EA,133.12,133.12,28.33911071,133.12,133.12,percent of total billed charges,97.94111318,,,,133.12,percent of total billed charges,103.8156434,,,,133.12,percent of total billed charges,97.94111318,,,,133.12,percent of total billed charges,103.8156434,,,,133.12,percent of total billed charges,999999999,,,,133.12,percent of total billed charges,101.4282907,,,,133.12,percent of total billed charges,97.94111318,,,,133.12,percent of total billed charges,103.8156434,,,,94.91456,percent of total billed charges,47.36410238,,,,94.91456,percent of total billed charges,28.33911071,,,,94.91456,percent of total billed charges,47.36410238,,,,94.91456,percent of total billed charges,28.33911071,,,,94.91456,percent of total billed charges,47.36410238,,,,94.91456,percent of total billed charges,28.33911071,,,,93.98272,percent of total billed charges,93.26964755,,,,93.98272,percent of total billed charges,64.32733666,,,,,,,,,,95.8464,percent of total billed charges,62.29790453,,,,,,,,,,95.8464,percent of total billed charges,999999999,,,,,,,,,,106.496,percent of total billed charges,89.23811215,,,,105.1648,percent of total billed charges,101.4885578,,,,105.1648,percent of total billed charges,89.66850021,,,,106.496,percent of total billed charges,999999999,,,,106.496,percent of total billed charges,999999999,,,,93.184,percent of total billed charges,999999999,,,,93.184,percent of total billed charges,999999999,,,,,,,,,,,,,,,,70.81984,percent of total billed charges,999999999,,,,,,,,,,,,,,,,67.2256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,33.28,percent of total billed charges,31.60785941,,,,,,,,,,33.28,percent of total billed charges,31.08208418,,,,,,,,,,33.28,percent of total billed charges,30.9957084,,,,,,,,,,33.28,percent of total billed charges,30.53929697,,,,,,,,,,33.28,percent of total billed charges,31.32511798,,,,,,,,,,33.28,percent of total billed charges,999999999,,,,,,,,,,33.28,percent of total billed charges,26.87915714,,,,,,,,,,33.28,percent of total billed charges,42.39028439,,,,,,,,,,33.28,percent of total billed charges,999999999,,,,,,,,,,33.28,percent of total billed charges,28.98230517,,,,,,,,,,119.808,percent of total billed charges,,,,,
azaTHIOprine (IMURAN) 50 MG TAB,J7500,CDM,6808-4022-01,NDC,,both,1,EA,2.53,2.53,0.53859638,2.53,2.53,percent of total billed charges,1.86141088,,,,2.53,percent of total billed charges,1.973058728,,,,2.53,percent of total billed charges,1.86141088,,,,2.53,percent of total billed charges,1.973058728,,,,2.53,percent of total billed charges,999999999,,,,2.53,percent of total billed charges,1.927686114,,,,2.53,percent of total billed charges,1.86141088,,,,2.53,percent of total billed charges,1.973058728,,,,1.80389,percent of total billed charges,0.900174121,,,,1.80389,percent of total billed charges,0.53859638,,,,1.80389,percent of total billed charges,0.900174121,,,,1.80389,percent of total billed charges,0.53859638,,,,1.80389,percent of total billed charges,0.900174121,,,,1.80389,percent of total billed charges,0.53859638,,,,1.78618,percent of total billed charges,1.772627767,,,,1.78618,percent of total billed charges,1.222567321,,,,,,,,,,1.8216,percent of total billed charges,1.183997134,,,,,,,,,,1.8216,percent of total billed charges,999999999,,,,,,,,,,2.024,percent of total billed charges,1.696006789,,,,1.9987,percent of total billed charges,1.928831514,,,,1.9987,percent of total billed charges,1.70418649,,,,2.024,percent of total billed charges,999999999,,,,2.024,percent of total billed charges,999999999,,,,1.771,percent of total billed charges,999999999,,,,1.771,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.34596,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.27765,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.6325,percent of total billed charges,0.600720285,,,,,,,,,,0.6325,percent of total billed charges,0.590727712,,,,,,,,,,0.6325,percent of total billed charges,0.589086105,,,,,,,,,,0.6325,percent of total billed charges,0.580411819,,,,,,,,,,0.6325,percent of total billed charges,0.595346668,,,,,,,,,,0.6325,percent of total billed charges,999999999,,,,,,,,,,0.6325,percent of total billed charges,0.510849366,,,,,,,,,,0.6325,percent of total billed charges,0.805644678,,,,,,,,,,0.6325,percent of total billed charges,999999999,,,,,,,,,,0.6325,percent of total billed charges,0.550820553,,,,,,,,,,2.277,percent of total billed charges,,,,,
**ALBUTEROL0.5% NEB SOL:20ML,250,RC,5038-3074-20,NDC,,both,1,EA,45,45,9.579777508,45,45,percent of total billed charges,33.10809866,,,,45,percent of total billed charges,35.09392995,,,,45,percent of total billed charges,33.10809866,,,,45,percent of total billed charges,35.09392995,,,,45,percent of total billed charges,999999999,,,,45,percent of total billed charges,34.28690717,,,,45,percent of total billed charges,33.10809866,,,,45,percent of total billed charges,35.09392995,,,,32.085,percent of total billed charges,16.01100216,,,,32.085,percent of total billed charges,9.579777508,,,,32.085,percent of total billed charges,16.01100216,,,,32.085,percent of total billed charges,9.579777508,,,,32.085,percent of total billed charges,16.01100216,,,,32.085,percent of total billed charges,9.579777508,,,,31.77,percent of total billed charges,31.52895237,,,,31.77,percent of total billed charges,21.74526855,,,,,,,,,,32.4,percent of total billed charges,21.05923756,,,,,,,,,,32.4,percent of total billed charges,999999999,,,,,,,,,,36,percent of total billed charges,30.16612866,,,,35.55,percent of total billed charges,34.30727989,,,,35.55,percent of total billed charges,30.31161741,,,,36,percent of total billed charges,999999999,,,,36,percent of total billed charges,999999999,,,,31.5,percent of total billed charges,999999999,,,,31.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,23.94,percent of total billed charges,999999999,,,,,,,,,,,,,,,,22.725,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11.25,percent of total billed charges,10.68474815,,,,,,,,,,11.25,percent of total billed charges,10.50701463,,,,,,,,,,11.25,percent of total billed charges,10.47781609,,,,,,,,,,11.25,percent of total billed charges,10.32353038,,,,,,,,,,11.25,percent of total billed charges,10.58916999,,,,,,,,,,11.25,percent of total billed charges,999999999,,,,,,,,,,11.25,percent of total billed charges,9.08625354,,,,,,,,,,11.25,percent of total billed charges,14.32964842,,,,,,,,,,11.25,percent of total billed charges,999999999,,,,,,,,,,11.25,percent of total billed charges,9.797203519,,,,,,,,,,40.5,percent of total billed charges,,,,,
BACLOFEN (LIORESAL) 10MG TAB,250,RC,5026-8010-15,NDC,,both,1,EA,1.55,1.55,0.329970114,1.55,1.55,percent of total billed charges,1.140390065,,,,1.55,percent of total billed charges,1.208790921,,,,1.55,percent of total billed charges,1.140390065,,,,1.55,percent of total billed charges,1.208790921,,,,1.55,percent of total billed charges,999999999,,,,1.55,percent of total billed charges,1.180993469,,,,1.55,percent of total billed charges,1.140390065,,,,1.55,percent of total billed charges,1.208790921,,,,1.10515,percent of total billed charges,0.551490074,,,,1.10515,percent of total billed charges,0.329970114,,,,1.10515,percent of total billed charges,0.551490074,,,,1.10515,percent of total billed charges,0.329970114,,,,1.10515,percent of total billed charges,0.551490074,,,,1.10515,percent of total billed charges,0.329970114,,,,1.0943,percent of total billed charges,1.085997248,,,,1.0943,percent of total billed charges,0.749003695,,,,,,,,,,1.116,percent of total billed charges,0.725373738,,,,,,,,,,1.116,percent of total billed charges,999999999,,,,,,,,,,1.24,percent of total billed charges,1.039055543,,,,1.2245,percent of total billed charges,1.181695196,,,,1.2245,percent of total billed charges,1.044066822,,,,1.24,percent of total billed charges,999999999,,,,1.24,percent of total billed charges,999999999,,,,1.085,percent of total billed charges,999999999,,,,1.085,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.8246,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.78275,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.3875,percent of total billed charges,0.368030214,,,,,,,,,,0.3875,percent of total billed charges,0.361908282,,,,,,,,,,0.3875,percent of total billed charges,0.360902554,,,,,,,,,,0.3875,percent of total billed charges,0.355588269,,,,,,,,,,0.3875,percent of total billed charges,0.364738077,,,,,,,,,,0.3875,percent of total billed charges,999999999,,,,,,,,,,0.3875,percent of total billed charges,0.312970955,,,,,,,,,,0.3875,percent of total billed charges,0.493576779,,,,,,,,,,0.3875,percent of total billed charges,999999999,,,,,,,,,,0.3875,percent of total billed charges,0.337459232,,,,,,,,,,1.395,percent of total billed charges,,,,,
**BELLADONA ALKALOIDS (DONNATAL) TAB,259,RC,3335-8004-30,NDC,,both,1,EA,5,5,1.064419723,5,5,percent of total billed charges,3.678677629,,,,5,percent of total billed charges,3.89932555,,,,5,percent of total billed charges,3.678677629,,,,5,percent of total billed charges,3.89932555,,,,5,percent of total billed charges,999999999,,,,5,percent of total billed charges,3.809656352,,,,5,percent of total billed charges,3.678677629,,,,5,percent of total billed charges,3.89932555,,,,3.565,percent of total billed charges,1.77900024,,,,3.565,percent of total billed charges,1.064419723,,,,3.565,percent of total billed charges,1.77900024,,,,3.565,percent of total billed charges,1.064419723,,,,3.565,percent of total billed charges,1.77900024,,,,3.565,percent of total billed charges,1.064419723,,,,3.53,percent of total billed charges,3.50321693,,,,3.53,percent of total billed charges,2.41614095,,,,,,,,,,3.6,percent of total billed charges,2.339915284,,,,,,,,,,3.6,percent of total billed charges,999999999,,,,,,,,,,4,percent of total billed charges,3.351792073,,,,3.95,percent of total billed charges,3.811919988,,,,3.95,percent of total billed charges,3.36795749,,,,4,percent of total billed charges,999999999,,,,4,percent of total billed charges,999999999,,,,3.5,percent of total billed charges,999999999,,,,3.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2.66,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2.525,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.25,percent of total billed charges,1.187194239,,,,,,,,,,1.25,percent of total billed charges,1.16744607,,,,,,,,,,1.25,percent of total billed charges,1.164201788,,,,,,,,,,1.25,percent of total billed charges,1.147058931,,,,,,,,,,1.25,percent of total billed charges,1.176574443,,,,,,,,,,1.25,percent of total billed charges,999999999,,,,,,,,,,1.25,percent of total billed charges,1.009583727,,,,,,,,,,1.25,percent of total billed charges,1.592183158,,,,,,,,,,1.25,percent of total billed charges,999999999,,,,,,,,,,1.25,percent of total billed charges,1.088578169,,,,,,,,,,4.5,percent of total billed charges,,,,,
**INFLUENZA (FLUZONE) VACCINE 2010 INJ,90656,CDM,5816-0087-46,NDC,,both,1,EA,54,54,11.49573301,54,54,percent of total billed charges,39.72971839,,,,54,percent of total billed charges,42.11271594,,,,54,percent of total billed charges,39.72971839,,,,54,percent of total billed charges,42.11271594,,,,54,percent of total billed charges,999999999,,,,54,percent of total billed charges,41.1442886,,,,54,percent of total billed charges,39.72971839,,,,54,percent of total billed charges,42.11271594,,,,38.502,percent of total billed charges,19.21320259,,,,38.502,percent of total billed charges,11.49573301,,,,38.502,percent of total billed charges,19.21320259,,,,38.502,percent of total billed charges,11.49573301,,,,38.502,percent of total billed charges,19.21320259,,,,38.502,percent of total billed charges,11.49573301,,,,38.124,percent of total billed charges,37.83474285,,,,38.124,percent of total billed charges,26.09432226,,,,,,,,,,38.88,percent of total billed charges,25.27108507,,,,,,,,,,38.88,percent of total billed charges,999999999,,,,,,,,,,43.2,percent of total billed charges,36.19935439,,,,42.66,percent of total billed charges,41.16873587,,,,42.66,percent of total billed charges,36.37394089,,,,43.2,percent of total billed charges,999999999,,,,43.2,percent of total billed charges,999999999,,,,37.8,percent of total billed charges,999999999,,,,37.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,28.728,percent of total billed charges,999999999,,,,,,,,,,,,,,,,27.27,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13.5,percent of total billed charges,12.82169778,,,,,,,,,,13.5,percent of total billed charges,12.60841756,,,,,,,,,,13.5,percent of total billed charges,12.57337931,,,,,,,,,,13.5,percent of total billed charges,12.38823645,,,,,,,,,,13.5,percent of total billed charges,12.70700399,,,,,,,,,,13.5,percent of total billed charges,999999999,,,,,,,,,,13.5,percent of total billed charges,10.90350425,,,,,,,,,,13.5,percent of total billed charges,17.1955781,,,,,,,,,,13.5,percent of total billed charges,999999999,,,,,,,,,,13.5,percent of total billed charges,11.75664422,,,,,,,,,,48.6,percent of total billed charges,,,,,
BENZOCAIN/BUT/TET (CETACAINE) SPRAY:56GM,250,RC,1022-3020-04,NDC,,both,1,EA,282.89,282.89,60.22273909,282.89,282.89,percent of total billed charges,208.1322229,,,,282.89,percent of total billed charges,220.616041,,,,282.89,percent of total billed charges,208.1322229,,,,282.89,percent of total billed charges,220.616041,,,,282.89,percent of total billed charges,999999999,,,,282.89,percent of total billed charges,215.5427371,,,,282.89,percent of total billed charges,208.1322229,,,,282.89,percent of total billed charges,220.616041,,,,201.70057,percent of total billed charges,100.6522756,,,,201.70057,percent of total billed charges,60.22273909,,,,201.70057,percent of total billed charges,100.6522756,,,,201.70057,percent of total billed charges,60.22273909,,,,201.70057,percent of total billed charges,100.6522756,,,,201.70057,percent of total billed charges,60.22273909,,,,199.72034,percent of total billed charges,198.2050075,,,,199.72034,percent of total billed charges,136.7004227,,,,,,,,,,203.6808,percent of total billed charges,132.387727,,,,,,,,,,203.6808,percent of total billed charges,999999999,,,,,,,,,,226.312,percent of total billed charges,189.6376919,,,,223.4831,percent of total billed charges,215.6708091,,,,223.4831,percent of total billed charges,190.5522989,,,,226.312,percent of total billed charges,999999999,,,,226.312,percent of total billed charges,999999999,,,,198.023,percent of total billed charges,999999999,,,,198.023,percent of total billed charges,999999999,,,,,,,,,,,,,,,,150.49748,percent of total billed charges,999999999,,,,,,,,,,,,,,,,142.85945,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,70.7225,percent of total billed charges,67.16907564,,,,,,,,,,70.7225,percent of total billed charges,66.05176377,,,,,,,,,,70.7225,percent of total billed charges,65.86820875,,,,,,,,,,70.7225,percent of total billed charges,64.89830018,,,,,,,,,,70.7225,percent of total billed charges,66.56822885,,,,,,,,,,70.7225,percent of total billed charges,999999999,,,,,,,,,,70.7225,percent of total billed charges,57.12022809,,,,,,,,,,70.7225,percent of total billed charges,90.08253869,,,,,,,,,,70.7225,percent of total billed charges,999999999,,,,,,,,,,70.7225,percent of total billed charges,61.58957564,,,,,,,,,,254.601,percent of total billed charges,,,,,
BENZOC/MENTHOL 6MG/10MG LOZENGE BOX,637,RC,7811-2001-06,NDC,,both,1,EA,1.64,1.64,0.349129669,1.64,1.64,percent of total billed charges,1.206606262,,,,1.64,percent of total billed charges,1.27897878,,,,1.64,percent of total billed charges,1.206606262,,,,1.64,percent of total billed charges,1.27897878,,,,1.64,percent of total billed charges,999999999,,,,1.64,percent of total billed charges,1.249567283,,,,1.64,percent of total billed charges,1.206606262,,,,1.64,percent of total billed charges,1.27897878,,,,1.16932,percent of total billed charges,0.583512079,,,,1.16932,percent of total billed charges,0.349129669,,,,1.16932,percent of total billed charges,0.583512079,,,,1.16932,percent of total billed charges,0.349129669,,,,1.16932,percent of total billed charges,0.583512079,,,,1.16932,percent of total billed charges,0.349129669,,,,1.15784,percent of total billed charges,1.149055153,,,,1.15784,percent of total billed charges,0.792494232,,,,,,,,,,1.1808,percent of total billed charges,0.767492213,,,,,,,,,,1.1808,percent of total billed charges,999999999,,,,,,,,,,1.312,percent of total billed charges,1.0993878,,,,1.2956,percent of total billed charges,1.250309756,,,,1.2956,percent of total billed charges,1.104690057,,,,1.312,percent of total billed charges,999999999,,,,1.312,percent of total billed charges,999999999,,,,1.148,percent of total billed charges,999999999,,,,1.148,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.87248,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.8282,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.41,percent of total billed charges,0.38939971,,,,,,,,,,0.41,percent of total billed charges,0.382922311,,,,,,,,,,0.41,percent of total billed charges,0.381858186,,,,,,,,,,0.41,percent of total billed charges,0.376235329,,,,,,,,,,0.41,percent of total billed charges,0.385916417,,,,,,,,,,0.41,percent of total billed charges,999999999,,,,,,,,,,0.41,percent of total billed charges,0.331143462,,,,,,,,,,0.41,percent of total billed charges,0.522236076,,,,,,,,,,0.41,percent of total billed charges,999999999,,,,,,,,,,0.41,percent of total billed charges,0.357053639,,,,,,,,,,1.476,percent of total billed charges,,,,,
**LEVOBUNOL (BETAGAN) 0.05% OPHTH SOLN,250,RC,6131-4022-10,NDC,,both,1,EA,85,85,18.09513529,85,85,percent of total billed charges,62.53751969,,,,85,percent of total billed charges,66.28853435,,,,85,percent of total billed charges,62.53751969,,,,85,percent of total billed charges,66.28853435,,,,85,percent of total billed charges,999999999,,,,85,percent of total billed charges,64.76415799,,,,85,percent of total billed charges,62.53751969,,,,85,percent of total billed charges,66.28853435,,,,60.605,percent of total billed charges,30.24300407,,,,60.605,percent of total billed charges,18.09513529,,,,60.605,percent of total billed charges,30.24300407,,,,60.605,percent of total billed charges,18.09513529,,,,60.605,percent of total billed charges,30.24300407,,,,60.605,percent of total billed charges,18.09513529,,,,60.01,percent of total billed charges,59.55468782,,,,60.01,percent of total billed charges,41.07439615,,,,,,,,,,61.2,percent of total billed charges,39.77855983,,,,,,,,,,61.2,percent of total billed charges,999999999,,,,,,,,,,68,percent of total billed charges,56.98046524,,,,67.15,percent of total billed charges,64.80263979,,,,67.15,percent of total billed charges,57.25527733,,,,68,percent of total billed charges,999999999,,,,68,percent of total billed charges,999999999,,,,59.5,percent of total billed charges,999999999,,,,59.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,45.22,percent of total billed charges,999999999,,,,,,,,,,,,,,,,42.925,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21.25,percent of total billed charges,20.18230206,,,,,,,,,,21.25,percent of total billed charges,19.8465832,,,,,,,,,,21.25,percent of total billed charges,19.79143039,,,,,,,,,,21.25,percent of total billed charges,19.50000182,,,,,,,,,,21.25,percent of total billed charges,20.00176553,,,,,,,,,,21.25,percent of total billed charges,999999999,,,,,,,,,,21.25,percent of total billed charges,17.16292335,,,,,,,,,,21.25,percent of total billed charges,27.06711368,,,,,,,,,,21.25,percent of total billed charges,999999999,,,,,,,,,,21.25,percent of total billed charges,18.50582887,,,,,,,,,,76.5,percent of total billed charges,,,,,
**VANCERIL(BECLOMETH)43 MCG INHALER:16.8,250,RC,0008-5073-04,NDC,,both,1,EA,780,780,166.0494768,780,780,percent of total billed charges,573.8737101,,,,780,percent of total billed charges,608.2947858,,,,780,percent of total billed charges,573.8737101,,,,780,percent of total billed charges,608.2947858,,,,780,percent of total billed charges,999999999,,,,780,percent of total billed charges,594.3063909,,,,780,percent of total billed charges,573.8737101,,,,780,percent of total billed charges,608.2947858,,,,556.14,percent of total billed charges,277.5240374,,,,556.14,percent of total billed charges,166.0494768,,,,556.14,percent of total billed charges,277.5240374,,,,556.14,percent of total billed charges,166.0494768,,,,556.14,percent of total billed charges,277.5240374,,,,556.14,percent of total billed charges,166.0494768,,,,550.68,percent of total billed charges,546.5018411,,,,550.68,percent of total billed charges,376.9179882,,,,,,,,,,561.6,percent of total billed charges,365.0267844,,,,,,,,,,561.6,percent of total billed charges,999999999,,,,,,,,,,624,percent of total billed charges,522.8795634,,,,616.2,percent of total billed charges,594.6595181,,,,616.2,percent of total billed charges,525.4013684,,,,624,percent of total billed charges,999999999,,,,624,percent of total billed charges,999999999,,,,546,percent of total billed charges,999999999,,,,546,percent of total billed charges,999999999,,,,,,,,,,,,,,,,414.96,percent of total billed charges,999999999,,,,,,,,,,,,,,,,393.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,195,percent of total billed charges,185.2023013,,,,,,,,,,195,percent of total billed charges,182.121587,,,,,,,,,,195,percent of total billed charges,181.6154789,,,,,,,,,,195,percent of total billed charges,178.9411932,,,,,,,,,,195,percent of total billed charges,183.5456131,,,,,,,,,,195,percent of total billed charges,999999999,,,,,,,,,,195,percent of total billed charges,157.4950614,,,,,,,,,,195,percent of total billed charges,248.3805726,,,,,,,,,,195,percent of total billed charges,999999999,,,,,,,,,,195,percent of total billed charges,169.8181943,,,,,,,,,,702,percent of total billed charges,,,,,
**BETAMETHASONE (CELESTONE) INJ,250,RC,0008-5056-05,NDC,,both,1,EA,61,61,12.98592062,61,61,percent of total billed charges,44.87986707,,,,61,percent of total billed charges,47.57177171,,,,61,percent of total billed charges,44.87986707,,,,61,percent of total billed charges,47.57177171,,,,61,percent of total billed charges,999999999,,,,61,percent of total billed charges,46.4778075,,,,61,percent of total billed charges,44.87986707,,,,61,percent of total billed charges,47.57177171,,,,43.493,percent of total billed charges,21.70380292,,,,43.493,percent of total billed charges,12.98592062,,,,43.493,percent of total billed charges,21.70380292,,,,43.493,percent of total billed charges,12.98592062,,,,43.493,percent of total billed charges,21.70380292,,,,43.493,percent of total billed charges,12.98592062,,,,43.066,percent of total billed charges,42.73924655,,,,43.066,percent of total billed charges,29.47691959,,,,,,,,,,43.92,percent of total billed charges,28.54696647,,,,,,,,,,43.92,percent of total billed charges,999999999,,,,,,,,,,48.8,percent of total billed charges,40.89186329,,,,48.19,percent of total billed charges,46.50542385,,,,48.19,percent of total billed charges,41.08908137,,,,48.8,percent of total billed charges,999999999,,,,48.8,percent of total billed charges,999999999,,,,42.7,percent of total billed charges,999999999,,,,42.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,32.452,percent of total billed charges,999999999,,,,,,,,,,,,,,,,30.805,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15.25,percent of total billed charges,14.48376971,,,,,,,,,,15.25,percent of total billed charges,14.24284206,,,,,,,,,,15.25,percent of total billed charges,14.20326181,,,,,,,,,,15.25,percent of total billed charges,13.99411895,,,,,,,,,,15.25,percent of total billed charges,14.35420821,,,,,,,,,,15.25,percent of total billed charges,999999999,,,,,,,,,,15.25,percent of total billed charges,12.31692147,,,,,,,,,,15.25,percent of total billed charges,19.42463452,,,,,,,,,,15.25,percent of total billed charges,999999999,,,,,,,,,,15.25,percent of total billed charges,13.28065366,,,,,,,,,,54.9,percent of total billed charges,,,,,
BETAMETHASONE 0.05% (DIPROSONE) 15GM,637,RC,5167-2131-01,NDC,,both,1,EA,344.03,344.03,73.23846347,344.03,344.03,percent of total billed charges,253.1150929,,,,344.03,percent of total billed charges,268.2969938,,,,344.03,percent of total billed charges,253.1150929,,,,344.03,percent of total billed charges,268.2969938,,,,344.03,percent of total billed charges,999999999,,,,344.03,percent of total billed charges,262.127215,,,,344.03,percent of total billed charges,253.1150929,,,,344.03,percent of total billed charges,268.2969938,,,,245.29339,percent of total billed charges,122.4058905,,,,245.29339,percent of total billed charges,73.23846347,,,,245.29339,percent of total billed charges,122.4058905,,,,245.29339,percent of total billed charges,73.23846347,,,,245.29339,percent of total billed charges,122.4058905,,,,245.29339,percent of total billed charges,73.23846347,,,,242.88518,percent of total billed charges,241.0423441,,,,242.88518,percent of total billed charges,166.2449942,,,,,,,,,,247.7016,percent of total billed charges,161.0002111,,,,,,,,,,247.7016,percent of total billed charges,999999999,,,,,,,,,,275.224,percent of total billed charges,230.6234054,,,,271.7837,percent of total billed charges,262.2829667,,,,271.7837,percent of total billed charges,231.735683,,,,275.224,percent of total billed charges,999999999,,,,275.224,percent of total billed charges,999999999,,,,240.821,percent of total billed charges,999999999,,,,240.821,percent of total billed charges,999999999,,,,,,,,,,,,,,,,183.02396,percent of total billed charges,999999999,,,,,,,,,,,,,,,,173.73515,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,86.0075,percent of total billed charges,81.6860868,,,,,,,,,,86.0075,percent of total billed charges,80.32729432,,,,,,,,,,86.0075,percent of total billed charges,80.10406821,,,,,,,,,,86.0075,percent of total billed charges,78.92453678,,,,,,,,,,86.0075,percent of total billed charges,80.95538114,,,,,,,,,,86.0075,percent of total billed charges,999999999,,,,,,,,,,86.0075,percent of total billed charges,69.4654179,,,,,,,,,,86.0075,percent of total billed charges,109.5517543,,,,,,,,,,86.0075,percent of total billed charges,999999999,,,,,,,,,,86.0075,percent of total billed charges,74.90070948,,,,,,,,,,309.627,percent of total billed charges,,,,,
**BETAMETHASONE (VALISONE) CR 0.1%:15GM,259,RC,0016-8004-15,NDC,,both,1,EA,9,9,1.915955502,9,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,9,percent of total billed charges,999999999,,,,9,percent of total billed charges,6.857381434,,,,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.354,percent of total billed charges,6.305790475,,,,6.354,percent of total billed charges,4.34905371,,,,,,,,,,6.48,percent of total billed charges,4.211847512,,,,,,,,,,6.48,percent of total billed charges,999999999,,,,,,,,,,7.2,percent of total billed charges,6.033225731,,,,7.11,percent of total billed charges,6.861455978,,,,7.11,percent of total billed charges,6.062323481,,,,7.2,percent of total billed charges,999999999,,,,7.2,percent of total billed charges,999999999,,,,6.3,percent of total billed charges,999999999,,,,6.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.788,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.545,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.25,percent of total billed charges,2.13694963,,,,,,,,,,2.25,percent of total billed charges,2.101402927,,,,,,,,,,2.25,percent of total billed charges,2.095563218,,,,,,,,,,2.25,percent of total billed charges,2.064706075,,,,,,,,,,2.25,percent of total billed charges,2.117833998,,,,,,,,,,2.25,percent of total billed charges,999999999,,,,,,,,,,2.25,percent of total billed charges,1.817250708,,,,,,,,,,2.25,percent of total billed charges,2.865929684,,,,,,,,,,2.25,percent of total billed charges,999999999,,,,,,,,,,2.25,percent of total billed charges,1.959440704,,,,,,,,,,8.1,percent of total billed charges,,,,,
BETHANECHOL  (URECHOLINE) 25MG TAB,259,RC,0083-2051-01,NDC,,both,1,EA,4,4,0.851535778,4,4,percent of total billed charges,2.942942103,,,,4,percent of total billed charges,3.11946044,,,,4,percent of total billed charges,2.942942103,,,,4,percent of total billed charges,3.11946044,,,,4,percent of total billed charges,999999999,,,,4,percent of total billed charges,3.047725082,,,,4,percent of total billed charges,2.942942103,,,,4,percent of total billed charges,3.11946044,,,,2.852,percent of total billed charges,1.423200192,,,,2.852,percent of total billed charges,0.851535778,,,,2.852,percent of total billed charges,1.423200192,,,,2.852,percent of total billed charges,0.851535778,,,,2.852,percent of total billed charges,1.423200192,,,,2.852,percent of total billed charges,0.851535778,,,,2.824,percent of total billed charges,2.802573544,,,,2.824,percent of total billed charges,1.93291276,,,,,,,,,,2.88,percent of total billed charges,1.871932228,,,,,,,,,,2.88,percent of total billed charges,999999999,,,,,,,,,,3.2,percent of total billed charges,2.681433658,,,,3.16,percent of total billed charges,3.04953599,,,,3.16,percent of total billed charges,2.694365992,,,,3.2,percent of total billed charges,999999999,,,,3.2,percent of total billed charges,999999999,,,,2.8,percent of total billed charges,999999999,,,,2.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2.128,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2.02,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1,percent of total billed charges,0.949755391,,,,,,,,,,1,percent of total billed charges,0.933956856,,,,,,,,,,1,percent of total billed charges,0.93136143,,,,,,,,,,1,percent of total billed charges,0.917647145,,,,,,,,,,1,percent of total billed charges,0.941259555,,,,,,,,,,1,percent of total billed charges,999999999,,,,,,,,,,1,percent of total billed charges,0.807666981,,,,,,,,,,1,percent of total billed charges,1.273746526,,,,,,,,,,1,percent of total billed charges,999999999,,,,,,,,,,1,percent of total billed charges,0.870862535,,,,,,,,,,3.6,percent of total billed charges,,,,,
BETHANECHOL (URECHOLINE) 10MG TAB,259,RC,6547-3070-01,NDC,,both,1,EA,2.08,2.08,0.442798605,2.08,2.08,percent of total billed charges,1.530329894,,,,2.08,percent of total billed charges,1.622119429,,,,2.08,percent of total billed charges,1.530329894,,,,2.08,percent of total billed charges,1.622119429,,,,2.08,percent of total billed charges,999999999,,,,2.08,percent of total billed charges,1.584817042,,,,2.08,percent of total billed charges,1.530329894,,,,2.08,percent of total billed charges,1.622119429,,,,1.48304,percent of total billed charges,0.7400641,,,,1.48304,percent of total billed charges,0.442798605,,,,1.48304,percent of total billed charges,0.7400641,,,,1.48304,percent of total billed charges,0.442798605,,,,1.48304,percent of total billed charges,0.7400641,,,,1.48304,percent of total billed charges,0.442798605,,,,1.46848,percent of total billed charges,1.457338243,,,,1.46848,percent of total billed charges,1.005114635,,,,,,,,,,1.4976,percent of total billed charges,0.973404758,,,,,,,,,,1.4976,percent of total billed charges,999999999,,,,,,,,,,1.664,percent of total billed charges,1.394345502,,,,1.6432,percent of total billed charges,1.585758715,,,,1.6432,percent of total billed charges,1.401070316,,,,1.664,percent of total billed charges,999999999,,,,1.664,percent of total billed charges,999999999,,,,1.456,percent of total billed charges,999999999,,,,1.456,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.10656,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.0504,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.52,percent of total billed charges,0.493872803,,,,,,,,,,0.52,percent of total billed charges,0.485657565,,,,,,,,,,0.52,percent of total billed charges,0.484307944,,,,,,,,,,0.52,percent of total billed charges,0.477176515,,,,,,,,,,0.52,percent of total billed charges,0.489454968,,,,,,,,,,0.52,percent of total billed charges,999999999,,,,,,,,,,0.52,percent of total billed charges,0.41998683,,,,,,,,,,0.52,percent of total billed charges,0.662348194,,,,,,,,,,0.52,percent of total billed charges,999999999,,,,,,,,,,0.52,percent of total billed charges,0.452848518,,,,,,,,,,1.872,percent of total billed charges,,,,,
**CODEINE 30MG: INJECT,J0745,CDM,6547-3070-01,NDC,,both,1,EA,41,41,8.72824173,41,41,percent of total billed charges,30.16515655,,,,41,percent of total billed charges,31.97446951,,,,41,percent of total billed charges,30.16515655,,,,41,percent of total billed charges,31.97446951,,,,41,percent of total billed charges,999999999,,,,41,percent of total billed charges,31.23918209,,,,41,percent of total billed charges,30.16515655,,,,41,percent of total billed charges,31.97446951,,,,29.233,percent of total billed charges,14.58780197,,,,29.233,percent of total billed charges,8.72824173,,,,29.233,percent of total billed charges,14.58780197,,,,29.233,percent of total billed charges,8.72824173,,,,29.233,percent of total billed charges,14.58780197,,,,29.233,percent of total billed charges,8.72824173,,,,28.946,percent of total billed charges,28.72637883,,,,28.946,percent of total billed charges,19.81235579,,,,,,,,,,29.52,percent of total billed charges,19.18730533,,,,,,,,,,29.52,percent of total billed charges,999999999,,,,,,,,,,32.8,percent of total billed charges,27.484695,,,,32.39,percent of total billed charges,31.2577439,,,,32.39,percent of total billed charges,27.61725142,,,,32.8,percent of total billed charges,999999999,,,,32.8,percent of total billed charges,999999999,,,,28.7,percent of total billed charges,999999999,,,,28.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,21.812,percent of total billed charges,999999999,,,,,,,,,,,,,,,,20.705,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10.25,percent of total billed charges,9.734992758,,,,,,,,,,10.25,percent of total billed charges,9.573057778,,,,,,,,,,10.25,percent of total billed charges,9.54645466,,,,,,,,,,10.25,percent of total billed charges,9.405883231,,,,,,,,,,10.25,percent of total billed charges,9.647910435,,,,,,,,,,10.25,percent of total billed charges,999999999,,,,,,,,,,10.25,percent of total billed charges,8.278586559,,,,,,,,,,10.25,percent of total billed charges,13.05590189,,,,,,,,,,10.25,percent of total billed charges,999999999,,,,,,,,,,10.25,percent of total billed charges,8.926340984,,,,,,,,,,36.9,percent of total billed charges,,,,,
CARBIDOPA/LEVO (SINEMET) 10/100: TAB,250,RC,6275-6051-88,NDC,,both,1,EA,0.5,0.5,0.106441972,0.5,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,999999999,,,,0.5,percent of total billed charges,0.380965635,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.353,percent of total billed charges,0.350321693,,,,0.353,percent of total billed charges,0.241614095,,,,,,,,,,0.36,percent of total billed charges,0.233991528,,,,,,,,,,0.36,percent of total billed charges,999999999,,,,,,,,,,0.4,percent of total billed charges,0.335179207,,,,0.395,percent of total billed charges,0.381191999,,,,0.395,percent of total billed charges,0.336795749,,,,0.4,percent of total billed charges,999999999,,,,0.4,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.266,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.2525,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.125,percent of total billed charges,0.118719424,,,,,,,,,,0.125,percent of total billed charges,0.116744607,,,,,,,,,,0.125,percent of total billed charges,0.116420179,,,,,,,,,,0.125,percent of total billed charges,0.114705893,,,,,,,,,,0.125,percent of total billed charges,0.117657444,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.100958373,,,,,,,,,,0.125,percent of total billed charges,0.159218316,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.108857817,,,,,,,,,,0.45,percent of total billed charges,,,,,
CARBIDOPA/LEVODOPA (SINEMET) 25/250 TAB,250,RC,6275-6098-01,NDC,,both,1,EA,1.17,1.17,0.249074215,1.17,1.17,percent of total billed charges,0.860810565,,,,1.17,percent of total billed charges,0.912442179,,,,1.17,percent of total billed charges,0.860810565,,,,1.17,percent of total billed charges,0.912442179,,,,1.17,percent of total billed charges,999999999,,,,1.17,percent of total billed charges,0.891459586,,,,1.17,percent of total billed charges,0.860810565,,,,1.17,percent of total billed charges,0.912442179,,,,0.83421,percent of total billed charges,0.416286056,,,,0.83421,percent of total billed charges,0.249074215,,,,0.83421,percent of total billed charges,0.416286056,,,,0.83421,percent of total billed charges,0.249074215,,,,0.83421,percent of total billed charges,0.416286056,,,,0.83421,percent of total billed charges,0.249074215,,,,0.82602,percent of total billed charges,0.819752762,,,,0.82602,percent of total billed charges,0.565376982,,,,,,,,,,0.8424,percent of total billed charges,0.547540177,,,,,,,,,,0.8424,percent of total billed charges,999999999,,,,,,,,,,0.936,percent of total billed charges,0.784319345,,,,0.9243,percent of total billed charges,0.891989277,,,,0.9243,percent of total billed charges,0.788102053,,,,0.936,percent of total billed charges,999999999,,,,0.936,percent of total billed charges,999999999,,,,0.819,percent of total billed charges,999999999,,,,0.819,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.62244,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.59085,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.2925,percent of total billed charges,0.277803452,,,,,,,,,,0.2925,percent of total billed charges,0.27318238,,,,,,,,,,0.2925,percent of total billed charges,0.272423218,,,,,,,,,,0.2925,percent of total billed charges,0.26841179,,,,,,,,,,0.2925,percent of total billed charges,0.27531842,,,,,,,,,,0.2925,percent of total billed charges,999999999,,,,,,,,,,0.2925,percent of total billed charges,0.236242592,,,,,,,,,,0.2925,percent of total billed charges,0.372570859,,,,,,,,,,0.2925,percent of total billed charges,999999999,,,,,,,,,,0.2925,percent of total billed charges,0.254727292,,,,,,,,,,1.053,percent of total billed charges,,,,,
**NICARDIPINE (CARDENE) 20MG CAP,259,RC,0037-8102-77,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
**BROMOCRIPTINE (PARLODEL) 2.5MG TAB,259,RC,0037-8204-93,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
medroxyPROGESTERone (PROVERA) 2.5MG,250,RC,0055-5087-02,NDC,,both,1,EA,0.5,0.5,0.106441972,0.5,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,999999999,,,,0.5,percent of total billed charges,0.380965635,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.353,percent of total billed charges,0.350321693,,,,0.353,percent of total billed charges,0.241614095,,,,,,,,,,0.36,percent of total billed charges,0.233991528,,,,,,,,,,0.36,percent of total billed charges,999999999,,,,,,,,,,0.4,percent of total billed charges,0.335179207,,,,0.395,percent of total billed charges,0.381191999,,,,0.395,percent of total billed charges,0.336795749,,,,0.4,percent of total billed charges,999999999,,,,0.4,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.266,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.2525,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.125,percent of total billed charges,0.118719424,,,,,,,,,,0.125,percent of total billed charges,0.116744607,,,,,,,,,,0.125,percent of total billed charges,0.116420179,,,,,,,,,,0.125,percent of total billed charges,0.114705893,,,,,,,,,,0.125,percent of total billed charges,0.117657444,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.100958373,,,,,,,,,,0.125,percent of total billed charges,0.159218316,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.108857817,,,,,,,,,,0.45,percent of total billed charges,,,,,
AZELASTINE (ASTELIN) NASAL SPRAY,637,RC,5152-5029-03,NDC,,both,1,EA,71.6,71.6,15.24249044,71.6,71.6,percent of total billed charges,52.67866364,,,,71.6,percent of total billed charges,55.83834188,,,,71.6,percent of total billed charges,52.67866364,,,,71.6,percent of total billed charges,55.83834188,,,,71.6,percent of total billed charges,999999999,,,,71.6,percent of total billed charges,54.55427896,,,,71.6,percent of total billed charges,52.67866364,,,,71.6,percent of total billed charges,55.83834188,,,,51.0508,percent of total billed charges,25.47528343,,,,51.0508,percent of total billed charges,15.24249044,,,,51.0508,percent of total billed charges,25.47528343,,,,51.0508,percent of total billed charges,15.24249044,,,,51.0508,percent of total billed charges,25.47528343,,,,51.0508,percent of total billed charges,15.24249044,,,,50.5496,percent of total billed charges,50.16606644,,,,50.5496,percent of total billed charges,34.59913841,,,,,,,,,,51.552,percent of total billed charges,33.50758687,,,,,,,,,,51.552,percent of total billed charges,999999999,,,,,,,,,,57.28,percent of total billed charges,47.99766248,,,,56.564,percent of total billed charges,54.58669423,,,,56.564,percent of total billed charges,48.22915125,,,,57.28,percent of total billed charges,999999999,,,,57.28,percent of total billed charges,999999999,,,,50.12,percent of total billed charges,999999999,,,,50.12,percent of total billed charges,999999999,,,,,,,,,,,,,,,,38.0912,percent of total billed charges,999999999,,,,,,,,,,,,,,,,36.158,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17.9,percent of total billed charges,17.0006215,,,,,,,,,,17.9,percent of total billed charges,16.71782773,,,,,,,,,,17.9,percent of total billed charges,16.6713696,,,,,,,,,,17.9,percent of total billed charges,16.42588389,,,,,,,,,,17.9,percent of total billed charges,16.84854603,,,,,,,,,,17.9,percent of total billed charges,999999999,,,,,,,,,,17.9,percent of total billed charges,14.45723897,,,,,,,,,,17.9,percent of total billed charges,22.80006282,,,,,,,,,,17.9,percent of total billed charges,999999999,,,,,,,,,,17.9,percent of total billed charges,15.58843938,,,,,,,,,,64.44,percent of total billed charges,,,,,
MAGNESIUM OXIDE 400MG: TAB,250,RC,6858-5000-41,NDC,,both,1,EA,0.63,0.63,0.134116885,0.63,0.63,percent of total billed charges,0.463513381,,,,0.63,percent of total billed charges,0.491315019,,,,0.63,percent of total billed charges,0.463513381,,,,0.63,percent of total billed charges,0.491315019,,,,0.63,percent of total billed charges,999999999,,,,0.63,percent of total billed charges,0.4800167,,,,0.63,percent of total billed charges,0.463513381,,,,0.63,percent of total billed charges,0.491315019,,,,0.44919,percent of total billed charges,0.22415403,,,,0.44919,percent of total billed charges,0.134116885,,,,0.44919,percent of total billed charges,0.22415403,,,,0.44919,percent of total billed charges,0.134116885,,,,0.44919,percent of total billed charges,0.22415403,,,,0.44919,percent of total billed charges,0.134116885,,,,0.44478,percent of total billed charges,0.441405333,,,,0.44478,percent of total billed charges,0.30443376,,,,,,,,,,0.4536,percent of total billed charges,0.294829326,,,,,,,,,,0.4536,percent of total billed charges,999999999,,,,,,,,,,0.504,percent of total billed charges,0.422325801,,,,0.4977,percent of total billed charges,0.480301918,,,,0.4977,percent of total billed charges,0.424362644,,,,0.504,percent of total billed charges,999999999,,,,0.504,percent of total billed charges,999999999,,,,0.441,percent of total billed charges,999999999,,,,0.441,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.33516,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.31815,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.1575,percent of total billed charges,0.149586474,,,,,,,,,,0.1575,percent of total billed charges,0.147098205,,,,,,,,,,0.1575,percent of total billed charges,0.146689425,,,,,,,,,,0.1575,percent of total billed charges,0.144529425,,,,,,,,,,0.1575,percent of total billed charges,0.14824838,,,,,,,,,,0.1575,percent of total billed charges,999999999,,,,,,,,,,0.1575,percent of total billed charges,0.12720755,,,,,,,,,,0.1575,percent of total billed charges,0.200615078,,,,,,,,,,0.1575,percent of total billed charges,999999999,,,,,,,,,,0.1575,percent of total billed charges,0.137160849,,,,,,,,,,0.567,percent of total billed charges,,,,,
**CEFACLOR (CECLOR) 250MG CAP,259,RC,5456-9390-00,NDC,,both,1,EA,9,9,1.915955502,9,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,9,percent of total billed charges,999999999,,,,9,percent of total billed charges,6.857381434,,,,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.354,percent of total billed charges,6.305790475,,,,6.354,percent of total billed charges,4.34905371,,,,,,,,,,6.48,percent of total billed charges,4.211847512,,,,,,,,,,6.48,percent of total billed charges,999999999,,,,,,,,,,7.2,percent of total billed charges,6.033225731,,,,7.11,percent of total billed charges,6.861455978,,,,7.11,percent of total billed charges,6.062323481,,,,7.2,percent of total billed charges,999999999,,,,7.2,percent of total billed charges,999999999,,,,6.3,percent of total billed charges,999999999,,,,6.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.788,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.545,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.25,percent of total billed charges,2.13694963,,,,,,,,,,2.25,percent of total billed charges,2.101402927,,,,,,,,,,2.25,percent of total billed charges,2.095563218,,,,,,,,,,2.25,percent of total billed charges,2.064706075,,,,,,,,,,2.25,percent of total billed charges,2.117833998,,,,,,,,,,2.25,percent of total billed charges,999999999,,,,,,,,,,2.25,percent of total billed charges,1.817250708,,,,,,,,,,2.25,percent of total billed charges,2.865929684,,,,,,,,,,2.25,percent of total billed charges,999999999,,,,,,,,,,2.25,percent of total billed charges,1.959440704,,,,,,,,,,8.1,percent of total billed charges,,,,,
**CEFACLOR (CECLOR) SUSP 250MG/5ML: 75 M,259,RC,6330-4095-01,NDC,,both,1,EA,9,9,1.915955502,9,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,9,percent of total billed charges,999999999,,,,9,percent of total billed charges,6.857381434,,,,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.354,percent of total billed charges,6.305790475,,,,6.354,percent of total billed charges,4.34905371,,,,,,,,,,6.48,percent of total billed charges,4.211847512,,,,,,,,,,6.48,percent of total billed charges,999999999,,,,,,,,,,7.2,percent of total billed charges,6.033225731,,,,7.11,percent of total billed charges,6.861455978,,,,7.11,percent of total billed charges,6.062323481,,,,7.2,percent of total billed charges,999999999,,,,7.2,percent of total billed charges,999999999,,,,6.3,percent of total billed charges,999999999,,,,6.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.788,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.545,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.25,percent of total billed charges,2.13694963,,,,,,,,,,2.25,percent of total billed charges,2.101402927,,,,,,,,,,2.25,percent of total billed charges,2.095563218,,,,,,,,,,2.25,percent of total billed charges,2.064706075,,,,,,,,,,2.25,percent of total billed charges,2.117833998,,,,,,,,,,2.25,percent of total billed charges,999999999,,,,,,,,,,2.25,percent of total billed charges,1.817250708,,,,,,,,,,2.25,percent of total billed charges,2.865929684,,,,,,,,,,2.25,percent of total billed charges,999999999,,,,,,,,,,2.25,percent of total billed charges,1.959440704,,,,,,,,,,8.1,percent of total billed charges,,,,,
**CEFADROXIL (DURICEF) 500MG: CAP,259,RC,6330-4058-50,NDC,,both,1,EA,9,9,1.915955502,9,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,9,percent of total billed charges,999999999,,,,9,percent of total billed charges,6.857381434,,,,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.354,percent of total billed charges,6.305790475,,,,6.354,percent of total billed charges,4.34905371,,,,,,,,,,6.48,percent of total billed charges,4.211847512,,,,,,,,,,6.48,percent of total billed charges,999999999,,,,,,,,,,7.2,percent of total billed charges,6.033225731,,,,7.11,percent of total billed charges,6.861455978,,,,7.11,percent of total billed charges,6.062323481,,,,7.2,percent of total billed charges,999999999,,,,7.2,percent of total billed charges,999999999,,,,6.3,percent of total billed charges,999999999,,,,6.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.788,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.545,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.25,percent of total billed charges,2.13694963,,,,,,,,,,2.25,percent of total billed charges,2.101402927,,,,,,,,,,2.25,percent of total billed charges,2.095563218,,,,,,,,,,2.25,percent of total billed charges,2.064706075,,,,,,,,,,2.25,percent of total billed charges,2.117833998,,,,,,,,,,2.25,percent of total billed charges,999999999,,,,,,,,,,2.25,percent of total billed charges,1.817250708,,,,,,,,,,2.25,percent of total billed charges,2.865929684,,,,,,,,,,2.25,percent of total billed charges,999999999,,,,,,,,,,2.25,percent of total billed charges,1.959440704,,,,,,,,,,8.1,percent of total billed charges,,,,,
**CEFIXIME (SUPRAX) 20MG/ML ORAL SUSP 50,250,RC,0000-5389-40,NDC,,both,1,EA,102,102,21.71416235,102,102,percent of total billed charges,75.04502362,,,,102,percent of total billed charges,79.54624122,,,,102,percent of total billed charges,75.04502362,,,,102,percent of total billed charges,79.54624122,,,,102,percent of total billed charges,999999999,,,,102,percent of total billed charges,77.71698958,,,,102,percent of total billed charges,75.04502362,,,,102,percent of total billed charges,79.54624122,,,,72.726,percent of total billed charges,36.29160489,,,,72.726,percent of total billed charges,21.71416235,,,,72.726,percent of total billed charges,36.29160489,,,,72.726,percent of total billed charges,21.71416235,,,,72.726,percent of total billed charges,36.29160489,,,,72.726,percent of total billed charges,21.71416235,,,,72.012,percent of total billed charges,71.46562538,,,,72.012,percent of total billed charges,49.28927538,,,,,,,,,,73.44,percent of total billed charges,47.7342718,,,,,,,,,,73.44,percent of total billed charges,999999999,,,,,,,,,,81.6,percent of total billed charges,68.37655829,,,,80.58,percent of total billed charges,77.76316775,,,,80.58,percent of total billed charges,68.70633279,,,,81.6,percent of total billed charges,999999999,,,,81.6,percent of total billed charges,999999999,,,,71.4,percent of total billed charges,999999999,,,,71.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,54.264,percent of total billed charges,999999999,,,,,,,,,,,,,,,,51.51,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,25.5,percent of total billed charges,24.21876247,,,,,,,,,,25.5,percent of total billed charges,23.81589984,,,,,,,,,,25.5,percent of total billed charges,23.74971647,,,,,,,,,,25.5,percent of total billed charges,23.40000219,,,,,,,,,,25.5,percent of total billed charges,24.00211864,,,,,,,,,,25.5,percent of total billed charges,999999999,,,,,,,,,,25.5,percent of total billed charges,20.59550803,,,,,,,,,,25.5,percent of total billed charges,32.48053641,,,,,,,,,,25.5,percent of total billed charges,999999999,,,,,,,,,,25.5,percent of total billed charges,22.20699464,,,,,,,,,,91.8,percent of total billed charges,,,,,
**PROPOXYPHENE/APAP (DARVOCET)100 MG/65,259,RC,6373-9021-10,NDC,,both,1,EA,7,7,1.490187612,7,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,7,percent of total billed charges,999999999,,,,7,percent of total billed charges,5.333518893,,,,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.942,percent of total billed charges,4.904503703,,,,4.942,percent of total billed charges,3.38259733,,,,,,,,,,5.04,percent of total billed charges,3.275881398,,,,,,,,,,5.04,percent of total billed charges,999999999,,,,,,,,,,5.6,percent of total billed charges,4.692508902,,,,5.53,percent of total billed charges,5.336687983,,,,5.53,percent of total billed charges,4.715140486,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,4.9,percent of total billed charges,999999999,,,,4.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.724,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.535,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.75,percent of total billed charges,1.662071934,,,,,,,,,,1.75,percent of total billed charges,1.634424499,,,,,,,,,,1.75,percent of total billed charges,1.629882503,,,,,,,,,,1.75,percent of total billed charges,1.605882503,,,,,,,,,,1.75,percent of total billed charges,1.647204221,,,,,,,,,,1.75,percent of total billed charges,999999999,,,,,,,,,,1.75,percent of total billed charges,1.413417217,,,,,,,,,,1.75,percent of total billed charges,2.229056421,,,,,,,,,,1.75,percent of total billed charges,999999999,,,,,,,,,,1.75,percent of total billed charges,1.524009436,,,,,,,,,,6.3,percent of total billed charges,,,,,
CEPHALEXIN (KEFLEX) 250MG CAP,637,RC,4204-3014-01,NDC,,both,1,EA,1.09,1.09,0.2320435,1.09,1.09,percent of total billed charges,0.801951723,,,,1.09,percent of total billed charges,0.85005297,,,,1.09,percent of total billed charges,0.801951723,,,,1.09,percent of total billed charges,0.85005297,,,,1.09,percent of total billed charges,999999999,,,,1.09,percent of total billed charges,0.830505085,,,,1.09,percent of total billed charges,0.801951723,,,,1.09,percent of total billed charges,0.85005297,,,,0.77717,percent of total billed charges,0.387822052,,,,0.77717,percent of total billed charges,0.2320435,,,,0.77717,percent of total billed charges,0.387822052,,,,0.77717,percent of total billed charges,0.2320435,,,,0.77717,percent of total billed charges,0.387822052,,,,0.77717,percent of total billed charges,0.2320435,,,,0.76954,percent of total billed charges,0.763701291,,,,0.76954,percent of total billed charges,0.526718727,,,,,,,,,,0.7848,percent of total billed charges,0.510101532,,,,,,,,,,0.7848,percent of total billed charges,999999999,,,,,,,,,,0.872,percent of total billed charges,0.730690672,,,,0.8611,percent of total billed charges,0.830998557,,,,0.8611,percent of total billed charges,0.734214733,,,,0.872,percent of total billed charges,999999999,,,,0.872,percent of total billed charges,999999999,,,,0.763,percent of total billed charges,999999999,,,,0.763,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.57988,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.55045,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.2725,percent of total billed charges,0.258808344,,,,,,,,,,0.2725,percent of total billed charges,0.254503243,,,,,,,,,,0.2725,percent of total billed charges,0.25379599,,,,,,,,,,0.2725,percent of total billed charges,0.250058847,,,,,,,,,,0.2725,percent of total billed charges,0.256493229,,,,,,,,,,0.2725,percent of total billed charges,999999999,,,,,,,,,,0.2725,percent of total billed charges,0.220089252,,,,,,,,,,0.2725,percent of total billed charges,0.347095928,,,,,,,,,,0.2725,percent of total billed charges,999999999,,,,,,,,,,0.2725,percent of total billed charges,0.237310041,,,,,,,,,,0.981,percent of total billed charges,,,,,
CEPHALEXIN (KEFLEX) 500MG CAP,637,RC,6068-7016-01,NDC,,both,1,EA,1.13,1.13,0.240558857,1.13,1.13,percent of total billed charges,0.831381144,,,,1.13,percent of total billed charges,0.881247574,,,,1.13,percent of total billed charges,0.831381144,,,,1.13,percent of total billed charges,0.881247574,,,,1.13,percent of total billed charges,999999999,,,,1.13,percent of total billed charges,0.860982336,,,,1.13,percent of total billed charges,0.831381144,,,,1.13,percent of total billed charges,0.881247574,,,,0.80569,percent of total billed charges,0.402054054,,,,0.80569,percent of total billed charges,0.240558857,,,,0.80569,percent of total billed charges,0.402054054,,,,0.80569,percent of total billed charges,0.240558857,,,,0.80569,percent of total billed charges,0.402054054,,,,0.80569,percent of total billed charges,0.240558857,,,,0.79778,percent of total billed charges,0.791727026,,,,0.79778,percent of total billed charges,0.546047855,,,,,,,,,,0.8136,percent of total billed charges,0.528820854,,,,,,,,,,0.8136,percent of total billed charges,999999999,,,,,,,,,,0.904,percent of total billed charges,0.757505008,,,,0.8927,percent of total billed charges,0.861493917,,,,0.8927,percent of total billed charges,0.761158393,,,,0.904,percent of total billed charges,999999999,,,,0.904,percent of total billed charges,999999999,,,,0.791,percent of total billed charges,999999999,,,,0.791,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.60116,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.57065,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.2825,percent of total billed charges,0.268305898,,,,,,,,,,0.2825,percent of total billed charges,0.263842812,,,,,,,,,,0.2825,percent of total billed charges,0.263109604,,,,,,,,,,0.2825,percent of total billed charges,0.259235318,,,,,,,,,,0.2825,percent of total billed charges,0.265905824,,,,,,,,,,0.2825,percent of total billed charges,999999999,,,,,,,,,,0.2825,percent of total billed charges,0.228165922,,,,,,,,,,0.2825,percent of total billed charges,0.359833394,,,,,,,,,,0.2825,percent of total billed charges,999999999,,,,,,,,,,0.2825,percent of total billed charges,0.246018666,,,,,,,,,,1.017,percent of total billed charges,,,,,
CALCITRIOL (ROCALTROL) 0.25MCG CAP,250,RC,0009-3065-01,NDC,,both,1,EA,2.89,2.89,0.6152346,2.89,2.89,percent of total billed charges,2.126275669,,,,2.89,percent of total billed charges,2.253810168,,,,2.89,percent of total billed charges,2.126275669,,,,2.89,percent of total billed charges,2.253810168,,,,2.89,percent of total billed charges,999999999,,,,2.89,percent of total billed charges,2.201981372,,,,2.89,percent of total billed charges,2.126275669,,,,2.89,percent of total billed charges,2.253810168,,,,2.06057,percent of total billed charges,1.028262139,,,,2.06057,percent of total billed charges,0.6152346,,,,2.06057,percent of total billed charges,1.028262139,,,,2.06057,percent of total billed charges,0.6152346,,,,2.06057,percent of total billed charges,1.028262139,,,,2.06057,percent of total billed charges,0.6152346,,,,2.04034,percent of total billed charges,2.024859386,,,,2.04034,percent of total billed charges,1.396529469,,,,,,,,,,2.0808,percent of total billed charges,1.352471034,,,,,,,,,,2.0808,percent of total billed charges,999999999,,,,,,,,,,2.312,percent of total billed charges,1.937335818,,,,2.2831,percent of total billed charges,2.203289753,,,,2.2831,percent of total billed charges,1.946679429,,,,2.312,percent of total billed charges,999999999,,,,2.312,percent of total billed charges,999999999,,,,2.023,percent of total billed charges,999999999,,,,2.023,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.53748,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.45945,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.7225,percent of total billed charges,0.68619827,,,,,,,,,,0.7225,percent of total billed charges,0.674783829,,,,,,,,,,0.7225,percent of total billed charges,0.672908633,,,,,,,,,,0.7225,percent of total billed charges,0.663000062,,,,,,,,,,0.7225,percent of total billed charges,0.680060028,,,,,,,,,,0.7225,percent of total billed charges,999999999,,,,,,,,,,0.7225,percent of total billed charges,0.583539394,,,,,,,,,,0.7225,percent of total billed charges,0.920281865,,,,,,,,,,0.7225,percent of total billed charges,999999999,,,,,,,,,,0.7225,percent of total billed charges,0.629198182,,,,,,,,,,2.601,percent of total billed charges,,,,,
**CALCIUM CARBONATE (OS-CAL) 250MG TAB,259,RC,0018-2041-01,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
LIP BALM  (CHAPSTICK):,259,RC,0057-3190-24,NDC,,both,1,EA,7.9,7.9,1.681783163,7.9,7.9,percent of total billed charges,5.812310653,,,,7.9,percent of total billed charges,6.160934369,,,,7.9,percent of total billed charges,5.812310653,,,,7.9,percent of total billed charges,6.160934369,,,,7.9,percent of total billed charges,999999999,,,,7.9,percent of total billed charges,6.019257036,,,,7.9,percent of total billed charges,5.812310653,,,,7.9,percent of total billed charges,6.160934369,,,,5.6327,percent of total billed charges,2.810820379,,,,5.6327,percent of total billed charges,1.681783163,,,,5.6327,percent of total billed charges,2.810820379,,,,5.6327,percent of total billed charges,1.681783163,,,,5.6327,percent of total billed charges,2.810820379,,,,5.6327,percent of total billed charges,1.681783163,,,,5.5774,percent of total billed charges,5.53508275,,,,5.5774,percent of total billed charges,3.817502701,,,,,,,,,,5.688,percent of total billed charges,3.697066149,,,,,,,,,,5.688,percent of total billed charges,999999999,,,,,,,,,,6.32,percent of total billed charges,5.295831475,,,,6.241,percent of total billed charges,6.022833581,,,,6.241,percent of total billed charges,5.321372834,,,,6.32,percent of total billed charges,999999999,,,,6.32,percent of total billed charges,999999999,,,,5.53,percent of total billed charges,999999999,,,,5.53,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.2028,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.9895,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.975,percent of total billed charges,1.875766897,,,,,,,,,,1.975,percent of total billed charges,1.844564791,,,,,,,,,,1.975,percent of total billed charges,1.839438825,,,,,,,,,,1.975,percent of total billed charges,1.81235311,,,,,,,,,,1.975,percent of total billed charges,1.85898762,,,,,,,,,,1.975,percent of total billed charges,999999999,,,,,,,,,,1.975,percent of total billed charges,1.595142288,,,,,,,,,,1.975,percent of total billed charges,2.515649389,,,,,,,,,,1.975,percent of total billed charges,999999999,,,,,,,,,,1.975,percent of total billed charges,1.719953507,,,,,,,,,,7.11,percent of total billed charges,,,,,
CALCIUM CARBONATE (TUMS) 500MG TAB,637,RC,0076-6074-51,NDC,,both,1,EA,0.5,0.5,0.106441972,0.5,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,999999999,,,,0.5,percent of total billed charges,0.380965635,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.353,percent of total billed charges,0.350321693,,,,0.353,percent of total billed charges,0.241614095,,,,,,,,,,0.36,percent of total billed charges,0.233991528,,,,,,,,,,0.36,percent of total billed charges,999999999,,,,,,,,,,0.4,percent of total billed charges,0.335179207,,,,0.395,percent of total billed charges,0.381191999,,,,0.395,percent of total billed charges,0.336795749,,,,0.4,percent of total billed charges,999999999,,,,0.4,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.266,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.2525,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.125,percent of total billed charges,0.118719424,,,,,,,,,,0.125,percent of total billed charges,0.116744607,,,,,,,,,,0.125,percent of total billed charges,0.116420179,,,,,,,,,,0.125,percent of total billed charges,0.114705893,,,,,,,,,,0.125,percent of total billed charges,0.117657444,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.100958373,,,,,,,,,,0.125,percent of total billed charges,0.159218316,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.108857817,,,,,,,,,,0.45,percent of total billed charges,,,,,
**CALCIUM GLUCONATE 500MG TAB,259,RC,0005-4026-25,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
ESTRADIOL TRANSDERM (CLIMARA) 0.05MG: EA,250,RC,5041-9045-04,NDC,,both,1,EA,47.04,47.04,10.01406076,47.04,47.04,percent of total billed charges,34.60899913,,,,47.04,percent of total billed charges,36.68485477,,,,47.04,percent of total billed charges,34.60899913,,,,47.04,percent of total billed charges,36.68485477,,,,47.04,percent of total billed charges,999999999,,,,47.04,percent of total billed charges,35.84124696,,,,47.04,percent of total billed charges,34.60899913,,,,47.04,percent of total billed charges,36.68485477,,,,33.53952,percent of total billed charges,16.73683425,,,,33.53952,percent of total billed charges,10.01406076,,,,33.53952,percent of total billed charges,16.73683425,,,,33.53952,percent of total billed charges,10.01406076,,,,33.53952,percent of total billed charges,16.73683425,,,,33.53952,percent of total billed charges,10.01406076,,,,33.21024,percent of total billed charges,32.95826488,,,,33.21024,percent of total billed charges,22.73105406,,,,,,,,,,33.8688,percent of total billed charges,22.013923,,,,,,,,,,33.8688,percent of total billed charges,999999999,,,,,,,,,,37.632,percent of total billed charges,31.53365982,,,,37.1616,percent of total billed charges,35.86254325,,,,37.1616,percent of total billed charges,31.68574406,,,,37.632,percent of total billed charges,999999999,,,,37.632,percent of total billed charges,999999999,,,,32.928,percent of total billed charges,999999999,,,,32.928,percent of total billed charges,999999999,,,,,,,,,,,,,,,,25.02528,percent of total billed charges,999999999,,,,,,,,,,,,,,,,23.7552,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11.76,percent of total billed charges,11.1691234,,,,,,,,,,11.76,percent of total billed charges,10.98333263,,,,,,,,,,11.76,percent of total billed charges,10.95281042,,,,,,,,,,11.76,percent of total billed charges,10.79153042,,,,,,,,,,11.76,percent of total billed charges,11.06921236,,,,,,,,,,11.76,percent of total billed charges,999999999,,,,,,,,,,11.76,percent of total billed charges,9.498163701,,,,,,,,,,11.76,percent of total billed charges,14.97925915,,,,,,,,,,11.76,percent of total billed charges,999999999,,,,,,,,,,11.76,percent of total billed charges,10.24134341,,,,,,,,,,42.336,percent of total billed charges,,,,,
**LORACARBEF(LORABID CAPSULE):200MG,259,RC,6157-0017-01,NDC,,both,1,EA,13,13,2.76749128,13,13,percent of total billed charges,9.564561834,,,,13,percent of total billed charges,10.13824643,,,,13,percent of total billed charges,9.564561834,,,,13,percent of total billed charges,10.13824643,,,,13,percent of total billed charges,999999999,,,,13,percent of total billed charges,9.905106516,,,,13,percent of total billed charges,9.564561834,,,,13,percent of total billed charges,10.13824643,,,,9.269,percent of total billed charges,4.625400623,,,,9.269,percent of total billed charges,2.76749128,,,,9.269,percent of total billed charges,4.625400623,,,,9.269,percent of total billed charges,2.76749128,,,,9.269,percent of total billed charges,4.625400623,,,,9.269,percent of total billed charges,2.76749128,,,,9.178,percent of total billed charges,9.108364019,,,,9.178,percent of total billed charges,6.281966471,,,,,,,,,,9.36,percent of total billed charges,6.083779739,,,,,,,,,,9.36,percent of total billed charges,999999999,,,,,,,,,,10.4,percent of total billed charges,8.71465939,,,,10.27,percent of total billed charges,9.910991969,,,,10.27,percent of total billed charges,8.756689473,,,,10.4,percent of total billed charges,999999999,,,,10.4,percent of total billed charges,999999999,,,,9.1,percent of total billed charges,999999999,,,,9.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.916,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.565,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3.25,percent of total billed charges,3.086705021,,,,,,,,,,3.25,percent of total billed charges,3.035359783,,,,,,,,,,3.25,percent of total billed charges,3.026924648,,,,,,,,,,3.25,percent of total billed charges,2.98235322,,,,,,,,,,3.25,percent of total billed charges,3.059093552,,,,,,,,,,3.25,percent of total billed charges,999999999,,,,,,,,,,3.25,percent of total billed charges,2.624917689,,,,,,,,,,3.25,percent of total billed charges,4.13967621,,,,,,,,,,3.25,percent of total billed charges,999999999,,,,,,,,,,3.25,percent of total billed charges,2.830303239,,,,,,,,,,11.7,percent of total billed charges,,,,,
"**PEN G (BICILLIN CR) 600,000 UNITS",J0559,CDM,6157-0013-10,NDC,,both,1,EA,49,49,10.43131329,49,49,percent of total billed charges,36.05104076,,,,49,percent of total billed charges,38.21339039,,,,49,percent of total billed charges,36.05104076,,,,49,percent of total billed charges,38.21339039,,,,49,percent of total billed charges,999999999,,,,49,percent of total billed charges,37.33463225,,,,49,percent of total billed charges,36.05104076,,,,49,percent of total billed charges,38.21339039,,,,34.937,percent of total billed charges,17.43420235,,,,34.937,percent of total billed charges,10.43131329,,,,34.937,percent of total billed charges,17.43420235,,,,34.937,percent of total billed charges,10.43131329,,,,34.937,percent of total billed charges,17.43420235,,,,34.937,percent of total billed charges,10.43131329,,,,34.594,percent of total billed charges,34.33152592,,,,34.594,percent of total billed charges,23.67818131,,,,,,,,,,35.28,percent of total billed charges,22.93116979,,,,,,,,,,35.28,percent of total billed charges,999999999,,,,,,,,,,39.2,percent of total billed charges,32.84756232,,,,38.71,percent of total billed charges,37.35681588,,,,38.71,percent of total billed charges,33.0059834,,,,39.2,percent of total billed charges,999999999,,,,39.2,percent of total billed charges,999999999,,,,34.3,percent of total billed charges,999999999,,,,34.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,26.068,percent of total billed charges,999999999,,,,,,,,,,,,,,,,24.745,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12.25,percent of total billed charges,11.63450354,,,,,,,,,,12.25,percent of total billed charges,11.44097149,,,,,,,,,,12.25,percent of total billed charges,11.40917752,,,,,,,,,,12.25,percent of total billed charges,11.24117752,,,,,,,,,,12.25,percent of total billed charges,11.53042954,,,,,,,,,,12.25,percent of total billed charges,999999999,,,,,,,,,,12.25,percent of total billed charges,9.893920522,,,,,,,,,,12.25,percent of total billed charges,15.60339494,,,,,,,,,,12.25,percent of total billed charges,999999999,,,,,,,,,,12.25,percent of total billed charges,10.66806605,,,,,,,,,,44.1,percent of total billed charges,,,,,
**VALPROIC ACID SYR (DEPAKENE) 250MG/5ML,259,RC,5038-3079-16,NDC,,both,1,EA,23,23,4.896330726,23,23,percent of total billed charges,16.92191709,,,,23,percent of total billed charges,17.93689753,,,,23,percent of total billed charges,16.92191709,,,,23,percent of total billed charges,17.93689753,,,,23,percent of total billed charges,999999999,,,,23,percent of total billed charges,17.52441922,,,,23,percent of total billed charges,16.92191709,,,,23,percent of total billed charges,17.93689753,,,,16.399,percent of total billed charges,8.183401102,,,,16.399,percent of total billed charges,4.896330726,,,,16.399,percent of total billed charges,8.183401102,,,,16.399,percent of total billed charges,4.896330726,,,,16.399,percent of total billed charges,8.183401102,,,,16.399,percent of total billed charges,4.896330726,,,,16.238,percent of total billed charges,16.11479788,,,,16.238,percent of total billed charges,11.11424837,,,,,,,,,,16.56,percent of total billed charges,10.76361031,,,,,,,,,,16.56,percent of total billed charges,999999999,,,,,,,,,,18.4,percent of total billed charges,15.41824354,,,,18.17,percent of total billed charges,17.53483194,,,,18.17,percent of total billed charges,15.49260445,,,,18.4,percent of total billed charges,999999999,,,,18.4,percent of total billed charges,999999999,,,,16.1,percent of total billed charges,999999999,,,,16.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,12.236,percent of total billed charges,999999999,,,,,,,,,,,,,,,,11.615,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5.75,percent of total billed charges,5.461093499,,,,,,,,,,5.75,percent of total billed charges,5.370251924,,,,,,,,,,5.75,percent of total billed charges,5.355328224,,,,,,,,,,5.75,percent of total billed charges,5.276471081,,,,,,,,,,5.75,percent of total billed charges,5.412242439,,,,,,,,,,5.75,percent of total billed charges,999999999,,,,,,,,,,5.75,percent of total billed charges,4.644085143,,,,,,,,,,5.75,percent of total billed charges,7.324042525,,,,,,,,,,5.75,percent of total billed charges,999999999,,,,,,,,,,5.75,percent of total billed charges,5.007459577,,,,,,,,,,20.7,percent of total billed charges,,,,,
**CARBACHOL  3%(ISOPTO-CARBACHOL O.S):15,259,RC,0099-8022-15,NDC,,both,1,EA,104,104,22.13993024,104,104,percent of total billed charges,76.51649468,,,,104,percent of total billed charges,81.10597144,,,,104,percent of total billed charges,76.51649468,,,,104,percent of total billed charges,81.10597144,,,,104,percent of total billed charges,999999999,,,,104,percent of total billed charges,79.24085212,,,,104,percent of total billed charges,76.51649468,,,,104,percent of total billed charges,81.10597144,,,,74.152,percent of total billed charges,37.00320498,,,,74.152,percent of total billed charges,22.13993024,,,,74.152,percent of total billed charges,37.00320498,,,,74.152,percent of total billed charges,22.13993024,,,,74.152,percent of total billed charges,37.00320498,,,,74.152,percent of total billed charges,22.13993024,,,,73.424,percent of total billed charges,72.86691215,,,,73.424,percent of total billed charges,50.25573176,,,,,,,,,,74.88,percent of total billed charges,48.67023792,,,,,,,,,,74.88,percent of total billed charges,999999999,,,,,,,,,,83.2,percent of total billed charges,69.71727512,,,,82.16,percent of total billed charges,79.28793575,,,,82.16,percent of total billed charges,70.05351579,,,,83.2,percent of total billed charges,999999999,,,,83.2,percent of total billed charges,999999999,,,,72.8,percent of total billed charges,999999999,,,,72.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,55.328,percent of total billed charges,999999999,,,,,,,,,,,,,,,,52.52,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,26,percent of total billed charges,24.69364017,,,,,,,,,,26,percent of total billed charges,24.28287827,,,,,,,,,,26,percent of total billed charges,24.21539719,,,,,,,,,,26,percent of total billed charges,23.85882576,,,,,,,,,,26,percent of total billed charges,24.47274842,,,,,,,,,,26,percent of total billed charges,999999999,,,,,,,,,,26,percent of total billed charges,20.99934152,,,,,,,,,,26,percent of total billed charges,33.11740968,,,,,,,,,,26,percent of total billed charges,999999999,,,,,,,,,,26,percent of total billed charges,22.64242591,,,,,,,,,,93.6,percent of total billed charges,,,,,
chlordiazePOXIDE (LIBRIUM) 10MG CAP,259,RC,5107-9037-20,NDC,,both,1,EA,2.41,2.41,0.513050307,2.41,2.41,percent of total billed charges,1.773122617,,,,2.41,percent of total billed charges,1.879474915,,,,2.41,percent of total billed charges,1.773122617,,,,2.41,percent of total billed charges,1.879474915,,,,2.41,percent of total billed charges,999999999,,,,2.41,percent of total billed charges,1.836254362,,,,2.41,percent of total billed charges,1.773122617,,,,2.41,percent of total billed charges,1.879474915,,,,1.71833,percent of total billed charges,0.857478116,,,,1.71833,percent of total billed charges,0.513050307,,,,1.71833,percent of total billed charges,0.857478116,,,,1.71833,percent of total billed charges,0.513050307,,,,1.71833,percent of total billed charges,0.857478116,,,,1.71833,percent of total billed charges,0.513050307,,,,1.70146,percent of total billed charges,1.68855056,,,,1.70146,percent of total billed charges,1.164579938,,,,,,,,,,1.7352,percent of total billed charges,1.127839167,,,,,,,,,,1.7352,percent of total billed charges,999999999,,,,,,,,,,1.928,percent of total billed charges,1.615563779,,,,1.9039,percent of total billed charges,1.837345434,,,,1.9039,percent of total billed charges,1.62335551,,,,1.928,percent of total billed charges,999999999,,,,1.928,percent of total billed charges,999999999,,,,1.687,percent of total billed charges,999999999,,,,1.687,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.28212,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.21705,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.6025,percent of total billed charges,0.572227623,,,,,,,,,,0.6025,percent of total billed charges,0.562709006,,,,,,,,,,0.6025,percent of total billed charges,0.561145262,,,,,,,,,,0.6025,percent of total billed charges,0.552882405,,,,,,,,,,0.6025,percent of total billed charges,0.567108882,,,,,,,,,,0.6025,percent of total billed charges,999999999,,,,,,,,,,0.6025,percent of total billed charges,0.486619356,,,,,,,,,,0.6025,percent of total billed charges,0.767432282,,,,,,,,,,0.6025,percent of total billed charges,999999999,,,,,,,,,,0.6025,percent of total billed charges,0.524694677,,,,,,,,,,2.169,percent of total billed charges,,,,,
chlordiazePOXIDE (LIBRIUM) 25MG CAP,637,RC,5107-9014-20,NDC,,both,1,EA,1.81,1.81,0.38531994,1.81,1.81,percent of total billed charges,1.331681302,,,,1.81,percent of total billed charges,1.411555849,,,,1.81,percent of total billed charges,1.331681302,,,,1.81,percent of total billed charges,1.411555849,,,,1.81,percent of total billed charges,999999999,,,,1.81,percent of total billed charges,1.379095599,,,,1.81,percent of total billed charges,1.331681302,,,,1.81,percent of total billed charges,1.411555849,,,,1.29053,percent of total billed charges,0.643998087,,,,1.29053,percent of total billed charges,0.38531994,,,,1.29053,percent of total billed charges,0.643998087,,,,1.29053,percent of total billed charges,0.38531994,,,,1.29053,percent of total billed charges,0.643998087,,,,1.29053,percent of total billed charges,0.38531994,,,,1.27786,percent of total billed charges,1.268164529,,,,1.27786,percent of total billed charges,0.874643024,,,,,,,,,,1.3032,percent of total billed charges,0.847049333,,,,,,,,,,1.3032,percent of total billed charges,999999999,,,,,,,,,,1.448,percent of total billed charges,1.21334873,,,,1.4299,percent of total billed charges,1.379915036,,,,1.4299,percent of total billed charges,1.219200611,,,,1.448,percent of total billed charges,999999999,,,,1.448,percent of total billed charges,999999999,,,,1.267,percent of total billed charges,999999999,,,,1.267,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.96292,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.91405,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.4525,percent of total billed charges,0.429764314,,,,,,,,,,0.4525,percent of total billed charges,0.422615478,,,,,,,,,,0.4525,percent of total billed charges,0.421441047,,,,,,,,,,0.4525,percent of total billed charges,0.415235333,,,,,,,,,,0.4525,percent of total billed charges,0.425919948,,,,,,,,,,0.4525,percent of total billed charges,999999999,,,,,,,,,,0.4525,percent of total billed charges,0.365469309,,,,,,,,,,0.4525,percent of total billed charges,0.576370303,,,,,,,,,,0.4525,percent of total billed charges,999999999,,,,,,,,,,0.4525,percent of total billed charges,0.394065297,,,,,,,,,,1.629,percent of total billed charges,,,,,
chlordiazePOXIDE (LIBRIUM) 5MG CAP,259,RC,0055-5015-02,NDC,,both,1,EA,2.19,2.19,0.466215839,2.19,2.19,percent of total billed charges,1.611260801,,,,2.19,percent of total billed charges,1.707904591,,,,2.19,percent of total billed charges,1.611260801,,,,2.19,percent of total billed charges,1.707904591,,,,2.19,percent of total billed charges,999999999,,,,2.19,percent of total billed charges,1.668629482,,,,2.19,percent of total billed charges,1.611260801,,,,2.19,percent of total billed charges,1.707904591,,,,1.56147,percent of total billed charges,0.779202105,,,,1.56147,percent of total billed charges,0.466215839,,,,1.56147,percent of total billed charges,0.779202105,,,,1.56147,percent of total billed charges,0.466215839,,,,1.56147,percent of total billed charges,0.779202105,,,,1.56147,percent of total billed charges,0.466215839,,,,1.54614,percent of total billed charges,1.534409015,,,,1.54614,percent of total billed charges,1.058269736,,,,,,,,,,1.5768,percent of total billed charges,1.024882895,,,,,,,,,,1.5768,percent of total billed charges,999999999,,,,,,,,,,1.752,percent of total billed charges,1.468084928,,,,1.7301,percent of total billed charges,1.669620955,,,,1.7301,percent of total billed charges,1.47516538,,,,1.752,percent of total billed charges,999999999,,,,1.752,percent of total billed charges,999999999,,,,1.533,percent of total billed charges,999999999,,,,1.533,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.16508,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.10595,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.5475,percent of total billed charges,0.519991077,,,,,,,,,,0.5475,percent of total billed charges,0.511341379,,,,,,,,,,0.5475,percent of total billed charges,0.509920383,,,,,,,,,,0.5475,percent of total billed charges,0.502411812,,,,,,,,,,0.5475,percent of total billed charges,0.515339606,,,,,,,,,,0.5475,percent of total billed charges,999999999,,,,,,,,,,0.5475,percent of total billed charges,0.442197672,,,,,,,,,,0.5475,percent of total billed charges,0.697376223,,,,,,,,,,0.5475,percent of total billed charges,999999999,,,,,,,,,,0.5475,percent of total billed charges,0.476797238,,,,,,,,,,1.971,percent of total billed charges,,,,,
**CHLORDIAZEPOX (LIBRIUM) INJ 100MG: 2ML,J1990,CDM,0018-7375-74,NDC,,both,1,EA,66,66,14.05034035,66,66,percent of total billed charges,48.5585447,,,,66,percent of total billed charges,51.47109726,,,,66,percent of total billed charges,48.5585447,,,,66,percent of total billed charges,51.47109726,,,,66,percent of total billed charges,999999999,,,,66,percent of total billed charges,50.28746385,,,,66,percent of total billed charges,48.5585447,,,,66,percent of total billed charges,51.47109726,,,,47.058,percent of total billed charges,23.48280316,,,,47.058,percent of total billed charges,14.05034035,,,,47.058,percent of total billed charges,23.48280316,,,,47.058,percent of total billed charges,14.05034035,,,,47.058,percent of total billed charges,23.48280316,,,,47.058,percent of total billed charges,14.05034035,,,,46.596,percent of total billed charges,46.24246348,,,,46.596,percent of total billed charges,31.89306054,,,,,,,,,,47.52,percent of total billed charges,30.88688175,,,,,,,,,,47.52,percent of total billed charges,999999999,,,,,,,,,,52.8,percent of total billed charges,44.24365536,,,,52.14,percent of total billed charges,50.31734384,,,,52.14,percent of total billed charges,44.45703886,,,,52.8,percent of total billed charges,999999999,,,,52.8,percent of total billed charges,999999999,,,,46.2,percent of total billed charges,999999999,,,,46.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,35.112,percent of total billed charges,999999999,,,,,,,,,,,,,,,,33.33,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16.5,percent of total billed charges,15.67096395,,,,,,,,,,16.5,percent of total billed charges,15.41028813,,,,,,,,,,16.5,percent of total billed charges,15.3674636,,,,,,,,,,16.5,percent of total billed charges,15.14117788,,,,,,,,,,16.5,percent of total billed charges,15.53078265,,,,,,,,,,16.5,percent of total billed charges,999999999,,,,,,,,,,16.5,percent of total billed charges,13.32650519,,,,,,,,,,16.5,percent of total billed charges,21.01681768,,,,,,,,,,16.5,percent of total billed charges,999999999,,,,,,,,,,16.5,percent of total billed charges,14.36923183,,,,,,,,,,59.4,percent of total billed charges,,,,,
**CHLORDIAZAPOX/CLIDINIUM (LIBRAX) CAP:,259,RC,4249-4040-01,NDC,,both,1,EA,3.48,3.48,0.740836127,3.48,3.48,percent of total billed charges,2.56035963,,,,3.48,percent of total billed charges,2.713930583,,,,3.48,percent of total billed charges,2.56035963,,,,3.48,percent of total billed charges,2.713930583,,,,3.48,percent of total billed charges,999999999,,,,3.48,percent of total billed charges,2.651520821,,,,3.48,percent of total billed charges,2.56035963,,,,3.48,percent of total billed charges,2.713930583,,,,2.48124,percent of total billed charges,1.238184167,,,,2.48124,percent of total billed charges,0.740836127,,,,2.48124,percent of total billed charges,1.238184167,,,,2.48124,percent of total billed charges,0.740836127,,,,2.48124,percent of total billed charges,1.238184167,,,,2.48124,percent of total billed charges,0.740836127,,,,2.45688,percent of total billed charges,2.438238984,,,,2.45688,percent of total billed charges,1.681634101,,,,,,,,,,2.5056,percent of total billed charges,1.628581038,,,,,,,,,,2.5056,percent of total billed charges,999999999,,,,,,,,,,2.784,percent of total billed charges,2.332847283,,,,2.7492,percent of total billed charges,2.653096312,,,,2.7492,percent of total billed charges,2.344098413,,,,2.784,percent of total billed charges,999999999,,,,2.784,percent of total billed charges,999999999,,,,2.436,percent of total billed charges,999999999,,,,2.436,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.85136,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.7574,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.87,percent of total billed charges,0.82628719,,,,,,,,,,0.87,percent of total billed charges,0.812542465,,,,,,,,,,0.87,percent of total billed charges,0.810284444,,,,,,,,,,0.87,percent of total billed charges,0.798353016,,,,,,,,,,0.87,percent of total billed charges,0.818895812,,,,,,,,,,0.87,percent of total billed charges,999999999,,,,,,,,,,0.87,percent of total billed charges,0.702670274,,,,,,,,,,0.87,percent of total billed charges,1.108159478,,,,,,,,,,0.87,percent of total billed charges,999999999,,,,,,,,,,0.87,percent of total billed charges,0.757650406,,,,,,,,,,3.132,percent of total billed charges,,,,,
TETANUS-DIPTHERIA (TD) INJ 0.5ML DOSE,90714,CDM,4928-1021-10,NDC,,both,1,EA,287.06,287.06,61.11046514,287.06,287.06,percent of total billed charges,211.20024,,,,287.06,percent of total billed charges,223.8680785,,,,287.06,percent of total billed charges,211.20024,,,,287.06,percent of total billed charges,223.8680785,,,,287.06,percent of total billed charges,999999999,,,,287.06,percent of total billed charges,218.7199905,,,,287.06,percent of total billed charges,211.20024,,,,287.06,percent of total billed charges,223.8680785,,,,204.67378,percent of total billed charges,102.1359618,,,,204.67378,percent of total billed charges,61.11046514,,,,204.67378,percent of total billed charges,102.1359618,,,,204.67378,percent of total billed charges,61.11046514,,,,204.67378,percent of total billed charges,102.1359618,,,,204.67378,percent of total billed charges,61.11046514,,,,202.66436,percent of total billed charges,201.1266904,,,,202.66436,percent of total billed charges,138.7154842,,,,,,,,,,206.6832,percent of total billed charges,134.3392163,,,,,,,,,,206.6832,percent of total billed charges,999999999,,,,,,,,,,229.648,percent of total billed charges,192.4330865,,,,226.7774,percent of total billed charges,218.8499503,,,,226.7774,percent of total billed charges,193.3611754,,,,229.648,percent of total billed charges,999999999,,,,229.648,percent of total billed charges,999999999,,,,200.942,percent of total billed charges,999999999,,,,200.942,percent of total billed charges,999999999,,,,,,,,,,,,,,,,152.71592,percent of total billed charges,999999999,,,,,,,,,,,,,,,,144.9653,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,71.765,percent of total billed charges,68.15919564,,,,,,,,,,71.765,percent of total billed charges,67.0254138,,,,,,,,,,71.765,percent of total billed charges,66.83915304,,,,,,,,,,71.765,percent of total billed charges,65.85494733,,,,,,,,,,71.765,percent of total billed charges,67.54949193,,,,,,,,,,71.765,percent of total billed charges,999999999,,,,,,,,,,71.765,percent of total billed charges,57.96222092,,,,,,,,,,71.765,percent of total billed charges,91.41041944,,,,,,,,,,71.765,percent of total billed charges,999999999,,,,,,,,,,71.765,percent of total billed charges,62.49744983,,,,,,,,,,258.354,percent of total billed charges,,,,,
CHLOROTHIAZIDE (DIURIL) 500MG INJ: VIAL,J1205,CDM,7647-8071-40,NDC,,both,1,EA,416.85,416.85,88.74067232,416.85,416.85,percent of total billed charges,306.6913539,,,,416.85,percent of total billed charges,325.0867711,,,,416.85,percent of total billed charges,306.6913539,,,,416.85,percent of total billed charges,325.0867711,,,,416.85,percent of total billed charges,999999999,,,,416.85,percent of total billed charges,317.6110501,,,,416.85,percent of total billed charges,306.6913539,,,,416.85,percent of total billed charges,325.0867711,,,,297.21405,percent of total billed charges,148.31525,,,,297.21405,percent of total billed charges,88.74067232,,,,297.21405,percent of total billed charges,148.31525,,,,297.21405,percent of total billed charges,88.74067232,,,,297.21405,percent of total billed charges,148.31525,,,,297.21405,percent of total billed charges,88.74067232,,,,294.2961,percent of total billed charges,292.0631955,,,,294.2961,percent of total billed charges,201.433671,,,,,,,,,,300.132,percent of total billed charges,195.0787373,,,,,,,,,,300.132,percent of total billed charges,999999999,,,,,,,,,,333.48,percent of total billed charges,279.4389051,,,,329.3115,percent of total billed charges,317.7997694,,,,329.3115,percent of total billed charges,280.7866159,,,,333.48,percent of total billed charges,999999999,,,,333.48,percent of total billed charges,999999999,,,,291.795,percent of total billed charges,999999999,,,,291.795,percent of total billed charges,999999999,,,,,,,,,,,,,,,,221.7642,percent of total billed charges,999999999,,,,,,,,,,,,,,,,210.50925,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,104.2125,percent of total billed charges,98.97638369,,,,,,,,,,104.2125,percent of total billed charges,97.32997889,,,,,,,,,,104.2125,percent of total billed charges,97.05950305,,,,,,,,,,104.2125,percent of total billed charges,95.63030305,,,,,,,,,,104.2125,percent of total billed charges,98.09101133,,,,,,,,,,104.2125,percent of total billed charges,999999999,,,,,,,,,,104.2125,percent of total billed charges,84.1689953,,,,,,,,,,104.2125,percent of total billed charges,132.7403098,,,,,,,,,,104.2125,percent of total billed charges,999999999,,,,,,,,,,104.2125,percent of total billed charges,90.75476194,,,,,,,,,,375.165,percent of total billed charges,,,,,
chlorproMAZINE (THORAZINE) 10 MG TAB,259,RC,5107-9051-20,NDC,,both,1,EA,11.37,11.37,2.42049045,11.37,11.37,percent of total billed charges,8.365312927,,,,11.37,percent of total billed charges,8.867066301,,,,11.37,percent of total billed charges,8.365312927,,,,11.37,percent of total billed charges,8.867066301,,,,11.37,percent of total billed charges,999999999,,,,11.37,percent of total billed charges,8.663158545,,,,11.37,percent of total billed charges,8.365312927,,,,11.37,percent of total billed charges,8.867066301,,,,8.10681,percent of total billed charges,4.045446545,,,,8.10681,percent of total billed charges,2.42049045,,,,8.10681,percent of total billed charges,4.045446545,,,,8.10681,percent of total billed charges,2.42049045,,,,8.10681,percent of total billed charges,4.045446545,,,,8.10681,percent of total billed charges,2.42049045,,,,8.02722,percent of total billed charges,7.9663153,,,,8.02722,percent of total billed charges,5.494304521,,,,,,,,,,8.1864,percent of total billed charges,5.320967357,,,,,,,,,,8.1864,percent of total billed charges,999999999,,,,,,,,,,9.096,percent of total billed charges,7.621975174,,,,8.9823,percent of total billed charges,8.668306053,,,,8.9823,percent of total billed charges,7.658735332,,,,9.096,percent of total billed charges,999999999,,,,9.096,percent of total billed charges,999999999,,,,7.959,percent of total billed charges,999999999,,,,7.959,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.04884,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.74185,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.8425,percent of total billed charges,2.699679699,,,,,,,,,,2.8425,percent of total billed charges,2.654772364,,,,,,,,,,2.8425,percent of total billed charges,2.647394865,,,,,,,,,,2.8425,percent of total billed charges,2.608412008,,,,,,,,,,2.8425,percent of total billed charges,2.675530284,,,,,,,,,,2.8425,percent of total billed charges,999999999,,,,,,,,,,2.8425,percent of total billed charges,2.295793395,,,,,,,,,,2.8425,percent of total billed charges,3.6206245,,,,,,,,,,2.8425,percent of total billed charges,999999999,,,,,,,,,,2.8425,percent of total billed charges,2.475426756,,,,,,,,,,10.233,percent of total billed charges,,,,,
chlorpromMAZINE (THORAZINE) 25 MG TAB,259,RC,5107-9051-20,NDC,,both,1,EA,15.16,15.16,3.2273206,15.16,15.16,percent of total billed charges,11.15375057,,,,15.16,percent of total billed charges,11.82275507,,,,15.16,percent of total billed charges,11.15375057,,,,15.16,percent of total billed charges,11.82275507,,,,15.16,percent of total billed charges,999999999,,,,15.16,percent of total billed charges,11.55087806,,,,15.16,percent of total billed charges,11.15375057,,,,15.16,percent of total billed charges,11.82275507,,,,10.80908,percent of total billed charges,5.393928727,,,,10.80908,percent of total billed charges,3.2273206,,,,10.80908,percent of total billed charges,5.393928727,,,,10.80908,percent of total billed charges,3.2273206,,,,10.80908,percent of total billed charges,5.393928727,,,,10.80908,percent of total billed charges,3.2273206,,,,10.70296,percent of total billed charges,10.62175373,,,,10.70296,percent of total billed charges,7.325739361,,,,,,,,,,10.9152,percent of total billed charges,7.094623142,,,,,,,,,,10.9152,percent of total billed charges,999999999,,,,,,,,,,12.128,percent of total billed charges,10.16263357,,,,11.9764,percent of total billed charges,11.5577414,,,,11.9764,percent of total billed charges,10.21164711,,,,12.128,percent of total billed charges,999999999,,,,12.128,percent of total billed charges,999999999,,,,10.612,percent of total billed charges,999999999,,,,10.612,percent of total billed charges,999999999,,,,,,,,,,,,,,,,8.06512,percent of total billed charges,999999999,,,,,,,,,,,,,,,,7.6558,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3.79,percent of total billed charges,3.599572932,,,,,,,,,,3.79,percent of total billed charges,3.539696486,,,,,,,,,,3.79,percent of total billed charges,3.529859821,,,,,,,,,,3.79,percent of total billed charges,3.477882678,,,,,,,,,,3.79,percent of total billed charges,3.567373712,,,,,,,,,,3.79,percent of total billed charges,999999999,,,,,,,,,,3.79,percent of total billed charges,3.061057859,,,,,,,,,,3.79,percent of total billed charges,4.827499334,,,,,,,,,,3.79,percent of total billed charges,999999999,,,,,,,,,,3.79,percent of total billed charges,3.300569008,,,,,,,,,,13.644,percent of total billed charges,,,,,
chlorproMAZINE (THORAZINE) 100MG TAB,259,RC,5107-9051-20,NDC,,both,1,EA,29.6,29.6,6.301364761,29.6,29.6,percent of total billed charges,21.77777156,,,,29.6,percent of total billed charges,23.08400726,,,,29.6,percent of total billed charges,21.77777156,,,,29.6,percent of total billed charges,23.08400726,,,,29.6,percent of total billed charges,999999999,,,,29.6,percent of total billed charges,22.5531656,,,,29.6,percent of total billed charges,21.77777156,,,,29.6,percent of total billed charges,23.08400726,,,,21.1048,percent of total billed charges,10.53168142,,,,21.1048,percent of total billed charges,6.301364761,,,,21.1048,percent of total billed charges,10.53168142,,,,21.1048,percent of total billed charges,6.301364761,,,,21.1048,percent of total billed charges,10.53168142,,,,21.1048,percent of total billed charges,6.301364761,,,,20.8976,percent of total billed charges,20.73904423,,,,20.8976,percent of total billed charges,14.30355443,,,,,,,,,,21.312,percent of total billed charges,13.85229848,,,,,,,,,,21.312,percent of total billed charges,999999999,,,,,,,,,,23.68,percent of total billed charges,19.84260907,,,,23.384,percent of total billed charges,22.56656633,,,,23.384,percent of total billed charges,19.93830834,,,,23.68,percent of total billed charges,999999999,,,,23.68,percent of total billed charges,999999999,,,,20.72,percent of total billed charges,999999999,,,,20.72,percent of total billed charges,999999999,,,,,,,,,,,,,,,,15.7472,percent of total billed charges,999999999,,,,,,,,,,,,,,,,14.948,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7.4,percent of total billed charges,7.028189894,,,,,,,,,,7.4,percent of total billed charges,6.911280737,,,,,,,,,,7.4,percent of total billed charges,6.892074584,,,,,,,,,,7.4,percent of total billed charges,6.79058887,,,,,,,,,,7.4,percent of total billed charges,6.965320704,,,,,,,,,,7.4,percent of total billed charges,999999999,,,,,,,,,,7.4,percent of total billed charges,5.976735662,,,,,,,,,,7.4,percent of total billed charges,9.425724293,,,,,,,,,,7.4,percent of total billed charges,999999999,,,,,,,,,,7.4,percent of total billed charges,6.444382759,,,,,,,,,,26.64,percent of total billed charges,,,,,
**CHLORPROPAMIDE (DIABINESE) 250MG: TAB,259,RC,5107-9020-20,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
DOXAZOSIN (CARDURA) 8 MG TAB,637,RC,6050-5009-00,NDC,,both,1,EA,0.72,0.72,0.15327644,0.72,0.72,percent of total billed charges,0.529729579,,,,0.72,percent of total billed charges,0.561502879,,,,0.72,percent of total billed charges,0.529729579,,,,0.72,percent of total billed charges,0.561502879,,,,0.72,percent of total billed charges,999999999,,,,0.72,percent of total billed charges,0.548590515,,,,0.72,percent of total billed charges,0.529729579,,,,0.72,percent of total billed charges,0.561502879,,,,0.51336,percent of total billed charges,0.256176035,,,,0.51336,percent of total billed charges,0.15327644,,,,0.51336,percent of total billed charges,0.256176035,,,,0.51336,percent of total billed charges,0.15327644,,,,0.51336,percent of total billed charges,0.256176035,,,,0.51336,percent of total billed charges,0.15327644,,,,0.50832,percent of total billed charges,0.504463238,,,,0.50832,percent of total billed charges,0.347924297,,,,,,,,,,0.5184,percent of total billed charges,0.336947801,,,,,,,,,,0.5184,percent of total billed charges,999999999,,,,,,,,,,0.576,percent of total billed charges,0.482658059,,,,0.5688,percent of total billed charges,0.548916478,,,,0.5688,percent of total billed charges,0.484985879,,,,0.576,percent of total billed charges,999999999,,,,0.576,percent of total billed charges,999999999,,,,0.504,percent of total billed charges,999999999,,,,0.504,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.38304,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.3636,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.18,percent of total billed charges,0.17095597,,,,,,,,,,0.18,percent of total billed charges,0.168112234,,,,,,,,,,0.18,percent of total billed charges,0.167645057,,,,,,,,,,0.18,percent of total billed charges,0.165176486,,,,,,,,,,0.18,percent of total billed charges,0.16942672,,,,,,,,,,0.18,percent of total billed charges,999999999,,,,,,,,,,0.18,percent of total billed charges,0.145380057,,,,,,,,,,0.18,percent of total billed charges,0.229274375,,,,,,,,,,0.18,percent of total billed charges,999999999,,,,,,,,,,0.18,percent of total billed charges,0.156755256,,,,,,,,,,0.648,percent of total billed charges,,,,,
ORPHENADRINE (NORFLEX) 100MG ER TAB,259,RC,4338-6048-24,NDC,,both,1,EA,1.44,1.44,0.30655288,1.44,1.44,percent of total billed charges,1.059459157,,,,1.44,percent of total billed charges,1.123005758,,,,1.44,percent of total billed charges,1.059459157,,,,1.44,percent of total billed charges,1.123005758,,,,1.44,percent of total billed charges,999999999,,,,1.44,percent of total billed charges,1.097181029,,,,1.44,percent of total billed charges,1.059459157,,,,1.44,percent of total billed charges,1.123005758,,,,1.02672,percent of total billed charges,0.512352069,,,,1.02672,percent of total billed charges,0.30655288,,,,1.02672,percent of total billed charges,0.512352069,,,,1.02672,percent of total billed charges,0.30655288,,,,1.02672,percent of total billed charges,0.512352069,,,,1.02672,percent of total billed charges,0.30655288,,,,1.01664,percent of total billed charges,1.008926476,,,,1.01664,percent of total billed charges,0.695848594,,,,,,,,,,1.0368,percent of total billed charges,0.673895602,,,,,,,,,,1.0368,percent of total billed charges,999999999,,,,,,,,,,1.152,percent of total billed charges,0.965316117,,,,1.1376,percent of total billed charges,1.097832957,,,,1.1376,percent of total billed charges,0.969971757,,,,1.152,percent of total billed charges,999999999,,,,1.152,percent of total billed charges,999999999,,,,1.008,percent of total billed charges,999999999,,,,1.008,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.76608,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.7272,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.36,percent of total billed charges,0.341911941,,,,,,,,,,0.36,percent of total billed charges,0.336224468,,,,,,,,,,0.36,percent of total billed charges,0.335290115,,,,,,,,,,0.36,percent of total billed charges,0.330352972,,,,,,,,,,0.36,percent of total billed charges,0.33885344,,,,,,,,,,0.36,percent of total billed charges,999999999,,,,,,,,,,0.36,percent of total billed charges,0.290760113,,,,,,,,,,0.36,percent of total billed charges,0.458548749,,,,,,,,,,0.36,percent of total billed charges,999999999,,,,,,,,,,0.36,percent of total billed charges,0.313510513,,,,,,,,,,1.296,percent of total billed charges,,,,,
CHOLESTYRAMINE (PREValite) 4 GM PAK,637,RC,0024-5003-60,NDC,,both,1,EA,4.68,4.68,0.996296861,4.68,4.68,percent of total billed charges,3.44324226,,,,4.68,percent of total billed charges,3.649768715,,,,4.68,percent of total billed charges,3.44324226,,,,4.68,percent of total billed charges,3.649768715,,,,4.68,percent of total billed charges,999999999,,,,4.68,percent of total billed charges,3.565838346,,,,4.68,percent of total billed charges,3.44324226,,,,4.68,percent of total billed charges,3.649768715,,,,3.33684,percent of total billed charges,1.665144224,,,,3.33684,percent of total billed charges,0.996296861,,,,3.33684,percent of total billed charges,1.665144224,,,,3.33684,percent of total billed charges,0.996296861,,,,3.33684,percent of total billed charges,1.665144224,,,,3.33684,percent of total billed charges,0.996296861,,,,3.30408,percent of total billed charges,3.279011047,,,,3.30408,percent of total billed charges,2.261507929,,,,,,,,,,3.3696,percent of total billed charges,2.190160706,,,,,,,,,,3.3696,percent of total billed charges,999999999,,,,,,,,,,3.744,percent of total billed charges,3.13727738,,,,3.6972,percent of total billed charges,3.567957109,,,,3.6972,percent of total billed charges,3.15240821,,,,3.744,percent of total billed charges,999999999,,,,3.744,percent of total billed charges,999999999,,,,3.276,percent of total billed charges,999999999,,,,3.276,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2.48976,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2.3634,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.17,percent of total billed charges,1.111213808,,,,,,,,,,1.17,percent of total billed charges,1.092729522,,,,,,,,,,1.17,percent of total billed charges,1.089692873,,,,,,,,,,1.17,percent of total billed charges,1.073647159,,,,,,,,,,1.17,percent of total billed charges,1.101273679,,,,,,,,,,1.17,percent of total billed charges,999999999,,,,,,,,,,1.17,percent of total billed charges,0.944970368,,,,,,,,,,1.17,percent of total billed charges,1.490283436,,,,,,,,,,1.17,percent of total billed charges,999999999,,,,,,,,,,1.17,percent of total billed charges,1.018909166,,,,,,,,,,4.212,percent of total billed charges,,,,,
**CIMETIDINE(TAGAMET) TAB: 300MG,259,RC,6050-5001-06,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
CIMETIDINE (TAGAMET) 400MG TAB,259,RC,0009-3820-01,NDC,,both,1,EA,2.51,2.51,0.534338701,2.51,2.51,percent of total billed charges,1.84669617,,,,2.51,percent of total billed charges,1.957461426,,,,2.51,percent of total billed charges,1.84669617,,,,2.51,percent of total billed charges,1.957461426,,,,2.51,percent of total billed charges,999999999,,,,2.51,percent of total billed charges,1.912447489,,,,2.51,percent of total billed charges,1.84669617,,,,2.51,percent of total billed charges,1.957461426,,,,1.78963,percent of total billed charges,0.89305812,,,,1.78963,percent of total billed charges,0.534338701,,,,1.78963,percent of total billed charges,0.89305812,,,,1.78963,percent of total billed charges,0.534338701,,,,1.78963,percent of total billed charges,0.89305812,,,,1.78963,percent of total billed charges,0.534338701,,,,1.77206,percent of total billed charges,1.758614899,,,,1.77206,percent of total billed charges,1.212902757,,,,,,,,,,1.8072,percent of total billed charges,1.174637473,,,,,,,,,,1.8072,percent of total billed charges,999999999,,,,,,,,,,2.008,percent of total billed charges,1.682599621,,,,1.9829,percent of total billed charges,1.913583834,,,,1.9829,percent of total billed charges,1.69071466,,,,2.008,percent of total billed charges,999999999,,,,2.008,percent of total billed charges,999999999,,,,1.757,percent of total billed charges,999999999,,,,1.757,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.33532,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.26755,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.6275,percent of total billed charges,0.595971508,,,,,,,,,,0.6275,percent of total billed charges,0.586057927,,,,,,,,,,0.6275,percent of total billed charges,0.584429297,,,,,,,,,,0.6275,percent of total billed charges,0.575823583,,,,,,,,,,0.6275,percent of total billed charges,0.590640371,,,,,,,,,,0.6275,percent of total billed charges,999999999,,,,,,,,,,0.6275,percent of total billed charges,0.506811031,,,,,,,,,,0.6275,percent of total billed charges,0.799275945,,,,,,,,,,0.6275,percent of total billed charges,999999999,,,,,,,,,,0.6275,percent of total billed charges,0.546466241,,,,,,,,,,2.259,percent of total billed charges,,,,,
CIPROFLOXACIN (CIPRO) 250MG TAB,637,RC,5009-0322-00,NDC,,both,1,EA,0.5,0.5,0.106441972,0.5,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,999999999,,,,0.5,percent of total billed charges,0.380965635,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.353,percent of total billed charges,0.350321693,,,,0.353,percent of total billed charges,0.241614095,,,,,,,,,,0.36,percent of total billed charges,0.233991528,,,,,,,,,,0.36,percent of total billed charges,999999999,,,,,,,,,,0.4,percent of total billed charges,0.335179207,,,,0.395,percent of total billed charges,0.381191999,,,,0.395,percent of total billed charges,0.336795749,,,,0.4,percent of total billed charges,999999999,,,,0.4,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.266,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.2525,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.125,percent of total billed charges,0.118719424,,,,,,,,,,0.125,percent of total billed charges,0.116744607,,,,,,,,,,0.125,percent of total billed charges,0.116420179,,,,,,,,,,0.125,percent of total billed charges,0.114705893,,,,,,,,,,0.125,percent of total billed charges,0.117657444,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.100958373,,,,,,,,,,0.125,percent of total billed charges,0.159218316,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.108857817,,,,,,,,,,0.45,percent of total billed charges,,,,,
CIPROFLOXACIN (CIPRO) 500MG TAB,637,RC,5486-8093-05,NDC,,both,1,EA,0.74,0.74,0.157534119,0.74,0.74,percent of total billed charges,0.544444289,,,,0.74,percent of total billed charges,0.577100181,,,,0.74,percent of total billed charges,0.544444289,,,,0.74,percent of total billed charges,0.577100181,,,,0.74,percent of total billed charges,999999999,,,,0.74,percent of total billed charges,0.56382914,,,,0.74,percent of total billed charges,0.544444289,,,,0.74,percent of total billed charges,0.577100181,,,,0.52762,percent of total billed charges,0.263292035,,,,0.52762,percent of total billed charges,0.157534119,,,,0.52762,percent of total billed charges,0.263292035,,,,0.52762,percent of total billed charges,0.157534119,,,,0.52762,percent of total billed charges,0.263292035,,,,0.52762,percent of total billed charges,0.157534119,,,,0.52244,percent of total billed charges,0.518476106,,,,0.52244,percent of total billed charges,0.357588861,,,,,,,,,,0.5328,percent of total billed charges,0.346307462,,,,,,,,,,0.5328,percent of total billed charges,999999999,,,,,,,,,,0.592,percent of total billed charges,0.496065227,,,,0.5846,percent of total billed charges,0.564164158,,,,0.5846,percent of total billed charges,0.498457708,,,,0.592,percent of total billed charges,999999999,,,,0.592,percent of total billed charges,999999999,,,,0.518,percent of total billed charges,999999999,,,,0.518,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.39368,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.3737,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.185,percent of total billed charges,0.175704747,,,,,,,,,,0.185,percent of total billed charges,0.172782018,,,,,,,,,,0.185,percent of total billed charges,0.172301865,,,,,,,,,,0.185,percent of total billed charges,0.169764722,,,,,,,,,,0.185,percent of total billed charges,0.174133018,,,,,,,,,,0.185,percent of total billed charges,999999999,,,,,,,,,,0.185,percent of total billed charges,0.149418392,,,,,,,,,,0.185,percent of total billed charges,0.235643107,,,,,,,,,,0.185,percent of total billed charges,999999999,,,,,,,,,,0.185,percent of total billed charges,0.161109569,,,,,,,,,,0.666,percent of total billed charges,,,,,
guaiFENesin LA (MUCINEX) 600MG TAB,250,RC,6382-4000-50,NDC,,both,1,EA,3.67,3.67,0.781284077,3.67,3.67,percent of total billed charges,2.700149379,,,,3.67,percent of total billed charges,2.862104954,,,,3.67,percent of total billed charges,2.700149379,,,,3.67,percent of total billed charges,2.862104954,,,,3.67,percent of total billed charges,999999999,,,,3.67,percent of total billed charges,2.796287762,,,,3.67,percent of total billed charges,2.700149379,,,,3.67,percent of total billed charges,2.862104954,,,,2.61671,percent of total billed charges,1.305786176,,,,2.61671,percent of total billed charges,0.781284077,,,,2.61671,percent of total billed charges,1.305786176,,,,2.61671,percent of total billed charges,0.781284077,,,,2.61671,percent of total billed charges,1.305786176,,,,2.61671,percent of total billed charges,0.781284077,,,,2.59102,percent of total billed charges,2.571361227,,,,2.59102,percent of total billed charges,1.773447457,,,,,,,,,,2.6424,percent of total billed charges,1.717497819,,,,,,,,,,2.6424,percent of total billed charges,999999999,,,,,,,,,,2.936,percent of total billed charges,2.460215382,,,,2.8993,percent of total billed charges,2.797949271,,,,2.8993,percent of total billed charges,2.472080797,,,,2.936,percent of total billed charges,999999999,,,,2.936,percent of total billed charges,999999999,,,,2.569,percent of total billed charges,999999999,,,,2.569,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.95244,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.85335,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.9175,percent of total billed charges,0.871400571,,,,,,,,,,0.9175,percent of total billed charges,0.856905416,,,,,,,,,,0.9175,percent of total billed charges,0.854524112,,,,,,,,,,0.9175,percent of total billed charges,0.841941255,,,,,,,,,,0.9175,percent of total billed charges,0.863605641,,,,,,,,,,0.9175,percent of total billed charges,999999999,,,,,,,,,,0.9175,percent of total billed charges,0.741034455,,,,,,,,,,0.9175,percent of total billed charges,1.168662438,,,,,,,,,,0.9175,percent of total billed charges,999999999,,,,,,,,,,0.9175,percent of total billed charges,0.799016376,,,,,,,,,,3.303,percent of total billed charges,,,,,
HOMATROPINE 5%OPH SOL: 5ML,259,RC,5939-0019-05,NDC,,both,1,EA,140.55,140.55,29.92083842,140.55,140.55,percent of total billed charges,103.4076281,,,,140.55,percent of total billed charges,109.6100412,,,,140.55,percent of total billed charges,103.4076281,,,,140.55,percent of total billed charges,109.6100412,,,,140.55,percent of total billed charges,999999999,,,,140.55,percent of total billed charges,107.0894401,,,,140.55,percent of total billed charges,103.4076281,,,,140.55,percent of total billed charges,109.6100412,,,,100.21215,percent of total billed charges,50.00769674,,,,100.21215,percent of total billed charges,29.92083842,,,,100.21215,percent of total billed charges,50.00769674,,,,100.21215,percent of total billed charges,29.92083842,,,,100.21215,percent of total billed charges,50.00769674,,,,100.21215,percent of total billed charges,29.92083842,,,,99.2283,percent of total billed charges,98.47542791,,,,99.2283,percent of total billed charges,67.91772211,,,,,,,,,,101.196,percent of total billed charges,65.77501864,,,,,,,,,,101.196,percent of total billed charges,999999999,,,,,,,,,,112.44,percent of total billed charges,94.21887517,,,,111.0345,percent of total billed charges,107.1530709,,,,111.0345,percent of total billed charges,94.67328504,,,,112.44,percent of total billed charges,999999999,,,,112.44,percent of total billed charges,999999999,,,,98.385,percent of total billed charges,999999999,,,,98.385,percent of total billed charges,999999999,,,,,,,,,,,,,,,,74.7726,percent of total billed charges,999999999,,,,,,,,,,,,,,,,70.97775,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,35.1375,percent of total billed charges,33.37203005,,,,,,,,,,35.1375,percent of total billed charges,32.81690904,,,,,,,,,,35.1375,percent of total billed charges,32.72571226,,,,,,,,,,35.1375,percent of total billed charges,32.24382654,,,,,,,,,,35.1375,percent of total billed charges,33.0735076,,,,,,,,,,35.1375,percent of total billed charges,999999999,,,,,,,,,,35.1375,percent of total billed charges,28.37939856,,,,,,,,,,35.1375,percent of total billed charges,44.75626856,,,,,,,,,,35.1375,percent of total billed charges,999999999,,,,,,,,,,35.1375,percent of total billed charges,30.59993233,,,,,,,,,,126.495,percent of total billed charges,,,,,
CLINDAMYCIN (CLEOCIN) 150MG CAP,637,RC,6808-4024-11,NDC,,both,1,EA,0.98,0.98,0.208626266,0.98,0.98,percent of total billed charges,0.721020815,,,,0.98,percent of total billed charges,0.764267808,,,,0.98,percent of total billed charges,0.721020815,,,,0.98,percent of total billed charges,0.764267808,,,,0.98,percent of total billed charges,999999999,,,,0.98,percent of total billed charges,0.746692645,,,,0.98,percent of total billed charges,0.721020815,,,,0.98,percent of total billed charges,0.764267808,,,,0.69874,percent of total billed charges,0.348684047,,,,0.69874,percent of total billed charges,0.208626266,,,,0.69874,percent of total billed charges,0.348684047,,,,0.69874,percent of total billed charges,0.208626266,,,,0.69874,percent of total billed charges,0.348684047,,,,0.69874,percent of total billed charges,0.208626266,,,,0.69188,percent of total billed charges,0.686630518,,,,0.69188,percent of total billed charges,0.473563626,,,,,,,,,,0.7056,percent of total billed charges,0.458623396,,,,,,,,,,0.7056,percent of total billed charges,999999999,,,,,,,,,,0.784,percent of total billed charges,0.656951246,,,,0.7742,percent of total billed charges,0.747136318,,,,0.7742,percent of total billed charges,0.660119668,,,,0.784,percent of total billed charges,999999999,,,,0.784,percent of total billed charges,999999999,,,,0.686,percent of total billed charges,999999999,,,,0.686,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.52136,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.4949,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.245,percent of total billed charges,0.232690071,,,,,,,,,,0.245,percent of total billed charges,0.22881943,,,,,,,,,,0.245,percent of total billed charges,0.22818355,,,,,,,,,,0.245,percent of total billed charges,0.22482355,,,,,,,,,,0.245,percent of total billed charges,0.230608591,,,,,,,,,,0.245,percent of total billed charges,999999999,,,,,,,,,,0.245,percent of total billed charges,0.19787841,,,,,,,,,,0.245,percent of total billed charges,0.312067899,,,,,,,,,,0.245,percent of total billed charges,999999999,,,,,,,,,,0.245,percent of total billed charges,0.213361321,,,,,,,,,,0.882,percent of total billed charges,,,,,
**MOLINDONE HCL (MOBAN) 25MG TAB,259,RC,6348-1007-70,NDC,,both,1,EA,11,11,2.341723391,11,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,11,percent of total billed charges,999999999,,,,11,percent of total billed charges,8.381243975,,,,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.766,percent of total billed charges,7.707077247,,,,7.766,percent of total billed charges,5.31551009,,,,,,,,,,7.92,percent of total billed charges,5.147813626,,,,,,,,,,7.92,percent of total billed charges,999999999,,,,,,,,,,8.8,percent of total billed charges,7.373942561,,,,8.69,percent of total billed charges,8.386223973,,,,8.69,percent of total billed charges,7.409506477,,,,8.8,percent of total billed charges,999999999,,,,8.8,percent of total billed charges,999999999,,,,7.7,percent of total billed charges,999999999,,,,7.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.852,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.555,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.75,percent of total billed charges,2.611827325,,,,,,,,,,2.75,percent of total billed charges,2.568381355,,,,,,,,,,2.75,percent of total billed charges,2.561243933,,,,,,,,,,2.75,percent of total billed charges,2.523529647,,,,,,,,,,2.75,percent of total billed charges,2.588463775,,,,,,,,,,2.75,percent of total billed charges,999999999,,,,,,,,,,2.75,percent of total billed charges,2.221084199,,,,,,,,,,2.75,percent of total billed charges,3.502802947,,,,,,,,,,2.75,percent of total billed charges,999999999,,,,,,,,,,2.75,percent of total billed charges,2.394871971,,,,,,,,,,9.9,percent of total billed charges,,,,,
CLONidine (CATAPRES) 0.1 MG TAB,637,RC,6800-1023-00,NDC,,both,1,EA,0.5,0.5,0.106441972,0.5,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,999999999,,,,0.5,percent of total billed charges,0.380965635,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.353,percent of total billed charges,0.350321693,,,,0.353,percent of total billed charges,0.241614095,,,,,,,,,,0.36,percent of total billed charges,0.233991528,,,,,,,,,,0.36,percent of total billed charges,999999999,,,,,,,,,,0.4,percent of total billed charges,0.335179207,,,,0.395,percent of total billed charges,0.381191999,,,,0.395,percent of total billed charges,0.336795749,,,,0.4,percent of total billed charges,999999999,,,,0.4,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.266,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.2525,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.125,percent of total billed charges,0.118719424,,,,,,,,,,0.125,percent of total billed charges,0.116744607,,,,,,,,,,0.125,percent of total billed charges,0.116420179,,,,,,,,,,0.125,percent of total billed charges,0.114705893,,,,,,,,,,0.125,percent of total billed charges,0.117657444,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.100958373,,,,,,,,,,0.125,percent of total billed charges,0.159218316,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.108857817,,,,,,,,,,0.45,percent of total billed charges,,,,,
**PEN G BENZATHINE (BICILLIN-CR) INJ 1.2,250,RC,0000-8002-35,NDC,,both,1,EA,60,60,12.77303668,60,60,percent of total billed charges,44.14413154,,,,60,percent of total billed charges,46.7919066,,,,60,percent of total billed charges,44.14413154,,,,60,percent of total billed charges,46.7919066,,,,60,percent of total billed charges,999999999,,,,60,percent of total billed charges,45.71587623,,,,60,percent of total billed charges,44.14413154,,,,60,percent of total billed charges,46.7919066,,,,42.78,percent of total billed charges,21.34800288,,,,42.78,percent of total billed charges,12.77303668,,,,42.78,percent of total billed charges,21.34800288,,,,42.78,percent of total billed charges,12.77303668,,,,42.78,percent of total billed charges,21.34800288,,,,42.78,percent of total billed charges,12.77303668,,,,42.36,percent of total billed charges,42.03860316,,,,42.36,percent of total billed charges,28.9936914,,,,,,,,,,43.2,percent of total billed charges,28.07898341,,,,,,,,,,43.2,percent of total billed charges,999999999,,,,,,,,,,48,percent of total billed charges,40.22150488,,,,47.4,percent of total billed charges,45.74303985,,,,47.4,percent of total billed charges,40.41548988,,,,48,percent of total billed charges,999999999,,,,48,percent of total billed charges,999999999,,,,42,percent of total billed charges,999999999,,,,42,percent of total billed charges,999999999,,,,,,,,,,,,,,,,31.92,percent of total billed charges,999999999,,,,,,,,,,,,,,,,30.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15,percent of total billed charges,14.24633087,,,,,,,,,,15,percent of total billed charges,14.00935285,,,,,,,,,,15,percent of total billed charges,13.97042145,,,,,,,,,,15,percent of total billed charges,13.76470717,,,,,,,,,,15,percent of total billed charges,14.11889332,,,,,,,,,,15,percent of total billed charges,999999999,,,,,,,,,,15,percent of total billed charges,12.11500472,,,,,,,,,,15,percent of total billed charges,19.10619789,,,,,,,,,,15,percent of total billed charges,999999999,,,,,,,,,,15,percent of total billed charges,13.06293803,,,,,,,,,,54,percent of total billed charges,,,,,
cloNIDine(CATAPRES TTS-1)0.1MG/DAY PATCH,637,RC,0059-1350-04,NDC,,both,1,EA,30.08,30.08,6.403549054,30.08,30.08,percent of total billed charges,22.13092461,,,,30.08,percent of total billed charges,23.45834251,,,,30.08,percent of total billed charges,22.13092461,,,,30.08,percent of total billed charges,23.45834251,,,,30.08,percent of total billed charges,999999999,,,,30.08,percent of total billed charges,22.91889261,,,,30.08,percent of total billed charges,22.13092461,,,,30.08,percent of total billed charges,23.45834251,,,,21.44704,percent of total billed charges,10.70246544,,,,21.44704,percent of total billed charges,6.403549054,,,,21.44704,percent of total billed charges,10.70246544,,,,21.44704,percent of total billed charges,6.403549054,,,,21.44704,percent of total billed charges,10.70246544,,,,21.44704,percent of total billed charges,6.403549054,,,,21.23648,percent of total billed charges,21.07535305,,,,21.23648,percent of total billed charges,14.53550396,,,,,,,,,,21.6576,percent of total billed charges,14.07693035,,,,,,,,,,21.6576,percent of total billed charges,999999999,,,,,,,,,,24.064,percent of total billed charges,20.16438111,,,,23.7632,percent of total billed charges,22.93251065,,,,23.7632,percent of total billed charges,20.26163226,,,,24.064,percent of total billed charges,999999999,,,,24.064,percent of total billed charges,999999999,,,,21.056,percent of total billed charges,999999999,,,,21.056,percent of total billed charges,999999999,,,,,,,,,,,,,,,,16.00256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,15.1904,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7.52,percent of total billed charges,7.142160541,,,,,,,,,,7.52,percent of total billed charges,7.02335556,,,,,,,,,,7.52,percent of total billed charges,7.003837956,,,,,,,,,,7.52,percent of total billed charges,6.900706527,,,,,,,,,,7.52,percent of total billed charges,7.07827185,,,,,,,,,,7.52,percent of total billed charges,999999999,,,,,,,,,,7.52,percent of total billed charges,6.0736557,,,,,,,,,,7.52,percent of total billed charges,9.578573876,,,,,,,,,,7.52,percent of total billed charges,999999999,,,,,,,,,,7.52,percent of total billed charges,6.548886264,,,,,,,,,,27.072,percent of total billed charges,,,,,
cloNIDine PATCH (CATAPRES TTS-3) 0.3MG,637,RC,0059-1351-04,NDC,,both,1,EA,96.25,96.25,20.49007967,96.25,96.25,percent of total billed charges,70.81454435,,,,96.25,percent of total billed charges,75.06201684,,,,96.25,percent of total billed charges,70.81454435,,,,96.25,percent of total billed charges,75.06201684,,,,96.25,percent of total billed charges,999999999,,,,96.25,percent of total billed charges,73.33588478,,,,96.25,percent of total billed charges,70.81454435,,,,96.25,percent of total billed charges,75.06201684,,,,68.62625,percent of total billed charges,34.24575461,,,,68.62625,percent of total billed charges,20.49007967,,,,68.62625,percent of total billed charges,34.24575461,,,,68.62625,percent of total billed charges,20.49007967,,,,68.62625,percent of total billed charges,34.24575461,,,,68.62625,percent of total billed charges,20.49007967,,,,67.9525,percent of total billed charges,67.43692591,,,,67.9525,percent of total billed charges,46.51071329,,,,,,,,,,69.3,percent of total billed charges,45.04336922,,,,,,,,,,69.3,percent of total billed charges,999999999,,,,,,,,,,77,percent of total billed charges,64.5219974,,,,76.0375,percent of total billed charges,73.37945977,,,,76.0375,percent of total billed charges,64.83318168,,,,77,percent of total billed charges,999999999,,,,77,percent of total billed charges,999999999,,,,67.375,percent of total billed charges,999999999,,,,67.375,percent of total billed charges,999999999,,,,,,,,,,,,,,,,51.205,percent of total billed charges,999999999,,,,,,,,,,,,,,,,48.60625,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,24.0625,percent of total billed charges,22.8534891,,,,,,,,,,24.0625,percent of total billed charges,22.47333686,,,,,,,,,,24.0625,percent of total billed charges,22.41088442,,,,,,,,,,24.0625,percent of total billed charges,22.08088442,,,,,,,,,,24.0625,percent of total billed charges,22.64905803,,,,,,,,,,24.0625,percent of total billed charges,999999999,,,,,,,,,,24.0625,percent of total billed charges,19.43448674,,,,,,,,,,24.0625,percent of total billed charges,30.64952578,,,,,,,,,,24.0625,percent of total billed charges,999999999,,,,,,,,,,24.0625,percent of total billed charges,20.95512975,,,,,,,,,,86.625,percent of total billed charges,,,,,
SOTALOL (BETAPACE) 80MG TAB,637,RC,7638-5011-01,NDC,,both,1,EA,3.94,3.94,0.838762742,3.94,3.94,percent of total billed charges,2.898797971,,,,3.94,percent of total billed charges,3.072668533,,,,3.94,percent of total billed charges,2.898797971,,,,3.94,percent of total billed charges,3.072668533,,,,3.94,percent of total billed charges,999999999,,,,3.94,percent of total billed charges,3.002009205,,,,3.94,percent of total billed charges,2.898797971,,,,3.94,percent of total billed charges,3.072668533,,,,2.80922,percent of total billed charges,1.401852189,,,,2.80922,percent of total billed charges,0.838762742,,,,2.80922,percent of total billed charges,1.401852189,,,,2.80922,percent of total billed charges,0.838762742,,,,2.80922,percent of total billed charges,1.401852189,,,,2.80922,percent of total billed charges,0.838762742,,,,2.78164,percent of total billed charges,2.760534941,,,,2.78164,percent of total billed charges,1.903919069,,,,,,,,,,2.8368,percent of total billed charges,1.843853244,,,,,,,,,,2.8368,percent of total billed charges,999999999,,,,,,,,,,3.152,percent of total billed charges,2.641212154,,,,3.1126,percent of total billed charges,3.00379295,,,,3.1126,percent of total billed charges,2.653950502,,,,3.152,percent of total billed charges,999999999,,,,3.152,percent of total billed charges,999999999,,,,2.758,percent of total billed charges,999999999,,,,2.758,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2.09608,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.9897,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.985,percent of total billed charges,0.93550906,,,,,,,,,,0.985,percent of total billed charges,0.919947504,,,,,,,,,,0.985,percent of total billed charges,0.917391009,,,,,,,,,,0.985,percent of total billed charges,0.903882437,,,,,,,,,,0.985,percent of total billed charges,0.927140661,,,,,,,,,,0.985,percent of total billed charges,999999999,,,,,,,,,,0.985,percent of total billed charges,0.795551977,,,,,,,,,,0.985,percent of total billed charges,1.254640328,,,,,,,,,,0.985,percent of total billed charges,999999999,,,,,,,,,,0.985,percent of total billed charges,0.857799597,,,,,,,,,,3.546,percent of total billed charges,,,,,
CLORAZEPATE (TRANXENE)  3.75MG TAB,637,RC,5167-2404-01,NDC,,both,1,EA,10.51,10.51,2.237410258,10.51,10.51,percent of total billed charges,7.732580375,,,,10.51,percent of total billed charges,8.196382306,,,,10.51,percent of total billed charges,7.732580375,,,,10.51,percent of total billed charges,8.196382306,,,,10.51,percent of total billed charges,999999999,,,,10.51,percent of total billed charges,8.007897652,,,,10.51,percent of total billed charges,7.732580375,,,,10.51,percent of total billed charges,8.196382306,,,,7.49363,percent of total billed charges,3.739458504,,,,7.49363,percent of total billed charges,2.237410258,,,,7.49363,percent of total billed charges,3.739458504,,,,7.49363,percent of total billed charges,2.237410258,,,,7.49363,percent of total billed charges,3.739458504,,,,7.49363,percent of total billed charges,2.237410258,,,,7.42006,percent of total billed charges,7.363761988,,,,7.42006,percent of total billed charges,5.078728277,,,,,,,,,,7.5672,percent of total billed charges,4.918501928,,,,,,,,,,7.5672,percent of total billed charges,999999999,,,,,,,,,,8.408,percent of total billed charges,7.045466937,,,,8.3029,percent of total billed charges,8.012655815,,,,8.3029,percent of total billed charges,7.079446643,,,,8.408,percent of total billed charges,999999999,,,,8.408,percent of total billed charges,999999999,,,,7.357,percent of total billed charges,999999999,,,,7.357,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.59132,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.30755,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.6275,percent of total billed charges,2.49548229,,,,,,,,,,2.6275,percent of total billed charges,2.45397164,,,,,,,,,,2.6275,percent of total billed charges,2.447152158,,,,,,,,,,2.6275,percent of total billed charges,2.411117872,,,,,,,,,,2.6275,percent of total billed charges,2.47315948,,,,,,,,,,2.6275,percent of total billed charges,999999999,,,,,,,,,,2.6275,percent of total billed charges,2.122144994,,,,,,,,,,2.6275,percent of total billed charges,3.346768997,,,,,,,,,,2.6275,percent of total billed charges,999999999,,,,,,,,,,2.6275,percent of total billed charges,2.288191311,,,,,,,,,,9.459,percent of total billed charges,,,,,
**CLOTRIMAZOLE 1% (LOTRIMIN) CRM 15GM,250,RC,5993-0157-01,NDC,,both,1,EA,28,28,5.960750449,28,28,percent of total billed charges,20.60059472,,,,28,percent of total billed charges,21.83622308,,,,28,percent of total billed charges,20.60059472,,,,28,percent of total billed charges,21.83622308,,,,28,percent of total billed charges,999999999,,,,28,percent of total billed charges,21.33407557,,,,28,percent of total billed charges,20.60059472,,,,28,percent of total billed charges,21.83622308,,,,19.964,percent of total billed charges,9.962401342,,,,19.964,percent of total billed charges,5.960750449,,,,19.964,percent of total billed charges,9.962401342,,,,19.964,percent of total billed charges,5.960750449,,,,19.964,percent of total billed charges,9.962401342,,,,19.964,percent of total billed charges,5.960750449,,,,19.768,percent of total billed charges,19.61801481,,,,19.768,percent of total billed charges,13.53038932,,,,,,,,,,20.16,percent of total billed charges,13.10352559,,,,,,,,,,20.16,percent of total billed charges,999999999,,,,,,,,,,22.4,percent of total billed charges,18.77003561,,,,22.12,percent of total billed charges,21.34675193,,,,22.12,percent of total billed charges,18.86056194,,,,22.4,percent of total billed charges,999999999,,,,22.4,percent of total billed charges,999999999,,,,19.6,percent of total billed charges,999999999,,,,19.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,14.896,percent of total billed charges,999999999,,,,,,,,,,,,,,,,14.14,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7,percent of total billed charges,6.648287737,,,,,,,,,,7,percent of total billed charges,6.537697995,,,,,,,,,,7,percent of total billed charges,6.519530012,,,,,,,,,,7,percent of total billed charges,6.423530012,,,,,,,,,,7,percent of total billed charges,6.588816882,,,,,,,,,,7,percent of total billed charges,999999999,,,,,,,,,,7,percent of total billed charges,5.65366887,,,,,,,,,,7,percent of total billed charges,8.916225683,,,,,,,,,,7,percent of total billed charges,999999999,,,,,,,,,,7,percent of total billed charges,6.096037745,,,,,,,,,,25.2,percent of total billed charges,,,,,
CANDESARTEN (ATACAND) 16 MG TAB:,259,RC,4988-4066-09,NDC,,both,1,EA,5.18,5.18,1.102738833,5.18,5.18,percent of total billed charges,3.811110023,,,,5.18,percent of total billed charges,4.03970127,,,,5.18,percent of total billed charges,3.811110023,,,,5.18,percent of total billed charges,4.03970127,,,,5.18,percent of total billed charges,999999999,,,,5.18,percent of total billed charges,3.946803981,,,,5.18,percent of total billed charges,3.811110023,,,,5.18,percent of total billed charges,4.03970127,,,,3.69334,percent of total billed charges,1.843044248,,,,3.69334,percent of total billed charges,1.102738833,,,,3.69334,percent of total billed charges,1.843044248,,,,3.69334,percent of total billed charges,1.102738833,,,,3.69334,percent of total billed charges,1.843044248,,,,3.69334,percent of total billed charges,1.102738833,,,,3.65708,percent of total billed charges,3.62933274,,,,3.65708,percent of total billed charges,2.503122024,,,,,,,,,,3.7296,percent of total billed charges,2.424152235,,,,,,,,,,3.7296,percent of total billed charges,999999999,,,,,,,,,,4.144,percent of total billed charges,3.472456588,,,,4.0922,percent of total billed charges,3.949149107,,,,4.0922,percent of total billed charges,3.489203959,,,,4.144,percent of total billed charges,999999999,,,,4.144,percent of total billed charges,999999999,,,,3.626,percent of total billed charges,999999999,,,,3.626,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2.75576,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2.6159,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.295,percent of total billed charges,1.229933231,,,,,,,,,,1.295,percent of total billed charges,1.209474129,,,,,,,,,,1.295,percent of total billed charges,1.206113052,,,,,,,,,,1.295,percent of total billed charges,1.188353052,,,,,,,,,,1.295,percent of total billed charges,1.218931123,,,,,,,,,,1.295,percent of total billed charges,999999999,,,,,,,,,,1.295,percent of total billed charges,1.045928741,,,,,,,,,,1.295,percent of total billed charges,1.649501751,,,,,,,,,,1.295,percent of total billed charges,999999999,,,,,,,,,,1.295,percent of total billed charges,1.127766983,,,,,,,,,,4.662,percent of total billed charges,,,,,
**CODEINE SULFATE 30MG: TAB,259,RC,0005-4815-24,NDC,,both,1,EA,12,12,2.554607335,12,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,12,percent of total billed charges,999999999,,,,12,percent of total billed charges,9.143175245,,,,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.472,percent of total billed charges,8.407720633,,,,8.472,percent of total billed charges,5.79873828,,,,,,,,,,8.64,percent of total billed charges,5.615796683,,,,,,,,,,8.64,percent of total billed charges,999999999,,,,,,,,,,9.6,percent of total billed charges,8.044300975,,,,9.48,percent of total billed charges,9.148607971,,,,9.48,percent of total billed charges,8.083097975,,,,9.6,percent of total billed charges,999999999,,,,9.6,percent of total billed charges,999999999,,,,8.4,percent of total billed charges,999999999,,,,8.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.384,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.06,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3,percent of total billed charges,2.849266173,,,,,,,,,,3,percent of total billed charges,2.801870569,,,,,,,,,,3,percent of total billed charges,2.794084291,,,,,,,,,,3,percent of total billed charges,2.752941434,,,,,,,,,,3,percent of total billed charges,2.823778664,,,,,,,,,,3,percent of total billed charges,999999999,,,,,,,,,,3,percent of total billed charges,2.423000944,,,,,,,,,,3,percent of total billed charges,3.821239578,,,,,,,,,,3,percent of total billed charges,999999999,,,,,,,,,,3,percent of total billed charges,2.612587605,,,,,,,,,,10.8,percent of total billed charges,,,,,
COLCHICINE/PROBENICID (COLBENEMID) TAB,259,RC,0059-1532-01,NDC,,both,1,EA,2.2,2.2,0.468344678,2.2,2.2,percent of total billed charges,1.618618157,,,,2.2,percent of total billed charges,1.715703242,,,,2.2,percent of total billed charges,1.618618157,,,,2.2,percent of total billed charges,1.715703242,,,,2.2,percent of total billed charges,999999999,,,,2.2,percent of total billed charges,1.676248795,,,,2.2,percent of total billed charges,1.618618157,,,,2.2,percent of total billed charges,1.715703242,,,,1.5686,percent of total billed charges,0.782760105,,,,1.5686,percent of total billed charges,0.468344678,,,,1.5686,percent of total billed charges,0.782760105,,,,1.5686,percent of total billed charges,0.468344678,,,,1.5686,percent of total billed charges,0.782760105,,,,1.5686,percent of total billed charges,0.468344678,,,,1.5532,percent of total billed charges,1.541415449,,,,1.5532,percent of total billed charges,1.063102018,,,,,,,,,,1.584,percent of total billed charges,1.029562725,,,,,,,,,,1.584,percent of total billed charges,999999999,,,,,,,,,,1.76,percent of total billed charges,1.474788512,,,,1.738,percent of total billed charges,1.677244795,,,,1.738,percent of total billed charges,1.481901295,,,,1.76,percent of total billed charges,999999999,,,,1.76,percent of total billed charges,999999999,,,,1.54,percent of total billed charges,999999999,,,,1.54,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.1704,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.111,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.55,percent of total billed charges,0.522365465,,,,,,,,,,0.55,percent of total billed charges,0.513676271,,,,,,,,,,0.55,percent of total billed charges,0.512248787,,,,,,,,,,0.55,percent of total billed charges,0.504705929,,,,,,,,,,0.55,percent of total billed charges,0.517692755,,,,,,,,,,0.55,percent of total billed charges,999999999,,,,,,,,,,0.55,percent of total billed charges,0.44421684,,,,,,,,,,0.55,percent of total billed charges,0.700560589,,,,,,,,,,0.55,percent of total billed charges,999999999,,,,,,,,,,0.55,percent of total billed charges,0.478974394,,,,,,,,,,1.98,percent of total billed charges,,,,,
TAMSULOSIN HCL (FLOMAX) 0.4MG CAP,250,RC,5107-9029-20,NDC,,both,1,EA,1.32,1.32,0.281006807,1.32,1.32,percent of total billed charges,0.971170894,,,,1.32,percent of total billed charges,1.029421945,,,,1.32,percent of total billed charges,0.971170894,,,,1.32,percent of total billed charges,1.029421945,,,,1.32,percent of total billed charges,999999999,,,,1.32,percent of total billed charges,1.005749277,,,,1.32,percent of total billed charges,0.971170894,,,,1.32,percent of total billed charges,1.029421945,,,,0.94116,percent of total billed charges,0.469656063,,,,0.94116,percent of total billed charges,0.281006807,,,,0.94116,percent of total billed charges,0.469656063,,,,0.94116,percent of total billed charges,0.281006807,,,,0.94116,percent of total billed charges,0.469656063,,,,0.94116,percent of total billed charges,0.281006807,,,,0.93192,percent of total billed charges,0.92484927,,,,0.93192,percent of total billed charges,0.637861211,,,,,,,,,,0.9504,percent of total billed charges,0.617737635,,,,,,,,,,0.9504,percent of total billed charges,999999999,,,,,,,,,,1.056,percent of total billed charges,0.884873107,,,,1.0428,percent of total billed charges,1.006346877,,,,1.0428,percent of total billed charges,0.889140777,,,,1.056,percent of total billed charges,999999999,,,,1.056,percent of total billed charges,999999999,,,,0.924,percent of total billed charges,999999999,,,,0.924,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.70224,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.6666,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.33,percent of total billed charges,0.313419279,,,,,,,,,,0.33,percent of total billed charges,0.308205763,,,,,,,,,,0.33,percent of total billed charges,0.307349272,,,,,,,,,,0.33,percent of total billed charges,0.302823558,,,,,,,,,,0.33,percent of total billed charges,0.310615653,,,,,,,,,,0.33,percent of total billed charges,999999999,,,,,,,,,,0.33,percent of total billed charges,0.266530104,,,,,,,,,,0.33,percent of total billed charges,0.420336354,,,,,,,,,,0.33,percent of total billed charges,999999999,,,,,,,,,,0.33,percent of total billed charges,0.287384637,,,,,,,,,,1.188,percent of total billed charges,,,,,
ESTROGENS (PREMARIN) VAG CRM: 42.5GM,250,RC,0004-6087-21,NDC,,both,1,EA,1080.33,1080.33,229.9849119,1080.33,1080.33,percent of total billed charges,794.8371605,,,,1080.33,percent of total billed charges,842.5116743,,,,1080.33,percent of total billed charges,794.8371605,,,,1080.33,percent of total billed charges,842.5116743,,,,1080.33,percent of total billed charges,999999999,,,,1080.33,percent of total billed charges,823.1372094,,,,1080.33,percent of total billed charges,794.8371605,,,,1080.33,percent of total billed charges,842.5116743,,,,770.27529,percent of total billed charges,384.3814658,,,,770.27529,percent of total billed charges,229.9849119,,,,770.27529,percent of total billed charges,384.3814658,,,,770.27529,percent of total billed charges,229.9849119,,,,770.27529,percent of total billed charges,384.3814658,,,,770.27529,percent of total billed charges,229.9849119,,,,762.71298,percent of total billed charges,756.9260693,,,,762.71298,percent of total billed charges,522.0459105,,,,,,,,,,777.8376,percent of total billed charges,505.5761358,,,,,,,,,,777.8376,percent of total billed charges,999999999,,,,,,,,,,864.264,percent of total billed charges,724.208306,,,,853.4607,percent of total billed charges,823.6263041,,,,853.4607,percent of total billed charges,727.701103,,,,864.264,percent of total billed charges,999999999,,,,864.264,percent of total billed charges,999999999,,,,756.231,percent of total billed charges,999999999,,,,756.231,percent of total billed charges,999999999,,,,,,,,,,,,,,,,574.73556,percent of total billed charges,999999999,,,,,,,,,,,,,,,,545.56665,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,270.0825,percent of total billed charges,256.5123104,,,,,,,,,,270.0825,percent of total billed charges,252.2454027,,,,,,,,,,270.0825,percent of total billed charges,251.5444235,,,,,,,,,,270.0825,percent of total billed charges,247.8404349,,,,,,,,,,270.0825,percent of total billed charges,254.2177337,,,,,,,,,,270.0825,percent of total billed charges,999999999,,,,,,,,,,270.0825,percent of total billed charges,218.1367175,,,,,,,,,,270.0825,percent of total billed charges,344.0166461,,,,,,,,,,270.0825,percent of total billed charges,999999999,,,,,,,,,,270.0825,percent of total billed charges,235.2047306,,,,,,,,,,972.297,percent of total billed charges,,,,,
CONJUGATE ESTROGENS (PREMARIN) 0.625MG,259,RC,0004-6110-81,NDC,,both,1,EA,18.26,18.26,3.887260829,18.26,18.26,percent of total billed charges,13.4345307,,,,18.26,percent of total billed charges,14.24033691,,,,18.26,percent of total billed charges,13.4345307,,,,18.26,percent of total billed charges,14.24033691,,,,18.26,percent of total billed charges,999999999,,,,18.26,percent of total billed charges,13.912865,,,,18.26,percent of total billed charges,13.4345307,,,,18.26,percent of total billed charges,14.24033691,,,,13.01938,percent of total billed charges,6.496908875,,,,13.01938,percent of total billed charges,3.887260829,,,,13.01938,percent of total billed charges,6.496908875,,,,13.01938,percent of total billed charges,3.887260829,,,,13.01938,percent of total billed charges,6.496908875,,,,13.01938,percent of total billed charges,3.887260829,,,,12.89156,percent of total billed charges,12.79374823,,,,12.89156,percent of total billed charges,8.82374675,,,,,,,,,,13.1472,percent of total billed charges,8.545370619,,,,,,,,,,13.1472,percent of total billed charges,999999999,,,,,,,,,,14.608,percent of total billed charges,12.24074465,,,,14.4254,percent of total billed charges,13.9211318,,,,14.4254,percent of total billed charges,12.29978075,,,,14.608,percent of total billed charges,999999999,,,,14.608,percent of total billed charges,999999999,,,,12.782,percent of total billed charges,999999999,,,,12.782,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.71432,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.2213,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4.565,percent of total billed charges,4.33563336,,,,,,,,,,4.565,percent of total billed charges,4.263513049,,,,,,,,,,4.565,percent of total billed charges,4.251664929,,,,,,,,,,4.565,percent of total billed charges,4.189059215,,,,,,,,,,4.565,percent of total billed charges,4.296849867,,,,,,,,,,4.565,percent of total billed charges,999999999,,,,,,,,,,4.565,percent of total billed charges,3.68699977,,,,,,,,,,4.565,percent of total billed charges,5.814652892,,,,,,,,,,4.565,percent of total billed charges,999999999,,,,,,,,,,4.565,percent of total billed charges,3.975487473,,,,,,,,,,16.434,percent of total billed charges,,,,,
CONJUGATED ESTROGENS (PREMARIN) 1.25MG,259,RC,0004-6110-81,NDC,,both,1,EA,18.26,18.26,3.887260829,18.26,18.26,percent of total billed charges,13.4345307,,,,18.26,percent of total billed charges,14.24033691,,,,18.26,percent of total billed charges,13.4345307,,,,18.26,percent of total billed charges,14.24033691,,,,18.26,percent of total billed charges,999999999,,,,18.26,percent of total billed charges,13.912865,,,,18.26,percent of total billed charges,13.4345307,,,,18.26,percent of total billed charges,14.24033691,,,,13.01938,percent of total billed charges,6.496908875,,,,13.01938,percent of total billed charges,3.887260829,,,,13.01938,percent of total billed charges,6.496908875,,,,13.01938,percent of total billed charges,3.887260829,,,,13.01938,percent of total billed charges,6.496908875,,,,13.01938,percent of total billed charges,3.887260829,,,,12.89156,percent of total billed charges,12.79374823,,,,12.89156,percent of total billed charges,8.82374675,,,,,,,,,,13.1472,percent of total billed charges,8.545370619,,,,,,,,,,13.1472,percent of total billed charges,999999999,,,,,,,,,,14.608,percent of total billed charges,12.24074465,,,,14.4254,percent of total billed charges,13.9211318,,,,14.4254,percent of total billed charges,12.29978075,,,,14.608,percent of total billed charges,999999999,,,,14.608,percent of total billed charges,999999999,,,,12.782,percent of total billed charges,999999999,,,,12.782,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.71432,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.2213,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4.565,percent of total billed charges,4.33563336,,,,,,,,,,4.565,percent of total billed charges,4.263513049,,,,,,,,,,4.565,percent of total billed charges,4.251664929,,,,,,,,,,4.565,percent of total billed charges,4.189059215,,,,,,,,,,4.565,percent of total billed charges,4.296849867,,,,,,,,,,4.565,percent of total billed charges,999999999,,,,,,,,,,4.565,percent of total billed charges,3.68699977,,,,,,,,,,4.565,percent of total billed charges,5.814652892,,,,,,,,,,4.565,percent of total billed charges,999999999,,,,,,,,,,4.565,percent of total billed charges,3.975487473,,,,,,,,,,16.434,percent of total billed charges,,,,,
HYDROCORTISONE (CORTENEMA) 100MG:,259,RC,6255-9011-11,NDC,,both,1,EA,21.04,21.04,4.479078195,21.04,21.04,percent of total billed charges,15.47987546,,,,21.04,percent of total billed charges,16.40836191,,,,21.04,percent of total billed charges,15.47987546,,,,21.04,percent of total billed charges,16.40836191,,,,21.04,percent of total billed charges,999999999,,,,21.04,percent of total billed charges,16.03103393,,,,21.04,percent of total billed charges,15.47987546,,,,21.04,percent of total billed charges,16.40836191,,,,15.00152,percent of total billed charges,7.486033008,,,,15.00152,percent of total billed charges,4.479078195,,,,15.00152,percent of total billed charges,7.486033008,,,,15.00152,percent of total billed charges,4.479078195,,,,15.00152,percent of total billed charges,7.486033008,,,,15.00152,percent of total billed charges,4.479078195,,,,14.85424,percent of total billed charges,14.74153684,,,,14.85424,percent of total billed charges,10.16712112,,,,,,,,,,15.1488,percent of total billed charges,9.846363517,,,,,,,,,,15.1488,percent of total billed charges,999999999,,,,,,,,,,16.832,percent of total billed charges,14.10434104,,,,16.6216,percent of total billed charges,16.04055931,,,,16.6216,percent of total billed charges,14.17236512,,,,16.832,percent of total billed charges,999999999,,,,16.832,percent of total billed charges,999999999,,,,14.728,percent of total billed charges,999999999,,,,14.728,percent of total billed charges,999999999,,,,,,,,,,,,,,,,11.19328,percent of total billed charges,999999999,,,,,,,,,,,,,,,,10.6252,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5.26,percent of total billed charges,4.995713357,,,,,,,,,,5.26,percent of total billed charges,4.912613064,,,,,,,,,,5.26,percent of total billed charges,4.898961123,,,,,,,,,,5.26,percent of total billed charges,4.82682398,,,,,,,,,,5.26,percent of total billed charges,4.951025257,,,,,,,,,,5.26,percent of total billed charges,999999999,,,,,,,,,,5.26,percent of total billed charges,4.248328322,,,,,,,,,,5.26,percent of total billed charges,6.699906727,,,,,,,,,,5.26,percent of total billed charges,999999999,,,,,,,,,,5.26,percent of total billed charges,4.580736934,,,,,,,,,,18.936,percent of total billed charges,,,,,
**NEOM.POLYMIX.HC (CORTISPORIN) OINT:15G,259,RC,6157-0003-50,NDC,,both,1,EA,132,132,28.10068069,132,132,percent of total billed charges,97.1170894,,,,132,percent of total billed charges,102.9421945,,,,132,percent of total billed charges,97.1170894,,,,132,percent of total billed charges,102.9421945,,,,132,percent of total billed charges,999999999,,,,132,percent of total billed charges,100.5749277,,,,132,percent of total billed charges,97.1170894,,,,132,percent of total billed charges,102.9421945,,,,94.116,percent of total billed charges,46.96560633,,,,94.116,percent of total billed charges,28.10068069,,,,94.116,percent of total billed charges,46.96560633,,,,94.116,percent of total billed charges,28.10068069,,,,94.116,percent of total billed charges,46.96560633,,,,94.116,percent of total billed charges,28.10068069,,,,93.192,percent of total billed charges,92.48492696,,,,93.192,percent of total billed charges,63.78612109,,,,,,,,,,95.04,percent of total billed charges,61.77376351,,,,,,,,,,95.04,percent of total billed charges,999999999,,,,,,,,,,105.6,percent of total billed charges,88.48731073,,,,104.28,percent of total billed charges,100.6346877,,,,104.28,percent of total billed charges,88.91407773,,,,105.6,percent of total billed charges,999999999,,,,105.6,percent of total billed charges,999999999,,,,92.4,percent of total billed charges,999999999,,,,92.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,70.224,percent of total billed charges,999999999,,,,,,,,,,,,,,,,66.66,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,33,percent of total billed charges,31.3419279,,,,,,,,,,33,percent of total billed charges,30.82057626,,,,,,,,,,33,percent of total billed charges,30.7349272,,,,,,,,,,33,percent of total billed charges,30.28235577,,,,,,,,,,33,percent of total billed charges,31.0615653,,,,,,,,,,33,percent of total billed charges,999999999,,,,,,,,,,33,percent of total billed charges,26.65301039,,,,,,,,,,33,percent of total billed charges,42.03363536,,,,,,,,,,33,percent of total billed charges,999999999,,,,,,,,,,33,percent of total billed charges,28.73846366,,,,,,,,,,118.8,percent of total billed charges,,,,,
COSYNTROPIN (CORTROSYN) 0.25MG INJ,J0834,CDM,0054-8590-00,NDC,,both,1,EA,252,252,53.64675405,252,252,percent of total billed charges,185.4053525,,,,252,percent of total billed charges,196.5260077,,,,252,percent of total billed charges,185.4053525,,,,252,percent of total billed charges,196.5260077,,,,252,percent of total billed charges,999999999,,,,252,percent of total billed charges,192.0066801,,,,252,percent of total billed charges,185.4053525,,,,252,percent of total billed charges,196.5260077,,,,179.676,percent of total billed charges,89.66161208,,,,179.676,percent of total billed charges,53.64675405,,,,179.676,percent of total billed charges,89.66161208,,,,179.676,percent of total billed charges,53.64675405,,,,179.676,percent of total billed charges,89.66161208,,,,179.676,percent of total billed charges,53.64675405,,,,177.912,percent of total billed charges,176.5621333,,,,177.912,percent of total billed charges,121.7735039,,,,,,,,,,181.44,percent of total billed charges,117.9317303,,,,,,,,,,181.44,percent of total billed charges,999999999,,,,,,,,,,201.6,percent of total billed charges,168.9303205,,,,199.08,percent of total billed charges,192.1207674,,,,199.08,percent of total billed charges,169.7450575,,,,201.6,percent of total billed charges,999999999,,,,201.6,percent of total billed charges,999999999,,,,176.4,percent of total billed charges,999999999,,,,176.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,134.064,percent of total billed charges,999999999,,,,,,,,,,,,,,,,127.26,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,63,percent of total billed charges,59.83458964,,,,,,,,,,63,percent of total billed charges,58.83928195,,,,,,,,,,63,percent of total billed charges,58.67577011,,,,,,,,,,63,percent of total billed charges,57.81177011,,,,,,,,,,63,percent of total billed charges,59.29935194,,,,,,,,,,63,percent of total billed charges,999999999,,,,,,,,,,63,percent of total billed charges,50.88301983,,,,,,,,,,63,percent of total billed charges,80.24603114,,,,,,,,,,63,percent of total billed charges,999999999,,,,,,,,,,63,percent of total billed charges,54.86433971,,,,,,,,,,226.8,percent of total billed charges,,,,,
**BENZOCAINE/ANTIPYRINE OTIC (AURALGAN),259,RC,3535-6018-14,NDC,,both,1,EA,28,28,5.960750449,28,28,percent of total billed charges,20.60059472,,,,28,percent of total billed charges,21.83622308,,,,28,percent of total billed charges,20.60059472,,,,28,percent of total billed charges,21.83622308,,,,28,percent of total billed charges,999999999,,,,28,percent of total billed charges,21.33407557,,,,28,percent of total billed charges,20.60059472,,,,28,percent of total billed charges,21.83622308,,,,19.964,percent of total billed charges,9.962401342,,,,19.964,percent of total billed charges,5.960750449,,,,19.964,percent of total billed charges,9.962401342,,,,19.964,percent of total billed charges,5.960750449,,,,19.964,percent of total billed charges,9.962401342,,,,19.964,percent of total billed charges,5.960750449,,,,19.768,percent of total billed charges,19.61801481,,,,19.768,percent of total billed charges,13.53038932,,,,,,,,,,20.16,percent of total billed charges,13.10352559,,,,,,,,,,20.16,percent of total billed charges,999999999,,,,,,,,,,22.4,percent of total billed charges,18.77003561,,,,22.12,percent of total billed charges,21.34675193,,,,22.12,percent of total billed charges,18.86056194,,,,22.4,percent of total billed charges,999999999,,,,22.4,percent of total billed charges,999999999,,,,19.6,percent of total billed charges,999999999,,,,19.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,14.896,percent of total billed charges,999999999,,,,,,,,,,,,,,,,14.14,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7,percent of total billed charges,6.648287737,,,,,,,,,,7,percent of total billed charges,6.537697995,,,,,,,,,,7,percent of total billed charges,6.519530012,,,,,,,,,,7,percent of total billed charges,6.423530012,,,,,,,,,,7,percent of total billed charges,6.588816882,,,,,,,,,,7,percent of total billed charges,999999999,,,,,,,,,,7,percent of total billed charges,5.65366887,,,,,,,,,,7,percent of total billed charges,8.916225683,,,,,,,,,,7,percent of total billed charges,999999999,,,,,,,,,,7,percent of total billed charges,6.096037745,,,,,,,,,,25.2,percent of total billed charges,,,,,
carBAMazepine (TEGRETOL) 100MG TAB,637,RC,0090-4385-61,NDC,,both,1,EA,1.8,1.8,0.3831911,1.8,1.8,percent of total billed charges,1.324323946,,,,1.8,percent of total billed charges,1.403757198,,,,1.8,percent of total billed charges,1.324323946,,,,1.8,percent of total billed charges,1.403757198,,,,1.8,percent of total billed charges,999999999,,,,1.8,percent of total billed charges,1.371476287,,,,1.8,percent of total billed charges,1.324323946,,,,1.8,percent of total billed charges,1.403757198,,,,1.2834,percent of total billed charges,0.640440086,,,,1.2834,percent of total billed charges,0.3831911,,,,1.2834,percent of total billed charges,0.640440086,,,,1.2834,percent of total billed charges,0.3831911,,,,1.2834,percent of total billed charges,0.640440086,,,,1.2834,percent of total billed charges,0.3831911,,,,1.2708,percent of total billed charges,1.261158095,,,,1.2708,percent of total billed charges,0.869810742,,,,,,,,,,1.296,percent of total billed charges,0.842369502,,,,,,,,,,1.296,percent of total billed charges,999999999,,,,,,,,,,1.44,percent of total billed charges,1.206645146,,,,1.422,percent of total billed charges,1.372291196,,,,1.422,percent of total billed charges,1.212464696,,,,1.44,percent of total billed charges,999999999,,,,1.44,percent of total billed charges,999999999,,,,1.26,percent of total billed charges,999999999,,,,1.26,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.9576,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.909,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.45,percent of total billed charges,0.427389926,,,,,,,,,,0.45,percent of total billed charges,0.420280585,,,,,,,,,,0.45,percent of total billed charges,0.419112644,,,,,,,,,,0.45,percent of total billed charges,0.412941215,,,,,,,,,,0.45,percent of total billed charges,0.4235668,,,,,,,,,,0.45,percent of total billed charges,999999999,,,,,,,,,,0.45,percent of total billed charges,0.363450142,,,,,,,,,,0.45,percent of total billed charges,0.573185937,,,,,,,,,,0.45,percent of total billed charges,999999999,,,,,,,,,,0.45,percent of total billed charges,0.391888141,,,,,,,,,,1.62,percent of total billed charges,,,,,
carBAMazepine (TEGRETOL) 200MG TAB,637,RC,5167-2400-01,NDC,,both,1,EA,2.25,2.25,0.478988875,2.25,2.25,percent of total billed charges,1.655404933,,,,2.25,percent of total billed charges,1.754696498,,,,2.25,percent of total billed charges,1.655404933,,,,2.25,percent of total billed charges,1.754696498,,,,2.25,percent of total billed charges,999999999,,,,2.25,percent of total billed charges,1.714345358,,,,2.25,percent of total billed charges,1.655404933,,,,2.25,percent of total billed charges,1.754696498,,,,1.60425,percent of total billed charges,0.800550108,,,,1.60425,percent of total billed charges,0.478988875,,,,1.60425,percent of total billed charges,0.800550108,,,,1.60425,percent of total billed charges,0.478988875,,,,1.60425,percent of total billed charges,0.800550108,,,,1.60425,percent of total billed charges,0.478988875,,,,1.5885,percent of total billed charges,1.576447619,,,,1.5885,percent of total billed charges,1.087263428,,,,,,,,,,1.62,percent of total billed charges,1.052961878,,,,,,,,,,1.62,percent of total billed charges,999999999,,,,,,,,,,1.8,percent of total billed charges,1.508306433,,,,1.7775,percent of total billed charges,1.715363995,,,,1.7775,percent of total billed charges,1.51558087,,,,1.8,percent of total billed charges,999999999,,,,1.8,percent of total billed charges,999999999,,,,1.575,percent of total billed charges,999999999,,,,1.575,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.197,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.13625,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.5625,percent of total billed charges,0.534237407,,,,,,,,,,0.5625,percent of total billed charges,0.525350732,,,,,,,,,,0.5625,percent of total billed charges,0.523890805,,,,,,,,,,0.5625,percent of total billed charges,0.516176519,,,,,,,,,,0.5625,percent of total billed charges,0.529458499,,,,,,,,,,0.5625,percent of total billed charges,999999999,,,,,,,,,,0.5625,percent of total billed charges,0.454312677,,,,,,,,,,0.5625,percent of total billed charges,0.716482421,,,,,,,,,,0.5625,percent of total billed charges,999999999,,,,,,,,,,0.5625,percent of total billed charges,0.489860176,,,,,,,,,,2.025,percent of total billed charges,,,,,
BUPivacaine (SENSORCAINE) 0.5% SDV 50ML,250,RC,0040-9116-01,NDC,,both,1,EA,32.45,32.45,6.908084003,32.45,32.45,percent of total billed charges,23.87461781,,,,32.45,percent of total billed charges,25.30662282,,,,32.45,percent of total billed charges,23.87461781,,,,32.45,percent of total billed charges,25.30662282,,,,32.45,percent of total billed charges,999999999,,,,32.45,percent of total billed charges,24.72466973,,,,32.45,percent of total billed charges,23.87461781,,,,32.45,percent of total billed charges,25.30662282,,,,23.13685,percent of total billed charges,11.54571156,,,,23.13685,percent of total billed charges,6.908084003,,,,23.13685,percent of total billed charges,11.54571156,,,,23.13685,percent of total billed charges,6.908084003,,,,23.13685,percent of total billed charges,11.54571156,,,,23.13685,percent of total billed charges,6.908084003,,,,22.9097,percent of total billed charges,22.73587788,,,,22.9097,percent of total billed charges,15.68075477,,,,,,,,,,23.364,percent of total billed charges,15.1860502,,,,,,,,,,23.364,percent of total billed charges,999999999,,,,,,,,,,25.96,percent of total billed charges,21.75313055,,,,25.6355,percent of total billed charges,24.73936072,,,,25.6355,percent of total billed charges,21.85804411,,,,25.96,percent of total billed charges,999999999,,,,25.96,percent of total billed charges,999999999,,,,22.715,percent of total billed charges,999999999,,,,22.715,percent of total billed charges,999999999,,,,,,,,,,,,,,,,17.2634,percent of total billed charges,999999999,,,,,,,,,,,,,,,,16.38725,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8.1125,percent of total billed charges,7.70489061,,,,,,,,,,8.1125,percent of total billed charges,7.576724997,,,,,,,,,,8.1125,percent of total billed charges,7.555669603,,,,,,,,,,8.1125,percent of total billed charges,7.44441246,,,,,,,,,,8.1125,percent of total billed charges,7.635968137,,,,,,,,,,8.1125,percent of total billed charges,999999999,,,,,,,,,,8.1125,percent of total billed charges,6.552198386,,,,,,,,,,8.1125,percent of total billed charges,10.33326869,,,,,,,,,,8.1125,percent of total billed charges,999999999,,,,,,,,,,8.1125,percent of total billed charges,7.064872316,,,,,,,,,,29.205,percent of total billed charges,,,,,
**CROMOLYN SOD(GASTROCROM CONC)100MG/5ML,259,RC,1886-0067-70,NDC,,both,1,EA,12,12,2.554607335,12,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,12,percent of total billed charges,999999999,,,,12,percent of total billed charges,9.143175245,,,,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.472,percent of total billed charges,8.407720633,,,,8.472,percent of total billed charges,5.79873828,,,,,,,,,,8.64,percent of total billed charges,5.615796683,,,,,,,,,,8.64,percent of total billed charges,999999999,,,,,,,,,,9.6,percent of total billed charges,8.044300975,,,,9.48,percent of total billed charges,9.148607971,,,,9.48,percent of total billed charges,8.083097975,,,,9.6,percent of total billed charges,999999999,,,,9.6,percent of total billed charges,999999999,,,,8.4,percent of total billed charges,999999999,,,,8.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.384,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.06,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3,percent of total billed charges,2.849266173,,,,,,,,,,3,percent of total billed charges,2.801870569,,,,,,,,,,3,percent of total billed charges,2.794084291,,,,,,,,,,3,percent of total billed charges,2.752941434,,,,,,,,,,3,percent of total billed charges,2.823778664,,,,,,,,,,3,percent of total billed charges,999999999,,,,,,,,,,3,percent of total billed charges,2.423000944,,,,,,,,,,3,percent of total billed charges,3.821239578,,,,,,,,,,3,percent of total billed charges,999999999,,,,,,,,,,3,percent of total billed charges,2.612587605,,,,,,,,,,10.8,percent of total billed charges,,,,,
**CROMOLYN SODIUM (NASALCROM SPRAY): 25,259,RC,5778-2039-26,NDC,,both,1,EA,35,35,7.450938062,35,35,percent of total billed charges,25.7507434,,,,35,percent of total billed charges,27.29527885,,,,35,percent of total billed charges,25.7507434,,,,35,percent of total billed charges,27.29527885,,,,35,percent of total billed charges,999999999,,,,35,percent of total billed charges,26.66759446,,,,35,percent of total billed charges,25.7507434,,,,35,percent of total billed charges,27.29527885,,,,24.955,percent of total billed charges,12.45300168,,,,24.955,percent of total billed charges,7.450938062,,,,24.955,percent of total billed charges,12.45300168,,,,24.955,percent of total billed charges,7.450938062,,,,24.955,percent of total billed charges,12.45300168,,,,24.955,percent of total billed charges,7.450938062,,,,24.71,percent of total billed charges,24.52251851,,,,24.71,percent of total billed charges,16.91298665,,,,,,,,,,25.2,percent of total billed charges,16.37940699,,,,,,,,,,25.2,percent of total billed charges,999999999,,,,,,,,,,28,percent of total billed charges,23.46254451,,,,27.65,percent of total billed charges,26.68343992,,,,27.65,percent of total billed charges,23.57570243,,,,28,percent of total billed charges,999999999,,,,28,percent of total billed charges,999999999,,,,24.5,percent of total billed charges,999999999,,,,24.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,18.62,percent of total billed charges,999999999,,,,,,,,,,,,,,,,17.675,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8.75,percent of total billed charges,8.310359672,,,,,,,,,,8.75,percent of total billed charges,8.172122493,,,,,,,,,,8.75,percent of total billed charges,8.149412515,,,,,,,,,,8.75,percent of total billed charges,8.029412515,,,,,,,,,,8.75,percent of total billed charges,8.236021103,,,,,,,,,,8.75,percent of total billed charges,999999999,,,,,,,,,,8.75,percent of total billed charges,7.067086087,,,,,,,,,,8.75,percent of total billed charges,11.1452821,,,,,,,,,,8.75,percent of total billed charges,999999999,,,,,,,,,,8.75,percent of total billed charges,7.620047182,,,,,,,,,,31.5,percent of total billed charges,,,,,
BISACODYL (DULCOLAX) SUPP 10MG,637,RC,0057-4705-12,NDC,,both,1,EA,0.73,0.73,0.15540528,0.73,0.73,percent of total billed charges,0.537086934,,,,0.73,percent of total billed charges,0.56930153,,,,0.73,percent of total billed charges,0.537086934,,,,0.73,percent of total billed charges,0.56930153,,,,0.73,percent of total billed charges,999999999,,,,0.73,percent of total billed charges,0.556209827,,,,0.73,percent of total billed charges,0.537086934,,,,0.73,percent of total billed charges,0.56930153,,,,0.52049,percent of total billed charges,0.259734035,,,,0.52049,percent of total billed charges,0.15540528,,,,0.52049,percent of total billed charges,0.259734035,,,,0.52049,percent of total billed charges,0.15540528,,,,0.52049,percent of total billed charges,0.259734035,,,,0.52049,percent of total billed charges,0.15540528,,,,0.51538,percent of total billed charges,0.511469672,,,,0.51538,percent of total billed charges,0.352756579,,,,,,,,,,0.5256,percent of total billed charges,0.341627632,,,,,,,,,,0.5256,percent of total billed charges,999999999,,,,,,,,,,0.584,percent of total billed charges,0.489361643,,,,0.5767,percent of total billed charges,0.556540318,,,,0.5767,percent of total billed charges,0.491721793,,,,0.584,percent of total billed charges,999999999,,,,0.584,percent of total billed charges,999999999,,,,0.511,percent of total billed charges,999999999,,,,0.511,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.38836,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.36865,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.1825,percent of total billed charges,0.173330359,,,,,,,,,,0.1825,percent of total billed charges,0.170447126,,,,,,,,,,0.1825,percent of total billed charges,0.169973461,,,,,,,,,,0.1825,percent of total billed charges,0.167470604,,,,,,,,,,0.1825,percent of total billed charges,0.171779869,,,,,,,,,,0.1825,percent of total billed charges,999999999,,,,,,,,,,0.1825,percent of total billed charges,0.147399224,,,,,,,,,,0.1825,percent of total billed charges,0.232458741,,,,,,,,,,0.1825,percent of total billed charges,999999999,,,,,,,,,,0.1825,percent of total billed charges,0.158932413,,,,,,,,,,0.657,percent of total billed charges,,,,,
CYANOCOBALAMIN (VIT B12) 1000MCG/1ML,J3420,CDM,0051-7003-25,NDC,,both,1,EA,37.21,37.21,7.921411579,37.21,37.21,percent of total billed charges,27.37671891,,,,37.21,percent of total billed charges,29.01878074,,,,37.21,percent of total billed charges,27.37671891,,,,37.21,percent of total billed charges,29.01878074,,,,37.21,percent of total billed charges,999999999,,,,37.21,percent of total billed charges,28.35146257,,,,37.21,percent of total billed charges,27.37671891,,,,37.21,percent of total billed charges,29.01878074,,,,26.53073,percent of total billed charges,13.23931978,,,,26.53073,percent of total billed charges,7.921411579,,,,26.53073,percent of total billed charges,13.23931978,,,,26.53073,percent of total billed charges,7.921411579,,,,26.53073,percent of total billed charges,13.23931978,,,,26.53073,percent of total billed charges,7.921411579,,,,26.27026,percent of total billed charges,26.0709404,,,,26.27026,percent of total billed charges,17.98092095,,,,,,,,,,26.7912,percent of total billed charges,17.41364955,,,,,,,,,,26.7912,percent of total billed charges,999999999,,,,,,,,,,29.768,percent of total billed charges,24.94403661,,,,29.3959,percent of total billed charges,28.36830855,,,,29.3959,percent of total billed charges,25.06433964,,,,29.768,percent of total billed charges,999999999,,,,29.768,percent of total billed charges,999999999,,,,26.047,percent of total billed charges,999999999,,,,26.047,percent of total billed charges,999999999,,,,,,,,,,,,,,,,19.79572,percent of total billed charges,999999999,,,,,,,,,,,,,,,,18.79105,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9.3025,percent of total billed charges,8.835099525,,,,,,,,,,9.3025,percent of total billed charges,8.688133656,,,,,,,,,,9.3025,percent of total billed charges,8.663989705,,,,,,,,,,9.3025,percent of total billed charges,8.536412562,,,,,,,,,,9.3025,percent of total billed charges,8.756067007,,,,,,,,,,9.3025,percent of total billed charges,999999999,,,,,,,,,,9.3025,percent of total billed charges,7.513322094,,,,,,,,,,9.3025,percent of total billed charges,11.84902706,,,,,,,,,,9.3025,percent of total billed charges,999999999,,,,,,,,,,9.3025,percent of total billed charges,8.101198732,,,,,,,,,,33.489,percent of total billed charges,,,,,
**METAXALONE (SKELAXIN) 400 MG TAB,250,RC,5801-6068-00,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
CYCLOBENZAPRINE (FLEXERIL) 10MG TAB,637,RC,5107-9064-20,NDC,,both,1,EA,0.5,0.5,0.106441972,0.5,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,999999999,,,,0.5,percent of total billed charges,0.380965635,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.353,percent of total billed charges,0.350321693,,,,0.353,percent of total billed charges,0.241614095,,,,,,,,,,0.36,percent of total billed charges,0.233991528,,,,,,,,,,0.36,percent of total billed charges,999999999,,,,,,,,,,0.4,percent of total billed charges,0.335179207,,,,0.395,percent of total billed charges,0.381191999,,,,0.395,percent of total billed charges,0.336795749,,,,0.4,percent of total billed charges,999999999,,,,0.4,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.266,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.2525,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.125,percent of total billed charges,0.118719424,,,,,,,,,,0.125,percent of total billed charges,0.116744607,,,,,,,,,,0.125,percent of total billed charges,0.116420179,,,,,,,,,,0.125,percent of total billed charges,0.114705893,,,,,,,,,,0.125,percent of total billed charges,0.117657444,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.100958373,,,,,,,,,,0.125,percent of total billed charges,0.159218316,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.108857817,,,,,,,,,,0.45,percent of total billed charges,,,,,
CYCLOPENTOLATE 1%  (CYCLOGYL) OPHTH,250,RC,0006-5039-05,NDC,,both,1,EA,124.24,124.24,26.44870128,124.24,124.24,percent of total billed charges,91.40778172,,,,124.24,percent of total billed charges,96.89044127,,,,124.24,percent of total billed charges,91.40778172,,,,124.24,percent of total billed charges,96.89044127,,,,124.24,percent of total billed charges,999999999,,,,124.24,percent of total billed charges,94.66234104,,,,124.24,percent of total billed charges,91.40778172,,,,124.24,percent of total billed charges,96.89044127,,,,88.58312,percent of total billed charges,44.20459795,,,,88.58312,percent of total billed charges,26.44870128,,,,88.58312,percent of total billed charges,44.20459795,,,,88.58312,percent of total billed charges,26.44870128,,,,88.58312,percent of total billed charges,44.20459795,,,,88.58312,percent of total billed charges,26.44870128,,,,87.71344,percent of total billed charges,87.04793429,,,,87.71344,percent of total billed charges,60.03627033,,,,,,,,,,89.4528,percent of total billed charges,58.14221499,,,,,,,,,,89.4528,percent of total billed charges,999999999,,,,,,,,,,99.392,percent of total billed charges,83.28532943,,,,98.1496,percent of total billed charges,94.71858786,,,,98.1496,percent of total billed charges,83.6870077,,,,99.392,percent of total billed charges,999999999,,,,99.392,percent of total billed charges,999999999,,,,86.968,percent of total billed charges,999999999,,,,86.968,percent of total billed charges,999999999,,,,,,,,,,,,,,,,66.09568,percent of total billed charges,999999999,,,,,,,,,,,,,,,,62.7412,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,31.06,percent of total billed charges,29.49940245,,,,,,,,,,31.06,percent of total billed charges,29.00869996,,,,,,,,,,31.06,percent of total billed charges,28.92808602,,,,,,,,,,31.06,percent of total billed charges,28.50212031,,,,,,,,,,31.06,percent of total billed charges,29.23552177,,,,,,,,,,31.06,percent of total billed charges,999999999,,,,,,,,,,31.06,percent of total billed charges,25.08613644,,,,,,,,,,31.06,percent of total billed charges,39.5625671,,,,,,,,,,31.06,percent of total billed charges,999999999,,,,,,,,,,31.06,percent of total billed charges,27.04899034,,,,,,,,,,111.816,percent of total billed charges,,,,,
BISACODYL (DULCOLAX) 5MG TAB,637,RC,0090-4640-61,NDC,,both,1,EA,0.5,0.5,0.106441972,0.5,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,999999999,,,,0.5,percent of total billed charges,0.380965635,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.353,percent of total billed charges,0.350321693,,,,0.353,percent of total billed charges,0.241614095,,,,,,,,,,0.36,percent of total billed charges,0.233991528,,,,,,,,,,0.36,percent of total billed charges,999999999,,,,,,,,,,0.4,percent of total billed charges,0.335179207,,,,0.395,percent of total billed charges,0.381191999,,,,0.395,percent of total billed charges,0.336795749,,,,0.4,percent of total billed charges,999999999,,,,0.4,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.266,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.2525,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.125,percent of total billed charges,0.118719424,,,,,,,,,,0.125,percent of total billed charges,0.116744607,,,,,,,,,,0.125,percent of total billed charges,0.116420179,,,,,,,,,,0.125,percent of total billed charges,0.114705893,,,,,,,,,,0.125,percent of total billed charges,0.117657444,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.100958373,,,,,,,,,,0.125,percent of total billed charges,0.159218316,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.108857817,,,,,,,,,,0.45,percent of total billed charges,,,,,
CYPROHEPTADINE (PERIACTIN) 4 MG TAB,637,RC,6025-8085-01,NDC,,both,1,EA,1.08,1.08,0.22991466,1.08,1.08,percent of total billed charges,0.794594368,,,,1.08,percent of total billed charges,0.842254319,,,,1.08,percent of total billed charges,0.794594368,,,,1.08,percent of total billed charges,0.842254319,,,,1.08,percent of total billed charges,999999999,,,,1.08,percent of total billed charges,0.822885772,,,,1.08,percent of total billed charges,0.794594368,,,,1.08,percent of total billed charges,0.842254319,,,,0.77004,percent of total billed charges,0.384264052,,,,0.77004,percent of total billed charges,0.22991466,,,,0.77004,percent of total billed charges,0.384264052,,,,0.77004,percent of total billed charges,0.22991466,,,,0.77004,percent of total billed charges,0.384264052,,,,0.77004,percent of total billed charges,0.22991466,,,,0.76248,percent of total billed charges,0.756694857,,,,0.76248,percent of total billed charges,0.521886445,,,,,,,,,,0.7776,percent of total billed charges,0.505421701,,,,,,,,,,0.7776,percent of total billed charges,999999999,,,,,,,,,,0.864,percent of total billed charges,0.723987088,,,,0.8532,percent of total billed charges,0.823374717,,,,0.8532,percent of total billed charges,0.727478818,,,,0.864,percent of total billed charges,999999999,,,,0.864,percent of total billed charges,999999999,,,,0.756,percent of total billed charges,999999999,,,,0.756,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.57456,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.5454,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.27,percent of total billed charges,0.256433956,,,,,,,,,,0.27,percent of total billed charges,0.252168351,,,,,,,,,,0.27,percent of total billed charges,0.251467586,,,,,,,,,,0.27,percent of total billed charges,0.247764729,,,,,,,,,,0.27,percent of total billed charges,0.25414008,,,,,,,,,,0.27,percent of total billed charges,999999999,,,,,,,,,,0.27,percent of total billed charges,0.218070085,,,,,,,,,,0.27,percent of total billed charges,0.343911562,,,,,,,,,,0.27,percent of total billed charges,999999999,,,,,,,,,,0.27,percent of total billed charges,0.235132884,,,,,,,,,,0.972,percent of total billed charges,,,,,
EYE WASH OPHTH IRRIG SOLN (GEN) 4 OZ,637,RC,1011-9000-52,NDC,,both,1,EA,9.84,9.84,2.094778015,9.84,9.84,percent of total billed charges,7.239637573,,,,9.84,percent of total billed charges,7.673872682,,,,9.84,percent of total billed charges,7.239637573,,,,9.84,percent of total billed charges,7.673872682,,,,9.84,percent of total billed charges,999999999,,,,9.84,percent of total billed charges,7.497403701,,,,9.84,percent of total billed charges,7.239637573,,,,9.84,percent of total billed charges,7.673872682,,,,7.01592,percent of total billed charges,3.501072472,,,,7.01592,percent of total billed charges,2.094778015,,,,7.01592,percent of total billed charges,3.501072472,,,,7.01592,percent of total billed charges,2.094778015,,,,7.01592,percent of total billed charges,3.501072472,,,,7.01592,percent of total billed charges,2.094778015,,,,6.94704,percent of total billed charges,6.894330919,,,,6.94704,percent of total billed charges,4.75496539,,,,,,,,,,7.0848,percent of total billed charges,4.60495328,,,,,,,,,,7.0848,percent of total billed charges,999999999,,,,,,,,,,7.872,percent of total billed charges,6.5963268,,,,7.7736,percent of total billed charges,7.501858536,,,,7.7736,percent of total billed charges,6.62814034,,,,7.872,percent of total billed charges,999999999,,,,7.872,percent of total billed charges,999999999,,,,6.888,percent of total billed charges,999999999,,,,6.888,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.23488,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.9692,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.46,percent of total billed charges,2.336398262,,,,,,,,,,2.46,percent of total billed charges,2.297533867,,,,,,,,,,2.46,percent of total billed charges,2.291149118,,,,,,,,,,2.46,percent of total billed charges,2.257411976,,,,,,,,,,2.46,percent of total billed charges,2.315498504,,,,,,,,,,2.46,percent of total billed charges,999999999,,,,,,,,,,2.46,percent of total billed charges,1.986860774,,,,,,,,,,2.46,percent of total billed charges,3.133416454,,,,,,,,,,2.46,percent of total billed charges,999999999,,,,,,,,,,2.46,percent of total billed charges,2.142321836,,,,,,,,,,8.856,percent of total billed charges,,,,,
SULFACETAMIDE SOD. OPTH OINT 10%:,637,RC,0057-4419-35,NDC,,both,1,EA,208.73,208.73,44.43526576,208.73,208.73,percent of total billed charges,153.5700763,,,,208.73,percent of total billed charges,162.7812444,,,,208.73,percent of total billed charges,153.5700763,,,,208.73,percent of total billed charges,162.7812444,,,,208.73,percent of total billed charges,999999999,,,,208.73,percent of total billed charges,159.0379141,,,,208.73,percent of total billed charges,153.5700763,,,,208.73,percent of total billed charges,162.7812444,,,,148.82449,percent of total billed charges,74.266144,,,,148.82449,percent of total billed charges,44.43526576,,,,148.82449,percent of total billed charges,74.266144,,,,148.82449,percent of total billed charges,44.43526576,,,,148.82449,percent of total billed charges,74.266144,,,,148.82449,percent of total billed charges,44.43526576,,,,147.36338,percent of total billed charges,146.245294,,,,147.36338,percent of total billed charges,100.8642201,,,,,,,,,,150.2856,percent of total billed charges,97.68210346,,,,,,,,,,150.2856,percent of total billed charges,999999999,,,,,,,,,,166.984,percent of total billed charges,139.9239119,,,,164.8967,percent of total billed charges,159.1324118,,,,164.8967,percent of total billed charges,140.5987534,,,,166.984,percent of total billed charges,999999999,,,,166.984,percent of total billed charges,999999999,,,,146.111,percent of total billed charges,999999999,,,,146.111,percent of total billed charges,999999999,,,,,,,,,,,,,,,,111.04436,percent of total billed charges,999999999,,,,,,,,,,,,,,,,105.40865,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,52.1825,percent of total billed charges,49.56061069,,,,,,,,,,52.1825,percent of total billed charges,48.73620366,,,,,,,,,,52.1825,percent of total billed charges,48.60076783,,,,,,,,,,52.1825,percent of total billed charges,47.88512212,,,,,,,,,,52.1825,percent of total billed charges,49.11727671,,,,,,,,,,52.1825,percent of total billed charges,999999999,,,,,,,,,,52.1825,percent of total billed charges,42.14608226,,,,,,,,,,52.1825,percent of total billed charges,66.4672781,,,,,,,,,,52.1825,percent of total billed charges,999999999,,,,,,,,,,52.1825,percent of total billed charges,45.44378424,,,,,,,,,,187.857,percent of total billed charges,,,,,
**DESITIN OINTMENT 2 OZ: TUBE,250,RC,7430-0000-68,NDC,,both,1,EA,9,9,1.915955502,9,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,9,percent of total billed charges,999999999,,,,9,percent of total billed charges,6.857381434,,,,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.354,percent of total billed charges,6.305790475,,,,6.354,percent of total billed charges,4.34905371,,,,,,,,,,6.48,percent of total billed charges,4.211847512,,,,,,,,,,6.48,percent of total billed charges,999999999,,,,,,,,,,7.2,percent of total billed charges,6.033225731,,,,7.11,percent of total billed charges,6.861455978,,,,7.11,percent of total billed charges,6.062323481,,,,7.2,percent of total billed charges,999999999,,,,7.2,percent of total billed charges,999999999,,,,6.3,percent of total billed charges,999999999,,,,6.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.788,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.545,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.25,percent of total billed charges,2.13694963,,,,,,,,,,2.25,percent of total billed charges,2.101402927,,,,,,,,,,2.25,percent of total billed charges,2.095563218,,,,,,,,,,2.25,percent of total billed charges,2.064706075,,,,,,,,,,2.25,percent of total billed charges,2.117833998,,,,,,,,,,2.25,percent of total billed charges,999999999,,,,,,,,,,2.25,percent of total billed charges,1.817250708,,,,,,,,,,2.25,percent of total billed charges,2.865929684,,,,,,,,,,2.25,percent of total billed charges,999999999,,,,,,,,,,2.25,percent of total billed charges,1.959440704,,,,,,,,,,8.1,percent of total billed charges,,,,,
DESOXIMETASONE (TOPICORT) CR 0.25%: 15GM,259,RC,4580-2049-35,NDC,,both,1,EA,119.02,119.02,25.33744709,119.02,119.02,percent of total billed charges,87.56724227,,,,119.02,percent of total billed charges,92.81954539,,,,119.02,percent of total billed charges,87.56724227,,,,119.02,percent of total billed charges,92.81954539,,,,119.02,percent of total billed charges,999999999,,,,119.02,percent of total billed charges,90.68505981,,,,119.02,percent of total billed charges,87.56724227,,,,119.02,percent of total billed charges,92.81954539,,,,84.86126,percent of total billed charges,42.3473217,,,,84.86126,percent of total billed charges,25.33744709,,,,84.86126,percent of total billed charges,42.3473217,,,,84.86126,percent of total billed charges,25.33744709,,,,84.86126,percent of total billed charges,42.3473217,,,,84.86126,percent of total billed charges,25.33744709,,,,84.02812,percent of total billed charges,83.39057581,,,,84.02812,percent of total billed charges,57.51381918,,,,,,,,,,85.6944,percent of total billed charges,55.69934343,,,,,,,,,,85.6944,percent of total billed charges,999999999,,,,,,,,,,95.216,percent of total billed charges,79.78605851,,,,94.0258,percent of total billed charges,90.73894339,,,,94.0258,percent of total billed charges,80.17086009,,,,95.216,percent of total billed charges,999999999,,,,95.216,percent of total billed charges,999999999,,,,83.314,percent of total billed charges,999999999,,,,83.314,percent of total billed charges,999999999,,,,,,,,,,,,,,,,63.31864,percent of total billed charges,999999999,,,,,,,,,,,,,,,,60.1051,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,29.755,percent of total billed charges,28.25997166,,,,,,,,,,29.755,percent of total billed charges,27.78988626,,,,,,,,,,29.755,percent of total billed charges,27.71265936,,,,,,,,,,29.755,percent of total billed charges,27.30459079,,,,,,,,,,29.755,percent of total billed charges,28.00717805,,,,,,,,,,29.755,percent of total billed charges,999999999,,,,,,,,,,29.755,percent of total billed charges,24.03213103,,,,,,,,,,29.755,percent of total billed charges,37.90032788,,,,,,,,,,29.755,percent of total billed charges,999999999,,,,,,,,,,29.755,percent of total billed charges,25.91251473,,,,,,,,,,107.118,percent of total billed charges,,,,,
DESIpramine (NORPRAMIN) 10 MG TAB,259,RC,5295-9012-30,NDC,,both,1,EA,3.2,3.2,0.681228623,3.2,3.2,percent of total billed charges,2.354353682,,,,3.2,percent of total billed charges,2.495568352,,,,3.2,percent of total billed charges,2.354353682,,,,3.2,percent of total billed charges,2.495568352,,,,3.2,percent of total billed charges,999999999,,,,3.2,percent of total billed charges,2.438180065,,,,3.2,percent of total billed charges,2.354353682,,,,3.2,percent of total billed charges,2.495568352,,,,2.2816,percent of total billed charges,1.138560153,,,,2.2816,percent of total billed charges,0.681228623,,,,2.2816,percent of total billed charges,1.138560153,,,,2.2816,percent of total billed charges,0.681228623,,,,2.2816,percent of total billed charges,1.138560153,,,,2.2816,percent of total billed charges,0.681228623,,,,2.2592,percent of total billed charges,2.242058835,,,,2.2592,percent of total billed charges,1.546330208,,,,,,,,,,2.304,percent of total billed charges,1.497545782,,,,,,,,,,2.304,percent of total billed charges,999999999,,,,,,,,,,2.56,percent of total billed charges,2.145146927,,,,2.528,percent of total billed charges,2.439628792,,,,2.528,percent of total billed charges,2.155492793,,,,2.56,percent of total billed charges,999999999,,,,2.56,percent of total billed charges,999999999,,,,2.24,percent of total billed charges,999999999,,,,2.24,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.7024,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.616,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.8,percent of total billed charges,0.759804313,,,,,,,,,,0.8,percent of total billed charges,0.747165485,,,,,,,,,,0.8,percent of total billed charges,0.745089144,,,,,,,,,,0.8,percent of total billed charges,0.734117716,,,,,,,,,,0.8,percent of total billed charges,0.753007644,,,,,,,,,,0.8,percent of total billed charges,999999999,,,,,,,,,,0.8,percent of total billed charges,0.646133585,,,,,,,,,,0.8,percent of total billed charges,1.018997221,,,,,,,,,,0.8,percent of total billed charges,999999999,,,,,,,,,,0.8,percent of total billed charges,0.696690028,,,,,,,,,,2.88,percent of total billed charges,,,,,
NEOMYCIN/POLYMIX/DEXAMETH OPTH SUSP,637,RC,2420-8083-60,NDC,,both,1,EA,131.28,131.28,27.94740425,131.28,131.28,percent of total billed charges,96.58735982,,,,131.28,percent of total billed charges,102.3806916,,,,131.28,percent of total billed charges,96.58735982,,,,131.28,percent of total billed charges,102.3806916,,,,131.28,percent of total billed charges,999999999,,,,131.28,percent of total billed charges,100.0263372,,,,131.28,percent of total billed charges,96.58735982,,,,131.28,percent of total billed charges,102.3806916,,,,93.60264,percent of total billed charges,46.70943029,,,,93.60264,percent of total billed charges,27.94740425,,,,93.60264,percent of total billed charges,46.70943029,,,,93.60264,percent of total billed charges,27.94740425,,,,93.60264,percent of total billed charges,46.70943029,,,,93.60264,percent of total billed charges,27.94740425,,,,92.68368,percent of total billed charges,91.98046372,,,,92.68368,percent of total billed charges,63.43819679,,,,,,,,,,94.5216,percent of total billed charges,61.43681571,,,,,,,,,,94.5216,percent of total billed charges,999999999,,,,,,,,,,105.024,percent of total billed charges,88.00465267,,,,103.7112,percent of total billed charges,100.0857712,,,,103.7112,percent of total billed charges,88.42909185,,,,105.024,percent of total billed charges,999999999,,,,105.024,percent of total billed charges,999999999,,,,91.896,percent of total billed charges,999999999,,,,91.896,percent of total billed charges,999999999,,,,,,,,,,,,,,,,69.84096,percent of total billed charges,999999999,,,,,,,,,,,,,,,,66.2964,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,32.82,percent of total billed charges,31.17097193,,,,,,,,,,32.82,percent of total billed charges,30.65246403,,,,,,,,,,32.82,percent of total billed charges,30.56728214,,,,,,,,,,32.82,percent of total billed charges,30.11717928,,,,,,,,,,32.82,percent of total billed charges,30.89213858,,,,,,,,,,32.82,percent of total billed charges,999999999,,,,,,,,,,32.82,percent of total billed charges,26.50763033,,,,,,,,,,32.82,percent of total billed charges,41.80436099,,,,,,,,,,32.82,percent of total billed charges,999999999,,,,,,,,,,32.82,percent of total billed charges,28.5817084,,,,,,,,,,118.152,percent of total billed charges,,,,,
dexAMETHasone (DECADRON) 0.5MG TAB,J8540,CDM,0005-4817-25,NDC,,both,1,EA,0.66,0.66,0.140503403,0.66,0.66,percent of total billed charges,0.485585447,,,,0.66,percent of total billed charges,0.514710973,,,,0.66,percent of total billed charges,0.485585447,,,,0.66,percent of total billed charges,0.514710973,,,,0.66,percent of total billed charges,999999999,,,,0.66,percent of total billed charges,0.502874638,,,,0.66,percent of total billed charges,0.485585447,,,,0.66,percent of total billed charges,0.514710973,,,,0.47058,percent of total billed charges,0.234828032,,,,0.47058,percent of total billed charges,0.140503403,,,,0.47058,percent of total billed charges,0.234828032,,,,0.47058,percent of total billed charges,0.140503403,,,,0.47058,percent of total billed charges,0.234828032,,,,0.47058,percent of total billed charges,0.140503403,,,,0.46596,percent of total billed charges,0.462424635,,,,0.46596,percent of total billed charges,0.318930605,,,,,,,,,,0.4752,percent of total billed charges,0.308868818,,,,,,,,,,0.4752,percent of total billed charges,999999999,,,,,,,,,,0.528,percent of total billed charges,0.442436554,,,,0.5214,percent of total billed charges,0.503173438,,,,0.5214,percent of total billed charges,0.444570389,,,,0.528,percent of total billed charges,999999999,,,,0.528,percent of total billed charges,999999999,,,,0.462,percent of total billed charges,999999999,,,,0.462,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.35112,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.3333,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.165,percent of total billed charges,0.15670964,,,,,,,,,,0.165,percent of total billed charges,0.154102881,,,,,,,,,,0.165,percent of total billed charges,0.153674636,,,,,,,,,,0.165,percent of total billed charges,0.151411779,,,,,,,,,,0.165,percent of total billed charges,0.155307827,,,,,,,,,,0.165,percent of total billed charges,999999999,,,,,,,,,,0.165,percent of total billed charges,0.133265052,,,,,,,,,,0.165,percent of total billed charges,0.210168177,,,,,,,,,,0.165,percent of total billed charges,999999999,,,,,,,,,,0.165,percent of total billed charges,0.143692318,,,,,,,,,,0.594,percent of total billed charges,,,,,
dexAMETHasone (DECADRON) 4MG/ML INJ,J1100,CDM,6332-3016-01,NDC,,both,1,EA,8.83,8.83,1.879765231,8.83,8.83,percent of total billed charges,6.496544692,,,,8.83,percent of total billed charges,6.886208921,,,,8.83,percent of total billed charges,6.496544692,,,,8.83,percent of total billed charges,6.886208921,,,,8.83,percent of total billed charges,999999999,,,,8.83,percent of total billed charges,6.727853118,,,,8.83,percent of total billed charges,6.496544692,,,,8.83,percent of total billed charges,6.886208921,,,,6.29579,percent of total billed charges,3.141714423,,,,6.29579,percent of total billed charges,1.879765231,,,,6.29579,percent of total billed charges,3.141714423,,,,6.29579,percent of total billed charges,1.879765231,,,,6.29579,percent of total billed charges,3.141714423,,,,6.29579,percent of total billed charges,1.879765231,,,,6.23398,percent of total billed charges,6.186681099,,,,6.23398,percent of total billed charges,4.266904918,,,,,,,,,,6.3576,percent of total billed charges,4.132290392,,,,,,,,,,6.3576,percent of total billed charges,999999999,,,,,,,,,,7.064,percent of total billed charges,5.919264801,,,,6.9757,percent of total billed charges,6.731850699,,,,6.9757,percent of total billed charges,5.947812927,,,,7.064,percent of total billed charges,999999999,,,,7.064,percent of total billed charges,999999999,,,,6.181,percent of total billed charges,999999999,,,,6.181,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.69756,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.45915,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.2075,percent of total billed charges,2.096585026,,,,,,,,,,2.2075,percent of total billed charges,2.06170976,,,,,,,,,,2.2075,percent of total billed charges,2.055980357,,,,,,,,,,2.2075,percent of total billed charges,2.025706072,,,,,,,,,,2.2075,percent of total billed charges,2.077830467,,,,,,,,,,2.2075,percent of total billed charges,999999999,,,,,,,,,,2.2075,percent of total billed charges,1.782924861,,,,,,,,,,2.2075,percent of total billed charges,2.811795456,,,,,,,,,,2.2075,percent of total billed charges,999999999,,,,,,,,,,2.2075,percent of total billed charges,1.922429046,,,,,,,,,,7.947,percent of total billed charges,,,,,
dexAMETHasone (DECADRON)TAB 4MG,J8540,CDM,0005-4817-25,NDC,,both,1,EA,3.42,3.42,0.728063091,3.42,3.42,percent of total billed charges,2.516215498,,,,3.42,percent of total billed charges,2.667138676,,,,3.42,percent of total billed charges,2.516215498,,,,3.42,percent of total billed charges,2.667138676,,,,3.42,percent of total billed charges,999999999,,,,3.42,percent of total billed charges,2.605804945,,,,3.42,percent of total billed charges,2.516215498,,,,3.42,percent of total billed charges,2.667138676,,,,2.43846,percent of total billed charges,1.216836164,,,,2.43846,percent of total billed charges,0.728063091,,,,2.43846,percent of total billed charges,1.216836164,,,,2.43846,percent of total billed charges,0.728063091,,,,2.43846,percent of total billed charges,1.216836164,,,,2.43846,percent of total billed charges,0.728063091,,,,2.41452,percent of total billed charges,2.39620038,,,,2.41452,percent of total billed charges,1.65264041,,,,,,,,,,2.4624,percent of total billed charges,1.600502055,,,,,,,,,,2.4624,percent of total billed charges,999999999,,,,,,,,,,2.736,percent of total billed charges,2.292625778,,,,2.7018,percent of total billed charges,2.607353272,,,,2.7018,percent of total billed charges,2.303682923,,,,2.736,percent of total billed charges,999999999,,,,2.736,percent of total billed charges,999999999,,,,2.394,percent of total billed charges,999999999,,,,2.394,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.81944,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.7271,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.855,percent of total billed charges,0.812040859,,,,,,,,,,0.855,percent of total billed charges,0.798533112,,,,,,,,,,0.855,percent of total billed charges,0.796314023,,,,,,,,,,0.855,percent of total billed charges,0.784588309,,,,,,,,,,0.855,percent of total billed charges,0.804776919,,,,,,,,,,0.855,percent of total billed charges,999999999,,,,,,,,,,0.855,percent of total billed charges,0.690555269,,,,,,,,,,0.855,percent of total billed charges,1.08905328,,,,,,,,,,0.855,percent of total billed charges,999999999,,,,,,,,,,0.855,percent of total billed charges,0.744587467,,,,,,,,,,3.078,percent of total billed charges,,,,,
dexAMETHasone 0.1% (MAXIDEX) OP SOLN:5ML,259,RC,2420-8072-02,NDC,,both,1,EA,182.53,182.53,38.85770641,182.53,182.53,percent of total billed charges,134.2938055,,,,182.53,percent of total billed charges,142.3487785,,,,182.53,percent of total billed charges,134.2938055,,,,182.53,percent of total billed charges,142.3487785,,,,182.53,percent of total billed charges,999999999,,,,182.53,percent of total billed charges,139.0753148,,,,182.53,percent of total billed charges,134.2938055,,,,182.53,percent of total billed charges,142.3487785,,,,130.14389,percent of total billed charges,64.94418275,,,,130.14389,percent of total billed charges,38.85770641,,,,130.14389,percent of total billed charges,64.94418275,,,,130.14389,percent of total billed charges,38.85770641,,,,130.14389,percent of total billed charges,64.94418275,,,,130.14389,percent of total billed charges,38.85770641,,,,128.86618,percent of total billed charges,127.8884373,,,,128.86618,percent of total billed charges,88.20364153,,,,,,,,,,131.4216,percent of total billed charges,85.42094737,,,,,,,,,,131.4216,percent of total billed charges,999999999,,,,,,,,,,146.024,percent of total billed charges,122.3605214,,,,144.1987,percent of total billed charges,139.1579511,,,,144.1987,percent of total billed charges,122.9506561,,,,146.024,percent of total billed charges,999999999,,,,146.024,percent of total billed charges,999999999,,,,127.771,percent of total billed charges,999999999,,,,127.771,percent of total billed charges,999999999,,,,,,,,,,,,,,,,97.10596,percent of total billed charges,999999999,,,,,,,,,,,,,,,,92.17765,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45.6325,percent of total billed charges,43.33971288,,,,,,,,,,45.6325,percent of total billed charges,42.61878625,,,,,,,,,,45.6325,percent of total billed charges,42.50035047,,,,,,,,,,45.6325,percent of total billed charges,41.87453332,,,,,,,,,,45.6325,percent of total billed charges,42.95202662,,,,,,,,,,45.6325,percent of total billed charges,999999999,,,,,,,,,,45.6325,percent of total billed charges,36.85586353,,,,,,,,,,45.6325,percent of total billed charges,58.12423835,,,,,,,,,,45.6325,percent of total billed charges,999999999,,,,,,,,,,45.6325,percent of total billed charges,39.73963463,,,,,,,,,,164.277,percent of total billed charges,,,,,
DEX 25% INJ (DEXTROSE ABBOJECT): 10 ML,250,RC,0040-9177-10,NDC,,both,1,EA,57,57,12.13438484,57,57,percent of total billed charges,41.93692497,,,,57,percent of total billed charges,44.45231127,,,,57,percent of total billed charges,41.93692497,,,,57,percent of total billed charges,44.45231127,,,,57,percent of total billed charges,999999999,,,,57,percent of total billed charges,43.43008241,,,,57,percent of total billed charges,41.93692497,,,,57,percent of total billed charges,44.45231127,,,,40.641,percent of total billed charges,20.28060273,,,,40.641,percent of total billed charges,12.13438484,,,,40.641,percent of total billed charges,20.28060273,,,,40.641,percent of total billed charges,12.13438484,,,,40.641,percent of total billed charges,20.28060273,,,,40.641,percent of total billed charges,12.13438484,,,,40.242,percent of total billed charges,39.93667301,,,,40.242,percent of total billed charges,27.54400683,,,,,,,,,,41.04,percent of total billed charges,26.67503424,,,,,,,,,,41.04,percent of total billed charges,999999999,,,,,,,,,,45.6,percent of total billed charges,38.21042963,,,,45.03,percent of total billed charges,43.45588786,,,,45.03,percent of total billed charges,38.39471538,,,,45.6,percent of total billed charges,999999999,,,,45.6,percent of total billed charges,999999999,,,,39.9,percent of total billed charges,999999999,,,,39.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,30.324,percent of total billed charges,999999999,,,,,,,,,,,,,,,,28.785,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14.25,percent of total billed charges,13.53401432,,,,,,,,,,14.25,percent of total billed charges,13.3088852,,,,,,,,,,14.25,percent of total billed charges,13.27190038,,,,,,,,,,14.25,percent of total billed charges,13.07647181,,,,,,,,,,14.25,percent of total billed charges,13.41294865,,,,,,,,,,14.25,percent of total billed charges,999999999,,,,,,,,,,14.25,percent of total billed charges,11.50925448,,,,,,,,,,14.25,percent of total billed charges,18.150888,,,,,,,,,,14.25,percent of total billed charges,999999999,,,,,,,,,,14.25,percent of total billed charges,12.40979112,,,,,,,,,,51.3,percent of total billed charges,,,,,
diazePAM (VALIUM) 2 MG TAB,259,RC,5107-9028-20,NDC,,both,1,EA,0.5,0.5,0.106441972,0.5,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,999999999,,,,0.5,percent of total billed charges,0.380965635,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.353,percent of total billed charges,0.350321693,,,,0.353,percent of total billed charges,0.241614095,,,,,,,,,,0.36,percent of total billed charges,0.233991528,,,,,,,,,,0.36,percent of total billed charges,999999999,,,,,,,,,,0.4,percent of total billed charges,0.335179207,,,,0.395,percent of total billed charges,0.381191999,,,,0.395,percent of total billed charges,0.336795749,,,,0.4,percent of total billed charges,999999999,,,,0.4,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.266,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.2525,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.125,percent of total billed charges,0.118719424,,,,,,,,,,0.125,percent of total billed charges,0.116744607,,,,,,,,,,0.125,percent of total billed charges,0.116420179,,,,,,,,,,0.125,percent of total billed charges,0.114705893,,,,,,,,,,0.125,percent of total billed charges,0.117657444,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.100958373,,,,,,,,,,0.125,percent of total billed charges,0.159218316,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.108857817,,,,,,,,,,0.45,percent of total billed charges,,,,,
diazePAM (VALIUM) 5MG TAB,637,RC,5486-8005-02,NDC,,both,1,EA,0.8,0.8,0.170307156,0.8,0.8,percent of total billed charges,0.588588421,,,,0.8,percent of total billed charges,0.623892088,,,,0.8,percent of total billed charges,0.588588421,,,,0.8,percent of total billed charges,0.623892088,,,,0.8,percent of total billed charges,999999999,,,,0.8,percent of total billed charges,0.609545016,,,,0.8,percent of total billed charges,0.588588421,,,,0.8,percent of total billed charges,0.623892088,,,,0.5704,percent of total billed charges,0.284640038,,,,0.5704,percent of total billed charges,0.170307156,,,,0.5704,percent of total billed charges,0.284640038,,,,0.5704,percent of total billed charges,0.170307156,,,,0.5704,percent of total billed charges,0.284640038,,,,0.5704,percent of total billed charges,0.170307156,,,,0.5648,percent of total billed charges,0.560514709,,,,0.5648,percent of total billed charges,0.386582552,,,,,,,,,,0.576,percent of total billed charges,0.374386446,,,,,,,,,,0.576,percent of total billed charges,999999999,,,,,,,,,,0.64,percent of total billed charges,0.536286732,,,,0.632,percent of total billed charges,0.609907198,,,,0.632,percent of total billed charges,0.538873198,,,,0.64,percent of total billed charges,999999999,,,,0.64,percent of total billed charges,999999999,,,,0.56,percent of total billed charges,999999999,,,,0.56,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.4256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.404,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.2,percent of total billed charges,0.189951078,,,,,,,,,,0.2,percent of total billed charges,0.186791371,,,,,,,,,,0.2,percent of total billed charges,0.186272286,,,,,,,,,,0.2,percent of total billed charges,0.183529429,,,,,,,,,,0.2,percent of total billed charges,0.188251911,,,,,,,,,,0.2,percent of total billed charges,999999999,,,,,,,,,,0.2,percent of total billed charges,0.161533396,,,,,,,,,,0.2,percent of total billed charges,0.254749305,,,,,,,,,,0.2,percent of total billed charges,999999999,,,,,,,,,,0.2,percent of total billed charges,0.174172507,,,,,,,,,,0.72,percent of total billed charges,,,,,
**GLIMEPIRIDE (AMARYL) 1MG TAB,259,RC,0003-9022-10,NDC,,both,1,EA,2,2,0.425767889,2,2,percent of total billed charges,1.471471051,,,,2,percent of total billed charges,1.55973022,,,,2,percent of total billed charges,1.471471051,,,,2,percent of total billed charges,1.55973022,,,,2,percent of total billed charges,999999999,,,,2,percent of total billed charges,1.523862541,,,,2,percent of total billed charges,1.471471051,,,,2,percent of total billed charges,1.55973022,,,,1.426,percent of total billed charges,0.711600096,,,,1.426,percent of total billed charges,0.425767889,,,,1.426,percent of total billed charges,0.711600096,,,,1.426,percent of total billed charges,0.425767889,,,,1.426,percent of total billed charges,0.711600096,,,,1.426,percent of total billed charges,0.425767889,,,,1.412,percent of total billed charges,1.401286772,,,,1.412,percent of total billed charges,0.96645638,,,,,,,,,,1.44,percent of total billed charges,0.935966114,,,,,,,,,,1.44,percent of total billed charges,999999999,,,,,,,,,,1.6,percent of total billed charges,1.340716829,,,,1.58,percent of total billed charges,1.524767995,,,,1.58,percent of total billed charges,1.347182996,,,,1.6,percent of total billed charges,999999999,,,,1.6,percent of total billed charges,999999999,,,,1.4,percent of total billed charges,999999999,,,,1.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.064,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.01,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.5,percent of total billed charges,0.474877696,,,,,,,,,,0.5,percent of total billed charges,0.466978428,,,,,,,,,,0.5,percent of total billed charges,0.465680715,,,,,,,,,,0.5,percent of total billed charges,0.458823572,,,,,,,,,,0.5,percent of total billed charges,0.470629777,,,,,,,,,,0.5,percent of total billed charges,999999999,,,,,,,,,,0.5,percent of total billed charges,0.403833491,,,,,,,,,,0.5,percent of total billed charges,0.636873263,,,,,,,,,,0.5,percent of total billed charges,999999999,,,,,,,,,,0.5,percent of total billed charges,0.435431268,,,,,,,,,,1.8,percent of total billed charges,,,,,
DICLOFENAC SODIUM DR 50MG TAB,637,RC,0009-3094-01,NDC,,both,1,EA,0.5,0.5,0.106441972,0.5,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,999999999,,,,0.5,percent of total billed charges,0.380965635,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.353,percent of total billed charges,0.350321693,,,,0.353,percent of total billed charges,0.241614095,,,,,,,,,,0.36,percent of total billed charges,0.233991528,,,,,,,,,,0.36,percent of total billed charges,999999999,,,,,,,,,,0.4,percent of total billed charges,0.335179207,,,,0.395,percent of total billed charges,0.381191999,,,,0.395,percent of total billed charges,0.336795749,,,,0.4,percent of total billed charges,999999999,,,,0.4,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.266,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.2525,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.125,percent of total billed charges,0.118719424,,,,,,,,,,0.125,percent of total billed charges,0.116744607,,,,,,,,,,0.125,percent of total billed charges,0.116420179,,,,,,,,,,0.125,percent of total billed charges,0.114705893,,,,,,,,,,0.125,percent of total billed charges,0.117657444,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.100958373,,,,,,,,,,0.125,percent of total billed charges,0.159218316,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.108857817,,,,,,,,,,0.45,percent of total billed charges,,,,,
**HYDROACTIVE DRESSING(DUODERM THIN SPO,250,RC,0000-3187-55,NDC,,both,1,EA,16,16,3.406143114,16,16,percent of total billed charges,11.77176841,,,,16,percent of total billed charges,12.47784176,,,,16,percent of total billed charges,11.77176841,,,,16,percent of total billed charges,12.47784176,,,,16,percent of total billed charges,999999999,,,,16,percent of total billed charges,12.19090033,,,,16,percent of total billed charges,11.77176841,,,,16,percent of total billed charges,12.47784176,,,,11.408,percent of total billed charges,5.692800767,,,,11.408,percent of total billed charges,3.406143114,,,,11.408,percent of total billed charges,5.692800767,,,,11.408,percent of total billed charges,3.406143114,,,,11.408,percent of total billed charges,5.692800767,,,,11.408,percent of total billed charges,3.406143114,,,,11.296,percent of total billed charges,11.21029418,,,,11.296,percent of total billed charges,7.731651041,,,,,,,,,,11.52,percent of total billed charges,7.48772891,,,,,,,,,,11.52,percent of total billed charges,999999999,,,,,,,,,,12.8,percent of total billed charges,10.72573463,,,,12.64,percent of total billed charges,12.19814396,,,,12.64,percent of total billed charges,10.77746397,,,,12.8,percent of total billed charges,999999999,,,,12.8,percent of total billed charges,999999999,,,,11.2,percent of total billed charges,999999999,,,,11.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,8.512,percent of total billed charges,999999999,,,,,,,,,,,,,,,,8.08,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4,percent of total billed charges,3.799021564,,,,,,,,,,4,percent of total billed charges,3.735827425,,,,,,,,,,4,percent of total billed charges,3.725445721,,,,,,,,,,4,percent of total billed charges,3.670588578,,,,,,,,,,4,percent of total billed charges,3.765038218,,,,,,,,,,4,percent of total billed charges,999999999,,,,,,,,,,4,percent of total billed charges,3.230667926,,,,,,,,,,4,percent of total billed charges,5.094986104,,,,,,,,,,4,percent of total billed charges,999999999,,,,,,,,,,4,percent of total billed charges,3.48345014,,,,,,,,,,14.4,percent of total billed charges,,,,,
DICLOXACILLIN (DYNAPEN) 250MG: CAP,259,RC,0009-3312-01,NDC,,both,1,EA,1.67,1.67,0.355516188,1.67,1.67,percent of total billed charges,1.228678328,,,,1.67,percent of total billed charges,1.302374734,,,,1.67,percent of total billed charges,1.228678328,,,,1.67,percent of total billed charges,1.302374734,,,,1.67,percent of total billed charges,999999999,,,,1.67,percent of total billed charges,1.272425222,,,,1.67,percent of total billed charges,1.228678328,,,,1.67,percent of total billed charges,1.302374734,,,,1.19071,percent of total billed charges,0.59418608,,,,1.19071,percent of total billed charges,0.355516188,,,,1.19071,percent of total billed charges,0.59418608,,,,1.19071,percent of total billed charges,0.355516188,,,,1.19071,percent of total billed charges,0.59418608,,,,1.19071,percent of total billed charges,0.355516188,,,,1.17902,percent of total billed charges,1.170074455,,,,1.17902,percent of total billed charges,0.806991077,,,,,,,,,,1.2024,percent of total billed charges,0.781531705,,,,,,,,,,1.2024,percent of total billed charges,999999999,,,,,,,,,,1.336,percent of total billed charges,1.119498552,,,,1.3193,percent of total billed charges,1.273181276,,,,1.3193,percent of total billed charges,1.124897802,,,,1.336,percent of total billed charges,999999999,,,,1.336,percent of total billed charges,999999999,,,,1.169,percent of total billed charges,999999999,,,,1.169,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.88844,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.84335,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.4175,percent of total billed charges,0.396522876,,,,,,,,,,0.4175,percent of total billed charges,0.389926988,,,,,,,,,,0.4175,percent of total billed charges,0.388843397,,,,,,,,,,0.4175,percent of total billed charges,0.383117683,,,,,,,,,,0.4175,percent of total billed charges,0.392975864,,,,,,,,,,0.4175,percent of total billed charges,999999999,,,,,,,,,,0.4175,percent of total billed charges,0.337200965,,,,,,,,,,0.4175,percent of total billed charges,0.531789175,,,,,,,,,,0.4175,percent of total billed charges,999999999,,,,,,,,,,0.4175,percent of total billed charges,0.363585108,,,,,,,,,,1.503,percent of total billed charges,,,,,
DICYCLOMINE (BENTYL)10MG CAP,250,RC,0059-1079-01,NDC,,both,1,EA,1.65,1.65,0.351258509,1.65,1.65,percent of total billed charges,1.213963617,,,,1.65,percent of total billed charges,1.286777432,,,,1.65,percent of total billed charges,1.213963617,,,,1.65,percent of total billed charges,1.286777432,,,,1.65,percent of total billed charges,999999999,,,,1.65,percent of total billed charges,1.257186596,,,,1.65,percent of total billed charges,1.213963617,,,,1.65,percent of total billed charges,1.286777432,,,,1.17645,percent of total billed charges,0.587070079,,,,1.17645,percent of total billed charges,0.351258509,,,,1.17645,percent of total billed charges,0.587070079,,,,1.17645,percent of total billed charges,0.351258509,,,,1.17645,percent of total billed charges,0.587070079,,,,1.17645,percent of total billed charges,0.351258509,,,,1.1649,percent of total billed charges,1.156061587,,,,1.1649,percent of total billed charges,0.797326514,,,,,,,,,,1.188,percent of total billed charges,0.772172044,,,,,,,,,,1.188,percent of total billed charges,999999999,,,,,,,,,,1.32,percent of total billed charges,1.106091384,,,,1.3035,percent of total billed charges,1.257933596,,,,1.3035,percent of total billed charges,1.111425972,,,,1.32,percent of total billed charges,999999999,,,,1.32,percent of total billed charges,999999999,,,,1.155,percent of total billed charges,999999999,,,,1.155,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.8778,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.83325,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.4125,percent of total billed charges,0.391774099,,,,,,,,,,0.4125,percent of total billed charges,0.385257203,,,,,,,,,,0.4125,percent of total billed charges,0.38418659,,,,,,,,,,0.4125,percent of total billed charges,0.378529447,,,,,,,,,,0.4125,percent of total billed charges,0.388269566,,,,,,,,,,0.4125,percent of total billed charges,999999999,,,,,,,,,,0.4125,percent of total billed charges,0.33316263,,,,,,,,,,0.4125,percent of total billed charges,0.525420442,,,,,,,,,,0.4125,percent of total billed charges,999999999,,,,,,,,,,0.4125,percent of total billed charges,0.359230796,,,,,,,,,,1.485,percent of total billed charges,,,,,
**BRETYLIUM (BRETYLOL) 50MG/ML: INJ,250,RC,5486-8000-00,NDC,,both,1,EA,14,14,2.980375225,14,14,percent of total billed charges,10.30029736,,,,14,percent of total billed charges,10.91811154,,,,14,percent of total billed charges,10.30029736,,,,14,percent of total billed charges,10.91811154,,,,14,percent of total billed charges,999999999,,,,14,percent of total billed charges,10.66703779,,,,14,percent of total billed charges,10.30029736,,,,14,percent of total billed charges,10.91811154,,,,9.982,percent of total billed charges,4.981200671,,,,9.982,percent of total billed charges,2.980375225,,,,9.982,percent of total billed charges,4.981200671,,,,9.982,percent of total billed charges,2.980375225,,,,9.982,percent of total billed charges,4.981200671,,,,9.982,percent of total billed charges,2.980375225,,,,9.884,percent of total billed charges,9.809007405,,,,9.884,percent of total billed charges,6.765194661,,,,,,,,,,10.08,percent of total billed charges,6.551762796,,,,,,,,,,10.08,percent of total billed charges,999999999,,,,,,,,,,11.2,percent of total billed charges,9.385017804,,,,11.06,percent of total billed charges,10.67337597,,,,11.06,percent of total billed charges,9.430280971,,,,11.2,percent of total billed charges,999999999,,,,11.2,percent of total billed charges,999999999,,,,9.8,percent of total billed charges,999999999,,,,9.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,7.448,percent of total billed charges,999999999,,,,,,,,,,,,,,,,7.07,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3.5,percent of total billed charges,3.324143869,,,,,,,,,,3.5,percent of total billed charges,3.268848997,,,,,,,,,,3.5,percent of total billed charges,3.259765006,,,,,,,,,,3.5,percent of total billed charges,3.211765006,,,,,,,,,,3.5,percent of total billed charges,3.294408441,,,,,,,,,,3.5,percent of total billed charges,999999999,,,,,,,,,,3.5,percent of total billed charges,2.826834435,,,,,,,,,,3.5,percent of total billed charges,4.458112841,,,,,,,,,,3.5,percent of total billed charges,999999999,,,,,,,,,,3.5,percent of total billed charges,3.048018873,,,,,,,,,,12.6,percent of total billed charges,,,,,
ERYTHROMYCIN OPHTH OINT: 3.5GM TUBE,250,RC,2420-8091-55,NDC,,both,1,EA,81.13,81.13,17.27127443,81.13,81.13,percent of total billed charges,59.6902232,,,,81.13,percent of total billed charges,63.27045637,,,,81.13,percent of total billed charges,59.6902232,,,,81.13,percent of total billed charges,63.27045637,,,,81.13,percent of total billed charges,999999999,,,,81.13,percent of total billed charges,61.81548397,,,,81.13,percent of total billed charges,59.6902232,,,,81.13,percent of total billed charges,63.27045637,,,,57.84569,percent of total billed charges,28.86605789,,,,57.84569,percent of total billed charges,17.27127443,,,,57.84569,percent of total billed charges,28.86605789,,,,57.84569,percent of total billed charges,17.27127443,,,,57.84569,percent of total billed charges,28.86605789,,,,57.84569,percent of total billed charges,17.27127443,,,,57.27778,percent of total billed charges,56.84319791,,,,57.27778,percent of total billed charges,39.20430306,,,,,,,,,,58.4136,percent of total billed charges,37.9674654,,,,,,,,,,58.4136,percent of total billed charges,999999999,,,,,,,,,,64.904,percent of total billed charges,54.38617818,,,,64.0927,percent of total billed charges,61.85221372,,,,64.0927,percent of total billed charges,54.64847823,,,,64.904,percent of total billed charges,999999999,,,,64.904,percent of total billed charges,999999999,,,,56.791,percent of total billed charges,999999999,,,,56.791,percent of total billed charges,999999999,,,,,,,,,,,,,,,,43.16116,percent of total billed charges,999999999,,,,,,,,,,,,,,,,40.97065,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20.2825,percent of total billed charges,19.26341372,,,,,,,,,,20.2825,percent of total billed charges,18.94297994,,,,,,,,,,20.2825,percent of total billed charges,18.89033821,,,,,,,,,,20.2825,percent of total billed charges,18.61217821,,,,,,,,,,20.2825,percent of total billed charges,19.09109692,,,,,,,,,,20.2825,percent of total billed charges,999999999,,,,,,,,,,20.2825,percent of total billed charges,16.38150555,,,,,,,,,,20.2825,percent of total billed charges,25.83476392,,,,,,,,,,20.2825,percent of total billed charges,999999999,,,,,,,,,,20.2825,percent of total billed charges,17.66326937,,,,,,,,,,73.017,percent of total billed charges,,,,,
**ERYTHROMYCIN SULFISOXAZOLE SUP: 100 ML,259,RC,0000-6384-71,NDC,,both,1,EA,1344,1344,286.1160216,1344,1344,percent of total billed charges,988.8285466,,,,1344,percent of total billed charges,1048.138708,,,,1344,percent of total billed charges,988.8285466,,,,1344,percent of total billed charges,1048.138708,,,,1344,percent of total billed charges,999999999,,,,1344,percent of total billed charges,1024.035627,,,,1344,percent of total billed charges,988.8285466,,,,1344,percent of total billed charges,1048.138708,,,,958.272,percent of total billed charges,478.1952644,,,,958.272,percent of total billed charges,286.1160216,,,,958.272,percent of total billed charges,478.1952644,,,,958.272,percent of total billed charges,286.1160216,,,,958.272,percent of total billed charges,478.1952644,,,,958.272,percent of total billed charges,286.1160216,,,,948.864,percent of total billed charges,941.6647109,,,,948.864,percent of total billed charges,649.4586874,,,,,,,,,,967.68,percent of total billed charges,628.9692284,,,,,,,,,,967.68,percent of total billed charges,999999999,,,,,,,,,,1075.2,percent of total billed charges,900.9617092,,,,1061.76,percent of total billed charges,1024.644093,,,,1061.76,percent of total billed charges,905.3069732,,,,1075.2,percent of total billed charges,999999999,,,,1075.2,percent of total billed charges,999999999,,,,940.8,percent of total billed charges,999999999,,,,940.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,715.008,percent of total billed charges,999999999,,,,,,,,,,,,,,,,678.72,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,336,percent of total billed charges,319.1178114,,,,,,,,,,336,percent of total billed charges,313.8095037,,,,,,,,,,336,percent of total billed charges,312.9374406,,,,,,,,,,336,percent of total billed charges,308.3294406,,,,,,,,,,336,percent of total billed charges,316.2632103,,,,,,,,,,336,percent of total billed charges,999999999,,,,,,,,,,336,percent of total billed charges,271.3761057,,,,,,,,,,336,percent of total billed charges,427.9788328,,,,,,,,,,336,percent of total billed charges,999999999,,,,,,,,,,336,percent of total billed charges,292.6098118,,,,,,,,,,1209.6,percent of total billed charges,,,,,
ESTRADIOL (DEPO-ESTRADIOL) 5MG/ML: 5ML,J1000,CDM,0000-9027-01,NDC,,both,1,EA,707.15,707.15,150.5408814,707.15,707.15,percent of total billed charges,520.275377,,,,707.15,percent of total billed charges,551.4816125,,,,707.15,percent of total billed charges,520.275377,,,,707.15,percent of total billed charges,551.4816125,,,,707.15,percent of total billed charges,999999999,,,,707.15,percent of total billed charges,538.7996979,,,,707.15,percent of total billed charges,520.275377,,,,707.15,percent of total billed charges,551.4816125,,,,504.19795,percent of total billed charges,251.6040039,,,,504.19795,percent of total billed charges,150.5408814,,,,504.19795,percent of total billed charges,251.6040039,,,,504.19795,percent of total billed charges,150.5408814,,,,504.19795,percent of total billed charges,251.6040039,,,,504.19795,percent of total billed charges,150.5408814,,,,499.2479,percent of total billed charges,495.4599705,,,,499.2479,percent of total billed charges,341.7148146,,,,,,,,,,509.148,percent of total billed charges,330.9342187,,,,,,,,,,509.148,percent of total billed charges,999999999,,,,,,,,,,565.72,percent of total billed charges,474.0439529,,,,558.6485,percent of total billed charges,539.1198439,,,,558.6485,percent of total billed charges,476.3302278,,,,565.72,percent of total billed charges,999999999,,,,565.72,percent of total billed charges,999999999,,,,495.005,percent of total billed charges,999999999,,,,495.005,percent of total billed charges,999999999,,,,,,,,,,,,,,,,376.2038,percent of total billed charges,999999999,,,,,,,,,,,,,,,,357.11075,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,176.7875,percent of total billed charges,167.9048812,,,,,,,,,,176.7875,percent of total billed charges,165.1118977,,,,,,,,,,176.7875,percent of total billed charges,164.6530589,,,,,,,,,,176.7875,percent of total billed charges,162.2285446,,,,,,,,,,176.7875,percent of total billed charges,166.4029235,,,,,,,,,,176.7875,percent of total billed charges,999999999,,,,,,,,,,176.7875,percent of total billed charges,142.7854265,,,,,,,,,,176.7875,percent of total billed charges,225.182464,,,,,,,,,,176.7875,percent of total billed charges,999999999,,,,,,,,,,176.7875,percent of total billed charges,153.9576104,,,,,,,,,,636.435,percent of total billed charges,,,,,
lamoTRIgine (LaMICtal) 100MG TAB,637,RC,5107-9049-20,NDC,,both,1,EA,0.57,0.57,0.121343848,0.57,0.57,percent of total billed charges,0.41936925,,,,0.57,percent of total billed charges,0.444523113,,,,0.57,percent of total billed charges,0.41936925,,,,0.57,percent of total billed charges,0.444523113,,,,0.57,percent of total billed charges,999999999,,,,0.57,percent of total billed charges,0.434300824,,,,0.57,percent of total billed charges,0.41936925,,,,0.57,percent of total billed charges,0.444523113,,,,0.40641,percent of total billed charges,0.202806027,,,,0.40641,percent of total billed charges,0.121343848,,,,0.40641,percent of total billed charges,0.202806027,,,,0.40641,percent of total billed charges,0.121343848,,,,0.40641,percent of total billed charges,0.202806027,,,,0.40641,percent of total billed charges,0.121343848,,,,0.40242,percent of total billed charges,0.39936673,,,,0.40242,percent of total billed charges,0.275440068,,,,,,,,,,0.4104,percent of total billed charges,0.266750342,,,,,,,,,,0.4104,percent of total billed charges,999999999,,,,,,,,,,0.456,percent of total billed charges,0.382104296,,,,0.4503,percent of total billed charges,0.434558879,,,,0.4503,percent of total billed charges,0.383947154,,,,0.456,percent of total billed charges,999999999,,,,0.456,percent of total billed charges,999999999,,,,0.399,percent of total billed charges,999999999,,,,0.399,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.30324,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.28785,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.1425,percent of total billed charges,0.135340143,,,,,,,,,,0.1425,percent of total billed charges,0.133088852,,,,,,,,,,0.1425,percent of total billed charges,0.132719004,,,,,,,,,,0.1425,percent of total billed charges,0.130764718,,,,,,,,,,0.1425,percent of total billed charges,0.134129487,,,,,,,,,,0.1425,percent of total billed charges,999999999,,,,,,,,,,0.1425,percent of total billed charges,0.115092545,,,,,,,,,,0.1425,percent of total billed charges,0.18150888,,,,,,,,,,0.1425,percent of total billed charges,999999999,,,,,,,,,,0.1425,percent of total billed charges,0.124097911,,,,,,,,,,0.513,percent of total billed charges,,,,,
**CETIRIZINE (ZYRTEC) 5MG TAB,259,RC,0006-9073-66,NDC,,both,1,EA,10,10,2.128839446,10,10,percent of total billed charges,7.357355257,,,,10,percent of total billed charges,7.7986511,,,,10,percent of total billed charges,7.357355257,,,,10,percent of total billed charges,7.7986511,,,,10,percent of total billed charges,999999999,,,,10,percent of total billed charges,7.619312704,,,,10,percent of total billed charges,7.357355257,,,,10,percent of total billed charges,7.7986511,,,,7.13,percent of total billed charges,3.558000479,,,,7.13,percent of total billed charges,2.128839446,,,,7.13,percent of total billed charges,3.558000479,,,,7.13,percent of total billed charges,2.128839446,,,,7.13,percent of total billed charges,3.558000479,,,,7.13,percent of total billed charges,2.128839446,,,,7.06,percent of total billed charges,7.006433861,,,,7.06,percent of total billed charges,4.8322819,,,,,,,,,,7.2,percent of total billed charges,4.679830569,,,,,,,,,,7.2,percent of total billed charges,999999999,,,,,,,,,,8,percent of total billed charges,6.703584146,,,,7.9,percent of total billed charges,7.623839976,,,,7.9,percent of total billed charges,6.735914979,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,999999999,,,,7,percent of total billed charges,999999999,,,,7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.32,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.05,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.5,percent of total billed charges,2.374388478,,,,,,,,,,2.5,percent of total billed charges,2.334892141,,,,,,,,,,2.5,percent of total billed charges,2.328403576,,,,,,,,,,2.5,percent of total billed charges,2.294117861,,,,,,,,,,2.5,percent of total billed charges,2.353148886,,,,,,,,,,2.5,percent of total billed charges,999999999,,,,,,,,,,2.5,percent of total billed charges,2.019167453,,,,,,,,,,2.5,percent of total billed charges,3.184366315,,,,,,,,,,2.5,percent of total billed charges,999999999,,,,,,,,,,2.5,percent of total billed charges,2.177156338,,,,,,,,,,9,percent of total billed charges,,,,,
**ETIDRONATE (DIDRONEL) 200 MG: TAB,259,RC,0014-9040-60,NDC,,both,1,EA,12,12,2.554607335,12,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,12,percent of total billed charges,999999999,,,,12,percent of total billed charges,9.143175245,,,,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.472,percent of total billed charges,8.407720633,,,,8.472,percent of total billed charges,5.79873828,,,,,,,,,,8.64,percent of total billed charges,5.615796683,,,,,,,,,,8.64,percent of total billed charges,999999999,,,,,,,,,,9.6,percent of total billed charges,8.044300975,,,,9.48,percent of total billed charges,9.148607971,,,,9.48,percent of total billed charges,8.083097975,,,,9.6,percent of total billed charges,999999999,,,,9.6,percent of total billed charges,999999999,,,,8.4,percent of total billed charges,999999999,,,,8.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.384,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.06,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3,percent of total billed charges,2.849266173,,,,,,,,,,3,percent of total billed charges,2.801870569,,,,,,,,,,3,percent of total billed charges,2.794084291,,,,,,,,,,3,percent of total billed charges,2.752941434,,,,,,,,,,3,percent of total billed charges,2.823778664,,,,,,,,,,3,percent of total billed charges,999999999,,,,,,,,,,3,percent of total billed charges,2.423000944,,,,,,,,,,3,percent of total billed charges,3.821239578,,,,,,,,,,3,percent of total billed charges,999999999,,,,,,,,,,3,percent of total billed charges,2.612587605,,,,,,,,,,10.8,percent of total billed charges,,,,,
**BLACK WIDOW ANT IV,250,RC,0000-6408-00,NDC,,both,1,EA,85,85,18.09513529,85,85,percent of total billed charges,62.53751969,,,,85,percent of total billed charges,66.28853435,,,,85,percent of total billed charges,62.53751969,,,,85,percent of total billed charges,66.28853435,,,,85,percent of total billed charges,999999999,,,,85,percent of total billed charges,64.76415799,,,,85,percent of total billed charges,62.53751969,,,,85,percent of total billed charges,66.28853435,,,,60.605,percent of total billed charges,30.24300407,,,,60.605,percent of total billed charges,18.09513529,,,,60.605,percent of total billed charges,30.24300407,,,,60.605,percent of total billed charges,18.09513529,,,,60.605,percent of total billed charges,30.24300407,,,,60.605,percent of total billed charges,18.09513529,,,,60.01,percent of total billed charges,59.55468782,,,,60.01,percent of total billed charges,41.07439615,,,,,,,,,,61.2,percent of total billed charges,39.77855983,,,,,,,,,,61.2,percent of total billed charges,999999999,,,,,,,,,,68,percent of total billed charges,56.98046524,,,,67.15,percent of total billed charges,64.80263979,,,,67.15,percent of total billed charges,57.25527733,,,,68,percent of total billed charges,999999999,,,,68,percent of total billed charges,999999999,,,,59.5,percent of total billed charges,999999999,,,,59.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,45.22,percent of total billed charges,999999999,,,,,,,,,,,,,,,,42.925,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21.25,percent of total billed charges,20.18230206,,,,,,,,,,21.25,percent of total billed charges,19.8465832,,,,,,,,,,21.25,percent of total billed charges,19.79143039,,,,,,,,,,21.25,percent of total billed charges,19.50000182,,,,,,,,,,21.25,percent of total billed charges,20.00176553,,,,,,,,,,21.25,percent of total billed charges,999999999,,,,,,,,,,21.25,percent of total billed charges,17.16292335,,,,,,,,,,21.25,percent of total billed charges,27.06711368,,,,,,,,,,21.25,percent of total billed charges,999999999,,,,,,,,,,21.25,percent of total billed charges,18.50582887,,,,,,,,,,76.5,percent of total billed charges,,,,,
FAMOTIDINE (PEPCID) 20MG: TAB,250,RC,6373-9064-10,NDC,,both,1,EA,0.67,0.67,0.142632243,0.67,0.67,percent of total billed charges,0.492942802,,,,0.67,percent of total billed charges,0.522509624,,,,0.67,percent of total billed charges,0.492942802,,,,0.67,percent of total billed charges,0.522509624,,,,0.67,percent of total billed charges,999999999,,,,0.67,percent of total billed charges,0.510493951,,,,0.67,percent of total billed charges,0.492942802,,,,0.67,percent of total billed charges,0.522509624,,,,0.47771,percent of total billed charges,0.238386032,,,,0.47771,percent of total billed charges,0.142632243,,,,0.47771,percent of total billed charges,0.238386032,,,,0.47771,percent of total billed charges,0.142632243,,,,0.47771,percent of total billed charges,0.238386032,,,,0.47771,percent of total billed charges,0.142632243,,,,0.47302,percent of total billed charges,0.469431069,,,,0.47302,percent of total billed charges,0.323762887,,,,,,,,,,0.4824,percent of total billed charges,0.313548648,,,,,,,,,,0.4824,percent of total billed charges,999999999,,,,,,,,,,0.536,percent of total billed charges,0.449140138,,,,0.5293,percent of total billed charges,0.510797278,,,,0.5293,percent of total billed charges,0.451306304,,,,0.536,percent of total billed charges,999999999,,,,0.536,percent of total billed charges,999999999,,,,0.469,percent of total billed charges,999999999,,,,0.469,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.35644,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.33835,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.1675,percent of total billed charges,0.159084028,,,,,,,,,,0.1675,percent of total billed charges,0.156437773,,,,,,,,,,0.1675,percent of total billed charges,0.15600304,,,,,,,,,,0.1675,percent of total billed charges,0.153705897,,,,,,,,,,0.1675,percent of total billed charges,0.157660975,,,,,,,,,,0.1675,percent of total billed charges,999999999,,,,,,,,,,0.1675,percent of total billed charges,0.135284219,,,,,,,,,,0.1675,percent of total billed charges,0.213352543,,,,,,,,,,0.1675,percent of total billed charges,999999999,,,,,,,,,,0.1675,percent of total billed charges,0.145869475,,,,,,,,,,0.603,percent of total billed charges,,,,,
**CLINDAMYCIN (CLEOCIN) SOLN 75 MG/5ML,259,RC,0000-9076-04,NDC,,both,1,EA,10,10,2.128839446,10,10,percent of total billed charges,7.357355257,,,,10,percent of total billed charges,7.7986511,,,,10,percent of total billed charges,7.357355257,,,,10,percent of total billed charges,7.7986511,,,,10,percent of total billed charges,999999999,,,,10,percent of total billed charges,7.619312704,,,,10,percent of total billed charges,7.357355257,,,,10,percent of total billed charges,7.7986511,,,,7.13,percent of total billed charges,3.558000479,,,,7.13,percent of total billed charges,2.128839446,,,,7.13,percent of total billed charges,3.558000479,,,,7.13,percent of total billed charges,2.128839446,,,,7.13,percent of total billed charges,3.558000479,,,,7.13,percent of total billed charges,2.128839446,,,,7.06,percent of total billed charges,7.006433861,,,,7.06,percent of total billed charges,4.8322819,,,,,,,,,,7.2,percent of total billed charges,4.679830569,,,,,,,,,,7.2,percent of total billed charges,999999999,,,,,,,,,,8,percent of total billed charges,6.703584146,,,,7.9,percent of total billed charges,7.623839976,,,,7.9,percent of total billed charges,6.735914979,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,999999999,,,,7,percent of total billed charges,999999999,,,,7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.32,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.05,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.5,percent of total billed charges,2.374388478,,,,,,,,,,2.5,percent of total billed charges,2.334892141,,,,,,,,,,2.5,percent of total billed charges,2.328403576,,,,,,,,,,2.5,percent of total billed charges,2.294117861,,,,,,,,,,2.5,percent of total billed charges,2.353148886,,,,,,,,,,2.5,percent of total billed charges,999999999,,,,,,,,,,2.5,percent of total billed charges,2.019167453,,,,,,,,,,2.5,percent of total billed charges,3.184366315,,,,,,,,,,2.5,percent of total billed charges,999999999,,,,,,,,,,2.5,percent of total billed charges,2.177156338,,,,,,,,,,9,percent of total billed charges,,,,,
**ETHINYLESTRADIOL/NORGEST (OVRAL) TAB,259,RC,0000-8251-02,NDC,,both,1,EA,10,10,2.128839446,10,10,percent of total billed charges,7.357355257,,,,10,percent of total billed charges,7.7986511,,,,10,percent of total billed charges,7.357355257,,,,10,percent of total billed charges,7.7986511,,,,10,percent of total billed charges,999999999,,,,10,percent of total billed charges,7.619312704,,,,10,percent of total billed charges,7.357355257,,,,10,percent of total billed charges,7.7986511,,,,7.13,percent of total billed charges,3.558000479,,,,7.13,percent of total billed charges,2.128839446,,,,7.13,percent of total billed charges,3.558000479,,,,7.13,percent of total billed charges,2.128839446,,,,7.13,percent of total billed charges,3.558000479,,,,7.13,percent of total billed charges,2.128839446,,,,7.06,percent of total billed charges,7.006433861,,,,7.06,percent of total billed charges,4.8322819,,,,,,,,,,7.2,percent of total billed charges,4.679830569,,,,,,,,,,7.2,percent of total billed charges,999999999,,,,,,,,,,8,percent of total billed charges,6.703584146,,,,7.9,percent of total billed charges,7.623839976,,,,7.9,percent of total billed charges,6.735914979,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,999999999,,,,7,percent of total billed charges,999999999,,,,7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.32,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.05,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.5,percent of total billed charges,2.374388478,,,,,,,,,,2.5,percent of total billed charges,2.334892141,,,,,,,,,,2.5,percent of total billed charges,2.328403576,,,,,,,,,,2.5,percent of total billed charges,2.294117861,,,,,,,,,,2.5,percent of total billed charges,2.353148886,,,,,,,,,,2.5,percent of total billed charges,999999999,,,,,,,,,,2.5,percent of total billed charges,2.019167453,,,,,,,,,,2.5,percent of total billed charges,3.184366315,,,,,,,,,,2.5,percent of total billed charges,999999999,,,,,,,,,,2.5,percent of total billed charges,2.177156338,,,,,,,,,,9,percent of total billed charges,,,,,
FERROUS SULFATE (FEOSOL) 325 MG TAB,250,RC,6362-9175-01,NDC,,both,1,EA,0.5,0.5,0.106441972,0.5,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,999999999,,,,0.5,percent of total billed charges,0.380965635,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.353,percent of total billed charges,0.350321693,,,,0.353,percent of total billed charges,0.241614095,,,,,,,,,,0.36,percent of total billed charges,0.233991528,,,,,,,,,,0.36,percent of total billed charges,999999999,,,,,,,,,,0.4,percent of total billed charges,0.335179207,,,,0.395,percent of total billed charges,0.381191999,,,,0.395,percent of total billed charges,0.336795749,,,,0.4,percent of total billed charges,999999999,,,,0.4,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.266,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.2525,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.125,percent of total billed charges,0.118719424,,,,,,,,,,0.125,percent of total billed charges,0.116744607,,,,,,,,,,0.125,percent of total billed charges,0.116420179,,,,,,,,,,0.125,percent of total billed charges,0.114705893,,,,,,,,,,0.125,percent of total billed charges,0.117657444,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.100958373,,,,,,,,,,0.125,percent of total billed charges,0.159218316,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.108857817,,,,,,,,,,0.45,percent of total billed charges,,,,,
FLAVOXATE (URISPAS) 100 MG  TAB,259,RC,1731-4922-01,NDC,,both,1,EA,3.42,3.42,0.728063091,3.42,3.42,percent of total billed charges,2.516215498,,,,3.42,percent of total billed charges,2.667138676,,,,3.42,percent of total billed charges,2.516215498,,,,3.42,percent of total billed charges,2.667138676,,,,3.42,percent of total billed charges,999999999,,,,3.42,percent of total billed charges,2.605804945,,,,3.42,percent of total billed charges,2.516215498,,,,3.42,percent of total billed charges,2.667138676,,,,2.43846,percent of total billed charges,1.216836164,,,,2.43846,percent of total billed charges,0.728063091,,,,2.43846,percent of total billed charges,1.216836164,,,,2.43846,percent of total billed charges,0.728063091,,,,2.43846,percent of total billed charges,1.216836164,,,,2.43846,percent of total billed charges,0.728063091,,,,2.41452,percent of total billed charges,2.39620038,,,,2.41452,percent of total billed charges,1.65264041,,,,,,,,,,2.4624,percent of total billed charges,1.600502055,,,,,,,,,,2.4624,percent of total billed charges,999999999,,,,,,,,,,2.736,percent of total billed charges,2.292625778,,,,2.7018,percent of total billed charges,2.607353272,,,,2.7018,percent of total billed charges,2.303682923,,,,2.736,percent of total billed charges,999999999,,,,2.736,percent of total billed charges,999999999,,,,2.394,percent of total billed charges,999999999,,,,2.394,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.81944,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.7271,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.855,percent of total billed charges,0.812040859,,,,,,,,,,0.855,percent of total billed charges,0.798533112,,,,,,,,,,0.855,percent of total billed charges,0.796314023,,,,,,,,,,0.855,percent of total billed charges,0.784588309,,,,,,,,,,0.855,percent of total billed charges,0.804776919,,,,,,,,,,0.855,percent of total billed charges,999999999,,,,,,,,,,0.855,percent of total billed charges,0.690555269,,,,,,,,,,0.855,percent of total billed charges,1.08905328,,,,,,,,,,0.855,percent of total billed charges,999999999,,,,,,,,,,0.855,percent of total billed charges,0.744587467,,,,,,,,,,3.078,percent of total billed charges,,,,,
FLECAINIDE ACETATE (TAMBOCOR) 100MG TAB,637,RC,0005-4001-21,NDC,,both,1,EA,3.2,3.2,0.681228623,3.2,3.2,percent of total billed charges,2.354353682,,,,3.2,percent of total billed charges,2.495568352,,,,3.2,percent of total billed charges,2.354353682,,,,3.2,percent of total billed charges,2.495568352,,,,3.2,percent of total billed charges,999999999,,,,3.2,percent of total billed charges,2.438180065,,,,3.2,percent of total billed charges,2.354353682,,,,3.2,percent of total billed charges,2.495568352,,,,2.2816,percent of total billed charges,1.138560153,,,,2.2816,percent of total billed charges,0.681228623,,,,2.2816,percent of total billed charges,1.138560153,,,,2.2816,percent of total billed charges,0.681228623,,,,2.2816,percent of total billed charges,1.138560153,,,,2.2816,percent of total billed charges,0.681228623,,,,2.2592,percent of total billed charges,2.242058835,,,,2.2592,percent of total billed charges,1.546330208,,,,,,,,,,2.304,percent of total billed charges,1.497545782,,,,,,,,,,2.304,percent of total billed charges,999999999,,,,,,,,,,2.56,percent of total billed charges,2.145146927,,,,2.528,percent of total billed charges,2.439628792,,,,2.528,percent of total billed charges,2.155492793,,,,2.56,percent of total billed charges,999999999,,,,2.56,percent of total billed charges,999999999,,,,2.24,percent of total billed charges,999999999,,,,2.24,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.7024,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.616,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.8,percent of total billed charges,0.759804313,,,,,,,,,,0.8,percent of total billed charges,0.747165485,,,,,,,,,,0.8,percent of total billed charges,0.745089144,,,,,,,,,,0.8,percent of total billed charges,0.734117716,,,,,,,,,,0.8,percent of total billed charges,0.753007644,,,,,,,,,,0.8,percent of total billed charges,999999999,,,,,,,,,,0.8,percent of total billed charges,0.646133585,,,,,,,,,,0.8,percent of total billed charges,1.018997221,,,,,,,,,,0.8,percent of total billed charges,999999999,,,,,,,,,,0.8,percent of total billed charges,0.696690028,,,,,,,,,,2.88,percent of total billed charges,,,,,
FLUCONAZOLE (DIFLUCAN) 200MG TAB,259,RC,0004-9343-41,NDC,,both,1,EA,6.65,6.65,1.415678232,6.65,6.65,percent of total billed charges,4.892641246,,,,6.65,percent of total billed charges,5.186102982,,,,6.65,percent of total billed charges,4.892641246,,,,6.65,percent of total billed charges,5.186102982,,,,6.65,percent of total billed charges,999999999,,,,6.65,percent of total billed charges,5.066842948,,,,6.65,percent of total billed charges,4.892641246,,,,6.65,percent of total billed charges,5.186102982,,,,4.74145,percent of total billed charges,2.366070319,,,,4.74145,percent of total billed charges,1.415678232,,,,4.74145,percent of total billed charges,2.366070319,,,,4.74145,percent of total billed charges,1.415678232,,,,4.74145,percent of total billed charges,2.366070319,,,,4.74145,percent of total billed charges,1.415678232,,,,4.6949,percent of total billed charges,4.659278517,,,,4.6949,percent of total billed charges,3.213467464,,,,,,,,,,4.788,percent of total billed charges,3.112087328,,,,,,,,,,4.788,percent of total billed charges,999999999,,,,,,,,,,5.32,percent of total billed charges,4.457883457,,,,5.2535,percent of total billed charges,5.069853584,,,,5.2535,percent of total billed charges,4.479383461,,,,5.32,percent of total billed charges,999999999,,,,5.32,percent of total billed charges,999999999,,,,4.655,percent of total billed charges,999999999,,,,4.655,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.5378,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.35825,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.6625,percent of total billed charges,1.578968338,,,,,,,,,,1.6625,percent of total billed charges,1.552703274,,,,,,,,,,1.6625,percent of total billed charges,1.548388378,,,,,,,,,,1.6625,percent of total billed charges,1.525588378,,,,,,,,,,1.6625,percent of total billed charges,1.56484401,,,,,,,,,,1.6625,percent of total billed charges,999999999,,,,,,,,,,1.6625,percent of total billed charges,1.342746357,,,,,,,,,,1.6625,percent of total billed charges,2.1176036,,,,,,,,,,1.6625,percent of total billed charges,999999999,,,,,,,,,,1.6625,percent of total billed charges,1.447808965,,,,,,,,,,5.985,percent of total billed charges,,,,,
Metoprolol SUCC (TOPROL XL)  50MG,637,RC,0090-4632-61,NDC,,both,1,EA,1.83,1.83,0.389577619,1.83,1.83,percent of total billed charges,1.346396012,,,,1.83,percent of total billed charges,1.427153151,,,,1.83,percent of total billed charges,1.346396012,,,,1.83,percent of total billed charges,1.427153151,,,,1.83,percent of total billed charges,999999999,,,,1.83,percent of total billed charges,1.394334225,,,,1.83,percent of total billed charges,1.346396012,,,,1.83,percent of total billed charges,1.427153151,,,,1.30479,percent of total billed charges,0.651114088,,,,1.30479,percent of total billed charges,0.389577619,,,,1.30479,percent of total billed charges,0.651114088,,,,1.30479,percent of total billed charges,0.389577619,,,,1.30479,percent of total billed charges,0.651114088,,,,1.30479,percent of total billed charges,0.389577619,,,,1.29198,percent of total billed charges,1.282177397,,,,1.29198,percent of total billed charges,0.884307588,,,,,,,,,,1.3176,percent of total billed charges,0.856408994,,,,,,,,,,1.3176,percent of total billed charges,999999999,,,,,,,,,,1.464,percent of total billed charges,1.226755899,,,,1.4457,percent of total billed charges,1.395162716,,,,1.4457,percent of total billed charges,1.232672441,,,,1.464,percent of total billed charges,999999999,,,,1.464,percent of total billed charges,999999999,,,,1.281,percent of total billed charges,999999999,,,,1.281,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.97356,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.92415,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.4575,percent of total billed charges,0.434513091,,,,,,,,,,0.4575,percent of total billed charges,0.427285262,,,,,,,,,,0.4575,percent of total billed charges,0.426097854,,,,,,,,,,0.4575,percent of total billed charges,0.419823569,,,,,,,,,,0.4575,percent of total billed charges,0.430626246,,,,,,,,,,0.4575,percent of total billed charges,999999999,,,,,,,,,,0.4575,percent of total billed charges,0.369507644,,,,,,,,,,0.4575,percent of total billed charges,0.582739036,,,,,,,,,,0.4575,percent of total billed charges,999999999,,,,,,,,,,0.4575,percent of total billed charges,0.39841961,,,,,,,,,,1.647,percent of total billed charges,,,,,
FLUDROCORTISONE (FLORINEF) 0.1 MG TAB,637,RC,5486-8544-04,NDC,,both,1,EA,3.12,3.12,0.664197907,3.12,3.12,percent of total billed charges,2.29549484,,,,3.12,percent of total billed charges,2.433179143,,,,3.12,percent of total billed charges,2.29549484,,,,3.12,percent of total billed charges,2.433179143,,,,3.12,percent of total billed charges,999999999,,,,3.12,percent of total billed charges,2.377225564,,,,3.12,percent of total billed charges,2.29549484,,,,3.12,percent of total billed charges,2.433179143,,,,2.22456,percent of total billed charges,1.11009615,,,,2.22456,percent of total billed charges,0.664197907,,,,2.22456,percent of total billed charges,1.11009615,,,,2.22456,percent of total billed charges,0.664197907,,,,2.22456,percent of total billed charges,1.11009615,,,,2.22456,percent of total billed charges,0.664197907,,,,2.20272,percent of total billed charges,2.186007365,,,,2.20272,percent of total billed charges,1.507671953,,,,,,,,,,2.2464,percent of total billed charges,1.460107137,,,,,,,,,,2.2464,percent of total billed charges,999999999,,,,,,,,,,2.496,percent of total billed charges,2.091518254,,,,2.4648,percent of total billed charges,2.378638072,,,,2.4648,percent of total billed charges,2.101605474,,,,2.496,percent of total billed charges,999999999,,,,2.496,percent of total billed charges,999999999,,,,2.184,percent of total billed charges,999999999,,,,2.184,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.65984,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.5756,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.78,percent of total billed charges,0.740809205,,,,,,,,,,0.78,percent of total billed charges,0.728486348,,,,,,,,,,0.78,percent of total billed charges,0.726461916,,,,,,,,,,0.78,percent of total billed charges,0.715764773,,,,,,,,,,0.78,percent of total billed charges,0.734182453,,,,,,,,,,0.78,percent of total billed charges,999999999,,,,,,,,,,0.78,percent of total billed charges,0.629980245,,,,,,,,,,0.78,percent of total billed charges,0.99352229,,,,,,,,,,0.78,percent of total billed charges,999999999,,,,,,,,,,0.78,percent of total billed charges,0.679272777,,,,,,,,,,2.808,percent of total billed charges,,,,,
SENNA TAB (SENOKOT) 8.6MG TAB,637,RC,5528-9084-10,NDC,,both,1,EA,0.5,0.5,0.106441972,0.5,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,999999999,,,,0.5,percent of total billed charges,0.380965635,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.353,percent of total billed charges,0.350321693,,,,0.353,percent of total billed charges,0.241614095,,,,,,,,,,0.36,percent of total billed charges,0.233991528,,,,,,,,,,0.36,percent of total billed charges,999999999,,,,,,,,,,0.4,percent of total billed charges,0.335179207,,,,0.395,percent of total billed charges,0.381191999,,,,0.395,percent of total billed charges,0.336795749,,,,0.4,percent of total billed charges,999999999,,,,0.4,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.266,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.2525,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.125,percent of total billed charges,0.118719424,,,,,,,,,,0.125,percent of total billed charges,0.116744607,,,,,,,,,,0.125,percent of total billed charges,0.116420179,,,,,,,,,,0.125,percent of total billed charges,0.114705893,,,,,,,,,,0.125,percent of total billed charges,0.117657444,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.100958373,,,,,,,,,,0.125,percent of total billed charges,0.159218316,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.108857817,,,,,,,,,,0.45,percent of total billed charges,,,,,
**FLUNISOLIDE (AEROBID) INH 7GM,259,RC,5486-8188-01,NDC,,both,1,EA,170,170,36.19027059,170,170,percent of total billed charges,125.0750394,,,,170,percent of total billed charges,132.5770687,,,,170,percent of total billed charges,125.0750394,,,,170,percent of total billed charges,132.5770687,,,,170,percent of total billed charges,999999999,,,,170,percent of total billed charges,129.528316,,,,170,percent of total billed charges,125.0750394,,,,170,percent of total billed charges,132.5770687,,,,121.21,percent of total billed charges,60.48600815,,,,121.21,percent of total billed charges,36.19027059,,,,121.21,percent of total billed charges,60.48600815,,,,121.21,percent of total billed charges,36.19027059,,,,121.21,percent of total billed charges,60.48600815,,,,121.21,percent of total billed charges,36.19027059,,,,120.02,percent of total billed charges,119.1093756,,,,120.02,percent of total billed charges,82.14879231,,,,,,,,,,122.4,percent of total billed charges,79.55711967,,,,,,,,,,122.4,percent of total billed charges,999999999,,,,,,,,,,136,percent of total billed charges,113.9609305,,,,134.3,percent of total billed charges,129.6052796,,,,134.3,percent of total billed charges,114.5105547,,,,136,percent of total billed charges,999999999,,,,136,percent of total billed charges,999999999,,,,119,percent of total billed charges,999999999,,,,119,percent of total billed charges,999999999,,,,,,,,,,,,,,,,90.44,percent of total billed charges,999999999,,,,,,,,,,,,,,,,85.85,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,42.5,percent of total billed charges,40.36460412,,,,,,,,,,42.5,percent of total billed charges,39.6931664,,,,,,,,,,42.5,percent of total billed charges,39.58286079,,,,,,,,,,42.5,percent of total billed charges,39.00000364,,,,,,,,,,42.5,percent of total billed charges,40.00353107,,,,,,,,,,42.5,percent of total billed charges,999999999,,,,,,,,,,42.5,percent of total billed charges,34.32584671,,,,,,,,,,42.5,percent of total billed charges,54.13422736,,,,,,,,,,42.5,percent of total billed charges,999999999,,,,,,,,,,42.5,percent of total billed charges,37.01165774,,,,,,,,,,153,percent of total billed charges,,,,,
FLUOCINONIDE (LIDEX) CRM 0.05% 15GM,259,RC,0016-8013-15,NDC,,both,1,EA,87.63,87.63,18.65502007,87.63,87.63,percent of total billed charges,64.47250412,,,,87.63,percent of total billed charges,68.33957959,,,,87.63,percent of total billed charges,64.47250412,,,,87.63,percent of total billed charges,68.33957959,,,,87.63,percent of total billed charges,999999999,,,,87.63,percent of total billed charges,66.76803723,,,,87.63,percent of total billed charges,64.47250412,,,,87.63,percent of total billed charges,68.33957959,,,,62.48019,percent of total billed charges,31.1787582,,,,62.48019,percent of total billed charges,18.65502007,,,,62.48019,percent of total billed charges,31.1787582,,,,62.48019,percent of total billed charges,18.65502007,,,,62.48019,percent of total billed charges,31.1787582,,,,62.48019,percent of total billed charges,18.65502007,,,,61.86678,percent of total billed charges,61.39737992,,,,61.86678,percent of total billed charges,42.34528629,,,,,,,,,,63.0936,percent of total billed charges,41.00935527,,,,,,,,,,63.0936,percent of total billed charges,999999999,,,,,,,,,,70.104,percent of total billed charges,58.74350787,,,,69.2277,percent of total billed charges,66.80770971,,,,69.2277,percent of total billed charges,59.02682296,,,,70.104,percent of total billed charges,999999999,,,,70.104,percent of total billed charges,999999999,,,,61.341,percent of total billed charges,999999999,,,,61.341,percent of total billed charges,999999999,,,,,,,,,,,,,,,,46.61916,percent of total billed charges,999999999,,,,,,,,,,,,,,,,44.25315,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21.9075,percent of total billed charges,20.80676623,,,,,,,,,,21.9075,percent of total billed charges,20.46065983,,,,,,,,,,21.9075,percent of total billed charges,20.40380053,,,,,,,,,,21.9075,percent of total billed charges,20.10335482,,,,,,,,,,21.9075,percent of total billed charges,20.62064369,,,,,,,,,,21.9075,percent of total billed charges,999999999,,,,,,,,,,21.9075,percent of total billed charges,17.69396439,,,,,,,,,,21.9075,percent of total billed charges,27.90460202,,,,,,,,,,21.9075,percent of total billed charges,999999999,,,,,,,,,,21.9075,percent of total billed charges,19.07842099,,,,,,,,,,78.867,percent of total billed charges,,,,,
FLUOROMETHOLONE (FML) OPTH SOL 0.1%:10ML,259,RC,6075-8088-10,NDC,,both,1,EA,408.58,408.58,86.98012209,408.58,408.58,percent of total billed charges,300.6068211,,,,408.58,percent of total billed charges,318.6372866,,,,408.58,percent of total billed charges,300.6068211,,,,408.58,percent of total billed charges,318.6372866,,,,408.58,percent of total billed charges,999999999,,,,408.58,percent of total billed charges,311.3098785,,,,408.58,percent of total billed charges,300.6068211,,,,408.58,percent of total billed charges,318.6372866,,,,291.31754,percent of total billed charges,145.3727836,,,,291.31754,percent of total billed charges,86.98012209,,,,291.31754,percent of total billed charges,145.3727836,,,,291.31754,percent of total billed charges,86.98012209,,,,291.31754,percent of total billed charges,145.3727836,,,,291.31754,percent of total billed charges,86.98012209,,,,288.45748,percent of total billed charges,286.2688747,,,,288.45748,percent of total billed charges,197.4373739,,,,,,,,,,294.1776,percent of total billed charges,191.2085174,,,,,,,,,,294.1776,percent of total billed charges,999999999,,,,,,,,,,326.864,percent of total billed charges,273.895041,,,,322.7782,percent of total billed charges,311.4948537,,,,322.7782,percent of total billed charges,275.2160142,,,,326.864,percent of total billed charges,999999999,,,,326.864,percent of total billed charges,999999999,,,,286.006,percent of total billed charges,999999999,,,,286.006,percent of total billed charges,999999999,,,,,,,,,,,,,,,,217.36456,percent of total billed charges,999999999,,,,,,,,,,,,,,,,206.3329,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,102.145,percent of total billed charges,97.01276442,,,,,,,,,,102.145,percent of total billed charges,95.39902309,,,,,,,,,,102.145,percent of total billed charges,95.13391329,,,,,,,,,,102.145,percent of total billed charges,93.73306758,,,,,,,,,,102.145,percent of total billed charges,96.1449572,,,,,,,,,,102.145,percent of total billed charges,999999999,,,,,,,,,,102.145,percent of total billed charges,82.49914381,,,,,,,,,,102.145,percent of total billed charges,130.1068389,,,,,,,,,,102.145,percent of total billed charges,999999999,,,,,,,,,,102.145,percent of total billed charges,88.95425364,,,,,,,,,,367.722,percent of total billed charges,,,,,
**FLUOROURACIL (5FLU) 50MG/ML: 10 ML VIA,258,RC,6332-3011-20,NDC,,both,1,EA,31,31,6.599402283,31,31,percent of total billed charges,22.8078013,,,,31,percent of total billed charges,24.17581841,,,,31,percent of total billed charges,22.8078013,,,,31,percent of total billed charges,24.17581841,,,,31,percent of total billed charges,999999999,,,,31,percent of total billed charges,23.61986938,,,,31,percent of total billed charges,22.8078013,,,,31,percent of total billed charges,24.17581841,,,,22.103,percent of total billed charges,11.02980149,,,,22.103,percent of total billed charges,6.599402283,,,,22.103,percent of total billed charges,11.02980149,,,,22.103,percent of total billed charges,6.599402283,,,,22.103,percent of total billed charges,11.02980149,,,,22.103,percent of total billed charges,6.599402283,,,,21.886,percent of total billed charges,21.71994497,,,,21.886,percent of total billed charges,14.98007389,,,,,,,,,,22.32,percent of total billed charges,14.50747476,,,,,,,,,,22.32,percent of total billed charges,999999999,,,,,,,,,,24.8,percent of total billed charges,20.78111085,,,,24.49,percent of total billed charges,23.63390393,,,,24.49,percent of total billed charges,20.88133644,,,,24.8,percent of total billed charges,999999999,,,,24.8,percent of total billed charges,999999999,,,,21.7,percent of total billed charges,999999999,,,,21.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,16.492,percent of total billed charges,999999999,,,,,,,,,,,,,,,,15.655,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7.75,percent of total billed charges,7.360604281,,,,,,,,,,7.75,percent of total billed charges,7.238165637,,,,,,,,,,7.75,percent of total billed charges,7.218051084,,,,,,,,,,7.75,percent of total billed charges,7.11176537,,,,,,,,,,7.75,percent of total billed charges,7.294761548,,,,,,,,,,7.75,percent of total billed charges,999999999,,,,,,,,,,7.75,percent of total billed charges,6.259419106,,,,,,,,,,7.75,percent of total billed charges,9.871535577,,,,,,,,,,7.75,percent of total billed charges,999999999,,,,,,,,,,7.75,percent of total billed charges,6.749184647,,,,,,,,,,27.9,percent of total billed charges,,,,,
fluPHENAZine (PROLIXIN) 1MG TAB,637,RC,5107-9048-01,NDC,,both,1,EA,3.38,3.38,0.719547733,3.38,3.38,percent of total billed charges,2.486786077,,,,3.38,percent of total billed charges,2.635944072,,,,3.38,percent of total billed charges,2.486786077,,,,3.38,percent of total billed charges,2.635944072,,,,3.38,percent of total billed charges,999999999,,,,3.38,percent of total billed charges,2.575327694,,,,3.38,percent of total billed charges,2.486786077,,,,3.38,percent of total billed charges,2.635944072,,,,2.40994,percent of total billed charges,1.202604162,,,,2.40994,percent of total billed charges,0.719547733,,,,2.40994,percent of total billed charges,1.202604162,,,,2.40994,percent of total billed charges,0.719547733,,,,2.40994,percent of total billed charges,1.202604162,,,,2.40994,percent of total billed charges,0.719547733,,,,2.38628,percent of total billed charges,2.368174645,,,,2.38628,percent of total billed charges,1.633311282,,,,,,,,,,2.4336,percent of total billed charges,1.581782732,,,,,,,,,,2.4336,percent of total billed charges,999999999,,,,,,,,,,2.704,percent of total billed charges,2.265811441,,,,2.6702,percent of total billed charges,2.576857912,,,,2.6702,percent of total billed charges,2.276739263,,,,2.704,percent of total billed charges,999999999,,,,2.704,percent of total billed charges,999999999,,,,2.366,percent of total billed charges,999999999,,,,2.366,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.79816,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.7069,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.845,percent of total billed charges,0.802543305,,,,,,,,,,0.845,percent of total billed charges,0.789193544,,,,,,,,,,0.845,percent of total billed charges,0.787000409,,,,,,,,,,0.845,percent of total billed charges,0.775411837,,,,,,,,,,0.845,percent of total billed charges,0.795364324,,,,,,,,,,0.845,percent of total billed charges,999999999,,,,,,,,,,0.845,percent of total billed charges,0.682478599,,,,,,,,,,0.845,percent of total billed charges,1.076315815,,,,,,,,,,0.845,percent of total billed charges,999999999,,,,,,,,,,0.845,percent of total billed charges,0.735878842,,,,,,,,,,3.042,percent of total billed charges,,,,,
**FLURAZEPAM (DALMANE) 15 MG: CAP,259,RC,5107-9048-01,NDC,,both,1,EA,17,17,3.619027059,17,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,17,percent of total billed charges,999999999,,,,17,percent of total billed charges,12.9528316,,,,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.002,percent of total billed charges,11.91093756,,,,12.002,percent of total billed charges,8.214879231,,,,,,,,,,12.24,percent of total billed charges,7.955711967,,,,,,,,,,12.24,percent of total billed charges,999999999,,,,,,,,,,13.6,percent of total billed charges,11.39609305,,,,13.43,percent of total billed charges,12.96052796,,,,13.43,percent of total billed charges,11.45105547,,,,13.6,percent of total billed charges,999999999,,,,13.6,percent of total billed charges,999999999,,,,11.9,percent of total billed charges,999999999,,,,11.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.044,percent of total billed charges,999999999,,,,,,,,,,,,,,,,8.585,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4.25,percent of total billed charges,4.036460412,,,,,,,,,,4.25,percent of total billed charges,3.96931664,,,,,,,,,,4.25,percent of total billed charges,3.958286079,,,,,,,,,,4.25,percent of total billed charges,3.900000364,,,,,,,,,,4.25,percent of total billed charges,4.000353107,,,,,,,,,,4.25,percent of total billed charges,999999999,,,,,,,,,,4.25,percent of total billed charges,3.432584671,,,,,,,,,,4.25,percent of total billed charges,5.413422736,,,,,,,,,,4.25,percent of total billed charges,999999999,,,,,,,,,,4.25,percent of total billed charges,3.701165774,,,,,,,,,,15.3,percent of total billed charges,,,,,
**FLURAZEPAM (DALMANE) 30 MG CAP,259,RC,0037-8443-01,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
FOLIC ACID 1 MG TAB,637,RC,5107-9010-20,NDC,,both,1,EA,0.67,0.67,0.142632243,0.67,0.67,percent of total billed charges,0.492942802,,,,0.67,percent of total billed charges,0.522509624,,,,0.67,percent of total billed charges,0.492942802,,,,0.67,percent of total billed charges,0.522509624,,,,0.67,percent of total billed charges,999999999,,,,0.67,percent of total billed charges,0.510493951,,,,0.67,percent of total billed charges,0.492942802,,,,0.67,percent of total billed charges,0.522509624,,,,0.47771,percent of total billed charges,0.238386032,,,,0.47771,percent of total billed charges,0.142632243,,,,0.47771,percent of total billed charges,0.238386032,,,,0.47771,percent of total billed charges,0.142632243,,,,0.47771,percent of total billed charges,0.238386032,,,,0.47771,percent of total billed charges,0.142632243,,,,0.47302,percent of total billed charges,0.469431069,,,,0.47302,percent of total billed charges,0.323762887,,,,,,,,,,0.4824,percent of total billed charges,0.313548648,,,,,,,,,,0.4824,percent of total billed charges,999999999,,,,,,,,,,0.536,percent of total billed charges,0.449140138,,,,0.5293,percent of total billed charges,0.510797278,,,,0.5293,percent of total billed charges,0.451306304,,,,0.536,percent of total billed charges,999999999,,,,0.536,percent of total billed charges,999999999,,,,0.469,percent of total billed charges,999999999,,,,0.469,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.35644,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.33835,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.1675,percent of total billed charges,0.159084028,,,,,,,,,,0.1675,percent of total billed charges,0.156437773,,,,,,,,,,0.1675,percent of total billed charges,0.15600304,,,,,,,,,,0.1675,percent of total billed charges,0.153705897,,,,,,,,,,0.1675,percent of total billed charges,0.157660975,,,,,,,,,,0.1675,percent of total billed charges,999999999,,,,,,,,,,0.1675,percent of total billed charges,0.135284219,,,,,,,,,,0.1675,percent of total billed charges,0.213352543,,,,,,,,,,0.1675,percent of total billed charges,999999999,,,,,,,,,,0.1675,percent of total billed charges,0.145869475,,,,,,,,,,0.603,percent of total billed charges,,,,,
FOLIC AC (FOLVITE) INJ: 50MG/10ML,250,RC,6332-3018-11,NDC,,both,1,EA,293.34,293.34,62.44737632,293.34,293.34,percent of total billed charges,215.8206591,,,,293.34,percent of total billed charges,228.7656314,,,,293.34,percent of total billed charges,215.8206591,,,,293.34,percent of total billed charges,228.7656314,,,,293.34,percent of total billed charges,999999999,,,,293.34,percent of total billed charges,223.5049189,,,,293.34,percent of total billed charges,215.8206591,,,,293.34,percent of total billed charges,228.7656314,,,,209.15142,percent of total billed charges,104.3703861,,,,209.15142,percent of total billed charges,62.44737632,,,,209.15142,percent of total billed charges,104.3703861,,,,209.15142,percent of total billed charges,62.44737632,,,,209.15142,percent of total billed charges,104.3703861,,,,209.15142,percent of total billed charges,62.44737632,,,,207.09804,percent of total billed charges,205.5267309,,,,207.09804,percent of total billed charges,141.7501573,,,,,,,,,,211.2048,percent of total billed charges,137.2781499,,,,,,,,,,211.2048,percent of total billed charges,999999999,,,,,,,,,,234.672,percent of total billed charges,196.6429373,,,,231.7386,percent of total billed charges,223.6377219,,,,231.7386,percent of total billed charges,197.59133,,,,234.672,percent of total billed charges,999999999,,,,234.672,percent of total billed charges,999999999,,,,205.338,percent of total billed charges,999999999,,,,205.338,percent of total billed charges,999999999,,,,,,,,,,,,,,,,156.05688,percent of total billed charges,999999999,,,,,,,,,,,,,,,,148.1367,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,73.335,percent of total billed charges,69.6503116,,,,,,,,,,73.335,percent of total billed charges,68.49172606,,,,,,,,,,73.335,percent of total billed charges,68.30139049,,,,,,,,,,73.335,percent of total billed charges,67.29565334,,,,,,,,,,73.335,percent of total billed charges,69.02726944,,,,,,,,,,73.335,percent of total billed charges,999999999,,,,,,,,,,73.335,percent of total billed charges,59.23025808,,,,,,,,,,73.335,percent of total billed charges,93.41020149,,,,,,,,,,73.335,percent of total billed charges,999999999,,,,,,,,,,73.335,percent of total billed charges,63.86470401,,,,,,,,,,264.006,percent of total billed charges,,,,,
FUROSEMIDE (LASIX) INJ 100MG/10mL: VIAL,J1940,CDM,0040-9610-10,NDC,,both,1,EA,18.33,18.33,3.902162705,18.33,18.33,percent of total billed charges,13.48603219,,,,18.33,percent of total billed charges,14.29492747,,,,18.33,percent of total billed charges,13.48603219,,,,18.33,percent of total billed charges,14.29492747,,,,18.33,percent of total billed charges,999999999,,,,18.33,percent of total billed charges,13.96620019,,,,18.33,percent of total billed charges,13.48603219,,,,18.33,percent of total billed charges,14.29492747,,,,13.06929,percent of total billed charges,6.521814879,,,,13.06929,percent of total billed charges,3.902162705,,,,13.06929,percent of total billed charges,6.521814879,,,,13.06929,percent of total billed charges,3.902162705,,,,13.06929,percent of total billed charges,6.521814879,,,,13.06929,percent of total billed charges,3.902162705,,,,12.94098,percent of total billed charges,12.84279327,,,,12.94098,percent of total billed charges,8.857572723,,,,,,,,,,13.1976,percent of total billed charges,8.578129433,,,,,,,,,,13.1976,percent of total billed charges,999999999,,,,,,,,,,14.664,percent of total billed charges,12.28766974,,,,14.4807,percent of total billed charges,13.97449868,,,,14.4807,percent of total billed charges,12.34693216,,,,14.664,percent of total billed charges,999999999,,,,14.664,percent of total billed charges,999999999,,,,12.831,percent of total billed charges,999999999,,,,12.831,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.75156,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.25665,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4.5825,percent of total billed charges,4.35225408,,,,,,,,,,4.5825,percent of total billed charges,4.279857294,,,,,,,,,,4.5825,percent of total billed charges,4.267963754,,,,,,,,,,4.5825,percent of total billed charges,4.20511804,,,,,,,,,,4.5825,percent of total billed charges,4.313321909,,,,,,,,,,4.5825,percent of total billed charges,999999999,,,,,,,,,,4.5825,percent of total billed charges,3.701133942,,,,,,,,,,4.5825,percent of total billed charges,5.836943456,,,,,,,,,,4.5825,percent of total billed charges,999999999,,,,,,,,,,4.5825,percent of total billed charges,3.990727567,,,,,,,,,,16.497,percent of total billed charges,,,,,
FUROSEMIDE (LASIX) 20MG TAB,250,RC,0037-8020-01,NDC,,both,1,EA,0.5,0.5,0.106441972,0.5,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,999999999,,,,0.5,percent of total billed charges,0.380965635,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.353,percent of total billed charges,0.350321693,,,,0.353,percent of total billed charges,0.241614095,,,,,,,,,,0.36,percent of total billed charges,0.233991528,,,,,,,,,,0.36,percent of total billed charges,999999999,,,,,,,,,,0.4,percent of total billed charges,0.335179207,,,,0.395,percent of total billed charges,0.381191999,,,,0.395,percent of total billed charges,0.336795749,,,,0.4,percent of total billed charges,999999999,,,,0.4,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.266,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.2525,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.125,percent of total billed charges,0.118719424,,,,,,,,,,0.125,percent of total billed charges,0.116744607,,,,,,,,,,0.125,percent of total billed charges,0.116420179,,,,,,,,,,0.125,percent of total billed charges,0.114705893,,,,,,,,,,0.125,percent of total billed charges,0.117657444,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.100958373,,,,,,,,,,0.125,percent of total billed charges,0.159218316,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.108857817,,,,,,,,,,0.45,percent of total billed charges,,,,,
FUROSEMIDE (LASIX) INJ 40MG: VIAL,J1940,CDM,0040-9610-18,NDC,,both,1,EA,12.95,12.95,2.756847083,12.95,12.95,percent of total billed charges,9.527775058,,,,12.95,percent of total billed charges,10.09925317,,,,12.95,percent of total billed charges,9.527775058,,,,12.95,percent of total billed charges,10.09925317,,,,12.95,percent of total billed charges,999999999,,,,12.95,percent of total billed charges,9.867009952,,,,12.95,percent of total billed charges,9.527775058,,,,12.95,percent of total billed charges,10.09925317,,,,9.23335,percent of total billed charges,4.607610621,,,,9.23335,percent of total billed charges,2.756847083,,,,9.23335,percent of total billed charges,4.607610621,,,,9.23335,percent of total billed charges,2.756847083,,,,9.23335,percent of total billed charges,4.607610621,,,,9.23335,percent of total billed charges,2.756847083,,,,9.1427,percent of total billed charges,9.07333185,,,,9.1427,percent of total billed charges,6.257805061,,,,,,,,,,9.324,percent of total billed charges,6.060380587,,,,,,,,,,9.324,percent of total billed charges,999999999,,,,,,,,,,10.36,percent of total billed charges,8.681141469,,,,10.2305,percent of total billed charges,9.872872769,,,,10.2305,percent of total billed charges,8.723009898,,,,10.36,percent of total billed charges,999999999,,,,10.36,percent of total billed charges,999999999,,,,9.065,percent of total billed charges,999999999,,,,9.065,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.8894,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.53975,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3.2375,percent of total billed charges,3.074833079,,,,,,,,,,3.2375,percent of total billed charges,3.023685322,,,,,,,,,,3.2375,percent of total billed charges,3.01528263,,,,,,,,,,3.2375,percent of total billed charges,2.97088263,,,,,,,,,,3.2375,percent of total billed charges,3.047327808,,,,,,,,,,3.2375,percent of total billed charges,999999999,,,,,,,,,,3.2375,percent of total billed charges,2.614821852,,,,,,,,,,3.2375,percent of total billed charges,4.123754378,,,,,,,,,,3.2375,percent of total billed charges,999999999,,,,,,,,,,3.2375,percent of total billed charges,2.819417457,,,,,,,,,,11.655,percent of total billed charges,,,,,
FUROSEMIDE (LASIX) 40 MG TAB,637,RC,5107-9007-20,NDC,,both,1,EA,0.5,0.5,0.106441972,0.5,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,999999999,,,,0.5,percent of total billed charges,0.380965635,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.353,percent of total billed charges,0.350321693,,,,0.353,percent of total billed charges,0.241614095,,,,,,,,,,0.36,percent of total billed charges,0.233991528,,,,,,,,,,0.36,percent of total billed charges,999999999,,,,,,,,,,0.4,percent of total billed charges,0.335179207,,,,0.395,percent of total billed charges,0.381191999,,,,0.395,percent of total billed charges,0.336795749,,,,0.4,percent of total billed charges,999999999,,,,0.4,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.266,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.2525,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.125,percent of total billed charges,0.118719424,,,,,,,,,,0.125,percent of total billed charges,0.116744607,,,,,,,,,,0.125,percent of total billed charges,0.116420179,,,,,,,,,,0.125,percent of total billed charges,0.114705893,,,,,,,,,,0.125,percent of total billed charges,0.117657444,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.100958373,,,,,,,,,,0.125,percent of total billed charges,0.159218316,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.108857817,,,,,,,,,,0.45,percent of total billed charges,,,,,
**FUROSEMIDE (LASIX)ORAL SOLN 10MG/ML:60,259,RC,0005-4329-46,NDC,,both,1,EA,33,33,7.025170173,33,33,percent of total billed charges,24.27927235,,,,33,percent of total billed charges,25.73554863,,,,33,percent of total billed charges,24.27927235,,,,33,percent of total billed charges,25.73554863,,,,33,percent of total billed charges,999999999,,,,33,percent of total billed charges,25.14373192,,,,33,percent of total billed charges,24.27927235,,,,33,percent of total billed charges,25.73554863,,,,23.529,percent of total billed charges,11.74140158,,,,23.529,percent of total billed charges,7.025170173,,,,23.529,percent of total billed charges,11.74140158,,,,23.529,percent of total billed charges,7.025170173,,,,23.529,percent of total billed charges,11.74140158,,,,23.529,percent of total billed charges,7.025170173,,,,23.298,percent of total billed charges,23.12123174,,,,23.298,percent of total billed charges,15.94653027,,,,,,,,,,23.76,percent of total billed charges,15.44344088,,,,,,,,,,23.76,percent of total billed charges,999999999,,,,,,,,,,26.4,percent of total billed charges,22.12182768,,,,26.07,percent of total billed charges,25.15867192,,,,26.07,percent of total billed charges,22.22851943,,,,26.4,percent of total billed charges,999999999,,,,26.4,percent of total billed charges,999999999,,,,23.1,percent of total billed charges,999999999,,,,23.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,17.556,percent of total billed charges,999999999,,,,,,,,,,,,,,,,16.665,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8.25,percent of total billed charges,7.835481976,,,,,,,,,,8.25,percent of total billed charges,7.705144065,,,,,,,,,,8.25,percent of total billed charges,7.6837318,,,,,,,,,,8.25,percent of total billed charges,7.570588942,,,,,,,,,,8.25,percent of total billed charges,7.765391325,,,,,,,,,,8.25,percent of total billed charges,999999999,,,,,,,,,,8.25,percent of total billed charges,6.663252596,,,,,,,,,,8.25,percent of total billed charges,10.50840884,,,,,,,,,,8.25,percent of total billed charges,999999999,,,,,,,,,,8.25,percent of total billed charges,7.184615914,,,,,,,,,,29.7,percent of total billed charges,,,,,
FUROSEMIDE (LASIX) 80MG TAB,250,RC,0005-4830-25,NDC,,both,1,EA,0.6,0.6,0.127730367,0.6,0.6,percent of total billed charges,0.441441315,,,,0.6,percent of total billed charges,0.467919066,,,,0.6,percent of total billed charges,0.441441315,,,,0.6,percent of total billed charges,0.467919066,,,,0.6,percent of total billed charges,999999999,,,,0.6,percent of total billed charges,0.457158762,,,,0.6,percent of total billed charges,0.441441315,,,,0.6,percent of total billed charges,0.467919066,,,,0.4278,percent of total billed charges,0.213480029,,,,0.4278,percent of total billed charges,0.127730367,,,,0.4278,percent of total billed charges,0.213480029,,,,0.4278,percent of total billed charges,0.127730367,,,,0.4278,percent of total billed charges,0.213480029,,,,0.4278,percent of total billed charges,0.127730367,,,,0.4236,percent of total billed charges,0.420386032,,,,0.4236,percent of total billed charges,0.289936914,,,,,,,,,,0.432,percent of total billed charges,0.280789834,,,,,,,,,,0.432,percent of total billed charges,999999999,,,,,,,,,,0.48,percent of total billed charges,0.402215049,,,,0.474,percent of total billed charges,0.457430399,,,,0.474,percent of total billed charges,0.404154899,,,,0.48,percent of total billed charges,999999999,,,,0.48,percent of total billed charges,999999999,,,,0.42,percent of total billed charges,999999999,,,,0.42,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.3192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.303,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.15,percent of total billed charges,0.142463309,,,,,,,,,,0.15,percent of total billed charges,0.140093528,,,,,,,,,,0.15,percent of total billed charges,0.139704215,,,,,,,,,,0.15,percent of total billed charges,0.137647072,,,,,,,,,,0.15,percent of total billed charges,0.141188933,,,,,,,,,,0.15,percent of total billed charges,999999999,,,,,,,,,,0.15,percent of total billed charges,0.121150047,,,,,,,,,,0.15,percent of total billed charges,0.191061979,,,,,,,,,,0.15,percent of total billed charges,999999999,,,,,,,,,,0.15,percent of total billed charges,0.13062938,,,,,,,,,,0.54,percent of total billed charges,,,,,
GEMFIBROZIL (LOPID) 600MG TAB,637,RC,3172-2022-60,NDC,,both,1,EA,1.06,1.06,0.225656981,1.06,1.06,percent of total billed charges,0.779879657,,,,1.06,percent of total billed charges,0.826657017,,,,1.06,percent of total billed charges,0.779879657,,,,1.06,percent of total billed charges,0.826657017,,,,1.06,percent of total billed charges,999999999,,,,1.06,percent of total billed charges,0.807647147,,,,1.06,percent of total billed charges,0.779879657,,,,1.06,percent of total billed charges,0.826657017,,,,0.75578,percent of total billed charges,0.377148051,,,,0.75578,percent of total billed charges,0.225656981,,,,0.75578,percent of total billed charges,0.377148051,,,,0.75578,percent of total billed charges,0.225656981,,,,0.75578,percent of total billed charges,0.377148051,,,,0.75578,percent of total billed charges,0.225656981,,,,0.74836,percent of total billed charges,0.742681989,,,,0.74836,percent of total billed charges,0.512221881,,,,,,,,,,0.7632,percent of total billed charges,0.49606204,,,,,,,,,,0.7632,percent of total billed charges,999999999,,,,,,,,,,0.848,percent of total billed charges,0.710579919,,,,0.8374,percent of total billed charges,0.808127037,,,,0.8374,percent of total billed charges,0.714006988,,,,0.848,percent of total billed charges,999999999,,,,0.848,percent of total billed charges,999999999,,,,0.742,percent of total billed charges,999999999,,,,0.742,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.56392,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.5353,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.265,percent of total billed charges,0.251685179,,,,,,,,,,0.265,percent of total billed charges,0.247498567,,,,,,,,,,0.265,percent of total billed charges,0.246810779,,,,,,,,,,0.265,percent of total billed charges,0.243176493,,,,,,,,,,0.265,percent of total billed charges,0.249433782,,,,,,,,,,0.265,percent of total billed charges,999999999,,,,,,,,,,0.265,percent of total billed charges,0.21403175,,,,,,,,,,0.265,percent of total billed charges,0.337542829,,,,,,,,,,0.265,percent of total billed charges,999999999,,,,,,,,,,0.265,percent of total billed charges,0.230778572,,,,,,,,,,0.954,percent of total billed charges,,,,,
GENTAMICIN: INJ 20MG VIAL,J1580,CDM,6332-3017-02,NDC,,both,1,EA,21.39,21.39,4.553587576,21.39,21.39,percent of total billed charges,15.7373829,,,,21.39,percent of total billed charges,16.6813147,,,,21.39,percent of total billed charges,15.7373829,,,,21.39,percent of total billed charges,16.6813147,,,,21.39,percent of total billed charges,999999999,,,,21.39,percent of total billed charges,16.29770987,,,,21.39,percent of total billed charges,15.7373829,,,,21.39,percent of total billed charges,16.6813147,,,,15.25107,percent of total billed charges,7.610563025,,,,15.25107,percent of total billed charges,4.553587576,,,,15.25107,percent of total billed charges,7.610563025,,,,15.25107,percent of total billed charges,4.553587576,,,,15.25107,percent of total billed charges,7.610563025,,,,15.25107,percent of total billed charges,4.553587576,,,,15.10134,percent of total billed charges,14.98676203,,,,15.10134,percent of total billed charges,10.33625098,,,,,,,,,,15.4008,percent of total billed charges,10.01015759,,,,,,,,,,15.4008,percent of total billed charges,999999999,,,,,,,,,,17.112,percent of total billed charges,14.33896649,,,,16.8981,percent of total billed charges,16.30739371,,,,16.8981,percent of total billed charges,14.40812214,,,,17.112,percent of total billed charges,999999999,,,,17.112,percent of total billed charges,999999999,,,,14.973,percent of total billed charges,999999999,,,,14.973,percent of total billed charges,999999999,,,,,,,,,,,,,,,,11.37948,percent of total billed charges,999999999,,,,,,,,,,,,,,,,10.80195,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5.3475,percent of total billed charges,5.078816954,,,,,,,,,,5.3475,percent of total billed charges,4.994334289,,,,,,,,,,5.3475,percent of total billed charges,4.980455248,,,,,,,,,,5.3475,percent of total billed charges,4.907118105,,,,,,,,,,5.3475,percent of total billed charges,5.033385468,,,,,,,,,,5.3475,percent of total billed charges,999999999,,,,,,,,,,5.3475,percent of total billed charges,4.318999183,,,,,,,,,,5.3475,percent of total billed charges,6.811359548,,,,,,,,,,5.3475,percent of total billed charges,999999999,,,,,,,,,,5.3475,percent of total billed charges,4.656937406,,,,,,,,,,19.251,percent of total billed charges,,,,,
INSULIN HUMAN REGULAR 100 IU/ML: DOSE,J1815,CDM,0000-2821-01,NDC,,both,1,EA,12.6,12.6,2.682337702,12.6,12.6,percent of total billed charges,9.270267624,,,,12.6,percent of total billed charges,9.826300386,,,,12.6,percent of total billed charges,9.270267624,,,,12.6,percent of total billed charges,9.826300386,,,,12.6,percent of total billed charges,999999999,,,,12.6,percent of total billed charges,9.600334007,,,,12.6,percent of total billed charges,9.270267624,,,,12.6,percent of total billed charges,9.826300386,,,,8.9838,percent of total billed charges,4.483080604,,,,8.9838,percent of total billed charges,2.682337702,,,,8.9838,percent of total billed charges,4.483080604,,,,8.9838,percent of total billed charges,2.682337702,,,,8.9838,percent of total billed charges,4.483080604,,,,8.9838,percent of total billed charges,2.682337702,,,,8.8956,percent of total billed charges,8.828106665,,,,8.8956,percent of total billed charges,6.088675195,,,,,,,,,,9.072,percent of total billed charges,5.896586517,,,,,,,,,,9.072,percent of total billed charges,999999999,,,,,,,,,,10.08,percent of total billed charges,8.446516024,,,,9.954,percent of total billed charges,9.60603837,,,,9.954,percent of total billed charges,8.487252874,,,,10.08,percent of total billed charges,999999999,,,,10.08,percent of total billed charges,999999999,,,,8.82,percent of total billed charges,999999999,,,,8.82,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.7032,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.363,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3.15,percent of total billed charges,2.991729482,,,,,,,,,,3.15,percent of total billed charges,2.941964098,,,,,,,,,,3.15,percent of total billed charges,2.933788505,,,,,,,,,,3.15,percent of total billed charges,2.890588505,,,,,,,,,,3.15,percent of total billed charges,2.964967597,,,,,,,,,,3.15,percent of total billed charges,999999999,,,,,,,,,,3.15,percent of total billed charges,2.544150991,,,,,,,,,,3.15,percent of total billed charges,4.012301557,,,,,,,,,,3.15,percent of total billed charges,999999999,,,,,,,,,,3.15,percent of total billed charges,2.743216985,,,,,,,,,,11.34,percent of total billed charges,,,,,
DIGOXIN (LANOXIN) ELIX 0.05MG/ML:UD/DOSE,637,RC,0005-4005-46,NDC,,both,1,EA,7.11,7.11,1.513604846,7.11,7.11,percent of total billed charges,5.231079588,,,,7.11,percent of total billed charges,5.544840932,,,,7.11,percent of total billed charges,5.231079588,,,,7.11,percent of total billed charges,5.544840932,,,,7.11,percent of total billed charges,999999999,,,,7.11,percent of total billed charges,5.417331333,,,,7.11,percent of total billed charges,5.231079588,,,,7.11,percent of total billed charges,5.544840932,,,,5.06943,percent of total billed charges,2.529738341,,,,5.06943,percent of total billed charges,1.513604846,,,,5.06943,percent of total billed charges,2.529738341,,,,5.06943,percent of total billed charges,1.513604846,,,,5.06943,percent of total billed charges,2.529738341,,,,5.06943,percent of total billed charges,1.513604846,,,,5.01966,percent of total billed charges,4.981574475,,,,5.01966,percent of total billed charges,3.435752431,,,,,,,,,,5.1192,percent of total billed charges,3.327359534,,,,,,,,,,5.1192,percent of total billed charges,999999999,,,,,,,,,,5.688,percent of total billed charges,4.766248328,,,,5.6169,percent of total billed charges,5.420550223,,,,5.6169,percent of total billed charges,4.78923555,,,,5.688,percent of total billed charges,999999999,,,,5.688,percent of total billed charges,999999999,,,,4.977,percent of total billed charges,999999999,,,,4.977,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.78252,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.59055,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.7775,percent of total billed charges,1.688190208,,,,,,,,,,1.7775,percent of total billed charges,1.660108312,,,,,,,,,,1.7775,percent of total billed charges,1.655494942,,,,,,,,,,1.7775,percent of total billed charges,1.631117799,,,,,,,,,,1.7775,percent of total billed charges,1.673088858,,,,,,,,,,1.7775,percent of total billed charges,999999999,,,,,,,,,,1.7775,percent of total billed charges,1.435628059,,,,,,,,,,1.7775,percent of total billed charges,2.26408445,,,,,,,,,,1.7775,percent of total billed charges,999999999,,,,,,,,,,1.7775,percent of total billed charges,1.547958156,,,,,,,,,,6.399,percent of total billed charges,,,,,
DIGOXIN (LANOXIN) INJ: 0.5MG/2ML,J1160,CDM,0064-1141-35,NDC,,both,1,EA,53.42,53.42,11.37226032,53.42,53.42,percent of total billed charges,39.30299178,,,,53.42,percent of total billed charges,41.66039418,,,,53.42,percent of total billed charges,39.30299178,,,,53.42,percent of total billed charges,41.66039418,,,,53.42,percent of total billed charges,999999999,,,,53.42,percent of total billed charges,40.70236847,,,,53.42,percent of total billed charges,39.30299178,,,,53.42,percent of total billed charges,41.66039418,,,,38.08846,percent of total billed charges,19.00683856,,,,38.08846,percent of total billed charges,11.37226032,,,,38.08846,percent of total billed charges,19.00683856,,,,38.08846,percent of total billed charges,11.37226032,,,,38.08846,percent of total billed charges,19.00683856,,,,38.08846,percent of total billed charges,11.37226032,,,,37.71452,percent of total billed charges,37.42836968,,,,37.71452,percent of total billed charges,25.81404991,,,,,,,,,,38.4624,percent of total billed charges,24.9996549,,,,,,,,,,38.4624,percent of total billed charges,999999999,,,,,,,,,,42.736,percent of total billed charges,35.81054651,,,,42.2018,percent of total billed charges,40.72655315,,,,42.2018,percent of total billed charges,35.98325782,,,,42.736,percent of total billed charges,999999999,,,,42.736,percent of total billed charges,999999999,,,,37.394,percent of total billed charges,999999999,,,,37.394,percent of total billed charges,999999999,,,,,,,,,,,,,,,,28.41944,percent of total billed charges,999999999,,,,,,,,,,,,,,,,26.9771,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13.355,percent of total billed charges,12.68398325,,,,,,,,,,13.355,percent of total billed charges,12.47299382,,,,,,,,,,13.355,percent of total billed charges,12.4383319,,,,,,,,,,13.355,percent of total billed charges,12.25517762,,,,,,,,,,13.355,percent of total billed charges,12.57052135,,,,,,,,,,13.355,percent of total billed charges,999999999,,,,,,,,,,13.355,percent of total billed charges,10.78639254,,,,,,,,,,13.355,percent of total billed charges,17.01088486,,,,,,,,,,13.355,percent of total billed charges,999999999,,,,,,,,,,13.355,percent of total billed charges,11.63036916,,,,,,,,,,48.078,percent of total billed charges,,,,,
"DIGOXIN (LANOXIN, DIGITEK) 0.25 MG TAB",637,RC,0090-4592-61,NDC,,both,1,EA,6.23,6.23,1.326266975,6.23,6.23,percent of total billed charges,4.583632325,,,,6.23,percent of total billed charges,4.858559635,,,,6.23,percent of total billed charges,4.583632325,,,,6.23,percent of total billed charges,4.858559635,,,,6.23,percent of total billed charges,999999999,,,,6.23,percent of total billed charges,4.746831815,,,,6.23,percent of total billed charges,4.583632325,,,,6.23,percent of total billed charges,4.858559635,,,,4.44199,percent of total billed charges,2.216634299,,,,4.44199,percent of total billed charges,1.326266975,,,,4.44199,percent of total billed charges,2.216634299,,,,4.44199,percent of total billed charges,1.326266975,,,,4.44199,percent of total billed charges,2.216634299,,,,4.44199,percent of total billed charges,1.326266975,,,,4.39838,percent of total billed charges,4.365008295,,,,4.39838,percent of total billed charges,3.010511624,,,,,,,,,,4.4856,percent of total billed charges,2.915534444,,,,,,,,,,4.4856,percent of total billed charges,999999999,,,,,,,,,,4.984,percent of total billed charges,4.176332923,,,,4.9217,percent of total billed charges,4.749652305,,,,4.9217,percent of total billed charges,4.196475032,,,,4.984,percent of total billed charges,999999999,,,,4.984,percent of total billed charges,999999999,,,,4.361,percent of total billed charges,999999999,,,,4.361,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.31436,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.14615,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5575,percent of total billed charges,1.479244022,,,,,,,,,,1.5575,percent of total billed charges,1.454637804,,,,,,,,,,1.5575,percent of total billed charges,1.450595428,,,,,,,,,,1.5575,percent of total billed charges,1.429235428,,,,,,,,,,1.5575,percent of total billed charges,1.466011756,,,,,,,,,,1.5575,percent of total billed charges,999999999,,,,,,,,,,1.5575,percent of total billed charges,1.257941323,,,,,,,,,,1.5575,percent of total billed charges,1.983860214,,,,,,,,,,1.5575,percent of total billed charges,999999999,,,,,,,,,,1.5575,percent of total billed charges,1.356368398,,,,,,,,,,5.607,percent of total billed charges,,,,,
DILTIAZEM (CARDIZEM) 30 MG TAB,259,RC,5107-9074-20,NDC,,both,1,EA,0.5,0.5,0.106441972,0.5,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,999999999,,,,0.5,percent of total billed charges,0.380965635,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.353,percent of total billed charges,0.350321693,,,,0.353,percent of total billed charges,0.241614095,,,,,,,,,,0.36,percent of total billed charges,0.233991528,,,,,,,,,,0.36,percent of total billed charges,999999999,,,,,,,,,,0.4,percent of total billed charges,0.335179207,,,,0.395,percent of total billed charges,0.381191999,,,,0.395,percent of total billed charges,0.336795749,,,,0.4,percent of total billed charges,999999999,,,,0.4,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.266,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.2525,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.125,percent of total billed charges,0.118719424,,,,,,,,,,0.125,percent of total billed charges,0.116744607,,,,,,,,,,0.125,percent of total billed charges,0.116420179,,,,,,,,,,0.125,percent of total billed charges,0.114705893,,,,,,,,,,0.125,percent of total billed charges,0.117657444,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.100958373,,,,,,,,,,0.125,percent of total billed charges,0.159218316,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.108857817,,,,,,,,,,0.45,percent of total billed charges,,,,,
**DILTIAZEM (CARDIZEM) 60MG SR CAP,250,RC,5107-9074-20,NDC,,both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**DIMENHYDRINATE (DRAMAMINE) 50MG: TAB,259,RC,5107-9074-20,NDC,,both,1,EA,17,17,3.619027059,17,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,17,percent of total billed charges,999999999,,,,17,percent of total billed charges,12.9528316,,,,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.002,percent of total billed charges,11.91093756,,,,12.002,percent of total billed charges,8.214879231,,,,,,,,,,12.24,percent of total billed charges,7.955711967,,,,,,,,,,12.24,percent of total billed charges,999999999,,,,,,,,,,13.6,percent of total billed charges,11.39609305,,,,13.43,percent of total billed charges,12.96052796,,,,13.43,percent of total billed charges,11.45105547,,,,13.6,percent of total billed charges,999999999,,,,13.6,percent of total billed charges,999999999,,,,11.9,percent of total billed charges,999999999,,,,11.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.044,percent of total billed charges,999999999,,,,,,,,,,,,,,,,8.585,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4.25,percent of total billed charges,4.036460412,,,,,,,,,,4.25,percent of total billed charges,3.96931664,,,,,,,,,,4.25,percent of total billed charges,3.958286079,,,,,,,,,,4.25,percent of total billed charges,3.900000364,,,,,,,,,,4.25,percent of total billed charges,4.000353107,,,,,,,,,,4.25,percent of total billed charges,999999999,,,,,,,,,,4.25,percent of total billed charges,3.432584671,,,,,,,,,,4.25,percent of total billed charges,5.413422736,,,,,,,,,,4.25,percent of total billed charges,999999999,,,,,,,,,,4.25,percent of total billed charges,3.701165774,,,,,,,,,,15.3,percent of total billed charges,,,,,
**DOCUSATE CALCIUM (SU240MG,259,RC,1013-5013-01,NDC,,both,1,EA,7,7,1.490187612,7,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,7,percent of total billed charges,999999999,,,,7,percent of total billed charges,5.333518893,,,,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.942,percent of total billed charges,4.904503703,,,,4.942,percent of total billed charges,3.38259733,,,,,,,,,,5.04,percent of total billed charges,3.275881398,,,,,,,,,,5.04,percent of total billed charges,999999999,,,,,,,,,,5.6,percent of total billed charges,4.692508902,,,,5.53,percent of total billed charges,5.336687983,,,,5.53,percent of total billed charges,4.715140486,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,4.9,percent of total billed charges,999999999,,,,4.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.724,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.535,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.75,percent of total billed charges,1.662071934,,,,,,,,,,1.75,percent of total billed charges,1.634424499,,,,,,,,,,1.75,percent of total billed charges,1.629882503,,,,,,,,,,1.75,percent of total billed charges,1.605882503,,,,,,,,,,1.75,percent of total billed charges,1.647204221,,,,,,,,,,1.75,percent of total billed charges,999999999,,,,,,,,,,1.75,percent of total billed charges,1.413417217,,,,,,,,,,1.75,percent of total billed charges,2.229056421,,,,,,,,,,1.75,percent of total billed charges,999999999,,,,,,,,,,1.75,percent of total billed charges,1.524009436,,,,,,,,,,6.3,percent of total billed charges,,,,,
diphenhydrAMINE (BENADRYL) 25MG CAP,637,RC,5058-0022-51,NDC,,both,1,EA,0.5,0.5,0.106441972,0.5,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,999999999,,,,0.5,percent of total billed charges,0.380965635,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.353,percent of total billed charges,0.350321693,,,,0.353,percent of total billed charges,0.241614095,,,,,,,,,,0.36,percent of total billed charges,0.233991528,,,,,,,,,,0.36,percent of total billed charges,999999999,,,,,,,,,,0.4,percent of total billed charges,0.335179207,,,,0.395,percent of total billed charges,0.381191999,,,,0.395,percent of total billed charges,0.336795749,,,,0.4,percent of total billed charges,999999999,,,,0.4,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.266,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.2525,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.125,percent of total billed charges,0.118719424,,,,,,,,,,0.125,percent of total billed charges,0.116744607,,,,,,,,,,0.125,percent of total billed charges,0.116420179,,,,,,,,,,0.125,percent of total billed charges,0.114705893,,,,,,,,,,0.125,percent of total billed charges,0.117657444,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.100958373,,,,,,,,,,0.125,percent of total billed charges,0.159218316,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.108857817,,,,,,,,,,0.45,percent of total billed charges,,,,,
**DIPHENHYDRAMINE 50MG CAP,259,RC,5107-9006-20,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
diphenhydrAMINE (BENADRYL) 50MG INJ,J1200,CDM,0064-1037-25,NDC,,both,1,EA,9.55,9.55,2.033041671,9.55,9.55,percent of total billed charges,7.026274271,,,,9.55,percent of total billed charges,7.447711801,,,,9.55,percent of total billed charges,7.026274271,,,,9.55,percent of total billed charges,7.447711801,,,,9.55,percent of total billed charges,999999999,,,,9.55,percent of total billed charges,7.276443633,,,,9.55,percent of total billed charges,7.026274271,,,,9.55,percent of total billed charges,7.447711801,,,,6.80915,percent of total billed charges,3.397890458,,,,6.80915,percent of total billed charges,2.033041671,,,,6.80915,percent of total billed charges,3.397890458,,,,6.80915,percent of total billed charges,2.033041671,,,,6.80915,percent of total billed charges,3.397890458,,,,6.80915,percent of total billed charges,2.033041671,,,,6.7423,percent of total billed charges,6.691144337,,,,6.7423,percent of total billed charges,4.614829215,,,,,,,,,,6.876,percent of total billed charges,4.469238193,,,,,,,,,,6.876,percent of total billed charges,999999999,,,,,,,,,,7.64,percent of total billed charges,6.401922859,,,,7.5445,percent of total billed charges,7.280767177,,,,7.5445,percent of total billed charges,6.432798805,,,,7.64,percent of total billed charges,999999999,,,,7.64,percent of total billed charges,999999999,,,,6.685,percent of total billed charges,999999999,,,,6.685,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.0806,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.82275,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.3875,percent of total billed charges,2.267540996,,,,,,,,,,2.3875,percent of total billed charges,2.229821995,,,,,,,,,,2.3875,percent of total billed charges,2.223625415,,,,,,,,,,2.3875,percent of total billed charges,2.190882558,,,,,,,,,,2.3875,percent of total billed charges,2.247257187,,,,,,,,,,2.3875,percent of total billed charges,999999999,,,,,,,,,,2.3875,percent of total billed charges,1.928304918,,,,,,,,,,2.3875,percent of total billed charges,3.041069831,,,,,,,,,,2.3875,percent of total billed charges,999999999,,,,,,,,,,2.3875,percent of total billed charges,2.079184302,,,,,,,,,,8.595,percent of total billed charges,,,,,
diphenhydrAMINE (BENADRYL) 25MG/10ML UD,637,RC,0012-1048-05,NDC,,both,1,EA,13.75,13.75,2.927154239,13.75,13.75,percent of total billed charges,10.11636348,,,,13.75,percent of total billed charges,10.72314526,,,,13.75,percent of total billed charges,10.11636348,,,,13.75,percent of total billed charges,10.72314526,,,,13.75,percent of total billed charges,999999999,,,,13.75,percent of total billed charges,10.47655497,,,,13.75,percent of total billed charges,10.11636348,,,,13.75,percent of total billed charges,10.72314526,,,,9.80375,percent of total billed charges,4.892250659,,,,9.80375,percent of total billed charges,2.927154239,,,,9.80375,percent of total billed charges,4.892250659,,,,9.80375,percent of total billed charges,2.927154239,,,,9.80375,percent of total billed charges,4.892250659,,,,9.80375,percent of total billed charges,2.927154239,,,,9.7075,percent of total billed charges,9.633846558,,,,9.7075,percent of total billed charges,6.644387613,,,,,,,,,,9.9,percent of total billed charges,6.434767032,,,,,,,,,,9.9,percent of total billed charges,999999999,,,,,,,,,,11,percent of total billed charges,9.217428201,,,,10.8625,percent of total billed charges,10.48277997,,,,10.8625,percent of total billed charges,9.261883097,,,,11,percent of total billed charges,999999999,,,,11,percent of total billed charges,999999999,,,,9.625,percent of total billed charges,999999999,,,,9.625,percent of total billed charges,999999999,,,,,,,,,,,,,,,,7.315,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.94375,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3.4375,percent of total billed charges,3.264784157,,,,,,,,,,3.4375,percent of total billed charges,3.210476694,,,,,,,,,,3.4375,percent of total billed charges,3.201554916,,,,,,,,,,3.4375,percent of total billed charges,3.154412059,,,,,,,,,,3.4375,percent of total billed charges,3.235579719,,,,,,,,,,3.4375,percent of total billed charges,999999999,,,,,,,,,,3.4375,percent of total billed charges,2.776355248,,,,,,,,,,3.4375,percent of total billed charges,4.378503683,,,,,,,,,,3.4375,percent of total billed charges,999999999,,,,,,,,,,3.4375,percent of total billed charges,2.993589964,,,,,,,,,,12.375,percent of total billed charges,,,,,
DIPHENOXYLATE/ATROPINE (LOMOTIL) 2.5MG,637,RC,6255-9049-01,NDC,,both,1,EA,6.58,6.58,1.400776356,6.58,6.58,percent of total billed charges,4.841139759,,,,6.58,percent of total billed charges,5.131512424,,,,6.58,percent of total billed charges,4.841139759,,,,6.58,percent of total billed charges,5.131512424,,,,6.58,percent of total billed charges,999999999,,,,6.58,percent of total billed charges,5.013507759,,,,6.58,percent of total billed charges,4.841139759,,,,6.58,percent of total billed charges,5.131512424,,,,4.69154,percent of total billed charges,2.341164315,,,,4.69154,percent of total billed charges,1.400776356,,,,4.69154,percent of total billed charges,2.341164315,,,,4.69154,percent of total billed charges,1.400776356,,,,4.69154,percent of total billed charges,2.341164315,,,,4.69154,percent of total billed charges,1.400776356,,,,4.64548,percent of total billed charges,4.61023348,,,,4.64548,percent of total billed charges,3.17964149,,,,,,,,,,4.7376,percent of total billed charges,3.079328514,,,,,,,,,,4.7376,percent of total billed charges,999999999,,,,,,,,,,5.264,percent of total billed charges,4.410958368,,,,5.1982,percent of total billed charges,5.016486704,,,,5.1982,percent of total billed charges,4.432232056,,,,5.264,percent of total billed charges,999999999,,,,5.264,percent of total billed charges,999999999,,,,4.606,percent of total billed charges,999999999,,,,4.606,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.50056,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.3229,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.645,percent of total billed charges,1.562347618,,,,,,,,,,1.645,percent of total billed charges,1.536359029,,,,,,,,,,1.645,percent of total billed charges,1.532089553,,,,,,,,,,1.645,percent of total billed charges,1.509529553,,,,,,,,,,1.645,percent of total billed charges,1.548371967,,,,,,,,,,1.645,percent of total billed charges,999999999,,,,,,,,,,1.645,percent of total billed charges,1.328612184,,,,,,,,,,1.645,percent of total billed charges,2.095313035,,,,,,,,,,1.645,percent of total billed charges,999999999,,,,,,,,,,1.645,percent of total billed charges,1.43256887,,,,,,,,,,5.922,percent of total billed charges,,,,,
DIPYRIDAMOLE (PERSANTINE) 25MG TAB,259,RC,6498-0013-01,NDC,,both,1,EA,1.42,1.42,0.302295201,1.42,1.42,percent of total billed charges,1.044744447,,,,1.42,percent of total billed charges,1.107408456,,,,1.42,percent of total billed charges,1.044744447,,,,1.42,percent of total billed charges,1.107408456,,,,1.42,percent of total billed charges,999999999,,,,1.42,percent of total billed charges,1.081942404,,,,1.42,percent of total billed charges,1.044744447,,,,1.42,percent of total billed charges,1.107408456,,,,1.01246,percent of total billed charges,0.505236068,,,,1.01246,percent of total billed charges,0.302295201,,,,1.01246,percent of total billed charges,0.505236068,,,,1.01246,percent of total billed charges,0.302295201,,,,1.01246,percent of total billed charges,0.505236068,,,,1.01246,percent of total billed charges,0.302295201,,,,1.00252,percent of total billed charges,0.994913608,,,,1.00252,percent of total billed charges,0.68618403,,,,,,,,,,1.0224,percent of total billed charges,0.664535941,,,,,,,,,,1.0224,percent of total billed charges,999999999,,,,,,,,,,1.136,percent of total billed charges,0.951908949,,,,1.1218,percent of total billed charges,1.082585277,,,,1.1218,percent of total billed charges,0.956499927,,,,1.136,percent of total billed charges,999999999,,,,1.136,percent of total billed charges,999999999,,,,0.994,percent of total billed charges,999999999,,,,0.994,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.75544,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.7171,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.355,percent of total billed charges,0.337163164,,,,,,,,,,0.355,percent of total billed charges,0.331554684,,,,,,,,,,0.355,percent of total billed charges,0.330633308,,,,,,,,,,0.355,percent of total billed charges,0.325764736,,,,,,,,,,0.355,percent of total billed charges,0.334147142,,,,,,,,,,0.355,percent of total billed charges,999999999,,,,,,,,,,0.355,percent of total billed charges,0.286721778,,,,,,,,,,0.355,percent of total billed charges,0.452180017,,,,,,,,,,0.355,percent of total billed charges,999999999,,,,,,,,,,0.355,percent of total billed charges,0.3091562,,,,,,,,,,1.278,percent of total billed charges,,,,,
**DIPYRIDAMOLE (PERSANTINE) 50MG TAB,259,RC,6139-2055-90,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
**DOBUTAMINE (DOBUTREX) 250MG INJ,250,RC,6745-7017-50,NDC,,both,1,EA,29,29,6.173634394,29,29,percent of total billed charges,21.33633025,,,,29,percent of total billed charges,22.61608819,,,,29,percent of total billed charges,21.33633025,,,,29,percent of total billed charges,22.61608819,,,,29,percent of total billed charges,999999999,,,,29,percent of total billed charges,22.09600684,,,,29,percent of total billed charges,21.33633025,,,,29,percent of total billed charges,22.61608819,,,,20.677,percent of total billed charges,10.31820139,,,,20.677,percent of total billed charges,6.173634394,,,,20.677,percent of total billed charges,10.31820139,,,,20.677,percent of total billed charges,6.173634394,,,,20.677,percent of total billed charges,10.31820139,,,,20.677,percent of total billed charges,6.173634394,,,,20.474,percent of total billed charges,20.3186582,,,,20.474,percent of total billed charges,14.01361751,,,,,,,,,,20.88,percent of total billed charges,13.57150865,,,,,,,,,,20.88,percent of total billed charges,999999999,,,,,,,,,,23.2,percent of total billed charges,19.44039402,,,,22.91,percent of total billed charges,22.10913593,,,,22.91,percent of total billed charges,19.53415344,,,,23.2,percent of total billed charges,999999999,,,,23.2,percent of total billed charges,999999999,,,,20.3,percent of total billed charges,999999999,,,,20.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,15.428,percent of total billed charges,999999999,,,,,,,,,,,,,,,,14.645,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7.25,percent of total billed charges,6.885726585,,,,,,,,,,7.25,percent of total billed charges,6.771187209,,,,,,,,,,7.25,percent of total billed charges,6.752370369,,,,,,,,,,7.25,percent of total billed charges,6.652941798,,,,,,,,,,7.25,percent of total billed charges,6.824131771,,,,,,,,,,7.25,percent of total billed charges,999999999,,,,,,,,,,7.25,percent of total billed charges,5.855585615,,,,,,,,,,7.25,percent of total billed charges,9.234662314,,,,,,,,,,7.25,percent of total billed charges,999999999,,,,,,,,,,7.25,percent of total billed charges,6.313753379,,,,,,,,,,26.1,percent of total billed charges,,,,,
**PERI-COLACE SYRUP: 4OZ,250,RC,5409-2041-16,NDC,,both,1,EA,12,12,2.554607335,12,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,12,percent of total billed charges,999999999,,,,12,percent of total billed charges,9.143175245,,,,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.472,percent of total billed charges,8.407720633,,,,8.472,percent of total billed charges,5.79873828,,,,,,,,,,8.64,percent of total billed charges,5.615796683,,,,,,,,,,8.64,percent of total billed charges,999999999,,,,,,,,,,9.6,percent of total billed charges,8.044300975,,,,9.48,percent of total billed charges,9.148607971,,,,9.48,percent of total billed charges,8.083097975,,,,9.6,percent of total billed charges,999999999,,,,9.6,percent of total billed charges,999999999,,,,8.4,percent of total billed charges,999999999,,,,8.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.384,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.06,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3,percent of total billed charges,2.849266173,,,,,,,,,,3,percent of total billed charges,2.801870569,,,,,,,,,,3,percent of total billed charges,2.794084291,,,,,,,,,,3,percent of total billed charges,2.752941434,,,,,,,,,,3,percent of total billed charges,2.823778664,,,,,,,,,,3,percent of total billed charges,999999999,,,,,,,,,,3,percent of total billed charges,2.423000944,,,,,,,,,,3,percent of total billed charges,3.821239578,,,,,,,,,,3,percent of total billed charges,999999999,,,,,,,,,,3,percent of total billed charges,2.612587605,,,,,,,,,,10.8,percent of total billed charges,,,,,
**PERICOLACE CAP:EA,250,RC,0071-3040-99,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
DOCUSATE (COLACE)  100 MG CAP,637,RC,6068-7012-01,NDC,,both,1,EA,0.82,0.82,0.174564835,0.82,0.82,percent of total billed charges,0.603303131,,,,0.82,percent of total billed charges,0.63948939,,,,0.82,percent of total billed charges,0.603303131,,,,0.82,percent of total billed charges,0.63948939,,,,0.82,percent of total billed charges,999999999,,,,0.82,percent of total billed charges,0.624783642,,,,0.82,percent of total billed charges,0.603303131,,,,0.82,percent of total billed charges,0.63948939,,,,0.58466,percent of total billed charges,0.291756039,,,,0.58466,percent of total billed charges,0.174564835,,,,0.58466,percent of total billed charges,0.291756039,,,,0.58466,percent of total billed charges,0.174564835,,,,0.58466,percent of total billed charges,0.291756039,,,,0.58466,percent of total billed charges,0.174564835,,,,0.57892,percent of total billed charges,0.574527577,,,,0.57892,percent of total billed charges,0.396247116,,,,,,,,,,0.5904,percent of total billed charges,0.383746107,,,,,,,,,,0.5904,percent of total billed charges,999999999,,,,,,,,,,0.656,percent of total billed charges,0.5496939,,,,0.6478,percent of total billed charges,0.625154878,,,,0.6478,percent of total billed charges,0.552345028,,,,0.656,percent of total billed charges,999999999,,,,0.656,percent of total billed charges,999999999,,,,0.574,percent of total billed charges,999999999,,,,0.574,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.43624,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.4141,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.205,percent of total billed charges,0.194699855,,,,,,,,,,0.205,percent of total billed charges,0.191461156,,,,,,,,,,0.205,percent of total billed charges,0.190929093,,,,,,,,,,0.205,percent of total billed charges,0.188117665,,,,,,,,,,0.205,percent of total billed charges,0.192958209,,,,,,,,,,0.205,percent of total billed charges,999999999,,,,,,,,,,0.205,percent of total billed charges,0.165571731,,,,,,,,,,0.205,percent of total billed charges,0.261118038,,,,,,,,,,0.205,percent of total billed charges,999999999,,,,,,,,,,0.205,percent of total billed charges,0.17852682,,,,,,,,,,0.738,percent of total billed charges,,,,,
OXYTOCIN (PITOCIN) 10 UNIT/ML,J2590,CDM,6332-3001-03,NDC,,both,1,EA,42.52,42.52,9.051825325,42.52,42.52,percent of total billed charges,31.28347455,,,,42.52,percent of total billed charges,33.15986448,,,,42.52,percent of total billed charges,31.28347455,,,,42.52,percent of total billed charges,33.15986448,,,,42.52,percent of total billed charges,999999999,,,,42.52,percent of total billed charges,32.39731762,,,,42.52,percent of total billed charges,31.28347455,,,,42.52,percent of total billed charges,33.15986448,,,,30.31676,percent of total billed charges,15.12861804,,,,30.31676,percent of total billed charges,9.051825325,,,,30.31676,percent of total billed charges,15.12861804,,,,30.31676,percent of total billed charges,9.051825325,,,,30.31676,percent of total billed charges,15.12861804,,,,30.31676,percent of total billed charges,9.051825325,,,,30.01912,percent of total billed charges,29.79135678,,,,30.01912,percent of total billed charges,20.54686264,,,,,,,,,,30.6144,percent of total billed charges,19.89863958,,,,,,,,,,30.6144,percent of total billed charges,999999999,,,,,,,,,,34.016,percent of total billed charges,28.50363979,,,,33.5908,percent of total billed charges,32.41656758,,,,33.5908,percent of total billed charges,28.64111049,,,,34.016,percent of total billed charges,999999999,,,,34.016,percent of total billed charges,999999999,,,,29.764,percent of total billed charges,999999999,,,,29.764,percent of total billed charges,999999999,,,,,,,,,,,,,,,,22.62064,percent of total billed charges,999999999,,,,,,,,,,,,,,,,21.4726,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10.63,percent of total billed charges,10.09589981,,,,,,,,,,10.63,percent of total billed charges,9.927961383,,,,,,,,,,10.63,percent of total billed charges,9.900372004,,,,,,,,,,10.63,percent of total billed charges,9.754589146,,,,,,,,,,10.63,percent of total billed charges,10.00558907,,,,,,,,,,10.63,percent of total billed charges,999999999,,,,,,,,,,10.63,percent of total billed charges,8.585500012,,,,,,,,,,10.63,percent of total billed charges,13.53992557,,,,,,,,,,10.63,percent of total billed charges,999999999,,,,,,,,,,10.63,percent of total billed charges,9.257268748,,,,,,,,,,38.268,percent of total billed charges,,,,,
DOMEBORO POWDER PACKET,259,RC,1650-0002-24,NDC,,both,1,EA,2.46,2.46,0.523694504,2.46,2.46,percent of total billed charges,1.809909393,,,,2.46,percent of total billed charges,1.918468171,,,,2.46,percent of total billed charges,1.809909393,,,,2.46,percent of total billed charges,1.918468171,,,,2.46,percent of total billed charges,999999999,,,,2.46,percent of total billed charges,1.874350925,,,,2.46,percent of total billed charges,1.809909393,,,,2.46,percent of total billed charges,1.918468171,,,,1.75398,percent of total billed charges,0.875268118,,,,1.75398,percent of total billed charges,0.523694504,,,,1.75398,percent of total billed charges,0.875268118,,,,1.75398,percent of total billed charges,0.523694504,,,,1.75398,percent of total billed charges,0.875268118,,,,1.75398,percent of total billed charges,0.523694504,,,,1.73676,percent of total billed charges,1.72358273,,,,1.73676,percent of total billed charges,1.188741347,,,,,,,,,,1.7712,percent of total billed charges,1.15123832,,,,,,,,,,1.7712,percent of total billed charges,999999999,,,,,,,,,,1.968,percent of total billed charges,1.6490817,,,,1.9434,percent of total billed charges,1.875464634,,,,1.9434,percent of total billed charges,1.657035085,,,,1.968,percent of total billed charges,999999999,,,,1.968,percent of total billed charges,999999999,,,,1.722,percent of total billed charges,999999999,,,,1.722,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.30872,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.2423,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.615,percent of total billed charges,0.584099565,,,,,,,,,,0.615,percent of total billed charges,0.574383467,,,,,,,,,,0.615,percent of total billed charges,0.57278728,,,,,,,,,,0.615,percent of total billed charges,0.564352994,,,,,,,,,,0.615,percent of total billed charges,0.578874626,,,,,,,,,,0.615,percent of total billed charges,999999999,,,,,,,,,,0.615,percent of total billed charges,0.496715194,,,,,,,,,,0.615,percent of total billed charges,0.783354114,,,,,,,,,,0.615,percent of total billed charges,999999999,,,,,,,,,,0.615,percent of total billed charges,0.535580459,,,,,,,,,,2.214,percent of total billed charges,,,,,
**DOPAMINE INJECT 80 MG/ML 5ML VIAL,J1265,CDM,1650-0002-24,NDC,,both,1,EA,28,28,5.960750449,28,28,percent of total billed charges,20.60059472,,,,28,percent of total billed charges,21.83622308,,,,28,percent of total billed charges,20.60059472,,,,28,percent of total billed charges,21.83622308,,,,28,percent of total billed charges,999999999,,,,28,percent of total billed charges,21.33407557,,,,28,percent of total billed charges,20.60059472,,,,28,percent of total billed charges,21.83622308,,,,19.964,percent of total billed charges,9.962401342,,,,19.964,percent of total billed charges,5.960750449,,,,19.964,percent of total billed charges,9.962401342,,,,19.964,percent of total billed charges,5.960750449,,,,19.964,percent of total billed charges,9.962401342,,,,19.964,percent of total billed charges,5.960750449,,,,19.768,percent of total billed charges,19.61801481,,,,19.768,percent of total billed charges,13.53038932,,,,,,,,,,20.16,percent of total billed charges,13.10352559,,,,,,,,,,20.16,percent of total billed charges,999999999,,,,,,,,,,22.4,percent of total billed charges,18.77003561,,,,22.12,percent of total billed charges,21.34675193,,,,22.12,percent of total billed charges,18.86056194,,,,22.4,percent of total billed charges,999999999,,,,22.4,percent of total billed charges,999999999,,,,19.6,percent of total billed charges,999999999,,,,19.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,14.896,percent of total billed charges,999999999,,,,,,,,,,,,,,,,14.14,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7,percent of total billed charges,6.648287737,,,,,,,,,,7,percent of total billed charges,6.537697995,,,,,,,,,,7,percent of total billed charges,6.519530012,,,,,,,,,,7,percent of total billed charges,6.423530012,,,,,,,,,,7,percent of total billed charges,6.588816882,,,,,,,,,,7,percent of total billed charges,999999999,,,,,,,,,,7,percent of total billed charges,5.65366887,,,,,,,,,,7,percent of total billed charges,8.916225683,,,,,,,,,,7,percent of total billed charges,999999999,,,,,,,,,,7,percent of total billed charges,6.096037745,,,,,,,,,,25.2,percent of total billed charges,,,,,
DOXEPIN (SINEQUAN) 25MG CAP,637,RC,0037-8312-01,NDC,,both,1,EA,3.09,3.09,0.657811389,3.09,3.09,percent of total billed charges,2.273422774,,,,3.09,percent of total billed charges,2.40978319,,,,3.09,percent of total billed charges,2.273422774,,,,3.09,percent of total billed charges,2.40978319,,,,3.09,percent of total billed charges,999999999,,,,3.09,percent of total billed charges,2.354367626,,,,3.09,percent of total billed charges,2.273422774,,,,3.09,percent of total billed charges,2.40978319,,,,2.20317,percent of total billed charges,1.099422148,,,,2.20317,percent of total billed charges,0.657811389,,,,2.20317,percent of total billed charges,1.099422148,,,,2.20317,percent of total billed charges,0.657811389,,,,2.20317,percent of total billed charges,1.099422148,,,,2.20317,percent of total billed charges,0.657811389,,,,2.18154,percent of total billed charges,2.164988063,,,,2.18154,percent of total billed charges,1.493175107,,,,,,,,,,2.2248,percent of total billed charges,1.446067646,,,,,,,,,,2.2248,percent of total billed charges,999999999,,,,,,,,,,2.472,percent of total billed charges,2.071407501,,,,2.4411,percent of total billed charges,2.355766553,,,,2.4411,percent of total billed charges,2.081397729,,,,2.472,percent of total billed charges,999999999,,,,2.472,percent of total billed charges,999999999,,,,2.163,percent of total billed charges,999999999,,,,2.163,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.64388,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.56045,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.7725,percent of total billed charges,0.73368604,,,,,,,,,,0.7725,percent of total billed charges,0.721481672,,,,,,,,,,0.7725,percent of total billed charges,0.719476705,,,,,,,,,,0.7725,percent of total billed charges,0.708882419,,,,,,,,,,0.7725,percent of total billed charges,0.727123006,,,,,,,,,,0.7725,percent of total billed charges,999999999,,,,,,,,,,0.7725,percent of total billed charges,0.623922743,,,,,,,,,,0.7725,percent of total billed charges,0.983969191,,,,,,,,,,0.7725,percent of total billed charges,999999999,,,,,,,,,,0.7725,percent of total billed charges,0.672741308,,,,,,,,,,2.781,percent of total billed charges,,,,,
DOXEPIN (SINEQUAN) 50MG CAP,259,RC,5107-9043-20,NDC,,both,1,EA,3.58,3.58,0.762124522,3.58,3.58,percent of total billed charges,2.633933182,,,,3.58,percent of total billed charges,2.791917094,,,,3.58,percent of total billed charges,2.633933182,,,,3.58,percent of total billed charges,2.791917094,,,,3.58,percent of total billed charges,999999999,,,,3.58,percent of total billed charges,2.727713948,,,,3.58,percent of total billed charges,2.633933182,,,,3.58,percent of total billed charges,2.791917094,,,,2.55254,percent of total billed charges,1.273764172,,,,2.55254,percent of total billed charges,0.762124522,,,,2.55254,percent of total billed charges,1.273764172,,,,2.55254,percent of total billed charges,0.762124522,,,,2.55254,percent of total billed charges,1.273764172,,,,2.55254,percent of total billed charges,0.762124522,,,,2.52748,percent of total billed charges,2.508303322,,,,2.52748,percent of total billed charges,1.72995692,,,,,,,,,,2.5776,percent of total billed charges,1.675379344,,,,,,,,,,2.5776,percent of total billed charges,999999999,,,,,,,,,,2.864,percent of total billed charges,2.399883124,,,,2.8282,percent of total billed charges,2.729334711,,,,2.8282,percent of total billed charges,2.411457563,,,,2.864,percent of total billed charges,999999999,,,,2.864,percent of total billed charges,999999999,,,,2.506,percent of total billed charges,999999999,,,,2.506,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.90456,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.8079,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.895,percent of total billed charges,0.850031075,,,,,,,,,,0.895,percent of total billed charges,0.835891386,,,,,,,,,,0.895,percent of total billed charges,0.83356848,,,,,,,,,,0.895,percent of total billed charges,0.821294194,,,,,,,,,,0.895,percent of total billed charges,0.842427301,,,,,,,,,,0.895,percent of total billed charges,999999999,,,,,,,,,,0.895,percent of total billed charges,0.722861948,,,,,,,,,,0.895,percent of total billed charges,1.140003141,,,,,,,,,,0.895,percent of total billed charges,999999999,,,,,,,,,,0.895,percent of total billed charges,0.779421969,,,,,,,,,,3.222,percent of total billed charges,,,,,
DOXYCYCLINE (VIBRAMYCIN) 100MG CAP,637,RC,0006-9095-50,NDC,,both,1,EA,6.92,6.92,1.473156897,6.92,6.92,percent of total billed charges,5.091289838,,,,6.92,percent of total billed charges,5.396666561,,,,6.92,percent of total billed charges,5.091289838,,,,6.92,percent of total billed charges,5.396666561,,,,6.92,percent of total billed charges,999999999,,,,6.92,percent of total billed charges,5.272564391,,,,6.92,percent of total billed charges,5.091289838,,,,6.92,percent of total billed charges,5.396666561,,,,4.93396,percent of total billed charges,2.462136332,,,,4.93396,percent of total billed charges,1.473156897,,,,4.93396,percent of total billed charges,2.462136332,,,,4.93396,percent of total billed charges,1.473156897,,,,4.93396,percent of total billed charges,2.462136332,,,,4.93396,percent of total billed charges,1.473156897,,,,4.88552,percent of total billed charges,4.848452232,,,,4.88552,percent of total billed charges,3.343939075,,,,,,,,,,4.9824,percent of total billed charges,3.238442754,,,,,,,,,,4.9824,percent of total billed charges,999999999,,,,,,,,,,5.536,percent of total billed charges,4.638880229,,,,5.4668,percent of total billed charges,5.275697263,,,,5.4668,percent of total billed charges,4.661253166,,,,5.536,percent of total billed charges,999999999,,,,5.536,percent of total billed charges,999999999,,,,4.844,percent of total billed charges,999999999,,,,4.844,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.68144,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.4946,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.73,percent of total billed charges,1.643076827,,,,,,,,,,1.73,percent of total billed charges,1.615745362,,,,,,,,,,1.73,percent of total billed charges,1.611255274,,,,,,,,,,1.73,percent of total billed charges,1.58752956,,,,,,,,,,1.73,percent of total billed charges,1.628379029,,,,,,,,,,1.73,percent of total billed charges,999999999,,,,,,,,,,1.73,percent of total billed charges,1.397263878,,,,,,,,,,1.73,percent of total billed charges,2.20358149,,,,,,,,,,1.73,percent of total billed charges,999999999,,,,,,,,,,1.73,percent of total billed charges,1.506592186,,,,,,,,,,6.228,percent of total billed charges,,,,,
**HYDROCOLLOID(ULTEC) DRESSING: 4X4,259,RC,0888-4475-02,NDC,,both,1,EA,14,14,2.980375225,14,14,percent of total billed charges,10.30029736,,,,14,percent of total billed charges,10.91811154,,,,14,percent of total billed charges,10.30029736,,,,14,percent of total billed charges,10.91811154,,,,14,percent of total billed charges,999999999,,,,14,percent of total billed charges,10.66703779,,,,14,percent of total billed charges,10.30029736,,,,14,percent of total billed charges,10.91811154,,,,9.982,percent of total billed charges,4.981200671,,,,9.982,percent of total billed charges,2.980375225,,,,9.982,percent of total billed charges,4.981200671,,,,9.982,percent of total billed charges,2.980375225,,,,9.982,percent of total billed charges,4.981200671,,,,9.982,percent of total billed charges,2.980375225,,,,9.884,percent of total billed charges,9.809007405,,,,9.884,percent of total billed charges,6.765194661,,,,,,,,,,10.08,percent of total billed charges,6.551762796,,,,,,,,,,10.08,percent of total billed charges,999999999,,,,,,,,,,11.2,percent of total billed charges,9.385017804,,,,11.06,percent of total billed charges,10.67337597,,,,11.06,percent of total billed charges,9.430280971,,,,11.2,percent of total billed charges,999999999,,,,11.2,percent of total billed charges,999999999,,,,9.8,percent of total billed charges,999999999,,,,9.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,7.448,percent of total billed charges,999999999,,,,,,,,,,,,,,,,7.07,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3.5,percent of total billed charges,3.324143869,,,,,,,,,,3.5,percent of total billed charges,3.268848997,,,,,,,,,,3.5,percent of total billed charges,3.259765006,,,,,,,,,,3.5,percent of total billed charges,3.211765006,,,,,,,,,,3.5,percent of total billed charges,3.294408441,,,,,,,,,,3.5,percent of total billed charges,999999999,,,,,,,,,,3.5,percent of total billed charges,2.826834435,,,,,,,,,,3.5,percent of total billed charges,4.458112841,,,,,,,,,,3.5,percent of total billed charges,999999999,,,,,,,,,,3.5,percent of total billed charges,3.048018873,,,,,,,,,,12.6,percent of total billed charges,,,,,
ENALAPRIL (VASOTEC) 10MG TAB,637,RC,5107-9095-01,NDC,,both,1,EA,1.64,1.64,0.349129669,1.64,1.64,percent of total billed charges,1.206606262,,,,1.64,percent of total billed charges,1.27897878,,,,1.64,percent of total billed charges,1.206606262,,,,1.64,percent of total billed charges,1.27897878,,,,1.64,percent of total billed charges,999999999,,,,1.64,percent of total billed charges,1.249567283,,,,1.64,percent of total billed charges,1.206606262,,,,1.64,percent of total billed charges,1.27897878,,,,1.16932,percent of total billed charges,0.583512079,,,,1.16932,percent of total billed charges,0.349129669,,,,1.16932,percent of total billed charges,0.583512079,,,,1.16932,percent of total billed charges,0.349129669,,,,1.16932,percent of total billed charges,0.583512079,,,,1.16932,percent of total billed charges,0.349129669,,,,1.15784,percent of total billed charges,1.149055153,,,,1.15784,percent of total billed charges,0.792494232,,,,,,,,,,1.1808,percent of total billed charges,0.767492213,,,,,,,,,,1.1808,percent of total billed charges,999999999,,,,,,,,,,1.312,percent of total billed charges,1.0993878,,,,1.2956,percent of total billed charges,1.250309756,,,,1.2956,percent of total billed charges,1.104690057,,,,1.312,percent of total billed charges,999999999,,,,1.312,percent of total billed charges,999999999,,,,1.148,percent of total billed charges,999999999,,,,1.148,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.87248,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.8282,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.41,percent of total billed charges,0.38939971,,,,,,,,,,0.41,percent of total billed charges,0.382922311,,,,,,,,,,0.41,percent of total billed charges,0.381858186,,,,,,,,,,0.41,percent of total billed charges,0.376235329,,,,,,,,,,0.41,percent of total billed charges,0.385916417,,,,,,,,,,0.41,percent of total billed charges,999999999,,,,,,,,,,0.41,percent of total billed charges,0.331143462,,,,,,,,,,0.41,percent of total billed charges,0.522236076,,,,,,,,,,0.41,percent of total billed charges,999999999,,,,,,,,,,0.41,percent of total billed charges,0.357053639,,,,,,,,,,1.476,percent of total billed charges,,,,,
ENALAPRIL (VASOTEC) 5 MG TAB,637,RC,6808-4039-11,NDC,,both,1,EA,2.19,2.19,0.466215839,2.19,2.19,percent of total billed charges,1.611260801,,,,2.19,percent of total billed charges,1.707904591,,,,2.19,percent of total billed charges,1.611260801,,,,2.19,percent of total billed charges,1.707904591,,,,2.19,percent of total billed charges,999999999,,,,2.19,percent of total billed charges,1.668629482,,,,2.19,percent of total billed charges,1.611260801,,,,2.19,percent of total billed charges,1.707904591,,,,1.56147,percent of total billed charges,0.779202105,,,,1.56147,percent of total billed charges,0.466215839,,,,1.56147,percent of total billed charges,0.779202105,,,,1.56147,percent of total billed charges,0.466215839,,,,1.56147,percent of total billed charges,0.779202105,,,,1.56147,percent of total billed charges,0.466215839,,,,1.54614,percent of total billed charges,1.534409015,,,,1.54614,percent of total billed charges,1.058269736,,,,,,,,,,1.5768,percent of total billed charges,1.024882895,,,,,,,,,,1.5768,percent of total billed charges,999999999,,,,,,,,,,1.752,percent of total billed charges,1.468084928,,,,1.7301,percent of total billed charges,1.669620955,,,,1.7301,percent of total billed charges,1.47516538,,,,1.752,percent of total billed charges,999999999,,,,1.752,percent of total billed charges,999999999,,,,1.533,percent of total billed charges,999999999,,,,1.533,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.16508,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.10595,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.5475,percent of total billed charges,0.519991077,,,,,,,,,,0.5475,percent of total billed charges,0.511341379,,,,,,,,,,0.5475,percent of total billed charges,0.509920383,,,,,,,,,,0.5475,percent of total billed charges,0.502411812,,,,,,,,,,0.5475,percent of total billed charges,0.515339606,,,,,,,,,,0.5475,percent of total billed charges,999999999,,,,,,,,,,0.5475,percent of total billed charges,0.442197672,,,,,,,,,,0.5475,percent of total billed charges,0.697376223,,,,,,,,,,0.5475,percent of total billed charges,999999999,,,,,,,,,,0.5475,percent of total billed charges,0.476797238,,,,,,,,,,1.971,percent of total billed charges,,,,,
"NALOXONE (NARCAN) 1MG/ML, 2ML INJ",J2310,CDM,7632-9336-01,NDC,,both,1,EA,206.54,206.54,43.96904992,206.54,206.54,percent of total billed charges,151.9588155,,,,206.54,percent of total billed charges,161.0733398,,,,206.54,percent of total billed charges,151.9588155,,,,206.54,percent of total billed charges,161.0733398,,,,206.54,percent of total billed charges,999999999,,,,206.54,percent of total billed charges,157.3692846,,,,206.54,percent of total billed charges,151.9588155,,,,206.54,percent of total billed charges,161.0733398,,,,147.26302,percent of total billed charges,73.4869419,,,,147.26302,percent of total billed charges,43.96904992,,,,147.26302,percent of total billed charges,73.4869419,,,,147.26302,percent of total billed charges,43.96904992,,,,147.26302,percent of total billed charges,73.4869419,,,,147.26302,percent of total billed charges,43.96904992,,,,145.81724,percent of total billed charges,144.710885,,,,145.81724,percent of total billed charges,99.80595037,,,,,,,,,,148.7088,percent of total billed charges,96.65722057,,,,,,,,,,148.7088,percent of total billed charges,999999999,,,,,,,,,,165.232,percent of total billed charges,138.455827,,,,163.1666,percent of total billed charges,157.4627909,,,,163.1666,percent of total billed charges,139.123588,,,,165.232,percent of total billed charges,999999999,,,,165.232,percent of total billed charges,999999999,,,,144.578,percent of total billed charges,999999999,,,,144.578,percent of total billed charges,999999999,,,,,,,,,,,,,,,,109.87928,percent of total billed charges,999999999,,,,,,,,,,,,,,,,104.3027,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,51.635,percent of total billed charges,49.04061962,,,,,,,,,,51.635,percent of total billed charges,48.22486228,,,,,,,,,,51.635,percent of total billed charges,48.09084745,,,,,,,,,,51.635,percent of total billed charges,47.38271031,,,,,,,,,,51.635,percent of total billed charges,48.6019371,,,,,,,,,,51.635,percent of total billed charges,999999999,,,,,,,,,,51.635,percent of total billed charges,41.70388458,,,,,,,,,,51.635,percent of total billed charges,65.76990187,,,,,,,,,,51.635,percent of total billed charges,999999999,,,,,,,,,,51.635,percent of total billed charges,44.966987,,,,,,,,,,185.886,percent of total billed charges,,,,,
PIOGLITAZONE (ACTOS) 15 MG TAB,637,RC,6476-4015-04,NDC,,both,1,EA,4.55,4.55,0.968621948,4.55,4.55,percent of total billed charges,3.347596642,,,,4.55,percent of total billed charges,3.548386251,,,,4.55,percent of total billed charges,3.347596642,,,,4.55,percent of total billed charges,3.548386251,,,,4.55,percent of total billed charges,999999999,,,,4.55,percent of total billed charges,3.46678728,,,,4.55,percent of total billed charges,3.347596642,,,,4.55,percent of total billed charges,3.548386251,,,,3.24415,percent of total billed charges,1.618890218,,,,3.24415,percent of total billed charges,0.968621948,,,,3.24415,percent of total billed charges,1.618890218,,,,3.24415,percent of total billed charges,0.968621948,,,,3.24415,percent of total billed charges,1.618890218,,,,3.24415,percent of total billed charges,0.968621948,,,,3.2123,percent of total billed charges,3.187927407,,,,3.2123,percent of total billed charges,2.198688265,,,,,,,,,,3.276,percent of total billed charges,2.129322909,,,,,,,,,,3.276,percent of total billed charges,999999999,,,,,,,,,,3.64,percent of total billed charges,3.050130786,,,,3.5945,percent of total billed charges,3.468847189,,,,3.5945,percent of total billed charges,3.064841316,,,,3.64,percent of total billed charges,999999999,,,,3.64,percent of total billed charges,999999999,,,,3.185,percent of total billed charges,999999999,,,,3.185,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2.4206,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2.29775,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.1375,percent of total billed charges,1.080346757,,,,,,,,,,1.1375,percent of total billed charges,1.062375924,,,,,,,,,,1.1375,percent of total billed charges,1.059423627,,,,,,,,,,1.1375,percent of total billed charges,1.043823627,,,,,,,,,,1.1375,percent of total billed charges,1.070682743,,,,,,,,,,1.1375,percent of total billed charges,999999999,,,,,,,,,,1.1375,percent of total billed charges,0.918721191,,,,,,,,,,1.1375,percent of total billed charges,1.448886673,,,,,,,,,,1.1375,percent of total billed charges,999999999,,,,,,,,,,1.1375,percent of total billed charges,0.990606134,,,,,,,,,,4.095,percent of total billed charges,,,,,
KETOROLAC 0.4% OPTH SUSP (ACULAR),637,RC,6075-8077-05,NDC,,both,1,EA,210.74,210.74,44.86316249,210.74,210.74,percent of total billed charges,155.0489047,,,,210.74,percent of total billed charges,164.3487733,,,,210.74,percent of total billed charges,155.0489047,,,,210.74,percent of total billed charges,164.3487733,,,,210.74,percent of total billed charges,999999999,,,,210.74,percent of total billed charges,160.5693959,,,,210.74,percent of total billed charges,155.0489047,,,,210.74,percent of total billed charges,164.3487733,,,,150.25762,percent of total billed charges,74.9813021,,,,150.25762,percent of total billed charges,44.86316249,,,,150.25762,percent of total billed charges,74.9813021,,,,150.25762,percent of total billed charges,44.86316249,,,,150.25762,percent of total billed charges,74.9813021,,,,150.25762,percent of total billed charges,44.86316249,,,,148.78244,percent of total billed charges,147.6535872,,,,148.78244,percent of total billed charges,101.8355088,,,,,,,,,,151.7328,percent of total billed charges,98.62274941,,,,,,,,,,151.7328,percent of total billed charges,999999999,,,,,,,,,,168.592,percent of total billed charges,141.2713323,,,,166.4846,percent of total billed charges,160.6648037,,,,166.4846,percent of total billed charges,141.9526723,,,,168.592,percent of total billed charges,999999999,,,,168.592,percent of total billed charges,999999999,,,,147.518,percent of total billed charges,999999999,,,,147.518,percent of total billed charges,999999999,,,,,,,,,,,,,,,,112.11368,percent of total billed charges,999999999,,,,,,,,,,,,,,,,106.4237,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,52.685,percent of total billed charges,50.03786278,,,,,,,,,,52.685,percent of total billed charges,49.20551698,,,,,,,,,,52.685,percent of total billed charges,49.06877695,,,,,,,,,,52.685,percent of total billed charges,48.34623981,,,,,,,,,,52.685,percent of total billed charges,49.59025963,,,,,,,,,,52.685,percent of total billed charges,999999999,,,,,,,,,,52.685,percent of total billed charges,42.55193491,,,,,,,,,,52.685,percent of total billed charges,67.10733573,,,,,,,,,,52.685,percent of total billed charges,999999999,,,,,,,,,,52.685,percent of total billed charges,45.88139266,,,,,,,,,,189.666,percent of total billed charges,,,,,
ERYTHROMYCIN (E-MYCIN) BASE 250MG TAB,637,RC,2433-8012-13,NDC,,both,1,EA,14.98,14.98,3.18900149,14.98,14.98,percent of total billed charges,11.02131818,,,,14.98,percent of total billed charges,11.68237935,,,,14.98,percent of total billed charges,11.02131818,,,,14.98,percent of total billed charges,11.68237935,,,,14.98,percent of total billed charges,999999999,,,,14.98,percent of total billed charges,11.41373043,,,,14.98,percent of total billed charges,11.02131818,,,,14.98,percent of total billed charges,11.68237935,,,,10.68074,percent of total billed charges,5.329884718,,,,10.68074,percent of total billed charges,3.18900149,,,,10.68074,percent of total billed charges,5.329884718,,,,10.68074,percent of total billed charges,3.18900149,,,,10.68074,percent of total billed charges,5.329884718,,,,10.68074,percent of total billed charges,3.18900149,,,,10.57588,percent of total billed charges,10.49563792,,,,10.57588,percent of total billed charges,7.238758287,,,,,,,,,,10.7856,percent of total billed charges,7.010386192,,,,,,,,,,10.7856,percent of total billed charges,999999999,,,,,,,,,,11.984,percent of total billed charges,10.04196905,,,,11.8342,percent of total billed charges,11.42051228,,,,11.8342,percent of total billed charges,10.09040064,,,,11.984,percent of total billed charges,999999999,,,,11.984,percent of total billed charges,999999999,,,,10.486,percent of total billed charges,999999999,,,,10.486,percent of total billed charges,999999999,,,,,,,,,,,,,,,,7.96936,percent of total billed charges,999999999,,,,,,,,,,,,,,,,7.5649,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3.745,percent of total billed charges,3.55683394,,,,,,,,,,3.745,percent of total billed charges,3.497668427,,,,,,,,,,3.745,percent of total billed charges,3.487948556,,,,,,,,,,3.745,percent of total billed charges,3.436588556,,,,,,,,,,3.745,percent of total billed charges,3.525017032,,,,,,,,,,3.745,percent of total billed charges,999999999,,,,,,,,,,3.745,percent of total billed charges,3.024712845,,,,,,,,,,3.745,percent of total billed charges,4.77018074,,,,,,,,,,3.745,percent of total billed charges,999999999,,,,,,,,,,3.745,percent of total billed charges,3.261380194,,,,,,,,,,13.482,percent of total billed charges,,,,,
CELECOXIB (CeleBREX) CAP 100MG,259,RC,0002-5152-31,NDC,,both,1,EA,5.04,5.04,1.072935081,5.04,5.04,percent of total billed charges,3.70810705,,,,5.04,percent of total billed charges,3.930520154,,,,5.04,percent of total billed charges,3.70810705,,,,5.04,percent of total billed charges,3.930520154,,,,5.04,percent of total billed charges,999999999,,,,5.04,percent of total billed charges,3.840133603,,,,5.04,percent of total billed charges,3.70810705,,,,5.04,percent of total billed charges,3.930520154,,,,3.59352,percent of total billed charges,1.793232242,,,,3.59352,percent of total billed charges,1.072935081,,,,3.59352,percent of total billed charges,1.793232242,,,,3.59352,percent of total billed charges,1.072935081,,,,3.59352,percent of total billed charges,1.793232242,,,,3.59352,percent of total billed charges,1.072935081,,,,3.55824,percent of total billed charges,3.531242666,,,,3.55824,percent of total billed charges,2.435470078,,,,,,,,,,3.6288,percent of total billed charges,2.358634607,,,,,,,,,,3.6288,percent of total billed charges,999999999,,,,,,,,,,4.032,percent of total billed charges,3.37860641,,,,3.9816,percent of total billed charges,3.842415348,,,,3.9816,percent of total billed charges,3.39490115,,,,4.032,percent of total billed charges,999999999,,,,4.032,percent of total billed charges,999999999,,,,3.528,percent of total billed charges,999999999,,,,3.528,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2.68128,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2.5452,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.26,percent of total billed charges,1.196691793,,,,,,,,,,1.26,percent of total billed charges,1.176785639,,,,,,,,,,1.26,percent of total billed charges,1.173515402,,,,,,,,,,1.26,percent of total billed charges,1.156235402,,,,,,,,,,1.26,percent of total billed charges,1.185987039,,,,,,,,,,1.26,percent of total billed charges,999999999,,,,,,,,,,1.26,percent of total billed charges,1.017660397,,,,,,,,,,1.26,percent of total billed charges,1.604920623,,,,,,,,,,1.26,percent of total billed charges,999999999,,,,,,,,,,1.26,percent of total billed charges,1.097286794,,,,,,,,,,4.536,percent of total billed charges,,,,,
**ERYTHROMYCIN EC(ERY-TAB) 500MG TAB,259,RC,0007-4632-13,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
**ERYTHROMYCIN (EES) 400MG TAB,259,RC,2433-8011-13,NDC,,both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
GENTAMICIN (GARAMYCIN) OINT15GM,259,RC,4580-2004-35,NDC,,both,1,EA,120.87,120.87,25.73128239,120.87,120.87,percent of total billed charges,88.92835299,,,,120.87,percent of total billed charges,94.26229585,,,,120.87,percent of total billed charges,88.92835299,,,,120.87,percent of total billed charges,94.26229585,,,,120.87,percent of total billed charges,999999999,,,,120.87,percent of total billed charges,92.09463266,,,,120.87,percent of total billed charges,88.92835299,,,,120.87,percent of total billed charges,94.26229585,,,,86.18031,percent of total billed charges,43.00555179,,,,86.18031,percent of total billed charges,25.73128239,,,,86.18031,percent of total billed charges,43.00555179,,,,86.18031,percent of total billed charges,25.73128239,,,,86.18031,percent of total billed charges,43.00555179,,,,86.18031,percent of total billed charges,25.73128239,,,,85.33422,percent of total billed charges,84.68676607,,,,85.33422,percent of total billed charges,58.40779133,,,,,,,,,,87.0264,percent of total billed charges,56.56511208,,,,,,,,,,87.0264,percent of total billed charges,999999999,,,,,,,,,,96.696,percent of total billed charges,81.02622157,,,,95.4873,percent of total billed charges,92.14935379,,,,95.4873,percent of total billed charges,81.41700436,,,,96.696,percent of total billed charges,999999999,,,,96.696,percent of total billed charges,999999999,,,,84.609,percent of total billed charges,999999999,,,,84.609,percent of total billed charges,999999999,,,,,,,,,,,,,,,,64.30284,percent of total billed charges,999999999,,,,,,,,,,,,,,,,61.03935,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,30.2175,percent of total billed charges,28.69923353,,,,,,,,,,30.2175,percent of total billed charges,28.22184131,,,,,,,,,,30.2175,percent of total billed charges,28.14341402,,,,,,,,,,30.2175,percent of total billed charges,27.72900259,,,,,,,,,,30.2175,percent of total billed charges,28.44251059,,,,,,,,,,30.2175,percent of total billed charges,999999999,,,,,,,,,,30.2175,percent of total billed charges,24.40567701,,,,,,,,,,30.2175,percent of total billed charges,38.48943565,,,,,,,,,,30.2175,percent of total billed charges,999999999,,,,,,,,,,30.2175,percent of total billed charges,26.31528865,,,,,,,,,,108.783,percent of total billed charges,,,,,
GENTAMICIN 0.3% OPTH OINTMENT 3.5GM,250,RC,1747-8028-35,NDC,,both,1,EA,110.12,110.12,23.44277998,110.12,110.12,percent of total billed charges,81.01919609,,,,110.12,percent of total billed charges,85.87874591,,,,110.12,percent of total billed charges,81.01919609,,,,110.12,percent of total billed charges,85.87874591,,,,110.12,percent of total billed charges,999999999,,,,110.12,percent of total billed charges,83.9038715,,,,110.12,percent of total billed charges,81.01919609,,,,110.12,percent of total billed charges,85.87874591,,,,78.51556,percent of total billed charges,39.18070128,,,,78.51556,percent of total billed charges,23.44277998,,,,78.51556,percent of total billed charges,39.18070128,,,,78.51556,percent of total billed charges,23.44277998,,,,78.51556,percent of total billed charges,39.18070128,,,,78.51556,percent of total billed charges,23.44277998,,,,77.74472,percent of total billed charges,77.15484967,,,,77.74472,percent of total billed charges,53.21308829,,,,,,,,,,79.2864,percent of total billed charges,51.53429422,,,,,,,,,,79.2864,percent of total billed charges,999999999,,,,,,,,,,88.096,percent of total billed charges,73.81986862,,,,86.9948,percent of total billed charges,83.95372581,,,,86.9948,percent of total billed charges,74.17589575,,,,88.096,percent of total billed charges,999999999,,,,88.096,percent of total billed charges,999999999,,,,77.084,percent of total billed charges,999999999,,,,77.084,percent of total billed charges,999999999,,,,,,,,,,,,,,,,58.58384,percent of total billed charges,999999999,,,,,,,,,,,,,,,,55.6106,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,27.53,percent of total billed charges,26.14676592,,,,,,,,,,27.53,percent of total billed charges,25.71183226,,,,,,,,,,27.53,percent of total billed charges,25.64038017,,,,,,,,,,27.53,percent of total billed charges,25.26282589,,,,,,,,,,27.53,percent of total billed charges,25.91287554,,,,,,,,,,27.53,percent of total billed charges,999999999,,,,,,,,,,27.53,percent of total billed charges,22.235072,,,,,,,,,,27.53,percent of total billed charges,35.06624186,,,,,,,,,,27.53,percent of total billed charges,999999999,,,,,,,,,,27.53,percent of total billed charges,23.97484559,,,,,,,,,,99.108,percent of total billed charges,,,,,
glipiZIDE (GLUCOTROL) 5MG TAB,250,RC,5107-9081-01,NDC,,both,1,EA,1.27,1.27,0.27036261,1.27,1.27,percent of total billed charges,0.934384118,,,,1.27,percent of total billed charges,0.99042869,,,,1.27,percent of total billed charges,0.934384118,,,,1.27,percent of total billed charges,0.99042869,,,,1.27,percent of total billed charges,999999999,,,,1.27,percent of total billed charges,0.967652713,,,,1.27,percent of total billed charges,0.934384118,,,,1.27,percent of total billed charges,0.99042869,,,,0.90551,percent of total billed charges,0.451866061,,,,0.90551,percent of total billed charges,0.27036261,,,,0.90551,percent of total billed charges,0.451866061,,,,0.90551,percent of total billed charges,0.27036261,,,,0.90551,percent of total billed charges,0.451866061,,,,0.90551,percent of total billed charges,0.27036261,,,,0.89662,percent of total billed charges,0.8898171,,,,0.89662,percent of total billed charges,0.613699801,,,,,,,,,,0.9144,percent of total billed charges,0.594338482,,,,,,,,,,0.9144,percent of total billed charges,999999999,,,,,,,,,,1.016,percent of total billed charges,0.851355187,,,,1.0033,percent of total billed charges,0.968227677,,,,1.0033,percent of total billed charges,0.855461202,,,,1.016,percent of total billed charges,999999999,,,,1.016,percent of total billed charges,999999999,,,,0.889,percent of total billed charges,999999999,,,,0.889,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.67564,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.64135,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.3175,percent of total billed charges,0.301547337,,,,,,,,,,0.3175,percent of total billed charges,0.296531302,,,,,,,,,,0.3175,percent of total billed charges,0.295707254,,,,,,,,,,0.3175,percent of total billed charges,0.291352968,,,,,,,,,,0.3175,percent of total billed charges,0.298849909,,,,,,,,,,0.3175,percent of total billed charges,999999999,,,,,,,,,,0.3175,percent of total billed charges,0.256434267,,,,,,,,,,0.3175,percent of total billed charges,0.404414522,,,,,,,,,,0.3175,percent of total billed charges,999999999,,,,,,,,,,0.3175,percent of total billed charges,0.276498855,,,,,,,,,,1.143,percent of total billed charges,,,,,
GLUCAGON INJECTION 1 MG (1 UNIT) INJ,J1610,CDM,0059-7026-10,NDC,,both,1,EA,658.32,658.32,140.1457584,658.32,658.32,percent of total billed charges,484.3494113,,,,658.32,percent of total billed charges,513.4007992,,,,658.32,percent of total billed charges,484.3494113,,,,658.32,percent of total billed charges,513.4007992,,,,658.32,percent of total billed charges,999999999,,,,658.32,percent of total billed charges,501.5945939,,,,658.32,percent of total billed charges,484.3494113,,,,658.32,percent of total billed charges,513.4007992,,,,469.38216,percent of total billed charges,234.2302876,,,,469.38216,percent of total billed charges,140.1457584,,,,469.38216,percent of total billed charges,234.2302876,,,,469.38216,percent of total billed charges,140.1457584,,,,469.38216,percent of total billed charges,234.2302876,,,,469.38216,percent of total billed charges,140.1457584,,,,464.77392,percent of total billed charges,461.2475539,,,,464.77392,percent of total billed charges,318.1187821,,,,,,,,,,473.9904,percent of total billed charges,308.082606,,,,,,,,,,473.9904,percent of total billed charges,999999999,,,,,,,,,,526.656,percent of total billed charges,441.3103515,,,,520.0728,percent of total billed charges,501.8926333,,,,520.0728,percent of total billed charges,443.4387549,,,,526.656,percent of total billed charges,999999999,,,,526.656,percent of total billed charges,999999999,,,,460.824,percent of total billed charges,999999999,,,,460.824,percent of total billed charges,999999999,,,,,,,,,,,,,,,,350.22624,percent of total billed charges,999999999,,,,,,,,,,,,,,,,332.4516,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,164.58,percent of total billed charges,156.3107423,,,,,,,,,,164.58,percent of total billed charges,153.7106194,,,,,,,,,,164.58,percent of total billed charges,153.2834642,,,,,,,,,,164.58,percent of total billed charges,151.026367,,,,,,,,,,164.58,percent of total billed charges,154.9124975,,,,,,,,,,164.58,percent of total billed charges,999999999,,,,,,,,,,164.58,percent of total billed charges,132.9258318,,,,,,,,,,164.58,percent of total billed charges,209.6332033,,,,,,,,,,164.58,percent of total billed charges,999999999,,,,,,,,,,164.58,percent of total billed charges,143.326556,,,,,,,,,,592.488,percent of total billed charges,,,,,
**GLYBURIDE (GLYNASE) 3 MG TAB,259,RC,5486-8301-00,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
glyBURIDE (DIABETA) 5 MG TAB,250,RC,5107-9087-20,NDC,,both,1,EA,0.5,0.5,0.106441972,0.5,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,999999999,,,,0.5,percent of total billed charges,0.380965635,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.353,percent of total billed charges,0.350321693,,,,0.353,percent of total billed charges,0.241614095,,,,,,,,,,0.36,percent of total billed charges,0.233991528,,,,,,,,,,0.36,percent of total billed charges,999999999,,,,,,,,,,0.4,percent of total billed charges,0.335179207,,,,0.395,percent of total billed charges,0.381191999,,,,0.395,percent of total billed charges,0.336795749,,,,0.4,percent of total billed charges,999999999,,,,0.4,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.266,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.2525,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.125,percent of total billed charges,0.118719424,,,,,,,,,,0.125,percent of total billed charges,0.116744607,,,,,,,,,,0.125,percent of total billed charges,0.116420179,,,,,,,,,,0.125,percent of total billed charges,0.114705893,,,,,,,,,,0.125,percent of total billed charges,0.117657444,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.100958373,,,,,,,,,,0.125,percent of total billed charges,0.159218316,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.108857817,,,,,,,,,,0.45,percent of total billed charges,,,,,
GLYCERIN ADULT SUPP,637,RC,5486-8618-00,NDC,,both,1,EA,0.68,0.68,0.144761082,0.68,0.68,percent of total billed charges,0.500300157,,,,0.68,percent of total billed charges,0.530308275,,,,0.68,percent of total billed charges,0.500300157,,,,0.68,percent of total billed charges,0.530308275,,,,0.68,percent of total billed charges,999999999,,,,0.68,percent of total billed charges,0.518113264,,,,0.68,percent of total billed charges,0.500300157,,,,0.68,percent of total billed charges,0.530308275,,,,0.48484,percent of total billed charges,0.241944033,,,,0.48484,percent of total billed charges,0.144761082,,,,0.48484,percent of total billed charges,0.241944033,,,,0.48484,percent of total billed charges,0.144761082,,,,0.48484,percent of total billed charges,0.241944033,,,,0.48484,percent of total billed charges,0.144761082,,,,0.48008,percent of total billed charges,0.476437503,,,,0.48008,percent of total billed charges,0.328595169,,,,,,,,,,0.4896,percent of total billed charges,0.318228479,,,,,,,,,,0.4896,percent of total billed charges,999999999,,,,,,,,,,0.544,percent of total billed charges,0.455843722,,,,0.5372,percent of total billed charges,0.518421118,,,,0.5372,percent of total billed charges,0.458042219,,,,0.544,percent of total billed charges,999999999,,,,0.544,percent of total billed charges,999999999,,,,0.476,percent of total billed charges,999999999,,,,0.476,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.36176,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.3434,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.17,percent of total billed charges,0.161458416,,,,,,,,,,0.17,percent of total billed charges,0.158772666,,,,,,,,,,0.17,percent of total billed charges,0.158331443,,,,,,,,,,0.17,percent of total billed charges,0.156000015,,,,,,,,,,0.17,percent of total billed charges,0.160014124,,,,,,,,,,0.17,percent of total billed charges,999999999,,,,,,,,,,0.17,percent of total billed charges,0.137303387,,,,,,,,,,0.17,percent of total billed charges,0.216536909,,,,,,,,,,0.17,percent of total billed charges,999999999,,,,,,,,,,0.17,percent of total billed charges,0.148046631,,,,,,,,,,0.612,percent of total billed charges,,,,,
GLYCERIN INFANT SUPP,637,RC,4612-2022-63,NDC,,both,1,EA,0.5,0.5,0.106441972,0.5,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,999999999,,,,0.5,percent of total billed charges,0.380965635,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.353,percent of total billed charges,0.350321693,,,,0.353,percent of total billed charges,0.241614095,,,,,,,,,,0.36,percent of total billed charges,0.233991528,,,,,,,,,,0.36,percent of total billed charges,999999999,,,,,,,,,,0.4,percent of total billed charges,0.335179207,,,,0.395,percent of total billed charges,0.381191999,,,,0.395,percent of total billed charges,0.336795749,,,,0.4,percent of total billed charges,999999999,,,,0.4,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.266,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.2525,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.125,percent of total billed charges,0.118719424,,,,,,,,,,0.125,percent of total billed charges,0.116744607,,,,,,,,,,0.125,percent of total billed charges,0.116420179,,,,,,,,,,0.125,percent of total billed charges,0.114705893,,,,,,,,,,0.125,percent of total billed charges,0.117657444,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.100958373,,,,,,,,,,0.125,percent of total billed charges,0.159218316,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.108857817,,,,,,,,,,0.45,percent of total billed charges,,,,,
**LIDOCAINE/PRILOCAINE (EMLA) CREAM: 5GM,637,RC,0059-1207-26,NDC,,both,1,EA,72.95,72.95,15.52988376,72.95,72.95,percent of total billed charges,53.6719066,,,,72.95,percent of total billed charges,56.89115977,,,,72.95,percent of total billed charges,53.6719066,,,,72.95,percent of total billed charges,56.89115977,,,,72.95,percent of total billed charges,999999999,,,,72.95,percent of total billed charges,55.58288618,,,,72.95,percent of total billed charges,53.6719066,,,,72.95,percent of total billed charges,56.89115977,,,,52.01335,percent of total billed charges,25.9556135,,,,52.01335,percent of total billed charges,15.52988376,,,,52.01335,percent of total billed charges,25.9556135,,,,52.01335,percent of total billed charges,15.52988376,,,,52.01335,percent of total billed charges,25.9556135,,,,52.01335,percent of total billed charges,15.52988376,,,,51.5027,percent of total billed charges,51.11193501,,,,51.5027,percent of total billed charges,35.25149646,,,,,,,,,,52.524,percent of total billed charges,34.139364,,,,,,,,,,52.524,percent of total billed charges,999999999,,,,,,,,,,58.36,percent of total billed charges,48.90264634,,,,57.6305,percent of total billed charges,55.61591262,,,,57.6305,percent of total billed charges,49.13849977,,,,58.36,percent of total billed charges,999999999,,,,58.36,percent of total billed charges,999999999,,,,51.065,percent of total billed charges,999999999,,,,51.065,percent of total billed charges,999999999,,,,,,,,,,,,,,,,38.8094,percent of total billed charges,999999999,,,,,,,,,,,,,,,,36.83975,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18.2375,percent of total billed charges,17.32116394,,,,,,,,,,18.2375,percent of total billed charges,17.03303817,,,,,,,,,,18.2375,percent of total billed charges,16.98570408,,,,,,,,,,18.2375,percent of total billed charges,16.7355898,,,,,,,,,,18.2375,percent of total billed charges,17.16622113,,,,,,,,,,18.2375,percent of total billed charges,999999999,,,,,,,,,,18.2375,percent of total billed charges,14.72982657,,,,,,,,,,18.2375,percent of total billed charges,23.22995227,,,,,,,,,,18.2375,percent of total billed charges,999999999,,,,,,,,,,18.2375,percent of total billed charges,15.88235548,,,,,,,,,,65.655,percent of total billed charges,,,,,
**E-GUAIFENESIN (ROBITUSSIN) SYRUP: 4OZ,250,RC,0012-1074-04,NDC,,both,1,EA,9,9,1.915955502,9,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,9,percent of total billed charges,999999999,,,,9,percent of total billed charges,6.857381434,,,,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.354,percent of total billed charges,6.305790475,,,,6.354,percent of total billed charges,4.34905371,,,,,,,,,,6.48,percent of total billed charges,4.211847512,,,,,,,,,,6.48,percent of total billed charges,999999999,,,,,,,,,,7.2,percent of total billed charges,6.033225731,,,,7.11,percent of total billed charges,6.861455978,,,,7.11,percent of total billed charges,6.062323481,,,,7.2,percent of total billed charges,999999999,,,,7.2,percent of total billed charges,999999999,,,,6.3,percent of total billed charges,999999999,,,,6.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.788,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.545,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.25,percent of total billed charges,2.13694963,,,,,,,,,,2.25,percent of total billed charges,2.101402927,,,,,,,,,,2.25,percent of total billed charges,2.095563218,,,,,,,,,,2.25,percent of total billed charges,2.064706075,,,,,,,,,,2.25,percent of total billed charges,2.117833998,,,,,,,,,,2.25,percent of total billed charges,999999999,,,,,,,,,,2.25,percent of total billed charges,1.817250708,,,,,,,,,,2.25,percent of total billed charges,2.865929684,,,,,,,,,,2.25,percent of total billed charges,999999999,,,,,,,,,,2.25,percent of total billed charges,1.959440704,,,,,,,,,,8.1,percent of total billed charges,,,,,
**DILTIAZEM SR (CARDIZEM SR) 60MG CAP,259,RC,0037-8522-01,NDC,,both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
TRIMETHOPRIM/SULFAMETHOXAZOLE INJ,250,RC,0070-3951-03,NDC,,both,1,EA,113.07,113.07,24.07078762,113.07,113.07,percent of total billed charges,83.18961589,,,,113.07,percent of total billed charges,88.17934799,,,,113.07,percent of total billed charges,83.18961589,,,,113.07,percent of total billed charges,88.17934799,,,,113.07,percent of total billed charges,999999999,,,,113.07,percent of total billed charges,86.15156875,,,,113.07,percent of total billed charges,83.18961589,,,,113.07,percent of total billed charges,88.17934799,,,,80.61891,percent of total billed charges,40.23031142,,,,80.61891,percent of total billed charges,24.07078762,,,,80.61891,percent of total billed charges,40.23031142,,,,80.61891,percent of total billed charges,24.07078762,,,,80.61891,percent of total billed charges,40.23031142,,,,80.61891,percent of total billed charges,24.07078762,,,,79.82742,percent of total billed charges,79.22174766,,,,79.82742,percent of total billed charges,54.63861145,,,,,,,,,,81.4104,percent of total billed charges,52.91484424,,,,,,,,,,81.4104,percent of total billed charges,999999999,,,,,,,,,,90.456,percent of total billed charges,75.79742594,,,,89.3253,percent of total billed charges,86.20275861,,,,89.3253,percent of total billed charges,76.16299067,,,,90.456,percent of total billed charges,999999999,,,,90.456,percent of total billed charges,999999999,,,,79.149,percent of total billed charges,999999999,,,,79.149,percent of total billed charges,999999999,,,,,,,,,,,,,,,,60.15324,percent of total billed charges,999999999,,,,,,,,,,,,,,,,57.10035,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,28.2675,percent of total billed charges,26.84721052,,,,,,,,,,28.2675,percent of total billed charges,26.40062544,,,,,,,,,,28.2675,percent of total billed charges,26.32725923,,,,,,,,,,28.2675,percent of total billed charges,25.93959066,,,,,,,,,,28.2675,percent of total billed charges,26.60705446,,,,,,,,,,28.2675,percent of total billed charges,999999999,,,,,,,,,,28.2675,percent of total billed charges,22.8307264,,,,,,,,,,28.2675,percent of total billed charges,36.00562993,,,,,,,,,,28.2675,percent of total billed charges,999999999,,,,,,,,,,28.2675,percent of total billed charges,24.61710671,,,,,,,,,,101.763,percent of total billed charges,,,,,
**GUAIFENESIN 100MG/5ML UNIT DOSE,259,RC,0012-1174-05,NDC,,both,1,EA,7,7,1.490187612,7,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,7,percent of total billed charges,999999999,,,,7,percent of total billed charges,5.333518893,,,,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.942,percent of total billed charges,4.904503703,,,,4.942,percent of total billed charges,3.38259733,,,,,,,,,,5.04,percent of total billed charges,3.275881398,,,,,,,,,,5.04,percent of total billed charges,999999999,,,,,,,,,,5.6,percent of total billed charges,4.692508902,,,,5.53,percent of total billed charges,5.336687983,,,,5.53,percent of total billed charges,4.715140486,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,4.9,percent of total billed charges,999999999,,,,4.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.724,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.535,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.75,percent of total billed charges,1.662071934,,,,,,,,,,1.75,percent of total billed charges,1.634424499,,,,,,,,,,1.75,percent of total billed charges,1.629882503,,,,,,,,,,1.75,percent of total billed charges,1.605882503,,,,,,,,,,1.75,percent of total billed charges,1.647204221,,,,,,,,,,1.75,percent of total billed charges,999999999,,,,,,,,,,1.75,percent of total billed charges,1.413417217,,,,,,,,,,1.75,percent of total billed charges,2.229056421,,,,,,,,,,1.75,percent of total billed charges,999999999,,,,,,,,,,1.75,percent of total billed charges,1.524009436,,,,,,,,,,6.3,percent of total billed charges,,,,,
GUAIFENESIN (ROBITUSSIN) 200MG/10ML,259,RC,0012-1174-10,NDC,,both,1,EA,1.89,1.89,0.402350655,1.89,1.89,percent of total billed charges,1.390540144,,,,1.89,percent of total billed charges,1.473945058,,,,1.89,percent of total billed charges,1.390540144,,,,1.89,percent of total billed charges,1.473945058,,,,1.89,percent of total billed charges,999999999,,,,1.89,percent of total billed charges,1.440050101,,,,1.89,percent of total billed charges,1.390540144,,,,1.89,percent of total billed charges,1.473945058,,,,1.34757,percent of total billed charges,0.672462091,,,,1.34757,percent of total billed charges,0.402350655,,,,1.34757,percent of total billed charges,0.672462091,,,,1.34757,percent of total billed charges,0.402350655,,,,1.34757,percent of total billed charges,0.672462091,,,,1.34757,percent of total billed charges,0.402350655,,,,1.33434,percent of total billed charges,1.324216,,,,1.33434,percent of total billed charges,0.913301279,,,,,,,,,,1.3608,percent of total billed charges,0.884487978,,,,,,,,,,1.3608,percent of total billed charges,999999999,,,,,,,,,,1.512,percent of total billed charges,1.266977404,,,,1.4931,percent of total billed charges,1.440905755,,,,1.4931,percent of total billed charges,1.273087931,,,,1.512,percent of total billed charges,999999999,,,,1.512,percent of total billed charges,999999999,,,,1.323,percent of total billed charges,999999999,,,,1.323,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.00548,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.95445,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.4725,percent of total billed charges,0.448759422,,,,,,,,,,0.4725,percent of total billed charges,0.441294615,,,,,,,,,,0.4725,percent of total billed charges,0.440068276,,,,,,,,,,0.4725,percent of total billed charges,0.433588276,,,,,,,,,,0.4725,percent of total billed charges,0.44474514,,,,,,,,,,0.4725,percent of total billed charges,999999999,,,,,,,,,,0.4725,percent of total billed charges,0.381622649,,,,,,,,,,0.4725,percent of total billed charges,0.601845234,,,,,,,,,,0.4725,percent of total billed charges,999999999,,,,,,,,,,0.4725,percent of total billed charges,0.411482548,,,,,,,,,,1.701,percent of total billed charges,,,,,
HALOPERIDOL (HALDOL) 1MG TAB,637,RC,5107-9073-20,NDC,,both,1,EA,0.89,0.89,0.189466711,0.89,0.89,percent of total billed charges,0.654804618,,,,0.89,percent of total billed charges,0.694079948,,,,0.89,percent of total billed charges,0.654804618,,,,0.89,percent of total billed charges,0.694079948,,,,0.89,percent of total billed charges,999999999,,,,0.89,percent of total billed charges,0.678118831,,,,0.89,percent of total billed charges,0.654804618,,,,0.89,percent of total billed charges,0.694079948,,,,0.63457,percent of total billed charges,0.316662043,,,,0.63457,percent of total billed charges,0.189466711,,,,0.63457,percent of total billed charges,0.316662043,,,,0.63457,percent of total billed charges,0.189466711,,,,0.63457,percent of total billed charges,0.316662043,,,,0.63457,percent of total billed charges,0.189466711,,,,0.62834,percent of total billed charges,0.623572614,,,,0.62834,percent of total billed charges,0.430073089,,,,,,,,,,0.6408,percent of total billed charges,0.416504921,,,,,,,,,,0.6408,percent of total billed charges,999999999,,,,,,,,,,0.712,percent of total billed charges,0.596618989,,,,0.7031,percent of total billed charges,0.678521758,,,,0.7031,percent of total billed charges,0.599496433,,,,0.712,percent of total billed charges,999999999,,,,0.712,percent of total billed charges,999999999,,,,0.623,percent of total billed charges,999999999,,,,0.623,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.47348,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.44945,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.2225,percent of total billed charges,0.211320575,,,,,,,,,,0.2225,percent of total billed charges,0.207805401,,,,,,,,,,0.2225,percent of total billed charges,0.207227918,,,,,,,,,,0.2225,percent of total billed charges,0.20417649,,,,,,,,,,0.2225,percent of total billed charges,0.209430251,,,,,,,,,,0.2225,percent of total billed charges,999999999,,,,,,,,,,0.2225,percent of total billed charges,0.179705903,,,,,,,,,,0.2225,percent of total billed charges,0.283408602,,,,,,,,,,0.2225,percent of total billed charges,999999999,,,,,,,,,,0.2225,percent of total billed charges,0.193766914,,,,,,,,,,0.801,percent of total billed charges,,,,,
**HALOPERIDOL (HALDOL) 0.5MG TAB,259,RC,0078-1139-13,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
HALOPERIDOL (HALDOL) 5MG TAB,637,RC,5107-9073-20,NDC,,both,1,EA,2.79,2.79,0.593946206,2.79,2.79,percent of total billed charges,2.052702117,,,,2.79,percent of total billed charges,2.175823657,,,,2.79,percent of total billed charges,2.052702117,,,,2.79,percent of total billed charges,2.175823657,,,,2.79,percent of total billed charges,999999999,,,,2.79,percent of total billed charges,2.125788244,,,,2.79,percent of total billed charges,2.052702117,,,,2.79,percent of total billed charges,2.175823657,,,,1.98927,percent of total billed charges,0.992682134,,,,1.98927,percent of total billed charges,0.593946206,,,,1.98927,percent of total billed charges,0.992682134,,,,1.98927,percent of total billed charges,0.593946206,,,,1.98927,percent of total billed charges,0.992682134,,,,1.98927,percent of total billed charges,0.593946206,,,,1.96974,percent of total billed charges,1.954795047,,,,1.96974,percent of total billed charges,1.34820665,,,,,,,,,,2.0088,percent of total billed charges,1.305672729,,,,,,,,,,2.0088,percent of total billed charges,999999999,,,,,,,,,,2.232,percent of total billed charges,1.870299977,,,,2.2041,percent of total billed charges,2.127051353,,,,2.2041,percent of total billed charges,1.879320279,,,,2.232,percent of total billed charges,999999999,,,,2.232,percent of total billed charges,999999999,,,,1.953,percent of total billed charges,999999999,,,,1.953,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.48428,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.40895,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.6975,percent of total billed charges,0.662454385,,,,,,,,,,0.6975,percent of total billed charges,0.651434907,,,,,,,,,,0.6975,percent of total billed charges,0.649624598,,,,,,,,,,0.6975,percent of total billed charges,0.640058883,,,,,,,,,,0.6975,percent of total billed charges,0.656528539,,,,,,,,,,0.6975,percent of total billed charges,999999999,,,,,,,,,,0.6975,percent of total billed charges,0.56334772,,,,,,,,,,0.6975,percent of total billed charges,0.888438202,,,,,,,,,,0.6975,percent of total billed charges,999999999,,,,,,,,,,0.6975,percent of total billed charges,0.607426618,,,,,,,,,,2.511,percent of total billed charges,,,,,
HALOPERIDOL (HALDOL) INJ 5MG/ML,J1630,CDM,6332-3047-01,NDC,,both,1,EA,9.96,9.96,2.120324088,9.96,9.96,percent of total billed charges,7.327925836,,,,9.96,percent of total billed charges,7.767456496,,,,9.96,percent of total billed charges,7.327925836,,,,9.96,percent of total billed charges,7.767456496,,,,9.96,percent of total billed charges,999999999,,,,9.96,percent of total billed charges,7.588835453,,,,9.96,percent of total billed charges,7.327925836,,,,9.96,percent of total billed charges,7.767456496,,,,7.10148,percent of total billed charges,3.543768477,,,,7.10148,percent of total billed charges,2.120324088,,,,7.10148,percent of total billed charges,3.543768477,,,,7.10148,percent of total billed charges,2.120324088,,,,7.10148,percent of total billed charges,3.543768477,,,,7.10148,percent of total billed charges,2.120324088,,,,7.03176,percent of total billed charges,6.978408125,,,,7.03176,percent of total billed charges,4.812952773,,,,,,,,,,7.1712,percent of total billed charges,4.661111247,,,,,,,,,,7.1712,percent of total billed charges,999999999,,,,,,,,,,7.968,percent of total billed charges,6.676769809,,,,7.8684,percent of total billed charges,7.593344616,,,,7.8684,percent of total billed charges,6.70897132,,,,7.968,percent of total billed charges,999999999,,,,7.968,percent of total billed charges,999999999,,,,6.972,percent of total billed charges,999999999,,,,6.972,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.29872,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.0298,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.49,percent of total billed charges,2.364890924,,,,,,,,,,2.49,percent of total billed charges,2.325552572,,,,,,,,,,2.49,percent of total billed charges,2.319089961,,,,,,,,,,2.49,percent of total billed charges,2.28494139,,,,,,,,,,2.49,percent of total billed charges,2.343736291,,,,,,,,,,2.49,percent of total billed charges,999999999,,,,,,,,,,2.49,percent of total billed charges,2.011090784,,,,,,,,,,2.49,percent of total billed charges,3.17162885,,,,,,,,,,2.49,percent of total billed charges,999999999,,,,,,,,,,2.49,percent of total billed charges,2.168447712,,,,,,,,,,8.964,percent of total billed charges,,,,,
TRIAMTERENE 75MG/HCTZ 50MG (MAXZIDE),637,RC,6050-5265-01,NDC,,both,1,EA,2.43,2.43,0.517307985,2.43,2.43,percent of total billed charges,1.787837328,,,,2.43,percent of total billed charges,1.895072217,,,,2.43,percent of total billed charges,1.787837328,,,,2.43,percent of total billed charges,1.895072217,,,,2.43,percent of total billed charges,999999999,,,,2.43,percent of total billed charges,1.851492987,,,,2.43,percent of total billed charges,1.787837328,,,,2.43,percent of total billed charges,1.895072217,,,,1.73259,percent of total billed charges,0.864594116,,,,1.73259,percent of total billed charges,0.517307985,,,,1.73259,percent of total billed charges,0.864594116,,,,1.73259,percent of total billed charges,0.517307985,,,,1.73259,percent of total billed charges,0.864594116,,,,1.73259,percent of total billed charges,0.517307985,,,,1.71558,percent of total billed charges,1.702563428,,,,1.71558,percent of total billed charges,1.174244502,,,,,,,,,,1.7496,percent of total billed charges,1.137198828,,,,,,,,,,1.7496,percent of total billed charges,999999999,,,,,,,,,,1.944,percent of total billed charges,1.628970947,,,,1.9197,percent of total billed charges,1.852593114,,,,1.9197,percent of total billed charges,1.63682734,,,,1.944,percent of total billed charges,999999999,,,,1.944,percent of total billed charges,999999999,,,,1.701,percent of total billed charges,999999999,,,,1.701,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.29276,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.22715,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.6075,percent of total billed charges,0.5769764,,,,,,,,,,0.6075,percent of total billed charges,0.56737879,,,,,,,,,,0.6075,percent of total billed charges,0.565802069,,,,,,,,,,0.6075,percent of total billed charges,0.55747064,,,,,,,,,,0.6075,percent of total billed charges,0.571815179,,,,,,,,,,0.6075,percent of total billed charges,999999999,,,,,,,,,,0.6075,percent of total billed charges,0.490657691,,,,,,,,,,0.6075,percent of total billed charges,0.773801015,,,,,,,,,,0.6075,percent of total billed charges,999999999,,,,,,,,,,0.6075,percent of total billed charges,0.52904899,,,,,,,,,,2.187,percent of total billed charges,,,,,
**BUPIVACAINE 0.75% DEXT(SPINAL) : 2 ML,250,RC,0040-9176-02,NDC,,both,1,EA,11,11,2.341723391,11,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,11,percent of total billed charges,999999999,,,,11,percent of total billed charges,8.381243975,,,,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.766,percent of total billed charges,7.707077247,,,,7.766,percent of total billed charges,5.31551009,,,,,,,,,,7.92,percent of total billed charges,5.147813626,,,,,,,,,,7.92,percent of total billed charges,999999999,,,,,,,,,,8.8,percent of total billed charges,7.373942561,,,,8.69,percent of total billed charges,8.386223973,,,,8.69,percent of total billed charges,7.409506477,,,,8.8,percent of total billed charges,999999999,,,,8.8,percent of total billed charges,999999999,,,,7.7,percent of total billed charges,999999999,,,,7.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.852,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.555,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.75,percent of total billed charges,2.611827325,,,,,,,,,,2.75,percent of total billed charges,2.568381355,,,,,,,,,,2.75,percent of total billed charges,2.561243933,,,,,,,,,,2.75,percent of total billed charges,2.523529647,,,,,,,,,,2.75,percent of total billed charges,2.588463775,,,,,,,,,,2.75,percent of total billed charges,999999999,,,,,,,,,,2.75,percent of total billed charges,2.221084199,,,,,,,,,,2.75,percent of total billed charges,3.502802947,,,,,,,,,,2.75,percent of total billed charges,999999999,,,,,,,,,,2.75,percent of total billed charges,2.394871971,,,,,,,,,,9.9,percent of total billed charges,,,,,
**HEPARIN (HEP LOCK FLUSH) 100UNIT/ML 30,250,RC,0000-8048-01,NDC,,both,1,EA,12,12,2.554607335,12,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,12,percent of total billed charges,999999999,,,,12,percent of total billed charges,9.143175245,,,,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.472,percent of total billed charges,8.407720633,,,,8.472,percent of total billed charges,5.79873828,,,,,,,,,,8.64,percent of total billed charges,5.615796683,,,,,,,,,,8.64,percent of total billed charges,999999999,,,,,,,,,,9.6,percent of total billed charges,8.044300975,,,,9.48,percent of total billed charges,9.148607971,,,,9.48,percent of total billed charges,8.083097975,,,,9.6,percent of total billed charges,999999999,,,,9.6,percent of total billed charges,999999999,,,,8.4,percent of total billed charges,999999999,,,,8.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.384,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.06,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3,percent of total billed charges,2.849266173,,,,,,,,,,3,percent of total billed charges,2.801870569,,,,,,,,,,3,percent of total billed charges,2.794084291,,,,,,,,,,3,percent of total billed charges,2.752941434,,,,,,,,,,3,percent of total billed charges,2.823778664,,,,,,,,,,3,percent of total billed charges,999999999,,,,,,,,,,3,percent of total billed charges,2.423000944,,,,,,,,,,3,percent of total billed charges,3.821239578,,,,,,,,,,3,percent of total billed charges,999999999,,,,,,,,,,3,percent of total billed charges,2.612587605,,,,,,,,,,10.8,percent of total billed charges,,,,,
**DICLOFENAC POT.  (CATAFLAM)  50MG: TAB,259,RC,0078-1501-01,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
**HEPARIN SODIUM INJ 5000 UNIT/0.5ML SYR,J1644,CDM,0040-9131-25,NDC,,both,1,EA,14,14,2.980375225,14,14,percent of total billed charges,10.30029736,,,,14,percent of total billed charges,10.91811154,,,,14,percent of total billed charges,10.30029736,,,,14,percent of total billed charges,10.91811154,,,,14,percent of total billed charges,999999999,,,,14,percent of total billed charges,10.66703779,,,,14,percent of total billed charges,10.30029736,,,,14,percent of total billed charges,10.91811154,,,,9.982,percent of total billed charges,4.981200671,,,,9.982,percent of total billed charges,2.980375225,,,,9.982,percent of total billed charges,4.981200671,,,,9.982,percent of total billed charges,2.980375225,,,,9.982,percent of total billed charges,4.981200671,,,,9.982,percent of total billed charges,2.980375225,,,,9.884,percent of total billed charges,9.809007405,,,,9.884,percent of total billed charges,6.765194661,,,,,,,,,,10.08,percent of total billed charges,6.551762796,,,,,,,,,,10.08,percent of total billed charges,999999999,,,,,,,,,,11.2,percent of total billed charges,9.385017804,,,,11.06,percent of total billed charges,10.67337597,,,,11.06,percent of total billed charges,9.430280971,,,,11.2,percent of total billed charges,999999999,,,,11.2,percent of total billed charges,999999999,,,,9.8,percent of total billed charges,999999999,,,,9.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,7.448,percent of total billed charges,999999999,,,,,,,,,,,,,,,,7.07,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3.5,percent of total billed charges,3.324143869,,,,,,,,,,3.5,percent of total billed charges,3.268848997,,,,,,,,,,3.5,percent of total billed charges,3.259765006,,,,,,,,,,3.5,percent of total billed charges,3.211765006,,,,,,,,,,3.5,percent of total billed charges,3.294408441,,,,,,,,,,3.5,percent of total billed charges,999999999,,,,,,,,,,3.5,percent of total billed charges,2.826834435,,,,,,,,,,3.5,percent of total billed charges,4.458112841,,,,,,,,,,3.5,percent of total billed charges,999999999,,,,,,,,,,3.5,percent of total billed charges,3.048018873,,,,,,,,,,12.6,percent of total billed charges,,,,,
HEPATITIS B IMMUNE GLOBULIN 5ML,J1571,CDM,1353-3063-05,NDC,,both,1,EA,4953.68,4953.68,1054.558939,4953.68,4953.68,percent of total billed charges,3644.598359,,,,4953.68,percent of total billed charges,3863.202198,,,,4953.68,percent of total billed charges,3644.598359,,,,4953.68,percent of total billed charges,3863.202198,,,,4953.68,percent of total billed charges,999999999,,,,4953.68,percent of total billed charges,3774.363696,,,,4953.68,percent of total billed charges,3644.598359,,,,4953.68,percent of total billed charges,3863.202198,,,,3531.97384,percent of total billed charges,1762.519581,,,,3531.97384,percent of total billed charges,1054.558939,,,,3531.97384,percent of total billed charges,1762.519581,,,,3531.97384,percent of total billed charges,1054.558939,,,,3531.97384,percent of total billed charges,1762.519581,,,,3531.97384,percent of total billed charges,1054.558939,,,,3497.29808,percent of total billed charges,3470.763129,,,,3497.29808,percent of total billed charges,2393.75782,,,,,,,,,,3566.6496,percent of total billed charges,2318.238309,,,,,,,,,,3566.6496,percent of total billed charges,999999999,,,,,,,,,,3962.944,percent of total billed charges,3320.741071,,,,3913.4072,percent of total billed charges,3776.606361,,,,3913.4072,percent of total billed charges,3336.756732,,,,3962.944,percent of total billed charges,999999999,,,,3962.944,percent of total billed charges,999999999,,,,3467.576,percent of total billed charges,999999999,,,,3467.576,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2635.35776,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2501.6084,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1238.42,percent of total billed charges,1176.196071,,,,,,,,,,1238.42,percent of total billed charges,1156.63085,,,,,,,,,,1238.42,percent of total billed charges,1153.416622,,,,,,,,,,1238.42,percent of total billed charges,1136.432577,,,,,,,,,,1238.42,percent of total billed charges,1165.674658,,,,,,,,,,1238.42,percent of total billed charges,999999999,,,,,,,,,,1238.42,percent of total billed charges,1000.230943,,,,,,,,,,1238.42,percent of total billed charges,1577.433173,,,,,,,,,,1238.42,percent of total billed charges,999999999,,,,,,,,,,1238.42,percent of total billed charges,1078.493581,,,,,,,,,,4458.312,percent of total billed charges,,,,,
HEPATITIS B RECOMBINANT 20 MCG (ADULT),90746,CDM,5816-0082-11,NDC,,both,1,EA,187.55,187.55,39.92638381,187.55,187.55,percent of total billed charges,137.9871978,,,,187.55,percent of total billed charges,146.2637014,,,,187.55,percent of total billed charges,137.9871978,,,,187.55,percent of total billed charges,146.2637014,,,,187.55,percent of total billed charges,999999999,,,,187.55,percent of total billed charges,142.9002098,,,,187.55,percent of total billed charges,137.9871978,,,,187.55,percent of total billed charges,146.2637014,,,,133.72315,percent of total billed charges,66.73029899,,,,133.72315,percent of total billed charges,39.92638381,,,,133.72315,percent of total billed charges,66.73029899,,,,133.72315,percent of total billed charges,39.92638381,,,,133.72315,percent of total billed charges,66.73029899,,,,133.72315,percent of total billed charges,39.92638381,,,,132.4103,percent of total billed charges,131.4056671,,,,132.4103,percent of total billed charges,90.62944704,,,,,,,,,,135.036,percent of total billed charges,87.77022232,,,,,,,,,,135.036,percent of total billed charges,999999999,,,,,,,,,,150.04,percent of total billed charges,125.7257207,,,,148.1645,percent of total billed charges,142.9851187,,,,148.1645,percent of total billed charges,126.3320854,,,,150.04,percent of total billed charges,999999999,,,,150.04,percent of total billed charges,999999999,,,,131.285,percent of total billed charges,999999999,,,,131.285,percent of total billed charges,999999999,,,,,,,,,,,,,,,,99.7766,percent of total billed charges,999999999,,,,,,,,,,,,,,,,94.71275,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,46.8875,percent of total billed charges,44.5316559,,,,,,,,,,46.8875,percent of total billed charges,43.7909021,,,,,,,,,,46.8875,percent of total billed charges,43.66920906,,,,,,,,,,46.8875,percent of total billed charges,43.02618049,,,,,,,,,,46.8875,percent of total billed charges,44.13330737,,,,,,,,,,46.8875,percent of total billed charges,999999999,,,,,,,,,,46.8875,percent of total billed charges,37.86948559,,,,,,,,,,46.8875,percent of total billed charges,59.72279024,,,,,,,,,,46.8875,percent of total billed charges,999999999,,,,,,,,,,46.8875,percent of total billed charges,40.83256711,,,,,,,,,,168.795,percent of total billed charges,,,,,
**HEXACHLORPHEN 3% SUSP (PHISOHEX) 150,259,RC,0002-4153-02,NDC,,both,1,EA,47,47,10.0055454,47,47,percent of total billed charges,34.57956971,,,,47,percent of total billed charges,36.65366017,,,,47,percent of total billed charges,34.57956971,,,,47,percent of total billed charges,36.65366017,,,,47,percent of total billed charges,999999999,,,,47,percent of total billed charges,35.81076971,,,,47,percent of total billed charges,34.57956971,,,,47,percent of total billed charges,36.65366017,,,,33.511,percent of total billed charges,16.72260225,,,,33.511,percent of total billed charges,10.0055454,,,,33.511,percent of total billed charges,16.72260225,,,,33.511,percent of total billed charges,10.0055454,,,,33.511,percent of total billed charges,16.72260225,,,,33.511,percent of total billed charges,10.0055454,,,,33.182,percent of total billed charges,32.93023915,,,,33.182,percent of total billed charges,22.71172493,,,,,,,,,,33.84,percent of total billed charges,21.99520367,,,,,,,,,,33.84,percent of total billed charges,999999999,,,,,,,,,,37.6,percent of total billed charges,31.50684549,,,,37.13,percent of total billed charges,35.83204789,,,,37.13,percent of total billed charges,31.6588004,,,,37.6,percent of total billed charges,999999999,,,,37.6,percent of total billed charges,999999999,,,,32.9,percent of total billed charges,999999999,,,,32.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,25.004,percent of total billed charges,999999999,,,,,,,,,,,,,,,,23.735,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11.75,percent of total billed charges,11.15962584,,,,,,,,,,11.75,percent of total billed charges,10.97399306,,,,,,,,,,11.75,percent of total billed charges,10.94349681,,,,,,,,,,11.75,percent of total billed charges,10.78235395,,,,,,,,,,11.75,percent of total billed charges,11.05979977,,,,,,,,,,11.75,percent of total billed charges,999999999,,,,,,,,,,11.75,percent of total billed charges,9.490087031,,,,,,,,,,11.75,percent of total billed charges,14.96652168,,,,,,,,,,11.75,percent of total billed charges,999999999,,,,,,,,,,11.75,percent of total billed charges,10.23263479,,,,,,,,,,42.3,percent of total billed charges,,,,,
TRIAMTERENE/HCTZ (DYAZIDE) 37.5/25MG,250,RC,5107-9093-20,NDC,,both,1,EA,3.06,3.06,0.651424871,3.06,3.06,percent of total billed charges,2.251350709,,,,3.06,percent of total billed charges,2.386387237,,,,3.06,percent of total billed charges,2.251350709,,,,3.06,percent of total billed charges,2.386387237,,,,3.06,percent of total billed charges,999999999,,,,3.06,percent of total billed charges,2.331509688,,,,3.06,percent of total billed charges,2.251350709,,,,3.06,percent of total billed charges,2.386387237,,,,2.18178,percent of total billed charges,1.088748147,,,,2.18178,percent of total billed charges,0.651424871,,,,2.18178,percent of total billed charges,1.088748147,,,,2.18178,percent of total billed charges,0.651424871,,,,2.18178,percent of total billed charges,1.088748147,,,,2.18178,percent of total billed charges,0.651424871,,,,2.16036,percent of total billed charges,2.143968761,,,,2.16036,percent of total billed charges,1.478678262,,,,,,,,,,2.2032,percent of total billed charges,1.432028154,,,,,,,,,,2.2032,percent of total billed charges,999999999,,,,,,,,,,2.448,percent of total billed charges,2.051296749,,,,2.4174,percent of total billed charges,2.332895033,,,,2.4174,percent of total billed charges,2.061189984,,,,2.448,percent of total billed charges,999999999,,,,2.448,percent of total billed charges,999999999,,,,2.142,percent of total billed charges,999999999,,,,2.142,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.62792,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.5453,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.765,percent of total billed charges,0.726562874,,,,,,,,,,0.765,percent of total billed charges,0.714476995,,,,,,,,,,0.765,percent of total billed charges,0.712491494,,,,,,,,,,0.765,percent of total billed charges,0.702000066,,,,,,,,,,0.765,percent of total billed charges,0.720063559,,,,,,,,,,0.765,percent of total billed charges,999999999,,,,,,,,,,0.765,percent of total billed charges,0.617865241,,,,,,,,,,0.765,percent of total billed charges,0.974416092,,,,,,,,,,0.765,percent of total billed charges,999999999,,,,,,,,,,0.765,percent of total billed charges,0.666209839,,,,,,,,,,2.754,percent of total billed charges,,,,,
**INSULIN REGULAR 100 UNIT/ML VIAL (TCU),J1815,CDM,0000-2821-01,NDC,,both,1,EA,37,37,7.876705951,37,37,percent of total billed charges,27.22221445,,,,37,percent of total billed charges,28.85500907,,,,37,percent of total billed charges,27.22221445,,,,37,percent of total billed charges,28.85500907,,,,37,percent of total billed charges,999999999,,,,37,percent of total billed charges,28.19145701,,,,37,percent of total billed charges,27.22221445,,,,37,percent of total billed charges,28.85500907,,,,26.381,percent of total billed charges,13.16460177,,,,26.381,percent of total billed charges,7.876705951,,,,26.381,percent of total billed charges,13.16460177,,,,26.381,percent of total billed charges,7.876705951,,,,26.381,percent of total billed charges,13.16460177,,,,26.381,percent of total billed charges,7.876705951,,,,26.122,percent of total billed charges,25.92380528,,,,26.122,percent of total billed charges,17.87944303,,,,,,,,,,26.64,percent of total billed charges,17.3153731,,,,,,,,,,26.64,percent of total billed charges,999999999,,,,,,,,,,29.6,percent of total billed charges,24.80326134,,,,29.23,percent of total billed charges,28.20820791,,,,29.23,percent of total billed charges,24.92288542,,,,29.6,percent of total billed charges,999999999,,,,29.6,percent of total billed charges,999999999,,,,25.9,percent of total billed charges,999999999,,,,25.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,19.684,percent of total billed charges,999999999,,,,,,,,,,,,,,,,18.685,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9.25,percent of total billed charges,8.785237367,,,,,,,,,,9.25,percent of total billed charges,8.639100921,,,,,,,,,,9.25,percent of total billed charges,8.61509323,,,,,,,,,,9.25,percent of total billed charges,8.488236087,,,,,,,,,,9.25,percent of total billed charges,8.70665088,,,,,,,,,,9.25,percent of total billed charges,999999999,,,,,,,,,,9.25,percent of total billed charges,7.470919578,,,,,,,,,,9.25,percent of total billed charges,11.78215537,,,,,,,,,,9.25,percent of total billed charges,999999999,,,,,,,,,,9.25,percent of total billed charges,8.055478449,,,,,,,,,,33.3,percent of total billed charges,,,,,
hydrALAZINE (APRESOLINE) 10MG TAB,637,RC,6362-9849-01,NDC,,both,1,EA,1,1,0.212883945,1,1,percent of total billed charges,0.735735526,,,,1,percent of total billed charges,0.77986511,,,,1,percent of total billed charges,0.735735526,,,,1,percent of total billed charges,0.77986511,,,,1,percent of total billed charges,999999999,,,,1,percent of total billed charges,0.76193127,,,,1,percent of total billed charges,0.735735526,,,,1,percent of total billed charges,0.77986511,,,,0.713,percent of total billed charges,0.355800048,,,,0.713,percent of total billed charges,0.212883945,,,,0.713,percent of total billed charges,0.355800048,,,,0.713,percent of total billed charges,0.212883945,,,,0.713,percent of total billed charges,0.355800048,,,,0.713,percent of total billed charges,0.212883945,,,,0.706,percent of total billed charges,0.700643386,,,,0.706,percent of total billed charges,0.48322819,,,,,,,,,,0.72,percent of total billed charges,0.467983057,,,,,,,,,,0.72,percent of total billed charges,999999999,,,,,,,,,,0.8,percent of total billed charges,0.670358415,,,,0.79,percent of total billed charges,0.762383998,,,,0.79,percent of total billed charges,0.673591498,,,,0.8,percent of total billed charges,999999999,,,,0.8,percent of total billed charges,999999999,,,,0.7,percent of total billed charges,999999999,,,,0.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.532,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.505,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.25,percent of total billed charges,0.237438848,,,,,,,,,,0.25,percent of total billed charges,0.233489214,,,,,,,,,,0.25,percent of total billed charges,0.232840358,,,,,,,,,,0.25,percent of total billed charges,0.229411786,,,,,,,,,,0.25,percent of total billed charges,0.235314889,,,,,,,,,,0.25,percent of total billed charges,999999999,,,,,,,,,,0.25,percent of total billed charges,0.201916745,,,,,,,,,,0.25,percent of total billed charges,0.318436632,,,,,,,,,,0.25,percent of total billed charges,999999999,,,,,,,,,,0.25,percent of total billed charges,0.217715634,,,,,,,,,,0.9,percent of total billed charges,,,,,
hydrALAZINE (APRESOLINE) 25MG TAB,637,RC,5107-9007-20,NDC,,both,1,EA,0.53,0.53,0.112828491,0.53,0.53,percent of total billed charges,0.389939829,,,,0.53,percent of total billed charges,0.413328508,,,,0.53,percent of total billed charges,0.389939829,,,,0.53,percent of total billed charges,0.413328508,,,,0.53,percent of total billed charges,999999999,,,,0.53,percent of total billed charges,0.403823573,,,,0.53,percent of total billed charges,0.389939829,,,,0.53,percent of total billed charges,0.413328508,,,,0.37789,percent of total billed charges,0.188574025,,,,0.37789,percent of total billed charges,0.112828491,,,,0.37789,percent of total billed charges,0.188574025,,,,0.37789,percent of total billed charges,0.112828491,,,,0.37789,percent of total billed charges,0.188574025,,,,0.37789,percent of total billed charges,0.112828491,,,,0.37418,percent of total billed charges,0.371340995,,,,0.37418,percent of total billed charges,0.256110941,,,,,,,,,,0.3816,percent of total billed charges,0.24803102,,,,,,,,,,0.3816,percent of total billed charges,999999999,,,,,,,,,,0.424,percent of total billed charges,0.35528996,,,,0.4187,percent of total billed charges,0.404063519,,,,0.4187,percent of total billed charges,0.357003494,,,,0.424,percent of total billed charges,999999999,,,,0.424,percent of total billed charges,999999999,,,,0.371,percent of total billed charges,999999999,,,,0.371,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.28196,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.26765,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.1325,percent of total billed charges,0.125842589,,,,,,,,,,0.1325,percent of total billed charges,0.123749283,,,,,,,,,,0.1325,percent of total billed charges,0.12340539,,,,,,,,,,0.1325,percent of total billed charges,0.121588247,,,,,,,,,,0.1325,percent of total billed charges,0.124716891,,,,,,,,,,0.1325,percent of total billed charges,999999999,,,,,,,,,,0.1325,percent of total billed charges,0.107015875,,,,,,,,,,0.1325,percent of total billed charges,0.168771415,,,,,,,,,,0.1325,percent of total billed charges,999999999,,,,,,,,,,0.1325,percent of total billed charges,0.115389286,,,,,,,,,,0.477,percent of total billed charges,,,,,
HYDROXYUREA  (HYDREA) 500MG CAP,637,RC,6808-4028-01,NDC,,both,1,EA,3.2,3.2,0.681228623,3.2,3.2,percent of total billed charges,2.354353682,,,,3.2,percent of total billed charges,2.495568352,,,,3.2,percent of total billed charges,2.354353682,,,,3.2,percent of total billed charges,2.495568352,,,,3.2,percent of total billed charges,999999999,,,,3.2,percent of total billed charges,2.438180065,,,,3.2,percent of total billed charges,2.354353682,,,,3.2,percent of total billed charges,2.495568352,,,,2.2816,percent of total billed charges,1.138560153,,,,2.2816,percent of total billed charges,0.681228623,,,,2.2816,percent of total billed charges,1.138560153,,,,2.2816,percent of total billed charges,0.681228623,,,,2.2816,percent of total billed charges,1.138560153,,,,2.2816,percent of total billed charges,0.681228623,,,,2.2592,percent of total billed charges,2.242058835,,,,2.2592,percent of total billed charges,1.546330208,,,,,,,,,,2.304,percent of total billed charges,1.497545782,,,,,,,,,,2.304,percent of total billed charges,999999999,,,,,,,,,,2.56,percent of total billed charges,2.145146927,,,,2.528,percent of total billed charges,2.439628792,,,,2.528,percent of total billed charges,2.155492793,,,,2.56,percent of total billed charges,999999999,,,,2.56,percent of total billed charges,999999999,,,,2.24,percent of total billed charges,999999999,,,,2.24,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.7024,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.616,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.8,percent of total billed charges,0.759804313,,,,,,,,,,0.8,percent of total billed charges,0.747165485,,,,,,,,,,0.8,percent of total billed charges,0.745089144,,,,,,,,,,0.8,percent of total billed charges,0.734117716,,,,,,,,,,0.8,percent of total billed charges,0.753007644,,,,,,,,,,0.8,percent of total billed charges,999999999,,,,,,,,,,0.8,percent of total billed charges,0.646133585,,,,,,,,,,0.8,percent of total billed charges,1.018997221,,,,,,,,,,0.8,percent of total billed charges,999999999,,,,,,,,,,0.8,percent of total billed charges,0.696690028,,,,,,,,,,2.88,percent of total billed charges,,,,,
hydroCHLOROthiazide 25MG TAB,250,RC,1672-9018-01,NDC,,both,1,EA,0.59,0.59,0.125601527,0.59,0.59,percent of total billed charges,0.43408396,,,,0.59,percent of total billed charges,0.460120415,,,,0.59,percent of total billed charges,0.43408396,,,,0.59,percent of total billed charges,0.460120415,,,,0.59,percent of total billed charges,999999999,,,,0.59,percent of total billed charges,0.44953945,,,,0.59,percent of total billed charges,0.43408396,,,,0.59,percent of total billed charges,0.460120415,,,,0.42067,percent of total billed charges,0.209922028,,,,0.42067,percent of total billed charges,0.125601527,,,,0.42067,percent of total billed charges,0.209922028,,,,0.42067,percent of total billed charges,0.125601527,,,,0.42067,percent of total billed charges,0.209922028,,,,0.42067,percent of total billed charges,0.125601527,,,,0.41654,percent of total billed charges,0.413379598,,,,0.41654,percent of total billed charges,0.285104632,,,,,,,,,,0.4248,percent of total billed charges,0.276110004,,,,,,,,,,0.4248,percent of total billed charges,999999999,,,,,,,,,,0.472,percent of total billed charges,0.395511465,,,,0.4661,percent of total billed charges,0.449806559,,,,0.4661,percent of total billed charges,0.397418984,,,,0.472,percent of total billed charges,999999999,,,,0.472,percent of total billed charges,999999999,,,,0.413,percent of total billed charges,999999999,,,,0.413,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.31388,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.29795,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.1475,percent of total billed charges,0.14008892,,,,,,,,,,0.1475,percent of total billed charges,0.137758636,,,,,,,,,,0.1475,percent of total billed charges,0.137375811,,,,,,,,,,0.1475,percent of total billed charges,0.135352954,,,,,,,,,,0.1475,percent of total billed charges,0.138835784,,,,,,,,,,0.1475,percent of total billed charges,999999999,,,,,,,,,,0.1475,percent of total billed charges,0.11913088,,,,,,,,,,0.1475,percent of total billed charges,0.187877613,,,,,,,,,,0.1475,percent of total billed charges,999999999,,,,,,,,,,0.1475,percent of total billed charges,0.128452224,,,,,,,,,,0.531,percent of total billed charges,,,,,
**HYDROCHLOROTHIAZIDE 50MG TAB,259,RC,0018-2055-89,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
**HYDROCORTISONE (HYTONE) LOTION 2.5%,259,RC,0016-8028-02,NDC,,both,1,EA,11,11,2.341723391,11,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,11,percent of total billed charges,999999999,,,,11,percent of total billed charges,8.381243975,,,,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.766,percent of total billed charges,7.707077247,,,,7.766,percent of total billed charges,5.31551009,,,,,,,,,,7.92,percent of total billed charges,5.147813626,,,,,,,,,,7.92,percent of total billed charges,999999999,,,,,,,,,,8.8,percent of total billed charges,7.373942561,,,,8.69,percent of total billed charges,8.386223973,,,,8.69,percent of total billed charges,7.409506477,,,,8.8,percent of total billed charges,999999999,,,,8.8,percent of total billed charges,999999999,,,,7.7,percent of total billed charges,999999999,,,,7.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.852,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.555,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.75,percent of total billed charges,2.611827325,,,,,,,,,,2.75,percent of total billed charges,2.568381355,,,,,,,,,,2.75,percent of total billed charges,2.561243933,,,,,,,,,,2.75,percent of total billed charges,2.523529647,,,,,,,,,,2.75,percent of total billed charges,2.588463775,,,,,,,,,,2.75,percent of total billed charges,999999999,,,,,,,,,,2.75,percent of total billed charges,2.221084199,,,,,,,,,,2.75,percent of total billed charges,3.502802947,,,,,,,,,,2.75,percent of total billed charges,999999999,,,,,,,,,,2.75,percent of total billed charges,2.394871971,,,,,,,,,,9.9,percent of total billed charges,,,,,
HYDROCORTISONE (Solu CORTEF) 250MG INJ,J1720,CDM,0000-9001-06,NDC,,both,1,EA,444.7,444.7,94.66949017,444.7,444.7,percent of total billed charges,327.1815883,,,,444.7,percent of total billed charges,346.8060144,,,,444.7,percent of total billed charges,327.1815883,,,,444.7,percent of total billed charges,346.8060144,,,,444.7,percent of total billed charges,999999999,,,,444.7,percent of total billed charges,338.830836,,,,444.7,percent of total billed charges,327.1815883,,,,444.7,percent of total billed charges,346.8060144,,,,317.0711,percent of total billed charges,158.2242813,,,,317.0711,percent of total billed charges,94.66949017,,,,317.0711,percent of total billed charges,158.2242813,,,,317.0711,percent of total billed charges,94.66949017,,,,317.0711,percent of total billed charges,158.2242813,,,,317.0711,percent of total billed charges,94.66949017,,,,313.9582,percent of total billed charges,311.5761138,,,,313.9582,percent of total billed charges,214.8915761,,,,,,,,,,320.184,percent of total billed charges,208.1120654,,,,,,,,,,320.184,percent of total billed charges,999999999,,,,,,,,,,355.76,percent of total billed charges,298.108387,,,,351.313,percent of total billed charges,339.0321637,,,,351.313,percent of total billed charges,299.5461391,,,,355.76,percent of total billed charges,999999999,,,,355.76,percent of total billed charges,999999999,,,,311.29,percent of total billed charges,999999999,,,,311.29,percent of total billed charges,999999999,,,,,,,,,,,,,,,,236.5804,percent of total billed charges,999999999,,,,,,,,,,,,,,,,224.5735,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,111.175,percent of total billed charges,105.5890556,,,,,,,,,,111.175,percent of total billed charges,103.8326535,,,,,,,,,,111.175,percent of total billed charges,103.544107,,,,,,,,,,111.175,percent of total billed charges,102.0194213,,,,,,,,,,111.175,percent of total billed charges,104.644531,,,,,,,,,,111.175,percent of total billed charges,999999999,,,,,,,,,,111.175,percent of total billed charges,89.79237665,,,,,,,,,,111.175,percent of total billed charges,141.60877,,,,,,,,,,111.175,percent of total billed charges,999999999,,,,,,,,,,111.175,percent of total billed charges,96.81814234,,,,,,,,,,400.23,percent of total billed charges,,,,,
**HYDROCORTISONE CREAM 1% 15 GM,259,RC,5167-2201-01,NDC,,both,1,EA,9,9,1.915955502,9,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,9,percent of total billed charges,999999999,,,,9,percent of total billed charges,6.857381434,,,,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.354,percent of total billed charges,6.305790475,,,,6.354,percent of total billed charges,4.34905371,,,,,,,,,,6.48,percent of total billed charges,4.211847512,,,,,,,,,,6.48,percent of total billed charges,999999999,,,,,,,,,,7.2,percent of total billed charges,6.033225731,,,,7.11,percent of total billed charges,6.861455978,,,,7.11,percent of total billed charges,6.062323481,,,,7.2,percent of total billed charges,999999999,,,,7.2,percent of total billed charges,999999999,,,,6.3,percent of total billed charges,999999999,,,,6.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.788,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.545,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.25,percent of total billed charges,2.13694963,,,,,,,,,,2.25,percent of total billed charges,2.101402927,,,,,,,,,,2.25,percent of total billed charges,2.095563218,,,,,,,,,,2.25,percent of total billed charges,2.064706075,,,,,,,,,,2.25,percent of total billed charges,2.117833998,,,,,,,,,,2.25,percent of total billed charges,999999999,,,,,,,,,,2.25,percent of total billed charges,1.817250708,,,,,,,,,,2.25,percent of total billed charges,2.865929684,,,,,,,,,,2.25,percent of total billed charges,999999999,,,,,,,,,,2.25,percent of total billed charges,1.959440704,,,,,,,,,,8.1,percent of total billed charges,,,,,
HYDROGEN PEROXIDE SOLN 3%: 16 OZ,259,RC,0039-5111-28,NDC,,both,1,EA,89.54,89.54,19.0616284,89.54,89.54,percent of total billed charges,65.87775897,,,,89.54,percent of total billed charges,69.82912195,,,,89.54,percent of total billed charges,65.87775897,,,,89.54,percent of total billed charges,69.82912195,,,,89.54,percent of total billed charges,999999999,,,,89.54,percent of total billed charges,68.22332595,,,,89.54,percent of total billed charges,65.87775897,,,,89.54,percent of total billed charges,69.82912195,,,,63.84202,percent of total billed charges,31.85833629,,,,63.84202,percent of total billed charges,19.0616284,,,,63.84202,percent of total billed charges,31.85833629,,,,63.84202,percent of total billed charges,19.0616284,,,,63.84202,percent of total billed charges,31.85833629,,,,63.84202,percent of total billed charges,19.0616284,,,,63.21524,percent of total billed charges,62.73560879,,,,63.21524,percent of total billed charges,43.26825214,,,,,,,,,,64.4688,percent of total billed charges,41.90320291,,,,,,,,,,64.4688,percent of total billed charges,999999999,,,,,,,,,,71.632,percent of total billed charges,60.02389244,,,,70.7366,percent of total billed charges,68.26386314,,,,70.7366,percent of total billed charges,60.31338273,,,,71.632,percent of total billed charges,999999999,,,,71.632,percent of total billed charges,999999999,,,,62.678,percent of total billed charges,999999999,,,,62.678,percent of total billed charges,999999999,,,,,,,,,,,,,,,,47.63528,percent of total billed charges,999999999,,,,,,,,,,,,,,,,45.2177,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,22.385,percent of total billed charges,21.26027443,,,,,,,,,,22.385,percent of total billed charges,20.90662423,,,,,,,,,,22.385,percent of total billed charges,20.84852562,,,,,,,,,,22.385,percent of total billed charges,20.54153133,,,,,,,,,,22.385,percent of total billed charges,21.07009513,,,,,,,,,,22.385,percent of total billed charges,999999999,,,,,,,,,,22.385,percent of total billed charges,18.07962538,,,,,,,,,,22.385,percent of total billed charges,28.51281599,,,,,,,,,,22.385,percent of total billed charges,999999999,,,,,,,,,,22.385,percent of total billed charges,19.49425785,,,,,,,,,,80.586,percent of total billed charges,,,,,
FLUVASTATIN (LESCOL) 20MG CAP,259,RC,0037-8802-93,NDC,,both,1,EA,3.92,3.92,0.834505063,3.92,3.92,percent of total billed charges,2.884083261,,,,3.92,percent of total billed charges,3.057071231,,,,3.92,percent of total billed charges,2.884083261,,,,3.92,percent of total billed charges,3.057071231,,,,3.92,percent of total billed charges,999999999,,,,3.92,percent of total billed charges,2.98677058,,,,3.92,percent of total billed charges,2.884083261,,,,3.92,percent of total billed charges,3.057071231,,,,2.79496,percent of total billed charges,1.394736188,,,,2.79496,percent of total billed charges,0.834505063,,,,2.79496,percent of total billed charges,1.394736188,,,,2.79496,percent of total billed charges,0.834505063,,,,2.79496,percent of total billed charges,1.394736188,,,,2.79496,percent of total billed charges,0.834505063,,,,2.76752,percent of total billed charges,2.746522073,,,,2.76752,percent of total billed charges,1.894254505,,,,,,,,,,2.8224,percent of total billed charges,1.834493583,,,,,,,,,,2.8224,percent of total billed charges,999999999,,,,,,,,,,3.136,percent of total billed charges,2.627804985,,,,3.0968,percent of total billed charges,2.988545271,,,,3.0968,percent of total billed charges,2.640478672,,,,3.136,percent of total billed charges,999999999,,,,3.136,percent of total billed charges,999999999,,,,2.744,percent of total billed charges,999999999,,,,2.744,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2.08544,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.9796,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.98,percent of total billed charges,0.930760283,,,,,,,,,,0.98,percent of total billed charges,0.915277719,,,,,,,,,,0.98,percent of total billed charges,0.912734202,,,,,,,,,,0.98,percent of total billed charges,0.899294202,,,,,,,,,,0.98,percent of total billed charges,0.922434363,,,,,,,,,,0.98,percent of total billed charges,999999999,,,,,,,,,,0.98,percent of total billed charges,0.791513642,,,,,,,,,,0.98,percent of total billed charges,1.248271596,,,,,,,,,,0.98,percent of total billed charges,999999999,,,,,,,,,,0.98,percent of total billed charges,0.853445284,,,,,,,,,,3.528,percent of total billed charges,,,,,
HYDROmorphone (DILAUDID) 2MG/ML SYR,J1171,CDM,0040-9131-30,NDC,,both,1,EA,54.3,54.3,11.55959819,54.3,54.3,percent of total billed charges,39.95043905,,,,54.3,percent of total billed charges,42.34667547,,,,54.3,percent of total billed charges,39.95043905,,,,54.3,percent of total billed charges,42.34667547,,,,54.3,percent of total billed charges,999999999,,,,54.3,percent of total billed charges,41.37286798,,,,54.3,percent of total billed charges,39.95043905,,,,54.3,percent of total billed charges,42.34667547,,,,38.7159,percent of total billed charges,19.3199426,,,,38.7159,percent of total billed charges,11.55959819,,,,38.7159,percent of total billed charges,19.3199426,,,,38.7159,percent of total billed charges,11.55959819,,,,38.7159,percent of total billed charges,19.3199426,,,,38.7159,percent of total billed charges,11.55959819,,,,38.3358,percent of total billed charges,38.04493586,,,,38.3358,percent of total billed charges,26.23929072,,,,,,,,,,39.096,percent of total billed charges,25.41147999,,,,,,,,,,39.096,percent of total billed charges,999999999,,,,,,,,,,43.44,percent of total billed charges,36.40046191,,,,42.897,percent of total billed charges,41.39745107,,,,42.897,percent of total billed charges,36.57601834,,,,43.44,percent of total billed charges,999999999,,,,43.44,percent of total billed charges,999999999,,,,38.01,percent of total billed charges,999999999,,,,38.01,percent of total billed charges,999999999,,,,,,,,,,,,,,,,28.8876,percent of total billed charges,999999999,,,,,,,,,,,,,,,,27.4215,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13.575,percent of total billed charges,12.89292943,,,,,,,,,,13.575,percent of total billed charges,12.67846433,,,,,,,,,,13.575,percent of total billed charges,12.64323142,,,,,,,,,,13.575,percent of total billed charges,12.45705999,,,,,,,,,,13.575,percent of total billed charges,12.77759845,,,,,,,,,,13.575,percent of total billed charges,999999999,,,,,,,,,,13.575,percent of total billed charges,10.96407927,,,,,,,,,,13.575,percent of total billed charges,17.29110909,,,,,,,,,,13.575,percent of total billed charges,999999999,,,,,,,,,,13.575,percent of total billed charges,11.82195891,,,,,,,,,,48.87,percent of total billed charges,,,,,
acetaZOLAMIDE (DIAMOX) 500 MG: INJ,J1120,CDM,3982-2019-01,NDC,,both,1,EA,181.61,181.61,38.66185318,181.61,181.61,percent of total billed charges,133.6169288,,,,181.61,percent of total billed charges,141.6313026,,,,181.61,percent of total billed charges,133.6169288,,,,181.61,percent of total billed charges,141.6313026,,,,181.61,percent of total billed charges,999999999,,,,181.61,percent of total billed charges,138.374338,,,,181.61,percent of total billed charges,133.6169288,,,,181.61,percent of total billed charges,141.6313026,,,,129.48793,percent of total billed charges,64.6168467,,,,129.48793,percent of total billed charges,38.66185318,,,,129.48793,percent of total billed charges,64.6168467,,,,129.48793,percent of total billed charges,38.66185318,,,,129.48793,percent of total billed charges,64.6168467,,,,129.48793,percent of total billed charges,38.66185318,,,,128.21666,percent of total billed charges,127.2438453,,,,128.21666,percent of total billed charges,87.75907159,,,,,,,,,,130.7592,percent of total billed charges,84.99040296,,,,,,,,,,130.7592,percent of total billed charges,999999999,,,,,,,,,,145.288,percent of total billed charges,121.7437917,,,,143.4719,percent of total billed charges,138.4565578,,,,143.4719,percent of total billed charges,122.3309519,,,,145.288,percent of total billed charges,999999999,,,,145.288,percent of total billed charges,999999999,,,,127.127,percent of total billed charges,999999999,,,,127.127,percent of total billed charges,999999999,,,,,,,,,,,,,,,,96.61652,percent of total billed charges,999999999,,,,,,,,,,,,,,,,91.71305,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45.4025,percent of total billed charges,43.12126914,,,,,,,,,,45.4025,percent of total billed charges,42.40397617,,,,,,,,,,45.4025,percent of total billed charges,42.28613734,,,,,,,,,,45.4025,percent of total billed charges,41.66347448,,,,,,,,,,45.4025,percent of total billed charges,42.73553693,,,,,,,,,,45.4025,percent of total billed charges,999999999,,,,,,,,,,45.4025,percent of total billed charges,36.67010012,,,,,,,,,,45.4025,percent of total billed charges,57.83127665,,,,,,,,,,45.4025,percent of total billed charges,999999999,,,,,,,,,,45.4025,percent of total billed charges,39.53933625,,,,,,,,,,163.449,percent of total billed charges,,,,,
**carBAMazepine (TEGRETOL) 100MG/5ML 60,259,RC,5167-2404-09,NDC,,both,1,EA,22,22,4.683446782,22,22,percent of total billed charges,16.18618157,,,,22,percent of total billed charges,17.15703242,,,,22,percent of total billed charges,16.18618157,,,,22,percent of total billed charges,17.15703242,,,,22,percent of total billed charges,999999999,,,,22,percent of total billed charges,16.76248795,,,,22,percent of total billed charges,16.18618157,,,,22,percent of total billed charges,17.15703242,,,,15.686,percent of total billed charges,7.827601054,,,,15.686,percent of total billed charges,4.683446782,,,,15.686,percent of total billed charges,7.827601054,,,,15.686,percent of total billed charges,4.683446782,,,,15.686,percent of total billed charges,7.827601054,,,,15.686,percent of total billed charges,4.683446782,,,,15.532,percent of total billed charges,15.41415449,,,,15.532,percent of total billed charges,10.63102018,,,,,,,,,,15.84,percent of total billed charges,10.29562725,,,,,,,,,,15.84,percent of total billed charges,999999999,,,,,,,,,,17.6,percent of total billed charges,14.74788512,,,,17.38,percent of total billed charges,16.77244795,,,,17.38,percent of total billed charges,14.81901295,,,,17.6,percent of total billed charges,999999999,,,,17.6,percent of total billed charges,999999999,,,,15.4,percent of total billed charges,999999999,,,,15.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,11.704,percent of total billed charges,999999999,,,,,,,,,,,,,,,,11.11,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5.5,percent of total billed charges,5.223654651,,,,,,,,,,5.5,percent of total billed charges,5.13676271,,,,,,,,,,5.5,percent of total billed charges,5.122487866,,,,,,,,,,5.5,percent of total billed charges,5.047059295,,,,,,,,,,5.5,percent of total billed charges,5.17692755,,,,,,,,,,5.5,percent of total billed charges,999999999,,,,,,,,,,5.5,percent of total billed charges,4.442168398,,,,,,,,,,5.5,percent of total billed charges,7.005605893,,,,,,,,,,5.5,percent of total billed charges,999999999,,,,,,,,,,5.5,percent of total billed charges,4.789743943,,,,,,,,,,19.8,percent of total billed charges,,,,,
HYDROXYCHLOROQUINE (PLAQUENIL) 200MG,637,RC,6808-4026-01,NDC,,both,1,EA,4.86,4.86,1.034615971,4.86,4.86,percent of total billed charges,3.575674655,,,,4.86,percent of total billed charges,3.790144435,,,,4.86,percent of total billed charges,3.575674655,,,,4.86,percent of total billed charges,3.790144435,,,,4.86,percent of total billed charges,999999999,,,,4.86,percent of total billed charges,3.702985974,,,,4.86,percent of total billed charges,3.575674655,,,,4.86,percent of total billed charges,3.790144435,,,,3.46518,percent of total billed charges,1.729188233,,,,3.46518,percent of total billed charges,1.034615971,,,,3.46518,percent of total billed charges,1.729188233,,,,3.46518,percent of total billed charges,1.034615971,,,,3.46518,percent of total billed charges,1.729188233,,,,3.46518,percent of total billed charges,1.034615971,,,,3.43116,percent of total billed charges,3.405126856,,,,3.43116,percent of total billed charges,2.348489004,,,,,,,,,,3.4992,percent of total billed charges,2.274397656,,,,,,,,,,3.4992,percent of total billed charges,999999999,,,,,,,,,,3.888,percent of total billed charges,3.257941895,,,,3.8394,percent of total billed charges,3.705186228,,,,3.8394,percent of total billed charges,3.27365468,,,,3.888,percent of total billed charges,999999999,,,,3.888,percent of total billed charges,999999999,,,,3.402,percent of total billed charges,999999999,,,,3.402,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2.58552,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2.4543,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.215,percent of total billed charges,1.1539528,,,,,,,,,,1.215,percent of total billed charges,1.13475758,,,,,,,,,,1.215,percent of total billed charges,1.131604138,,,,,,,,,,1.215,percent of total billed charges,1.114941281,,,,,,,,,,1.215,percent of total billed charges,1.143630359,,,,,,,,,,1.215,percent of total billed charges,999999999,,,,,,,,,,1.215,percent of total billed charges,0.981315382,,,,,,,,,,1.215,percent of total billed charges,1.547602029,,,,,,,,,,1.215,percent of total billed charges,999999999,,,,,,,,,,1.215,percent of total billed charges,1.05809798,,,,,,,,,,4.374,percent of total billed charges,,,,,
ARTIFICIAL TEARS 15ML,637,RC,1171-6000-06,NDC,,both,1,EA,108.42,108.42,23.08087728,108.42,108.42,percent of total billed charges,79.7684457,,,,108.42,percent of total billed charges,84.55297523,,,,108.42,percent of total billed charges,79.7684457,,,,108.42,percent of total billed charges,84.55297523,,,,108.42,percent of total billed charges,999999999,,,,108.42,percent of total billed charges,82.60858834,,,,108.42,percent of total billed charges,79.7684457,,,,108.42,percent of total billed charges,84.55297523,,,,77.30346,percent of total billed charges,38.5758412,,,,77.30346,percent of total billed charges,23.08087728,,,,77.30346,percent of total billed charges,38.5758412,,,,77.30346,percent of total billed charges,23.08087728,,,,77.30346,percent of total billed charges,38.5758412,,,,77.30346,percent of total billed charges,23.08087728,,,,76.54452,percent of total billed charges,75.96375592,,,,76.54452,percent of total billed charges,52.39160036,,,,,,,,,,78.0624,percent of total billed charges,50.73872303,,,,,,,,,,78.0624,percent of total billed charges,999999999,,,,,,,,,,86.736,percent of total billed charges,72.68025931,,,,85.6518,percent of total billed charges,82.65767302,,,,85.6518,percent of total billed charges,73.03079021,,,,86.736,percent of total billed charges,999999999,,,,86.736,percent of total billed charges,999999999,,,,75.894,percent of total billed charges,999999999,,,,75.894,percent of total billed charges,999999999,,,,,,,,,,,,,,,,57.67944,percent of total billed charges,999999999,,,,,,,,,,,,,,,,54.7521,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,27.105,percent of total billed charges,25.74311987,,,,,,,,,,27.105,percent of total billed charges,25.31490059,,,,,,,,,,27.105,percent of total billed charges,25.24455157,,,,,,,,,,27.105,percent of total billed charges,24.87282585,,,,,,,,,,27.105,percent of total billed charges,25.51284023,,,,,,,,,,27.105,percent of total billed charges,999999999,,,,,,,,,,27.105,percent of total billed charges,21.89181353,,,,,,,,,,27.105,percent of total billed charges,34.52489959,,,,,,,,,,27.105,percent of total billed charges,999999999,,,,,,,,,,27.105,percent of total billed charges,23.60472901,,,,,,,,,,97.578,percent of total billed charges,,,,,
hydrOXYzine (ATARAX) 10MG TAB,637,RC,0037-8258-01,NDC,,both,1,EA,1.12,1.12,0.238430018,1.12,1.12,percent of total billed charges,0.824023789,,,,1.12,percent of total billed charges,0.873448923,,,,1.12,percent of total billed charges,0.824023789,,,,1.12,percent of total billed charges,0.873448923,,,,1.12,percent of total billed charges,999999999,,,,1.12,percent of total billed charges,0.853363023,,,,1.12,percent of total billed charges,0.824023789,,,,1.12,percent of total billed charges,0.873448923,,,,0.79856,percent of total billed charges,0.398496054,,,,0.79856,percent of total billed charges,0.238430018,,,,0.79856,percent of total billed charges,0.398496054,,,,0.79856,percent of total billed charges,0.238430018,,,,0.79856,percent of total billed charges,0.398496054,,,,0.79856,percent of total billed charges,0.238430018,,,,0.79072,percent of total billed charges,0.784720592,,,,0.79072,percent of total billed charges,0.541215573,,,,,,,,,,0.8064,percent of total billed charges,0.524141024,,,,,,,,,,0.8064,percent of total billed charges,999999999,,,,,,,,,,0.896,percent of total billed charges,0.750801424,,,,0.8848,percent of total billed charges,0.853870077,,,,0.8848,percent of total billed charges,0.754422478,,,,0.896,percent of total billed charges,999999999,,,,0.896,percent of total billed charges,999999999,,,,0.784,percent of total billed charges,999999999,,,,0.784,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.59584,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.5656,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.28,percent of total billed charges,0.265931509,,,,,,,,,,0.28,percent of total billed charges,0.26150792,,,,,,,,,,0.28,percent of total billed charges,0.2607812,,,,,,,,,,0.28,percent of total billed charges,0.2569412,,,,,,,,,,0.28,percent of total billed charges,0.263552675,,,,,,,,,,0.28,percent of total billed charges,999999999,,,,,,,,,,0.28,percent of total billed charges,0.226146755,,,,,,,,,,0.28,percent of total billed charges,0.356649027,,,,,,,,,,0.28,percent of total billed charges,999999999,,,,,,,,,,0.28,percent of total billed charges,0.24384151,,,,,,,,,,1.008,percent of total billed charges,,,,,
hydrOXYzine (VISTARIL) 25MG/ML INJ,J3410,CDM,0051-7420-25,NDC,,both,1,EA,239.92,239.92,51.07511599,239.92,239.92,percent of total billed charges,176.5176673,,,,239.92,percent of total billed charges,187.1052372,,,,239.92,percent of total billed charges,176.5176673,,,,239.92,percent of total billed charges,187.1052372,,,,239.92,percent of total billed charges,999999999,,,,239.92,percent of total billed charges,182.8025504,,,,239.92,percent of total billed charges,176.5176673,,,,239.92,percent of total billed charges,187.1052372,,,,171.06296,percent of total billed charges,85.3635475,,,,171.06296,percent of total billed charges,51.07511599,,,,171.06296,percent of total billed charges,85.3635475,,,,171.06296,percent of total billed charges,51.07511599,,,,171.06296,percent of total billed charges,85.3635475,,,,171.06296,percent of total billed charges,51.07511599,,,,169.38352,percent of total billed charges,168.0983612,,,,169.38352,percent of total billed charges,115.9361074,,,,,,,,,,172.7424,percent of total billed charges,112.278495,,,,,,,,,,172.7424,percent of total billed charges,999999999,,,,,,,,,,191.936,percent of total billed charges,160.8323908,,,,189.5368,percent of total billed charges,182.9111687,,,,189.5368,percent of total billed charges,161.6080722,,,,191.936,percent of total billed charges,999999999,,,,191.936,percent of total billed charges,999999999,,,,167.944,percent of total billed charges,999999999,,,,167.944,percent of total billed charges,999999999,,,,,,,,,,,,,,,,127.63744,percent of total billed charges,999999999,,,,,,,,,,,,,,,,121.1596,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,59.98,percent of total billed charges,56.96632836,,,,,,,,,,59.98,percent of total billed charges,56.01873224,,,,,,,,,,59.98,percent of total billed charges,55.86305859,,,,,,,,,,59.98,percent of total billed charges,55.04047573,,,,,,,,,,59.98,percent of total billed charges,56.45674808,,,,,,,,,,59.98,percent of total billed charges,999999999,,,,,,,,,,59.98,percent of total billed charges,48.44386554,,,,,,,,,,59.98,percent of total billed charges,76.39931663,,,,,,,,,,59.98,percent of total billed charges,999999999,,,,,,,,,,59.98,percent of total billed charges,52.23433485,,,,,,,,,,215.928,percent of total billed charges,,,,,
hydrOXYzine (VISTARIL) 50MG/ML INJ,J3410,CDM,0051-7560-25,NDC,,both,1,EA,159.86,159.86,34.03162739,159.86,159.86,percent of total billed charges,117.6146811,,,,159.86,percent of total billed charges,124.6692365,,,,159.86,percent of total billed charges,117.6146811,,,,159.86,percent of total billed charges,124.6692365,,,,159.86,percent of total billed charges,999999999,,,,159.86,percent of total billed charges,121.8023329,,,,159.86,percent of total billed charges,117.6146811,,,,159.86,percent of total billed charges,124.6692365,,,,113.98018,percent of total billed charges,56.87819566,,,,113.98018,percent of total billed charges,34.03162739,,,,113.98018,percent of total billed charges,56.87819566,,,,113.98018,percent of total billed charges,34.03162739,,,,113.98018,percent of total billed charges,56.87819566,,,,113.98018,percent of total billed charges,34.03162739,,,,112.86116,percent of total billed charges,112.0048517,,,,112.86116,percent of total billed charges,77.24885846,,,,,,,,,,115.0992,percent of total billed charges,74.81177147,,,,,,,,,,115.0992,percent of total billed charges,999999999,,,,,,,,,,127.888,percent of total billed charges,107.1634962,,,,126.2894,percent of total billed charges,121.8747059,,,,126.2894,percent of total billed charges,107.6803369,,,,127.888,percent of total billed charges,999999999,,,,127.888,percent of total billed charges,999999999,,,,111.902,percent of total billed charges,999999999,,,,111.902,percent of total billed charges,999999999,,,,,,,,,,,,,,,,85.04552,percent of total billed charges,999999999,,,,,,,,,,,,,,,,80.7293,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,39.965,percent of total billed charges,37.9569742,,,,,,,,,,39.965,percent of total billed charges,37.32558576,,,,,,,,,,39.965,percent of total billed charges,37.22185956,,,,,,,,,,39.965,percent of total billed charges,36.67376813,,,,,,,,,,39.965,percent of total billed charges,37.6174381,,,,,,,,,,39.965,percent of total billed charges,999999999,,,,,,,,,,39.965,percent of total billed charges,32.27841091,,,,,,,,,,39.965,percent of total billed charges,50.90527991,,,,,,,,,,39.965,percent of total billed charges,999999999,,,,,,,,,,39.965,percent of total billed charges,34.80402121,,,,,,,,,,143.874,percent of total billed charges,,,,,
**HYDROXYZINE PAMOATE(VISTARIL)CAP: 25,250,RC,0018-2109-89,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
TERAZOSIN (HYTRIN) 1 MG CAP,637,RC,0078-1205-01,NDC,,both,1,EA,2.69,2.69,0.572657811,2.69,2.69,percent of total billed charges,1.979128564,,,,2.69,percent of total billed charges,2.097837146,,,,2.69,percent of total billed charges,1.979128564,,,,2.69,percent of total billed charges,2.097837146,,,,2.69,percent of total billed charges,999999999,,,,2.69,percent of total billed charges,2.049595117,,,,2.69,percent of total billed charges,1.979128564,,,,2.69,percent of total billed charges,2.097837146,,,,1.91797,percent of total billed charges,0.957102129,,,,1.91797,percent of total billed charges,0.572657811,,,,1.91797,percent of total billed charges,0.957102129,,,,1.91797,percent of total billed charges,0.572657811,,,,1.91797,percent of total billed charges,0.957102129,,,,1.91797,percent of total billed charges,0.572657811,,,,1.89914,percent of total billed charges,1.884730709,,,,1.89914,percent of total billed charges,1.299883831,,,,,,,,,,1.9368,percent of total billed charges,1.258874423,,,,,,,,,,1.9368,percent of total billed charges,999999999,,,,,,,,,,2.152,percent of total billed charges,1.803264135,,,,2.1251,percent of total billed charges,2.050812953,,,,2.1251,percent of total billed charges,1.811961129,,,,2.152,percent of total billed charges,999999999,,,,2.152,percent of total billed charges,999999999,,,,1.883,percent of total billed charges,999999999,,,,1.883,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.43108,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.35845,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.6725,percent of total billed charges,0.6387105,,,,,,,,,,0.6725,percent of total billed charges,0.628085986,,,,,,,,,,0.6725,percent of total billed charges,0.626340562,,,,,,,,,,0.6725,percent of total billed charges,0.617117705,,,,,,,,,,0.6725,percent of total billed charges,0.63299705,,,,,,,,,,0.6725,percent of total billed charges,999999999,,,,,,,,,,0.6725,percent of total billed charges,0.543156045,,,,,,,,,,0.6725,percent of total billed charges,0.856594539,,,,,,,,,,0.6725,percent of total billed charges,999999999,,,,,,,,,,0.6725,percent of total billed charges,0.585655055,,,,,,,,,,2.421,percent of total billed charges,,,,,
IBUPROFEN (MOTRIN) 400MG TAB,637,RC,0090-4585-61,NDC,,both,1,EA,0.5,0.5,0.106441972,0.5,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,999999999,,,,0.5,percent of total billed charges,0.380965635,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.353,percent of total billed charges,0.350321693,,,,0.353,percent of total billed charges,0.241614095,,,,,,,,,,0.36,percent of total billed charges,0.233991528,,,,,,,,,,0.36,percent of total billed charges,999999999,,,,,,,,,,0.4,percent of total billed charges,0.335179207,,,,0.395,percent of total billed charges,0.381191999,,,,0.395,percent of total billed charges,0.336795749,,,,0.4,percent of total billed charges,999999999,,,,0.4,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.266,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.2525,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.125,percent of total billed charges,0.118719424,,,,,,,,,,0.125,percent of total billed charges,0.116744607,,,,,,,,,,0.125,percent of total billed charges,0.116420179,,,,,,,,,,0.125,percent of total billed charges,0.114705893,,,,,,,,,,0.125,percent of total billed charges,0.117657444,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.100958373,,,,,,,,,,0.125,percent of total billed charges,0.159218316,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.108857817,,,,,,,,,,0.45,percent of total billed charges,,,,,
IBUPROFEN (MOTRIN) 600MG TAB,250,RC,6068-7045-11,NDC,,both,1,EA,0.75,0.75,0.159662958,0.75,0.75,percent of total billed charges,0.551801644,,,,0.75,percent of total billed charges,0.584898833,,,,0.75,percent of total billed charges,0.551801644,,,,0.75,percent of total billed charges,0.584898833,,,,0.75,percent of total billed charges,999999999,,,,0.75,percent of total billed charges,0.571448453,,,,0.75,percent of total billed charges,0.551801644,,,,0.75,percent of total billed charges,0.584898833,,,,0.53475,percent of total billed charges,0.266850036,,,,0.53475,percent of total billed charges,0.159662958,,,,0.53475,percent of total billed charges,0.266850036,,,,0.53475,percent of total billed charges,0.159662958,,,,0.53475,percent of total billed charges,0.266850036,,,,0.53475,percent of total billed charges,0.159662958,,,,0.5295,percent of total billed charges,0.52548254,,,,0.5295,percent of total billed charges,0.362421143,,,,,,,,,,0.54,percent of total billed charges,0.350987293,,,,,,,,,,0.54,percent of total billed charges,999999999,,,,,,,,,,0.6,percent of total billed charges,0.502768811,,,,0.5925,percent of total billed charges,0.571787998,,,,0.5925,percent of total billed charges,0.505193623,,,,0.6,percent of total billed charges,999999999,,,,0.6,percent of total billed charges,999999999,,,,0.525,percent of total billed charges,999999999,,,,0.525,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.399,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.37875,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.1875,percent of total billed charges,0.178079136,,,,,,,,,,0.1875,percent of total billed charges,0.175116911,,,,,,,,,,0.1875,percent of total billed charges,0.174630268,,,,,,,,,,0.1875,percent of total billed charges,0.17205884,,,,,,,,,,0.1875,percent of total billed charges,0.176486166,,,,,,,,,,0.1875,percent of total billed charges,999999999,,,,,,,,,,0.1875,percent of total billed charges,0.151437559,,,,,,,,,,0.1875,percent of total billed charges,0.238827474,,,,,,,,,,0.1875,percent of total billed charges,999999999,,,,,,,,,,0.1875,percent of total billed charges,0.163286725,,,,,,,,,,0.675,percent of total billed charges,,,,,
IBUPROFEN (MOTRIN) 800MG TAB,637,RC,0090-4585-61,NDC,,both,1,EA,0.5,0.5,0.106441972,0.5,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,999999999,,,,0.5,percent of total billed charges,0.380965635,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.353,percent of total billed charges,0.350321693,,,,0.353,percent of total billed charges,0.241614095,,,,,,,,,,0.36,percent of total billed charges,0.233991528,,,,,,,,,,0.36,percent of total billed charges,999999999,,,,,,,,,,0.4,percent of total billed charges,0.335179207,,,,0.395,percent of total billed charges,0.381191999,,,,0.395,percent of total billed charges,0.336795749,,,,0.4,percent of total billed charges,999999999,,,,0.4,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.266,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.2525,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.125,percent of total billed charges,0.118719424,,,,,,,,,,0.125,percent of total billed charges,0.116744607,,,,,,,,,,0.125,percent of total billed charges,0.116420179,,,,,,,,,,0.125,percent of total billed charges,0.114705893,,,,,,,,,,0.125,percent of total billed charges,0.117657444,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.100958373,,,,,,,,,,0.125,percent of total billed charges,0.159218316,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.108857817,,,,,,,,,,0.45,percent of total billed charges,,,,,
IMIPRAMINE (TOFRANIL) 25MG TAB,259,RC,0078-1176-01,NDC,,both,1,EA,0.5,0.5,0.106441972,0.5,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,999999999,,,,0.5,percent of total billed charges,0.380965635,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.353,percent of total billed charges,0.350321693,,,,0.353,percent of total billed charges,0.241614095,,,,,,,,,,0.36,percent of total billed charges,0.233991528,,,,,,,,,,0.36,percent of total billed charges,999999999,,,,,,,,,,0.4,percent of total billed charges,0.335179207,,,,0.395,percent of total billed charges,0.381191999,,,,0.395,percent of total billed charges,0.336795749,,,,0.4,percent of total billed charges,999999999,,,,0.4,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.266,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.2525,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.125,percent of total billed charges,0.118719424,,,,,,,,,,0.125,percent of total billed charges,0.116744607,,,,,,,,,,0.125,percent of total billed charges,0.116420179,,,,,,,,,,0.125,percent of total billed charges,0.114705893,,,,,,,,,,0.125,percent of total billed charges,0.117657444,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.100958373,,,,,,,,,,0.125,percent of total billed charges,0.159218316,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.108857817,,,,,,,,,,0.45,percent of total billed charges,,,,,
**E-DIPHENHYDRAMINE ELIXIR 12.5MG/5ML: 4,250,RC,0090-4122-00,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
INDAPAMIDE (LOZOL) TAB 2.5MG,637,RC,5107-9086-20,NDC,,both,1,EA,2.25,2.25,0.478988875,2.25,2.25,percent of total billed charges,1.655404933,,,,2.25,percent of total billed charges,1.754696498,,,,2.25,percent of total billed charges,1.655404933,,,,2.25,percent of total billed charges,1.754696498,,,,2.25,percent of total billed charges,999999999,,,,2.25,percent of total billed charges,1.714345358,,,,2.25,percent of total billed charges,1.655404933,,,,2.25,percent of total billed charges,1.754696498,,,,1.60425,percent of total billed charges,0.800550108,,,,1.60425,percent of total billed charges,0.478988875,,,,1.60425,percent of total billed charges,0.800550108,,,,1.60425,percent of total billed charges,0.478988875,,,,1.60425,percent of total billed charges,0.800550108,,,,1.60425,percent of total billed charges,0.478988875,,,,1.5885,percent of total billed charges,1.576447619,,,,1.5885,percent of total billed charges,1.087263428,,,,,,,,,,1.62,percent of total billed charges,1.052961878,,,,,,,,,,1.62,percent of total billed charges,999999999,,,,,,,,,,1.8,percent of total billed charges,1.508306433,,,,1.7775,percent of total billed charges,1.715363995,,,,1.7775,percent of total billed charges,1.51558087,,,,1.8,percent of total billed charges,999999999,,,,1.8,percent of total billed charges,999999999,,,,1.575,percent of total billed charges,999999999,,,,1.575,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.197,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.13625,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.5625,percent of total billed charges,0.534237407,,,,,,,,,,0.5625,percent of total billed charges,0.525350732,,,,,,,,,,0.5625,percent of total billed charges,0.523890805,,,,,,,,,,0.5625,percent of total billed charges,0.516176519,,,,,,,,,,0.5625,percent of total billed charges,0.529458499,,,,,,,,,,0.5625,percent of total billed charges,999999999,,,,,,,,,,0.5625,percent of total billed charges,0.454312677,,,,,,,,,,0.5625,percent of total billed charges,0.716482421,,,,,,,,,,0.5625,percent of total billed charges,999999999,,,,,,,,,,0.5625,percent of total billed charges,0.489860176,,,,,,,,,,2.025,percent of total billed charges,,,,,
INDOMETHACIN (INDOCIN) CAP 25MG,637,RC,5107-9019-20,NDC,,both,1,EA,0.66,0.66,0.140503403,0.66,0.66,percent of total billed charges,0.485585447,,,,0.66,percent of total billed charges,0.514710973,,,,0.66,percent of total billed charges,0.485585447,,,,0.66,percent of total billed charges,0.514710973,,,,0.66,percent of total billed charges,999999999,,,,0.66,percent of total billed charges,0.502874638,,,,0.66,percent of total billed charges,0.485585447,,,,0.66,percent of total billed charges,0.514710973,,,,0.47058,percent of total billed charges,0.234828032,,,,0.47058,percent of total billed charges,0.140503403,,,,0.47058,percent of total billed charges,0.234828032,,,,0.47058,percent of total billed charges,0.140503403,,,,0.47058,percent of total billed charges,0.234828032,,,,0.47058,percent of total billed charges,0.140503403,,,,0.46596,percent of total billed charges,0.462424635,,,,0.46596,percent of total billed charges,0.318930605,,,,,,,,,,0.4752,percent of total billed charges,0.308868818,,,,,,,,,,0.4752,percent of total billed charges,999999999,,,,,,,,,,0.528,percent of total billed charges,0.442436554,,,,0.5214,percent of total billed charges,0.503173438,,,,0.5214,percent of total billed charges,0.444570389,,,,0.528,percent of total billed charges,999999999,,,,0.528,percent of total billed charges,999999999,,,,0.462,percent of total billed charges,999999999,,,,0.462,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.35112,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.3333,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.165,percent of total billed charges,0.15670964,,,,,,,,,,0.165,percent of total billed charges,0.154102881,,,,,,,,,,0.165,percent of total billed charges,0.153674636,,,,,,,,,,0.165,percent of total billed charges,0.151411779,,,,,,,,,,0.165,percent of total billed charges,0.155307827,,,,,,,,,,0.165,percent of total billed charges,999999999,,,,,,,,,,0.165,percent of total billed charges,0.133265052,,,,,,,,,,0.165,percent of total billed charges,0.210168177,,,,,,,,,,0.165,percent of total billed charges,999999999,,,,,,,,,,0.165,percent of total billed charges,0.143692318,,,,,,,,,,0.594,percent of total billed charges,,,,,
**INSULIN LENTE (HumuLIN) 100 UNIT/ML VI,J1815,CDM,0000-2821-01,NDC,,both,1,EA,117,117,24.90742152,117,117,percent of total billed charges,86.08105651,,,,117,percent of total billed charges,91.24421787,,,,117,percent of total billed charges,86.08105651,,,,117,percent of total billed charges,91.24421787,,,,117,percent of total billed charges,999999999,,,,117,percent of total billed charges,89.14595864,,,,117,percent of total billed charges,86.08105651,,,,117,percent of total billed charges,91.24421787,,,,83.421,percent of total billed charges,41.62860561,,,,83.421,percent of total billed charges,24.90742152,,,,83.421,percent of total billed charges,41.62860561,,,,83.421,percent of total billed charges,24.90742152,,,,83.421,percent of total billed charges,41.62860561,,,,83.421,percent of total billed charges,24.90742152,,,,82.602,percent of total billed charges,81.97527617,,,,82.602,percent of total billed charges,56.53769823,,,,,,,,,,84.24,percent of total billed charges,54.75401765,,,,,,,,,,84.24,percent of total billed charges,999999999,,,,,,,,,,93.6,percent of total billed charges,78.43193451,,,,92.43,percent of total billed charges,89.19892772,,,,92.43,percent of total billed charges,78.81020526,,,,93.6,percent of total billed charges,999999999,,,,93.6,percent of total billed charges,999999999,,,,81.9,percent of total billed charges,999999999,,,,81.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,62.244,percent of total billed charges,999999999,,,,,,,,,,,,,,,,59.085,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,29.25,percent of total billed charges,27.78034519,,,,,,,,,,29.25,percent of total billed charges,27.31823805,,,,,,,,,,29.25,percent of total billed charges,27.24232183,,,,,,,,,,29.25,percent of total billed charges,26.84117898,,,,,,,,,,29.25,percent of total billed charges,27.53184197,,,,,,,,,,29.25,percent of total billed charges,999999999,,,,,,,,,,29.25,percent of total billed charges,23.62425921,,,,,,,,,,29.25,percent of total billed charges,37.25708589,,,,,,,,,,29.25,percent of total billed charges,999999999,,,,,,,,,,29.25,percent of total billed charges,25.47272915,,,,,,,,,,105.3,percent of total billed charges,,,,,
**INSULIN NPH (HUMULIN) 100 UNIT/ML: VIA,J1815,CDM,0000-2831-01,NDC,,both,1,EA,37,37,7.876705951,37,37,percent of total billed charges,27.22221445,,,,37,percent of total billed charges,28.85500907,,,,37,percent of total billed charges,27.22221445,,,,37,percent of total billed charges,28.85500907,,,,37,percent of total billed charges,999999999,,,,37,percent of total billed charges,28.19145701,,,,37,percent of total billed charges,27.22221445,,,,37,percent of total billed charges,28.85500907,,,,26.381,percent of total billed charges,13.16460177,,,,26.381,percent of total billed charges,7.876705951,,,,26.381,percent of total billed charges,13.16460177,,,,26.381,percent of total billed charges,7.876705951,,,,26.381,percent of total billed charges,13.16460177,,,,26.381,percent of total billed charges,7.876705951,,,,26.122,percent of total billed charges,25.92380528,,,,26.122,percent of total billed charges,17.87944303,,,,,,,,,,26.64,percent of total billed charges,17.3153731,,,,,,,,,,26.64,percent of total billed charges,999999999,,,,,,,,,,29.6,percent of total billed charges,24.80326134,,,,29.23,percent of total billed charges,28.20820791,,,,29.23,percent of total billed charges,24.92288542,,,,29.6,percent of total billed charges,999999999,,,,29.6,percent of total billed charges,999999999,,,,25.9,percent of total billed charges,999999999,,,,25.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,19.684,percent of total billed charges,999999999,,,,,,,,,,,,,,,,18.685,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9.25,percent of total billed charges,8.785237367,,,,,,,,,,9.25,percent of total billed charges,8.639100921,,,,,,,,,,9.25,percent of total billed charges,8.61509323,,,,,,,,,,9.25,percent of total billed charges,8.488236087,,,,,,,,,,9.25,percent of total billed charges,8.70665088,,,,,,,,,,9.25,percent of total billed charges,999999999,,,,,,,,,,9.25,percent of total billed charges,7.470919578,,,,,,,,,,9.25,percent of total billed charges,11.78215537,,,,,,,,,,9.25,percent of total billed charges,999999999,,,,,,,,,,9.25,percent of total billed charges,8.055478449,,,,,,,,,,33.3,percent of total billed charges,,,,,
BUMETANIDE (BUMEX) 1 MG/4 ML INJ,250,RC,0064-1616-01,NDC,,both,1,EA,34.6,34.6,7.365784484,34.6,34.6,percent of total billed charges,25.45644919,,,,34.6,percent of total billed charges,26.98333281,,,,34.6,percent of total billed charges,25.45644919,,,,34.6,percent of total billed charges,26.98333281,,,,34.6,percent of total billed charges,999999999,,,,34.6,percent of total billed charges,26.36282196,,,,34.6,percent of total billed charges,25.45644919,,,,34.6,percent of total billed charges,26.98333281,,,,24.6698,percent of total billed charges,12.31068166,,,,24.6698,percent of total billed charges,7.365784484,,,,24.6698,percent of total billed charges,12.31068166,,,,24.6698,percent of total billed charges,7.365784484,,,,24.6698,percent of total billed charges,12.31068166,,,,24.6698,percent of total billed charges,7.365784484,,,,24.4276,percent of total billed charges,24.24226116,,,,24.4276,percent of total billed charges,16.71969538,,,,,,,,,,24.912,percent of total billed charges,16.19221377,,,,,,,,,,24.912,percent of total billed charges,999999999,,,,,,,,,,27.68,percent of total billed charges,23.19440114,,,,27.334,percent of total billed charges,26.37848632,,,,27.334,percent of total billed charges,23.30626583,,,,27.68,percent of total billed charges,999999999,,,,27.68,percent of total billed charges,999999999,,,,24.22,percent of total billed charges,999999999,,,,24.22,percent of total billed charges,999999999,,,,,,,,,,,,,,,,18.4072,percent of total billed charges,999999999,,,,,,,,,,,,,,,,17.473,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8.65,percent of total billed charges,8.215384133,,,,,,,,,,8.65,percent of total billed charges,8.078726808,,,,,,,,,,8.65,percent of total billed charges,8.056276372,,,,,,,,,,8.65,percent of total billed charges,7.9376478,,,,,,,,,,8.65,percent of total billed charges,8.141895147,,,,,,,,,,8.65,percent of total billed charges,999999999,,,,,,,,,,8.65,percent of total billed charges,6.986319389,,,,,,,,,,8.65,percent of total billed charges,11.01790745,,,,,,,,,,8.65,percent of total billed charges,999999999,,,,,,,,,,8.65,percent of total billed charges,7.532960928,,,,,,,,,,31.14,percent of total billed charges,,,,,
IPRATROPIUM 17MCG (ATROVENT) INHALER,250,RC,0059-7008-17,NDC,,both,1,EA,1133.18,1133.18,241.2358284,1133.18,1133.18,percent of total billed charges,833.720783,,,,1133.18,percent of total billed charges,883.7275454,,,,1133.18,percent of total billed charges,833.720783,,,,1133.18,percent of total billed charges,883.7275454,,,,1133.18,percent of total billed charges,999999999,,,,1133.18,percent of total billed charges,863.405277,,,,1133.18,percent of total billed charges,833.720783,,,,1133.18,percent of total billed charges,883.7275454,,,,807.95734,percent of total billed charges,403.1854983,,,,807.95734,percent of total billed charges,241.2358284,,,,807.95734,percent of total billed charges,403.1854983,,,,807.95734,percent of total billed charges,241.2358284,,,,807.95734,percent of total billed charges,403.1854983,,,,807.95734,percent of total billed charges,241.2358284,,,,800.02508,percent of total billed charges,793.9550722,,,,800.02508,percent of total billed charges,547.5845204,,,,,,,,,,815.8896,percent of total billed charges,530.3090404,,,,,,,,,,815.8896,percent of total billed charges,999999999,,,,,,,,,,906.544,percent of total billed charges,759.6367483,,,,895.2122,percent of total billed charges,863.9182984,,,,895.2122,percent of total billed charges,763.3004136,,,,906.544,percent of total billed charges,999999999,,,,906.544,percent of total billed charges,999999999,,,,793.226,percent of total billed charges,999999999,,,,793.226,percent of total billed charges,999999999,,,,,,,,,,,,,,,,602.85176,percent of total billed charges,999999999,,,,,,,,,,,,,,,,572.2559,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,283.295,percent of total billed charges,269.0609535,,,,,,,,,,283.295,percent of total billed charges,264.5853076,,,,,,,,,,283.295,percent of total billed charges,263.8500364,,,,,,,,,,283.295,percent of total billed charges,259.9648478,,,,,,,,,,283.295,percent of total billed charges,266.6541255,,,,,,,,,,283.295,percent of total billed charges,999999999,,,,,,,,,,283.295,percent of total billed charges,228.8080175,,,,,,,,,,283.295,percent of total billed charges,360.8460221,,,,,,,,,,283.295,percent of total billed charges,999999999,,,,,,,,,,283.295,percent of total billed charges,246.7110019,,,,,,,,,,1019.862,percent of total billed charges,,,,,
"**MIDRIN (ISOMETH/DICHLO,APAP) CAP:",259,RC,1450-8030-08,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
ISONIAZID (INH) TAB  300MG,259,RC,5107-9008-20,NDC,,both,1,EA,3.73,3.73,0.794057113,3.73,3.73,percent of total billed charges,2.744293511,,,,3.73,percent of total billed charges,2.90889686,,,,3.73,percent of total billed charges,2.744293511,,,,3.73,percent of total billed charges,2.90889686,,,,3.73,percent of total billed charges,999999999,,,,3.73,percent of total billed charges,2.842003639,,,,3.73,percent of total billed charges,2.744293511,,,,3.73,percent of total billed charges,2.90889686,,,,2.65949,percent of total billed charges,1.327134179,,,,2.65949,percent of total billed charges,0.794057113,,,,2.65949,percent of total billed charges,1.327134179,,,,2.65949,percent of total billed charges,0.794057113,,,,2.65949,percent of total billed charges,1.327134179,,,,2.65949,percent of total billed charges,0.794057113,,,,2.63338,percent of total billed charges,2.61339983,,,,2.63338,percent of total billed charges,1.802441149,,,,,,,,,,2.6856,percent of total billed charges,1.745576802,,,,,,,,,,2.6856,percent of total billed charges,999999999,,,,,,,,,,2.984,percent of total billed charges,2.500436886,,,,2.9467,percent of total billed charges,2.843692311,,,,2.9467,percent of total billed charges,2.512496287,,,,2.984,percent of total billed charges,999999999,,,,2.984,percent of total billed charges,999999999,,,,2.611,percent of total billed charges,999999999,,,,2.611,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.98436,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.88365,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.9325,percent of total billed charges,0.885646902,,,,,,,,,,0.9325,percent of total billed charges,0.870914769,,,,,,,,,,0.9325,percent of total billed charges,0.868494534,,,,,,,,,,0.9325,percent of total billed charges,0.855705962,,,,,,,,,,0.9325,percent of total billed charges,0.877724535,,,,,,,,,,0.9325,percent of total billed charges,999999999,,,,,,,,,,0.9325,percent of total billed charges,0.75314946,,,,,,,,,,0.9325,percent of total billed charges,1.187768636,,,,,,,,,,0.9325,percent of total billed charges,999999999,,,,,,,,,,0.9325,percent of total billed charges,0.812079314,,,,,,,,,,3.357,percent of total billed charges,,,,,
**ISONIAZID (INH) TAB 100MG,259,RC,0055-5006-02,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
**ISOSORBIDE (SORBITRATE) 10MG TAB,259,RC,0060-3411-21,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
ISOSORBIDE (SORBITRATE) 20MG TAB,259,RC,0014-3177-01,NDC,,both,1,EA,2,2,0.425767889,2,2,percent of total billed charges,1.471471051,,,,2,percent of total billed charges,1.55973022,,,,2,percent of total billed charges,1.471471051,,,,2,percent of total billed charges,1.55973022,,,,2,percent of total billed charges,999999999,,,,2,percent of total billed charges,1.523862541,,,,2,percent of total billed charges,1.471471051,,,,2,percent of total billed charges,1.55973022,,,,1.426,percent of total billed charges,0.711600096,,,,1.426,percent of total billed charges,0.425767889,,,,1.426,percent of total billed charges,0.711600096,,,,1.426,percent of total billed charges,0.425767889,,,,1.426,percent of total billed charges,0.711600096,,,,1.426,percent of total billed charges,0.425767889,,,,1.412,percent of total billed charges,1.401286772,,,,1.412,percent of total billed charges,0.96645638,,,,,,,,,,1.44,percent of total billed charges,0.935966114,,,,,,,,,,1.44,percent of total billed charges,999999999,,,,,,,,,,1.6,percent of total billed charges,1.340716829,,,,1.58,percent of total billed charges,1.524767995,,,,1.58,percent of total billed charges,1.347182996,,,,1.6,percent of total billed charges,999999999,,,,1.6,percent of total billed charges,999999999,,,,1.4,percent of total billed charges,999999999,,,,1.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.064,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.01,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.5,percent of total billed charges,0.474877696,,,,,,,,,,0.5,percent of total billed charges,0.466978428,,,,,,,,,,0.5,percent of total billed charges,0.465680715,,,,,,,,,,0.5,percent of total billed charges,0.458823572,,,,,,,,,,0.5,percent of total billed charges,0.470629777,,,,,,,,,,0.5,percent of total billed charges,999999999,,,,,,,,,,0.5,percent of total billed charges,0.403833491,,,,,,,,,,0.5,percent of total billed charges,0.636873263,,,,,,,,,,0.5,percent of total billed charges,999999999,,,,,,,,,,0.5,percent of total billed charges,0.435431268,,,,,,,,,,1.8,percent of total billed charges,,,,,
**ISOSORBIDE DINITRATE(SORBITRATE) 5MG T,259,RC,0078-1163-01,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
FUROSEMIDE (LASIX) 20MG INJ,J1940,CDM,0040-9610-35,NDC,,both,1,EA,12.23,12.23,2.603570643,12.23,12.23,percent of total billed charges,8.99804548,,,,12.23,percent of total billed charges,9.537750295,,,,12.23,percent of total billed charges,8.99804548,,,,12.23,percent of total billed charges,9.537750295,,,,12.23,percent of total billed charges,999999999,,,,12.23,percent of total billed charges,9.318419437,,,,12.23,percent of total billed charges,8.99804548,,,,12.23,percent of total billed charges,9.537750295,,,,8.71999,percent of total billed charges,4.351434586,,,,8.71999,percent of total billed charges,2.603570643,,,,8.71999,percent of total billed charges,4.351434586,,,,8.71999,percent of total billed charges,2.603570643,,,,8.71999,percent of total billed charges,4.351434586,,,,8.71999,percent of total billed charges,2.603570643,,,,8.63438,percent of total billed charges,8.568868612,,,,8.63438,percent of total billed charges,5.909880764,,,,,,,,,,8.8056,percent of total billed charges,5.723432786,,,,,,,,,,8.8056,percent of total billed charges,999999999,,,,,,,,,,9.784,percent of total billed charges,8.19848341,,,,9.6617,percent of total billed charges,9.32395629,,,,9.6617,percent of total billed charges,8.23802402,,,,9.784,percent of total billed charges,999999999,,,,9.784,percent of total billed charges,999999999,,,,8.561,percent of total billed charges,999999999,,,,8.561,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.50636,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.17615,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3.0575,percent of total billed charges,2.903877108,,,,,,,,,,3.0575,percent of total billed charges,2.855573088,,,,,,,,,,3.0575,percent of total billed charges,2.847637573,,,,,,,,,,3.0575,percent of total billed charges,2.805706144,,,,,,,,,,3.0575,percent of total billed charges,2.877901088,,,,,,,,,,3.0575,percent of total billed charges,999999999,,,,,,,,,,3.0575,percent of total billed charges,2.469441796,,,,,,,,,,3.0575,percent of total billed charges,3.894480003,,,,,,,,,,3.0575,percent of total billed charges,999999999,,,,,,,,,,3.0575,percent of total billed charges,2.662662201,,,,,,,,,,11.007,percent of total billed charges,,,,,
KETOCONAZOLE (NIZORAL) 2% CREAM 15GM,637,RC,0016-8009-15,NDC,,both,1,EA,140.94,140.94,30.00386316,140.94,140.94,percent of total billed charges,103.694565,,,,140.94,percent of total billed charges,109.9141886,,,,140.94,percent of total billed charges,103.694565,,,,140.94,percent of total billed charges,109.9141886,,,,140.94,percent of total billed charges,999999999,,,,140.94,percent of total billed charges,107.3865933,,,,140.94,percent of total billed charges,103.694565,,,,140.94,percent of total billed charges,109.9141886,,,,100.49022,percent of total billed charges,50.14645875,,,,100.49022,percent of total billed charges,30.00386316,,,,100.49022,percent of total billed charges,50.14645875,,,,100.49022,percent of total billed charges,30.00386316,,,,100.49022,percent of total billed charges,50.14645875,,,,100.49022,percent of total billed charges,30.00386316,,,,99.50364,percent of total billed charges,98.74867883,,,,99.50364,percent of total billed charges,68.1061811,,,,,,,,,,101.4768,percent of total billed charges,65.95753204,,,,,,,,,,101.4768,percent of total billed charges,999999999,,,,,,,,,,112.752,percent of total billed charges,94.48031495,,,,111.3426,percent of total billed charges,107.4504006,,,,111.3426,percent of total billed charges,94.93598572,,,,112.752,percent of total billed charges,999999999,,,,112.752,percent of total billed charges,999999999,,,,98.658,percent of total billed charges,999999999,,,,98.658,percent of total billed charges,999999999,,,,,,,,,,,,,,,,74.98008,percent of total billed charges,999999999,,,,,,,,,,,,,,,,71.1747,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,35.235,percent of total billed charges,33.4646312,,,,,,,,,,35.235,percent of total billed charges,32.90796983,,,,,,,,,,35.235,percent of total billed charges,32.81651999,,,,,,,,,,35.235,percent of total billed charges,32.33329714,,,,,,,,,,35.235,percent of total billed charges,33.16528041,,,,,,,,,,35.235,percent of total billed charges,999999999,,,,,,,,,,35.235,percent of total billed charges,28.45814609,,,,,,,,,,35.235,percent of total billed charges,44.88045885,,,,,,,,,,35.235,percent of total billed charges,999999999,,,,,,,,,,35.235,percent of total billed charges,30.68484142,,,,,,,,,,126.846,percent of total billed charges,,,,,
KETOROLAC (TORADOL) 60 MG INJ,J1885,CDM,6332-3016-02,NDC,,both,1,EA,15.46,15.46,3.291185784,15.46,15.46,percent of total billed charges,11.37447123,,,,15.46,percent of total billed charges,12.0567146,,,,15.46,percent of total billed charges,11.37447123,,,,15.46,percent of total billed charges,12.0567146,,,,15.46,percent of total billed charges,999999999,,,,15.46,percent of total billed charges,11.77945744,,,,15.46,percent of total billed charges,11.37447123,,,,15.46,percent of total billed charges,12.0567146,,,,11.02298,percent of total billed charges,5.500668741,,,,11.02298,percent of total billed charges,3.291185784,,,,11.02298,percent of total billed charges,5.500668741,,,,11.02298,percent of total billed charges,3.291185784,,,,11.02298,percent of total billed charges,5.500668741,,,,11.02298,percent of total billed charges,3.291185784,,,,10.91476,percent of total billed charges,10.83194675,,,,10.91476,percent of total billed charges,7.470707818,,,,,,,,,,11.1312,percent of total billed charges,7.235018059,,,,,,,,,,11.1312,percent of total billed charges,999999999,,,,,,,,,,12.368,percent of total billed charges,10.36374109,,,,12.2134,percent of total billed charges,11.7864566,,,,12.2134,percent of total billed charges,10.41372456,,,,12.368,percent of total billed charges,999999999,,,,12.368,percent of total billed charges,999999999,,,,10.822,percent of total billed charges,999999999,,,,10.822,percent of total billed charges,999999999,,,,,,,,,,,,,,,,8.22472,percent of total billed charges,999999999,,,,,,,,,,,,,,,,7.8073,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3.865,percent of total billed charges,3.670804586,,,,,,,,,,3.865,percent of total billed charges,3.60974325,,,,,,,,,,3.865,percent of total billed charges,3.599711928,,,,,,,,,,3.865,percent of total billed charges,3.546706214,,,,,,,,,,3.865,percent of total billed charges,3.637968178,,,,,,,,,,3.865,percent of total billed charges,999999999,,,,,,,,,,3.865,percent of total billed charges,3.121632883,,,,,,,,,,3.865,percent of total billed charges,4.923030323,,,,,,,,,,3.865,percent of total billed charges,999999999,,,,,,,,,,3.865,percent of total billed charges,3.365883698,,,,,,,,,,13.914,percent of total billed charges,,,,,
LABETALOL: 100MG IN 100ML DRIP,250,RC,0040-9226-20,NDC,,both,1,EA,99.82,99.82,21.25007535,99.82,99.82,percent of total billed charges,73.44112018,,,,99.82,percent of total billed charges,77.84613528,,,,99.82,percent of total billed charges,73.44112018,,,,99.82,percent of total billed charges,77.84613528,,,,99.82,percent of total billed charges,999999999,,,,99.82,percent of total billed charges,76.05597941,,,,99.82,percent of total billed charges,73.44112018,,,,99.82,percent of total billed charges,77.84613528,,,,71.17166,percent of total billed charges,35.51596078,,,,71.17166,percent of total billed charges,21.25007535,,,,71.17166,percent of total billed charges,35.51596078,,,,71.17166,percent of total billed charges,21.25007535,,,,71.17166,percent of total billed charges,35.51596078,,,,71.17166,percent of total billed charges,21.25007535,,,,70.47292,percent of total billed charges,69.9382228,,,,70.47292,percent of total billed charges,48.23583793,,,,,,,,,,71.8704,percent of total billed charges,46.71406874,,,,,,,,,,71.8704,percent of total billed charges,999999999,,,,,,,,,,79.856,percent of total billed charges,66.91517694,,,,78.8578,percent of total billed charges,76.10117064,,,,78.8578,percent of total billed charges,67.23790332,,,,79.856,percent of total billed charges,999999999,,,,79.856,percent of total billed charges,999999999,,,,69.874,percent of total billed charges,999999999,,,,69.874,percent of total billed charges,999999999,,,,,,,,,,,,,,,,53.10424,percent of total billed charges,999999999,,,,,,,,,,,,,,,,50.4091,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,24.955,percent of total billed charges,23.70114578,,,,,,,,,,24.955,percent of total billed charges,23.30689335,,,,,,,,,,24.955,percent of total billed charges,23.24212449,,,,,,,,,,24.955,percent of total billed charges,22.89988449,,,,,,,,,,24.955,percent of total billed charges,23.48913218,,,,,,,,,,24.955,percent of total billed charges,999999999,,,,,,,,,,24.955,percent of total billed charges,20.15532952,,,,,,,,,,24.955,percent of total billed charges,31.78634456,,,,,,,,,,24.955,percent of total billed charges,999999999,,,,,,,,,,24.955,percent of total billed charges,21.73237456,,,,,,,,,,89.838,percent of total billed charges,,,,,
**LABETOLOL (NORMODYNE) 200MG TAB,259,RC,0017-2436-60,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
LACTULOSE (CHRONULAC) 20G/30ML,259,RC,0012-1115-30,NDC,,both,1,EA,1.63,1.63,0.34700083,1.63,1.63,percent of total billed charges,1.199248907,,,,1.63,percent of total billed charges,1.271180129,,,,1.63,percent of total billed charges,1.199248907,,,,1.63,percent of total billed charges,1.271180129,,,,1.63,percent of total billed charges,999999999,,,,1.63,percent of total billed charges,1.241947971,,,,1.63,percent of total billed charges,1.199248907,,,,1.63,percent of total billed charges,1.271180129,,,,1.16219,percent of total billed charges,0.579954078,,,,1.16219,percent of total billed charges,0.34700083,,,,1.16219,percent of total billed charges,0.579954078,,,,1.16219,percent of total billed charges,0.34700083,,,,1.16219,percent of total billed charges,0.579954078,,,,1.16219,percent of total billed charges,0.34700083,,,,1.15078,percent of total billed charges,1.142048719,,,,1.15078,percent of total billed charges,0.78766195,,,,,,,,,,1.1736,percent of total billed charges,0.762812383,,,,,,,,,,1.1736,percent of total billed charges,999999999,,,,,,,,,,1.304,percent of total billed charges,1.092684216,,,,1.2877,percent of total billed charges,1.242685916,,,,1.2877,percent of total billed charges,1.097954142,,,,1.304,percent of total billed charges,999999999,,,,1.304,percent of total billed charges,999999999,,,,1.141,percent of total billed charges,999999999,,,,1.141,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.86716,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.82315,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.4075,percent of total billed charges,0.387025322,,,,,,,,,,0.4075,percent of total billed charges,0.380587419,,,,,,,,,,0.4075,percent of total billed charges,0.379529783,,,,,,,,,,0.4075,percent of total billed charges,0.373941211,,,,,,,,,,0.4075,percent of total billed charges,0.383563268,,,,,,,,,,0.4075,percent of total billed charges,999999999,,,,,,,,,,0.4075,percent of total billed charges,0.329124295,,,,,,,,,,0.4075,percent of total billed charges,0.519051709,,,,,,,,,,0.4075,percent of total billed charges,999999999,,,,,,,,,,0.4075,percent of total billed charges,0.354876483,,,,,,,,,,1.467,percent of total billed charges,,,,,
TERBINAFINE (LamISIL) 250 MG: TAB,259,RC,7218-9024-30,NDC,,both,1,EA,0.5,0.5,0.106441972,0.5,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,999999999,,,,0.5,percent of total billed charges,0.380965635,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.353,percent of total billed charges,0.350321693,,,,0.353,percent of total billed charges,0.241614095,,,,,,,,,,0.36,percent of total billed charges,0.233991528,,,,,,,,,,0.36,percent of total billed charges,999999999,,,,,,,,,,0.4,percent of total billed charges,0.335179207,,,,0.395,percent of total billed charges,0.381191999,,,,0.395,percent of total billed charges,0.336795749,,,,0.4,percent of total billed charges,999999999,,,,0.4,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.266,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.2525,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.125,percent of total billed charges,0.118719424,,,,,,,,,,0.125,percent of total billed charges,0.116744607,,,,,,,,,,0.125,percent of total billed charges,0.116420179,,,,,,,,,,0.125,percent of total billed charges,0.114705893,,,,,,,,,,0.125,percent of total billed charges,0.117657444,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.100958373,,,,,,,,,,0.125,percent of total billed charges,0.159218316,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.108857817,,,,,,,,,,0.45,percent of total billed charges,,,,,
LEVOTHYROXINE (SYNTHROID) 0.05 MG TAB,637,RC,5107-9044-20,NDC,,both,1,EA,1.8,1.8,0.3831911,1.8,1.8,percent of total billed charges,1.324323946,,,,1.8,percent of total billed charges,1.403757198,,,,1.8,percent of total billed charges,1.324323946,,,,1.8,percent of total billed charges,1.403757198,,,,1.8,percent of total billed charges,999999999,,,,1.8,percent of total billed charges,1.371476287,,,,1.8,percent of total billed charges,1.324323946,,,,1.8,percent of total billed charges,1.403757198,,,,1.2834,percent of total billed charges,0.640440086,,,,1.2834,percent of total billed charges,0.3831911,,,,1.2834,percent of total billed charges,0.640440086,,,,1.2834,percent of total billed charges,0.3831911,,,,1.2834,percent of total billed charges,0.640440086,,,,1.2834,percent of total billed charges,0.3831911,,,,1.2708,percent of total billed charges,1.261158095,,,,1.2708,percent of total billed charges,0.869810742,,,,,,,,,,1.296,percent of total billed charges,0.842369502,,,,,,,,,,1.296,percent of total billed charges,999999999,,,,,,,,,,1.44,percent of total billed charges,1.206645146,,,,1.422,percent of total billed charges,1.372291196,,,,1.422,percent of total billed charges,1.212464696,,,,1.44,percent of total billed charges,999999999,,,,1.44,percent of total billed charges,999999999,,,,1.26,percent of total billed charges,999999999,,,,1.26,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.9576,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.909,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.45,percent of total billed charges,0.427389926,,,,,,,,,,0.45,percent of total billed charges,0.420280585,,,,,,,,,,0.45,percent of total billed charges,0.419112644,,,,,,,,,,0.45,percent of total billed charges,0.412941215,,,,,,,,,,0.45,percent of total billed charges,0.4235668,,,,,,,,,,0.45,percent of total billed charges,999999999,,,,,,,,,,0.45,percent of total billed charges,0.363450142,,,,,,,,,,0.45,percent of total billed charges,0.573185937,,,,,,,,,,0.45,percent of total billed charges,999999999,,,,,,,,,,0.45,percent of total billed charges,0.391888141,,,,,,,,,,1.62,percent of total billed charges,,,,,
LEVOTHYROXINE (SYNTHROID) 0.1 MG TAB,637,RC,5107-9044-20,NDC,,both,1,EA,2.28,2.28,0.485375394,2.28,2.28,percent of total billed charges,1.677476999,,,,2.28,percent of total billed charges,1.778092451,,,,2.28,percent of total billed charges,1.677476999,,,,2.28,percent of total billed charges,1.778092451,,,,2.28,percent of total billed charges,999999999,,,,2.28,percent of total billed charges,1.737203297,,,,2.28,percent of total billed charges,1.677476999,,,,2.28,percent of total billed charges,1.778092451,,,,1.62564,percent of total billed charges,0.811224109,,,,1.62564,percent of total billed charges,0.485375394,,,,1.62564,percent of total billed charges,0.811224109,,,,1.62564,percent of total billed charges,0.485375394,,,,1.62564,percent of total billed charges,0.811224109,,,,1.62564,percent of total billed charges,0.485375394,,,,1.60968,percent of total billed charges,1.59746692,,,,1.60968,percent of total billed charges,1.101760273,,,,,,,,,,1.6416,percent of total billed charges,1.06700137,,,,,,,,,,1.6416,percent of total billed charges,999999999,,,,,,,,,,1.824,percent of total billed charges,1.528417185,,,,1.8012,percent of total billed charges,1.738235514,,,,1.8012,percent of total billed charges,1.535788615,,,,1.824,percent of total billed charges,999999999,,,,1.824,percent of total billed charges,999999999,,,,1.596,percent of total billed charges,999999999,,,,1.596,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.21296,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.1514,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.57,percent of total billed charges,0.541360573,,,,,,,,,,0.57,percent of total billed charges,0.532355408,,,,,,,,,,0.57,percent of total billed charges,0.530876015,,,,,,,,,,0.57,percent of total billed charges,0.523058872,,,,,,,,,,0.57,percent of total billed charges,0.536517946,,,,,,,,,,0.57,percent of total billed charges,999999999,,,,,,,,,,0.57,percent of total billed charges,0.460370179,,,,,,,,,,0.57,percent of total billed charges,0.72603552,,,,,,,,,,0.57,percent of total billed charges,999999999,,,,,,,,,,0.57,percent of total billed charges,0.496391645,,,,,,,,,,2.052,percent of total billed charges,,,,,
LIDOCAINE 1% (XYLOCAINE) INJ 30ML SDV,J2003,CDM,5515-0016-30,NDC,,both,1,EA,27.59,27.59,5.873468032,27.59,27.59,percent of total billed charges,20.29894315,,,,27.59,percent of total billed charges,21.51647839,,,,27.59,percent of total billed charges,20.29894315,,,,27.59,percent of total billed charges,21.51647839,,,,27.59,percent of total billed charges,999999999,,,,27.59,percent of total billed charges,21.02168375,,,,27.59,percent of total billed charges,20.29894315,,,,27.59,percent of total billed charges,21.51647839,,,,19.67167,percent of total billed charges,9.816523322,,,,19.67167,percent of total billed charges,5.873468032,,,,19.67167,percent of total billed charges,9.816523322,,,,19.67167,percent of total billed charges,5.873468032,,,,19.67167,percent of total billed charges,9.816523322,,,,19.67167,percent of total billed charges,5.873468032,,,,19.47854,percent of total billed charges,19.33075102,,,,19.47854,percent of total billed charges,13.33226576,,,,,,,,,,19.8648,percent of total billed charges,12.91165254,,,,,,,,,,19.8648,percent of total billed charges,999999999,,,,,,,,,,22.072,percent of total billed charges,18.49518866,,,,21.7961,percent of total billed charges,21.03417449,,,,21.7961,percent of total billed charges,18.58438943,,,,22.072,percent of total billed charges,999999999,,,,22.072,percent of total billed charges,999999999,,,,19.313,percent of total billed charges,999999999,,,,19.313,percent of total billed charges,999999999,,,,,,,,,,,,,,,,14.67788,percent of total billed charges,999999999,,,,,,,,,,,,,,,,13.93295,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6.8975,percent of total billed charges,6.55093781,,,,,,,,,,6.8975,percent of total billed charges,6.441967417,,,,,,,,,,6.8975,percent of total billed charges,6.424065465,,,,,,,,,,6.8975,percent of total billed charges,6.329471179,,,,,,,,,,6.8975,percent of total billed charges,6.492337778,,,,,,,,,,6.8975,percent of total billed charges,999999999,,,,,,,,,,6.8975,percent of total billed charges,5.570883004,,,,,,,,,,6.8975,percent of total billed charges,8.785666664,,,,,,,,,,6.8975,percent of total billed charges,999999999,,,,,,,,,,6.8975,percent of total billed charges,6.006774336,,,,,,,,,,24.831,percent of total billed charges,,,,,
LIDOCAINE 2% (XYLOCAINE) 50ML MDV,J2003,CDM,0040-9427-02,NDC,,both,1,EA,67.4,67.4,14.34837787,67.4,67.4,percent of total billed charges,49.58857443,,,,67.4,percent of total billed charges,52.56290841,,,,67.4,percent of total billed charges,49.58857443,,,,67.4,percent of total billed charges,52.56290841,,,,67.4,percent of total billed charges,999999999,,,,67.4,percent of total billed charges,51.35416763,,,,67.4,percent of total billed charges,49.58857443,,,,67.4,percent of total billed charges,52.56290841,,,,48.0562,percent of total billed charges,23.98092323,,,,48.0562,percent of total billed charges,14.34837787,,,,48.0562,percent of total billed charges,23.98092323,,,,48.0562,percent of total billed charges,14.34837787,,,,48.0562,percent of total billed charges,23.98092323,,,,48.0562,percent of total billed charges,14.34837787,,,,47.5844,percent of total billed charges,47.22336422,,,,47.5844,percent of total billed charges,32.56958001,,,,,,,,,,48.528,percent of total billed charges,31.54205803,,,,,,,,,,48.528,percent of total billed charges,999999999,,,,,,,,,,53.92,percent of total billed charges,45.18215714,,,,53.246,percent of total billed charges,51.38468144,,,,53.246,percent of total billed charges,45.40006696,,,,53.92,percent of total billed charges,999999999,,,,53.92,percent of total billed charges,999999999,,,,47.18,percent of total billed charges,999999999,,,,47.18,percent of total billed charges,999999999,,,,,,,,,,,,,,,,35.8568,percent of total billed charges,999999999,,,,,,,,,,,,,,,,34.037,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16.85,percent of total billed charges,16.00337834,,,,,,,,,,16.85,percent of total billed charges,15.73717303,,,,,,,,,,16.85,percent of total billed charges,15.6934401,,,,,,,,,,16.85,percent of total billed charges,15.46235439,,,,,,,,,,16.85,percent of total billed charges,15.86022349,,,,,,,,,,16.85,percent of total billed charges,999999999,,,,,,,,,,16.85,percent of total billed charges,13.60918864,,,,,,,,,,16.85,percent of total billed charges,21.46262896,,,,,,,,,,16.85,percent of total billed charges,999999999,,,,,,,,,,16.85,percent of total billed charges,14.67403372,,,,,,,,,,60.66,percent of total billed charges,,,,,
LIDOCAINE JELLY 2% URO-JET 10ML,250,RC,1747-8071-10,NDC,,both,1,EA,100.72,100.72,21.4416709,100.72,100.72,percent of total billed charges,74.10328215,,,,100.72,percent of total billed charges,78.54801388,,,,100.72,percent of total billed charges,74.10328215,,,,100.72,percent of total billed charges,78.54801388,,,,100.72,percent of total billed charges,999999999,,,,100.72,percent of total billed charges,76.74171756,,,,100.72,percent of total billed charges,74.10328215,,,,100.72,percent of total billed charges,78.54801388,,,,71.81336,percent of total billed charges,35.83618083,,,,71.81336,percent of total billed charges,21.4416709,,,,71.81336,percent of total billed charges,35.83618083,,,,71.81336,percent of total billed charges,21.4416709,,,,71.81336,percent of total billed charges,35.83618083,,,,71.81336,percent of total billed charges,21.4416709,,,,71.10832,percent of total billed charges,70.56880185,,,,71.10832,percent of total billed charges,48.6707433,,,,,,,,,,72.5184,percent of total billed charges,47.13525349,,,,,,,,,,72.5184,percent of total billed charges,999999999,,,,,,,,,,80.576,percent of total billed charges,67.51849952,,,,79.5688,percent of total billed charges,76.78731624,,,,79.5688,percent of total billed charges,67.84413567,,,,80.576,percent of total billed charges,999999999,,,,80.576,percent of total billed charges,999999999,,,,70.504,percent of total billed charges,999999999,,,,70.504,percent of total billed charges,999999999,,,,,,,,,,,,,,,,53.58304,percent of total billed charges,999999999,,,,,,,,,,,,,,,,50.8636,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,25.18,percent of total billed charges,23.91484075,,,,,,,,,,25.18,percent of total billed charges,23.51703364,,,,,,,,,,25.18,percent of total billed charges,23.45168081,,,,,,,,,,25.18,percent of total billed charges,23.1063551,,,,,,,,,,25.18,percent of total billed charges,23.70091558,,,,,,,,,,25.18,percent of total billed charges,999999999,,,,,,,,,,25.18,percent of total billed charges,20.33705459,,,,,,,,,,25.18,percent of total billed charges,32.07293753,,,,,,,,,,25.18,percent of total billed charges,999999999,,,,,,,,,,25.18,percent of total billed charges,21.92831863,,,,,,,,,,90.648,percent of total billed charges,,,,,
LIDOCAINE 2% (XYLOCAINE JELLY) 30ML,250,RC,1747-8071-30,NDC,,both,1,EA,296.69,296.69,63.16053753,296.69,296.69,percent of total billed charges,218.2853731,,,,296.69,percent of total billed charges,231.3781795,,,,296.69,percent of total billed charges,218.2853731,,,,296.69,percent of total billed charges,231.3781795,,,,296.69,percent of total billed charges,999999999,,,,296.69,percent of total billed charges,226.0573886,,,,296.69,percent of total billed charges,218.2853731,,,,296.69,percent of total billed charges,231.3781795,,,,211.53997,percent of total billed charges,105.5623162,,,,211.53997,percent of total billed charges,63.16053753,,,,211.53997,percent of total billed charges,105.5623162,,,,211.53997,percent of total billed charges,63.16053753,,,,211.53997,percent of total billed charges,105.5623162,,,,211.53997,percent of total billed charges,63.16053753,,,,209.46314,percent of total billed charges,207.8738862,,,,209.46314,percent of total billed charges,143.3689717,,,,,,,,,,213.6168,percent of total billed charges,138.8458931,,,,,,,,,,213.6168,percent of total billed charges,999999999,,,,,,,,,,237.352,percent of total billed charges,198.888638,,,,234.3851,percent of total billed charges,226.1917082,,,,234.3851,percent of total billed charges,199.8478615,,,,237.352,percent of total billed charges,999999999,,,,237.352,percent of total billed charges,999999999,,,,207.683,percent of total billed charges,999999999,,,,207.683,percent of total billed charges,999999999,,,,,,,,,,,,,,,,157.83908,percent of total billed charges,999999999,,,,,,,,,,,,,,,,149.82845,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,74.1725,percent of total billed charges,70.44573174,,,,,,,,,,74.1725,percent of total billed charges,69.27391493,,,,,,,,,,74.1725,percent of total billed charges,69.08140569,,,,,,,,,,74.1725,percent of total billed charges,68.06418283,,,,,,,,,,74.1725,percent of total billed charges,69.81557431,,,,,,,,,,74.1725,percent of total billed charges,999999999,,,,,,,,,,74.1725,percent of total billed charges,59.90667918,,,,,,,,,,74.1725,percent of total billed charges,94.47696421,,,,,,,,,,74.1725,percent of total billed charges,999999999,,,,,,,,,,74.1725,percent of total billed charges,64.59405138,,,,,,,,,,267.021,percent of total billed charges,,,,,
LIDOCAINE 100MG/5 ML SYRINGE (CARDIAC),J2003,CDM,0040-9490-34,NDC,,both,1,EA,59.05,59.05,12.57079693,59.05,59.05,percent of total billed charges,43.44518279,,,,59.05,percent of total billed charges,46.05103475,,,,59.05,percent of total billed charges,43.44518279,,,,59.05,percent of total billed charges,46.05103475,,,,59.05,percent of total billed charges,999999999,,,,59.05,percent of total billed charges,44.99204152,,,,59.05,percent of total billed charges,43.44518279,,,,59.05,percent of total billed charges,46.05103475,,,,42.10265,percent of total billed charges,21.00999283,,,,42.10265,percent of total billed charges,12.57079693,,,,42.10265,percent of total billed charges,21.00999283,,,,42.10265,percent of total billed charges,12.57079693,,,,42.10265,percent of total billed charges,21.00999283,,,,42.10265,percent of total billed charges,12.57079693,,,,41.6893,percent of total billed charges,41.37299195,,,,41.6893,percent of total billed charges,28.53462462,,,,,,,,,,42.516,percent of total billed charges,27.63439951,,,,,,,,,,42.516,percent of total billed charges,999999999,,,,,,,,,,47.24,percent of total billed charges,39.58466438,,,,46.6495,percent of total billed charges,45.01877506,,,,46.6495,percent of total billed charges,39.77557795,,,,47.24,percent of total billed charges,999999999,,,,47.24,percent of total billed charges,999999999,,,,41.335,percent of total billed charges,999999999,,,,41.335,percent of total billed charges,999999999,,,,,,,,,,,,,,,,31.4146,percent of total billed charges,999999999,,,,,,,,,,,,,,,,29.82025,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14.7625,percent of total billed charges,14.02076396,,,,,,,,,,14.7625,percent of total billed charges,13.78753809,,,,,,,,,,14.7625,percent of total billed charges,13.74922311,,,,,,,,,,14.7625,percent of total billed charges,13.54676597,,,,,,,,,,14.7625,percent of total billed charges,13.89534417,,,,,,,,,,14.7625,percent of total billed charges,999999999,,,,,,,,,,14.7625,percent of total billed charges,11.92318381,,,,,,,,,,14.7625,percent of total billed charges,18.80368309,,,,,,,,,,14.7625,percent of total billed charges,999999999,,,,,,,,,,14.7625,percent of total billed charges,12.85610817,,,,,,,,,,53.145,percent of total billed charges,,,,,
LIDOCAINE VISCOUS 2% SUSP 15ML,259,RC,5038-3036-15,NDC,,both,1,EA,3.69,3.69,0.785541756,3.69,3.69,percent of total billed charges,2.71486409,,,,3.69,percent of total billed charges,2.877702256,,,,3.69,percent of total billed charges,2.71486409,,,,3.69,percent of total billed charges,2.877702256,,,,3.69,percent of total billed charges,999999999,,,,3.69,percent of total billed charges,2.811526388,,,,3.69,percent of total billed charges,2.71486409,,,,3.69,percent of total billed charges,2.877702256,,,,2.63097,percent of total billed charges,1.312902177,,,,2.63097,percent of total billed charges,0.785541756,,,,2.63097,percent of total billed charges,1.312902177,,,,2.63097,percent of total billed charges,0.785541756,,,,2.63097,percent of total billed charges,1.312902177,,,,2.63097,percent of total billed charges,0.785541756,,,,2.60514,percent of total billed charges,2.585374095,,,,2.60514,percent of total billed charges,1.783112021,,,,,,,,,,2.6568,percent of total billed charges,1.72685748,,,,,,,,,,2.6568,percent of total billed charges,999999999,,,,,,,,,,2.952,percent of total billed charges,2.47362255,,,,2.9151,percent of total billed charges,2.813196951,,,,2.9151,percent of total billed charges,2.485552627,,,,2.952,percent of total billed charges,999999999,,,,2.952,percent of total billed charges,999999999,,,,2.583,percent of total billed charges,999999999,,,,2.583,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.96308,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.86345,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.9225,percent of total billed charges,0.876149348,,,,,,,,,,0.9225,percent of total billed charges,0.8615752,,,,,,,,,,0.9225,percent of total billed charges,0.859180919,,,,,,,,,,0.9225,percent of total billed charges,0.846529491,,,,,,,,,,0.9225,percent of total billed charges,0.868311939,,,,,,,,,,0.9225,percent of total billed charges,999999999,,,,,,,,,,0.9225,percent of total billed charges,0.74507279,,,,,,,,,,0.9225,percent of total billed charges,1.17503117,,,,,,,,,,0.9225,percent of total billed charges,999999999,,,,,,,,,,0.9225,percent of total billed charges,0.803370689,,,,,,,,,,3.321,percent of total billed charges,,,,,
**LINDANE SHAMPOO (KWELL) 1%: 60 ML,259,RC,6043-2054-60,NDC,,both,1,EA,305,305,64.92960311,305,305,percent of total billed charges,224.3993353,,,,305,percent of total billed charges,237.8588586,,,,305,percent of total billed charges,224.3993353,,,,305,percent of total billed charges,237.8588586,,,,305,percent of total billed charges,999999999,,,,305,percent of total billed charges,232.3890375,,,,305,percent of total billed charges,224.3993353,,,,305,percent of total billed charges,237.8588586,,,,217.465,percent of total billed charges,108.5190146,,,,217.465,percent of total billed charges,64.92960311,,,,217.465,percent of total billed charges,108.5190146,,,,217.465,percent of total billed charges,64.92960311,,,,217.465,percent of total billed charges,108.5190146,,,,217.465,percent of total billed charges,64.92960311,,,,215.33,percent of total billed charges,213.6962328,,,,215.33,percent of total billed charges,147.384598,,,,,,,,,,219.6,percent of total billed charges,142.7348323,,,,,,,,,,219.6,percent of total billed charges,999999999,,,,,,,,,,244,percent of total billed charges,204.4593165,,,,240.95,percent of total billed charges,232.5271193,,,,240.95,percent of total billed charges,205.4454069,,,,244,percent of total billed charges,999999999,,,,244,percent of total billed charges,999999999,,,,213.5,percent of total billed charges,999999999,,,,213.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,162.26,percent of total billed charges,999999999,,,,,,,,,,,,,,,,154.025,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,76.25,percent of total billed charges,72.41884857,,,,,,,,,,76.25,percent of total billed charges,71.2142103,,,,,,,,,,76.25,percent of total billed charges,71.01630906,,,,,,,,,,76.25,percent of total billed charges,69.97059477,,,,,,,,,,76.25,percent of total billed charges,71.77104104,,,,,,,,,,76.25,percent of total billed charges,999999999,,,,,,,,,,76.25,percent of total billed charges,61.58460733,,,,,,,,,,76.25,percent of total billed charges,97.12317261,,,,,,,,,,76.25,percent of total billed charges,999999999,,,,,,,,,,76.25,percent of total billed charges,66.4032683,,,,,,,,,,274.5,percent of total billed charges,,,,,
**LINDANE LOTION (KWELL): 60 ML,259,RC,6043-2054-60,NDC,,both,1,EA,305,305,64.92960311,305,305,percent of total billed charges,224.3993353,,,,305,percent of total billed charges,237.8588586,,,,305,percent of total billed charges,224.3993353,,,,305,percent of total billed charges,237.8588586,,,,305,percent of total billed charges,999999999,,,,305,percent of total billed charges,232.3890375,,,,305,percent of total billed charges,224.3993353,,,,305,percent of total billed charges,237.8588586,,,,217.465,percent of total billed charges,108.5190146,,,,217.465,percent of total billed charges,64.92960311,,,,217.465,percent of total billed charges,108.5190146,,,,217.465,percent of total billed charges,64.92960311,,,,217.465,percent of total billed charges,108.5190146,,,,217.465,percent of total billed charges,64.92960311,,,,215.33,percent of total billed charges,213.6962328,,,,215.33,percent of total billed charges,147.384598,,,,,,,,,,219.6,percent of total billed charges,142.7348323,,,,,,,,,,219.6,percent of total billed charges,999999999,,,,,,,,,,244,percent of total billed charges,204.4593165,,,,240.95,percent of total billed charges,232.5271193,,,,240.95,percent of total billed charges,205.4454069,,,,244,percent of total billed charges,999999999,,,,244,percent of total billed charges,999999999,,,,213.5,percent of total billed charges,999999999,,,,213.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,162.26,percent of total billed charges,999999999,,,,,,,,,,,,,,,,154.025,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,76.25,percent of total billed charges,72.41884857,,,,,,,,,,76.25,percent of total billed charges,71.2142103,,,,,,,,,,76.25,percent of total billed charges,71.01630906,,,,,,,,,,76.25,percent of total billed charges,69.97059477,,,,,,,,,,76.25,percent of total billed charges,71.77104104,,,,,,,,,,76.25,percent of total billed charges,999999999,,,,,,,,,,76.25,percent of total billed charges,61.58460733,,,,,,,,,,76.25,percent of total billed charges,97.12317261,,,,,,,,,,76.25,percent of total billed charges,999999999,,,,,,,,,,76.25,percent of total billed charges,66.4032683,,,,,,,,,,274.5,percent of total billed charges,,,,,
**TETANUS-DIPTHERIA (Td) ADULT 0.5ML,90718,CDM,4928-1029-10,NDC,,both,1,EA,49,49,10.43131329,49,49,percent of total billed charges,36.05104076,,,,49,percent of total billed charges,38.21339039,,,,49,percent of total billed charges,36.05104076,,,,49,percent of total billed charges,38.21339039,,,,49,percent of total billed charges,999999999,,,,49,percent of total billed charges,37.33463225,,,,49,percent of total billed charges,36.05104076,,,,49,percent of total billed charges,38.21339039,,,,34.937,percent of total billed charges,17.43420235,,,,34.937,percent of total billed charges,10.43131329,,,,34.937,percent of total billed charges,17.43420235,,,,34.937,percent of total billed charges,10.43131329,,,,34.937,percent of total billed charges,17.43420235,,,,34.937,percent of total billed charges,10.43131329,,,,34.594,percent of total billed charges,34.33152592,,,,34.594,percent of total billed charges,23.67818131,,,,,,,,,,35.28,percent of total billed charges,22.93116979,,,,,,,,,,35.28,percent of total billed charges,999999999,,,,,,,,,,39.2,percent of total billed charges,32.84756232,,,,38.71,percent of total billed charges,37.35681588,,,,38.71,percent of total billed charges,33.0059834,,,,39.2,percent of total billed charges,999999999,,,,39.2,percent of total billed charges,999999999,,,,34.3,percent of total billed charges,999999999,,,,34.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,26.068,percent of total billed charges,999999999,,,,,,,,,,,,,,,,24.745,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12.25,percent of total billed charges,11.63450354,,,,,,,,,,12.25,percent of total billed charges,11.44097149,,,,,,,,,,12.25,percent of total billed charges,11.40917752,,,,,,,,,,12.25,percent of total billed charges,11.24117752,,,,,,,,,,12.25,percent of total billed charges,11.53042954,,,,,,,,,,12.25,percent of total billed charges,999999999,,,,,,,,,,12.25,percent of total billed charges,9.893920522,,,,,,,,,,12.25,percent of total billed charges,15.60339494,,,,,,,,,,12.25,percent of total billed charges,999999999,,,,,,,,,,12.25,percent of total billed charges,10.66806605,,,,,,,,,,44.1,percent of total billed charges,,,,,
LISINOPRIL (ZESTRIL) 5 MG TAB,637,RC,5242-7043-90,NDC,,both,1,EA,0.5,0.5,0.106441972,0.5,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,999999999,,,,0.5,percent of total billed charges,0.380965635,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.353,percent of total billed charges,0.350321693,,,,0.353,percent of total billed charges,0.241614095,,,,,,,,,,0.36,percent of total billed charges,0.233991528,,,,,,,,,,0.36,percent of total billed charges,999999999,,,,,,,,,,0.4,percent of total billed charges,0.335179207,,,,0.395,percent of total billed charges,0.381191999,,,,0.395,percent of total billed charges,0.336795749,,,,0.4,percent of total billed charges,999999999,,,,0.4,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.266,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.2525,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.125,percent of total billed charges,0.118719424,,,,,,,,,,0.125,percent of total billed charges,0.116744607,,,,,,,,,,0.125,percent of total billed charges,0.116420179,,,,,,,,,,0.125,percent of total billed charges,0.114705893,,,,,,,,,,0.125,percent of total billed charges,0.117657444,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.100958373,,,,,,,,,,0.125,percent of total billed charges,0.159218316,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.108857817,,,,,,,,,,0.45,percent of total billed charges,,,,,
**SODIUM HYALURONATE (HEALON) INJ,250,RC,0001-6031-40,NDC,,both,1,EA,764,764,162.6433337,764,764,percent of total billed charges,562.1019417,,,,764,percent of total billed charges,595.816944,,,,764,percent of total billed charges,562.1019417,,,,764,percent of total billed charges,595.816944,,,,764,percent of total billed charges,999999999,,,,764,percent of total billed charges,582.1154906,,,,764,percent of total billed charges,562.1019417,,,,764,percent of total billed charges,595.816944,,,,544.732,percent of total billed charges,271.8312366,,,,544.732,percent of total billed charges,162.6433337,,,,544.732,percent of total billed charges,271.8312366,,,,544.732,percent of total billed charges,162.6433337,,,,544.732,percent of total billed charges,271.8312366,,,,544.732,percent of total billed charges,162.6433337,,,,539.384,percent of total billed charges,535.291547,,,,539.384,percent of total billed charges,369.1863372,,,,,,,,,,550.08,percent of total billed charges,357.5390555,,,,,,,,,,550.08,percent of total billed charges,999999999,,,,,,,,,,611.2,percent of total billed charges,512.1538288,,,,603.56,percent of total billed charges,582.4613742,,,,603.56,percent of total billed charges,514.6239044,,,,611.2,percent of total billed charges,999999999,,,,611.2,percent of total billed charges,999999999,,,,534.8,percent of total billed charges,999999999,,,,534.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,406.448,percent of total billed charges,999999999,,,,,,,,,,,,,,,,385.82,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,191,percent of total billed charges,181.4032797,,,,,,,,,,191,percent of total billed charges,178.3857596,,,,,,,,,,191,percent of total billed charges,177.8900332,,,,,,,,,,191,percent of total billed charges,175.2706046,,,,,,,,,,191,percent of total billed charges,179.7805749,,,,,,,,,,191,percent of total billed charges,999999999,,,,,,,,,,191,percent of total billed charges,154.2643934,,,,,,,,,,191,percent of total billed charges,243.2855865,,,,,,,,,,191,percent of total billed charges,999999999,,,,,,,,,,191,percent of total billed charges,166.3347442,,,,,,,,,,687.6,percent of total billed charges,,,,,
**TETANUS TOXOID (TT) ADULT 0.5ML,90703,CDM,0001-6031-40,NDC,,both,1,EA,63,63,13.41168851,63,63,percent of total billed charges,46.35133812,,,,63,percent of total billed charges,49.13150193,,,,63,percent of total billed charges,46.35133812,,,,63,percent of total billed charges,49.13150193,,,,63,percent of total billed charges,999999999,,,,63,percent of total billed charges,48.00167004,,,,63,percent of total billed charges,46.35133812,,,,63,percent of total billed charges,49.13150193,,,,44.919,percent of total billed charges,22.41540302,,,,44.919,percent of total billed charges,13.41168851,,,,44.919,percent of total billed charges,22.41540302,,,,44.919,percent of total billed charges,13.41168851,,,,44.919,percent of total billed charges,22.41540302,,,,44.919,percent of total billed charges,13.41168851,,,,44.478,percent of total billed charges,44.14053332,,,,44.478,percent of total billed charges,30.44337597,,,,,,,,,,45.36,percent of total billed charges,29.48293258,,,,,,,,,,45.36,percent of total billed charges,999999999,,,,,,,,,,50.4,percent of total billed charges,42.23258012,,,,49.77,percent of total billed charges,48.03019185,,,,49.77,percent of total billed charges,42.43626437,,,,50.4,percent of total billed charges,999999999,,,,50.4,percent of total billed charges,999999999,,,,44.1,percent of total billed charges,999999999,,,,44.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,33.516,percent of total billed charges,999999999,,,,,,,,,,,,,,,,31.815,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15.75,percent of total billed charges,14.95864741,,,,,,,,,,15.75,percent of total billed charges,14.70982049,,,,,,,,,,15.75,percent of total billed charges,14.66894253,,,,,,,,,,15.75,percent of total billed charges,14.45294253,,,,,,,,,,15.75,percent of total billed charges,14.82483798,,,,,,,,,,15.75,percent of total billed charges,999999999,,,,,,,,,,15.75,percent of total billed charges,12.72075496,,,,,,,,,,15.75,percent of total billed charges,20.06150779,,,,,,,,,,15.75,percent of total billed charges,999999999,,,,,,,,,,15.75,percent of total billed charges,13.71608493,,,,,,,,,,56.7,percent of total billed charges,,,,,
METOCLOPRAMIDE (REGLAN) 10MG TAB,637,RC,6808-4067-11,NDC,,both,1,EA,2.53,2.53,0.53859638,2.53,2.53,percent of total billed charges,1.86141088,,,,2.53,percent of total billed charges,1.973058728,,,,2.53,percent of total billed charges,1.86141088,,,,2.53,percent of total billed charges,1.973058728,,,,2.53,percent of total billed charges,999999999,,,,2.53,percent of total billed charges,1.927686114,,,,2.53,percent of total billed charges,1.86141088,,,,2.53,percent of total billed charges,1.973058728,,,,1.80389,percent of total billed charges,0.900174121,,,,1.80389,percent of total billed charges,0.53859638,,,,1.80389,percent of total billed charges,0.900174121,,,,1.80389,percent of total billed charges,0.53859638,,,,1.80389,percent of total billed charges,0.900174121,,,,1.80389,percent of total billed charges,0.53859638,,,,1.78618,percent of total billed charges,1.772627767,,,,1.78618,percent of total billed charges,1.222567321,,,,,,,,,,1.8216,percent of total billed charges,1.183997134,,,,,,,,,,1.8216,percent of total billed charges,999999999,,,,,,,,,,2.024,percent of total billed charges,1.696006789,,,,1.9987,percent of total billed charges,1.928831514,,,,1.9987,percent of total billed charges,1.70418649,,,,2.024,percent of total billed charges,999999999,,,,2.024,percent of total billed charges,999999999,,,,1.771,percent of total billed charges,999999999,,,,1.771,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.34596,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.27765,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.6325,percent of total billed charges,0.600720285,,,,,,,,,,0.6325,percent of total billed charges,0.590727712,,,,,,,,,,0.6325,percent of total billed charges,0.589086105,,,,,,,,,,0.6325,percent of total billed charges,0.580411819,,,,,,,,,,0.6325,percent of total billed charges,0.595346668,,,,,,,,,,0.6325,percent of total billed charges,999999999,,,,,,,,,,0.6325,percent of total billed charges,0.510849366,,,,,,,,,,0.6325,percent of total billed charges,0.805644678,,,,,,,,,,0.6325,percent of total billed charges,999999999,,,,,,,,,,0.6325,percent of total billed charges,0.550820553,,,,,,,,,,2.277,percent of total billed charges,,,,,
**DIPHTHERIA AND TETANUS TOXOIDS (DT),90702,CDM,6808-4067-11,NDC,,both,1,EA,110,110,23.41723391,110,110,percent of total billed charges,80.93090783,,,,110,percent of total billed charges,85.7851621,,,,110,percent of total billed charges,80.93090783,,,,110,percent of total billed charges,85.7851621,,,,110,percent of total billed charges,999999999,,,,110,percent of total billed charges,83.81243975,,,,110,percent of total billed charges,80.93090783,,,,110,percent of total billed charges,85.7851621,,,,78.43,percent of total billed charges,39.13800527,,,,78.43,percent of total billed charges,23.41723391,,,,78.43,percent of total billed charges,39.13800527,,,,78.43,percent of total billed charges,23.41723391,,,,78.43,percent of total billed charges,39.13800527,,,,78.43,percent of total billed charges,23.41723391,,,,77.66,percent of total billed charges,77.07077247,,,,77.66,percent of total billed charges,53.1551009,,,,,,,,,,79.2,percent of total billed charges,51.47813626,,,,,,,,,,79.2,percent of total billed charges,999999999,,,,,,,,,,88,percent of total billed charges,73.73942561,,,,86.9,percent of total billed charges,83.86223973,,,,86.9,percent of total billed charges,74.09506477,,,,88,percent of total billed charges,999999999,,,,88,percent of total billed charges,999999999,,,,77,percent of total billed charges,999999999,,,,77,percent of total billed charges,999999999,,,,,,,,,,,,,,,,58.52,percent of total billed charges,999999999,,,,,,,,,,,,,,,,55.55,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,27.5,percent of total billed charges,26.11827325,,,,,,,,,,27.5,percent of total billed charges,25.68381355,,,,,,,,,,27.5,percent of total billed charges,25.61243933,,,,,,,,,,27.5,percent of total billed charges,25.23529647,,,,,,,,,,27.5,percent of total billed charges,25.88463775,,,,,,,,,,27.5,percent of total billed charges,999999999,,,,,,,,,,27.5,percent of total billed charges,22.21084199,,,,,,,,,,27.5,percent of total billed charges,35.02802947,,,,,,,,,,27.5,percent of total billed charges,999999999,,,,,,,,,,27.5,percent of total billed charges,23.94871971,,,,,,,,,,99,percent of total billed charges,,,,,
ONDANSETRON (ZOFRAN) VIAL 4MG,J2405,CDM,0040-9475-03,NDC,,both,1,EA,7.65,7.65,1.628562176,7.65,7.65,percent of total billed charges,5.628376772,,,,7.65,percent of total billed charges,5.965968092,,,,7.65,percent of total billed charges,5.628376772,,,,7.65,percent of total billed charges,5.965968092,,,,7.65,percent of total billed charges,999999999,,,,7.65,percent of total billed charges,5.828774219,,,,7.65,percent of total billed charges,5.628376772,,,,7.65,percent of total billed charges,5.965968092,,,,5.45445,percent of total billed charges,2.721870367,,,,5.45445,percent of total billed charges,1.628562176,,,,5.45445,percent of total billed charges,2.721870367,,,,5.45445,percent of total billed charges,1.628562176,,,,5.45445,percent of total billed charges,2.721870367,,,,5.45445,percent of total billed charges,1.628562176,,,,5.4009,percent of total billed charges,5.359921903,,,,5.4009,percent of total billed charges,3.696695654,,,,,,,,,,5.508,percent of total billed charges,3.580070385,,,,,,,,,,5.508,percent of total billed charges,999999999,,,,,,,,,,6.12,percent of total billed charges,5.128241872,,,,6.0435,percent of total billed charges,5.832237582,,,,6.0435,percent of total billed charges,5.152974959,,,,6.12,percent of total billed charges,999999999,,,,6.12,percent of total billed charges,999999999,,,,5.355,percent of total billed charges,999999999,,,,5.355,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.0698,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.86325,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.9125,percent of total billed charges,1.816407185,,,,,,,,,,1.9125,percent of total billed charges,1.786192488,,,,,,,,,,1.9125,percent of total billed charges,1.781228735,,,,,,,,,,1.9125,percent of total billed charges,1.755000164,,,,,,,,,,1.9125,percent of total billed charges,1.800158898,,,,,,,,,,1.9125,percent of total billed charges,999999999,,,,,,,,,,1.9125,percent of total billed charges,1.544663102,,,,,,,,,,1.9125,percent of total billed charges,2.436040231,,,,,,,,,,1.9125,percent of total billed charges,999999999,,,,,,,,,,1.9125,percent of total billed charges,1.665524598,,,,,,,,,,6.885,percent of total billed charges,,,,,
metOLazone (ZAROXOLYN)  2.5MG TAB,637,RC,5107-9002-20,NDC,,both,1,EA,2.42,2.42,0.515179146,2.42,2.42,percent of total billed charges,1.780479972,,,,2.42,percent of total billed charges,1.887273566,,,,2.42,percent of total billed charges,1.780479972,,,,2.42,percent of total billed charges,1.887273566,,,,2.42,percent of total billed charges,999999999,,,,2.42,percent of total billed charges,1.843873674,,,,2.42,percent of total billed charges,1.780479972,,,,2.42,percent of total billed charges,1.887273566,,,,1.72546,percent of total billed charges,0.861036116,,,,1.72546,percent of total billed charges,0.515179146,,,,1.72546,percent of total billed charges,0.861036116,,,,1.72546,percent of total billed charges,0.515179146,,,,1.72546,percent of total billed charges,0.861036116,,,,1.72546,percent of total billed charges,0.515179146,,,,1.70852,percent of total billed charges,1.695556994,,,,1.70852,percent of total billed charges,1.16941222,,,,,,,,,,1.7424,percent of total billed charges,1.132518998,,,,,,,,,,1.7424,percent of total billed charges,999999999,,,,,,,,,,1.936,percent of total billed charges,1.622267363,,,,1.9118,percent of total billed charges,1.844969274,,,,1.9118,percent of total billed charges,1.630091425,,,,1.936,percent of total billed charges,999999999,,,,1.936,percent of total billed charges,999999999,,,,1.694,percent of total billed charges,999999999,,,,1.694,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.28744,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.2221,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.605,percent of total billed charges,0.574602012,,,,,,,,,,0.605,percent of total billed charges,0.565043898,,,,,,,,,,0.605,percent of total billed charges,0.563473665,,,,,,,,,,0.605,percent of total billed charges,0.555176522,,,,,,,,,,0.605,percent of total billed charges,0.569462031,,,,,,,,,,0.605,percent of total billed charges,999999999,,,,,,,,,,0.605,percent of total billed charges,0.488638524,,,,,,,,,,0.605,percent of total billed charges,0.770616648,,,,,,,,,,0.605,percent of total billed charges,999999999,,,,,,,,,,0.605,percent of total billed charges,0.526871834,,,,,,,,,,2.178,percent of total billed charges,,,,,
METHOCARBAMOL (ROBAXIN) 500MG TAB,637,RC,5486-8060-00,NDC,,both,1,EA,0.5,0.5,0.106441972,0.5,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,999999999,,,,0.5,percent of total billed charges,0.380965635,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.353,percent of total billed charges,0.350321693,,,,0.353,percent of total billed charges,0.241614095,,,,,,,,,,0.36,percent of total billed charges,0.233991528,,,,,,,,,,0.36,percent of total billed charges,999999999,,,,,,,,,,0.4,percent of total billed charges,0.335179207,,,,0.395,percent of total billed charges,0.381191999,,,,0.395,percent of total billed charges,0.336795749,,,,0.4,percent of total billed charges,999999999,,,,0.4,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.266,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.2525,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.125,percent of total billed charges,0.118719424,,,,,,,,,,0.125,percent of total billed charges,0.116744607,,,,,,,,,,0.125,percent of total billed charges,0.116420179,,,,,,,,,,0.125,percent of total billed charges,0.114705893,,,,,,,,,,0.125,percent of total billed charges,0.117657444,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.100958373,,,,,,,,,,0.125,percent of total billed charges,0.159218316,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.108857817,,,,,,,,,,0.45,percent of total billed charges,,,,,
**MAGNESIUM OXIDE (URO-MAG) 140MG: CAP,259,RC,3016-5005-01,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
METHOTREXATE 2.5MG TAB,J8610,CDM,5107-9067-05,NDC,,both,1,EA,1.6,1.6,0.340614311,1.6,1.6,percent of total billed charges,1.177176841,,,,1.6,percent of total billed charges,1.247784176,,,,1.6,percent of total billed charges,1.177176841,,,,1.6,percent of total billed charges,1.247784176,,,,1.6,percent of total billed charges,999999999,,,,1.6,percent of total billed charges,1.219090033,,,,1.6,percent of total billed charges,1.177176841,,,,1.6,percent of total billed charges,1.247784176,,,,1.1408,percent of total billed charges,0.569280077,,,,1.1408,percent of total billed charges,0.340614311,,,,1.1408,percent of total billed charges,0.569280077,,,,1.1408,percent of total billed charges,0.340614311,,,,1.1408,percent of total billed charges,0.569280077,,,,1.1408,percent of total billed charges,0.340614311,,,,1.1296,percent of total billed charges,1.121029418,,,,1.1296,percent of total billed charges,0.773165104,,,,,,,,,,1.152,percent of total billed charges,0.748772891,,,,,,,,,,1.152,percent of total billed charges,999999999,,,,,,,,,,1.28,percent of total billed charges,1.072573463,,,,1.264,percent of total billed charges,1.219814396,,,,1.264,percent of total billed charges,1.077746397,,,,1.28,percent of total billed charges,999999999,,,,1.28,percent of total billed charges,999999999,,,,1.12,percent of total billed charges,999999999,,,,1.12,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.8512,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.808,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.4,percent of total billed charges,0.379902156,,,,,,,,,,0.4,percent of total billed charges,0.373582743,,,,,,,,,,0.4,percent of total billed charges,0.372544572,,,,,,,,,,0.4,percent of total billed charges,0.367058858,,,,,,,,,,0.4,percent of total billed charges,0.376503822,,,,,,,,,,0.4,percent of total billed charges,999999999,,,,,,,,,,0.4,percent of total billed charges,0.323066793,,,,,,,,,,0.4,percent of total billed charges,0.50949861,,,,,,,,,,0.4,percent of total billed charges,999999999,,,,,,,,,,0.4,percent of total billed charges,0.348345014,,,,,,,,,,1.44,percent of total billed charges,,,,,
**METHOTREXATE VIAL INJ 25MG/ML 2ML VIAL,250,RC,6745-7046-99,NDC,,both,1,EA,25.73,25.73,5.477503895,25.73,25.73,percent of total billed charges,18.93047508,,,,25.73,percent of total billed charges,20.06592928,,,,25.73,percent of total billed charges,18.93047508,,,,25.73,percent of total billed charges,20.06592928,,,,25.73,percent of total billed charges,999999999,,,,25.73,percent of total billed charges,19.60449159,,,,25.73,percent of total billed charges,18.93047508,,,,25.73,percent of total billed charges,20.06592928,,,,18.34549,percent of total billed charges,9.154735233,,,,18.34549,percent of total billed charges,5.477503895,,,,18.34549,percent of total billed charges,9.154735233,,,,18.34549,percent of total billed charges,5.477503895,,,,18.34549,percent of total billed charges,9.154735233,,,,18.34549,percent of total billed charges,5.477503895,,,,18.16538,percent of total billed charges,18.02755432,,,,18.16538,percent of total billed charges,12.43346133,,,,,,,,,,18.5256,percent of total billed charges,12.04120405,,,,,,,,,,18.5256,percent of total billed charges,999999999,,,,,,,,,,20.584,percent of total billed charges,17.24832201,,,,20.3267,percent of total billed charges,19.61614026,,,,20.3267,percent of total billed charges,17.33150924,,,,20.584,percent of total billed charges,999999999,,,,20.584,percent of total billed charges,999999999,,,,18.011,percent of total billed charges,999999999,,,,18.011,percent of total billed charges,999999999,,,,,,,,,,,,,,,,13.68836,percent of total billed charges,999999999,,,,,,,,,,,,,,,,12.99365,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6.4325,percent of total billed charges,6.109301553,,,,,,,,,,6.4325,percent of total billed charges,6.007677479,,,,,,,,,,6.4325,percent of total billed charges,5.9909824,,,,,,,,,,6.4325,percent of total billed charges,5.902765257,,,,,,,,,,6.4325,percent of total billed charges,6.054652085,,,,,,,,,,6.4325,percent of total billed charges,999999999,,,,,,,,,,6.4325,percent of total billed charges,5.195317858,,,,,,,,,,6.4325,percent of total billed charges,8.193374529,,,,,,,,,,6.4325,percent of total billed charges,999999999,,,,,,,,,,6.4325,percent of total billed charges,5.601823257,,,,,,,,,,23.157,percent of total billed charges,,,,,
MICONAZOLE CR 2% (MONISTAT-DERM) CR,259,RC,0090-4773-45,NDC,,both,1,EA,40.52,40.52,8.626057436,40.52,40.52,percent of total billed charges,29.8120035,,,,40.52,percent of total billed charges,31.60013426,,,,40.52,percent of total billed charges,29.8120035,,,,40.52,percent of total billed charges,31.60013426,,,,40.52,percent of total billed charges,999999999,,,,40.52,percent of total billed charges,30.87345508,,,,40.52,percent of total billed charges,29.8120035,,,,40.52,percent of total billed charges,31.60013426,,,,28.89076,percent of total billed charges,14.41701794,,,,28.89076,percent of total billed charges,8.626057436,,,,28.89076,percent of total billed charges,14.41701794,,,,28.89076,percent of total billed charges,8.626057436,,,,28.89076,percent of total billed charges,14.41701794,,,,28.89076,percent of total billed charges,8.626057436,,,,28.60712,percent of total billed charges,28.39007,,,,28.60712,percent of total billed charges,19.58040626,,,,,,,,,,29.1744,percent of total billed charges,18.96267346,,,,,,,,,,29.1744,percent of total billed charges,999999999,,,,,,,,,,32.416,percent of total billed charges,27.16292296,,,,32.0108,percent of total billed charges,30.89179958,,,,32.0108,percent of total billed charges,27.2939275,,,,32.416,percent of total billed charges,999999999,,,,32.416,percent of total billed charges,999999999,,,,28.364,percent of total billed charges,999999999,,,,28.364,percent of total billed charges,999999999,,,,,,,,,,,,,,,,21.55664,percent of total billed charges,999999999,,,,,,,,,,,,,,,,20.4626,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10.13,percent of total billed charges,9.621022111,,,,,,,,,,10.13,percent of total billed charges,9.460982955,,,,,,,,,,10.13,percent of total billed charges,9.434691288,,,,,,,,,,10.13,percent of total billed charges,9.295765574,,,,,,,,,,10.13,percent of total billed charges,9.534959288,,,,,,,,,,10.13,percent of total billed charges,999999999,,,,,,,,,,10.13,percent of total billed charges,8.181666521,,,,,,,,,,10.13,percent of total billed charges,12.90305231,,,,,,,,,,10.13,percent of total billed charges,999999999,,,,,,,,,,10.13,percent of total billed charges,8.82183748,,,,,,,,,,36.468,percent of total billed charges,,,,,
MICONAZOLE (MONISTAT-7 SUPP) 100MG 7'S,259,RC,0047-2173-07,NDC,,both,1,EA,4.02,4.02,0.855793457,4.02,4.02,percent of total billed charges,2.957656813,,,,4.02,percent of total billed charges,3.135057742,,,,4.02,percent of total billed charges,2.957656813,,,,4.02,percent of total billed charges,3.135057742,,,,4.02,percent of total billed charges,999999999,,,,4.02,percent of total billed charges,3.062963707,,,,4.02,percent of total billed charges,2.957656813,,,,4.02,percent of total billed charges,3.135057742,,,,2.86626,percent of total billed charges,1.430316193,,,,2.86626,percent of total billed charges,0.855793457,,,,2.86626,percent of total billed charges,1.430316193,,,,2.86626,percent of total billed charges,0.855793457,,,,2.86626,percent of total billed charges,1.430316193,,,,2.86626,percent of total billed charges,0.855793457,,,,2.83812,percent of total billed charges,2.816586412,,,,2.83812,percent of total billed charges,1.942577324,,,,,,,,,,2.8944,percent of total billed charges,1.881291889,,,,,,,,,,2.8944,percent of total billed charges,999999999,,,,,,,,,,3.216,percent of total billed charges,2.694840827,,,,3.1758,percent of total billed charges,3.06478367,,,,3.1758,percent of total billed charges,2.707837822,,,,3.216,percent of total billed charges,999999999,,,,3.216,percent of total billed charges,999999999,,,,2.814,percent of total billed charges,999999999,,,,2.814,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2.13864,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2.0301,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.005,percent of total billed charges,0.954504168,,,,,,,,,,1.005,percent of total billed charges,0.938626641,,,,,,,,,,1.005,percent of total billed charges,0.936018237,,,,,,,,,,1.005,percent of total billed charges,0.92223538,,,,,,,,,,1.005,percent of total billed charges,0.945965852,,,,,,,,,,1.005,percent of total billed charges,999999999,,,,,,,,,,1.005,percent of total billed charges,0.811705316,,,,,,,,,,1.005,percent of total billed charges,1.280115259,,,,,,,,,,1.005,percent of total billed charges,999999999,,,,,,,,,,1.005,percent of total billed charges,0.875216848,,,,,,,,,,3.618,percent of total billed charges,,,,,
MIDAZOLAM (VERSED) INJ 5MG/ML 1ML VIAL,J2250,CDM,0040-9230-49,NDC,,both,1,EA,28.12,28.12,5.986296523,28.12,28.12,percent of total billed charges,20.68888298,,,,28.12,percent of total billed charges,21.92980689,,,,28.12,percent of total billed charges,20.68888298,,,,28.12,percent of total billed charges,21.92980689,,,,28.12,percent of total billed charges,999999999,,,,28.12,percent of total billed charges,21.42550732,,,,28.12,percent of total billed charges,20.68888298,,,,28.12,percent of total billed charges,21.92980689,,,,20.04956,percent of total billed charges,10.00509735,,,,20.04956,percent of total billed charges,5.986296523,,,,20.04956,percent of total billed charges,10.00509735,,,,20.04956,percent of total billed charges,5.986296523,,,,20.04956,percent of total billed charges,10.00509735,,,,20.04956,percent of total billed charges,5.986296523,,,,19.85272,percent of total billed charges,19.70209202,,,,19.85272,percent of total billed charges,13.5883767,,,,,,,,,,20.2464,percent of total billed charges,13.15968356,,,,,,,,,,20.2464,percent of total billed charges,999999999,,,,,,,,,,22.496,percent of total billed charges,18.85047862,,,,22.2148,percent of total billed charges,21.43823801,,,,22.2148,percent of total billed charges,18.94139292,,,,22.496,percent of total billed charges,999999999,,,,22.496,percent of total billed charges,999999999,,,,19.684,percent of total billed charges,999999999,,,,19.684,percent of total billed charges,999999999,,,,,,,,,,,,,,,,14.95984,percent of total billed charges,999999999,,,,,,,,,,,,,,,,14.2006,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7.03,percent of total billed charges,6.676780399,,,,,,,,,,7.03,percent of total billed charges,6.5657167,,,,,,,,,,7.03,percent of total billed charges,6.547470855,,,,,,,,,,7.03,percent of total billed charges,6.451059426,,,,,,,,,,7.03,percent of total billed charges,6.617054669,,,,,,,,,,7.03,percent of total billed charges,999999999,,,,,,,,,,7.03,percent of total billed charges,5.677898879,,,,,,,,,,7.03,percent of total billed charges,8.954438078,,,,,,,,,,7.03,percent of total billed charges,999999999,,,,,,,,,,7.03,percent of total billed charges,6.122163621,,,,,,,,,,25.308,percent of total billed charges,,,,,
**MILK OF MAGNESIA(MOM SUSP):15ML,259,RC,0012-1043-30,NDC,,both,1,EA,3,3,0.638651834,3,3,percent of total billed charges,2.207206577,,,,3,percent of total billed charges,2.33959533,,,,3,percent of total billed charges,2.207206577,,,,3,percent of total billed charges,2.33959533,,,,3,percent of total billed charges,999999999,,,,3,percent of total billed charges,2.285793811,,,,3,percent of total billed charges,2.207206577,,,,3,percent of total billed charges,2.33959533,,,,2.139,percent of total billed charges,1.067400144,,,,2.139,percent of total billed charges,0.638651834,,,,2.139,percent of total billed charges,1.067400144,,,,2.139,percent of total billed charges,0.638651834,,,,2.139,percent of total billed charges,1.067400144,,,,2.139,percent of total billed charges,0.638651834,,,,2.118,percent of total billed charges,2.101930158,,,,2.118,percent of total billed charges,1.44968457,,,,,,,,,,2.16,percent of total billed charges,1.403949171,,,,,,,,,,2.16,percent of total billed charges,999999999,,,,,,,,,,2.4,percent of total billed charges,2.011075244,,,,2.37,percent of total billed charges,2.287151993,,,,2.37,percent of total billed charges,2.020774494,,,,2.4,percent of total billed charges,999999999,,,,2.4,percent of total billed charges,999999999,,,,2.1,percent of total billed charges,999999999,,,,2.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.596,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.515,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.75,percent of total billed charges,0.712316543,,,,,,,,,,0.75,percent of total billed charges,0.700467642,,,,,,,,,,0.75,percent of total billed charges,0.698521073,,,,,,,,,,0.75,percent of total billed charges,0.688235358,,,,,,,,,,0.75,percent of total billed charges,0.705944666,,,,,,,,,,0.75,percent of total billed charges,999999999,,,,,,,,,,0.75,percent of total billed charges,0.605750236,,,,,,,,,,0.75,percent of total billed charges,0.955309895,,,,,,,,,,0.75,percent of total billed charges,999999999,,,,,,,,,,0.75,percent of total billed charges,0.653146901,,,,,,,,,,2.7,percent of total billed charges,,,,,
**MILK OF MAG/CASCARA SUSP : 15ML,250,RC,0005-4856-04,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
LEVOTHYROXINE (SYNTHROID) 0.15 MG TAB,637,RC,0007-4706-11,NDC,,both,1,EA,2.22,2.22,0.472602357,2.22,2.22,percent of total billed charges,1.633332867,,,,2.22,percent of total billed charges,1.731300544,,,,2.22,percent of total billed charges,1.633332867,,,,2.22,percent of total billed charges,1.731300544,,,,2.22,percent of total billed charges,999999999,,,,2.22,percent of total billed charges,1.69148742,,,,2.22,percent of total billed charges,1.633332867,,,,2.22,percent of total billed charges,1.731300544,,,,1.58286,percent of total billed charges,0.789876106,,,,1.58286,percent of total billed charges,0.472602357,,,,1.58286,percent of total billed charges,0.789876106,,,,1.58286,percent of total billed charges,0.472602357,,,,1.58286,percent of total billed charges,0.789876106,,,,1.58286,percent of total billed charges,0.472602357,,,,1.56732,percent of total billed charges,1.555428317,,,,1.56732,percent of total billed charges,1.072766582,,,,,,,,,,1.5984,percent of total billed charges,1.038922386,,,,,,,,,,1.5984,percent of total billed charges,999999999,,,,,,,,,,1.776,percent of total billed charges,1.48819568,,,,1.7538,percent of total billed charges,1.692492475,,,,1.7538,percent of total billed charges,1.495373125,,,,1.776,percent of total billed charges,999999999,,,,1.776,percent of total billed charges,999999999,,,,1.554,percent of total billed charges,999999999,,,,1.554,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.18104,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.1211,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.555,percent of total billed charges,0.527114242,,,,,,,,,,0.555,percent of total billed charges,0.518346055,,,,,,,,,,0.555,percent of total billed charges,0.516905594,,,,,,,,,,0.555,percent of total billed charges,0.509294165,,,,,,,,,,0.555,percent of total billed charges,0.522399053,,,,,,,,,,0.555,percent of total billed charges,999999999,,,,,,,,,,0.555,percent of total billed charges,0.448255175,,,,,,,,,,0.555,percent of total billed charges,0.706929322,,,,,,,,,,0.555,percent of total billed charges,999999999,,,,,,,,,,0.555,percent of total billed charges,0.483328707,,,,,,,,,,1.998,percent of total billed charges,,,,,
**LISPRO (HUMALOG) 100 UNITS/M: VIAL TCU,J1815,CDM,0000-2751-01,NDC,,both,1,EA,139,139,29.5908683,139,139,percent of total billed charges,102.2672381,,,,139,percent of total billed charges,108.4012503,,,,139,percent of total billed charges,102.2672381,,,,139,percent of total billed charges,108.4012503,,,,139,percent of total billed charges,999999999,,,,139,percent of total billed charges,105.9084466,,,,139,percent of total billed charges,102.2672381,,,,139,percent of total billed charges,108.4012503,,,,99.107,percent of total billed charges,49.45620666,,,,99.107,percent of total billed charges,29.5908683,,,,99.107,percent of total billed charges,49.45620666,,,,99.107,percent of total billed charges,29.5908683,,,,99.107,percent of total billed charges,49.45620666,,,,99.107,percent of total billed charges,29.5908683,,,,98.134,percent of total billed charges,97.38943066,,,,98.134,percent of total billed charges,67.16871842,,,,,,,,,,100.08,percent of total billed charges,65.04964491,,,,,,,,,,100.08,percent of total billed charges,999999999,,,,,,,,,,111.2,percent of total billed charges,93.17981963,,,,109.81,percent of total billed charges,105.9713757,,,,109.81,percent of total billed charges,93.62921821,,,,111.2,percent of total billed charges,999999999,,,,111.2,percent of total billed charges,999999999,,,,97.3,percent of total billed charges,999999999,,,,97.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,73.948,percent of total billed charges,999999999,,,,,,,,,,,,,,,,70.195,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,34.75,percent of total billed charges,33.00399984,,,,,,,,,,34.75,percent of total billed charges,32.45500076,,,,,,,,,,34.75,percent of total billed charges,32.3648097,,,,,,,,,,34.75,percent of total billed charges,31.88823827,,,,,,,,,,34.75,percent of total billed charges,32.70876952,,,,,,,,,,34.75,percent of total billed charges,999999999,,,,,,,,,,34.75,percent of total billed charges,28.0664276,,,,,,,,,,34.75,percent of total billed charges,44.26269178,,,,,,,,,,34.75,percent of total billed charges,999999999,,,,,,,,,,34.75,percent of total billed charges,30.26247309,,,,,,,,,,125.1,percent of total billed charges,,,,,
MEPERIDINE (DEMEROL) 100MG SYRINGE,J2175,CDM,0040-9118-69,NDC,,both,1,EA,55.48,55.48,11.81080125,55.48,55.48,percent of total billed charges,40.81860697,,,,55.48,percent of total billed charges,43.2669163,,,,55.48,percent of total billed charges,40.81860697,,,,55.48,percent of total billed charges,43.2669163,,,,55.48,percent of total billed charges,999999999,,,,55.48,percent of total billed charges,42.27194688,,,,55.48,percent of total billed charges,40.81860697,,,,55.48,percent of total billed charges,43.2669163,,,,39.55724,percent of total billed charges,19.73978666,,,,39.55724,percent of total billed charges,11.81080125,,,,39.55724,percent of total billed charges,19.73978666,,,,39.55724,percent of total billed charges,11.81080125,,,,39.55724,percent of total billed charges,19.73978666,,,,39.55724,percent of total billed charges,11.81080125,,,,39.16888,percent of total billed charges,38.87169506,,,,39.16888,percent of total billed charges,26.80949998,,,,,,,,,,39.9456,percent of total billed charges,25.9637,,,,,,,,,,39.9456,percent of total billed charges,999999999,,,,,,,,,,44.384,percent of total billed charges,37.19148484,,,,43.8292,percent of total billed charges,42.29706419,,,,43.8292,percent of total billed charges,37.37085631,,,,44.384,percent of total billed charges,999999999,,,,44.384,percent of total billed charges,999999999,,,,38.836,percent of total billed charges,999999999,,,,38.836,percent of total billed charges,999999999,,,,,,,,,,,,,,,,29.51536,percent of total billed charges,999999999,,,,,,,,,,,,,,,,28.0174,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13.87,percent of total billed charges,13.17310727,,,,,,,,,,13.87,percent of total billed charges,12.9539816,,,,,,,,,,13.87,percent of total billed charges,12.91798304,,,,,,,,,,13.87,percent of total billed charges,12.72776589,,,,,,,,,,13.87,percent of total billed charges,13.05527002,,,,,,,,,,13.87,percent of total billed charges,999999999,,,,,,,,,,13.87,percent of total billed charges,11.20234103,,,,,,,,,,13.87,percent of total billed charges,17.66686432,,,,,,,,,,13.87,percent of total billed charges,999999999,,,,,,,,,,13.87,percent of total billed charges,12.07886336,,,,,,,,,,49.932,percent of total billed charges,,,,,
**MITOMYCIN (MUTAMYCIN) 5MG INJ,250,RC,5539-0025-01,NDC,,both,1,EA,268,268,57.05289716,268,268,percent of total billed charges,197.1771209,,,,268,percent of total billed charges,209.0038495,,,,268,percent of total billed charges,197.1771209,,,,268,percent of total billed charges,209.0038495,,,,268,percent of total billed charges,999999999,,,,268,percent of total billed charges,204.1975805,,,,268,percent of total billed charges,197.1771209,,,,268,percent of total billed charges,209.0038495,,,,191.084,percent of total billed charges,95.35441284,,,,191.084,percent of total billed charges,57.05289716,,,,191.084,percent of total billed charges,95.35441284,,,,191.084,percent of total billed charges,57.05289716,,,,191.084,percent of total billed charges,95.35441284,,,,191.084,percent of total billed charges,57.05289716,,,,189.208,percent of total billed charges,187.7724275,,,,189.208,percent of total billed charges,129.5051549,,,,,,,,,,192.96,percent of total billed charges,125.4194592,,,,,,,,,,192.96,percent of total billed charges,999999999,,,,,,,,,,214.4,percent of total billed charges,179.6560551,,,,211.72,percent of total billed charges,204.3189114,,,,211.72,percent of total billed charges,180.5225214,,,,214.4,percent of total billed charges,999999999,,,,214.4,percent of total billed charges,999999999,,,,187.6,percent of total billed charges,999999999,,,,187.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,142.576,percent of total billed charges,999999999,,,,,,,,,,,,,,,,135.34,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,67,percent of total billed charges,63.6336112,,,,,,,,,,67,percent of total billed charges,62.57510938,,,,,,,,,,67,percent of total billed charges,62.40121583,,,,,,,,,,67,percent of total billed charges,61.48235868,,,,,,,,,,67,percent of total billed charges,63.06439016,,,,,,,,,,67,percent of total billed charges,999999999,,,,,,,,,,67,percent of total billed charges,54.11368775,,,,,,,,,,67,percent of total billed charges,85.34101725,,,,,,,,,,67,percent of total billed charges,999999999,,,,,,,,,,67,percent of total billed charges,58.34778985,,,,,,,,,,241.2,percent of total billed charges,,,,,
**RAMIPRIL (ALTACE) 10 MG CAP,637,RC,6157-0012-01,NDC,,both,1,EA,1.62,1.62,0.34487199,1.62,1.62,percent of total billed charges,1.191891552,,,,1.62,percent of total billed charges,1.263381478,,,,1.62,percent of total billed charges,1.191891552,,,,1.62,percent of total billed charges,1.263381478,,,,1.62,percent of total billed charges,999999999,,,,1.62,percent of total billed charges,1.234328658,,,,1.62,percent of total billed charges,1.191891552,,,,1.62,percent of total billed charges,1.263381478,,,,1.15506,percent of total billed charges,0.576396078,,,,1.15506,percent of total billed charges,0.34487199,,,,1.15506,percent of total billed charges,0.576396078,,,,1.15506,percent of total billed charges,0.34487199,,,,1.15506,percent of total billed charges,0.576396078,,,,1.15506,percent of total billed charges,0.34487199,,,,1.14372,percent of total billed charges,1.135042285,,,,1.14372,percent of total billed charges,0.782829668,,,,,,,,,,1.1664,percent of total billed charges,0.758132552,,,,,,,,,,1.1664,percent of total billed charges,999999999,,,,,,,,,,1.296,percent of total billed charges,1.085980632,,,,1.2798,percent of total billed charges,1.235062076,,,,1.2798,percent of total billed charges,1.091218227,,,,1.296,percent of total billed charges,999999999,,,,1.296,percent of total billed charges,999999999,,,,1.134,percent of total billed charges,999999999,,,,1.134,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.86184,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.8181,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.405,percent of total billed charges,0.384650933,,,,,,,,,,0.405,percent of total billed charges,0.378252527,,,,,,,,,,0.405,percent of total billed charges,0.377201379,,,,,,,,,,0.405,percent of total billed charges,0.371647094,,,,,,,,,,0.405,percent of total billed charges,0.38121012,,,,,,,,,,0.405,percent of total billed charges,999999999,,,,,,,,,,0.405,percent of total billed charges,0.327105127,,,,,,,,,,0.405,percent of total billed charges,0.515867343,,,,,,,,,,0.405,percent of total billed charges,999999999,,,,,,,,,,0.405,percent of total billed charges,0.352699327,,,,,,,,,,1.458,percent of total billed charges,,,,,
MORphine SULFATE 10MG VIAL,J2270,CDM,0040-9189-01,NDC,,both,1,EA,70.1,70.1,14.92316452,70.1,70.1,percent of total billed charges,51.57506035,,,,70.1,percent of total billed charges,54.66854421,,,,70.1,percent of total billed charges,51.57506035,,,,70.1,percent of total billed charges,54.66854421,,,,70.1,percent of total billed charges,999999999,,,,70.1,percent of total billed charges,53.41138206,,,,70.1,percent of total billed charges,51.57506035,,,,70.1,percent of total billed charges,54.66854421,,,,49.9813,percent of total billed charges,24.94158336,,,,49.9813,percent of total billed charges,14.92316452,,,,49.9813,percent of total billed charges,24.94158336,,,,49.9813,percent of total billed charges,14.92316452,,,,49.9813,percent of total billed charges,24.94158336,,,,49.9813,percent of total billed charges,14.92316452,,,,49.4906,percent of total billed charges,49.11510136,,,,49.4906,percent of total billed charges,33.87429612,,,,,,,,,,50.472,percent of total billed charges,32.80561229,,,,,,,,,,50.472,percent of total billed charges,999999999,,,,,,,,,,56.08,percent of total billed charges,46.99212486,,,,55.379,percent of total billed charges,53.44311823,,,,55.379,percent of total billed charges,47.21876401,,,,56.08,percent of total billed charges,999999999,,,,56.08,percent of total billed charges,999999999,,,,49.07,percent of total billed charges,999999999,,,,49.07,percent of total billed charges,999999999,,,,,,,,,,,,,,,,37.2932,percent of total billed charges,999999999,,,,,,,,,,,,,,,,35.4005,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17.525,percent of total billed charges,16.64446323,,,,,,,,,,17.525,percent of total billed charges,16.36759391,,,,,,,,,,17.525,percent of total billed charges,16.32210907,,,,,,,,,,17.525,percent of total billed charges,16.08176621,,,,,,,,,,17.525,percent of total billed charges,16.49557369,,,,,,,,,,17.525,percent of total billed charges,999999999,,,,,,,,,,17.525,percent of total billed charges,14.15436385,,,,,,,,,,17.525,percent of total billed charges,22.32240787,,,,,,,,,,17.525,percent of total billed charges,999999999,,,,,,,,,,17.525,percent of total billed charges,15.26186593,,,,,,,,,,63.09,percent of total billed charges,,,,,
SIMETHICONE (MYLICON) DROPS  30 ML,637,RC,5486-8562-00,NDC,,both,1,EA,35.64,35.64,7.587183786,35.64,35.64,percent of total billed charges,26.22161414,,,,35.64,percent of total billed charges,27.79439252,,,,35.64,percent of total billed charges,26.22161414,,,,35.64,percent of total billed charges,27.79439252,,,,35.64,percent of total billed charges,999999999,,,,35.64,percent of total billed charges,27.15523048,,,,35.64,percent of total billed charges,26.22161414,,,,35.64,percent of total billed charges,27.79439252,,,,25.41132,percent of total billed charges,12.68071371,,,,25.41132,percent of total billed charges,7.587183786,,,,25.41132,percent of total billed charges,12.68071371,,,,25.41132,percent of total billed charges,7.587183786,,,,25.41132,percent of total billed charges,12.68071371,,,,25.41132,percent of total billed charges,7.587183786,,,,25.16184,percent of total billed charges,24.97093028,,,,25.16184,percent of total billed charges,17.22225269,,,,,,,,,,25.6608,percent of total billed charges,16.67891615,,,,,,,,,,25.6608,percent of total billed charges,999999999,,,,,,,,,,28.512,percent of total billed charges,23.8915739,,,,28.1556,percent of total billed charges,27.17136567,,,,28.1556,percent of total billed charges,24.00680099,,,,28.512,percent of total billed charges,999999999,,,,28.512,percent of total billed charges,999999999,,,,24.948,percent of total billed charges,999999999,,,,24.948,percent of total billed charges,999999999,,,,,,,,,,,,,,,,18.96048,percent of total billed charges,999999999,,,,,,,,,,,,,,,,17.9982,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8.91,percent of total billed charges,8.462320534,,,,,,,,,,8.91,percent of total billed charges,8.32155559,,,,,,,,,,8.91,percent of total billed charges,8.298430344,,,,,,,,,,8.91,percent of total billed charges,8.176236058,,,,,,,,,,8.91,percent of total billed charges,8.386622631,,,,,,,,,,8.91,percent of total billed charges,999999999,,,,,,,,,,8.91,percent of total billed charges,7.196312804,,,,,,,,,,8.91,percent of total billed charges,11.34908155,,,,,,,,,,8.91,percent of total billed charges,999999999,,,,,,,,,,8.91,percent of total billed charges,7.759385187,,,,,,,,,,32.076,percent of total billed charges,,,,,
**MORPHINE SULFATE INJ 15MG (PARAMEDIC),250,RC,1001-9017-44,NDC,,both,1,EA,17,17,3.619027059,17,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,17,percent of total billed charges,999999999,,,,17,percent of total billed charges,12.9528316,,,,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.002,percent of total billed charges,11.91093756,,,,12.002,percent of total billed charges,8.214879231,,,,,,,,,,12.24,percent of total billed charges,7.955711967,,,,,,,,,,12.24,percent of total billed charges,999999999,,,,,,,,,,13.6,percent of total billed charges,11.39609305,,,,13.43,percent of total billed charges,12.96052796,,,,13.43,percent of total billed charges,11.45105547,,,,13.6,percent of total billed charges,999999999,,,,13.6,percent of total billed charges,999999999,,,,11.9,percent of total billed charges,999999999,,,,11.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.044,percent of total billed charges,999999999,,,,,,,,,,,,,,,,8.585,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4.25,percent of total billed charges,4.036460412,,,,,,,,,,4.25,percent of total billed charges,3.96931664,,,,,,,,,,4.25,percent of total billed charges,3.958286079,,,,,,,,,,4.25,percent of total billed charges,3.900000364,,,,,,,,,,4.25,percent of total billed charges,4.000353107,,,,,,,,,,4.25,percent of total billed charges,999999999,,,,,,,,,,4.25,percent of total billed charges,3.432584671,,,,,,,,,,4.25,percent of total billed charges,5.413422736,,,,,,,,,,4.25,percent of total billed charges,999999999,,,,,,,,,,4.25,percent of total billed charges,3.701165774,,,,,,,,,,15.3,percent of total billed charges,,,,,
MORphine I/R (ROXANOL) 15MG TAB,637,RC,0005-4023-25,NDC,,both,1,EA,9.69,9.69,2.062845423,9.69,9.69,percent of total billed charges,7.129277244,,,,9.69,percent of total billed charges,7.556892916,,,,9.69,percent of total billed charges,7.129277244,,,,9.69,percent of total billed charges,7.556892916,,,,9.69,percent of total billed charges,999999999,,,,9.69,percent of total billed charges,7.38311401,,,,9.69,percent of total billed charges,7.129277244,,,,9.69,percent of total billed charges,7.556892916,,,,6.90897,percent of total billed charges,3.447702464,,,,6.90897,percent of total billed charges,2.062845423,,,,6.90897,percent of total billed charges,3.447702464,,,,6.90897,percent of total billed charges,2.062845423,,,,6.90897,percent of total billed charges,3.447702464,,,,6.90897,percent of total billed charges,2.062845423,,,,6.84114,percent of total billed charges,6.789234411,,,,6.84114,percent of total billed charges,4.682481161,,,,,,,,,,6.9768,percent of total billed charges,4.534755821,,,,,,,,,,6.9768,percent of total billed charges,999999999,,,,,,,,,,7.752,percent of total billed charges,6.495773037,,,,7.6551,percent of total billed charges,7.387500937,,,,7.6551,percent of total billed charges,6.527101615,,,,7.752,percent of total billed charges,999999999,,,,7.752,percent of total billed charges,999999999,,,,6.783,percent of total billed charges,999999999,,,,6.783,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.15508,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.89345,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.4225,percent of total billed charges,2.300782435,,,,,,,,,,2.4225,percent of total billed charges,2.262510485,,,,,,,,,,2.4225,percent of total billed charges,2.256223065,,,,,,,,,,2.4225,percent of total billed charges,2.223000208,,,,,,,,,,2.4225,percent of total billed charges,2.280201271,,,,,,,,,,2.4225,percent of total billed charges,999999999,,,,,,,,,,2.4225,percent of total billed charges,1.956573262,,,,,,,,,,2.4225,percent of total billed charges,3.085650959,,,,,,,,,,2.4225,percent of total billed charges,999999999,,,,,,,,,,2.4225,percent of total billed charges,2.109664491,,,,,,,,,,8.721,percent of total billed charges,,,,,
MORphine O/S 20MG/ML (ROXANOL): 30ML,259,RC,0040-6800-30,NDC,,both,1,EA,88.02,88.02,18.73804481,88.02,88.02,percent of total billed charges,64.75944097,,,,88.02,percent of total billed charges,68.64372698,,,,88.02,percent of total billed charges,64.75944097,,,,88.02,percent of total billed charges,68.64372698,,,,88.02,percent of total billed charges,999999999,,,,88.02,percent of total billed charges,67.06519042,,,,88.02,percent of total billed charges,64.75944097,,,,88.02,percent of total billed charges,68.64372698,,,,62.75826,percent of total billed charges,31.31752022,,,,62.75826,percent of total billed charges,18.73804481,,,,62.75826,percent of total billed charges,31.31752022,,,,62.75826,percent of total billed charges,18.73804481,,,,62.75826,percent of total billed charges,31.31752022,,,,62.75826,percent of total billed charges,18.73804481,,,,62.14212,percent of total billed charges,61.67063084,,,,62.14212,percent of total billed charges,42.53374529,,,,,,,,,,63.3744,percent of total billed charges,41.19186867,,,,,,,,,,63.3744,percent of total billed charges,999999999,,,,,,,,,,70.416,percent of total billed charges,59.00494765,,,,69.5358,percent of total billed charges,67.10503947,,,,69.5358,percent of total billed charges,59.28952365,,,,70.416,percent of total billed charges,999999999,,,,70.416,percent of total billed charges,999999999,,,,61.614,percent of total billed charges,999999999,,,,61.614,percent of total billed charges,999999999,,,,,,,,,,,,,,,,46.82664,percent of total billed charges,999999999,,,,,,,,,,,,,,,,44.4501,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,22.005,percent of total billed charges,20.89936738,,,,,,,,,,22.005,percent of total billed charges,20.55172062,,,,,,,,,,22.005,percent of total billed charges,20.49460827,,,,,,,,,,22.005,percent of total billed charges,20.19282542,,,,,,,,,,22.005,percent of total billed charges,20.7124165,,,,,,,,,,22.005,percent of total billed charges,999999999,,,,,,,,,,22.005,percent of total billed charges,17.77271193,,,,,,,,,,22.005,percent of total billed charges,28.02879231,,,,,,,,,,22.005,percent of total billed charges,999999999,,,,,,,,,,22.005,percent of total billed charges,19.16333008,,,,,,,,,,79.218,percent of total billed charges,,,,,
**MORPHINE 50MG/ML INJ MDV: 20 ML  CHG/M,250,RC,0040-9113-05,NDC,,both,1,EA,17,17,3.619027059,17,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,17,percent of total billed charges,999999999,,,,17,percent of total billed charges,12.9528316,,,,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.002,percent of total billed charges,11.91093756,,,,12.002,percent of total billed charges,8.214879231,,,,,,,,,,12.24,percent of total billed charges,7.955711967,,,,,,,,,,12.24,percent of total billed charges,999999999,,,,,,,,,,13.6,percent of total billed charges,11.39609305,,,,13.43,percent of total billed charges,12.96052796,,,,13.43,percent of total billed charges,11.45105547,,,,13.6,percent of total billed charges,999999999,,,,13.6,percent of total billed charges,999999999,,,,11.9,percent of total billed charges,999999999,,,,11.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.044,percent of total billed charges,999999999,,,,,,,,,,,,,,,,8.585,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4.25,percent of total billed charges,4.036460412,,,,,,,,,,4.25,percent of total billed charges,3.96931664,,,,,,,,,,4.25,percent of total billed charges,3.958286079,,,,,,,,,,4.25,percent of total billed charges,3.900000364,,,,,,,,,,4.25,percent of total billed charges,4.000353107,,,,,,,,,,4.25,percent of total billed charges,999999999,,,,,,,,,,4.25,percent of total billed charges,3.432584671,,,,,,,,,,4.25,percent of total billed charges,5.413422736,,,,,,,,,,4.25,percent of total billed charges,999999999,,,,,,,,,,4.25,percent of total billed charges,3.701165774,,,,,,,,,,15.3,percent of total billed charges,,,,,
**MORPHINE SULF PCA 1MG/ML 30 ML:SYRINGE,250,RC,0007-4602-04,NDC,,both,1,EA,37,37,7.876705951,37,37,percent of total billed charges,27.22221445,,,,37,percent of total billed charges,28.85500907,,,,37,percent of total billed charges,27.22221445,,,,37,percent of total billed charges,28.85500907,,,,37,percent of total billed charges,999999999,,,,37,percent of total billed charges,28.19145701,,,,37,percent of total billed charges,27.22221445,,,,37,percent of total billed charges,28.85500907,,,,26.381,percent of total billed charges,13.16460177,,,,26.381,percent of total billed charges,7.876705951,,,,26.381,percent of total billed charges,13.16460177,,,,26.381,percent of total billed charges,7.876705951,,,,26.381,percent of total billed charges,13.16460177,,,,26.381,percent of total billed charges,7.876705951,,,,26.122,percent of total billed charges,25.92380528,,,,26.122,percent of total billed charges,17.87944303,,,,,,,,,,26.64,percent of total billed charges,17.3153731,,,,,,,,,,26.64,percent of total billed charges,999999999,,,,,,,,,,29.6,percent of total billed charges,24.80326134,,,,29.23,percent of total billed charges,28.20820791,,,,29.23,percent of total billed charges,24.92288542,,,,29.6,percent of total billed charges,999999999,,,,29.6,percent of total billed charges,999999999,,,,25.9,percent of total billed charges,999999999,,,,25.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,19.684,percent of total billed charges,999999999,,,,,,,,,,,,,,,,18.685,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9.25,percent of total billed charges,8.785237367,,,,,,,,,,9.25,percent of total billed charges,8.639100921,,,,,,,,,,9.25,percent of total billed charges,8.61509323,,,,,,,,,,9.25,percent of total billed charges,8.488236087,,,,,,,,,,9.25,percent of total billed charges,8.70665088,,,,,,,,,,9.25,percent of total billed charges,999999999,,,,,,,,,,9.25,percent of total billed charges,7.470919578,,,,,,,,,,9.25,percent of total billed charges,11.78215537,,,,,,,,,,9.25,percent of total billed charges,999999999,,,,,,,,,,9.25,percent of total billed charges,8.055478449,,,,,,,,,,33.3,percent of total billed charges,,,,,
**MORPHINE SR (MS-CONTIN) 30MG TAB,259,RC,5901-1026-25,NDC,,both,1,EA,10,10,2.128839446,10,10,percent of total billed charges,7.357355257,,,,10,percent of total billed charges,7.7986511,,,,10,percent of total billed charges,7.357355257,,,,10,percent of total billed charges,7.7986511,,,,10,percent of total billed charges,999999999,,,,10,percent of total billed charges,7.619312704,,,,10,percent of total billed charges,7.357355257,,,,10,percent of total billed charges,7.7986511,,,,7.13,percent of total billed charges,3.558000479,,,,7.13,percent of total billed charges,2.128839446,,,,7.13,percent of total billed charges,3.558000479,,,,7.13,percent of total billed charges,2.128839446,,,,7.13,percent of total billed charges,3.558000479,,,,7.13,percent of total billed charges,2.128839446,,,,7.06,percent of total billed charges,7.006433861,,,,7.06,percent of total billed charges,4.8322819,,,,,,,,,,7.2,percent of total billed charges,4.679830569,,,,,,,,,,7.2,percent of total billed charges,999999999,,,,,,,,,,8,percent of total billed charges,6.703584146,,,,7.9,percent of total billed charges,7.623839976,,,,7.9,percent of total billed charges,6.735914979,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,999999999,,,,7,percent of total billed charges,999999999,,,,7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.32,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.05,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.5,percent of total billed charges,2.374388478,,,,,,,,,,2.5,percent of total billed charges,2.334892141,,,,,,,,,,2.5,percent of total billed charges,2.328403576,,,,,,,,,,2.5,percent of total billed charges,2.294117861,,,,,,,,,,2.5,percent of total billed charges,2.353148886,,,,,,,,,,2.5,percent of total billed charges,999999999,,,,,,,,,,2.5,percent of total billed charges,2.019167453,,,,,,,,,,2.5,percent of total billed charges,3.184366315,,,,,,,,,,2.5,percent of total billed charges,999999999,,,,,,,,,,2.5,percent of total billed charges,2.177156338,,,,,,,,,,9,percent of total billed charges,,,,,
MULTIVITAMIN/MINERAL (THERAGRAN M) TAB,637,RC,5789-6053-10,NDC,,both,1,EA,0.5,0.5,0.106441972,0.5,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,999999999,,,,0.5,percent of total billed charges,0.380965635,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.353,percent of total billed charges,0.350321693,,,,0.353,percent of total billed charges,0.241614095,,,,,,,,,,0.36,percent of total billed charges,0.233991528,,,,,,,,,,0.36,percent of total billed charges,999999999,,,,,,,,,,0.4,percent of total billed charges,0.335179207,,,,0.395,percent of total billed charges,0.381191999,,,,0.395,percent of total billed charges,0.336795749,,,,0.4,percent of total billed charges,999999999,,,,0.4,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.266,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.2525,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.125,percent of total billed charges,0.118719424,,,,,,,,,,0.125,percent of total billed charges,0.116744607,,,,,,,,,,0.125,percent of total billed charges,0.116420179,,,,,,,,,,0.125,percent of total billed charges,0.114705893,,,,,,,,,,0.125,percent of total billed charges,0.117657444,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.100958373,,,,,,,,,,0.125,percent of total billed charges,0.159218316,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.108857817,,,,,,,,,,0.45,percent of total billed charges,,,,,
**FLUVASTATIN (LESCOL) 40 MG CAP,259,RC,0007-8023-15,NDC,,both,1,EA,10,10,2.128839446,10,10,percent of total billed charges,7.357355257,,,,10,percent of total billed charges,7.7986511,,,,10,percent of total billed charges,7.357355257,,,,10,percent of total billed charges,7.7986511,,,,10,percent of total billed charges,999999999,,,,10,percent of total billed charges,7.619312704,,,,10,percent of total billed charges,7.357355257,,,,10,percent of total billed charges,7.7986511,,,,7.13,percent of total billed charges,3.558000479,,,,7.13,percent of total billed charges,2.128839446,,,,7.13,percent of total billed charges,3.558000479,,,,7.13,percent of total billed charges,2.128839446,,,,7.13,percent of total billed charges,3.558000479,,,,7.13,percent of total billed charges,2.128839446,,,,7.06,percent of total billed charges,7.006433861,,,,7.06,percent of total billed charges,4.8322819,,,,,,,,,,7.2,percent of total billed charges,4.679830569,,,,,,,,,,7.2,percent of total billed charges,999999999,,,,,,,,,,8,percent of total billed charges,6.703584146,,,,7.9,percent of total billed charges,7.623839976,,,,7.9,percent of total billed charges,6.735914979,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,999999999,,,,7,percent of total billed charges,999999999,,,,7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.32,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.05,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.5,percent of total billed charges,2.374388478,,,,,,,,,,2.5,percent of total billed charges,2.334892141,,,,,,,,,,2.5,percent of total billed charges,2.328403576,,,,,,,,,,2.5,percent of total billed charges,2.294117861,,,,,,,,,,2.5,percent of total billed charges,2.353148886,,,,,,,,,,2.5,percent of total billed charges,999999999,,,,,,,,,,2.5,percent of total billed charges,2.019167453,,,,,,,,,,2.5,percent of total billed charges,3.184366315,,,,,,,,,,2.5,percent of total billed charges,999999999,,,,,,,,,,2.5,percent of total billed charges,2.177156338,,,,,,,,,,9,percent of total billed charges,,,,,
MUPIROCIN (BACTROBAN) 2% OINTMENT 22GM,637,RC,6846-2018-22,NDC,,both,1,EA,45.19,45.19,9.620225458,45.19,45.19,percent of total billed charges,33.24788841,,,,45.19,percent of total billed charges,35.24210432,,,,45.19,percent of total billed charges,33.24788841,,,,45.19,percent of total billed charges,35.24210432,,,,45.19,percent of total billed charges,999999999,,,,45.19,percent of total billed charges,34.43167411,,,,45.19,percent of total billed charges,33.24788841,,,,45.19,percent of total billed charges,35.24210432,,,,32.22047,percent of total billed charges,16.07860417,,,,32.22047,percent of total billed charges,9.620225458,,,,32.22047,percent of total billed charges,16.07860417,,,,32.22047,percent of total billed charges,9.620225458,,,,32.22047,percent of total billed charges,16.07860417,,,,32.22047,percent of total billed charges,9.620225458,,,,31.90414,percent of total billed charges,31.66207462,,,,31.90414,percent of total billed charges,21.83708191,,,,,,,,,,32.5368,percent of total billed charges,21.14815434,,,,,,,,,,32.5368,percent of total billed charges,999999999,,,,,,,,,,36.152,percent of total billed charges,30.29349676,,,,35.7001,percent of total billed charges,34.45213285,,,,35.7001,percent of total billed charges,30.43959979,,,,36.152,percent of total billed charges,999999999,,,,36.152,percent of total billed charges,999999999,,,,31.633,percent of total billed charges,999999999,,,,31.633,percent of total billed charges,999999999,,,,,,,,,,,,,,,,24.04108,percent of total billed charges,999999999,,,,,,,,,,,,,,,,22.82095,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11.2975,percent of total billed charges,10.72986153,,,,,,,,,,11.2975,percent of total billed charges,10.55137758,,,,,,,,,,11.2975,percent of total billed charges,10.52205576,,,,,,,,,,11.2975,percent of total billed charges,10.36711862,,,,,,,,,,11.2975,percent of total billed charges,10.63387982,,,,,,,,,,11.2975,percent of total billed charges,999999999,,,,,,,,,,11.2975,percent of total billed charges,9.124617722,,,,,,,,,,11.2975,percent of total billed charges,14.39015138,,,,,,,,,,11.2975,percent of total billed charges,999999999,,,,,,,,,,11.2975,percent of total billed charges,9.83856949,,,,,,,,,,40.671,percent of total billed charges,,,,,
MULTIVITAMIN WITH IRON TABLET,259,RC,0090-4549-61,NDC,,both,1,EA,0.5,0.5,0.106441972,0.5,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,999999999,,,,0.5,percent of total billed charges,0.380965635,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.353,percent of total billed charges,0.350321693,,,,0.353,percent of total billed charges,0.241614095,,,,,,,,,,0.36,percent of total billed charges,0.233991528,,,,,,,,,,0.36,percent of total billed charges,999999999,,,,,,,,,,0.4,percent of total billed charges,0.335179207,,,,0.395,percent of total billed charges,0.381191999,,,,0.395,percent of total billed charges,0.336795749,,,,0.4,percent of total billed charges,999999999,,,,0.4,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.266,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.2525,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.125,percent of total billed charges,0.118719424,,,,,,,,,,0.125,percent of total billed charges,0.116744607,,,,,,,,,,0.125,percent of total billed charges,0.116420179,,,,,,,,,,0.125,percent of total billed charges,0.114705893,,,,,,,,,,0.125,percent of total billed charges,0.117657444,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.100958373,,,,,,,,,,0.125,percent of total billed charges,0.159218316,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.108857817,,,,,,,,,,0.45,percent of total billed charges,,,,,
AMMONIA AROM INHALANT CAP,250,RC,3982-2990-02,NDC,,both,1,EA,1.37,1.37,0.291651004,1.37,1.37,percent of total billed charges,1.00795767,,,,1.37,percent of total billed charges,1.068415201,,,,1.37,percent of total billed charges,1.00795767,,,,1.37,percent of total billed charges,1.068415201,,,,1.37,percent of total billed charges,999999999,,,,1.37,percent of total billed charges,1.04384584,,,,1.37,percent of total billed charges,1.00795767,,,,1.37,percent of total billed charges,1.068415201,,,,0.97681,percent of total billed charges,0.487446066,,,,0.97681,percent of total billed charges,0.291651004,,,,0.97681,percent of total billed charges,0.487446066,,,,0.97681,percent of total billed charges,0.291651004,,,,0.97681,percent of total billed charges,0.487446066,,,,0.97681,percent of total billed charges,0.291651004,,,,0.96722,percent of total billed charges,0.959881439,,,,0.96722,percent of total billed charges,0.66202262,,,,,,,,,,0.9864,percent of total billed charges,0.641136788,,,,,,,,,,0.9864,percent of total billed charges,999999999,,,,,,,,,,1.096,percent of total billed charges,0.918391028,,,,1.0823,percent of total billed charges,1.044466077,,,,1.0823,percent of total billed charges,0.922820352,,,,1.096,percent of total billed charges,999999999,,,,1.096,percent of total billed charges,999999999,,,,0.959,percent of total billed charges,999999999,,,,0.959,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.72884,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.69185,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.3425,percent of total billed charges,0.325291221,,,,,,,,,,0.3425,percent of total billed charges,0.319880223,,,,,,,,,,0.3425,percent of total billed charges,0.31899129,,,,,,,,,,0.3425,percent of total billed charges,0.314294147,,,,,,,,,,0.3425,percent of total billed charges,0.322381397,,,,,,,,,,0.3425,percent of total billed charges,999999999,,,,,,,,,,0.3425,percent of total billed charges,0.276625941,,,,,,,,,,0.3425,percent of total billed charges,0.436258185,,,,,,,,,,0.3425,percent of total billed charges,999999999,,,,,,,,,,0.3425,percent of total billed charges,0.298270418,,,,,,,,,,1.233,percent of total billed charges,,,,,
NADOLOL (CORGARD) 40MG TAB,259,RC,5107-9081-20,NDC,,both,1,EA,11.02,11.02,2.34598107,11.02,11.02,percent of total billed charges,8.107805493,,,,11.02,percent of total billed charges,8.594113512,,,,11.02,percent of total billed charges,8.107805493,,,,11.02,percent of total billed charges,8.594113512,,,,11.02,percent of total billed charges,999999999,,,,11.02,percent of total billed charges,8.3964826,,,,11.02,percent of total billed charges,8.107805493,,,,11.02,percent of total billed charges,8.594113512,,,,7.85726,percent of total billed charges,3.920916528,,,,7.85726,percent of total billed charges,2.34598107,,,,7.85726,percent of total billed charges,3.920916528,,,,7.85726,percent of total billed charges,2.34598107,,,,7.85726,percent of total billed charges,3.920916528,,,,7.85726,percent of total billed charges,2.34598107,,,,7.78012,percent of total billed charges,7.721090115,,,,7.78012,percent of total billed charges,5.325174654,,,,,,,,,,7.9344,percent of total billed charges,5.157173287,,,,,,,,,,7.9344,percent of total billed charges,999999999,,,,,,,,,,8.816,percent of total billed charges,7.387349729,,,,8.7058,percent of total billed charges,8.401471653,,,,8.7058,percent of total billed charges,7.422978307,,,,8.816,percent of total billed charges,999999999,,,,8.816,percent of total billed charges,999999999,,,,7.714,percent of total billed charges,999999999,,,,7.714,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.86264,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.5651,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.755,percent of total billed charges,2.616576102,,,,,,,,,,2.755,percent of total billed charges,2.573051139,,,,,,,,,,2.755,percent of total billed charges,2.56590074,,,,,,,,,,2.755,percent of total billed charges,2.528117883,,,,,,,,,,2.755,percent of total billed charges,2.593170073,,,,,,,,,,2.755,percent of total billed charges,999999999,,,,,,,,,,2.755,percent of total billed charges,2.225122534,,,,,,,,,,2.755,percent of total billed charges,3.509171679,,,,,,,,,,2.755,percent of total billed charges,999999999,,,,,,,,,,2.755,percent of total billed charges,2.399226284,,,,,,,,,,9.918,percent of total billed charges,,,,,
LANSOPRAZOLE (PREVACID) 30 MG SOLUTAB,250,RC,4359-8056-78,NDC,,both,1,EA,20.91,20.91,4.451403282,20.91,20.91,percent of total billed charges,15.38422984,,,,20.91,percent of total billed charges,16.30697945,,,,20.91,percent of total billed charges,15.38422984,,,,20.91,percent of total billed charges,16.30697945,,,,20.91,percent of total billed charges,999999999,,,,20.91,percent of total billed charges,15.93198286,,,,20.91,percent of total billed charges,15.38422984,,,,20.91,percent of total billed charges,16.30697945,,,,14.90883,percent of total billed charges,7.439779002,,,,14.90883,percent of total billed charges,4.451403282,,,,14.90883,percent of total billed charges,7.439779002,,,,14.90883,percent of total billed charges,4.451403282,,,,14.90883,percent of total billed charges,7.439779002,,,,14.90883,percent of total billed charges,4.451403282,,,,14.76246,percent of total billed charges,14.6504532,,,,14.76246,percent of total billed charges,10.10430145,,,,,,,,,,15.0552,percent of total billed charges,9.785525719,,,,,,,,,,15.0552,percent of total billed charges,999999999,,,,,,,,,,16.728,percent of total billed charges,14.01719445,,,,16.5189,percent of total billed charges,15.94144939,,,,16.5189,percent of total billed charges,14.08479822,,,,16.728,percent of total billed charges,999999999,,,,16.728,percent of total billed charges,999999999,,,,14.637,percent of total billed charges,999999999,,,,14.637,percent of total billed charges,999999999,,,,,,,,,,,,,,,,11.12412,percent of total billed charges,999999999,,,,,,,,,,,,,,,,10.55955,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5.2275,percent of total billed charges,4.964846307,,,,,,,,,,5.2275,percent of total billed charges,4.882259467,,,,,,,,,,5.2275,percent of total billed charges,4.868691877,,,,,,,,,,5.2275,percent of total billed charges,4.797000448,,,,,,,,,,5.2275,percent of total billed charges,4.920434322,,,,,,,,,,5.2275,percent of total billed charges,999999999,,,,,,,,,,5.2275,percent of total billed charges,4.222079145,,,,,,,,,,5.2275,percent of total billed charges,6.658509965,,,,,,,,,,5.2275,percent of total billed charges,999999999,,,,,,,,,,5.2275,percent of total billed charges,4.552433902,,,,,,,,,,18.819,percent of total billed charges,,,,,
NALOXONE (NARCAN) INJ 0.4MG/ML 1ML SDV,J2310,CDM,0064-1613-25,NDC,,both,1,EA,92.07,92.07,19.60022478,92.07,92.07,percent of total billed charges,67.73916985,,,,92.07,percent of total billed charges,71.80218068,,,,92.07,percent of total billed charges,67.73916985,,,,92.07,percent of total billed charges,71.80218068,,,,92.07,percent of total billed charges,999999999,,,,92.07,percent of total billed charges,70.15101207,,,,92.07,percent of total billed charges,67.73916985,,,,92.07,percent of total billed charges,71.80218068,,,,65.64591,percent of total billed charges,32.75851041,,,,65.64591,percent of total billed charges,19.60022478,,,,65.64591,percent of total billed charges,32.75851041,,,,65.64591,percent of total billed charges,19.60022478,,,,65.64591,percent of total billed charges,32.75851041,,,,65.64591,percent of total billed charges,19.60022478,,,,65.00142,percent of total billed charges,64.50823656,,,,65.00142,percent of total billed charges,44.49081946,,,,,,,,,,66.2904,percent of total billed charges,43.08720005,,,,,,,,,,66.2904,percent of total billed charges,999999999,,,,,,,,,,73.656,percent of total billed charges,61.71989923,,,,72.7353,percent of total billed charges,70.19269466,,,,72.7353,percent of total billed charges,62.01756922,,,,73.656,percent of total billed charges,999999999,,,,73.656,percent of total billed charges,999999999,,,,64.449,percent of total billed charges,999999999,,,,64.449,percent of total billed charges,999999999,,,,,,,,,,,,,,,,48.98124,percent of total billed charges,999999999,,,,,,,,,,,,,,,,46.49535,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23.0175,percent of total billed charges,21.86099471,,,,,,,,,,23.0175,percent of total billed charges,21.49735194,,,,,,,,,,23.0175,percent of total billed charges,21.43761172,,,,,,,,,,23.0175,percent of total billed charges,21.12194315,,,,,,,,,,23.0175,percent of total billed charges,21.6654418,,,,,,,,,,23.0175,percent of total billed charges,999999999,,,,,,,,,,23.0175,percent of total billed charges,18.59047474,,,,,,,,,,23.0175,percent of total billed charges,29.31846066,,,,,,,,,,23.0175,percent of total billed charges,999999999,,,,,,,,,,23.0175,percent of total billed charges,20.0450784,,,,,,,,,,82.863,percent of total billed charges,,,,,
**NALOXONE (NARCAN NEO) INJ 0.02MG/ML,J2310,CDM,0018-6125-13,NDC,,both,1,EA,42,42,8.941125674,42,42,percent of total billed charges,30.90089208,,,,42,percent of total billed charges,32.75433462,,,,42,percent of total billed charges,30.90089208,,,,42,percent of total billed charges,32.75433462,,,,42,percent of total billed charges,999999999,,,,42,percent of total billed charges,32.00111336,,,,42,percent of total billed charges,30.90089208,,,,42,percent of total billed charges,32.75433462,,,,29.946,percent of total billed charges,14.94360201,,,,29.946,percent of total billed charges,8.941125674,,,,29.946,percent of total billed charges,14.94360201,,,,29.946,percent of total billed charges,8.941125674,,,,29.946,percent of total billed charges,14.94360201,,,,29.946,percent of total billed charges,8.941125674,,,,29.652,percent of total billed charges,29.42702222,,,,29.652,percent of total billed charges,20.29558398,,,,,,,,,,30.24,percent of total billed charges,19.65528839,,,,,,,,,,30.24,percent of total billed charges,999999999,,,,,,,,,,33.6,percent of total billed charges,28.15505341,,,,33.18,percent of total billed charges,32.0201279,,,,33.18,percent of total billed charges,28.29084291,,,,33.6,percent of total billed charges,999999999,,,,33.6,percent of total billed charges,999999999,,,,29.4,percent of total billed charges,999999999,,,,29.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,22.344,percent of total billed charges,999999999,,,,,,,,,,,,,,,,21.21,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10.5,percent of total billed charges,9.972431606,,,,,,,,,,10.5,percent of total billed charges,9.806546992,,,,,,,,,,10.5,percent of total billed charges,9.779295018,,,,,,,,,,10.5,percent of total billed charges,9.635295018,,,,,,,,,,10.5,percent of total billed charges,9.883225323,,,,,,,,,,10.5,percent of total billed charges,999999999,,,,,,,,,,10.5,percent of total billed charges,8.480503304,,,,,,,,,,10.5,percent of total billed charges,13.37433852,,,,,,,,,,10.5,percent of total billed charges,999999999,,,,,,,,,,10.5,percent of total billed charges,9.144056618,,,,,,,,,,37.8,percent of total billed charges,,,,,
**NAPROXEN (NAPROSYN) 375 MG TAB,259,RC,5107-9079-20,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
NAPROXEN (NAPROSYN) 250MG TAB,637,RC,5026-8059-15,NDC,,both,1,EA,0.7,0.7,0.149018761,0.7,0.7,percent of total billed charges,0.515014868,,,,0.7,percent of total billed charges,0.545905577,,,,0.7,percent of total billed charges,0.515014868,,,,0.7,percent of total billed charges,0.545905577,,,,0.7,percent of total billed charges,999999999,,,,0.7,percent of total billed charges,0.533351889,,,,0.7,percent of total billed charges,0.515014868,,,,0.7,percent of total billed charges,0.545905577,,,,0.4991,percent of total billed charges,0.249060034,,,,0.4991,percent of total billed charges,0.149018761,,,,0.4991,percent of total billed charges,0.249060034,,,,0.4991,percent of total billed charges,0.149018761,,,,0.4991,percent of total billed charges,0.249060034,,,,0.4991,percent of total billed charges,0.149018761,,,,0.4942,percent of total billed charges,0.49045037,,,,0.4942,percent of total billed charges,0.338259733,,,,,,,,,,0.504,percent of total billed charges,0.32758814,,,,,,,,,,0.504,percent of total billed charges,999999999,,,,,,,,,,0.56,percent of total billed charges,0.46925089,,,,0.553,percent of total billed charges,0.533668798,,,,0.553,percent of total billed charges,0.471514049,,,,0.56,percent of total billed charges,999999999,,,,0.56,percent of total billed charges,999999999,,,,0.49,percent of total billed charges,999999999,,,,0.49,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.3724,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.3535,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.175,percent of total billed charges,0.166207193,,,,,,,,,,0.175,percent of total billed charges,0.16344245,,,,,,,,,,0.175,percent of total billed charges,0.16298825,,,,,,,,,,0.175,percent of total billed charges,0.16058825,,,,,,,,,,0.175,percent of total billed charges,0.164720422,,,,,,,,,,0.175,percent of total billed charges,999999999,,,,,,,,,,0.175,percent of total billed charges,0.141341722,,,,,,,,,,0.175,percent of total billed charges,0.222905642,,,,,,,,,,0.175,percent of total billed charges,999999999,,,,,,,,,,0.175,percent of total billed charges,0.152400944,,,,,,,,,,0.63,percent of total billed charges,,,,,
NAPROXEN (NAPROSYN) 275MG: TAB,259,RC,0009-3053-01,NDC,,both,1,EA,5.92,5.92,1.260272952,5.92,5.92,percent of total billed charges,4.355554312,,,,5.92,percent of total billed charges,4.616801451,,,,5.92,percent of total billed charges,4.355554312,,,,5.92,percent of total billed charges,4.616801451,,,,5.92,percent of total billed charges,999999999,,,,5.92,percent of total billed charges,4.510633121,,,,5.92,percent of total billed charges,4.355554312,,,,5.92,percent of total billed charges,4.616801451,,,,4.22096,percent of total billed charges,2.106336284,,,,4.22096,percent of total billed charges,1.260272952,,,,4.22096,percent of total billed charges,2.106336284,,,,4.22096,percent of total billed charges,1.260272952,,,,4.22096,percent of total billed charges,2.106336284,,,,4.22096,percent of total billed charges,1.260272952,,,,4.17952,percent of total billed charges,4.147808846,,,,4.17952,percent of total billed charges,2.860710885,,,,,,,,,,4.2624,percent of total billed charges,2.770459697,,,,,,,,,,4.2624,percent of total billed charges,999999999,,,,,,,,,,4.736,percent of total billed charges,3.968521814,,,,4.6768,percent of total billed charges,4.513313266,,,,4.6768,percent of total billed charges,3.987661668,,,,4.736,percent of total billed charges,999999999,,,,4.736,percent of total billed charges,999999999,,,,4.144,percent of total billed charges,999999999,,,,4.144,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.14944,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2.9896,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.48,percent of total billed charges,1.405637979,,,,,,,,,,1.48,percent of total billed charges,1.382256147,,,,,,,,,,1.48,percent of total billed charges,1.378414917,,,,,,,,,,1.48,percent of total billed charges,1.358117774,,,,,,,,,,1.48,percent of total billed charges,1.393064141,,,,,,,,,,1.48,percent of total billed charges,999999999,,,,,,,,,,1.48,percent of total billed charges,1.195347132,,,,,,,,,,1.48,percent of total billed charges,1.885144859,,,,,,,,,,1.48,percent of total billed charges,999999999,,,,,,,,,,1.48,percent of total billed charges,1.288876552,,,,,,,,,,5.328,percent of total billed charges,,,,,
PHENYLEPHRINE(NEO-SYNEPH)INJ 10MG/ML:1ML,J2371,CDM,0064-1614-25,NDC,,both,1,EA,22.28,22.28,4.743054286,22.28,22.28,percent of total billed charges,16.39218751,,,,22.28,percent of total billed charges,17.37539465,,,,22.28,percent of total billed charges,16.39218751,,,,22.28,percent of total billed charges,17.37539465,,,,22.28,percent of total billed charges,999999999,,,,22.28,percent of total billed charges,16.97582871,,,,22.28,percent of total billed charges,16.39218751,,,,22.28,percent of total billed charges,17.37539465,,,,15.88564,percent of total billed charges,7.927225068,,,,15.88564,percent of total billed charges,4.743054286,,,,15.88564,percent of total billed charges,7.927225068,,,,15.88564,percent of total billed charges,4.743054286,,,,15.88564,percent of total billed charges,7.927225068,,,,15.88564,percent of total billed charges,4.743054286,,,,15.72968,percent of total billed charges,15.61033464,,,,15.72968,percent of total billed charges,10.76632407,,,,,,,,,,16.0416,percent of total billed charges,10.42666251,,,,,,,,,,16.0416,percent of total billed charges,999999999,,,,,,,,,,17.824,percent of total billed charges,14.93558548,,,,17.6012,percent of total billed charges,16.98591547,,,,17.6012,percent of total billed charges,15.00761857,,,,17.824,percent of total billed charges,999999999,,,,17.824,percent of total billed charges,999999999,,,,15.596,percent of total billed charges,999999999,,,,15.596,percent of total billed charges,999999999,,,,,,,,,,,,,,,,11.85296,percent of total billed charges,999999999,,,,,,,,,,,,,,,,11.2514,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5.57,percent of total billed charges,5.290137528,,,,,,,,,,5.57,percent of total billed charges,5.20213969,,,,,,,,,,5.57,percent of total billed charges,5.187683167,,,,,,,,,,5.57,percent of total billed charges,5.111294595,,,,,,,,,,5.57,percent of total billed charges,5.242815719,,,,,,,,,,5.57,percent of total billed charges,999999999,,,,,,,,,,5.57,percent of total billed charges,4.498705086,,,,,,,,,,5.57,percent of total billed charges,7.09476815,,,,,,,,,,5.57,percent of total billed charges,999999999,,,,,,,,,,5.57,percent of total billed charges,4.85070432,,,,,,,,,,20.052,percent of total billed charges,,,,,
NEOMYCIN/POLYMIXIN/HC OTIC SUSP: 10mL,637,RC,2420-8063-62,NDC,,both,1,EA,409.57,409.57,87.1908772,409.57,409.57,percent of total billed charges,301.3351993,,,,409.57,percent of total billed charges,319.4093531,,,,409.57,percent of total billed charges,301.3351993,,,,409.57,percent of total billed charges,319.4093531,,,,409.57,percent of total billed charges,999999999,,,,409.57,percent of total billed charges,312.0641904,,,,409.57,percent of total billed charges,301.3351993,,,,409.57,percent of total billed charges,319.4093531,,,,292.02341,percent of total billed charges,145.7250256,,,,292.02341,percent of total billed charges,87.1908772,,,,292.02341,percent of total billed charges,145.7250256,,,,292.02341,percent of total billed charges,87.1908772,,,,292.02341,percent of total billed charges,145.7250256,,,,292.02341,percent of total billed charges,87.1908772,,,,289.15642,percent of total billed charges,286.9625116,,,,289.15642,percent of total billed charges,197.9157698,,,,,,,,,,294.8904,percent of total billed charges,191.6718206,,,,,,,,,,294.8904,percent of total billed charges,999999999,,,,,,,,,,327.656,percent of total billed charges,274.5586959,,,,323.5603,percent of total billed charges,312.2496139,,,,323.5603,percent of total billed charges,275.8828698,,,,327.656,percent of total billed charges,999999999,,,,327.656,percent of total billed charges,999999999,,,,286.699,percent of total billed charges,999999999,,,,286.699,percent of total billed charges,999999999,,,,,,,,,,,,,,,,217.89124,percent of total billed charges,999999999,,,,,,,,,,,,,,,,206.83285,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,102.3925,percent of total billed charges,97.24782888,,,,,,,,,,102.3925,percent of total billed charges,95.63017742,,,,,,,,,,102.3925,percent of total billed charges,95.36442525,,,,,,,,,,102.3925,percent of total billed charges,93.96018525,,,,,,,,,,102.3925,percent of total billed charges,96.37791894,,,,,,,,,,102.3925,percent of total billed charges,999999999,,,,,,,,,,102.3925,percent of total billed charges,82.69904139,,,,,,,,,,102.3925,percent of total billed charges,130.4220912,,,,,,,,,,102.3925,percent of total billed charges,999999999,,,,,,,,,,102.3925,percent of total billed charges,89.16979212,,,,,,,,,,368.613,percent of total billed charges,,,,,
NEOMYCIN (MYCIFRADIN) 500MG TAB,259,RC,0009-3117-01,NDC,,both,1,EA,3.17,3.17,0.674842104,3.17,3.17,percent of total billed charges,2.332281617,,,,3.17,percent of total billed charges,2.472172399,,,,3.17,percent of total billed charges,2.332281617,,,,3.17,percent of total billed charges,2.472172399,,,,3.17,percent of total billed charges,999999999,,,,3.17,percent of total billed charges,2.415322127,,,,3.17,percent of total billed charges,2.332281617,,,,3.17,percent of total billed charges,2.472172399,,,,2.26021,percent of total billed charges,1.127886152,,,,2.26021,percent of total billed charges,0.674842104,,,,2.26021,percent of total billed charges,1.127886152,,,,2.26021,percent of total billed charges,0.674842104,,,,2.26021,percent of total billed charges,1.127886152,,,,2.26021,percent of total billed charges,0.674842104,,,,2.23802,percent of total billed charges,2.221039534,,,,2.23802,percent of total billed charges,1.531833362,,,,,,,,,,2.2824,percent of total billed charges,1.48350629,,,,,,,,,,2.2824,percent of total billed charges,999999999,,,,,,,,,,2.536,percent of total billed charges,2.125036174,,,,2.5043,percent of total billed charges,2.416757272,,,,2.5043,percent of total billed charges,2.135285048,,,,2.536,percent of total billed charges,999999999,,,,2.536,percent of total billed charges,999999999,,,,2.219,percent of total billed charges,999999999,,,,2.219,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.68644,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.60085,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.7925,percent of total billed charges,0.752681147,,,,,,,,,,0.7925,percent of total billed charges,0.740160809,,,,,,,,,,0.7925,percent of total billed charges,0.738103933,,,,,,,,,,0.7925,percent of total billed charges,0.727235362,,,,,,,,,,0.7925,percent of total billed charges,0.745948197,,,,,,,,,,0.7925,percent of total billed charges,999999999,,,,,,,,,,0.7925,percent of total billed charges,0.640076083,,,,,,,,,,0.7925,percent of total billed charges,1.009444122,,,,,,,,,,0.7925,percent of total billed charges,999999999,,,,,,,,,,0.7925,percent of total billed charges,0.690158559,,,,,,,,,,2.853,percent of total billed charges,,,,,
**NEOMYCIN TOPICAL(MYCIGUENT OINTMENT):,259,RC,2420-8078-55,NDC,,both,1,EA,33,33,7.025170173,33,33,percent of total billed charges,24.27927235,,,,33,percent of total billed charges,25.73554863,,,,33,percent of total billed charges,24.27927235,,,,33,percent of total billed charges,25.73554863,,,,33,percent of total billed charges,999999999,,,,33,percent of total billed charges,25.14373192,,,,33,percent of total billed charges,24.27927235,,,,33,percent of total billed charges,25.73554863,,,,23.529,percent of total billed charges,11.74140158,,,,23.529,percent of total billed charges,7.025170173,,,,23.529,percent of total billed charges,11.74140158,,,,23.529,percent of total billed charges,7.025170173,,,,23.529,percent of total billed charges,11.74140158,,,,23.529,percent of total billed charges,7.025170173,,,,23.298,percent of total billed charges,23.12123174,,,,23.298,percent of total billed charges,15.94653027,,,,,,,,,,23.76,percent of total billed charges,15.44344088,,,,,,,,,,23.76,percent of total billed charges,999999999,,,,,,,,,,26.4,percent of total billed charges,22.12182768,,,,26.07,percent of total billed charges,25.15867192,,,,26.07,percent of total billed charges,22.22851943,,,,26.4,percent of total billed charges,999999999,,,,26.4,percent of total billed charges,999999999,,,,23.1,percent of total billed charges,999999999,,,,23.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,17.556,percent of total billed charges,999999999,,,,,,,,,,,,,,,,16.665,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8.25,percent of total billed charges,7.835481976,,,,,,,,,,8.25,percent of total billed charges,7.705144065,,,,,,,,,,8.25,percent of total billed charges,7.6837318,,,,,,,,,,8.25,percent of total billed charges,7.570588942,,,,,,,,,,8.25,percent of total billed charges,7.765391325,,,,,,,,,,8.25,percent of total billed charges,999999999,,,,,,,,,,8.25,percent of total billed charges,6.663252596,,,,,,,,,,8.25,percent of total billed charges,10.50840884,,,,,,,,,,8.25,percent of total billed charges,999999999,,,,,,,,,,8.25,percent of total billed charges,7.184615914,,,,,,,,,,29.7,percent of total billed charges,,,,,
NEUTRA-PHOS K  POWDER PKT:,637,RC,6025-8000-01,NDC,,both,1,EA,1.8,1.8,0.3831911,1.8,1.8,percent of total billed charges,1.324323946,,,,1.8,percent of total billed charges,1.403757198,,,,1.8,percent of total billed charges,1.324323946,,,,1.8,percent of total billed charges,1.403757198,,,,1.8,percent of total billed charges,999999999,,,,1.8,percent of total billed charges,1.371476287,,,,1.8,percent of total billed charges,1.324323946,,,,1.8,percent of total billed charges,1.403757198,,,,1.2834,percent of total billed charges,0.640440086,,,,1.2834,percent of total billed charges,0.3831911,,,,1.2834,percent of total billed charges,0.640440086,,,,1.2834,percent of total billed charges,0.3831911,,,,1.2834,percent of total billed charges,0.640440086,,,,1.2834,percent of total billed charges,0.3831911,,,,1.2708,percent of total billed charges,1.261158095,,,,1.2708,percent of total billed charges,0.869810742,,,,,,,,,,1.296,percent of total billed charges,0.842369502,,,,,,,,,,1.296,percent of total billed charges,999999999,,,,,,,,,,1.44,percent of total billed charges,1.206645146,,,,1.422,percent of total billed charges,1.372291196,,,,1.422,percent of total billed charges,1.212464696,,,,1.44,percent of total billed charges,999999999,,,,1.44,percent of total billed charges,999999999,,,,1.26,percent of total billed charges,999999999,,,,1.26,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.9576,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.909,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.45,percent of total billed charges,0.427389926,,,,,,,,,,0.45,percent of total billed charges,0.420280585,,,,,,,,,,0.45,percent of total billed charges,0.419112644,,,,,,,,,,0.45,percent of total billed charges,0.412941215,,,,,,,,,,0.45,percent of total billed charges,0.4235668,,,,,,,,,,0.45,percent of total billed charges,999999999,,,,,,,,,,0.45,percent of total billed charges,0.363450142,,,,,,,,,,0.45,percent of total billed charges,0.573185937,,,,,,,,,,0.45,percent of total billed charges,999999999,,,,,,,,,,0.45,percent of total billed charges,0.391888141,,,,,,,,,,1.62,percent of total billed charges,,,,,
NIACIN (VITAMIN B-3) 100MG TAB,637,RC,5026-8058-11,NDC,,both,1,EA,0.5,0.5,0.106441972,0.5,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,999999999,,,,0.5,percent of total billed charges,0.380965635,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.353,percent of total billed charges,0.350321693,,,,0.353,percent of total billed charges,0.241614095,,,,,,,,,,0.36,percent of total billed charges,0.233991528,,,,,,,,,,0.36,percent of total billed charges,999999999,,,,,,,,,,0.4,percent of total billed charges,0.335179207,,,,0.395,percent of total billed charges,0.381191999,,,,0.395,percent of total billed charges,0.336795749,,,,0.4,percent of total billed charges,999999999,,,,0.4,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.266,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.2525,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.125,percent of total billed charges,0.118719424,,,,,,,,,,0.125,percent of total billed charges,0.116744607,,,,,,,,,,0.125,percent of total billed charges,0.116420179,,,,,,,,,,0.125,percent of total billed charges,0.114705893,,,,,,,,,,0.125,percent of total billed charges,0.117657444,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.100958373,,,,,,,,,,0.125,percent of total billed charges,0.159218316,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.108857817,,,,,,,,,,0.45,percent of total billed charges,,,,,
**NICOTINE POLACRILEX (NICORETTE GUM):2M,259,RC,0090-4573-51,NDC,,both,1,EA,7,7,1.490187612,7,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,7,percent of total billed charges,999999999,,,,7,percent of total billed charges,5.333518893,,,,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.942,percent of total billed charges,4.904503703,,,,4.942,percent of total billed charges,3.38259733,,,,,,,,,,5.04,percent of total billed charges,3.275881398,,,,,,,,,,5.04,percent of total billed charges,999999999,,,,,,,,,,5.6,percent of total billed charges,4.692508902,,,,5.53,percent of total billed charges,5.336687983,,,,5.53,percent of total billed charges,4.715140486,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,4.9,percent of total billed charges,999999999,,,,4.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.724,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.535,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.75,percent of total billed charges,1.662071934,,,,,,,,,,1.75,percent of total billed charges,1.634424499,,,,,,,,,,1.75,percent of total billed charges,1.629882503,,,,,,,,,,1.75,percent of total billed charges,1.605882503,,,,,,,,,,1.75,percent of total billed charges,1.647204221,,,,,,,,,,1.75,percent of total billed charges,999999999,,,,,,,,,,1.75,percent of total billed charges,1.413417217,,,,,,,,,,1.75,percent of total billed charges,2.229056421,,,,,,,,,,1.75,percent of total billed charges,999999999,,,,,,,,,,1.75,percent of total billed charges,1.524009436,,,,,,,,,,6.3,percent of total billed charges,,,,,
NIFEdipine (ADALAT/PROCARDIA) ER 60MG,259,RC,6808-4059-01,NDC,,both,1,EA,7.95,7.95,1.69242736,7.95,7.95,percent of total billed charges,5.849097429,,,,7.95,percent of total billed charges,6.199927625,,,,7.95,percent of total billed charges,5.849097429,,,,7.95,percent of total billed charges,6.199927625,,,,7.95,percent of total billed charges,999999999,,,,7.95,percent of total billed charges,6.0573536,,,,7.95,percent of total billed charges,5.849097429,,,,7.95,percent of total billed charges,6.199927625,,,,5.66835,percent of total billed charges,2.828610381,,,,5.66835,percent of total billed charges,1.69242736,,,,5.66835,percent of total billed charges,2.828610381,,,,5.66835,percent of total billed charges,1.69242736,,,,5.66835,percent of total billed charges,2.828610381,,,,5.66835,percent of total billed charges,1.69242736,,,,5.6127,percent of total billed charges,5.570114919,,,,5.6127,percent of total billed charges,3.841664111,,,,,,,,,,5.724,percent of total billed charges,3.720465302,,,,,,,,,,5.724,percent of total billed charges,999999999,,,,,,,,,,6.36,percent of total billed charges,5.329349396,,,,6.2805,percent of total billed charges,6.060952781,,,,6.2805,percent of total billed charges,5.355052409,,,,6.36,percent of total billed charges,999999999,,,,6.36,percent of total billed charges,999999999,,,,5.565,percent of total billed charges,999999999,,,,5.565,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.2294,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.01475,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.9875,percent of total billed charges,1.88763884,,,,,,,,,,1.9875,percent of total billed charges,1.856239252,,,,,,,,,,1.9875,percent of total billed charges,1.851080843,,,,,,,,,,1.9875,percent of total billed charges,1.8238237,,,,,,,,,,1.9875,percent of total billed charges,1.870753365,,,,,,,,,,1.9875,percent of total billed charges,999999999,,,,,,,,,,1.9875,percent of total billed charges,1.605238125,,,,,,,,,,1.9875,percent of total billed charges,2.531571221,,,,,,,,,,1.9875,percent of total billed charges,999999999,,,,,,,,,,1.9875,percent of total billed charges,1.730839288,,,,,,,,,,7.155,percent of total billed charges,,,,,
NIFEdipine (ADALAT/PROCARDIA) 10MG CAP,637,RC,5026-8062-11,NDC,,both,1,EA,3.15,3.15,0.670584426,3.15,3.15,percent of total billed charges,2.317566906,,,,3.15,percent of total billed charges,2.456575097,,,,3.15,percent of total billed charges,2.317566906,,,,3.15,percent of total billed charges,2.456575097,,,,3.15,percent of total billed charges,999999999,,,,3.15,percent of total billed charges,2.400083502,,,,3.15,percent of total billed charges,2.317566906,,,,3.15,percent of total billed charges,2.456575097,,,,2.24595,percent of total billed charges,1.120770151,,,,2.24595,percent of total billed charges,0.670584426,,,,2.24595,percent of total billed charges,1.120770151,,,,2.24595,percent of total billed charges,0.670584426,,,,2.24595,percent of total billed charges,1.120770151,,,,2.24595,percent of total billed charges,0.670584426,,,,2.2239,percent of total billed charges,2.207026666,,,,2.2239,percent of total billed charges,1.522168799,,,,,,,,,,2.268,percent of total billed charges,1.474146629,,,,,,,,,,2.268,percent of total billed charges,999999999,,,,,,,,,,2.52,percent of total billed charges,2.111629006,,,,2.4885,percent of total billed charges,2.401509592,,,,2.4885,percent of total billed charges,2.121813219,,,,2.52,percent of total billed charges,999999999,,,,2.52,percent of total billed charges,999999999,,,,2.205,percent of total billed charges,999999999,,,,2.205,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.6758,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.59075,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.7875,percent of total billed charges,0.74793237,,,,,,,,,,0.7875,percent of total billed charges,0.735491024,,,,,,,,,,0.7875,percent of total billed charges,0.733447126,,,,,,,,,,0.7875,percent of total billed charges,0.722647126,,,,,,,,,,0.7875,percent of total billed charges,0.741241899,,,,,,,,,,0.7875,percent of total billed charges,999999999,,,,,,,,,,0.7875,percent of total billed charges,0.636037748,,,,,,,,,,0.7875,percent of total billed charges,1.003075389,,,,,,,,,,0.7875,percent of total billed charges,999999999,,,,,,,,,,0.7875,percent of total billed charges,0.685804246,,,,,,,,,,2.835,percent of total billed charges,,,,,
NIFEdipine XL (PROCARDIA XL) 30MG CAP,637,RC,5026-8059-15,NDC,,both,1,EA,3.87,3.87,0.823860866,3.87,3.87,percent of total billed charges,2.847296485,,,,3.87,percent of total billed charges,3.018077976,,,,3.87,percent of total billed charges,2.847296485,,,,3.87,percent of total billed charges,3.018077976,,,,3.87,percent of total billed charges,999999999,,,,3.87,percent of total billed charges,2.948674017,,,,3.87,percent of total billed charges,2.847296485,,,,3.87,percent of total billed charges,3.018077976,,,,2.75931,percent of total billed charges,1.376946185,,,,2.75931,percent of total billed charges,0.823860866,,,,2.75931,percent of total billed charges,1.376946185,,,,2.75931,percent of total billed charges,0.823860866,,,,2.75931,percent of total billed charges,1.376946185,,,,2.75931,percent of total billed charges,0.823860866,,,,2.73222,percent of total billed charges,2.711489904,,,,2.73222,percent of total billed charges,1.870093095,,,,,,,,,,2.7864,percent of total billed charges,1.81109443,,,,,,,,,,2.7864,percent of total billed charges,999999999,,,,,,,,,,3.096,percent of total billed charges,2.594287064,,,,3.0573,percent of total billed charges,2.950426071,,,,3.0573,percent of total billed charges,2.606799097,,,,3.096,percent of total billed charges,999999999,,,,3.096,percent of total billed charges,999999999,,,,2.709,percent of total billed charges,999999999,,,,2.709,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2.05884,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.95435,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.9675,percent of total billed charges,0.918888341,,,,,,,,,,0.9675,percent of total billed charges,0.903603259,,,,,,,,,,0.9675,percent of total billed charges,0.901092184,,,,,,,,,,0.9675,percent of total billed charges,0.887823612,,,,,,,,,,0.9675,percent of total billed charges,0.910668619,,,,,,,,,,0.9675,percent of total billed charges,999999999,,,,,,,,,,0.9675,percent of total billed charges,0.781417804,,,,,,,,,,0.9675,percent of total billed charges,1.232349764,,,,,,,,,,0.9675,percent of total billed charges,999999999,,,,,,,,,,0.9675,percent of total billed charges,0.842559503,,,,,,,,,,3.483,percent of total billed charges,,,,,
DONEPEZIL (ARICEPT) 5MG TAB,637,RC,6610-5073-06,NDC,,both,1,EA,0.5,0.5,0.106441972,0.5,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,999999999,,,,0.5,percent of total billed charges,0.380965635,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.353,percent of total billed charges,0.350321693,,,,0.353,percent of total billed charges,0.241614095,,,,,,,,,,0.36,percent of total billed charges,0.233991528,,,,,,,,,,0.36,percent of total billed charges,999999999,,,,,,,,,,0.4,percent of total billed charges,0.335179207,,,,0.395,percent of total billed charges,0.381191999,,,,0.395,percent of total billed charges,0.336795749,,,,0.4,percent of total billed charges,999999999,,,,0.4,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.266,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.2525,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.125,percent of total billed charges,0.118719424,,,,,,,,,,0.125,percent of total billed charges,0.116744607,,,,,,,,,,0.125,percent of total billed charges,0.116420179,,,,,,,,,,0.125,percent of total billed charges,0.114705893,,,,,,,,,,0.125,percent of total billed charges,0.117657444,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.100958373,,,,,,,,,,0.125,percent of total billed charges,0.159218316,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.108857817,,,,,,,,,,0.45,percent of total billed charges,,,,,
NITROFURANTOIN (MACRODANTIN) 50MG CAP,637,RC,6068-7047-01,NDC,,both,1,EA,5.62,5.62,1.196407769,5.62,5.62,percent of total billed charges,4.134833655,,,,5.62,percent of total billed charges,4.382841918,,,,5.62,percent of total billed charges,4.134833655,,,,5.62,percent of total billed charges,4.382841918,,,,5.62,percent of total billed charges,999999999,,,,5.62,percent of total billed charges,4.28205374,,,,5.62,percent of total billed charges,4.134833655,,,,5.62,percent of total billed charges,4.382841918,,,,4.00706,percent of total billed charges,1.999596269,,,,4.00706,percent of total billed charges,1.196407769,,,,4.00706,percent of total billed charges,1.999596269,,,,4.00706,percent of total billed charges,1.196407769,,,,4.00706,percent of total billed charges,1.999596269,,,,4.00706,percent of total billed charges,1.196407769,,,,3.96772,percent of total billed charges,3.93761583,,,,3.96772,percent of total billed charges,2.715742428,,,,,,,,,,4.0464,percent of total billed charges,2.63006478,,,,,,,,,,4.0464,percent of total billed charges,999999999,,,,,,,,,,4.496,percent of total billed charges,3.76741429,,,,4.4398,percent of total billed charges,4.284598066,,,,4.4398,percent of total billed charges,3.785584218,,,,4.496,percent of total billed charges,999999999,,,,4.496,percent of total billed charges,999999999,,,,3.934,percent of total billed charges,999999999,,,,3.934,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2.98984,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2.8381,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.405,percent of total billed charges,1.334406324,,,,,,,,,,1.405,percent of total billed charges,1.312209383,,,,,,,,,,1.405,percent of total billed charges,1.30856281,,,,,,,,,,1.405,percent of total billed charges,1.289294238,,,,,,,,,,1.405,percent of total billed charges,1.322469674,,,,,,,,,,1.405,percent of total billed charges,999999999,,,,,,,,,,1.405,percent of total billed charges,1.134772109,,,,,,,,,,1.405,percent of total billed charges,1.789613869,,,,,,,,,,1.405,percent of total billed charges,999999999,,,,,,,,,,1.405,percent of total billed charges,1.223561862,,,,,,,,,,5.058,percent of total billed charges,,,,,
NITROGLYCERIN (NITROSTAT) 0.4MG #25 TABS,250,RC,0007-1041-13,NDC,,both,1,EA,67.57,67.57,14.38456814,67.57,67.57,percent of total billed charges,49.71364947,,,,67.57,percent of total billed charges,52.69548548,,,,67.57,percent of total billed charges,49.71364947,,,,67.57,percent of total billed charges,52.69548548,,,,67.57,percent of total billed charges,999999999,,,,67.57,percent of total billed charges,51.48369594,,,,67.57,percent of total billed charges,49.71364947,,,,67.57,percent of total billed charges,52.69548548,,,,48.17741,percent of total billed charges,24.04140924,,,,48.17741,percent of total billed charges,14.38456814,,,,48.17741,percent of total billed charges,24.04140924,,,,48.17741,percent of total billed charges,14.38456814,,,,48.17741,percent of total billed charges,24.04140924,,,,48.17741,percent of total billed charges,14.38456814,,,,47.70442,percent of total billed charges,47.3424736,,,,47.70442,percent of total billed charges,32.6517288,,,,,,,,,,48.6504,percent of total billed charges,31.62161515,,,,,,,,,,48.6504,percent of total billed charges,999999999,,,,,,,,,,54.056,percent of total billed charges,45.29611807,,,,53.3803,percent of total billed charges,51.51428672,,,,53.3803,percent of total billed charges,45.51457752,,,,54.056,percent of total billed charges,999999999,,,,54.056,percent of total billed charges,999999999,,,,47.299,percent of total billed charges,999999999,,,,47.299,percent of total billed charges,999999999,,,,,,,,,,,,,,,,35.94724,percent of total billed charges,999999999,,,,,,,,,,,,,,,,34.12285,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16.8925,percent of total billed charges,16.04374294,,,,,,,,,,16.8925,percent of total billed charges,15.7768662,,,,,,,,,,16.8925,percent of total billed charges,15.73302296,,,,,,,,,,16.8925,percent of total billed charges,15.50135439,,,,,,,,,,16.8925,percent of total billed charges,15.90022703,,,,,,,,,,16.8925,percent of total billed charges,999999999,,,,,,,,,,16.8925,percent of total billed charges,13.64351448,,,,,,,,,,16.8925,percent of total billed charges,21.51676319,,,,,,,,,,16.8925,percent of total billed charges,999999999,,,,,,,,,,16.8925,percent of total billed charges,14.71104537,,,,,,,,,,60.813,percent of total billed charges,,,,,
**NITROGLYCERIN (NITROBID) 2.5MG CAP,259,RC,5817-7000-04,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
NITROGLYCERIN (NITRODUR) 0.4MG/HR PATCH:,259,RC,6838-2031-30,NDC,,both,1,EA,2.35,2.35,0.50027727,2.35,2.35,percent of total billed charges,1.728978485,,,,2.35,percent of total billed charges,1.832683009,,,,2.35,percent of total billed charges,1.728978485,,,,2.35,percent of total billed charges,1.832683009,,,,2.35,percent of total billed charges,999999999,,,,2.35,percent of total billed charges,1.790538486,,,,2.35,percent of total billed charges,1.728978485,,,,2.35,percent of total billed charges,1.832683009,,,,1.67555,percent of total billed charges,0.836130113,,,,1.67555,percent of total billed charges,0.50027727,,,,1.67555,percent of total billed charges,0.836130113,,,,1.67555,percent of total billed charges,0.50027727,,,,1.67555,percent of total billed charges,0.836130113,,,,1.67555,percent of total billed charges,0.50027727,,,,1.6591,percent of total billed charges,1.646511957,,,,1.6591,percent of total billed charges,1.135586247,,,,,,,,,,1.692,percent of total billed charges,1.099760184,,,,,,,,,,1.692,percent of total billed charges,999999999,,,,,,,,,,1.88,percent of total billed charges,1.575342274,,,,1.8565,percent of total billed charges,1.791602394,,,,1.8565,percent of total billed charges,1.58294002,,,,1.88,percent of total billed charges,999999999,,,,1.88,percent of total billed charges,999999999,,,,1.645,percent of total billed charges,999999999,,,,1.645,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.2502,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.18675,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.5875,percent of total billed charges,0.557981292,,,,,,,,,,0.5875,percent of total billed charges,0.548699653,,,,,,,,,,0.5875,percent of total billed charges,0.54717484,,,,,,,,,,0.5875,percent of total billed charges,0.539117697,,,,,,,,,,0.5875,percent of total billed charges,0.552989988,,,,,,,,,,0.5875,percent of total billed charges,999999999,,,,,,,,,,0.5875,percent of total billed charges,0.474504352,,,,,,,,,,0.5875,percent of total billed charges,0.748326084,,,,,,,,,,0.5875,percent of total billed charges,999999999,,,,,,,,,,0.5875,percent of total billed charges,0.511631739,,,,,,,,,,2.115,percent of total billed charges,,,,,
NITROGLYCERIN (NITRODUR) 0.1MG/HR PATCH:,637,RC,0037-8910-93,NDC,,both,1,EA,2.69,2.69,0.572657811,2.69,2.69,percent of total billed charges,1.979128564,,,,2.69,percent of total billed charges,2.097837146,,,,2.69,percent of total billed charges,1.979128564,,,,2.69,percent of total billed charges,2.097837146,,,,2.69,percent of total billed charges,999999999,,,,2.69,percent of total billed charges,2.049595117,,,,2.69,percent of total billed charges,1.979128564,,,,2.69,percent of total billed charges,2.097837146,,,,1.91797,percent of total billed charges,0.957102129,,,,1.91797,percent of total billed charges,0.572657811,,,,1.91797,percent of total billed charges,0.957102129,,,,1.91797,percent of total billed charges,0.572657811,,,,1.91797,percent of total billed charges,0.957102129,,,,1.91797,percent of total billed charges,0.572657811,,,,1.89914,percent of total billed charges,1.884730709,,,,1.89914,percent of total billed charges,1.299883831,,,,,,,,,,1.9368,percent of total billed charges,1.258874423,,,,,,,,,,1.9368,percent of total billed charges,999999999,,,,,,,,,,2.152,percent of total billed charges,1.803264135,,,,2.1251,percent of total billed charges,2.050812953,,,,2.1251,percent of total billed charges,1.811961129,,,,2.152,percent of total billed charges,999999999,,,,2.152,percent of total billed charges,999999999,,,,1.883,percent of total billed charges,999999999,,,,1.883,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.43108,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.35845,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.6725,percent of total billed charges,0.6387105,,,,,,,,,,0.6725,percent of total billed charges,0.628085986,,,,,,,,,,0.6725,percent of total billed charges,0.626340562,,,,,,,,,,0.6725,percent of total billed charges,0.617117705,,,,,,,,,,0.6725,percent of total billed charges,0.63299705,,,,,,,,,,0.6725,percent of total billed charges,999999999,,,,,,,,,,0.6725,percent of total billed charges,0.543156045,,,,,,,,,,0.6725,percent of total billed charges,0.856594539,,,,,,,,,,0.6725,percent of total billed charges,999999999,,,,,,,,,,0.6725,percent of total billed charges,0.585655055,,,,,,,,,,2.421,percent of total billed charges,,,,,
NITROGLYCERIN (NITRODUR) 0.2MG/HR PATCH:,259,RC,4778-1029-03,NDC,,both,1,EA,3,3,0.638651834,3,3,percent of total billed charges,2.207206577,,,,3,percent of total billed charges,2.33959533,,,,3,percent of total billed charges,2.207206577,,,,3,percent of total billed charges,2.33959533,,,,3,percent of total billed charges,999999999,,,,3,percent of total billed charges,2.285793811,,,,3,percent of total billed charges,2.207206577,,,,3,percent of total billed charges,2.33959533,,,,2.139,percent of total billed charges,1.067400144,,,,2.139,percent of total billed charges,0.638651834,,,,2.139,percent of total billed charges,1.067400144,,,,2.139,percent of total billed charges,0.638651834,,,,2.139,percent of total billed charges,1.067400144,,,,2.139,percent of total billed charges,0.638651834,,,,2.118,percent of total billed charges,2.101930158,,,,2.118,percent of total billed charges,1.44968457,,,,,,,,,,2.16,percent of total billed charges,1.403949171,,,,,,,,,,2.16,percent of total billed charges,999999999,,,,,,,,,,2.4,percent of total billed charges,2.011075244,,,,2.37,percent of total billed charges,2.287151993,,,,2.37,percent of total billed charges,2.020774494,,,,2.4,percent of total billed charges,999999999,,,,2.4,percent of total billed charges,999999999,,,,2.1,percent of total billed charges,999999999,,,,2.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.596,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.515,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.75,percent of total billed charges,0.712316543,,,,,,,,,,0.75,percent of total billed charges,0.700467642,,,,,,,,,,0.75,percent of total billed charges,0.698521073,,,,,,,,,,0.75,percent of total billed charges,0.688235358,,,,,,,,,,0.75,percent of total billed charges,0.705944666,,,,,,,,,,0.75,percent of total billed charges,999999999,,,,,,,,,,0.75,percent of total billed charges,0.605750236,,,,,,,,,,0.75,percent of total billed charges,0.955309895,,,,,,,,,,0.75,percent of total billed charges,999999999,,,,,,,,,,0.75,percent of total billed charges,0.653146901,,,,,,,,,,2.7,percent of total billed charges,,,,,
**NITROGLYCERIN 0.3 MG/HR PATCH,259,RC,5074-2051-30,NDC,,both,1,EA,51.1,51.1,10.87836957,51.1,51.1,percent of total billed charges,37.59608536,,,,51.1,percent of total billed charges,39.85110712,,,,51.1,percent of total billed charges,37.59608536,,,,51.1,percent of total billed charges,39.85110712,,,,51.1,percent of total billed charges,999999999,,,,51.1,percent of total billed charges,38.93468792,,,,51.1,percent of total billed charges,37.59608536,,,,51.1,percent of total billed charges,39.85110712,,,,36.4343,percent of total billed charges,18.18138245,,,,36.4343,percent of total billed charges,10.87836957,,,,36.4343,percent of total billed charges,18.18138245,,,,36.4343,percent of total billed charges,10.87836957,,,,36.4343,percent of total billed charges,18.18138245,,,,36.4343,percent of total billed charges,10.87836957,,,,36.0766,percent of total billed charges,35.80287703,,,,36.0766,percent of total billed charges,24.69296051,,,,,,,,,,36.792,percent of total billed charges,23.91393421,,,,,,,,,,36.792,percent of total billed charges,999999999,,,,,,,,,,40.88,percent of total billed charges,34.25531499,,,,40.369,percent of total billed charges,38.95782228,,,,40.369,percent of total billed charges,34.42052554,,,,40.88,percent of total billed charges,999999999,,,,40.88,percent of total billed charges,999999999,,,,35.77,percent of total billed charges,999999999,,,,35.77,percent of total billed charges,999999999,,,,,,,,,,,,,,,,27.1852,percent of total billed charges,999999999,,,,,,,,,,,,,,,,25.8055,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12.775,percent of total billed charges,12.13312512,,,,,,,,,,12.775,percent of total billed charges,11.93129884,,,,,,,,,,12.775,percent of total billed charges,11.89814227,,,,,,,,,,12.775,percent of total billed charges,11.72294227,,,,,,,,,,12.775,percent of total billed charges,12.02459081,,,,,,,,,,12.775,percent of total billed charges,999999999,,,,,,,,,,12.775,percent of total billed charges,10.31794569,,,,,,,,,,12.775,percent of total billed charges,16.27211187,,,,,,,,,,12.775,percent of total billed charges,999999999,,,,,,,,,,12.775,percent of total billed charges,11.12526889,,,,,,,,,,45.99,percent of total billed charges,,,,,
**NITROGLYCERIN2%OINT(NITRO-BIDTUBE):1,259,RC,0016-8032-30,NDC,,both,1,EA,33,33,7.025170173,33,33,percent of total billed charges,24.27927235,,,,33,percent of total billed charges,25.73554863,,,,33,percent of total billed charges,24.27927235,,,,33,percent of total billed charges,25.73554863,,,,33,percent of total billed charges,999999999,,,,33,percent of total billed charges,25.14373192,,,,33,percent of total billed charges,24.27927235,,,,33,percent of total billed charges,25.73554863,,,,23.529,percent of total billed charges,11.74140158,,,,23.529,percent of total billed charges,7.025170173,,,,23.529,percent of total billed charges,11.74140158,,,,23.529,percent of total billed charges,7.025170173,,,,23.529,percent of total billed charges,11.74140158,,,,23.529,percent of total billed charges,7.025170173,,,,23.298,percent of total billed charges,23.12123174,,,,23.298,percent of total billed charges,15.94653027,,,,,,,,,,23.76,percent of total billed charges,15.44344088,,,,,,,,,,23.76,percent of total billed charges,999999999,,,,,,,,,,26.4,percent of total billed charges,22.12182768,,,,26.07,percent of total billed charges,25.15867192,,,,26.07,percent of total billed charges,22.22851943,,,,26.4,percent of total billed charges,999999999,,,,26.4,percent of total billed charges,999999999,,,,23.1,percent of total billed charges,999999999,,,,23.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,17.556,percent of total billed charges,999999999,,,,,,,,,,,,,,,,16.665,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8.25,percent of total billed charges,7.835481976,,,,,,,,,,8.25,percent of total billed charges,7.705144065,,,,,,,,,,8.25,percent of total billed charges,7.6837318,,,,,,,,,,8.25,percent of total billed charges,7.570588942,,,,,,,,,,8.25,percent of total billed charges,7.765391325,,,,,,,,,,8.25,percent of total billed charges,999999999,,,,,,,,,,8.25,percent of total billed charges,6.663252596,,,,,,,,,,8.25,percent of total billed charges,10.50840884,,,,,,,,,,8.25,percent of total billed charges,999999999,,,,,,,,,,8.25,percent of total billed charges,7.184615914,,,,,,,,,,29.7,percent of total billed charges,,,,,
NOREPINEPHRINE (LEVOPHED) DRIP (8MCG/ML),250,RC,0040-9337-04,NDC,,both,1,EA,75.56,75.56,16.08551086,75.56,75.56,percent of total billed charges,55.59217632,,,,75.56,percent of total billed charges,58.92660771,,,,75.56,percent of total billed charges,55.59217632,,,,75.56,percent of total billed charges,58.92660771,,,,75.56,percent of total billed charges,999999999,,,,75.56,percent of total billed charges,57.57152679,,,,75.56,percent of total billed charges,55.59217632,,,,75.56,percent of total billed charges,58.92660771,,,,53.87428,percent of total billed charges,26.88425162,,,,53.87428,percent of total billed charges,16.08551086,,,,53.87428,percent of total billed charges,26.88425162,,,,53.87428,percent of total billed charges,16.08551086,,,,53.87428,percent of total billed charges,26.88425162,,,,53.87428,percent of total billed charges,16.08551086,,,,53.34536,percent of total billed charges,52.94061425,,,,53.34536,percent of total billed charges,36.51272204,,,,,,,,,,54.4032,percent of total billed charges,35.36079978,,,,,,,,,,54.4032,percent of total billed charges,999999999,,,,,,,,,,60.448,percent of total billed charges,50.65228181,,,,59.6924,percent of total billed charges,57.60573486,,,,59.6924,percent of total billed charges,50.89657358,,,,60.448,percent of total billed charges,999999999,,,,60.448,percent of total billed charges,999999999,,,,52.892,percent of total billed charges,999999999,,,,52.892,percent of total billed charges,999999999,,,,,,,,,,,,,,,,40.19792,percent of total billed charges,999999999,,,,,,,,,,,,,,,,38.1578,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18.89,percent of total billed charges,17.94087934,,,,,,,,,,18.89,percent of total billed charges,17.64244502,,,,,,,,,,18.89,percent of total billed charges,17.59341742,,,,,,,,,,18.89,percent of total billed charges,17.33435456,,,,,,,,,,18.89,percent of total billed charges,17.78039299,,,,,,,,,,18.89,percent of total billed charges,999999999,,,,,,,,,,18.89,percent of total billed charges,15.25682928,,,,,,,,,,18.89,percent of total billed charges,24.06107188,,,,,,,,,,18.89,percent of total billed charges,999999999,,,,,,,,,,18.89,percent of total billed charges,16.45059329,,,,,,,,,,68.004,percent of total billed charges,,,,,
**HYDROCODONE 7.5/APAP 650MG (LORCET PLU,250,RC,0078-5112-63,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
NORTRIPTYLINE 25 MG CAP,637,RC,5167-2400-05,NDC,,both,1,EA,1.8,1.8,0.3831911,1.8,1.8,percent of total billed charges,1.324323946,,,,1.8,percent of total billed charges,1.403757198,,,,1.8,percent of total billed charges,1.324323946,,,,1.8,percent of total billed charges,1.403757198,,,,1.8,percent of total billed charges,999999999,,,,1.8,percent of total billed charges,1.371476287,,,,1.8,percent of total billed charges,1.324323946,,,,1.8,percent of total billed charges,1.403757198,,,,1.2834,percent of total billed charges,0.640440086,,,,1.2834,percent of total billed charges,0.3831911,,,,1.2834,percent of total billed charges,0.640440086,,,,1.2834,percent of total billed charges,0.3831911,,,,1.2834,percent of total billed charges,0.640440086,,,,1.2834,percent of total billed charges,0.3831911,,,,1.2708,percent of total billed charges,1.261158095,,,,1.2708,percent of total billed charges,0.869810742,,,,,,,,,,1.296,percent of total billed charges,0.842369502,,,,,,,,,,1.296,percent of total billed charges,999999999,,,,,,,,,,1.44,percent of total billed charges,1.206645146,,,,1.422,percent of total billed charges,1.372291196,,,,1.422,percent of total billed charges,1.212464696,,,,1.44,percent of total billed charges,999999999,,,,1.44,percent of total billed charges,999999999,,,,1.26,percent of total billed charges,999999999,,,,1.26,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.9576,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.909,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.45,percent of total billed charges,0.427389926,,,,,,,,,,0.45,percent of total billed charges,0.420280585,,,,,,,,,,0.45,percent of total billed charges,0.419112644,,,,,,,,,,0.45,percent of total billed charges,0.412941215,,,,,,,,,,0.45,percent of total billed charges,0.4235668,,,,,,,,,,0.45,percent of total billed charges,999999999,,,,,,,,,,0.45,percent of total billed charges,0.363450142,,,,,,,,,,0.45,percent of total billed charges,0.573185937,,,,,,,,,,0.45,percent of total billed charges,999999999,,,,,,,,,,0.45,percent of total billed charges,0.391888141,,,,,,,,,,1.62,percent of total billed charges,,,,,
**INSULIN (HUMULIN) 70/30 100UNITS VIAL,J1815,CDM,0000-2871-01,NDC,,both,1,EA,37,37,7.876705951,37,37,percent of total billed charges,27.22221445,,,,37,percent of total billed charges,28.85500907,,,,37,percent of total billed charges,27.22221445,,,,37,percent of total billed charges,28.85500907,,,,37,percent of total billed charges,999999999,,,,37,percent of total billed charges,28.19145701,,,,37,percent of total billed charges,27.22221445,,,,37,percent of total billed charges,28.85500907,,,,26.381,percent of total billed charges,13.16460177,,,,26.381,percent of total billed charges,7.876705951,,,,26.381,percent of total billed charges,13.16460177,,,,26.381,percent of total billed charges,7.876705951,,,,26.381,percent of total billed charges,13.16460177,,,,26.381,percent of total billed charges,7.876705951,,,,26.122,percent of total billed charges,25.92380528,,,,26.122,percent of total billed charges,17.87944303,,,,,,,,,,26.64,percent of total billed charges,17.3153731,,,,,,,,,,26.64,percent of total billed charges,999999999,,,,,,,,,,29.6,percent of total billed charges,24.80326134,,,,29.23,percent of total billed charges,28.20820791,,,,29.23,percent of total billed charges,24.92288542,,,,29.6,percent of total billed charges,999999999,,,,29.6,percent of total billed charges,999999999,,,,25.9,percent of total billed charges,999999999,,,,25.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,19.684,percent of total billed charges,999999999,,,,,,,,,,,,,,,,18.685,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9.25,percent of total billed charges,8.785237367,,,,,,,,,,9.25,percent of total billed charges,8.639100921,,,,,,,,,,9.25,percent of total billed charges,8.61509323,,,,,,,,,,9.25,percent of total billed charges,8.488236087,,,,,,,,,,9.25,percent of total billed charges,8.70665088,,,,,,,,,,9.25,percent of total billed charges,999999999,,,,,,,,,,9.25,percent of total billed charges,7.470919578,,,,,,,,,,9.25,percent of total billed charges,11.78215537,,,,,,,,,,9.25,percent of total billed charges,999999999,,,,,,,,,,9.25,percent of total billed charges,8.055478449,,,,,,,,,,33.3,percent of total billed charges,,,,,
**NYSTATIN ORAL SUSPENSION: 60 ML,259,RC,5456-9101-00,NDC,,both,1,EA,42,42,8.941125674,42,42,percent of total billed charges,30.90089208,,,,42,percent of total billed charges,32.75433462,,,,42,percent of total billed charges,30.90089208,,,,42,percent of total billed charges,32.75433462,,,,42,percent of total billed charges,999999999,,,,42,percent of total billed charges,32.00111336,,,,42,percent of total billed charges,30.90089208,,,,42,percent of total billed charges,32.75433462,,,,29.946,percent of total billed charges,14.94360201,,,,29.946,percent of total billed charges,8.941125674,,,,29.946,percent of total billed charges,14.94360201,,,,29.946,percent of total billed charges,8.941125674,,,,29.946,percent of total billed charges,14.94360201,,,,29.946,percent of total billed charges,8.941125674,,,,29.652,percent of total billed charges,29.42702222,,,,29.652,percent of total billed charges,20.29558398,,,,,,,,,,30.24,percent of total billed charges,19.65528839,,,,,,,,,,30.24,percent of total billed charges,999999999,,,,,,,,,,33.6,percent of total billed charges,28.15505341,,,,33.18,percent of total billed charges,32.0201279,,,,33.18,percent of total billed charges,28.29084291,,,,33.6,percent of total billed charges,999999999,,,,33.6,percent of total billed charges,999999999,,,,29.4,percent of total billed charges,999999999,,,,29.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,22.344,percent of total billed charges,999999999,,,,,,,,,,,,,,,,21.21,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10.5,percent of total billed charges,9.972431606,,,,,,,,,,10.5,percent of total billed charges,9.806546992,,,,,,,,,,10.5,percent of total billed charges,9.779295018,,,,,,,,,,10.5,percent of total billed charges,9.635295018,,,,,,,,,,10.5,percent of total billed charges,9.883225323,,,,,,,,,,10.5,percent of total billed charges,999999999,,,,,,,,,,10.5,percent of total billed charges,8.480503304,,,,,,,,,,10.5,percent of total billed charges,13.37433852,,,,,,,,,,10.5,percent of total billed charges,999999999,,,,,,,,,,10.5,percent of total billed charges,9.144056618,,,,,,,,,,37.8,percent of total billed charges,,,,,
**HYDROCODONE APAP 10/650 (LORCET 10/650,259,RC,0040-6036-01,NDC,,both,1,EA,4,4,0.851535778,4,4,percent of total billed charges,2.942942103,,,,4,percent of total billed charges,3.11946044,,,,4,percent of total billed charges,2.942942103,,,,4,percent of total billed charges,3.11946044,,,,4,percent of total billed charges,999999999,,,,4,percent of total billed charges,3.047725082,,,,4,percent of total billed charges,2.942942103,,,,4,percent of total billed charges,3.11946044,,,,2.852,percent of total billed charges,1.423200192,,,,2.852,percent of total billed charges,0.851535778,,,,2.852,percent of total billed charges,1.423200192,,,,2.852,percent of total billed charges,0.851535778,,,,2.852,percent of total billed charges,1.423200192,,,,2.852,percent of total billed charges,0.851535778,,,,2.824,percent of total billed charges,2.802573544,,,,2.824,percent of total billed charges,1.93291276,,,,,,,,,,2.88,percent of total billed charges,1.871932228,,,,,,,,,,2.88,percent of total billed charges,999999999,,,,,,,,,,3.2,percent of total billed charges,2.681433658,,,,3.16,percent of total billed charges,3.04953599,,,,3.16,percent of total billed charges,2.694365992,,,,3.2,percent of total billed charges,999999999,,,,3.2,percent of total billed charges,999999999,,,,2.8,percent of total billed charges,999999999,,,,2.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2.128,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2.02,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1,percent of total billed charges,0.949755391,,,,,,,,,,1,percent of total billed charges,0.933956856,,,,,,,,,,1,percent of total billed charges,0.93136143,,,,,,,,,,1,percent of total billed charges,0.917647145,,,,,,,,,,1,percent of total billed charges,0.941259555,,,,,,,,,,1,percent of total billed charges,999999999,,,,,,,,,,1,percent of total billed charges,0.807666981,,,,,,,,,,1,percent of total billed charges,1.273746526,,,,,,,,,,1,percent of total billed charges,999999999,,,,,,,,,,1,percent of total billed charges,0.870862535,,,,,,,,,,3.6,percent of total billed charges,,,,,
FLURBIPROFEN (OCUFEN) OPTH 0.03% SOLN,259,RC,6929-2072-25,NDC,,both,1,EA,143.92,143.92,30.63825731,143.92,143.92,percent of total billed charges,105.8870569,,,,143.92,percent of total billed charges,112.2381866,,,,143.92,percent of total billed charges,105.8870569,,,,143.92,percent of total billed charges,112.2381866,,,,143.92,percent of total billed charges,999999999,,,,143.92,percent of total billed charges,109.6571484,,,,143.92,percent of total billed charges,105.8870569,,,,143.92,percent of total billed charges,112.2381866,,,,102.61496,percent of total billed charges,51.2067429,,,,102.61496,percent of total billed charges,30.63825731,,,,102.61496,percent of total billed charges,51.2067429,,,,102.61496,percent of total billed charges,30.63825731,,,,102.61496,percent of total billed charges,51.2067429,,,,102.61496,percent of total billed charges,30.63825731,,,,101.60752,percent of total billed charges,100.8365961,,,,101.60752,percent of total billed charges,69.54620111,,,,,,,,,,103.6224,percent of total billed charges,67.35212155,,,,,,,,,,103.6224,percent of total billed charges,999999999,,,,,,,,,,115.136,percent of total billed charges,96.47798303,,,,113.6968,percent of total billed charges,109.7223049,,,,113.6968,percent of total billed charges,96.94328838,,,,115.136,percent of total billed charges,999999999,,,,115.136,percent of total billed charges,999999999,,,,100.744,percent of total billed charges,999999999,,,,100.744,percent of total billed charges,999999999,,,,,,,,,,,,,,,,76.56544,percent of total billed charges,999999999,,,,,,,,,,,,,,,,72.6796,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,35.98,percent of total billed charges,34.17219897,,,,,,,,,,35.98,percent of total billed charges,33.60376769,,,,,,,,,,35.98,percent of total billed charges,33.51038426,,,,,,,,,,35.98,percent of total billed charges,33.01694426,,,,,,,,,,35.98,percent of total billed charges,33.86651877,,,,,,,,,,35.98,percent of total billed charges,999999999,,,,,,,,,,35.98,percent of total billed charges,29.05985799,,,,,,,,,,35.98,percent of total billed charges,45.82940001,,,,,,,,,,35.98,percent of total billed charges,999999999,,,,,,,,,,35.98,percent of total billed charges,31.33363401,,,,,,,,,,129.528,percent of total billed charges,,,,,
BELLADONNA & OPIUM SUPPOSITORY 30MG,259,RC,0057-4704-12,NDC,,both,1,EA,119.67,119.67,25.47582165,119.67,119.67,percent of total billed charges,88.04547036,,,,119.67,percent of total billed charges,93.32645771,,,,119.67,percent of total billed charges,88.04547036,,,,119.67,percent of total billed charges,93.32645771,,,,119.67,percent of total billed charges,999999999,,,,119.67,percent of total billed charges,91.18031513,,,,119.67,percent of total billed charges,88.04547036,,,,119.67,percent of total billed charges,93.32645771,,,,85.32471,percent of total billed charges,42.57859174,,,,85.32471,percent of total billed charges,25.47582165,,,,85.32471,percent of total billed charges,42.57859174,,,,85.32471,percent of total billed charges,25.47582165,,,,85.32471,percent of total billed charges,42.57859174,,,,85.32471,percent of total billed charges,25.47582165,,,,84.48702,percent of total billed charges,83.84599401,,,,84.48702,percent of total billed charges,57.8279175,,,,,,,,,,86.1624,percent of total billed charges,56.00353242,,,,,,,,,,86.1624,percent of total billed charges,999999999,,,,,,,,,,95.736,percent of total billed charges,80.22179147,,,,94.5393,percent of total billed charges,91.23449299,,,,94.5393,percent of total billed charges,80.60869456,,,,95.736,percent of total billed charges,999999999,,,,95.736,percent of total billed charges,999999999,,,,83.769,percent of total billed charges,999999999,,,,83.769,percent of total billed charges,999999999,,,,,,,,,,,,,,,,63.66444,percent of total billed charges,999999999,,,,,,,,,,,,,,,,60.43335,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,29.9175,percent of total billed charges,28.41430691,,,,,,,,,,29.9175,percent of total billed charges,27.94165425,,,,,,,,,,29.9175,percent of total billed charges,27.86400559,,,,,,,,,,29.9175,percent of total billed charges,27.45370845,,,,,,,,,,29.9175,percent of total billed charges,28.16013272,,,,,,,,,,29.9175,percent of total billed charges,999999999,,,,,,,,,,29.9175,percent of total billed charges,24.16337692,,,,,,,,,,29.9175,percent of total billed charges,38.10731169,,,,,,,,,,29.9175,percent of total billed charges,999999999,,,,,,,,,,29.9175,percent of total billed charges,26.05402989,,,,,,,,,,107.703,percent of total billed charges,,,,,
POLYETHYLENE GLYCOL (GOLYTELY) 4000ML,259,RC,5226-8010-01,NDC,,both,1,EA,69.38,69.38,14.76988808,69.38,69.38,percent of total billed charges,51.04533077,,,,69.38,percent of total billed charges,54.10704133,,,,69.38,percent of total billed charges,51.04533077,,,,69.38,percent of total billed charges,54.10704133,,,,69.38,percent of total billed charges,999999999,,,,69.38,percent of total billed charges,52.86279154,,,,69.38,percent of total billed charges,51.04533077,,,,69.38,percent of total billed charges,54.10704133,,,,49.46794,percent of total billed charges,24.68540733,,,,49.46794,percent of total billed charges,14.76988808,,,,49.46794,percent of total billed charges,24.68540733,,,,49.46794,percent of total billed charges,14.76988808,,,,49.46794,percent of total billed charges,24.68540733,,,,49.46794,percent of total billed charges,14.76988808,,,,48.98228,percent of total billed charges,48.61063813,,,,48.98228,percent of total billed charges,33.52637183,,,,,,,,,,49.9536,percent of total billed charges,32.46866449,,,,,,,,,,49.9536,percent of total billed charges,999999999,,,,,,,,,,55.504,percent of total billed charges,46.5094668,,,,54.8102,percent of total billed charges,52.89420175,,,,54.8102,percent of total billed charges,46.73377813,,,,55.504,percent of total billed charges,999999999,,,,55.504,percent of total billed charges,999999999,,,,48.566,percent of total billed charges,999999999,,,,48.566,percent of total billed charges,999999999,,,,,,,,,,,,,,,,36.91016,percent of total billed charges,999999999,,,,,,,,,,,,,,,,35.0369,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17.345,percent of total billed charges,16.47350726,,,,,,,,,,17.345,percent of total billed charges,16.19948167,,,,,,,,,,17.345,percent of total billed charges,16.15446401,,,,,,,,,,17.345,percent of total billed charges,15.91658972,,,,,,,,,,17.345,percent of total billed charges,16.32614697,,,,,,,,,,17.345,percent of total billed charges,999999999,,,,,,,,,,17.345,percent of total billed charges,14.00898379,,,,,,,,,,17.345,percent of total billed charges,22.09313349,,,,,,,,,,17.345,percent of total billed charges,999999999,,,,,,,,,,17.345,percent of total billed charges,15.10511067,,,,,,,,,,62.442,percent of total billed charges,,,,,
predniSONE (DELTASONE) 1MG TAB,J7512,CDM,0005-4873-25,NDC,,both,1,EA,0.79,0.79,0.168178316,0.79,0.79,percent of total billed charges,0.581231065,,,,0.79,percent of total billed charges,0.616093437,,,,0.79,percent of total billed charges,0.581231065,,,,0.79,percent of total billed charges,0.616093437,,,,0.79,percent of total billed charges,999999999,,,,0.79,percent of total billed charges,0.601925704,,,,0.79,percent of total billed charges,0.581231065,,,,0.79,percent of total billed charges,0.616093437,,,,0.56327,percent of total billed charges,0.281082038,,,,0.56327,percent of total billed charges,0.168178316,,,,0.56327,percent of total billed charges,0.281082038,,,,0.56327,percent of total billed charges,0.168178316,,,,0.56327,percent of total billed charges,0.281082038,,,,0.56327,percent of total billed charges,0.168178316,,,,0.55774,percent of total billed charges,0.553508275,,,,0.55774,percent of total billed charges,0.38175027,,,,,,,,,,0.5688,percent of total billed charges,0.369706615,,,,,,,,,,0.5688,percent of total billed charges,999999999,,,,,,,,,,0.632,percent of total billed charges,0.529583148,,,,0.6241,percent of total billed charges,0.602283358,,,,0.6241,percent of total billed charges,0.532137283,,,,0.632,percent of total billed charges,999999999,,,,0.632,percent of total billed charges,999999999,,,,0.553,percent of total billed charges,999999999,,,,0.553,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.42028,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.39895,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.1975,percent of total billed charges,0.18757669,,,,,,,,,,0.1975,percent of total billed charges,0.184456479,,,,,,,,,,0.1975,percent of total billed charges,0.183943882,,,,,,,,,,0.1975,percent of total billed charges,0.181235311,,,,,,,,,,0.1975,percent of total billed charges,0.185898762,,,,,,,,,,0.1975,percent of total billed charges,999999999,,,,,,,,,,0.1975,percent of total billed charges,0.159514229,,,,,,,,,,0.1975,percent of total billed charges,0.251564939,,,,,,,,,,0.1975,percent of total billed charges,999999999,,,,,,,,,,0.1975,percent of total billed charges,0.171995351,,,,,,,,,,0.711,percent of total billed charges,,,,,
LEVOTHYROXINE (SYNTHROID) 0.125 MG TAB,637,RC,5107-9044-20,NDC,,both,1,EA,2.43,2.43,0.517307985,2.43,2.43,percent of total billed charges,1.787837328,,,,2.43,percent of total billed charges,1.895072217,,,,2.43,percent of total billed charges,1.787837328,,,,2.43,percent of total billed charges,1.895072217,,,,2.43,percent of total billed charges,999999999,,,,2.43,percent of total billed charges,1.851492987,,,,2.43,percent of total billed charges,1.787837328,,,,2.43,percent of total billed charges,1.895072217,,,,1.73259,percent of total billed charges,0.864594116,,,,1.73259,percent of total billed charges,0.517307985,,,,1.73259,percent of total billed charges,0.864594116,,,,1.73259,percent of total billed charges,0.517307985,,,,1.73259,percent of total billed charges,0.864594116,,,,1.73259,percent of total billed charges,0.517307985,,,,1.71558,percent of total billed charges,1.702563428,,,,1.71558,percent of total billed charges,1.174244502,,,,,,,,,,1.7496,percent of total billed charges,1.137198828,,,,,,,,,,1.7496,percent of total billed charges,999999999,,,,,,,,,,1.944,percent of total billed charges,1.628970947,,,,1.9197,percent of total billed charges,1.852593114,,,,1.9197,percent of total billed charges,1.63682734,,,,1.944,percent of total billed charges,999999999,,,,1.944,percent of total billed charges,999999999,,,,1.701,percent of total billed charges,999999999,,,,1.701,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.29276,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.22715,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.6075,percent of total billed charges,0.5769764,,,,,,,,,,0.6075,percent of total billed charges,0.56737879,,,,,,,,,,0.6075,percent of total billed charges,0.565802069,,,,,,,,,,0.6075,percent of total billed charges,0.55747064,,,,,,,,,,0.6075,percent of total billed charges,0.571815179,,,,,,,,,,0.6075,percent of total billed charges,999999999,,,,,,,,,,0.6075,percent of total billed charges,0.490657691,,,,,,,,,,0.6075,percent of total billed charges,0.773801015,,,,,,,,,,0.6075,percent of total billed charges,999999999,,,,,,,,,,0.6075,percent of total billed charges,0.52904899,,,,,,,,,,2.187,percent of total billed charges,,,,,
OXAZEPAM  (SERAX) 10MG: CAP,259,RC,0017-2480-60,NDC,,both,1,EA,7.64,7.64,1.626433337,7.64,7.64,percent of total billed charges,5.621019417,,,,7.64,percent of total billed charges,5.95816944,,,,7.64,percent of total billed charges,5.621019417,,,,7.64,percent of total billed charges,5.95816944,,,,7.64,percent of total billed charges,999999999,,,,7.64,percent of total billed charges,5.821154906,,,,7.64,percent of total billed charges,5.621019417,,,,7.64,percent of total billed charges,5.95816944,,,,5.44732,percent of total billed charges,2.718312366,,,,5.44732,percent of total billed charges,1.626433337,,,,5.44732,percent of total billed charges,2.718312366,,,,5.44732,percent of total billed charges,1.626433337,,,,5.44732,percent of total billed charges,2.718312366,,,,5.44732,percent of total billed charges,1.626433337,,,,5.39384,percent of total billed charges,5.35291547,,,,5.39384,percent of total billed charges,3.691863372,,,,,,,,,,5.5008,percent of total billed charges,3.575390555,,,,,,,,,,5.5008,percent of total billed charges,999999999,,,,,,,,,,6.112,percent of total billed charges,5.121538288,,,,6.0356,percent of total billed charges,5.824613742,,,,6.0356,percent of total billed charges,5.146239044,,,,6.112,percent of total billed charges,999999999,,,,6.112,percent of total billed charges,999999999,,,,5.348,percent of total billed charges,999999999,,,,5.348,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.06448,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.8582,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.91,percent of total billed charges,1.814032797,,,,,,,,,,1.91,percent of total billed charges,1.783857596,,,,,,,,,,1.91,percent of total billed charges,1.778900332,,,,,,,,,,1.91,percent of total billed charges,1.752706046,,,,,,,,,,1.91,percent of total billed charges,1.797805749,,,,,,,,,,1.91,percent of total billed charges,999999999,,,,,,,,,,1.91,percent of total billed charges,1.542643934,,,,,,,,,,1.91,percent of total billed charges,2.432855865,,,,,,,,,,1.91,percent of total billed charges,999999999,,,,,,,,,,1.91,percent of total billed charges,1.663347442,,,,,,,,,,6.876,percent of total billed charges,,,,,
**OXAZEPAM (SERAX) 15MG: CAP,259,RC,5486-8218-01,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
**LANSOPRAZOLE (PREVACID) 30MG: SOLUTAB,259,RC,6476-4004-13,NDC,,both,1,EA,16,16,3.406143114,16,16,percent of total billed charges,11.77176841,,,,16,percent of total billed charges,12.47784176,,,,16,percent of total billed charges,11.77176841,,,,16,percent of total billed charges,12.47784176,,,,16,percent of total billed charges,999999999,,,,16,percent of total billed charges,12.19090033,,,,16,percent of total billed charges,11.77176841,,,,16,percent of total billed charges,12.47784176,,,,11.408,percent of total billed charges,5.692800767,,,,11.408,percent of total billed charges,3.406143114,,,,11.408,percent of total billed charges,5.692800767,,,,11.408,percent of total billed charges,3.406143114,,,,11.408,percent of total billed charges,5.692800767,,,,11.408,percent of total billed charges,3.406143114,,,,11.296,percent of total billed charges,11.21029418,,,,11.296,percent of total billed charges,7.731651041,,,,,,,,,,11.52,percent of total billed charges,7.48772891,,,,,,,,,,11.52,percent of total billed charges,999999999,,,,,,,,,,12.8,percent of total billed charges,10.72573463,,,,12.64,percent of total billed charges,12.19814396,,,,12.64,percent of total billed charges,10.77746397,,,,12.8,percent of total billed charges,999999999,,,,12.8,percent of total billed charges,999999999,,,,11.2,percent of total billed charges,999999999,,,,11.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,8.512,percent of total billed charges,999999999,,,,,,,,,,,,,,,,8.08,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4,percent of total billed charges,3.799021564,,,,,,,,,,4,percent of total billed charges,3.735827425,,,,,,,,,,4,percent of total billed charges,3.725445721,,,,,,,,,,4,percent of total billed charges,3.670588578,,,,,,,,,,4,percent of total billed charges,3.765038218,,,,,,,,,,4,percent of total billed charges,999999999,,,,,,,,,,4,percent of total billed charges,3.230667926,,,,,,,,,,4,percent of total billed charges,5.094986104,,,,,,,,,,4,percent of total billed charges,999999999,,,,,,,,,,4,percent of total billed charges,3.48345014,,,,,,,,,,14.4,percent of total billed charges,,,,,
oxyBUTYnin (DITROPAN) 5 MG TAB,637,RC,5515-4065-00,NDC,,both,1,EA,1.76,1.76,0.374675743,1.76,1.76,percent of total billed charges,1.294894525,,,,1.76,percent of total billed charges,1.372562594,,,,1.76,percent of total billed charges,1.294894525,,,,1.76,percent of total billed charges,1.372562594,,,,1.76,percent of total billed charges,999999999,,,,1.76,percent of total billed charges,1.340999036,,,,1.76,percent of total billed charges,1.294894525,,,,1.76,percent of total billed charges,1.372562594,,,,1.25488,percent of total billed charges,0.626208084,,,,1.25488,percent of total billed charges,0.374675743,,,,1.25488,percent of total billed charges,0.626208084,,,,1.25488,percent of total billed charges,0.374675743,,,,1.25488,percent of total billed charges,0.626208084,,,,1.25488,percent of total billed charges,0.374675743,,,,1.24256,percent of total billed charges,1.233132359,,,,1.24256,percent of total billed charges,0.850481614,,,,,,,,,,1.2672,percent of total billed charges,0.82365018,,,,,,,,,,1.2672,percent of total billed charges,999999999,,,,,,,,,,1.408,percent of total billed charges,1.17983081,,,,1.3904,percent of total billed charges,1.341795836,,,,1.3904,percent of total billed charges,1.185521036,,,,1.408,percent of total billed charges,999999999,,,,1.408,percent of total billed charges,999999999,,,,1.232,percent of total billed charges,999999999,,,,1.232,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.93632,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.8888,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.44,percent of total billed charges,0.417892372,,,,,,,,,,0.44,percent of total billed charges,0.410941017,,,,,,,,,,0.44,percent of total billed charges,0.409799029,,,,,,,,,,0.44,percent of total billed charges,0.403764744,,,,,,,,,,0.44,percent of total billed charges,0.414154204,,,,,,,,,,0.44,percent of total billed charges,999999999,,,,,,,,,,0.44,percent of total billed charges,0.355373472,,,,,,,,,,0.44,percent of total billed charges,0.560448471,,,,,,,,,,0.44,percent of total billed charges,999999999,,,,,,,,,,0.44,percent of total billed charges,0.383179515,,,,,,,,,,1.584,percent of total billed charges,,,,,
oxyCODONE 5/325 (PERCOCET) TAB,250,RC,0040-6051-62,NDC,,both,1,EA,4.19,4.19,0.891983728,4.19,4.19,percent of total billed charges,3.082731853,,,,4.19,percent of total billed charges,3.267634811,,,,4.19,percent of total billed charges,3.082731853,,,,4.19,percent of total billed charges,3.267634811,,,,4.19,percent of total billed charges,999999999,,,,4.19,percent of total billed charges,3.192492023,,,,4.19,percent of total billed charges,3.082731853,,,,4.19,percent of total billed charges,3.267634811,,,,2.98747,percent of total billed charges,1.490802201,,,,2.98747,percent of total billed charges,0.891983728,,,,2.98747,percent of total billed charges,1.490802201,,,,2.98747,percent of total billed charges,0.891983728,,,,2.98747,percent of total billed charges,1.490802201,,,,2.98747,percent of total billed charges,0.891983728,,,,2.95814,percent of total billed charges,2.935695788,,,,2.95814,percent of total billed charges,2.024726116,,,,,,,,,,3.0168,percent of total billed charges,1.960849008,,,,,,,,,,3.0168,percent of total billed charges,999999999,,,,,,,,,,3.352,percent of total billed charges,2.808801757,,,,3.3101,percent of total billed charges,3.19438895,,,,3.3101,percent of total billed charges,2.822348376,,,,3.352,percent of total billed charges,999999999,,,,3.352,percent of total billed charges,999999999,,,,2.933,percent of total billed charges,999999999,,,,2.933,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2.22908,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2.11595,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.0475,percent of total billed charges,0.994868772,,,,,,,,,,1.0475,percent of total billed charges,0.978319807,,,,,,,,,,1.0475,percent of total billed charges,0.975601098,,,,,,,,,,1.0475,percent of total billed charges,0.961235384,,,,,,,,,,1.0475,percent of total billed charges,0.985969383,,,,,,,,,,1.0475,percent of total billed charges,999999999,,,,,,,,,,1.0475,percent of total billed charges,0.846031163,,,,,,,,,,1.0475,percent of total billed charges,1.334249486,,,,,,,,,,1.0475,percent of total billed charges,999999999,,,,,,,,,,1.0475,percent of total billed charges,0.912228505,,,,,,,,,,3.771,percent of total billed charges,,,,,
**OXYCODONE 5MG/ASA 325MG (PERCODAN): T,259,RC,6348-1012-70,NDC,,both,1,EA,12,12,2.554607335,12,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,12,percent of total billed charges,999999999,,,,12,percent of total billed charges,9.143175245,,,,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.472,percent of total billed charges,8.407720633,,,,8.472,percent of total billed charges,5.79873828,,,,,,,,,,8.64,percent of total billed charges,5.615796683,,,,,,,,,,8.64,percent of total billed charges,999999999,,,,,,,,,,9.6,percent of total billed charges,8.044300975,,,,9.48,percent of total billed charges,9.148607971,,,,9.48,percent of total billed charges,8.083097975,,,,9.6,percent of total billed charges,999999999,,,,9.6,percent of total billed charges,999999999,,,,8.4,percent of total billed charges,999999999,,,,8.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.384,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.06,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3,percent of total billed charges,2.849266173,,,,,,,,,,3,percent of total billed charges,2.801870569,,,,,,,,,,3,percent of total billed charges,2.794084291,,,,,,,,,,3,percent of total billed charges,2.752941434,,,,,,,,,,3,percent of total billed charges,2.823778664,,,,,,,,,,3,percent of total billed charges,999999999,,,,,,,,,,3,percent of total billed charges,2.423000944,,,,,,,,,,3,percent of total billed charges,3.821239578,,,,,,,,,,3,percent of total billed charges,999999999,,,,,,,,,,3,percent of total billed charges,2.612587605,,,,,,,,,,10.8,percent of total billed charges,,,,,
OXYMETAZOLINE (AFRIN) 0.05% SPRAY 15ML,250,RC,0008-5411-01,NDC,,both,1,EA,29.52,29.52,6.284334045,29.52,29.52,percent of total billed charges,21.71891272,,,,29.52,percent of total billed charges,23.02161805,,,,29.52,percent of total billed charges,21.71891272,,,,29.52,percent of total billed charges,23.02161805,,,,29.52,percent of total billed charges,999999999,,,,29.52,percent of total billed charges,22.4922111,,,,29.52,percent of total billed charges,21.71891272,,,,29.52,percent of total billed charges,23.02161805,,,,21.04776,percent of total billed charges,10.50321741,,,,21.04776,percent of total billed charges,6.284334045,,,,21.04776,percent of total billed charges,10.50321741,,,,21.04776,percent of total billed charges,6.284334045,,,,21.04776,percent of total billed charges,10.50321741,,,,21.04776,percent of total billed charges,6.284334045,,,,20.84112,percent of total billed charges,20.68299276,,,,20.84112,percent of total billed charges,14.26489617,,,,,,,,,,21.2544,percent of total billed charges,13.81485984,,,,,,,,,,21.2544,percent of total billed charges,999999999,,,,,,,,,,23.616,percent of total billed charges,19.7889804,,,,23.3208,percent of total billed charges,22.50557561,,,,23.3208,percent of total billed charges,19.88442102,,,,23.616,percent of total billed charges,999999999,,,,23.616,percent of total billed charges,999999999,,,,20.664,percent of total billed charges,999999999,,,,20.664,percent of total billed charges,999999999,,,,,,,,,,,,,,,,15.70464,percent of total billed charges,999999999,,,,,,,,,,,,,,,,14.9076,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7.38,percent of total billed charges,7.009194786,,,,,,,,,,7.38,percent of total billed charges,6.8926016,,,,,,,,,,7.38,percent of total billed charges,6.873447355,,,,,,,,,,7.38,percent of total billed charges,6.772235927,,,,,,,,,,7.38,percent of total billed charges,6.946495513,,,,,,,,,,7.38,percent of total billed charges,999999999,,,,,,,,,,7.38,percent of total billed charges,5.960582323,,,,,,,,,,7.38,percent of total billed charges,9.400249362,,,,,,,,,,7.38,percent of total billed charges,999999999,,,,,,,,,,7.38,percent of total billed charges,6.426965509,,,,,,,,,,26.568,percent of total billed charges,,,,,
**E-DIMETAPP (BROMOTAPP) LIQUID 4OZ:,250,RC,5483-8012-40,NDC,,both,1,EA,13,13,2.76749128,13,13,percent of total billed charges,9.564561834,,,,13,percent of total billed charges,10.13824643,,,,13,percent of total billed charges,9.564561834,,,,13,percent of total billed charges,10.13824643,,,,13,percent of total billed charges,999999999,,,,13,percent of total billed charges,9.905106516,,,,13,percent of total billed charges,9.564561834,,,,13,percent of total billed charges,10.13824643,,,,9.269,percent of total billed charges,4.625400623,,,,9.269,percent of total billed charges,2.76749128,,,,9.269,percent of total billed charges,4.625400623,,,,9.269,percent of total billed charges,2.76749128,,,,9.269,percent of total billed charges,4.625400623,,,,9.269,percent of total billed charges,2.76749128,,,,9.178,percent of total billed charges,9.108364019,,,,9.178,percent of total billed charges,6.281966471,,,,,,,,,,9.36,percent of total billed charges,6.083779739,,,,,,,,,,9.36,percent of total billed charges,999999999,,,,,,,,,,10.4,percent of total billed charges,8.71465939,,,,10.27,percent of total billed charges,9.910991969,,,,10.27,percent of total billed charges,8.756689473,,,,10.4,percent of total billed charges,999999999,,,,10.4,percent of total billed charges,999999999,,,,9.1,percent of total billed charges,999999999,,,,9.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.916,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.565,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3.25,percent of total billed charges,3.086705021,,,,,,,,,,3.25,percent of total billed charges,3.035359783,,,,,,,,,,3.25,percent of total billed charges,3.026924648,,,,,,,,,,3.25,percent of total billed charges,2.98235322,,,,,,,,,,3.25,percent of total billed charges,3.059093552,,,,,,,,,,3.25,percent of total billed charges,999999999,,,,,,,,,,3.25,percent of total billed charges,2.624917689,,,,,,,,,,3.25,percent of total billed charges,4.13967621,,,,,,,,,,3.25,percent of total billed charges,999999999,,,,,,,,,,3.25,percent of total billed charges,2.830303239,,,,,,,,,,11.7,percent of total billed charges,,,,,
PENICILLIN VK 250MG TAB,637,RC,0009-3117-01,NDC,,both,1,EA,0.5,0.5,0.106441972,0.5,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,999999999,,,,0.5,percent of total billed charges,0.380965635,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.353,percent of total billed charges,0.350321693,,,,0.353,percent of total billed charges,0.241614095,,,,,,,,,,0.36,percent of total billed charges,0.233991528,,,,,,,,,,0.36,percent of total billed charges,999999999,,,,,,,,,,0.4,percent of total billed charges,0.335179207,,,,0.395,percent of total billed charges,0.381191999,,,,0.395,percent of total billed charges,0.336795749,,,,0.4,percent of total billed charges,999999999,,,,0.4,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.266,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.2525,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.125,percent of total billed charges,0.118719424,,,,,,,,,,0.125,percent of total billed charges,0.116744607,,,,,,,,,,0.125,percent of total billed charges,0.116420179,,,,,,,,,,0.125,percent of total billed charges,0.114705893,,,,,,,,,,0.125,percent of total billed charges,0.117657444,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.100958373,,,,,,,,,,0.125,percent of total billed charges,0.159218316,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.108857817,,,,,,,,,,0.45,percent of total billed charges,,,,,
PENICILLIN (PEN VK) TAB 500MG,637,RC,0078-1165-01,NDC,,both,1,EA,0.5,0.5,0.106441972,0.5,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,999999999,,,,0.5,percent of total billed charges,0.380965635,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.353,percent of total billed charges,0.350321693,,,,0.353,percent of total billed charges,0.241614095,,,,,,,,,,0.36,percent of total billed charges,0.233991528,,,,,,,,,,0.36,percent of total billed charges,999999999,,,,,,,,,,0.4,percent of total billed charges,0.335179207,,,,0.395,percent of total billed charges,0.381191999,,,,0.395,percent of total billed charges,0.336795749,,,,0.4,percent of total billed charges,999999999,,,,0.4,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.266,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.2525,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.125,percent of total billed charges,0.118719424,,,,,,,,,,0.125,percent of total billed charges,0.116744607,,,,,,,,,,0.125,percent of total billed charges,0.116420179,,,,,,,,,,0.125,percent of total billed charges,0.114705893,,,,,,,,,,0.125,percent of total billed charges,0.117657444,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.100958373,,,,,,,,,,0.125,percent of total billed charges,0.159218316,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.108857817,,,,,,,,,,0.45,percent of total billed charges,,,,,
MIDAZOLAM (VERSED) SYRUP 10 MG / 5ML,250,RC,0057-4015-04,NDC,,both,1,EA,15.01,15.01,3.195388009,15.01,15.01,percent of total billed charges,11.04339024,,,,15.01,percent of total billed charges,11.7057753,,,,15.01,percent of total billed charges,11.04339024,,,,15.01,percent of total billed charges,11.7057753,,,,15.01,percent of total billed charges,999999999,,,,15.01,percent of total billed charges,11.43658837,,,,15.01,percent of total billed charges,11.04339024,,,,15.01,percent of total billed charges,11.7057753,,,,10.70213,percent of total billed charges,5.340558719,,,,10.70213,percent of total billed charges,3.195388009,,,,10.70213,percent of total billed charges,5.340558719,,,,10.70213,percent of total billed charges,3.195388009,,,,10.70213,percent of total billed charges,5.340558719,,,,10.70213,percent of total billed charges,3.195388009,,,,10.59706,percent of total billed charges,10.51665722,,,,10.59706,percent of total billed charges,7.253255133,,,,,,,,,,10.8072,percent of total billed charges,7.024425684,,,,,,,,,,10.8072,percent of total billed charges,999999999,,,,,,,,,,12.008,percent of total billed charges,10.0620798,,,,11.8579,percent of total billed charges,11.4433838,,,,11.8579,percent of total billed charges,10.11060838,,,,12.008,percent of total billed charges,999999999,,,,12.008,percent of total billed charges,999999999,,,,10.507,percent of total billed charges,999999999,,,,10.507,percent of total billed charges,999999999,,,,,,,,,,,,,,,,7.98532,percent of total billed charges,999999999,,,,,,,,,,,,,,,,7.58005,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3.7525,percent of total billed charges,3.563957105,,,,,,,,,,3.7525,percent of total billed charges,3.504673104,,,,,,,,,,3.7525,percent of total billed charges,3.494933767,,,,,,,,,,3.7525,percent of total billed charges,3.44347091,,,,,,,,,,3.7525,percent of total billed charges,3.532076479,,,,,,,,,,3.7525,percent of total billed charges,999999999,,,,,,,,,,3.7525,percent of total billed charges,3.030770348,,,,,,,,,,3.7525,percent of total billed charges,4.779733839,,,,,,,,,,3.7525,percent of total billed charges,999999999,,,,,,,,,,3.7525,percent of total billed charges,3.267911663,,,,,,,,,,13.509,percent of total billed charges,,,,,
**PENTAZOCINE(TALWIN) INJ 30 MG/ML: 1 ML,J3070,CDM,0040-9194-01,NDC,,both,1,EA,29,29,6.173634394,29,29,percent of total billed charges,21.33633025,,,,29,percent of total billed charges,22.61608819,,,,29,percent of total billed charges,21.33633025,,,,29,percent of total billed charges,22.61608819,,,,29,percent of total billed charges,999999999,,,,29,percent of total billed charges,22.09600684,,,,29,percent of total billed charges,21.33633025,,,,29,percent of total billed charges,22.61608819,,,,20.677,percent of total billed charges,10.31820139,,,,20.677,percent of total billed charges,6.173634394,,,,20.677,percent of total billed charges,10.31820139,,,,20.677,percent of total billed charges,6.173634394,,,,20.677,percent of total billed charges,10.31820139,,,,20.677,percent of total billed charges,6.173634394,,,,20.474,percent of total billed charges,20.3186582,,,,20.474,percent of total billed charges,14.01361751,,,,,,,,,,20.88,percent of total billed charges,13.57150865,,,,,,,,,,20.88,percent of total billed charges,999999999,,,,,,,,,,23.2,percent of total billed charges,19.44039402,,,,22.91,percent of total billed charges,22.10913593,,,,22.91,percent of total billed charges,19.53415344,,,,23.2,percent of total billed charges,999999999,,,,23.2,percent of total billed charges,999999999,,,,20.3,percent of total billed charges,999999999,,,,20.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,15.428,percent of total billed charges,999999999,,,,,,,,,,,,,,,,14.645,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7.25,percent of total billed charges,6.885726585,,,,,,,,,,7.25,percent of total billed charges,6.771187209,,,,,,,,,,7.25,percent of total billed charges,6.752370369,,,,,,,,,,7.25,percent of total billed charges,6.652941798,,,,,,,,,,7.25,percent of total billed charges,6.824131771,,,,,,,,,,7.25,percent of total billed charges,999999999,,,,,,,,,,7.25,percent of total billed charges,5.855585615,,,,,,,,,,7.25,percent of total billed charges,9.234662314,,,,,,,,,,7.25,percent of total billed charges,999999999,,,,,,,,,,7.25,percent of total billed charges,6.313753379,,,,,,,,,,26.1,percent of total billed charges,,,,,
MIRTAZAPINE (REMERON) 15 MG TAB,637,RC,5295-9077-60,NDC,,both,1,EA,0.77,0.77,0.163920637,0.77,0.77,percent of total billed charges,0.566516355,,,,0.77,percent of total billed charges,0.600496135,,,,0.77,percent of total billed charges,0.566516355,,,,0.77,percent of total billed charges,0.600496135,,,,0.77,percent of total billed charges,999999999,,,,0.77,percent of total billed charges,0.586687078,,,,0.77,percent of total billed charges,0.566516355,,,,0.77,percent of total billed charges,0.600496135,,,,0.54901,percent of total billed charges,0.273966037,,,,0.54901,percent of total billed charges,0.163920637,,,,0.54901,percent of total billed charges,0.273966037,,,,0.54901,percent of total billed charges,0.163920637,,,,0.54901,percent of total billed charges,0.273966037,,,,0.54901,percent of total billed charges,0.163920637,,,,0.54362,percent of total billed charges,0.539495407,,,,0.54362,percent of total billed charges,0.372085706,,,,,,,,,,0.5544,percent of total billed charges,0.360346954,,,,,,,,,,0.5544,percent of total billed charges,999999999,,,,,,,,,,0.616,percent of total billed charges,0.516175979,,,,0.6083,percent of total billed charges,0.587035678,,,,0.6083,percent of total billed charges,0.518665453,,,,0.616,percent of total billed charges,999999999,,,,0.616,percent of total billed charges,999999999,,,,0.539,percent of total billed charges,999999999,,,,0.539,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.40964,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.38885,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.1925,percent of total billed charges,0.182827913,,,,,,,,,,0.1925,percent of total billed charges,0.179786695,,,,,,,,,,0.1925,percent of total billed charges,0.179287075,,,,,,,,,,0.1925,percent of total billed charges,0.176647075,,,,,,,,,,0.1925,percent of total billed charges,0.181192464,,,,,,,,,,0.1925,percent of total billed charges,999999999,,,,,,,,,,0.1925,percent of total billed charges,0.155475894,,,,,,,,,,0.1925,percent of total billed charges,0.245196206,,,,,,,,,,0.1925,percent of total billed charges,999999999,,,,,,,,,,0.1925,percent of total billed charges,0.167641038,,,,,,,,,,0.693,percent of total billed charges,,,,,
**NISOLDIPINE (SULAR XR) 20MG TAB,259,RC,6808-4055-11,NDC,,both,1,EA,17,17,3.619027059,17,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,17,percent of total billed charges,999999999,,,,17,percent of total billed charges,12.9528316,,,,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.002,percent of total billed charges,11.91093756,,,,12.002,percent of total billed charges,8.214879231,,,,,,,,,,12.24,percent of total billed charges,7.955711967,,,,,,,,,,12.24,percent of total billed charges,999999999,,,,,,,,,,13.6,percent of total billed charges,11.39609305,,,,13.43,percent of total billed charges,12.96052796,,,,13.43,percent of total billed charges,11.45105547,,,,13.6,percent of total billed charges,999999999,,,,13.6,percent of total billed charges,999999999,,,,11.9,percent of total billed charges,999999999,,,,11.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.044,percent of total billed charges,999999999,,,,,,,,,,,,,,,,8.585,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4.25,percent of total billed charges,4.036460412,,,,,,,,,,4.25,percent of total billed charges,3.96931664,,,,,,,,,,4.25,percent of total billed charges,3.958286079,,,,,,,,,,4.25,percent of total billed charges,3.900000364,,,,,,,,,,4.25,percent of total billed charges,4.000353107,,,,,,,,,,4.25,percent of total billed charges,999999999,,,,,,,,,,4.25,percent of total billed charges,3.432584671,,,,,,,,,,4.25,percent of total billed charges,5.413422736,,,,,,,,,,4.25,percent of total billed charges,999999999,,,,,,,,,,4.25,percent of total billed charges,3.701165774,,,,,,,,,,15.3,percent of total billed charges,,,,,
PHENAZOPYRIDINE (PYRIDIUM) 100MG TAB,637,RC,4293-7070-10,NDC,,both,1,EA,5.7,5.7,1.213438484,5.7,5.7,percent of total billed charges,4.193692497,,,,5.7,percent of total billed charges,4.445231127,,,,5.7,percent of total billed charges,4.193692497,,,,5.7,percent of total billed charges,4.445231127,,,,5.7,percent of total billed charges,999999999,,,,5.7,percent of total billed charges,4.343008241,,,,5.7,percent of total billed charges,4.193692497,,,,5.7,percent of total billed charges,4.445231127,,,,4.0641,percent of total billed charges,2.028060273,,,,4.0641,percent of total billed charges,1.213438484,,,,4.0641,percent of total billed charges,2.028060273,,,,4.0641,percent of total billed charges,1.213438484,,,,4.0641,percent of total billed charges,2.028060273,,,,4.0641,percent of total billed charges,1.213438484,,,,4.0242,percent of total billed charges,3.993667301,,,,4.0242,percent of total billed charges,2.754400683,,,,,,,,,,4.104,percent of total billed charges,2.667503424,,,,,,,,,,4.104,percent of total billed charges,999999999,,,,,,,,,,4.56,percent of total billed charges,3.821042963,,,,4.503,percent of total billed charges,4.345588786,,,,4.503,percent of total billed charges,3.839471538,,,,4.56,percent of total billed charges,999999999,,,,4.56,percent of total billed charges,999999999,,,,3.99,percent of total billed charges,999999999,,,,3.99,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.0324,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2.8785,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.425,percent of total billed charges,1.353401432,,,,,,,,,,1.425,percent of total billed charges,1.33088852,,,,,,,,,,1.425,percent of total billed charges,1.327190038,,,,,,,,,,1.425,percent of total billed charges,1.307647181,,,,,,,,,,1.425,percent of total billed charges,1.341294865,,,,,,,,,,1.425,percent of total billed charges,999999999,,,,,,,,,,1.425,percent of total billed charges,1.150925448,,,,,,,,,,1.425,percent of total billed charges,1.8150888,,,,,,,,,,1.425,percent of total billed charges,999999999,,,,,,,,,,1.425,percent of total billed charges,1.240979112,,,,,,,,,,5.13,percent of total billed charges,,,,,
**BUMETANIDE (BUMEX) 0.5MG TAB,259,RC,0009-3423-01,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
BETAMETHASONE (CELESTONE) 30MG/5ML: MDV,J0702,CDM,0051-7072-01,NDC,,both,1,EA,480.73,480.73,102.3396987,480.73,480.73,percent of total billed charges,353.6901393,,,,480.73,percent of total billed charges,374.9045543,,,,480.73,percent of total billed charges,353.6901393,,,,480.73,percent of total billed charges,374.9045543,,,,480.73,percent of total billed charges,999999999,,,,480.73,percent of total billed charges,366.2832196,,,,480.73,percent of total billed charges,353.6901393,,,,480.73,percent of total billed charges,374.9045543,,,,342.76049,percent of total billed charges,171.043757,,,,342.76049,percent of total billed charges,102.3396987,,,,342.76049,percent of total billed charges,171.043757,,,,342.76049,percent of total billed charges,102.3396987,,,,342.76049,percent of total billed charges,171.043757,,,,342.76049,percent of total billed charges,102.3396987,,,,339.39538,percent of total billed charges,336.820295,,,,339.39538,percent of total billed charges,232.3022878,,,,,,,,,,346.1256,percent of total billed charges,224.9734949,,,,,,,,,,346.1256,percent of total billed charges,999999999,,,,,,,,,,384.584,percent of total billed charges,322.2614006,,,,379.7767,percent of total billed charges,366.5008592,,,,379.7767,percent of total billed charges,323.8156408,,,,384.584,percent of total billed charges,999999999,,,,384.584,percent of total billed charges,999999999,,,,336.511,percent of total billed charges,999999999,,,,336.511,percent of total billed charges,999999999,,,,,,,,,,,,,,,,255.74836,percent of total billed charges,999999999,,,,,,,,,,,,,,,,242.76865,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,120.1825,percent of total billed charges,114.1439773,,,,,,,,,,120.1825,percent of total billed charges,112.2452699,,,,,,,,,,120.1825,percent of total billed charges,111.9333451,,,,,,,,,,120.1825,percent of total billed charges,110.2851279,,,,,,,,,,120.1825,percent of total billed charges,113.1229264,,,,,,,,,,120.1825,percent of total billed charges,999999999,,,,,,,,,,120.1825,percent of total billed charges,97.06743699,,,,,,,,,,120.1825,percent of total billed charges,153.0820419,,,,,,,,,,120.1825,percent of total billed charges,999999999,,,,,,,,,,120.1825,percent of total billed charges,104.6624366,,,,,,,,,,432.657,percent of total billed charges,,,,,
PROMETHAZINE W/COD 10-6.25/5ML SYR:120ML,259,RC,6362-9160-01,NDC,,both,1,EA,53.67,53.67,11.42548131,53.67,53.67,percent of total billed charges,39.48692567,,,,53.67,percent of total billed charges,41.85536045,,,,53.67,percent of total billed charges,39.48692567,,,,53.67,percent of total billed charges,41.85536045,,,,53.67,percent of total billed charges,999999999,,,,53.67,percent of total billed charges,40.89285128,,,,53.67,percent of total billed charges,39.48692567,,,,53.67,percent of total billed charges,41.85536045,,,,38.26671,percent of total billed charges,19.09578857,,,,38.26671,percent of total billed charges,11.42548131,,,,38.26671,percent of total billed charges,19.09578857,,,,38.26671,percent of total billed charges,11.42548131,,,,38.26671,percent of total billed charges,19.09578857,,,,38.26671,percent of total billed charges,11.42548131,,,,37.89102,percent of total billed charges,37.60353053,,,,37.89102,percent of total billed charges,25.93485696,,,,,,,,,,38.6424,percent of total billed charges,25.11665066,,,,,,,,,,38.6424,percent of total billed charges,999999999,,,,,,,,,,42.936,percent of total billed charges,35.97813611,,,,42.3993,percent of total billed charges,40.91714915,,,,42.3993,percent of total billed charges,36.15165569,,,,42.936,percent of total billed charges,999999999,,,,42.936,percent of total billed charges,999999999,,,,37.569,percent of total billed charges,999999999,,,,37.569,percent of total billed charges,999999999,,,,,,,,,,,,,,,,28.55244,percent of total billed charges,999999999,,,,,,,,,,,,,,,,27.10335,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13.4175,percent of total billed charges,12.74334296,,,,,,,,,,13.4175,percent of total billed charges,12.53136612,,,,,,,,,,13.4175,percent of total billed charges,12.49654199,,,,,,,,,,13.4175,percent of total billed charges,12.31253056,,,,,,,,,,13.4175,percent of total billed charges,12.62935007,,,,,,,,,,13.4175,percent of total billed charges,999999999,,,,,,,,,,13.4175,percent of total billed charges,10.83687172,,,,,,,,,,13.4175,percent of total billed charges,17.09049401,,,,,,,,,,13.4175,percent of total billed charges,999999999,,,,,,,,,,13.4175,percent of total billed charges,11.68479806,,,,,,,,,,48.303,percent of total billed charges,,,,,
PHENobarbital INJ 65MG/ML VIAL,J2560,CDM,0064-1047-25,NDC,,both,1,EA,153.63,153.63,32.70536041,153.63,153.63,percent of total billed charges,113.0310488,,,,153.63,percent of total billed charges,119.8106769,,,,153.63,percent of total billed charges,113.0310488,,,,153.63,percent of total billed charges,119.8106769,,,,153.63,percent of total billed charges,999999999,,,,153.63,percent of total billed charges,117.0555011,,,,153.63,percent of total billed charges,113.0310488,,,,153.63,percent of total billed charges,119.8106769,,,,109.53819,percent of total billed charges,54.66156136,,,,109.53819,percent of total billed charges,32.70536041,,,,109.53819,percent of total billed charges,54.66156136,,,,109.53819,percent of total billed charges,32.70536041,,,,109.53819,percent of total billed charges,54.66156136,,,,109.53819,percent of total billed charges,32.70536041,,,,108.46278,percent of total billed charges,107.6398434,,,,108.46278,percent of total billed charges,74.23834684,,,,,,,,,,110.6136,percent of total billed charges,71.89623703,,,,,,,,,,110.6136,percent of total billed charges,999999999,,,,,,,,,,122.904,percent of total billed charges,102.9871632,,,,121.3677,percent of total billed charges,117.1250535,,,,121.3677,percent of total billed charges,103.4838618,,,,122.904,percent of total billed charges,999999999,,,,122.904,percent of total billed charges,999999999,,,,107.541,percent of total billed charges,999999999,,,,107.541,percent of total billed charges,999999999,,,,,,,,,,,,,,,,81.73116,percent of total billed charges,999999999,,,,,,,,,,,,,,,,77.58315,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,38.4075,percent of total billed charges,36.47773018,,,,,,,,,,38.4075,percent of total billed charges,35.87094796,,,,,,,,,,38.4075,percent of total billed charges,35.77126413,,,,,,,,,,38.4075,percent of total billed charges,35.2445327,,,,,,,,,,38.4075,percent of total billed charges,36.15142634,,,,,,,,,,38.4075,percent of total billed charges,999999999,,,,,,,,,,38.4075,percent of total billed charges,31.02046959,,,,,,,,,,38.4075,percent of total billed charges,48.9214197,,,,,,,,,,38.4075,percent of total billed charges,999999999,,,,,,,,,,38.4075,percent of total billed charges,33.44765282,,,,,,,,,,138.267,percent of total billed charges,,,,,
**PHENOBARBITAL 60MG: TAB,259,RC,0060-3516-21,NDC,,both,1,EA,4,4,0.851535778,4,4,percent of total billed charges,2.942942103,,,,4,percent of total billed charges,3.11946044,,,,4,percent of total billed charges,2.942942103,,,,4,percent of total billed charges,3.11946044,,,,4,percent of total billed charges,999999999,,,,4,percent of total billed charges,3.047725082,,,,4,percent of total billed charges,2.942942103,,,,4,percent of total billed charges,3.11946044,,,,2.852,percent of total billed charges,1.423200192,,,,2.852,percent of total billed charges,0.851535778,,,,2.852,percent of total billed charges,1.423200192,,,,2.852,percent of total billed charges,0.851535778,,,,2.852,percent of total billed charges,1.423200192,,,,2.852,percent of total billed charges,0.851535778,,,,2.824,percent of total billed charges,2.802573544,,,,2.824,percent of total billed charges,1.93291276,,,,,,,,,,2.88,percent of total billed charges,1.871932228,,,,,,,,,,2.88,percent of total billed charges,999999999,,,,,,,,,,3.2,percent of total billed charges,2.681433658,,,,3.16,percent of total billed charges,3.04953599,,,,3.16,percent of total billed charges,2.694365992,,,,3.2,percent of total billed charges,999999999,,,,3.2,percent of total billed charges,999999999,,,,2.8,percent of total billed charges,999999999,,,,2.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2.128,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2.02,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1,percent of total billed charges,0.949755391,,,,,,,,,,1,percent of total billed charges,0.933956856,,,,,,,,,,1,percent of total billed charges,0.93136143,,,,,,,,,,1,percent of total billed charges,0.917647145,,,,,,,,,,1,percent of total billed charges,0.941259555,,,,,,,,,,1,percent of total billed charges,999999999,,,,,,,,,,1,percent of total billed charges,0.807666981,,,,,,,,,,1,percent of total billed charges,1.273746526,,,,,,,,,,1,percent of total billed charges,999999999,,,,,,,,,,1,percent of total billed charges,0.870862535,,,,,,,,,,3.6,percent of total billed charges,,,,,
PHENOL (CHLORASEPTIC) SPRAY  6OZ,637,RC,5486-8581-00,NDC,,both,1,EA,42.73,42.73,9.096530954,42.73,42.73,percent of total billed charges,31.43797901,,,,42.73,percent of total billed charges,33.32363615,,,,42.73,percent of total billed charges,31.43797901,,,,42.73,percent of total billed charges,33.32363615,,,,42.73,percent of total billed charges,999999999,,,,42.73,percent of total billed charges,32.55732319,,,,42.73,percent of total billed charges,31.43797901,,,,42.73,percent of total billed charges,33.32363615,,,,30.46649,percent of total billed charges,15.20333605,,,,30.46649,percent of total billed charges,9.096530954,,,,30.46649,percent of total billed charges,15.20333605,,,,30.46649,percent of total billed charges,9.096530954,,,,30.46649,percent of total billed charges,15.20333605,,,,30.46649,percent of total billed charges,9.096530954,,,,30.16738,percent of total billed charges,29.93849189,,,,30.16738,percent of total billed charges,20.64834056,,,,,,,,,,30.7656,percent of total billed charges,19.99691602,,,,,,,,,,30.7656,percent of total billed charges,999999999,,,,,,,,,,34.184,percent of total billed charges,28.64441506,,,,33.7567,percent of total billed charges,32.57666822,,,,33.7567,percent of total billed charges,28.78256471,,,,34.184,percent of total billed charges,999999999,,,,34.184,percent of total billed charges,999999999,,,,29.911,percent of total billed charges,999999999,,,,29.911,percent of total billed charges,999999999,,,,,,,,,,,,,,,,22.73236,percent of total billed charges,999999999,,,,,,,,,,,,,,,,21.57865,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10.6825,percent of total billed charges,10.14576196,,,,,,,,,,10.6825,percent of total billed charges,9.976994118,,,,,,,,,,10.6825,percent of total billed charges,9.949268479,,,,,,,,,,10.6825,percent of total billed charges,9.802765621,,,,,,,,,,10.6825,percent of total billed charges,10.05500519,,,,,,,,,,10.6825,percent of total billed charges,999999999,,,,,,,,,,10.6825,percent of total billed charges,8.627902529,,,,,,,,,,10.6825,percent of total billed charges,13.60679726,,,,,,,,,,10.6825,percent of total billed charges,999999999,,,,,,,,,,10.6825,percent of total billed charges,9.302989031,,,,,,,,,,38.457,percent of total billed charges,,,,,
IBUPROFEN 200MG TAB,637,RC,0090-4791-61,NDC,,both,1,EA,0.5,0.5,0.106441972,0.5,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,999999999,,,,0.5,percent of total billed charges,0.380965635,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.353,percent of total billed charges,0.350321693,,,,0.353,percent of total billed charges,0.241614095,,,,,,,,,,0.36,percent of total billed charges,0.233991528,,,,,,,,,,0.36,percent of total billed charges,999999999,,,,,,,,,,0.4,percent of total billed charges,0.335179207,,,,0.395,percent of total billed charges,0.381191999,,,,0.395,percent of total billed charges,0.336795749,,,,0.4,percent of total billed charges,999999999,,,,0.4,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.266,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.2525,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.125,percent of total billed charges,0.118719424,,,,,,,,,,0.125,percent of total billed charges,0.116744607,,,,,,,,,,0.125,percent of total billed charges,0.116420179,,,,,,,,,,0.125,percent of total billed charges,0.114705893,,,,,,,,,,0.125,percent of total billed charges,0.117657444,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.100958373,,,,,,,,,,0.125,percent of total billed charges,0.159218316,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.108857817,,,,,,,,,,0.45,percent of total billed charges,,,,,
PHENYLEPHRINE NASAL SPRAY 0.25% 15ML,259,RC,0002-4134-03,NDC,,both,1,EA,48,48,10.21842934,48,48,percent of total billed charges,35.31530523,,,,48,percent of total billed charges,37.43352528,,,,48,percent of total billed charges,35.31530523,,,,48,percent of total billed charges,37.43352528,,,,48,percent of total billed charges,999999999,,,,48,percent of total billed charges,36.57270098,,,,48,percent of total billed charges,35.31530523,,,,48,percent of total billed charges,37.43352528,,,,34.224,percent of total billed charges,17.0784023,,,,34.224,percent of total billed charges,10.21842934,,,,34.224,percent of total billed charges,17.0784023,,,,34.224,percent of total billed charges,10.21842934,,,,34.224,percent of total billed charges,17.0784023,,,,34.224,percent of total billed charges,10.21842934,,,,33.888,percent of total billed charges,33.63088253,,,,33.888,percent of total billed charges,23.19495312,,,,,,,,,,34.56,percent of total billed charges,22.46318673,,,,,,,,,,34.56,percent of total billed charges,999999999,,,,,,,,,,38.4,percent of total billed charges,32.1772039,,,,37.92,percent of total billed charges,36.59443188,,,,37.92,percent of total billed charges,32.3323919,,,,38.4,percent of total billed charges,999999999,,,,38.4,percent of total billed charges,999999999,,,,33.6,percent of total billed charges,999999999,,,,33.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,25.536,percent of total billed charges,999999999,,,,,,,,,,,,,,,,24.24,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12,percent of total billed charges,11.39706469,,,,,,,,,,12,percent of total billed charges,11.20748228,,,,,,,,,,12,percent of total billed charges,11.17633716,,,,,,,,,,12,percent of total billed charges,11.01176573,,,,,,,,,,12,percent of total billed charges,11.29511466,,,,,,,,,,12,percent of total billed charges,999999999,,,,,,,,,,12,percent of total billed charges,9.692003777,,,,,,,,,,12,percent of total billed charges,15.28495831,,,,,,,,,,12,percent of total billed charges,999999999,,,,,,,,,,12,percent of total billed charges,10.45035042,,,,,,,,,,43.2,percent of total billed charges,,,,,
PHENYLEPHRINE NASAL SPRAY 0.5% 15ML,259,RC,0024-1035-01,NDC,,both,1,EA,48,48,10.21842934,48,48,percent of total billed charges,35.31530523,,,,48,percent of total billed charges,37.43352528,,,,48,percent of total billed charges,35.31530523,,,,48,percent of total billed charges,37.43352528,,,,48,percent of total billed charges,999999999,,,,48,percent of total billed charges,36.57270098,,,,48,percent of total billed charges,35.31530523,,,,48,percent of total billed charges,37.43352528,,,,34.224,percent of total billed charges,17.0784023,,,,34.224,percent of total billed charges,10.21842934,,,,34.224,percent of total billed charges,17.0784023,,,,34.224,percent of total billed charges,10.21842934,,,,34.224,percent of total billed charges,17.0784023,,,,34.224,percent of total billed charges,10.21842934,,,,33.888,percent of total billed charges,33.63088253,,,,33.888,percent of total billed charges,23.19495312,,,,,,,,,,34.56,percent of total billed charges,22.46318673,,,,,,,,,,34.56,percent of total billed charges,999999999,,,,,,,,,,38.4,percent of total billed charges,32.1772039,,,,37.92,percent of total billed charges,36.59443188,,,,37.92,percent of total billed charges,32.3323919,,,,38.4,percent of total billed charges,999999999,,,,38.4,percent of total billed charges,999999999,,,,33.6,percent of total billed charges,999999999,,,,33.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,25.536,percent of total billed charges,999999999,,,,,,,,,,,,,,,,24.24,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12,percent of total billed charges,11.39706469,,,,,,,,,,12,percent of total billed charges,11.20748228,,,,,,,,,,12,percent of total billed charges,11.17633716,,,,,,,,,,12,percent of total billed charges,11.01176573,,,,,,,,,,12,percent of total billed charges,11.29511466,,,,,,,,,,12,percent of total billed charges,999999999,,,,,,,,,,12,percent of total billed charges,9.692003777,,,,,,,,,,12,percent of total billed charges,15.28495831,,,,,,,,,,12,percent of total billed charges,999999999,,,,,,,,,,12,percent of total billed charges,10.45035042,,,,,,,,,,43.2,percent of total billed charges,,,,,
PHENYTOIN (DILANTIN) 50MG TAB,250,RC,6068-7015-25,NDC,,both,1,EA,3.77,3.77,0.802572471,3.77,3.77,percent of total billed charges,2.773722932,,,,3.77,percent of total billed charges,2.940091465,,,,3.77,percent of total billed charges,2.773722932,,,,3.77,percent of total billed charges,2.940091465,,,,3.77,percent of total billed charges,999999999,,,,3.77,percent of total billed charges,2.87248089,,,,3.77,percent of total billed charges,2.773722932,,,,3.77,percent of total billed charges,2.940091465,,,,2.68801,percent of total billed charges,1.341366181,,,,2.68801,percent of total billed charges,0.802572471,,,,2.68801,percent of total billed charges,1.341366181,,,,2.68801,percent of total billed charges,0.802572471,,,,2.68801,percent of total billed charges,1.341366181,,,,2.68801,percent of total billed charges,0.802572471,,,,2.66162,percent of total billed charges,2.641425565,,,,2.66162,percent of total billed charges,1.821770276,,,,,,,,,,2.7144,percent of total billed charges,1.764296124,,,,,,,,,,2.7144,percent of total billed charges,999999999,,,,,,,,,,3.016,percent of total billed charges,2.527251223,,,,2.9783,percent of total billed charges,2.874187671,,,,2.9783,percent of total billed charges,2.539439947,,,,3.016,percent of total billed charges,999999999,,,,3.016,percent of total billed charges,999999999,,,,2.639,percent of total billed charges,999999999,,,,2.639,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2.00564,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.90385,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.9425,percent of total billed charges,0.895144456,,,,,,,,,,0.9425,percent of total billed charges,0.880254337,,,,,,,,,,0.9425,percent of total billed charges,0.877808148,,,,,,,,,,0.9425,percent of total billed charges,0.864882434,,,,,,,,,,0.9425,percent of total billed charges,0.88713713,,,,,,,,,,0.9425,percent of total billed charges,999999999,,,,,,,,,,0.9425,percent of total billed charges,0.76122613,,,,,,,,,,0.9425,percent of total billed charges,1.200506101,,,,,,,,,,0.9425,percent of total billed charges,999999999,,,,,,,,,,0.9425,percent of total billed charges,0.820787939,,,,,,,,,,3.393,percent of total billed charges,,,,,
PHENYTOIN (DILANTIN) ER 100MG CAP,250,RC,5107-9090-20,NDC,,both,1,EA,1.58,1.58,0.336356633,1.58,1.58,percent of total billed charges,1.162462131,,,,1.58,percent of total billed charges,1.232186874,,,,1.58,percent of total billed charges,1.162462131,,,,1.58,percent of total billed charges,1.232186874,,,,1.58,percent of total billed charges,999999999,,,,1.58,percent of total billed charges,1.203851407,,,,1.58,percent of total billed charges,1.162462131,,,,1.58,percent of total billed charges,1.232186874,,,,1.12654,percent of total billed charges,0.562164076,,,,1.12654,percent of total billed charges,0.336356633,,,,1.12654,percent of total billed charges,0.562164076,,,,1.12654,percent of total billed charges,0.336356633,,,,1.12654,percent of total billed charges,0.562164076,,,,1.12654,percent of total billed charges,0.336356633,,,,1.11548,percent of total billed charges,1.10701655,,,,1.11548,percent of total billed charges,0.76350054,,,,,,,,,,1.1376,percent of total billed charges,0.73941323,,,,,,,,,,1.1376,percent of total billed charges,999999999,,,,,,,,,,1.264,percent of total billed charges,1.059166295,,,,1.2482,percent of total billed charges,1.204566716,,,,1.2482,percent of total billed charges,1.064274567,,,,1.264,percent of total billed charges,999999999,,,,1.264,percent of total billed charges,999999999,,,,1.106,percent of total billed charges,999999999,,,,1.106,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.84056,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.7979,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.395,percent of total billed charges,0.375153379,,,,,,,,,,0.395,percent of total billed charges,0.368912958,,,,,,,,,,0.395,percent of total billed charges,0.367887765,,,,,,,,,,0.395,percent of total billed charges,0.362470622,,,,,,,,,,0.395,percent of total billed charges,0.371797524,,,,,,,,,,0.395,percent of total billed charges,999999999,,,,,,,,,,0.395,percent of total billed charges,0.319028458,,,,,,,,,,0.395,percent of total billed charges,0.503129878,,,,,,,,,,0.395,percent of total billed charges,999999999,,,,,,,,,,0.395,percent of total billed charges,0.343990701,,,,,,,,,,1.422,percent of total billed charges,,,,,
PHENYTOIN (DILANTIN) INJ 250MG/5ML,J1165,CDM,0040-9131-02,NDC,,both,1,EA,27.77,27.77,5.911787142,27.77,27.77,percent of total billed charges,20.43137555,,,,27.77,percent of total billed charges,21.6568541,,,,27.77,percent of total billed charges,20.43137555,,,,27.77,percent of total billed charges,21.6568541,,,,27.77,percent of total billed charges,999999999,,,,27.77,percent of total billed charges,21.15883138,,,,27.77,percent of total billed charges,20.43137555,,,,27.77,percent of total billed charges,21.6568541,,,,19.80001,percent of total billed charges,9.880567331,,,,19.80001,percent of total billed charges,5.911787142,,,,19.80001,percent of total billed charges,9.880567331,,,,19.80001,percent of total billed charges,5.911787142,,,,19.80001,percent of total billed charges,9.880567331,,,,19.80001,percent of total billed charges,5.911787142,,,,19.60562,percent of total billed charges,19.45686683,,,,19.60562,percent of total billed charges,13.41924684,,,,,,,,,,19.9944,percent of total billed charges,12.99588949,,,,,,,,,,19.9944,percent of total billed charges,999999999,,,,,,,,,,22.216,percent of total billed charges,18.61585317,,,,21.9383,percent of total billed charges,21.17140361,,,,21.9383,percent of total billed charges,18.7056359,,,,22.216,percent of total billed charges,999999999,,,,22.216,percent of total billed charges,999999999,,,,19.439,percent of total billed charges,999999999,,,,19.439,percent of total billed charges,999999999,,,,,,,,,,,,,,,,14.77364,percent of total billed charges,999999999,,,,,,,,,,,,,,,,14.02385,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6.9425,percent of total billed charges,6.593676802,,,,,,,,,,6.9425,percent of total billed charges,6.483995475,,,,,,,,,,6.9425,percent of total billed charges,6.46597673,,,,,,,,,,6.9425,percent of total billed charges,6.370765301,,,,,,,,,,6.9425,percent of total billed charges,6.534694458,,,,,,,,,,6.9425,percent of total billed charges,999999999,,,,,,,,,,6.9425,percent of total billed charges,5.607228018,,,,,,,,,,6.9425,percent of total billed charges,8.842985257,,,,,,,,,,6.9425,percent of total billed charges,999999999,,,,,,,,,,6.9425,percent of total billed charges,6.04596315,,,,,,,,,,24.993,percent of total billed charges,,,,,
**PHOSPHO-SODA(FLEET) SOLN: 45ML,259,RC,0013-2010-02,NDC,,both,1,EA,16,16,3.406143114,16,16,percent of total billed charges,11.77176841,,,,16,percent of total billed charges,12.47784176,,,,16,percent of total billed charges,11.77176841,,,,16,percent of total billed charges,12.47784176,,,,16,percent of total billed charges,999999999,,,,16,percent of total billed charges,12.19090033,,,,16,percent of total billed charges,11.77176841,,,,16,percent of total billed charges,12.47784176,,,,11.408,percent of total billed charges,5.692800767,,,,11.408,percent of total billed charges,3.406143114,,,,11.408,percent of total billed charges,5.692800767,,,,11.408,percent of total billed charges,3.406143114,,,,11.408,percent of total billed charges,5.692800767,,,,11.408,percent of total billed charges,3.406143114,,,,11.296,percent of total billed charges,11.21029418,,,,11.296,percent of total billed charges,7.731651041,,,,,,,,,,11.52,percent of total billed charges,7.48772891,,,,,,,,,,11.52,percent of total billed charges,999999999,,,,,,,,,,12.8,percent of total billed charges,10.72573463,,,,12.64,percent of total billed charges,12.19814396,,,,12.64,percent of total billed charges,10.77746397,,,,12.8,percent of total billed charges,999999999,,,,12.8,percent of total billed charges,999999999,,,,11.2,percent of total billed charges,999999999,,,,11.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,8.512,percent of total billed charges,999999999,,,,,,,,,,,,,,,,8.08,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4,percent of total billed charges,3.799021564,,,,,,,,,,4,percent of total billed charges,3.735827425,,,,,,,,,,4,percent of total billed charges,3.725445721,,,,,,,,,,4,percent of total billed charges,3.670588578,,,,,,,,,,4,percent of total billed charges,3.765038218,,,,,,,,,,4,percent of total billed charges,999999999,,,,,,,,,,4,percent of total billed charges,3.230667926,,,,,,,,,,4,percent of total billed charges,5.094986104,,,,,,,,,,4,percent of total billed charges,999999999,,,,,,,,,,4,percent of total billed charges,3.48345014,,,,,,,,,,14.4,percent of total billed charges,,,,,
PHYSostigmine INJ (ANTILIRIUM) 2MG/2ML,250,RC,1747-8051-02,NDC,,both,1,EA,523.94,523.94,111.5384139,523.94,523.94,percent of total billed charges,385.4812713,,,,523.94,percent of total billed charges,408.6025257,,,,523.94,percent of total billed charges,385.4812713,,,,523.94,percent of total billed charges,408.6025257,,,,523.94,percent of total billed charges,999999999,,,,523.94,percent of total billed charges,399.2062698,,,,523.94,percent of total billed charges,385.4812713,,,,523.94,percent of total billed charges,408.6025257,,,,373.56922,percent of total billed charges,186.4178771,,,,373.56922,percent of total billed charges,111.5384139,,,,373.56922,percent of total billed charges,186.4178771,,,,373.56922,percent of total billed charges,111.5384139,,,,373.56922,percent of total billed charges,186.4178771,,,,373.56922,percent of total billed charges,111.5384139,,,,369.90164,percent of total billed charges,367.0950957,,,,369.90164,percent of total billed charges,253.1825779,,,,,,,,,,377.2368,percent of total billed charges,245.1950428,,,,,,,,,,377.2368,percent of total billed charges,999999999,,,,,,,,,,419.152,percent of total billed charges,351.2275877,,,,413.9126,percent of total billed charges,399.4434717,,,,413.9126,percent of total billed charges,352.9215294,,,,419.152,percent of total billed charges,999999999,,,,419.152,percent of total billed charges,999999999,,,,366.758,percent of total billed charges,999999999,,,,366.758,percent of total billed charges,999999999,,,,,,,,,,,,,,,,278.73608,percent of total billed charges,999999999,,,,,,,,,,,,,,,,264.5897,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,130.985,percent of total billed charges,124.4037099,,,,,,,,,,130.985,percent of total billed charges,122.3343388,,,,,,,,,,130.985,percent of total billed charges,121.9943769,,,,,,,,,,130.985,percent of total billed charges,120.1980112,,,,,,,,,,130.985,percent of total billed charges,123.2908828,,,,,,,,,,130.985,percent of total billed charges,999999999,,,,,,,,,,130.985,percent of total billed charges,105.7922596,,,,,,,,,,130.985,percent of total billed charges,166.8416887,,,,,,,,,,130.985,percent of total billed charges,999999999,,,,,,,,,,130.985,percent of total billed charges,114.0699292,,,,,,,,,,471.546,percent of total billed charges,,,,,
**HYDROCODONE 5MG  APAP 500 MG (VICODIN),259,RC,0040-6035-62,NDC,,both,1,EA,3,3,0.638651834,3,3,percent of total billed charges,2.207206577,,,,3,percent of total billed charges,2.33959533,,,,3,percent of total billed charges,2.207206577,,,,3,percent of total billed charges,2.33959533,,,,3,percent of total billed charges,999999999,,,,3,percent of total billed charges,2.285793811,,,,3,percent of total billed charges,2.207206577,,,,3,percent of total billed charges,2.33959533,,,,2.139,percent of total billed charges,1.067400144,,,,2.139,percent of total billed charges,0.638651834,,,,2.139,percent of total billed charges,1.067400144,,,,2.139,percent of total billed charges,0.638651834,,,,2.139,percent of total billed charges,1.067400144,,,,2.139,percent of total billed charges,0.638651834,,,,2.118,percent of total billed charges,2.101930158,,,,2.118,percent of total billed charges,1.44968457,,,,,,,,,,2.16,percent of total billed charges,1.403949171,,,,,,,,,,2.16,percent of total billed charges,999999999,,,,,,,,,,2.4,percent of total billed charges,2.011075244,,,,2.37,percent of total billed charges,2.287151993,,,,2.37,percent of total billed charges,2.020774494,,,,2.4,percent of total billed charges,999999999,,,,2.4,percent of total billed charges,999999999,,,,2.1,percent of total billed charges,999999999,,,,2.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.596,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.515,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.75,percent of total billed charges,0.712316543,,,,,,,,,,0.75,percent of total billed charges,0.700467642,,,,,,,,,,0.75,percent of total billed charges,0.698521073,,,,,,,,,,0.75,percent of total billed charges,0.688235358,,,,,,,,,,0.75,percent of total billed charges,0.705944666,,,,,,,,,,0.75,percent of total billed charges,999999999,,,,,,,,,,0.75,percent of total billed charges,0.605750236,,,,,,,,,,0.75,percent of total billed charges,0.955309895,,,,,,,,,,0.75,percent of total billed charges,999999999,,,,,,,,,,0.75,percent of total billed charges,0.653146901,,,,,,,,,,2.7,percent of total billed charges,,,,,
PHYTONADIONE (VITAMIN K) INJ 10MG AMP,J3430,CDM,0040-9915-01,NDC,,both,1,EA,285.22,285.22,60.71875869,285.22,285.22,percent of total billed charges,209.8464866,,,,285.22,percent of total billed charges,222.4331267,,,,285.22,percent of total billed charges,209.8464866,,,,285.22,percent of total billed charges,222.4331267,,,,285.22,percent of total billed charges,999999999,,,,285.22,percent of total billed charges,217.318037,,,,285.22,percent of total billed charges,209.8464866,,,,285.22,percent of total billed charges,222.4331267,,,,203.36186,percent of total billed charges,101.4812897,,,,203.36186,percent of total billed charges,60.71875869,,,,203.36186,percent of total billed charges,101.4812897,,,,203.36186,percent of total billed charges,60.71875869,,,,203.36186,percent of total billed charges,101.4812897,,,,203.36186,percent of total billed charges,60.71875869,,,,201.36532,percent of total billed charges,199.8375066,,,,201.36532,percent of total billed charges,137.8263444,,,,,,,,,,205.3584,percent of total billed charges,133.4781275,,,,,,,,,,205.3584,percent of total billed charges,999999999,,,,,,,,,,228.176,percent of total billed charges,191.199627,,,,225.3238,percent of total billed charges,217.4471638,,,,225.3238,percent of total billed charges,192.121767,,,,228.176,percent of total billed charges,999999999,,,,228.176,percent of total billed charges,999999999,,,,199.654,percent of total billed charges,999999999,,,,199.654,percent of total billed charges,999999999,,,,,,,,,,,,,,,,151.73704,percent of total billed charges,999999999,,,,,,,,,,,,,,,,144.0361,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,71.305,percent of total billed charges,67.72230816,,,,,,,,,,71.305,percent of total billed charges,66.59579364,,,,,,,,,,71.305,percent of total billed charges,66.41072678,,,,,,,,,,71.305,percent of total billed charges,65.43282964,,,,,,,,,,71.305,percent of total billed charges,67.11651254,,,,,,,,,,71.305,percent of total billed charges,999999999,,,,,,,,,,71.305,percent of total billed charges,57.59069411,,,,,,,,,,71.305,percent of total billed charges,90.82449604,,,,,,,,,,71.305,percent of total billed charges,999999999,,,,,,,,,,71.305,percent of total billed charges,62.09685306,,,,,,,,,,256.698,percent of total billed charges,,,,,
PHYTONADIONE (VITAMIN K) INJ 1MG AMP,J3430,CDM,0040-9915-01,NDC,,both,1,EA,298.02,298.02,63.44367318,298.02,298.02,percent of total billed charges,219.2639014,,,,298.02,percent of total billed charges,232.4154001,,,,298.02,percent of total billed charges,219.2639014,,,,298.02,percent of total billed charges,232.4154001,,,,298.02,percent of total billed charges,999999999,,,,298.02,percent of total billed charges,227.0707572,,,,298.02,percent of total billed charges,219.2639014,,,,298.02,percent of total billed charges,232.4154001,,,,212.48826,percent of total billed charges,106.0355303,,,,212.48826,percent of total billed charges,63.44367318,,,,212.48826,percent of total billed charges,106.0355303,,,,212.48826,percent of total billed charges,63.44367318,,,,212.48826,percent of total billed charges,106.0355303,,,,212.48826,percent of total billed charges,63.44367318,,,,210.40212,percent of total billed charges,208.8057419,,,,210.40212,percent of total billed charges,144.0116652,,,,,,,,,,214.5744,percent of total billed charges,139.4683106,,,,,,,,,,214.5744,percent of total billed charges,999999999,,,,,,,,,,238.416,percent of total billed charges,199.7802147,,,,235.4358,percent of total billed charges,227.205679,,,,235.4358,percent of total billed charges,200.7437382,,,,238.416,percent of total billed charges,999999999,,,,238.416,percent of total billed charges,999999999,,,,208.614,percent of total billed charges,999999999,,,,208.614,percent of total billed charges,999999999,,,,,,,,,,,,,,,,158.54664,percent of total billed charges,999999999,,,,,,,,,,,,,,,,150.5001,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,74.505,percent of total billed charges,70.76152541,,,,,,,,,,74.505,percent of total billed charges,69.58445558,,,,,,,,,,74.505,percent of total billed charges,69.39108336,,,,,,,,,,74.505,percent of total billed charges,68.3693005,,,,,,,,,,74.505,percent of total billed charges,70.12854311,,,,,,,,,,74.505,percent of total billed charges,999999999,,,,,,,,,,74.505,percent of total billed charges,60.17522845,,,,,,,,,,74.505,percent of total billed charges,94.90048493,,,,,,,,,,74.505,percent of total billed charges,999999999,,,,,,,,,,74.505,percent of total billed charges,64.88361317,,,,,,,,,,268.218,percent of total billed charges,,,,,
PILOCARPINE OPHTH SOLN 1% 15ML,637,RC,6131-4020-15,NDC,,both,1,EA,207.98,207.98,44.2756028,207.98,207.98,percent of total billed charges,153.0182746,,,,207.98,percent of total billed charges,162.1963456,,,,207.98,percent of total billed charges,153.0182746,,,,207.98,percent of total billed charges,162.1963456,,,,207.98,percent of total billed charges,999999999,,,,207.98,percent of total billed charges,158.4664656,,,,207.98,percent of total billed charges,153.0182746,,,,207.98,percent of total billed charges,162.1963456,,,,148.28974,percent of total billed charges,73.99929397,,,,148.28974,percent of total billed charges,44.2756028,,,,148.28974,percent of total billed charges,73.99929397,,,,148.28974,percent of total billed charges,44.2756028,,,,148.28974,percent of total billed charges,73.99929397,,,,148.28974,percent of total billed charges,44.2756028,,,,146.83388,percent of total billed charges,145.7198114,,,,146.83388,percent of total billed charges,100.501799,,,,,,,,,,149.7456,percent of total billed charges,97.33111617,,,,,,,,,,149.7456,percent of total billed charges,999999999,,,,,,,,,,166.384,percent of total billed charges,139.4211431,,,,164.3042,percent of total billed charges,158.5606238,,,,164.3042,percent of total billed charges,140.0935597,,,,166.384,percent of total billed charges,999999999,,,,166.384,percent of total billed charges,999999999,,,,145.586,percent of total billed charges,999999999,,,,145.586,percent of total billed charges,999999999,,,,,,,,,,,,,,,,110.64536,percent of total billed charges,999999999,,,,,,,,,,,,,,,,105.0299,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,51.995,percent of total billed charges,49.38253156,,,,,,,,,,51.995,percent of total billed charges,48.56108675,,,,,,,,,,51.995,percent of total billed charges,48.42613757,,,,,,,,,,51.995,percent of total billed charges,47.71306328,,,,,,,,,,51.995,percent of total billed charges,48.94079054,,,,,,,,,,51.995,percent of total billed charges,999999999,,,,,,,,,,51.995,percent of total billed charges,41.9946447,,,,,,,,,,51.995,percent of total billed charges,66.22845062,,,,,,,,,,51.995,percent of total billed charges,999999999,,,,,,,,,,51.995,percent of total billed charges,45.28049751,,,,,,,,,,187.182,percent of total billed charges,,,,,
PILOCARPINE OPHTH SOL 4% 15ML,259,RC,6131-4020-15,NDC,,both,1,EA,195.15,195.15,41.54430179,195.15,195.15,percent of total billed charges,143.5787878,,,,195.15,percent of total billed charges,152.1906762,,,,195.15,percent of total billed charges,143.5787878,,,,195.15,percent of total billed charges,152.1906762,,,,195.15,percent of total billed charges,999999999,,,,195.15,percent of total billed charges,148.6908874,,,,195.15,percent of total billed charges,143.5787878,,,,195.15,percent of total billed charges,152.1906762,,,,139.14195,percent of total billed charges,69.43437935,,,,139.14195,percent of total billed charges,41.54430179,,,,139.14195,percent of total billed charges,69.43437935,,,,139.14195,percent of total billed charges,41.54430179,,,,139.14195,percent of total billed charges,69.43437935,,,,139.14195,percent of total billed charges,41.54430179,,,,137.7759,percent of total billed charges,136.7305568,,,,137.7759,percent of total billed charges,94.30198129,,,,,,,,,,140.508,percent of total billed charges,91.32689355,,,,,,,,,,140.508,percent of total billed charges,999999999,,,,,,,,,,156.12,percent of total billed charges,130.8204446,,,,154.1685,percent of total billed charges,148.7792371,,,,154.1685,percent of total billed charges,131.4513808,,,,156.12,percent of total billed charges,999999999,,,,156.12,percent of total billed charges,999999999,,,,136.605,percent of total billed charges,999999999,,,,136.605,percent of total billed charges,999999999,,,,,,,,,,,,,,,,103.8198,percent of total billed charges,999999999,,,,,,,,,,,,,,,,98.55075,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,48.7875,percent of total billed charges,46.33619114,,,,,,,,,,48.7875,percent of total billed charges,45.56542013,,,,,,,,,,48.7875,percent of total billed charges,45.43879578,,,,,,,,,,48.7875,percent of total billed charges,44.76971006,,,,,,,,,,48.7875,percent of total billed charges,45.92170052,,,,,,,,,,48.7875,percent of total billed charges,999999999,,,,,,,,,,48.7875,percent of total billed charges,39.40405285,,,,,,,,,,48.7875,percent of total billed charges,62.14290864,,,,,,,,,,48.7875,percent of total billed charges,999999999,,,,,,,,,,48.7875,percent of total billed charges,42.48720593,,,,,,,,,,175.635,percent of total billed charges,,,,,
PILOCARPINE OPHTH SOL 2% 15ML,259,RC,6131-4020-15,NDC,,both,1,EA,304.92,304.92,64.91257239,304.92,304.92,percent of total billed charges,224.3404765,,,,304.92,percent of total billed charges,237.7964693,,,,304.92,percent of total billed charges,224.3404765,,,,304.92,percent of total billed charges,237.7964693,,,,304.92,percent of total billed charges,999999999,,,,304.92,percent of total billed charges,232.328083,,,,304.92,percent of total billed charges,224.3404765,,,,304.92,percent of total billed charges,237.7964693,,,,217.40796,percent of total billed charges,108.4905506,,,,217.40796,percent of total billed charges,64.91257239,,,,217.40796,percent of total billed charges,108.4905506,,,,217.40796,percent of total billed charges,64.91257239,,,,217.40796,percent of total billed charges,108.4905506,,,,217.40796,percent of total billed charges,64.91257239,,,,215.27352,percent of total billed charges,213.6401813,,,,215.27352,percent of total billed charges,147.3459397,,,,,,,,,,219.5424,percent of total billed charges,142.6973937,,,,,,,,,,219.5424,percent of total billed charges,999999999,,,,,,,,,,243.936,percent of total billed charges,204.4056878,,,,240.8868,percent of total billed charges,232.4661285,,,,240.8868,percent of total billed charges,205.3915196,,,,243.936,percent of total billed charges,999999999,,,,243.936,percent of total billed charges,999999999,,,,213.444,percent of total billed charges,999999999,,,,213.444,percent of total billed charges,999999999,,,,,,,,,,,,,,,,162.21744,percent of total billed charges,999999999,,,,,,,,,,,,,,,,153.9846,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,76.23,percent of total billed charges,72.39985346,,,,,,,,,,76.23,percent of total billed charges,71.19553116,,,,,,,,,,76.23,percent of total billed charges,70.99768183,,,,,,,,,,76.23,percent of total billed charges,69.95224183,,,,,,,,,,76.23,percent of total billed charges,71.75221585,,,,,,,,,,76.23,percent of total billed charges,999999999,,,,,,,,,,76.23,percent of total billed charges,61.56845399,,,,,,,,,,76.23,percent of total billed charges,97.09769768,,,,,,,,,,76.23,percent of total billed charges,999999999,,,,,,,,,,76.23,percent of total billed charges,66.38585105,,,,,,,,,,274.428,percent of total billed charges,,,,,
**PILOCARPINE OPHTH SOL: 3% 15ML,259,RC,2420-8081-15,NDC,,both,1,EA,31,31,6.599402283,31,31,percent of total billed charges,22.8078013,,,,31,percent of total billed charges,24.17581841,,,,31,percent of total billed charges,22.8078013,,,,31,percent of total billed charges,24.17581841,,,,31,percent of total billed charges,999999999,,,,31,percent of total billed charges,23.61986938,,,,31,percent of total billed charges,22.8078013,,,,31,percent of total billed charges,24.17581841,,,,22.103,percent of total billed charges,11.02980149,,,,22.103,percent of total billed charges,6.599402283,,,,22.103,percent of total billed charges,11.02980149,,,,22.103,percent of total billed charges,6.599402283,,,,22.103,percent of total billed charges,11.02980149,,,,22.103,percent of total billed charges,6.599402283,,,,21.886,percent of total billed charges,21.71994497,,,,21.886,percent of total billed charges,14.98007389,,,,,,,,,,22.32,percent of total billed charges,14.50747476,,,,,,,,,,22.32,percent of total billed charges,999999999,,,,,,,,,,24.8,percent of total billed charges,20.78111085,,,,24.49,percent of total billed charges,23.63390393,,,,24.49,percent of total billed charges,20.88133644,,,,24.8,percent of total billed charges,999999999,,,,24.8,percent of total billed charges,999999999,,,,21.7,percent of total billed charges,999999999,,,,21.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,16.492,percent of total billed charges,999999999,,,,,,,,,,,,,,,,15.655,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7.75,percent of total billed charges,7.360604281,,,,,,,,,,7.75,percent of total billed charges,7.238165637,,,,,,,,,,7.75,percent of total billed charges,7.218051084,,,,,,,,,,7.75,percent of total billed charges,7.11176537,,,,,,,,,,7.75,percent of total billed charges,7.294761548,,,,,,,,,,7.75,percent of total billed charges,999999999,,,,,,,,,,7.75,percent of total billed charges,6.259419106,,,,,,,,,,7.75,percent of total billed charges,9.871535577,,,,,,,,,,7.75,percent of total billed charges,999999999,,,,,,,,,,7.75,percent of total billed charges,6.749184647,,,,,,,,,,27.9,percent of total billed charges,,,,,
**LOPERAMIDE 1MG/7.5ML  240 ML BOTTLE,259,RC,5038-3061-04,NDC,,both,1,EA,30,30,6.386518339,30,30,percent of total billed charges,22.07206577,,,,30,percent of total billed charges,23.3959533,,,,30,percent of total billed charges,22.07206577,,,,30,percent of total billed charges,23.3959533,,,,30,percent of total billed charges,999999999,,,,30,percent of total billed charges,22.85793811,,,,30,percent of total billed charges,22.07206577,,,,30,percent of total billed charges,23.3959533,,,,21.39,percent of total billed charges,10.67400144,,,,21.39,percent of total billed charges,6.386518339,,,,21.39,percent of total billed charges,10.67400144,,,,21.39,percent of total billed charges,6.386518339,,,,21.39,percent of total billed charges,10.67400144,,,,21.39,percent of total billed charges,6.386518339,,,,21.18,percent of total billed charges,21.01930158,,,,21.18,percent of total billed charges,14.4968457,,,,,,,,,,21.6,percent of total billed charges,14.03949171,,,,,,,,,,21.6,percent of total billed charges,999999999,,,,,,,,,,24,percent of total billed charges,20.11075244,,,,23.7,percent of total billed charges,22.87151993,,,,23.7,percent of total billed charges,20.20774494,,,,24,percent of total billed charges,999999999,,,,24,percent of total billed charges,999999999,,,,21,percent of total billed charges,999999999,,,,21,percent of total billed charges,999999999,,,,,,,,,,,,,,,,15.96,percent of total billed charges,999999999,,,,,,,,,,,,,,,,15.15,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7.5,percent of total billed charges,7.123165433,,,,,,,,,,7.5,percent of total billed charges,7.004676423,,,,,,,,,,7.5,percent of total billed charges,6.985210727,,,,,,,,,,7.5,percent of total billed charges,6.882353584,,,,,,,,,,7.5,percent of total billed charges,7.059446659,,,,,,,,,,7.5,percent of total billed charges,999999999,,,,,,,,,,7.5,percent of total billed charges,6.05750236,,,,,,,,,,7.5,percent of total billed charges,9.553098946,,,,,,,,,,7.5,percent of total billed charges,999999999,,,,,,,,,,7.5,percent of total billed charges,6.531469013,,,,,,,,,,27,percent of total billed charges,,,,,
**PIRBUTEROL (MAXAIR) INHALER 14 GM,259,RC,5486-8282-01,NDC,,both,1,EA,452,452,96.22354297,452,452,percent of total billed charges,332.5524576,,,,452,percent of total billed charges,352.4990297,,,,452,percent of total billed charges,332.5524576,,,,452,percent of total billed charges,352.4990297,,,,452,percent of total billed charges,999999999,,,,452,percent of total billed charges,344.3929342,,,,452,percent of total billed charges,332.5524576,,,,452,percent of total billed charges,352.4990297,,,,322.276,percent of total billed charges,160.8216217,,,,322.276,percent of total billed charges,96.22354297,,,,322.276,percent of total billed charges,160.8216217,,,,322.276,percent of total billed charges,96.22354297,,,,322.276,percent of total billed charges,160.8216217,,,,322.276,percent of total billed charges,96.22354297,,,,319.112,percent of total billed charges,316.6908105,,,,319.112,percent of total billed charges,218.4191419,,,,,,,,,,325.44,percent of total billed charges,211.5283417,,,,,,,,,,325.44,percent of total billed charges,999999999,,,,,,,,,,361.6,percent of total billed charges,303.0020034,,,,357.08,percent of total billed charges,344.5975669,,,,357.08,percent of total billed charges,304.4633571,,,,361.6,percent of total billed charges,999999999,,,,361.6,percent of total billed charges,999999999,,,,316.4,percent of total billed charges,999999999,,,,316.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,240.464,percent of total billed charges,999999999,,,,,,,,,,,,,,,,228.26,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,113,percent of total billed charges,107.3223592,,,,,,,,,,113,percent of total billed charges,105.5371248,,,,,,,,,,113,percent of total billed charges,105.2438416,,,,,,,,,,113,percent of total billed charges,103.6941273,,,,,,,,,,113,percent of total billed charges,106.3623297,,,,,,,,,,113,percent of total billed charges,999999999,,,,,,,,,,113,percent of total billed charges,91.2663689,,,,,,,,,,113,percent of total billed charges,143.9333574,,,,,,,,,,113,percent of total billed charges,999999999,,,,,,,,,,113,percent of total billed charges,98.40746646,,,,,,,,,,406.8,percent of total billed charges,,,,,
**PNEUMOCOCCAL (PNU-IMUNE) VACCINE 0.5ML,90732,CDM,0000-6494-00,NDC,,both,1,EA,555,555,118.1505893,555,555,percent of total billed charges,408.3332168,,,,555,percent of total billed charges,432.8251361,,,,555,percent of total billed charges,408.3332168,,,,555,percent of total billed charges,432.8251361,,,,555,percent of total billed charges,999999999,,,,555,percent of total billed charges,422.8718551,,,,555,percent of total billed charges,408.3332168,,,,555,percent of total billed charges,432.8251361,,,,395.715,percent of total billed charges,197.4690266,,,,395.715,percent of total billed charges,118.1505893,,,,395.715,percent of total billed charges,197.4690266,,,,395.715,percent of total billed charges,118.1505893,,,,395.715,percent of total billed charges,197.4690266,,,,395.715,percent of total billed charges,118.1505893,,,,391.83,percent of total billed charges,388.8570793,,,,391.83,percent of total billed charges,268.1916455,,,,,,,,,,399.6,percent of total billed charges,259.7305966,,,,,,,,,,399.6,percent of total billed charges,999999999,,,,,,,,,,444,percent of total billed charges,372.0489201,,,,438.45,percent of total billed charges,423.1231187,,,,438.45,percent of total billed charges,373.8432814,,,,444,percent of total billed charges,999999999,,,,444,percent of total billed charges,999999999,,,,388.5,percent of total billed charges,999999999,,,,388.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,295.26,percent of total billed charges,999999999,,,,,,,,,,,,,,,,280.275,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,138.75,percent of total billed charges,131.7785605,,,,,,,,,,138.75,percent of total billed charges,129.5865138,,,,,,,,,,138.75,percent of total billed charges,129.2263984,,,,,,,,,,138.75,percent of total billed charges,127.3235413,,,,,,,,,,138.75,percent of total billed charges,130.5997632,,,,,,,,,,138.75,percent of total billed charges,999999999,,,,,,,,,,138.75,percent of total billed charges,112.0637937,,,,,,,,,,138.75,percent of total billed charges,176.7323305,,,,,,,,,,138.75,percent of total billed charges,999999999,,,,,,,,,,138.75,percent of total billed charges,120.8321767,,,,,,,,,,499.5,percent of total billed charges,,,,,
TRIPLE ANTIBIOTIC OPTH OINT 3.5GM,637,RC,0057-4425-35,NDC,,both,1,EA,84.86,84.86,18.06533154,84.86,84.86,percent of total billed charges,62.43451671,,,,84.86,percent of total billed charges,66.17935324,,,,84.86,percent of total billed charges,62.43451671,,,,84.86,percent of total billed charges,66.17935324,,,,84.86,percent of total billed charges,999999999,,,,84.86,percent of total billed charges,64.65748761,,,,84.86,percent of total billed charges,62.43451671,,,,84.86,percent of total billed charges,66.17935324,,,,60.50518,percent of total billed charges,30.19319207,,,,60.50518,percent of total billed charges,18.06533154,,,,60.50518,percent of total billed charges,30.19319207,,,,60.50518,percent of total billed charges,18.06533154,,,,60.50518,percent of total billed charges,30.19319207,,,,60.50518,percent of total billed charges,18.06533154,,,,59.91116,percent of total billed charges,59.45659774,,,,59.91116,percent of total billed charges,41.00674421,,,,,,,,,,61.0992,percent of total billed charges,39.71304221,,,,,,,,,,61.0992,percent of total billed charges,999999999,,,,,,,,,,67.888,percent of total billed charges,56.88661506,,,,67.0394,percent of total billed charges,64.69590603,,,,67.0394,percent of total billed charges,57.16097452,,,,67.888,percent of total billed charges,999999999,,,,67.888,percent of total billed charges,999999999,,,,59.402,percent of total billed charges,999999999,,,,59.402,percent of total billed charges,999999999,,,,,,,,,,,,,,,,45.14552,percent of total billed charges,999999999,,,,,,,,,,,,,,,,42.8543,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21.215,percent of total billed charges,20.14906062,,,,,,,,,,21.215,percent of total billed charges,19.81389471,,,,,,,,,,21.215,percent of total billed charges,19.75883274,,,,,,,,,,21.215,percent of total billed charges,19.46788417,,,,,,,,,,21.215,percent of total billed charges,19.96882145,,,,,,,,,,21.215,percent of total billed charges,999999999,,,,,,,,,,21.215,percent of total billed charges,17.13465501,,,,,,,,,,21.215,percent of total billed charges,27.02253255,,,,,,,,,,21.215,percent of total billed charges,999999999,,,,,,,,,,21.215,percent of total billed charges,18.47534868,,,,,,,,,,76.374,percent of total billed charges,,,,,
TRIPLE ANTIBIOTIC OPTH SOLN 10ML,259,RC,2420-8079-62,NDC,,both,1,EA,183.35,183.35,39.03227125,183.35,183.35,percent of total billed charges,134.8971086,,,,183.35,percent of total billed charges,142.9882679,,,,183.35,percent of total billed charges,134.8971086,,,,183.35,percent of total billed charges,142.9882679,,,,183.35,percent of total billed charges,999999999,,,,183.35,percent of total billed charges,139.7000984,,,,183.35,percent of total billed charges,134.8971086,,,,183.35,percent of total billed charges,142.9882679,,,,130.72855,percent of total billed charges,65.23593879,,,,130.72855,percent of total billed charges,39.03227125,,,,130.72855,percent of total billed charges,65.23593879,,,,130.72855,percent of total billed charges,39.03227125,,,,130.72855,percent of total billed charges,65.23593879,,,,130.72855,percent of total billed charges,39.03227125,,,,129.4451,percent of total billed charges,128.4629648,,,,129.4451,percent of total billed charges,88.59988864,,,,,,,,,,132.012,percent of total billed charges,85.80469348,,,,,,,,,,132.012,percent of total billed charges,999999999,,,,,,,,,,146.68,percent of total billed charges,122.9102153,,,,144.8465,percent of total billed charges,139.783106,,,,144.8465,percent of total billed charges,123.5030011,,,,146.68,percent of total billed charges,999999999,,,,146.68,percent of total billed charges,999999999,,,,128.345,percent of total billed charges,999999999,,,,128.345,percent of total billed charges,999999999,,,,,,,,,,,,,,,,97.5422,percent of total billed charges,999999999,,,,,,,,,,,,,,,,92.59175,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45.8375,percent of total billed charges,43.53441274,,,,,,,,,,45.8375,percent of total billed charges,42.8102474,,,,,,,,,,45.8375,percent of total billed charges,42.69127956,,,,,,,,,,45.8375,percent of total billed charges,42.06265099,,,,,,,,,,45.8375,percent of total billed charges,43.14498483,,,,,,,,,,45.8375,percent of total billed charges,999999999,,,,,,,,,,45.8375,percent of total billed charges,37.02143526,,,,,,,,,,45.8375,percent of total billed charges,58.38535639,,,,,,,,,,45.8375,percent of total billed charges,999999999,,,,,,,,,,45.8375,percent of total billed charges,39.91816145,,,,,,,,,,165.015,percent of total billed charges,,,,,
**TRIPLE ANTIBIOTIC (NEOSPORIN) OINT 15G,250,RC,0016-8001-31,NDC,,both,1,EA,10,10,2.128839446,10,10,percent of total billed charges,7.357355257,,,,10,percent of total billed charges,7.7986511,,,,10,percent of total billed charges,7.357355257,,,,10,percent of total billed charges,7.7986511,,,,10,percent of total billed charges,999999999,,,,10,percent of total billed charges,7.619312704,,,,10,percent of total billed charges,7.357355257,,,,10,percent of total billed charges,7.7986511,,,,7.13,percent of total billed charges,3.558000479,,,,7.13,percent of total billed charges,2.128839446,,,,7.13,percent of total billed charges,3.558000479,,,,7.13,percent of total billed charges,2.128839446,,,,7.13,percent of total billed charges,3.558000479,,,,7.13,percent of total billed charges,2.128839446,,,,7.06,percent of total billed charges,7.006433861,,,,7.06,percent of total billed charges,4.8322819,,,,,,,,,,7.2,percent of total billed charges,4.679830569,,,,,,,,,,7.2,percent of total billed charges,999999999,,,,,,,,,,8,percent of total billed charges,6.703584146,,,,7.9,percent of total billed charges,7.623839976,,,,7.9,percent of total billed charges,6.735914979,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,999999999,,,,7,percent of total billed charges,999999999,,,,7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.32,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.05,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.5,percent of total billed charges,2.374388478,,,,,,,,,,2.5,percent of total billed charges,2.334892141,,,,,,,,,,2.5,percent of total billed charges,2.328403576,,,,,,,,,,2.5,percent of total billed charges,2.294117861,,,,,,,,,,2.5,percent of total billed charges,2.353148886,,,,,,,,,,2.5,percent of total billed charges,999999999,,,,,,,,,,2.5,percent of total billed charges,2.019167453,,,,,,,,,,2.5,percent of total billed charges,3.184366315,,,,,,,,,,2.5,percent of total billed charges,999999999,,,,,,,,,,2.5,percent of total billed charges,2.177156338,,,,,,,,,,9,percent of total billed charges,,,,,
NEO/POLY/HC (CORTISPORIN) OPTH SOLN,637,RC,6131-4064-75,NDC,,both,1,EA,357.68,357.68,76.14432931,357.68,357.68,percent of total billed charges,263.1578828,,,,357.68,percent of total billed charges,278.9421525,,,,357.68,percent of total billed charges,263.1578828,,,,357.68,percent of total billed charges,278.9421525,,,,357.68,percent of total billed charges,999999999,,,,357.68,percent of total billed charges,272.5275768,,,,357.68,percent of total billed charges,263.1578828,,,,357.68,percent of total billed charges,278.9421525,,,,255.02584,percent of total billed charges,127.2625611,,,,255.02584,percent of total billed charges,76.14432931,,,,255.02584,percent of total billed charges,127.2625611,,,,255.02584,percent of total billed charges,76.14432931,,,,255.02584,percent of total billed charges,127.2625611,,,,255.02584,percent of total billed charges,76.14432931,,,,252.52208,percent of total billed charges,250.6061263,,,,252.52208,percent of total billed charges,172.841059,,,,,,,,,,257.5296,percent of total billed charges,167.3881798,,,,,,,,,,257.5296,percent of total billed charges,999999999,,,,,,,,,,286.144,percent of total billed charges,239.7737977,,,,282.5672,percent of total billed charges,272.6895083,,,,282.5672,percent of total billed charges,240.930207,,,,286.144,percent of total billed charges,999999999,,,,286.144,percent of total billed charges,999999999,,,,250.376,percent of total billed charges,999999999,,,,250.376,percent of total billed charges,999999999,,,,,,,,,,,,,,,,190.28576,percent of total billed charges,999999999,,,,,,,,,,,,,,,,180.6284,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,89.42,percent of total billed charges,84.92712707,,,,,,,,,,89.42,percent of total billed charges,83.5144221,,,,,,,,,,89.42,percent of total billed charges,83.28233909,,,,,,,,,,89.42,percent of total billed charges,82.05600766,,,,,,,,,,89.42,percent of total billed charges,84.16742937,,,,,,,,,,89.42,percent of total billed charges,999999999,,,,,,,,,,89.42,percent of total billed charges,72.22158147,,,,,,,,,,89.42,percent of total billed charges,113.8984144,,,,,,,,,,89.42,percent of total billed charges,999999999,,,,,,,,,,89.42,percent of total billed charges,77.87252789,,,,,,,,,,321.912,percent of total billed charges,,,,,
**POTASSIUM CL (K-DUR) 10MEQ SR TAB,250,RC,0008-5026-81,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
**POTASSIUM CL(K-DUR) TAB: 20MEQ SR,259,RC,0008-5078-81,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
POTASSIUM CL 20 MEQ/15 ML ORAL UD,637,RC,6068-7034-64,NDC,,both,1,EA,40.72,40.72,8.668634225,40.72,40.72,percent of total billed charges,29.95915061,,,,40.72,percent of total billed charges,31.75610728,,,,40.72,percent of total billed charges,29.95915061,,,,40.72,percent of total billed charges,31.75610728,,,,40.72,percent of total billed charges,999999999,,,,40.72,percent of total billed charges,31.02584133,,,,40.72,percent of total billed charges,29.95915061,,,,40.72,percent of total billed charges,31.75610728,,,,29.03336,percent of total billed charges,14.48817795,,,,29.03336,percent of total billed charges,8.668634225,,,,29.03336,percent of total billed charges,14.48817795,,,,29.03336,percent of total billed charges,8.668634225,,,,29.03336,percent of total billed charges,14.48817795,,,,29.03336,percent of total billed charges,8.668634225,,,,28.74832,percent of total billed charges,28.53019868,,,,28.74832,percent of total billed charges,19.6770519,,,,,,,,,,29.3184,percent of total billed charges,19.05627008,,,,,,,,,,29.3184,percent of total billed charges,999999999,,,,,,,,,,32.576,percent of total billed charges,27.29699464,,,,32.1688,percent of total billed charges,31.04427638,,,,32.1688,percent of total billed charges,27.4286458,,,,32.576,percent of total billed charges,999999999,,,,32.576,percent of total billed charges,999999999,,,,28.504,percent of total billed charges,999999999,,,,28.504,percent of total billed charges,999999999,,,,,,,,,,,,,,,,21.66304,percent of total billed charges,999999999,,,,,,,,,,,,,,,,20.5636,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10.18,percent of total billed charges,9.668509881,,,,,,,,,,10.18,percent of total billed charges,9.507680798,,,,,,,,,,10.18,percent of total billed charges,9.48125936,,,,,,,,,,10.18,percent of total billed charges,9.341647931,,,,,,,,,,10.18,percent of total billed charges,9.582022266,,,,,,,,,,10.18,percent of total billed charges,999999999,,,,,,,,,,10.18,percent of total billed charges,8.22204987,,,,,,,,,,10.18,percent of total billed charges,12.96673964,,,,,,,,,,10.18,percent of total billed charges,999999999,,,,,,,,,,10.18,percent of total billed charges,8.865380607,,,,,,,,,,36.648,percent of total billed charges,,,,,
**POTASSIUM CL 10% (KCL) ORAL SOLN: 480,259,RC,0047-2100-16,NDC,,both,1,EA,24,24,5.109214671,24,24,percent of total billed charges,17.65765262,,,,24,percent of total billed charges,18.71676264,,,,24,percent of total billed charges,17.65765262,,,,24,percent of total billed charges,18.71676264,,,,24,percent of total billed charges,999999999,,,,24,percent of total billed charges,18.28635049,,,,24,percent of total billed charges,17.65765262,,,,24,percent of total billed charges,18.71676264,,,,17.112,percent of total billed charges,8.53920115,,,,17.112,percent of total billed charges,5.109214671,,,,17.112,percent of total billed charges,8.53920115,,,,17.112,percent of total billed charges,5.109214671,,,,17.112,percent of total billed charges,8.53920115,,,,17.112,percent of total billed charges,5.109214671,,,,16.944,percent of total billed charges,16.81544127,,,,16.944,percent of total billed charges,11.59747656,,,,,,,,,,17.28,percent of total billed charges,11.23159337,,,,,,,,,,17.28,percent of total billed charges,999999999,,,,,,,,,,19.2,percent of total billed charges,16.08860195,,,,18.96,percent of total billed charges,18.29721594,,,,18.96,percent of total billed charges,16.16619595,,,,19.2,percent of total billed charges,999999999,,,,19.2,percent of total billed charges,999999999,,,,16.8,percent of total billed charges,999999999,,,,16.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,12.768,percent of total billed charges,999999999,,,,,,,,,,,,,,,,12.12,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6,percent of total billed charges,5.698532346,,,,,,,,,,6,percent of total billed charges,5.603741138,,,,,,,,,,6,percent of total billed charges,5.588168582,,,,,,,,,,6,percent of total billed charges,5.505882867,,,,,,,,,,6,percent of total billed charges,5.647557328,,,,,,,,,,6,percent of total billed charges,999999999,,,,,,,,,,6,percent of total billed charges,4.846001888,,,,,,,,,,6,percent of total billed charges,7.642479156,,,,,,,,,,6,percent of total billed charges,999999999,,,,,,,,,,6,percent of total billed charges,5.22517521,,,,,,,,,,21.6,percent of total billed charges,,,,,
**POTASSIUM IODIDE(SSKI)SOL: 30ML,259,RC,0024-5000-31,NDC,,both,1,EA,41,41,8.72824173,41,41,percent of total billed charges,30.16515655,,,,41,percent of total billed charges,31.97446951,,,,41,percent of total billed charges,30.16515655,,,,41,percent of total billed charges,31.97446951,,,,41,percent of total billed charges,999999999,,,,41,percent of total billed charges,31.23918209,,,,41,percent of total billed charges,30.16515655,,,,41,percent of total billed charges,31.97446951,,,,29.233,percent of total billed charges,14.58780197,,,,29.233,percent of total billed charges,8.72824173,,,,29.233,percent of total billed charges,14.58780197,,,,29.233,percent of total billed charges,8.72824173,,,,29.233,percent of total billed charges,14.58780197,,,,29.233,percent of total billed charges,8.72824173,,,,28.946,percent of total billed charges,28.72637883,,,,28.946,percent of total billed charges,19.81235579,,,,,,,,,,29.52,percent of total billed charges,19.18730533,,,,,,,,,,29.52,percent of total billed charges,999999999,,,,,,,,,,32.8,percent of total billed charges,27.484695,,,,32.39,percent of total billed charges,31.2577439,,,,32.39,percent of total billed charges,27.61725142,,,,32.8,percent of total billed charges,999999999,,,,32.8,percent of total billed charges,999999999,,,,28.7,percent of total billed charges,999999999,,,,28.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,21.812,percent of total billed charges,999999999,,,,,,,,,,,,,,,,20.705,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10.25,percent of total billed charges,9.734992758,,,,,,,,,,10.25,percent of total billed charges,9.573057778,,,,,,,,,,10.25,percent of total billed charges,9.54645466,,,,,,,,,,10.25,percent of total billed charges,9.405883231,,,,,,,,,,10.25,percent of total billed charges,9.647910435,,,,,,,,,,10.25,percent of total billed charges,999999999,,,,,,,,,,10.25,percent of total billed charges,8.278586559,,,,,,,,,,10.25,percent of total billed charges,13.05590189,,,,,,,,,,10.25,percent of total billed charges,999999999,,,,,,,,,,10.25,percent of total billed charges,8.926340984,,,,,,,,,,36.9,percent of total billed charges,,,,,
POTASSIUM PHOSPHATE 45MMOL/15ML SDV,258,RC,0040-9729-11,NDC,,both,1,EA,201.55,201.55,42.90675904,201.55,201.55,percent of total billed charges,148.2874952,,,,201.55,percent of total billed charges,157.1818129,,,,201.55,percent of total billed charges,148.2874952,,,,201.55,percent of total billed charges,157.1818129,,,,201.55,percent of total billed charges,999999999,,,,201.55,percent of total billed charges,153.5672476,,,,201.55,percent of total billed charges,148.2874952,,,,201.55,percent of total billed charges,157.1818129,,,,143.70515,percent of total billed charges,71.71149966,,,,143.70515,percent of total billed charges,42.90675904,,,,143.70515,percent of total billed charges,71.71149966,,,,143.70515,percent of total billed charges,42.90675904,,,,143.70515,percent of total billed charges,71.71149966,,,,143.70515,percent of total billed charges,42.90675904,,,,142.2943,percent of total billed charges,141.2146745,,,,142.2943,percent of total billed charges,97.3946417,,,,,,,,,,145.116,percent of total billed charges,94.32198511,,,,,,,,,,145.116,percent of total billed charges,999999999,,,,,,,,,,161.24,percent of total billed charges,135.1107385,,,,159.2245,percent of total billed charges,153.6584947,,,,159.2245,percent of total billed charges,135.7623664,,,,161.24,percent of total billed charges,999999999,,,,161.24,percent of total billed charges,999999999,,,,141.085,percent of total billed charges,999999999,,,,141.085,percent of total billed charges,999999999,,,,,,,,,,,,,,,,107.2246,percent of total billed charges,999999999,,,,,,,,,,,,,,,,101.78275,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,50.3875,percent of total billed charges,47.85579977,,,,,,,,,,50.3875,percent of total billed charges,47.0597511,,,,,,,,,,50.3875,percent of total billed charges,46.92897407,,,,,,,,,,50.3875,percent of total billed charges,46.23794549,,,,,,,,,,50.3875,percent of total billed charges,47.42771581,,,,,,,,,,50.3875,percent of total billed charges,999999999,,,,,,,,,,50.3875,percent of total billed charges,40.69632002,,,,,,,,,,50.3875,percent of total billed charges,64.18090308,,,,,,,,,,50.3875,percent of total billed charges,999999999,,,,,,,,,,50.3875,percent of total billed charges,43.88058599,,,,,,,,,,181.395,percent of total billed charges,,,,,
**PRAZOSIN (MINIPRESS) 1 MG CAP,259,RC,5107-9063-20,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
**CEFAZOLIN 0.1GM. INJECTION:,250,RC,0040-9080-01,NDC,,both,1,EA,11,11,2.341723391,11,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,11,percent of total billed charges,999999999,,,,11,percent of total billed charges,8.381243975,,,,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.766,percent of total billed charges,7.707077247,,,,7.766,percent of total billed charges,5.31551009,,,,,,,,,,7.92,percent of total billed charges,5.147813626,,,,,,,,,,7.92,percent of total billed charges,999999999,,,,,,,,,,8.8,percent of total billed charges,7.373942561,,,,8.69,percent of total billed charges,8.386223973,,,,8.69,percent of total billed charges,7.409506477,,,,8.8,percent of total billed charges,999999999,,,,8.8,percent of total billed charges,999999999,,,,7.7,percent of total billed charges,999999999,,,,7.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.852,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.555,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.75,percent of total billed charges,2.611827325,,,,,,,,,,2.75,percent of total billed charges,2.568381355,,,,,,,,,,2.75,percent of total billed charges,2.561243933,,,,,,,,,,2.75,percent of total billed charges,2.523529647,,,,,,,,,,2.75,percent of total billed charges,2.588463775,,,,,,,,,,2.75,percent of total billed charges,999999999,,,,,,,,,,2.75,percent of total billed charges,2.221084199,,,,,,,,,,2.75,percent of total billed charges,3.502802947,,,,,,,,,,2.75,percent of total billed charges,999999999,,,,,,,,,,2.75,percent of total billed charges,2.394871971,,,,,,,,,,9.9,percent of total billed charges,,,,,
**PRAZOSIN (MINIPRESS) 5 MG CAP,259,RC,5107-9063-20,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
predniSONE (DELTASONE) 10MG TAB,J7512,CDM,0005-4001-20,NDC,,both,1,EA,0.62,0.62,0.131988046,0.62,0.62,percent of total billed charges,0.456156026,,,,0.62,percent of total billed charges,0.483516368,,,,0.62,percent of total billed charges,0.456156026,,,,0.62,percent of total billed charges,0.483516368,,,,0.62,percent of total billed charges,999999999,,,,0.62,percent of total billed charges,0.472397388,,,,0.62,percent of total billed charges,0.456156026,,,,0.62,percent of total billed charges,0.483516368,,,,0.44206,percent of total billed charges,0.22059603,,,,0.44206,percent of total billed charges,0.131988046,,,,0.44206,percent of total billed charges,0.22059603,,,,0.44206,percent of total billed charges,0.131988046,,,,0.44206,percent of total billed charges,0.22059603,,,,0.44206,percent of total billed charges,0.131988046,,,,0.43772,percent of total billed charges,0.434398899,,,,0.43772,percent of total billed charges,0.299601478,,,,,,,,,,0.4464,percent of total billed charges,0.290149495,,,,,,,,,,0.4464,percent of total billed charges,999999999,,,,,,,,,,0.496,percent of total billed charges,0.415622217,,,,0.4898,percent of total billed charges,0.472678079,,,,0.4898,percent of total billed charges,0.417626729,,,,0.496,percent of total billed charges,999999999,,,,0.496,percent of total billed charges,999999999,,,,0.434,percent of total billed charges,999999999,,,,0.434,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.32984,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.3131,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.155,percent of total billed charges,0.147212086,,,,,,,,,,0.155,percent of total billed charges,0.144763313,,,,,,,,,,0.155,percent of total billed charges,0.144361022,,,,,,,,,,0.155,percent of total billed charges,0.142235307,,,,,,,,,,0.155,percent of total billed charges,0.145895231,,,,,,,,,,0.155,percent of total billed charges,999999999,,,,,,,,,,0.155,percent of total billed charges,0.125188382,,,,,,,,,,0.155,percent of total billed charges,0.197430712,,,,,,,,,,0.155,percent of total billed charges,999999999,,,,,,,,,,0.155,percent of total billed charges,0.134983693,,,,,,,,,,0.558,percent of total billed charges,,,,,
PANTOPRAZOLE (PROTONIX) 40 MG TAB,250,RC,6699-3006-51,NDC,,both,1,EA,0.66,0.66,0.140503403,0.66,0.66,percent of total billed charges,0.485585447,,,,0.66,percent of total billed charges,0.514710973,,,,0.66,percent of total billed charges,0.485585447,,,,0.66,percent of total billed charges,0.514710973,,,,0.66,percent of total billed charges,999999999,,,,0.66,percent of total billed charges,0.502874638,,,,0.66,percent of total billed charges,0.485585447,,,,0.66,percent of total billed charges,0.514710973,,,,0.47058,percent of total billed charges,0.234828032,,,,0.47058,percent of total billed charges,0.140503403,,,,0.47058,percent of total billed charges,0.234828032,,,,0.47058,percent of total billed charges,0.140503403,,,,0.47058,percent of total billed charges,0.234828032,,,,0.47058,percent of total billed charges,0.140503403,,,,0.46596,percent of total billed charges,0.462424635,,,,0.46596,percent of total billed charges,0.318930605,,,,,,,,,,0.4752,percent of total billed charges,0.308868818,,,,,,,,,,0.4752,percent of total billed charges,999999999,,,,,,,,,,0.528,percent of total billed charges,0.442436554,,,,0.5214,percent of total billed charges,0.503173438,,,,0.5214,percent of total billed charges,0.444570389,,,,0.528,percent of total billed charges,999999999,,,,0.528,percent of total billed charges,999999999,,,,0.462,percent of total billed charges,999999999,,,,0.462,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.35112,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.3333,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.165,percent of total billed charges,0.15670964,,,,,,,,,,0.165,percent of total billed charges,0.154102881,,,,,,,,,,0.165,percent of total billed charges,0.153674636,,,,,,,,,,0.165,percent of total billed charges,0.151411779,,,,,,,,,,0.165,percent of total billed charges,0.155307827,,,,,,,,,,0.165,percent of total billed charges,999999999,,,,,,,,,,0.165,percent of total billed charges,0.133265052,,,,,,,,,,0.165,percent of total billed charges,0.210168177,,,,,,,,,,0.165,percent of total billed charges,999999999,,,,,,,,,,0.165,percent of total billed charges,0.143692318,,,,,,,,,,0.594,percent of total billed charges,,,,,
predniSONE (DELTASONE) 20MG TAB,J7512,CDM,0005-4001-25,NDC,,both,1,EA,0.67,0.67,0.142632243,0.67,0.67,percent of total billed charges,0.492942802,,,,0.67,percent of total billed charges,0.522509624,,,,0.67,percent of total billed charges,0.492942802,,,,0.67,percent of total billed charges,0.522509624,,,,0.67,percent of total billed charges,999999999,,,,0.67,percent of total billed charges,0.510493951,,,,0.67,percent of total billed charges,0.492942802,,,,0.67,percent of total billed charges,0.522509624,,,,0.47771,percent of total billed charges,0.238386032,,,,0.47771,percent of total billed charges,0.142632243,,,,0.47771,percent of total billed charges,0.238386032,,,,0.47771,percent of total billed charges,0.142632243,,,,0.47771,percent of total billed charges,0.238386032,,,,0.47771,percent of total billed charges,0.142632243,,,,0.47302,percent of total billed charges,0.469431069,,,,0.47302,percent of total billed charges,0.323762887,,,,,,,,,,0.4824,percent of total billed charges,0.313548648,,,,,,,,,,0.4824,percent of total billed charges,999999999,,,,,,,,,,0.536,percent of total billed charges,0.449140138,,,,0.5293,percent of total billed charges,0.510797278,,,,0.5293,percent of total billed charges,0.451306304,,,,0.536,percent of total billed charges,999999999,,,,0.536,percent of total billed charges,999999999,,,,0.469,percent of total billed charges,999999999,,,,0.469,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.35644,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.33835,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.1675,percent of total billed charges,0.159084028,,,,,,,,,,0.1675,percent of total billed charges,0.156437773,,,,,,,,,,0.1675,percent of total billed charges,0.15600304,,,,,,,,,,0.1675,percent of total billed charges,0.153705897,,,,,,,,,,0.1675,percent of total billed charges,0.157660975,,,,,,,,,,0.1675,percent of total billed charges,999999999,,,,,,,,,,0.1675,percent of total billed charges,0.135284219,,,,,,,,,,0.1675,percent of total billed charges,0.213352543,,,,,,,,,,0.1675,percent of total billed charges,999999999,,,,,,,,,,0.1675,percent of total billed charges,0.145869475,,,,,,,,,,0.603,percent of total billed charges,,,,,
methylPREDNISolone (SOLU-Medrol)125MG,J2919,CDM,0000-9004-27,NDC,,both,1,EA,137.84,137.84,29.34392293,137.84,137.84,percent of total billed charges,101.4137849,,,,137.84,percent of total billed charges,107.4966068,,,,137.84,percent of total billed charges,101.4137849,,,,137.84,percent of total billed charges,107.4966068,,,,137.84,percent of total billed charges,999999999,,,,137.84,percent of total billed charges,105.0246063,,,,137.84,percent of total billed charges,101.4137849,,,,137.84,percent of total billed charges,107.4966068,,,,98.27992,percent of total billed charges,49.04347861,,,,98.27992,percent of total billed charges,29.34392293,,,,98.27992,percent of total billed charges,49.04347861,,,,98.27992,percent of total billed charges,29.34392293,,,,98.27992,percent of total billed charges,49.04347861,,,,98.27992,percent of total billed charges,29.34392293,,,,97.31504,percent of total billed charges,96.57668434,,,,97.31504,percent of total billed charges,66.60817372,,,,,,,,,,99.2448,percent of total billed charges,64.50678456,,,,,,,,,,99.2448,percent of total billed charges,999999999,,,,,,,,,,110.272,percent of total billed charges,92.40220387,,,,108.8936,percent of total billed charges,105.0870102,,,,108.8936,percent of total billed charges,92.84785208,,,,110.272,percent of total billed charges,999999999,,,,110.272,percent of total billed charges,999999999,,,,96.488,percent of total billed charges,999999999,,,,96.488,percent of total billed charges,999999999,,,,,,,,,,,,,,,,73.33088,percent of total billed charges,999999999,,,,,,,,,,,,,,,,69.6092,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,34.46,percent of total billed charges,32.72857078,,,,,,,,,,34.46,percent of total billed charges,32.18415327,,,,,,,,,,34.46,percent of total billed charges,32.09471489,,,,,,,,,,34.46,percent of total billed charges,31.6221206,,,,,,,,,,34.46,percent of total billed charges,32.43580425,,,,,,,,,,34.46,percent of total billed charges,999999999,,,,,,,,,,34.46,percent of total billed charges,27.83220418,,,,,,,,,,34.46,percent of total billed charges,43.89330529,,,,,,,,,,34.46,percent of total billed charges,999999999,,,,,,,,,,34.46,percent of total billed charges,30.00992296,,,,,,,,,,124.056,percent of total billed charges,,,,,
predniSONE (DELTASONE) 5 MG TAB,J7512,CDM,0005-4872-25,NDC,,both,1,EA,0.59,0.59,0.125601527,0.59,0.59,percent of total billed charges,0.43408396,,,,0.59,percent of total billed charges,0.460120415,,,,0.59,percent of total billed charges,0.43408396,,,,0.59,percent of total billed charges,0.460120415,,,,0.59,percent of total billed charges,999999999,,,,0.59,percent of total billed charges,0.44953945,,,,0.59,percent of total billed charges,0.43408396,,,,0.59,percent of total billed charges,0.460120415,,,,0.42067,percent of total billed charges,0.209922028,,,,0.42067,percent of total billed charges,0.125601527,,,,0.42067,percent of total billed charges,0.209922028,,,,0.42067,percent of total billed charges,0.125601527,,,,0.42067,percent of total billed charges,0.209922028,,,,0.42067,percent of total billed charges,0.125601527,,,,0.41654,percent of total billed charges,0.413379598,,,,0.41654,percent of total billed charges,0.285104632,,,,,,,,,,0.4248,percent of total billed charges,0.276110004,,,,,,,,,,0.4248,percent of total billed charges,999999999,,,,,,,,,,0.472,percent of total billed charges,0.395511465,,,,0.4661,percent of total billed charges,0.449806559,,,,0.4661,percent of total billed charges,0.397418984,,,,0.472,percent of total billed charges,999999999,,,,0.472,percent of total billed charges,999999999,,,,0.413,percent of total billed charges,999999999,,,,0.413,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.31388,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.29795,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.1475,percent of total billed charges,0.14008892,,,,,,,,,,0.1475,percent of total billed charges,0.137758636,,,,,,,,,,0.1475,percent of total billed charges,0.137375811,,,,,,,,,,0.1475,percent of total billed charges,0.135352954,,,,,,,,,,0.1475,percent of total billed charges,0.138835784,,,,,,,,,,0.1475,percent of total billed charges,999999999,,,,,,,,,,0.1475,percent of total billed charges,0.11913088,,,,,,,,,,0.1475,percent of total billed charges,0.187877613,,,,,,,,,,0.1475,percent of total billed charges,999999999,,,,,,,,,,0.1475,percent of total billed charges,0.128452224,,,,,,,,,,0.531,percent of total billed charges,,,,,
"ESTROGENS, CONJ (PREMARIN) INJ 25MG/5ML",J1410,CDM,0004-6074-05,NDC,,both,1,EA,1172.87,1172.87,249.6851921,1172.87,1172.87,percent of total billed charges,862.9221261,,,,1172.87,percent of total billed charges,914.6803916,,,,1172.87,percent of total billed charges,862.9221261,,,,1172.87,percent of total billed charges,914.6803916,,,,1172.87,percent of total billed charges,999999999,,,,1172.87,percent of total billed charges,893.6463291,,,,1172.87,percent of total billed charges,862.9221261,,,,1172.87,percent of total billed charges,914.6803916,,,,836.25631,percent of total billed charges,417.3072022,,,,836.25631,percent of total billed charges,249.6851921,,,,836.25631,percent of total billed charges,417.3072022,,,,836.25631,percent of total billed charges,249.6851921,,,,836.25631,percent of total billed charges,417.3072022,,,,836.25631,percent of total billed charges,249.6851921,,,,828.04622,percent of total billed charges,821.7636082,,,,828.04622,percent of total billed charges,566.7638473,,,,,,,,,,844.4664,percent of total billed charges,548.8832879,,,,,,,,,,844.4664,percent of total billed charges,999999999,,,,,,,,,,938.296,percent of total billed charges,786.2432737,,,,926.5673,percent of total billed charges,894.1773192,,,,926.5673,percent of total billed charges,790.0352602,,,,938.296,percent of total billed charges,999999999,,,,938.296,percent of total billed charges,999999999,,,,821.009,percent of total billed charges,999999999,,,,821.009,percent of total billed charges,999999999,,,,,,,,,,,,,,,,623.96684,percent of total billed charges,999999999,,,,,,,,,,,,,,,,592.29935,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,293.2175,percent of total billed charges,278.4849014,,,,,,,,,,293.2175,percent of total billed charges,273.8524945,,,,,,,,,,293.2175,percent of total billed charges,273.0914702,,,,,,,,,,293.2175,percent of total billed charges,269.0702016,,,,,,,,,,293.2175,percent of total billed charges,275.9937734,,,,,,,,,,293.2175,percent of total billed charges,999999999,,,,,,,,,,293.2175,percent of total billed charges,236.8220931,,,,,,,,,,293.2175,percent of total billed charges,373.484772,,,,,,,,,,293.2175,percent of total billed charges,999999999,,,,,,,,,,293.2175,percent of total billed charges,255.3521354,,,,,,,,,,1055.583,percent of total billed charges,,,,,
PRIMIDONE (MYSOLINE) 250MG TAB,259,RC,0059-1532-01,NDC,,both,1,EA,1.8,1.8,0.3831911,1.8,1.8,percent of total billed charges,1.324323946,,,,1.8,percent of total billed charges,1.403757198,,,,1.8,percent of total billed charges,1.324323946,,,,1.8,percent of total billed charges,1.403757198,,,,1.8,percent of total billed charges,999999999,,,,1.8,percent of total billed charges,1.371476287,,,,1.8,percent of total billed charges,1.324323946,,,,1.8,percent of total billed charges,1.403757198,,,,1.2834,percent of total billed charges,0.640440086,,,,1.2834,percent of total billed charges,0.3831911,,,,1.2834,percent of total billed charges,0.640440086,,,,1.2834,percent of total billed charges,0.3831911,,,,1.2834,percent of total billed charges,0.640440086,,,,1.2834,percent of total billed charges,0.3831911,,,,1.2708,percent of total billed charges,1.261158095,,,,1.2708,percent of total billed charges,0.869810742,,,,,,,,,,1.296,percent of total billed charges,0.842369502,,,,,,,,,,1.296,percent of total billed charges,999999999,,,,,,,,,,1.44,percent of total billed charges,1.206645146,,,,1.422,percent of total billed charges,1.372291196,,,,1.422,percent of total billed charges,1.212464696,,,,1.44,percent of total billed charges,999999999,,,,1.44,percent of total billed charges,999999999,,,,1.26,percent of total billed charges,999999999,,,,1.26,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.9576,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.909,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.45,percent of total billed charges,0.427389926,,,,,,,,,,0.45,percent of total billed charges,0.420280585,,,,,,,,,,0.45,percent of total billed charges,0.419112644,,,,,,,,,,0.45,percent of total billed charges,0.412941215,,,,,,,,,,0.45,percent of total billed charges,0.4235668,,,,,,,,,,0.45,percent of total billed charges,999999999,,,,,,,,,,0.45,percent of total billed charges,0.363450142,,,,,,,,,,0.45,percent of total billed charges,0.573185937,,,,,,,,,,0.45,percent of total billed charges,999999999,,,,,,,,,,0.45,percent of total billed charges,0.391888141,,,,,,,,,,1.62,percent of total billed charges,,,,,
PRIMIDONE (MYSOLINE) 50MG TAB,637,RC,6808-4020-01,NDC,,both,1,EA,3.36,3.36,0.715290054,3.36,3.36,percent of total billed charges,2.472071366,,,,3.36,percent of total billed charges,2.62034677,,,,3.36,percent of total billed charges,2.472071366,,,,3.36,percent of total billed charges,2.62034677,,,,3.36,percent of total billed charges,999999999,,,,3.36,percent of total billed charges,2.560089069,,,,3.36,percent of total billed charges,2.472071366,,,,3.36,percent of total billed charges,2.62034677,,,,2.39568,percent of total billed charges,1.195488161,,,,2.39568,percent of total billed charges,0.715290054,,,,2.39568,percent of total billed charges,1.195488161,,,,2.39568,percent of total billed charges,0.715290054,,,,2.39568,percent of total billed charges,1.195488161,,,,2.39568,percent of total billed charges,0.715290054,,,,2.37216,percent of total billed charges,2.354161777,,,,2.37216,percent of total billed charges,1.623646719,,,,,,,,,,2.4192,percent of total billed charges,1.572423071,,,,,,,,,,2.4192,percent of total billed charges,999999999,,,,,,,,,,2.688,percent of total billed charges,2.252404273,,,,2.6544,percent of total billed charges,2.561610232,,,,2.6544,percent of total billed charges,2.263267433,,,,2.688,percent of total billed charges,999999999,,,,2.688,percent of total billed charges,999999999,,,,2.352,percent of total billed charges,999999999,,,,2.352,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.78752,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.6968,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.84,percent of total billed charges,0.797794528,,,,,,,,,,0.84,percent of total billed charges,0.784523759,,,,,,,,,,0.84,percent of total billed charges,0.782343601,,,,,,,,,,0.84,percent of total billed charges,0.770823601,,,,,,,,,,0.84,percent of total billed charges,0.790658026,,,,,,,,,,0.84,percent of total billed charges,999999999,,,,,,,,,,0.84,percent of total billed charges,0.678440264,,,,,,,,,,0.84,percent of total billed charges,1.069947082,,,,,,,,,,0.84,percent of total billed charges,999999999,,,,,,,,,,0.84,percent of total billed charges,0.731524529,,,,,,,,,,3.024,percent of total billed charges,,,,,
PROBENECID (BENEMID) 500MG TAB,637,RC,0037-8015-01,NDC,,both,1,EA,3.72,3.72,0.791928274,3.72,3.72,percent of total billed charges,2.736936156,,,,3.72,percent of total billed charges,2.901098209,,,,3.72,percent of total billed charges,2.736936156,,,,3.72,percent of total billed charges,2.901098209,,,,3.72,percent of total billed charges,999999999,,,,3.72,percent of total billed charges,2.834384326,,,,3.72,percent of total billed charges,2.736936156,,,,3.72,percent of total billed charges,2.901098209,,,,2.65236,percent of total billed charges,1.323576178,,,,2.65236,percent of total billed charges,0.791928274,,,,2.65236,percent of total billed charges,1.323576178,,,,2.65236,percent of total billed charges,0.791928274,,,,2.65236,percent of total billed charges,1.323576178,,,,2.65236,percent of total billed charges,0.791928274,,,,2.62632,percent of total billed charges,2.606393396,,,,2.62632,percent of total billed charges,1.797608867,,,,,,,,,,2.6784,percent of total billed charges,1.740896972,,,,,,,,,,2.6784,percent of total billed charges,999999999,,,,,,,,,,2.976,percent of total billed charges,2.493733302,,,,2.9388,percent of total billed charges,2.836068471,,,,2.9388,percent of total billed charges,2.505760372,,,,2.976,percent of total billed charges,999999999,,,,2.976,percent of total billed charges,999999999,,,,2.604,percent of total billed charges,999999999,,,,2.604,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.97904,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.8786,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.93,percent of total billed charges,0.883272514,,,,,,,,,,0.93,percent of total billed charges,0.868579876,,,,,,,,,,0.93,percent of total billed charges,0.86616613,,,,,,,,,,0.93,percent of total billed charges,0.853411844,,,,,,,,,,0.93,percent of total billed charges,0.875371386,,,,,,,,,,0.93,percent of total billed charges,999999999,,,,,,,,,,0.93,percent of total billed charges,0.751130293,,,,,,,,,,0.93,percent of total billed charges,1.184584269,,,,,,,,,,0.93,percent of total billed charges,999999999,,,,,,,,,,0.93,percent of total billed charges,0.809902158,,,,,,,,,,3.348,percent of total billed charges,,,,,
levoFLOXacin (LEVAQUIN) 250MG TAB,637,RC,0090-4635-61,NDC,,both,1,EA,0.91,0.91,0.19372439,0.91,0.91,percent of total billed charges,0.669519328,,,,0.91,percent of total billed charges,0.70967725,,,,0.91,percent of total billed charges,0.669519328,,,,0.91,percent of total billed charges,0.70967725,,,,0.91,percent of total billed charges,999999999,,,,0.91,percent of total billed charges,0.693357456,,,,0.91,percent of total billed charges,0.669519328,,,,0.91,percent of total billed charges,0.70967725,,,,0.64883,percent of total billed charges,0.323778044,,,,0.64883,percent of total billed charges,0.19372439,,,,0.64883,percent of total billed charges,0.323778044,,,,0.64883,percent of total billed charges,0.19372439,,,,0.64883,percent of total billed charges,0.323778044,,,,0.64883,percent of total billed charges,0.19372439,,,,0.64246,percent of total billed charges,0.637585481,,,,0.64246,percent of total billed charges,0.439737653,,,,,,,,,,0.6552,percent of total billed charges,0.425864582,,,,,,,,,,0.6552,percent of total billed charges,999999999,,,,,,,,,,0.728,percent of total billed charges,0.610026157,,,,0.7189,percent of total billed charges,0.693769438,,,,0.7189,percent of total billed charges,0.612968263,,,,0.728,percent of total billed charges,999999999,,,,0.728,percent of total billed charges,999999999,,,,0.637,percent of total billed charges,999999999,,,,0.637,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.48412,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.45955,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.2275,percent of total billed charges,0.216069351,,,,,,,,,,0.2275,percent of total billed charges,0.212475185,,,,,,,,,,0.2275,percent of total billed charges,0.211884725,,,,,,,,,,0.2275,percent of total billed charges,0.208764725,,,,,,,,,,0.2275,percent of total billed charges,0.214136549,,,,,,,,,,0.2275,percent of total billed charges,999999999,,,,,,,,,,0.2275,percent of total billed charges,0.183744238,,,,,,,,,,0.2275,percent of total billed charges,0.289777335,,,,,,,,,,0.2275,percent of total billed charges,999999999,,,,,,,,,,0.2275,percent of total billed charges,0.198121227,,,,,,,,,,0.819,percent of total billed charges,,,,,
**PROCAINAMIDE (PRONESTYL) 500MG: CAP,259,RC,0017-2234-60,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
**PROCAINAMIDE (PROCANBID) 1000MG: T,259,RC,6157-0007-70,NDC,,both,1,EA,11,11,2.341723391,11,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,11,percent of total billed charges,999999999,,,,11,percent of total billed charges,8.381243975,,,,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.766,percent of total billed charges,7.707077247,,,,7.766,percent of total billed charges,5.31551009,,,,,,,,,,7.92,percent of total billed charges,5.147813626,,,,,,,,,,7.92,percent of total billed charges,999999999,,,,,,,,,,8.8,percent of total billed charges,7.373942561,,,,8.69,percent of total billed charges,8.386223973,,,,8.69,percent of total billed charges,7.409506477,,,,8.8,percent of total billed charges,999999999,,,,8.8,percent of total billed charges,999999999,,,,7.7,percent of total billed charges,999999999,,,,7.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.852,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.555,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.75,percent of total billed charges,2.611827325,,,,,,,,,,2.75,percent of total billed charges,2.568381355,,,,,,,,,,2.75,percent of total billed charges,2.561243933,,,,,,,,,,2.75,percent of total billed charges,2.523529647,,,,,,,,,,2.75,percent of total billed charges,2.588463775,,,,,,,,,,2.75,percent of total billed charges,999999999,,,,,,,,,,2.75,percent of total billed charges,2.221084199,,,,,,,,,,2.75,percent of total billed charges,3.502802947,,,,,,,,,,2.75,percent of total billed charges,999999999,,,,,,,,,,2.75,percent of total billed charges,2.394871971,,,,,,,,,,9.9,percent of total billed charges,,,,,
**PROCAINAMIDE (PROCANBID) 500MG: TAB,259,RC,6157-0006-01,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
PROCHLORPERAZ (COMPAZINE) 10MG VIAL,J0780,CDM,2315-5049-42,NDC,,both,1,EA,35.94,35.94,7.65104897,35.94,35.94,percent of total billed charges,26.44233479,,,,35.94,percent of total billed charges,28.02835205,,,,35.94,percent of total billed charges,26.44233479,,,,35.94,percent of total billed charges,28.02835205,,,,35.94,percent of total billed charges,999999999,,,,35.94,percent of total billed charges,27.38380986,,,,35.94,percent of total billed charges,26.44233479,,,,35.94,percent of total billed charges,28.02835205,,,,25.62522,percent of total billed charges,12.78745372,,,,25.62522,percent of total billed charges,7.65104897,,,,25.62522,percent of total billed charges,12.78745372,,,,25.62522,percent of total billed charges,7.65104897,,,,25.62522,percent of total billed charges,12.78745372,,,,25.62522,percent of total billed charges,7.65104897,,,,25.37364,percent of total billed charges,25.1811233,,,,25.37364,percent of total billed charges,17.36722115,,,,,,,,,,25.8768,percent of total billed charges,16.81931106,,,,,,,,,,25.8768,percent of total billed charges,999999999,,,,,,,,,,28.752,percent of total billed charges,24.09268142,,,,28.3926,percent of total billed charges,27.40008087,,,,28.3926,percent of total billed charges,24.20887844,,,,28.752,percent of total billed charges,999999999,,,,28.752,percent of total billed charges,999999999,,,,25.158,percent of total billed charges,999999999,,,,25.158,percent of total billed charges,999999999,,,,,,,,,,,,,,,,19.12008,percent of total billed charges,999999999,,,,,,,,,,,,,,,,18.1497,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8.985,percent of total billed charges,8.533552189,,,,,,,,,,8.985,percent of total billed charges,8.391602354,,,,,,,,,,8.985,percent of total billed charges,8.368282451,,,,,,,,,,8.985,percent of total billed charges,8.245059594,,,,,,,,,,8.985,percent of total billed charges,8.457217098,,,,,,,,,,8.985,percent of total billed charges,999999999,,,,,,,,,,8.985,percent of total billed charges,7.256887828,,,,,,,,,,8.985,percent of total billed charges,11.44461254,,,,,,,,,,8.985,percent of total billed charges,999999999,,,,,,,,,,8.985,percent of total billed charges,7.824699878,,,,,,,,,,32.346,percent of total billed charges,,,,,
PROCHLORPERAZINE  (COMPAZINE) 10 MG TAB,637,RC,5107-9054-20,NDC,,both,1,EA,1.35,1.35,0.287393325,1.35,1.35,percent of total billed charges,0.99324296,,,,1.35,percent of total billed charges,1.052817899,,,,1.35,percent of total billed charges,0.99324296,,,,1.35,percent of total billed charges,1.052817899,,,,1.35,percent of total billed charges,999999999,,,,1.35,percent of total billed charges,1.028607215,,,,1.35,percent of total billed charges,0.99324296,,,,1.35,percent of total billed charges,1.052817899,,,,0.96255,percent of total billed charges,0.480330065,,,,0.96255,percent of total billed charges,0.287393325,,,,0.96255,percent of total billed charges,0.480330065,,,,0.96255,percent of total billed charges,0.287393325,,,,0.96255,percent of total billed charges,0.480330065,,,,0.96255,percent of total billed charges,0.287393325,,,,0.9531,percent of total billed charges,0.945868571,,,,0.9531,percent of total billed charges,0.652358057,,,,,,,,,,0.972,percent of total billed charges,0.631777127,,,,,,,,,,0.972,percent of total billed charges,999999999,,,,,,,,,,1.08,percent of total billed charges,0.90498386,,,,1.0665,percent of total billed charges,1.029218397,,,,1.0665,percent of total billed charges,0.909348522,,,,1.08,percent of total billed charges,999999999,,,,1.08,percent of total billed charges,999999999,,,,0.945,percent of total billed charges,999999999,,,,0.945,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.7182,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.68175,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.3375,percent of total billed charges,0.320542444,,,,,,,,,,0.3375,percent of total billed charges,0.315210439,,,,,,,,,,0.3375,percent of total billed charges,0.314334483,,,,,,,,,,0.3375,percent of total billed charges,0.309705911,,,,,,,,,,0.3375,percent of total billed charges,0.3176751,,,,,,,,,,0.3375,percent of total billed charges,999999999,,,,,,,,,,0.3375,percent of total billed charges,0.272587606,,,,,,,,,,0.3375,percent of total billed charges,0.429889453,,,,,,,,,,0.3375,percent of total billed charges,999999999,,,,,,,,,,0.3375,percent of total billed charges,0.293916106,,,,,,,,,,1.215,percent of total billed charges,,,,,
PROCHLORPERAZINE (COMPAZINE) 25MG SUPP,259,RC,0071-3013-12,NDC,,both,1,EA,35.34,35.34,7.523318603,35.34,35.34,percent of total billed charges,26.00089348,,,,35.34,percent of total billed charges,27.56043299,,,,35.34,percent of total billed charges,26.00089348,,,,35.34,percent of total billed charges,27.56043299,,,,35.34,percent of total billed charges,999999999,,,,35.34,percent of total billed charges,26.9266511,,,,35.34,percent of total billed charges,26.00089348,,,,35.34,percent of total billed charges,27.56043299,,,,25.19742,percent of total billed charges,12.57397369,,,,25.19742,percent of total billed charges,7.523318603,,,,25.19742,percent of total billed charges,12.57397369,,,,25.19742,percent of total billed charges,7.523318603,,,,25.19742,percent of total billed charges,12.57397369,,,,25.19742,percent of total billed charges,7.523318603,,,,24.95004,percent of total billed charges,24.76073726,,,,24.95004,percent of total billed charges,17.07728424,,,,,,,,,,25.4448,percent of total billed charges,16.53852123,,,,,,,,,,25.4448,percent of total billed charges,999999999,,,,,,,,,,28.272,percent of total billed charges,23.69046637,,,,27.9186,percent of total billed charges,26.94265047,,,,27.9186,percent of total billed charges,23.80472354,,,,28.272,percent of total billed charges,999999999,,,,28.272,percent of total billed charges,999999999,,,,24.738,percent of total billed charges,999999999,,,,24.738,percent of total billed charges,999999999,,,,,,,,,,,,,,,,18.80088,percent of total billed charges,999999999,,,,,,,,,,,,,,,,17.8467,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8.835,percent of total billed charges,8.39108888,,,,,,,,,,8.835,percent of total billed charges,8.251508826,,,,,,,,,,8.835,percent of total billed charges,8.228578236,,,,,,,,,,8.835,percent of total billed charges,8.107412522,,,,,,,,,,8.835,percent of total billed charges,8.316028165,,,,,,,,,,8.835,percent of total billed charges,999999999,,,,,,,,,,8.835,percent of total billed charges,7.13573778,,,,,,,,,,8.835,percent of total billed charges,11.25355056,,,,,,,,,,8.835,percent of total billed charges,999999999,,,,,,,,,,8.835,percent of total billed charges,7.694070497,,,,,,,,,,31.806,percent of total billed charges,,,,,
**PROCHLORPERAZ (COMPAZINE) SUPP: 5MG,259,RC,0000-7336-03,NDC,,both,1,EA,12,12,2.554607335,12,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,12,percent of total billed charges,999999999,,,,12,percent of total billed charges,9.143175245,,,,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.472,percent of total billed charges,8.407720633,,,,8.472,percent of total billed charges,5.79873828,,,,,,,,,,8.64,percent of total billed charges,5.615796683,,,,,,,,,,8.64,percent of total billed charges,999999999,,,,,,,,,,9.6,percent of total billed charges,8.044300975,,,,9.48,percent of total billed charges,9.148607971,,,,9.48,percent of total billed charges,8.083097975,,,,9.6,percent of total billed charges,999999999,,,,9.6,percent of total billed charges,999999999,,,,8.4,percent of total billed charges,999999999,,,,8.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.384,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.06,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3,percent of total billed charges,2.849266173,,,,,,,,,,3,percent of total billed charges,2.801870569,,,,,,,,,,3,percent of total billed charges,2.794084291,,,,,,,,,,3,percent of total billed charges,2.752941434,,,,,,,,,,3,percent of total billed charges,2.823778664,,,,,,,,,,3,percent of total billed charges,999999999,,,,,,,,,,3,percent of total billed charges,2.423000944,,,,,,,,,,3,percent of total billed charges,3.821239578,,,,,,,,,,3,percent of total billed charges,999999999,,,,,,,,,,3,percent of total billed charges,2.612587605,,,,,,,,,,10.8,percent of total billed charges,,,,,
PROCHLORPERAZINE (COMPAZINE) 5 MG TAB,637,RC,5107-9054-01,NDC,,both,1,EA,4.85,4.85,1.032487131,4.85,4.85,percent of total billed charges,3.5683173,,,,4.85,percent of total billed charges,3.782345784,,,,4.85,percent of total billed charges,3.5683173,,,,4.85,percent of total billed charges,3.782345784,,,,4.85,percent of total billed charges,999999999,,,,4.85,percent of total billed charges,3.695366662,,,,4.85,percent of total billed charges,3.5683173,,,,4.85,percent of total billed charges,3.782345784,,,,3.45805,percent of total billed charges,1.725630232,,,,3.45805,percent of total billed charges,1.032487131,,,,3.45805,percent of total billed charges,1.725630232,,,,3.45805,percent of total billed charges,1.032487131,,,,3.45805,percent of total billed charges,1.725630232,,,,3.45805,percent of total billed charges,1.032487131,,,,3.4241,percent of total billed charges,3.398120422,,,,3.4241,percent of total billed charges,2.343656722,,,,,,,,,,3.492,percent of total billed charges,2.269717826,,,,,,,,,,3.492,percent of total billed charges,999999999,,,,,,,,,,3.88,percent of total billed charges,3.251238311,,,,3.8315,percent of total billed charges,3.697562388,,,,3.8315,percent of total billed charges,3.266918765,,,,3.88,percent of total billed charges,999999999,,,,3.88,percent of total billed charges,999999999,,,,3.395,percent of total billed charges,999999999,,,,3.395,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2.5802,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2.44925,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.2125,percent of total billed charges,1.151578412,,,,,,,,,,1.2125,percent of total billed charges,1.132422688,,,,,,,,,,1.2125,percent of total billed charges,1.129275734,,,,,,,,,,1.2125,percent of total billed charges,1.112647163,,,,,,,,,,1.2125,percent of total billed charges,1.14127721,,,,,,,,,,1.2125,percent of total billed charges,999999999,,,,,,,,,,1.2125,percent of total billed charges,0.979296215,,,,,,,,,,1.2125,percent of total billed charges,1.544417663,,,,,,,,,,1.2125,percent of total billed charges,999999999,,,,,,,,,,1.2125,percent of total billed charges,1.055920824,,,,,,,,,,4.365,percent of total billed charges,,,,,
PROMETHAZINE (PHENERGAN INJ) 25MG VIAL,J2550,CDM,0064-1095-25,NDC,,both,1,EA,10.85,10.85,2.309790799,10.85,10.85,percent of total billed charges,7.982730454,,,,10.85,percent of total billed charges,8.461536444,,,,10.85,percent of total billed charges,7.982730454,,,,10.85,percent of total billed charges,8.461536444,,,,10.85,percent of total billed charges,999999999,,,,10.85,percent of total billed charges,8.266954284,,,,10.85,percent of total billed charges,7.982730454,,,,10.85,percent of total billed charges,8.461536444,,,,7.73605,percent of total billed charges,3.86043052,,,,7.73605,percent of total billed charges,2.309790799,,,,7.73605,percent of total billed charges,3.86043052,,,,7.73605,percent of total billed charges,2.309790799,,,,7.73605,percent of total billed charges,3.86043052,,,,7.73605,percent of total billed charges,2.309790799,,,,7.6601,percent of total billed charges,7.601980739,,,,7.6601,percent of total billed charges,5.243025862,,,,,,,,,,7.812,percent of total billed charges,5.077616167,,,,,,,,,,7.812,percent of total billed charges,999999999,,,,,,,,,,8.68,percent of total billed charges,7.273388798,,,,8.5715,percent of total billed charges,8.271866374,,,,8.5715,percent of total billed charges,7.308467753,,,,8.68,percent of total billed charges,999999999,,,,8.68,percent of total billed charges,999999999,,,,7.595,percent of total billed charges,999999999,,,,7.595,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.7722,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.47925,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.7125,percent of total billed charges,2.576211498,,,,,,,,,,2.7125,percent of total billed charges,2.533357973,,,,,,,,,,2.7125,percent of total billed charges,2.52631788,,,,,,,,,,2.7125,percent of total billed charges,2.48911788,,,,,,,,,,2.7125,percent of total billed charges,2.553166542,,,,,,,,,,2.7125,percent of total billed charges,999999999,,,,,,,,,,2.7125,percent of total billed charges,2.190796687,,,,,,,,,,2.7125,percent of total billed charges,3.455037452,,,,,,,,,,2.7125,percent of total billed charges,999999999,,,,,,,,,,2.7125,percent of total billed charges,2.362214626,,,,,,,,,,9.765,percent of total billed charges,,,,,
NICOTINE (NICODERM) 21MG PATCH,637,RC,6050-5706-00,NDC,,both,1,EA,6.95,6.95,1.479543415,6.95,6.95,percent of total billed charges,5.113361904,,,,6.95,percent of total billed charges,5.420062515,,,,6.95,percent of total billed charges,5.113361904,,,,6.95,percent of total billed charges,5.420062515,,,,6.95,percent of total billed charges,999999999,,,,6.95,percent of total billed charges,5.295422329,,,,6.95,percent of total billed charges,5.113361904,,,,6.95,percent of total billed charges,5.420062515,,,,4.95535,percent of total billed charges,2.472810333,,,,4.95535,percent of total billed charges,1.479543415,,,,4.95535,percent of total billed charges,2.472810333,,,,4.95535,percent of total billed charges,1.479543415,,,,4.95535,percent of total billed charges,2.472810333,,,,4.95535,percent of total billed charges,1.479543415,,,,4.9067,percent of total billed charges,4.869471533,,,,4.9067,percent of total billed charges,3.358435921,,,,,,,,,,5.004,percent of total billed charges,3.252482245,,,,,,,,,,5.004,percent of total billed charges,999999999,,,,,,,,,,5.56,percent of total billed charges,4.658990981,,,,5.4905,percent of total billed charges,5.298568783,,,,5.4905,percent of total billed charges,4.681460911,,,,5.56,percent of total billed charges,999999999,,,,5.56,percent of total billed charges,999999999,,,,4.865,percent of total billed charges,999999999,,,,4.865,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.6974,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.50975,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.7375,percent of total billed charges,1.650199992,,,,,,,,,,1.7375,percent of total billed charges,1.622750038,,,,,,,,,,1.7375,percent of total billed charges,1.618240485,,,,,,,,,,1.7375,percent of total billed charges,1.594411914,,,,,,,,,,1.7375,percent of total billed charges,1.635438476,,,,,,,,,,1.7375,percent of total billed charges,999999999,,,,,,,,,,1.7375,percent of total billed charges,1.40332138,,,,,,,,,,1.7375,percent of total billed charges,2.213134589,,,,,,,,,,1.7375,percent of total billed charges,999999999,,,,,,,,,,1.7375,percent of total billed charges,1.513123655,,,,,,,,,,6.255,percent of total billed charges,,,,,
**PROPOXYPHENE HCL (DARVON) 65MG: CAP,259,RC,0017-2218-60,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
BUMETANIDE (BUMEX) 1 MG TAB,637,RC,0018-5012-01,NDC,,both,1,EA,4.41,4.41,0.938818196,4.41,4.41,percent of total billed charges,3.244593668,,,,4.41,percent of total billed charges,3.439205135,,,,4.41,percent of total billed charges,3.244593668,,,,4.41,percent of total billed charges,3.439205135,,,,4.41,percent of total billed charges,999999999,,,,4.41,percent of total billed charges,3.360116903,,,,4.41,percent of total billed charges,3.244593668,,,,4.41,percent of total billed charges,3.439205135,,,,3.14433,percent of total billed charges,1.569078211,,,,3.14433,percent of total billed charges,0.938818196,,,,3.14433,percent of total billed charges,1.569078211,,,,3.14433,percent of total billed charges,0.938818196,,,,3.14433,percent of total billed charges,1.569078211,,,,3.14433,percent of total billed charges,0.938818196,,,,3.11346,percent of total billed charges,3.089837333,,,,3.11346,percent of total billed charges,2.131036318,,,,,,,,,,3.1752,percent of total billed charges,2.063805281,,,,,,,,,,3.1752,percent of total billed charges,999999999,,,,,,,,,,3.528,percent of total billed charges,2.956280608,,,,3.4839,percent of total billed charges,3.362113429,,,,3.4839,percent of total billed charges,2.970538506,,,,3.528,percent of total billed charges,999999999,,,,3.528,percent of total billed charges,999999999,,,,3.087,percent of total billed charges,999999999,,,,3.087,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2.34612,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2.22705,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.1025,percent of total billed charges,1.047105319,,,,,,,,,,1.1025,percent of total billed charges,1.029687434,,,,,,,,,,1.1025,percent of total billed charges,1.026825977,,,,,,,,,,1.1025,percent of total billed charges,1.011705977,,,,,,,,,,1.1025,percent of total billed charges,1.037738659,,,,,,,,,,1.1025,percent of total billed charges,999999999,,,,,,,,,,1.1025,percent of total billed charges,0.890452847,,,,,,,,,,1.1025,percent of total billed charges,1.404305545,,,,,,,,,,1.1025,percent of total billed charges,999999999,,,,,,,,,,1.1025,percent of total billed charges,0.960125945,,,,,,,,,,3.969,percent of total billed charges,,,,,
**BUTORPHANOL SPRAY (STADOL NASAL):1MG,259,RC,6050-5081-01,NDC,,both,1,EA,184,184,39.17064581,184,184,percent of total billed charges,135.3753367,,,,184,percent of total billed charges,143.4951802,,,,184,percent of total billed charges,135.3753367,,,,184,percent of total billed charges,143.4951802,,,,184,percent of total billed charges,999999999,,,,184,percent of total billed charges,140.1953538,,,,184,percent of total billed charges,135.3753367,,,,184,percent of total billed charges,143.4951802,,,,131.192,percent of total billed charges,65.46720882,,,,131.192,percent of total billed charges,39.17064581,,,,131.192,percent of total billed charges,65.46720882,,,,131.192,percent of total billed charges,39.17064581,,,,131.192,percent of total billed charges,65.46720882,,,,131.192,percent of total billed charges,39.17064581,,,,129.904,percent of total billed charges,128.918383,,,,129.904,percent of total billed charges,88.91398697,,,,,,,,,,132.48,percent of total billed charges,86.10888247,,,,,,,,,,132.48,percent of total billed charges,999999999,,,,,,,,,,147.2,percent of total billed charges,123.3459483,,,,145.36,percent of total billed charges,140.2786556,,,,145.36,percent of total billed charges,123.9408356,,,,147.2,percent of total billed charges,999999999,,,,147.2,percent of total billed charges,999999999,,,,128.8,percent of total billed charges,999999999,,,,128.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,97.888,percent of total billed charges,999999999,,,,,,,,,,,,,,,,92.92,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,46,percent of total billed charges,43.68874799,,,,,,,,,,46,percent of total billed charges,42.96201539,,,,,,,,,,46,percent of total billed charges,42.84262579,,,,,,,,,,46,percent of total billed charges,42.21176865,,,,,,,,,,46,percent of total billed charges,43.29793951,,,,,,,,,,46,percent of total billed charges,999999999,,,,,,,,,,46,percent of total billed charges,37.15268114,,,,,,,,,,46,percent of total billed charges,58.5923402,,,,,,,,,,46,percent of total billed charges,999999999,,,,,,,,,,46,percent of total billed charges,40.05967661,,,,,,,,,,165.6,percent of total billed charges,,,,,
PROPRANOLOL (INDERAL) 10MG TAB,250,RC,2315-5011-01,NDC,,both,1,EA,0.85,0.85,0.180951353,0.85,0.85,percent of total billed charges,0.625375197,,,,0.85,percent of total billed charges,0.662885344,,,,0.85,percent of total billed charges,0.625375197,,,,0.85,percent of total billed charges,0.662885344,,,,0.85,percent of total billed charges,999999999,,,,0.85,percent of total billed charges,0.64764158,,,,0.85,percent of total billed charges,0.625375197,,,,0.85,percent of total billed charges,0.662885344,,,,0.60605,percent of total billed charges,0.302430041,,,,0.60605,percent of total billed charges,0.180951353,,,,0.60605,percent of total billed charges,0.302430041,,,,0.60605,percent of total billed charges,0.180951353,,,,0.60605,percent of total billed charges,0.302430041,,,,0.60605,percent of total billed charges,0.180951353,,,,0.6001,percent of total billed charges,0.595546878,,,,0.6001,percent of total billed charges,0.410743962,,,,,,,,,,0.612,percent of total billed charges,0.397785598,,,,,,,,,,0.612,percent of total billed charges,999999999,,,,,,,,,,0.68,percent of total billed charges,0.569804652,,,,0.6715,percent of total billed charges,0.648026398,,,,0.6715,percent of total billed charges,0.572552773,,,,0.68,percent of total billed charges,999999999,,,,0.68,percent of total billed charges,999999999,,,,0.595,percent of total billed charges,999999999,,,,0.595,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.4522,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.42925,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.2125,percent of total billed charges,0.201823021,,,,,,,,,,0.2125,percent of total billed charges,0.198465832,,,,,,,,,,0.2125,percent of total billed charges,0.197914304,,,,,,,,,,0.2125,percent of total billed charges,0.195000018,,,,,,,,,,0.2125,percent of total billed charges,0.200017655,,,,,,,,,,0.2125,percent of total billed charges,999999999,,,,,,,,,,0.2125,percent of total billed charges,0.171629234,,,,,,,,,,0.2125,percent of total billed charges,0.270671137,,,,,,,,,,0.2125,percent of total billed charges,999999999,,,,,,,,,,0.2125,percent of total billed charges,0.185058289,,,,,,,,,,0.765,percent of total billed charges,,,,,
PROPRANOLOL (INDERAL) 20MG TAB,259,RC,5107-9027-20,NDC,,both,1,EA,1.04,1.04,0.221399302,1.04,1.04,percent of total billed charges,0.765164947,,,,1.04,percent of total billed charges,0.811059714,,,,1.04,percent of total billed charges,0.765164947,,,,1.04,percent of total billed charges,0.811059714,,,,1.04,percent of total billed charges,999999999,,,,1.04,percent of total billed charges,0.792408521,,,,1.04,percent of total billed charges,0.765164947,,,,1.04,percent of total billed charges,0.811059714,,,,0.74152,percent of total billed charges,0.37003205,,,,0.74152,percent of total billed charges,0.221399302,,,,0.74152,percent of total billed charges,0.37003205,,,,0.74152,percent of total billed charges,0.221399302,,,,0.74152,percent of total billed charges,0.37003205,,,,0.74152,percent of total billed charges,0.221399302,,,,0.73424,percent of total billed charges,0.728669122,,,,0.73424,percent of total billed charges,0.502557318,,,,,,,,,,0.7488,percent of total billed charges,0.486702379,,,,,,,,,,0.7488,percent of total billed charges,999999999,,,,,,,,,,0.832,percent of total billed charges,0.697172751,,,,0.8216,percent of total billed charges,0.792879357,,,,0.8216,percent of total billed charges,0.700535158,,,,0.832,percent of total billed charges,999999999,,,,0.832,percent of total billed charges,999999999,,,,0.728,percent of total billed charges,999999999,,,,0.728,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.55328,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.5252,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.26,percent of total billed charges,0.246936402,,,,,,,,,,0.26,percent of total billed charges,0.242828783,,,,,,,,,,0.26,percent of total billed charges,0.242153972,,,,,,,,,,0.26,percent of total billed charges,0.238588258,,,,,,,,,,0.26,percent of total billed charges,0.244727484,,,,,,,,,,0.26,percent of total billed charges,999999999,,,,,,,,,,0.26,percent of total billed charges,0.209993415,,,,,,,,,,0.26,percent of total billed charges,0.331174097,,,,,,,,,,0.26,percent of total billed charges,999999999,,,,,,,,,,0.26,percent of total billed charges,0.226424259,,,,,,,,,,0.936,percent of total billed charges,,,,,
PROPRANOLOL (INDERAL) 40MG TAB,637,RC,6068-7060-11,NDC,,both,1,EA,2.21,2.21,0.470473518,2.21,2.21,percent of total billed charges,1.625975512,,,,2.21,percent of total billed charges,1.723501893,,,,2.21,percent of total billed charges,1.625975512,,,,2.21,percent of total billed charges,1.723501893,,,,2.21,percent of total billed charges,999999999,,,,2.21,percent of total billed charges,1.683868108,,,,2.21,percent of total billed charges,1.625975512,,,,2.21,percent of total billed charges,1.723501893,,,,1.57573,percent of total billed charges,0.786318106,,,,1.57573,percent of total billed charges,0.470473518,,,,1.57573,percent of total billed charges,0.786318106,,,,1.57573,percent of total billed charges,0.470473518,,,,1.57573,percent of total billed charges,0.786318106,,,,1.57573,percent of total billed charges,0.470473518,,,,1.56026,percent of total billed charges,1.548421883,,,,1.56026,percent of total billed charges,1.0679343,,,,,,,,,,1.5912,percent of total billed charges,1.034242556,,,,,,,,,,1.5912,percent of total billed charges,999999999,,,,,,,,,,1.768,percent of total billed charges,1.481492096,,,,1.7459,percent of total billed charges,1.684868635,,,,1.7459,percent of total billed charges,1.48863721,,,,1.768,percent of total billed charges,999999999,,,,1.768,percent of total billed charges,999999999,,,,1.547,percent of total billed charges,999999999,,,,1.547,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.17572,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.11605,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.5525,percent of total billed charges,0.524739854,,,,,,,,,,0.5525,percent of total billed charges,0.516011163,,,,,,,,,,0.5525,percent of total billed charges,0.51457719,,,,,,,,,,0.5525,percent of total billed charges,0.507000047,,,,,,,,,,0.5525,percent of total billed charges,0.520045904,,,,,,,,,,0.5525,percent of total billed charges,999999999,,,,,,,,,,0.5525,percent of total billed charges,0.446236007,,,,,,,,,,0.5525,percent of total billed charges,0.703744956,,,,,,,,,,0.5525,percent of total billed charges,999999999,,,,,,,,,,0.5525,percent of total billed charges,0.481151551,,,,,,,,,,1.989,percent of total billed charges,,,,,
PROPRANOLOL (INDERAL-LA) 60 MG LA CAP,637,RC,6255-9053-01,NDC,,both,1,EA,1.76,1.76,0.374675743,1.76,1.76,percent of total billed charges,1.294894525,,,,1.76,percent of total billed charges,1.372562594,,,,1.76,percent of total billed charges,1.294894525,,,,1.76,percent of total billed charges,1.372562594,,,,1.76,percent of total billed charges,999999999,,,,1.76,percent of total billed charges,1.340999036,,,,1.76,percent of total billed charges,1.294894525,,,,1.76,percent of total billed charges,1.372562594,,,,1.25488,percent of total billed charges,0.626208084,,,,1.25488,percent of total billed charges,0.374675743,,,,1.25488,percent of total billed charges,0.626208084,,,,1.25488,percent of total billed charges,0.374675743,,,,1.25488,percent of total billed charges,0.626208084,,,,1.25488,percent of total billed charges,0.374675743,,,,1.24256,percent of total billed charges,1.233132359,,,,1.24256,percent of total billed charges,0.850481614,,,,,,,,,,1.2672,percent of total billed charges,0.82365018,,,,,,,,,,1.2672,percent of total billed charges,999999999,,,,,,,,,,1.408,percent of total billed charges,1.17983081,,,,1.3904,percent of total billed charges,1.341795836,,,,1.3904,percent of total billed charges,1.185521036,,,,1.408,percent of total billed charges,999999999,,,,1.408,percent of total billed charges,999999999,,,,1.232,percent of total billed charges,999999999,,,,1.232,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.93632,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.8888,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.44,percent of total billed charges,0.417892372,,,,,,,,,,0.44,percent of total billed charges,0.410941017,,,,,,,,,,0.44,percent of total billed charges,0.409799029,,,,,,,,,,0.44,percent of total billed charges,0.403764744,,,,,,,,,,0.44,percent of total billed charges,0.414154204,,,,,,,,,,0.44,percent of total billed charges,999999999,,,,,,,,,,0.44,percent of total billed charges,0.355373472,,,,,,,,,,0.44,percent of total billed charges,0.560448471,,,,,,,,,,0.44,percent of total billed charges,999999999,,,,,,,,,,0.44,percent of total billed charges,0.383179515,,,,,,,,,,1.584,percent of total billed charges,,,,,
PROPRANOLOL (INDERAL) 1 MG/ML INJ,J1800,CDM,6332-3060-01,NDC,,both,1,EA,26.89,26.89,5.724449271,26.89,26.89,percent of total billed charges,19.78392829,,,,26.89,percent of total billed charges,20.97057281,,,,26.89,percent of total billed charges,19.78392829,,,,26.89,percent of total billed charges,20.97057281,,,,26.89,percent of total billed charges,999999999,,,,26.89,percent of total billed charges,20.48833186,,,,26.89,percent of total billed charges,19.78392829,,,,26.89,percent of total billed charges,20.97057281,,,,19.17257,percent of total billed charges,9.567463289,,,,19.17257,percent of total billed charges,5.724449271,,,,19.17257,percent of total billed charges,9.567463289,,,,19.17257,percent of total billed charges,5.724449271,,,,19.17257,percent of total billed charges,9.567463289,,,,19.17257,percent of total billed charges,5.724449271,,,,18.98434,percent of total billed charges,18.84030065,,,,18.98434,percent of total billed charges,12.99400603,,,,,,,,,,19.3608,percent of total billed charges,12.5840644,,,,,,,,,,19.3608,percent of total billed charges,999999999,,,,,,,,,,21.512,percent of total billed charges,18.02593777,,,,21.2431,percent of total billed charges,20.5005057,,,,21.2431,percent of total billed charges,18.11287538,,,,21.512,percent of total billed charges,999999999,,,,21.512,percent of total billed charges,999999999,,,,18.823,percent of total billed charges,999999999,,,,18.823,percent of total billed charges,999999999,,,,,,,,,,,,,,,,14.30548,percent of total billed charges,999999999,,,,,,,,,,,,,,,,13.57945,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6.7225,percent of total billed charges,6.384730616,,,,,,,,,,6.7225,percent of total billed charges,6.278524967,,,,,,,,,,6.7225,percent of total billed charges,6.261077215,,,,,,,,,,6.7225,percent of total billed charges,6.168882929,,,,,,,,,,6.7225,percent of total billed charges,6.327617356,,,,,,,,,,6.7225,percent of total billed charges,999999999,,,,,,,,,,6.7225,percent of total billed charges,5.429541282,,,,,,,,,,6.7225,percent of total billed charges,8.562761022,,,,,,,,,,6.7225,percent of total billed charges,999999999,,,,,,,,,,6.7225,percent of total billed charges,5.854373392,,,,,,,,,,24.201,percent of total billed charges,,,,,
PROPRANOLOL (INDERAL-LA) 80 MG LA CAP,259,RC,0022-8277-11,NDC,,both,1,EA,6.27,6.27,1.334782333,6.27,6.27,percent of total billed charges,4.613061746,,,,6.27,percent of total billed charges,4.88975424,,,,6.27,percent of total billed charges,4.613061746,,,,6.27,percent of total billed charges,4.88975424,,,,6.27,percent of total billed charges,999999999,,,,6.27,percent of total billed charges,4.777309066,,,,6.27,percent of total billed charges,4.613061746,,,,6.27,percent of total billed charges,4.88975424,,,,4.47051,percent of total billed charges,2.230866301,,,,4.47051,percent of total billed charges,1.334782333,,,,4.47051,percent of total billed charges,2.230866301,,,,4.47051,percent of total billed charges,1.334782333,,,,4.47051,percent of total billed charges,2.230866301,,,,4.47051,percent of total billed charges,1.334782333,,,,4.42662,percent of total billed charges,4.393034031,,,,4.42662,percent of total billed charges,3.029840752,,,,,,,,,,4.5144,percent of total billed charges,2.934253767,,,,,,,,,,4.5144,percent of total billed charges,999999999,,,,,,,,,,5.016,percent of total billed charges,4.20314726,,,,4.9533,percent of total billed charges,4.780147665,,,,4.9533,percent of total billed charges,4.223418692,,,,5.016,percent of total billed charges,999999999,,,,5.016,percent of total billed charges,999999999,,,,4.389,percent of total billed charges,999999999,,,,4.389,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.33564,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.16635,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5675,percent of total billed charges,1.488741575,,,,,,,,,,1.5675,percent of total billed charges,1.463977372,,,,,,,,,,1.5675,percent of total billed charges,1.459909042,,,,,,,,,,1.5675,percent of total billed charges,1.438411899,,,,,,,,,,1.5675,percent of total billed charges,1.475424352,,,,,,,,,,1.5675,percent of total billed charges,999999999,,,,,,,,,,1.5675,percent of total billed charges,1.266017993,,,,,,,,,,1.5675,percent of total billed charges,1.99659768,,,,,,,,,,1.5675,percent of total billed charges,999999999,,,,,,,,,,1.5675,percent of total billed charges,1.365077024,,,,,,,,,,5.643,percent of total billed charges,,,,,
PROPRANOLOL (INDERAL-LA) 120 MG LA CAP,259,RC,0022-8278-11,NDC,,both,1,EA,2.39,2.39,0.508792628,2.39,2.39,percent of total billed charges,1.758407906,,,,2.39,percent of total billed charges,1.863877613,,,,2.39,percent of total billed charges,1.758407906,,,,2.39,percent of total billed charges,1.863877613,,,,2.39,percent of total billed charges,999999999,,,,2.39,percent of total billed charges,1.821015736,,,,2.39,percent of total billed charges,1.758407906,,,,2.39,percent of total billed charges,1.863877613,,,,1.70407,percent of total billed charges,0.850362115,,,,1.70407,percent of total billed charges,0.508792628,,,,1.70407,percent of total billed charges,0.850362115,,,,1.70407,percent of total billed charges,0.508792628,,,,1.70407,percent of total billed charges,0.850362115,,,,1.70407,percent of total billed charges,0.508792628,,,,1.68734,percent of total billed charges,1.674537693,,,,1.68734,percent of total billed charges,1.154915374,,,,,,,,,,1.7208,percent of total billed charges,1.118479506,,,,,,,,,,1.7208,percent of total billed charges,999999999,,,,,,,,,,1.912,percent of total billed charges,1.602156611,,,,1.8881,percent of total billed charges,1.822097754,,,,1.8881,percent of total billed charges,1.60988368,,,,1.912,percent of total billed charges,999999999,,,,1.912,percent of total billed charges,999999999,,,,1.673,percent of total billed charges,999999999,,,,1.673,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.27148,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.20695,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.5975,percent of total billed charges,0.567478846,,,,,,,,,,0.5975,percent of total billed charges,0.558039222,,,,,,,,,,0.5975,percent of total billed charges,0.556488455,,,,,,,,,,0.5975,percent of total billed charges,0.548294169,,,,,,,,,,0.5975,percent of total billed charges,0.562402584,,,,,,,,,,0.5975,percent of total billed charges,999999999,,,,,,,,,,0.5975,percent of total billed charges,0.482581021,,,,,,,,,,0.5975,percent of total billed charges,0.761063549,,,,,,,,,,0.5975,percent of total billed charges,999999999,,,,,,,,,,0.5975,percent of total billed charges,0.520340365,,,,,,,,,,2.151,percent of total billed charges,,,,,
**PSEUDOEPHEDRINE (SUDAFED) 30MG: TAB,259,RC,5486-8187-03,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
ACETAMINOPHEN/CODEINE ELIXIR: 5 ML UD,637,RC,0012-1050-05,NDC,,both,1,EA,17.21,17.21,3.663732687,17.21,17.21,percent of total billed charges,12.6620084,,,,17.21,percent of total billed charges,13.42147854,,,,17.21,percent of total billed charges,12.6620084,,,,17.21,percent of total billed charges,13.42147854,,,,17.21,percent of total billed charges,999999999,,,,17.21,percent of total billed charges,13.11283716,,,,17.21,percent of total billed charges,12.6620084,,,,17.21,percent of total billed charges,13.42147854,,,,12.27073,percent of total billed charges,6.123318825,,,,12.27073,percent of total billed charges,3.663732687,,,,12.27073,percent of total billed charges,6.123318825,,,,12.27073,percent of total billed charges,3.663732687,,,,12.27073,percent of total billed charges,6.123318825,,,,12.27073,percent of total billed charges,3.663732687,,,,12.15026,percent of total billed charges,12.05807267,,,,12.15026,percent of total billed charges,8.316357151,,,,,,,,,,12.3912,percent of total billed charges,8.053988409,,,,,,,,,,12.3912,percent of total billed charges,999999999,,,,,,,,,,13.768,percent of total billed charges,11.53686832,,,,13.5959,percent of total billed charges,13.1206286,,,,13.5959,percent of total billed charges,11.59250968,,,,13.768,percent of total billed charges,999999999,,,,13.768,percent of total billed charges,999999999,,,,12.047,percent of total billed charges,999999999,,,,12.047,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.15572,percent of total billed charges,999999999,,,,,,,,,,,,,,,,8.69105,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4.3025,percent of total billed charges,4.08632257,,,,,,,,,,4.3025,percent of total billed charges,4.018349375,,,,,,,,,,4.3025,percent of total billed charges,4.007182554,,,,,,,,,,4.3025,percent of total billed charges,3.948176839,,,,,,,,,,4.3025,percent of total billed charges,4.049769234,,,,,,,,,,4.3025,percent of total billed charges,999999999,,,,,,,,,,4.3025,percent of total billed charges,3.474987187,,,,,,,,,,4.3025,percent of total billed charges,5.480294428,,,,,,,,,,4.3025,percent of total billed charges,999999999,,,,,,,,,,4.3025,percent of total billed charges,3.746886057,,,,,,,,,,15.489,percent of total billed charges,,,,,
BUSPIRONE (BUSPAR) 5 MG TAB,259,RC,5107-9098-20,NDC,,both,1,EA,0.5,0.5,0.106441972,0.5,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,999999999,,,,0.5,percent of total billed charges,0.380965635,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.353,percent of total billed charges,0.350321693,,,,0.353,percent of total billed charges,0.241614095,,,,,,,,,,0.36,percent of total billed charges,0.233991528,,,,,,,,,,0.36,percent of total billed charges,999999999,,,,,,,,,,0.4,percent of total billed charges,0.335179207,,,,0.395,percent of total billed charges,0.381191999,,,,0.395,percent of total billed charges,0.336795749,,,,0.4,percent of total billed charges,999999999,,,,0.4,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.266,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.2525,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.125,percent of total billed charges,0.118719424,,,,,,,,,,0.125,percent of total billed charges,0.116744607,,,,,,,,,,0.125,percent of total billed charges,0.116420179,,,,,,,,,,0.125,percent of total billed charges,0.114705893,,,,,,,,,,0.125,percent of total billed charges,0.117657444,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.100958373,,,,,,,,,,0.125,percent of total billed charges,0.159218316,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.108857817,,,,,,,,,,0.45,percent of total billed charges,,,,,
**PSYLLIUM (METAMUCIL) POWDER: 6OZ BULK,250,RC,0053-6187-79,NDC,,both,1,EA,48,48,10.21842934,48,48,percent of total billed charges,35.31530523,,,,48,percent of total billed charges,37.43352528,,,,48,percent of total billed charges,35.31530523,,,,48,percent of total billed charges,37.43352528,,,,48,percent of total billed charges,999999999,,,,48,percent of total billed charges,36.57270098,,,,48,percent of total billed charges,35.31530523,,,,48,percent of total billed charges,37.43352528,,,,34.224,percent of total billed charges,17.0784023,,,,34.224,percent of total billed charges,10.21842934,,,,34.224,percent of total billed charges,17.0784023,,,,34.224,percent of total billed charges,10.21842934,,,,34.224,percent of total billed charges,17.0784023,,,,34.224,percent of total billed charges,10.21842934,,,,33.888,percent of total billed charges,33.63088253,,,,33.888,percent of total billed charges,23.19495312,,,,,,,,,,34.56,percent of total billed charges,22.46318673,,,,,,,,,,34.56,percent of total billed charges,999999999,,,,,,,,,,38.4,percent of total billed charges,32.1772039,,,,37.92,percent of total billed charges,36.59443188,,,,37.92,percent of total billed charges,32.3323919,,,,38.4,percent of total billed charges,999999999,,,,38.4,percent of total billed charges,999999999,,,,33.6,percent of total billed charges,999999999,,,,33.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,25.536,percent of total billed charges,999999999,,,,,,,,,,,,,,,,24.24,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12,percent of total billed charges,11.39706469,,,,,,,,,,12,percent of total billed charges,11.20748228,,,,,,,,,,12,percent of total billed charges,11.17633716,,,,,,,,,,12,percent of total billed charges,11.01176573,,,,,,,,,,12,percent of total billed charges,11.29511466,,,,,,,,,,12,percent of total billed charges,999999999,,,,,,,,,,12,percent of total billed charges,9.692003777,,,,,,,,,,12,percent of total billed charges,15.28495831,,,,,,,,,,12,percent of total billed charges,999999999,,,,,,,,,,12,percent of total billed charges,10.45035042,,,,,,,,,,43.2,percent of total billed charges,,,,,
PYRIDOXINE (VITAMIN B-6) TAB 50MG,637,RC,1000-6070-12,NDC,,both,1,EA,0.67,0.67,0.142632243,0.67,0.67,percent of total billed charges,0.492942802,,,,0.67,percent of total billed charges,0.522509624,,,,0.67,percent of total billed charges,0.492942802,,,,0.67,percent of total billed charges,0.522509624,,,,0.67,percent of total billed charges,999999999,,,,0.67,percent of total billed charges,0.510493951,,,,0.67,percent of total billed charges,0.492942802,,,,0.67,percent of total billed charges,0.522509624,,,,0.47771,percent of total billed charges,0.238386032,,,,0.47771,percent of total billed charges,0.142632243,,,,0.47771,percent of total billed charges,0.238386032,,,,0.47771,percent of total billed charges,0.142632243,,,,0.47771,percent of total billed charges,0.238386032,,,,0.47771,percent of total billed charges,0.142632243,,,,0.47302,percent of total billed charges,0.469431069,,,,0.47302,percent of total billed charges,0.323762887,,,,,,,,,,0.4824,percent of total billed charges,0.313548648,,,,,,,,,,0.4824,percent of total billed charges,999999999,,,,,,,,,,0.536,percent of total billed charges,0.449140138,,,,0.5293,percent of total billed charges,0.510797278,,,,0.5293,percent of total billed charges,0.451306304,,,,0.536,percent of total billed charges,999999999,,,,0.536,percent of total billed charges,999999999,,,,0.469,percent of total billed charges,999999999,,,,0.469,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.35644,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.33835,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.1675,percent of total billed charges,0.159084028,,,,,,,,,,0.1675,percent of total billed charges,0.156437773,,,,,,,,,,0.1675,percent of total billed charges,0.15600304,,,,,,,,,,0.1675,percent of total billed charges,0.153705897,,,,,,,,,,0.1675,percent of total billed charges,0.157660975,,,,,,,,,,0.1675,percent of total billed charges,999999999,,,,,,,,,,0.1675,percent of total billed charges,0.135284219,,,,,,,,,,0.1675,percent of total billed charges,0.213352543,,,,,,,,,,0.1675,percent of total billed charges,999999999,,,,,,,,,,0.1675,percent of total billed charges,0.145869475,,,,,,,,,,0.603,percent of total billed charges,,,,,
**PYRIDOXINE(VITAMIN B-6) INJ 100MG/ML:1,J3415,CDM,0018-2008-01,NDC,,both,1,EA,14,14,2.980375225,14,14,percent of total billed charges,10.30029736,,,,14,percent of total billed charges,10.91811154,,,,14,percent of total billed charges,10.30029736,,,,14,percent of total billed charges,10.91811154,,,,14,percent of total billed charges,999999999,,,,14,percent of total billed charges,10.66703779,,,,14,percent of total billed charges,10.30029736,,,,14,percent of total billed charges,10.91811154,,,,9.982,percent of total billed charges,4.981200671,,,,9.982,percent of total billed charges,2.980375225,,,,9.982,percent of total billed charges,4.981200671,,,,9.982,percent of total billed charges,2.980375225,,,,9.982,percent of total billed charges,4.981200671,,,,9.982,percent of total billed charges,2.980375225,,,,9.884,percent of total billed charges,9.809007405,,,,9.884,percent of total billed charges,6.765194661,,,,,,,,,,10.08,percent of total billed charges,6.551762796,,,,,,,,,,10.08,percent of total billed charges,999999999,,,,,,,,,,11.2,percent of total billed charges,9.385017804,,,,11.06,percent of total billed charges,10.67337597,,,,11.06,percent of total billed charges,9.430280971,,,,11.2,percent of total billed charges,999999999,,,,11.2,percent of total billed charges,999999999,,,,9.8,percent of total billed charges,999999999,,,,9.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,7.448,percent of total billed charges,999999999,,,,,,,,,,,,,,,,7.07,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3.5,percent of total billed charges,3.324143869,,,,,,,,,,3.5,percent of total billed charges,3.268848997,,,,,,,,,,3.5,percent of total billed charges,3.259765006,,,,,,,,,,3.5,percent of total billed charges,3.211765006,,,,,,,,,,3.5,percent of total billed charges,3.294408441,,,,,,,,,,3.5,percent of total billed charges,999999999,,,,,,,,,,3.5,percent of total billed charges,2.826834435,,,,,,,,,,3.5,percent of total billed charges,4.458112841,,,,,,,,,,3.5,percent of total billed charges,999999999,,,,,,,,,,3.5,percent of total billed charges,3.048018873,,,,,,,,,,12.6,percent of total billed charges,,,,,
**QUINIDINE SULFATE EXT RELEASE 300MG: T,259,RC,5486-8089-01,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
**QUINIDINE SULFATE TAB: 200MG,259,RC,5486-8089-01,NDC,,both,1,EA,17,17,3.619027059,17,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,17,percent of total billed charges,999999999,,,,17,percent of total billed charges,12.9528316,,,,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.002,percent of total billed charges,11.91093756,,,,12.002,percent of total billed charges,8.214879231,,,,,,,,,,12.24,percent of total billed charges,7.955711967,,,,,,,,,,12.24,percent of total billed charges,999999999,,,,,,,,,,13.6,percent of total billed charges,11.39609305,,,,13.43,percent of total billed charges,12.96052796,,,,13.43,percent of total billed charges,11.45105547,,,,13.6,percent of total billed charges,999999999,,,,13.6,percent of total billed charges,999999999,,,,11.9,percent of total billed charges,999999999,,,,11.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.044,percent of total billed charges,999999999,,,,,,,,,,,,,,,,8.585,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4.25,percent of total billed charges,4.036460412,,,,,,,,,,4.25,percent of total billed charges,3.96931664,,,,,,,,,,4.25,percent of total billed charges,3.958286079,,,,,,,,,,4.25,percent of total billed charges,3.900000364,,,,,,,,,,4.25,percent of total billed charges,4.000353107,,,,,,,,,,4.25,percent of total billed charges,999999999,,,,,,,,,,4.25,percent of total billed charges,3.432584671,,,,,,,,,,4.25,percent of total billed charges,5.413422736,,,,,,,,,,4.25,percent of total billed charges,999999999,,,,,,,,,,4.25,percent of total billed charges,3.701165774,,,,,,,,,,15.3,percent of total billed charges,,,,,
**RANITIDINE (ZANTAC): 25MG/ML 6ML INJ.,J2780,CDM,0017-3036-01,NDC,,both,1,EA,29,29,6.173634394,29,29,percent of total billed charges,21.33633025,,,,29,percent of total billed charges,22.61608819,,,,29,percent of total billed charges,21.33633025,,,,29,percent of total billed charges,22.61608819,,,,29,percent of total billed charges,999999999,,,,29,percent of total billed charges,22.09600684,,,,29,percent of total billed charges,21.33633025,,,,29,percent of total billed charges,22.61608819,,,,20.677,percent of total billed charges,10.31820139,,,,20.677,percent of total billed charges,6.173634394,,,,20.677,percent of total billed charges,10.31820139,,,,20.677,percent of total billed charges,6.173634394,,,,20.677,percent of total billed charges,10.31820139,,,,20.677,percent of total billed charges,6.173634394,,,,20.474,percent of total billed charges,20.3186582,,,,20.474,percent of total billed charges,14.01361751,,,,,,,,,,20.88,percent of total billed charges,13.57150865,,,,,,,,,,20.88,percent of total billed charges,999999999,,,,,,,,,,23.2,percent of total billed charges,19.44039402,,,,22.91,percent of total billed charges,22.10913593,,,,22.91,percent of total billed charges,19.53415344,,,,23.2,percent of total billed charges,999999999,,,,23.2,percent of total billed charges,999999999,,,,20.3,percent of total billed charges,999999999,,,,20.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,15.428,percent of total billed charges,999999999,,,,,,,,,,,,,,,,14.645,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7.25,percent of total billed charges,6.885726585,,,,,,,,,,7.25,percent of total billed charges,6.771187209,,,,,,,,,,7.25,percent of total billed charges,6.752370369,,,,,,,,,,7.25,percent of total billed charges,6.652941798,,,,,,,,,,7.25,percent of total billed charges,6.824131771,,,,,,,,,,7.25,percent of total billed charges,999999999,,,,,,,,,,7.25,percent of total billed charges,5.855585615,,,,,,,,,,7.25,percent of total billed charges,9.234662314,,,,,,,,,,7.25,percent of total billed charges,999999999,,,,,,,,,,7.25,percent of total billed charges,6.313753379,,,,,,,,,,26.1,percent of total billed charges,,,,,
rifAMPin (RIFADIN) CAP 300MG,259,RC,6068-7058-01,NDC,,both,1,EA,3.8,3.8,0.80895899,3.8,3.8,percent of total billed charges,2.795794998,,,,3.8,percent of total billed charges,2.963487418,,,,3.8,percent of total billed charges,2.795794998,,,,3.8,percent of total billed charges,2.963487418,,,,3.8,percent of total billed charges,999999999,,,,3.8,percent of total billed charges,2.895338828,,,,3.8,percent of total billed charges,2.795794998,,,,3.8,percent of total billed charges,2.963487418,,,,2.7094,percent of total billed charges,1.352040182,,,,2.7094,percent of total billed charges,0.80895899,,,,2.7094,percent of total billed charges,1.352040182,,,,2.7094,percent of total billed charges,0.80895899,,,,2.7094,percent of total billed charges,1.352040182,,,,2.7094,percent of total billed charges,0.80895899,,,,2.6828,percent of total billed charges,2.662444867,,,,2.6828,percent of total billed charges,1.836267122,,,,,,,,,,2.736,percent of total billed charges,1.778335616,,,,,,,,,,2.736,percent of total billed charges,999999999,,,,,,,,,,3.04,percent of total billed charges,2.547361975,,,,3.002,percent of total billed charges,2.897059191,,,,3.002,percent of total billed charges,2.559647692,,,,3.04,percent of total billed charges,999999999,,,,3.04,percent of total billed charges,999999999,,,,2.66,percent of total billed charges,999999999,,,,2.66,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2.0216,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.919,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.95,percent of total billed charges,0.902267622,,,,,,,,,,0.95,percent of total billed charges,0.887259014,,,,,,,,,,0.95,percent of total billed charges,0.884793359,,,,,,,,,,0.95,percent of total billed charges,0.871764787,,,,,,,,,,0.95,percent of total billed charges,0.894196577,,,,,,,,,,0.95,percent of total billed charges,999999999,,,,,,,,,,0.95,percent of total billed charges,0.767283632,,,,,,,,,,0.95,percent of total billed charges,1.2100592,,,,,,,,,,0.95,percent of total billed charges,999999999,,,,,,,,,,0.95,percent of total billed charges,0.827319408,,,,,,,,,,3.42,percent of total billed charges,,,,,
**RUBELLA (MERUVAX-II) VACCINE 0.5ML,90706,CDM,0000-6467-00,NDC,,both,1,EA,407,407,86.64376546,407,407,percent of total billed charges,299.444359,,,,407,percent of total billed charges,317.4050998,,,,407,percent of total billed charges,299.444359,,,,407,percent of total billed charges,317.4050998,,,,407,percent of total billed charges,999999999,,,,407,percent of total billed charges,310.1060271,,,,407,percent of total billed charges,299.444359,,,,407,percent of total billed charges,317.4050998,,,,290.191,percent of total billed charges,144.8106195,,,,290.191,percent of total billed charges,86.64376546,,,,290.191,percent of total billed charges,144.8106195,,,,290.191,percent of total billed charges,86.64376546,,,,290.191,percent of total billed charges,144.8106195,,,,290.191,percent of total billed charges,86.64376546,,,,287.342,percent of total billed charges,285.1618581,,,,287.342,percent of total billed charges,196.6738733,,,,,,,,,,293.04,percent of total billed charges,190.4691041,,,,,,,,,,293.04,percent of total billed charges,999999999,,,,,,,,,,325.6,percent of total billed charges,272.8358747,,,,321.53,percent of total billed charges,310.290287,,,,321.53,percent of total billed charges,274.1517397,,,,325.6,percent of total billed charges,999999999,,,,325.6,percent of total billed charges,999999999,,,,284.9,percent of total billed charges,999999999,,,,284.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,216.524,percent of total billed charges,999999999,,,,,,,,,,,,,,,,205.535,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,101.75,percent of total billed charges,96.63761104,,,,,,,,,,101.75,percent of total billed charges,95.03011014,,,,,,,,,,101.75,percent of total billed charges,94.76602553,,,,,,,,,,101.75,percent of total billed charges,93.37059696,,,,,,,,,,101.75,percent of total billed charges,95.77315968,,,,,,,,,,101.75,percent of total billed charges,999999999,,,,,,,,,,101.75,percent of total billed charges,82.18011536,,,,,,,,,,101.75,percent of total billed charges,129.603709,,,,,,,,,,101.75,percent of total billed charges,999999999,,,,,,,,,,101.75,percent of total billed charges,88.61026294,,,,,,,,,,366.3,percent of total billed charges,,,,,
**SALSALATE (DICALCID) TAB 750MG,259,RC,0090-4562-61,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
SCOPOLAMINE 1MG (TRANSDERM-SCOP) PATCH,637,RC,0037-8647-16,NDC,,both,1,EA,28.5,28.5,6.067192422,28.5,28.5,percent of total billed charges,20.96846248,,,,28.5,percent of total billed charges,22.22615564,,,,28.5,percent of total billed charges,20.96846248,,,,28.5,percent of total billed charges,22.22615564,,,,28.5,percent of total billed charges,999999999,,,,28.5,percent of total billed charges,21.71504121,,,,28.5,percent of total billed charges,20.96846248,,,,28.5,percent of total billed charges,22.22615564,,,,20.3205,percent of total billed charges,10.14030137,,,,20.3205,percent of total billed charges,6.067192422,,,,20.3205,percent of total billed charges,10.14030137,,,,20.3205,percent of total billed charges,6.067192422,,,,20.3205,percent of total billed charges,10.14030137,,,,20.3205,percent of total billed charges,6.067192422,,,,20.121,percent of total billed charges,19.9683365,,,,20.121,percent of total billed charges,13.77200342,,,,,,,,,,20.52,percent of total billed charges,13.33751712,,,,,,,,,,20.52,percent of total billed charges,999999999,,,,,,,,,,22.8,percent of total billed charges,19.10521482,,,,22.515,percent of total billed charges,21.72794393,,,,22.515,percent of total billed charges,19.19735769,,,,22.8,percent of total billed charges,999999999,,,,22.8,percent of total billed charges,999999999,,,,19.95,percent of total billed charges,999999999,,,,19.95,percent of total billed charges,999999999,,,,,,,,,,,,,,,,15.162,percent of total billed charges,999999999,,,,,,,,,,,,,,,,14.3925,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7.125,percent of total billed charges,6.767007161,,,,,,,,,,7.125,percent of total billed charges,6.654442602,,,,,,,,,,7.125,percent of total billed charges,6.635950191,,,,,,,,,,7.125,percent of total billed charges,6.538235905,,,,,,,,,,7.125,percent of total billed charges,6.706474326,,,,,,,,,,7.125,percent of total billed charges,999999999,,,,,,,,,,7.125,percent of total billed charges,5.754627242,,,,,,,,,,7.125,percent of total billed charges,9.075443998,,,,,,,,,,7.125,percent of total billed charges,999999999,,,,,,,,,,7.125,percent of total billed charges,6.204895562,,,,,,,,,,25.65,percent of total billed charges,,,,,
SELEGILINE (ELDEPRYL) 5MG TAB,259,RC,6050-5005-01,NDC,,both,1,EA,2.46,2.46,0.523694504,2.46,2.46,percent of total billed charges,1.809909393,,,,2.46,percent of total billed charges,1.918468171,,,,2.46,percent of total billed charges,1.809909393,,,,2.46,percent of total billed charges,1.918468171,,,,2.46,percent of total billed charges,999999999,,,,2.46,percent of total billed charges,1.874350925,,,,2.46,percent of total billed charges,1.809909393,,,,2.46,percent of total billed charges,1.918468171,,,,1.75398,percent of total billed charges,0.875268118,,,,1.75398,percent of total billed charges,0.523694504,,,,1.75398,percent of total billed charges,0.875268118,,,,1.75398,percent of total billed charges,0.523694504,,,,1.75398,percent of total billed charges,0.875268118,,,,1.75398,percent of total billed charges,0.523694504,,,,1.73676,percent of total billed charges,1.72358273,,,,1.73676,percent of total billed charges,1.188741347,,,,,,,,,,1.7712,percent of total billed charges,1.15123832,,,,,,,,,,1.7712,percent of total billed charges,999999999,,,,,,,,,,1.968,percent of total billed charges,1.6490817,,,,1.9434,percent of total billed charges,1.875464634,,,,1.9434,percent of total billed charges,1.657035085,,,,1.968,percent of total billed charges,999999999,,,,1.968,percent of total billed charges,999999999,,,,1.722,percent of total billed charges,999999999,,,,1.722,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.30872,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.2423,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.615,percent of total billed charges,0.584099565,,,,,,,,,,0.615,percent of total billed charges,0.574383467,,,,,,,,,,0.615,percent of total billed charges,0.57278728,,,,,,,,,,0.615,percent of total billed charges,0.564352994,,,,,,,,,,0.615,percent of total billed charges,0.578874626,,,,,,,,,,0.615,percent of total billed charges,999999999,,,,,,,,,,0.615,percent of total billed charges,0.496715194,,,,,,,,,,0.615,percent of total billed charges,0.783354114,,,,,,,,,,0.615,percent of total billed charges,999999999,,,,,,,,,,0.615,percent of total billed charges,0.535580459,,,,,,,,,,2.214,percent of total billed charges,,,,,
**SELENIUM INJECTION: 400MCG,250,RC,0051-7651-25,NDC,,both,1,EA,11,11,2.341723391,11,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,11,percent of total billed charges,999999999,,,,11,percent of total billed charges,8.381243975,,,,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.766,percent of total billed charges,7.707077247,,,,7.766,percent of total billed charges,5.31551009,,,,,,,,,,7.92,percent of total billed charges,5.147813626,,,,,,,,,,7.92,percent of total billed charges,999999999,,,,,,,,,,8.8,percent of total billed charges,7.373942561,,,,8.69,percent of total billed charges,8.386223973,,,,8.69,percent of total billed charges,7.409506477,,,,8.8,percent of total billed charges,999999999,,,,8.8,percent of total billed charges,999999999,,,,7.7,percent of total billed charges,999999999,,,,7.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.852,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.555,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.75,percent of total billed charges,2.611827325,,,,,,,,,,2.75,percent of total billed charges,2.568381355,,,,,,,,,,2.75,percent of total billed charges,2.561243933,,,,,,,,,,2.75,percent of total billed charges,2.523529647,,,,,,,,,,2.75,percent of total billed charges,2.588463775,,,,,,,,,,2.75,percent of total billed charges,999999999,,,,,,,,,,2.75,percent of total billed charges,2.221084199,,,,,,,,,,2.75,percent of total billed charges,3.502802947,,,,,,,,,,2.75,percent of total billed charges,999999999,,,,,,,,,,2.75,percent of total billed charges,2.394871971,,,,,,,,,,9.9,percent of total billed charges,,,,,
PENICILLIN G POT  5 MILLION UNIT INJ,J2540,CDM,0004-9052-22,NDC,,both,1,EA,79.61,79.61,16.94769083,79.61,79.61,percent of total billed charges,58.5719052,,,,79.61,percent of total billed charges,62.08506141,,,,79.61,percent of total billed charges,58.5719052,,,,79.61,percent of total billed charges,62.08506141,,,,79.61,percent of total billed charges,999999999,,,,79.61,percent of total billed charges,60.65734844,,,,79.61,percent of total billed charges,58.5719052,,,,79.61,percent of total billed charges,62.08506141,,,,56.76193,percent of total billed charges,28.32524182,,,,56.76193,percent of total billed charges,16.94769083,,,,56.76193,percent of total billed charges,28.32524182,,,,56.76193,percent of total billed charges,16.94769083,,,,56.76193,percent of total billed charges,28.32524182,,,,56.76193,percent of total billed charges,16.94769083,,,,56.20466,percent of total billed charges,55.77821997,,,,56.20466,percent of total billed charges,38.46979621,,,,,,,,,,57.3192,percent of total billed charges,37.25613116,,,,,,,,,,57.3192,percent of total billed charges,999999999,,,,,,,,,,63.688,percent of total billed charges,53.36723339,,,,62.8919,percent of total billed charges,60.69339005,,,,62.8919,percent of total billed charges,53.62461915,,,,63.688,percent of total billed charges,999999999,,,,63.688,percent of total billed charges,999999999,,,,55.727,percent of total billed charges,999999999,,,,55.727,percent of total billed charges,999999999,,,,,,,,,,,,,,,,42.35252,percent of total billed charges,999999999,,,,,,,,,,,,,,,,40.20305,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19.9025,percent of total billed charges,18.90250667,,,,,,,,,,19.9025,percent of total billed charges,18.58807633,,,,,,,,,,19.9025,percent of total billed charges,18.53642087,,,,,,,,,,19.9025,percent of total billed charges,18.26347229,,,,,,,,,,19.9025,percent of total billed charges,18.73341829,,,,,,,,,,19.9025,percent of total billed charges,999999999,,,,,,,,,,19.9025,percent of total billed charges,16.0745921,,,,,,,,,,19.9025,percent of total billed charges,25.35074024,,,,,,,,,,19.9025,percent of total billed charges,999999999,,,,,,,,,,19.9025,percent of total billed charges,17.3323416,,,,,,,,,,71.649,percent of total billed charges,,,,,
OCTREOTIDE (SandoSTATIN) 100MCG/ML 1ML,J2354,CDM,6275-6034-44,NDC,,both,1,EA,42.54,42.54,9.056083004,42.54,42.54,percent of total billed charges,31.29818926,,,,42.54,percent of total billed charges,33.17546178,,,,42.54,percent of total billed charges,31.29818926,,,,42.54,percent of total billed charges,33.17546178,,,,42.54,percent of total billed charges,999999999,,,,42.54,percent of total billed charges,32.41255624,,,,42.54,percent of total billed charges,31.29818926,,,,42.54,percent of total billed charges,33.17546178,,,,30.33102,percent of total billed charges,15.13573404,,,,30.33102,percent of total billed charges,9.056083004,,,,30.33102,percent of total billed charges,15.13573404,,,,30.33102,percent of total billed charges,9.056083004,,,,30.33102,percent of total billed charges,15.13573404,,,,30.33102,percent of total billed charges,9.056083004,,,,30.03324,percent of total billed charges,29.80536964,,,,30.03324,percent of total billed charges,20.5565272,,,,,,,,,,30.6288,percent of total billed charges,19.90799924,,,,,,,,,,30.6288,percent of total billed charges,999999999,,,,,,,,,,34.032,percent of total billed charges,28.51704696,,,,33.6066,percent of total billed charges,32.43181526,,,,33.6066,percent of total billed charges,28.65458232,,,,34.032,percent of total billed charges,999999999,,,,34.032,percent of total billed charges,999999999,,,,29.778,percent of total billed charges,999999999,,,,29.778,percent of total billed charges,999999999,,,,,,,,,,,,,,,,22.63128,percent of total billed charges,999999999,,,,,,,,,,,,,,,,21.4827,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10.635,percent of total billed charges,10.10064858,,,,,,,,,,10.635,percent of total billed charges,9.932631167,,,,,,,,,,10.635,percent of total billed charges,9.905028811,,,,,,,,,,10.635,percent of total billed charges,9.759177382,,,,,,,,,,10.635,percent of total billed charges,10.01029536,,,,,,,,,,10.635,percent of total billed charges,999999999,,,,,,,,,,10.635,percent of total billed charges,8.589538347,,,,,,,,,,10.635,percent of total billed charges,13.5462943,,,,,,,,,,10.635,percent of total billed charges,999999999,,,,,,,,,,10.635,percent of total billed charges,9.26162306,,,,,,,,,,38.286,percent of total billed charges,,,,,
**NA POLYSTYRENE (KAYEXALATE) 30GM/120ML,259,RC,0005-4016-50,NDC,,both,1,EA,51,51,10.85708118,51,51,percent of total billed charges,37.52251181,,,,51,percent of total billed charges,39.77312061,,,,51,percent of total billed charges,37.52251181,,,,51,percent of total billed charges,39.77312061,,,,51,percent of total billed charges,999999999,,,,51,percent of total billed charges,38.85849479,,,,51,percent of total billed charges,37.52251181,,,,51,percent of total billed charges,39.77312061,,,,36.363,percent of total billed charges,18.14580244,,,,36.363,percent of total billed charges,10.85708118,,,,36.363,percent of total billed charges,18.14580244,,,,36.363,percent of total billed charges,10.85708118,,,,36.363,percent of total billed charges,18.14580244,,,,36.363,percent of total billed charges,10.85708118,,,,36.006,percent of total billed charges,35.73281269,,,,36.006,percent of total billed charges,24.64463769,,,,,,,,,,36.72,percent of total billed charges,23.8671359,,,,,,,,,,36.72,percent of total billed charges,999999999,,,,,,,,,,40.8,percent of total billed charges,34.18827914,,,,40.29,percent of total billed charges,38.88158388,,,,40.29,percent of total billed charges,34.3531664,,,,40.8,percent of total billed charges,999999999,,,,40.8,percent of total billed charges,999999999,,,,35.7,percent of total billed charges,999999999,,,,35.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,27.132,percent of total billed charges,999999999,,,,,,,,,,,,,,,,25.755,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12.75,percent of total billed charges,12.10938124,,,,,,,,,,12.75,percent of total billed charges,11.90794992,,,,,,,,,,12.75,percent of total billed charges,11.87485824,,,,,,,,,,12.75,percent of total billed charges,11.70000109,,,,,,,,,,12.75,percent of total billed charges,12.00105932,,,,,,,,,,12.75,percent of total billed charges,999999999,,,,,,,,,,12.75,percent of total billed charges,10.29775401,,,,,,,,,,12.75,percent of total billed charges,16.24026821,,,,,,,,,,12.75,percent of total billed charges,999999999,,,,,,,,,,12.75,percent of total billed charges,11.10349732,,,,,,,,,,45.9,percent of total billed charges,,,,,
SODIUM ACETATE 2 MEQ/ML: 20 ML,250,RC,0051-7209-25,NDC,,both,1,EA,40,40,8.515357785,40,40,percent of total billed charges,29.42942103,,,,40,percent of total billed charges,31.1946044,,,,40,percent of total billed charges,29.42942103,,,,40,percent of total billed charges,31.1946044,,,,40,percent of total billed charges,999999999,,,,40,percent of total billed charges,30.47725082,,,,40,percent of total billed charges,29.42942103,,,,40,percent of total billed charges,31.1946044,,,,28.52,percent of total billed charges,14.23200192,,,,28.52,percent of total billed charges,8.515357785,,,,28.52,percent of total billed charges,14.23200192,,,,28.52,percent of total billed charges,8.515357785,,,,28.52,percent of total billed charges,14.23200192,,,,28.52,percent of total billed charges,8.515357785,,,,28.24,percent of total billed charges,28.02573544,,,,28.24,percent of total billed charges,19.3291276,,,,,,,,,,28.8,percent of total billed charges,18.71932228,,,,,,,,,,28.8,percent of total billed charges,999999999,,,,,,,,,,32,percent of total billed charges,26.81433658,,,,31.6,percent of total billed charges,30.4953599,,,,31.6,percent of total billed charges,26.94365992,,,,32,percent of total billed charges,999999999,,,,32,percent of total billed charges,999999999,,,,28,percent of total billed charges,999999999,,,,28,percent of total billed charges,999999999,,,,,,,,,,,,,,,,21.28,percent of total billed charges,999999999,,,,,,,,,,,,,,,,20.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10,percent of total billed charges,9.497553911,,,,,,,,,,10,percent of total billed charges,9.339568564,,,,,,,,,,10,percent of total billed charges,9.313614303,,,,,,,,,,10,percent of total billed charges,9.176471445,,,,,,,,,,10,percent of total billed charges,9.412595546,,,,,,,,,,10,percent of total billed charges,999999999,,,,,,,,,,10,percent of total billed charges,8.076669814,,,,,,,,,,10,percent of total billed charges,12.73746526,,,,,,,,,,10,percent of total billed charges,999999999,,,,,,,,,,10,percent of total billed charges,8.708625351,,,,,,,,,,36,percent of total billed charges,,,,,
**E-DIMETAPP COLD & ALLERGY TABS: 20 TA,250,RC,9999-9999-99,NDC,,both,1,EA,18,18,3.831911003,18,18,percent of total billed charges,13.24323946,,,,18,percent of total billed charges,14.03757198,,,,18,percent of total billed charges,13.24323946,,,,18,percent of total billed charges,14.03757198,,,,18,percent of total billed charges,999999999,,,,18,percent of total billed charges,13.71476287,,,,18,percent of total billed charges,13.24323946,,,,18,percent of total billed charges,14.03757198,,,,12.834,percent of total billed charges,6.404400863,,,,12.834,percent of total billed charges,3.831911003,,,,12.834,percent of total billed charges,6.404400863,,,,12.834,percent of total billed charges,3.831911003,,,,12.834,percent of total billed charges,6.404400863,,,,12.834,percent of total billed charges,3.831911003,,,,12.708,percent of total billed charges,12.61158095,,,,12.708,percent of total billed charges,8.698107421,,,,,,,,,,12.96,percent of total billed charges,8.423695024,,,,,,,,,,12.96,percent of total billed charges,999999999,,,,,,,,,,14.4,percent of total billed charges,12.06645146,,,,14.22,percent of total billed charges,13.72291196,,,,14.22,percent of total billed charges,12.12464696,,,,14.4,percent of total billed charges,999999999,,,,14.4,percent of total billed charges,999999999,,,,12.6,percent of total billed charges,999999999,,,,12.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.576,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.09,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4.5,percent of total billed charges,4.27389926,,,,,,,,,,4.5,percent of total billed charges,4.202805854,,,,,,,,,,4.5,percent of total billed charges,4.191126436,,,,,,,,,,4.5,percent of total billed charges,4.12941215,,,,,,,,,,4.5,percent of total billed charges,4.235667996,,,,,,,,,,4.5,percent of total billed charges,999999999,,,,,,,,,,4.5,percent of total billed charges,3.634501416,,,,,,,,,,4.5,percent of total billed charges,5.731859367,,,,,,,,,,4.5,percent of total billed charges,999999999,,,,,,,,,,4.5,percent of total billed charges,3.918881408,,,,,,,,,,16.2,percent of total billed charges,,,,,
SOD BICARB 8.4% (1MEQ/ML) 50 ML SYR,250,RC,7632-9335-01,NDC,,both,1,EA,138.55,138.55,29.49507053,138.55,138.55,percent of total billed charges,101.9361571,,,,138.55,percent of total billed charges,108.050311,,,,138.55,percent of total billed charges,101.9361571,,,,138.55,percent of total billed charges,108.050311,,,,138.55,percent of total billed charges,999999999,,,,138.55,percent of total billed charges,105.5655775,,,,138.55,percent of total billed charges,101.9361571,,,,138.55,percent of total billed charges,108.050311,,,,98.78615,percent of total billed charges,49.29609664,,,,98.78615,percent of total billed charges,29.49507053,,,,98.78615,percent of total billed charges,49.29609664,,,,98.78615,percent of total billed charges,29.49507053,,,,98.78615,percent of total billed charges,49.29609664,,,,98.78615,percent of total billed charges,29.49507053,,,,97.8163,percent of total billed charges,97.07414114,,,,97.8163,percent of total billed charges,66.95126573,,,,,,,,,,99.756,percent of total billed charges,64.83905253,,,,,,,,,,99.756,percent of total billed charges,999999999,,,,,,,,,,110.84,percent of total billed charges,92.87815834,,,,109.4545,percent of total billed charges,105.6283029,,,,109.4545,percent of total billed charges,93.32610204,,,,110.84,percent of total billed charges,999999999,,,,110.84,percent of total billed charges,999999999,,,,96.985,percent of total billed charges,999999999,,,,96.985,percent of total billed charges,999999999,,,,,,,,,,,,,,,,73.7086,percent of total billed charges,999999999,,,,,,,,,,,,,,,,69.96775,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,34.6375,percent of total billed charges,32.89715236,,,,,,,,,,34.6375,percent of total billed charges,32.34993061,,,,,,,,,,34.6375,percent of total billed charges,32.26003154,,,,,,,,,,34.6375,percent of total billed charges,31.78500297,,,,,,,,,,34.6375,percent of total billed charges,32.60287782,,,,,,,,,,34.6375,percent of total billed charges,999999999,,,,,,,,,,34.6375,percent of total billed charges,27.97556507,,,,,,,,,,34.6375,percent of total billed charges,44.1193953,,,,,,,,,,34.6375,percent of total billed charges,999999999,,,,,,,,,,34.6375,percent of total billed charges,30.16450106,,,,,,,,,,124.695,percent of total billed charges,,,,,
**0.9% NACL (BACTERIOSTATIC) INJ 30ML MD,250,RC,0040-9196-07,NDC,,both,1,EA,12,12,2.554607335,12,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,12,percent of total billed charges,999999999,,,,12,percent of total billed charges,9.143175245,,,,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.472,percent of total billed charges,8.407720633,,,,8.472,percent of total billed charges,5.79873828,,,,,,,,,,8.64,percent of total billed charges,5.615796683,,,,,,,,,,8.64,percent of total billed charges,999999999,,,,,,,,,,9.6,percent of total billed charges,8.044300975,,,,9.48,percent of total billed charges,9.148607971,,,,9.48,percent of total billed charges,8.083097975,,,,9.6,percent of total billed charges,999999999,,,,9.6,percent of total billed charges,999999999,,,,8.4,percent of total billed charges,999999999,,,,8.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.384,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.06,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3,percent of total billed charges,2.849266173,,,,,,,,,,3,percent of total billed charges,2.801870569,,,,,,,,,,3,percent of total billed charges,2.794084291,,,,,,,,,,3,percent of total billed charges,2.752941434,,,,,,,,,,3,percent of total billed charges,2.823778664,,,,,,,,,,3,percent of total billed charges,999999999,,,,,,,,,,3,percent of total billed charges,2.423000944,,,,,,,,,,3,percent of total billed charges,3.821239578,,,,,,,,,,3,percent of total billed charges,999999999,,,,,,,,,,3,percent of total billed charges,2.612587605,,,,,,,,,,10.8,percent of total billed charges,,,,,
NACL 14.6% (2.5MEQ/ML)INJ: 40 ML,J7131,CDM,6332-3009-40,NDC,,both,1,EA,16.67,16.67,3.548775357,16.67,16.67,percent of total billed charges,12.26471121,,,,16.67,percent of total billed charges,13.00035138,,,,16.67,percent of total billed charges,12.26471121,,,,16.67,percent of total billed charges,13.00035138,,,,16.67,percent of total billed charges,999999999,,,,16.67,percent of total billed charges,12.70139428,,,,16.67,percent of total billed charges,12.26471121,,,,16.67,percent of total billed charges,13.00035138,,,,11.88571,percent of total billed charges,5.931186799,,,,11.88571,percent of total billed charges,3.548775357,,,,11.88571,percent of total billed charges,5.931186799,,,,11.88571,percent of total billed charges,3.548775357,,,,11.88571,percent of total billed charges,5.931186799,,,,11.88571,percent of total billed charges,3.548775357,,,,11.76902,percent of total billed charges,11.67972525,,,,11.76902,percent of total billed charges,8.055413928,,,,,,,,,,12.0024,percent of total billed charges,7.801277558,,,,,,,,,,12.0024,percent of total billed charges,999999999,,,,,,,,,,13.336,percent of total billed charges,11.17487477,,,,13.1693,percent of total billed charges,12.70894124,,,,13.1693,percent of total billed charges,11.22877027,,,,13.336,percent of total billed charges,999999999,,,,13.336,percent of total billed charges,999999999,,,,11.669,percent of total billed charges,999999999,,,,11.669,percent of total billed charges,999999999,,,,,,,,,,,,,,,,8.86844,percent of total billed charges,999999999,,,,,,,,,,,,,,,,8.41835,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4.1675,percent of total billed charges,3.958105592,,,,,,,,,,4.1675,percent of total billed charges,3.892265199,,,,,,,,,,4.1675,percent of total billed charges,3.881448761,,,,,,,,,,4.1675,percent of total billed charges,3.824294475,,,,,,,,,,4.1675,percent of total billed charges,3.922699194,,,,,,,,,,4.1675,percent of total billed charges,999999999,,,,,,,,,,4.1675,percent of total billed charges,3.365952145,,,,,,,,,,4.1675,percent of total billed charges,5.308338647,,,,,,,,,,4.1675,percent of total billed charges,999999999,,,,,,,,,,4.1675,percent of total billed charges,3.629319615,,,,,,,,,,15.003,percent of total billed charges,,,,,
**SODIUM CHLORIDE 1GM TABLET,250,RC,0000-2202-02,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
0.65% NACL (OCEAN) NASAL MIST 45 ML,637,RC,7003-0013-73,NDC,,both,1,EA,9.98,9.98,2.124581767,9.98,9.98,percent of total billed charges,7.342640547,,,,9.98,percent of total billed charges,7.783053798,,,,9.98,percent of total billed charges,7.342640547,,,,9.98,percent of total billed charges,7.783053798,,,,9.98,percent of total billed charges,999999999,,,,9.98,percent of total billed charges,7.604074079,,,,9.98,percent of total billed charges,7.342640547,,,,9.98,percent of total billed charges,7.783053798,,,,7.11574,percent of total billed charges,3.550884478,,,,7.11574,percent of total billed charges,2.124581767,,,,7.11574,percent of total billed charges,3.550884478,,,,7.11574,percent of total billed charges,2.124581767,,,,7.11574,percent of total billed charges,3.550884478,,,,7.11574,percent of total billed charges,2.124581767,,,,7.04588,percent of total billed charges,6.992420993,,,,7.04588,percent of total billed charges,4.822617337,,,,,,,,,,7.1856,percent of total billed charges,4.670470908,,,,,,,,,,7.1856,percent of total billed charges,999999999,,,,,,,,,,7.984,percent of total billed charges,6.690176978,,,,7.8842,percent of total billed charges,7.608592296,,,,7.8842,percent of total billed charges,6.722443149,,,,7.984,percent of total billed charges,999999999,,,,7.984,percent of total billed charges,999999999,,,,6.986,percent of total billed charges,999999999,,,,6.986,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.30936,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.0399,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.495,percent of total billed charges,2.369639701,,,,,,,,,,2.495,percent of total billed charges,2.330222357,,,,,,,,,,2.495,percent of total billed charges,2.323746768,,,,,,,,,,2.495,percent of total billed charges,2.289529626,,,,,,,,,,2.495,percent of total billed charges,2.348442589,,,,,,,,,,2.495,percent of total billed charges,999999999,,,,,,,,,,2.495,percent of total billed charges,2.015129119,,,,,,,,,,2.495,percent of total billed charges,3.177997583,,,,,,,,,,2.495,percent of total billed charges,999999999,,,,,,,,,,2.495,percent of total billed charges,2.172802025,,,,,,,,,,8.982,percent of total billed charges,,,,,
**ACETAMINOPHEN (TYLENOL) 100MG/ML DROPS,259,RC,5295-9086-15,NDC,,both,1,EA,9,9,1.915955502,9,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,9,percent of total billed charges,999999999,,,,9,percent of total billed charges,6.857381434,,,,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.354,percent of total billed charges,6.305790475,,,,6.354,percent of total billed charges,4.34905371,,,,,,,,,,6.48,percent of total billed charges,4.211847512,,,,,,,,,,6.48,percent of total billed charges,999999999,,,,,,,,,,7.2,percent of total billed charges,6.033225731,,,,7.11,percent of total billed charges,6.861455978,,,,7.11,percent of total billed charges,6.062323481,,,,7.2,percent of total billed charges,999999999,,,,7.2,percent of total billed charges,999999999,,,,6.3,percent of total billed charges,999999999,,,,6.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.788,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.545,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.25,percent of total billed charges,2.13694963,,,,,,,,,,2.25,percent of total billed charges,2.101402927,,,,,,,,,,2.25,percent of total billed charges,2.095563218,,,,,,,,,,2.25,percent of total billed charges,2.064706075,,,,,,,,,,2.25,percent of total billed charges,2.117833998,,,,,,,,,,2.25,percent of total billed charges,999999999,,,,,,,,,,2.25,percent of total billed charges,1.817250708,,,,,,,,,,2.25,percent of total billed charges,2.865929684,,,,,,,,,,2.25,percent of total billed charges,999999999,,,,,,,,,,2.25,percent of total billed charges,1.959440704,,,,,,,,,,8.1,percent of total billed charges,,,,,
DAKINS SOLN (SOD.HYPOCHLOR)1/2 ST: 480ML,259,RC,0043-6093-16,NDC,,both,1,EA,71.31,71.31,15.18075409,71.31,71.31,percent of total billed charges,52.46530034,,,,71.31,percent of total billed charges,55.61218099,,,,71.31,percent of total billed charges,52.46530034,,,,71.31,percent of total billed charges,55.61218099,,,,71.31,percent of total billed charges,999999999,,,,71.31,percent of total billed charges,54.33331889,,,,71.31,percent of total billed charges,52.46530034,,,,71.31,percent of total billed charges,55.61218099,,,,50.84403,percent of total billed charges,25.37210142,,,,50.84403,percent of total billed charges,15.18075409,,,,50.84403,percent of total billed charges,25.37210142,,,,50.84403,percent of total billed charges,15.18075409,,,,50.84403,percent of total billed charges,25.37210142,,,,50.84403,percent of total billed charges,15.18075409,,,,50.34486,percent of total billed charges,49.96287986,,,,50.34486,percent of total billed charges,34.45900223,,,,,,,,,,51.3432,percent of total billed charges,33.37187179,,,,,,,,,,51.3432,percent of total billed charges,999999999,,,,,,,,,,57.048,percent of total billed charges,47.80325854,,,,56.3349,percent of total billed charges,54.36560287,,,,56.3349,percent of total billed charges,48.03380972,,,,57.048,percent of total billed charges,999999999,,,,57.048,percent of total billed charges,999999999,,,,49.917,percent of total billed charges,999999999,,,,49.917,percent of total billed charges,999999999,,,,,,,,,,,,,,,,37.93692,percent of total billed charges,999999999,,,,,,,,,,,,,,,,36.01155,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17.8275,percent of total billed charges,16.93176423,,,,,,,,,,17.8275,percent of total billed charges,16.65011586,,,,,,,,,,17.8275,percent of total billed charges,16.6038459,,,,,,,,,,17.8275,percent of total billed charges,16.35935447,,,,,,,,,,17.8275,percent of total billed charges,16.78030471,,,,,,,,,,17.8275,percent of total billed charges,999999999,,,,,,,,,,17.8275,percent of total billed charges,14.39868311,,,,,,,,,,17.8275,percent of total billed charges,22.70771619,,,,,,,,,,17.8275,percent of total billed charges,999999999,,,,,,,,,,17.8275,percent of total billed charges,15.52530184,,,,,,,,,,64.179,percent of total billed charges,,,,,
NITROPRUSSIDE (NIPRIDE) 50MG/250ML DRIP,250,RC,5175-4102-01,NDC,,both,1,EA,234.32,234.32,49.8829659,234.32,234.32,percent of total billed charges,172.3975484,,,,234.32,percent of total billed charges,182.7379926,,,,234.32,percent of total billed charges,172.3975484,,,,234.32,percent of total billed charges,182.7379926,,,,234.32,percent of total billed charges,999999999,,,,234.32,percent of total billed charges,178.5357353,,,,234.32,percent of total billed charges,172.3975484,,,,234.32,percent of total billed charges,182.7379926,,,,167.07016,percent of total billed charges,83.37106723,,,,167.07016,percent of total billed charges,49.8829659,,,,167.07016,percent of total billed charges,83.37106723,,,,167.07016,percent of total billed charges,49.8829659,,,,167.07016,percent of total billed charges,83.37106723,,,,167.07016,percent of total billed charges,49.8829659,,,,165.42992,percent of total billed charges,164.1747582,,,,165.42992,percent of total billed charges,113.2300295,,,,,,,,,,168.7104,percent of total billed charges,109.6577899,,,,,,,,,,168.7104,percent of total billed charges,999999999,,,,,,,,,,187.456,percent of total billed charges,157.0783837,,,,185.1128,percent of total billed charges,178.6418183,,,,185.1128,percent of total billed charges,157.8359598,,,,187.456,percent of total billed charges,999999999,,,,187.456,percent of total billed charges,999999999,,,,164.024,percent of total billed charges,999999999,,,,164.024,percent of total billed charges,999999999,,,,,,,,,,,,,,,,124.65824,percent of total billed charges,999999999,,,,,,,,,,,,,,,,118.3316,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,58.58,percent of total billed charges,55.63667081,,,,,,,,,,58.58,percent of total billed charges,54.71119265,,,,,,,,,,58.58,percent of total billed charges,54.55915258,,,,,,,,,,58.58,percent of total billed charges,53.75576973,,,,,,,,,,58.58,percent of total billed charges,55.13898471,,,,,,,,,,58.58,percent of total billed charges,999999999,,,,,,,,,,58.58,percent of total billed charges,47.31313177,,,,,,,,,,58.58,percent of total billed charges,74.6160715,,,,,,,,,,58.58,percent of total billed charges,999999999,,,,,,,,,,58.58,percent of total billed charges,51.0151273,,,,,,,,,,210.888,percent of total billed charges,,,,,
SOD PHOSPHATE (15mM PO4+/5ML): 5 ML VIAL,250,RC,6332-3088-06,NDC,,both,1,EA,123.65,123.65,26.32309975,123.65,123.65,percent of total billed charges,90.97369776,,,,123.65,percent of total billed charges,96.43032085,,,,123.65,percent of total billed charges,90.97369776,,,,123.65,percent of total billed charges,96.43032085,,,,123.65,percent of total billed charges,999999999,,,,123.65,percent of total billed charges,94.21280159,,,,123.65,percent of total billed charges,90.97369776,,,,123.65,percent of total billed charges,96.43032085,,,,88.16245,percent of total billed charges,43.99467593,,,,88.16245,percent of total billed charges,26.32309975,,,,88.16245,percent of total billed charges,43.99467593,,,,88.16245,percent of total billed charges,26.32309975,,,,88.16245,percent of total billed charges,43.99467593,,,,88.16245,percent of total billed charges,26.32309975,,,,87.2969,percent of total billed charges,86.63455469,,,,87.2969,percent of total billed charges,59.7511657,,,,,,,,,,89.028,percent of total billed charges,57.86610498,,,,,,,,,,89.028,percent of total billed charges,999999999,,,,,,,,,,98.92,percent of total billed charges,82.88981796,,,,97.6835,percent of total billed charges,94.2687813,,,,97.6835,percent of total billed charges,83.28958872,,,,98.92,percent of total billed charges,999999999,,,,98.92,percent of total billed charges,999999999,,,,86.555,percent of total billed charges,999999999,,,,86.555,percent of total billed charges,999999999,,,,,,,,,,,,,,,,65.7818,percent of total billed charges,999999999,,,,,,,,,,,,,,,,62.44325,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,30.9125,percent of total billed charges,29.35931353,,,,,,,,,,30.9125,percent of total billed charges,28.87094132,,,,,,,,,,30.9125,percent of total billed charges,28.79071021,,,,,,,,,,30.9125,percent of total billed charges,28.36676736,,,,,,,,,,30.9125,percent of total billed charges,29.09668598,,,,,,,,,,30.9125,percent of total billed charges,999999999,,,,,,,,,,30.9125,percent of total billed charges,24.96700556,,,,,,,,,,30.9125,percent of total billed charges,39.37468949,,,,,,,,,,30.9125,percent of total billed charges,999999999,,,,,,,,,,30.9125,percent of total billed charges,26.92053812,,,,,,,,,,111.285,percent of total billed charges,,,,,
METOCLOPRAMINE (REGLAN) SOLN 10MG/10ML,259,RC,0012-1057-16,NDC,,both,1,EA,7.62,7.62,1.622175658,7.62,7.62,percent of total billed charges,5.606304706,,,,7.62,percent of total billed charges,5.942572138,,,,7.62,percent of total billed charges,5.606304706,,,,7.62,percent of total billed charges,5.942572138,,,,7.62,percent of total billed charges,999999999,,,,7.62,percent of total billed charges,5.805916281,,,,7.62,percent of total billed charges,5.606304706,,,,7.62,percent of total billed charges,5.942572138,,,,5.43306,percent of total billed charges,2.711196365,,,,5.43306,percent of total billed charges,1.622175658,,,,5.43306,percent of total billed charges,2.711196365,,,,5.43306,percent of total billed charges,1.622175658,,,,5.43306,percent of total billed charges,2.711196365,,,,5.43306,percent of total billed charges,1.622175658,,,,5.37972,percent of total billed charges,5.338902602,,,,5.37972,percent of total billed charges,3.682198808,,,,,,,,,,5.4864,percent of total billed charges,3.566030893,,,,,,,,,,5.4864,percent of total billed charges,999999999,,,,,,,,,,6.096,percent of total billed charges,5.108131119,,,,6.0198,percent of total billed charges,5.809366062,,,,6.0198,percent of total billed charges,5.132767214,,,,6.096,percent of total billed charges,999999999,,,,6.096,percent of total billed charges,999999999,,,,5.334,percent of total billed charges,999999999,,,,5.334,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.05384,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.8481,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.905,percent of total billed charges,1.80928402,,,,,,,,,,1.905,percent of total billed charges,1.779187811,,,,,,,,,,1.905,percent of total billed charges,1.774243525,,,,,,,,,,1.905,percent of total billed charges,1.74811781,,,,,,,,,,1.905,percent of total billed charges,1.793099451,,,,,,,,,,1.905,percent of total billed charges,999999999,,,,,,,,,,1.905,percent of total billed charges,1.5386056,,,,,,,,,,1.905,percent of total billed charges,2.426487132,,,,,,,,,,1.905,percent of total billed charges,999999999,,,,,,,,,,1.905,percent of total billed charges,1.658993129,,,,,,,,,,6.858,percent of total billed charges,,,,,
NA POLYSTRENE (KAYEXALATE) 15GM/60ML UD,637,RC,0033-8080-04,NDC,,both,1,EA,72.65,72.65,15.46601858,72.65,72.65,percent of total billed charges,53.45118594,,,,72.65,percent of total billed charges,56.65720024,,,,72.65,percent of total billed charges,53.45118594,,,,72.65,percent of total billed charges,56.65720024,,,,72.65,percent of total billed charges,999999999,,,,72.65,percent of total billed charges,55.3543068,,,,72.65,percent of total billed charges,53.45118594,,,,72.65,percent of total billed charges,56.65720024,,,,51.79945,percent of total billed charges,25.84887348,,,,51.79945,percent of total billed charges,15.46601858,,,,51.79945,percent of total billed charges,25.84887348,,,,51.79945,percent of total billed charges,15.46601858,,,,51.79945,percent of total billed charges,25.84887348,,,,51.79945,percent of total billed charges,15.46601858,,,,51.2909,percent of total billed charges,50.901742,,,,51.2909,percent of total billed charges,35.10652801,,,,,,,,,,52.308,percent of total billed charges,33.99896908,,,,,,,,,,52.308,percent of total billed charges,999999999,,,,,,,,,,58.12,percent of total billed charges,48.70153882,,,,57.3935,percent of total billed charges,55.38719742,,,,57.3935,percent of total billed charges,48.93642233,,,,58.12,percent of total billed charges,999999999,,,,58.12,percent of total billed charges,999999999,,,,50.855,percent of total billed charges,999999999,,,,50.855,percent of total billed charges,999999999,,,,,,,,,,,,,,,,38.6498,percent of total billed charges,999999999,,,,,,,,,,,,,,,,36.68825,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18.1625,percent of total billed charges,17.24993229,,,,,,,,,,18.1625,percent of total billed charges,16.9629914,,,,,,,,,,18.1625,percent of total billed charges,16.91585198,,,,,,,,,,18.1625,percent of total billed charges,16.66676626,,,,,,,,,,18.1625,percent of total billed charges,17.09562666,,,,,,,,,,18.1625,percent of total billed charges,999999999,,,,,,,,,,18.1625,percent of total billed charges,14.66925155,,,,,,,,,,18.1625,percent of total billed charges,23.13442128,,,,,,,,,,18.1625,percent of total billed charges,999999999,,,,,,,,,,18.1625,percent of total billed charges,15.81704079,,,,,,,,,,65.385,percent of total billed charges,,,,,
**BRIMONIDINE 0.2% (ALPHAGAN) OPHTH SOLN,250,RC,0002-3917-05,NDC,,both,1,EA,99,99,21.07551052,99,99,percent of total billed charges,72.83781705,,,,99,percent of total billed charges,77.20664589,,,,99,percent of total billed charges,72.83781705,,,,99,percent of total billed charges,77.20664589,,,,99,percent of total billed charges,999999999,,,,99,percent of total billed charges,75.43119577,,,,99,percent of total billed charges,72.83781705,,,,99,percent of total billed charges,77.20664589,,,,70.587,percent of total billed charges,35.22420474,,,,70.587,percent of total billed charges,21.07551052,,,,70.587,percent of total billed charges,35.22420474,,,,70.587,percent of total billed charges,21.07551052,,,,70.587,percent of total billed charges,35.22420474,,,,70.587,percent of total billed charges,21.07551052,,,,69.894,percent of total billed charges,69.36369522,,,,69.894,percent of total billed charges,47.83959081,,,,,,,,,,71.28,percent of total billed charges,46.33032263,,,,,,,,,,71.28,percent of total billed charges,999999999,,,,,,,,,,79.2,percent of total billed charges,66.36548304,,,,78.21,percent of total billed charges,75.47601576,,,,78.21,percent of total billed charges,66.6855583,,,,79.2,percent of total billed charges,999999999,,,,79.2,percent of total billed charges,999999999,,,,69.3,percent of total billed charges,999999999,,,,69.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,52.668,percent of total billed charges,999999999,,,,,,,,,,,,,,,,49.995,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,24.75,percent of total billed charges,23.50644593,,,,,,,,,,24.75,percent of total billed charges,23.1154322,,,,,,,,,,24.75,percent of total billed charges,23.0511954,,,,,,,,,,24.75,percent of total billed charges,22.71176683,,,,,,,,,,24.75,percent of total billed charges,23.29617398,,,,,,,,,,24.75,percent of total billed charges,999999999,,,,,,,,,,24.75,percent of total billed charges,19.98975779,,,,,,,,,,24.75,percent of total billed charges,31.52522652,,,,,,,,,,24.75,percent of total billed charges,999999999,,,,,,,,,,24.75,percent of total billed charges,21.55384774,,,,,,,,,,89.1,percent of total billed charges,,,,,
ASCORBIC ACID (VITAMIN C) 500MG TAB,637,RC,0090-4052-61,NDC,,both,1,EA,0.5,0.5,0.106441972,0.5,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,999999999,,,,0.5,percent of total billed charges,0.380965635,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.353,percent of total billed charges,0.350321693,,,,0.353,percent of total billed charges,0.241614095,,,,,,,,,,0.36,percent of total billed charges,0.233991528,,,,,,,,,,0.36,percent of total billed charges,999999999,,,,,,,,,,0.4,percent of total billed charges,0.335179207,,,,0.395,percent of total billed charges,0.381191999,,,,0.395,percent of total billed charges,0.336795749,,,,0.4,percent of total billed charges,999999999,,,,0.4,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.266,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.2525,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.125,percent of total billed charges,0.118719424,,,,,,,,,,0.125,percent of total billed charges,0.116744607,,,,,,,,,,0.125,percent of total billed charges,0.116420179,,,,,,,,,,0.125,percent of total billed charges,0.114705893,,,,,,,,,,0.125,percent of total billed charges,0.117657444,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.100958373,,,,,,,,,,0.125,percent of total billed charges,0.159218316,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.108857817,,,,,,,,,,0.45,percent of total billed charges,,,,,
SPIRONOLACTONE (ALDACTONE) 25 MG,250,RC,5974-6021-01,NDC,,both,1,EA,0.53,0.53,0.112828491,0.53,0.53,percent of total billed charges,0.389939829,,,,0.53,percent of total billed charges,0.413328508,,,,0.53,percent of total billed charges,0.389939829,,,,0.53,percent of total billed charges,0.413328508,,,,0.53,percent of total billed charges,999999999,,,,0.53,percent of total billed charges,0.403823573,,,,0.53,percent of total billed charges,0.389939829,,,,0.53,percent of total billed charges,0.413328508,,,,0.37789,percent of total billed charges,0.188574025,,,,0.37789,percent of total billed charges,0.112828491,,,,0.37789,percent of total billed charges,0.188574025,,,,0.37789,percent of total billed charges,0.112828491,,,,0.37789,percent of total billed charges,0.188574025,,,,0.37789,percent of total billed charges,0.112828491,,,,0.37418,percent of total billed charges,0.371340995,,,,0.37418,percent of total billed charges,0.256110941,,,,,,,,,,0.3816,percent of total billed charges,0.24803102,,,,,,,,,,0.3816,percent of total billed charges,999999999,,,,,,,,,,0.424,percent of total billed charges,0.35528996,,,,0.4187,percent of total billed charges,0.404063519,,,,0.4187,percent of total billed charges,0.357003494,,,,0.424,percent of total billed charges,999999999,,,,0.424,percent of total billed charges,999999999,,,,0.371,percent of total billed charges,999999999,,,,0.371,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.28196,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.26765,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.1325,percent of total billed charges,0.125842589,,,,,,,,,,0.1325,percent of total billed charges,0.123749283,,,,,,,,,,0.1325,percent of total billed charges,0.12340539,,,,,,,,,,0.1325,percent of total billed charges,0.121588247,,,,,,,,,,0.1325,percent of total billed charges,0.124716891,,,,,,,,,,0.1325,percent of total billed charges,999999999,,,,,,,,,,0.1325,percent of total billed charges,0.107015875,,,,,,,,,,0.1325,percent of total billed charges,0.168771415,,,,,,,,,,0.1325,percent of total billed charges,999999999,,,,,,,,,,0.1325,percent of total billed charges,0.115389286,,,,,,,,,,0.477,percent of total billed charges,,,,,
**SPIRONOLACTONE 25MG / HCTZ 25MG TAB,259,RC,0002-5101-31,NDC,,both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
STERILE WATER FOR INJECTION SDV 20ML,250,RC,0040-9488-10,NDC,,both,1,EA,11.2,11.2,2.38430018,11.2,11.2,percent of total billed charges,8.240237888,,,,11.2,percent of total billed charges,8.734489232,,,,11.2,percent of total billed charges,8.240237888,,,,11.2,percent of total billed charges,8.734489232,,,,11.2,percent of total billed charges,999999999,,,,11.2,percent of total billed charges,8.533630229,,,,11.2,percent of total billed charges,8.240237888,,,,11.2,percent of total billed charges,8.734489232,,,,7.9856,percent of total billed charges,3.984960537,,,,7.9856,percent of total billed charges,2.38430018,,,,7.9856,percent of total billed charges,3.984960537,,,,7.9856,percent of total billed charges,2.38430018,,,,7.9856,percent of total billed charges,3.984960537,,,,7.9856,percent of total billed charges,2.38430018,,,,7.9072,percent of total billed charges,7.847205924,,,,7.9072,percent of total billed charges,5.412155728,,,,,,,,,,8.064,percent of total billed charges,5.241410237,,,,,,,,,,8.064,percent of total billed charges,999999999,,,,,,,,,,8.96,percent of total billed charges,7.508014243,,,,8.848,percent of total billed charges,8.538700773,,,,8.848,percent of total billed charges,7.544224777,,,,8.96,percent of total billed charges,999999999,,,,8.96,percent of total billed charges,999999999,,,,7.84,percent of total billed charges,999999999,,,,7.84,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.9584,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.656,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.8,percent of total billed charges,2.659315095,,,,,,,,,,2.8,percent of total billed charges,2.615079198,,,,,,,,,,2.8,percent of total billed charges,2.607812005,,,,,,,,,,2.8,percent of total billed charges,2.569412005,,,,,,,,,,2.8,percent of total billed charges,2.635526753,,,,,,,,,,2.8,percent of total billed charges,999999999,,,,,,,,,,2.8,percent of total billed charges,2.261467548,,,,,,,,,,2.8,percent of total billed charges,3.566490273,,,,,,,,,,2.8,percent of total billed charges,999999999,,,,,,,,,,2.8,percent of total billed charges,2.438415098,,,,,,,,,,10.08,percent of total billed charges,,,,,
BUTORPHANOL TARTRATE 2MG/1ML 1ML VIAL,J0595,CDM,0040-9162-01,NDC,,both,1,EA,176.02,176.02,37.47183193,176.02,176.02,percent of total billed charges,129.5041672,,,,176.02,percent of total billed charges,137.2718567,,,,176.02,percent of total billed charges,129.5041672,,,,176.02,percent of total billed charges,137.2718567,,,,176.02,percent of total billed charges,999999999,,,,176.02,percent of total billed charges,134.1151422,,,,176.02,percent of total billed charges,129.5041672,,,,176.02,percent of total billed charges,137.2718567,,,,125.50226,percent of total billed charges,62.62792444,,,,125.50226,percent of total billed charges,37.47183193,,,,125.50226,percent of total billed charges,62.62792444,,,,125.50226,percent of total billed charges,37.47183193,,,,125.50226,percent of total billed charges,62.62792444,,,,125.50226,percent of total billed charges,37.47183193,,,,124.27012,percent of total billed charges,123.3272488,,,,124.27012,percent of total billed charges,85.05782601,,,,,,,,,,126.7344,percent of total billed charges,82.37437767,,,,,,,,,,126.7344,percent of total billed charges,999999999,,,,,,,,,,140.816,percent of total billed charges,117.9964881,,,,139.0558,percent of total billed charges,134.1948313,,,,139.0558,percent of total billed charges,118.5655755,,,,140.816,percent of total billed charges,999999999,,,,140.816,percent of total billed charges,999999999,,,,123.214,percent of total billed charges,999999999,,,,123.214,percent of total billed charges,999999999,,,,,,,,,,,,,,,,93.64264,percent of total billed charges,999999999,,,,,,,,,,,,,,,,88.8901,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,44.005,percent of total billed charges,41.79398598,,,,,,,,,,44.005,percent of total billed charges,41.09877146,,,,,,,,,,44.005,percent of total billed charges,40.98455974,,,,,,,,,,44.005,percent of total billed charges,40.38106259,,,,,,,,,,44.005,percent of total billed charges,41.4201267,,,,,,,,,,44.005,percent of total billed charges,999999999,,,,,,,,,,44.005,percent of total billed charges,35.54138552,,,,,,,,,,44.005,percent of total billed charges,56.05121588,,,,,,,,,,44.005,percent of total billed charges,999999999,,,,,,,,,,44.005,percent of total billed charges,38.32230586,,,,,,,,,,158.418,percent of total billed charges,,,,,
SUCRALFATE (CARAFATE) 1GM TAB,637,RC,5107-9075-20,NDC,,both,1,EA,1.52,1.52,0.323583596,1.52,1.52,percent of total billed charges,1.118317999,,,,1.52,percent of total billed charges,1.185394967,,,,1.52,percent of total billed charges,1.118317999,,,,1.52,percent of total billed charges,1.185394967,,,,1.52,percent of total billed charges,999999999,,,,1.52,percent of total billed charges,1.158135531,,,,1.52,percent of total billed charges,1.118317999,,,,1.52,percent of total billed charges,1.185394967,,,,1.08376,percent of total billed charges,0.540816073,,,,1.08376,percent of total billed charges,0.323583596,,,,1.08376,percent of total billed charges,0.540816073,,,,1.08376,percent of total billed charges,0.323583596,,,,1.08376,percent of total billed charges,0.540816073,,,,1.08376,percent of total billed charges,0.323583596,,,,1.07312,percent of total billed charges,1.064977947,,,,1.07312,percent of total billed charges,0.734506849,,,,,,,,,,1.0944,percent of total billed charges,0.711334246,,,,,,,,,,1.0944,percent of total billed charges,999999999,,,,,,,,,,1.216,percent of total billed charges,1.01894479,,,,1.2008,percent of total billed charges,1.158823676,,,,1.2008,percent of total billed charges,1.023859077,,,,1.216,percent of total billed charges,999999999,,,,1.216,percent of total billed charges,999999999,,,,1.064,percent of total billed charges,999999999,,,,1.064,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.80864,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.7676,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.38,percent of total billed charges,0.360907049,,,,,,,,,,0.38,percent of total billed charges,0.354903605,,,,,,,,,,0.38,percent of total billed charges,0.353917343,,,,,,,,,,0.38,percent of total billed charges,0.348705915,,,,,,,,,,0.38,percent of total billed charges,0.357678631,,,,,,,,,,0.38,percent of total billed charges,999999999,,,,,,,,,,0.38,percent of total billed charges,0.306913453,,,,,,,,,,0.38,percent of total billed charges,0.48402368,,,,,,,,,,0.38,percent of total billed charges,999999999,,,,,,,,,,0.38,percent of total billed charges,0.330927763,,,,,,,,,,1.368,percent of total billed charges,,,,,
SULFACETAMIDE (SULAMYD) 10% OPHTH SOLN,637,RC,6131-4070-01,NDC,,both,1,EA,145.9,145.9,31.05976752,145.9,145.9,percent of total billed charges,107.3438132,,,,145.9,percent of total billed charges,113.7823195,,,,145.9,percent of total billed charges,107.3438132,,,,145.9,percent of total billed charges,113.7823195,,,,145.9,percent of total billed charges,999999999,,,,145.9,percent of total billed charges,111.1657724,,,,145.9,percent of total billed charges,107.3438132,,,,145.9,percent of total billed charges,113.7823195,,,,104.0267,percent of total billed charges,51.91122699,,,,104.0267,percent of total billed charges,31.05976752,,,,104.0267,percent of total billed charges,51.91122699,,,,104.0267,percent of total billed charges,31.05976752,,,,104.0267,percent of total billed charges,51.91122699,,,,104.0267,percent of total billed charges,31.05976752,,,,103.0054,percent of total billed charges,102.22387,,,,103.0054,percent of total billed charges,70.50299293,,,,,,,,,,105.048,percent of total billed charges,68.278728,,,,,,,,,,105.048,percent of total billed charges,999999999,,,,,,,,,,116.72,percent of total billed charges,97.80529269,,,,115.261,percent of total billed charges,111.2318252,,,,115.261,percent of total billed charges,98.27699955,,,,116.72,percent of total billed charges,999999999,,,,116.72,percent of total billed charges,999999999,,,,102.13,percent of total billed charges,999999999,,,,102.13,percent of total billed charges,999999999,,,,,,,,,,,,,,,,77.6188,percent of total billed charges,999999999,,,,,,,,,,,,,,,,73.6795,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,36.475,percent of total billed charges,34.64232789,,,,,,,,,,36.475,percent of total billed charges,34.06607634,,,,,,,,,,36.475,percent of total billed charges,33.97140817,,,,,,,,,,36.475,percent of total billed charges,33.4711796,,,,,,,,,,36.475,percent of total billed charges,34.33244225,,,,,,,,,,36.475,percent of total billed charges,999999999,,,,,,,,,,36.475,percent of total billed charges,29.45965315,,,,,,,,,,36.475,percent of total billed charges,46.45990454,,,,,,,,,,36.475,percent of total billed charges,999999999,,,,,,,,,,36.475,percent of total billed charges,31.76471097,,,,,,,,,,131.31,percent of total billed charges,,,,,
sulfaSALAzine (AZULFIDINE) 500MG TAB,637,RC,0001-3010-01,NDC,,both,1,EA,1.11,1.11,0.236301179,1.11,1.11,percent of total billed charges,0.816666434,,,,1.11,percent of total billed charges,0.865650272,,,,1.11,percent of total billed charges,0.816666434,,,,1.11,percent of total billed charges,0.865650272,,,,1.11,percent of total billed charges,999999999,,,,1.11,percent of total billed charges,0.84574371,,,,1.11,percent of total billed charges,0.816666434,,,,1.11,percent of total billed charges,0.865650272,,,,0.79143,percent of total billed charges,0.394938053,,,,0.79143,percent of total billed charges,0.236301179,,,,0.79143,percent of total billed charges,0.394938053,,,,0.79143,percent of total billed charges,0.236301179,,,,0.79143,percent of total billed charges,0.394938053,,,,0.79143,percent of total billed charges,0.236301179,,,,0.78366,percent of total billed charges,0.777714159,,,,0.78366,percent of total billed charges,0.536383291,,,,,,,,,,0.7992,percent of total billed charges,0.519461193,,,,,,,,,,0.7992,percent of total billed charges,999999999,,,,,,,,,,0.888,percent of total billed charges,0.74409784,,,,0.8769,percent of total billed charges,0.846246237,,,,0.8769,percent of total billed charges,0.747686563,,,,0.888,percent of total billed charges,999999999,,,,0.888,percent of total billed charges,999999999,,,,0.777,percent of total billed charges,999999999,,,,0.777,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.59052,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.56055,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.2775,percent of total billed charges,0.263557121,,,,,,,,,,0.2775,percent of total billed charges,0.259173028,,,,,,,,,,0.2775,percent of total billed charges,0.258452797,,,,,,,,,,0.2775,percent of total billed charges,0.254647083,,,,,,,,,,0.2775,percent of total billed charges,0.261199526,,,,,,,,,,0.2775,percent of total billed charges,999999999,,,,,,,,,,0.2775,percent of total billed charges,0.224127587,,,,,,,,,,0.2775,percent of total billed charges,0.353464661,,,,,,,,,,0.2775,percent of total billed charges,999999999,,,,,,,,,,0.2775,percent of total billed charges,0.241664353,,,,,,,,,,0.999,percent of total billed charges,,,,,
**SULINDAC (CLINORIL) TAB 150MG,259,RC,5786-6462-03,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
**SULINDAC (CLINORIL) TAB 200MG,259,RC,5107-9066-20,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
LEVOTHYROXINE 100 MCG INJECTION,250,RC,6332-3024-10,NDC,,both,1,EA,639.55,639.55,136.1499268,639.55,639.55,percent of total billed charges,470.5396555,,,,639.55,percent of total billed charges,498.7627311,,,,639.55,percent of total billed charges,470.5396555,,,,639.55,percent of total billed charges,498.7627311,,,,639.55,percent of total billed charges,999999999,,,,639.55,percent of total billed charges,487.293144,,,,639.55,percent of total billed charges,470.5396555,,,,639.55,percent of total billed charges,498.7627311,,,,455.99915,percent of total billed charges,227.5519207,,,,455.99915,percent of total billed charges,136.1499268,,,,455.99915,percent of total billed charges,227.5519207,,,,455.99915,percent of total billed charges,136.1499268,,,,455.99915,percent of total billed charges,227.5519207,,,,455.99915,percent of total billed charges,136.1499268,,,,451.5223,percent of total billed charges,448.0964776,,,,451.5223,percent of total billed charges,309.0485889,,,,,,,,,,460.476,percent of total billed charges,299.298564,,,,,,,,,,460.476,percent of total billed charges,999999999,,,,,,,,,,511.64,percent of total billed charges,428.7277241,,,,505.2445,percent of total billed charges,487.5826857,,,,505.2445,percent of total billed charges,430.7954425,,,,511.64,percent of total billed charges,999999999,,,,511.64,percent of total billed charges,999999999,,,,447.685,percent of total billed charges,999999999,,,,447.685,percent of total billed charges,999999999,,,,,,,,,,,,,,,,340.2406,percent of total billed charges,999999999,,,,,,,,,,,,,,,,322.97275,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,159.8875,percent of total billed charges,151.8540151,,,,,,,,,,159.8875,percent of total billed charges,149.3280269,,,,,,,,,,159.8875,percent of total billed charges,148.9130507,,,,,,,,,,159.8875,percent of total billed charges,146.7203078,,,,,,,,,,159.8875,percent of total billed charges,150.495637,,,,,,,,,,159.8875,percent of total billed charges,999999999,,,,,,,,,,159.8875,percent of total billed charges,129.1358545,,,,,,,,,,159.8875,percent of total billed charges,203.6561477,,,,,,,,,,159.8875,percent of total billed charges,999999999,,,,,,,,,,159.8875,percent of total billed charges,139.2400336,,,,,,,,,,575.595,percent of total billed charges,,,,,
TAMOXIFEN (NOLVADEX) 10MG TAB,637,RC,6373-9026-10,NDC,,both,1,EA,1.55,1.55,0.329970114,1.55,1.55,percent of total billed charges,1.140390065,,,,1.55,percent of total billed charges,1.208790921,,,,1.55,percent of total billed charges,1.140390065,,,,1.55,percent of total billed charges,1.208790921,,,,1.55,percent of total billed charges,999999999,,,,1.55,percent of total billed charges,1.180993469,,,,1.55,percent of total billed charges,1.140390065,,,,1.55,percent of total billed charges,1.208790921,,,,1.10515,percent of total billed charges,0.551490074,,,,1.10515,percent of total billed charges,0.329970114,,,,1.10515,percent of total billed charges,0.551490074,,,,1.10515,percent of total billed charges,0.329970114,,,,1.10515,percent of total billed charges,0.551490074,,,,1.10515,percent of total billed charges,0.329970114,,,,1.0943,percent of total billed charges,1.085997248,,,,1.0943,percent of total billed charges,0.749003695,,,,,,,,,,1.116,percent of total billed charges,0.725373738,,,,,,,,,,1.116,percent of total billed charges,999999999,,,,,,,,,,1.24,percent of total billed charges,1.039055543,,,,1.2245,percent of total billed charges,1.181695196,,,,1.2245,percent of total billed charges,1.044066822,,,,1.24,percent of total billed charges,999999999,,,,1.24,percent of total billed charges,999999999,,,,1.085,percent of total billed charges,999999999,,,,1.085,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.8246,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.78275,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.3875,percent of total billed charges,0.368030214,,,,,,,,,,0.3875,percent of total billed charges,0.361908282,,,,,,,,,,0.3875,percent of total billed charges,0.360902554,,,,,,,,,,0.3875,percent of total billed charges,0.355588269,,,,,,,,,,0.3875,percent of total billed charges,0.364738077,,,,,,,,,,0.3875,percent of total billed charges,999999999,,,,,,,,,,0.3875,percent of total billed charges,0.312970955,,,,,,,,,,0.3875,percent of total billed charges,0.493576779,,,,,,,,,,0.3875,percent of total billed charges,999999999,,,,,,,,,,0.3875,percent of total billed charges,0.337459232,,,,,,,,,,1.395,percent of total billed charges,,,,,
TEMAZEPAM (RESTORIL) CAP 15MG,250,RC,0022-8207-10,NDC,,both,1,EA,1.21,1.21,0.257589573,1.21,1.21,percent of total billed charges,0.890239986,,,,1.21,percent of total billed charges,0.943636783,,,,1.21,percent of total billed charges,0.890239986,,,,1.21,percent of total billed charges,0.943636783,,,,1.21,percent of total billed charges,999999999,,,,1.21,percent of total billed charges,0.921936837,,,,1.21,percent of total billed charges,0.890239986,,,,1.21,percent of total billed charges,0.943636783,,,,0.86273,percent of total billed charges,0.430518058,,,,0.86273,percent of total billed charges,0.257589573,,,,0.86273,percent of total billed charges,0.430518058,,,,0.86273,percent of total billed charges,0.257589573,,,,0.86273,percent of total billed charges,0.430518058,,,,0.86273,percent of total billed charges,0.257589573,,,,0.85426,percent of total billed charges,0.847778497,,,,0.85426,percent of total billed charges,0.58470611,,,,,,,,,,0.8712,percent of total billed charges,0.566259499,,,,,,,,,,0.8712,percent of total billed charges,999999999,,,,,,,,,,0.968,percent of total billed charges,0.811133682,,,,0.9559,percent of total billed charges,0.922484637,,,,0.9559,percent of total billed charges,0.815045713,,,,0.968,percent of total billed charges,999999999,,,,0.968,percent of total billed charges,999999999,,,,0.847,percent of total billed charges,999999999,,,,0.847,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.64372,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.61105,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.3025,percent of total billed charges,0.287301006,,,,,,,,,,0.3025,percent of total billed charges,0.282521949,,,,,,,,,,0.3025,percent of total billed charges,0.281736833,,,,,,,,,,0.3025,percent of total billed charges,0.277588261,,,,,,,,,,0.3025,percent of total billed charges,0.284731015,,,,,,,,,,0.3025,percent of total billed charges,999999999,,,,,,,,,,0.3025,percent of total billed charges,0.244319262,,,,,,,,,,0.3025,percent of total billed charges,0.385308324,,,,,,,,,,0.3025,percent of total billed charges,999999999,,,,,,,,,,0.3025,percent of total billed charges,0.263435917,,,,,,,,,,1.089,percent of total billed charges,,,,,
*TEMAZEPAM (RESTORIL) CAP 30MG,637,RC,0037-8505-01,NDC,,both,1,EA,1.74,1.74,0.370418064,1.74,1.74,percent of total billed charges,1.280179815,,,,1.74,percent of total billed charges,1.356965291,,,,1.74,percent of total billed charges,1.280179815,,,,1.74,percent of total billed charges,1.356965291,,,,1.74,percent of total billed charges,999999999,,,,1.74,percent of total billed charges,1.325760411,,,,1.74,percent of total billed charges,1.280179815,,,,1.74,percent of total billed charges,1.356965291,,,,1.24062,percent of total billed charges,0.619092083,,,,1.24062,percent of total billed charges,0.370418064,,,,1.24062,percent of total billed charges,0.619092083,,,,1.24062,percent of total billed charges,0.370418064,,,,1.24062,percent of total billed charges,0.619092083,,,,1.24062,percent of total billed charges,0.370418064,,,,1.22844,percent of total billed charges,1.219119492,,,,1.22844,percent of total billed charges,0.840817051,,,,,,,,,,1.2528,percent of total billed charges,0.814290519,,,,,,,,,,1.2528,percent of total billed charges,999999999,,,,,,,,,,1.392,percent of total billed charges,1.166423641,,,,1.3746,percent of total billed charges,1.326548156,,,,1.3746,percent of total billed charges,1.172049206,,,,1.392,percent of total billed charges,999999999,,,,1.392,percent of total billed charges,999999999,,,,1.218,percent of total billed charges,999999999,,,,1.218,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.92568,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.8787,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.435,percent of total billed charges,0.413143595,,,,,,,,,,0.435,percent of total billed charges,0.406271233,,,,,,,,,,0.435,percent of total billed charges,0.405142222,,,,,,,,,,0.435,percent of total billed charges,0.399176508,,,,,,,,,,0.435,percent of total billed charges,0.409447906,,,,,,,,,,0.435,percent of total billed charges,999999999,,,,,,,,,,0.435,percent of total billed charges,0.351335137,,,,,,,,,,0.435,percent of total billed charges,0.554079739,,,,,,,,,,0.435,percent of total billed charges,999999999,,,,,,,,,,0.435,percent of total billed charges,0.378825203,,,,,,,,,,1.566,percent of total billed charges,,,,,
TERAZOSIN (HYTRIN) 5MG CAP,637,RC,0078-1205-05,NDC,,both,1,EA,3.04,3.04,0.647167192,3.04,3.04,percent of total billed charges,2.236635998,,,,3.04,percent of total billed charges,2.370789934,,,,3.04,percent of total billed charges,2.236635998,,,,3.04,percent of total billed charges,2.370789934,,,,3.04,percent of total billed charges,999999999,,,,3.04,percent of total billed charges,2.316271062,,,,3.04,percent of total billed charges,2.236635998,,,,3.04,percent of total billed charges,2.370789934,,,,2.16752,percent of total billed charges,1.081632146,,,,2.16752,percent of total billed charges,0.647167192,,,,2.16752,percent of total billed charges,1.081632146,,,,2.16752,percent of total billed charges,0.647167192,,,,2.16752,percent of total billed charges,1.081632146,,,,2.16752,percent of total billed charges,0.647167192,,,,2.14624,percent of total billed charges,2.129955894,,,,2.14624,percent of total billed charges,1.469013698,,,,,,,,,,2.1888,percent of total billed charges,1.422668493,,,,,,,,,,2.1888,percent of total billed charges,999999999,,,,,,,,,,2.432,percent of total billed charges,2.03788958,,,,2.4016,percent of total billed charges,2.317647353,,,,2.4016,percent of total billed charges,2.047718154,,,,2.432,percent of total billed charges,999999999,,,,2.432,percent of total billed charges,999999999,,,,2.128,percent of total billed charges,999999999,,,,2.128,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.61728,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.5352,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.76,percent of total billed charges,0.721814097,,,,,,,,,,0.76,percent of total billed charges,0.709807211,,,,,,,,,,0.76,percent of total billed charges,0.707834687,,,,,,,,,,0.76,percent of total billed charges,0.69741183,,,,,,,,,,0.76,percent of total billed charges,0.715357261,,,,,,,,,,0.76,percent of total billed charges,999999999,,,,,,,,,,0.76,percent of total billed charges,0.613826906,,,,,,,,,,0.76,percent of total billed charges,0.96804736,,,,,,,,,,0.76,percent of total billed charges,999999999,,,,,,,,,,0.76,percent of total billed charges,0.661855527,,,,,,,,,,2.736,percent of total billed charges,,,,,
TERBUTALINE (BRETHINE) 2.5MG TAB,259,RC,0052-7131-01,NDC,,both,1,EA,11.19,11.19,2.38217134,11.19,11.19,percent of total billed charges,8.232880533,,,,11.19,percent of total billed charges,8.726690581,,,,11.19,percent of total billed charges,8.232880533,,,,11.19,percent of total billed charges,8.726690581,,,,11.19,percent of total billed charges,999999999,,,,11.19,percent of total billed charges,8.526010916,,,,11.19,percent of total billed charges,8.232880533,,,,11.19,percent of total billed charges,8.726690581,,,,7.97847,percent of total billed charges,3.981402536,,,,7.97847,percent of total billed charges,2.38217134,,,,7.97847,percent of total billed charges,3.981402536,,,,7.97847,percent of total billed charges,2.38217134,,,,7.97847,percent of total billed charges,3.981402536,,,,7.97847,percent of total billed charges,2.38217134,,,,7.90014,percent of total billed charges,7.84019949,,,,7.90014,percent of total billed charges,5.407323447,,,,,,,,,,8.0568,percent of total billed charges,5.236730406,,,,,,,,,,8.0568,percent of total billed charges,999999999,,,,,,,,,,8.952,percent of total billed charges,7.501310659,,,,8.8401,percent of total billed charges,8.531076933,,,,8.8401,percent of total billed charges,7.537488862,,,,8.952,percent of total billed charges,999999999,,,,8.952,percent of total billed charges,999999999,,,,7.833,percent of total billed charges,999999999,,,,7.833,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.95308,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.65095,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.7975,percent of total billed charges,2.656940706,,,,,,,,,,2.7975,percent of total billed charges,2.612744306,,,,,,,,,,2.7975,percent of total billed charges,2.605483601,,,,,,,,,,2.7975,percent of total billed charges,2.567117887,,,,,,,,,,2.7975,percent of total billed charges,2.633173604,,,,,,,,,,2.7975,percent of total billed charges,999999999,,,,,,,,,,2.7975,percent of total billed charges,2.25944838,,,,,,,,,,2.7975,percent of total billed charges,3.563305907,,,,,,,,,,2.7975,percent of total billed charges,999999999,,,,,,,,,,2.7975,percent of total billed charges,2.436237942,,,,,,,,,,10.071,percent of total billed charges,,,,,
**TERBUTALINE(BRETHINE) 5 MG: TAB,259,RC,0011-5262-01,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
**TOBRAMYCIN (NEBCIN) 20MG/2ML INJ,250,RC,0070-3941-01,NDC,,both,1,EA,25,25,5.322098616,25,25,percent of total billed charges,18.39338814,,,,25,percent of total billed charges,19.49662775,,,,25,percent of total billed charges,18.39338814,,,,25,percent of total billed charges,19.49662775,,,,25,percent of total billed charges,999999999,,,,25,percent of total billed charges,19.04828176,,,,25,percent of total billed charges,18.39338814,,,,25,percent of total billed charges,19.49662775,,,,17.825,percent of total billed charges,8.895001198,,,,17.825,percent of total billed charges,5.322098616,,,,17.825,percent of total billed charges,8.895001198,,,,17.825,percent of total billed charges,5.322098616,,,,17.825,percent of total billed charges,8.895001198,,,,17.825,percent of total billed charges,5.322098616,,,,17.65,percent of total billed charges,17.51608465,,,,17.65,percent of total billed charges,12.08070475,,,,,,,,,,18,percent of total billed charges,11.69957642,,,,,,,,,,18,percent of total billed charges,999999999,,,,,,,,,,20,percent of total billed charges,16.75896036,,,,19.75,percent of total billed charges,19.05959994,,,,19.75,percent of total billed charges,16.83978745,,,,20,percent of total billed charges,999999999,,,,20,percent of total billed charges,999999999,,,,17.5,percent of total billed charges,999999999,,,,17.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,13.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,12.625,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6.25,percent of total billed charges,5.935971194,,,,,,,,,,6.25,percent of total billed charges,5.837230352,,,,,,,,,,6.25,percent of total billed charges,5.821008939,,,,,,,,,,6.25,percent of total billed charges,5.735294653,,,,,,,,,,6.25,percent of total billed charges,5.882872216,,,,,,,,,,6.25,percent of total billed charges,999999999,,,,,,,,,,6.25,percent of total billed charges,5.047918634,,,,,,,,,,6.25,percent of total billed charges,7.960915788,,,,,,,,,,6.25,percent of total billed charges,999999999,,,,,,,,,,6.25,percent of total billed charges,5.442890844,,,,,,,,,,22.5,percent of total billed charges,,,,,
busPIRone (BUSPAR) 10MG TAB,637,RC,6838-2018-01,NDC,,both,1,EA,0.57,0.57,0.121343848,0.57,0.57,percent of total billed charges,0.41936925,,,,0.57,percent of total billed charges,0.444523113,,,,0.57,percent of total billed charges,0.41936925,,,,0.57,percent of total billed charges,0.444523113,,,,0.57,percent of total billed charges,999999999,,,,0.57,percent of total billed charges,0.434300824,,,,0.57,percent of total billed charges,0.41936925,,,,0.57,percent of total billed charges,0.444523113,,,,0.40641,percent of total billed charges,0.202806027,,,,0.40641,percent of total billed charges,0.121343848,,,,0.40641,percent of total billed charges,0.202806027,,,,0.40641,percent of total billed charges,0.121343848,,,,0.40641,percent of total billed charges,0.202806027,,,,0.40641,percent of total billed charges,0.121343848,,,,0.40242,percent of total billed charges,0.39936673,,,,0.40242,percent of total billed charges,0.275440068,,,,,,,,,,0.4104,percent of total billed charges,0.266750342,,,,,,,,,,0.4104,percent of total billed charges,999999999,,,,,,,,,,0.456,percent of total billed charges,0.382104296,,,,0.4503,percent of total billed charges,0.434558879,,,,0.4503,percent of total billed charges,0.383947154,,,,0.456,percent of total billed charges,999999999,,,,0.456,percent of total billed charges,999999999,,,,0.399,percent of total billed charges,999999999,,,,0.399,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.30324,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.28785,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.1425,percent of total billed charges,0.135340143,,,,,,,,,,0.1425,percent of total billed charges,0.133088852,,,,,,,,,,0.1425,percent of total billed charges,0.132719004,,,,,,,,,,0.1425,percent of total billed charges,0.130764718,,,,,,,,,,0.1425,percent of total billed charges,0.134129487,,,,,,,,,,0.1425,percent of total billed charges,999999999,,,,,,,,,,0.1425,percent of total billed charges,0.115092545,,,,,,,,,,0.1425,percent of total billed charges,0.18150888,,,,,,,,,,0.1425,percent of total billed charges,999999999,,,,,,,,,,0.1425,percent of total billed charges,0.124097911,,,,,,,,,,0.513,percent of total billed charges,,,,,
TERBINAFINE (LamISIL) 1% CREAM: 12 GM,259,RC,5167-2208-02,NDC,,both,1,EA,65.38,65.38,13.9183523,65.38,65.38,percent of total billed charges,48.10238867,,,,65.38,percent of total billed charges,50.98758089,,,,65.38,percent of total billed charges,48.10238867,,,,65.38,percent of total billed charges,50.98758089,,,,65.38,percent of total billed charges,999999999,,,,65.38,percent of total billed charges,49.81506646,,,,65.38,percent of total billed charges,48.10238867,,,,65.38,percent of total billed charges,50.98758089,,,,46.61594,percent of total billed charges,23.26220713,,,,46.61594,percent of total billed charges,13.9183523,,,,46.61594,percent of total billed charges,23.26220713,,,,46.61594,percent of total billed charges,13.9183523,,,,46.61594,percent of total billed charges,23.26220713,,,,46.61594,percent of total billed charges,13.9183523,,,,46.15828,percent of total billed charges,45.80806458,,,,46.15828,percent of total billed charges,31.59345906,,,,,,,,,,47.0736,percent of total billed charges,30.59673226,,,,,,,,,,47.0736,percent of total billed charges,999999999,,,,,,,,,,52.304,percent of total billed charges,43.82803315,,,,51.6502,percent of total billed charges,49.84466576,,,,51.6502,percent of total billed charges,44.03941214,,,,52.304,percent of total billed charges,999999999,,,,52.304,percent of total billed charges,999999999,,,,45.766,percent of total billed charges,999999999,,,,45.766,percent of total billed charges,999999999,,,,,,,,,,,,,,,,34.78216,percent of total billed charges,999999999,,,,,,,,,,,,,,,,33.0169,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16.345,percent of total billed charges,15.52375187,,,,,,,,,,16.345,percent of total billed charges,15.26552482,,,,,,,,,,16.345,percent of total billed charges,15.22310258,,,,,,,,,,16.345,percent of total billed charges,14.99894258,,,,,,,,,,16.345,percent of total billed charges,15.38488742,,,,,,,,,,16.345,percent of total billed charges,999999999,,,,,,,,,,16.345,percent of total billed charges,13.20131681,,,,,,,,,,16.345,percent of total billed charges,20.81938697,,,,,,,,,,16.345,percent of total billed charges,999999999,,,,,,,,,,16.345,percent of total billed charges,14.23424814,,,,,,,,,,58.842,percent of total billed charges,,,,,
CEFUROXIME AXETIL (CEFTIN) 250MG TAB,250,RC,6818-0030-60,NDC,,both,1,EA,11.49,11.49,2.446036524,11.49,11.49,percent of total billed charges,8.453601191,,,,11.49,percent of total billed charges,8.960650114,,,,11.49,percent of total billed charges,8.453601191,,,,11.49,percent of total billed charges,8.960650114,,,,11.49,percent of total billed charges,999999999,,,,11.49,percent of total billed charges,8.754590297,,,,11.49,percent of total billed charges,8.453601191,,,,11.49,percent of total billed charges,8.960650114,,,,8.19237,percent of total billed charges,4.088142551,,,,8.19237,percent of total billed charges,2.446036524,,,,8.19237,percent of total billed charges,4.088142551,,,,8.19237,percent of total billed charges,2.446036524,,,,8.19237,percent of total billed charges,4.088142551,,,,8.19237,percent of total billed charges,2.446036524,,,,8.11194,percent of total billed charges,8.050392506,,,,8.11194,percent of total billed charges,5.552291904,,,,,,,,,,8.2728,percent of total billed charges,5.377125324,,,,,,,,,,8.2728,percent of total billed charges,999999999,,,,,,,,,,9.192,percent of total billed charges,7.702418184,,,,9.0771,percent of total billed charges,8.759792132,,,,9.0771,percent of total billed charges,7.739566311,,,,9.192,percent of total billed charges,999999999,,,,9.192,percent of total billed charges,999999999,,,,8.043,percent of total billed charges,999999999,,,,8.043,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.11268,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.80245,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.8725,percent of total billed charges,2.728172361,,,,,,,,,,2.8725,percent of total billed charges,2.68279107,,,,,,,,,,2.8725,percent of total billed charges,2.675335708,,,,,,,,,,2.8725,percent of total billed charges,2.635941423,,,,,,,,,,2.8725,percent of total billed charges,2.703768071,,,,,,,,,,2.8725,percent of total billed charges,999999999,,,,,,,,,,2.8725,percent of total billed charges,2.320023404,,,,,,,,,,2.8725,percent of total billed charges,3.658836896,,,,,,,,,,2.8725,percent of total billed charges,999999999,,,,,,,,,,2.8725,percent of total billed charges,2.501552632,,,,,,,,,,10.341,percent of total billed charges,,,,,
CALCIUM CARBONATE (OSCAL) 500MG TAB,637,RC,0090-4188-61,NDC,,both,1,EA,0.5,0.5,0.106441972,0.5,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,999999999,,,,0.5,percent of total billed charges,0.380965635,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.353,percent of total billed charges,0.350321693,,,,0.353,percent of total billed charges,0.241614095,,,,,,,,,,0.36,percent of total billed charges,0.233991528,,,,,,,,,,0.36,percent of total billed charges,999999999,,,,,,,,,,0.4,percent of total billed charges,0.335179207,,,,0.395,percent of total billed charges,0.381191999,,,,0.395,percent of total billed charges,0.336795749,,,,0.4,percent of total billed charges,999999999,,,,0.4,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.266,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.2525,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.125,percent of total billed charges,0.118719424,,,,,,,,,,0.125,percent of total billed charges,0.116744607,,,,,,,,,,0.125,percent of total billed charges,0.116420179,,,,,,,,,,0.125,percent of total billed charges,0.114705893,,,,,,,,,,0.125,percent of total billed charges,0.117657444,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.100958373,,,,,,,,,,0.125,percent of total billed charges,0.159218316,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.108857817,,,,,,,,,,0.45,percent of total billed charges,,,,,
CALAMINE LOTION 4OZ,259,RC,0039-5041-96,NDC,,both,1,EA,18.89,18.89,4.021377714,18.89,18.89,percent of total billed charges,13.89804408,,,,18.89,percent of total billed charges,14.73165193,,,,18.89,percent of total billed charges,13.89804408,,,,18.89,percent of total billed charges,14.73165193,,,,18.89,percent of total billed charges,999999999,,,,18.89,percent of total billed charges,14.3928817,,,,18.89,percent of total billed charges,13.89804408,,,,18.89,percent of total billed charges,14.73165193,,,,13.46857,percent of total billed charges,6.721062905,,,,13.46857,percent of total billed charges,4.021377714,,,,13.46857,percent of total billed charges,6.721062905,,,,13.46857,percent of total billed charges,4.021377714,,,,13.46857,percent of total billed charges,6.721062905,,,,13.46857,percent of total billed charges,4.021377714,,,,13.33634,percent of total billed charges,13.23515356,,,,13.33634,percent of total billed charges,9.12818051,,,,,,,,,,13.6008,percent of total billed charges,8.840199944,,,,,,,,,,13.6008,percent of total billed charges,999999999,,,,,,,,,,15.112,percent of total billed charges,12.66307045,,,,14.9231,percent of total billed charges,14.40143371,,,,14.9231,percent of total billed charges,12.7241434,,,,15.112,percent of total billed charges,999999999,,,,15.112,percent of total billed charges,999999999,,,,13.223,percent of total billed charges,999999999,,,,13.223,percent of total billed charges,999999999,,,,,,,,,,,,,,,,10.04948,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.53945,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4.7225,percent of total billed charges,4.485219834,,,,,,,,,,4.7225,percent of total billed charges,4.410611254,,,,,,,,,,4.7225,percent of total billed charges,4.398354354,,,,,,,,,,4.7225,percent of total billed charges,4.33358864,,,,,,,,,,4.7225,percent of total billed charges,4.445098247,,,,,,,,,,4.7225,percent of total billed charges,999999999,,,,,,,,,,4.7225,percent of total billed charges,3.81420732,,,,,,,,,,4.7225,percent of total billed charges,6.015267969,,,,,,,,,,4.7225,percent of total billed charges,999999999,,,,,,,,,,4.7225,percent of total billed charges,4.112648322,,,,,,,,,,17.001,percent of total billed charges,,,,,
**CALCITONIN (MIACALCIN INJ) 400 UNITS/2,250,RC,0007-8014-23,NDC,,both,1,EA,569,569,121.1309645,569,569,percent of total billed charges,418.6335141,,,,569,percent of total billed charges,443.7432476,,,,569,percent of total billed charges,418.6335141,,,,569,percent of total billed charges,443.7432476,,,,569,percent of total billed charges,999999999,,,,569,percent of total billed charges,433.5388929,,,,569,percent of total billed charges,418.6335141,,,,569,percent of total billed charges,443.7432476,,,,405.697,percent of total billed charges,202.4502273,,,,405.697,percent of total billed charges,121.1309645,,,,405.697,percent of total billed charges,202.4502273,,,,405.697,percent of total billed charges,121.1309645,,,,405.697,percent of total billed charges,202.4502273,,,,405.697,percent of total billed charges,121.1309645,,,,401.714,percent of total billed charges,398.6660867,,,,401.714,percent of total billed charges,274.9568401,,,,,,,,,,409.68,percent of total billed charges,266.2823594,,,,,,,,,,409.68,percent of total billed charges,999999999,,,,,,,,,,455.2,percent of total billed charges,381.4339379,,,,449.51,percent of total billed charges,433.7964946,,,,449.51,percent of total billed charges,383.2735623,,,,455.2,percent of total billed charges,999999999,,,,455.2,percent of total billed charges,999999999,,,,398.3,percent of total billed charges,999999999,,,,398.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,302.708,percent of total billed charges,999999999,,,,,,,,,,,,,,,,287.345,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,142.25,percent of total billed charges,135.1027044,,,,,,,,,,142.25,percent of total billed charges,132.8553628,,,,,,,,,,142.25,percent of total billed charges,132.4861635,,,,,,,,,,142.25,percent of total billed charges,130.5353063,,,,,,,,,,142.25,percent of total billed charges,133.8941716,,,,,,,,,,142.25,percent of total billed charges,999999999,,,,,,,,,,142.25,percent of total billed charges,114.8906281,,,,,,,,,,142.25,percent of total billed charges,181.1904433,,,,,,,,,,142.25,percent of total billed charges,999999999,,,,,,,,,,142.25,percent of total billed charges,123.8801956,,,,,,,,,,512.1,percent of total billed charges,,,,,
MAGNESIUM S04 4 GM IN 100 ML IVPB,250,RC,6332-3010-01,NDC,,both,1,EA,81.9,81.9,17.43519506,81.9,81.9,percent of total billed charges,60.25673956,,,,81.9,percent of total billed charges,63.87095251,,,,81.9,percent of total billed charges,60.25673956,,,,81.9,percent of total billed charges,63.87095251,,,,81.9,percent of total billed charges,999999999,,,,81.9,percent of total billed charges,62.40217105,,,,81.9,percent of total billed charges,60.25673956,,,,81.9,percent of total billed charges,63.87095251,,,,58.3947,percent of total billed charges,29.14002393,,,,58.3947,percent of total billed charges,17.43519506,,,,58.3947,percent of total billed charges,29.14002393,,,,58.3947,percent of total billed charges,17.43519506,,,,58.3947,percent of total billed charges,29.14002393,,,,58.3947,percent of total billed charges,17.43519506,,,,57.8214,percent of total billed charges,57.38269332,,,,57.8214,percent of total billed charges,39.57638876,,,,,,,,,,58.968,percent of total billed charges,38.32781236,,,,,,,,,,58.968,percent of total billed charges,999999999,,,,,,,,,,65.52,percent of total billed charges,54.90235416,,,,64.701,percent of total billed charges,62.4392494,,,,64.701,percent of total billed charges,55.16714368,,,,65.52,percent of total billed charges,999999999,,,,65.52,percent of total billed charges,999999999,,,,57.33,percent of total billed charges,999999999,,,,57.33,percent of total billed charges,999999999,,,,,,,,,,,,,,,,43.5708,percent of total billed charges,999999999,,,,,,,,,,,,,,,,41.3595,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20.475,percent of total billed charges,19.44624163,,,,,,,,,,20.475,percent of total billed charges,19.12276663,,,,,,,,,,20.475,percent of total billed charges,19.06962528,,,,,,,,,,20.475,percent of total billed charges,18.78882528,,,,,,,,,,20.475,percent of total billed charges,19.27228938,,,,,,,,,,20.475,percent of total billed charges,999999999,,,,,,,,,,20.475,percent of total billed charges,16.53698144,,,,,,,,,,20.475,percent of total billed charges,26.07996012,,,,,,,,,,20.475,percent of total billed charges,999999999,,,,,,,,,,20.475,percent of total billed charges,17.83091041,,,,,,,,,,73.71,percent of total billed charges,,,,,
**TRIETHANOLAMINE (CERUMENEX) OTIC SO,259,RC,0003-4549-06,NDC,,both,1,EA,69,69,14.68899218,69,69,percent of total billed charges,50.76575127,,,,69,percent of total billed charges,53.81069259,,,,69,percent of total billed charges,50.76575127,,,,69,percent of total billed charges,53.81069259,,,,69,percent of total billed charges,999999999,,,,69,percent of total billed charges,52.57325766,,,,69,percent of total billed charges,50.76575127,,,,69,percent of total billed charges,53.81069259,,,,49.197,percent of total billed charges,24.55020331,,,,49.197,percent of total billed charges,14.68899218,,,,49.197,percent of total billed charges,24.55020331,,,,49.197,percent of total billed charges,14.68899218,,,,49.197,percent of total billed charges,24.55020331,,,,49.197,percent of total billed charges,14.68899218,,,,48.714,percent of total billed charges,48.34439364,,,,48.714,percent of total billed charges,33.34274511,,,,,,,,,,49.68,percent of total billed charges,32.29083092,,,,,,,,,,49.68,percent of total billed charges,999999999,,,,,,,,,,55.2,percent of total billed charges,46.25473061,,,,54.51,percent of total billed charges,52.60449583,,,,54.51,percent of total billed charges,46.47781336,,,,55.2,percent of total billed charges,999999999,,,,55.2,percent of total billed charges,999999999,,,,48.3,percent of total billed charges,999999999,,,,48.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,36.708,percent of total billed charges,999999999,,,,,,,,,,,,,,,,34.845,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17.25,percent of total billed charges,16.3832805,,,,,,,,,,17.25,percent of total billed charges,16.11075577,,,,,,,,,,17.25,percent of total billed charges,16.06598467,,,,,,,,,,17.25,percent of total billed charges,15.82941324,,,,,,,,,,17.25,percent of total billed charges,16.23672732,,,,,,,,,,17.25,percent of total billed charges,999999999,,,,,,,,,,17.25,percent of total billed charges,13.93225543,,,,,,,,,,17.25,percent of total billed charges,21.97212757,,,,,,,,,,17.25,percent of total billed charges,999999999,,,,,,,,,,17.25,percent of total billed charges,15.02237873,,,,,,,,,,62.1,percent of total billed charges,,,,,
**CALCIUM CARB 500MG WITH VIT D TAB:CD 3,250,RC,0090-4323-52,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
CHARCOL ACTIVATED AQUA SUSP  50GM,250,RC,0057-4052-76,NDC,,both,1,EA,69.12,69.12,14.71453825,69.12,69.12,percent of total billed charges,50.85403954,,,,69.12,percent of total billed charges,53.9042764,,,,69.12,percent of total billed charges,50.85403954,,,,69.12,percent of total billed charges,53.9042764,,,,69.12,percent of total billed charges,999999999,,,,69.12,percent of total billed charges,52.66468941,,,,69.12,percent of total billed charges,50.85403954,,,,69.12,percent of total billed charges,53.9042764,,,,49.28256,percent of total billed charges,24.59289931,,,,49.28256,percent of total billed charges,14.71453825,,,,49.28256,percent of total billed charges,24.59289931,,,,49.28256,percent of total billed charges,14.71453825,,,,49.28256,percent of total billed charges,24.59289931,,,,49.28256,percent of total billed charges,14.71453825,,,,48.79872,percent of total billed charges,48.42847085,,,,48.79872,percent of total billed charges,33.4007325,,,,,,,,,,49.7664,percent of total billed charges,32.34698889,,,,,,,,,,49.7664,percent of total billed charges,999999999,,,,,,,,,,55.296,percent of total billed charges,46.33517362,,,,54.6048,percent of total billed charges,52.69598191,,,,54.6048,percent of total billed charges,46.55864434,,,,55.296,percent of total billed charges,999999999,,,,55.296,percent of total billed charges,999999999,,,,48.384,percent of total billed charges,999999999,,,,48.384,percent of total billed charges,999999999,,,,,,,,,,,,,,,,36.77184,percent of total billed charges,999999999,,,,,,,,,,,,,,,,34.9056,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17.28,percent of total billed charges,16.41177316,,,,,,,,,,17.28,percent of total billed charges,16.13877448,,,,,,,,,,17.28,percent of total billed charges,16.09392551,,,,,,,,,,17.28,percent of total billed charges,15.85694266,,,,,,,,,,17.28,percent of total billed charges,16.2649651,,,,,,,,,,17.28,percent of total billed charges,999999999,,,,,,,,,,17.28,percent of total billed charges,13.95648544,,,,,,,,,,17.28,percent of total billed charges,22.01033997,,,,,,,,,,17.28,percent of total billed charges,999999999,,,,,,,,,,17.28,percent of total billed charges,15.04850461,,,,,,,,,,62.208,percent of total billed charges,,,,,
CHARCOAL (ACTISORB) SUSP 50GM,250,RC,6668-9020-08,NDC,,both,1,EA,100.78,100.78,21.45444394,100.78,100.78,percent of total billed charges,74.14742628,,,,100.78,percent of total billed charges,78.59480579,,,,100.78,percent of total billed charges,74.14742628,,,,100.78,percent of total billed charges,78.59480579,,,,100.78,percent of total billed charges,999999999,,,,100.78,percent of total billed charges,76.78743343,,,,100.78,percent of total billed charges,74.14742628,,,,100.78,percent of total billed charges,78.59480579,,,,71.85614,percent of total billed charges,35.85752883,,,,71.85614,percent of total billed charges,21.45444394,,,,71.85614,percent of total billed charges,35.85752883,,,,71.85614,percent of total billed charges,21.45444394,,,,71.85614,percent of total billed charges,35.85752883,,,,71.85614,percent of total billed charges,21.45444394,,,,71.15068,percent of total billed charges,70.61084045,,,,71.15068,percent of total billed charges,48.69973699,,,,,,,,,,72.5616,percent of total billed charges,47.16333247,,,,,,,,,,72.5616,percent of total billed charges,999999999,,,,,,,,,,80.624,percent of total billed charges,67.55872102,,,,79.6162,percent of total billed charges,76.83305928,,,,79.6162,percent of total billed charges,67.88455116,,,,80.624,percent of total billed charges,999999999,,,,80.624,percent of total billed charges,999999999,,,,70.546,percent of total billed charges,999999999,,,,70.546,percent of total billed charges,999999999,,,,,,,,,,,,,,,,53.61496,percent of total billed charges,999999999,,,,,,,,,,,,,,,,50.8939,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,25.195,percent of total billed charges,23.92908708,,,,,,,,,,25.195,percent of total billed charges,23.531043,,,,,,,,,,25.195,percent of total billed charges,23.46565124,,,,,,,,,,25.195,percent of total billed charges,23.12011981,,,,,,,,,,25.195,percent of total billed charges,23.71503448,,,,,,,,,,25.195,percent of total billed charges,999999999,,,,,,,,,,25.195,percent of total billed charges,20.3491696,,,,,,,,,,25.195,percent of total billed charges,32.09204372,,,,,,,,,,25.195,percent of total billed charges,999999999,,,,,,,,,,25.195,percent of total billed charges,21.94138157,,,,,,,,,,90.702,percent of total billed charges,,,,,
**CAPSAICIN CREAM 0.025% (ZOSTRIX) 56.6G,259,RC,6668-9020-08,NDC,,both,1,EA,56,56,11.9215009,56,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,56,percent of total billed charges,999999999,,,,56,percent of total billed charges,42.66815114,,,,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.536,percent of total billed charges,39.23602962,,,,39.536,percent of total billed charges,27.06077864,,,,,,,,,,40.32,percent of total billed charges,26.20705119,,,,,,,,,,40.32,percent of total billed charges,999999999,,,,,,,,,,44.8,percent of total billed charges,37.54007122,,,,44.24,percent of total billed charges,42.69350386,,,,44.24,percent of total billed charges,37.72112388,,,,44.8,percent of total billed charges,999999999,,,,44.8,percent of total billed charges,999999999,,,,39.2,percent of total billed charges,999999999,,,,39.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,29.792,percent of total billed charges,999999999,,,,,,,,,,,,,,,,28.28,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14,percent of total billed charges,13.29657547,,,,,,,,,,14,percent of total billed charges,13.07539599,,,,,,,,,,14,percent of total billed charges,13.03906002,,,,,,,,,,14,percent of total billed charges,12.84706002,,,,,,,,,,14,percent of total billed charges,13.17763376,,,,,,,,,,14,percent of total billed charges,999999999,,,,,,,,,,14,percent of total billed charges,11.30733774,,,,,,,,,,14,percent of total billed charges,17.83245137,,,,,,,,,,14,percent of total billed charges,999999999,,,,,,,,,,14,percent of total billed charges,12.19207549,,,,,,,,,,50.4,percent of total billed charges,,,,,
CAPTOPRIL (CAPOTEN) 12.5 MG TAB,250,RC,0014-3117-01,NDC,,both,1,EA,6.11,6.11,1.300720902,6.11,6.11,percent of total billed charges,4.495344062,,,,6.11,percent of total billed charges,4.764975822,,,,6.11,percent of total billed charges,4.495344062,,,,6.11,percent of total billed charges,4.764975822,,,,6.11,percent of total billed charges,999999999,,,,6.11,percent of total billed charges,4.655400062,,,,6.11,percent of total billed charges,4.495344062,,,,6.11,percent of total billed charges,4.764975822,,,,4.35643,percent of total billed charges,2.173938293,,,,4.35643,percent of total billed charges,1.300720902,,,,4.35643,percent of total billed charges,2.173938293,,,,4.35643,percent of total billed charges,1.300720902,,,,4.35643,percent of total billed charges,2.173938293,,,,4.35643,percent of total billed charges,1.300720902,,,,4.31366,percent of total billed charges,4.280931089,,,,4.31366,percent of total billed charges,2.952524241,,,,,,,,,,4.3992,percent of total billed charges,2.859376478,,,,,,,,,,4.3992,percent of total billed charges,999999999,,,,,,,,,,4.888,percent of total billed charges,4.095889913,,,,4.8269,percent of total billed charges,4.658166225,,,,4.8269,percent of total billed charges,4.115644052,,,,4.888,percent of total billed charges,999999999,,,,4.888,percent of total billed charges,999999999,,,,4.277,percent of total billed charges,999999999,,,,4.277,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.25052,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.08555,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5275,percent of total billed charges,1.45075136,,,,,,,,,,1.5275,percent of total billed charges,1.426619098,,,,,,,,,,1.5275,percent of total billed charges,1.422654585,,,,,,,,,,1.5275,percent of total billed charges,1.401706013,,,,,,,,,,1.5275,percent of total billed charges,1.43777397,,,,,,,,,,1.5275,percent of total billed charges,999999999,,,,,,,,,,1.5275,percent of total billed charges,1.233711314,,,,,,,,,,1.5275,percent of total billed charges,1.945647819,,,,,,,,,,1.5275,percent of total billed charges,999999999,,,,,,,,,,1.5275,percent of total billed charges,1.330242522,,,,,,,,,,5.499,percent of total billed charges,,,,,
CAPTOPRIL (CAPOTEN) 25 MG TAB,259,RC,0014-3117-01,NDC,,both,1,EA,2.63,2.63,0.559884774,2.63,2.63,percent of total billed charges,1.934984433,,,,2.63,percent of total billed charges,2.051045239,,,,2.63,percent of total billed charges,1.934984433,,,,2.63,percent of total billed charges,2.051045239,,,,2.63,percent of total billed charges,999999999,,,,2.63,percent of total billed charges,2.003879241,,,,2.63,percent of total billed charges,1.934984433,,,,2.63,percent of total billed charges,2.051045239,,,,1.87519,percent of total billed charges,0.935754126,,,,1.87519,percent of total billed charges,0.559884774,,,,1.87519,percent of total billed charges,0.935754126,,,,1.87519,percent of total billed charges,0.559884774,,,,1.87519,percent of total billed charges,0.935754126,,,,1.87519,percent of total billed charges,0.559884774,,,,1.85678,percent of total billed charges,1.842692105,,,,1.85678,percent of total billed charges,1.27089014,,,,,,,,,,1.8936,percent of total billed charges,1.23079544,,,,,,,,,,1.8936,percent of total billed charges,999999999,,,,,,,,,,2.104,percent of total billed charges,1.76304263,,,,2.0777,percent of total billed charges,2.005069914,,,,2.0777,percent of total billed charges,1.77154564,,,,2.104,percent of total billed charges,999999999,,,,2.104,percent of total billed charges,999999999,,,,1.841,percent of total billed charges,999999999,,,,1.841,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.39916,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.32815,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.6575,percent of total billed charges,0.62446417,,,,,,,,,,0.6575,percent of total billed charges,0.614076633,,,,,,,,,,0.6575,percent of total billed charges,0.61237014,,,,,,,,,,0.6575,percent of total billed charges,0.603352998,,,,,,,,,,0.6575,percent of total billed charges,0.618878157,,,,,,,,,,0.6575,percent of total billed charges,999999999,,,,,,,,,,0.6575,percent of total billed charges,0.53104104,,,,,,,,,,0.6575,percent of total billed charges,0.837488341,,,,,,,,,,0.6575,percent of total billed charges,999999999,,,,,,,,,,0.6575,percent of total billed charges,0.572592117,,,,,,,,,,2.367,percent of total billed charges,,,,,
CAPTOPRIL (CAPOTEN) 50MG TAB,259,RC,0014-3117-01,NDC,,both,1,EA,5.09,5.09,1.083579278,5.09,5.09,percent of total billed charges,3.744893826,,,,5.09,percent of total billed charges,3.96951341,,,,5.09,percent of total billed charges,3.744893826,,,,5.09,percent of total billed charges,3.96951341,,,,5.09,percent of total billed charges,999999999,,,,5.09,percent of total billed charges,3.878230166,,,,5.09,percent of total billed charges,3.744893826,,,,5.09,percent of total billed charges,3.96951341,,,,3.62917,percent of total billed charges,1.811022244,,,,3.62917,percent of total billed charges,1.083579278,,,,3.62917,percent of total billed charges,1.811022244,,,,3.62917,percent of total billed charges,1.083579278,,,,3.62917,percent of total billed charges,1.811022244,,,,3.62917,percent of total billed charges,1.083579278,,,,3.59354,percent of total billed charges,3.566274835,,,,3.59354,percent of total billed charges,2.459631487,,,,,,,,,,3.6648,percent of total billed charges,2.38203376,,,,,,,,,,3.6648,percent of total billed charges,999999999,,,,,,,,,,4.072,percent of total billed charges,3.41212433,,,,4.0211,percent of total billed charges,3.880534548,,,,4.0211,percent of total billed charges,3.428580725,,,,4.072,percent of total billed charges,999999999,,,,4.072,percent of total billed charges,999999999,,,,3.563,percent of total billed charges,999999999,,,,3.563,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2.70788,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2.57045,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.2725,percent of total billed charges,1.208563735,,,,,,,,,,1.2725,percent of total billed charges,1.1884601,,,,,,,,,,1.2725,percent of total billed charges,1.18515742,,,,,,,,,,1.2725,percent of total billed charges,1.167705991,,,,,,,,,,1.2725,percent of total billed charges,1.197752783,,,,,,,,,,1.2725,percent of total billed charges,999999999,,,,,,,,,,1.2725,percent of total billed charges,1.027756234,,,,,,,,,,1.2725,percent of total billed charges,1.620842454,,,,,,,,,,1.2725,percent of total billed charges,999999999,,,,,,,,,,1.2725,percent of total billed charges,1.108172576,,,,,,,,,,4.581,percent of total billed charges,,,,,
cloNIDine (CATAPRES TTS-2) 0.2MG/DAY,637,RC,5186-2045-04,NDC,,both,1,EA,65.58,65.58,13.96092909,65.58,65.58,percent of total billed charges,48.24953578,,,,65.58,percent of total billed charges,51.14355391,,,,65.58,percent of total billed charges,48.24953578,,,,65.58,percent of total billed charges,51.14355391,,,,65.58,percent of total billed charges,999999999,,,,65.58,percent of total billed charges,49.96745271,,,,65.58,percent of total billed charges,48.24953578,,,,65.58,percent of total billed charges,51.14355391,,,,46.75854,percent of total billed charges,23.33336714,,,,46.75854,percent of total billed charges,13.96092909,,,,46.75854,percent of total billed charges,23.33336714,,,,46.75854,percent of total billed charges,13.96092909,,,,46.75854,percent of total billed charges,23.33336714,,,,46.75854,percent of total billed charges,13.96092909,,,,46.29948,percent of total billed charges,45.94819326,,,,46.29948,percent of total billed charges,31.6901047,,,,,,,,,,47.2176,percent of total billed charges,30.69032887,,,,,,,,,,47.2176,percent of total billed charges,999999999,,,,,,,,,,52.464,percent of total billed charges,43.96210483,,,,51.8082,percent of total billed charges,49.99714256,,,,51.8082,percent of total billed charges,44.17413044,,,,52.464,percent of total billed charges,999999999,,,,52.464,percent of total billed charges,999999999,,,,45.906,percent of total billed charges,999999999,,,,45.906,percent of total billed charges,999999999,,,,,,,,,,,,,,,,34.88856,percent of total billed charges,999999999,,,,,,,,,,,,,,,,33.1179,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16.395,percent of total billed charges,15.57123964,,,,,,,,,,16.395,percent of total billed charges,15.31222266,,,,,,,,,,16.395,percent of total billed charges,15.26967065,,,,,,,,,,16.395,percent of total billed charges,15.04482493,,,,,,,,,,16.395,percent of total billed charges,15.4319504,,,,,,,,,,16.395,percent of total billed charges,999999999,,,,,,,,,,16.395,percent of total billed charges,13.24170016,,,,,,,,,,16.395,percent of total billed charges,20.88307429,,,,,,,,,,16.395,percent of total billed charges,999999999,,,,,,,,,,16.395,percent of total billed charges,14.27779126,,,,,,,,,,59.022,percent of total billed charges,,,,,
LIDOCAINE 4% MPF (XYLOCAINE INJ) 5ML AMP,J2003,CDM,0040-9428-01,NDC,,both,1,EA,47.98,47.98,10.21417166,47.98,47.98,percent of total billed charges,35.30059052,,,,47.98,percent of total billed charges,37.41792798,,,,47.98,percent of total billed charges,35.30059052,,,,47.98,percent of total billed charges,37.41792798,,,,47.98,percent of total billed charges,999999999,,,,47.98,percent of total billed charges,36.55746236,,,,47.98,percent of total billed charges,35.30059052,,,,47.98,percent of total billed charges,37.41792798,,,,34.20974,percent of total billed charges,17.0712863,,,,34.20974,percent of total billed charges,10.21417166,,,,34.20974,percent of total billed charges,17.0712863,,,,34.20974,percent of total billed charges,10.21417166,,,,34.20974,percent of total billed charges,17.0712863,,,,34.20974,percent of total billed charges,10.21417166,,,,33.87388,percent of total billed charges,33.61686966,,,,33.87388,percent of total billed charges,23.18528856,,,,,,,,,,34.5456,percent of total billed charges,22.45382707,,,,,,,,,,34.5456,percent of total billed charges,999999999,,,,,,,,,,38.384,percent of total billed charges,32.16379673,,,,37.9042,percent of total billed charges,36.5791842,,,,37.9042,percent of total billed charges,32.31892007,,,,38.384,percent of total billed charges,999999999,,,,38.384,percent of total billed charges,999999999,,,,33.586,percent of total billed charges,999999999,,,,33.586,percent of total billed charges,999999999,,,,,,,,,,,,,,,,25.52536,percent of total billed charges,999999999,,,,,,,,,,,,,,,,24.2299,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11.995,percent of total billed charges,11.39231592,,,,,,,,,,11.995,percent of total billed charges,11.20281249,,,,,,,,,,11.995,percent of total billed charges,11.17168036,,,,,,,,,,11.995,percent of total billed charges,11.0071775,,,,,,,,,,11.995,percent of total billed charges,11.29040836,,,,,,,,,,11.995,percent of total billed charges,999999999,,,,,,,,,,11.995,percent of total billed charges,9.687965442,,,,,,,,,,11.995,percent of total billed charges,15.27858958,,,,,,,,,,11.995,percent of total billed charges,999999999,,,,,,,,,,11.995,percent of total billed charges,10.44599611,,,,,,,,,,43.182,percent of total billed charges,,,,,
DIVALPROEX (DEPAKOTE) DR 250MG TAB,250,RC,6808-4077-11,NDC,,both,1,EA,0.59,0.59,0.125601527,0.59,0.59,percent of total billed charges,0.43408396,,,,0.59,percent of total billed charges,0.460120415,,,,0.59,percent of total billed charges,0.43408396,,,,0.59,percent of total billed charges,0.460120415,,,,0.59,percent of total billed charges,999999999,,,,0.59,percent of total billed charges,0.44953945,,,,0.59,percent of total billed charges,0.43408396,,,,0.59,percent of total billed charges,0.460120415,,,,0.42067,percent of total billed charges,0.209922028,,,,0.42067,percent of total billed charges,0.125601527,,,,0.42067,percent of total billed charges,0.209922028,,,,0.42067,percent of total billed charges,0.125601527,,,,0.42067,percent of total billed charges,0.209922028,,,,0.42067,percent of total billed charges,0.125601527,,,,0.41654,percent of total billed charges,0.413379598,,,,0.41654,percent of total billed charges,0.285104632,,,,,,,,,,0.4248,percent of total billed charges,0.276110004,,,,,,,,,,0.4248,percent of total billed charges,999999999,,,,,,,,,,0.472,percent of total billed charges,0.395511465,,,,0.4661,percent of total billed charges,0.449806559,,,,0.4661,percent of total billed charges,0.397418984,,,,0.472,percent of total billed charges,999999999,,,,0.472,percent of total billed charges,999999999,,,,0.413,percent of total billed charges,999999999,,,,0.413,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.31388,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.29795,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.1475,percent of total billed charges,0.14008892,,,,,,,,,,0.1475,percent of total billed charges,0.137758636,,,,,,,,,,0.1475,percent of total billed charges,0.137375811,,,,,,,,,,0.1475,percent of total billed charges,0.135352954,,,,,,,,,,0.1475,percent of total billed charges,0.138835784,,,,,,,,,,0.1475,percent of total billed charges,999999999,,,,,,,,,,0.1475,percent of total billed charges,0.11913088,,,,,,,,,,0.1475,percent of total billed charges,0.187877613,,,,,,,,,,0.1475,percent of total billed charges,999999999,,,,,,,,,,0.1475,percent of total billed charges,0.128452224,,,,,,,,,,0.531,percent of total billed charges,,,,,
METHYLERGONOVINE (METHERGINE) 0.2MG INJ:,J2210,CDM,2743-7005-57,NDC,,both,1,EA,195.17,195.17,41.54855947,195.17,195.17,percent of total billed charges,143.5935026,,,,195.17,percent of total billed charges,152.2062735,,,,195.17,percent of total billed charges,143.5935026,,,,195.17,percent of total billed charges,152.2062735,,,,195.17,percent of total billed charges,999999999,,,,195.17,percent of total billed charges,148.706126,,,,195.17,percent of total billed charges,143.5935026,,,,195.17,percent of total billed charges,152.2062735,,,,139.15621,percent of total billed charges,69.44149535,,,,139.15621,percent of total billed charges,41.54855947,,,,139.15621,percent of total billed charges,69.44149535,,,,139.15621,percent of total billed charges,41.54855947,,,,139.15621,percent of total billed charges,69.44149535,,,,139.15621,percent of total billed charges,41.54855947,,,,137.79002,percent of total billed charges,136.7445697,,,,137.79002,percent of total billed charges,94.31164585,,,,,,,,,,140.5224,percent of total billed charges,91.33625321,,,,,,,,,,140.5224,percent of total billed charges,999999999,,,,,,,,,,156.136,percent of total billed charges,130.8338518,,,,154.1843,percent of total billed charges,148.7944848,,,,154.1843,percent of total billed charges,131.4648527,,,,156.136,percent of total billed charges,999999999,,,,156.136,percent of total billed charges,999999999,,,,136.619,percent of total billed charges,999999999,,,,136.619,percent of total billed charges,999999999,,,,,,,,,,,,,,,,103.83044,percent of total billed charges,999999999,,,,,,,,,,,,,,,,98.56085,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,48.7925,percent of total billed charges,46.34093992,,,,,,,,,,48.7925,percent of total billed charges,45.57008991,,,,,,,,,,48.7925,percent of total billed charges,45.44345259,,,,,,,,,,48.7925,percent of total billed charges,44.7742983,,,,,,,,,,48.7925,percent of total billed charges,45.92640682,,,,,,,,,,48.7925,percent of total billed charges,999999999,,,,,,,,,,48.7925,percent of total billed charges,39.40809119,,,,,,,,,,48.7925,percent of total billed charges,62.14927737,,,,,,,,,,48.7925,percent of total billed charges,999999999,,,,,,,,,,48.7925,percent of total billed charges,42.49156024,,,,,,,,,,175.653,percent of total billed charges,,,,,
METHYLERGONOVINE (METHERGINE) 0.2MG TAB,250,RC,2743-7005-57,NDC,,both,1,EA,66.87,66.87,14.23554938,66.87,66.87,percent of total billed charges,49.19863461,,,,66.87,percent of total billed charges,52.14957991,,,,66.87,percent of total billed charges,49.19863461,,,,66.87,percent of total billed charges,52.14957991,,,,66.87,percent of total billed charges,999999999,,,,66.87,percent of total billed charges,50.95034405,,,,66.87,percent of total billed charges,49.19863461,,,,66.87,percent of total billed charges,52.14957991,,,,47.67831,percent of total billed charges,23.7923492,,,,47.67831,percent of total billed charges,14.23554938,,,,47.67831,percent of total billed charges,23.7923492,,,,47.67831,percent of total billed charges,14.23554938,,,,47.67831,percent of total billed charges,23.7923492,,,,47.67831,percent of total billed charges,14.23554938,,,,47.21022,percent of total billed charges,46.85202323,,,,47.21022,percent of total billed charges,32.31346907,,,,,,,,,,48.1464,percent of total billed charges,31.29402701,,,,,,,,,,48.1464,percent of total billed charges,999999999,,,,,,,,,,53.496,percent of total billed charges,44.82686718,,,,52.8273,percent of total billed charges,50.98061792,,,,52.8273,percent of total billed charges,45.04306347,,,,53.496,percent of total billed charges,999999999,,,,53.496,percent of total billed charges,999999999,,,,46.809,percent of total billed charges,999999999,,,,46.809,percent of total billed charges,999999999,,,,,,,,,,,,,,,,35.57484,percent of total billed charges,999999999,,,,,,,,,,,,,,,,33.76935,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16.7175,percent of total billed charges,15.87753575,,,,,,,,,,16.7175,percent of total billed charges,15.61342375,,,,,,,,,,16.7175,percent of total billed charges,15.57003471,,,,,,,,,,16.7175,percent of total billed charges,15.34076614,,,,,,,,,,16.7175,percent of total billed charges,15.7355066,,,,,,,,,,16.7175,percent of total billed charges,999999999,,,,,,,,,,16.7175,percent of total billed charges,13.50217276,,,,,,,,,,16.7175,percent of total billed charges,21.29385755,,,,,,,,,,16.7175,percent of total billed charges,999999999,,,,,,,,,,16.7175,percent of total billed charges,14.55864443,,,,,,,,,,60.183,percent of total billed charges,,,,,
methylPREDNISolone (MEDROL) 4MG TAB,J7509,CDM,5976-2444-03,NDC,,both,1,EA,5.38,5.38,1.145315622,5.38,5.38,percent of total billed charges,3.958257128,,,,5.38,percent of total billed charges,4.195674292,,,,5.38,percent of total billed charges,3.958257128,,,,5.38,percent of total billed charges,4.195674292,,,,5.38,percent of total billed charges,999999999,,,,5.38,percent of total billed charges,4.099190235,,,,5.38,percent of total billed charges,3.958257128,,,,5.38,percent of total billed charges,4.195674292,,,,3.83594,percent of total billed charges,1.914204258,,,,3.83594,percent of total billed charges,1.145315622,,,,3.83594,percent of total billed charges,1.914204258,,,,3.83594,percent of total billed charges,1.145315622,,,,3.83594,percent of total billed charges,1.914204258,,,,3.83594,percent of total billed charges,1.145315622,,,,3.79828,percent of total billed charges,3.769461417,,,,3.79828,percent of total billed charges,2.599767662,,,,,,,,,,3.8736,percent of total billed charges,2.517748846,,,,,,,,,,3.8736,percent of total billed charges,999999999,,,,,,,,,,4.304,percent of total billed charges,3.606528271,,,,4.2502,percent of total billed charges,4.101625907,,,,4.2502,percent of total billed charges,3.623922259,,,,4.304,percent of total billed charges,999999999,,,,4.304,percent of total billed charges,999999999,,,,3.766,percent of total billed charges,999999999,,,,3.766,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2.86216,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2.7169,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.345,percent of total billed charges,1.277421001,,,,,,,,,,1.345,percent of total billed charges,1.256171972,,,,,,,,,,1.345,percent of total billed charges,1.252681124,,,,,,,,,,1.345,percent of total billed charges,1.234235409,,,,,,,,,,1.345,percent of total billed charges,1.265994101,,,,,,,,,,1.345,percent of total billed charges,999999999,,,,,,,,,,1.345,percent of total billed charges,1.08631209,,,,,,,,,,1.345,percent of total billed charges,1.713189078,,,,,,,,,,1.345,percent of total billed charges,999999999,,,,,,,,,,1.345,percent of total billed charges,1.17131011,,,,,,,,,,4.842,percent of total billed charges,,,,,
methylPREDNISolone (DEPO-Medrol)80MG/1ML,J1010,CDM,0000-9347-03,NDC,,both,1,EA,107.52,107.52,22.88928173,107.52,107.52,percent of total billed charges,79.10628373,,,,107.52,percent of total billed charges,83.85109663,,,,107.52,percent of total billed charges,79.10628373,,,,107.52,percent of total billed charges,83.85109663,,,,107.52,percent of total billed charges,999999999,,,,107.52,percent of total billed charges,81.9228502,,,,107.52,percent of total billed charges,79.10628373,,,,107.52,percent of total billed charges,83.85109663,,,,76.66176,percent of total billed charges,38.25562115,,,,76.66176,percent of total billed charges,22.88928173,,,,76.66176,percent of total billed charges,38.25562115,,,,76.66176,percent of total billed charges,22.88928173,,,,76.66176,percent of total billed charges,38.25562115,,,,76.66176,percent of total billed charges,22.88928173,,,,75.90912,percent of total billed charges,75.33317687,,,,75.90912,percent of total billed charges,51.95669499,,,,,,,,,,77.4144,percent of total billed charges,50.31753828,,,,,,,,,,77.4144,percent of total billed charges,999999999,,,,,,,,,,86.016,percent of total billed charges,72.07693674,,,,84.9408,percent of total billed charges,81.97152742,,,,84.9408,percent of total billed charges,72.42455786,,,,86.016,percent of total billed charges,999999999,,,,86.016,percent of total billed charges,999999999,,,,75.264,percent of total billed charges,999999999,,,,75.264,percent of total billed charges,999999999,,,,,,,,,,,,,,,,57.20064,percent of total billed charges,999999999,,,,,,,,,,,,,,,,54.2976,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,26.88,percent of total billed charges,25.52942491,,,,,,,,,,26.88,percent of total billed charges,25.1047603,,,,,,,,,,26.88,percent of total billed charges,25.03499525,,,,,,,,,,26.88,percent of total billed charges,24.66635524,,,,,,,,,,26.88,percent of total billed charges,25.30105683,,,,,,,,,,26.88,percent of total billed charges,999999999,,,,,,,,,,26.88,percent of total billed charges,21.71008846,,,,,,,,,,26.88,percent of total billed charges,34.23830662,,,,,,,,,,26.88,percent of total billed charges,999999999,,,,,,,,,,26.88,percent of total billed charges,23.40878494,,,,,,,,,,96.768,percent of total billed charges,,,,,
methylPREDNISolone (DEPO-Medrol) 40MG/ML,636,RC,0000-9307-03,NDC,,both,1,EA,68.92,68.92,14.67196146,68.92,68.92,percent of total billed charges,50.70689243,,,,68.92,percent of total billed charges,53.74830338,,,,68.92,percent of total billed charges,50.70689243,,,,68.92,percent of total billed charges,53.74830338,,,,68.92,percent of total billed charges,999999999,,,,68.92,percent of total billed charges,52.51230316,,,,68.92,percent of total billed charges,50.70689243,,,,68.92,percent of total billed charges,53.74830338,,,,49.13996,percent of total billed charges,24.5217393,,,,49.13996,percent of total billed charges,14.67196146,,,,49.13996,percent of total billed charges,24.5217393,,,,49.13996,percent of total billed charges,14.67196146,,,,49.13996,percent of total billed charges,24.5217393,,,,49.13996,percent of total billed charges,14.67196146,,,,48.65752,percent of total billed charges,48.28834217,,,,48.65752,percent of total billed charges,33.30408686,,,,,,,,,,49.6224,percent of total billed charges,32.25339228,,,,,,,,,,49.6224,percent of total billed charges,999999999,,,,,,,,,,55.136,percent of total billed charges,46.20110193,,,,54.4468,percent of total billed charges,52.54350511,,,,54.4468,percent of total billed charges,46.42392604,,,,55.136,percent of total billed charges,999999999,,,,55.136,percent of total billed charges,999999999,,,,48.244,percent of total billed charges,999999999,,,,48.244,percent of total billed charges,999999999,,,,,,,,,,,,,,,,36.66544,percent of total billed charges,999999999,,,,,,,,,,,,,,,,34.8046,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17.23,percent of total billed charges,16.36428539,,,,,,,,,,17.23,percent of total billed charges,16.09207664,,,,,,,,,,17.23,percent of total billed charges,16.04735744,,,,,,,,,,17.23,percent of total billed charges,15.8110603,,,,,,,,,,17.23,percent of total billed charges,16.21790213,,,,,,,,,,17.23,percent of total billed charges,999999999,,,,,,,,,,17.23,percent of total billed charges,13.91610209,,,,,,,,,,17.23,percent of total billed charges,21.94665264,,,,,,,,,,17.23,percent of total billed charges,999999999,,,,,,,,,,17.23,percent of total billed charges,15.00496148,,,,,,,,,,62.028,percent of total billed charges,,,,,
TRIAMCINOLONE (KENALOG) CR 0.025%:15 GM,637,RC,0016-8000-15,NDC,,both,1,EA,47.09,47.09,10.02470495,47.09,47.09,percent of total billed charges,34.64578591,,,,47.09,percent of total billed charges,36.72384803,,,,47.09,percent of total billed charges,34.64578591,,,,47.09,percent of total billed charges,36.72384803,,,,47.09,percent of total billed charges,999999999,,,,47.09,percent of total billed charges,35.87934352,,,,47.09,percent of total billed charges,34.64578591,,,,47.09,percent of total billed charges,36.72384803,,,,33.57517,percent of total billed charges,16.75462426,,,,33.57517,percent of total billed charges,10.02470495,,,,33.57517,percent of total billed charges,16.75462426,,,,33.57517,percent of total billed charges,10.02470495,,,,33.57517,percent of total billed charges,16.75462426,,,,33.57517,percent of total billed charges,10.02470495,,,,33.24554,percent of total billed charges,32.99329705,,,,33.24554,percent of total billed charges,22.75521547,,,,,,,,,,33.9048,percent of total billed charges,22.03732215,,,,,,,,,,33.9048,percent of total billed charges,999999999,,,,,,,,,,37.672,percent of total billed charges,31.56717774,,,,37.2011,percent of total billed charges,35.90066245,,,,37.2011,percent of total billed charges,31.71942364,,,,37.672,percent of total billed charges,999999999,,,,37.672,percent of total billed charges,999999999,,,,32.963,percent of total billed charges,999999999,,,,32.963,percent of total billed charges,999999999,,,,,,,,,,,,,,,,25.05188,percent of total billed charges,999999999,,,,,,,,,,,,,,,,23.78045,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11.7725,percent of total billed charges,11.18099534,,,,,,,,,,11.7725,percent of total billed charges,10.99500709,,,,,,,,,,11.7725,percent of total billed charges,10.96445244,,,,,,,,,,11.7725,percent of total billed charges,10.80300101,,,,,,,,,,11.7725,percent of total billed charges,11.08097811,,,,,,,,,,11.7725,percent of total billed charges,999999999,,,,,,,,,,11.7725,percent of total billed charges,9.508259538,,,,,,,,,,11.7725,percent of total billed charges,14.99518098,,,,,,,,,,11.7725,percent of total billed charges,999999999,,,,,,,,,,11.7725,percent of total billed charges,10.25222919,,,,,,,,,,42.381,percent of total billed charges,,,,,
AMIOdarone (CORDARONE) 150MG/3ML VIAL,J0282,CDM,6332-3061-03,NDC,,both,1,EA,30.62,30.62,6.518506384,30.62,30.62,percent of total billed charges,22.5282218,,,,30.62,percent of total billed charges,23.87946967,,,,30.62,percent of total billed charges,22.5282218,,,,30.62,percent of total billed charges,23.87946967,,,,30.62,percent of total billed charges,999999999,,,,30.62,percent of total billed charges,23.3303355,,,,30.62,percent of total billed charges,22.5282218,,,,30.62,percent of total billed charges,23.87946967,,,,21.83206,percent of total billed charges,10.89459747,,,,21.83206,percent of total billed charges,6.518506384,,,,21.83206,percent of total billed charges,10.89459747,,,,21.83206,percent of total billed charges,6.518506384,,,,21.83206,percent of total billed charges,10.89459747,,,,21.83206,percent of total billed charges,6.518506384,,,,21.61772,percent of total billed charges,21.45370048,,,,21.61772,percent of total billed charges,14.79644718,,,,,,,,,,22.0464,percent of total billed charges,14.3296412,,,,,,,,,,22.0464,percent of total billed charges,999999999,,,,,,,,,,24.496,percent of total billed charges,20.52637465,,,,24.1898,percent of total billed charges,23.34419801,,,,24.1898,percent of total billed charges,20.62537167,,,,24.496,percent of total billed charges,999999999,,,,24.496,percent of total billed charges,999999999,,,,21.434,percent of total billed charges,999999999,,,,21.434,percent of total billed charges,999999999,,,,,,,,,,,,,,,,16.28984,percent of total billed charges,999999999,,,,,,,,,,,,,,,,15.4631,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7.655,percent of total billed charges,7.270377519,,,,,,,,,,7.655,percent of total billed charges,7.149439735,,,,,,,,,,7.655,percent of total billed charges,7.129571749,,,,,,,,,,7.655,percent of total billed charges,7.024588891,,,,,,,,,,7.655,percent of total billed charges,7.20534189,,,,,,,,,,7.655,percent of total billed charges,999999999,,,,,,,,,,7.655,percent of total billed charges,6.182690742,,,,,,,,,,7.655,percent of total billed charges,9.750529657,,,,,,,,,,7.655,percent of total billed charges,999999999,,,,,,,,,,7.655,percent of total billed charges,6.666452706,,,,,,,,,,27.558,percent of total billed charges,,,,,
ETHAMBUTOL (MYAMBUTOL) 400MG TAB,259,RC,5486-8621-00,NDC,,both,1,EA,2.57,2.57,0.547111738,2.57,2.57,percent of total billed charges,1.890840301,,,,2.57,percent of total billed charges,2.004253333,,,,2.57,percent of total billed charges,1.890840301,,,,2.57,percent of total billed charges,2.004253333,,,,2.57,percent of total billed charges,999999999,,,,2.57,percent of total billed charges,1.958163365,,,,2.57,percent of total billed charges,1.890840301,,,,2.57,percent of total billed charges,2.004253333,,,,1.83241,percent of total billed charges,0.914406123,,,,1.83241,percent of total billed charges,0.547111738,,,,1.83241,percent of total billed charges,0.914406123,,,,1.83241,percent of total billed charges,0.547111738,,,,1.83241,percent of total billed charges,0.914406123,,,,1.83241,percent of total billed charges,0.547111738,,,,1.81442,percent of total billed charges,1.800653502,,,,1.81442,percent of total billed charges,1.241896448,,,,,,,,,,1.8504,percent of total billed charges,1.202716456,,,,,,,,,,1.8504,percent of total billed charges,999999999,,,,,,,,,,2.056,percent of total billed charges,1.722821126,,,,2.0303,percent of total billed charges,1.959326874,,,,2.0303,percent of total billed charges,1.73113015,,,,2.056,percent of total billed charges,999999999,,,,2.056,percent of total billed charges,999999999,,,,1.799,percent of total billed charges,999999999,,,,1.799,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.36724,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.29785,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.6425,percent of total billed charges,0.610217839,,,,,,,,,,0.6425,percent of total billed charges,0.60006728,,,,,,,,,,0.6425,percent of total billed charges,0.598399719,,,,,,,,,,0.6425,percent of total billed charges,0.58958829,,,,,,,,,,0.6425,percent of total billed charges,0.604759264,,,,,,,,,,0.6425,percent of total billed charges,999999999,,,,,,,,,,0.6425,percent of total billed charges,0.518926036,,,,,,,,,,0.6425,percent of total billed charges,0.818382143,,,,,,,,,,0.6425,percent of total billed charges,999999999,,,,,,,,,,0.6425,percent of total billed charges,0.559529179,,,,,,,,,,2.313,percent of total billed charges,,,,,
CLARITHROMYCIN (BIAXIN) 250MG TAB,637,RC,5026-8017-15,NDC,,both,1,EA,2.07,2.07,0.440669765,2.07,2.07,percent of total billed charges,1.522972538,,,,2.07,percent of total billed charges,1.614320778,,,,2.07,percent of total billed charges,1.522972538,,,,2.07,percent of total billed charges,1.614320778,,,,2.07,percent of total billed charges,999999999,,,,2.07,percent of total billed charges,1.57719773,,,,2.07,percent of total billed charges,1.522972538,,,,2.07,percent of total billed charges,1.614320778,,,,1.47591,percent of total billed charges,0.736506099,,,,1.47591,percent of total billed charges,0.440669765,,,,1.47591,percent of total billed charges,0.736506099,,,,1.47591,percent of total billed charges,0.440669765,,,,1.47591,percent of total billed charges,0.736506099,,,,1.47591,percent of total billed charges,0.440669765,,,,1.46142,percent of total billed charges,1.450331809,,,,1.46142,percent of total billed charges,1.000282353,,,,,,,,,,1.4904,percent of total billed charges,0.968724928,,,,,,,,,,1.4904,percent of total billed charges,999999999,,,,,,,,,,1.656,percent of total billed charges,1.387641918,,,,1.6353,percent of total billed charges,1.578134875,,,,1.6353,percent of total billed charges,1.394334401,,,,1.656,percent of total billed charges,999999999,,,,1.656,percent of total billed charges,999999999,,,,1.449,percent of total billed charges,999999999,,,,1.449,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.10124,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.04535,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.5175,percent of total billed charges,0.491498415,,,,,,,,,,0.5175,percent of total billed charges,0.483322673,,,,,,,,,,0.5175,percent of total billed charges,0.48197954,,,,,,,,,,0.5175,percent of total billed charges,0.474882397,,,,,,,,,,0.5175,percent of total billed charges,0.487101819,,,,,,,,,,0.5175,percent of total billed charges,999999999,,,,,,,,,,0.5175,percent of total billed charges,0.417967663,,,,,,,,,,0.5175,percent of total billed charges,0.659163827,,,,,,,,,,0.5175,percent of total billed charges,999999999,,,,,,,,,,0.5175,percent of total billed charges,0.450671362,,,,,,,,,,1.863,percent of total billed charges,,,,,
**ALUM HYDROX/MAGNES HYDROX SUSP150ML,637,RC,0006-7033-62,NDC,,both,1,EA,11,11,2.341723391,11,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,11,percent of total billed charges,999999999,,,,11,percent of total billed charges,8.381243975,,,,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.766,percent of total billed charges,7.707077247,,,,7.766,percent of total billed charges,5.31551009,,,,,,,,,,7.92,percent of total billed charges,5.147813626,,,,,,,,,,7.92,percent of total billed charges,999999999,,,,,,,,,,8.8,percent of total billed charges,7.373942561,,,,8.69,percent of total billed charges,8.386223973,,,,8.69,percent of total billed charges,7.409506477,,,,8.8,percent of total billed charges,999999999,,,,8.8,percent of total billed charges,999999999,,,,7.7,percent of total billed charges,999999999,,,,7.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.852,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.555,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.75,percent of total billed charges,2.611827325,,,,,,,,,,2.75,percent of total billed charges,2.568381355,,,,,,,,,,2.75,percent of total billed charges,2.561243933,,,,,,,,,,2.75,percent of total billed charges,2.523529647,,,,,,,,,,2.75,percent of total billed charges,2.588463775,,,,,,,,,,2.75,percent of total billed charges,999999999,,,,,,,,,,2.75,percent of total billed charges,2.221084199,,,,,,,,,,2.75,percent of total billed charges,3.502802947,,,,,,,,,,2.75,percent of total billed charges,999999999,,,,,,,,,,2.75,percent of total billed charges,2.394871971,,,,,,,,,,9.9,percent of total billed charges,,,,,
**CITRATE MAG/BISACODYL (EVAC-Q-KWIK) KI,259,RC,0790-6800-09,NDC,,both,1,EA,9,9,1.915955502,9,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,9,percent of total billed charges,999999999,,,,9,percent of total billed charges,6.857381434,,,,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.354,percent of total billed charges,6.305790475,,,,6.354,percent of total billed charges,4.34905371,,,,,,,,,,6.48,percent of total billed charges,4.211847512,,,,,,,,,,6.48,percent of total billed charges,999999999,,,,,,,,,,7.2,percent of total billed charges,6.033225731,,,,7.11,percent of total billed charges,6.861455978,,,,7.11,percent of total billed charges,6.062323481,,,,7.2,percent of total billed charges,999999999,,,,7.2,percent of total billed charges,999999999,,,,6.3,percent of total billed charges,999999999,,,,6.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.788,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.545,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.25,percent of total billed charges,2.13694963,,,,,,,,,,2.25,percent of total billed charges,2.101402927,,,,,,,,,,2.25,percent of total billed charges,2.095563218,,,,,,,,,,2.25,percent of total billed charges,2.064706075,,,,,,,,,,2.25,percent of total billed charges,2.117833998,,,,,,,,,,2.25,percent of total billed charges,999999999,,,,,,,,,,2.25,percent of total billed charges,1.817250708,,,,,,,,,,2.25,percent of total billed charges,2.865929684,,,,,,,,,,2.25,percent of total billed charges,999999999,,,,,,,,,,2.25,percent of total billed charges,1.959440704,,,,,,,,,,8.1,percent of total billed charges,,,,,
METOCLOPRAMIDE (REGLAN)  10MG/2ML INJ,J2765,CDM,0040-9341-01,NDC,,both,1,EA,14.56,14.56,3.099590234,14.56,14.56,percent of total billed charges,10.71230925,,,,14.56,percent of total billed charges,11.354836,,,,14.56,percent of total billed charges,10.71230925,,,,14.56,percent of total billed charges,11.354836,,,,14.56,percent of total billed charges,999999999,,,,14.56,percent of total billed charges,11.0937193,,,,14.56,percent of total billed charges,10.71230925,,,,14.56,percent of total billed charges,11.354836,,,,10.38128,percent of total billed charges,5.180448698,,,,10.38128,percent of total billed charges,3.099590234,,,,10.38128,percent of total billed charges,5.180448698,,,,10.38128,percent of total billed charges,3.099590234,,,,10.38128,percent of total billed charges,5.180448698,,,,10.38128,percent of total billed charges,3.099590234,,,,10.27936,percent of total billed charges,10.2013677,,,,10.27936,percent of total billed charges,7.035802447,,,,,,,,,,10.4832,percent of total billed charges,6.813833308,,,,,,,,,,10.4832,percent of total billed charges,999999999,,,,,,,,,,11.648,percent of total billed charges,9.760418516,,,,11.5024,percent of total billed charges,11.100311,,,,11.5024,percent of total billed charges,9.80749221,,,,11.648,percent of total billed charges,999999999,,,,11.648,percent of total billed charges,999999999,,,,10.192,percent of total billed charges,999999999,,,,10.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,7.74592,percent of total billed charges,999999999,,,,,,,,,,,,,,,,7.3528,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3.64,percent of total billed charges,3.457109623,,,,,,,,,,3.64,percent of total billed charges,3.399602957,,,,,,,,,,3.64,percent of total billed charges,3.390155606,,,,,,,,,,3.64,percent of total billed charges,3.340235606,,,,,,,,,,3.64,percent of total billed charges,3.426184779,,,,,,,,,,3.64,percent of total billed charges,999999999,,,,,,,,,,3.64,percent of total billed charges,2.939907812,,,,,,,,,,3.64,percent of total billed charges,4.636437355,,,,,,,,,,3.64,percent of total billed charges,999999999,,,,,,,,,,3.64,percent of total billed charges,3.169939628,,,,,,,,,,13.104,percent of total billed charges,,,,,
DESIPRAMINE (NORPRAMIN) 25 MG TAB,259,RC,0078-1197-01,NDC,,both,1,EA,3.69,3.69,0.785541756,3.69,3.69,percent of total billed charges,2.71486409,,,,3.69,percent of total billed charges,2.877702256,,,,3.69,percent of total billed charges,2.71486409,,,,3.69,percent of total billed charges,2.877702256,,,,3.69,percent of total billed charges,999999999,,,,3.69,percent of total billed charges,2.811526388,,,,3.69,percent of total billed charges,2.71486409,,,,3.69,percent of total billed charges,2.877702256,,,,2.63097,percent of total billed charges,1.312902177,,,,2.63097,percent of total billed charges,0.785541756,,,,2.63097,percent of total billed charges,1.312902177,,,,2.63097,percent of total billed charges,0.785541756,,,,2.63097,percent of total billed charges,1.312902177,,,,2.63097,percent of total billed charges,0.785541756,,,,2.60514,percent of total billed charges,2.585374095,,,,2.60514,percent of total billed charges,1.783112021,,,,,,,,,,2.6568,percent of total billed charges,1.72685748,,,,,,,,,,2.6568,percent of total billed charges,999999999,,,,,,,,,,2.952,percent of total billed charges,2.47362255,,,,2.9151,percent of total billed charges,2.813196951,,,,2.9151,percent of total billed charges,2.485552627,,,,2.952,percent of total billed charges,999999999,,,,2.952,percent of total billed charges,999999999,,,,2.583,percent of total billed charges,999999999,,,,2.583,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.96308,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.86345,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.9225,percent of total billed charges,0.876149348,,,,,,,,,,0.9225,percent of total billed charges,0.8615752,,,,,,,,,,0.9225,percent of total billed charges,0.859180919,,,,,,,,,,0.9225,percent of total billed charges,0.846529491,,,,,,,,,,0.9225,percent of total billed charges,0.868311939,,,,,,,,,,0.9225,percent of total billed charges,999999999,,,,,,,,,,0.9225,percent of total billed charges,0.74507279,,,,,,,,,,0.9225,percent of total billed charges,1.17503117,,,,,,,,,,0.9225,percent of total billed charges,999999999,,,,,,,,,,0.9225,percent of total billed charges,0.803370689,,,,,,,,,,3.321,percent of total billed charges,,,,,
MAG CITRATE (CITRATE OF MAG.) 10OZ,250,RC,4612-2074-38,NDC,,both,1,EA,102.23,102.23,21.76312566,102.23,102.23,percent of total billed charges,75.21424279,,,,102.23,percent of total billed charges,79.7256102,,,,102.23,percent of total billed charges,75.21424279,,,,102.23,percent of total billed charges,79.7256102,,,,102.23,percent of total billed charges,999999999,,,,102.23,percent of total billed charges,77.89223378,,,,102.23,percent of total billed charges,75.21424279,,,,102.23,percent of total billed charges,79.7256102,,,,72.88999,percent of total billed charges,36.3734389,,,,72.88999,percent of total billed charges,21.76312566,,,,72.88999,percent of total billed charges,36.3734389,,,,72.88999,percent of total billed charges,21.76312566,,,,72.88999,percent of total billed charges,36.3734389,,,,72.88999,percent of total billed charges,21.76312566,,,,72.17438,percent of total billed charges,71.62677336,,,,72.17438,percent of total billed charges,49.40041787,,,,,,,,,,73.6056,percent of total billed charges,47.8419079,,,,,,,,,,73.6056,percent of total billed charges,999999999,,,,,,,,,,81.784,percent of total billed charges,68.53074072,,,,80.7617,percent of total billed charges,77.93851607,,,,80.7617,percent of total billed charges,68.86125883,,,,81.784,percent of total billed charges,999999999,,,,81.784,percent of total billed charges,999999999,,,,71.561,percent of total billed charges,999999999,,,,71.561,percent of total billed charges,999999999,,,,,,,,,,,,,,,,54.38636,percent of total billed charges,999999999,,,,,,,,,,,,,,,,51.62615,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,25.5575,percent of total billed charges,24.27337341,,,,,,,,,,25.5575,percent of total billed charges,23.86960236,,,,,,,,,,25.5575,percent of total billed charges,23.80326975,,,,,,,,,,25.5575,percent of total billed charges,23.4527669,,,,,,,,,,25.5575,percent of total billed charges,24.05624107,,,,,,,,,,25.5575,percent of total billed charges,999999999,,,,,,,,,,25.5575,percent of total billed charges,20.64194888,,,,,,,,,,25.5575,percent of total billed charges,32.55377684,,,,,,,,,,25.5575,percent of total billed charges,999999999,,,,,,,,,,25.5575,percent of total billed charges,22.25706924,,,,,,,,,,92.007,percent of total billed charges,,,,,
Metoprolol TART (LOPRESSOR) 100 MG TAB,637,RC,5766-4016-08,NDC,,both,1,EA,0.77,0.77,0.163920637,0.77,0.77,percent of total billed charges,0.566516355,,,,0.77,percent of total billed charges,0.600496135,,,,0.77,percent of total billed charges,0.566516355,,,,0.77,percent of total billed charges,0.600496135,,,,0.77,percent of total billed charges,999999999,,,,0.77,percent of total billed charges,0.586687078,,,,0.77,percent of total billed charges,0.566516355,,,,0.77,percent of total billed charges,0.600496135,,,,0.54901,percent of total billed charges,0.273966037,,,,0.54901,percent of total billed charges,0.163920637,,,,0.54901,percent of total billed charges,0.273966037,,,,0.54901,percent of total billed charges,0.163920637,,,,0.54901,percent of total billed charges,0.273966037,,,,0.54901,percent of total billed charges,0.163920637,,,,0.54362,percent of total billed charges,0.539495407,,,,0.54362,percent of total billed charges,0.372085706,,,,,,,,,,0.5544,percent of total billed charges,0.360346954,,,,,,,,,,0.5544,percent of total billed charges,999999999,,,,,,,,,,0.616,percent of total billed charges,0.516175979,,,,0.6083,percent of total billed charges,0.587035678,,,,0.6083,percent of total billed charges,0.518665453,,,,0.616,percent of total billed charges,999999999,,,,0.616,percent of total billed charges,999999999,,,,0.539,percent of total billed charges,999999999,,,,0.539,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.40964,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.38885,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.1925,percent of total billed charges,0.182827913,,,,,,,,,,0.1925,percent of total billed charges,0.179786695,,,,,,,,,,0.1925,percent of total billed charges,0.179287075,,,,,,,,,,0.1925,percent of total billed charges,0.176647075,,,,,,,,,,0.1925,percent of total billed charges,0.181192464,,,,,,,,,,0.1925,percent of total billed charges,999999999,,,,,,,,,,0.1925,percent of total billed charges,0.155475894,,,,,,,,,,0.1925,percent of total billed charges,0.245196206,,,,,,,,,,0.1925,percent of total billed charges,999999999,,,,,,,,,,0.1925,percent of total billed charges,0.167641038,,,,,,,,,,0.693,percent of total billed charges,,,,,
**OLIVE OIL(SWEET OIL) OIL: 2OZ,259,RC,5766-4016-08,NDC,,both,1,EA,34,34,7.238054117,34,34,percent of total billed charges,25.01500787,,,,34,percent of total billed charges,26.51541374,,,,34,percent of total billed charges,25.01500787,,,,34,percent of total billed charges,26.51541374,,,,34,percent of total billed charges,999999999,,,,34,percent of total billed charges,25.90566319,,,,34,percent of total billed charges,25.01500787,,,,34,percent of total billed charges,26.51541374,,,,24.242,percent of total billed charges,12.09720163,,,,24.242,percent of total billed charges,7.238054117,,,,24.242,percent of total billed charges,12.09720163,,,,24.242,percent of total billed charges,7.238054117,,,,24.242,percent of total billed charges,12.09720163,,,,24.242,percent of total billed charges,7.238054117,,,,24.004,percent of total billed charges,23.82187513,,,,24.004,percent of total billed charges,16.42975846,,,,,,,,,,24.48,percent of total billed charges,15.91142393,,,,,,,,,,24.48,percent of total billed charges,999999999,,,,,,,,,,27.2,percent of total billed charges,22.7921861,,,,26.86,percent of total billed charges,25.92105592,,,,26.86,percent of total billed charges,22.90211093,,,,27.2,percent of total billed charges,999999999,,,,27.2,percent of total billed charges,999999999,,,,23.8,percent of total billed charges,999999999,,,,23.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,18.088,percent of total billed charges,999999999,,,,,,,,,,,,,,,,17.17,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8.5,percent of total billed charges,8.072920824,,,,,,,,,,8.5,percent of total billed charges,7.938633279,,,,,,,,,,8.5,percent of total billed charges,7.916572157,,,,,,,,,,8.5,percent of total billed charges,7.800000728,,,,,,,,,,8.5,percent of total billed charges,8.000706214,,,,,,,,,,8.5,percent of total billed charges,999999999,,,,,,,,,,8.5,percent of total billed charges,6.865169342,,,,,,,,,,8.5,percent of total billed charges,10.82684547,,,,,,,,,,8.5,percent of total billed charges,999999999,,,,,,,,,,8.5,percent of total billed charges,7.402331548,,,,,,,,,,30.6,percent of total billed charges,,,,,
Metoprolol TART (LOPRESSOR) 50 MG TAB,637,RC,5766-4016-08,NDC,,both,1,EA,0.5,0.5,0.106441972,0.5,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,999999999,,,,0.5,percent of total billed charges,0.380965635,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.353,percent of total billed charges,0.350321693,,,,0.353,percent of total billed charges,0.241614095,,,,,,,,,,0.36,percent of total billed charges,0.233991528,,,,,,,,,,0.36,percent of total billed charges,999999999,,,,,,,,,,0.4,percent of total billed charges,0.335179207,,,,0.395,percent of total billed charges,0.381191999,,,,0.395,percent of total billed charges,0.336795749,,,,0.4,percent of total billed charges,999999999,,,,0.4,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.266,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.2525,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.125,percent of total billed charges,0.118719424,,,,,,,,,,0.125,percent of total billed charges,0.116744607,,,,,,,,,,0.125,percent of total billed charges,0.116420179,,,,,,,,,,0.125,percent of total billed charges,0.114705893,,,,,,,,,,0.125,percent of total billed charges,0.117657444,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.100958373,,,,,,,,,,0.125,percent of total billed charges,0.159218316,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.108857817,,,,,,,,,,0.45,percent of total billed charges,,,,,
METOPROLOL (LOPRESSOR) INJ 5MG/5ML,250,RC,0040-9177-05,NDC,,both,1,EA,9.81,9.81,2.088391497,9.81,9.81,percent of total billed charges,7.217565507,,,,9.81,percent of total billed charges,7.650476729,,,,9.81,percent of total billed charges,7.217565507,,,,9.81,percent of total billed charges,7.650476729,,,,9.81,percent of total billed charges,999999999,,,,9.81,percent of total billed charges,7.474545763,,,,9.81,percent of total billed charges,7.217565507,,,,9.81,percent of total billed charges,7.650476729,,,,6.99453,percent of total billed charges,3.49039847,,,,6.99453,percent of total billed charges,2.088391497,,,,6.99453,percent of total billed charges,3.49039847,,,,6.99453,percent of total billed charges,2.088391497,,,,6.99453,percent of total billed charges,3.49039847,,,,6.99453,percent of total billed charges,2.088391497,,,,6.92586,percent of total billed charges,6.873311617,,,,6.92586,percent of total billed charges,4.740468544,,,,,,,,,,7.0632,percent of total billed charges,4.590913788,,,,,,,,,,7.0632,percent of total billed charges,999999999,,,,,,,,,,7.848,percent of total billed charges,6.576216047,,,,7.7499,percent of total billed charges,7.478987016,,,,7.7499,percent of total billed charges,6.607932595,,,,7.848,percent of total billed charges,999999999,,,,7.848,percent of total billed charges,999999999,,,,6.867,percent of total billed charges,999999999,,,,6.867,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.21892,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.95405,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.4525,percent of total billed charges,2.329275097,,,,,,,,,,2.4525,percent of total billed charges,2.29052919,,,,,,,,,,2.4525,percent of total billed charges,2.284163908,,,,,,,,,,2.4525,percent of total billed charges,2.250529622,,,,,,,,,,2.4525,percent of total billed charges,2.308439058,,,,,,,,,,2.4525,percent of total billed charges,999999999,,,,,,,,,,2.4525,percent of total billed charges,1.980803272,,,,,,,,,,2.4525,percent of total billed charges,3.123863355,,,,,,,,,,2.4525,percent of total billed charges,999999999,,,,,,,,,,2.4525,percent of total billed charges,2.135790367,,,,,,,,,,8.829,percent of total billed charges,,,,,
MAGNESIUM SULFATE: 50% (500MG/ML) 10ML,J3475,CDM,5486-8572-00,NDC,,both,1,EA,21.01,21.01,4.472691677,21.01,21.01,percent of total billed charges,15.4578034,,,,21.01,percent of total billed charges,16.38496596,,,,21.01,percent of total billed charges,15.4578034,,,,21.01,percent of total billed charges,16.38496596,,,,21.01,percent of total billed charges,999999999,,,,21.01,percent of total billed charges,16.00817599,,,,21.01,percent of total billed charges,15.4578034,,,,21.01,percent of total billed charges,16.38496596,,,,14.98013,percent of total billed charges,7.475359007,,,,14.98013,percent of total billed charges,4.472691677,,,,14.98013,percent of total billed charges,7.475359007,,,,14.98013,percent of total billed charges,4.472691677,,,,14.98013,percent of total billed charges,7.475359007,,,,14.98013,percent of total billed charges,4.472691677,,,,14.83306,percent of total billed charges,14.72051754,,,,14.83306,percent of total billed charges,10.15262427,,,,,,,,,,15.1272,percent of total billed charges,9.832324025,,,,,,,,,,15.1272,percent of total billed charges,999999999,,,,,,,,,,16.808,percent of total billed charges,14.08423029,,,,16.5979,percent of total billed charges,16.01768779,,,,16.5979,percent of total billed charges,14.15215737,,,,16.808,percent of total billed charges,999999999,,,,16.808,percent of total billed charges,999999999,,,,14.707,percent of total billed charges,999999999,,,,14.707,percent of total billed charges,999999999,,,,,,,,,,,,,,,,11.17732,percent of total billed charges,999999999,,,,,,,,,,,,,,,,10.61005,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5.2525,percent of total billed charges,4.988590192,,,,,,,,,,5.2525,percent of total billed charges,4.905608388,,,,,,,,,,5.2525,percent of total billed charges,4.891975912,,,,,,,,,,5.2525,percent of total billed charges,4.819941627,,,,,,,,,,5.2525,percent of total billed charges,4.94396581,,,,,,,,,,5.2525,percent of total billed charges,999999999,,,,,,,,,,5.2525,percent of total billed charges,4.24227082,,,,,,,,,,5.2525,percent of total billed charges,6.690353628,,,,,,,,,,5.2525,percent of total billed charges,999999999,,,,,,,,,,5.2525,percent of total billed charges,4.574205465,,,,,,,,,,18.909,percent of total billed charges,,,,,
**MAGNESIUM SULFATE SOLN 50%(BOWEL PREP),250,RC,9999-9999-99,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
metroNIDAZOLE (FLAGYL) 250MG TAB,250,RC,5107-9021-20,NDC,,both,1,EA,1.08,1.08,0.22991466,1.08,1.08,percent of total billed charges,0.794594368,,,,1.08,percent of total billed charges,0.842254319,,,,1.08,percent of total billed charges,0.794594368,,,,1.08,percent of total billed charges,0.842254319,,,,1.08,percent of total billed charges,999999999,,,,1.08,percent of total billed charges,0.822885772,,,,1.08,percent of total billed charges,0.794594368,,,,1.08,percent of total billed charges,0.842254319,,,,0.77004,percent of total billed charges,0.384264052,,,,0.77004,percent of total billed charges,0.22991466,,,,0.77004,percent of total billed charges,0.384264052,,,,0.77004,percent of total billed charges,0.22991466,,,,0.77004,percent of total billed charges,0.384264052,,,,0.77004,percent of total billed charges,0.22991466,,,,0.76248,percent of total billed charges,0.756694857,,,,0.76248,percent of total billed charges,0.521886445,,,,,,,,,,0.7776,percent of total billed charges,0.505421701,,,,,,,,,,0.7776,percent of total billed charges,999999999,,,,,,,,,,0.864,percent of total billed charges,0.723987088,,,,0.8532,percent of total billed charges,0.823374717,,,,0.8532,percent of total billed charges,0.727478818,,,,0.864,percent of total billed charges,999999999,,,,0.864,percent of total billed charges,999999999,,,,0.756,percent of total billed charges,999999999,,,,0.756,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.57456,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.5454,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.27,percent of total billed charges,0.256433956,,,,,,,,,,0.27,percent of total billed charges,0.252168351,,,,,,,,,,0.27,percent of total billed charges,0.251467586,,,,,,,,,,0.27,percent of total billed charges,0.247764729,,,,,,,,,,0.27,percent of total billed charges,0.25414008,,,,,,,,,,0.27,percent of total billed charges,999999999,,,,,,,,,,0.27,percent of total billed charges,0.218070085,,,,,,,,,,0.27,percent of total billed charges,0.343911562,,,,,,,,,,0.27,percent of total billed charges,999999999,,,,,,,,,,0.27,percent of total billed charges,0.235132884,,,,,,,,,,0.972,percent of total billed charges,,,,,
**METHYLCELLULOSE (CITRUCEL) 1OGM PACK,259,RC,0006-8042-25,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
METHYLDOPA (ALDOMET) 250 MG TAB,259,RC,5107-9020-01,NDC,,both,1,EA,0.5,0.5,0.106441972,0.5,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,999999999,,,,0.5,percent of total billed charges,0.380965635,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.353,percent of total billed charges,0.350321693,,,,0.353,percent of total billed charges,0.241614095,,,,,,,,,,0.36,percent of total billed charges,0.233991528,,,,,,,,,,0.36,percent of total billed charges,999999999,,,,,,,,,,0.4,percent of total billed charges,0.335179207,,,,0.395,percent of total billed charges,0.381191999,,,,0.395,percent of total billed charges,0.336795749,,,,0.4,percent of total billed charges,999999999,,,,0.4,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.266,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.2525,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.125,percent of total billed charges,0.118719424,,,,,,,,,,0.125,percent of total billed charges,0.116744607,,,,,,,,,,0.125,percent of total billed charges,0.116420179,,,,,,,,,,0.125,percent of total billed charges,0.114705893,,,,,,,,,,0.125,percent of total billed charges,0.117657444,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.100958373,,,,,,,,,,0.125,percent of total billed charges,0.159218316,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.108857817,,,,,,,,,,0.45,percent of total billed charges,,,,,
NEOMYCIN/POLYMIX/DEXAMETH OPHTH OINT,259,RC,2420-8079-35,NDC,,both,1,EA,283.72,283.72,60.39943277,283.72,283.72,percent of total billed charges,208.7428834,,,,283.72,percent of total billed charges,221.263329,,,,283.72,percent of total billed charges,208.7428834,,,,283.72,percent of total billed charges,221.263329,,,,283.72,percent of total billed charges,999999999,,,,283.72,percent of total billed charges,216.17514,,,,283.72,percent of total billed charges,208.7428834,,,,283.72,percent of total billed charges,221.263329,,,,202.29236,percent of total billed charges,100.9475896,,,,202.29236,percent of total billed charges,60.39943277,,,,202.29236,percent of total billed charges,100.9475896,,,,202.29236,percent of total billed charges,60.39943277,,,,202.29236,percent of total billed charges,100.9475896,,,,202.29236,percent of total billed charges,60.39943277,,,,200.30632,percent of total billed charges,198.7865415,,,,200.30632,percent of total billed charges,137.1015021,,,,,,,,,,204.2784,percent of total billed charges,132.7761529,,,,,,,,,,204.2784,percent of total billed charges,999999999,,,,,,,,,,226.976,percent of total billed charges,190.1940894,,,,224.1388,percent of total billed charges,216.3035878,,,,224.1388,percent of total billed charges,191.1113798,,,,226.976,percent of total billed charges,999999999,,,,226.976,percent of total billed charges,999999999,,,,198.604,percent of total billed charges,999999999,,,,198.604,percent of total billed charges,999999999,,,,,,,,,,,,,,,,150.93904,percent of total billed charges,999999999,,,,,,,,,,,,,,,,143.2786,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,70.93,percent of total billed charges,67.36614989,,,,,,,,,,70.93,percent of total billed charges,66.24555982,,,,,,,,,,70.93,percent of total billed charges,66.06146625,,,,,,,,,,70.93,percent of total billed charges,65.08871196,,,,,,,,,,70.93,percent of total billed charges,66.76354021,,,,,,,,,,70.93,percent of total billed charges,999999999,,,,,,,,,,70.93,percent of total billed charges,57.28781899,,,,,,,,,,70.93,percent of total billed charges,90.34684109,,,,,,,,,,70.93,percent of total billed charges,999999999,,,,,,,,,,70.93,percent of total billed charges,61.77027961,,,,,,,,,,255.348,percent of total billed charges,,,,,
MECLIZINE (ANTIVERT) 12.5MG TAB,637,RC,6808-4049-11,NDC,,both,1,EA,1.53,1.53,0.325712435,1.53,1.53,percent of total billed charges,1.125675354,,,,1.53,percent of total billed charges,1.193193618,,,,1.53,percent of total billed charges,1.125675354,,,,1.53,percent of total billed charges,1.193193618,,,,1.53,percent of total billed charges,999999999,,,,1.53,percent of total billed charges,1.165754844,,,,1.53,percent of total billed charges,1.125675354,,,,1.53,percent of total billed charges,1.193193618,,,,1.09089,percent of total billed charges,0.544374073,,,,1.09089,percent of total billed charges,0.325712435,,,,1.09089,percent of total billed charges,0.544374073,,,,1.09089,percent of total billed charges,0.325712435,,,,1.09089,percent of total billed charges,0.544374073,,,,1.09089,percent of total billed charges,0.325712435,,,,1.08018,percent of total billed charges,1.071984381,,,,1.08018,percent of total billed charges,0.739339131,,,,,,,,,,1.1016,percent of total billed charges,0.716014077,,,,,,,,,,1.1016,percent of total billed charges,999999999,,,,,,,,,,1.224,percent of total billed charges,1.025648374,,,,1.2087,percent of total billed charges,1.166447516,,,,1.2087,percent of total billed charges,1.030594992,,,,1.224,percent of total billed charges,999999999,,,,1.224,percent of total billed charges,999999999,,,,1.071,percent of total billed charges,999999999,,,,1.071,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.81396,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.77265,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.3825,percent of total billed charges,0.363281437,,,,,,,,,,0.3825,percent of total billed charges,0.357238498,,,,,,,,,,0.3825,percent of total billed charges,0.356245747,,,,,,,,,,0.3825,percent of total billed charges,0.351000033,,,,,,,,,,0.3825,percent of total billed charges,0.36003178,,,,,,,,,,0.3825,percent of total billed charges,999999999,,,,,,,,,,0.3825,percent of total billed charges,0.30893262,,,,,,,,,,0.3825,percent of total billed charges,0.487208046,,,,,,,,,,0.3825,percent of total billed charges,999999999,,,,,,,,,,0.3825,percent of total billed charges,0.33310492,,,,,,,,,,1.377,percent of total billed charges,,,,,
MECLIZINE (ANTIVERT) 25MG TAB,637,RC,5796-3010-01,NDC,,both,1,EA,2,2,0.425767889,2,2,percent of total billed charges,1.471471051,,,,2,percent of total billed charges,1.55973022,,,,2,percent of total billed charges,1.471471051,,,,2,percent of total billed charges,1.55973022,,,,2,percent of total billed charges,999999999,,,,2,percent of total billed charges,1.523862541,,,,2,percent of total billed charges,1.471471051,,,,2,percent of total billed charges,1.55973022,,,,1.426,percent of total billed charges,0.711600096,,,,1.426,percent of total billed charges,0.425767889,,,,1.426,percent of total billed charges,0.711600096,,,,1.426,percent of total billed charges,0.425767889,,,,1.426,percent of total billed charges,0.711600096,,,,1.426,percent of total billed charges,0.425767889,,,,1.412,percent of total billed charges,1.401286772,,,,1.412,percent of total billed charges,0.96645638,,,,,,,,,,1.44,percent of total billed charges,0.935966114,,,,,,,,,,1.44,percent of total billed charges,999999999,,,,,,,,,,1.6,percent of total billed charges,1.340716829,,,,1.58,percent of total billed charges,1.524767995,,,,1.58,percent of total billed charges,1.347182996,,,,1.6,percent of total billed charges,999999999,,,,1.6,percent of total billed charges,999999999,,,,1.4,percent of total billed charges,999999999,,,,1.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.064,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.01,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.5,percent of total billed charges,0.474877696,,,,,,,,,,0.5,percent of total billed charges,0.466978428,,,,,,,,,,0.5,percent of total billed charges,0.465680715,,,,,,,,,,0.5,percent of total billed charges,0.458823572,,,,,,,,,,0.5,percent of total billed charges,0.470629777,,,,,,,,,,0.5,percent of total billed charges,999999999,,,,,,,,,,0.5,percent of total billed charges,0.403833491,,,,,,,,,,0.5,percent of total billed charges,0.636873263,,,,,,,,,,0.5,percent of total billed charges,999999999,,,,,,,,,,0.5,percent of total billed charges,0.435431268,,,,,,,,,,1.8,percent of total billed charges,,,,,
BENZOIN TINCTURE 60 ML,259,RC,0039-5024-92,NDC,,both,1,EA,131,131,27.88779675,131,131,percent of total billed charges,96.38135387,,,,131,percent of total billed charges,102.1623294,,,,131,percent of total billed charges,96.38135387,,,,131,percent of total billed charges,102.1623294,,,,131,percent of total billed charges,999999999,,,,131,percent of total billed charges,99.81299643,,,,131,percent of total billed charges,96.38135387,,,,131,percent of total billed charges,102.1623294,,,,93.403,percent of total billed charges,46.60980628,,,,93.403,percent of total billed charges,27.88779675,,,,93.403,percent of total billed charges,46.60980628,,,,93.403,percent of total billed charges,27.88779675,,,,93.403,percent of total billed charges,46.60980628,,,,93.403,percent of total billed charges,27.88779675,,,,92.486,percent of total billed charges,91.78428358,,,,92.486,percent of total billed charges,63.3028929,,,,,,,,,,94.32,percent of total billed charges,61.30578045,,,,,,,,,,94.32,percent of total billed charges,999999999,,,,,,,,,,104.8,percent of total billed charges,87.81695231,,,,103.49,percent of total billed charges,99.87230368,,,,103.49,percent of total billed charges,88.24048623,,,,104.8,percent of total billed charges,999999999,,,,104.8,percent of total billed charges,999999999,,,,91.7,percent of total billed charges,999999999,,,,91.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,69.692,percent of total billed charges,999999999,,,,,,,,,,,,,,,,66.155,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,32.75,percent of total billed charges,31.10448906,,,,,,,,,,32.75,percent of total billed charges,30.58708705,,,,,,,,,,32.75,percent of total billed charges,30.50208684,,,,,,,,,,32.75,percent of total billed charges,30.05294398,,,,,,,,,,32.75,percent of total billed charges,30.82625041,,,,,,,,,,32.75,percent of total billed charges,999999999,,,,,,,,,,32.75,percent of total billed charges,26.45109364,,,,,,,,,,32.75,percent of total billed charges,41.71519873,,,,,,,,,,32.75,percent of total billed charges,999999999,,,,,,,,,,32.75,percent of total billed charges,28.52074802,,,,,,,,,,117.9,percent of total billed charges,,,,,
**METHYLPREDNISOLONE (DOSEPAK) 4MGTAB,J7509,CDM,5976-2444-02,NDC,,both,1,EA,77.98,77.98,16.60069,77.98,77.98,percent of total billed charges,57.3726563,,,,77.98,percent of total billed charges,60.81388128,,,,77.98,percent of total billed charges,57.3726563,,,,77.98,percent of total billed charges,60.81388128,,,,77.98,percent of total billed charges,999999999,,,,77.98,percent of total billed charges,59.41540047,,,,77.98,percent of total billed charges,57.3726563,,,,77.98,percent of total billed charges,60.81388128,,,,55.59974,percent of total billed charges,27.74528774,,,,55.59974,percent of total billed charges,16.60069,,,,55.59974,percent of total billed charges,27.74528774,,,,55.59974,percent of total billed charges,16.60069,,,,55.59974,percent of total billed charges,27.74528774,,,,55.59974,percent of total billed charges,16.60069,,,,55.05388,percent of total billed charges,54.63617125,,,,55.05388,percent of total billed charges,37.68213426,,,,,,,,,,56.1456,percent of total billed charges,36.49331878,,,,,,,,,,56.1456,percent of total billed charges,999999999,,,,,,,,,,62.384,percent of total billed charges,52.27454917,,,,61.6042,percent of total billed charges,59.45070413,,,,61.6042,percent of total billed charges,52.52666501,,,,62.384,percent of total billed charges,999999999,,,,62.384,percent of total billed charges,999999999,,,,54.586,percent of total billed charges,999999999,,,,54.586,percent of total billed charges,999999999,,,,,,,,,,,,,,,,41.48536,percent of total billed charges,999999999,,,,,,,,,,,,,,,,39.3799,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19.495,percent of total billed charges,18.51548135,,,,,,,,,,19.495,percent of total billed charges,18.20748891,,,,,,,,,,19.495,percent of total billed charges,18.15689108,,,,,,,,,,19.495,percent of total billed charges,17.88953108,,,,,,,,,,19.495,percent of total billed charges,18.34985502,,,,,,,,,,19.495,percent of total billed charges,999999999,,,,,,,,,,19.495,percent of total billed charges,15.7454678,,,,,,,,,,19.495,percent of total billed charges,24.83168853,,,,,,,,,,19.495,percent of total billed charges,999999999,,,,,,,,,,19.495,percent of total billed charges,16.97746512,,,,,,,,,,70.182,percent of total billed charges,,,,,
**KERI LOTION: 195ML,259,RC,0067-2105-51,NDC,,both,1,EA,16,16,3.406143114,16,16,percent of total billed charges,11.77176841,,,,16,percent of total billed charges,12.47784176,,,,16,percent of total billed charges,11.77176841,,,,16,percent of total billed charges,12.47784176,,,,16,percent of total billed charges,999999999,,,,16,percent of total billed charges,12.19090033,,,,16,percent of total billed charges,11.77176841,,,,16,percent of total billed charges,12.47784176,,,,11.408,percent of total billed charges,5.692800767,,,,11.408,percent of total billed charges,3.406143114,,,,11.408,percent of total billed charges,5.692800767,,,,11.408,percent of total billed charges,3.406143114,,,,11.408,percent of total billed charges,5.692800767,,,,11.408,percent of total billed charges,3.406143114,,,,11.296,percent of total billed charges,11.21029418,,,,11.296,percent of total billed charges,7.731651041,,,,,,,,,,11.52,percent of total billed charges,7.48772891,,,,,,,,,,11.52,percent of total billed charges,999999999,,,,,,,,,,12.8,percent of total billed charges,10.72573463,,,,12.64,percent of total billed charges,12.19814396,,,,12.64,percent of total billed charges,10.77746397,,,,12.8,percent of total billed charges,999999999,,,,12.8,percent of total billed charges,999999999,,,,11.2,percent of total billed charges,999999999,,,,11.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,8.512,percent of total billed charges,999999999,,,,,,,,,,,,,,,,8.08,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4,percent of total billed charges,3.799021564,,,,,,,,,,4,percent of total billed charges,3.735827425,,,,,,,,,,4,percent of total billed charges,3.725445721,,,,,,,,,,4,percent of total billed charges,3.670588578,,,,,,,,,,4,percent of total billed charges,3.765038218,,,,,,,,,,4,percent of total billed charges,999999999,,,,,,,,,,4,percent of total billed charges,3.230667926,,,,,,,,,,4,percent of total billed charges,5.094986104,,,,,,,,,,4,percent of total billed charges,999999999,,,,,,,,,,4,percent of total billed charges,3.48345014,,,,,,,,,,14.4,percent of total billed charges,,,,,
MEGESTROL (MEGACE) 40MG TAB,637,RC,0055-5060-02,NDC,,both,1,EA,0.82,0.82,0.174564835,0.82,0.82,percent of total billed charges,0.603303131,,,,0.82,percent of total billed charges,0.63948939,,,,0.82,percent of total billed charges,0.603303131,,,,0.82,percent of total billed charges,0.63948939,,,,0.82,percent of total billed charges,999999999,,,,0.82,percent of total billed charges,0.624783642,,,,0.82,percent of total billed charges,0.603303131,,,,0.82,percent of total billed charges,0.63948939,,,,0.58466,percent of total billed charges,0.291756039,,,,0.58466,percent of total billed charges,0.174564835,,,,0.58466,percent of total billed charges,0.291756039,,,,0.58466,percent of total billed charges,0.174564835,,,,0.58466,percent of total billed charges,0.291756039,,,,0.58466,percent of total billed charges,0.174564835,,,,0.57892,percent of total billed charges,0.574527577,,,,0.57892,percent of total billed charges,0.396247116,,,,,,,,,,0.5904,percent of total billed charges,0.383746107,,,,,,,,,,0.5904,percent of total billed charges,999999999,,,,,,,,,,0.656,percent of total billed charges,0.5496939,,,,0.6478,percent of total billed charges,0.625154878,,,,0.6478,percent of total billed charges,0.552345028,,,,0.656,percent of total billed charges,999999999,,,,0.656,percent of total billed charges,999999999,,,,0.574,percent of total billed charges,999999999,,,,0.574,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.43624,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.4141,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.205,percent of total billed charges,0.194699855,,,,,,,,,,0.205,percent of total billed charges,0.191461156,,,,,,,,,,0.205,percent of total billed charges,0.190929093,,,,,,,,,,0.205,percent of total billed charges,0.188117665,,,,,,,,,,0.205,percent of total billed charges,0.192958209,,,,,,,,,,0.205,percent of total billed charges,999999999,,,,,,,,,,0.205,percent of total billed charges,0.165571731,,,,,,,,,,0.205,percent of total billed charges,0.261118038,,,,,,,,,,0.205,percent of total billed charges,999999999,,,,,,,,,,0.205,percent of total billed charges,0.17852682,,,,,,,,,,0.738,percent of total billed charges,,,,,
MEPERIDINE (DEMEROL) 25MG/ML INJ,J2150,CDM,0040-9117-30,NDC,,both,1,EA,48.64,48.64,10.35467507,48.64,48.64,percent of total billed charges,35.78617597,,,,48.64,percent of total billed charges,37.93263895,,,,48.64,percent of total billed charges,35.78617597,,,,48.64,percent of total billed charges,37.93263895,,,,48.64,percent of total billed charges,999999999,,,,48.64,percent of total billed charges,37.06033699,,,,48.64,percent of total billed charges,35.78617597,,,,48.64,percent of total billed charges,37.93263895,,,,34.68032,percent of total billed charges,17.30611433,,,,34.68032,percent of total billed charges,10.35467507,,,,34.68032,percent of total billed charges,17.30611433,,,,34.68032,percent of total billed charges,10.35467507,,,,34.68032,percent of total billed charges,17.30611433,,,,34.68032,percent of total billed charges,10.35467507,,,,34.33984,percent of total billed charges,34.0792943,,,,34.33984,percent of total billed charges,23.50421916,,,,,,,,,,35.0208,percent of total billed charges,22.76269589,,,,,,,,,,35.0208,percent of total billed charges,999999999,,,,,,,,,,38.912,percent of total billed charges,32.60623329,,,,38.4256,percent of total billed charges,37.08235764,,,,38.4256,percent of total billed charges,32.76349046,,,,38.912,percent of total billed charges,999999999,,,,38.912,percent of total billed charges,999999999,,,,34.048,percent of total billed charges,999999999,,,,34.048,percent of total billed charges,999999999,,,,,,,,,,,,,,,,25.87648,percent of total billed charges,999999999,,,,,,,,,,,,,,,,24.5632,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12.16,percent of total billed charges,11.54902556,,,,,,,,,,12.16,percent of total billed charges,11.35691537,,,,,,,,,,12.16,percent of total billed charges,11.32535499,,,,,,,,,,12.16,percent of total billed charges,11.15858928,,,,,,,,,,12.16,percent of total billed charges,11.44571618,,,,,,,,,,12.16,percent of total billed charges,999999999,,,,,,,,,,12.16,percent of total billed charges,9.821230494,,,,,,,,,,12.16,percent of total billed charges,15.48875776,,,,,,,,,,12.16,percent of total billed charges,999999999,,,,,,,,,,12.16,percent of total billed charges,10.58968843,,,,,,,,,,43.776,percent of total billed charges,,,,,
MEPERIDINE (DEMEROL) 50MG/ML INJ,J2175,CDM,0040-9117-30,NDC,,both,1,EA,50.43,50.43,10.73573733,50.43,50.43,percent of total billed charges,37.10314256,,,,50.43,percent of total billed charges,39.3285975,,,,50.43,percent of total billed charges,37.10314256,,,,50.43,percent of total billed charges,39.3285975,,,,50.43,percent of total billed charges,999999999,,,,50.43,percent of total billed charges,38.42419397,,,,50.43,percent of total billed charges,37.10314256,,,,50.43,percent of total billed charges,39.3285975,,,,35.95659,percent of total billed charges,17.94299642,,,,35.95659,percent of total billed charges,10.73573733,,,,35.95659,percent of total billed charges,17.94299642,,,,35.95659,percent of total billed charges,10.73573733,,,,35.95659,percent of total billed charges,17.94299642,,,,35.95659,percent of total billed charges,10.73573733,,,,35.60358,percent of total billed charges,35.33344596,,,,35.60358,percent of total billed charges,24.36919762,,,,,,,,,,36.3096,percent of total billed charges,23.60038556,,,,,,,,,,36.3096,percent of total billed charges,999999999,,,,,,,,,,40.344,percent of total billed charges,33.80617485,,,,39.8397,percent of total billed charges,38.447025,,,,39.8397,percent of total billed charges,33.96921924,,,,40.344,percent of total billed charges,999999999,,,,40.344,percent of total billed charges,999999999,,,,35.301,percent of total billed charges,999999999,,,,35.301,percent of total billed charges,999999999,,,,,,,,,,,,,,,,26.82876,percent of total billed charges,999999999,,,,,,,,,,,,,,,,25.46715,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12.6075,percent of total billed charges,11.97404109,,,,,,,,,,12.6075,percent of total billed charges,11.77486107,,,,,,,,,,12.6075,percent of total billed charges,11.74213923,,,,,,,,,,12.6075,percent of total billed charges,11.56923637,,,,,,,,,,12.6075,percent of total billed charges,11.86692983,,,,,,,,,,12.6075,percent of total billed charges,999999999,,,,,,,,,,12.6075,percent of total billed charges,10.18266147,,,,,,,,,,12.6075,percent of total billed charges,16.05875933,,,,,,,,,,12.6075,percent of total billed charges,999999999,,,,,,,,,,12.6075,percent of total billed charges,10.97939941,,,,,,,,,,45.387,percent of total billed charges,,,,,
**MEPERIDINE(DEMEROL) 50MG: TABLET,259,RC,0005-4859-11,NDC,,both,1,EA,12,12,2.554607335,12,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,12,percent of total billed charges,999999999,,,,12,percent of total billed charges,9.143175245,,,,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.472,percent of total billed charges,8.407720633,,,,8.472,percent of total billed charges,5.79873828,,,,,,,,,,8.64,percent of total billed charges,5.615796683,,,,,,,,,,8.64,percent of total billed charges,999999999,,,,,,,,,,9.6,percent of total billed charges,8.044300975,,,,9.48,percent of total billed charges,9.148607971,,,,9.48,percent of total billed charges,8.083097975,,,,9.6,percent of total billed charges,999999999,,,,9.6,percent of total billed charges,999999999,,,,8.4,percent of total billed charges,999999999,,,,8.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.384,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.06,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3,percent of total billed charges,2.849266173,,,,,,,,,,3,percent of total billed charges,2.801870569,,,,,,,,,,3,percent of total billed charges,2.794084291,,,,,,,,,,3,percent of total billed charges,2.752941434,,,,,,,,,,3,percent of total billed charges,2.823778664,,,,,,,,,,3,percent of total billed charges,999999999,,,,,,,,,,3,percent of total billed charges,2.423000944,,,,,,,,,,3,percent of total billed charges,3.821239578,,,,,,,,,,3,percent of total billed charges,999999999,,,,,,,,,,3,percent of total billed charges,2.612587605,,,,,,,,,,10.8,percent of total billed charges,,,,,
MEPERIDINE (DEMEROL) 75 MG/ML INJ,J2175,CDM,0040-9117-30,NDC,,both,1,EA,114.91,114.91,24.46249408,114.91,114.91,percent of total billed charges,84.54336926,,,,114.91,percent of total billed charges,89.61429979,,,,114.91,percent of total billed charges,84.54336926,,,,114.91,percent of total billed charges,89.61429979,,,,114.91,percent of total billed charges,999999999,,,,114.91,percent of total billed charges,87.55352228,,,,114.91,percent of total billed charges,84.54336926,,,,114.91,percent of total billed charges,89.61429979,,,,81.93083,percent of total billed charges,40.88498351,,,,81.93083,percent of total billed charges,24.46249408,,,,81.93083,percent of total billed charges,40.88498351,,,,81.93083,percent of total billed charges,24.46249408,,,,81.93083,percent of total billed charges,40.88498351,,,,81.93083,percent of total billed charges,24.46249408,,,,81.12646,percent of total billed charges,80.51093149,,,,81.12646,percent of total billed charges,55.52775132,,,,,,,,,,82.7352,percent of total billed charges,53.77593307,,,,,,,,,,82.7352,percent of total billed charges,999999999,,,,,,,,,,91.928,percent of total billed charges,77.03088542,,,,90.7789,percent of total billed charges,87.60554516,,,,90.7789,percent of total billed charges,77.40239903,,,,91.928,percent of total billed charges,999999999,,,,91.928,percent of total billed charges,999999999,,,,80.437,percent of total billed charges,999999999,,,,80.437,percent of total billed charges,999999999,,,,,,,,,,,,,,,,61.13212,percent of total billed charges,999999999,,,,,,,,,,,,,,,,58.02955,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,28.7275,percent of total billed charges,27.284098,,,,,,,,,,28.7275,percent of total billed charges,26.83024559,,,,,,,,,,28.7275,percent of total billed charges,26.75568549,,,,,,,,,,28.7275,percent of total billed charges,26.36170834,,,,,,,,,,28.7275,percent of total billed charges,27.04003385,,,,,,,,,,28.7275,percent of total billed charges,999999999,,,,,,,,,,28.7275,percent of total billed charges,23.20225321,,,,,,,,,,28.7275,percent of total billed charges,36.59155333,,,,,,,,,,28.7275,percent of total billed charges,999999999,,,,,,,,,,28.7275,percent of total billed charges,25.01770348,,,,,,,,,,103.419,percent of total billed charges,,,,,
"**MEPERIDINE PCA SYRINGE 10 MG/ML, 30 ML",250,RC,0040-9603-04,NDC,,both,1,EA,36,36,7.663822006,36,36,percent of total billed charges,26.48647893,,,,36,percent of total billed charges,28.07514396,,,,36,percent of total billed charges,26.48647893,,,,36,percent of total billed charges,28.07514396,,,,36,percent of total billed charges,999999999,,,,36,percent of total billed charges,27.42952574,,,,36,percent of total billed charges,26.48647893,,,,36,percent of total billed charges,28.07514396,,,,25.668,percent of total billed charges,12.80880173,,,,25.668,percent of total billed charges,7.663822006,,,,25.668,percent of total billed charges,12.80880173,,,,25.668,percent of total billed charges,7.663822006,,,,25.668,percent of total billed charges,12.80880173,,,,25.668,percent of total billed charges,7.663822006,,,,25.416,percent of total billed charges,25.2231619,,,,25.416,percent of total billed charges,17.39621484,,,,,,,,,,25.92,percent of total billed charges,16.84739005,,,,,,,,,,25.92,percent of total billed charges,999999999,,,,,,,,,,28.8,percent of total billed charges,24.13290293,,,,28.44,percent of total billed charges,27.44582391,,,,28.44,percent of total billed charges,24.24929393,,,,28.8,percent of total billed charges,999999999,,,,28.8,percent of total billed charges,999999999,,,,25.2,percent of total billed charges,999999999,,,,25.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,19.152,percent of total billed charges,999999999,,,,,,,,,,,,,,,,18.18,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9,percent of total billed charges,8.54779852,,,,,,,,,,9,percent of total billed charges,8.405611707,,,,,,,,,,9,percent of total billed charges,8.382252872,,,,,,,,,,9,percent of total billed charges,8.258824301,,,,,,,,,,9,percent of total billed charges,8.471335991,,,,,,,,,,9,percent of total billed charges,999999999,,,,,,,,,,9,percent of total billed charges,7.269002832,,,,,,,,,,9,percent of total billed charges,11.46371873,,,,,,,,,,9,percent of total billed charges,999999999,,,,,,,,,,9,percent of total billed charges,7.837762816,,,,,,,,,,32.4,percent of total billed charges,,,,,
PHYTONADIONE (VITAMIN K) 5 MG TAB,250,RC,6068-7038-11,NDC,,both,1,EA,107.39,107.39,22.86160681,107.39,107.39,percent of total billed charges,79.01063811,,,,107.39,percent of total billed charges,83.74971416,,,,107.39,percent of total billed charges,79.01063811,,,,107.39,percent of total billed charges,83.74971416,,,,107.39,percent of total billed charges,999999999,,,,107.39,percent of total billed charges,81.82379913,,,,107.39,percent of total billed charges,79.01063811,,,,107.39,percent of total billed charges,83.74971416,,,,76.56907,percent of total billed charges,38.20936715,,,,76.56907,percent of total billed charges,22.86160681,,,,76.56907,percent of total billed charges,38.20936715,,,,76.56907,percent of total billed charges,22.86160681,,,,76.56907,percent of total billed charges,38.20936715,,,,76.56907,percent of total billed charges,22.86160681,,,,75.81734,percent of total billed charges,75.24209323,,,,75.81734,percent of total billed charges,51.89387533,,,,,,,,,,77.3208,percent of total billed charges,50.25670048,,,,,,,,,,77.3208,percent of total billed charges,999999999,,,,,,,,,,85.912,percent of total billed charges,71.98979014,,,,84.8381,percent of total billed charges,81.8724175,,,,84.8381,percent of total billed charges,72.33699096,,,,85.912,percent of total billed charges,999999999,,,,85.912,percent of total billed charges,999999999,,,,75.173,percent of total billed charges,999999999,,,,75.173,percent of total billed charges,999999999,,,,,,,,,,,,,,,,57.13148,percent of total billed charges,999999999,,,,,,,,,,,,,,,,54.23195,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,26.8475,percent of total billed charges,25.49855786,,,,,,,,,,26.8475,percent of total billed charges,25.0744067,,,,,,,,,,26.8475,percent of total billed charges,25.004726,,,,,,,,,,26.8475,percent of total billed charges,24.63653171,,,,,,,,,,26.8475,percent of total billed charges,25.27046589,,,,,,,,,,26.8475,percent of total billed charges,999999999,,,,,,,,,,26.8475,percent of total billed charges,21.68383928,,,,,,,,,,26.8475,percent of total billed charges,34.19690986,,,,,,,,,,26.8475,percent of total billed charges,999999999,,,,,,,,,,26.8475,percent of total billed charges,23.38048191,,,,,,,,,,96.651,percent of total billed charges,,,,,
**MEPROBAMATE 400MG: TAB,259,RC,0059-1523-01,NDC,,both,1,EA,43,43,9.154009619,43,43,percent of total billed charges,31.63662761,,,,43,percent of total billed charges,33.53419973,,,,43,percent of total billed charges,31.63662761,,,,43,percent of total billed charges,33.53419973,,,,43,percent of total billed charges,999999999,,,,43,percent of total billed charges,32.76304463,,,,43,percent of total billed charges,31.63662761,,,,43,percent of total billed charges,33.53419973,,,,30.659,percent of total billed charges,15.29940206,,,,30.659,percent of total billed charges,9.154009619,,,,30.659,percent of total billed charges,15.29940206,,,,30.659,percent of total billed charges,9.154009619,,,,30.659,percent of total billed charges,15.29940206,,,,30.659,percent of total billed charges,9.154009619,,,,30.358,percent of total billed charges,30.1276656,,,,30.358,percent of total billed charges,20.77881217,,,,,,,,,,30.96,percent of total billed charges,20.12327145,,,,,,,,,,30.96,percent of total billed charges,999999999,,,,,,,,,,34.4,percent of total billed charges,28.82541183,,,,33.97,percent of total billed charges,32.7825119,,,,33.97,percent of total billed charges,28.96443441,,,,34.4,percent of total billed charges,999999999,,,,34.4,percent of total billed charges,999999999,,,,30.1,percent of total billed charges,999999999,,,,30.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,22.876,percent of total billed charges,999999999,,,,,,,,,,,,,,,,21.715,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10.75,percent of total billed charges,10.20987045,,,,,,,,,,10.75,percent of total billed charges,10.04003621,,,,,,,,,,10.75,percent of total billed charges,10.01213538,,,,,,,,,,10.75,percent of total billed charges,9.864706804,,,,,,,,,,10.75,percent of total billed charges,10.11854021,,,,,,,,,,10.75,percent of total billed charges,999999999,,,,,,,,,,10.75,percent of total billed charges,8.68242005,,,,,,,,,,10.75,percent of total billed charges,13.69277516,,,,,,,,,,10.75,percent of total billed charges,999999999,,,,,,,,,,10.75,percent of total billed charges,9.361772252,,,,,,,,,,38.7,percent of total billed charges,,,,,
DOXEPIN (SINEQUAN) 10MG CAP,637,RC,5107-9043-20,NDC,,both,1,EA,2.35,2.35,0.50027727,2.35,2.35,percent of total billed charges,1.728978485,,,,2.35,percent of total billed charges,1.832683009,,,,2.35,percent of total billed charges,1.728978485,,,,2.35,percent of total billed charges,1.832683009,,,,2.35,percent of total billed charges,999999999,,,,2.35,percent of total billed charges,1.790538486,,,,2.35,percent of total billed charges,1.728978485,,,,2.35,percent of total billed charges,1.832683009,,,,1.67555,percent of total billed charges,0.836130113,,,,1.67555,percent of total billed charges,0.50027727,,,,1.67555,percent of total billed charges,0.836130113,,,,1.67555,percent of total billed charges,0.50027727,,,,1.67555,percent of total billed charges,0.836130113,,,,1.67555,percent of total billed charges,0.50027727,,,,1.6591,percent of total billed charges,1.646511957,,,,1.6591,percent of total billed charges,1.135586247,,,,,,,,,,1.692,percent of total billed charges,1.099760184,,,,,,,,,,1.692,percent of total billed charges,999999999,,,,,,,,,,1.88,percent of total billed charges,1.575342274,,,,1.8565,percent of total billed charges,1.791602394,,,,1.8565,percent of total billed charges,1.58294002,,,,1.88,percent of total billed charges,999999999,,,,1.88,percent of total billed charges,999999999,,,,1.645,percent of total billed charges,999999999,,,,1.645,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.2502,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.18675,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.5875,percent of total billed charges,0.557981292,,,,,,,,,,0.5875,percent of total billed charges,0.548699653,,,,,,,,,,0.5875,percent of total billed charges,0.54717484,,,,,,,,,,0.5875,percent of total billed charges,0.539117697,,,,,,,,,,0.5875,percent of total billed charges,0.552989988,,,,,,,,,,0.5875,percent of total billed charges,999999999,,,,,,,,,,0.5875,percent of total billed charges,0.474504352,,,,,,,,,,0.5875,percent of total billed charges,0.748326084,,,,,,,,,,0.5875,percent of total billed charges,999999999,,,,,,,,,,0.5875,percent of total billed charges,0.511631739,,,,,,,,,,2.115,percent of total billed charges,,,,,
methylPHENIDATE (RITALIN) 5MG TAB,250,RC,0007-8043-05,NDC,,both,1,EA,11.02,11.02,2.34598107,11.02,11.02,percent of total billed charges,8.107805493,,,,11.02,percent of total billed charges,8.594113512,,,,11.02,percent of total billed charges,8.107805493,,,,11.02,percent of total billed charges,8.594113512,,,,11.02,percent of total billed charges,999999999,,,,11.02,percent of total billed charges,8.3964826,,,,11.02,percent of total billed charges,8.107805493,,,,11.02,percent of total billed charges,8.594113512,,,,7.85726,percent of total billed charges,3.920916528,,,,7.85726,percent of total billed charges,2.34598107,,,,7.85726,percent of total billed charges,3.920916528,,,,7.85726,percent of total billed charges,2.34598107,,,,7.85726,percent of total billed charges,3.920916528,,,,7.85726,percent of total billed charges,2.34598107,,,,7.78012,percent of total billed charges,7.721090115,,,,7.78012,percent of total billed charges,5.325174654,,,,,,,,,,7.9344,percent of total billed charges,5.157173287,,,,,,,,,,7.9344,percent of total billed charges,999999999,,,,,,,,,,8.816,percent of total billed charges,7.387349729,,,,8.7058,percent of total billed charges,8.401471653,,,,8.7058,percent of total billed charges,7.422978307,,,,8.816,percent of total billed charges,999999999,,,,8.816,percent of total billed charges,999999999,,,,7.714,percent of total billed charges,999999999,,,,7.714,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.86264,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.5651,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.755,percent of total billed charges,2.616576102,,,,,,,,,,2.755,percent of total billed charges,2.573051139,,,,,,,,,,2.755,percent of total billed charges,2.56590074,,,,,,,,,,2.755,percent of total billed charges,2.528117883,,,,,,,,,,2.755,percent of total billed charges,2.593170073,,,,,,,,,,2.755,percent of total billed charges,999999999,,,,,,,,,,2.755,percent of total billed charges,2.225122534,,,,,,,,,,2.755,percent of total billed charges,3.509171679,,,,,,,,,,2.755,percent of total billed charges,999999999,,,,,,,,,,2.755,percent of total billed charges,2.399226284,,,,,,,,,,9.918,percent of total billed charges,,,,,
TOLTERODINE (DETROL) 2 MG TAB,250,RC,3334-2009-09,NDC,,both,1,EA,1.67,1.67,0.355516188,1.67,1.67,percent of total billed charges,1.228678328,,,,1.67,percent of total billed charges,1.302374734,,,,1.67,percent of total billed charges,1.228678328,,,,1.67,percent of total billed charges,1.302374734,,,,1.67,percent of total billed charges,999999999,,,,1.67,percent of total billed charges,1.272425222,,,,1.67,percent of total billed charges,1.228678328,,,,1.67,percent of total billed charges,1.302374734,,,,1.19071,percent of total billed charges,0.59418608,,,,1.19071,percent of total billed charges,0.355516188,,,,1.19071,percent of total billed charges,0.59418608,,,,1.19071,percent of total billed charges,0.355516188,,,,1.19071,percent of total billed charges,0.59418608,,,,1.19071,percent of total billed charges,0.355516188,,,,1.17902,percent of total billed charges,1.170074455,,,,1.17902,percent of total billed charges,0.806991077,,,,,,,,,,1.2024,percent of total billed charges,0.781531705,,,,,,,,,,1.2024,percent of total billed charges,999999999,,,,,,,,,,1.336,percent of total billed charges,1.119498552,,,,1.3193,percent of total billed charges,1.273181276,,,,1.3193,percent of total billed charges,1.124897802,,,,1.336,percent of total billed charges,999999999,,,,1.336,percent of total billed charges,999999999,,,,1.169,percent of total billed charges,999999999,,,,1.169,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.88844,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.84335,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.4175,percent of total billed charges,0.396522876,,,,,,,,,,0.4175,percent of total billed charges,0.389926988,,,,,,,,,,0.4175,percent of total billed charges,0.388843397,,,,,,,,,,0.4175,percent of total billed charges,0.383117683,,,,,,,,,,0.4175,percent of total billed charges,0.392975864,,,,,,,,,,0.4175,percent of total billed charges,999999999,,,,,,,,,,0.4175,percent of total billed charges,0.337200965,,,,,,,,,,0.4175,percent of total billed charges,0.531789175,,,,,,,,,,0.4175,percent of total billed charges,999999999,,,,,,,,,,0.4175,percent of total billed charges,0.363585108,,,,,,,,,,1.503,percent of total billed charges,,,,,
**BUPROPRION (WELLBUTRIN) 100 MG TAB,259,RC,0009-3029-01,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
LORazepam (ATIVAN) 0.5MG TAB,250,RC,0090-4600-61,NDC,,both,1,EA,1.13,1.13,0.240558857,1.13,1.13,percent of total billed charges,0.831381144,,,,1.13,percent of total billed charges,0.881247574,,,,1.13,percent of total billed charges,0.831381144,,,,1.13,percent of total billed charges,0.881247574,,,,1.13,percent of total billed charges,999999999,,,,1.13,percent of total billed charges,0.860982336,,,,1.13,percent of total billed charges,0.831381144,,,,1.13,percent of total billed charges,0.881247574,,,,0.80569,percent of total billed charges,0.402054054,,,,0.80569,percent of total billed charges,0.240558857,,,,0.80569,percent of total billed charges,0.402054054,,,,0.80569,percent of total billed charges,0.240558857,,,,0.80569,percent of total billed charges,0.402054054,,,,0.80569,percent of total billed charges,0.240558857,,,,0.79778,percent of total billed charges,0.791727026,,,,0.79778,percent of total billed charges,0.546047855,,,,,,,,,,0.8136,percent of total billed charges,0.528820854,,,,,,,,,,0.8136,percent of total billed charges,999999999,,,,,,,,,,0.904,percent of total billed charges,0.757505008,,,,0.8927,percent of total billed charges,0.861493917,,,,0.8927,percent of total billed charges,0.761158393,,,,0.904,percent of total billed charges,999999999,,,,0.904,percent of total billed charges,999999999,,,,0.791,percent of total billed charges,999999999,,,,0.791,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.60116,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.57065,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.2825,percent of total billed charges,0.268305898,,,,,,,,,,0.2825,percent of total billed charges,0.263842812,,,,,,,,,,0.2825,percent of total billed charges,0.263109604,,,,,,,,,,0.2825,percent of total billed charges,0.259235318,,,,,,,,,,0.2825,percent of total billed charges,0.265905824,,,,,,,,,,0.2825,percent of total billed charges,999999999,,,,,,,,,,0.2825,percent of total billed charges,0.228165922,,,,,,,,,,0.2825,percent of total billed charges,0.359833394,,,,,,,,,,0.2825,percent of total billed charges,999999999,,,,,,,,,,0.2825,percent of total billed charges,0.246018666,,,,,,,,,,1.017,percent of total billed charges,,,,,
LORazepam (ATIVAN) 2MG/ML INJ,J2060,CDM,0064-1604-25,NDC,,both,1,EA,33.86,33.86,7.208250365,33.86,33.86,percent of total billed charges,24.9120049,,,,33.86,percent of total billed charges,26.40623262,,,,33.86,percent of total billed charges,24.9120049,,,,33.86,percent of total billed charges,26.40623262,,,,33.86,percent of total billed charges,999999999,,,,33.86,percent of total billed charges,25.79899282,,,,33.86,percent of total billed charges,24.9120049,,,,33.86,percent of total billed charges,26.40623262,,,,24.14218,percent of total billed charges,12.04738962,,,,24.14218,percent of total billed charges,7.208250365,,,,24.14218,percent of total billed charges,12.04738962,,,,24.14218,percent of total billed charges,7.208250365,,,,24.14218,percent of total billed charges,12.04738962,,,,24.14218,percent of total billed charges,7.208250365,,,,23.90516,percent of total billed charges,23.72378505,,,,23.90516,percent of total billed charges,16.36210651,,,,,,,,,,24.3792,percent of total billed charges,15.84590631,,,,,,,,,,24.3792,percent of total billed charges,999999999,,,,,,,,,,27.088,percent of total billed charges,22.69833592,,,,26.7494,percent of total billed charges,25.81432216,,,,26.7494,percent of total billed charges,22.80780812,,,,27.088,percent of total billed charges,999999999,,,,27.088,percent of total billed charges,999999999,,,,23.702,percent of total billed charges,999999999,,,,23.702,percent of total billed charges,999999999,,,,,,,,,,,,,,,,18.01352,percent of total billed charges,999999999,,,,,,,,,,,,,,,,17.0993,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8.465,percent of total billed charges,8.039679385,,,,,,,,,,8.465,percent of total billed charges,7.905944789,,,,,,,,,,8.465,percent of total billed charges,7.883974507,,,,,,,,,,8.465,percent of total billed charges,7.767883078,,,,,,,,,,8.465,percent of total billed charges,7.96776213,,,,,,,,,,8.465,percent of total billed charges,999999999,,,,,,,,,,8.465,percent of total billed charges,6.836900997,,,,,,,,,,8.465,percent of total billed charges,10.78226434,,,,,,,,,,8.465,percent of total billed charges,999999999,,,,,,,,,,8.465,percent of total billed charges,7.371851359,,,,,,,,,,30.474,percent of total billed charges,,,,,
**LOXAPINE SUCCINATE (LOXITANE CAP) 10MG,259,RC,5254-4049-01,NDC,,both,1,EA,9,9,1.915955502,9,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,9,percent of total billed charges,999999999,,,,9,percent of total billed charges,6.857381434,,,,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.354,percent of total billed charges,6.305790475,,,,6.354,percent of total billed charges,4.34905371,,,,,,,,,,6.48,percent of total billed charges,4.211847512,,,,,,,,,,6.48,percent of total billed charges,999999999,,,,,,,,,,7.2,percent of total billed charges,6.033225731,,,,7.11,percent of total billed charges,6.861455978,,,,7.11,percent of total billed charges,6.062323481,,,,7.2,percent of total billed charges,999999999,,,,7.2,percent of total billed charges,999999999,,,,6.3,percent of total billed charges,999999999,,,,6.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.788,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.545,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.25,percent of total billed charges,2.13694963,,,,,,,,,,2.25,percent of total billed charges,2.101402927,,,,,,,,,,2.25,percent of total billed charges,2.095563218,,,,,,,,,,2.25,percent of total billed charges,2.064706075,,,,,,,,,,2.25,percent of total billed charges,2.117833998,,,,,,,,,,2.25,percent of total billed charges,999999999,,,,,,,,,,2.25,percent of total billed charges,1.817250708,,,,,,,,,,2.25,percent of total billed charges,2.865929684,,,,,,,,,,2.25,percent of total billed charges,999999999,,,,,,,,,,2.25,percent of total billed charges,1.959440704,,,,,,,,,,8.1,percent of total billed charges,,,,,
**CLOTRIMAZOLE/BETAMETHASONE (LOTRISON,259,RC,0016-8025-15,NDC,,both,1,EA,221,221,47.04735176,221,221,percent of total billed charges,162.5975512,,,,221,percent of total billed charges,172.3501893,,,,221,percent of total billed charges,162.5975512,,,,221,percent of total billed charges,172.3501893,,,,221,percent of total billed charges,999999999,,,,221,percent of total billed charges,168.3868108,,,,221,percent of total billed charges,162.5975512,,,,221,percent of total billed charges,172.3501893,,,,157.573,percent of total billed charges,78.63181059,,,,157.573,percent of total billed charges,47.04735176,,,,157.573,percent of total billed charges,78.63181059,,,,157.573,percent of total billed charges,47.04735176,,,,157.573,percent of total billed charges,78.63181059,,,,157.573,percent of total billed charges,47.04735176,,,,156.026,percent of total billed charges,154.8421883,,,,156.026,percent of total billed charges,106.79343,,,,,,,,,,159.12,percent of total billed charges,103.4242556,,,,,,,,,,159.12,percent of total billed charges,999999999,,,,,,,,,,176.8,percent of total billed charges,148.1492096,,,,174.59,percent of total billed charges,168.4868635,,,,174.59,percent of total billed charges,148.863721,,,,176.8,percent of total billed charges,999999999,,,,176.8,percent of total billed charges,999999999,,,,154.7,percent of total billed charges,999999999,,,,154.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,117.572,percent of total billed charges,999999999,,,,,,,,,,,,,,,,111.605,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,55.25,percent of total billed charges,52.47398536,,,,,,,,,,55.25,percent of total billed charges,51.60111631,,,,,,,,,,55.25,percent of total billed charges,51.45771902,,,,,,,,,,55.25,percent of total billed charges,50.70000474,,,,,,,,,,55.25,percent of total billed charges,52.00459039,,,,,,,,,,55.25,percent of total billed charges,999999999,,,,,,,,,,55.25,percent of total billed charges,44.62360072,,,,,,,,,,55.25,percent of total billed charges,70.37449557,,,,,,,,,,55.25,percent of total billed charges,999999999,,,,,,,,,,55.25,percent of total billed charges,48.11515506,,,,,,,,,,198.9,percent of total billed charges,,,,,
**LOVASTATIN (MEVACOR) 20MG TAB,250,RC,0009-3057-06,NDC,,both,1,EA,10,10,2.128839446,10,10,percent of total billed charges,7.357355257,,,,10,percent of total billed charges,7.7986511,,,,10,percent of total billed charges,7.357355257,,,,10,percent of total billed charges,7.7986511,,,,10,percent of total billed charges,999999999,,,,10,percent of total billed charges,7.619312704,,,,10,percent of total billed charges,7.357355257,,,,10,percent of total billed charges,7.7986511,,,,7.13,percent of total billed charges,3.558000479,,,,7.13,percent of total billed charges,2.128839446,,,,7.13,percent of total billed charges,3.558000479,,,,7.13,percent of total billed charges,2.128839446,,,,7.13,percent of total billed charges,3.558000479,,,,7.13,percent of total billed charges,2.128839446,,,,7.06,percent of total billed charges,7.006433861,,,,7.06,percent of total billed charges,4.8322819,,,,,,,,,,7.2,percent of total billed charges,4.679830569,,,,,,,,,,7.2,percent of total billed charges,999999999,,,,,,,,,,8,percent of total billed charges,6.703584146,,,,7.9,percent of total billed charges,7.623839976,,,,7.9,percent of total billed charges,6.735914979,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,999999999,,,,7,percent of total billed charges,999999999,,,,7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.32,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.05,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.5,percent of total billed charges,2.374388478,,,,,,,,,,2.5,percent of total billed charges,2.334892141,,,,,,,,,,2.5,percent of total billed charges,2.328403576,,,,,,,,,,2.5,percent of total billed charges,2.294117861,,,,,,,,,,2.5,percent of total billed charges,2.353148886,,,,,,,,,,2.5,percent of total billed charges,999999999,,,,,,,,,,2.5,percent of total billed charges,2.019167453,,,,,,,,,,2.5,percent of total billed charges,3.184366315,,,,,,,,,,2.5,percent of total billed charges,999999999,,,,,,,,,,2.5,percent of total billed charges,2.177156338,,,,,,,,,,9,percent of total billed charges,,,,,
FLUoxetine (PROzac) 10MG CAP,637,RC,0077-7310-02,NDC,,both,1,EA,0.5,0.5,0.106441972,0.5,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,999999999,,,,0.5,percent of total billed charges,0.380965635,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.353,percent of total billed charges,0.350321693,,,,0.353,percent of total billed charges,0.241614095,,,,,,,,,,0.36,percent of total billed charges,0.233991528,,,,,,,,,,0.36,percent of total billed charges,999999999,,,,,,,,,,0.4,percent of total billed charges,0.335179207,,,,0.395,percent of total billed charges,0.381191999,,,,0.395,percent of total billed charges,0.336795749,,,,0.4,percent of total billed charges,999999999,,,,0.4,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.266,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.2525,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.125,percent of total billed charges,0.118719424,,,,,,,,,,0.125,percent of total billed charges,0.116744607,,,,,,,,,,0.125,percent of total billed charges,0.116420179,,,,,,,,,,0.125,percent of total billed charges,0.114705893,,,,,,,,,,0.125,percent of total billed charges,0.117657444,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.100958373,,,,,,,,,,0.125,percent of total billed charges,0.159218316,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.108857817,,,,,,,,,,0.45,percent of total billed charges,,,,,
TETANUS IMMUNE GLOB (HyperTET) 250 UNITS,J1670,CDM,1353-3063-02,NDC,,both,1,EA,4228.19,4228.19,900.1137658,4228.19,4228.19,percent of total billed charges,3110.829593,,,,4228.19,percent of total billed charges,3297.417859,,,,4228.19,percent of total billed charges,3110.829593,,,,4228.19,percent of total billed charges,3297.417859,,,,4228.19,percent of total billed charges,999999999,,,,4228.19,percent of total billed charges,3221.590178,,,,4228.19,percent of total billed charges,3110.829593,,,,4228.19,percent of total billed charges,3297.417859,,,,3014.69947,percent of total billed charges,1504.390205,,,,3014.69947,percent of total billed charges,900.1137658,,,,3014.69947,percent of total billed charges,1504.390205,,,,3014.69947,percent of total billed charges,900.1137658,,,,3014.69947,percent of total billed charges,1504.390205,,,,3014.69947,percent of total billed charges,900.1137658,,,,2985.10214,percent of total billed charges,2962.453359,,,,2985.10214,percent of total billed charges,2043.180601,,,,,,,,,,3044.2968,percent of total billed charges,1978.721281,,,,,,,,,,3044.2968,percent of total billed charges,999999999,,,,,,,,,,3382.552,percent of total billed charges,2834.402745,,,,3340.2701,percent of total billed charges,3223.504395,,,,3340.2701,percent of total billed charges,2848.072836,,,,3382.552,percent of total billed charges,999999999,,,,3382.552,percent of total billed charges,999999999,,,,2959.733,percent of total billed charges,999999999,,,,2959.733,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2249.39708,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2135.23595,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1057.0475,percent of total billed charges,1003.936562,,,,,,,,,,1057.0475,percent of total billed charges,987.2367601,,,,,,,,,,1057.0475,percent of total billed charges,984.4932714,,,,,,,,,,1057.0475,percent of total billed charges,969.99662,,,,,,,,,,1057.0475,percent of total billed charges,994.956059,,,,,,,,,,1057.0475,percent of total billed charges,999999999,,,,,,,,,,1057.0475,percent of total billed charges,853.7423635,,,,,,,,,,1057.0475,percent of total billed charges,1346.410581,,,,,,,,,,1057.0475,percent of total billed charges,999999999,,,,,,,,,,1057.0475,percent of total billed charges,920.5430655,,,,,,,,,,3805.371,percent of total billed charges,,,,,
TETANUS-DIPTH TOXOIDS  0.5 ML INJ,636,RC,4928-1021-10,NDC,,both,1,EA,349.86,349.86,74.47957687,349.86,349.86,percent of total billed charges,257.404431,,,,349.86,percent of total billed charges,272.8436074,,,,349.86,percent of total billed charges,257.404431,,,,349.86,percent of total billed charges,272.8436074,,,,349.86,percent of total billed charges,999999999,,,,349.86,percent of total billed charges,266.5692743,,,,349.86,percent of total billed charges,257.404431,,,,349.86,percent of total billed charges,272.8436074,,,,249.45018,percent of total billed charges,124.4802048,,,,249.45018,percent of total billed charges,74.47957687,,,,249.45018,percent of total billed charges,124.4802048,,,,249.45018,percent of total billed charges,74.47957687,,,,249.45018,percent of total billed charges,124.4802048,,,,249.45018,percent of total billed charges,74.47957687,,,,247.00116,percent of total billed charges,245.1270951,,,,247.00116,percent of total billed charges,169.0622146,,,,,,,,,,251.8992,percent of total billed charges,163.7285523,,,,,,,,,,251.8992,percent of total billed charges,999999999,,,,,,,,,,279.888,percent of total billed charges,234.5315949,,,,276.3894,percent of total billed charges,266.7276654,,,,276.3894,percent of total billed charges,235.6627215,,,,279.888,percent of total billed charges,999999999,,,,279.888,percent of total billed charges,999999999,,,,244.902,percent of total billed charges,999999999,,,,244.902,percent of total billed charges,999999999,,,,,,,,,,,,,,,,186.12552,percent of total billed charges,999999999,,,,,,,,,,,,,,,,176.6793,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,87.465,percent of total billed charges,83.07035528,,,,,,,,,,87.465,percent of total billed charges,81.68853644,,,,,,,,,,87.465,percent of total billed charges,81.4615275,,,,,,,,,,87.465,percent of total billed charges,80.2620075,,,,,,,,,,87.465,percent of total billed charges,82.32726694,,,,,,,,,,87.465,percent of total billed charges,999999999,,,,,,,,,,87.465,percent of total billed charges,70.64259253,,,,,,,,,,87.465,percent of total billed charges,111.4082399,,,,,,,,,,87.465,percent of total billed charges,999999999,,,,,,,,,,87.465,percent of total billed charges,76.16999163,,,,,,,,,,314.874,percent of total billed charges,,,,,
THEOPHYLLINE (THEODUR) ER 200 MG TAB,259,RC,5224-4020-10,NDC,,both,1,EA,10.6,10.6,2.256569813,10.6,10.6,percent of total billed charges,7.798796573,,,,10.6,percent of total billed charges,8.266570166,,,,10.6,percent of total billed charges,7.798796573,,,,10.6,percent of total billed charges,8.266570166,,,,10.6,percent of total billed charges,999999999,,,,10.6,percent of total billed charges,8.076471467,,,,10.6,percent of total billed charges,7.798796573,,,,10.6,percent of total billed charges,8.266570166,,,,7.5578,percent of total billed charges,3.771480508,,,,7.5578,percent of total billed charges,2.256569813,,,,7.5578,percent of total billed charges,3.771480508,,,,7.5578,percent of total billed charges,2.256569813,,,,7.5578,percent of total billed charges,3.771480508,,,,7.5578,percent of total billed charges,2.256569813,,,,7.4836,percent of total billed charges,7.426819892,,,,7.4836,percent of total billed charges,5.122218814,,,,,,,,,,7.632,percent of total billed charges,4.960620403,,,,,,,,,,7.632,percent of total billed charges,999999999,,,,,,,,,,8.48,percent of total billed charges,7.105799195,,,,8.374,percent of total billed charges,8.081270374,,,,8.374,percent of total billed charges,7.140069878,,,,8.48,percent of total billed charges,999999999,,,,8.48,percent of total billed charges,999999999,,,,7.42,percent of total billed charges,999999999,,,,7.42,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.6392,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.353,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.65,percent of total billed charges,2.516851786,,,,,,,,,,2.65,percent of total billed charges,2.474985669,,,,,,,,,,2.65,percent of total billed charges,2.46810779,,,,,,,,,,2.65,percent of total billed charges,2.431764933,,,,,,,,,,2.65,percent of total billed charges,2.49433782,,,,,,,,,,2.65,percent of total billed charges,999999999,,,,,,,,,,2.65,percent of total billed charges,2.140317501,,,,,,,,,,2.65,percent of total billed charges,3.375428294,,,,,,,,,,2.65,percent of total billed charges,999999999,,,,,,,,,,2.65,percent of total billed charges,2.307785718,,,,,,,,,,9.54,percent of total billed charges,,,,,
THEOPHYLLINE (THEODUR) ER 300 MG TAB,637,RC,6233-2002-31,NDC,,both,1,EA,13.02,13.02,2.771748959,13.02,13.02,percent of total billed charges,9.579276545,,,,13.02,percent of total billed charges,10.15384373,,,,13.02,percent of total billed charges,9.579276545,,,,13.02,percent of total billed charges,10.15384373,,,,13.02,percent of total billed charges,999999999,,,,13.02,percent of total billed charges,9.920345141,,,,13.02,percent of total billed charges,9.579276545,,,,13.02,percent of total billed charges,10.15384373,,,,9.28326,percent of total billed charges,4.632516624,,,,9.28326,percent of total billed charges,2.771748959,,,,9.28326,percent of total billed charges,4.632516624,,,,9.28326,percent of total billed charges,2.771748959,,,,9.28326,percent of total billed charges,4.632516624,,,,9.28326,percent of total billed charges,2.771748959,,,,9.19212,percent of total billed charges,9.122376887,,,,9.19212,percent of total billed charges,6.291631034,,,,,,,,,,9.3744,percent of total billed charges,6.093139401,,,,,,,,,,9.3744,percent of total billed charges,999999999,,,,,,,,,,10.416,percent of total billed charges,8.728066558,,,,10.2858,percent of total billed charges,9.926239649,,,,10.2858,percent of total billed charges,8.770161303,,,,10.416,percent of total billed charges,999999999,,,,10.416,percent of total billed charges,999999999,,,,9.114,percent of total billed charges,999999999,,,,9.114,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.92664,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.5751,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3.255,percent of total billed charges,3.091453798,,,,,,,,,,3.255,percent of total billed charges,3.040029567,,,,,,,,,,3.255,percent of total billed charges,3.031581455,,,,,,,,,,3.255,percent of total billed charges,2.986941455,,,,,,,,,,3.255,percent of total billed charges,3.06379985,,,,,,,,,,3.255,percent of total billed charges,999999999,,,,,,,,,,3.255,percent of total billed charges,2.628956024,,,,,,,,,,3.255,percent of total billed charges,4.146044942,,,,,,,,,,3.255,percent of total billed charges,999999999,,,,,,,,,,3.255,percent of total billed charges,2.834657552,,,,,,,,,,11.718,percent of total billed charges,,,,,
**TRIAMCINOLONE OINT 0.1% :30 GM,250,RC,0016-8000-80,NDC,,both,1,EA,30,30,6.386518339,30,30,percent of total billed charges,22.07206577,,,,30,percent of total billed charges,23.3959533,,,,30,percent of total billed charges,22.07206577,,,,30,percent of total billed charges,23.3959533,,,,30,percent of total billed charges,999999999,,,,30,percent of total billed charges,22.85793811,,,,30,percent of total billed charges,22.07206577,,,,30,percent of total billed charges,23.3959533,,,,21.39,percent of total billed charges,10.67400144,,,,21.39,percent of total billed charges,6.386518339,,,,21.39,percent of total billed charges,10.67400144,,,,21.39,percent of total billed charges,6.386518339,,,,21.39,percent of total billed charges,10.67400144,,,,21.39,percent of total billed charges,6.386518339,,,,21.18,percent of total billed charges,21.01930158,,,,21.18,percent of total billed charges,14.4968457,,,,,,,,,,21.6,percent of total billed charges,14.03949171,,,,,,,,,,21.6,percent of total billed charges,999999999,,,,,,,,,,24,percent of total billed charges,20.11075244,,,,23.7,percent of total billed charges,22.87151993,,,,23.7,percent of total billed charges,20.20774494,,,,24,percent of total billed charges,999999999,,,,24,percent of total billed charges,999999999,,,,21,percent of total billed charges,999999999,,,,21,percent of total billed charges,999999999,,,,,,,,,,,,,,,,15.96,percent of total billed charges,999999999,,,,,,,,,,,,,,,,15.15,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7.5,percent of total billed charges,7.123165433,,,,,,,,,,7.5,percent of total billed charges,7.004676423,,,,,,,,,,7.5,percent of total billed charges,6.985210727,,,,,,,,,,7.5,percent of total billed charges,6.882353584,,,,,,,,,,7.5,percent of total billed charges,7.059446659,,,,,,,,,,7.5,percent of total billed charges,999999999,,,,,,,,,,7.5,percent of total billed charges,6.05750236,,,,,,,,,,7.5,percent of total billed charges,9.553098946,,,,,,,,,,7.5,percent of total billed charges,999999999,,,,,,,,,,7.5,percent of total billed charges,6.531469013,,,,,,,,,,27,percent of total billed charges,,,,,
MULTIVITAMIN LIQUID (THERAVITE) 15ML UD,250,RC,6961-8000-58,NDC,,both,1,EA,7.82,7.82,1.664752447,7.82,7.82,percent of total billed charges,5.753451811,,,,7.82,percent of total billed charges,6.09854516,,,,7.82,percent of total billed charges,5.753451811,,,,7.82,percent of total billed charges,6.09854516,,,,7.82,percent of total billed charges,999999999,,,,7.82,percent of total billed charges,5.958302535,,,,7.82,percent of total billed charges,5.753451811,,,,7.82,percent of total billed charges,6.09854516,,,,5.57566,percent of total billed charges,2.782356375,,,,5.57566,percent of total billed charges,1.664752447,,,,5.57566,percent of total billed charges,2.782356375,,,,5.57566,percent of total billed charges,1.664752447,,,,5.57566,percent of total billed charges,2.782356375,,,,5.57566,percent of total billed charges,1.664752447,,,,5.52092,percent of total billed charges,5.479031279,,,,5.52092,percent of total billed charges,3.778844446,,,,,,,,,,5.6304,percent of total billed charges,3.659627505,,,,,,,,,,5.6304,percent of total billed charges,999999999,,,,,,,,,,6.256,percent of total billed charges,5.242202802,,,,6.1778,percent of total billed charges,5.961842861,,,,6.1778,percent of total billed charges,5.267485514,,,,6.256,percent of total billed charges,999999999,,,,6.256,percent of total billed charges,999999999,,,,5.474,percent of total billed charges,999999999,,,,5.474,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.16024,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.9491,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.955,percent of total billed charges,1.85677179,,,,,,,,,,1.955,percent of total billed charges,1.825885654,,,,,,,,,,1.955,percent of total billed charges,1.820811596,,,,,,,,,,1.955,percent of total billed charges,1.794000168,,,,,,,,,,1.955,percent of total billed charges,1.840162429,,,,,,,,,,1.955,percent of total billed charges,999999999,,,,,,,,,,1.955,percent of total billed charges,1.578988949,,,,,,,,,,1.955,percent of total billed charges,2.490174458,,,,,,,,,,1.955,percent of total billed charges,999999999,,,,,,,,,,1.955,percent of total billed charges,1.702536256,,,,,,,,,,7.038,percent of total billed charges,,,,,
**THIAMINE (VITAMIN B-1) TAB  50MG,259,RC,0053-6467-01,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
THIAMINE (VIT B 1): 200MG/2 ML VIAL,J3411,CDM,6332-3001-02,NDC,,both,1,EA,68.05,68.05,14.48675243,68.05,68.05,percent of total billed charges,50.06680253,,,,68.05,percent of total billed charges,53.06982074,,,,68.05,percent of total billed charges,50.06680253,,,,68.05,percent of total billed charges,53.06982074,,,,68.05,percent of total billed charges,999999999,,,,68.05,percent of total billed charges,51.84942295,,,,68.05,percent of total billed charges,50.06680253,,,,68.05,percent of total billed charges,53.06982074,,,,48.51965,percent of total billed charges,24.21219326,,,,48.51965,percent of total billed charges,14.48675243,,,,48.51965,percent of total billed charges,24.21219326,,,,48.51965,percent of total billed charges,14.48675243,,,,48.51965,percent of total billed charges,24.21219326,,,,48.51965,percent of total billed charges,14.48675243,,,,48.0433,percent of total billed charges,47.67878242,,,,48.0433,percent of total billed charges,32.88367833,,,,,,,,,,48.996,percent of total billed charges,31.84624702,,,,,,,,,,48.996,percent of total billed charges,999999999,,,,,,,,,,54.44,percent of total billed charges,45.61789011,,,,53.7595,percent of total billed charges,51.88023104,,,,53.7595,percent of total billed charges,45.83790143,,,,54.44,percent of total billed charges,999999999,,,,54.44,percent of total billed charges,999999999,,,,47.635,percent of total billed charges,999999999,,,,47.635,percent of total billed charges,999999999,,,,,,,,,,,,,,,,36.2026,percent of total billed charges,999999999,,,,,,,,,,,,,,,,34.36525,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17.0125,percent of total billed charges,16.15771359,,,,,,,,,,17.0125,percent of total billed charges,15.88894102,,,,,,,,,,17.0125,percent of total billed charges,15.84478633,,,,,,,,,,17.0125,percent of total billed charges,15.61147205,,,,,,,,,,17.0125,percent of total billed charges,16.01317817,,,,,,,,,,17.0125,percent of total billed charges,999999999,,,,,,,,,,17.0125,percent of total billed charges,13.74043452,,,,,,,,,,17.0125,percent of total billed charges,21.66961277,,,,,,,,,,17.0125,percent of total billed charges,999999999,,,,,,,,,,17.0125,percent of total billed charges,14.81554888,,,,,,,,,,61.245,percent of total billed charges,,,,,
THIORIDAZINE (MELLARIL) 10MG TAB,259,RC,5107-9056-20,NDC,,both,1,EA,1.33,1.33,0.283135646,1.33,1.33,percent of total billed charges,0.978528249,,,,1.33,percent of total billed charges,1.037220596,,,,1.33,percent of total billed charges,0.978528249,,,,1.33,percent of total billed charges,1.037220596,,,,1.33,percent of total billed charges,999999999,,,,1.33,percent of total billed charges,1.01336859,,,,1.33,percent of total billed charges,0.978528249,,,,1.33,percent of total billed charges,1.037220596,,,,0.94829,percent of total billed charges,0.473214064,,,,0.94829,percent of total billed charges,0.283135646,,,,0.94829,percent of total billed charges,0.473214064,,,,0.94829,percent of total billed charges,0.283135646,,,,0.94829,percent of total billed charges,0.473214064,,,,0.94829,percent of total billed charges,0.283135646,,,,0.93898,percent of total billed charges,0.931855703,,,,0.93898,percent of total billed charges,0.642693493,,,,,,,,,,0.9576,percent of total billed charges,0.622417466,,,,,,,,,,0.9576,percent of total billed charges,999999999,,,,,,,,,,1.064,percent of total billed charges,0.891576691,,,,1.0507,percent of total billed charges,1.013970717,,,,1.0507,percent of total billed charges,0.895876692,,,,1.064,percent of total billed charges,999999999,,,,1.064,percent of total billed charges,999999999,,,,0.931,percent of total billed charges,999999999,,,,0.931,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.70756,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.67165,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.3325,percent of total billed charges,0.315793668,,,,,,,,,,0.3325,percent of total billed charges,0.310540655,,,,,,,,,,0.3325,percent of total billed charges,0.309677676,,,,,,,,,,0.3325,percent of total billed charges,0.305117676,,,,,,,,,,0.3325,percent of total billed charges,0.312968802,,,,,,,,,,0.3325,percent of total billed charges,999999999,,,,,,,,,,0.3325,percent of total billed charges,0.268549271,,,,,,,,,,0.3325,percent of total billed charges,0.42352072,,,,,,,,,,0.3325,percent of total billed charges,999999999,,,,,,,,,,0.3325,percent of total billed charges,0.289561793,,,,,,,,,,1.197,percent of total billed charges,,,,,
THIORIDAZINE (MELLARIL) 25MG TAB,259,RC,5107-9056-20,NDC,,both,1,EA,2.44,2.44,0.519436825,2.44,2.44,percent of total billed charges,1.795194683,,,,2.44,percent of total billed charges,1.902870868,,,,2.44,percent of total billed charges,1.795194683,,,,2.44,percent of total billed charges,1.902870868,,,,2.44,percent of total billed charges,999999999,,,,2.44,percent of total billed charges,1.8591123,,,,2.44,percent of total billed charges,1.795194683,,,,2.44,percent of total billed charges,1.902870868,,,,1.73972,percent of total billed charges,0.868152117,,,,1.73972,percent of total billed charges,0.519436825,,,,1.73972,percent of total billed charges,0.868152117,,,,1.73972,percent of total billed charges,0.519436825,,,,1.73972,percent of total billed charges,0.868152117,,,,1.73972,percent of total billed charges,0.519436825,,,,1.72264,percent of total billed charges,1.709569862,,,,1.72264,percent of total billed charges,1.179076784,,,,,,,,,,1.7568,percent of total billed charges,1.141878659,,,,,,,,,,1.7568,percent of total billed charges,999999999,,,,,,,,,,1.952,percent of total billed charges,1.635674532,,,,1.9276,percent of total billed charges,1.860216954,,,,1.9276,percent of total billed charges,1.643563255,,,,1.952,percent of total billed charges,999999999,,,,1.952,percent of total billed charges,999999999,,,,1.708,percent of total billed charges,999999999,,,,1.708,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.29808,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.2322,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.61,percent of total billed charges,0.579350789,,,,,,,,,,0.61,percent of total billed charges,0.569713682,,,,,,,,,,0.61,percent of total billed charges,0.568130472,,,,,,,,,,0.61,percent of total billed charges,0.559764758,,,,,,,,,,0.61,percent of total billed charges,0.574168328,,,,,,,,,,0.61,percent of total billed charges,999999999,,,,,,,,,,0.61,percent of total billed charges,0.492676859,,,,,,,,,,0.61,percent of total billed charges,0.776985381,,,,,,,,,,0.61,percent of total billed charges,999999999,,,,,,,,,,0.61,percent of total billed charges,0.531226146,,,,,,,,,,2.196,percent of total billed charges,,,,,
**LAMIVUDINE (EPIVIR) 150MG TAB,259,RC,0017-3047-01,NDC,,both,1,EA,17,17,3.619027059,17,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,17,percent of total billed charges,999999999,,,,17,percent of total billed charges,12.9528316,,,,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.002,percent of total billed charges,11.91093756,,,,12.002,percent of total billed charges,8.214879231,,,,,,,,,,12.24,percent of total billed charges,7.955711967,,,,,,,,,,12.24,percent of total billed charges,999999999,,,,,,,,,,13.6,percent of total billed charges,11.39609305,,,,13.43,percent of total billed charges,12.96052796,,,,13.43,percent of total billed charges,11.45105547,,,,13.6,percent of total billed charges,999999999,,,,13.6,percent of total billed charges,999999999,,,,11.9,percent of total billed charges,999999999,,,,11.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.044,percent of total billed charges,999999999,,,,,,,,,,,,,,,,8.585,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4.25,percent of total billed charges,4.036460412,,,,,,,,,,4.25,percent of total billed charges,3.96931664,,,,,,,,,,4.25,percent of total billed charges,3.958286079,,,,,,,,,,4.25,percent of total billed charges,3.900000364,,,,,,,,,,4.25,percent of total billed charges,4.000353107,,,,,,,,,,4.25,percent of total billed charges,999999999,,,,,,,,,,4.25,percent of total billed charges,3.432584671,,,,,,,,,,4.25,percent of total billed charges,5.413422736,,,,,,,,,,4.25,percent of total billed charges,999999999,,,,,,,,,,4.25,percent of total billed charges,3.701165774,,,,,,,,,,15.3,percent of total billed charges,,,,,
THYROID TABLET 30MG,250,RC,5009-0679-00,NDC,,both,1,EA,2.98,2.98,0.634394155,2.98,2.98,percent of total billed charges,2.192491867,,,,2.98,percent of total billed charges,2.323998028,,,,2.98,percent of total billed charges,2.192491867,,,,2.98,percent of total billed charges,2.323998028,,,,2.98,percent of total billed charges,999999999,,,,2.98,percent of total billed charges,2.270555186,,,,2.98,percent of total billed charges,2.192491867,,,,2.98,percent of total billed charges,2.323998028,,,,2.12474,percent of total billed charges,1.060284143,,,,2.12474,percent of total billed charges,0.634394155,,,,2.12474,percent of total billed charges,1.060284143,,,,2.12474,percent of total billed charges,0.634394155,,,,2.12474,percent of total billed charges,1.060284143,,,,2.12474,percent of total billed charges,0.634394155,,,,2.10388,percent of total billed charges,2.08791729,,,,2.10388,percent of total billed charges,1.440020006,,,,,,,,,,2.1456,percent of total billed charges,1.394589509,,,,,,,,,,2.1456,percent of total billed charges,999999999,,,,,,,,,,2.384,percent of total billed charges,1.997668075,,,,2.3542,percent of total billed charges,2.271904313,,,,2.3542,percent of total billed charges,2.007302664,,,,2.384,percent of total billed charges,999999999,,,,2.384,percent of total billed charges,999999999,,,,2.086,percent of total billed charges,999999999,,,,2.086,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.58536,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.5049,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.745,percent of total billed charges,0.707567766,,,,,,,,,,0.745,percent of total billed charges,0.695797858,,,,,,,,,,0.745,percent of total billed charges,0.693864266,,,,,,,,,,0.745,percent of total billed charges,0.683647123,,,,,,,,,,0.745,percent of total billed charges,0.701238368,,,,,,,,,,0.745,percent of total billed charges,999999999,,,,,,,,,,0.745,percent of total billed charges,0.601711901,,,,,,,,,,0.745,percent of total billed charges,0.948941162,,,,,,,,,,0.745,percent of total billed charges,999999999,,,,,,,,,,0.745,percent of total billed charges,0.648792589,,,,,,,,,,2.682,percent of total billed charges,,,,,
**TIMOLOL (TIMOPTIC) OPHTH SOL 0.25% 5ML,259,RC,2420-8033-05,NDC,,both,1,EA,44,44,9.366893563,44,44,percent of total billed charges,32.37236313,,,,44,percent of total billed charges,34.31406484,,,,44,percent of total billed charges,32.37236313,,,,44,percent of total billed charges,34.31406484,,,,44,percent of total billed charges,999999999,,,,44,percent of total billed charges,33.5249759,,,,44,percent of total billed charges,32.37236313,,,,44,percent of total billed charges,34.31406484,,,,31.372,percent of total billed charges,15.65520211,,,,31.372,percent of total billed charges,9.366893563,,,,31.372,percent of total billed charges,15.65520211,,,,31.372,percent of total billed charges,9.366893563,,,,31.372,percent of total billed charges,15.65520211,,,,31.372,percent of total billed charges,9.366893563,,,,31.064,percent of total billed charges,30.82830899,,,,31.064,percent of total billed charges,21.26204036,,,,,,,,,,31.68,percent of total billed charges,20.5912545,,,,,,,,,,31.68,percent of total billed charges,999999999,,,,,,,,,,35.2,percent of total billed charges,29.49577024,,,,34.76,percent of total billed charges,33.54489589,,,,34.76,percent of total billed charges,29.63802591,,,,35.2,percent of total billed charges,999999999,,,,35.2,percent of total billed charges,999999999,,,,30.8,percent of total billed charges,999999999,,,,30.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,23.408,percent of total billed charges,999999999,,,,,,,,,,,,,,,,22.22,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11,percent of total billed charges,10.4473093,,,,,,,,,,11,percent of total billed charges,10.27352542,,,,,,,,,,11,percent of total billed charges,10.24497573,,,,,,,,,,11,percent of total billed charges,10.09411859,,,,,,,,,,11,percent of total billed charges,10.3538551,,,,,,,,,,11,percent of total billed charges,999999999,,,,,,,,,,11,percent of total billed charges,8.884336795,,,,,,,,,,11,percent of total billed charges,14.01121179,,,,,,,,,,11,percent of total billed charges,999999999,,,,,,,,,,11,percent of total billed charges,9.579487886,,,,,,,,,,39.6,percent of total billed charges,,,,,
**TIMOLOL (TIMOPTIC) OPHTH SOL 0.5% 10ML,250,RC,6131-4022-10,NDC,,both,1,EA,85,85,18.09513529,85,85,percent of total billed charges,62.53751969,,,,85,percent of total billed charges,66.28853435,,,,85,percent of total billed charges,62.53751969,,,,85,percent of total billed charges,66.28853435,,,,85,percent of total billed charges,999999999,,,,85,percent of total billed charges,64.76415799,,,,85,percent of total billed charges,62.53751969,,,,85,percent of total billed charges,66.28853435,,,,60.605,percent of total billed charges,30.24300407,,,,60.605,percent of total billed charges,18.09513529,,,,60.605,percent of total billed charges,30.24300407,,,,60.605,percent of total billed charges,18.09513529,,,,60.605,percent of total billed charges,30.24300407,,,,60.605,percent of total billed charges,18.09513529,,,,60.01,percent of total billed charges,59.55468782,,,,60.01,percent of total billed charges,41.07439615,,,,,,,,,,61.2,percent of total billed charges,39.77855983,,,,,,,,,,61.2,percent of total billed charges,999999999,,,,,,,,,,68,percent of total billed charges,56.98046524,,,,67.15,percent of total billed charges,64.80263979,,,,67.15,percent of total billed charges,57.25527733,,,,68,percent of total billed charges,999999999,,,,68,percent of total billed charges,999999999,,,,59.5,percent of total billed charges,999999999,,,,59.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,45.22,percent of total billed charges,999999999,,,,,,,,,,,,,,,,42.925,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21.25,percent of total billed charges,20.18230206,,,,,,,,,,21.25,percent of total billed charges,19.8465832,,,,,,,,,,21.25,percent of total billed charges,19.79143039,,,,,,,,,,21.25,percent of total billed charges,19.50000182,,,,,,,,,,21.25,percent of total billed charges,20.00176553,,,,,,,,,,21.25,percent of total billed charges,999999999,,,,,,,,,,21.25,percent of total billed charges,17.16292335,,,,,,,,,,21.25,percent of total billed charges,27.06711368,,,,,,,,,,21.25,percent of total billed charges,999999999,,,,,,,,,,21.25,percent of total billed charges,18.50582887,,,,,,,,,,76.5,percent of total billed charges,,,,,
TOBRAMYCIN (TOBREX) 0.3% OPHTH SOLN 5 ML,637,RC,7006-9013-01,NDC,,both,1,EA,121.07,121.07,25.77385918,121.07,121.07,percent of total billed charges,89.0755001,,,,121.07,percent of total billed charges,94.41826887,,,,121.07,percent of total billed charges,89.0755001,,,,121.07,percent of total billed charges,94.41826887,,,,121.07,percent of total billed charges,999999999,,,,121.07,percent of total billed charges,92.24701891,,,,121.07,percent of total billed charges,89.0755001,,,,121.07,percent of total billed charges,94.41826887,,,,86.32291,percent of total billed charges,43.0767118,,,,86.32291,percent of total billed charges,25.77385918,,,,86.32291,percent of total billed charges,43.0767118,,,,86.32291,percent of total billed charges,25.77385918,,,,86.32291,percent of total billed charges,43.0767118,,,,86.32291,percent of total billed charges,25.77385918,,,,85.47542,percent of total billed charges,84.82689475,,,,85.47542,percent of total billed charges,58.50443697,,,,,,,,,,87.1704,percent of total billed charges,56.6587087,,,,,,,,,,87.1704,percent of total billed charges,999999999,,,,,,,,,,96.856,percent of total billed charges,81.16029325,,,,95.6453,percent of total billed charges,92.30183059,,,,95.6453,percent of total billed charges,81.55172266,,,,96.856,percent of total billed charges,999999999,,,,96.856,percent of total billed charges,999999999,,,,84.749,percent of total billed charges,999999999,,,,84.749,percent of total billed charges,999999999,,,,,,,,,,,,,,,,64.40924,percent of total billed charges,999999999,,,,,,,,,,,,,,,,61.14035,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,30.2675,percent of total billed charges,28.7467213,,,,,,,,,,30.2675,percent of total billed charges,28.26853915,,,,,,,,,,30.2675,percent of total billed charges,28.18998209,,,,,,,,,,30.2675,percent of total billed charges,27.77488495,,,,,,,,,,30.2675,percent of total billed charges,28.48957357,,,,,,,,,,30.2675,percent of total billed charges,999999999,,,,,,,,,,30.2675,percent of total billed charges,24.44606036,,,,,,,,,,30.2675,percent of total billed charges,38.55312298,,,,,,,,,,30.2675,percent of total billed charges,999999999,,,,,,,,,,30.2675,percent of total billed charges,26.35883178,,,,,,,,,,108.963,percent of total billed charges,,,,,
TOBRAMYCIN (TOBREX) 0.3% OP OINT 3.5GM,637,RC,0006-5064-35,NDC,,both,1,EA,630.17,630.17,134.1530754,630.17,630.17,percent of total billed charges,463.6384562,,,,630.17,percent of total billed charges,491.4475964,,,,630.17,percent of total billed charges,463.6384562,,,,630.17,percent of total billed charges,491.4475964,,,,630.17,percent of total billed charges,999999999,,,,630.17,percent of total billed charges,480.1462287,,,,630.17,percent of total billed charges,463.6384562,,,,630.17,percent of total billed charges,491.4475964,,,,449.31121,percent of total billed charges,224.2145162,,,,449.31121,percent of total billed charges,134.1530754,,,,449.31121,percent of total billed charges,224.2145162,,,,449.31121,percent of total billed charges,134.1530754,,,,449.31121,percent of total billed charges,224.2145162,,,,449.31121,percent of total billed charges,134.1530754,,,,444.90002,percent of total billed charges,441.5244426,,,,444.90002,percent of total billed charges,304.5159085,,,,,,,,,,453.7224,percent of total billed charges,294.908883,,,,,,,,,,453.7224,percent of total billed charges,999999999,,,,,,,,,,504.136,percent of total billed charges,422.4397621,,,,497.8343,percent of total billed charges,480.4315238,,,,497.8343,percent of total billed charges,424.4771543,,,,504.136,percent of total billed charges,999999999,,,,504.136,percent of total billed charges,999999999,,,,441.119,percent of total billed charges,999999999,,,,441.119,percent of total billed charges,999999999,,,,,,,,,,,,,,,,335.25044,percent of total billed charges,999999999,,,,,,,,,,,,,,,,318.23585,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,157.5425,percent of total billed charges,149.6268387,,,,,,,,,,157.5425,percent of total billed charges,147.137898,,,,,,,,,,157.5425,percent of total billed charges,146.7290081,,,,,,,,,,157.5425,percent of total billed charges,144.5684253,,,,,,,,,,157.5425,percent of total billed charges,148.2883834,,,,,,,,,,157.5425,percent of total billed charges,999999999,,,,,,,,,,157.5425,percent of total billed charges,127.2418754,,,,,,,,,,157.5425,percent of total billed charges,200.6692121,,,,,,,,,,157.5425,percent of total billed charges,999999999,,,,,,,,,,157.5425,percent of total billed charges,137.1978609,,,,,,,,,,567.153,percent of total billed charges,,,,,
**ISOSORBIDE DINITRATE(SORBITRATE)40MG T,250,RC,5886-4030-90,NDC,,both,1,EA,50,50,10.64419723,50,50,percent of total billed charges,36.78677629,,,,50,percent of total billed charges,38.9932555,,,,50,percent of total billed charges,36.78677629,,,,50,percent of total billed charges,38.9932555,,,,50,percent of total billed charges,999999999,,,,50,percent of total billed charges,38.09656352,,,,50,percent of total billed charges,36.78677629,,,,50,percent of total billed charges,38.9932555,,,,35.65,percent of total billed charges,17.7900024,,,,35.65,percent of total billed charges,10.64419723,,,,35.65,percent of total billed charges,17.7900024,,,,35.65,percent of total billed charges,10.64419723,,,,35.65,percent of total billed charges,17.7900024,,,,35.65,percent of total billed charges,10.64419723,,,,35.3,percent of total billed charges,35.0321693,,,,35.3,percent of total billed charges,24.1614095,,,,,,,,,,36,percent of total billed charges,23.39915284,,,,,,,,,,36,percent of total billed charges,999999999,,,,,,,,,,40,percent of total billed charges,33.51792073,,,,39.5,percent of total billed charges,38.11919988,,,,39.5,percent of total billed charges,33.6795749,,,,40,percent of total billed charges,999999999,,,,40,percent of total billed charges,999999999,,,,35,percent of total billed charges,999999999,,,,35,percent of total billed charges,999999999,,,,,,,,,,,,,,,,26.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,25.25,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12.5,percent of total billed charges,11.87194239,,,,,,,,,,12.5,percent of total billed charges,11.6744607,,,,,,,,,,12.5,percent of total billed charges,11.64201788,,,,,,,,,,12.5,percent of total billed charges,11.47058931,,,,,,,,,,12.5,percent of total billed charges,11.76574443,,,,,,,,,,12.5,percent of total billed charges,999999999,,,,,,,,,,12.5,percent of total billed charges,10.09583727,,,,,,,,,,12.5,percent of total billed charges,15.92183158,,,,,,,,,,12.5,percent of total billed charges,999999999,,,,,,,,,,12.5,percent of total billed charges,10.88578169,,,,,,,,,,45,percent of total billed charges,,,,,
**TOLAZAMIDE(TOLINASE) TAB: 250MG,259,RC,5886-4030-90,NDC,,both,1,EA,17,17,3.619027059,17,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,17,percent of total billed charges,999999999,,,,17,percent of total billed charges,12.9528316,,,,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.002,percent of total billed charges,11.91093756,,,,12.002,percent of total billed charges,8.214879231,,,,,,,,,,12.24,percent of total billed charges,7.955711967,,,,,,,,,,12.24,percent of total billed charges,999999999,,,,,,,,,,13.6,percent of total billed charges,11.39609305,,,,13.43,percent of total billed charges,12.96052796,,,,13.43,percent of total billed charges,11.45105547,,,,13.6,percent of total billed charges,999999999,,,,13.6,percent of total billed charges,999999999,,,,11.9,percent of total billed charges,999999999,,,,11.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.044,percent of total billed charges,999999999,,,,,,,,,,,,,,,,8.585,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4.25,percent of total billed charges,4.036460412,,,,,,,,,,4.25,percent of total billed charges,3.96931664,,,,,,,,,,4.25,percent of total billed charges,3.958286079,,,,,,,,,,4.25,percent of total billed charges,3.900000364,,,,,,,,,,4.25,percent of total billed charges,4.000353107,,,,,,,,,,4.25,percent of total billed charges,999999999,,,,,,,,,,4.25,percent of total billed charges,3.432584671,,,,,,,,,,4.25,percent of total billed charges,5.413422736,,,,,,,,,,4.25,percent of total billed charges,999999999,,,,,,,,,,4.25,percent of total billed charges,3.701165774,,,,,,,,,,15.3,percent of total billed charges,,,,,
**TOLAZAMIDE (TOLINASE) 100 MG:TAB,259,RC,5886-4030-90,NDC,,both,1,EA,17,17,3.619027059,17,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,17,percent of total billed charges,999999999,,,,17,percent of total billed charges,12.9528316,,,,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.002,percent of total billed charges,11.91093756,,,,12.002,percent of total billed charges,8.214879231,,,,,,,,,,12.24,percent of total billed charges,7.955711967,,,,,,,,,,12.24,percent of total billed charges,999999999,,,,,,,,,,13.6,percent of total billed charges,11.39609305,,,,13.43,percent of total billed charges,12.96052796,,,,13.43,percent of total billed charges,11.45105547,,,,13.6,percent of total billed charges,999999999,,,,13.6,percent of total billed charges,999999999,,,,11.9,percent of total billed charges,999999999,,,,11.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.044,percent of total billed charges,999999999,,,,,,,,,,,,,,,,8.585,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4.25,percent of total billed charges,4.036460412,,,,,,,,,,4.25,percent of total billed charges,3.96931664,,,,,,,,,,4.25,percent of total billed charges,3.958286079,,,,,,,,,,4.25,percent of total billed charges,3.900000364,,,,,,,,,,4.25,percent of total billed charges,4.000353107,,,,,,,,,,4.25,percent of total billed charges,999999999,,,,,,,,,,4.25,percent of total billed charges,3.432584671,,,,,,,,,,4.25,percent of total billed charges,5.413422736,,,,,,,,,,4.25,percent of total billed charges,999999999,,,,,,,,,,4.25,percent of total billed charges,3.701165774,,,,,,,,,,15.3,percent of total billed charges,,,,,
**TOLUBTAMIDE (GENERIC ORNASE) 500MG: T,259,RC,5886-4030-90,NDC,,both,1,EA,17,17,3.619027059,17,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,17,percent of total billed charges,999999999,,,,17,percent of total billed charges,12.9528316,,,,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.002,percent of total billed charges,11.91093756,,,,12.002,percent of total billed charges,8.214879231,,,,,,,,,,12.24,percent of total billed charges,7.955711967,,,,,,,,,,12.24,percent of total billed charges,999999999,,,,,,,,,,13.6,percent of total billed charges,11.39609305,,,,13.43,percent of total billed charges,12.96052796,,,,13.43,percent of total billed charges,11.45105547,,,,13.6,percent of total billed charges,999999999,,,,13.6,percent of total billed charges,999999999,,,,11.9,percent of total billed charges,999999999,,,,11.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.044,percent of total billed charges,999999999,,,,,,,,,,,,,,,,8.585,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4.25,percent of total billed charges,4.036460412,,,,,,,,,,4.25,percent of total billed charges,3.96931664,,,,,,,,,,4.25,percent of total billed charges,3.958286079,,,,,,,,,,4.25,percent of total billed charges,3.900000364,,,,,,,,,,4.25,percent of total billed charges,4.000353107,,,,,,,,,,4.25,percent of total billed charges,999999999,,,,,,,,,,4.25,percent of total billed charges,3.432584671,,,,,,,,,,4.25,percent of total billed charges,5.413422736,,,,,,,,,,4.25,percent of total billed charges,999999999,,,,,,,,,,4.25,percent of total billed charges,3.701165774,,,,,,,,,,15.3,percent of total billed charges,,,,,
MINOXIDIL (LONITEN) 10MG TAB,259,RC,4988-4025-01,NDC,,both,1,EA,2.24,2.24,0.476860036,2.24,2.24,percent of total billed charges,1.648047578,,,,2.24,percent of total billed charges,1.746897846,,,,2.24,percent of total billed charges,1.648047578,,,,2.24,percent of total billed charges,1.746897846,,,,2.24,percent of total billed charges,999999999,,,,2.24,percent of total billed charges,1.706726046,,,,2.24,percent of total billed charges,1.648047578,,,,2.24,percent of total billed charges,1.746897846,,,,1.59712,percent of total billed charges,0.796992107,,,,1.59712,percent of total billed charges,0.476860036,,,,1.59712,percent of total billed charges,0.796992107,,,,1.59712,percent of total billed charges,0.476860036,,,,1.59712,percent of total billed charges,0.796992107,,,,1.59712,percent of total billed charges,0.476860036,,,,1.58144,percent of total billed charges,1.569441185,,,,1.58144,percent of total billed charges,1.082431146,,,,,,,,,,1.6128,percent of total billed charges,1.048282047,,,,,,,,,,1.6128,percent of total billed charges,999999999,,,,,,,,,,1.792,percent of total billed charges,1.501602849,,,,1.7696,percent of total billed charges,1.707740155,,,,1.7696,percent of total billed charges,1.508844955,,,,1.792,percent of total billed charges,999999999,,,,1.792,percent of total billed charges,999999999,,,,1.568,percent of total billed charges,999999999,,,,1.568,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.19168,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.1312,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.56,percent of total billed charges,0.531863019,,,,,,,,,,0.56,percent of total billed charges,0.52301584,,,,,,,,,,0.56,percent of total billed charges,0.521562401,,,,,,,,,,0.56,percent of total billed charges,0.513882401,,,,,,,,,,0.56,percent of total billed charges,0.527105351,,,,,,,,,,0.56,percent of total billed charges,999999999,,,,,,,,,,0.56,percent of total billed charges,0.45229351,,,,,,,,,,0.56,percent of total billed charges,0.713298055,,,,,,,,,,0.56,percent of total billed charges,999999999,,,,,,,,,,0.56,percent of total billed charges,0.48768302,,,,,,,,,,2.016,percent of total billed charges,,,,,
traZODone  (DESYREL)  50MG TAB,637,RC,6068-7044-11,NDC,,both,1,EA,0.5,0.5,0.106441972,0.5,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,999999999,,,,0.5,percent of total billed charges,0.380965635,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.353,percent of total billed charges,0.350321693,,,,0.353,percent of total billed charges,0.241614095,,,,,,,,,,0.36,percent of total billed charges,0.233991528,,,,,,,,,,0.36,percent of total billed charges,999999999,,,,,,,,,,0.4,percent of total billed charges,0.335179207,,,,0.395,percent of total billed charges,0.381191999,,,,0.395,percent of total billed charges,0.336795749,,,,0.4,percent of total billed charges,999999999,,,,0.4,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.266,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.2525,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.125,percent of total billed charges,0.118719424,,,,,,,,,,0.125,percent of total billed charges,0.116744607,,,,,,,,,,0.125,percent of total billed charges,0.116420179,,,,,,,,,,0.125,percent of total billed charges,0.114705893,,,,,,,,,,0.125,percent of total billed charges,0.117657444,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.100958373,,,,,,,,,,0.125,percent of total billed charges,0.159218316,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.108857817,,,,,,,,,,0.45,percent of total billed charges,,,,,
NYSTATIN/TRIAMCINOLONE (MYCOLOG) CR,637,RC,6626-7094-30,NDC,,both,1,EA,59.72,59.72,12.71342917,59.72,59.72,percent of total billed charges,43.9381256,,,,59.72,percent of total billed charges,46.57354437,,,,59.72,percent of total billed charges,43.9381256,,,,59.72,percent of total billed charges,46.57354437,,,,59.72,percent of total billed charges,999999999,,,,59.72,percent of total billed charges,45.50253547,,,,59.72,percent of total billed charges,43.9381256,,,,59.72,percent of total billed charges,46.57354437,,,,42.58036,percent of total billed charges,21.24837886,,,,42.58036,percent of total billed charges,12.71342917,,,,42.58036,percent of total billed charges,21.24837886,,,,42.58036,percent of total billed charges,12.71342917,,,,42.58036,percent of total billed charges,21.24837886,,,,42.58036,percent of total billed charges,12.71342917,,,,42.16232,percent of total billed charges,41.84242302,,,,42.16232,percent of total billed charges,28.85838751,,,,,,,,,,42.9984,percent of total billed charges,27.94794816,,,,,,,,,,42.9984,percent of total billed charges,999999999,,,,,,,,,,47.776,percent of total billed charges,40.03380452,,,,47.1788,percent of total billed charges,45.52957234,,,,47.1788,percent of total billed charges,40.22688426,,,,47.776,percent of total billed charges,999999999,,,,47.776,percent of total billed charges,999999999,,,,41.804,percent of total billed charges,999999999,,,,41.804,percent of total billed charges,999999999,,,,,,,,,,,,,,,,31.77104,percent of total billed charges,999999999,,,,,,,,,,,,,,,,30.1586,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14.93,percent of total billed charges,14.17984799,,,,,,,,,,14.93,percent of total billed charges,13.94397587,,,,,,,,,,14.93,percent of total billed charges,13.90522615,,,,,,,,,,14.93,percent of total billed charges,13.70047187,,,,,,,,,,14.93,percent of total billed charges,14.05300515,,,,,,,,,,14.93,percent of total billed charges,999999999,,,,,,,,,,14.93,percent of total billed charges,12.05846803,,,,,,,,,,14.93,percent of total billed charges,19.01703563,,,,,,,,,,14.93,percent of total billed charges,999999999,,,,,,,,,,14.93,percent of total billed charges,13.00197765,,,,,,,,,,53.748,percent of total billed charges,,,,,
TRIAMCINOLONE DENTAL PASTE 0.1% 5 GM,637,RC,5167-2126-05,NDC,,both,1,EA,250.37,250.37,53.29975322,250.37,250.37,percent of total billed charges,184.2061036,,,,250.37,percent of total billed charges,195.2548276,,,,250.37,percent of total billed charges,184.2061036,,,,250.37,percent of total billed charges,195.2548276,,,,250.37,percent of total billed charges,999999999,,,,250.37,percent of total billed charges,190.7647322,,,,250.37,percent of total billed charges,184.2061036,,,,250.37,percent of total billed charges,195.2548276,,,,178.51381,percent of total billed charges,89.081658,,,,178.51381,percent of total billed charges,53.29975322,,,,178.51381,percent of total billed charges,89.081658,,,,178.51381,percent of total billed charges,53.29975322,,,,178.51381,percent of total billed charges,89.081658,,,,178.51381,percent of total billed charges,53.29975322,,,,176.76122,percent of total billed charges,175.4200846,,,,176.76122,percent of total billed charges,120.9858419,,,,,,,,,,180.2664,percent of total billed charges,117.168918,,,,,,,,,,180.2664,percent of total billed charges,999999999,,,,,,,,,,200.296,percent of total billed charges,167.8376363,,,,197.7923,percent of total billed charges,190.8780815,,,,197.7923,percent of total billed charges,168.6471033,,,,200.296,percent of total billed charges,999999999,,,,200.296,percent of total billed charges,999999999,,,,175.259,percent of total billed charges,999999999,,,,175.259,percent of total billed charges,999999999,,,,,,,,,,,,,,,,133.19684,percent of total billed charges,999999999,,,,,,,,,,,,,,,,126.43685,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,62.5925,percent of total billed charges,59.44756431,,,,,,,,,,62.5925,percent of total billed charges,58.45869453,,,,,,,,,,62.5925,percent of total billed charges,58.29624032,,,,,,,,,,62.5925,percent of total billed charges,57.43782889,,,,,,,,,,62.5925,percent of total billed charges,58.91578867,,,,,,,,,,62.5925,percent of total billed charges,999999999,,,,,,,,,,62.5925,percent of total billed charges,50.55389553,,,,,,,,,,62.5925,percent of total billed charges,79.72697943,,,,,,,,,,62.5925,percent of total billed charges,999999999,,,,,,,,,,62.5925,percent of total billed charges,54.50946323,,,,,,,,,,225.333,percent of total billed charges,,,,,
**TRIAMCINOLONE (AZMACORT) INHALER: 20 G,259,RC,0007-4301-60,NDC,,both,1,EA,461,461,98.13949847,461,461,percent of total billed charges,339.1740774,,,,461,percent of total billed charges,359.5178157,,,,461,percent of total billed charges,339.1740774,,,,461,percent of total billed charges,359.5178157,,,,461,percent of total billed charges,999999999,,,,461,percent of total billed charges,351.2503157,,,,461,percent of total billed charges,339.1740774,,,,461,percent of total billed charges,359.5178157,,,,328.693,percent of total billed charges,164.0238221,,,,328.693,percent of total billed charges,98.13949847,,,,328.693,percent of total billed charges,164.0238221,,,,328.693,percent of total billed charges,98.13949847,,,,328.693,percent of total billed charges,164.0238221,,,,328.693,percent of total billed charges,98.13949847,,,,325.466,percent of total billed charges,322.996601,,,,325.466,percent of total billed charges,222.7681956,,,,,,,,,,331.92,percent of total billed charges,215.7401892,,,,,,,,,,331.92,percent of total billed charges,999999999,,,,,,,,,,368.8,percent of total billed charges,309.0352291,,,,364.19,percent of total billed charges,351.4590229,,,,364.19,percent of total billed charges,310.5256806,,,,368.8,percent of total billed charges,999999999,,,,368.8,percent of total billed charges,999999999,,,,322.7,percent of total billed charges,999999999,,,,322.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,245.252,percent of total billed charges,999999999,,,,,,,,,,,,,,,,232.805,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,115.25,percent of total billed charges,109.4593088,,,,,,,,,,115.25,percent of total billed charges,107.6385277,,,,,,,,,,115.25,percent of total billed charges,107.3394048,,,,,,,,,,115.25,percent of total billed charges,105.7588334,,,,,,,,,,115.25,percent of total billed charges,108.4801637,,,,,,,,,,115.25,percent of total billed charges,999999999,,,,,,,,,,115.25,percent of total billed charges,93.0836196,,,,,,,,,,115.25,percent of total billed charges,146.7992871,,,,,,,,,,115.25,percent of total billed charges,999999999,,,,,,,,,,115.25,percent of total billed charges,100.3669072,,,,,,,,,,414.9,percent of total billed charges,,,,,
TRIAMCINOLONE (KENALOG) INJ 40MG/ML,J3301,CDM,0000-3029-05,NDC,,both,1,EA,62.71,62.71,13.34995217,62.71,62.71,percent of total billed charges,46.13797482,,,,62.71,percent of total billed charges,48.90534105,,,,62.71,percent of total billed charges,46.13797482,,,,62.71,percent of total billed charges,48.90534105,,,,62.71,percent of total billed charges,999999999,,,,62.71,percent of total billed charges,47.78070997,,,,62.71,percent of total billed charges,46.13797482,,,,62.71,percent of total billed charges,48.90534105,,,,44.71223,percent of total billed charges,22.31222101,,,,44.71223,percent of total billed charges,13.34995217,,,,44.71223,percent of total billed charges,22.31222101,,,,44.71223,percent of total billed charges,13.34995217,,,,44.71223,percent of total billed charges,22.31222101,,,,44.71223,percent of total billed charges,13.34995217,,,,44.27326,percent of total billed charges,43.93734674,,,,44.27326,percent of total billed charges,30.3032398,,,,,,,,,,45.1512,percent of total billed charges,29.3472175,,,,,,,,,,45.1512,percent of total billed charges,999999999,,,,,,,,,,50.168,percent of total billed charges,42.03817618,,,,49.5409,percent of total billed charges,47.80910049,,,,49.5409,percent of total billed charges,42.24092284,,,,50.168,percent of total billed charges,999999999,,,,50.168,percent of total billed charges,999999999,,,,43.897,percent of total billed charges,999999999,,,,43.897,percent of total billed charges,999999999,,,,,,,,,,,,,,,,33.36172,percent of total billed charges,999999999,,,,,,,,,,,,,,,,31.66855,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15.6775,percent of total billed charges,14.88979014,,,,,,,,,,15.6775,percent of total billed charges,14.64210862,,,,,,,,,,15.6775,percent of total billed charges,14.60141882,,,,,,,,,,15.6775,percent of total billed charges,14.38641311,,,,,,,,,,15.6775,percent of total billed charges,14.75659667,,,,,,,,,,15.6775,percent of total billed charges,999999999,,,,,,,,,,15.6775,percent of total billed charges,12.6621991,,,,,,,,,,15.6775,percent of total billed charges,19.96916116,,,,,,,,,,15.6775,percent of total billed charges,999999999,,,,,,,,,,15.6775,percent of total billed charges,13.65294739,,,,,,,,,,56.439,percent of total billed charges,,,,,
**PLETAL (CILOSTAZOL) 50 MG: TAB,259,RC,5914-8000-16,NDC,,both,1,EA,9,9,1.915955502,9,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,9,percent of total billed charges,999999999,,,,9,percent of total billed charges,6.857381434,,,,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.354,percent of total billed charges,6.305790475,,,,6.354,percent of total billed charges,4.34905371,,,,,,,,,,6.48,percent of total billed charges,4.211847512,,,,,,,,,,6.48,percent of total billed charges,999999999,,,,,,,,,,7.2,percent of total billed charges,6.033225731,,,,7.11,percent of total billed charges,6.861455978,,,,7.11,percent of total billed charges,6.062323481,,,,7.2,percent of total billed charges,999999999,,,,7.2,percent of total billed charges,999999999,,,,6.3,percent of total billed charges,999999999,,,,6.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.788,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.545,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.25,percent of total billed charges,2.13694963,,,,,,,,,,2.25,percent of total billed charges,2.101402927,,,,,,,,,,2.25,percent of total billed charges,2.095563218,,,,,,,,,,2.25,percent of total billed charges,2.064706075,,,,,,,,,,2.25,percent of total billed charges,2.117833998,,,,,,,,,,2.25,percent of total billed charges,999999999,,,,,,,,,,2.25,percent of total billed charges,1.817250708,,,,,,,,,,2.25,percent of total billed charges,2.865929684,,,,,,,,,,2.25,percent of total billed charges,999999999,,,,,,,,,,2.25,percent of total billed charges,1.959440704,,,,,,,,,,8.1,percent of total billed charges,,,,,
**TRIAZOLAM (HALCION) 0.25 MG: TAB,259,RC,0005-4885-25,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
**MYOFLEX CREAM 10%,259,RC,5295-9002-02,NDC,,both,1,EA,9,9,1.915955502,9,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,9,percent of total billed charges,999999999,,,,9,percent of total billed charges,6.857381434,,,,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.354,percent of total billed charges,6.305790475,,,,6.354,percent of total billed charges,4.34905371,,,,,,,,,,6.48,percent of total billed charges,4.211847512,,,,,,,,,,6.48,percent of total billed charges,999999999,,,,,,,,,,7.2,percent of total billed charges,6.033225731,,,,7.11,percent of total billed charges,6.861455978,,,,7.11,percent of total billed charges,6.062323481,,,,7.2,percent of total billed charges,999999999,,,,7.2,percent of total billed charges,999999999,,,,6.3,percent of total billed charges,999999999,,,,6.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.788,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.545,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.25,percent of total billed charges,2.13694963,,,,,,,,,,2.25,percent of total billed charges,2.101402927,,,,,,,,,,2.25,percent of total billed charges,2.095563218,,,,,,,,,,2.25,percent of total billed charges,2.064706075,,,,,,,,,,2.25,percent of total billed charges,2.117833998,,,,,,,,,,2.25,percent of total billed charges,999999999,,,,,,,,,,2.25,percent of total billed charges,1.817250708,,,,,,,,,,2.25,percent of total billed charges,2.865929684,,,,,,,,,,2.25,percent of total billed charges,999999999,,,,,,,,,,2.25,percent of total billed charges,1.959440704,,,,,,,,,,8.1,percent of total billed charges,,,,,
TRIHEXYPHENIDYL (ARTANE) TAB 2MG,259,RC,0059-1533-01,NDC,,both,1,EA,0.65,0.65,0.138374564,0.65,0.65,percent of total billed charges,0.478228092,,,,0.65,percent of total billed charges,0.506912322,,,,0.65,percent of total billed charges,0.478228092,,,,0.65,percent of total billed charges,0.506912322,,,,0.65,percent of total billed charges,999999999,,,,0.65,percent of total billed charges,0.495255326,,,,0.65,percent of total billed charges,0.478228092,,,,0.65,percent of total billed charges,0.506912322,,,,0.46345,percent of total billed charges,0.231270031,,,,0.46345,percent of total billed charges,0.138374564,,,,0.46345,percent of total billed charges,0.231270031,,,,0.46345,percent of total billed charges,0.138374564,,,,0.46345,percent of total billed charges,0.231270031,,,,0.46345,percent of total billed charges,0.138374564,,,,0.4589,percent of total billed charges,0.455418201,,,,0.4589,percent of total billed charges,0.314098324,,,,,,,,,,0.468,percent of total billed charges,0.304188987,,,,,,,,,,0.468,percent of total billed charges,999999999,,,,,,,,,,0.52,percent of total billed charges,0.435732969,,,,0.5135,percent of total billed charges,0.495549598,,,,0.5135,percent of total billed charges,0.437834474,,,,0.52,percent of total billed charges,999999999,,,,0.52,percent of total billed charges,999999999,,,,0.455,percent of total billed charges,999999999,,,,0.455,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.3458,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.32825,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.1625,percent of total billed charges,0.154335251,,,,,,,,,,0.1625,percent of total billed charges,0.151767989,,,,,,,,,,0.1625,percent of total billed charges,0.151346232,,,,,,,,,,0.1625,percent of total billed charges,0.149117661,,,,,,,,,,0.1625,percent of total billed charges,0.152954678,,,,,,,,,,0.1625,percent of total billed charges,999999999,,,,,,,,,,0.1625,percent of total billed charges,0.131245884,,,,,,,,,,0.1625,percent of total billed charges,0.20698381,,,,,,,,,,0.1625,percent of total billed charges,999999999,,,,,,,,,,0.1625,percent of total billed charges,0.141515162,,,,,,,,,,0.585,percent of total billed charges,,,,,
glipiZIDE ER 10MG TAB,637,RC,5976-2054-01,NDC,,both,1,EA,3.93,3.93,0.836633902,3.93,3.93,percent of total billed charges,2.891440616,,,,3.93,percent of total billed charges,3.064869882,,,,3.93,percent of total billed charges,2.891440616,,,,3.93,percent of total billed charges,3.064869882,,,,3.93,percent of total billed charges,999999999,,,,3.93,percent of total billed charges,2.994389893,,,,3.93,percent of total billed charges,2.891440616,,,,3.93,percent of total billed charges,3.064869882,,,,2.80209,percent of total billed charges,1.398294188,,,,2.80209,percent of total billed charges,0.836633902,,,,2.80209,percent of total billed charges,1.398294188,,,,2.80209,percent of total billed charges,0.836633902,,,,2.80209,percent of total billed charges,1.398294188,,,,2.80209,percent of total billed charges,0.836633902,,,,2.77458,percent of total billed charges,2.753528507,,,,2.77458,percent of total billed charges,1.899086787,,,,,,,,,,2.8296,percent of total billed charges,1.839173414,,,,,,,,,,2.8296,percent of total billed charges,999999999,,,,,,,,,,3.144,percent of total billed charges,2.634508569,,,,3.1047,percent of total billed charges,2.996169111,,,,3.1047,percent of total billed charges,2.647214587,,,,3.144,percent of total billed charges,999999999,,,,3.144,percent of total billed charges,999999999,,,,2.751,percent of total billed charges,999999999,,,,2.751,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2.09076,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.98465,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.9825,percent of total billed charges,0.933134672,,,,,,,,,,0.9825,percent of total billed charges,0.917612611,,,,,,,,,,0.9825,percent of total billed charges,0.915062605,,,,,,,,,,0.9825,percent of total billed charges,0.901588319,,,,,,,,,,0.9825,percent of total billed charges,0.924787512,,,,,,,,,,0.9825,percent of total billed charges,999999999,,,,,,,,,,0.9825,percent of total billed charges,0.793532809,,,,,,,,,,0.9825,percent of total billed charges,1.251455962,,,,,,,,,,0.9825,percent of total billed charges,999999999,,,,,,,,,,0.9825,percent of total billed charges,0.855622441,,,,,,,,,,3.537,percent of total billed charges,,,,,
SULFAMETHO/TRIM 800-160 MG TAB,637,RC,6068-7053-11,NDC,,both,1,EA,0.71,0.71,0.151147601,0.71,0.71,percent of total billed charges,0.522372223,,,,0.71,percent of total billed charges,0.553704228,,,,0.71,percent of total billed charges,0.522372223,,,,0.71,percent of total billed charges,0.553704228,,,,0.71,percent of total billed charges,999999999,,,,0.71,percent of total billed charges,0.540971202,,,,0.71,percent of total billed charges,0.522372223,,,,0.71,percent of total billed charges,0.553704228,,,,0.50623,percent of total billed charges,0.252618034,,,,0.50623,percent of total billed charges,0.151147601,,,,0.50623,percent of total billed charges,0.252618034,,,,0.50623,percent of total billed charges,0.151147601,,,,0.50623,percent of total billed charges,0.252618034,,,,0.50623,percent of total billed charges,0.151147601,,,,0.50126,percent of total billed charges,0.497456804,,,,0.50126,percent of total billed charges,0.343092015,,,,,,,,,,0.5112,percent of total billed charges,0.33226797,,,,,,,,,,0.5112,percent of total billed charges,999999999,,,,,,,,,,0.568,percent of total billed charges,0.475954474,,,,0.5609,percent of total billed charges,0.541292638,,,,0.5609,percent of total billed charges,0.478249964,,,,0.568,percent of total billed charges,999999999,,,,0.568,percent of total billed charges,999999999,,,,0.497,percent of total billed charges,999999999,,,,0.497,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.37772,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.35855,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.1775,percent of total billed charges,0.168581582,,,,,,,,,,0.1775,percent of total billed charges,0.165777342,,,,,,,,,,0.1775,percent of total billed charges,0.165316654,,,,,,,,,,0.1775,percent of total billed charges,0.162882368,,,,,,,,,,0.1775,percent of total billed charges,0.167073571,,,,,,,,,,0.1775,percent of total billed charges,999999999,,,,,,,,,,0.1775,percent of total billed charges,0.143360889,,,,,,,,,,0.1775,percent of total billed charges,0.226090008,,,,,,,,,,0.1775,percent of total billed charges,999999999,,,,,,,,,,0.1775,percent of total billed charges,0.1545781,,,,,,,,,,0.639,percent of total billed charges,,,,,
**TRIMETHOPRIM 80MG SULFA 400MG TAB: REG,259,RC,5348-9014-01,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
**TRIMETHOBENZAMIDE (TIGAN) 100MG: CAP,250,RC,0071-3010-09,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
**TRIMETHOBENZAM (TIGAN) 100MG SUPPOSITO,259,RC,0071-3010-09,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
**TRIMETHOBENZAM (TIGAN) INJ 200MG:,J3250,CDM,0040-9195-32,NDC,,both,1,EA,14,14,2.980375225,14,14,percent of total billed charges,10.30029736,,,,14,percent of total billed charges,10.91811154,,,,14,percent of total billed charges,10.30029736,,,,14,percent of total billed charges,10.91811154,,,,14,percent of total billed charges,999999999,,,,14,percent of total billed charges,10.66703779,,,,14,percent of total billed charges,10.30029736,,,,14,percent of total billed charges,10.91811154,,,,9.982,percent of total billed charges,4.981200671,,,,9.982,percent of total billed charges,2.980375225,,,,9.982,percent of total billed charges,4.981200671,,,,9.982,percent of total billed charges,2.980375225,,,,9.982,percent of total billed charges,4.981200671,,,,9.982,percent of total billed charges,2.980375225,,,,9.884,percent of total billed charges,9.809007405,,,,9.884,percent of total billed charges,6.765194661,,,,,,,,,,10.08,percent of total billed charges,6.551762796,,,,,,,,,,10.08,percent of total billed charges,999999999,,,,,,,,,,11.2,percent of total billed charges,9.385017804,,,,11.06,percent of total billed charges,10.67337597,,,,11.06,percent of total billed charges,9.430280971,,,,11.2,percent of total billed charges,999999999,,,,11.2,percent of total billed charges,999999999,,,,9.8,percent of total billed charges,999999999,,,,9.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,7.448,percent of total billed charges,999999999,,,,,,,,,,,,,,,,7.07,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3.5,percent of total billed charges,3.324143869,,,,,,,,,,3.5,percent of total billed charges,3.268848997,,,,,,,,,,3.5,percent of total billed charges,3.259765006,,,,,,,,,,3.5,percent of total billed charges,3.211765006,,,,,,,,,,3.5,percent of total billed charges,3.294408441,,,,,,,,,,3.5,percent of total billed charges,999999999,,,,,,,,,,3.5,percent of total billed charges,2.826834435,,,,,,,,,,3.5,percent of total billed charges,4.458112841,,,,,,,,,,3.5,percent of total billed charges,999999999,,,,,,,,,,3.5,percent of total billed charges,3.048018873,,,,,,,,,,12.6,percent of total billed charges,,,,,
**TRIMETHOBENZAM(TIGAN) 200 MG SUPPOSITO,259,RC,0071-3010-09,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
TRIMETHOPRIM (TRIMPEX) TAB 100MG,637,RC,5026-8077-11,NDC,,both,1,EA,1.55,1.55,0.329970114,1.55,1.55,percent of total billed charges,1.140390065,,,,1.55,percent of total billed charges,1.208790921,,,,1.55,percent of total billed charges,1.140390065,,,,1.55,percent of total billed charges,1.208790921,,,,1.55,percent of total billed charges,999999999,,,,1.55,percent of total billed charges,1.180993469,,,,1.55,percent of total billed charges,1.140390065,,,,1.55,percent of total billed charges,1.208790921,,,,1.10515,percent of total billed charges,0.551490074,,,,1.10515,percent of total billed charges,0.329970114,,,,1.10515,percent of total billed charges,0.551490074,,,,1.10515,percent of total billed charges,0.329970114,,,,1.10515,percent of total billed charges,0.551490074,,,,1.10515,percent of total billed charges,0.329970114,,,,1.0943,percent of total billed charges,1.085997248,,,,1.0943,percent of total billed charges,0.749003695,,,,,,,,,,1.116,percent of total billed charges,0.725373738,,,,,,,,,,1.116,percent of total billed charges,999999999,,,,,,,,,,1.24,percent of total billed charges,1.039055543,,,,1.2245,percent of total billed charges,1.181695196,,,,1.2245,percent of total billed charges,1.044066822,,,,1.24,percent of total billed charges,999999999,,,,1.24,percent of total billed charges,999999999,,,,1.085,percent of total billed charges,999999999,,,,1.085,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.8246,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.78275,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.3875,percent of total billed charges,0.368030214,,,,,,,,,,0.3875,percent of total billed charges,0.361908282,,,,,,,,,,0.3875,percent of total billed charges,0.360902554,,,,,,,,,,0.3875,percent of total billed charges,0.355588269,,,,,,,,,,0.3875,percent of total billed charges,0.364738077,,,,,,,,,,0.3875,percent of total billed charges,999999999,,,,,,,,,,0.3875,percent of total billed charges,0.312970955,,,,,,,,,,0.3875,percent of total billed charges,0.493576779,,,,,,,,,,0.3875,percent of total billed charges,999999999,,,,,,,,,,0.3875,percent of total billed charges,0.337459232,,,,,,,,,,1.395,percent of total billed charges,,,,,
**TRIPLE DYE APPLICATOR SOLN: PER APPLIC,250,RC,5110-1282-05,NDC,,both,1,EA,3,3,0.638651834,3,3,percent of total billed charges,2.207206577,,,,3,percent of total billed charges,2.33959533,,,,3,percent of total billed charges,2.207206577,,,,3,percent of total billed charges,2.33959533,,,,3,percent of total billed charges,999999999,,,,3,percent of total billed charges,2.285793811,,,,3,percent of total billed charges,2.207206577,,,,3,percent of total billed charges,2.33959533,,,,2.139,percent of total billed charges,1.067400144,,,,2.139,percent of total billed charges,0.638651834,,,,2.139,percent of total billed charges,1.067400144,,,,2.139,percent of total billed charges,0.638651834,,,,2.139,percent of total billed charges,1.067400144,,,,2.139,percent of total billed charges,0.638651834,,,,2.118,percent of total billed charges,2.101930158,,,,2.118,percent of total billed charges,1.44968457,,,,,,,,,,2.16,percent of total billed charges,1.403949171,,,,,,,,,,2.16,percent of total billed charges,999999999,,,,,,,,,,2.4,percent of total billed charges,2.011075244,,,,2.37,percent of total billed charges,2.287151993,,,,2.37,percent of total billed charges,2.020774494,,,,2.4,percent of total billed charges,999999999,,,,2.4,percent of total billed charges,999999999,,,,2.1,percent of total billed charges,999999999,,,,2.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.596,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.515,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.75,percent of total billed charges,0.712316543,,,,,,,,,,0.75,percent of total billed charges,0.700467642,,,,,,,,,,0.75,percent of total billed charges,0.698521073,,,,,,,,,,0.75,percent of total billed charges,0.688235358,,,,,,,,,,0.75,percent of total billed charges,0.705944666,,,,,,,,,,0.75,percent of total billed charges,999999999,,,,,,,,,,0.75,percent of total billed charges,0.605750236,,,,,,,,,,0.75,percent of total billed charges,0.955309895,,,,,,,,,,0.75,percent of total billed charges,999999999,,,,,,,,,,0.75,percent of total billed charges,0.653146901,,,,,,,,,,2.7,percent of total billed charges,,,,,
ASPIRIN EC (ENTERIC COATED) 81 MG TAB,637,RC,5789-6098-10,NDC,,both,1,EA,0.5,0.5,0.106441972,0.5,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,999999999,,,,0.5,percent of total billed charges,0.380965635,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.353,percent of total billed charges,0.350321693,,,,0.353,percent of total billed charges,0.241614095,,,,,,,,,,0.36,percent of total billed charges,0.233991528,,,,,,,,,,0.36,percent of total billed charges,999999999,,,,,,,,,,0.4,percent of total billed charges,0.335179207,,,,0.395,percent of total billed charges,0.381191999,,,,0.395,percent of total billed charges,0.336795749,,,,0.4,percent of total billed charges,999999999,,,,0.4,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.266,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.2525,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.125,percent of total billed charges,0.118719424,,,,,,,,,,0.125,percent of total billed charges,0.116744607,,,,,,,,,,0.125,percent of total billed charges,0.116420179,,,,,,,,,,0.125,percent of total billed charges,0.114705893,,,,,,,,,,0.125,percent of total billed charges,0.117657444,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.100958373,,,,,,,,,,0.125,percent of total billed charges,0.159218316,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.108857817,,,,,,,,,,0.45,percent of total billed charges,,,,,
AMPICILLIN/SULBACTAM (UNASYN) 1.5GM (IM),J0295,CDM,0064-1611-10,NDC,,both,1,EA,37.75,37.75,8.03636891,37.75,37.75,percent of total billed charges,27.7740161,,,,37.75,percent of total billed charges,29.4399079,,,,37.75,percent of total billed charges,27.7740161,,,,37.75,percent of total billed charges,29.4399079,,,,37.75,percent of total billed charges,999999999,,,,37.75,percent of total billed charges,28.76290546,,,,37.75,percent of total billed charges,27.7740161,,,,37.75,percent of total billed charges,29.4399079,,,,26.91575,percent of total billed charges,13.43145181,,,,26.91575,percent of total billed charges,8.03636891,,,,26.91575,percent of total billed charges,13.43145181,,,,26.91575,percent of total billed charges,8.03636891,,,,26.91575,percent of total billed charges,13.43145181,,,,26.91575,percent of total billed charges,8.03636891,,,,26.6515,percent of total billed charges,26.44928782,,,,26.6515,percent of total billed charges,18.24186417,,,,,,,,,,27.18,percent of total billed charges,17.6663604,,,,,,,,,,27.18,percent of total billed charges,999999999,,,,,,,,,,30.2,percent of total billed charges,25.30603015,,,,29.8225,percent of total billed charges,28.77999591,,,,29.8225,percent of total billed charges,25.42807905,,,,30.2,percent of total billed charges,999999999,,,,30.2,percent of total billed charges,999999999,,,,26.425,percent of total billed charges,999999999,,,,26.425,percent of total billed charges,999999999,,,,,,,,,,,,,,,,20.083,percent of total billed charges,999999999,,,,,,,,,,,,,,,,19.06375,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9.4375,percent of total billed charges,8.963316503,,,,,,,,,,9.4375,percent of total billed charges,8.814217832,,,,,,,,,,9.4375,percent of total billed charges,8.789723498,,,,,,,,,,9.4375,percent of total billed charges,8.660294926,,,,,,,,,,9.4375,percent of total billed charges,8.883137046,,,,,,,,,,9.4375,percent of total billed charges,999999999,,,,,,,,,,9.4375,percent of total billed charges,7.622357137,,,,,,,,,,9.4375,percent of total billed charges,12.02098284,,,,,,,,,,9.4375,percent of total billed charges,999999999,,,,,,,,,,9.4375,percent of total billed charges,8.218765175,,,,,,,,,,33.975,percent of total billed charges,,,,,
diazePAM (VALIUM) 10MG/2ML INJ,J3360,CDM,0040-9127-32,NDC,,both,1,EA,359.87,359.87,76.61054515,359.87,359.87,percent of total billed charges,264.7691436,,,,359.87,percent of total billed charges,280.6500571,,,,359.87,percent of total billed charges,264.7691436,,,,359.87,percent of total billed charges,280.6500571,,,,359.87,percent of total billed charges,999999999,,,,359.87,percent of total billed charges,274.1962063,,,,359.87,percent of total billed charges,264.7691436,,,,359.87,percent of total billed charges,280.6500571,,,,256.58731,percent of total billed charges,128.0417632,,,,256.58731,percent of total billed charges,76.61054515,,,,256.58731,percent of total billed charges,128.0417632,,,,256.58731,percent of total billed charges,76.61054515,,,,256.58731,percent of total billed charges,128.0417632,,,,256.58731,percent of total billed charges,76.61054515,,,,254.06822,percent of total billed charges,252.1405353,,,,254.06822,percent of total billed charges,173.8993287,,,,,,,,,,259.1064,percent of total billed charges,168.4130627,,,,,,,,,,259.1064,percent of total billed charges,999999999,,,,,,,,,,287.896,percent of total billed charges,241.2418827,,,,284.2973,percent of total billed charges,274.3591292,,,,284.2973,percent of total billed charges,242.4053724,,,,287.896,percent of total billed charges,999999999,,,,287.896,percent of total billed charges,999999999,,,,251.909,percent of total billed charges,999999999,,,,251.909,percent of total billed charges,999999999,,,,,,,,,,,,,,,,191.45084,percent of total billed charges,999999999,,,,,,,,,,,,,,,,181.73435,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,89.9675,percent of total billed charges,85.44711814,,,,,,,,,,89.9675,percent of total billed charges,84.02576348,,,,,,,,,,89.9675,percent of total billed charges,83.79225948,,,,,,,,,,89.9675,percent of total billed charges,82.55841948,,,,,,,,,,89.9675,percent of total billed charges,84.68276898,,,,,,,,,,89.9675,percent of total billed charges,999999999,,,,,,,,,,89.9675,percent of total billed charges,72.66377915,,,,,,,,,,89.9675,percent of total billed charges,114.5957906,,,,,,,,,,89.9675,percent of total billed charges,999999999,,,,,,,,,,89.9675,percent of total billed charges,78.34932512,,,,,,,,,,323.883,percent of total billed charges,,,,,
GABAPENTIN (NEURONTIN) 300MG CAP,637,RC,6808-4076-01,NDC,,both,1,EA,0.66,0.66,0.140503403,0.66,0.66,percent of total billed charges,0.485585447,,,,0.66,percent of total billed charges,0.514710973,,,,0.66,percent of total billed charges,0.485585447,,,,0.66,percent of total billed charges,0.514710973,,,,0.66,percent of total billed charges,999999999,,,,0.66,percent of total billed charges,0.502874638,,,,0.66,percent of total billed charges,0.485585447,,,,0.66,percent of total billed charges,0.514710973,,,,0.47058,percent of total billed charges,0.234828032,,,,0.47058,percent of total billed charges,0.140503403,,,,0.47058,percent of total billed charges,0.234828032,,,,0.47058,percent of total billed charges,0.140503403,,,,0.47058,percent of total billed charges,0.234828032,,,,0.47058,percent of total billed charges,0.140503403,,,,0.46596,percent of total billed charges,0.462424635,,,,0.46596,percent of total billed charges,0.318930605,,,,,,,,,,0.4752,percent of total billed charges,0.308868818,,,,,,,,,,0.4752,percent of total billed charges,999999999,,,,,,,,,,0.528,percent of total billed charges,0.442436554,,,,0.5214,percent of total billed charges,0.503173438,,,,0.5214,percent of total billed charges,0.444570389,,,,0.528,percent of total billed charges,999999999,,,,0.528,percent of total billed charges,999999999,,,,0.462,percent of total billed charges,999999999,,,,0.462,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.35112,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.3333,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.165,percent of total billed charges,0.15670964,,,,,,,,,,0.165,percent of total billed charges,0.154102881,,,,,,,,,,0.165,percent of total billed charges,0.153674636,,,,,,,,,,0.165,percent of total billed charges,0.151411779,,,,,,,,,,0.165,percent of total billed charges,0.155307827,,,,,,,,,,0.165,percent of total billed charges,999999999,,,,,,,,,,0.165,percent of total billed charges,0.133265052,,,,,,,,,,0.165,percent of total billed charges,0.210168177,,,,,,,,,,0.165,percent of total billed charges,999999999,,,,,,,,,,0.165,percent of total billed charges,0.143692318,,,,,,,,,,0.594,percent of total billed charges,,,,,
**VANCOMYCIN  125MG CAP,259,RC,6818-0016-11,NDC,,both,1,EA,8.23,8.23,1.752034864,8.23,8.23,percent of total billed charges,6.055103377,,,,8.23,percent of total billed charges,6.418289855,,,,8.23,percent of total billed charges,6.055103377,,,,8.23,percent of total billed charges,6.418289855,,,,8.23,percent of total billed charges,999999999,,,,8.23,percent of total billed charges,6.270694356,,,,8.23,percent of total billed charges,6.055103377,,,,8.23,percent of total billed charges,6.418289855,,,,5.86799,percent of total billed charges,2.928234394,,,,5.86799,percent of total billed charges,1.752034864,,,,5.86799,percent of total billed charges,2.928234394,,,,5.86799,percent of total billed charges,1.752034864,,,,5.86799,percent of total billed charges,2.928234394,,,,5.86799,percent of total billed charges,1.752034864,,,,5.81038,percent of total billed charges,5.766295067,,,,5.81038,percent of total billed charges,3.976968004,,,,,,,,,,5.9256,percent of total billed charges,3.851500558,,,,,,,,,,5.9256,percent of total billed charges,999999999,,,,,,,,,,6.584,percent of total billed charges,5.517049752,,,,6.5017,percent of total billed charges,6.2744203,,,,6.5017,percent of total billed charges,5.543658028,,,,6.584,percent of total billed charges,999999999,,,,6.584,percent of total billed charges,999999999,,,,5.761,percent of total billed charges,999999999,,,,5.761,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.37836,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.15615,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.0575,percent of total billed charges,1.954121717,,,,,,,,,,2.0575,percent of total billed charges,1.921616232,,,,,,,,,,2.0575,percent of total billed charges,1.916276143,,,,,,,,,,2.0575,percent of total billed charges,1.888059,,,,,,,,,,2.0575,percent of total billed charges,1.936641534,,,,,,,,,,2.0575,percent of total billed charges,999999999,,,,,,,,,,2.0575,percent of total billed charges,1.661774814,,,,,,,,,,2.0575,percent of total billed charges,2.620733477,,,,,,,,,,2.0575,percent of total billed charges,999999999,,,,,,,,,,2.0575,percent of total billed charges,1.791799666,,,,,,,,,,7.407,percent of total billed charges,,,,,
VASOPRESSIN (PITRESSIN) 20 UNIT/ML INJ,250,RC,6332-3030-01,NDC,,both,1,EA,259.29,259.29,55.198678,259.29,259.29,percent of total billed charges,190.7688645,,,,259.29,percent of total billed charges,202.2112244,,,,259.29,percent of total billed charges,190.7688645,,,,259.29,percent of total billed charges,202.2112244,,,,259.29,percent of total billed charges,999999999,,,,259.29,percent of total billed charges,197.5611591,,,,259.29,percent of total billed charges,190.7688645,,,,259.29,percent of total billed charges,202.2112244,,,,184.87377,percent of total billed charges,92.25539443,,,,184.87377,percent of total billed charges,55.198678,,,,184.87377,percent of total billed charges,92.25539443,,,,184.87377,percent of total billed charges,55.198678,,,,184.87377,percent of total billed charges,92.25539443,,,,184.87377,percent of total billed charges,55.198678,,,,183.05874,percent of total billed charges,181.6698236,,,,183.05874,percent of total billed charges,125.2962374,,,,,,,,,,186.6888,percent of total billed charges,121.3433268,,,,,,,,,,186.6888,percent of total billed charges,999999999,,,,,,,,,,207.432,percent of total billed charges,173.8172333,,,,204.8391,percent of total billed charges,197.6785467,,,,204.8391,percent of total billed charges,174.6555395,,,,207.432,percent of total billed charges,999999999,,,,207.432,percent of total billed charges,999999999,,,,181.503,percent of total billed charges,999999999,,,,181.503,percent of total billed charges,999999999,,,,,,,,,,,,,,,,137.94228,percent of total billed charges,999999999,,,,,,,,,,,,,,,,130.94145,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,64.8225,percent of total billed charges,61.56551884,,,,,,,,,,64.8225,percent of total billed charges,60.54141832,,,,,,,,,,64.8225,percent of total billed charges,60.37317631,,,,,,,,,,64.8225,percent of total billed charges,59.48418203,,,,,,,,,,64.8225,percent of total billed charges,61.01479748,,,,,,,,,,64.8225,percent of total billed charges,999999999,,,,,,,,,,64.8225,percent of total billed charges,52.3549929,,,,,,,,,,64.8225,percent of total billed charges,82.56743419,,,,,,,,,,64.8225,percent of total billed charges,999999999,,,,,,,,,,64.8225,percent of total billed charges,56.45148668,,,,,,,,,,233.361,percent of total billed charges,,,,,
**VERAPAMIL (ISOPTIN) TAB: 40MG,259,RC,0059-1040-01,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
VERAPAMIL ER (CALAN SR) 120 MG CAP,637,RC,0037-8632-01,NDC,,both,1,EA,1.25,1.25,0.266104931,1.25,1.25,percent of total billed charges,0.919669407,,,,1.25,percent of total billed charges,0.974831388,,,,1.25,percent of total billed charges,0.919669407,,,,1.25,percent of total billed charges,0.974831388,,,,1.25,percent of total billed charges,999999999,,,,1.25,percent of total billed charges,0.952414088,,,,1.25,percent of total billed charges,0.919669407,,,,1.25,percent of total billed charges,0.974831388,,,,0.89125,percent of total billed charges,0.44475006,,,,0.89125,percent of total billed charges,0.266104931,,,,0.89125,percent of total billed charges,0.44475006,,,,0.89125,percent of total billed charges,0.266104931,,,,0.89125,percent of total billed charges,0.44475006,,,,0.89125,percent of total billed charges,0.266104931,,,,0.8825,percent of total billed charges,0.875804233,,,,0.8825,percent of total billed charges,0.604035238,,,,,,,,,,0.9,percent of total billed charges,0.584978821,,,,,,,,,,0.9,percent of total billed charges,999999999,,,,,,,,,,1,percent of total billed charges,0.837948018,,,,0.9875,percent of total billed charges,0.952979997,,,,0.9875,percent of total billed charges,0.841989372,,,,1,percent of total billed charges,999999999,,,,1,percent of total billed charges,999999999,,,,0.875,percent of total billed charges,999999999,,,,0.875,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.665,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.63125,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.3125,percent of total billed charges,0.29679856,,,,,,,,,,0.3125,percent of total billed charges,0.291861518,,,,,,,,,,0.3125,percent of total billed charges,0.291050447,,,,,,,,,,0.3125,percent of total billed charges,0.286764733,,,,,,,,,,0.3125,percent of total billed charges,0.294143611,,,,,,,,,,0.3125,percent of total billed charges,999999999,,,,,,,,,,0.3125,percent of total billed charges,0.252395932,,,,,,,,,,0.3125,percent of total billed charges,0.398045789,,,,,,,,,,0.3125,percent of total billed charges,999999999,,,,,,,,,,0.3125,percent of total billed charges,0.272144542,,,,,,,,,,1.125,percent of total billed charges,,,,,
VERAPAMIL 5 MG/2ML VIAL,250,RC,0040-9401-01,NDC,,both,1,EA,63.38,63.38,13.49258441,63.38,63.38,percent of total billed charges,46.63091762,,,,63.38,percent of total billed charges,49.42785067,,,,63.38,percent of total billed charges,46.63091762,,,,63.38,percent of total billed charges,49.42785067,,,,63.38,percent of total billed charges,999999999,,,,63.38,percent of total billed charges,48.29120392,,,,63.38,percent of total billed charges,46.63091762,,,,63.38,percent of total billed charges,49.42785067,,,,45.18994,percent of total billed charges,22.55060704,,,,45.18994,percent of total billed charges,13.49258441,,,,45.18994,percent of total billed charges,22.55060704,,,,45.18994,percent of total billed charges,13.49258441,,,,45.18994,percent of total billed charges,22.55060704,,,,45.18994,percent of total billed charges,13.49258441,,,,44.74628,percent of total billed charges,44.40677781,,,,44.74628,percent of total billed charges,30.62700268,,,,,,,,,,45.6336,percent of total billed charges,29.66076614,,,,,,,,,,45.6336,percent of total billed charges,999999999,,,,,,,,,,50.704,percent of total billed charges,42.48731632,,,,50.0702,percent of total billed charges,48.31989777,,,,50.0702,percent of total billed charges,42.69222914,,,,50.704,percent of total billed charges,999999999,,,,50.704,percent of total billed charges,999999999,,,,44.366,percent of total billed charges,999999999,,,,44.366,percent of total billed charges,999999999,,,,,,,,,,,,,,,,33.71816,percent of total billed charges,999999999,,,,,,,,,,,,,,,,32.0069,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15.845,percent of total billed charges,15.04887417,,,,,,,,,,15.845,percent of total billed charges,14.79854639,,,,,,,,,,15.845,percent of total billed charges,14.75742186,,,,,,,,,,15.845,percent of total billed charges,14.54011901,,,,,,,,,,15.845,percent of total billed charges,14.91425764,,,,,,,,,,15.845,percent of total billed charges,999999999,,,,,,,,,,15.845,percent of total billed charges,12.79748332,,,,,,,,,,15.845,percent of total billed charges,20.18251371,,,,,,,,,,15.845,percent of total billed charges,999999999,,,,,,,,,,15.845,percent of total billed charges,13.79881687,,,,,,,,,,57.042,percent of total billed charges,,,,,
VERAPAMIL (ISOPTIN) 80MG TAB,637,RC,2315-5002-01,NDC,,both,1,EA,0.5,0.5,0.106441972,0.5,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,999999999,,,,0.5,percent of total billed charges,0.380965635,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.353,percent of total billed charges,0.350321693,,,,0.353,percent of total billed charges,0.241614095,,,,,,,,,,0.36,percent of total billed charges,0.233991528,,,,,,,,,,0.36,percent of total billed charges,999999999,,,,,,,,,,0.4,percent of total billed charges,0.335179207,,,,0.395,percent of total billed charges,0.381191999,,,,0.395,percent of total billed charges,0.336795749,,,,0.4,percent of total billed charges,999999999,,,,0.4,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.266,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.2525,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.125,percent of total billed charges,0.118719424,,,,,,,,,,0.125,percent of total billed charges,0.116744607,,,,,,,,,,0.125,percent of total billed charges,0.116420179,,,,,,,,,,0.125,percent of total billed charges,0.114705893,,,,,,,,,,0.125,percent of total billed charges,0.117657444,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.100958373,,,,,,,,,,0.125,percent of total billed charges,0.159218316,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.108857817,,,,,,,,,,0.45,percent of total billed charges,,,,,
VERAPAMIL ER (CALAN ER) TAB 240 MG,637,RC,5766-4011-88,NDC,,both,1,EA,1.14,1.14,0.242687697,1.14,1.14,percent of total billed charges,0.838738499,,,,1.14,percent of total billed charges,0.889046225,,,,1.14,percent of total billed charges,0.838738499,,,,1.14,percent of total billed charges,0.889046225,,,,1.14,percent of total billed charges,999999999,,,,1.14,percent of total billed charges,0.868601648,,,,1.14,percent of total billed charges,0.838738499,,,,1.14,percent of total billed charges,0.889046225,,,,0.81282,percent of total billed charges,0.405612055,,,,0.81282,percent of total billed charges,0.242687697,,,,0.81282,percent of total billed charges,0.405612055,,,,0.81282,percent of total billed charges,0.242687697,,,,0.81282,percent of total billed charges,0.405612055,,,,0.81282,percent of total billed charges,0.242687697,,,,0.80484,percent of total billed charges,0.79873346,,,,0.80484,percent of total billed charges,0.550880137,,,,,,,,,,0.8208,percent of total billed charges,0.533500685,,,,,,,,,,0.8208,percent of total billed charges,999999999,,,,,,,,,,0.912,percent of total billed charges,0.764208593,,,,0.9006,percent of total billed charges,0.869117757,,,,0.9006,percent of total billed charges,0.767894308,,,,0.912,percent of total billed charges,999999999,,,,0.912,percent of total billed charges,999999999,,,,0.798,percent of total billed charges,999999999,,,,0.798,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.60648,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.5757,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.285,percent of total billed charges,0.270680286,,,,,,,,,,0.285,percent of total billed charges,0.266177704,,,,,,,,,,0.285,percent of total billed charges,0.265438008,,,,,,,,,,0.285,percent of total billed charges,0.261529436,,,,,,,,,,0.285,percent of total billed charges,0.268258973,,,,,,,,,,0.285,percent of total billed charges,999999999,,,,,,,,,,0.285,percent of total billed charges,0.23018509,,,,,,,,,,0.285,percent of total billed charges,0.36301776,,,,,,,,,,0.285,percent of total billed charges,999999999,,,,,,,,,,0.285,percent of total billed charges,0.248195822,,,,,,,,,,1.026,percent of total billed charges,,,,,
TETRAHYDROLOZINE (VISINE) OPTH SOLN 15ML,259,RC,5295-9059-01,NDC,,both,1,EA,20.75,20.75,4.417341851,20.75,20.75,percent of total billed charges,15.26651216,,,,20.75,percent of total billed charges,16.18220103,,,,20.75,percent of total billed charges,15.26651216,,,,20.75,percent of total billed charges,16.18220103,,,,20.75,percent of total billed charges,999999999,,,,20.75,percent of total billed charges,15.81007386,,,,20.75,percent of total billed charges,15.26651216,,,,20.75,percent of total billed charges,16.18220103,,,,14.79475,percent of total billed charges,7.382850994,,,,14.79475,percent of total billed charges,4.417341851,,,,14.79475,percent of total billed charges,7.382850994,,,,14.79475,percent of total billed charges,4.417341851,,,,14.79475,percent of total billed charges,7.382850994,,,,14.79475,percent of total billed charges,4.417341851,,,,14.6495,percent of total billed charges,14.53835026,,,,14.6495,percent of total billed charges,10.02698494,,,,,,,,,,14.94,percent of total billed charges,9.71064843,,,,,,,,,,14.94,percent of total billed charges,999999999,,,,,,,,,,16.6,percent of total billed charges,13.9099371,,,,16.3925,percent of total billed charges,15.81946795,,,,16.3925,percent of total billed charges,13.97702358,,,,16.6,percent of total billed charges,999999999,,,,16.6,percent of total billed charges,999999999,,,,14.525,percent of total billed charges,999999999,,,,14.525,percent of total billed charges,999999999,,,,,,,,,,,,,,,,11.039,percent of total billed charges,999999999,,,,,,,,,,,,,,,,10.47875,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5.1875,percent of total billed charges,4.926856091,,,,,,,,,,5.1875,percent of total billed charges,4.844901192,,,,,,,,,,5.1875,percent of total billed charges,4.831437419,,,,,,,,,,5.1875,percent of total billed charges,4.760294562,,,,,,,,,,5.1875,percent of total billed charges,4.882783939,,,,,,,,,,5.1875,percent of total billed charges,999999999,,,,,,,,,,5.1875,percent of total billed charges,4.189772466,,,,,,,,,,5.1875,percent of total billed charges,6.607560104,,,,,,,,,,5.1875,percent of total billed charges,999999999,,,,,,,,,,5.1875,percent of total billed charges,4.517599401,,,,,,,,,,18.675,percent of total billed charges,,,,,
**IRON/FOLIC ACID (IBERET FOLIC 500): TA,259,RC,0007-4712-30,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
VITAMIN A&D OINT 4OZ,259,RC,0016-8003-04,NDC,,both,1,EA,36.41,36.41,7.751104424,36.41,36.41,percent of total billed charges,26.78813049,,,,36.41,percent of total billed charges,28.39488866,,,,36.41,percent of total billed charges,26.78813049,,,,36.41,percent of total billed charges,28.39488866,,,,36.41,percent of total billed charges,999999999,,,,36.41,percent of total billed charges,27.74191756,,,,36.41,percent of total billed charges,26.78813049,,,,36.41,percent of total billed charges,28.39488866,,,,25.96033,percent of total billed charges,12.95467975,,,,25.96033,percent of total billed charges,7.751104424,,,,25.96033,percent of total billed charges,12.95467975,,,,25.96033,percent of total billed charges,7.751104424,,,,25.96033,percent of total billed charges,12.95467975,,,,25.96033,percent of total billed charges,7.751104424,,,,25.70546,percent of total billed charges,25.51042569,,,,25.70546,percent of total billed charges,17.5943384,,,,,,,,,,26.2152,percent of total billed charges,17.0392631,,,,,,,,,,26.2152,percent of total billed charges,999999999,,,,,,,,,,29.128,percent of total billed charges,24.40774988,,,,28.7639,percent of total billed charges,27.75840135,,,,28.7639,percent of total billed charges,24.52546644,,,,29.128,percent of total billed charges,999999999,,,,29.128,percent of total billed charges,999999999,,,,25.487,percent of total billed charges,999999999,,,,25.487,percent of total billed charges,999999999,,,,,,,,,,,,,,,,19.37012,percent of total billed charges,999999999,,,,,,,,,,,,,,,,18.38705,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9.1025,percent of total billed charges,8.645148447,,,,,,,,,,9.1025,percent of total billed charges,8.501342285,,,,,,,,,,9.1025,percent of total billed charges,8.477717419,,,,,,,,,,9.1025,percent of total billed charges,8.352883133,,,,,,,,,,9.1025,percent of total billed charges,8.567815096,,,,,,,,,,9.1025,percent of total billed charges,999999999,,,,,,,,,,9.1025,percent of total billed charges,7.351788698,,,,,,,,,,9.1025,percent of total billed charges,11.59427775,,,,,,,,,,9.1025,percent of total billed charges,999999999,,,,,,,,,,9.1025,percent of total billed charges,7.927026225,,,,,,,,,,32.769,percent of total billed charges,,,,,
"VITAMIN D2 (ERGOCALCIFEROL) 50,000 UNIT",637,RC,6945-2015-20,NDC,,both,1,EA,0.6,0.6,0.127730367,0.6,0.6,percent of total billed charges,0.441441315,,,,0.6,percent of total billed charges,0.467919066,,,,0.6,percent of total billed charges,0.441441315,,,,0.6,percent of total billed charges,0.467919066,,,,0.6,percent of total billed charges,999999999,,,,0.6,percent of total billed charges,0.457158762,,,,0.6,percent of total billed charges,0.441441315,,,,0.6,percent of total billed charges,0.467919066,,,,0.4278,percent of total billed charges,0.213480029,,,,0.4278,percent of total billed charges,0.127730367,,,,0.4278,percent of total billed charges,0.213480029,,,,0.4278,percent of total billed charges,0.127730367,,,,0.4278,percent of total billed charges,0.213480029,,,,0.4278,percent of total billed charges,0.127730367,,,,0.4236,percent of total billed charges,0.420386032,,,,0.4236,percent of total billed charges,0.289936914,,,,,,,,,,0.432,percent of total billed charges,0.280789834,,,,,,,,,,0.432,percent of total billed charges,999999999,,,,,,,,,,0.48,percent of total billed charges,0.402215049,,,,0.474,percent of total billed charges,0.457430399,,,,0.474,percent of total billed charges,0.404154899,,,,0.48,percent of total billed charges,999999999,,,,0.48,percent of total billed charges,999999999,,,,0.42,percent of total billed charges,999999999,,,,0.42,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.3192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.303,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.15,percent of total billed charges,0.142463309,,,,,,,,,,0.15,percent of total billed charges,0.140093528,,,,,,,,,,0.15,percent of total billed charges,0.139704215,,,,,,,,,,0.15,percent of total billed charges,0.137647072,,,,,,,,,,0.15,percent of total billed charges,0.141188933,,,,,,,,,,0.15,percent of total billed charges,999999999,,,,,,,,,,0.15,percent of total billed charges,0.121150047,,,,,,,,,,0.15,percent of total billed charges,0.191061979,,,,,,,,,,0.15,percent of total billed charges,999999999,,,,,,,,,,0.15,percent of total billed charges,0.13062938,,,,,,,,,,0.54,percent of total billed charges,,,,,
**MULTIVITAMIN-PRENATAL TAB,259,RC,6304-4015-63,NDC,,both,1,EA,2,2,0.425767889,2,2,percent of total billed charges,1.471471051,,,,2,percent of total billed charges,1.55973022,,,,2,percent of total billed charges,1.471471051,,,,2,percent of total billed charges,1.55973022,,,,2,percent of total billed charges,999999999,,,,2,percent of total billed charges,1.523862541,,,,2,percent of total billed charges,1.471471051,,,,2,percent of total billed charges,1.55973022,,,,1.426,percent of total billed charges,0.711600096,,,,1.426,percent of total billed charges,0.425767889,,,,1.426,percent of total billed charges,0.711600096,,,,1.426,percent of total billed charges,0.425767889,,,,1.426,percent of total billed charges,0.711600096,,,,1.426,percent of total billed charges,0.425767889,,,,1.412,percent of total billed charges,1.401286772,,,,1.412,percent of total billed charges,0.96645638,,,,,,,,,,1.44,percent of total billed charges,0.935966114,,,,,,,,,,1.44,percent of total billed charges,999999999,,,,,,,,,,1.6,percent of total billed charges,1.340716829,,,,1.58,percent of total billed charges,1.524767995,,,,1.58,percent of total billed charges,1.347182996,,,,1.6,percent of total billed charges,999999999,,,,1.6,percent of total billed charges,999999999,,,,1.4,percent of total billed charges,999999999,,,,1.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.064,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.01,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.5,percent of total billed charges,0.474877696,,,,,,,,,,0.5,percent of total billed charges,0.466978428,,,,,,,,,,0.5,percent of total billed charges,0.465680715,,,,,,,,,,0.5,percent of total billed charges,0.458823572,,,,,,,,,,0.5,percent of total billed charges,0.470629777,,,,,,,,,,0.5,percent of total billed charges,999999999,,,,,,,,,,0.5,percent of total billed charges,0.403833491,,,,,,,,,,0.5,percent of total billed charges,0.636873263,,,,,,,,,,0.5,percent of total billed charges,999999999,,,,,,,,,,0.5,percent of total billed charges,0.435431268,,,,,,,,,,1.8,percent of total billed charges,,,,,
GENTAMICIN: 80 MG/2ML INJ,J1580,CDM,0040-9120-03,NDC,,both,1,EA,72.97,72.97,15.53414144,72.97,72.97,percent of total billed charges,53.68662131,,,,72.97,percent of total billed charges,56.90675708,,,,72.97,percent of total billed charges,53.68662131,,,,72.97,percent of total billed charges,56.90675708,,,,72.97,percent of total billed charges,999999999,,,,72.97,percent of total billed charges,55.5981248,,,,72.97,percent of total billed charges,53.68662131,,,,72.97,percent of total billed charges,56.90675708,,,,52.02761,percent of total billed charges,25.9627295,,,,52.02761,percent of total billed charges,15.53414144,,,,52.02761,percent of total billed charges,25.9627295,,,,52.02761,percent of total billed charges,15.53414144,,,,52.02761,percent of total billed charges,25.9627295,,,,52.02761,percent of total billed charges,15.53414144,,,,51.51682,percent of total billed charges,51.12594788,,,,51.51682,percent of total billed charges,35.26116103,,,,,,,,,,52.5384,percent of total billed charges,34.14872366,,,,,,,,,,52.5384,percent of total billed charges,999999999,,,,,,,,,,58.376,percent of total billed charges,48.91605351,,,,57.6463,percent of total billed charges,55.6311603,,,,57.6463,percent of total billed charges,49.1519716,,,,58.376,percent of total billed charges,999999999,,,,58.376,percent of total billed charges,999999999,,,,51.079,percent of total billed charges,999999999,,,,51.079,percent of total billed charges,999999999,,,,,,,,,,,,,,,,38.82004,percent of total billed charges,999999999,,,,,,,,,,,,,,,,36.84985,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18.2425,percent of total billed charges,17.32591272,,,,,,,,,,18.2425,percent of total billed charges,17.03770795,,,,,,,,,,18.2425,percent of total billed charges,16.99036089,,,,,,,,,,18.2425,percent of total billed charges,16.74017803,,,,,,,,,,18.2425,percent of total billed charges,17.17092742,,,,,,,,,,18.2425,percent of total billed charges,999999999,,,,,,,,,,18.2425,percent of total billed charges,14.73386491,,,,,,,,,,18.2425,percent of total billed charges,23.236321,,,,,,,,,,18.2425,percent of total billed charges,999999999,,,,,,,,,,18.2425,percent of total billed charges,15.8867098,,,,,,,,,,65.673,percent of total billed charges,,,,,
WARFARIN (COUMADIN) 2 MG TAB,250,RC,6258-4098-11,NDC,,both,1,EA,0.63,0.63,0.134116885,0.63,0.63,percent of total billed charges,0.463513381,,,,0.63,percent of total billed charges,0.491315019,,,,0.63,percent of total billed charges,0.463513381,,,,0.63,percent of total billed charges,0.491315019,,,,0.63,percent of total billed charges,999999999,,,,0.63,percent of total billed charges,0.4800167,,,,0.63,percent of total billed charges,0.463513381,,,,0.63,percent of total billed charges,0.491315019,,,,0.44919,percent of total billed charges,0.22415403,,,,0.44919,percent of total billed charges,0.134116885,,,,0.44919,percent of total billed charges,0.22415403,,,,0.44919,percent of total billed charges,0.134116885,,,,0.44919,percent of total billed charges,0.22415403,,,,0.44919,percent of total billed charges,0.134116885,,,,0.44478,percent of total billed charges,0.441405333,,,,0.44478,percent of total billed charges,0.30443376,,,,,,,,,,0.4536,percent of total billed charges,0.294829326,,,,,,,,,,0.4536,percent of total billed charges,999999999,,,,,,,,,,0.504,percent of total billed charges,0.422325801,,,,0.4977,percent of total billed charges,0.480301918,,,,0.4977,percent of total billed charges,0.424362644,,,,0.504,percent of total billed charges,999999999,,,,0.504,percent of total billed charges,999999999,,,,0.441,percent of total billed charges,999999999,,,,0.441,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.33516,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.31815,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.1575,percent of total billed charges,0.149586474,,,,,,,,,,0.1575,percent of total billed charges,0.147098205,,,,,,,,,,0.1575,percent of total billed charges,0.146689425,,,,,,,,,,0.1575,percent of total billed charges,0.144529425,,,,,,,,,,0.1575,percent of total billed charges,0.14824838,,,,,,,,,,0.1575,percent of total billed charges,999999999,,,,,,,,,,0.1575,percent of total billed charges,0.12720755,,,,,,,,,,0.1575,percent of total billed charges,0.200615078,,,,,,,,,,0.1575,percent of total billed charges,999999999,,,,,,,,,,0.1575,percent of total billed charges,0.137160849,,,,,,,,,,0.567,percent of total billed charges,,,,,
WARFARIN (COUMADIN) 5 MG TAB,250,RC,5295-9092-30,NDC,,both,1,EA,7.4,7.4,1.57534119,7.4,7.4,percent of total billed charges,5.44444289,,,,7.4,percent of total billed charges,5.771001814,,,,7.4,percent of total billed charges,5.44444289,,,,7.4,percent of total billed charges,5.771001814,,,,7.4,percent of total billed charges,999999999,,,,7.4,percent of total billed charges,5.638291401,,,,7.4,percent of total billed charges,5.44444289,,,,7.4,percent of total billed charges,5.771001814,,,,5.2762,percent of total billed charges,2.632920355,,,,5.2762,percent of total billed charges,1.57534119,,,,5.2762,percent of total billed charges,2.632920355,,,,5.2762,percent of total billed charges,1.57534119,,,,5.2762,percent of total billed charges,2.632920355,,,,5.2762,percent of total billed charges,1.57534119,,,,5.2244,percent of total billed charges,5.184761057,,,,5.2244,percent of total billed charges,3.575888606,,,,,,,,,,5.328,percent of total billed charges,3.463074621,,,,,,,,,,5.328,percent of total billed charges,999999999,,,,,,,,,,5.92,percent of total billed charges,4.960652268,,,,5.846,percent of total billed charges,5.641641582,,,,5.846,percent of total billed charges,4.984577085,,,,5.92,percent of total billed charges,999999999,,,,5.92,percent of total billed charges,999999999,,,,5.18,percent of total billed charges,999999999,,,,5.18,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.9368,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.737,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.85,percent of total billed charges,1.757047473,,,,,,,,,,1.85,percent of total billed charges,1.727820184,,,,,,,,,,1.85,percent of total billed charges,1.723018646,,,,,,,,,,1.85,percent of total billed charges,1.697647217,,,,,,,,,,1.85,percent of total billed charges,1.741330176,,,,,,,,,,1.85,percent of total billed charges,999999999,,,,,,,,,,1.85,percent of total billed charges,1.494183916,,,,,,,,,,1.85,percent of total billed charges,2.356431073,,,,,,,,,,1.85,percent of total billed charges,999999999,,,,,,,,,,1.85,percent of total billed charges,1.61109569,,,,,,,,,,6.66,percent of total billed charges,,,,,
PROMETHAZINE W/CODEINE 5ML U/D,637,RC,7040-8018-34,NDC,,both,1,EA,15,15,3.193259169,15,15,percent of total billed charges,11.03603289,,,,15,percent of total billed charges,11.69797665,,,,15,percent of total billed charges,11.03603289,,,,15,percent of total billed charges,11.69797665,,,,15,percent of total billed charges,999999999,,,,15,percent of total billed charges,11.42896906,,,,15,percent of total billed charges,11.03603289,,,,15,percent of total billed charges,11.69797665,,,,10.695,percent of total billed charges,5.337000719,,,,10.695,percent of total billed charges,3.193259169,,,,10.695,percent of total billed charges,5.337000719,,,,10.695,percent of total billed charges,3.193259169,,,,10.695,percent of total billed charges,5.337000719,,,,10.695,percent of total billed charges,3.193259169,,,,10.59,percent of total billed charges,10.50965079,,,,10.59,percent of total billed charges,7.248422851,,,,,,,,,,10.8,percent of total billed charges,7.019745853,,,,,,,,,,10.8,percent of total billed charges,999999999,,,,,,,,,,12,percent of total billed charges,10.05537622,,,,11.85,percent of total billed charges,11.43575996,,,,11.85,percent of total billed charges,10.10387247,,,,12,percent of total billed charges,999999999,,,,12,percent of total billed charges,999999999,,,,10.5,percent of total billed charges,999999999,,,,10.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,7.98,percent of total billed charges,999999999,,,,,,,,,,,,,,,,7.575,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3.75,percent of total billed charges,3.561582716,,,,,,,,,,3.75,percent of total billed charges,3.502338211,,,,,,,,,,3.75,percent of total billed charges,3.492605363,,,,,,,,,,3.75,percent of total billed charges,3.441176792,,,,,,,,,,3.75,percent of total billed charges,3.52972333,,,,,,,,,,3.75,percent of total billed charges,999999999,,,,,,,,,,3.75,percent of total billed charges,3.02875118,,,,,,,,,,3.75,percent of total billed charges,4.776549473,,,,,,,,,,3.75,percent of total billed charges,999999999,,,,,,,,,,3.75,percent of total billed charges,3.265734506,,,,,,,,,,13.5,percent of total billed charges,,,,,
**TUCKS MEDICATED PADS: PK 40,259,RC,1254-7015-40,NDC,,both,1,EA,14,14,2.980375225,14,14,percent of total billed charges,10.30029736,,,,14,percent of total billed charges,10.91811154,,,,14,percent of total billed charges,10.30029736,,,,14,percent of total billed charges,10.91811154,,,,14,percent of total billed charges,999999999,,,,14,percent of total billed charges,10.66703779,,,,14,percent of total billed charges,10.30029736,,,,14,percent of total billed charges,10.91811154,,,,9.982,percent of total billed charges,4.981200671,,,,9.982,percent of total billed charges,2.980375225,,,,9.982,percent of total billed charges,4.981200671,,,,9.982,percent of total billed charges,2.980375225,,,,9.982,percent of total billed charges,4.981200671,,,,9.982,percent of total billed charges,2.980375225,,,,9.884,percent of total billed charges,9.809007405,,,,9.884,percent of total billed charges,6.765194661,,,,,,,,,,10.08,percent of total billed charges,6.551762796,,,,,,,,,,10.08,percent of total billed charges,999999999,,,,,,,,,,11.2,percent of total billed charges,9.385017804,,,,11.06,percent of total billed charges,10.67337597,,,,11.06,percent of total billed charges,9.430280971,,,,11.2,percent of total billed charges,999999999,,,,11.2,percent of total billed charges,999999999,,,,9.8,percent of total billed charges,999999999,,,,9.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,7.448,percent of total billed charges,999999999,,,,,,,,,,,,,,,,7.07,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3.5,percent of total billed charges,3.324143869,,,,,,,,,,3.5,percent of total billed charges,3.268848997,,,,,,,,,,3.5,percent of total billed charges,3.259765006,,,,,,,,,,3.5,percent of total billed charges,3.211765006,,,,,,,,,,3.5,percent of total billed charges,3.294408441,,,,,,,,,,3.5,percent of total billed charges,999999999,,,,,,,,,,3.5,percent of total billed charges,2.826834435,,,,,,,,,,3.5,percent of total billed charges,4.458112841,,,,,,,,,,3.5,percent of total billed charges,999999999,,,,,,,,,,3.5,percent of total billed charges,3.048018873,,,,,,,,,,12.6,percent of total billed charges,,,,,
**LIDOCAINE 1% W/EPINEPHERINE PF 10ML,J2001,CDM,0040-9317-02,NDC,,both,1,EA,117,117,24.90742152,117,117,percent of total billed charges,86.08105651,,,,117,percent of total billed charges,91.24421787,,,,117,percent of total billed charges,86.08105651,,,,117,percent of total billed charges,91.24421787,,,,117,percent of total billed charges,999999999,,,,117,percent of total billed charges,89.14595864,,,,117,percent of total billed charges,86.08105651,,,,117,percent of total billed charges,91.24421787,,,,83.421,percent of total billed charges,41.62860561,,,,83.421,percent of total billed charges,24.90742152,,,,83.421,percent of total billed charges,41.62860561,,,,83.421,percent of total billed charges,24.90742152,,,,83.421,percent of total billed charges,41.62860561,,,,83.421,percent of total billed charges,24.90742152,,,,82.602,percent of total billed charges,81.97527617,,,,82.602,percent of total billed charges,56.53769823,,,,,,,,,,84.24,percent of total billed charges,54.75401765,,,,,,,,,,84.24,percent of total billed charges,999999999,,,,,,,,,,93.6,percent of total billed charges,78.43193451,,,,92.43,percent of total billed charges,89.19892772,,,,92.43,percent of total billed charges,78.81020526,,,,93.6,percent of total billed charges,999999999,,,,93.6,percent of total billed charges,999999999,,,,81.9,percent of total billed charges,999999999,,,,81.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,62.244,percent of total billed charges,999999999,,,,,,,,,,,,,,,,59.085,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,29.25,percent of total billed charges,27.78034519,,,,,,,,,,29.25,percent of total billed charges,27.31823805,,,,,,,,,,29.25,percent of total billed charges,27.24232183,,,,,,,,,,29.25,percent of total billed charges,26.84117898,,,,,,,,,,29.25,percent of total billed charges,27.53184197,,,,,,,,,,29.25,percent of total billed charges,999999999,,,,,,,,,,29.25,percent of total billed charges,23.62425921,,,,,,,,,,29.25,percent of total billed charges,37.25708589,,,,,,,,,,29.25,percent of total billed charges,999999999,,,,,,,,,,29.25,percent of total billed charges,25.47272915,,,,,,,,,,105.3,percent of total billed charges,,,,,
SILVER SULFADIAZINE(SSD) CRM 1% 400GM,259,RC,5486-8037-02,NDC,,both,1,EA,124.4,124.4,26.48276271,124.4,124.4,percent of total billed charges,91.5254994,,,,124.4,percent of total billed charges,97.01521968,,,,124.4,percent of total billed charges,91.5254994,,,,124.4,percent of total billed charges,97.01521968,,,,124.4,percent of total billed charges,999999999,,,,124.4,percent of total billed charges,94.78425004,,,,124.4,percent of total billed charges,91.5254994,,,,124.4,percent of total billed charges,97.01521968,,,,88.6972,percent of total billed charges,44.26152596,,,,88.6972,percent of total billed charges,26.48276271,,,,88.6972,percent of total billed charges,44.26152596,,,,88.6972,percent of total billed charges,26.48276271,,,,88.6972,percent of total billed charges,44.26152596,,,,88.6972,percent of total billed charges,26.48276271,,,,87.8264,percent of total billed charges,87.16003723,,,,87.8264,percent of total billed charges,60.11358684,,,,,,,,,,89.568,percent of total billed charges,58.21709228,,,,,,,,,,89.568,percent of total billed charges,999999999,,,,,,,,,,99.52,percent of total billed charges,83.39258678,,,,98.276,percent of total billed charges,94.8405693,,,,98.276,percent of total billed charges,83.79478234,,,,99.52,percent of total billed charges,999999999,,,,99.52,percent of total billed charges,999999999,,,,87.08,percent of total billed charges,999999999,,,,87.08,percent of total billed charges,999999999,,,,,,,,,,,,,,,,66.1808,percent of total billed charges,999999999,,,,,,,,,,,,,,,,62.822,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,31.1,percent of total billed charges,29.53739266,,,,,,,,,,31.1,percent of total billed charges,29.04605823,,,,,,,,,,31.1,percent of total billed charges,28.96534048,,,,,,,,,,31.1,percent of total billed charges,28.53882619,,,,,,,,,,31.1,percent of total billed charges,29.27317215,,,,,,,,,,31.1,percent of total billed charges,999999999,,,,,,,,,,31.1,percent of total billed charges,25.11844312,,,,,,,,,,31.1,percent of total billed charges,39.61351696,,,,,,,,,,31.1,percent of total billed charges,999999999,,,,,,,,,,31.1,percent of total billed charges,27.08382484,,,,,,,,,,111.96,percent of total billed charges,,,,,
SILVER SULFADIAZINE (SSD) CREAM 1%  50GM,637,RC,4359-8021-55,NDC,,both,1,EA,96.42,96.42,20.52626994,96.42,96.42,percent of total billed charges,70.93961939,,,,96.42,percent of total billed charges,75.19459391,,,,96.42,percent of total billed charges,70.93961939,,,,96.42,percent of total billed charges,75.19459391,,,,96.42,percent of total billed charges,999999999,,,,96.42,percent of total billed charges,73.46541309,,,,96.42,percent of total billed charges,70.93961939,,,,96.42,percent of total billed charges,75.19459391,,,,68.74746,percent of total billed charges,34.30624062,,,,68.74746,percent of total billed charges,20.52626994,,,,68.74746,percent of total billed charges,34.30624062,,,,68.74746,percent of total billed charges,20.52626994,,,,68.74746,percent of total billed charges,34.30624062,,,,68.74746,percent of total billed charges,20.52626994,,,,68.07252,percent of total billed charges,67.55603529,,,,68.07252,percent of total billed charges,46.59286208,,,,,,,,,,69.4224,percent of total billed charges,45.12292634,,,,,,,,,,69.4224,percent of total billed charges,999999999,,,,,,,,,,77.136,percent of total billed charges,64.63595834,,,,76.1718,percent of total billed charges,73.50906505,,,,76.1718,percent of total billed charges,64.94769223,,,,77.136,percent of total billed charges,999999999,,,,77.136,percent of total billed charges,999999999,,,,67.494,percent of total billed charges,999999999,,,,67.494,percent of total billed charges,999999999,,,,,,,,,,,,,,,,51.29544,percent of total billed charges,999999999,,,,,,,,,,,,,,,,48.6921,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,24.105,percent of total billed charges,22.8938537,,,,,,,,,,24.105,percent of total billed charges,22.51303002,,,,,,,,,,24.105,percent of total billed charges,22.45046728,,,,,,,,,,24.105,percent of total billed charges,22.11988442,,,,,,,,,,24.105,percent of total billed charges,22.68906156,,,,,,,,,,24.105,percent of total billed charges,999999999,,,,,,,,,,24.105,percent of total billed charges,19.46881259,,,,,,,,,,24.105,percent of total billed charges,30.70366001,,,,,,,,,,24.105,percent of total billed charges,999999999,,,,,,,,,,24.105,percent of total billed charges,20.99214141,,,,,,,,,,86.778,percent of total billed charges,,,,,
SIMETHICONE (MYLICON) 80MG TAB,637,RC,2438-5011-78,NDC,,both,1,EA,0.5,0.5,0.106441972,0.5,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,999999999,,,,0.5,percent of total billed charges,0.380965635,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.353,percent of total billed charges,0.350321693,,,,0.353,percent of total billed charges,0.241614095,,,,,,,,,,0.36,percent of total billed charges,0.233991528,,,,,,,,,,0.36,percent of total billed charges,999999999,,,,,,,,,,0.4,percent of total billed charges,0.335179207,,,,0.395,percent of total billed charges,0.381191999,,,,0.395,percent of total billed charges,0.336795749,,,,0.4,percent of total billed charges,999999999,,,,0.4,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.266,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.2525,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.125,percent of total billed charges,0.118719424,,,,,,,,,,0.125,percent of total billed charges,0.116744607,,,,,,,,,,0.125,percent of total billed charges,0.116420179,,,,,,,,,,0.125,percent of total billed charges,0.114705893,,,,,,,,,,0.125,percent of total billed charges,0.117657444,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.100958373,,,,,,,,,,0.125,percent of total billed charges,0.159218316,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.108857817,,,,,,,,,,0.45,percent of total billed charges,,,,,
HYOSCYAMINE (LEVSINEX) 0.375MG CAP,259,RC,6454-3011-01,NDC,,both,1,EA,1.52,1.52,0.323583596,1.52,1.52,percent of total billed charges,1.118317999,,,,1.52,percent of total billed charges,1.185394967,,,,1.52,percent of total billed charges,1.118317999,,,,1.52,percent of total billed charges,1.185394967,,,,1.52,percent of total billed charges,999999999,,,,1.52,percent of total billed charges,1.158135531,,,,1.52,percent of total billed charges,1.118317999,,,,1.52,percent of total billed charges,1.185394967,,,,1.08376,percent of total billed charges,0.540816073,,,,1.08376,percent of total billed charges,0.323583596,,,,1.08376,percent of total billed charges,0.540816073,,,,1.08376,percent of total billed charges,0.323583596,,,,1.08376,percent of total billed charges,0.540816073,,,,1.08376,percent of total billed charges,0.323583596,,,,1.07312,percent of total billed charges,1.064977947,,,,1.07312,percent of total billed charges,0.734506849,,,,,,,,,,1.0944,percent of total billed charges,0.711334246,,,,,,,,,,1.0944,percent of total billed charges,999999999,,,,,,,,,,1.216,percent of total billed charges,1.01894479,,,,1.2008,percent of total billed charges,1.158823676,,,,1.2008,percent of total billed charges,1.023859077,,,,1.216,percent of total billed charges,999999999,,,,1.216,percent of total billed charges,999999999,,,,1.064,percent of total billed charges,999999999,,,,1.064,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.80864,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.7676,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.38,percent of total billed charges,0.360907049,,,,,,,,,,0.38,percent of total billed charges,0.354903605,,,,,,,,,,0.38,percent of total billed charges,0.353917343,,,,,,,,,,0.38,percent of total billed charges,0.348705915,,,,,,,,,,0.38,percent of total billed charges,0.357678631,,,,,,,,,,0.38,percent of total billed charges,999999999,,,,,,,,,,0.38,percent of total billed charges,0.306913453,,,,,,,,,,0.38,percent of total billed charges,0.48402368,,,,,,,,,,0.38,percent of total billed charges,999999999,,,,,,,,,,0.38,percent of total billed charges,0.330927763,,,,,,,,,,1.368,percent of total billed charges,,,,,
methylPREDNISolone (SOLU-Medrol) 40MG,J2919,CDM,0000-9003-28,NDC,,both,1,EA,86.62,86.62,18.44000728,86.62,86.62,percent of total billed charges,63.72941124,,,,86.62,percent of total billed charges,67.55191583,,,,86.62,percent of total billed charges,63.72941124,,,,86.62,percent of total billed charges,67.55191583,,,,86.62,percent of total billed charges,999999999,,,,86.62,percent of total billed charges,65.99848664,,,,86.62,percent of total billed charges,63.72941124,,,,86.62,percent of total billed charges,67.55191583,,,,61.76006,percent of total billed charges,30.81940015,,,,61.76006,percent of total billed charges,18.44000728,,,,61.76006,percent of total billed charges,30.81940015,,,,61.76006,percent of total billed charges,18.44000728,,,,61.76006,percent of total billed charges,30.81940015,,,,61.76006,percent of total billed charges,18.44000728,,,,61.15372,percent of total billed charges,60.6897301,,,,61.15372,percent of total billed charges,41.85722582,,,,,,,,,,62.3664,percent of total billed charges,40.53669239,,,,,,,,,,62.3664,percent of total billed charges,999999999,,,,,,,,,,69.296,percent of total billed charges,58.06644587,,,,68.4298,percent of total billed charges,66.03770187,,,,68.4298,percent of total billed charges,58.34649555,,,,69.296,percent of total billed charges,999999999,,,,69.296,percent of total billed charges,999999999,,,,60.634,percent of total billed charges,999999999,,,,60.634,percent of total billed charges,999999999,,,,,,,,,,,,,,,,46.08184,percent of total billed charges,999999999,,,,,,,,,,,,,,,,43.7431,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21.655,percent of total billed charges,20.56695299,,,,,,,,,,21.655,percent of total billed charges,20.22483572,,,,,,,,,,21.655,percent of total billed charges,20.16863177,,,,,,,,,,21.655,percent of total billed charges,19.87164891,,,,,,,,,,21.655,percent of total billed charges,20.38297565,,,,,,,,,,21.655,percent of total billed charges,999999999,,,,,,,,,,21.655,percent of total billed charges,17.49002848,,,,,,,,,,21.655,percent of total billed charges,27.58298102,,,,,,,,,,21.655,percent of total billed charges,999999999,,,,,,,,,,21.655,percent of total billed charges,18.8585282,,,,,,,,,,77.958,percent of total billed charges,,,,,
AMOXICILLIN 500 MG CAP,637,RC,0009-3310-05,NDC,,both,1,EA,0.5,0.5,0.106441972,0.5,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,999999999,,,,0.5,percent of total billed charges,0.380965635,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.353,percent of total billed charges,0.350321693,,,,0.353,percent of total billed charges,0.241614095,,,,,,,,,,0.36,percent of total billed charges,0.233991528,,,,,,,,,,0.36,percent of total billed charges,999999999,,,,,,,,,,0.4,percent of total billed charges,0.335179207,,,,0.395,percent of total billed charges,0.381191999,,,,0.395,percent of total billed charges,0.336795749,,,,0.4,percent of total billed charges,999999999,,,,0.4,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.266,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.2525,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.125,percent of total billed charges,0.118719424,,,,,,,,,,0.125,percent of total billed charges,0.116744607,,,,,,,,,,0.125,percent of total billed charges,0.116420179,,,,,,,,,,0.125,percent of total billed charges,0.114705893,,,,,,,,,,0.125,percent of total billed charges,0.117657444,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.100958373,,,,,,,,,,0.125,percent of total billed charges,0.159218316,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.108857817,,,,,,,,,,0.45,percent of total billed charges,,,,,
LOPERAMIDE (IMODIUM) 2MG CAP,637,RC,5107-9069-20,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
**ETHACRYNIC ACID (EDECRIN) INJ 50MG VIA,250,RC,5128-5044-22,NDC,,both,1,EA,42,42,8.941125674,42,42,percent of total billed charges,30.90089208,,,,42,percent of total billed charges,32.75433462,,,,42,percent of total billed charges,30.90089208,,,,42,percent of total billed charges,32.75433462,,,,42,percent of total billed charges,999999999,,,,42,percent of total billed charges,32.00111336,,,,42,percent of total billed charges,30.90089208,,,,42,percent of total billed charges,32.75433462,,,,29.946,percent of total billed charges,14.94360201,,,,29.946,percent of total billed charges,8.941125674,,,,29.946,percent of total billed charges,14.94360201,,,,29.946,percent of total billed charges,8.941125674,,,,29.946,percent of total billed charges,14.94360201,,,,29.946,percent of total billed charges,8.941125674,,,,29.652,percent of total billed charges,29.42702222,,,,29.652,percent of total billed charges,20.29558398,,,,,,,,,,30.24,percent of total billed charges,19.65528839,,,,,,,,,,30.24,percent of total billed charges,999999999,,,,,,,,,,33.6,percent of total billed charges,28.15505341,,,,33.18,percent of total billed charges,32.0201279,,,,33.18,percent of total billed charges,28.29084291,,,,33.6,percent of total billed charges,999999999,,,,33.6,percent of total billed charges,999999999,,,,29.4,percent of total billed charges,999999999,,,,29.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,22.344,percent of total billed charges,999999999,,,,,,,,,,,,,,,,21.21,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10.5,percent of total billed charges,9.972431606,,,,,,,,,,10.5,percent of total billed charges,9.806546992,,,,,,,,,,10.5,percent of total billed charges,9.779295018,,,,,,,,,,10.5,percent of total billed charges,9.635295018,,,,,,,,,,10.5,percent of total billed charges,9.883225323,,,,,,,,,,10.5,percent of total billed charges,999999999,,,,,,,,,,10.5,percent of total billed charges,8.480503304,,,,,,,,,,10.5,percent of total billed charges,13.37433852,,,,,,,,,,10.5,percent of total billed charges,999999999,,,,,,,,,,10.5,percent of total billed charges,9.144056618,,,,,,,,,,37.8,percent of total billed charges,,,,,
TOBRAMYCIN/DEXAMETHASONE OP SUSP 5ML,250,RC,2420-8029-05,NDC,,both,1,EA,98.12,98.12,20.88817265,98.12,98.12,percent of total billed charges,72.19036978,,,,98.12,percent of total billed charges,76.52036459,,,,98.12,percent of total billed charges,72.19036978,,,,98.12,percent of total billed charges,76.52036459,,,,98.12,percent of total billed charges,999999999,,,,98.12,percent of total billed charges,74.76069625,,,,98.12,percent of total billed charges,72.19036978,,,,98.12,percent of total billed charges,76.52036459,,,,69.95956,percent of total billed charges,34.9111007,,,,69.95956,percent of total billed charges,20.88817265,,,,69.95956,percent of total billed charges,34.9111007,,,,69.95956,percent of total billed charges,20.88817265,,,,69.95956,percent of total billed charges,34.9111007,,,,69.95956,percent of total billed charges,20.88817265,,,,69.27272,percent of total billed charges,68.74712904,,,,69.27272,percent of total billed charges,47.41435001,,,,,,,,,,70.6464,percent of total billed charges,45.91849754,,,,,,,,,,70.6464,percent of total billed charges,999999999,,,,,,,,,,78.496,percent of total billed charges,65.77556764,,,,77.5148,percent of total billed charges,74.80511784,,,,77.5148,percent of total billed charges,66.09279778,,,,78.496,percent of total billed charges,999999999,,,,78.496,percent of total billed charges,999999999,,,,68.684,percent of total billed charges,999999999,,,,68.684,percent of total billed charges,999999999,,,,,,,,,,,,,,,,52.19984,percent of total billed charges,999999999,,,,,,,,,,,,,,,,49.5506,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,24.53,percent of total billed charges,23.29749974,,,,,,,,,,24.53,percent of total billed charges,22.90996169,,,,,,,,,,24.53,percent of total billed charges,22.84629588,,,,,,,,,,24.53,percent of total billed charges,22.50988446,,,,,,,,,,24.53,percent of total billed charges,23.08909687,,,,,,,,,,24.53,percent of total billed charges,999999999,,,,,,,,,,24.53,percent of total billed charges,19.81207105,,,,,,,,,,24.53,percent of total billed charges,31.24500228,,,,,,,,,,24.53,percent of total billed charges,999999999,,,,,,,,,,24.53,percent of total billed charges,21.36225799,,,,,,,,,,88.308,percent of total billed charges,,,,,
cefTRIAXone (ROCEPHIN) 250 MG IVPB,J0696,CDM,0040-9733-01,NDC,,both,1,EA,9.89,9.89,2.105422212,9.89,9.89,percent of total billed charges,7.276424349,,,,9.89,percent of total billed charges,7.712865938,,,,9.89,percent of total billed charges,7.276424349,,,,9.89,percent of total billed charges,7.712865938,,,,9.89,percent of total billed charges,999999999,,,,9.89,percent of total billed charges,7.535500265,,,,9.89,percent of total billed charges,7.276424349,,,,9.89,percent of total billed charges,7.712865938,,,,7.05157,percent of total billed charges,3.518862474,,,,7.05157,percent of total billed charges,2.105422212,,,,7.05157,percent of total billed charges,3.518862474,,,,7.05157,percent of total billed charges,2.105422212,,,,7.05157,percent of total billed charges,3.518862474,,,,7.05157,percent of total billed charges,2.105422212,,,,6.98234,percent of total billed charges,6.929363088,,,,6.98234,percent of total billed charges,4.7791268,,,,,,,,,,7.1208,percent of total billed charges,4.628352433,,,,,,,,,,7.1208,percent of total billed charges,999999999,,,,,,,,,,7.912,percent of total billed charges,6.62984472,,,,7.8131,percent of total billed charges,7.539977736,,,,7.8131,percent of total billed charges,6.661819915,,,,7.912,percent of total billed charges,999999999,,,,7.912,percent of total billed charges,999999999,,,,6.923,percent of total billed charges,999999999,,,,6.923,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.26148,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.99445,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.4725,percent of total billed charges,2.348270204,,,,,,,,,,2.4725,percent of total billed charges,2.309208327,,,,,,,,,,2.4725,percent of total billed charges,2.302791136,,,,,,,,,,2.4725,percent of total billed charges,2.268882565,,,,,,,,,,2.4725,percent of total billed charges,2.327264249,,,,,,,,,,2.4725,percent of total billed charges,999999999,,,,,,,,,,2.4725,percent of total billed charges,1.996956611,,,,,,,,,,2.4725,percent of total billed charges,3.149338286,,,,,,,,,,2.4725,percent of total billed charges,999999999,,,,,,,,,,2.4725,percent of total billed charges,2.153207618,,,,,,,,,,8.901,percent of total billed charges,,,,,
cefTRIAXone (ROCEPHIN) 1GM: FTV,J0696,CDM,0040-9733-21,NDC,,both,1,EA,23.07,23.07,4.911232602,23.07,23.07,percent of total billed charges,16.97341858,,,,23.07,percent of total billed charges,17.99148809,,,,23.07,percent of total billed charges,16.97341858,,,,23.07,percent of total billed charges,17.99148809,,,,23.07,percent of total billed charges,999999999,,,,23.07,percent of total billed charges,17.57775441,,,,23.07,percent of total billed charges,16.97341858,,,,23.07,percent of total billed charges,17.99148809,,,,16.44891,percent of total billed charges,8.208307106,,,,16.44891,percent of total billed charges,4.911232602,,,,16.44891,percent of total billed charges,8.208307106,,,,16.44891,percent of total billed charges,4.911232602,,,,16.44891,percent of total billed charges,8.208307106,,,,16.44891,percent of total billed charges,4.911232602,,,,16.28742,percent of total billed charges,16.16384292,,,,16.28742,percent of total billed charges,11.14807434,,,,,,,,,,16.6104,percent of total billed charges,10.79636912,,,,,,,,,,16.6104,percent of total billed charges,999999999,,,,,,,,,,18.456,percent of total billed charges,15.46516862,,,,18.2253,percent of total billed charges,17.58819882,,,,18.2253,percent of total billed charges,15.53975586,,,,18.456,percent of total billed charges,999999999,,,,18.456,percent of total billed charges,999999999,,,,16.149,percent of total billed charges,999999999,,,,16.149,percent of total billed charges,999999999,,,,,,,,,,,,,,,,12.27324,percent of total billed charges,999999999,,,,,,,,,,,,,,,,11.65035,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5.7675,percent of total billed charges,5.477714218,,,,,,,,,,5.7675,percent of total billed charges,5.386596169,,,,,,,,,,5.7675,percent of total billed charges,5.371627049,,,,,,,,,,5.7675,percent of total billed charges,5.292529906,,,,,,,,,,5.7675,percent of total billed charges,5.428714481,,,,,,,,,,5.7675,percent of total billed charges,999999999,,,,,,,,,,5.7675,percent of total billed charges,4.658219315,,,,,,,,,,5.7675,percent of total billed charges,7.346333089,,,,,,,,,,5.7675,percent of total billed charges,999999999,,,,,,,,,,5.7675,percent of total billed charges,5.022699671,,,,,,,,,,20.763,percent of total billed charges,,,,,
**DUODERM DRESS. THIN 4 X 4 (BOX OF 10):,259,RC,0000-3187-55,NDC,,both,1,EA,16,16,3.406143114,16,16,percent of total billed charges,11.77176841,,,,16,percent of total billed charges,12.47784176,,,,16,percent of total billed charges,11.77176841,,,,16,percent of total billed charges,12.47784176,,,,16,percent of total billed charges,999999999,,,,16,percent of total billed charges,12.19090033,,,,16,percent of total billed charges,11.77176841,,,,16,percent of total billed charges,12.47784176,,,,11.408,percent of total billed charges,5.692800767,,,,11.408,percent of total billed charges,3.406143114,,,,11.408,percent of total billed charges,5.692800767,,,,11.408,percent of total billed charges,3.406143114,,,,11.408,percent of total billed charges,5.692800767,,,,11.408,percent of total billed charges,3.406143114,,,,11.296,percent of total billed charges,11.21029418,,,,11.296,percent of total billed charges,7.731651041,,,,,,,,,,11.52,percent of total billed charges,7.48772891,,,,,,,,,,11.52,percent of total billed charges,999999999,,,,,,,,,,12.8,percent of total billed charges,10.72573463,,,,12.64,percent of total billed charges,12.19814396,,,,12.64,percent of total billed charges,10.77746397,,,,12.8,percent of total billed charges,999999999,,,,12.8,percent of total billed charges,999999999,,,,11.2,percent of total billed charges,999999999,,,,11.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,8.512,percent of total billed charges,999999999,,,,,,,,,,,,,,,,8.08,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4,percent of total billed charges,3.799021564,,,,,,,,,,4,percent of total billed charges,3.735827425,,,,,,,,,,4,percent of total billed charges,3.725445721,,,,,,,,,,4,percent of total billed charges,3.670588578,,,,,,,,,,4,percent of total billed charges,3.765038218,,,,,,,,,,4,percent of total billed charges,999999999,,,,,,,,,,4,percent of total billed charges,3.230667926,,,,,,,,,,4,percent of total billed charges,5.094986104,,,,,,,,,,4,percent of total billed charges,999999999,,,,,,,,,,4,percent of total billed charges,3.48345014,,,,,,,,,,14.4,percent of total billed charges,,,,,
AMPICILLIN/SULBACTAM 3GM FTV,J0295,CDM,0004-9001-83,NDC,,both,1,EA,66.51,66.51,14.15891116,66.51,66.51,percent of total billed charges,48.93376982,,,,66.51,percent of total billed charges,51.86882847,,,,66.51,percent of total billed charges,48.93376982,,,,66.51,percent of total billed charges,51.86882847,,,,66.51,percent of total billed charges,999999999,,,,66.51,percent of total billed charges,50.6760488,,,,66.51,percent of total billed charges,48.93376982,,,,66.51,percent of total billed charges,51.86882847,,,,47.42163,percent of total billed charges,23.66426119,,,,47.42163,percent of total billed charges,14.15891116,,,,47.42163,percent of total billed charges,23.66426119,,,,47.42163,percent of total billed charges,14.15891116,,,,47.42163,percent of total billed charges,23.66426119,,,,47.42163,percent of total billed charges,14.15891116,,,,46.95606,percent of total billed charges,46.59979161,,,,46.95606,percent of total billed charges,32.13950692,,,,,,,,,,47.8872,percent of total billed charges,31.12555311,,,,,,,,,,47.8872,percent of total billed charges,999999999,,,,,,,,,,53.208,percent of total billed charges,44.58553815,,,,52.5429,percent of total billed charges,50.70615968,,,,52.5429,percent of total billed charges,44.80057053,,,,53.208,percent of total billed charges,999999999,,,,53.208,percent of total billed charges,999999999,,,,46.557,percent of total billed charges,999999999,,,,46.557,percent of total billed charges,999999999,,,,,,,,,,,,,,,,35.38332,percent of total billed charges,999999999,,,,,,,,,,,,,,,,33.58755,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16.6275,percent of total billed charges,15.79205776,,,,,,,,,,16.6275,percent of total billed charges,15.52936763,,,,,,,,,,16.6275,percent of total billed charges,15.48621218,,,,,,,,,,16.6275,percent of total billed charges,15.2581779,,,,,,,,,,16.6275,percent of total billed charges,15.65079324,,,,,,,,,,16.6275,percent of total billed charges,999999999,,,,,,,,,,16.6275,percent of total billed charges,13.42948273,,,,,,,,,,16.6275,percent of total billed charges,21.17922036,,,,,,,,,,16.6275,percent of total billed charges,999999999,,,,,,,,,,16.6275,percent of total billed charges,14.4802668,,,,,,,,,,59.859,percent of total billed charges,,,,,
**DEFEROXAMINE (DESFERAL): 500MG,J0895,CDM,0007-8046-91,NDC,,both,1,EA,282,282,60.03327238,282,282,percent of total billed charges,207.4774183,,,,282,percent of total billed charges,219.921961,,,,282,percent of total billed charges,207.4774183,,,,282,percent of total billed charges,219.921961,,,,282,percent of total billed charges,999999999,,,,282,percent of total billed charges,214.8646183,,,,282,percent of total billed charges,207.4774183,,,,282,percent of total billed charges,219.921961,,,,201.066,percent of total billed charges,100.3356135,,,,201.066,percent of total billed charges,60.03327238,,,,201.066,percent of total billed charges,100.3356135,,,,201.066,percent of total billed charges,60.03327238,,,,201.066,percent of total billed charges,100.3356135,,,,201.066,percent of total billed charges,60.03327238,,,,199.092,percent of total billed charges,197.5814349,,,,199.092,percent of total billed charges,136.2703496,,,,,,,,,,203.04,percent of total billed charges,131.971222,,,,,,,,,,203.04,percent of total billed charges,999999999,,,,,,,,,,225.6,percent of total billed charges,189.0410729,,,,222.78,percent of total billed charges,214.9922873,,,,222.78,percent of total billed charges,189.9528024,,,,225.6,percent of total billed charges,999999999,,,,225.6,percent of total billed charges,999999999,,,,197.4,percent of total billed charges,999999999,,,,197.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,150.024,percent of total billed charges,999999999,,,,,,,,,,,,,,,,142.41,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,70.5,percent of total billed charges,66.95775507,,,,,,,,,,70.5,percent of total billed charges,65.84395837,,,,,,,,,,70.5,percent of total billed charges,65.66098083,,,,,,,,,,70.5,percent of total billed charges,64.69412369,,,,,,,,,,70.5,percent of total billed charges,66.3587986,,,,,,,,,,70.5,percent of total billed charges,999999999,,,,,,,,,,70.5,percent of total billed charges,56.94052219,,,,,,,,,,70.5,percent of total billed charges,89.79913009,,,,,,,,,,70.5,percent of total billed charges,999999999,,,,,,,,,,70.5,percent of total billed charges,61.39580872,,,,,,,,,,253.8,percent of total billed charges,,,,,
MULTIVITAMIN (THERAGRAN) TAB,637,RC,0090-4053-61,NDC,,both,1,EA,0.5,0.5,0.106441972,0.5,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,999999999,,,,0.5,percent of total billed charges,0.380965635,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.353,percent of total billed charges,0.350321693,,,,0.353,percent of total billed charges,0.241614095,,,,,,,,,,0.36,percent of total billed charges,0.233991528,,,,,,,,,,0.36,percent of total billed charges,999999999,,,,,,,,,,0.4,percent of total billed charges,0.335179207,,,,0.395,percent of total billed charges,0.381191999,,,,0.395,percent of total billed charges,0.336795749,,,,0.4,percent of total billed charges,999999999,,,,0.4,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.266,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.2525,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.125,percent of total billed charges,0.118719424,,,,,,,,,,0.125,percent of total billed charges,0.116744607,,,,,,,,,,0.125,percent of total billed charges,0.116420179,,,,,,,,,,0.125,percent of total billed charges,0.114705893,,,,,,,,,,0.125,percent of total billed charges,0.117657444,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.100958373,,,,,,,,,,0.125,percent of total billed charges,0.159218316,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.108857817,,,,,,,,,,0.45,percent of total billed charges,,,,,
prednisoLONE (PRED FORTE) OPHTH 1% 5ML,637,RC,6131-4063-05,NDC,,both,1,EA,130.74,130.74,27.83244692,130.74,130.74,percent of total billed charges,96.19006263,,,,130.74,percent of total billed charges,101.9595645,,,,130.74,percent of total billed charges,96.19006263,,,,130.74,percent of total billed charges,101.9595645,,,,130.74,percent of total billed charges,999999999,,,,130.74,percent of total billed charges,99.6148943,,,,130.74,percent of total billed charges,96.19006263,,,,130.74,percent of total billed charges,101.9595645,,,,93.21762,percent of total billed charges,46.51729827,,,,93.21762,percent of total billed charges,27.83244692,,,,93.21762,percent of total billed charges,46.51729827,,,,93.21762,percent of total billed charges,27.83244692,,,,93.21762,percent of total billed charges,46.51729827,,,,93.21762,percent of total billed charges,27.83244692,,,,92.30244,percent of total billed charges,91.6021163,,,,92.30244,percent of total billed charges,63.17725357,,,,,,,,,,94.1328,percent of total billed charges,61.18410486,,,,,,,,,,94.1328,percent of total billed charges,999999999,,,,,,,,,,104.592,percent of total billed charges,87.64265912,,,,103.2846,percent of total billed charges,99.67408384,,,,103.2846,percent of total billed charges,88.06535244,,,,104.592,percent of total billed charges,999999999,,,,104.592,percent of total billed charges,999999999,,,,91.518,percent of total billed charges,999999999,,,,91.518,percent of total billed charges,999999999,,,,,,,,,,,,,,,,69.55368,percent of total billed charges,999999999,,,,,,,,,,,,,,,,66.0237,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,32.685,percent of total billed charges,31.04275496,,,,,,,,,,32.685,percent of total billed charges,30.52637985,,,,,,,,,,32.685,percent of total billed charges,30.44154835,,,,,,,,,,32.685,percent of total billed charges,29.99329692,,,,,,,,,,32.685,percent of total billed charges,30.76506854,,,,,,,,,,32.685,percent of total billed charges,999999999,,,,,,,,,,32.685,percent of total billed charges,26.39859529,,,,,,,,,,32.685,percent of total billed charges,41.6324052,,,,,,,,,,32.685,percent of total billed charges,999999999,,,,,,,,,,32.685,percent of total billed charges,28.46414196,,,,,,,,,,117.666,percent of total billed charges,,,,,
GABAPENTIN (NEURONTIN) 100MG CAP,637,RC,5295-9050-30,NDC,,both,1,EA,0.55,0.55,0.11708617,0.55,0.55,percent of total billed charges,0.404654539,,,,0.55,percent of total billed charges,0.428925811,,,,0.55,percent of total billed charges,0.404654539,,,,0.55,percent of total billed charges,0.428925811,,,,0.55,percent of total billed charges,999999999,,,,0.55,percent of total billed charges,0.419062199,,,,0.55,percent of total billed charges,0.404654539,,,,0.55,percent of total billed charges,0.428925811,,,,0.39215,percent of total billed charges,0.195690026,,,,0.39215,percent of total billed charges,0.11708617,,,,0.39215,percent of total billed charges,0.195690026,,,,0.39215,percent of total billed charges,0.11708617,,,,0.39215,percent of total billed charges,0.195690026,,,,0.39215,percent of total billed charges,0.11708617,,,,0.3883,percent of total billed charges,0.385353862,,,,0.3883,percent of total billed charges,0.265775505,,,,,,,,,,0.396,percent of total billed charges,0.257390681,,,,,,,,,,0.396,percent of total billed charges,999999999,,,,,,,,,,0.44,percent of total billed charges,0.368697128,,,,0.4345,percent of total billed charges,0.419311199,,,,0.4345,percent of total billed charges,0.370475324,,,,0.44,percent of total billed charges,999999999,,,,0.44,percent of total billed charges,999999999,,,,0.385,percent of total billed charges,999999999,,,,0.385,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.2926,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.27775,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.1375,percent of total billed charges,0.130591366,,,,,,,,,,0.1375,percent of total billed charges,0.128419068,,,,,,,,,,0.1375,percent of total billed charges,0.128062197,,,,,,,,,,0.1375,percent of total billed charges,0.126176482,,,,,,,,,,0.1375,percent of total billed charges,0.129423189,,,,,,,,,,0.1375,percent of total billed charges,999999999,,,,,,,,,,0.1375,percent of total billed charges,0.11105421,,,,,,,,,,0.1375,percent of total billed charges,0.175140147,,,,,,,,,,0.1375,percent of total billed charges,999999999,,,,,,,,,,0.1375,percent of total billed charges,0.119743599,,,,,,,,,,0.495,percent of total billed charges,,,,,
BENZTROPINE (COGENTIN) 2MG/2ML INJ,J0515,CDM,0014-3972-05,NDC,,both,1,EA,582.83,582.83,124.0751494,582.83,582.83,percent of total billed charges,428.8087365,,,,582.83,percent of total billed charges,454.5287821,,,,582.83,percent of total billed charges,428.8087365,,,,582.83,percent of total billed charges,454.5287821,,,,582.83,percent of total billed charges,999999999,,,,582.83,percent of total billed charges,444.0764023,,,,582.83,percent of total billed charges,428.8087365,,,,582.83,percent of total billed charges,454.5287821,,,,415.55779,percent of total billed charges,207.3709419,,,,415.55779,percent of total billed charges,124.0751494,,,,415.55779,percent of total billed charges,207.3709419,,,,415.55779,percent of total billed charges,124.0751494,,,,415.55779,percent of total billed charges,207.3709419,,,,415.55779,percent of total billed charges,124.0751494,,,,411.47798,percent of total billed charges,408.3559847,,,,411.47798,percent of total billed charges,281.639886,,,,,,,,,,419.6376,percent of total billed charges,272.754565,,,,,,,,,,419.6376,percent of total billed charges,999999999,,,,,,,,,,466.264,percent of total billed charges,390.7049948,,,,460.4357,percent of total billed charges,444.3402653,,,,460.4357,percent of total billed charges,392.5893327,,,,466.264,percent of total billed charges,999999999,,,,466.264,percent of total billed charges,999999999,,,,407.981,percent of total billed charges,999999999,,,,407.981,percent of total billed charges,999999999,,,,,,,,,,,,,,,,310.06556,percent of total billed charges,999999999,,,,,,,,,,,,,,,,294.32915,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,145.7075,percent of total billed charges,138.3864836,,,,,,,,,,145.7075,percent of total billed charges,136.0845186,,,,,,,,,,145.7075,percent of total billed charges,135.7063456,,,,,,,,,,145.7075,percent of total billed charges,133.7080713,,,,,,,,,,145.7075,percent of total billed charges,137.1485765,,,,,,,,,,145.7075,percent of total billed charges,999999999,,,,,,,,,,145.7075,percent of total billed charges,117.6831367,,,,,,,,,,145.7075,percent of total billed charges,185.5944219,,,,,,,,,,145.7075,percent of total billed charges,999999999,,,,,,,,,,145.7075,percent of total billed charges,126.8912028,,,,,,,,,,524.547,percent of total billed charges,,,,,
dexAMETHasone (DECADRON) 4MG/ML: 30 ML,250,RC,6332-3016-30,NDC,,both,1,EA,91.14,91.14,19.40224271,91.14,91.14,percent of total billed charges,67.05493581,,,,91.14,percent of total billed charges,71.07690613,,,,91.14,percent of total billed charges,67.05493581,,,,91.14,percent of total billed charges,71.07690613,,,,91.14,percent of total billed charges,999999999,,,,91.14,percent of total billed charges,69.44241599,,,,91.14,percent of total billed charges,67.05493581,,,,91.14,percent of total billed charges,71.07690613,,,,64.98282,percent of total billed charges,32.42761637,,,,64.98282,percent of total billed charges,19.40224271,,,,64.98282,percent of total billed charges,32.42761637,,,,64.98282,percent of total billed charges,19.40224271,,,,64.98282,percent of total billed charges,32.42761637,,,,64.98282,percent of total billed charges,19.40224271,,,,64.34484,percent of total billed charges,63.85663821,,,,64.34484,percent of total billed charges,44.04141724,,,,,,,,,,65.6208,percent of total billed charges,42.6519758,,,,,,,,,,65.6208,percent of total billed charges,999999999,,,,,,,,,,72.912,percent of total billed charges,61.09646591,,,,72.0006,percent of total billed charges,69.48367754,,,,72.0006,percent of total billed charges,61.39112912,,,,72.912,percent of total billed charges,999999999,,,,72.912,percent of total billed charges,999999999,,,,63.798,percent of total billed charges,999999999,,,,63.798,percent of total billed charges,999999999,,,,,,,,,,,,,,,,48.48648,percent of total billed charges,999999999,,,,,,,,,,,,,,,,46.0257,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,22.785,percent of total billed charges,21.64017659,,,,,,,,,,22.785,percent of total billed charges,21.28020697,,,,,,,,,,22.785,percent of total billed charges,21.22107019,,,,,,,,,,22.785,percent of total billed charges,20.90859019,,,,,,,,,,22.785,percent of total billed charges,21.44659895,,,,,,,,,,22.785,percent of total billed charges,999999999,,,,,,,,,,22.785,percent of total billed charges,18.40269217,,,,,,,,,,22.785,percent of total billed charges,29.0223146,,,,,,,,,,22.785,percent of total billed charges,999999999,,,,,,,,,,22.785,percent of total billed charges,19.84260286,,,,,,,,,,82.026,percent of total billed charges,,,,,
EPINEPHrine 1:1000 (ADRENALIN) 1MG/1ML,J0171,CDM,5428-8010-10,NDC,,both,1,EA,206.54,206.54,43.96904992,206.54,206.54,percent of total billed charges,151.9588155,,,,206.54,percent of total billed charges,161.0733398,,,,206.54,percent of total billed charges,151.9588155,,,,206.54,percent of total billed charges,161.0733398,,,,206.54,percent of total billed charges,999999999,,,,206.54,percent of total billed charges,157.3692846,,,,206.54,percent of total billed charges,151.9588155,,,,206.54,percent of total billed charges,161.0733398,,,,147.26302,percent of total billed charges,73.4869419,,,,147.26302,percent of total billed charges,43.96904992,,,,147.26302,percent of total billed charges,73.4869419,,,,147.26302,percent of total billed charges,43.96904992,,,,147.26302,percent of total billed charges,73.4869419,,,,147.26302,percent of total billed charges,43.96904992,,,,145.81724,percent of total billed charges,144.710885,,,,145.81724,percent of total billed charges,99.80595037,,,,,,,,,,148.7088,percent of total billed charges,96.65722057,,,,,,,,,,148.7088,percent of total billed charges,999999999,,,,,,,,,,165.232,percent of total billed charges,138.455827,,,,163.1666,percent of total billed charges,157.4627909,,,,163.1666,percent of total billed charges,139.123588,,,,165.232,percent of total billed charges,999999999,,,,165.232,percent of total billed charges,999999999,,,,144.578,percent of total billed charges,999999999,,,,144.578,percent of total billed charges,999999999,,,,,,,,,,,,,,,,109.87928,percent of total billed charges,999999999,,,,,,,,,,,,,,,,104.3027,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,51.635,percent of total billed charges,49.04061962,,,,,,,,,,51.635,percent of total billed charges,48.22486228,,,,,,,,,,51.635,percent of total billed charges,48.09084745,,,,,,,,,,51.635,percent of total billed charges,47.38271031,,,,,,,,,,51.635,percent of total billed charges,48.6019371,,,,,,,,,,51.635,percent of total billed charges,999999999,,,,,,,,,,51.635,percent of total billed charges,41.70388458,,,,,,,,,,51.635,percent of total billed charges,65.76990187,,,,,,,,,,51.635,percent of total billed charges,999999999,,,,,,,,,,51.635,percent of total billed charges,44.966987,,,,,,,,,,185.886,percent of total billed charges,,,,,
LIDOCAINE 1% (XYLOCAINE) MPF 2mL: SDV,J2003,CDM,5515-0016-02,NDC,,both,1,EA,25.27,25.27,5.379577281,25.27,25.27,percent of total billed charges,18.59203673,,,,25.27,percent of total billed charges,19.70719133,,,,25.27,percent of total billed charges,18.59203673,,,,25.27,percent of total billed charges,19.70719133,,,,25.27,percent of total billed charges,999999999,,,,25.27,percent of total billed charges,19.2540032,,,,25.27,percent of total billed charges,18.59203673,,,,25.27,percent of total billed charges,19.70719133,,,,18.01751,percent of total billed charges,8.991067211,,,,18.01751,percent of total billed charges,5.379577281,,,,18.01751,percent of total billed charges,8.991067211,,,,18.01751,percent of total billed charges,5.379577281,,,,18.01751,percent of total billed charges,8.991067211,,,,18.01751,percent of total billed charges,5.379577281,,,,17.84062,percent of total billed charges,17.70525837,,,,17.84062,percent of total billed charges,12.21117636,,,,,,,,,,18.1944,percent of total billed charges,11.82593185,,,,,,,,,,18.1944,percent of total billed charges,999999999,,,,,,,,,,20.216,percent of total billed charges,16.93995714,,,,19.9633,percent of total billed charges,19.26544362,,,,19.9633,percent of total billed charges,17.02165715,,,,20.216,percent of total billed charges,999999999,,,,20.216,percent of total billed charges,999999999,,,,17.689,percent of total billed charges,999999999,,,,17.689,percent of total billed charges,999999999,,,,,,,,,,,,,,,,13.44364,percent of total billed charges,999999999,,,,,,,,,,,,,,,,12.76135,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6.3175,percent of total billed charges,6.000079683,,,,,,,,,,6.3175,percent of total billed charges,5.90027244,,,,,,,,,,6.3175,percent of total billed charges,5.883875836,,,,,,,,,,6.3175,percent of total billed charges,5.797235836,,,,,,,,,,6.3175,percent of total billed charges,5.946407236,,,,,,,,,,6.3175,percent of total billed charges,999999999,,,,,,,,,,6.3175,percent of total billed charges,5.102436155,,,,,,,,,,6.3175,percent of total billed charges,8.046893678,,,,,,,,,,6.3175,percent of total billed charges,999999999,,,,,,,,,,6.3175,percent of total billed charges,5.501674065,,,,,,,,,,22.743,percent of total billed charges,,,,,
NALBUPHINE (NUBAIN) 20MG/ML INJ,J2300,CDM,0040-9146-01,NDC,,both,1,EA,76.34,76.34,16.25156033,76.34,76.34,percent of total billed charges,56.16605003,,,,76.34,percent of total billed charges,59.5349025,,,,76.34,percent of total billed charges,56.16605003,,,,76.34,percent of total billed charges,59.5349025,,,,76.34,percent of total billed charges,999999999,,,,76.34,percent of total billed charges,58.16583318,,,,76.34,percent of total billed charges,56.16605003,,,,76.34,percent of total billed charges,59.5349025,,,,54.43042,percent of total billed charges,27.16177566,,,,54.43042,percent of total billed charges,16.25156033,,,,54.43042,percent of total billed charges,27.16177566,,,,54.43042,percent of total billed charges,16.25156033,,,,54.43042,percent of total billed charges,27.16177566,,,,54.43042,percent of total billed charges,16.25156033,,,,53.89604,percent of total billed charges,53.48711609,,,,53.89604,percent of total billed charges,36.88964003,,,,,,,,,,54.9648,percent of total billed charges,35.72582656,,,,,,,,,,54.9648,percent of total billed charges,999999999,,,,,,,,,,61.072,percent of total billed charges,51.17516137,,,,60.3086,percent of total billed charges,58.20039438,,,,60.3086,percent of total billed charges,51.42197495,,,,61.072,percent of total billed charges,999999999,,,,61.072,percent of total billed charges,999999999,,,,53.438,percent of total billed charges,999999999,,,,53.438,percent of total billed charges,999999999,,,,,,,,,,,,,,,,40.61288,percent of total billed charges,999999999,,,,,,,,,,,,,,,,38.5517,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19.085,percent of total billed charges,18.12608164,,,,,,,,,,19.085,percent of total billed charges,17.8245666,,,,,,,,,,19.085,percent of total billed charges,17.7750329,,,,,,,,,,19.085,percent of total billed charges,17.51329575,,,,,,,,,,19.085,percent of total billed charges,17.9639386,,,,,,,,,,19.085,percent of total billed charges,999999999,,,,,,,,,,19.085,percent of total billed charges,15.41432434,,,,,,,,,,19.085,percent of total billed charges,24.30945245,,,,,,,,,,19.085,percent of total billed charges,999999999,,,,,,,,,,19.085,percent of total billed charges,16.62041148,,,,,,,,,,68.706,percent of total billed charges,,,,,
PROMETHAZINE SYRUP 6.25 MG/5ML: 5ml UD,250,RC,6043-2060-04,NDC,,both,1,EA,0.89,0.89,0.189466711,0.89,0.89,percent of total billed charges,0.654804618,,,,0.89,percent of total billed charges,0.694079948,,,,0.89,percent of total billed charges,0.654804618,,,,0.89,percent of total billed charges,0.694079948,,,,0.89,percent of total billed charges,999999999,,,,0.89,percent of total billed charges,0.678118831,,,,0.89,percent of total billed charges,0.654804618,,,,0.89,percent of total billed charges,0.694079948,,,,0.63457,percent of total billed charges,0.316662043,,,,0.63457,percent of total billed charges,0.189466711,,,,0.63457,percent of total billed charges,0.316662043,,,,0.63457,percent of total billed charges,0.189466711,,,,0.63457,percent of total billed charges,0.316662043,,,,0.63457,percent of total billed charges,0.189466711,,,,0.62834,percent of total billed charges,0.623572614,,,,0.62834,percent of total billed charges,0.430073089,,,,,,,,,,0.6408,percent of total billed charges,0.416504921,,,,,,,,,,0.6408,percent of total billed charges,999999999,,,,,,,,,,0.712,percent of total billed charges,0.596618989,,,,0.7031,percent of total billed charges,0.678521758,,,,0.7031,percent of total billed charges,0.599496433,,,,0.712,percent of total billed charges,999999999,,,,0.712,percent of total billed charges,999999999,,,,0.623,percent of total billed charges,999999999,,,,0.623,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.47348,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.44945,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.2225,percent of total billed charges,0.211320575,,,,,,,,,,0.2225,percent of total billed charges,0.207805401,,,,,,,,,,0.2225,percent of total billed charges,0.207227918,,,,,,,,,,0.2225,percent of total billed charges,0.20417649,,,,,,,,,,0.2225,percent of total billed charges,0.209430251,,,,,,,,,,0.2225,percent of total billed charges,999999999,,,,,,,,,,0.2225,percent of total billed charges,0.179705903,,,,,,,,,,0.2225,percent of total billed charges,0.283408602,,,,,,,,,,0.2225,percent of total billed charges,999999999,,,,,,,,,,0.2225,percent of total billed charges,0.193766914,,,,,,,,,,0.801,percent of total billed charges,,,,,
SODIUM BICARBONATE 50MEQ/50ML VIAL,250,RC,7632-9335-01,NDC,,both,1,EA,157.25,157.25,33.47600029,157.25,157.25,percent of total billed charges,115.6944114,,,,157.25,percent of total billed charges,122.6337885,,,,157.25,percent of total billed charges,115.6944114,,,,157.25,percent of total billed charges,122.6337885,,,,157.25,percent of total billed charges,999999999,,,,157.25,percent of total billed charges,119.8136923,,,,157.25,percent of total billed charges,115.6944114,,,,157.25,percent of total billed charges,122.6337885,,,,112.11925,percent of total billed charges,55.94955754,,,,112.11925,percent of total billed charges,33.47600029,,,,112.11925,percent of total billed charges,55.94955754,,,,112.11925,percent of total billed charges,33.47600029,,,,112.11925,percent of total billed charges,55.94955754,,,,112.11925,percent of total billed charges,33.47600029,,,,111.0185,percent of total billed charges,110.1761725,,,,111.0185,percent of total billed charges,75.98763288,,,,,,,,,,113.22,percent of total billed charges,73.59033569,,,,,,,,,,113.22,percent of total billed charges,999999999,,,,,,,,,,125.8,percent of total billed charges,105.4138607,,,,124.2275,percent of total billed charges,119.8848836,,,,124.2275,percent of total billed charges,105.9222631,,,,125.8,percent of total billed charges,999999999,,,,125.8,percent of total billed charges,999999999,,,,110.075,percent of total billed charges,999999999,,,,110.075,percent of total billed charges,999999999,,,,,,,,,,,,,,,,83.657,percent of total billed charges,999999999,,,,,,,,,,,,,,,,79.41125,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,39.3125,percent of total billed charges,37.33725881,,,,,,,,,,39.3125,percent of total billed charges,36.71617892,,,,,,,,,,39.3125,percent of total billed charges,36.61414623,,,,,,,,,,39.3125,percent of total billed charges,36.07500337,,,,,,,,,,39.3125,percent of total billed charges,37.00326624,,,,,,,,,,39.3125,percent of total billed charges,999999999,,,,,,,,,,39.3125,percent of total billed charges,31.75140821,,,,,,,,,,39.3125,percent of total billed charges,50.07416031,,,,,,,,,,39.3125,percent of total billed charges,999999999,,,,,,,,,,39.3125,percent of total billed charges,34.23578341,,,,,,,,,,141.525,percent of total billed charges,,,,,
CLOTRIMAZOLE (LOTRIMIN) 1% CRM 30GM,637,RC,5167-2200-01,NDC,,both,1,EA,30.6,30.6,6.514248705,30.6,30.6,percent of total billed charges,22.51350709,,,,30.6,percent of total billed charges,23.86387237,,,,30.6,percent of total billed charges,22.51350709,,,,30.6,percent of total billed charges,23.86387237,,,,30.6,percent of total billed charges,999999999,,,,30.6,percent of total billed charges,23.31509688,,,,30.6,percent of total billed charges,22.51350709,,,,30.6,percent of total billed charges,23.86387237,,,,21.8178,percent of total billed charges,10.88748147,,,,21.8178,percent of total billed charges,6.514248705,,,,21.8178,percent of total billed charges,10.88748147,,,,21.8178,percent of total billed charges,6.514248705,,,,21.8178,percent of total billed charges,10.88748147,,,,21.8178,percent of total billed charges,6.514248705,,,,21.6036,percent of total billed charges,21.43968761,,,,21.6036,percent of total billed charges,14.78678262,,,,,,,,,,22.032,percent of total billed charges,14.32028154,,,,,,,,,,22.032,percent of total billed charges,999999999,,,,,,,,,,24.48,percent of total billed charges,20.51296749,,,,24.174,percent of total billed charges,23.32895033,,,,24.174,percent of total billed charges,20.61189984,,,,24.48,percent of total billed charges,999999999,,,,24.48,percent of total billed charges,999999999,,,,21.42,percent of total billed charges,999999999,,,,21.42,percent of total billed charges,999999999,,,,,,,,,,,,,,,,16.2792,percent of total billed charges,999999999,,,,,,,,,,,,,,,,15.453,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7.65,percent of total billed charges,7.265628742,,,,,,,,,,7.65,percent of total billed charges,7.144769951,,,,,,,,,,7.65,percent of total billed charges,7.124914941,,,,,,,,,,7.65,percent of total billed charges,7.020000656,,,,,,,,,,7.65,percent of total billed charges,7.200635593,,,,,,,,,,7.65,percent of total billed charges,999999999,,,,,,,,,,7.65,percent of total billed charges,6.178652408,,,,,,,,,,7.65,percent of total billed charges,9.744160924,,,,,,,,,,7.65,percent of total billed charges,999999999,,,,,,,,,,7.65,percent of total billed charges,6.662098393,,,,,,,,,,27.54,percent of total billed charges,,,,,
EPINEPHrine 1MG/10ML SYRINGE: CODE BLUE,J0171,CDM,7632-9331-01,NDC,,both,1,EA,209.45,209.45,44.5885422,209.45,209.45,percent of total billed charges,154.0998059,,,,209.45,percent of total billed charges,163.3427473,,,,209.45,percent of total billed charges,154.0998059,,,,209.45,percent of total billed charges,163.3427473,,,,209.45,percent of total billed charges,999999999,,,,209.45,percent of total billed charges,159.5865046,,,,209.45,percent of total billed charges,154.0998059,,,,209.45,percent of total billed charges,163.3427473,,,,149.33785,percent of total billed charges,74.52232004,,,,149.33785,percent of total billed charges,44.5885422,,,,149.33785,percent of total billed charges,74.52232004,,,,149.33785,percent of total billed charges,44.5885422,,,,149.33785,percent of total billed charges,74.52232004,,,,149.33785,percent of total billed charges,44.5885422,,,,147.8717,percent of total billed charges,146.7497572,,,,147.8717,percent of total billed charges,101.2121444,,,,,,,,,,150.804,percent of total billed charges,98.01905126,,,,,,,,,,150.804,percent of total billed charges,999999999,,,,,,,,,,167.56,percent of total billed charges,140.4065699,,,,165.4655,percent of total billed charges,159.6813283,,,,165.4655,percent of total billed charges,141.0837392,,,,167.56,percent of total billed charges,999999999,,,,167.56,percent of total billed charges,999999999,,,,146.615,percent of total billed charges,999999999,,,,146.615,percent of total billed charges,999999999,,,,,,,,,,,,,,,,111.4274,percent of total billed charges,999999999,,,,,,,,,,,,,,,,105.77225,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,52.3625,percent of total billed charges,49.73156666,,,,,,,,,,52.3625,percent of total billed charges,48.90431589,,,,,,,,,,52.3625,percent of total billed charges,48.76841289,,,,,,,,,,52.3625,percent of total billed charges,48.05029861,,,,,,,,,,52.3625,percent of total billed charges,49.28670343,,,,,,,,,,52.3625,percent of total billed charges,999999999,,,,,,,,,,52.3625,percent of total billed charges,42.29146231,,,,,,,,,,52.3625,percent of total billed charges,66.69655247,,,,,,,,,,52.3625,percent of total billed charges,999999999,,,,,,,,,,52.3625,percent of total billed charges,45.60053949,,,,,,,,,,188.505,percent of total billed charges,,,,,
LIDOCAINE 2% (XYLOCAINE) 20ML INJ,J2003,CDM,5515-0025-20,NDC,,both,1,EA,17.58,17.58,3.742499746,17.58,17.58,percent of total billed charges,12.93423054,,,,17.58,percent of total billed charges,13.71002863,,,,17.58,percent of total billed charges,12.93423054,,,,17.58,percent of total billed charges,13.71002863,,,,17.58,percent of total billed charges,999999999,,,,17.58,percent of total billed charges,13.39475173,,,,17.58,percent of total billed charges,12.93423054,,,,17.58,percent of total billed charges,13.71002863,,,,12.53454,percent of total billed charges,6.254964843,,,,12.53454,percent of total billed charges,3.742499746,,,,12.53454,percent of total billed charges,6.254964843,,,,12.53454,percent of total billed charges,3.742499746,,,,12.53454,percent of total billed charges,6.254964843,,,,12.53454,percent of total billed charges,3.742499746,,,,12.41148,percent of total billed charges,12.31731073,,,,12.41148,percent of total billed charges,8.495151581,,,,,,,,,,12.6576,percent of total billed charges,8.22714214,,,,,,,,,,12.6576,percent of total billed charges,999999999,,,,,,,,,,14.064,percent of total billed charges,11.78490093,,,,13.8882,percent of total billed charges,13.40271068,,,,13.8882,percent of total billed charges,11.84173853,,,,14.064,percent of total billed charges,999999999,,,,14.064,percent of total billed charges,999999999,,,,12.306,percent of total billed charges,999999999,,,,12.306,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.35256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,8.8779,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4.395,percent of total billed charges,4.174174944,,,,,,,,,,4.395,percent of total billed charges,4.104740384,,,,,,,,,,4.395,percent of total billed charges,4.093333486,,,,,,,,,,4.395,percent of total billed charges,4.0330592,,,,,,,,,,4.395,percent of total billed charges,4.136835742,,,,,,,,,,4.395,percent of total billed charges,999999999,,,,,,,,,,4.395,percent of total billed charges,3.549696383,,,,,,,,,,4.395,percent of total billed charges,5.598115982,,,,,,,,,,4.395,percent of total billed charges,999999999,,,,,,,,,,4.395,percent of total billed charges,3.827440842,,,,,,,,,,15.822,percent of total billed charges,,,,,
SODIUM BICARBONATE 5MEQ/10ML SYR (PED),250,RC,0040-9553-24,NDC,,both,1,EA,125.8,125.8,26.78080023,125.8,125.8,percent of total billed charges,92.55552914,,,,125.8,percent of total billed charges,98.10703084,,,,125.8,percent of total billed charges,92.55552914,,,,125.8,percent of total billed charges,98.10703084,,,,125.8,percent of total billed charges,999999999,,,,125.8,percent of total billed charges,95.85095382,,,,125.8,percent of total billed charges,92.55552914,,,,125.8,percent of total billed charges,98.10703084,,,,89.6954,percent of total billed charges,44.75964603,,,,89.6954,percent of total billed charges,26.78080023,,,,89.6954,percent of total billed charges,44.75964603,,,,89.6954,percent of total billed charges,26.78080023,,,,89.6954,percent of total billed charges,44.75964603,,,,89.6954,percent of total billed charges,26.78080023,,,,88.8148,percent of total billed charges,88.14093797,,,,88.8148,percent of total billed charges,60.79010631,,,,,,,,,,90.576,percent of total billed charges,58.87226856,,,,,,,,,,90.576,percent of total billed charges,999999999,,,,,,,,,,100.64,percent of total billed charges,84.33108856,,,,99.382,percent of total billed charges,95.9079069,,,,99.382,percent of total billed charges,84.73781044,,,,100.64,percent of total billed charges,999999999,,,,100.64,percent of total billed charges,999999999,,,,88.06,percent of total billed charges,999999999,,,,88.06,percent of total billed charges,999999999,,,,,,,,,,,,,,,,66.9256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,63.529,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,31.45,percent of total billed charges,29.86980705,,,,,,,,,,31.45,percent of total billed charges,29.37294313,,,,,,,,,,31.45,percent of total billed charges,29.29131698,,,,,,,,,,31.45,percent of total billed charges,28.8600027,,,,,,,,,,31.45,percent of total billed charges,29.60261299,,,,,,,,,,31.45,percent of total billed charges,999999999,,,,,,,,,,31.45,percent of total billed charges,25.40112656,,,,,,,,,,31.45,percent of total billed charges,40.05932825,,,,,,,,,,31.45,percent of total billed charges,999999999,,,,,,,,,,31.45,percent of total billed charges,27.38862673,,,,,,,,,,113.22,percent of total billed charges,,,,,
MICONAZOLE VAGINAL CRM (MONISTAT-7),259,RC,0090-4773-45,NDC,,both,1,EA,103.12,103.12,21.95259237,103.12,103.12,percent of total billed charges,75.86904741,,,,103.12,percent of total billed charges,80.41969014,,,,103.12,percent of total billed charges,75.86904741,,,,103.12,percent of total billed charges,80.41969014,,,,103.12,percent of total billed charges,999999999,,,,103.12,percent of total billed charges,78.57035261,,,,103.12,percent of total billed charges,75.86904741,,,,103.12,percent of total billed charges,80.41969014,,,,73.52456,percent of total billed charges,36.69010094,,,,73.52456,percent of total billed charges,21.95259237,,,,73.52456,percent of total billed charges,36.69010094,,,,73.52456,percent of total billed charges,21.95259237,,,,73.52456,percent of total billed charges,36.69010094,,,,73.52456,percent of total billed charges,21.95259237,,,,72.80272,percent of total billed charges,72.25034597,,,,72.80272,percent of total billed charges,49.83049096,,,,,,,,,,74.2464,percent of total billed charges,48.25841283,,,,,,,,,,74.2464,percent of total billed charges,999999999,,,,,,,,,,82.496,percent of total billed charges,69.12735971,,,,81.4648,percent of total billed charges,78.61703783,,,,81.4648,percent of total billed charges,69.46075527,,,,82.496,percent of total billed charges,999999999,,,,82.496,percent of total billed charges,999999999,,,,72.184,percent of total billed charges,999999999,,,,72.184,percent of total billed charges,999999999,,,,,,,,,,,,,,,,54.85984,percent of total billed charges,999999999,,,,,,,,,,,,,,,,52.0756,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,25.78,percent of total billed charges,24.48469398,,,,,,,,,,25.78,percent of total billed charges,24.07740776,,,,,,,,,,25.78,percent of total billed charges,24.01049767,,,,,,,,,,25.78,percent of total billed charges,23.65694339,,,,,,,,,,25.78,percent of total billed charges,24.26567132,,,,,,,,,,25.78,percent of total billed charges,999999999,,,,,,,,,,25.78,percent of total billed charges,20.82165478,,,,,,,,,,25.78,percent of total billed charges,32.83718544,,,,,,,,,,25.78,percent of total billed charges,999999999,,,,,,,,,,25.78,percent of total billed charges,22.45083615,,,,,,,,,,92.808,percent of total billed charges,,,,,
**TERCONAZOLE(TERAZOL) 0.4% CREAM:7 DAY,259,RC,0006-2535-01,NDC,,both,1,EA,129,129,27.46202886,129,129,percent of total billed charges,94.90988282,,,,129,percent of total billed charges,100.6025992,,,,129,percent of total billed charges,94.90988282,,,,129,percent of total billed charges,100.6025992,,,,129,percent of total billed charges,999999999,,,,129,percent of total billed charges,98.28913388,,,,129,percent of total billed charges,94.90988282,,,,129,percent of total billed charges,100.6025992,,,,91.977,percent of total billed charges,45.89820618,,,,91.977,percent of total billed charges,27.46202886,,,,91.977,percent of total billed charges,45.89820618,,,,91.977,percent of total billed charges,27.46202886,,,,91.977,percent of total billed charges,45.89820618,,,,91.977,percent of total billed charges,27.46202886,,,,91.074,percent of total billed charges,90.3829968,,,,91.074,percent of total billed charges,62.33643652,,,,,,,,,,92.88,percent of total billed charges,60.36981434,,,,,,,,,,92.88,percent of total billed charges,999999999,,,,,,,,,,103.2,percent of total billed charges,86.47623548,,,,101.91,percent of total billed charges,98.34753569,,,,101.91,percent of total billed charges,86.89330323,,,,103.2,percent of total billed charges,999999999,,,,103.2,percent of total billed charges,999999999,,,,90.3,percent of total billed charges,999999999,,,,90.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,68.628,percent of total billed charges,999999999,,,,,,,,,,,,,,,,65.145,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,32.25,percent of total billed charges,30.62961136,,,,,,,,,,32.25,percent of total billed charges,30.12010862,,,,,,,,,,32.25,percent of total billed charges,30.03640613,,,,,,,,,,32.25,percent of total billed charges,29.59412041,,,,,,,,,,32.25,percent of total billed charges,30.35562064,,,,,,,,,,32.25,percent of total billed charges,999999999,,,,,,,,,,32.25,percent of total billed charges,26.04726015,,,,,,,,,,32.25,percent of total billed charges,41.07832547,,,,,,,,,,32.25,percent of total billed charges,999999999,,,,,,,,,,32.25,percent of total billed charges,28.08531676,,,,,,,,,,116.1,percent of total billed charges,,,,,
**TERCONAZOLE(TERAZOL)0.8% VAG CR:3 DAY,259,RC,0006-2535-01,NDC,,both,1,EA,129,129,27.46202886,129,129,percent of total billed charges,94.90988282,,,,129,percent of total billed charges,100.6025992,,,,129,percent of total billed charges,94.90988282,,,,129,percent of total billed charges,100.6025992,,,,129,percent of total billed charges,999999999,,,,129,percent of total billed charges,98.28913388,,,,129,percent of total billed charges,94.90988282,,,,129,percent of total billed charges,100.6025992,,,,91.977,percent of total billed charges,45.89820618,,,,91.977,percent of total billed charges,27.46202886,,,,91.977,percent of total billed charges,45.89820618,,,,91.977,percent of total billed charges,27.46202886,,,,91.977,percent of total billed charges,45.89820618,,,,91.977,percent of total billed charges,27.46202886,,,,91.074,percent of total billed charges,90.3829968,,,,91.074,percent of total billed charges,62.33643652,,,,,,,,,,92.88,percent of total billed charges,60.36981434,,,,,,,,,,92.88,percent of total billed charges,999999999,,,,,,,,,,103.2,percent of total billed charges,86.47623548,,,,101.91,percent of total billed charges,98.34753569,,,,101.91,percent of total billed charges,86.89330323,,,,103.2,percent of total billed charges,999999999,,,,103.2,percent of total billed charges,999999999,,,,90.3,percent of total billed charges,999999999,,,,90.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,68.628,percent of total billed charges,999999999,,,,,,,,,,,,,,,,65.145,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,32.25,percent of total billed charges,30.62961136,,,,,,,,,,32.25,percent of total billed charges,30.12010862,,,,,,,,,,32.25,percent of total billed charges,30.03640613,,,,,,,,,,32.25,percent of total billed charges,29.59412041,,,,,,,,,,32.25,percent of total billed charges,30.35562064,,,,,,,,,,32.25,percent of total billed charges,999999999,,,,,,,,,,32.25,percent of total billed charges,26.04726015,,,,,,,,,,32.25,percent of total billed charges,41.07832547,,,,,,,,,,32.25,percent of total billed charges,999999999,,,,,,,,,,32.25,percent of total billed charges,28.08531676,,,,,,,,,,116.1,percent of total billed charges,,,,,
PROTAMINE SULFATE 250MG/25ML VIAL,J2720,CDM,6332-3022-30,NDC,,both,1,EA,335.53,335.53,71.42894994,335.53,335.53,percent of total billed charges,246.8613409,,,,335.53,percent of total billed charges,261.6681404,,,,335.53,percent of total billed charges,246.8613409,,,,335.53,percent of total billed charges,261.6681404,,,,335.53,percent of total billed charges,999999999,,,,335.53,percent of total billed charges,255.6507992,,,,335.53,percent of total billed charges,246.8613409,,,,335.53,percent of total billed charges,261.6681404,,,,239.23289,percent of total billed charges,119.3815901,,,,239.23289,percent of total billed charges,71.42894994,,,,239.23289,percent of total billed charges,119.3815901,,,,239.23289,percent of total billed charges,71.42894994,,,,239.23289,percent of total billed charges,119.3815901,,,,239.23289,percent of total billed charges,71.42894994,,,,236.88418,percent of total billed charges,235.0868753,,,,236.88418,percent of total billed charges,162.1375546,,,,,,,,,,241.5816,percent of total billed charges,157.0223551,,,,,,,,,,241.5816,percent of total billed charges,999999999,,,,,,,,,,268.424,percent of total billed charges,224.9253588,,,,265.0687,percent of total billed charges,255.8027027,,,,265.0687,percent of total billed charges,226.0101553,,,,268.424,percent of total billed charges,999999999,,,,268.424,percent of total billed charges,999999999,,,,234.871,percent of total billed charges,999999999,,,,234.871,percent of total billed charges,999999999,,,,,,,,,,,,,,,,178.50196,percent of total billed charges,999999999,,,,,,,,,,,,,,,,169.44265,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,83.8825,percent of total billed charges,79.66785659,,,,,,,,,,83.8825,percent of total billed charges,78.342636,,,,,,,,,,83.8825,percent of total billed charges,78.12492517,,,,,,,,,,83.8825,percent of total billed charges,76.9745366,,,,,,,,,,83.8825,percent of total billed charges,78.95520459,,,,,,,,,,83.8825,percent of total billed charges,999999999,,,,,,,,,,83.8825,percent of total billed charges,67.74912557,,,,,,,,,,83.8825,percent of total billed charges,106.845043,,,,,,,,,,83.8825,percent of total billed charges,999999999,,,,,,,,,,83.8825,percent of total billed charges,73.0501266,,,,,,,,,,301.977,percent of total billed charges,,,,,
METHACHOLINE CHLORIDE INHAL SOLN KIT,J7674,CDM,6428-1010-06,NDC,,both,1,EA,317.3,317.3,67.54807563,317.3,317.3,percent of total billed charges,233.4488823,,,,317.3,percent of total billed charges,247.4511994,,,,317.3,percent of total billed charges,233.4488823,,,,317.3,percent of total billed charges,247.4511994,,,,317.3,percent of total billed charges,999999999,,,,317.3,percent of total billed charges,241.7607921,,,,317.3,percent of total billed charges,233.4488823,,,,317.3,percent of total billed charges,247.4511994,,,,226.2349,percent of total billed charges,112.8953552,,,,226.2349,percent of total billed charges,67.54807563,,,,226.2349,percent of total billed charges,112.8953552,,,,226.2349,percent of total billed charges,67.54807563,,,,226.2349,percent of total billed charges,112.8953552,,,,226.2349,percent of total billed charges,67.54807563,,,,224.0138,percent of total billed charges,222.3141464,,,,224.0138,percent of total billed charges,153.3283047,,,,,,,,,,228.456,percent of total billed charges,148.4910239,,,,,,,,,,228.456,percent of total billed charges,999999999,,,,,,,,,,253.84,percent of total billed charges,212.704725,,,,250.667,percent of total billed charges,241.9044424,,,,250.667,percent of total billed charges,213.7305823,,,,253.84,percent of total billed charges,999999999,,,,253.84,percent of total billed charges,999999999,,,,222.11,percent of total billed charges,999999999,,,,222.11,percent of total billed charges,999999999,,,,,,,,,,,,,,,,168.8036,percent of total billed charges,999999999,,,,,,,,,,,,,,,,160.2365,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,79.325,percent of total billed charges,75.3393464,,,,,,,,,,79.325,percent of total billed charges,74.08612763,,,,,,,,,,79.325,percent of total billed charges,73.88024545,,,,,,,,,,79.325,percent of total billed charges,72.79235974,,,,,,,,,,79.325,percent of total billed charges,74.66541417,,,,,,,,,,79.325,percent of total billed charges,999999999,,,,,,,,,,79.325,percent of total billed charges,64.0681833,,,,,,,,,,79.325,percent of total billed charges,101.0399432,,,,,,,,,,79.325,percent of total billed charges,999999999,,,,,,,,,,79.325,percent of total billed charges,69.08117059,,,,,,,,,,285.57,percent of total billed charges,,,,,
***NEOMYCIN/POLYMIXIN/HYDROCORTISONE O/O,259,RC,2420-8078-55,NDC,,both,1,EA,78.8,78.8,16.77525484,78.8,78.8,percent of total billed charges,57.97595943,,,,78.8,percent of total billed charges,61.45337067,,,,78.8,percent of total billed charges,57.97595943,,,,78.8,percent of total billed charges,61.45337067,,,,78.8,percent of total billed charges,999999999,,,,78.8,percent of total billed charges,60.04018411,,,,78.8,percent of total billed charges,57.97595943,,,,78.8,percent of total billed charges,61.45337067,,,,56.1844,percent of total billed charges,28.03704378,,,,56.1844,percent of total billed charges,16.77525484,,,,56.1844,percent of total billed charges,28.03704378,,,,56.1844,percent of total billed charges,16.77525484,,,,56.1844,percent of total billed charges,28.03704378,,,,56.1844,percent of total billed charges,16.77525484,,,,55.6328,percent of total billed charges,55.21069882,,,,55.6328,percent of total billed charges,38.07838138,,,,,,,,,,56.736,percent of total billed charges,36.87706488,,,,,,,,,,56.736,percent of total billed charges,999999999,,,,,,,,,,63.04,percent of total billed charges,52.82424307,,,,62.252,percent of total billed charges,60.07585901,,,,62.252,percent of total billed charges,53.07901004,,,,63.04,percent of total billed charges,999999999,,,,63.04,percent of total billed charges,999999999,,,,55.16,percent of total billed charges,999999999,,,,55.16,percent of total billed charges,999999999,,,,,,,,,,,,,,,,41.9216,percent of total billed charges,999999999,,,,,,,,,,,,,,,,39.794,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19.7,percent of total billed charges,18.7101812,,,,,,,,,,19.7,percent of total billed charges,18.39895007,,,,,,,,,,19.7,percent of total billed charges,18.34782018,,,,,,,,,,19.7,percent of total billed charges,18.07764875,,,,,,,,,,19.7,percent of total billed charges,18.54281323,,,,,,,,,,19.7,percent of total billed charges,999999999,,,,,,,,,,19.7,percent of total billed charges,15.91103953,,,,,,,,,,19.7,percent of total billed charges,25.09280656,,,,,,,,,,19.7,percent of total billed charges,999999999,,,,,,,,,,19.7,percent of total billed charges,17.15599194,,,,,,,,,,70.92,percent of total billed charges,,,,,
**POLYB/BAC (POLYSPORIN)OPTH OINT: 3.5GM,259,RC,5295-9056-03,NDC,,both,1,EA,65,65,13.8374564,65,65,percent of total billed charges,47.82280917,,,,65,percent of total billed charges,50.69123215,,,,65,percent of total billed charges,47.82280917,,,,65,percent of total billed charges,50.69123215,,,,65,percent of total billed charges,999999999,,,,65,percent of total billed charges,49.52553258,,,,65,percent of total billed charges,47.82280917,,,,65,percent of total billed charges,50.69123215,,,,46.345,percent of total billed charges,23.12700312,,,,46.345,percent of total billed charges,13.8374564,,,,46.345,percent of total billed charges,23.12700312,,,,46.345,percent of total billed charges,13.8374564,,,,46.345,percent of total billed charges,23.12700312,,,,46.345,percent of total billed charges,13.8374564,,,,45.89,percent of total billed charges,45.54182009,,,,45.89,percent of total billed charges,31.40983235,,,,,,,,,,46.8,percent of total billed charges,30.4188987,,,,,,,,,,46.8,percent of total billed charges,999999999,,,,,,,,,,52,percent of total billed charges,43.57329695,,,,51.35,percent of total billed charges,49.55495984,,,,51.35,percent of total billed charges,43.78344737,,,,52,percent of total billed charges,999999999,,,,52,percent of total billed charges,999999999,,,,45.5,percent of total billed charges,999999999,,,,45.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,34.58,percent of total billed charges,999999999,,,,,,,,,,,,,,,,32.825,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16.25,percent of total billed charges,15.4335251,,,,,,,,,,16.25,percent of total billed charges,15.17679892,,,,,,,,,,16.25,percent of total billed charges,15.13462324,,,,,,,,,,16.25,percent of total billed charges,14.9117661,,,,,,,,,,16.25,percent of total billed charges,15.29546776,,,,,,,,,,16.25,percent of total billed charges,999999999,,,,,,,,,,16.25,percent of total billed charges,13.12458845,,,,,,,,,,16.25,percent of total billed charges,20.69838105,,,,,,,,,,16.25,percent of total billed charges,999999999,,,,,,,,,,16.25,percent of total billed charges,14.15151619,,,,,,,,,,58.5,percent of total billed charges,,,,,
**ERYTHROMYCIN OPTH OINT: 1GM UNIT DOSE,637,RC,4810-2000-35,NDC,,both,1,EA,15,15,3.193259169,15,15,percent of total billed charges,11.03603289,,,,15,percent of total billed charges,11.69797665,,,,15,percent of total billed charges,11.03603289,,,,15,percent of total billed charges,11.69797665,,,,15,percent of total billed charges,999999999,,,,15,percent of total billed charges,11.42896906,,,,15,percent of total billed charges,11.03603289,,,,15,percent of total billed charges,11.69797665,,,,10.695,percent of total billed charges,5.337000719,,,,10.695,percent of total billed charges,3.193259169,,,,10.695,percent of total billed charges,5.337000719,,,,10.695,percent of total billed charges,3.193259169,,,,10.695,percent of total billed charges,5.337000719,,,,10.695,percent of total billed charges,3.193259169,,,,10.59,percent of total billed charges,10.50965079,,,,10.59,percent of total billed charges,7.248422851,,,,,,,,,,10.8,percent of total billed charges,7.019745853,,,,,,,,,,10.8,percent of total billed charges,999999999,,,,,,,,,,12,percent of total billed charges,10.05537622,,,,11.85,percent of total billed charges,11.43575996,,,,11.85,percent of total billed charges,10.10387247,,,,12,percent of total billed charges,999999999,,,,12,percent of total billed charges,999999999,,,,10.5,percent of total billed charges,999999999,,,,10.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,7.98,percent of total billed charges,999999999,,,,,,,,,,,,,,,,7.575,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3.75,percent of total billed charges,3.561582716,,,,,,,,,,3.75,percent of total billed charges,3.502338211,,,,,,,,,,3.75,percent of total billed charges,3.492605363,,,,,,,,,,3.75,percent of total billed charges,3.441176792,,,,,,,,,,3.75,percent of total billed charges,3.52972333,,,,,,,,,,3.75,percent of total billed charges,999999999,,,,,,,,,,3.75,percent of total billed charges,3.02875118,,,,,,,,,,3.75,percent of total billed charges,4.776549473,,,,,,,,,,3.75,percent of total billed charges,999999999,,,,,,,,,,3.75,percent of total billed charges,3.265734506,,,,,,,,,,13.5,percent of total billed charges,,,,,
POLYMIXIN/TRIMETHOPRIM OPHTH SOLN,637,RC,2420-8031-10,NDC,,both,1,EA,44.55,44.55,9.483979733,44.55,44.55,percent of total billed charges,32.77701767,,,,44.55,percent of total billed charges,34.74299065,,,,44.55,percent of total billed charges,32.77701767,,,,44.55,percent of total billed charges,34.74299065,,,,44.55,percent of total billed charges,999999999,,,,44.55,percent of total billed charges,33.9440381,,,,44.55,percent of total billed charges,32.77701767,,,,44.55,percent of total billed charges,34.74299065,,,,31.76415,percent of total billed charges,15.85089214,,,,31.76415,percent of total billed charges,9.483979733,,,,31.76415,percent of total billed charges,15.85089214,,,,31.76415,percent of total billed charges,9.483979733,,,,31.76415,percent of total billed charges,15.85089214,,,,31.76415,percent of total billed charges,9.483979733,,,,31.4523,percent of total billed charges,31.21366285,,,,31.4523,percent of total billed charges,21.52781587,,,,,,,,,,32.076,percent of total billed charges,20.84864518,,,,,,,,,,32.076,percent of total billed charges,999999999,,,,,,,,,,35.64,percent of total billed charges,29.86446737,,,,35.1945,percent of total billed charges,33.96420709,,,,35.1945,percent of total billed charges,30.00850123,,,,35.64,percent of total billed charges,999999999,,,,35.64,percent of total billed charges,999999999,,,,31.185,percent of total billed charges,999999999,,,,31.185,percent of total billed charges,999999999,,,,,,,,,,,,,,,,23.7006,percent of total billed charges,999999999,,,,,,,,,,,,,,,,22.49775,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11.1375,percent of total billed charges,10.57790067,,,,,,,,,,11.1375,percent of total billed charges,10.40194449,,,,,,,,,,11.1375,percent of total billed charges,10.37303793,,,,,,,,,,11.1375,percent of total billed charges,10.22029507,,,,,,,,,,11.1375,percent of total billed charges,10.48327829,,,,,,,,,,11.1375,percent of total billed charges,999999999,,,,,,,,,,11.1375,percent of total billed charges,8.995391005,,,,,,,,,,11.1375,percent of total billed charges,14.18635193,,,,,,,,,,11.1375,percent of total billed charges,999999999,,,,,,,,,,11.1375,percent of total billed charges,9.699231484,,,,,,,,,,40.095,percent of total billed charges,,,,,
**PROPARCAINE OPTH SOLN (ALCAINE): 15ML,259,RC,2420-8073-06,NDC,,both,1,EA,28,28,5.960750449,28,28,percent of total billed charges,20.60059472,,,,28,percent of total billed charges,21.83622308,,,,28,percent of total billed charges,20.60059472,,,,28,percent of total billed charges,21.83622308,,,,28,percent of total billed charges,999999999,,,,28,percent of total billed charges,21.33407557,,,,28,percent of total billed charges,20.60059472,,,,28,percent of total billed charges,21.83622308,,,,19.964,percent of total billed charges,9.962401342,,,,19.964,percent of total billed charges,5.960750449,,,,19.964,percent of total billed charges,9.962401342,,,,19.964,percent of total billed charges,5.960750449,,,,19.964,percent of total billed charges,9.962401342,,,,19.964,percent of total billed charges,5.960750449,,,,19.768,percent of total billed charges,19.61801481,,,,19.768,percent of total billed charges,13.53038932,,,,,,,,,,20.16,percent of total billed charges,13.10352559,,,,,,,,,,20.16,percent of total billed charges,999999999,,,,,,,,,,22.4,percent of total billed charges,18.77003561,,,,22.12,percent of total billed charges,21.34675193,,,,22.12,percent of total billed charges,18.86056194,,,,22.4,percent of total billed charges,999999999,,,,22.4,percent of total billed charges,999999999,,,,19.6,percent of total billed charges,999999999,,,,19.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,14.896,percent of total billed charges,999999999,,,,,,,,,,,,,,,,14.14,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7,percent of total billed charges,6.648287737,,,,,,,,,,7,percent of total billed charges,6.537697995,,,,,,,,,,7,percent of total billed charges,6.519530012,,,,,,,,,,7,percent of total billed charges,6.423530012,,,,,,,,,,7,percent of total billed charges,6.588816882,,,,,,,,,,7,percent of total billed charges,999999999,,,,,,,,,,7,percent of total billed charges,5.65366887,,,,,,,,,,7,percent of total billed charges,8.916225683,,,,,,,,,,7,percent of total billed charges,999999999,,,,,,,,,,7,percent of total billed charges,6.096037745,,,,,,,,,,25.2,percent of total billed charges,,,,,
PHENYLEPHRINE 10% OPHTH SOLN 5 ML,250,RC,4270-2010-05,NDC,,both,1,EA,161.61,161.61,34.40417429,161.61,161.61,percent of total billed charges,118.9022183,,,,161.61,percent of total billed charges,126.0340004,,,,161.61,percent of total billed charges,118.9022183,,,,161.61,percent of total billed charges,126.0340004,,,,161.61,percent of total billed charges,999999999,,,,161.61,percent of total billed charges,123.1357126,,,,161.61,percent of total billed charges,118.9022183,,,,161.61,percent of total billed charges,126.0340004,,,,115.22793,percent of total billed charges,57.50084575,,,,115.22793,percent of total billed charges,34.40417429,,,,115.22793,percent of total billed charges,57.50084575,,,,115.22793,percent of total billed charges,34.40417429,,,,115.22793,percent of total billed charges,57.50084575,,,,115.22793,percent of total billed charges,34.40417429,,,,114.09666,percent of total billed charges,113.2309776,,,,114.09666,percent of total billed charges,78.09450779,,,,,,,,,,116.3592,percent of total billed charges,75.63074182,,,,,,,,,,116.3592,percent of total billed charges,999999999,,,,,,,,,,129.288,percent of total billed charges,108.3366234,,,,127.6719,percent of total billed charges,123.2088778,,,,127.6719,percent of total billed charges,108.859122,,,,129.288,percent of total billed charges,999999999,,,,129.288,percent of total billed charges,999999999,,,,113.127,percent of total billed charges,999999999,,,,113.127,percent of total billed charges,999999999,,,,,,,,,,,,,,,,85.97652,percent of total billed charges,999999999,,,,,,,,,,,,,,,,81.61305,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,40.4025,percent of total billed charges,38.37249219,,,,,,,,,,40.4025,percent of total billed charges,37.73419189,,,,,,,,,,40.4025,percent of total billed charges,37.62933019,,,,,,,,,,40.4025,percent of total billed charges,37.07523876,,,,,,,,,,40.4025,percent of total billed charges,38.02923915,,,,,,,,,,40.4025,percent of total billed charges,999999999,,,,,,,,,,40.4025,percent of total billed charges,32.63176522,,,,,,,,,,40.4025,percent of total billed charges,51.46254402,,,,,,,,,,40.4025,percent of total billed charges,999999999,,,,,,,,,,40.4025,percent of total billed charges,35.18502357,,,,,,,,,,145.449,percent of total billed charges,,,,,
PHENYLEPHRINE 2.5% OPHTH SOLN,250,RC,1747-8020-15,NDC,,both,1,EA,150.74,150.74,32.09012581,150.74,150.74,percent of total billed charges,110.9047731,,,,150.74,percent of total billed charges,117.5568667,,,,150.74,percent of total billed charges,110.9047731,,,,150.74,percent of total billed charges,117.5568667,,,,150.74,percent of total billed charges,999999999,,,,150.74,percent of total billed charges,114.8535197,,,,150.74,percent of total billed charges,110.9047731,,,,150.74,percent of total billed charges,117.5568667,,,,107.47762,percent of total billed charges,53.63329922,,,,107.47762,percent of total billed charges,32.09012581,,,,107.47762,percent of total billed charges,53.63329922,,,,107.47762,percent of total billed charges,32.09012581,,,,107.47762,percent of total billed charges,53.63329922,,,,107.47762,percent of total billed charges,32.09012581,,,,106.42244,percent of total billed charges,105.614984,,,,106.42244,percent of total billed charges,72.84181737,,,,,,,,,,108.5328,percent of total billed charges,70.54376599,,,,,,,,,,108.5328,percent of total billed charges,999999999,,,,,,,,,,120.592,percent of total billed charges,101.0498274,,,,119.0846,percent of total billed charges,114.9217638,,,,119.0846,percent of total billed charges,101.5371824,,,,120.592,percent of total billed charges,999999999,,,,120.592,percent of total billed charges,999999999,,,,105.518,percent of total billed charges,999999999,,,,105.518,percent of total billed charges,999999999,,,,,,,,,,,,,,,,80.19368,percent of total billed charges,999999999,,,,,,,,,,,,,,,,76.1237,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,37.685,percent of total billed charges,35.79153191,,,,,,,,,,37.685,percent of total billed charges,35.19616413,,,,,,,,,,37.685,percent of total billed charges,35.0983555,,,,,,,,,,37.685,percent of total billed charges,34.58153264,,,,,,,,,,37.685,percent of total billed charges,35.47136631,,,,,,,,,,37.685,percent of total billed charges,999999999,,,,,,,,,,37.685,percent of total billed charges,30.43693019,,,,,,,,,,37.685,percent of total billed charges,48.00113784,,,,,,,,,,37.685,percent of total billed charges,999999999,,,,,,,,,,37.685,percent of total billed charges,32.81845463,,,,,,,,,,135.666,percent of total billed charges,,,,,
**NAPHAZOLINE/PHENIRAMINE OPHTH SOLN,259,RC,5295-9059-00,NDC,,both,1,EA,18,18,3.831911003,18,18,percent of total billed charges,13.24323946,,,,18,percent of total billed charges,14.03757198,,,,18,percent of total billed charges,13.24323946,,,,18,percent of total billed charges,14.03757198,,,,18,percent of total billed charges,999999999,,,,18,percent of total billed charges,13.71476287,,,,18,percent of total billed charges,13.24323946,,,,18,percent of total billed charges,14.03757198,,,,12.834,percent of total billed charges,6.404400863,,,,12.834,percent of total billed charges,3.831911003,,,,12.834,percent of total billed charges,6.404400863,,,,12.834,percent of total billed charges,3.831911003,,,,12.834,percent of total billed charges,6.404400863,,,,12.834,percent of total billed charges,3.831911003,,,,12.708,percent of total billed charges,12.61158095,,,,12.708,percent of total billed charges,8.698107421,,,,,,,,,,12.96,percent of total billed charges,8.423695024,,,,,,,,,,12.96,percent of total billed charges,999999999,,,,,,,,,,14.4,percent of total billed charges,12.06645146,,,,14.22,percent of total billed charges,13.72291196,,,,14.22,percent of total billed charges,12.12464696,,,,14.4,percent of total billed charges,999999999,,,,14.4,percent of total billed charges,999999999,,,,12.6,percent of total billed charges,999999999,,,,12.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.576,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.09,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4.5,percent of total billed charges,4.27389926,,,,,,,,,,4.5,percent of total billed charges,4.202805854,,,,,,,,,,4.5,percent of total billed charges,4.191126436,,,,,,,,,,4.5,percent of total billed charges,4.12941215,,,,,,,,,,4.5,percent of total billed charges,4.235667996,,,,,,,,,,4.5,percent of total billed charges,999999999,,,,,,,,,,4.5,percent of total billed charges,3.634501416,,,,,,,,,,4.5,percent of total billed charges,5.731859367,,,,,,,,,,4.5,percent of total billed charges,999999999,,,,,,,,,,4.5,percent of total billed charges,3.918881408,,,,,,,,,,16.2,percent of total billed charges,,,,,
TETRACAINE 0.5% OPHTH SOLN 15 ML,250,RC,5939-0018-13,NDC,,both,1,EA,50.7,50.7,10.79321599,50.7,50.7,percent of total billed charges,37.30179115,,,,50.7,percent of total billed charges,39.53916108,,,,50.7,percent of total billed charges,37.30179115,,,,50.7,percent of total billed charges,39.53916108,,,,50.7,percent of total billed charges,999999999,,,,50.7,percent of total billed charges,38.62991541,,,,50.7,percent of total billed charges,37.30179115,,,,50.7,percent of total billed charges,39.53916108,,,,36.1491,percent of total billed charges,18.03906243,,,,36.1491,percent of total billed charges,10.79321599,,,,36.1491,percent of total billed charges,18.03906243,,,,36.1491,percent of total billed charges,10.79321599,,,,36.1491,percent of total billed charges,18.03906243,,,,36.1491,percent of total billed charges,10.79321599,,,,35.7942,percent of total billed charges,35.52261967,,,,35.7942,percent of total billed charges,24.49966924,,,,,,,,,,36.504,percent of total billed charges,23.72674098,,,,,,,,,,36.504,percent of total billed charges,999999999,,,,,,,,,,40.56,percent of total billed charges,33.98717162,,,,40.053,percent of total billed charges,38.65286868,,,,40.053,percent of total billed charges,34.15108895,,,,40.56,percent of total billed charges,999999999,,,,40.56,percent of total billed charges,999999999,,,,35.49,percent of total billed charges,999999999,,,,35.49,percent of total billed charges,999999999,,,,,,,,,,,,,,,,26.9724,percent of total billed charges,999999999,,,,,,,,,,,,,,,,25.6035,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12.675,percent of total billed charges,12.03814958,,,,,,,,,,12.675,percent of total billed charges,11.83790315,,,,,,,,,,12.675,percent of total billed charges,11.80500613,,,,,,,,,,12.675,percent of total billed charges,11.63117756,,,,,,,,,,12.675,percent of total billed charges,11.93046485,,,,,,,,,,12.675,percent of total billed charges,999999999,,,,,,,,,,12.675,percent of total billed charges,10.23717899,,,,,,,,,,12.675,percent of total billed charges,16.14473722,,,,,,,,,,12.675,percent of total billed charges,999999999,,,,,,,,,,12.675,percent of total billed charges,11.03818263,,,,,,,,,,45.63,percent of total billed charges,,,,,
**TROPICAMIDE 1% OPTH SOLN 15mL,250,RC,1747-8010-12,NDC,,both,1,EA,51.03,51.03,10.86346769,51.03,51.03,percent of total billed charges,37.54458388,,,,51.03,percent of total billed charges,39.79651656,,,,51.03,percent of total billed charges,37.54458388,,,,51.03,percent of total billed charges,39.79651656,,,,51.03,percent of total billed charges,999999999,,,,51.03,percent of total billed charges,38.88135273,,,,51.03,percent of total billed charges,37.54458388,,,,51.03,percent of total billed charges,39.79651656,,,,36.38439,percent of total billed charges,18.15647645,,,,36.38439,percent of total billed charges,10.86346769,,,,36.38439,percent of total billed charges,18.15647645,,,,36.38439,percent of total billed charges,10.86346769,,,,36.38439,percent of total billed charges,18.15647645,,,,36.38439,percent of total billed charges,10.86346769,,,,36.02718,percent of total billed charges,35.75383199,,,,36.02718,percent of total billed charges,24.65913454,,,,,,,,,,36.7416,percent of total billed charges,23.88117539,,,,,,,,,,36.7416,percent of total billed charges,999999999,,,,,,,,,,40.824,percent of total billed charges,34.2083899,,,,40.3137,percent of total billed charges,38.9044554,,,,40.3137,percent of total billed charges,34.37337414,,,,40.824,percent of total billed charges,999999999,,,,40.824,percent of total billed charges,999999999,,,,35.721,percent of total billed charges,999999999,,,,35.721,percent of total billed charges,999999999,,,,,,,,,,,,,,,,27.14796,percent of total billed charges,999999999,,,,,,,,,,,,,,,,25.77015,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12.7575,percent of total billed charges,12.1165044,,,,,,,,,,12.7575,percent of total billed charges,11.9149546,,,,,,,,,,12.7575,percent of total billed charges,11.88184345,,,,,,,,,,12.7575,percent of total billed charges,11.70688345,,,,,,,,,,12.7575,percent of total billed charges,12.00811877,,,,,,,,,,12.7575,percent of total billed charges,999999999,,,,,,,,,,12.7575,percent of total billed charges,10.30381151,,,,,,,,,,12.7575,percent of total billed charges,16.24982131,,,,,,,,,,12.7575,percent of total billed charges,999999999,,,,,,,,,,12.7575,percent of total billed charges,11.11002879,,,,,,,,,,45.927,percent of total billed charges,,,,,
MESALAMINE (PENTASA) CR 250 MG CAP,259,RC,5409-2018-81,NDC,,both,1,EA,9.86,9.86,2.099035694,9.86,9.86,percent of total billed charges,7.254352284,,,,9.86,percent of total billed charges,7.689469985,,,,9.86,percent of total billed charges,7.254352284,,,,9.86,percent of total billed charges,7.689469985,,,,9.86,percent of total billed charges,999999999,,,,9.86,percent of total billed charges,7.512642326,,,,9.86,percent of total billed charges,7.254352284,,,,9.86,percent of total billed charges,7.689469985,,,,7.03018,percent of total billed charges,3.508188473,,,,7.03018,percent of total billed charges,2.099035694,,,,7.03018,percent of total billed charges,3.508188473,,,,7.03018,percent of total billed charges,2.099035694,,,,7.03018,percent of total billed charges,3.508188473,,,,7.03018,percent of total billed charges,2.099035694,,,,6.96116,percent of total billed charges,6.908343787,,,,6.96116,percent of total billed charges,4.764629954,,,,,,,,,,7.0992,percent of total billed charges,4.614312941,,,,,,,,,,7.0992,percent of total billed charges,999999999,,,,,,,,,,7.888,percent of total billed charges,6.609733968,,,,7.7894,percent of total billed charges,7.517106216,,,,7.7894,percent of total billed charges,6.64161217,,,,7.888,percent of total billed charges,999999999,,,,7.888,percent of total billed charges,999999999,,,,6.902,percent of total billed charges,999999999,,,,6.902,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.24552,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.9793,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.465,percent of total billed charges,2.341147039,,,,,,,,,,2.465,percent of total billed charges,2.302203651,,,,,,,,,,2.465,percent of total billed charges,2.295805926,,,,,,,,,,2.465,percent of total billed charges,2.262000211,,,,,,,,,,2.465,percent of total billed charges,2.320204802,,,,,,,,,,2.465,percent of total billed charges,999999999,,,,,,,,,,2.465,percent of total billed charges,1.990899109,,,,,,,,,,2.465,percent of total billed charges,3.139785187,,,,,,,,,,2.465,percent of total billed charges,999999999,,,,,,,,,,2.465,percent of total billed charges,2.146676149,,,,,,,,,,8.874,percent of total billed charges,,,,,
**AMOXICILLIN  125 MG/5ML ORAL SUSP 100,259,RC,0078-1603-46,NDC,,both,1,EA,15,15,3.193259169,15,15,percent of total billed charges,11.03603289,,,,15,percent of total billed charges,11.69797665,,,,15,percent of total billed charges,11.03603289,,,,15,percent of total billed charges,11.69797665,,,,15,percent of total billed charges,999999999,,,,15,percent of total billed charges,11.42896906,,,,15,percent of total billed charges,11.03603289,,,,15,percent of total billed charges,11.69797665,,,,10.695,percent of total billed charges,5.337000719,,,,10.695,percent of total billed charges,3.193259169,,,,10.695,percent of total billed charges,5.337000719,,,,10.695,percent of total billed charges,3.193259169,,,,10.695,percent of total billed charges,5.337000719,,,,10.695,percent of total billed charges,3.193259169,,,,10.59,percent of total billed charges,10.50965079,,,,10.59,percent of total billed charges,7.248422851,,,,,,,,,,10.8,percent of total billed charges,7.019745853,,,,,,,,,,10.8,percent of total billed charges,999999999,,,,,,,,,,12,percent of total billed charges,10.05537622,,,,11.85,percent of total billed charges,11.43575996,,,,11.85,percent of total billed charges,10.10387247,,,,12,percent of total billed charges,999999999,,,,12,percent of total billed charges,999999999,,,,10.5,percent of total billed charges,999999999,,,,10.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,7.98,percent of total billed charges,999999999,,,,,,,,,,,,,,,,7.575,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3.75,percent of total billed charges,3.561582716,,,,,,,,,,3.75,percent of total billed charges,3.502338211,,,,,,,,,,3.75,percent of total billed charges,3.492605363,,,,,,,,,,3.75,percent of total billed charges,3.441176792,,,,,,,,,,3.75,percent of total billed charges,3.52972333,,,,,,,,,,3.75,percent of total billed charges,999999999,,,,,,,,,,3.75,percent of total billed charges,3.02875118,,,,,,,,,,3.75,percent of total billed charges,4.776549473,,,,,,,,,,3.75,percent of total billed charges,999999999,,,,,,,,,,3.75,percent of total billed charges,3.265734506,,,,,,,,,,13.5,percent of total billed charges,,,,,
**GAVISCON(ALUM/MAG.TRISIL) SUSP: 360 ML,259,RC,0014-3988-80,NDC,,both,1,EA,47,47,10.0055454,47,47,percent of total billed charges,34.57956971,,,,47,percent of total billed charges,36.65366017,,,,47,percent of total billed charges,34.57956971,,,,47,percent of total billed charges,36.65366017,,,,47,percent of total billed charges,999999999,,,,47,percent of total billed charges,35.81076971,,,,47,percent of total billed charges,34.57956971,,,,47,percent of total billed charges,36.65366017,,,,33.511,percent of total billed charges,16.72260225,,,,33.511,percent of total billed charges,10.0055454,,,,33.511,percent of total billed charges,16.72260225,,,,33.511,percent of total billed charges,10.0055454,,,,33.511,percent of total billed charges,16.72260225,,,,33.511,percent of total billed charges,10.0055454,,,,33.182,percent of total billed charges,32.93023915,,,,33.182,percent of total billed charges,22.71172493,,,,,,,,,,33.84,percent of total billed charges,21.99520367,,,,,,,,,,33.84,percent of total billed charges,999999999,,,,,,,,,,37.6,percent of total billed charges,31.50684549,,,,37.13,percent of total billed charges,35.83204789,,,,37.13,percent of total billed charges,31.6588004,,,,37.6,percent of total billed charges,999999999,,,,37.6,percent of total billed charges,999999999,,,,32.9,percent of total billed charges,999999999,,,,32.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,25.004,percent of total billed charges,999999999,,,,,,,,,,,,,,,,23.735,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11.75,percent of total billed charges,11.15962584,,,,,,,,,,11.75,percent of total billed charges,10.97399306,,,,,,,,,,11.75,percent of total billed charges,10.94349681,,,,,,,,,,11.75,percent of total billed charges,10.78235395,,,,,,,,,,11.75,percent of total billed charges,11.05979977,,,,,,,,,,11.75,percent of total billed charges,999999999,,,,,,,,,,11.75,percent of total billed charges,9.490087031,,,,,,,,,,11.75,percent of total billed charges,14.96652168,,,,,,,,,,11.75,percent of total billed charges,999999999,,,,,,,,,,11.75,percent of total billed charges,10.23263479,,,,,,,,,,42.3,percent of total billed charges,,,,,
**GUAIFENESIN CODEINE(ROB.AC) SYRP,259,RC,5011-1039-01,NDC,,both,1,EA,106,106,22.56569813,106,106,percent of total billed charges,77.98796573,,,,106,percent of total billed charges,82.66570166,,,,106,percent of total billed charges,77.98796573,,,,106,percent of total billed charges,82.66570166,,,,106,percent of total billed charges,999999999,,,,106,percent of total billed charges,80.76471467,,,,106,percent of total billed charges,77.98796573,,,,106,percent of total billed charges,82.66570166,,,,75.578,percent of total billed charges,37.71480508,,,,75.578,percent of total billed charges,22.56569813,,,,75.578,percent of total billed charges,37.71480508,,,,75.578,percent of total billed charges,22.56569813,,,,75.578,percent of total billed charges,37.71480508,,,,75.578,percent of total billed charges,22.56569813,,,,74.836,percent of total billed charges,74.26819892,,,,74.836,percent of total billed charges,51.22218814,,,,,,,,,,76.32,percent of total billed charges,49.60620403,,,,,,,,,,76.32,percent of total billed charges,999999999,,,,,,,,,,84.8,percent of total billed charges,71.05799195,,,,83.74,percent of total billed charges,80.81270374,,,,83.74,percent of total billed charges,71.40069878,,,,84.8,percent of total billed charges,999999999,,,,84.8,percent of total billed charges,999999999,,,,74.2,percent of total billed charges,999999999,,,,74.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,56.392,percent of total billed charges,999999999,,,,,,,,,,,,,,,,53.53,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,26.5,percent of total billed charges,25.16851786,,,,,,,,,,26.5,percent of total billed charges,24.74985669,,,,,,,,,,26.5,percent of total billed charges,24.6810779,,,,,,,,,,26.5,percent of total billed charges,24.31764933,,,,,,,,,,26.5,percent of total billed charges,24.9433782,,,,,,,,,,26.5,percent of total billed charges,999999999,,,,,,,,,,26.5,percent of total billed charges,21.40317501,,,,,,,,,,26.5,percent of total billed charges,33.75428294,,,,,,,,,,26.5,percent of total billed charges,999999999,,,,,,,,,,26.5,percent of total billed charges,23.07785718,,,,,,,,,,95.4,percent of total billed charges,,,,,
**CEPHALEXIN 250MG/5ML SUSP: 100 ML,259,RC,6330-4095-01,NDC,,both,1,EA,52,52,11.06996512,52,52,percent of total billed charges,38.25824734,,,,52,percent of total billed charges,40.55298572,,,,52,percent of total billed charges,38.25824734,,,,52,percent of total billed charges,40.55298572,,,,52,percent of total billed charges,999999999,,,,52,percent of total billed charges,39.62042606,,,,52,percent of total billed charges,38.25824734,,,,52,percent of total billed charges,40.55298572,,,,37.076,percent of total billed charges,18.50160249,,,,37.076,percent of total billed charges,11.06996512,,,,37.076,percent of total billed charges,18.50160249,,,,37.076,percent of total billed charges,11.06996512,,,,37.076,percent of total billed charges,18.50160249,,,,37.076,percent of total billed charges,11.06996512,,,,36.712,percent of total billed charges,36.43345608,,,,36.712,percent of total billed charges,25.12786588,,,,,,,,,,37.44,percent of total billed charges,24.33511896,,,,,,,,,,37.44,percent of total billed charges,999999999,,,,,,,,,,41.6,percent of total billed charges,34.85863756,,,,41.08,percent of total billed charges,39.64396787,,,,41.08,percent of total billed charges,35.02675789,,,,41.6,percent of total billed charges,999999999,,,,41.6,percent of total billed charges,999999999,,,,36.4,percent of total billed charges,999999999,,,,36.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,27.664,percent of total billed charges,999999999,,,,,,,,,,,,,,,,26.26,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13,percent of total billed charges,12.34682008,,,,,,,,,,13,percent of total billed charges,12.14143913,,,,,,,,,,13,percent of total billed charges,12.10769859,,,,,,,,,,13,percent of total billed charges,11.92941288,,,,,,,,,,13,percent of total billed charges,12.23637421,,,,,,,,,,13,percent of total billed charges,999999999,,,,,,,,,,13,percent of total billed charges,10.49967076,,,,,,,,,,13,percent of total billed charges,16.55870484,,,,,,,,,,13,percent of total billed charges,999999999,,,,,,,,,,13,percent of total billed charges,11.32121296,,,,,,,,,,46.8,percent of total billed charges,,,,,
**E-TRIAMINIC COLD & ALLERGY: 4OZ BOTTLE,250,RC,0006-7634-04,NDC,,both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
FAMCICLOVIR (FAMVIR) 500MG TAB,637,RC,5486-8590-00,NDC,,both,1,EA,6.17,6.17,1.313493938,6.17,6.17,percent of total billed charges,4.539488194,,,,6.17,percent of total billed charges,4.811767729,,,,6.17,percent of total billed charges,4.539488194,,,,6.17,percent of total billed charges,4.811767729,,,,6.17,percent of total billed charges,999999999,,,,6.17,percent of total billed charges,4.701115939,,,,6.17,percent of total billed charges,4.539488194,,,,6.17,percent of total billed charges,4.811767729,,,,4.39921,percent of total billed charges,2.195286296,,,,4.39921,percent of total billed charges,1.313493938,,,,4.39921,percent of total billed charges,2.195286296,,,,4.39921,percent of total billed charges,1.313493938,,,,4.39921,percent of total billed charges,2.195286296,,,,4.39921,percent of total billed charges,1.313493938,,,,4.35602,percent of total billed charges,4.322969692,,,,4.35602,percent of total billed charges,2.981517933,,,,,,,,,,4.4424,percent of total billed charges,2.887455461,,,,,,,,,,4.4424,percent of total billed charges,999999999,,,,,,,,,,4.936,percent of total billed charges,4.136111418,,,,4.8743,percent of total billed charges,4.703909265,,,,4.8743,percent of total billed charges,4.156059542,,,,4.936,percent of total billed charges,999999999,,,,4.936,percent of total billed charges,999999999,,,,4.319,percent of total billed charges,999999999,,,,4.319,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.28244,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.11585,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5425,percent of total billed charges,1.464997691,,,,,,,,,,1.5425,percent of total billed charges,1.440628451,,,,,,,,,,1.5425,percent of total billed charges,1.436625006,,,,,,,,,,1.5425,percent of total billed charges,1.41547072,,,,,,,,,,1.5425,percent of total billed charges,1.451892863,,,,,,,,,,1.5425,percent of total billed charges,999999999,,,,,,,,,,1.5425,percent of total billed charges,1.245826319,,,,,,,,,,1.5425,percent of total billed charges,1.964754016,,,,,,,,,,1.5425,percent of total billed charges,999999999,,,,,,,,,,1.5425,percent of total billed charges,1.34330546,,,,,,,,,,5.553,percent of total billed charges,,,,,
ZINC SULFATE (ORAZINC) CAP220MG,637,RC,0073-1040-06,NDC,,both,1,EA,0.97,0.97,0.206497426,0.97,0.97,percent of total billed charges,0.71366346,,,,0.97,percent of total billed charges,0.756469157,,,,0.97,percent of total billed charges,0.71366346,,,,0.97,percent of total billed charges,0.756469157,,,,0.97,percent of total billed charges,999999999,,,,0.97,percent of total billed charges,0.739073332,,,,0.97,percent of total billed charges,0.71366346,,,,0.97,percent of total billed charges,0.756469157,,,,0.69161,percent of total billed charges,0.345126046,,,,0.69161,percent of total billed charges,0.206497426,,,,0.69161,percent of total billed charges,0.345126046,,,,0.69161,percent of total billed charges,0.206497426,,,,0.69161,percent of total billed charges,0.345126046,,,,0.69161,percent of total billed charges,0.206497426,,,,0.68482,percent of total billed charges,0.679624084,,,,0.68482,percent of total billed charges,0.468731344,,,,,,,,,,0.6984,percent of total billed charges,0.453943565,,,,,,,,,,0.6984,percent of total billed charges,999999999,,,,,,,,,,0.776,percent of total billed charges,0.650247662,,,,0.7663,percent of total billed charges,0.739512478,,,,0.7663,percent of total billed charges,0.653383753,,,,0.776,percent of total billed charges,999999999,,,,0.776,percent of total billed charges,999999999,,,,0.679,percent of total billed charges,999999999,,,,0.679,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.51604,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.48985,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.2425,percent of total billed charges,0.230315682,,,,,,,,,,0.2425,percent of total billed charges,0.226484538,,,,,,,,,,0.2425,percent of total billed charges,0.225855147,,,,,,,,,,0.2425,percent of total billed charges,0.222529433,,,,,,,,,,0.2425,percent of total billed charges,0.228255442,,,,,,,,,,0.2425,percent of total billed charges,999999999,,,,,,,,,,0.2425,percent of total billed charges,0.195859243,,,,,,,,,,0.2425,percent of total billed charges,0.308883533,,,,,,,,,,0.2425,percent of total billed charges,999999999,,,,,,,,,,0.2425,percent of total billed charges,0.211184165,,,,,,,,,,0.873,percent of total billed charges,,,,,
**MEGESTROL ACETATE(MEGACE):40MG/ML 120M,259,RC,4988-4090-38,NDC,,both,1,EA,352,352,74.93514851,352,352,percent of total billed charges,258.9789051,,,,352,percent of total billed charges,274.5125187,,,,352,percent of total billed charges,258.9789051,,,,352,percent of total billed charges,274.5125187,,,,352,percent of total billed charges,999999999,,,,352,percent of total billed charges,268.1998072,,,,352,percent of total billed charges,258.9789051,,,,352,percent of total billed charges,274.5125187,,,,250.976,percent of total billed charges,125.2416169,,,,250.976,percent of total billed charges,74.93514851,,,,250.976,percent of total billed charges,125.2416169,,,,250.976,percent of total billed charges,74.93514851,,,,250.976,percent of total billed charges,125.2416169,,,,250.976,percent of total billed charges,74.93514851,,,,248.512,percent of total billed charges,246.6264719,,,,248.512,percent of total billed charges,170.0963229,,,,,,,,,,253.44,percent of total billed charges,164.730036,,,,,,,,,,253.44,percent of total billed charges,999999999,,,,,,,,,,281.6,percent of total billed charges,235.9661619,,,,278.08,percent of total billed charges,268.3591671,,,,278.08,percent of total billed charges,237.1042073,,,,281.6,percent of total billed charges,999999999,,,,281.6,percent of total billed charges,999999999,,,,246.4,percent of total billed charges,999999999,,,,246.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,187.264,percent of total billed charges,999999999,,,,,,,,,,,,,,,,177.76,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,88,percent of total billed charges,83.57847441,,,,,,,,,,88,percent of total billed charges,82.18820336,,,,,,,,,,88,percent of total billed charges,81.95980586,,,,,,,,,,88,percent of total billed charges,80.75294872,,,,,,,,,,88,percent of total billed charges,82.8308408,,,,,,,,,,88,percent of total billed charges,999999999,,,,,,,,,,88,percent of total billed charges,71.07469436,,,,,,,,,,88,percent of total billed charges,112.0896943,,,,,,,,,,88,percent of total billed charges,999999999,,,,,,,,,,88,percent of total billed charges,76.63590309,,,,,,,,,,316.8,percent of total billed charges,,,,,
**TUSSIONEX (HYDROCOD/CHLORPHEN) SUSP:60,259,RC,5301-4054-67,NDC,,both,1,EA,80,80,17.03071557,80,80,percent of total billed charges,58.85884206,,,,80,percent of total billed charges,62.3892088,,,,80,percent of total billed charges,58.85884206,,,,80,percent of total billed charges,62.3892088,,,,80,percent of total billed charges,999999999,,,,80,percent of total billed charges,60.95450163,,,,80,percent of total billed charges,58.85884206,,,,80,percent of total billed charges,62.3892088,,,,57.04,percent of total billed charges,28.46400383,,,,57.04,percent of total billed charges,17.03071557,,,,57.04,percent of total billed charges,28.46400383,,,,57.04,percent of total billed charges,17.03071557,,,,57.04,percent of total billed charges,28.46400383,,,,57.04,percent of total billed charges,17.03071557,,,,56.48,percent of total billed charges,56.05147089,,,,56.48,percent of total billed charges,38.6582552,,,,,,,,,,57.6,percent of total billed charges,37.43864455,,,,,,,,,,57.6,percent of total billed charges,999999999,,,,,,,,,,64,percent of total billed charges,53.62867317,,,,63.2,percent of total billed charges,60.99071981,,,,63.2,percent of total billed charges,53.88731984,,,,64,percent of total billed charges,999999999,,,,64,percent of total billed charges,999999999,,,,56,percent of total billed charges,999999999,,,,56,percent of total billed charges,999999999,,,,,,,,,,,,,,,,42.56,percent of total billed charges,999999999,,,,,,,,,,,,,,,,40.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20,percent of total billed charges,18.99510782,,,,,,,,,,20,percent of total billed charges,18.67913713,,,,,,,,,,20,percent of total billed charges,18.62722861,,,,,,,,,,20,percent of total billed charges,18.35294289,,,,,,,,,,20,percent of total billed charges,18.82519109,,,,,,,,,,20,percent of total billed charges,999999999,,,,,,,,,,20,percent of total billed charges,16.15333963,,,,,,,,,,20,percent of total billed charges,25.47493052,,,,,,,,,,20,percent of total billed charges,999999999,,,,,,,,,,20,percent of total billed charges,17.4172507,,,,,,,,,,72,percent of total billed charges,,,,,
AZITHROMYCIN 200MG/5ML 30ML,637,RC,5976-2314-01,NDC,,both,1,EA,73.2,73.2,15.58310475,73.2,73.2,percent of total billed charges,53.85584048,,,,73.2,percent of total billed charges,57.08612605,,,,73.2,percent of total billed charges,53.85584048,,,,73.2,percent of total billed charges,57.08612605,,,,73.2,percent of total billed charges,999999999,,,,73.2,percent of total billed charges,55.773369,,,,73.2,percent of total billed charges,53.85584048,,,,73.2,percent of total billed charges,57.08612605,,,,52.1916,percent of total billed charges,26.04456351,,,,52.1916,percent of total billed charges,15.58310475,,,,52.1916,percent of total billed charges,26.04456351,,,,52.1916,percent of total billed charges,15.58310475,,,,52.1916,percent of total billed charges,26.04456351,,,,52.1916,percent of total billed charges,15.58310475,,,,51.6792,percent of total billed charges,51.28709586,,,,51.6792,percent of total billed charges,35.37230351,,,,,,,,,,52.704,percent of total billed charges,34.25635976,,,,,,,,,,52.704,percent of total billed charges,999999999,,,,,,,,,,58.56,percent of total billed charges,49.07023595,,,,57.828,percent of total billed charges,55.80650862,,,,57.828,percent of total billed charges,49.30689765,,,,58.56,percent of total billed charges,999999999,,,,58.56,percent of total billed charges,999999999,,,,51.24,percent of total billed charges,999999999,,,,51.24,percent of total billed charges,999999999,,,,,,,,,,,,,,,,38.9424,percent of total billed charges,999999999,,,,,,,,,,,,,,,,36.966,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18.3,percent of total billed charges,17.38052366,,,,,,,,,,18.3,percent of total billed charges,17.09141047,,,,,,,,,,18.3,percent of total billed charges,17.04391417,,,,,,,,,,18.3,percent of total billed charges,16.79294274,,,,,,,,,,18.3,percent of total billed charges,17.22504985,,,,,,,,,,18.3,percent of total billed charges,999999999,,,,,,,,,,18.3,percent of total billed charges,14.78030576,,,,,,,,,,18.3,percent of total billed charges,23.30956143,,,,,,,,,,18.3,percent of total billed charges,999999999,,,,,,,,,,18.3,percent of total billed charges,15.93678439,,,,,,,,,,65.88,percent of total billed charges,,,,,
glipiZIDE ER 5MG TAB,637,RC,5976-2054-01,NDC,,both,1,EA,2.56,2.56,0.544982898,2.56,2.56,percent of total billed charges,1.883482946,,,,2.56,percent of total billed charges,1.996454682,,,,2.56,percent of total billed charges,1.883482946,,,,2.56,percent of total billed charges,1.996454682,,,,2.56,percent of total billed charges,999999999,,,,2.56,percent of total billed charges,1.950544052,,,,2.56,percent of total billed charges,1.883482946,,,,2.56,percent of total billed charges,1.996454682,,,,1.82528,percent of total billed charges,0.910848123,,,,1.82528,percent of total billed charges,0.544982898,,,,1.82528,percent of total billed charges,0.910848123,,,,1.82528,percent of total billed charges,0.544982898,,,,1.82528,percent of total billed charges,0.910848123,,,,1.82528,percent of total billed charges,0.544982898,,,,1.80736,percent of total billed charges,1.793647068,,,,1.80736,percent of total billed charges,1.237064167,,,,,,,,,,1.8432,percent of total billed charges,1.198036626,,,,,,,,,,1.8432,percent of total billed charges,999999999,,,,,,,,,,2.048,percent of total billed charges,1.716117541,,,,2.0224,percent of total billed charges,1.951703034,,,,2.0224,percent of total billed charges,1.724394235,,,,2.048,percent of total billed charges,999999999,,,,2.048,percent of total billed charges,999999999,,,,1.792,percent of total billed charges,999999999,,,,1.792,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.36192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.2928,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.64,percent of total billed charges,0.60784345,,,,,,,,,,0.64,percent of total billed charges,0.597732388,,,,,,,,,,0.64,percent of total billed charges,0.596071315,,,,,,,,,,0.64,percent of total billed charges,0.587294172,,,,,,,,,,0.64,percent of total billed charges,0.602406115,,,,,,,,,,0.64,percent of total billed charges,999999999,,,,,,,,,,0.64,percent of total billed charges,0.516906868,,,,,,,,,,0.64,percent of total billed charges,0.815197777,,,,,,,,,,0.64,percent of total billed charges,999999999,,,,,,,,,,0.64,percent of total billed charges,0.557352022,,,,,,,,,,2.304,percent of total billed charges,,,,,
**ALLEGRA D 12 HR:TAB,259,RC,4999-9019-00,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
**SIMVASTATIN (ZOCOR) 10 MG TAB,250,RC,0000-6073-54,NDC,,both,1,EA,10,10,2.128839446,10,10,percent of total billed charges,7.357355257,,,,10,percent of total billed charges,7.7986511,,,,10,percent of total billed charges,7.357355257,,,,10,percent of total billed charges,7.7986511,,,,10,percent of total billed charges,999999999,,,,10,percent of total billed charges,7.619312704,,,,10,percent of total billed charges,7.357355257,,,,10,percent of total billed charges,7.7986511,,,,7.13,percent of total billed charges,3.558000479,,,,7.13,percent of total billed charges,2.128839446,,,,7.13,percent of total billed charges,3.558000479,,,,7.13,percent of total billed charges,2.128839446,,,,7.13,percent of total billed charges,3.558000479,,,,7.13,percent of total billed charges,2.128839446,,,,7.06,percent of total billed charges,7.006433861,,,,7.06,percent of total billed charges,4.8322819,,,,,,,,,,7.2,percent of total billed charges,4.679830569,,,,,,,,,,7.2,percent of total billed charges,999999999,,,,,,,,,,8,percent of total billed charges,6.703584146,,,,7.9,percent of total billed charges,7.623839976,,,,7.9,percent of total billed charges,6.735914979,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,999999999,,,,7,percent of total billed charges,999999999,,,,7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.32,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.05,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.5,percent of total billed charges,2.374388478,,,,,,,,,,2.5,percent of total billed charges,2.334892141,,,,,,,,,,2.5,percent of total billed charges,2.328403576,,,,,,,,,,2.5,percent of total billed charges,2.294117861,,,,,,,,,,2.5,percent of total billed charges,2.353148886,,,,,,,,,,2.5,percent of total billed charges,999999999,,,,,,,,,,2.5,percent of total billed charges,2.019167453,,,,,,,,,,2.5,percent of total billed charges,3.184366315,,,,,,,,,,2.5,percent of total billed charges,999999999,,,,,,,,,,2.5,percent of total billed charges,2.177156338,,,,,,,,,,9,percent of total billed charges,,,,,
PHENobarbital ELIXIR 20MG/5ML ORAL,259,RC,0060-3150-58,NDC,,both,1,EA,14.58,14.58,3.103847913,14.58,14.58,percent of total billed charges,10.72702397,,,,14.58,percent of total billed charges,11.3704333,,,,14.58,percent of total billed charges,10.72702397,,,,14.58,percent of total billed charges,11.3704333,,,,14.58,percent of total billed charges,999999999,,,,14.58,percent of total billed charges,11.10895792,,,,14.58,percent of total billed charges,10.72702397,,,,14.58,percent of total billed charges,11.3704333,,,,10.39554,percent of total billed charges,5.187564699,,,,10.39554,percent of total billed charges,3.103847913,,,,10.39554,percent of total billed charges,5.187564699,,,,10.39554,percent of total billed charges,3.103847913,,,,10.39554,percent of total billed charges,5.187564699,,,,10.39554,percent of total billed charges,3.103847913,,,,10.29348,percent of total billed charges,10.21538057,,,,10.29348,percent of total billed charges,7.045467011,,,,,,,,,,10.4976,percent of total billed charges,6.823192969,,,,,,,,,,10.4976,percent of total billed charges,999999999,,,,,,,,,,11.664,percent of total billed charges,9.773825685,,,,11.5182,percent of total billed charges,11.11555868,,,,11.5182,percent of total billed charges,9.82096404,,,,11.664,percent of total billed charges,999999999,,,,11.664,percent of total billed charges,999999999,,,,10.206,percent of total billed charges,999999999,,,,10.206,percent of total billed charges,999999999,,,,,,,,,,,,,,,,7.75656,percent of total billed charges,999999999,,,,,,,,,,,,,,,,7.3629,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3.645,percent of total billed charges,3.4618584,,,,,,,,,,3.645,percent of total billed charges,3.404272741,,,,,,,,,,3.645,percent of total billed charges,3.394812413,,,,,,,,,,3.645,percent of total billed charges,3.344823842,,,,,,,,,,3.645,percent of total billed charges,3.430891076,,,,,,,,,,3.645,percent of total billed charges,999999999,,,,,,,,,,3.645,percent of total billed charges,2.943946147,,,,,,,,,,3.645,percent of total billed charges,4.642806088,,,,,,,,,,3.645,percent of total billed charges,999999999,,,,,,,,,,3.645,percent of total billed charges,3.17429394,,,,,,,,,,13.122,percent of total billed charges,,,,,
**GATIFLOXACIN (TEQUIN) 400MG: TAB,259,RC,0001-5117-60,NDC,,both,1,EA,23,23,4.896330726,23,23,percent of total billed charges,16.92191709,,,,23,percent of total billed charges,17.93689753,,,,23,percent of total billed charges,16.92191709,,,,23,percent of total billed charges,17.93689753,,,,23,percent of total billed charges,999999999,,,,23,percent of total billed charges,17.52441922,,,,23,percent of total billed charges,16.92191709,,,,23,percent of total billed charges,17.93689753,,,,16.399,percent of total billed charges,8.183401102,,,,16.399,percent of total billed charges,4.896330726,,,,16.399,percent of total billed charges,8.183401102,,,,16.399,percent of total billed charges,4.896330726,,,,16.399,percent of total billed charges,8.183401102,,,,16.399,percent of total billed charges,4.896330726,,,,16.238,percent of total billed charges,16.11479788,,,,16.238,percent of total billed charges,11.11424837,,,,,,,,,,16.56,percent of total billed charges,10.76361031,,,,,,,,,,16.56,percent of total billed charges,999999999,,,,,,,,,,18.4,percent of total billed charges,15.41824354,,,,18.17,percent of total billed charges,17.53483194,,,,18.17,percent of total billed charges,15.49260445,,,,18.4,percent of total billed charges,999999999,,,,18.4,percent of total billed charges,999999999,,,,16.1,percent of total billed charges,999999999,,,,16.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,12.236,percent of total billed charges,999999999,,,,,,,,,,,,,,,,11.615,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5.75,percent of total billed charges,5.461093499,,,,,,,,,,5.75,percent of total billed charges,5.370251924,,,,,,,,,,5.75,percent of total billed charges,5.355328224,,,,,,,,,,5.75,percent of total billed charges,5.276471081,,,,,,,,,,5.75,percent of total billed charges,5.412242439,,,,,,,,,,5.75,percent of total billed charges,999999999,,,,,,,,,,5.75,percent of total billed charges,4.644085143,,,,,,,,,,5.75,percent of total billed charges,7.324042525,,,,,,,,,,5.75,percent of total billed charges,999999999,,,,,,,,,,5.75,percent of total billed charges,5.007459577,,,,,,,,,,20.7,percent of total billed charges,,,,,
**E-ACETAMINOPHEN SUSPENSION 160MG/5ML:4,250,RC,5483-8014-40,NDC,,both,1,EA,7,7,1.490187612,7,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,7,percent of total billed charges,999999999,,,,7,percent of total billed charges,5.333518893,,,,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.942,percent of total billed charges,4.904503703,,,,4.942,percent of total billed charges,3.38259733,,,,,,,,,,5.04,percent of total billed charges,3.275881398,,,,,,,,,,5.04,percent of total billed charges,999999999,,,,,,,,,,5.6,percent of total billed charges,4.692508902,,,,5.53,percent of total billed charges,5.336687983,,,,5.53,percent of total billed charges,4.715140486,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,4.9,percent of total billed charges,999999999,,,,4.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.724,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.535,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.75,percent of total billed charges,1.662071934,,,,,,,,,,1.75,percent of total billed charges,1.634424499,,,,,,,,,,1.75,percent of total billed charges,1.629882503,,,,,,,,,,1.75,percent of total billed charges,1.605882503,,,,,,,,,,1.75,percent of total billed charges,1.647204221,,,,,,,,,,1.75,percent of total billed charges,999999999,,,,,,,,,,1.75,percent of total billed charges,1.413417217,,,,,,,,,,1.75,percent of total billed charges,2.229056421,,,,,,,,,,1.75,percent of total billed charges,999999999,,,,,,,,,,1.75,percent of total billed charges,1.524009436,,,,,,,,,,6.3,percent of total billed charges,,,,,
CLOPIDOGREL (PLAVIX) 75 MG TAB,250,RC,5107-9055-20,NDC,,both,1,EA,0.85,0.85,0.180951353,0.85,0.85,percent of total billed charges,0.625375197,,,,0.85,percent of total billed charges,0.662885344,,,,0.85,percent of total billed charges,0.625375197,,,,0.85,percent of total billed charges,0.662885344,,,,0.85,percent of total billed charges,999999999,,,,0.85,percent of total billed charges,0.64764158,,,,0.85,percent of total billed charges,0.625375197,,,,0.85,percent of total billed charges,0.662885344,,,,0.60605,percent of total billed charges,0.302430041,,,,0.60605,percent of total billed charges,0.180951353,,,,0.60605,percent of total billed charges,0.302430041,,,,0.60605,percent of total billed charges,0.180951353,,,,0.60605,percent of total billed charges,0.302430041,,,,0.60605,percent of total billed charges,0.180951353,,,,0.6001,percent of total billed charges,0.595546878,,,,0.6001,percent of total billed charges,0.410743962,,,,,,,,,,0.612,percent of total billed charges,0.397785598,,,,,,,,,,0.612,percent of total billed charges,999999999,,,,,,,,,,0.68,percent of total billed charges,0.569804652,,,,0.6715,percent of total billed charges,0.648026398,,,,0.6715,percent of total billed charges,0.572552773,,,,0.68,percent of total billed charges,999999999,,,,0.68,percent of total billed charges,999999999,,,,0.595,percent of total billed charges,999999999,,,,0.595,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.4522,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.42925,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.2125,percent of total billed charges,0.201823021,,,,,,,,,,0.2125,percent of total billed charges,0.198465832,,,,,,,,,,0.2125,percent of total billed charges,0.197914304,,,,,,,,,,0.2125,percent of total billed charges,0.195000018,,,,,,,,,,0.2125,percent of total billed charges,0.200017655,,,,,,,,,,0.2125,percent of total billed charges,999999999,,,,,,,,,,0.2125,percent of total billed charges,0.171629234,,,,,,,,,,0.2125,percent of total billed charges,0.270671137,,,,,,,,,,0.2125,percent of total billed charges,999999999,,,,,,,,,,0.2125,percent of total billed charges,0.185058289,,,,,,,,,,0.765,percent of total billed charges,,,,,
glyBURIDE (DIABETA) 2.5MG TAB,637,RC,5107-9087-20,NDC,,both,1,EA,1.06,1.06,0.225656981,1.06,1.06,percent of total billed charges,0.779879657,,,,1.06,percent of total billed charges,0.826657017,,,,1.06,percent of total billed charges,0.779879657,,,,1.06,percent of total billed charges,0.826657017,,,,1.06,percent of total billed charges,999999999,,,,1.06,percent of total billed charges,0.807647147,,,,1.06,percent of total billed charges,0.779879657,,,,1.06,percent of total billed charges,0.826657017,,,,0.75578,percent of total billed charges,0.377148051,,,,0.75578,percent of total billed charges,0.225656981,,,,0.75578,percent of total billed charges,0.377148051,,,,0.75578,percent of total billed charges,0.225656981,,,,0.75578,percent of total billed charges,0.377148051,,,,0.75578,percent of total billed charges,0.225656981,,,,0.74836,percent of total billed charges,0.742681989,,,,0.74836,percent of total billed charges,0.512221881,,,,,,,,,,0.7632,percent of total billed charges,0.49606204,,,,,,,,,,0.7632,percent of total billed charges,999999999,,,,,,,,,,0.848,percent of total billed charges,0.710579919,,,,0.8374,percent of total billed charges,0.808127037,,,,0.8374,percent of total billed charges,0.714006988,,,,0.848,percent of total billed charges,999999999,,,,0.848,percent of total billed charges,999999999,,,,0.742,percent of total billed charges,999999999,,,,0.742,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.56392,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.5353,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.265,percent of total billed charges,0.251685179,,,,,,,,,,0.265,percent of total billed charges,0.247498567,,,,,,,,,,0.265,percent of total billed charges,0.246810779,,,,,,,,,,0.265,percent of total billed charges,0.243176493,,,,,,,,,,0.265,percent of total billed charges,0.249433782,,,,,,,,,,0.265,percent of total billed charges,999999999,,,,,,,,,,0.265,percent of total billed charges,0.21403175,,,,,,,,,,0.265,percent of total billed charges,0.337542829,,,,,,,,,,0.265,percent of total billed charges,999999999,,,,,,,,,,0.265,percent of total billed charges,0.230778572,,,,,,,,,,0.954,percent of total billed charges,,,,,
DICYCLOMINE (BENTYL) INJ 20MG/2ML,J0500,CDM,5891-4008-52,NDC,,both,1,EA,469.92,469.92,100.0384233,469.92,469.92,percent of total billed charges,345.7368382,,,,469.92,percent of total billed charges,366.4742125,,,,469.92,percent of total billed charges,345.7368382,,,,469.92,percent of total billed charges,366.4742125,,,,469.92,percent of total billed charges,999999999,,,,469.92,percent of total billed charges,358.0467426,,,,469.92,percent of total billed charges,345.7368382,,,,469.92,percent of total billed charges,366.4742125,,,,335.05296,percent of total billed charges,167.1975585,,,,335.05296,percent of total billed charges,100.0384233,,,,335.05296,percent of total billed charges,167.1975585,,,,335.05296,percent of total billed charges,100.0384233,,,,335.05296,percent of total billed charges,167.1975585,,,,335.05296,percent of total billed charges,100.0384233,,,,331.76352,percent of total billed charges,329.24634,,,,331.76352,percent of total billed charges,227.0785911,,,,,,,,,,338.3424,percent of total billed charges,219.9145981,,,,,,,,,,338.3424,percent of total billed charges,999999999,,,,,,,,,,375.936,percent of total billed charges,315.0148262,,,,371.2368,percent of total billed charges,358.2594881,,,,371.2368,percent of total billed charges,316.5341167,,,,375.936,percent of total billed charges,999999999,,,,375.936,percent of total billed charges,999999999,,,,328.944,percent of total billed charges,999999999,,,,328.944,percent of total billed charges,999999999,,,,,,,,,,,,,,,,249.99744,percent of total billed charges,999999999,,,,,,,,,,,,,,,,237.3096,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,117.48,percent of total billed charges,111.5772633,,,,,,,,,,117.48,percent of total billed charges,109.7212515,,,,,,,,,,117.48,percent of total billed charges,109.4163408,,,,,,,,,,117.48,percent of total billed charges,107.8051865,,,,,,,,,,117.48,percent of total billed charges,110.5791725,,,,,,,,,,117.48,percent of total billed charges,999999999,,,,,,,,,,117.48,percent of total billed charges,94.88471697,,,,,,,,,,117.48,percent of total billed charges,149.6397419,,,,,,,,,,117.48,percent of total billed charges,999999999,,,,,,,,,,117.48,percent of total billed charges,102.3089306,,,,,,,,,,422.928,percent of total billed charges,,,,,
FLUMazenil (ROMAZICON) 0.5 MG/5ML INJ,250,RC,5539-0009-10,NDC,,both,1,EA,46.66,46.66,9.933164856,46.66,46.66,percent of total billed charges,34.32941963,,,,46.66,percent of total billed charges,36.38850603,,,,46.66,percent of total billed charges,34.32941963,,,,46.66,percent of total billed charges,36.38850603,,,,46.66,percent of total billed charges,999999999,,,,46.66,percent of total billed charges,35.55171308,,,,46.66,percent of total billed charges,34.32941963,,,,46.66,percent of total billed charges,36.38850603,,,,33.26858,percent of total billed charges,16.60163024,,,,33.26858,percent of total billed charges,9.933164856,,,,33.26858,percent of total billed charges,16.60163024,,,,33.26858,percent of total billed charges,9.933164856,,,,33.26858,percent of total billed charges,16.60163024,,,,33.26858,percent of total billed charges,9.933164856,,,,32.94196,percent of total billed charges,32.69202039,,,,32.94196,percent of total billed charges,22.54742735,,,,,,,,,,33.5952,percent of total billed charges,21.83608943,,,,,,,,,,33.5952,percent of total billed charges,999999999,,,,,,,,,,37.328,percent of total billed charges,31.27892362,,,,36.8614,percent of total billed charges,35.57283733,,,,36.8614,percent of total billed charges,31.42977929,,,,37.328,percent of total billed charges,999999999,,,,37.328,percent of total billed charges,999999999,,,,32.662,percent of total billed charges,999999999,,,,32.662,percent of total billed charges,999999999,,,,,,,,,,,,,,,,24.82312,percent of total billed charges,999999999,,,,,,,,,,,,,,,,23.5633,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11.665,percent of total billed charges,11.07889664,,,,,,,,,,11.665,percent of total billed charges,10.89460673,,,,,,,,,,11.665,percent of total billed charges,10.86433108,,,,,,,,,,11.665,percent of total billed charges,10.70435394,,,,,,,,,,11.665,percent of total billed charges,10.9797927,,,,,,,,,,11.665,percent of total billed charges,999999999,,,,,,,,,,11.665,percent of total billed charges,9.421435338,,,,,,,,,,11.665,percent of total billed charges,14.85825323,,,,,,,,,,11.665,percent of total billed charges,999999999,,,,,,,,,,11.665,percent of total billed charges,10.15861147,,,,,,,,,,41.994,percent of total billed charges,,,,,
TOPIRAMATE (TOPAMAX) 100MG TAB,250,RC,5107-9072-20,NDC,,both,1,EA,0.9,0.9,0.19159555,0.9,0.9,percent of total billed charges,0.662161973,,,,0.9,percent of total billed charges,0.701878599,,,,0.9,percent of total billed charges,0.662161973,,,,0.9,percent of total billed charges,0.701878599,,,,0.9,percent of total billed charges,999999999,,,,0.9,percent of total billed charges,0.685738143,,,,0.9,percent of total billed charges,0.662161973,,,,0.9,percent of total billed charges,0.701878599,,,,0.6417,percent of total billed charges,0.320220043,,,,0.6417,percent of total billed charges,0.19159555,,,,0.6417,percent of total billed charges,0.320220043,,,,0.6417,percent of total billed charges,0.19159555,,,,0.6417,percent of total billed charges,0.320220043,,,,0.6417,percent of total billed charges,0.19159555,,,,0.6354,percent of total billed charges,0.630579047,,,,0.6354,percent of total billed charges,0.434905371,,,,,,,,,,0.648,percent of total billed charges,0.421184751,,,,,,,,,,0.648,percent of total billed charges,999999999,,,,,,,,,,0.72,percent of total billed charges,0.603322573,,,,0.711,percent of total billed charges,0.686145598,,,,0.711,percent of total billed charges,0.606232348,,,,0.72,percent of total billed charges,999999999,,,,0.72,percent of total billed charges,999999999,,,,0.63,percent of total billed charges,999999999,,,,0.63,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.4788,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.4545,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.225,percent of total billed charges,0.213694963,,,,,,,,,,0.225,percent of total billed charges,0.210140293,,,,,,,,,,0.225,percent of total billed charges,0.209556322,,,,,,,,,,0.225,percent of total billed charges,0.206470608,,,,,,,,,,0.225,percent of total billed charges,0.2117834,,,,,,,,,,0.225,percent of total billed charges,999999999,,,,,,,,,,0.225,percent of total billed charges,0.181725071,,,,,,,,,,0.225,percent of total billed charges,0.286592968,,,,,,,,,,0.225,percent of total billed charges,999999999,,,,,,,,,,0.225,percent of total billed charges,0.19594407,,,,,,,,,,0.81,percent of total billed charges,,,,,
DIPYRIDAMOLE 200MG/ ASPIRIN 25 MG CAP,637,RC,6846-2040-60,NDC,,both,1,EA,12.34,12.34,2.626987877,12.34,12.34,percent of total billed charges,9.078976387,,,,12.34,percent of total billed charges,9.623535457,,,,12.34,percent of total billed charges,9.078976387,,,,12.34,percent of total billed charges,9.623535457,,,,12.34,percent of total billed charges,999999999,,,,12.34,percent of total billed charges,9.402231877,,,,12.34,percent of total billed charges,9.078976387,,,,12.34,percent of total billed charges,9.623535457,,,,8.79842,percent of total billed charges,4.390572591,,,,8.79842,percent of total billed charges,2.626987877,,,,8.79842,percent of total billed charges,4.390572591,,,,8.79842,percent of total billed charges,2.626987877,,,,8.79842,percent of total billed charges,4.390572591,,,,8.79842,percent of total billed charges,2.626987877,,,,8.71204,percent of total billed charges,8.645939384,,,,8.71204,percent of total billed charges,5.963035865,,,,,,,,,,8.8848,percent of total billed charges,5.774910922,,,,,,,,,,8.8848,percent of total billed charges,999999999,,,,,,,,,,9.872,percent of total billed charges,8.272222836,,,,9.7486,percent of total billed charges,9.40781853,,,,9.7486,percent of total billed charges,8.312119085,,,,9.872,percent of total billed charges,999999999,,,,9.872,percent of total billed charges,999999999,,,,8.638,percent of total billed charges,999999999,,,,8.638,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.56488,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.2317,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3.085,percent of total billed charges,2.929995381,,,,,,,,,,3.085,percent of total billed charges,2.881256902,,,,,,,,,,3.085,percent of total billed charges,2.873250012,,,,,,,,,,3.085,percent of total billed charges,2.830941441,,,,,,,,,,3.085,percent of total billed charges,2.903785726,,,,,,,,,,3.085,percent of total billed charges,999999999,,,,,,,,,,3.085,percent of total billed charges,2.491652638,,,,,,,,,,3.085,percent of total billed charges,3.929508033,,,,,,,,,,3.085,percent of total billed charges,999999999,,,,,,,,,,3.085,percent of total billed charges,2.686610921,,,,,,,,,,11.106,percent of total billed charges,,,,,
LINEZOLID (ZYVOX) 600MG TAB,637,RC,6787-7041-84,NDC,,both,1,EA,8.57,8.57,1.824415405,8.57,8.57,percent of total billed charges,6.305253455,,,,8.57,percent of total billed charges,6.683443993,,,,8.57,percent of total billed charges,6.305253455,,,,8.57,percent of total billed charges,6.683443993,,,,8.57,percent of total billed charges,999999999,,,,8.57,percent of total billed charges,6.529750988,,,,8.57,percent of total billed charges,6.305253455,,,,8.57,percent of total billed charges,6.683443993,,,,6.11041,percent of total billed charges,3.049206411,,,,6.11041,percent of total billed charges,1.824415405,,,,6.11041,percent of total billed charges,3.049206411,,,,6.11041,percent of total billed charges,1.824415405,,,,6.11041,percent of total billed charges,3.049206411,,,,6.11041,percent of total billed charges,1.824415405,,,,6.05042,percent of total billed charges,6.004513819,,,,6.05042,percent of total billed charges,4.141265589,,,,,,,,,,6.1704,percent of total billed charges,4.010614797,,,,,,,,,,6.1704,percent of total billed charges,999999999,,,,,,,,,,6.856,percent of total billed charges,5.744971613,,,,6.7703,percent of total billed charges,6.533630859,,,,6.7703,percent of total billed charges,5.772679137,,,,6.856,percent of total billed charges,999999999,,,,6.856,percent of total billed charges,999999999,,,,5.999,percent of total billed charges,999999999,,,,5.999,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.55924,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.32785,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.1425,percent of total billed charges,2.034850925,,,,,,,,,,2.1425,percent of total billed charges,2.001002565,,,,,,,,,,2.1425,percent of total billed charges,1.995441864,,,,,,,,,,2.1425,percent of total billed charges,1.966059007,,,,,,,,,,2.1425,percent of total billed charges,2.016648596,,,,,,,,,,2.1425,percent of total billed charges,999999999,,,,,,,,,,2.1425,percent of total billed charges,1.730426508,,,,,,,,,,2.1425,percent of total billed charges,2.729001932,,,,,,,,,,2.1425,percent of total billed charges,999999999,,,,,,,,,,2.1425,percent of total billed charges,1.865822981,,,,,,,,,,7.713,percent of total billed charges,,,,,
BETAMETHASONE 0.05% (DIPROLENE) OINT 15G,259,RC,0047-2038-45,NDC,,both,1,EA,114.64,114.64,24.40501541,114.64,114.64,percent of total billed charges,84.34472067,,,,114.64,percent of total billed charges,89.40373621,,,,114.64,percent of total billed charges,84.34472067,,,,114.64,percent of total billed charges,89.40373621,,,,114.64,percent of total billed charges,999999999,,,,114.64,percent of total billed charges,87.34780084,,,,114.64,percent of total billed charges,84.34472067,,,,114.64,percent of total billed charges,89.40373621,,,,81.73832,percent of total billed charges,40.78891749,,,,81.73832,percent of total billed charges,24.40501541,,,,81.73832,percent of total billed charges,40.78891749,,,,81.73832,percent of total billed charges,24.40501541,,,,81.73832,percent of total billed charges,40.78891749,,,,81.73832,percent of total billed charges,24.40501541,,,,80.93584,percent of total billed charges,80.32175778,,,,80.93584,percent of total billed charges,55.39727971,,,,,,,,,,82.5408,percent of total billed charges,53.64957764,,,,,,,,,,82.5408,percent of total billed charges,999999999,,,,,,,,,,91.712,percent of total billed charges,76.84988865,,,,90.5656,percent of total billed charges,87.39970148,,,,90.5656,percent of total billed charges,77.22052932,,,,91.712,percent of total billed charges,999999999,,,,91.712,percent of total billed charges,999999999,,,,80.248,percent of total billed charges,999999999,,,,80.248,percent of total billed charges,999999999,,,,,,,,,,,,,,,,60.98848,percent of total billed charges,999999999,,,,,,,,,,,,,,,,57.8932,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,28.66,percent of total billed charges,27.21998951,,,,,,,,,,28.66,percent of total billed charges,26.7672035,,,,,,,,,,28.66,percent of total billed charges,26.69281859,,,,,,,,,,28.66,percent of total billed charges,26.29976716,,,,,,,,,,28.66,percent of total billed charges,26.97649883,,,,,,,,,,28.66,percent of total billed charges,999999999,,,,,,,,,,28.66,percent of total billed charges,23.14773569,,,,,,,,,,28.66,percent of total billed charges,36.50557544,,,,,,,,,,28.66,percent of total billed charges,999999999,,,,,,,,,,28.66,percent of total billed charges,24.95892025,,,,,,,,,,103.176,percent of total billed charges,,,,,
**SALSALATE (DISALCID) 500MG TAB,259,RC,0090-4562-61,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
**LOTREL 5/10 (AMLODIPINE/BENZAPRIL: CAP,259,RC,0007-8040-05,NDC,,both,1,EA,11,11,2.341723391,11,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,11,percent of total billed charges,999999999,,,,11,percent of total billed charges,8.381243975,,,,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.766,percent of total billed charges,7.707077247,,,,7.766,percent of total billed charges,5.31551009,,,,,,,,,,7.92,percent of total billed charges,5.147813626,,,,,,,,,,7.92,percent of total billed charges,999999999,,,,,,,,,,8.8,percent of total billed charges,7.373942561,,,,8.69,percent of total billed charges,8.386223973,,,,8.69,percent of total billed charges,7.409506477,,,,8.8,percent of total billed charges,999999999,,,,8.8,percent of total billed charges,999999999,,,,7.7,percent of total billed charges,999999999,,,,7.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.852,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.555,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.75,percent of total billed charges,2.611827325,,,,,,,,,,2.75,percent of total billed charges,2.568381355,,,,,,,,,,2.75,percent of total billed charges,2.561243933,,,,,,,,,,2.75,percent of total billed charges,2.523529647,,,,,,,,,,2.75,percent of total billed charges,2.588463775,,,,,,,,,,2.75,percent of total billed charges,999999999,,,,,,,,,,2.75,percent of total billed charges,2.221084199,,,,,,,,,,2.75,percent of total billed charges,3.502802947,,,,,,,,,,2.75,percent of total billed charges,999999999,,,,,,,,,,2.75,percent of total billed charges,2.394871971,,,,,,,,,,9.9,percent of total billed charges,,,,,
**REFRESH P.M. OPTH. OINTMENT: 3.5GM,259,RC,0002-3024-04,NDC,,both,1,EA,27,27,5.747866505,27,27,percent of total billed charges,19.86485919,,,,27,percent of total billed charges,21.05635797,,,,27,percent of total billed charges,19.86485919,,,,27,percent of total billed charges,21.05635797,,,,27,percent of total billed charges,999999999,,,,27,percent of total billed charges,20.5721443,,,,27,percent of total billed charges,19.86485919,,,,27,percent of total billed charges,21.05635797,,,,19.251,percent of total billed charges,9.606601294,,,,19.251,percent of total billed charges,5.747866505,,,,19.251,percent of total billed charges,9.606601294,,,,19.251,percent of total billed charges,5.747866505,,,,19.251,percent of total billed charges,9.606601294,,,,19.251,percent of total billed charges,5.747866505,,,,19.062,percent of total billed charges,18.91737142,,,,19.062,percent of total billed charges,13.04716113,,,,,,,,,,19.44,percent of total billed charges,12.63554254,,,,,,,,,,19.44,percent of total billed charges,999999999,,,,,,,,,,21.6,percent of total billed charges,18.09967719,,,,21.33,percent of total billed charges,20.58436793,,,,21.33,percent of total billed charges,18.18697044,,,,21.6,percent of total billed charges,999999999,,,,21.6,percent of total billed charges,999999999,,,,18.9,percent of total billed charges,999999999,,,,18.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,14.364,percent of total billed charges,999999999,,,,,,,,,,,,,,,,13.635,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6.75,percent of total billed charges,6.41084889,,,,,,,,,,6.75,percent of total billed charges,6.30420878,,,,,,,,,,6.75,percent of total billed charges,6.286689654,,,,,,,,,,6.75,percent of total billed charges,6.194118226,,,,,,,,,,6.75,percent of total billed charges,6.353501993,,,,,,,,,,6.75,percent of total billed charges,999999999,,,,,,,,,,6.75,percent of total billed charges,5.451752124,,,,,,,,,,6.75,percent of total billed charges,8.597789051,,,,,,,,,,6.75,percent of total billed charges,999999999,,,,,,,,,,6.75,percent of total billed charges,5.878322112,,,,,,,,,,24.3,percent of total billed charges,,,,,
**FERROUS GLUCONATE 325 MG: TAB,259,RC,2501-0021-27,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
tiZANidine (ZANAFLEX) 4MG TAB,250,RC,5107-9099-20,NDC,,both,1,EA,1.76,1.76,0.374675743,1.76,1.76,percent of total billed charges,1.294894525,,,,1.76,percent of total billed charges,1.372562594,,,,1.76,percent of total billed charges,1.294894525,,,,1.76,percent of total billed charges,1.372562594,,,,1.76,percent of total billed charges,999999999,,,,1.76,percent of total billed charges,1.340999036,,,,1.76,percent of total billed charges,1.294894525,,,,1.76,percent of total billed charges,1.372562594,,,,1.25488,percent of total billed charges,0.626208084,,,,1.25488,percent of total billed charges,0.374675743,,,,1.25488,percent of total billed charges,0.626208084,,,,1.25488,percent of total billed charges,0.374675743,,,,1.25488,percent of total billed charges,0.626208084,,,,1.25488,percent of total billed charges,0.374675743,,,,1.24256,percent of total billed charges,1.233132359,,,,1.24256,percent of total billed charges,0.850481614,,,,,,,,,,1.2672,percent of total billed charges,0.82365018,,,,,,,,,,1.2672,percent of total billed charges,999999999,,,,,,,,,,1.408,percent of total billed charges,1.17983081,,,,1.3904,percent of total billed charges,1.341795836,,,,1.3904,percent of total billed charges,1.185521036,,,,1.408,percent of total billed charges,999999999,,,,1.408,percent of total billed charges,999999999,,,,1.232,percent of total billed charges,999999999,,,,1.232,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.93632,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.8888,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.44,percent of total billed charges,0.417892372,,,,,,,,,,0.44,percent of total billed charges,0.410941017,,,,,,,,,,0.44,percent of total billed charges,0.409799029,,,,,,,,,,0.44,percent of total billed charges,0.403764744,,,,,,,,,,0.44,percent of total billed charges,0.414154204,,,,,,,,,,0.44,percent of total billed charges,999999999,,,,,,,,,,0.44,percent of total billed charges,0.355373472,,,,,,,,,,0.44,percent of total billed charges,0.560448471,,,,,,,,,,0.44,percent of total billed charges,999999999,,,,,,,,,,0.44,percent of total billed charges,0.383179515,,,,,,,,,,1.584,percent of total billed charges,,,,,
oxyCODONE SR (OxyCONTIN) 20MG TAB,259,RC,5901-1042-20,NDC,,both,1,EA,34.52,34.52,7.348753768,34.52,34.52,percent of total billed charges,25.39759035,,,,34.52,percent of total billed charges,26.9209436,,,,34.52,percent of total billed charges,25.39759035,,,,34.52,percent of total billed charges,26.9209436,,,,34.52,percent of total billed charges,999999999,,,,34.52,percent of total billed charges,26.30186746,,,,34.52,percent of total billed charges,25.39759035,,,,34.52,percent of total billed charges,26.9209436,,,,24.61276,percent of total billed charges,12.28221765,,,,24.61276,percent of total billed charges,7.348753768,,,,24.61276,percent of total billed charges,12.28221765,,,,24.61276,percent of total billed charges,7.348753768,,,,24.61276,percent of total billed charges,12.28221765,,,,24.61276,percent of total billed charges,7.348753768,,,,24.37112,percent of total billed charges,24.18620969,,,,24.37112,percent of total billed charges,16.68103712,,,,,,,,,,24.8544,percent of total billed charges,16.15477512,,,,,,,,,,24.8544,percent of total billed charges,999999999,,,,,,,,,,27.616,percent of total billed charges,23.14077247,,,,27.2708,percent of total billed charges,26.3174956,,,,27.2708,percent of total billed charges,23.25237851,,,,27.616,percent of total billed charges,999999999,,,,27.616,percent of total billed charges,999999999,,,,24.164,percent of total billed charges,999999999,,,,24.164,percent of total billed charges,999999999,,,,,,,,,,,,,,,,18.36464,percent of total billed charges,999999999,,,,,,,,,,,,,,,,17.4326,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8.63,percent of total billed charges,8.196389025,,,,,,,,,,8.63,percent of total billed charges,8.06004767,,,,,,,,,,8.63,percent of total billed charges,8.037649143,,,,,,,,,,8.63,percent of total billed charges,7.919294857,,,,,,,,,,8.63,percent of total billed charges,8.123069956,,,,,,,,,,8.63,percent of total billed charges,999999999,,,,,,,,,,8.63,percent of total billed charges,6.970166049,,,,,,,,,,8.63,percent of total billed charges,10.99243252,,,,,,,,,,8.63,percent of total billed charges,999999999,,,,,,,,,,8.63,percent of total billed charges,7.515543678,,,,,,,,,,31.068,percent of total billed charges,,,,,
**HYDROCODODONE/GUAIFENESIN  LIQ: 120ML,259,RC,0012-1076-16,NDC,,both,1,EA,36,36,7.663822006,36,36,percent of total billed charges,26.48647893,,,,36,percent of total billed charges,28.07514396,,,,36,percent of total billed charges,26.48647893,,,,36,percent of total billed charges,28.07514396,,,,36,percent of total billed charges,999999999,,,,36,percent of total billed charges,27.42952574,,,,36,percent of total billed charges,26.48647893,,,,36,percent of total billed charges,28.07514396,,,,25.668,percent of total billed charges,12.80880173,,,,25.668,percent of total billed charges,7.663822006,,,,25.668,percent of total billed charges,12.80880173,,,,25.668,percent of total billed charges,7.663822006,,,,25.668,percent of total billed charges,12.80880173,,,,25.668,percent of total billed charges,7.663822006,,,,25.416,percent of total billed charges,25.2231619,,,,25.416,percent of total billed charges,17.39621484,,,,,,,,,,25.92,percent of total billed charges,16.84739005,,,,,,,,,,25.92,percent of total billed charges,999999999,,,,,,,,,,28.8,percent of total billed charges,24.13290293,,,,28.44,percent of total billed charges,27.44582391,,,,28.44,percent of total billed charges,24.24929393,,,,28.8,percent of total billed charges,999999999,,,,28.8,percent of total billed charges,999999999,,,,25.2,percent of total billed charges,999999999,,,,25.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,19.152,percent of total billed charges,999999999,,,,,,,,,,,,,,,,18.18,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9,percent of total billed charges,8.54779852,,,,,,,,,,9,percent of total billed charges,8.405611707,,,,,,,,,,9,percent of total billed charges,8.382252872,,,,,,,,,,9,percent of total billed charges,8.258824301,,,,,,,,,,9,percent of total billed charges,8.471335991,,,,,,,,,,9,percent of total billed charges,999999999,,,,,,,,,,9,percent of total billed charges,7.269002832,,,,,,,,,,9,percent of total billed charges,11.46371873,,,,,,,,,,9,percent of total billed charges,999999999,,,,,,,,,,9,percent of total billed charges,7.837762816,,,,,,,,,,32.4,percent of total billed charges,,,,,
buPROPion SR (ZYBAN) 150MG TAB,637,RC,6808-4070-25,NDC,,both,1,EA,1.98,1.98,0.42151021,1.98,1.98,percent of total billed charges,1.456756341,,,,1.98,percent of total billed charges,1.544132918,,,,1.98,percent of total billed charges,1.456756341,,,,1.98,percent of total billed charges,1.544132918,,,,1.98,percent of total billed charges,999999999,,,,1.98,percent of total billed charges,1.508623915,,,,1.98,percent of total billed charges,1.456756341,,,,1.98,percent of total billed charges,1.544132918,,,,1.41174,percent of total billed charges,0.704484095,,,,1.41174,percent of total billed charges,0.42151021,,,,1.41174,percent of total billed charges,0.704484095,,,,1.41174,percent of total billed charges,0.42151021,,,,1.41174,percent of total billed charges,0.704484095,,,,1.41174,percent of total billed charges,0.42151021,,,,1.39788,percent of total billed charges,1.387273904,,,,1.39788,percent of total billed charges,0.956791816,,,,,,,,,,1.4256,percent of total billed charges,0.926606453,,,,,,,,,,1.4256,percent of total billed charges,999999999,,,,,,,,,,1.584,percent of total billed charges,1.327309661,,,,1.5642,percent of total billed charges,1.509520315,,,,1.5642,percent of total billed charges,1.333711166,,,,1.584,percent of total billed charges,999999999,,,,1.584,percent of total billed charges,999999999,,,,1.386,percent of total billed charges,999999999,,,,1.386,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.05336,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.9999,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.495,percent of total billed charges,0.470128919,,,,,,,,,,0.495,percent of total billed charges,0.462308644,,,,,,,,,,0.495,percent of total billed charges,0.461023908,,,,,,,,,,0.495,percent of total billed charges,0.454235337,,,,,,,,,,0.495,percent of total billed charges,0.46592348,,,,,,,,,,0.495,percent of total billed charges,999999999,,,,,,,,,,0.495,percent of total billed charges,0.399795156,,,,,,,,,,0.495,percent of total billed charges,0.63050453,,,,,,,,,,0.495,percent of total billed charges,999999999,,,,,,,,,,0.495,percent of total billed charges,0.431076955,,,,,,,,,,1.782,percent of total billed charges,,,,,
ASPIRIN 300MG SUPP,637,RC,0057-4703-12,NDC,,both,1,EA,4.82,4.82,1.026100613,4.82,4.82,percent of total billed charges,3.546245234,,,,4.82,percent of total billed charges,3.75894983,,,,4.82,percent of total billed charges,3.546245234,,,,4.82,percent of total billed charges,3.75894983,,,,4.82,percent of total billed charges,999999999,,,,4.82,percent of total billed charges,3.672508723,,,,4.82,percent of total billed charges,3.546245234,,,,4.82,percent of total billed charges,3.75894983,,,,3.43666,percent of total billed charges,1.714956231,,,,3.43666,percent of total billed charges,1.026100613,,,,3.43666,percent of total billed charges,1.714956231,,,,3.43666,percent of total billed charges,1.026100613,,,,3.43666,percent of total billed charges,1.714956231,,,,3.43666,percent of total billed charges,1.026100613,,,,3.40292,percent of total billed charges,3.377101121,,,,3.40292,percent of total billed charges,2.329159876,,,,,,,,,,3.4704,percent of total billed charges,2.255678334,,,,,,,,,,3.4704,percent of total billed charges,999999999,,,,,,,,,,3.856,percent of total billed charges,3.231127558,,,,3.8078,percent of total billed charges,3.674690868,,,,3.8078,percent of total billed charges,3.24671102,,,,3.856,percent of total billed charges,999999999,,,,3.856,percent of total billed charges,999999999,,,,3.374,percent of total billed charges,999999999,,,,3.374,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2.56424,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2.4341,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.205,percent of total billed charges,1.144455246,,,,,,,,,,1.205,percent of total billed charges,1.125418012,,,,,,,,,,1.205,percent of total billed charges,1.122290523,,,,,,,,,,1.205,percent of total billed charges,1.105764809,,,,,,,,,,1.205,percent of total billed charges,1.134217763,,,,,,,,,,1.205,percent of total billed charges,999999999,,,,,,,,,,1.205,percent of total billed charges,0.973238713,,,,,,,,,,1.205,percent of total billed charges,1.534864564,,,,,,,,,,1.205,percent of total billed charges,999999999,,,,,,,,,,1.205,percent of total billed charges,1.049389355,,,,,,,,,,4.338,percent of total billed charges,,,,,
methylPREDNISolone 500MG IVPB,J2919,CDM,0000-9075-01,NDC,,both,1,EA,216.42,216.42,46.0723433,216.42,216.42,percent of total billed charges,159.2278825,,,,216.42,percent of total billed charges,168.7784071,,,,216.42,percent of total billed charges,159.2278825,,,,216.42,percent of total billed charges,168.7784071,,,,216.42,percent of total billed charges,999999999,,,,216.42,percent of total billed charges,164.8971655,,,,216.42,percent of total billed charges,159.2278825,,,,216.42,percent of total billed charges,168.7784071,,,,154.30746,percent of total billed charges,77.00224637,,,,154.30746,percent of total billed charges,46.0723433,,,,154.30746,percent of total billed charges,77.00224637,,,,154.30746,percent of total billed charges,46.0723433,,,,154.30746,percent of total billed charges,77.00224637,,,,154.30746,percent of total billed charges,46.0723433,,,,152.79252,percent of total billed charges,151.6332416,,,,152.79252,percent of total billed charges,104.5802449,,,,,,,,,,155.8224,percent of total billed charges,101.2808932,,,,,,,,,,155.8224,percent of total billed charges,999999999,,,,,,,,,,173.136,percent of total billed charges,145.0789681,,,,170.9718,percent of total billed charges,164.9951448,,,,170.9718,percent of total billed charges,145.778672,,,,173.136,percent of total billed charges,999999999,,,,173.136,percent of total billed charges,999999999,,,,151.494,percent of total billed charges,999999999,,,,151.494,percent of total billed charges,999999999,,,,,,,,,,,,,,,,115.13544,percent of total billed charges,999999999,,,,,,,,,,,,,,,,109.2921,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,54.105,percent of total billed charges,51.38651543,,,,,,,,,,54.105,percent of total billed charges,50.53173571,,,,,,,,,,54.105,percent of total billed charges,50.39131018,,,,,,,,,,54.105,percent of total billed charges,49.64929875,,,,,,,,,,54.105,percent of total billed charges,50.9268482,,,,,,,,,,54.105,percent of total billed charges,999999999,,,,,,,,,,54.105,percent of total billed charges,43.69882203,,,,,,,,,,54.105,percent of total billed charges,68.91605579,,,,,,,,,,54.105,percent of total billed charges,999999999,,,,,,,,,,54.105,percent of total billed charges,47.11801746,,,,,,,,,,194.778,percent of total billed charges,,,,,
CEFEPIME (MAXIPIME) 1 GM VIAL,J0692,CDM,6050-5614-00,NDC,,both,1,EA,45.29,45.29,9.641513852,45.29,45.29,percent of total billed charges,33.32146196,,,,45.29,percent of total billed charges,35.32009083,,,,45.29,percent of total billed charges,33.32146196,,,,45.29,percent of total billed charges,35.32009083,,,,45.29,percent of total billed charges,999999999,,,,45.29,percent of total billed charges,34.50786724,,,,45.29,percent of total billed charges,33.32146196,,,,45.29,percent of total billed charges,35.32009083,,,,32.29177,percent of total billed charges,16.11418417,,,,32.29177,percent of total billed charges,9.641513852,,,,32.29177,percent of total billed charges,16.11418417,,,,32.29177,percent of total billed charges,9.641513852,,,,32.29177,percent of total billed charges,16.11418417,,,,32.29177,percent of total billed charges,9.641513852,,,,31.97474,percent of total billed charges,31.73213896,,,,31.97474,percent of total billed charges,21.88540473,,,,,,,,,,32.6088,percent of total billed charges,21.19495265,,,,,,,,,,32.6088,percent of total billed charges,999999999,,,,,,,,,,36.232,percent of total billed charges,30.3605326,,,,35.7791,percent of total billed charges,34.52837125,,,,35.7791,percent of total billed charges,30.50695894,,,,36.232,percent of total billed charges,999999999,,,,36.232,percent of total billed charges,999999999,,,,31.703,percent of total billed charges,999999999,,,,31.703,percent of total billed charges,999999999,,,,,,,,,,,,,,,,24.09428,percent of total billed charges,999999999,,,,,,,,,,,,,,,,22.87145,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11.3225,percent of total billed charges,10.75360542,,,,,,,,,,11.3225,percent of total billed charges,10.57472651,,,,,,,,,,11.3225,percent of total billed charges,10.54533979,,,,,,,,,,11.3225,percent of total billed charges,10.39005979,,,,,,,,,,11.3225,percent of total billed charges,10.65741131,,,,,,,,,,11.3225,percent of total billed charges,999999999,,,,,,,,,,11.3225,percent of total billed charges,9.144809397,,,,,,,,,,11.3225,percent of total billed charges,14.42199504,,,,,,,,,,11.3225,percent of total billed charges,999999999,,,,,,,,,,11.3225,percent of total billed charges,9.860341053,,,,,,,,,,40.761,percent of total billed charges,,,,,
TRANDOLAPRIL (MAVIK) 2MG TAB,259,RC,6818-0056-01,NDC,,both,1,EA,1.86,1.86,0.395964137,1.86,1.86,percent of total billed charges,1.368468078,,,,1.86,percent of total billed charges,1.450549105,,,,1.86,percent of total billed charges,1.368468078,,,,1.86,percent of total billed charges,1.450549105,,,,1.86,percent of total billed charges,999999999,,,,1.86,percent of total billed charges,1.417192163,,,,1.86,percent of total billed charges,1.368468078,,,,1.86,percent of total billed charges,1.450549105,,,,1.32618,percent of total billed charges,0.661788089,,,,1.32618,percent of total billed charges,0.395964137,,,,1.32618,percent of total billed charges,0.661788089,,,,1.32618,percent of total billed charges,0.395964137,,,,1.32618,percent of total billed charges,0.661788089,,,,1.32618,percent of total billed charges,0.395964137,,,,1.31316,percent of total billed charges,1.303196698,,,,1.31316,percent of total billed charges,0.898804433,,,,,,,,,,1.3392,percent of total billed charges,0.870448486,,,,,,,,,,1.3392,percent of total billed charges,999999999,,,,,,,,,,1.488,percent of total billed charges,1.246866651,,,,1.4694,percent of total billed charges,1.418034236,,,,1.4694,percent of total billed charges,1.252880186,,,,1.488,percent of total billed charges,999999999,,,,1.488,percent of total billed charges,999999999,,,,1.302,percent of total billed charges,999999999,,,,1.302,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.98952,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.9393,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.465,percent of total billed charges,0.441636257,,,,,,,,,,0.465,percent of total billed charges,0.434289938,,,,,,,,,,0.465,percent of total billed charges,0.433083065,,,,,,,,,,0.465,percent of total billed charges,0.426705922,,,,,,,,,,0.465,percent of total billed charges,0.437685693,,,,,,,,,,0.465,percent of total billed charges,999999999,,,,,,,,,,0.465,percent of total billed charges,0.375565146,,,,,,,,,,0.465,percent of total billed charges,0.592292135,,,,,,,,,,0.465,percent of total billed charges,999999999,,,,,,,,,,0.465,percent of total billed charges,0.404951079,,,,,,,,,,1.674,percent of total billed charges,,,,,
OLANZapine (ZyPREXA) 5MG TAB,637,RC,6050-5327-00,NDC,,both,1,EA,0.97,0.97,0.206497426,0.97,0.97,percent of total billed charges,0.71366346,,,,0.97,percent of total billed charges,0.756469157,,,,0.97,percent of total billed charges,0.71366346,,,,0.97,percent of total billed charges,0.756469157,,,,0.97,percent of total billed charges,999999999,,,,0.97,percent of total billed charges,0.739073332,,,,0.97,percent of total billed charges,0.71366346,,,,0.97,percent of total billed charges,0.756469157,,,,0.69161,percent of total billed charges,0.345126046,,,,0.69161,percent of total billed charges,0.206497426,,,,0.69161,percent of total billed charges,0.345126046,,,,0.69161,percent of total billed charges,0.206497426,,,,0.69161,percent of total billed charges,0.345126046,,,,0.69161,percent of total billed charges,0.206497426,,,,0.68482,percent of total billed charges,0.679624084,,,,0.68482,percent of total billed charges,0.468731344,,,,,,,,,,0.6984,percent of total billed charges,0.453943565,,,,,,,,,,0.6984,percent of total billed charges,999999999,,,,,,,,,,0.776,percent of total billed charges,0.650247662,,,,0.7663,percent of total billed charges,0.739512478,,,,0.7663,percent of total billed charges,0.653383753,,,,0.776,percent of total billed charges,999999999,,,,0.776,percent of total billed charges,999999999,,,,0.679,percent of total billed charges,999999999,,,,0.679,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.51604,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.48985,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.2425,percent of total billed charges,0.230315682,,,,,,,,,,0.2425,percent of total billed charges,0.226484538,,,,,,,,,,0.2425,percent of total billed charges,0.225855147,,,,,,,,,,0.2425,percent of total billed charges,0.222529433,,,,,,,,,,0.2425,percent of total billed charges,0.228255442,,,,,,,,,,0.2425,percent of total billed charges,999999999,,,,,,,,,,0.2425,percent of total billed charges,0.195859243,,,,,,,,,,0.2425,percent of total billed charges,0.308883533,,,,,,,,,,0.2425,percent of total billed charges,999999999,,,,,,,,,,0.2425,percent of total billed charges,0.211184165,,,,,,,,,,0.873,percent of total billed charges,,,,,
LINEZOLID (ZYVOX) 600MG IVPB,J2020,CDM,0000-9514-01,NDC,,both,1,EA,137.12,137.12,29.19064649,137.12,137.12,percent of total billed charges,100.8840553,,,,137.12,percent of total billed charges,106.9351039,,,,137.12,percent of total billed charges,100.8840553,,,,137.12,percent of total billed charges,106.9351039,,,,137.12,percent of total billed charges,999999999,,,,137.12,percent of total billed charges,104.4760158,,,,137.12,percent of total billed charges,100.8840553,,,,137.12,percent of total billed charges,106.9351039,,,,97.76656,percent of total billed charges,48.78730257,,,,97.76656,percent of total billed charges,29.19064649,,,,97.76656,percent of total billed charges,48.78730257,,,,97.76656,percent of total billed charges,29.19064649,,,,97.76656,percent of total billed charges,48.78730257,,,,97.76656,percent of total billed charges,29.19064649,,,,96.80672,percent of total billed charges,96.0722211,,,,96.80672,percent of total billed charges,66.26024942,,,,,,,,,,98.7264,percent of total billed charges,64.16983676,,,,,,,,,,98.7264,percent of total billed charges,999999999,,,,,,,,,,109.696,percent of total billed charges,91.91954581,,,,108.3248,percent of total billed charges,104.5380937,,,,108.3248,percent of total billed charges,92.3628662,,,,109.696,percent of total billed charges,999999999,,,,109.696,percent of total billed charges,999999999,,,,95.984,percent of total billed charges,999999999,,,,95.984,percent of total billed charges,999999999,,,,,,,,,,,,,,,,72.94784,percent of total billed charges,999999999,,,,,,,,,,,,,,,,69.2456,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,34.28,percent of total billed charges,32.55761481,,,,,,,,,,34.28,percent of total billed charges,32.01604104,,,,,,,,,,34.28,percent of total billed charges,31.92706983,,,,,,,,,,34.28,percent of total billed charges,31.45694411,,,,,,,,,,34.28,percent of total billed charges,32.26637753,,,,,,,,,,34.28,percent of total billed charges,999999999,,,,,,,,,,34.28,percent of total billed charges,27.68682412,,,,,,,,,,34.28,percent of total billed charges,43.66403091,,,,,,,,,,34.28,percent of total billed charges,999999999,,,,,,,,,,34.28,percent of total billed charges,29.8531677,,,,,,,,,,123.408,percent of total billed charges,,,,,
MESALAMINE (ASACOL) 400MG DR TAB,637,RC,0002-3585-18,NDC,,both,1,EA,17.58,17.58,3.742499746,17.58,17.58,percent of total billed charges,12.93423054,,,,17.58,percent of total billed charges,13.71002863,,,,17.58,percent of total billed charges,12.93423054,,,,17.58,percent of total billed charges,13.71002863,,,,17.58,percent of total billed charges,999999999,,,,17.58,percent of total billed charges,13.39475173,,,,17.58,percent of total billed charges,12.93423054,,,,17.58,percent of total billed charges,13.71002863,,,,12.53454,percent of total billed charges,6.254964843,,,,12.53454,percent of total billed charges,3.742499746,,,,12.53454,percent of total billed charges,6.254964843,,,,12.53454,percent of total billed charges,3.742499746,,,,12.53454,percent of total billed charges,6.254964843,,,,12.53454,percent of total billed charges,3.742499746,,,,12.41148,percent of total billed charges,12.31731073,,,,12.41148,percent of total billed charges,8.495151581,,,,,,,,,,12.6576,percent of total billed charges,8.22714214,,,,,,,,,,12.6576,percent of total billed charges,999999999,,,,,,,,,,14.064,percent of total billed charges,11.78490093,,,,13.8882,percent of total billed charges,13.40271068,,,,13.8882,percent of total billed charges,11.84173853,,,,14.064,percent of total billed charges,999999999,,,,14.064,percent of total billed charges,999999999,,,,12.306,percent of total billed charges,999999999,,,,12.306,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.35256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,8.8779,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4.395,percent of total billed charges,4.174174944,,,,,,,,,,4.395,percent of total billed charges,4.104740384,,,,,,,,,,4.395,percent of total billed charges,4.093333486,,,,,,,,,,4.395,percent of total billed charges,4.0330592,,,,,,,,,,4.395,percent of total billed charges,4.136835742,,,,,,,,,,4.395,percent of total billed charges,999999999,,,,,,,,,,4.395,percent of total billed charges,3.549696383,,,,,,,,,,4.395,percent of total billed charges,5.598115982,,,,,,,,,,4.395,percent of total billed charges,999999999,,,,,,,,,,4.395,percent of total billed charges,3.827440842,,,,,,,,,,15.822,percent of total billed charges,,,,,
CALCIUM ACETATE (PHOSLO) 667 MG CAP,637,RC,0005-4008-26,NDC,,both,1,EA,0.77,0.77,0.163920637,0.77,0.77,percent of total billed charges,0.566516355,,,,0.77,percent of total billed charges,0.600496135,,,,0.77,percent of total billed charges,0.566516355,,,,0.77,percent of total billed charges,0.600496135,,,,0.77,percent of total billed charges,999999999,,,,0.77,percent of total billed charges,0.586687078,,,,0.77,percent of total billed charges,0.566516355,,,,0.77,percent of total billed charges,0.600496135,,,,0.54901,percent of total billed charges,0.273966037,,,,0.54901,percent of total billed charges,0.163920637,,,,0.54901,percent of total billed charges,0.273966037,,,,0.54901,percent of total billed charges,0.163920637,,,,0.54901,percent of total billed charges,0.273966037,,,,0.54901,percent of total billed charges,0.163920637,,,,0.54362,percent of total billed charges,0.539495407,,,,0.54362,percent of total billed charges,0.372085706,,,,,,,,,,0.5544,percent of total billed charges,0.360346954,,,,,,,,,,0.5544,percent of total billed charges,999999999,,,,,,,,,,0.616,percent of total billed charges,0.516175979,,,,0.6083,percent of total billed charges,0.587035678,,,,0.6083,percent of total billed charges,0.518665453,,,,0.616,percent of total billed charges,999999999,,,,0.616,percent of total billed charges,999999999,,,,0.539,percent of total billed charges,999999999,,,,0.539,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.40964,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.38885,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.1925,percent of total billed charges,0.182827913,,,,,,,,,,0.1925,percent of total billed charges,0.179786695,,,,,,,,,,0.1925,percent of total billed charges,0.179287075,,,,,,,,,,0.1925,percent of total billed charges,0.176647075,,,,,,,,,,0.1925,percent of total billed charges,0.181192464,,,,,,,,,,0.1925,percent of total billed charges,999999999,,,,,,,,,,0.1925,percent of total billed charges,0.155475894,,,,,,,,,,0.1925,percent of total billed charges,0.245196206,,,,,,,,,,0.1925,percent of total billed charges,999999999,,,,,,,,,,0.1925,percent of total billed charges,0.167641038,,,,,,,,,,0.693,percent of total billed charges,,,,,
NAPHAZOLINE/PHENIRAMINE OPHTH SOLN,259,RC,5486-8063-00,NDC,,both,1,EA,101.31,101.31,21.56727243,101.31,101.31,percent of total billed charges,74.53736611,,,,101.31,percent of total billed charges,79.00813429,,,,101.31,percent of total billed charges,74.53736611,,,,101.31,percent of total billed charges,79.00813429,,,,101.31,percent of total billed charges,999999999,,,,101.31,percent of total billed charges,77.19125701,,,,101.31,percent of total billed charges,74.53736611,,,,101.31,percent of total billed charges,79.00813429,,,,72.23403,percent of total billed charges,36.04610286,,,,72.23403,percent of total billed charges,21.56727243,,,,72.23403,percent of total billed charges,36.04610286,,,,72.23403,percent of total billed charges,21.56727243,,,,72.23403,percent of total billed charges,36.04610286,,,,72.23403,percent of total billed charges,21.56727243,,,,71.52486,percent of total billed charges,70.98218144,,,,71.52486,percent of total billed charges,48.95584793,,,,,,,,,,72.9432,percent of total billed charges,47.41136349,,,,,,,,,,72.9432,percent of total billed charges,999999999,,,,,,,,,,81.048,percent of total billed charges,67.91401098,,,,80.0349,percent of total billed charges,77.2371228,,,,80.0349,percent of total billed charges,68.24155466,,,,81.048,percent of total billed charges,999999999,,,,81.048,percent of total billed charges,999999999,,,,70.917,percent of total billed charges,999999999,,,,70.917,percent of total billed charges,999999999,,,,,,,,,,,,,,,,53.89692,percent of total billed charges,999999999,,,,,,,,,,,,,,,,51.16155,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,25.3275,percent of total billed charges,24.05492967,,,,,,,,,,25.3275,percent of total billed charges,23.65479228,,,,,,,,,,25.3275,percent of total billed charges,23.58905662,,,,,,,,,,25.3275,percent of total billed charges,23.24170805,,,,,,,,,,25.3275,percent of total billed charges,23.83975137,,,,,,,,,,25.3275,percent of total billed charges,999999999,,,,,,,,,,25.3275,percent of total billed charges,20.45618547,,,,,,,,,,25.3275,percent of total billed charges,32.26081514,,,,,,,,,,25.3275,percent of total billed charges,999999999,,,,,,,,,,25.3275,percent of total billed charges,22.05677086,,,,,,,,,,91.179,percent of total billed charges,,,,,
**LISINOPRIL(ZESTORETIC):20/HCTZ 12.5MG,259,RC,0031-0014-10,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
ANASTROZOLE  (ARIMIDEX) 1 MG TAB,637,RC,6800-1015-04,NDC,,both,1,EA,3.9,3.9,0.830247384,3.9,3.9,percent of total billed charges,2.86936855,,,,3.9,percent of total billed charges,3.041473929,,,,3.9,percent of total billed charges,2.86936855,,,,3.9,percent of total billed charges,3.041473929,,,,3.9,percent of total billed charges,999999999,,,,3.9,percent of total billed charges,2.971531955,,,,3.9,percent of total billed charges,2.86936855,,,,3.9,percent of total billed charges,3.041473929,,,,2.7807,percent of total billed charges,1.387620187,,,,2.7807,percent of total billed charges,0.830247384,,,,2.7807,percent of total billed charges,1.387620187,,,,2.7807,percent of total billed charges,0.830247384,,,,2.7807,percent of total billed charges,1.387620187,,,,2.7807,percent of total billed charges,0.830247384,,,,2.7534,percent of total billed charges,2.732509206,,,,2.7534,percent of total billed charges,1.884589941,,,,,,,,,,2.808,percent of total billed charges,1.825133922,,,,,,,,,,2.808,percent of total billed charges,999999999,,,,,,,,,,3.12,percent of total billed charges,2.614397817,,,,3.081,percent of total billed charges,2.973297591,,,,3.081,percent of total billed charges,2.627006842,,,,3.12,percent of total billed charges,999999999,,,,3.12,percent of total billed charges,999999999,,,,2.73,percent of total billed charges,999999999,,,,2.73,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2.0748,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.9695,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.975,percent of total billed charges,0.926011506,,,,,,,,,,0.975,percent of total billed charges,0.910607935,,,,,,,,,,0.975,percent of total billed charges,0.908077394,,,,,,,,,,0.975,percent of total billed charges,0.894705966,,,,,,,,,,0.975,percent of total billed charges,0.917728066,,,,,,,,,,0.975,percent of total billed charges,999999999,,,,,,,,,,0.975,percent of total billed charges,0.787475307,,,,,,,,,,0.975,percent of total billed charges,1.241902863,,,,,,,,,,0.975,percent of total billed charges,999999999,,,,,,,,,,0.975,percent of total billed charges,0.849090972,,,,,,,,,,3.51,percent of total billed charges,,,,,
ACYCLOVIR 5% (ZOVIRAX) 5GM,637,RC,0018-7099-45,NDC,,both,1,EA,405.24,405.24,86.26908972,405.24,405.24,percent of total billed charges,298.1494644,,,,405.24,percent of total billed charges,316.0325372,,,,405.24,percent of total billed charges,298.1494644,,,,405.24,percent of total billed charges,316.0325372,,,,405.24,percent of total billed charges,999999999,,,,405.24,percent of total billed charges,308.765028,,,,405.24,percent of total billed charges,298.1494644,,,,405.24,percent of total billed charges,316.0325372,,,,288.93612,percent of total billed charges,144.1844114,,,,288.93612,percent of total billed charges,86.26908972,,,,288.93612,percent of total billed charges,144.1844114,,,,288.93612,percent of total billed charges,86.26908972,,,,288.93612,percent of total billed charges,144.1844114,,,,288.93612,percent of total billed charges,86.26908972,,,,286.09944,percent of total billed charges,283.9287258,,,,286.09944,percent of total billed charges,195.8233917,,,,,,,,,,291.7728,percent of total billed charges,189.645454,,,,,,,,,,291.7728,percent of total billed charges,999999999,,,,,,,,,,324.192,percent of total billed charges,271.6560439,,,,320.1396,percent of total billed charges,308.9484912,,,,320.1396,percent of total billed charges,272.9662186,,,,324.192,percent of total billed charges,999999999,,,,324.192,percent of total billed charges,999999999,,,,283.668,percent of total billed charges,999999999,,,,283.668,percent of total billed charges,999999999,,,,,,,,,,,,,,,,215.58768,percent of total billed charges,999999999,,,,,,,,,,,,,,,,204.6462,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,101.31,percent of total billed charges,96.21971867,,,,,,,,,,101.31,percent of total billed charges,94.61916912,,,,,,,,,,101.31,percent of total billed charges,94.3562265,,,,,,,,,,101.31,percent of total billed charges,92.96683221,,,,,,,,,,101.31,percent of total billed charges,95.35900548,,,,,,,,,,101.31,percent of total billed charges,999999999,,,,,,,,,,101.31,percent of total billed charges,81.82474188,,,,,,,,,,101.31,percent of total billed charges,129.0432606,,,,,,,,,,101.31,percent of total billed charges,999999999,,,,,,,,,,101.31,percent of total billed charges,88.22708343,,,,,,,,,,364.716,percent of total billed charges,,,,,
"EPOTEIN ALFA 10,000 UNITS (NON DIALYSIS)",J0885,CDM,5967-6031-01,NDC,,both,1,EA,804.78,804.78,171.324741,804.78,804.78,percent of total billed charges,592.1052364,,,,804.78,percent of total billed charges,627.6198432,,,,804.78,percent of total billed charges,592.1052364,,,,804.78,percent of total billed charges,627.6198432,,,,804.78,percent of total billed charges,999999999,,,,804.78,percent of total billed charges,613.1870478,,,,804.78,percent of total billed charges,592.1052364,,,,804.78,percent of total billed charges,627.6198432,,,,573.80814,percent of total billed charges,286.3407626,,,,573.80814,percent of total billed charges,171.324741,,,,573.80814,percent of total billed charges,286.3407626,,,,573.80814,percent of total billed charges,171.324741,,,,573.80814,percent of total billed charges,286.3407626,,,,573.80814,percent of total billed charges,171.324741,,,,568.17468,percent of total billed charges,563.8637842,,,,568.17468,percent of total billed charges,388.8923828,,,,,,,,,,579.4416,percent of total billed charges,376.6234045,,,,,,,,,,579.4416,percent of total billed charges,999999999,,,,,,,,,,643.824,percent of total billed charges,539.4910449,,,,635.7762,percent of total billed charges,613.5513936,,,,635.7762,percent of total billed charges,542.0929657,,,,643.824,percent of total billed charges,999999999,,,,643.824,percent of total billed charges,999999999,,,,563.346,percent of total billed charges,999999999,,,,563.346,percent of total billed charges,999999999,,,,,,,,,,,,,,,,428.14296,percent of total billed charges,999999999,,,,,,,,,,,,,,,,406.4139,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,201.195,percent of total billed charges,191.0860359,,,,,,,,,,201.195,percent of total billed charges,187.9074497,,,,,,,,,,201.195,percent of total billed charges,187.385263,,,,,,,,,,201.195,percent of total billed charges,184.6260172,,,,,,,,,,201.195,percent of total billed charges,189.3767161,,,,,,,,,,201.195,percent of total billed charges,999999999,,,,,,,,,,201.195,percent of total billed charges,162.4985583,,,,,,,,,,201.195,percent of total billed charges,256.2714323,,,,,,,,,,201.195,percent of total billed charges,999999999,,,,,,,,,,201.195,percent of total billed charges,175.2131877,,,,,,,,,,724.302,percent of total billed charges,,,,,
**FOSFOMYCIN TROM. (MONUROL) 3GM: PACK,259,RC,0045-6430-08,NDC,,both,1,EA,87,87,18.52090318,87,87,percent of total billed charges,64.00899074,,,,87,percent of total billed charges,67.84826457,,,,87,percent of total billed charges,64.00899074,,,,87,percent of total billed charges,67.84826457,,,,87,percent of total billed charges,999999999,,,,87,percent of total billed charges,66.28802053,,,,87,percent of total billed charges,64.00899074,,,,87,percent of total billed charges,67.84826457,,,,62.031,percent of total billed charges,30.95460417,,,,62.031,percent of total billed charges,18.52090318,,,,62.031,percent of total billed charges,30.95460417,,,,62.031,percent of total billed charges,18.52090318,,,,62.031,percent of total billed charges,30.95460417,,,,62.031,percent of total billed charges,18.52090318,,,,61.422,percent of total billed charges,60.95597459,,,,61.422,percent of total billed charges,42.04085253,,,,,,,,,,62.64,percent of total billed charges,40.71452595,,,,,,,,,,62.64,percent of total billed charges,999999999,,,,,,,,,,69.6,percent of total billed charges,58.32118207,,,,68.73,percent of total billed charges,66.32740779,,,,68.73,percent of total billed charges,58.60246032,,,,69.6,percent of total billed charges,999999999,,,,69.6,percent of total billed charges,999999999,,,,60.9,percent of total billed charges,999999999,,,,60.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,46.284,percent of total billed charges,999999999,,,,,,,,,,,,,,,,43.935,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21.75,percent of total billed charges,20.65717976,,,,,,,,,,21.75,percent of total billed charges,20.31356163,,,,,,,,,,21.75,percent of total billed charges,20.25711111,,,,,,,,,,21.75,percent of total billed charges,19.95882539,,,,,,,,,,21.75,percent of total billed charges,20.47239531,,,,,,,,,,21.75,percent of total billed charges,999999999,,,,,,,,,,21.75,percent of total billed charges,17.56675684,,,,,,,,,,21.75,percent of total billed charges,27.70398694,,,,,,,,,,21.75,percent of total billed charges,999999999,,,,,,,,,,21.75,percent of total billed charges,18.94126014,,,,,,,,,,78.3,percent of total billed charges,,,,,
OFLOXACIN (OCUFLOX) OPTH SOLN 0.3% 5 ML,637,RC,1198-0077-05,NDC,,both,1,EA,66,66,14.05034035,66,66,percent of total billed charges,48.5585447,,,,66,percent of total billed charges,51.47109726,,,,66,percent of total billed charges,48.5585447,,,,66,percent of total billed charges,51.47109726,,,,66,percent of total billed charges,999999999,,,,66,percent of total billed charges,50.28746385,,,,66,percent of total billed charges,48.5585447,,,,66,percent of total billed charges,51.47109726,,,,47.058,percent of total billed charges,23.48280316,,,,47.058,percent of total billed charges,14.05034035,,,,47.058,percent of total billed charges,23.48280316,,,,47.058,percent of total billed charges,14.05034035,,,,47.058,percent of total billed charges,23.48280316,,,,47.058,percent of total billed charges,14.05034035,,,,46.596,percent of total billed charges,46.24246348,,,,46.596,percent of total billed charges,31.89306054,,,,,,,,,,47.52,percent of total billed charges,30.88688175,,,,,,,,,,47.52,percent of total billed charges,999999999,,,,,,,,,,52.8,percent of total billed charges,44.24365536,,,,52.14,percent of total billed charges,50.31734384,,,,52.14,percent of total billed charges,44.45703886,,,,52.8,percent of total billed charges,999999999,,,,52.8,percent of total billed charges,999999999,,,,46.2,percent of total billed charges,999999999,,,,46.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,35.112,percent of total billed charges,999999999,,,,,,,,,,,,,,,,33.33,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16.5,percent of total billed charges,15.67096395,,,,,,,,,,16.5,percent of total billed charges,15.41028813,,,,,,,,,,16.5,percent of total billed charges,15.3674636,,,,,,,,,,16.5,percent of total billed charges,15.14117788,,,,,,,,,,16.5,percent of total billed charges,15.53078265,,,,,,,,,,16.5,percent of total billed charges,999999999,,,,,,,,,,16.5,percent of total billed charges,13.32650519,,,,,,,,,,16.5,percent of total billed charges,21.01681768,,,,,,,,,,16.5,percent of total billed charges,999999999,,,,,,,,,,16.5,percent of total billed charges,14.36923183,,,,,,,,,,59.4,percent of total billed charges,,,,,
**DICLOFENAC/MISOPROSTOL 75MG/200MCG T,259,RC,0002-5142-34,NDC,,both,1,EA,10,10,2.128839446,10,10,percent of total billed charges,7.357355257,,,,10,percent of total billed charges,7.7986511,,,,10,percent of total billed charges,7.357355257,,,,10,percent of total billed charges,7.7986511,,,,10,percent of total billed charges,999999999,,,,10,percent of total billed charges,7.619312704,,,,10,percent of total billed charges,7.357355257,,,,10,percent of total billed charges,7.7986511,,,,7.13,percent of total billed charges,3.558000479,,,,7.13,percent of total billed charges,2.128839446,,,,7.13,percent of total billed charges,3.558000479,,,,7.13,percent of total billed charges,2.128839446,,,,7.13,percent of total billed charges,3.558000479,,,,7.13,percent of total billed charges,2.128839446,,,,7.06,percent of total billed charges,7.006433861,,,,7.06,percent of total billed charges,4.8322819,,,,,,,,,,7.2,percent of total billed charges,4.679830569,,,,,,,,,,7.2,percent of total billed charges,999999999,,,,,,,,,,8,percent of total billed charges,6.703584146,,,,7.9,percent of total billed charges,7.623839976,,,,7.9,percent of total billed charges,6.735914979,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,999999999,,,,7,percent of total billed charges,999999999,,,,7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.32,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.05,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.5,percent of total billed charges,2.374388478,,,,,,,,,,2.5,percent of total billed charges,2.334892141,,,,,,,,,,2.5,percent of total billed charges,2.328403576,,,,,,,,,,2.5,percent of total billed charges,2.294117861,,,,,,,,,,2.5,percent of total billed charges,2.353148886,,,,,,,,,,2.5,percent of total billed charges,999999999,,,,,,,,,,2.5,percent of total billed charges,2.019167453,,,,,,,,,,2.5,percent of total billed charges,3.184366315,,,,,,,,,,2.5,percent of total billed charges,999999999,,,,,,,,,,2.5,percent of total billed charges,2.177156338,,,,,,,,,,9,percent of total billed charges,,,,,
PULMICORT (BUDESONIDE) INHALER: 120 DOSE,637,RC,0018-6091-12,NDC,,both,1,EA,462.4,462.4,98.43753599,462.4,462.4,percent of total billed charges,340.2041071,,,,462.4,percent of total billed charges,360.6096269,,,,462.4,percent of total billed charges,340.2041071,,,,462.4,percent of total billed charges,360.6096269,,,,462.4,percent of total billed charges,999999999,,,,462.4,percent of total billed charges,352.3170194,,,,462.4,percent of total billed charges,340.2041071,,,,462.4,percent of total billed charges,360.6096269,,,,329.6912,percent of total billed charges,164.5219422,,,,329.6912,percent of total billed charges,98.43753599,,,,329.6912,percent of total billed charges,164.5219422,,,,329.6912,percent of total billed charges,98.43753599,,,,329.6912,percent of total billed charges,164.5219422,,,,329.6912,percent of total billed charges,98.43753599,,,,326.4544,percent of total billed charges,323.9775017,,,,326.4544,percent of total billed charges,223.4447151,,,,,,,,,,332.928,percent of total billed charges,216.3953655,,,,,,,,,,332.928,percent of total billed charges,999999999,,,,,,,,,,369.92,percent of total billed charges,309.9737309,,,,365.296,percent of total billed charges,352.5263605,,,,365.296,percent of total billed charges,311.4687086,,,,369.92,percent of total billed charges,999999999,,,,369.92,percent of total billed charges,999999999,,,,323.68,percent of total billed charges,999999999,,,,323.68,percent of total billed charges,999999999,,,,,,,,,,,,,,,,245.9968,percent of total billed charges,999999999,,,,,,,,,,,,,,,,233.512,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,115.6,percent of total billed charges,109.7917232,,,,,,,,,,115.6,percent of total billed charges,107.9654126,,,,,,,,,,115.6,percent of total billed charges,107.6653813,,,,,,,,,,115.6,percent of total billed charges,106.0800099,,,,,,,,,,115.6,percent of total billed charges,108.8096045,,,,,,,,,,115.6,percent of total billed charges,999999999,,,,,,,,,,115.6,percent of total billed charges,93.36630305,,,,,,,,,,115.6,percent of total billed charges,147.2450984,,,,,,,,,,115.6,percent of total billed charges,999999999,,,,,,,,,,115.6,percent of total billed charges,100.6717091,,,,,,,,,,416.16,percent of total billed charges,,,,,
BUMETANIDE (BUMEX)  2.5MG/10ML MDV,J1939,CDM,0064-1600-10,NDC,,both,1,EA,37.66,37.66,8.017209355,37.66,37.66,percent of total billed charges,27.7077999,,,,37.66,percent of total billed charges,29.36972004,,,,37.66,percent of total billed charges,27.7077999,,,,37.66,percent of total billed charges,29.36972004,,,,37.66,percent of total billed charges,999999999,,,,37.66,percent of total billed charges,28.69433164,,,,37.66,percent of total billed charges,27.7077999,,,,37.66,percent of total billed charges,29.36972004,,,,26.85158,percent of total billed charges,13.3994298,,,,26.85158,percent of total billed charges,8.017209355,,,,26.85158,percent of total billed charges,13.3994298,,,,26.85158,percent of total billed charges,8.017209355,,,,26.85158,percent of total billed charges,13.3994298,,,,26.85158,percent of total billed charges,8.017209355,,,,26.58796,percent of total billed charges,26.38622992,,,,26.58796,percent of total billed charges,18.19837364,,,,,,,,,,27.1152,percent of total billed charges,17.62424192,,,,,,,,,,27.1152,percent of total billed charges,999999999,,,,,,,,,,30.128,percent of total billed charges,25.24569789,,,,29.7514,percent of total billed charges,28.71138135,,,,29.7514,percent of total billed charges,25.36745581,,,,30.128,percent of total billed charges,999999999,,,,30.128,percent of total billed charges,999999999,,,,26.362,percent of total billed charges,999999999,,,,26.362,percent of total billed charges,999999999,,,,,,,,,,,,,,,,20.03512,percent of total billed charges,999999999,,,,,,,,,,,,,,,,19.0183,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9.415,percent of total billed charges,8.941947007,,,,,,,,,,9.415,percent of total billed charges,8.793203803,,,,,,,,,,9.415,percent of total billed charges,8.768767866,,,,,,,,,,9.415,percent of total billed charges,8.639647866,,,,,,,,,,9.415,percent of total billed charges,8.861958706,,,,,,,,,,9.415,percent of total billed charges,999999999,,,,,,,,,,9.415,percent of total billed charges,7.60418463,,,,,,,,,,9.415,percent of total billed charges,11.99232354,,,,,,,,,,9.415,percent of total billed charges,999999999,,,,,,,,,,9.415,percent of total billed charges,8.199170768,,,,,,,,,,33.894,percent of total billed charges,,,,,
levoFLOXacin (LEVAQUIN) 500MG TAB,637,RC,5107-9003-20,NDC,,both,1,EA,1.04,1.04,0.221399302,1.04,1.04,percent of total billed charges,0.765164947,,,,1.04,percent of total billed charges,0.811059714,,,,1.04,percent of total billed charges,0.765164947,,,,1.04,percent of total billed charges,0.811059714,,,,1.04,percent of total billed charges,999999999,,,,1.04,percent of total billed charges,0.792408521,,,,1.04,percent of total billed charges,0.765164947,,,,1.04,percent of total billed charges,0.811059714,,,,0.74152,percent of total billed charges,0.37003205,,,,0.74152,percent of total billed charges,0.221399302,,,,0.74152,percent of total billed charges,0.37003205,,,,0.74152,percent of total billed charges,0.221399302,,,,0.74152,percent of total billed charges,0.37003205,,,,0.74152,percent of total billed charges,0.221399302,,,,0.73424,percent of total billed charges,0.728669122,,,,0.73424,percent of total billed charges,0.502557318,,,,,,,,,,0.7488,percent of total billed charges,0.486702379,,,,,,,,,,0.7488,percent of total billed charges,999999999,,,,,,,,,,0.832,percent of total billed charges,0.697172751,,,,0.8216,percent of total billed charges,0.792879357,,,,0.8216,percent of total billed charges,0.700535158,,,,0.832,percent of total billed charges,999999999,,,,0.832,percent of total billed charges,999999999,,,,0.728,percent of total billed charges,999999999,,,,0.728,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.55328,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.5252,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.26,percent of total billed charges,0.246936402,,,,,,,,,,0.26,percent of total billed charges,0.242828783,,,,,,,,,,0.26,percent of total billed charges,0.242153972,,,,,,,,,,0.26,percent of total billed charges,0.238588258,,,,,,,,,,0.26,percent of total billed charges,0.244727484,,,,,,,,,,0.26,percent of total billed charges,999999999,,,,,,,,,,0.26,percent of total billed charges,0.209993415,,,,,,,,,,0.26,percent of total billed charges,0.331174097,,,,,,,,,,0.26,percent of total billed charges,999999999,,,,,,,,,,0.26,percent of total billed charges,0.226424259,,,,,,,,,,0.936,percent of total billed charges,,,,,
**ESTRADIOL (ESTRACE) 2 MG TAB,259,RC,0043-0072-24,NDC,,both,1,EA,9,9,1.915955502,9,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,9,percent of total billed charges,999999999,,,,9,percent of total billed charges,6.857381434,,,,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.354,percent of total billed charges,6.305790475,,,,6.354,percent of total billed charges,4.34905371,,,,,,,,,,6.48,percent of total billed charges,4.211847512,,,,,,,,,,6.48,percent of total billed charges,999999999,,,,,,,,,,7.2,percent of total billed charges,6.033225731,,,,7.11,percent of total billed charges,6.861455978,,,,7.11,percent of total billed charges,6.062323481,,,,7.2,percent of total billed charges,999999999,,,,7.2,percent of total billed charges,999999999,,,,6.3,percent of total billed charges,999999999,,,,6.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.788,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.545,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.25,percent of total billed charges,2.13694963,,,,,,,,,,2.25,percent of total billed charges,2.101402927,,,,,,,,,,2.25,percent of total billed charges,2.095563218,,,,,,,,,,2.25,percent of total billed charges,2.064706075,,,,,,,,,,2.25,percent of total billed charges,2.117833998,,,,,,,,,,2.25,percent of total billed charges,999999999,,,,,,,,,,2.25,percent of total billed charges,1.817250708,,,,,,,,,,2.25,percent of total billed charges,2.865929684,,,,,,,,,,2.25,percent of total billed charges,999999999,,,,,,,,,,2.25,percent of total billed charges,1.959440704,,,,,,,,,,8.1,percent of total billed charges,,,,,
**7,259,RC,5456-9250-01,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
**TETRACYCLINE 250 MG CAPS:,259,RC,6042-9020-40,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
BEN GAY OINTMENT 2OZ,637,RC,6996-8053-02,NDC,,both,1,EA,22.7,22.7,4.832465543,22.7,22.7,percent of total billed charges,16.70119643,,,,22.7,percent of total billed charges,17.702938,,,,22.7,percent of total billed charges,16.70119643,,,,22.7,percent of total billed charges,17.702938,,,,22.7,percent of total billed charges,999999999,,,,22.7,percent of total billed charges,17.29583984,,,,22.7,percent of total billed charges,16.70119643,,,,22.7,percent of total billed charges,17.702938,,,,16.1851,percent of total billed charges,8.076661088,,,,16.1851,percent of total billed charges,4.832465543,,,,16.1851,percent of total billed charges,8.076661088,,,,16.1851,percent of total billed charges,4.832465543,,,,16.1851,percent of total billed charges,8.076661088,,,,16.1851,percent of total billed charges,4.832465543,,,,16.0262,percent of total billed charges,15.90460486,,,,16.0262,percent of total billed charges,10.96927991,,,,,,,,,,16.344,percent of total billed charges,10.62321539,,,,,,,,,,16.344,percent of total billed charges,999999999,,,,,,,,,,18.16,percent of total billed charges,15.21713601,,,,17.933,percent of total billed charges,17.30611675,,,,17.933,percent of total billed charges,15.290527,,,,18.16,percent of total billed charges,999999999,,,,18.16,percent of total billed charges,999999999,,,,15.89,percent of total billed charges,999999999,,,,15.89,percent of total billed charges,999999999,,,,,,,,,,,,,,,,12.0764,percent of total billed charges,999999999,,,,,,,,,,,,,,,,11.4635,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5.675,percent of total billed charges,5.389861844,,,,,,,,,,5.675,percent of total billed charges,5.30020516,,,,,,,,,,5.675,percent of total billed charges,5.285476117,,,,,,,,,,5.675,percent of total billed charges,5.207647545,,,,,,,,,,5.675,percent of total billed charges,5.341647972,,,,,,,,,,5.675,percent of total billed charges,999999999,,,,,,,,,,5.675,percent of total billed charges,4.583510119,,,,,,,,,,5.675,percent of total billed charges,7.228511535,,,,,,,,,,5.675,percent of total billed charges,999999999,,,,,,,,,,5.675,percent of total billed charges,4.942144886,,,,,,,,,,20.43,percent of total billed charges,,,,,
**RISPERIDONE(RISPERDAL) SOL: 1MG/ML:30,259,RC,5045-8030-03,NDC,,both,1,EA,344,344,73.23207695,344,344,percent of total billed charges,253.0930208,,,,344,percent of total billed charges,268.2735978,,,,344,percent of total billed charges,253.0930208,,,,344,percent of total billed charges,268.2735978,,,,344,percent of total billed charges,999999999,,,,344,percent of total billed charges,262.104357,,,,344,percent of total billed charges,253.0930208,,,,344,percent of total billed charges,268.2735978,,,,245.272,percent of total billed charges,122.3952165,,,,245.272,percent of total billed charges,73.23207695,,,,245.272,percent of total billed charges,122.3952165,,,,245.272,percent of total billed charges,73.23207695,,,,245.272,percent of total billed charges,122.3952165,,,,245.272,percent of total billed charges,73.23207695,,,,242.864,percent of total billed charges,241.0213248,,,,242.864,percent of total billed charges,166.2304974,,,,,,,,,,247.68,percent of total billed charges,160.9861716,,,,,,,,,,247.68,percent of total billed charges,999999999,,,,,,,,,,275.2,percent of total billed charges,230.6032946,,,,271.76,percent of total billed charges,262.2600952,,,,271.76,percent of total billed charges,231.7154753,,,,275.2,percent of total billed charges,999999999,,,,275.2,percent of total billed charges,999999999,,,,240.8,percent of total billed charges,999999999,,,,240.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,183.008,percent of total billed charges,999999999,,,,,,,,,,,,,,,,173.72,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,86,percent of total billed charges,81.67896363,,,,,,,,,,86,percent of total billed charges,80.32028965,,,,,,,,,,86,percent of total billed charges,80.097083,,,,,,,,,,86,percent of total billed charges,78.91765443,,,,,,,,,,86,percent of total billed charges,80.94832169,,,,,,,,,,86,percent of total billed charges,999999999,,,,,,,,,,86,percent of total billed charges,69.4593604,,,,,,,,,,86,percent of total billed charges,109.5422012,,,,,,,,,,86,percent of total billed charges,999999999,,,,,,,,,,86,percent of total billed charges,74.89417802,,,,,,,,,,309.6,percent of total billed charges,,,,,
SODIUM CL 5% (MURO-128) OPHTH SOLN,637,RC,1747-8062-12,NDC,,both,1,EA,79.48,79.48,16.92001592,79.48,79.48,percent of total billed charges,58.47625958,,,,79.48,percent of total billed charges,61.98367894,,,,79.48,percent of total billed charges,58.47625958,,,,79.48,percent of total billed charges,61.98367894,,,,79.48,percent of total billed charges,999999999,,,,79.48,percent of total billed charges,60.55829737,,,,79.48,percent of total billed charges,58.47625958,,,,79.48,percent of total billed charges,61.98367894,,,,56.66924,percent of total billed charges,28.27898781,,,,56.66924,percent of total billed charges,16.92001592,,,,56.66924,percent of total billed charges,28.27898781,,,,56.66924,percent of total billed charges,16.92001592,,,,56.66924,percent of total billed charges,28.27898781,,,,56.66924,percent of total billed charges,16.92001592,,,,56.11288,percent of total billed charges,55.68713633,,,,56.11288,percent of total billed charges,38.40697654,,,,,,,,,,57.2256,percent of total billed charges,37.19529336,,,,,,,,,,57.2256,percent of total billed charges,999999999,,,,,,,,,,63.584,percent of total billed charges,53.28008679,,,,62.7892,percent of total billed charges,60.59428013,,,,62.7892,percent of total billed charges,53.53705226,,,,63.584,percent of total billed charges,999999999,,,,63.584,percent of total billed charges,999999999,,,,55.636,percent of total billed charges,999999999,,,,55.636,percent of total billed charges,999999999,,,,,,,,,,,,,,,,42.28336,percent of total billed charges,999999999,,,,,,,,,,,,,,,,40.1374,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19.87,percent of total billed charges,18.87163962,,,,,,,,,,19.87,percent of total billed charges,18.55772274,,,,,,,,,,19.87,percent of total billed charges,18.50615162,,,,,,,,,,19.87,percent of total billed charges,18.23364876,,,,,,,,,,19.87,percent of total billed charges,18.70282735,,,,,,,,,,19.87,percent of total billed charges,999999999,,,,,,,,,,19.87,percent of total billed charges,16.04834292,,,,,,,,,,19.87,percent of total billed charges,25.30934347,,,,,,,,,,19.87,percent of total billed charges,999999999,,,,,,,,,,19.87,percent of total billed charges,17.30403857,,,,,,,,,,71.532,percent of total billed charges,,,,,
**TOLMETIN(TOLECTIN) CAP: 400MG,259,RC,0037-8520-01,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
PENTOXIFYLLINE (TRENTAL) 400MG TAB,259,RC,5107-9088-20,NDC,,both,1,EA,0.9,0.9,0.19159555,0.9,0.9,percent of total billed charges,0.662161973,,,,0.9,percent of total billed charges,0.701878599,,,,0.9,percent of total billed charges,0.662161973,,,,0.9,percent of total billed charges,0.701878599,,,,0.9,percent of total billed charges,999999999,,,,0.9,percent of total billed charges,0.685738143,,,,0.9,percent of total billed charges,0.662161973,,,,0.9,percent of total billed charges,0.701878599,,,,0.6417,percent of total billed charges,0.320220043,,,,0.6417,percent of total billed charges,0.19159555,,,,0.6417,percent of total billed charges,0.320220043,,,,0.6417,percent of total billed charges,0.19159555,,,,0.6417,percent of total billed charges,0.320220043,,,,0.6417,percent of total billed charges,0.19159555,,,,0.6354,percent of total billed charges,0.630579047,,,,0.6354,percent of total billed charges,0.434905371,,,,,,,,,,0.648,percent of total billed charges,0.421184751,,,,,,,,,,0.648,percent of total billed charges,999999999,,,,,,,,,,0.72,percent of total billed charges,0.603322573,,,,0.711,percent of total billed charges,0.686145598,,,,0.711,percent of total billed charges,0.606232348,,,,0.72,percent of total billed charges,999999999,,,,0.72,percent of total billed charges,999999999,,,,0.63,percent of total billed charges,999999999,,,,0.63,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.4788,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.4545,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.225,percent of total billed charges,0.213694963,,,,,,,,,,0.225,percent of total billed charges,0.210140293,,,,,,,,,,0.225,percent of total billed charges,0.209556322,,,,,,,,,,0.225,percent of total billed charges,0.206470608,,,,,,,,,,0.225,percent of total billed charges,0.2117834,,,,,,,,,,0.225,percent of total billed charges,999999999,,,,,,,,,,0.225,percent of total billed charges,0.181725071,,,,,,,,,,0.225,percent of total billed charges,0.286592968,,,,,,,,,,0.225,percent of total billed charges,999999999,,,,,,,,,,0.225,percent of total billed charges,0.19594407,,,,,,,,,,0.81,percent of total billed charges,,,,,
**DOLASETRON MESYLATE 12.5MG:ANZEMET,J1260,CDM,0008-8120-06,NDC,,both,1,EA,148,148,31.5068238,148,148,percent of total billed charges,108.8888578,,,,148,percent of total billed charges,115.4200363,,,,148,percent of total billed charges,108.8888578,,,,148,percent of total billed charges,115.4200363,,,,148,percent of total billed charges,999999999,,,,148,percent of total billed charges,112.765828,,,,148,percent of total billed charges,108.8888578,,,,148,percent of total billed charges,115.4200363,,,,105.524,percent of total billed charges,52.65840709,,,,105.524,percent of total billed charges,31.5068238,,,,105.524,percent of total billed charges,52.65840709,,,,105.524,percent of total billed charges,31.5068238,,,,105.524,percent of total billed charges,52.65840709,,,,105.524,percent of total billed charges,31.5068238,,,,104.488,percent of total billed charges,103.6952211,,,,104.488,percent of total billed charges,71.51777213,,,,,,,,,,106.56,percent of total billed charges,69.26149242,,,,,,,,,,106.56,percent of total billed charges,999999999,,,,,,,,,,118.4,percent of total billed charges,99.21304536,,,,116.92,percent of total billed charges,112.8328316,,,,116.92,percent of total billed charges,99.6915417,,,,118.4,percent of total billed charges,999999999,,,,118.4,percent of total billed charges,999999999,,,,103.6,percent of total billed charges,999999999,,,,103.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,78.736,percent of total billed charges,999999999,,,,,,,,,,,,,,,,74.74,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,37,percent of total billed charges,35.14094947,,,,,,,,,,37,percent of total billed charges,34.55640369,,,,,,,,,,37,percent of total billed charges,34.46037292,,,,,,,,,,37,percent of total billed charges,33.95294435,,,,,,,,,,37,percent of total billed charges,34.82660352,,,,,,,,,,37,percent of total billed charges,999999999,,,,,,,,,,37,percent of total billed charges,29.88367831,,,,,,,,,,37,percent of total billed charges,47.12862146,,,,,,,,,,37,percent of total billed charges,999999999,,,,,,,,,,37,percent of total billed charges,32.2219138,,,,,,,,,,133.2,percent of total billed charges,,,,,
IMIPRAMINE (TOFRANIL) 10MG TAB,259,RC,5348-9033-01,NDC,,both,1,EA,0.5,0.5,0.106441972,0.5,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,999999999,,,,0.5,percent of total billed charges,0.380965635,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.353,percent of total billed charges,0.350321693,,,,0.353,percent of total billed charges,0.241614095,,,,,,,,,,0.36,percent of total billed charges,0.233991528,,,,,,,,,,0.36,percent of total billed charges,999999999,,,,,,,,,,0.4,percent of total billed charges,0.335179207,,,,0.395,percent of total billed charges,0.381191999,,,,0.395,percent of total billed charges,0.336795749,,,,0.4,percent of total billed charges,999999999,,,,0.4,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.266,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.2525,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.125,percent of total billed charges,0.118719424,,,,,,,,,,0.125,percent of total billed charges,0.116744607,,,,,,,,,,0.125,percent of total billed charges,0.116420179,,,,,,,,,,0.125,percent of total billed charges,0.114705893,,,,,,,,,,0.125,percent of total billed charges,0.117657444,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.100958373,,,,,,,,,,0.125,percent of total billed charges,0.159218316,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.108857817,,,,,,,,,,0.45,percent of total billed charges,,,,,
**E-ACETAMINOPHEN TABS 500MG: 500 COUNT,259,RC,6210-7005-01,NDC,,both,1,EA,9,9,1.915955502,9,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,9,percent of total billed charges,999999999,,,,9,percent of total billed charges,6.857381434,,,,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.354,percent of total billed charges,6.305790475,,,,6.354,percent of total billed charges,4.34905371,,,,,,,,,,6.48,percent of total billed charges,4.211847512,,,,,,,,,,6.48,percent of total billed charges,999999999,,,,,,,,,,7.2,percent of total billed charges,6.033225731,,,,7.11,percent of total billed charges,6.861455978,,,,7.11,percent of total billed charges,6.062323481,,,,7.2,percent of total billed charges,999999999,,,,7.2,percent of total billed charges,999999999,,,,6.3,percent of total billed charges,999999999,,,,6.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.788,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.545,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.25,percent of total billed charges,2.13694963,,,,,,,,,,2.25,percent of total billed charges,2.101402927,,,,,,,,,,2.25,percent of total billed charges,2.095563218,,,,,,,,,,2.25,percent of total billed charges,2.064706075,,,,,,,,,,2.25,percent of total billed charges,2.117833998,,,,,,,,,,2.25,percent of total billed charges,999999999,,,,,,,,,,2.25,percent of total billed charges,1.817250708,,,,,,,,,,2.25,percent of total billed charges,2.865929684,,,,,,,,,,2.25,percent of total billed charges,999999999,,,,,,,,,,2.25,percent of total billed charges,1.959440704,,,,,,,,,,8.1,percent of total billed charges,,,,,
CARVedilol (COREG) 12.5 MG TAB,637,RC,0090-4630-61,NDC,,both,1,EA,0.5,0.5,0.106441972,0.5,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,999999999,,,,0.5,percent of total billed charges,0.380965635,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.353,percent of total billed charges,0.350321693,,,,0.353,percent of total billed charges,0.241614095,,,,,,,,,,0.36,percent of total billed charges,0.233991528,,,,,,,,,,0.36,percent of total billed charges,999999999,,,,,,,,,,0.4,percent of total billed charges,0.335179207,,,,0.395,percent of total billed charges,0.381191999,,,,0.395,percent of total billed charges,0.336795749,,,,0.4,percent of total billed charges,999999999,,,,0.4,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.266,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.2525,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.125,percent of total billed charges,0.118719424,,,,,,,,,,0.125,percent of total billed charges,0.116744607,,,,,,,,,,0.125,percent of total billed charges,0.116420179,,,,,,,,,,0.125,percent of total billed charges,0.114705893,,,,,,,,,,0.125,percent of total billed charges,0.117657444,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.100958373,,,,,,,,,,0.125,percent of total billed charges,0.159218316,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.108857817,,,,,,,,,,0.45,percent of total billed charges,,,,,
**DICLOFENAC/MISOPROSTOL 50MG/200MCG T,259,RC,0002-5141-60,NDC,,both,1,EA,13,13,2.76749128,13,13,percent of total billed charges,9.564561834,,,,13,percent of total billed charges,10.13824643,,,,13,percent of total billed charges,9.564561834,,,,13,percent of total billed charges,10.13824643,,,,13,percent of total billed charges,999999999,,,,13,percent of total billed charges,9.905106516,,,,13,percent of total billed charges,9.564561834,,,,13,percent of total billed charges,10.13824643,,,,9.269,percent of total billed charges,4.625400623,,,,9.269,percent of total billed charges,2.76749128,,,,9.269,percent of total billed charges,4.625400623,,,,9.269,percent of total billed charges,2.76749128,,,,9.269,percent of total billed charges,4.625400623,,,,9.269,percent of total billed charges,2.76749128,,,,9.178,percent of total billed charges,9.108364019,,,,9.178,percent of total billed charges,6.281966471,,,,,,,,,,9.36,percent of total billed charges,6.083779739,,,,,,,,,,9.36,percent of total billed charges,999999999,,,,,,,,,,10.4,percent of total billed charges,8.71465939,,,,10.27,percent of total billed charges,9.910991969,,,,10.27,percent of total billed charges,8.756689473,,,,10.4,percent of total billed charges,999999999,,,,10.4,percent of total billed charges,999999999,,,,9.1,percent of total billed charges,999999999,,,,9.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.916,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.565,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3.25,percent of total billed charges,3.086705021,,,,,,,,,,3.25,percent of total billed charges,3.035359783,,,,,,,,,,3.25,percent of total billed charges,3.026924648,,,,,,,,,,3.25,percent of total billed charges,2.98235322,,,,,,,,,,3.25,percent of total billed charges,3.059093552,,,,,,,,,,3.25,percent of total billed charges,999999999,,,,,,,,,,3.25,percent of total billed charges,2.624917689,,,,,,,,,,3.25,percent of total billed charges,4.13967621,,,,,,,,,,3.25,percent of total billed charges,999999999,,,,,,,,,,3.25,percent of total billed charges,2.830303239,,,,,,,,,,11.7,percent of total billed charges,,,,,
BRINZOLAMIDE (AZOPT) 1% OPTH SUSP10ML,637,RC,0007-8072-10,NDC,,both,1,EA,608.39,608.39,129.5164631,608.39,608.39,percent of total billed charges,447.6141365,,,,608.39,percent of total billed charges,474.4621343,,,,608.39,percent of total billed charges,447.6141365,,,,608.39,percent of total billed charges,474.4621343,,,,608.39,percent of total billed charges,999999999,,,,608.39,percent of total billed charges,463.5513656,,,,608.39,percent of total billed charges,447.6141365,,,,608.39,percent of total billed charges,474.4621343,,,,433.78207,percent of total billed charges,216.4651912,,,,433.78207,percent of total billed charges,129.5164631,,,,433.78207,percent of total billed charges,216.4651912,,,,433.78207,percent of total billed charges,129.5164631,,,,433.78207,percent of total billed charges,216.4651912,,,,433.78207,percent of total billed charges,129.5164631,,,,429.52334,percent of total billed charges,426.2644297,,,,429.52334,percent of total billed charges,293.9911985,,,,,,,,,,438.0408,percent of total billed charges,284.716212,,,,,,,,,,438.0408,percent of total billed charges,999999999,,,,,,,,,,486.712,percent of total billed charges,407.8393559,,,,480.6281,percent of total billed charges,463.8268003,,,,480.6281,percent of total billed charges,409.8063314,,,,486.712,percent of total billed charges,999999999,,,,486.712,percent of total billed charges,999999999,,,,425.873,percent of total billed charges,999999999,,,,425.873,percent of total billed charges,999999999,,,,,,,,,,,,,,,,323.66348,percent of total billed charges,999999999,,,,,,,,,,,,,,,,307.23695,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,152.0975,percent of total billed charges,144.4554206,,,,,,,,,,152.0975,percent of total billed charges,142.052503,,,,,,,,,,152.0975,percent of total billed charges,141.6577451,,,,,,,,,,152.0975,percent of total billed charges,139.5718366,,,,,,,,,,152.0975,percent of total billed charges,143.1632251,,,,,,,,,,152.0975,percent of total billed charges,999999999,,,,,,,,,,152.0975,percent of total billed charges,122.8441287,,,,,,,,,,152.0975,percent of total billed charges,193.7336622,,,,,,,,,,152.0975,percent of total billed charges,999999999,,,,,,,,,,152.0975,percent of total billed charges,132.4560144,,,,,,,,,,547.551,percent of total billed charges,,,,,
BISOPROLOL (ZIAC-10) 10MG/HCTZ6.25MG TAB,259,RC,5128-5004-01,NDC,,both,1,EA,1.62,1.62,0.34487199,1.62,1.62,percent of total billed charges,1.191891552,,,,1.62,percent of total billed charges,1.263381478,,,,1.62,percent of total billed charges,1.191891552,,,,1.62,percent of total billed charges,1.263381478,,,,1.62,percent of total billed charges,999999999,,,,1.62,percent of total billed charges,1.234328658,,,,1.62,percent of total billed charges,1.191891552,,,,1.62,percent of total billed charges,1.263381478,,,,1.15506,percent of total billed charges,0.576396078,,,,1.15506,percent of total billed charges,0.34487199,,,,1.15506,percent of total billed charges,0.576396078,,,,1.15506,percent of total billed charges,0.34487199,,,,1.15506,percent of total billed charges,0.576396078,,,,1.15506,percent of total billed charges,0.34487199,,,,1.14372,percent of total billed charges,1.135042285,,,,1.14372,percent of total billed charges,0.782829668,,,,,,,,,,1.1664,percent of total billed charges,0.758132552,,,,,,,,,,1.1664,percent of total billed charges,999999999,,,,,,,,,,1.296,percent of total billed charges,1.085980632,,,,1.2798,percent of total billed charges,1.235062076,,,,1.2798,percent of total billed charges,1.091218227,,,,1.296,percent of total billed charges,999999999,,,,1.296,percent of total billed charges,999999999,,,,1.134,percent of total billed charges,999999999,,,,1.134,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.86184,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.8181,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.405,percent of total billed charges,0.384650933,,,,,,,,,,0.405,percent of total billed charges,0.378252527,,,,,,,,,,0.405,percent of total billed charges,0.377201379,,,,,,,,,,0.405,percent of total billed charges,0.371647094,,,,,,,,,,0.405,percent of total billed charges,0.38121012,,,,,,,,,,0.405,percent of total billed charges,999999999,,,,,,,,,,0.405,percent of total billed charges,0.327105127,,,,,,,,,,0.405,percent of total billed charges,0.515867343,,,,,,,,,,0.405,percent of total billed charges,999999999,,,,,,,,,,0.405,percent of total billed charges,0.352699327,,,,,,,,,,1.458,percent of total billed charges,,,,,
pyRIDostigmine (MESTINON) 60MG TAB,637,RC,0011-5351-01,NDC,,both,1,EA,1.17,1.17,0.249074215,1.17,1.17,percent of total billed charges,0.860810565,,,,1.17,percent of total billed charges,0.912442179,,,,1.17,percent of total billed charges,0.860810565,,,,1.17,percent of total billed charges,0.912442179,,,,1.17,percent of total billed charges,999999999,,,,1.17,percent of total billed charges,0.891459586,,,,1.17,percent of total billed charges,0.860810565,,,,1.17,percent of total billed charges,0.912442179,,,,0.83421,percent of total billed charges,0.416286056,,,,0.83421,percent of total billed charges,0.249074215,,,,0.83421,percent of total billed charges,0.416286056,,,,0.83421,percent of total billed charges,0.249074215,,,,0.83421,percent of total billed charges,0.416286056,,,,0.83421,percent of total billed charges,0.249074215,,,,0.82602,percent of total billed charges,0.819752762,,,,0.82602,percent of total billed charges,0.565376982,,,,,,,,,,0.8424,percent of total billed charges,0.547540177,,,,,,,,,,0.8424,percent of total billed charges,999999999,,,,,,,,,,0.936,percent of total billed charges,0.784319345,,,,0.9243,percent of total billed charges,0.891989277,,,,0.9243,percent of total billed charges,0.788102053,,,,0.936,percent of total billed charges,999999999,,,,0.936,percent of total billed charges,999999999,,,,0.819,percent of total billed charges,999999999,,,,0.819,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.62244,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.59085,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.2925,percent of total billed charges,0.277803452,,,,,,,,,,0.2925,percent of total billed charges,0.27318238,,,,,,,,,,0.2925,percent of total billed charges,0.272423218,,,,,,,,,,0.2925,percent of total billed charges,0.26841179,,,,,,,,,,0.2925,percent of total billed charges,0.27531842,,,,,,,,,,0.2925,percent of total billed charges,999999999,,,,,,,,,,0.2925,percent of total billed charges,0.236242592,,,,,,,,,,0.2925,percent of total billed charges,0.372570859,,,,,,,,,,0.2925,percent of total billed charges,999999999,,,,,,,,,,0.2925,percent of total billed charges,0.254727292,,,,,,,,,,1.053,percent of total billed charges,,,,,
FEXOFENADINE (ALLEGRA) 180MG TAB,637,RC,5140-7003-01,NDC,,both,1,EA,1.8,1.8,0.3831911,1.8,1.8,percent of total billed charges,1.324323946,,,,1.8,percent of total billed charges,1.403757198,,,,1.8,percent of total billed charges,1.324323946,,,,1.8,percent of total billed charges,1.403757198,,,,1.8,percent of total billed charges,999999999,,,,1.8,percent of total billed charges,1.371476287,,,,1.8,percent of total billed charges,1.324323946,,,,1.8,percent of total billed charges,1.403757198,,,,1.2834,percent of total billed charges,0.640440086,,,,1.2834,percent of total billed charges,0.3831911,,,,1.2834,percent of total billed charges,0.640440086,,,,1.2834,percent of total billed charges,0.3831911,,,,1.2834,percent of total billed charges,0.640440086,,,,1.2834,percent of total billed charges,0.3831911,,,,1.2708,percent of total billed charges,1.261158095,,,,1.2708,percent of total billed charges,0.869810742,,,,,,,,,,1.296,percent of total billed charges,0.842369502,,,,,,,,,,1.296,percent of total billed charges,999999999,,,,,,,,,,1.44,percent of total billed charges,1.206645146,,,,1.422,percent of total billed charges,1.372291196,,,,1.422,percent of total billed charges,1.212464696,,,,1.44,percent of total billed charges,999999999,,,,1.44,percent of total billed charges,999999999,,,,1.26,percent of total billed charges,999999999,,,,1.26,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.9576,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.909,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.45,percent of total billed charges,0.427389926,,,,,,,,,,0.45,percent of total billed charges,0.420280585,,,,,,,,,,0.45,percent of total billed charges,0.419112644,,,,,,,,,,0.45,percent of total billed charges,0.412941215,,,,,,,,,,0.45,percent of total billed charges,0.4235668,,,,,,,,,,0.45,percent of total billed charges,999999999,,,,,,,,,,0.45,percent of total billed charges,0.363450142,,,,,,,,,,0.45,percent of total billed charges,0.573185937,,,,,,,,,,0.45,percent of total billed charges,999999999,,,,,,,,,,0.45,percent of total billed charges,0.391888141,,,,,,,,,,1.62,percent of total billed charges,,,,,
TOCOPHERYL (VITAMIN E) 400 IU CAP,637,RC,3720-5007-78,NDC,,both,1,EA,0.5,0.5,0.106441972,0.5,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,999999999,,,,0.5,percent of total billed charges,0.380965635,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.353,percent of total billed charges,0.350321693,,,,0.353,percent of total billed charges,0.241614095,,,,,,,,,,0.36,percent of total billed charges,0.233991528,,,,,,,,,,0.36,percent of total billed charges,999999999,,,,,,,,,,0.4,percent of total billed charges,0.335179207,,,,0.395,percent of total billed charges,0.381191999,,,,0.395,percent of total billed charges,0.336795749,,,,0.4,percent of total billed charges,999999999,,,,0.4,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.266,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.2525,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.125,percent of total billed charges,0.118719424,,,,,,,,,,0.125,percent of total billed charges,0.116744607,,,,,,,,,,0.125,percent of total billed charges,0.116420179,,,,,,,,,,0.125,percent of total billed charges,0.114705893,,,,,,,,,,0.125,percent of total billed charges,0.117657444,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.100958373,,,,,,,,,,0.125,percent of total billed charges,0.159218316,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.108857817,,,,,,,,,,0.45,percent of total billed charges,,,,,
DUOVISC INJ (VISCOELASTIC),250,RC,0806-5183-35,NDC,,both,1,EA,776,776,165.197941,776,776,percent of total billed charges,570.930768,,,,776,percent of total billed charges,605.1753254,,,,776,percent of total billed charges,570.930768,,,,776,percent of total billed charges,605.1753254,,,,776,percent of total billed charges,999999999,,,,776,percent of total billed charges,591.2586659,,,,776,percent of total billed charges,570.930768,,,,776,percent of total billed charges,605.1753254,,,,553.288,percent of total billed charges,276.1008372,,,,553.288,percent of total billed charges,165.197941,,,,553.288,percent of total billed charges,276.1008372,,,,553.288,percent of total billed charges,165.197941,,,,553.288,percent of total billed charges,276.1008372,,,,553.288,percent of total billed charges,165.197941,,,,547.856,percent of total billed charges,543.6992676,,,,547.856,percent of total billed charges,374.9850755,,,,,,,,,,558.72,percent of total billed charges,363.1548521,,,,,,,,,,558.72,percent of total billed charges,999999999,,,,,,,,,,620.8,percent of total billed charges,520.1981297,,,,613.04,percent of total billed charges,591.6099821,,,,613.04,percent of total billed charges,522.7070024,,,,620.8,percent of total billed charges,999999999,,,,620.8,percent of total billed charges,999999999,,,,543.2,percent of total billed charges,999999999,,,,543.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,412.832,percent of total billed charges,999999999,,,,,,,,,,,,,,,,391.88,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,194,percent of total billed charges,184.2525459,,,,,,,,,,194,percent of total billed charges,181.1876301,,,,,,,,,,194,percent of total billed charges,180.6841175,,,,,,,,,,194,percent of total billed charges,178.023546,,,,,,,,,,194,percent of total billed charges,182.6043536,,,,,,,,,,194,percent of total billed charges,999999999,,,,,,,,,,194,percent of total billed charges,156.6873944,,,,,,,,,,194,percent of total billed charges,247.1068261,,,,,,,,,,194,percent of total billed charges,999999999,,,,,,,,,,194,percent of total billed charges,168.9473318,,,,,,,,,,698.4,percent of total billed charges,,,,,
TRIAMCINOLONE (NASACORT AQ) NASAL SPRAY,259,RC,4116-7580-05,NDC,,both,1,EA,67.31,67.31,14.32921831,67.31,67.31,percent of total billed charges,49.52235824,,,,67.31,percent of total billed charges,52.49272055,,,,67.31,percent of total billed charges,49.52235824,,,,67.31,percent of total billed charges,52.49272055,,,,67.31,percent of total billed charges,999999999,,,,67.31,percent of total billed charges,51.28559381,,,,67.31,percent of total billed charges,49.52235824,,,,67.31,percent of total billed charges,52.49272055,,,,47.99203,percent of total billed charges,23.94890123,,,,47.99203,percent of total billed charges,14.32921831,,,,47.99203,percent of total billed charges,23.94890123,,,,47.99203,percent of total billed charges,14.32921831,,,,47.99203,percent of total billed charges,23.94890123,,,,47.99203,percent of total billed charges,14.32921831,,,,47.52086,percent of total billed charges,47.16030632,,,,47.52086,percent of total billed charges,32.52608947,,,,,,,,,,48.4632,percent of total billed charges,31.49993956,,,,,,,,,,48.4632,percent of total billed charges,999999999,,,,,,,,,,53.848,percent of total billed charges,45.12182489,,,,53.1749,percent of total billed charges,51.31606688,,,,53.1749,percent of total billed charges,45.33944373,,,,53.848,percent of total billed charges,999999999,,,,53.848,percent of total billed charges,999999999,,,,47.117,percent of total billed charges,999999999,,,,47.117,percent of total billed charges,999999999,,,,,,,,,,,,,,,,35.80892,percent of total billed charges,999999999,,,,,,,,,,,,,,,,33.99155,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16.8275,percent of total billed charges,15.98200884,,,,,,,,,,16.8275,percent of total billed charges,15.716159,,,,,,,,,,16.8275,percent of total billed charges,15.67248447,,,,,,,,,,16.8275,percent of total billed charges,15.44170732,,,,,,,,,,16.8275,percent of total billed charges,15.83904515,,,,,,,,,,16.8275,percent of total billed charges,999999999,,,,,,,,,,16.8275,percent of total billed charges,13.59101613,,,,,,,,,,16.8275,percent of total billed charges,21.43396967,,,,,,,,,,16.8275,percent of total billed charges,999999999,,,,,,,,,,16.8275,percent of total billed charges,14.65443931,,,,,,,,,,60.579,percent of total billed charges,,,,,
**DICLOFENAC (VOLTAREN) OPHTH SOLN 2.5,259,RC,0007-8047-61,NDC,,both,1,EA,128,128,27.24914491,128,128,percent of total billed charges,94.17414729,,,,128,percent of total billed charges,99.82273408,,,,128,percent of total billed charges,94.17414729,,,,128,percent of total billed charges,99.82273408,,,,128,percent of total billed charges,999999999,,,,128,percent of total billed charges,97.52720261,,,,128,percent of total billed charges,94.17414729,,,,128,percent of total billed charges,99.82273408,,,,91.264,percent of total billed charges,45.54240613,,,,91.264,percent of total billed charges,27.24914491,,,,91.264,percent of total billed charges,45.54240613,,,,91.264,percent of total billed charges,27.24914491,,,,91.264,percent of total billed charges,45.54240613,,,,91.264,percent of total billed charges,27.24914491,,,,90.368,percent of total billed charges,89.68235342,,,,90.368,percent of total billed charges,61.85320833,,,,,,,,,,92.16,percent of total billed charges,59.90183128,,,,,,,,,,92.16,percent of total billed charges,999999999,,,,,,,,,,102.4,percent of total billed charges,85.80587707,,,,101.12,percent of total billed charges,97.58515169,,,,101.12,percent of total billed charges,86.21971174,,,,102.4,percent of total billed charges,999999999,,,,102.4,percent of total billed charges,999999999,,,,89.6,percent of total billed charges,999999999,,,,89.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,68.096,percent of total billed charges,999999999,,,,,,,,,,,,,,,,64.64,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,32,percent of total billed charges,30.39217251,,,,,,,,,,32,percent of total billed charges,29.8866194,,,,,,,,,,32,percent of total billed charges,29.80356577,,,,,,,,,,32,percent of total billed charges,29.36470862,,,,,,,,,,32,percent of total billed charges,30.12030575,,,,,,,,,,32,percent of total billed charges,999999999,,,,,,,,,,32,percent of total billed charges,25.8453434,,,,,,,,,,32,percent of total billed charges,40.75988883,,,,,,,,,,32,percent of total billed charges,999999999,,,,,,,,,,32,percent of total billed charges,27.86760112,,,,,,,,,,115.2,percent of total billed charges,,,,,
**METIPRANOLOL (OPTIPRANOLOL) 0.3% OPHTH,259,RC,6131-4044-10,NDC,,both,1,EA,150,150,31.93259169,150,150,percent of total billed charges,110.3603289,,,,150,percent of total billed charges,116.9797665,,,,150,percent of total billed charges,110.3603289,,,,150,percent of total billed charges,116.9797665,,,,150,percent of total billed charges,999999999,,,,150,percent of total billed charges,114.2896906,,,,150,percent of total billed charges,110.3603289,,,,150,percent of total billed charges,116.9797665,,,,106.95,percent of total billed charges,53.37000719,,,,106.95,percent of total billed charges,31.93259169,,,,106.95,percent of total billed charges,53.37000719,,,,106.95,percent of total billed charges,31.93259169,,,,106.95,percent of total billed charges,53.37000719,,,,106.95,percent of total billed charges,31.93259169,,,,105.9,percent of total billed charges,105.0965079,,,,105.9,percent of total billed charges,72.48422851,,,,,,,,,,108,percent of total billed charges,70.19745853,,,,,,,,,,108,percent of total billed charges,999999999,,,,,,,,,,120,percent of total billed charges,100.5537622,,,,118.5,percent of total billed charges,114.3575996,,,,118.5,percent of total billed charges,101.0387247,,,,120,percent of total billed charges,999999999,,,,120,percent of total billed charges,999999999,,,,105,percent of total billed charges,999999999,,,,105,percent of total billed charges,999999999,,,,,,,,,,,,,,,,79.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,75.75,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,37.5,percent of total billed charges,35.61582716,,,,,,,,,,37.5,percent of total billed charges,35.02338211,,,,,,,,,,37.5,percent of total billed charges,34.92605363,,,,,,,,,,37.5,percent of total billed charges,34.41176792,,,,,,,,,,37.5,percent of total billed charges,35.2972333,,,,,,,,,,37.5,percent of total billed charges,999999999,,,,,,,,,,37.5,percent of total billed charges,30.2875118,,,,,,,,,,37.5,percent of total billed charges,47.76549473,,,,,,,,,,37.5,percent of total billed charges,999999999,,,,,,,,,,37.5,percent of total billed charges,32.65734506,,,,,,,,,,135,percent of total billed charges,,,,,
**CLARITIN (LORATADINE)1MG/ML SYRUP:60 M,259,RC,4999-9025-04,NDC,,both,1,EA,18,18,3.831911003,18,18,percent of total billed charges,13.24323946,,,,18,percent of total billed charges,14.03757198,,,,18,percent of total billed charges,13.24323946,,,,18,percent of total billed charges,14.03757198,,,,18,percent of total billed charges,999999999,,,,18,percent of total billed charges,13.71476287,,,,18,percent of total billed charges,13.24323946,,,,18,percent of total billed charges,14.03757198,,,,12.834,percent of total billed charges,6.404400863,,,,12.834,percent of total billed charges,3.831911003,,,,12.834,percent of total billed charges,6.404400863,,,,12.834,percent of total billed charges,3.831911003,,,,12.834,percent of total billed charges,6.404400863,,,,12.834,percent of total billed charges,3.831911003,,,,12.708,percent of total billed charges,12.61158095,,,,12.708,percent of total billed charges,8.698107421,,,,,,,,,,12.96,percent of total billed charges,8.423695024,,,,,,,,,,12.96,percent of total billed charges,999999999,,,,,,,,,,14.4,percent of total billed charges,12.06645146,,,,14.22,percent of total billed charges,13.72291196,,,,14.22,percent of total billed charges,12.12464696,,,,14.4,percent of total billed charges,999999999,,,,14.4,percent of total billed charges,999999999,,,,12.6,percent of total billed charges,999999999,,,,12.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.576,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.09,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4.5,percent of total billed charges,4.27389926,,,,,,,,,,4.5,percent of total billed charges,4.202805854,,,,,,,,,,4.5,percent of total billed charges,4.191126436,,,,,,,,,,4.5,percent of total billed charges,4.12941215,,,,,,,,,,4.5,percent of total billed charges,4.235667996,,,,,,,,,,4.5,percent of total billed charges,999999999,,,,,,,,,,4.5,percent of total billed charges,3.634501416,,,,,,,,,,4.5,percent of total billed charges,5.731859367,,,,,,,,,,4.5,percent of total billed charges,999999999,,,,,,,,,,4.5,percent of total billed charges,3.918881408,,,,,,,,,,16.2,percent of total billed charges,,,,,
**RANITIDINE (ZANTAC SY) 15MG/ML: 60 ML,259,RC,0017-3038-54,NDC,,both,1,EA,124,124,26.39760913,124,124,percent of total billed charges,91.23120519,,,,124,percent of total billed charges,96.70327364,,,,124,percent of total billed charges,91.23120519,,,,124,percent of total billed charges,96.70327364,,,,124,percent of total billed charges,999999999,,,,124,percent of total billed charges,94.47947753,,,,124,percent of total billed charges,91.23120519,,,,124,percent of total billed charges,96.70327364,,,,88.412,percent of total billed charges,44.11920594,,,,88.412,percent of total billed charges,26.39760913,,,,88.412,percent of total billed charges,44.11920594,,,,88.412,percent of total billed charges,26.39760913,,,,88.412,percent of total billed charges,44.11920594,,,,88.412,percent of total billed charges,26.39760913,,,,87.544,percent of total billed charges,86.87977987,,,,87.544,percent of total billed charges,59.92029557,,,,,,,,,,89.28,percent of total billed charges,58.02989905,,,,,,,,,,89.28,percent of total billed charges,999999999,,,,,,,,,,99.2,percent of total billed charges,83.12444341,,,,97.96,percent of total billed charges,94.5356157,,,,97.96,percent of total billed charges,83.52534574,,,,99.2,percent of total billed charges,999999999,,,,99.2,percent of total billed charges,999999999,,,,86.8,percent of total billed charges,999999999,,,,86.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,65.968,percent of total billed charges,999999999,,,,,,,,,,,,,,,,62.62,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,31,percent of total billed charges,29.44241712,,,,,,,,,,31,percent of total billed charges,28.95266255,,,,,,,,,,31,percent of total billed charges,28.87220434,,,,,,,,,,31,percent of total billed charges,28.44706148,,,,,,,,,,31,percent of total billed charges,29.17904619,,,,,,,,,,31,percent of total billed charges,999999999,,,,,,,,,,31,percent of total billed charges,25.03767642,,,,,,,,,,31,percent of total billed charges,39.48614231,,,,,,,,,,31,percent of total billed charges,999999999,,,,,,,,,,31,percent of total billed charges,26.99673859,,,,,,,,,,111.6,percent of total billed charges,,,,,
VENLAFAXINE (EFFEXOR) 25 MG TAB,637,RC,0037-8488-01,NDC,,both,1,EA,4.1,4.1,0.872824173,4.1,4.1,percent of total billed charges,3.016515655,,,,4.1,percent of total billed charges,3.197446951,,,,4.1,percent of total billed charges,3.016515655,,,,4.1,percent of total billed charges,3.197446951,,,,4.1,percent of total billed charges,999999999,,,,4.1,percent of total billed charges,3.123918209,,,,4.1,percent of total billed charges,3.016515655,,,,4.1,percent of total billed charges,3.197446951,,,,2.9233,percent of total billed charges,1.458780197,,,,2.9233,percent of total billed charges,0.872824173,,,,2.9233,percent of total billed charges,1.458780197,,,,2.9233,percent of total billed charges,0.872824173,,,,2.9233,percent of total billed charges,1.458780197,,,,2.9233,percent of total billed charges,0.872824173,,,,2.8946,percent of total billed charges,2.872637883,,,,2.8946,percent of total billed charges,1.981235579,,,,,,,,,,2.952,percent of total billed charges,1.918730533,,,,,,,,,,2.952,percent of total billed charges,999999999,,,,,,,,,,3.28,percent of total billed charges,2.7484695,,,,3.239,percent of total billed charges,3.12577439,,,,3.239,percent of total billed charges,2.761725142,,,,3.28,percent of total billed charges,999999999,,,,3.28,percent of total billed charges,999999999,,,,2.87,percent of total billed charges,999999999,,,,2.87,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2.1812,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2.0705,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.025,percent of total billed charges,0.973499276,,,,,,,,,,1.025,percent of total billed charges,0.957305778,,,,,,,,,,1.025,percent of total billed charges,0.954645466,,,,,,,,,,1.025,percent of total billed charges,0.940588323,,,,,,,,,,1.025,percent of total billed charges,0.964791043,,,,,,,,,,1.025,percent of total billed charges,999999999,,,,,,,,,,1.025,percent of total billed charges,0.827858656,,,,,,,,,,1.025,percent of total billed charges,1.305590189,,,,,,,,,,1.025,percent of total billed charges,999999999,,,,,,,,,,1.025,percent of total billed charges,0.892634098,,,,,,,,,,3.69,percent of total billed charges,,,,,
methIMAzole (TAPAZOLE) 5 MG TABLET,250,RC,0018-5020-01,NDC,,both,1,EA,2.37,2.37,0.504534949,2.37,2.37,percent of total billed charges,1.743693196,,,,2.37,percent of total billed charges,1.848280311,,,,2.37,percent of total billed charges,1.743693196,,,,2.37,percent of total billed charges,1.848280311,,,,2.37,percent of total billed charges,999999999,,,,2.37,percent of total billed charges,1.805777111,,,,2.37,percent of total billed charges,1.743693196,,,,2.37,percent of total billed charges,1.848280311,,,,1.68981,percent of total billed charges,0.843246114,,,,1.68981,percent of total billed charges,0.504534949,,,,1.68981,percent of total billed charges,0.843246114,,,,1.68981,percent of total billed charges,0.504534949,,,,1.68981,percent of total billed charges,0.843246114,,,,1.68981,percent of total billed charges,0.504534949,,,,1.67322,percent of total billed charges,1.660524825,,,,1.67322,percent of total billed charges,1.14525081,,,,,,,,,,1.7064,percent of total billed charges,1.109119845,,,,,,,,,,1.7064,percent of total billed charges,999999999,,,,,,,,,,1.896,percent of total billed charges,1.588749443,,,,1.8723,percent of total billed charges,1.806850074,,,,1.8723,percent of total billed charges,1.59641185,,,,1.896,percent of total billed charges,999999999,,,,1.896,percent of total billed charges,999999999,,,,1.659,percent of total billed charges,999999999,,,,1.659,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.26084,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.19685,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.5925,percent of total billed charges,0.562730069,,,,,,,,,,0.5925,percent of total billed charges,0.553369437,,,,,,,,,,0.5925,percent of total billed charges,0.551831647,,,,,,,,,,0.5925,percent of total billed charges,0.543705933,,,,,,,,,,0.5925,percent of total billed charges,0.557696286,,,,,,,,,,0.5925,percent of total billed charges,999999999,,,,,,,,,,0.5925,percent of total billed charges,0.478542686,,,,,,,,,,0.5925,percent of total billed charges,0.754694817,,,,,,,,,,0.5925,percent of total billed charges,999999999,,,,,,,,,,0.5925,percent of total billed charges,0.515986052,,,,,,,,,,2.133,percent of total billed charges,,,,,
ACYCLOVIR (ZOVIRAX) 200 MG CAP,250,RC,6808-4010-01,NDC,,both,1,EA,1.2,1.2,0.255460734,1.2,1.2,percent of total billed charges,0.882882631,,,,1.2,percent of total billed charges,0.935838132,,,,1.2,percent of total billed charges,0.882882631,,,,1.2,percent of total billed charges,0.935838132,,,,1.2,percent of total billed charges,999999999,,,,1.2,percent of total billed charges,0.914317525,,,,1.2,percent of total billed charges,0.882882631,,,,1.2,percent of total billed charges,0.935838132,,,,0.8556,percent of total billed charges,0.426960058,,,,0.8556,percent of total billed charges,0.255460734,,,,0.8556,percent of total billed charges,0.426960058,,,,0.8556,percent of total billed charges,0.255460734,,,,0.8556,percent of total billed charges,0.426960058,,,,0.8556,percent of total billed charges,0.255460734,,,,0.8472,percent of total billed charges,0.840772063,,,,0.8472,percent of total billed charges,0.579873828,,,,,,,,,,0.864,percent of total billed charges,0.561579668,,,,,,,,,,0.864,percent of total billed charges,999999999,,,,,,,,,,0.96,percent of total billed charges,0.804430098,,,,0.948,percent of total billed charges,0.914860797,,,,0.948,percent of total billed charges,0.808309798,,,,0.96,percent of total billed charges,999999999,,,,0.96,percent of total billed charges,999999999,,,,0.84,percent of total billed charges,999999999,,,,0.84,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.6384,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.606,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.3,percent of total billed charges,0.284926617,,,,,,,,,,0.3,percent of total billed charges,0.280187057,,,,,,,,,,0.3,percent of total billed charges,0.279408429,,,,,,,,,,0.3,percent of total billed charges,0.275294143,,,,,,,,,,0.3,percent of total billed charges,0.282377866,,,,,,,,,,0.3,percent of total billed charges,999999999,,,,,,,,,,0.3,percent of total billed charges,0.242300094,,,,,,,,,,0.3,percent of total billed charges,0.382123958,,,,,,,,,,0.3,percent of total billed charges,999999999,,,,,,,,,,0.3,percent of total billed charges,0.261258761,,,,,,,,,,1.08,percent of total billed charges,,,,,
**LIDOCAINE 5% OINT(XYLOCAINE):35GM,250,RC,5295-9070-35,NDC,,both,1,EA,47,47,10.0055454,47,47,percent of total billed charges,34.57956971,,,,47,percent of total billed charges,36.65366017,,,,47,percent of total billed charges,34.57956971,,,,47,percent of total billed charges,36.65366017,,,,47,percent of total billed charges,999999999,,,,47,percent of total billed charges,35.81076971,,,,47,percent of total billed charges,34.57956971,,,,47,percent of total billed charges,36.65366017,,,,33.511,percent of total billed charges,16.72260225,,,,33.511,percent of total billed charges,10.0055454,,,,33.511,percent of total billed charges,16.72260225,,,,33.511,percent of total billed charges,10.0055454,,,,33.511,percent of total billed charges,16.72260225,,,,33.511,percent of total billed charges,10.0055454,,,,33.182,percent of total billed charges,32.93023915,,,,33.182,percent of total billed charges,22.71172493,,,,,,,,,,33.84,percent of total billed charges,21.99520367,,,,,,,,,,33.84,percent of total billed charges,999999999,,,,,,,,,,37.6,percent of total billed charges,31.50684549,,,,37.13,percent of total billed charges,35.83204789,,,,37.13,percent of total billed charges,31.6588004,,,,37.6,percent of total billed charges,999999999,,,,37.6,percent of total billed charges,999999999,,,,32.9,percent of total billed charges,999999999,,,,32.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,25.004,percent of total billed charges,999999999,,,,,,,,,,,,,,,,23.735,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11.75,percent of total billed charges,11.15962584,,,,,,,,,,11.75,percent of total billed charges,10.97399306,,,,,,,,,,11.75,percent of total billed charges,10.94349681,,,,,,,,,,11.75,percent of total billed charges,10.78235395,,,,,,,,,,11.75,percent of total billed charges,11.05979977,,,,,,,,,,11.75,percent of total billed charges,999999999,,,,,,,,,,11.75,percent of total billed charges,9.490087031,,,,,,,,,,11.75,percent of total billed charges,14.96652168,,,,,,,,,,11.75,percent of total billed charges,999999999,,,,,,,,,,11.75,percent of total billed charges,10.23263479,,,,,,,,,,42.3,percent of total billed charges,,,,,
**ROFECOXIB (VIOXX) 25 MG TAB,250,RC,0000-6011-28,NDC,,both,1,EA,11,11,2.341723391,11,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,11,percent of total billed charges,999999999,,,,11,percent of total billed charges,8.381243975,,,,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.766,percent of total billed charges,7.707077247,,,,7.766,percent of total billed charges,5.31551009,,,,,,,,,,7.92,percent of total billed charges,5.147813626,,,,,,,,,,7.92,percent of total billed charges,999999999,,,,,,,,,,8.8,percent of total billed charges,7.373942561,,,,8.69,percent of total billed charges,8.386223973,,,,8.69,percent of total billed charges,7.409506477,,,,8.8,percent of total billed charges,999999999,,,,8.8,percent of total billed charges,999999999,,,,7.7,percent of total billed charges,999999999,,,,7.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.852,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.555,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.75,percent of total billed charges,2.611827325,,,,,,,,,,2.75,percent of total billed charges,2.568381355,,,,,,,,,,2.75,percent of total billed charges,2.561243933,,,,,,,,,,2.75,percent of total billed charges,2.523529647,,,,,,,,,,2.75,percent of total billed charges,2.588463775,,,,,,,,,,2.75,percent of total billed charges,999999999,,,,,,,,,,2.75,percent of total billed charges,2.221084199,,,,,,,,,,2.75,percent of total billed charges,3.502802947,,,,,,,,,,2.75,percent of total billed charges,999999999,,,,,,,,,,2.75,percent of total billed charges,2.394871971,,,,,,,,,,9.9,percent of total billed charges,,,,,
**CHLORAL HYDRATE SYRUP 500MG/5ML: 5,259,RC,0012-1053-05,NDC,,both,1,EA,7,7,1.490187612,7,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,7,percent of total billed charges,999999999,,,,7,percent of total billed charges,5.333518893,,,,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.942,percent of total billed charges,4.904503703,,,,4.942,percent of total billed charges,3.38259733,,,,,,,,,,5.04,percent of total billed charges,3.275881398,,,,,,,,,,5.04,percent of total billed charges,999999999,,,,,,,,,,5.6,percent of total billed charges,4.692508902,,,,5.53,percent of total billed charges,5.336687983,,,,5.53,percent of total billed charges,4.715140486,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,4.9,percent of total billed charges,999999999,,,,4.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.724,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.535,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.75,percent of total billed charges,1.662071934,,,,,,,,,,1.75,percent of total billed charges,1.634424499,,,,,,,,,,1.75,percent of total billed charges,1.629882503,,,,,,,,,,1.75,percent of total billed charges,1.605882503,,,,,,,,,,1.75,percent of total billed charges,1.647204221,,,,,,,,,,1.75,percent of total billed charges,999999999,,,,,,,,,,1.75,percent of total billed charges,1.413417217,,,,,,,,,,1.75,percent of total billed charges,2.229056421,,,,,,,,,,1.75,percent of total billed charges,999999999,,,,,,,,,,1.75,percent of total billed charges,1.524009436,,,,,,,,,,6.3,percent of total billed charges,,,,,
**FAMOTIDINE (PEPCID) 20MG: TAB,259,RC,6467-9093-02,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
diazePAM (DIASTAT RECTAL) GEL 10MG,250,RC,4338-6028-03,NDC,,both,1,EA,694.14,694.14,147.7712613,694.14,694.14,percent of total billed charges,510.7034578,,,,694.14,percent of total billed charges,541.3355675,,,,694.14,percent of total billed charges,510.7034578,,,,694.14,percent of total billed charges,541.3355675,,,,694.14,percent of total billed charges,999999999,,,,694.14,percent of total billed charges,528.8869721,,,,694.14,percent of total billed charges,510.7034578,,,,694.14,percent of total billed charges,541.3355675,,,,494.92182,percent of total billed charges,246.9750453,,,,494.92182,percent of total billed charges,147.7712613,,,,494.92182,percent of total billed charges,246.9750453,,,,494.92182,percent of total billed charges,147.7712613,,,,494.92182,percent of total billed charges,246.9750453,,,,494.92182,percent of total billed charges,147.7712613,,,,490.06284,percent of total billed charges,486.3446,,,,490.06284,percent of total billed charges,335.4280158,,,,,,,,,,499.7808,percent of total billed charges,324.8457591,,,,,,,,,,499.7808,percent of total billed charges,999999999,,,,,,,,,,555.312,percent of total billed charges,465.3225899,,,,548.3706,percent of total billed charges,529.2012281,,,,548.3706,percent of total billed charges,467.5668024,,,,555.312,percent of total billed charges,999999999,,,,555.312,percent of total billed charges,999999999,,,,485.898,percent of total billed charges,999999999,,,,485.898,percent of total billed charges,999999999,,,,,,,,,,,,,,,,369.28248,percent of total billed charges,999999999,,,,,,,,,,,,,,,,350.5407,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,173.535,percent of total billed charges,164.8158018,,,,,,,,,,173.535,percent of total billed charges,162.0742031,,,,,,,,,,173.535,percent of total billed charges,161.6238058,,,,,,,,,,173.535,percent of total billed charges,159.2438972,,,,,,,,,,173.535,percent of total billed charges,163.3414768,,,,,,,,,,173.535,percent of total billed charges,999999999,,,,,,,,,,173.535,percent of total billed charges,140.1584896,,,,,,,,,,173.535,percent of total billed charges,221.0396034,,,,,,,,,,173.535,percent of total billed charges,999999999,,,,,,,,,,173.535,percent of total billed charges,151.12513,,,,,,,,,,624.726,percent of total billed charges,,,,,
CONJ. ESTROGEN (PREMARIN) 0.3MG TAB,259,RC,0004-6110-81,NDC,,both,1,EA,20.72,20.72,4.410955333,20.72,20.72,percent of total billed charges,15.24444009,,,,20.72,percent of total billed charges,16.15880508,,,,20.72,percent of total billed charges,15.24444009,,,,20.72,percent of total billed charges,16.15880508,,,,20.72,percent of total billed charges,999999999,,,,20.72,percent of total billed charges,15.78721592,,,,20.72,percent of total billed charges,15.24444009,,,,20.72,percent of total billed charges,16.15880508,,,,14.77336,percent of total billed charges,7.372176993,,,,14.77336,percent of total billed charges,4.410955333,,,,14.77336,percent of total billed charges,7.372176993,,,,14.77336,percent of total billed charges,4.410955333,,,,14.77336,percent of total billed charges,7.372176993,,,,14.77336,percent of total billed charges,4.410955333,,,,14.62832,percent of total billed charges,14.51733096,,,,14.62832,percent of total billed charges,10.0124881,,,,,,,,,,14.9184,percent of total billed charges,9.696608939,,,,,,,,,,14.9184,percent of total billed charges,999999999,,,,,,,,,,16.576,percent of total billed charges,13.88982635,,,,16.3688,percent of total billed charges,15.79659643,,,,16.3688,percent of total billed charges,13.95681584,,,,16.576,percent of total billed charges,999999999,,,,16.576,percent of total billed charges,999999999,,,,14.504,percent of total billed charges,999999999,,,,14.504,percent of total billed charges,999999999,,,,,,,,,,,,,,,,11.02304,percent of total billed charges,999999999,,,,,,,,,,,,,,,,10.4636,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5.18,percent of total billed charges,4.919732926,,,,,,,,,,5.18,percent of total billed charges,4.837896516,,,,,,,,,,5.18,percent of total billed charges,4.824452209,,,,,,,,,,5.18,percent of total billed charges,4.753412209,,,,,,,,,,5.18,percent of total billed charges,4.875724493,,,,,,,,,,5.18,percent of total billed charges,999999999,,,,,,,,,,5.18,percent of total billed charges,4.183714964,,,,,,,,,,5.18,percent of total billed charges,6.598007005,,,,,,,,,,5.18,percent of total billed charges,999999999,,,,,,,,,,5.18,percent of total billed charges,4.511067932,,,,,,,,,,18.648,percent of total billed charges,,,,,
APRACLONDINE (IOPIDINE) 1% 0.1ML UD,250,RC,0006-5066-10,NDC,,both,1,EA,135.35,135.35,28.8138419,135.35,135.35,percent of total billed charges,99.58180341,,,,135.35,percent of total billed charges,105.5547426,,,,135.35,percent of total billed charges,99.58180341,,,,135.35,percent of total billed charges,105.5547426,,,,135.35,percent of total billed charges,999999999,,,,135.35,percent of total billed charges,103.1273975,,,,135.35,percent of total billed charges,99.58180341,,,,135.35,percent of total billed charges,105.5547426,,,,96.50455,percent of total billed charges,48.15753649,,,,96.50455,percent of total billed charges,28.8138419,,,,96.50455,percent of total billed charges,48.15753649,,,,96.50455,percent of total billed charges,28.8138419,,,,96.50455,percent of total billed charges,48.15753649,,,,96.50455,percent of total billed charges,28.8138419,,,,95.5571,percent of total billed charges,94.8320823,,,,95.5571,percent of total billed charges,65.40493552,,,,,,,,,,97.452,percent of total billed charges,63.34150675,,,,,,,,,,97.452,percent of total billed charges,999999999,,,,,,,,,,108.28,percent of total billed charges,90.73301142,,,,106.9265,percent of total billed charges,103.1886741,,,,106.9265,percent of total billed charges,91.17060925,,,,108.28,percent of total billed charges,999999999,,,,108.28,percent of total billed charges,999999999,,,,94.745,percent of total billed charges,999999999,,,,94.745,percent of total billed charges,999999999,,,,,,,,,,,,,,,,72.0062,percent of total billed charges,999999999,,,,,,,,,,,,,,,,68.35175,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,33.8375,percent of total billed charges,32.13734804,,,,,,,,,,33.8375,percent of total billed charges,31.60276513,,,,,,,,,,33.8375,percent of total billed charges,31.5149424,,,,,,,,,,33.8375,percent of total billed charges,31.05088525,,,,,,,,,,33.8375,percent of total billed charges,31.84987018,,,,,,,,,,33.8375,percent of total billed charges,999999999,,,,,,,,,,33.8375,percent of total billed charges,27.32943148,,,,,,,,,,33.8375,percent of total billed charges,43.10039808,,,,,,,,,,33.8375,percent of total billed charges,999999999,,,,,,,,,,33.8375,percent of total billed charges,29.46781103,,,,,,,,,,121.815,percent of total billed charges,,,,,
**AQUAPHOR OINTMENT:  14OZ,259,RC,1731-7134-05,NDC,,both,1,EA,34,34,7.238054117,34,34,percent of total billed charges,25.01500787,,,,34,percent of total billed charges,26.51541374,,,,34,percent of total billed charges,25.01500787,,,,34,percent of total billed charges,26.51541374,,,,34,percent of total billed charges,999999999,,,,34,percent of total billed charges,25.90566319,,,,34,percent of total billed charges,25.01500787,,,,34,percent of total billed charges,26.51541374,,,,24.242,percent of total billed charges,12.09720163,,,,24.242,percent of total billed charges,7.238054117,,,,24.242,percent of total billed charges,12.09720163,,,,24.242,percent of total billed charges,7.238054117,,,,24.242,percent of total billed charges,12.09720163,,,,24.242,percent of total billed charges,7.238054117,,,,24.004,percent of total billed charges,23.82187513,,,,24.004,percent of total billed charges,16.42975846,,,,,,,,,,24.48,percent of total billed charges,15.91142393,,,,,,,,,,24.48,percent of total billed charges,999999999,,,,,,,,,,27.2,percent of total billed charges,22.7921861,,,,26.86,percent of total billed charges,25.92105592,,,,26.86,percent of total billed charges,22.90211093,,,,27.2,percent of total billed charges,999999999,,,,27.2,percent of total billed charges,999999999,,,,23.8,percent of total billed charges,999999999,,,,23.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,18.088,percent of total billed charges,999999999,,,,,,,,,,,,,,,,17.17,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8.5,percent of total billed charges,8.072920824,,,,,,,,,,8.5,percent of total billed charges,7.938633279,,,,,,,,,,8.5,percent of total billed charges,7.916572157,,,,,,,,,,8.5,percent of total billed charges,7.800000728,,,,,,,,,,8.5,percent of total billed charges,8.000706214,,,,,,,,,,8.5,percent of total billed charges,999999999,,,,,,,,,,8.5,percent of total billed charges,6.865169342,,,,,,,,,,8.5,percent of total billed charges,10.82684547,,,,,,,,,,8.5,percent of total billed charges,999999999,,,,,,,,,,8.5,percent of total billed charges,7.402331548,,,,,,,,,,30.6,percent of total billed charges,,,,,
**TROPICAMIDE 0.5% OPTH SOLN :5ML,250,RC,6131-4035-01,NDC,,both,1,EA,85,85,18.09513529,85,85,percent of total billed charges,62.53751969,,,,85,percent of total billed charges,66.28853435,,,,85,percent of total billed charges,62.53751969,,,,85,percent of total billed charges,66.28853435,,,,85,percent of total billed charges,999999999,,,,85,percent of total billed charges,64.76415799,,,,85,percent of total billed charges,62.53751969,,,,85,percent of total billed charges,66.28853435,,,,60.605,percent of total billed charges,30.24300407,,,,60.605,percent of total billed charges,18.09513529,,,,60.605,percent of total billed charges,30.24300407,,,,60.605,percent of total billed charges,18.09513529,,,,60.605,percent of total billed charges,30.24300407,,,,60.605,percent of total billed charges,18.09513529,,,,60.01,percent of total billed charges,59.55468782,,,,60.01,percent of total billed charges,41.07439615,,,,,,,,,,61.2,percent of total billed charges,39.77855983,,,,,,,,,,61.2,percent of total billed charges,999999999,,,,,,,,,,68,percent of total billed charges,56.98046524,,,,67.15,percent of total billed charges,64.80263979,,,,67.15,percent of total billed charges,57.25527733,,,,68,percent of total billed charges,999999999,,,,68,percent of total billed charges,999999999,,,,59.5,percent of total billed charges,999999999,,,,59.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,45.22,percent of total billed charges,999999999,,,,,,,,,,,,,,,,42.925,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21.25,percent of total billed charges,20.18230206,,,,,,,,,,21.25,percent of total billed charges,19.8465832,,,,,,,,,,21.25,percent of total billed charges,19.79143039,,,,,,,,,,21.25,percent of total billed charges,19.50000182,,,,,,,,,,21.25,percent of total billed charges,20.00176553,,,,,,,,,,21.25,percent of total billed charges,999999999,,,,,,,,,,21.25,percent of total billed charges,17.16292335,,,,,,,,,,21.25,percent of total billed charges,27.06711368,,,,,,,,,,21.25,percent of total billed charges,999999999,,,,,,,,,,21.25,percent of total billed charges,18.50582887,,,,,,,,,,76.5,percent of total billed charges,,,,,
GENTAMICIN (GARAMYCIN) CREAM 15G,259,RC,4580-2005-35,NDC,,both,1,EA,91.94,91.94,19.57254987,91.94,91.94,percent of total billed charges,67.64352423,,,,91.94,percent of total billed charges,71.70079821,,,,91.94,percent of total billed charges,67.64352423,,,,91.94,percent of total billed charges,71.70079821,,,,91.94,percent of total billed charges,999999999,,,,91.94,percent of total billed charges,70.051961,,,,91.94,percent of total billed charges,67.64352423,,,,91.94,percent of total billed charges,71.70079821,,,,65.55322,percent of total billed charges,32.71225641,,,,65.55322,percent of total billed charges,19.57254987,,,,65.55322,percent of total billed charges,32.71225641,,,,65.55322,percent of total billed charges,19.57254987,,,,65.55322,percent of total billed charges,32.71225641,,,,65.55322,percent of total billed charges,19.57254987,,,,64.90964,percent of total billed charges,64.41715292,,,,64.90964,percent of total billed charges,44.42799979,,,,,,,,,,66.1968,percent of total billed charges,43.02636225,,,,,,,,,,66.1968,percent of total billed charges,999999999,,,,,,,,,,73.552,percent of total billed charges,61.63275264,,,,72.6326,percent of total billed charges,70.09358474,,,,72.6326,percent of total billed charges,61.93000232,,,,73.552,percent of total billed charges,999999999,,,,73.552,percent of total billed charges,999999999,,,,64.358,percent of total billed charges,999999999,,,,64.358,percent of total billed charges,999999999,,,,,,,,,,,,,,,,48.91208,percent of total billed charges,999999999,,,,,,,,,,,,,,,,46.4297,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,22.985,percent of total billed charges,21.83012766,,,,,,,,,,22.985,percent of total billed charges,21.46699834,,,,,,,,,,22.985,percent of total billed charges,21.40734247,,,,,,,,,,22.985,percent of total billed charges,21.09211962,,,,,,,,,,22.985,percent of total billed charges,21.63485086,,,,,,,,,,22.985,percent of total billed charges,999999999,,,,,,,,,,22.985,percent of total billed charges,18.56422557,,,,,,,,,,22.985,percent of total billed charges,29.2770639,,,,,,,,,,22.985,percent of total billed charges,999999999,,,,,,,,,,22.985,percent of total billed charges,20.01677537,,,,,,,,,,82.746,percent of total billed charges,,,,,
**DIAZEPAM (VALIUM INTENSOL) SOL: 5MG/ML,259,RC,4580-2005-35,NDC,,both,1,EA,125,125,26.61049308,125,125,percent of total billed charges,91.96694072,,,,125,percent of total billed charges,97.48313875,,,,125,percent of total billed charges,91.96694072,,,,125,percent of total billed charges,97.48313875,,,,125,percent of total billed charges,999999999,,,,125,percent of total billed charges,95.2414088,,,,125,percent of total billed charges,91.96694072,,,,125,percent of total billed charges,97.48313875,,,,89.125,percent of total billed charges,44.47500599,,,,89.125,percent of total billed charges,26.61049308,,,,89.125,percent of total billed charges,44.47500599,,,,89.125,percent of total billed charges,26.61049308,,,,89.125,percent of total billed charges,44.47500599,,,,89.125,percent of total billed charges,26.61049308,,,,88.25,percent of total billed charges,87.58042326,,,,88.25,percent of total billed charges,60.40352376,,,,,,,,,,90,percent of total billed charges,58.49788211,,,,,,,,,,90,percent of total billed charges,999999999,,,,,,,,,,100,percent of total billed charges,83.79480182,,,,98.75,percent of total billed charges,95.2979997,,,,98.75,percent of total billed charges,84.19893724,,,,100,percent of total billed charges,999999999,,,,100,percent of total billed charges,999999999,,,,87.5,percent of total billed charges,999999999,,,,87.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,66.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,63.125,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,31.25,percent of total billed charges,29.67985597,,,,,,,,,,31.25,percent of total billed charges,29.18615176,,,,,,,,,,31.25,percent of total billed charges,29.1050447,,,,,,,,,,31.25,percent of total billed charges,28.67647327,,,,,,,,,,31.25,percent of total billed charges,29.41436108,,,,,,,,,,31.25,percent of total billed charges,999999999,,,,,,,,,,31.25,percent of total billed charges,25.23959317,,,,,,,,,,31.25,percent of total billed charges,39.80457894,,,,,,,,,,31.25,percent of total billed charges,999999999,,,,,,,,,,31.25,percent of total billed charges,27.21445422,,,,,,,,,,112.5,percent of total billed charges,,,,,
IRBESARTAN (AVAPRO) 150MG TAB,250,RC,6610-5050-09,NDC,,both,1,EA,1.31,1.31,0.278877967,1.31,1.31,percent of total billed charges,0.963813539,,,,1.31,percent of total billed charges,1.021623294,,,,1.31,percent of total billed charges,0.963813539,,,,1.31,percent of total billed charges,1.021623294,,,,1.31,percent of total billed charges,999999999,,,,1.31,percent of total billed charges,0.998129964,,,,1.31,percent of total billed charges,0.963813539,,,,1.31,percent of total billed charges,1.021623294,,,,0.93403,percent of total billed charges,0.466098063,,,,0.93403,percent of total billed charges,0.278877967,,,,0.93403,percent of total billed charges,0.466098063,,,,0.93403,percent of total billed charges,0.278877967,,,,0.93403,percent of total billed charges,0.466098063,,,,0.93403,percent of total billed charges,0.278877967,,,,0.92486,percent of total billed charges,0.917842836,,,,0.92486,percent of total billed charges,0.633028929,,,,,,,,,,0.9432,percent of total billed charges,0.613057805,,,,,,,,,,0.9432,percent of total billed charges,999999999,,,,,,,,,,1.048,percent of total billed charges,0.878169523,,,,1.0349,percent of total billed charges,0.998723037,,,,1.0349,percent of total billed charges,0.882404862,,,,1.048,percent of total billed charges,999999999,,,,1.048,percent of total billed charges,999999999,,,,0.917,percent of total billed charges,999999999,,,,0.917,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.69692,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.66155,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.3275,percent of total billed charges,0.311044891,,,,,,,,,,0.3275,percent of total billed charges,0.30587087,,,,,,,,,,0.3275,percent of total billed charges,0.305020868,,,,,,,,,,0.3275,percent of total billed charges,0.30052944,,,,,,,,,,0.3275,percent of total billed charges,0.308262504,,,,,,,,,,0.3275,percent of total billed charges,999999999,,,,,,,,,,0.3275,percent of total billed charges,0.264510936,,,,,,,,,,0.3275,percent of total billed charges,0.417151987,,,,,,,,,,0.3275,percent of total billed charges,999999999,,,,,,,,,,0.3275,percent of total billed charges,0.28520748,,,,,,,,,,1.179,percent of total billed charges,,,,,
**ANUSOL (GENERIC) SUPPOSITORIES,259,RC,0090-4768-22,NDC,,both,1,EA,14,14,2.980375225,14,14,percent of total billed charges,10.30029736,,,,14,percent of total billed charges,10.91811154,,,,14,percent of total billed charges,10.30029736,,,,14,percent of total billed charges,10.91811154,,,,14,percent of total billed charges,999999999,,,,14,percent of total billed charges,10.66703779,,,,14,percent of total billed charges,10.30029736,,,,14,percent of total billed charges,10.91811154,,,,9.982,percent of total billed charges,4.981200671,,,,9.982,percent of total billed charges,2.980375225,,,,9.982,percent of total billed charges,4.981200671,,,,9.982,percent of total billed charges,2.980375225,,,,9.982,percent of total billed charges,4.981200671,,,,9.982,percent of total billed charges,2.980375225,,,,9.884,percent of total billed charges,9.809007405,,,,9.884,percent of total billed charges,6.765194661,,,,,,,,,,10.08,percent of total billed charges,6.551762796,,,,,,,,,,10.08,percent of total billed charges,999999999,,,,,,,,,,11.2,percent of total billed charges,9.385017804,,,,11.06,percent of total billed charges,10.67337597,,,,11.06,percent of total billed charges,9.430280971,,,,11.2,percent of total billed charges,999999999,,,,11.2,percent of total billed charges,999999999,,,,9.8,percent of total billed charges,999999999,,,,9.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,7.448,percent of total billed charges,999999999,,,,,,,,,,,,,,,,7.07,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3.5,percent of total billed charges,3.324143869,,,,,,,,,,3.5,percent of total billed charges,3.268848997,,,,,,,,,,3.5,percent of total billed charges,3.259765006,,,,,,,,,,3.5,percent of total billed charges,3.211765006,,,,,,,,,,3.5,percent of total billed charges,3.294408441,,,,,,,,,,3.5,percent of total billed charges,999999999,,,,,,,,,,3.5,percent of total billed charges,2.826834435,,,,,,,,,,3.5,percent of total billed charges,4.458112841,,,,,,,,,,3.5,percent of total billed charges,999999999,,,,,,,,,,3.5,percent of total billed charges,3.048018873,,,,,,,,,,12.6,percent of total billed charges,,,,,
MEASLES MUMPS RUBELLA (MMR VACCINE),90707,CDM,0000-6468-00,NDC,,both,1,EA,692.81,692.81,147.4881257,692.81,692.81,percent of total billed charges,509.7249296,,,,692.81,percent of total billed charges,540.2983469,,,,692.81,percent of total billed charges,509.7249296,,,,692.81,percent of total billed charges,540.2983469,,,,692.81,percent of total billed charges,999999999,,,,692.81,percent of total billed charges,527.8736035,,,,692.81,percent of total billed charges,509.7249296,,,,692.81,percent of total billed charges,540.2983469,,,,493.97353,percent of total billed charges,246.5018312,,,,493.97353,percent of total billed charges,147.4881257,,,,493.97353,percent of total billed charges,246.5018312,,,,493.97353,percent of total billed charges,147.4881257,,,,493.97353,percent of total billed charges,246.5018312,,,,493.97353,percent of total billed charges,147.4881257,,,,489.12386,percent of total billed charges,485.4127443,,,,489.12386,percent of total billed charges,334.7853223,,,,,,,,,,498.8232,percent of total billed charges,324.2233416,,,,,,,,,,498.8232,percent of total billed charges,999999999,,,,,,,,,,554.248,percent of total billed charges,464.4310132,,,,547.3199,percent of total billed charges,528.1872574,,,,547.3199,percent of total billed charges,466.6709257,,,,554.248,percent of total billed charges,999999999,,,,554.248,percent of total billed charges,999999999,,,,484.967,percent of total billed charges,999999999,,,,484.967,percent of total billed charges,999999999,,,,,,,,,,,,,,,,368.57492,percent of total billed charges,999999999,,,,,,,,,,,,,,,,349.86905,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,173.2025,percent of total billed charges,164.5000081,,,,,,,,,,173.2025,percent of total billed charges,161.7636624,,,,,,,,,,173.2025,percent of total billed charges,161.3141281,,,,,,,,,,173.2025,percent of total billed charges,158.9387796,,,,,,,,,,173.2025,percent of total billed charges,163.028508,,,,,,,,,,173.2025,percent of total billed charges,999999999,,,,,,,,,,173.2025,percent of total billed charges,139.8899403,,,,,,,,,,173.2025,percent of total billed charges,220.6160827,,,,,,,,,,173.2025,percent of total billed charges,999999999,,,,,,,,,,173.2025,percent of total billed charges,150.8355682,,,,,,,,,,623.529,percent of total billed charges,,,,,
PROMETHAZINE (PHENERGAN) 25 MG SUPP,259,RC,0071-3052-12,NDC,,both,1,EA,18.2,18.2,3.874487792,18.2,18.2,percent of total billed charges,13.39038657,,,,18.2,percent of total billed charges,14.193545,,,,18.2,percent of total billed charges,13.39038657,,,,18.2,percent of total billed charges,14.193545,,,,18.2,percent of total billed charges,999999999,,,,18.2,percent of total billed charges,13.86714912,,,,18.2,percent of total billed charges,13.39038657,,,,18.2,percent of total billed charges,14.193545,,,,12.9766,percent of total billed charges,6.475560872,,,,12.9766,percent of total billed charges,3.874487792,,,,12.9766,percent of total billed charges,6.475560872,,,,12.9766,percent of total billed charges,3.874487792,,,,12.9766,percent of total billed charges,6.475560872,,,,12.9766,percent of total billed charges,3.874487792,,,,12.8492,percent of total billed charges,12.75170963,,,,12.8492,percent of total billed charges,8.794753059,,,,,,,,,,13.104,percent of total billed charges,8.517291635,,,,,,,,,,13.104,percent of total billed charges,999999999,,,,,,,,,,14.56,percent of total billed charges,12.20052315,,,,14.378,percent of total billed charges,13.87538876,,,,14.378,percent of total billed charges,12.25936526,,,,14.56,percent of total billed charges,999999999,,,,14.56,percent of total billed charges,999999999,,,,12.74,percent of total billed charges,999999999,,,,12.74,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.6824,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.191,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4.55,percent of total billed charges,4.321387029,,,,,,,,,,4.55,percent of total billed charges,4.249503696,,,,,,,,,,4.55,percent of total billed charges,4.237694508,,,,,,,,,,4.55,percent of total billed charges,4.175294508,,,,,,,,,,4.55,percent of total billed charges,4.282730973,,,,,,,,,,4.55,percent of total billed charges,999999999,,,,,,,,,,4.55,percent of total billed charges,3.674884765,,,,,,,,,,4.55,percent of total billed charges,5.795546694,,,,,,,,,,4.55,percent of total billed charges,999999999,,,,,,,,,,4.55,percent of total billed charges,3.962424535,,,,,,,,,,16.38,percent of total billed charges,,,,,
DIGOXIN IMMUNE FAB (DIGIBIND) 38MG VIA,J1162,CDM,5063-3012-11,NDC,,both,1,EA,7060,7060,1502.960649,7060,7060,percent of total billed charges,5194.292812,,,,7060,percent of total billed charges,5505.847677,,,,7060,percent of total billed charges,5194.292812,,,,7060,percent of total billed charges,5505.847677,,,,7060,percent of total billed charges,999999999,,,,7060,percent of total billed charges,5379.234769,,,,7060,percent of total billed charges,5194.292812,,,,7060,percent of total billed charges,5505.847677,,,,5033.78,percent of total billed charges,2511.948338,,,,5033.78,percent of total billed charges,1502.960649,,,,5033.78,percent of total billed charges,2511.948338,,,,5033.78,percent of total billed charges,1502.960649,,,,5033.78,percent of total billed charges,2511.948338,,,,5033.78,percent of total billed charges,1502.960649,,,,4984.36,percent of total billed charges,4946.542306,,,,4984.36,percent of total billed charges,3411.591022,,,,,,,,,,5083.2,percent of total billed charges,3303.960382,,,,,,,,,,5083.2,percent of total billed charges,999999999,,,,,,,,,,5648,percent of total billed charges,4732.730407,,,,5577.4,percent of total billed charges,5382.431023,,,,5577.4,percent of total billed charges,4755.555975,,,,5648,percent of total billed charges,999999999,,,,5648,percent of total billed charges,999999999,,,,4942,percent of total billed charges,999999999,,,,4942,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3755.92,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3565.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1765,percent of total billed charges,1676.318265,,,,,,,,,,1765,percent of total billed charges,1648.433851,,,,,,,,,,1765,percent of total billed charges,1643.852924,,,,,,,,,,1765,percent of total billed charges,1619.64721,,,,,,,,,,1765,percent of total billed charges,1661.323114,,,,,,,,,,1765,percent of total billed charges,999999999,,,,,,,,,,1765,percent of total billed charges,1425.532222,,,,,,,,,,1765,percent of total billed charges,2248.162619,,,,,,,,,,1765,percent of total billed charges,999999999,,,,,,,,,,1765,percent of total billed charges,1537.072374,,,,,,,,,,6354,percent of total billed charges,,,,,
DEXTROSE 5% 250ML (GLASS BOTTLE),258,RC,0040-9152-02,NDC,,both,1,EA,30.56,30.56,6.505733348,30.56,30.56,percent of total billed charges,22.48407767,,,,30.56,percent of total billed charges,23.83267776,,,,30.56,percent of total billed charges,22.48407767,,,,30.56,percent of total billed charges,23.83267776,,,,30.56,percent of total billed charges,999999999,,,,30.56,percent of total billed charges,23.28461962,,,,30.56,percent of total billed charges,22.48407767,,,,30.56,percent of total billed charges,23.83267776,,,,21.78928,percent of total billed charges,10.87324946,,,,21.78928,percent of total billed charges,6.505733348,,,,21.78928,percent of total billed charges,10.87324946,,,,21.78928,percent of total billed charges,6.505733348,,,,21.78928,percent of total billed charges,10.87324946,,,,21.78928,percent of total billed charges,6.505733348,,,,21.57536,percent of total billed charges,21.41166188,,,,21.57536,percent of total billed charges,14.76745349,,,,,,,,,,22.0032,percent of total billed charges,14.30156222,,,,,,,,,,22.0032,percent of total billed charges,999999999,,,,,,,,,,24.448,percent of total billed charges,20.48615315,,,,24.1424,percent of total billed charges,23.29845497,,,,24.1424,percent of total billed charges,20.58495618,,,,24.448,percent of total billed charges,999999999,,,,24.448,percent of total billed charges,999999999,,,,21.392,percent of total billed charges,999999999,,,,21.392,percent of total billed charges,999999999,,,,,,,,,,,,,,,,16.25792,percent of total billed charges,999999999,,,,,,,,,,,,,,,,15.4328,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7.64,percent of total billed charges,7.256131188,,,,,,,,,,7.64,percent of total billed charges,7.135430383,,,,,,,,,,7.64,percent of total billed charges,7.115601327,,,,,,,,,,7.64,percent of total billed charges,7.010824184,,,,,,,,,,7.64,percent of total billed charges,7.191222997,,,,,,,,,,7.64,percent of total billed charges,999999999,,,,,,,,,,7.64,percent of total billed charges,6.170575738,,,,,,,,,,7.64,percent of total billed charges,9.731423459,,,,,,,,,,7.64,percent of total billed charges,999999999,,,,,,,,,,7.64,percent of total billed charges,6.653389768,,,,,,,,,,27.504,percent of total billed charges,,,,,
PROMETHAZINE (PHENERGAN) 25 MG TAB,637,RC,6808-4015-11,NDC,,both,1,EA,0.77,0.77,0.163920637,0.77,0.77,percent of total billed charges,0.566516355,,,,0.77,percent of total billed charges,0.600496135,,,,0.77,percent of total billed charges,0.566516355,,,,0.77,percent of total billed charges,0.600496135,,,,0.77,percent of total billed charges,999999999,,,,0.77,percent of total billed charges,0.586687078,,,,0.77,percent of total billed charges,0.566516355,,,,0.77,percent of total billed charges,0.600496135,,,,0.54901,percent of total billed charges,0.273966037,,,,0.54901,percent of total billed charges,0.163920637,,,,0.54901,percent of total billed charges,0.273966037,,,,0.54901,percent of total billed charges,0.163920637,,,,0.54901,percent of total billed charges,0.273966037,,,,0.54901,percent of total billed charges,0.163920637,,,,0.54362,percent of total billed charges,0.539495407,,,,0.54362,percent of total billed charges,0.372085706,,,,,,,,,,0.5544,percent of total billed charges,0.360346954,,,,,,,,,,0.5544,percent of total billed charges,999999999,,,,,,,,,,0.616,percent of total billed charges,0.516175979,,,,0.6083,percent of total billed charges,0.587035678,,,,0.6083,percent of total billed charges,0.518665453,,,,0.616,percent of total billed charges,999999999,,,,0.616,percent of total billed charges,999999999,,,,0.539,percent of total billed charges,999999999,,,,0.539,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.40964,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.38885,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.1925,percent of total billed charges,0.182827913,,,,,,,,,,0.1925,percent of total billed charges,0.179786695,,,,,,,,,,0.1925,percent of total billed charges,0.179287075,,,,,,,,,,0.1925,percent of total billed charges,0.176647075,,,,,,,,,,0.1925,percent of total billed charges,0.181192464,,,,,,,,,,0.1925,percent of total billed charges,999999999,,,,,,,,,,0.1925,percent of total billed charges,0.155475894,,,,,,,,,,0.1925,percent of total billed charges,0.245196206,,,,,,,,,,0.1925,percent of total billed charges,999999999,,,,,,,,,,0.1925,percent of total billed charges,0.167641038,,,,,,,,,,0.693,percent of total billed charges,,,,,
POLYMIXIN/BACITRACIN (POLYSPORIN) OINT,259,RC,0016-8002-35,NDC,,both,1,EA,64.94,64.94,13.82468336,64.94,64.94,percent of total billed charges,47.77866504,,,,64.94,percent of total billed charges,50.64444024,,,,64.94,percent of total billed charges,47.77866504,,,,64.94,percent of total billed charges,50.64444024,,,,64.94,percent of total billed charges,999999999,,,,64.94,percent of total billed charges,49.4798167,,,,64.94,percent of total billed charges,47.77866504,,,,64.94,percent of total billed charges,50.64444024,,,,46.30222,percent of total billed charges,23.10565511,,,,46.30222,percent of total billed charges,13.82468336,,,,46.30222,percent of total billed charges,23.10565511,,,,46.30222,percent of total billed charges,13.82468336,,,,46.30222,percent of total billed charges,23.10565511,,,,46.30222,percent of total billed charges,13.82468336,,,,45.84764,percent of total billed charges,45.49978149,,,,45.84764,percent of total billed charges,31.38083866,,,,,,,,,,46.7568,percent of total billed charges,30.39081971,,,,,,,,,,46.7568,percent of total billed charges,999999999,,,,,,,,,,51.952,percent of total billed charges,43.53307544,,,,51.3026,percent of total billed charges,49.5092168,,,,51.3026,percent of total billed charges,43.74303188,,,,51.952,percent of total billed charges,999999999,,,,51.952,percent of total billed charges,999999999,,,,45.458,percent of total billed charges,999999999,,,,45.458,percent of total billed charges,999999999,,,,,,,,,,,,,,,,34.54808,percent of total billed charges,999999999,,,,,,,,,,,,,,,,32.7947,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16.235,percent of total billed charges,15.41927877,,,,,,,,,,16.235,percent of total billed charges,15.16278956,,,,,,,,,,16.235,percent of total billed charges,15.12065282,,,,,,,,,,16.235,percent of total billed charges,14.89800139,,,,,,,,,,16.235,percent of total billed charges,15.28134887,,,,,,,,,,16.235,percent of total billed charges,999999999,,,,,,,,,,16.235,percent of total billed charges,13.11247344,,,,,,,,,,16.235,percent of total billed charges,20.67927485,,,,,,,,,,16.235,percent of total billed charges,999999999,,,,,,,,,,16.235,percent of total billed charges,14.13845326,,,,,,,,,,58.446,percent of total billed charges,,,,,
FLUOCINONIDE (LIDEX) 0.05% OINT 15GM,259,RC,5167-2126-01,NDC,,both,1,EA,82.67,82.67,17.5991157,82.67,82.67,percent of total billed charges,60.82325591,,,,82.67,percent of total billed charges,64.47144864,,,,82.67,percent of total billed charges,60.82325591,,,,82.67,percent of total billed charges,64.47144864,,,,82.67,percent of total billed charges,999999999,,,,82.67,percent of total billed charges,62.98885813,,,,82.67,percent of total billed charges,60.82325591,,,,82.67,percent of total billed charges,64.47144864,,,,58.94371,percent of total billed charges,29.41398996,,,,58.94371,percent of total billed charges,17.5991157,,,,58.94371,percent of total billed charges,29.41398996,,,,58.94371,percent of total billed charges,17.5991157,,,,58.94371,percent of total billed charges,29.41398996,,,,58.94371,percent of total billed charges,17.5991157,,,,58.36502,percent of total billed charges,57.92218873,,,,58.36502,percent of total billed charges,39.94847447,,,,,,,,,,59.5224,percent of total billed charges,38.68815931,,,,,,,,,,59.5224,percent of total billed charges,999999999,,,,,,,,,,66.136,percent of total billed charges,55.41853013,,,,65.3093,percent of total billed charges,63.02628508,,,,65.3093,percent of total billed charges,55.68580913,,,,66.136,percent of total billed charges,999999999,,,,66.136,percent of total billed charges,999999999,,,,57.869,percent of total billed charges,999999999,,,,57.869,percent of total billed charges,999999999,,,,,,,,,,,,,,,,43.98044,percent of total billed charges,999999999,,,,,,,,,,,,,,,,41.74835,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20.6675,percent of total billed charges,19.62906954,,,,,,,,,,20.6675,percent of total billed charges,19.30255333,,,,,,,,,,20.6675,percent of total billed charges,19.24891236,,,,,,,,,,20.6675,percent of total billed charges,18.96547236,,,,,,,,,,20.6675,percent of total billed charges,19.45348184,,,,,,,,,,20.6675,percent of total billed charges,999999999,,,,,,,,,,20.6675,percent of total billed charges,16.69245734,,,,,,,,,,20.6675,percent of total billed charges,26.32515633,,,,,,,,,,20.6675,percent of total billed charges,999999999,,,,,,,,,,20.6675,percent of total billed charges,17.99855144,,,,,,,,,,74.403,percent of total billed charges,,,,,
CALCITONIN (MIACALCIN) 400 UNITS/2ML INJ,J0630,CDM,2420-1040-02,NDC,,both,1,EA,5602.62,5602.62,1192.707846,5602.62,5602.62,percent of total billed charges,4122.046571,,,,5602.62,percent of total billed charges,4369.287863,,,,5602.62,percent of total billed charges,4122.046571,,,,5602.62,percent of total billed charges,4369.287863,,,,5602.62,percent of total billed charges,999999999,,,,5602.62,percent of total billed charges,4268.811374,,,,5602.62,percent of total billed charges,4122.046571,,,,5602.62,percent of total billed charges,4369.287863,,,,3994.66806,percent of total billed charges,1993.412465,,,,3994.66806,percent of total billed charges,1192.707846,,,,3994.66806,percent of total billed charges,1993.412465,,,,3994.66806,percent of total billed charges,1192.707846,,,,3994.66806,percent of total billed charges,1993.412465,,,,3994.66806,percent of total billed charges,1192.707846,,,,3955.44972,percent of total billed charges,3925.438648,,,,3955.44972,percent of total billed charges,2707.343922,,,,,,,,,,4033.8864,percent of total billed charges,2621.931234,,,,,,,,,,4033.8864,percent of total billed charges,999999999,,,,,,,,,,4482.096,percent of total billed charges,3755.763461,,,,4426.0698,percent of total billed charges,4271.347833,,,,4426.0698,percent of total billed charges,3773.877198,,,,4482.096,percent of total billed charges,999999999,,,,4482.096,percent of total billed charges,999999999,,,,3921.834,percent of total billed charges,999999999,,,,3921.834,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2980.59384,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2829.3231,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1400.655,percent of total billed charges,1330.279637,,,,,,,,,,1400.655,percent of total billed charges,1308.151341,,,,,,,,,,1400.655,percent of total billed charges,1304.516044,,,,,,,,,,1400.655,percent of total billed charges,1285.307061,,,,,,,,,,1400.655,percent of total billed charges,1318.379901,,,,,,,,,,1400.655,percent of total billed charges,999999999,,,,,,,,,,1400.655,percent of total billed charges,1131.262796,,,,,,,,,,1400.655,percent of total billed charges,1784.07944,,,,,,,,,,1400.655,percent of total billed charges,999999999,,,,,,,,,,1400.655,percent of total billed charges,1219.777964,,,,,,,,,,5042.358,percent of total billed charges,,,,,
NORTRIPTYLINE 10 MG  CAP,637,RC,5026-8060-15,NDC,,both,1,EA,0.5,0.5,0.106441972,0.5,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,999999999,,,,0.5,percent of total billed charges,0.380965635,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.353,percent of total billed charges,0.350321693,,,,0.353,percent of total billed charges,0.241614095,,,,,,,,,,0.36,percent of total billed charges,0.233991528,,,,,,,,,,0.36,percent of total billed charges,999999999,,,,,,,,,,0.4,percent of total billed charges,0.335179207,,,,0.395,percent of total billed charges,0.381191999,,,,0.395,percent of total billed charges,0.336795749,,,,0.4,percent of total billed charges,999999999,,,,0.4,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.266,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.2525,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.125,percent of total billed charges,0.118719424,,,,,,,,,,0.125,percent of total billed charges,0.116744607,,,,,,,,,,0.125,percent of total billed charges,0.116420179,,,,,,,,,,0.125,percent of total billed charges,0.114705893,,,,,,,,,,0.125,percent of total billed charges,0.117657444,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.100958373,,,,,,,,,,0.125,percent of total billed charges,0.159218316,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.108857817,,,,,,,,,,0.45,percent of total billed charges,,,,,
metroNIDAZOLE VAGINAL (METROGEL) 0.75%,259,RC,0078-1707-87,NDC,,both,1,EA,188.85,188.85,40.20313294,188.85,188.85,percent of total billed charges,138.943654,,,,188.85,percent of total billed charges,147.277526,,,,188.85,percent of total billed charges,138.943654,,,,188.85,percent of total billed charges,147.277526,,,,188.85,percent of total billed charges,999999999,,,,188.85,percent of total billed charges,143.8907204,,,,188.85,percent of total billed charges,138.943654,,,,188.85,percent of total billed charges,147.277526,,,,134.65005,percent of total billed charges,67.19283905,,,,134.65005,percent of total billed charges,40.20313294,,,,134.65005,percent of total billed charges,67.19283905,,,,134.65005,percent of total billed charges,40.20313294,,,,134.65005,percent of total billed charges,67.19283905,,,,134.65005,percent of total billed charges,40.20313294,,,,133.3281,percent of total billed charges,132.3165035,,,,133.3281,percent of total billed charges,91.25764369,,,,,,,,,,135.972,percent of total billed charges,88.37860029,,,,,,,,,,135.972,percent of total billed charges,999999999,,,,,,,,,,151.08,percent of total billed charges,126.5971866,,,,149.1915,percent of total billed charges,143.9762179,,,,149.1915,percent of total billed charges,127.2077544,,,,151.08,percent of total billed charges,999999999,,,,151.08,percent of total billed charges,999999999,,,,132.195,percent of total billed charges,999999999,,,,132.195,percent of total billed charges,999999999,,,,,,,,,,,,,,,,100.4682,percent of total billed charges,999999999,,,,,,,,,,,,,,,,95.36925,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,47.2125,percent of total billed charges,44.8403264,,,,,,,,,,47.2125,percent of total billed charges,44.09443808,,,,,,,,,,47.2125,percent of total billed charges,43.97190153,,,,,,,,,,47.2125,percent of total billed charges,43.32441581,,,,,,,,,,47.2125,percent of total billed charges,44.43921672,,,,,,,,,,47.2125,percent of total billed charges,999999999,,,,,,,,,,47.2125,percent of total billed charges,38.13197736,,,,,,,,,,47.2125,percent of total billed charges,60.13675786,,,,,,,,,,47.2125,percent of total billed charges,999999999,,,,,,,,,,47.2125,percent of total billed charges,41.11559744,,,,,,,,,,169.965,percent of total billed charges,,,,,
**NIFEDIPINE XL (PROCARDIA XL) 90MG CAP,250,RC,0008-5172-02,NDC,,both,1,EA,10,10,2.128839446,10,10,percent of total billed charges,7.357355257,,,,10,percent of total billed charges,7.7986511,,,,10,percent of total billed charges,7.357355257,,,,10,percent of total billed charges,7.7986511,,,,10,percent of total billed charges,999999999,,,,10,percent of total billed charges,7.619312704,,,,10,percent of total billed charges,7.357355257,,,,10,percent of total billed charges,7.7986511,,,,7.13,percent of total billed charges,3.558000479,,,,7.13,percent of total billed charges,2.128839446,,,,7.13,percent of total billed charges,3.558000479,,,,7.13,percent of total billed charges,2.128839446,,,,7.13,percent of total billed charges,3.558000479,,,,7.13,percent of total billed charges,2.128839446,,,,7.06,percent of total billed charges,7.006433861,,,,7.06,percent of total billed charges,4.8322819,,,,,,,,,,7.2,percent of total billed charges,4.679830569,,,,,,,,,,7.2,percent of total billed charges,999999999,,,,,,,,,,8,percent of total billed charges,6.703584146,,,,7.9,percent of total billed charges,7.623839976,,,,7.9,percent of total billed charges,6.735914979,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,999999999,,,,7,percent of total billed charges,999999999,,,,7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.32,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.05,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.5,percent of total billed charges,2.374388478,,,,,,,,,,2.5,percent of total billed charges,2.334892141,,,,,,,,,,2.5,percent of total billed charges,2.328403576,,,,,,,,,,2.5,percent of total billed charges,2.294117861,,,,,,,,,,2.5,percent of total billed charges,2.353148886,,,,,,,,,,2.5,percent of total billed charges,999999999,,,,,,,,,,2.5,percent of total billed charges,2.019167453,,,,,,,,,,2.5,percent of total billed charges,3.184366315,,,,,,,,,,2.5,percent of total billed charges,999999999,,,,,,,,,,2.5,percent of total billed charges,2.177156338,,,,,,,,,,9,percent of total billed charges,,,,,
GENTIAN VIOLET SOLUTION: 1%,259,RC,0039-5100-92,NDC,,both,1,EA,33.42,33.42,7.114581429,33.42,33.42,percent of total billed charges,24.58828127,,,,33.42,percent of total billed charges,26.06309198,,,,33.42,percent of total billed charges,24.58828127,,,,33.42,percent of total billed charges,26.06309198,,,,33.42,percent of total billed charges,999999999,,,,33.42,percent of total billed charges,25.46374306,,,,33.42,percent of total billed charges,24.58828127,,,,33.42,percent of total billed charges,26.06309198,,,,23.82846,percent of total billed charges,11.8908376,,,,23.82846,percent of total billed charges,7.114581429,,,,23.82846,percent of total billed charges,11.8908376,,,,23.82846,percent of total billed charges,7.114581429,,,,23.82846,percent of total billed charges,11.8908376,,,,23.82846,percent of total billed charges,7.114581429,,,,23.59452,percent of total billed charges,23.41550196,,,,23.59452,percent of total billed charges,16.14948611,,,,,,,,,,24.0624,percent of total billed charges,15.63999376,,,,,,,,,,24.0624,percent of total billed charges,999999999,,,,,,,,,,26.736,percent of total billed charges,22.40337822,,,,26.4018,percent of total billed charges,25.4788732,,,,26.4018,percent of total billed charges,22.51142786,,,,26.736,percent of total billed charges,999999999,,,,26.736,percent of total billed charges,999999999,,,,23.394,percent of total billed charges,999999999,,,,23.394,percent of total billed charges,999999999,,,,,,,,,,,,,,,,17.77944,percent of total billed charges,999999999,,,,,,,,,,,,,,,,16.8771,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8.355,percent of total billed charges,7.935206292,,,,,,,,,,8.355,percent of total billed charges,7.803209535,,,,,,,,,,8.355,percent of total billed charges,7.78152475,,,,,,,,,,8.355,percent of total billed charges,7.666941893,,,,,,,,,,8.355,percent of total billed charges,7.864223579,,,,,,,,,,8.355,percent of total billed charges,999999999,,,,,,,,,,8.355,percent of total billed charges,6.748057629,,,,,,,,,,8.355,percent of total billed charges,10.64215223,,,,,,,,,,8.355,percent of total billed charges,999999999,,,,,,,,,,8.355,percent of total billed charges,7.27605648,,,,,,,,,,30.078,percent of total billed charges,,,,,
**CLARITHROMYCIN SUSP. (BIAXIN) 120MG/5M,259,RC,6877-4030-29,NDC,,both,1,EA,71,71,15.11476007,71,71,percent of total billed charges,52.23722233,,,,71,percent of total billed charges,55.37042281,,,,71,percent of total billed charges,52.23722233,,,,71,percent of total billed charges,55.37042281,,,,71,percent of total billed charges,999999999,,,,71,percent of total billed charges,54.0971202,,,,71,percent of total billed charges,52.23722233,,,,71,percent of total billed charges,55.37042281,,,,50.623,percent of total billed charges,25.2618034,,,,50.623,percent of total billed charges,15.11476007,,,,50.623,percent of total billed charges,25.2618034,,,,50.623,percent of total billed charges,15.11476007,,,,50.623,percent of total billed charges,25.2618034,,,,50.623,percent of total billed charges,15.11476007,,,,50.126,percent of total billed charges,49.74568041,,,,50.126,percent of total billed charges,34.30920149,,,,,,,,,,51.12,percent of total billed charges,33.22679704,,,,,,,,,,51.12,percent of total billed charges,999999999,,,,,,,,,,56.8,percent of total billed charges,47.59544744,,,,56.09,percent of total billed charges,54.12926383,,,,56.09,percent of total billed charges,47.82499635,,,,56.8,percent of total billed charges,999999999,,,,56.8,percent of total billed charges,999999999,,,,49.7,percent of total billed charges,999999999,,,,49.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,37.772,percent of total billed charges,999999999,,,,,,,,,,,,,,,,35.855,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17.75,percent of total billed charges,16.85815819,,,,,,,,,,17.75,percent of total billed charges,16.5777342,,,,,,,,,,17.75,percent of total billed charges,16.53166539,,,,,,,,,,17.75,percent of total billed charges,16.28823682,,,,,,,,,,17.75,percent of total billed charges,16.70735709,,,,,,,,,,17.75,percent of total billed charges,999999999,,,,,,,,,,17.75,percent of total billed charges,14.33608892,,,,,,,,,,17.75,percent of total billed charges,22.60900084,,,,,,,,,,17.75,percent of total billed charges,999999999,,,,,,,,,,17.75,percent of total billed charges,15.45781,,,,,,,,,,63.9,percent of total billed charges,,,,,
**CLARITHROMYCIN (BIAXIN) 250 MG/5ML 50,259,RC,0078-1602-52,NDC,,both,1,EA,147,147,31.29393986,147,147,percent of total billed charges,108.1531223,,,,147,percent of total billed charges,114.6401712,,,,147,percent of total billed charges,108.1531223,,,,147,percent of total billed charges,114.6401712,,,,147,percent of total billed charges,999999999,,,,147,percent of total billed charges,112.0038968,,,,147,percent of total billed charges,108.1531223,,,,147,percent of total billed charges,114.6401712,,,,104.811,percent of total billed charges,52.30260705,,,,104.811,percent of total billed charges,31.29393986,,,,104.811,percent of total billed charges,52.30260705,,,,104.811,percent of total billed charges,31.29393986,,,,104.811,percent of total billed charges,52.30260705,,,,104.811,percent of total billed charges,31.29393986,,,,103.782,percent of total billed charges,102.9945778,,,,103.782,percent of total billed charges,71.03454394,,,,,,,,,,105.84,percent of total billed charges,68.79350936,,,,,,,,,,105.84,percent of total billed charges,999999999,,,,,,,,,,117.6,percent of total billed charges,98.54268695,,,,116.13,percent of total billed charges,112.0704476,,,,116.13,percent of total billed charges,99.0179502,,,,117.6,percent of total billed charges,999999999,,,,117.6,percent of total billed charges,999999999,,,,102.9,percent of total billed charges,999999999,,,,102.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,78.204,percent of total billed charges,999999999,,,,,,,,,,,,,,,,74.235,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,36.75,percent of total billed charges,34.90351062,,,,,,,,,,36.75,percent of total billed charges,34.32291447,,,,,,,,,,36.75,percent of total billed charges,34.22753256,,,,,,,,,,36.75,percent of total billed charges,33.72353256,,,,,,,,,,36.75,percent of total billed charges,34.59128863,,,,,,,,,,36.75,percent of total billed charges,999999999,,,,,,,,,,36.75,percent of total billed charges,29.68176157,,,,,,,,,,36.75,percent of total billed charges,46.81018483,,,,,,,,,,36.75,percent of total billed charges,999999999,,,,,,,,,,36.75,percent of total billed charges,32.00419816,,,,,,,,,,132.3,percent of total billed charges,,,,,
FLUVOXAMINE (LUVOX) 50MG TAB,259,RC,6050-5016-01,NDC,,both,1,EA,1.76,1.76,0.374675743,1.76,1.76,percent of total billed charges,1.294894525,,,,1.76,percent of total billed charges,1.372562594,,,,1.76,percent of total billed charges,1.294894525,,,,1.76,percent of total billed charges,1.372562594,,,,1.76,percent of total billed charges,999999999,,,,1.76,percent of total billed charges,1.340999036,,,,1.76,percent of total billed charges,1.294894525,,,,1.76,percent of total billed charges,1.372562594,,,,1.25488,percent of total billed charges,0.626208084,,,,1.25488,percent of total billed charges,0.374675743,,,,1.25488,percent of total billed charges,0.626208084,,,,1.25488,percent of total billed charges,0.374675743,,,,1.25488,percent of total billed charges,0.626208084,,,,1.25488,percent of total billed charges,0.374675743,,,,1.24256,percent of total billed charges,1.233132359,,,,1.24256,percent of total billed charges,0.850481614,,,,,,,,,,1.2672,percent of total billed charges,0.82365018,,,,,,,,,,1.2672,percent of total billed charges,999999999,,,,,,,,,,1.408,percent of total billed charges,1.17983081,,,,1.3904,percent of total billed charges,1.341795836,,,,1.3904,percent of total billed charges,1.185521036,,,,1.408,percent of total billed charges,999999999,,,,1.408,percent of total billed charges,999999999,,,,1.232,percent of total billed charges,999999999,,,,1.232,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.93632,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.8888,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.44,percent of total billed charges,0.417892372,,,,,,,,,,0.44,percent of total billed charges,0.410941017,,,,,,,,,,0.44,percent of total billed charges,0.409799029,,,,,,,,,,0.44,percent of total billed charges,0.403764744,,,,,,,,,,0.44,percent of total billed charges,0.414154204,,,,,,,,,,0.44,percent of total billed charges,999999999,,,,,,,,,,0.44,percent of total billed charges,0.355373472,,,,,,,,,,0.44,percent of total billed charges,0.560448471,,,,,,,,,,0.44,percent of total billed charges,999999999,,,,,,,,,,0.44,percent of total billed charges,0.383179515,,,,,,,,,,1.584,percent of total billed charges,,,,,
**SODIUM CHLOR(NACL) RESP.THER. SOL: 3ML,259,RC,4950-2064-15,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
**CLOBETASOL 0.05% (TEMOVATE) CRM 15GM,259,RC,0017-3037-73,NDC,,both,1,EA,126,126,26.82337702,126,126,percent of total billed charges,92.70267624,,,,126,percent of total billed charges,98.26300386,,,,126,percent of total billed charges,92.70267624,,,,126,percent of total billed charges,98.26300386,,,,126,percent of total billed charges,999999999,,,,126,percent of total billed charges,96.00334007,,,,126,percent of total billed charges,92.70267624,,,,126,percent of total billed charges,98.26300386,,,,89.838,percent of total billed charges,44.83080604,,,,89.838,percent of total billed charges,26.82337702,,,,89.838,percent of total billed charges,44.83080604,,,,89.838,percent of total billed charges,26.82337702,,,,89.838,percent of total billed charges,44.83080604,,,,89.838,percent of total billed charges,26.82337702,,,,88.956,percent of total billed charges,88.28106665,,,,88.956,percent of total billed charges,60.88675195,,,,,,,,,,90.72,percent of total billed charges,58.96586517,,,,,,,,,,90.72,percent of total billed charges,999999999,,,,,,,,,,100.8,percent of total billed charges,84.46516024,,,,99.54,percent of total billed charges,96.0603837,,,,99.54,percent of total billed charges,84.87252874,,,,100.8,percent of total billed charges,999999999,,,,100.8,percent of total billed charges,999999999,,,,88.2,percent of total billed charges,999999999,,,,88.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,67.032,percent of total billed charges,999999999,,,,,,,,,,,,,,,,63.63,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,31.5,percent of total billed charges,29.91729482,,,,,,,,,,31.5,percent of total billed charges,29.41964098,,,,,,,,,,31.5,percent of total billed charges,29.33788505,,,,,,,,,,31.5,percent of total billed charges,28.90588505,,,,,,,,,,31.5,percent of total billed charges,29.64967597,,,,,,,,,,31.5,percent of total billed charges,999999999,,,,,,,,,,31.5,percent of total billed charges,25.44150991,,,,,,,,,,31.5,percent of total billed charges,40.12301557,,,,,,,,,,31.5,percent of total billed charges,999999999,,,,,,,,,,31.5,percent of total billed charges,27.43216985,,,,,,,,,,113.4,percent of total billed charges,,,,,
TIMOLOL (TIMOPTIC XE) OPHTH GEL 0.5%,259,RC,6131-4022-05,NDC,,both,1,EA,651.54,651.54,138.7024053,651.54,651.54,percent of total billed charges,479.3611244,,,,651.54,percent of total billed charges,508.1133138,,,,651.54,percent of total billed charges,479.3611244,,,,651.54,percent of total billed charges,508.1133138,,,,651.54,percent of total billed charges,999999999,,,,651.54,percent of total billed charges,496.4286999,,,,651.54,percent of total billed charges,479.3611244,,,,651.54,percent of total billed charges,508.1133138,,,,464.54802,percent of total billed charges,231.8179632,,,,464.54802,percent of total billed charges,138.7024053,,,,464.54802,percent of total billed charges,231.8179632,,,,464.54802,percent of total billed charges,138.7024053,,,,464.54802,percent of total billed charges,231.8179632,,,,464.54802,percent of total billed charges,138.7024053,,,,459.98724,percent of total billed charges,456.4971918,,,,459.98724,percent of total billed charges,314.8424949,,,,,,,,,,469.1088,percent of total billed charges,304.9096809,,,,,,,,,,469.1088,percent of total billed charges,999999999,,,,,,,,,,521.232,percent of total billed charges,436.7653214,,,,514.7166,percent of total billed charges,496.7236698,,,,514.7166,percent of total billed charges,438.8718046,,,,521.232,percent of total billed charges,999999999,,,,521.232,percent of total billed charges,999999999,,,,456.078,percent of total billed charges,999999999,,,,456.078,percent of total billed charges,999999999,,,,,,,,,,,,,,,,346.61928,percent of total billed charges,999999999,,,,,,,,,,,,,,,,329.0277,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,162.885,percent of total billed charges,154.7009069,,,,,,,,,,162.885,percent of total billed charges,152.1275625,,,,,,,,,,162.885,percent of total billed charges,151.7048066,,,,,,,,,,162.885,percent of total billed charges,149.4709551,,,,,,,,,,162.885,percent of total billed charges,153.3170625,,,,,,,,,,162.885,percent of total billed charges,999999999,,,,,,,,,,162.885,percent of total billed charges,131.5568363,,,,,,,,,,162.885,percent of total billed charges,207.4742029,,,,,,,,,,162.885,percent of total billed charges,999999999,,,,,,,,,,162.885,percent of total billed charges,141.850444,,,,,,,,,,586.386,percent of total billed charges,,,,,
LISINOPRIL (ZESTRIL) 20 MG TAB,637,RC,4354-7035-10,NDC,,both,1,EA,0.5,0.5,0.106441972,0.5,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,999999999,,,,0.5,percent of total billed charges,0.380965635,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.353,percent of total billed charges,0.350321693,,,,0.353,percent of total billed charges,0.241614095,,,,,,,,,,0.36,percent of total billed charges,0.233991528,,,,,,,,,,0.36,percent of total billed charges,999999999,,,,,,,,,,0.4,percent of total billed charges,0.335179207,,,,0.395,percent of total billed charges,0.381191999,,,,0.395,percent of total billed charges,0.336795749,,,,0.4,percent of total billed charges,999999999,,,,0.4,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.266,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.2525,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.125,percent of total billed charges,0.118719424,,,,,,,,,,0.125,percent of total billed charges,0.116744607,,,,,,,,,,0.125,percent of total billed charges,0.116420179,,,,,,,,,,0.125,percent of total billed charges,0.114705893,,,,,,,,,,0.125,percent of total billed charges,0.117657444,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.100958373,,,,,,,,,,0.125,percent of total billed charges,0.159218316,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.108857817,,,,,,,,,,0.45,percent of total billed charges,,,,,
KETACONAZOLE (NIZORAL) 2% SHAMPOO,637,RC,4580-2046-64,NDC,,both,1,EA,65.27,65.27,13.89493507,65.27,65.27,percent of total billed charges,48.02145776,,,,65.27,percent of total billed charges,50.90179573,,,,65.27,percent of total billed charges,48.02145776,,,,65.27,percent of total billed charges,50.90179573,,,,65.27,percent of total billed charges,999999999,,,,65.27,percent of total billed charges,49.73125402,,,,65.27,percent of total billed charges,48.02145776,,,,65.27,percent of total billed charges,50.90179573,,,,46.53751,percent of total billed charges,23.22306913,,,,46.53751,percent of total billed charges,13.89493507,,,,46.53751,percent of total billed charges,23.22306913,,,,46.53751,percent of total billed charges,13.89493507,,,,46.53751,percent of total billed charges,23.22306913,,,,46.53751,percent of total billed charges,13.89493507,,,,46.08062,percent of total billed charges,45.73099381,,,,46.08062,percent of total billed charges,31.54030396,,,,,,,,,,46.9944,percent of total billed charges,30.54525412,,,,,,,,,,46.9944,percent of total billed charges,999999999,,,,,,,,,,52.216,percent of total billed charges,43.75429372,,,,51.5633,percent of total billed charges,49.76080352,,,,51.5633,percent of total billed charges,43.96531707,,,,52.216,percent of total billed charges,999999999,,,,52.216,percent of total billed charges,999999999,,,,45.689,percent of total billed charges,999999999,,,,45.689,percent of total billed charges,999999999,,,,,,,,,,,,,,,,34.72364,percent of total billed charges,999999999,,,,,,,,,,,,,,,,32.96135,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16.3175,percent of total billed charges,15.49763359,,,,,,,,,,16.3175,percent of total billed charges,15.239841,,,,,,,,,,16.3175,percent of total billed charges,15.19749014,,,,,,,,,,16.3175,percent of total billed charges,14.97370728,,,,,,,,,,16.3175,percent of total billed charges,15.35900278,,,,,,,,,,16.3175,percent of total billed charges,999999999,,,,,,,,,,16.3175,percent of total billed charges,13.17910597,,,,,,,,,,16.3175,percent of total billed charges,20.78435894,,,,,,,,,,16.3175,percent of total billed charges,999999999,,,,,,,,,,16.3175,percent of total billed charges,14.21029942,,,,,,,,,,58.743,percent of total billed charges,,,,,
**ENALAPRILAT (VASOTEC) IV 2.5MG/2 ML,250,RC,5539-0001-10,NDC,,both,1,EA,17,17,3.619027059,17,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,17,percent of total billed charges,999999999,,,,17,percent of total billed charges,12.9528316,,,,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.002,percent of total billed charges,11.91093756,,,,12.002,percent of total billed charges,8.214879231,,,,,,,,,,12.24,percent of total billed charges,7.955711967,,,,,,,,,,12.24,percent of total billed charges,999999999,,,,,,,,,,13.6,percent of total billed charges,11.39609305,,,,13.43,percent of total billed charges,12.96052796,,,,13.43,percent of total billed charges,11.45105547,,,,13.6,percent of total billed charges,999999999,,,,13.6,percent of total billed charges,999999999,,,,11.9,percent of total billed charges,999999999,,,,11.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.044,percent of total billed charges,999999999,,,,,,,,,,,,,,,,8.585,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4.25,percent of total billed charges,4.036460412,,,,,,,,,,4.25,percent of total billed charges,3.96931664,,,,,,,,,,4.25,percent of total billed charges,3.958286079,,,,,,,,,,4.25,percent of total billed charges,3.900000364,,,,,,,,,,4.25,percent of total billed charges,4.000353107,,,,,,,,,,4.25,percent of total billed charges,999999999,,,,,,,,,,4.25,percent of total billed charges,3.432584671,,,,,,,,,,4.25,percent of total billed charges,5.413422736,,,,,,,,,,4.25,percent of total billed charges,999999999,,,,,,,,,,4.25,percent of total billed charges,3.701165774,,,,,,,,,,15.3,percent of total billed charges,,,,,
HEMORRHOIDAL (PREPARATION H) CR 1.8 OZ,637,RC,0011-3018-16,NDC,,both,1,EA,24.39,24.39,5.192239409,24.39,24.39,percent of total billed charges,17.94458947,,,,24.39,percent of total billed charges,19.02091003,,,,24.39,percent of total billed charges,17.94458947,,,,24.39,percent of total billed charges,19.02091003,,,,24.39,percent of total billed charges,999999999,,,,24.39,percent of total billed charges,18.58350369,,,,24.39,percent of total billed charges,17.94458947,,,,24.39,percent of total billed charges,19.02091003,,,,17.39007,percent of total billed charges,8.677963169,,,,17.39007,percent of total billed charges,5.192239409,,,,17.39007,percent of total billed charges,8.677963169,,,,17.39007,percent of total billed charges,5.192239409,,,,17.39007,percent of total billed charges,8.677963169,,,,17.39007,percent of total billed charges,5.192239409,,,,17.21934,percent of total billed charges,17.08869219,,,,17.21934,percent of total billed charges,11.78593556,,,,,,,,,,17.5608,percent of total billed charges,11.41410676,,,,,,,,,,17.5608,percent of total billed charges,999999999,,,,,,,,,,19.512,percent of total billed charges,16.35004173,,,,19.2681,percent of total billed charges,18.5945457,,,,19.2681,percent of total billed charges,16.42889663,,,,19.512,percent of total billed charges,999999999,,,,19.512,percent of total billed charges,999999999,,,,17.073,percent of total billed charges,999999999,,,,17.073,percent of total billed charges,999999999,,,,,,,,,,,,,,,,12.97548,percent of total billed charges,999999999,,,,,,,,,,,,,,,,12.31695,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6.0975,percent of total billed charges,5.791133497,,,,,,,,,,6.0975,percent of total billed charges,5.694801932,,,,,,,,,,6.0975,percent of total billed charges,5.678976321,,,,,,,,,,6.0975,percent of total billed charges,5.595353464,,,,,,,,,,6.0975,percent of total billed charges,5.739330134,,,,,,,,,,6.0975,percent of total billed charges,999999999,,,,,,,,,,6.0975,percent of total billed charges,4.924749419,,,,,,,,,,6.0975,percent of total billed charges,7.766669443,,,,,,,,,,6.0975,percent of total billed charges,999999999,,,,,,,,,,6.0975,percent of total billed charges,5.310084308,,,,,,,,,,21.951,percent of total billed charges,,,,,
CIPROFLOXACIN 400MG  IVPB,J0744,CDM,3600-0000-24,NDC,,both,1,EA,49.25,49.25,10.48453427,49.25,49.25,percent of total billed charges,36.23497464,,,,49.25,percent of total billed charges,38.40835667,,,,49.25,percent of total billed charges,36.23497464,,,,49.25,percent of total billed charges,38.40835667,,,,49.25,percent of total billed charges,999999999,,,,49.25,percent of total billed charges,37.52511507,,,,49.25,percent of total billed charges,36.23497464,,,,49.25,percent of total billed charges,38.40835667,,,,35.11525,percent of total billed charges,17.52315236,,,,35.11525,percent of total billed charges,10.48453427,,,,35.11525,percent of total billed charges,17.52315236,,,,35.11525,percent of total billed charges,10.48453427,,,,35.11525,percent of total billed charges,17.52315236,,,,35.11525,percent of total billed charges,10.48453427,,,,34.7705,percent of total billed charges,34.50668676,,,,34.7705,percent of total billed charges,23.79898836,,,,,,,,,,35.46,percent of total billed charges,23.04816555,,,,,,,,,,35.46,percent of total billed charges,999999999,,,,,,,,,,39.4,percent of total billed charges,33.01515192,,,,38.9075,percent of total billed charges,37.54741188,,,,38.9075,percent of total billed charges,33.17438127,,,,39.4,percent of total billed charges,999999999,,,,39.4,percent of total billed charges,999999999,,,,34.475,percent of total billed charges,999999999,,,,34.475,percent of total billed charges,999999999,,,,,,,,,,,,,,,,26.201,percent of total billed charges,999999999,,,,,,,,,,,,,,,,24.87125,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12.3125,percent of total billed charges,11.69386325,,,,,,,,,,12.3125,percent of total billed charges,11.49934379,,,,,,,,,,12.3125,percent of total billed charges,11.46738761,,,,,,,,,,12.3125,percent of total billed charges,11.29853047,,,,,,,,,,12.3125,percent of total billed charges,11.58925827,,,,,,,,,,12.3125,percent of total billed charges,999999999,,,,,,,,,,12.3125,percent of total billed charges,9.944399708,,,,,,,,,,12.3125,percent of total billed charges,15.6830041,,,,,,,,,,12.3125,percent of total billed charges,999999999,,,,,,,,,,12.3125,percent of total billed charges,10.72249496,,,,,,,,,,44.325,percent of total billed charges,,,,,
TETRACAINE 0.5% OPTH SOL  4 ML,250,RC,6868-2092-05,NDC,,both,1,EA,144.54,144.54,30.77024536,144.54,144.54,percent of total billed charges,106.3432129,,,,144.54,percent of total billed charges,112.721703,,,,144.54,percent of total billed charges,106.3432129,,,,144.54,percent of total billed charges,112.721703,,,,144.54,percent of total billed charges,999999999,,,,144.54,percent of total billed charges,110.1295458,,,,144.54,percent of total billed charges,106.3432129,,,,144.54,percent of total billed charges,112.721703,,,,103.05702,percent of total billed charges,51.42733893,,,,103.05702,percent of total billed charges,30.77024536,,,,103.05702,percent of total billed charges,51.42733893,,,,103.05702,percent of total billed charges,30.77024536,,,,103.05702,percent of total billed charges,51.42733893,,,,103.05702,percent of total billed charges,30.77024536,,,,102.04524,percent of total billed charges,101.270995,,,,102.04524,percent of total billed charges,69.84580259,,,,,,,,,,104.0688,percent of total billed charges,67.64227104,,,,,,,,,,104.0688,percent of total billed charges,999999999,,,,,,,,,,115.632,percent of total billed charges,96.89360525,,,,114.1866,percent of total billed charges,110.194983,,,,114.1866,percent of total billed charges,97.36091511,,,,115.632,percent of total billed charges,999999999,,,,115.632,percent of total billed charges,999999999,,,,101.178,percent of total billed charges,999999999,,,,101.178,percent of total billed charges,999999999,,,,,,,,,,,,,,,,76.89528,percent of total billed charges,999999999,,,,,,,,,,,,,,,,72.9927,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,36.135,percent of total billed charges,34.31941106,,,,,,,,,,36.135,percent of total billed charges,33.748531,,,,,,,,,,36.135,percent of total billed charges,33.65474528,,,,,,,,,,36.135,percent of total billed charges,33.15917957,,,,,,,,,,36.135,percent of total billed charges,34.012414,,,,,,,,,,36.135,percent of total billed charges,999999999,,,,,,,,,,36.135,percent of total billed charges,29.18504637,,,,,,,,,,36.135,percent of total billed charges,46.02683072,,,,,,,,,,36.135,percent of total billed charges,999999999,,,,,,,,,,36.135,percent of total billed charges,31.4686177,,,,,,,,,,130.086,percent of total billed charges,,,,,
**ATROPINE 1% UD:1 ML OPTH SOL,259,RC,6868-2092-05,NDC,,both,1,EA,63,63,13.41168851,63,63,percent of total billed charges,46.35133812,,,,63,percent of total billed charges,49.13150193,,,,63,percent of total billed charges,46.35133812,,,,63,percent of total billed charges,49.13150193,,,,63,percent of total billed charges,999999999,,,,63,percent of total billed charges,48.00167004,,,,63,percent of total billed charges,46.35133812,,,,63,percent of total billed charges,49.13150193,,,,44.919,percent of total billed charges,22.41540302,,,,44.919,percent of total billed charges,13.41168851,,,,44.919,percent of total billed charges,22.41540302,,,,44.919,percent of total billed charges,13.41168851,,,,44.919,percent of total billed charges,22.41540302,,,,44.919,percent of total billed charges,13.41168851,,,,44.478,percent of total billed charges,44.14053332,,,,44.478,percent of total billed charges,30.44337597,,,,,,,,,,45.36,percent of total billed charges,29.48293258,,,,,,,,,,45.36,percent of total billed charges,999999999,,,,,,,,,,50.4,percent of total billed charges,42.23258012,,,,49.77,percent of total billed charges,48.03019185,,,,49.77,percent of total billed charges,42.43626437,,,,50.4,percent of total billed charges,999999999,,,,50.4,percent of total billed charges,999999999,,,,44.1,percent of total billed charges,999999999,,,,44.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,33.516,percent of total billed charges,999999999,,,,,,,,,,,,,,,,31.815,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15.75,percent of total billed charges,14.95864741,,,,,,,,,,15.75,percent of total billed charges,14.70982049,,,,,,,,,,15.75,percent of total billed charges,14.66894253,,,,,,,,,,15.75,percent of total billed charges,14.45294253,,,,,,,,,,15.75,percent of total billed charges,14.82483798,,,,,,,,,,15.75,percent of total billed charges,999999999,,,,,,,,,,15.75,percent of total billed charges,12.72075496,,,,,,,,,,15.75,percent of total billed charges,20.06150779,,,,,,,,,,15.75,percent of total billed charges,999999999,,,,,,,,,,15.75,percent of total billed charges,13.71608493,,,,,,,,,,56.7,percent of total billed charges,,,,,
**FERROUS SULFATE ELIXIR 220MG/5ML:  60,259,RC,5031-3000-43,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
**VERAPAMIL HS (COVERA HS) 180MG: TAB,259,RC,0002-5191-34,NDC,,both,1,EA,9,9,1.915955502,9,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,9,percent of total billed charges,999999999,,,,9,percent of total billed charges,6.857381434,,,,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.354,percent of total billed charges,6.305790475,,,,6.354,percent of total billed charges,4.34905371,,,,,,,,,,6.48,percent of total billed charges,4.211847512,,,,,,,,,,6.48,percent of total billed charges,999999999,,,,,,,,,,7.2,percent of total billed charges,6.033225731,,,,7.11,percent of total billed charges,6.861455978,,,,7.11,percent of total billed charges,6.062323481,,,,7.2,percent of total billed charges,999999999,,,,7.2,percent of total billed charges,999999999,,,,6.3,percent of total billed charges,999999999,,,,6.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.788,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.545,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.25,percent of total billed charges,2.13694963,,,,,,,,,,2.25,percent of total billed charges,2.101402927,,,,,,,,,,2.25,percent of total billed charges,2.095563218,,,,,,,,,,2.25,percent of total billed charges,2.064706075,,,,,,,,,,2.25,percent of total billed charges,2.117833998,,,,,,,,,,2.25,percent of total billed charges,999999999,,,,,,,,,,2.25,percent of total billed charges,1.817250708,,,,,,,,,,2.25,percent of total billed charges,2.865929684,,,,,,,,,,2.25,percent of total billed charges,999999999,,,,,,,,,,2.25,percent of total billed charges,1.959440704,,,,,,,,,,8.1,percent of total billed charges,,,,,
APRACLONIDINE (IOPIDINE) 1% U/D,250,RC,0006-5066-10,NDC,,both,1,EA,177.9,177.9,37.87205375,177.9,177.9,percent of total billed charges,130.88735,,,,177.9,percent of total billed charges,138.7380031,,,,177.9,percent of total billed charges,130.88735,,,,177.9,percent of total billed charges,138.7380031,,,,177.9,percent of total billed charges,999999999,,,,177.9,percent of total billed charges,135.547573,,,,177.9,percent of total billed charges,130.88735,,,,177.9,percent of total billed charges,138.7380031,,,,126.8427,percent of total billed charges,63.29682853,,,,126.8427,percent of total billed charges,37.87205375,,,,126.8427,percent of total billed charges,63.29682853,,,,126.8427,percent of total billed charges,37.87205375,,,,126.8427,percent of total billed charges,63.29682853,,,,126.8427,percent of total billed charges,37.87205375,,,,125.5974,percent of total billed charges,124.6444584,,,,125.5974,percent of total billed charges,85.96629501,,,,,,,,,,128.088,percent of total billed charges,83.25418582,,,,,,,,,,128.088,percent of total billed charges,999999999,,,,,,,,,,142.32,percent of total billed charges,119.256762,,,,140.541,percent of total billed charges,135.6281132,,,,140.541,percent of total billed charges,119.8319275,,,,142.32,percent of total billed charges,999999999,,,,142.32,percent of total billed charges,999999999,,,,124.53,percent of total billed charges,999999999,,,,124.53,percent of total billed charges,999999999,,,,,,,,,,,,,,,,94.6428,percent of total billed charges,999999999,,,,,,,,,,,,,,,,89.8395,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,44.475,percent of total billed charges,42.24037102,,,,,,,,,,44.475,percent of total billed charges,41.53773119,,,,,,,,,,44.475,percent of total billed charges,41.42229961,,,,,,,,,,44.475,percent of total billed charges,40.81235675,,,,,,,,,,44.475,percent of total billed charges,41.86251869,,,,,,,,,,44.475,percent of total billed charges,999999999,,,,,,,,,,44.475,percent of total billed charges,35.920989,,,,,,,,,,44.475,percent of total billed charges,56.64987675,,,,,,,,,,44.475,percent of total billed charges,999999999,,,,,,,,,,44.475,percent of total billed charges,38.73161125,,,,,,,,,,160.11,percent of total billed charges,,,,,
**OLSALAZINE (DIPENTUM) 250MG: CAP,259,RC,5047-4060-25,NDC,,both,1,EA,17,17,3.619027059,17,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,17,percent of total billed charges,999999999,,,,17,percent of total billed charges,12.9528316,,,,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.002,percent of total billed charges,11.91093756,,,,12.002,percent of total billed charges,8.214879231,,,,,,,,,,12.24,percent of total billed charges,7.955711967,,,,,,,,,,12.24,percent of total billed charges,999999999,,,,,,,,,,13.6,percent of total billed charges,11.39609305,,,,13.43,percent of total billed charges,12.96052796,,,,13.43,percent of total billed charges,11.45105547,,,,13.6,percent of total billed charges,999999999,,,,13.6,percent of total billed charges,999999999,,,,11.9,percent of total billed charges,999999999,,,,11.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.044,percent of total billed charges,999999999,,,,,,,,,,,,,,,,8.585,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4.25,percent of total billed charges,4.036460412,,,,,,,,,,4.25,percent of total billed charges,3.96931664,,,,,,,,,,4.25,percent of total billed charges,3.958286079,,,,,,,,,,4.25,percent of total billed charges,3.900000364,,,,,,,,,,4.25,percent of total billed charges,4.000353107,,,,,,,,,,4.25,percent of total billed charges,999999999,,,,,,,,,,4.25,percent of total billed charges,3.432584671,,,,,,,,,,4.25,percent of total billed charges,5.413422736,,,,,,,,,,4.25,percent of total billed charges,999999999,,,,,,,,,,4.25,percent of total billed charges,3.701165774,,,,,,,,,,15.3,percent of total billed charges,,,,,
COLLAGENASE OINTMENT (SANTYL) 30 GM,637,RC,5048-4001-30,NDC,,both,1,EA,701.49,701.49,149.3359583,701.49,701.49,percent of total billed charges,516.1111139,,,,701.49,percent of total billed charges,547.067576,,,,701.49,percent of total billed charges,516.1111139,,,,701.49,percent of total billed charges,547.067576,,,,701.49,percent of total billed charges,999999999,,,,701.49,percent of total billed charges,534.4871669,,,,701.49,percent of total billed charges,516.1111139,,,,701.49,percent of total billed charges,547.067576,,,,500.16237,percent of total billed charges,249.5901756,,,,500.16237,percent of total billed charges,149.3359583,,,,500.16237,percent of total billed charges,249.5901756,,,,500.16237,percent of total billed charges,149.3359583,,,,500.16237,percent of total billed charges,249.5901756,,,,500.16237,percent of total billed charges,149.3359583,,,,495.25194,percent of total billed charges,491.4943289,,,,495.25194,percent of total billed charges,338.979743,,,,,,,,,,505.0728,percent of total billed charges,328.2854346,,,,,,,,,,505.0728,percent of total billed charges,999999999,,,,,,,,,,561.192,percent of total billed charges,470.2497243,,,,554.1771,percent of total billed charges,534.8047505,,,,554.1771,percent of total billed charges,472.5176999,,,,561.192,percent of total billed charges,999999999,,,,561.192,percent of total billed charges,999999999,,,,491.043,percent of total billed charges,999999999,,,,491.043,percent of total billed charges,999999999,,,,,,,,,,,,,,,,373.19268,percent of total billed charges,999999999,,,,,,,,,,,,,,,,354.25245,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,175.3725,percent of total billed charges,166.5609773,,,,,,,,,,175.3725,percent of total billed charges,163.7903488,,,,,,,,,,175.3725,percent of total billed charges,163.3351824,,,,,,,,,,175.3725,percent of total billed charges,160.9300739,,,,,,,,,,175.3725,percent of total billed charges,165.0710412,,,,,,,,,,175.3725,percent of total billed charges,999999999,,,,,,,,,,175.3725,percent of total billed charges,141.6425777,,,,,,,,,,175.3725,percent of total billed charges,223.3801126,,,,,,,,,,175.3725,percent of total billed charges,999999999,,,,,,,,,,175.3725,percent of total billed charges,152.7253399,,,,,,,,,,631.341,percent of total billed charges,,,,,
PROPAFENONE (RYTHMOL) 150MG TAB,637,RC,5107-9099-20,NDC,,both,1,EA,1.35,1.35,0.287393325,1.35,1.35,percent of total billed charges,0.99324296,,,,1.35,percent of total billed charges,1.052817899,,,,1.35,percent of total billed charges,0.99324296,,,,1.35,percent of total billed charges,1.052817899,,,,1.35,percent of total billed charges,999999999,,,,1.35,percent of total billed charges,1.028607215,,,,1.35,percent of total billed charges,0.99324296,,,,1.35,percent of total billed charges,1.052817899,,,,0.96255,percent of total billed charges,0.480330065,,,,0.96255,percent of total billed charges,0.287393325,,,,0.96255,percent of total billed charges,0.480330065,,,,0.96255,percent of total billed charges,0.287393325,,,,0.96255,percent of total billed charges,0.480330065,,,,0.96255,percent of total billed charges,0.287393325,,,,0.9531,percent of total billed charges,0.945868571,,,,0.9531,percent of total billed charges,0.652358057,,,,,,,,,,0.972,percent of total billed charges,0.631777127,,,,,,,,,,0.972,percent of total billed charges,999999999,,,,,,,,,,1.08,percent of total billed charges,0.90498386,,,,1.0665,percent of total billed charges,1.029218397,,,,1.0665,percent of total billed charges,0.909348522,,,,1.08,percent of total billed charges,999999999,,,,1.08,percent of total billed charges,999999999,,,,0.945,percent of total billed charges,999999999,,,,0.945,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.7182,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.68175,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.3375,percent of total billed charges,0.320542444,,,,,,,,,,0.3375,percent of total billed charges,0.315210439,,,,,,,,,,0.3375,percent of total billed charges,0.314334483,,,,,,,,,,0.3375,percent of total billed charges,0.309705911,,,,,,,,,,0.3375,percent of total billed charges,0.3176751,,,,,,,,,,0.3375,percent of total billed charges,999999999,,,,,,,,,,0.3375,percent of total billed charges,0.272587606,,,,,,,,,,0.3375,percent of total billed charges,0.429889453,,,,,,,,,,0.3375,percent of total billed charges,999999999,,,,,,,,,,0.3375,percent of total billed charges,0.293916106,,,,,,,,,,1.215,percent of total billed charges,,,,,
**IMMUNE GLOBULIN (BAY GAM) IM 2 ML,J1470,CDM,5107-9099-20,NDC,,both,1,EA,197,197,41.93813709,197,197,percent of total billed charges,144.9398986,,,,197,percent of total billed charges,153.6334267,,,,197,percent of total billed charges,144.9398986,,,,197,percent of total billed charges,153.6334267,,,,197,percent of total billed charges,999999999,,,,197,percent of total billed charges,150.1004603,,,,197,percent of total billed charges,144.9398986,,,,197,percent of total billed charges,153.6334267,,,,140.461,percent of total billed charges,70.09260944,,,,140.461,percent of total billed charges,41.93813709,,,,140.461,percent of total billed charges,70.09260944,,,,140.461,percent of total billed charges,41.93813709,,,,140.461,percent of total billed charges,70.09260944,,,,140.461,percent of total billed charges,41.93813709,,,,139.082,percent of total billed charges,138.0267471,,,,139.082,percent of total billed charges,95.19595344,,,,,,,,,,141.84,percent of total billed charges,92.19266221,,,,,,,,,,141.84,percent of total billed charges,999999999,,,,,,,,,,157.6,percent of total billed charges,132.0606077,,,,155.63,percent of total billed charges,150.1896475,,,,155.63,percent of total billed charges,132.6975251,,,,157.6,percent of total billed charges,999999999,,,,157.6,percent of total billed charges,999999999,,,,137.9,percent of total billed charges,999999999,,,,137.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,104.804,percent of total billed charges,999999999,,,,,,,,,,,,,,,,99.485,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,49.25,percent of total billed charges,46.77545301,,,,,,,,,,49.25,percent of total billed charges,45.99737518,,,,,,,,,,49.25,percent of total billed charges,45.86955044,,,,,,,,,,49.25,percent of total billed charges,45.19412187,,,,,,,,,,49.25,percent of total billed charges,46.35703306,,,,,,,,,,49.25,percent of total billed charges,999999999,,,,,,,,,,49.25,percent of total billed charges,39.77759883,,,,,,,,,,49.25,percent of total billed charges,62.73201641,,,,,,,,,,49.25,percent of total billed charges,999999999,,,,,,,,,,49.25,percent of total billed charges,42.88997985,,,,,,,,,,177.3,percent of total billed charges,,,,,
**BECLOMETHASONE (VANCENASE AQ) NASAL SP,259,RC,5295-9026-01,NDC,,both,1,EA,627,627,133.4782333,627,627,percent of total billed charges,461.3061746,,,,627,percent of total billed charges,488.975424,,,,627,percent of total billed charges,461.3061746,,,,627,percent of total billed charges,488.975424,,,,627,percent of total billed charges,999999999,,,,627,percent of total billed charges,477.7309066,,,,627,percent of total billed charges,461.3061746,,,,627,percent of total billed charges,488.975424,,,,447.051,percent of total billed charges,223.0866301,,,,447.051,percent of total billed charges,133.4782333,,,,447.051,percent of total billed charges,223.0866301,,,,447.051,percent of total billed charges,133.4782333,,,,447.051,percent of total billed charges,223.0866301,,,,447.051,percent of total billed charges,133.4782333,,,,442.662,percent of total billed charges,439.3034031,,,,442.662,percent of total billed charges,302.9840752,,,,,,,,,,451.44,percent of total billed charges,293.4253767,,,,,,,,,,451.44,percent of total billed charges,999999999,,,,,,,,,,501.6,percent of total billed charges,420.314726,,,,495.33,percent of total billed charges,478.0147665,,,,495.33,percent of total billed charges,422.3418692,,,,501.6,percent of total billed charges,999999999,,,,501.6,percent of total billed charges,999999999,,,,438.9,percent of total billed charges,999999999,,,,438.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,333.564,percent of total billed charges,999999999,,,,,,,,,,,,,,,,316.635,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,156.75,percent of total billed charges,148.8741575,,,,,,,,,,156.75,percent of total billed charges,146.3977372,,,,,,,,,,156.75,percent of total billed charges,145.9909042,,,,,,,,,,156.75,percent of total billed charges,143.8411899,,,,,,,,,,156.75,percent of total billed charges,147.5424352,,,,,,,,,,156.75,percent of total billed charges,999999999,,,,,,,,,,156.75,percent of total billed charges,126.6017993,,,,,,,,,,156.75,percent of total billed charges,199.659768,,,,,,,,,,156.75,percent of total billed charges,999999999,,,,,,,,,,156.75,percent of total billed charges,136.5077024,,,,,,,,,,564.3,percent of total billed charges,,,,,
CIPROFLOXACIN (CILOXAN) OPHTH SOL 0.3%,637,RC,6131-4065-05,NDC,,both,1,EA,60.96,60.96,12.97740526,60.96,60.96,percent of total billed charges,44.85043765,,,,60.96,percent of total billed charges,47.54057711,,,,60.96,percent of total billed charges,44.85043765,,,,60.96,percent of total billed charges,47.54057711,,,,60.96,percent of total billed charges,999999999,,,,60.96,percent of total billed charges,46.44733025,,,,60.96,percent of total billed charges,44.85043765,,,,60.96,percent of total billed charges,47.54057711,,,,43.46448,percent of total billed charges,21.68957092,,,,43.46448,percent of total billed charges,12.97740526,,,,43.46448,percent of total billed charges,21.68957092,,,,43.46448,percent of total billed charges,12.97740526,,,,43.46448,percent of total billed charges,21.68957092,,,,43.46448,percent of total billed charges,12.97740526,,,,43.03776,percent of total billed charges,42.71122081,,,,43.03776,percent of total billed charges,29.45759046,,,,,,,,,,43.8912,percent of total billed charges,28.52824715,,,,,,,,,,43.8912,percent of total billed charges,999999999,,,,,,,,,,48.768,percent of total billed charges,40.86504895,,,,48.1584,percent of total billed charges,46.47492849,,,,48.1584,percent of total billed charges,41.06213771,,,,48.768,percent of total billed charges,999999999,,,,48.768,percent of total billed charges,999999999,,,,42.672,percent of total billed charges,999999999,,,,42.672,percent of total billed charges,999999999,,,,,,,,,,,,,,,,32.43072,percent of total billed charges,999999999,,,,,,,,,,,,,,,,30.7848,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15.24,percent of total billed charges,14.47427216,,,,,,,,,,15.24,percent of total billed charges,14.23350249,,,,,,,,,,15.24,percent of total billed charges,14.1939482,,,,,,,,,,15.24,percent of total billed charges,13.98494248,,,,,,,,,,15.24,percent of total billed charges,14.34479561,,,,,,,,,,15.24,percent of total billed charges,999999999,,,,,,,,,,15.24,percent of total billed charges,12.3088448,,,,,,,,,,15.24,percent of total billed charges,19.41189706,,,,,,,,,,15.24,percent of total billed charges,999999999,,,,,,,,,,15.24,percent of total billed charges,13.27194503,,,,,,,,,,54.864,percent of total billed charges,,,,,
APRACLONIDINE (IOPIDINE) 0.5% 5ML,250,RC,5486-8400-00,NDC,,both,1,EA,134.5,134.5,28.63289055,134.5,134.5,percent of total billed charges,98.95642821,,,,134.5,percent of total billed charges,104.8918573,,,,134.5,percent of total billed charges,98.95642821,,,,134.5,percent of total billed charges,104.8918573,,,,134.5,percent of total billed charges,999999999,,,,134.5,percent of total billed charges,102.4797559,,,,134.5,percent of total billed charges,98.95642821,,,,134.5,percent of total billed charges,104.8918573,,,,95.8985,percent of total billed charges,47.85510645,,,,95.8985,percent of total billed charges,28.63289055,,,,95.8985,percent of total billed charges,47.85510645,,,,95.8985,percent of total billed charges,28.63289055,,,,95.8985,percent of total billed charges,47.85510645,,,,95.8985,percent of total billed charges,28.63289055,,,,94.957,percent of total billed charges,94.23653543,,,,94.957,percent of total billed charges,64.99419156,,,,,,,,,,96.84,percent of total billed charges,62.94372115,,,,,,,,,,96.84,percent of total billed charges,999999999,,,,,,,,,,107.6,percent of total billed charges,90.16320676,,,,106.255,percent of total billed charges,102.5406477,,,,106.255,percent of total billed charges,90.59805647,,,,107.6,percent of total billed charges,999999999,,,,107.6,percent of total billed charges,999999999,,,,94.15,percent of total billed charges,999999999,,,,94.15,percent of total billed charges,999999999,,,,,,,,,,,,,,,,71.554,percent of total billed charges,999999999,,,,,,,,,,,,,,,,67.9225,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,33.625,percent of total billed charges,31.93552502,,,,,,,,,,33.625,percent of total billed charges,31.4042993,,,,,,,,,,33.625,percent of total billed charges,31.31702809,,,,,,,,,,33.625,percent of total billed charges,30.85588523,,,,,,,,,,33.625,percent of total billed charges,31.64985252,,,,,,,,,,33.625,percent of total billed charges,999999999,,,,,,,,,,33.625,percent of total billed charges,27.15780225,,,,,,,,,,33.625,percent of total billed charges,42.82972694,,,,,,,,,,33.625,percent of total billed charges,999999999,,,,,,,,,,33.625,percent of total billed charges,29.28275274,,,,,,,,,,121.05,percent of total billed charges,,,,,
**CHLORPROCAINE3%MPF(NESACAINEINJECTION,J2400,CDM,5295-9000-60,NDC,,both,1,EA,123,123,26.18472519,123,123,percent of total billed charges,90.49546966,,,,123,percent of total billed charges,95.92340853,,,,123,percent of total billed charges,90.49546966,,,,123,percent of total billed charges,95.92340853,,,,123,percent of total billed charges,999999999,,,,123,percent of total billed charges,93.71754626,,,,123,percent of total billed charges,90.49546966,,,,123,percent of total billed charges,95.92340853,,,,87.699,percent of total billed charges,43.7634059,,,,87.699,percent of total billed charges,26.18472519,,,,87.699,percent of total billed charges,43.7634059,,,,87.699,percent of total billed charges,26.18472519,,,,87.699,percent of total billed charges,43.7634059,,,,87.699,percent of total billed charges,26.18472519,,,,86.838,percent of total billed charges,86.17913649,,,,86.838,percent of total billed charges,59.43706737,,,,,,,,,,88.56,percent of total billed charges,57.561916,,,,,,,,,,88.56,percent of total billed charges,999999999,,,,,,,,,,98.4,percent of total billed charges,82.454085,,,,97.17,percent of total billed charges,93.7732317,,,,97.17,percent of total billed charges,82.85175425,,,,98.4,percent of total billed charges,999999999,,,,98.4,percent of total billed charges,999999999,,,,86.1,percent of total billed charges,999999999,,,,86.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,65.436,percent of total billed charges,999999999,,,,,,,,,,,,,,,,62.115,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,30.75,percent of total billed charges,29.20497827,,,,,,,,,,30.75,percent of total billed charges,28.71917333,,,,,,,,,,30.75,percent of total billed charges,28.63936398,,,,,,,,,,30.75,percent of total billed charges,28.21764969,,,,,,,,,,30.75,percent of total billed charges,28.9437313,,,,,,,,,,30.75,percent of total billed charges,999999999,,,,,,,,,,30.75,percent of total billed charges,24.83575968,,,,,,,,,,30.75,percent of total billed charges,39.16770568,,,,,,,,,,30.75,percent of total billed charges,999999999,,,,,,,,,,30.75,percent of total billed charges,26.77902295,,,,,,,,,,110.7,percent of total billed charges,,,,,
**ISRADIPINE (DYNACIRC) 2.5MG: CAP,259,RC,5486-8246-00,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
HYOSCYAMINE (LEVSIN) 0.125MG TAB,637,RC,0022-5029-15,NDC,,both,1,EA,0.5,0.5,0.106441972,0.5,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,999999999,,,,0.5,percent of total billed charges,0.380965635,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.353,percent of total billed charges,0.350321693,,,,0.353,percent of total billed charges,0.241614095,,,,,,,,,,0.36,percent of total billed charges,0.233991528,,,,,,,,,,0.36,percent of total billed charges,999999999,,,,,,,,,,0.4,percent of total billed charges,0.335179207,,,,0.395,percent of total billed charges,0.381191999,,,,0.395,percent of total billed charges,0.336795749,,,,0.4,percent of total billed charges,999999999,,,,0.4,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.266,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.2525,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.125,percent of total billed charges,0.118719424,,,,,,,,,,0.125,percent of total billed charges,0.116744607,,,,,,,,,,0.125,percent of total billed charges,0.116420179,,,,,,,,,,0.125,percent of total billed charges,0.114705893,,,,,,,,,,0.125,percent of total billed charges,0.117657444,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.100958373,,,,,,,,,,0.125,percent of total billed charges,0.159218316,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.108857817,,,,,,,,,,0.45,percent of total billed charges,,,,,
**INSULIN THERAPY(HUMULIN)100UNIT/ML:10,250,RC,0000-2871-01,NDC,,both,1,EA,73,73,15.54052796,73,73,percent of total billed charges,53.70869338,,,,73,percent of total billed charges,56.93015303,,,,73,percent of total billed charges,53.70869338,,,,73,percent of total billed charges,56.93015303,,,,73,percent of total billed charges,999999999,,,,73,percent of total billed charges,55.62098274,,,,73,percent of total billed charges,53.70869338,,,,73,percent of total billed charges,56.93015303,,,,52.049,percent of total billed charges,25.9734035,,,,52.049,percent of total billed charges,15.54052796,,,,52.049,percent of total billed charges,25.9734035,,,,52.049,percent of total billed charges,15.54052796,,,,52.049,percent of total billed charges,25.9734035,,,,52.049,percent of total billed charges,15.54052796,,,,51.538,percent of total billed charges,51.14696718,,,,51.538,percent of total billed charges,35.27565787,,,,,,,,,,52.56,percent of total billed charges,34.16276315,,,,,,,,,,52.56,percent of total billed charges,999999999,,,,,,,,,,58.4,percent of total billed charges,48.93616427,,,,57.67,percent of total billed charges,55.65403182,,,,57.67,percent of total billed charges,49.17217935,,,,58.4,percent of total billed charges,999999999,,,,58.4,percent of total billed charges,999999999,,,,51.1,percent of total billed charges,999999999,,,,51.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,38.836,percent of total billed charges,999999999,,,,,,,,,,,,,,,,36.865,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18.25,percent of total billed charges,17.33303589,,,,,,,,,,18.25,percent of total billed charges,17.04471263,,,,,,,,,,18.25,percent of total billed charges,16.9973461,,,,,,,,,,18.25,percent of total billed charges,16.74706039,,,,,,,,,,18.25,percent of total billed charges,17.17798687,,,,,,,,,,18.25,percent of total billed charges,999999999,,,,,,,,,,18.25,percent of total billed charges,14.73992241,,,,,,,,,,18.25,percent of total billed charges,23.2458741,,,,,,,,,,18.25,percent of total billed charges,999999999,,,,,,,,,,18.25,percent of total billed charges,15.89324126,,,,,,,,,,65.7,percent of total billed charges,,,,,
BUPivacaine 0.75% MPF(SENSORCAINE) 30ML,250,RC,0040-9116-02,NDC,,both,1,EA,35.31,35.31,7.516932085,35.31,35.31,percent of total billed charges,25.97882141,,,,35.31,percent of total billed charges,27.53703703,,,,35.31,percent of total billed charges,25.97882141,,,,35.31,percent of total billed charges,27.53703703,,,,35.31,percent of total billed charges,999999999,,,,35.31,percent of total billed charges,26.90379316,,,,35.31,percent of total billed charges,25.97882141,,,,35.31,percent of total billed charges,27.53703703,,,,25.17603,percent of total billed charges,12.56329969,,,,25.17603,percent of total billed charges,7.516932085,,,,25.17603,percent of total billed charges,12.56329969,,,,25.17603,percent of total billed charges,7.516932085,,,,25.17603,percent of total billed charges,12.56329969,,,,25.17603,percent of total billed charges,7.516932085,,,,24.92886,percent of total billed charges,24.73971796,,,,24.92886,percent of total billed charges,17.06278739,,,,,,,,,,25.4232,percent of total billed charges,16.52448174,,,,,,,,,,25.4232,percent of total billed charges,999999999,,,,,,,,,,28.248,percent of total billed charges,23.67035562,,,,27.8949,percent of total billed charges,26.91977895,,,,27.8949,percent of total billed charges,23.78451579,,,,28.248,percent of total billed charges,999999999,,,,28.248,percent of total billed charges,999999999,,,,24.717,percent of total billed charges,999999999,,,,24.717,percent of total billed charges,999999999,,,,,,,,,,,,,,,,18.78492,percent of total billed charges,999999999,,,,,,,,,,,,,,,,17.83155,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8.8275,percent of total billed charges,8.383965715,,,,,,,,,,8.8275,percent of total billed charges,8.24450415,,,,,,,,,,8.8275,percent of total billed charges,8.221593026,,,,,,,,,,8.8275,percent of total billed charges,8.100530168,,,,,,,,,,8.8275,percent of total billed charges,8.308968718,,,,,,,,,,8.8275,percent of total billed charges,999999999,,,,,,,,,,8.8275,percent of total billed charges,7.129680278,,,,,,,,,,8.8275,percent of total billed charges,11.24399746,,,,,,,,,,8.8275,percent of total billed charges,999999999,,,,,,,,,,8.8275,percent of total billed charges,7.687539028,,,,,,,,,,31.779,percent of total billed charges,,,,,
CARBACHOL (MIOSTAT) 0.01% SOL: 1.5ML,250,RC,0006-5002-15,NDC,,both,1,EA,74.07,74.07,15.76831378,74.07,74.07,percent of total billed charges,54.49593039,,,,74.07,percent of total billed charges,57.7646087,,,,74.07,percent of total billed charges,54.49593039,,,,74.07,percent of total billed charges,57.7646087,,,,74.07,percent of total billed charges,999999999,,,,74.07,percent of total billed charges,56.4362492,,,,74.07,percent of total billed charges,54.49593039,,,,74.07,percent of total billed charges,57.7646087,,,,52.81191,percent of total billed charges,26.35410955,,,,52.81191,percent of total billed charges,15.76831378,,,,52.81191,percent of total billed charges,26.35410955,,,,52.81191,percent of total billed charges,15.76831378,,,,52.81191,percent of total billed charges,26.35410955,,,,52.81191,percent of total billed charges,15.76831378,,,,52.29342,percent of total billed charges,51.89665561,,,,52.29342,percent of total billed charges,35.79271204,,,,,,,,,,53.3304,percent of total billed charges,34.66350502,,,,,,,,,,53.3304,percent of total billed charges,999999999,,,,,,,,,,59.256,percent of total billed charges,49.65344777,,,,58.5153,percent of total billed charges,56.4697827,,,,58.5153,percent of total billed charges,49.89292225,,,,59.256,percent of total billed charges,999999999,,,,59.256,percent of total billed charges,999999999,,,,51.849,percent of total billed charges,999999999,,,,51.849,percent of total billed charges,999999999,,,,,,,,,,,,,,,,39.40524,percent of total billed charges,999999999,,,,,,,,,,,,,,,,37.40535,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18.5175,percent of total billed charges,17.58709545,,,,,,,,,,18.5175,percent of total billed charges,17.29454609,,,,,,,,,,18.5175,percent of total billed charges,17.24648528,,,,,,,,,,18.5175,percent of total billed charges,16.992531,,,,,,,,,,18.5175,percent of total billed charges,17.4297738,,,,,,,,,,18.5175,percent of total billed charges,999999999,,,,,,,,,,18.5175,percent of total billed charges,14.95597333,,,,,,,,,,18.5175,percent of total billed charges,23.5866013,,,,,,,,,,18.5175,percent of total billed charges,999999999,,,,,,,,,,18.5175,percent of total billed charges,16.12619699,,,,,,,,,,66.663,percent of total billed charges,,,,,
"LIDOCAINE 2% W/EPI 1:100,000; 20 ML MDV",250,RC,0040-9318-01,NDC,,both,1,EA,77.28,77.28,16.45167124,77.28,77.28,percent of total billed charges,56.85764143,,,,77.28,percent of total billed charges,60.2679757,,,,77.28,percent of total billed charges,56.85764143,,,,77.28,percent of total billed charges,60.2679757,,,,77.28,percent of total billed charges,999999999,,,,77.28,percent of total billed charges,58.88204858,,,,77.28,percent of total billed charges,56.85764143,,,,77.28,percent of total billed charges,60.2679757,,,,55.10064,percent of total billed charges,27.4962277,,,,55.10064,percent of total billed charges,16.45167124,,,,55.10064,percent of total billed charges,27.4962277,,,,55.10064,percent of total billed charges,16.45167124,,,,55.10064,percent of total billed charges,27.4962277,,,,55.10064,percent of total billed charges,16.45167124,,,,54.55968,percent of total billed charges,54.14572088,,,,54.55968,percent of total billed charges,37.34387453,,,,,,,,,,55.6416,percent of total billed charges,36.16573064,,,,,,,,,,55.6416,percent of total billed charges,999999999,,,,,,,,,,61.824,percent of total billed charges,51.80529828,,,,61.0512,percent of total billed charges,58.91703533,,,,61.0512,percent of total billed charges,52.05515096,,,,61.824,percent of total billed charges,999999999,,,,61.824,percent of total billed charges,999999999,,,,54.096,percent of total billed charges,999999999,,,,54.096,percent of total billed charges,999999999,,,,,,,,,,,,,,,,41.11296,percent of total billed charges,999999999,,,,,,,,,,,,,,,,39.0264,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19.32,percent of total billed charges,18.34927416,,,,,,,,,,19.32,percent of total billed charges,18.04404646,,,,,,,,,,19.32,percent of total billed charges,17.99390283,,,,,,,,,,19.32,percent of total billed charges,17.72894283,,,,,,,,,,19.32,percent of total billed charges,18.18513459,,,,,,,,,,19.32,percent of total billed charges,999999999,,,,,,,,,,19.32,percent of total billed charges,15.60412608,,,,,,,,,,19.32,percent of total billed charges,24.60878288,,,,,,,,,,19.32,percent of total billed charges,999999999,,,,,,,,,,19.32,percent of total billed charges,16.82506418,,,,,,,,,,69.552,percent of total billed charges,,,,,
**PYRAZINAMIDE 500MG TAB,259,RC,6174-8001-05,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
**DONNATAL ELIX.(ATROP/HYOSC/SCOP/PB:60,259,RC,6621-3042-04,NDC,,both,1,EA,11,11,2.341723391,11,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,11,percent of total billed charges,999999999,,,,11,percent of total billed charges,8.381243975,,,,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.766,percent of total billed charges,7.707077247,,,,7.766,percent of total billed charges,5.31551009,,,,,,,,,,7.92,percent of total billed charges,5.147813626,,,,,,,,,,7.92,percent of total billed charges,999999999,,,,,,,,,,8.8,percent of total billed charges,7.373942561,,,,8.69,percent of total billed charges,8.386223973,,,,8.69,percent of total billed charges,7.409506477,,,,8.8,percent of total billed charges,999999999,,,,8.8,percent of total billed charges,999999999,,,,7.7,percent of total billed charges,999999999,,,,7.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.852,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.555,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.75,percent of total billed charges,2.611827325,,,,,,,,,,2.75,percent of total billed charges,2.568381355,,,,,,,,,,2.75,percent of total billed charges,2.561243933,,,,,,,,,,2.75,percent of total billed charges,2.523529647,,,,,,,,,,2.75,percent of total billed charges,2.588463775,,,,,,,,,,2.75,percent of total billed charges,999999999,,,,,,,,,,2.75,percent of total billed charges,2.221084199,,,,,,,,,,2.75,percent of total billed charges,3.502802947,,,,,,,,,,2.75,percent of total billed charges,999999999,,,,,,,,,,2.75,percent of total billed charges,2.394871971,,,,,,,,,,9.9,percent of total billed charges,,,,,
**EULEXIN (FLUTAMIDE) 125MG: CAP,259,RC,0017-2496-58,NDC,,both,1,EA,9,9,1.915955502,9,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,9,percent of total billed charges,999999999,,,,9,percent of total billed charges,6.857381434,,,,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.354,percent of total billed charges,6.305790475,,,,6.354,percent of total billed charges,4.34905371,,,,,,,,,,6.48,percent of total billed charges,4.211847512,,,,,,,,,,6.48,percent of total billed charges,999999999,,,,,,,,,,7.2,percent of total billed charges,6.033225731,,,,7.11,percent of total billed charges,6.861455978,,,,7.11,percent of total billed charges,6.062323481,,,,7.2,percent of total billed charges,999999999,,,,7.2,percent of total billed charges,999999999,,,,6.3,percent of total billed charges,999999999,,,,6.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.788,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.545,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.25,percent of total billed charges,2.13694963,,,,,,,,,,2.25,percent of total billed charges,2.101402927,,,,,,,,,,2.25,percent of total billed charges,2.095563218,,,,,,,,,,2.25,percent of total billed charges,2.064706075,,,,,,,,,,2.25,percent of total billed charges,2.117833998,,,,,,,,,,2.25,percent of total billed charges,999999999,,,,,,,,,,2.25,percent of total billed charges,1.817250708,,,,,,,,,,2.25,percent of total billed charges,2.865929684,,,,,,,,,,2.25,percent of total billed charges,999999999,,,,,,,,,,2.25,percent of total billed charges,1.959440704,,,,,,,,,,8.1,percent of total billed charges,,,,,
**VASELINE LIP THERAPY 10 GM TUBE,637,RC,0052-1275-00,NDC,,both,1,EA,13.25,13.25,2.820712266,13.25,13.25,percent of total billed charges,9.748495716,,,,13.25,percent of total billed charges,10.33321271,,,,13.25,percent of total billed charges,9.748495716,,,,13.25,percent of total billed charges,10.33321271,,,,13.25,percent of total billed charges,999999999,,,,13.25,percent of total billed charges,10.09558933,,,,13.25,percent of total billed charges,9.748495716,,,,13.25,percent of total billed charges,10.33321271,,,,9.44725,percent of total billed charges,4.714350635,,,,9.44725,percent of total billed charges,2.820712266,,,,9.44725,percent of total billed charges,4.714350635,,,,9.44725,percent of total billed charges,2.820712266,,,,9.44725,percent of total billed charges,4.714350635,,,,9.44725,percent of total billed charges,2.820712266,,,,9.3545,percent of total billed charges,9.283524865,,,,9.3545,percent of total billed charges,6.402773518,,,,,,,,,,9.54,percent of total billed charges,6.200775504,,,,,,,,,,9.54,percent of total billed charges,999999999,,,,,,,,,,10.6,percent of total billed charges,8.882248993,,,,10.4675,percent of total billed charges,10.10158797,,,,10.4675,percent of total billed charges,8.925087348,,,,10.6,percent of total billed charges,999999999,,,,10.6,percent of total billed charges,999999999,,,,9.275,percent of total billed charges,999999999,,,,9.275,percent of total billed charges,999999999,,,,,,,,,,,,,,,,7.049,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.69125,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3.3125,percent of total billed charges,3.146064733,,,,,,,,,,3.3125,percent of total billed charges,3.093732087,,,,,,,,,,3.3125,percent of total billed charges,3.085134738,,,,,,,,,,3.3125,percent of total billed charges,3.039706166,,,,,,,,,,3.3125,percent of total billed charges,3.117922275,,,,,,,,,,3.3125,percent of total billed charges,999999999,,,,,,,,,,3.3125,percent of total billed charges,2.675396876,,,,,,,,,,3.3125,percent of total billed charges,4.219285368,,,,,,,,,,3.3125,percent of total billed charges,999999999,,,,,,,,,,3.3125,percent of total billed charges,2.884732147,,,,,,,,,,11.925,percent of total billed charges,,,,,
**SUCRALFATE (CARAFATE)SUSP 1GM/10ML,259,RC,5891-4017-14,NDC,,both,1,EA,36,36,7.663822006,36,36,percent of total billed charges,26.48647893,,,,36,percent of total billed charges,28.07514396,,,,36,percent of total billed charges,26.48647893,,,,36,percent of total billed charges,28.07514396,,,,36,percent of total billed charges,999999999,,,,36,percent of total billed charges,27.42952574,,,,36,percent of total billed charges,26.48647893,,,,36,percent of total billed charges,28.07514396,,,,25.668,percent of total billed charges,12.80880173,,,,25.668,percent of total billed charges,7.663822006,,,,25.668,percent of total billed charges,12.80880173,,,,25.668,percent of total billed charges,7.663822006,,,,25.668,percent of total billed charges,12.80880173,,,,25.668,percent of total billed charges,7.663822006,,,,25.416,percent of total billed charges,25.2231619,,,,25.416,percent of total billed charges,17.39621484,,,,,,,,,,25.92,percent of total billed charges,16.84739005,,,,,,,,,,25.92,percent of total billed charges,999999999,,,,,,,,,,28.8,percent of total billed charges,24.13290293,,,,28.44,percent of total billed charges,27.44582391,,,,28.44,percent of total billed charges,24.24929393,,,,28.8,percent of total billed charges,999999999,,,,28.8,percent of total billed charges,999999999,,,,25.2,percent of total billed charges,999999999,,,,25.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,19.152,percent of total billed charges,999999999,,,,,,,,,,,,,,,,18.18,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9,percent of total billed charges,8.54779852,,,,,,,,,,9,percent of total billed charges,8.405611707,,,,,,,,,,9,percent of total billed charges,8.382252872,,,,,,,,,,9,percent of total billed charges,8.258824301,,,,,,,,,,9,percent of total billed charges,8.471335991,,,,,,,,,,9,percent of total billed charges,999999999,,,,,,,,,,9,percent of total billed charges,7.269002832,,,,,,,,,,9,percent of total billed charges,11.46371873,,,,,,,,,,9,percent of total billed charges,999999999,,,,,,,,,,9,percent of total billed charges,7.837762816,,,,,,,,,,32.4,percent of total billed charges,,,,,
CARBIDOPA/LEVODOPA 50/200MG CR TAB,250,RC,5107-9092-20,NDC,,both,1,EA,2.81,2.81,0.598203884,2.81,2.81,percent of total billed charges,2.067416827,,,,2.81,percent of total billed charges,2.191420959,,,,2.81,percent of total billed charges,2.067416827,,,,2.81,percent of total billed charges,2.191420959,,,,2.81,percent of total billed charges,999999999,,,,2.81,percent of total billed charges,2.14102687,,,,2.81,percent of total billed charges,2.067416827,,,,2.81,percent of total billed charges,2.191420959,,,,2.00353,percent of total billed charges,0.999798135,,,,2.00353,percent of total billed charges,0.598203884,,,,2.00353,percent of total billed charges,0.999798135,,,,2.00353,percent of total billed charges,0.598203884,,,,2.00353,percent of total billed charges,0.999798135,,,,2.00353,percent of total billed charges,0.598203884,,,,1.98386,percent of total billed charges,1.968807915,,,,1.98386,percent of total billed charges,1.357871214,,,,,,,,,,2.0232,percent of total billed charges,1.31503239,,,,,,,,,,2.0232,percent of total billed charges,999999999,,,,,,,,,,2.248,percent of total billed charges,1.883707145,,,,2.2199,percent of total billed charges,2.142299033,,,,2.2199,percent of total billed charges,1.892792109,,,,2.248,percent of total billed charges,999999999,,,,2.248,percent of total billed charges,999999999,,,,1.967,percent of total billed charges,999999999,,,,1.967,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.49492,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.41905,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.7025,percent of total billed charges,0.667203162,,,,,,,,,,0.7025,percent of total billed charges,0.656104692,,,,,,,,,,0.7025,percent of total billed charges,0.654281405,,,,,,,,,,0.7025,percent of total billed charges,0.644647119,,,,,,,,,,0.7025,percent of total billed charges,0.661234837,,,,,,,,,,0.7025,percent of total billed charges,999999999,,,,,,,,,,0.7025,percent of total billed charges,0.567386054,,,,,,,,,,0.7025,percent of total billed charges,0.894806935,,,,,,,,,,0.7025,percent of total billed charges,999999999,,,,,,,,,,0.7025,percent of total billed charges,0.611780931,,,,,,,,,,2.529,percent of total billed charges,,,,,
FLUoxetine (PROzac) 20MG CAP,250,RC,0090-4578-61,NDC,,both,1,EA,0.5,0.5,0.106441972,0.5,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,999999999,,,,0.5,percent of total billed charges,0.380965635,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.353,percent of total billed charges,0.350321693,,,,0.353,percent of total billed charges,0.241614095,,,,,,,,,,0.36,percent of total billed charges,0.233991528,,,,,,,,,,0.36,percent of total billed charges,999999999,,,,,,,,,,0.4,percent of total billed charges,0.335179207,,,,0.395,percent of total billed charges,0.381191999,,,,0.395,percent of total billed charges,0.336795749,,,,0.4,percent of total billed charges,999999999,,,,0.4,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.266,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.2525,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.125,percent of total billed charges,0.118719424,,,,,,,,,,0.125,percent of total billed charges,0.116744607,,,,,,,,,,0.125,percent of total billed charges,0.116420179,,,,,,,,,,0.125,percent of total billed charges,0.114705893,,,,,,,,,,0.125,percent of total billed charges,0.117657444,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.100958373,,,,,,,,,,0.125,percent of total billed charges,0.159218316,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.108857817,,,,,,,,,,0.45,percent of total billed charges,,,,,
**VERAPAMIL HS (COVERA HS) 240 MG: TAB,259,RC,0002-5202-31,NDC,,both,1,EA,10,10,2.128839446,10,10,percent of total billed charges,7.357355257,,,,10,percent of total billed charges,7.7986511,,,,10,percent of total billed charges,7.357355257,,,,10,percent of total billed charges,7.7986511,,,,10,percent of total billed charges,999999999,,,,10,percent of total billed charges,7.619312704,,,,10,percent of total billed charges,7.357355257,,,,10,percent of total billed charges,7.7986511,,,,7.13,percent of total billed charges,3.558000479,,,,7.13,percent of total billed charges,2.128839446,,,,7.13,percent of total billed charges,3.558000479,,,,7.13,percent of total billed charges,2.128839446,,,,7.13,percent of total billed charges,3.558000479,,,,7.13,percent of total billed charges,2.128839446,,,,7.06,percent of total billed charges,7.006433861,,,,7.06,percent of total billed charges,4.8322819,,,,,,,,,,7.2,percent of total billed charges,4.679830569,,,,,,,,,,7.2,percent of total billed charges,999999999,,,,,,,,,,8,percent of total billed charges,6.703584146,,,,7.9,percent of total billed charges,7.623839976,,,,7.9,percent of total billed charges,6.735914979,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,999999999,,,,7,percent of total billed charges,999999999,,,,7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.32,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.05,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.5,percent of total billed charges,2.374388478,,,,,,,,,,2.5,percent of total billed charges,2.334892141,,,,,,,,,,2.5,percent of total billed charges,2.328403576,,,,,,,,,,2.5,percent of total billed charges,2.294117861,,,,,,,,,,2.5,percent of total billed charges,2.353148886,,,,,,,,,,2.5,percent of total billed charges,999999999,,,,,,,,,,2.5,percent of total billed charges,2.019167453,,,,,,,,,,2.5,percent of total billed charges,3.184366315,,,,,,,,,,2.5,percent of total billed charges,999999999,,,,,,,,,,2.5,percent of total billed charges,2.177156338,,,,,,,,,,9,percent of total billed charges,,,,,
COLCHICINE 0.6 MG TAB,250,RC,6476-4011-07,NDC,,both,1,EA,16.93,16.93,3.604125182,16.93,16.93,percent of total billed charges,12.45600245,,,,16.93,percent of total billed charges,13.20311631,,,,16.93,percent of total billed charges,12.45600245,,,,16.93,percent of total billed charges,13.20311631,,,,16.93,percent of total billed charges,999999999,,,,16.93,percent of total billed charges,12.89949641,,,,16.93,percent of total billed charges,12.45600245,,,,16.93,percent of total billed charges,13.20311631,,,,12.07109,percent of total billed charges,6.023694811,,,,12.07109,percent of total billed charges,3.604125182,,,,12.07109,percent of total billed charges,6.023694811,,,,12.07109,percent of total billed charges,3.604125182,,,,12.07109,percent of total billed charges,6.023694811,,,,12.07109,percent of total billed charges,3.604125182,,,,11.95258,percent of total billed charges,11.86189253,,,,11.95258,percent of total billed charges,8.181053257,,,,,,,,,,12.1896,percent of total billed charges,7.922953153,,,,,,,,,,12.1896,percent of total billed charges,999999999,,,,,,,,,,13.544,percent of total billed charges,11.34916796,,,,13.3747,percent of total billed charges,12.90716108,,,,13.3747,percent of total billed charges,11.40390406,,,,13.544,percent of total billed charges,999999999,,,,13.544,percent of total billed charges,999999999,,,,11.851,percent of total billed charges,999999999,,,,11.851,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.00676,percent of total billed charges,999999999,,,,,,,,,,,,,,,,8.54965,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4.2325,percent of total billed charges,4.019839693,,,,,,,,,,4.2325,percent of total billed charges,3.952972395,,,,,,,,,,4.2325,percent of total billed charges,3.941987254,,,,,,,,,,4.2325,percent of total billed charges,3.883941539,,,,,,,,,,4.2325,percent of total billed charges,3.983881065,,,,,,,,,,4.2325,percent of total billed charges,999999999,,,,,,,,,,4.2325,percent of total billed charges,3.418450499,,,,,,,,,,4.2325,percent of total billed charges,5.391132172,,,,,,,,,,4.2325,percent of total billed charges,999999999,,,,,,,,,,4.2325,percent of total billed charges,3.68592568,,,,,,,,,,15.237,percent of total billed charges,,,,,
ESTRADIOL (ESTRACE) 0.5MG TAB,250,RC,0043-0072-24,NDC,,both,1,EA,0.5,0.5,0.106441972,0.5,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,999999999,,,,0.5,percent of total billed charges,0.380965635,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.353,percent of total billed charges,0.350321693,,,,0.353,percent of total billed charges,0.241614095,,,,,,,,,,0.36,percent of total billed charges,0.233991528,,,,,,,,,,0.36,percent of total billed charges,999999999,,,,,,,,,,0.4,percent of total billed charges,0.335179207,,,,0.395,percent of total billed charges,0.381191999,,,,0.395,percent of total billed charges,0.336795749,,,,0.4,percent of total billed charges,999999999,,,,0.4,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.266,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.2525,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.125,percent of total billed charges,0.118719424,,,,,,,,,,0.125,percent of total billed charges,0.116744607,,,,,,,,,,0.125,percent of total billed charges,0.116420179,,,,,,,,,,0.125,percent of total billed charges,0.114705893,,,,,,,,,,0.125,percent of total billed charges,0.117657444,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.100958373,,,,,,,,,,0.125,percent of total billed charges,0.159218316,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.108857817,,,,,,,,,,0.45,percent of total billed charges,,,,,
TERAZOSIN (HYTRIN) 2 MG CAP,637,RC,5107-9093-20,NDC,,both,1,EA,3.02,3.02,0.642909513,3.02,3.02,percent of total billed charges,2.221921288,,,,3.02,percent of total billed charges,2.355192632,,,,3.02,percent of total billed charges,2.221921288,,,,3.02,percent of total billed charges,2.355192632,,,,3.02,percent of total billed charges,999999999,,,,3.02,percent of total billed charges,2.301032437,,,,3.02,percent of total billed charges,2.221921288,,,,3.02,percent of total billed charges,2.355192632,,,,2.15326,percent of total billed charges,1.074516145,,,,2.15326,percent of total billed charges,0.642909513,,,,2.15326,percent of total billed charges,1.074516145,,,,2.15326,percent of total billed charges,0.642909513,,,,2.15326,percent of total billed charges,1.074516145,,,,2.15326,percent of total billed charges,0.642909513,,,,2.13212,percent of total billed charges,2.115943026,,,,2.13212,percent of total billed charges,1.459349134,,,,,,,,,,2.1744,percent of total billed charges,1.413308832,,,,,,,,,,2.1744,percent of total billed charges,999999999,,,,,,,,,,2.416,percent of total billed charges,2.024482412,,,,2.3858,percent of total billed charges,2.302399673,,,,2.3858,percent of total billed charges,2.034246324,,,,2.416,percent of total billed charges,999999999,,,,2.416,percent of total billed charges,999999999,,,,2.114,percent of total billed charges,999999999,,,,2.114,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.60664,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.5251,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.755,percent of total billed charges,0.71706532,,,,,,,,,,0.755,percent of total billed charges,0.705137427,,,,,,,,,,0.755,percent of total billed charges,0.70317788,,,,,,,,,,0.755,percent of total billed charges,0.692823594,,,,,,,,,,0.755,percent of total billed charges,0.710650964,,,,,,,,,,0.755,percent of total billed charges,999999999,,,,,,,,,,0.755,percent of total billed charges,0.609788571,,,,,,,,,,0.755,percent of total billed charges,0.961678627,,,,,,,,,,0.755,percent of total billed charges,999999999,,,,,,,,,,0.755,percent of total billed charges,0.657501214,,,,,,,,,,2.718,percent of total billed charges,,,,,
**LOTENSIN (BENAZEPRIL) 5 MG: TAB,259,RC,5817-7034-04,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
SODIUM CHLORIDE 5% OPHTH OINT 3.5GM,259,RC,1747-8062-35,NDC,,both,1,EA,97.13,97.13,20.67741754,97.13,97.13,percent of total billed charges,71.46199161,,,,97.13,percent of total billed charges,75.74829813,,,,97.13,percent of total billed charges,71.46199161,,,,97.13,percent of total billed charges,75.74829813,,,,97.13,percent of total billed charges,999999999,,,,97.13,percent of total billed charges,74.0063843,,,,97.13,percent of total billed charges,71.46199161,,,,97.13,percent of total billed charges,75.74829813,,,,69.25369,percent of total billed charges,34.55885866,,,,69.25369,percent of total billed charges,20.67741754,,,,69.25369,percent of total billed charges,34.55885866,,,,69.25369,percent of total billed charges,20.67741754,,,,69.25369,percent of total billed charges,34.55885866,,,,69.25369,percent of total billed charges,20.67741754,,,,68.57378,percent of total billed charges,68.05349209,,,,68.57378,percent of total billed charges,46.9359541,,,,,,,,,,69.9336,percent of total billed charges,45.45519431,,,,,,,,,,69.9336,percent of total billed charges,999999999,,,,,,,,,,77.704,percent of total billed charges,65.11191281,,,,76.7327,percent of total billed charges,74.05035769,,,,76.7327,percent of total billed charges,65.4259422,,,,77.704,percent of total billed charges,999999999,,,,77.704,percent of total billed charges,999999999,,,,67.991,percent of total billed charges,999999999,,,,67.991,percent of total billed charges,999999999,,,,,,,,,,,,,,,,51.67316,percent of total billed charges,999999999,,,,,,,,,,,,,,,,49.05065,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,24.2825,percent of total billed charges,23.06243528,,,,,,,,,,24.2825,percent of total billed charges,22.67880736,,,,,,,,,,24.2825,percent of total billed charges,22.61578393,,,,,,,,,,24.2825,percent of total billed charges,22.28276679,,,,,,,,,,24.2825,percent of total billed charges,22.85613513,,,,,,,,,,24.2825,percent of total billed charges,999999999,,,,,,,,,,24.2825,percent of total billed charges,19.61217348,,,,,,,,,,24.2825,percent of total billed charges,30.92975002,,,,,,,,,,24.2825,percent of total billed charges,999999999,,,,,,,,,,24.2825,percent of total billed charges,21.14671951,,,,,,,,,,87.417,percent of total billed charges,,,,,
**DOXAZOSIN (CARDURA) TAB 1MG,250,RC,1747-8062-35,NDC,,both,1,EA,17,17,3.619027059,17,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,17,percent of total billed charges,999999999,,,,17,percent of total billed charges,12.9528316,,,,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.002,percent of total billed charges,11.91093756,,,,12.002,percent of total billed charges,8.214879231,,,,,,,,,,12.24,percent of total billed charges,7.955711967,,,,,,,,,,12.24,percent of total billed charges,999999999,,,,,,,,,,13.6,percent of total billed charges,11.39609305,,,,13.43,percent of total billed charges,12.96052796,,,,13.43,percent of total billed charges,11.45105547,,,,13.6,percent of total billed charges,999999999,,,,13.6,percent of total billed charges,999999999,,,,11.9,percent of total billed charges,999999999,,,,11.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.044,percent of total billed charges,999999999,,,,,,,,,,,,,,,,8.585,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4.25,percent of total billed charges,4.036460412,,,,,,,,,,4.25,percent of total billed charges,3.96931664,,,,,,,,,,4.25,percent of total billed charges,3.958286079,,,,,,,,,,4.25,percent of total billed charges,3.900000364,,,,,,,,,,4.25,percent of total billed charges,4.000353107,,,,,,,,,,4.25,percent of total billed charges,999999999,,,,,,,,,,4.25,percent of total billed charges,3.432584671,,,,,,,,,,4.25,percent of total billed charges,5.413422736,,,,,,,,,,4.25,percent of total billed charges,999999999,,,,,,,,,,4.25,percent of total billed charges,3.701165774,,,,,,,,,,15.3,percent of total billed charges,,,,,
**RIMEOXOLONE (VEXOL) 1% OPTH SOLN:10ML,Local,Local,,,,both,,,348,348,74.08361273,348,348,percent of total billed charges,256.035963,,,,348,percent of total billed charges,271.3930583,,,,348,percent of total billed charges,256.035963,,,,348,percent of total billed charges,271.3930583,,,,348,percent of total billed charges,999999999,,,,348,percent of total billed charges,265.1520821,,,,348,percent of total billed charges,256.035963,,,,348,percent of total billed charges,271.3930583,,,,248.124,percent of total billed charges,123.8184167,,,,248.124,percent of total billed charges,74.08361273,,,,248.124,percent of total billed charges,123.8184167,,,,248.124,percent of total billed charges,74.08361273,,,,248.124,percent of total billed charges,123.8184167,,,,248.124,percent of total billed charges,74.08361273,,,,245.688,percent of total billed charges,243.8238984,,,,245.688,percent of total billed charges,168.1634101,,,,,,,,,,250.56,percent of total billed charges,162.8581038,,,,,,,,,,250.56,percent of total billed charges,999999999,,,,,,,,,,278.4,percent of total billed charges,233.2847283,,,,274.92,percent of total billed charges,265.3096312,,,,274.92,percent of total billed charges,234.4098413,,,,278.4,percent of total billed charges,999999999,,,,278.4,percent of total billed charges,999999999,,,,243.6,percent of total billed charges,999999999,,,,243.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,185.136,percent of total billed charges,999999999,,,,,,,,,,,,,,,,175.74,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,87,percent of total billed charges,82.62871902,,,,,,,,,,87,percent of total billed charges,81.2542465,,,,,,,,,,87,percent of total billed charges,81.02844443,,,,,,,,,,87,percent of total billed charges,79.83530157,,,,,,,,,,87,percent of total billed charges,81.88958125,,,,,,,,,,87,percent of total billed charges,999999999,,,,,,,,,,87,percent of total billed charges,70.26702738,,,,,,,,,,87,percent of total billed charges,110.8159478,,,,,,,,,,87,percent of total billed charges,999999999,,,,,,,,,,87,percent of total billed charges,75.76504055,,,,,,,,,,313.2,percent of total billed charges,,,,,
DOCUSATE LIQUID 50 MG/5ML: 60 ML,637,RC,5486-8620-00,NDC,,both,1,EA,4,4,0.851535778,4,4,percent of total billed charges,2.942942103,,,,4,percent of total billed charges,3.11946044,,,,4,percent of total billed charges,2.942942103,,,,4,percent of total billed charges,3.11946044,,,,4,percent of total billed charges,999999999,,,,4,percent of total billed charges,3.047725082,,,,4,percent of total billed charges,2.942942103,,,,4,percent of total billed charges,3.11946044,,,,2.852,percent of total billed charges,1.423200192,,,,2.852,percent of total billed charges,0.851535778,,,,2.852,percent of total billed charges,1.423200192,,,,2.852,percent of total billed charges,0.851535778,,,,2.852,percent of total billed charges,1.423200192,,,,2.852,percent of total billed charges,0.851535778,,,,2.824,percent of total billed charges,2.802573544,,,,2.824,percent of total billed charges,1.93291276,,,,,,,,,,2.88,percent of total billed charges,1.871932228,,,,,,,,,,2.88,percent of total billed charges,999999999,,,,,,,,,,3.2,percent of total billed charges,2.681433658,,,,3.16,percent of total billed charges,3.04953599,,,,3.16,percent of total billed charges,2.694365992,,,,3.2,percent of total billed charges,999999999,,,,3.2,percent of total billed charges,999999999,,,,2.8,percent of total billed charges,999999999,,,,2.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2.128,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2.02,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1,percent of total billed charges,0.949755391,,,,,,,,,,1,percent of total billed charges,0.933956856,,,,,,,,,,1,percent of total billed charges,0.93136143,,,,,,,,,,1,percent of total billed charges,0.917647145,,,,,,,,,,1,percent of total billed charges,0.941259555,,,,,,,,,,1,percent of total billed charges,999999999,,,,,,,,,,1,percent of total billed charges,0.807666981,,,,,,,,,,1,percent of total billed charges,1.273746526,,,,,,,,,,1,percent of total billed charges,999999999,,,,,,,,,,1,percent of total billed charges,0.870862535,,,,,,,,,,3.6,percent of total billed charges,,,,,
CITALOPRAM (CeleXA) 20 MG TAB,637,RC,0090-4608-61,NDC,,both,1,EA,0.5,0.5,0.106441972,0.5,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,999999999,,,,0.5,percent of total billed charges,0.380965635,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.353,percent of total billed charges,0.350321693,,,,0.353,percent of total billed charges,0.241614095,,,,,,,,,,0.36,percent of total billed charges,0.233991528,,,,,,,,,,0.36,percent of total billed charges,999999999,,,,,,,,,,0.4,percent of total billed charges,0.335179207,,,,0.395,percent of total billed charges,0.381191999,,,,0.395,percent of total billed charges,0.336795749,,,,0.4,percent of total billed charges,999999999,,,,0.4,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.266,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.2525,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.125,percent of total billed charges,0.118719424,,,,,,,,,,0.125,percent of total billed charges,0.116744607,,,,,,,,,,0.125,percent of total billed charges,0.116420179,,,,,,,,,,0.125,percent of total billed charges,0.114705893,,,,,,,,,,0.125,percent of total billed charges,0.117657444,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.100958373,,,,,,,,,,0.125,percent of total billed charges,0.159218316,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.108857817,,,,,,,,,,0.45,percent of total billed charges,,,,,
NIFEdipine ER (PROCARDIA XL) 90MG CAP,637,RC,6808-4060-11,NDC,,both,1,EA,4.83,4.83,1.028229453,4.83,4.83,percent of total billed charges,3.553602589,,,,4.83,percent of total billed charges,3.766748481,,,,4.83,percent of total billed charges,3.553602589,,,,4.83,percent of total billed charges,3.766748481,,,,4.83,percent of total billed charges,999999999,,,,4.83,percent of total billed charges,3.680128036,,,,4.83,percent of total billed charges,3.553602589,,,,4.83,percent of total billed charges,3.766748481,,,,3.44379,percent of total billed charges,1.718514231,,,,3.44379,percent of total billed charges,1.028229453,,,,3.44379,percent of total billed charges,1.718514231,,,,3.44379,percent of total billed charges,1.028229453,,,,3.44379,percent of total billed charges,1.718514231,,,,3.44379,percent of total billed charges,1.028229453,,,,3.40998,percent of total billed charges,3.384107555,,,,3.40998,percent of total billed charges,2.333992158,,,,,,,,,,3.4776,percent of total billed charges,2.260358165,,,,,,,,,,3.4776,percent of total billed charges,999999999,,,,,,,,,,3.864,percent of total billed charges,3.237831142,,,,3.8157,percent of total billed charges,3.682314708,,,,3.8157,percent of total billed charges,3.253446935,,,,3.864,percent of total billed charges,999999999,,,,3.864,percent of total billed charges,999999999,,,,3.381,percent of total billed charges,999999999,,,,3.381,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2.56956,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2.43915,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.2075,percent of total billed charges,1.146829635,,,,,,,,,,1.2075,percent of total billed charges,1.127752904,,,,,,,,,,1.2075,percent of total billed charges,1.124618927,,,,,,,,,,1.2075,percent of total billed charges,1.108058927,,,,,,,,,,1.2075,percent of total billed charges,1.136570912,,,,,,,,,,1.2075,percent of total billed charges,999999999,,,,,,,,,,1.2075,percent of total billed charges,0.97525788,,,,,,,,,,1.2075,percent of total billed charges,1.53804893,,,,,,,,,,1.2075,percent of total billed charges,999999999,,,,,,,,,,1.2075,percent of total billed charges,1.051566511,,,,,,,,,,4.347,percent of total billed charges,,,,,
"ALBUTEROL 0.083% NEB SOLN: 3 ML, EACH",250,RC,0048-7950-01,NDC,,both,1,EA,0.64,0.64,0.136245725,0.64,0.64,percent of total billed charges,0.470870736,,,,0.64,percent of total billed charges,0.49911367,,,,0.64,percent of total billed charges,0.470870736,,,,0.64,percent of total billed charges,0.49911367,,,,0.64,percent of total billed charges,999999999,,,,0.64,percent of total billed charges,0.487636013,,,,0.64,percent of total billed charges,0.470870736,,,,0.64,percent of total billed charges,0.49911367,,,,0.45632,percent of total billed charges,0.227712031,,,,0.45632,percent of total billed charges,0.136245725,,,,0.45632,percent of total billed charges,0.227712031,,,,0.45632,percent of total billed charges,0.136245725,,,,0.45632,percent of total billed charges,0.227712031,,,,0.45632,percent of total billed charges,0.136245725,,,,0.45184,percent of total billed charges,0.448411767,,,,0.45184,percent of total billed charges,0.309266042,,,,,,,,,,0.4608,percent of total billed charges,0.299509156,,,,,,,,,,0.4608,percent of total billed charges,999999999,,,,,,,,,,0.512,percent of total billed charges,0.429029385,,,,0.5056,percent of total billed charges,0.487925758,,,,0.5056,percent of total billed charges,0.431098559,,,,0.512,percent of total billed charges,999999999,,,,0.512,percent of total billed charges,999999999,,,,0.448,percent of total billed charges,999999999,,,,0.448,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.34048,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.3232,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.16,percent of total billed charges,0.151960863,,,,,,,,,,0.16,percent of total billed charges,0.149433097,,,,,,,,,,0.16,percent of total billed charges,0.149017829,,,,,,,,,,0.16,percent of total billed charges,0.146823543,,,,,,,,,,0.16,percent of total billed charges,0.150601529,,,,,,,,,,0.16,percent of total billed charges,999999999,,,,,,,,,,0.16,percent of total billed charges,0.129226717,,,,,,,,,,0.16,percent of total billed charges,0.203799444,,,,,,,,,,0.16,percent of total billed charges,999999999,,,,,,,,,,0.16,percent of total billed charges,0.139338006,,,,,,,,,,0.576,percent of total billed charges,,,,,
NITROGLYCERIN SPRAY  4.9 GM,259,RC,4580-2021-01,NDC,,both,1,EA,499.5,499.5,106.3355303,499.5,499.5,percent of total billed charges,367.4998951,,,,499.5,percent of total billed charges,389.5426224,,,,499.5,percent of total billed charges,367.4998951,,,,499.5,percent of total billed charges,389.5426224,,,,499.5,percent of total billed charges,999999999,,,,499.5,percent of total billed charges,380.5846696,,,,499.5,percent of total billed charges,367.4998951,,,,499.5,percent of total billed charges,389.5426224,,,,356.1435,percent of total billed charges,177.7221239,,,,356.1435,percent of total billed charges,106.3355303,,,,356.1435,percent of total billed charges,177.7221239,,,,356.1435,percent of total billed charges,106.3355303,,,,356.1435,percent of total billed charges,177.7221239,,,,356.1435,percent of total billed charges,106.3355303,,,,352.647,percent of total billed charges,349.9713713,,,,352.647,percent of total billed charges,241.3724809,,,,,,,,,,359.64,percent of total billed charges,233.7575369,,,,,,,,,,359.64,percent of total billed charges,999999999,,,,,,,,,,399.6,percent of total billed charges,334.8440281,,,,394.605,percent of total billed charges,380.8108068,,,,394.605,percent of total billed charges,336.4589532,,,,399.6,percent of total billed charges,999999999,,,,399.6,percent of total billed charges,999999999,,,,349.65,percent of total billed charges,999999999,,,,349.65,percent of total billed charges,999999999,,,,,,,,,,,,,,,,265.734,percent of total billed charges,999999999,,,,,,,,,,,,,,,,252.2475,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,124.875,percent of total billed charges,118.6007045,,,,,,,,,,124.875,percent of total billed charges,116.6278624,,,,,,,,,,124.875,percent of total billed charges,116.3037586,,,,,,,,,,124.875,percent of total billed charges,114.5911872,,,,,,,,,,124.875,percent of total billed charges,117.5397869,,,,,,,,,,124.875,percent of total billed charges,999999999,,,,,,,,,,124.875,percent of total billed charges,100.8574143,,,,,,,,,,124.875,percent of total billed charges,159.0590974,,,,,,,,,,124.875,percent of total billed charges,999999999,,,,,,,,,,124.875,percent of total billed charges,108.7489591,,,,,,,,,,449.55,percent of total billed charges,,,,,
FLUTICASONE (FLONASE) 50MCG NASAL SPRAY,637,RC,6050-5082-01,NDC,,both,1,EA,90.66,90.66,19.30005842,90.66,90.66,percent of total billed charges,66.70178276,,,,90.66,percent of total billed charges,70.70257087,,,,90.66,percent of total billed charges,66.70178276,,,,90.66,percent of total billed charges,70.70257087,,,,90.66,percent of total billed charges,999999999,,,,90.66,percent of total billed charges,69.07668898,,,,90.66,percent of total billed charges,66.70178276,,,,90.66,percent of total billed charges,70.70257087,,,,64.64058,percent of total billed charges,32.25683235,,,,64.64058,percent of total billed charges,19.30005842,,,,64.64058,percent of total billed charges,32.25683235,,,,64.64058,percent of total billed charges,19.30005842,,,,64.64058,percent of total billed charges,32.25683235,,,,64.64058,percent of total billed charges,19.30005842,,,,64.00596,percent of total billed charges,63.52032938,,,,64.00596,percent of total billed charges,43.80946771,,,,,,,,,,65.2752,percent of total billed charges,42.42734394,,,,,,,,,,65.2752,percent of total billed charges,999999999,,,,,,,,,,72.528,percent of total billed charges,60.77469387,,,,71.6214,percent of total billed charges,69.11773322,,,,71.6214,percent of total billed charges,61.0678052,,,,72.528,percent of total billed charges,999999999,,,,72.528,percent of total billed charges,999999999,,,,63.462,percent of total billed charges,999999999,,,,63.462,percent of total billed charges,999999999,,,,,,,,,,,,,,,,48.23112,percent of total billed charges,999999999,,,,,,,,,,,,,,,,45.7833,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,22.665,percent of total billed charges,21.52620594,,,,,,,,,,22.665,percent of total billed charges,21.16813215,,,,,,,,,,22.665,percent of total billed charges,21.10930682,,,,,,,,,,22.665,percent of total billed charges,20.79847253,,,,,,,,,,22.665,percent of total billed charges,21.3336478,,,,,,,,,,22.665,percent of total billed charges,999999999,,,,,,,,,,22.665,percent of total billed charges,18.30577213,,,,,,,,,,22.665,percent of total billed charges,28.86946501,,,,,,,,,,22.665,percent of total billed charges,999999999,,,,,,,,,,22.665,percent of total billed charges,19.73809936,,,,,,,,,,81.594,percent of total billed charges,,,,,
DANTROLENE (DANTRIUM) 20MG INJ VIAL,J3490,CDM,4202-3012-06,NDC,,both,1,EA,450.17,450.17,95.83396535,450.17,450.17,percent of total billed charges,331.2060616,,,,450.17,percent of total billed charges,351.0718766,,,,450.17,percent of total billed charges,331.2060616,,,,450.17,percent of total billed charges,351.0718766,,,,450.17,percent of total billed charges,999999999,,,,450.17,percent of total billed charges,342.9986,,,,450.17,percent of total billed charges,331.2060616,,,,450.17,percent of total billed charges,351.0718766,,,,320.97121,percent of total billed charges,160.1705076,,,,320.97121,percent of total billed charges,95.83396535,,,,320.97121,percent of total billed charges,160.1705076,,,,320.97121,percent of total billed charges,95.83396535,,,,320.97121,percent of total billed charges,160.1705076,,,,320.97121,percent of total billed charges,95.83396535,,,,317.82002,percent of total billed charges,315.4086331,,,,317.82002,percent of total billed charges,217.5348343,,,,,,,,,,324.1224,percent of total billed charges,210.6719327,,,,,,,,,,324.1224,percent of total billed charges,999999999,,,,,,,,,,360.136,percent of total billed charges,301.7752475,,,,355.6343,percent of total billed charges,343.2024042,,,,355.6343,percent of total billed charges,303.2306846,,,,360.136,percent of total billed charges,999999999,,,,360.136,percent of total billed charges,999999999,,,,315.119,percent of total billed charges,999999999,,,,315.119,percent of total billed charges,999999999,,,,,,,,,,,,,,,,239.49044,percent of total billed charges,999999999,,,,,,,,,,,,,,,,227.33585,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,112.5425,percent of total billed charges,106.8878461,,,,,,,,,,112.5425,percent of total billed charges,105.1098395,,,,,,,,,,112.5425,percent of total billed charges,104.8177438,,,,,,,,,,112.5425,percent of total billed charges,103.2743038,,,,,,,,,,112.5425,percent of total billed charges,105.9317034,,,,,,,,,,112.5425,percent of total billed charges,999999999,,,,,,,,,,112.5425,percent of total billed charges,90.89686125,,,,,,,,,,112.5425,percent of total billed charges,143.3506184,,,,,,,,,,112.5425,percent of total billed charges,999999999,,,,,,,,,,112.5425,percent of total billed charges,98.00904685,,,,,,,,,,405.153,percent of total billed charges,,,,,
traMADol (ULTRAM)  50MG TAB,250,RC,5107-9099-20,NDC,,both,1,EA,1.88,1.88,0.400221816,1.88,1.88,percent of total billed charges,1.383182788,,,,1.88,percent of total billed charges,1.466146407,,,,1.88,percent of total billed charges,1.383182788,,,,1.88,percent of total billed charges,1.466146407,,,,1.88,percent of total billed charges,999999999,,,,1.88,percent of total billed charges,1.432430788,,,,1.88,percent of total billed charges,1.383182788,,,,1.88,percent of total billed charges,1.466146407,,,,1.34044,percent of total billed charges,0.66890409,,,,1.34044,percent of total billed charges,0.400221816,,,,1.34044,percent of total billed charges,0.66890409,,,,1.34044,percent of total billed charges,0.400221816,,,,1.34044,percent of total billed charges,0.66890409,,,,1.34044,percent of total billed charges,0.400221816,,,,1.32728,percent of total billed charges,1.317209566,,,,1.32728,percent of total billed charges,0.908468997,,,,,,,,,,1.3536,percent of total billed charges,0.879808147,,,,,,,,,,1.3536,percent of total billed charges,999999999,,,,,,,,,,1.504,percent of total billed charges,1.260273819,,,,1.4852,percent of total billed charges,1.433281915,,,,1.4852,percent of total billed charges,1.266352016,,,,1.504,percent of total billed charges,999999999,,,,1.504,percent of total billed charges,999999999,,,,1.316,percent of total billed charges,999999999,,,,1.316,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.00016,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.9494,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.47,percent of total billed charges,0.446385034,,,,,,,,,,0.47,percent of total billed charges,0.438959722,,,,,,,,,,0.47,percent of total billed charges,0.437739872,,,,,,,,,,0.47,percent of total billed charges,0.431294158,,,,,,,,,,0.47,percent of total billed charges,0.442391991,,,,,,,,,,0.47,percent of total billed charges,999999999,,,,,,,,,,0.47,percent of total billed charges,0.379603481,,,,,,,,,,0.47,percent of total billed charges,0.598660867,,,,,,,,,,0.47,percent of total billed charges,999999999,,,,,,,,,,0.47,percent of total billed charges,0.409305391,,,,,,,,,,1.692,percent of total billed charges,,,,,
SOD BICARBONATE TABLET 650MG,637,RC,6655-3000-01,NDC,,both,1,EA,0.5,0.5,0.106441972,0.5,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,999999999,,,,0.5,percent of total billed charges,0.380965635,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.353,percent of total billed charges,0.350321693,,,,0.353,percent of total billed charges,0.241614095,,,,,,,,,,0.36,percent of total billed charges,0.233991528,,,,,,,,,,0.36,percent of total billed charges,999999999,,,,,,,,,,0.4,percent of total billed charges,0.335179207,,,,0.395,percent of total billed charges,0.381191999,,,,0.395,percent of total billed charges,0.336795749,,,,0.4,percent of total billed charges,999999999,,,,0.4,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.266,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.2525,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.125,percent of total billed charges,0.118719424,,,,,,,,,,0.125,percent of total billed charges,0.116744607,,,,,,,,,,0.125,percent of total billed charges,0.116420179,,,,,,,,,,0.125,percent of total billed charges,0.114705893,,,,,,,,,,0.125,percent of total billed charges,0.117657444,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.100958373,,,,,,,,,,0.125,percent of total billed charges,0.159218316,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.108857817,,,,,,,,,,0.45,percent of total billed charges,,,,,
QUEtiapine (SEROQUEL) 100MG TAB,637,RC,6610-5014-10,NDC,,both,1,EA,2.07,2.07,0.440669765,2.07,2.07,percent of total billed charges,1.522972538,,,,2.07,percent of total billed charges,1.614320778,,,,2.07,percent of total billed charges,1.522972538,,,,2.07,percent of total billed charges,1.614320778,,,,2.07,percent of total billed charges,999999999,,,,2.07,percent of total billed charges,1.57719773,,,,2.07,percent of total billed charges,1.522972538,,,,2.07,percent of total billed charges,1.614320778,,,,1.47591,percent of total billed charges,0.736506099,,,,1.47591,percent of total billed charges,0.440669765,,,,1.47591,percent of total billed charges,0.736506099,,,,1.47591,percent of total billed charges,0.440669765,,,,1.47591,percent of total billed charges,0.736506099,,,,1.47591,percent of total billed charges,0.440669765,,,,1.46142,percent of total billed charges,1.450331809,,,,1.46142,percent of total billed charges,1.000282353,,,,,,,,,,1.4904,percent of total billed charges,0.968724928,,,,,,,,,,1.4904,percent of total billed charges,999999999,,,,,,,,,,1.656,percent of total billed charges,1.387641918,,,,1.6353,percent of total billed charges,1.578134875,,,,1.6353,percent of total billed charges,1.394334401,,,,1.656,percent of total billed charges,999999999,,,,1.656,percent of total billed charges,999999999,,,,1.449,percent of total billed charges,999999999,,,,1.449,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.10124,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.04535,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.5175,percent of total billed charges,0.491498415,,,,,,,,,,0.5175,percent of total billed charges,0.483322673,,,,,,,,,,0.5175,percent of total billed charges,0.48197954,,,,,,,,,,0.5175,percent of total billed charges,0.474882397,,,,,,,,,,0.5175,percent of total billed charges,0.487101819,,,,,,,,,,0.5175,percent of total billed charges,999999999,,,,,,,,,,0.5175,percent of total billed charges,0.417967663,,,,,,,,,,0.5175,percent of total billed charges,0.659163827,,,,,,,,,,0.5175,percent of total billed charges,999999999,,,,,,,,,,0.5175,percent of total billed charges,0.450671362,,,,,,,,,,1.863,percent of total billed charges,,,,,
DIPYRIDAMOLE (PERSANTINE) 5MG/ML :INJ,J1245,CDM,0064-1256-44,NDC,,both,1,EA,229.62,229.62,48.88241136,229.62,229.62,percent of total billed charges,168.9395914,,,,229.62,percent of total billed charges,179.0726266,,,,229.62,percent of total billed charges,168.9395914,,,,229.62,percent of total billed charges,179.0726266,,,,229.62,percent of total billed charges,999999999,,,,229.62,percent of total billed charges,174.9546583,,,,229.62,percent of total billed charges,168.9395914,,,,229.62,percent of total billed charges,179.0726266,,,,163.71906,percent of total billed charges,81.69880701,,,,163.71906,percent of total billed charges,48.88241136,,,,163.71906,percent of total billed charges,81.69880701,,,,163.71906,percent of total billed charges,48.88241136,,,,163.71906,percent of total billed charges,81.69880701,,,,163.71906,percent of total billed charges,48.88241136,,,,162.11172,percent of total billed charges,160.8817343,,,,162.11172,percent of total billed charges,110.958857,,,,,,,,,,165.3264,percent of total billed charges,107.4582695,,,,,,,,,,165.3264,percent of total billed charges,999999999,,,,,,,,,,183.696,percent of total billed charges,153.9276992,,,,181.3998,percent of total billed charges,175.0586135,,,,181.3998,percent of total billed charges,154.6700798,,,,183.696,percent of total billed charges,999999999,,,,183.696,percent of total billed charges,999999999,,,,160.734,percent of total billed charges,999999999,,,,160.734,percent of total billed charges,999999999,,,,,,,,,,,,,,,,122.15784,percent of total billed charges,999999999,,,,,,,,,,,,,,,,115.9581,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,57.405,percent of total billed charges,54.52070822,,,,,,,,,,57.405,percent of total billed charges,53.61379334,,,,,,,,,,57.405,percent of total billed charges,53.4648029,,,,,,,,,,57.405,percent of total billed charges,52.67753433,,,,,,,,,,57.405,percent of total billed charges,54.03300473,,,,,,,,,,57.405,percent of total billed charges,999999999,,,,,,,,,,57.405,percent of total billed charges,46.36412307,,,,,,,,,,57.405,percent of total billed charges,73.11941933,,,,,,,,,,57.405,percent of total billed charges,999999999,,,,,,,,,,57.405,percent of total billed charges,49.99186383,,,,,,,,,,206.658,percent of total billed charges,,,,,
levoFLOXacin (LEVAQUIN) 500MG IVPB,J1956,CDM,0014-3972-01,NDC,,both,1,EA,34.87,34.87,7.423263149,34.87,34.87,percent of total billed charges,25.65509778,,,,34.87,percent of total billed charges,27.19389639,,,,34.87,percent of total billed charges,25.65509778,,,,34.87,percent of total billed charges,27.19389639,,,,34.87,percent of total billed charges,999999999,,,,34.87,percent of total billed charges,26.5685434,,,,34.87,percent of total billed charges,25.65509778,,,,34.87,percent of total billed charges,27.19389639,,,,24.86231,percent of total billed charges,12.40674767,,,,24.86231,percent of total billed charges,7.423263149,,,,24.86231,percent of total billed charges,12.40674767,,,,24.86231,percent of total billed charges,7.423263149,,,,24.86231,percent of total billed charges,12.40674767,,,,24.86231,percent of total billed charges,7.423263149,,,,24.61822,percent of total billed charges,24.43143487,,,,24.61822,percent of total billed charges,16.85016699,,,,,,,,,,25.1064,percent of total billed charges,16.31856919,,,,,,,,,,25.1064,percent of total billed charges,999999999,,,,,,,,,,27.896,percent of total billed charges,23.37539792,,,,27.5473,percent of total billed charges,26.58433,,,,27.5473,percent of total billed charges,23.48813553,,,,27.896,percent of total billed charges,999999999,,,,27.896,percent of total billed charges,999999999,,,,24.409,percent of total billed charges,999999999,,,,24.409,percent of total billed charges,999999999,,,,,,,,,,,,,,,,18.55084,percent of total billed charges,999999999,,,,,,,,,,,,,,,,17.60935,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8.7175,percent of total billed charges,8.279492622,,,,,,,,,,8.7175,percent of total billed charges,8.141768895,,,,,,,,,,8.7175,percent of total billed charges,8.119143268,,,,,,,,,,8.7175,percent of total billed charges,7.999588982,,,,,,,,,,8.7175,percent of total billed charges,8.205430167,,,,,,,,,,8.7175,percent of total billed charges,999999999,,,,,,,,,,8.7175,percent of total billed charges,7.04083691,,,,,,,,,,8.7175,percent of total billed charges,11.10388534,,,,,,,,,,8.7175,percent of total billed charges,999999999,,,,,,,,,,8.7175,percent of total billed charges,7.591744149,,,,,,,,,,31.383,percent of total billed charges,,,,,
REPAGLINIDE (PRANDIN) 1MG TAB,637,RC,5723-7015-01,NDC,,both,1,EA,4.05,4.05,0.862179976,4.05,4.05,percent of total billed charges,2.979728879,,,,4.05,percent of total billed charges,3.158453696,,,,4.05,percent of total billed charges,2.979728879,,,,4.05,percent of total billed charges,3.158453696,,,,4.05,percent of total billed charges,999999999,,,,4.05,percent of total billed charges,3.085821645,,,,4.05,percent of total billed charges,2.979728879,,,,4.05,percent of total billed charges,3.158453696,,,,2.88765,percent of total billed charges,1.440990194,,,,2.88765,percent of total billed charges,0.862179976,,,,2.88765,percent of total billed charges,1.440990194,,,,2.88765,percent of total billed charges,0.862179976,,,,2.88765,percent of total billed charges,1.440990194,,,,2.88765,percent of total billed charges,0.862179976,,,,2.8593,percent of total billed charges,2.837605714,,,,2.8593,percent of total billed charges,1.95707417,,,,,,,,,,2.916,percent of total billed charges,1.89533138,,,,,,,,,,2.916,percent of total billed charges,999999999,,,,,,,,,,3.24,percent of total billed charges,2.714951579,,,,3.1995,percent of total billed charges,3.08765519,,,,3.1995,percent of total billed charges,2.728045567,,,,3.24,percent of total billed charges,999999999,,,,3.24,percent of total billed charges,999999999,,,,2.835,percent of total billed charges,999999999,,,,2.835,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2.1546,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2.04525,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.0125,percent of total billed charges,0.961627333,,,,,,,,,,1.0125,percent of total billed charges,0.945631317,,,,,,,,,,1.0125,percent of total billed charges,0.943003448,,,,,,,,,,1.0125,percent of total billed charges,0.929117734,,,,,,,,,,1.0125,percent of total billed charges,0.953025299,,,,,,,,,,1.0125,percent of total billed charges,999999999,,,,,,,,,,1.0125,percent of total billed charges,0.817762819,,,,,,,,,,1.0125,percent of total billed charges,1.289668358,,,,,,,,,,1.0125,percent of total billed charges,999999999,,,,,,,,,,1.0125,percent of total billed charges,0.881748317,,,,,,,,,,3.645,percent of total billed charges,,,,,
BISOPROLOL 2.5MG/HCTZ 6.25MG (ZIAC 2.5),259,RC,5128-5004-02,NDC,,both,1,EA,1.71,1.71,0.364031545,1.71,1.71,percent of total billed charges,1.258107749,,,,1.71,percent of total billed charges,1.333569338,,,,1.71,percent of total billed charges,1.258107749,,,,1.71,percent of total billed charges,1.333569338,,,,1.71,percent of total billed charges,999999999,,,,1.71,percent of total billed charges,1.302902472,,,,1.71,percent of total billed charges,1.258107749,,,,1.71,percent of total billed charges,1.333569338,,,,1.21923,percent of total billed charges,0.608418082,,,,1.21923,percent of total billed charges,0.364031545,,,,1.21923,percent of total billed charges,0.608418082,,,,1.21923,percent of total billed charges,0.364031545,,,,1.21923,percent of total billed charges,0.608418082,,,,1.21923,percent of total billed charges,0.364031545,,,,1.20726,percent of total billed charges,1.19810019,,,,1.20726,percent of total billed charges,0.826320205,,,,,,,,,,1.2312,percent of total billed charges,0.800251027,,,,,,,,,,1.2312,percent of total billed charges,999999999,,,,,,,,,,1.368,percent of total billed charges,1.146312889,,,,1.3509,percent of total billed charges,1.303676636,,,,1.3509,percent of total billed charges,1.151841461,,,,1.368,percent of total billed charges,999999999,,,,1.368,percent of total billed charges,999999999,,,,1.197,percent of total billed charges,999999999,,,,1.197,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.90972,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.86355,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.4275,percent of total billed charges,0.40602043,,,,,,,,,,0.4275,percent of total billed charges,0.399266556,,,,,,,,,,0.4275,percent of total billed charges,0.398157011,,,,,,,,,,0.4275,percent of total billed charges,0.392294154,,,,,,,,,,0.4275,percent of total billed charges,0.40238846,,,,,,,,,,0.4275,percent of total billed charges,999999999,,,,,,,,,,0.4275,percent of total billed charges,0.345277635,,,,,,,,,,0.4275,percent of total billed charges,0.54452664,,,,,,,,,,0.4275,percent of total billed charges,999999999,,,,,,,,,,0.4275,percent of total billed charges,0.372293734,,,,,,,,,,1.539,percent of total billed charges,,,,,
traMADol/ACETAMINOPHEN 37.5/325MG TAB,259,RC,6586-2092-01,NDC,,both,1,EA,3,3,0.638651834,3,3,percent of total billed charges,2.207206577,,,,3,percent of total billed charges,2.33959533,,,,3,percent of total billed charges,2.207206577,,,,3,percent of total billed charges,2.33959533,,,,3,percent of total billed charges,999999999,,,,3,percent of total billed charges,2.285793811,,,,3,percent of total billed charges,2.207206577,,,,3,percent of total billed charges,2.33959533,,,,2.139,percent of total billed charges,1.067400144,,,,2.139,percent of total billed charges,0.638651834,,,,2.139,percent of total billed charges,1.067400144,,,,2.139,percent of total billed charges,0.638651834,,,,2.139,percent of total billed charges,1.067400144,,,,2.139,percent of total billed charges,0.638651834,,,,2.118,percent of total billed charges,2.101930158,,,,2.118,percent of total billed charges,1.44968457,,,,,,,,,,2.16,percent of total billed charges,1.403949171,,,,,,,,,,2.16,percent of total billed charges,999999999,,,,,,,,,,2.4,percent of total billed charges,2.011075244,,,,2.37,percent of total billed charges,2.287151993,,,,2.37,percent of total billed charges,2.020774494,,,,2.4,percent of total billed charges,999999999,,,,2.4,percent of total billed charges,999999999,,,,2.1,percent of total billed charges,999999999,,,,2.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.596,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.515,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.75,percent of total billed charges,0.712316543,,,,,,,,,,0.75,percent of total billed charges,0.700467642,,,,,,,,,,0.75,percent of total billed charges,0.698521073,,,,,,,,,,0.75,percent of total billed charges,0.688235358,,,,,,,,,,0.75,percent of total billed charges,0.705944666,,,,,,,,,,0.75,percent of total billed charges,999999999,,,,,,,,,,0.75,percent of total billed charges,0.605750236,,,,,,,,,,0.75,percent of total billed charges,0.955309895,,,,,,,,,,0.75,percent of total billed charges,999999999,,,,,,,,,,0.75,percent of total billed charges,0.653146901,,,,,,,,,,2.7,percent of total billed charges,,,,,
FILGRASTIM (NEUPOGEN) 480 MCG: 0.8ML SYR,J1442,CDM,5551-3020-91,NDC,,both,1,EA,2685.68,2685.68,571.7381524,2685.68,2685.68,percent of total billed charges,1975.950187,,,,2685.68,percent of total billed charges,2094.468129,,,,2685.68,percent of total billed charges,1975.950187,,,,2685.68,percent of total billed charges,2094.468129,,,,2685.68,percent of total billed charges,999999999,,,,2685.68,percent of total billed charges,2046.303574,,,,2685.68,percent of total billed charges,1975.950187,,,,2685.68,percent of total billed charges,2094.468129,,,,1914.88984,percent of total billed charges,955.5650727,,,,1914.88984,percent of total billed charges,571.7381524,,,,1914.88984,percent of total billed charges,955.5650727,,,,1914.88984,percent of total billed charges,571.7381524,,,,1914.88984,percent of total billed charges,955.5650727,,,,1914.88984,percent of total billed charges,571.7381524,,,,1896.09008,percent of total billed charges,1881.703929,,,,1896.09008,percent of total billed charges,1297.796285,,,,,,,,,,1933.6896,percent of total billed charges,1256.852736,,,,,,,,,,1933.6896,percent of total billed charges,999999999,,,,,,,,,,2148.544,percent of total billed charges,1800.368187,,,,2121.6872,percent of total billed charges,2047.519455,,,,2121.6872,percent of total billed charges,1809.051214,,,,2148.544,percent of total billed charges,999999999,,,,2148.544,percent of total billed charges,999999999,,,,1879.976,percent of total billed charges,999999999,,,,1879.976,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1428.78176,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1356.2684,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,671.42,percent of total billed charges,637.6847647,,,,,,,,,,671.42,percent of total billed charges,627.0773125,,,,,,,,,,671.42,percent of total billed charges,625.3346915,,,,,,,,,,671.42,percent of total billed charges,616.1266458,,,,,,,,,,671.42,percent of total billed charges,631.9804901,,,,,,,,,,671.42,percent of total billed charges,999999999,,,,,,,,,,671.42,percent of total billed charges,542.2837646,,,,,,,,,,671.42,percent of total billed charges,855.2188925,,,,,,,,,,671.42,percent of total billed charges,999999999,,,,,,,,,,671.42,percent of total billed charges,584.7145233,,,,,,,,,,2417.112,percent of total billed charges,,,,,
VENLAFAXINE (EFFEXOR) 37.5MG TAB,637,RC,5107-9048-20,NDC,,both,1,EA,2.4,2.4,0.510921467,2.4,2.4,percent of total billed charges,1.765765262,,,,2.4,percent of total billed charges,1.871676264,,,,2.4,percent of total billed charges,1.765765262,,,,2.4,percent of total billed charges,1.871676264,,,,2.4,percent of total billed charges,999999999,,,,2.4,percent of total billed charges,1.828635049,,,,2.4,percent of total billed charges,1.765765262,,,,2.4,percent of total billed charges,1.871676264,,,,1.7112,percent of total billed charges,0.853920115,,,,1.7112,percent of total billed charges,0.510921467,,,,1.7112,percent of total billed charges,0.853920115,,,,1.7112,percent of total billed charges,0.510921467,,,,1.7112,percent of total billed charges,0.853920115,,,,1.7112,percent of total billed charges,0.510921467,,,,1.6944,percent of total billed charges,1.681544127,,,,1.6944,percent of total billed charges,1.159747656,,,,,,,,,,1.728,percent of total billed charges,1.123159337,,,,,,,,,,1.728,percent of total billed charges,999999999,,,,,,,,,,1.92,percent of total billed charges,1.608860195,,,,1.896,percent of total billed charges,1.829721594,,,,1.896,percent of total billed charges,1.616619595,,,,1.92,percent of total billed charges,999999999,,,,1.92,percent of total billed charges,999999999,,,,1.68,percent of total billed charges,999999999,,,,1.68,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.2768,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.212,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.6,percent of total billed charges,0.569853235,,,,,,,,,,0.6,percent of total billed charges,0.560374114,,,,,,,,,,0.6,percent of total billed charges,0.558816858,,,,,,,,,,0.6,percent of total billed charges,0.550588287,,,,,,,,,,0.6,percent of total billed charges,0.564755733,,,,,,,,,,0.6,percent of total billed charges,999999999,,,,,,,,,,0.6,percent of total billed charges,0.484600189,,,,,,,,,,0.6,percent of total billed charges,0.764247916,,,,,,,,,,0.6,percent of total billed charges,999999999,,,,,,,,,,0.6,percent of total billed charges,0.522517521,,,,,,,,,,2.16,percent of total billed charges,,,,,
CONJ.  ESTROGENS (PREMARIN) 0.9MG TAB,259,RC,0004-6110-81,NDC,,both,1,EA,18.1,18.1,3.853199398,18.1,18.1,percent of total billed charges,13.31681302,,,,18.1,percent of total billed charges,14.11555849,,,,18.1,percent of total billed charges,13.31681302,,,,18.1,percent of total billed charges,14.11555849,,,,18.1,percent of total billed charges,999999999,,,,18.1,percent of total billed charges,13.79095599,,,,18.1,percent of total billed charges,13.31681302,,,,18.1,percent of total billed charges,14.11555849,,,,12.9053,percent of total billed charges,6.439980867,,,,12.9053,percent of total billed charges,3.853199398,,,,12.9053,percent of total billed charges,6.439980867,,,,12.9053,percent of total billed charges,3.853199398,,,,12.9053,percent of total billed charges,6.439980867,,,,12.9053,percent of total billed charges,3.853199398,,,,12.7786,percent of total billed charges,12.68164529,,,,12.7786,percent of total billed charges,8.74643024,,,,,,,,,,13.032,percent of total billed charges,8.47049333,,,,,,,,,,13.032,percent of total billed charges,999999999,,,,,,,,,,14.48,percent of total billed charges,12.1334873,,,,14.299,percent of total billed charges,13.79915036,,,,14.299,percent of total billed charges,12.19200611,,,,14.48,percent of total billed charges,999999999,,,,14.48,percent of total billed charges,999999999,,,,12.67,percent of total billed charges,999999999,,,,12.67,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.6292,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.1405,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4.525,percent of total billed charges,4.297643145,,,,,,,,,,4.525,percent of total billed charges,4.226154775,,,,,,,,,,4.525,percent of total billed charges,4.214410472,,,,,,,,,,4.525,percent of total billed charges,4.152353329,,,,,,,,,,4.525,percent of total billed charges,4.259199485,,,,,,,,,,4.525,percent of total billed charges,999999999,,,,,,,,,,4.525,percent of total billed charges,3.654693091,,,,,,,,,,4.525,percent of total billed charges,5.76370303,,,,,,,,,,4.525,percent of total billed charges,999999999,,,,,,,,,,4.525,percent of total billed charges,3.940652971,,,,,,,,,,16.29,percent of total billed charges,,,,,
fentaNYL (DURAGESIC) 50 MCG/HR PATCH,637,RC,5186-2031-52,NDC,,both,1,EA,24.67,24.67,5.251846914,24.67,24.67,percent of total billed charges,18.15059542,,,,24.67,percent of total billed charges,19.23927226,,,,24.67,percent of total billed charges,18.15059542,,,,24.67,percent of total billed charges,19.23927226,,,,24.67,percent of total billed charges,999999999,,,,24.67,percent of total billed charges,18.79684444,,,,24.67,percent of total billed charges,18.15059542,,,,24.67,percent of total billed charges,19.23927226,,,,17.58971,percent of total billed charges,8.777587182,,,,17.58971,percent of total billed charges,5.251846914,,,,17.58971,percent of total billed charges,8.777587182,,,,17.58971,percent of total billed charges,5.251846914,,,,17.58971,percent of total billed charges,8.777587182,,,,17.58971,percent of total billed charges,5.251846914,,,,17.41702,percent of total billed charges,17.28487233,,,,17.41702,percent of total billed charges,11.92123945,,,,,,,,,,17.7624,percent of total billed charges,11.54514201,,,,,,,,,,17.7624,percent of total billed charges,999999999,,,,,,,,,,19.736,percent of total billed charges,16.53774209,,,,19.4893,percent of total billed charges,18.80801322,,,,19.4893,percent of total billed charges,16.61750225,,,,19.736,percent of total billed charges,999999999,,,,19.736,percent of total billed charges,999999999,,,,17.269,percent of total billed charges,999999999,,,,17.269,percent of total billed charges,999999999,,,,,,,,,,,,,,,,13.12444,percent of total billed charges,999999999,,,,,,,,,,,,,,,,12.45835,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6.1675,percent of total billed charges,5.857616374,,,,,,,,,,6.1675,percent of total billed charges,5.760178912,,,,,,,,,,6.1675,percent of total billed charges,5.744171621,,,,,,,,,,6.1675,percent of total billed charges,5.659588764,,,,,,,,,,6.1675,percent of total billed charges,5.805218303,,,,,,,,,,6.1675,percent of total billed charges,999999999,,,,,,,,,,6.1675,percent of total billed charges,4.981286108,,,,,,,,,,6.1675,percent of total billed charges,7.8558317,,,,,,,,,,6.1675,percent of total billed charges,999999999,,,,,,,,,,6.1675,percent of total billed charges,5.371044685,,,,,,,,,,22.203,percent of total billed charges,,,,,
**DUODERM (HYDROACTIVE) THIN SPOT,259,RC,0000-3187-32,NDC,,both,1,EA,11,11,2.341723391,11,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,11,percent of total billed charges,999999999,,,,11,percent of total billed charges,8.381243975,,,,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.766,percent of total billed charges,7.707077247,,,,7.766,percent of total billed charges,5.31551009,,,,,,,,,,7.92,percent of total billed charges,5.147813626,,,,,,,,,,7.92,percent of total billed charges,999999999,,,,,,,,,,8.8,percent of total billed charges,7.373942561,,,,8.69,percent of total billed charges,8.386223973,,,,8.69,percent of total billed charges,7.409506477,,,,8.8,percent of total billed charges,999999999,,,,8.8,percent of total billed charges,999999999,,,,7.7,percent of total billed charges,999999999,,,,7.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.852,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.555,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.75,percent of total billed charges,2.611827325,,,,,,,,,,2.75,percent of total billed charges,2.568381355,,,,,,,,,,2.75,percent of total billed charges,2.561243933,,,,,,,,,,2.75,percent of total billed charges,2.523529647,,,,,,,,,,2.75,percent of total billed charges,2.588463775,,,,,,,,,,2.75,percent of total billed charges,999999999,,,,,,,,,,2.75,percent of total billed charges,2.221084199,,,,,,,,,,2.75,percent of total billed charges,3.502802947,,,,,,,,,,2.75,percent of total billed charges,999999999,,,,,,,,,,2.75,percent of total billed charges,2.394871971,,,,,,,,,,9.9,percent of total billed charges,,,,,
risperiDONE (RisperDAL) 1MG TAB,637,RC,6610-5047-06,NDC,,both,1,EA,0.68,0.68,0.144761082,0.68,0.68,percent of total billed charges,0.500300157,,,,0.68,percent of total billed charges,0.530308275,,,,0.68,percent of total billed charges,0.500300157,,,,0.68,percent of total billed charges,0.530308275,,,,0.68,percent of total billed charges,999999999,,,,0.68,percent of total billed charges,0.518113264,,,,0.68,percent of total billed charges,0.500300157,,,,0.68,percent of total billed charges,0.530308275,,,,0.48484,percent of total billed charges,0.241944033,,,,0.48484,percent of total billed charges,0.144761082,,,,0.48484,percent of total billed charges,0.241944033,,,,0.48484,percent of total billed charges,0.144761082,,,,0.48484,percent of total billed charges,0.241944033,,,,0.48484,percent of total billed charges,0.144761082,,,,0.48008,percent of total billed charges,0.476437503,,,,0.48008,percent of total billed charges,0.328595169,,,,,,,,,,0.4896,percent of total billed charges,0.318228479,,,,,,,,,,0.4896,percent of total billed charges,999999999,,,,,,,,,,0.544,percent of total billed charges,0.455843722,,,,0.5372,percent of total billed charges,0.518421118,,,,0.5372,percent of total billed charges,0.458042219,,,,0.544,percent of total billed charges,999999999,,,,0.544,percent of total billed charges,999999999,,,,0.476,percent of total billed charges,999999999,,,,0.476,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.36176,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.3434,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.17,percent of total billed charges,0.161458416,,,,,,,,,,0.17,percent of total billed charges,0.158772666,,,,,,,,,,0.17,percent of total billed charges,0.158331443,,,,,,,,,,0.17,percent of total billed charges,0.156000015,,,,,,,,,,0.17,percent of total billed charges,0.160014124,,,,,,,,,,0.17,percent of total billed charges,999999999,,,,,,,,,,0.17,percent of total billed charges,0.137303387,,,,,,,,,,0.17,percent of total billed charges,0.216536909,,,,,,,,,,0.17,percent of total billed charges,999999999,,,,,,,,,,0.17,percent of total billed charges,0.148046631,,,,,,,,,,0.612,percent of total billed charges,,,,,
DORZOLAMIDE 2% (TRUSOPT) OPHTH SOLN:10mL,250,RC,5486-8359-00,NDC,,both,1,EA,122.57,122.57,26.09318509,122.57,122.57,percent of total billed charges,90.17910339,,,,122.57,percent of total billed charges,95.58806653,,,,122.57,percent of total billed charges,90.17910339,,,,122.57,percent of total billed charges,95.58806653,,,,122.57,percent of total billed charges,999999999,,,,122.57,percent of total billed charges,93.38991582,,,,122.57,percent of total billed charges,90.17910339,,,,122.57,percent of total billed charges,95.58806653,,,,87.39241,percent of total billed charges,43.61041187,,,,87.39241,percent of total billed charges,26.09318509,,,,87.39241,percent of total billed charges,43.61041187,,,,87.39241,percent of total billed charges,26.09318509,,,,87.39241,percent of total billed charges,43.61041187,,,,87.39241,percent of total billed charges,26.09318509,,,,86.53442,percent of total billed charges,85.87785983,,,,86.53442,percent of total billed charges,59.22927925,,,,,,,,,,88.2504,percent of total billed charges,57.36068328,,,,,,,,,,88.2504,percent of total billed charges,999999999,,,,,,,,,,98.056,percent of total billed charges,82.16583088,,,,96.8303,percent of total billed charges,93.44540658,,,,96.8303,percent of total billed charges,82.5621099,,,,98.056,percent of total billed charges,999999999,,,,98.056,percent of total billed charges,999999999,,,,85.799,percent of total billed charges,999999999,,,,85.799,percent of total billed charges,999999999,,,,,,,,,,,,,,,,65.20724,percent of total billed charges,999999999,,,,,,,,,,,,,,,,61.89785,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,30.6425,percent of total billed charges,29.10287957,,,,,,,,,,30.6425,percent of total billed charges,28.61877297,,,,,,,,,,30.6425,percent of total billed charges,28.53924263,,,,,,,,,,30.6425,percent of total billed charges,28.11900263,,,,,,,,,,30.6425,percent of total billed charges,28.8425459,,,,,,,,,,30.6425,percent of total billed charges,999999999,,,,,,,,,,30.6425,percent of total billed charges,24.74893548,,,,,,,,,,30.6425,percent of total billed charges,39.03077793,,,,,,,,,,30.6425,percent of total billed charges,999999999,,,,,,,,,,30.6425,percent of total billed charges,26.68540523,,,,,,,,,,110.313,percent of total billed charges,,,,,
**ESTROGEN/METHYLTESTERONE 1.25/2.5,259,RC,0003-2102-01,NDC,,both,1,EA,12,12,2.554607335,12,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,12,percent of total billed charges,999999999,,,,12,percent of total billed charges,9.143175245,,,,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.472,percent of total billed charges,8.407720633,,,,8.472,percent of total billed charges,5.79873828,,,,,,,,,,8.64,percent of total billed charges,5.615796683,,,,,,,,,,8.64,percent of total billed charges,999999999,,,,,,,,,,9.6,percent of total billed charges,8.044300975,,,,9.48,percent of total billed charges,9.148607971,,,,9.48,percent of total billed charges,8.083097975,,,,9.6,percent of total billed charges,999999999,,,,9.6,percent of total billed charges,999999999,,,,8.4,percent of total billed charges,999999999,,,,8.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.384,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.06,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3,percent of total billed charges,2.849266173,,,,,,,,,,3,percent of total billed charges,2.801870569,,,,,,,,,,3,percent of total billed charges,2.794084291,,,,,,,,,,3,percent of total billed charges,2.752941434,,,,,,,,,,3,percent of total billed charges,2.823778664,,,,,,,,,,3,percent of total billed charges,999999999,,,,,,,,,,3,percent of total billed charges,2.423000944,,,,,,,,,,3,percent of total billed charges,3.821239578,,,,,,,,,,3,percent of total billed charges,999999999,,,,,,,,,,3,percent of total billed charges,2.612587605,,,,,,,,,,10.8,percent of total billed charges,,,,,
prednisoLONE (PRELONE) 15MG/5ML U/D,259,RC,0012-1075-08,NDC,,both,1,EA,1.35,1.35,0.287393325,1.35,1.35,percent of total billed charges,0.99324296,,,,1.35,percent of total billed charges,1.052817899,,,,1.35,percent of total billed charges,0.99324296,,,,1.35,percent of total billed charges,1.052817899,,,,1.35,percent of total billed charges,999999999,,,,1.35,percent of total billed charges,1.028607215,,,,1.35,percent of total billed charges,0.99324296,,,,1.35,percent of total billed charges,1.052817899,,,,0.96255,percent of total billed charges,0.480330065,,,,0.96255,percent of total billed charges,0.287393325,,,,0.96255,percent of total billed charges,0.480330065,,,,0.96255,percent of total billed charges,0.287393325,,,,0.96255,percent of total billed charges,0.480330065,,,,0.96255,percent of total billed charges,0.287393325,,,,0.9531,percent of total billed charges,0.945868571,,,,0.9531,percent of total billed charges,0.652358057,,,,,,,,,,0.972,percent of total billed charges,0.631777127,,,,,,,,,,0.972,percent of total billed charges,999999999,,,,,,,,,,1.08,percent of total billed charges,0.90498386,,,,1.0665,percent of total billed charges,1.029218397,,,,1.0665,percent of total billed charges,0.909348522,,,,1.08,percent of total billed charges,999999999,,,,1.08,percent of total billed charges,999999999,,,,0.945,percent of total billed charges,999999999,,,,0.945,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.7182,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.68175,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.3375,percent of total billed charges,0.320542444,,,,,,,,,,0.3375,percent of total billed charges,0.315210439,,,,,,,,,,0.3375,percent of total billed charges,0.314334483,,,,,,,,,,0.3375,percent of total billed charges,0.309705911,,,,,,,,,,0.3375,percent of total billed charges,0.3176751,,,,,,,,,,0.3375,percent of total billed charges,999999999,,,,,,,,,,0.3375,percent of total billed charges,0.272587606,,,,,,,,,,0.3375,percent of total billed charges,0.429889453,,,,,,,,,,0.3375,percent of total billed charges,999999999,,,,,,,,,,0.3375,percent of total billed charges,0.293916106,,,,,,,,,,1.215,percent of total billed charges,,,,,
**LORTAB(HYDRCOD/ACET) ELIX 2.5/15ML:60M,259,RC,5047-4090-16,NDC,,both,1,EA,305,305,64.92960311,305,305,percent of total billed charges,224.3993353,,,,305,percent of total billed charges,237.8588586,,,,305,percent of total billed charges,224.3993353,,,,305,percent of total billed charges,237.8588586,,,,305,percent of total billed charges,999999999,,,,305,percent of total billed charges,232.3890375,,,,305,percent of total billed charges,224.3993353,,,,305,percent of total billed charges,237.8588586,,,,217.465,percent of total billed charges,108.5190146,,,,217.465,percent of total billed charges,64.92960311,,,,217.465,percent of total billed charges,108.5190146,,,,217.465,percent of total billed charges,64.92960311,,,,217.465,percent of total billed charges,108.5190146,,,,217.465,percent of total billed charges,64.92960311,,,,215.33,percent of total billed charges,213.6962328,,,,215.33,percent of total billed charges,147.384598,,,,,,,,,,219.6,percent of total billed charges,142.7348323,,,,,,,,,,219.6,percent of total billed charges,999999999,,,,,,,,,,244,percent of total billed charges,204.4593165,,,,240.95,percent of total billed charges,232.5271193,,,,240.95,percent of total billed charges,205.4454069,,,,244,percent of total billed charges,999999999,,,,244,percent of total billed charges,999999999,,,,213.5,percent of total billed charges,999999999,,,,213.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,162.26,percent of total billed charges,999999999,,,,,,,,,,,,,,,,154.025,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,76.25,percent of total billed charges,72.41884857,,,,,,,,,,76.25,percent of total billed charges,71.2142103,,,,,,,,,,76.25,percent of total billed charges,71.01630906,,,,,,,,,,76.25,percent of total billed charges,69.97059477,,,,,,,,,,76.25,percent of total billed charges,71.77104104,,,,,,,,,,76.25,percent of total billed charges,999999999,,,,,,,,,,76.25,percent of total billed charges,61.58460733,,,,,,,,,,76.25,percent of total billed charges,97.12317261,,,,,,,,,,76.25,percent of total billed charges,999999999,,,,,,,,,,76.25,percent of total billed charges,66.4032683,,,,,,,,,,274.5,percent of total billed charges,,,,,
ACARBOSE (PRECOSE) 50MG TAB,637,RC,5041-9086-51,NDC,,both,1,EA,0.7,0.7,0.149018761,0.7,0.7,percent of total billed charges,0.515014868,,,,0.7,percent of total billed charges,0.545905577,,,,0.7,percent of total billed charges,0.515014868,,,,0.7,percent of total billed charges,0.545905577,,,,0.7,percent of total billed charges,999999999,,,,0.7,percent of total billed charges,0.533351889,,,,0.7,percent of total billed charges,0.515014868,,,,0.7,percent of total billed charges,0.545905577,,,,0.4991,percent of total billed charges,0.249060034,,,,0.4991,percent of total billed charges,0.149018761,,,,0.4991,percent of total billed charges,0.249060034,,,,0.4991,percent of total billed charges,0.149018761,,,,0.4991,percent of total billed charges,0.249060034,,,,0.4991,percent of total billed charges,0.149018761,,,,0.4942,percent of total billed charges,0.49045037,,,,0.4942,percent of total billed charges,0.338259733,,,,,,,,,,0.504,percent of total billed charges,0.32758814,,,,,,,,,,0.504,percent of total billed charges,999999999,,,,,,,,,,0.56,percent of total billed charges,0.46925089,,,,0.553,percent of total billed charges,0.533668798,,,,0.553,percent of total billed charges,0.471514049,,,,0.56,percent of total billed charges,999999999,,,,0.56,percent of total billed charges,999999999,,,,0.49,percent of total billed charges,999999999,,,,0.49,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.3724,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.3535,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.175,percent of total billed charges,0.166207193,,,,,,,,,,0.175,percent of total billed charges,0.16344245,,,,,,,,,,0.175,percent of total billed charges,0.16298825,,,,,,,,,,0.175,percent of total billed charges,0.16058825,,,,,,,,,,0.175,percent of total billed charges,0.164720422,,,,,,,,,,0.175,percent of total billed charges,999999999,,,,,,,,,,0.175,percent of total billed charges,0.141341722,,,,,,,,,,0.175,percent of total billed charges,0.222905642,,,,,,,,,,0.175,percent of total billed charges,999999999,,,,,,,,,,0.175,percent of total billed charges,0.152400944,,,,,,,,,,0.63,percent of total billed charges,,,,,
ACEBUTOLOL  (SECTRAL) 200MG TAB,637,RC,0037-8120-01,NDC,,both,1,EA,5.42,5.42,1.15383098,5.42,5.42,percent of total billed charges,3.987686549,,,,5.42,percent of total billed charges,4.226868896,,,,5.42,percent of total billed charges,3.987686549,,,,5.42,percent of total billed charges,4.226868896,,,,5.42,percent of total billed charges,999999999,,,,5.42,percent of total billed charges,4.129667486,,,,5.42,percent of total billed charges,3.987686549,,,,5.42,percent of total billed charges,4.226868896,,,,3.86446,percent of total billed charges,1.92843626,,,,3.86446,percent of total billed charges,1.15383098,,,,3.86446,percent of total billed charges,1.92843626,,,,3.86446,percent of total billed charges,1.15383098,,,,3.86446,percent of total billed charges,1.92843626,,,,3.86446,percent of total billed charges,1.15383098,,,,3.82652,percent of total billed charges,3.797487153,,,,3.82652,percent of total billed charges,2.61909679,,,,,,,,,,3.9024,percent of total billed charges,2.536468168,,,,,,,,,,3.9024,percent of total billed charges,999999999,,,,,,,,,,4.336,percent of total billed charges,3.633342607,,,,4.2818,percent of total billed charges,4.132121267,,,,4.2818,percent of total billed charges,3.650865919,,,,4.336,percent of total billed charges,999999999,,,,4.336,percent of total billed charges,999999999,,,,3.794,percent of total billed charges,999999999,,,,3.794,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2.88344,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2.7371,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.355,percent of total billed charges,1.286918555,,,,,,,,,,1.355,percent of total billed charges,1.26551154,,,,,,,,,,1.355,percent of total billed charges,1.261994738,,,,,,,,,,1.355,percent of total billed charges,1.243411881,,,,,,,,,,1.355,percent of total billed charges,1.275406696,,,,,,,,,,1.355,percent of total billed charges,999999999,,,,,,,,,,1.355,percent of total billed charges,1.09438876,,,,,,,,,,1.355,percent of total billed charges,1.725926543,,,,,,,,,,1.355,percent of total billed charges,999999999,,,,,,,,,,1.355,percent of total billed charges,1.180018735,,,,,,,,,,4.878,percent of total billed charges,,,,,
IPRATROPIUM (ATROVENT) NASAL SP 0.06%,259,RC,0005-4004-41,NDC,,both,1,EA,101.19,101.19,21.54172636,101.19,101.19,percent of total billed charges,74.44907785,,,,101.19,percent of total billed charges,78.91455048,,,,101.19,percent of total billed charges,74.44907785,,,,101.19,percent of total billed charges,78.91455048,,,,101.19,percent of total billed charges,999999999,,,,101.19,percent of total billed charges,77.09982525,,,,101.19,percent of total billed charges,74.44907785,,,,101.19,percent of total billed charges,78.91455048,,,,72.14847,percent of total billed charges,36.00340685,,,,72.14847,percent of total billed charges,21.54172636,,,,72.14847,percent of total billed charges,36.00340685,,,,72.14847,percent of total billed charges,21.54172636,,,,72.14847,percent of total billed charges,36.00340685,,,,72.14847,percent of total billed charges,21.54172636,,,,71.44014,percent of total billed charges,70.89810424,,,,71.44014,percent of total billed charges,48.89786055,,,,,,,,,,72.8568,percent of total billed charges,47.35520553,,,,,,,,,,72.8568,percent of total billed charges,999999999,,,,,,,,,,80.952,percent of total billed charges,67.83356797,,,,79.9401,percent of total billed charges,77.14563672,,,,79.9401,percent of total billed charges,68.16072368,,,,80.952,percent of total billed charges,999999999,,,,80.952,percent of total billed charges,999999999,,,,70.833,percent of total billed charges,999999999,,,,70.833,percent of total billed charges,999999999,,,,,,,,,,,,,,,,53.83308,percent of total billed charges,999999999,,,,,,,,,,,,,,,,51.10095,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,25.2975,percent of total billed charges,24.02643701,,,,,,,,,,25.2975,percent of total billed charges,23.62677357,,,,,,,,,,25.2975,percent of total billed charges,23.56111578,,,,,,,,,,25.2975,percent of total billed charges,23.21417864,,,,,,,,,,25.2975,percent of total billed charges,23.81151358,,,,,,,,,,25.2975,percent of total billed charges,999999999,,,,,,,,,,25.2975,percent of total billed charges,20.43195546,,,,,,,,,,25.2975,percent of total billed charges,32.22260274,,,,,,,,,,25.2975,percent of total billed charges,999999999,,,,,,,,,,25.2975,percent of total billed charges,22.03064498,,,,,,,,,,91.071,percent of total billed charges,,,,,
IPRATROPIUM (ATROVENT) NASAL SPRAY 0.03%,250,RC,0005-4004-44,NDC,,both,1,EA,129.78,129.78,27.62807833,129.78,129.78,percent of total billed charges,95.48375653,,,,129.78,percent of total billed charges,101.210894,,,,129.78,percent of total billed charges,95.48375653,,,,129.78,percent of total billed charges,101.210894,,,,129.78,percent of total billed charges,999999999,,,,129.78,percent of total billed charges,98.88344028,,,,129.78,percent of total billed charges,95.48375653,,,,129.78,percent of total billed charges,101.210894,,,,92.53314,percent of total billed charges,46.17573022,,,,92.53314,percent of total billed charges,27.62807833,,,,92.53314,percent of total billed charges,46.17573022,,,,92.53314,percent of total billed charges,27.62807833,,,,92.53314,percent of total billed charges,46.17573022,,,,92.53314,percent of total billed charges,27.62807833,,,,91.62468,percent of total billed charges,90.92949864,,,,91.62468,percent of total billed charges,62.7133545,,,,,,,,,,93.4416,percent of total billed charges,60.73484112,,,,,,,,,,93.4416,percent of total billed charges,999999999,,,,,,,,,,103.824,percent of total billed charges,86.99911505,,,,102.5262,percent of total billed charges,98.94219521,,,,102.5262,percent of total billed charges,87.4187046,,,,103.824,percent of total billed charges,999999999,,,,103.824,percent of total billed charges,999999999,,,,90.846,percent of total billed charges,999999999,,,,90.846,percent of total billed charges,999999999,,,,,,,,,,,,,,,,69.04296,percent of total billed charges,999999999,,,,,,,,,,,,,,,,65.5389,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,32.445,percent of total billed charges,30.81481366,,,,,,,,,,32.445,percent of total billed charges,30.3022302,,,,,,,,,,32.445,percent of total billed charges,30.2180216,,,,,,,,,,32.445,percent of total billed charges,29.7730616,,,,,,,,,,32.445,percent of total billed charges,30.53916625,,,,,,,,,,32.445,percent of total billed charges,999999999,,,,,,,,,,32.445,percent of total billed charges,26.20475521,,,,,,,,,,32.445,percent of total billed charges,41.32670604,,,,,,,,,,32.445,percent of total billed charges,999999999,,,,,,,,,,32.445,percent of total billed charges,28.25513495,,,,,,,,,,116.802,percent of total billed charges,,,,,
**NEFAZODONE (SERZONE) 100MG: TAB,250,RC,0008-7003-31,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
ZAFIRLUKAST (ACCOLATE) 20MG TAB,637,RC,5511-1062-60,NDC,,both,1,EA,7.64,7.64,1.626433337,7.64,7.64,percent of total billed charges,5.621019417,,,,7.64,percent of total billed charges,5.95816944,,,,7.64,percent of total billed charges,5.621019417,,,,7.64,percent of total billed charges,5.95816944,,,,7.64,percent of total billed charges,999999999,,,,7.64,percent of total billed charges,5.821154906,,,,7.64,percent of total billed charges,5.621019417,,,,7.64,percent of total billed charges,5.95816944,,,,5.44732,percent of total billed charges,2.718312366,,,,5.44732,percent of total billed charges,1.626433337,,,,5.44732,percent of total billed charges,2.718312366,,,,5.44732,percent of total billed charges,1.626433337,,,,5.44732,percent of total billed charges,2.718312366,,,,5.44732,percent of total billed charges,1.626433337,,,,5.39384,percent of total billed charges,5.35291547,,,,5.39384,percent of total billed charges,3.691863372,,,,,,,,,,5.5008,percent of total billed charges,3.575390555,,,,,,,,,,5.5008,percent of total billed charges,999999999,,,,,,,,,,6.112,percent of total billed charges,5.121538288,,,,6.0356,percent of total billed charges,5.824613742,,,,6.0356,percent of total billed charges,5.146239044,,,,6.112,percent of total billed charges,999999999,,,,6.112,percent of total billed charges,999999999,,,,5.348,percent of total billed charges,999999999,,,,5.348,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.06448,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.8582,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.91,percent of total billed charges,1.814032797,,,,,,,,,,1.91,percent of total billed charges,1.783857596,,,,,,,,,,1.91,percent of total billed charges,1.778900332,,,,,,,,,,1.91,percent of total billed charges,1.752706046,,,,,,,,,,1.91,percent of total billed charges,1.797805749,,,,,,,,,,1.91,percent of total billed charges,999999999,,,,,,,,,,1.91,percent of total billed charges,1.542643934,,,,,,,,,,1.91,percent of total billed charges,2.432855865,,,,,,,,,,1.91,percent of total billed charges,999999999,,,,,,,,,,1.91,percent of total billed charges,1.663347442,,,,,,,,,,6.876,percent of total billed charges,,,,,
ESTRO/MEDROXYPROG(PREMPRO)0.625/2.5MG:TA,259,RC,0004-6087-06,NDC,,both,1,EA,27,27,5.747866505,27,27,percent of total billed charges,19.86485919,,,,27,percent of total billed charges,21.05635797,,,,27,percent of total billed charges,19.86485919,,,,27,percent of total billed charges,21.05635797,,,,27,percent of total billed charges,999999999,,,,27,percent of total billed charges,20.5721443,,,,27,percent of total billed charges,19.86485919,,,,27,percent of total billed charges,21.05635797,,,,19.251,percent of total billed charges,9.606601294,,,,19.251,percent of total billed charges,5.747866505,,,,19.251,percent of total billed charges,9.606601294,,,,19.251,percent of total billed charges,5.747866505,,,,19.251,percent of total billed charges,9.606601294,,,,19.251,percent of total billed charges,5.747866505,,,,19.062,percent of total billed charges,18.91737142,,,,19.062,percent of total billed charges,13.04716113,,,,,,,,,,19.44,percent of total billed charges,12.63554254,,,,,,,,,,19.44,percent of total billed charges,999999999,,,,,,,,,,21.6,percent of total billed charges,18.09967719,,,,21.33,percent of total billed charges,20.58436793,,,,21.33,percent of total billed charges,18.18697044,,,,21.6,percent of total billed charges,999999999,,,,21.6,percent of total billed charges,999999999,,,,18.9,percent of total billed charges,999999999,,,,18.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,14.364,percent of total billed charges,999999999,,,,,,,,,,,,,,,,13.635,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6.75,percent of total billed charges,6.41084889,,,,,,,,,,6.75,percent of total billed charges,6.30420878,,,,,,,,,,6.75,percent of total billed charges,6.286689654,,,,,,,,,,6.75,percent of total billed charges,6.194118226,,,,,,,,,,6.75,percent of total billed charges,6.353501993,,,,,,,,,,6.75,percent of total billed charges,999999999,,,,,,,,,,6.75,percent of total billed charges,5.451752124,,,,,,,,,,6.75,percent of total billed charges,8.597789051,,,,,,,,,,6.75,percent of total billed charges,999999999,,,,,,,,,,6.75,percent of total billed charges,5.878322112,,,,,,,,,,24.3,percent of total billed charges,,,,,
AMOXICILLIN/CLAVULANATE 875MG TAB,637,RC,0009-3227-34,NDC,,both,1,EA,1.58,1.58,0.336356633,1.58,1.58,percent of total billed charges,1.162462131,,,,1.58,percent of total billed charges,1.232186874,,,,1.58,percent of total billed charges,1.162462131,,,,1.58,percent of total billed charges,1.232186874,,,,1.58,percent of total billed charges,999999999,,,,1.58,percent of total billed charges,1.203851407,,,,1.58,percent of total billed charges,1.162462131,,,,1.58,percent of total billed charges,1.232186874,,,,1.12654,percent of total billed charges,0.562164076,,,,1.12654,percent of total billed charges,0.336356633,,,,1.12654,percent of total billed charges,0.562164076,,,,1.12654,percent of total billed charges,0.336356633,,,,1.12654,percent of total billed charges,0.562164076,,,,1.12654,percent of total billed charges,0.336356633,,,,1.11548,percent of total billed charges,1.10701655,,,,1.11548,percent of total billed charges,0.76350054,,,,,,,,,,1.1376,percent of total billed charges,0.73941323,,,,,,,,,,1.1376,percent of total billed charges,999999999,,,,,,,,,,1.264,percent of total billed charges,1.059166295,,,,1.2482,percent of total billed charges,1.204566716,,,,1.2482,percent of total billed charges,1.064274567,,,,1.264,percent of total billed charges,999999999,,,,1.264,percent of total billed charges,999999999,,,,1.106,percent of total billed charges,999999999,,,,1.106,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.84056,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.7979,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.395,percent of total billed charges,0.375153379,,,,,,,,,,0.395,percent of total billed charges,0.368912958,,,,,,,,,,0.395,percent of total billed charges,0.367887765,,,,,,,,,,0.395,percent of total billed charges,0.362470622,,,,,,,,,,0.395,percent of total billed charges,0.371797524,,,,,,,,,,0.395,percent of total billed charges,999999999,,,,,,,,,,0.395,percent of total billed charges,0.319028458,,,,,,,,,,0.395,percent of total billed charges,0.503129878,,,,,,,,,,0.395,percent of total billed charges,999999999,,,,,,,,,,0.395,percent of total billed charges,0.343990701,,,,,,,,,,1.422,percent of total billed charges,,,,,
**REFRESH TEARS: 15 ML,259,RC,0002-3079-15,NDC,,both,1,EA,18,18,3.831911003,18,18,percent of total billed charges,13.24323946,,,,18,percent of total billed charges,14.03757198,,,,18,percent of total billed charges,13.24323946,,,,18,percent of total billed charges,14.03757198,,,,18,percent of total billed charges,999999999,,,,18,percent of total billed charges,13.71476287,,,,18,percent of total billed charges,13.24323946,,,,18,percent of total billed charges,14.03757198,,,,12.834,percent of total billed charges,6.404400863,,,,12.834,percent of total billed charges,3.831911003,,,,12.834,percent of total billed charges,6.404400863,,,,12.834,percent of total billed charges,3.831911003,,,,12.834,percent of total billed charges,6.404400863,,,,12.834,percent of total billed charges,3.831911003,,,,12.708,percent of total billed charges,12.61158095,,,,12.708,percent of total billed charges,8.698107421,,,,,,,,,,12.96,percent of total billed charges,8.423695024,,,,,,,,,,12.96,percent of total billed charges,999999999,,,,,,,,,,14.4,percent of total billed charges,12.06645146,,,,14.22,percent of total billed charges,13.72291196,,,,14.22,percent of total billed charges,12.12464696,,,,14.4,percent of total billed charges,999999999,,,,14.4,percent of total billed charges,999999999,,,,12.6,percent of total billed charges,999999999,,,,12.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.576,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.09,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4.5,percent of total billed charges,4.27389926,,,,,,,,,,4.5,percent of total billed charges,4.202805854,,,,,,,,,,4.5,percent of total billed charges,4.191126436,,,,,,,,,,4.5,percent of total billed charges,4.12941215,,,,,,,,,,4.5,percent of total billed charges,4.235667996,,,,,,,,,,4.5,percent of total billed charges,999999999,,,,,,,,,,4.5,percent of total billed charges,3.634501416,,,,,,,,,,4.5,percent of total billed charges,5.731859367,,,,,,,,,,4.5,percent of total billed charges,999999999,,,,,,,,,,4.5,percent of total billed charges,3.918881408,,,,,,,,,,16.2,percent of total billed charges,,,,,
MONTELUKAST (SINGULAIR) 10MG TAB,637,RC,6808-4087-11,NDC,,both,1,EA,1.7,1.7,0.361902706,1.7,1.7,percent of total billed charges,1.250750394,,,,1.7,percent of total billed charges,1.325770687,,,,1.7,percent of total billed charges,1.250750394,,,,1.7,percent of total billed charges,1.325770687,,,,1.7,percent of total billed charges,999999999,,,,1.7,percent of total billed charges,1.29528316,,,,1.7,percent of total billed charges,1.250750394,,,,1.7,percent of total billed charges,1.325770687,,,,1.2121,percent of total billed charges,0.604860081,,,,1.2121,percent of total billed charges,0.361902706,,,,1.2121,percent of total billed charges,0.604860081,,,,1.2121,percent of total billed charges,0.361902706,,,,1.2121,percent of total billed charges,0.604860081,,,,1.2121,percent of total billed charges,0.361902706,,,,1.2002,percent of total billed charges,1.191093756,,,,1.2002,percent of total billed charges,0.821487923,,,,,,,,,,1.224,percent of total billed charges,0.795571197,,,,,,,,,,1.224,percent of total billed charges,999999999,,,,,,,,,,1.36,percent of total billed charges,1.139609305,,,,1.343,percent of total billed charges,1.296052796,,,,1.343,percent of total billed charges,1.145105547,,,,1.36,percent of total billed charges,999999999,,,,1.36,percent of total billed charges,999999999,,,,1.19,percent of total billed charges,999999999,,,,1.19,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.9044,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.8585,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.425,percent of total billed charges,0.403646041,,,,,,,,,,0.425,percent of total billed charges,0.396931664,,,,,,,,,,0.425,percent of total billed charges,0.395828608,,,,,,,,,,0.425,percent of total billed charges,0.390000036,,,,,,,,,,0.425,percent of total billed charges,0.400035311,,,,,,,,,,0.425,percent of total billed charges,999999999,,,,,,,,,,0.425,percent of total billed charges,0.343258467,,,,,,,,,,0.425,percent of total billed charges,0.541342274,,,,,,,,,,0.425,percent of total billed charges,999999999,,,,,,,,,,0.425,percent of total billed charges,0.370116577,,,,,,,,,,1.53,percent of total billed charges,,,,,
**KETOPROFEN (ORUDIS) 50MG: CAP,259,RC,0037-8407-01,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
**LEFLUNOMIDE (ARAVA) 20 MG TAB,259,RC,0008-8216-30,NDC,,both,1,EA,4,4,0.851535778,4,4,percent of total billed charges,2.942942103,,,,4,percent of total billed charges,3.11946044,,,,4,percent of total billed charges,2.942942103,,,,4,percent of total billed charges,3.11946044,,,,4,percent of total billed charges,999999999,,,,4,percent of total billed charges,3.047725082,,,,4,percent of total billed charges,2.942942103,,,,4,percent of total billed charges,3.11946044,,,,2.852,percent of total billed charges,1.423200192,,,,2.852,percent of total billed charges,0.851535778,,,,2.852,percent of total billed charges,1.423200192,,,,2.852,percent of total billed charges,0.851535778,,,,2.852,percent of total billed charges,1.423200192,,,,2.852,percent of total billed charges,0.851535778,,,,2.824,percent of total billed charges,2.802573544,,,,2.824,percent of total billed charges,1.93291276,,,,,,,,,,2.88,percent of total billed charges,1.871932228,,,,,,,,,,2.88,percent of total billed charges,999999999,,,,,,,,,,3.2,percent of total billed charges,2.681433658,,,,3.16,percent of total billed charges,3.04953599,,,,3.16,percent of total billed charges,2.694365992,,,,3.2,percent of total billed charges,999999999,,,,3.2,percent of total billed charges,999999999,,,,2.8,percent of total billed charges,999999999,,,,2.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2.128,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2.02,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1,percent of total billed charges,0.949755391,,,,,,,,,,1,percent of total billed charges,0.933956856,,,,,,,,,,1,percent of total billed charges,0.93136143,,,,,,,,,,1,percent of total billed charges,0.917647145,,,,,,,,,,1,percent of total billed charges,0.941259555,,,,,,,,,,1,percent of total billed charges,999999999,,,,,,,,,,1,percent of total billed charges,0.807666981,,,,,,,,,,1,percent of total billed charges,1.273746526,,,,,,,,,,1,percent of total billed charges,999999999,,,,,,,,,,1,percent of total billed charges,0.870862535,,,,,,,,,,3.6,percent of total billed charges,,,,,
CELECOXIB (CeleBREX) CAP 200MG,637,RC,5107-9021-20,NDC,,both,1,EA,4.25,4.25,0.904756765,4.25,4.25,percent of total billed charges,3.126875984,,,,4.25,percent of total billed charges,3.314426718,,,,4.25,percent of total billed charges,3.126875984,,,,4.25,percent of total billed charges,3.314426718,,,,4.25,percent of total billed charges,999999999,,,,4.25,percent of total billed charges,3.238207899,,,,4.25,percent of total billed charges,3.126875984,,,,4.25,percent of total billed charges,3.314426718,,,,3.03025,percent of total billed charges,1.512150204,,,,3.03025,percent of total billed charges,0.904756765,,,,3.03025,percent of total billed charges,1.512150204,,,,3.03025,percent of total billed charges,0.904756765,,,,3.03025,percent of total billed charges,1.512150204,,,,3.03025,percent of total billed charges,0.904756765,,,,3.0005,percent of total billed charges,2.977734391,,,,3.0005,percent of total billed charges,2.053719808,,,,,,,,,,3.06,percent of total billed charges,1.988927992,,,,,,,,,,3.06,percent of total billed charges,999999999,,,,,,,,,,3.4,percent of total billed charges,2.849023262,,,,3.3575,percent of total billed charges,3.24013199,,,,3.3575,percent of total billed charges,2.862763866,,,,3.4,percent of total billed charges,999999999,,,,3.4,percent of total billed charges,999999999,,,,2.975,percent of total billed charges,999999999,,,,2.975,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2.261,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2.14625,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.0625,percent of total billed charges,1.009115103,,,,,,,,,,1.0625,percent of total billed charges,0.99232916,,,,,,,,,,1.0625,percent of total billed charges,0.98957152,,,,,,,,,,1.0625,percent of total billed charges,0.975000091,,,,,,,,,,1.0625,percent of total billed charges,1.000088277,,,,,,,,,,1.0625,percent of total billed charges,999999999,,,,,,,,,,1.0625,percent of total billed charges,0.858146168,,,,,,,,,,1.0625,percent of total billed charges,1.353355684,,,,,,,,,,1.0625,percent of total billed charges,999999999,,,,,,,,,,1.0625,percent of total billed charges,0.925291444,,,,,,,,,,3.825,percent of total billed charges,,,,,
AMOXICILLIN/CLAV 400MG-57/5ML: 50ML,637,RC,6586-2053-50,NDC,,both,1,EA,53.91,53.91,11.47657345,53.91,53.91,percent of total billed charges,39.66350219,,,,53.91,percent of total billed charges,42.04252808,,,,53.91,percent of total billed charges,39.66350219,,,,53.91,percent of total billed charges,42.04252808,,,,53.91,percent of total billed charges,999999999,,,,53.91,percent of total billed charges,41.07571479,,,,53.91,percent of total billed charges,39.66350219,,,,53.91,percent of total billed charges,42.04252808,,,,38.43783,percent of total billed charges,19.18118058,,,,38.43783,percent of total billed charges,11.47657345,,,,38.43783,percent of total billed charges,19.18118058,,,,38.43783,percent of total billed charges,11.47657345,,,,38.43783,percent of total billed charges,19.18118058,,,,38.43783,percent of total billed charges,11.47657345,,,,38.06046,percent of total billed charges,37.77168494,,,,38.06046,percent of total billed charges,26.05083173,,,,,,,,,,38.8152,percent of total billed charges,25.2289666,,,,,,,,,,38.8152,percent of total billed charges,999999999,,,,,,,,,,43.128,percent of total billed charges,36.13902213,,,,42.5889,percent of total billed charges,41.10012131,,,,42.5889,percent of total billed charges,36.31331765,,,,43.128,percent of total billed charges,999999999,,,,43.128,percent of total billed charges,999999999,,,,37.737,percent of total billed charges,999999999,,,,37.737,percent of total billed charges,999999999,,,,,,,,,,,,,,,,28.68012,percent of total billed charges,999999999,,,,,,,,,,,,,,,,27.22455,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13.4775,percent of total billed charges,12.80032828,,,,,,,,,,13.4775,percent of total billed charges,12.58740353,,,,,,,,,,13.4775,percent of total billed charges,12.55242368,,,,,,,,,,13.4775,percent of total billed charges,12.36758939,,,,,,,,,,13.4775,percent of total billed charges,12.68582565,,,,,,,,,,13.4775,percent of total billed charges,999999999,,,,,,,,,,13.4775,percent of total billed charges,10.88533174,,,,,,,,,,13.4775,percent of total billed charges,17.16691881,,,,,,,,,,13.4775,percent of total billed charges,999999999,,,,,,,,,,13.4775,percent of total billed charges,11.73704982,,,,,,,,,,48.519,percent of total billed charges,,,,,
LOTEPREDNOL (LOTEMAX) OPTH.SUSP 0.5%,250,RC,2420-8029-05,NDC,,both,1,EA,443.1,443.1,94.32887586,443.1,443.1,percent of total billed charges,326.0044114,,,,443.1,percent of total billed charges,345.5582302,,,,443.1,percent of total billed charges,326.0044114,,,,443.1,percent of total billed charges,345.5582302,,,,443.1,percent of total billed charges,999999999,,,,443.1,percent of total billed charges,337.6117459,,,,443.1,percent of total billed charges,326.0044114,,,,443.1,percent of total billed charges,345.5582302,,,,315.9303,percent of total billed charges,157.6550012,,,,315.9303,percent of total billed charges,94.32887586,,,,315.9303,percent of total billed charges,157.6550012,,,,315.9303,percent of total billed charges,94.32887586,,,,315.9303,percent of total billed charges,157.6550012,,,,315.9303,percent of total billed charges,94.32887586,,,,312.8286,percent of total billed charges,310.4550844,,,,312.8286,percent of total billed charges,214.118411,,,,,,,,,,319.032,percent of total billed charges,207.3632925,,,,,,,,,,319.032,percent of total billed charges,999999999,,,,,,,,,,354.48,percent of total billed charges,297.0358135,,,,350.049,percent of total billed charges,337.8123493,,,,350.049,percent of total billed charges,298.4683927,,,,354.48,percent of total billed charges,999999999,,,,354.48,percent of total billed charges,999999999,,,,310.17,percent of total billed charges,999999999,,,,310.17,percent of total billed charges,999999999,,,,,,,,,,,,,,,,235.7292,percent of total billed charges,999999999,,,,,,,,,,,,,,,,223.7655,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,110.775,percent of total billed charges,105.2091534,,,,,,,,,,110.775,percent of total billed charges,103.4590708,,,,,,,,,,110.775,percent of total billed charges,103.1715624,,,,,,,,,,110.775,percent of total billed charges,101.6523624,,,,,,,,,,110.775,percent of total billed charges,104.2680272,,,,,,,,,,110.775,percent of total billed charges,999999999,,,,,,,,,,110.775,percent of total billed charges,89.46930986,,,,,,,,,,110.775,percent of total billed charges,141.0992714,,,,,,,,,,110.775,percent of total billed charges,999999999,,,,,,,,,,110.775,percent of total billed charges,96.46979732,,,,,,,,,,398.79,percent of total billed charges,,,,,
**BUPROPRION (WELLBUTRIN SR) 100MG TAB,259,RC,0017-3094-55,NDC,,both,1,EA,11,11,2.341723391,11,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,11,percent of total billed charges,999999999,,,,11,percent of total billed charges,8.381243975,,,,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.766,percent of total billed charges,7.707077247,,,,7.766,percent of total billed charges,5.31551009,,,,,,,,,,7.92,percent of total billed charges,5.147813626,,,,,,,,,,7.92,percent of total billed charges,999999999,,,,,,,,,,8.8,percent of total billed charges,7.373942561,,,,8.69,percent of total billed charges,8.386223973,,,,8.69,percent of total billed charges,7.409506477,,,,8.8,percent of total billed charges,999999999,,,,8.8,percent of total billed charges,999999999,,,,7.7,percent of total billed charges,999999999,,,,7.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.852,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.555,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.75,percent of total billed charges,2.611827325,,,,,,,,,,2.75,percent of total billed charges,2.568381355,,,,,,,,,,2.75,percent of total billed charges,2.561243933,,,,,,,,,,2.75,percent of total billed charges,2.523529647,,,,,,,,,,2.75,percent of total billed charges,2.588463775,,,,,,,,,,2.75,percent of total billed charges,999999999,,,,,,,,,,2.75,percent of total billed charges,2.221084199,,,,,,,,,,2.75,percent of total billed charges,3.502802947,,,,,,,,,,2.75,percent of total billed charges,999999999,,,,,,,,,,2.75,percent of total billed charges,2.394871971,,,,,,,,,,9.9,percent of total billed charges,,,,,
ROPIvacaine (NAROPIN) 0.2% 100 ML INJ,J2795,CDM,6332-3028-65,NDC,,both,1,EA,363.66,363.66,77.4173753,363.66,363.66,percent of total billed charges,267.5575813,,,,363.66,percent of total billed charges,283.6057459,,,,363.66,percent of total billed charges,267.5575813,,,,363.66,percent of total billed charges,283.6057459,,,,363.66,percent of total billed charges,999999999,,,,363.66,percent of total billed charges,277.0839258,,,,363.66,percent of total billed charges,267.5575813,,,,363.66,percent of total billed charges,283.6057459,,,,259.28958,percent of total billed charges,129.3902454,,,,259.28958,percent of total billed charges,77.4173753,,,,259.28958,percent of total billed charges,129.3902454,,,,259.28958,percent of total billed charges,77.4173753,,,,259.28958,percent of total billed charges,129.3902454,,,,259.28958,percent of total billed charges,77.4173753,,,,256.74396,percent of total billed charges,254.7959738,,,,256.74396,percent of total billed charges,175.7307636,,,,,,,,,,261.8352,percent of total billed charges,170.1867185,,,,,,,,,,261.8352,percent of total billed charges,999999999,,,,,,,,,,290.928,percent of total billed charges,243.7825411,,,,287.2914,percent of total billed charges,277.2485646,,,,287.2914,percent of total billed charges,244.9582841,,,,290.928,percent of total billed charges,999999999,,,,290.928,percent of total billed charges,999999999,,,,254.562,percent of total billed charges,999999999,,,,254.562,percent of total billed charges,999999999,,,,,,,,,,,,,,,,193.46712,percent of total billed charges,999999999,,,,,,,,,,,,,,,,183.6483,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,90.915,percent of total billed charges,86.34701138,,,,,,,,,,90.915,percent of total billed charges,84.9106876,,,,,,,,,,90.915,percent of total billed charges,84.67472443,,,,,,,,,,90.915,percent of total billed charges,83.42789014,,,,,,,,,,90.915,percent of total billed charges,85.57461241,,,,,,,,,,90.915,percent of total billed charges,999999999,,,,,,,,,,90.915,percent of total billed charges,73.42904361,,,,,,,,,,90.915,percent of total billed charges,115.8026654,,,,,,,,,,90.915,percent of total billed charges,999999999,,,,,,,,,,90.915,percent of total billed charges,79.17446738,,,,,,,,,,327.294,percent of total billed charges,,,,,
**ROSIGLITAZONE (AVANDIA) 4 MG TAB,259,RC,6387-4051-01,NDC,,both,1,EA,10,10,2.128839446,10,10,percent of total billed charges,7.357355257,,,,10,percent of total billed charges,7.7986511,,,,10,percent of total billed charges,7.357355257,,,,10,percent of total billed charges,7.7986511,,,,10,percent of total billed charges,999999999,,,,10,percent of total billed charges,7.619312704,,,,10,percent of total billed charges,7.357355257,,,,10,percent of total billed charges,7.7986511,,,,7.13,percent of total billed charges,3.558000479,,,,7.13,percent of total billed charges,2.128839446,,,,7.13,percent of total billed charges,3.558000479,,,,7.13,percent of total billed charges,2.128839446,,,,7.13,percent of total billed charges,3.558000479,,,,7.13,percent of total billed charges,2.128839446,,,,7.06,percent of total billed charges,7.006433861,,,,7.06,percent of total billed charges,4.8322819,,,,,,,,,,7.2,percent of total billed charges,4.679830569,,,,,,,,,,7.2,percent of total billed charges,999999999,,,,,,,,,,8,percent of total billed charges,6.703584146,,,,7.9,percent of total billed charges,7.623839976,,,,7.9,percent of total billed charges,6.735914979,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,999999999,,,,7,percent of total billed charges,999999999,,,,7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.32,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.05,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.5,percent of total billed charges,2.374388478,,,,,,,,,,2.5,percent of total billed charges,2.334892141,,,,,,,,,,2.5,percent of total billed charges,2.328403576,,,,,,,,,,2.5,percent of total billed charges,2.294117861,,,,,,,,,,2.5,percent of total billed charges,2.353148886,,,,,,,,,,2.5,percent of total billed charges,999999999,,,,,,,,,,2.5,percent of total billed charges,2.019167453,,,,,,,,,,2.5,percent of total billed charges,3.184366315,,,,,,,,,,2.5,percent of total billed charges,999999999,,,,,,,,,,2.5,percent of total billed charges,2.177156338,,,,,,,,,,9,percent of total billed charges,,,,,
**LORACARBEF(LORABID CAPSULE):400MG,259,RC,0000-2317-02,NDC,,both,1,EA,16,16,3.406143114,16,16,percent of total billed charges,11.77176841,,,,16,percent of total billed charges,12.47784176,,,,16,percent of total billed charges,11.77176841,,,,16,percent of total billed charges,12.47784176,,,,16,percent of total billed charges,999999999,,,,16,percent of total billed charges,12.19090033,,,,16,percent of total billed charges,11.77176841,,,,16,percent of total billed charges,12.47784176,,,,11.408,percent of total billed charges,5.692800767,,,,11.408,percent of total billed charges,3.406143114,,,,11.408,percent of total billed charges,5.692800767,,,,11.408,percent of total billed charges,3.406143114,,,,11.408,percent of total billed charges,5.692800767,,,,11.408,percent of total billed charges,3.406143114,,,,11.296,percent of total billed charges,11.21029418,,,,11.296,percent of total billed charges,7.731651041,,,,,,,,,,11.52,percent of total billed charges,7.48772891,,,,,,,,,,11.52,percent of total billed charges,999999999,,,,,,,,,,12.8,percent of total billed charges,10.72573463,,,,12.64,percent of total billed charges,12.19814396,,,,12.64,percent of total billed charges,10.77746397,,,,12.8,percent of total billed charges,999999999,,,,12.8,percent of total billed charges,999999999,,,,11.2,percent of total billed charges,999999999,,,,11.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,8.512,percent of total billed charges,999999999,,,,,,,,,,,,,,,,8.08,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4,percent of total billed charges,3.799021564,,,,,,,,,,4,percent of total billed charges,3.735827425,,,,,,,,,,4,percent of total billed charges,3.725445721,,,,,,,,,,4,percent of total billed charges,3.670588578,,,,,,,,,,4,percent of total billed charges,3.765038218,,,,,,,,,,4,percent of total billed charges,999999999,,,,,,,,,,4,percent of total billed charges,3.230667926,,,,,,,,,,4,percent of total billed charges,5.094986104,,,,,,,,,,4,percent of total billed charges,999999999,,,,,,,,,,4,percent of total billed charges,3.48345014,,,,,,,,,,14.4,percent of total billed charges,,,,,
**RABEPRAZOLE(ACIPHEX) TAB: 20MG,259,RC,6285-6024-41,NDC,,both,1,EA,37,37,7.876705951,37,37,percent of total billed charges,27.22221445,,,,37,percent of total billed charges,28.85500907,,,,37,percent of total billed charges,27.22221445,,,,37,percent of total billed charges,28.85500907,,,,37,percent of total billed charges,999999999,,,,37,percent of total billed charges,28.19145701,,,,37,percent of total billed charges,27.22221445,,,,37,percent of total billed charges,28.85500907,,,,26.381,percent of total billed charges,13.16460177,,,,26.381,percent of total billed charges,7.876705951,,,,26.381,percent of total billed charges,13.16460177,,,,26.381,percent of total billed charges,7.876705951,,,,26.381,percent of total billed charges,13.16460177,,,,26.381,percent of total billed charges,7.876705951,,,,26.122,percent of total billed charges,25.92380528,,,,26.122,percent of total billed charges,17.87944303,,,,,,,,,,26.64,percent of total billed charges,17.3153731,,,,,,,,,,26.64,percent of total billed charges,999999999,,,,,,,,,,29.6,percent of total billed charges,24.80326134,,,,29.23,percent of total billed charges,28.20820791,,,,29.23,percent of total billed charges,24.92288542,,,,29.6,percent of total billed charges,999999999,,,,29.6,percent of total billed charges,999999999,,,,25.9,percent of total billed charges,999999999,,,,25.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,19.684,percent of total billed charges,999999999,,,,,,,,,,,,,,,,18.685,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9.25,percent of total billed charges,8.785237367,,,,,,,,,,9.25,percent of total billed charges,8.639100921,,,,,,,,,,9.25,percent of total billed charges,8.61509323,,,,,,,,,,9.25,percent of total billed charges,8.488236087,,,,,,,,,,9.25,percent of total billed charges,8.70665088,,,,,,,,,,9.25,percent of total billed charges,999999999,,,,,,,,,,9.25,percent of total billed charges,7.470919578,,,,,,,,,,9.25,percent of total billed charges,11.78215537,,,,,,,,,,9.25,percent of total billed charges,999999999,,,,,,,,,,9.25,percent of total billed charges,8.055478449,,,,,,,,,,33.3,percent of total billed charges,,,,,
LIDOCAINE 2% (XYLOCAINE) JELLY 5 ML,250,RC,1747-8071-10,NDC,,both,1,EA,14.95,14.95,3.182614972,14.95,14.95,percent of total billed charges,10.99924611,,,,14.95,percent of total billed charges,11.65898339,,,,14.95,percent of total billed charges,10.99924611,,,,14.95,percent of total billed charges,11.65898339,,,,14.95,percent of total billed charges,999999999,,,,14.95,percent of total billed charges,11.39087249,,,,14.95,percent of total billed charges,10.99924611,,,,14.95,percent of total billed charges,11.65898339,,,,10.65935,percent of total billed charges,5.319210717,,,,10.65935,percent of total billed charges,3.182614972,,,,10.65935,percent of total billed charges,5.319210717,,,,10.65935,percent of total billed charges,3.182614972,,,,10.65935,percent of total billed charges,5.319210717,,,,10.65935,percent of total billed charges,3.182614972,,,,10.5547,percent of total billed charges,10.47461862,,,,10.5547,percent of total billed charges,7.224261441,,,,,,,,,,10.764,percent of total billed charges,6.9963467,,,,,,,,,,10.764,percent of total billed charges,999999999,,,,,,,,,,11.96,percent of total billed charges,10.0218583,,,,11.8105,percent of total billed charges,11.39764076,,,,11.8105,percent of total billed charges,10.07019289,,,,11.96,percent of total billed charges,999999999,,,,11.96,percent of total billed charges,999999999,,,,10.465,percent of total billed charges,999999999,,,,10.465,percent of total billed charges,999999999,,,,,,,,,,,,,,,,7.9534,percent of total billed charges,999999999,,,,,,,,,,,,,,,,7.54975,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3.7375,percent of total billed charges,3.549710774,,,,,,,,,,3.7375,percent of total billed charges,3.490663751,,,,,,,,,,3.7375,percent of total billed charges,3.480963346,,,,,,,,,,3.7375,percent of total billed charges,3.429706203,,,,,,,,,,3.7375,percent of total billed charges,3.517957585,,,,,,,,,,3.7375,percent of total billed charges,999999999,,,,,,,,,,3.7375,percent of total billed charges,3.018655343,,,,,,,,,,3.7375,percent of total billed charges,4.760627641,,,,,,,,,,3.7375,percent of total billed charges,999999999,,,,,,,,,,3.7375,percent of total billed charges,3.254848725,,,,,,,,,,13.455,percent of total billed charges,,,,,
LIP BALM (CARMEX) OINT TUBE,259,RC,8307-8012-14,NDC,,both,1,EA,19,19,4.044794948,19,19,percent of total billed charges,13.97897499,,,,19,percent of total billed charges,14.81743709,,,,19,percent of total billed charges,13.97897499,,,,19,percent of total billed charges,14.81743709,,,,19,percent of total billed charges,999999999,,,,19,percent of total billed charges,14.47669414,,,,19,percent of total billed charges,13.97897499,,,,19,percent of total billed charges,14.81743709,,,,13.547,percent of total billed charges,6.760200911,,,,13.547,percent of total billed charges,4.044794948,,,,13.547,percent of total billed charges,6.760200911,,,,13.547,percent of total billed charges,4.044794948,,,,13.547,percent of total billed charges,6.760200911,,,,13.547,percent of total billed charges,4.044794948,,,,13.414,percent of total billed charges,13.31222434,,,,13.414,percent of total billed charges,9.181335611,,,,,,,,,,13.68,percent of total billed charges,8.891678081,,,,,,,,,,13.68,percent of total billed charges,999999999,,,,,,,,,,15.2,percent of total billed charges,12.73680988,,,,15.01,percent of total billed charges,14.48529595,,,,15.01,percent of total billed charges,12.79823846,,,,15.2,percent of total billed charges,999999999,,,,15.2,percent of total billed charges,999999999,,,,13.3,percent of total billed charges,999999999,,,,13.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,10.108,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.595,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4.75,percent of total billed charges,4.511338108,,,,,,,,,,4.75,percent of total billed charges,4.436295068,,,,,,,,,,4.75,percent of total billed charges,4.423966794,,,,,,,,,,4.75,percent of total billed charges,4.358823937,,,,,,,,,,4.75,percent of total billed charges,4.470982884,,,,,,,,,,4.75,percent of total billed charges,999999999,,,,,,,,,,4.75,percent of total billed charges,3.836418162,,,,,,,,,,4.75,percent of total billed charges,6.050295999,,,,,,,,,,4.75,percent of total billed charges,999999999,,,,,,,,,,4.75,percent of total billed charges,4.136597042,,,,,,,,,,17.1,percent of total billed charges,,,,,
PIPRACIL/TAZOBACTAM (ZOSYN) 3.375 ADV,J2543,CDM,0040-9337-11,NDC,,both,1,EA,136.44,136.44,29.0458854,136.44,136.44,percent of total billed charges,100.3837551,,,,136.44,percent of total billed charges,106.4047956,,,,136.44,percent of total billed charges,100.3837551,,,,136.44,percent of total billed charges,106.4047956,,,,136.44,percent of total billed charges,999999999,,,,136.44,percent of total billed charges,103.9579025,,,,136.44,percent of total billed charges,100.3837551,,,,136.44,percent of total billed charges,106.4047956,,,,97.28172,percent of total billed charges,48.54535854,,,,97.28172,percent of total billed charges,29.0458854,,,,97.28172,percent of total billed charges,48.54535854,,,,97.28172,percent of total billed charges,29.0458854,,,,97.28172,percent of total billed charges,48.54535854,,,,97.28172,percent of total billed charges,29.0458854,,,,96.32664,percent of total billed charges,95.5957836,,,,96.32664,percent of total billed charges,65.93165425,,,,,,,,,,98.2368,percent of total billed charges,63.85160828,,,,,,,,,,98.2368,percent of total billed charges,999999999,,,,,,,,,,109.152,percent of total billed charges,91.46370209,,,,107.7876,percent of total billed charges,104.0196726,,,,107.7876,percent of total billed charges,91.90482398,,,,109.152,percent of total billed charges,999999999,,,,109.152,percent of total billed charges,999999999,,,,95.508,percent of total billed charges,999999999,,,,95.508,percent of total billed charges,999999999,,,,,,,,,,,,,,,,72.58608,percent of total billed charges,999999999,,,,,,,,,,,,,,,,68.9022,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,34.11,percent of total billed charges,32.39615639,,,,,,,,,,34.11,percent of total billed charges,31.85726837,,,,,,,,,,34.11,percent of total billed charges,31.76873839,,,,,,,,,,34.11,percent of total billed charges,31.3009441,,,,,,,,,,34.11,percent of total billed charges,32.10636341,,,,,,,,,,34.11,percent of total billed charges,999999999,,,,,,,,,,34.11,percent of total billed charges,27.54952073,,,,,,,,,,34.11,percent of total billed charges,43.447494,,,,,,,,,,34.11,percent of total billed charges,999999999,,,,,,,,,,34.11,percent of total billed charges,29.70512107,,,,,,,,,,122.796,percent of total billed charges,,,,,
CLOTRIMAZOLE/BETAMETHASONE LOTION 30ML,259,RC,0016-8037-30,NDC,,both,1,EA,283.43,283.43,60.33769642,283.43,283.43,percent of total billed charges,208.5295201,,,,283.43,percent of total billed charges,221.0371681,,,,283.43,percent of total billed charges,208.5295201,,,,283.43,percent of total billed charges,221.0371681,,,,283.43,percent of total billed charges,999999999,,,,283.43,percent of total billed charges,215.95418,,,,283.43,percent of total billed charges,208.5295201,,,,283.43,percent of total billed charges,221.0371681,,,,202.08559,percent of total billed charges,100.8444076,,,,202.08559,percent of total billed charges,60.33769642,,,,202.08559,percent of total billed charges,100.8444076,,,,202.08559,percent of total billed charges,60.33769642,,,,202.08559,percent of total billed charges,100.8444076,,,,202.08559,percent of total billed charges,60.33769642,,,,200.10158,percent of total billed charges,198.5833549,,,,200.10158,percent of total billed charges,136.9613659,,,,,,,,,,204.0696,percent of total billed charges,132.6404378,,,,,,,,,,204.0696,percent of total billed charges,999999999,,,,,,,,,,226.744,percent of total billed charges,189.9996854,,,,223.9097,percent of total billed charges,216.0824964,,,,223.9097,percent of total billed charges,190.9160383,,,,226.744,percent of total billed charges,999999999,,,,226.744,percent of total billed charges,999999999,,,,198.401,percent of total billed charges,999999999,,,,198.401,percent of total billed charges,999999999,,,,,,,,,,,,,,,,150.78476,percent of total billed charges,999999999,,,,,,,,,,,,,,,,143.13215,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,70.8575,percent of total billed charges,67.29729262,,,,,,,,,,70.8575,percent of total billed charges,66.17784795,,,,,,,,,,70.8575,percent of total billed charges,65.99394254,,,,,,,,,,70.8575,percent of total billed charges,65.02218254,,,,,,,,,,70.8575,percent of total billed charges,66.69529889,,,,,,,,,,70.8575,percent of total billed charges,999999999,,,,,,,,,,70.8575,percent of total billed charges,57.22926313,,,,,,,,,,70.8575,percent of total billed charges,90.25449447,,,,,,,,,,70.8575,percent of total billed charges,999999999,,,,,,,,,,70.8575,percent of total billed charges,61.70714208,,,,,,,,,,255.087,percent of total billed charges,,,,,
LEVOTHYROXINE (SYNTHROID) 0.088 MG TAB,637,RC,0007-4659-90,NDC,,both,1,EA,0.81,0.81,0.172435995,0.81,0.81,percent of total billed charges,0.595945776,,,,0.81,percent of total billed charges,0.631690739,,,,0.81,percent of total billed charges,0.595945776,,,,0.81,percent of total billed charges,0.631690739,,,,0.81,percent of total billed charges,999999999,,,,0.81,percent of total billed charges,0.617164329,,,,0.81,percent of total billed charges,0.595945776,,,,0.81,percent of total billed charges,0.631690739,,,,0.57753,percent of total billed charges,0.288198039,,,,0.57753,percent of total billed charges,0.172435995,,,,0.57753,percent of total billed charges,0.288198039,,,,0.57753,percent of total billed charges,0.172435995,,,,0.57753,percent of total billed charges,0.288198039,,,,0.57753,percent of total billed charges,0.172435995,,,,0.57186,percent of total billed charges,0.567521143,,,,0.57186,percent of total billed charges,0.391414834,,,,,,,,,,0.5832,percent of total billed charges,0.379066276,,,,,,,,,,0.5832,percent of total billed charges,999999999,,,,,,,,,,0.648,percent of total billed charges,0.542990316,,,,0.6399,percent of total billed charges,0.617531038,,,,0.6399,percent of total billed charges,0.545609113,,,,0.648,percent of total billed charges,999999999,,,,0.648,percent of total billed charges,999999999,,,,0.567,percent of total billed charges,999999999,,,,0.567,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.43092,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.40905,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.2025,percent of total billed charges,0.192325467,,,,,,,,,,0.2025,percent of total billed charges,0.189126263,,,,,,,,,,0.2025,percent of total billed charges,0.18860069,,,,,,,,,,0.2025,percent of total billed charges,0.185823547,,,,,,,,,,0.2025,percent of total billed charges,0.19060506,,,,,,,,,,0.2025,percent of total billed charges,999999999,,,,,,,,,,0.2025,percent of total billed charges,0.163552564,,,,,,,,,,0.2025,percent of total billed charges,0.257933672,,,,,,,,,,0.2025,percent of total billed charges,999999999,,,,,,,,,,0.2025,percent of total billed charges,0.176349663,,,,,,,,,,0.729,percent of total billed charges,,,,,
**BECLOMETHASONE INH(VANCERIL DS):12.2,259,RC,5295-9026-01,NDC,,both,1,EA,126,126,26.82337702,126,126,percent of total billed charges,92.70267624,,,,126,percent of total billed charges,98.26300386,,,,126,percent of total billed charges,92.70267624,,,,126,percent of total billed charges,98.26300386,,,,126,percent of total billed charges,999999999,,,,126,percent of total billed charges,96.00334007,,,,126,percent of total billed charges,92.70267624,,,,126,percent of total billed charges,98.26300386,,,,89.838,percent of total billed charges,44.83080604,,,,89.838,percent of total billed charges,26.82337702,,,,89.838,percent of total billed charges,44.83080604,,,,89.838,percent of total billed charges,26.82337702,,,,89.838,percent of total billed charges,44.83080604,,,,89.838,percent of total billed charges,26.82337702,,,,88.956,percent of total billed charges,88.28106665,,,,88.956,percent of total billed charges,60.88675195,,,,,,,,,,90.72,percent of total billed charges,58.96586517,,,,,,,,,,90.72,percent of total billed charges,999999999,,,,,,,,,,100.8,percent of total billed charges,84.46516024,,,,99.54,percent of total billed charges,96.0603837,,,,99.54,percent of total billed charges,84.87252874,,,,100.8,percent of total billed charges,999999999,,,,100.8,percent of total billed charges,999999999,,,,88.2,percent of total billed charges,999999999,,,,88.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,67.032,percent of total billed charges,999999999,,,,,,,,,,,,,,,,63.63,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,31.5,percent of total billed charges,29.91729482,,,,,,,,,,31.5,percent of total billed charges,29.41964098,,,,,,,,,,31.5,percent of total billed charges,29.33788505,,,,,,,,,,31.5,percent of total billed charges,28.90588505,,,,,,,,,,31.5,percent of total billed charges,29.64967597,,,,,,,,,,31.5,percent of total billed charges,999999999,,,,,,,,,,31.5,percent of total billed charges,25.44150991,,,,,,,,,,31.5,percent of total billed charges,40.12301557,,,,,,,,,,31.5,percent of total billed charges,999999999,,,,,,,,,,31.5,percent of total billed charges,27.43216985,,,,,,,,,,113.4,percent of total billed charges,,,,,
**TILADE (NEOCROMIL) INHALER: 16.2 GM,259,RC,0058-5068-02,NDC,,both,1,EA,248,248,52.79521827,248,248,percent of total billed charges,182.4624104,,,,248,percent of total billed charges,193.4065473,,,,248,percent of total billed charges,182.4624104,,,,248,percent of total billed charges,193.4065473,,,,248,percent of total billed charges,999999999,,,,248,percent of total billed charges,188.9589551,,,,248,percent of total billed charges,182.4624104,,,,248,percent of total billed charges,193.4065473,,,,176.824,percent of total billed charges,88.23841189,,,,176.824,percent of total billed charges,52.79521827,,,,176.824,percent of total billed charges,88.23841189,,,,176.824,percent of total billed charges,52.79521827,,,,176.824,percent of total billed charges,88.23841189,,,,176.824,percent of total billed charges,52.79521827,,,,175.088,percent of total billed charges,173.7595597,,,,175.088,percent of total billed charges,119.8405911,,,,,,,,,,178.56,percent of total billed charges,116.0597981,,,,,,,,,,178.56,percent of total billed charges,999999999,,,,,,,,,,198.4,percent of total billed charges,166.2488868,,,,195.92,percent of total billed charges,189.0712314,,,,195.92,percent of total billed charges,167.0506915,,,,198.4,percent of total billed charges,999999999,,,,198.4,percent of total billed charges,999999999,,,,173.6,percent of total billed charges,999999999,,,,173.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,131.936,percent of total billed charges,999999999,,,,,,,,,,,,,,,,125.24,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,62,percent of total billed charges,58.88483425,,,,,,,,,,62,percent of total billed charges,57.90532509,,,,,,,,,,62,percent of total billed charges,57.74440868,,,,,,,,,,62,percent of total billed charges,56.89412296,,,,,,,,,,62,percent of total billed charges,58.35809238,,,,,,,,,,62,percent of total billed charges,999999999,,,,,,,,,,62,percent of total billed charges,50.07535285,,,,,,,,,,62,percent of total billed charges,78.97228462,,,,,,,,,,62,percent of total billed charges,999999999,,,,,,,,,,62,percent of total billed charges,53.99347717,,,,,,,,,,223.2,percent of total billed charges,,,,,
LORATADINE (CLARITIN) 10 MG TAB,637,RC,6808-4024-11,NDC,,both,1,EA,0.78,0.78,0.166049477,0.78,0.78,percent of total billed charges,0.57387371,,,,0.78,percent of total billed charges,0.608294786,,,,0.78,percent of total billed charges,0.57387371,,,,0.78,percent of total billed charges,0.608294786,,,,0.78,percent of total billed charges,999999999,,,,0.78,percent of total billed charges,0.594306391,,,,0.78,percent of total billed charges,0.57387371,,,,0.78,percent of total billed charges,0.608294786,,,,0.55614,percent of total billed charges,0.277524037,,,,0.55614,percent of total billed charges,0.166049477,,,,0.55614,percent of total billed charges,0.277524037,,,,0.55614,percent of total billed charges,0.166049477,,,,0.55614,percent of total billed charges,0.277524037,,,,0.55614,percent of total billed charges,0.166049477,,,,0.55068,percent of total billed charges,0.546501841,,,,0.55068,percent of total billed charges,0.376917988,,,,,,,,,,0.5616,percent of total billed charges,0.365026784,,,,,,,,,,0.5616,percent of total billed charges,999999999,,,,,,,,,,0.624,percent of total billed charges,0.522879563,,,,0.6162,percent of total billed charges,0.594659518,,,,0.6162,percent of total billed charges,0.525401368,,,,0.624,percent of total billed charges,999999999,,,,0.624,percent of total billed charges,999999999,,,,0.546,percent of total billed charges,999999999,,,,0.546,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.41496,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.3939,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.195,percent of total billed charges,0.185202301,,,,,,,,,,0.195,percent of total billed charges,0.182121587,,,,,,,,,,0.195,percent of total billed charges,0.181615479,,,,,,,,,,0.195,percent of total billed charges,0.178941193,,,,,,,,,,0.195,percent of total billed charges,0.183545613,,,,,,,,,,0.195,percent of total billed charges,999999999,,,,,,,,,,0.195,percent of total billed charges,0.157495061,,,,,,,,,,0.195,percent of total billed charges,0.248380573,,,,,,,,,,0.195,percent of total billed charges,999999999,,,,,,,,,,0.195,percent of total billed charges,0.169818194,,,,,,,,,,0.702,percent of total billed charges,,,,,
**PIPRACILLIN (PIPRACIL):2GM,258,RC,9999-9999-99,NDC,,both,1,EA,48,48,10.21842934,48,48,percent of total billed charges,35.31530523,,,,48,percent of total billed charges,37.43352528,,,,48,percent of total billed charges,35.31530523,,,,48,percent of total billed charges,37.43352528,,,,48,percent of total billed charges,999999999,,,,48,percent of total billed charges,36.57270098,,,,48,percent of total billed charges,35.31530523,,,,48,percent of total billed charges,37.43352528,,,,34.224,percent of total billed charges,17.0784023,,,,34.224,percent of total billed charges,10.21842934,,,,34.224,percent of total billed charges,17.0784023,,,,34.224,percent of total billed charges,10.21842934,,,,34.224,percent of total billed charges,17.0784023,,,,34.224,percent of total billed charges,10.21842934,,,,33.888,percent of total billed charges,33.63088253,,,,33.888,percent of total billed charges,23.19495312,,,,,,,,,,34.56,percent of total billed charges,22.46318673,,,,,,,,,,34.56,percent of total billed charges,999999999,,,,,,,,,,38.4,percent of total billed charges,32.1772039,,,,37.92,percent of total billed charges,36.59443188,,,,37.92,percent of total billed charges,32.3323919,,,,38.4,percent of total billed charges,999999999,,,,38.4,percent of total billed charges,999999999,,,,33.6,percent of total billed charges,999999999,,,,33.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,25.536,percent of total billed charges,999999999,,,,,,,,,,,,,,,,24.24,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12,percent of total billed charges,11.39706469,,,,,,,,,,12,percent of total billed charges,11.20748228,,,,,,,,,,12,percent of total billed charges,11.17633716,,,,,,,,,,12,percent of total billed charges,11.01176573,,,,,,,,,,12,percent of total billed charges,11.29511466,,,,,,,,,,12,percent of total billed charges,999999999,,,,,,,,,,12,percent of total billed charges,9.692003777,,,,,,,,,,12,percent of total billed charges,15.28495831,,,,,,,,,,12,percent of total billed charges,999999999,,,,,,,,,,12,percent of total billed charges,10.45035042,,,,,,,,,,43.2,percent of total billed charges,,,,,
LEVOTHYROXINE 0.175 MG TAB,637,RC,0052-7135-01,NDC,,both,1,EA,2.96,2.96,0.630136476,2.96,2.96,percent of total billed charges,2.177777156,,,,2.96,percent of total billed charges,2.308400726,,,,2.96,percent of total billed charges,2.177777156,,,,2.96,percent of total billed charges,2.308400726,,,,2.96,percent of total billed charges,999999999,,,,2.96,percent of total billed charges,2.25531656,,,,2.96,percent of total billed charges,2.177777156,,,,2.96,percent of total billed charges,2.308400726,,,,2.11048,percent of total billed charges,1.053168142,,,,2.11048,percent of total billed charges,0.630136476,,,,2.11048,percent of total billed charges,1.053168142,,,,2.11048,percent of total billed charges,0.630136476,,,,2.11048,percent of total billed charges,1.053168142,,,,2.11048,percent of total billed charges,0.630136476,,,,2.08976,percent of total billed charges,2.073904423,,,,2.08976,percent of total billed charges,1.430355443,,,,,,,,,,2.1312,percent of total billed charges,1.385229848,,,,,,,,,,2.1312,percent of total billed charges,999999999,,,,,,,,,,2.368,percent of total billed charges,1.984260907,,,,2.3384,percent of total billed charges,2.256656633,,,,2.3384,percent of total billed charges,1.993830834,,,,2.368,percent of total billed charges,999999999,,,,2.368,percent of total billed charges,999999999,,,,2.072,percent of total billed charges,999999999,,,,2.072,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.57472,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.4948,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.74,percent of total billed charges,0.702818989,,,,,,,,,,0.74,percent of total billed charges,0.691128074,,,,,,,,,,0.74,percent of total billed charges,0.689207458,,,,,,,,,,0.74,percent of total billed charges,0.679058887,,,,,,,,,,0.74,percent of total billed charges,0.69653207,,,,,,,,,,0.74,percent of total billed charges,999999999,,,,,,,,,,0.74,percent of total billed charges,0.597673566,,,,,,,,,,0.74,percent of total billed charges,0.942572429,,,,,,,,,,0.74,percent of total billed charges,999999999,,,,,,,,,,0.74,percent of total billed charges,0.644438276,,,,,,,,,,2.664,percent of total billed charges,,,,,
NYSTATIN TOPICAL POWDER 15 GM,250,RC,6830-8015-15,NDC,,both,1,EA,116.95,116.95,24.89677732,116.95,116.95,percent of total billed charges,86.04426973,,,,116.95,percent of total billed charges,91.20522462,,,,116.95,percent of total billed charges,86.04426973,,,,116.95,percent of total billed charges,91.20522462,,,,116.95,percent of total billed charges,999999999,,,,116.95,percent of total billed charges,89.10786208,,,,116.95,percent of total billed charges,86.04426973,,,,116.95,percent of total billed charges,91.20522462,,,,83.38535,percent of total billed charges,41.61081561,,,,83.38535,percent of total billed charges,24.89677732,,,,83.38535,percent of total billed charges,41.61081561,,,,83.38535,percent of total billed charges,24.89677732,,,,83.38535,percent of total billed charges,41.61081561,,,,83.38535,percent of total billed charges,24.89677732,,,,82.5667,percent of total billed charges,81.940244,,,,82.5667,percent of total billed charges,56.51353683,,,,,,,,,,84.204,percent of total billed charges,54.7306185,,,,,,,,,,84.204,percent of total billed charges,999999999,,,,,,,,,,93.56,percent of total billed charges,78.39841659,,,,92.3905,percent of total billed charges,89.16080852,,,,92.3905,percent of total billed charges,78.77652568,,,,93.56,percent of total billed charges,999999999,,,,93.56,percent of total billed charges,999999999,,,,81.865,percent of total billed charges,999999999,,,,81.865,percent of total billed charges,999999999,,,,,,,,,,,,,,,,62.2174,percent of total billed charges,999999999,,,,,,,,,,,,,,,,59.05975,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,29.2375,percent of total billed charges,27.76847325,,,,,,,,,,29.2375,percent of total billed charges,27.30656359,,,,,,,,,,29.2375,percent of total billed charges,27.23067982,,,,,,,,,,29.2375,percent of total billed charges,26.82970839,,,,,,,,,,29.2375,percent of total billed charges,27.52007623,,,,,,,,,,29.2375,percent of total billed charges,999999999,,,,,,,,,,29.2375,percent of total billed charges,23.61416337,,,,,,,,,,29.2375,percent of total billed charges,37.24116406,,,,,,,,,,29.2375,percent of total billed charges,999999999,,,,,,,,,,29.2375,percent of total billed charges,25.46184337,,,,,,,,,,105.255,percent of total billed charges,,,,,
ZOLPIDEM (AMBIEN)10 MG TAB,637,RC,5107-9072-20,NDC,,both,1,EA,0.81,0.81,0.172435995,0.81,0.81,percent of total billed charges,0.595945776,,,,0.81,percent of total billed charges,0.631690739,,,,0.81,percent of total billed charges,0.595945776,,,,0.81,percent of total billed charges,0.631690739,,,,0.81,percent of total billed charges,999999999,,,,0.81,percent of total billed charges,0.617164329,,,,0.81,percent of total billed charges,0.595945776,,,,0.81,percent of total billed charges,0.631690739,,,,0.57753,percent of total billed charges,0.288198039,,,,0.57753,percent of total billed charges,0.172435995,,,,0.57753,percent of total billed charges,0.288198039,,,,0.57753,percent of total billed charges,0.172435995,,,,0.57753,percent of total billed charges,0.288198039,,,,0.57753,percent of total billed charges,0.172435995,,,,0.57186,percent of total billed charges,0.567521143,,,,0.57186,percent of total billed charges,0.391414834,,,,,,,,,,0.5832,percent of total billed charges,0.379066276,,,,,,,,,,0.5832,percent of total billed charges,999999999,,,,,,,,,,0.648,percent of total billed charges,0.542990316,,,,0.6399,percent of total billed charges,0.617531038,,,,0.6399,percent of total billed charges,0.545609113,,,,0.648,percent of total billed charges,999999999,,,,0.648,percent of total billed charges,999999999,,,,0.567,percent of total billed charges,999999999,,,,0.567,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.43092,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.40905,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.2025,percent of total billed charges,0.192325467,,,,,,,,,,0.2025,percent of total billed charges,0.189126263,,,,,,,,,,0.2025,percent of total billed charges,0.18860069,,,,,,,,,,0.2025,percent of total billed charges,0.185823547,,,,,,,,,,0.2025,percent of total billed charges,0.19060506,,,,,,,,,,0.2025,percent of total billed charges,999999999,,,,,,,,,,0.2025,percent of total billed charges,0.163552564,,,,,,,,,,0.2025,percent of total billed charges,0.257933672,,,,,,,,,,0.2025,percent of total billed charges,999999999,,,,,,,,,,0.2025,percent of total billed charges,0.176349663,,,,,,,,,,0.729,percent of total billed charges,,,,,
SUFentanil (SUFENTA)  250MCG/5ML AMP,250,RC,0004-9338-25,NDC,,both,1,EA,168.48,168.48,35.86668699,168.48,168.48,percent of total billed charges,123.9567214,,,,168.48,percent of total billed charges,131.3916737,,,,168.48,percent of total billed charges,123.9567214,,,,168.48,percent of total billed charges,131.3916737,,,,168.48,percent of total billed charges,999999999,,,,168.48,percent of total billed charges,128.3701804,,,,168.48,percent of total billed charges,123.9567214,,,,168.48,percent of total billed charges,131.3916737,,,,120.12624,percent of total billed charges,59.94519207,,,,120.12624,percent of total billed charges,35.86668699,,,,120.12624,percent of total billed charges,59.94519207,,,,120.12624,percent of total billed charges,35.86668699,,,,120.12624,percent of total billed charges,59.94519207,,,,120.12624,percent of total billed charges,35.86668699,,,,118.94688,percent of total billed charges,118.0443977,,,,118.94688,percent of total billed charges,81.41428546,,,,,,,,,,121.3056,percent of total billed charges,78.84578542,,,,,,,,,,121.3056,percent of total billed charges,999999999,,,,,,,,,,134.784,percent of total billed charges,112.9419857,,,,133.0992,percent of total billed charges,128.4464559,,,,133.0992,percent of total billed charges,113.4866956,,,,134.784,percent of total billed charges,999999999,,,,134.784,percent of total billed charges,999999999,,,,117.936,percent of total billed charges,999999999,,,,117.936,percent of total billed charges,999999999,,,,,,,,,,,,,,,,89.63136,percent of total billed charges,999999999,,,,,,,,,,,,,,,,85.0824,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,42.12,percent of total billed charges,40.00369707,,,,,,,,,,42.12,percent of total billed charges,39.33826279,,,,,,,,,,42.12,percent of total billed charges,39.22894344,,,,,,,,,,42.12,percent of total billed charges,38.65129773,,,,,,,,,,42.12,percent of total billed charges,39.64585244,,,,,,,,,,42.12,percent of total billed charges,999999999,,,,,,,,,,42.12,percent of total billed charges,34.01893326,,,,,,,,,,42.12,percent of total billed charges,53.65020368,,,,,,,,,,42.12,percent of total billed charges,999999999,,,,,,,,,,42.12,percent of total billed charges,36.68072998,,,,,,,,,,151.632,percent of total billed charges,,,,,
**E-TRIAMINIC CHEST CONGESTION SYRUP:4OZ,250,RC,0006-7608-04,NDC,,both,1,EA,9,9,1.915955502,9,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,9,percent of total billed charges,999999999,,,,9,percent of total billed charges,6.857381434,,,,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.354,percent of total billed charges,6.305790475,,,,6.354,percent of total billed charges,4.34905371,,,,,,,,,,6.48,percent of total billed charges,4.211847512,,,,,,,,,,6.48,percent of total billed charges,999999999,,,,,,,,,,7.2,percent of total billed charges,6.033225731,,,,7.11,percent of total billed charges,6.861455978,,,,7.11,percent of total billed charges,6.062323481,,,,7.2,percent of total billed charges,999999999,,,,7.2,percent of total billed charges,999999999,,,,6.3,percent of total billed charges,999999999,,,,6.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.788,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.545,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.25,percent of total billed charges,2.13694963,,,,,,,,,,2.25,percent of total billed charges,2.101402927,,,,,,,,,,2.25,percent of total billed charges,2.095563218,,,,,,,,,,2.25,percent of total billed charges,2.064706075,,,,,,,,,,2.25,percent of total billed charges,2.117833998,,,,,,,,,,2.25,percent of total billed charges,999999999,,,,,,,,,,2.25,percent of total billed charges,1.817250708,,,,,,,,,,2.25,percent of total billed charges,2.865929684,,,,,,,,,,2.25,percent of total billed charges,999999999,,,,,,,,,,2.25,percent of total billed charges,1.959440704,,,,,,,,,,8.1,percent of total billed charges,,,,,
diphenhydrAMINE (BENADRYL) CR 30GM,637,RC,4580-2035-03,NDC,,both,1,EA,25.98,25.98,5.530724881,25.98,25.98,percent of total billed charges,19.11440896,,,,25.98,percent of total billed charges,20.26089556,,,,25.98,percent of total billed charges,19.11440896,,,,25.98,percent of total billed charges,20.26089556,,,,25.98,percent of total billed charges,999999999,,,,25.98,percent of total billed charges,19.79497441,,,,25.98,percent of total billed charges,19.11440896,,,,25.98,percent of total billed charges,20.26089556,,,,18.52374,percent of total billed charges,9.243685245,,,,18.52374,percent of total billed charges,5.530724881,,,,18.52374,percent of total billed charges,9.243685245,,,,18.52374,percent of total billed charges,5.530724881,,,,18.52374,percent of total billed charges,9.243685245,,,,18.52374,percent of total billed charges,5.530724881,,,,18.34188,percent of total billed charges,18.20271517,,,,18.34188,percent of total billed charges,12.55426838,,,,,,,,,,18.7056,percent of total billed charges,12.15819982,,,,,,,,,,18.7056,percent of total billed charges,999999999,,,,,,,,,,20.784,percent of total billed charges,17.41591161,,,,20.5242,percent of total billed charges,19.80673626,,,,20.5242,percent of total billed charges,17.49990712,,,,20.784,percent of total billed charges,999999999,,,,20.784,percent of total billed charges,999999999,,,,18.186,percent of total billed charges,999999999,,,,18.186,percent of total billed charges,999999999,,,,,,,,,,,,,,,,13.82136,percent of total billed charges,999999999,,,,,,,,,,,,,,,,13.1199,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6.495,percent of total billed charges,6.168661265,,,,,,,,,,6.495,percent of total billed charges,6.066049782,,,,,,,,,,6.495,percent of total billed charges,6.049192489,,,,,,,,,,6.495,percent of total billed charges,5.960118204,,,,,,,,,,6.495,percent of total billed charges,6.113480807,,,,,,,,,,6.495,percent of total billed charges,999999999,,,,,,,,,,6.495,percent of total billed charges,5.245797044,,,,,,,,,,6.495,percent of total billed charges,8.272983687,,,,,,,,,,6.495,percent of total billed charges,999999999,,,,,,,,,,6.495,percent of total billed charges,5.656252165,,,,,,,,,,23.382,percent of total billed charges,,,,,
LATANOPROST (XALATAN) 0.005% OPHTH SOLN,637,RC,0001-3830-04,NDC,,both,1,EA,56.98,56.98,12.13012716,56.98,56.98,percent of total billed charges,41.92221026,,,,56.98,percent of total billed charges,44.43671397,,,,56.98,percent of total billed charges,41.92221026,,,,56.98,percent of total billed charges,44.43671397,,,,56.98,percent of total billed charges,999999999,,,,56.98,percent of total billed charges,43.41484379,,,,56.98,percent of total billed charges,41.92221026,,,,56.98,percent of total billed charges,44.43671397,,,,40.62674,percent of total billed charges,20.27348673,,,,40.62674,percent of total billed charges,12.13012716,,,,40.62674,percent of total billed charges,20.27348673,,,,40.62674,percent of total billed charges,12.13012716,,,,40.62674,percent of total billed charges,20.27348673,,,,40.62674,percent of total billed charges,12.13012716,,,,40.22788,percent of total billed charges,39.92266014,,,,40.22788,percent of total billed charges,27.53434227,,,,,,,,,,41.0256,percent of total billed charges,26.66567458,,,,,,,,,,41.0256,percent of total billed charges,999999999,,,,,,,,,,45.584,percent of total billed charges,38.19702246,,,,45.0142,percent of total billed charges,43.44064018,,,,45.0142,percent of total billed charges,38.38124355,,,,45.584,percent of total billed charges,999999999,,,,45.584,percent of total billed charges,999999999,,,,39.886,percent of total billed charges,999999999,,,,39.886,percent of total billed charges,999999999,,,,,,,,,,,,,,,,30.31336,percent of total billed charges,999999999,,,,,,,,,,,,,,,,28.7749,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14.245,percent of total billed charges,13.52926555,,,,,,,,,,14.245,percent of total billed charges,13.30421542,,,,,,,,,,14.245,percent of total billed charges,13.26724357,,,,,,,,,,14.245,percent of total billed charges,13.07188357,,,,,,,,,,14.245,percent of total billed charges,13.40824236,,,,,,,,,,14.245,percent of total billed charges,999999999,,,,,,,,,,14.245,percent of total billed charges,11.50521615,,,,,,,,,,14.245,percent of total billed charges,18.14451926,,,,,,,,,,14.245,percent of total billed charges,999999999,,,,,,,,,,14.245,percent of total billed charges,12.40543681,,,,,,,,,,51.282,percent of total billed charges,,,,,
NACL OPHTH HYPERTON(MURO-128 2%):15ML,259,RC,2420-8027-15,NDC,,both,1,EA,74.91,74.91,15.94713629,74.91,74.91,percent of total billed charges,55.11394823,,,,74.91,percent of total billed charges,58.41969539,,,,74.91,percent of total billed charges,55.11394823,,,,74.91,percent of total billed charges,58.41969539,,,,74.91,percent of total billed charges,999999999,,,,74.91,percent of total billed charges,57.07627147,,,,74.91,percent of total billed charges,55.11394823,,,,74.91,percent of total billed charges,58.41969539,,,,53.41083,percent of total billed charges,26.65298159,,,,53.41083,percent of total billed charges,15.94713629,,,,53.41083,percent of total billed charges,26.65298159,,,,53.41083,percent of total billed charges,15.94713629,,,,53.41083,percent of total billed charges,26.65298159,,,,53.41083,percent of total billed charges,15.94713629,,,,52.88646,percent of total billed charges,52.48519605,,,,52.88646,percent of total billed charges,36.19862372,,,,,,,,,,53.9352,percent of total billed charges,35.05661079,,,,,,,,,,53.9352,percent of total billed charges,999999999,,,,,,,,,,59.928,percent of total billed charges,50.21654884,,,,59.1789,percent of total billed charges,57.11018526,,,,59.1789,percent of total billed charges,50.45873911,,,,59.928,percent of total billed charges,999999999,,,,59.928,percent of total billed charges,999999999,,,,52.437,percent of total billed charges,999999999,,,,52.437,percent of total billed charges,999999999,,,,,,,,,,,,,,,,39.85212,percent of total billed charges,999999999,,,,,,,,,,,,,,,,37.82955,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18.7275,percent of total billed charges,17.78654409,,,,,,,,,,18.7275,percent of total billed charges,17.49067703,,,,,,,,,,18.7275,percent of total billed charges,17.44207119,,,,,,,,,,18.7275,percent of total billed charges,17.1852369,,,,,,,,,,18.7275,percent of total billed charges,17.62743831,,,,,,,,,,18.7275,percent of total billed charges,999999999,,,,,,,,,,18.7275,percent of total billed charges,15.12558339,,,,,,,,,,18.7275,percent of total billed charges,23.85408807,,,,,,,,,,18.7275,percent of total billed charges,999999999,,,,,,,,,,18.7275,percent of total billed charges,16.30907813,,,,,,,,,,67.419,percent of total billed charges,,,,,
ENOXAPARIN (LOVENOX) 60 MG SYRINGE,J1650,CDM,0095-5100-10,NDC,,both,1,EA,78.72,78.72,16.75822412,78.72,78.72,percent of total billed charges,57.91710058,,,,78.72,percent of total billed charges,61.39098146,,,,78.72,percent of total billed charges,57.91710058,,,,78.72,percent of total billed charges,61.39098146,,,,78.72,percent of total billed charges,999999999,,,,78.72,percent of total billed charges,59.97922961,,,,78.72,percent of total billed charges,57.91710058,,,,78.72,percent of total billed charges,61.39098146,,,,56.12736,percent of total billed charges,28.00857977,,,,56.12736,percent of total billed charges,16.75822412,,,,56.12736,percent of total billed charges,28.00857977,,,,56.12736,percent of total billed charges,16.75822412,,,,56.12736,percent of total billed charges,28.00857977,,,,56.12736,percent of total billed charges,16.75822412,,,,55.57632,percent of total billed charges,55.15464735,,,,55.57632,percent of total billed charges,38.03972312,,,,,,,,,,56.6784,percent of total billed charges,36.83962624,,,,,,,,,,56.6784,percent of total billed charges,999999999,,,,,,,,,,62.976,percent of total billed charges,52.7706144,,,,62.1888,percent of total billed charges,60.01486829,,,,62.1888,percent of total billed charges,53.02512272,,,,62.976,percent of total billed charges,999999999,,,,62.976,percent of total billed charges,999999999,,,,55.104,percent of total billed charges,999999999,,,,55.104,percent of total billed charges,999999999,,,,,,,,,,,,,,,,41.87904,percent of total billed charges,999999999,,,,,,,,,,,,,,,,39.7536,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19.68,percent of total billed charges,18.6911861,,,,,,,,,,19.68,percent of total billed charges,18.38027093,,,,,,,,,,19.68,percent of total billed charges,18.32919295,,,,,,,,,,19.68,percent of total billed charges,18.0592958,,,,,,,,,,19.68,percent of total billed charges,18.52398803,,,,,,,,,,19.68,percent of total billed charges,999999999,,,,,,,,,,19.68,percent of total billed charges,15.89488619,,,,,,,,,,19.68,percent of total billed charges,25.06733163,,,,,,,,,,19.68,percent of total billed charges,999999999,,,,,,,,,,19.68,percent of total billed charges,17.13857469,,,,,,,,,,70.848,percent of total billed charges,,,,,
MILK OF MAGNESIA (MOM) 30ML SUSP,637,RC,0012-1043-30,NDC,,both,1,EA,5.68,5.68,1.209180805,5.68,5.68,percent of total billed charges,4.178977786,,,,5.68,percent of total billed charges,4.429633825,,,,5.68,percent of total billed charges,4.178977786,,,,5.68,percent of total billed charges,4.429633825,,,,5.68,percent of total billed charges,999999999,,,,5.68,percent of total billed charges,4.327769616,,,,5.68,percent of total billed charges,4.178977786,,,,5.68,percent of total billed charges,4.429633825,,,,4.04984,percent of total billed charges,2.020944272,,,,4.04984,percent of total billed charges,1.209180805,,,,4.04984,percent of total billed charges,2.020944272,,,,4.04984,percent of total billed charges,1.209180805,,,,4.04984,percent of total billed charges,2.020944272,,,,4.04984,percent of total billed charges,1.209180805,,,,4.01008,percent of total billed charges,3.979654433,,,,4.01008,percent of total billed charges,2.744736119,,,,,,,,,,4.0896,percent of total billed charges,2.658143763,,,,,,,,,,4.0896,percent of total billed charges,999999999,,,,,,,,,,4.544,percent of total billed charges,3.807635795,,,,4.4872,percent of total billed charges,4.330341106,,,,4.4872,percent of total billed charges,3.825999708,,,,4.544,percent of total billed charges,999999999,,,,4.544,percent of total billed charges,999999999,,,,3.976,percent of total billed charges,999999999,,,,3.976,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.02176,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2.8684,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.42,percent of total billed charges,1.348652655,,,,,,,,,,1.42,percent of total billed charges,1.326218736,,,,,,,,,,1.42,percent of total billed charges,1.322533231,,,,,,,,,,1.42,percent of total billed charges,1.303058945,,,,,,,,,,1.42,percent of total billed charges,1.336588568,,,,,,,,,,1.42,percent of total billed charges,999999999,,,,,,,,,,1.42,percent of total billed charges,1.146887114,,,,,,,,,,1.42,percent of total billed charges,1.808720067,,,,,,,,,,1.42,percent of total billed charges,999999999,,,,,,,,,,1.42,percent of total billed charges,1.2366248,,,,,,,,,,5.112,percent of total billed charges,,,,,
DIVALPROEX (DEPAKOTE) DR 500MG TAB,250,RC,6800-1047-00,NDC,,both,1,EA,1.01,1.01,0.215012784,1.01,1.01,percent of total billed charges,0.743092881,,,,1.01,percent of total billed charges,0.787663761,,,,1.01,percent of total billed charges,0.743092881,,,,1.01,percent of total billed charges,0.787663761,,,,1.01,percent of total billed charges,999999999,,,,1.01,percent of total billed charges,0.769550583,,,,1.01,percent of total billed charges,0.743092881,,,,1.01,percent of total billed charges,0.787663761,,,,0.72013,percent of total billed charges,0.359358048,,,,0.72013,percent of total billed charges,0.215012784,,,,0.72013,percent of total billed charges,0.359358048,,,,0.72013,percent of total billed charges,0.215012784,,,,0.72013,percent of total billed charges,0.359358048,,,,0.72013,percent of total billed charges,0.215012784,,,,0.71306,percent of total billed charges,0.70764982,,,,0.71306,percent of total billed charges,0.488060472,,,,,,,,,,0.7272,percent of total billed charges,0.472662887,,,,,,,,,,0.7272,percent of total billed charges,999999999,,,,,,,,,,0.808,percent of total billed charges,0.677061999,,,,0.7979,percent of total billed charges,0.770007838,,,,0.7979,percent of total billed charges,0.680327413,,,,0.808,percent of total billed charges,999999999,,,,0.808,percent of total billed charges,999999999,,,,0.707,percent of total billed charges,999999999,,,,0.707,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.53732,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.51005,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.2525,percent of total billed charges,0.239813236,,,,,,,,,,0.2525,percent of total billed charges,0.235824106,,,,,,,,,,0.2525,percent of total billed charges,0.235168761,,,,,,,,,,0.2525,percent of total billed charges,0.231705904,,,,,,,,,,0.2525,percent of total billed charges,0.237668038,,,,,,,,,,0.2525,percent of total billed charges,999999999,,,,,,,,,,0.2525,percent of total billed charges,0.203935913,,,,,,,,,,0.2525,percent of total billed charges,0.321620998,,,,,,,,,,0.2525,percent of total billed charges,999999999,,,,,,,,,,0.2525,percent of total billed charges,0.21989279,,,,,,,,,,0.909,percent of total billed charges,,,,,
SODIUM BICARBONATE 8.4% 10MEQ/10ML INJ,250,RC,0040-9490-24,NDC,,both,1,EA,59.55,59.55,12.6772389,59.55,59.55,percent of total billed charges,43.81305056,,,,59.55,percent of total billed charges,46.4409673,,,,59.55,percent of total billed charges,43.81305056,,,,59.55,percent of total billed charges,46.4409673,,,,59.55,percent of total billed charges,999999999,,,,59.55,percent of total billed charges,45.37300715,,,,59.55,percent of total billed charges,43.81305056,,,,59.55,percent of total billed charges,46.4409673,,,,42.45915,percent of total billed charges,21.18789285,,,,42.45915,percent of total billed charges,12.6772389,,,,42.45915,percent of total billed charges,21.18789285,,,,42.45915,percent of total billed charges,12.6772389,,,,42.45915,percent of total billed charges,21.18789285,,,,42.45915,percent of total billed charges,12.6772389,,,,42.0423,percent of total billed charges,41.72331364,,,,42.0423,percent of total billed charges,28.77623872,,,,,,,,,,42.876,percent of total billed charges,27.86839104,,,,,,,,,,42.876,percent of total billed charges,999999999,,,,,,,,,,47.64,percent of total billed charges,39.91984359,,,,47.0445,percent of total billed charges,45.39996706,,,,47.0445,percent of total billed charges,40.1123737,,,,47.64,percent of total billed charges,999999999,,,,47.64,percent of total billed charges,999999999,,,,41.685,percent of total billed charges,999999999,,,,41.685,percent of total billed charges,999999999,,,,,,,,,,,,,,,,31.6806,percent of total billed charges,999999999,,,,,,,,,,,,,,,,30.07275,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14.8875,percent of total billed charges,14.13948338,,,,,,,,,,14.8875,percent of total billed charges,13.9042827,,,,,,,,,,14.8875,percent of total billed charges,13.86564329,,,,,,,,,,14.8875,percent of total billed charges,13.66147186,,,,,,,,,,14.8875,percent of total billed charges,14.01300162,,,,,,,,,,14.8875,percent of total billed charges,999999999,,,,,,,,,,14.8875,percent of total billed charges,12.02414219,,,,,,,,,,14.8875,percent of total billed charges,18.96290141,,,,,,,,,,14.8875,percent of total billed charges,999999999,,,,,,,,,,14.8875,percent of total billed charges,12.96496599,,,,,,,,,,53.595,percent of total billed charges,,,,,
CYANOCOBALAMIN (VIT B 12) 500 MCG TAB,250,RC,5026-8085-15,NDC,,both,1,EA,0.99,0.99,0.210755105,0.99,0.99,percent of total billed charges,0.72837817,,,,0.99,percent of total billed charges,0.772066459,,,,0.99,percent of total billed charges,0.72837817,,,,0.99,percent of total billed charges,0.772066459,,,,0.99,percent of total billed charges,999999999,,,,0.99,percent of total billed charges,0.754311958,,,,0.99,percent of total billed charges,0.72837817,,,,0.99,percent of total billed charges,0.772066459,,,,0.70587,percent of total billed charges,0.352242047,,,,0.70587,percent of total billed charges,0.210755105,,,,0.70587,percent of total billed charges,0.352242047,,,,0.70587,percent of total billed charges,0.210755105,,,,0.70587,percent of total billed charges,0.352242047,,,,0.70587,percent of total billed charges,0.210755105,,,,0.69894,percent of total billed charges,0.693636952,,,,0.69894,percent of total billed charges,0.478395908,,,,,,,,,,0.7128,percent of total billed charges,0.463303226,,,,,,,,,,0.7128,percent of total billed charges,999999999,,,,,,,,,,0.792,percent of total billed charges,0.66365483,,,,0.7821,percent of total billed charges,0.754760158,,,,0.7821,percent of total billed charges,0.666855583,,,,0.792,percent of total billed charges,999999999,,,,0.792,percent of total billed charges,999999999,,,,0.693,percent of total billed charges,999999999,,,,0.693,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.52668,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.49995,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.2475,percent of total billed charges,0.235064459,,,,,,,,,,0.2475,percent of total billed charges,0.231154322,,,,,,,,,,0.2475,percent of total billed charges,0.230511954,,,,,,,,,,0.2475,percent of total billed charges,0.227117668,,,,,,,,,,0.2475,percent of total billed charges,0.23296174,,,,,,,,,,0.2475,percent of total billed charges,999999999,,,,,,,,,,0.2475,percent of total billed charges,0.199897578,,,,,,,,,,0.2475,percent of total billed charges,0.315252265,,,,,,,,,,0.2475,percent of total billed charges,999999999,,,,,,,,,,0.2475,percent of total billed charges,0.215538477,,,,,,,,,,0.891,percent of total billed charges,,,,,
ISOSORBIDE MONONITRATE (ISMO) 20 MG:TAB,259,RC,6318-7090-30,NDC,,both,1,EA,2.03,2.03,0.432154408,2.03,2.03,percent of total billed charges,1.493543117,,,,2.03,percent of total billed charges,1.583126173,,,,2.03,percent of total billed charges,1.493543117,,,,2.03,percent of total billed charges,1.583126173,,,,2.03,percent of total billed charges,999999999,,,,2.03,percent of total billed charges,1.546720479,,,,2.03,percent of total billed charges,1.493543117,,,,2.03,percent of total billed charges,1.583126173,,,,1.44739,percent of total billed charges,0.722274097,,,,1.44739,percent of total billed charges,0.432154408,,,,1.44739,percent of total billed charges,0.722274097,,,,1.44739,percent of total billed charges,0.432154408,,,,1.44739,percent of total billed charges,0.722274097,,,,1.44739,percent of total billed charges,0.432154408,,,,1.43318,percent of total billed charges,1.422306074,,,,1.43318,percent of total billed charges,0.980953226,,,,,,,,,,1.4616,percent of total billed charges,0.950005605,,,,,,,,,,1.4616,percent of total billed charges,999999999,,,,,,,,,,1.624,percent of total billed charges,1.360827582,,,,1.6037,percent of total billed charges,1.547639515,,,,1.6037,percent of total billed charges,1.367390741,,,,1.624,percent of total billed charges,999999999,,,,1.624,percent of total billed charges,999999999,,,,1.421,percent of total billed charges,999999999,,,,1.421,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.07996,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.02515,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.5075,percent of total billed charges,0.482000861,,,,,,,,,,0.5075,percent of total billed charges,0.473983105,,,,,,,,,,0.5075,percent of total billed charges,0.472665926,,,,,,,,,,0.5075,percent of total billed charges,0.465705926,,,,,,,,,,0.5075,percent of total billed charges,0.477689224,,,,,,,,,,0.5075,percent of total billed charges,999999999,,,,,,,,,,0.5075,percent of total billed charges,0.409890993,,,,,,,,,,0.5075,percent of total billed charges,0.646426362,,,,,,,,,,0.5075,percent of total billed charges,999999999,,,,,,,,,,0.5075,percent of total billed charges,0.441962737,,,,,,,,,,1.827,percent of total billed charges,,,,,
**CERVIDIL(DINOPROSTONE)VAG INSERT 10MG:,250,RC,0045-6412-63,NDC,,both,1,EA,647,647,137.7359122,647,647,percent of total billed charges,476.0208851,,,,647,percent of total billed charges,504.5727262,,,,647,percent of total billed charges,476.0208851,,,,647,percent of total billed charges,504.5727262,,,,647,percent of total billed charges,999999999,,,,647,percent of total billed charges,492.969532,,,,647,percent of total billed charges,476.0208851,,,,647,percent of total billed charges,504.5727262,,,,461.311,percent of total billed charges,230.202631,,,,461.311,percent of total billed charges,137.7359122,,,,461.311,percent of total billed charges,230.202631,,,,461.311,percent of total billed charges,137.7359122,,,,461.311,percent of total billed charges,230.202631,,,,461.311,percent of total billed charges,137.7359122,,,,456.782,percent of total billed charges,453.3162708,,,,456.782,percent of total billed charges,312.648639,,,,,,,,,,465.84,percent of total billed charges,302.7850378,,,,,,,,,,465.84,percent of total billed charges,999999999,,,,,,,,,,517.6,percent of total billed charges,433.7218942,,,,511.13,percent of total billed charges,493.2624464,,,,511.13,percent of total billed charges,435.8136992,,,,517.6,percent of total billed charges,999999999,,,,517.6,percent of total billed charges,999999999,,,,452.9,percent of total billed charges,999999999,,,,452.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,344.204,percent of total billed charges,999999999,,,,,,,,,,,,,,,,326.735,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,161.75,percent of total billed charges,153.6229345,,,,,,,,,,161.75,percent of total billed charges,151.0675215,,,,,,,,,,161.75,percent of total billed charges,150.6477113,,,,,,,,,,161.75,percent of total billed charges,148.4294256,,,,,,,,,,161.75,percent of total billed charges,152.248733,,,,,,,,,,161.75,percent of total billed charges,999999999,,,,,,,,,,161.75,percent of total billed charges,130.6401342,,,,,,,,,,161.75,percent of total billed charges,206.0285006,,,,,,,,,,161.75,percent of total billed charges,999999999,,,,,,,,,,161.75,percent of total billed charges,140.862015,,,,,,,,,,582.3,percent of total billed charges,,,,,
"EPOETIN ALFA 40,000 UNITS (NON-DIALYSIS)",J0885,CDM,5967-6034-01,NDC,,both,1,EA,3219.09,3219.09,685.2925773,3219.09,3219.09,percent of total billed charges,2368.398873,,,,3219.09,percent of total billed charges,2510.455977,,,,3219.09,percent of total billed charges,2368.398873,,,,3219.09,percent of total billed charges,2510.455977,,,,3219.09,percent of total billed charges,999999999,,,,3219.09,percent of total billed charges,2452.725333,,,,3219.09,percent of total billed charges,2368.398873,,,,3219.09,percent of total billed charges,2510.455977,,,,2295.21117,percent of total billed charges,1145.352376,,,,2295.21117,percent of total billed charges,685.2925773,,,,2295.21117,percent of total billed charges,1145.352376,,,,2295.21117,percent of total billed charges,685.2925773,,,,2295.21117,percent of total billed charges,1145.352376,,,,2295.21117,percent of total billed charges,685.2925773,,,,2272.67754,percent of total billed charges,2255.434118,,,,2272.67754,percent of total billed charges,1555.555034,,,,,,,,,,2317.7448,percent of total billed charges,1506.479579,,,,,,,,,,2317.7448,percent of total billed charges,999999999,,,,,,,,,,2575.272,percent of total billed charges,2157.944069,,,,2543.0811,percent of total billed charges,2454.182703,,,,2543.0811,percent of total billed charges,2168.351655,,,,2575.272,percent of total billed charges,999999999,,,,2575.272,percent of total billed charges,999999999,,,,2253.363,percent of total billed charges,999999999,,,,2253.363,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1712.55588,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1625.64045,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,804.7725,percent of total billed charges,764.3370204,,,,,,,,,,804.7725,percent of total billed charges,751.6227942,,,,,,,,,,804.7725,percent of total billed charges,749.5340666,,,,,,,,,,804.7725,percent of total billed charges,738.4971866,,,,,,,,,,804.7725,percent of total billed charges,757.4998049,,,,,,,,,,804.7725,percent of total billed charges,999999999,,,,,,,,,,804.7725,percent of total billed charges,649.9881758,,,,,,,,,,804.7725,percent of total billed charges,1025.076176,,,,,,,,,,804.7725,percent of total billed charges,999999999,,,,,,,,,,804.7725,percent of total billed charges,700.8462195,,,,,,,,,,2897.181,percent of total billed charges,,,,,
GI COCKTAIL 45 ML ORAL SUSP,250,RC,9999-9999-99,NDC,,both,1,EA,10.5,10.5,2.235281419,10.5,10.5,percent of total billed charges,7.72522302,,,,10.5,percent of total billed charges,8.188583655,,,,10.5,percent of total billed charges,7.72522302,,,,10.5,percent of total billed charges,8.188583655,,,,10.5,percent of total billed charges,999999999,,,,10.5,percent of total billed charges,8.000278339,,,,10.5,percent of total billed charges,7.72522302,,,,10.5,percent of total billed charges,8.188583655,,,,7.4865,percent of total billed charges,3.735900503,,,,7.4865,percent of total billed charges,2.235281419,,,,7.4865,percent of total billed charges,3.735900503,,,,7.4865,percent of total billed charges,2.235281419,,,,7.4865,percent of total billed charges,3.735900503,,,,7.4865,percent of total billed charges,2.235281419,,,,7.413,percent of total billed charges,7.356755554,,,,7.413,percent of total billed charges,5.073895995,,,,,,,,,,7.56,percent of total billed charges,4.913822097,,,,,,,,,,7.56,percent of total billed charges,999999999,,,,,,,,,,8.4,percent of total billed charges,7.038763353,,,,8.295,percent of total billed charges,8.005031975,,,,8.295,percent of total billed charges,7.072710728,,,,8.4,percent of total billed charges,999999999,,,,8.4,percent of total billed charges,999999999,,,,7.35,percent of total billed charges,999999999,,,,7.35,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.586,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.3025,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.625,percent of total billed charges,2.493107902,,,,,,,,,,2.625,percent of total billed charges,2.451636748,,,,,,,,,,2.625,percent of total billed charges,2.444823754,,,,,,,,,,2.625,percent of total billed charges,2.408823754,,,,,,,,,,2.625,percent of total billed charges,2.470806331,,,,,,,,,,2.625,percent of total billed charges,999999999,,,,,,,,,,2.625,percent of total billed charges,2.120125826,,,,,,,,,,2.625,percent of total billed charges,3.343584631,,,,,,,,,,2.625,percent of total billed charges,999999999,,,,,,,,,,2.625,percent of total billed charges,2.286014155,,,,,,,,,,9.45,percent of total billed charges,,,,,
fentaNYL (DURAGESIC) 75 MCG/HR PATCH,637,RC,5486-8028-00,NDC,,both,1,EA,25.79,25.79,5.490276932,25.79,25.79,percent of total billed charges,18.97461921,,,,25.79,percent of total billed charges,20.11272119,,,,25.79,percent of total billed charges,18.97461921,,,,25.79,percent of total billed charges,20.11272119,,,,25.79,percent of total billed charges,999999999,,,,25.79,percent of total billed charges,19.65020746,,,,25.79,percent of total billed charges,18.97461921,,,,25.79,percent of total billed charges,20.11272119,,,,18.38827,percent of total billed charges,9.176083236,,,,18.38827,percent of total billed charges,5.490276932,,,,18.38827,percent of total billed charges,9.176083236,,,,18.38827,percent of total billed charges,5.490276932,,,,18.38827,percent of total billed charges,9.176083236,,,,18.38827,percent of total billed charges,5.490276932,,,,18.20774,percent of total billed charges,18.06959293,,,,18.20774,percent of total billed charges,12.46245502,,,,,,,,,,18.5688,percent of total billed charges,12.06928304,,,,,,,,,,18.5688,percent of total billed charges,999999999,,,,,,,,,,20.632,percent of total billed charges,17.28854351,,,,20.3741,percent of total billed charges,19.6618833,,,,20.3741,percent of total billed charges,17.37192473,,,,20.632,percent of total billed charges,999999999,,,,20.632,percent of total billed charges,999999999,,,,18.053,percent of total billed charges,999999999,,,,18.053,percent of total billed charges,999999999,,,,,,,,,,,,,,,,13.72028,percent of total billed charges,999999999,,,,,,,,,,,,,,,,13.02395,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6.4475,percent of total billed charges,6.123547884,,,,,,,,,,6.4475,percent of total billed charges,6.021686831,,,,,,,,,,6.4475,percent of total billed charges,6.004952822,,,,,,,,,,6.4475,percent of total billed charges,5.916529964,,,,,,,,,,6.4475,percent of total billed charges,6.068770978,,,,,,,,,,6.4475,percent of total billed charges,999999999,,,,,,,,,,6.4475,percent of total billed charges,5.207432862,,,,,,,,,,6.4475,percent of total billed charges,8.212480727,,,,,,,,,,6.4475,percent of total billed charges,999999999,,,,,,,,,,6.4475,percent of total billed charges,5.614886195,,,,,,,,,,23.211,percent of total billed charges,,,,,
CARBAMIDE (DEBROX) EAR DROPS 15 ML,250,RC,0090-4662-35,NDC,,both,1,EA,21.23,21.23,4.519526144,21.23,21.23,percent of total billed charges,15.61966521,,,,21.23,percent of total billed charges,16.55653629,,,,21.23,percent of total billed charges,15.61966521,,,,21.23,percent of total billed charges,16.55653629,,,,21.23,percent of total billed charges,999999999,,,,21.23,percent of total billed charges,16.17580087,,,,21.23,percent of total billed charges,15.61966521,,,,21.23,percent of total billed charges,16.55653629,,,,15.13699,percent of total billed charges,7.553635017,,,,15.13699,percent of total billed charges,4.519526144,,,,15.13699,percent of total billed charges,7.553635017,,,,15.13699,percent of total billed charges,4.519526144,,,,15.13699,percent of total billed charges,7.553635017,,,,15.13699,percent of total billed charges,4.519526144,,,,14.98838,percent of total billed charges,14.87465909,,,,14.98838,percent of total billed charges,10.25893447,,,,,,,,,,15.2856,percent of total billed charges,9.935280298,,,,,,,,,,15.2856,percent of total billed charges,999999999,,,,,,,,,,16.984,percent of total billed charges,14.23170914,,,,16.7717,percent of total billed charges,16.18541227,,,,16.7717,percent of total billed charges,14.3003475,,,,16.984,percent of total billed charges,999999999,,,,16.984,percent of total billed charges,999999999,,,,14.861,percent of total billed charges,999999999,,,,14.861,percent of total billed charges,999999999,,,,,,,,,,,,,,,,11.29436,percent of total billed charges,999999999,,,,,,,,,,,,,,,,10.72115,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5.3075,percent of total billed charges,5.040826738,,,,,,,,,,5.3075,percent of total billed charges,4.956976015,,,,,,,,,,5.3075,percent of total billed charges,4.943200791,,,,,,,,,,5.3075,percent of total billed charges,4.87041222,,,,,,,,,,5.3075,percent of total billed charges,4.995735086,,,,,,,,,,5.3075,percent of total billed charges,999999999,,,,,,,,,,5.3075,percent of total billed charges,4.286692504,,,,,,,,,,5.3075,percent of total billed charges,6.760409687,,,,,,,,,,5.3075,percent of total billed charges,999999999,,,,,,,,,,5.3075,percent of total billed charges,4.622102905,,,,,,,,,,19.107,percent of total billed charges,,,,,
**LUBRIDERM PUMP (LOTION):16OZ,259,RC,5280-0048-56,NDC,,both,1,EA,24,24,5.109214671,24,24,percent of total billed charges,17.65765262,,,,24,percent of total billed charges,18.71676264,,,,24,percent of total billed charges,17.65765262,,,,24,percent of total billed charges,18.71676264,,,,24,percent of total billed charges,999999999,,,,24,percent of total billed charges,18.28635049,,,,24,percent of total billed charges,17.65765262,,,,24,percent of total billed charges,18.71676264,,,,17.112,percent of total billed charges,8.53920115,,,,17.112,percent of total billed charges,5.109214671,,,,17.112,percent of total billed charges,8.53920115,,,,17.112,percent of total billed charges,5.109214671,,,,17.112,percent of total billed charges,8.53920115,,,,17.112,percent of total billed charges,5.109214671,,,,16.944,percent of total billed charges,16.81544127,,,,16.944,percent of total billed charges,11.59747656,,,,,,,,,,17.28,percent of total billed charges,11.23159337,,,,,,,,,,17.28,percent of total billed charges,999999999,,,,,,,,,,19.2,percent of total billed charges,16.08860195,,,,18.96,percent of total billed charges,18.29721594,,,,18.96,percent of total billed charges,16.16619595,,,,19.2,percent of total billed charges,999999999,,,,19.2,percent of total billed charges,999999999,,,,16.8,percent of total billed charges,999999999,,,,16.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,12.768,percent of total billed charges,999999999,,,,,,,,,,,,,,,,12.12,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6,percent of total billed charges,5.698532346,,,,,,,,,,6,percent of total billed charges,5.603741138,,,,,,,,,,6,percent of total billed charges,5.588168582,,,,,,,,,,6,percent of total billed charges,5.505882867,,,,,,,,,,6,percent of total billed charges,5.647557328,,,,,,,,,,6,percent of total billed charges,999999999,,,,,,,,,,6,percent of total billed charges,4.846001888,,,,,,,,,,6,percent of total billed charges,7.642479156,,,,,,,,,,6,percent of total billed charges,999999999,,,,,,,,,,6,percent of total billed charges,5.22517521,,,,,,,,,,21.6,percent of total billed charges,,,,,
"EPOETIN ALFA 4,000 UNITS (NON-DIALYSIS)",J0885,CDM,5967-6030-00,NDC,,both,1,EA,515.87,515.87,109.8204405,515.87,515.87,percent of total billed charges,379.5438857,,,,515.87,percent of total billed charges,402.3090143,,,,515.87,percent of total billed charges,379.5438857,,,,515.87,percent of total billed charges,402.3090143,,,,515.87,percent of total billed charges,999999999,,,,515.87,percent of total billed charges,393.0574845,,,,515.87,percent of total billed charges,379.5438857,,,,515.87,percent of total billed charges,402.3090143,,,,367.81531,percent of total billed charges,183.5465707,,,,367.81531,percent of total billed charges,109.8204405,,,,367.81531,percent of total billed charges,183.5465707,,,,367.81531,percent of total billed charges,109.8204405,,,,367.81531,percent of total billed charges,183.5465707,,,,367.81531,percent of total billed charges,109.8204405,,,,364.20422,percent of total billed charges,361.4409036,,,,364.20422,percent of total billed charges,249.2829264,,,,,,,,,,371.4264,percent of total billed charges,241.4184196,,,,,,,,,,371.4264,percent of total billed charges,999999999,,,,,,,,,,412.696,percent of total billed charges,345.8177953,,,,407.5373,percent of total billed charges,393.2910328,,,,407.5373,percent of total billed charges,347.485646,,,,412.696,percent of total billed charges,999999999,,,,412.696,percent of total billed charges,999999999,,,,361.109,percent of total billed charges,999999999,,,,361.109,percent of total billed charges,999999999,,,,,,,,,,,,,,,,274.44284,percent of total billed charges,999999999,,,,,,,,,,,,,,,,260.51435,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,128.9675,percent of total billed charges,122.4875784,,,,,,,,,,128.9675,percent of total billed charges,120.4500809,,,,,,,,,,128.9675,percent of total billed charges,120.1153553,,,,,,,,,,128.9675,percent of total billed charges,118.3466581,,,,,,,,,,128.9675,percent of total billed charges,121.3918916,,,,,,,,,,128.9675,percent of total billed charges,999999999,,,,,,,,,,128.9675,percent of total billed charges,104.1627914,,,,,,,,,,128.9675,percent of total billed charges,164.2719051,,,,,,,,,,128.9675,percent of total billed charges,999999999,,,,,,,,,,128.9675,percent of total billed charges,112.312964,,,,,,,,,,464.283,percent of total billed charges,,,,,
**LEVOBUNOLOL (BETAGAN) 0.25% OPHTH SO,259,RC,6075-8006-05,NDC,,both,1,EA,37,37,7.876705951,37,37,percent of total billed charges,27.22221445,,,,37,percent of total billed charges,28.85500907,,,,37,percent of total billed charges,27.22221445,,,,37,percent of total billed charges,28.85500907,,,,37,percent of total billed charges,999999999,,,,37,percent of total billed charges,28.19145701,,,,37,percent of total billed charges,27.22221445,,,,37,percent of total billed charges,28.85500907,,,,26.381,percent of total billed charges,13.16460177,,,,26.381,percent of total billed charges,7.876705951,,,,26.381,percent of total billed charges,13.16460177,,,,26.381,percent of total billed charges,7.876705951,,,,26.381,percent of total billed charges,13.16460177,,,,26.381,percent of total billed charges,7.876705951,,,,26.122,percent of total billed charges,25.92380528,,,,26.122,percent of total billed charges,17.87944303,,,,,,,,,,26.64,percent of total billed charges,17.3153731,,,,,,,,,,26.64,percent of total billed charges,999999999,,,,,,,,,,29.6,percent of total billed charges,24.80326134,,,,29.23,percent of total billed charges,28.20820791,,,,29.23,percent of total billed charges,24.92288542,,,,29.6,percent of total billed charges,999999999,,,,29.6,percent of total billed charges,999999999,,,,25.9,percent of total billed charges,999999999,,,,25.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,19.684,percent of total billed charges,999999999,,,,,,,,,,,,,,,,18.685,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9.25,percent of total billed charges,8.785237367,,,,,,,,,,9.25,percent of total billed charges,8.639100921,,,,,,,,,,9.25,percent of total billed charges,8.61509323,,,,,,,,,,9.25,percent of total billed charges,8.488236087,,,,,,,,,,9.25,percent of total billed charges,8.70665088,,,,,,,,,,9.25,percent of total billed charges,999999999,,,,,,,,,,9.25,percent of total billed charges,7.470919578,,,,,,,,,,9.25,percent of total billed charges,11.78215537,,,,,,,,,,9.25,percent of total billed charges,999999999,,,,,,,,,,9.25,percent of total billed charges,8.055478449,,,,,,,,,,33.3,percent of total billed charges,,,,,
fentaNYL (DURAGESIC) 100 MCG/HR PATCH,637,RC,0040-6900-76,NDC,,both,1,EA,105.85,105.85,22.53376554,105.85,105.85,percent of total billed charges,77.8776054,,,,105.85,percent of total billed charges,82.54872189,,,,105.85,percent of total billed charges,77.8776054,,,,105.85,percent of total billed charges,82.54872189,,,,105.85,percent of total billed charges,999999999,,,,105.85,percent of total billed charges,80.65042497,,,,105.85,percent of total billed charges,77.8776054,,,,105.85,percent of total billed charges,82.54872189,,,,75.47105,percent of total billed charges,37.66143507,,,,75.47105,percent of total billed charges,22.53376554,,,,75.47105,percent of total billed charges,37.66143507,,,,75.47105,percent of total billed charges,22.53376554,,,,75.47105,percent of total billed charges,37.66143507,,,,75.47105,percent of total billed charges,22.53376554,,,,74.7301,percent of total billed charges,74.16310242,,,,74.7301,percent of total billed charges,51.14970392,,,,,,,,,,76.212,percent of total billed charges,49.53600657,,,,,,,,,,76.212,percent of total billed charges,999999999,,,,,,,,,,84.68,percent of total billed charges,70.95743818,,,,83.6215,percent of total billed charges,80.69834614,,,,83.6215,percent of total billed charges,71.29966006,,,,84.68,percent of total billed charges,999999999,,,,84.68,percent of total billed charges,999999999,,,,74.095,percent of total billed charges,999999999,,,,74.095,percent of total billed charges,999999999,,,,,,,,,,,,,,,,56.3122,percent of total billed charges,999999999,,,,,,,,,,,,,,,,53.45425,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,26.4625,percent of total billed charges,25.13290204,,,,,,,,,,26.4625,percent of total billed charges,24.71483331,,,,,,,,,,26.4625,percent of total billed charges,24.64615185,,,,,,,,,,26.4625,percent of total billed charges,24.28323756,,,,,,,,,,26.4625,percent of total billed charges,24.90808096,,,,,,,,,,26.4625,percent of total billed charges,999999999,,,,,,,,,,26.4625,percent of total billed charges,21.37288749,,,,,,,,,,26.4625,percent of total billed charges,33.70651745,,,,,,,,,,26.4625,percent of total billed charges,999999999,,,,,,,,,,26.4625,percent of total billed charges,23.04519983,,,,,,,,,,95.265,percent of total billed charges,,,,,
guanFACINE (TENEX) 1MG TAB,259,RC,0037-8116-01,NDC,,both,1,EA,5.15,5.15,1.096352315,5.15,5.15,percent of total billed charges,3.789037957,,,,5.15,percent of total billed charges,4.016305317,,,,5.15,percent of total billed charges,3.789037957,,,,5.15,percent of total billed charges,4.016305317,,,,5.15,percent of total billed charges,999999999,,,,5.15,percent of total billed charges,3.923946043,,,,5.15,percent of total billed charges,3.789037957,,,,5.15,percent of total billed charges,4.016305317,,,,3.67195,percent of total billed charges,1.832370247,,,,3.67195,percent of total billed charges,1.096352315,,,,3.67195,percent of total billed charges,1.832370247,,,,3.67195,percent of total billed charges,1.096352315,,,,3.67195,percent of total billed charges,1.832370247,,,,3.67195,percent of total billed charges,1.096352315,,,,3.6359,percent of total billed charges,3.608313438,,,,3.6359,percent of total billed charges,2.488625179,,,,,,,,,,3.708,percent of total billed charges,2.410112743,,,,,,,,,,3.708,percent of total billed charges,999999999,,,,,,,,,,4.12,percent of total billed charges,3.452345835,,,,4.0685,percent of total billed charges,3.926277588,,,,4.0685,percent of total billed charges,3.468996214,,,,4.12,percent of total billed charges,999999999,,,,4.12,percent of total billed charges,999999999,,,,3.605,percent of total billed charges,999999999,,,,3.605,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2.7398,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2.60075,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.2875,percent of total billed charges,1.222810066,,,,,,,,,,1.2875,percent of total billed charges,1.202469453,,,,,,,,,,1.2875,percent of total billed charges,1.199127841,,,,,,,,,,1.2875,percent of total billed charges,1.181470699,,,,,,,,,,1.2875,percent of total billed charges,1.211871677,,,,,,,,,,1.2875,percent of total billed charges,999999999,,,,,,,,,,1.2875,percent of total billed charges,1.039871239,,,,,,,,,,1.2875,percent of total billed charges,1.639948652,,,,,,,,,,1.2875,percent of total billed charges,999999999,,,,,,,,,,1.2875,percent of total billed charges,1.121235514,,,,,,,,,,4.635,percent of total billed charges,,,,,
**MINOCYCLINE (MINOCIN) 50MG: CAP,259,RC,0059-1569-50,NDC,,both,1,EA,11,11,2.341723391,11,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,11,percent of total billed charges,999999999,,,,11,percent of total billed charges,8.381243975,,,,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.766,percent of total billed charges,7.707077247,,,,7.766,percent of total billed charges,5.31551009,,,,,,,,,,7.92,percent of total billed charges,5.147813626,,,,,,,,,,7.92,percent of total billed charges,999999999,,,,,,,,,,8.8,percent of total billed charges,7.373942561,,,,8.69,percent of total billed charges,8.386223973,,,,8.69,percent of total billed charges,7.409506477,,,,8.8,percent of total billed charges,999999999,,,,8.8,percent of total billed charges,999999999,,,,7.7,percent of total billed charges,999999999,,,,7.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.852,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.555,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.75,percent of total billed charges,2.611827325,,,,,,,,,,2.75,percent of total billed charges,2.568381355,,,,,,,,,,2.75,percent of total billed charges,2.561243933,,,,,,,,,,2.75,percent of total billed charges,2.523529647,,,,,,,,,,2.75,percent of total billed charges,2.588463775,,,,,,,,,,2.75,percent of total billed charges,999999999,,,,,,,,,,2.75,percent of total billed charges,2.221084199,,,,,,,,,,2.75,percent of total billed charges,3.502802947,,,,,,,,,,2.75,percent of total billed charges,999999999,,,,,,,,,,2.75,percent of total billed charges,2.394871971,,,,,,,,,,9.9,percent of total billed charges,,,,,
FELODIPINE ER (PLENDIL) 5 MG TAB,637,RC,5107-9046-20,NDC,,both,1,EA,0.54,0.54,0.11495733,0.54,0.54,percent of total billed charges,0.397297184,,,,0.54,percent of total billed charges,0.421127159,,,,0.54,percent of total billed charges,0.397297184,,,,0.54,percent of total billed charges,0.421127159,,,,0.54,percent of total billed charges,999999999,,,,0.54,percent of total billed charges,0.411442886,,,,0.54,percent of total billed charges,0.397297184,,,,0.54,percent of total billed charges,0.421127159,,,,0.38502,percent of total billed charges,0.192132026,,,,0.38502,percent of total billed charges,0.11495733,,,,0.38502,percent of total billed charges,0.192132026,,,,0.38502,percent of total billed charges,0.11495733,,,,0.38502,percent of total billed charges,0.192132026,,,,0.38502,percent of total billed charges,0.11495733,,,,0.38124,percent of total billed charges,0.378347428,,,,0.38124,percent of total billed charges,0.260943223,,,,,,,,,,0.3888,percent of total billed charges,0.252710851,,,,,,,,,,0.3888,percent of total billed charges,999999999,,,,,,,,,,0.432,percent of total billed charges,0.361993544,,,,0.4266,percent of total billed charges,0.411687359,,,,0.4266,percent of total billed charges,0.363739409,,,,0.432,percent of total billed charges,999999999,,,,0.432,percent of total billed charges,999999999,,,,0.378,percent of total billed charges,999999999,,,,0.378,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.28728,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.2727,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.135,percent of total billed charges,0.128216978,,,,,,,,,,0.135,percent of total billed charges,0.126084176,,,,,,,,,,0.135,percent of total billed charges,0.125733793,,,,,,,,,,0.135,percent of total billed charges,0.123882365,,,,,,,,,,0.135,percent of total billed charges,0.12707004,,,,,,,,,,0.135,percent of total billed charges,999999999,,,,,,,,,,0.135,percent of total billed charges,0.109035042,,,,,,,,,,0.135,percent of total billed charges,0.171955781,,,,,,,,,,0.135,percent of total billed charges,999999999,,,,,,,,,,0.135,percent of total billed charges,0.117566442,,,,,,,,,,0.486,percent of total billed charges,,,,,
**LIVOSTIN (LEVOCARBASTINE) 0.05%: 5 ML,259,RC,5456-9394-00,NDC,,both,1,EA,134,134,28.52644858,134,134,percent of total billed charges,98.58856045,,,,134,percent of total billed charges,104.5019247,,,,134,percent of total billed charges,98.58856045,,,,134,percent of total billed charges,104.5019247,,,,134,percent of total billed charges,999999999,,,,134,percent of total billed charges,102.0987902,,,,134,percent of total billed charges,98.58856045,,,,134,percent of total billed charges,104.5019247,,,,95.542,percent of total billed charges,47.67720642,,,,95.542,percent of total billed charges,28.52644858,,,,95.542,percent of total billed charges,47.67720642,,,,95.542,percent of total billed charges,28.52644858,,,,95.542,percent of total billed charges,47.67720642,,,,95.542,percent of total billed charges,28.52644858,,,,94.604,percent of total billed charges,93.88621373,,,,94.604,percent of total billed charges,64.75257747,,,,,,,,,,96.48,percent of total billed charges,62.70972962,,,,,,,,,,96.48,percent of total billed charges,999999999,,,,,,,,,,107.2,percent of total billed charges,89.82802756,,,,105.86,percent of total billed charges,102.1594557,,,,105.86,percent of total billed charges,90.26126072,,,,107.2,percent of total billed charges,999999999,,,,107.2,percent of total billed charges,999999999,,,,93.8,percent of total billed charges,999999999,,,,93.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,71.288,percent of total billed charges,999999999,,,,,,,,,,,,,,,,67.67,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,33.5,percent of total billed charges,31.8168056,,,,,,,,,,33.5,percent of total billed charges,31.28755469,,,,,,,,,,33.5,percent of total billed charges,31.20060791,,,,,,,,,,33.5,percent of total billed charges,30.74117934,,,,,,,,,,33.5,percent of total billed charges,31.53219508,,,,,,,,,,33.5,percent of total billed charges,999999999,,,,,,,,,,33.5,percent of total billed charges,27.05684388,,,,,,,,,,33.5,percent of total billed charges,42.67050862,,,,,,,,,,33.5,percent of total billed charges,999999999,,,,,,,,,,33.5,percent of total billed charges,29.17389492,,,,,,,,,,120.6,percent of total billed charges,,,,,
**VICODIN (HYDROCODONE 5 APAP 500): TAB,259,RC,5107-9042-20,NDC,,both,1,EA,12,12,2.554607335,12,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,12,percent of total billed charges,999999999,,,,12,percent of total billed charges,9.143175245,,,,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.472,percent of total billed charges,8.407720633,,,,8.472,percent of total billed charges,5.79873828,,,,,,,,,,8.64,percent of total billed charges,5.615796683,,,,,,,,,,8.64,percent of total billed charges,999999999,,,,,,,,,,9.6,percent of total billed charges,8.044300975,,,,9.48,percent of total billed charges,9.148607971,,,,9.48,percent of total billed charges,8.083097975,,,,9.6,percent of total billed charges,999999999,,,,9.6,percent of total billed charges,999999999,,,,8.4,percent of total billed charges,999999999,,,,8.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.384,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.06,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3,percent of total billed charges,2.849266173,,,,,,,,,,3,percent of total billed charges,2.801870569,,,,,,,,,,3,percent of total billed charges,2.794084291,,,,,,,,,,3,percent of total billed charges,2.752941434,,,,,,,,,,3,percent of total billed charges,2.823778664,,,,,,,,,,3,percent of total billed charges,999999999,,,,,,,,,,3,percent of total billed charges,2.423000944,,,,,,,,,,3,percent of total billed charges,3.821239578,,,,,,,,,,3,percent of total billed charges,999999999,,,,,,,,,,3,percent of total billed charges,2.612587605,,,,,,,,,,10.8,percent of total billed charges,,,,,
dilTIAZem (CARDIZEM) 25MG/5ML VIAL,250,RC,0064-1921-01,NDC,,both,1,EA,38.39,38.39,8.172614634,38.39,38.39,percent of total billed charges,28.24488683,,,,38.39,percent of total billed charges,29.93902157,,,,38.39,percent of total billed charges,28.24488683,,,,38.39,percent of total billed charges,29.93902157,,,,38.39,percent of total billed charges,999999999,,,,38.39,percent of total billed charges,29.25054147,,,,38.39,percent of total billed charges,28.24488683,,,,38.39,percent of total billed charges,29.93902157,,,,27.37207,percent of total billed charges,13.65916384,,,,27.37207,percent of total billed charges,8.172614634,,,,27.37207,percent of total billed charges,13.65916384,,,,27.37207,percent of total billed charges,8.172614634,,,,27.37207,percent of total billed charges,13.65916384,,,,27.37207,percent of total billed charges,8.172614634,,,,27.10334,percent of total billed charges,26.89769959,,,,27.10334,percent of total billed charges,18.55113022,,,,,,,,,,27.6408,percent of total billed charges,17.96586955,,,,,,,,,,27.6408,percent of total billed charges,999999999,,,,,,,,,,30.712,percent of total billed charges,25.73505954,,,,30.3281,percent of total billed charges,29.26792167,,,,30.3281,percent of total billed charges,25.85917761,,,,30.712,percent of total billed charges,999999999,,,,30.712,percent of total billed charges,999999999,,,,26.873,percent of total billed charges,999999999,,,,26.873,percent of total billed charges,999999999,,,,,,,,,,,,,,,,20.42348,percent of total billed charges,999999999,,,,,,,,,,,,,,,,19.38695,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9.5975,percent of total billed charges,9.115277366,,,,,,,,,,9.5975,percent of total billed charges,8.963650929,,,,,,,,,,9.5975,percent of total billed charges,8.938741327,,,,,,,,,,9.5975,percent of total billed charges,8.80711847,,,,,,,,,,9.5975,percent of total billed charges,9.033738575,,,,,,,,,,9.5975,percent of total billed charges,999999999,,,,,,,,,,9.5975,percent of total billed charges,7.751583854,,,,,,,,,,9.5975,percent of total billed charges,12.22478228,,,,,,,,,,9.5975,percent of total billed charges,999999999,,,,,,,,,,9.5975,percent of total billed charges,8.35810318,,,,,,,,,,34.551,percent of total billed charges,,,,,
NICOTINE (NICODERM) 7MG PATCH,637,RC,0006-7512-07,NDC,,both,1,EA,4.46,4.46,0.949462393,4.46,4.46,percent of total billed charges,3.281380445,,,,4.46,percent of total billed charges,3.478198391,,,,4.46,percent of total billed charges,3.281380445,,,,4.46,percent of total billed charges,3.478198391,,,,4.46,percent of total billed charges,999999999,,,,4.46,percent of total billed charges,3.398213466,,,,4.46,percent of total billed charges,3.281380445,,,,4.46,percent of total billed charges,3.478198391,,,,3.17998,percent of total billed charges,1.586868214,,,,3.17998,percent of total billed charges,0.949462393,,,,3.17998,percent of total billed charges,1.586868214,,,,3.17998,percent of total billed charges,0.949462393,,,,3.17998,percent of total billed charges,1.586868214,,,,3.17998,percent of total billed charges,0.949462393,,,,3.14876,percent of total billed charges,3.124869502,,,,3.14876,percent of total billed charges,2.155197728,,,,,,,,,,3.2112,percent of total billed charges,2.087204434,,,,,,,,,,3.2112,percent of total billed charges,999999999,,,,,,,,,,3.568,percent of total billed charges,2.989798529,,,,3.5234,percent of total billed charges,3.400232629,,,,3.5234,percent of total billed charges,3.004218081,,,,3.568,percent of total billed charges,999999999,,,,3.568,percent of total billed charges,999999999,,,,3.122,percent of total billed charges,999999999,,,,3.122,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2.37272,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2.2523,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.115,percent of total billed charges,1.058977261,,,,,,,,,,1.115,percent of total billed charges,1.041361895,,,,,,,,,,1.115,percent of total billed charges,1.038467995,,,,,,,,,,1.115,percent of total billed charges,1.023176566,,,,,,,,,,1.115,percent of total billed charges,1.049504403,,,,,,,,,,1.115,percent of total billed charges,999999999,,,,,,,,,,1.115,percent of total billed charges,0.900548684,,,,,,,,,,1.115,percent of total billed charges,1.420227377,,,,,,,,,,1.115,percent of total billed charges,999999999,,,,,,,,,,1.115,percent of total billed charges,0.971011727,,,,,,,,,,4.014,percent of total billed charges,,,,,
NICOTINE (NICODERM) 14MG PATCH,637,RC,0006-7512-14,NDC,,both,1,EA,5,5,1.064419723,5,5,percent of total billed charges,3.678677629,,,,5,percent of total billed charges,3.89932555,,,,5,percent of total billed charges,3.678677629,,,,5,percent of total billed charges,3.89932555,,,,5,percent of total billed charges,999999999,,,,5,percent of total billed charges,3.809656352,,,,5,percent of total billed charges,3.678677629,,,,5,percent of total billed charges,3.89932555,,,,3.565,percent of total billed charges,1.77900024,,,,3.565,percent of total billed charges,1.064419723,,,,3.565,percent of total billed charges,1.77900024,,,,3.565,percent of total billed charges,1.064419723,,,,3.565,percent of total billed charges,1.77900024,,,,3.565,percent of total billed charges,1.064419723,,,,3.53,percent of total billed charges,3.50321693,,,,3.53,percent of total billed charges,2.41614095,,,,,,,,,,3.6,percent of total billed charges,2.339915284,,,,,,,,,,3.6,percent of total billed charges,999999999,,,,,,,,,,4,percent of total billed charges,3.351792073,,,,3.95,percent of total billed charges,3.811919988,,,,3.95,percent of total billed charges,3.36795749,,,,4,percent of total billed charges,999999999,,,,4,percent of total billed charges,999999999,,,,3.5,percent of total billed charges,999999999,,,,3.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2.66,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2.525,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.25,percent of total billed charges,1.187194239,,,,,,,,,,1.25,percent of total billed charges,1.16744607,,,,,,,,,,1.25,percent of total billed charges,1.164201788,,,,,,,,,,1.25,percent of total billed charges,1.147058931,,,,,,,,,,1.25,percent of total billed charges,1.176574443,,,,,,,,,,1.25,percent of total billed charges,999999999,,,,,,,,,,1.25,percent of total billed charges,1.009583727,,,,,,,,,,1.25,percent of total billed charges,1.592183158,,,,,,,,,,1.25,percent of total billed charges,999999999,,,,,,,,,,1.25,percent of total billed charges,1.088578169,,,,,,,,,,4.5,percent of total billed charges,,,,,
**RAMIPRIL (ALTACE) 2.5 MG CAP,637,RC,5486-8585-00,NDC,,both,1,EA,0.9,0.9,0.19159555,0.9,0.9,percent of total billed charges,0.662161973,,,,0.9,percent of total billed charges,0.701878599,,,,0.9,percent of total billed charges,0.662161973,,,,0.9,percent of total billed charges,0.701878599,,,,0.9,percent of total billed charges,999999999,,,,0.9,percent of total billed charges,0.685738143,,,,0.9,percent of total billed charges,0.662161973,,,,0.9,percent of total billed charges,0.701878599,,,,0.6417,percent of total billed charges,0.320220043,,,,0.6417,percent of total billed charges,0.19159555,,,,0.6417,percent of total billed charges,0.320220043,,,,0.6417,percent of total billed charges,0.19159555,,,,0.6417,percent of total billed charges,0.320220043,,,,0.6417,percent of total billed charges,0.19159555,,,,0.6354,percent of total billed charges,0.630579047,,,,0.6354,percent of total billed charges,0.434905371,,,,,,,,,,0.648,percent of total billed charges,0.421184751,,,,,,,,,,0.648,percent of total billed charges,999999999,,,,,,,,,,0.72,percent of total billed charges,0.603322573,,,,0.711,percent of total billed charges,0.686145598,,,,0.711,percent of total billed charges,0.606232348,,,,0.72,percent of total billed charges,999999999,,,,0.72,percent of total billed charges,999999999,,,,0.63,percent of total billed charges,999999999,,,,0.63,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.4788,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.4545,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.225,percent of total billed charges,0.213694963,,,,,,,,,,0.225,percent of total billed charges,0.210140293,,,,,,,,,,0.225,percent of total billed charges,0.209556322,,,,,,,,,,0.225,percent of total billed charges,0.206470608,,,,,,,,,,0.225,percent of total billed charges,0.2117834,,,,,,,,,,0.225,percent of total billed charges,999999999,,,,,,,,,,0.225,percent of total billed charges,0.181725071,,,,,,,,,,0.225,percent of total billed charges,0.286592968,,,,,,,,,,0.225,percent of total billed charges,999999999,,,,,,,,,,0.225,percent of total billed charges,0.19594407,,,,,,,,,,0.81,percent of total billed charges,,,,,
DESONIDE (TRIDESILON) 0.05% CREAM 15GM,259,RC,5486-8328-01,NDC,,both,1,EA,84.41,84.41,17.96953377,84.41,84.41,percent of total billed charges,62.10343573,,,,84.41,percent of total billed charges,65.82841394,,,,84.41,percent of total billed charges,62.10343573,,,,84.41,percent of total billed charges,65.82841394,,,,84.41,percent of total billed charges,999999999,,,,84.41,percent of total billed charges,64.31461854,,,,84.41,percent of total billed charges,62.10343573,,,,84.41,percent of total billed charges,65.82841394,,,,60.18433,percent of total billed charges,30.03308205,,,,60.18433,percent of total billed charges,17.96953377,,,,60.18433,percent of total billed charges,30.03308205,,,,60.18433,percent of total billed charges,17.96953377,,,,60.18433,percent of total billed charges,30.03308205,,,,60.18433,percent of total billed charges,17.96953377,,,,59.59346,percent of total billed charges,59.14130822,,,,59.59346,percent of total billed charges,40.78929152,,,,,,,,,,60.7752,percent of total billed charges,39.50244983,,,,,,,,,,60.7752,percent of total billed charges,999999999,,,,,,,,,,67.528,percent of total billed charges,56.58495378,,,,66.6839,percent of total billed charges,64.35283324,,,,66.6839,percent of total billed charges,56.85785834,,,,67.528,percent of total billed charges,999999999,,,,67.528,percent of total billed charges,999999999,,,,59.087,percent of total billed charges,999999999,,,,59.087,percent of total billed charges,999999999,,,,,,,,,,,,,,,,44.90612,percent of total billed charges,999999999,,,,,,,,,,,,,,,,42.62705,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21.1025,percent of total billed charges,20.04221314,,,,,,,,,,21.1025,percent of total billed charges,19.70882456,,,,,,,,,,21.1025,percent of total billed charges,19.65405458,,,,,,,,,,21.1025,percent of total billed charges,19.36464887,,,,,,,,,,21.1025,percent of total billed charges,19.86292975,,,,,,,,,,21.1025,percent of total billed charges,999999999,,,,,,,,,,21.1025,percent of total billed charges,17.04379247,,,,,,,,,,21.1025,percent of total billed charges,26.87923607,,,,,,,,,,21.1025,percent of total billed charges,999999999,,,,,,,,,,21.1025,percent of total billed charges,18.37737665,,,,,,,,,,75.969,percent of total billed charges,,,,,
"**HEPARIN 100UNIT/ML, 30ML FLUSH SOLN",J1642,CDM,0040-9115-78,NDC,,both,1,EA,11,11,2.341723391,11,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,11,percent of total billed charges,999999999,,,,11,percent of total billed charges,8.381243975,,,,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.766,percent of total billed charges,7.707077247,,,,7.766,percent of total billed charges,5.31551009,,,,,,,,,,7.92,percent of total billed charges,5.147813626,,,,,,,,,,7.92,percent of total billed charges,999999999,,,,,,,,,,8.8,percent of total billed charges,7.373942561,,,,8.69,percent of total billed charges,8.386223973,,,,8.69,percent of total billed charges,7.409506477,,,,8.8,percent of total billed charges,999999999,,,,8.8,percent of total billed charges,999999999,,,,7.7,percent of total billed charges,999999999,,,,7.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.852,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.555,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.75,percent of total billed charges,2.611827325,,,,,,,,,,2.75,percent of total billed charges,2.568381355,,,,,,,,,,2.75,percent of total billed charges,2.561243933,,,,,,,,,,2.75,percent of total billed charges,2.523529647,,,,,,,,,,2.75,percent of total billed charges,2.588463775,,,,,,,,,,2.75,percent of total billed charges,999999999,,,,,,,,,,2.75,percent of total billed charges,2.221084199,,,,,,,,,,2.75,percent of total billed charges,3.502802947,,,,,,,,,,2.75,percent of total billed charges,999999999,,,,,,,,,,2.75,percent of total billed charges,2.394871971,,,,,,,,,,9.9,percent of total billed charges,,,,,
"EPOETIN 3,000 UNITS (NON-DIALYSIS)",J0885,CDM,5967-6030-01,NDC,,both,1,EA,532.9,532.9,113.4458541,532.9,532.9,percent of total billed charges,392.0734617,,,,532.9,percent of total billed charges,415.5901171,,,,532.9,percent of total billed charges,392.0734617,,,,532.9,percent of total billed charges,415.5901171,,,,532.9,percent of total billed charges,999999999,,,,532.9,percent of total billed charges,406.033174,,,,532.9,percent of total billed charges,392.0734617,,,,532.9,percent of total billed charges,415.5901171,,,,379.9577,percent of total billed charges,189.6058455,,,,379.9577,percent of total billed charges,113.4458541,,,,379.9577,percent of total billed charges,189.6058455,,,,379.9577,percent of total billed charges,113.4458541,,,,379.9577,percent of total billed charges,189.6058455,,,,379.9577,percent of total billed charges,113.4458541,,,,376.2274,percent of total billed charges,373.3728604,,,,376.2274,percent of total billed charges,257.5123025,,,,,,,,,,383.688,percent of total billed charges,249.388171,,,,,,,,,,383.688,percent of total billed charges,999999999,,,,,,,,,,426.32,percent of total billed charges,357.2339991,,,,420.991,percent of total billed charges,406.2744323,,,,420.991,percent of total billed charges,358.9569093,,,,426.32,percent of total billed charges,999999999,,,,426.32,percent of total billed charges,999999999,,,,373.03,percent of total billed charges,999999999,,,,373.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,283.5028,percent of total billed charges,999999999,,,,,,,,,,,,,,,,269.1145,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,133.225,percent of total billed charges,126.531162,,,,,,,,,,133.225,percent of total billed charges,124.4264022,,,,,,,,,,133.225,percent of total billed charges,124.0806265,,,,,,,,,,133.225,percent of total billed charges,122.2535408,,,,,,,,,,133.225,percent of total billed charges,125.3993042,,,,,,,,,,133.225,percent of total billed charges,999999999,,,,,,,,,,133.225,percent of total billed charges,107.6014336,,,,,,,,,,133.225,percent of total billed charges,169.6948809,,,,,,,,,,133.225,percent of total billed charges,999999999,,,,,,,,,,133.225,percent of total billed charges,116.0206612,,,,,,,,,,479.61,percent of total billed charges,,,,,
dilTIAZem CD (CARDIZEM CD) 180MG CAP,637,RC,6068-7020-11,NDC,,both,1,EA,1.83,1.83,0.389577619,1.83,1.83,percent of total billed charges,1.346396012,,,,1.83,percent of total billed charges,1.427153151,,,,1.83,percent of total billed charges,1.346396012,,,,1.83,percent of total billed charges,1.427153151,,,,1.83,percent of total billed charges,999999999,,,,1.83,percent of total billed charges,1.394334225,,,,1.83,percent of total billed charges,1.346396012,,,,1.83,percent of total billed charges,1.427153151,,,,1.30479,percent of total billed charges,0.651114088,,,,1.30479,percent of total billed charges,0.389577619,,,,1.30479,percent of total billed charges,0.651114088,,,,1.30479,percent of total billed charges,0.389577619,,,,1.30479,percent of total billed charges,0.651114088,,,,1.30479,percent of total billed charges,0.389577619,,,,1.29198,percent of total billed charges,1.282177397,,,,1.29198,percent of total billed charges,0.884307588,,,,,,,,,,1.3176,percent of total billed charges,0.856408994,,,,,,,,,,1.3176,percent of total billed charges,999999999,,,,,,,,,,1.464,percent of total billed charges,1.226755899,,,,1.4457,percent of total billed charges,1.395162716,,,,1.4457,percent of total billed charges,1.232672441,,,,1.464,percent of total billed charges,999999999,,,,1.464,percent of total billed charges,999999999,,,,1.281,percent of total billed charges,999999999,,,,1.281,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.97356,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.92415,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.4575,percent of total billed charges,0.434513091,,,,,,,,,,0.4575,percent of total billed charges,0.427285262,,,,,,,,,,0.4575,percent of total billed charges,0.426097854,,,,,,,,,,0.4575,percent of total billed charges,0.419823569,,,,,,,,,,0.4575,percent of total billed charges,0.430626246,,,,,,,,,,0.4575,percent of total billed charges,999999999,,,,,,,,,,0.4575,percent of total billed charges,0.369507644,,,,,,,,,,0.4575,percent of total billed charges,0.582739036,,,,,,,,,,0.4575,percent of total billed charges,999999999,,,,,,,,,,0.4575,percent of total billed charges,0.39841961,,,,,,,,,,1.647,percent of total billed charges,,,,,
FLUCONAZOLE (DIFLUCAN) 100MG TAB,250,RC,5976-2501-01,NDC,,both,1,EA,7.68,7.68,1.634948695,7.68,7.68,percent of total billed charges,5.650448838,,,,7.68,percent of total billed charges,5.989364045,,,,7.68,percent of total billed charges,5.650448838,,,,7.68,percent of total billed charges,5.989364045,,,,7.68,percent of total billed charges,999999999,,,,7.68,percent of total billed charges,5.851632157,,,,7.68,percent of total billed charges,5.650448838,,,,7.68,percent of total billed charges,5.989364045,,,,5.47584,percent of total billed charges,2.732544368,,,,5.47584,percent of total billed charges,1.634948695,,,,5.47584,percent of total billed charges,2.732544368,,,,5.47584,percent of total billed charges,1.634948695,,,,5.47584,percent of total billed charges,2.732544368,,,,5.47584,percent of total billed charges,1.634948695,,,,5.42208,percent of total billed charges,5.380941205,,,,5.42208,percent of total billed charges,3.7111925,,,,,,,,,,5.5296,percent of total billed charges,3.594109877,,,,,,,,,,5.5296,percent of total billed charges,999999999,,,,,,,,,,6.144,percent of total billed charges,5.148352624,,,,6.0672,percent of total billed charges,5.855109101,,,,6.0672,percent of total billed charges,5.173182704,,,,6.144,percent of total billed charges,999999999,,,,6.144,percent of total billed charges,999999999,,,,5.376,percent of total billed charges,999999999,,,,5.376,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.08576,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.8784,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.92,percent of total billed charges,1.823530351,,,,,,,,,,1.92,percent of total billed charges,1.793197164,,,,,,,,,,1.92,percent of total billed charges,1.788213946,,,,,,,,,,1.92,percent of total billed charges,1.761882517,,,,,,,,,,1.92,percent of total billed charges,1.807218345,,,,,,,,,,1.92,percent of total billed charges,999999999,,,,,,,,,,1.92,percent of total billed charges,1.550720604,,,,,,,,,,1.92,percent of total billed charges,2.44559333,,,,,,,,,,1.92,percent of total billed charges,999999999,,,,,,,,,,1.92,percent of total billed charges,1.672056067,,,,,,,,,,6.912,percent of total billed charges,,,,,
BENZONATATE (TESSALON PERLE) 100MG CAP,250,RC,6945-2014-20,NDC,,both,1,EA,1.82,1.82,0.387448779,1.82,1.82,percent of total billed charges,1.339038657,,,,1.82,percent of total billed charges,1.4193545,,,,1.82,percent of total billed charges,1.339038657,,,,1.82,percent of total billed charges,1.4193545,,,,1.82,percent of total billed charges,999999999,,,,1.82,percent of total billed charges,1.386714912,,,,1.82,percent of total billed charges,1.339038657,,,,1.82,percent of total billed charges,1.4193545,,,,1.29766,percent of total billed charges,0.647556087,,,,1.29766,percent of total billed charges,0.387448779,,,,1.29766,percent of total billed charges,0.647556087,,,,1.29766,percent of total billed charges,0.387448779,,,,1.29766,percent of total billed charges,0.647556087,,,,1.29766,percent of total billed charges,0.387448779,,,,1.28492,percent of total billed charges,1.275170963,,,,1.28492,percent of total billed charges,0.879475306,,,,,,,,,,1.3104,percent of total billed charges,0.851729164,,,,,,,,,,1.3104,percent of total billed charges,999999999,,,,,,,,,,1.456,percent of total billed charges,1.220052315,,,,1.4378,percent of total billed charges,1.387538876,,,,1.4378,percent of total billed charges,1.225936526,,,,1.456,percent of total billed charges,999999999,,,,1.456,percent of total billed charges,999999999,,,,1.274,percent of total billed charges,999999999,,,,1.274,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.96824,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.9191,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.455,percent of total billed charges,0.432138703,,,,,,,,,,0.455,percent of total billed charges,0.42495037,,,,,,,,,,0.455,percent of total billed charges,0.423769451,,,,,,,,,,0.455,percent of total billed charges,0.417529451,,,,,,,,,,0.455,percent of total billed charges,0.428273097,,,,,,,,,,0.455,percent of total billed charges,999999999,,,,,,,,,,0.455,percent of total billed charges,0.367488477,,,,,,,,,,0.455,percent of total billed charges,0.579554669,,,,,,,,,,0.455,percent of total billed charges,999999999,,,,,,,,,,0.455,percent of total billed charges,0.396242453,,,,,,,,,,1.638,percent of total billed charges,,,,,
**TUSSI 12(CARBET.CHLORPH.PE) SUSP: 60 M,250,RC,0003-7064-16,NDC,,both,1,EA,49,49,10.43131329,49,49,percent of total billed charges,36.05104076,,,,49,percent of total billed charges,38.21339039,,,,49,percent of total billed charges,36.05104076,,,,49,percent of total billed charges,38.21339039,,,,49,percent of total billed charges,999999999,,,,49,percent of total billed charges,37.33463225,,,,49,percent of total billed charges,36.05104076,,,,49,percent of total billed charges,38.21339039,,,,34.937,percent of total billed charges,17.43420235,,,,34.937,percent of total billed charges,10.43131329,,,,34.937,percent of total billed charges,17.43420235,,,,34.937,percent of total billed charges,10.43131329,,,,34.937,percent of total billed charges,17.43420235,,,,34.937,percent of total billed charges,10.43131329,,,,34.594,percent of total billed charges,34.33152592,,,,34.594,percent of total billed charges,23.67818131,,,,,,,,,,35.28,percent of total billed charges,22.93116979,,,,,,,,,,35.28,percent of total billed charges,999999999,,,,,,,,,,39.2,percent of total billed charges,32.84756232,,,,38.71,percent of total billed charges,37.35681588,,,,38.71,percent of total billed charges,33.0059834,,,,39.2,percent of total billed charges,999999999,,,,39.2,percent of total billed charges,999999999,,,,34.3,percent of total billed charges,999999999,,,,34.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,26.068,percent of total billed charges,999999999,,,,,,,,,,,,,,,,24.745,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12.25,percent of total billed charges,11.63450354,,,,,,,,,,12.25,percent of total billed charges,11.44097149,,,,,,,,,,12.25,percent of total billed charges,11.40917752,,,,,,,,,,12.25,percent of total billed charges,11.24117752,,,,,,,,,,12.25,percent of total billed charges,11.53042954,,,,,,,,,,12.25,percent of total billed charges,999999999,,,,,,,,,,12.25,percent of total billed charges,9.893920522,,,,,,,,,,12.25,percent of total billed charges,15.60339494,,,,,,,,,,12.25,percent of total billed charges,999999999,,,,,,,,,,12.25,percent of total billed charges,10.66806605,,,,,,,,,,44.1,percent of total billed charges,,,,,
PHENTOLAMINE (REGITINE) 5MG VIAL,J2760,CDM,0014-3956-01,NDC,,both,1,EA,1702.18,1702.18,362.3667929,1702.18,1702.18,percent of total billed charges,1252.354297,,,,1702.18,percent of total billed charges,1327.470793,,,,1702.18,percent of total billed charges,1252.354297,,,,1702.18,percent of total billed charges,1327.470793,,,,1702.18,percent of total billed charges,999999999,,,,1702.18,percent of total billed charges,1296.94417,,,,1702.18,percent of total billed charges,1252.354297,,,,1702.18,percent of total billed charges,1327.470793,,,,1213.65434,percent of total billed charges,605.6357256,,,,1213.65434,percent of total billed charges,362.3667929,,,,1213.65434,percent of total billed charges,605.6357256,,,,1213.65434,percent of total billed charges,362.3667929,,,,1213.65434,percent of total billed charges,605.6357256,,,,1213.65434,percent of total billed charges,362.3667929,,,,1201.73908,percent of total billed charges,1192.621159,,,,1201.73908,percent of total billed charges,822.5413605,,,,,,,,,,1225.5696,percent of total billed charges,796.5913998,,,,,,,,,,1225.5696,percent of total billed charges,999999999,,,,,,,,,,1361.744,percent of total billed charges,1141.070686,,,,1344.7222,percent of total billed charges,1297.714793,,,,1344.7222,percent of total billed charges,1146.573976,,,,1361.744,percent of total billed charges,999999999,,,,1361.744,percent of total billed charges,999999999,,,,1191.526,percent of total billed charges,999999999,,,,1191.526,percent of total billed charges,999999999,,,,,,,,,,,,,,,,905.55976,percent of total billed charges,999999999,,,,,,,,,,,,,,,,859.6009,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,425.545,percent of total billed charges,404.1636579,,,,,,,,,,425.545,percent of total billed charges,397.4406704,,,,,,,,,,425.545,percent of total billed charges,396.3361998,,,,,,,,,,425.545,percent of total billed charges,390.5001541,,,,,,,,,,425.545,percent of total billed charges,400.5482972,,,,,,,,,,425.545,percent of total billed charges,999999999,,,,,,,,,,425.545,percent of total billed charges,343.6986456,,,,,,,,,,425.545,percent of total billed charges,542.0364654,,,,,,,,,,425.545,percent of total billed charges,999999999,,,,,,,,,,425.545,percent of total billed charges,370.5911975,,,,,,,,,,1531.962,percent of total billed charges,,,,,
**PENICILLIN-VK SUSP 250 MG/5ML: 100ML,259,RC,0009-3412-73,NDC,,both,1,EA,13,13,2.76749128,13,13,percent of total billed charges,9.564561834,,,,13,percent of total billed charges,10.13824643,,,,13,percent of total billed charges,9.564561834,,,,13,percent of total billed charges,10.13824643,,,,13,percent of total billed charges,999999999,,,,13,percent of total billed charges,9.905106516,,,,13,percent of total billed charges,9.564561834,,,,13,percent of total billed charges,10.13824643,,,,9.269,percent of total billed charges,4.625400623,,,,9.269,percent of total billed charges,2.76749128,,,,9.269,percent of total billed charges,4.625400623,,,,9.269,percent of total billed charges,2.76749128,,,,9.269,percent of total billed charges,4.625400623,,,,9.269,percent of total billed charges,2.76749128,,,,9.178,percent of total billed charges,9.108364019,,,,9.178,percent of total billed charges,6.281966471,,,,,,,,,,9.36,percent of total billed charges,6.083779739,,,,,,,,,,9.36,percent of total billed charges,999999999,,,,,,,,,,10.4,percent of total billed charges,8.71465939,,,,10.27,percent of total billed charges,9.910991969,,,,10.27,percent of total billed charges,8.756689473,,,,10.4,percent of total billed charges,999999999,,,,10.4,percent of total billed charges,999999999,,,,9.1,percent of total billed charges,999999999,,,,9.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.916,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.565,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3.25,percent of total billed charges,3.086705021,,,,,,,,,,3.25,percent of total billed charges,3.035359783,,,,,,,,,,3.25,percent of total billed charges,3.026924648,,,,,,,,,,3.25,percent of total billed charges,2.98235322,,,,,,,,,,3.25,percent of total billed charges,3.059093552,,,,,,,,,,3.25,percent of total billed charges,999999999,,,,,,,,,,3.25,percent of total billed charges,2.624917689,,,,,,,,,,3.25,percent of total billed charges,4.13967621,,,,,,,,,,3.25,percent of total billed charges,999999999,,,,,,,,,,3.25,percent of total billed charges,2.830303239,,,,,,,,,,11.7,percent of total billed charges,,,,,
SERTRALINE (ZOLOFT) 50 MG TAB,250,RC,6068-7024-01,NDC,,both,1,EA,1.42,1.42,0.302295201,1.42,1.42,percent of total billed charges,1.044744447,,,,1.42,percent of total billed charges,1.107408456,,,,1.42,percent of total billed charges,1.044744447,,,,1.42,percent of total billed charges,1.107408456,,,,1.42,percent of total billed charges,999999999,,,,1.42,percent of total billed charges,1.081942404,,,,1.42,percent of total billed charges,1.044744447,,,,1.42,percent of total billed charges,1.107408456,,,,1.01246,percent of total billed charges,0.505236068,,,,1.01246,percent of total billed charges,0.302295201,,,,1.01246,percent of total billed charges,0.505236068,,,,1.01246,percent of total billed charges,0.302295201,,,,1.01246,percent of total billed charges,0.505236068,,,,1.01246,percent of total billed charges,0.302295201,,,,1.00252,percent of total billed charges,0.994913608,,,,1.00252,percent of total billed charges,0.68618403,,,,,,,,,,1.0224,percent of total billed charges,0.664535941,,,,,,,,,,1.0224,percent of total billed charges,999999999,,,,,,,,,,1.136,percent of total billed charges,0.951908949,,,,1.1218,percent of total billed charges,1.082585277,,,,1.1218,percent of total billed charges,0.956499927,,,,1.136,percent of total billed charges,999999999,,,,1.136,percent of total billed charges,999999999,,,,0.994,percent of total billed charges,999999999,,,,0.994,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.75544,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.7171,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.355,percent of total billed charges,0.337163164,,,,,,,,,,0.355,percent of total billed charges,0.331554684,,,,,,,,,,0.355,percent of total billed charges,0.330633308,,,,,,,,,,0.355,percent of total billed charges,0.325764736,,,,,,,,,,0.355,percent of total billed charges,0.334147142,,,,,,,,,,0.355,percent of total billed charges,999999999,,,,,,,,,,0.355,percent of total billed charges,0.286721778,,,,,,,,,,0.355,percent of total billed charges,0.452180017,,,,,,,,,,0.355,percent of total billed charges,999999999,,,,,,,,,,0.355,percent of total billed charges,0.3091562,,,,,,,,,,1.278,percent of total billed charges,,,,,
**AMANTADINE (SYMMETREL) SYR 50MG/5ML 60,259,RC,5038-3080-16,NDC,,both,1,EA,12,12,2.554607335,12,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,12,percent of total billed charges,999999999,,,,12,percent of total billed charges,9.143175245,,,,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.472,percent of total billed charges,8.407720633,,,,8.472,percent of total billed charges,5.79873828,,,,,,,,,,8.64,percent of total billed charges,5.615796683,,,,,,,,,,8.64,percent of total billed charges,999999999,,,,,,,,,,9.6,percent of total billed charges,8.044300975,,,,9.48,percent of total billed charges,9.148607971,,,,9.48,percent of total billed charges,8.083097975,,,,9.6,percent of total billed charges,999999999,,,,9.6,percent of total billed charges,999999999,,,,8.4,percent of total billed charges,999999999,,,,8.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.384,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.06,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3,percent of total billed charges,2.849266173,,,,,,,,,,3,percent of total billed charges,2.801870569,,,,,,,,,,3,percent of total billed charges,2.794084291,,,,,,,,,,3,percent of total billed charges,2.752941434,,,,,,,,,,3,percent of total billed charges,2.823778664,,,,,,,,,,3,percent of total billed charges,999999999,,,,,,,,,,3,percent of total billed charges,2.423000944,,,,,,,,,,3,percent of total billed charges,3.821239578,,,,,,,,,,3,percent of total billed charges,999999999,,,,,,,,,,3,percent of total billed charges,2.612587605,,,,,,,,,,10.8,percent of total billed charges,,,,,
GLIMEPIRIDE (AMARYL) 2MG TAB,637,RC,6808-4032-11,NDC,,both,1,EA,0.95,0.95,0.202239747,0.95,0.95,percent of total billed charges,0.698948749,,,,0.95,percent of total billed charges,0.740871855,,,,0.95,percent of total billed charges,0.698948749,,,,0.95,percent of total billed charges,0.740871855,,,,0.95,percent of total billed charges,999999999,,,,0.95,percent of total billed charges,0.723834707,,,,0.95,percent of total billed charges,0.698948749,,,,0.95,percent of total billed charges,0.740871855,,,,0.67735,percent of total billed charges,0.338010046,,,,0.67735,percent of total billed charges,0.202239747,,,,0.67735,percent of total billed charges,0.338010046,,,,0.67735,percent of total billed charges,0.202239747,,,,0.67735,percent of total billed charges,0.338010046,,,,0.67735,percent of total billed charges,0.202239747,,,,0.6707,percent of total billed charges,0.665611217,,,,0.6707,percent of total billed charges,0.459066781,,,,,,,,,,0.684,percent of total billed charges,0.444583904,,,,,,,,,,0.684,percent of total billed charges,999999999,,,,,,,,,,0.76,percent of total billed charges,0.636840494,,,,0.7505,percent of total billed charges,0.724264798,,,,0.7505,percent of total billed charges,0.639911923,,,,0.76,percent of total billed charges,999999999,,,,0.76,percent of total billed charges,999999999,,,,0.665,percent of total billed charges,999999999,,,,0.665,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.5054,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.47975,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.2375,percent of total billed charges,0.225566905,,,,,,,,,,0.2375,percent of total billed charges,0.221814753,,,,,,,,,,0.2375,percent of total billed charges,0.22119834,,,,,,,,,,0.2375,percent of total billed charges,0.217941197,,,,,,,,,,0.2375,percent of total billed charges,0.223549144,,,,,,,,,,0.2375,percent of total billed charges,999999999,,,,,,,,,,0.2375,percent of total billed charges,0.191820908,,,,,,,,,,0.2375,percent of total billed charges,0.3025148,,,,,,,,,,0.2375,percent of total billed charges,999999999,,,,,,,,,,0.2375,percent of total billed charges,0.206829852,,,,,,,,,,0.855,percent of total billed charges,,,,,
FEXOFENADINE (ALLEGRA) 60 MG TAB,259,RC,4580-2042-78,NDC,,both,1,EA,3.6,3.6,0.766382201,3.6,3.6,percent of total billed charges,2.648647893,,,,3.6,percent of total billed charges,2.807514396,,,,3.6,percent of total billed charges,2.648647893,,,,3.6,percent of total billed charges,2.807514396,,,,3.6,percent of total billed charges,999999999,,,,3.6,percent of total billed charges,2.742952574,,,,3.6,percent of total billed charges,2.648647893,,,,3.6,percent of total billed charges,2.807514396,,,,2.5668,percent of total billed charges,1.280880173,,,,2.5668,percent of total billed charges,0.766382201,,,,2.5668,percent of total billed charges,1.280880173,,,,2.5668,percent of total billed charges,0.766382201,,,,2.5668,percent of total billed charges,1.280880173,,,,2.5668,percent of total billed charges,0.766382201,,,,2.5416,percent of total billed charges,2.52231619,,,,2.5416,percent of total billed charges,1.739621484,,,,,,,,,,2.592,percent of total billed charges,1.684739005,,,,,,,,,,2.592,percent of total billed charges,999999999,,,,,,,,,,2.88,percent of total billed charges,2.413290293,,,,2.844,percent of total billed charges,2.744582391,,,,2.844,percent of total billed charges,2.424929393,,,,2.88,percent of total billed charges,999999999,,,,2.88,percent of total billed charges,999999999,,,,2.52,percent of total billed charges,999999999,,,,2.52,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.9152,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.818,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.9,percent of total billed charges,0.854779852,,,,,,,,,,0.9,percent of total billed charges,0.840561171,,,,,,,,,,0.9,percent of total billed charges,0.838225287,,,,,,,,,,0.9,percent of total billed charges,0.82588243,,,,,,,,,,0.9,percent of total billed charges,0.847133599,,,,,,,,,,0.9,percent of total billed charges,999999999,,,,,,,,,,0.9,percent of total billed charges,0.726900283,,,,,,,,,,0.9,percent of total billed charges,1.146371873,,,,,,,,,,0.9,percent of total billed charges,999999999,,,,,,,,,,0.9,percent of total billed charges,0.783776282,,,,,,,,,,3.24,percent of total billed charges,,,,,
DOXAZOSIN (CARDURA) 2 MG TAB,637,RC,5107-9095-20,NDC,,both,1,EA,2.37,2.37,0.504534949,2.37,2.37,percent of total billed charges,1.743693196,,,,2.37,percent of total billed charges,1.848280311,,,,2.37,percent of total billed charges,1.743693196,,,,2.37,percent of total billed charges,1.848280311,,,,2.37,percent of total billed charges,999999999,,,,2.37,percent of total billed charges,1.805777111,,,,2.37,percent of total billed charges,1.743693196,,,,2.37,percent of total billed charges,1.848280311,,,,1.68981,percent of total billed charges,0.843246114,,,,1.68981,percent of total billed charges,0.504534949,,,,1.68981,percent of total billed charges,0.843246114,,,,1.68981,percent of total billed charges,0.504534949,,,,1.68981,percent of total billed charges,0.843246114,,,,1.68981,percent of total billed charges,0.504534949,,,,1.67322,percent of total billed charges,1.660524825,,,,1.67322,percent of total billed charges,1.14525081,,,,,,,,,,1.7064,percent of total billed charges,1.109119845,,,,,,,,,,1.7064,percent of total billed charges,999999999,,,,,,,,,,1.896,percent of total billed charges,1.588749443,,,,1.8723,percent of total billed charges,1.806850074,,,,1.8723,percent of total billed charges,1.59641185,,,,1.896,percent of total billed charges,999999999,,,,1.896,percent of total billed charges,999999999,,,,1.659,percent of total billed charges,999999999,,,,1.659,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.26084,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.19685,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.5925,percent of total billed charges,0.562730069,,,,,,,,,,0.5925,percent of total billed charges,0.553369437,,,,,,,,,,0.5925,percent of total billed charges,0.551831647,,,,,,,,,,0.5925,percent of total billed charges,0.543705933,,,,,,,,,,0.5925,percent of total billed charges,0.557696286,,,,,,,,,,0.5925,percent of total billed charges,999999999,,,,,,,,,,0.5925,percent of total billed charges,0.478542686,,,,,,,,,,0.5925,percent of total billed charges,0.754694817,,,,,,,,,,0.5925,percent of total billed charges,999999999,,,,,,,,,,0.5925,percent of total billed charges,0.515986052,,,,,,,,,,2.133,percent of total billed charges,,,,,
MORphine SR (MS-CONTIN) 15MG TAB,637,RC,0040-6831-62,NDC,,both,1,EA,8.42,8.42,1.792482814,8.42,8.42,percent of total billed charges,6.194893127,,,,8.42,percent of total billed charges,6.566464226,,,,8.42,percent of total billed charges,6.194893127,,,,8.42,percent of total billed charges,6.566464226,,,,8.42,percent of total billed charges,999999999,,,,8.42,percent of total billed charges,6.415461297,,,,8.42,percent of total billed charges,6.194893127,,,,8.42,percent of total billed charges,6.566464226,,,,6.00346,percent of total billed charges,2.995836404,,,,6.00346,percent of total billed charges,1.792482814,,,,6.00346,percent of total billed charges,2.995836404,,,,6.00346,percent of total billed charges,1.792482814,,,,6.00346,percent of total billed charges,2.995836404,,,,6.00346,percent of total billed charges,1.792482814,,,,5.94452,percent of total billed charges,5.899417311,,,,5.94452,percent of total billed charges,4.06878136,,,,,,,,,,6.0624,percent of total billed charges,3.940417339,,,,,,,,,,6.0624,percent of total billed charges,999999999,,,,,,,,,,6.736,percent of total billed charges,5.644417851,,,,6.6518,percent of total billed charges,6.41927326,,,,6.6518,percent of total billed charges,5.671640413,,,,6.736,percent of total billed charges,999999999,,,,6.736,percent of total billed charges,999999999,,,,5.894,percent of total billed charges,999999999,,,,5.894,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.47944,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.2521,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.105,percent of total billed charges,1.999235098,,,,,,,,,,2.105,percent of total billed charges,1.965979183,,,,,,,,,,2.105,percent of total billed charges,1.960515811,,,,,,,,,,2.105,percent of total billed charges,1.931647239,,,,,,,,,,2.105,percent of total billed charges,1.981351362,,,,,,,,,,2.105,percent of total billed charges,999999999,,,,,,,,,,2.105,percent of total billed charges,1.700138996,,,,,,,,,,2.105,percent of total billed charges,2.681236437,,,,,,,,,,2.105,percent of total billed charges,999999999,,,,,,,,,,2.105,percent of total billed charges,1.833165636,,,,,,,,,,7.578,percent of total billed charges,,,,,
**CYCLOPENTOLATE (CYCLOGYL) 2% OPHTH SO,259,RC,0006-5039-05,NDC,,both,1,EA,269,269,57.2657811,269,269,percent of total billed charges,197.9128564,,,,269,percent of total billed charges,209.7837146,,,,269,percent of total billed charges,197.9128564,,,,269,percent of total billed charges,209.7837146,,,,269,percent of total billed charges,999999999,,,,269,percent of total billed charges,204.9595117,,,,269,percent of total billed charges,197.9128564,,,,269,percent of total billed charges,209.7837146,,,,191.797,percent of total billed charges,95.71021289,,,,191.797,percent of total billed charges,57.2657811,,,,191.797,percent of total billed charges,95.71021289,,,,191.797,percent of total billed charges,57.2657811,,,,191.797,percent of total billed charges,95.71021289,,,,191.797,percent of total billed charges,57.2657811,,,,189.914,percent of total billed charges,188.4730709,,,,189.914,percent of total billed charges,129.9883831,,,,,,,,,,193.68,percent of total billed charges,125.8874423,,,,,,,,,,193.68,percent of total billed charges,999999999,,,,,,,,,,215.2,percent of total billed charges,180.3264135,,,,212.51,percent of total billed charges,205.0812953,,,,212.51,percent of total billed charges,181.1961129,,,,215.2,percent of total billed charges,999999999,,,,215.2,percent of total billed charges,999999999,,,,188.3,percent of total billed charges,999999999,,,,188.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,143.108,percent of total billed charges,999999999,,,,,,,,,,,,,,,,135.845,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,67.25,percent of total billed charges,63.87105005,,,,,,,,,,67.25,percent of total billed charges,62.80859859,,,,,,,,,,67.25,percent of total billed charges,62.63405618,,,,,,,,,,67.25,percent of total billed charges,61.71177047,,,,,,,,,,67.25,percent of total billed charges,63.29970505,,,,,,,,,,67.25,percent of total billed charges,999999999,,,,,,,,,,67.25,percent of total billed charges,54.3156045,,,,,,,,,,67.25,percent of total billed charges,85.65945388,,,,,,,,,,67.25,percent of total billed charges,999999999,,,,,,,,,,67.25,percent of total billed charges,58.56550548,,,,,,,,,,242.1,percent of total billed charges,,,,,
ENOXAPARIN (LOVENOX) 80 MG SYRINGE,J1650,CDM,0007-5062-80,NDC,,both,1,EA,128.51,128.51,27.35771572,128.51,128.51,percent of total billed charges,94.54937241,,,,128.51,percent of total billed charges,100.2204653,,,,128.51,percent of total billed charges,94.54937241,,,,128.51,percent of total billed charges,100.2204653,,,,128.51,percent of total billed charges,999999999,,,,128.51,percent of total billed charges,97.91578756,,,,128.51,percent of total billed charges,94.54937241,,,,128.51,percent of total billed charges,100.2204653,,,,91.62763,percent of total billed charges,45.72386416,,,,91.62763,percent of total billed charges,27.35771572,,,,91.62763,percent of total billed charges,45.72386416,,,,91.62763,percent of total billed charges,27.35771572,,,,91.62763,percent of total billed charges,45.72386416,,,,91.62763,percent of total billed charges,27.35771572,,,,90.72806,percent of total billed charges,90.03968154,,,,90.72806,percent of total billed charges,62.0996547,,,,,,,,,,92.5272,percent of total billed charges,60.14050264,,,,,,,,,,92.5272,percent of total billed charges,999999999,,,,,,,,,,102.808,percent of total billed charges,86.14775986,,,,101.5229,percent of total billed charges,97.97396753,,,,101.5229,percent of total billed charges,86.5632434,,,,102.808,percent of total billed charges,999999999,,,,102.808,percent of total billed charges,999999999,,,,89.957,percent of total billed charges,999999999,,,,89.957,percent of total billed charges,999999999,,,,,,,,,,,,,,,,68.36732,percent of total billed charges,999999999,,,,,,,,,,,,,,,,64.89755,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,32.1275,percent of total billed charges,30.51326633,,,,,,,,,,32.1275,percent of total billed charges,30.0056989,,,,,,,,,,32.1275,percent of total billed charges,29.92231435,,,,,,,,,,32.1275,percent of total billed charges,29.48170864,,,,,,,,,,32.1275,percent of total billed charges,30.24031634,,,,,,,,,,32.1275,percent of total billed charges,999999999,,,,,,,,,,32.1275,percent of total billed charges,25.94832094,,,,,,,,,,32.1275,percent of total billed charges,40.92229152,,,,,,,,,,32.1275,percent of total billed charges,999999999,,,,,,,,,,32.1275,percent of total billed charges,27.9786361,,,,,,,,,,115.659,percent of total billed charges,,,,,
TORSEMIDE(DEMADEX) TAB 20MG,637,RC,6808-4053-01,NDC,,both,1,EA,1.65,1.65,0.351258509,1.65,1.65,percent of total billed charges,1.213963617,,,,1.65,percent of total billed charges,1.286777432,,,,1.65,percent of total billed charges,1.213963617,,,,1.65,percent of total billed charges,1.286777432,,,,1.65,percent of total billed charges,999999999,,,,1.65,percent of total billed charges,1.257186596,,,,1.65,percent of total billed charges,1.213963617,,,,1.65,percent of total billed charges,1.286777432,,,,1.17645,percent of total billed charges,0.587070079,,,,1.17645,percent of total billed charges,0.351258509,,,,1.17645,percent of total billed charges,0.587070079,,,,1.17645,percent of total billed charges,0.351258509,,,,1.17645,percent of total billed charges,0.587070079,,,,1.17645,percent of total billed charges,0.351258509,,,,1.1649,percent of total billed charges,1.156061587,,,,1.1649,percent of total billed charges,0.797326514,,,,,,,,,,1.188,percent of total billed charges,0.772172044,,,,,,,,,,1.188,percent of total billed charges,999999999,,,,,,,,,,1.32,percent of total billed charges,1.106091384,,,,1.3035,percent of total billed charges,1.257933596,,,,1.3035,percent of total billed charges,1.111425972,,,,1.32,percent of total billed charges,999999999,,,,1.32,percent of total billed charges,999999999,,,,1.155,percent of total billed charges,999999999,,,,1.155,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.8778,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.83325,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.4125,percent of total billed charges,0.391774099,,,,,,,,,,0.4125,percent of total billed charges,0.385257203,,,,,,,,,,0.4125,percent of total billed charges,0.38418659,,,,,,,,,,0.4125,percent of total billed charges,0.378529447,,,,,,,,,,0.4125,percent of total billed charges,0.388269566,,,,,,,,,,0.4125,percent of total billed charges,999999999,,,,,,,,,,0.4125,percent of total billed charges,0.33316263,,,,,,,,,,0.4125,percent of total billed charges,0.525420442,,,,,,,,,,0.4125,percent of total billed charges,999999999,,,,,,,,,,0.4125,percent of total billed charges,0.359230796,,,,,,,,,,1.485,percent of total billed charges,,,,,
SUFentanil (SUFENTA) 50 MCG/ML 1ML,250,RC,0040-9338-21,NDC,,both,1,EA,105.52,105.52,22.46351384,105.52,105.52,percent of total billed charges,77.63481267,,,,105.52,percent of total billed charges,82.29136641,,,,105.52,percent of total billed charges,77.63481267,,,,105.52,percent of total billed charges,82.29136641,,,,105.52,percent of total billed charges,999999999,,,,105.52,percent of total billed charges,80.39898766,,,,105.52,percent of total billed charges,77.63481267,,,,105.52,percent of total billed charges,82.29136641,,,,75.23576,percent of total billed charges,37.54402106,,,,75.23576,percent of total billed charges,22.46351384,,,,75.23576,percent of total billed charges,37.54402106,,,,75.23576,percent of total billed charges,22.46351384,,,,75.23576,percent of total billed charges,37.54402106,,,,75.23576,percent of total billed charges,22.46351384,,,,74.49712,percent of total billed charges,73.9318901,,,,74.49712,percent of total billed charges,50.99023861,,,,,,,,,,75.9744,percent of total billed charges,49.38157216,,,,,,,,,,75.9744,percent of total billed charges,999999999,,,,,,,,,,84.416,percent of total billed charges,70.73621991,,,,83.3608,percent of total billed charges,80.44675942,,,,83.3608,percent of total billed charges,71.07737486,,,,84.416,percent of total billed charges,999999999,,,,84.416,percent of total billed charges,999999999,,,,73.864,percent of total billed charges,999999999,,,,73.864,percent of total billed charges,999999999,,,,,,,,,,,,,,,,56.13664,percent of total billed charges,999999999,,,,,,,,,,,,,,,,53.2876,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,26.38,percent of total billed charges,25.05454722,,,,,,,,,,26.38,percent of total billed charges,24.63778187,,,,,,,,,,26.38,percent of total billed charges,24.56931453,,,,,,,,,,26.38,percent of total billed charges,24.20753167,,,,,,,,,,26.38,percent of total billed charges,24.83042705,,,,,,,,,,26.38,percent of total billed charges,999999999,,,,,,,,,,26.38,percent of total billed charges,21.30625497,,,,,,,,,,26.38,percent of total billed charges,33.60143336,,,,,,,,,,26.38,percent of total billed charges,999999999,,,,,,,,,,26.38,percent of total billed charges,22.97335367,,,,,,,,,,94.968,percent of total billed charges,,,,,
NABUMETONE (RELAFEN) TAB 500MG,637,RC,0009-3101-01,NDC,,both,1,EA,4.92,4.92,1.047389008,4.92,4.92,percent of total billed charges,3.619818787,,,,4.92,percent of total billed charges,3.836936341,,,,4.92,percent of total billed charges,3.619818787,,,,4.92,percent of total billed charges,3.836936341,,,,4.92,percent of total billed charges,999999999,,,,4.92,percent of total billed charges,3.74870185,,,,4.92,percent of total billed charges,3.619818787,,,,4.92,percent of total billed charges,3.836936341,,,,3.50796,percent of total billed charges,1.750536236,,,,3.50796,percent of total billed charges,1.047389008,,,,3.50796,percent of total billed charges,1.750536236,,,,3.50796,percent of total billed charges,1.047389008,,,,3.50796,percent of total billed charges,1.750536236,,,,3.50796,percent of total billed charges,1.047389008,,,,3.47352,percent of total billed charges,3.447165459,,,,3.47352,percent of total billed charges,2.377482695,,,,,,,,,,3.5424,percent of total billed charges,2.30247664,,,,,,,,,,3.5424,percent of total billed charges,999999999,,,,,,,,,,3.936,percent of total billed charges,3.2981634,,,,3.8868,percent of total billed charges,3.750929268,,,,3.8868,percent of total billed charges,3.31407017,,,,3.936,percent of total billed charges,999999999,,,,3.936,percent of total billed charges,999999999,,,,3.444,percent of total billed charges,999999999,,,,3.444,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2.61744,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2.4846,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.23,percent of total billed charges,1.168199131,,,,,,,,,,1.23,percent of total billed charges,1.148766933,,,,,,,,,,1.23,percent of total billed charges,1.145574559,,,,,,,,,,1.23,percent of total billed charges,1.128705988,,,,,,,,,,1.23,percent of total billed charges,1.157749252,,,,,,,,,,1.23,percent of total billed charges,999999999,,,,,,,,,,1.23,percent of total billed charges,0.993430387,,,,,,,,,,1.23,percent of total billed charges,1.566708227,,,,,,,,,,1.23,percent of total billed charges,999999999,,,,,,,,,,1.23,percent of total billed charges,1.071160918,,,,,,,,,,4.428,percent of total billed charges,,,,,
SUCCINYLCHOLINE (ANECTINE) 200MG/10ML,J0330,CDM,7006-9030-01,NDC,,both,1,EA,83.42,83.42,17.75877866,83.42,83.42,percent of total billed charges,61.37505756,,,,83.42,percent of total billed charges,65.05634748,,,,83.42,percent of total billed charges,61.37505756,,,,83.42,percent of total billed charges,65.05634748,,,,83.42,percent of total billed charges,999999999,,,,83.42,percent of total billed charges,63.56030658,,,,83.42,percent of total billed charges,61.37505756,,,,83.42,percent of total billed charges,65.05634748,,,,59.47846,percent of total billed charges,29.68084,,,,59.47846,percent of total billed charges,17.75877866,,,,59.47846,percent of total billed charges,29.68084,,,,59.47846,percent of total billed charges,17.75877866,,,,59.47846,percent of total billed charges,29.68084,,,,59.47846,percent of total billed charges,17.75877866,,,,58.89452,percent of total billed charges,58.44767127,,,,58.89452,percent of total billed charges,40.31089561,,,,,,,,,,60.0624,percent of total billed charges,39.0391466,,,,,,,,,,60.0624,percent of total billed charges,999999999,,,,,,,,,,66.736,percent of total billed charges,55.92129895,,,,65.9018,percent of total billed charges,63.59807308,,,,65.9018,percent of total billed charges,56.19100276,,,,66.736,percent of total billed charges,999999999,,,,66.736,percent of total billed charges,999999999,,,,58.394,percent of total billed charges,999999999,,,,58.394,percent of total billed charges,999999999,,,,,,,,,,,,,,,,44.37944,percent of total billed charges,999999999,,,,,,,,,,,,,,,,42.1271,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20.855,percent of total billed charges,19.80714868,,,,,,,,,,20.855,percent of total billed charges,19.47767024,,,,,,,,,,20.855,percent of total billed charges,19.42354263,,,,,,,,,,20.855,percent of total billed charges,19.1375312,,,,,,,,,,20.855,percent of total billed charges,19.62996801,,,,,,,,,,20.855,percent of total billed charges,999999999,,,,,,,,,,20.855,percent of total billed charges,16.8438949,,,,,,,,,,20.855,percent of total billed charges,26.5639838,,,,,,,,,,20.855,percent of total billed charges,999999999,,,,,,,,,,20.855,percent of total billed charges,18.16183817,,,,,,,,,,75.078,percent of total billed charges,,,,,
METHOHEXITAL (BREVITAL) 500MG VIAL,250,RC,4202-3010-01,NDC,,both,1,EA,1166.92,1166.92,248.4185327,1166.92,1166.92,percent of total billed charges,858.5444997,,,,1166.92,percent of total billed charges,910.0401942,,,,1166.92,percent of total billed charges,858.5444997,,,,1166.92,percent of total billed charges,910.0401942,,,,1166.92,percent of total billed charges,999999999,,,,1166.92,percent of total billed charges,889.1128381,,,,1166.92,percent of total billed charges,858.5444997,,,,1166.92,percent of total billed charges,910.0401942,,,,832.01396,percent of total billed charges,415.1901919,,,,832.01396,percent of total billed charges,248.4185327,,,,832.01396,percent of total billed charges,415.1901919,,,,832.01396,percent of total billed charges,248.4185327,,,,832.01396,percent of total billed charges,415.1901919,,,,832.01396,percent of total billed charges,248.4185327,,,,823.84552,percent of total billed charges,817.5947801,,,,823.84552,percent of total billed charges,563.8886395,,,,,,,,,,840.1824,percent of total billed charges,546.0987887,,,,,,,,,,840.1824,percent of total billed charges,999999999,,,,,,,,,,933.536,percent of total billed charges,782.2546412,,,,921.8668,percent of total billed charges,889.6411345,,,,921.8668,percent of total billed charges,786.0273908,,,,933.536,percent of total billed charges,999999999,,,,933.536,percent of total billed charges,999999999,,,,816.844,percent of total billed charges,999999999,,,,816.844,percent of total billed charges,999999999,,,,,,,,,,,,,,,,620.80144,percent of total billed charges,999999999,,,,,,,,,,,,,,,,589.2946,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,291.73,percent of total billed charges,277.0721402,,,,,,,,,,291.73,percent of total billed charges,272.4632337,,,,,,,,,,291.73,percent of total billed charges,271.70607,,,,,,,,,,291.73,percent of total billed charges,267.7052015,,,,,,,,,,291.73,percent of total billed charges,274.5936499,,,,,,,,,,291.73,percent of total billed charges,999999999,,,,,,,,,,291.73,percent of total billed charges,235.6206885,,,,,,,,,,291.73,percent of total billed charges,371.5900741,,,,,,,,,,291.73,percent of total billed charges,999999999,,,,,,,,,,291.73,percent of total billed charges,254.0567274,,,,,,,,,,1050.228,percent of total billed charges,,,,,
**CURARE(TUBOCURARINE INJECT)3MG/ML: 1,250,RC,0007-4338-04,NDC,,both,1,EA,29,29,6.173634394,29,29,percent of total billed charges,21.33633025,,,,29,percent of total billed charges,22.61608819,,,,29,percent of total billed charges,21.33633025,,,,29,percent of total billed charges,22.61608819,,,,29,percent of total billed charges,999999999,,,,29,percent of total billed charges,22.09600684,,,,29,percent of total billed charges,21.33633025,,,,29,percent of total billed charges,22.61608819,,,,20.677,percent of total billed charges,10.31820139,,,,20.677,percent of total billed charges,6.173634394,,,,20.677,percent of total billed charges,10.31820139,,,,20.677,percent of total billed charges,6.173634394,,,,20.677,percent of total billed charges,10.31820139,,,,20.677,percent of total billed charges,6.173634394,,,,20.474,percent of total billed charges,20.3186582,,,,20.474,percent of total billed charges,14.01361751,,,,,,,,,,20.88,percent of total billed charges,13.57150865,,,,,,,,,,20.88,percent of total billed charges,999999999,,,,,,,,,,23.2,percent of total billed charges,19.44039402,,,,22.91,percent of total billed charges,22.10913593,,,,22.91,percent of total billed charges,19.53415344,,,,23.2,percent of total billed charges,999999999,,,,23.2,percent of total billed charges,999999999,,,,20.3,percent of total billed charges,999999999,,,,20.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,15.428,percent of total billed charges,999999999,,,,,,,,,,,,,,,,14.645,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7.25,percent of total billed charges,6.885726585,,,,,,,,,,7.25,percent of total billed charges,6.771187209,,,,,,,,,,7.25,percent of total billed charges,6.752370369,,,,,,,,,,7.25,percent of total billed charges,6.652941798,,,,,,,,,,7.25,percent of total billed charges,6.824131771,,,,,,,,,,7.25,percent of total billed charges,999999999,,,,,,,,,,7.25,percent of total billed charges,5.855585615,,,,,,,,,,7.25,percent of total billed charges,9.234662314,,,,,,,,,,7.25,percent of total billed charges,999999999,,,,,,,,,,7.25,percent of total billed charges,6.313753379,,,,,,,,,,26.1,percent of total billed charges,,,,,
PROPOFOL (DIPRIVAN) 200MG/20ML INJ,J2704,CDM,6332-3026-37,NDC,,both,1,EA,63.78,63.78,13.57773799,63.78,63.78,percent of total billed charges,46.92521183,,,,63.78,percent of total billed charges,49.73979672,,,,63.78,percent of total billed charges,46.92521183,,,,63.78,percent of total billed charges,49.73979672,,,,63.78,percent of total billed charges,999999999,,,,63.78,percent of total billed charges,48.59597643,,,,63.78,percent of total billed charges,46.92521183,,,,63.78,percent of total billed charges,49.73979672,,,,45.47514,percent of total billed charges,22.69292706,,,,45.47514,percent of total billed charges,13.57773799,,,,45.47514,percent of total billed charges,22.69292706,,,,45.47514,percent of total billed charges,13.57773799,,,,45.47514,percent of total billed charges,22.69292706,,,,45.47514,percent of total billed charges,13.57773799,,,,45.02868,percent of total billed charges,44.68703516,,,,45.02868,percent of total billed charges,30.82029396,,,,,,,,,,45.9216,percent of total billed charges,29.84795937,,,,,,,,,,45.9216,percent of total billed charges,999999999,,,,,,,,,,51.024,percent of total billed charges,42.75545968,,,,50.3862,percent of total billed charges,48.62485137,,,,50.3862,percent of total billed charges,42.96166574,,,,51.024,percent of total billed charges,999999999,,,,51.024,percent of total billed charges,999999999,,,,44.646,percent of total billed charges,999999999,,,,44.646,percent of total billed charges,999999999,,,,,,,,,,,,,,,,33.93096,percent of total billed charges,999999999,,,,,,,,,,,,,,,,32.2089,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15.945,percent of total billed charges,15.14384971,,,,,,,,,,15.945,percent of total billed charges,14.89194207,,,,,,,,,,15.945,percent of total billed charges,14.85055801,,,,,,,,,,15.945,percent of total billed charges,14.63188372,,,,,,,,,,15.945,percent of total billed charges,15.0083836,,,,,,,,,,15.945,percent of total billed charges,999999999,,,,,,,,,,15.945,percent of total billed charges,12.87825002,,,,,,,,,,15.945,percent of total billed charges,20.30988836,,,,,,,,,,15.945,percent of total billed charges,999999999,,,,,,,,,,15.945,percent of total billed charges,13.88590312,,,,,,,,,,57.402,percent of total billed charges,,,,,
DOXAPRAM (DOPRAM) 400MG INJ,250,RC,0064-1601-01,NDC,,both,1,EA,460.36,460.36,98.00325275,460.36,460.36,percent of total billed charges,338.7032066,,,,460.36,percent of total billed charges,359.018702,,,,460.36,percent of total billed charges,338.7032066,,,,460.36,percent of total billed charges,359.018702,,,,460.36,percent of total billed charges,999999999,,,,460.36,percent of total billed charges,350.7626797,,,,460.36,percent of total billed charges,338.7032066,,,,460.36,percent of total billed charges,359.018702,,,,328.23668,percent of total billed charges,163.7961101,,,,328.23668,percent of total billed charges,98.00325275,,,,328.23668,percent of total billed charges,163.7961101,,,,328.23668,percent of total billed charges,98.00325275,,,,328.23668,percent of total billed charges,163.7961101,,,,328.23668,percent of total billed charges,98.00325275,,,,325.01416,percent of total billed charges,322.5481892,,,,325.01416,percent of total billed charges,222.4589296,,,,,,,,,,331.4592,percent of total billed charges,215.4406801,,,,,,,,,,331.4592,percent of total billed charges,999999999,,,,,,,,,,368.288,percent of total billed charges,308.6061997,,,,363.6844,percent of total billed charges,350.9710971,,,,363.6844,percent of total billed charges,310.094582,,,,368.288,percent of total billed charges,999999999,,,,368.288,percent of total billed charges,999999999,,,,322.252,percent of total billed charges,999999999,,,,322.252,percent of total billed charges,999999999,,,,,,,,,,,,,,,,244.91152,percent of total billed charges,999999999,,,,,,,,,,,,,,,,232.4818,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,115.09,percent of total billed charges,109.307348,,,,,,,,,,115.09,percent of total billed charges,107.4890946,,,,,,,,,,115.09,percent of total billed charges,107.190387,,,,,,,,,,115.09,percent of total billed charges,105.6120099,,,,,,,,,,115.09,percent of total billed charges,108.3295621,,,,,,,,,,115.09,percent of total billed charges,999999999,,,,,,,,,,115.09,percent of total billed charges,92.95439289,,,,,,,,,,115.09,percent of total billed charges,146.5954877,,,,,,,,,,115.09,percent of total billed charges,999999999,,,,,,,,,,115.09,percent of total billed charges,100.2275692,,,,,,,,,,414.324,percent of total billed charges,,,,,
droPERidol (INAPSINE) 2.5MG/1ML 2ML VIAL,J1790,CDM,0051-7970-25,NDC,,both,1,EA,134.46,134.46,28.62437519,134.46,134.46,percent of total billed charges,98.92699879,,,,134.46,percent of total billed charges,104.8606627,,,,134.46,percent of total billed charges,98.92699879,,,,134.46,percent of total billed charges,104.8606627,,,,134.46,percent of total billed charges,999999999,,,,134.46,percent of total billed charges,102.4492786,,,,134.46,percent of total billed charges,98.92699879,,,,134.46,percent of total billed charges,104.8606627,,,,95.86998,percent of total billed charges,47.84087444,,,,95.86998,percent of total billed charges,28.62437519,,,,95.86998,percent of total billed charges,47.84087444,,,,95.86998,percent of total billed charges,28.62437519,,,,95.86998,percent of total billed charges,47.84087444,,,,95.86998,percent of total billed charges,28.62437519,,,,94.92876,percent of total billed charges,94.20850969,,,,94.92876,percent of total billed charges,64.97486243,,,,,,,,,,96.8112,percent of total billed charges,62.92500183,,,,,,,,,,96.8112,percent of total billed charges,999999999,,,,,,,,,,107.568,percent of total billed charges,90.13639243,,,,106.2234,percent of total billed charges,102.5101523,,,,106.2234,percent of total billed charges,90.57111281,,,,107.568,percent of total billed charges,999999999,,,,107.568,percent of total billed charges,999999999,,,,94.122,percent of total billed charges,999999999,,,,94.122,percent of total billed charges,999999999,,,,,,,,,,,,,,,,71.53272,percent of total billed charges,999999999,,,,,,,,,,,,,,,,67.9023,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,33.615,percent of total billed charges,31.92602747,,,,,,,,,,33.615,percent of total billed charges,31.39495973,,,,,,,,,,33.615,percent of total billed charges,31.30771448,,,,,,,,,,33.615,percent of total billed charges,30.84670876,,,,,,,,,,33.615,percent of total billed charges,31.64043993,,,,,,,,,,33.615,percent of total billed charges,999999999,,,,,,,,,,33.615,percent of total billed charges,27.14972558,,,,,,,,,,33.615,percent of total billed charges,42.81698947,,,,,,,,,,33.615,percent of total billed charges,999999999,,,,,,,,,,33.615,percent of total billed charges,29.27404412,,,,,,,,,,121.014,percent of total billed charges,,,,,
MORphine PF(DURAMORPH) 5MG/10ML PF AMP,J2274,CDM,0064-1602-10,NDC,,both,1,EA,445.9,445.9,94.92495091,445.9,445.9,percent of total billed charges,328.0644709,,,,445.9,percent of total billed charges,347.7418526,,,,445.9,percent of total billed charges,328.0644709,,,,445.9,percent of total billed charges,347.7418526,,,,445.9,percent of total billed charges,999999999,,,,445.9,percent of total billed charges,339.7451535,,,,445.9,percent of total billed charges,328.0644709,,,,445.9,percent of total billed charges,347.7418526,,,,317.9267,percent of total billed charges,158.6512414,,,,317.9267,percent of total billed charges,94.92495091,,,,317.9267,percent of total billed charges,158.6512414,,,,317.9267,percent of total billed charges,94.92495091,,,,317.9267,percent of total billed charges,158.6512414,,,,317.9267,percent of total billed charges,94.92495091,,,,314.8054,percent of total billed charges,312.4168858,,,,314.8054,percent of total billed charges,215.4714499,,,,,,,,,,321.048,percent of total billed charges,208.6736451,,,,,,,,,,321.048,percent of total billed charges,999999999,,,,,,,,,,356.72,percent of total billed charges,298.9128171,,,,352.261,percent of total billed charges,339.9470245,,,,352.261,percent of total billed charges,300.3544489,,,,356.72,percent of total billed charges,999999999,,,,356.72,percent of total billed charges,999999999,,,,312.13,percent of total billed charges,999999999,,,,312.13,percent of total billed charges,999999999,,,,,,,,,,,,,,,,237.2188,percent of total billed charges,999999999,,,,,,,,,,,,,,,,225.1795,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,111.475,percent of total billed charges,105.8739822,,,,,,,,,,111.475,percent of total billed charges,104.1128406,,,,,,,,,,111.475,percent of total billed charges,103.8235154,,,,,,,,,,111.475,percent of total billed charges,102.2947154,,,,,,,,,,111.475,percent of total billed charges,104.9269088,,,,,,,,,,111.475,percent of total billed charges,999999999,,,,,,,,,,111.475,percent of total billed charges,90.03467675,,,,,,,,,,111.475,percent of total billed charges,141.990894,,,,,,,,,,111.475,percent of total billed charges,999999999,,,,,,,,,,111.475,percent of total billed charges,97.0794011,,,,,,,,,,401.31,percent of total billed charges,,,,,
ePHEDrine 50MG/ML INJ,250,RC,6675-8000-02,NDC,,both,1,EA,244.09,244.09,51.96284204,244.09,244.09,percent of total billed charges,179.5856845,,,,244.09,percent of total billed charges,190.3572747,,,,244.09,percent of total billed charges,179.5856845,,,,244.09,percent of total billed charges,190.3572747,,,,244.09,percent of total billed charges,999999999,,,,244.09,percent of total billed charges,185.9798038,,,,244.09,percent of total billed charges,179.5856845,,,,244.09,percent of total billed charges,190.3572747,,,,174.03617,percent of total billed charges,86.8472337,,,,174.03617,percent of total billed charges,51.96284204,,,,174.03617,percent of total billed charges,86.8472337,,,,174.03617,percent of total billed charges,51.96284204,,,,174.03617,percent of total billed charges,86.8472337,,,,174.03617,percent of total billed charges,51.96284204,,,,172.32754,percent of total billed charges,171.0200441,,,,172.32754,percent of total billed charges,117.9511689,,,,,,,,,,175.7448,percent of total billed charges,114.2299844,,,,,,,,,,175.7448,percent of total billed charges,999999999,,,,,,,,,,195.272,percent of total billed charges,163.6277854,,,,192.8311,percent of total billed charges,186.09031,,,,192.8311,percent of total billed charges,164.4169487,,,,195.272,percent of total billed charges,999999999,,,,195.272,percent of total billed charges,999999999,,,,170.863,percent of total billed charges,999999999,,,,170.863,percent of total billed charges,999999999,,,,,,,,,,,,,,,,129.85588,percent of total billed charges,999999999,,,,,,,,,,,,,,,,123.26545,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,61.0225,percent of total billed charges,57.95644835,,,,,,,,,,61.0225,percent of total billed charges,56.99238227,,,,,,,,,,61.0225,percent of total billed charges,56.83400288,,,,,,,,,,61.0225,percent of total billed charges,55.99712288,,,,,,,,,,61.0225,percent of total billed charges,57.43801117,,,,,,,,,,61.0225,percent of total billed charges,999999999,,,,,,,,,,61.0225,percent of total billed charges,49.28585837,,,,,,,,,,61.0225,percent of total billed charges,77.72719739,,,,,,,,,,61.0225,percent of total billed charges,999999999,,,,,,,,,,61.0225,percent of total billed charges,53.14220905,,,,,,,,,,219.681,percent of total billed charges,,,,,
FLUMazenil (ROMAZICON) 1MG/10ML INJ,250,RC,0014-3978-10,NDC,,both,1,EA,80.57,80.57,17.15205942,80.57,80.57,percent of total billed charges,59.27821131,,,,80.57,percent of total billed charges,62.83373191,,,,80.57,percent of total billed charges,59.27821131,,,,80.57,percent of total billed charges,62.83373191,,,,80.57,percent of total billed charges,999999999,,,,80.57,percent of total billed charges,61.38880246,,,,80.57,percent of total billed charges,59.27821131,,,,80.57,percent of total billed charges,62.83373191,,,,57.44641,percent of total billed charges,28.66680986,,,,57.44641,percent of total billed charges,17.15205942,,,,57.44641,percent of total billed charges,28.66680986,,,,57.44641,percent of total billed charges,17.15205942,,,,57.44641,percent of total billed charges,28.66680986,,,,57.44641,percent of total billed charges,17.15205942,,,,56.88242,percent of total billed charges,56.45083762,,,,56.88242,percent of total billed charges,38.93369527,,,,,,,,,,58.0104,percent of total billed charges,37.70539489,,,,,,,,,,58.0104,percent of total billed charges,999999999,,,,,,,,,,64.456,percent of total billed charges,54.01077746,,,,63.6503,percent of total billed charges,61.42527869,,,,63.6503,percent of total billed charges,54.27126699,,,,64.456,percent of total billed charges,999999999,,,,64.456,percent of total billed charges,999999999,,,,56.399,percent of total billed charges,999999999,,,,56.399,percent of total billed charges,999999999,,,,,,,,,,,,,,,,42.86324,percent of total billed charges,999999999,,,,,,,,,,,,,,,,40.68785,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20.1425,percent of total billed charges,19.13044796,,,,,,,,,,20.1425,percent of total billed charges,18.81222598,,,,,,,,,,20.1425,percent of total billed charges,18.75994761,,,,,,,,,,20.1425,percent of total billed charges,18.48370761,,,,,,,,,,20.1425,percent of total billed charges,18.95932058,,,,,,,,,,20.1425,percent of total billed charges,999999999,,,,,,,,,,20.1425,percent of total billed charges,16.26843217,,,,,,,,,,20.1425,percent of total billed charges,25.6564394,,,,,,,,,,20.1425,percent of total billed charges,999999999,,,,,,,,,,20.1425,percent of total billed charges,17.54134861,,,,,,,,,,72.513,percent of total billed charges,,,,,
ADENOSINE (ADENOCARD) 6MG/2ML VIAL,J0153,CDM,6332-3065-02,NDC,,both,1,EA,33.69,33.69,7.172060094,33.69,33.69,percent of total billed charges,24.78692986,,,,33.69,percent of total billed charges,26.27365556,,,,33.69,percent of total billed charges,24.78692986,,,,33.69,percent of total billed charges,26.27365556,,,,33.69,percent of total billed charges,999999999,,,,33.69,percent of total billed charges,25.6694645,,,,33.69,percent of total billed charges,24.78692986,,,,33.69,percent of total billed charges,26.27365556,,,,24.02097,percent of total billed charges,11.98690361,,,,24.02097,percent of total billed charges,7.172060094,,,,24.02097,percent of total billed charges,11.98690361,,,,24.02097,percent of total billed charges,7.172060094,,,,24.02097,percent of total billed charges,11.98690361,,,,24.02097,percent of total billed charges,7.172060094,,,,23.78514,percent of total billed charges,23.60467568,,,,23.78514,percent of total billed charges,16.27995772,,,,,,,,,,24.2568,percent of total billed charges,15.76634919,,,,,,,,,,24.2568,percent of total billed charges,999999999,,,,,,,,,,26.952,percent of total billed charges,22.58437499,,,,26.6151,percent of total billed charges,25.68471688,,,,26.6151,percent of total billed charges,22.69329757,,,,26.952,percent of total billed charges,999999999,,,,26.952,percent of total billed charges,999999999,,,,23.583,percent of total billed charges,999999999,,,,23.583,percent of total billed charges,999999999,,,,,,,,,,,,,,,,17.92308,percent of total billed charges,999999999,,,,,,,,,,,,,,,,17.01345,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8.4225,percent of total billed charges,7.999314781,,,,,,,,,,8.4225,percent of total billed charges,7.866251623,,,,,,,,,,8.4225,percent of total billed charges,7.844391646,,,,,,,,,,8.4225,percent of total billed charges,7.728883075,,,,,,,,,,8.4225,percent of total billed charges,7.927758599,,,,,,,,,,8.4225,percent of total billed charges,999999999,,,,,,,,,,8.4225,percent of total billed charges,6.802575151,,,,,,,,,,8.4225,percent of total billed charges,10.72813012,,,,,,,,,,8.4225,percent of total billed charges,999999999,,,,,,,,,,8.4225,percent of total billed charges,7.334839702,,,,,,,,,,30.321,percent of total billed charges,,,,,
THIOPENTAL (PENTOTHAL) 500MG SYRINGE,Local,Local,,,,both,,,994,994,211.606641,994,994,percent of total billed charges,731.3211126,,,,994,percent of total billed charges,775.1859193,,,,994,percent of total billed charges,731.3211126,,,,994,percent of total billed charges,775.1859193,,,,994,percent of total billed charges,999999999,,,,994,percent of total billed charges,757.3596828,,,,994,percent of total billed charges,731.3211126,,,,994,percent of total billed charges,775.1859193,,,,708.722,percent of total billed charges,353.6652476,,,,708.722,percent of total billed charges,211.606641,,,,708.722,percent of total billed charges,353.6652476,,,,708.722,percent of total billed charges,211.606641,,,,708.722,percent of total billed charges,353.6652476,,,,708.722,percent of total billed charges,211.606641,,,,701.764,percent of total billed charges,696.4395258,,,,701.764,percent of total billed charges,480.3288209,,,,,,,,,,715.68,percent of total billed charges,465.1751585,,,,,,,,,,715.68,percent of total billed charges,999999999,,,,,,,,,,795.2,percent of total billed charges,666.3362641,,,,785.26,percent of total billed charges,757.8096936,,,,785.26,percent of total billed charges,669.549949,,,,795.2,percent of total billed charges,999999999,,,,795.2,percent of total billed charges,999999999,,,,695.8,percent of total billed charges,999999999,,,,695.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,528.808,percent of total billed charges,999999999,,,,,,,,,,,,,,,,501.97,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,248.5,percent of total billed charges,236.0142147,,,,,,,,,,248.5,percent of total billed charges,232.0882788,,,,,,,,,,248.5,percent of total billed charges,231.4433154,,,,,,,,,,248.5,percent of total billed charges,228.0353154,,,,,,,,,,248.5,percent of total billed charges,233.9029993,,,,,,,,,,248.5,percent of total billed charges,999999999,,,,,,,,,,248.5,percent of total billed charges,200.7052449,,,,,,,,,,248.5,percent of total billed charges,316.5260117,,,,,,,,,,248.5,percent of total billed charges,999999999,,,,,,,,,,248.5,percent of total billed charges,216.40934,,,,,,,,,,894.6,percent of total billed charges,,,,,
pyRIDostigmine (REGONAL) INJ 5MG/2ML,250,RC,0078-1304-95,NDC,,both,1,EA,295,295,62.80076366,295,295,percent of total billed charges,217.0419801,,,,295,percent of total billed charges,230.0602075,,,,295,percent of total billed charges,217.0419801,,,,295,percent of total billed charges,230.0602075,,,,295,percent of total billed charges,999999999,,,,295,percent of total billed charges,224.7697248,,,,295,percent of total billed charges,217.0419801,,,,295,percent of total billed charges,230.0602075,,,,210.335,percent of total billed charges,104.9610141,,,,210.335,percent of total billed charges,62.80076366,,,,210.335,percent of total billed charges,104.9610141,,,,210.335,percent of total billed charges,62.80076366,,,,210.335,percent of total billed charges,104.9610141,,,,210.335,percent of total billed charges,62.80076366,,,,208.27,percent of total billed charges,206.6897989,,,,208.27,percent of total billed charges,142.5523161,,,,,,,,,,212.4,percent of total billed charges,138.0550018,,,,,,,,,,212.4,percent of total billed charges,999999999,,,,,,,,,,236,percent of total billed charges,197.7557323,,,,233.05,percent of total billed charges,224.9032793,,,,233.05,percent of total billed charges,198.7094919,,,,236,percent of total billed charges,999999999,,,,236,percent of total billed charges,999999999,,,,206.5,percent of total billed charges,999999999,,,,206.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,156.94,percent of total billed charges,999999999,,,,,,,,,,,,,,,,148.975,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,73.75,percent of total billed charges,70.04446009,,,,,,,,,,73.75,percent of total billed charges,68.87931816,,,,,,,,,,73.75,percent of total billed charges,68.68790548,,,,,,,,,,73.75,percent of total billed charges,67.67647691,,,,,,,,,,73.75,percent of total billed charges,69.41789215,,,,,,,,,,73.75,percent of total billed charges,999999999,,,,,,,,,,73.75,percent of total billed charges,59.56543988,,,,,,,,,,73.75,percent of total billed charges,93.9388063,,,,,,,,,,73.75,percent of total billed charges,999999999,,,,,,,,,,73.75,percent of total billed charges,64.22611196,,,,,,,,,,265.5,percent of total billed charges,,,,,
fentaNYL 50MCG/1ML : 2mL FTV,J3010,CDM,0040-9909-22,NDC,,both,1,EA,25.83,25.83,5.49879229,25.83,25.83,percent of total billed charges,19.00404863,,,,25.83,percent of total billed charges,20.14391579,,,,25.83,percent of total billed charges,19.00404863,,,,25.83,percent of total billed charges,20.14391579,,,,25.83,percent of total billed charges,999999999,,,,25.83,percent of total billed charges,19.68068472,,,,25.83,percent of total billed charges,19.00404863,,,,25.83,percent of total billed charges,20.14391579,,,,18.41679,percent of total billed charges,9.190315238,,,,18.41679,percent of total billed charges,5.49879229,,,,18.41679,percent of total billed charges,9.190315238,,,,18.41679,percent of total billed charges,5.49879229,,,,18.41679,percent of total billed charges,9.190315238,,,,18.41679,percent of total billed charges,5.49879229,,,,18.23598,percent of total billed charges,18.09761866,,,,18.23598,percent of total billed charges,12.48178415,,,,,,,,,,18.5976,percent of total billed charges,12.08800236,,,,,,,,,,18.5976,percent of total billed charges,999999999,,,,,,,,,,20.664,percent of total billed charges,17.31535785,,,,20.4057,percent of total billed charges,19.69237866,,,,20.4057,percent of total billed charges,17.39886839,,,,20.664,percent of total billed charges,999999999,,,,20.664,percent of total billed charges,999999999,,,,18.081,percent of total billed charges,999999999,,,,18.081,percent of total billed charges,999999999,,,,,,,,,,,,,,,,13.74156,percent of total billed charges,999999999,,,,,,,,,,,,,,,,13.04415,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6.4575,percent of total billed charges,6.133045438,,,,,,,,,,6.4575,percent of total billed charges,6.0310264,,,,,,,,,,6.4575,percent of total billed charges,6.014266436,,,,,,,,,,6.4575,percent of total billed charges,5.925706436,,,,,,,,,,6.4575,percent of total billed charges,6.078183574,,,,,,,,,,6.4575,percent of total billed charges,999999999,,,,,,,,,,6.4575,percent of total billed charges,5.215509532,,,,,,,,,,6.4575,percent of total billed charges,8.225218192,,,,,,,,,,6.4575,percent of total billed charges,999999999,,,,,,,,,,6.4575,percent of total billed charges,5.62359482,,,,,,,,,,23.247,percent of total billed charges,,,,,
ATRACURIUM 50MG/5 ML VIAL,250,RC,2502-1065-05,NDC,,both,1,EA,67.02,67.02,14.26748197,67.02,67.02,percent of total billed charges,49.30899493,,,,67.02,percent of total billed charges,52.26655967,,,,67.02,percent of total billed charges,49.30899493,,,,67.02,percent of total billed charges,52.26655967,,,,67.02,percent of total billed charges,999999999,,,,67.02,percent of total billed charges,51.06463374,,,,67.02,percent of total billed charges,49.30899493,,,,67.02,percent of total billed charges,52.26655967,,,,47.78526,percent of total billed charges,23.84571921,,,,47.78526,percent of total billed charges,14.26748197,,,,47.78526,percent of total billed charges,23.84571921,,,,47.78526,percent of total billed charges,14.26748197,,,,47.78526,percent of total billed charges,23.84571921,,,,47.78526,percent of total billed charges,14.26748197,,,,47.31612,percent of total billed charges,46.95711973,,,,47.31612,percent of total billed charges,32.3859533,,,,,,,,,,48.2544,percent of total billed charges,31.36422447,,,,,,,,,,48.2544,percent of total billed charges,999999999,,,,,,,,,,53.616,percent of total billed charges,44.92742095,,,,52.9458,percent of total billed charges,51.09497552,,,,52.9458,percent of total billed charges,45.14410219,,,,53.616,percent of total billed charges,999999999,,,,53.616,percent of total billed charges,999999999,,,,46.914,percent of total billed charges,999999999,,,,46.914,percent of total billed charges,999999999,,,,,,,,,,,,,,,,35.65464,percent of total billed charges,999999999,,,,,,,,,,,,,,,,33.8451,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16.755,percent of total billed charges,15.91315158,,,,,,,,,,16.755,percent of total billed charges,15.64844713,,,,,,,,,,16.755,percent of total billed charges,15.60496076,,,,,,,,,,16.755,percent of total billed charges,15.37517791,,,,,,,,,,16.755,percent of total billed charges,15.77080384,,,,,,,,,,16.755,percent of total billed charges,999999999,,,,,,,,,,16.755,percent of total billed charges,13.53246027,,,,,,,,,,16.755,percent of total billed charges,21.34162304,,,,,,,,,,16.755,percent of total billed charges,999999999,,,,,,,,,,16.755,percent of total billed charges,14.59130177,,,,,,,,,,60.318,percent of total billed charges,,,,,
MIDAZOLAM (VERSED)  5MG/5ML INJ,J2250,CDM,0040-9230-05,NDC,,both,1,EA,47.22,47.22,10.05237987,47.22,47.22,percent of total billed charges,34.74143152,,,,47.22,percent of total billed charges,36.82523049,,,,47.22,percent of total billed charges,34.74143152,,,,47.22,percent of total billed charges,36.82523049,,,,47.22,percent of total billed charges,999999999,,,,47.22,percent of total billed charges,35.97839459,,,,47.22,percent of total billed charges,34.74143152,,,,47.22,percent of total billed charges,36.82523049,,,,33.66786,percent of total billed charges,16.80087826,,,,33.66786,percent of total billed charges,10.05237987,,,,33.66786,percent of total billed charges,16.80087826,,,,33.66786,percent of total billed charges,10.05237987,,,,33.66786,percent of total billed charges,16.80087826,,,,33.66786,percent of total billed charges,10.05237987,,,,33.33732,percent of total billed charges,33.08438069,,,,33.33732,percent of total billed charges,22.81803513,,,,,,,,,,33.9984,percent of total billed charges,22.09815995,,,,,,,,,,33.9984,percent of total billed charges,999999999,,,,,,,,,,37.776,percent of total billed charges,31.65432434,,,,37.3038,percent of total billed charges,35.99977237,,,,37.3038,percent of total billed charges,31.80699053,,,,37.776,percent of total billed charges,999999999,,,,37.776,percent of total billed charges,999999999,,,,33.054,percent of total billed charges,999999999,,,,33.054,percent of total billed charges,999999999,,,,,,,,,,,,,,,,25.12104,percent of total billed charges,999999999,,,,,,,,,,,,,,,,23.8461,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11.805,percent of total billed charges,11.21186239,,,,,,,,,,11.805,percent of total billed charges,11.02536069,,,,,,,,,,11.805,percent of total billed charges,10.99472168,,,,,,,,,,11.805,percent of total billed charges,10.83282454,,,,,,,,,,11.805,percent of total billed charges,11.11156904,,,,,,,,,,11.805,percent of total billed charges,999999999,,,,,,,,,,11.805,percent of total billed charges,9.534508715,,,,,,,,,,11.805,percent of total billed charges,15.03657774,,,,,,,,,,11.805,percent of total billed charges,999999999,,,,,,,,,,11.805,percent of total billed charges,10.28053223,,,,,,,,,,42.498,percent of total billed charges,,,,,
**ASPIRIN BUTABARBITAL CAFFEINE TABS:,259,RC,0014-3178-01,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
**MIVACURIUM  2MG/ML: 10 ML VIAL,250,RC,0007-4436-10,NDC,,both,1,EA,51,51,10.85708118,51,51,percent of total billed charges,37.52251181,,,,51,percent of total billed charges,39.77312061,,,,51,percent of total billed charges,37.52251181,,,,51,percent of total billed charges,39.77312061,,,,51,percent of total billed charges,999999999,,,,51,percent of total billed charges,38.85849479,,,,51,percent of total billed charges,37.52251181,,,,51,percent of total billed charges,39.77312061,,,,36.363,percent of total billed charges,18.14580244,,,,36.363,percent of total billed charges,10.85708118,,,,36.363,percent of total billed charges,18.14580244,,,,36.363,percent of total billed charges,10.85708118,,,,36.363,percent of total billed charges,18.14580244,,,,36.363,percent of total billed charges,10.85708118,,,,36.006,percent of total billed charges,35.73281269,,,,36.006,percent of total billed charges,24.64463769,,,,,,,,,,36.72,percent of total billed charges,23.8671359,,,,,,,,,,36.72,percent of total billed charges,999999999,,,,,,,,,,40.8,percent of total billed charges,34.18827914,,,,40.29,percent of total billed charges,38.88158388,,,,40.29,percent of total billed charges,34.3531664,,,,40.8,percent of total billed charges,999999999,,,,40.8,percent of total billed charges,999999999,,,,35.7,percent of total billed charges,999999999,,,,35.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,27.132,percent of total billed charges,999999999,,,,,,,,,,,,,,,,25.755,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12.75,percent of total billed charges,12.10938124,,,,,,,,,,12.75,percent of total billed charges,11.90794992,,,,,,,,,,12.75,percent of total billed charges,11.87485824,,,,,,,,,,12.75,percent of total billed charges,11.70000109,,,,,,,,,,12.75,percent of total billed charges,12.00105932,,,,,,,,,,12.75,percent of total billed charges,999999999,,,,,,,,,,12.75,percent of total billed charges,10.29775401,,,,,,,,,,12.75,percent of total billed charges,16.24026821,,,,,,,,,,12.75,percent of total billed charges,999999999,,,,,,,,,,12.75,percent of total billed charges,11.10349732,,,,,,,,,,45.9,percent of total billed charges,,,,,
**TICLOPIDINE (TICLID) TAB 250MG,259,RC,0000-4001-23,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
**KAOPECTATE (ATTAPULGITE 750MG/15ML:240,259,RC,0000-9378-01,NDC,,both,1,EA,16,16,3.406143114,16,16,percent of total billed charges,11.77176841,,,,16,percent of total billed charges,12.47784176,,,,16,percent of total billed charges,11.77176841,,,,16,percent of total billed charges,12.47784176,,,,16,percent of total billed charges,999999999,,,,16,percent of total billed charges,12.19090033,,,,16,percent of total billed charges,11.77176841,,,,16,percent of total billed charges,12.47784176,,,,11.408,percent of total billed charges,5.692800767,,,,11.408,percent of total billed charges,3.406143114,,,,11.408,percent of total billed charges,5.692800767,,,,11.408,percent of total billed charges,3.406143114,,,,11.408,percent of total billed charges,5.692800767,,,,11.408,percent of total billed charges,3.406143114,,,,11.296,percent of total billed charges,11.21029418,,,,11.296,percent of total billed charges,7.731651041,,,,,,,,,,11.52,percent of total billed charges,7.48772891,,,,,,,,,,11.52,percent of total billed charges,999999999,,,,,,,,,,12.8,percent of total billed charges,10.72573463,,,,12.64,percent of total billed charges,12.19814396,,,,12.64,percent of total billed charges,10.77746397,,,,12.8,percent of total billed charges,999999999,,,,12.8,percent of total billed charges,999999999,,,,11.2,percent of total billed charges,999999999,,,,11.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,8.512,percent of total billed charges,999999999,,,,,,,,,,,,,,,,8.08,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4,percent of total billed charges,3.799021564,,,,,,,,,,4,percent of total billed charges,3.735827425,,,,,,,,,,4,percent of total billed charges,3.725445721,,,,,,,,,,4,percent of total billed charges,3.670588578,,,,,,,,,,4,percent of total billed charges,3.765038218,,,,,,,,,,4,percent of total billed charges,999999999,,,,,,,,,,4,percent of total billed charges,3.230667926,,,,,,,,,,4,percent of total billed charges,5.094986104,,,,,,,,,,4,percent of total billed charges,999999999,,,,,,,,,,4,percent of total billed charges,3.48345014,,,,,,,,,,14.4,percent of total billed charges,,,,,
BISMUTH SUBSALYCILATE 524MG/30ML,259,RC,3700-0003-02,NDC,,both,1,EA,1.98,1.98,0.42151021,1.98,1.98,percent of total billed charges,1.456756341,,,,1.98,percent of total billed charges,1.544132918,,,,1.98,percent of total billed charges,1.456756341,,,,1.98,percent of total billed charges,1.544132918,,,,1.98,percent of total billed charges,999999999,,,,1.98,percent of total billed charges,1.508623915,,,,1.98,percent of total billed charges,1.456756341,,,,1.98,percent of total billed charges,1.544132918,,,,1.41174,percent of total billed charges,0.704484095,,,,1.41174,percent of total billed charges,0.42151021,,,,1.41174,percent of total billed charges,0.704484095,,,,1.41174,percent of total billed charges,0.42151021,,,,1.41174,percent of total billed charges,0.704484095,,,,1.41174,percent of total billed charges,0.42151021,,,,1.39788,percent of total billed charges,1.387273904,,,,1.39788,percent of total billed charges,0.956791816,,,,,,,,,,1.4256,percent of total billed charges,0.926606453,,,,,,,,,,1.4256,percent of total billed charges,999999999,,,,,,,,,,1.584,percent of total billed charges,1.327309661,,,,1.5642,percent of total billed charges,1.509520315,,,,1.5642,percent of total billed charges,1.333711166,,,,1.584,percent of total billed charges,999999999,,,,1.584,percent of total billed charges,999999999,,,,1.386,percent of total billed charges,999999999,,,,1.386,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.05336,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.9999,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.495,percent of total billed charges,0.470128919,,,,,,,,,,0.495,percent of total billed charges,0.462308644,,,,,,,,,,0.495,percent of total billed charges,0.461023908,,,,,,,,,,0.495,percent of total billed charges,0.454235337,,,,,,,,,,0.495,percent of total billed charges,0.46592348,,,,,,,,,,0.495,percent of total billed charges,999999999,,,,,,,,,,0.495,percent of total billed charges,0.399795156,,,,,,,,,,0.495,percent of total billed charges,0.63050453,,,,,,,,,,0.495,percent of total billed charges,999999999,,,,,,,,,,0.495,percent of total billed charges,0.431076955,,,,,,,,,,1.782,percent of total billed charges,,,,,
dilTIAZem CD (CARDIZEM CD)  240 MG CAP,250,RC,6373-9001-10,NDC,,both,1,EA,2.53,2.53,0.53859638,2.53,2.53,percent of total billed charges,1.86141088,,,,2.53,percent of total billed charges,1.973058728,,,,2.53,percent of total billed charges,1.86141088,,,,2.53,percent of total billed charges,1.973058728,,,,2.53,percent of total billed charges,999999999,,,,2.53,percent of total billed charges,1.927686114,,,,2.53,percent of total billed charges,1.86141088,,,,2.53,percent of total billed charges,1.973058728,,,,1.80389,percent of total billed charges,0.900174121,,,,1.80389,percent of total billed charges,0.53859638,,,,1.80389,percent of total billed charges,0.900174121,,,,1.80389,percent of total billed charges,0.53859638,,,,1.80389,percent of total billed charges,0.900174121,,,,1.80389,percent of total billed charges,0.53859638,,,,1.78618,percent of total billed charges,1.772627767,,,,1.78618,percent of total billed charges,1.222567321,,,,,,,,,,1.8216,percent of total billed charges,1.183997134,,,,,,,,,,1.8216,percent of total billed charges,999999999,,,,,,,,,,2.024,percent of total billed charges,1.696006789,,,,1.9987,percent of total billed charges,1.928831514,,,,1.9987,percent of total billed charges,1.70418649,,,,2.024,percent of total billed charges,999999999,,,,2.024,percent of total billed charges,999999999,,,,1.771,percent of total billed charges,999999999,,,,1.771,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.34596,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.27765,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.6325,percent of total billed charges,0.600720285,,,,,,,,,,0.6325,percent of total billed charges,0.590727712,,,,,,,,,,0.6325,percent of total billed charges,0.589086105,,,,,,,,,,0.6325,percent of total billed charges,0.580411819,,,,,,,,,,0.6325,percent of total billed charges,0.595346668,,,,,,,,,,0.6325,percent of total billed charges,999999999,,,,,,,,,,0.6325,percent of total billed charges,0.510849366,,,,,,,,,,0.6325,percent of total billed charges,0.805644678,,,,,,,,,,0.6325,percent of total billed charges,999999999,,,,,,,,,,0.6325,percent of total billed charges,0.550820553,,,,,,,,,,2.277,percent of total billed charges,,,,,
**LIDOCAINE 5%/DEXTROSE 7.5%  2ML INJ,250,RC,0040-9471-01,NDC,,both,1,EA,57,57,12.13438484,57,57,percent of total billed charges,41.93692497,,,,57,percent of total billed charges,44.45231127,,,,57,percent of total billed charges,41.93692497,,,,57,percent of total billed charges,44.45231127,,,,57,percent of total billed charges,999999999,,,,57,percent of total billed charges,43.43008241,,,,57,percent of total billed charges,41.93692497,,,,57,percent of total billed charges,44.45231127,,,,40.641,percent of total billed charges,20.28060273,,,,40.641,percent of total billed charges,12.13438484,,,,40.641,percent of total billed charges,20.28060273,,,,40.641,percent of total billed charges,12.13438484,,,,40.641,percent of total billed charges,20.28060273,,,,40.641,percent of total billed charges,12.13438484,,,,40.242,percent of total billed charges,39.93667301,,,,40.242,percent of total billed charges,27.54400683,,,,,,,,,,41.04,percent of total billed charges,26.67503424,,,,,,,,,,41.04,percent of total billed charges,999999999,,,,,,,,,,45.6,percent of total billed charges,38.21042963,,,,45.03,percent of total billed charges,43.45588786,,,,45.03,percent of total billed charges,38.39471538,,,,45.6,percent of total billed charges,999999999,,,,45.6,percent of total billed charges,999999999,,,,39.9,percent of total billed charges,999999999,,,,39.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,30.324,percent of total billed charges,999999999,,,,,,,,,,,,,,,,28.785,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14.25,percent of total billed charges,13.53401432,,,,,,,,,,14.25,percent of total billed charges,13.3088852,,,,,,,,,,14.25,percent of total billed charges,13.27190038,,,,,,,,,,14.25,percent of total billed charges,13.07647181,,,,,,,,,,14.25,percent of total billed charges,13.41294865,,,,,,,,,,14.25,percent of total billed charges,999999999,,,,,,,,,,14.25,percent of total billed charges,11.50925448,,,,,,,,,,14.25,percent of total billed charges,18.150888,,,,,,,,,,14.25,percent of total billed charges,999999999,,,,,,,,,,14.25,percent of total billed charges,12.40979112,,,,,,,,,,51.3,percent of total billed charges,,,,,
KETOROLAC 10MG TAB,637,RC,0009-3031-01,NDC,,both,1,EA,17.14,17.14,3.648830811,17.14,17.14,percent of total billed charges,12.61050691,,,,17.14,percent of total billed charges,13.36688799,,,,17.14,percent of total billed charges,12.61050691,,,,17.14,percent of total billed charges,13.36688799,,,,17.14,percent of total billed charges,999999999,,,,17.14,percent of total billed charges,13.05950198,,,,17.14,percent of total billed charges,12.61050691,,,,17.14,percent of total billed charges,13.36688799,,,,12.22082,percent of total billed charges,6.098412821,,,,12.22082,percent of total billed charges,3.648830811,,,,12.22082,percent of total billed charges,6.098412821,,,,12.22082,percent of total billed charges,3.648830811,,,,12.22082,percent of total billed charges,6.098412821,,,,12.22082,percent of total billed charges,3.648830811,,,,12.10084,percent of total billed charges,12.00902764,,,,12.10084,percent of total billed charges,8.282531177,,,,,,,,,,12.3408,percent of total billed charges,8.021229595,,,,,,,,,,12.3408,percent of total billed charges,999999999,,,,,,,,,,13.712,percent of total billed charges,11.48994323,,,,13.5406,percent of total billed charges,13.06726172,,,,13.5406,percent of total billed charges,11.54535827,,,,13.712,percent of total billed charges,999999999,,,,13.712,percent of total billed charges,999999999,,,,11.998,percent of total billed charges,999999999,,,,11.998,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.11848,percent of total billed charges,999999999,,,,,,,,,,,,,,,,8.6557,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4.285,percent of total billed charges,4.069701851,,,,,,,,,,4.285,percent of total billed charges,4.00200513,,,,,,,,,,4.285,percent of total billed charges,3.990883729,,,,,,,,,,4.285,percent of total billed charges,3.932118014,,,,,,,,,,4.285,percent of total billed charges,4.033297191,,,,,,,,,,4.285,percent of total billed charges,999999999,,,,,,,,,,4.285,percent of total billed charges,3.460853015,,,,,,,,,,4.285,percent of total billed charges,5.458003864,,,,,,,,,,4.285,percent of total billed charges,999999999,,,,,,,,,,4.285,percent of total billed charges,3.731645963,,,,,,,,,,15.426,percent of total billed charges,,,,,
Metoprolol SUCC (TOPROL XL) 25MG,637,RC,0090-4632-61,NDC,,both,1,EA,1.58,1.58,0.336356633,1.58,1.58,percent of total billed charges,1.162462131,,,,1.58,percent of total billed charges,1.232186874,,,,1.58,percent of total billed charges,1.162462131,,,,1.58,percent of total billed charges,1.232186874,,,,1.58,percent of total billed charges,999999999,,,,1.58,percent of total billed charges,1.203851407,,,,1.58,percent of total billed charges,1.162462131,,,,1.58,percent of total billed charges,1.232186874,,,,1.12654,percent of total billed charges,0.562164076,,,,1.12654,percent of total billed charges,0.336356633,,,,1.12654,percent of total billed charges,0.562164076,,,,1.12654,percent of total billed charges,0.336356633,,,,1.12654,percent of total billed charges,0.562164076,,,,1.12654,percent of total billed charges,0.336356633,,,,1.11548,percent of total billed charges,1.10701655,,,,1.11548,percent of total billed charges,0.76350054,,,,,,,,,,1.1376,percent of total billed charges,0.73941323,,,,,,,,,,1.1376,percent of total billed charges,999999999,,,,,,,,,,1.264,percent of total billed charges,1.059166295,,,,1.2482,percent of total billed charges,1.204566716,,,,1.2482,percent of total billed charges,1.064274567,,,,1.264,percent of total billed charges,999999999,,,,1.264,percent of total billed charges,999999999,,,,1.106,percent of total billed charges,999999999,,,,1.106,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.84056,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.7979,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.395,percent of total billed charges,0.375153379,,,,,,,,,,0.395,percent of total billed charges,0.368912958,,,,,,,,,,0.395,percent of total billed charges,0.367887765,,,,,,,,,,0.395,percent of total billed charges,0.362470622,,,,,,,,,,0.395,percent of total billed charges,0.371797524,,,,,,,,,,0.395,percent of total billed charges,999999999,,,,,,,,,,0.395,percent of total billed charges,0.319028458,,,,,,,,,,0.395,percent of total billed charges,0.503129878,,,,,,,,,,0.395,percent of total billed charges,999999999,,,,,,,,,,0.395,percent of total billed charges,0.343990701,,,,,,,,,,1.422,percent of total billed charges,,,,,
**POTASSIUM ACETATE  2 MEQ/ML,250,RC,0040-9818-01,NDC,,both,1,EA,14,14,2.980375225,14,14,percent of total billed charges,10.30029736,,,,14,percent of total billed charges,10.91811154,,,,14,percent of total billed charges,10.30029736,,,,14,percent of total billed charges,10.91811154,,,,14,percent of total billed charges,999999999,,,,14,percent of total billed charges,10.66703779,,,,14,percent of total billed charges,10.30029736,,,,14,percent of total billed charges,10.91811154,,,,9.982,percent of total billed charges,4.981200671,,,,9.982,percent of total billed charges,2.980375225,,,,9.982,percent of total billed charges,4.981200671,,,,9.982,percent of total billed charges,2.980375225,,,,9.982,percent of total billed charges,4.981200671,,,,9.982,percent of total billed charges,2.980375225,,,,9.884,percent of total billed charges,9.809007405,,,,9.884,percent of total billed charges,6.765194661,,,,,,,,,,10.08,percent of total billed charges,6.551762796,,,,,,,,,,10.08,percent of total billed charges,999999999,,,,,,,,,,11.2,percent of total billed charges,9.385017804,,,,11.06,percent of total billed charges,10.67337597,,,,11.06,percent of total billed charges,9.430280971,,,,11.2,percent of total billed charges,999999999,,,,11.2,percent of total billed charges,999999999,,,,9.8,percent of total billed charges,999999999,,,,9.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,7.448,percent of total billed charges,999999999,,,,,,,,,,,,,,,,7.07,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3.5,percent of total billed charges,3.324143869,,,,,,,,,,3.5,percent of total billed charges,3.268848997,,,,,,,,,,3.5,percent of total billed charges,3.259765006,,,,,,,,,,3.5,percent of total billed charges,3.211765006,,,,,,,,,,3.5,percent of total billed charges,3.294408441,,,,,,,,,,3.5,percent of total billed charges,999999999,,,,,,,,,,3.5,percent of total billed charges,2.826834435,,,,,,,,,,3.5,percent of total billed charges,4.458112841,,,,,,,,,,3.5,percent of total billed charges,999999999,,,,,,,,,,3.5,percent of total billed charges,3.048018873,,,,,,,,,,12.6,percent of total billed charges,,,,,
**HEPARIN 10UNIT/ML 30ML (PEDIATRIC),J1642,CDM,0040-9115-78,NDC,,both,1,EA,11,11,2.341723391,11,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,11,percent of total billed charges,999999999,,,,11,percent of total billed charges,8.381243975,,,,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.766,percent of total billed charges,7.707077247,,,,7.766,percent of total billed charges,5.31551009,,,,,,,,,,7.92,percent of total billed charges,5.147813626,,,,,,,,,,7.92,percent of total billed charges,999999999,,,,,,,,,,8.8,percent of total billed charges,7.373942561,,,,8.69,percent of total billed charges,8.386223973,,,,8.69,percent of total billed charges,7.409506477,,,,8.8,percent of total billed charges,999999999,,,,8.8,percent of total billed charges,999999999,,,,7.7,percent of total billed charges,999999999,,,,7.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.852,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.555,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.75,percent of total billed charges,2.611827325,,,,,,,,,,2.75,percent of total billed charges,2.568381355,,,,,,,,,,2.75,percent of total billed charges,2.561243933,,,,,,,,,,2.75,percent of total billed charges,2.523529647,,,,,,,,,,2.75,percent of total billed charges,2.588463775,,,,,,,,,,2.75,percent of total billed charges,999999999,,,,,,,,,,2.75,percent of total billed charges,2.221084199,,,,,,,,,,2.75,percent of total billed charges,3.502802947,,,,,,,,,,2.75,percent of total billed charges,999999999,,,,,,,,,,2.75,percent of total billed charges,2.394871971,,,,,,,,,,9.9,percent of total billed charges,,,,,
**PSEUDO120/GUAIF600 (ENTEX PSE TABLET):,259,RC,6202-2013-01,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
MORphine SR (MS-CONTIN) 60MG TAB,259,RC,0040-6838-62,NDC,,both,1,EA,14.91,14.91,3.174099614,14.91,14.91,percent of total billed charges,10.96981669,,,,14.91,percent of total billed charges,11.62778879,,,,14.91,percent of total billed charges,10.96981669,,,,14.91,percent of total billed charges,11.62778879,,,,14.91,percent of total billed charges,999999999,,,,14.91,percent of total billed charges,11.36039524,,,,14.91,percent of total billed charges,10.96981669,,,,14.91,percent of total billed charges,11.62778879,,,,10.63083,percent of total billed charges,5.304978715,,,,10.63083,percent of total billed charges,3.174099614,,,,10.63083,percent of total billed charges,5.304978715,,,,10.63083,percent of total billed charges,3.174099614,,,,10.63083,percent of total billed charges,5.304978715,,,,10.63083,percent of total billed charges,3.174099614,,,,10.52646,percent of total billed charges,10.44659289,,,,10.52646,percent of total billed charges,7.204932314,,,,,,,,,,10.7352,percent of total billed charges,6.977627378,,,,,,,,,,10.7352,percent of total billed charges,999999999,,,,,,,,,,11.928,percent of total billed charges,9.995043962,,,,11.7789,percent of total billed charges,11.3671454,,,,11.7789,percent of total billed charges,10.04324923,,,,11.928,percent of total billed charges,999999999,,,,11.928,percent of total billed charges,999999999,,,,10.437,percent of total billed charges,999999999,,,,10.437,percent of total billed charges,999999999,,,,,,,,,,,,,,,,7.93212,percent of total billed charges,999999999,,,,,,,,,,,,,,,,7.52955,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3.7275,percent of total billed charges,3.54021322,,,,,,,,,,3.7275,percent of total billed charges,3.481324182,,,,,,,,,,3.7275,percent of total billed charges,3.471649731,,,,,,,,,,3.7275,percent of total billed charges,3.420529731,,,,,,,,,,3.7275,percent of total billed charges,3.50854499,,,,,,,,,,3.7275,percent of total billed charges,999999999,,,,,,,,,,3.7275,percent of total billed charges,3.010578673,,,,,,,,,,3.7275,percent of total billed charges,4.747890176,,,,,,,,,,3.7275,percent of total billed charges,999999999,,,,,,,,,,3.7275,percent of total billed charges,3.246140099,,,,,,,,,,13.419,percent of total billed charges,,,,,
**MORPHINE SULFATE SUPP(RMS-10),259,RC,0040-6838-62,NDC,,both,1,EA,24,24,5.109214671,24,24,percent of total billed charges,17.65765262,,,,24,percent of total billed charges,18.71676264,,,,24,percent of total billed charges,17.65765262,,,,24,percent of total billed charges,18.71676264,,,,24,percent of total billed charges,999999999,,,,24,percent of total billed charges,18.28635049,,,,24,percent of total billed charges,17.65765262,,,,24,percent of total billed charges,18.71676264,,,,17.112,percent of total billed charges,8.53920115,,,,17.112,percent of total billed charges,5.109214671,,,,17.112,percent of total billed charges,8.53920115,,,,17.112,percent of total billed charges,5.109214671,,,,17.112,percent of total billed charges,8.53920115,,,,17.112,percent of total billed charges,5.109214671,,,,16.944,percent of total billed charges,16.81544127,,,,16.944,percent of total billed charges,11.59747656,,,,,,,,,,17.28,percent of total billed charges,11.23159337,,,,,,,,,,17.28,percent of total billed charges,999999999,,,,,,,,,,19.2,percent of total billed charges,16.08860195,,,,18.96,percent of total billed charges,18.29721594,,,,18.96,percent of total billed charges,16.16619595,,,,19.2,percent of total billed charges,999999999,,,,19.2,percent of total billed charges,999999999,,,,16.8,percent of total billed charges,999999999,,,,16.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,12.768,percent of total billed charges,999999999,,,,,,,,,,,,,,,,12.12,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6,percent of total billed charges,5.698532346,,,,,,,,,,6,percent of total billed charges,5.603741138,,,,,,,,,,6,percent of total billed charges,5.588168582,,,,,,,,,,6,percent of total billed charges,5.505882867,,,,,,,,,,6,percent of total billed charges,5.647557328,,,,,,,,,,6,percent of total billed charges,999999999,,,,,,,,,,6,percent of total billed charges,4.846001888,,,,,,,,,,6,percent of total billed charges,7.642479156,,,,,,,,,,6,percent of total billed charges,999999999,,,,,,,,,,6,percent of total billed charges,5.22517521,,,,,,,,,,21.6,percent of total billed charges,,,,,
BACITRACIN OPHTH OINT 3.5 GM,637,RC,0057-4402-35,NDC,,both,1,EA,359.98,359.98,76.63396239,359.98,359.98,percent of total billed charges,264.8500745,,,,359.98,percent of total billed charges,280.7358423,,,,359.98,percent of total billed charges,264.8500745,,,,359.98,percent of total billed charges,280.7358423,,,,359.98,percent of total billed charges,999999999,,,,359.98,percent of total billed charges,274.2800187,,,,359.98,percent of total billed charges,264.8500745,,,,359.98,percent of total billed charges,280.7358423,,,,256.66574,percent of total billed charges,128.0809013,,,,256.66574,percent of total billed charges,76.63396239,,,,256.66574,percent of total billed charges,128.0809013,,,,256.66574,percent of total billed charges,76.63396239,,,,256.66574,percent of total billed charges,128.0809013,,,,256.66574,percent of total billed charges,76.63396239,,,,254.14588,percent of total billed charges,252.2176061,,,,254.14588,percent of total billed charges,173.9524839,,,,,,,,,,259.1856,percent of total billed charges,168.4645408,,,,,,,,,,259.1856,percent of total billed charges,999999999,,,,,,,,,,287.984,percent of total billed charges,241.3156221,,,,284.3842,percent of total billed charges,274.4429914,,,,284.3842,percent of total billed charges,242.4794674,,,,287.984,percent of total billed charges,999999999,,,,287.984,percent of total billed charges,999999999,,,,251.986,percent of total billed charges,999999999,,,,251.986,percent of total billed charges,999999999,,,,,,,,,,,,,,,,191.50936,percent of total billed charges,999999999,,,,,,,,,,,,,,,,181.7899,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,89.995,percent of total billed charges,85.47323642,,,,,,,,,,89.995,percent of total billed charges,84.05144729,,,,,,,,,,89.995,percent of total billed charges,83.81787192,,,,,,,,,,89.995,percent of total billed charges,82.58365477,,,,,,,,,,89.995,percent of total billed charges,84.70865362,,,,,,,,,,89.995,percent of total billed charges,999999999,,,,,,,,,,89.995,percent of total billed charges,72.68598999,,,,,,,,,,89.995,percent of total billed charges,114.6308186,,,,,,,,,,89.995,percent of total billed charges,999999999,,,,,,,,,,89.995,percent of total billed charges,78.37327384,,,,,,,,,,323.982,percent of total billed charges,,,,,
HEPATITIS B RECOMBINANT 5 MCG PEDIATRIC,90744,CDM,0000-6498-00,NDC,,both,1,EA,151.85,151.85,32.32642699,151.85,151.85,percent of total billed charges,111.7214396,,,,151.85,percent of total billed charges,118.422517,,,,151.85,percent of total billed charges,111.7214396,,,,151.85,percent of total billed charges,118.422517,,,,151.85,percent of total billed charges,999999999,,,,151.85,percent of total billed charges,115.6992634,,,,151.85,percent of total billed charges,111.7214396,,,,151.85,percent of total billed charges,118.422517,,,,108.26905,percent of total billed charges,54.02823728,,,,108.26905,percent of total billed charges,32.32642699,,,,108.26905,percent of total billed charges,54.02823728,,,,108.26905,percent of total billed charges,32.32642699,,,,108.26905,percent of total billed charges,54.02823728,,,,108.26905,percent of total billed charges,32.32642699,,,,107.2061,percent of total billed charges,106.3926982,,,,107.2061,percent of total billed charges,73.37820066,,,,,,,,,,109.332,percent of total billed charges,71.06322719,,,,,,,,,,109.332,percent of total billed charges,999999999,,,,,,,,,,121.48,percent of total billed charges,101.7939253,,,,119.9615,percent of total billed charges,115.76801,,,,119.9615,percent of total billed charges,102.284869,,,,121.48,percent of total billed charges,999999999,,,,121.48,percent of total billed charges,999999999,,,,106.295,percent of total billed charges,999999999,,,,106.295,percent of total billed charges,999999999,,,,,,,,,,,,,,,,80.7842,percent of total billed charges,999999999,,,,,,,,,,,,,,,,76.68425,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,37.9625,percent of total billed charges,36.05508903,,,,,,,,,,37.9625,percent of total billed charges,35.45533716,,,,,,,,,,37.9625,percent of total billed charges,35.3568083,,,,,,,,,,37.9625,percent of total billed charges,34.83617972,,,,,,,,,,37.9625,percent of total billed charges,35.73256584,,,,,,,,,,37.9625,percent of total billed charges,999999999,,,,,,,,,,37.9625,percent of total billed charges,30.66105778,,,,,,,,,,37.9625,percent of total billed charges,48.3546025,,,,,,,,,,37.9625,percent of total billed charges,999999999,,,,,,,,,,37.9625,percent of total billed charges,33.06011899,,,,,,,,,,136.665,percent of total billed charges,,,,,
TOBRAMYCIN/DEXAMETHASONE OPTH OINT,250,RC,0007-8087-01,NDC,,both,1,EA,647.85,647.85,137.9168635,647.85,647.85,percent of total billed charges,476.6462603,,,,647.85,percent of total billed charges,505.2356115,,,,647.85,percent of total billed charges,476.6462603,,,,647.85,percent of total billed charges,505.2356115,,,,647.85,percent of total billed charges,999999999,,,,647.85,percent of total billed charges,493.6171735,,,,647.85,percent of total billed charges,476.6462603,,,,647.85,percent of total billed charges,505.2356115,,,,461.91705,percent of total billed charges,230.505061,,,,461.91705,percent of total billed charges,137.9168635,,,,461.91705,percent of total billed charges,230.505061,,,,461.91705,percent of total billed charges,137.9168635,,,,461.91705,percent of total billed charges,230.505061,,,,461.91705,percent of total billed charges,137.9168635,,,,457.3821,percent of total billed charges,453.9118177,,,,457.3821,percent of total billed charges,313.0593829,,,,,,,,,,466.452,percent of total billed charges,303.1828234,,,,,,,,,,466.452,percent of total billed charges,999999999,,,,,,,,,,518.28,percent of total billed charges,434.2916989,,,,511.8015,percent of total billed charges,493.9104728,,,,511.8015,percent of total billed charges,436.3862519,,,,518.28,percent of total billed charges,999999999,,,,518.28,percent of total billed charges,999999999,,,,453.495,percent of total billed charges,999999999,,,,453.495,percent of total billed charges,999999999,,,,,,,,,,,,,,,,344.6562,percent of total billed charges,999999999,,,,,,,,,,,,,,,,327.16425,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,161.9625,percent of total billed charges,153.8247575,,,,,,,,,,161.9625,percent of total billed charges,151.2659873,,,,,,,,,,161.9625,percent of total billed charges,150.8456256,,,,,,,,,,161.9625,percent of total billed charges,148.6244256,,,,,,,,,,161.9625,percent of total billed charges,152.4487506,,,,,,,,,,161.9625,percent of total billed charges,999999999,,,,,,,,,,161.9625,percent of total billed charges,130.8117635,,,,,,,,,,161.9625,percent of total billed charges,206.2991717,,,,,,,,,,161.9625,percent of total billed charges,999999999,,,,,,,,,,161.9625,percent of total billed charges,141.0470733,,,,,,,,,,583.065,percent of total billed charges,,,,,
NEOSTIGMINE (1:1000) 10MG/10ML INJ,J2710,CDM,6332-3041-10,NDC,,both,1,EA,234.82,234.82,49.98940788,234.82,234.82,percent of total billed charges,172.7654161,,,,234.82,percent of total billed charges,183.1279251,,,,234.82,percent of total billed charges,172.7654161,,,,234.82,percent of total billed charges,183.1279251,,,,234.82,percent of total billed charges,999999999,,,,234.82,percent of total billed charges,178.9167009,,,,234.82,percent of total billed charges,172.7654161,,,,234.82,percent of total billed charges,183.1279251,,,,167.42666,percent of total billed charges,83.54896725,,,,167.42666,percent of total billed charges,49.98940788,,,,167.42666,percent of total billed charges,83.54896725,,,,167.42666,percent of total billed charges,49.98940788,,,,167.42666,percent of total billed charges,83.54896725,,,,167.42666,percent of total billed charges,49.98940788,,,,165.78292,percent of total billed charges,164.5250799,,,,165.78292,percent of total billed charges,113.4716436,,,,,,,,,,169.0704,percent of total billed charges,109.8917814,,,,,,,,,,169.0704,percent of total billed charges,999999999,,,,,,,,,,187.856,percent of total billed charges,157.4135629,,,,185.5078,percent of total billed charges,179.0230103,,,,185.5078,percent of total billed charges,158.1727555,,,,187.856,percent of total billed charges,999999999,,,,187.856,percent of total billed charges,999999999,,,,164.374,percent of total billed charges,999999999,,,,164.374,percent of total billed charges,999999999,,,,,,,,,,,,,,,,124.92424,percent of total billed charges,999999999,,,,,,,,,,,,,,,,118.5841,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,58.705,percent of total billed charges,55.75539023,,,,,,,,,,58.705,percent of total billed charges,54.82793725,,,,,,,,,,58.705,percent of total billed charges,54.67557276,,,,,,,,,,58.705,percent of total billed charges,53.87047562,,,,,,,,,,58.705,percent of total billed charges,55.25664215,,,,,,,,,,58.705,percent of total billed charges,999999999,,,,,,,,,,58.705,percent of total billed charges,47.41409014,,,,,,,,,,58.705,percent of total billed charges,74.77528981,,,,,,,,,,58.705,percent of total billed charges,999999999,,,,,,,,,,58.705,percent of total billed charges,51.12398512,,,,,,,,,,211.338,percent of total billed charges,,,,,
IBUPROFEN (MOTRIN) 100MG/5ML ORAL SUSP,250,RC,0012-1477-05,NDC,,both,1,EA,2.65,2.65,0.564142453,2.65,2.65,percent of total billed charges,1.949699143,,,,2.65,percent of total billed charges,2.066642542,,,,2.65,percent of total billed charges,1.949699143,,,,2.65,percent of total billed charges,2.066642542,,,,2.65,percent of total billed charges,999999999,,,,2.65,percent of total billed charges,2.019117867,,,,2.65,percent of total billed charges,1.949699143,,,,2.65,percent of total billed charges,2.066642542,,,,1.88945,percent of total billed charges,0.942870127,,,,1.88945,percent of total billed charges,0.564142453,,,,1.88945,percent of total billed charges,0.942870127,,,,1.88945,percent of total billed charges,0.564142453,,,,1.88945,percent of total billed charges,0.942870127,,,,1.88945,percent of total billed charges,0.564142453,,,,1.8709,percent of total billed charges,1.856704973,,,,1.8709,percent of total billed charges,1.280554704,,,,,,,,,,1.908,percent of total billed charges,1.240155101,,,,,,,,,,1.908,percent of total billed charges,999999999,,,,,,,,,,2.12,percent of total billed charges,1.776449799,,,,2.0935,percent of total billed charges,2.020317594,,,,2.0935,percent of total billed charges,1.78501747,,,,2.12,percent of total billed charges,999999999,,,,2.12,percent of total billed charges,999999999,,,,1.855,percent of total billed charges,999999999,,,,1.855,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.4098,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.33825,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.6625,percent of total billed charges,0.629212947,,,,,,,,,,0.6625,percent of total billed charges,0.618746417,,,,,,,,,,0.6625,percent of total billed charges,0.617026948,,,,,,,,,,0.6625,percent of total billed charges,0.607941233,,,,,,,,,,0.6625,percent of total billed charges,0.623584455,,,,,,,,,,0.6625,percent of total billed charges,999999999,,,,,,,,,,0.6625,percent of total billed charges,0.535079375,,,,,,,,,,0.6625,percent of total billed charges,0.843857074,,,,,,,,,,0.6625,percent of total billed charges,999999999,,,,,,,,,,0.6625,percent of total billed charges,0.576946429,,,,,,,,,,2.385,percent of total billed charges,,,,,
TRIPLE ANTIBIOTIC (NEOSPORIN) OINT 1GM,637,RC,0071-3026-31,NDC,,both,1,EA,35.81,35.81,7.623374057,35.81,35.81,percent of total billed charges,26.34668918,,,,35.81,percent of total billed charges,27.92696959,,,,35.81,percent of total billed charges,26.34668918,,,,35.81,percent of total billed charges,27.92696959,,,,35.81,percent of total billed charges,999999999,,,,35.81,percent of total billed charges,27.28475879,,,,35.81,percent of total billed charges,26.34668918,,,,35.81,percent of total billed charges,27.92696959,,,,25.53253,percent of total billed charges,12.74119972,,,,25.53253,percent of total billed charges,7.623374057,,,,25.53253,percent of total billed charges,12.74119972,,,,25.53253,percent of total billed charges,7.623374057,,,,25.53253,percent of total billed charges,12.74119972,,,,25.53253,percent of total billed charges,7.623374057,,,,25.28186,percent of total billed charges,25.09003966,,,,25.28186,percent of total billed charges,17.30440149,,,,,,,,,,25.7832,percent of total billed charges,16.75847327,,,,,,,,,,25.7832,percent of total billed charges,999999999,,,,,,,,,,28.648,percent of total billed charges,24.00553483,,,,28.2899,percent of total billed charges,27.30097095,,,,28.2899,percent of total billed charges,24.12131154,,,,28.648,percent of total billed charges,999999999,,,,28.648,percent of total billed charges,999999999,,,,25.067,percent of total billed charges,999999999,,,,25.067,percent of total billed charges,999999999,,,,,,,,,,,,,,,,19.05092,percent of total billed charges,999999999,,,,,,,,,,,,,,,,18.08405,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8.9525,percent of total billed charges,8.502685138,,,,,,,,,,8.9525,percent of total billed charges,8.361248757,,,,,,,,,,8.9525,percent of total billed charges,8.338013204,,,,,,,,,,8.9525,percent of total billed charges,8.215236061,,,,,,,,,,8.9525,percent of total billed charges,8.426626162,,,,,,,,,,8.9525,percent of total billed charges,999999999,,,,,,,,,,8.9525,percent of total billed charges,7.230638651,,,,,,,,,,8.9525,percent of total billed charges,11.40321577,,,,,,,,,,8.9525,percent of total billed charges,999999999,,,,,,,,,,8.9525,percent of total billed charges,7.796396845,,,,,,,,,,32.229,percent of total billed charges,,,,,
**PAMIDRONATE (AREDIA) INJ 30MG VIAL,J2430,CDM,5539-0012-01,NDC,,both,1,EA,106,106,22.56569813,106,106,percent of total billed charges,77.98796573,,,,106,percent of total billed charges,82.66570166,,,,106,percent of total billed charges,77.98796573,,,,106,percent of total billed charges,82.66570166,,,,106,percent of total billed charges,999999999,,,,106,percent of total billed charges,80.76471467,,,,106,percent of total billed charges,77.98796573,,,,106,percent of total billed charges,82.66570166,,,,75.578,percent of total billed charges,37.71480508,,,,75.578,percent of total billed charges,22.56569813,,,,75.578,percent of total billed charges,37.71480508,,,,75.578,percent of total billed charges,22.56569813,,,,75.578,percent of total billed charges,37.71480508,,,,75.578,percent of total billed charges,22.56569813,,,,74.836,percent of total billed charges,74.26819892,,,,74.836,percent of total billed charges,51.22218814,,,,,,,,,,76.32,percent of total billed charges,49.60620403,,,,,,,,,,76.32,percent of total billed charges,999999999,,,,,,,,,,84.8,percent of total billed charges,71.05799195,,,,83.74,percent of total billed charges,80.81270374,,,,83.74,percent of total billed charges,71.40069878,,,,84.8,percent of total billed charges,999999999,,,,84.8,percent of total billed charges,999999999,,,,74.2,percent of total billed charges,999999999,,,,74.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,56.392,percent of total billed charges,999999999,,,,,,,,,,,,,,,,53.53,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,26.5,percent of total billed charges,25.16851786,,,,,,,,,,26.5,percent of total billed charges,24.74985669,,,,,,,,,,26.5,percent of total billed charges,24.6810779,,,,,,,,,,26.5,percent of total billed charges,24.31764933,,,,,,,,,,26.5,percent of total billed charges,24.9433782,,,,,,,,,,26.5,percent of total billed charges,999999999,,,,,,,,,,26.5,percent of total billed charges,21.40317501,,,,,,,,,,26.5,percent of total billed charges,33.75428294,,,,,,,,,,26.5,percent of total billed charges,999999999,,,,,,,,,,26.5,percent of total billed charges,23.07785718,,,,,,,,,,95.4,percent of total billed charges,,,,,
MOMETASONE (ELOCON) CR 0.1%15GM,259,RC,5486-8545-00,NDC,,both,1,EA,99.46,99.46,21.17343713,99.46,99.46,percent of total billed charges,73.17625539,,,,99.46,percent of total billed charges,77.56538384,,,,99.46,percent of total billed charges,73.17625539,,,,99.46,percent of total billed charges,77.56538384,,,,99.46,percent of total billed charges,999999999,,,,99.46,percent of total billed charges,75.78168416,,,,99.46,percent of total billed charges,73.17625539,,,,99.46,percent of total billed charges,77.56538384,,,,70.91498,percent of total billed charges,35.38787277,,,,70.91498,percent of total billed charges,21.17343713,,,,70.91498,percent of total billed charges,35.38787277,,,,70.91498,percent of total billed charges,21.17343713,,,,70.91498,percent of total billed charges,35.38787277,,,,70.91498,percent of total billed charges,21.17343713,,,,70.21876,percent of total billed charges,69.68599118,,,,70.21876,percent of total billed charges,48.06187578,,,,,,,,,,71.6112,percent of total billed charges,46.54559484,,,,,,,,,,71.6112,percent of total billed charges,999999999,,,,,,,,,,79.568,percent of total billed charges,66.67384792,,,,78.5734,percent of total billed charges,75.8267124,,,,78.5734,percent of total billed charges,66.99541039,,,,79.568,percent of total billed charges,999999999,,,,79.568,percent of total billed charges,999999999,,,,69.622,percent of total billed charges,999999999,,,,69.622,percent of total billed charges,999999999,,,,,,,,,,,,,,,,52.91272,percent of total billed charges,999999999,,,,,,,,,,,,,,,,50.2273,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,24.865,percent of total billed charges,23.6156678,,,,,,,,,,24.865,percent of total billed charges,23.22283723,,,,,,,,,,24.865,percent of total billed charges,23.15830196,,,,,,,,,,24.865,percent of total billed charges,22.81729625,,,,,,,,,,24.865,percent of total billed charges,23.40441882,,,,,,,,,,24.865,percent of total billed charges,999999999,,,,,,,,,,24.865,percent of total billed charges,20.08263949,,,,,,,,,,24.865,percent of total billed charges,31.67170737,,,,,,,,,,24.865,percent of total billed charges,999999999,,,,,,,,,,24.865,percent of total billed charges,21.65399693,,,,,,,,,,89.514,percent of total billed charges,,,,,
**INSULIN (LANTUS) 100 UNIT/ML VIAL,250,RC,0008-8222-33,NDC,,both,1,EA,129,129,27.46202886,129,129,percent of total billed charges,94.90988282,,,,129,percent of total billed charges,100.6025992,,,,129,percent of total billed charges,94.90988282,,,,129,percent of total billed charges,100.6025992,,,,129,percent of total billed charges,999999999,,,,129,percent of total billed charges,98.28913388,,,,129,percent of total billed charges,94.90988282,,,,129,percent of total billed charges,100.6025992,,,,91.977,percent of total billed charges,45.89820618,,,,91.977,percent of total billed charges,27.46202886,,,,91.977,percent of total billed charges,45.89820618,,,,91.977,percent of total billed charges,27.46202886,,,,91.977,percent of total billed charges,45.89820618,,,,91.977,percent of total billed charges,27.46202886,,,,91.074,percent of total billed charges,90.3829968,,,,91.074,percent of total billed charges,62.33643652,,,,,,,,,,92.88,percent of total billed charges,60.36981434,,,,,,,,,,92.88,percent of total billed charges,999999999,,,,,,,,,,103.2,percent of total billed charges,86.47623548,,,,101.91,percent of total billed charges,98.34753569,,,,101.91,percent of total billed charges,86.89330323,,,,103.2,percent of total billed charges,999999999,,,,103.2,percent of total billed charges,999999999,,,,90.3,percent of total billed charges,999999999,,,,90.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,68.628,percent of total billed charges,999999999,,,,,,,,,,,,,,,,65.145,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,32.25,percent of total billed charges,30.62961136,,,,,,,,,,32.25,percent of total billed charges,30.12010862,,,,,,,,,,32.25,percent of total billed charges,30.03640613,,,,,,,,,,32.25,percent of total billed charges,29.59412041,,,,,,,,,,32.25,percent of total billed charges,30.35562064,,,,,,,,,,32.25,percent of total billed charges,999999999,,,,,,,,,,32.25,percent of total billed charges,26.04726015,,,,,,,,,,32.25,percent of total billed charges,41.07832547,,,,,,,,,,32.25,percent of total billed charges,999999999,,,,,,,,,,32.25,percent of total billed charges,28.08531676,,,,,,,,,,116.1,percent of total billed charges,,,,,
**NITROGLYCERIN 0.4 MG SL TAB,259,RC,5817-7032-18,NDC,,both,1,EA,7,7,1.490187612,7,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,7,percent of total billed charges,999999999,,,,7,percent of total billed charges,5.333518893,,,,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.942,percent of total billed charges,4.904503703,,,,4.942,percent of total billed charges,3.38259733,,,,,,,,,,5.04,percent of total billed charges,3.275881398,,,,,,,,,,5.04,percent of total billed charges,999999999,,,,,,,,,,5.6,percent of total billed charges,4.692508902,,,,5.53,percent of total billed charges,5.336687983,,,,5.53,percent of total billed charges,4.715140486,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,4.9,percent of total billed charges,999999999,,,,4.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.724,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.535,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.75,percent of total billed charges,1.662071934,,,,,,,,,,1.75,percent of total billed charges,1.634424499,,,,,,,,,,1.75,percent of total billed charges,1.629882503,,,,,,,,,,1.75,percent of total billed charges,1.605882503,,,,,,,,,,1.75,percent of total billed charges,1.647204221,,,,,,,,,,1.75,percent of total billed charges,999999999,,,,,,,,,,1.75,percent of total billed charges,1.413417217,,,,,,,,,,1.75,percent of total billed charges,2.229056421,,,,,,,,,,1.75,percent of total billed charges,999999999,,,,,,,,,,1.75,percent of total billed charges,1.524009436,,,,,,,,,,6.3,percent of total billed charges,,,,,
FOSINOPRIL (MONOPRIL) 10MG TAB,637,RC,6909-7085-05,NDC,,both,1,EA,1.41,1.41,0.300166362,1.41,1.41,percent of total billed charges,1.037387091,,,,1.41,percent of total billed charges,1.099609805,,,,1.41,percent of total billed charges,1.037387091,,,,1.41,percent of total billed charges,1.099609805,,,,1.41,percent of total billed charges,999999999,,,,1.41,percent of total billed charges,1.074323091,,,,1.41,percent of total billed charges,1.037387091,,,,1.41,percent of total billed charges,1.099609805,,,,1.00533,percent of total billed charges,0.501678068,,,,1.00533,percent of total billed charges,0.300166362,,,,1.00533,percent of total billed charges,0.501678068,,,,1.00533,percent of total billed charges,0.300166362,,,,1.00533,percent of total billed charges,0.501678068,,,,1.00533,percent of total billed charges,0.300166362,,,,0.99546,percent of total billed charges,0.987907174,,,,0.99546,percent of total billed charges,0.681351748,,,,,,,,,,1.0152,percent of total billed charges,0.65985611,,,,,,,,,,1.0152,percent of total billed charges,999999999,,,,,,,,,,1.128,percent of total billed charges,0.945205365,,,,1.1139,percent of total billed charges,1.074961437,,,,1.1139,percent of total billed charges,0.949764012,,,,1.128,percent of total billed charges,999999999,,,,1.128,percent of total billed charges,999999999,,,,0.987,percent of total billed charges,999999999,,,,0.987,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.75012,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.71205,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.3525,percent of total billed charges,0.334788775,,,,,,,,,,0.3525,percent of total billed charges,0.329219792,,,,,,,,,,0.3525,percent of total billed charges,0.328304904,,,,,,,,,,0.3525,percent of total billed charges,0.323470618,,,,,,,,,,0.3525,percent of total billed charges,0.331793993,,,,,,,,,,0.3525,percent of total billed charges,999999999,,,,,,,,,,0.3525,percent of total billed charges,0.284702611,,,,,,,,,,0.3525,percent of total billed charges,0.44899565,,,,,,,,,,0.3525,percent of total billed charges,999999999,,,,,,,,,,0.3525,percent of total billed charges,0.306979044,,,,,,,,,,1.269,percent of total billed charges,,,,,
SODIUM CHLORIDE 0.9% 100ML A/V IVPB,258,RC,0040-9710-67,NDC,,both,1,EA,42.48,42.48,9.043309968,42.48,42.48,percent of total billed charges,31.25404513,,,,42.48,percent of total billed charges,33.12866987,,,,42.48,percent of total billed charges,31.25404513,,,,42.48,percent of total billed charges,33.12866987,,,,42.48,percent of total billed charges,999999999,,,,42.48,percent of total billed charges,32.36684037,,,,42.48,percent of total billed charges,31.25404513,,,,42.48,percent of total billed charges,33.12866987,,,,30.28824,percent of total billed charges,15.11438604,,,,30.28824,percent of total billed charges,9.043309968,,,,30.28824,percent of total billed charges,15.11438604,,,,30.28824,percent of total billed charges,9.043309968,,,,30.28824,percent of total billed charges,15.11438604,,,,30.28824,percent of total billed charges,9.043309968,,,,29.99088,percent of total billed charges,29.76333104,,,,29.99088,percent of total billed charges,20.52753351,,,,,,,,,,30.5856,percent of total billed charges,19.87992026,,,,,,,,,,30.5856,percent of total billed charges,999999999,,,,,,,,,,33.984,percent of total billed charges,28.47682545,,,,33.5592,percent of total billed charges,32.38607222,,,,33.5592,percent of total billed charges,28.61416683,,,,33.984,percent of total billed charges,999999999,,,,33.984,percent of total billed charges,999999999,,,,29.736,percent of total billed charges,999999999,,,,29.736,percent of total billed charges,999999999,,,,,,,,,,,,,,,,22.59936,percent of total billed charges,999999999,,,,,,,,,,,,,,,,21.4524,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10.62,percent of total billed charges,10.08640225,,,,,,,,,,10.62,percent of total billed charges,9.918621815,,,,,,,,,,10.62,percent of total billed charges,9.891058389,,,,,,,,,,10.62,percent of total billed charges,9.745412675,,,,,,,,,,10.62,percent of total billed charges,9.99617647,,,,,,,,,,10.62,percent of total billed charges,999999999,,,,,,,,,,10.62,percent of total billed charges,8.577423342,,,,,,,,,,10.62,percent of total billed charges,13.52718811,,,,,,,,,,10.62,percent of total billed charges,999999999,,,,,,,,,,10.62,percent of total billed charges,9.248560122,,,,,,,,,,38.232,percent of total billed charges,,,,,
FINASTERIDE (PROSCAR) 5MG TAB,250,RC,5026-8031-15,NDC,,both,1,EA,2.59,2.59,0.551369417,2.59,2.59,percent of total billed charges,1.905555012,,,,2.59,percent of total billed charges,2.019850635,,,,2.59,percent of total billed charges,1.905555012,,,,2.59,percent of total billed charges,2.019850635,,,,2.59,percent of total billed charges,999999999,,,,2.59,percent of total billed charges,1.97340199,,,,2.59,percent of total billed charges,1.905555012,,,,2.59,percent of total billed charges,2.019850635,,,,1.84667,percent of total billed charges,0.921522124,,,,1.84667,percent of total billed charges,0.551369417,,,,1.84667,percent of total billed charges,0.921522124,,,,1.84667,percent of total billed charges,0.551369417,,,,1.84667,percent of total billed charges,0.921522124,,,,1.84667,percent of total billed charges,0.551369417,,,,1.82854,percent of total billed charges,1.81466637,,,,1.82854,percent of total billed charges,1.251561012,,,,,,,,,,1.8648,percent of total billed charges,1.212076117,,,,,,,,,,1.8648,percent of total billed charges,999999999,,,,,,,,,,2.072,percent of total billed charges,1.736228294,,,,2.0461,percent of total billed charges,1.974574554,,,,2.0461,percent of total billed charges,1.74460198,,,,2.072,percent of total billed charges,999999999,,,,2.072,percent of total billed charges,999999999,,,,1.813,percent of total billed charges,999999999,,,,1.813,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.37788,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.30795,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.6475,percent of total billed charges,0.614966616,,,,,,,,,,0.6475,percent of total billed charges,0.604737064,,,,,,,,,,0.6475,percent of total billed charges,0.603056526,,,,,,,,,,0.6475,percent of total billed charges,0.594176526,,,,,,,,,,0.6475,percent of total billed charges,0.609465562,,,,,,,,,,0.6475,percent of total billed charges,999999999,,,,,,,,,,0.6475,percent of total billed charges,0.52296437,,,,,,,,,,0.6475,percent of total billed charges,0.824750876,,,,,,,,,,0.6475,percent of total billed charges,999999999,,,,,,,,,,0.6475,percent of total billed charges,0.563883491,,,,,,,,,,2.331,percent of total billed charges,,,,,
**RIMANTIDINE (FLUMADINE) 100MG TAB,259,RC,0045-6052-01,NDC,,both,1,EA,10,10,2.128839446,10,10,percent of total billed charges,7.357355257,,,,10,percent of total billed charges,7.7986511,,,,10,percent of total billed charges,7.357355257,,,,10,percent of total billed charges,7.7986511,,,,10,percent of total billed charges,999999999,,,,10,percent of total billed charges,7.619312704,,,,10,percent of total billed charges,7.357355257,,,,10,percent of total billed charges,7.7986511,,,,7.13,percent of total billed charges,3.558000479,,,,7.13,percent of total billed charges,2.128839446,,,,7.13,percent of total billed charges,3.558000479,,,,7.13,percent of total billed charges,2.128839446,,,,7.13,percent of total billed charges,3.558000479,,,,7.13,percent of total billed charges,2.128839446,,,,7.06,percent of total billed charges,7.006433861,,,,7.06,percent of total billed charges,4.8322819,,,,,,,,,,7.2,percent of total billed charges,4.679830569,,,,,,,,,,7.2,percent of total billed charges,999999999,,,,,,,,,,8,percent of total billed charges,6.703584146,,,,7.9,percent of total billed charges,7.623839976,,,,7.9,percent of total billed charges,6.735914979,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,999999999,,,,7,percent of total billed charges,999999999,,,,7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.32,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.05,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.5,percent of total billed charges,2.374388478,,,,,,,,,,2.5,percent of total billed charges,2.334892141,,,,,,,,,,2.5,percent of total billed charges,2.328403576,,,,,,,,,,2.5,percent of total billed charges,2.294117861,,,,,,,,,,2.5,percent of total billed charges,2.353148886,,,,,,,,,,2.5,percent of total billed charges,999999999,,,,,,,,,,2.5,percent of total billed charges,2.019167453,,,,,,,,,,2.5,percent of total billed charges,3.184366315,,,,,,,,,,2.5,percent of total billed charges,999999999,,,,,,,,,,2.5,percent of total billed charges,2.177156338,,,,,,,,,,9,percent of total billed charges,,,,,
EUCERIN LOTION: 8OZ,637,RC,7214-0063-26,NDC,,both,1,EA,96.9,96.9,20.62845423,96.9,96.9,percent of total billed charges,71.29277244,,,,96.9,percent of total billed charges,75.56892916,,,,96.9,percent of total billed charges,71.29277244,,,,96.9,percent of total billed charges,75.56892916,,,,96.9,percent of total billed charges,999999999,,,,96.9,percent of total billed charges,73.8311401,,,,96.9,percent of total billed charges,71.29277244,,,,96.9,percent of total billed charges,75.56892916,,,,69.0897,percent of total billed charges,34.47702464,,,,69.0897,percent of total billed charges,20.62845423,,,,69.0897,percent of total billed charges,34.47702464,,,,69.0897,percent of total billed charges,20.62845423,,,,69.0897,percent of total billed charges,34.47702464,,,,69.0897,percent of total billed charges,20.62845423,,,,68.4114,percent of total billed charges,67.89234411,,,,68.4114,percent of total billed charges,46.82481161,,,,,,,,,,69.768,percent of total billed charges,45.34755821,,,,,,,,,,69.768,percent of total billed charges,999999999,,,,,,,,,,77.52,percent of total billed charges,64.95773037,,,,76.551,percent of total billed charges,73.87500937,,,,76.551,percent of total billed charges,65.27101615,,,,77.52,percent of total billed charges,999999999,,,,77.52,percent of total billed charges,999999999,,,,67.83,percent of total billed charges,999999999,,,,67.83,percent of total billed charges,999999999,,,,,,,,,,,,,,,,51.5508,percent of total billed charges,999999999,,,,,,,,,,,,,,,,48.9345,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,24.225,percent of total billed charges,23.00782435,,,,,,,,,,24.225,percent of total billed charges,22.62510485,,,,,,,,,,24.225,percent of total billed charges,22.56223065,,,,,,,,,,24.225,percent of total billed charges,22.23000208,,,,,,,,,,24.225,percent of total billed charges,22.80201271,,,,,,,,,,24.225,percent of total billed charges,999999999,,,,,,,,,,24.225,percent of total billed charges,19.56573262,,,,,,,,,,24.225,percent of total billed charges,30.85650959,,,,,,,,,,24.225,percent of total billed charges,999999999,,,,,,,,,,24.225,percent of total billed charges,21.09664491,,,,,,,,,,87.21,percent of total billed charges,,,,,
**VITAMIN B3 (NIACIN TAB) 500 MG,259,RC,0090-4227-60,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
MULTIVITAMIN (OCUVITE) TAB,250,RC,2420-8038-62,NDC,,both,1,EA,0.73,0.73,0.15540528,0.73,0.73,percent of total billed charges,0.537086934,,,,0.73,percent of total billed charges,0.56930153,,,,0.73,percent of total billed charges,0.537086934,,,,0.73,percent of total billed charges,0.56930153,,,,0.73,percent of total billed charges,999999999,,,,0.73,percent of total billed charges,0.556209827,,,,0.73,percent of total billed charges,0.537086934,,,,0.73,percent of total billed charges,0.56930153,,,,0.52049,percent of total billed charges,0.259734035,,,,0.52049,percent of total billed charges,0.15540528,,,,0.52049,percent of total billed charges,0.259734035,,,,0.52049,percent of total billed charges,0.15540528,,,,0.52049,percent of total billed charges,0.259734035,,,,0.52049,percent of total billed charges,0.15540528,,,,0.51538,percent of total billed charges,0.511469672,,,,0.51538,percent of total billed charges,0.352756579,,,,,,,,,,0.5256,percent of total billed charges,0.341627632,,,,,,,,,,0.5256,percent of total billed charges,999999999,,,,,,,,,,0.584,percent of total billed charges,0.489361643,,,,0.5767,percent of total billed charges,0.556540318,,,,0.5767,percent of total billed charges,0.491721793,,,,0.584,percent of total billed charges,999999999,,,,0.584,percent of total billed charges,999999999,,,,0.511,percent of total billed charges,999999999,,,,0.511,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.38836,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.36865,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.1825,percent of total billed charges,0.173330359,,,,,,,,,,0.1825,percent of total billed charges,0.170447126,,,,,,,,,,0.1825,percent of total billed charges,0.169973461,,,,,,,,,,0.1825,percent of total billed charges,0.167470604,,,,,,,,,,0.1825,percent of total billed charges,0.171779869,,,,,,,,,,0.1825,percent of total billed charges,999999999,,,,,,,,,,0.1825,percent of total billed charges,0.147399224,,,,,,,,,,0.1825,percent of total billed charges,0.232458741,,,,,,,,,,0.1825,percent of total billed charges,999999999,,,,,,,,,,0.1825,percent of total billed charges,0.158932413,,,,,,,,,,0.657,percent of total billed charges,,,,,
**BUPIVACAINE 0.75% MPF (SENSORCAINE) 30,250,RC,0018-6103-02,NDC,,both,1,EA,28,28,5.960750449,28,28,percent of total billed charges,20.60059472,,,,28,percent of total billed charges,21.83622308,,,,28,percent of total billed charges,20.60059472,,,,28,percent of total billed charges,21.83622308,,,,28,percent of total billed charges,999999999,,,,28,percent of total billed charges,21.33407557,,,,28,percent of total billed charges,20.60059472,,,,28,percent of total billed charges,21.83622308,,,,19.964,percent of total billed charges,9.962401342,,,,19.964,percent of total billed charges,5.960750449,,,,19.964,percent of total billed charges,9.962401342,,,,19.964,percent of total billed charges,5.960750449,,,,19.964,percent of total billed charges,9.962401342,,,,19.964,percent of total billed charges,5.960750449,,,,19.768,percent of total billed charges,19.61801481,,,,19.768,percent of total billed charges,13.53038932,,,,,,,,,,20.16,percent of total billed charges,13.10352559,,,,,,,,,,20.16,percent of total billed charges,999999999,,,,,,,,,,22.4,percent of total billed charges,18.77003561,,,,22.12,percent of total billed charges,21.34675193,,,,22.12,percent of total billed charges,18.86056194,,,,22.4,percent of total billed charges,999999999,,,,22.4,percent of total billed charges,999999999,,,,19.6,percent of total billed charges,999999999,,,,19.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,14.896,percent of total billed charges,999999999,,,,,,,,,,,,,,,,14.14,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7,percent of total billed charges,6.648287737,,,,,,,,,,7,percent of total billed charges,6.537697995,,,,,,,,,,7,percent of total billed charges,6.519530012,,,,,,,,,,7,percent of total billed charges,6.423530012,,,,,,,,,,7,percent of total billed charges,6.588816882,,,,,,,,,,7,percent of total billed charges,999999999,,,,,,,,,,7,percent of total billed charges,5.65366887,,,,,,,,,,7,percent of total billed charges,8.916225683,,,,,,,,,,7,percent of total billed charges,999999999,,,,,,,,,,7,percent of total billed charges,6.096037745,,,,,,,,,,25.2,percent of total billed charges,,,,,
**E-GUAIFENESIN DEXTHROMETHORPHAN: 4OZ B,250,RC,0012-1063-04,NDC,,both,1,EA,9,9,1.915955502,9,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,9,percent of total billed charges,999999999,,,,9,percent of total billed charges,6.857381434,,,,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.354,percent of total billed charges,6.305790475,,,,6.354,percent of total billed charges,4.34905371,,,,,,,,,,6.48,percent of total billed charges,4.211847512,,,,,,,,,,6.48,percent of total billed charges,999999999,,,,,,,,,,7.2,percent of total billed charges,6.033225731,,,,7.11,percent of total billed charges,6.861455978,,,,7.11,percent of total billed charges,6.062323481,,,,7.2,percent of total billed charges,999999999,,,,7.2,percent of total billed charges,999999999,,,,6.3,percent of total billed charges,999999999,,,,6.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.788,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.545,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.25,percent of total billed charges,2.13694963,,,,,,,,,,2.25,percent of total billed charges,2.101402927,,,,,,,,,,2.25,percent of total billed charges,2.095563218,,,,,,,,,,2.25,percent of total billed charges,2.064706075,,,,,,,,,,2.25,percent of total billed charges,2.117833998,,,,,,,,,,2.25,percent of total billed charges,999999999,,,,,,,,,,2.25,percent of total billed charges,1.817250708,,,,,,,,,,2.25,percent of total billed charges,2.865929684,,,,,,,,,,2.25,percent of total billed charges,999999999,,,,,,,,,,2.25,percent of total billed charges,1.959440704,,,,,,,,,,8.1,percent of total billed charges,,,,,
LIDOCAINE 2GM IN D5W 500ML DRIP,J2002,CDM,0033-8040-03,NDC,,both,1,EA,42.43,42.43,9.03266577,42.43,42.43,percent of total billed charges,31.21725836,,,,42.43,percent of total billed charges,33.08967662,,,,42.43,percent of total billed charges,31.21725836,,,,42.43,percent of total billed charges,33.08967662,,,,42.43,percent of total billed charges,999999999,,,,42.43,percent of total billed charges,32.3287438,,,,42.43,percent of total billed charges,31.21725836,,,,42.43,percent of total billed charges,33.08967662,,,,30.25259,percent of total billed charges,15.09659603,,,,30.25259,percent of total billed charges,9.03266577,,,,30.25259,percent of total billed charges,15.09659603,,,,30.25259,percent of total billed charges,9.03266577,,,,30.25259,percent of total billed charges,15.09659603,,,,30.25259,percent of total billed charges,9.03266577,,,,29.95558,percent of total billed charges,29.72829887,,,,29.95558,percent of total billed charges,20.5033721,,,,,,,,,,30.5496,percent of total billed charges,19.8565211,,,,,,,,,,30.5496,percent of total billed charges,999999999,,,,,,,,,,33.944,percent of total billed charges,28.44330753,,,,33.5197,percent of total billed charges,32.34795302,,,,33.5197,percent of total billed charges,28.58048726,,,,33.944,percent of total billed charges,999999999,,,,33.944,percent of total billed charges,999999999,,,,29.701,percent of total billed charges,999999999,,,,29.701,percent of total billed charges,999999999,,,,,,,,,,,,,,,,22.57276,percent of total billed charges,999999999,,,,,,,,,,,,,,,,21.42715,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10.6075,percent of total billed charges,10.07453031,,,,,,,,,,10.6075,percent of total billed charges,9.906947354,,,,,,,,,,10.6075,percent of total billed charges,9.879416371,,,,,,,,,,10.6075,percent of total billed charges,9.733942086,,,,,,,,,,10.6075,percent of total billed charges,9.984410725,,,,,,,,,,10.6075,percent of total billed charges,999999999,,,,,,,,,,10.6075,percent of total billed charges,8.567327505,,,,,,,,,,10.6075,percent of total billed charges,13.51126628,,,,,,,,,,10.6075,percent of total billed charges,999999999,,,,,,,,,,10.6075,percent of total billed charges,9.237674341,,,,,,,,,,38.187,percent of total billed charges,,,,,
LEVOTHYROXINE (SYNTHROID) 0.112 MG TAB,637,RC,6068-7050-01,NDC,,both,1,EA,1.9,1.9,0.404479495,1.9,1.9,percent of total billed charges,1.397897499,,,,1.9,percent of total billed charges,1.481743709,,,,1.9,percent of total billed charges,1.397897499,,,,1.9,percent of total billed charges,1.481743709,,,,1.9,percent of total billed charges,999999999,,,,1.9,percent of total billed charges,1.447669414,,,,1.9,percent of total billed charges,1.397897499,,,,1.9,percent of total billed charges,1.481743709,,,,1.3547,percent of total billed charges,0.676020091,,,,1.3547,percent of total billed charges,0.404479495,,,,1.3547,percent of total billed charges,0.676020091,,,,1.3547,percent of total billed charges,0.404479495,,,,1.3547,percent of total billed charges,0.676020091,,,,1.3547,percent of total billed charges,0.404479495,,,,1.3414,percent of total billed charges,1.331222434,,,,1.3414,percent of total billed charges,0.918133561,,,,,,,,,,1.368,percent of total billed charges,0.889167808,,,,,,,,,,1.368,percent of total billed charges,999999999,,,,,,,,,,1.52,percent of total billed charges,1.273680988,,,,1.501,percent of total billed charges,1.448529595,,,,1.501,percent of total billed charges,1.279823846,,,,1.52,percent of total billed charges,999999999,,,,1.52,percent of total billed charges,999999999,,,,1.33,percent of total billed charges,999999999,,,,1.33,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.0108,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.9595,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.475,percent of total billed charges,0.451133811,,,,,,,,,,0.475,percent of total billed charges,0.443629507,,,,,,,,,,0.475,percent of total billed charges,0.442396679,,,,,,,,,,0.475,percent of total billed charges,0.435882394,,,,,,,,,,0.475,percent of total billed charges,0.447098288,,,,,,,,,,0.475,percent of total billed charges,999999999,,,,,,,,,,0.475,percent of total billed charges,0.383641816,,,,,,,,,,0.475,percent of total billed charges,0.6050296,,,,,,,,,,0.475,percent of total billed charges,999999999,,,,,,,,,,0.475,percent of total billed charges,0.413659704,,,,,,,,,,1.71,percent of total billed charges,,,,,
PAMIDRONATE: (AREDIA) 30MG VIAL,J2430,CDM,6745-7043-10,NDC,,both,1,EA,156.85,156.85,33.39084671,156.85,156.85,percent of total billed charges,115.4001172,,,,156.85,percent of total billed charges,122.3218425,,,,156.85,percent of total billed charges,115.4001172,,,,156.85,percent of total billed charges,122.3218425,,,,156.85,percent of total billed charges,999999999,,,,156.85,percent of total billed charges,119.5089198,,,,156.85,percent of total billed charges,115.4001172,,,,156.85,percent of total billed charges,122.3218425,,,,111.83405,percent of total billed charges,55.80723752,,,,111.83405,percent of total billed charges,33.39084671,,,,111.83405,percent of total billed charges,55.80723752,,,,111.83405,percent of total billed charges,33.39084671,,,,111.83405,percent of total billed charges,55.80723752,,,,111.83405,percent of total billed charges,33.39084671,,,,110.7361,percent of total billed charges,109.8959151,,,,110.7361,percent of total billed charges,75.79434161,,,,,,,,,,112.932,percent of total billed charges,73.40314247,,,,,,,,,,112.932,percent of total billed charges,999999999,,,,,,,,,,125.48,percent of total billed charges,105.1457173,,,,123.9115,percent of total billed charges,119.57993,,,,123.9115,percent of total billed charges,105.6528265,,,,125.48,percent of total billed charges,999999999,,,,125.48,percent of total billed charges,999999999,,,,109.795,percent of total billed charges,999999999,,,,109.795,percent of total billed charges,999999999,,,,,,,,,,,,,,,,83.4442,percent of total billed charges,999999999,,,,,,,,,,,,,,,,79.20925,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,39.2125,percent of total billed charges,37.24228327,,,,,,,,,,39.2125,percent of total billed charges,36.62278323,,,,,,,,,,39.2125,percent of total billed charges,36.52101008,,,,,,,,,,39.2125,percent of total billed charges,35.98323865,,,,,,,,,,39.2125,percent of total billed charges,36.90914028,,,,,,,,,,39.2125,percent of total billed charges,999999999,,,,,,,,,,39.2125,percent of total billed charges,31.67064151,,,,,,,,,,39.2125,percent of total billed charges,49.94678565,,,,,,,,,,39.2125,percent of total billed charges,999999999,,,,,,,,,,39.2125,percent of total billed charges,34.14869716,,,,,,,,,,141.165,percent of total billed charges,,,,,
WARFARIN (COUMADIN) 1 MG TAB,250,RC,5295-9092-30,NDC,,both,1,EA,0.67,0.67,0.142632243,0.67,0.67,percent of total billed charges,0.492942802,,,,0.67,percent of total billed charges,0.522509624,,,,0.67,percent of total billed charges,0.492942802,,,,0.67,percent of total billed charges,0.522509624,,,,0.67,percent of total billed charges,999999999,,,,0.67,percent of total billed charges,0.510493951,,,,0.67,percent of total billed charges,0.492942802,,,,0.67,percent of total billed charges,0.522509624,,,,0.47771,percent of total billed charges,0.238386032,,,,0.47771,percent of total billed charges,0.142632243,,,,0.47771,percent of total billed charges,0.238386032,,,,0.47771,percent of total billed charges,0.142632243,,,,0.47771,percent of total billed charges,0.238386032,,,,0.47771,percent of total billed charges,0.142632243,,,,0.47302,percent of total billed charges,0.469431069,,,,0.47302,percent of total billed charges,0.323762887,,,,,,,,,,0.4824,percent of total billed charges,0.313548648,,,,,,,,,,0.4824,percent of total billed charges,999999999,,,,,,,,,,0.536,percent of total billed charges,0.449140138,,,,0.5293,percent of total billed charges,0.510797278,,,,0.5293,percent of total billed charges,0.451306304,,,,0.536,percent of total billed charges,999999999,,,,0.536,percent of total billed charges,999999999,,,,0.469,percent of total billed charges,999999999,,,,0.469,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.35644,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.33835,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.1675,percent of total billed charges,0.159084028,,,,,,,,,,0.1675,percent of total billed charges,0.156437773,,,,,,,,,,0.1675,percent of total billed charges,0.15600304,,,,,,,,,,0.1675,percent of total billed charges,0.153705897,,,,,,,,,,0.1675,percent of total billed charges,0.157660975,,,,,,,,,,0.1675,percent of total billed charges,999999999,,,,,,,,,,0.1675,percent of total billed charges,0.135284219,,,,,,,,,,0.1675,percent of total billed charges,0.213352543,,,,,,,,,,0.1675,percent of total billed charges,999999999,,,,,,,,,,0.1675,percent of total billed charges,0.145869475,,,,,,,,,,0.603,percent of total billed charges,,,,,
**ETODOLAC (LODINE) 400MG TAB,259,RC,5167-2401-01,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
chlorproMAZINE (THORAZINE) 50MG/2ML INJ,J3230,CDM,0064-1139-31,NDC,,both,1,EA,303.78,303.78,64.6698847,303.78,303.78,percent of total billed charges,223.501738,,,,303.78,percent of total billed charges,236.9074231,,,,303.78,percent of total billed charges,223.501738,,,,303.78,percent of total billed charges,236.9074231,,,,303.78,percent of total billed charges,999999999,,,,303.78,percent of total billed charges,231.4594813,,,,303.78,percent of total billed charges,223.501738,,,,303.78,percent of total billed charges,236.9074231,,,,216.59514,percent of total billed charges,108.0849386,,,,216.59514,percent of total billed charges,64.6698847,,,,216.59514,percent of total billed charges,108.0849386,,,,216.59514,percent of total billed charges,64.6698847,,,,216.59514,percent of total billed charges,108.0849386,,,,216.59514,percent of total billed charges,64.6698847,,,,214.46868,percent of total billed charges,212.8414478,,,,214.46868,percent of total billed charges,146.7950596,,,,,,,,,,218.7216,percent of total billed charges,142.163893,,,,,,,,,,218.7216,percent of total billed charges,999999999,,,,,,,,,,243.024,percent of total billed charges,203.6414792,,,,239.9862,percent of total billed charges,231.5970108,,,,239.9862,percent of total billed charges,204.6236252,,,,243.024,percent of total billed charges,999999999,,,,243.024,percent of total billed charges,999999999,,,,212.646,percent of total billed charges,999999999,,,,212.646,percent of total billed charges,999999999,,,,,,,,,,,,,,,,161.61096,percent of total billed charges,999999999,,,,,,,,,,,,,,,,153.4089,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,75.945,percent of total billed charges,72.12917317,,,,,,,,,,75.945,percent of total billed charges,70.92935346,,,,,,,,,,75.945,percent of total billed charges,70.73224382,,,,,,,,,,75.945,percent of total billed charges,69.69071239,,,,,,,,,,75.945,percent of total billed charges,71.48395687,,,,,,,,,,75.945,percent of total billed charges,999999999,,,,,,,,,,75.945,percent of total billed charges,61.3382689,,,,,,,,,,75.945,percent of total billed charges,96.73467992,,,,,,,,,,75.945,percent of total billed charges,999999999,,,,,,,,,,75.945,percent of total billed charges,66.13765523,,,,,,,,,,273.402,percent of total billed charges,,,,,
metFORMIN (GLUCOPHAGE) 500MG TAB,637,RC,6068-7015-11,NDC,,both,1,EA,0.5,0.5,0.106441972,0.5,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,999999999,,,,0.5,percent of total billed charges,0.380965635,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.353,percent of total billed charges,0.350321693,,,,0.353,percent of total billed charges,0.241614095,,,,,,,,,,0.36,percent of total billed charges,0.233991528,,,,,,,,,,0.36,percent of total billed charges,999999999,,,,,,,,,,0.4,percent of total billed charges,0.335179207,,,,0.395,percent of total billed charges,0.381191999,,,,0.395,percent of total billed charges,0.336795749,,,,0.4,percent of total billed charges,999999999,,,,0.4,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.266,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.2525,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.125,percent of total billed charges,0.118719424,,,,,,,,,,0.125,percent of total billed charges,0.116744607,,,,,,,,,,0.125,percent of total billed charges,0.116420179,,,,,,,,,,0.125,percent of total billed charges,0.114705893,,,,,,,,,,0.125,percent of total billed charges,0.117657444,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.100958373,,,,,,,,,,0.125,percent of total billed charges,0.159218316,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.108857817,,,,,,,,,,0.45,percent of total billed charges,,,,,
CLINDAMYCIN (CLEOCIN): INJ 600 MG VIAL,258,RC,0000-9077-26,NDC,,both,1,EA,8.41,8.41,1.790353974,8.41,8.41,percent of total billed charges,6.187535771,,,,8.41,percent of total billed charges,6.558665575,,,,8.41,percent of total billed charges,6.187535771,,,,8.41,percent of total billed charges,6.558665575,,,,8.41,percent of total billed charges,999999999,,,,8.41,percent of total billed charges,6.407841984,,,,8.41,percent of total billed charges,6.187535771,,,,8.41,percent of total billed charges,6.558665575,,,,5.99633,percent of total billed charges,2.992278403,,,,5.99633,percent of total billed charges,1.790353974,,,,5.99633,percent of total billed charges,2.992278403,,,,5.99633,percent of total billed charges,1.790353974,,,,5.99633,percent of total billed charges,2.992278403,,,,5.99633,percent of total billed charges,1.790353974,,,,5.93746,percent of total billed charges,5.892410877,,,,5.93746,percent of total billed charges,4.063949078,,,,,,,,,,6.0552,percent of total billed charges,3.935737508,,,,,,,,,,6.0552,percent of total billed charges,999999999,,,,,,,,,,6.728,percent of total billed charges,5.637714267,,,,6.6439,percent of total billed charges,6.41164942,,,,6.6439,percent of total billed charges,5.664904498,,,,6.728,percent of total billed charges,999999999,,,,6.728,percent of total billed charges,999999999,,,,5.887,percent of total billed charges,999999999,,,,5.887,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.47412,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.24705,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.1025,percent of total billed charges,1.99686071,,,,,,,,,,2.1025,percent of total billed charges,1.963644291,,,,,,,,,,2.1025,percent of total billed charges,1.958187407,,,,,,,,,,2.1025,percent of total billed charges,1.929353121,,,,,,,,,,2.1025,percent of total billed charges,1.978998214,,,,,,,,,,2.1025,percent of total billed charges,999999999,,,,,,,,,,2.1025,percent of total billed charges,1.698119828,,,,,,,,,,2.1025,percent of total billed charges,2.678052071,,,,,,,,,,2.1025,percent of total billed charges,999999999,,,,,,,,,,2.1025,percent of total billed charges,1.83098848,,,,,,,,,,7.569,percent of total billed charges,,,,,
**IMMUNE GLOBULIN(VENOGLOBULIN) IV: 10 G,258,RC,4966-9162-01,NDC,,both,1,EA,2033,2033,432.7930594,2033,2033,percent of total billed charges,1495.750324,,,,2033,percent of total billed charges,1585.465769,,,,2033,percent of total billed charges,1495.750324,,,,2033,percent of total billed charges,1585.465769,,,,2033,percent of total billed charges,999999999,,,,2033,percent of total billed charges,1549.006273,,,,2033,percent of total billed charges,1495.750324,,,,2033,percent of total billed charges,1585.465769,,,,1449.529,percent of total billed charges,723.3414974,,,,1449.529,percent of total billed charges,432.7930594,,,,1449.529,percent of total billed charges,723.3414974,,,,1449.529,percent of total billed charges,432.7930594,,,,1449.529,percent of total billed charges,723.3414974,,,,1449.529,percent of total billed charges,432.7930594,,,,1435.298,percent of total billed charges,1424.408004,,,,1435.298,percent of total billed charges,982.4029104,,,,,,,,,,1463.76,percent of total billed charges,951.4095546,,,,,,,,,,1463.76,percent of total billed charges,999999999,,,,,,,,,,1626.4,percent of total billed charges,1362.838657,,,,1606.07,percent of total billed charges,1549.926667,,,,1606.07,percent of total billed charges,1369.411515,,,,1626.4,percent of total billed charges,999999999,,,,1626.4,percent of total billed charges,999999999,,,,1423.1,percent of total billed charges,999999999,,,,1423.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1081.556,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1026.665,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,508.25,percent of total billed charges,482.7131775,,,,,,,,,,508.25,percent of total billed charges,474.6835722,,,,,,,,,,508.25,percent of total billed charges,473.3644469,,,,,,,,,,508.25,percent of total billed charges,466.3941612,,,,,,,,,,508.25,percent of total billed charges,478.3951686,,,,,,,,,,508.25,percent of total billed charges,999999999,,,,,,,,,,508.25,percent of total billed charges,410.4967433,,,,,,,,,,508.25,percent of total billed charges,647.3816719,,,,,,,,,,508.25,percent of total billed charges,999999999,,,,,,,,,,508.25,percent of total billed charges,442.6158834,,,,,,,,,,1829.7,percent of total billed charges,,,,,
metFORMIN (GLUCOPHAGE) 850MG TAB,637,RC,6362-9139-01,NDC,,both,1,EA,0.5,0.5,0.106441972,0.5,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,999999999,,,,0.5,percent of total billed charges,0.380965635,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.353,percent of total billed charges,0.350321693,,,,0.353,percent of total billed charges,0.241614095,,,,,,,,,,0.36,percent of total billed charges,0.233991528,,,,,,,,,,0.36,percent of total billed charges,999999999,,,,,,,,,,0.4,percent of total billed charges,0.335179207,,,,0.395,percent of total billed charges,0.381191999,,,,0.395,percent of total billed charges,0.336795749,,,,0.4,percent of total billed charges,999999999,,,,0.4,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.266,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.2525,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.125,percent of total billed charges,0.118719424,,,,,,,,,,0.125,percent of total billed charges,0.116744607,,,,,,,,,,0.125,percent of total billed charges,0.116420179,,,,,,,,,,0.125,percent of total billed charges,0.114705893,,,,,,,,,,0.125,percent of total billed charges,0.117657444,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.100958373,,,,,,,,,,0.125,percent of total billed charges,0.159218316,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.108857817,,,,,,,,,,0.45,percent of total billed charges,,,,,
**D 30 (DEXTROSE 30%): 500 ML,258,RC,0040-9800-15,NDC,,both,1,EA,72,72,15.32764401,72,72,percent of total billed charges,52.97295785,,,,72,percent of total billed charges,56.15028792,,,,72,percent of total billed charges,52.97295785,,,,72,percent of total billed charges,56.15028792,,,,72,percent of total billed charges,999999999,,,,72,percent of total billed charges,54.85905147,,,,72,percent of total billed charges,52.97295785,,,,72,percent of total billed charges,56.15028792,,,,51.336,percent of total billed charges,25.61760345,,,,51.336,percent of total billed charges,15.32764401,,,,51.336,percent of total billed charges,25.61760345,,,,51.336,percent of total billed charges,15.32764401,,,,51.336,percent of total billed charges,25.61760345,,,,51.336,percent of total billed charges,15.32764401,,,,50.832,percent of total billed charges,50.4463238,,,,50.832,percent of total billed charges,34.79242968,,,,,,,,,,51.84,percent of total billed charges,33.6947801,,,,,,,,,,51.84,percent of total billed charges,999999999,,,,,,,,,,57.6,percent of total billed charges,48.26580585,,,,56.88,percent of total billed charges,54.89164783,,,,56.88,percent of total billed charges,48.49858785,,,,57.6,percent of total billed charges,999999999,,,,57.6,percent of total billed charges,999999999,,,,50.4,percent of total billed charges,999999999,,,,50.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,38.304,percent of total billed charges,999999999,,,,,,,,,,,,,,,,36.36,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18,percent of total billed charges,17.09559704,,,,,,,,,,18,percent of total billed charges,16.81122341,,,,,,,,,,18,percent of total billed charges,16.76450574,,,,,,,,,,18,percent of total billed charges,16.5176486,,,,,,,,,,18,percent of total billed charges,16.94267198,,,,,,,,,,18,percent of total billed charges,999999999,,,,,,,,,,18,percent of total billed charges,14.53800566,,,,,,,,,,18,percent of total billed charges,22.92743747,,,,,,,,,,18,percent of total billed charges,999999999,,,,,,,,,,18,percent of total billed charges,15.67552563,,,,,,,,,,64.8,percent of total billed charges,,,,,
**TORSEMIDE (DEMADEX) INJ 20MG/2ML,J3265,CDM,0051-7077-10,NDC,,both,1,EA,75,75,15.96629585,75,75,percent of total billed charges,55.18016443,,,,75,percent of total billed charges,58.48988325,,,,75,percent of total billed charges,55.18016443,,,,75,percent of total billed charges,58.48988325,,,,75,percent of total billed charges,999999999,,,,75,percent of total billed charges,57.14484528,,,,75,percent of total billed charges,55.18016443,,,,75,percent of total billed charges,58.48988325,,,,53.475,percent of total billed charges,26.68500359,,,,53.475,percent of total billed charges,15.96629585,,,,53.475,percent of total billed charges,26.68500359,,,,53.475,percent of total billed charges,15.96629585,,,,53.475,percent of total billed charges,26.68500359,,,,53.475,percent of total billed charges,15.96629585,,,,52.95,percent of total billed charges,52.54825396,,,,52.95,percent of total billed charges,36.24211425,,,,,,,,,,54,percent of total billed charges,35.09872927,,,,,,,,,,54,percent of total billed charges,999999999,,,,,,,,,,60,percent of total billed charges,50.27688109,,,,59.25,percent of total billed charges,57.17879982,,,,59.25,percent of total billed charges,50.51936235,,,,60,percent of total billed charges,999999999,,,,60,percent of total billed charges,999999999,,,,52.5,percent of total billed charges,999999999,,,,52.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,39.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,37.875,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18.75,percent of total billed charges,17.80791358,,,,,,,,,,18.75,percent of total billed charges,17.51169106,,,,,,,,,,18.75,percent of total billed charges,17.46302682,,,,,,,,,,18.75,percent of total billed charges,17.20588396,,,,,,,,,,18.75,percent of total billed charges,17.64861665,,,,,,,,,,18.75,percent of total billed charges,999999999,,,,,,,,,,18.75,percent of total billed charges,15.1437559,,,,,,,,,,18.75,percent of total billed charges,23.88274736,,,,,,,,,,18.75,percent of total billed charges,999999999,,,,,,,,,,18.75,percent of total billed charges,16.32867253,,,,,,,,,,67.5,percent of total billed charges,,,,,
DIPHENOXYLATE/ATROPINE (LOMOTIL) LIQ,259,RC,0005-4319-46,NDC,,both,1,EA,295.94,295.94,63.00087457,295.94,295.94,percent of total billed charges,217.7335715,,,,295.94,percent of total billed charges,230.7932807,,,,295.94,percent of total billed charges,217.7335715,,,,295.94,percent of total billed charges,230.7932807,,,,295.94,percent of total billed charges,999999999,,,,295.94,percent of total billed charges,225.4859402,,,,295.94,percent of total billed charges,217.7335715,,,,295.94,percent of total billed charges,230.7932807,,,,211.00522,percent of total billed charges,105.2954662,,,,211.00522,percent of total billed charges,63.00087457,,,,211.00522,percent of total billed charges,105.2954662,,,,211.00522,percent of total billed charges,63.00087457,,,,211.00522,percent of total billed charges,105.2954662,,,,211.00522,percent of total billed charges,63.00087457,,,,208.93364,percent of total billed charges,207.3484037,,,,208.93364,percent of total billed charges,143.0065506,,,,,,,,,,213.0768,percent of total billed charges,138.4949059,,,,,,,,,,213.0768,percent of total billed charges,999999999,,,,,,,,,,236.752,percent of total billed charges,198.3858692,,,,233.7926,percent of total billed charges,225.6199202,,,,233.7926,percent of total billed charges,199.3426679,,,,236.752,percent of total billed charges,999999999,,,,236.752,percent of total billed charges,999999999,,,,207.158,percent of total billed charges,999999999,,,,207.158,percent of total billed charges,999999999,,,,,,,,,,,,,,,,157.44008,percent of total billed charges,999999999,,,,,,,,,,,,,,,,149.4497,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,73.985,percent of total billed charges,70.26765261,,,,,,,,,,73.985,percent of total billed charges,69.09879802,,,,,,,,,,73.985,percent of total billed charges,68.90677542,,,,,,,,,,73.985,percent of total billed charges,67.89212399,,,,,,,,,,73.985,percent of total billed charges,69.63908815,,,,,,,,,,73.985,percent of total billed charges,999999999,,,,,,,,,,73.985,percent of total billed charges,59.75524162,,,,,,,,,,73.985,percent of total billed charges,94.23813673,,,,,,,,,,73.985,percent of total billed charges,999999999,,,,,,,,,,73.985,percent of total billed charges,64.43076466,,,,,,,,,,266.346,percent of total billed charges,,,,,
KETOROLAC (TORADOL) 30MG INJ,J1885,CDM,0064-1604-01,NDC,,both,1,EA,20.17,20.17,4.293869163,20.17,20.17,percent of total billed charges,14.83978555,,,,20.17,percent of total billed charges,15.72987927,,,,20.17,percent of total billed charges,14.83978555,,,,20.17,percent of total billed charges,15.72987927,,,,20.17,percent of total billed charges,999999999,,,,20.17,percent of total billed charges,15.36815372,,,,20.17,percent of total billed charges,14.83978555,,,,20.17,percent of total billed charges,15.72987927,,,,14.38121,percent of total billed charges,7.176486967,,,,14.38121,percent of total billed charges,4.293869163,,,,14.38121,percent of total billed charges,7.176486967,,,,14.38121,percent of total billed charges,4.293869163,,,,14.38121,percent of total billed charges,7.176486967,,,,14.38121,percent of total billed charges,4.293869163,,,,14.24002,percent of total billed charges,14.1319771,,,,14.24002,percent of total billed charges,9.746712593,,,,,,,,,,14.5224,percent of total billed charges,9.439218257,,,,,,,,,,14.5224,percent of total billed charges,999999999,,,,,,,,,,16.136,percent of total billed charges,13.52112922,,,,15.9343,percent of total billed charges,15.37728523,,,,15.9343,percent of total billed charges,13.58634051,,,,16.136,percent of total billed charges,999999999,,,,16.136,percent of total billed charges,999999999,,,,14.119,percent of total billed charges,999999999,,,,14.119,percent of total billed charges,999999999,,,,,,,,,,,,,,,,10.73044,percent of total billed charges,999999999,,,,,,,,,,,,,,,,10.18585,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5.0425,percent of total billed charges,4.789141559,,,,,,,,,,5.0425,percent of total billed charges,4.709477448,,,,,,,,,,5.0425,percent of total billed charges,4.696390012,,,,,,,,,,5.0425,percent of total billed charges,4.627235726,,,,,,,,,,5.0425,percent of total billed charges,4.746301304,,,,,,,,,,5.0425,percent of total billed charges,999999999,,,,,,,,,,5.0425,percent of total billed charges,4.072660754,,,,,,,,,,5.0425,percent of total billed charges,6.422866858,,,,,,,,,,5.0425,percent of total billed charges,999999999,,,,,,,,,,5.0425,percent of total billed charges,4.391324333,,,,,,,,,,18.153,percent of total billed charges,,,,,
PROCAINAMIDE MDV 1GM/10ML VIAL,J2690,CDM,0040-9190-01,NDC,,both,1,EA,495.54,495.54,105.4925099,495.54,495.54,percent of total billed charges,364.5863824,,,,495.54,percent of total billed charges,386.4543566,,,,495.54,percent of total billed charges,364.5863824,,,,495.54,percent of total billed charges,386.4543566,,,,495.54,percent of total billed charges,999999999,,,,495.54,percent of total billed charges,377.5674217,,,,495.54,percent of total billed charges,364.5863824,,,,495.54,percent of total billed charges,386.4543566,,,,353.32002,percent of total billed charges,176.3131557,,,,353.32002,percent of total billed charges,105.4925099,,,,353.32002,percent of total billed charges,176.3131557,,,,353.32002,percent of total billed charges,105.4925099,,,,353.32002,percent of total billed charges,176.3131557,,,,353.32002,percent of total billed charges,105.4925099,,,,349.85124,percent of total billed charges,347.1968235,,,,349.85124,percent of total billed charges,239.4588973,,,,,,,,,,356.7888,percent of total billed charges,231.904324,,,,,,,,,,356.7888,percent of total billed charges,999999999,,,,,,,,,,396.432,percent of total billed charges,332.1894088,,,,391.4766,percent of total billed charges,377.7917662,,,,391.4766,percent of total billed charges,333.7915309,,,,396.432,percent of total billed charges,999999999,,,,396.432,percent of total billed charges,999999999,,,,346.878,percent of total billed charges,999999999,,,,346.878,percent of total billed charges,999999999,,,,,,,,,,,,,,,,263.62728,percent of total billed charges,999999999,,,,,,,,,,,,,,,,250.2477,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,123.885,percent of total billed charges,117.6604466,,,,,,,,,,123.885,percent of total billed charges,115.7032452,,,,,,,,,,123.885,percent of total billed charges,115.3817108,,,,,,,,,,123.885,percent of total billed charges,113.6827165,,,,,,,,,,123.885,percent of total billed charges,116.6079399,,,,,,,,,,123.885,percent of total billed charges,999999999,,,,,,,,,,123.885,percent of total billed charges,100.057824,,,,,,,,,,123.885,percent of total billed charges,157.7980884,,,,,,,,,,123.885,percent of total billed charges,999999999,,,,,,,,,,123.885,percent of total billed charges,107.8868052,,,,,,,,,,445.986,percent of total billed charges,,,,,
**TRIAMCINOLONE CREAM: 0.1% 30 GM,259,RC,0016-8000-15,NDC,,both,1,EA,15,15,3.193259169,15,15,percent of total billed charges,11.03603289,,,,15,percent of total billed charges,11.69797665,,,,15,percent of total billed charges,11.03603289,,,,15,percent of total billed charges,11.69797665,,,,15,percent of total billed charges,999999999,,,,15,percent of total billed charges,11.42896906,,,,15,percent of total billed charges,11.03603289,,,,15,percent of total billed charges,11.69797665,,,,10.695,percent of total billed charges,5.337000719,,,,10.695,percent of total billed charges,3.193259169,,,,10.695,percent of total billed charges,5.337000719,,,,10.695,percent of total billed charges,3.193259169,,,,10.695,percent of total billed charges,5.337000719,,,,10.695,percent of total billed charges,3.193259169,,,,10.59,percent of total billed charges,10.50965079,,,,10.59,percent of total billed charges,7.248422851,,,,,,,,,,10.8,percent of total billed charges,7.019745853,,,,,,,,,,10.8,percent of total billed charges,999999999,,,,,,,,,,12,percent of total billed charges,10.05537622,,,,11.85,percent of total billed charges,11.43575996,,,,11.85,percent of total billed charges,10.10387247,,,,12,percent of total billed charges,999999999,,,,12,percent of total billed charges,999999999,,,,10.5,percent of total billed charges,999999999,,,,10.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,7.98,percent of total billed charges,999999999,,,,,,,,,,,,,,,,7.575,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3.75,percent of total billed charges,3.561582716,,,,,,,,,,3.75,percent of total billed charges,3.502338211,,,,,,,,,,3.75,percent of total billed charges,3.492605363,,,,,,,,,,3.75,percent of total billed charges,3.441176792,,,,,,,,,,3.75,percent of total billed charges,3.52972333,,,,,,,,,,3.75,percent of total billed charges,999999999,,,,,,,,,,3.75,percent of total billed charges,3.02875118,,,,,,,,,,3.75,percent of total billed charges,4.776549473,,,,,,,,,,3.75,percent of total billed charges,999999999,,,,,,,,,,3.75,percent of total billed charges,3.265734506,,,,,,,,,,13.5,percent of total billed charges,,,,,
PRAVASTATIN (PRAVACHOL) 20MG TAB,250,RC,5107-9045-20,NDC,,both,1,EA,2.11,2.11,0.449185123,2.11,2.11,percent of total billed charges,1.552401959,,,,2.11,percent of total billed charges,1.645515382,,,,2.11,percent of total billed charges,1.552401959,,,,2.11,percent of total billed charges,1.645515382,,,,2.11,percent of total billed charges,999999999,,,,2.11,percent of total billed charges,1.607674981,,,,2.11,percent of total billed charges,1.552401959,,,,2.11,percent of total billed charges,1.645515382,,,,1.50443,percent of total billed charges,0.750738101,,,,1.50443,percent of total billed charges,0.449185123,,,,1.50443,percent of total billed charges,0.750738101,,,,1.50443,percent of total billed charges,0.449185123,,,,1.50443,percent of total billed charges,0.750738101,,,,1.50443,percent of total billed charges,0.449185123,,,,1.48966,percent of total billed charges,1.478357545,,,,1.48966,percent of total billed charges,1.019611481,,,,,,,,,,1.5192,percent of total billed charges,0.98744425,,,,,,,,,,1.5192,percent of total billed charges,999999999,,,,,,,,,,1.688,percent of total billed charges,1.414456255,,,,1.6669,percent of total billed charges,1.608630235,,,,1.6669,percent of total billed charges,1.421278061,,,,1.688,percent of total billed charges,999999999,,,,1.688,percent of total billed charges,999999999,,,,1.477,percent of total billed charges,999999999,,,,1.477,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.12252,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.06555,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.5275,percent of total billed charges,0.500995969,,,,,,,,,,0.5275,percent of total billed charges,0.492662242,,,,,,,,,,0.5275,percent of total billed charges,0.491293154,,,,,,,,,,0.5275,percent of total billed charges,0.484058869,,,,,,,,,,0.5275,percent of total billed charges,0.496514415,,,,,,,,,,0.5275,percent of total billed charges,999999999,,,,,,,,,,0.5275,percent of total billed charges,0.426044333,,,,,,,,,,0.5275,percent of total billed charges,0.671901293,,,,,,,,,,0.5275,percent of total billed charges,999999999,,,,,,,,,,0.5275,percent of total billed charges,0.459379987,,,,,,,,,,1.899,percent of total billed charges,,,,,
CLARITHROMYCIN (BIAXIN) TABLET 500 MG,259,RC,5107-9067-06,NDC,,both,1,EA,1.98,1.98,0.42151021,1.98,1.98,percent of total billed charges,1.456756341,,,,1.98,percent of total billed charges,1.544132918,,,,1.98,percent of total billed charges,1.456756341,,,,1.98,percent of total billed charges,1.544132918,,,,1.98,percent of total billed charges,999999999,,,,1.98,percent of total billed charges,1.508623915,,,,1.98,percent of total billed charges,1.456756341,,,,1.98,percent of total billed charges,1.544132918,,,,1.41174,percent of total billed charges,0.704484095,,,,1.41174,percent of total billed charges,0.42151021,,,,1.41174,percent of total billed charges,0.704484095,,,,1.41174,percent of total billed charges,0.42151021,,,,1.41174,percent of total billed charges,0.704484095,,,,1.41174,percent of total billed charges,0.42151021,,,,1.39788,percent of total billed charges,1.387273904,,,,1.39788,percent of total billed charges,0.956791816,,,,,,,,,,1.4256,percent of total billed charges,0.926606453,,,,,,,,,,1.4256,percent of total billed charges,999999999,,,,,,,,,,1.584,percent of total billed charges,1.327309661,,,,1.5642,percent of total billed charges,1.509520315,,,,1.5642,percent of total billed charges,1.333711166,,,,1.584,percent of total billed charges,999999999,,,,1.584,percent of total billed charges,999999999,,,,1.386,percent of total billed charges,999999999,,,,1.386,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.05336,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.9999,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.495,percent of total billed charges,0.470128919,,,,,,,,,,0.495,percent of total billed charges,0.462308644,,,,,,,,,,0.495,percent of total billed charges,0.461023908,,,,,,,,,,0.495,percent of total billed charges,0.454235337,,,,,,,,,,0.495,percent of total billed charges,0.46592348,,,,,,,,,,0.495,percent of total billed charges,999999999,,,,,,,,,,0.495,percent of total billed charges,0.399795156,,,,,,,,,,0.495,percent of total billed charges,0.63050453,,,,,,,,,,0.495,percent of total billed charges,999999999,,,,,,,,,,0.495,percent of total billed charges,0.431076955,,,,,,,,,,1.782,percent of total billed charges,,,,,
ZINC  OXIDE OINTMENT 30 GM,637,RC,0016-8006-31,NDC,,both,1,EA,41.84,41.84,8.907064243,41.84,41.84,percent of total billed charges,30.7831744,,,,41.84,percent of total billed charges,32.6295562,,,,41.84,percent of total billed charges,30.7831744,,,,41.84,percent of total billed charges,32.6295562,,,,41.84,percent of total billed charges,999999999,,,,41.84,percent of total billed charges,31.87920435,,,,41.84,percent of total billed charges,30.7831744,,,,41.84,percent of total billed charges,32.6295562,,,,29.83192,percent of total billed charges,14.88667401,,,,29.83192,percent of total billed charges,8.907064243,,,,29.83192,percent of total billed charges,14.88667401,,,,29.83192,percent of total billed charges,8.907064243,,,,29.83192,percent of total billed charges,14.88667401,,,,29.83192,percent of total billed charges,8.907064243,,,,29.53904,percent of total billed charges,29.31491927,,,,29.53904,percent of total billed charges,20.21826747,,,,,,,,,,30.1248,percent of total billed charges,19.5804111,,,,,,,,,,30.1248,percent of total billed charges,999999999,,,,,,,,,,33.472,percent of total billed charges,28.04779607,,,,33.0536,percent of total billed charges,31.89814646,,,,33.0536,percent of total billed charges,28.18306827,,,,33.472,percent of total billed charges,999999999,,,,33.472,percent of total billed charges,999999999,,,,29.288,percent of total billed charges,999999999,,,,29.288,percent of total billed charges,999999999,,,,,,,,,,,,,,,,22.25888,percent of total billed charges,999999999,,,,,,,,,,,,,,,,21.1292,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10.46,percent of total billed charges,9.93444139,,,,,,,,,,10.46,percent of total billed charges,9.769188718,,,,,,,,,,10.46,percent of total billed charges,9.74204056,,,,,,,,,,10.46,percent of total billed charges,9.598589132,,,,,,,,,,10.46,percent of total billed charges,9.845574941,,,,,,,,,,10.46,percent of total billed charges,999999999,,,,,,,,,,10.46,percent of total billed charges,8.448196625,,,,,,,,,,10.46,percent of total billed charges,13.32338866,,,,,,,,,,10.46,percent of total billed charges,999999999,,,,,,,,,,10.46,percent of total billed charges,9.109222117,,,,,,,,,,37.656,percent of total billed charges,,,,,
**ATROPINE  0.4 MG/ML 1ML VIAL,250,RC,0051-7040-25,NDC,,both,1,EA,17,17,3.619027059,17,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,17,percent of total billed charges,999999999,,,,17,percent of total billed charges,12.9528316,,,,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.002,percent of total billed charges,11.91093756,,,,12.002,percent of total billed charges,8.214879231,,,,,,,,,,12.24,percent of total billed charges,7.955711967,,,,,,,,,,12.24,percent of total billed charges,999999999,,,,,,,,,,13.6,percent of total billed charges,11.39609305,,,,13.43,percent of total billed charges,12.96052796,,,,13.43,percent of total billed charges,11.45105547,,,,13.6,percent of total billed charges,999999999,,,,13.6,percent of total billed charges,999999999,,,,11.9,percent of total billed charges,999999999,,,,11.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.044,percent of total billed charges,999999999,,,,,,,,,,,,,,,,8.585,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4.25,percent of total billed charges,4.036460412,,,,,,,,,,4.25,percent of total billed charges,3.96931664,,,,,,,,,,4.25,percent of total billed charges,3.958286079,,,,,,,,,,4.25,percent of total billed charges,3.900000364,,,,,,,,,,4.25,percent of total billed charges,4.000353107,,,,,,,,,,4.25,percent of total billed charges,999999999,,,,,,,,,,4.25,percent of total billed charges,3.432584671,,,,,,,,,,4.25,percent of total billed charges,5.413422736,,,,,,,,,,4.25,percent of total billed charges,999999999,,,,,,,,,,4.25,percent of total billed charges,3.701165774,,,,,,,,,,15.3,percent of total billed charges,,,,,
BUPIVACAINE 0.50% SDV(SENSORCAINE): 30ML,250,RC,0018-6103-01,NDC,,both,1,EA,17.95,17.95,3.821266806,17.95,17.95,percent of total billed charges,13.20645269,,,,17.95,percent of total billed charges,13.99857872,,,,17.95,percent of total billed charges,13.20645269,,,,17.95,percent of total billed charges,13.99857872,,,,17.95,percent of total billed charges,999999999,,,,17.95,percent of total billed charges,13.6766663,,,,17.95,percent of total billed charges,13.20645269,,,,17.95,percent of total billed charges,13.99857872,,,,12.79835,percent of total billed charges,6.38661086,,,,12.79835,percent of total billed charges,3.821266806,,,,12.79835,percent of total billed charges,6.38661086,,,,12.79835,percent of total billed charges,3.821266806,,,,12.79835,percent of total billed charges,6.38661086,,,,12.79835,percent of total billed charges,3.821266806,,,,12.6727,percent of total billed charges,12.57654878,,,,12.6727,percent of total billed charges,8.673946011,,,,,,,,,,12.924,percent of total billed charges,8.400295871,,,,,,,,,,12.924,percent of total billed charges,999999999,,,,,,,,,,14.36,percent of total billed charges,12.03293354,,,,14.1805,percent of total billed charges,13.68479276,,,,14.1805,percent of total billed charges,12.09096739,,,,14.36,percent of total billed charges,999999999,,,,14.36,percent of total billed charges,999999999,,,,12.565,percent of total billed charges,999999999,,,,12.565,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.5494,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.06475,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4.4875,percent of total billed charges,4.262027317,,,,,,,,,,4.4875,percent of total billed charges,4.191131393,,,,,,,,,,4.4875,percent of total billed charges,4.179484418,,,,,,,,,,4.4875,percent of total billed charges,4.117941561,,,,,,,,,,4.4875,percent of total billed charges,4.223902251,,,,,,,,,,4.4875,percent of total billed charges,999999999,,,,,,,,,,4.4875,percent of total billed charges,3.624405579,,,,,,,,,,4.4875,percent of total billed charges,5.715937536,,,,,,,,,,4.4875,percent of total billed charges,999999999,,,,,,,,,,4.4875,percent of total billed charges,3.907995626,,,,,,,,,,16.155,percent of total billed charges,,,,,
HYDROCORTISONE (Solu CORTEF) 100MG INJ,J1720,CDM,0000-9001-04,NDC,,both,1,EA,313.73,313.73,66.78807995,313.73,313.73,percent of total billed charges,230.8223065,,,,313.73,percent of total billed charges,244.667081,,,,313.73,percent of total billed charges,230.8223065,,,,313.73,percent of total billed charges,244.667081,,,,313.73,percent of total billed charges,999999999,,,,313.73,percent of total billed charges,239.0406975,,,,313.73,percent of total billed charges,230.8223065,,,,313.73,percent of total billed charges,244.667081,,,,223.68949,percent of total billed charges,111.625149,,,,223.68949,percent of total billed charges,66.78807995,,,,223.68949,percent of total billed charges,111.625149,,,,223.68949,percent of total billed charges,66.78807995,,,,223.68949,percent of total billed charges,111.625149,,,,223.68949,percent of total billed charges,66.78807995,,,,221.49338,percent of total billed charges,219.8128495,,,,221.49338,percent of total billed charges,151.6031801,,,,,,,,,,225.8856,percent of total billed charges,146.8203244,,,,,,,,,,225.8856,percent of total billed charges,999999999,,,,,,,,,,250.984,percent of total billed charges,210.3115454,,,,247.8467,percent of total billed charges,239.1827316,,,,247.8467,percent of total billed charges,211.3258606,,,,250.984,percent of total billed charges,999999999,,,,250.984,percent of total billed charges,999999999,,,,219.611,percent of total billed charges,999999999,,,,219.611,percent of total billed charges,999999999,,,,,,,,,,,,,,,,166.90436,percent of total billed charges,999999999,,,,,,,,,,,,,,,,158.43365,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,78.4325,percent of total billed charges,74.49168971,,,,,,,,,,78.4325,percent of total billed charges,73.25257114,,,,,,,,,,78.4325,percent of total billed charges,73.04900538,,,,,,,,,,78.4325,percent of total billed charges,71.97335966,,,,,,,,,,78.4325,percent of total billed charges,73.82534002,,,,,,,,,,78.4325,percent of total billed charges,999999999,,,,,,,,,,78.4325,percent of total billed charges,63.34734052,,,,,,,,,,78.4325,percent of total billed charges,99.90312441,,,,,,,,,,78.4325,percent of total billed charges,999999999,,,,,,,,,,78.4325,percent of total billed charges,68.30392578,,,,,,,,,,282.357,percent of total billed charges,,,,,
EPINEPHrine 1:1000 (1MG/ML) PF: 1ML SDV,J0171,CDM,5428-8010-10,NDC,,both,1,EA,153.12,153.12,32.5967896,153.12,153.12,percent of total billed charges,112.6558237,,,,153.12,percent of total billed charges,119.4129456,,,,153.12,percent of total billed charges,112.6558237,,,,153.12,percent of total billed charges,119.4129456,,,,153.12,percent of total billed charges,999999999,,,,153.12,percent of total billed charges,116.6669161,,,,153.12,percent of total billed charges,112.6558237,,,,153.12,percent of total billed charges,119.4129456,,,,109.17456,percent of total billed charges,54.48010334,,,,109.17456,percent of total billed charges,32.5967896,,,,109.17456,percent of total billed charges,54.48010334,,,,109.17456,percent of total billed charges,32.5967896,,,,109.17456,percent of total billed charges,54.48010334,,,,109.17456,percent of total billed charges,32.5967896,,,,108.10272,percent of total billed charges,107.2825153,,,,108.10272,percent of total billed charges,73.99190046,,,,,,,,,,110.2464,percent of total billed charges,71.65756567,,,,,,,,,,110.2464,percent of total billed charges,999999999,,,,,,,,,,122.496,percent of total billed charges,102.6452804,,,,120.9648,percent of total billed charges,116.7362377,,,,120.9648,percent of total billed charges,103.1403302,,,,122.496,percent of total billed charges,999999999,,,,122.496,percent of total billed charges,999999999,,,,107.184,percent of total billed charges,999999999,,,,107.184,percent of total billed charges,999999999,,,,,,,,,,,,,,,,81.45984,percent of total billed charges,999999999,,,,,,,,,,,,,,,,77.3256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,38.28,percent of total billed charges,36.35663637,,,,,,,,,,38.28,percent of total billed charges,35.75186846,,,,,,,,,,38.28,percent of total billed charges,35.65251555,,,,,,,,,,38.28,percent of total billed charges,35.12753269,,,,,,,,,,38.28,percent of total billed charges,36.03141575,,,,,,,,,,38.28,percent of total billed charges,999999999,,,,,,,,,,38.28,percent of total billed charges,30.91749205,,,,,,,,,,38.28,percent of total billed charges,48.75901702,,,,,,,,,,38.28,percent of total billed charges,999999999,,,,,,,,,,38.28,percent of total billed charges,33.33661784,,,,,,,,,,137.808,percent of total billed charges,,,,,
LIDOCAINE 4% TOPICAL (XYLOCAINE) 50ML,637,RC,0005-4350-47,NDC,,both,1,EA,118.61,118.61,25.25016467,118.61,118.61,percent of total billed charges,87.26559071,,,,118.61,percent of total billed charges,92.4998007,,,,118.61,percent of total billed charges,87.26559071,,,,118.61,percent of total billed charges,92.4998007,,,,118.61,percent of total billed charges,999999999,,,,118.61,percent of total billed charges,90.37266799,,,,118.61,percent of total billed charges,87.26559071,,,,118.61,percent of total billed charges,92.4998007,,,,84.56893,percent of total billed charges,42.20144368,,,,84.56893,percent of total billed charges,25.25016467,,,,84.56893,percent of total billed charges,42.20144368,,,,84.56893,percent of total billed charges,25.25016467,,,,84.56893,percent of total billed charges,42.20144368,,,,84.56893,percent of total billed charges,25.25016467,,,,83.73866,percent of total billed charges,83.10331202,,,,83.73866,percent of total billed charges,57.31569562,,,,,,,,,,85.3992,percent of total billed charges,55.50747038,,,,,,,,,,85.3992,percent of total billed charges,999999999,,,,,,,,,,94.888,percent of total billed charges,79.51121156,,,,93.7019,percent of total billed charges,90.42636595,,,,93.7019,percent of total billed charges,79.89468757,,,,94.888,percent of total billed charges,999999999,,,,94.888,percent of total billed charges,999999999,,,,83.027,percent of total billed charges,999999999,,,,83.027,percent of total billed charges,999999999,,,,,,,,,,,,,,,,63.10052,percent of total billed charges,999999999,,,,,,,,,,,,,,,,59.89805,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,29.6525,percent of total billed charges,28.16262173,,,,,,,,,,29.6525,percent of total billed charges,27.69415568,,,,,,,,,,29.6525,percent of total billed charges,27.61719481,,,,,,,,,,29.6525,percent of total billed charges,27.21053195,,,,,,,,,,29.6525,percent of total billed charges,27.91069894,,,,,,,,,,29.6525,percent of total billed charges,999999999,,,,,,,,,,29.6525,percent of total billed charges,23.94934517,,,,,,,,,,29.6525,percent of total billed charges,37.76976886,,,,,,,,,,29.6525,percent of total billed charges,999999999,,,,,,,,,,29.6525,percent of total billed charges,25.82325132,,,,,,,,,,106.749,percent of total billed charges,,,,,
ALTEPLASE (ACTIVASE) 100MG/100ML INJ,J2997,CDM,5024-2008-27,NDC,,both,1,EA,42049.25,42049.25,8951.610208,42049.25,42049.25,percent of total billed charges,30937.12705,,,,42049.25,percent of total billed charges,32792.74298,,,,42049.25,percent of total billed charges,30937.12705,,,,42049.25,percent of total billed charges,32792.74298,,,,42049.25,percent of total billed charges,999999999,,,,42049.25,percent of total billed charges,32038.63847,,,,42049.25,percent of total billed charges,30937.12705,,,,42049.25,percent of total billed charges,32792.74298,,,,29981.11525,percent of total billed charges,14961.12517,,,,29981.11525,percent of total billed charges,8951.610208,,,,29981.11525,percent of total billed charges,14961.12517,,,,29981.11525,percent of total billed charges,8951.610208,,,,29981.11525,percent of total billed charges,14961.12517,,,,29981.11525,percent of total billed charges,8951.610208,,,,29686.7705,percent of total billed charges,29461.5289,,,,29686.7705,percent of total billed charges,20319.38297,,,,,,,,,,30275.46,percent of total billed charges,19678.33655,,,,,,,,,,30275.46,percent of total billed charges,999999999,,,,,,,,,,33639.4,percent of total billed charges,28188.06856,,,,33218.9075,percent of total billed charges,32057.67531,,,,33218.9075,percent of total billed charges,28324.01729,,,,33639.4,percent of total billed charges,999999999,,,,33639.4,percent of total billed charges,999999999,,,,29434.475,percent of total billed charges,999999999,,,,29434.475,percent of total billed charges,999999999,,,,,,,,,,,,,,,,22370.201,percent of total billed charges,999999999,,,,,,,,,,,,,,,,21234.87125,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10512.3125,percent of total billed charges,9984.125469,,,,,,,,,,10512.3125,percent of total billed charges,9818.046336,,,,,,,,,,10512.3125,percent of total billed charges,9790.762405,,,,,,,,,,10512.3125,percent of total billed charges,9646.593548,,,,,,,,,,10512.3125,percent of total billed charges,9894.814581,,,,,,,,,,10512.3125,percent of total billed charges,999999999,,,,,,,,,,10512.3125,percent of total billed charges,8490.447704,,,,,,,,,,10512.3125,percent of total billed charges,13390.02153,,,,,,,,,,10512.3125,percent of total billed charges,999999999,,,,,,,,,,10512.3125,percent of total billed charges,9154.779113,,,,,,,,,,37844.325,percent of total billed charges,,,,,
"BUPivacaine-EPI 0.5%-1:200,000 MPF 10 ML",250,RC,6332-3046-37,NDC,,both,1,EA,95.78,95.78,20.39002422,95.78,95.78,percent of total billed charges,70.46874865,,,,95.78,percent of total billed charges,74.69548024,,,,95.78,percent of total billed charges,70.46874865,,,,95.78,percent of total billed charges,74.69548024,,,,95.78,percent of total billed charges,999999999,,,,95.78,percent of total billed charges,72.97777708,,,,95.78,percent of total billed charges,70.46874865,,,,95.78,percent of total billed charges,74.69548024,,,,68.29114,percent of total billed charges,34.07852859,,,,68.29114,percent of total billed charges,20.39002422,,,,68.29114,percent of total billed charges,34.07852859,,,,68.29114,percent of total billed charges,20.39002422,,,,68.29114,percent of total billed charges,34.07852859,,,,68.29114,percent of total billed charges,20.39002422,,,,67.62068,percent of total billed charges,67.10762352,,,,67.62068,percent of total billed charges,46.28359604,,,,,,,,,,68.9616,percent of total billed charges,44.82341719,,,,,,,,,,68.9616,percent of total billed charges,999999999,,,,,,,,,,76.624,percent of total billed charges,64.20692895,,,,75.6662,percent of total billed charges,73.02113929,,,,75.6662,percent of total billed charges,64.51659367,,,,76.624,percent of total billed charges,999999999,,,,76.624,percent of total billed charges,999999999,,,,67.046,percent of total billed charges,999999999,,,,67.046,percent of total billed charges,999999999,,,,,,,,,,,,,,,,50.95496,percent of total billed charges,999999999,,,,,,,,,,,,,,,,48.3689,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23.945,percent of total billed charges,22.74189284,,,,,,,,,,23.945,percent of total billed charges,22.36359693,,,,,,,,,,23.945,percent of total billed charges,22.30144945,,,,,,,,,,23.945,percent of total billed charges,21.97306088,,,,,,,,,,23.945,percent of total billed charges,22.53846003,,,,,,,,,,23.945,percent of total billed charges,999999999,,,,,,,,,,23.945,percent of total billed charges,19.33958587,,,,,,,,,,23.945,percent of total billed charges,30.49986057,,,,,,,,,,23.945,percent of total billed charges,999999999,,,,,,,,,,23.945,percent of total billed charges,20.8528034,,,,,,,,,,86.202,percent of total billed charges,,,,,
SALIVA SUSTITUTE SOLN 60 ML,637,RC,5093-0009-02,NDC,,both,1,EA,59.06,59.06,12.57292577,59.06,59.06,percent of total billed charges,43.45254015,,,,59.06,percent of total billed charges,46.0588334,,,,59.06,percent of total billed charges,43.45254015,,,,59.06,percent of total billed charges,46.0588334,,,,59.06,percent of total billed charges,999999999,,,,59.06,percent of total billed charges,44.99966083,,,,59.06,percent of total billed charges,43.45254015,,,,59.06,percent of total billed charges,46.0588334,,,,42.10978,percent of total billed charges,21.01355083,,,,42.10978,percent of total billed charges,12.57292577,,,,42.10978,percent of total billed charges,21.01355083,,,,42.10978,percent of total billed charges,12.57292577,,,,42.10978,percent of total billed charges,21.01355083,,,,42.10978,percent of total billed charges,12.57292577,,,,41.69636,percent of total billed charges,41.37999838,,,,41.69636,percent of total billed charges,28.5394569,,,,,,,,,,42.5232,percent of total billed charges,27.63907934,,,,,,,,,,42.5232,percent of total billed charges,999999999,,,,,,,,,,47.248,percent of total billed charges,39.59136797,,,,46.6574,percent of total billed charges,45.0263989,,,,46.6574,percent of total billed charges,39.78231387,,,,47.248,percent of total billed charges,999999999,,,,47.248,percent of total billed charges,999999999,,,,41.342,percent of total billed charges,999999999,,,,41.342,percent of total billed charges,999999999,,,,,,,,,,,,,,,,31.41992,percent of total billed charges,999999999,,,,,,,,,,,,,,,,29.8253,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14.765,percent of total billed charges,14.02313835,,,,,,,,,,14.765,percent of total billed charges,13.78987298,,,,,,,,,,14.765,percent of total billed charges,13.75155152,,,,,,,,,,14.765,percent of total billed charges,13.54906009,,,,,,,,,,14.765,percent of total billed charges,13.89769732,,,,,,,,,,14.765,percent of total billed charges,999999999,,,,,,,,,,14.765,percent of total billed charges,11.92520298,,,,,,,,,,14.765,percent of total billed charges,18.80686746,,,,,,,,,,14.765,percent of total billed charges,999999999,,,,,,,,,,14.765,percent of total billed charges,12.85828533,,,,,,,,,,53.154,percent of total billed charges,,,,,
amLODIPine (NORVASC) 5 MG TAB,250,RC,5107-9045-20,NDC,,both,1,EA,0.5,0.5,0.106441972,0.5,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,999999999,,,,0.5,percent of total billed charges,0.380965635,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.353,percent of total billed charges,0.350321693,,,,0.353,percent of total billed charges,0.241614095,,,,,,,,,,0.36,percent of total billed charges,0.233991528,,,,,,,,,,0.36,percent of total billed charges,999999999,,,,,,,,,,0.4,percent of total billed charges,0.335179207,,,,0.395,percent of total billed charges,0.381191999,,,,0.395,percent of total billed charges,0.336795749,,,,0.4,percent of total billed charges,999999999,,,,0.4,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.266,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.2525,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.125,percent of total billed charges,0.118719424,,,,,,,,,,0.125,percent of total billed charges,0.116744607,,,,,,,,,,0.125,percent of total billed charges,0.116420179,,,,,,,,,,0.125,percent of total billed charges,0.114705893,,,,,,,,,,0.125,percent of total billed charges,0.117657444,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.100958373,,,,,,,,,,0.125,percent of total billed charges,0.159218316,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.108857817,,,,,,,,,,0.45,percent of total billed charges,,,,,
MIOCHOL E SYSTEM PAK : EA,250,RC,2420-8053-20,NDC,,both,1,EA,234.27,234.27,49.87232171,234.27,234.27,percent of total billed charges,172.3607616,,,,234.27,percent of total billed charges,182.6989993,,,,234.27,percent of total billed charges,172.3607616,,,,234.27,percent of total billed charges,182.6989993,,,,234.27,percent of total billed charges,999999999,,,,234.27,percent of total billed charges,178.4976387,,,,234.27,percent of total billed charges,172.3607616,,,,234.27,percent of total billed charges,182.6989993,,,,167.03451,percent of total billed charges,83.35327723,,,,167.03451,percent of total billed charges,49.87232171,,,,167.03451,percent of total billed charges,83.35327723,,,,167.03451,percent of total billed charges,49.87232171,,,,167.03451,percent of total billed charges,83.35327723,,,,167.03451,percent of total billed charges,49.87232171,,,,165.39462,percent of total billed charges,164.1397261,,,,165.39462,percent of total billed charges,113.2058681,,,,,,,,,,168.6744,percent of total billed charges,109.6343907,,,,,,,,,,168.6744,percent of total billed charges,999999999,,,,,,,,,,187.416,percent of total billed charges,157.0448658,,,,185.0733,percent of total billed charges,178.6036991,,,,185.0733,percent of total billed charges,157.8022802,,,,187.416,percent of total billed charges,999999999,,,,187.416,percent of total billed charges,999999999,,,,163.989,percent of total billed charges,999999999,,,,163.989,percent of total billed charges,999999999,,,,,,,,,,,,,,,,124.63164,percent of total billed charges,999999999,,,,,,,,,,,,,,,,118.30635,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,58.5675,percent of total billed charges,55.62479887,,,,,,,,,,58.5675,percent of total billed charges,54.69951819,,,,,,,,,,58.5675,percent of total billed charges,54.54751057,,,,,,,,,,58.5675,percent of total billed charges,53.74429914,,,,,,,,,,58.5675,percent of total billed charges,55.12721896,,,,,,,,,,58.5675,percent of total billed charges,999999999,,,,,,,,,,58.5675,percent of total billed charges,47.30303593,,,,,,,,,,58.5675,percent of total billed charges,74.60014967,,,,,,,,,,58.5675,percent of total billed charges,999999999,,,,,,,,,,58.5675,percent of total billed charges,51.00424152,,,,,,,,,,210.843,percent of total billed charges,,,,,
FLUOROURACIL (EFUDEX) 5% CREAM 40GM,259,RC,0018-7320-47,NDC,,both,1,EA,173.18,173.18,36.86724153,173.18,173.18,percent of total billed charges,127.4146783,,,,173.18,percent of total billed charges,135.0570398,,,,173.18,percent of total billed charges,127.4146783,,,,173.18,percent of total billed charges,135.0570398,,,,173.18,percent of total billed charges,999999999,,,,173.18,percent of total billed charges,131.9512574,,,,173.18,percent of total billed charges,127.4146783,,,,173.18,percent of total billed charges,135.0570398,,,,123.47734,percent of total billed charges,61.6174523,,,,123.47734,percent of total billed charges,36.86724153,,,,123.47734,percent of total billed charges,61.6174523,,,,123.47734,percent of total billed charges,36.86724153,,,,123.47734,percent of total billed charges,61.6174523,,,,123.47734,percent of total billed charges,36.86724153,,,,122.26508,percent of total billed charges,121.3374216,,,,122.26508,percent of total billed charges,83.68545795,,,,,,,,,,124.6896,percent of total billed charges,81.04530579,,,,,,,,,,124.6896,percent of total billed charges,999999999,,,,,,,,,,138.544,percent of total billed charges,116.0926702,,,,136.8122,percent of total billed charges,132.0296607,,,,136.8122,percent of total billed charges,116.6525756,,,,138.544,percent of total billed charges,999999999,,,,138.544,percent of total billed charges,999999999,,,,121.226,percent of total billed charges,999999999,,,,121.226,percent of total billed charges,999999999,,,,,,,,,,,,,,,,92.13176,percent of total billed charges,999999999,,,,,,,,,,,,,,,,87.4559,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,43.295,percent of total billed charges,41.11965966,,,,,,,,,,43.295,percent of total billed charges,40.4356621,,,,,,,,,,43.295,percent of total billed charges,40.32329312,,,,,,,,,,43.295,percent of total billed charges,39.72953312,,,,,,,,,,43.295,percent of total billed charges,40.75183242,,,,,,,,,,43.295,percent of total billed charges,999999999,,,,,,,,,,43.295,percent of total billed charges,34.96794196,,,,,,,,,,43.295,percent of total billed charges,55.14685585,,,,,,,,,,43.295,percent of total billed charges,999999999,,,,,,,,,,43.295,percent of total billed charges,37.70399346,,,,,,,,,,155.862,percent of total billed charges,,,,,
dilTIAZem (CARDIZEM CD) 300MG CAP,637,RC,4733-5067-81,NDC,,both,1,EA,5.88,5.88,1.251757594,5.88,5.88,percent of total billed charges,4.326124891,,,,5.88,percent of total billed charges,4.585606847,,,,5.88,percent of total billed charges,4.326124891,,,,5.88,percent of total billed charges,4.585606847,,,,5.88,percent of total billed charges,999999999,,,,5.88,percent of total billed charges,4.48015587,,,,5.88,percent of total billed charges,4.326124891,,,,5.88,percent of total billed charges,4.585606847,,,,4.19244,percent of total billed charges,2.092104282,,,,4.19244,percent of total billed charges,1.251757594,,,,4.19244,percent of total billed charges,2.092104282,,,,4.19244,percent of total billed charges,1.251757594,,,,4.19244,percent of total billed charges,2.092104282,,,,4.19244,percent of total billed charges,1.251757594,,,,4.15128,percent of total billed charges,4.11978311,,,,4.15128,percent of total billed charges,2.841381757,,,,,,,,,,4.2336,percent of total billed charges,2.751740374,,,,,,,,,,4.2336,percent of total billed charges,999999999,,,,,,,,,,4.704,percent of total billed charges,3.941707478,,,,4.6452,percent of total billed charges,4.482817906,,,,4.6452,percent of total billed charges,3.960718008,,,,4.704,percent of total billed charges,999999999,,,,4.704,percent of total billed charges,999999999,,,,4.116,percent of total billed charges,999999999,,,,4.116,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.12816,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2.9694,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.47,percent of total billed charges,1.396140425,,,,,,,,,,1.47,percent of total billed charges,1.372916579,,,,,,,,,,1.47,percent of total billed charges,1.369101302,,,,,,,,,,1.47,percent of total billed charges,1.348941302,,,,,,,,,,1.47,percent of total billed charges,1.383651545,,,,,,,,,,1.47,percent of total billed charges,999999999,,,,,,,,,,1.47,percent of total billed charges,1.187270463,,,,,,,,,,1.47,percent of total billed charges,1.872407393,,,,,,,,,,1.47,percent of total billed charges,999999999,,,,,,,,,,1.47,percent of total billed charges,1.280167927,,,,,,,,,,5.292,percent of total billed charges,,,,,
ERYTHROMYCIN (ERYPED) 200MG/5ML100ML,259,RC,2433-8013-13,NDC,,both,1,EA,483.21,483.21,102.8676509,483.21,483.21,percent of total billed charges,355.5147634,,,,483.21,percent of total billed charges,376.8386198,,,,483.21,percent of total billed charges,355.5147634,,,,483.21,percent of total billed charges,376.8386198,,,,483.21,percent of total billed charges,999999999,,,,483.21,percent of total billed charges,368.1728092,,,,483.21,percent of total billed charges,355.5147634,,,,483.21,percent of total billed charges,376.8386198,,,,344.52873,percent of total billed charges,171.9261412,,,,344.52873,percent of total billed charges,102.8676509,,,,344.52873,percent of total billed charges,171.9261412,,,,344.52873,percent of total billed charges,102.8676509,,,,344.52873,percent of total billed charges,171.9261412,,,,344.52873,percent of total billed charges,102.8676509,,,,341.14626,percent of total billed charges,338.5578906,,,,341.14626,percent of total billed charges,233.5006937,,,,,,,,,,347.9112,percent of total billed charges,226.1340929,,,,,,,,,,347.9112,percent of total billed charges,999999999,,,,,,,,,,386.568,percent of total billed charges,323.9238895,,,,381.7359,percent of total billed charges,368.3915715,,,,381.7359,percent of total billed charges,325.4861477,,,,386.568,percent of total billed charges,999999999,,,,386.568,percent of total billed charges,999999999,,,,338.247,percent of total billed charges,999999999,,,,338.247,percent of total billed charges,999999999,,,,,,,,,,,,,,,,257.06772,percent of total billed charges,999999999,,,,,,,,,,,,,,,,244.02105,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,120.8025,percent of total billed charges,114.7328256,,,,,,,,,,120.8025,percent of total billed charges,112.8243231,,,,,,,,,,120.8025,percent of total billed charges,112.5107892,,,,,,,,,,120.8025,percent of total billed charges,110.8540692,,,,,,,,,,120.8025,percent of total billed charges,113.7065073,,,,,,,,,,120.8025,percent of total billed charges,999999999,,,,,,,,,,120.8025,percent of total billed charges,97.56819052,,,,,,,,,,120.8025,percent of total billed charges,153.8717647,,,,,,,,,,120.8025,percent of total billed charges,999999999,,,,,,,,,,120.8025,percent of total billed charges,105.2023714,,,,,,,,,,434.889,percent of total billed charges,,,,,
dilTIAZem (CARDIZEM CD) 120MG CAP,637,RC,6068-7019-01,NDC,,both,1,EA,1.75,1.75,0.372546903,1.75,1.75,percent of total billed charges,1.28753717,,,,1.75,percent of total billed charges,1.364763943,,,,1.75,percent of total billed charges,1.28753717,,,,1.75,percent of total billed charges,1.364763943,,,,1.75,percent of total billed charges,999999999,,,,1.75,percent of total billed charges,1.333379723,,,,1.75,percent of total billed charges,1.28753717,,,,1.75,percent of total billed charges,1.364763943,,,,1.24775,percent of total billed charges,0.622650084,,,,1.24775,percent of total billed charges,0.372546903,,,,1.24775,percent of total billed charges,0.622650084,,,,1.24775,percent of total billed charges,0.372546903,,,,1.24775,percent of total billed charges,0.622650084,,,,1.24775,percent of total billed charges,0.372546903,,,,1.2355,percent of total billed charges,1.226125926,,,,1.2355,percent of total billed charges,0.845649333,,,,,,,,,,1.26,percent of total billed charges,0.81897035,,,,,,,,,,1.26,percent of total billed charges,999999999,,,,,,,,,,1.4,percent of total billed charges,1.173127226,,,,1.3825,percent of total billed charges,1.334171996,,,,1.3825,percent of total billed charges,1.178785121,,,,1.4,percent of total billed charges,999999999,,,,1.4,percent of total billed charges,999999999,,,,1.225,percent of total billed charges,999999999,,,,1.225,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.931,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.88375,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.4375,percent of total billed charges,0.415517984,,,,,,,,,,0.4375,percent of total billed charges,0.408606125,,,,,,,,,,0.4375,percent of total billed charges,0.407470626,,,,,,,,,,0.4375,percent of total billed charges,0.401470626,,,,,,,,,,0.4375,percent of total billed charges,0.411801055,,,,,,,,,,0.4375,percent of total billed charges,999999999,,,,,,,,,,0.4375,percent of total billed charges,0.353354304,,,,,,,,,,0.4375,percent of total billed charges,0.557264105,,,,,,,,,,0.4375,percent of total billed charges,999999999,,,,,,,,,,0.4375,percent of total billed charges,0.381002359,,,,,,,,,,1.575,percent of total billed charges,,,,,
FERROUS POLYSACCARIDE (NIFEREX) 150MG,637,RC,5199-1020-11,NDC,,both,1,EA,0.51,0.51,0.108570812,0.51,0.51,percent of total billed charges,0.375225118,,,,0.51,percent of total billed charges,0.397731206,,,,0.51,percent of total billed charges,0.375225118,,,,0.51,percent of total billed charges,0.397731206,,,,0.51,percent of total billed charges,999999999,,,,0.51,percent of total billed charges,0.388584948,,,,0.51,percent of total billed charges,0.375225118,,,,0.51,percent of total billed charges,0.397731206,,,,0.36363,percent of total billed charges,0.181458024,,,,0.36363,percent of total billed charges,0.108570812,,,,0.36363,percent of total billed charges,0.181458024,,,,0.36363,percent of total billed charges,0.108570812,,,,0.36363,percent of total billed charges,0.181458024,,,,0.36363,percent of total billed charges,0.108570812,,,,0.36006,percent of total billed charges,0.357328127,,,,0.36006,percent of total billed charges,0.246446377,,,,,,,,,,0.3672,percent of total billed charges,0.238671359,,,,,,,,,,0.3672,percent of total billed charges,999999999,,,,,,,,,,0.408,percent of total billed charges,0.341882791,,,,0.4029,percent of total billed charges,0.388815839,,,,0.4029,percent of total billed charges,0.343531664,,,,0.408,percent of total billed charges,999999999,,,,0.408,percent of total billed charges,999999999,,,,0.357,percent of total billed charges,999999999,,,,0.357,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.27132,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.25755,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.1275,percent of total billed charges,0.121093812,,,,,,,,,,0.1275,percent of total billed charges,0.119079499,,,,,,,,,,0.1275,percent of total billed charges,0.118748582,,,,,,,,,,0.1275,percent of total billed charges,0.117000011,,,,,,,,,,0.1275,percent of total billed charges,0.120010593,,,,,,,,,,0.1275,percent of total billed charges,999999999,,,,,,,,,,0.1275,percent of total billed charges,0.10297754,,,,,,,,,,0.1275,percent of total billed charges,0.162402682,,,,,,,,,,0.1275,percent of total billed charges,999999999,,,,,,,,,,0.1275,percent of total billed charges,0.111034973,,,,,,,,,,0.459,percent of total billed charges,,,,,
TENECTEPLASE(TNKASE) INJ 50 MG,J3101,CDM,5024-2012-47,NDC,,both,1,EA,44447,44447,9462.052687,44447,44447,percent of total billed charges,32701.23691,,,,44447,percent of total billed charges,34662.66454,,,,44447,percent of total billed charges,32701.23691,,,,44447,percent of total billed charges,34662.66454,,,,44447,percent of total billed charges,999999999,,,,44447,percent of total billed charges,33865.55918,,,,44447,percent of total billed charges,32701.23691,,,,44447,percent of total billed charges,34662.66454,,,,31690.711,percent of total billed charges,15814.24473,,,,31690.711,percent of total billed charges,9462.052687,,,,31690.711,percent of total billed charges,15814.24473,,,,31690.711,percent of total billed charges,9462.052687,,,,31690.711,percent of total billed charges,15814.24473,,,,31690.711,percent of total billed charges,9462.052687,,,,31379.582,percent of total billed charges,31141.49658,,,,31379.582,percent of total billed charges,21478.04336,,,,,,,,,,32001.84,percent of total billed charges,20800.44293,,,,,,,,,,32001.84,percent of total billed charges,999999999,,,,,,,,,,35557.6,percent of total billed charges,29795.42045,,,,35113.13,percent of total billed charges,33885.68154,,,,35113.13,percent of total billed charges,29939.12131,,,,35557.6,percent of total billed charges,999999999,,,,35557.6,percent of total billed charges,999999999,,,,31112.9,percent of total billed charges,999999999,,,,31112.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,23645.804,percent of total billed charges,999999999,,,,,,,,,,,,,,,,22445.735,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11111.75,percent of total billed charges,10553.44447,,,,,,,,,,11111.75,percent of total billed charges,10377.8951,,,,,,,,,,11111.75,percent of total billed charges,10349.05537,,,,,,,,,,11111.75,percent of total billed charges,10196.66566,,,,,,,,,,11111.75,percent of total billed charges,10459.04086,,,,,,,,,,11111.75,percent of total billed charges,999999999,,,,,,,,,,11111.75,percent of total billed charges,8974.59358,,,,,,,,,,11111.75,percent of total billed charges,14153.55296,,,,,,,,,,11111.75,percent of total billed charges,999999999,,,,,,,,,,11111.75,percent of total billed charges,9676.806774,,,,,,,,,,40002.3,percent of total billed charges,,,,,
VANCOMYCIN 250MG: CAP,259,RC,6255-9031-20,NDC,,both,1,EA,24.44,24.44,5.202883607,24.44,24.44,percent of total billed charges,17.98137625,,,,24.44,percent of total billed charges,19.05990329,,,,24.44,percent of total billed charges,17.98137625,,,,24.44,percent of total billed charges,19.05990329,,,,24.44,percent of total billed charges,999999999,,,,24.44,percent of total billed charges,18.62160025,,,,24.44,percent of total billed charges,17.98137625,,,,24.44,percent of total billed charges,19.05990329,,,,17.42572,percent of total billed charges,8.695753171,,,,17.42572,percent of total billed charges,5.202883607,,,,17.42572,percent of total billed charges,8.695753171,,,,17.42572,percent of total billed charges,5.202883607,,,,17.42572,percent of total billed charges,8.695753171,,,,17.42572,percent of total billed charges,5.202883607,,,,17.25464,percent of total billed charges,17.12372436,,,,17.25464,percent of total billed charges,11.81009696,,,,,,,,,,17.5968,percent of total billed charges,11.43750591,,,,,,,,,,17.5968,percent of total billed charges,999999999,,,,,,,,,,19.552,percent of total billed charges,16.38355965,,,,19.3076,percent of total billed charges,18.6326649,,,,19.3076,percent of total billed charges,16.46257621,,,,19.552,percent of total billed charges,999999999,,,,19.552,percent of total billed charges,999999999,,,,17.108,percent of total billed charges,999999999,,,,17.108,percent of total billed charges,999999999,,,,,,,,,,,,,,,,13.00208,percent of total billed charges,999999999,,,,,,,,,,,,,,,,12.3422,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6.11,percent of total billed charges,5.803005439,,,,,,,,,,6.11,percent of total billed charges,5.706476392,,,,,,,,,,6.11,percent of total billed charges,5.690618339,,,,,,,,,,6.11,percent of total billed charges,5.606824053,,,,,,,,,,6.11,percent of total billed charges,5.751095879,,,,,,,,,,6.11,percent of total billed charges,999999999,,,,,,,,,,6.11,percent of total billed charges,4.934845256,,,,,,,,,,6.11,percent of total billed charges,7.782591274,,,,,,,,,,6.11,percent of total billed charges,999999999,,,,,,,,,,6.11,percent of total billed charges,5.320970089,,,,,,,,,,21.996,percent of total billed charges,,,,,
**VERAPAMIL (CALAN SR) 120MG TAB,250,RC,5107-9089-20,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
**MEDROXYPROGESTERONE (PROVERA) 5MG T,259,RC,5976-2374-01,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
cefPROZIL (CEFZIL) SUSP 250MG/5ML 50ML,259,RC,6818-0040-01,NDC,,both,1,EA,72.31,72.31,15.39363804,72.31,72.31,percent of total billed charges,53.20103586,,,,72.31,percent of total billed charges,56.3920461,,,,72.31,percent of total billed charges,53.20103586,,,,72.31,percent of total billed charges,56.3920461,,,,72.31,percent of total billed charges,999999999,,,,72.31,percent of total billed charges,55.09525016,,,,72.31,percent of total billed charges,53.20103586,,,,72.31,percent of total billed charges,56.3920461,,,,51.55703,percent of total billed charges,25.72790147,,,,51.55703,percent of total billed charges,15.39363804,,,,51.55703,percent of total billed charges,25.72790147,,,,51.55703,percent of total billed charges,15.39363804,,,,51.55703,percent of total billed charges,25.72790147,,,,51.55703,percent of total billed charges,15.39363804,,,,51.05086,percent of total billed charges,50.66352325,,,,51.05086,percent of total billed charges,34.94223042,,,,,,,,,,52.0632,percent of total billed charges,33.83985484,,,,,,,,,,52.0632,percent of total billed charges,999999999,,,,,,,,,,57.848,percent of total billed charges,48.47361696,,,,57.1249,percent of total billed charges,55.12798687,,,,57.1249,percent of total billed charges,48.70740122,,,,57.848,percent of total billed charges,999999999,,,,57.848,percent of total billed charges,999999999,,,,50.617,percent of total billed charges,999999999,,,,50.617,percent of total billed charges,999999999,,,,,,,,,,,,,,,,38.46892,percent of total billed charges,999999999,,,,,,,,,,,,,,,,36.51655,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18.0775,percent of total billed charges,17.16920308,,,,,,,,,,18.0775,percent of total billed charges,16.88360507,,,,,,,,,,18.0775,percent of total billed charges,16.83668626,,,,,,,,,,18.0775,percent of total billed charges,16.58876626,,,,,,,,,,18.0775,percent of total billed charges,17.0156196,,,,,,,,,,18.0775,percent of total billed charges,999999999,,,,,,,,,,18.0775,percent of total billed charges,14.60059986,,,,,,,,,,18.0775,percent of total billed charges,23.02615283,,,,,,,,,,18.0775,percent of total billed charges,999999999,,,,,,,,,,18.0775,percent of total billed charges,15.74301748,,,,,,,,,,65.079,percent of total billed charges,,,,,
PARoxetine (PAXIL) 20MG TAB,250,RC,0090-4567-61,NDC,,both,1,EA,0.69,0.69,0.146889922,0.69,0.69,percent of total billed charges,0.507657513,,,,0.69,percent of total billed charges,0.538106926,,,,0.69,percent of total billed charges,0.507657513,,,,0.69,percent of total billed charges,0.538106926,,,,0.69,percent of total billed charges,999999999,,,,0.69,percent of total billed charges,0.525732577,,,,0.69,percent of total billed charges,0.507657513,,,,0.69,percent of total billed charges,0.538106926,,,,0.49197,percent of total billed charges,0.245502033,,,,0.49197,percent of total billed charges,0.146889922,,,,0.49197,percent of total billed charges,0.245502033,,,,0.49197,percent of total billed charges,0.146889922,,,,0.49197,percent of total billed charges,0.245502033,,,,0.49197,percent of total billed charges,0.146889922,,,,0.48714,percent of total billed charges,0.483443936,,,,0.48714,percent of total billed charges,0.333427451,,,,,,,,,,0.4968,percent of total billed charges,0.322908309,,,,,,,,,,0.4968,percent of total billed charges,999999999,,,,,,,,,,0.552,percent of total billed charges,0.462547306,,,,0.5451,percent of total billed charges,0.526044958,,,,0.5451,percent of total billed charges,0.464778134,,,,0.552,percent of total billed charges,999999999,,,,0.552,percent of total billed charges,999999999,,,,0.483,percent of total billed charges,999999999,,,,0.483,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.36708,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.34845,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.1725,percent of total billed charges,0.163832805,,,,,,,,,,0.1725,percent of total billed charges,0.161107558,,,,,,,,,,0.1725,percent of total billed charges,0.160659847,,,,,,,,,,0.1725,percent of total billed charges,0.158294132,,,,,,,,,,0.1725,percent of total billed charges,0.162367273,,,,,,,,,,0.1725,percent of total billed charges,999999999,,,,,,,,,,0.1725,percent of total billed charges,0.139322554,,,,,,,,,,0.1725,percent of total billed charges,0.219721276,,,,,,,,,,0.1725,percent of total billed charges,999999999,,,,,,,,,,0.1725,percent of total billed charges,0.150223787,,,,,,,,,,0.621,percent of total billed charges,,,,,
SUMAtriptan (IMITREX) INJ 6MG,J3030,CDM,0014-3963-05,NDC,,both,1,EA,71.01,71.01,15.11688891,71.01,71.01,percent of total billed charges,52.24457968,,,,71.01,percent of total billed charges,55.37822146,,,,71.01,percent of total billed charges,52.24457968,,,,71.01,percent of total billed charges,55.37822146,,,,71.01,percent of total billed charges,999999999,,,,71.01,percent of total billed charges,54.10473951,,,,71.01,percent of total billed charges,52.24457968,,,,71.01,percent of total billed charges,55.37822146,,,,50.63013,percent of total billed charges,25.2653614,,,,50.63013,percent of total billed charges,15.11688891,,,,50.63013,percent of total billed charges,25.2653614,,,,50.63013,percent of total billed charges,15.11688891,,,,50.63013,percent of total billed charges,25.2653614,,,,50.63013,percent of total billed charges,15.11688891,,,,50.13306,percent of total billed charges,49.75268684,,,,50.13306,percent of total billed charges,34.31403377,,,,,,,,,,51.1272,percent of total billed charges,33.23147687,,,,,,,,,,51.1272,percent of total billed charges,999999999,,,,,,,,,,56.808,percent of total billed charges,47.60215102,,,,56.0979,percent of total billed charges,54.13688767,,,,56.0979,percent of total billed charges,47.83173227,,,,56.808,percent of total billed charges,999999999,,,,56.808,percent of total billed charges,999999999,,,,49.707,percent of total billed charges,999999999,,,,49.707,percent of total billed charges,999999999,,,,,,,,,,,,,,,,37.77732,percent of total billed charges,999999999,,,,,,,,,,,,,,,,35.86005,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17.7525,percent of total billed charges,16.86053258,,,,,,,,,,17.7525,percent of total billed charges,16.58006909,,,,,,,,,,17.7525,percent of total billed charges,16.53399379,,,,,,,,,,17.7525,percent of total billed charges,16.29053093,,,,,,,,,,17.7525,percent of total billed charges,16.70971024,,,,,,,,,,17.7525,percent of total billed charges,999999999,,,,,,,,,,17.7525,percent of total billed charges,14.33810809,,,,,,,,,,17.7525,percent of total billed charges,22.6121852,,,,,,,,,,17.7525,percent of total billed charges,999999999,,,,,,,,,,17.7525,percent of total billed charges,15.45998715,,,,,,,,,,63.909,percent of total billed charges,,,,,
**IRON DEXTRAN (INFED) INJ 100MG/2ML,J1751,CDM,0051-7023-10,NDC,,both,1,EA,198,198,42.15102104,198,198,percent of total billed charges,145.6756341,,,,198,percent of total billed charges,154.4132918,,,,198,percent of total billed charges,145.6756341,,,,198,percent of total billed charges,154.4132918,,,,198,percent of total billed charges,999999999,,,,198,percent of total billed charges,150.8623915,,,,198,percent of total billed charges,145.6756341,,,,198,percent of total billed charges,154.4132918,,,,141.174,percent of total billed charges,70.44840949,,,,141.174,percent of total billed charges,42.15102104,,,,141.174,percent of total billed charges,70.44840949,,,,141.174,percent of total billed charges,42.15102104,,,,141.174,percent of total billed charges,70.44840949,,,,141.174,percent of total billed charges,42.15102104,,,,139.788,percent of total billed charges,138.7273904,,,,139.788,percent of total billed charges,95.67918163,,,,,,,,,,142.56,percent of total billed charges,92.66064526,,,,,,,,,,142.56,percent of total billed charges,999999999,,,,,,,,,,158.4,percent of total billed charges,132.7309661,,,,156.42,percent of total billed charges,150.9520315,,,,156.42,percent of total billed charges,133.3711166,,,,158.4,percent of total billed charges,999999999,,,,158.4,percent of total billed charges,999999999,,,,138.6,percent of total billed charges,999999999,,,,138.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,105.336,percent of total billed charges,999999999,,,,,,,,,,,,,,,,99.99,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,49.5,percent of total billed charges,47.01289186,,,,,,,,,,49.5,percent of total billed charges,46.23086439,,,,,,,,,,49.5,percent of total billed charges,46.1023908,,,,,,,,,,49.5,percent of total billed charges,45.42353365,,,,,,,,,,49.5,percent of total billed charges,46.59234795,,,,,,,,,,49.5,percent of total billed charges,999999999,,,,,,,,,,49.5,percent of total billed charges,39.97951558,,,,,,,,,,49.5,percent of total billed charges,63.05045304,,,,,,,,,,49.5,percent of total billed charges,999999999,,,,,,,,,,49.5,percent of total billed charges,43.10769549,,,,,,,,,,178.2,percent of total billed charges,,,,,
MILRINONE:    (PRIMACOR) 20MG/100ML IVPB,J2260,CDM,0033-8601-48,NDC,,both,1,EA,207.98,207.98,44.2756028,207.98,207.98,percent of total billed charges,153.0182746,,,,207.98,percent of total billed charges,162.1963456,,,,207.98,percent of total billed charges,153.0182746,,,,207.98,percent of total billed charges,162.1963456,,,,207.98,percent of total billed charges,999999999,,,,207.98,percent of total billed charges,158.4664656,,,,207.98,percent of total billed charges,153.0182746,,,,207.98,percent of total billed charges,162.1963456,,,,148.28974,percent of total billed charges,73.99929397,,,,148.28974,percent of total billed charges,44.2756028,,,,148.28974,percent of total billed charges,73.99929397,,,,148.28974,percent of total billed charges,44.2756028,,,,148.28974,percent of total billed charges,73.99929397,,,,148.28974,percent of total billed charges,44.2756028,,,,146.83388,percent of total billed charges,145.7198114,,,,146.83388,percent of total billed charges,100.501799,,,,,,,,,,149.7456,percent of total billed charges,97.33111617,,,,,,,,,,149.7456,percent of total billed charges,999999999,,,,,,,,,,166.384,percent of total billed charges,139.4211431,,,,164.3042,percent of total billed charges,158.5606238,,,,164.3042,percent of total billed charges,140.0935597,,,,166.384,percent of total billed charges,999999999,,,,166.384,percent of total billed charges,999999999,,,,145.586,percent of total billed charges,999999999,,,,145.586,percent of total billed charges,999999999,,,,,,,,,,,,,,,,110.64536,percent of total billed charges,999999999,,,,,,,,,,,,,,,,105.0299,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,51.995,percent of total billed charges,49.38253156,,,,,,,,,,51.995,percent of total billed charges,48.56108675,,,,,,,,,,51.995,percent of total billed charges,48.42613757,,,,,,,,,,51.995,percent of total billed charges,47.71306328,,,,,,,,,,51.995,percent of total billed charges,48.94079054,,,,,,,,,,51.995,percent of total billed charges,999999999,,,,,,,,,,51.995,percent of total billed charges,41.9946447,,,,,,,,,,51.995,percent of total billed charges,66.22845062,,,,,,,,,,51.995,percent of total billed charges,999999999,,,,,,,,,,51.995,percent of total billed charges,45.28049751,,,,,,,,,,187.182,percent of total billed charges,,,,,
PSYLLIUM (METAMUCIL) 3.4 GM PACKET,637,RC,3700-0002-04,NDC,,both,1,EA,1.53,1.53,0.325712435,1.53,1.53,percent of total billed charges,1.125675354,,,,1.53,percent of total billed charges,1.193193618,,,,1.53,percent of total billed charges,1.125675354,,,,1.53,percent of total billed charges,1.193193618,,,,1.53,percent of total billed charges,999999999,,,,1.53,percent of total billed charges,1.165754844,,,,1.53,percent of total billed charges,1.125675354,,,,1.53,percent of total billed charges,1.193193618,,,,1.09089,percent of total billed charges,0.544374073,,,,1.09089,percent of total billed charges,0.325712435,,,,1.09089,percent of total billed charges,0.544374073,,,,1.09089,percent of total billed charges,0.325712435,,,,1.09089,percent of total billed charges,0.544374073,,,,1.09089,percent of total billed charges,0.325712435,,,,1.08018,percent of total billed charges,1.071984381,,,,1.08018,percent of total billed charges,0.739339131,,,,,,,,,,1.1016,percent of total billed charges,0.716014077,,,,,,,,,,1.1016,percent of total billed charges,999999999,,,,,,,,,,1.224,percent of total billed charges,1.025648374,,,,1.2087,percent of total billed charges,1.166447516,,,,1.2087,percent of total billed charges,1.030594992,,,,1.224,percent of total billed charges,999999999,,,,1.224,percent of total billed charges,999999999,,,,1.071,percent of total billed charges,999999999,,,,1.071,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.81396,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.77265,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.3825,percent of total billed charges,0.363281437,,,,,,,,,,0.3825,percent of total billed charges,0.357238498,,,,,,,,,,0.3825,percent of total billed charges,0.356245747,,,,,,,,,,0.3825,percent of total billed charges,0.351000033,,,,,,,,,,0.3825,percent of total billed charges,0.36003178,,,,,,,,,,0.3825,percent of total billed charges,999999999,,,,,,,,,,0.3825,percent of total billed charges,0.30893262,,,,,,,,,,0.3825,percent of total billed charges,0.487208046,,,,,,,,,,0.3825,percent of total billed charges,999999999,,,,,,,,,,0.3825,percent of total billed charges,0.33310492,,,,,,,,,,1.377,percent of total billed charges,,,,,
**ONDANSETRON (ZOFRAN) 4 MG TAB,J8597,CDM,0009-3730-65,NDC,,both,1,EA,421,421,89.62414069,421,421,percent of total billed charges,309.7446563,,,,421,percent of total billed charges,328.3232113,,,,421,percent of total billed charges,309.7446563,,,,421,percent of total billed charges,328.3232113,,,,421,percent of total billed charges,999999999,,,,421,percent of total billed charges,320.7730648,,,,421,percent of total billed charges,309.7446563,,,,421,percent of total billed charges,328.3232113,,,,300.173,percent of total billed charges,149.7918202,,,,300.173,percent of total billed charges,89.62414069,,,,300.173,percent of total billed charges,149.7918202,,,,300.173,percent of total billed charges,89.62414069,,,,300.173,percent of total billed charges,149.7918202,,,,300.173,percent of total billed charges,89.62414069,,,,297.226,percent of total billed charges,294.9708655,,,,297.226,percent of total billed charges,203.439068,,,,,,,,,,303.12,percent of total billed charges,197.0208669,,,,,,,,,,303.12,percent of total billed charges,999999999,,,,,,,,,,336.8,percent of total billed charges,282.2208925,,,,332.59,percent of total billed charges,320.963663,,,,332.59,percent of total billed charges,283.5820206,,,,336.8,percent of total billed charges,999999999,,,,336.8,percent of total billed charges,999999999,,,,294.7,percent of total billed charges,999999999,,,,294.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,223.972,percent of total billed charges,999999999,,,,,,,,,,,,,,,,212.605,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,105.25,percent of total billed charges,99.96175491,,,,,,,,,,105.25,percent of total billed charges,98.29895913,,,,,,,,,,105.25,percent of total billed charges,98.02579053,,,,,,,,,,105.25,percent of total billed charges,96.58236196,,,,,,,,,,105.25,percent of total billed charges,99.06756812,,,,,,,,,,105.25,percent of total billed charges,999999999,,,,,,,,,,105.25,percent of total billed charges,85.00694979,,,,,,,,,,105.25,percent of total billed charges,134.0618219,,,,,,,,,,105.25,percent of total billed charges,999999999,,,,,,,,,,105.25,percent of total billed charges,91.65828182,,,,,,,,,,378.9,percent of total billed charges,,,,,
**PERMETHRIN (ELIMITE) CREAM 5%,259,RC,0047-2024-60,NDC,,both,1,EA,206,206,43.85409259,206,206,percent of total billed charges,151.5615183,,,,206,percent of total billed charges,160.6522127,,,,206,percent of total billed charges,151.5615183,,,,206,percent of total billed charges,160.6522127,,,,206,percent of total billed charges,999999999,,,,206,percent of total billed charges,156.9578417,,,,206,percent of total billed charges,151.5615183,,,,206,percent of total billed charges,160.6522127,,,,146.878,percent of total billed charges,73.29480987,,,,146.878,percent of total billed charges,43.85409259,,,,146.878,percent of total billed charges,73.29480987,,,,146.878,percent of total billed charges,43.85409259,,,,146.878,percent of total billed charges,73.29480987,,,,146.878,percent of total billed charges,43.85409259,,,,145.436,percent of total billed charges,144.3325375,,,,145.436,percent of total billed charges,99.54500715,,,,,,,,,,148.32,percent of total billed charges,96.40450972,,,,,,,,,,148.32,percent of total billed charges,999999999,,,,,,,,,,164.8,percent of total billed charges,138.0938334,,,,162.74,percent of total billed charges,157.0511035,,,,162.74,percent of total billed charges,138.7598486,,,,164.8,percent of total billed charges,999999999,,,,164.8,percent of total billed charges,999999999,,,,144.2,percent of total billed charges,999999999,,,,144.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,109.592,percent of total billed charges,999999999,,,,,,,,,,,,,,,,104.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,51.5,percent of total billed charges,48.91240264,,,,,,,,,,51.5,percent of total billed charges,48.0987781,,,,,,,,,,51.5,percent of total billed charges,47.96511366,,,,,,,,,,51.5,percent of total billed charges,47.25882794,,,,,,,,,,51.5,percent of total billed charges,48.47486706,,,,,,,,,,51.5,percent of total billed charges,999999999,,,,,,,,,,51.5,percent of total billed charges,41.59484954,,,,,,,,,,51.5,percent of total billed charges,65.59794609,,,,,,,,,,51.5,percent of total billed charges,999999999,,,,,,,,,,51.5,percent of total billed charges,44.84942056,,,,,,,,,,185.4,percent of total billed charges,,,,,
**E-TRIAMINIC COUGH & COLD:  4OZ BOTTLE,250,RC,0006-7634-04,NDC,,both,1,EA,9,9,1.915955502,9,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,9,percent of total billed charges,999999999,,,,9,percent of total billed charges,6.857381434,,,,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.354,percent of total billed charges,6.305790475,,,,6.354,percent of total billed charges,4.34905371,,,,,,,,,,6.48,percent of total billed charges,4.211847512,,,,,,,,,,6.48,percent of total billed charges,999999999,,,,,,,,,,7.2,percent of total billed charges,6.033225731,,,,7.11,percent of total billed charges,6.861455978,,,,7.11,percent of total billed charges,6.062323481,,,,7.2,percent of total billed charges,999999999,,,,7.2,percent of total billed charges,999999999,,,,6.3,percent of total billed charges,999999999,,,,6.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.788,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.545,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.25,percent of total billed charges,2.13694963,,,,,,,,,,2.25,percent of total billed charges,2.101402927,,,,,,,,,,2.25,percent of total billed charges,2.095563218,,,,,,,,,,2.25,percent of total billed charges,2.064706075,,,,,,,,,,2.25,percent of total billed charges,2.117833998,,,,,,,,,,2.25,percent of total billed charges,999999999,,,,,,,,,,2.25,percent of total billed charges,1.817250708,,,,,,,,,,2.25,percent of total billed charges,2.865929684,,,,,,,,,,2.25,percent of total billed charges,999999999,,,,,,,,,,2.25,percent of total billed charges,1.959440704,,,,,,,,,,8.1,percent of total billed charges,,,,,
**VITAMIN E 1000 UNIT: CAPSULE,259,RC,1169-4095-01,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
**MULTIVITAMIN W/MINERALS (THERAGRAN-M),250,RC,0018-2451-89,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
MIDAZOLAM (VERSED) INJ 2MG/2ML,J2250,CDM,0040-9230-17,NDC,,both,1,EA,12.9,12.9,2.746202886,12.9,12.9,percent of total billed charges,9.490988282,,,,12.9,percent of total billed charges,10.06025992,,,,12.9,percent of total billed charges,9.490988282,,,,12.9,percent of total billed charges,10.06025992,,,,12.9,percent of total billed charges,999999999,,,,12.9,percent of total billed charges,9.828913388,,,,12.9,percent of total billed charges,9.490988282,,,,12.9,percent of total billed charges,10.06025992,,,,9.1977,percent of total billed charges,4.589820618,,,,9.1977,percent of total billed charges,2.746202886,,,,9.1977,percent of total billed charges,4.589820618,,,,9.1977,percent of total billed charges,2.746202886,,,,9.1977,percent of total billed charges,4.589820618,,,,9.1977,percent of total billed charges,2.746202886,,,,9.1074,percent of total billed charges,9.03829968,,,,9.1074,percent of total billed charges,6.233643652,,,,,,,,,,9.288,percent of total billed charges,6.036981434,,,,,,,,,,9.288,percent of total billed charges,999999999,,,,,,,,,,10.32,percent of total billed charges,8.647623548,,,,10.191,percent of total billed charges,9.834753569,,,,10.191,percent of total billed charges,8.689330323,,,,10.32,percent of total billed charges,999999999,,,,10.32,percent of total billed charges,999999999,,,,9.03,percent of total billed charges,999999999,,,,9.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.8628,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.5145,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3.225,percent of total billed charges,3.062961136,,,,,,,,,,3.225,percent of total billed charges,3.012010862,,,,,,,,,,3.225,percent of total billed charges,3.003640613,,,,,,,,,,3.225,percent of total billed charges,2.959412041,,,,,,,,,,3.225,percent of total billed charges,3.035562064,,,,,,,,,,3.225,percent of total billed charges,999999999,,,,,,,,,,3.225,percent of total billed charges,2.604726015,,,,,,,,,,3.225,percent of total billed charges,4.107832547,,,,,,,,,,3.225,percent of total billed charges,999999999,,,,,,,,,,3.225,percent of total billed charges,2.808531676,,,,,,,,,,11.61,percent of total billed charges,,,,,
QUINAPRIL (ACCUpril) 10 MG TAB,637,RC,5976-2502-01,NDC,,both,1,EA,0.5,0.5,0.106441972,0.5,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,999999999,,,,0.5,percent of total billed charges,0.380965635,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.353,percent of total billed charges,0.350321693,,,,0.353,percent of total billed charges,0.241614095,,,,,,,,,,0.36,percent of total billed charges,0.233991528,,,,,,,,,,0.36,percent of total billed charges,999999999,,,,,,,,,,0.4,percent of total billed charges,0.335179207,,,,0.395,percent of total billed charges,0.381191999,,,,0.395,percent of total billed charges,0.336795749,,,,0.4,percent of total billed charges,999999999,,,,0.4,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.266,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.2525,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.125,percent of total billed charges,0.118719424,,,,,,,,,,0.125,percent of total billed charges,0.116744607,,,,,,,,,,0.125,percent of total billed charges,0.116420179,,,,,,,,,,0.125,percent of total billed charges,0.114705893,,,,,,,,,,0.125,percent of total billed charges,0.117657444,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.100958373,,,,,,,,,,0.125,percent of total billed charges,0.159218316,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.108857817,,,,,,,,,,0.45,percent of total billed charges,,,,,
ZYPREXA (OLANZAPINE) 10MG: TAB,259,RC,0000-2411-33,NDC,,both,1,EA,2.31,2.31,0.491761912,2.31,2.31,percent of total billed charges,1.699549064,,,,2.31,percent of total billed charges,1.801488404,,,,2.31,percent of total billed charges,1.699549064,,,,2.31,percent of total billed charges,1.801488404,,,,2.31,percent of total billed charges,999999999,,,,2.31,percent of total billed charges,1.760061235,,,,2.31,percent of total billed charges,1.699549064,,,,2.31,percent of total billed charges,1.801488404,,,,1.64703,percent of total billed charges,0.821898111,,,,1.64703,percent of total billed charges,0.491761912,,,,1.64703,percent of total billed charges,0.821898111,,,,1.64703,percent of total billed charges,0.491761912,,,,1.64703,percent of total billed charges,0.821898111,,,,1.64703,percent of total billed charges,0.491761912,,,,1.63086,percent of total billed charges,1.618486222,,,,1.63086,percent of total billed charges,1.116257119,,,,,,,,,,1.6632,percent of total billed charges,1.081040861,,,,,,,,,,1.6632,percent of total billed charges,999999999,,,,,,,,,,1.848,percent of total billed charges,1.548527938,,,,1.8249,percent of total billed charges,1.761107034,,,,1.8249,percent of total billed charges,1.55599636,,,,1.848,percent of total billed charges,999999999,,,,1.848,percent of total billed charges,999999999,,,,1.617,percent of total billed charges,999999999,,,,1.617,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.22892,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.16655,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.5775,percent of total billed charges,0.548483738,,,,,,,,,,0.5775,percent of total billed charges,0.539360085,,,,,,,,,,0.5775,percent of total billed charges,0.537861226,,,,,,,,,,0.5775,percent of total billed charges,0.529941226,,,,,,,,,,0.5775,percent of total billed charges,0.543577393,,,,,,,,,,0.5775,percent of total billed charges,999999999,,,,,,,,,,0.5775,percent of total billed charges,0.466427682,,,,,,,,,,0.5775,percent of total billed charges,0.735588619,,,,,,,,,,0.5775,percent of total billed charges,999999999,,,,,,,,,,0.5775,percent of total billed charges,0.502923114,,,,,,,,,,2.079,percent of total billed charges,,,,,
SIMPLE(CHERRY) SYRUP: 1OZ,250,RC,0039-5266-16,NDC,,both,1,EA,5,5,1.064419723,5,5,percent of total billed charges,3.678677629,,,,5,percent of total billed charges,3.89932555,,,,5,percent of total billed charges,3.678677629,,,,5,percent of total billed charges,3.89932555,,,,5,percent of total billed charges,999999999,,,,5,percent of total billed charges,3.809656352,,,,5,percent of total billed charges,3.678677629,,,,5,percent of total billed charges,3.89932555,,,,3.565,percent of total billed charges,1.77900024,,,,3.565,percent of total billed charges,1.064419723,,,,3.565,percent of total billed charges,1.77900024,,,,3.565,percent of total billed charges,1.064419723,,,,3.565,percent of total billed charges,1.77900024,,,,3.565,percent of total billed charges,1.064419723,,,,3.53,percent of total billed charges,3.50321693,,,,3.53,percent of total billed charges,2.41614095,,,,,,,,,,3.6,percent of total billed charges,2.339915284,,,,,,,,,,3.6,percent of total billed charges,999999999,,,,,,,,,,4,percent of total billed charges,3.351792073,,,,3.95,percent of total billed charges,3.811919988,,,,3.95,percent of total billed charges,3.36795749,,,,4,percent of total billed charges,999999999,,,,4,percent of total billed charges,999999999,,,,3.5,percent of total billed charges,999999999,,,,3.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2.66,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2.525,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.25,percent of total billed charges,1.187194239,,,,,,,,,,1.25,percent of total billed charges,1.16744607,,,,,,,,,,1.25,percent of total billed charges,1.164201788,,,,,,,,,,1.25,percent of total billed charges,1.147058931,,,,,,,,,,1.25,percent of total billed charges,1.176574443,,,,,,,,,,1.25,percent of total billed charges,999999999,,,,,,,,,,1.25,percent of total billed charges,1.009583727,,,,,,,,,,1.25,percent of total billed charges,1.592183158,,,,,,,,,,1.25,percent of total billed charges,999999999,,,,,,,,,,1.25,percent of total billed charges,1.088578169,,,,,,,,,,4.5,percent of total billed charges,,,,,
VENLAFAXINE ER (EFFEXOR XR) 37.5 MG CAP,637,RC,5107-9048-20,NDC,,both,1,EA,1.27,1.27,0.27036261,1.27,1.27,percent of total billed charges,0.934384118,,,,1.27,percent of total billed charges,0.99042869,,,,1.27,percent of total billed charges,0.934384118,,,,1.27,percent of total billed charges,0.99042869,,,,1.27,percent of total billed charges,999999999,,,,1.27,percent of total billed charges,0.967652713,,,,1.27,percent of total billed charges,0.934384118,,,,1.27,percent of total billed charges,0.99042869,,,,0.90551,percent of total billed charges,0.451866061,,,,0.90551,percent of total billed charges,0.27036261,,,,0.90551,percent of total billed charges,0.451866061,,,,0.90551,percent of total billed charges,0.27036261,,,,0.90551,percent of total billed charges,0.451866061,,,,0.90551,percent of total billed charges,0.27036261,,,,0.89662,percent of total billed charges,0.8898171,,,,0.89662,percent of total billed charges,0.613699801,,,,,,,,,,0.9144,percent of total billed charges,0.594338482,,,,,,,,,,0.9144,percent of total billed charges,999999999,,,,,,,,,,1.016,percent of total billed charges,0.851355187,,,,1.0033,percent of total billed charges,0.968227677,,,,1.0033,percent of total billed charges,0.855461202,,,,1.016,percent of total billed charges,999999999,,,,1.016,percent of total billed charges,999999999,,,,0.889,percent of total billed charges,999999999,,,,0.889,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.67564,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.64135,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.3175,percent of total billed charges,0.301547337,,,,,,,,,,0.3175,percent of total billed charges,0.296531302,,,,,,,,,,0.3175,percent of total billed charges,0.295707254,,,,,,,,,,0.3175,percent of total billed charges,0.291352968,,,,,,,,,,0.3175,percent of total billed charges,0.298849909,,,,,,,,,,0.3175,percent of total billed charges,999999999,,,,,,,,,,0.3175,percent of total billed charges,0.256434267,,,,,,,,,,0.3175,percent of total billed charges,0.404414522,,,,,,,,,,0.3175,percent of total billed charges,999999999,,,,,,,,,,0.3175,percent of total billed charges,0.276498855,,,,,,,,,,1.143,percent of total billed charges,,,,,
VENLAFAXINE XR (EFFEXOR XR) 75 MG CAP,637,RC,1341-1011-10,NDC,,both,1,EA,2.14,2.14,0.455571641,2.14,2.14,percent of total billed charges,1.574474025,,,,2.14,percent of total billed charges,1.668911335,,,,2.14,percent of total billed charges,1.574474025,,,,2.14,percent of total billed charges,1.668911335,,,,2.14,percent of total billed charges,999999999,,,,2.14,percent of total billed charges,1.630532919,,,,2.14,percent of total billed charges,1.574474025,,,,2.14,percent of total billed charges,1.668911335,,,,1.52582,percent of total billed charges,0.761412103,,,,1.52582,percent of total billed charges,0.455571641,,,,1.52582,percent of total billed charges,0.761412103,,,,1.52582,percent of total billed charges,0.455571641,,,,1.52582,percent of total billed charges,0.761412103,,,,1.52582,percent of total billed charges,0.455571641,,,,1.51084,percent of total billed charges,1.499376846,,,,1.51084,percent of total billed charges,1.034108327,,,,,,,,,,1.5408,percent of total billed charges,1.001483742,,,,,,,,,,1.5408,percent of total billed charges,999999999,,,,,,,,,,1.712,percent of total billed charges,1.434567007,,,,1.6906,percent of total billed charges,1.631501755,,,,1.6906,percent of total billed charges,1.441485806,,,,1.712,percent of total billed charges,999999999,,,,1.712,percent of total billed charges,999999999,,,,1.498,percent of total billed charges,999999999,,,,1.498,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.13848,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.0807,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.535,percent of total billed charges,0.508119134,,,,,,,,,,0.535,percent of total billed charges,0.499666918,,,,,,,,,,0.535,percent of total billed charges,0.498278365,,,,,,,,,,0.535,percent of total billed charges,0.490941222,,,,,,,,,,0.535,percent of total billed charges,0.503573862,,,,,,,,,,0.535,percent of total billed charges,999999999,,,,,,,,,,0.535,percent of total billed charges,0.432101835,,,,,,,,,,0.535,percent of total billed charges,0.681454391,,,,,,,,,,0.535,percent of total billed charges,999999999,,,,,,,,,,0.535,percent of total billed charges,0.465911456,,,,,,,,,,1.926,percent of total billed charges,,,,,
**CYANOCOBALAMIN (VIT B12) 1000 MCG: T,259,RC,0018-2101-01,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
**LOTREL 5/20 (AMLODIPINE/BENZAPRIL): CA,259,RC,0007-8040-05,NDC,,both,1,EA,11,11,2.341723391,11,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,11,percent of total billed charges,999999999,,,,11,percent of total billed charges,8.381243975,,,,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.766,percent of total billed charges,7.707077247,,,,7.766,percent of total billed charges,5.31551009,,,,,,,,,,7.92,percent of total billed charges,5.147813626,,,,,,,,,,7.92,percent of total billed charges,999999999,,,,,,,,,,8.8,percent of total billed charges,7.373942561,,,,8.69,percent of total billed charges,8.386223973,,,,8.69,percent of total billed charges,7.409506477,,,,8.8,percent of total billed charges,999999999,,,,8.8,percent of total billed charges,999999999,,,,7.7,percent of total billed charges,999999999,,,,7.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.852,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.555,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.75,percent of total billed charges,2.611827325,,,,,,,,,,2.75,percent of total billed charges,2.568381355,,,,,,,,,,2.75,percent of total billed charges,2.561243933,,,,,,,,,,2.75,percent of total billed charges,2.523529647,,,,,,,,,,2.75,percent of total billed charges,2.588463775,,,,,,,,,,2.75,percent of total billed charges,999999999,,,,,,,,,,2.75,percent of total billed charges,2.221084199,,,,,,,,,,2.75,percent of total billed charges,3.502802947,,,,,,,,,,2.75,percent of total billed charges,999999999,,,,,,,,,,2.75,percent of total billed charges,2.394871971,,,,,,,,,,9.9,percent of total billed charges,,,,,
NITROFURANTOIN (MACROBID) 100MG CAP,637,RC,5107-9034-20,NDC,,both,1,EA,10.34,10.34,2.201219987,10.34,10.34,percent of total billed charges,7.607505336,,,,10.34,percent of total billed charges,8.063805237,,,,10.34,percent of total billed charges,7.607505336,,,,10.34,percent of total billed charges,8.063805237,,,,10.34,percent of total billed charges,999999999,,,,10.34,percent of total billed charges,7.878369336,,,,10.34,percent of total billed charges,7.607505336,,,,10.34,percent of total billed charges,8.063805237,,,,7.37242,percent of total billed charges,3.678972496,,,,7.37242,percent of total billed charges,2.201219987,,,,7.37242,percent of total billed charges,3.678972496,,,,7.37242,percent of total billed charges,2.201219987,,,,7.37242,percent of total billed charges,3.678972496,,,,7.37242,percent of total billed charges,2.201219987,,,,7.30004,percent of total billed charges,7.244652612,,,,7.30004,percent of total billed charges,4.996579485,,,,,,,,,,7.4448,percent of total billed charges,4.838944808,,,,,,,,,,7.4448,percent of total billed charges,999999999,,,,,,,,,,8.272,percent of total billed charges,6.931506007,,,,8.1686,percent of total billed charges,7.883050535,,,,8.1686,percent of total billed charges,6.964936089,,,,8.272,percent of total billed charges,999999999,,,,8.272,percent of total billed charges,999999999,,,,7.238,percent of total billed charges,999999999,,,,7.238,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.50088,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.2217,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.585,percent of total billed charges,2.455117686,,,,,,,,,,2.585,percent of total billed charges,2.414278474,,,,,,,,,,2.585,percent of total billed charges,2.407569297,,,,,,,,,,2.585,percent of total billed charges,2.372117869,,,,,,,,,,2.585,percent of total billed charges,2.433155949,,,,,,,,,,2.585,percent of total billed charges,999999999,,,,,,,,,,2.585,percent of total billed charges,2.087819147,,,,,,,,,,2.585,percent of total billed charges,3.29263477,,,,,,,,,,2.585,percent of total billed charges,999999999,,,,,,,,,,2.585,percent of total billed charges,2.251179653,,,,,,,,,,9.306,percent of total billed charges,,,,,
CIPROFLOXACIN (CIPRO) 200 MG  IVPB,J0744,CDM,0078-1323-09,NDC,,both,1,EA,33.18,33.18,7.063489283,33.18,33.18,percent of total billed charges,24.41170474,,,,33.18,percent of total billed charges,25.87592435,,,,33.18,percent of total billed charges,24.41170474,,,,33.18,percent of total billed charges,25.87592435,,,,33.18,percent of total billed charges,999999999,,,,33.18,percent of total billed charges,25.28087955,,,,33.18,percent of total billed charges,24.41170474,,,,33.18,percent of total billed charges,25.87592435,,,,23.65734,percent of total billed charges,11.80544559,,,,23.65734,percent of total billed charges,7.063489283,,,,23.65734,percent of total billed charges,11.80544559,,,,23.65734,percent of total billed charges,7.063489283,,,,23.65734,percent of total billed charges,11.80544559,,,,23.65734,percent of total billed charges,7.063489283,,,,23.42508,percent of total billed charges,23.24734755,,,,23.42508,percent of total billed charges,16.03351135,,,,,,,,,,23.8896,percent of total billed charges,15.52767783,,,,,,,,,,23.8896,percent of total billed charges,999999999,,,,,,,,,,26.544,percent of total billed charges,22.2424922,,,,26.2122,percent of total billed charges,25.29590104,,,,26.2122,percent of total billed charges,22.3497659,,,,26.544,percent of total billed charges,999999999,,,,26.544,percent of total billed charges,999999999,,,,23.226,percent of total billed charges,999999999,,,,23.226,percent of total billed charges,999999999,,,,,,,,,,,,,,,,17.65176,percent of total billed charges,999999999,,,,,,,,,,,,,,,,16.7559,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8.295,percent of total billed charges,7.878220969,,,,,,,,,,8.295,percent of total billed charges,7.747172124,,,,,,,,,,8.295,percent of total billed charges,7.725643064,,,,,,,,,,8.295,percent of total billed charges,7.611883064,,,,,,,,,,8.295,percent of total billed charges,7.807748005,,,,,,,,,,8.295,percent of total billed charges,999999999,,,,,,,,,,8.295,percent of total billed charges,6.699597611,,,,,,,,,,8.295,percent of total billed charges,10.56572743,,,,,,,,,,8.295,percent of total billed charges,999999999,,,,,,,,,,8.295,percent of total billed charges,7.223804728,,,,,,,,,,29.862,percent of total billed charges,,,,,
DIVALPROEX DR (SPRINKLE) 125MG CAP,250,RC,0007-4611-13,NDC,,both,1,EA,3.29,3.29,0.700388178,3.29,3.29,percent of total billed charges,2.42056988,,,,3.29,percent of total billed charges,2.565756212,,,,3.29,percent of total billed charges,2.42056988,,,,3.29,percent of total billed charges,2.565756212,,,,3.29,percent of total billed charges,999999999,,,,3.29,percent of total billed charges,2.50675388,,,,3.29,percent of total billed charges,2.42056988,,,,3.29,percent of total billed charges,2.565756212,,,,2.34577,percent of total billed charges,1.170582158,,,,2.34577,percent of total billed charges,0.700388178,,,,2.34577,percent of total billed charges,1.170582158,,,,2.34577,percent of total billed charges,0.700388178,,,,2.34577,percent of total billed charges,1.170582158,,,,2.34577,percent of total billed charges,0.700388178,,,,2.32274,percent of total billed charges,2.30511674,,,,2.32274,percent of total billed charges,1.589820745,,,,,,,,,,2.3688,percent of total billed charges,1.539664257,,,,,,,,,,2.3688,percent of total billed charges,999999999,,,,,,,,,,2.632,percent of total billed charges,2.205479184,,,,2.5991,percent of total billed charges,2.508243352,,,,2.5991,percent of total billed charges,2.216116028,,,,2.632,percent of total billed charges,999999999,,,,2.632,percent of total billed charges,999999999,,,,2.303,percent of total billed charges,999999999,,,,2.303,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.75028,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.66145,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.8225,percent of total billed charges,0.781173809,,,,,,,,,,0.8225,percent of total billed charges,0.768179514,,,,,,,,,,0.8225,percent of total billed charges,0.766044776,,,,,,,,,,0.8225,percent of total billed charges,0.754764776,,,,,,,,,,0.8225,percent of total billed charges,0.774185984,,,,,,,,,,0.8225,percent of total billed charges,999999999,,,,,,,,,,0.8225,percent of total billed charges,0.664306092,,,,,,,,,,0.8225,percent of total billed charges,1.047656518,,,,,,,,,,0.8225,percent of total billed charges,999999999,,,,,,,,,,0.8225,percent of total billed charges,0.716284435,,,,,,,,,,2.961,percent of total billed charges,,,,,
oxyBUTYnin XL (DITROPAN XL)  5MG TAB,637,RC,5107-9072-20,NDC,,both,1,EA,7.03,7.03,1.496574131,7.03,7.03,percent of total billed charges,5.172220746,,,,7.03,percent of total billed charges,5.482451723,,,,7.03,percent of total billed charges,5.172220746,,,,7.03,percent of total billed charges,5.482451723,,,,7.03,percent of total billed charges,999999999,,,,7.03,percent of total billed charges,5.356376831,,,,7.03,percent of total billed charges,5.172220746,,,,7.03,percent of total billed charges,5.482451723,,,,5.01239,percent of total billed charges,2.501274337,,,,5.01239,percent of total billed charges,1.496574131,,,,5.01239,percent of total billed charges,2.501274337,,,,5.01239,percent of total billed charges,1.496574131,,,,5.01239,percent of total billed charges,2.501274337,,,,5.01239,percent of total billed charges,1.496574131,,,,4.96318,percent of total billed charges,4.925523004,,,,4.96318,percent of total billed charges,3.397094176,,,,,,,,,,5.0616,percent of total billed charges,3.28992089,,,,,,,,,,5.0616,percent of total billed charges,999999999,,,,,,,,,,5.624,percent of total billed charges,4.712619655,,,,5.5537,percent of total billed charges,5.359559503,,,,5.5537,percent of total billed charges,4.735348231,,,,5.624,percent of total billed charges,999999999,,,,5.624,percent of total billed charges,999999999,,,,4.921,percent of total billed charges,999999999,,,,4.921,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.73996,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.55015,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.7575,percent of total billed charges,1.6691951,,,,,,,,,,1.7575,percent of total billed charges,1.641429175,,,,,,,,,,1.7575,percent of total billed charges,1.636867714,,,,,,,,,,1.7575,percent of total billed charges,1.612764857,,,,,,,,,,1.7575,percent of total billed charges,1.654263667,,,,,,,,,,1.7575,percent of total billed charges,999999999,,,,,,,,,,1.7575,percent of total billed charges,1.41947472,,,,,,,,,,1.7575,percent of total billed charges,2.23860952,,,,,,,,,,1.7575,percent of total billed charges,999999999,,,,,,,,,,1.7575,percent of total billed charges,1.530540905,,,,,,,,,,6.327,percent of total billed charges,,,,,
BISOPROLOL (ZEBETA) 5MG TAB,259,RC,2930-0012-13,NDC,,both,1,EA,1.51,1.51,0.321454756,1.51,1.51,percent of total billed charges,1.110960644,,,,1.51,percent of total billed charges,1.177596316,,,,1.51,percent of total billed charges,1.110960644,,,,1.51,percent of total billed charges,1.177596316,,,,1.51,percent of total billed charges,999999999,,,,1.51,percent of total billed charges,1.150516218,,,,1.51,percent of total billed charges,1.110960644,,,,1.51,percent of total billed charges,1.177596316,,,,1.07663,percent of total billed charges,0.537258072,,,,1.07663,percent of total billed charges,0.321454756,,,,1.07663,percent of total billed charges,0.537258072,,,,1.07663,percent of total billed charges,0.321454756,,,,1.07663,percent of total billed charges,0.537258072,,,,1.07663,percent of total billed charges,0.321454756,,,,1.06606,percent of total billed charges,1.057971513,,,,1.06606,percent of total billed charges,0.729674567,,,,,,,,,,1.0872,percent of total billed charges,0.706654416,,,,,,,,,,1.0872,percent of total billed charges,999999999,,,,,,,,,,1.208,percent of total billed charges,1.012241206,,,,1.1929,percent of total billed charges,1.151199836,,,,1.1929,percent of total billed charges,1.017123162,,,,1.208,percent of total billed charges,999999999,,,,1.208,percent of total billed charges,999999999,,,,1.057,percent of total billed charges,999999999,,,,1.057,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.80332,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.76255,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.3775,percent of total billed charges,0.35853266,,,,,,,,,,0.3775,percent of total billed charges,0.352568713,,,,,,,,,,0.3775,percent of total billed charges,0.35158894,,,,,,,,,,0.3775,percent of total billed charges,0.346411797,,,,,,,,,,0.3775,percent of total billed charges,0.355325482,,,,,,,,,,0.3775,percent of total billed charges,999999999,,,,,,,,,,0.3775,percent of total billed charges,0.304894285,,,,,,,,,,0.3775,percent of total billed charges,0.480839314,,,,,,,,,,0.3775,percent of total billed charges,999999999,,,,,,,,,,0.3775,percent of total billed charges,0.328750607,,,,,,,,,,1.359,percent of total billed charges,,,,,
**POTASSIUM CHLORIDE POWDER 25MEQ  PKT,259,RC,0024-5003-30,NDC,,both,1,EA,10,10,2.128839446,10,10,percent of total billed charges,7.357355257,,,,10,percent of total billed charges,7.7986511,,,,10,percent of total billed charges,7.357355257,,,,10,percent of total billed charges,7.7986511,,,,10,percent of total billed charges,999999999,,,,10,percent of total billed charges,7.619312704,,,,10,percent of total billed charges,7.357355257,,,,10,percent of total billed charges,7.7986511,,,,7.13,percent of total billed charges,3.558000479,,,,7.13,percent of total billed charges,2.128839446,,,,7.13,percent of total billed charges,3.558000479,,,,7.13,percent of total billed charges,2.128839446,,,,7.13,percent of total billed charges,3.558000479,,,,7.13,percent of total billed charges,2.128839446,,,,7.06,percent of total billed charges,7.006433861,,,,7.06,percent of total billed charges,4.8322819,,,,,,,,,,7.2,percent of total billed charges,4.679830569,,,,,,,,,,7.2,percent of total billed charges,999999999,,,,,,,,,,8,percent of total billed charges,6.703584146,,,,7.9,percent of total billed charges,7.623839976,,,,7.9,percent of total billed charges,6.735914979,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,999999999,,,,7,percent of total billed charges,999999999,,,,7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.32,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.05,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.5,percent of total billed charges,2.374388478,,,,,,,,,,2.5,percent of total billed charges,2.334892141,,,,,,,,,,2.5,percent of total billed charges,2.328403576,,,,,,,,,,2.5,percent of total billed charges,2.294117861,,,,,,,,,,2.5,percent of total billed charges,2.353148886,,,,,,,,,,2.5,percent of total billed charges,999999999,,,,,,,,,,2.5,percent of total billed charges,2.019167453,,,,,,,,,,2.5,percent of total billed charges,3.184366315,,,,,,,,,,2.5,percent of total billed charges,999999999,,,,,,,,,,2.5,percent of total billed charges,2.177156338,,,,,,,,,,9,percent of total billed charges,,,,,
NISOLDIPINE (SULAR) 8.5MG TAB,259,RC,0037-8209-01,NDC,,both,1,EA,14,14,2.980375225,14,14,percent of total billed charges,10.30029736,,,,14,percent of total billed charges,10.91811154,,,,14,percent of total billed charges,10.30029736,,,,14,percent of total billed charges,10.91811154,,,,14,percent of total billed charges,999999999,,,,14,percent of total billed charges,10.66703779,,,,14,percent of total billed charges,10.30029736,,,,14,percent of total billed charges,10.91811154,,,,9.982,percent of total billed charges,4.981200671,,,,9.982,percent of total billed charges,2.980375225,,,,9.982,percent of total billed charges,4.981200671,,,,9.982,percent of total billed charges,2.980375225,,,,9.982,percent of total billed charges,4.981200671,,,,9.982,percent of total billed charges,2.980375225,,,,9.884,percent of total billed charges,9.809007405,,,,9.884,percent of total billed charges,6.765194661,,,,,,,,,,10.08,percent of total billed charges,6.551762796,,,,,,,,,,10.08,percent of total billed charges,999999999,,,,,,,,,,11.2,percent of total billed charges,9.385017804,,,,11.06,percent of total billed charges,10.67337597,,,,11.06,percent of total billed charges,9.430280971,,,,11.2,percent of total billed charges,999999999,,,,11.2,percent of total billed charges,999999999,,,,9.8,percent of total billed charges,999999999,,,,9.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,7.448,percent of total billed charges,999999999,,,,,,,,,,,,,,,,7.07,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3.5,percent of total billed charges,3.324143869,,,,,,,,,,3.5,percent of total billed charges,3.268848997,,,,,,,,,,3.5,percent of total billed charges,3.259765006,,,,,,,,,,3.5,percent of total billed charges,3.211765006,,,,,,,,,,3.5,percent of total billed charges,3.294408441,,,,,,,,,,3.5,percent of total billed charges,999999999,,,,,,,,,,3.5,percent of total billed charges,2.826834435,,,,,,,,,,3.5,percent of total billed charges,4.458112841,,,,,,,,,,3.5,percent of total billed charges,999999999,,,,,,,,,,3.5,percent of total billed charges,3.048018873,,,,,,,,,,12.6,percent of total billed charges,,,,,
**THEOPHYLLINE(UNIPHYL) 400MG: TAB,250,RC,6778-1025-01,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
VALSARTAN (DIOVAN) 80 MG TAB,637,RC,5026-8078-11,NDC,,both,1,EA,3.29,3.29,0.700388178,3.29,3.29,percent of total billed charges,2.42056988,,,,3.29,percent of total billed charges,2.565756212,,,,3.29,percent of total billed charges,2.42056988,,,,3.29,percent of total billed charges,2.565756212,,,,3.29,percent of total billed charges,999999999,,,,3.29,percent of total billed charges,2.50675388,,,,3.29,percent of total billed charges,2.42056988,,,,3.29,percent of total billed charges,2.565756212,,,,2.34577,percent of total billed charges,1.170582158,,,,2.34577,percent of total billed charges,0.700388178,,,,2.34577,percent of total billed charges,1.170582158,,,,2.34577,percent of total billed charges,0.700388178,,,,2.34577,percent of total billed charges,1.170582158,,,,2.34577,percent of total billed charges,0.700388178,,,,2.32274,percent of total billed charges,2.30511674,,,,2.32274,percent of total billed charges,1.589820745,,,,,,,,,,2.3688,percent of total billed charges,1.539664257,,,,,,,,,,2.3688,percent of total billed charges,999999999,,,,,,,,,,2.632,percent of total billed charges,2.205479184,,,,2.5991,percent of total billed charges,2.508243352,,,,2.5991,percent of total billed charges,2.216116028,,,,2.632,percent of total billed charges,999999999,,,,2.632,percent of total billed charges,999999999,,,,2.303,percent of total billed charges,999999999,,,,2.303,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.75028,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.66145,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.8225,percent of total billed charges,0.781173809,,,,,,,,,,0.8225,percent of total billed charges,0.768179514,,,,,,,,,,0.8225,percent of total billed charges,0.766044776,,,,,,,,,,0.8225,percent of total billed charges,0.754764776,,,,,,,,,,0.8225,percent of total billed charges,0.774185984,,,,,,,,,,0.8225,percent of total billed charges,999999999,,,,,,,,,,0.8225,percent of total billed charges,0.664306092,,,,,,,,,,0.8225,percent of total billed charges,1.047656518,,,,,,,,,,0.8225,percent of total billed charges,999999999,,,,,,,,,,0.8225,percent of total billed charges,0.716284435,,,,,,,,,,2.961,percent of total billed charges,,,,,
FOMepizole  (ANTIZOLE): 1GM/1.5ML INJ,J1451,CDM,6745-7021-02,NDC,,both,1,EA,2934.71,2934.71,624.7526411,2934.71,2934.71,percent of total billed charges,2159.170405,,,,2934.71,percent of total billed charges,2288.677937,,,,2934.71,percent of total billed charges,2159.170405,,,,2934.71,percent of total billed charges,2288.677937,,,,2934.71,percent of total billed charges,999999999,,,,2934.71,percent of total billed charges,2236.047319,,,,2934.71,percent of total billed charges,2159.170405,,,,2934.71,percent of total billed charges,2288.677937,,,,2092.44823,percent of total billed charges,1044.169959,,,,2092.44823,percent of total billed charges,624.7526411,,,,2092.44823,percent of total billed charges,1044.169959,,,,2092.44823,percent of total billed charges,624.7526411,,,,2092.44823,percent of total billed charges,1044.169959,,,,2092.44823,percent of total billed charges,624.7526411,,,,2071.90526,percent of total billed charges,2056.185152,,,,2071.90526,percent of total billed charges,1418.134602,,,,,,,,,,2112.9912,percent of total billed charges,1373.394557,,,,,,,,,,2112.9912,percent of total billed charges,999999999,,,,,,,,,,2347.768,percent of total billed charges,1967.307543,,,,2318.4209,percent of total billed charges,2237.375942,,,,2318.4209,percent of total billed charges,1976.795705,,,,2347.768,percent of total billed charges,999999999,,,,2347.768,percent of total billed charges,999999999,,,,2054.297,percent of total billed charges,999999999,,,,2054.297,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1561.26572,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1482.02855,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,733.6775,percent of total billed charges,696.8141609,,,,,,,,,,733.6775,percent of total billed charges,685.2231315,,,,,,,,,,733.6775,percent of total billed charges,683.3189257,,,,,,,,,,733.6775,percent of total billed charges,673.2570629,,,,,,,,,,733.6775,percent of total billed charges,690.5809569,,,,,,,,,,733.6775,percent of total billed charges,999999999,,,,,,,,,,733.6775,percent of total billed charges,592.5670917,,,,,,,,,,733.6775,percent of total billed charges,934.5191669,,,,,,,,,,733.6775,percent of total billed charges,999999999,,,,,,,,,,733.6775,percent of total billed charges,638.9322476,,,,,,,,,,2641.239,percent of total billed charges,,,,,
**ZOLMITRIPTAN (ZOMIG) TAB:5MG,259,RC,0031-0021-21,NDC,,both,1,EA,64,64,13.62457246,64,64,percent of total billed charges,47.08707365,,,,64,percent of total billed charges,49.91136704,,,,64,percent of total billed charges,47.08707365,,,,64,percent of total billed charges,49.91136704,,,,64,percent of total billed charges,999999999,,,,64,percent of total billed charges,48.76360131,,,,64,percent of total billed charges,47.08707365,,,,64,percent of total billed charges,49.91136704,,,,45.632,percent of total billed charges,22.77120307,,,,45.632,percent of total billed charges,13.62457246,,,,45.632,percent of total billed charges,22.77120307,,,,45.632,percent of total billed charges,13.62457246,,,,45.632,percent of total billed charges,22.77120307,,,,45.632,percent of total billed charges,13.62457246,,,,45.184,percent of total billed charges,44.84117671,,,,45.184,percent of total billed charges,30.92660416,,,,,,,,,,46.08,percent of total billed charges,29.95091564,,,,,,,,,,46.08,percent of total billed charges,999999999,,,,,,,,,,51.2,percent of total billed charges,42.90293853,,,,50.56,percent of total billed charges,48.79257585,,,,50.56,percent of total billed charges,43.10985587,,,,51.2,percent of total billed charges,999999999,,,,51.2,percent of total billed charges,999999999,,,,44.8,percent of total billed charges,999999999,,,,44.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,34.048,percent of total billed charges,999999999,,,,,,,,,,,,,,,,32.32,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16,percent of total billed charges,15.19608626,,,,,,,,,,16,percent of total billed charges,14.9433097,,,,,,,,,,16,percent of total billed charges,14.90178288,,,,,,,,,,16,percent of total billed charges,14.68235431,,,,,,,,,,16,percent of total billed charges,15.06015287,,,,,,,,,,16,percent of total billed charges,999999999,,,,,,,,,,16,percent of total billed charges,12.9226717,,,,,,,,,,16,percent of total billed charges,20.37994442,,,,,,,,,,16,percent of total billed charges,999999999,,,,,,,,,,16,percent of total billed charges,13.93380056,,,,,,,,,,57.6,percent of total billed charges,,,,,
SUMAtriptan (IMITREX) TAB 50MG,637,RC,5511-1029-09,NDC,,both,1,EA,3.05,3.05,0.649296031,3.05,3.05,percent of total billed charges,2.243993353,,,,3.05,percent of total billed charges,2.378588586,,,,3.05,percent of total billed charges,2.243993353,,,,3.05,percent of total billed charges,2.378588586,,,,3.05,percent of total billed charges,999999999,,,,3.05,percent of total billed charges,2.323890375,,,,3.05,percent of total billed charges,2.243993353,,,,3.05,percent of total billed charges,2.378588586,,,,2.17465,percent of total billed charges,1.085190146,,,,2.17465,percent of total billed charges,0.649296031,,,,2.17465,percent of total billed charges,1.085190146,,,,2.17465,percent of total billed charges,0.649296031,,,,2.17465,percent of total billed charges,1.085190146,,,,2.17465,percent of total billed charges,0.649296031,,,,2.1533,percent of total billed charges,2.136962328,,,,2.1533,percent of total billed charges,1.47384598,,,,,,,,,,2.196,percent of total billed charges,1.427348323,,,,,,,,,,2.196,percent of total billed charges,999999999,,,,,,,,,,2.44,percent of total billed charges,2.044593165,,,,2.4095,percent of total billed charges,2.325271193,,,,2.4095,percent of total billed charges,2.054454069,,,,2.44,percent of total billed charges,999999999,,,,2.44,percent of total billed charges,999999999,,,,2.135,percent of total billed charges,999999999,,,,2.135,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.6226,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.54025,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.7625,percent of total billed charges,0.724188486,,,,,,,,,,0.7625,percent of total billed charges,0.712142103,,,,,,,,,,0.7625,percent of total billed charges,0.710163091,,,,,,,,,,0.7625,percent of total billed charges,0.699705948,,,,,,,,,,0.7625,percent of total billed charges,0.71771041,,,,,,,,,,0.7625,percent of total billed charges,999999999,,,,,,,,,,0.7625,percent of total billed charges,0.615846073,,,,,,,,,,0.7625,percent of total billed charges,0.971231726,,,,,,,,,,0.7625,percent of total billed charges,999999999,,,,,,,,,,0.7625,percent of total billed charges,0.664032683,,,,,,,,,,2.745,percent of total billed charges,,,,,
**OMEPRAZOLE (PRILOSEC) 10MG: CAP,259,RC,5511-1029-09,NDC,,both,1,EA,17,17,3.619027059,17,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,17,percent of total billed charges,999999999,,,,17,percent of total billed charges,12.9528316,,,,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.002,percent of total billed charges,11.91093756,,,,12.002,percent of total billed charges,8.214879231,,,,,,,,,,12.24,percent of total billed charges,7.955711967,,,,,,,,,,12.24,percent of total billed charges,999999999,,,,,,,,,,13.6,percent of total billed charges,11.39609305,,,,13.43,percent of total billed charges,12.96052796,,,,13.43,percent of total billed charges,11.45105547,,,,13.6,percent of total billed charges,999999999,,,,13.6,percent of total billed charges,999999999,,,,11.9,percent of total billed charges,999999999,,,,11.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.044,percent of total billed charges,999999999,,,,,,,,,,,,,,,,8.585,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4.25,percent of total billed charges,4.036460412,,,,,,,,,,4.25,percent of total billed charges,3.96931664,,,,,,,,,,4.25,percent of total billed charges,3.958286079,,,,,,,,,,4.25,percent of total billed charges,3.900000364,,,,,,,,,,4.25,percent of total billed charges,4.000353107,,,,,,,,,,4.25,percent of total billed charges,999999999,,,,,,,,,,4.25,percent of total billed charges,3.432584671,,,,,,,,,,4.25,percent of total billed charges,5.413422736,,,,,,,,,,4.25,percent of total billed charges,999999999,,,,,,,,,,4.25,percent of total billed charges,3.701165774,,,,,,,,,,15.3,percent of total billed charges,,,,,
OLANZapine (ZyPREXA) 2.5 MG TAB,637,RC,0090-4628-61,NDC,,both,1,EA,1.3,1.3,0.276749128,1.3,1.3,percent of total billed charges,0.956456183,,,,1.3,percent of total billed charges,1.013824643,,,,1.3,percent of total billed charges,0.956456183,,,,1.3,percent of total billed charges,1.013824643,,,,1.3,percent of total billed charges,999999999,,,,1.3,percent of total billed charges,0.990510652,,,,1.3,percent of total billed charges,0.956456183,,,,1.3,percent of total billed charges,1.013824643,,,,0.9269,percent of total billed charges,0.462540062,,,,0.9269,percent of total billed charges,0.276749128,,,,0.9269,percent of total billed charges,0.462540062,,,,0.9269,percent of total billed charges,0.276749128,,,,0.9269,percent of total billed charges,0.462540062,,,,0.9269,percent of total billed charges,0.276749128,,,,0.9178,percent of total billed charges,0.910836402,,,,0.9178,percent of total billed charges,0.628196647,,,,,,,,,,0.936,percent of total billed charges,0.608377974,,,,,,,,,,0.936,percent of total billed charges,999999999,,,,,,,,,,1.04,percent of total billed charges,0.871465939,,,,1.027,percent of total billed charges,0.991099197,,,,1.027,percent of total billed charges,0.875668947,,,,1.04,percent of total billed charges,999999999,,,,1.04,percent of total billed charges,999999999,,,,0.91,percent of total billed charges,999999999,,,,0.91,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.6916,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.6565,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.325,percent of total billed charges,0.308670502,,,,,,,,,,0.325,percent of total billed charges,0.303535978,,,,,,,,,,0.325,percent of total billed charges,0.302692465,,,,,,,,,,0.325,percent of total billed charges,0.298235322,,,,,,,,,,0.325,percent of total billed charges,0.305909355,,,,,,,,,,0.325,percent of total billed charges,999999999,,,,,,,,,,0.325,percent of total billed charges,0.262491769,,,,,,,,,,0.325,percent of total billed charges,0.413967621,,,,,,,,,,0.325,percent of total billed charges,999999999,,,,,,,,,,0.325,percent of total billed charges,0.283030324,,,,,,,,,,1.17,percent of total billed charges,,,,,
**DEXTROSE 5% 500ML BOTTLE,J7060,CDM,0040-9152-03,NDC,,both,1,EA,43,43,9.154009619,43,43,percent of total billed charges,31.63662761,,,,43,percent of total billed charges,33.53419973,,,,43,percent of total billed charges,31.63662761,,,,43,percent of total billed charges,33.53419973,,,,43,percent of total billed charges,999999999,,,,43,percent of total billed charges,32.76304463,,,,43,percent of total billed charges,31.63662761,,,,43,percent of total billed charges,33.53419973,,,,30.659,percent of total billed charges,15.29940206,,,,30.659,percent of total billed charges,9.154009619,,,,30.659,percent of total billed charges,15.29940206,,,,30.659,percent of total billed charges,9.154009619,,,,30.659,percent of total billed charges,15.29940206,,,,30.659,percent of total billed charges,9.154009619,,,,30.358,percent of total billed charges,30.1276656,,,,30.358,percent of total billed charges,20.77881217,,,,,,,,,,30.96,percent of total billed charges,20.12327145,,,,,,,,,,30.96,percent of total billed charges,999999999,,,,,,,,,,34.4,percent of total billed charges,28.82541183,,,,33.97,percent of total billed charges,32.7825119,,,,33.97,percent of total billed charges,28.96443441,,,,34.4,percent of total billed charges,999999999,,,,34.4,percent of total billed charges,999999999,,,,30.1,percent of total billed charges,999999999,,,,30.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,22.876,percent of total billed charges,999999999,,,,,,,,,,,,,,,,21.715,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10.75,percent of total billed charges,10.20987045,,,,,,,,,,10.75,percent of total billed charges,10.04003621,,,,,,,,,,10.75,percent of total billed charges,10.01213538,,,,,,,,,,10.75,percent of total billed charges,9.864706804,,,,,,,,,,10.75,percent of total billed charges,10.11854021,,,,,,,,,,10.75,percent of total billed charges,999999999,,,,,,,,,,10.75,percent of total billed charges,8.68242005,,,,,,,,,,10.75,percent of total billed charges,13.69277516,,,,,,,,,,10.75,percent of total billed charges,999999999,,,,,,,,,,10.75,percent of total billed charges,9.361772252,,,,,,,,,,38.7,percent of total billed charges,,,,,
**DEXTROSE 5%:  100 ML IVPB,258,RC,0040-9792-09,NDC,,both,1,EA,88,88,18.73378713,88,88,percent of total billed charges,64.74472626,,,,88,percent of total billed charges,68.62812968,,,,88,percent of total billed charges,64.74472626,,,,88,percent of total billed charges,68.62812968,,,,88,percent of total billed charges,999999999,,,,88,percent of total billed charges,67.0499518,,,,88,percent of total billed charges,64.74472626,,,,88,percent of total billed charges,68.62812968,,,,62.744,percent of total billed charges,31.31040422,,,,62.744,percent of total billed charges,18.73378713,,,,62.744,percent of total billed charges,31.31040422,,,,62.744,percent of total billed charges,18.73378713,,,,62.744,percent of total billed charges,31.31040422,,,,62.744,percent of total billed charges,18.73378713,,,,62.128,percent of total billed charges,61.65661797,,,,62.128,percent of total billed charges,42.52408072,,,,,,,,,,63.36,percent of total billed charges,41.18250901,,,,,,,,,,63.36,percent of total billed charges,999999999,,,,,,,,,,70.4,percent of total billed charges,58.99154048,,,,69.52,percent of total billed charges,67.08979179,,,,69.52,percent of total billed charges,59.27605182,,,,70.4,percent of total billed charges,999999999,,,,70.4,percent of total billed charges,999999999,,,,61.6,percent of total billed charges,999999999,,,,61.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,46.816,percent of total billed charges,999999999,,,,,,,,,,,,,,,,44.44,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,22,percent of total billed charges,20.8946186,,,,,,,,,,22,percent of total billed charges,20.54705084,,,,,,,,,,22,percent of total billed charges,20.48995147,,,,,,,,,,22,percent of total billed charges,20.18823718,,,,,,,,,,22,percent of total billed charges,20.7077102,,,,,,,,,,22,percent of total billed charges,999999999,,,,,,,,,,22,percent of total billed charges,17.76867359,,,,,,,,,,22,percent of total billed charges,28.02242357,,,,,,,,,,22,percent of total billed charges,999999999,,,,,,,,,,22,percent of total billed charges,19.15897577,,,,,,,,,,79.2,percent of total billed charges,,,,,
DEXTROSE 5%: 50ML IVPB,258,RC,0033-8055-11,NDC,,both,1,EA,16.29,16.29,3.467879458,16.29,16.29,percent of total billed charges,11.98513171,,,,16.29,percent of total billed charges,12.70400264,,,,16.29,percent of total billed charges,11.98513171,,,,16.29,percent of total billed charges,12.70400264,,,,16.29,percent of total billed charges,999999999,,,,16.29,percent of total billed charges,12.4118604,,,,16.29,percent of total billed charges,11.98513171,,,,16.29,percent of total billed charges,12.70400264,,,,11.61477,percent of total billed charges,5.795982781,,,,11.61477,percent of total billed charges,3.467879458,,,,11.61477,percent of total billed charges,5.795982781,,,,11.61477,percent of total billed charges,3.467879458,,,,11.61477,percent of total billed charges,5.795982781,,,,11.61477,percent of total billed charges,3.467879458,,,,11.50074,percent of total billed charges,11.41348076,,,,11.50074,percent of total billed charges,7.871787216,,,,,,,,,,11.7288,percent of total billed charges,7.623443997,,,,,,,,,,11.7288,percent of total billed charges,999999999,,,,,,,,,,13.032,percent of total billed charges,10.92013857,,,,12.8691,percent of total billed charges,12.41923532,,,,12.8691,percent of total billed charges,10.9728055,,,,13.032,percent of total billed charges,999999999,,,,13.032,percent of total billed charges,999999999,,,,11.403,percent of total billed charges,999999999,,,,11.403,percent of total billed charges,999999999,,,,,,,,,,,,,,,,8.66628,percent of total billed charges,999999999,,,,,,,,,,,,,,,,8.22645,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4.0725,percent of total billed charges,3.86787883,,,,,,,,,,4.0725,percent of total billed charges,3.803539298,,,,,,,,,,4.0725,percent of total billed charges,3.792969425,,,,,,,,,,4.0725,percent of total billed charges,3.737117996,,,,,,,,,,4.0725,percent of total billed charges,3.833279536,,,,,,,,,,4.0725,percent of total billed charges,999999999,,,,,,,,,,4.0725,percent of total billed charges,3.289223782,,,,,,,,,,4.0725,percent of total billed charges,5.187332727,,,,,,,,,,4.0725,percent of total billed charges,999999999,,,,,,,,,,4.0725,percent of total billed charges,3.546587674,,,,,,,,,,14.661,percent of total billed charges,,,,,
DEXTROSE 5% 500 ML BAG,258,RC,0033-8001-03,NDC,,both,1,EA,24.56,24.56,5.22842968,24.56,24.56,percent of total billed charges,18.06966451,,,,24.56,percent of total billed charges,19.1534871,,,,24.56,percent of total billed charges,18.06966451,,,,24.56,percent of total billed charges,19.1534871,,,,24.56,percent of total billed charges,999999999,,,,24.56,percent of total billed charges,18.713032,,,,24.56,percent of total billed charges,18.06966451,,,,24.56,percent of total billed charges,19.1534871,,,,17.51128,percent of total billed charges,8.738449177,,,,17.51128,percent of total billed charges,5.22842968,,,,17.51128,percent of total billed charges,8.738449177,,,,17.51128,percent of total billed charges,5.22842968,,,,17.51128,percent of total billed charges,8.738449177,,,,17.51128,percent of total billed charges,5.22842968,,,,17.33936,percent of total billed charges,17.20780156,,,,17.33936,percent of total billed charges,11.86808435,,,,,,,,,,17.6832,percent of total billed charges,11.49366388,,,,,,,,,,17.6832,percent of total billed charges,999999999,,,,,,,,,,19.648,percent of total billed charges,16.46400266,,,,19.4024,percent of total billed charges,18.72415098,,,,19.4024,percent of total billed charges,16.54340719,,,,19.648,percent of total billed charges,999999999,,,,19.648,percent of total billed charges,999999999,,,,17.192,percent of total billed charges,999999999,,,,17.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,13.06592,percent of total billed charges,999999999,,,,,,,,,,,,,,,,12.4028,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6.14,percent of total billed charges,5.831498101,,,,,,,,,,6.14,percent of total billed charges,5.734495098,,,,,,,,,,6.14,percent of total billed charges,5.718559182,,,,,,,,,,6.14,percent of total billed charges,5.634353467,,,,,,,,,,6.14,percent of total billed charges,5.779333665,,,,,,,,,,6.14,percent of total billed charges,999999999,,,,,,,,,,6.14,percent of total billed charges,4.959075266,,,,,,,,,,6.14,percent of total billed charges,7.82080367,,,,,,,,,,6.14,percent of total billed charges,999999999,,,,,,,,,,6.14,percent of total billed charges,5.347095965,,,,,,,,,,22.104,percent of total billed charges,,,,,
**METHYLDOPATE 250MG INJ: VIAL,J0210,CDM,0051-7890-10,NDC,,both,1,EA,325,325,69.187282,325,325,percent of total billed charges,239.1140459,,,,325,percent of total billed charges,253.4561608,,,,325,percent of total billed charges,239.1140459,,,,325,percent of total billed charges,253.4561608,,,,325,percent of total billed charges,999999999,,,,325,percent of total billed charges,247.6276629,,,,325,percent of total billed charges,239.1140459,,,,325,percent of total billed charges,253.4561608,,,,231.725,percent of total billed charges,115.6350156,,,,231.725,percent of total billed charges,69.187282,,,,231.725,percent of total billed charges,115.6350156,,,,231.725,percent of total billed charges,69.187282,,,,231.725,percent of total billed charges,115.6350156,,,,231.725,percent of total billed charges,69.187282,,,,229.45,percent of total billed charges,227.7091005,,,,229.45,percent of total billed charges,157.0491618,,,,,,,,,,234,percent of total billed charges,152.0944935,,,,,,,,,,234,percent of total billed charges,999999999,,,,,,,,,,260,percent of total billed charges,217.8664847,,,,256.75,percent of total billed charges,247.7747992,,,,256.75,percent of total billed charges,218.9172368,,,,260,percent of total billed charges,999999999,,,,260,percent of total billed charges,999999999,,,,227.5,percent of total billed charges,999999999,,,,227.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,172.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,164.125,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,81.25,percent of total billed charges,77.16762552,,,,,,,,,,81.25,percent of total billed charges,75.88399458,,,,,,,,,,81.25,percent of total billed charges,75.67311621,,,,,,,,,,81.25,percent of total billed charges,74.55883049,,,,,,,,,,81.25,percent of total billed charges,76.47733881,,,,,,,,,,81.25,percent of total billed charges,999999999,,,,,,,,,,81.25,percent of total billed charges,65.62294224,,,,,,,,,,81.25,percent of total billed charges,103.4919052,,,,,,,,,,81.25,percent of total billed charges,999999999,,,,,,,,,,81.25,percent of total billed charges,70.75758097,,,,,,,,,,292.5,percent of total billed charges,,,,,
**KANAMYCIN 1 GM: 3 ML VIAL,J1840,CDM,6332-3035-03,NDC,,both,1,EA,53,53,11.28284907,53,53,percent of total billed charges,38.99398286,,,,53,percent of total billed charges,41.33285083,,,,53,percent of total billed charges,38.99398286,,,,53,percent of total billed charges,41.33285083,,,,53,percent of total billed charges,999999999,,,,53,percent of total billed charges,40.38235733,,,,53,percent of total billed charges,38.99398286,,,,53,percent of total billed charges,41.33285083,,,,37.789,percent of total billed charges,18.85740254,,,,37.789,percent of total billed charges,11.28284907,,,,37.789,percent of total billed charges,18.85740254,,,,37.789,percent of total billed charges,11.28284907,,,,37.789,percent of total billed charges,18.85740254,,,,37.789,percent of total billed charges,11.28284907,,,,37.418,percent of total billed charges,37.13409946,,,,37.418,percent of total billed charges,25.61109407,,,,,,,,,,38.16,percent of total billed charges,24.80310201,,,,,,,,,,38.16,percent of total billed charges,999999999,,,,,,,,,,42.4,percent of total billed charges,35.52899597,,,,41.87,percent of total billed charges,40.40635187,,,,41.87,percent of total billed charges,35.70034939,,,,42.4,percent of total billed charges,999999999,,,,42.4,percent of total billed charges,999999999,,,,37.1,percent of total billed charges,999999999,,,,37.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,28.196,percent of total billed charges,999999999,,,,,,,,,,,,,,,,26.765,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13.25,percent of total billed charges,12.58425893,,,,,,,,,,13.25,percent of total billed charges,12.37492835,,,,,,,,,,13.25,percent of total billed charges,12.34053895,,,,,,,,,,13.25,percent of total billed charges,12.15882466,,,,,,,,,,13.25,percent of total billed charges,12.4716891,,,,,,,,,,13.25,percent of total billed charges,999999999,,,,,,,,,,13.25,percent of total billed charges,10.7015875,,,,,,,,,,13.25,percent of total billed charges,16.87714147,,,,,,,,,,13.25,percent of total billed charges,999999999,,,,,,,,,,13.25,percent of total billed charges,11.53892859,,,,,,,,,,47.7,percent of total billed charges,,,,,
ACYCLOVIR: 500 MG INJ,J0133,CDM,5515-0015-11,NDC,,both,1,EA,44.82,44.82,9.541458398,44.82,44.82,percent of total billed charges,32.97566626,,,,44.82,percent of total billed charges,34.95355423,,,,44.82,percent of total billed charges,32.97566626,,,,44.82,percent of total billed charges,34.95355423,,,,44.82,percent of total billed charges,999999999,,,,44.82,percent of total billed charges,34.14975954,,,,44.82,percent of total billed charges,32.97566626,,,,44.82,percent of total billed charges,34.95355423,,,,31.95666,percent of total billed charges,15.94695815,,,,31.95666,percent of total billed charges,9.541458398,,,,31.95666,percent of total billed charges,15.94695815,,,,31.95666,percent of total billed charges,9.541458398,,,,31.95666,percent of total billed charges,15.94695815,,,,31.95666,percent of total billed charges,9.541458398,,,,31.64292,percent of total billed charges,31.40283656,,,,31.64292,percent of total billed charges,21.65828748,,,,,,,,,,32.2704,percent of total billed charges,20.97500061,,,,,,,,,,32.2704,percent of total billed charges,999999999,,,,,,,,,,35.856,percent of total billed charges,30.04546414,,,,35.4078,percent of total billed charges,34.17005077,,,,35.4078,percent of total billed charges,30.19037094,,,,35.856,percent of total billed charges,999999999,,,,35.856,percent of total billed charges,999999999,,,,31.374,percent of total billed charges,999999999,,,,31.374,percent of total billed charges,999999999,,,,,,,,,,,,,,,,23.84424,percent of total billed charges,999999999,,,,,,,,,,,,,,,,22.6341,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11.205,percent of total billed charges,10.64200916,,,,,,,,,,11.205,percent of total billed charges,10.46498658,,,,,,,,,,11.205,percent of total billed charges,10.43590483,,,,,,,,,,11.205,percent of total billed charges,10.28223625,,,,,,,,,,11.205,percent of total billed charges,10.54681331,,,,,,,,,,11.205,percent of total billed charges,999999999,,,,,,,,,,11.205,percent of total billed charges,9.049908526,,,,,,,,,,11.205,percent of total billed charges,14.27232982,,,,,,,,,,11.205,percent of total billed charges,999999999,,,,,,,,,,11.205,percent of total billed charges,9.758014705,,,,,,,,,,40.338,percent of total billed charges,,,,,
WATER FOR IRRIGATION,250,RC,5486-8429-00,NDC,,both,1,EA,11,11,2.341723391,11,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,11,percent of total billed charges,999999999,,,,11,percent of total billed charges,8.381243975,,,,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.766,percent of total billed charges,7.707077247,,,,7.766,percent of total billed charges,5.31551009,,,,,,,,,,7.92,percent of total billed charges,5.147813626,,,,,,,,,,7.92,percent of total billed charges,999999999,,,,,,,,,,8.8,percent of total billed charges,7.373942561,,,,8.69,percent of total billed charges,8.386223973,,,,8.69,percent of total billed charges,7.409506477,,,,8.8,percent of total billed charges,999999999,,,,8.8,percent of total billed charges,999999999,,,,7.7,percent of total billed charges,999999999,,,,7.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.852,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.555,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.75,percent of total billed charges,2.611827325,,,,,,,,,,2.75,percent of total billed charges,2.568381355,,,,,,,,,,2.75,percent of total billed charges,2.561243933,,,,,,,,,,2.75,percent of total billed charges,2.523529647,,,,,,,,,,2.75,percent of total billed charges,2.588463775,,,,,,,,,,2.75,percent of total billed charges,999999999,,,,,,,,,,2.75,percent of total billed charges,2.221084199,,,,,,,,,,2.75,percent of total billed charges,3.502802947,,,,,,,,,,2.75,percent of total billed charges,999999999,,,,,,,,,,2.75,percent of total billed charges,2.394871971,,,,,,,,,,9.9,percent of total billed charges,,,,,
**ALBUMIN 25% 25GM): 100 ML,258,RC,0005-3768-32,NDC,,both,1,EA,343,343,73.01919301,343,343,percent of total billed charges,252.3572853,,,,343,percent of total billed charges,267.4937327,,,,343,percent of total billed charges,252.3572853,,,,343,percent of total billed charges,267.4937327,,,,343,percent of total billed charges,999999999,,,,343,percent of total billed charges,261.3424258,,,,343,percent of total billed charges,252.3572853,,,,343,percent of total billed charges,267.4937327,,,,244.559,percent of total billed charges,122.0394164,,,,244.559,percent of total billed charges,73.01919301,,,,244.559,percent of total billed charges,122.0394164,,,,244.559,percent of total billed charges,73.01919301,,,,244.559,percent of total billed charges,122.0394164,,,,244.559,percent of total billed charges,73.01919301,,,,242.158,percent of total billed charges,240.3206814,,,,242.158,percent of total billed charges,165.7472692,,,,,,,,,,246.96,percent of total billed charges,160.5181885,,,,,,,,,,246.96,percent of total billed charges,999999999,,,,,,,,,,274.4,percent of total billed charges,229.9329362,,,,270.97,percent of total billed charges,261.4977112,,,,270.97,percent of total billed charges,231.0418838,,,,274.4,percent of total billed charges,999999999,,,,274.4,percent of total billed charges,999999999,,,,240.1,percent of total billed charges,999999999,,,,240.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,182.476,percent of total billed charges,999999999,,,,,,,,,,,,,,,,173.215,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,85.75,percent of total billed charges,81.44152478,,,,,,,,,,85.75,percent of total billed charges,80.08680043,,,,,,,,,,85.75,percent of total billed charges,79.86424264,,,,,,,,,,85.75,percent of total billed charges,78.68824264,,,,,,,,,,85.75,percent of total billed charges,80.71300681,,,,,,,,,,85.75,percent of total billed charges,999999999,,,,,,,,,,85.75,percent of total billed charges,69.25744365,,,,,,,,,,85.75,percent of total billed charges,109.2237646,,,,,,,,,,85.75,percent of total billed charges,999999999,,,,,,,,,,85.75,percent of total billed charges,74.67646238,,,,,,,,,,308.7,percent of total billed charges,,,,,
**AMINO ACID 7% (AMINOSYN):500 ML,258,RC,0040-9416-03,NDC,,both,1,EA,542,542,115.383098,542,542,percent of total billed charges,398.7686549,,,,542,percent of total billed charges,422.6868896,,,,542,percent of total billed charges,398.7686549,,,,542,percent of total billed charges,422.6868896,,,,542,percent of total billed charges,999999999,,,,542,percent of total billed charges,412.9667486,,,,542,percent of total billed charges,398.7686549,,,,542,percent of total billed charges,422.6868896,,,,386.446,percent of total billed charges,192.843626,,,,386.446,percent of total billed charges,115.383098,,,,386.446,percent of total billed charges,192.843626,,,,386.446,percent of total billed charges,115.383098,,,,386.446,percent of total billed charges,192.843626,,,,386.446,percent of total billed charges,115.383098,,,,382.652,percent of total billed charges,379.7487153,,,,382.652,percent of total billed charges,261.909679,,,,,,,,,,390.24,percent of total billed charges,253.6468168,,,,,,,,,,390.24,percent of total billed charges,999999999,,,,,,,,,,433.6,percent of total billed charges,363.3342607,,,,428.18,percent of total billed charges,413.2121267,,,,428.18,percent of total billed charges,365.0865919,,,,433.6,percent of total billed charges,999999999,,,,433.6,percent of total billed charges,999999999,,,,379.4,percent of total billed charges,999999999,,,,379.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,288.344,percent of total billed charges,999999999,,,,,,,,,,,,,,,,273.71,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,135.5,percent of total billed charges,128.6918555,,,,,,,,,,135.5,percent of total billed charges,126.551154,,,,,,,,,,135.5,percent of total billed charges,126.1994738,,,,,,,,,,135.5,percent of total billed charges,124.3411881,,,,,,,,,,135.5,percent of total billed charges,127.5406696,,,,,,,,,,135.5,percent of total billed charges,999999999,,,,,,,,,,135.5,percent of total billed charges,109.438876,,,,,,,,,,135.5,percent of total billed charges,172.5926543,,,,,,,,,,135.5,percent of total billed charges,999999999,,,,,,,,,,135.5,percent of total billed charges,118.0018735,,,,,,,,,,487.8,percent of total billed charges,,,,,
**AMINO ACID 10% (AMINOSYN) : 500 ML,258,RC,0040-9416-03,NDC,,both,1,EA,192,192,40.87371737,192,192,percent of total billed charges,141.2612209,,,,192,percent of total billed charges,149.7341011,,,,192,percent of total billed charges,141.2612209,,,,192,percent of total billed charges,149.7341011,,,,192,percent of total billed charges,999999999,,,,192,percent of total billed charges,146.2908039,,,,192,percent of total billed charges,141.2612209,,,,192,percent of total billed charges,149.7341011,,,,136.896,percent of total billed charges,68.3136092,,,,136.896,percent of total billed charges,40.87371737,,,,136.896,percent of total billed charges,68.3136092,,,,136.896,percent of total billed charges,40.87371737,,,,136.896,percent of total billed charges,68.3136092,,,,136.896,percent of total billed charges,40.87371737,,,,135.552,percent of total billed charges,134.5235301,,,,135.552,percent of total billed charges,92.77981249,,,,,,,,,,138.24,percent of total billed charges,89.85274692,,,,,,,,,,138.24,percent of total billed charges,999999999,,,,,,,,,,153.6,percent of total billed charges,128.7088156,,,,151.68,percent of total billed charges,146.3777275,,,,151.68,percent of total billed charges,129.3295676,,,,153.6,percent of total billed charges,999999999,,,,153.6,percent of total billed charges,999999999,,,,134.4,percent of total billed charges,999999999,,,,134.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,102.144,percent of total billed charges,999999999,,,,,,,,,,,,,,,,96.96,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,48,percent of total billed charges,45.58825877,,,,,,,,,,48,percent of total billed charges,44.82992911,,,,,,,,,,48,percent of total billed charges,44.70534865,,,,,,,,,,48,percent of total billed charges,44.04706294,,,,,,,,,,48,percent of total billed charges,45.18045862,,,,,,,,,,48,percent of total billed charges,999999999,,,,,,,,,,48,percent of total billed charges,38.76801511,,,,,,,,,,48,percent of total billed charges,61.13983325,,,,,,,,,,48,percent of total billed charges,999999999,,,,,,,,,,48,percent of total billed charges,41.80140168,,,,,,,,,,172.8,percent of total billed charges,,,,,
AMINOPHYLLINE INJ: 500MG/25ML VIAL,J0280,CDM,0040-9592-01,NDC,,both,1,EA,93.91,93.91,19.99193124,93.91,93.91,percent of total billed charges,69.09292322,,,,93.91,percent of total billed charges,73.23713248,,,,93.91,percent of total billed charges,69.09292322,,,,93.91,percent of total billed charges,73.23713248,,,,93.91,percent of total billed charges,999999999,,,,93.91,percent of total billed charges,71.55296561,,,,93.91,percent of total billed charges,69.09292322,,,,93.91,percent of total billed charges,73.23713248,,,,66.95783,percent of total billed charges,33.4131825,,,,66.95783,percent of total billed charges,19.99193124,,,,66.95783,percent of total billed charges,33.4131825,,,,66.95783,percent of total billed charges,19.99193124,,,,66.95783,percent of total billed charges,33.4131825,,,,66.95783,percent of total billed charges,19.99193124,,,,66.30046,percent of total billed charges,65.79742039,,,,66.30046,percent of total billed charges,45.37995933,,,,,,,,,,67.6152,percent of total billed charges,43.94828887,,,,,,,,,,67.6152,percent of total billed charges,999999999,,,,,,,,,,75.128,percent of total billed charges,62.95335871,,,,74.1889,percent of total billed charges,71.59548121,,,,74.1889,percent of total billed charges,63.25697757,,,,75.128,percent of total billed charges,999999999,,,,75.128,percent of total billed charges,999999999,,,,65.737,percent of total billed charges,999999999,,,,65.737,percent of total billed charges,999999999,,,,,,,,,,,,,,,,49.96012,percent of total billed charges,999999999,,,,,,,,,,,,,,,,47.42455,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23.4775,percent of total billed charges,22.29788219,,,,,,,,,,23.4775,percent of total billed charges,21.9269721,,,,,,,,,,23.4775,percent of total billed charges,21.86603798,,,,,,,,,,23.4775,percent of total billed charges,21.54406084,,,,,,,,,,23.4775,percent of total billed charges,22.09842119,,,,,,,,,,23.4775,percent of total billed charges,999999999,,,,,,,,,,23.4775,percent of total billed charges,18.96200156,,,,,,,,,,23.4775,percent of total billed charges,29.90438407,,,,,,,,,,23.4775,percent of total billed charges,999999999,,,,,,,,,,23.4775,percent of total billed charges,20.44567517,,,,,,,,,,84.519,percent of total billed charges,,,,,
AMPHOTERICIN B 50 MG: INJECTION,J0285,CDM,3982-2105-05,NDC,,both,1,EA,443.61,443.61,94.43744667,443.61,443.61,percent of total billed charges,326.3796366,,,,443.61,percent of total billed charges,345.9559614,,,,443.61,percent of total billed charges,326.3796366,,,,443.61,percent of total billed charges,345.9559614,,,,443.61,percent of total billed charges,999999999,,,,443.61,percent of total billed charges,338.0003309,,,,443.61,percent of total billed charges,326.3796366,,,,443.61,percent of total billed charges,345.9559614,,,,316.29393,percent of total billed charges,157.8364593,,,,316.29393,percent of total billed charges,94.43744667,,,,316.29393,percent of total billed charges,157.8364593,,,,316.29393,percent of total billed charges,94.43744667,,,,316.29393,percent of total billed charges,157.8364593,,,,316.29393,percent of total billed charges,94.43744667,,,,313.18866,percent of total billed charges,310.8124125,,,,313.18866,percent of total billed charges,214.3648574,,,,,,,,,,319.3992,percent of total billed charges,207.6019639,,,,,,,,,,319.3992,percent of total billed charges,999999999,,,,,,,,,,354.888,percent of total billed charges,297.3776963,,,,350.4519,percent of total billed charges,338.2011652,,,,350.4519,percent of total billed charges,298.8119244,,,,354.888,percent of total billed charges,999999999,,,,354.888,percent of total billed charges,999999999,,,,310.527,percent of total billed charges,999999999,,,,310.527,percent of total billed charges,999999999,,,,,,,,,,,,,,,,236.00052,percent of total billed charges,999999999,,,,,,,,,,,,,,,,224.02305,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,110.9025,percent of total billed charges,105.3302473,,,,,,,,,,110.9025,percent of total billed charges,103.5781503,,,,,,,,,,110.9025,percent of total billed charges,103.290311,,,,,,,,,,110.9025,percent of total billed charges,101.7693624,,,,,,,,,,110.9025,percent of total billed charges,104.3880378,,,,,,,,,,110.9025,percent of total billed charges,999999999,,,,,,,,,,110.9025,percent of total billed charges,89.5722874,,,,,,,,,,110.9025,percent of total billed charges,141.2616741,,,,,,,,,,110.9025,percent of total billed charges,999999999,,,,,,,,,,110.9025,percent of total billed charges,96.58083229,,,,,,,,,,399.249,percent of total billed charges,,,,,
**EVACUATED STERILE CONTAINER 150 ML:,258,RC,0007-4161-01,NDC,,both,1,EA,43,43,9.154009619,43,43,percent of total billed charges,31.63662761,,,,43,percent of total billed charges,33.53419973,,,,43,percent of total billed charges,31.63662761,,,,43,percent of total billed charges,33.53419973,,,,43,percent of total billed charges,999999999,,,,43,percent of total billed charges,32.76304463,,,,43,percent of total billed charges,31.63662761,,,,43,percent of total billed charges,33.53419973,,,,30.659,percent of total billed charges,15.29940206,,,,30.659,percent of total billed charges,9.154009619,,,,30.659,percent of total billed charges,15.29940206,,,,30.659,percent of total billed charges,9.154009619,,,,30.659,percent of total billed charges,15.29940206,,,,30.659,percent of total billed charges,9.154009619,,,,30.358,percent of total billed charges,30.1276656,,,,30.358,percent of total billed charges,20.77881217,,,,,,,,,,30.96,percent of total billed charges,20.12327145,,,,,,,,,,30.96,percent of total billed charges,999999999,,,,,,,,,,34.4,percent of total billed charges,28.82541183,,,,33.97,percent of total billed charges,32.7825119,,,,33.97,percent of total billed charges,28.96443441,,,,34.4,percent of total billed charges,999999999,,,,34.4,percent of total billed charges,999999999,,,,30.1,percent of total billed charges,999999999,,,,30.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,22.876,percent of total billed charges,999999999,,,,,,,,,,,,,,,,21.715,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10.75,percent of total billed charges,10.20987045,,,,,,,,,,10.75,percent of total billed charges,10.04003621,,,,,,,,,,10.75,percent of total billed charges,10.01213538,,,,,,,,,,10.75,percent of total billed charges,9.864706804,,,,,,,,,,10.75,percent of total billed charges,10.11854021,,,,,,,,,,10.75,percent of total billed charges,999999999,,,,,,,,,,10.75,percent of total billed charges,8.68242005,,,,,,,,,,10.75,percent of total billed charges,13.69277516,,,,,,,,,,10.75,percent of total billed charges,999999999,,,,,,,,,,10.75,percent of total billed charges,9.361772252,,,,,,,,,,38.7,percent of total billed charges,,,,,
AMPICILLIN:  250MG INJ,J0290,CDM,0078-1340-95,NDC,,both,1,EA,17.81,17.81,3.791463054,17.81,17.81,percent of total billed charges,13.10344971,,,,17.81,percent of total billed charges,13.88939761,,,,17.81,percent of total billed charges,13.10344971,,,,17.81,percent of total billed charges,13.88939761,,,,17.81,percent of total billed charges,999999999,,,,17.81,percent of total billed charges,13.56999593,,,,17.81,percent of total billed charges,13.10344971,,,,17.81,percent of total billed charges,13.88939761,,,,12.69853,percent of total billed charges,6.336798854,,,,12.69853,percent of total billed charges,3.791463054,,,,12.69853,percent of total billed charges,6.336798854,,,,12.69853,percent of total billed charges,3.791463054,,,,12.69853,percent of total billed charges,6.336798854,,,,12.69853,percent of total billed charges,3.791463054,,,,12.57386,percent of total billed charges,12.47845871,,,,12.57386,percent of total billed charges,8.606294065,,,,,,,,,,12.8232,percent of total billed charges,8.334778243,,,,,,,,,,12.8232,percent of total billed charges,999999999,,,,,,,,,,14.248,percent of total billed charges,11.93908336,,,,14.0699,percent of total billed charges,13.578059,,,,14.0699,percent of total billed charges,11.99666458,,,,14.248,percent of total billed charges,999999999,,,,14.248,percent of total billed charges,999999999,,,,12.467,percent of total billed charges,999999999,,,,12.467,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.47492,percent of total billed charges,999999999,,,,,,,,,,,,,,,,8.99405,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4.4525,percent of total billed charges,4.228785879,,,,,,,,,,4.4525,percent of total billed charges,4.158442903,,,,,,,,,,4.4525,percent of total billed charges,4.146886768,,,,,,,,,,4.4525,percent of total billed charges,4.085823911,,,,,,,,,,4.4525,percent of total billed charges,4.190958167,,,,,,,,,,4.4525,percent of total billed charges,999999999,,,,,,,,,,4.4525,percent of total billed charges,3.596137235,,,,,,,,,,4.4525,percent of total billed charges,5.671356407,,,,,,,,,,4.4525,percent of total billed charges,999999999,,,,,,,,,,4.4525,percent of total billed charges,3.877515437,,,,,,,,,,16.029,percent of total billed charges,,,,,
AMPICILLIN  2GM: ADVANT,J0290,CDM,0078-1341-92,NDC,,both,1,EA,331.87,331.87,70.6497947,331.87,331.87,percent of total billed charges,244.1685489,,,,331.87,percent of total billed charges,258.8138341,,,,331.87,percent of total billed charges,244.1685489,,,,331.87,percent of total billed charges,258.8138341,,,,331.87,percent of total billed charges,999999999,,,,331.87,percent of total billed charges,252.8621307,,,,331.87,percent of total billed charges,244.1685489,,,,331.87,percent of total billed charges,258.8138341,,,,236.62331,percent of total billed charges,118.0793619,,,,236.62331,percent of total billed charges,70.6497947,,,,236.62331,percent of total billed charges,118.0793619,,,,236.62331,percent of total billed charges,70.6497947,,,,236.62331,percent of total billed charges,118.0793619,,,,236.62331,percent of total billed charges,70.6497947,,,,234.30022,percent of total billed charges,232.5225205,,,,234.30022,percent of total billed charges,160.3689394,,,,,,,,,,238.9464,percent of total billed charges,155.3095371,,,,,,,,,,238.9464,percent of total billed charges,999999999,,,,,,,,,,265.496,percent of total billed charges,222.4718471,,,,262.1773,percent of total billed charges,253.0123773,,,,262.1773,percent of total billed charges,223.5448104,,,,265.496,percent of total billed charges,999999999,,,,265.496,percent of total billed charges,999999999,,,,232.309,percent of total billed charges,999999999,,,,232.309,percent of total billed charges,999999999,,,,,,,,,,,,,,,,176.55484,percent of total billed charges,999999999,,,,,,,,,,,,,,,,167.59435,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,82.9675,percent of total billed charges,78.79883041,,,,,,,,,,82.9675,percent of total billed charges,77.48806548,,,,,,,,,,82.9675,percent of total billed charges,77.27272946,,,,,,,,,,82.9675,percent of total billed charges,76.13488946,,,,,,,,,,82.9675,percent of total billed charges,78.0939521,,,,,,,,,,82.9675,percent of total billed charges,999999999,,,,,,,,,,82.9675,percent of total billed charges,67.01011028,,,,,,,,,,82.9675,percent of total billed charges,105.6795649,,,,,,,,,,82.9675,percent of total billed charges,999999999,,,,,,,,,,82.9675,percent of total billed charges,72.25328738,,,,,,,,,,298.683,percent of total billed charges,,,,,
**ESMOLOL (BREVIBLOC): 2500MG IN 250ML D,250,RC,1001-9002-18,NDC,,both,1,EA,268,268,57.05289716,268,268,percent of total billed charges,197.1771209,,,,268,percent of total billed charges,209.0038495,,,,268,percent of total billed charges,197.1771209,,,,268,percent of total billed charges,209.0038495,,,,268,percent of total billed charges,999999999,,,,268,percent of total billed charges,204.1975805,,,,268,percent of total billed charges,197.1771209,,,,268,percent of total billed charges,209.0038495,,,,191.084,percent of total billed charges,95.35441284,,,,191.084,percent of total billed charges,57.05289716,,,,191.084,percent of total billed charges,95.35441284,,,,191.084,percent of total billed charges,57.05289716,,,,191.084,percent of total billed charges,95.35441284,,,,191.084,percent of total billed charges,57.05289716,,,,189.208,percent of total billed charges,187.7724275,,,,189.208,percent of total billed charges,129.5051549,,,,,,,,,,192.96,percent of total billed charges,125.4194592,,,,,,,,,,192.96,percent of total billed charges,999999999,,,,,,,,,,214.4,percent of total billed charges,179.6560551,,,,211.72,percent of total billed charges,204.3189114,,,,211.72,percent of total billed charges,180.5225214,,,,214.4,percent of total billed charges,999999999,,,,214.4,percent of total billed charges,999999999,,,,187.6,percent of total billed charges,999999999,,,,187.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,142.576,percent of total billed charges,999999999,,,,,,,,,,,,,,,,135.34,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,67,percent of total billed charges,63.6336112,,,,,,,,,,67,percent of total billed charges,62.57510938,,,,,,,,,,67,percent of total billed charges,62.40121583,,,,,,,,,,67,percent of total billed charges,61.48235868,,,,,,,,,,67,percent of total billed charges,63.06439016,,,,,,,,,,67,percent of total billed charges,999999999,,,,,,,,,,67,percent of total billed charges,54.11368775,,,,,,,,,,67,percent of total billed charges,85.34101725,,,,,,,,,,67,percent of total billed charges,999999999,,,,,,,,,,67,percent of total billed charges,58.34778985,,,,,,,,,,241.2,percent of total billed charges,,,,,
AMPICILLIN 500 MG VIAL,J0290,CDM,0078-1940-78,NDC,,both,1,EA,15.67,15.67,3.335891412,15.67,15.67,percent of total billed charges,11.52897569,,,,15.67,percent of total billed charges,12.22048627,,,,15.67,percent of total billed charges,11.52897569,,,,15.67,percent of total billed charges,12.22048627,,,,15.67,percent of total billed charges,999999999,,,,15.67,percent of total billed charges,11.93946301,,,,15.67,percent of total billed charges,11.52897569,,,,15.67,percent of total billed charges,12.22048627,,,,11.17271,percent of total billed charges,5.575386751,,,,11.17271,percent of total billed charges,3.335891412,,,,11.17271,percent of total billed charges,5.575386751,,,,11.17271,percent of total billed charges,3.335891412,,,,11.17271,percent of total billed charges,5.575386751,,,,11.17271,percent of total billed charges,3.335891412,,,,11.06302,percent of total billed charges,10.97908186,,,,11.06302,percent of total billed charges,7.572185738,,,,,,,,,,11.2824,percent of total billed charges,7.333294501,,,,,,,,,,11.2824,percent of total billed charges,999999999,,,,,,,,,,12.536,percent of total billed charges,10.50451636,,,,12.3793,percent of total billed charges,11.94655724,,,,12.3793,percent of total billed charges,10.55517877,,,,12.536,percent of total billed charges,999999999,,,,12.536,percent of total billed charges,999999999,,,,10.969,percent of total billed charges,999999999,,,,10.969,percent of total billed charges,999999999,,,,,,,,,,,,,,,,8.33644,percent of total billed charges,999999999,,,,,,,,,,,,,,,,7.91335,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3.9175,percent of total billed charges,3.720666744,,,,,,,,,,3.9175,percent of total billed charges,3.658775985,,,,,,,,,,3.9175,percent of total billed charges,3.648608403,,,,,,,,,,3.9175,percent of total billed charges,3.594882689,,,,,,,,,,3.9175,percent of total billed charges,3.687384305,,,,,,,,,,3.9175,percent of total billed charges,999999999,,,,,,,,,,3.9175,percent of total billed charges,3.1640354,,,,,,,,,,3.9175,percent of total billed charges,4.989902016,,,,,,,,,,3.9175,percent of total billed charges,999999999,,,,,,,,,,3.9175,percent of total billed charges,3.411603981,,,,,,,,,,14.103,percent of total billed charges,,,,,
AMPICILLIN 1GM: VIAL,J0290,CDM,0078-1940-85,NDC,,both,1,EA,32.34,32.34,6.884666769,32.34,32.34,percent of total billed charges,23.7936869,,,,32.34,percent of total billed charges,25.22083766,,,,32.34,percent of total billed charges,23.7936869,,,,32.34,percent of total billed charges,25.22083766,,,,32.34,percent of total billed charges,999999999,,,,32.34,percent of total billed charges,24.64085729,,,,32.34,percent of total billed charges,23.7936869,,,,32.34,percent of total billed charges,25.22083766,,,,23.05842,percent of total billed charges,11.50657355,,,,23.05842,percent of total billed charges,6.884666769,,,,23.05842,percent of total billed charges,11.50657355,,,,23.05842,percent of total billed charges,6.884666769,,,,23.05842,percent of total billed charges,11.50657355,,,,23.05842,percent of total billed charges,6.884666769,,,,22.83204,percent of total billed charges,22.65880711,,,,22.83204,percent of total billed charges,15.62759967,,,,,,,,,,23.2848,percent of total billed charges,15.13457206,,,,,,,,,,23.2848,percent of total billed charges,999999999,,,,,,,,,,25.872,percent of total billed charges,21.67939113,,,,25.5486,percent of total billed charges,24.65549848,,,,25.5486,percent of total billed charges,21.78394904,,,,25.872,percent of total billed charges,999999999,,,,25.872,percent of total billed charges,999999999,,,,22.638,percent of total billed charges,999999999,,,,22.638,percent of total billed charges,999999999,,,,,,,,,,,,,,,,17.20488,percent of total billed charges,999999999,,,,,,,,,,,,,,,,16.3317,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8.085,percent of total billed charges,7.678772337,,,,,,,,,,8.085,percent of total billed charges,7.551041184,,,,,,,,,,8.085,percent of total billed charges,7.530057164,,,,,,,,,,8.085,percent of total billed charges,7.419177164,,,,,,,,,,8.085,percent of total billed charges,7.610083499,,,,,,,,,,8.085,percent of total billed charges,999999999,,,,,,,,,,8.085,percent of total billed charges,6.529987544,,,,,,,,,,8.085,percent of total billed charges,10.29824066,,,,,,,,,,8.085,percent of total billed charges,999999999,,,,,,,,,,8.085,percent of total billed charges,7.040923596,,,,,,,,,,29.106,percent of total billed charges,,,,,
AMPICILLIN/SUBACTAM: 1.5GM  VIAL,J0295,CDM,0064-1611-10,NDC,,both,1,EA,60.76,60.76,12.93482848,60.76,60.76,percent of total billed charges,44.70329054,,,,60.76,percent of total billed charges,47.38460408,,,,60.76,percent of total billed charges,44.70329054,,,,60.76,percent of total billed charges,47.38460408,,,,60.76,percent of total billed charges,999999999,,,,60.76,percent of total billed charges,46.29494399,,,,60.76,percent of total billed charges,44.70329054,,,,60.76,percent of total billed charges,47.38460408,,,,43.32188,percent of total billed charges,21.61841091,,,,43.32188,percent of total billed charges,12.93482848,,,,43.32188,percent of total billed charges,21.61841091,,,,43.32188,percent of total billed charges,12.93482848,,,,43.32188,percent of total billed charges,21.61841091,,,,43.32188,percent of total billed charges,12.93482848,,,,42.89656,percent of total billed charges,42.57109214,,,,42.89656,percent of total billed charges,29.36094483,,,,,,,,,,43.7472,percent of total billed charges,28.43465054,,,,,,,,,,43.7472,percent of total billed charges,999999999,,,,,,,,,,48.608,percent of total billed charges,40.73097727,,,,48.0004,percent of total billed charges,46.32245169,,,,48.0004,percent of total billed charges,40.92741941,,,,48.608,percent of total billed charges,999999999,,,,48.608,percent of total billed charges,999999999,,,,42.532,percent of total billed charges,999999999,,,,42.532,percent of total billed charges,999999999,,,,,,,,,,,,,,,,32.32432,percent of total billed charges,999999999,,,,,,,,,,,,,,,,30.6838,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15.19,percent of total billed charges,14.42678439,,,,,,,,,,15.19,percent of total billed charges,14.18680465,,,,,,,,,,15.19,percent of total billed charges,14.14738013,,,,,,,,,,15.19,percent of total billed charges,13.93906013,,,,,,,,,,15.19,percent of total billed charges,14.29773263,,,,,,,,,,15.19,percent of total billed charges,999999999,,,,,,,,,,15.19,percent of total billed charges,12.26846145,,,,,,,,,,15.19,percent of total billed charges,19.34820973,,,,,,,,,,15.19,percent of total billed charges,999999999,,,,,,,,,,15.19,percent of total billed charges,13.22840191,,,,,,,,,,54.684,percent of total billed charges,,,,,
VANCOMYCIN: 1 GM VIAL,J3370,CDM,6745-7034-00,NDC,,both,1,EA,58.69,58.69,12.49415871,58.69,58.69,percent of total billed charges,43.180318,,,,58.69,percent of total billed charges,45.77028331,,,,58.69,percent of total billed charges,43.180318,,,,58.69,percent of total billed charges,45.77028331,,,,58.69,percent of total billed charges,999999999,,,,58.69,percent of total billed charges,44.71774626,,,,58.69,percent of total billed charges,43.180318,,,,58.69,percent of total billed charges,45.77028331,,,,41.84597,percent of total billed charges,20.88190481,,,,41.84597,percent of total billed charges,12.49415871,,,,41.84597,percent of total billed charges,20.88190481,,,,41.84597,percent of total billed charges,12.49415871,,,,41.84597,percent of total billed charges,20.88190481,,,,41.84597,percent of total billed charges,12.49415871,,,,41.43514,percent of total billed charges,41.12076033,,,,41.43514,percent of total billed charges,28.36066247,,,,,,,,,,42.2568,percent of total billed charges,27.46592561,,,,,,,,,,42.2568,percent of total billed charges,999999999,,,,,,,,,,46.952,percent of total billed charges,39.34333535,,,,46.3651,percent of total billed charges,44.74431682,,,,46.3651,percent of total billed charges,39.53308501,,,,46.952,percent of total billed charges,999999999,,,,46.952,percent of total billed charges,999999999,,,,41.083,percent of total billed charges,999999999,,,,41.083,percent of total billed charges,999999999,,,,,,,,,,,,,,,,31.22308,percent of total billed charges,999999999,,,,,,,,,,,,,,,,29.63845,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14.6725,percent of total billed charges,13.93528598,,,,,,,,,,14.6725,percent of total billed charges,13.70348198,,,,,,,,,,14.6725,percent of total billed charges,13.66540059,,,,,,,,,,14.6725,percent of total billed charges,13.46417773,,,,,,,,,,14.6725,percent of total billed charges,13.81063081,,,,,,,,,,14.6725,percent of total billed charges,999999999,,,,,,,,,,14.6725,percent of total billed charges,11.85049378,,,,,,,,,,14.6725,percent of total billed charges,18.6890459,,,,,,,,,,14.6725,percent of total billed charges,999999999,,,,,,,,,,14.6725,percent of total billed charges,12.77773055,,,,,,,,,,52.821,percent of total billed charges,,,,,
CALCIUM GLUCONATE 1 GM/10ML INJ,J0612,CDM,6332-3031-10,NDC,,both,1,EA,161.79,161.79,34.4424934,161.79,161.79,percent of total billed charges,119.0346507,,,,161.79,percent of total billed charges,126.1743761,,,,161.79,percent of total billed charges,119.0346507,,,,161.79,percent of total billed charges,126.1743761,,,,161.79,percent of total billed charges,999999999,,,,161.79,percent of total billed charges,123.2728602,,,,161.79,percent of total billed charges,119.0346507,,,,161.79,percent of total billed charges,126.1743761,,,,115.35627,percent of total billed charges,57.56488975,,,,115.35627,percent of total billed charges,34.4424934,,,,115.35627,percent of total billed charges,57.56488975,,,,115.35627,percent of total billed charges,34.4424934,,,,115.35627,percent of total billed charges,57.56488975,,,,115.35627,percent of total billed charges,34.4424934,,,,114.22374,percent of total billed charges,113.3570934,,,,114.22374,percent of total billed charges,78.18148887,,,,,,,,,,116.4888,percent of total billed charges,75.71497877,,,,,,,,,,116.4888,percent of total billed charges,999999999,,,,,,,,,,129.432,percent of total billed charges,108.4572879,,,,127.8141,percent of total billed charges,123.346107,,,,127.8141,percent of total billed charges,108.9803685,,,,129.432,percent of total billed charges,999999999,,,,129.432,percent of total billed charges,999999999,,,,113.253,percent of total billed charges,999999999,,,,113.253,percent of total billed charges,999999999,,,,,,,,,,,,,,,,86.07228,percent of total billed charges,999999999,,,,,,,,,,,,,,,,81.70395,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,40.4475,percent of total billed charges,38.41523118,,,,,,,,,,40.4475,percent of total billed charges,37.77621995,,,,,,,,,,40.4475,percent of total billed charges,37.67124145,,,,,,,,,,40.4475,percent of total billed charges,37.11653288,,,,,,,,,,40.4475,percent of total billed charges,38.07159583,,,,,,,,,,40.4475,percent of total billed charges,999999999,,,,,,,,,,40.4475,percent of total billed charges,32.66811023,,,,,,,,,,40.4475,percent of total billed charges,51.51986261,,,,,,,,,,40.4475,percent of total billed charges,999999999,,,,,,,,,,40.4475,percent of total billed charges,35.22421239,,,,,,,,,,145.611,percent of total billed charges,,,,,
**CEFOTETAN  (CEFOTAN) 1GM: ADVANTAGE,258,RC,0031-0037-31,NDC,,both,1,EA,48,48,10.21842934,48,48,percent of total billed charges,35.31530523,,,,48,percent of total billed charges,37.43352528,,,,48,percent of total billed charges,35.31530523,,,,48,percent of total billed charges,37.43352528,,,,48,percent of total billed charges,999999999,,,,48,percent of total billed charges,36.57270098,,,,48,percent of total billed charges,35.31530523,,,,48,percent of total billed charges,37.43352528,,,,34.224,percent of total billed charges,17.0784023,,,,34.224,percent of total billed charges,10.21842934,,,,34.224,percent of total billed charges,17.0784023,,,,34.224,percent of total billed charges,10.21842934,,,,34.224,percent of total billed charges,17.0784023,,,,34.224,percent of total billed charges,10.21842934,,,,33.888,percent of total billed charges,33.63088253,,,,33.888,percent of total billed charges,23.19495312,,,,,,,,,,34.56,percent of total billed charges,22.46318673,,,,,,,,,,34.56,percent of total billed charges,999999999,,,,,,,,,,38.4,percent of total billed charges,32.1772039,,,,37.92,percent of total billed charges,36.59443188,,,,37.92,percent of total billed charges,32.3323919,,,,38.4,percent of total billed charges,999999999,,,,38.4,percent of total billed charges,999999999,,,,33.6,percent of total billed charges,999999999,,,,33.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,25.536,percent of total billed charges,999999999,,,,,,,,,,,,,,,,24.24,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12,percent of total billed charges,11.39706469,,,,,,,,,,12,percent of total billed charges,11.20748228,,,,,,,,,,12,percent of total billed charges,11.17633716,,,,,,,,,,12,percent of total billed charges,11.01176573,,,,,,,,,,12,percent of total billed charges,11.29511466,,,,,,,,,,12,percent of total billed charges,999999999,,,,,,,,,,12,percent of total billed charges,9.692003777,,,,,,,,,,12,percent of total billed charges,15.28495831,,,,,,,,,,12,percent of total billed charges,999999999,,,,,,,,,,12,percent of total billed charges,10.45035042,,,,,,,,,,43.2,percent of total billed charges,,,,,
CEFOTAXIME (CLAFORAN ) 1 GM IVPB MB+,J0698,CDM,0040-9359-11,NDC,,both,1,EA,71.62,71.62,15.24674811,71.62,71.62,percent of total billed charges,52.69337835,,,,71.62,percent of total billed charges,55.85393918,,,,71.62,percent of total billed charges,52.69337835,,,,71.62,percent of total billed charges,55.85393918,,,,71.62,percent of total billed charges,999999999,,,,71.62,percent of total billed charges,54.56951759,,,,71.62,percent of total billed charges,52.69337835,,,,71.62,percent of total billed charges,55.85393918,,,,51.06506,percent of total billed charges,25.48239943,,,,51.06506,percent of total billed charges,15.24674811,,,,51.06506,percent of total billed charges,25.48239943,,,,51.06506,percent of total billed charges,15.24674811,,,,51.06506,percent of total billed charges,25.48239943,,,,51.06506,percent of total billed charges,15.24674811,,,,50.56372,percent of total billed charges,50.18007931,,,,50.56372,percent of total billed charges,34.60880297,,,,,,,,,,51.5664,percent of total billed charges,33.51694653,,,,,,,,,,51.5664,percent of total billed charges,999999999,,,,,,,,,,57.296,percent of total billed charges,48.01106965,,,,56.5798,percent of total billed charges,54.60194191,,,,56.5798,percent of total billed charges,48.24262308,,,,57.296,percent of total billed charges,999999999,,,,57.296,percent of total billed charges,999999999,,,,50.134,percent of total billed charges,999999999,,,,50.134,percent of total billed charges,999999999,,,,,,,,,,,,,,,,38.10184,percent of total billed charges,999999999,,,,,,,,,,,,,,,,36.1681,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17.905,percent of total billed charges,17.00537028,,,,,,,,,,17.905,percent of total billed charges,16.72249751,,,,,,,,,,17.905,percent of total billed charges,16.67602641,,,,,,,,,,17.905,percent of total billed charges,16.43047212,,,,,,,,,,17.905,percent of total billed charges,16.85325232,,,,,,,,,,17.905,percent of total billed charges,999999999,,,,,,,,,,17.905,percent of total billed charges,14.4612773,,,,,,,,,,17.905,percent of total billed charges,22.80643155,,,,,,,,,,17.905,percent of total billed charges,999999999,,,,,,,,,,17.905,percent of total billed charges,15.59279369,,,,,,,,,,64.458,percent of total billed charges,,,,,
SODIUM CHLORIDE 0.9% IRRIGATION: 1000ML,258,RC,0040-9713-09,NDC,,both,1,EA,5.22,5.22,1.111254191,5.22,5.22,percent of total billed charges,3.840539444,,,,5.22,percent of total billed charges,4.070895874,,,,5.22,percent of total billed charges,3.840539444,,,,5.22,percent of total billed charges,4.070895874,,,,5.22,percent of total billed charges,999999999,,,,5.22,percent of total billed charges,3.977281232,,,,5.22,percent of total billed charges,3.840539444,,,,5.22,percent of total billed charges,4.070895874,,,,3.72186,percent of total billed charges,1.85727625,,,,3.72186,percent of total billed charges,1.111254191,,,,3.72186,percent of total billed charges,1.85727625,,,,3.72186,percent of total billed charges,1.111254191,,,,3.72186,percent of total billed charges,1.85727625,,,,3.72186,percent of total billed charges,1.111254191,,,,3.68532,percent of total billed charges,3.657358475,,,,3.68532,percent of total billed charges,2.522451152,,,,,,,,,,3.7584,percent of total billed charges,2.442871557,,,,,,,,,,3.7584,percent of total billed charges,999999999,,,,,,,,,,4.176,percent of total billed charges,3.499270924,,,,4.1238,percent of total billed charges,3.979644467,,,,4.1238,percent of total billed charges,3.516147619,,,,4.176,percent of total billed charges,999999999,,,,4.176,percent of total billed charges,999999999,,,,3.654,percent of total billed charges,999999999,,,,3.654,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2.77704,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2.6361,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.305,percent of total billed charges,1.239430785,,,,,,,,,,1.305,percent of total billed charges,1.218813698,,,,,,,,,,1.305,percent of total billed charges,1.215426666,,,,,,,,,,1.305,percent of total billed charges,1.197529524,,,,,,,,,,1.305,percent of total billed charges,1.228343719,,,,,,,,,,1.305,percent of total billed charges,999999999,,,,,,,,,,1.305,percent of total billed charges,1.054005411,,,,,,,,,,1.305,percent of total billed charges,1.662239217,,,,,,,,,,1.305,percent of total billed charges,999999999,,,,,,,,,,1.305,percent of total billed charges,1.136475608,,,,,,,,,,4.698,percent of total billed charges,,,,,
cefOXitin (MEFOXIN) 2GM VIAL,J0694,CDM,4456-7024-25,NDC,,both,1,EA,221.3,221.3,47.11121695,221.3,221.3,percent of total billed charges,162.8182718,,,,221.3,percent of total billed charges,172.5841488,,,,221.3,percent of total billed charges,162.8182718,,,,221.3,percent of total billed charges,172.5841488,,,,221.3,percent of total billed charges,999999999,,,,221.3,percent of total billed charges,168.6153901,,,,221.3,percent of total billed charges,162.8182718,,,,221.3,percent of total billed charges,172.5841488,,,,157.7869,percent of total billed charges,78.73855061,,,,157.7869,percent of total billed charges,47.11121695,,,,157.7869,percent of total billed charges,78.73855061,,,,157.7869,percent of total billed charges,47.11121695,,,,157.7869,percent of total billed charges,78.73855061,,,,157.7869,percent of total billed charges,47.11121695,,,,156.2378,percent of total billed charges,155.0523813,,,,156.2378,percent of total billed charges,106.9383985,,,,,,,,,,159.336,percent of total billed charges,103.5646505,,,,,,,,,,159.336,percent of total billed charges,999999999,,,,,,,,,,177.04,percent of total billed charges,148.3503171,,,,174.827,percent of total billed charges,168.7155787,,,,174.827,percent of total billed charges,149.0657985,,,,177.04,percent of total billed charges,999999999,,,,177.04,percent of total billed charges,999999999,,,,154.91,percent of total billed charges,999999999,,,,154.91,percent of total billed charges,999999999,,,,,,,,,,,,,,,,117.7316,percent of total billed charges,999999999,,,,,,,,,,,,,,,,111.7565,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,55.325,percent of total billed charges,52.54521701,,,,,,,,,,55.325,percent of total billed charges,51.67116308,,,,,,,,,,55.325,percent of total billed charges,51.52757113,,,,,,,,,,55.325,percent of total billed charges,50.76882827,,,,,,,,,,55.325,percent of total billed charges,52.07518486,,,,,,,,,,55.325,percent of total billed charges,999999999,,,,,,,,,,55.325,percent of total billed charges,44.68417574,,,,,,,,,,55.325,percent of total billed charges,70.47002656,,,,,,,,,,55.325,percent of total billed charges,999999999,,,,,,,,,,55.325,percent of total billed charges,48.18046975,,,,,,,,,,199.17,percent of total billed charges,,,,,
cefOXitin (MEFOXIN) 1GM: IM OR IVPB,J0694,CDM,6050-5075-05,NDC,,both,1,EA,40.93,40.93,8.713339853,40.93,40.93,percent of total billed charges,30.11365507,,,,40.93,percent of total billed charges,31.91987895,,,,40.93,percent of total billed charges,30.11365507,,,,40.93,percent of total billed charges,31.91987895,,,,40.93,percent of total billed charges,999999999,,,,40.93,percent of total billed charges,31.1858469,,,,40.93,percent of total billed charges,30.11365507,,,,40.93,percent of total billed charges,31.91987895,,,,29.18309,percent of total billed charges,14.56289596,,,,29.18309,percent of total billed charges,8.713339853,,,,29.18309,percent of total billed charges,14.56289596,,,,29.18309,percent of total billed charges,8.713339853,,,,29.18309,percent of total billed charges,14.56289596,,,,29.18309,percent of total billed charges,8.713339853,,,,28.89658,percent of total billed charges,28.67733379,,,,28.89658,percent of total billed charges,19.77852982,,,,,,,,,,29.4696,percent of total billed charges,19.15454652,,,,,,,,,,29.4696,percent of total billed charges,999999999,,,,,,,,,,32.744,percent of total billed charges,27.43776991,,,,32.3347,percent of total billed charges,31.20437702,,,,32.3347,percent of total billed charges,27.57010001,,,,32.744,percent of total billed charges,999999999,,,,32.744,percent of total billed charges,999999999,,,,28.651,percent of total billed charges,999999999,,,,28.651,percent of total billed charges,999999999,,,,,,,,,,,,,,,,21.77476,percent of total billed charges,999999999,,,,,,,,,,,,,,,,20.66965,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10.2325,percent of total billed charges,9.718372039,,,,,,,,,,10.2325,percent of total billed charges,9.556713533,,,,,,,,,,10.2325,percent of total billed charges,9.530155835,,,,,,,,,,10.2325,percent of total billed charges,9.389824406,,,,,,,,,,10.2325,percent of total billed charges,9.631438392,,,,,,,,,,10.2325,percent of total billed charges,999999999,,,,,,,,,,10.2325,percent of total billed charges,8.264452387,,,,,,,,,,10.2325,percent of total billed charges,13.03361133,,,,,,,,,,10.2325,percent of total billed charges,999999999,,,,,,,,,,10.2325,percent of total billed charges,8.91110089,,,,,,,,,,36.837,percent of total billed charges,,,,,
cefTAZidime 1GM INJ,J0713,CDM,0040-9509-52,NDC,,both,1,EA,46.34,46.34,9.865041994,46.34,46.34,percent of total billed charges,34.09398426,,,,46.34,percent of total billed charges,36.1389492,,,,46.34,percent of total billed charges,34.09398426,,,,46.34,percent of total billed charges,36.1389492,,,,46.34,percent of total billed charges,999999999,,,,46.34,percent of total billed charges,35.30789507,,,,46.34,percent of total billed charges,34.09398426,,,,46.34,percent of total billed charges,36.1389492,,,,33.04042,percent of total billed charges,16.48777422,,,,33.04042,percent of total billed charges,9.865041994,,,,33.04042,percent of total billed charges,16.48777422,,,,33.04042,percent of total billed charges,9.865041994,,,,33.04042,percent of total billed charges,16.48777422,,,,33.04042,percent of total billed charges,9.865041994,,,,32.71604,percent of total billed charges,32.46781451,,,,32.71604,percent of total billed charges,22.39279433,,,,,,,,,,33.3648,percent of total billed charges,21.68633486,,,,,,,,,,33.3648,percent of total billed charges,999999999,,,,,,,,,,37.072,percent of total billed charges,31.06440893,,,,36.6086,percent of total billed charges,35.32887445,,,,36.6086,percent of total billed charges,31.21423001,,,,37.072,percent of total billed charges,999999999,,,,37.072,percent of total billed charges,999999999,,,,32.438,percent of total billed charges,999999999,,,,32.438,percent of total billed charges,999999999,,,,,,,,,,,,,,,,24.65288,percent of total billed charges,999999999,,,,,,,,,,,,,,,,23.4017,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11.585,percent of total billed charges,11.00291621,,,,,,,,,,11.585,percent of total billed charges,10.81989018,,,,,,,,,,11.585,percent of total billed charges,10.78982217,,,,,,,,,,11.585,percent of total billed charges,10.63094217,,,,,,,,,,11.585,percent of total billed charges,10.90449194,,,,,,,,,,11.585,percent of total billed charges,999999999,,,,,,,,,,11.585,percent of total billed charges,9.356821979,,,,,,,,,,11.585,percent of total billed charges,14.7563535,,,,,,,,,,11.585,percent of total billed charges,999999999,,,,,,,,,,11.585,percent of total billed charges,10.08894247,,,,,,,,,,41.706,percent of total billed charges,,,,,
cefTAZidime 2 GM/100ML NS IVPB,J0713,CDM,2502-1012-50,NDC,,both,1,EA,75.28,75.28,16.02590335,75.28,75.28,percent of total billed charges,55.38617038,,,,75.28,percent of total billed charges,58.70824548,,,,75.28,percent of total billed charges,55.38617038,,,,75.28,percent of total billed charges,58.70824548,,,,75.28,percent of total billed charges,999999999,,,,75.28,percent of total billed charges,57.35818604,,,,75.28,percent of total billed charges,55.38617038,,,,75.28,percent of total billed charges,58.70824548,,,,53.67464,percent of total billed charges,26.78462761,,,,53.67464,percent of total billed charges,16.02590335,,,,53.67464,percent of total billed charges,26.78462761,,,,53.67464,percent of total billed charges,16.02590335,,,,53.67464,percent of total billed charges,26.78462761,,,,53.67464,percent of total billed charges,16.02590335,,,,53.14768,percent of total billed charges,52.7444341,,,,53.14768,percent of total billed charges,36.37741815,,,,,,,,,,54.2016,percent of total billed charges,35.22976452,,,,,,,,,,54.2016,percent of total billed charges,999999999,,,,,,,,,,60.224,percent of total billed charges,50.46458145,,,,59.4712,percent of total billed charges,57.39226734,,,,59.4712,percent of total billed charges,50.70796797,,,,60.224,percent of total billed charges,999999999,,,,60.224,percent of total billed charges,999999999,,,,52.696,percent of total billed charges,999999999,,,,52.696,percent of total billed charges,999999999,,,,,,,,,,,,,,,,40.04896,percent of total billed charges,999999999,,,,,,,,,,,,,,,,38.0164,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18.82,percent of total billed charges,17.87439646,,,,,,,,,,18.82,percent of total billed charges,17.57706804,,,,,,,,,,18.82,percent of total billed charges,17.52822212,,,,,,,,,,18.82,percent of total billed charges,17.27011926,,,,,,,,,,18.82,percent of total billed charges,17.71450482,,,,,,,,,,18.82,percent of total billed charges,999999999,,,,,,,,,,18.82,percent of total billed charges,15.20029259,,,,,,,,,,18.82,percent of total billed charges,23.97190962,,,,,,,,,,18.82,percent of total billed charges,999999999,,,,,,,,,,18.82,percent of total billed charges,16.38963291,,,,,,,,,,67.752,percent of total billed charges,,,,,
**AMINO ACID 10%(AMINOSYN 10%):500 ML,258,RC,0007-4299-03,NDC,,both,1,EA,433,433,92.17874802,433,433,percent of total billed charges,318.5734826,,,,433,percent of total billed charges,337.6815926,,,,433,percent of total billed charges,318.5734826,,,,433,percent of total billed charges,337.6815926,,,,433,percent of total billed charges,999999999,,,,433,percent of total billed charges,329.9162401,,,,433,percent of total billed charges,318.5734826,,,,433,percent of total billed charges,337.6815926,,,,308.729,percent of total billed charges,154.0614208,,,,308.729,percent of total billed charges,92.17874802,,,,308.729,percent of total billed charges,154.0614208,,,,308.729,percent of total billed charges,92.17874802,,,,308.729,percent of total billed charges,154.0614208,,,,308.729,percent of total billed charges,92.17874802,,,,305.698,percent of total billed charges,303.3785862,,,,305.698,percent of total billed charges,209.2378063,,,,,,,,,,311.76,percent of total billed charges,202.6366636,,,,,,,,,,311.76,percent of total billed charges,999999999,,,,,,,,,,346.4,percent of total billed charges,290.2651935,,,,342.07,percent of total billed charges,330.112271,,,,342.07,percent of total billed charges,291.6651186,,,,346.4,percent of total billed charges,999999999,,,,346.4,percent of total billed charges,999999999,,,,303.1,percent of total billed charges,999999999,,,,303.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,230.356,percent of total billed charges,999999999,,,,,,,,,,,,,,,,218.665,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,108.25,percent of total billed charges,102.8110211,,,,,,,,,,108.25,percent of total billed charges,101.1008297,,,,,,,,,,108.25,percent of total billed charges,100.8198748,,,,,,,,,,108.25,percent of total billed charges,99.3353034,,,,,,,,,,108.25,percent of total billed charges,101.8913468,,,,,,,,,,108.25,percent of total billed charges,999999999,,,,,,,,,,108.25,percent of total billed charges,87.42995073,,,,,,,,,,108.25,percent of total billed charges,137.8830614,,,,,,,,,,108.25,percent of total billed charges,999999999,,,,,,,,,,108.25,percent of total billed charges,94.27086942,,,,,,,,,,389.7,percent of total billed charges,,,,,
cefTRIAXone (ROCEPHIN) 1 GM: ADVANTAGE,J0696,CDM,0040-9733-49,NDC,,both,1,EA,45.67,45.67,9.722409751,45.67,45.67,percent of total billed charges,33.60104146,,,,45.67,percent of total billed charges,35.61643957,,,,45.67,percent of total billed charges,33.60104146,,,,45.67,percent of total billed charges,35.61643957,,,,45.67,percent of total billed charges,999999999,,,,45.67,percent of total billed charges,34.79740112,,,,45.67,percent of total billed charges,33.60104146,,,,45.67,percent of total billed charges,35.61643957,,,,32.56271,percent of total billed charges,16.24938819,,,,32.56271,percent of total billed charges,9.722409751,,,,32.56271,percent of total billed charges,16.24938819,,,,32.56271,percent of total billed charges,9.722409751,,,,32.56271,percent of total billed charges,16.24938819,,,,32.56271,percent of total billed charges,9.722409751,,,,32.24302,percent of total billed charges,31.99838344,,,,32.24302,percent of total billed charges,22.06903144,,,,,,,,,,32.8824,percent of total billed charges,21.37278621,,,,,,,,,,32.8824,percent of total billed charges,999999999,,,,,,,,,,36.536,percent of total billed charges,30.61526879,,,,36.0793,percent of total billed charges,34.81807717,,,,36.0793,percent of total billed charges,30.76292371,,,,36.536,percent of total billed charges,999999999,,,,36.536,percent of total billed charges,999999999,,,,31.969,percent of total billed charges,999999999,,,,31.969,percent of total billed charges,999999999,,,,,,,,,,,,,,,,24.29644,percent of total billed charges,999999999,,,,,,,,,,,,,,,,23.06335,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11.4175,percent of total billed charges,10.84383218,,,,,,,,,,11.4175,percent of total billed charges,10.66345241,,,,,,,,,,11.4175,percent of total billed charges,10.63381913,,,,,,,,,,11.4175,percent of total billed charges,10.47723627,,,,,,,,,,11.4175,percent of total billed charges,10.74683096,,,,,,,,,,11.4175,percent of total billed charges,999999999,,,,,,,,,,11.4175,percent of total billed charges,9.22153776,,,,,,,,,,11.4175,percent of total billed charges,14.54300096,,,,,,,,,,11.4175,percent of total billed charges,999999999,,,,,,,,,,11.4175,percent of total billed charges,9.943072994,,,,,,,,,,41.103,percent of total billed charges,,,,,
CEFUROXIME: (ZINACEF) 750MG INJ,J0697,CDM,0014-3956-01,NDC,,both,1,EA,25.11,25.11,5.34551585,25.11,25.11,percent of total billed charges,18.47431905,,,,25.11,percent of total billed charges,19.58241291,,,,25.11,percent of total billed charges,18.47431905,,,,25.11,percent of total billed charges,19.58241291,,,,25.11,percent of total billed charges,999999999,,,,25.11,percent of total billed charges,19.1320942,,,,25.11,percent of total billed charges,18.47431905,,,,25.11,percent of total billed charges,19.58241291,,,,17.90343,percent of total billed charges,8.934139203,,,,17.90343,percent of total billed charges,5.34551585,,,,17.90343,percent of total billed charges,8.934139203,,,,17.90343,percent of total billed charges,5.34551585,,,,17.90343,percent of total billed charges,8.934139203,,,,17.90343,percent of total billed charges,5.34551585,,,,17.72766,percent of total billed charges,17.59315542,,,,17.72766,percent of total billed charges,12.13385985,,,,,,,,,,18.0792,percent of total billed charges,11.75105456,,,,,,,,,,18.0792,percent of total billed charges,999999999,,,,,,,,,,20.088,percent of total billed charges,16.83269979,,,,19.8369,percent of total billed charges,19.14346218,,,,19.8369,percent of total billed charges,16.91388251,,,,20.088,percent of total billed charges,999999999,,,,20.088,percent of total billed charges,999999999,,,,17.577,percent of total billed charges,999999999,,,,17.577,percent of total billed charges,999999999,,,,,,,,,,,,,,,,13.35852,percent of total billed charges,999999999,,,,,,,,,,,,,,,,12.68055,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6.2775,percent of total billed charges,5.962089467,,,,,,,,,,6.2775,percent of total billed charges,5.862914166,,,,,,,,,,6.2775,percent of total billed charges,5.846621378,,,,,,,,,,6.2775,percent of total billed charges,5.76052995,,,,,,,,,,6.2775,percent of total billed charges,5.908756854,,,,,,,,,,6.2775,percent of total billed charges,999999999,,,,,,,,,,6.2775,percent of total billed charges,5.070129476,,,,,,,,,,6.2775,percent of total billed charges,7.995943817,,,,,,,,,,6.2775,percent of total billed charges,999999999,,,,,,,,,,6.2775,percent of total billed charges,5.466839564,,,,,,,,,,22.599,percent of total billed charges,,,,,
**CLINDAMYCIN 900 MG ADVANT VIAL:,258,RC,0078-1329-09,NDC,,both,1,EA,28.83,28.83,6.137444124,28.83,28.83,percent of total billed charges,21.21125521,,,,28.83,percent of total billed charges,22.48351112,,,,28.83,percent of total billed charges,21.21125521,,,,28.83,percent of total billed charges,22.48351112,,,,28.83,percent of total billed charges,999999999,,,,28.83,percent of total billed charges,21.96647853,,,,28.83,percent of total billed charges,21.21125521,,,,28.83,percent of total billed charges,22.48351112,,,,20.55579,percent of total billed charges,10.25771538,,,,20.55579,percent of total billed charges,6.137444124,,,,20.55579,percent of total billed charges,10.25771538,,,,20.55579,percent of total billed charges,6.137444124,,,,20.55579,percent of total billed charges,10.25771538,,,,20.55579,percent of total billed charges,6.137444124,,,,20.35398,percent of total billed charges,20.19954882,,,,20.35398,percent of total billed charges,13.93146872,,,,,,,,,,20.7576,percent of total billed charges,13.49195153,,,,,,,,,,20.7576,percent of total billed charges,999999999,,,,,,,,,,23.064,percent of total billed charges,19.32643309,,,,22.7757,percent of total billed charges,21.97953065,,,,22.7757,percent of total billed charges,19.41964289,,,,23.064,percent of total billed charges,999999999,,,,23.064,percent of total billed charges,999999999,,,,20.181,percent of total billed charges,999999999,,,,20.181,percent of total billed charges,999999999,,,,,,,,,,,,,,,,15.33756,percent of total billed charges,999999999,,,,,,,,,,,,,,,,14.55915,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7.2075,percent of total billed charges,6.845361981,,,,,,,,,,7.2075,percent of total billed charges,6.731494042,,,,,,,,,,7.2075,percent of total billed charges,6.712787509,,,,,,,,,,7.2075,percent of total billed charges,6.613941794,,,,,,,,,,7.2075,percent of total billed charges,6.78412824,,,,,,,,,,7.2075,percent of total billed charges,999999999,,,,,,,,,,7.2075,percent of total billed charges,5.821259768,,,,,,,,,,7.2075,percent of total billed charges,9.180528087,,,,,,,,,,7.2075,percent of total billed charges,999999999,,,,,,,,,,7.2075,percent of total billed charges,6.276741721,,,,,,,,,,25.947,percent of total billed charges,,,,,
**CYCLOPHOSPHAMIDE (CYTOXAN) 50MG T,J8530,CDM,0005-4413-25,NDC,,both,1,EA,15,15,3.193259169,15,15,percent of total billed charges,11.03603289,,,,15,percent of total billed charges,11.69797665,,,,15,percent of total billed charges,11.03603289,,,,15,percent of total billed charges,11.69797665,,,,15,percent of total billed charges,999999999,,,,15,percent of total billed charges,11.42896906,,,,15,percent of total billed charges,11.03603289,,,,15,percent of total billed charges,11.69797665,,,,10.695,percent of total billed charges,5.337000719,,,,10.695,percent of total billed charges,3.193259169,,,,10.695,percent of total billed charges,5.337000719,,,,10.695,percent of total billed charges,3.193259169,,,,10.695,percent of total billed charges,5.337000719,,,,10.695,percent of total billed charges,3.193259169,,,,10.59,percent of total billed charges,10.50965079,,,,10.59,percent of total billed charges,7.248422851,,,,,,,,,,10.8,percent of total billed charges,7.019745853,,,,,,,,,,10.8,percent of total billed charges,999999999,,,,,,,,,,12,percent of total billed charges,10.05537622,,,,11.85,percent of total billed charges,11.43575996,,,,11.85,percent of total billed charges,10.10387247,,,,12,percent of total billed charges,999999999,,,,12,percent of total billed charges,999999999,,,,10.5,percent of total billed charges,999999999,,,,10.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,7.98,percent of total billed charges,999999999,,,,,,,,,,,,,,,,7.575,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3.75,percent of total billed charges,3.561582716,,,,,,,,,,3.75,percent of total billed charges,3.502338211,,,,,,,,,,3.75,percent of total billed charges,3.492605363,,,,,,,,,,3.75,percent of total billed charges,3.441176792,,,,,,,,,,3.75,percent of total billed charges,3.52972333,,,,,,,,,,3.75,percent of total billed charges,999999999,,,,,,,,,,3.75,percent of total billed charges,3.02875118,,,,,,,,,,3.75,percent of total billed charges,4.776549473,,,,,,,,,,3.75,percent of total billed charges,999999999,,,,,,,,,,3.75,percent of total billed charges,3.265734506,,,,,,,,,,13.5,percent of total billed charges,,,,,
D5/0.45% NACL + KCL 10 MEQ 1000ML,258,RC,0033-8066-04,NDC,,both,1,EA,102.85,102.85,21.8951137,102.85,102.85,percent of total billed charges,75.67039882,,,,102.85,percent of total billed charges,80.20912656,,,,102.85,percent of total billed charges,75.67039882,,,,102.85,percent of total billed charges,80.20912656,,,,102.85,percent of total billed charges,999999999,,,,102.85,percent of total billed charges,78.36463116,,,,102.85,percent of total billed charges,75.67039882,,,,102.85,percent of total billed charges,80.20912656,,,,73.33205,percent of total billed charges,36.59403493,,,,73.33205,percent of total billed charges,21.8951137,,,,73.33205,percent of total billed charges,36.59403493,,,,73.33205,percent of total billed charges,21.8951137,,,,73.33205,percent of total billed charges,36.59403493,,,,73.33205,percent of total billed charges,21.8951137,,,,72.6121,percent of total billed charges,72.06117226,,,,72.6121,percent of total billed charges,49.70001935,,,,,,,,,,74.052,percent of total billed charges,48.1320574,,,,,,,,,,74.052,percent of total billed charges,999999999,,,,,,,,,,82.28,percent of total billed charges,68.94636294,,,,81.2515,percent of total billed charges,78.41119415,,,,81.2515,percent of total billed charges,69.27888556,,,,82.28,percent of total billed charges,999999999,,,,82.28,percent of total billed charges,999999999,,,,71.995,percent of total billed charges,999999999,,,,71.995,percent of total billed charges,999999999,,,,,,,,,,,,,,,,54.7162,percent of total billed charges,999999999,,,,,,,,,,,,,,,,51.93925,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,25.7125,percent of total billed charges,24.42058549,,,,,,,,,,25.7125,percent of total billed charges,24.01436567,,,,,,,,,,25.7125,percent of total billed charges,23.94763078,,,,,,,,,,25.7125,percent of total billed charges,23.5950022,,,,,,,,,,25.7125,percent of total billed charges,24.2021363,,,,,,,,,,25.7125,percent of total billed charges,999999999,,,,,,,,,,25.7125,percent of total billed charges,20.76713726,,,,,,,,,,25.7125,percent of total billed charges,32.75120755,,,,,,,,,,25.7125,percent of total billed charges,999999999,,,,,,,,,,25.7125,percent of total billed charges,22.39205293,,,,,,,,,,92.565,percent of total billed charges,,,,,
D5/0.45% NACL + 20MEQ KCL 1000ML,258,RC,0033-8067-04,NDC,,both,1,EA,72.58,72.58,15.4511167,72.58,72.58,percent of total billed charges,53.39968446,,,,72.58,percent of total billed charges,56.60260968,,,,72.58,percent of total billed charges,53.39968446,,,,72.58,percent of total billed charges,56.60260968,,,,72.58,percent of total billed charges,999999999,,,,72.58,percent of total billed charges,55.30097161,,,,72.58,percent of total billed charges,53.39968446,,,,72.58,percent of total billed charges,56.60260968,,,,51.74954,percent of total billed charges,25.82396748,,,,51.74954,percent of total billed charges,15.4511167,,,,51.74954,percent of total billed charges,25.82396748,,,,51.74954,percent of total billed charges,15.4511167,,,,51.74954,percent of total billed charges,25.82396748,,,,51.74954,percent of total billed charges,15.4511167,,,,51.24148,percent of total billed charges,50.85269696,,,,51.24148,percent of total billed charges,35.07270203,,,,,,,,,,52.2576,percent of total billed charges,33.96621027,,,,,,,,,,52.2576,percent of total billed charges,999999999,,,,,,,,,,58.064,percent of total billed charges,48.65461373,,,,57.3382,percent of total billed charges,55.33383054,,,,57.3382,percent of total billed charges,48.88927092,,,,58.064,percent of total billed charges,999999999,,,,58.064,percent of total billed charges,999999999,,,,50.806,percent of total billed charges,999999999,,,,50.806,percent of total billed charges,999999999,,,,,,,,,,,,,,,,38.61256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,36.6529,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18.145,percent of total billed charges,17.23331157,,,,,,,,,,18.145,percent of total billed charges,16.94664716,,,,,,,,,,18.145,percent of total billed charges,16.89955315,,,,,,,,,,18.145,percent of total billed charges,16.65070744,,,,,,,,,,18.145,percent of total billed charges,17.07915462,,,,,,,,,,18.145,percent of total billed charges,999999999,,,,,,,,,,18.145,percent of total billed charges,14.65511738,,,,,,,,,,18.145,percent of total billed charges,23.11213072,,,,,,,,,,18.145,percent of total billed charges,999999999,,,,,,,,,,18.145,percent of total billed charges,15.8018007,,,,,,,,,,65.322,percent of total billed charges,,,,,
D5/0.45% NACL + KCL 30 MEQ 1000ML,258,RC,0026-4763-00,NDC,,both,1,EA,269.15,269.15,57.2977137,269.15,269.15,percent of total billed charges,198.0232167,,,,269.15,percent of total billed charges,209.9006944,,,,269.15,percent of total billed charges,198.0232167,,,,269.15,percent of total billed charges,209.9006944,,,,269.15,percent of total billed charges,999999999,,,,269.15,percent of total billed charges,205.0738014,,,,269.15,percent of total billed charges,198.0232167,,,,269.15,percent of total billed charges,209.9006944,,,,191.90395,percent of total billed charges,95.7635829,,,,191.90395,percent of total billed charges,57.2977137,,,,191.90395,percent of total billed charges,95.7635829,,,,191.90395,percent of total billed charges,57.2977137,,,,191.90395,percent of total billed charges,95.7635829,,,,191.90395,percent of total billed charges,57.2977137,,,,190.0199,percent of total billed charges,188.5781674,,,,190.0199,percent of total billed charges,130.0608673,,,,,,,,,,193.788,percent of total billed charges,125.9576398,,,,,,,,,,193.788,percent of total billed charges,999999999,,,,,,,,,,215.32,percent of total billed charges,180.4269673,,,,212.6285,percent of total billed charges,205.1956529,,,,212.6285,percent of total billed charges,181.2971517,,,,215.32,percent of total billed charges,999999999,,,,215.32,percent of total billed charges,999999999,,,,188.405,percent of total billed charges,999999999,,,,188.405,percent of total billed charges,999999999,,,,,,,,,,,,,,,,143.1878,percent of total billed charges,999999999,,,,,,,,,,,,,,,,135.92075,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,67.2875,percent of total billed charges,63.90666588,,,,,,,,,,67.2875,percent of total billed charges,62.84362197,,,,,,,,,,67.2875,percent of total billed charges,62.66898224,,,,,,,,,,67.2875,percent of total billed charges,61.74618224,,,,,,,,,,67.2875,percent of total billed charges,63.33500228,,,,,,,,,,67.2875,percent of total billed charges,999999999,,,,,,,,,,67.2875,percent of total billed charges,54.34589201,,,,,,,,,,67.2875,percent of total billed charges,85.70721937,,,,,,,,,,67.2875,percent of total billed charges,999999999,,,,,,,,,,67.2875,percent of total billed charges,58.59816283,,,,,,,,,,242.235,percent of total billed charges,,,,,
D5/0.45% NACL + KCL 40 MEQ 1000ML,258,RC,0033-8067-04,NDC,,both,1,EA,100.34,100.34,21.360775,100.34,100.34,percent of total billed charges,73.82370265,,,,100.34,percent of total billed charges,78.25166514,,,,100.34,percent of total billed charges,73.82370265,,,,100.34,percent of total billed charges,78.25166514,,,,100.34,percent of total billed charges,999999999,,,,100.34,percent of total billed charges,76.45218367,,,,100.34,percent of total billed charges,73.82370265,,,,100.34,percent of total billed charges,78.25166514,,,,71.54242,percent of total billed charges,35.70097681,,,,71.54242,percent of total billed charges,21.360775,,,,71.54242,percent of total billed charges,35.70097681,,,,71.54242,percent of total billed charges,21.360775,,,,71.54242,percent of total billed charges,35.70097681,,,,71.54242,percent of total billed charges,21.360775,,,,70.84004,percent of total billed charges,70.30255736,,,,70.84004,percent of total billed charges,48.48711659,,,,,,,,,,72.2448,percent of total billed charges,46.95741993,,,,,,,,,,72.2448,percent of total billed charges,999999999,,,,,,,,,,80.272,percent of total billed charges,67.26376332,,,,79.2686,percent of total billed charges,76.49761032,,,,79.2686,percent of total billed charges,67.5881709,,,,80.272,percent of total billed charges,999999999,,,,80.272,percent of total billed charges,999999999,,,,70.238,percent of total billed charges,999999999,,,,70.238,percent of total billed charges,999999999,,,,,,,,,,,,,,,,53.38088,percent of total billed charges,999999999,,,,,,,,,,,,,,,,50.6717,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,25.085,percent of total billed charges,23.82461398,,,,,,,,,,25.085,percent of total billed charges,23.42830774,,,,,,,,,,25.085,percent of total billed charges,23.36320148,,,,,,,,,,25.085,percent of total billed charges,23.01917862,,,,,,,,,,25.085,percent of total billed charges,23.61149593,,,,,,,,,,25.085,percent of total billed charges,999999999,,,,,,,,,,25.085,percent of total billed charges,20.26032623,,,,,,,,,,25.085,percent of total billed charges,31.95193161,,,,,,,,,,25.085,percent of total billed charges,999999999,,,,,,,,,,25.085,percent of total billed charges,21.84558669,,,,,,,,,,90.306,percent of total billed charges,,,,,
**D50W (DEXTROSE 50%): 500 ML BOTTLE,258,RC,0040-9152-03,NDC,,both,1,EA,69,69,14.68899218,69,69,percent of total billed charges,50.76575127,,,,69,percent of total billed charges,53.81069259,,,,69,percent of total billed charges,50.76575127,,,,69,percent of total billed charges,53.81069259,,,,69,percent of total billed charges,999999999,,,,69,percent of total billed charges,52.57325766,,,,69,percent of total billed charges,50.76575127,,,,69,percent of total billed charges,53.81069259,,,,49.197,percent of total billed charges,24.55020331,,,,49.197,percent of total billed charges,14.68899218,,,,49.197,percent of total billed charges,24.55020331,,,,49.197,percent of total billed charges,14.68899218,,,,49.197,percent of total billed charges,24.55020331,,,,49.197,percent of total billed charges,14.68899218,,,,48.714,percent of total billed charges,48.34439364,,,,48.714,percent of total billed charges,33.34274511,,,,,,,,,,49.68,percent of total billed charges,32.29083092,,,,,,,,,,49.68,percent of total billed charges,999999999,,,,,,,,,,55.2,percent of total billed charges,46.25473061,,,,54.51,percent of total billed charges,52.60449583,,,,54.51,percent of total billed charges,46.47781336,,,,55.2,percent of total billed charges,999999999,,,,55.2,percent of total billed charges,999999999,,,,48.3,percent of total billed charges,999999999,,,,48.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,36.708,percent of total billed charges,999999999,,,,,,,,,,,,,,,,34.845,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17.25,percent of total billed charges,16.3832805,,,,,,,,,,17.25,percent of total billed charges,16.11075577,,,,,,,,,,17.25,percent of total billed charges,16.06598467,,,,,,,,,,17.25,percent of total billed charges,15.82941324,,,,,,,,,,17.25,percent of total billed charges,16.23672732,,,,,,,,,,17.25,percent of total billed charges,999999999,,,,,,,,,,17.25,percent of total billed charges,13.93225543,,,,,,,,,,17.25,percent of total billed charges,21.97212757,,,,,,,,,,17.25,percent of total billed charges,999999999,,,,,,,,,,17.25,percent of total billed charges,15.02237873,,,,,,,,,,62.1,percent of total billed charges,,,,,
DEXTROSE 10% 1000ML,258,RC,0033-8002-04,NDC,,both,1,EA,73.34,73.34,15.6129085,73.34,73.34,percent of total billed charges,53.95884346,,,,73.34,percent of total billed charges,57.19530717,,,,73.34,percent of total billed charges,53.95884346,,,,73.34,percent of total billed charges,57.19530717,,,,73.34,percent of total billed charges,999999999,,,,73.34,percent of total billed charges,55.88003937,,,,73.34,percent of total billed charges,53.95884346,,,,73.34,percent of total billed charges,57.19530717,,,,52.29142,percent of total billed charges,26.09437551,,,,52.29142,percent of total billed charges,15.6129085,,,,52.29142,percent of total billed charges,26.09437551,,,,52.29142,percent of total billed charges,15.6129085,,,,52.29142,percent of total billed charges,26.09437551,,,,52.29142,percent of total billed charges,15.6129085,,,,51.77804,percent of total billed charges,51.38518593,,,,51.77804,percent of total billed charges,35.43995546,,,,,,,,,,52.8048,percent of total billed charges,34.32187739,,,,,,,,,,52.8048,percent of total billed charges,999999999,,,,,,,,,,58.672,percent of total billed charges,49.16408613,,,,57.9386,percent of total billed charges,55.91324238,,,,57.9386,percent of total billed charges,49.40120046,,,,58.672,percent of total billed charges,999999999,,,,58.672,percent of total billed charges,999999999,,,,51.338,percent of total billed charges,999999999,,,,51.338,percent of total billed charges,999999999,,,,,,,,,,,,,,,,39.01688,percent of total billed charges,999999999,,,,,,,,,,,,,,,,37.0367,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18.335,percent of total billed charges,17.4137651,,,,,,,,,,18.335,percent of total billed charges,17.12409896,,,,,,,,,,18.335,percent of total billed charges,17.07651182,,,,,,,,,,18.335,percent of total billed charges,16.82506039,,,,,,,,,,18.335,percent of total billed charges,17.25799393,,,,,,,,,,18.335,percent of total billed charges,999999999,,,,,,,,,,18.335,percent of total billed charges,14.8085741,,,,,,,,,,18.335,percent of total billed charges,23.35414256,,,,,,,,,,18.335,percent of total billed charges,999999999,,,,,,,,,,18.335,percent of total billed charges,15.96726458,,,,,,,,,,66.006,percent of total billed charges,,,,,
DEXTROSE 5%: 100 ML A/V IVPB,258,RC,0040-9710-67,NDC,,both,1,EA,20.31,20.31,4.323672915,20.31,20.31,percent of total billed charges,14.94278853,,,,20.31,percent of total billed charges,15.83906038,,,,20.31,percent of total billed charges,14.94278853,,,,20.31,percent of total billed charges,15.83906038,,,,20.31,percent of total billed charges,999999999,,,,20.31,percent of total billed charges,15.4748241,,,,20.31,percent of total billed charges,14.94278853,,,,20.31,percent of total billed charges,15.83906038,,,,14.48103,percent of total billed charges,7.226298973,,,,14.48103,percent of total billed charges,4.323672915,,,,14.48103,percent of total billed charges,7.226298973,,,,14.48103,percent of total billed charges,4.323672915,,,,14.48103,percent of total billed charges,7.226298973,,,,14.48103,percent of total billed charges,4.323672915,,,,14.33886,percent of total billed charges,14.23006717,,,,14.33886,percent of total billed charges,9.81436454,,,,,,,,,,14.6232,percent of total billed charges,9.504735885,,,,,,,,,,14.6232,percent of total billed charges,999999999,,,,,,,,,,16.248,percent of total billed charges,13.6149794,,,,16.0449,percent of total billed charges,15.48401899,,,,16.0449,percent of total billed charges,13.68064332,,,,16.248,percent of total billed charges,999999999,,,,16.248,percent of total billed charges,999999999,,,,14.217,percent of total billed charges,999999999,,,,14.217,percent of total billed charges,999999999,,,,,,,,,,,,,,,,10.80492,percent of total billed charges,999999999,,,,,,,,,,,,,,,,10.25655,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5.0775,percent of total billed charges,4.822382998,,,,,,,,,,5.0775,percent of total billed charges,4.742165938,,,,,,,,,,5.0775,percent of total billed charges,4.728987662,,,,,,,,,,5.0775,percent of total billed charges,4.659353376,,,,,,,,,,5.0775,percent of total billed charges,4.779245388,,,,,,,,,,5.0775,percent of total billed charges,999999999,,,,,,,,,,5.0775,percent of total billed charges,4.100929098,,,,,,,,,,5.0775,percent of total billed charges,6.467447986,,,,,,,,,,5.0775,percent of total billed charges,999999999,,,,,,,,,,5.0775,percent of total billed charges,4.421804522,,,,,,,,,,18.279,percent of total billed charges,,,,,
DEXTROSE 5% IN LACTATED RINGERS 1000ML,258,RC,0033-8012-04,NDC,,both,1,EA,57.02,57.02,12.13864252,57.02,57.02,percent of total billed charges,41.95163968,,,,57.02,percent of total billed charges,44.46790857,,,,57.02,percent of total billed charges,41.95163968,,,,57.02,percent of total billed charges,44.46790857,,,,57.02,percent of total billed charges,999999999,,,,57.02,percent of total billed charges,43.44532104,,,,57.02,percent of total billed charges,41.95163968,,,,57.02,percent of total billed charges,44.46790857,,,,40.65526,percent of total billed charges,20.28771873,,,,40.65526,percent of total billed charges,12.13864252,,,,40.65526,percent of total billed charges,20.28771873,,,,40.65526,percent of total billed charges,12.13864252,,,,40.65526,percent of total billed charges,20.28771873,,,,40.65526,percent of total billed charges,12.13864252,,,,40.25612,percent of total billed charges,39.95068587,,,,40.25612,percent of total billed charges,27.5536714,,,,,,,,,,41.0544,percent of total billed charges,26.6843939,,,,,,,,,,41.0544,percent of total billed charges,999999999,,,,,,,,,,45.616,percent of total billed charges,38.2238368,,,,45.0458,percent of total billed charges,43.47113554,,,,45.0458,percent of total billed charges,38.40818721,,,,45.616,percent of total billed charges,999999999,,,,45.616,percent of total billed charges,999999999,,,,39.914,percent of total billed charges,999999999,,,,39.914,percent of total billed charges,999999999,,,,,,,,,,,,,,,,30.33464,percent of total billed charges,999999999,,,,,,,,,,,,,,,,28.7951,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14.255,percent of total billed charges,13.5387631,,,,,,,,,,14.255,percent of total billed charges,13.31355499,,,,,,,,,,14.255,percent of total billed charges,13.27655719,,,,,,,,,,14.255,percent of total billed charges,13.08106005,,,,,,,,,,14.255,percent of total billed charges,13.41765495,,,,,,,,,,14.255,percent of total billed charges,999999999,,,,,,,,,,14.255,percent of total billed charges,11.51329282,,,,,,,,,,14.255,percent of total billed charges,18.15725673,,,,,,,,,,14.255,percent of total billed charges,999999999,,,,,,,,,,14.255,percent of total billed charges,12.41414544,,,,,,,,,,51.318,percent of total billed charges,,,,,
DEXTROSE 5%  1000 ML,J7070,CDM,0033-8001-04,NDC,,both,1,EA,66.7,66.7,14.19935911,66.7,66.7,percent of total billed charges,49.07355957,,,,66.7,percent of total billed charges,52.01700284,,,,66.7,percent of total billed charges,49.07355957,,,,66.7,percent of total billed charges,52.01700284,,,,66.7,percent of total billed charges,999999999,,,,66.7,percent of total billed charges,50.82081574,,,,66.7,percent of total billed charges,49.07355957,,,,66.7,percent of total billed charges,52.01700284,,,,47.5571,percent of total billed charges,23.7318632,,,,47.5571,percent of total billed charges,14.19935911,,,,47.5571,percent of total billed charges,23.7318632,,,,47.5571,percent of total billed charges,14.19935911,,,,47.5571,percent of total billed charges,23.7318632,,,,47.5571,percent of total billed charges,14.19935911,,,,47.0902,percent of total billed charges,46.73291385,,,,47.0902,percent of total billed charges,32.23132028,,,,,,,,,,48.024,percent of total billed charges,31.21446989,,,,,,,,,,48.024,percent of total billed charges,999999999,,,,,,,,,,53.36,percent of total billed charges,44.71290625,,,,52.693,percent of total billed charges,50.85101264,,,,52.693,percent of total billed charges,44.92855291,,,,53.36,percent of total billed charges,999999999,,,,53.36,percent of total billed charges,999999999,,,,46.69,percent of total billed charges,999999999,,,,46.69,percent of total billed charges,999999999,,,,,,,,,,,,,,,,35.4844,percent of total billed charges,999999999,,,,,,,,,,,,,,,,33.6835,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16.675,percent of total billed charges,15.83717115,,,,,,,,,,16.675,percent of total billed charges,15.57373058,,,,,,,,,,16.675,percent of total billed charges,15.53045185,,,,,,,,,,16.675,percent of total billed charges,15.30176613,,,,,,,,,,16.675,percent of total billed charges,15.69550307,,,,,,,,,,16.675,percent of total billed charges,999999999,,,,,,,,,,16.675,percent of total billed charges,13.46784691,,,,,,,,,,16.675,percent of total billed charges,21.23972332,,,,,,,,,,16.675,percent of total billed charges,999999999,,,,,,,,,,16.675,percent of total billed charges,14.52163277,,,,,,,,,,60.03,percent of total billed charges,,,,,
DEXTROSE 5%: 250ML IVPB,258,RC,0033-8001-02,NDC,,both,1,EA,27.75,27.75,5.907529463,27.75,27.75,percent of total billed charges,20.41666084,,,,27.75,percent of total billed charges,21.6412568,,,,27.75,percent of total billed charges,20.41666084,,,,27.75,percent of total billed charges,21.6412568,,,,27.75,percent of total billed charges,999999999,,,,27.75,percent of total billed charges,21.14359275,,,,27.75,percent of total billed charges,20.41666084,,,,27.75,percent of total billed charges,21.6412568,,,,19.78575,percent of total billed charges,9.87345133,,,,19.78575,percent of total billed charges,5.907529463,,,,19.78575,percent of total billed charges,9.87345133,,,,19.78575,percent of total billed charges,5.907529463,,,,19.78575,percent of total billed charges,9.87345133,,,,19.78575,percent of total billed charges,5.907529463,,,,19.5915,percent of total billed charges,19.44285396,,,,19.5915,percent of total billed charges,13.40958227,,,,,,,,,,19.98,percent of total billed charges,12.98652983,,,,,,,,,,19.98,percent of total billed charges,999999999,,,,,,,,,,22.2,percent of total billed charges,18.602446,,,,21.9225,percent of total billed charges,21.15615593,,,,21.9225,percent of total billed charges,18.69216407,,,,22.2,percent of total billed charges,999999999,,,,22.2,percent of total billed charges,999999999,,,,19.425,percent of total billed charges,999999999,,,,19.425,percent of total billed charges,999999999,,,,,,,,,,,,,,,,14.763,percent of total billed charges,999999999,,,,,,,,,,,,,,,,14.01375,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6.9375,percent of total billed charges,6.588928025,,,,,,,,,,6.9375,percent of total billed charges,6.479325691,,,,,,,,,,6.9375,percent of total billed charges,6.461319922,,,,,,,,,,6.9375,percent of total billed charges,6.366177065,,,,,,,,,,6.9375,percent of total billed charges,6.52998816,,,,,,,,,,6.9375,percent of total billed charges,999999999,,,,,,,,,,6.9375,percent of total billed charges,5.603189683,,,,,,,,,,6.9375,percent of total billed charges,8.836616525,,,,,,,,,,6.9375,percent of total billed charges,999999999,,,,,,,,,,6.9375,percent of total billed charges,6.041608837,,,,,,,,,,24.975,percent of total billed charges,,,,,
**NALOXONE INJ: 0.4MG/ML 10ML 1ML/CHG,J2310,CDM,0040-9121-01,NDC,,both,1,EA,89,89,18.94667107,89,89,percent of total billed charges,65.48046179,,,,89,percent of total billed charges,69.40799479,,,,89,percent of total billed charges,65.48046179,,,,89,percent of total billed charges,69.40799479,,,,89,percent of total billed charges,999999999,,,,89,percent of total billed charges,67.81188307,,,,89,percent of total billed charges,65.48046179,,,,89,percent of total billed charges,69.40799479,,,,63.457,percent of total billed charges,31.66620427,,,,63.457,percent of total billed charges,18.94667107,,,,63.457,percent of total billed charges,31.66620427,,,,63.457,percent of total billed charges,18.94667107,,,,63.457,percent of total billed charges,31.66620427,,,,63.457,percent of total billed charges,18.94667107,,,,62.834,percent of total billed charges,62.35726136,,,,62.834,percent of total billed charges,43.00730891,,,,,,,,,,64.08,percent of total billed charges,41.65049206,,,,,,,,,,64.08,percent of total billed charges,999999999,,,,,,,,,,71.2,percent of total billed charges,59.6618989,,,,70.31,percent of total billed charges,67.85217578,,,,70.31,percent of total billed charges,59.94964332,,,,71.2,percent of total billed charges,999999999,,,,71.2,percent of total billed charges,999999999,,,,62.3,percent of total billed charges,999999999,,,,62.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,47.348,percent of total billed charges,999999999,,,,,,,,,,,,,,,,44.945,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,22.25,percent of total billed charges,21.13205745,,,,,,,,,,22.25,percent of total billed charges,20.78054005,,,,,,,,,,22.25,percent of total billed charges,20.72279182,,,,,,,,,,22.25,percent of total billed charges,20.41764897,,,,,,,,,,22.25,percent of total billed charges,20.94302509,,,,,,,,,,22.25,percent of total billed charges,999999999,,,,,,,,,,22.25,percent of total billed charges,17.97059034,,,,,,,,,,22.25,percent of total billed charges,28.34086021,,,,,,,,,,22.25,percent of total billed charges,999999999,,,,,,,,,,22.25,percent of total billed charges,19.37669141,,,,,,,,,,80.1,percent of total billed charges,,,,,
ERYTHROMYCIN: 500MG VIAL,J1364,CDM,0040-9648-01,NDC,,both,1,EA,468.3,468.3,99.69355127,468.3,468.3,percent of total billed charges,344.5449467,,,,468.3,percent of total billed charges,365.210831,,,,468.3,percent of total billed charges,344.5449467,,,,468.3,percent of total billed charges,365.210831,,,,468.3,percent of total billed charges,999999999,,,,468.3,percent of total billed charges,356.8124139,,,,468.3,percent of total billed charges,344.5449467,,,,468.3,percent of total billed charges,365.210831,,,,333.8979,percent of total billed charges,166.6211624,,,,333.8979,percent of total billed charges,99.69355127,,,,333.8979,percent of total billed charges,166.6211624,,,,333.8979,percent of total billed charges,99.69355127,,,,333.8979,percent of total billed charges,166.6211624,,,,333.8979,percent of total billed charges,99.69355127,,,,330.6198,percent of total billed charges,328.1112977,,,,330.6198,percent of total billed charges,226.2957614,,,,,,,,,,337.176,percent of total billed charges,219.1564655,,,,,,,,,,337.176,percent of total billed charges,999999999,,,,,,,,,,374.64,percent of total billed charges,313.9288456,,,,369.957,percent of total billed charges,357.0244261,,,,369.957,percent of total billed charges,315.4428985,,,,374.64,percent of total billed charges,999999999,,,,374.64,percent of total billed charges,999999999,,,,327.81,percent of total billed charges,999999999,,,,327.81,percent of total billed charges,999999999,,,,,,,,,,,,,,,,249.1356,percent of total billed charges,999999999,,,,,,,,,,,,,,,,236.4915,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,117.075,percent of total billed charges,111.1926124,,,,,,,,,,117.075,percent of total billed charges,109.342999,,,,,,,,,,117.075,percent of total billed charges,109.0391394,,,,,,,,,,117.075,percent of total billed charges,107.4335394,,,,,,,,,,117.075,percent of total billed charges,110.1979624,,,,,,,,,,117.075,percent of total billed charges,999999999,,,,,,,,,,117.075,percent of total billed charges,94.55761184,,,,,,,,,,117.075,percent of total billed charges,149.1238745,,,,,,,,,,117.075,percent of total billed charges,999999999,,,,,,,,,,117.075,percent of total billed charges,101.9562313,,,,,,,,,,421.47,percent of total billed charges,,,,,
DEXTROSE 5%: 50ML A/V IVPB,258,RC,0040-9710-66,NDC,,both,1,EA,16.25,16.25,3.4593641,16.25,16.25,percent of total billed charges,11.95570229,,,,16.25,percent of total billed charges,12.67280804,,,,16.25,percent of total billed charges,11.95570229,,,,16.25,percent of total billed charges,12.67280804,,,,16.25,percent of total billed charges,999999999,,,,16.25,percent of total billed charges,12.38138314,,,,16.25,percent of total billed charges,11.95570229,,,,16.25,percent of total billed charges,12.67280804,,,,11.58625,percent of total billed charges,5.781750779,,,,11.58625,percent of total billed charges,3.4593641,,,,11.58625,percent of total billed charges,5.781750779,,,,11.58625,percent of total billed charges,3.4593641,,,,11.58625,percent of total billed charges,5.781750779,,,,11.58625,percent of total billed charges,3.4593641,,,,11.4725,percent of total billed charges,11.38545502,,,,11.4725,percent of total billed charges,7.852458088,,,,,,,,,,11.7,percent of total billed charges,7.604724674,,,,,,,,,,11.7,percent of total billed charges,999999999,,,,,,,,,,13,percent of total billed charges,10.89332424,,,,12.8375,percent of total billed charges,12.38873996,,,,12.8375,percent of total billed charges,10.94586184,,,,13,percent of total billed charges,999999999,,,,13,percent of total billed charges,999999999,,,,11.375,percent of total billed charges,999999999,,,,11.375,percent of total billed charges,999999999,,,,,,,,,,,,,,,,8.645,percent of total billed charges,999999999,,,,,,,,,,,,,,,,8.20625,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4.0625,percent of total billed charges,3.858381276,,,,,,,,,,4.0625,percent of total billed charges,3.794199729,,,,,,,,,,4.0625,percent of total billed charges,3.78365581,,,,,,,,,,4.0625,percent of total billed charges,3.727941525,,,,,,,,,,4.0625,percent of total billed charges,3.823866941,,,,,,,,,,4.0625,percent of total billed charges,999999999,,,,,,,,,,4.0625,percent of total billed charges,3.281147112,,,,,,,,,,4.0625,percent of total billed charges,5.174595262,,,,,,,,,,4.0625,percent of total billed charges,999999999,,,,,,,,,,4.0625,percent of total billed charges,3.537879049,,,,,,,,,,14.625,percent of total billed charges,,,,,
**NORMOSOL M 5% DEXTROSE:(ISOLYTE H):LIT,258,RC,0040-9796-09,NDC,,both,1,EA,40,40,8.515357785,40,40,percent of total billed charges,29.42942103,,,,40,percent of total billed charges,31.1946044,,,,40,percent of total billed charges,29.42942103,,,,40,percent of total billed charges,31.1946044,,,,40,percent of total billed charges,999999999,,,,40,percent of total billed charges,30.47725082,,,,40,percent of total billed charges,29.42942103,,,,40,percent of total billed charges,31.1946044,,,,28.52,percent of total billed charges,14.23200192,,,,28.52,percent of total billed charges,8.515357785,,,,28.52,percent of total billed charges,14.23200192,,,,28.52,percent of total billed charges,8.515357785,,,,28.52,percent of total billed charges,14.23200192,,,,28.52,percent of total billed charges,8.515357785,,,,28.24,percent of total billed charges,28.02573544,,,,28.24,percent of total billed charges,19.3291276,,,,,,,,,,28.8,percent of total billed charges,18.71932228,,,,,,,,,,28.8,percent of total billed charges,999999999,,,,,,,,,,32,percent of total billed charges,26.81433658,,,,31.6,percent of total billed charges,30.4953599,,,,31.6,percent of total billed charges,26.94365992,,,,32,percent of total billed charges,999999999,,,,32,percent of total billed charges,999999999,,,,28,percent of total billed charges,999999999,,,,28,percent of total billed charges,999999999,,,,,,,,,,,,,,,,21.28,percent of total billed charges,999999999,,,,,,,,,,,,,,,,20.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10,percent of total billed charges,9.497553911,,,,,,,,,,10,percent of total billed charges,9.339568564,,,,,,,,,,10,percent of total billed charges,9.313614303,,,,,,,,,,10,percent of total billed charges,9.176471445,,,,,,,,,,10,percent of total billed charges,9.412595546,,,,,,,,,,10,percent of total billed charges,999999999,,,,,,,,,,10,percent of total billed charges,8.076669814,,,,,,,,,,10,percent of total billed charges,12.73746526,,,,,,,,,,10,percent of total billed charges,999999999,,,,,,,,,,10,percent of total billed charges,8.708625351,,,,,,,,,,36,percent of total billed charges,,,,,
DEXTROSE 5% IN 0.225% NACL 1000ML,258,RC,0033-8007-04,NDC,,both,1,EA,21,21,4.470562837,21,21,percent of total billed charges,15.45044604,,,,21,percent of total billed charges,16.37716731,,,,21,percent of total billed charges,15.45044604,,,,21,percent of total billed charges,16.37716731,,,,21,percent of total billed charges,999999999,,,,21,percent of total billed charges,16.00055668,,,,21,percent of total billed charges,15.45044604,,,,21,percent of total billed charges,16.37716731,,,,14.973,percent of total billed charges,7.471801006,,,,14.973,percent of total billed charges,4.470562837,,,,14.973,percent of total billed charges,7.471801006,,,,14.973,percent of total billed charges,4.470562837,,,,14.973,percent of total billed charges,7.471801006,,,,14.973,percent of total billed charges,4.470562837,,,,14.826,percent of total billed charges,14.71351111,,,,14.826,percent of total billed charges,10.14779199,,,,,,,,,,15.12,percent of total billed charges,9.827644194,,,,,,,,,,15.12,percent of total billed charges,999999999,,,,,,,,,,16.8,percent of total billed charges,14.07752671,,,,16.59,percent of total billed charges,16.01006395,,,,16.59,percent of total billed charges,14.14542146,,,,16.8,percent of total billed charges,999999999,,,,16.8,percent of total billed charges,999999999,,,,14.7,percent of total billed charges,999999999,,,,14.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,11.172,percent of total billed charges,999999999,,,,,,,,,,,,,,,,10.605,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5.25,percent of total billed charges,4.986215803,,,,,,,,,,5.25,percent of total billed charges,4.903273496,,,,,,,,,,5.25,percent of total billed charges,4.889647509,,,,,,,,,,5.25,percent of total billed charges,4.817647509,,,,,,,,,,5.25,percent of total billed charges,4.941612662,,,,,,,,,,5.25,percent of total billed charges,999999999,,,,,,,,,,5.25,percent of total billed charges,4.240251652,,,,,,,,,,5.25,percent of total billed charges,6.687169262,,,,,,,,,,5.25,percent of total billed charges,999999999,,,,,,,,,,5.25,percent of total billed charges,4.572028309,,,,,,,,,,18.9,percent of total billed charges,,,,,
D5/0.45% NACL 1000ML,258,RC,0033-8008-04,NDC,,both,1,EA,21.9,21.9,4.662158387,21.9,21.9,percent of total billed charges,16.11260801,,,,21.9,percent of total billed charges,17.07904591,,,,21.9,percent of total billed charges,16.11260801,,,,21.9,percent of total billed charges,17.07904591,,,,21.9,percent of total billed charges,999999999,,,,21.9,percent of total billed charges,16.68629482,,,,21.9,percent of total billed charges,16.11260801,,,,21.9,percent of total billed charges,17.07904591,,,,15.6147,percent of total billed charges,7.79202105,,,,15.6147,percent of total billed charges,4.662158387,,,,15.6147,percent of total billed charges,7.79202105,,,,15.6147,percent of total billed charges,4.662158387,,,,15.6147,percent of total billed charges,7.79202105,,,,15.6147,percent of total billed charges,4.662158387,,,,15.4614,percent of total billed charges,15.34409015,,,,15.4614,percent of total billed charges,10.58269736,,,,,,,,,,15.768,percent of total billed charges,10.24882895,,,,,,,,,,15.768,percent of total billed charges,999999999,,,,,,,,,,17.52,percent of total billed charges,14.68084928,,,,17.301,percent of total billed charges,16.69620955,,,,17.301,percent of total billed charges,14.7516538,,,,17.52,percent of total billed charges,999999999,,,,17.52,percent of total billed charges,999999999,,,,15.33,percent of total billed charges,999999999,,,,15.33,percent of total billed charges,999999999,,,,,,,,,,,,,,,,11.6508,percent of total billed charges,999999999,,,,,,,,,,,,,,,,11.0595,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5.475,percent of total billed charges,5.199910766,,,,,,,,,,5.475,percent of total billed charges,5.113413789,,,,,,,,,,5.475,percent of total billed charges,5.099203831,,,,,,,,,,5.475,percent of total billed charges,5.024118116,,,,,,,,,,5.475,percent of total billed charges,5.153396061,,,,,,,,,,5.475,percent of total billed charges,999999999,,,,,,,,,,5.475,percent of total billed charges,4.421976723,,,,,,,,,,5.475,percent of total billed charges,6.97376223,,,,,,,,,,5.475,percent of total billed charges,999999999,,,,,,,,,,5.475,percent of total billed charges,4.767972379,,,,,,,,,,19.71,percent of total billed charges,,,,,
DEXTROSE 5% IN 0.9% NACL 1000ML,J7042,CDM,0033-8008-04,NDC,,both,1,EA,74.93,74.93,15.95139397,74.93,74.93,percent of total billed charges,55.12866294,,,,74.93,percent of total billed charges,58.43529269,,,,74.93,percent of total billed charges,55.12866294,,,,74.93,percent of total billed charges,58.43529269,,,,74.93,percent of total billed charges,999999999,,,,74.93,percent of total billed charges,57.09151009,,,,74.93,percent of total billed charges,55.12866294,,,,74.93,percent of total billed charges,58.43529269,,,,53.42509,percent of total billed charges,26.66009759,,,,53.42509,percent of total billed charges,15.95139397,,,,53.42509,percent of total billed charges,26.66009759,,,,53.42509,percent of total billed charges,15.95139397,,,,53.42509,percent of total billed charges,26.66009759,,,,53.42509,percent of total billed charges,15.95139397,,,,52.90058,percent of total billed charges,52.49920892,,,,52.90058,percent of total billed charges,36.20828828,,,,,,,,,,53.9496,percent of total billed charges,35.06597045,,,,,,,,,,53.9496,percent of total billed charges,999999999,,,,,,,,,,59.944,percent of total billed charges,50.22995601,,,,59.1947,percent of total billed charges,57.12543294,,,,59.1947,percent of total billed charges,50.47221094,,,,59.944,percent of total billed charges,999999999,,,,59.944,percent of total billed charges,999999999,,,,52.451,percent of total billed charges,999999999,,,,52.451,percent of total billed charges,999999999,,,,,,,,,,,,,,,,39.86276,percent of total billed charges,999999999,,,,,,,,,,,,,,,,37.83965,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18.7325,percent of total billed charges,17.79129286,,,,,,,,,,18.7325,percent of total billed charges,17.49534681,,,,,,,,,,18.7325,percent of total billed charges,17.44672799,,,,,,,,,,18.7325,percent of total billed charges,17.18982513,,,,,,,,,,18.7325,percent of total billed charges,17.63214461,,,,,,,,,,18.7325,percent of total billed charges,999999999,,,,,,,,,,18.7325,percent of total billed charges,15.12962173,,,,,,,,,,18.7325,percent of total billed charges,23.8604568,,,,,,,,,,18.7325,percent of total billed charges,999999999,,,,,,,,,,18.7325,percent of total billed charges,16.31343244,,,,,,,,,,67.437,percent of total billed charges,,,,,
STERILE WATER FOR INJ: 1000 ML,258,RC,0033-8000-04,NDC,,both,1,EA,30.39,30.39,6.469543077,30.39,30.39,percent of total billed charges,22.35900263,,,,30.39,percent of total billed charges,23.70010069,,,,30.39,percent of total billed charges,22.35900263,,,,30.39,percent of total billed charges,23.70010069,,,,30.39,percent of total billed charges,999999999,,,,30.39,percent of total billed charges,23.15509131,,,,30.39,percent of total billed charges,22.35900263,,,,30.39,percent of total billed charges,23.70010069,,,,21.66807,percent of total billed charges,10.81276346,,,,21.66807,percent of total billed charges,6.469543077,,,,21.66807,percent of total billed charges,10.81276346,,,,21.66807,percent of total billed charges,6.469543077,,,,21.66807,percent of total billed charges,10.81276346,,,,21.66807,percent of total billed charges,6.469543077,,,,21.45534,percent of total billed charges,21.2925525,,,,21.45534,percent of total billed charges,14.6853047,,,,,,,,,,21.8808,percent of total billed charges,14.2220051,,,,,,,,,,21.8808,percent of total billed charges,999999999,,,,,,,,,,24.312,percent of total billed charges,20.37219222,,,,24.0081,percent of total billed charges,23.16884969,,,,24.0081,percent of total billed charges,20.47044562,,,,24.312,percent of total billed charges,999999999,,,,24.312,percent of total billed charges,999999999,,,,21.273,percent of total billed charges,999999999,,,,21.273,percent of total billed charges,999999999,,,,,,,,,,,,,,,,16.16748,percent of total billed charges,999999999,,,,,,,,,,,,,,,,15.34695,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7.5975,percent of total billed charges,7.215766584,,,,,,,,,,7.5975,percent of total billed charges,7.095737216,,,,,,,,,,7.5975,percent of total billed charges,7.076018466,,,,,,,,,,7.5975,percent of total billed charges,6.971824181,,,,,,,,,,7.5975,percent of total billed charges,7.151219466,,,,,,,,,,7.5975,percent of total billed charges,999999999,,,,,,,,,,7.5975,percent of total billed charges,6.136249891,,,,,,,,,,7.5975,percent of total billed charges,9.677289232,,,,,,,,,,7.5975,percent of total billed charges,999999999,,,,,,,,,,7.5975,percent of total billed charges,6.61637811,,,,,,,,,,27.351,percent of total billed charges,,,,,
DOPamine 400MG / 250ML DRIP,J1265,CDM,0040-9780-22,NDC,,both,1,EA,166.37,166.37,35.41750187,166.37,166.37,percent of total billed charges,122.4043194,,,,166.37,percent of total billed charges,129.7461584,,,,166.37,percent of total billed charges,122.4043194,,,,166.37,percent of total billed charges,129.7461584,,,,166.37,percent of total billed charges,999999999,,,,166.37,percent of total billed charges,126.7625055,,,,166.37,percent of total billed charges,122.4043194,,,,166.37,percent of total billed charges,129.7461584,,,,118.62181,percent of total billed charges,59.19445397,,,,118.62181,percent of total billed charges,35.41750187,,,,118.62181,percent of total billed charges,59.19445397,,,,118.62181,percent of total billed charges,35.41750187,,,,118.62181,percent of total billed charges,59.19445397,,,,118.62181,percent of total billed charges,35.41750187,,,,117.45722,percent of total billed charges,116.5660401,,,,117.45722,percent of total billed charges,80.39467398,,,,,,,,,,119.7864,percent of total billed charges,77.85834117,,,,,,,,,,119.7864,percent of total billed charges,999999999,,,,,,,,,,133.096,percent of total billed charges,111.5275294,,,,131.4323,percent of total billed charges,126.8378257,,,,131.4323,percent of total billed charges,112.0654175,,,,133.096,percent of total billed charges,999999999,,,,133.096,percent of total billed charges,999999999,,,,116.459,percent of total billed charges,999999999,,,,116.459,percent of total billed charges,999999999,,,,,,,,,,,,,,,,88.50884,percent of total billed charges,999999999,,,,,,,,,,,,,,,,84.01685,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,41.5925,percent of total billed charges,39.5027011,,,,,,,,,,41.5925,percent of total billed charges,38.84560055,,,,,,,,,,41.5925,percent of total billed charges,38.73765029,,,,,,,,,,41.5925,percent of total billed charges,38.16723886,,,,,,,,,,41.5925,percent of total billed charges,39.14933802,,,,,,,,,,41.5925,percent of total billed charges,999999999,,,,,,,,,,41.5925,percent of total billed charges,33.59288892,,,,,,,,,,41.5925,percent of total billed charges,52.97830239,,,,,,,,,,41.5925,percent of total billed charges,999999999,,,,,,,,,,41.5925,percent of total billed charges,36.22134999,,,,,,,,,,149.733,percent of total billed charges,,,,,
"HEPARIN 12,500 UNITS IN 0.45% NS 250ML",J1644,CDM,0040-9765-62,NDC,,both,1,EA,71.36,71.36,15.19139829,71.36,71.36,percent of total billed charges,52.50208712,,,,71.36,percent of total billed charges,55.65117425,,,,71.36,percent of total billed charges,52.50208712,,,,71.36,percent of total billed charges,55.65117425,,,,71.36,percent of total billed charges,999999999,,,,71.36,percent of total billed charges,54.37141546,,,,71.36,percent of total billed charges,52.50208712,,,,71.36,percent of total billed charges,55.65117425,,,,50.87968,percent of total billed charges,25.38989142,,,,50.87968,percent of total billed charges,15.19139829,,,,50.87968,percent of total billed charges,25.38989142,,,,50.87968,percent of total billed charges,15.19139829,,,,50.87968,percent of total billed charges,25.38989142,,,,50.87968,percent of total billed charges,15.19139829,,,,50.38016,percent of total billed charges,49.99791203,,,,50.38016,percent of total billed charges,34.48316364,,,,,,,,,,51.3792,percent of total billed charges,33.39527094,,,,,,,,,,51.3792,percent of total billed charges,999999999,,,,,,,,,,57.088,percent of total billed charges,47.83677647,,,,56.3744,percent of total billed charges,54.40372207,,,,56.3744,percent of total billed charges,48.06748929,,,,57.088,percent of total billed charges,999999999,,,,57.088,percent of total billed charges,999999999,,,,49.952,percent of total billed charges,999999999,,,,49.952,percent of total billed charges,999999999,,,,,,,,,,,,,,,,37.96352,percent of total billed charges,999999999,,,,,,,,,,,,,,,,36.0368,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17.84,percent of total billed charges,16.94363618,,,,,,,,,,17.84,percent of total billed charges,16.66179032,,,,,,,,,,17.84,percent of total billed charges,16.61548792,,,,,,,,,,17.84,percent of total billed charges,16.37082506,,,,,,,,,,17.84,percent of total billed charges,16.79207045,,,,,,,,,,17.84,percent of total billed charges,999999999,,,,,,,,,,17.84,percent of total billed charges,14.40877895,,,,,,,,,,17.84,percent of total billed charges,22.72363803,,,,,,,,,,17.84,percent of total billed charges,999999999,,,,,,,,,,17.84,percent of total billed charges,15.53618763,,,,,,,,,,64.224,percent of total billed charges,,,,,
**CALCIUM GLUCONATE: 1GM/10ML INJ,258,RC,0051-7391-25,NDC,,both,1,EA,17,17,3.619027059,17,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,17,percent of total billed charges,999999999,,,,17,percent of total billed charges,12.9528316,,,,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.002,percent of total billed charges,11.91093756,,,,12.002,percent of total billed charges,8.214879231,,,,,,,,,,12.24,percent of total billed charges,7.955711967,,,,,,,,,,12.24,percent of total billed charges,999999999,,,,,,,,,,13.6,percent of total billed charges,11.39609305,,,,13.43,percent of total billed charges,12.96052796,,,,13.43,percent of total billed charges,11.45105547,,,,13.6,percent of total billed charges,999999999,,,,13.6,percent of total billed charges,999999999,,,,11.9,percent of total billed charges,999999999,,,,11.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.044,percent of total billed charges,999999999,,,,,,,,,,,,,,,,8.585,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4.25,percent of total billed charges,4.036460412,,,,,,,,,,4.25,percent of total billed charges,3.96931664,,,,,,,,,,4.25,percent of total billed charges,3.958286079,,,,,,,,,,4.25,percent of total billed charges,3.900000364,,,,,,,,,,4.25,percent of total billed charges,4.000353107,,,,,,,,,,4.25,percent of total billed charges,999999999,,,,,,,,,,4.25,percent of total billed charges,3.432584671,,,,,,,,,,4.25,percent of total billed charges,5.413422736,,,,,,,,,,4.25,percent of total billed charges,999999999,,,,,,,,,,4.25,percent of total billed charges,3.701165774,,,,,,,,,,15.3,percent of total billed charges,,,,,
ALTEPLASE (CATH-FLO) 2 MG INJ,J2997,CDM,5024-2004-64,NDC,,both,1,EA,936.62,936.62,199.3913602,936.62,936.62,percent of total billed charges,689.1046081,,,,936.62,percent of total billed charges,730.4372593,,,,936.62,percent of total billed charges,689.1046081,,,,936.62,percent of total billed charges,730.4372593,,,,936.62,percent of total billed charges,999999999,,,,936.62,percent of total billed charges,713.6400665,,,,936.62,percent of total billed charges,689.1046081,,,,936.62,percent of total billed charges,730.4372593,,,,667.81006,percent of total billed charges,333.2494409,,,,667.81006,percent of total billed charges,199.3913602,,,,667.81006,percent of total billed charges,333.2494409,,,,667.81006,percent of total billed charges,199.3913602,,,,667.81006,percent of total billed charges,333.2494409,,,,667.81006,percent of total billed charges,199.3913602,,,,661.25372,percent of total billed charges,656.2366083,,,,661.25372,percent of total billed charges,452.6011874,,,,,,,,,,674.3664,percent of total billed charges,438.3222907,,,,,,,,,,674.3664,percent of total billed charges,999999999,,,,,,,,,,749.296,percent of total billed charges,627.8710983,,,,739.9298,percent of total billed charges,714.0640998,,,,739.9298,percent of total billed charges,630.8992688,,,,749.296,percent of total billed charges,999999999,,,,749.296,percent of total billed charges,999999999,,,,655.634,percent of total billed charges,999999999,,,,655.634,percent of total billed charges,999999999,,,,,,,,,,,,,,,,498.28184,percent of total billed charges,999999999,,,,,,,,,,,,,,,,472.9931,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,234.155,percent of total billed charges,222.3899736,,,,,,,,,,234.155,percent of total billed charges,218.6906677,,,,,,,,,,234.155,percent of total billed charges,218.0829357,,,,,,,,,,234.155,percent of total billed charges,214.8716671,,,,,,,,,,234.155,percent of total billed charges,220.400631,,,,,,,,,,234.155,percent of total billed charges,999999999,,,,,,,,,,234.155,percent of total billed charges,189.119262,,,,,,,,,,234.155,percent of total billed charges,298.2541178,,,,,,,,,,234.155,percent of total billed charges,999999999,,,,,,,,,,234.155,percent of total billed charges,203.9168169,,,,,,,,,,842.958,percent of total billed charges,,,,,
IMMUNE GLOBULIN 10% (PRIVIGEN) 10GM SDV,J1459,CDM,4420-6043-10,NDC,,both,1,EA,6004.66,6004.66,1278.295707,6004.66,6004.66,percent of total billed charges,4417.841682,,,,6004.66,percent of total billed charges,4682.824831,,,,6004.66,percent of total billed charges,4417.841682,,,,6004.66,percent of total billed charges,4682.824831,,,,6004.66,percent of total billed charges,999999999,,,,6004.66,percent of total billed charges,4575.138222,,,,6004.66,percent of total billed charges,4417.841682,,,,6004.66,percent of total billed charges,4682.824831,,,,4281.32258,percent of total billed charges,2136.458316,,,,4281.32258,percent of total billed charges,1278.295707,,,,4281.32258,percent of total billed charges,2136.458316,,,,4281.32258,percent of total billed charges,1278.295707,,,,4281.32258,percent of total billed charges,2136.458316,,,,4281.32258,percent of total billed charges,1278.295707,,,,4239.28996,percent of total billed charges,4207.125315,,,,4239.28996,percent of total billed charges,2901.620984,,,,,,,,,,4323.3552,percent of total billed charges,2810.079142,,,,,,,,,,4323.3552,percent of total billed charges,999999999,,,,,,,,,,4803.728,percent of total billed charges,4025.274358,,,,4743.6814,percent of total billed charges,4577.856695,,,,4743.6814,percent of total billed charges,4044.687924,,,,4803.728,percent of total billed charges,999999999,,,,4803.728,percent of total billed charges,999999999,,,,4203.262,percent of total billed charges,999999999,,,,4203.262,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3194.47912,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3032.3533,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1501.165,percent of total billed charges,1425.739552,,,,,,,,,,1501.165,percent of total billed charges,1402.023344,,,,,,,,,,1501.165,percent of total billed charges,1398.127181,,,,,,,,,,1501.165,percent of total billed charges,1377.539776,,,,,,,,,,1501.165,percent of total billed charges,1412.985899,,,,,,,,,,1501.165,percent of total billed charges,999999999,,,,,,,,,,1501.165,percent of total billed charges,1212.441404,,,,,,,,,,1501.165,percent of total billed charges,1912.103704,,,,,,,,,,1501.165,percent of total billed charges,999999999,,,,,,,,,,1501.165,percent of total billed charges,1307.308357,,,,,,,,,,5404.194,percent of total billed charges,,,,,
**IONOSOL MB/DEXTROSE 5%:,258,RC,0040-9737-09,NDC,,both,1,EA,87,87,18.52090318,87,87,percent of total billed charges,64.00899074,,,,87,percent of total billed charges,67.84826457,,,,87,percent of total billed charges,64.00899074,,,,87,percent of total billed charges,67.84826457,,,,87,percent of total billed charges,999999999,,,,87,percent of total billed charges,66.28802053,,,,87,percent of total billed charges,64.00899074,,,,87,percent of total billed charges,67.84826457,,,,62.031,percent of total billed charges,30.95460417,,,,62.031,percent of total billed charges,18.52090318,,,,62.031,percent of total billed charges,30.95460417,,,,62.031,percent of total billed charges,18.52090318,,,,62.031,percent of total billed charges,30.95460417,,,,62.031,percent of total billed charges,18.52090318,,,,61.422,percent of total billed charges,60.95597459,,,,61.422,percent of total billed charges,42.04085253,,,,,,,,,,62.64,percent of total billed charges,40.71452595,,,,,,,,,,62.64,percent of total billed charges,999999999,,,,,,,,,,69.6,percent of total billed charges,58.32118207,,,,68.73,percent of total billed charges,66.32740779,,,,68.73,percent of total billed charges,58.60246032,,,,69.6,percent of total billed charges,999999999,,,,69.6,percent of total billed charges,999999999,,,,60.9,percent of total billed charges,999999999,,,,60.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,46.284,percent of total billed charges,999999999,,,,,,,,,,,,,,,,43.935,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21.75,percent of total billed charges,20.65717976,,,,,,,,,,21.75,percent of total billed charges,20.31356163,,,,,,,,,,21.75,percent of total billed charges,20.25711111,,,,,,,,,,21.75,percent of total billed charges,19.95882539,,,,,,,,,,21.75,percent of total billed charges,20.47239531,,,,,,,,,,21.75,percent of total billed charges,999999999,,,,,,,,,,21.75,percent of total billed charges,17.56675684,,,,,,,,,,21.75,percent of total billed charges,27.70398694,,,,,,,,,,21.75,percent of total billed charges,999999999,,,,,,,,,,21.75,percent of total billed charges,18.94126014,,,,,,,,,,78.3,percent of total billed charges,,,,,
LACTATED RINGERS 1000ML,J7120,CDM,0033-8011-04,NDC,,both,1,EA,65.59,65.59,13.96305793,65.59,65.59,percent of total billed charges,48.25689313,,,,65.59,percent of total billed charges,51.15135257,,,,65.59,percent of total billed charges,48.25689313,,,,65.59,percent of total billed charges,51.15135257,,,,65.59,percent of total billed charges,999999999,,,,65.59,percent of total billed charges,49.97507203,,,,65.59,percent of total billed charges,48.25689313,,,,65.59,percent of total billed charges,51.15135257,,,,46.76567,percent of total billed charges,23.33692514,,,,46.76567,percent of total billed charges,13.96305793,,,,46.76567,percent of total billed charges,23.33692514,,,,46.76567,percent of total billed charges,13.96305793,,,,46.76567,percent of total billed charges,23.33692514,,,,46.76567,percent of total billed charges,13.96305793,,,,46.30654,percent of total billed charges,45.95519969,,,,46.30654,percent of total billed charges,31.69493698,,,,,,,,,,47.2248,percent of total billed charges,30.6950087,,,,,,,,,,47.2248,percent of total billed charges,999999999,,,,,,,,,,52.472,percent of total billed charges,43.96880841,,,,51.8161,percent of total billed charges,50.0047664,,,,51.8161,percent of total billed charges,44.18086635,,,,52.472,percent of total billed charges,999999999,,,,52.472,percent of total billed charges,999999999,,,,45.913,percent of total billed charges,999999999,,,,45.913,percent of total billed charges,999999999,,,,,,,,,,,,,,,,34.89388,percent of total billed charges,999999999,,,,,,,,,,,,,,,,33.12295,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16.3975,percent of total billed charges,15.57361402,,,,,,,,,,16.3975,percent of total billed charges,15.31455755,,,,,,,,,,16.3975,percent of total billed charges,15.27199905,,,,,,,,,,16.3975,percent of total billed charges,15.04711905,,,,,,,,,,16.3975,percent of total billed charges,15.43430355,,,,,,,,,,16.3975,percent of total billed charges,999999999,,,,,,,,,,16.3975,percent of total billed charges,13.24371933,,,,,,,,,,16.3975,percent of total billed charges,20.88625866,,,,,,,,,,16.3975,percent of total billed charges,999999999,,,,,,,,,,16.3975,percent of total billed charges,14.27996842,,,,,,,,,,59.031,percent of total billed charges,,,,,
**NITROGLYCERIN 25MG INJ: VIAL,258,RC,0033-8011-04,NDC,,both,1,EA,52,52,11.06996512,52,52,percent of total billed charges,38.25824734,,,,52,percent of total billed charges,40.55298572,,,,52,percent of total billed charges,38.25824734,,,,52,percent of total billed charges,40.55298572,,,,52,percent of total billed charges,999999999,,,,52,percent of total billed charges,39.62042606,,,,52,percent of total billed charges,38.25824734,,,,52,percent of total billed charges,40.55298572,,,,37.076,percent of total billed charges,18.50160249,,,,37.076,percent of total billed charges,11.06996512,,,,37.076,percent of total billed charges,18.50160249,,,,37.076,percent of total billed charges,11.06996512,,,,37.076,percent of total billed charges,18.50160249,,,,37.076,percent of total billed charges,11.06996512,,,,36.712,percent of total billed charges,36.43345608,,,,36.712,percent of total billed charges,25.12786588,,,,,,,,,,37.44,percent of total billed charges,24.33511896,,,,,,,,,,37.44,percent of total billed charges,999999999,,,,,,,,,,41.6,percent of total billed charges,34.85863756,,,,41.08,percent of total billed charges,39.64396787,,,,41.08,percent of total billed charges,35.02675789,,,,41.6,percent of total billed charges,999999999,,,,41.6,percent of total billed charges,999999999,,,,36.4,percent of total billed charges,999999999,,,,36.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,27.664,percent of total billed charges,999999999,,,,,,,,,,,,,,,,26.26,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13,percent of total billed charges,12.34682008,,,,,,,,,,13,percent of total billed charges,12.14143913,,,,,,,,,,13,percent of total billed charges,12.10769859,,,,,,,,,,13,percent of total billed charges,11.92941288,,,,,,,,,,13,percent of total billed charges,12.23637421,,,,,,,,,,13,percent of total billed charges,999999999,,,,,,,,,,13,percent of total billed charges,10.49967076,,,,,,,,,,13,percent of total billed charges,16.55870484,,,,,,,,,,13,percent of total billed charges,999999999,,,,,,,,,,13,percent of total billed charges,11.32121296,,,,,,,,,,46.8,percent of total billed charges,,,,,
FAT EMULSION (LIPOSYN II 10%): 500ML,258,RC,6332-3082-50,NDC,,both,1,EA,152.78,152.78,32.52440906,152.78,152.78,percent of total billed charges,112.4056736,,,,152.78,percent of total billed charges,119.1477915,,,,152.78,percent of total billed charges,112.4056736,,,,152.78,percent of total billed charges,119.1477915,,,,152.78,percent of total billed charges,999999999,,,,152.78,percent of total billed charges,116.4078595,,,,152.78,percent of total billed charges,112.4056736,,,,152.78,percent of total billed charges,119.1477915,,,,108.93214,percent of total billed charges,54.35913132,,,,108.93214,percent of total billed charges,32.52440906,,,,108.93214,percent of total billed charges,54.35913132,,,,108.93214,percent of total billed charges,32.52440906,,,,108.93214,percent of total billed charges,54.35913132,,,,108.93214,percent of total billed charges,32.52440906,,,,107.86268,percent of total billed charges,107.0442965,,,,107.86268,percent of total billed charges,73.82760287,,,,,,,,,,110.0016,percent of total billed charges,71.49845143,,,,,,,,,,110.0016,percent of total billed charges,999999999,,,,,,,,,,122.224,percent of total billed charges,102.4173586,,,,120.6962,percent of total billed charges,116.4770272,,,,120.6962,percent of total billed charges,102.9113091,,,,122.224,percent of total billed charges,999999999,,,,122.224,percent of total billed charges,999999999,,,,106.946,percent of total billed charges,999999999,,,,106.946,percent of total billed charges,999999999,,,,,,,,,,,,,,,,81.27896,percent of total billed charges,999999999,,,,,,,,,,,,,,,,77.1539,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,38.195,percent of total billed charges,36.27590716,,,,,,,,,,38.195,percent of total billed charges,35.67248213,,,,,,,,,,38.195,percent of total billed charges,35.57334983,,,,,,,,,,38.195,percent of total billed charges,35.04953269,,,,,,,,,,38.195,percent of total billed charges,35.95140869,,,,,,,,,,38.195,percent of total billed charges,999999999,,,,,,,,,,38.195,percent of total billed charges,30.84884035,,,,,,,,,,38.195,percent of total billed charges,48.65074856,,,,,,,,,,38.195,percent of total billed charges,999999999,,,,,,,,,,38.195,percent of total billed charges,33.26259453,,,,,,,,,,137.502,percent of total billed charges,,,,,
**DOBUTAMINE (DOBUTREX) 250MG INJ:VIAL,J1250,CDM,0040-9234-02,NDC,,both,1,EA,16,16,3.406143114,16,16,percent of total billed charges,11.77176841,,,,16,percent of total billed charges,12.47784176,,,,16,percent of total billed charges,11.77176841,,,,16,percent of total billed charges,12.47784176,,,,16,percent of total billed charges,999999999,,,,16,percent of total billed charges,12.19090033,,,,16,percent of total billed charges,11.77176841,,,,16,percent of total billed charges,12.47784176,,,,11.408,percent of total billed charges,5.692800767,,,,11.408,percent of total billed charges,3.406143114,,,,11.408,percent of total billed charges,5.692800767,,,,11.408,percent of total billed charges,3.406143114,,,,11.408,percent of total billed charges,5.692800767,,,,11.408,percent of total billed charges,3.406143114,,,,11.296,percent of total billed charges,11.21029418,,,,11.296,percent of total billed charges,7.731651041,,,,,,,,,,11.52,percent of total billed charges,7.48772891,,,,,,,,,,11.52,percent of total billed charges,999999999,,,,,,,,,,12.8,percent of total billed charges,10.72573463,,,,12.64,percent of total billed charges,12.19814396,,,,12.64,percent of total billed charges,10.77746397,,,,12.8,percent of total billed charges,999999999,,,,12.8,percent of total billed charges,999999999,,,,11.2,percent of total billed charges,999999999,,,,11.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,8.512,percent of total billed charges,999999999,,,,,,,,,,,,,,,,8.08,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4,percent of total billed charges,3.799021564,,,,,,,,,,4,percent of total billed charges,3.735827425,,,,,,,,,,4,percent of total billed charges,3.725445721,,,,,,,,,,4,percent of total billed charges,3.670588578,,,,,,,,,,4,percent of total billed charges,3.765038218,,,,,,,,,,4,percent of total billed charges,999999999,,,,,,,,,,4,percent of total billed charges,3.230667926,,,,,,,,,,4,percent of total billed charges,5.094986104,,,,,,,,,,4,percent of total billed charges,999999999,,,,,,,,,,4,percent of total billed charges,3.48345014,,,,,,,,,,14.4,percent of total billed charges,,,,,
DOXYCYCLINE: (VIBRAMYCIN) 100MG VIAL,258,RC,6838-2091-01,NDC,,both,1,EA,243.43,243.43,51.82233864,243.43,243.43,percent of total billed charges,179.100099,,,,243.43,percent of total billed charges,189.8425637,,,,243.43,percent of total billed charges,179.100099,,,,243.43,percent of total billed charges,189.8425637,,,,243.43,percent of total billed charges,999999999,,,,243.43,percent of total billed charges,185.4769292,,,,243.43,percent of total billed charges,179.100099,,,,243.43,percent of total billed charges,189.8425637,,,,173.56559,percent of total billed charges,86.61240567,,,,173.56559,percent of total billed charges,51.82233864,,,,173.56559,percent of total billed charges,86.61240567,,,,173.56559,percent of total billed charges,51.82233864,,,,173.56559,percent of total billed charges,86.61240567,,,,173.56559,percent of total billed charges,51.82233864,,,,171.86158,percent of total billed charges,170.5576195,,,,171.86158,percent of total billed charges,117.6322383,,,,,,,,,,175.2696,percent of total billed charges,113.9211155,,,,,,,,,,175.2696,percent of total billed charges,999999999,,,,,,,,,,194.744,percent of total billed charges,163.1853489,,,,192.3097,percent of total billed charges,185.5871365,,,,192.3097,percent of total billed charges,163.9723783,,,,194.744,percent of total billed charges,999999999,,,,194.744,percent of total billed charges,999999999,,,,170.401,percent of total billed charges,999999999,,,,170.401,percent of total billed charges,999999999,,,,,,,,,,,,,,,,129.50476,percent of total billed charges,999999999,,,,,,,,,,,,,,,,122.93215,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,60.8575,percent of total billed charges,57.79973871,,,,,,,,,,60.8575,percent of total billed charges,56.83827939,,,,,,,,,,60.8575,percent of total billed charges,56.68032824,,,,,,,,,,60.8575,percent of total billed charges,55.8457111,,,,,,,,,,60.8575,percent of total billed charges,57.28270334,,,,,,,,,,60.8575,percent of total billed charges,999999999,,,,,,,,,,60.8575,percent of total billed charges,49.15259332,,,,,,,,,,60.8575,percent of total billed charges,77.51702921,,,,,,,,,,60.8575,percent of total billed charges,999999999,,,,,,,,,,60.8575,percent of total billed charges,52.99851673,,,,,,,,,,219.087,percent of total billed charges,,,,,
DOBUTamine:           500MG IN D5W 250ML,J1250,CDM,0040-9234-32,NDC,,both,1,EA,149.43,149.43,31.81124785,149.43,149.43,percent of total billed charges,109.9409596,,,,149.43,percent of total billed charges,116.5352434,,,,149.43,percent of total billed charges,109.9409596,,,,149.43,percent of total billed charges,116.5352434,,,,149.43,percent of total billed charges,999999999,,,,149.43,percent of total billed charges,113.8553897,,,,149.43,percent of total billed charges,109.9409596,,,,149.43,percent of total billed charges,116.5352434,,,,106.54359,percent of total billed charges,53.16720116,,,,106.54359,percent of total billed charges,31.81124785,,,,106.54359,percent of total billed charges,53.16720116,,,,106.54359,percent of total billed charges,31.81124785,,,,106.54359,percent of total billed charges,53.16720116,,,,106.54359,percent of total billed charges,31.81124785,,,,105.49758,percent of total billed charges,104.6971412,,,,105.49758,percent of total billed charges,72.20878844,,,,,,,,,,107.5896,percent of total billed charges,69.93070819,,,,,,,,,,107.5896,percent of total billed charges,999999999,,,,,,,,,,119.544,percent of total billed charges,100.1716579,,,,118.0497,percent of total billed charges,113.9230408,,,,118.0497,percent of total billed charges,100.6547775,,,,119.544,percent of total billed charges,999999999,,,,119.544,percent of total billed charges,999999999,,,,104.601,percent of total billed charges,999999999,,,,104.601,percent of total billed charges,999999999,,,,,,,,,,,,,,,,79.49676,percent of total billed charges,999999999,,,,,,,,,,,,,,,,75.46215,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,37.3575,percent of total billed charges,35.48048702,,,,,,,,,,37.3575,percent of total billed charges,34.89029326,,,,,,,,,,37.3575,percent of total billed charges,34.79333463,,,,,,,,,,37.3575,percent of total billed charges,34.2810032,,,,,,,,,,37.3575,percent of total billed charges,35.16310381,,,,,,,,,,37.3575,percent of total billed charges,999999999,,,,,,,,,,37.3575,percent of total billed charges,30.17241926,,,,,,,,,,37.3575,percent of total billed charges,47.58398585,,,,,,,,,,37.3575,percent of total billed charges,999999999,,,,,,,,,,37.3575,percent of total billed charges,32.53324715,,,,,,,,,,134.487,percent of total billed charges,,,,,
MULTIVITAMIN (MVI-12): INJ 10ML,250,RC,5464-3564-01,NDC,,both,1,EA,128.65,128.65,27.38751948,128.65,128.65,percent of total billed charges,94.65237538,,,,128.65,percent of total billed charges,100.3296464,,,,128.65,percent of total billed charges,94.65237538,,,,128.65,percent of total billed charges,100.3296464,,,,128.65,percent of total billed charges,999999999,,,,128.65,percent of total billed charges,98.02245794,,,,128.65,percent of total billed charges,94.65237538,,,,128.65,percent of total billed charges,100.3296464,,,,91.72745,percent of total billed charges,45.77367617,,,,91.72745,percent of total billed charges,27.38751948,,,,91.72745,percent of total billed charges,45.77367617,,,,91.72745,percent of total billed charges,27.38751948,,,,91.72745,percent of total billed charges,45.77367617,,,,91.72745,percent of total billed charges,27.38751948,,,,90.8269,percent of total billed charges,90.13777162,,,,90.8269,percent of total billed charges,62.16730665,,,,,,,,,,92.628,percent of total billed charges,60.20602027,,,,,,,,,,92.628,percent of total billed charges,999999999,,,,,,,,,,102.92,percent of total billed charges,86.24161004,,,,101.6335,percent of total billed charges,98.08070129,,,,101.6335,percent of total billed charges,86.65754621,,,,102.92,percent of total billed charges,999999999,,,,102.92,percent of total billed charges,999999999,,,,90.055,percent of total billed charges,999999999,,,,90.055,percent of total billed charges,999999999,,,,,,,,,,,,,,,,68.4418,percent of total billed charges,999999999,,,,,,,,,,,,,,,,64.96825,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,32.1625,percent of total billed charges,30.54650776,,,,,,,,,,32.1625,percent of total billed charges,30.03838739,,,,,,,,,,32.1625,percent of total billed charges,29.954912,,,,,,,,,,32.1625,percent of total billed charges,29.51382629,,,,,,,,,,32.1625,percent of total billed charges,30.27326042,,,,,,,,,,32.1625,percent of total billed charges,999999999,,,,,,,,,,32.1625,percent of total billed charges,25.97658929,,,,,,,,,,32.1625,percent of total billed charges,40.96687264,,,,,,,,,,32.1625,percent of total billed charges,999999999,,,,,,,,,,32.1625,percent of total billed charges,28.00911628,,,,,,,,,,115.785,percent of total billed charges,,,,,
metroNIDAZOLE (FLAGYL) 500MG IVPB,258,RC,0040-9781-09,NDC,,both,1,EA,28.4,28.4,6.045904027,28.4,28.4,percent of total billed charges,20.89488893,,,,28.4,percent of total billed charges,22.14816912,,,,28.4,percent of total billed charges,20.89488893,,,,28.4,percent of total billed charges,22.14816912,,,,28.4,percent of total billed charges,999999999,,,,28.4,percent of total billed charges,21.63884808,,,,28.4,percent of total billed charges,20.89488893,,,,28.4,percent of total billed charges,22.14816912,,,,20.2492,percent of total billed charges,10.10472136,,,,20.2492,percent of total billed charges,6.045904027,,,,20.2492,percent of total billed charges,10.10472136,,,,20.2492,percent of total billed charges,6.045904027,,,,20.2492,percent of total billed charges,10.10472136,,,,20.2492,percent of total billed charges,6.045904027,,,,20.0504,percent of total billed charges,19.89827216,,,,20.0504,percent of total billed charges,13.7236806,,,,,,,,,,20.448,percent of total billed charges,13.29071882,,,,,,,,,,20.448,percent of total billed charges,999999999,,,,,,,,,,22.72,percent of total billed charges,19.03817897,,,,22.436,percent of total billed charges,21.65170553,,,,22.436,percent of total billed charges,19.12999854,,,,22.72,percent of total billed charges,999999999,,,,22.72,percent of total billed charges,999999999,,,,19.88,percent of total billed charges,999999999,,,,19.88,percent of total billed charges,999999999,,,,,,,,,,,,,,,,15.1088,percent of total billed charges,999999999,,,,,,,,,,,,,,,,14.342,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7.1,percent of total billed charges,6.743263276,,,,,,,,,,7.1,percent of total billed charges,6.63109368,,,,,,,,,,7.1,percent of total billed charges,6.612666155,,,,,,,,,,7.1,percent of total billed charges,6.515294726,,,,,,,,,,7.1,percent of total billed charges,6.682942838,,,,,,,,,,7.1,percent of total billed charges,999999999,,,,,,,,,,7.1,percent of total billed charges,5.734435568,,,,,,,,,,7.1,percent of total billed charges,9.043600335,,,,,,,,,,7.1,percent of total billed charges,999999999,,,,,,,,,,7.1,percent of total billed charges,6.183123999,,,,,,,,,,25.56,percent of total billed charges,,,,,
FAT EMULSION (LIPOSYN II 20%): 500ML,258,RC,6332-3082-50,NDC,,both,1,EA,168.66,168.66,35.9050061,168.66,168.66,percent of total billed charges,124.0891538,,,,168.66,percent of total billed charges,131.5320495,,,,168.66,percent of total billed charges,124.0891538,,,,168.66,percent of total billed charges,131.5320495,,,,168.66,percent of total billed charges,999999999,,,,168.66,percent of total billed charges,128.5073281,,,,168.66,percent of total billed charges,124.0891538,,,,168.66,percent of total billed charges,131.5320495,,,,120.25458,percent of total billed charges,60.00923608,,,,120.25458,percent of total billed charges,35.9050061,,,,120.25458,percent of total billed charges,60.00923608,,,,120.25458,percent of total billed charges,35.9050061,,,,120.25458,percent of total billed charges,60.00923608,,,,120.25458,percent of total billed charges,35.9050061,,,,119.07396,percent of total billed charges,118.1705135,,,,119.07396,percent of total billed charges,81.50126653,,,,,,,,,,121.4352,percent of total billed charges,78.93002237,,,,,,,,,,121.4352,percent of total billed charges,999999999,,,,,,,,,,134.928,percent of total billed charges,113.0626502,,,,133.2414,percent of total billed charges,128.583685,,,,133.2414,percent of total billed charges,113.607942,,,,134.928,percent of total billed charges,999999999,,,,134.928,percent of total billed charges,999999999,,,,118.062,percent of total billed charges,999999999,,,,118.062,percent of total billed charges,999999999,,,,,,,,,,,,,,,,89.72712,percent of total billed charges,999999999,,,,,,,,,,,,,,,,85.1733,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,42.165,percent of total billed charges,40.04643606,,,,,,,,,,42.165,percent of total billed charges,39.38029085,,,,,,,,,,42.165,percent of total billed charges,39.27085471,,,,,,,,,,42.165,percent of total billed charges,38.69259185,,,,,,,,,,42.165,percent of total billed charges,39.68820912,,,,,,,,,,42.165,percent of total billed charges,999999999,,,,,,,,,,42.165,percent of total billed charges,34.05527827,,,,,,,,,,42.165,percent of total billed charges,53.70752227,,,,,,,,,,42.165,percent of total billed charges,999999999,,,,,,,,,,42.165,percent of total billed charges,36.71991879,,,,,,,,,,151.794,percent of total billed charges,,,,,
**TICAR/CLAVULAN(TIMENTIN) 3:1 GM: ADVAN,258,RC,0002-9657-40,NDC,,both,1,EA,51,51,10.85708118,51,51,percent of total billed charges,37.52251181,,,,51,percent of total billed charges,39.77312061,,,,51,percent of total billed charges,37.52251181,,,,51,percent of total billed charges,39.77312061,,,,51,percent of total billed charges,999999999,,,,51,percent of total billed charges,38.85849479,,,,51,percent of total billed charges,37.52251181,,,,51,percent of total billed charges,39.77312061,,,,36.363,percent of total billed charges,18.14580244,,,,36.363,percent of total billed charges,10.85708118,,,,36.363,percent of total billed charges,18.14580244,,,,36.363,percent of total billed charges,10.85708118,,,,36.363,percent of total billed charges,18.14580244,,,,36.363,percent of total billed charges,10.85708118,,,,36.006,percent of total billed charges,35.73281269,,,,36.006,percent of total billed charges,24.64463769,,,,,,,,,,36.72,percent of total billed charges,23.8671359,,,,,,,,,,36.72,percent of total billed charges,999999999,,,,,,,,,,40.8,percent of total billed charges,34.18827914,,,,40.29,percent of total billed charges,38.88158388,,,,40.29,percent of total billed charges,34.3531664,,,,40.8,percent of total billed charges,999999999,,,,40.8,percent of total billed charges,999999999,,,,35.7,percent of total billed charges,999999999,,,,35.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,27.132,percent of total billed charges,999999999,,,,,,,,,,,,,,,,25.755,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12.75,percent of total billed charges,12.10938124,,,,,,,,,,12.75,percent of total billed charges,11.90794992,,,,,,,,,,12.75,percent of total billed charges,11.87485824,,,,,,,,,,12.75,percent of total billed charges,11.70000109,,,,,,,,,,12.75,percent of total billed charges,12.00105932,,,,,,,,,,12.75,percent of total billed charges,999999999,,,,,,,,,,12.75,percent of total billed charges,10.29775401,,,,,,,,,,12.75,percent of total billed charges,16.24026821,,,,,,,,,,12.75,percent of total billed charges,999999999,,,,,,,,,,12.75,percent of total billed charges,11.10349732,,,,,,,,,,45.9,percent of total billed charges,,,,,
IMIPENEM/CILISTATIN (PRIMAXIN) 500MG AV,J0743,CDM,0000-6351-59,NDC,,both,1,EA,152.14,152.14,32.38816334,152.14,152.14,percent of total billed charges,111.9348029,,,,152.14,percent of total billed charges,118.6486778,,,,152.14,percent of total billed charges,111.9348029,,,,152.14,percent of total billed charges,118.6486778,,,,152.14,percent of total billed charges,999999999,,,,152.14,percent of total billed charges,115.9202235,,,,152.14,percent of total billed charges,111.9348029,,,,152.14,percent of total billed charges,118.6486778,,,,108.47582,percent of total billed charges,54.13141929,,,,108.47582,percent of total billed charges,32.38816334,,,,108.47582,percent of total billed charges,54.13141929,,,,108.47582,percent of total billed charges,32.38816334,,,,108.47582,percent of total billed charges,54.13141929,,,,108.47582,percent of total billed charges,32.38816334,,,,107.41084,percent of total billed charges,106.5958848,,,,107.41084,percent of total billed charges,73.51833683,,,,,,,,,,109.5408,percent of total billed charges,71.19894227,,,,,,,,,,109.5408,percent of total billed charges,999999999,,,,,,,,,,121.712,percent of total billed charges,101.9883292,,,,120.1906,percent of total billed charges,115.9891014,,,,120.1906,percent of total billed charges,102.4802105,,,,121.712,percent of total billed charges,999999999,,,,121.712,percent of total billed charges,999999999,,,,106.498,percent of total billed charges,999999999,,,,106.498,percent of total billed charges,999999999,,,,,,,,,,,,,,,,80.93848,percent of total billed charges,999999999,,,,,,,,,,,,,,,,76.8307,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,38.035,percent of total billed charges,36.1239463,,,,,,,,,,38.035,percent of total billed charges,35.52304903,,,,,,,,,,38.035,percent of total billed charges,35.424332,,,,,,,,,,38.035,percent of total billed charges,34.90270914,,,,,,,,,,38.035,percent of total billed charges,35.80080716,,,,,,,,,,38.035,percent of total billed charges,999999999,,,,,,,,,,38.035,percent of total billed charges,30.71961364,,,,,,,,,,38.035,percent of total billed charges,48.44694912,,,,,,,,,,38.035,percent of total billed charges,999999999,,,,,,,,,,38.035,percent of total billed charges,33.12325652,,,,,,,,,,136.926,percent of total billed charges,,,,,
raNITIdine: 50 MG / 0.45% NACL 50ML IVPB,J2780,CDM,6838-2042-02,NDC,,both,1,EA,99.37,99.37,21.15427758,99.37,99.37,percent of total billed charges,73.11003919,,,,99.37,percent of total billed charges,77.49519598,,,,99.37,percent of total billed charges,73.11003919,,,,99.37,percent of total billed charges,77.49519598,,,,99.37,percent of total billed charges,999999999,,,,99.37,percent of total billed charges,75.71311034,,,,99.37,percent of total billed charges,73.11003919,,,,99.37,percent of total billed charges,77.49519598,,,,70.85081,percent of total billed charges,35.35585076,,,,70.85081,percent of total billed charges,21.15427758,,,,70.85081,percent of total billed charges,35.35585076,,,,70.85081,percent of total billed charges,21.15427758,,,,70.85081,percent of total billed charges,35.35585076,,,,70.85081,percent of total billed charges,21.15427758,,,,70.15522,percent of total billed charges,69.62293327,,,,70.15522,percent of total billed charges,48.01838524,,,,,,,,,,71.5464,percent of total billed charges,46.50347636,,,,,,,,,,71.5464,percent of total billed charges,999999999,,,,,,,,,,79.496,percent of total billed charges,66.61351566,,,,78.5023,percent of total billed charges,75.75809784,,,,78.5023,percent of total billed charges,66.93478715,,,,79.496,percent of total billed charges,999999999,,,,79.496,percent of total billed charges,999999999,,,,69.559,percent of total billed charges,999999999,,,,69.559,percent of total billed charges,999999999,,,,,,,,,,,,,,,,52.86484,percent of total billed charges,999999999,,,,,,,,,,,,,,,,50.18185,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,24.8425,percent of total billed charges,23.5942983,,,,,,,,,,24.8425,percent of total billed charges,23.2018232,,,,,,,,,,24.8425,percent of total billed charges,23.13734633,,,,,,,,,,24.8425,percent of total billed charges,22.79664919,,,,,,,,,,24.8425,percent of total billed charges,23.38324048,,,,,,,,,,24.8425,percent of total billed charges,999999999,,,,,,,,,,24.8425,percent of total billed charges,20.06446698,,,,,,,,,,24.8425,percent of total billed charges,31.64304807,,,,,,,,,,24.8425,percent of total billed charges,999999999,,,,,,,,,,24.8425,percent of total billed charges,21.63440253,,,,,,,,,,89.433,percent of total billed charges,,,,,
SODIUM CHLORIDE 0.45%:1000ML,258,RC,0033-8004-04,NDC,,both,1,EA,59.63,59.63,12.69426962,59.63,59.63,percent of total billed charges,43.8719094,,,,59.63,percent of total billed charges,46.50335651,,,,59.63,percent of total billed charges,43.8719094,,,,59.63,percent of total billed charges,46.50335651,,,,59.63,percent of total billed charges,999999999,,,,59.63,percent of total billed charges,45.43396166,,,,59.63,percent of total billed charges,43.8719094,,,,59.63,percent of total billed charges,46.50335651,,,,42.51619,percent of total billed charges,21.21635686,,,,42.51619,percent of total billed charges,12.69426962,,,,42.51619,percent of total billed charges,21.21635686,,,,42.51619,percent of total billed charges,12.69426962,,,,42.51619,percent of total billed charges,21.21635686,,,,42.51619,percent of total billed charges,12.69426962,,,,42.09878,percent of total billed charges,41.77936511,,,,42.09878,percent of total billed charges,28.81489697,,,,,,,,,,42.9336,percent of total billed charges,27.90582968,,,,,,,,,,42.9336,percent of total billed charges,999999999,,,,,,,,,,47.704,percent of total billed charges,39.97347226,,,,47.1077,percent of total billed charges,45.46095778,,,,47.1077,percent of total billed charges,40.16626102,,,,47.704,percent of total billed charges,999999999,,,,47.704,percent of total billed charges,999999999,,,,41.741,percent of total billed charges,999999999,,,,41.741,percent of total billed charges,999999999,,,,,,,,,,,,,,,,31.72316,percent of total billed charges,999999999,,,,,,,,,,,,,,,,30.11315,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14.9075,percent of total billed charges,14.15847849,,,,,,,,,,14.9075,percent of total billed charges,13.92296184,,,,,,,,,,14.9075,percent of total billed charges,13.88427052,,,,,,,,,,14.9075,percent of total billed charges,13.67982481,,,,,,,,,,14.9075,percent of total billed charges,14.03182681,,,,,,,,,,14.9075,percent of total billed charges,999999999,,,,,,,,,,14.9075,percent of total billed charges,12.04029552,,,,,,,,,,14.9075,percent of total billed charges,18.98837634,,,,,,,,,,14.9075,percent of total billed charges,999999999,,,,,,,,,,14.9075,percent of total billed charges,12.98238324,,,,,,,,,,53.667,percent of total billed charges,,,,,
SODIUM CHLORIDE 0.9%1000 ML,J7030,CDM,0033-8004-04,NDC,,both,1,EA,88.51,88.51,18.84235794,88.51,88.51,percent of total billed charges,65.11995138,,,,88.51,percent of total billed charges,69.02586089,,,,88.51,percent of total billed charges,65.11995138,,,,88.51,percent of total billed charges,69.02586089,,,,88.51,percent of total billed charges,999999999,,,,88.51,percent of total billed charges,67.43853675,,,,88.51,percent of total billed charges,65.11995138,,,,88.51,percent of total billed charges,69.02586089,,,,63.10763,percent of total billed charges,31.49186224,,,,63.10763,percent of total billed charges,18.84235794,,,,63.10763,percent of total billed charges,31.49186224,,,,63.10763,percent of total billed charges,18.84235794,,,,63.10763,percent of total billed charges,31.49186224,,,,63.10763,percent of total billed charges,18.84235794,,,,62.48806,percent of total billed charges,62.0139461,,,,62.48806,percent of total billed charges,42.7705271,,,,,,,,,,63.7272,percent of total billed charges,41.42118036,,,,,,,,,,63.7272,percent of total billed charges,999999999,,,,,,,,,,70.808,percent of total billed charges,59.33342328,,,,69.9229,percent of total billed charges,67.47860763,,,,69.9229,percent of total billed charges,59.61958348,,,,70.808,percent of total billed charges,999999999,,,,70.808,percent of total billed charges,999999999,,,,61.957,percent of total billed charges,999999999,,,,61.957,percent of total billed charges,999999999,,,,,,,,,,,,,,,,47.08732,percent of total billed charges,999999999,,,,,,,,,,,,,,,,44.69755,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,22.1275,percent of total billed charges,21.01571242,,,,,,,,,,22.1275,percent of total billed charges,20.66613034,,,,,,,,,,22.1275,percent of total billed charges,20.60870005,,,,,,,,,,22.1275,percent of total billed charges,20.30523719,,,,,,,,,,22.1275,percent of total billed charges,20.82772079,,,,,,,,,,22.1275,percent of total billed charges,999999999,,,,,,,,,,22.1275,percent of total billed charges,17.87165113,,,,,,,,,,22.1275,percent of total billed charges,28.18482626,,,,,,,,,,22.1275,percent of total billed charges,999999999,,,,,,,,,,22.1275,percent of total billed charges,19.27001074,,,,,,,,,,79.659,percent of total billed charges,,,,,
SODIUM CHLORIDE 0.9% 250 ML IVPB,J7050,CDM,0033-8004-02,NDC,,both,1,EA,51.58,51.58,10.98055386,51.58,51.58,percent of total billed charges,37.94923842,,,,51.58,percent of total billed charges,40.22544237,,,,51.58,percent of total billed charges,37.94923842,,,,51.58,percent of total billed charges,40.22544237,,,,51.58,percent of total billed charges,999999999,,,,51.58,percent of total billed charges,39.30041493,,,,51.58,percent of total billed charges,37.94923842,,,,51.58,percent of total billed charges,40.22544237,,,,36.77654,percent of total billed charges,18.35216647,,,,36.77654,percent of total billed charges,10.98055386,,,,36.77654,percent of total billed charges,18.35216647,,,,36.77654,percent of total billed charges,10.98055386,,,,36.77654,percent of total billed charges,18.35216647,,,,36.77654,percent of total billed charges,10.98055386,,,,36.41548,percent of total billed charges,36.13918585,,,,36.41548,percent of total billed charges,24.92491004,,,,,,,,,,37.1376,percent of total billed charges,24.13856607,,,,,,,,,,37.1376,percent of total billed charges,999999999,,,,,,,,,,41.264,percent of total billed charges,34.57708702,,,,40.7482,percent of total billed charges,39.3237666,,,,40.7482,percent of total billed charges,34.74384946,,,,41.264,percent of total billed charges,999999999,,,,41.264,percent of total billed charges,999999999,,,,36.106,percent of total billed charges,999999999,,,,36.106,percent of total billed charges,999999999,,,,,,,,,,,,,,,,27.44056,percent of total billed charges,999999999,,,,,,,,,,,,,,,,26.0479,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12.895,percent of total billed charges,12.24709577,,,,,,,,,,12.895,percent of total billed charges,12.04337366,,,,,,,,,,12.895,percent of total billed charges,12.00990564,,,,,,,,,,12.895,percent of total billed charges,11.83305993,,,,,,,,,,12.895,percent of total billed charges,12.13754196,,,,,,,,,,12.895,percent of total billed charges,999999999,,,,,,,,,,12.895,percent of total billed charges,10.41486572,,,,,,,,,,12.895,percent of total billed charges,16.42496145,,,,,,,,,,12.895,percent of total billed charges,999999999,,,,,,,,,,12.895,percent of total billed charges,11.22977239,,,,,,,,,,46.422,percent of total billed charges,,,,,
SODIUM CHLORIDE 0.9%: 50ML IVPB,258,RC,0033-8004-31,NDC,,both,1,EA,30.89,30.89,6.575985049,30.89,30.89,percent of total billed charges,22.72687039,,,,30.89,percent of total billed charges,24.09003325,,,,30.89,percent of total billed charges,22.72687039,,,,30.89,percent of total billed charges,24.09003325,,,,30.89,percent of total billed charges,999999999,,,,30.89,percent of total billed charges,23.53605694,,,,30.89,percent of total billed charges,22.72687039,,,,30.89,percent of total billed charges,24.09003325,,,,22.02457,percent of total billed charges,10.99066348,,,,22.02457,percent of total billed charges,6.575985049,,,,22.02457,percent of total billed charges,10.99066348,,,,22.02457,percent of total billed charges,6.575985049,,,,22.02457,percent of total billed charges,10.99066348,,,,22.02457,percent of total billed charges,6.575985049,,,,21.80834,percent of total billed charges,21.6428742,,,,21.80834,percent of total billed charges,14.92691879,,,,,,,,,,22.2408,percent of total billed charges,14.45599663,,,,,,,,,,22.2408,percent of total billed charges,999999999,,,,,,,,,,24.712,percent of total billed charges,20.70737143,,,,24.4031,percent of total billed charges,23.55004169,,,,24.4031,percent of total billed charges,20.80724137,,,,24.712,percent of total billed charges,999999999,,,,24.712,percent of total billed charges,999999999,,,,21.623,percent of total billed charges,999999999,,,,21.623,percent of total billed charges,999999999,,,,,,,,,,,,,,,,16.43348,percent of total billed charges,999999999,,,,,,,,,,,,,,,,15.59945,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7.7225,percent of total billed charges,7.334486007,,,,,,,,,,7.7225,percent of total billed charges,7.212481823,,,,,,,,,,7.7225,percent of total billed charges,7.192438645,,,,,,,,,,7.7225,percent of total billed charges,7.086530074,,,,,,,,,,7.7225,percent of total billed charges,7.26887691,,,,,,,,,,7.7225,percent of total billed charges,999999999,,,,,,,,,,7.7225,percent of total billed charges,6.237208264,,,,,,,,,,7.7225,percent of total billed charges,9.836507548,,,,,,,,,,7.7225,percent of total billed charges,999999999,,,,,,,,,,7.7225,percent of total billed charges,6.725235927,,,,,,,,,,27.801,percent of total billed charges,,,,,
SODIUM CHLORIDE 0.9% 500ML,J7040,CDM,0033-8004-04,NDC,,both,1,EA,62.93,62.93,13.39678664,62.93,62.93,percent of total billed charges,46.29983663,,,,62.93,percent of total billed charges,49.07691137,,,,62.93,percent of total billed charges,46.29983663,,,,62.93,percent of total billed charges,49.07691137,,,,62.93,percent of total billed charges,999999999,,,,62.93,percent of total billed charges,47.94833485,,,,62.93,percent of total billed charges,46.29983663,,,,62.93,percent of total billed charges,49.07691137,,,,44.86909,percent of total billed charges,22.39049702,,,,44.86909,percent of total billed charges,13.39678664,,,,44.86909,percent of total billed charges,22.39049702,,,,44.86909,percent of total billed charges,13.39678664,,,,44.86909,percent of total billed charges,22.39049702,,,,44.86909,percent of total billed charges,13.39678664,,,,44.42858,percent of total billed charges,44.09148829,,,,44.42858,percent of total billed charges,30.40955,,,,,,,,,,45.3096,percent of total billed charges,29.45017377,,,,,,,,,,45.3096,percent of total billed charges,999999999,,,,,,,,,,50.344,percent of total billed charges,42.18565503,,,,49.7147,percent of total billed charges,47.97682497,,,,49.7147,percent of total billed charges,42.38911297,,,,50.344,percent of total billed charges,999999999,,,,50.344,percent of total billed charges,999999999,,,,44.051,percent of total billed charges,999999999,,,,44.051,percent of total billed charges,999999999,,,,,,,,,,,,,,,,33.47876,percent of total billed charges,999999999,,,,,,,,,,,,,,,,31.77965,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15.7325,percent of total billed charges,14.94202669,,,,,,,,,,15.7325,percent of total billed charges,14.69347624,,,,,,,,,,15.7325,percent of total billed charges,14.6526437,,,,,,,,,,15.7325,percent of total billed charges,14.4368837,,,,,,,,,,15.7325,percent of total billed charges,14.80836594,,,,,,,,,,15.7325,percent of total billed charges,999999999,,,,,,,,,,15.7325,percent of total billed charges,12.70662078,,,,,,,,,,15.7325,percent of total billed charges,20.03921722,,,,,,,,,,15.7325,percent of total billed charges,999999999,,,,,,,,,,15.7325,percent of total billed charges,13.70084483,,,,,,,,,,56.637,percent of total billed charges,,,,,
SODIUM CHLORIDE 0.9%: 50ML A/V IVPB,258,RC,0040-9710-66,NDC,,both,1,EA,16.24,16.24,3.457235261,16.24,16.24,percent of total billed charges,11.94834494,,,,16.24,percent of total billed charges,12.66500939,,,,16.24,percent of total billed charges,11.94834494,,,,16.24,percent of total billed charges,12.66500939,,,,16.24,percent of total billed charges,999999999,,,,16.24,percent of total billed charges,12.37376383,,,,16.24,percent of total billed charges,11.94834494,,,,16.24,percent of total billed charges,12.66500939,,,,11.57912,percent of total billed charges,5.778192778,,,,11.57912,percent of total billed charges,3.457235261,,,,11.57912,percent of total billed charges,5.778192778,,,,11.57912,percent of total billed charges,3.457235261,,,,11.57912,percent of total billed charges,5.778192778,,,,11.57912,percent of total billed charges,3.457235261,,,,11.46544,percent of total billed charges,11.37844859,,,,11.46544,percent of total billed charges,7.847625806,,,,,,,,,,11.6928,percent of total billed charges,7.600044844,,,,,,,,,,11.6928,percent of total billed charges,999999999,,,,,,,,,,12.992,percent of total billed charges,10.88662065,,,,12.8296,percent of total billed charges,12.38111612,,,,12.8296,percent of total billed charges,10.93912593,,,,12.992,percent of total billed charges,999999999,,,,12.992,percent of total billed charges,999999999,,,,11.368,percent of total billed charges,999999999,,,,11.368,percent of total billed charges,999999999,,,,,,,,,,,,,,,,8.63968,percent of total billed charges,999999999,,,,,,,,,,,,,,,,8.2012,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4.06,percent of total billed charges,3.856006888,,,,,,,,,,4.06,percent of total billed charges,3.791864837,,,,,,,,,,4.06,percent of total billed charges,3.781327407,,,,,,,,,,4.06,percent of total billed charges,3.725647407,,,,,,,,,,4.06,percent of total billed charges,3.821513792,,,,,,,,,,4.06,percent of total billed charges,999999999,,,,,,,,,,4.06,percent of total billed charges,3.279127944,,,,,,,,,,4.06,percent of total billed charges,5.171410896,,,,,,,,,,4.06,percent of total billed charges,999999999,,,,,,,,,,4.06,percent of total billed charges,3.535701892,,,,,,,,,,14.616,percent of total billed charges,,,,,
SODIUM CHLORIDE 0.9% 100ML IVPB,258,RC,0033-8004-48,NDC,,both,1,EA,24.65,24.65,5.247589235,24.65,24.65,percent of total billed charges,18.13588071,,,,24.65,percent of total billed charges,19.22367496,,,,24.65,percent of total billed charges,18.13588071,,,,24.65,percent of total billed charges,19.22367496,,,,24.65,percent of total billed charges,999999999,,,,24.65,percent of total billed charges,18.78160582,,,,24.65,percent of total billed charges,18.13588071,,,,24.65,percent of total billed charges,19.22367496,,,,17.57545,percent of total billed charges,8.770471181,,,,17.57545,percent of total billed charges,5.247589235,,,,17.57545,percent of total billed charges,8.770471181,,,,17.57545,percent of total billed charges,5.247589235,,,,17.57545,percent of total billed charges,8.770471181,,,,17.57545,percent of total billed charges,5.247589235,,,,17.4029,percent of total billed charges,17.27085947,,,,17.4029,percent of total billed charges,11.91157488,,,,,,,,,,17.748,percent of total billed charges,11.53578235,,,,,,,,,,17.748,percent of total billed charges,999999999,,,,,,,,,,19.72,percent of total billed charges,16.52433492,,,,19.4735,percent of total billed charges,18.79276554,,,,19.4735,percent of total billed charges,16.60403042,,,,19.72,percent of total billed charges,999999999,,,,19.72,percent of total billed charges,999999999,,,,17.255,percent of total billed charges,999999999,,,,17.255,percent of total billed charges,999999999,,,,,,,,,,,,,,,,13.1138,percent of total billed charges,999999999,,,,,,,,,,,,,,,,12.44825,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6.1625,percent of total billed charges,5.852867597,,,,,,,,,,6.1625,percent of total billed charges,5.755509127,,,,,,,,,,6.1625,percent of total billed charges,5.739514814,,,,,,,,,,6.1625,percent of total billed charges,5.655000528,,,,,,,,,,6.1625,percent of total billed charges,5.800512005,,,,,,,,,,6.1625,percent of total billed charges,999999999,,,,,,,,,,6.1625,percent of total billed charges,4.977247773,,,,,,,,,,6.1625,percent of total billed charges,7.849462967,,,,,,,,,,6.1625,percent of total billed charges,999999999,,,,,,,,,,6.1625,percent of total billed charges,5.366690372,,,,,,,,,,22.185,percent of total billed charges,,,,,
SODIUM CHLORIDE 0.9% FOR IRRIG. 500ML,258,RC,0033-8004-03,NDC,,both,1,EA,6.7,6.7,1.426322429,6.7,6.7,percent of total billed charges,4.929428022,,,,6.7,percent of total billed charges,5.225096237,,,,6.7,percent of total billed charges,4.929428022,,,,6.7,percent of total billed charges,5.225096237,,,,6.7,percent of total billed charges,999999999,,,,6.7,percent of total billed charges,5.104939512,,,,6.7,percent of total billed charges,4.929428022,,,,6.7,percent of total billed charges,5.225096237,,,,4.7771,percent of total billed charges,2.383860321,,,,4.7771,percent of total billed charges,1.426322429,,,,4.7771,percent of total billed charges,2.383860321,,,,4.7771,percent of total billed charges,1.426322429,,,,4.7771,percent of total billed charges,2.383860321,,,,4.7771,percent of total billed charges,1.426322429,,,,4.7302,percent of total billed charges,4.694310687,,,,4.7302,percent of total billed charges,3.237628873,,,,,,,,,,4.824,percent of total billed charges,3.135486481,,,,,,,,,,4.824,percent of total billed charges,999999999,,,,,,,,,,5.36,percent of total billed charges,4.491401378,,,,5.293,percent of total billed charges,5.107972784,,,,5.293,percent of total billed charges,4.513063036,,,,5.36,percent of total billed charges,999999999,,,,5.36,percent of total billed charges,999999999,,,,4.69,percent of total billed charges,999999999,,,,4.69,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.5644,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.3835,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.675,percent of total billed charges,1.59084028,,,,,,,,,,1.675,percent of total billed charges,1.564377734,,,,,,,,,,1.675,percent of total billed charges,1.560030396,,,,,,,,,,1.675,percent of total billed charges,1.537058967,,,,,,,,,,1.675,percent of total billed charges,1.576609754,,,,,,,,,,1.675,percent of total billed charges,999999999,,,,,,,,,,1.675,percent of total billed charges,1.352842194,,,,,,,,,,1.675,percent of total billed charges,2.133525431,,,,,,,,,,1.675,percent of total billed charges,999999999,,,,,,,,,,1.675,percent of total billed charges,1.458694746,,,,,,,,,,6.03,percent of total billed charges,,,,,
**CEFAZOLIN INJECTION 2 GM:,J0690,CDM,0078-1345-96,NDC,,both,1,EA,45,45,9.579777508,45,45,percent of total billed charges,33.10809866,,,,45,percent of total billed charges,35.09392995,,,,45,percent of total billed charges,33.10809866,,,,45,percent of total billed charges,35.09392995,,,,45,percent of total billed charges,999999999,,,,45,percent of total billed charges,34.28690717,,,,45,percent of total billed charges,33.10809866,,,,45,percent of total billed charges,35.09392995,,,,32.085,percent of total billed charges,16.01100216,,,,32.085,percent of total billed charges,9.579777508,,,,32.085,percent of total billed charges,16.01100216,,,,32.085,percent of total billed charges,9.579777508,,,,32.085,percent of total billed charges,16.01100216,,,,32.085,percent of total billed charges,9.579777508,,,,31.77,percent of total billed charges,31.52895237,,,,31.77,percent of total billed charges,21.74526855,,,,,,,,,,32.4,percent of total billed charges,21.05923756,,,,,,,,,,32.4,percent of total billed charges,999999999,,,,,,,,,,36,percent of total billed charges,30.16612866,,,,35.55,percent of total billed charges,34.30727989,,,,35.55,percent of total billed charges,30.31161741,,,,36,percent of total billed charges,999999999,,,,36,percent of total billed charges,999999999,,,,31.5,percent of total billed charges,999999999,,,,31.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,23.94,percent of total billed charges,999999999,,,,,,,,,,,,,,,,22.725,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11.25,percent of total billed charges,10.68474815,,,,,,,,,,11.25,percent of total billed charges,10.50701463,,,,,,,,,,11.25,percent of total billed charges,10.47781609,,,,,,,,,,11.25,percent of total billed charges,10.32353038,,,,,,,,,,11.25,percent of total billed charges,10.58916999,,,,,,,,,,11.25,percent of total billed charges,999999999,,,,,,,,,,11.25,percent of total billed charges,9.08625354,,,,,,,,,,11.25,percent of total billed charges,14.32964842,,,,,,,,,,11.25,percent of total billed charges,999999999,,,,,,,,,,11.25,percent of total billed charges,9.797203519,,,,,,,,,,40.5,percent of total billed charges,,,,,
**CEFOTAXIME (CLAFORAN): 2GM,258,RC,0003-9002-25,NDC,,both,1,EA,12,12,2.554607335,12,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,12,percent of total billed charges,999999999,,,,12,percent of total billed charges,9.143175245,,,,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.472,percent of total billed charges,8.407720633,,,,8.472,percent of total billed charges,5.79873828,,,,,,,,,,8.64,percent of total billed charges,5.615796683,,,,,,,,,,8.64,percent of total billed charges,999999999,,,,,,,,,,9.6,percent of total billed charges,8.044300975,,,,9.48,percent of total billed charges,9.148607971,,,,9.48,percent of total billed charges,8.083097975,,,,9.6,percent of total billed charges,999999999,,,,9.6,percent of total billed charges,999999999,,,,8.4,percent of total billed charges,999999999,,,,8.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.384,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.06,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3,percent of total billed charges,2.849266173,,,,,,,,,,3,percent of total billed charges,2.801870569,,,,,,,,,,3,percent of total billed charges,2.794084291,,,,,,,,,,3,percent of total billed charges,2.752941434,,,,,,,,,,3,percent of total billed charges,2.823778664,,,,,,,,,,3,percent of total billed charges,999999999,,,,,,,,,,3,percent of total billed charges,2.423000944,,,,,,,,,,3,percent of total billed charges,3.821239578,,,,,,,,,,3,percent of total billed charges,999999999,,,,,,,,,,3,percent of total billed charges,2.612587605,,,,,,,,,,10.8,percent of total billed charges,,,,,
**PENICILLIN G POT.INJECT 20 MU:,J2540,CDM,0004-9053-28,NDC,,both,1,EA,68,68,14.47610823,68,68,percent of total billed charges,50.03001575,,,,68,percent of total billed charges,53.03082748,,,,68,percent of total billed charges,50.03001575,,,,68,percent of total billed charges,53.03082748,,,,68,percent of total billed charges,999999999,,,,68,percent of total billed charges,51.81132639,,,,68,percent of total billed charges,50.03001575,,,,68,percent of total billed charges,53.03082748,,,,48.484,percent of total billed charges,24.19440326,,,,48.484,percent of total billed charges,14.47610823,,,,48.484,percent of total billed charges,24.19440326,,,,48.484,percent of total billed charges,14.47610823,,,,48.484,percent of total billed charges,24.19440326,,,,48.484,percent of total billed charges,14.47610823,,,,48.008,percent of total billed charges,47.64375025,,,,48.008,percent of total billed charges,32.85951692,,,,,,,,,,48.96,percent of total billed charges,31.82284787,,,,,,,,,,48.96,percent of total billed charges,999999999,,,,,,,,,,54.4,percent of total billed charges,45.58437219,,,,53.72,percent of total billed charges,51.84211184,,,,53.72,percent of total billed charges,45.80422186,,,,54.4,percent of total billed charges,999999999,,,,54.4,percent of total billed charges,999999999,,,,47.6,percent of total billed charges,999999999,,,,47.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,36.176,percent of total billed charges,999999999,,,,,,,,,,,,,,,,34.34,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17,percent of total billed charges,16.14584165,,,,,,,,,,17,percent of total billed charges,15.87726656,,,,,,,,,,17,percent of total billed charges,15.83314431,,,,,,,,,,17,percent of total billed charges,15.60000146,,,,,,,,,,17,percent of total billed charges,16.00141243,,,,,,,,,,17,percent of total billed charges,999999999,,,,,,,,,,17,percent of total billed charges,13.73033868,,,,,,,,,,17,percent of total billed charges,21.65369094,,,,,,,,,,17,percent of total billed charges,999999999,,,,,,,,,,17,percent of total billed charges,14.8046631,,,,,,,,,,61.2,percent of total billed charges,,,,,
**ASCORBIC ACID (VITAMIN C) 500MG INJ,258,RC,0051-7505-01,NDC,,both,1,EA,27,27,5.747866505,27,27,percent of total billed charges,19.86485919,,,,27,percent of total billed charges,21.05635797,,,,27,percent of total billed charges,19.86485919,,,,27,percent of total billed charges,21.05635797,,,,27,percent of total billed charges,999999999,,,,27,percent of total billed charges,20.5721443,,,,27,percent of total billed charges,19.86485919,,,,27,percent of total billed charges,21.05635797,,,,19.251,percent of total billed charges,9.606601294,,,,19.251,percent of total billed charges,5.747866505,,,,19.251,percent of total billed charges,9.606601294,,,,19.251,percent of total billed charges,5.747866505,,,,19.251,percent of total billed charges,9.606601294,,,,19.251,percent of total billed charges,5.747866505,,,,19.062,percent of total billed charges,18.91737142,,,,19.062,percent of total billed charges,13.04716113,,,,,,,,,,19.44,percent of total billed charges,12.63554254,,,,,,,,,,19.44,percent of total billed charges,999999999,,,,,,,,,,21.6,percent of total billed charges,18.09967719,,,,21.33,percent of total billed charges,20.58436793,,,,21.33,percent of total billed charges,18.18697044,,,,21.6,percent of total billed charges,999999999,,,,21.6,percent of total billed charges,999999999,,,,18.9,percent of total billed charges,999999999,,,,18.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,14.364,percent of total billed charges,999999999,,,,,,,,,,,,,,,,13.635,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6.75,percent of total billed charges,6.41084889,,,,,,,,,,6.75,percent of total billed charges,6.30420878,,,,,,,,,,6.75,percent of total billed charges,6.286689654,,,,,,,,,,6.75,percent of total billed charges,6.194118226,,,,,,,,,,6.75,percent of total billed charges,6.353501993,,,,,,,,,,6.75,percent of total billed charges,999999999,,,,,,,,,,6.75,percent of total billed charges,5.451752124,,,,,,,,,,6.75,percent of total billed charges,8.597789051,,,,,,,,,,6.75,percent of total billed charges,999999999,,,,,,,,,,6.75,percent of total billed charges,5.878322112,,,,,,,,,,24.3,percent of total billed charges,,,,,
**TIROFIBAN 12.5MG/250ML PREMIX: AGGRAST,J3246,CDM,2520-8000-02,NDC,,both,1,EA,1140,1140,242.6876969,1140,1140,percent of total billed charges,838.7384993,,,,1140,percent of total billed charges,889.0462254,,,,1140,percent of total billed charges,838.7384993,,,,1140,percent of total billed charges,889.0462254,,,,1140,percent of total billed charges,999999999,,,,1140,percent of total billed charges,868.6016483,,,,1140,percent of total billed charges,838.7384993,,,,1140,percent of total billed charges,889.0462254,,,,812.82,percent of total billed charges,405.6120546,,,,812.82,percent of total billed charges,242.6876969,,,,812.82,percent of total billed charges,405.6120546,,,,812.82,percent of total billed charges,242.6876969,,,,812.82,percent of total billed charges,405.6120546,,,,812.82,percent of total billed charges,242.6876969,,,,804.84,percent of total billed charges,798.7334601,,,,804.84,percent of total billed charges,550.8801366,,,,,,,,,,820.8,percent of total billed charges,533.5006848,,,,,,,,,,820.8,percent of total billed charges,999999999,,,,,,,,,,912,percent of total billed charges,764.2085926,,,,900.6,percent of total billed charges,869.1177572,,,,900.6,percent of total billed charges,767.8943077,,,,912,percent of total billed charges,999999999,,,,912,percent of total billed charges,999999999,,,,798,percent of total billed charges,999999999,,,,798,percent of total billed charges,999999999,,,,,,,,,,,,,,,,606.48,percent of total billed charges,999999999,,,,,,,,,,,,,,,,575.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,285,percent of total billed charges,270.6802865,,,,,,,,,,285,percent of total billed charges,266.1777041,,,,,,,,,,285,percent of total billed charges,265.4380076,,,,,,,,,,285,percent of total billed charges,261.5294362,,,,,,,,,,285,percent of total billed charges,268.2589731,,,,,,,,,,285,percent of total billed charges,999999999,,,,,,,,,,285,percent of total billed charges,230.1850897,,,,,,,,,,285,percent of total billed charges,363.0177599,,,,,,,,,,285,percent of total billed charges,999999999,,,,,,,,,,285,percent of total billed charges,248.1958225,,,,,,,,,,1026,percent of total billed charges,,,,,
**PENICILLIN G POT INJECTION 10 MU:,J2540,CDM,0004-9053-28,NDC,,both,1,EA,68,68,14.47610823,68,68,percent of total billed charges,50.03001575,,,,68,percent of total billed charges,53.03082748,,,,68,percent of total billed charges,50.03001575,,,,68,percent of total billed charges,53.03082748,,,,68,percent of total billed charges,999999999,,,,68,percent of total billed charges,51.81132639,,,,68,percent of total billed charges,50.03001575,,,,68,percent of total billed charges,53.03082748,,,,48.484,percent of total billed charges,24.19440326,,,,48.484,percent of total billed charges,14.47610823,,,,48.484,percent of total billed charges,24.19440326,,,,48.484,percent of total billed charges,14.47610823,,,,48.484,percent of total billed charges,24.19440326,,,,48.484,percent of total billed charges,14.47610823,,,,48.008,percent of total billed charges,47.64375025,,,,48.008,percent of total billed charges,32.85951692,,,,,,,,,,48.96,percent of total billed charges,31.82284787,,,,,,,,,,48.96,percent of total billed charges,999999999,,,,,,,,,,54.4,percent of total billed charges,45.58437219,,,,53.72,percent of total billed charges,51.84211184,,,,53.72,percent of total billed charges,45.80422186,,,,54.4,percent of total billed charges,999999999,,,,54.4,percent of total billed charges,999999999,,,,47.6,percent of total billed charges,999999999,,,,47.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,36.176,percent of total billed charges,999999999,,,,,,,,,,,,,,,,34.34,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17,percent of total billed charges,16.14584165,,,,,,,,,,17,percent of total billed charges,15.87726656,,,,,,,,,,17,percent of total billed charges,15.83314431,,,,,,,,,,17,percent of total billed charges,15.60000146,,,,,,,,,,17,percent of total billed charges,16.00141243,,,,,,,,,,17,percent of total billed charges,999999999,,,,,,,,,,17,percent of total billed charges,13.73033868,,,,,,,,,,17,percent of total billed charges,21.65369094,,,,,,,,,,17,percent of total billed charges,999999999,,,,,,,,,,17,percent of total billed charges,14.8046631,,,,,,,,,,61.2,percent of total billed charges,,,,,
**CLINDAMYCIN (CLEOCIN) INJ: 300MG IM,250,RC,0000-9087-26,NDC,,both,1,EA,25,25,5.322098616,25,25,percent of total billed charges,18.39338814,,,,25,percent of total billed charges,19.49662775,,,,25,percent of total billed charges,18.39338814,,,,25,percent of total billed charges,19.49662775,,,,25,percent of total billed charges,999999999,,,,25,percent of total billed charges,19.04828176,,,,25,percent of total billed charges,18.39338814,,,,25,percent of total billed charges,19.49662775,,,,17.825,percent of total billed charges,8.895001198,,,,17.825,percent of total billed charges,5.322098616,,,,17.825,percent of total billed charges,8.895001198,,,,17.825,percent of total billed charges,5.322098616,,,,17.825,percent of total billed charges,8.895001198,,,,17.825,percent of total billed charges,5.322098616,,,,17.65,percent of total billed charges,17.51608465,,,,17.65,percent of total billed charges,12.08070475,,,,,,,,,,18,percent of total billed charges,11.69957642,,,,,,,,,,18,percent of total billed charges,999999999,,,,,,,,,,20,percent of total billed charges,16.75896036,,,,19.75,percent of total billed charges,19.05959994,,,,19.75,percent of total billed charges,16.83978745,,,,20,percent of total billed charges,999999999,,,,20,percent of total billed charges,999999999,,,,17.5,percent of total billed charges,999999999,,,,17.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,13.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,12.625,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6.25,percent of total billed charges,5.935971194,,,,,,,,,,6.25,percent of total billed charges,5.837230352,,,,,,,,,,6.25,percent of total billed charges,5.821008939,,,,,,,,,,6.25,percent of total billed charges,5.735294653,,,,,,,,,,6.25,percent of total billed charges,5.882872216,,,,,,,,,,6.25,percent of total billed charges,999999999,,,,,,,,,,6.25,percent of total billed charges,5.047918634,,,,,,,,,,6.25,percent of total billed charges,7.960915788,,,,,,,,,,6.25,percent of total billed charges,999999999,,,,,,,,,,6.25,percent of total billed charges,5.442890844,,,,,,,,,,22.5,percent of total billed charges,,,,,
**AZITHROMYCIN (ZITHROMAX) 500MG: MB+,258,RC,0006-9315-83,NDC,,both,1,EA,85,85,18.09513529,85,85,percent of total billed charges,62.53751969,,,,85,percent of total billed charges,66.28853435,,,,85,percent of total billed charges,62.53751969,,,,85,percent of total billed charges,66.28853435,,,,85,percent of total billed charges,999999999,,,,85,percent of total billed charges,64.76415799,,,,85,percent of total billed charges,62.53751969,,,,85,percent of total billed charges,66.28853435,,,,60.605,percent of total billed charges,30.24300407,,,,60.605,percent of total billed charges,18.09513529,,,,60.605,percent of total billed charges,30.24300407,,,,60.605,percent of total billed charges,18.09513529,,,,60.605,percent of total billed charges,30.24300407,,,,60.605,percent of total billed charges,18.09513529,,,,60.01,percent of total billed charges,59.55468782,,,,60.01,percent of total billed charges,41.07439615,,,,,,,,,,61.2,percent of total billed charges,39.77855983,,,,,,,,,,61.2,percent of total billed charges,999999999,,,,,,,,,,68,percent of total billed charges,56.98046524,,,,67.15,percent of total billed charges,64.80263979,,,,67.15,percent of total billed charges,57.25527733,,,,68,percent of total billed charges,999999999,,,,68,percent of total billed charges,999999999,,,,59.5,percent of total billed charges,999999999,,,,59.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,45.22,percent of total billed charges,999999999,,,,,,,,,,,,,,,,42.925,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21.25,percent of total billed charges,20.18230206,,,,,,,,,,21.25,percent of total billed charges,19.8465832,,,,,,,,,,21.25,percent of total billed charges,19.79143039,,,,,,,,,,21.25,percent of total billed charges,19.50000182,,,,,,,,,,21.25,percent of total billed charges,20.00176553,,,,,,,,,,21.25,percent of total billed charges,999999999,,,,,,,,,,21.25,percent of total billed charges,17.16292335,,,,,,,,,,21.25,percent of total billed charges,27.06711368,,,,,,,,,,21.25,percent of total billed charges,999999999,,,,,,,,,,21.25,percent of total billed charges,18.50582887,,,,,,,,,,76.5,percent of total billed charges,,,,,
**EPTIFIBATIDE (INTEGRELIN) 0.75MG/ML100,J1327,CDM,0008-5113-01,NDC,,both,1,EA,2957,2957,629.4978243,2957,2957,percent of total billed charges,2175.56995,,,,2957,percent of total billed charges,2306.06113,,,,2957,percent of total billed charges,2175.56995,,,,2957,percent of total billed charges,2306.06113,,,,2957,percent of total billed charges,999999999,,,,2957,percent of total billed charges,2253.030767,,,,2957,percent of total billed charges,2175.56995,,,,2957,percent of total billed charges,2306.06113,,,,2108.341,percent of total billed charges,1052.100742,,,,2108.341,percent of total billed charges,629.4978243,,,,2108.341,percent of total billed charges,1052.100742,,,,2108.341,percent of total billed charges,629.4978243,,,,2108.341,percent of total billed charges,1052.100742,,,,2108.341,percent of total billed charges,629.4978243,,,,2087.642,percent of total billed charges,2071.802493,,,,2087.642,percent of total billed charges,1428.905758,,,,,,,,,,2129.04,percent of total billed charges,1383.825899,,,,,,,,,,2129.04,percent of total billed charges,999999999,,,,,,,,,,2365.6,percent of total billed charges,1982.249832,,,,2336.03,percent of total billed charges,2254.369481,,,,2336.03,percent of total billed charges,1991.810059,,,,2365.6,percent of total billed charges,999999999,,,,2365.6,percent of total billed charges,999999999,,,,2069.9,percent of total billed charges,999999999,,,,2069.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1573.124,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1493.285,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,739.25,percent of total billed charges,702.1066728,,,,,,,,,,739.25,percent of total billed charges,690.4276061,,,,,,,,,,739.25,percent of total billed charges,688.5089373,,,,,,,,,,739.25,percent of total billed charges,678.3706516,,,,,,,,,,739.25,percent of total billed charges,695.8261257,,,,,,,,,,739.25,percent of total billed charges,999999999,,,,,,,,,,739.25,percent of total billed charges,597.067816,,,,,,,,,,739.25,percent of total billed charges,941.6171194,,,,,,,,,,739.25,percent of total billed charges,999999999,,,,,,,,,,739.25,percent of total billed charges,643.785129,,,,,,,,,,2661.3,percent of total billed charges,,,,,
**EPTIFIBATIDE (INTEGRELIN) 20MG/10ML IV,J1327,CDM,0008-5117-01,NDC,,both,1,EA,946,946,201.3882116,946,946,percent of total billed charges,696.0058073,,,,946,percent of total billed charges,737.7523941,,,,946,percent of total billed charges,696.0058073,,,,946,percent of total billed charges,737.7523941,,,,946,percent of total billed charges,999999999,,,,946,percent of total billed charges,720.7869818,,,,946,percent of total billed charges,696.0058073,,,,946,percent of total billed charges,737.7523941,,,,674.498,percent of total billed charges,336.5868453,,,,674.498,percent of total billed charges,201.3882116,,,,674.498,percent of total billed charges,336.5868453,,,,674.498,percent of total billed charges,201.3882116,,,,674.498,percent of total billed charges,336.5868453,,,,674.498,percent of total billed charges,201.3882116,,,,667.876,percent of total billed charges,662.8086432,,,,667.876,percent of total billed charges,457.1338678,,,,,,,,,,681.12,percent of total billed charges,442.7119718,,,,,,,,,,681.12,percent of total billed charges,999999999,,,,,,,,,,756.8,percent of total billed charges,634.1590602,,,,747.34,percent of total billed charges,721.2152617,,,,747.34,percent of total billed charges,637.2175571,,,,756.8,percent of total billed charges,999999999,,,,756.8,percent of total billed charges,999999999,,,,662.2,percent of total billed charges,999999999,,,,662.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,503.272,percent of total billed charges,999999999,,,,,,,,,,,,,,,,477.73,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,236.5,percent of total billed charges,224.61715,,,,,,,,,,236.5,percent of total billed charges,220.8807965,,,,,,,,,,236.5,percent of total billed charges,220.2669783,,,,,,,,,,236.5,percent of total billed charges,217.0235497,,,,,,,,,,236.5,percent of total billed charges,222.6078847,,,,,,,,,,236.5,percent of total billed charges,999999999,,,,,,,,,,236.5,percent of total billed charges,191.0132411,,,,,,,,,,236.5,percent of total billed charges,301.2410534,,,,,,,,,,236.5,percent of total billed charges,999999999,,,,,,,,,,236.5,percent of total billed charges,205.9589895,,,,,,,,,,851.4,percent of total billed charges,,,,,
**QUININE 325MG CAP,259,RC,0017-2417-60,NDC,,both,1,EA,7,7,1.490187612,7,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,7,percent of total billed charges,999999999,,,,7,percent of total billed charges,5.333518893,,,,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.942,percent of total billed charges,4.904503703,,,,4.942,percent of total billed charges,3.38259733,,,,,,,,,,5.04,percent of total billed charges,3.275881398,,,,,,,,,,5.04,percent of total billed charges,999999999,,,,,,,,,,5.6,percent of total billed charges,4.692508902,,,,5.53,percent of total billed charges,5.336687983,,,,5.53,percent of total billed charges,4.715140486,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,4.9,percent of total billed charges,999999999,,,,4.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.724,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.535,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.75,percent of total billed charges,1.662071934,,,,,,,,,,1.75,percent of total billed charges,1.634424499,,,,,,,,,,1.75,percent of total billed charges,1.629882503,,,,,,,,,,1.75,percent of total billed charges,1.605882503,,,,,,,,,,1.75,percent of total billed charges,1.647204221,,,,,,,,,,1.75,percent of total billed charges,999999999,,,,,,,,,,1.75,percent of total billed charges,1.413417217,,,,,,,,,,1.75,percent of total billed charges,2.229056421,,,,,,,,,,1.75,percent of total billed charges,999999999,,,,,,,,,,1.75,percent of total billed charges,1.524009436,,,,,,,,,,6.3,percent of total billed charges,,,,,
valACYclovir (VALTREX) 500MG: TAB,637,RC,0017-3093-08,NDC,,both,1,EA,5.49,5.49,1.168732856,5.49,5.49,percent of total billed charges,4.039188036,,,,5.49,percent of total billed charges,4.281459454,,,,5.49,percent of total billed charges,4.039188036,,,,5.49,percent of total billed charges,4.281459454,,,,5.49,percent of total billed charges,999999999,,,,5.49,percent of total billed charges,4.183002675,,,,5.49,percent of total billed charges,4.039188036,,,,5.49,percent of total billed charges,4.281459454,,,,3.91437,percent of total billed charges,1.953342263,,,,3.91437,percent of total billed charges,1.168732856,,,,3.91437,percent of total billed charges,1.953342263,,,,3.91437,percent of total billed charges,1.168732856,,,,3.91437,percent of total billed charges,1.953342263,,,,3.91437,percent of total billed charges,1.168732856,,,,3.87594,percent of total billed charges,3.84653219,,,,3.87594,percent of total billed charges,2.652922763,,,,,,,,,,3.9528,percent of total billed charges,2.569226982,,,,,,,,,,3.9528,percent of total billed charges,999999999,,,,,,,,,,4.392,percent of total billed charges,3.680267696,,,,4.3371,percent of total billed charges,4.185488147,,,,4.3371,percent of total billed charges,3.698017324,,,,4.392,percent of total billed charges,999999999,,,,4.392,percent of total billed charges,999999999,,,,3.843,percent of total billed charges,999999999,,,,3.843,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2.92068,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2.77245,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.3725,percent of total billed charges,1.303539274,,,,,,,,,,1.3725,percent of total billed charges,1.281855785,,,,,,,,,,1.3725,percent of total billed charges,1.278293563,,,,,,,,,,1.3725,percent of total billed charges,1.259470706,,,,,,,,,,1.3725,percent of total billed charges,1.291878739,,,,,,,,,,1.3725,percent of total billed charges,999999999,,,,,,,,,,1.3725,percent of total billed charges,1.108522932,,,,,,,,,,1.3725,percent of total billed charges,1.748217107,,,,,,,,,,1.3725,percent of total billed charges,999999999,,,,,,,,,,1.3725,percent of total billed charges,1.195258829,,,,,,,,,,4.941,percent of total billed charges,,,,,
**UNNA BOOT 4  X 10 YARD BANDAGE:,259,RC,0000-3650-40,NDC,,both,1,EA,21,21,4.470562837,21,21,percent of total billed charges,15.45044604,,,,21,percent of total billed charges,16.37716731,,,,21,percent of total billed charges,15.45044604,,,,21,percent of total billed charges,16.37716731,,,,21,percent of total billed charges,999999999,,,,21,percent of total billed charges,16.00055668,,,,21,percent of total billed charges,15.45044604,,,,21,percent of total billed charges,16.37716731,,,,14.973,percent of total billed charges,7.471801006,,,,14.973,percent of total billed charges,4.470562837,,,,14.973,percent of total billed charges,7.471801006,,,,14.973,percent of total billed charges,4.470562837,,,,14.973,percent of total billed charges,7.471801006,,,,14.973,percent of total billed charges,4.470562837,,,,14.826,percent of total billed charges,14.71351111,,,,14.826,percent of total billed charges,10.14779199,,,,,,,,,,15.12,percent of total billed charges,9.827644194,,,,,,,,,,15.12,percent of total billed charges,999999999,,,,,,,,,,16.8,percent of total billed charges,14.07752671,,,,16.59,percent of total billed charges,16.01006395,,,,16.59,percent of total billed charges,14.14542146,,,,16.8,percent of total billed charges,999999999,,,,16.8,percent of total billed charges,999999999,,,,14.7,percent of total billed charges,999999999,,,,14.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,11.172,percent of total billed charges,999999999,,,,,,,,,,,,,,,,10.605,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5.25,percent of total billed charges,4.986215803,,,,,,,,,,5.25,percent of total billed charges,4.903273496,,,,,,,,,,5.25,percent of total billed charges,4.889647509,,,,,,,,,,5.25,percent of total billed charges,4.817647509,,,,,,,,,,5.25,percent of total billed charges,4.941612662,,,,,,,,,,5.25,percent of total billed charges,999999999,,,,,,,,,,5.25,percent of total billed charges,4.240251652,,,,,,,,,,5.25,percent of total billed charges,6.687169262,,,,,,,,,,5.25,percent of total billed charges,999999999,,,,,,,,,,5.25,percent of total billed charges,4.572028309,,,,,,,,,,18.9,percent of total billed charges,,,,,
**ACLOVATE (ALCLOMETASONE) 0.05% OINT:45,259,RC,0000-3650-40,NDC,,both,1,EA,250,250,53.22098616,250,250,percent of total billed charges,183.9338814,,,,250,percent of total billed charges,194.9662775,,,,250,percent of total billed charges,183.9338814,,,,250,percent of total billed charges,194.9662775,,,,250,percent of total billed charges,999999999,,,,250,percent of total billed charges,190.4828176,,,,250,percent of total billed charges,183.9338814,,,,250,percent of total billed charges,194.9662775,,,,178.25,percent of total billed charges,88.95001198,,,,178.25,percent of total billed charges,53.22098616,,,,178.25,percent of total billed charges,88.95001198,,,,178.25,percent of total billed charges,53.22098616,,,,178.25,percent of total billed charges,88.95001198,,,,178.25,percent of total billed charges,53.22098616,,,,176.5,percent of total billed charges,175.1608465,,,,176.5,percent of total billed charges,120.8070475,,,,,,,,,,180,percent of total billed charges,116.9957642,,,,,,,,,,180,percent of total billed charges,999999999,,,,,,,,,,200,percent of total billed charges,167.5896036,,,,197.5,percent of total billed charges,190.5959994,,,,197.5,percent of total billed charges,168.3978745,,,,200,percent of total billed charges,999999999,,,,200,percent of total billed charges,999999999,,,,175,percent of total billed charges,999999999,,,,175,percent of total billed charges,999999999,,,,,,,,,,,,,,,,133,percent of total billed charges,999999999,,,,,,,,,,,,,,,,126.25,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,62.5,percent of total billed charges,59.35971194,,,,,,,,,,62.5,percent of total billed charges,58.37230352,,,,,,,,,,62.5,percent of total billed charges,58.21008939,,,,,,,,,,62.5,percent of total billed charges,57.35294653,,,,,,,,,,62.5,percent of total billed charges,58.82872216,,,,,,,,,,62.5,percent of total billed charges,999999999,,,,,,,,,,62.5,percent of total billed charges,50.47918634,,,,,,,,,,62.5,percent of total billed charges,79.60915788,,,,,,,,,,62.5,percent of total billed charges,999999999,,,,,,,,,,62.5,percent of total billed charges,54.42890844,,,,,,,,,,225,percent of total billed charges,,,,,
ATROPINE 1% OPTH OINT:,259,RC,5486-8163-00,NDC,,both,1,EA,75.84,75.84,16.14511836,75.84,75.84,percent of total billed charges,55.79818227,,,,75.84,percent of total billed charges,59.14496994,,,,75.84,percent of total billed charges,55.79818227,,,,75.84,percent of total billed charges,59.14496994,,,,75.84,percent of total billed charges,999999999,,,,75.84,percent of total billed charges,57.78486755,,,,75.84,percent of total billed charges,55.79818227,,,,75.84,percent of total billed charges,59.14496994,,,,54.07392,percent of total billed charges,26.98387563,,,,54.07392,percent of total billed charges,16.14511836,,,,54.07392,percent of total billed charges,26.98387563,,,,54.07392,percent of total billed charges,16.14511836,,,,54.07392,percent of total billed charges,26.98387563,,,,54.07392,percent of total billed charges,16.14511836,,,,53.54304,percent of total billed charges,53.1367944,,,,53.54304,percent of total billed charges,36.64802593,,,,,,,,,,54.6048,percent of total billed charges,35.49183503,,,,,,,,,,54.6048,percent of total billed charges,999999999,,,,,,,,,,60.672,percent of total billed charges,50.83998216,,,,59.9136,percent of total billed charges,57.81920238,,,,59.9136,percent of total billed charges,51.0851792,,,,60.672,percent of total billed charges,999999999,,,,60.672,percent of total billed charges,999999999,,,,53.088,percent of total billed charges,999999999,,,,53.088,percent of total billed charges,999999999,,,,,,,,,,,,,,,,40.34688,percent of total billed charges,999999999,,,,,,,,,,,,,,,,38.2992,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18.96,percent of total billed charges,18.00736221,,,,,,,,,,18.96,percent of total billed charges,17.707822,,,,,,,,,,18.96,percent of total billed charges,17.65861272,,,,,,,,,,18.96,percent of total billed charges,17.39858986,,,,,,,,,,18.96,percent of total billed charges,17.84628115,,,,,,,,,,18.96,percent of total billed charges,999999999,,,,,,,,,,18.96,percent of total billed charges,15.31336597,,,,,,,,,,18.96,percent of total billed charges,24.15023413,,,,,,,,,,18.96,percent of total billed charges,999999999,,,,,,,,,,18.96,percent of total billed charges,16.51155366,,,,,,,,,,68.256,percent of total billed charges,,,,,
BACITRACIN TOPICAL OINT 28.4GM,637,RC,0016-8001-31,NDC,,both,1,EA,18.89,18.89,4.021377714,18.89,18.89,percent of total billed charges,13.89804408,,,,18.89,percent of total billed charges,14.73165193,,,,18.89,percent of total billed charges,13.89804408,,,,18.89,percent of total billed charges,14.73165193,,,,18.89,percent of total billed charges,999999999,,,,18.89,percent of total billed charges,14.3928817,,,,18.89,percent of total billed charges,13.89804408,,,,18.89,percent of total billed charges,14.73165193,,,,13.46857,percent of total billed charges,6.721062905,,,,13.46857,percent of total billed charges,4.021377714,,,,13.46857,percent of total billed charges,6.721062905,,,,13.46857,percent of total billed charges,4.021377714,,,,13.46857,percent of total billed charges,6.721062905,,,,13.46857,percent of total billed charges,4.021377714,,,,13.33634,percent of total billed charges,13.23515356,,,,13.33634,percent of total billed charges,9.12818051,,,,,,,,,,13.6008,percent of total billed charges,8.840199944,,,,,,,,,,13.6008,percent of total billed charges,999999999,,,,,,,,,,15.112,percent of total billed charges,12.66307045,,,,14.9231,percent of total billed charges,14.40143371,,,,14.9231,percent of total billed charges,12.7241434,,,,15.112,percent of total billed charges,999999999,,,,15.112,percent of total billed charges,999999999,,,,13.223,percent of total billed charges,999999999,,,,13.223,percent of total billed charges,999999999,,,,,,,,,,,,,,,,10.04948,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.53945,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4.7225,percent of total billed charges,4.485219834,,,,,,,,,,4.7225,percent of total billed charges,4.410611254,,,,,,,,,,4.7225,percent of total billed charges,4.398354354,,,,,,,,,,4.7225,percent of total billed charges,4.33358864,,,,,,,,,,4.7225,percent of total billed charges,4.445098247,,,,,,,,,,4.7225,percent of total billed charges,999999999,,,,,,,,,,4.7225,percent of total billed charges,3.81420732,,,,,,,,,,4.7225,percent of total billed charges,6.015267969,,,,,,,,,,4.7225,percent of total billed charges,999999999,,,,,,,,,,4.7225,percent of total billed charges,4.112648322,,,,,,,,,,17.001,percent of total billed charges,,,,,
BENAZepril (LOTENSIN) 10MG TAB,250,RC,6516-2075-10,NDC,,both,1,EA,2.19,2.19,0.466215839,2.19,2.19,percent of total billed charges,1.611260801,,,,2.19,percent of total billed charges,1.707904591,,,,2.19,percent of total billed charges,1.611260801,,,,2.19,percent of total billed charges,1.707904591,,,,2.19,percent of total billed charges,999999999,,,,2.19,percent of total billed charges,1.668629482,,,,2.19,percent of total billed charges,1.611260801,,,,2.19,percent of total billed charges,1.707904591,,,,1.56147,percent of total billed charges,0.779202105,,,,1.56147,percent of total billed charges,0.466215839,,,,1.56147,percent of total billed charges,0.779202105,,,,1.56147,percent of total billed charges,0.466215839,,,,1.56147,percent of total billed charges,0.779202105,,,,1.56147,percent of total billed charges,0.466215839,,,,1.54614,percent of total billed charges,1.534409015,,,,1.54614,percent of total billed charges,1.058269736,,,,,,,,,,1.5768,percent of total billed charges,1.024882895,,,,,,,,,,1.5768,percent of total billed charges,999999999,,,,,,,,,,1.752,percent of total billed charges,1.468084928,,,,1.7301,percent of total billed charges,1.669620955,,,,1.7301,percent of total billed charges,1.47516538,,,,1.752,percent of total billed charges,999999999,,,,1.752,percent of total billed charges,999999999,,,,1.533,percent of total billed charges,999999999,,,,1.533,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.16508,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.10595,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.5475,percent of total billed charges,0.519991077,,,,,,,,,,0.5475,percent of total billed charges,0.511341379,,,,,,,,,,0.5475,percent of total billed charges,0.509920383,,,,,,,,,,0.5475,percent of total billed charges,0.502411812,,,,,,,,,,0.5475,percent of total billed charges,0.515339606,,,,,,,,,,0.5475,percent of total billed charges,999999999,,,,,,,,,,0.5475,percent of total billed charges,0.442197672,,,,,,,,,,0.5475,percent of total billed charges,0.697376223,,,,,,,,,,0.5475,percent of total billed charges,999999999,,,,,,,,,,0.5475,percent of total billed charges,0.476797238,,,,,,,,,,1.971,percent of total billed charges,,,,,
CALCIUM + VITAMIN D 500/200 (OSCAL-D),250,RC,0076-1012-20,NDC,,both,1,EA,0.5,0.5,0.106441972,0.5,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,999999999,,,,0.5,percent of total billed charges,0.380965635,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.353,percent of total billed charges,0.350321693,,,,0.353,percent of total billed charges,0.241614095,,,,,,,,,,0.36,percent of total billed charges,0.233991528,,,,,,,,,,0.36,percent of total billed charges,999999999,,,,,,,,,,0.4,percent of total billed charges,0.335179207,,,,0.395,percent of total billed charges,0.381191999,,,,0.395,percent of total billed charges,0.336795749,,,,0.4,percent of total billed charges,999999999,,,,0.4,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.266,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.2525,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.125,percent of total billed charges,0.118719424,,,,,,,,,,0.125,percent of total billed charges,0.116744607,,,,,,,,,,0.125,percent of total billed charges,0.116420179,,,,,,,,,,0.125,percent of total billed charges,0.114705893,,,,,,,,,,0.125,percent of total billed charges,0.117657444,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.100958373,,,,,,,,,,0.125,percent of total billed charges,0.159218316,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.108857817,,,,,,,,,,0.45,percent of total billed charges,,,,,
ENTACAPONE (COMTAN) 200 MG TAB,259,RC,0007-8032-05,NDC,,both,1,EA,3.98,3.98,0.8472781,3.98,3.98,percent of total billed charges,2.928227392,,,,3.98,percent of total billed charges,3.103863138,,,,3.98,percent of total billed charges,2.928227392,,,,3.98,percent of total billed charges,3.103863138,,,,3.98,percent of total billed charges,999999999,,,,3.98,percent of total billed charges,3.032486456,,,,3.98,percent of total billed charges,2.928227392,,,,3.98,percent of total billed charges,3.103863138,,,,2.83774,percent of total billed charges,1.416084191,,,,2.83774,percent of total billed charges,0.8472781,,,,2.83774,percent of total billed charges,1.416084191,,,,2.83774,percent of total billed charges,0.8472781,,,,2.83774,percent of total billed charges,1.416084191,,,,2.83774,percent of total billed charges,0.8472781,,,,2.80988,percent of total billed charges,2.788560677,,,,2.80988,percent of total billed charges,1.923248196,,,,,,,,,,2.8656,percent of total billed charges,1.862572566,,,,,,,,,,2.8656,percent of total billed charges,999999999,,,,,,,,,,3.184,percent of total billed charges,2.66802649,,,,3.1442,percent of total billed charges,3.03428831,,,,3.1442,percent of total billed charges,2.680894162,,,,3.184,percent of total billed charges,999999999,,,,3.184,percent of total billed charges,999999999,,,,2.786,percent of total billed charges,999999999,,,,2.786,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2.11736,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2.0099,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.995,percent of total billed charges,0.945006614,,,,,,,,,,0.995,percent of total billed charges,0.929287072,,,,,,,,,,0.995,percent of total billed charges,0.926704623,,,,,,,,,,0.995,percent of total billed charges,0.913058909,,,,,,,,,,0.995,percent of total billed charges,0.936553257,,,,,,,,,,0.995,percent of total billed charges,999999999,,,,,,,,,,0.995,percent of total billed charges,0.803628646,,,,,,,,,,0.995,percent of total billed charges,1.267377793,,,,,,,,,,0.995,percent of total billed charges,999999999,,,,,,,,,,0.995,percent of total billed charges,0.866508222,,,,,,,,,,3.582,percent of total billed charges,,,,,
CARBIDOPA/LEVADOPA 25/100MG C/R TAB,637,RC,0037-8008-01,NDC,,both,1,EA,0.99,0.99,0.210755105,0.99,0.99,percent of total billed charges,0.72837817,,,,0.99,percent of total billed charges,0.772066459,,,,0.99,percent of total billed charges,0.72837817,,,,0.99,percent of total billed charges,0.772066459,,,,0.99,percent of total billed charges,999999999,,,,0.99,percent of total billed charges,0.754311958,,,,0.99,percent of total billed charges,0.72837817,,,,0.99,percent of total billed charges,0.772066459,,,,0.70587,percent of total billed charges,0.352242047,,,,0.70587,percent of total billed charges,0.210755105,,,,0.70587,percent of total billed charges,0.352242047,,,,0.70587,percent of total billed charges,0.210755105,,,,0.70587,percent of total billed charges,0.352242047,,,,0.70587,percent of total billed charges,0.210755105,,,,0.69894,percent of total billed charges,0.693636952,,,,0.69894,percent of total billed charges,0.478395908,,,,,,,,,,0.7128,percent of total billed charges,0.463303226,,,,,,,,,,0.7128,percent of total billed charges,999999999,,,,,,,,,,0.792,percent of total billed charges,0.66365483,,,,0.7821,percent of total billed charges,0.754760158,,,,0.7821,percent of total billed charges,0.666855583,,,,0.792,percent of total billed charges,999999999,,,,0.792,percent of total billed charges,999999999,,,,0.693,percent of total billed charges,999999999,,,,0.693,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.52668,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.49995,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.2475,percent of total billed charges,0.235064459,,,,,,,,,,0.2475,percent of total billed charges,0.231154322,,,,,,,,,,0.2475,percent of total billed charges,0.230511954,,,,,,,,,,0.2475,percent of total billed charges,0.227117668,,,,,,,,,,0.2475,percent of total billed charges,0.23296174,,,,,,,,,,0.2475,percent of total billed charges,999999999,,,,,,,,,,0.2475,percent of total billed charges,0.199897578,,,,,,,,,,0.2475,percent of total billed charges,0.315252265,,,,,,,,,,0.2475,percent of total billed charges,999999999,,,,,,,,,,0.2475,percent of total billed charges,0.215538477,,,,,,,,,,0.891,percent of total billed charges,,,,,
cefTRIAXone (ROCEPHIN) 2 GM ADV,J0696,CDM,0040-9733-04,NDC,,both,1,EA,89.04,89.04,18.95518643,89.04,89.04,percent of total billed charges,65.50989121,,,,89.04,percent of total billed charges,69.43918939,,,,89.04,percent of total billed charges,65.50989121,,,,89.04,percent of total billed charges,69.43918939,,,,89.04,percent of total billed charges,999999999,,,,89.04,percent of total billed charges,67.84236032,,,,89.04,percent of total billed charges,65.50989121,,,,89.04,percent of total billed charges,69.43918939,,,,63.48552,percent of total billed charges,31.68043627,,,,63.48552,percent of total billed charges,18.95518643,,,,63.48552,percent of total billed charges,31.68043627,,,,63.48552,percent of total billed charges,18.95518643,,,,63.48552,percent of total billed charges,31.68043627,,,,63.48552,percent of total billed charges,18.95518643,,,,62.86224,percent of total billed charges,62.3852871,,,,62.86224,percent of total billed charges,43.02663804,,,,,,,,,,64.1088,percent of total billed charges,41.66921138,,,,,,,,,,64.1088,percent of total billed charges,999999999,,,,,,,,,,71.232,percent of total billed charges,59.68871324,,,,70.3416,percent of total billed charges,67.88267114,,,,70.3416,percent of total billed charges,59.97658698,,,,71.232,percent of total billed charges,999999999,,,,71.232,percent of total billed charges,999999999,,,,62.328,percent of total billed charges,999999999,,,,62.328,percent of total billed charges,999999999,,,,,,,,,,,,,,,,47.36928,percent of total billed charges,999999999,,,,,,,,,,,,,,,,44.9652,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,22.26,percent of total billed charges,21.141555,,,,,,,,,,22.26,percent of total billed charges,20.78987962,,,,,,,,,,22.26,percent of total billed charges,20.73210544,,,,,,,,,,22.26,percent of total billed charges,20.42682544,,,,,,,,,,22.26,percent of total billed charges,20.95243769,,,,,,,,,,22.26,percent of total billed charges,999999999,,,,,,,,,,22.26,percent of total billed charges,17.97866701,,,,,,,,,,22.26,percent of total billed charges,28.35359767,,,,,,,,,,22.26,percent of total billed charges,999999999,,,,,,,,,,22.26,percent of total billed charges,19.38540003,,,,,,,,,,80.136,percent of total billed charges,,,,,
**BIAXIN XL 500MG: TAB,259,RC,0007-4316-60,NDC,,both,1,EA,12,12,2.554607335,12,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,12,percent of total billed charges,999999999,,,,12,percent of total billed charges,9.143175245,,,,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.472,percent of total billed charges,8.407720633,,,,8.472,percent of total billed charges,5.79873828,,,,,,,,,,8.64,percent of total billed charges,5.615796683,,,,,,,,,,8.64,percent of total billed charges,999999999,,,,,,,,,,9.6,percent of total billed charges,8.044300975,,,,9.48,percent of total billed charges,9.148607971,,,,9.48,percent of total billed charges,8.083097975,,,,9.6,percent of total billed charges,999999999,,,,9.6,percent of total billed charges,999999999,,,,8.4,percent of total billed charges,999999999,,,,8.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.384,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.06,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3,percent of total billed charges,2.849266173,,,,,,,,,,3,percent of total billed charges,2.801870569,,,,,,,,,,3,percent of total billed charges,2.794084291,,,,,,,,,,3,percent of total billed charges,2.752941434,,,,,,,,,,3,percent of total billed charges,2.823778664,,,,,,,,,,3,percent of total billed charges,999999999,,,,,,,,,,3,percent of total billed charges,2.423000944,,,,,,,,,,3,percent of total billed charges,3.821239578,,,,,,,,,,3,percent of total billed charges,999999999,,,,,,,,,,3,percent of total billed charges,2.612587605,,,,,,,,,,10.8,percent of total billed charges,,,,,
CLOMIPRAMINE (ANAFRANIL) 25MG CAP,259,RC,5167-2401-06,NDC,,both,1,EA,22.68,22.68,4.828207864,22.68,22.68,percent of total billed charges,16.68648172,,,,22.68,percent of total billed charges,17.68734069,,,,22.68,percent of total billed charges,16.68648172,,,,22.68,percent of total billed charges,17.68734069,,,,22.68,percent of total billed charges,999999999,,,,22.68,percent of total billed charges,17.28060121,,,,22.68,percent of total billed charges,16.68648172,,,,22.68,percent of total billed charges,17.68734069,,,,16.17084,percent of total billed charges,8.069545087,,,,16.17084,percent of total billed charges,4.828207864,,,,16.17084,percent of total billed charges,8.069545087,,,,16.17084,percent of total billed charges,4.828207864,,,,16.17084,percent of total billed charges,8.069545087,,,,16.17084,percent of total billed charges,4.828207864,,,,16.01208,percent of total billed charges,15.890592,,,,16.01208,percent of total billed charges,10.95961535,,,,,,,,,,16.3296,percent of total billed charges,10.61385573,,,,,,,,,,16.3296,percent of total billed charges,999999999,,,,,,,,,,18.144,percent of total billed charges,15.20372884,,,,17.9172,percent of total billed charges,17.29086907,,,,17.9172,percent of total billed charges,15.27705517,,,,18.144,percent of total billed charges,999999999,,,,18.144,percent of total billed charges,999999999,,,,15.876,percent of total billed charges,999999999,,,,15.876,percent of total billed charges,999999999,,,,,,,,,,,,,,,,12.06576,percent of total billed charges,999999999,,,,,,,,,,,,,,,,11.4534,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5.67,percent of total billed charges,5.385113067,,,,,,,,,,5.67,percent of total billed charges,5.295535376,,,,,,,,,,5.67,percent of total billed charges,5.28081931,,,,,,,,,,5.67,percent of total billed charges,5.203059309,,,,,,,,,,5.67,percent of total billed charges,5.336941675,,,,,,,,,,5.67,percent of total billed charges,999999999,,,,,,,,,,5.67,percent of total billed charges,4.579471784,,,,,,,,,,5.67,percent of total billed charges,7.222142803,,,,,,,,,,5.67,percent of total billed charges,999999999,,,,,,,,,,5.67,percent of total billed charges,4.937790574,,,,,,,,,,20.412,percent of total billed charges,,,,,
PRAMIPEXOLE (MIRAPEX) 0.25MG TAB,637,RC,0059-7018-90,NDC,,both,1,EA,0.5,0.5,0.106441972,0.5,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,999999999,,,,0.5,percent of total billed charges,0.380965635,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.353,percent of total billed charges,0.350321693,,,,0.353,percent of total billed charges,0.241614095,,,,,,,,,,0.36,percent of total billed charges,0.233991528,,,,,,,,,,0.36,percent of total billed charges,999999999,,,,,,,,,,0.4,percent of total billed charges,0.335179207,,,,0.395,percent of total billed charges,0.381191999,,,,0.395,percent of total billed charges,0.336795749,,,,0.4,percent of total billed charges,999999999,,,,0.4,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.266,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.2525,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.125,percent of total billed charges,0.118719424,,,,,,,,,,0.125,percent of total billed charges,0.116744607,,,,,,,,,,0.125,percent of total billed charges,0.116420179,,,,,,,,,,0.125,percent of total billed charges,0.114705893,,,,,,,,,,0.125,percent of total billed charges,0.117657444,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.100958373,,,,,,,,,,0.125,percent of total billed charges,0.159218316,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.108857817,,,,,,,,,,0.45,percent of total billed charges,,,,,
**ERYTHROMYCIN EC(E-MYCIN EC) 333 MG: T,250,RC,9999-9999-99,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
**ACTONEL (RISEDRONATE) 5 MG: TAB,259,RC,0014-9047-01,NDC,,both,1,EA,11,11,2.341723391,11,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,11,percent of total billed charges,999999999,,,,11,percent of total billed charges,8.381243975,,,,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.766,percent of total billed charges,7.707077247,,,,7.766,percent of total billed charges,5.31551009,,,,,,,,,,7.92,percent of total billed charges,5.147813626,,,,,,,,,,7.92,percent of total billed charges,999999999,,,,,,,,,,8.8,percent of total billed charges,7.373942561,,,,8.69,percent of total billed charges,8.386223973,,,,8.69,percent of total billed charges,7.409506477,,,,8.8,percent of total billed charges,999999999,,,,8.8,percent of total billed charges,999999999,,,,7.7,percent of total billed charges,999999999,,,,7.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.852,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.555,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.75,percent of total billed charges,2.611827325,,,,,,,,,,2.75,percent of total billed charges,2.568381355,,,,,,,,,,2.75,percent of total billed charges,2.561243933,,,,,,,,,,2.75,percent of total billed charges,2.523529647,,,,,,,,,,2.75,percent of total billed charges,2.588463775,,,,,,,,,,2.75,percent of total billed charges,999999999,,,,,,,,,,2.75,percent of total billed charges,2.221084199,,,,,,,,,,2.75,percent of total billed charges,3.502802947,,,,,,,,,,2.75,percent of total billed charges,999999999,,,,,,,,,,2.75,percent of total billed charges,2.394871971,,,,,,,,,,9.9,percent of total billed charges,,,,,
FILGRASTIM (NEUPOGEN) VIAL 300MCG,J1442,CDM,5551-3053-10,NDC,,both,1,EA,1052.49,1052.49,224.0582229,1052.49,1052.49,percent of total billed charges,774.3542835,,,,1052.49,percent of total billed charges,820.8002296,,,,1052.49,percent of total billed charges,774.3542835,,,,1052.49,percent of total billed charges,820.8002296,,,,1052.49,percent of total billed charges,999999999,,,,1052.49,percent of total billed charges,801.9250428,,,,1052.49,percent of total billed charges,774.3542835,,,,1052.49,percent of total billed charges,820.8002296,,,,750.42537,percent of total billed charges,374.4759924,,,,750.42537,percent of total billed charges,224.0582229,,,,750.42537,percent of total billed charges,374.4759924,,,,750.42537,percent of total billed charges,224.0582229,,,,750.42537,percent of total billed charges,374.4759924,,,,750.42537,percent of total billed charges,224.0582229,,,,743.05794,percent of total billed charges,737.4201574,,,,743.05794,percent of total billed charges,508.5928377,,,,,,,,,,757.7928,percent of total billed charges,492.5474875,,,,,,,,,,757.7928,percent of total billed charges,999999999,,,,,,,,,,841.992,percent of total billed charges,705.5455278,,,,831.4671,percent of total billed charges,802.4015336,,,,831.4671,percent of total billed charges,708.9483157,,,,841.992,percent of total billed charges,999999999,,,,841.992,percent of total billed charges,999999999,,,,736.743,percent of total billed charges,999999999,,,,736.743,percent of total billed charges,999999999,,,,,,,,,,,,,,,,559.92468,percent of total billed charges,999999999,,,,,,,,,,,,,,,,531.50745,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,263.1225,percent of total billed charges,249.9020129,,,,,,,,,,263.1225,percent of total billed charges,245.7450629,,,,,,,,,,263.1225,percent of total billed charges,245.0621479,,,,,,,,,,263.1225,percent of total billed charges,241.4536108,,,,,,,,,,263.1225,percent of total billed charges,247.6665672,,,,,,,,,,263.1225,percent of total billed charges,999999999,,,,,,,,,,263.1225,percent of total billed charges,212.5153553,,,,,,,,,,263.1225,percent of total billed charges,335.1513703,,,,,,,,,,263.1225,percent of total billed charges,999999999,,,,,,,,,,263.1225,percent of total billed charges,229.1435274,,,,,,,,,,947.241,percent of total billed charges,,,,,
**ALENDRONATE (FOSAMAX) 70MG TAB,637,RC,0000-6003-44,NDC,,both,1,EA,4,4,0.851535778,4,4,percent of total billed charges,2.942942103,,,,4,percent of total billed charges,3.11946044,,,,4,percent of total billed charges,2.942942103,,,,4,percent of total billed charges,3.11946044,,,,4,percent of total billed charges,999999999,,,,4,percent of total billed charges,3.047725082,,,,4,percent of total billed charges,2.942942103,,,,4,percent of total billed charges,3.11946044,,,,2.852,percent of total billed charges,1.423200192,,,,2.852,percent of total billed charges,0.851535778,,,,2.852,percent of total billed charges,1.423200192,,,,2.852,percent of total billed charges,0.851535778,,,,2.852,percent of total billed charges,1.423200192,,,,2.852,percent of total billed charges,0.851535778,,,,2.824,percent of total billed charges,2.802573544,,,,2.824,percent of total billed charges,1.93291276,,,,,,,,,,2.88,percent of total billed charges,1.871932228,,,,,,,,,,2.88,percent of total billed charges,999999999,,,,,,,,,,3.2,percent of total billed charges,2.681433658,,,,3.16,percent of total billed charges,3.04953599,,,,3.16,percent of total billed charges,2.694365992,,,,3.2,percent of total billed charges,999999999,,,,3.2,percent of total billed charges,999999999,,,,2.8,percent of total billed charges,999999999,,,,2.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2.128,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2.02,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1,percent of total billed charges,0.949755391,,,,,,,,,,1,percent of total billed charges,0.933956856,,,,,,,,,,1,percent of total billed charges,0.93136143,,,,,,,,,,1,percent of total billed charges,0.917647145,,,,,,,,,,1,percent of total billed charges,0.941259555,,,,,,,,,,1,percent of total billed charges,999999999,,,,,,,,,,1,percent of total billed charges,0.807666981,,,,,,,,,,1,percent of total billed charges,1.273746526,,,,,,,,,,1,percent of total billed charges,999999999,,,,,,,,,,1,percent of total billed charges,0.870862535,,,,,,,,,,3.6,percent of total billed charges,,,,,
ATORVASTATIN (LIPITOR) 40MG TAB,250,RC,0007-1015-23,NDC,,both,1,EA,1.2,1.2,0.255460734,1.2,1.2,percent of total billed charges,0.882882631,,,,1.2,percent of total billed charges,0.935838132,,,,1.2,percent of total billed charges,0.882882631,,,,1.2,percent of total billed charges,0.935838132,,,,1.2,percent of total billed charges,999999999,,,,1.2,percent of total billed charges,0.914317525,,,,1.2,percent of total billed charges,0.882882631,,,,1.2,percent of total billed charges,0.935838132,,,,0.8556,percent of total billed charges,0.426960058,,,,0.8556,percent of total billed charges,0.255460734,,,,0.8556,percent of total billed charges,0.426960058,,,,0.8556,percent of total billed charges,0.255460734,,,,0.8556,percent of total billed charges,0.426960058,,,,0.8556,percent of total billed charges,0.255460734,,,,0.8472,percent of total billed charges,0.840772063,,,,0.8472,percent of total billed charges,0.579873828,,,,,,,,,,0.864,percent of total billed charges,0.561579668,,,,,,,,,,0.864,percent of total billed charges,999999999,,,,,,,,,,0.96,percent of total billed charges,0.804430098,,,,0.948,percent of total billed charges,0.914860797,,,,0.948,percent of total billed charges,0.808309798,,,,0.96,percent of total billed charges,999999999,,,,0.96,percent of total billed charges,999999999,,,,0.84,percent of total billed charges,999999999,,,,0.84,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.6384,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.606,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.3,percent of total billed charges,0.284926617,,,,,,,,,,0.3,percent of total billed charges,0.280187057,,,,,,,,,,0.3,percent of total billed charges,0.279408429,,,,,,,,,,0.3,percent of total billed charges,0.275294143,,,,,,,,,,0.3,percent of total billed charges,0.282377866,,,,,,,,,,0.3,percent of total billed charges,999999999,,,,,,,,,,0.3,percent of total billed charges,0.242300094,,,,,,,,,,0.3,percent of total billed charges,0.382123958,,,,,,,,,,0.3,percent of total billed charges,999999999,,,,,,,,,,0.3,percent of total billed charges,0.261258761,,,,,,,,,,1.08,percent of total billed charges,,,,,
**FLUTICASONE (FLOVENT) 220MCG INHALER,250,RC,0017-3049-00,NDC,,both,1,EA,249,249,53.00810221,249,249,percent of total billed charges,183.1981459,,,,249,percent of total billed charges,194.1864124,,,,249,percent of total billed charges,183.1981459,,,,249,percent of total billed charges,194.1864124,,,,249,percent of total billed charges,999999999,,,,249,percent of total billed charges,189.7208863,,,,249,percent of total billed charges,183.1981459,,,,249,percent of total billed charges,194.1864124,,,,177.537,percent of total billed charges,88.59421193,,,,177.537,percent of total billed charges,53.00810221,,,,177.537,percent of total billed charges,88.59421193,,,,177.537,percent of total billed charges,53.00810221,,,,177.537,percent of total billed charges,88.59421193,,,,177.537,percent of total billed charges,53.00810221,,,,175.794,percent of total billed charges,174.4602031,,,,175.794,percent of total billed charges,120.3238193,,,,,,,,,,179.28,percent of total billed charges,116.5277812,,,,,,,,,,179.28,percent of total billed charges,999999999,,,,,,,,,,199.2,percent of total billed charges,166.9192452,,,,196.71,percent of total billed charges,189.8336154,,,,196.71,percent of total billed charges,167.724283,,,,199.2,percent of total billed charges,999999999,,,,199.2,percent of total billed charges,999999999,,,,174.3,percent of total billed charges,999999999,,,,174.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,132.468,percent of total billed charges,999999999,,,,,,,,,,,,,,,,125.745,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,62.25,percent of total billed charges,59.12227309,,,,,,,,,,62.25,percent of total billed charges,58.13881431,,,,,,,,,,62.25,percent of total billed charges,57.97724903,,,,,,,,,,62.25,percent of total billed charges,57.12353475,,,,,,,,,,62.25,percent of total billed charges,58.59340727,,,,,,,,,,62.25,percent of total billed charges,999999999,,,,,,,,,,62.25,percent of total billed charges,50.27726959,,,,,,,,,,62.25,percent of total billed charges,79.29072125,,,,,,,,,,62.25,percent of total billed charges,999999999,,,,,,,,,,62.25,percent of total billed charges,54.21119281,,,,,,,,,,224.1,percent of total billed charges,,,,,
LIP BALM (NATURAL ICE LIP BALM):,259,RC,1074-2000-41,NDC,,both,1,EA,11.84,11.84,2.520545904,11.84,11.84,percent of total billed charges,8.711108625,,,,11.84,percent of total billed charges,9.233602902,,,,11.84,percent of total billed charges,8.711108625,,,,11.84,percent of total billed charges,9.233602902,,,,11.84,percent of total billed charges,999999999,,,,11.84,percent of total billed charges,9.021266242,,,,11.84,percent of total billed charges,8.711108625,,,,11.84,percent of total billed charges,9.233602902,,,,8.44192,percent of total billed charges,4.212672567,,,,8.44192,percent of total billed charges,2.520545904,,,,8.44192,percent of total billed charges,4.212672567,,,,8.44192,percent of total billed charges,2.520545904,,,,8.44192,percent of total billed charges,4.212672567,,,,8.44192,percent of total billed charges,2.520545904,,,,8.35904,percent of total billed charges,8.295617691,,,,8.35904,percent of total billed charges,5.72142177,,,,,,,,,,8.5248,percent of total billed charges,5.540919393,,,,,,,,,,8.5248,percent of total billed charges,999999999,,,,,,,,,,9.472,percent of total billed charges,7.937043629,,,,9.3536,percent of total billed charges,9.026626531,,,,9.3536,percent of total billed charges,7.975323336,,,,9.472,percent of total billed charges,999999999,,,,9.472,percent of total billed charges,999999999,,,,8.288,percent of total billed charges,999999999,,,,8.288,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.29888,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.9792,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.96,percent of total billed charges,2.811275958,,,,,,,,,,2.96,percent of total billed charges,2.764512295,,,,,,,,,,2.96,percent of total billed charges,2.756829834,,,,,,,,,,2.96,percent of total billed charges,2.716235548,,,,,,,,,,2.96,percent of total billed charges,2.786128282,,,,,,,,,,2.96,percent of total billed charges,999999999,,,,,,,,,,2.96,percent of total billed charges,2.390694265,,,,,,,,,,2.96,percent of total billed charges,3.770289717,,,,,,,,,,2.96,percent of total billed charges,999999999,,,,,,,,,,2.96,percent of total billed charges,2.577753104,,,,,,,,,,10.656,percent of total billed charges,,,,,
**LEVOTHYROXINE (SYNTHROID) 0.075MG TAB,250,RC,0068-9111-05,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
LIDOCAINE: 2000 MG IN DEXTROSE 5% 250ML,J2002,CDM,0033-8041-02,NDC,,both,1,EA,42.32,42.32,9.009248536,42.32,42.32,percent of total billed charges,31.13632745,,,,42.32,percent of total billed charges,33.00389146,,,,42.32,percent of total billed charges,31.13632745,,,,42.32,percent of total billed charges,33.00389146,,,,42.32,percent of total billed charges,999999999,,,,42.32,percent of total billed charges,32.24493136,,,,42.32,percent of total billed charges,31.13632745,,,,42.32,percent of total billed charges,33.00389146,,,,30.17416,percent of total billed charges,15.05745803,,,,30.17416,percent of total billed charges,9.009248536,,,,30.17416,percent of total billed charges,15.05745803,,,,30.17416,percent of total billed charges,9.009248536,,,,30.17416,percent of total billed charges,15.05745803,,,,30.17416,percent of total billed charges,9.009248536,,,,29.87792,percent of total billed charges,29.6512281,,,,29.87792,percent of total billed charges,20.450217,,,,,,,,,,30.4704,percent of total billed charges,19.80504297,,,,,,,,,,30.4704,percent of total billed charges,999999999,,,,,,,,,,33.856,percent of total billed charges,28.36956811,,,,33.4328,percent of total billed charges,32.26409078,,,,33.4328,percent of total billed charges,28.50639219,,,,33.856,percent of total billed charges,999999999,,,,33.856,percent of total billed charges,999999999,,,,29.624,percent of total billed charges,999999999,,,,29.624,percent of total billed charges,999999999,,,,,,,,,,,,,,,,22.51424,percent of total billed charges,999999999,,,,,,,,,,,,,,,,21.3716,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10.58,percent of total billed charges,10.04841204,,,,,,,,,,10.58,percent of total billed charges,9.88126354,,,,,,,,,,10.58,percent of total billed charges,9.853803932,,,,,,,,,,10.58,percent of total billed charges,9.708706789,,,,,,,,,,10.58,percent of total billed charges,9.958526088,,,,,,,,,,10.58,percent of total billed charges,999999999,,,,,,,,,,10.58,percent of total billed charges,8.545116663,,,,,,,,,,10.58,percent of total billed charges,13.47623825,,,,,,,,,,10.58,percent of total billed charges,999999999,,,,,,,,,,10.58,percent of total billed charges,9.213725621,,,,,,,,,,38.088,percent of total billed charges,,,,,
TOLTERODINE LA (DETROL LA) 4MG CAP.,259,RC,4397-5032-03,NDC,,both,1,EA,22.77,22.77,4.847367419,22.77,22.77,percent of total billed charges,16.75269792,,,,22.77,percent of total billed charges,17.75752855,,,,22.77,percent of total billed charges,16.75269792,,,,22.77,percent of total billed charges,17.75752855,,,,22.77,percent of total billed charges,999999999,,,,22.77,percent of total billed charges,17.34917503,,,,22.77,percent of total billed charges,16.75269792,,,,22.77,percent of total billed charges,17.75752855,,,,16.23501,percent of total billed charges,8.101567091,,,,16.23501,percent of total billed charges,4.847367419,,,,16.23501,percent of total billed charges,8.101567091,,,,16.23501,percent of total billed charges,4.847367419,,,,16.23501,percent of total billed charges,8.101567091,,,,16.23501,percent of total billed charges,4.847367419,,,,16.07562,percent of total billed charges,15.9536499,,,,16.07562,percent of total billed charges,11.00310589,,,,,,,,,,16.3944,percent of total billed charges,10.65597421,,,,,,,,,,16.3944,percent of total billed charges,999999999,,,,,,,,,,18.216,percent of total billed charges,15.2640611,,,,17.9883,percent of total billed charges,17.35948362,,,,17.9883,percent of total billed charges,15.33767841,,,,18.216,percent of total billed charges,999999999,,,,18.216,percent of total billed charges,999999999,,,,15.939,percent of total billed charges,999999999,,,,15.939,percent of total billed charges,999999999,,,,,,,,,,,,,,,,12.11364,percent of total billed charges,999999999,,,,,,,,,,,,,,,,11.49885,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5.6925,percent of total billed charges,5.406482564,,,,,,,,,,5.6925,percent of total billed charges,5.316549405,,,,,,,,,,5.6925,percent of total billed charges,5.301774942,,,,,,,,,,5.6925,percent of total billed charges,5.22370637,,,,,,,,,,5.6925,percent of total billed charges,5.358120014,,,,,,,,,,5.6925,percent of total billed charges,999999999,,,,,,,,,,5.6925,percent of total billed charges,4.597644291,,,,,,,,,,5.6925,percent of total billed charges,7.2508021,,,,,,,,,,5.6925,percent of total billed charges,999999999,,,,,,,,,,5.6925,percent of total billed charges,4.957384981,,,,,,,,,,20.493,percent of total billed charges,,,,,
LITHIUM CARBONATE (ESKALITH) 300MG CAP,637,RC,0005-4852-25,NDC,,both,1,EA,0.5,0.5,0.106441972,0.5,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,999999999,,,,0.5,percent of total billed charges,0.380965635,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.353,percent of total billed charges,0.350321693,,,,0.353,percent of total billed charges,0.241614095,,,,,,,,,,0.36,percent of total billed charges,0.233991528,,,,,,,,,,0.36,percent of total billed charges,999999999,,,,,,,,,,0.4,percent of total billed charges,0.335179207,,,,0.395,percent of total billed charges,0.381191999,,,,0.395,percent of total billed charges,0.336795749,,,,0.4,percent of total billed charges,999999999,,,,0.4,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.266,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.2525,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.125,percent of total billed charges,0.118719424,,,,,,,,,,0.125,percent of total billed charges,0.116744607,,,,,,,,,,0.125,percent of total billed charges,0.116420179,,,,,,,,,,0.125,percent of total billed charges,0.114705893,,,,,,,,,,0.125,percent of total billed charges,0.117657444,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.100958373,,,,,,,,,,0.125,percent of total billed charges,0.159218316,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.108857817,,,,,,,,,,0.45,percent of total billed charges,,,,,
metFORMIN XR (GLUCOPHAGE XR) 500MG TAB,250,RC,0008-7606-13,NDC,,both,1,EA,1.79,1.79,0.381062261,1.79,1.79,percent of total billed charges,1.316966591,,,,1.79,percent of total billed charges,1.395958547,,,,1.79,percent of total billed charges,1.316966591,,,,1.79,percent of total billed charges,1.395958547,,,,1.79,percent of total billed charges,999999999,,,,1.79,percent of total billed charges,1.363856974,,,,1.79,percent of total billed charges,1.316966591,,,,1.79,percent of total billed charges,1.395958547,,,,1.27627,percent of total billed charges,0.636882086,,,,1.27627,percent of total billed charges,0.381062261,,,,1.27627,percent of total billed charges,0.636882086,,,,1.27627,percent of total billed charges,0.381062261,,,,1.27627,percent of total billed charges,0.636882086,,,,1.27627,percent of total billed charges,0.381062261,,,,1.26374,percent of total billed charges,1.254151661,,,,1.26374,percent of total billed charges,0.86497846,,,,,,,,,,1.2888,percent of total billed charges,0.837689672,,,,,,,,,,1.2888,percent of total billed charges,999999999,,,,,,,,,,1.432,percent of total billed charges,1.199941562,,,,1.4141,percent of total billed charges,1.364667356,,,,1.4141,percent of total billed charges,1.205728781,,,,1.432,percent of total billed charges,999999999,,,,1.432,percent of total billed charges,999999999,,,,1.253,percent of total billed charges,999999999,,,,1.253,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.95228,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.90395,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.4475,percent of total billed charges,0.425015537,,,,,,,,,,0.4475,percent of total billed charges,0.417945693,,,,,,,,,,0.4475,percent of total billed charges,0.41678424,,,,,,,,,,0.4475,percent of total billed charges,0.410647097,,,,,,,,,,0.4475,percent of total billed charges,0.421213651,,,,,,,,,,0.4475,percent of total billed charges,999999999,,,,,,,,,,0.4475,percent of total billed charges,0.361430974,,,,,,,,,,0.4475,percent of total billed charges,0.57000157,,,,,,,,,,0.4475,percent of total billed charges,999999999,,,,,,,,,,0.4475,percent of total billed charges,0.389710984,,,,,,,,,,1.611,percent of total billed charges,,,,,
metroNIDAZOLE (FLAGYL) 500MG TAB,637,RC,6800-1036-00,NDC,,both,1,EA,2.64,2.64,0.562013614,2.64,2.64,percent of total billed charges,1.942341788,,,,2.64,percent of total billed charges,2.05884389,,,,2.64,percent of total billed charges,1.942341788,,,,2.64,percent of total billed charges,2.05884389,,,,2.64,percent of total billed charges,999999999,,,,2.64,percent of total billed charges,2.011498554,,,,2.64,percent of total billed charges,1.942341788,,,,2.64,percent of total billed charges,2.05884389,,,,1.88232,percent of total billed charges,0.939312127,,,,1.88232,percent of total billed charges,0.562013614,,,,1.88232,percent of total billed charges,0.939312127,,,,1.88232,percent of total billed charges,0.562013614,,,,1.88232,percent of total billed charges,0.939312127,,,,1.88232,percent of total billed charges,0.562013614,,,,1.86384,percent of total billed charges,1.849698539,,,,1.86384,percent of total billed charges,1.275722422,,,,,,,,,,1.9008,percent of total billed charges,1.23547527,,,,,,,,,,1.9008,percent of total billed charges,999999999,,,,,,,,,,2.112,percent of total billed charges,1.769746215,,,,2.0856,percent of total billed charges,2.012693754,,,,2.0856,percent of total billed charges,1.778281555,,,,2.112,percent of total billed charges,999999999,,,,2.112,percent of total billed charges,999999999,,,,1.848,percent of total billed charges,999999999,,,,1.848,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.40448,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.3332,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.66,percent of total billed charges,0.626838558,,,,,,,,,,0.66,percent of total billed charges,0.616411525,,,,,,,,,,0.66,percent of total billed charges,0.614698544,,,,,,,,,,0.66,percent of total billed charges,0.605647115,,,,,,,,,,0.66,percent of total billed charges,0.621231306,,,,,,,,,,0.66,percent of total billed charges,999999999,,,,,,,,,,0.66,percent of total billed charges,0.533060208,,,,,,,,,,0.66,percent of total billed charges,0.840672707,,,,,,,,,,0.66,percent of total billed charges,999999999,,,,,,,,,,0.66,percent of total billed charges,0.574769273,,,,,,,,,,2.376,percent of total billed charges,,,,,
**MORPHINE (TABLET IR) 30MG TAB,259,RC,6800-1036-00,NDC,,both,1,EA,24,24,5.109214671,24,24,percent of total billed charges,17.65765262,,,,24,percent of total billed charges,18.71676264,,,,24,percent of total billed charges,17.65765262,,,,24,percent of total billed charges,18.71676264,,,,24,percent of total billed charges,999999999,,,,24,percent of total billed charges,18.28635049,,,,24,percent of total billed charges,17.65765262,,,,24,percent of total billed charges,18.71676264,,,,17.112,percent of total billed charges,8.53920115,,,,17.112,percent of total billed charges,5.109214671,,,,17.112,percent of total billed charges,8.53920115,,,,17.112,percent of total billed charges,5.109214671,,,,17.112,percent of total billed charges,8.53920115,,,,17.112,percent of total billed charges,5.109214671,,,,16.944,percent of total billed charges,16.81544127,,,,16.944,percent of total billed charges,11.59747656,,,,,,,,,,17.28,percent of total billed charges,11.23159337,,,,,,,,,,17.28,percent of total billed charges,999999999,,,,,,,,,,19.2,percent of total billed charges,16.08860195,,,,18.96,percent of total billed charges,18.29721594,,,,18.96,percent of total billed charges,16.16619595,,,,19.2,percent of total billed charges,999999999,,,,19.2,percent of total billed charges,999999999,,,,16.8,percent of total billed charges,999999999,,,,16.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,12.768,percent of total billed charges,999999999,,,,,,,,,,,,,,,,12.12,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6,percent of total billed charges,5.698532346,,,,,,,,,,6,percent of total billed charges,5.603741138,,,,,,,,,,6,percent of total billed charges,5.588168582,,,,,,,,,,6,percent of total billed charges,5.505882867,,,,,,,,,,6,percent of total billed charges,5.647557328,,,,,,,,,,6,percent of total billed charges,999999999,,,,,,,,,,6,percent of total billed charges,4.846001888,,,,,,,,,,6,percent of total billed charges,7.642479156,,,,,,,,,,6,percent of total billed charges,999999999,,,,,,,,,,6,percent of total billed charges,5.22517521,,,,,,,,,,21.6,percent of total billed charges,,,,,
TRIPLE ANTIBIOTIC (NEOSPORIN) OINT 30GM,250,RC,0071-3026-31,NDC,,both,1,EA,34.98,34.98,7.446680383,34.98,34.98,percent of total billed charges,25.73602869,,,,34.98,percent of total billed charges,27.27968155,,,,34.98,percent of total billed charges,25.73602869,,,,34.98,percent of total billed charges,27.27968155,,,,34.98,percent of total billed charges,999999999,,,,34.98,percent of total billed charges,26.65235584,,,,34.98,percent of total billed charges,25.73602869,,,,34.98,percent of total billed charges,27.27968155,,,,24.94074,percent of total billed charges,12.44588568,,,,24.94074,percent of total billed charges,7.446680383,,,,24.94074,percent of total billed charges,12.44588568,,,,24.94074,percent of total billed charges,7.446680383,,,,24.94074,percent of total billed charges,12.44588568,,,,24.94074,percent of total billed charges,7.446680383,,,,24.69588,percent of total billed charges,24.50850564,,,,24.69588,percent of total billed charges,16.90332209,,,,,,,,,,25.1856,percent of total billed charges,16.37004733,,,,,,,,,,25.1856,percent of total billed charges,999999999,,,,,,,,,,27.984,percent of total billed charges,23.44913734,,,,27.6342,percent of total billed charges,26.66819224,,,,27.6342,percent of total billed charges,23.5622306,,,,27.984,percent of total billed charges,999999999,,,,27.984,percent of total billed charges,999999999,,,,24.486,percent of total billed charges,999999999,,,,24.486,percent of total billed charges,999999999,,,,,,,,,,,,,,,,18.60936,percent of total billed charges,999999999,,,,,,,,,,,,,,,,17.6649,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8.745,percent of total billed charges,8.305610895,,,,,,,,,,8.745,percent of total billed charges,8.167452709,,,,,,,,,,8.745,percent of total billed charges,8.144755708,,,,,,,,,,8.745,percent of total billed charges,8.024824279,,,,,,,,,,8.745,percent of total billed charges,8.231314805,,,,,,,,,,8.745,percent of total billed charges,999999999,,,,,,,,,,8.745,percent of total billed charges,7.063047752,,,,,,,,,,8.745,percent of total billed charges,11.13891337,,,,,,,,,,8.745,percent of total billed charges,999999999,,,,,,,,,,8.745,percent of total billed charges,7.615692869,,,,,,,,,,31.482,percent of total billed charges,,,,,
**NIFEDIPINE(PROCARDIA) CAP: 20MG,250,RC,0018-2154-01,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
**NITROGLYCERIN PREMIX 25MG/250ML D5W:,258,RC,0040-9148-02,NDC,,both,1,EA,33,33,7.025170173,33,33,percent of total billed charges,24.27927235,,,,33,percent of total billed charges,25.73554863,,,,33,percent of total billed charges,24.27927235,,,,33,percent of total billed charges,25.73554863,,,,33,percent of total billed charges,999999999,,,,33,percent of total billed charges,25.14373192,,,,33,percent of total billed charges,24.27927235,,,,33,percent of total billed charges,25.73554863,,,,23.529,percent of total billed charges,11.74140158,,,,23.529,percent of total billed charges,7.025170173,,,,23.529,percent of total billed charges,11.74140158,,,,23.529,percent of total billed charges,7.025170173,,,,23.529,percent of total billed charges,11.74140158,,,,23.529,percent of total billed charges,7.025170173,,,,23.298,percent of total billed charges,23.12123174,,,,23.298,percent of total billed charges,15.94653027,,,,,,,,,,23.76,percent of total billed charges,15.44344088,,,,,,,,,,23.76,percent of total billed charges,999999999,,,,,,,,,,26.4,percent of total billed charges,22.12182768,,,,26.07,percent of total billed charges,25.15867192,,,,26.07,percent of total billed charges,22.22851943,,,,26.4,percent of total billed charges,999999999,,,,26.4,percent of total billed charges,999999999,,,,23.1,percent of total billed charges,999999999,,,,23.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,17.556,percent of total billed charges,999999999,,,,,,,,,,,,,,,,16.665,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8.25,percent of total billed charges,7.835481976,,,,,,,,,,8.25,percent of total billed charges,7.705144065,,,,,,,,,,8.25,percent of total billed charges,7.6837318,,,,,,,,,,8.25,percent of total billed charges,7.570588942,,,,,,,,,,8.25,percent of total billed charges,7.765391325,,,,,,,,,,8.25,percent of total billed charges,999999999,,,,,,,,,,8.25,percent of total billed charges,6.663252596,,,,,,,,,,8.25,percent of total billed charges,10.50840884,,,,,,,,,,8.25,percent of total billed charges,999999999,,,,,,,,,,8.25,percent of total billed charges,7.184615914,,,,,,,,,,29.7,percent of total billed charges,,,,,
**FLOXIN 0.3% (OFLOXACIN)OTIC SUSP: 5ML,259,RC,5038-3002-05,NDC,,both,1,EA,100,100,21.28839446,100,100,percent of total billed charges,73.57355257,,,,100,percent of total billed charges,77.986511,,,,100,percent of total billed charges,73.57355257,,,,100,percent of total billed charges,77.986511,,,,100,percent of total billed charges,999999999,,,,100,percent of total billed charges,76.19312704,,,,100,percent of total billed charges,73.57355257,,,,100,percent of total billed charges,77.986511,,,,71.3,percent of total billed charges,35.58000479,,,,71.3,percent of total billed charges,21.28839446,,,,71.3,percent of total billed charges,35.58000479,,,,71.3,percent of total billed charges,21.28839446,,,,71.3,percent of total billed charges,35.58000479,,,,71.3,percent of total billed charges,21.28839446,,,,70.6,percent of total billed charges,70.06433861,,,,70.6,percent of total billed charges,48.322819,,,,,,,,,,72,percent of total billed charges,46.79830569,,,,,,,,,,72,percent of total billed charges,999999999,,,,,,,,,,80,percent of total billed charges,67.03584146,,,,79,percent of total billed charges,76.23839976,,,,79,percent of total billed charges,67.35914979,,,,80,percent of total billed charges,999999999,,,,80,percent of total billed charges,999999999,,,,70,percent of total billed charges,999999999,,,,70,percent of total billed charges,999999999,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,25,percent of total billed charges,23.74388478,,,,,,,,,,25,percent of total billed charges,23.34892141,,,,,,,,,,25,percent of total billed charges,23.28403576,,,,,,,,,,25,percent of total billed charges,22.94117861,,,,,,,,,,25,percent of total billed charges,23.53148886,,,,,,,,,,25,percent of total billed charges,999999999,,,,,,,,,,25,percent of total billed charges,20.19167453,,,,,,,,,,25,percent of total billed charges,31.84366315,,,,,,,,,,25,percent of total billed charges,999999999,,,,,,,,,,25,percent of total billed charges,21.77156338,,,,,,,,,,90,percent of total billed charges,,,,,
oxyCODONE (OxyCONTIN) 10MG CR TAB,259,RC,5901-1041-20,NDC,,both,1,EA,12.51,12.51,2.663178147,12.51,12.51,percent of total billed charges,9.204051427,,,,12.51,percent of total billed charges,9.756112526,,,,12.51,percent of total billed charges,9.204051427,,,,12.51,percent of total billed charges,9.756112526,,,,12.51,percent of total billed charges,999999999,,,,12.51,percent of total billed charges,9.531760193,,,,12.51,percent of total billed charges,9.204051427,,,,12.51,percent of total billed charges,9.756112526,,,,8.91963,percent of total billed charges,4.4510586,,,,8.91963,percent of total billed charges,2.663178147,,,,8.91963,percent of total billed charges,4.4510586,,,,8.91963,percent of total billed charges,2.663178147,,,,8.91963,percent of total billed charges,4.4510586,,,,8.91963,percent of total billed charges,2.663178147,,,,8.83206,percent of total billed charges,8.76504876,,,,8.83206,percent of total billed charges,6.045184657,,,,,,,,,,9.0072,percent of total billed charges,5.854468042,,,,,,,,,,9.0072,percent of total billed charges,999999999,,,,,,,,,,10.008,percent of total billed charges,8.386183767,,,,9.8829,percent of total billed charges,9.53742381,,,,9.8829,percent of total billed charges,8.426629639,,,,10.008,percent of total billed charges,999999999,,,,10.008,percent of total billed charges,999999999,,,,8.757,percent of total billed charges,999999999,,,,8.757,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.65532,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.31755,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3.1275,percent of total billed charges,2.970359986,,,,,,,,,,3.1275,percent of total billed charges,2.920950068,,,,,,,,,,3.1275,percent of total billed charges,2.912832873,,,,,,,,,,3.1275,percent of total billed charges,2.869941445,,,,,,,,,,3.1275,percent of total billed charges,2.943789257,,,,,,,,,,3.1275,percent of total billed charges,999999999,,,,,,,,,,3.1275,percent of total billed charges,2.525978484,,,,,,,,,,3.1275,percent of total billed charges,3.98364226,,,,,,,,,,3.1275,percent of total billed charges,999999999,,,,,,,,,,3.1275,percent of total billed charges,2.723622578,,,,,,,,,,11.259,percent of total billed charges,,,,,
PHENYLEPHRINE 10% VISCOUS OPTH : 5ML,259,RC,0002-4136-01,NDC,,both,1,EA,139.44,139.44,29.68453724,139.44,139.44,percent of total billed charges,102.5909617,,,,139.44,percent of total billed charges,108.7443909,,,,139.44,percent of total billed charges,102.5909617,,,,139.44,percent of total billed charges,108.7443909,,,,139.44,percent of total billed charges,999999999,,,,139.44,percent of total billed charges,106.2436963,,,,139.44,percent of total billed charges,102.5909617,,,,139.44,percent of total billed charges,108.7443909,,,,99.42072,percent of total billed charges,49.61275868,,,,99.42072,percent of total billed charges,29.68453724,,,,99.42072,percent of total billed charges,49.61275868,,,,99.42072,percent of total billed charges,29.68453724,,,,99.42072,percent of total billed charges,49.61275868,,,,99.42072,percent of total billed charges,29.68453724,,,,98.44464,percent of total billed charges,97.69771375,,,,98.44464,percent of total billed charges,67.38133882,,,,,,,,,,100.3968,percent of total billed charges,65.25555745,,,,,,,,,,100.3968,percent of total billed charges,999999999,,,,,,,,,,111.552,percent of total billed charges,93.47477733,,,,110.1576,percent of total billed charges,106.3068246,,,,110.1576,percent of total billed charges,93.92559847,,,,111.552,percent of total billed charges,999999999,,,,111.552,percent of total billed charges,999999999,,,,97.608,percent of total billed charges,999999999,,,,97.608,percent of total billed charges,999999999,,,,,,,,,,,,,,,,74.18208,percent of total billed charges,999999999,,,,,,,,,,,,,,,,70.4172,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,34.86,percent of total billed charges,33.10847293,,,,,,,,,,34.86,percent of total billed charges,32.55773601,,,,,,,,,,34.86,percent of total billed charges,32.46725946,,,,,,,,,,34.86,percent of total billed charges,31.98917946,,,,,,,,,,34.86,percent of total billed charges,32.81230807,,,,,,,,,,34.86,percent of total billed charges,999999999,,,,,,,,,,34.86,percent of total billed charges,28.15527097,,,,,,,,,,34.86,percent of total billed charges,44.4028039,,,,,,,,,,34.86,percent of total billed charges,999999999,,,,,,,,,,34.86,percent of total billed charges,30.35826797,,,,,,,,,,125.496,percent of total billed charges,,,,,
**PHENYTOIN SUSP (DILANTIN) 125MG/5ML 60,259,RC,0047-2500-08,NDC,,both,1,EA,23,23,4.896330726,23,23,percent of total billed charges,16.92191709,,,,23,percent of total billed charges,17.93689753,,,,23,percent of total billed charges,16.92191709,,,,23,percent of total billed charges,17.93689753,,,,23,percent of total billed charges,999999999,,,,23,percent of total billed charges,17.52441922,,,,23,percent of total billed charges,16.92191709,,,,23,percent of total billed charges,17.93689753,,,,16.399,percent of total billed charges,8.183401102,,,,16.399,percent of total billed charges,4.896330726,,,,16.399,percent of total billed charges,8.183401102,,,,16.399,percent of total billed charges,4.896330726,,,,16.399,percent of total billed charges,8.183401102,,,,16.399,percent of total billed charges,4.896330726,,,,16.238,percent of total billed charges,16.11479788,,,,16.238,percent of total billed charges,11.11424837,,,,,,,,,,16.56,percent of total billed charges,10.76361031,,,,,,,,,,16.56,percent of total billed charges,999999999,,,,,,,,,,18.4,percent of total billed charges,15.41824354,,,,18.17,percent of total billed charges,17.53483194,,,,18.17,percent of total billed charges,15.49260445,,,,18.4,percent of total billed charges,999999999,,,,18.4,percent of total billed charges,999999999,,,,16.1,percent of total billed charges,999999999,,,,16.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,12.236,percent of total billed charges,999999999,,,,,,,,,,,,,,,,11.615,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5.75,percent of total billed charges,5.461093499,,,,,,,,,,5.75,percent of total billed charges,5.370251924,,,,,,,,,,5.75,percent of total billed charges,5.355328224,,,,,,,,,,5.75,percent of total billed charges,5.276471081,,,,,,,,,,5.75,percent of total billed charges,5.412242439,,,,,,,,,,5.75,percent of total billed charges,999999999,,,,,,,,,,5.75,percent of total billed charges,4.644085143,,,,,,,,,,5.75,percent of total billed charges,7.324042525,,,,,,,,,,5.75,percent of total billed charges,999999999,,,,,,,,,,5.75,percent of total billed charges,5.007459577,,,,,,,,,,20.7,percent of total billed charges,,,,,
POTASSIUM CHLORIDE ER 20 MEQ TAB,250,RC,6808-4036-11,NDC,,both,1,EA,1.31,1.31,0.278877967,1.31,1.31,percent of total billed charges,0.963813539,,,,1.31,percent of total billed charges,1.021623294,,,,1.31,percent of total billed charges,0.963813539,,,,1.31,percent of total billed charges,1.021623294,,,,1.31,percent of total billed charges,999999999,,,,1.31,percent of total billed charges,0.998129964,,,,1.31,percent of total billed charges,0.963813539,,,,1.31,percent of total billed charges,1.021623294,,,,0.93403,percent of total billed charges,0.466098063,,,,0.93403,percent of total billed charges,0.278877967,,,,0.93403,percent of total billed charges,0.466098063,,,,0.93403,percent of total billed charges,0.278877967,,,,0.93403,percent of total billed charges,0.466098063,,,,0.93403,percent of total billed charges,0.278877967,,,,0.92486,percent of total billed charges,0.917842836,,,,0.92486,percent of total billed charges,0.633028929,,,,,,,,,,0.9432,percent of total billed charges,0.613057805,,,,,,,,,,0.9432,percent of total billed charges,999999999,,,,,,,,,,1.048,percent of total billed charges,0.878169523,,,,1.0349,percent of total billed charges,0.998723037,,,,1.0349,percent of total billed charges,0.882404862,,,,1.048,percent of total billed charges,999999999,,,,1.048,percent of total billed charges,999999999,,,,0.917,percent of total billed charges,999999999,,,,0.917,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.69692,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.66155,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.3275,percent of total billed charges,0.311044891,,,,,,,,,,0.3275,percent of total billed charges,0.30587087,,,,,,,,,,0.3275,percent of total billed charges,0.305020868,,,,,,,,,,0.3275,percent of total billed charges,0.30052944,,,,,,,,,,0.3275,percent of total billed charges,0.308262504,,,,,,,,,,0.3275,percent of total billed charges,999999999,,,,,,,,,,0.3275,percent of total billed charges,0.264510936,,,,,,,,,,0.3275,percent of total billed charges,0.417151987,,,,,,,,,,0.3275,percent of total billed charges,999999999,,,,,,,,,,0.3275,percent of total billed charges,0.28520748,,,,,,,,,,1.179,percent of total billed charges,,,,,
PANTOPRAZOLE (PROTONIX) 40MG INJ,J2471,CDM,0014-3930-10,NDC,,both,1,EA,49.88,49.88,10.61865116,49.88,49.88,percent of total billed charges,36.69848802,,,,49.88,percent of total billed charges,38.89967169,,,,49.88,percent of total billed charges,36.69848802,,,,49.88,percent of total billed charges,38.89967169,,,,49.88,percent of total billed charges,999999999,,,,49.88,percent of total billed charges,38.00513177,,,,49.88,percent of total billed charges,36.69848802,,,,49.88,percent of total billed charges,38.89967169,,,,35.56444,percent of total billed charges,17.74730639,,,,35.56444,percent of total billed charges,10.61865116,,,,35.56444,percent of total billed charges,17.74730639,,,,35.56444,percent of total billed charges,10.61865116,,,,35.56444,percent of total billed charges,17.74730639,,,,35.56444,percent of total billed charges,10.61865116,,,,35.21528,percent of total billed charges,34.9480921,,,,35.21528,percent of total billed charges,24.10342212,,,,,,,,,,35.9136,percent of total billed charges,23.34299488,,,,,,,,,,35.9136,percent of total billed charges,999999999,,,,,,,,,,39.904,percent of total billed charges,33.43747772,,,,39.4052,percent of total billed charges,38.0277138,,,,39.4052,percent of total billed charges,33.59874392,,,,39.904,percent of total billed charges,999999999,,,,39.904,percent of total billed charges,999999999,,,,34.916,percent of total billed charges,999999999,,,,34.916,percent of total billed charges,999999999,,,,,,,,,,,,,,,,26.53616,percent of total billed charges,999999999,,,,,,,,,,,,,,,,25.1894,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12.47,percent of total billed charges,11.84344973,,,,,,,,,,12.47,percent of total billed charges,11.646442,,,,,,,,,,12.47,percent of total billed charges,11.61407704,,,,,,,,,,12.47,percent of total billed charges,11.44305989,,,,,,,,,,12.47,percent of total billed charges,11.73750665,,,,,,,,,,12.47,percent of total billed charges,999999999,,,,,,,,,,12.47,percent of total billed charges,10.07160726,,,,,,,,,,12.47,percent of total billed charges,15.88361918,,,,,,,,,,12.47,percent of total billed charges,999999999,,,,,,,,,,12.47,percent of total billed charges,10.85965581,,,,,,,,,,44.892,percent of total billed charges,,,,,
**QUININE CAPSULE: 325MG,259,RC,1026-7023-01,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
SENNA/DOCUSATE (SENNA S) 8.6/50MG TAB,637,RC,4612-2056-78,NDC,,both,1,EA,0.64,0.64,0.136245725,0.64,0.64,percent of total billed charges,0.470870736,,,,0.64,percent of total billed charges,0.49911367,,,,0.64,percent of total billed charges,0.470870736,,,,0.64,percent of total billed charges,0.49911367,,,,0.64,percent of total billed charges,999999999,,,,0.64,percent of total billed charges,0.487636013,,,,0.64,percent of total billed charges,0.470870736,,,,0.64,percent of total billed charges,0.49911367,,,,0.45632,percent of total billed charges,0.227712031,,,,0.45632,percent of total billed charges,0.136245725,,,,0.45632,percent of total billed charges,0.227712031,,,,0.45632,percent of total billed charges,0.136245725,,,,0.45632,percent of total billed charges,0.227712031,,,,0.45632,percent of total billed charges,0.136245725,,,,0.45184,percent of total billed charges,0.448411767,,,,0.45184,percent of total billed charges,0.309266042,,,,,,,,,,0.4608,percent of total billed charges,0.299509156,,,,,,,,,,0.4608,percent of total billed charges,999999999,,,,,,,,,,0.512,percent of total billed charges,0.429029385,,,,0.5056,percent of total billed charges,0.487925758,,,,0.5056,percent of total billed charges,0.431098559,,,,0.512,percent of total billed charges,999999999,,,,0.512,percent of total billed charges,999999999,,,,0.448,percent of total billed charges,999999999,,,,0.448,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.34048,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.3232,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.16,percent of total billed charges,0.151960863,,,,,,,,,,0.16,percent of total billed charges,0.149433097,,,,,,,,,,0.16,percent of total billed charges,0.149017829,,,,,,,,,,0.16,percent of total billed charges,0.146823543,,,,,,,,,,0.16,percent of total billed charges,0.150601529,,,,,,,,,,0.16,percent of total billed charges,999999999,,,,,,,,,,0.16,percent of total billed charges,0.129226717,,,,,,,,,,0.16,percent of total billed charges,0.203799444,,,,,,,,,,0.16,percent of total billed charges,999999999,,,,,,,,,,0.16,percent of total billed charges,0.139338006,,,,,,,,,,0.576,percent of total billed charges,,,,,
NACL 0.9% 10ML CATHETER FLUSH,250,RC,6888-3060-10,NDC,,both,1,EA,4.12,4.12,0.877081852,4.12,4.12,percent of total billed charges,3.031230366,,,,4.12,percent of total billed charges,3.213044253,,,,4.12,percent of total billed charges,3.031230366,,,,4.12,percent of total billed charges,3.213044253,,,,4.12,percent of total billed charges,999999999,,,,4.12,percent of total billed charges,3.139156834,,,,4.12,percent of total billed charges,3.031230366,,,,4.12,percent of total billed charges,3.213044253,,,,2.93756,percent of total billed charges,1.465896197,,,,2.93756,percent of total billed charges,0.877081852,,,,2.93756,percent of total billed charges,1.465896197,,,,2.93756,percent of total billed charges,0.877081852,,,,2.93756,percent of total billed charges,1.465896197,,,,2.93756,percent of total billed charges,0.877081852,,,,2.90872,percent of total billed charges,2.886650751,,,,2.90872,percent of total billed charges,1.990900143,,,,,,,,,,2.9664,percent of total billed charges,1.928090194,,,,,,,,,,2.9664,percent of total billed charges,999999999,,,,,,,,,,3.296,percent of total billed charges,2.761876668,,,,3.2548,percent of total billed charges,3.14102207,,,,3.2548,percent of total billed charges,2.775196972,,,,3.296,percent of total billed charges,999999999,,,,3.296,percent of total billed charges,999999999,,,,2.884,percent of total billed charges,999999999,,,,2.884,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2.19184,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2.0806,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.03,percent of total billed charges,0.978248053,,,,,,,,,,1.03,percent of total billed charges,0.961975562,,,,,,,,,,1.03,percent of total billed charges,0.959302273,,,,,,,,,,1.03,percent of total billed charges,0.945176559,,,,,,,,,,1.03,percent of total billed charges,0.969497341,,,,,,,,,,1.03,percent of total billed charges,999999999,,,,,,,,,,1.03,percent of total billed charges,0.831896991,,,,,,,,,,1.03,percent of total billed charges,1.311958922,,,,,,,,,,1.03,percent of total billed charges,999999999,,,,,,,,,,1.03,percent of total billed charges,0.896988411,,,,,,,,,,3.708,percent of total billed charges,,,,,
SODIUM CHLORIDE 3% INJ 500ML,250,RC,0033-8005-03,NDC,,both,1,EA,32.92,32.92,7.008139457,32.92,32.92,percent of total billed charges,24.22041351,,,,32.92,percent of total billed charges,25.67315942,,,,32.92,percent of total billed charges,24.22041351,,,,32.92,percent of total billed charges,25.67315942,,,,32.92,percent of total billed charges,999999999,,,,32.92,percent of total billed charges,25.08277742,,,,32.92,percent of total billed charges,24.22041351,,,,32.92,percent of total billed charges,25.67315942,,,,23.47196,percent of total billed charges,11.71293758,,,,23.47196,percent of total billed charges,7.008139457,,,,23.47196,percent of total billed charges,11.71293758,,,,23.47196,percent of total billed charges,7.008139457,,,,23.47196,percent of total billed charges,11.71293758,,,,23.47196,percent of total billed charges,7.008139457,,,,23.24152,percent of total billed charges,23.06518027,,,,23.24152,percent of total billed charges,15.90787202,,,,,,,,,,23.7024,percent of total billed charges,15.40600223,,,,,,,,,,23.7024,percent of total billed charges,999999999,,,,,,,,,,26.336,percent of total billed charges,22.06819901,,,,26.0068,percent of total billed charges,25.0976812,,,,26.0068,percent of total billed charges,22.17463211,,,,26.336,percent of total billed charges,999999999,,,,26.336,percent of total billed charges,999999999,,,,23.044,percent of total billed charges,999999999,,,,23.044,percent of total billed charges,999999999,,,,,,,,,,,,,,,,17.51344,percent of total billed charges,999999999,,,,,,,,,,,,,,,,16.6246,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8.23,percent of total billed charges,7.816486868,,,,,,,,,,8.23,percent of total billed charges,7.686464928,,,,,,,,,,8.23,percent of total billed charges,7.665104571,,,,,,,,,,8.23,percent of total billed charges,7.552235999,,,,,,,,,,8.23,percent of total billed charges,7.746566134,,,,,,,,,,8.23,percent of total billed charges,999999999,,,,,,,,,,8.23,percent of total billed charges,6.647099257,,,,,,,,,,8.23,percent of total billed charges,10.48293391,,,,,,,,,,8.23,percent of total billed charges,999999999,,,,,,,,,,8.23,percent of total billed charges,7.167198664,,,,,,,,,,29.628,percent of total billed charges,,,,,
TIMOLOL (TIMOPTIC) 0.5% OPTH SOLN:5 mL,250,RC,6498-0051-05,NDC,,both,1,EA,200.97,200.97,42.78328635,200.97,200.97,percent of total billed charges,147.8607686,,,,200.97,percent of total billed charges,156.7294912,,,,200.97,percent of total billed charges,147.8607686,,,,200.97,percent of total billed charges,156.7294912,,,,200.97,percent of total billed charges,999999999,,,,200.97,percent of total billed charges,153.1253274,,,,200.97,percent of total billed charges,147.8607686,,,,200.97,percent of total billed charges,156.7294912,,,,143.29161,percent of total billed charges,71.50513563,,,,143.29161,percent of total billed charges,42.78328635,,,,143.29161,percent of total billed charges,71.50513563,,,,143.29161,percent of total billed charges,42.78328635,,,,143.29161,percent of total billed charges,71.50513563,,,,143.29161,percent of total billed charges,42.78328635,,,,141.88482,percent of total billed charges,140.8083013,,,,141.88482,percent of total billed charges,97.11436935,,,,,,,,,,144.6984,percent of total billed charges,94.05055494,,,,,,,,,,144.6984,percent of total billed charges,999999999,,,,,,,,,,160.776,percent of total billed charges,134.7219306,,,,158.7663,percent of total billed charges,153.216312,,,,158.7663,percent of total billed charges,135.3716833,,,,160.776,percent of total billed charges,999999999,,,,160.776,percent of total billed charges,999999999,,,,140.679,percent of total billed charges,999999999,,,,140.679,percent of total billed charges,999999999,,,,,,,,,,,,,,,,106.91604,percent of total billed charges,999999999,,,,,,,,,,,,,,,,101.48985,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,50.2425,percent of total billed charges,47.71808524,,,,,,,,,,50.2425,percent of total billed charges,46.92432736,,,,,,,,,,50.2425,percent of total billed charges,46.79392666,,,,,,,,,,50.2425,percent of total billed charges,46.10488666,,,,,,,,,,50.2425,percent of total billed charges,47.29123317,,,,,,,,,,50.2425,percent of total billed charges,999999999,,,,,,,,,,50.2425,percent of total billed charges,40.57920831,,,,,,,,,,50.2425,percent of total billed charges,63.99620984,,,,,,,,,,50.2425,percent of total billed charges,999999999,,,,,,,,,,50.2425,percent of total billed charges,43.75431092,,,,,,,,,,180.873,percent of total billed charges,,,,,
**RESTORIL 7.5MG (TEMAZEPAM),259,RC,0040-6991-01,NDC,,both,1,EA,1794,1794,381.9137967,1794,1794,percent of total billed charges,1319.909533,,,,1794,percent of total billed charges,1399.078007,,,,1794,percent of total billed charges,1319.909533,,,,1794,percent of total billed charges,1399.078007,,,,1794,percent of total billed charges,999999999,,,,1794,percent of total billed charges,1366.904699,,,,1794,percent of total billed charges,1319.909533,,,,1794,percent of total billed charges,1399.078007,,,,1279.122,percent of total billed charges,638.305286,,,,1279.122,percent of total billed charges,381.9137967,,,,1279.122,percent of total billed charges,638.305286,,,,1279.122,percent of total billed charges,381.9137967,,,,1279.122,percent of total billed charges,638.305286,,,,1279.122,percent of total billed charges,381.9137967,,,,1266.564,percent of total billed charges,1256.954235,,,,1266.564,percent of total billed charges,866.9113729,,,,,,,,,,1291.68,percent of total billed charges,839.561604,,,,,,,,,,1291.68,percent of total billed charges,999999999,,,,,,,,,,1435.2,percent of total billed charges,1202.622996,,,,1417.26,percent of total billed charges,1367.716892,,,,1417.26,percent of total billed charges,1208.423147,,,,1435.2,percent of total billed charges,999999999,,,,1435.2,percent of total billed charges,999999999,,,,1255.8,percent of total billed charges,999999999,,,,1255.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,954.408,percent of total billed charges,999999999,,,,,,,,,,,,,,,,905.97,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,448.5,percent of total billed charges,425.9652929,,,,,,,,,,448.5,percent of total billed charges,418.8796501,,,,,,,,,,448.5,percent of total billed charges,417.7156015,,,,,,,,,,448.5,percent of total billed charges,411.5647443,,,,,,,,,,448.5,percent of total billed charges,422.1549102,,,,,,,,,,448.5,percent of total billed charges,999999999,,,,,,,,,,448.5,percent of total billed charges,362.2386411,,,,,,,,,,448.5,percent of total billed charges,571.2753169,,,,,,,,,,448.5,percent of total billed charges,999999999,,,,,,,,,,448.5,percent of total billed charges,390.581847,,,,,,,,,,1614.6,percent of total billed charges,,,,,
fosPHENYTOIN: (CEREBYX) 500PE/10ML,258,RC,6332-3040-10,NDC,,both,1,EA,179.31,179.31,38.17222011,179.31,179.31,percent of total billed charges,131.9247371,,,,179.31,percent of total billed charges,139.8376129,,,,179.31,percent of total billed charges,131.9247371,,,,179.31,percent of total billed charges,139.8376129,,,,179.31,percent of total billed charges,999999999,,,,179.31,percent of total billed charges,136.6218961,,,,179.31,percent of total billed charges,131.9247371,,,,179.31,percent of total billed charges,139.8376129,,,,127.84803,percent of total billed charges,63.79850659,,,,127.84803,percent of total billed charges,38.17222011,,,,127.84803,percent of total billed charges,63.79850659,,,,127.84803,percent of total billed charges,38.17222011,,,,127.84803,percent of total billed charges,63.79850659,,,,127.84803,percent of total billed charges,38.17222011,,,,126.59286,percent of total billed charges,125.6323656,,,,126.59286,percent of total billed charges,86.64764676,,,,,,,,,,129.1032,percent of total billed charges,83.91404193,,,,,,,,,,129.1032,percent of total billed charges,999999999,,,,,,,,,,143.448,percent of total billed charges,120.2019673,,,,141.6549,percent of total billed charges,136.7030746,,,,141.6549,percent of total billed charges,120.7816915,,,,143.448,percent of total billed charges,999999999,,,,143.448,percent of total billed charges,999999999,,,,125.517,percent of total billed charges,999999999,,,,125.517,percent of total billed charges,999999999,,,,,,,,,,,,,,,,95.39292,percent of total billed charges,999999999,,,,,,,,,,,,,,,,90.55155,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,44.8275,percent of total billed charges,42.57515979,,,,,,,,,,44.8275,percent of total billed charges,41.86695098,,,,,,,,,,44.8275,percent of total billed charges,41.75060451,,,,,,,,,,44.8275,percent of total billed charges,41.13582737,,,,,,,,,,44.8275,percent of total billed charges,42.19431268,,,,,,,,,,44.8275,percent of total billed charges,999999999,,,,,,,,,,44.8275,percent of total billed charges,36.20569161,,,,,,,,,,44.8275,percent of total billed charges,57.0988724,,,,,,,,,,44.8275,percent of total billed charges,999999999,,,,,,,,,,44.8275,percent of total billed charges,39.03859029,,,,,,,,,,161.379,percent of total billed charges,,,,,
**LEVOFLOXIN(LEVAQUIN500MG):VIAL,J1956,CDM,5045-8016-20,NDC,,both,1,EA,102,102,21.71416235,102,102,percent of total billed charges,75.04502362,,,,102,percent of total billed charges,79.54624122,,,,102,percent of total billed charges,75.04502362,,,,102,percent of total billed charges,79.54624122,,,,102,percent of total billed charges,999999999,,,,102,percent of total billed charges,77.71698958,,,,102,percent of total billed charges,75.04502362,,,,102,percent of total billed charges,79.54624122,,,,72.726,percent of total billed charges,36.29160489,,,,72.726,percent of total billed charges,21.71416235,,,,72.726,percent of total billed charges,36.29160489,,,,72.726,percent of total billed charges,21.71416235,,,,72.726,percent of total billed charges,36.29160489,,,,72.726,percent of total billed charges,21.71416235,,,,72.012,percent of total billed charges,71.46562538,,,,72.012,percent of total billed charges,49.28927538,,,,,,,,,,73.44,percent of total billed charges,47.7342718,,,,,,,,,,73.44,percent of total billed charges,999999999,,,,,,,,,,81.6,percent of total billed charges,68.37655829,,,,80.58,percent of total billed charges,77.76316775,,,,80.58,percent of total billed charges,68.70633279,,,,81.6,percent of total billed charges,999999999,,,,81.6,percent of total billed charges,999999999,,,,71.4,percent of total billed charges,999999999,,,,71.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,54.264,percent of total billed charges,999999999,,,,,,,,,,,,,,,,51.51,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,25.5,percent of total billed charges,24.21876247,,,,,,,,,,25.5,percent of total billed charges,23.81589984,,,,,,,,,,25.5,percent of total billed charges,23.74971647,,,,,,,,,,25.5,percent of total billed charges,23.40000219,,,,,,,,,,25.5,percent of total billed charges,24.00211864,,,,,,,,,,25.5,percent of total billed charges,999999999,,,,,,,,,,25.5,percent of total billed charges,20.59550803,,,,,,,,,,25.5,percent of total billed charges,32.48053641,,,,,,,,,,25.5,percent of total billed charges,999999999,,,,,,,,,,25.5,percent of total billed charges,22.20699464,,,,,,,,,,91.8,percent of total billed charges,,,,,
levoFLOXacin (LEVAQUIN) 250MG IVPB,J1956,CDM,2502-1013-81,NDC,,both,1,EA,27.4,27.4,5.833020083,27.4,27.4,percent of total billed charges,20.1591534,,,,27.4,percent of total billed charges,21.36830401,,,,27.4,percent of total billed charges,20.1591534,,,,27.4,percent of total billed charges,21.36830401,,,,27.4,percent of total billed charges,999999999,,,,27.4,percent of total billed charges,20.87691681,,,,27.4,percent of total billed charges,20.1591534,,,,27.4,percent of total billed charges,21.36830401,,,,19.5362,percent of total billed charges,9.748921313,,,,19.5362,percent of total billed charges,5.833020083,,,,19.5362,percent of total billed charges,9.748921313,,,,19.5362,percent of total billed charges,5.833020083,,,,19.5362,percent of total billed charges,9.748921313,,,,19.5362,percent of total billed charges,5.833020083,,,,19.3444,percent of total billed charges,19.19762878,,,,19.3444,percent of total billed charges,13.24045241,,,,,,,,,,19.728,percent of total billed charges,12.82273576,,,,,,,,,,19.728,percent of total billed charges,999999999,,,,,,,,,,21.92,percent of total billed charges,18.36782056,,,,21.646,percent of total billed charges,20.88932153,,,,21.646,percent of total billed charges,18.45640704,,,,21.92,percent of total billed charges,999999999,,,,21.92,percent of total billed charges,999999999,,,,19.18,percent of total billed charges,999999999,,,,19.18,percent of total billed charges,999999999,,,,,,,,,,,,,,,,14.5768,percent of total billed charges,999999999,,,,,,,,,,,,,,,,13.837,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6.85,percent of total billed charges,6.505824429,,,,,,,,,,6.85,percent of total billed charges,6.397604466,,,,,,,,,,6.85,percent of total billed charges,6.379825797,,,,,,,,,,6.85,percent of total billed charges,6.28588294,,,,,,,,,,6.85,percent of total billed charges,6.447627949,,,,,,,,,,6.85,percent of total billed charges,999999999,,,,,,,,,,6.85,percent of total billed charges,5.532518822,,,,,,,,,,6.85,percent of total billed charges,8.725163704,,,,,,,,,,6.85,percent of total billed charges,999999999,,,,,,,,,,6.85,percent of total billed charges,5.965408365,,,,,,,,,,24.66,percent of total billed charges,,,,,
KETAMINE 100MG/1ML INJ: 5mL FTV,250,RC,0040-9205-05,NDC,,both,1,EA,166.16,166.16,35.37279624,166.16,166.16,percent of total billed charges,122.249815,,,,166.16,percent of total billed charges,129.5823867,,,,166.16,percent of total billed charges,122.249815,,,,166.16,percent of total billed charges,129.5823867,,,,166.16,percent of total billed charges,999999999,,,,166.16,percent of total billed charges,126.6024999,,,,166.16,percent of total billed charges,122.249815,,,,166.16,percent of total billed charges,129.5823867,,,,118.47208,percent of total billed charges,59.11973596,,,,118.47208,percent of total billed charges,35.37279624,,,,118.47208,percent of total billed charges,59.11973596,,,,118.47208,percent of total billed charges,35.37279624,,,,118.47208,percent of total billed charges,59.11973596,,,,118.47208,percent of total billed charges,35.37279624,,,,117.30896,percent of total billed charges,116.418905,,,,117.30896,percent of total billed charges,80.29319606,,,,,,,,,,119.6352,percent of total billed charges,77.76006473,,,,,,,,,,119.6352,percent of total billed charges,999999999,,,,,,,,,,132.928,percent of total billed charges,111.3867542,,,,131.2664,percent of total billed charges,126.677725,,,,131.2664,percent of total billed charges,111.9239633,,,,132.928,percent of total billed charges,999999999,,,,132.928,percent of total billed charges,999999999,,,,116.312,percent of total billed charges,999999999,,,,116.312,percent of total billed charges,999999999,,,,,,,,,,,,,,,,88.39712,percent of total billed charges,999999999,,,,,,,,,,,,,,,,83.9108,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,41.54,percent of total billed charges,39.45283894,,,,,,,,,,41.54,percent of total billed charges,38.79656781,,,,,,,,,,41.54,percent of total billed charges,38.68875381,,,,,,,,,,41.54,percent of total billed charges,38.11906238,,,,,,,,,,41.54,percent of total billed charges,39.0999219,,,,,,,,,,41.54,percent of total billed charges,999999999,,,,,,,,,,41.54,percent of total billed charges,33.55048641,,,,,,,,,,41.54,percent of total billed charges,52.91143069,,,,,,,,,,41.54,percent of total billed charges,999999999,,,,,,,,,,41.54,percent of total billed charges,36.17562971,,,,,,,,,,149.544,percent of total billed charges,,,,,
ALUMINUM OH/MAGNESIUM OH 30ML,637,RC,0012-1176-30,NDC,,both,1,EA,8.57,8.57,1.824415405,8.57,8.57,percent of total billed charges,6.305253455,,,,8.57,percent of total billed charges,6.683443993,,,,8.57,percent of total billed charges,6.305253455,,,,8.57,percent of total billed charges,6.683443993,,,,8.57,percent of total billed charges,999999999,,,,8.57,percent of total billed charges,6.529750988,,,,8.57,percent of total billed charges,6.305253455,,,,8.57,percent of total billed charges,6.683443993,,,,6.11041,percent of total billed charges,3.049206411,,,,6.11041,percent of total billed charges,1.824415405,,,,6.11041,percent of total billed charges,3.049206411,,,,6.11041,percent of total billed charges,1.824415405,,,,6.11041,percent of total billed charges,3.049206411,,,,6.11041,percent of total billed charges,1.824415405,,,,6.05042,percent of total billed charges,6.004513819,,,,6.05042,percent of total billed charges,4.141265589,,,,,,,,,,6.1704,percent of total billed charges,4.010614797,,,,,,,,,,6.1704,percent of total billed charges,999999999,,,,,,,,,,6.856,percent of total billed charges,5.744971613,,,,6.7703,percent of total billed charges,6.533630859,,,,6.7703,percent of total billed charges,5.772679137,,,,6.856,percent of total billed charges,999999999,,,,6.856,percent of total billed charges,999999999,,,,5.999,percent of total billed charges,999999999,,,,5.999,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.55924,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.32785,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.1425,percent of total billed charges,2.034850925,,,,,,,,,,2.1425,percent of total billed charges,2.001002565,,,,,,,,,,2.1425,percent of total billed charges,1.995441864,,,,,,,,,,2.1425,percent of total billed charges,1.966059007,,,,,,,,,,2.1425,percent of total billed charges,2.016648596,,,,,,,,,,2.1425,percent of total billed charges,999999999,,,,,,,,,,2.1425,percent of total billed charges,1.730426508,,,,,,,,,,2.1425,percent of total billed charges,2.729001932,,,,,,,,,,2.1425,percent of total billed charges,999999999,,,,,,,,,,2.1425,percent of total billed charges,1.865822981,,,,,,,,,,7.713,percent of total billed charges,,,,,
ATROPINE 1% 5 ML OPTH SOL,250,RC,5939-0019-05,NDC,,both,1,EA,162.01,162.01,34.48932787,162.01,162.01,percent of total billed charges,119.1965125,,,,162.01,percent of total billed charges,126.3459465,,,,162.01,percent of total billed charges,119.1965125,,,,162.01,percent of total billed charges,126.3459465,,,,162.01,percent of total billed charges,999999999,,,,162.01,percent of total billed charges,123.4404851,,,,162.01,percent of total billed charges,119.1965125,,,,162.01,percent of total billed charges,126.3459465,,,,115.51313,percent of total billed charges,57.64316576,,,,115.51313,percent of total billed charges,34.48932787,,,,115.51313,percent of total billed charges,57.64316576,,,,115.51313,percent of total billed charges,34.48932787,,,,115.51313,percent of total billed charges,57.64316576,,,,115.51313,percent of total billed charges,34.48932787,,,,114.37906,percent of total billed charges,113.511235,,,,114.37906,percent of total billed charges,78.28779907,,,,,,,,,,116.6472,percent of total billed charges,75.81793504,,,,,,,,,,116.6472,percent of total billed charges,999999999,,,,,,,,,,129.608,percent of total billed charges,108.6047667,,,,127.9879,percent of total billed charges,123.5138314,,,,127.9879,percent of total billed charges,109.1285586,,,,129.608,percent of total billed charges,999999999,,,,129.608,percent of total billed charges,999999999,,,,113.407,percent of total billed charges,999999999,,,,113.407,percent of total billed charges,999999999,,,,,,,,,,,,,,,,86.18932,percent of total billed charges,999999999,,,,,,,,,,,,,,,,81.81505,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,40.5025,percent of total billed charges,38.46746773,,,,,,,,,,40.5025,percent of total billed charges,37.82758757,,,,,,,,,,40.5025,percent of total billed charges,37.72246633,,,,,,,,,,40.5025,percent of total billed charges,37.16700347,,,,,,,,,,40.5025,percent of total billed charges,38.12336511,,,,,,,,,,40.5025,percent of total billed charges,999999999,,,,,,,,,,40.5025,percent of total billed charges,32.71253191,,,,,,,,,,40.5025,percent of total billed charges,51.58991867,,,,,,,,,,40.5025,percent of total billed charges,999999999,,,,,,,,,,40.5025,percent of total billed charges,35.27210983,,,,,,,,,,145.809,percent of total billed charges,,,,,
NEOMYCIN/POLYMIXIN/HC OTIC SOLN: 10mL,637,RC,2420-8063-10,NDC,,both,1,EA,409.57,409.57,87.1908772,409.57,409.57,percent of total billed charges,301.3351993,,,,409.57,percent of total billed charges,319.4093531,,,,409.57,percent of total billed charges,301.3351993,,,,409.57,percent of total billed charges,319.4093531,,,,409.57,percent of total billed charges,999999999,,,,409.57,percent of total billed charges,312.0641904,,,,409.57,percent of total billed charges,301.3351993,,,,409.57,percent of total billed charges,319.4093531,,,,292.02341,percent of total billed charges,145.7250256,,,,292.02341,percent of total billed charges,87.1908772,,,,292.02341,percent of total billed charges,145.7250256,,,,292.02341,percent of total billed charges,87.1908772,,,,292.02341,percent of total billed charges,145.7250256,,,,292.02341,percent of total billed charges,87.1908772,,,,289.15642,percent of total billed charges,286.9625116,,,,289.15642,percent of total billed charges,197.9157698,,,,,,,,,,294.8904,percent of total billed charges,191.6718206,,,,,,,,,,294.8904,percent of total billed charges,999999999,,,,,,,,,,327.656,percent of total billed charges,274.5586959,,,,323.5603,percent of total billed charges,312.2496139,,,,323.5603,percent of total billed charges,275.8828698,,,,327.656,percent of total billed charges,999999999,,,,327.656,percent of total billed charges,999999999,,,,286.699,percent of total billed charges,999999999,,,,286.699,percent of total billed charges,999999999,,,,,,,,,,,,,,,,217.89124,percent of total billed charges,999999999,,,,,,,,,,,,,,,,206.83285,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,102.3925,percent of total billed charges,97.24782888,,,,,,,,,,102.3925,percent of total billed charges,95.63017742,,,,,,,,,,102.3925,percent of total billed charges,95.36442525,,,,,,,,,,102.3925,percent of total billed charges,93.96018525,,,,,,,,,,102.3925,percent of total billed charges,96.37791894,,,,,,,,,,102.3925,percent of total billed charges,999999999,,,,,,,,,,102.3925,percent of total billed charges,82.69904139,,,,,,,,,,102.3925,percent of total billed charges,130.4220912,,,,,,,,,,102.3925,percent of total billed charges,999999999,,,,,,,,,,102.3925,percent of total billed charges,89.16979212,,,,,,,,,,368.613,percent of total billed charges,,,,,
GLUCAGON 1MG INJ,J1610,CDM,5539-0000-01,NDC,,both,1,EA,675.88,675.88,143.8840005,675.88,675.88,percent of total billed charges,497.2689271,,,,675.88,percent of total billed charges,527.0952306,,,,675.88,percent of total billed charges,497.2689271,,,,675.88,percent of total billed charges,527.0952306,,,,675.88,percent of total billed charges,999999999,,,,675.88,percent of total billed charges,514.9741071,,,,675.88,percent of total billed charges,497.2689271,,,,675.88,percent of total billed charges,527.0952306,,,,481.90244,percent of total billed charges,240.4781364,,,,481.90244,percent of total billed charges,143.8840005,,,,481.90244,percent of total billed charges,240.4781364,,,,481.90244,percent of total billed charges,143.8840005,,,,481.90244,percent of total billed charges,240.4781364,,,,481.90244,percent of total billed charges,143.8840005,,,,477.17128,percent of total billed charges,473.5508518,,,,477.17128,percent of total billed charges,326.6042691,,,,,,,,,,486.6336,percent of total billed charges,316.3003885,,,,,,,,,,486.6336,percent of total billed charges,999999999,,,,,,,,,,540.704,percent of total billed charges,453.0818453,,,,533.9452,percent of total billed charges,515.2800963,,,,533.9452,percent of total billed charges,455.2670216,,,,540.704,percent of total billed charges,999999999,,,,540.704,percent of total billed charges,999999999,,,,473.116,percent of total billed charges,999999999,,,,473.116,percent of total billed charges,999999999,,,,,,,,,,,,,,,,359.56816,percent of total billed charges,999999999,,,,,,,,,,,,,,,,341.3194,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,168.97,percent of total billed charges,160.4801684,,,,,,,,,,168.97,percent of total billed charges,157.81069,,,,,,,,,,168.97,percent of total billed charges,157.3721409,,,,,,,,,,168.97,percent of total billed charges,155.054838,,,,,,,,,,168.97,percent of total billed charges,159.0446269,,,,,,,,,,168.97,percent of total billed charges,999999999,,,,,,,,,,168.97,percent of total billed charges,136.4714898,,,,,,,,,,168.97,percent of total billed charges,215.2249505,,,,,,,,,,168.97,percent of total billed charges,999999999,,,,,,,,,,168.97,percent of total billed charges,147.1496425,,,,,,,,,,608.292,percent of total billed charges,,,,,
**INSULIN HumaLOG 75/25 100U/ML PER DOSE,J1815,CDM,0000-2751-01,NDC,,both,1,EA,5,5,1.064419723,5,5,percent of total billed charges,3.678677629,,,,5,percent of total billed charges,3.89932555,,,,5,percent of total billed charges,3.678677629,,,,5,percent of total billed charges,3.89932555,,,,5,percent of total billed charges,999999999,,,,5,percent of total billed charges,3.809656352,,,,5,percent of total billed charges,3.678677629,,,,5,percent of total billed charges,3.89932555,,,,3.565,percent of total billed charges,1.77900024,,,,3.565,percent of total billed charges,1.064419723,,,,3.565,percent of total billed charges,1.77900024,,,,3.565,percent of total billed charges,1.064419723,,,,3.565,percent of total billed charges,1.77900024,,,,3.565,percent of total billed charges,1.064419723,,,,3.53,percent of total billed charges,3.50321693,,,,3.53,percent of total billed charges,2.41614095,,,,,,,,,,3.6,percent of total billed charges,2.339915284,,,,,,,,,,3.6,percent of total billed charges,999999999,,,,,,,,,,4,percent of total billed charges,3.351792073,,,,3.95,percent of total billed charges,3.811919988,,,,3.95,percent of total billed charges,3.36795749,,,,4,percent of total billed charges,999999999,,,,4,percent of total billed charges,999999999,,,,3.5,percent of total billed charges,999999999,,,,3.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2.66,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2.525,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.25,percent of total billed charges,1.187194239,,,,,,,,,,1.25,percent of total billed charges,1.16744607,,,,,,,,,,1.25,percent of total billed charges,1.164201788,,,,,,,,,,1.25,percent of total billed charges,1.147058931,,,,,,,,,,1.25,percent of total billed charges,1.176574443,,,,,,,,,,1.25,percent of total billed charges,999999999,,,,,,,,,,1.25,percent of total billed charges,1.009583727,,,,,,,,,,1.25,percent of total billed charges,1.592183158,,,,,,,,,,1.25,percent of total billed charges,999999999,,,,,,,,,,1.25,percent of total billed charges,1.088578169,,,,,,,,,,4.5,percent of total billed charges,,,,,
DONEPEZIL (ARICEPT) 10MG TAB,637,RC,0078-1527-64,NDC,,both,1,EA,0.5,0.5,0.106441972,0.5,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,999999999,,,,0.5,percent of total billed charges,0.380965635,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.353,percent of total billed charges,0.350321693,,,,0.353,percent of total billed charges,0.241614095,,,,,,,,,,0.36,percent of total billed charges,0.233991528,,,,,,,,,,0.36,percent of total billed charges,999999999,,,,,,,,,,0.4,percent of total billed charges,0.335179207,,,,0.395,percent of total billed charges,0.381191999,,,,0.395,percent of total billed charges,0.336795749,,,,0.4,percent of total billed charges,999999999,,,,0.4,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.266,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.2525,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.125,percent of total billed charges,0.118719424,,,,,,,,,,0.125,percent of total billed charges,0.116744607,,,,,,,,,,0.125,percent of total billed charges,0.116420179,,,,,,,,,,0.125,percent of total billed charges,0.114705893,,,,,,,,,,0.125,percent of total billed charges,0.117657444,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.100958373,,,,,,,,,,0.125,percent of total billed charges,0.159218316,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.108857817,,,,,,,,,,0.45,percent of total billed charges,,,,,
ATORVASTATIN (LIPITOR) 10MG TAB,637,RC,0007-1015-23,NDC,,both,1,EA,0.85,0.85,0.180951353,0.85,0.85,percent of total billed charges,0.625375197,,,,0.85,percent of total billed charges,0.662885344,,,,0.85,percent of total billed charges,0.625375197,,,,0.85,percent of total billed charges,0.662885344,,,,0.85,percent of total billed charges,999999999,,,,0.85,percent of total billed charges,0.64764158,,,,0.85,percent of total billed charges,0.625375197,,,,0.85,percent of total billed charges,0.662885344,,,,0.60605,percent of total billed charges,0.302430041,,,,0.60605,percent of total billed charges,0.180951353,,,,0.60605,percent of total billed charges,0.302430041,,,,0.60605,percent of total billed charges,0.180951353,,,,0.60605,percent of total billed charges,0.302430041,,,,0.60605,percent of total billed charges,0.180951353,,,,0.6001,percent of total billed charges,0.595546878,,,,0.6001,percent of total billed charges,0.410743962,,,,,,,,,,0.612,percent of total billed charges,0.397785598,,,,,,,,,,0.612,percent of total billed charges,999999999,,,,,,,,,,0.68,percent of total billed charges,0.569804652,,,,0.6715,percent of total billed charges,0.648026398,,,,0.6715,percent of total billed charges,0.572552773,,,,0.68,percent of total billed charges,999999999,,,,0.68,percent of total billed charges,999999999,,,,0.595,percent of total billed charges,999999999,,,,0.595,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.4522,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.42925,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.2125,percent of total billed charges,0.201823021,,,,,,,,,,0.2125,percent of total billed charges,0.198465832,,,,,,,,,,0.2125,percent of total billed charges,0.197914304,,,,,,,,,,0.2125,percent of total billed charges,0.195000018,,,,,,,,,,0.2125,percent of total billed charges,0.200017655,,,,,,,,,,0.2125,percent of total billed charges,999999999,,,,,,,,,,0.2125,percent of total billed charges,0.171629234,,,,,,,,,,0.2125,percent of total billed charges,0.270671137,,,,,,,,,,0.2125,percent of total billed charges,999999999,,,,,,,,,,0.2125,percent of total billed charges,0.185058289,,,,,,,,,,0.765,percent of total billed charges,,,,,
ALBUMIN 25% (12.5GM/50 ML) INJ,P9047,CDM,0005-3768-32,NDC,,both,1,EA,290.77,290.77,61.90026458,290.77,290.77,percent of total billed charges,213.9298188,,,,290.77,percent of total billed charges,226.761378,,,,290.77,percent of total billed charges,213.9298188,,,,290.77,percent of total billed charges,226.761378,,,,290.77,percent of total billed charges,999999999,,,,290.77,percent of total billed charges,221.5467555,,,,290.77,percent of total billed charges,213.9298188,,,,290.77,percent of total billed charges,226.761378,,,,207.31901,percent of total billed charges,103.4559799,,,,207.31901,percent of total billed charges,61.90026458,,,,207.31901,percent of total billed charges,103.4559799,,,,207.31901,percent of total billed charges,61.90026458,,,,207.31901,percent of total billed charges,103.4559799,,,,207.31901,percent of total billed charges,61.90026458,,,,205.28362,percent of total billed charges,203.7260774,,,,205.28362,percent of total billed charges,140.5082608,,,,,,,,,,209.3544,percent of total billed charges,136.0754334,,,,,,,,,,209.3544,percent of total billed charges,999999999,,,,,,,,,,232.616,percent of total billed charges,194.9201162,,,,229.7083,percent of total billed charges,221.678395,,,,229.7083,percent of total billed charges,195.8601999,,,,232.616,percent of total billed charges,999999999,,,,232.616,percent of total billed charges,999999999,,,,203.539,percent of total billed charges,999999999,,,,203.539,percent of total billed charges,999999999,,,,,,,,,,,,,,,,154.68964,percent of total billed charges,999999999,,,,,,,,,,,,,,,,146.83885,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,72.6925,percent of total billed charges,69.04009376,,,,,,,,,,72.6925,percent of total billed charges,67.89165878,,,,,,,,,,72.6925,percent of total billed charges,67.70299077,,,,,,,,,,72.6925,percent of total billed charges,66.70606505,,,,,,,,,,72.6925,percent of total billed charges,68.42251017,,,,,,,,,,72.6925,percent of total billed charges,999999999,,,,,,,,,,72.6925,percent of total billed charges,58.71133204,,,,,,,,,,72.6925,percent of total billed charges,92.59181935,,,,,,,,,,72.6925,percent of total billed charges,999999999,,,,,,,,,,72.6925,percent of total billed charges,63.30517483,,,,,,,,,,261.693,percent of total billed charges,,,,,
DORZOLAMIDE-TIMOLOL 2%/0.5% OPTH:10mL,250,RC,6586-2094-01,NDC,,both,1,EA,113.63,113.63,24.19000263,113.63,113.63,percent of total billed charges,83.60162779,,,,113.63,percent of total billed charges,88.61607245,,,,113.63,percent of total billed charges,83.60162779,,,,113.63,percent of total billed charges,88.61607245,,,,113.63,percent of total billed charges,999999999,,,,113.63,percent of total billed charges,86.57825026,,,,113.63,percent of total billed charges,83.60162779,,,,113.63,percent of total billed charges,88.61607245,,,,81.01819,percent of total billed charges,40.42955945,,,,81.01819,percent of total billed charges,24.19000263,,,,81.01819,percent of total billed charges,40.42955945,,,,81.01819,percent of total billed charges,24.19000263,,,,81.01819,percent of total billed charges,40.42955945,,,,81.01819,percent of total billed charges,24.19000263,,,,80.22278,percent of total billed charges,79.61410796,,,,80.22278,percent of total billed charges,54.90921923,,,,,,,,,,81.8136,percent of total billed charges,53.17691475,,,,,,,,,,81.8136,percent of total billed charges,999999999,,,,,,,,,,90.904,percent of total billed charges,76.17282665,,,,89.7677,percent of total billed charges,86.62969365,,,,89.7677,percent of total billed charges,76.54020191,,,,90.904,percent of total billed charges,999999999,,,,90.904,percent of total billed charges,999999999,,,,79.541,percent of total billed charges,999999999,,,,79.541,percent of total billed charges,999999999,,,,,,,,,,,,,,,,60.45116,percent of total billed charges,999999999,,,,,,,,,,,,,,,,57.38315,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,28.4075,percent of total billed charges,26.98017627,,,,,,,,,,28.4075,percent of total billed charges,26.5313794,,,,,,,,,,28.4075,percent of total billed charges,26.45764983,,,,,,,,,,28.4075,percent of total billed charges,26.06806126,,,,,,,,,,28.4075,percent of total billed charges,26.7388308,,,,,,,,,,28.4075,percent of total billed charges,999999999,,,,,,,,,,28.4075,percent of total billed charges,22.94379977,,,,,,,,,,28.4075,percent of total billed charges,36.18395444,,,,,,,,,,28.4075,percent of total billed charges,999999999,,,,,,,,,,28.4075,percent of total billed charges,24.73902746,,,,,,,,,,102.267,percent of total billed charges,,,,,
**FLOVENT 110MCG(FLUTICASONE)INH 60DSE:7,259,RC,0017-3049-00,NDC,,both,1,EA,161,161,34.27431508,161,161,percent of total billed charges,118.4534196,,,,161,percent of total billed charges,125.5582827,,,,161,percent of total billed charges,118.4534196,,,,161,percent of total billed charges,125.5582827,,,,161,percent of total billed charges,999999999,,,,161,percent of total billed charges,122.6709345,,,,161,percent of total billed charges,118.4534196,,,,161,percent of total billed charges,125.5582827,,,,114.793,percent of total billed charges,57.28380772,,,,114.793,percent of total billed charges,34.27431508,,,,114.793,percent of total billed charges,57.28380772,,,,114.793,percent of total billed charges,34.27431508,,,,114.793,percent of total billed charges,57.28380772,,,,114.793,percent of total billed charges,34.27431508,,,,113.666,percent of total billed charges,112.8035852,,,,113.666,percent of total billed charges,77.7997386,,,,,,,,,,115.92,percent of total billed charges,75.34527216,,,,,,,,,,115.92,percent of total billed charges,999999999,,,,,,,,,,128.8,percent of total billed charges,107.9277047,,,,127.19,percent of total billed charges,122.7438236,,,,127.19,percent of total billed charges,108.4482312,,,,128.8,percent of total billed charges,999999999,,,,128.8,percent of total billed charges,999999999,,,,112.7,percent of total billed charges,999999999,,,,112.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,85.652,percent of total billed charges,999999999,,,,,,,,,,,,,,,,81.305,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,40.25,percent of total billed charges,38.22765449,,,,,,,,,,40.25,percent of total billed charges,37.59176347,,,,,,,,,,40.25,percent of total billed charges,37.48729757,,,,,,,,,,40.25,percent of total billed charges,36.93529757,,,,,,,,,,40.25,percent of total billed charges,37.88569707,,,,,,,,,,40.25,percent of total billed charges,999999999,,,,,,,,,,40.25,percent of total billed charges,32.508596,,,,,,,,,,40.25,percent of total billed charges,51.26829767,,,,,,,,,,40.25,percent of total billed charges,999999999,,,,,,,,,,40.25,percent of total billed charges,35.05221704,,,,,,,,,,144.9,percent of total billed charges,,,,,
FLUTICASONE (FLOVENT) 44 MCG INHALER,259,RC,0017-3071-20,NDC,,both,1,EA,505.39,505.39,107.5894168,505.39,505.39,percent of total billed charges,371.8333773,,,,505.39,percent of total billed charges,394.1360279,,,,505.39,percent of total billed charges,371.8333773,,,,505.39,percent of total billed charges,394.1360279,,,,505.39,percent of total billed charges,999999999,,,,505.39,percent of total billed charges,385.0724448,,,,505.39,percent of total billed charges,371.8333773,,,,505.39,percent of total billed charges,394.1360279,,,,360.34307,percent of total billed charges,179.8177862,,,,360.34307,percent of total billed charges,107.5894168,,,,360.34307,percent of total billed charges,179.8177862,,,,360.34307,percent of total billed charges,107.5894168,,,,360.34307,percent of total billed charges,179.8177862,,,,360.34307,percent of total billed charges,107.5894168,,,,356.80534,percent of total billed charges,354.0981609,,,,356.80534,percent of total billed charges,244.218695,,,,,,,,,,363.8808,percent of total billed charges,236.5139571,,,,,,,,,,363.8808,percent of total billed charges,999999999,,,,,,,,,,404.312,percent of total billed charges,338.7924392,,,,399.2581,percent of total billed charges,385.3012485,,,,399.2581,percent of total billed charges,340.4264071,,,,404.312,percent of total billed charges,999999999,,,,404.312,percent of total billed charges,999999999,,,,353.773,percent of total billed charges,999999999,,,,353.773,percent of total billed charges,999999999,,,,,,,,,,,,,,,,268.86748,percent of total billed charges,999999999,,,,,,,,,,,,,,,,255.22195,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,126.3475,percent of total billed charges,119.9992193,,,,,,,,,,126.3475,percent of total billed charges,118.0031139,,,,,,,,,,126.3475,percent of total billed charges,117.6751883,,,,,,,,,,126.3475,percent of total billed charges,115.9424226,,,,,,,,,,126.3475,percent of total billed charges,118.9257916,,,,,,,,,,126.3475,percent of total billed charges,999999999,,,,,,,,,,126.3475,percent of total billed charges,102.0467039,,,,,,,,,,126.3475,percent of total billed charges,160.9346892,,,,,,,,,,126.3475,percent of total billed charges,999999999,,,,,,,,,,126.3475,percent of total billed charges,110.0313041,,,,,,,,,,454.851,percent of total billed charges,,,,,
**HID****SALMETEROL) INHALER: 60 DOSE,250,RC,0017-3046-00,NDC,,both,1,EA,130,130,27.6749128,130,130,percent of total billed charges,95.64561834,,,,130,percent of total billed charges,101.3824643,,,,130,percent of total billed charges,95.64561834,,,,130,percent of total billed charges,101.3824643,,,,130,percent of total billed charges,999999999,,,,130,percent of total billed charges,99.05106516,,,,130,percent of total billed charges,95.64561834,,,,130,percent of total billed charges,101.3824643,,,,92.69,percent of total billed charges,46.25400623,,,,92.69,percent of total billed charges,27.6749128,,,,92.69,percent of total billed charges,46.25400623,,,,92.69,percent of total billed charges,27.6749128,,,,92.69,percent of total billed charges,46.25400623,,,,92.69,percent of total billed charges,27.6749128,,,,91.78,percent of total billed charges,91.08364019,,,,91.78,percent of total billed charges,62.81966471,,,,,,,,,,93.6,percent of total billed charges,60.83779739,,,,,,,,,,93.6,percent of total billed charges,999999999,,,,,,,,,,104,percent of total billed charges,87.1465939,,,,102.7,percent of total billed charges,99.10991969,,,,102.7,percent of total billed charges,87.56689473,,,,104,percent of total billed charges,999999999,,,,104,percent of total billed charges,999999999,,,,91,percent of total billed charges,999999999,,,,91,percent of total billed charges,999999999,,,,,,,,,,,,,,,,69.16,percent of total billed charges,999999999,,,,,,,,,,,,,,,,65.65,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,32.5,percent of total billed charges,30.86705021,,,,,,,,,,32.5,percent of total billed charges,30.35359783,,,,,,,,,,32.5,percent of total billed charges,30.26924648,,,,,,,,,,32.5,percent of total billed charges,29.8235322,,,,,,,,,,32.5,percent of total billed charges,30.59093552,,,,,,,,,,32.5,percent of total billed charges,999999999,,,,,,,,,,32.5,percent of total billed charges,26.24917689,,,,,,,,,,32.5,percent of total billed charges,41.3967621,,,,,,,,,,32.5,percent of total billed charges,999999999,,,,,,,,,,32.5,percent of total billed charges,28.30303239,,,,,,,,,,117,percent of total billed charges,,,,,
SIMVASTATIN (ZOCOR) 40 MG TAB,637,RC,6068-7021-01,NDC,,both,1,EA,0.5,0.5,0.106441972,0.5,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,999999999,,,,0.5,percent of total billed charges,0.380965635,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.353,percent of total billed charges,0.350321693,,,,0.353,percent of total billed charges,0.241614095,,,,,,,,,,0.36,percent of total billed charges,0.233991528,,,,,,,,,,0.36,percent of total billed charges,999999999,,,,,,,,,,0.4,percent of total billed charges,0.335179207,,,,0.395,percent of total billed charges,0.381191999,,,,0.395,percent of total billed charges,0.336795749,,,,0.4,percent of total billed charges,999999999,,,,0.4,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.266,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.2525,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.125,percent of total billed charges,0.118719424,,,,,,,,,,0.125,percent of total billed charges,0.116744607,,,,,,,,,,0.125,percent of total billed charges,0.116420179,,,,,,,,,,0.125,percent of total billed charges,0.114705893,,,,,,,,,,0.125,percent of total billed charges,0.117657444,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.100958373,,,,,,,,,,0.125,percent of total billed charges,0.159218316,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.108857817,,,,,,,,,,0.45,percent of total billed charges,,,,,
HYALURONATE OCULAR(PROVISC)INJ: .85ML,250,RC,0806-5183-04,NDC,,both,1,EA,456.25,456.25,97.12829973,456.25,456.25,percent of total billed charges,335.6793336,,,,456.25,percent of total billed charges,355.8134564,,,,456.25,percent of total billed charges,335.6793336,,,,456.25,percent of total billed charges,355.8134564,,,,456.25,percent of total billed charges,999999999,,,,456.25,percent of total billed charges,347.6311421,,,,456.25,percent of total billed charges,335.6793336,,,,456.25,percent of total billed charges,355.8134564,,,,325.30625,percent of total billed charges,162.3337719,,,,325.30625,percent of total billed charges,97.12829973,,,,325.30625,percent of total billed charges,162.3337719,,,,325.30625,percent of total billed charges,97.12829973,,,,325.30625,percent of total billed charges,162.3337719,,,,325.30625,percent of total billed charges,97.12829973,,,,322.1125,percent of total billed charges,319.6685449,,,,322.1125,percent of total billed charges,220.4728617,,,,,,,,,,328.5,percent of total billed charges,213.5172697,,,,,,,,,,328.5,percent of total billed charges,999999999,,,,,,,,,,365,percent of total billed charges,305.8510267,,,,360.4375,percent of total billed charges,347.8376989,,,,360.4375,percent of total billed charges,307.3261209,,,,365,percent of total billed charges,999999999,,,,365,percent of total billed charges,999999999,,,,319.375,percent of total billed charges,999999999,,,,319.375,percent of total billed charges,999999999,,,,,,,,,,,,,,,,242.725,percent of total billed charges,999999999,,,,,,,,,,,,,,,,230.40625,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,114.0625,percent of total billed charges,108.3314743,,,,,,,,,,114.0625,percent of total billed charges,106.5294539,,,,,,,,,,114.0625,percent of total billed charges,106.2334131,,,,,,,,,,114.0625,percent of total billed charges,104.6691274,,,,,,,,,,114.0625,percent of total billed charges,107.3624179,,,,,,,,,,114.0625,percent of total billed charges,999999999,,,,,,,,,,114.0625,percent of total billed charges,92.12451506,,,,,,,,,,114.0625,percent of total billed charges,145.2867131,,,,,,,,,,114.0625,percent of total billed charges,999999999,,,,,,,,,,114.0625,percent of total billed charges,99.33275791,,,,,,,,,,410.625,percent of total billed charges,,,,,
CLINDAMYCIN 600MG: ADVANTAGE,258,RC,0000-9077-26,NDC,,both,1,EA,32.4,32.4,6.897439806,32.4,32.4,percent of total billed charges,23.83783103,,,,32.4,percent of total billed charges,25.26762956,,,,32.4,percent of total billed charges,23.83783103,,,,32.4,percent of total billed charges,25.26762956,,,,32.4,percent of total billed charges,999999999,,,,32.4,percent of total billed charges,24.68657316,,,,32.4,percent of total billed charges,23.83783103,,,,32.4,percent of total billed charges,25.26762956,,,,23.1012,percent of total billed charges,11.52792155,,,,23.1012,percent of total billed charges,6.897439806,,,,23.1012,percent of total billed charges,11.52792155,,,,23.1012,percent of total billed charges,6.897439806,,,,23.1012,percent of total billed charges,11.52792155,,,,23.1012,percent of total billed charges,6.897439806,,,,22.8744,percent of total billed charges,22.70084571,,,,22.8744,percent of total billed charges,15.65659336,,,,,,,,,,23.328,percent of total billed charges,15.16265104,,,,,,,,,,23.328,percent of total billed charges,999999999,,,,,,,,,,25.92,percent of total billed charges,21.71961263,,,,25.596,percent of total billed charges,24.70124152,,,,25.596,percent of total billed charges,21.82436453,,,,25.92,percent of total billed charges,999999999,,,,25.92,percent of total billed charges,999999999,,,,22.68,percent of total billed charges,999999999,,,,22.68,percent of total billed charges,999999999,,,,,,,,,,,,,,,,17.2368,percent of total billed charges,999999999,,,,,,,,,,,,,,,,16.362,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8.1,percent of total billed charges,7.693018668,,,,,,,,,,8.1,percent of total billed charges,7.565050537,,,,,,,,,,8.1,percent of total billed charges,7.544027585,,,,,,,,,,8.1,percent of total billed charges,7.432941871,,,,,,,,,,8.1,percent of total billed charges,7.624202392,,,,,,,,,,8.1,percent of total billed charges,999999999,,,,,,,,,,8.1,percent of total billed charges,6.542102549,,,,,,,,,,8.1,percent of total billed charges,10.31734686,,,,,,,,,,8.1,percent of total billed charges,999999999,,,,,,,,,,8.1,percent of total billed charges,7.053986534,,,,,,,,,,29.16,percent of total billed charges,,,,,
**KETOROLAC (ACULAR) OPTH SUSP  3 ML,250,RC,0002-3218-03,NDC,,both,1,EA,85,85,18.09513529,85,85,percent of total billed charges,62.53751969,,,,85,percent of total billed charges,66.28853435,,,,85,percent of total billed charges,62.53751969,,,,85,percent of total billed charges,66.28853435,,,,85,percent of total billed charges,999999999,,,,85,percent of total billed charges,64.76415799,,,,85,percent of total billed charges,62.53751969,,,,85,percent of total billed charges,66.28853435,,,,60.605,percent of total billed charges,30.24300407,,,,60.605,percent of total billed charges,18.09513529,,,,60.605,percent of total billed charges,30.24300407,,,,60.605,percent of total billed charges,18.09513529,,,,60.605,percent of total billed charges,30.24300407,,,,60.605,percent of total billed charges,18.09513529,,,,60.01,percent of total billed charges,59.55468782,,,,60.01,percent of total billed charges,41.07439615,,,,,,,,,,61.2,percent of total billed charges,39.77855983,,,,,,,,,,61.2,percent of total billed charges,999999999,,,,,,,,,,68,percent of total billed charges,56.98046524,,,,67.15,percent of total billed charges,64.80263979,,,,67.15,percent of total billed charges,57.25527733,,,,68,percent of total billed charges,999999999,,,,68,percent of total billed charges,999999999,,,,59.5,percent of total billed charges,999999999,,,,59.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,45.22,percent of total billed charges,999999999,,,,,,,,,,,,,,,,42.925,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21.25,percent of total billed charges,20.18230206,,,,,,,,,,21.25,percent of total billed charges,19.8465832,,,,,,,,,,21.25,percent of total billed charges,19.79143039,,,,,,,,,,21.25,percent of total billed charges,19.50000182,,,,,,,,,,21.25,percent of total billed charges,20.00176553,,,,,,,,,,21.25,percent of total billed charges,999999999,,,,,,,,,,21.25,percent of total billed charges,17.16292335,,,,,,,,,,21.25,percent of total billed charges,27.06711368,,,,,,,,,,21.25,percent of total billed charges,999999999,,,,,,,,,,21.25,percent of total billed charges,18.50582887,,,,,,,,,,76.5,percent of total billed charges,,,,,
LEVOTHYROXINE (SYNTHROID) 0.075 MG TAB,637,RC,5107-9044-20,NDC,,both,1,EA,2,2,0.425767889,2,2,percent of total billed charges,1.471471051,,,,2,percent of total billed charges,1.55973022,,,,2,percent of total billed charges,1.471471051,,,,2,percent of total billed charges,1.55973022,,,,2,percent of total billed charges,999999999,,,,2,percent of total billed charges,1.523862541,,,,2,percent of total billed charges,1.471471051,,,,2,percent of total billed charges,1.55973022,,,,1.426,percent of total billed charges,0.711600096,,,,1.426,percent of total billed charges,0.425767889,,,,1.426,percent of total billed charges,0.711600096,,,,1.426,percent of total billed charges,0.425767889,,,,1.426,percent of total billed charges,0.711600096,,,,1.426,percent of total billed charges,0.425767889,,,,1.412,percent of total billed charges,1.401286772,,,,1.412,percent of total billed charges,0.96645638,,,,,,,,,,1.44,percent of total billed charges,0.935966114,,,,,,,,,,1.44,percent of total billed charges,999999999,,,,,,,,,,1.6,percent of total billed charges,1.340716829,,,,1.58,percent of total billed charges,1.524767995,,,,1.58,percent of total billed charges,1.347182996,,,,1.6,percent of total billed charges,999999999,,,,1.6,percent of total billed charges,999999999,,,,1.4,percent of total billed charges,999999999,,,,1.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.064,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.01,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.5,percent of total billed charges,0.474877696,,,,,,,,,,0.5,percent of total billed charges,0.466978428,,,,,,,,,,0.5,percent of total billed charges,0.465680715,,,,,,,,,,0.5,percent of total billed charges,0.458823572,,,,,,,,,,0.5,percent of total billed charges,0.470629777,,,,,,,,,,0.5,percent of total billed charges,999999999,,,,,,,,,,0.5,percent of total billed charges,0.403833491,,,,,,,,,,0.5,percent of total billed charges,0.636873263,,,,,,,,,,0.5,percent of total billed charges,999999999,,,,,,,,,,0.5,percent of total billed charges,0.435431268,,,,,,,,,,1.8,percent of total billed charges,,,,,
**TRICOR (FENOFIBRATE) 200 MG: CAP,250,RC,0007-4641-90,NDC,,both,1,EA,10,10,2.128839446,10,10,percent of total billed charges,7.357355257,,,,10,percent of total billed charges,7.7986511,,,,10,percent of total billed charges,7.357355257,,,,10,percent of total billed charges,7.7986511,,,,10,percent of total billed charges,999999999,,,,10,percent of total billed charges,7.619312704,,,,10,percent of total billed charges,7.357355257,,,,10,percent of total billed charges,7.7986511,,,,7.13,percent of total billed charges,3.558000479,,,,7.13,percent of total billed charges,2.128839446,,,,7.13,percent of total billed charges,3.558000479,,,,7.13,percent of total billed charges,2.128839446,,,,7.13,percent of total billed charges,3.558000479,,,,7.13,percent of total billed charges,2.128839446,,,,7.06,percent of total billed charges,7.006433861,,,,7.06,percent of total billed charges,4.8322819,,,,,,,,,,7.2,percent of total billed charges,4.679830569,,,,,,,,,,7.2,percent of total billed charges,999999999,,,,,,,,,,8,percent of total billed charges,6.703584146,,,,7.9,percent of total billed charges,7.623839976,,,,7.9,percent of total billed charges,6.735914979,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,999999999,,,,7,percent of total billed charges,999999999,,,,7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.32,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.05,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.5,percent of total billed charges,2.374388478,,,,,,,,,,2.5,percent of total billed charges,2.334892141,,,,,,,,,,2.5,percent of total billed charges,2.328403576,,,,,,,,,,2.5,percent of total billed charges,2.294117861,,,,,,,,,,2.5,percent of total billed charges,2.353148886,,,,,,,,,,2.5,percent of total billed charges,999999999,,,,,,,,,,2.5,percent of total billed charges,2.019167453,,,,,,,,,,2.5,percent of total billed charges,3.184366315,,,,,,,,,,2.5,percent of total billed charges,999999999,,,,,,,,,,2.5,percent of total billed charges,2.177156338,,,,,,,,,,9,percent of total billed charges,,,,,
**HYDROMORPHONE 0.2MG/ML  30ML PCA,J1170,CDM,5901-1044-10,NDC,,both,1,EA,43,43,9.154009619,43,43,percent of total billed charges,31.63662761,,,,43,percent of total billed charges,33.53419973,,,,43,percent of total billed charges,31.63662761,,,,43,percent of total billed charges,33.53419973,,,,43,percent of total billed charges,999999999,,,,43,percent of total billed charges,32.76304463,,,,43,percent of total billed charges,31.63662761,,,,43,percent of total billed charges,33.53419973,,,,30.659,percent of total billed charges,15.29940206,,,,30.659,percent of total billed charges,9.154009619,,,,30.659,percent of total billed charges,15.29940206,,,,30.659,percent of total billed charges,9.154009619,,,,30.659,percent of total billed charges,15.29940206,,,,30.659,percent of total billed charges,9.154009619,,,,30.358,percent of total billed charges,30.1276656,,,,30.358,percent of total billed charges,20.77881217,,,,,,,,,,30.96,percent of total billed charges,20.12327145,,,,,,,,,,30.96,percent of total billed charges,999999999,,,,,,,,,,34.4,percent of total billed charges,28.82541183,,,,33.97,percent of total billed charges,32.7825119,,,,33.97,percent of total billed charges,28.96443441,,,,34.4,percent of total billed charges,999999999,,,,34.4,percent of total billed charges,999999999,,,,30.1,percent of total billed charges,999999999,,,,30.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,22.876,percent of total billed charges,999999999,,,,,,,,,,,,,,,,21.715,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10.75,percent of total billed charges,10.20987045,,,,,,,,,,10.75,percent of total billed charges,10.04003621,,,,,,,,,,10.75,percent of total billed charges,10.01213538,,,,,,,,,,10.75,percent of total billed charges,9.864706804,,,,,,,,,,10.75,percent of total billed charges,10.11854021,,,,,,,,,,10.75,percent of total billed charges,999999999,,,,,,,,,,10.75,percent of total billed charges,8.68242005,,,,,,,,,,10.75,percent of total billed charges,13.69277516,,,,,,,,,,10.75,percent of total billed charges,999999999,,,,,,,,,,10.75,percent of total billed charges,9.361772252,,,,,,,,,,38.7,percent of total billed charges,,,,,
**INFLUENZA (6-36 MONTHS) VACCINE 2011 -,90656,CDM,4928-1001-25,NDC,,both,1,EA,33,33,7.025170173,33,33,percent of total billed charges,24.27927235,,,,33,percent of total billed charges,25.73554863,,,,33,percent of total billed charges,24.27927235,,,,33,percent of total billed charges,25.73554863,,,,33,percent of total billed charges,999999999,,,,33,percent of total billed charges,25.14373192,,,,33,percent of total billed charges,24.27927235,,,,33,percent of total billed charges,25.73554863,,,,23.529,percent of total billed charges,11.74140158,,,,23.529,percent of total billed charges,7.025170173,,,,23.529,percent of total billed charges,11.74140158,,,,23.529,percent of total billed charges,7.025170173,,,,23.529,percent of total billed charges,11.74140158,,,,23.529,percent of total billed charges,7.025170173,,,,23.298,percent of total billed charges,23.12123174,,,,23.298,percent of total billed charges,15.94653027,,,,,,,,,,23.76,percent of total billed charges,15.44344088,,,,,,,,,,23.76,percent of total billed charges,999999999,,,,,,,,,,26.4,percent of total billed charges,22.12182768,,,,26.07,percent of total billed charges,25.15867192,,,,26.07,percent of total billed charges,22.22851943,,,,26.4,percent of total billed charges,999999999,,,,26.4,percent of total billed charges,999999999,,,,23.1,percent of total billed charges,999999999,,,,23.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,17.556,percent of total billed charges,999999999,,,,,,,,,,,,,,,,16.665,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8.25,percent of total billed charges,7.835481976,,,,,,,,,,8.25,percent of total billed charges,7.705144065,,,,,,,,,,8.25,percent of total billed charges,7.6837318,,,,,,,,,,8.25,percent of total billed charges,7.570588942,,,,,,,,,,8.25,percent of total billed charges,7.765391325,,,,,,,,,,8.25,percent of total billed charges,999999999,,,,,,,,,,8.25,percent of total billed charges,6.663252596,,,,,,,,,,8.25,percent of total billed charges,10.50840884,,,,,,,,,,8.25,percent of total billed charges,999999999,,,,,,,,,,8.25,percent of total billed charges,7.184615914,,,,,,,,,,29.7,percent of total billed charges,,,,,
VENLAFAXINE I/R (EFFEXOR) 75MG TAB,637,RC,6808-4085-01,NDC,,both,1,EA,3.28,3.28,0.698259338,3.28,3.28,percent of total billed charges,2.413212524,,,,3.28,percent of total billed charges,2.557957561,,,,3.28,percent of total billed charges,2.413212524,,,,3.28,percent of total billed charges,2.557957561,,,,3.28,percent of total billed charges,999999999,,,,3.28,percent of total billed charges,2.499134567,,,,3.28,percent of total billed charges,2.413212524,,,,3.28,percent of total billed charges,2.557957561,,,,2.33864,percent of total billed charges,1.167024157,,,,2.33864,percent of total billed charges,0.698259338,,,,2.33864,percent of total billed charges,1.167024157,,,,2.33864,percent of total billed charges,0.698259338,,,,2.33864,percent of total billed charges,1.167024157,,,,2.33864,percent of total billed charges,0.698259338,,,,2.31568,percent of total billed charges,2.298110306,,,,2.31568,percent of total billed charges,1.584988463,,,,,,,,,,2.3616,percent of total billed charges,1.534984427,,,,,,,,,,2.3616,percent of total billed charges,999999999,,,,,,,,,,2.624,percent of total billed charges,2.1987756,,,,2.5912,percent of total billed charges,2.500619512,,,,2.5912,percent of total billed charges,2.209380113,,,,2.624,percent of total billed charges,999999999,,,,2.624,percent of total billed charges,999999999,,,,2.296,percent of total billed charges,999999999,,,,2.296,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.74496,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.6564,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.82,percent of total billed charges,0.778799421,,,,,,,,,,0.82,percent of total billed charges,0.765844622,,,,,,,,,,0.82,percent of total billed charges,0.763716373,,,,,,,,,,0.82,percent of total billed charges,0.752470659,,,,,,,,,,0.82,percent of total billed charges,0.771832835,,,,,,,,,,0.82,percent of total billed charges,999999999,,,,,,,,,,0.82,percent of total billed charges,0.662286925,,,,,,,,,,0.82,percent of total billed charges,1.044472151,,,,,,,,,,0.82,percent of total billed charges,999999999,,,,,,,,,,0.82,percent of total billed charges,0.714107279,,,,,,,,,,2.952,percent of total billed charges,,,,,
HYDROCORTISONE (Solu CORTEF) 1000MG:,J1720,CDM,0000-9000-01,NDC,,both,1,EA,156.46,156.46,33.30782198,156.46,156.46,percent of total billed charges,115.1131804,,,,156.46,percent of total billed charges,122.0176951,,,,156.46,percent of total billed charges,115.1131804,,,,156.46,percent of total billed charges,122.0176951,,,,156.46,percent of total billed charges,999999999,,,,156.46,percent of total billed charges,119.2117666,,,,156.46,percent of total billed charges,115.1131804,,,,156.46,percent of total billed charges,122.0176951,,,,111.55598,percent of total billed charges,55.6684755,,,,111.55598,percent of total billed charges,33.30782198,,,,111.55598,percent of total billed charges,55.6684755,,,,111.55598,percent of total billed charges,33.30782198,,,,111.55598,percent of total billed charges,55.6684755,,,,111.55598,percent of total billed charges,33.30782198,,,,110.46076,percent of total billed charges,109.6226642,,,,110.46076,percent of total billed charges,75.60588261,,,,,,,,,,112.6512,percent of total billed charges,73.22062908,,,,,,,,,,112.6512,percent of total billed charges,999999999,,,,,,,,,,125.168,percent of total billed charges,104.8842775,,,,123.6034,percent of total billed charges,119.2826003,,,,123.6034,percent of total billed charges,105.3901258,,,,125.168,percent of total billed charges,999999999,,,,125.168,percent of total billed charges,999999999,,,,109.522,percent of total billed charges,999999999,,,,109.522,percent of total billed charges,999999999,,,,,,,,,,,,,,,,83.23672,percent of total billed charges,999999999,,,,,,,,,,,,,,,,79.0123,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,39.115,percent of total billed charges,37.14968212,,,,,,,,,,39.115,percent of total billed charges,36.53172244,,,,,,,,,,39.115,percent of total billed charges,36.43020234,,,,,,,,,,39.115,percent of total billed charges,35.89376806,,,,,,,,,,39.115,percent of total billed charges,36.81736748,,,,,,,,,,39.115,percent of total billed charges,999999999,,,,,,,,,,39.115,percent of total billed charges,31.59189398,,,,,,,,,,39.115,percent of total billed charges,49.82259537,,,,,,,,,,39.115,percent of total billed charges,999999999,,,,,,,,,,39.115,percent of total billed charges,34.06378806,,,,,,,,,,140.814,percent of total billed charges,,,,,
fosPHENYTOIN (CEREBYX) 100 PE/2ML,258,RC,6467-9072-01,NDC,,both,1,EA,39.84,39.84,8.481296354,39.84,39.84,percent of total billed charges,29.31170334,,,,39.84,percent of total billed charges,31.06982598,,,,39.84,percent of total billed charges,29.31170334,,,,39.84,percent of total billed charges,31.06982598,,,,39.84,percent of total billed charges,999999999,,,,39.84,percent of total billed charges,30.35534181,,,,39.84,percent of total billed charges,29.31170334,,,,39.84,percent of total billed charges,31.06982598,,,,28.40592,percent of total billed charges,14.17507391,,,,28.40592,percent of total billed charges,8.481296354,,,,28.40592,percent of total billed charges,14.17507391,,,,28.40592,percent of total billed charges,8.481296354,,,,28.40592,percent of total billed charges,14.17507391,,,,28.40592,percent of total billed charges,8.481296354,,,,28.12704,percent of total billed charges,27.9136325,,,,28.12704,percent of total billed charges,19.25181109,,,,,,,,,,28.6848,percent of total billed charges,18.64444499,,,,,,,,,,28.6848,percent of total billed charges,999999999,,,,,,,,,,31.872,percent of total billed charges,26.70707924,,,,31.4736,percent of total billed charges,30.37337846,,,,31.4736,percent of total billed charges,26.83588528,,,,31.872,percent of total billed charges,999999999,,,,31.872,percent of total billed charges,999999999,,,,27.888,percent of total billed charges,999999999,,,,27.888,percent of total billed charges,999999999,,,,,,,,,,,,,,,,21.19488,percent of total billed charges,999999999,,,,,,,,,,,,,,,,20.1192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9.96,percent of total billed charges,9.459563695,,,,,,,,,,9.96,percent of total billed charges,9.302210289,,,,,,,,,,9.96,percent of total billed charges,9.276359845,,,,,,,,,,9.96,percent of total billed charges,9.139765559,,,,,,,,,,9.96,percent of total billed charges,9.374945164,,,,,,,,,,9.96,percent of total billed charges,999999999,,,,,,,,,,9.96,percent of total billed charges,8.044363135,,,,,,,,,,9.96,percent of total billed charges,12.6865154,,,,,,,,,,9.96,percent of total billed charges,999999999,,,,,,,,,,9.96,percent of total billed charges,8.673790849,,,,,,,,,,35.856,percent of total billed charges,,,,,
PENICILLIN BENZ. (BICILLIN LA) 600 KU,J0561,CDM,6079-3070-10,NDC,,both,1,EA,858.89,858.89,182.8438912,858.89,858.89,percent of total billed charges,631.9158857,,,,858.89,percent of total billed charges,669.8183443,,,,858.89,percent of total billed charges,631.9158857,,,,858.89,percent of total billed charges,669.8183443,,,,858.89,percent of total billed charges,999999999,,,,858.89,percent of total billed charges,654.4151489,,,,858.89,percent of total billed charges,631.9158857,,,,858.89,percent of total billed charges,669.8183443,,,,612.38857,percent of total billed charges,305.5931032,,,,612.38857,percent of total billed charges,182.8438912,,,,612.38857,percent of total billed charges,305.5931032,,,,612.38857,percent of total billed charges,182.8438912,,,,612.38857,percent of total billed charges,305.5931032,,,,612.38857,percent of total billed charges,182.8438912,,,,606.37634,percent of total billed charges,601.7755979,,,,606.37634,percent of total billed charges,415.0398601,,,,,,,,,,618.4008,percent of total billed charges,401.9459677,,,,,,,,,,618.4008,percent of total billed charges,999999999,,,,,,,,,,687.112,percent of total billed charges,575.7641387,,,,678.5231,percent of total billed charges,654.8039917,,,,678.5231,percent of total billed charges,578.5410017,,,,687.112,percent of total billed charges,999999999,,,,687.112,percent of total billed charges,999999999,,,,601.223,percent of total billed charges,999999999,,,,601.223,percent of total billed charges,999999999,,,,,,,,,,,,,,,,456.92948,percent of total billed charges,999999999,,,,,,,,,,,,,,,,433.73945,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,214.7225,percent of total billed charges,203.933852,,,,,,,,,,214.7225,percent of total billed charges,200.5415511,,,,,,,,,,214.7225,percent of total billed charges,199.9842547,,,,,,,,,,214.7225,percent of total billed charges,197.039489,,,,,,,,,,214.7225,percent of total billed charges,202.1096047,,,,,,,,,,214.7225,percent of total billed charges,999999999,,,,,,,,,,214.7225,percent of total billed charges,173.4242734,,,,,,,,,,214.7225,percent of total billed charges,273.5020384,,,,,,,,,,214.7225,percent of total billed charges,999999999,,,,,,,,,,214.7225,percent of total billed charges,186.9937807,,,,,,,,,,773.001,percent of total billed charges,,,,,
cefTRIAXone (ROCEPHIN): 500MG: FOR IM,J0696,CDM,0040-9733-11,NDC,,both,1,EA,12.4,12.4,2.639760913,12.4,12.4,percent of total billed charges,9.123120519,,,,12.4,percent of total billed charges,9.670327364,,,,12.4,percent of total billed charges,9.123120519,,,,12.4,percent of total billed charges,9.670327364,,,,12.4,percent of total billed charges,999999999,,,,12.4,percent of total billed charges,9.447947753,,,,12.4,percent of total billed charges,9.123120519,,,,12.4,percent of total billed charges,9.670327364,,,,8.8412,percent of total billed charges,4.411920594,,,,8.8412,percent of total billed charges,2.639760913,,,,8.8412,percent of total billed charges,4.411920594,,,,8.8412,percent of total billed charges,2.639760913,,,,8.8412,percent of total billed charges,4.411920594,,,,8.8412,percent of total billed charges,2.639760913,,,,8.7544,percent of total billed charges,8.687977987,,,,8.7544,percent of total billed charges,5.992029557,,,,,,,,,,8.928,percent of total billed charges,5.802989905,,,,,,,,,,8.928,percent of total billed charges,999999999,,,,,,,,,,9.92,percent of total billed charges,8.312444341,,,,9.796,percent of total billed charges,9.45356157,,,,9.796,percent of total billed charges,8.352534574,,,,9.92,percent of total billed charges,999999999,,,,9.92,percent of total billed charges,999999999,,,,8.68,percent of total billed charges,999999999,,,,8.68,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.5968,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.262,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3.1,percent of total billed charges,2.944241712,,,,,,,,,,3.1,percent of total billed charges,2.895266255,,,,,,,,,,3.1,percent of total billed charges,2.887220434,,,,,,,,,,3.1,percent of total billed charges,2.844706148,,,,,,,,,,3.1,percent of total billed charges,2.917904619,,,,,,,,,,3.1,percent of total billed charges,999999999,,,,,,,,,,3.1,percent of total billed charges,2.503767642,,,,,,,,,,3.1,percent of total billed charges,3.948614231,,,,,,,,,,3.1,percent of total billed charges,999999999,,,,,,,,,,3.1,percent of total billed charges,2.699673859,,,,,,,,,,11.16,percent of total billed charges,,,,,
**ESOMEPRAZOLE (NexIUM) 40MG ORAL SUSP,259,RC,0018-6502-31,NDC,,both,1,EA,35,35,7.450938062,35,35,percent of total billed charges,25.7507434,,,,35,percent of total billed charges,27.29527885,,,,35,percent of total billed charges,25.7507434,,,,35,percent of total billed charges,27.29527885,,,,35,percent of total billed charges,999999999,,,,35,percent of total billed charges,26.66759446,,,,35,percent of total billed charges,25.7507434,,,,35,percent of total billed charges,27.29527885,,,,24.955,percent of total billed charges,12.45300168,,,,24.955,percent of total billed charges,7.450938062,,,,24.955,percent of total billed charges,12.45300168,,,,24.955,percent of total billed charges,7.450938062,,,,24.955,percent of total billed charges,12.45300168,,,,24.955,percent of total billed charges,7.450938062,,,,24.71,percent of total billed charges,24.52251851,,,,24.71,percent of total billed charges,16.91298665,,,,,,,,,,25.2,percent of total billed charges,16.37940699,,,,,,,,,,25.2,percent of total billed charges,999999999,,,,,,,,,,28,percent of total billed charges,23.46254451,,,,27.65,percent of total billed charges,26.68343992,,,,27.65,percent of total billed charges,23.57570243,,,,28,percent of total billed charges,999999999,,,,28,percent of total billed charges,999999999,,,,24.5,percent of total billed charges,999999999,,,,24.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,18.62,percent of total billed charges,999999999,,,,,,,,,,,,,,,,17.675,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8.75,percent of total billed charges,8.310359672,,,,,,,,,,8.75,percent of total billed charges,8.172122493,,,,,,,,,,8.75,percent of total billed charges,8.149412515,,,,,,,,,,8.75,percent of total billed charges,8.029412515,,,,,,,,,,8.75,percent of total billed charges,8.236021103,,,,,,,,,,8.75,percent of total billed charges,999999999,,,,,,,,,,8.75,percent of total billed charges,7.067086087,,,,,,,,,,8.75,percent of total billed charges,11.1452821,,,,,,,,,,8.75,percent of total billed charges,999999999,,,,,,,,,,8.75,percent of total billed charges,7.620047182,,,,,,,,,,31.5,percent of total billed charges,,,,,
**TELEVANCIN (VIBATIV): 250MG INJ,J3095,CDM,0046-9352-30,NDC,,both,1,EA,122,122,25.97184124,122,122,percent of total billed charges,89.75973414,,,,122,percent of total billed charges,95.14354342,,,,122,percent of total billed charges,89.75973414,,,,122,percent of total billed charges,95.14354342,,,,122,percent of total billed charges,999999999,,,,122,percent of total billed charges,92.95561499,,,,122,percent of total billed charges,89.75973414,,,,122,percent of total billed charges,95.14354342,,,,86.986,percent of total billed charges,43.40760585,,,,86.986,percent of total billed charges,25.97184124,,,,86.986,percent of total billed charges,43.40760585,,,,86.986,percent of total billed charges,25.97184124,,,,86.986,percent of total billed charges,43.40760585,,,,86.986,percent of total billed charges,25.97184124,,,,86.132,percent of total billed charges,85.4784931,,,,86.132,percent of total billed charges,58.95383918,,,,,,,,,,87.84,percent of total billed charges,57.09393294,,,,,,,,,,87.84,percent of total billed charges,999999999,,,,,,,,,,97.6,percent of total billed charges,81.78372658,,,,96.38,percent of total billed charges,93.01084771,,,,96.38,percent of total billed charges,82.17816275,,,,97.6,percent of total billed charges,999999999,,,,97.6,percent of total billed charges,999999999,,,,85.4,percent of total billed charges,999999999,,,,85.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,64.904,percent of total billed charges,999999999,,,,,,,,,,,,,,,,61.61,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,30.5,percent of total billed charges,28.96753943,,,,,,,,,,30.5,percent of total billed charges,28.48568412,,,,,,,,,,30.5,percent of total billed charges,28.40652362,,,,,,,,,,30.5,percent of total billed charges,27.98823791,,,,,,,,,,30.5,percent of total billed charges,28.70841641,,,,,,,,,,30.5,percent of total billed charges,999999999,,,,,,,,,,30.5,percent of total billed charges,24.63384293,,,,,,,,,,30.5,percent of total billed charges,38.84926905,,,,,,,,,,30.5,percent of total billed charges,999999999,,,,,,,,,,30.5,percent of total billed charges,26.56130732,,,,,,,,,,109.8,percent of total billed charges,,,,,
AZTREONAM (AZACTAM) 2 GM IVPB,J0457,CDM,6332-3040-30,NDC,,both,1,EA,610.21,610.21,129.9039118,610.21,610.21,percent of total billed charges,448.9531752,,,,610.21,percent of total billed charges,475.8814888,,,,610.21,percent of total billed charges,448.9531752,,,,610.21,percent of total billed charges,475.8814888,,,,610.21,percent of total billed charges,999999999,,,,610.21,percent of total billed charges,464.9380805,,,,610.21,percent of total billed charges,448.9531752,,,,610.21,percent of total billed charges,475.8814888,,,,435.07973,percent of total billed charges,217.1127472,,,,435.07973,percent of total billed charges,129.9039118,,,,435.07973,percent of total billed charges,217.1127472,,,,435.07973,percent of total billed charges,129.9039118,,,,435.07973,percent of total billed charges,217.1127472,,,,435.07973,percent of total billed charges,129.9039118,,,,430.80826,percent of total billed charges,427.5396006,,,,430.80826,percent of total billed charges,294.8706738,,,,,,,,,,439.3512,percent of total billed charges,285.5679411,,,,,,,,,,439.3512,percent of total billed charges,999999999,,,,,,,,,,488.168,percent of total billed charges,409.0594082,,,,482.0659,percent of total billed charges,465.2143392,,,,482.0659,percent of total billed charges,411.032268,,,,488.168,percent of total billed charges,999999999,,,,488.168,percent of total billed charges,999999999,,,,427.147,percent of total billed charges,999999999,,,,427.147,percent of total billed charges,999999999,,,,,,,,,,,,,,,,324.63172,percent of total billed charges,999999999,,,,,,,,,,,,,,,,308.15605,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,152.5525,percent of total billed charges,144.8875593,,,,,,,,,,152.5525,percent of total billed charges,142.4774533,,,,,,,,,,152.5525,percent of total billed charges,142.0815146,,,,,,,,,,152.5525,percent of total billed charges,139.989366,,,,,,,,,,152.5525,percent of total billed charges,143.5914982,,,,,,,,,,152.5525,percent of total billed charges,999999999,,,,,,,,,,152.5525,percent of total billed charges,123.2116172,,,,,,,,,,152.5525,percent of total billed charges,194.3132169,,,,,,,,,,152.5525,percent of total billed charges,999999999,,,,,,,,,,152.5525,percent of total billed charges,132.8522569,,,,,,,,,,549.189,percent of total billed charges,,,,,
**WHEAT DEXTRIN (BENEFIBER): 161GM BOTTL,250,RC,0067-0006-35,NDC,,both,1,EA,16,16,3.406143114,16,16,percent of total billed charges,11.77176841,,,,16,percent of total billed charges,12.47784176,,,,16,percent of total billed charges,11.77176841,,,,16,percent of total billed charges,12.47784176,,,,16,percent of total billed charges,999999999,,,,16,percent of total billed charges,12.19090033,,,,16,percent of total billed charges,11.77176841,,,,16,percent of total billed charges,12.47784176,,,,11.408,percent of total billed charges,5.692800767,,,,11.408,percent of total billed charges,3.406143114,,,,11.408,percent of total billed charges,5.692800767,,,,11.408,percent of total billed charges,3.406143114,,,,11.408,percent of total billed charges,5.692800767,,,,11.408,percent of total billed charges,3.406143114,,,,11.296,percent of total billed charges,11.21029418,,,,11.296,percent of total billed charges,7.731651041,,,,,,,,,,11.52,percent of total billed charges,7.48772891,,,,,,,,,,11.52,percent of total billed charges,999999999,,,,,,,,,,12.8,percent of total billed charges,10.72573463,,,,12.64,percent of total billed charges,12.19814396,,,,12.64,percent of total billed charges,10.77746397,,,,12.8,percent of total billed charges,999999999,,,,12.8,percent of total billed charges,999999999,,,,11.2,percent of total billed charges,999999999,,,,11.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,8.512,percent of total billed charges,999999999,,,,,,,,,,,,,,,,8.08,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4,percent of total billed charges,3.799021564,,,,,,,,,,4,percent of total billed charges,3.735827425,,,,,,,,,,4,percent of total billed charges,3.725445721,,,,,,,,,,4,percent of total billed charges,3.670588578,,,,,,,,,,4,percent of total billed charges,3.765038218,,,,,,,,,,4,percent of total billed charges,999999999,,,,,,,,,,4,percent of total billed charges,3.230667926,,,,,,,,,,4,percent of total billed charges,5.094986104,,,,,,,,,,4,percent of total billed charges,999999999,,,,,,,,,,4,percent of total billed charges,3.48345014,,,,,,,,,,14.4,percent of total billed charges,,,,,
**TORSEMIDE (DEMADEX) INJ 50MG/5ML,J3265,CDM,0051-7077-10,NDC,,both,1,EA,105,105,22.35281419,105,105,percent of total billed charges,77.2522302,,,,105,percent of total billed charges,81.88583655,,,,105,percent of total billed charges,77.2522302,,,,105,percent of total billed charges,81.88583655,,,,105,percent of total billed charges,999999999,,,,105,percent of total billed charges,80.00278339,,,,105,percent of total billed charges,77.2522302,,,,105,percent of total billed charges,81.88583655,,,,74.865,percent of total billed charges,37.35900503,,,,74.865,percent of total billed charges,22.35281419,,,,74.865,percent of total billed charges,37.35900503,,,,74.865,percent of total billed charges,22.35281419,,,,74.865,percent of total billed charges,37.35900503,,,,74.865,percent of total billed charges,22.35281419,,,,74.13,percent of total billed charges,73.56755554,,,,74.13,percent of total billed charges,50.73895995,,,,,,,,,,75.6,percent of total billed charges,49.13822097,,,,,,,,,,75.6,percent of total billed charges,999999999,,,,,,,,,,84,percent of total billed charges,70.38763353,,,,82.95,percent of total billed charges,80.05031975,,,,82.95,percent of total billed charges,70.72710728,,,,84,percent of total billed charges,999999999,,,,84,percent of total billed charges,999999999,,,,73.5,percent of total billed charges,999999999,,,,73.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,55.86,percent of total billed charges,999999999,,,,,,,,,,,,,,,,53.025,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,26.25,percent of total billed charges,24.93107902,,,,,,,,,,26.25,percent of total billed charges,24.51636748,,,,,,,,,,26.25,percent of total billed charges,24.44823754,,,,,,,,,,26.25,percent of total billed charges,24.08823754,,,,,,,,,,26.25,percent of total billed charges,24.70806331,,,,,,,,,,26.25,percent of total billed charges,999999999,,,,,,,,,,26.25,percent of total billed charges,21.20125826,,,,,,,,,,26.25,percent of total billed charges,33.43584631,,,,,,,,,,26.25,percent of total billed charges,999999999,,,,,,,,,,26.25,percent of total billed charges,22.86014155,,,,,,,,,,94.5,percent of total billed charges,,,,,
VANCOMYCIN 500 MG VIAL (MB+),J3370,CDM,0040-9653-01,NDC,,both,1,EA,39.99,39.99,8.513228946,39.99,39.99,percent of total billed charges,29.42206367,,,,39.99,percent of total billed charges,31.18680575,,,,39.99,percent of total billed charges,29.42206367,,,,39.99,percent of total billed charges,31.18680575,,,,39.99,percent of total billed charges,999999999,,,,39.99,percent of total billed charges,30.4696315,,,,39.99,percent of total billed charges,29.42206367,,,,39.99,percent of total billed charges,31.18680575,,,,28.51287,percent of total billed charges,14.22844392,,,,28.51287,percent of total billed charges,8.513228946,,,,28.51287,percent of total billed charges,14.22844392,,,,28.51287,percent of total billed charges,8.513228946,,,,28.51287,percent of total billed charges,14.22844392,,,,28.51287,percent of total billed charges,8.513228946,,,,28.23294,percent of total billed charges,28.01872901,,,,28.23294,percent of total billed charges,19.32429532,,,,,,,,,,28.7928,percent of total billed charges,18.71464244,,,,,,,,,,28.7928,percent of total billed charges,999999999,,,,,,,,,,31.992,percent of total billed charges,26.807633,,,,31.5921,percent of total billed charges,30.48773606,,,,31.5921,percent of total billed charges,26.936924,,,,31.992,percent of total billed charges,999999999,,,,31.992,percent of total billed charges,999999999,,,,27.993,percent of total billed charges,999999999,,,,27.993,percent of total billed charges,999999999,,,,,,,,,,,,,,,,21.27468,percent of total billed charges,999999999,,,,,,,,,,,,,,,,20.19495,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9.9975,percent of total billed charges,9.495179522,,,,,,,,,,9.9975,percent of total billed charges,9.337233672,,,,,,,,,,9.9975,percent of total billed charges,9.311285899,,,,,,,,,,9.9975,percent of total billed charges,9.174177327,,,,,,,,,,9.9975,percent of total billed charges,9.410242397,,,,,,,,,,9.9975,percent of total billed charges,999999999,,,,,,,,,,9.9975,percent of total billed charges,8.074650646,,,,,,,,,,9.9975,percent of total billed charges,12.73428089,,,,,,,,,,9.9975,percent of total billed charges,999999999,,,,,,,,,,9.9975,percent of total billed charges,8.706448194,,,,,,,,,,35.991,percent of total billed charges,,,,,
**PROPOFOL 500MG/50ML INJ,250,RC,6332-3027-57,NDC,,both,1,EA,118,118,25.12030547,118,118,percent of total billed charges,86.81679204,,,,118,percent of total billed charges,92.02408298,,,,118,percent of total billed charges,86.81679204,,,,118,percent of total billed charges,92.02408298,,,,118,percent of total billed charges,999999999,,,,118,percent of total billed charges,89.90788991,,,,118,percent of total billed charges,86.81679204,,,,118,percent of total billed charges,92.02408298,,,,84.134,percent of total billed charges,41.98440566,,,,84.134,percent of total billed charges,25.12030547,,,,84.134,percent of total billed charges,41.98440566,,,,84.134,percent of total billed charges,25.12030547,,,,84.134,percent of total billed charges,41.98440566,,,,84.134,percent of total billed charges,25.12030547,,,,83.308,percent of total billed charges,82.67591956,,,,83.308,percent of total billed charges,57.02092642,,,,,,,,,,84.96,percent of total billed charges,55.22200071,,,,,,,,,,84.96,percent of total billed charges,999999999,,,,,,,,,,94.4,percent of total billed charges,79.10229292,,,,93.22,percent of total billed charges,89.96131171,,,,93.22,percent of total billed charges,79.48379676,,,,94.4,percent of total billed charges,999999999,,,,94.4,percent of total billed charges,999999999,,,,82.6,percent of total billed charges,999999999,,,,82.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,62.776,percent of total billed charges,999999999,,,,,,,,,,,,,,,,59.59,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,29.5,percent of total billed charges,28.01778404,,,,,,,,,,29.5,percent of total billed charges,27.55172726,,,,,,,,,,29.5,percent of total billed charges,27.47516219,,,,,,,,,,29.5,percent of total billed charges,27.07059076,,,,,,,,,,29.5,percent of total billed charges,27.76715686,,,,,,,,,,29.5,percent of total billed charges,999999999,,,,,,,,,,29.5,percent of total billed charges,23.82617595,,,,,,,,,,29.5,percent of total billed charges,37.57552252,,,,,,,,,,29.5,percent of total billed charges,999999999,,,,,,,,,,29.5,percent of total billed charges,25.69044478,,,,,,,,,,106.2,percent of total billed charges,,,,,
**ESOMEPRAZOLE 80MG/100ML IV DRIP,250,RC,0018-6604-01,NDC,,both,1,EA,544,544,115.8088659,544,544,percent of total billed charges,400.240126,,,,544,percent of total billed charges,424.2466198,,,,544,percent of total billed charges,400.240126,,,,544,percent of total billed charges,424.2466198,,,,544,percent of total billed charges,999999999,,,,544,percent of total billed charges,414.4906111,,,,544,percent of total billed charges,400.240126,,,,544,percent of total billed charges,424.2466198,,,,387.872,percent of total billed charges,193.5552261,,,,387.872,percent of total billed charges,115.8088659,,,,387.872,percent of total billed charges,193.5552261,,,,387.872,percent of total billed charges,115.8088659,,,,387.872,percent of total billed charges,193.5552261,,,,387.872,percent of total billed charges,115.8088659,,,,384.064,percent of total billed charges,381.150002,,,,384.064,percent of total billed charges,262.8761354,,,,,,,,,,391.68,percent of total billed charges,254.5827829,,,,,,,,,,391.68,percent of total billed charges,999999999,,,,,,,,,,435.2,percent of total billed charges,364.6749775,,,,429.76,percent of total billed charges,414.7368947,,,,429.76,percent of total billed charges,366.4337749,,,,435.2,percent of total billed charges,999999999,,,,435.2,percent of total billed charges,999999999,,,,380.8,percent of total billed charges,999999999,,,,380.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,289.408,percent of total billed charges,999999999,,,,,,,,,,,,,,,,274.72,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,136,percent of total billed charges,129.1667332,,,,,,,,,,136,percent of total billed charges,127.0181325,,,,,,,,,,136,percent of total billed charges,126.6651545,,,,,,,,,,136,percent of total billed charges,124.8000117,,,,,,,,,,136,percent of total billed charges,128.0112994,,,,,,,,,,136,percent of total billed charges,999999999,,,,,,,,,,136,percent of total billed charges,109.8427095,,,,,,,,,,136,percent of total billed charges,173.2295275,,,,,,,,,,136,percent of total billed charges,999999999,,,,,,,,,,136,percent of total billed charges,118.4373048,,,,,,,,,,489.6,percent of total billed charges,,,,,
dexAMETHasone (DECADRON) 20MG/5ML INJ,J1100,CDM,6745-7042-54,NDC,,both,1,EA,7.75,7.75,1.649850571,7.75,7.75,percent of total billed charges,5.701950324,,,,7.75,percent of total billed charges,6.043954603,,,,7.75,percent of total billed charges,5.701950324,,,,7.75,percent of total billed charges,6.043954603,,,,7.75,percent of total billed charges,999999999,,,,7.75,percent of total billed charges,5.904967346,,,,7.75,percent of total billed charges,5.701950324,,,,7.75,percent of total billed charges,6.043954603,,,,5.52575,percent of total billed charges,2.757450371,,,,5.52575,percent of total billed charges,1.649850571,,,,5.52575,percent of total billed charges,2.757450371,,,,5.52575,percent of total billed charges,1.649850571,,,,5.52575,percent of total billed charges,2.757450371,,,,5.52575,percent of total billed charges,1.649850571,,,,5.4715,percent of total billed charges,5.429986242,,,,5.4715,percent of total billed charges,3.745018473,,,,,,,,,,5.58,percent of total billed charges,3.626868691,,,,,,,,,,5.58,percent of total billed charges,999999999,,,,,,,,,,6.2,percent of total billed charges,5.195277713,,,,6.1225,percent of total billed charges,5.908475981,,,,6.1225,percent of total billed charges,5.220334109,,,,6.2,percent of total billed charges,999999999,,,,6.2,percent of total billed charges,999999999,,,,5.425,percent of total billed charges,999999999,,,,5.425,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.123,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.91375,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.9375,percent of total billed charges,1.84015107,,,,,,,,,,1.9375,percent of total billed charges,1.809541409,,,,,,,,,,1.9375,percent of total billed charges,1.804512771,,,,,,,,,,1.9375,percent of total billed charges,1.777941343,,,,,,,,,,1.9375,percent of total billed charges,1.823690387,,,,,,,,,,1.9375,percent of total billed charges,999999999,,,,,,,,,,1.9375,percent of total billed charges,1.564854776,,,,,,,,,,1.9375,percent of total billed charges,2.467883894,,,,,,,,,,1.9375,percent of total billed charges,999999999,,,,,,,,,,1.9375,percent of total billed charges,1.687296162,,,,,,,,,,6.975,percent of total billed charges,,,,,
NEOSTIGMINE (1:2000) 5MG/10ML INJ,J2710,CDM,6332-3038-10,NDC,,both,1,EA,99.98,99.98,21.28413678,99.98,99.98,percent of total billed charges,73.55883786,,,,99.98,percent of total billed charges,77.9709137,,,,99.98,percent of total billed charges,73.55883786,,,,99.98,percent of total billed charges,77.9709137,,,,99.98,percent of total billed charges,999999999,,,,99.98,percent of total billed charges,76.17788842,,,,99.98,percent of total billed charges,73.55883786,,,,99.98,percent of total billed charges,77.9709137,,,,71.28574,percent of total billed charges,35.57288879,,,,71.28574,percent of total billed charges,21.28413678,,,,71.28574,percent of total billed charges,35.57288879,,,,71.28574,percent of total billed charges,21.28413678,,,,71.28574,percent of total billed charges,35.57288879,,,,71.28574,percent of total billed charges,21.28413678,,,,70.58588,percent of total billed charges,70.05032574,,,,70.58588,percent of total billed charges,48.31315444,,,,,,,,,,71.9856,percent of total billed charges,46.78894603,,,,,,,,,,71.9856,percent of total billed charges,999999999,,,,,,,,,,79.984,percent of total billed charges,67.02243429,,,,78.9842,percent of total billed charges,76.22315208,,,,78.9842,percent of total billed charges,67.34567796,,,,79.984,percent of total billed charges,999999999,,,,79.984,percent of total billed charges,999999999,,,,69.986,percent of total billed charges,999999999,,,,69.986,percent of total billed charges,999999999,,,,,,,,,,,,,,,,53.18936,percent of total billed charges,999999999,,,,,,,,,,,,,,,,50.4899,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,24.995,percent of total billed charges,23.739136,,,,,,,,,,24.995,percent of total billed charges,23.34425162,,,,,,,,,,24.995,percent of total billed charges,23.27937895,,,,,,,,,,24.995,percent of total billed charges,22.93659038,,,,,,,,,,24.995,percent of total billed charges,23.52678257,,,,,,,,,,24.995,percent of total billed charges,999999999,,,,,,,,,,24.995,percent of total billed charges,20.1876362,,,,,,,,,,24.995,percent of total billed charges,31.83729442,,,,,,,,,,24.995,percent of total billed charges,999999999,,,,,,,,,,24.995,percent of total billed charges,21.76720906,,,,,,,,,,89.982,percent of total billed charges,,,,,
buPROPion XL (WELLBUTRIN XL) 150MG TAB,637,RC,5107-9004-20,NDC,,both,1,EA,5.18,5.18,1.102738833,5.18,5.18,percent of total billed charges,3.811110023,,,,5.18,percent of total billed charges,4.03970127,,,,5.18,percent of total billed charges,3.811110023,,,,5.18,percent of total billed charges,4.03970127,,,,5.18,percent of total billed charges,999999999,,,,5.18,percent of total billed charges,3.946803981,,,,5.18,percent of total billed charges,3.811110023,,,,5.18,percent of total billed charges,4.03970127,,,,3.69334,percent of total billed charges,1.843044248,,,,3.69334,percent of total billed charges,1.102738833,,,,3.69334,percent of total billed charges,1.843044248,,,,3.69334,percent of total billed charges,1.102738833,,,,3.69334,percent of total billed charges,1.843044248,,,,3.69334,percent of total billed charges,1.102738833,,,,3.65708,percent of total billed charges,3.62933274,,,,3.65708,percent of total billed charges,2.503122024,,,,,,,,,,3.7296,percent of total billed charges,2.424152235,,,,,,,,,,3.7296,percent of total billed charges,999999999,,,,,,,,,,4.144,percent of total billed charges,3.472456588,,,,4.0922,percent of total billed charges,3.949149107,,,,4.0922,percent of total billed charges,3.489203959,,,,4.144,percent of total billed charges,999999999,,,,4.144,percent of total billed charges,999999999,,,,3.626,percent of total billed charges,999999999,,,,3.626,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2.75576,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2.6159,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.295,percent of total billed charges,1.229933231,,,,,,,,,,1.295,percent of total billed charges,1.209474129,,,,,,,,,,1.295,percent of total billed charges,1.206113052,,,,,,,,,,1.295,percent of total billed charges,1.188353052,,,,,,,,,,1.295,percent of total billed charges,1.218931123,,,,,,,,,,1.295,percent of total billed charges,999999999,,,,,,,,,,1.295,percent of total billed charges,1.045928741,,,,,,,,,,1.295,percent of total billed charges,1.649501751,,,,,,,,,,1.295,percent of total billed charges,999999999,,,,,,,,,,1.295,percent of total billed charges,1.127766983,,,,,,,,,,4.662,percent of total billed charges,,,,,
IMMUNE GLOBULIN 10% (PRIVIGEN) PER GRAM,J1459,CDM,4420-6043-10,NDC,,both,1,EA,600.47,600.47,127.8304222,600.47,600.47,percent of total billed charges,441.7871111,,,,600.47,percent of total billed charges,468.2856026,,,,600.47,percent of total billed charges,441.7871111,,,,600.47,percent of total billed charges,468.2856026,,,,600.47,percent of total billed charges,999999999,,,,600.47,percent of total billed charges,457.51687,,,,600.47,percent of total billed charges,441.7871111,,,,600.47,percent of total billed charges,468.2856026,,,,428.13511,percent of total billed charges,213.6472548,,,,428.13511,percent of total billed charges,127.8304222,,,,428.13511,percent of total billed charges,213.6472548,,,,428.13511,percent of total billed charges,127.8304222,,,,428.13511,percent of total billed charges,213.6472548,,,,428.13511,percent of total billed charges,127.8304222,,,,423.93182,percent of total billed charges,420.715334,,,,423.93182,percent of total billed charges,290.1640313,,,,,,,,,,432.3384,percent of total billed charges,281.0097862,,,,,,,,,,432.3384,percent of total billed charges,999999999,,,,,,,,,,480.376,percent of total billed charges,402.5301172,,,,474.3713,percent of total billed charges,457.788719,,,,474.3713,percent of total billed charges,404.4714868,,,,480.376,percent of total billed charges,999999999,,,,480.376,percent of total billed charges,999999999,,,,420.329,percent of total billed charges,999999999,,,,420.329,percent of total billed charges,999999999,,,,,,,,,,,,,,,,319.45004,percent of total billed charges,999999999,,,,,,,,,,,,,,,,303.23735,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,150.1175,percent of total billed charges,142.5749049,,,,,,,,,,150.1175,percent of total billed charges,140.2032684,,,,,,,,,,150.1175,percent of total billed charges,139.8136495,,,,,,,,,,150.1175,percent of total billed charges,137.7548952,,,,,,,,,,150.1175,percent of total billed charges,141.2995312,,,,,,,,,,150.1175,percent of total billed charges,999999999,,,,,,,,,,150.1175,percent of total billed charges,121.2449481,,,,,,,,,,150.1175,percent of total billed charges,191.2116441,,,,,,,,,,150.1175,percent of total billed charges,999999999,,,,,,,,,,150.1175,percent of total billed charges,130.7317066,,,,,,,,,,540.423,percent of total billed charges,,,,,
**HYDROmorphone: 40MG/20ML VIAL,J1170,CDM,0064-1234-41,NDC,,both,1,EA,140,140,29.80375225,140,140,percent of total billed charges,103.0029736,,,,140,percent of total billed charges,109.1811154,,,,140,percent of total billed charges,103.0029736,,,,140,percent of total billed charges,109.1811154,,,,140,percent of total billed charges,999999999,,,,140,percent of total billed charges,106.6703779,,,,140,percent of total billed charges,103.0029736,,,,140,percent of total billed charges,109.1811154,,,,99.82,percent of total billed charges,49.81200671,,,,99.82,percent of total billed charges,29.80375225,,,,99.82,percent of total billed charges,49.81200671,,,,99.82,percent of total billed charges,29.80375225,,,,99.82,percent of total billed charges,49.81200671,,,,99.82,percent of total billed charges,29.80375225,,,,98.84,percent of total billed charges,98.09007405,,,,98.84,percent of total billed charges,67.65194661,,,,,,,,,,100.8,percent of total billed charges,65.51762796,,,,,,,,,,100.8,percent of total billed charges,999999999,,,,,,,,,,112,percent of total billed charges,93.85017804,,,,110.6,percent of total billed charges,106.7337597,,,,110.6,percent of total billed charges,94.30280971,,,,112,percent of total billed charges,999999999,,,,112,percent of total billed charges,999999999,,,,98,percent of total billed charges,999999999,,,,98,percent of total billed charges,999999999,,,,,,,,,,,,,,,,74.48,percent of total billed charges,999999999,,,,,,,,,,,,,,,,70.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,35,percent of total billed charges,33.24143869,,,,,,,,,,35,percent of total billed charges,32.68848997,,,,,,,,,,35,percent of total billed charges,32.59765006,,,,,,,,,,35,percent of total billed charges,32.11765006,,,,,,,,,,35,percent of total billed charges,32.94408441,,,,,,,,,,35,percent of total billed charges,999999999,,,,,,,,,,35,percent of total billed charges,28.26834435,,,,,,,,,,35,percent of total billed charges,44.58112841,,,,,,,,,,35,percent of total billed charges,999999999,,,,,,,,,,35,percent of total billed charges,30.48018873,,,,,,,,,,126,percent of total billed charges,,,,,
**INFLUENZA (PEDIATRIC) VACCINE,90685,CDM,4928-1051-25,NDC,,both,1,EA,96,96,20.43685868,96,96,percent of total billed charges,70.63061047,,,,96,percent of total billed charges,74.86705056,,,,96,percent of total billed charges,70.63061047,,,,96,percent of total billed charges,74.86705056,,,,96,percent of total billed charges,999999999,,,,96,percent of total billed charges,73.14540196,,,,96,percent of total billed charges,70.63061047,,,,96,percent of total billed charges,74.86705056,,,,68.448,percent of total billed charges,34.1568046,,,,68.448,percent of total billed charges,20.43685868,,,,68.448,percent of total billed charges,34.1568046,,,,68.448,percent of total billed charges,20.43685868,,,,68.448,percent of total billed charges,34.1568046,,,,68.448,percent of total billed charges,20.43685868,,,,67.776,percent of total billed charges,67.26176506,,,,67.776,percent of total billed charges,46.38990624,,,,,,,,,,69.12,percent of total billed charges,44.92637346,,,,,,,,,,69.12,percent of total billed charges,999999999,,,,,,,,,,76.8,percent of total billed charges,64.3544078,,,,75.84,percent of total billed charges,73.18886377,,,,75.84,percent of total billed charges,64.6647838,,,,76.8,percent of total billed charges,999999999,,,,76.8,percent of total billed charges,999999999,,,,67.2,percent of total billed charges,999999999,,,,67.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,51.072,percent of total billed charges,999999999,,,,,,,,,,,,,,,,48.48,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,24,percent of total billed charges,22.79412939,,,,,,,,,,24,percent of total billed charges,22.41496455,,,,,,,,,,24,percent of total billed charges,22.35267433,,,,,,,,,,24,percent of total billed charges,22.02353147,,,,,,,,,,24,percent of total billed charges,22.59022931,,,,,,,,,,24,percent of total billed charges,999999999,,,,,,,,,,24,percent of total billed charges,19.38400755,,,,,,,,,,24,percent of total billed charges,30.56991663,,,,,,,,,,24,percent of total billed charges,999999999,,,,,,,,,,24,percent of total billed charges,20.90070084,,,,,,,,,,86.4,percent of total billed charges,,,,,
HYDROmorphone: 50 MG/5 ML AMP,J1171,CDM,0070-3011-03,NDC,,both,1,EA,186.84,186.84,39.77523621,186.84,186.84,percent of total billed charges,137.4648256,,,,186.84,percent of total billed charges,145.7099972,,,,186.84,percent of total billed charges,137.4648256,,,,186.84,percent of total billed charges,145.7099972,,,,186.84,percent of total billed charges,999999999,,,,186.84,percent of total billed charges,142.3592386,,,,186.84,percent of total billed charges,137.4648256,,,,186.84,percent of total billed charges,145.7099972,,,,133.21692,percent of total billed charges,66.47768095,,,,133.21692,percent of total billed charges,39.77523621,,,,133.21692,percent of total billed charges,66.47768095,,,,133.21692,percent of total billed charges,39.77523621,,,,133.21692,percent of total billed charges,66.47768095,,,,133.21692,percent of total billed charges,39.77523621,,,,131.90904,percent of total billed charges,130.9082103,,,,131.90904,percent of total billed charges,90.28635503,,,,,,,,,,134.5248,percent of total billed charges,87.43795435,,,,,,,,,,134.5248,percent of total billed charges,999999999,,,,,,,,,,149.472,percent of total billed charges,125.2497662,,,,147.6036,percent of total billed charges,142.4438261,,,,147.6036,percent of total billed charges,125.8538355,,,,149.472,percent of total billed charges,999999999,,,,149.472,percent of total billed charges,999999999,,,,130.788,percent of total billed charges,999999999,,,,130.788,percent of total billed charges,999999999,,,,,,,,,,,,,,,,99.39888,percent of total billed charges,999999999,,,,,,,,,,,,,,,,94.3542,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,46.71,percent of total billed charges,44.36307432,,,,,,,,,,46.71,percent of total billed charges,43.62512476,,,,,,,,,,46.71,percent of total billed charges,43.50389241,,,,,,,,,,46.71,percent of total billed charges,42.86329812,,,,,,,,,,46.71,percent of total billed charges,43.96623379,,,,,,,,,,46.71,percent of total billed charges,999999999,,,,,,,,,,46.71,percent of total billed charges,37.7261247,,,,,,,,,,46.71,percent of total billed charges,59.49670023,,,,,,,,,,46.71,percent of total billed charges,999999999,,,,,,,,,,46.71,percent of total billed charges,40.67798901,,,,,,,,,,168.156,percent of total billed charges,,,,,
AMOXICILLIN (AMOXIL) 875 MG TAB,259,RC,6586-2001-01,NDC,,both,1,EA,2.7,2.7,0.57478665,2.7,2.7,percent of total billed charges,1.986485919,,,,2.7,percent of total billed charges,2.105635797,,,,2.7,percent of total billed charges,1.986485919,,,,2.7,percent of total billed charges,2.105635797,,,,2.7,percent of total billed charges,999999999,,,,2.7,percent of total billed charges,2.05721443,,,,2.7,percent of total billed charges,1.986485919,,,,2.7,percent of total billed charges,2.105635797,,,,1.9251,percent of total billed charges,0.960660129,,,,1.9251,percent of total billed charges,0.57478665,,,,1.9251,percent of total billed charges,0.960660129,,,,1.9251,percent of total billed charges,0.57478665,,,,1.9251,percent of total billed charges,0.960660129,,,,1.9251,percent of total billed charges,0.57478665,,,,1.9062,percent of total billed charges,1.891737142,,,,1.9062,percent of total billed charges,1.304716113,,,,,,,,,,1.944,percent of total billed charges,1.263554254,,,,,,,,,,1.944,percent of total billed charges,999999999,,,,,,,,,,2.16,percent of total billed charges,1.809967719,,,,2.133,percent of total billed charges,2.058436793,,,,2.133,percent of total billed charges,1.818697044,,,,2.16,percent of total billed charges,999999999,,,,2.16,percent of total billed charges,999999999,,,,1.89,percent of total billed charges,999999999,,,,1.89,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.4364,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.3635,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.675,percent of total billed charges,0.641084889,,,,,,,,,,0.675,percent of total billed charges,0.630420878,,,,,,,,,,0.675,percent of total billed charges,0.628668965,,,,,,,,,,0.675,percent of total billed charges,0.619411823,,,,,,,,,,0.675,percent of total billed charges,0.635350199,,,,,,,,,,0.675,percent of total billed charges,999999999,,,,,,,,,,0.675,percent of total billed charges,0.545175212,,,,,,,,,,0.675,percent of total billed charges,0.859778905,,,,,,,,,,0.675,percent of total billed charges,999999999,,,,,,,,,,0.675,percent of total billed charges,0.587832211,,,,,,,,,,2.43,percent of total billed charges,,,,,
dilTIAZem (CARDIZEM) 50MG/10ML VIAL,250,RC,5539-0056-10,NDC,,both,1,EA,33.02,33.02,7.029427851,33.02,33.02,percent of total billed charges,24.29398706,,,,33.02,percent of total billed charges,25.75114593,,,,33.02,percent of total billed charges,24.29398706,,,,33.02,percent of total billed charges,25.75114593,,,,33.02,percent of total billed charges,999999999,,,,33.02,percent of total billed charges,25.15897055,,,,33.02,percent of total billed charges,24.29398706,,,,33.02,percent of total billed charges,25.75114593,,,,23.54326,percent of total billed charges,11.74851758,,,,23.54326,percent of total billed charges,7.029427851,,,,23.54326,percent of total billed charges,11.74851758,,,,23.54326,percent of total billed charges,7.029427851,,,,23.54326,percent of total billed charges,11.74851758,,,,23.54326,percent of total billed charges,7.029427851,,,,23.31212,percent of total billed charges,23.13524461,,,,23.31212,percent of total billed charges,15.95619484,,,,,,,,,,23.7744,percent of total billed charges,15.45280054,,,,,,,,,,23.7744,percent of total billed charges,999999999,,,,,,,,,,26.416,percent of total billed charges,22.13523485,,,,26.0858,percent of total billed charges,25.1739196,,,,26.0858,percent of total billed charges,22.24199126,,,,26.416,percent of total billed charges,999999999,,,,26.416,percent of total billed charges,999999999,,,,23.114,percent of total billed charges,999999999,,,,23.114,percent of total billed charges,999999999,,,,,,,,,,,,,,,,17.56664,percent of total billed charges,999999999,,,,,,,,,,,,,,,,16.6751,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8.255,percent of total billed charges,7.840230753,,,,,,,,,,8.255,percent of total billed charges,7.709813849,,,,,,,,,,8.255,percent of total billed charges,7.688388607,,,,,,,,,,8.255,percent of total billed charges,7.575177178,,,,,,,,,,8.255,percent of total billed charges,7.770097623,,,,,,,,,,8.255,percent of total billed charges,999999999,,,,,,,,,,8.255,percent of total billed charges,6.667290931,,,,,,,,,,8.255,percent of total billed charges,10.51477757,,,,,,,,,,8.255,percent of total billed charges,999999999,,,,,,,,,,8.255,percent of total billed charges,7.188970227,,,,,,,,,,29.718,percent of total billed charges,,,,,
"HEPARIN 12,500 UNITS / D5W 250ML",J1644,CDM,7101-9013-02,NDC,,both,1,EA,96.1,96.1,20.45814708,96.1,96.1,percent of total billed charges,70.70418402,,,,96.1,percent of total billed charges,74.94503707,,,,96.1,percent of total billed charges,70.70418402,,,,96.1,percent of total billed charges,74.94503707,,,,96.1,percent of total billed charges,999999999,,,,96.1,percent of total billed charges,73.22159509,,,,96.1,percent of total billed charges,70.70418402,,,,96.1,percent of total billed charges,74.94503707,,,,68.5193,percent of total billed charges,34.19238461,,,,68.5193,percent of total billed charges,20.45814708,,,,68.5193,percent of total billed charges,34.19238461,,,,68.5193,percent of total billed charges,20.45814708,,,,68.5193,percent of total billed charges,34.19238461,,,,68.5193,percent of total billed charges,20.45814708,,,,67.8466,percent of total billed charges,67.3318294,,,,67.8466,percent of total billed charges,46.43822906,,,,,,,,,,69.192,percent of total billed charges,44.97317177,,,,,,,,,,69.192,percent of total billed charges,999999999,,,,,,,,,,76.88,percent of total billed charges,64.42144364,,,,75.919,percent of total billed charges,73.26510217,,,,75.919,percent of total billed charges,64.73214295,,,,76.88,percent of total billed charges,999999999,,,,76.88,percent of total billed charges,999999999,,,,67.27,percent of total billed charges,999999999,,,,67.27,percent of total billed charges,999999999,,,,,,,,,,,,,,,,51.1252,percent of total billed charges,999999999,,,,,,,,,,,,,,,,48.5305,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,24.025,percent of total billed charges,22.81787327,,,,,,,,,,24.025,percent of total billed charges,22.43831347,,,,,,,,,,24.025,percent of total billed charges,22.37595836,,,,,,,,,,24.025,percent of total billed charges,22.04647265,,,,,,,,,,24.025,percent of total billed charges,22.6137608,,,,,,,,,,24.025,percent of total billed charges,999999999,,,,,,,,,,24.025,percent of total billed charges,19.40419923,,,,,,,,,,24.025,percent of total billed charges,30.60176029,,,,,,,,,,24.025,percent of total billed charges,999999999,,,,,,,,,,24.025,percent of total billed charges,20.9224724,,,,,,,,,,86.49,percent of total billed charges,,,,,
**DORIPENEM (DORIBAX): 500MG INJ,J1267,CDM,5963-0032-10,NDC,,both,1,EA,350,350,74.50938062,350,350,percent of total billed charges,257.507434,,,,350,percent of total billed charges,272.9527885,,,,350,percent of total billed charges,257.507434,,,,350,percent of total billed charges,272.9527885,,,,350,percent of total billed charges,999999999,,,,350,percent of total billed charges,266.6759446,,,,350,percent of total billed charges,257.507434,,,,350,percent of total billed charges,272.9527885,,,,249.55,percent of total billed charges,124.5300168,,,,249.55,percent of total billed charges,74.50938062,,,,249.55,percent of total billed charges,124.5300168,,,,249.55,percent of total billed charges,74.50938062,,,,249.55,percent of total billed charges,124.5300168,,,,249.55,percent of total billed charges,74.50938062,,,,247.1,percent of total billed charges,245.2251851,,,,247.1,percent of total billed charges,169.1298665,,,,,,,,,,252,percent of total billed charges,163.7940699,,,,,,,,,,252,percent of total billed charges,999999999,,,,,,,,,,280,percent of total billed charges,234.6254451,,,,276.5,percent of total billed charges,266.8343992,,,,276.5,percent of total billed charges,235.7570243,,,,280,percent of total billed charges,999999999,,,,280,percent of total billed charges,999999999,,,,245,percent of total billed charges,999999999,,,,245,percent of total billed charges,999999999,,,,,,,,,,,,,,,,186.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,176.75,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,87.5,percent of total billed charges,83.10359672,,,,,,,,,,87.5,percent of total billed charges,81.72122493,,,,,,,,,,87.5,percent of total billed charges,81.49412515,,,,,,,,,,87.5,percent of total billed charges,80.29412515,,,,,,,,,,87.5,percent of total billed charges,82.36021103,,,,,,,,,,87.5,percent of total billed charges,999999999,,,,,,,,,,87.5,percent of total billed charges,70.67086087,,,,,,,,,,87.5,percent of total billed charges,111.452821,,,,,,,,,,87.5,percent of total billed charges,999999999,,,,,,,,,,87.5,percent of total billed charges,76.20047182,,,,,,,,,,315,percent of total billed charges,,,,,
"**MORPHINE 5MG/ML, 1ML VIAL",J2271,CDM,0064-1607-25,NDC,,both,1,EA,13,13,2.76749128,13,13,percent of total billed charges,9.564561834,,,,13,percent of total billed charges,10.13824643,,,,13,percent of total billed charges,9.564561834,,,,13,percent of total billed charges,10.13824643,,,,13,percent of total billed charges,999999999,,,,13,percent of total billed charges,9.905106516,,,,13,percent of total billed charges,9.564561834,,,,13,percent of total billed charges,10.13824643,,,,9.269,percent of total billed charges,4.625400623,,,,9.269,percent of total billed charges,2.76749128,,,,9.269,percent of total billed charges,4.625400623,,,,9.269,percent of total billed charges,2.76749128,,,,9.269,percent of total billed charges,4.625400623,,,,9.269,percent of total billed charges,2.76749128,,,,9.178,percent of total billed charges,9.108364019,,,,9.178,percent of total billed charges,6.281966471,,,,,,,,,,9.36,percent of total billed charges,6.083779739,,,,,,,,,,9.36,percent of total billed charges,999999999,,,,,,,,,,10.4,percent of total billed charges,8.71465939,,,,10.27,percent of total billed charges,9.910991969,,,,10.27,percent of total billed charges,8.756689473,,,,10.4,percent of total billed charges,999999999,,,,10.4,percent of total billed charges,999999999,,,,9.1,percent of total billed charges,999999999,,,,9.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.916,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.565,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3.25,percent of total billed charges,3.086705021,,,,,,,,,,3.25,percent of total billed charges,3.035359783,,,,,,,,,,3.25,percent of total billed charges,3.026924648,,,,,,,,,,3.25,percent of total billed charges,2.98235322,,,,,,,,,,3.25,percent of total billed charges,3.059093552,,,,,,,,,,3.25,percent of total billed charges,999999999,,,,,,,,,,3.25,percent of total billed charges,2.624917689,,,,,,,,,,3.25,percent of total billed charges,4.13967621,,,,,,,,,,3.25,percent of total billed charges,999999999,,,,,,,,,,3.25,percent of total billed charges,2.830303239,,,,,,,,,,11.7,percent of total billed charges,,,,,
carBAMazepine XR (TEGRETOL XR) 100MG TAB,637,RC,0078-1801-01,NDC,,both,1,EA,1.84,1.84,0.391706458,1.84,1.84,percent of total billed charges,1.353753367,,,,1.84,percent of total billed charges,1.434951802,,,,1.84,percent of total billed charges,1.353753367,,,,1.84,percent of total billed charges,1.434951802,,,,1.84,percent of total billed charges,999999999,,,,1.84,percent of total billed charges,1.401953538,,,,1.84,percent of total billed charges,1.353753367,,,,1.84,percent of total billed charges,1.434951802,,,,1.31192,percent of total billed charges,0.654672088,,,,1.31192,percent of total billed charges,0.391706458,,,,1.31192,percent of total billed charges,0.654672088,,,,1.31192,percent of total billed charges,0.391706458,,,,1.31192,percent of total billed charges,0.654672088,,,,1.31192,percent of total billed charges,0.391706458,,,,1.29904,percent of total billed charges,1.28918383,,,,1.29904,percent of total billed charges,0.88913987,,,,,,,,,,1.3248,percent of total billed charges,0.861088825,,,,,,,,,,1.3248,percent of total billed charges,999999999,,,,,,,,,,1.472,percent of total billed charges,1.233459483,,,,1.4536,percent of total billed charges,1.402786556,,,,1.4536,percent of total billed charges,1.239408356,,,,1.472,percent of total billed charges,999999999,,,,1.472,percent of total billed charges,999999999,,,,1.288,percent of total billed charges,999999999,,,,1.288,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.97888,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.9292,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.46,percent of total billed charges,0.43688748,,,,,,,,,,0.46,percent of total billed charges,0.429620154,,,,,,,,,,0.46,percent of total billed charges,0.428426258,,,,,,,,,,0.46,percent of total billed charges,0.422117686,,,,,,,,,,0.46,percent of total billed charges,0.432979395,,,,,,,,,,0.46,percent of total billed charges,999999999,,,,,,,,,,0.46,percent of total billed charges,0.371526811,,,,,,,,,,0.46,percent of total billed charges,0.585923402,,,,,,,,,,0.46,percent of total billed charges,999999999,,,,,,,,,,0.46,percent of total billed charges,0.400596766,,,,,,,,,,1.656,percent of total billed charges,,,,,
NAPROXEN (NAPROSYN) 375 MG TAB,637,RC,0009-3100-01,NDC,,both,1,EA,0.86,0.86,0.183080192,0.86,0.86,percent of total billed charges,0.632732552,,,,0.86,percent of total billed charges,0.670683995,,,,0.86,percent of total billed charges,0.632732552,,,,0.86,percent of total billed charges,0.670683995,,,,0.86,percent of total billed charges,999999999,,,,0.86,percent of total billed charges,0.655260893,,,,0.86,percent of total billed charges,0.632732552,,,,0.86,percent of total billed charges,0.670683995,,,,0.61318,percent of total billed charges,0.305988041,,,,0.61318,percent of total billed charges,0.183080192,,,,0.61318,percent of total billed charges,0.305988041,,,,0.61318,percent of total billed charges,0.183080192,,,,0.61318,percent of total billed charges,0.305988041,,,,0.61318,percent of total billed charges,0.183080192,,,,0.60716,percent of total billed charges,0.602553312,,,,0.60716,percent of total billed charges,0.415576243,,,,,,,,,,0.6192,percent of total billed charges,0.402465429,,,,,,,,,,0.6192,percent of total billed charges,999999999,,,,,,,,,,0.688,percent of total billed charges,0.576508237,,,,0.6794,percent of total billed charges,0.655650238,,,,0.6794,percent of total billed charges,0.579288688,,,,0.688,percent of total billed charges,999999999,,,,0.688,percent of total billed charges,999999999,,,,0.602,percent of total billed charges,999999999,,,,0.602,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.45752,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.4343,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.215,percent of total billed charges,0.204197409,,,,,,,,,,0.215,percent of total billed charges,0.200800724,,,,,,,,,,0.215,percent of total billed charges,0.200242708,,,,,,,,,,0.215,percent of total billed charges,0.197294136,,,,,,,,,,0.215,percent of total billed charges,0.202370804,,,,,,,,,,0.215,percent of total billed charges,999999999,,,,,,,,,,0.215,percent of total billed charges,0.173648401,,,,,,,,,,0.215,percent of total billed charges,0.273855503,,,,,,,,,,0.215,percent of total billed charges,999999999,,,,,,,,,,0.215,percent of total billed charges,0.187235445,,,,,,,,,,0.774,percent of total billed charges,,,,,
**DOCUSATE SYRUP 100MG/25ML,259,RC,0012-1054-10,NDC,,both,1,EA,7,7,1.490187612,7,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,7,percent of total billed charges,999999999,,,,7,percent of total billed charges,5.333518893,,,,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.942,percent of total billed charges,4.904503703,,,,4.942,percent of total billed charges,3.38259733,,,,,,,,,,5.04,percent of total billed charges,3.275881398,,,,,,,,,,5.04,percent of total billed charges,999999999,,,,,,,,,,5.6,percent of total billed charges,4.692508902,,,,5.53,percent of total billed charges,5.336687983,,,,5.53,percent of total billed charges,4.715140486,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,4.9,percent of total billed charges,999999999,,,,4.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.724,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.535,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.75,percent of total billed charges,1.662071934,,,,,,,,,,1.75,percent of total billed charges,1.634424499,,,,,,,,,,1.75,percent of total billed charges,1.629882503,,,,,,,,,,1.75,percent of total billed charges,1.605882503,,,,,,,,,,1.75,percent of total billed charges,1.647204221,,,,,,,,,,1.75,percent of total billed charges,999999999,,,,,,,,,,1.75,percent of total billed charges,1.413417217,,,,,,,,,,1.75,percent of total billed charges,2.229056421,,,,,,,,,,1.75,percent of total billed charges,999999999,,,,,,,,,,1.75,percent of total billed charges,1.524009436,,,,,,,,,,6.3,percent of total billed charges,,,,,
"HEPARIN 25,000 UNITS / 0.45% NACL 500 ML",J1644,CDM,0040-9315-05,NDC,,both,1,EA,113.58,113.58,24.17935843,113.58,113.58,percent of total billed charges,83.56484101,,,,113.58,percent of total billed charges,88.57707919,,,,113.58,percent of total billed charges,83.56484101,,,,113.58,percent of total billed charges,88.57707919,,,,113.58,percent of total billed charges,999999999,,,,113.58,percent of total billed charges,86.54015369,,,,113.58,percent of total billed charges,83.56484101,,,,113.58,percent of total billed charges,88.57707919,,,,80.98254,percent of total billed charges,40.41176944,,,,80.98254,percent of total billed charges,24.17935843,,,,80.98254,percent of total billed charges,40.41176944,,,,80.98254,percent of total billed charges,24.17935843,,,,80.98254,percent of total billed charges,40.41176944,,,,80.98254,percent of total billed charges,24.17935843,,,,80.18748,percent of total billed charges,79.57907579,,,,80.18748,percent of total billed charges,54.88505782,,,,,,,,,,81.7776,percent of total billed charges,53.1535156,,,,,,,,,,81.7776,percent of total billed charges,999999999,,,,,,,,,,90.864,percent of total billed charges,76.13930873,,,,89.7282,percent of total billed charges,86.59157445,,,,89.7282,percent of total billed charges,76.50652234,,,,90.864,percent of total billed charges,999999999,,,,90.864,percent of total billed charges,999999999,,,,79.506,percent of total billed charges,999999999,,,,79.506,percent of total billed charges,999999999,,,,,,,,,,,,,,,,60.42456,percent of total billed charges,999999999,,,,,,,,,,,,,,,,57.3579,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,28.395,percent of total billed charges,26.96830433,,,,,,,,,,28.395,percent of total billed charges,26.51970494,,,,,,,,,,28.395,percent of total billed charges,26.44600781,,,,,,,,,,28.395,percent of total billed charges,26.05659067,,,,,,,,,,28.395,percent of total billed charges,26.72706505,,,,,,,,,,28.395,percent of total billed charges,999999999,,,,,,,,,,28.395,percent of total billed charges,22.93370394,,,,,,,,,,28.395,percent of total billed charges,36.16803261,,,,,,,,,,28.395,percent of total billed charges,999999999,,,,,,,,,,28.395,percent of total billed charges,24.72814168,,,,,,,,,,102.222,percent of total billed charges,,,,,
**PHARMACY CONSULT,Local,Local,,,,both,,,9,9,1.915955502,9,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,9,percent of total billed charges,999999999,,,,9,percent of total billed charges,6.857381434,,,,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.354,percent of total billed charges,6.305790475,,,,6.354,percent of total billed charges,4.34905371,,,,,,,,,,6.48,percent of total billed charges,4.211847512,,,,,,,,,,6.48,percent of total billed charges,999999999,,,,,,,,,,7.2,percent of total billed charges,6.033225731,,,,7.11,percent of total billed charges,6.861455978,,,,7.11,percent of total billed charges,6.062323481,,,,7.2,percent of total billed charges,999999999,,,,7.2,percent of total billed charges,999999999,,,,6.3,percent of total billed charges,999999999,,,,6.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.788,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.545,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.25,percent of total billed charges,2.13694963,,,,,,,,,,2.25,percent of total billed charges,2.101402927,,,,,,,,,,2.25,percent of total billed charges,2.095563218,,,,,,,,,,2.25,percent of total billed charges,2.064706075,,,,,,,,,,2.25,percent of total billed charges,2.117833998,,,,,,,,,,2.25,percent of total billed charges,999999999,,,,,,,,,,2.25,percent of total billed charges,1.817250708,,,,,,,,,,2.25,percent of total billed charges,2.865929684,,,,,,,,,,2.25,percent of total billed charges,999999999,,,,,,,,,,2.25,percent of total billed charges,1.959440704,,,,,,,,,,8.1,percent of total billed charges,,,,,
hydrOXYzine (VISTARIL) 100MG/2ML INJ,J3410,CDM,0051-7560-25,NDC,,both,1,EA,28,28,5.960750449,28,28,percent of total billed charges,20.60059472,,,,28,percent of total billed charges,21.83622308,,,,28,percent of total billed charges,20.60059472,,,,28,percent of total billed charges,21.83622308,,,,28,percent of total billed charges,999999999,,,,28,percent of total billed charges,21.33407557,,,,28,percent of total billed charges,20.60059472,,,,28,percent of total billed charges,21.83622308,,,,19.964,percent of total billed charges,9.962401342,,,,19.964,percent of total billed charges,5.960750449,,,,19.964,percent of total billed charges,9.962401342,,,,19.964,percent of total billed charges,5.960750449,,,,19.964,percent of total billed charges,9.962401342,,,,19.964,percent of total billed charges,5.960750449,,,,19.768,percent of total billed charges,19.61801481,,,,19.768,percent of total billed charges,13.53038932,,,,,,,,,,20.16,percent of total billed charges,13.10352559,,,,,,,,,,20.16,percent of total billed charges,999999999,,,,,,,,,,22.4,percent of total billed charges,18.77003561,,,,22.12,percent of total billed charges,21.34675193,,,,22.12,percent of total billed charges,18.86056194,,,,22.4,percent of total billed charges,999999999,,,,22.4,percent of total billed charges,999999999,,,,19.6,percent of total billed charges,999999999,,,,19.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,14.896,percent of total billed charges,999999999,,,,,,,,,,,,,,,,14.14,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7,percent of total billed charges,6.648287737,,,,,,,,,,7,percent of total billed charges,6.537697995,,,,,,,,,,7,percent of total billed charges,6.519530012,,,,,,,,,,7,percent of total billed charges,6.423530012,,,,,,,,,,7,percent of total billed charges,6.588816882,,,,,,,,,,7,percent of total billed charges,999999999,,,,,,,,,,7,percent of total billed charges,5.65366887,,,,,,,,,,7,percent of total billed charges,8.916225683,,,,,,,,,,7,percent of total billed charges,999999999,,,,,,,,,,7,percent of total billed charges,6.096037745,,,,,,,,,,25.2,percent of total billed charges,,,,,
CLINDAMYCIN 600MG IVPB,258,RC,4306-6099-24,NDC,,both,1,EA,74.85,74.85,15.93436326,74.85,74.85,percent of total billed charges,55.0698041,,,,74.85,percent of total billed charges,58.37290348,,,,74.85,percent of total billed charges,55.0698041,,,,74.85,percent of total billed charges,58.37290348,,,,74.85,percent of total billed charges,999999999,,,,74.85,percent of total billed charges,57.03055559,,,,74.85,percent of total billed charges,55.0698041,,,,74.85,percent of total billed charges,58.37290348,,,,53.36805,percent of total billed charges,26.63163359,,,,53.36805,percent of total billed charges,15.93436326,,,,53.36805,percent of total billed charges,26.63163359,,,,53.36805,percent of total billed charges,15.93436326,,,,53.36805,percent of total billed charges,26.63163359,,,,53.36805,percent of total billed charges,15.93436326,,,,52.8441,percent of total billed charges,52.44315745,,,,52.8441,percent of total billed charges,36.16963002,,,,,,,,,,53.892,percent of total billed charges,35.02853181,,,,,,,,,,53.892,percent of total billed charges,999999999,,,,,,,,,,59.88,percent of total billed charges,50.17632733,,,,59.1315,percent of total billed charges,57.06444222,,,,59.1315,percent of total billed charges,50.41832362,,,,59.88,percent of total billed charges,999999999,,,,59.88,percent of total billed charges,999999999,,,,52.395,percent of total billed charges,999999999,,,,52.395,percent of total billed charges,999999999,,,,,,,,,,,,,,,,39.8202,percent of total billed charges,999999999,,,,,,,,,,,,,,,,37.79925,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18.7125,percent of total billed charges,17.77229776,,,,,,,,,,18.7125,percent of total billed charges,17.47666767,,,,,,,,,,18.7125,percent of total billed charges,17.42810076,,,,,,,,,,18.7125,percent of total billed charges,17.17147219,,,,,,,,,,18.7125,percent of total billed charges,17.61331942,,,,,,,,,,18.7125,percent of total billed charges,999999999,,,,,,,,,,18.7125,percent of total billed charges,15.11346839,,,,,,,,,,18.7125,percent of total billed charges,23.83498187,,,,,,,,,,18.7125,percent of total billed charges,999999999,,,,,,,,,,18.7125,percent of total billed charges,16.29601519,,,,,,,,,,67.365,percent of total billed charges,,,,,
"**DIMETHYLSULFOXIDE (RIMSO) 50%, 50ML",J1212,CDM,6745-7017-50,NDC,,both,1,EA,962,962,204.7943547,962,962,percent of total billed charges,707.7775757,,,,962,percent of total billed charges,750.2302358,,,,962,percent of total billed charges,707.7775757,,,,962,percent of total billed charges,750.2302358,,,,962,percent of total billed charges,999999999,,,,962,percent of total billed charges,732.9778821,,,,962,percent of total billed charges,707.7775757,,,,962,percent of total billed charges,750.2302358,,,,685.906,percent of total billed charges,342.2796461,,,,685.906,percent of total billed charges,204.7943547,,,,685.906,percent of total billed charges,342.2796461,,,,685.906,percent of total billed charges,204.7943547,,,,685.906,percent of total billed charges,342.2796461,,,,685.906,percent of total billed charges,204.7943547,,,,679.172,percent of total billed charges,674.0189374,,,,679.172,percent of total billed charges,464.8655188,,,,,,,,,,692.64,percent of total billed charges,450.1997007,,,,,,,,,,692.64,percent of total billed charges,999999999,,,,,,,,,,769.6,percent of total billed charges,644.8847948,,,,759.98,percent of total billed charges,733.4134057,,,,759.98,percent of total billed charges,647.995021,,,,769.6,percent of total billed charges,999999999,,,,769.6,percent of total billed charges,999999999,,,,673.4,percent of total billed charges,999999999,,,,673.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,511.784,percent of total billed charges,999999999,,,,,,,,,,,,,,,,485.81,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,240.5,percent of total billed charges,228.4161715,,,,,,,,,,240.5,percent of total billed charges,224.616624,,,,,,,,,,240.5,percent of total billed charges,223.992424,,,,,,,,,,240.5,percent of total billed charges,220.6941383,,,,,,,,,,240.5,percent of total billed charges,226.3729229,,,,,,,,,,240.5,percent of total billed charges,999999999,,,,,,,,,,240.5,percent of total billed charges,194.243909,,,,,,,,,,240.5,percent of total billed charges,306.3360395,,,,,,,,,,240.5,percent of total billed charges,999999999,,,,,,,,,,240.5,percent of total billed charges,209.4424397,,,,,,,,,,865.8,percent of total billed charges,,,,,
AMIOdarone 150MG/100ML IVPB,J0282,CDM,4306-6015-10,NDC,,both,1,EA,320.61,320.61,68.25272149,320.61,320.61,percent of total billed charges,235.8841669,,,,320.61,percent of total billed charges,250.0325529,,,,320.61,percent of total billed charges,235.8841669,,,,320.61,percent of total billed charges,250.0325529,,,,320.61,percent of total billed charges,999999999,,,,320.61,percent of total billed charges,244.2827846,,,,320.61,percent of total billed charges,235.8841669,,,,320.61,percent of total billed charges,250.0325529,,,,228.59493,percent of total billed charges,114.0730534,,,,228.59493,percent of total billed charges,68.25272149,,,,228.59493,percent of total billed charges,114.0730534,,,,228.59493,percent of total billed charges,68.25272149,,,,228.59493,percent of total billed charges,114.0730534,,,,228.59493,percent of total billed charges,68.25272149,,,,226.35066,percent of total billed charges,224.633276,,,,226.35066,percent of total billed charges,154.92779,,,,,,,,,,230.8392,percent of total billed charges,150.0400479,,,,,,,,,,230.8392,percent of total billed charges,999999999,,,,,,,,,,256.488,percent of total billed charges,214.9236113,,,,253.2819,percent of total billed charges,244.4279335,,,,253.2819,percent of total billed charges,215.9601702,,,,256.488,percent of total billed charges,999999999,,,,256.488,percent of total billed charges,999999999,,,,224.427,percent of total billed charges,999999999,,,,224.427,percent of total billed charges,999999999,,,,,,,,,,,,,,,,170.56452,percent of total billed charges,999999999,,,,,,,,,,,,,,,,161.90805,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,80.1525,percent of total billed charges,76.12526898,,,,,,,,,,80.1525,percent of total billed charges,74.85897693,,,,,,,,,,80.1525,percent of total billed charges,74.65094704,,,,,,,,,,80.1525,percent of total billed charges,73.55171275,,,,,,,,,,80.1525,percent of total billed charges,75.44430645,,,,,,,,,,80.1525,percent of total billed charges,999999999,,,,,,,,,,80.1525,percent of total billed charges,64.73652772,,,,,,,,,,80.1525,percent of total billed charges,102.0939684,,,,,,,,,,80.1525,percent of total billed charges,999999999,,,,,,,,,,80.1525,percent of total billed charges,69.80180934,,,,,,,,,,288.549,percent of total billed charges,,,,,
**FERUMOXYTOL (FERAHEME) 510MG INJ,Q0138,CDM,5933-8077-01,NDC,,both,1,EA,1667.59,1667.59,355.0031372,1667.59,1667.59,percent of total billed charges,1226.905205,,,,1667.59,percent of total billed charges,1300.495259,,,,1667.59,percent of total billed charges,1226.905205,,,,1667.59,percent of total billed charges,1300.495259,,,,1667.59,percent of total billed charges,999999999,,,,1667.59,percent of total billed charges,1270.588967,,,,1667.59,percent of total billed charges,1226.905205,,,,1667.59,percent of total billed charges,1300.495259,,,,1188.99167,percent of total billed charges,593.3286019,,,,1188.99167,percent of total billed charges,355.0031372,,,,1188.99167,percent of total billed charges,593.3286019,,,,1188.99167,percent of total billed charges,355.0031372,,,,1188.99167,percent of total billed charges,593.3286019,,,,1188.99167,percent of total billed charges,355.0031372,,,,1177.31854,percent of total billed charges,1168.385904,,,,1177.31854,percent of total billed charges,805.8264974,,,,,,,,,,1200.6648,percent of total billed charges,780.4038658,,,,,,,,,,1200.6648,percent of total billed charges,999999999,,,,,,,,,,1334.072,percent of total billed charges,1117.882989,,,,1317.3961,percent of total billed charges,1271.343931,,,,1317.3961,percent of total billed charges,1123.274446,,,,1334.072,percent of total billed charges,999999999,,,,1334.072,percent of total billed charges,999999999,,,,1167.313,percent of total billed charges,999999999,,,,1167.313,percent of total billed charges,999999999,,,,,,,,,,,,,,,,887.15788,percent of total billed charges,999999999,,,,,,,,,,,,,,,,842.13295,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,416.8975,percent of total billed charges,395.9506481,,,,,,,,,,416.8975,percent of total billed charges,389.3642785,,,,,,,,,,416.8975,percent of total billed charges,388.2822519,,,,,,,,,,416.8975,percent of total billed charges,382.5648004,,,,,,,,,,416.8975,percent of total billed charges,392.4087552,,,,,,,,,,416.8975,percent of total billed charges,999999999,,,,,,,,,,416.8975,percent of total billed charges,336.7143454,,,,,,,,,,416.8975,percent of total billed charges,531.0217424,,,,,,,,,,416.8975,percent of total billed charges,999999999,,,,,,,,,,416.8975,percent of total billed charges,363.0604137,,,,,,,,,,1500.831,percent of total billed charges,,,,,
TORSEMIDE(DEMADEX) TAB 100MG,259,RC,3172-2053-01,NDC,,both,1,EA,2.18,2.18,0.464086999,2.18,2.18,percent of total billed charges,1.603903446,,,,2.18,percent of total billed charges,1.70010594,,,,2.18,percent of total billed charges,1.603903446,,,,2.18,percent of total billed charges,1.70010594,,,,2.18,percent of total billed charges,999999999,,,,2.18,percent of total billed charges,1.66101017,,,,2.18,percent of total billed charges,1.603903446,,,,2.18,percent of total billed charges,1.70010594,,,,1.55434,percent of total billed charges,0.775644104,,,,1.55434,percent of total billed charges,0.464086999,,,,1.55434,percent of total billed charges,0.775644104,,,,1.55434,percent of total billed charges,0.464086999,,,,1.55434,percent of total billed charges,0.775644104,,,,1.55434,percent of total billed charges,0.464086999,,,,1.53908,percent of total billed charges,1.527402582,,,,1.53908,percent of total billed charges,1.053437454,,,,,,,,,,1.5696,percent of total billed charges,1.020203064,,,,,,,,,,1.5696,percent of total billed charges,999999999,,,,,,,,,,1.744,percent of total billed charges,1.461381344,,,,1.7222,percent of total billed charges,1.661997115,,,,1.7222,percent of total billed charges,1.468429466,,,,1.744,percent of total billed charges,999999999,,,,1.744,percent of total billed charges,999999999,,,,1.526,percent of total billed charges,999999999,,,,1.526,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.15976,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.1009,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.545,percent of total billed charges,0.517616688,,,,,,,,,,0.545,percent of total billed charges,0.509006487,,,,,,,,,,0.545,percent of total billed charges,0.507591979,,,,,,,,,,0.545,percent of total billed charges,0.500117694,,,,,,,,,,0.545,percent of total billed charges,0.512986457,,,,,,,,,,0.545,percent of total billed charges,999999999,,,,,,,,,,0.545,percent of total billed charges,0.440178505,,,,,,,,,,0.545,percent of total billed charges,0.694191857,,,,,,,,,,0.545,percent of total billed charges,999999999,,,,,,,,,,0.545,percent of total billed charges,0.474620082,,,,,,,,,,1.962,percent of total billed charges,,,,,
**INSULIN 70/30 (HumuLIN 70/30): 3ML FTV,J1815,CDM,0000-2871-17,NDC,,both,1,EA,12.48,12.48,2.656791629,12.48,12.48,percent of total billed charges,9.181979361,,,,12.48,percent of total billed charges,9.732716573,,,,12.48,percent of total billed charges,9.181979361,,,,12.48,percent of total billed charges,9.732716573,,,,12.48,percent of total billed charges,999999999,,,,12.48,percent of total billed charges,9.508902255,,,,12.48,percent of total billed charges,9.181979361,,,,12.48,percent of total billed charges,9.732716573,,,,8.89824,percent of total billed charges,4.440384598,,,,8.89824,percent of total billed charges,2.656791629,,,,8.89824,percent of total billed charges,4.440384598,,,,8.89824,percent of total billed charges,2.656791629,,,,8.89824,percent of total billed charges,4.440384598,,,,8.89824,percent of total billed charges,2.656791629,,,,8.81088,percent of total billed charges,8.744029458,,,,8.81088,percent of total billed charges,6.030687812,,,,,,,,,,8.9856,percent of total billed charges,5.84042855,,,,,,,,,,8.9856,percent of total billed charges,999999999,,,,,,,,,,9.984,percent of total billed charges,8.366073014,,,,9.8592,percent of total billed charges,9.51455229,,,,9.8592,percent of total billed charges,8.406421894,,,,9.984,percent of total billed charges,999999999,,,,9.984,percent of total billed charges,999999999,,,,8.736,percent of total billed charges,999999999,,,,8.736,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.63936,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.3024,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3.12,percent of total billed charges,2.96323682,,,,,,,,,,3.12,percent of total billed charges,2.913945392,,,,,,,,,,3.12,percent of total billed charges,2.905847662,,,,,,,,,,3.12,percent of total billed charges,2.863059091,,,,,,,,,,3.12,percent of total billed charges,2.93672981,,,,,,,,,,3.12,percent of total billed charges,999999999,,,,,,,,,,3.12,percent of total billed charges,2.519920982,,,,,,,,,,3.12,percent of total billed charges,3.974089161,,,,,,,,,,3.12,percent of total billed charges,999999999,,,,,,,,,,3.12,percent of total billed charges,2.717091109,,,,,,,,,,11.232,percent of total billed charges,,,,,
"**INSULIN - HumaLOG 75/25: 100 U/ML, PEN",J1815,CDM,0000-2879-59,NDC,,both,1,EA,54.51,54.51,11.60430382,54.51,54.51,percent of total billed charges,40.10494351,,,,54.51,percent of total billed charges,42.51044715,,,,54.51,percent of total billed charges,40.10494351,,,,54.51,percent of total billed charges,42.51044715,,,,54.51,percent of total billed charges,999999999,,,,54.51,percent of total billed charges,41.53287355,,,,54.51,percent of total billed charges,40.10494351,,,,54.51,percent of total billed charges,42.51044715,,,,38.86563,percent of total billed charges,19.39466061,,,,38.86563,percent of total billed charges,11.60430382,,,,38.86563,percent of total billed charges,19.39466061,,,,38.86563,percent of total billed charges,11.60430382,,,,38.86563,percent of total billed charges,19.39466061,,,,38.86563,percent of total billed charges,11.60430382,,,,38.48406,percent of total billed charges,38.19207097,,,,38.48406,percent of total billed charges,26.34076864,,,,,,,,,,39.2472,percent of total billed charges,25.50975643,,,,,,,,,,39.2472,percent of total billed charges,999999999,,,,,,,,,,43.608,percent of total billed charges,36.54123718,,,,43.0629,percent of total billed charges,41.55755171,,,,43.0629,percent of total billed charges,36.71747255,,,,43.608,percent of total billed charges,999999999,,,,43.608,percent of total billed charges,999999999,,,,38.157,percent of total billed charges,999999999,,,,38.157,percent of total billed charges,999999999,,,,,,,,,,,,,,,,28.99932,percent of total billed charges,999999999,,,,,,,,,,,,,,,,27.52755,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13.6275,percent of total billed charges,12.94279159,,,,,,,,,,13.6275,percent of total billed charges,12.72749706,,,,,,,,,,13.6275,percent of total billed charges,12.69212789,,,,,,,,,,13.6275,percent of total billed charges,12.50523646,,,,,,,,,,13.6275,percent of total billed charges,12.82701458,,,,,,,,,,13.6275,percent of total billed charges,999999999,,,,,,,,,,13.6275,percent of total billed charges,11.00648179,,,,,,,,,,13.6275,percent of total billed charges,17.35798078,,,,,,,,,,13.6275,percent of total billed charges,999999999,,,,,,,,,,13.6275,percent of total billed charges,11.8676792,,,,,,,,,,49.059,percent of total billed charges,,,,,
**INSULIN - NovoLOG 70/30:  PEN,J1815,CDM,0016-9369-19,NDC,,both,1,EA,89.23,89.23,18.99563438,89.23,89.23,percent of total billed charges,65.64968096,,,,89.23,percent of total billed charges,69.58736377,,,,89.23,percent of total billed charges,65.64968096,,,,89.23,percent of total billed charges,69.58736377,,,,89.23,percent of total billed charges,999999999,,,,89.23,percent of total billed charges,67.98712726,,,,89.23,percent of total billed charges,65.64968096,,,,89.23,percent of total billed charges,69.58736377,,,,63.62099,percent of total billed charges,31.74803828,,,,63.62099,percent of total billed charges,18.99563438,,,,63.62099,percent of total billed charges,31.74803828,,,,63.62099,percent of total billed charges,18.99563438,,,,63.62099,percent of total billed charges,31.74803828,,,,63.62099,percent of total billed charges,18.99563438,,,,62.99638,percent of total billed charges,62.51840934,,,,62.99638,percent of total billed charges,43.1184514,,,,,,,,,,64.2456,percent of total billed charges,41.75812817,,,,,,,,,,64.2456,percent of total billed charges,999999999,,,,,,,,,,71.384,percent of total billed charges,59.81608133,,,,70.4917,percent of total billed charges,68.0275241,,,,70.4917,percent of total billed charges,60.10456936,,,,71.384,percent of total billed charges,999999999,,,,71.384,percent of total billed charges,999999999,,,,62.461,percent of total billed charges,999999999,,,,62.461,percent of total billed charges,999999999,,,,,,,,,,,,,,,,47.47036,percent of total billed charges,999999999,,,,,,,,,,,,,,,,45.06115,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,22.3075,percent of total billed charges,21.18666839,,,,,,,,,,22.3075,percent of total billed charges,20.83424257,,,,,,,,,,22.3075,percent of total billed charges,20.77634511,,,,,,,,,,22.3075,percent of total billed charges,20.47041368,,,,,,,,,,22.3075,percent of total billed charges,20.99714751,,,,,,,,,,22.3075,percent of total billed charges,999999999,,,,,,,,,,22.3075,percent of total billed charges,18.01703119,,,,,,,,,,22.3075,percent of total billed charges,28.41410063,,,,,,,,,,22.3075,percent of total billed charges,999999999,,,,,,,,,,22.3075,percent of total billed charges,19.426766,,,,,,,,,,80.307,percent of total billed charges,,,,,
"**INSULIN - HumaLOG 50/50: 100 U/ML, PEN",J1815,CDM,0000-2879-59,NDC,,both,1,EA,56.46,56.46,12.01942751,56.46,56.46,percent of total billed charges,41.53962778,,,,56.46,percent of total billed charges,44.03118411,,,,56.46,percent of total billed charges,41.53962778,,,,56.46,percent of total billed charges,44.03118411,,,,56.46,percent of total billed charges,999999999,,,,56.46,percent of total billed charges,43.01863953,,,,56.46,percent of total billed charges,41.53962778,,,,56.46,percent of total billed charges,44.03118411,,,,40.25598,percent of total billed charges,20.08847071,,,,40.25598,percent of total billed charges,12.01942751,,,,40.25598,percent of total billed charges,20.08847071,,,,40.25598,percent of total billed charges,12.01942751,,,,40.25598,percent of total billed charges,20.08847071,,,,40.25598,percent of total billed charges,12.01942751,,,,39.86076,percent of total billed charges,39.55832558,,,,39.86076,percent of total billed charges,27.28306361,,,,,,,,,,40.6512,percent of total billed charges,26.42232339,,,,,,,,,,40.6512,percent of total billed charges,999999999,,,,,,,,,,45.168,percent of total billed charges,37.84843609,,,,44.6034,percent of total billed charges,43.0442005,,,,44.6034,percent of total billed charges,38.03097597,,,,45.168,percent of total billed charges,999999999,,,,45.168,percent of total billed charges,999999999,,,,39.522,percent of total billed charges,999999999,,,,39.522,percent of total billed charges,999999999,,,,,,,,,,,,,,,,30.03672,percent of total billed charges,999999999,,,,,,,,,,,,,,,,28.5123,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14.115,percent of total billed charges,13.40579734,,,,,,,,,,14.115,percent of total billed charges,13.18280103,,,,,,,,,,14.115,percent of total billed charges,13.14616659,,,,,,,,,,14.115,percent of total billed charges,12.95258945,,,,,,,,,,14.115,percent of total billed charges,13.28587861,,,,,,,,,,14.115,percent of total billed charges,999999999,,,,,,,,,,14.115,percent of total billed charges,11.40021944,,,,,,,,,,14.115,percent of total billed charges,17.97893222,,,,,,,,,,14.115,percent of total billed charges,999999999,,,,,,,,,,14.115,percent of total billed charges,12.29222468,,,,,,,,,,50.814,percent of total billed charges,,,,,
**EPININEPHRINE 2MG IN DEXTROSE 5% 500ML,250,RC,5456-9307-00,NDC,,both,1,EA,50,50,10.64419723,50,50,percent of total billed charges,36.78677629,,,,50,percent of total billed charges,38.9932555,,,,50,percent of total billed charges,36.78677629,,,,50,percent of total billed charges,38.9932555,,,,50,percent of total billed charges,999999999,,,,50,percent of total billed charges,38.09656352,,,,50,percent of total billed charges,36.78677629,,,,50,percent of total billed charges,38.9932555,,,,35.65,percent of total billed charges,17.7900024,,,,35.65,percent of total billed charges,10.64419723,,,,35.65,percent of total billed charges,17.7900024,,,,35.65,percent of total billed charges,10.64419723,,,,35.65,percent of total billed charges,17.7900024,,,,35.65,percent of total billed charges,10.64419723,,,,35.3,percent of total billed charges,35.0321693,,,,35.3,percent of total billed charges,24.1614095,,,,,,,,,,36,percent of total billed charges,23.39915284,,,,,,,,,,36,percent of total billed charges,999999999,,,,,,,,,,40,percent of total billed charges,33.51792073,,,,39.5,percent of total billed charges,38.11919988,,,,39.5,percent of total billed charges,33.6795749,,,,40,percent of total billed charges,999999999,,,,40,percent of total billed charges,999999999,,,,35,percent of total billed charges,999999999,,,,35,percent of total billed charges,999999999,,,,,,,,,,,,,,,,26.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,25.25,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12.5,percent of total billed charges,11.87194239,,,,,,,,,,12.5,percent of total billed charges,11.6744607,,,,,,,,,,12.5,percent of total billed charges,11.64201788,,,,,,,,,,12.5,percent of total billed charges,11.47058931,,,,,,,,,,12.5,percent of total billed charges,11.76574443,,,,,,,,,,12.5,percent of total billed charges,999999999,,,,,,,,,,12.5,percent of total billed charges,10.09583727,,,,,,,,,,12.5,percent of total billed charges,15.92183158,,,,,,,,,,12.5,percent of total billed charges,999999999,,,,,,,,,,12.5,percent of total billed charges,10.88578169,,,,,,,,,,45,percent of total billed charges,,,,,
CITALOPRAM (CeleXA) 10 MG TAB,637,RC,0090-4608-61,NDC,,both,1,EA,0.53,0.53,0.112828491,0.53,0.53,percent of total billed charges,0.389939829,,,,0.53,percent of total billed charges,0.413328508,,,,0.53,percent of total billed charges,0.389939829,,,,0.53,percent of total billed charges,0.413328508,,,,0.53,percent of total billed charges,999999999,,,,0.53,percent of total billed charges,0.403823573,,,,0.53,percent of total billed charges,0.389939829,,,,0.53,percent of total billed charges,0.413328508,,,,0.37789,percent of total billed charges,0.188574025,,,,0.37789,percent of total billed charges,0.112828491,,,,0.37789,percent of total billed charges,0.188574025,,,,0.37789,percent of total billed charges,0.112828491,,,,0.37789,percent of total billed charges,0.188574025,,,,0.37789,percent of total billed charges,0.112828491,,,,0.37418,percent of total billed charges,0.371340995,,,,0.37418,percent of total billed charges,0.256110941,,,,,,,,,,0.3816,percent of total billed charges,0.24803102,,,,,,,,,,0.3816,percent of total billed charges,999999999,,,,,,,,,,0.424,percent of total billed charges,0.35528996,,,,0.4187,percent of total billed charges,0.404063519,,,,0.4187,percent of total billed charges,0.357003494,,,,0.424,percent of total billed charges,999999999,,,,0.424,percent of total billed charges,999999999,,,,0.371,percent of total billed charges,999999999,,,,0.371,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.28196,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.26765,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.1325,percent of total billed charges,0.125842589,,,,,,,,,,0.1325,percent of total billed charges,0.123749283,,,,,,,,,,0.1325,percent of total billed charges,0.12340539,,,,,,,,,,0.1325,percent of total billed charges,0.121588247,,,,,,,,,,0.1325,percent of total billed charges,0.124716891,,,,,,,,,,0.1325,percent of total billed charges,999999999,,,,,,,,,,0.1325,percent of total billed charges,0.107015875,,,,,,,,,,0.1325,percent of total billed charges,0.168771415,,,,,,,,,,0.1325,percent of total billed charges,999999999,,,,,,,,,,0.1325,percent of total billed charges,0.115389286,,,,,,,,,,0.477,percent of total billed charges,,,,,
ISOSORBIDE (SORBITRATE) 10 MG TAB,637,RC,6808-4008-01,NDC,,both,1,EA,1.65,1.65,0.351258509,1.65,1.65,percent of total billed charges,1.213963617,,,,1.65,percent of total billed charges,1.286777432,,,,1.65,percent of total billed charges,1.213963617,,,,1.65,percent of total billed charges,1.286777432,,,,1.65,percent of total billed charges,999999999,,,,1.65,percent of total billed charges,1.257186596,,,,1.65,percent of total billed charges,1.213963617,,,,1.65,percent of total billed charges,1.286777432,,,,1.17645,percent of total billed charges,0.587070079,,,,1.17645,percent of total billed charges,0.351258509,,,,1.17645,percent of total billed charges,0.587070079,,,,1.17645,percent of total billed charges,0.351258509,,,,1.17645,percent of total billed charges,0.587070079,,,,1.17645,percent of total billed charges,0.351258509,,,,1.1649,percent of total billed charges,1.156061587,,,,1.1649,percent of total billed charges,0.797326514,,,,,,,,,,1.188,percent of total billed charges,0.772172044,,,,,,,,,,1.188,percent of total billed charges,999999999,,,,,,,,,,1.32,percent of total billed charges,1.106091384,,,,1.3035,percent of total billed charges,1.257933596,,,,1.3035,percent of total billed charges,1.111425972,,,,1.32,percent of total billed charges,999999999,,,,1.32,percent of total billed charges,999999999,,,,1.155,percent of total billed charges,999999999,,,,1.155,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.8778,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.83325,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.4125,percent of total billed charges,0.391774099,,,,,,,,,,0.4125,percent of total billed charges,0.385257203,,,,,,,,,,0.4125,percent of total billed charges,0.38418659,,,,,,,,,,0.4125,percent of total billed charges,0.378529447,,,,,,,,,,0.4125,percent of total billed charges,0.388269566,,,,,,,,,,0.4125,percent of total billed charges,999999999,,,,,,,,,,0.4125,percent of total billed charges,0.33316263,,,,,,,,,,0.4125,percent of total billed charges,0.525420442,,,,,,,,,,0.4125,percent of total billed charges,999999999,,,,,,,,,,0.4125,percent of total billed charges,0.359230796,,,,,,,,,,1.485,percent of total billed charges,,,,,
SPIRONOLACTONE (ALDACTONE) 100 MG,250,RC,5348-9032-01,NDC,,both,1,EA,3.38,3.38,0.719547733,3.38,3.38,percent of total billed charges,2.486786077,,,,3.38,percent of total billed charges,2.635944072,,,,3.38,percent of total billed charges,2.486786077,,,,3.38,percent of total billed charges,2.635944072,,,,3.38,percent of total billed charges,999999999,,,,3.38,percent of total billed charges,2.575327694,,,,3.38,percent of total billed charges,2.486786077,,,,3.38,percent of total billed charges,2.635944072,,,,2.40994,percent of total billed charges,1.202604162,,,,2.40994,percent of total billed charges,0.719547733,,,,2.40994,percent of total billed charges,1.202604162,,,,2.40994,percent of total billed charges,0.719547733,,,,2.40994,percent of total billed charges,1.202604162,,,,2.40994,percent of total billed charges,0.719547733,,,,2.38628,percent of total billed charges,2.368174645,,,,2.38628,percent of total billed charges,1.633311282,,,,,,,,,,2.4336,percent of total billed charges,1.581782732,,,,,,,,,,2.4336,percent of total billed charges,999999999,,,,,,,,,,2.704,percent of total billed charges,2.265811441,,,,2.6702,percent of total billed charges,2.576857912,,,,2.6702,percent of total billed charges,2.276739263,,,,2.704,percent of total billed charges,999999999,,,,2.704,percent of total billed charges,999999999,,,,2.366,percent of total billed charges,999999999,,,,2.366,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.79816,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.7069,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.845,percent of total billed charges,0.802543305,,,,,,,,,,0.845,percent of total billed charges,0.789193544,,,,,,,,,,0.845,percent of total billed charges,0.787000409,,,,,,,,,,0.845,percent of total billed charges,0.775411837,,,,,,,,,,0.845,percent of total billed charges,0.795364324,,,,,,,,,,0.845,percent of total billed charges,999999999,,,,,,,,,,0.845,percent of total billed charges,0.682478599,,,,,,,,,,0.845,percent of total billed charges,1.076315815,,,,,,,,,,0.845,percent of total billed charges,999999999,,,,,,,,,,0.845,percent of total billed charges,0.735878842,,,,,,,,,,3.042,percent of total billed charges,,,,,
VENLAFAXINE XR (EFFEXOR XR) 150 MG CAP,637,RC,0090-4707-61,NDC,,both,1,EA,2.44,2.44,0.519436825,2.44,2.44,percent of total billed charges,1.795194683,,,,2.44,percent of total billed charges,1.902870868,,,,2.44,percent of total billed charges,1.795194683,,,,2.44,percent of total billed charges,1.902870868,,,,2.44,percent of total billed charges,999999999,,,,2.44,percent of total billed charges,1.8591123,,,,2.44,percent of total billed charges,1.795194683,,,,2.44,percent of total billed charges,1.902870868,,,,1.73972,percent of total billed charges,0.868152117,,,,1.73972,percent of total billed charges,0.519436825,,,,1.73972,percent of total billed charges,0.868152117,,,,1.73972,percent of total billed charges,0.519436825,,,,1.73972,percent of total billed charges,0.868152117,,,,1.73972,percent of total billed charges,0.519436825,,,,1.72264,percent of total billed charges,1.709569862,,,,1.72264,percent of total billed charges,1.179076784,,,,,,,,,,1.7568,percent of total billed charges,1.141878659,,,,,,,,,,1.7568,percent of total billed charges,999999999,,,,,,,,,,1.952,percent of total billed charges,1.635674532,,,,1.9276,percent of total billed charges,1.860216954,,,,1.9276,percent of total billed charges,1.643563255,,,,1.952,percent of total billed charges,999999999,,,,1.952,percent of total billed charges,999999999,,,,1.708,percent of total billed charges,999999999,,,,1.708,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.29808,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.2322,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.61,percent of total billed charges,0.579350789,,,,,,,,,,0.61,percent of total billed charges,0.569713682,,,,,,,,,,0.61,percent of total billed charges,0.568130472,,,,,,,,,,0.61,percent of total billed charges,0.559764758,,,,,,,,,,0.61,percent of total billed charges,0.574168328,,,,,,,,,,0.61,percent of total billed charges,999999999,,,,,,,,,,0.61,percent of total billed charges,0.492676859,,,,,,,,,,0.61,percent of total billed charges,0.776985381,,,,,,,,,,0.61,percent of total billed charges,999999999,,,,,,,,,,0.61,percent of total billed charges,0.531226146,,,,,,,,,,2.196,percent of total billed charges,,,,,
PRAVASTATIN (PRAVACHOL) 10 MG TAB,250,RC,6068-7016-01,NDC,,both,1,EA,1.26,1.26,0.26823377,1.26,1.26,percent of total billed charges,0.927026762,,,,1.26,percent of total billed charges,0.982630039,,,,1.26,percent of total billed charges,0.927026762,,,,1.26,percent of total billed charges,0.982630039,,,,1.26,percent of total billed charges,999999999,,,,1.26,percent of total billed charges,0.960033401,,,,1.26,percent of total billed charges,0.927026762,,,,1.26,percent of total billed charges,0.982630039,,,,0.89838,percent of total billed charges,0.44830806,,,,0.89838,percent of total billed charges,0.26823377,,,,0.89838,percent of total billed charges,0.44830806,,,,0.89838,percent of total billed charges,0.26823377,,,,0.89838,percent of total billed charges,0.44830806,,,,0.89838,percent of total billed charges,0.26823377,,,,0.88956,percent of total billed charges,0.882810666,,,,0.88956,percent of total billed charges,0.608867519,,,,,,,,,,0.9072,percent of total billed charges,0.589658652,,,,,,,,,,0.9072,percent of total billed charges,999999999,,,,,,,,,,1.008,percent of total billed charges,0.844651602,,,,0.9954,percent of total billed charges,0.960603837,,,,0.9954,percent of total billed charges,0.848725287,,,,1.008,percent of total billed charges,999999999,,,,1.008,percent of total billed charges,999999999,,,,0.882,percent of total billed charges,999999999,,,,0.882,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.67032,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.6363,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.315,percent of total billed charges,0.299172948,,,,,,,,,,0.315,percent of total billed charges,0.29419641,,,,,,,,,,0.315,percent of total billed charges,0.293378851,,,,,,,,,,0.315,percent of total billed charges,0.289058851,,,,,,,,,,0.315,percent of total billed charges,0.29649676,,,,,,,,,,0.315,percent of total billed charges,999999999,,,,,,,,,,0.315,percent of total billed charges,0.254415099,,,,,,,,,,0.315,percent of total billed charges,0.401230156,,,,,,,,,,0.315,percent of total billed charges,999999999,,,,,,,,,,0.315,percent of total billed charges,0.274321699,,,,,,,,,,1.134,percent of total billed charges,,,,,
DOXAZOSIN (CARDURA) 1 MG TAB,637,RC,6808-4083-25,NDC,,both,1,EA,2.45,2.45,0.521565664,2.45,2.45,percent of total billed charges,1.802552038,,,,2.45,percent of total billed charges,1.91066952,,,,2.45,percent of total billed charges,1.802552038,,,,2.45,percent of total billed charges,1.91066952,,,,2.45,percent of total billed charges,999999999,,,,2.45,percent of total billed charges,1.866731613,,,,2.45,percent of total billed charges,1.802552038,,,,2.45,percent of total billed charges,1.91066952,,,,1.74685,percent of total billed charges,0.871710117,,,,1.74685,percent of total billed charges,0.521565664,,,,1.74685,percent of total billed charges,0.871710117,,,,1.74685,percent of total billed charges,0.521565664,,,,1.74685,percent of total billed charges,0.871710117,,,,1.74685,percent of total billed charges,0.521565664,,,,1.7297,percent of total billed charges,1.716576296,,,,1.7297,percent of total billed charges,1.183909066,,,,,,,,,,1.764,percent of total billed charges,1.146558489,,,,,,,,,,1.764,percent of total billed charges,999999999,,,,,,,,,,1.96,percent of total billed charges,1.642378116,,,,1.9355,percent of total billed charges,1.867840794,,,,1.9355,percent of total billed charges,1.65029917,,,,1.96,percent of total billed charges,999999999,,,,1.96,percent of total billed charges,999999999,,,,1.715,percent of total billed charges,999999999,,,,1.715,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.3034,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.23725,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.6125,percent of total billed charges,0.581725177,,,,,,,,,,0.6125,percent of total billed charges,0.572048575,,,,,,,,,,0.6125,percent of total billed charges,0.570458876,,,,,,,,,,0.6125,percent of total billed charges,0.562058876,,,,,,,,,,0.6125,percent of total billed charges,0.576521477,,,,,,,,,,0.6125,percent of total billed charges,999999999,,,,,,,,,,0.6125,percent of total billed charges,0.494696026,,,,,,,,,,0.6125,percent of total billed charges,0.780169747,,,,,,,,,,0.6125,percent of total billed charges,999999999,,,,,,,,,,0.6125,percent of total billed charges,0.533403303,,,,,,,,,,2.205,percent of total billed charges,,,,,
HYDROmorphone (DILAUDID) 2MG/ML VIAL,J1171,CDM,0040-9336-10,NDC,,both,1,EA,33.79,33.79,7.193348489,33.79,33.79,percent of total billed charges,24.86050341,,,,33.79,percent of total billed charges,26.35164207,,,,33.79,percent of total billed charges,24.86050341,,,,33.79,percent of total billed charges,26.35164207,,,,33.79,percent of total billed charges,999999999,,,,33.79,percent of total billed charges,25.74565763,,,,33.79,percent of total billed charges,24.86050341,,,,33.79,percent of total billed charges,26.35164207,,,,24.09227,percent of total billed charges,12.02248362,,,,24.09227,percent of total billed charges,7.193348489,,,,24.09227,percent of total billed charges,12.02248362,,,,24.09227,percent of total billed charges,7.193348489,,,,24.09227,percent of total billed charges,12.02248362,,,,24.09227,percent of total billed charges,7.193348489,,,,23.85574,percent of total billed charges,23.67474002,,,,23.85574,percent of total billed charges,16.32828054,,,,,,,,,,24.3288,percent of total billed charges,15.81314749,,,,,,,,,,24.3288,percent of total billed charges,999999999,,,,,,,,,,27.032,percent of total billed charges,22.65141083,,,,26.6941,percent of total billed charges,25.76095528,,,,26.6941,percent of total billed charges,22.76065672,,,,27.032,percent of total billed charges,999999999,,,,27.032,percent of total billed charges,999999999,,,,23.653,percent of total billed charges,999999999,,,,23.653,percent of total billed charges,999999999,,,,,,,,,,,,,,,,17.97628,percent of total billed charges,999999999,,,,,,,,,,,,,,,,17.06395,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8.4475,percent of total billed charges,8.023058666,,,,,,,,,,8.4475,percent of total billed charges,7.889600544,,,,,,,,,,8.4475,percent of total billed charges,7.867675682,,,,,,,,,,8.4475,percent of total billed charges,7.751824253,,,,,,,,,,8.4475,percent of total billed charges,7.951290087,,,,,,,,,,8.4475,percent of total billed charges,999999999,,,,,,,,,,8.4475,percent of total billed charges,6.822766825,,,,,,,,,,8.4475,percent of total billed charges,10.75997378,,,,,,,,,,8.4475,percent of total billed charges,999999999,,,,,,,,,,8.4475,percent of total billed charges,7.356611265,,,,,,,,,,30.411,percent of total billed charges,,,,,
MIDODRINE HCL (PROMATINE) TABLET 10MG,250,RC,0024-5021-11,NDC,,both,1,EA,3.75,3.75,0.798314792,3.75,3.75,percent of total billed charges,2.759008221,,,,3.75,percent of total billed charges,2.924494163,,,,3.75,percent of total billed charges,2.759008221,,,,3.75,percent of total billed charges,2.924494163,,,,3.75,percent of total billed charges,999999999,,,,3.75,percent of total billed charges,2.857242264,,,,3.75,percent of total billed charges,2.759008221,,,,3.75,percent of total billed charges,2.924494163,,,,2.67375,percent of total billed charges,1.33425018,,,,2.67375,percent of total billed charges,0.798314792,,,,2.67375,percent of total billed charges,1.33425018,,,,2.67375,percent of total billed charges,0.798314792,,,,2.67375,percent of total billed charges,1.33425018,,,,2.67375,percent of total billed charges,0.798314792,,,,2.6475,percent of total billed charges,2.627412698,,,,2.6475,percent of total billed charges,1.812105713,,,,,,,,,,2.7,percent of total billed charges,1.754936463,,,,,,,,,,2.7,percent of total billed charges,999999999,,,,,,,,,,3,percent of total billed charges,2.513844055,,,,2.9625,percent of total billed charges,2.858939991,,,,2.9625,percent of total billed charges,2.525968117,,,,3,percent of total billed charges,999999999,,,,3,percent of total billed charges,999999999,,,,2.625,percent of total billed charges,999999999,,,,2.625,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.995,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.89375,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.9375,percent of total billed charges,0.890395679,,,,,,,,,,0.9375,percent of total billed charges,0.875584553,,,,,,,,,,0.9375,percent of total billed charges,0.873151341,,,,,,,,,,0.9375,percent of total billed charges,0.860294198,,,,,,,,,,0.9375,percent of total billed charges,0.882430832,,,,,,,,,,0.9375,percent of total billed charges,999999999,,,,,,,,,,0.9375,percent of total billed charges,0.757187795,,,,,,,,,,0.9375,percent of total billed charges,1.194137368,,,,,,,,,,0.9375,percent of total billed charges,999999999,,,,,,,,,,0.9375,percent of total billed charges,0.816433627,,,,,,,,,,3.375,percent of total billed charges,,,,,
LANSOPRAZOLE ORAL CAP DR 30MG,637,RC,5199-1077-90,NDC,,both,1,EA,1.63,1.63,0.34700083,1.63,1.63,percent of total billed charges,1.199248907,,,,1.63,percent of total billed charges,1.271180129,,,,1.63,percent of total billed charges,1.199248907,,,,1.63,percent of total billed charges,1.271180129,,,,1.63,percent of total billed charges,999999999,,,,1.63,percent of total billed charges,1.241947971,,,,1.63,percent of total billed charges,1.199248907,,,,1.63,percent of total billed charges,1.271180129,,,,1.16219,percent of total billed charges,0.579954078,,,,1.16219,percent of total billed charges,0.34700083,,,,1.16219,percent of total billed charges,0.579954078,,,,1.16219,percent of total billed charges,0.34700083,,,,1.16219,percent of total billed charges,0.579954078,,,,1.16219,percent of total billed charges,0.34700083,,,,1.15078,percent of total billed charges,1.142048719,,,,1.15078,percent of total billed charges,0.78766195,,,,,,,,,,1.1736,percent of total billed charges,0.762812383,,,,,,,,,,1.1736,percent of total billed charges,999999999,,,,,,,,,,1.304,percent of total billed charges,1.092684216,,,,1.2877,percent of total billed charges,1.242685916,,,,1.2877,percent of total billed charges,1.097954142,,,,1.304,percent of total billed charges,999999999,,,,1.304,percent of total billed charges,999999999,,,,1.141,percent of total billed charges,999999999,,,,1.141,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.86716,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.82315,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.4075,percent of total billed charges,0.387025322,,,,,,,,,,0.4075,percent of total billed charges,0.380587419,,,,,,,,,,0.4075,percent of total billed charges,0.379529783,,,,,,,,,,0.4075,percent of total billed charges,0.373941211,,,,,,,,,,0.4075,percent of total billed charges,0.383563268,,,,,,,,,,0.4075,percent of total billed charges,999999999,,,,,,,,,,0.4075,percent of total billed charges,0.329124295,,,,,,,,,,0.4075,percent of total billed charges,0.519051709,,,,,,,,,,0.4075,percent of total billed charges,999999999,,,,,,,,,,0.4075,percent of total billed charges,0.354876483,,,,,,,,,,1.467,percent of total billed charges,,,,,
NALOXONE (NARCAN) 4MG/10ML FTV,J2310,CDM,6745-7029-02,NDC,,both,1,EA,65.1,65.1,13.8587448,65.1,65.1,percent of total billed charges,47.89638272,,,,65.1,percent of total billed charges,50.76921866,,,,65.1,percent of total billed charges,47.89638272,,,,65.1,percent of total billed charges,50.76921866,,,,65.1,percent of total billed charges,999999999,,,,65.1,percent of total billed charges,49.6017257,,,,65.1,percent of total billed charges,47.89638272,,,,65.1,percent of total billed charges,50.76921866,,,,46.4163,percent of total billed charges,23.16258312,,,,46.4163,percent of total billed charges,13.8587448,,,,46.4163,percent of total billed charges,23.16258312,,,,46.4163,percent of total billed charges,13.8587448,,,,46.4163,percent of total billed charges,23.16258312,,,,46.4163,percent of total billed charges,13.8587448,,,,45.9606,percent of total billed charges,45.61188443,,,,45.9606,percent of total billed charges,31.45815517,,,,,,,,,,46.872,percent of total billed charges,30.465697,,,,,,,,,,46.872,percent of total billed charges,999999999,,,,,,,,,,52.08,percent of total billed charges,43.64033279,,,,51.429,percent of total billed charges,49.63119824,,,,51.429,percent of total billed charges,43.85080652,,,,52.08,percent of total billed charges,999999999,,,,52.08,percent of total billed charges,999999999,,,,45.57,percent of total billed charges,999999999,,,,45.57,percent of total billed charges,999999999,,,,,,,,,,,,,,,,34.6332,percent of total billed charges,999999999,,,,,,,,,,,,,,,,32.8755,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16.275,percent of total billed charges,15.45726899,,,,,,,,,,16.275,percent of total billed charges,15.20014784,,,,,,,,,,16.275,percent of total billed charges,15.15790728,,,,,,,,,,16.275,percent of total billed charges,14.93470728,,,,,,,,,,16.275,percent of total billed charges,15.31899925,,,,,,,,,,16.275,percent of total billed charges,999999999,,,,,,,,,,16.275,percent of total billed charges,13.14478012,,,,,,,,,,16.275,percent of total billed charges,20.73022471,,,,,,,,,,16.275,percent of total billed charges,999999999,,,,,,,,,,16.275,percent of total billed charges,14.17328776,,,,,,,,,,58.59,percent of total billed charges,,,,,
MEPIVACAINE-MPF SOLN 2% 20MG/ML (20ML),250,RC,6332-3029-27,NDC,,both,1,EA,103.07,103.07,21.94194817,103.07,103.07,percent of total billed charges,75.83226064,,,,103.07,percent of total billed charges,80.38069689,,,,103.07,percent of total billed charges,75.83226064,,,,103.07,percent of total billed charges,80.38069689,,,,103.07,percent of total billed charges,999999999,,,,103.07,percent of total billed charges,78.53225604,,,,103.07,percent of total billed charges,75.83226064,,,,103.07,percent of total billed charges,80.38069689,,,,73.48891,percent of total billed charges,36.67231094,,,,73.48891,percent of total billed charges,21.94194817,,,,73.48891,percent of total billed charges,36.67231094,,,,73.48891,percent of total billed charges,21.94194817,,,,73.48891,percent of total billed charges,36.67231094,,,,73.48891,percent of total billed charges,21.94194817,,,,72.76742,percent of total billed charges,72.2153138,,,,72.76742,percent of total billed charges,49.80632955,,,,,,,,,,74.2104,percent of total billed charges,48.23501367,,,,,,,,,,74.2104,percent of total billed charges,999999999,,,,,,,,,,82.456,percent of total billed charges,69.09384179,,,,81.4253,percent of total billed charges,78.57891863,,,,81.4253,percent of total billed charges,69.42707569,,,,82.456,percent of total billed charges,999999999,,,,82.456,percent of total billed charges,999999999,,,,72.149,percent of total billed charges,999999999,,,,72.149,percent of total billed charges,999999999,,,,,,,,,,,,,,,,54.83324,percent of total billed charges,999999999,,,,,,,,,,,,,,,,52.05035,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,25.7675,percent of total billed charges,24.47282204,,,,,,,,,,25.7675,percent of total billed charges,24.0657333,,,,,,,,,,25.7675,percent of total billed charges,23.99885565,,,,,,,,,,25.7675,percent of total billed charges,23.6454728,,,,,,,,,,25.7675,percent of total billed charges,24.25390557,,,,,,,,,,25.7675,percent of total billed charges,999999999,,,,,,,,,,25.7675,percent of total billed charges,20.81155894,,,,,,,,,,25.7675,percent of total billed charges,32.82126361,,,,,,,,,,25.7675,percent of total billed charges,999999999,,,,,,,,,,25.7675,percent of total billed charges,22.43995037,,,,,,,,,,92.763,percent of total billed charges,,,,,
**COVID (MODERNA) VACCINE ADMIN #1,0011A,CDM,,,,both,,,95,95,20.22397474,95,95,percent of total billed charges,69.89487494,,,,95,percent of total billed charges,74.08718545,,,,95,percent of total billed charges,69.89487494,,,,95,percent of total billed charges,74.08718545,,,,95,percent of total billed charges,999999999,,,,95,percent of total billed charges,72.38347069,,,,95,percent of total billed charges,69.89487494,,,,95,percent of total billed charges,74.08718545,,,,67.735,percent of total billed charges,33.80100455,,,,67.735,percent of total billed charges,20.22397474,,,,67.735,percent of total billed charges,33.80100455,,,,67.735,percent of total billed charges,20.22397474,,,,67.735,percent of total billed charges,33.80100455,,,,67.735,percent of total billed charges,20.22397474,,,,67.07,percent of total billed charges,66.56112168,,,,67.07,percent of total billed charges,45.90667805,,,,,,,,,,68.4,percent of total billed charges,44.4583904,,,,,,,,,,68.4,percent of total billed charges,999999999,,,,,,,,,,76,percent of total billed charges,63.68404939,,,,75.05,percent of total billed charges,72.42647977,,,,75.05,percent of total billed charges,63.9911923,,,,76,percent of total billed charges,999999999,,,,76,percent of total billed charges,999999999,,,,66.5,percent of total billed charges,999999999,,,,66.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,50.54,percent of total billed charges,999999999,,,,,,,,,,,,,,,,47.975,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23.75,percent of total billed charges,22.55669054,,,,,,,,,,23.75,percent of total billed charges,22.18147534,,,,,,,,,,23.75,percent of total billed charges,22.11983397,,,,,,,,,,23.75,percent of total billed charges,21.79411968,,,,,,,,,,23.75,percent of total billed charges,22.35491442,,,,,,,,,,23.75,percent of total billed charges,999999999,,,,,,,,,,23.75,percent of total billed charges,19.18209081,,,,,,,,,,23.75,percent of total billed charges,30.25147999,,,,,,,,,,23.75,percent of total billed charges,999999999,,,,,,,,,,23.75,percent of total billed charges,20.68298521,,,,,,,,,,85.5,percent of total billed charges,,,,,
**COVID (MODERNA) VACCINE ADMIN #2,0012A,CDM,,,,both,,,95,95,20.22397474,95,95,percent of total billed charges,69.89487494,,,,95,percent of total billed charges,74.08718545,,,,95,percent of total billed charges,69.89487494,,,,95,percent of total billed charges,74.08718545,,,,95,percent of total billed charges,999999999,,,,95,percent of total billed charges,72.38347069,,,,95,percent of total billed charges,69.89487494,,,,95,percent of total billed charges,74.08718545,,,,67.735,percent of total billed charges,33.80100455,,,,67.735,percent of total billed charges,20.22397474,,,,67.735,percent of total billed charges,33.80100455,,,,67.735,percent of total billed charges,20.22397474,,,,67.735,percent of total billed charges,33.80100455,,,,67.735,percent of total billed charges,20.22397474,,,,67.07,percent of total billed charges,66.56112168,,,,67.07,percent of total billed charges,45.90667805,,,,,,,,,,68.4,percent of total billed charges,44.4583904,,,,,,,,,,68.4,percent of total billed charges,999999999,,,,,,,,,,76,percent of total billed charges,63.68404939,,,,75.05,percent of total billed charges,72.42647977,,,,75.05,percent of total billed charges,63.9911923,,,,76,percent of total billed charges,999999999,,,,76,percent of total billed charges,999999999,,,,66.5,percent of total billed charges,999999999,,,,66.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,50.54,percent of total billed charges,999999999,,,,,,,,,,,,,,,,47.975,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23.75,percent of total billed charges,22.55669054,,,,,,,,,,23.75,percent of total billed charges,22.18147534,,,,,,,,,,23.75,percent of total billed charges,22.11983397,,,,,,,,,,23.75,percent of total billed charges,21.79411968,,,,,,,,,,23.75,percent of total billed charges,22.35491442,,,,,,,,,,23.75,percent of total billed charges,999999999,,,,,,,,,,23.75,percent of total billed charges,19.18209081,,,,,,,,,,23.75,percent of total billed charges,30.25147999,,,,,,,,,,23.75,percent of total billed charges,999999999,,,,,,,,,,23.75,percent of total billed charges,20.68298521,,,,,,,,,,85.5,percent of total billed charges,,,,,
**COVID (PFIZER) VACCINE ADMIN #2,0002A,CDM,,,,both,,,95,95,20.22397474,95,95,percent of total billed charges,69.89487494,,,,95,percent of total billed charges,74.08718545,,,,95,percent of total billed charges,69.89487494,,,,95,percent of total billed charges,74.08718545,,,,95,percent of total billed charges,999999999,,,,95,percent of total billed charges,72.38347069,,,,95,percent of total billed charges,69.89487494,,,,95,percent of total billed charges,74.08718545,,,,67.735,percent of total billed charges,33.80100455,,,,67.735,percent of total billed charges,20.22397474,,,,67.735,percent of total billed charges,33.80100455,,,,67.735,percent of total billed charges,20.22397474,,,,67.735,percent of total billed charges,33.80100455,,,,67.735,percent of total billed charges,20.22397474,,,,67.07,percent of total billed charges,66.56112168,,,,67.07,percent of total billed charges,45.90667805,,,,,,,,,,68.4,percent of total billed charges,44.4583904,,,,,,,,,,68.4,percent of total billed charges,999999999,,,,,,,,,,76,percent of total billed charges,63.68404939,,,,75.05,percent of total billed charges,72.42647977,,,,75.05,percent of total billed charges,63.9911923,,,,76,percent of total billed charges,999999999,,,,76,percent of total billed charges,999999999,,,,66.5,percent of total billed charges,999999999,,,,66.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,50.54,percent of total billed charges,999999999,,,,,,,,,,,,,,,,47.975,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23.75,percent of total billed charges,22.55669054,,,,,,,,,,23.75,percent of total billed charges,22.18147534,,,,,,,,,,23.75,percent of total billed charges,22.11983397,,,,,,,,,,23.75,percent of total billed charges,21.79411968,,,,,,,,,,23.75,percent of total billed charges,22.35491442,,,,,,,,,,23.75,percent of total billed charges,999999999,,,,,,,,,,23.75,percent of total billed charges,19.18209081,,,,,,,,,,23.75,percent of total billed charges,30.25147999,,,,,,,,,,23.75,percent of total billed charges,999999999,,,,,,,,,,23.75,percent of total billed charges,20.68298521,,,,,,,,,,85.5,percent of total billed charges,,,,,
**COVID (PFIZER) VACCINE ADMIN #1,0001A,CDM,,,,both,,,95,95,20.22397474,95,95,percent of total billed charges,69.89487494,,,,95,percent of total billed charges,74.08718545,,,,95,percent of total billed charges,69.89487494,,,,95,percent of total billed charges,74.08718545,,,,95,percent of total billed charges,999999999,,,,95,percent of total billed charges,72.38347069,,,,95,percent of total billed charges,69.89487494,,,,95,percent of total billed charges,74.08718545,,,,67.735,percent of total billed charges,33.80100455,,,,67.735,percent of total billed charges,20.22397474,,,,67.735,percent of total billed charges,33.80100455,,,,67.735,percent of total billed charges,20.22397474,,,,67.735,percent of total billed charges,33.80100455,,,,67.735,percent of total billed charges,20.22397474,,,,67.07,percent of total billed charges,66.56112168,,,,67.07,percent of total billed charges,45.90667805,,,,,,,,,,68.4,percent of total billed charges,44.4583904,,,,,,,,,,68.4,percent of total billed charges,999999999,,,,,,,,,,76,percent of total billed charges,63.68404939,,,,75.05,percent of total billed charges,72.42647977,,,,75.05,percent of total billed charges,63.9911923,,,,76,percent of total billed charges,999999999,,,,76,percent of total billed charges,999999999,,,,66.5,percent of total billed charges,999999999,,,,66.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,50.54,percent of total billed charges,999999999,,,,,,,,,,,,,,,,47.975,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23.75,percent of total billed charges,22.55669054,,,,,,,,,,23.75,percent of total billed charges,22.18147534,,,,,,,,,,23.75,percent of total billed charges,22.11983397,,,,,,,,,,23.75,percent of total billed charges,21.79411968,,,,,,,,,,23.75,percent of total billed charges,22.35491442,,,,,,,,,,23.75,percent of total billed charges,999999999,,,,,,,,,,23.75,percent of total billed charges,19.18209081,,,,,,,,,,23.75,percent of total billed charges,30.25147999,,,,,,,,,,23.75,percent of total billed charges,999999999,,,,,,,,,,23.75,percent of total billed charges,20.68298521,,,,,,,,,,85.5,percent of total billed charges,,,,,
"LIDOCAINE 1% W/EPI 1:100,000 INJ 50ML",J2004,CDM,0040-9317-03,NDC,,both,1,EA,29.74,29.74,6.331168513,29.74,29.74,percent of total billed charges,21.88077453,,,,29.74,percent of total billed charges,23.19318837,,,,29.74,percent of total billed charges,21.88077453,,,,29.74,percent of total billed charges,23.19318837,,,,29.74,percent of total billed charges,999999999,,,,29.74,percent of total billed charges,22.65983598,,,,29.74,percent of total billed charges,21.88077453,,,,29.74,percent of total billed charges,23.19318837,,,,21.20462,percent of total billed charges,10.58149343,,,,21.20462,percent of total billed charges,6.331168513,,,,21.20462,percent of total billed charges,10.58149343,,,,21.20462,percent of total billed charges,6.331168513,,,,21.20462,percent of total billed charges,10.58149343,,,,21.20462,percent of total billed charges,6.331168513,,,,20.99644,percent of total billed charges,20.8371343,,,,20.99644,percent of total billed charges,14.37120637,,,,,,,,,,21.4128,percent of total billed charges,13.91781611,,,,,,,,,,21.4128,percent of total billed charges,999999999,,,,,,,,,,23.792,percent of total billed charges,19.93645925,,,,23.4946,percent of total billed charges,22.67330009,,,,23.4946,percent of total billed charges,20.03261115,,,,23.792,percent of total billed charges,999999999,,,,23.792,percent of total billed charges,999999999,,,,20.818,percent of total billed charges,999999999,,,,20.818,percent of total billed charges,999999999,,,,,,,,,,,,,,,,15.82168,percent of total billed charges,999999999,,,,,,,,,,,,,,,,15.0187,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7.435,percent of total billed charges,7.061431333,,,,,,,,,,7.435,percent of total billed charges,6.943969227,,,,,,,,,,7.435,percent of total billed charges,6.924672234,,,,,,,,,,7.435,percent of total billed charges,6.82270652,,,,,,,,,,7.435,percent of total billed charges,6.998264788,,,,,,,,,,7.435,percent of total billed charges,999999999,,,,,,,,,,7.435,percent of total billed charges,6.005004007,,,,,,,,,,7.435,percent of total billed charges,9.470305421,,,,,,,,,,7.435,percent of total billed charges,999999999,,,,,,,,,,7.435,percent of total billed charges,6.474862948,,,,,,,,,,26.766,percent of total billed charges,,,,,
inFLIXimab-DYYB 100MG VIAL,Q5103,CDM,0006-9080-01,NDC,,both,1,EA,3522,3522,749.777253,3522,3522,percent of total billed charges,2591.260522,,,,3522,percent of total billed charges,2746.684917,,,,3522,percent of total billed charges,2591.260522,,,,3522,percent of total billed charges,2746.684917,,,,3522,percent of total billed charges,999999999,,,,3522,percent of total billed charges,2683.521934,,,,3522,percent of total billed charges,2591.260522,,,,3522,percent of total billed charges,2746.684917,,,,2511.186,percent of total billed charges,1253.127769,,,,2511.186,percent of total billed charges,749.777253,,,,2511.186,percent of total billed charges,1253.127769,,,,2511.186,percent of total billed charges,749.777253,,,,2511.186,percent of total billed charges,1253.127769,,,,2511.186,percent of total billed charges,749.777253,,,,2486.532,percent of total billed charges,2467.666006,,,,2486.532,percent of total billed charges,1701.929685,,,,,,,,,,2535.84,percent of total billed charges,1648.236326,,,,,,,,,,2535.84,percent of total billed charges,999999999,,,,,,,,,,2817.6,percent of total billed charges,2361.002336,,,,2782.38,percent of total billed charges,2685.116439,,,,2782.38,percent of total billed charges,2372.389256,,,,2817.6,percent of total billed charges,999999999,,,,2817.6,percent of total billed charges,999999999,,,,2465.4,percent of total billed charges,999999999,,,,2465.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1873.704,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1778.61,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,880.5,percent of total billed charges,836.2596218,,,,,,,,,,880.5,percent of total billed charges,822.349012,,,,,,,,,,880.5,percent of total billed charges,820.0637393,,,,,,,,,,880.5,percent of total billed charges,807.9883108,,,,,,,,,,880.5,percent of total billed charges,828.7790378,,,,,,,,,,880.5,percent of total billed charges,999999999,,,,,,,,,,880.5,percent of total billed charges,711.1507771,,,,,,,,,,880.5,percent of total billed charges,1121.533816,,,,,,,,,,880.5,percent of total billed charges,999999999,,,,,,,,,,880.5,percent of total billed charges,766.7944621,,,,,,,,,,3169.8,percent of total billed charges,,,,,
ROMOSOZUMAB (EVENITY) 105MG/1.17ML,J3111,CDM,5551-3088-02,NDC,,both,1,EA,9043.79,9043.79,1925.27769,9043.79,9043.79,percent of total billed charges,6653.83759,,,,9043.79,percent of total billed charges,7052.936283,,,,9043.79,percent of total billed charges,6653.83759,,,,9043.79,percent of total billed charges,7052.936283,,,,9043.79,percent of total billed charges,999999999,,,,9043.79,percent of total billed charges,6890.746404,,,,9043.79,percent of total billed charges,6653.83759,,,,9043.79,percent of total billed charges,7052.936283,,,,6448.22227,percent of total billed charges,3217.780915,,,,6448.22227,percent of total billed charges,1925.27769,,,,6448.22227,percent of total billed charges,3217.780915,,,,6448.22227,percent of total billed charges,1925.27769,,,,6448.22227,percent of total billed charges,3217.780915,,,,6448.22227,percent of total billed charges,1925.27769,,,,6384.91574,percent of total billed charges,6336.471649,,,,6384.91574,percent of total billed charges,4370.214273,,,,,,,,,,6511.5288,percent of total billed charges,4232.34049,,,,,,,,,,6511.5288,percent of total billed charges,999999999,,,,,,,,,,7235.032,percent of total billed charges,6062.580726,,,,7144.5941,percent of total billed charges,6894.840774,,,,7144.5941,percent of total billed charges,6091.820053,,,,7235.032,percent of total billed charges,999999999,,,,7235.032,percent of total billed charges,999999999,,,,6330.653,percent of total billed charges,999999999,,,,6330.653,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4811.29628,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4567.11395,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2260.9475,percent of total billed charges,2147.347077,,,,,,,,,,2260.9475,percent of total billed charges,2111.62742,,,,,,,,,,2260.9475,percent of total billed charges,2105.759297,,,,,,,,,,2260.9475,percent of total billed charges,2074.752017,,,,,,,,,,2260.9475,percent of total billed charges,2128.138437,,,,,,,,,,2260.9475,percent of total billed charges,999999999,,,,,,,,,,2260.9475,percent of total billed charges,1826.092642,,,,,,,,,,2260.9475,percent of total billed charges,2879.874024,,,,,,,,,,2260.9475,percent of total billed charges,999999999,,,,,,,,,,2260.9475,percent of total billed charges,1968.974471,,,,,,,,,,8139.411,percent of total billed charges,,,,,
ZIPRASIDONE MESYLATE 20mg/mL SDV,J3486,CDM,7226-6016-10,NDC,,both,1,EA,188.93,188.93,40.22016366,188.93,188.93,percent of total billed charges,139.0025129,,,,188.93,percent of total billed charges,147.3399152,,,,188.93,percent of total billed charges,139.0025129,,,,188.93,percent of total billed charges,147.3399152,,,,188.93,percent of total billed charges,999999999,,,,188.93,percent of total billed charges,143.9516749,,,,188.93,percent of total billed charges,139.0025129,,,,188.93,percent of total billed charges,147.3399152,,,,134.70709,percent of total billed charges,67.22130305,,,,134.70709,percent of total billed charges,40.22016366,,,,134.70709,percent of total billed charges,67.22130305,,,,134.70709,percent of total billed charges,40.22016366,,,,134.70709,percent of total billed charges,67.22130305,,,,134.70709,percent of total billed charges,40.22016366,,,,133.38458,percent of total billed charges,132.3725549,,,,133.38458,percent of total billed charges,91.29630194,,,,,,,,,,136.0296,percent of total billed charges,88.41603894,,,,,,,,,,136.0296,percent of total billed charges,999999999,,,,,,,,,,151.144,percent of total billed charges,126.6508153,,,,149.2547,percent of total billed charges,144.0372087,,,,149.2547,percent of total billed charges,127.2616417,,,,151.144,percent of total billed charges,999999999,,,,151.144,percent of total billed charges,999999999,,,,132.251,percent of total billed charges,999999999,,,,132.251,percent of total billed charges,999999999,,,,,,,,,,,,,,,,100.51076,percent of total billed charges,999999999,,,,,,,,,,,,,,,,95.40965,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,47.2325,percent of total billed charges,44.85932151,,,,,,,,,,47.2325,percent of total billed charges,44.11311722,,,,,,,,,,47.2325,percent of total billed charges,43.99052875,,,,,,,,,,47.2325,percent of total billed charges,43.34276875,,,,,,,,,,47.2325,percent of total billed charges,44.45804191,,,,,,,,,,47.2325,percent of total billed charges,999999999,,,,,,,,,,47.2325,percent of total billed charges,38.1481307,,,,,,,,,,47.2325,percent of total billed charges,60.16223279,,,,,,,,,,47.2325,percent of total billed charges,999999999,,,,,,,,,,47.2325,percent of total billed charges,41.13301469,,,,,,,,,,170.037,percent of total billed charges,,,,,
USTEKINUMAB FTV: 130mg/26 mL,J3358,CDM,5789-4005-27,NDC,,both,1,EA,9696.11,9696.11,2064.146144,9696.11,9696.11,percent of total billed charges,7133.772588,,,,9696.11,percent of total billed charges,7561.657892,,,,9696.11,percent of total billed charges,7133.772588,,,,9696.11,percent of total billed charges,7561.657892,,,,9696.11,percent of total billed charges,999999999,,,,9696.11,percent of total billed charges,7387.76941,,,,9696.11,percent of total billed charges,7133.772588,,,,9696.11,percent of total billed charges,7561.657892,,,,6913.32643,percent of total billed charges,3449.876403,,,,6913.32643,percent of total billed charges,2064.146144,,,,6913.32643,percent of total billed charges,3449.876403,,,,6913.32643,percent of total billed charges,2064.146144,,,,6913.32643,percent of total billed charges,3449.876403,,,,6913.32643,percent of total billed charges,2064.146144,,,,6845.45366,percent of total billed charges,6793.515342,,,,6845.45366,percent of total billed charges,4685.433686,,,,,,,,,,6981.1992,percent of total billed charges,4537.615198,,,,,,,,,,6981.1992,percent of total billed charges,999999999,,,,,,,,,,7756.888,percent of total billed charges,6499.868927,,,,7659.9269,percent of total billed charges,7392.159103,,,,7659.9269,percent of total billed charges,6531.217259,,,,7756.888,percent of total billed charges,999999999,,,,7756.888,percent of total billed charges,999999999,,,,6787.277,percent of total billed charges,999999999,,,,6787.277,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5158.33052,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4896.53555,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2424.0275,percent of total billed charges,2302.233186,,,,,,,,,,2424.0275,percent of total billed charges,2263.937104,,,,,,,,,,2424.0275,percent of total billed charges,2257.645719,,,,,,,,,,2424.0275,percent of total billed charges,2224.401914,,,,,,,,,,2424.0275,percent of total billed charges,2281.639045,,,,,,,,,,2424.0275,percent of total billed charges,999999999,,,,,,,,,,2424.0275,percent of total billed charges,1957.806974,,,,,,,,,,2424.0275,percent of total billed charges,3087.596607,,,,,,,,,,2424.0275,percent of total billed charges,999999999,,,,,,,,,,2424.0275,percent of total billed charges,2110.994734,,,,,,,,,,8726.499,percent of total billed charges,,,,,
OPTISON INTRAVENOUS SUSPENSION,Q9956,CDM,0040-7270-03,NDC,,both,1,EA,763.93,763.93,162.6284318,763.93,763.93,percent of total billed charges,562.0504402,,,,763.93,percent of total billed charges,595.7623535,,,,763.93,percent of total billed charges,562.0504402,,,,763.93,percent of total billed charges,595.7623535,,,,763.93,percent of total billed charges,999999999,,,,763.93,percent of total billed charges,582.0621554,,,,763.93,percent of total billed charges,562.0504402,,,,763.93,percent of total billed charges,595.7623535,,,,544.68209,percent of total billed charges,271.8063306,,,,544.68209,percent of total billed charges,162.6284318,,,,544.68209,percent of total billed charges,271.8063306,,,,544.68209,percent of total billed charges,162.6284318,,,,544.68209,percent of total billed charges,271.8063306,,,,544.68209,percent of total billed charges,162.6284318,,,,539.33458,percent of total billed charges,535.2425019,,,,539.33458,percent of total billed charges,369.1525112,,,,,,,,,,550.0296,percent of total billed charges,357.5062966,,,,,,,,,,550.0296,percent of total billed charges,999999999,,,,,,,,,,611.144,percent of total billed charges,512.1069037,,,,603.5047,percent of total billed charges,582.4080073,,,,603.5047,percent of total billed charges,514.576753,,,,611.144,percent of total billed charges,999999999,,,,611.144,percent of total billed charges,999999999,,,,534.751,percent of total billed charges,999999999,,,,534.751,percent of total billed charges,999999999,,,,,,,,,,,,,,,,406.41076,percent of total billed charges,999999999,,,,,,,,,,,,,,,,385.78465,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,190.9825,percent of total billed charges,181.386659,,,,,,,,,,190.9825,percent of total billed charges,178.3694153,,,,,,,,,,190.9825,percent of total billed charges,177.8737344,,,,,,,,,,190.9825,percent of total billed charges,175.2545458,,,,,,,,,,190.9825,percent of total billed charges,179.7641029,,,,,,,,,,190.9825,percent of total billed charges,999999999,,,,,,,,,,190.9825,percent of total billed charges,154.2502593,,,,,,,,,,190.9825,percent of total billed charges,243.2632959,,,,,,,,,,190.9825,percent of total billed charges,999999999,,,,,,,,,,190.9825,percent of total billed charges,166.3195041,,,,,,,,,,687.537,percent of total billed charges,,,,,
"SOD CHLORIDE, BACTERIOSTATIC 0.9% 10mL",250,RC,6332-3092-10,NDC,,both,1,EA,11.25,11.25,2.394944377,11.25,11.25,percent of total billed charges,8.277024664,,,,11.25,percent of total billed charges,8.773482488,,,,11.25,percent of total billed charges,8.277024664,,,,11.25,percent of total billed charges,8.773482488,,,,11.25,percent of total billed charges,999999999,,,,11.25,percent of total billed charges,8.571726792,,,,11.25,percent of total billed charges,8.277024664,,,,11.25,percent of total billed charges,8.773482488,,,,8.02125,percent of total billed charges,4.002750539,,,,8.02125,percent of total billed charges,2.394944377,,,,8.02125,percent of total billed charges,4.002750539,,,,8.02125,percent of total billed charges,2.394944377,,,,8.02125,percent of total billed charges,4.002750539,,,,8.02125,percent of total billed charges,2.394944377,,,,7.9425,percent of total billed charges,7.882238093,,,,7.9425,percent of total billed charges,5.436317138,,,,,,,,,,8.1,percent of total billed charges,5.26480939,,,,,,,,,,8.1,percent of total billed charges,999999999,,,,,,,,,,9,percent of total billed charges,7.541532164,,,,8.8875,percent of total billed charges,8.576819973,,,,8.8875,percent of total billed charges,7.577904352,,,,9,percent of total billed charges,999999999,,,,9,percent of total billed charges,999999999,,,,7.875,percent of total billed charges,999999999,,,,7.875,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.985,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.68125,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.8125,percent of total billed charges,2.671187037,,,,,,,,,,2.8125,percent of total billed charges,2.626753659,,,,,,,,,,2.8125,percent of total billed charges,2.619454023,,,,,,,,,,2.8125,percent of total billed charges,2.580882594,,,,,,,,,,2.8125,percent of total billed charges,2.647292497,,,,,,,,,,2.8125,percent of total billed charges,999999999,,,,,,,,,,2.8125,percent of total billed charges,2.271563385,,,,,,,,,,2.8125,percent of total billed charges,3.582412105,,,,,,,,,,2.8125,percent of total billed charges,999999999,,,,,,,,,,2.8125,percent of total billed charges,2.44930088,,,,,,,,,,10.125,percent of total billed charges,,,,,
"CALCIUM GLUCONATE/NACL 1,000MG/50mL IVPB",J0613,CDM,4456-7062-24,NDC,,both,1,EA,145.63,145.63,31.00228886,145.63,145.63,percent of total billed charges,107.1451646,,,,145.63,percent of total billed charges,113.571756,,,,145.63,percent of total billed charges,107.1451646,,,,145.63,percent of total billed charges,113.571756,,,,145.63,percent of total billed charges,999999999,,,,145.63,percent of total billed charges,110.9600509,,,,145.63,percent of total billed charges,107.1451646,,,,145.63,percent of total billed charges,113.571756,,,,103.83419,percent of total billed charges,51.81516098,,,,103.83419,percent of total billed charges,31.00228886,,,,103.83419,percent of total billed charges,51.81516098,,,,103.83419,percent of total billed charges,31.00228886,,,,103.83419,percent of total billed charges,51.81516098,,,,103.83419,percent of total billed charges,31.00228886,,,,102.81478,percent of total billed charges,102.0346963,,,,102.81478,percent of total billed charges,70.37252132,,,,,,,,,,104.8536,percent of total billed charges,68.15237257,,,,,,,,,,104.8536,percent of total billed charges,999999999,,,,,,,,,,116.504,percent of total billed charges,97.62429592,,,,115.0477,percent of total billed charges,111.0259816,,,,115.0477,percent of total billed charges,98.09512985,,,,116.504,percent of total billed charges,999999999,,,,116.504,percent of total billed charges,999999999,,,,101.941,percent of total billed charges,999999999,,,,101.941,percent of total billed charges,999999999,,,,,,,,,,,,,,,,77.47516,percent of total billed charges,999999999,,,,,,,,,,,,,,,,73.54315,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,36.4075,percent of total billed charges,34.5782194,,,,,,,,,,36.4075,percent of total billed charges,34.00303425,,,,,,,,,,36.4075,percent of total billed charges,33.90854127,,,,,,,,,,36.4075,percent of total billed charges,33.40923841,,,,,,,,,,36.4075,percent of total billed charges,34.26890723,,,,,,,,,,36.4075,percent of total billed charges,999999999,,,,,,,,,,36.4075,percent of total billed charges,29.40513562,,,,,,,,,,36.4075,percent of total billed charges,46.37392665,,,,,,,,,,36.4075,percent of total billed charges,999999999,,,,,,,,,,36.4075,percent of total billed charges,31.70592775,,,,,,,,,,131.067,percent of total billed charges,,,,,
DANTROLENE SOD(RYANODEX) 250MG/20mL Vial,250,RC,4236-7054-32,NDC,,both,1,EA,15272.91,15272.91,3251.357327,15272.91,15272.91,percent of total billed charges,11236.82247,,,,15272.91,percent of total billed charges,11910.80964,,,,15272.91,percent of total billed charges,11236.82247,,,,15272.91,percent of total billed charges,11910.80964,,,,15272.91,percent of total billed charges,999999999,,,,15272.91,percent of total billed charges,11636.90772,,,,15272.91,percent of total billed charges,11236.82247,,,,15272.91,percent of total billed charges,11910.80964,,,,10889.58483,percent of total billed charges,5434.10211,,,,10889.58483,percent of total billed charges,3251.357327,,,,10889.58483,percent of total billed charges,5434.10211,,,,10889.58483,percent of total billed charges,3251.357327,,,,10889.58483,percent of total billed charges,5434.10211,,,,10889.58483,percent of total billed charges,3251.357327,,,,10782.67446,percent of total billed charges,10700.86338,,,,10782.67446,percent of total billed charges,7380.300656,,,,,,,,,,10996.4952,percent of total billed charges,7147.463109,,,,,,,,,,10996.4952,percent of total billed charges,999999999,,,,,,,,,,12218.328,percent of total billed charges,10238.32373,,,,12065.5989,percent of total billed charges,11643.82218,,,,12065.5989,percent of total billed charges,10287.70232,,,,12218.328,percent of total billed charges,999999999,,,,12218.328,percent of total billed charges,999999999,,,,10691.037,percent of total billed charges,999999999,,,,10691.037,percent of total billed charges,999999999,,,,,,,,,,,,,,,,8125.18812,percent of total billed charges,999999999,,,,,,,,,,,,,,,,7712.81955,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3818.2275,percent of total billed charges,3626.382152,,,,,,,,,,3818.2275,percent of total billed charges,3566.059753,,,,,,,,,,3818.2275,percent of total billed charges,3556.149825,,,,,,,,,,3818.2275,percent of total billed charges,3503.785563,,,,,,,,,,3818.2275,percent of total billed charges,3593.943116,,,,,,,,,,3818.2275,percent of total billed charges,999999999,,,,,,,,,,3818.2275,percent of total billed charges,3083.856279,,,,,,,,,,3818.2275,percent of total billed charges,4863.454014,,,,,,,,,,3818.2275,percent of total billed charges,999999999,,,,,,,,,,3818.2275,percent of total billed charges,3325.15128,,,,,,,,,,13745.619,percent of total billed charges,,,,,
DOBUTamine HCL/DEX-5% 250MG/250ML,J1250,CDM,0033-8107-02,NDC,,both,1,EA,98.06,98.06,20.87539961,98.06,98.06,percent of total billed charges,72.14622565,,,,98.06,percent of total billed charges,76.47357269,,,,98.06,percent of total billed charges,72.14622565,,,,98.06,percent of total billed charges,76.47357269,,,,98.06,percent of total billed charges,999999999,,,,98.06,percent of total billed charges,74.71498038,,,,98.06,percent of total billed charges,72.14622565,,,,98.06,percent of total billed charges,76.47357269,,,,69.91678,percent of total billed charges,34.8897527,,,,69.91678,percent of total billed charges,20.87539961,,,,69.91678,percent of total billed charges,34.8897527,,,,69.91678,percent of total billed charges,20.87539961,,,,69.91678,percent of total billed charges,34.8897527,,,,69.91678,percent of total billed charges,20.87539961,,,,69.23036,percent of total billed charges,68.70509044,,,,69.23036,percent of total billed charges,47.38535632,,,,,,,,,,70.6032,percent of total billed charges,45.89041856,,,,,,,,,,70.6032,percent of total billed charges,999999999,,,,,,,,,,78.448,percent of total billed charges,65.73534614,,,,77.4674,percent of total billed charges,74.7593748,,,,77.4674,percent of total billed charges,66.05238229,,,,78.448,percent of total billed charges,999999999,,,,78.448,percent of total billed charges,999999999,,,,68.642,percent of total billed charges,999999999,,,,68.642,percent of total billed charges,999999999,,,,,,,,,,,,,,,,52.16792,percent of total billed charges,999999999,,,,,,,,,,,,,,,,49.5203,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,24.515,percent of total billed charges,23.28325341,,,,,,,,,,24.515,percent of total billed charges,22.89595233,,,,,,,,,,24.515,percent of total billed charges,22.83232546,,,,,,,,,,24.515,percent of total billed charges,22.49611975,,,,,,,,,,24.515,percent of total billed charges,23.07497798,,,,,,,,,,24.515,percent of total billed charges,999999999,,,,,,,,,,24.515,percent of total billed charges,19.79995605,,,,,,,,,,24.515,percent of total billed charges,31.22589609,,,,,,,,,,24.515,percent of total billed charges,999999999,,,,,,,,,,24.515,percent of total billed charges,21.34919505,,,,,,,,,,88.254,percent of total billed charges,,,,,
ceFAZolin 2GM FTV,J0690,CDM,6050-5623-05,NDC,,both,1,EA,69.91,69.91,14.88271657,69.91,69.91,percent of total billed charges,51.4352706,,,,69.91,percent of total billed charges,54.52036984,,,,69.91,percent of total billed charges,51.4352706,,,,69.91,percent of total billed charges,54.52036984,,,,69.91,percent of total billed charges,999999999,,,,69.91,percent of total billed charges,53.26661512,,,,69.91,percent of total billed charges,51.4352706,,,,69.91,percent of total billed charges,54.52036984,,,,49.84583,percent of total billed charges,24.87398135,,,,49.84583,percent of total billed charges,14.88271657,,,,49.84583,percent of total billed charges,24.87398135,,,,49.84583,percent of total billed charges,14.88271657,,,,49.84583,percent of total billed charges,24.87398135,,,,49.84583,percent of total billed charges,14.88271657,,,,49.35646,percent of total billed charges,48.98197912,,,,49.35646,percent of total billed charges,33.78248277,,,,,,,,,,50.3352,percent of total billed charges,32.71669551,,,,,,,,,,50.3352,percent of total billed charges,999999999,,,,,,,,,,55.928,percent of total billed charges,46.86475676,,,,55.2289,percent of total billed charges,53.29826527,,,,55.2289,percent of total billed charges,47.09078162,,,,55.928,percent of total billed charges,999999999,,,,55.928,percent of total billed charges,999999999,,,,48.937,percent of total billed charges,999999999,,,,48.937,percent of total billed charges,999999999,,,,,,,,,,,,,,,,37.19212,percent of total billed charges,999999999,,,,,,,,,,,,,,,,35.30455,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17.4775,percent of total billed charges,16.59934985,,,,,,,,,,17.4775,percent of total billed charges,16.32323096,,,,,,,,,,17.4775,percent of total billed charges,16.2778694,,,,,,,,,,17.4775,percent of total billed charges,16.03817797,,,,,,,,,,17.4775,percent of total billed charges,16.45086387,,,,,,,,,,17.4775,percent of total billed charges,999999999,,,,,,,,,,17.4775,percent of total billed charges,14.11599967,,,,,,,,,,17.4775,percent of total billed charges,22.26190491,,,,,,,,,,17.4775,percent of total billed charges,999999999,,,,,,,,,,17.4775,percent of total billed charges,15.22049996,,,,,,,,,,62.919,percent of total billed charges,,,,,
VEDOLIZUMAB (ENTYVIO) 300MG FTV,J3380,CDM,6476-4030-20,NDC,,both,1,EA,48121.76,48121.76,10244.35009,48121.76,48121.76,percent of total billed charges,35404.88839,,,,48121.76,percent of total billed charges,37528.48166,,,,48121.76,percent of total billed charges,35404.88839,,,,48121.76,percent of total billed charges,37528.48166,,,,48121.76,percent of total billed charges,999999999,,,,48121.76,percent of total billed charges,36665.47373,,,,48121.76,percent of total billed charges,35404.88839,,,,48121.76,percent of total billed charges,37528.48166,,,,34310.81488,percent of total billed charges,17121.72451,,,,34310.81488,percent of total billed charges,10244.35009,,,,34310.81488,percent of total billed charges,17121.72451,,,,34310.81488,percent of total billed charges,10244.35009,,,,34310.81488,percent of total billed charges,17121.72451,,,,34310.81488,percent of total billed charges,10244.35009,,,,33973.96256,percent of total billed charges,33716.19287,,,,33973.96256,percent of total billed charges,23253.79099,,,,,,,,,,34647.6672,percent of total billed charges,22520.16835,,,,,,,,,,34647.6672,percent of total billed charges,999999999,,,,,,,,,,38497.408,percent of total billed charges,32258.82674,,,,38016.1904,percent of total billed charges,36687.25976,,,,38016.1904,percent of total billed charges,32414.4084,,,,38497.408,percent of total billed charges,999999999,,,,38497.408,percent of total billed charges,999999999,,,,33685.232,percent of total billed charges,999999999,,,,33685.232,percent of total billed charges,999999999,,,,,,,,,,,,,,,,25600.77632,percent of total billed charges,999999999,,,,,,,,,,,,,,,,24301.4888,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12030.44,percent of total billed charges,11425.97525,,,,,,,,,,12030.44,percent of total billed charges,11235.91192,,,,,,,,,,12030.44,percent of total billed charges,11204.6878,,,,,,,,,,12030.44,percent of total billed charges,11039.69891,,,,,,,,,,12030.44,percent of total billed charges,11323.7666,,,,,,,,,,12030.44,percent of total billed charges,999999999,,,,,,,,,,12030.44,percent of total billed charges,9716.589159,,,,,,,,,,12030.44,percent of total billed charges,15323.73116,,,,,,,,,,12030.44,percent of total billed charges,999999999,,,,,,,,,,12030.44,percent of total billed charges,10476.85948,,,,,,,,,,43309.584,percent of total billed charges,,,,,
FLUTIC/UMECLI/VILAN(TRELEGY) 200/62.5/25,250,RC,0017-3089-14,NDC,,both,1,EA,585.84,585.84,124.7159301,585.84,585.84,percent of total billed charges,431.0233004,,,,585.84,percent of total billed charges,456.876176,,,,585.84,percent of total billed charges,431.0233004,,,,585.84,percent of total billed charges,456.876176,,,,585.84,percent of total billed charges,999999999,,,,585.84,percent of total billed charges,446.3698155,,,,585.84,percent of total billed charges,431.0233004,,,,585.84,percent of total billed charges,456.876176,,,,417.70392,percent of total billed charges,208.4419001,,,,417.70392,percent of total billed charges,124.7159301,,,,417.70392,percent of total billed charges,208.4419001,,,,417.70392,percent of total billed charges,124.7159301,,,,417.70392,percent of total billed charges,208.4419001,,,,417.70392,percent of total billed charges,124.7159301,,,,413.60304,percent of total billed charges,410.4649213,,,,413.60304,percent of total billed charges,283.0944029,,,,,,,,,,421.8048,percent of total billed charges,274.163194,,,,,,,,,,421.8048,percent of total billed charges,999999999,,,,,,,,,,468.672,percent of total billed charges,392.7227736,,,,462.8136,percent of total billed charges,446.6350411,,,,462.8136,percent of total billed charges,394.6168432,,,,468.672,percent of total billed charges,999999999,,,,468.672,percent of total billed charges,999999999,,,,410.088,percent of total billed charges,999999999,,,,410.088,percent of total billed charges,999999999,,,,,,,,,,,,,,,,311.66688,percent of total billed charges,999999999,,,,,,,,,,,,,,,,295.8492,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,146.46,percent of total billed charges,139.1011746,,,,,,,,,,146.46,percent of total billed charges,136.7873212,,,,,,,,,,146.46,percent of total billed charges,136.4071951,,,,,,,,,,146.46,percent of total billed charges,134.3986008,,,,,,,,,,146.46,percent of total billed charges,137.8568744,,,,,,,,,,146.46,percent of total billed charges,999999999,,,,,,,,,,146.46,percent of total billed charges,118.2909061,,,,,,,,,,146.46,percent of total billed charges,186.5529162,,,,,,,,,,146.46,percent of total billed charges,999999999,,,,,,,,,,146.46,percent of total billed charges,127.5465269,,,,,,,,,,527.256,percent of total billed charges,,,,,
LIDOCAINE HCL PF 2% INJ: 10mL AMPULE,J2003,CDM,0040-9428-12,NDC,,both,1,EA,31.56,31.56,6.718617292,31.56,31.56,percent of total billed charges,23.21981319,,,,31.56,percent of total billed charges,24.61254287,,,,31.56,percent of total billed charges,23.21981319,,,,31.56,percent of total billed charges,24.61254287,,,,31.56,percent of total billed charges,999999999,,,,31.56,percent of total billed charges,24.04655089,,,,31.56,percent of total billed charges,23.21981319,,,,31.56,percent of total billed charges,24.61254287,,,,22.50228,percent of total billed charges,11.22904951,,,,22.50228,percent of total billed charges,6.718617292,,,,22.50228,percent of total billed charges,11.22904951,,,,22.50228,percent of total billed charges,6.718617292,,,,22.50228,percent of total billed charges,11.22904951,,,,22.50228,percent of total billed charges,6.718617292,,,,22.28136,percent of total billed charges,22.11230526,,,,22.28136,percent of total billed charges,15.25068168,,,,,,,,,,22.7232,percent of total billed charges,14.76954528,,,,,,,,,,22.7232,percent of total billed charges,999999999,,,,,,,,,,25.248,percent of total billed charges,21.15651156,,,,24.9324,percent of total billed charges,24.06083896,,,,24.9324,percent of total billed charges,21.25854768,,,,25.248,percent of total billed charges,999999999,,,,25.248,percent of total billed charges,999999999,,,,22.092,percent of total billed charges,999999999,,,,22.092,percent of total billed charges,999999999,,,,,,,,,,,,,,,,16.78992,percent of total billed charges,999999999,,,,,,,,,,,,,,,,15.9378,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7.89,percent of total billed charges,7.493570035,,,,,,,,,,7.89,percent of total billed charges,7.368919597,,,,,,,,,,7.89,percent of total billed charges,7.348441685,,,,,,,,,,7.89,percent of total billed charges,7.24023597,,,,,,,,,,7.89,percent of total billed charges,7.426537886,,,,,,,,,,7.89,percent of total billed charges,999999999,,,,,,,,,,7.89,percent of total billed charges,6.372492483,,,,,,,,,,7.89,percent of total billed charges,10.04986009,,,,,,,,,,7.89,percent of total billed charges,999999999,,,,,,,,,,7.89,percent of total billed charges,6.871105402,,,,,,,,,,28.404,percent of total billed charges,,,,,
cefTRIAXone 2GM (ROCEPHIN): FTV,J0696,CDM,0040-9733-20,NDC,,both,1,EA,46.28,46.28,9.852268957,46.28,46.28,percent of total billed charges,34.04984013,,,,46.28,percent of total billed charges,36.09215729,,,,46.28,percent of total billed charges,34.04984013,,,,46.28,percent of total billed charges,36.09215729,,,,46.28,percent of total billed charges,999999999,,,,46.28,percent of total billed charges,35.2621792,,,,46.28,percent of total billed charges,34.04984013,,,,46.28,percent of total billed charges,36.09215729,,,,32.99764,percent of total billed charges,16.46642622,,,,32.99764,percent of total billed charges,9.852268957,,,,32.99764,percent of total billed charges,16.46642622,,,,32.99764,percent of total billed charges,9.852268957,,,,32.99764,percent of total billed charges,16.46642622,,,,32.99764,percent of total billed charges,9.852268957,,,,32.67368,percent of total billed charges,32.42577591,,,,32.67368,percent of total billed charges,22.36380064,,,,,,,,,,33.3216,percent of total billed charges,21.65825587,,,,,,,,,,33.3216,percent of total billed charges,999999999,,,,,,,,,,37.024,percent of total billed charges,31.02418743,,,,36.5612,percent of total billed charges,35.28313141,,,,36.5612,percent of total billed charges,31.17381452,,,,37.024,percent of total billed charges,999999999,,,,37.024,percent of total billed charges,999999999,,,,32.396,percent of total billed charges,999999999,,,,32.396,percent of total billed charges,999999999,,,,,,,,,,,,,,,,24.62096,percent of total billed charges,999999999,,,,,,,,,,,,,,,,23.3714,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11.57,percent of total billed charges,10.98866987,,,,,,,,,,11.57,percent of total billed charges,10.80588083,,,,,,,,,,11.57,percent of total billed charges,10.77585175,,,,,,,,,,11.57,percent of total billed charges,10.61717746,,,,,,,,,,11.57,percent of total billed charges,10.89037305,,,,,,,,,,11.57,percent of total billed charges,999999999,,,,,,,,,,11.57,percent of total billed charges,9.344706975,,,,,,,,,,11.57,percent of total billed charges,14.73724731,,,,,,,,,,11.57,percent of total billed charges,999999999,,,,,,,,,,11.57,percent of total billed charges,10.07587953,,,,,,,,,,41.652,percent of total billed charges,,,,,
CEFTAZIDIME/AVIBACTAM 2GM/0.5GM: FTV,J0714,CDM,0045-6270-10,NDC,,both,1,EA,2110.42,2110.42,449.2745344,2110.42,2110.42,percent of total billed charges,1552.710968,,,,2110.42,percent of total billed charges,1645.842925,,,,2110.42,percent of total billed charges,1552.710968,,,,2110.42,percent of total billed charges,1645.842925,,,,2110.42,percent of total billed charges,999999999,,,,2110.42,percent of total billed charges,1607.994992,,,,2110.42,percent of total billed charges,1552.710968,,,,2110.42,percent of total billed charges,1645.842925,,,,1504.72946,percent of total billed charges,750.8875371,,,,1504.72946,percent of total billed charges,449.2745344,,,,1504.72946,percent of total billed charges,750.8875371,,,,1504.72946,percent of total billed charges,449.2745344,,,,1504.72946,percent of total billed charges,750.8875371,,,,1504.72946,percent of total billed charges,449.2745344,,,,1489.95652,percent of total billed charges,1478.651815,,,,1489.95652,percent of total billed charges,1019.814437,,,,,,,,,,1519.5024,percent of total billed charges,987.6408029,,,,,,,,,,1519.5024,percent of total billed charges,999999999,,,,,,,,,,1688.336,percent of total billed charges,1414.737805,,,,1667.2318,percent of total billed charges,1608.950436,,,,1667.2318,percent of total billed charges,1421.560969,,,,1688.336,percent of total billed charges,999999999,,,,1688.336,percent of total billed charges,999999999,,,,1477.294,percent of total billed charges,999999999,,,,1477.294,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1122.74344,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1065.7621,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,527.605,percent of total billed charges,501.0956931,,,,,,,,,,527.605,percent of total billed charges,492.7603072,,,,,,,,,,527.605,percent of total billed charges,491.3909474,,,,,,,,,,527.605,percent of total billed charges,484.1552217,,,,,,,,,,527.605,percent of total billed charges,496.6132473,,,,,,,,,,527.605,percent of total billed charges,999999999,,,,,,,,,,527.605,percent of total billed charges,426.1291377,,,,,,,,,,527.605,percent of total billed charges,672.0350359,,,,,,,,,,527.605,percent of total billed charges,999999999,,,,,,,,,,527.605,percent of total billed charges,459.4714278,,,,,,,,,,1899.378,percent of total billed charges,,,,,
MORphine SULF 10MG/0.5ML O/S: 0.5mL SYR,250,RC,6809-4004-58,NDC,,both,1,EA,14.6,14.6,3.108105592,14.6,14.6,percent of total billed charges,10.74173868,,,,14.6,percent of total billed charges,11.38603061,,,,14.6,percent of total billed charges,10.74173868,,,,14.6,percent of total billed charges,11.38603061,,,,14.6,percent of total billed charges,999999999,,,,14.6,percent of total billed charges,11.12419655,,,,14.6,percent of total billed charges,10.74173868,,,,14.6,percent of total billed charges,11.38603061,,,,10.4098,percent of total billed charges,5.1946807,,,,10.4098,percent of total billed charges,3.108105592,,,,10.4098,percent of total billed charges,5.1946807,,,,10.4098,percent of total billed charges,3.108105592,,,,10.4098,percent of total billed charges,5.1946807,,,,10.4098,percent of total billed charges,3.108105592,,,,10.3076,percent of total billed charges,10.22939344,,,,10.3076,percent of total billed charges,7.055131575,,,,,,,,,,10.512,percent of total billed charges,6.83255263,,,,,,,,,,10.512,percent of total billed charges,999999999,,,,,,,,,,11.68,percent of total billed charges,9.787232853,,,,11.534,percent of total billed charges,11.13080636,,,,11.534,percent of total billed charges,9.83443587,,,,11.68,percent of total billed charges,999999999,,,,11.68,percent of total billed charges,999999999,,,,10.22,percent of total billed charges,999999999,,,,10.22,percent of total billed charges,999999999,,,,,,,,,,,,,,,,7.7672,percent of total billed charges,999999999,,,,,,,,,,,,,,,,7.373,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3.65,percent of total billed charges,3.466607177,,,,,,,,,,3.65,percent of total billed charges,3.408942526,,,,,,,,,,3.65,percent of total billed charges,3.39946922,,,,,,,,,,3.65,percent of total billed charges,3.349412078,,,,,,,,,,3.65,percent of total billed charges,3.435597374,,,,,,,,,,3.65,percent of total billed charges,999999999,,,,,,,,,,3.65,percent of total billed charges,2.947984482,,,,,,,,,,3.65,percent of total billed charges,4.64917482,,,,,,,,,,3.65,percent of total billed charges,999999999,,,,,,,,,,3.65,percent of total billed charges,3.178648253,,,,,,,,,,13.14,percent of total billed charges,,,,,
fentaNYL CIT AMP 50mcg/1mL: 2mL AMP,J3010,CDM,0040-9909-32,NDC,,both,1,EA,17.25,17.25,3.672248045,17.25,17.25,percent of total billed charges,12.69143782,,,,17.25,percent of total billed charges,13.45267315,,,,17.25,percent of total billed charges,12.69143782,,,,17.25,percent of total billed charges,13.45267315,,,,17.25,percent of total billed charges,999999999,,,,17.25,percent of total billed charges,13.14331441,,,,17.25,percent of total billed charges,12.69143782,,,,17.25,percent of total billed charges,13.45267315,,,,12.29925,percent of total billed charges,6.137550827,,,,12.29925,percent of total billed charges,3.672248045,,,,12.29925,percent of total billed charges,6.137550827,,,,12.29925,percent of total billed charges,3.672248045,,,,12.29925,percent of total billed charges,6.137550827,,,,12.29925,percent of total billed charges,3.672248045,,,,12.1785,percent of total billed charges,12.08609841,,,,12.1785,percent of total billed charges,8.335686278,,,,,,,,,,12.42,percent of total billed charges,8.072707731,,,,,,,,,,12.42,percent of total billed charges,999999999,,,,,,,,,,13.8,percent of total billed charges,11.56368265,,,,13.6275,percent of total billed charges,13.15112396,,,,13.6275,percent of total billed charges,11.61945334,,,,13.8,percent of total billed charges,999999999,,,,13.8,percent of total billed charges,999999999,,,,12.075,percent of total billed charges,999999999,,,,12.075,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.177,percent of total billed charges,999999999,,,,,,,,,,,,,,,,8.71125,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4.3125,percent of total billed charges,4.095820124,,,,,,,,,,4.3125,percent of total billed charges,4.027688943,,,,,,,,,,4.3125,percent of total billed charges,4.016496168,,,,,,,,,,4.3125,percent of total billed charges,3.957353311,,,,,,,,,,4.3125,percent of total billed charges,4.059181829,,,,,,,,,,4.3125,percent of total billed charges,999999999,,,,,,,,,,4.3125,percent of total billed charges,3.483063857,,,,,,,,,,4.3125,percent of total billed charges,5.493031894,,,,,,,,,,4.3125,percent of total billed charges,999999999,,,,,,,,,,4.3125,percent of total billed charges,3.755594682,,,,,,,,,,15.525,percent of total billed charges,,,,,
ALVIMOPAN (ENTEREG) CAPSULE 12MG,250,RC,0059-1231-15,NDC,,both,1,EA,326.21,326.21,69.44487158,326.21,326.21,percent of total billed charges,240.0042858,,,,326.21,percent of total billed charges,254.3997975,,,,326.21,percent of total billed charges,240.0042858,,,,326.21,percent of total billed charges,254.3997975,,,,326.21,percent of total billed charges,999999999,,,,326.21,percent of total billed charges,248.5495997,,,,326.21,percent of total billed charges,240.0042858,,,,326.21,percent of total billed charges,254.3997975,,,,232.58773,percent of total billed charges,116.0655336,,,,232.58773,percent of total billed charges,69.44487158,,,,232.58773,percent of total billed charges,116.0655336,,,,232.58773,percent of total billed charges,69.44487158,,,,232.58773,percent of total billed charges,116.0655336,,,,232.58773,percent of total billed charges,69.44487158,,,,230.30426,percent of total billed charges,228.556879,,,,230.30426,percent of total billed charges,157.6338679,,,,,,,,,,234.8712,percent of total billed charges,152.660753,,,,,,,,,,234.8712,percent of total billed charges,999999999,,,,,,,,,,260.968,percent of total billed charges,218.6776184,,,,257.7059,percent of total billed charges,248.6972839,,,,257.7059,percent of total billed charges,219.7322825,,,,260.968,percent of total billed charges,999999999,,,,260.968,percent of total billed charges,999999999,,,,228.347,percent of total billed charges,999999999,,,,228.347,percent of total billed charges,999999999,,,,,,,,,,,,,,,,173.54372,percent of total billed charges,999999999,,,,,,,,,,,,,,,,164.73605,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,81.5525,percent of total billed charges,77.45492653,,,,,,,,,,81.5525,percent of total billed charges,76.16651653,,,,,,,,,,81.5525,percent of total billed charges,75.95485304,,,,,,,,,,81.5525,percent of total billed charges,74.83641875,,,,,,,,,,81.5525,percent of total billed charges,76.76206983,,,,,,,,,,81.5525,percent of total billed charges,999999999,,,,,,,,,,81.5525,percent of total billed charges,65.8672615,,,,,,,,,,81.5525,percent of total billed charges,103.8772136,,,,,,,,,,81.5525,percent of total billed charges,999999999,,,,,,,,,,81.5525,percent of total billed charges,71.02101689,,,,,,,,,,293.589,percent of total billed charges,,,,,
SOD ZIRC CYCLOSI (LOKELMA) PWD 10GM:PACK,250,RC,0031-0111-39,NDC,,both,1,EA,82.68,82.68,17.60124454,82.68,82.68,percent of total billed charges,60.83061327,,,,82.68,percent of total billed charges,64.4792473,,,,82.68,percent of total billed charges,60.83061327,,,,82.68,percent of total billed charges,64.4792473,,,,82.68,percent of total billed charges,999999999,,,,82.68,percent of total billed charges,62.99647744,,,,82.68,percent of total billed charges,60.83061327,,,,82.68,percent of total billed charges,64.4792473,,,,58.95084,percent of total billed charges,29.41754796,,,,58.95084,percent of total billed charges,17.60124454,,,,58.95084,percent of total billed charges,29.41754796,,,,58.95084,percent of total billed charges,17.60124454,,,,58.95084,percent of total billed charges,29.41754796,,,,58.95084,percent of total billed charges,17.60124454,,,,58.37208,percent of total billed charges,57.92919516,,,,58.37208,percent of total billed charges,39.95330675,,,,,,,,,,59.5296,percent of total billed charges,38.69283914,,,,,,,,,,59.5296,percent of total billed charges,999999999,,,,,,,,,,66.144,percent of total billed charges,55.42523372,,,,65.3172,percent of total billed charges,63.03390892,,,,65.3172,percent of total billed charges,55.69254505,,,,66.144,percent of total billed charges,999999999,,,,66.144,percent of total billed charges,999999999,,,,57.876,percent of total billed charges,999999999,,,,57.876,percent of total billed charges,999999999,,,,,,,,,,,,,,,,43.98576,percent of total billed charges,999999999,,,,,,,,,,,,,,,,41.7534,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20.67,percent of total billed charges,19.63144393,,,,,,,,,,20.67,percent of total billed charges,19.30488822,,,,,,,,,,20.67,percent of total billed charges,19.25124076,,,,,,,,,,20.67,percent of total billed charges,18.96776648,,,,,,,,,,20.67,percent of total billed charges,19.45583499,,,,,,,,,,20.67,percent of total billed charges,999999999,,,,,,,,,,20.67,percent of total billed charges,16.69447651,,,,,,,,,,20.67,percent of total billed charges,26.32834069,,,,,,,,,,20.67,percent of total billed charges,999999999,,,,,,,,,,20.67,percent of total billed charges,18.0007286,,,,,,,,,,74.412,percent of total billed charges,,,,,
SODIUM BICARB 4.2% (2.5mEQ/5mL)FTV (PED),258,RC,0040-9555-02,NDC,,both,1,EA,68.05,68.05,14.48675243,68.05,68.05,percent of total billed charges,50.06680253,,,,68.05,percent of total billed charges,53.06982074,,,,68.05,percent of total billed charges,50.06680253,,,,68.05,percent of total billed charges,53.06982074,,,,68.05,percent of total billed charges,999999999,,,,68.05,percent of total billed charges,51.84942295,,,,68.05,percent of total billed charges,50.06680253,,,,68.05,percent of total billed charges,53.06982074,,,,48.51965,percent of total billed charges,24.21219326,,,,48.51965,percent of total billed charges,14.48675243,,,,48.51965,percent of total billed charges,24.21219326,,,,48.51965,percent of total billed charges,14.48675243,,,,48.51965,percent of total billed charges,24.21219326,,,,48.51965,percent of total billed charges,14.48675243,,,,48.0433,percent of total billed charges,47.67878242,,,,48.0433,percent of total billed charges,32.88367833,,,,,,,,,,48.996,percent of total billed charges,31.84624702,,,,,,,,,,48.996,percent of total billed charges,999999999,,,,,,,,,,54.44,percent of total billed charges,45.61789011,,,,53.7595,percent of total billed charges,51.88023104,,,,53.7595,percent of total billed charges,45.83790143,,,,54.44,percent of total billed charges,999999999,,,,54.44,percent of total billed charges,999999999,,,,47.635,percent of total billed charges,999999999,,,,47.635,percent of total billed charges,999999999,,,,,,,,,,,,,,,,36.2026,percent of total billed charges,999999999,,,,,,,,,,,,,,,,34.36525,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17.0125,percent of total billed charges,16.15771359,,,,,,,,,,17.0125,percent of total billed charges,15.88894102,,,,,,,,,,17.0125,percent of total billed charges,15.84478633,,,,,,,,,,17.0125,percent of total billed charges,15.61147205,,,,,,,,,,17.0125,percent of total billed charges,16.01317817,,,,,,,,,,17.0125,percent of total billed charges,999999999,,,,,,,,,,17.0125,percent of total billed charges,13.74043452,,,,,,,,,,17.0125,percent of total billed charges,21.66961277,,,,,,,,,,17.0125,percent of total billed charges,999999999,,,,,,,,,,17.0125,percent of total billed charges,14.81554888,,,,,,,,,,61.245,percent of total billed charges,,,,,
ceFAZolin FTV: 10GM FOR COMPOUNDING,J0690,CDM,0014-3998-91,NDC,,both,1,EA,86.26,86.26,18.36336906,86.26,86.26,percent of total billed charges,63.46454645,,,,86.26,percent of total billed charges,67.27116439,,,,86.26,percent of total billed charges,63.46454645,,,,86.26,percent of total billed charges,67.27116439,,,,86.26,percent of total billed charges,999999999,,,,86.26,percent of total billed charges,65.72419139,,,,86.26,percent of total billed charges,63.46454645,,,,86.26,percent of total billed charges,67.27116439,,,,61.50338,percent of total billed charges,30.69131213,,,,61.50338,percent of total billed charges,18.36336906,,,,61.50338,percent of total billed charges,30.69131213,,,,61.50338,percent of total billed charges,18.36336906,,,,61.50338,percent of total billed charges,30.69131213,,,,61.50338,percent of total billed charges,18.36336906,,,,60.89956,percent of total billed charges,60.43749848,,,,60.89956,percent of total billed charges,41.68326367,,,,,,,,,,62.1072,percent of total billed charges,40.36821849,,,,,,,,,,62.1072,percent of total billed charges,999999999,,,,,,,,,,69.008,percent of total billed charges,57.82511684,,,,68.1454,percent of total billed charges,65.76324363,,,,68.1454,percent of total billed charges,58.10400261,,,,69.008,percent of total billed charges,999999999,,,,69.008,percent of total billed charges,999999999,,,,60.382,percent of total billed charges,999999999,,,,60.382,percent of total billed charges,999999999,,,,,,,,,,,,,,,,45.89032,percent of total billed charges,999999999,,,,,,,,,,,,,,,,43.5613,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21.565,percent of total billed charges,20.48147501,,,,,,,,,,21.565,percent of total billed charges,20.14077961,,,,,,,,,,21.565,percent of total billed charges,20.08480924,,,,,,,,,,21.565,percent of total billed charges,19.78906067,,,,,,,,,,21.565,percent of total billed charges,20.29826229,,,,,,,,,,21.565,percent of total billed charges,999999999,,,,,,,,,,21.565,percent of total billed charges,17.41733845,,,,,,,,,,21.565,percent of total billed charges,27.46834383,,,,,,,,,,21.565,percent of total billed charges,999999999,,,,,,,,,,21.565,percent of total billed charges,18.78015057,,,,,,,,,,77.634,percent of total billed charges,,,,,
PROPARACAINE HCL OPHTH SOLN 0.5%: 15mL,250,RC,6131-4001-01,NDC,,both,1,EA,142.9,142.9,30.42111569,142.9,142.9,percent of total billed charges,105.1366066,,,,142.9,percent of total billed charges,111.4427242,,,,142.9,percent of total billed charges,105.1366066,,,,142.9,percent of total billed charges,111.4427242,,,,142.9,percent of total billed charges,999999999,,,,142.9,percent of total billed charges,108.8799785,,,,142.9,percent of total billed charges,105.1366066,,,,142.9,percent of total billed charges,111.4427242,,,,101.8877,percent of total billed charges,50.84382685,,,,101.8877,percent of total billed charges,30.42111569,,,,101.8877,percent of total billed charges,50.84382685,,,,101.8877,percent of total billed charges,30.42111569,,,,101.8877,percent of total billed charges,50.84382685,,,,101.8877,percent of total billed charges,30.42111569,,,,100.8874,percent of total billed charges,100.1219399,,,,100.8874,percent of total billed charges,69.05330836,,,,,,,,,,102.888,percent of total billed charges,66.87477883,,,,,,,,,,102.888,percent of total billed charges,999999999,,,,,,,,,,114.32,percent of total billed charges,95.79421745,,,,112.891,percent of total billed charges,108.9446733,,,,112.891,percent of total billed charges,96.25622506,,,,114.32,percent of total billed charges,999999999,,,,114.32,percent of total billed charges,999999999,,,,100.03,percent of total billed charges,999999999,,,,100.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,76.0228,percent of total billed charges,999999999,,,,,,,,,,,,,,,,72.1645,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,35.725,percent of total billed charges,33.93001135,,,,,,,,,,35.725,percent of total billed charges,33.36560869,,,,,,,,,,35.725,percent of total billed charges,33.2728871,,,,,,,,,,35.725,percent of total billed charges,32.78294424,,,,,,,,,,35.725,percent of total billed charges,33.62649759,,,,,,,,,,35.725,percent of total billed charges,999999999,,,,,,,,,,35.725,percent of total billed charges,28.85390291,,,,,,,,,,35.725,percent of total billed charges,45.50459464,,,,,,,,,,35.725,percent of total billed charges,999999999,,,,,,,,,,35.725,percent of total billed charges,31.11156407,,,,,,,,,,128.61,percent of total billed charges,,,,,
CALCIUM GLUCONATE 2000MG/100mL IVPB,J0613,CDM,4456-7062-24,NDC,,both,1,EA,251.2,251.2,53.47644689,251.2,251.2,percent of total billed charges,184.8167641,,,,251.2,percent of total billed charges,195.9021156,,,,251.2,percent of total billed charges,184.8167641,,,,251.2,percent of total billed charges,195.9021156,,,,251.2,percent of total billed charges,999999999,,,,251.2,percent of total billed charges,191.3971351,,,,251.2,percent of total billed charges,184.8167641,,,,251.2,percent of total billed charges,195.9021156,,,,179.1056,percent of total billed charges,89.37697204,,,,179.1056,percent of total billed charges,53.47644689,,,,179.1056,percent of total billed charges,89.37697204,,,,179.1056,percent of total billed charges,53.47644689,,,,179.1056,percent of total billed charges,89.37697204,,,,179.1056,percent of total billed charges,53.47644689,,,,177.3472,percent of total billed charges,176.0016186,,,,177.3472,percent of total billed charges,121.3869213,,,,,,,,,,180.864,percent of total billed charges,117.5573439,,,,,,,,,,180.864,percent of total billed charges,999999999,,,,,,,,,,200.96,percent of total billed charges,168.3940337,,,,198.448,percent of total billed charges,191.5108602,,,,198.448,percent of total billed charges,169.2061843,,,,200.96,percent of total billed charges,999999999,,,,200.96,percent of total billed charges,999999999,,,,175.84,percent of total billed charges,999999999,,,,175.84,percent of total billed charges,999999999,,,,,,,,,,,,,,,,133.6384,percent of total billed charges,999999999,,,,,,,,,,,,,,,,126.856,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,62.8,percent of total billed charges,59.64463856,,,,,,,,,,62.8,percent of total billed charges,58.65249058,,,,,,,,,,62.8,percent of total billed charges,58.48949782,,,,,,,,,,62.8,percent of total billed charges,57.62824068,,,,,,,,,,62.8,percent of total billed charges,59.11110003,,,,,,,,,,62.8,percent of total billed charges,999999999,,,,,,,,,,62.8,percent of total billed charges,50.72148643,,,,,,,,,,62.8,percent of total billed charges,79.99128184,,,,,,,,,,62.8,percent of total billed charges,999999999,,,,,,,,,,62.8,percent of total billed charges,54.6901672,,,,,,,,,,226.08,percent of total billed charges,,,,,
BETADINE OPHTH SOLUTION 5%:30mL,250,RC,0006-5041-30,NDC,,both,1,EA,126.18,126.18,26.86169613,126.18,126.18,percent of total billed charges,92.83510864,,,,126.18,percent of total billed charges,98.40337958,,,,126.18,percent of total billed charges,92.83510864,,,,126.18,percent of total billed charges,98.40337958,,,,126.18,percent of total billed charges,999999999,,,,126.18,percent of total billed charges,96.1404877,,,,126.18,percent of total billed charges,92.83510864,,,,126.18,percent of total billed charges,98.40337958,,,,89.96634,percent of total billed charges,44.89485005,,,,89.96634,percent of total billed charges,26.86169613,,,,89.96634,percent of total billed charges,44.89485005,,,,89.96634,percent of total billed charges,26.86169613,,,,89.96634,percent of total billed charges,44.89485005,,,,89.96634,percent of total billed charges,26.86169613,,,,89.08308,percent of total billed charges,88.40718245,,,,89.08308,percent of total billed charges,60.97373302,,,,,,,,,,90.8496,percent of total billed charges,59.05010212,,,,,,,,,,90.8496,percent of total billed charges,999999999,,,,,,,,,,100.944,percent of total billed charges,84.58582475,,,,99.6822,percent of total billed charges,96.19761282,,,,99.6822,percent of total billed charges,84.99377521,,,,100.944,percent of total billed charges,999999999,,,,100.944,percent of total billed charges,999999999,,,,88.326,percent of total billed charges,999999999,,,,88.326,percent of total billed charges,999999999,,,,,,,,,,,,,,,,67.12776,percent of total billed charges,999999999,,,,,,,,,,,,,,,,63.7209,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,31.545,percent of total billed charges,29.96003381,,,,,,,,,,31.545,percent of total billed charges,29.46166903,,,,,,,,,,31.545,percent of total billed charges,29.37979632,,,,,,,,,,31.545,percent of total billed charges,28.94717917,,,,,,,,,,31.545,percent of total billed charges,29.69203265,,,,,,,,,,31.545,percent of total billed charges,999999999,,,,,,,,,,31.545,percent of total billed charges,25.47785493,,,,,,,,,,31.545,percent of total billed charges,40.18033416,,,,,,,,,,31.545,percent of total billed charges,999999999,,,,,,,,,,31.545,percent of total billed charges,27.47135867,,,,,,,,,,113.562,percent of total billed charges,,,,,
FERRIC CARBOXYMALTOSE INJ: 750MG/15mL,J1439,CDM,0051-7065-01,NDC,,both,1,EA,6483.88,6483.88,1380.313951,6483.88,6483.88,percent of total billed charges,4770.420861,,,,6483.88,percent of total billed charges,5056.551789,,,,6483.88,percent of total billed charges,4770.420861,,,,6483.88,percent of total billed charges,5056.551789,,,,6483.88,percent of total billed charges,999999999,,,,6483.88,percent of total billed charges,4940.270926,,,,6483.88,percent of total billed charges,4770.420861,,,,6483.88,percent of total billed charges,5056.551789,,,,4623.00644,percent of total billed charges,2306.964815,,,,4623.00644,percent of total billed charges,1380.313951,,,,4623.00644,percent of total billed charges,2306.964815,,,,4623.00644,percent of total billed charges,1380.313951,,,,4623.00644,percent of total billed charges,2306.964815,,,,4623.00644,percent of total billed charges,1380.313951,,,,4577.61928,percent of total billed charges,4542.887638,,,,4577.61928,percent of total billed charges,3133.193597,,,,,,,,,,4668.3936,percent of total billed charges,3034.345983,,,,,,,,,,4668.3936,percent of total billed charges,999999999,,,,,,,,,,5187.104,percent of total billed charges,4346.523517,,,,5122.2652,percent of total billed charges,4943.206354,,,,5122.2652,percent of total billed charges,4367.486442,,,,5187.104,percent of total billed charges,999999999,,,,5187.104,percent of total billed charges,999999999,,,,4538.716,percent of total billed charges,999999999,,,,4538.716,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3449.42416,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3274.3594,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1620.97,percent of total billed charges,1539.524996,,,,,,,,,,1620.97,percent of total billed charges,1513.916045,,,,,,,,,,1620.97,percent of total billed charges,1509.708938,,,,,,,,,,1620.97,percent of total billed charges,1487.478492,,,,,,,,,,1620.97,percent of total billed charges,1525.7535,,,,,,,,,,1620.97,percent of total billed charges,999999999,,,,,,,,,,1620.97,percent of total billed charges,1309.203947,,,,,,,,,,1620.97,percent of total billed charges,2064.704906,,,,,,,,,,1620.97,percent of total billed charges,999999999,,,,,,,,,,1620.97,percent of total billed charges,1411.642043,,,,,,,,,,5835.492,percent of total billed charges,,,,,
MINOCYCLINE (MINOCIN) HCL 100MG SDV,J2265,CDM,7084-2016-10,NDC,,both,1,EA,1615.82,1615.82,343.9821354,1615.82,1615.82,percent of total billed charges,1188.816177,,,,1615.82,percent of total billed charges,1260.121642,,,,1615.82,percent of total billed charges,1188.816177,,,,1615.82,percent of total billed charges,1260.121642,,,,1615.82,percent of total billed charges,999999999,,,,1615.82,percent of total billed charges,1231.143785,,,,1615.82,percent of total billed charges,1188.816177,,,,1615.82,percent of total billed charges,1260.121642,,,,1152.07966,percent of total billed charges,574.9088334,,,,1152.07966,percent of total billed charges,343.9821354,,,,1152.07966,percent of total billed charges,574.9088334,,,,1152.07966,percent of total billed charges,343.9821354,,,,1152.07966,percent of total billed charges,574.9088334,,,,1152.07966,percent of total billed charges,343.9821354,,,,1140.76892,percent of total billed charges,1132.113596,,,,1140.76892,percent of total billed charges,780.809774,,,,,,,,,,1163.3904,percent of total billed charges,756.176383,,,,,,,,,,1163.3904,percent of total billed charges,999999999,,,,,,,,,,1292.656,percent of total billed charges,1083.178533,,,,1276.4978,percent of total billed charges,1231.875311,,,,1276.4978,percent of total billed charges,1088.402614,,,,1292.656,percent of total billed charges,999999999,,,,1292.656,percent of total billed charges,999999999,,,,1131.074,percent of total billed charges,999999999,,,,1131.074,percent of total billed charges,999999999,,,,,,,,,,,,,,,,859.61624,percent of total billed charges,999999999,,,,,,,,,,,,,,,,815.9891,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,403.955,percent of total billed charges,383.658439,,,,,,,,,,403.955,percent of total billed charges,377.2765419,,,,,,,,,,403.955,percent of total billed charges,376.2281066,,,,,,,,,,403.955,percent of total billed charges,370.6881523,,,,,,,,,,403.955,percent of total billed charges,380.2265034,,,,,,,,,,403.955,percent of total billed charges,999999999,,,,,,,,,,403.955,percent of total billed charges,326.2611155,,,,,,,,,,403.955,percent of total billed charges,514.5362779,,,,,,,,,,403.955,percent of total billed charges,999999999,,,,,,,,,,403.955,percent of total billed charges,351.7892754,,,,,,,,,,1454.238,percent of total billed charges,,,,,
TACROLIMUS ORAL 0.5MG/mL SYR: COMPOUND,J7507,CDM,1672-9004-01,NDC,,both,1,EA,2.58,2.58,0.549240577,2.58,2.58,percent of total billed charges,1.898197656,,,,2.58,percent of total billed charges,2.012051984,,,,2.58,percent of total billed charges,1.898197656,,,,2.58,percent of total billed charges,2.012051984,,,,2.58,percent of total billed charges,999999999,,,,2.58,percent of total billed charges,1.965782678,,,,2.58,percent of total billed charges,1.898197656,,,,2.58,percent of total billed charges,2.012051984,,,,1.83954,percent of total billed charges,0.917964124,,,,1.83954,percent of total billed charges,0.549240577,,,,1.83954,percent of total billed charges,0.917964124,,,,1.83954,percent of total billed charges,0.549240577,,,,1.83954,percent of total billed charges,0.917964124,,,,1.83954,percent of total billed charges,0.549240577,,,,1.82148,percent of total billed charges,1.807659936,,,,1.82148,percent of total billed charges,1.24672873,,,,,,,,,,1.8576,percent of total billed charges,1.207396287,,,,,,,,,,1.8576,percent of total billed charges,999999999,,,,,,,,,,2.064,percent of total billed charges,1.72952471,,,,2.0382,percent of total billed charges,1.966950714,,,,2.0382,percent of total billed charges,1.737866065,,,,2.064,percent of total billed charges,999999999,,,,2.064,percent of total billed charges,999999999,,,,1.806,percent of total billed charges,999999999,,,,1.806,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.37256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.3029,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.645,percent of total billed charges,0.612592227,,,,,,,,,,0.645,percent of total billed charges,0.602402172,,,,,,,,,,0.645,percent of total billed charges,0.600728123,,,,,,,,,,0.645,percent of total billed charges,0.591882408,,,,,,,,,,0.645,percent of total billed charges,0.607112413,,,,,,,,,,0.645,percent of total billed charges,999999999,,,,,,,,,,0.645,percent of total billed charges,0.520945203,,,,,,,,,,0.645,percent of total billed charges,0.821566509,,,,,,,,,,0.645,percent of total billed charges,999999999,,,,,,,,,,0.645,percent of total billed charges,0.561706335,,,,,,,,,,2.322,percent of total billed charges,,,,,
fentaNYL CIT 50MCG/ML SDV: 50ML,J3010,CDM,0040-9909-61,NDC,,both,1,EA,494.12,494.12,105.1902147,494.12,494.12,percent of total billed charges,363.541638,,,,494.12,percent of total billed charges,385.3469482,,,,494.12,percent of total billed charges,363.541638,,,,494.12,percent of total billed charges,385.3469482,,,,494.12,percent of total billed charges,999999999,,,,494.12,percent of total billed charges,376.4854793,,,,494.12,percent of total billed charges,363.541638,,,,494.12,percent of total billed charges,385.3469482,,,,352.30756,percent of total billed charges,175.8079197,,,,352.30756,percent of total billed charges,105.1902147,,,,352.30756,percent of total billed charges,175.8079197,,,,352.30756,percent of total billed charges,105.1902147,,,,352.30756,percent of total billed charges,175.8079197,,,,352.30756,percent of total billed charges,105.1902147,,,,348.84872,percent of total billed charges,346.2019099,,,,348.84872,percent of total billed charges,238.7727133,,,,,,,,,,355.7664,percent of total billed charges,231.2397881,,,,,,,,,,355.7664,percent of total billed charges,999999999,,,,,,,,,,395.296,percent of total billed charges,331.2374998,,,,390.3548,percent of total billed charges,376.7091809,,,,390.3548,percent of total billed charges,332.835031,,,,395.296,percent of total billed charges,999999999,,,,395.296,percent of total billed charges,999999999,,,,345.884,percent of total billed charges,999999999,,,,345.884,percent of total billed charges,999999999,,,,,,,,,,,,,,,,262.87184,percent of total billed charges,999999999,,,,,,,,,,,,,,,,249.5306,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,123.53,percent of total billed charges,117.3232835,,,,,,,,,,123.53,percent of total billed charges,115.3716905,,,,,,,,,,123.53,percent of total billed charges,115.0510775,,,,,,,,,,123.53,percent of total billed charges,113.3569518,,,,,,,,,,123.53,percent of total billed charges,116.2737928,,,,,,,,,,123.53,percent of total billed charges,999999999,,,,,,,,,,123.53,percent of total billed charges,99.77110221,,,,,,,,,,123.53,percent of total billed charges,157.3459084,,,,,,,,,,123.53,percent of total billed charges,999999999,,,,,,,,,,123.53,percent of total billed charges,107.577649,,,,,,,,,,444.708,percent of total billed charges,,,,,
SULFAMETHOX/TRIM 400MG-80MG PO TAB,250,RC,6068-7060-65,NDC,,both,1,EA,1.38,1.38,0.293779844,1.38,1.38,percent of total billed charges,1.015315025,,,,1.38,percent of total billed charges,1.076213852,,,,1.38,percent of total billed charges,1.015315025,,,,1.38,percent of total billed charges,1.076213852,,,,1.38,percent of total billed charges,999999999,,,,1.38,percent of total billed charges,1.051465153,,,,1.38,percent of total billed charges,1.015315025,,,,1.38,percent of total billed charges,1.076213852,,,,0.98394,percent of total billed charges,0.491004066,,,,0.98394,percent of total billed charges,0.293779844,,,,0.98394,percent of total billed charges,0.491004066,,,,0.98394,percent of total billed charges,0.293779844,,,,0.98394,percent of total billed charges,0.491004066,,,,0.98394,percent of total billed charges,0.293779844,,,,0.97428,percent of total billed charges,0.966887873,,,,0.97428,percent of total billed charges,0.666854902,,,,,,,,,,0.9936,percent of total billed charges,0.645816618,,,,,,,,,,0.9936,percent of total billed charges,999999999,,,,,,,,,,1.104,percent of total billed charges,0.925094612,,,,1.0902,percent of total billed charges,1.052089917,,,,1.0902,percent of total billed charges,0.929556267,,,,1.104,percent of total billed charges,999999999,,,,1.104,percent of total billed charges,999999999,,,,0.966,percent of total billed charges,999999999,,,,0.966,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.73416,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.6969,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.345,percent of total billed charges,0.32766561,,,,,,,,,,0.345,percent of total billed charges,0.322215115,,,,,,,,,,0.345,percent of total billed charges,0.321319693,,,,,,,,,,0.345,percent of total billed charges,0.316588265,,,,,,,,,,0.345,percent of total billed charges,0.324734546,,,,,,,,,,0.345,percent of total billed charges,999999999,,,,,,,,,,0.345,percent of total billed charges,0.278645109,,,,,,,,,,0.345,percent of total billed charges,0.439442551,,,,,,,,,,0.345,percent of total billed charges,999999999,,,,,,,,,,0.345,percent of total billed charges,0.300447575,,,,,,,,,,1.242,percent of total billed charges,,,,,
ERYTHROMYCIN OPHT OINT 0.5%: 1GM (UD),250,RC,0057-4402-50,NDC,,both,1,EA,37.03,37.03,7.883092469,37.03,37.03,percent of total billed charges,27.24428652,,,,37.03,percent of total billed charges,28.87840502,,,,37.03,percent of total billed charges,27.24428652,,,,37.03,percent of total billed charges,28.87840502,,,,37.03,percent of total billed charges,999999999,,,,37.03,percent of total billed charges,28.21431494,,,,37.03,percent of total billed charges,27.24428652,,,,37.03,percent of total billed charges,28.87840502,,,,26.40239,percent of total billed charges,13.17527577,,,,26.40239,percent of total billed charges,7.883092469,,,,26.40239,percent of total billed charges,13.17527577,,,,26.40239,percent of total billed charges,7.883092469,,,,26.40239,percent of total billed charges,13.17527577,,,,26.40239,percent of total billed charges,7.883092469,,,,26.14318,percent of total billed charges,25.94482459,,,,26.14318,percent of total billed charges,17.89393988,,,,,,,,,,26.6616,percent of total billed charges,17.3294126,,,,,,,,,,26.6616,percent of total billed charges,999999999,,,,,,,,,,29.624,percent of total billed charges,24.82337209,,,,29.2537,percent of total billed charges,28.23107943,,,,29.2537,percent of total billed charges,24.94309317,,,,29.624,percent of total billed charges,999999999,,,,29.624,percent of total billed charges,999999999,,,,25.921,percent of total billed charges,999999999,,,,25.921,percent of total billed charges,999999999,,,,,,,,,,,,,,,,19.69996,percent of total billed charges,999999999,,,,,,,,,,,,,,,,18.70015,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9.2575,percent of total billed charges,8.792360533,,,,,,,,,,9.2575,percent of total billed charges,8.646105598,,,,,,,,,,9.2575,percent of total billed charges,8.622078441,,,,,,,,,,9.2575,percent of total billed charges,8.49511844,,,,,,,,,,9.2575,percent of total billed charges,8.713710327,,,,,,,,,,9.2575,percent of total billed charges,999999999,,,,,,,,,,9.2575,percent of total billed charges,7.47697708,,,,,,,,,,9.2575,percent of total billed charges,11.79170847,,,,,,,,,,9.2575,percent of total billed charges,999999999,,,,,,,,,,9.2575,percent of total billed charges,8.062009918,,,,,,,,,,33.327,percent of total billed charges,,,,,
MIDAZOLAM-NACL 50MG-0.9% IV PREMIX 50mL,J2250,CDM,0014-3937-10,NDC,,both,1,EA,183.32,183.32,39.02588473,183.32,183.32,percent of total billed charges,134.8750366,,,,183.32,percent of total billed charges,142.964872,,,,183.32,percent of total billed charges,134.8750366,,,,183.32,percent of total billed charges,142.964872,,,,183.32,percent of total billed charges,999999999,,,,183.32,percent of total billed charges,139.6772405,,,,183.32,percent of total billed charges,134.8750366,,,,183.32,percent of total billed charges,142.964872,,,,130.70716,percent of total billed charges,65.22526479,,,,130.70716,percent of total billed charges,39.02588473,,,,130.70716,percent of total billed charges,65.22526479,,,,130.70716,percent of total billed charges,39.02588473,,,,130.70716,percent of total billed charges,65.22526479,,,,130.70716,percent of total billed charges,39.02588473,,,,129.42392,percent of total billed charges,128.4419455,,,,129.42392,percent of total billed charges,88.5853918,,,,,,,,,,131.9904,percent of total billed charges,85.79065399,,,,,,,,,,131.9904,percent of total billed charges,999999999,,,,,,,,,,146.656,percent of total billed charges,122.8901046,,,,144.8228,percent of total billed charges,139.7602344,,,,144.8228,percent of total billed charges,123.4827934,,,,146.656,percent of total billed charges,999999999,,,,146.656,percent of total billed charges,999999999,,,,128.324,percent of total billed charges,999999999,,,,128.324,percent of total billed charges,999999999,,,,,,,,,,,,,,,,97.52624,percent of total billed charges,999999999,,,,,,,,,,,,,,,,92.5766,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45.83,percent of total billed charges,43.52728957,,,,,,,,,,45.83,percent of total billed charges,42.80324273,,,,,,,,,,45.83,percent of total billed charges,42.68429435,,,,,,,,,,45.83,percent of total billed charges,42.05576863,,,,,,,,,,45.83,percent of total billed charges,43.13792539,,,,,,,,,,45.83,percent of total billed charges,999999999,,,,,,,,,,45.83,percent of total billed charges,37.01537776,,,,,,,,,,45.83,percent of total billed charges,58.37580329,,,,,,,,,,45.83,percent of total billed charges,999999999,,,,,,,,,,45.83,percent of total billed charges,39.91162998,,,,,,,,,,164.988,percent of total billed charges,,,,,
PROTHROMBIN COMPLEX CONC (KCENTRA) 500IU,J7168,CDM,6383-3038-02,NDC,,both,1,EA,6992.05,6992.05,1488.495185,6992.05,6992.05,percent of total billed charges,5144.299583,,,,6992.05,percent of total billed charges,5452.855842,,,,6992.05,percent of total billed charges,5144.299583,,,,6992.05,percent of total billed charges,5452.855842,,,,6992.05,percent of total billed charges,999999999,,,,6992.05,percent of total billed charges,5327.461539,,,,6992.05,percent of total billed charges,5144.299583,,,,6992.05,percent of total billed charges,5452.855842,,,,4985.33165,percent of total billed charges,2487.771725,,,,4985.33165,percent of total billed charges,1488.495185,,,,4985.33165,percent of total billed charges,2487.771725,,,,4985.33165,percent of total billed charges,1488.495185,,,,4985.33165,percent of total billed charges,2487.771725,,,,4985.33165,percent of total billed charges,1488.495185,,,,4936.3873,percent of total billed charges,4898.933588,,,,4936.3873,percent of total billed charges,3378.755666,,,,,,,,,,5034.276,percent of total billed charges,3272.160933,,,,,,,,,,5034.276,percent of total billed charges,999999999,,,,,,,,,,5593.64,percent of total billed charges,4687.179553,,,,5523.7195,percent of total billed charges,5330.62703,,,,5523.7195,percent of total billed charges,4709.785433,,,,5593.64,percent of total billed charges,999999999,,,,5593.64,percent of total billed charges,999999999,,,,4894.435,percent of total billed charges,999999999,,,,4894.435,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3719.7706,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3530.98525,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1748.0125,percent of total billed charges,1660.184296,,,,,,,,,,1748.0125,percent of total billed charges,1632.568259,,,,,,,,,,1748.0125,percent of total billed charges,1628.031422,,,,,,,,,,1748.0125,percent of total billed charges,1604.058679,,,,,,,,,,1748.0125,percent of total billed charges,1645.333467,,,,,,,,,,1748.0125,percent of total billed charges,999999999,,,,,,,,,,1748.0125,percent of total billed charges,1411.811979,,,,,,,,,,1748.0125,percent of total billed charges,2226.524849,,,,,,,,,,1748.0125,percent of total billed charges,999999999,,,,,,,,,,1748.0125,percent of total billed charges,1522.278597,,,,,,,,,,6292.845,percent of total billed charges,,,,,
PROTHROMBIN COMPLEX CONC(KCENTRA) 1000IU,J7168,CDM,6383-3038-02,NDC,,both,1,EA,13643.88,13643.88,2904.562994,13643.88,13643.88,percent of total billed charges,10038.28722,,,,13643.88,percent of total billed charges,10640.38598,,,,13643.88,percent of total billed charges,10038.28722,,,,13643.88,percent of total billed charges,10640.38598,,,,13643.88,percent of total billed charges,999999999,,,,13643.88,percent of total billed charges,10395.69882,,,,13643.88,percent of total billed charges,10038.28722,,,,13643.88,percent of total billed charges,10640.38598,,,,9728.08644,percent of total billed charges,4854.493158,,,,9728.08644,percent of total billed charges,2904.562994,,,,9728.08644,percent of total billed charges,4854.493158,,,,9728.08644,percent of total billed charges,2904.562994,,,,9728.08644,percent of total billed charges,4854.493158,,,,9728.08644,percent of total billed charges,2904.562994,,,,9632.57928,percent of total billed charges,9559.494282,,,,9632.57928,percent of total billed charges,6593.107438,,,,,,,,,,9823.5936,percent of total billed charges,6385.10467,,,,,,,,,,9823.5936,percent of total billed charges,999999999,,,,,,,,,,10915.104,percent of total billed charges,9146.289766,,,,10778.6652,percent of total billed charges,10401.87578,,,,10778.6652,percent of total billed charges,9190.401567,,,,10915.104,percent of total billed charges,999999999,,,,10915.104,percent of total billed charges,999999999,,,,9550.716,percent of total billed charges,999999999,,,,9550.716,percent of total billed charges,999999999,,,,,,,,,,,,,,,,7258.54416,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6890.1594,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3410.97,percent of total billed charges,3239.587146,,,,,,,,,,3410.97,percent of total billed charges,3185.698818,,,,,,,,,,3410.97,percent of total billed charges,3176.845898,,,,,,,,,,3410.97,percent of total billed charges,3130.066881,,,,,,,,,,3410.97,percent of total billed charges,3210.608103,,,,,,,,,,3410.97,percent of total billed charges,999999999,,,,,,,,,,3410.97,percent of total billed charges,2754.927843,,,,,,,,,,3410.97,percent of total billed charges,4344.711188,,,,,,,,,,3410.97,percent of total billed charges,999999999,,,,,,,,,,3410.97,percent of total billed charges,2970.485981,,,,,,,,,,12279.492,percent of total billed charges,,,,,
IMMUNE GLOBULIN 10% (PRIVIGEN) 5GM,J1459,CDM,4420-6043-05,NDC,,both,1,EA,3372.77,3372.77,718.0085819,3372.77,3372.77,percent of total billed charges,2481.466709,,,,3372.77,percent of total billed charges,2630.305647,,,,3372.77,percent of total billed charges,2481.466709,,,,3372.77,percent of total billed charges,2630.305647,,,,3372.77,percent of total billed charges,999999999,,,,3372.77,percent of total billed charges,2569.818931,,,,3372.77,percent of total billed charges,2481.466709,,,,3372.77,percent of total billed charges,2630.305647,,,,2404.78501,percent of total billed charges,1200.031728,,,,2404.78501,percent of total billed charges,718.0085819,,,,2404.78501,percent of total billed charges,1200.031728,,,,2404.78501,percent of total billed charges,718.0085819,,,,2404.78501,percent of total billed charges,1200.031728,,,,2404.78501,percent of total billed charges,718.0085819,,,,2381.17562,percent of total billed charges,2363.108993,,,,2381.17562,percent of total billed charges,1629.817543,,,,,,,,,,2428.3944,percent of total billed charges,1578.399215,,,,,,,,,,2428.3944,percent of total billed charges,999999999,,,,,,,,,,2698.216,percent of total billed charges,2260.96475,,,,2664.4883,percent of total billed charges,2571.345876,,,,2664.4883,percent of total billed charges,2271.869197,,,,2698.216,percent of total billed charges,999999999,,,,2698.216,percent of total billed charges,999999999,,,,2360.939,percent of total billed charges,999999999,,,,2360.939,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1794.31364,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1703.24885,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,843.1925,percent of total billed charges,800.8266226,,,,,,,,,,843.1925,percent of total billed charges,787.5054166,,,,,,,,,,843.1925,percent of total billed charges,785.3169728,,,,,,,,,,843.1925,percent of total billed charges,773.7531899,,,,,,,,,,843.1925,percent of total billed charges,793.662997,,,,,,,,,,843.1925,percent of total billed charges,999999999,,,,,,,,,,843.1925,percent of total billed charges,681.0187412,,,,,,,,,,843.1925,percent of total billed charges,1074.013518,,,,,,,,,,843.1925,percent of total billed charges,999999999,,,,,,,,,,843.1925,percent of total billed charges,734.3047581,,,,,,,,,,3035.493,percent of total billed charges,,,,,
BETAXOLOL HCL O/S 0.5%: 5mL,250,RC,6131-4024-01,NDC,,both,1,EA,168.35,168.35,35.83901208,168.35,168.35,percent of total billed charges,123.8610758,,,,168.35,percent of total billed charges,131.2902913,,,,168.35,percent of total billed charges,123.8610758,,,,168.35,percent of total billed charges,131.2902913,,,,168.35,percent of total billed charges,999999999,,,,168.35,percent of total billed charges,128.2711294,,,,168.35,percent of total billed charges,123.8610758,,,,168.35,percent of total billed charges,131.2902913,,,,120.03355,percent of total billed charges,59.89893807,,,,120.03355,percent of total billed charges,35.83901208,,,,120.03355,percent of total billed charges,59.89893807,,,,120.03355,percent of total billed charges,35.83901208,,,,120.03355,percent of total billed charges,59.89893807,,,,120.03355,percent of total billed charges,35.83901208,,,,118.8551,percent of total billed charges,117.953314,,,,118.8551,percent of total billed charges,81.35146579,,,,,,,,,,121.212,percent of total billed charges,78.78494763,,,,,,,,,,121.212,percent of total billed charges,999999999,,,,,,,,,,134.68,percent of total billed charges,112.8548391,,,,132.9965,percent of total billed charges,128.347346,,,,132.9965,percent of total billed charges,113.3991287,,,,134.68,percent of total billed charges,999999999,,,,134.68,percent of total billed charges,999999999,,,,117.845,percent of total billed charges,999999999,,,,117.845,percent of total billed charges,999999999,,,,,,,,,,,,,,,,89.5622,percent of total billed charges,999999999,,,,,,,,,,,,,,,,85.01675,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,42.0875,percent of total billed charges,39.97283002,,,,,,,,,,42.0875,percent of total billed charges,39.30790919,,,,,,,,,,42.0875,percent of total billed charges,39.1986742,,,,,,,,,,42.0875,percent of total billed charges,38.6214742,,,,,,,,,,42.0875,percent of total billed charges,39.6152615,,,,,,,,,,42.0875,percent of total billed charges,999999999,,,,,,,,,,42.0875,percent of total billed charges,33.99268408,,,,,,,,,,42.0875,percent of total billed charges,53.60880692,,,,,,,,,,42.0875,percent of total billed charges,999999999,,,,,,,,,,42.0875,percent of total billed charges,36.65242694,,,,,,,,,,151.515,percent of total billed charges,,,,,
METRONIDAZOLE TOPICAL GEL 0.75%: 45GM,250,RC,5167-2411-06,NDC,,both,1,EA,131.34,131.34,27.96017729,131.34,131.34,percent of total billed charges,96.63150395,,,,131.34,percent of total billed charges,102.4274835,,,,131.34,percent of total billed charges,96.63150395,,,,131.34,percent of total billed charges,102.4274835,,,,131.34,percent of total billed charges,999999999,,,,131.34,percent of total billed charges,100.0720531,,,,131.34,percent of total billed charges,96.63150395,,,,131.34,percent of total billed charges,102.4274835,,,,93.64542,percent of total billed charges,46.73077829,,,,93.64542,percent of total billed charges,27.96017729,,,,93.64542,percent of total billed charges,46.73077829,,,,93.64542,percent of total billed charges,27.96017729,,,,93.64542,percent of total billed charges,46.73077829,,,,93.64542,percent of total billed charges,27.96017729,,,,92.72604,percent of total billed charges,92.02250233,,,,92.72604,percent of total billed charges,63.46719048,,,,,,,,,,94.5648,percent of total billed charges,61.46489469,,,,,,,,,,94.5648,percent of total billed charges,999999999,,,,,,,,,,105.072,percent of total billed charges,88.04487417,,,,103.7586,percent of total billed charges,100.1315142,,,,103.7586,percent of total billed charges,88.46950734,,,,105.072,percent of total billed charges,999999999,,,,105.072,percent of total billed charges,999999999,,,,91.938,percent of total billed charges,999999999,,,,91.938,percent of total billed charges,999999999,,,,,,,,,,,,,,,,69.87288,percent of total billed charges,999999999,,,,,,,,,,,,,,,,66.3267,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,32.835,percent of total billed charges,31.18521827,,,,,,,,,,32.835,percent of total billed charges,30.66647338,,,,,,,,,,32.835,percent of total billed charges,30.58125256,,,,,,,,,,32.835,percent of total billed charges,30.13094399,,,,,,,,,,32.835,percent of total billed charges,30.90625747,,,,,,,,,,32.835,percent of total billed charges,999999999,,,,,,,,,,32.835,percent of total billed charges,26.51974533,,,,,,,,,,32.835,percent of total billed charges,41.82346718,,,,,,,,,,32.835,percent of total billed charges,999999999,,,,,,,,,,32.835,percent of total billed charges,28.59477134,,,,,,,,,,118.206,percent of total billed charges,,,,,
EPOETIN ALFA-EPBX (RETACRIT) INJ 40000U,Q5105,CDM,0006-9130-04,NDC,,both,1,EA,2096.22,2096.22,446.2515824,2096.22,2096.22,percent of total billed charges,1542.263524,,,,2096.22,percent of total billed charges,1634.768841,,,,2096.22,percent of total billed charges,1542.263524,,,,2096.22,percent of total billed charges,1634.768841,,,,2096.22,percent of total billed charges,999999999,,,,2096.22,percent of total billed charges,1597.175568,,,,2096.22,percent of total billed charges,1542.263524,,,,2096.22,percent of total billed charges,1634.768841,,,,1494.60486,percent of total billed charges,745.8351765,,,,1494.60486,percent of total billed charges,446.2515824,,,,1494.60486,percent of total billed charges,745.8351765,,,,1494.60486,percent of total billed charges,446.2515824,,,,1494.60486,percent of total billed charges,745.8351765,,,,1494.60486,percent of total billed charges,446.2515824,,,,1479.93132,percent of total billed charges,1468.702679,,,,1479.93132,percent of total billed charges,1012.952597,,,,,,,,,,1509.2784,percent of total billed charges,980.9954435,,,,,,,,,,1509.2784,percent of total billed charges,999999999,,,,,,,,,,1676.976,percent of total billed charges,1405.218716,,,,1656.0138,percent of total billed charges,1598.124583,,,,1656.0138,percent of total billed charges,1411.99597,,,,1676.976,percent of total billed charges,999999999,,,,1676.976,percent of total billed charges,999999999,,,,1467.354,percent of total billed charges,999999999,,,,1467.354,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1115.18904,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1058.5911,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,524.055,percent of total billed charges,497.7240615,,,,,,,,,,524.055,percent of total billed charges,489.4447604,,,,,,,,,,524.055,percent of total billed charges,488.0846143,,,,,,,,,,524.055,percent of total billed charges,480.8975743,,,,,,,,,,524.055,percent of total billed charges,493.2717759,,,,,,,,,,524.055,percent of total billed charges,999999999,,,,,,,,,,524.055,percent of total billed charges,423.2619199,,,,,,,,,,524.055,percent of total billed charges,667.5132357,,,,,,,,,,524.055,percent of total billed charges,999999999,,,,,,,,,,524.055,percent of total billed charges,456.3798658,,,,,,,,,,1886.598,percent of total billed charges,,,,,
EPOETIN ALFA-EPBX (RETACRIT) INJ 10000U,Q5105,CDM,0006-9130-10,NDC,,both,1,EA,863.32,863.32,183.7869671,863.32,863.32,percent of total billed charges,635.1751941,,,,863.32,percent of total billed charges,673.2731468,,,,863.32,percent of total billed charges,635.1751941,,,,863.32,percent of total billed charges,673.2731468,,,,863.32,percent of total billed charges,999999999,,,,863.32,percent of total billed charges,657.7905044,,,,863.32,percent of total billed charges,635.1751941,,,,863.32,percent of total billed charges,673.2731468,,,,615.54716,percent of total billed charges,307.1692974,,,,615.54716,percent of total billed charges,183.7869671,,,,615.54716,percent of total billed charges,307.1692974,,,,615.54716,percent of total billed charges,183.7869671,,,,615.54716,percent of total billed charges,307.1692974,,,,615.54716,percent of total billed charges,183.7869671,,,,609.50392,percent of total billed charges,604.8794481,,,,609.50392,percent of total billed charges,417.180561,,,,,,,,,,621.5904,percent of total billed charges,404.0191327,,,,,,,,,,621.5904,percent of total billed charges,999999999,,,,,,,,,,690.656,percent of total billed charges,578.7338265,,,,682.0228,percent of total billed charges,658.1813528,,,,682.0228,percent of total billed charges,581.525012,,,,690.656,percent of total billed charges,999999999,,,,690.656,percent of total billed charges,999999999,,,,604.324,percent of total billed charges,999999999,,,,604.324,percent of total billed charges,999999999,,,,,,,,,,,,,,,,459.28624,percent of total billed charges,999999999,,,,,,,,,,,,,,,,435.9766,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,215.83,percent of total billed charges,204.9857061,,,,,,,,,,215.83,percent of total billed charges,201.5759083,,,,,,,,,,215.83,percent of total billed charges,201.0157375,,,,,,,,,,215.83,percent of total billed charges,198.0557832,,,,,,,,,,215.83,percent of total billed charges,203.1520497,,,,,,,,,,215.83,percent of total billed charges,999999999,,,,,,,,,,215.83,percent of total billed charges,174.3187646,,,,,,,,,,215.83,percent of total billed charges,274.9127127,,,,,,,,,,215.83,percent of total billed charges,999999999,,,,,,,,,,215.83,percent of total billed charges,187.9582609,,,,,,,,,,776.988,percent of total billed charges,,,,,
EPOETIN ALFA-EPBX (RETACRIT) INJ 4000U,Q5105,CDM,0006-9130-10,NDC,,both,1,EA,489.24,489.24,104.1513411,489.24,489.24,percent of total billed charges,359.9512486,,,,489.24,percent of total billed charges,381.5412064,,,,489.24,percent of total billed charges,359.9512486,,,,489.24,percent of total billed charges,381.5412064,,,,489.24,percent of total billed charges,999999999,,,,489.24,percent of total billed charges,372.7672547,,,,489.24,percent of total billed charges,359.9512486,,,,489.24,percent of total billed charges,381.5412064,,,,348.82812,percent of total billed charges,174.0716154,,,,348.82812,percent of total billed charges,104.1513411,,,,348.82812,percent of total billed charges,174.0716154,,,,348.82812,percent of total billed charges,104.1513411,,,,348.82812,percent of total billed charges,174.0716154,,,,348.82812,percent of total billed charges,104.1513411,,,,345.40344,percent of total billed charges,342.7827702,,,,345.40344,percent of total billed charges,236.4145597,,,,,,,,,,352.2528,percent of total billed charges,228.9560307,,,,,,,,,,352.2528,percent of total billed charges,999999999,,,,,,,,,,391.392,percent of total billed charges,327.9661508,,,,386.4996,percent of total billed charges,372.988747,,,,386.4996,percent of total billed charges,329.5479045,,,,391.392,percent of total billed charges,999999999,,,,391.392,percent of total billed charges,999999999,,,,342.468,percent of total billed charges,999999999,,,,342.468,percent of total billed charges,999999999,,,,,,,,,,,,,,,,260.27568,percent of total billed charges,999999999,,,,,,,,,,,,,,,,247.0662,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,122.31,percent of total billed charges,116.1645819,,,,,,,,,,122.31,percent of total billed charges,114.2322631,,,,,,,,,,122.31,percent of total billed charges,113.9148165,,,,,,,,,,122.31,percent of total billed charges,112.2374222,,,,,,,,,,122.31,percent of total billed charges,115.1254561,,,,,,,,,,122.31,percent of total billed charges,999999999,,,,,,,,,,122.31,percent of total billed charges,98.78574849,,,,,,,,,,122.31,percent of total billed charges,155.7919376,,,,,,,,,,122.31,percent of total billed charges,999999999,,,,,,,,,,122.31,percent of total billed charges,106.5151967,,,,,,,,,,440.316,percent of total billed charges,,,,,
PENTAMIDINE ISE INH SOLN 300MG SDV,J2545,CDM,1392-5052-01,NDC,,both,1,EA,596.83,596.83,127.0555247,596.83,596.83,percent of total billed charges,439.1090338,,,,596.83,percent of total billed charges,465.4468936,,,,596.83,percent of total billed charges,439.1090338,,,,596.83,percent of total billed charges,465.4468936,,,,596.83,percent of total billed charges,999999999,,,,596.83,percent of total billed charges,454.7434401,,,,596.83,percent of total billed charges,439.1090338,,,,596.83,percent of total billed charges,465.4468936,,,,425.53979,percent of total billed charges,212.3521426,,,,425.53979,percent of total billed charges,127.0555247,,,,425.53979,percent of total billed charges,212.3521426,,,,425.53979,percent of total billed charges,127.0555247,,,,425.53979,percent of total billed charges,212.3521426,,,,425.53979,percent of total billed charges,127.0555247,,,,421.36198,percent of total billed charges,418.1649921,,,,421.36198,percent of total billed charges,288.4050807,,,,,,,,,,429.7176,percent of total billed charges,279.3063278,,,,,,,,,,429.7176,percent of total billed charges,999999999,,,,,,,,,,477.464,percent of total billed charges,400.0900126,,,,471.4957,percent of total billed charges,455.0136413,,,,471.4957,percent of total billed charges,402.0196137,,,,477.464,percent of total billed charges,999999999,,,,477.464,percent of total billed charges,999999999,,,,417.781,percent of total billed charges,999999999,,,,417.781,percent of total billed charges,999999999,,,,,,,,,,,,,,,,317.51356,percent of total billed charges,999999999,,,,,,,,,,,,,,,,301.39915,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,149.2075,percent of total billed charges,141.7106275,,,,,,,,,,149.2075,percent of total billed charges,139.3533676,,,,,,,,,,149.2075,percent of total billed charges,138.9661106,,,,,,,,,,149.2075,percent of total billed charges,136.9198363,,,,,,,,,,149.2075,percent of total billed charges,140.442985,,,,,,,,,,149.2075,percent of total billed charges,999999999,,,,,,,,,,149.2075,percent of total billed charges,120.5099711,,,,,,,,,,149.2075,percent of total billed charges,190.0525348,,,,,,,,,,149.2075,percent of total billed charges,999999999,,,,,,,,,,149.2075,percent of total billed charges,129.9392217,,,,,,,,,,537.147,percent of total billed charges,,,,,
riTUXimab (RITUXAN) 100MG SDV,J9312,CDM,5024-2005-21,NDC,,both,1,EA,8948.33,8948.33,1904.955788,8948.33,8948.33,percent of total billed charges,6583.604277,,,,8948.33,percent of total billed charges,6978.49036,,,,8948.33,percent of total billed charges,6583.604277,,,,8948.33,percent of total billed charges,6978.49036,,,,8948.33,percent of total billed charges,999999999,,,,8948.33,percent of total billed charges,6818.012445,,,,8948.33,percent of total billed charges,6583.604277,,,,8948.33,percent of total billed charges,6978.49036,,,,6380.15929,percent of total billed charges,3183.816243,,,,6380.15929,percent of total billed charges,1904.955788,,,,6380.15929,percent of total billed charges,3183.816243,,,,6380.15929,percent of total billed charges,1904.955788,,,,6380.15929,percent of total billed charges,3183.816243,,,,6380.15929,percent of total billed charges,1904.955788,,,,6317.52098,percent of total billed charges,6269.588231,,,,6317.52098,percent of total billed charges,4324.08531,,,,,,,,,,6442.7976,percent of total billed charges,4187.666827,,,,,,,,,,6442.7976,percent of total billed charges,999999999,,,,,,,,,,7158.664,percent of total billed charges,5998.588312,,,,7069.1807,percent of total billed charges,6822.063597,,,,7069.1807,percent of total billed charges,6027.519009,,,,7158.664,percent of total billed charges,999999999,,,,7158.664,percent of total billed charges,999999999,,,,6263.831,percent of total billed charges,999999999,,,,6263.831,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4760.51156,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4518.90665,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2237.0825,percent of total billed charges,2124.681165,,,,,,,,,,2237.0825,percent of total billed charges,2089.338539,,,,,,,,,,2237.0825,percent of total billed charges,2083.532357,,,,,,,,,,2237.0825,percent of total billed charges,2052.852368,,,,,,,,,,2237.0825,percent of total billed charges,2105.675278,,,,,,,,,,2237.0825,percent of total billed charges,999999999,,,,,,,,,,2237.0825,percent of total billed charges,1806.81767,,,,,,,,,,2237.0825,percent of total billed charges,2849.476063,,,,,,,,,,2237.0825,percent of total billed charges,999999999,,,,,,,,,,2237.0825,percent of total billed charges,1948.191337,,,,,,,,,,8053.497,percent of total billed charges,,,,,
SILVER NITRATE APPLICATOR: PCK 10,250,RC,1287-0000-01,NDC,,both,1,EA,27.64,27.64,5.884112229,27.64,27.64,percent of total billed charges,20.33572993,,,,27.64,percent of total billed charges,21.55547164,,,,27.64,percent of total billed charges,20.33572993,,,,27.64,percent of total billed charges,21.55547164,,,,27.64,percent of total billed charges,999999999,,,,27.64,percent of total billed charges,21.05978031,,,,27.64,percent of total billed charges,20.33572993,,,,27.64,percent of total billed charges,21.55547164,,,,19.70732,percent of total billed charges,9.834313325,,,,19.70732,percent of total billed charges,5.884112229,,,,19.70732,percent of total billed charges,9.834313325,,,,19.70732,percent of total billed charges,5.884112229,,,,19.70732,percent of total billed charges,9.834313325,,,,19.70732,percent of total billed charges,5.884112229,,,,19.51384,percent of total billed charges,19.36578319,,,,19.51384,percent of total billed charges,13.35642717,,,,,,,,,,19.9008,percent of total billed charges,12.93505169,,,,,,,,,,19.9008,percent of total billed charges,999999999,,,,,,,,,,22.112,percent of total billed charges,18.52870658,,,,21.8356,percent of total billed charges,21.07229369,,,,21.8356,percent of total billed charges,18.618069,,,,22.112,percent of total billed charges,999999999,,,,22.112,percent of total billed charges,999999999,,,,19.348,percent of total billed charges,999999999,,,,19.348,percent of total billed charges,999999999,,,,,,,,,,,,,,,,14.70448,percent of total billed charges,999999999,,,,,,,,,,,,,,,,13.9582,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6.91,percent of total billed charges,6.562809752,,,,,,,,,,6.91,percent of total billed charges,6.453641877,,,,,,,,,,6.91,percent of total billed charges,6.435707483,,,,,,,,,,6.91,percent of total billed charges,6.340941769,,,,,,,,,,6.91,percent of total billed charges,6.504103522,,,,,,,,,,6.91,percent of total billed charges,999999999,,,,,,,,,,6.91,percent of total billed charges,5.580978841,,,,,,,,,,6.91,percent of total billed charges,8.801588495,,,,,,,,,,6.91,percent of total billed charges,999999999,,,,,,,,,,6.91,percent of total billed charges,6.017660117,,,,,,,,,,24.876,percent of total billed charges,,,,,
PHENOL EZ SWABS SOLUTION 89%,250,RC,0088-4629-30,NDC,,both,1,EA,18.28,18.28,3.891518508,18.28,18.28,percent of total billed charges,13.44924541,,,,18.28,percent of total billed charges,14.25593421,,,,18.28,percent of total billed charges,13.44924541,,,,18.28,percent of total billed charges,14.25593421,,,,18.28,percent of total billed charges,999999999,,,,18.28,percent of total billed charges,13.92810362,,,,18.28,percent of total billed charges,13.44924541,,,,18.28,percent of total billed charges,14.25593421,,,,13.03364,percent of total billed charges,6.504024876,,,,13.03364,percent of total billed charges,3.891518508,,,,13.03364,percent of total billed charges,6.504024876,,,,13.03364,percent of total billed charges,3.891518508,,,,13.03364,percent of total billed charges,6.504024876,,,,13.03364,percent of total billed charges,3.891518508,,,,12.90568,percent of total billed charges,12.8077611,,,,12.90568,percent of total billed charges,8.833411314,,,,,,,,,,13.1616,percent of total billed charges,8.55473028,,,,,,,,,,13.1616,percent of total billed charges,999999999,,,,,,,,,,14.624,percent of total billed charges,12.25415182,,,,14.4412,percent of total billed charges,13.93637948,,,,14.4412,percent of total billed charges,12.31325258,,,,14.624,percent of total billed charges,999999999,,,,14.624,percent of total billed charges,999999999,,,,12.796,percent of total billed charges,999999999,,,,12.796,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.72496,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.2314,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4.57,percent of total billed charges,4.340382137,,,,,,,,,,4.57,percent of total billed charges,4.268182834,,,,,,,,,,4.57,percent of total billed charges,4.256321736,,,,,,,,,,4.57,percent of total billed charges,4.19364745,,,,,,,,,,4.57,percent of total billed charges,4.301556164,,,,,,,,,,4.57,percent of total billed charges,999999999,,,,,,,,,,4.57,percent of total billed charges,3.691038105,,,,,,,,,,4.57,percent of total billed charges,5.821021624,,,,,,,,,,4.57,percent of total billed charges,999999999,,,,,,,,,,4.57,percent of total billed charges,3.979841785,,,,,,,,,,16.452,percent of total billed charges,,,,,
LACTOBACILLUS PO CAP: 10B,250,RC,4910-0038-64,NDC,,both,1,EA,5.21,5.21,1.109125351,5.21,5.21,percent of total billed charges,3.833182089,,,,5.21,percent of total billed charges,4.063097223,,,,5.21,percent of total billed charges,3.833182089,,,,5.21,percent of total billed charges,4.063097223,,,,5.21,percent of total billed charges,999999999,,,,5.21,percent of total billed charges,3.969661919,,,,5.21,percent of total billed charges,3.833182089,,,,5.21,percent of total billed charges,4.063097223,,,,3.71473,percent of total billed charges,1.85371825,,,,3.71473,percent of total billed charges,1.109125351,,,,3.71473,percent of total billed charges,1.85371825,,,,3.71473,percent of total billed charges,1.109125351,,,,3.71473,percent of total billed charges,1.85371825,,,,3.71473,percent of total billed charges,1.109125351,,,,3.67826,percent of total billed charges,3.650352041,,,,3.67826,percent of total billed charges,2.51761887,,,,,,,,,,3.7512,percent of total billed charges,2.438191726,,,,,,,,,,3.7512,percent of total billed charges,999999999,,,,,,,,,,4.168,percent of total billed charges,3.49256734,,,,4.1159,percent of total billed charges,3.972020627,,,,4.1159,percent of total billed charges,3.509411704,,,,4.168,percent of total billed charges,999999999,,,,4.168,percent of total billed charges,999999999,,,,3.647,percent of total billed charges,999999999,,,,3.647,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2.77172,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2.63105,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.3025,percent of total billed charges,1.237056397,,,,,,,,,,1.3025,percent of total billed charges,1.216478805,,,,,,,,,,1.3025,percent of total billed charges,1.213098263,,,,,,,,,,1.3025,percent of total billed charges,1.195235406,,,,,,,,,,1.3025,percent of total billed charges,1.22599057,,,,,,,,,,1.3025,percent of total billed charges,999999999,,,,,,,,,,1.3025,percent of total billed charges,1.051986243,,,,,,,,,,1.3025,percent of total billed charges,1.65905485,,,,,,,,,,1.3025,percent of total billed charges,999999999,,,,,,,,,,1.3025,percent of total billed charges,1.134298452,,,,,,,,,,4.689,percent of total billed charges,,,,,
PNEUMOCOCCAL (PREVNAR) 20 IM SYR:0.5mL,90677,CDM,0000-5200-02,NDC,,both,1,EA,1425.94,1425.94,303.559732,1425.94,1425.94,percent of total billed charges,1049.114716,,,,1425.94,percent of total billed charges,1112.040855,,,,1425.94,percent of total billed charges,1049.114716,,,,1425.94,percent of total billed charges,1112.040855,,,,1425.94,percent of total billed charges,999999999,,,,1425.94,percent of total billed charges,1086.468276,,,,1425.94,percent of total billed charges,1049.114716,,,,1425.94,percent of total billed charges,1112.040855,,,,1016.69522,percent of total billed charges,507.3495203,,,,1016.69522,percent of total billed charges,303.559732,,,,1016.69522,percent of total billed charges,507.3495203,,,,1016.69522,percent of total billed charges,303.559732,,,,1016.69522,percent of total billed charges,507.3495203,,,,1016.69522,percent of total billed charges,303.559732,,,,1006.71364,percent of total billed charges,999.0754299,,,,1006.71364,percent of total billed charges,689.0544053,,,,,,,,,,1026.6768,percent of total billed charges,667.3157601,,,,,,,,,,1026.6768,percent of total billed charges,999999999,,,,,,,,,,1140.752,percent of total billed charges,955.8908777,,,,1126.4926,percent of total billed charges,1087.113838,,,,1126.4926,percent of total billed charges,960.5010606,,,,1140.752,percent of total billed charges,999999999,,,,1140.752,percent of total billed charges,999999999,,,,998.158,percent of total billed charges,999999999,,,,998.158,percent of total billed charges,999999999,,,,,,,,,,,,,,,,758.60008,percent of total billed charges,999999999,,,,,,,,,,,,,,,,720.0997,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,356.485,percent of total billed charges,338.5735506,,,,,,,,,,356.485,percent of total billed charges,332.9416099,,,,,,,,,,356.485,percent of total billed charges,332.0163795,,,,,,,,,,356.485,percent of total billed charges,327.1274423,,,,,,,,,,356.485,percent of total billed charges,335.5449123,,,,,,,,,,356.485,percent of total billed charges,999999999,,,,,,,,,,356.485,percent of total billed charges,287.9211639,,,,,,,,,,356.485,percent of total billed charges,454.0715303,,,,,,,,,,356.485,percent of total billed charges,999999999,,,,,,,,,,356.485,percent of total billed charges,310.4494308,,,,,,,,,,1283.346,percent of total billed charges,,,,,
IRON SUCROSE (VENOFER): 200MG SDV,J1756,CDM,0051-7231-05,NDC,,both,1,EA,596.52,596.52,126.9895306,596.52,596.52,percent of total billed charges,438.8809558,,,,596.52,percent of total billed charges,465.2051354,,,,596.52,percent of total billed charges,438.8809558,,,,596.52,percent of total billed charges,465.2051354,,,,596.52,percent of total billed charges,999999999,,,,596.52,percent of total billed charges,454.5072414,,,,596.52,percent of total billed charges,438.8809558,,,,596.52,percent of total billed charges,465.2051354,,,,425.31876,percent of total billed charges,212.2418446,,,,425.31876,percent of total billed charges,126.9895306,,,,425.31876,percent of total billed charges,212.2418446,,,,425.31876,percent of total billed charges,126.9895306,,,,425.31876,percent of total billed charges,212.2418446,,,,425.31876,percent of total billed charges,126.9895306,,,,421.14312,percent of total billed charges,417.9477927,,,,421.14312,percent of total billed charges,288.2552799,,,,,,,,,,429.4944,percent of total billed charges,279.1612531,,,,,,,,,,429.4944,percent of total billed charges,999999999,,,,,,,,,,477.216,percent of total billed charges,399.8822015,,,,471.2508,percent of total billed charges,454.7773022,,,,471.2508,percent of total billed charges,401.8108004,,,,477.216,percent of total billed charges,999999999,,,,477.216,percent of total billed charges,999999999,,,,417.564,percent of total billed charges,999999999,,,,417.564,percent of total billed charges,999999999,,,,,,,,,,,,,,,,317.34864,percent of total billed charges,999999999,,,,,,,,,,,,,,,,301.2426,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,149.13,percent of total billed charges,141.6370215,,,,,,,,,,149.13,percent of total billed charges,139.280986,,,,,,,,,,149.13,percent of total billed charges,138.8939301,,,,,,,,,,149.13,percent of total billed charges,136.8487187,,,,,,,,,,149.13,percent of total billed charges,140.3700374,,,,,,,,,,149.13,percent of total billed charges,999999999,,,,,,,,,,149.13,percent of total billed charges,120.4473769,,,,,,,,,,149.13,percent of total billed charges,189.9538194,,,,,,,,,,149.13,percent of total billed charges,999999999,,,,,,,,,,149.13,percent of total billed charges,129.8717299,,,,,,,,,,536.868,percent of total billed charges,,,,,
KETOTIFEN OPHTH SOLN 0.025%:5mL,250,RC,0053-6125-40,NDC,,both,1,EA,66.64,66.64,14.18658607,66.64,66.64,percent of total billed charges,49.02941543,,,,66.64,percent of total billed charges,51.97021093,,,,66.64,percent of total billed charges,49.02941543,,,,66.64,percent of total billed charges,51.97021093,,,,66.64,percent of total billed charges,999999999,,,,66.64,percent of total billed charges,50.77509986,,,,66.64,percent of total billed charges,49.02941543,,,,66.64,percent of total billed charges,51.97021093,,,,47.51432,percent of total billed charges,23.71051519,,,,47.51432,percent of total billed charges,14.18658607,,,,47.51432,percent of total billed charges,23.71051519,,,,47.51432,percent of total billed charges,14.18658607,,,,47.51432,percent of total billed charges,23.71051519,,,,47.51432,percent of total billed charges,14.18658607,,,,47.04784,percent of total billed charges,46.69087525,,,,47.04784,percent of total billed charges,32.20232658,,,,,,,,,,47.9808,percent of total billed charges,31.18639091,,,,,,,,,,47.9808,percent of total billed charges,999999999,,,,,,,,,,53.312,percent of total billed charges,44.67268475,,,,52.6456,percent of total billed charges,50.8052696,,,,52.6456,percent of total billed charges,44.88813742,,,,53.312,percent of total billed charges,999999999,,,,53.312,percent of total billed charges,999999999,,,,46.648,percent of total billed charges,999999999,,,,46.648,percent of total billed charges,999999999,,,,,,,,,,,,,,,,35.45248,percent of total billed charges,999999999,,,,,,,,,,,,,,,,33.6532,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16.66,percent of total billed charges,15.82292481,,,,,,,,,,16.66,percent of total billed charges,15.55972123,,,,,,,,,,16.66,percent of total billed charges,15.51648143,,,,,,,,,,16.66,percent of total billed charges,15.28800143,,,,,,,,,,16.66,percent of total billed charges,15.68138418,,,,,,,,,,16.66,percent of total billed charges,999999999,,,,,,,,,,16.66,percent of total billed charges,13.45573191,,,,,,,,,,16.66,percent of total billed charges,21.22061712,,,,,,,,,,16.66,percent of total billed charges,999999999,,,,,,,,,,16.66,percent of total billed charges,14.50856983,,,,,,,,,,59.976,percent of total billed charges,,,,,
LEVETIRACETAM (KEPPRA) 1000MG IVPB:100mL,J1953,CDM,4359-8075-10,NDC,,both,1,EA,169.09,169.09,35.9965462,169.09,169.09,percent of total billed charges,124.40552,,,,169.09,percent of total billed charges,131.8673915,,,,169.09,percent of total billed charges,124.40552,,,,169.09,percent of total billed charges,131.8673915,,,,169.09,percent of total billed charges,999999999,,,,169.09,percent of total billed charges,128.8349585,,,,169.09,percent of total billed charges,124.40552,,,,169.09,percent of total billed charges,131.8673915,,,,120.56117,percent of total billed charges,60.1622301,,,,120.56117,percent of total billed charges,35.9965462,,,,120.56117,percent of total billed charges,60.1622301,,,,120.56117,percent of total billed charges,35.9965462,,,,120.56117,percent of total billed charges,60.1622301,,,,120.56117,percent of total billed charges,35.9965462,,,,119.37754,percent of total billed charges,118.4717902,,,,119.37754,percent of total billed charges,81.70905465,,,,,,,,,,121.7448,percent of total billed charges,79.13125509,,,,,,,,,,121.7448,percent of total billed charges,999999999,,,,,,,,,,135.272,percent of total billed charges,113.3509043,,,,133.5811,percent of total billed charges,128.9115102,,,,133.5811,percent of total billed charges,113.8975864,,,,135.272,percent of total billed charges,999999999,,,,135.272,percent of total billed charges,999999999,,,,118.363,percent of total billed charges,999999999,,,,118.363,percent of total billed charges,999999999,,,,,,,,,,,,,,,,89.95588,percent of total billed charges,999999999,,,,,,,,,,,,,,,,85.39045,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,42.2725,percent of total billed charges,40.14853477,,,,,,,,,,42.2725,percent of total billed charges,39.48069121,,,,,,,,,,42.2725,percent of total billed charges,39.37097606,,,,,,,,,,42.2725,percent of total billed charges,38.79123892,,,,,,,,,,42.2725,percent of total billed charges,39.78939452,,,,,,,,,,42.2725,percent of total billed charges,999999999,,,,,,,,,,42.2725,percent of total billed charges,34.14210247,,,,,,,,,,42.2725,percent of total billed charges,53.84445002,,,,,,,,,,42.2725,percent of total billed charges,999999999,,,,,,,,,,42.2725,percent of total billed charges,36.81353651,,,,,,,,,,152.181,percent of total billed charges,,,,,
SODIUM CIT & CITR 1.5-1GM SOLN:15mL UD,250,RC,5723-7031-52,NDC,,both,1,EA,16.23,16.23,3.455106421,16.23,16.23,percent of total billed charges,11.94098758,,,,16.23,percent of total billed charges,12.65721074,,,,16.23,percent of total billed charges,11.94098758,,,,16.23,percent of total billed charges,12.65721074,,,,16.23,percent of total billed charges,999999999,,,,16.23,percent of total billed charges,12.36614452,,,,16.23,percent of total billed charges,11.94098758,,,,16.23,percent of total billed charges,12.65721074,,,,11.57199,percent of total billed charges,5.774634778,,,,11.57199,percent of total billed charges,3.455106421,,,,11.57199,percent of total billed charges,5.774634778,,,,11.57199,percent of total billed charges,3.455106421,,,,11.57199,percent of total billed charges,5.774634778,,,,11.57199,percent of total billed charges,3.455106421,,,,11.45838,percent of total billed charges,11.37144216,,,,11.45838,percent of total billed charges,7.842793524,,,,,,,,,,11.6856,percent of total billed charges,7.595365013,,,,,,,,,,11.6856,percent of total billed charges,999999999,,,,,,,,,,12.984,percent of total billed charges,10.87991707,,,,12.8217,percent of total billed charges,12.37349228,,,,12.8217,percent of total billed charges,10.93239001,,,,12.984,percent of total billed charges,999999999,,,,12.984,percent of total billed charges,999999999,,,,11.361,percent of total billed charges,999999999,,,,11.361,percent of total billed charges,999999999,,,,,,,,,,,,,,,,8.63436,percent of total billed charges,999999999,,,,,,,,,,,,,,,,8.19615,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4.0575,percent of total billed charges,3.853632499,,,,,,,,,,4.0575,percent of total billed charges,3.789529945,,,,,,,,,,4.0575,percent of total billed charges,3.778999003,,,,,,,,,,4.0575,percent of total billed charges,3.723353289,,,,,,,,,,4.0575,percent of total billed charges,3.819160643,,,,,,,,,,4.0575,percent of total billed charges,999999999,,,,,,,,,,4.0575,percent of total billed charges,3.277108777,,,,,,,,,,4.0575,percent of total billed charges,5.16822653,,,,,,,,,,4.0575,percent of total billed charges,999999999,,,,,,,,,,4.0575,percent of total billed charges,3.533524736,,,,,,,,,,14.607,percent of total billed charges,,,,,
HYALURONIDASE (HYLENEX) SDV 150U/1ML,J3473,CDM,1865-7011-04,NDC,,both,1,EA,498.2,498.2,106.0587812,498.2,498.2,percent of total billed charges,366.5434389,,,,498.2,percent of total billed charges,388.5287978,,,,498.2,percent of total billed charges,366.5434389,,,,498.2,percent of total billed charges,388.5287978,,,,498.2,percent of total billed charges,999999999,,,,498.2,percent of total billed charges,379.5941589,,,,498.2,percent of total billed charges,366.5434389,,,,498.2,percent of total billed charges,388.5287978,,,,355.2166,percent of total billed charges,177.2595839,,,,355.2166,percent of total billed charges,106.0587812,,,,355.2166,percent of total billed charges,177.2595839,,,,355.2166,percent of total billed charges,106.0587812,,,,355.2166,percent of total billed charges,177.2595839,,,,355.2166,percent of total billed charges,106.0587812,,,,351.7292,percent of total billed charges,349.0605349,,,,351.7292,percent of total billed charges,240.7442843,,,,,,,,,,358.704,percent of total billed charges,233.1491589,,,,,,,,,,358.704,percent of total billed charges,999999999,,,,,,,,,,398.56,percent of total billed charges,333.9725622,,,,393.578,percent of total billed charges,379.8197076,,,,393.578,percent of total billed charges,335.5832843,,,,398.56,percent of total billed charges,999999999,,,,398.56,percent of total billed charges,999999999,,,,348.74,percent of total billed charges,999999999,,,,348.74,percent of total billed charges,999999999,,,,,,,,,,,,,,,,265.0424,percent of total billed charges,999999999,,,,,,,,,,,,,,,,251.591,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,124.55,percent of total billed charges,118.292034,,,,,,,,,,124.55,percent of total billed charges,116.3243265,,,,,,,,,,124.55,percent of total billed charges,116.0010661,,,,,,,,,,124.55,percent of total billed charges,114.2929519,,,,,,,,,,124.55,percent of total billed charges,117.2338775,,,,,,,,,,124.55,percent of total billed charges,999999999,,,,,,,,,,124.55,percent of total billed charges,100.5949225,,,,,,,,,,124.55,percent of total billed charges,158.6451298,,,,,,,,,,124.55,percent of total billed charges,999999999,,,,,,,,,,124.55,percent of total billed charges,108.4659287,,,,,,,,,,448.38,percent of total billed charges,,,,,
RALTEGRAVIR (ISENTRESS) 400MG TABLET,250,RC,0000-6022-61,NDC,,both,1,EA,79.99,79.99,17.02858673,79.99,79.99,percent of total billed charges,58.8514847,,,,79.99,percent of total billed charges,62.38141015,,,,79.99,percent of total billed charges,58.8514847,,,,79.99,percent of total billed charges,62.38141015,,,,79.99,percent of total billed charges,999999999,,,,79.99,percent of total billed charges,60.94688232,,,,79.99,percent of total billed charges,58.8514847,,,,79.99,percent of total billed charges,62.38141015,,,,57.03287,percent of total billed charges,28.46044583,,,,57.03287,percent of total billed charges,17.02858673,,,,57.03287,percent of total billed charges,28.46044583,,,,57.03287,percent of total billed charges,17.02858673,,,,57.03287,percent of total billed charges,28.46044583,,,,57.03287,percent of total billed charges,17.02858673,,,,56.47294,percent of total billed charges,56.04446445,,,,56.47294,percent of total billed charges,38.65342292,,,,,,,,,,57.5928,percent of total billed charges,37.43396472,,,,,,,,,,57.5928,percent of total billed charges,999999999,,,,,,,,,,63.992,percent of total billed charges,53.62196958,,,,63.1921,percent of total billed charges,60.98309597,,,,63.1921,percent of total billed charges,53.88058392,,,,63.992,percent of total billed charges,999999999,,,,63.992,percent of total billed charges,999999999,,,,55.993,percent of total billed charges,999999999,,,,55.993,percent of total billed charges,999999999,,,,,,,,,,,,,,,,42.55468,percent of total billed charges,999999999,,,,,,,,,,,,,,,,40.39495,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19.9975,percent of total billed charges,18.99273343,,,,,,,,,,19.9975,percent of total billed charges,18.67680224,,,,,,,,,,19.9975,percent of total billed charges,18.6249002,,,,,,,,,,19.9975,percent of total billed charges,18.35064877,,,,,,,,,,19.9975,percent of total billed charges,18.82283794,,,,,,,,,,19.9975,percent of total billed charges,999999999,,,,,,,,,,19.9975,percent of total billed charges,16.15132046,,,,,,,,,,19.9975,percent of total billed charges,25.47174616,,,,,,,,,,19.9975,percent of total billed charges,999999999,,,,,,,,,,19.9975,percent of total billed charges,17.41507354,,,,,,,,,,71.991,percent of total billed charges,,,,,
LORAZEPAM 20MG/10mL MDV:10mL,J2060,CDM,7632-9826-01,NDC,,both,1,EA,250.79,250.79,53.38916447,250.79,250.79,percent of total billed charges,184.5151125,,,,250.79,percent of total billed charges,195.5823709,,,,250.79,percent of total billed charges,184.5151125,,,,250.79,percent of total billed charges,195.5823709,,,,250.79,percent of total billed charges,999999999,,,,250.79,percent of total billed charges,191.0847433,,,,250.79,percent of total billed charges,184.5151125,,,,250.79,percent of total billed charges,195.5823709,,,,178.81327,percent of total billed charges,89.23109402,,,,178.81327,percent of total billed charges,53.38916447,,,,178.81327,percent of total billed charges,89.23109402,,,,178.81327,percent of total billed charges,53.38916447,,,,178.81327,percent of total billed charges,89.23109402,,,,178.81327,percent of total billed charges,53.38916447,,,,177.05774,percent of total billed charges,175.7143548,,,,177.05774,percent of total billed charges,121.1887978,,,,,,,,,,180.5688,percent of total billed charges,117.3654708,,,,,,,,,,180.5688,percent of total billed charges,999999999,,,,,,,,,,200.632,percent of total billed charges,168.1191868,,,,198.1241,percent of total billed charges,191.1982828,,,,198.1241,percent of total billed charges,168.9300118,,,,200.632,percent of total billed charges,999999999,,,,200.632,percent of total billed charges,999999999,,,,175.553,percent of total billed charges,999999999,,,,175.553,percent of total billed charges,999999999,,,,,,,,,,,,,,,,133.42028,percent of total billed charges,999999999,,,,,,,,,,,,,,,,126.64895,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,62.6975,percent of total billed charges,59.54728863,,,,,,,,,,62.6975,percent of total billed charges,58.55676,,,,,,,,,,62.6975,percent of total billed charges,58.39403327,,,,,,,,,,62.6975,percent of total billed charges,57.53418184,,,,,,,,,,62.6975,percent of total billed charges,59.01462092,,,,,,,,,,62.6975,percent of total billed charges,999999999,,,,,,,,,,62.6975,percent of total billed charges,50.63870056,,,,,,,,,,62.6975,percent of total billed charges,79.86072282,,,,,,,,,,62.6975,percent of total billed charges,999999999,,,,,,,,,,62.6975,percent of total billed charges,54.60090379,,,,,,,,,,225.711,percent of total billed charges,,,,,
CEFEPIME-DEX 5% 2GM/50ML IVPB: PREMIX,J0703,CDM,0026-4319-11,NDC,,both,1,EA,330.91,330.91,70.44542612,330.91,330.91,percent of total billed charges,243.4622428,,,,330.91,percent of total billed charges,258.0651636,,,,330.91,percent of total billed charges,243.4622428,,,,330.91,percent of total billed charges,258.0651636,,,,330.91,percent of total billed charges,999999999,,,,330.91,percent of total billed charges,252.1306767,,,,330.91,percent of total billed charges,243.4622428,,,,330.91,percent of total billed charges,258.0651636,,,,235.93883,percent of total billed charges,117.7377939,,,,235.93883,percent of total billed charges,70.44542612,,,,235.93883,percent of total billed charges,117.7377939,,,,235.93883,percent of total billed charges,70.44542612,,,,235.93883,percent of total billed charges,117.7377939,,,,235.93883,percent of total billed charges,70.44542612,,,,233.62246,percent of total billed charges,231.8499029,,,,233.62246,percent of total billed charges,159.9050404,,,,,,,,,,238.2552,percent of total billed charges,154.8602734,,,,,,,,,,238.2552,percent of total billed charges,999999999,,,,,,,,,,264.728,percent of total billed charges,221.828303,,,,261.4189,percent of total billed charges,252.2804886,,,,261.4189,percent of total billed charges,222.8981626,,,,264.728,percent of total billed charges,999999999,,,,264.728,percent of total billed charges,999999999,,,,231.637,percent of total billed charges,999999999,,,,231.637,percent of total billed charges,999999999,,,,,,,,,,,,,,,,176.04412,percent of total billed charges,999999999,,,,,,,,,,,,,,,,167.10955,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,82.7275,percent of total billed charges,78.57088911,,,,,,,,,,82.7275,percent of total billed charges,77.26391583,,,,,,,,,,82.7275,percent of total billed charges,77.04920272,,,,,,,,,,82.7275,percent of total billed charges,75.91465415,,,,,,,,,,82.7275,percent of total billed charges,77.8680498,,,,,,,,,,82.7275,percent of total billed charges,999999999,,,,,,,,,,82.7275,percent of total billed charges,66.8162702,,,,,,,,,,82.7275,percent of total billed charges,105.3738657,,,,,,,,,,82.7275,percent of total billed charges,999999999,,,,,,,,,,82.7275,percent of total billed charges,72.04428037,,,,,,,,,,297.819,percent of total billed charges,,,,,
PREGABALIN (LYRICA) 200MG CAP,250,RC,6586-2076-90,NDC,,both,1,EA,1.02,1.02,0.217141624,1.02,1.02,percent of total billed charges,0.750450236,,,,1.02,percent of total billed charges,0.795462412,,,,1.02,percent of total billed charges,0.750450236,,,,1.02,percent of total billed charges,0.795462412,,,,1.02,percent of total billed charges,999999999,,,,1.02,percent of total billed charges,0.777169896,,,,1.02,percent of total billed charges,0.750450236,,,,1.02,percent of total billed charges,0.795462412,,,,0.72726,percent of total billed charges,0.362916049,,,,0.72726,percent of total billed charges,0.217141624,,,,0.72726,percent of total billed charges,0.362916049,,,,0.72726,percent of total billed charges,0.217141624,,,,0.72726,percent of total billed charges,0.362916049,,,,0.72726,percent of total billed charges,0.217141624,,,,0.72012,percent of total billed charges,0.714656254,,,,0.72012,percent of total billed charges,0.492892754,,,,,,,,,,0.7344,percent of total billed charges,0.477342718,,,,,,,,,,0.7344,percent of total billed charges,999999999,,,,,,,,,,0.816,percent of total billed charges,0.683765583,,,,0.8058,percent of total billed charges,0.777631678,,,,0.8058,percent of total billed charges,0.687063328,,,,0.816,percent of total billed charges,999999999,,,,0.816,percent of total billed charges,999999999,,,,0.714,percent of total billed charges,999999999,,,,0.714,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.54264,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.5151,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.255,percent of total billed charges,0.242187625,,,,,,,,,,0.255,percent of total billed charges,0.238158998,,,,,,,,,,0.255,percent of total billed charges,0.237497165,,,,,,,,,,0.255,percent of total billed charges,0.234000022,,,,,,,,,,0.255,percent of total billed charges,0.240021186,,,,,,,,,,0.255,percent of total billed charges,999999999,,,,,,,,,,0.255,percent of total billed charges,0.20595508,,,,,,,,,,0.255,percent of total billed charges,0.324805364,,,,,,,,,,0.255,percent of total billed charges,999999999,,,,,,,,,,0.255,percent of total billed charges,0.222069946,,,,,,,,,,0.918,percent of total billed charges,,,,,
LORazepam INJ 2MG/1ML CJ,J2060,CDM,0040-9198-30,NDC,,both,1,EA,81.41,81.41,17.33088193,81.41,81.41,percent of total billed charges,59.89622915,,,,81.41,percent of total billed charges,63.48881861,,,,81.41,percent of total billed charges,59.89622915,,,,81.41,percent of total billed charges,63.48881861,,,,81.41,percent of total billed charges,999999999,,,,81.41,percent of total billed charges,62.02882473,,,,81.41,percent of total billed charges,59.89622915,,,,81.41,percent of total billed charges,63.48881861,,,,58.04533,percent of total billed charges,28.9656819,,,,58.04533,percent of total billed charges,17.33088193,,,,58.04533,percent of total billed charges,28.9656819,,,,58.04533,percent of total billed charges,17.33088193,,,,58.04533,percent of total billed charges,28.9656819,,,,58.04533,percent of total billed charges,17.33088193,,,,57.47546,percent of total billed charges,57.03937806,,,,57.47546,percent of total billed charges,39.33960695,,,,,,,,,,58.6152,percent of total billed charges,38.09850066,,,,,,,,,,58.6152,percent of total billed charges,999999999,,,,,,,,,,65.128,percent of total billed charges,54.57387853,,,,64.3139,percent of total billed charges,62.06568124,,,,64.3139,percent of total billed charges,54.83708385,,,,65.128,percent of total billed charges,999999999,,,,65.128,percent of total billed charges,999999999,,,,56.987,percent of total billed charges,999999999,,,,56.987,percent of total billed charges,999999999,,,,,,,,,,,,,,,,43.31012,percent of total billed charges,999999999,,,,,,,,,,,,,,,,41.11205,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20.3525,percent of total billed charges,19.3298966,,,,,,,,,,20.3525,percent of total billed charges,19.00835692,,,,,,,,,,20.3525,percent of total billed charges,18.95553351,,,,,,,,,,20.3525,percent of total billed charges,18.67641351,,,,,,,,,,20.3525,percent of total billed charges,19.15698508,,,,,,,,,,20.3525,percent of total billed charges,999999999,,,,,,,,,,20.3525,percent of total billed charges,16.43804224,,,,,,,,,,20.3525,percent of total billed charges,25.92392617,,,,,,,,,,20.3525,percent of total billed charges,999999999,,,,,,,,,,20.3525,percent of total billed charges,17.72422974,,,,,,,,,,73.269,percent of total billed charges,,,,,
NIRMATRELVIR/RITONAVIR 300/100MG PACK,250,RC,0006-9532-30,NDC,,both,1,EA,3437.89,3437.89,731.8715844,3437.89,3437.89,percent of total billed charges,2529.377807,,,,3437.89,percent of total billed charges,2681.090463,,,,3437.89,percent of total billed charges,2529.377807,,,,3437.89,percent of total billed charges,2681.090463,,,,3437.89,percent of total billed charges,999999999,,,,3437.89,percent of total billed charges,2619.435895,,,,3437.89,percent of total billed charges,2529.377807,,,,3437.89,percent of total billed charges,2681.090463,,,,2451.21557,percent of total billed charges,1223.201427,,,,2451.21557,percent of total billed charges,731.8715844,,,,2451.21557,percent of total billed charges,1223.201427,,,,2451.21557,percent of total billed charges,731.8715844,,,,2451.21557,percent of total billed charges,1223.201427,,,,2451.21557,percent of total billed charges,731.8715844,,,,2427.15034,percent of total billed charges,2408.734891,,,,2427.15034,percent of total billed charges,1661.285362,,,,,,,,,,2475.2808,percent of total billed charges,1608.874271,,,,,,,,,,2475.2808,percent of total billed charges,999999999,,,,,,,,,,2750.312,percent of total billed charges,2304.61849,,,,2715.9331,percent of total billed charges,2620.992321,,,,2715.9331,percent of total billed charges,2315.733475,,,,2750.312,percent of total billed charges,999999999,,,,2750.312,percent of total billed charges,999999999,,,,2406.523,percent of total billed charges,999999999,,,,2406.523,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1828.95748,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1736.13445,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,859.4725,percent of total billed charges,816.2886403,,,,,,,,,,859.4725,percent of total billed charges,802.7102342,,,,,,,,,,859.4725,percent of total billed charges,800.4795369,,,,,,,,,,859.4725,percent of total billed charges,788.6924854,,,,,,,,,,859.4725,percent of total billed charges,808.9867025,,,,,,,,,,859.4725,percent of total billed charges,999999999,,,,,,,,,,859.4725,percent of total billed charges,694.1675597,,,,,,,,,,859.4725,percent of total billed charges,1094.750111,,,,,,,,,,859.4725,percent of total billed charges,999999999,,,,,,,,,,859.4725,percent of total billed charges,748.4824002,,,,,,,,,,3094.101,percent of total billed charges,,,,,
DARUNAVIR (PREZISTA) 600MG TABLET,250,RC,6909-7024-03,NDC,,both,1,EA,6.33,6.33,1.347555369,6.33,6.33,percent of total billed charges,4.657205878,,,,6.33,percent of total billed charges,4.936546146,,,,6.33,percent of total billed charges,4.657205878,,,,6.33,percent of total billed charges,4.936546146,,,,6.33,percent of total billed charges,999999999,,,,6.33,percent of total billed charges,4.823024942,,,,6.33,percent of total billed charges,4.657205878,,,,6.33,percent of total billed charges,4.936546146,,,,4.51329,percent of total billed charges,2.252214303,,,,4.51329,percent of total billed charges,1.347555369,,,,4.51329,percent of total billed charges,2.252214303,,,,4.51329,percent of total billed charges,1.347555369,,,,4.51329,percent of total billed charges,2.252214303,,,,4.51329,percent of total billed charges,1.347555369,,,,4.46898,percent of total billed charges,4.435072634,,,,4.46898,percent of total billed charges,3.058834443,,,,,,,,,,4.5576,percent of total billed charges,2.96233275,,,,,,,,,,4.5576,percent of total billed charges,999999999,,,,,,,,,,5.064,percent of total billed charges,4.243368764,,,,5.0007,percent of total billed charges,4.825890705,,,,5.0007,percent of total billed charges,4.263834182,,,,5.064,percent of total billed charges,999999999,,,,5.064,percent of total billed charges,999999999,,,,4.431,percent of total billed charges,999999999,,,,4.431,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.36756,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.19665,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5825,percent of total billed charges,1.502987906,,,,,,,,,,1.5825,percent of total billed charges,1.477986725,,,,,,,,,,1.5825,percent of total billed charges,1.473879463,,,,,,,,,,1.5825,percent of total billed charges,1.452176606,,,,,,,,,,1.5825,percent of total billed charges,1.489543245,,,,,,,,,,1.5825,percent of total billed charges,999999999,,,,,,,,,,1.5825,percent of total billed charges,1.278132998,,,,,,,,,,1.5825,percent of total billed charges,2.015703878,,,,,,,,,,1.5825,percent of total billed charges,999999999,,,,,,,,,,1.5825,percent of total billed charges,1.378139962,,,,,,,,,,5.697,percent of total billed charges,,,,,
RITONAVIR (NORVIR) 100MG TABLET,250,RC,6586-2068-30,NDC,,both,1,EA,6.81,6.81,1.449739663,6.81,6.81,percent of total billed charges,5.01035893,,,,6.81,percent of total billed charges,5.310881399,,,,6.81,percent of total billed charges,5.01035893,,,,6.81,percent of total billed charges,5.310881399,,,,6.81,percent of total billed charges,999999999,,,,6.81,percent of total billed charges,5.188751952,,,,6.81,percent of total billed charges,5.01035893,,,,6.81,percent of total billed charges,5.310881399,,,,4.85553,percent of total billed charges,2.422998326,,,,4.85553,percent of total billed charges,1.449739663,,,,4.85553,percent of total billed charges,2.422998326,,,,4.85553,percent of total billed charges,1.449739663,,,,4.85553,percent of total billed charges,2.422998326,,,,4.85553,percent of total billed charges,1.449739663,,,,4.80786,percent of total billed charges,4.771381459,,,,4.80786,percent of total billed charges,3.290783974,,,,,,,,,,4.9032,percent of total billed charges,3.186964617,,,,,,,,,,4.9032,percent of total billed charges,999999999,,,,,,,,,,5.448,percent of total billed charges,4.565140803,,,,5.3799,percent of total billed charges,5.191835024,,,,5.3799,percent of total billed charges,4.587158101,,,,5.448,percent of total billed charges,999999999,,,,5.448,percent of total billed charges,999999999,,,,4.767,percent of total billed charges,999999999,,,,4.767,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.62292,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.43905,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.7025,percent of total billed charges,1.616958553,,,,,,,,,,1.7025,percent of total billed charges,1.590061548,,,,,,,,,,1.7025,percent of total billed charges,1.585642835,,,,,,,,,,1.7025,percent of total billed charges,1.562294264,,,,,,,,,,1.7025,percent of total billed charges,1.602494392,,,,,,,,,,1.7025,percent of total billed charges,999999999,,,,,,,,,,1.7025,percent of total billed charges,1.375053036,,,,,,,,,,1.7025,percent of total billed charges,2.168553461,,,,,,,,,,1.7025,percent of total billed charges,999999999,,,,,,,,,,1.7025,percent of total billed charges,1.482643466,,,,,,,,,,6.129,percent of total billed charges,,,,,
NIRMATRELVIR/RITONAVIR 150/100MG PACK,250,RC,0006-9531-20,NDC,,both,1,EA,3454.21,3454.21,735.3458504,3454.21,3454.21,percent of total billed charges,2541.38501,,,,3454.21,percent of total billed charges,2693.817862,,,,3454.21,percent of total billed charges,2541.38501,,,,3454.21,percent of total billed charges,2693.817862,,,,3454.21,percent of total billed charges,999999999,,,,3454.21,percent of total billed charges,2631.870614,,,,3454.21,percent of total billed charges,2541.38501,,,,3454.21,percent of total billed charges,2693.817862,,,,2462.85173,percent of total billed charges,1229.008084,,,,2462.85173,percent of total billed charges,735.3458504,,,,2462.85173,percent of total billed charges,1229.008084,,,,2462.85173,percent of total billed charges,735.3458504,,,,2462.85173,percent of total billed charges,1229.008084,,,,2462.85173,percent of total billed charges,735.3458504,,,,2438.67226,percent of total billed charges,2420.169391,,,,2438.67226,percent of total billed charges,1669.171646,,,,,,,,,,2487.0312,percent of total billed charges,1616.511755,,,,,,,,,,2487.0312,percent of total billed charges,999999999,,,,,,,,,,2763.368,percent of total billed charges,2315.558739,,,,2728.8259,percent of total billed charges,2633.434428,,,,2728.8259,percent of total billed charges,2326.726488,,,,2763.368,percent of total billed charges,999999999,,,,2763.368,percent of total billed charges,999999999,,,,2417.947,percent of total billed charges,999999999,,,,2417.947,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1837.63972,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1744.37605,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,863.5525,percent of total billed charges,820.1636423,,,,,,,,,,863.5525,percent of total billed charges,806.5207782,,,,,,,,,,863.5525,percent of total billed charges,804.2794915,,,,,,,,,,863.5525,percent of total billed charges,792.4364858,,,,,,,,,,863.5525,percent of total billed charges,812.8270415,,,,,,,,,,863.5525,percent of total billed charges,999999999,,,,,,,,,,863.5525,percent of total billed charges,697.4628409,,,,,,,,,,863.5525,percent of total billed charges,1099.946997,,,,,,,,,,863.5525,percent of total billed charges,999999999,,,,,,,,,,863.5525,percent of total billed charges,752.0355193,,,,,,,,,,3108.789,percent of total billed charges,,,,,
ITRACONAZOLE 100MG CAP,250,RC,6068-7029-25,NDC,,both,1,EA,11.25,11.25,2.394944377,11.25,11.25,percent of total billed charges,8.277024664,,,,11.25,percent of total billed charges,8.773482488,,,,11.25,percent of total billed charges,8.277024664,,,,11.25,percent of total billed charges,8.773482488,,,,11.25,percent of total billed charges,999999999,,,,11.25,percent of total billed charges,8.571726792,,,,11.25,percent of total billed charges,8.277024664,,,,11.25,percent of total billed charges,8.773482488,,,,8.02125,percent of total billed charges,4.002750539,,,,8.02125,percent of total billed charges,2.394944377,,,,8.02125,percent of total billed charges,4.002750539,,,,8.02125,percent of total billed charges,2.394944377,,,,8.02125,percent of total billed charges,4.002750539,,,,8.02125,percent of total billed charges,2.394944377,,,,7.9425,percent of total billed charges,7.882238093,,,,7.9425,percent of total billed charges,5.436317138,,,,,,,,,,8.1,percent of total billed charges,5.26480939,,,,,,,,,,8.1,percent of total billed charges,999999999,,,,,,,,,,9,percent of total billed charges,7.541532164,,,,8.8875,percent of total billed charges,8.576819973,,,,8.8875,percent of total billed charges,7.577904352,,,,9,percent of total billed charges,999999999,,,,9,percent of total billed charges,999999999,,,,7.875,percent of total billed charges,999999999,,,,7.875,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.985,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.68125,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.8125,percent of total billed charges,2.671187037,,,,,,,,,,2.8125,percent of total billed charges,2.626753659,,,,,,,,,,2.8125,percent of total billed charges,2.619454023,,,,,,,,,,2.8125,percent of total billed charges,2.580882594,,,,,,,,,,2.8125,percent of total billed charges,2.647292497,,,,,,,,,,2.8125,percent of total billed charges,999999999,,,,,,,,,,2.8125,percent of total billed charges,2.271563385,,,,,,,,,,2.8125,percent of total billed charges,3.582412105,,,,,,,,,,2.8125,percent of total billed charges,999999999,,,,,,,,,,2.8125,percent of total billed charges,2.44930088,,,,,,,,,,10.125,percent of total billed charges,,,,,
DIAZEPAM INJ SOLUTION 50MG/10ML MDV,J3360,CDM,6933-9013-05,NDC,,both,1,EA,757.46,757.46,161.2510727,757.46,757.46,percent of total billed charges,557.2902313,,,,757.46,percent of total billed charges,590.7166262,,,,757.46,percent of total billed charges,557.2902313,,,,757.46,percent of total billed charges,590.7166262,,,,757.46,percent of total billed charges,999999999,,,,757.46,percent of total billed charges,577.1324601,,,,757.46,percent of total billed charges,557.2902313,,,,757.46,percent of total billed charges,590.7166262,,,,540.06898,percent of total billed charges,269.5043043,,,,540.06898,percent of total billed charges,161.2510727,,,,540.06898,percent of total billed charges,269.5043043,,,,540.06898,percent of total billed charges,161.2510727,,,,540.06898,percent of total billed charges,269.5043043,,,,540.06898,percent of total billed charges,161.2510727,,,,534.76676,percent of total billed charges,530.7093392,,,,534.76676,percent of total billed charges,366.0260248,,,,,,,,,,545.3712,percent of total billed charges,354.4784463,,,,,,,,,,545.3712,percent of total billed charges,999999999,,,,,,,,,,605.968,percent of total billed charges,507.7696847,,,,598.3934,percent of total billed charges,577.4753828,,,,598.3934,percent of total billed charges,510.218616,,,,605.968,percent of total billed charges,999999999,,,,605.968,percent of total billed charges,999999999,,,,530.222,percent of total billed charges,999999999,,,,530.222,percent of total billed charges,999999999,,,,,,,,,,,,,,,,402.96872,percent of total billed charges,999999999,,,,,,,,,,,,,,,,382.5173,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,189.365,percent of total billed charges,179.8504296,,,,,,,,,,189.365,percent of total billed charges,176.8587401,,,,,,,,,,189.365,percent of total billed charges,176.3672572,,,,,,,,,,189.365,percent of total billed charges,173.7702515,,,,,,,,,,189.365,percent of total billed charges,178.2416156,,,,,,,,,,189.365,percent of total billed charges,999999999,,,,,,,,,,189.365,percent of total billed charges,152.9438579,,,,,,,,,,189.365,percent of total billed charges,241.2030109,,,,,,,,,,189.365,percent of total billed charges,999999999,,,,,,,,,,189.365,percent of total billed charges,164.910884,,,,,,,,,,681.714,percent of total billed charges,,,,,
FLUOXETINE HCL 20MG/5ML UD SOLN,250,RC,6068-7024-46,NDC,,both,1,EA,14.05,14.05,2.991019422,14.05,14.05,percent of total billed charges,10.33708414,,,,14.05,percent of total billed charges,10.9571048,,,,14.05,percent of total billed charges,10.33708414,,,,14.05,percent of total billed charges,10.9571048,,,,14.05,percent of total billed charges,999999999,,,,14.05,percent of total billed charges,10.70513435,,,,14.05,percent of total billed charges,10.33708414,,,,14.05,percent of total billed charges,10.9571048,,,,10.01765,percent of total billed charges,4.998990673,,,,10.01765,percent of total billed charges,2.991019422,,,,10.01765,percent of total billed charges,4.998990673,,,,10.01765,percent of total billed charges,2.991019422,,,,10.01765,percent of total billed charges,4.998990673,,,,10.01765,percent of total billed charges,2.991019422,,,,9.9193,percent of total billed charges,9.844039574,,,,9.9193,percent of total billed charges,6.78935607,,,,,,,,,,10.116,percent of total billed charges,6.575161949,,,,,,,,,,10.116,percent of total billed charges,999999999,,,,,,,,,,11.24,percent of total billed charges,9.418535725,,,,11.0995,percent of total billed charges,10.71149517,,,,11.0995,percent of total billed charges,9.463960546,,,,11.24,percent of total billed charges,999999999,,,,11.24,percent of total billed charges,999999999,,,,9.835,percent of total billed charges,999999999,,,,9.835,percent of total billed charges,999999999,,,,,,,,,,,,,,,,7.4746,percent of total billed charges,999999999,,,,,,,,,,,,,,,,7.09525,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3.5125,percent of total billed charges,3.336015811,,,,,,,,,,3.5125,percent of total billed charges,3.280523458,,,,,,,,,,3.5125,percent of total billed charges,3.271407024,,,,,,,,,,3.5125,percent of total billed charges,3.223235595,,,,,,,,,,3.5125,percent of total billed charges,3.306174185,,,,,,,,,,3.5125,percent of total billed charges,999999999,,,,,,,,,,3.5125,percent of total billed charges,2.836930272,,,,,,,,,,3.5125,percent of total billed charges,4.474034673,,,,,,,,,,3.5125,percent of total billed charges,999999999,,,,,,,,,,3.5125,percent of total billed charges,3.058904654,,,,,,,,,,12.645,percent of total billed charges,,,,,
ALPHA1-PROTEINASE(ARALAST NP)INJ 1GM FTV,J0256,CDM,0094-4281-01,NDC,,both,1,EA,4008.49,4008.49,853.3431632,4008.49,4008.49,percent of total billed charges,2949.188498,,,,4008.49,percent of total billed charges,3126.081495,,,,4008.49,percent of total billed charges,2949.188498,,,,4008.49,percent of total billed charges,3126.081495,,,,4008.49,percent of total billed charges,999999999,,,,4008.49,percent of total billed charges,3054.193878,,,,4008.49,percent of total billed charges,2949.188498,,,,4008.49,percent of total billed charges,3126.081495,,,,2858.05337,percent of total billed charges,1426.220934,,,,2858.05337,percent of total billed charges,853.3431632,,,,2858.05337,percent of total billed charges,1426.220934,,,,2858.05337,percent of total billed charges,853.3431632,,,,2858.05337,percent of total billed charges,1426.220934,,,,2858.05337,percent of total billed charges,853.3431632,,,,2829.99394,percent of total billed charges,2808.522007,,,,2829.99394,percent of total billed charges,1937.015367,,,,,,,,,,2886.1128,percent of total billed charges,1875.905404,,,,,,,,,,2886.1128,percent of total billed charges,999999999,,,,,,,,,,3206.792,percent of total billed charges,2687.125001,,,,3166.7071,percent of total billed charges,3056.00863,,,,3166.7071,percent of total billed charges,2700.084784,,,,3206.792,percent of total billed charges,999999999,,,,3206.792,percent of total billed charges,999999999,,,,2805.943,percent of total billed charges,999999999,,,,2805.943,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2132.51668,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2024.28745,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1002.1225,percent of total billed charges,951.7712469,,,,,,,,,,1002.1225,percent of total billed charges,935.9391798,,,,,,,,,,1002.1225,percent of total billed charges,933.3382449,,,,,,,,,,1002.1225,percent of total billed charges,919.5948506,,,,,,,,,,1002.1225,percent of total billed charges,943.257378,,,,,,,,,,1002.1225,percent of total billed charges,999999999,,,,,,,,,,1002.1225,percent of total billed charges,809.3812545,,,,,,,,,,1002.1225,percent of total billed charges,1276.450053,,,,,,,,,,1002.1225,percent of total billed charges,999999999,,,,,,,,,,1002.1225,percent of total billed charges,872.7109408,,,,,,,,,,3607.641,percent of total billed charges,,,,,
SECUKINUMAB (COSENTYX) 125MG/5ML SDV,J3247,CDM,0007-8116-61,NDC,,both,1,EA,16340.83,16340.83,3478.700349,16340.83,16340.83,percent of total billed charges,12022.52915,,,,16340.83,percent of total billed charges,12743.64319,,,,16340.83,percent of total billed charges,12022.52915,,,,16340.83,percent of total billed charges,12743.64319,,,,16340.83,percent of total billed charges,999999999,,,,16340.83,percent of total billed charges,12450.58936,,,,16340.83,percent of total billed charges,12022.52915,,,,16340.83,percent of total billed charges,12743.64319,,,,11651.01179,percent of total billed charges,5814.068097,,,,11651.01179,percent of total billed charges,3478.700349,,,,11651.01179,percent of total billed charges,5814.068097,,,,11651.01179,percent of total billed charges,3478.700349,,,,11651.01179,percent of total billed charges,5814.068097,,,,11651.01179,percent of total billed charges,3478.700349,,,,11536.62598,percent of total billed charges,11449.09446,,,,11536.62598,percent of total billed charges,7896.349705,,,,,,,,,,11765.3976,percent of total billed charges,7647.231575,,,,,,,,,,11765.3976,percent of total billed charges,999999999,,,,,,,,,,13072.664,percent of total billed charges,10954.21289,,,,12909.2557,percent of total billed charges,12457.9873,,,,12909.2557,percent of total billed charges,11007.04416,,,,13072.664,percent of total billed charges,999999999,,,,13072.664,percent of total billed charges,999999999,,,,11438.581,percent of total billed charges,999999999,,,,11438.581,percent of total billed charges,999999999,,,,,,,,,,,,,,,,8693.32156,percent of total billed charges,999999999,,,,,,,,,,,,,,,,8252.11915,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4085.2075,percent of total billed charges,3879.947847,,,,,,,,,,4085.2075,percent of total billed charges,3815.407554,,,,,,,,,,4085.2075,percent of total billed charges,3804.8047,,,,,,,,,,4085.2075,percent of total billed charges,3748.778997,,,,,,,,,,4085.2075,percent of total billed charges,3845.240592,,,,,,,,,,4085.2075,percent of total billed charges,999999999,,,,,,,,,,4085.2075,percent of total billed charges,3299.48721,,,,,,,,,,4085.2075,percent of total billed charges,5203.518861,,,,,,,,,,4085.2075,percent of total billed charges,999999999,,,,,,,,,,4085.2075,percent of total billed charges,3557.65416,,,,,,,,,,14706.747,percent of total billed charges,,,,,
DESMOPRESSIN ACETATE INJ 4MCG/1ML SDV,J2597,CDM,3982-2620-02,NDC,,both,1,EA,236.81,236.81,50.41304693,236.81,236.81,percent of total billed charges,174.2295298,,,,236.81,percent of total billed charges,184.6798567,,,,236.81,percent of total billed charges,174.2295298,,,,236.81,percent of total billed charges,184.6798567,,,,236.81,percent of total billed charges,999999999,,,,236.81,percent of total billed charges,180.4329441,,,,236.81,percent of total billed charges,174.2295298,,,,236.81,percent of total billed charges,184.6798567,,,,168.84553,percent of total billed charges,84.25700935,,,,168.84553,percent of total billed charges,50.41304693,,,,168.84553,percent of total billed charges,84.25700935,,,,168.84553,percent of total billed charges,50.41304693,,,,168.84553,percent of total billed charges,84.25700935,,,,168.84553,percent of total billed charges,50.41304693,,,,167.18786,percent of total billed charges,165.9193603,,,,167.18786,percent of total billed charges,114.4332677,,,,,,,,,,170.5032,percent of total billed charges,110.8230677,,,,,,,,,,170.5032,percent of total billed charges,999999999,,,,,,,,,,189.448,percent of total billed charges,158.7475762,,,,187.0799,percent of total billed charges,180.5401545,,,,187.0799,percent of total billed charges,159.5132026,,,,189.448,percent of total billed charges,999999999,,,,189.448,percent of total billed charges,999999999,,,,165.767,percent of total billed charges,999999999,,,,165.767,percent of total billed charges,999999999,,,,,,,,,,,,,,,,125.98292,percent of total billed charges,999999999,,,,,,,,,,,,,,,,119.58905,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,59.2025,percent of total billed charges,56.22789354,,,,,,,,,,59.2025,percent of total billed charges,55.29258079,,,,,,,,,,59.2025,percent of total billed charges,55.13892507,,,,,,,,,,59.2025,percent of total billed charges,54.32700507,,,,,,,,,,59.2025,percent of total billed charges,55.72491878,,,,,,,,,,59.2025,percent of total billed charges,999999999,,,,,,,,,,59.2025,percent of total billed charges,47.81590446,,,,,,,,,,59.2025,percent of total billed charges,75.40897871,,,,,,,,,,59.2025,percent of total billed charges,999999999,,,,,,,,,,59.2025,percent of total billed charges,51.55723923,,,,,,,,,,213.129,percent of total billed charges,,,,,
MOXIFLOXACIN HCL (AVELOX) 400MG TABLET,250,RC,5026-8057-13,NDC,,both,1,EA,19.01,19.01,4.046923787,19.01,19.01,percent of total billed charges,13.98633234,,,,19.01,percent of total billed charges,14.82523574,,,,19.01,percent of total billed charges,13.98633234,,,,19.01,percent of total billed charges,14.82523574,,,,19.01,percent of total billed charges,999999999,,,,19.01,percent of total billed charges,14.48431345,,,,19.01,percent of total billed charges,13.98633234,,,,19.01,percent of total billed charges,14.82523574,,,,13.55413,percent of total billed charges,6.763758911,,,,13.55413,percent of total billed charges,4.046923787,,,,13.55413,percent of total billed charges,6.763758911,,,,13.55413,percent of total billed charges,4.046923787,,,,13.55413,percent of total billed charges,6.763758911,,,,13.55413,percent of total billed charges,4.046923787,,,,13.42106,percent of total billed charges,13.31923077,,,,13.42106,percent of total billed charges,9.186167893,,,,,,,,,,13.6872,percent of total billed charges,8.896357911,,,,,,,,,,13.6872,percent of total billed charges,999999999,,,,,,,,,,15.208,percent of total billed charges,12.74351346,,,,15.0179,percent of total billed charges,14.49291979,,,,15.0179,percent of total billed charges,12.80497438,,,,15.208,percent of total billed charges,999999999,,,,15.208,percent of total billed charges,999999999,,,,13.307,percent of total billed charges,999999999,,,,13.307,percent of total billed charges,999999999,,,,,,,,,,,,,,,,10.11332,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.60005,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4.7525,percent of total billed charges,4.513712496,,,,,,,,,,4.7525,percent of total billed charges,4.43862996,,,,,,,,,,4.7525,percent of total billed charges,4.426295197,,,,,,,,,,4.7525,percent of total billed charges,4.361118054,,,,,,,,,,4.7525,percent of total billed charges,4.473336033,,,,,,,,,,4.7525,percent of total billed charges,999999999,,,,,,,,,,4.7525,percent of total billed charges,3.838437329,,,,,,,,,,4.7525,percent of total billed charges,6.053480365,,,,,,,,,,4.7525,percent of total billed charges,999999999,,,,,,,,,,4.7525,percent of total billed charges,4.138774198,,,,,,,,,,17.109,percent of total billed charges,,,,,
"METHOCARBAMOL 1,000MG/10ML INJ",J2800,CDM,0064-1621-01,NDC,,both,1,EA,85.74,85.74,18.25266941,85.74,85.74,percent of total billed charges,63.08196398,,,,85.74,percent of total billed charges,66.86563453,,,,85.74,percent of total billed charges,63.08196398,,,,85.74,percent of total billed charges,66.86563453,,,,85.74,percent of total billed charges,999999999,,,,85.74,percent of total billed charges,65.32798713,,,,85.74,percent of total billed charges,63.08196398,,,,85.74,percent of total billed charges,66.86563453,,,,61.13262,percent of total billed charges,30.50629611,,,,61.13262,percent of total billed charges,18.25266941,,,,61.13262,percent of total billed charges,30.50629611,,,,61.13262,percent of total billed charges,18.25266941,,,,61.13262,percent of total billed charges,30.50629611,,,,61.13262,percent of total billed charges,18.25266941,,,,60.53244,percent of total billed charges,60.07316392,,,,60.53244,percent of total billed charges,41.43198501,,,,,,,,,,61.7328,percent of total billed charges,40.1248673,,,,,,,,,,61.7328,percent of total billed charges,999999999,,,,,,,,,,68.592,percent of total billed charges,57.47653047,,,,67.7346,percent of total billed charges,65.36680395,,,,67.7346,percent of total billed charges,57.75373503,,,,68.592,percent of total billed charges,999999999,,,,68.592,percent of total billed charges,999999999,,,,60.018,percent of total billed charges,999999999,,,,60.018,percent of total billed charges,999999999,,,,,,,,,,,,,,,,45.61368,percent of total billed charges,999999999,,,,,,,,,,,,,,,,43.2987,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21.435,percent of total billed charges,20.35800681,,,,,,,,,,21.435,percent of total billed charges,20.01936522,,,,,,,,,,21.435,percent of total billed charges,19.96373226,,,,,,,,,,21.435,percent of total billed charges,19.66976654,,,,,,,,,,21.435,percent of total billed charges,20.17589855,,,,,,,,,,21.435,percent of total billed charges,999999999,,,,,,,,,,21.435,percent of total billed charges,17.31234175,,,,,,,,,,21.435,percent of total billed charges,27.30275679,,,,,,,,,,21.435,percent of total billed charges,999999999,,,,,,,,,,21.435,percent of total billed charges,18.66693844,,,,,,,,,,77.166,percent of total billed charges,,,,,
AMPHETAMINE SALT COMBO TABLET 10MG,250,RC,0055-5097-02,NDC,,both,1,EA,3.67,3.67,0.781284077,3.67,3.67,percent of total billed charges,2.700149379,,,,3.67,percent of total billed charges,2.862104954,,,,3.67,percent of total billed charges,2.700149379,,,,3.67,percent of total billed charges,2.862104954,,,,3.67,percent of total billed charges,999999999,,,,3.67,percent of total billed charges,2.796287762,,,,3.67,percent of total billed charges,2.700149379,,,,3.67,percent of total billed charges,2.862104954,,,,2.61671,percent of total billed charges,1.305786176,,,,2.61671,percent of total billed charges,0.781284077,,,,2.61671,percent of total billed charges,1.305786176,,,,2.61671,percent of total billed charges,0.781284077,,,,2.61671,percent of total billed charges,1.305786176,,,,2.61671,percent of total billed charges,0.781284077,,,,2.59102,percent of total billed charges,2.571361227,,,,2.59102,percent of total billed charges,1.773447457,,,,,,,,,,2.6424,percent of total billed charges,1.717497819,,,,,,,,,,2.6424,percent of total billed charges,999999999,,,,,,,,,,2.936,percent of total billed charges,2.460215382,,,,2.8993,percent of total billed charges,2.797949271,,,,2.8993,percent of total billed charges,2.472080797,,,,2.936,percent of total billed charges,999999999,,,,2.936,percent of total billed charges,999999999,,,,2.569,percent of total billed charges,999999999,,,,2.569,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.95244,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.85335,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.9175,percent of total billed charges,0.871400571,,,,,,,,,,0.9175,percent of total billed charges,0.856905416,,,,,,,,,,0.9175,percent of total billed charges,0.854524112,,,,,,,,,,0.9175,percent of total billed charges,0.841941255,,,,,,,,,,0.9175,percent of total billed charges,0.863605641,,,,,,,,,,0.9175,percent of total billed charges,999999999,,,,,,,,,,0.9175,percent of total billed charges,0.741034455,,,,,,,,,,0.9175,percent of total billed charges,1.168662438,,,,,,,,,,0.9175,percent of total billed charges,999999999,,,,,,,,,,0.9175,percent of total billed charges,0.799016376,,,,,,,,,,3.303,percent of total billed charges,,,,,
RISANKIZUMAB-RZAA (SKYRIZI):600MG/10ML,J2327,CDM,0007-4501-01,NDC,,both,1,EA,54029.16,54029.16,11501.94071,54029.16,54029.16,percent of total billed charges,39751.17244,,,,54029.16,percent of total billed charges,42135.45681,,,,54029.16,percent of total billed charges,39751.17244,,,,54029.16,percent of total billed charges,42135.45681,,,,54029.16,percent of total billed charges,999999999,,,,54029.16,percent of total billed charges,41166.50652,,,,54029.16,percent of total billed charges,39751.17244,,,,54029.16,percent of total billed charges,42135.45681,,,,38522.79108,percent of total billed charges,19223.57772,,,,38522.79108,percent of total billed charges,11501.94071,,,,38522.79108,percent of total billed charges,19223.57772,,,,38522.79108,percent of total billed charges,11501.94071,,,,38522.79108,percent of total billed charges,19223.57772,,,,38522.79108,percent of total billed charges,11501.94071,,,,38144.58696,percent of total billed charges,37855.17361,,,,38144.58696,percent of total billed charges,26108.4132,,,,,,,,,,38900.9952,percent of total billed charges,25284.73146,,,,,,,,,,38900.9952,percent of total billed charges,999999999,,,,,,,,,,43223.328,percent of total billed charges,36218.90204,,,,42683.0364,percent of total billed charges,41190.96699,,,,42683.0364,percent of total billed charges,36393.58282,,,,43223.328,percent of total billed charges,999999999,,,,43223.328,percent of total billed charges,999999999,,,,37820.412,percent of total billed charges,999999999,,,,37820.412,percent of total billed charges,999999999,,,,,,,,,,,,,,,,28743.51312,percent of total billed charges,999999999,,,,,,,,,,,,,,,,27284.7258,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13507.29,percent of total billed charges,12828.6215,,,,,,,,,,13507.29,percent of total billed charges,12615.22611,,,,,,,,,,13507.29,percent of total billed charges,12580.16893,,,,,,,,,,13507.29,percent of total billed charges,12394.9261,,,,,,,,,,13507.29,percent of total billed charges,12713.86577,,,,,,,,,,13507.29,percent of total billed charges,999999999,,,,,,,,,,13507.29,percent of total billed charges,10909.39214,,,,,,,,,,13507.29,percent of total billed charges,17204.86371,,,,,,,,,,13507.29,percent of total billed charges,999999999,,,,,,,,,,13507.29,percent of total billed charges,11762.99281,,,,,,,,,,48626.244,percent of total billed charges,,,,,
FONDAPARINUX SOD 2.5MG/0.5ML SYR,J1652,CDM,5511-1067-10,NDC,,both,1,EA,113.62,113.62,24.18787379,113.62,113.62,percent of total billed charges,83.59427043,,,,113.62,percent of total billed charges,88.6082738,,,,113.62,percent of total billed charges,83.59427043,,,,113.62,percent of total billed charges,88.6082738,,,,113.62,percent of total billed charges,999999999,,,,113.62,percent of total billed charges,86.57063095,,,,113.62,percent of total billed charges,83.59427043,,,,113.62,percent of total billed charges,88.6082738,,,,81.01106,percent of total billed charges,40.42600145,,,,81.01106,percent of total billed charges,24.18787379,,,,81.01106,percent of total billed charges,40.42600145,,,,81.01106,percent of total billed charges,24.18787379,,,,81.01106,percent of total billed charges,40.42600145,,,,81.01106,percent of total billed charges,24.18787379,,,,80.21572,percent of total billed charges,79.60710153,,,,80.21572,percent of total billed charges,54.90438695,,,,,,,,,,81.8064,percent of total billed charges,53.17223492,,,,,,,,,,81.8064,percent of total billed charges,999999999,,,,,,,,,,90.896,percent of total billed charges,76.16612307,,,,89.7598,percent of total billed charges,86.62206981,,,,89.7598,percent of total billed charges,76.533466,,,,90.896,percent of total billed charges,999999999,,,,90.896,percent of total billed charges,999999999,,,,79.534,percent of total billed charges,999999999,,,,79.534,percent of total billed charges,999999999,,,,,,,,,,,,,,,,60.44584,percent of total billed charges,999999999,,,,,,,,,,,,,,,,57.3781,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,28.405,percent of total billed charges,26.97780188,,,,,,,,,,28.405,percent of total billed charges,26.52904451,,,,,,,,,,28.405,percent of total billed charges,26.45532143,,,,,,,,,,28.405,percent of total billed charges,26.06576714,,,,,,,,,,28.405,percent of total billed charges,26.73647765,,,,,,,,,,28.405,percent of total billed charges,999999999,,,,,,,,,,28.405,percent of total billed charges,22.94178061,,,,,,,,,,28.405,percent of total billed charges,36.18077007,,,,,,,,,,28.405,percent of total billed charges,999999999,,,,,,,,,,28.405,percent of total billed charges,24.73685031,,,,,,,,,,102.258,percent of total billed charges,,,,,
FONDAPARINUX SOD 7.5MG/0.6ML SYR,J1652,CDM,5515-0023-10,NDC,,both,1,EA,153.95,153.95,32.77348327,153.95,153.95,percent of total billed charges,113.2664842,,,,153.95,percent of total billed charges,120.0602337,,,,153.95,percent of total billed charges,113.2664842,,,,153.95,percent of total billed charges,120.0602337,,,,153.95,percent of total billed charges,999999999,,,,153.95,percent of total billed charges,117.2993191,,,,153.95,percent of total billed charges,113.2664842,,,,153.95,percent of total billed charges,120.0602337,,,,109.76635,percent of total billed charges,54.77541738,,,,109.76635,percent of total billed charges,32.77348327,,,,109.76635,percent of total billed charges,54.77541738,,,,109.76635,percent of total billed charges,32.77348327,,,,109.76635,percent of total billed charges,54.77541738,,,,109.76635,percent of total billed charges,32.77348327,,,,108.6887,percent of total billed charges,107.8640493,,,,108.6887,percent of total billed charges,74.39297986,,,,,,,,,,110.844,percent of total billed charges,72.04599161,,,,,,,,,,110.844,percent of total billed charges,999999999,,,,,,,,,,123.16,percent of total billed charges,103.2016779,,,,121.6205,percent of total billed charges,117.3690164,,,,121.6205,percent of total billed charges,103.6994111,,,,123.16,percent of total billed charges,999999999,,,,123.16,percent of total billed charges,999999999,,,,107.765,percent of total billed charges,999999999,,,,107.765,percent of total billed charges,999999999,,,,,,,,,,,,,,,,81.9014,percent of total billed charges,999999999,,,,,,,,,,,,,,,,77.74475,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,38.4875,percent of total billed charges,36.55371061,,,,,,,,,,38.4875,percent of total billed charges,35.94566451,,,,,,,,,,38.4875,percent of total billed charges,35.84577305,,,,,,,,,,38.4875,percent of total billed charges,35.31794448,,,,,,,,,,38.4875,percent of total billed charges,36.22672711,,,,,,,,,,38.4875,percent of total billed charges,999999999,,,,,,,,,,38.4875,percent of total billed charges,31.08508295,,,,,,,,,,38.4875,percent of total billed charges,49.02331942,,,,,,,,,,38.4875,percent of total billed charges,999999999,,,,,,,,,,38.4875,percent of total billed charges,33.51732182,,,,,,,,,,138.555,percent of total billed charges,,,,,
"EFGARTIG ALF/HYAL 1080MG-11,2000U/5.6ML",J9334,CDM,7347-5310-03,NDC,,both,1,EA,130435.82,130435.82,27767.69188,130435.82,130435.82,percent of total billed charges,95966.2666,,,,130435.82,percent of total billed charges,101722.3451,,,,130435.82,percent of total billed charges,95966.2666,,,,130435.82,percent of total billed charges,101722.3451,,,,130435.82,percent of total billed charges,999999999,,,,130435.82,percent of total billed charges,99383.13004,,,,130435.82,percent of total billed charges,95966.2666,,,,130435.82,percent of total billed charges,101722.3451,,,,93000.73966,percent of total billed charges,46409.07101,,,,93000.73966,percent of total billed charges,27767.69188,,,,93000.73966,percent of total billed charges,46409.07101,,,,93000.73966,percent of total billed charges,27767.69188,,,,93000.73966,percent of total billed charges,46409.07101,,,,93000.73966,percent of total billed charges,27767.69188,,,,92087.68892,percent of total billed charges,91388.99459,,,,92087.68892,percent of total billed charges,63030.26522,,,,,,,,,,93913.7904,percent of total billed charges,61041.75377,,,,,,,,,,93913.7904,percent of total billed charges,999999999,,,,,,,,,,104348.656,percent of total billed charges,87438.7495,,,,103044.2978,percent of total billed charges,99442.18188,,,,103044.2978,percent of total billed charges,87860.45938,,,,104348.656,percent of total billed charges,999999999,,,,104348.656,percent of total billed charges,999999999,,,,91305.074,percent of total billed charges,999999999,,,,91305.074,percent of total billed charges,999999999,,,,,,,,,,,,,,,,69391.85624,percent of total billed charges,999999999,,,,,,,,,,,,,,,,65870.0891,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,32608.955,percent of total billed charges,30970.53081,,,,,,,,,,32608.955,percent of total billed charges,30455.3571,,,,,,,,,,32608.955,percent of total billed charges,30370.72297,,,,,,,,,,32608.955,percent of total billed charges,29923.51444,,,,,,,,,,32608.955,percent of total billed charges,30693.49046,,,,,,,,,,32608.955,percent of total billed charges,999999999,,,,,,,,,,32608.955,percent of total billed charges,26337.17625,,,,,,,,,,32608.955,percent of total billed charges,41535.54315,,,,,,,,,,32608.955,percent of total billed charges,999999999,,,,,,,,,,32608.955,percent of total billed charges,28397.91722,,,,,,,,,,117392.238,percent of total billed charges,,,,,
cefTRIAXone-DEX IVPB 2GM/50ML: PREMIX,J0696,CDM,0026-4315-11,NDC,,both,1,EA,316.22,316.22,67.31816097,316.22,316.22,percent of total billed charges,232.6542879,,,,316.22,percent of total billed charges,246.6089451,,,,316.22,percent of total billed charges,232.6542879,,,,316.22,percent of total billed charges,246.6089451,,,,316.22,percent of total billed charges,999999999,,,,316.22,percent of total billed charges,240.9379063,,,,316.22,percent of total billed charges,232.6542879,,,,316.22,percent of total billed charges,246.6089451,,,,225.46486,percent of total billed charges,112.5110912,,,,225.46486,percent of total billed charges,67.31816097,,,,225.46486,percent of total billed charges,112.5110912,,,,225.46486,percent of total billed charges,67.31816097,,,,225.46486,percent of total billed charges,112.5110912,,,,225.46486,percent of total billed charges,67.31816097,,,,223.25132,percent of total billed charges,221.5574515,,,,223.25132,percent of total billed charges,152.8064183,,,,,,,,,,227.6784,percent of total billed charges,147.9856022,,,,,,,,,,227.6784,percent of total billed charges,999999999,,,,,,,,,,252.976,percent of total billed charges,211.9807379,,,,249.8138,percent of total billed charges,241.0810677,,,,249.8138,percent of total billed charges,213.0031035,,,,252.976,percent of total billed charges,999999999,,,,252.976,percent of total billed charges,999999999,,,,221.354,percent of total billed charges,999999999,,,,221.354,percent of total billed charges,999999999,,,,,,,,,,,,,,,,168.22904,percent of total billed charges,999999999,,,,,,,,,,,,,,,,159.6911,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,79.055,percent of total billed charges,75.08291244,,,,,,,,,,79.055,percent of total billed charges,73.83395928,,,,,,,,,,79.055,percent of total billed charges,73.62877787,,,,,,,,,,79.055,percent of total billed charges,72.54459501,,,,,,,,,,79.055,percent of total billed charges,74.41127409,,,,,,,,,,79.055,percent of total billed charges,999999999,,,,,,,,,,79.055,percent of total billed charges,63.85011321,,,,,,,,,,79.055,percent of total billed charges,100.6960316,,,,,,,,,,79.055,percent of total billed charges,999999999,,,,,,,,,,79.055,percent of total billed charges,68.84603771,,,,,,,,,,284.598,percent of total billed charges,,,,,
cefTRIAXone/DEX IVPB 1GM/50ML:PREMIX,J0696,CDM,0026-4315-11,NDC,,both,1,EA,249.9,249.9,53.19969776,249.9,249.9,percent of total billed charges,183.8603079,,,,249.9,percent of total billed charges,194.888291,,,,249.9,percent of total billed charges,183.8603079,,,,249.9,percent of total billed charges,194.888291,,,,249.9,percent of total billed charges,999999999,,,,249.9,percent of total billed charges,190.4066245,,,,249.9,percent of total billed charges,183.8603079,,,,249.9,percent of total billed charges,194.888291,,,,178.1787,percent of total billed charges,88.91443198,,,,178.1787,percent of total billed charges,53.19969776,,,,178.1787,percent of total billed charges,88.91443198,,,,178.1787,percent of total billed charges,53.19969776,,,,178.1787,percent of total billed charges,88.91443198,,,,178.1787,percent of total billed charges,53.19969776,,,,176.4294,percent of total billed charges,175.0907822,,,,176.4294,percent of total billed charges,120.7587247,,,,,,,,,,179.928,percent of total billed charges,116.9489659,,,,,,,,,,179.928,percent of total billed charges,999999999,,,,,,,,,,199.92,percent of total billed charges,167.5225678,,,,197.421,percent of total billed charges,190.519761,,,,197.421,percent of total billed charges,168.3305153,,,,199.92,percent of total billed charges,999999999,,,,199.92,percent of total billed charges,999999999,,,,174.93,percent of total billed charges,999999999,,,,174.93,percent of total billed charges,999999999,,,,,,,,,,,,,,,,132.9468,percent of total billed charges,999999999,,,,,,,,,,,,,,,,126.1995,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,62.475,percent of total billed charges,59.33596806,,,,,,,,,,62.475,percent of total billed charges,58.3489546,,,,,,,,,,62.475,percent of total billed charges,58.18680536,,,,,,,,,,62.475,percent of total billed charges,57.33000535,,,,,,,,,,62.475,percent of total billed charges,58.80519067,,,,,,,,,,62.475,percent of total billed charges,999999999,,,,,,,,,,62.475,percent of total billed charges,50.45899466,,,,,,,,,,62.475,percent of total billed charges,79.57731422,,,,,,,,,,62.475,percent of total billed charges,999999999,,,,,,,,,,62.475,percent of total billed charges,54.40713688,,,,,,,,,,224.91,percent of total billed charges,,,,,
DESIpramine (NORPRAMIN)  25MG TAB,250,RC,5074-2011-01,NDC,,both,1,EA,0.82,0.82,0.174564835,0.82,0.82,percent of total billed charges,0.603303131,,,,0.82,percent of total billed charges,0.63948939,,,,0.82,percent of total billed charges,0.603303131,,,,0.82,percent of total billed charges,0.63948939,,,,0.82,percent of total billed charges,999999999,,,,0.82,percent of total billed charges,0.624783642,,,,0.82,percent of total billed charges,0.603303131,,,,0.82,percent of total billed charges,0.63948939,,,,0.58466,percent of total billed charges,0.291756039,,,,0.58466,percent of total billed charges,0.174564835,,,,0.58466,percent of total billed charges,0.291756039,,,,0.58466,percent of total billed charges,0.174564835,,,,0.58466,percent of total billed charges,0.291756039,,,,0.58466,percent of total billed charges,0.174564835,,,,0.57892,percent of total billed charges,0.574527577,,,,0.57892,percent of total billed charges,0.396247116,,,,,,,,,,0.5904,percent of total billed charges,0.383746107,,,,,,,,,,0.5904,percent of total billed charges,999999999,,,,,,,,,,0.656,percent of total billed charges,0.5496939,,,,0.6478,percent of total billed charges,0.625154878,,,,0.6478,percent of total billed charges,0.552345028,,,,0.656,percent of total billed charges,999999999,,,,0.656,percent of total billed charges,999999999,,,,0.574,percent of total billed charges,999999999,,,,0.574,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.43624,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.4141,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.205,percent of total billed charges,0.194699855,,,,,,,,,,0.205,percent of total billed charges,0.191461156,,,,,,,,,,0.205,percent of total billed charges,0.190929093,,,,,,,,,,0.205,percent of total billed charges,0.188117665,,,,,,,,,,0.205,percent of total billed charges,0.192958209,,,,,,,,,,0.205,percent of total billed charges,999999999,,,,,,,,,,0.205,percent of total billed charges,0.165571731,,,,,,,,,,0.205,percent of total billed charges,0.261118038,,,,,,,,,,0.205,percent of total billed charges,999999999,,,,,,,,,,0.205,percent of total billed charges,0.17852682,,,,,,,,,,0.738,percent of total billed charges,,,,,
riTUXimab-abbs 500mg/50mL (TRUXIMA) SDV,Q5115,CDM,6345-9010-50,NDC,,both,1,EA,21724.19,21724.19,4624.731261,21724.19,21724.19,percent of total billed charges,15983.25835,,,,21724.19,percent of total billed charges,16941.93782,,,,21724.19,percent of total billed charges,15983.25835,,,,21724.19,percent of total billed charges,16941.93782,,,,21724.19,percent of total billed charges,999999999,,,,21724.19,percent of total billed charges,16552.33969,,,,21724.19,percent of total billed charges,15983.25835,,,,21724.19,percent of total billed charges,16941.93782,,,,15489.34747,percent of total billed charges,7729.467843,,,,15489.34747,percent of total billed charges,4624.731261,,,,15489.34747,percent of total billed charges,7729.467843,,,,15489.34747,percent of total billed charges,4624.731261,,,,15489.34747,percent of total billed charges,7729.467843,,,,15489.34747,percent of total billed charges,4624.731261,,,,15337.27814,percent of total billed charges,15220.91004,,,,15337.27814,percent of total billed charges,10497.74101,,,,,,,,,,15641.4168,percent of total billed charges,10166.55284,,,,,,,,,,15641.4168,percent of total billed charges,999999999,,,,,,,,,,17379.352,percent of total billed charges,14562.99357,,,,17162.1101,percent of total billed charges,16562.17482,,,,17162.1101,percent of total billed charges,14633.22968,,,,17379.352,percent of total billed charges,999999999,,,,17379.352,percent of total billed charges,999999999,,,,15206.933,percent of total billed charges,999999999,,,,15206.933,percent of total billed charges,999999999,,,,,,,,,,,,,,,,11557.26908,percent of total billed charges,999999999,,,,,,,,,,,,,,,,10970.71595,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5431.0475,percent of total billed charges,5158.166642,,,,,,,,,,5431.0475,percent of total billed charges,5072.36405,,,,,,,,,,5431.0475,percent of total billed charges,5058.268167,,,,,,,,,,5431.0475,percent of total billed charges,4983.78523,,,,,,,,,,5431.0475,percent of total billed charges,5112.025351,,,,,,,,,,5431.0475,percent of total billed charges,999999999,,,,,,,,,,5431.0475,percent of total billed charges,4386.47774,,,,,,,,,,5431.0475,percent of total billed charges,6917.777886,,,,,,,,,,5431.0475,percent of total billed charges,999999999,,,,,,,,,,5431.0475,percent of total billed charges,4729.695794,,,,,,,,,,19551.771,percent of total billed charges,,,,,
riTUXimab-abbs (TRUXIMA) 100mg/10mL SDV,Q5115,CDM,6345-9010-10,NDC,,both,1,EA,5052.42,5052.42,1075.579099,5052.42,5052.42,percent of total billed charges,3717.244885,,,,5052.42,percent of total billed charges,3940.206079,,,,5052.42,percent of total billed charges,3717.244885,,,,5052.42,percent of total billed charges,3940.206079,,,,5052.42,percent of total billed charges,999999999,,,,5052.42,percent of total billed charges,3849.596789,,,,5052.42,percent of total billed charges,3717.244885,,,,5052.42,percent of total billed charges,3940.206079,,,,3602.37546,percent of total billed charges,1797.651278,,,,3602.37546,percent of total billed charges,1075.579099,,,,3602.37546,percent of total billed charges,1797.651278,,,,3602.37546,percent of total billed charges,1075.579099,,,,3602.37546,percent of total billed charges,1797.651278,,,,3602.37546,percent of total billed charges,1075.579099,,,,3567.00852,percent of total billed charges,3539.944657,,,,3567.00852,percent of total billed charges,2441.471772,,,,,,,,,,3637.7424,percent of total billed charges,2364.446956,,,,,,,,,,3637.7424,percent of total billed charges,999999999,,,,,,,,,,4041.936,percent of total billed charges,3386.932261,,,,3991.4118,percent of total billed charges,3851.884157,,,,3991.4118,percent of total billed charges,3403.267156,,,,4041.936,percent of total billed charges,999999999,,,,4041.936,percent of total billed charges,999999999,,,,3536.694,percent of total billed charges,999999999,,,,3536.694,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2687.88744,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2551.4721,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1263.105,percent of total billed charges,1199.640783,,,,,,,,,,1263.105,percent of total billed charges,1179.685575,,,,,,,,,,1263.105,percent of total billed charges,1176.407279,,,,,,,,,,1263.105,percent of total billed charges,1159.084696,,,,,,,,,,1263.105,percent of total billed charges,1188.90965,,,,,,,,,,1263.105,percent of total billed charges,999999999,,,,,,,,,,1263.105,percent of total billed charges,1020.168203,,,,,,,,,,1263.105,percent of total billed charges,1608.875606,,,,,,,,,,1263.105,percent of total billed charges,999999999,,,,,,,,,,1263.105,percent of total billed charges,1099.990822,,,,,,,,,,4547.178,percent of total billed charges,,,,,
**INSULIN THERAPY(HUMALOG) 100UNIT.ML:10,S5551,CDM,0000-2751-01,NDC,,both,1,EA,139,139,29.5908683,139,139,percent of total billed charges,102.2672381,,,,139,percent of total billed charges,108.4012503,,,,139,percent of total billed charges,102.2672381,,,,139,percent of total billed charges,108.4012503,,,,139,percent of total billed charges,999999999,,,,139,percent of total billed charges,105.9084466,,,,139,percent of total billed charges,102.2672381,,,,139,percent of total billed charges,108.4012503,,,,99.107,percent of total billed charges,49.45620666,,,,99.107,percent of total billed charges,29.5908683,,,,99.107,percent of total billed charges,49.45620666,,,,99.107,percent of total billed charges,29.5908683,,,,99.107,percent of total billed charges,49.45620666,,,,99.107,percent of total billed charges,29.5908683,,,,98.134,percent of total billed charges,97.38943066,,,,98.134,percent of total billed charges,67.16871842,,,,,,,,,,100.08,percent of total billed charges,65.04964491,,,,,,,,,,100.08,percent of total billed charges,999999999,,,,,,,,,,111.2,percent of total billed charges,93.17981963,,,,109.81,percent of total billed charges,105.9713757,,,,109.81,percent of total billed charges,93.62921821,,,,111.2,percent of total billed charges,999999999,,,,111.2,percent of total billed charges,999999999,,,,97.3,percent of total billed charges,999999999,,,,97.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,73.948,percent of total billed charges,999999999,,,,,,,,,,,,,,,,70.195,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,34.75,percent of total billed charges,33.00399984,,,,,,,,,,34.75,percent of total billed charges,32.45500076,,,,,,,,,,34.75,percent of total billed charges,32.3648097,,,,,,,,,,34.75,percent of total billed charges,31.88823827,,,,,,,,,,34.75,percent of total billed charges,32.70876952,,,,,,,,,,34.75,percent of total billed charges,999999999,,,,,,,,,,34.75,percent of total billed charges,28.0664276,,,,,,,,,,34.75,percent of total billed charges,44.26269178,,,,,,,,,,34.75,percent of total billed charges,999999999,,,,,,,,,,34.75,percent of total billed charges,30.26247309,,,,,,,,,,125.1,percent of total billed charges,,,,,
**INSULIN (LANTUS) 100UNITS/ML 10ML TCU,J1815,CDM,0008-8222-33,NDC,,both,1,EA,248,248,52.79521827,248,248,percent of total billed charges,182.4624104,,,,248,percent of total billed charges,193.4065473,,,,248,percent of total billed charges,182.4624104,,,,248,percent of total billed charges,193.4065473,,,,248,percent of total billed charges,999999999,,,,248,percent of total billed charges,188.9589551,,,,248,percent of total billed charges,182.4624104,,,,248,percent of total billed charges,193.4065473,,,,176.824,percent of total billed charges,88.23841189,,,,176.824,percent of total billed charges,52.79521827,,,,176.824,percent of total billed charges,88.23841189,,,,176.824,percent of total billed charges,52.79521827,,,,176.824,percent of total billed charges,88.23841189,,,,176.824,percent of total billed charges,52.79521827,,,,175.088,percent of total billed charges,173.7595597,,,,175.088,percent of total billed charges,119.8405911,,,,,,,,,,178.56,percent of total billed charges,116.0597981,,,,,,,,,,178.56,percent of total billed charges,999999999,,,,,,,,,,198.4,percent of total billed charges,166.2488868,,,,195.92,percent of total billed charges,189.0712314,,,,195.92,percent of total billed charges,167.0506915,,,,198.4,percent of total billed charges,999999999,,,,198.4,percent of total billed charges,999999999,,,,173.6,percent of total billed charges,999999999,,,,173.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,131.936,percent of total billed charges,999999999,,,,,,,,,,,,,,,,125.24,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,62,percent of total billed charges,58.88483425,,,,,,,,,,62,percent of total billed charges,57.90532509,,,,,,,,,,62,percent of total billed charges,57.74440868,,,,,,,,,,62,percent of total billed charges,56.89412296,,,,,,,,,,62,percent of total billed charges,58.35809238,,,,,,,,,,62,percent of total billed charges,999999999,,,,,,,,,,62,percent of total billed charges,50.07535285,,,,,,,,,,62,percent of total billed charges,78.97228462,,,,,,,,,,62,percent of total billed charges,999999999,,,,,,,,,,62,percent of total billed charges,53.99347717,,,,,,,,,,223.2,percent of total billed charges,,,,,
NITROGLYCERIN OINT 2% TRANSERM:1 GM UD,637,RC,0028-1032-08,NDC,,both,1,EA,8.38,8.38,1.783967456,8.38,8.38,percent of total billed charges,6.165463706,,,,8.38,percent of total billed charges,6.535269622,,,,8.38,percent of total billed charges,6.165463706,,,,8.38,percent of total billed charges,6.535269622,,,,8.38,percent of total billed charges,999999999,,,,8.38,percent of total billed charges,6.384984046,,,,8.38,percent of total billed charges,6.165463706,,,,8.38,percent of total billed charges,6.535269622,,,,5.97494,percent of total billed charges,2.981604402,,,,5.97494,percent of total billed charges,1.783967456,,,,5.97494,percent of total billed charges,2.981604402,,,,5.97494,percent of total billed charges,1.783967456,,,,5.97494,percent of total billed charges,2.981604402,,,,5.97494,percent of total billed charges,1.783967456,,,,5.91628,percent of total billed charges,5.871391575,,,,5.91628,percent of total billed charges,4.049452233,,,,,,,,,,6.0336,percent of total billed charges,3.921698017,,,,,,,,,,6.0336,percent of total billed charges,999999999,,,,,,,,,,6.704,percent of total billed charges,5.617603514,,,,6.6202,percent of total billed charges,6.3887779,,,,6.6202,percent of total billed charges,5.644696753,,,,6.704,percent of total billed charges,999999999,,,,6.704,percent of total billed charges,999999999,,,,5.866,percent of total billed charges,999999999,,,,5.866,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.45816,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.2319,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.095,percent of total billed charges,1.989737544,,,,,,,,,,2.095,percent of total billed charges,1.956639614,,,,,,,,,,2.095,percent of total billed charges,1.951202196,,,,,,,,,,2.095,percent of total billed charges,1.922470768,,,,,,,,,,2.095,percent of total billed charges,1.971938767,,,,,,,,,,2.095,percent of total billed charges,999999999,,,,,,,,,,2.095,percent of total billed charges,1.692062326,,,,,,,,,,2.095,percent of total billed charges,2.668498972,,,,,,,,,,2.095,percent of total billed charges,999999999,,,,,,,,,,2.095,percent of total billed charges,1.824457011,,,,,,,,,,7.542,percent of total billed charges,,,,,
RT ALBUTEROL 2.5MG/3ML NEB,250,RC,0048-7950-01,NDC,,both,1,EA,1.2,1.2,0.255460734,1.2,1.2,percent of total billed charges,0.882882631,,,,1.2,percent of total billed charges,0.935838132,,,,1.2,percent of total billed charges,0.882882631,,,,1.2,percent of total billed charges,0.935838132,,,,1.2,percent of total billed charges,999999999,,,,1.2,percent of total billed charges,0.914317525,,,,1.2,percent of total billed charges,0.882882631,,,,1.2,percent of total billed charges,0.935838132,,,,0.8556,percent of total billed charges,0.426960058,,,,0.8556,percent of total billed charges,0.255460734,,,,0.8556,percent of total billed charges,0.426960058,,,,0.8556,percent of total billed charges,0.255460734,,,,0.8556,percent of total billed charges,0.426960058,,,,0.8556,percent of total billed charges,0.255460734,,,,0.8472,percent of total billed charges,0.840772063,,,,0.8472,percent of total billed charges,0.579873828,,,,,,,,,,0.864,percent of total billed charges,0.561579668,,,,,,,,,,0.864,percent of total billed charges,999999999,,,,,,,,,,0.96,percent of total billed charges,0.804430098,,,,0.948,percent of total billed charges,0.914860797,,,,0.948,percent of total billed charges,0.808309798,,,,0.96,percent of total billed charges,999999999,,,,0.96,percent of total billed charges,999999999,,,,0.84,percent of total billed charges,999999999,,,,0.84,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.6384,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.606,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.3,percent of total billed charges,0.284926617,,,,,,,,,,0.3,percent of total billed charges,0.280187057,,,,,,,,,,0.3,percent of total billed charges,0.279408429,,,,,,,,,,0.3,percent of total billed charges,0.275294143,,,,,,,,,,0.3,percent of total billed charges,0.282377866,,,,,,,,,,0.3,percent of total billed charges,999999999,,,,,,,,,,0.3,percent of total billed charges,0.242300094,,,,,,,,,,0.3,percent of total billed charges,0.382123958,,,,,,,,,,0.3,percent of total billed charges,999999999,,,,,,,,,,0.3,percent of total billed charges,0.261258761,,,,,,,,,,1.08,percent of total billed charges,,,,,
RT ALBUTEROL 1.25MG/3ML NEB,250,RC,0048-7990-01,NDC,,both,1,EA,2.96,2.96,0.630136476,2.96,2.96,percent of total billed charges,2.177777156,,,,2.96,percent of total billed charges,2.308400726,,,,2.96,percent of total billed charges,2.177777156,,,,2.96,percent of total billed charges,2.308400726,,,,2.96,percent of total billed charges,999999999,,,,2.96,percent of total billed charges,2.25531656,,,,2.96,percent of total billed charges,2.177777156,,,,2.96,percent of total billed charges,2.308400726,,,,2.11048,percent of total billed charges,1.053168142,,,,2.11048,percent of total billed charges,0.630136476,,,,2.11048,percent of total billed charges,1.053168142,,,,2.11048,percent of total billed charges,0.630136476,,,,2.11048,percent of total billed charges,1.053168142,,,,2.11048,percent of total billed charges,0.630136476,,,,2.08976,percent of total billed charges,2.073904423,,,,2.08976,percent of total billed charges,1.430355443,,,,,,,,,,2.1312,percent of total billed charges,1.385229848,,,,,,,,,,2.1312,percent of total billed charges,999999999,,,,,,,,,,2.368,percent of total billed charges,1.984260907,,,,2.3384,percent of total billed charges,2.256656633,,,,2.3384,percent of total billed charges,1.993830834,,,,2.368,percent of total billed charges,999999999,,,,2.368,percent of total billed charges,999999999,,,,2.072,percent of total billed charges,999999999,,,,2.072,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.57472,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.4948,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.74,percent of total billed charges,0.702818989,,,,,,,,,,0.74,percent of total billed charges,0.691128074,,,,,,,,,,0.74,percent of total billed charges,0.689207458,,,,,,,,,,0.74,percent of total billed charges,0.679058887,,,,,,,,,,0.74,percent of total billed charges,0.69653207,,,,,,,,,,0.74,percent of total billed charges,999999999,,,,,,,,,,0.74,percent of total billed charges,0.597673566,,,,,,,,,,0.74,percent of total billed charges,0.942572429,,,,,,,,,,0.74,percent of total billed charges,999999999,,,,,,,,,,0.74,percent of total billed charges,0.644438276,,,,,,,,,,2.664,percent of total billed charges,,,,,
RT LEVALBUTEROL (XOPENEX) 1.25MG/3 ML,250,RC,7620-4090-11,NDC,,both,1,EA,5.23,5.23,1.11338303,5.23,5.23,percent of total billed charges,3.8478968,,,,5.23,percent of total billed charges,4.078694525,,,,5.23,percent of total billed charges,3.8478968,,,,5.23,percent of total billed charges,4.078694525,,,,5.23,percent of total billed charges,999999999,,,,5.23,percent of total billed charges,3.984900544,,,,5.23,percent of total billed charges,3.8478968,,,,5.23,percent of total billed charges,4.078694525,,,,3.72899,percent of total billed charges,1.860834251,,,,3.72899,percent of total billed charges,1.11338303,,,,3.72899,percent of total billed charges,1.860834251,,,,3.72899,percent of total billed charges,1.11338303,,,,3.72899,percent of total billed charges,1.860834251,,,,3.72899,percent of total billed charges,1.11338303,,,,3.69238,percent of total billed charges,3.664364909,,,,3.69238,percent of total billed charges,2.527283434,,,,,,,,,,3.7656,percent of total billed charges,2.447551387,,,,,,,,,,3.7656,percent of total billed charges,999999999,,,,,,,,,,4.184,percent of total billed charges,3.505974508,,,,4.1317,percent of total billed charges,3.987268307,,,,4.1317,percent of total billed charges,3.522883534,,,,4.184,percent of total billed charges,999999999,,,,4.184,percent of total billed charges,999999999,,,,3.661,percent of total billed charges,999999999,,,,3.661,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2.78236,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2.64115,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.3075,percent of total billed charges,1.241805174,,,,,,,,,,1.3075,percent of total billed charges,1.22114859,,,,,,,,,,1.3075,percent of total billed charges,1.21775507,,,,,,,,,,1.3075,percent of total billed charges,1.199823641,,,,,,,,,,1.3075,percent of total billed charges,1.230696868,,,,,,,,,,1.3075,percent of total billed charges,999999999,,,,,,,,,,1.3075,percent of total billed charges,1.056024578,,,,,,,,,,1.3075,percent of total billed charges,1.665423583,,,,,,,,,,1.3075,percent of total billed charges,999999999,,,,,,,,,,1.3075,percent of total billed charges,1.138652765,,,,,,,,,,4.707,percent of total billed charges,,,,,
VALPROATE: (DEPACON) 500MG/5ML INJ,258,RC,5539-0000-10,NDC,,both,1,EA,304.62,304.62,64.84870721,304.62,304.62,percent of total billed charges,224.1197558,,,,304.62,percent of total billed charges,237.5625098,,,,304.62,percent of total billed charges,224.1197558,,,,304.62,percent of total billed charges,237.5625098,,,,304.62,percent of total billed charges,999999999,,,,304.62,percent of total billed charges,232.0995036,,,,304.62,percent of total billed charges,224.1197558,,,,304.62,percent of total billed charges,237.5625098,,,,217.19406,percent of total billed charges,108.3838106,,,,217.19406,percent of total billed charges,64.84870721,,,,217.19406,percent of total billed charges,108.3838106,,,,217.19406,percent of total billed charges,64.84870721,,,,217.19406,percent of total billed charges,108.3838106,,,,217.19406,percent of total billed charges,64.84870721,,,,215.06172,percent of total billed charges,213.4299883,,,,215.06172,percent of total billed charges,147.2009713,,,,,,,,,,219.3264,percent of total billed charges,142.5569988,,,,,,,,,,219.3264,percent of total billed charges,999999999,,,,,,,,,,243.696,percent of total billed charges,204.2045803,,,,240.6498,percent of total billed charges,232.2374133,,,,240.6498,percent of total billed charges,205.1894421,,,,243.696,percent of total billed charges,999999999,,,,243.696,percent of total billed charges,999999999,,,,213.234,percent of total billed charges,999999999,,,,213.234,percent of total billed charges,999999999,,,,,,,,,,,,,,,,162.05784,percent of total billed charges,999999999,,,,,,,,,,,,,,,,153.8331,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,76.155,percent of total billed charges,72.32862181,,,,,,,,,,76.155,percent of total billed charges,71.1254844,,,,,,,,,,76.155,percent of total billed charges,70.92782972,,,,,,,,,,76.155,percent of total billed charges,69.88341829,,,,,,,,,,76.155,percent of total billed charges,71.68162138,,,,,,,,,,76.155,percent of total billed charges,999999999,,,,,,,,,,76.155,percent of total billed charges,61.50787897,,,,,,,,,,76.155,percent of total billed charges,97.00216669,,,,,,,,,,76.155,percent of total billed charges,999999999,,,,,,,,,,76.155,percent of total billed charges,66.32053636,,,,,,,,,,274.158,percent of total billed charges,,,,,
ENOXAPARIN (LOVENOX) 100 MG/ML SYRINGE,J1650,CDM,5486-8583-00,NDC,,both,1,EA,147.01,147.01,31.2960687,147.01,147.01,percent of total billed charges,108.1604796,,,,147.01,percent of total billed charges,114.6479698,,,,147.01,percent of total billed charges,108.1604796,,,,147.01,percent of total billed charges,114.6479698,,,,147.01,percent of total billed charges,999999999,,,,147.01,percent of total billed charges,112.0115161,,,,147.01,percent of total billed charges,108.1604796,,,,147.01,percent of total billed charges,114.6479698,,,,104.81813,percent of total billed charges,52.30616505,,,,104.81813,percent of total billed charges,31.2960687,,,,104.81813,percent of total billed charges,52.30616505,,,,104.81813,percent of total billed charges,31.2960687,,,,104.81813,percent of total billed charges,52.30616505,,,,104.81813,percent of total billed charges,31.2960687,,,,103.78906,percent of total billed charges,103.0015842,,,,103.78906,percent of total billed charges,71.03937622,,,,,,,,,,105.8472,percent of total billed charges,68.79818919,,,,,,,,,,105.8472,percent of total billed charges,999999999,,,,,,,,,,117.608,percent of total billed charges,98.54939053,,,,116.1379,percent of total billed charges,112.0780715,,,,116.1379,percent of total billed charges,99.02468611,,,,117.608,percent of total billed charges,999999999,,,,117.608,percent of total billed charges,999999999,,,,102.907,percent of total billed charges,999999999,,,,102.907,percent of total billed charges,999999999,,,,,,,,,,,,,,,,78.20932,percent of total billed charges,999999999,,,,,,,,,,,,,,,,74.24005,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,36.7525,percent of total billed charges,34.90588501,,,,,,,,,,36.7525,percent of total billed charges,34.32524936,,,,,,,,,,36.7525,percent of total billed charges,34.22986097,,,,,,,,,,36.7525,percent of total billed charges,33.72582668,,,,,,,,,,36.7525,percent of total billed charges,34.59364178,,,,,,,,,,36.7525,percent of total billed charges,999999999,,,,,,,,,,36.7525,percent of total billed charges,29.68378073,,,,,,,,,,36.7525,percent of total billed charges,46.8133692,,,,,,,,,,36.7525,percent of total billed charges,999999999,,,,,,,,,,36.7525,percent of total billed charges,32.00637532,,,,,,,,,,132.309,percent of total billed charges,,,,,
**PHENYTOIN (DILANTIN)100MG CAP(200MGDOS,259,RC,0007-1036-24,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
**INSULIN DROP (REGULAR) 1 UNIT/ML PREMI,250,RC,6210-7005-10,NDC,,both,1,EA,122,122,25.97184124,122,122,percent of total billed charges,89.75973414,,,,122,percent of total billed charges,95.14354342,,,,122,percent of total billed charges,89.75973414,,,,122,percent of total billed charges,95.14354342,,,,122,percent of total billed charges,999999999,,,,122,percent of total billed charges,92.95561499,,,,122,percent of total billed charges,89.75973414,,,,122,percent of total billed charges,95.14354342,,,,86.986,percent of total billed charges,43.40760585,,,,86.986,percent of total billed charges,25.97184124,,,,86.986,percent of total billed charges,43.40760585,,,,86.986,percent of total billed charges,25.97184124,,,,86.986,percent of total billed charges,43.40760585,,,,86.986,percent of total billed charges,25.97184124,,,,86.132,percent of total billed charges,85.4784931,,,,86.132,percent of total billed charges,58.95383918,,,,,,,,,,87.84,percent of total billed charges,57.09393294,,,,,,,,,,87.84,percent of total billed charges,999999999,,,,,,,,,,97.6,percent of total billed charges,81.78372658,,,,96.38,percent of total billed charges,93.01084771,,,,96.38,percent of total billed charges,82.17816275,,,,97.6,percent of total billed charges,999999999,,,,97.6,percent of total billed charges,999999999,,,,85.4,percent of total billed charges,999999999,,,,85.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,64.904,percent of total billed charges,999999999,,,,,,,,,,,,,,,,61.61,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,30.5,percent of total billed charges,28.96753943,,,,,,,,,,30.5,percent of total billed charges,28.48568412,,,,,,,,,,30.5,percent of total billed charges,28.40652362,,,,,,,,,,30.5,percent of total billed charges,27.98823791,,,,,,,,,,30.5,percent of total billed charges,28.70841641,,,,,,,,,,30.5,percent of total billed charges,999999999,,,,,,,,,,30.5,percent of total billed charges,24.63384293,,,,,,,,,,30.5,percent of total billed charges,38.84926905,,,,,,,,,,30.5,percent of total billed charges,999999999,,,,,,,,,,30.5,percent of total billed charges,26.56130732,,,,,,,,,,109.8,percent of total billed charges,,,,,
TRACE ELEMENTS: 5ML VIAL,250,RC,0051-7931-25,NDC,,both,1,EA,99.67,99.67,21.21814276,99.67,99.67,percent of total billed charges,73.33075985,,,,99.67,percent of total billed charges,77.72915551,,,,99.67,percent of total billed charges,73.33075985,,,,99.67,percent of total billed charges,77.72915551,,,,99.67,percent of total billed charges,999999999,,,,99.67,percent of total billed charges,75.94168972,,,,99.67,percent of total billed charges,73.33075985,,,,99.67,percent of total billed charges,77.72915551,,,,71.06471,percent of total billed charges,35.46259078,,,,71.06471,percent of total billed charges,21.21814276,,,,71.06471,percent of total billed charges,35.46259078,,,,71.06471,percent of total billed charges,21.21814276,,,,71.06471,percent of total billed charges,35.46259078,,,,71.06471,percent of total billed charges,21.21814276,,,,70.36702,percent of total billed charges,69.83312629,,,,70.36702,percent of total billed charges,48.1633537,,,,,,,,,,71.7624,percent of total billed charges,46.64387128,,,,,,,,,,71.7624,percent of total billed charges,999999999,,,,,,,,,,79.736,percent of total billed charges,66.81462318,,,,78.7393,percent of total billed charges,75.98681304,,,,78.7393,percent of total billed charges,67.1368646,,,,79.736,percent of total billed charges,999999999,,,,79.736,percent of total billed charges,999999999,,,,69.769,percent of total billed charges,999999999,,,,69.769,percent of total billed charges,999999999,,,,,,,,,,,,,,,,53.02444,percent of total billed charges,999999999,,,,,,,,,,,,,,,,50.33335,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,24.9175,percent of total billed charges,23.66552996,,,,,,,,,,24.9175,percent of total billed charges,23.27186997,,,,,,,,,,24.9175,percent of total billed charges,23.20719844,,,,,,,,,,24.9175,percent of total billed charges,22.86547272,,,,,,,,,,24.9175,percent of total billed charges,23.45383495,,,,,,,,,,24.9175,percent of total billed charges,999999999,,,,,,,,,,24.9175,percent of total billed charges,20.12504201,,,,,,,,,,24.9175,percent of total billed charges,31.73857906,,,,,,,,,,24.9175,percent of total billed charges,999999999,,,,,,,,,,24.9175,percent of total billed charges,21.69971722,,,,,,,,,,89.703,percent of total billed charges,,,,,
**AMPICILLIN  (POLYCILLIN) 250MG CAP,250,RC,0004-7040-24,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
SOD CITR-CITRC (BICITRA) 3-2GM 30ML SOLN,259,RC,0012-1059-16,NDC,,both,1,EA,7.03,7.03,1.496574131,7.03,7.03,percent of total billed charges,5.172220746,,,,7.03,percent of total billed charges,5.482451723,,,,7.03,percent of total billed charges,5.172220746,,,,7.03,percent of total billed charges,5.482451723,,,,7.03,percent of total billed charges,999999999,,,,7.03,percent of total billed charges,5.356376831,,,,7.03,percent of total billed charges,5.172220746,,,,7.03,percent of total billed charges,5.482451723,,,,5.01239,percent of total billed charges,2.501274337,,,,5.01239,percent of total billed charges,1.496574131,,,,5.01239,percent of total billed charges,2.501274337,,,,5.01239,percent of total billed charges,1.496574131,,,,5.01239,percent of total billed charges,2.501274337,,,,5.01239,percent of total billed charges,1.496574131,,,,4.96318,percent of total billed charges,4.925523004,,,,4.96318,percent of total billed charges,3.397094176,,,,,,,,,,5.0616,percent of total billed charges,3.28992089,,,,,,,,,,5.0616,percent of total billed charges,999999999,,,,,,,,,,5.624,percent of total billed charges,4.712619655,,,,5.5537,percent of total billed charges,5.359559503,,,,5.5537,percent of total billed charges,4.735348231,,,,5.624,percent of total billed charges,999999999,,,,5.624,percent of total billed charges,999999999,,,,4.921,percent of total billed charges,999999999,,,,4.921,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.73996,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.55015,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.7575,percent of total billed charges,1.6691951,,,,,,,,,,1.7575,percent of total billed charges,1.641429175,,,,,,,,,,1.7575,percent of total billed charges,1.636867714,,,,,,,,,,1.7575,percent of total billed charges,1.612764857,,,,,,,,,,1.7575,percent of total billed charges,1.654263667,,,,,,,,,,1.7575,percent of total billed charges,999999999,,,,,,,,,,1.7575,percent of total billed charges,1.41947472,,,,,,,,,,1.7575,percent of total billed charges,2.23860952,,,,,,,,,,1.7575,percent of total billed charges,999999999,,,,,,,,,,1.7575,percent of total billed charges,1.530540905,,,,,,,,,,6.327,percent of total billed charges,,,,,
PENCICLOVIR (DENAVIR) 10MG/GM: 1.5G TUBE,259,RC,0006-7602-15,NDC,,both,1,EA,1604.37,1604.37,341.5446142,1604.37,1604.37,percent of total billed charges,1180.392005,,,,1604.37,percent of total billed charges,1251.192187,,,,1604.37,percent of total billed charges,1180.392005,,,,1604.37,percent of total billed charges,1251.192187,,,,1604.37,percent of total billed charges,999999999,,,,1604.37,percent of total billed charges,1222.419672,,,,1604.37,percent of total billed charges,1180.392005,,,,1604.37,percent of total billed charges,1251.192187,,,,1143.91581,percent of total billed charges,570.8349229,,,,1143.91581,percent of total billed charges,341.5446142,,,,1143.91581,percent of total billed charges,570.8349229,,,,1143.91581,percent of total billed charges,341.5446142,,,,1143.91581,percent of total billed charges,570.8349229,,,,1143.91581,percent of total billed charges,341.5446142,,,,1132.68522,percent of total billed charges,1124.091229,,,,1132.68522,percent of total billed charges,775.2768113,,,,,,,,,,1155.1464,percent of total billed charges,750.817977,,,,,,,,,,1155.1464,percent of total billed charges,999999999,,,,,,,,,,1283.496,percent of total billed charges,1075.50293,,,,1267.4523,percent of total billed charges,1223.146014,,,,1267.4523,percent of total billed charges,1080.689992,,,,1283.496,percent of total billed charges,999999999,,,,1283.496,percent of total billed charges,999999999,,,,1123.059,percent of total billed charges,999999999,,,,1123.059,percent of total billed charges,999999999,,,,,,,,,,,,,,,,853.52484,percent of total billed charges,999999999,,,,,,,,,,,,,,,,810.20685,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,401.0925,percent of total billed charges,380.9397642,,,,,,,,,,401.0925,percent of total billed charges,374.6030904,,,,,,,,,,401.0925,percent of total billed charges,373.5620845,,,,,,,,,,401.0925,percent of total billed charges,368.0613873,,,,,,,,,,401.0925,percent of total billed charges,377.5321479,,,,,,,,,,401.0925,percent of total billed charges,999999999,,,,,,,,,,401.0925,percent of total billed charges,323.9491687,,,,,,,,,,401.0925,percent of total billed charges,510.8901785,,,,,,,,,,401.0925,percent of total billed charges,999999999,,,,,,,,,,401.0925,percent of total billed charges,349.2964313,,,,,,,,,,1443.933,percent of total billed charges,,,,,
**NACL  IV 0.9% : 1000 ML,258,RC,0040-9713-09,NDC,,both,1,EA,46,46,9.792661453,46,46,percent of total billed charges,33.84383418,,,,46,percent of total billed charges,35.87379506,,,,46,percent of total billed charges,33.84383418,,,,46,percent of total billed charges,35.87379506,,,,46,percent of total billed charges,999999999,,,,46,percent of total billed charges,35.04883844,,,,46,percent of total billed charges,33.84383418,,,,46,percent of total billed charges,35.87379506,,,,32.798,percent of total billed charges,16.3668022,,,,32.798,percent of total billed charges,9.792661453,,,,32.798,percent of total billed charges,16.3668022,,,,32.798,percent of total billed charges,9.792661453,,,,32.798,percent of total billed charges,16.3668022,,,,32.798,percent of total billed charges,9.792661453,,,,32.476,percent of total billed charges,32.22959576,,,,32.476,percent of total billed charges,22.22849674,,,,,,,,,,33.12,percent of total billed charges,21.52722062,,,,,,,,,,33.12,percent of total billed charges,999999999,,,,,,,,,,36.8,percent of total billed charges,30.83648707,,,,36.34,percent of total billed charges,35.06966389,,,,36.34,percent of total billed charges,30.98520891,,,,36.8,percent of total billed charges,999999999,,,,36.8,percent of total billed charges,999999999,,,,32.2,percent of total billed charges,999999999,,,,32.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,24.472,percent of total billed charges,999999999,,,,,,,,,,,,,,,,23.23,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11.5,percent of total billed charges,10.922187,,,,,,,,,,11.5,percent of total billed charges,10.74050385,,,,,,,,,,11.5,percent of total billed charges,10.71065645,,,,,,,,,,11.5,percent of total billed charges,10.55294216,,,,,,,,,,11.5,percent of total billed charges,10.82448488,,,,,,,,,,11.5,percent of total billed charges,999999999,,,,,,,,,,11.5,percent of total billed charges,9.288170286,,,,,,,,,,11.5,percent of total billed charges,14.64808505,,,,,,,,,,11.5,percent of total billed charges,999999999,,,,,,,,,,11.5,percent of total billed charges,10.01491915,,,,,,,,,,41.4,percent of total billed charges,,,,,
THIAMINE (VITAMIN B-1) 100MG TAB,637,RC,1013-5013-01,NDC,,both,1,EA,0.88,0.88,0.187337871,0.88,0.88,percent of total billed charges,0.647447263,,,,0.88,percent of total billed charges,0.686281297,,,,0.88,percent of total billed charges,0.647447263,,,,0.88,percent of total billed charges,0.686281297,,,,0.88,percent of total billed charges,999999999,,,,0.88,percent of total billed charges,0.670499518,,,,0.88,percent of total billed charges,0.647447263,,,,0.88,percent of total billed charges,0.686281297,,,,0.62744,percent of total billed charges,0.313104042,,,,0.62744,percent of total billed charges,0.187337871,,,,0.62744,percent of total billed charges,0.313104042,,,,0.62744,percent of total billed charges,0.187337871,,,,0.62744,percent of total billed charges,0.313104042,,,,0.62744,percent of total billed charges,0.187337871,,,,0.62128,percent of total billed charges,0.61656618,,,,0.62128,percent of total billed charges,0.425240807,,,,,,,,,,0.6336,percent of total billed charges,0.41182509,,,,,,,,,,0.6336,percent of total billed charges,999999999,,,,,,,,,,0.704,percent of total billed charges,0.589915405,,,,0.6952,percent of total billed charges,0.670897918,,,,0.6952,percent of total billed charges,0.592760518,,,,0.704,percent of total billed charges,999999999,,,,0.704,percent of total billed charges,999999999,,,,0.616,percent of total billed charges,999999999,,,,0.616,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.46816,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.4444,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.22,percent of total billed charges,0.208946186,,,,,,,,,,0.22,percent of total billed charges,0.205470508,,,,,,,,,,0.22,percent of total billed charges,0.204899515,,,,,,,,,,0.22,percent of total billed charges,0.201882372,,,,,,,,,,0.22,percent of total billed charges,0.207077102,,,,,,,,,,0.22,percent of total billed charges,999999999,,,,,,,,,,0.22,percent of total billed charges,0.177686736,,,,,,,,,,0.22,percent of total billed charges,0.280224236,,,,,,,,,,0.22,percent of total billed charges,999999999,,,,,,,,,,0.22,percent of total billed charges,0.191589758,,,,,,,,,,0.792,percent of total billed charges,,,,,
**AMIODarone IV KIT:,250,RC,9999-9999-99,NDC,,both,1,EA,104,104,22.13993024,104,104,percent of total billed charges,76.51649468,,,,104,percent of total billed charges,81.10597144,,,,104,percent of total billed charges,76.51649468,,,,104,percent of total billed charges,81.10597144,,,,104,percent of total billed charges,999999999,,,,104,percent of total billed charges,79.24085212,,,,104,percent of total billed charges,76.51649468,,,,104,percent of total billed charges,81.10597144,,,,74.152,percent of total billed charges,37.00320498,,,,74.152,percent of total billed charges,22.13993024,,,,74.152,percent of total billed charges,37.00320498,,,,74.152,percent of total billed charges,22.13993024,,,,74.152,percent of total billed charges,37.00320498,,,,74.152,percent of total billed charges,22.13993024,,,,73.424,percent of total billed charges,72.86691215,,,,73.424,percent of total billed charges,50.25573176,,,,,,,,,,74.88,percent of total billed charges,48.67023792,,,,,,,,,,74.88,percent of total billed charges,999999999,,,,,,,,,,83.2,percent of total billed charges,69.71727512,,,,82.16,percent of total billed charges,79.28793575,,,,82.16,percent of total billed charges,70.05351579,,,,83.2,percent of total billed charges,999999999,,,,83.2,percent of total billed charges,999999999,,,,72.8,percent of total billed charges,999999999,,,,72.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,55.328,percent of total billed charges,999999999,,,,,,,,,,,,,,,,52.52,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,26,percent of total billed charges,24.69364017,,,,,,,,,,26,percent of total billed charges,24.28287827,,,,,,,,,,26,percent of total billed charges,24.21539719,,,,,,,,,,26,percent of total billed charges,23.85882576,,,,,,,,,,26,percent of total billed charges,24.47274842,,,,,,,,,,26,percent of total billed charges,999999999,,,,,,,,,,26,percent of total billed charges,20.99934152,,,,,,,,,,26,percent of total billed charges,33.11740968,,,,,,,,,,26,percent of total billed charges,999999999,,,,,,,,,,26,percent of total billed charges,22.64242591,,,,,,,,,,93.6,percent of total billed charges,,,,,
**ASPIRIN (CHILDRENS) CHEW TAB:81MG 4 TA,259,RC,0053-6329-36,NDC,,both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
OXACILLIN: (PROSTAPHLIN) 1 GM VIAL,J2700,CDM,0078-1910-95,NDC,,both,1,EA,72.48,72.48,15.42982831,72.48,72.48,percent of total billed charges,53.3261109,,,,72.48,percent of total billed charges,56.52462317,,,,72.48,percent of total billed charges,53.3261109,,,,72.48,percent of total billed charges,56.52462317,,,,72.48,percent of total billed charges,999999999,,,,72.48,percent of total billed charges,55.22477848,,,,72.48,percent of total billed charges,53.3261109,,,,72.48,percent of total billed charges,56.52462317,,,,51.67824,percent of total billed charges,25.78838747,,,,51.67824,percent of total billed charges,15.42982831,,,,51.67824,percent of total billed charges,25.78838747,,,,51.67824,percent of total billed charges,15.42982831,,,,51.67824,percent of total billed charges,25.78838747,,,,51.67824,percent of total billed charges,15.42982831,,,,51.17088,percent of total billed charges,50.78263262,,,,51.17088,percent of total billed charges,35.02437921,,,,,,,,,,52.1856,percent of total billed charges,33.91941196,,,,,,,,,,52.1856,percent of total billed charges,999999999,,,,,,,,,,57.984,percent of total billed charges,48.58757789,,,,57.2592,percent of total billed charges,55.25759214,,,,57.2592,percent of total billed charges,48.82191177,,,,57.984,percent of total billed charges,999999999,,,,57.984,percent of total billed charges,999999999,,,,50.736,percent of total billed charges,999999999,,,,50.736,percent of total billed charges,999999999,,,,,,,,,,,,,,,,38.55936,percent of total billed charges,999999999,,,,,,,,,,,,,,,,36.6024,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18.12,percent of total billed charges,17.20956769,,,,,,,,,,18.12,percent of total billed charges,16.92329824,,,,,,,,,,18.12,percent of total billed charges,16.87626912,,,,,,,,,,18.12,percent of total billed charges,16.62776626,,,,,,,,,,18.12,percent of total billed charges,17.05562313,,,,,,,,,,18.12,percent of total billed charges,999999999,,,,,,,,,,18.12,percent of total billed charges,14.6349257,,,,,,,,,,18.12,percent of total billed charges,23.08028705,,,,,,,,,,18.12,percent of total billed charges,999999999,,,,,,,,,,18.12,percent of total billed charges,15.78002914,,,,,,,,,,65.232,percent of total billed charges,,,,,
OXACILLIN: (PROSTAPHLIN) 2 GM,J2700,CDM,0078-1310-95,NDC,,both,1,EA,137.48,137.48,29.26728471,137.48,137.48,percent of total billed charges,101.1489201,,,,137.48,percent of total billed charges,107.2158553,,,,137.48,percent of total billed charges,101.1489201,,,,137.48,percent of total billed charges,107.2158553,,,,137.48,percent of total billed charges,999999999,,,,137.48,percent of total billed charges,104.7503111,,,,137.48,percent of total billed charges,101.1489201,,,,137.48,percent of total billed charges,107.2158553,,,,98.02324,percent of total billed charges,48.91539059,,,,98.02324,percent of total billed charges,29.26728471,,,,98.02324,percent of total billed charges,48.91539059,,,,98.02324,percent of total billed charges,29.26728471,,,,98.02324,percent of total billed charges,48.91539059,,,,98.02324,percent of total billed charges,29.26728471,,,,97.06088,percent of total billed charges,96.32445272,,,,97.06088,percent of total billed charges,66.43421157,,,,,,,,,,98.9856,percent of total billed charges,64.33831066,,,,,,,,,,98.9856,percent of total billed charges,999999999,,,,,,,,,,109.984,percent of total billed charges,92.16087484,,,,108.6092,percent of total billed charges,104.812552,,,,108.6092,percent of total billed charges,92.60535914,,,,109.984,percent of total billed charges,999999999,,,,109.984,percent of total billed charges,999999999,,,,96.236,percent of total billed charges,999999999,,,,96.236,percent of total billed charges,999999999,,,,,,,,,,,,,,,,73.13936,percent of total billed charges,999999999,,,,,,,,,,,,,,,,69.4274,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,34.37,percent of total billed charges,32.64309279,,,,,,,,,,34.37,percent of total billed charges,32.10009715,,,,,,,,,,34.37,percent of total billed charges,32.01089236,,,,,,,,,,34.37,percent of total billed charges,31.53953236,,,,,,,,,,34.37,percent of total billed charges,32.35109089,,,,,,,,,,34.37,percent of total billed charges,999999999,,,,,,,,,,34.37,percent of total billed charges,27.75951415,,,,,,,,,,34.37,percent of total billed charges,43.7786681,,,,,,,,,,34.37,percent of total billed charges,999999999,,,,,,,,,,34.37,percent of total billed charges,29.93154533,,,,,,,,,,123.732,percent of total billed charges,,,,,
VECURONIUM  10MG/10ML VIAL,250,RC,0040-9163-49,NDC,,both,1,EA,51.01,51.01,10.85921002,51.01,51.01,percent of total billed charges,37.52986917,,,,51.01,percent of total billed charges,39.78091926,,,,51.01,percent of total billed charges,37.52986917,,,,51.01,percent of total billed charges,39.78091926,,,,51.01,percent of total billed charges,999999999,,,,51.01,percent of total billed charges,38.8661141,,,,51.01,percent of total billed charges,37.52986917,,,,51.01,percent of total billed charges,39.78091926,,,,36.37013,percent of total billed charges,18.14936044,,,,36.37013,percent of total billed charges,10.85921002,,,,36.37013,percent of total billed charges,18.14936044,,,,36.37013,percent of total billed charges,10.85921002,,,,36.37013,percent of total billed charges,18.14936044,,,,36.37013,percent of total billed charges,10.85921002,,,,36.01306,percent of total billed charges,35.73981912,,,,36.01306,percent of total billed charges,24.64946997,,,,,,,,,,36.7272,percent of total billed charges,23.87181573,,,,,,,,,,36.7272,percent of total billed charges,999999999,,,,,,,,,,40.808,percent of total billed charges,34.19498273,,,,40.2979,percent of total billed charges,38.88920772,,,,40.2979,percent of total billed charges,34.35990231,,,,40.808,percent of total billed charges,999999999,,,,40.808,percent of total billed charges,999999999,,,,35.707,percent of total billed charges,999999999,,,,35.707,percent of total billed charges,999999999,,,,,,,,,,,,,,,,27.13732,percent of total billed charges,999999999,,,,,,,,,,,,,,,,25.76005,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12.7525,percent of total billed charges,12.11175562,,,,,,,,,,12.7525,percent of total billed charges,11.91028481,,,,,,,,,,12.7525,percent of total billed charges,11.87718664,,,,,,,,,,12.7525,percent of total billed charges,11.70229521,,,,,,,,,,12.7525,percent of total billed charges,12.00341247,,,,,,,,,,12.7525,percent of total billed charges,999999999,,,,,,,,,,12.7525,percent of total billed charges,10.29977318,,,,,,,,,,12.7525,percent of total billed charges,16.24345257,,,,,,,,,,12.7525,percent of total billed charges,999999999,,,,,,,,,,12.7525,percent of total billed charges,11.10567448,,,,,,,,,,45.909,percent of total billed charges,,,,,
lamoTRIgine (LaMICtal) 25 MG TAB,637,RC,0017-3063-02,NDC,,both,1,EA,0.83,0.83,0.176693674,0.83,0.83,percent of total billed charges,0.610660486,,,,0.83,percent of total billed charges,0.647288041,,,,0.83,percent of total billed charges,0.610660486,,,,0.83,percent of total billed charges,0.647288041,,,,0.83,percent of total billed charges,999999999,,,,0.83,percent of total billed charges,0.632402954,,,,0.83,percent of total billed charges,0.610660486,,,,0.83,percent of total billed charges,0.647288041,,,,0.59179,percent of total billed charges,0.29531404,,,,0.59179,percent of total billed charges,0.176693674,,,,0.59179,percent of total billed charges,0.29531404,,,,0.59179,percent of total billed charges,0.176693674,,,,0.59179,percent of total billed charges,0.29531404,,,,0.59179,percent of total billed charges,0.176693674,,,,0.58598,percent of total billed charges,0.58153401,,,,0.58598,percent of total billed charges,0.401079398,,,,,,,,,,0.5976,percent of total billed charges,0.388425937,,,,,,,,,,0.5976,percent of total billed charges,999999999,,,,,,,,,,0.664,percent of total billed charges,0.556397484,,,,0.6557,percent of total billed charges,0.632778718,,,,0.6557,percent of total billed charges,0.559080943,,,,0.664,percent of total billed charges,999999999,,,,0.664,percent of total billed charges,999999999,,,,0.581,percent of total billed charges,999999999,,,,0.581,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.44156,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.41915,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.2075,percent of total billed charges,0.197074244,,,,,,,,,,0.2075,percent of total billed charges,0.193796048,,,,,,,,,,0.2075,percent of total billed charges,0.193257497,,,,,,,,,,0.2075,percent of total billed charges,0.190411782,,,,,,,,,,0.2075,percent of total billed charges,0.195311358,,,,,,,,,,0.2075,percent of total billed charges,999999999,,,,,,,,,,0.2075,percent of total billed charges,0.167590899,,,,,,,,,,0.2075,percent of total billed charges,0.264302404,,,,,,,,,,0.2075,percent of total billed charges,999999999,,,,,,,,,,0.2075,percent of total billed charges,0.180703976,,,,,,,,,,0.747,percent of total billed charges,,,,,
RT MORphine 20MG/2.5ML NEBULE,250,RC,0040-9126-30,NDC,,both,1,EA,6.17,6.17,1.313493938,6.17,6.17,percent of total billed charges,4.539488194,,,,6.17,percent of total billed charges,4.811767729,,,,6.17,percent of total billed charges,4.539488194,,,,6.17,percent of total billed charges,4.811767729,,,,6.17,percent of total billed charges,999999999,,,,6.17,percent of total billed charges,4.701115939,,,,6.17,percent of total billed charges,4.539488194,,,,6.17,percent of total billed charges,4.811767729,,,,4.39921,percent of total billed charges,2.195286296,,,,4.39921,percent of total billed charges,1.313493938,,,,4.39921,percent of total billed charges,2.195286296,,,,4.39921,percent of total billed charges,1.313493938,,,,4.39921,percent of total billed charges,2.195286296,,,,4.39921,percent of total billed charges,1.313493938,,,,4.35602,percent of total billed charges,4.322969692,,,,4.35602,percent of total billed charges,2.981517933,,,,,,,,,,4.4424,percent of total billed charges,2.887455461,,,,,,,,,,4.4424,percent of total billed charges,999999999,,,,,,,,,,4.936,percent of total billed charges,4.136111418,,,,4.8743,percent of total billed charges,4.703909265,,,,4.8743,percent of total billed charges,4.156059542,,,,4.936,percent of total billed charges,999999999,,,,4.936,percent of total billed charges,999999999,,,,4.319,percent of total billed charges,999999999,,,,4.319,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.28244,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.11585,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5425,percent of total billed charges,1.464997691,,,,,,,,,,1.5425,percent of total billed charges,1.440628451,,,,,,,,,,1.5425,percent of total billed charges,1.436625006,,,,,,,,,,1.5425,percent of total billed charges,1.41547072,,,,,,,,,,1.5425,percent of total billed charges,1.451892863,,,,,,,,,,1.5425,percent of total billed charges,999999999,,,,,,,,,,1.5425,percent of total billed charges,1.245826319,,,,,,,,,,1.5425,percent of total billed charges,1.964754016,,,,,,,,,,1.5425,percent of total billed charges,999999999,,,,,,,,,,1.5425,percent of total billed charges,1.34330546,,,,,,,,,,5.553,percent of total billed charges,,,,,
RAPE KIT FOR MED DISPENSE,637,RC,0000-8251-02,NDC,,both,1,EA,774,774,164.7721731,774,774,percent of total billed charges,569.4592969,,,,774,percent of total billed charges,603.6155951,,,,774,percent of total billed charges,569.4592969,,,,774,percent of total billed charges,603.6155951,,,,774,percent of total billed charges,999999999,,,,774,percent of total billed charges,589.7348033,,,,774,percent of total billed charges,569.4592969,,,,774,percent of total billed charges,603.6155951,,,,551.862,percent of total billed charges,275.3892371,,,,551.862,percent of total billed charges,164.7721731,,,,551.862,percent of total billed charges,275.3892371,,,,551.862,percent of total billed charges,164.7721731,,,,551.862,percent of total billed charges,275.3892371,,,,551.862,percent of total billed charges,164.7721731,,,,546.444,percent of total billed charges,542.2979808,,,,546.444,percent of total billed charges,374.0186191,,,,,,,,,,557.28,percent of total billed charges,362.218886,,,,,,,,,,557.28,percent of total billed charges,999999999,,,,,,,,,,619.2,percent of total billed charges,518.8574129,,,,611.46,percent of total billed charges,590.0852141,,,,611.46,percent of total billed charges,521.3598194,,,,619.2,percent of total billed charges,999999999,,,,619.2,percent of total billed charges,999999999,,,,541.8,percent of total billed charges,999999999,,,,541.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,411.768,percent of total billed charges,999999999,,,,,,,,,,,,,,,,390.87,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,193.5,percent of total billed charges,183.7776682,,,,,,,,,,193.5,percent of total billed charges,180.7206517,,,,,,,,,,193.5,percent of total billed charges,180.2184368,,,,,,,,,,193.5,percent of total billed charges,177.5647225,,,,,,,,,,193.5,percent of total billed charges,182.1337238,,,,,,,,,,193.5,percent of total billed charges,999999999,,,,,,,,,,193.5,percent of total billed charges,156.2835609,,,,,,,,,,193.5,percent of total billed charges,246.4699528,,,,,,,,,,193.5,percent of total billed charges,999999999,,,,,,,,,,193.5,percent of total billed charges,168.5119005,,,,,,,,,,696.6,percent of total billed charges,,,,,
**PREDNISOLONE (PRELONE) SYRUP 15MG/5ML,259,RC,5817-7091-07,NDC,,both,1,EA,7,7,1.490187612,7,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,7,percent of total billed charges,999999999,,,,7,percent of total billed charges,5.333518893,,,,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.942,percent of total billed charges,4.904503703,,,,4.942,percent of total billed charges,3.38259733,,,,,,,,,,5.04,percent of total billed charges,3.275881398,,,,,,,,,,5.04,percent of total billed charges,999999999,,,,,,,,,,5.6,percent of total billed charges,4.692508902,,,,5.53,percent of total billed charges,5.336687983,,,,5.53,percent of total billed charges,4.715140486,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,4.9,percent of total billed charges,999999999,,,,4.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.724,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.535,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.75,percent of total billed charges,1.662071934,,,,,,,,,,1.75,percent of total billed charges,1.634424499,,,,,,,,,,1.75,percent of total billed charges,1.629882503,,,,,,,,,,1.75,percent of total billed charges,1.605882503,,,,,,,,,,1.75,percent of total billed charges,1.647204221,,,,,,,,,,1.75,percent of total billed charges,999999999,,,,,,,,,,1.75,percent of total billed charges,1.413417217,,,,,,,,,,1.75,percent of total billed charges,2.229056421,,,,,,,,,,1.75,percent of total billed charges,999999999,,,,,,,,,,1.75,percent of total billed charges,1.524009436,,,,,,,,,,6.3,percent of total billed charges,,,,,
**AZITHROMYCIN 500MG/250ML IVPB VIALMATE,J0456,CDM,0006-9315-83,NDC,,both,1,EA,106,106,22.56569813,106,106,percent of total billed charges,77.98796573,,,,106,percent of total billed charges,82.66570166,,,,106,percent of total billed charges,77.98796573,,,,106,percent of total billed charges,82.66570166,,,,106,percent of total billed charges,999999999,,,,106,percent of total billed charges,80.76471467,,,,106,percent of total billed charges,77.98796573,,,,106,percent of total billed charges,82.66570166,,,,75.578,percent of total billed charges,37.71480508,,,,75.578,percent of total billed charges,22.56569813,,,,75.578,percent of total billed charges,37.71480508,,,,75.578,percent of total billed charges,22.56569813,,,,75.578,percent of total billed charges,37.71480508,,,,75.578,percent of total billed charges,22.56569813,,,,74.836,percent of total billed charges,74.26819892,,,,74.836,percent of total billed charges,51.22218814,,,,,,,,,,76.32,percent of total billed charges,49.60620403,,,,,,,,,,76.32,percent of total billed charges,999999999,,,,,,,,,,84.8,percent of total billed charges,71.05799195,,,,83.74,percent of total billed charges,80.81270374,,,,83.74,percent of total billed charges,71.40069878,,,,84.8,percent of total billed charges,999999999,,,,84.8,percent of total billed charges,999999999,,,,74.2,percent of total billed charges,999999999,,,,74.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,56.392,percent of total billed charges,999999999,,,,,,,,,,,,,,,,53.53,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,26.5,percent of total billed charges,25.16851786,,,,,,,,,,26.5,percent of total billed charges,24.74985669,,,,,,,,,,26.5,percent of total billed charges,24.6810779,,,,,,,,,,26.5,percent of total billed charges,24.31764933,,,,,,,,,,26.5,percent of total billed charges,24.9433782,,,,,,,,,,26.5,percent of total billed charges,999999999,,,,,,,,,,26.5,percent of total billed charges,21.40317501,,,,,,,,,,26.5,percent of total billed charges,33.75428294,,,,,,,,,,26.5,percent of total billed charges,999999999,,,,,,,,,,26.5,percent of total billed charges,23.07785718,,,,,,,,,,95.4,percent of total billed charges,,,,,
DOXYCYCLINE 100MG/100ML IVPB (MINIBAG+),258,RC,5456-9532-00,NDC,,both,1,EA,230.31,230.31,49.02930129,230.31,230.31,percent of total billed charges,169.4472489,,,,230.31,percent of total billed charges,179.6107335,,,,230.31,percent of total billed charges,169.4472489,,,,230.31,percent of total billed charges,179.6107335,,,,230.31,percent of total billed charges,999999999,,,,230.31,percent of total billed charges,175.4803909,,,,230.31,percent of total billed charges,169.4472489,,,,230.31,percent of total billed charges,179.6107335,,,,164.21103,percent of total billed charges,81.94430904,,,,164.21103,percent of total billed charges,49.02930129,,,,164.21103,percent of total billed charges,81.94430904,,,,164.21103,percent of total billed charges,49.02930129,,,,164.21103,percent of total billed charges,81.94430904,,,,164.21103,percent of total billed charges,49.02930129,,,,162.59886,percent of total billed charges,161.3651782,,,,162.59886,percent of total billed charges,111.2922844,,,,,,,,,,165.8232,percent of total billed charges,107.7811778,,,,,,,,,,165.8232,percent of total billed charges,999999999,,,,,,,,,,184.248,percent of total billed charges,154.3902465,,,,181.9449,percent of total billed charges,175.5846585,,,,181.9449,percent of total billed charges,155.1348579,,,,184.248,percent of total billed charges,999999999,,,,184.248,percent of total billed charges,999999999,,,,161.217,percent of total billed charges,999999999,,,,161.217,percent of total billed charges,999999999,,,,,,,,,,,,,,,,122.52492,percent of total billed charges,999999999,,,,,,,,,,,,,,,,116.30655,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,57.5775,percent of total billed charges,54.68454103,,,,,,,,,,57.5775,percent of total billed charges,53.7749009,,,,,,,,,,57.5775,percent of total billed charges,53.62546275,,,,,,,,,,57.5775,percent of total billed charges,52.83582846,,,,,,,,,,57.5775,percent of total billed charges,54.195372,,,,,,,,,,57.5775,percent of total billed charges,999999999,,,,,,,,,,57.5775,percent of total billed charges,46.50344562,,,,,,,,,,57.5775,percent of total billed charges,73.3391406,,,,,,,,,,57.5775,percent of total billed charges,999999999,,,,,,,,,,57.5775,percent of total billed charges,50.14208761,,,,,,,,,,207.279,percent of total billed charges,,,,,
CEFUROXIME (ZINACEF) 750MG/100ML IVPB,J0697,CDM,2502-1011-10,NDC,,both,1,EA,25.27,25.27,5.379577281,25.27,25.27,percent of total billed charges,18.59203673,,,,25.27,percent of total billed charges,19.70719133,,,,25.27,percent of total billed charges,18.59203673,,,,25.27,percent of total billed charges,19.70719133,,,,25.27,percent of total billed charges,999999999,,,,25.27,percent of total billed charges,19.2540032,,,,25.27,percent of total billed charges,18.59203673,,,,25.27,percent of total billed charges,19.70719133,,,,18.01751,percent of total billed charges,8.991067211,,,,18.01751,percent of total billed charges,5.379577281,,,,18.01751,percent of total billed charges,8.991067211,,,,18.01751,percent of total billed charges,5.379577281,,,,18.01751,percent of total billed charges,8.991067211,,,,18.01751,percent of total billed charges,5.379577281,,,,17.84062,percent of total billed charges,17.70525837,,,,17.84062,percent of total billed charges,12.21117636,,,,,,,,,,18.1944,percent of total billed charges,11.82593185,,,,,,,,,,18.1944,percent of total billed charges,999999999,,,,,,,,,,20.216,percent of total billed charges,16.93995714,,,,19.9633,percent of total billed charges,19.26544362,,,,19.9633,percent of total billed charges,17.02165715,,,,20.216,percent of total billed charges,999999999,,,,20.216,percent of total billed charges,999999999,,,,17.689,percent of total billed charges,999999999,,,,17.689,percent of total billed charges,999999999,,,,,,,,,,,,,,,,13.44364,percent of total billed charges,999999999,,,,,,,,,,,,,,,,12.76135,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6.3175,percent of total billed charges,6.000079683,,,,,,,,,,6.3175,percent of total billed charges,5.90027244,,,,,,,,,,6.3175,percent of total billed charges,5.883875836,,,,,,,,,,6.3175,percent of total billed charges,5.797235836,,,,,,,,,,6.3175,percent of total billed charges,5.946407236,,,,,,,,,,6.3175,percent of total billed charges,999999999,,,,,,,,,,6.3175,percent of total billed charges,5.102436155,,,,,,,,,,6.3175,percent of total billed charges,8.046893678,,,,,,,,,,6.3175,percent of total billed charges,999999999,,,,,,,,,,6.3175,percent of total billed charges,5.501674065,,,,,,,,,,22.743,percent of total billed charges,,,,,
VANCOMYCIN COMPOUNDED IVPB,J3370,CDM,0040-9653-01,NDC,,both,1,EA,209,209,44.49274443,209,209,percent of total billed charges,153.7687249,,,,209,percent of total billed charges,162.991808,,,,209,percent of total billed charges,153.7687249,,,,209,percent of total billed charges,162.991808,,,,209,percent of total billed charges,999999999,,,,209,percent of total billed charges,159.2436355,,,,209,percent of total billed charges,153.7687249,,,,209,percent of total billed charges,162.991808,,,,149.017,percent of total billed charges,74.36221002,,,,149.017,percent of total billed charges,44.49274443,,,,149.017,percent of total billed charges,74.36221002,,,,149.017,percent of total billed charges,44.49274443,,,,149.017,percent of total billed charges,74.36221002,,,,149.017,percent of total billed charges,44.49274443,,,,147.554,percent of total billed charges,146.4344677,,,,147.554,percent of total billed charges,100.9946917,,,,,,,,,,150.48,percent of total billed charges,97.80845889,,,,,,,,,,150.48,percent of total billed charges,999999999,,,,,,,,,,167.2,percent of total billed charges,140.1049087,,,,165.11,percent of total billed charges,159.3382555,,,,165.11,percent of total billed charges,140.7806231,,,,167.2,percent of total billed charges,999999999,,,,167.2,percent of total billed charges,999999999,,,,146.3,percent of total billed charges,999999999,,,,146.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,111.188,percent of total billed charges,999999999,,,,,,,,,,,,,,,,105.545,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,52.25,percent of total billed charges,49.62471918,,,,,,,,,,52.25,percent of total billed charges,48.79924575,,,,,,,,,,52.25,percent of total billed charges,48.66363473,,,,,,,,,,52.25,percent of total billed charges,47.9470633,,,,,,,,,,52.25,percent of total billed charges,49.18081173,,,,,,,,,,52.25,percent of total billed charges,999999999,,,,,,,,,,52.25,percent of total billed charges,42.20059978,,,,,,,,,,52.25,percent of total billed charges,66.55325599,,,,,,,,,,52.25,percent of total billed charges,999999999,,,,,,,,,,52.25,percent of total billed charges,45.50256746,,,,,,,,,,188.1,percent of total billed charges,,,,,
ACYCLOVIR: 500MG IN NS 100 ML,J0133,CDM,5515-0015-11,NDC,,both,1,EA,47.28,47.28,10.0651529,47.28,47.28,percent of total billed charges,34.78557566,,,,47.28,percent of total billed charges,36.8720224,,,,47.28,percent of total billed charges,34.78557566,,,,47.28,percent of total billed charges,36.8720224,,,,47.28,percent of total billed charges,999999999,,,,47.28,percent of total billed charges,36.02411047,,,,47.28,percent of total billed charges,34.78557566,,,,47.28,percent of total billed charges,36.8720224,,,,33.71064,percent of total billed charges,16.82222627,,,,33.71064,percent of total billed charges,10.0651529,,,,33.71064,percent of total billed charges,16.82222627,,,,33.71064,percent of total billed charges,10.0651529,,,,33.71064,percent of total billed charges,16.82222627,,,,33.71064,percent of total billed charges,10.0651529,,,,33.37968,percent of total billed charges,33.12641929,,,,33.37968,percent of total billed charges,22.84702883,,,,,,,,,,34.0416,percent of total billed charges,22.12623893,,,,,,,,,,34.0416,percent of total billed charges,999999999,,,,,,,,,,37.824,percent of total billed charges,31.69454584,,,,37.3512,percent of total billed charges,36.04551541,,,,37.3512,percent of total billed charges,31.84740602,,,,37.824,percent of total billed charges,999999999,,,,37.824,percent of total billed charges,999999999,,,,33.096,percent of total billed charges,999999999,,,,33.096,percent of total billed charges,999999999,,,,,,,,,,,,,,,,25.15296,percent of total billed charges,999999999,,,,,,,,,,,,,,,,23.8764,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11.82,percent of total billed charges,11.22610872,,,,,,,,,,11.82,percent of total billed charges,11.03937004,,,,,,,,,,11.82,percent of total billed charges,11.00869211,,,,,,,,,,11.82,percent of total billed charges,10.84658925,,,,,,,,,,11.82,percent of total billed charges,11.12568794,,,,,,,,,,11.82,percent of total billed charges,999999999,,,,,,,,,,11.82,percent of total billed charges,9.54662372,,,,,,,,,,11.82,percent of total billed charges,15.05568394,,,,,,,,,,11.82,percent of total billed charges,999999999,,,,,,,,,,11.82,percent of total billed charges,10.29359516,,,,,,,,,,42.552,percent of total billed charges,,,,,
AMPICILLIN/SULBACTAM 3GM/100ML A/V IVPB,J0295,CDM,0004-9001-83,NDC,,both,1,EA,34.41,34.41,7.325336535,34.41,34.41,percent of total billed charges,25.31665944,,,,34.41,percent of total billed charges,26.83515844,,,,34.41,percent of total billed charges,25.31665944,,,,34.41,percent of total billed charges,26.83515844,,,,34.41,percent of total billed charges,999999999,,,,34.41,percent of total billed charges,26.21805502,,,,34.41,percent of total billed charges,25.31665944,,,,34.41,percent of total billed charges,26.83515844,,,,24.53433,percent of total billed charges,12.24307965,,,,24.53433,percent of total billed charges,7.325336535,,,,24.53433,percent of total billed charges,12.24307965,,,,24.53433,percent of total billed charges,7.325336535,,,,24.53433,percent of total billed charges,12.24307965,,,,24.53433,percent of total billed charges,7.325336535,,,,24.29346,percent of total billed charges,24.10913891,,,,24.29346,percent of total billed charges,16.62788202,,,,,,,,,,24.7752,percent of total billed charges,16.10329699,,,,,,,,,,24.7752,percent of total billed charges,999999999,,,,,,,,,,27.528,percent of total billed charges,23.06703305,,,,27.1839,percent of total billed charges,26.23363336,,,,27.1839,percent of total billed charges,23.17828344,,,,27.528,percent of total billed charges,999999999,,,,27.528,percent of total billed charges,999999999,,,,24.087,percent of total billed charges,999999999,,,,24.087,percent of total billed charges,999999999,,,,,,,,,,,,,,,,18.30612,percent of total billed charges,999999999,,,,,,,,,,,,,,,,17.37705,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8.6025,percent of total billed charges,8.170270752,,,,,,,,,,8.6025,percent of total billed charges,8.034363857,,,,,,,,,,8.6025,percent of total billed charges,8.012036704,,,,,,,,,,8.6025,percent of total billed charges,7.894059561,,,,,,,,,,8.6025,percent of total billed charges,8.097185318,,,,,,,,,,8.6025,percent of total billed charges,999999999,,,,,,,,,,8.6025,percent of total billed charges,6.947955207,,,,,,,,,,8.6025,percent of total billed charges,10.95740449,,,,,,,,,,8.6025,percent of total billed charges,999999999,,,,,,,,,,8.6025,percent of total billed charges,7.491594958,,,,,,,,,,30.969,percent of total billed charges,,,,,
AMPICILLIN/SULBACTAM 1.5GM/100ML IVPB,J0295,CDM,0040-9268-11,NDC,,both,1,EA,25.27,25.27,5.379577281,25.27,25.27,percent of total billed charges,18.59203673,,,,25.27,percent of total billed charges,19.70719133,,,,25.27,percent of total billed charges,18.59203673,,,,25.27,percent of total billed charges,19.70719133,,,,25.27,percent of total billed charges,999999999,,,,25.27,percent of total billed charges,19.2540032,,,,25.27,percent of total billed charges,18.59203673,,,,25.27,percent of total billed charges,19.70719133,,,,18.01751,percent of total billed charges,8.991067211,,,,18.01751,percent of total billed charges,5.379577281,,,,18.01751,percent of total billed charges,8.991067211,,,,18.01751,percent of total billed charges,5.379577281,,,,18.01751,percent of total billed charges,8.991067211,,,,18.01751,percent of total billed charges,5.379577281,,,,17.84062,percent of total billed charges,17.70525837,,,,17.84062,percent of total billed charges,12.21117636,,,,,,,,,,18.1944,percent of total billed charges,11.82593185,,,,,,,,,,18.1944,percent of total billed charges,999999999,,,,,,,,,,20.216,percent of total billed charges,16.93995714,,,,19.9633,percent of total billed charges,19.26544362,,,,19.9633,percent of total billed charges,17.02165715,,,,20.216,percent of total billed charges,999999999,,,,20.216,percent of total billed charges,999999999,,,,17.689,percent of total billed charges,999999999,,,,17.689,percent of total billed charges,999999999,,,,,,,,,,,,,,,,13.44364,percent of total billed charges,999999999,,,,,,,,,,,,,,,,12.76135,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6.3175,percent of total billed charges,6.000079683,,,,,,,,,,6.3175,percent of total billed charges,5.90027244,,,,,,,,,,6.3175,percent of total billed charges,5.883875836,,,,,,,,,,6.3175,percent of total billed charges,5.797235836,,,,,,,,,,6.3175,percent of total billed charges,5.946407236,,,,,,,,,,6.3175,percent of total billed charges,999999999,,,,,,,,,,6.3175,percent of total billed charges,5.102436155,,,,,,,,,,6.3175,percent of total billed charges,8.046893678,,,,,,,,,,6.3175,percent of total billed charges,999999999,,,,,,,,,,6.3175,percent of total billed charges,5.501674065,,,,,,,,,,22.743,percent of total billed charges,,,,,
**TIMENTIN 3.1GM/100ML NS:IV,258,RC,9999-9999-99,NDC,,both,1,EA,17,17,3.619027059,17,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,17,percent of total billed charges,999999999,,,,17,percent of total billed charges,12.9528316,,,,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.002,percent of total billed charges,11.91093756,,,,12.002,percent of total billed charges,8.214879231,,,,,,,,,,12.24,percent of total billed charges,7.955711967,,,,,,,,,,12.24,percent of total billed charges,999999999,,,,,,,,,,13.6,percent of total billed charges,11.39609305,,,,13.43,percent of total billed charges,12.96052796,,,,13.43,percent of total billed charges,11.45105547,,,,13.6,percent of total billed charges,999999999,,,,13.6,percent of total billed charges,999999999,,,,11.9,percent of total billed charges,999999999,,,,11.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.044,percent of total billed charges,999999999,,,,,,,,,,,,,,,,8.585,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4.25,percent of total billed charges,4.036460412,,,,,,,,,,4.25,percent of total billed charges,3.96931664,,,,,,,,,,4.25,percent of total billed charges,3.958286079,,,,,,,,,,4.25,percent of total billed charges,3.900000364,,,,,,,,,,4.25,percent of total billed charges,4.000353107,,,,,,,,,,4.25,percent of total billed charges,999999999,,,,,,,,,,4.25,percent of total billed charges,3.432584671,,,,,,,,,,4.25,percent of total billed charges,5.413422736,,,,,,,,,,4.25,percent of total billed charges,999999999,,,,,,,,,,4.25,percent of total billed charges,3.701165774,,,,,,,,,,15.3,percent of total billed charges,,,,,
SEPTRA 800/160 D5W 250ML IVPB,258,RC,0000-4195-01,NDC,,both,1,EA,112.69,112.69,23.98989172,112.69,112.69,percent of total billed charges,82.91003639,,,,112.69,percent of total billed charges,87.88299925,,,,112.69,percent of total billed charges,82.91003639,,,,112.69,percent of total billed charges,87.88299925,,,,112.69,percent of total billed charges,999999999,,,,112.69,percent of total billed charges,85.86203486,,,,112.69,percent of total billed charges,82.91003639,,,,112.69,percent of total billed charges,87.88299925,,,,80.34797,percent of total billed charges,40.0951074,,,,80.34797,percent of total billed charges,23.98989172,,,,80.34797,percent of total billed charges,40.0951074,,,,80.34797,percent of total billed charges,23.98989172,,,,80.34797,percent of total billed charges,40.0951074,,,,80.34797,percent of total billed charges,23.98989172,,,,79.55914,percent of total billed charges,78.95550318,,,,79.55914,percent of total billed charges,54.45498474,,,,,,,,,,81.1368,percent of total billed charges,52.73701068,,,,,,,,,,81.1368,percent of total billed charges,999999999,,,,,,,,,,90.152,percent of total billed charges,75.54268974,,,,89.0251,percent of total billed charges,85.91305269,,,,89.0251,percent of total billed charges,75.9070259,,,,90.152,percent of total billed charges,999999999,,,,90.152,percent of total billed charges,999999999,,,,78.883,percent of total billed charges,999999999,,,,78.883,percent of total billed charges,999999999,,,,,,,,,,,,,,,,59.95108,percent of total billed charges,999999999,,,,,,,,,,,,,,,,56.90845,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,28.1725,percent of total billed charges,26.75698375,,,,,,,,,,28.1725,percent of total billed charges,26.31189954,,,,,,,,,,28.1725,percent of total billed charges,26.23877989,,,,,,,,,,28.1725,percent of total billed charges,25.85241418,,,,,,,,,,28.1725,percent of total billed charges,26.5176348,,,,,,,,,,28.1725,percent of total billed charges,999999999,,,,,,,,,,28.1725,percent of total billed charges,22.75399803,,,,,,,,,,28.1725,percent of total billed charges,35.88462401,,,,,,,,,,28.1725,percent of total billed charges,999999999,,,,,,,,,,28.1725,percent of total billed charges,24.53437477,,,,,,,,,,101.421,percent of total billed charges,,,,,
cefTRIAXone (ROCEPHIN) 2GM/100ML A/V,J0696,CDM,0040-9733-04,NDC,,both,1,EA,84.43,84.43,17.97379144,84.43,84.43,percent of total billed charges,62.11815044,,,,84.43,percent of total billed charges,65.84401124,,,,84.43,percent of total billed charges,62.11815044,,,,84.43,percent of total billed charges,65.84401124,,,,84.43,percent of total billed charges,999999999,,,,84.43,percent of total billed charges,64.32985716,,,,84.43,percent of total billed charges,62.11815044,,,,84.43,percent of total billed charges,65.84401124,,,,60.19859,percent of total billed charges,30.04019805,,,,60.19859,percent of total billed charges,17.97379144,,,,60.19859,percent of total billed charges,30.04019805,,,,60.19859,percent of total billed charges,17.97379144,,,,60.19859,percent of total billed charges,30.04019805,,,,60.19859,percent of total billed charges,17.97379144,,,,59.60758,percent of total billed charges,59.15532109,,,,59.60758,percent of total billed charges,40.79895609,,,,,,,,,,60.7896,percent of total billed charges,39.51180949,,,,,,,,,,60.7896,percent of total billed charges,999999999,,,,,,,,,,67.544,percent of total billed charges,56.59836094,,,,66.6997,percent of total billed charges,64.36808092,,,,66.6997,percent of total billed charges,56.87133017,,,,67.544,percent of total billed charges,999999999,,,,67.544,percent of total billed charges,999999999,,,,59.101,percent of total billed charges,999999999,,,,59.101,percent of total billed charges,999999999,,,,,,,,,,,,,,,,44.91676,percent of total billed charges,999999999,,,,,,,,,,,,,,,,42.63715,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21.1075,percent of total billed charges,20.04696192,,,,,,,,,,21.1075,percent of total billed charges,19.71349435,,,,,,,,,,21.1075,percent of total billed charges,19.65871139,,,,,,,,,,21.1075,percent of total billed charges,19.3692371,,,,,,,,,,21.1075,percent of total billed charges,19.86763605,,,,,,,,,,21.1075,percent of total billed charges,999999999,,,,,,,,,,21.1075,percent of total billed charges,17.04783081,,,,,,,,,,21.1075,percent of total billed charges,26.8856048,,,,,,,,,,21.1075,percent of total billed charges,999999999,,,,,,,,,,21.1075,percent of total billed charges,18.38173096,,,,,,,,,,75.987,percent of total billed charges,,,,,
cefTRIAXone (ROCEPHIN) 1GM/100ML A/V,J0696,CDM,0040-9733-49,NDC,,both,1,EA,39.36,39.36,8.37911206,39.36,39.36,percent of total billed charges,28.95855029,,,,39.36,percent of total billed charges,30.69549073,,,,39.36,percent of total billed charges,28.95855029,,,,39.36,percent of total billed charges,30.69549073,,,,39.36,percent of total billed charges,999999999,,,,39.36,percent of total billed charges,29.9896148,,,,39.36,percent of total billed charges,28.95855029,,,,39.36,percent of total billed charges,30.69549073,,,,28.06368,percent of total billed charges,14.00428989,,,,28.06368,percent of total billed charges,8.37911206,,,,28.06368,percent of total billed charges,14.00428989,,,,28.06368,percent of total billed charges,8.37911206,,,,28.06368,percent of total billed charges,14.00428989,,,,28.06368,percent of total billed charges,8.37911206,,,,27.78816,percent of total billed charges,27.57732368,,,,27.78816,percent of total billed charges,19.01986156,,,,,,,,,,28.3392,percent of total billed charges,18.41981312,,,,,,,,,,28.3392,percent of total billed charges,999999999,,,,,,,,,,31.488,percent of total billed charges,26.3853072,,,,31.0944,percent of total billed charges,30.00743414,,,,31.0944,percent of total billed charges,26.51256136,,,,31.488,percent of total billed charges,999999999,,,,31.488,percent of total billed charges,999999999,,,,27.552,percent of total billed charges,999999999,,,,27.552,percent of total billed charges,999999999,,,,,,,,,,,,,,,,20.93952,percent of total billed charges,999999999,,,,,,,,,,,,,,,,19.8768,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9.84,percent of total billed charges,9.345593048,,,,,,,,,,9.84,percent of total billed charges,9.190135467,,,,,,,,,,9.84,percent of total billed charges,9.164596474,,,,,,,,,,9.84,percent of total billed charges,9.029647902,,,,,,,,,,9.84,percent of total billed charges,9.261994017,,,,,,,,,,9.84,percent of total billed charges,999999999,,,,,,,,,,9.84,percent of total billed charges,7.947443097,,,,,,,,,,9.84,percent of total billed charges,12.53366582,,,,,,,,,,9.84,percent of total billed charges,999999999,,,,,,,,,,9.84,percent of total billed charges,8.569287345,,,,,,,,,,35.424,percent of total billed charges,,,,,
cefTRIAXone 250MG FOR IM,250,RC,0078-1932-95,NDC,,both,1,EA,9.89,9.89,2.105422212,9.89,9.89,percent of total billed charges,7.276424349,,,,9.89,percent of total billed charges,7.712865938,,,,9.89,percent of total billed charges,7.276424349,,,,9.89,percent of total billed charges,7.712865938,,,,9.89,percent of total billed charges,999999999,,,,9.89,percent of total billed charges,7.535500265,,,,9.89,percent of total billed charges,7.276424349,,,,9.89,percent of total billed charges,7.712865938,,,,7.05157,percent of total billed charges,3.518862474,,,,7.05157,percent of total billed charges,2.105422212,,,,7.05157,percent of total billed charges,3.518862474,,,,7.05157,percent of total billed charges,2.105422212,,,,7.05157,percent of total billed charges,3.518862474,,,,7.05157,percent of total billed charges,2.105422212,,,,6.98234,percent of total billed charges,6.929363088,,,,6.98234,percent of total billed charges,4.7791268,,,,,,,,,,7.1208,percent of total billed charges,4.628352433,,,,,,,,,,7.1208,percent of total billed charges,999999999,,,,,,,,,,7.912,percent of total billed charges,6.62984472,,,,7.8131,percent of total billed charges,7.539977736,,,,7.8131,percent of total billed charges,6.661819915,,,,7.912,percent of total billed charges,999999999,,,,7.912,percent of total billed charges,999999999,,,,6.923,percent of total billed charges,999999999,,,,6.923,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.26148,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.99445,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.4725,percent of total billed charges,2.348270204,,,,,,,,,,2.4725,percent of total billed charges,2.309208327,,,,,,,,,,2.4725,percent of total billed charges,2.302791136,,,,,,,,,,2.4725,percent of total billed charges,2.268882565,,,,,,,,,,2.4725,percent of total billed charges,2.327264249,,,,,,,,,,2.4725,percent of total billed charges,999999999,,,,,,,,,,2.4725,percent of total billed charges,1.996956611,,,,,,,,,,2.4725,percent of total billed charges,3.149338286,,,,,,,,,,2.4725,percent of total billed charges,999999999,,,,,,,,,,2.4725,percent of total billed charges,2.153207618,,,,,,,,,,8.901,percent of total billed charges,,,,,
IMIPENEM/CILASTATIN 500MG IN 100ML IVPB,J0743,CDM,0000-6351-59,NDC,,both,1,EA,181.7,181.7,38.68101274,181.7,181.7,percent of total billed charges,133.683145,,,,181.7,percent of total billed charges,141.7014905,,,,181.7,percent of total billed charges,133.683145,,,,181.7,percent of total billed charges,141.7014905,,,,181.7,percent of total billed charges,999999999,,,,181.7,percent of total billed charges,138.4429118,,,,181.7,percent of total billed charges,133.683145,,,,181.7,percent of total billed charges,141.7014905,,,,129.5521,percent of total billed charges,64.64886871,,,,129.5521,percent of total billed charges,38.68101274,,,,129.5521,percent of total billed charges,64.64886871,,,,129.5521,percent of total billed charges,38.68101274,,,,129.5521,percent of total billed charges,64.64886871,,,,129.5521,percent of total billed charges,38.68101274,,,,128.2802,percent of total billed charges,127.3069032,,,,128.2802,percent of total billed charges,87.80256213,,,,,,,,,,130.824,percent of total billed charges,85.03252143,,,,,,,,,,130.824,percent of total billed charges,999999999,,,,,,,,,,145.36,percent of total billed charges,121.8041239,,,,143.543,percent of total billed charges,138.5251724,,,,143.543,percent of total billed charges,122.3915752,,,,145.36,percent of total billed charges,999999999,,,,145.36,percent of total billed charges,999999999,,,,127.19,percent of total billed charges,999999999,,,,127.19,percent of total billed charges,999999999,,,,,,,,,,,,,,,,96.6644,percent of total billed charges,999999999,,,,,,,,,,,,,,,,91.7585,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45.425,percent of total billed charges,43.14263864,,,,,,,,,,45.425,percent of total billed charges,42.4249902,,,,,,,,,,45.425,percent of total billed charges,42.30709297,,,,,,,,,,45.425,percent of total billed charges,41.68412154,,,,,,,,,,45.425,percent of total billed charges,42.75671527,,,,,,,,,,45.425,percent of total billed charges,999999999,,,,,,,,,,45.425,percent of total billed charges,36.68827263,,,,,,,,,,45.425,percent of total billed charges,57.85993595,,,,,,,,,,45.425,percent of total billed charges,999999999,,,,,,,,,,45.425,percent of total billed charges,39.55893066,,,,,,,,,,163.53,percent of total billed charges,,,,,
**DIPYRIDAMOLE 5MG/ML NACL 0.9%:40 ML,J1245,CDM,0007-4204-10,NDC,,both,1,EA,17,17,3.619027059,17,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,17,percent of total billed charges,999999999,,,,17,percent of total billed charges,12.9528316,,,,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.002,percent of total billed charges,11.91093756,,,,12.002,percent of total billed charges,8.214879231,,,,,,,,,,12.24,percent of total billed charges,7.955711967,,,,,,,,,,12.24,percent of total billed charges,999999999,,,,,,,,,,13.6,percent of total billed charges,11.39609305,,,,13.43,percent of total billed charges,12.96052796,,,,13.43,percent of total billed charges,11.45105547,,,,13.6,percent of total billed charges,999999999,,,,13.6,percent of total billed charges,999999999,,,,11.9,percent of total billed charges,999999999,,,,11.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.044,percent of total billed charges,999999999,,,,,,,,,,,,,,,,8.585,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4.25,percent of total billed charges,4.036460412,,,,,,,,,,4.25,percent of total billed charges,3.96931664,,,,,,,,,,4.25,percent of total billed charges,3.958286079,,,,,,,,,,4.25,percent of total billed charges,3.900000364,,,,,,,,,,4.25,percent of total billed charges,4.000353107,,,,,,,,,,4.25,percent of total billed charges,999999999,,,,,,,,,,4.25,percent of total billed charges,3.432584671,,,,,,,,,,4.25,percent of total billed charges,5.413422736,,,,,,,,,,4.25,percent of total billed charges,999999999,,,,,,,,,,4.25,percent of total billed charges,3.701165774,,,,,,,,,,15.3,percent of total billed charges,,,,,
cefOXitin 2GM/100ML IVPB  MINIBAG+,J0694,CDM,4456-7024-25,NDC,,both,1,EA,108.69,108.69,23.13835594,108.69,108.69,percent of total billed charges,79.96709429,,,,108.69,percent of total billed charges,84.76353881,,,,108.69,percent of total billed charges,79.96709429,,,,108.69,percent of total billed charges,84.76353881,,,,108.69,percent of total billed charges,999999999,,,,108.69,percent of total billed charges,82.81430978,,,,108.69,percent of total billed charges,79.96709429,,,,108.69,percent of total billed charges,84.76353881,,,,77.49597,percent of total billed charges,38.67190721,,,,77.49597,percent of total billed charges,23.13835594,,,,77.49597,percent of total billed charges,38.67190721,,,,77.49597,percent of total billed charges,23.13835594,,,,77.49597,percent of total billed charges,38.67190721,,,,77.49597,percent of total billed charges,23.13835594,,,,76.73514,percent of total billed charges,76.15292963,,,,76.73514,percent of total billed charges,52.52207198,,,,,,,,,,78.2568,percent of total billed charges,50.86507845,,,,,,,,,,78.2568,percent of total billed charges,999999999,,,,,,,,,,86.952,percent of total billed charges,72.86125608,,,,85.8651,percent of total billed charges,82.8635167,,,,85.8651,percent of total billed charges,73.21265991,,,,86.952,percent of total billed charges,999999999,,,,86.952,percent of total billed charges,999999999,,,,76.083,percent of total billed charges,999999999,,,,76.083,percent of total billed charges,999999999,,,,,,,,,,,,,,,,57.82308,percent of total billed charges,999999999,,,,,,,,,,,,,,,,54.88845,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,27.1725,percent of total billed charges,25.80722836,,,,,,,,,,27.1725,percent of total billed charges,25.37794268,,,,,,,,,,27.1725,percent of total billed charges,25.30741846,,,,,,,,,,27.1725,percent of total billed charges,24.93476703,,,,,,,,,,27.1725,percent of total billed charges,25.57637525,,,,,,,,,,27.1725,percent of total billed charges,999999999,,,,,,,,,,27.1725,percent of total billed charges,21.94633105,,,,,,,,,,27.1725,percent of total billed charges,34.61087748,,,,,,,,,,27.1725,percent of total billed charges,999999999,,,,,,,,,,27.1725,percent of total billed charges,23.66351223,,,,,,,,,,97.821,percent of total billed charges,,,,,
cefOXitin 1GM/100ML IVPB (MB+),J0694,CDM,6050-5602-05,NDC,,both,1,EA,40.93,40.93,8.713339853,40.93,40.93,percent of total billed charges,30.11365507,,,,40.93,percent of total billed charges,31.91987895,,,,40.93,percent of total billed charges,30.11365507,,,,40.93,percent of total billed charges,31.91987895,,,,40.93,percent of total billed charges,999999999,,,,40.93,percent of total billed charges,31.1858469,,,,40.93,percent of total billed charges,30.11365507,,,,40.93,percent of total billed charges,31.91987895,,,,29.18309,percent of total billed charges,14.56289596,,,,29.18309,percent of total billed charges,8.713339853,,,,29.18309,percent of total billed charges,14.56289596,,,,29.18309,percent of total billed charges,8.713339853,,,,29.18309,percent of total billed charges,14.56289596,,,,29.18309,percent of total billed charges,8.713339853,,,,28.89658,percent of total billed charges,28.67733379,,,,28.89658,percent of total billed charges,19.77852982,,,,,,,,,,29.4696,percent of total billed charges,19.15454652,,,,,,,,,,29.4696,percent of total billed charges,999999999,,,,,,,,,,32.744,percent of total billed charges,27.43776991,,,,32.3347,percent of total billed charges,31.20437702,,,,32.3347,percent of total billed charges,27.57010001,,,,32.744,percent of total billed charges,999999999,,,,32.744,percent of total billed charges,999999999,,,,28.651,percent of total billed charges,999999999,,,,28.651,percent of total billed charges,999999999,,,,,,,,,,,,,,,,21.77476,percent of total billed charges,999999999,,,,,,,,,,,,,,,,20.66965,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10.2325,percent of total billed charges,9.718372039,,,,,,,,,,10.2325,percent of total billed charges,9.556713533,,,,,,,,,,10.2325,percent of total billed charges,9.530155835,,,,,,,,,,10.2325,percent of total billed charges,9.389824406,,,,,,,,,,10.2325,percent of total billed charges,9.631438392,,,,,,,,,,10.2325,percent of total billed charges,999999999,,,,,,,,,,10.2325,percent of total billed charges,8.264452387,,,,,,,,,,10.2325,percent of total billed charges,13.03361133,,,,,,,,,,10.2325,percent of total billed charges,999999999,,,,,,,,,,10.2325,percent of total billed charges,8.91110089,,,,,,,,,,36.837,percent of total billed charges,,,,,
CEFEPIME 1GM/100ML  IVPB (MB+),J0692,CDM,5147-9005-20,NDC,,both,1,EA,28.8,28.8,6.131057605,28.8,28.8,percent of total billed charges,21.18918314,,,,28.8,percent of total billed charges,22.46011517,,,,28.8,percent of total billed charges,21.18918314,,,,28.8,percent of total billed charges,22.46011517,,,,28.8,percent of total billed charges,999999999,,,,28.8,percent of total billed charges,21.94362059,,,,28.8,percent of total billed charges,21.18918314,,,,28.8,percent of total billed charges,22.46011517,,,,20.5344,percent of total billed charges,10.24704138,,,,20.5344,percent of total billed charges,6.131057605,,,,20.5344,percent of total billed charges,10.24704138,,,,20.5344,percent of total billed charges,6.131057605,,,,20.5344,percent of total billed charges,10.24704138,,,,20.5344,percent of total billed charges,6.131057605,,,,20.3328,percent of total billed charges,20.17852952,,,,20.3328,percent of total billed charges,13.91697187,,,,,,,,,,20.736,percent of total billed charges,13.47791204,,,,,,,,,,20.736,percent of total billed charges,999999999,,,,,,,,,,23.04,percent of total billed charges,19.30632234,,,,22.752,percent of total billed charges,21.95665913,,,,22.752,percent of total billed charges,19.39943514,,,,23.04,percent of total billed charges,999999999,,,,23.04,percent of total billed charges,999999999,,,,20.16,percent of total billed charges,999999999,,,,20.16,percent of total billed charges,999999999,,,,,,,,,,,,,,,,15.3216,percent of total billed charges,999999999,,,,,,,,,,,,,,,,14.544,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7.2,percent of total billed charges,6.838238816,,,,,,,,,,7.2,percent of total billed charges,6.724489366,,,,,,,,,,7.2,percent of total billed charges,6.705802298,,,,,,,,,,7.2,percent of total billed charges,6.607059441,,,,,,,,,,7.2,percent of total billed charges,6.777068793,,,,,,,,,,7.2,percent of total billed charges,999999999,,,,,,,,,,7.2,percent of total billed charges,5.815202266,,,,,,,,,,7.2,percent of total billed charges,9.170974988,,,,,,,,,,7.2,percent of total billed charges,999999999,,,,,,,,,,7.2,percent of total billed charges,6.270210252,,,,,,,,,,25.92,percent of total billed charges,,,,,
**MAG SULFATE 25GM/250ML NS:IV,258,RC,4945-2430-02,NDC,,both,1,EA,17,17,3.619027059,17,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,17,percent of total billed charges,999999999,,,,17,percent of total billed charges,12.9528316,,,,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.002,percent of total billed charges,11.91093756,,,,12.002,percent of total billed charges,8.214879231,,,,,,,,,,12.24,percent of total billed charges,7.955711967,,,,,,,,,,12.24,percent of total billed charges,999999999,,,,,,,,,,13.6,percent of total billed charges,11.39609305,,,,13.43,percent of total billed charges,12.96052796,,,,13.43,percent of total billed charges,11.45105547,,,,13.6,percent of total billed charges,999999999,,,,13.6,percent of total billed charges,999999999,,,,11.9,percent of total billed charges,999999999,,,,11.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.044,percent of total billed charges,999999999,,,,,,,,,,,,,,,,8.585,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4.25,percent of total billed charges,4.036460412,,,,,,,,,,4.25,percent of total billed charges,3.96931664,,,,,,,,,,4.25,percent of total billed charges,3.958286079,,,,,,,,,,4.25,percent of total billed charges,3.900000364,,,,,,,,,,4.25,percent of total billed charges,4.000353107,,,,,,,,,,4.25,percent of total billed charges,999999999,,,,,,,,,,4.25,percent of total billed charges,3.432584671,,,,,,,,,,4.25,percent of total billed charges,5.413422736,,,,,,,,,,4.25,percent of total billed charges,999999999,,,,,,,,,,4.25,percent of total billed charges,3.701165774,,,,,,,,,,15.3,percent of total billed charges,,,,,
MOUTH WASH  (DIPHENHY./MAALOX/LIDO ):4OZ,250,RC,9999-9999-99,NDC,,both,1,EA,18,18,3.831911003,18,18,percent of total billed charges,13.24323946,,,,18,percent of total billed charges,14.03757198,,,,18,percent of total billed charges,13.24323946,,,,18,percent of total billed charges,14.03757198,,,,18,percent of total billed charges,999999999,,,,18,percent of total billed charges,13.71476287,,,,18,percent of total billed charges,13.24323946,,,,18,percent of total billed charges,14.03757198,,,,12.834,percent of total billed charges,6.404400863,,,,12.834,percent of total billed charges,3.831911003,,,,12.834,percent of total billed charges,6.404400863,,,,12.834,percent of total billed charges,3.831911003,,,,12.834,percent of total billed charges,6.404400863,,,,12.834,percent of total billed charges,3.831911003,,,,12.708,percent of total billed charges,12.61158095,,,,12.708,percent of total billed charges,8.698107421,,,,,,,,,,12.96,percent of total billed charges,8.423695024,,,,,,,,,,12.96,percent of total billed charges,999999999,,,,,,,,,,14.4,percent of total billed charges,12.06645146,,,,14.22,percent of total billed charges,13.72291196,,,,14.22,percent of total billed charges,12.12464696,,,,14.4,percent of total billed charges,999999999,,,,14.4,percent of total billed charges,999999999,,,,12.6,percent of total billed charges,999999999,,,,12.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.576,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.09,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4.5,percent of total billed charges,4.27389926,,,,,,,,,,4.5,percent of total billed charges,4.202805854,,,,,,,,,,4.5,percent of total billed charges,4.191126436,,,,,,,,,,4.5,percent of total billed charges,4.12941215,,,,,,,,,,4.5,percent of total billed charges,4.235667996,,,,,,,,,,4.5,percent of total billed charges,999999999,,,,,,,,,,4.5,percent of total billed charges,3.634501416,,,,,,,,,,4.5,percent of total billed charges,5.731859367,,,,,,,,,,4.5,percent of total billed charges,999999999,,,,,,,,,,4.5,percent of total billed charges,3.918881408,,,,,,,,,,16.2,percent of total billed charges,,,,,
**KANTREX IRRIGATION 1000ML,258,RC,0001-5350-20,NDC,,both,1,EA,17,17,3.619027059,17,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,17,percent of total billed charges,999999999,,,,17,percent of total billed charges,12.9528316,,,,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.002,percent of total billed charges,11.91093756,,,,12.002,percent of total billed charges,8.214879231,,,,,,,,,,12.24,percent of total billed charges,7.955711967,,,,,,,,,,12.24,percent of total billed charges,999999999,,,,,,,,,,13.6,percent of total billed charges,11.39609305,,,,13.43,percent of total billed charges,12.96052796,,,,13.43,percent of total billed charges,11.45105547,,,,13.6,percent of total billed charges,999999999,,,,13.6,percent of total billed charges,999999999,,,,11.9,percent of total billed charges,999999999,,,,11.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.044,percent of total billed charges,999999999,,,,,,,,,,,,,,,,8.585,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4.25,percent of total billed charges,4.036460412,,,,,,,,,,4.25,percent of total billed charges,3.96931664,,,,,,,,,,4.25,percent of total billed charges,3.958286079,,,,,,,,,,4.25,percent of total billed charges,3.900000364,,,,,,,,,,4.25,percent of total billed charges,4.000353107,,,,,,,,,,4.25,percent of total billed charges,999999999,,,,,,,,,,4.25,percent of total billed charges,3.432584671,,,,,,,,,,4.25,percent of total billed charges,5.413422736,,,,,,,,,,4.25,percent of total billed charges,999999999,,,,,,,,,,4.25,percent of total billed charges,3.701165774,,,,,,,,,,15.3,percent of total billed charges,,,,,
ceFAZolin 2GM IN 50ML IVPB,J0690,CDM,0026-4310-11,NDC,,both,1,EA,160.86,160.86,34.24451133,160.86,160.86,percent of total billed charges,118.3504167,,,,160.86,percent of total billed charges,125.4491016,,,,160.86,percent of total billed charges,118.3504167,,,,160.86,percent of total billed charges,125.4491016,,,,160.86,percent of total billed charges,999999999,,,,160.86,percent of total billed charges,122.5642642,,,,160.86,percent of total billed charges,118.3504167,,,,160.86,percent of total billed charges,125.4491016,,,,114.69318,percent of total billed charges,57.23399571,,,,114.69318,percent of total billed charges,34.24451133,,,,114.69318,percent of total billed charges,57.23399571,,,,114.69318,percent of total billed charges,34.24451133,,,,114.69318,percent of total billed charges,57.23399571,,,,114.69318,percent of total billed charges,34.24451133,,,,113.56716,percent of total billed charges,112.7054951,,,,113.56716,percent of total billed charges,77.73208665,,,,,,,,,,115.8192,percent of total billed charges,75.27975453,,,,,,,,,,115.8192,percent of total billed charges,999999999,,,,,,,,,,128.688,percent of total billed charges,107.8338546,,,,127.0794,percent of total billed charges,122.6370899,,,,127.0794,percent of total billed charges,108.3539284,,,,128.688,percent of total billed charges,999999999,,,,128.688,percent of total billed charges,999999999,,,,112.602,percent of total billed charges,999999999,,,,112.602,percent of total billed charges,999999999,,,,,,,,,,,,,,,,85.57752,percent of total billed charges,999999999,,,,,,,,,,,,,,,,81.2343,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,40.215,percent of total billed charges,38.19441305,,,,,,,,,,40.215,percent of total billed charges,37.55907498,,,,,,,,,,40.215,percent of total billed charges,37.45469992,,,,,,,,,,40.215,percent of total billed charges,36.90317992,,,,,,,,,,40.215,percent of total billed charges,37.85275299,,,,,,,,,,40.215,percent of total billed charges,999999999,,,,,,,,,,40.215,percent of total billed charges,32.48032766,,,,,,,,,,40.215,percent of total billed charges,51.22371655,,,,,,,,,,40.215,percent of total billed charges,999999999,,,,,,,,,,40.215,percent of total billed charges,35.02173685,,,,,,,,,,144.774,percent of total billed charges,,,,,
CEFOTAXIME 1GM/100 ML IVPB A/V,J0698,CDM,0003-9001-10,NDC,,both,1,EA,71.61,71.61,15.24461927,71.61,71.61,percent of total billed charges,52.686021,,,,71.61,percent of total billed charges,55.84614053,,,,71.61,percent of total billed charges,52.686021,,,,71.61,percent of total billed charges,55.84614053,,,,71.61,percent of total billed charges,999999999,,,,71.61,percent of total billed charges,54.56189828,,,,71.61,percent of total billed charges,52.686021,,,,71.61,percent of total billed charges,55.84614053,,,,51.05793,percent of total billed charges,25.47884143,,,,51.05793,percent of total billed charges,15.24461927,,,,51.05793,percent of total billed charges,25.47884143,,,,51.05793,percent of total billed charges,15.24461927,,,,51.05793,percent of total billed charges,25.47884143,,,,51.05793,percent of total billed charges,15.24461927,,,,50.55666,percent of total billed charges,50.17307288,,,,50.55666,percent of total billed charges,34.60397069,,,,,,,,,,51.5592,percent of total billed charges,33.5122667,,,,,,,,,,51.5592,percent of total billed charges,999999999,,,,,,,,,,57.288,percent of total billed charges,48.00436607,,,,56.5719,percent of total billed charges,54.59431807,,,,56.5719,percent of total billed charges,48.23588717,,,,57.288,percent of total billed charges,999999999,,,,57.288,percent of total billed charges,999999999,,,,50.127,percent of total billed charges,999999999,,,,50.127,percent of total billed charges,999999999,,,,,,,,,,,,,,,,38.09652,percent of total billed charges,999999999,,,,,,,,,,,,,,,,36.16305,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17.9025,percent of total billed charges,17.00299589,,,,,,,,,,17.9025,percent of total billed charges,16.72016262,,,,,,,,,,17.9025,percent of total billed charges,16.67369801,,,,,,,,,,17.9025,percent of total billed charges,16.428178,,,,,,,,,,17.9025,percent of total billed charges,16.85089918,,,,,,,,,,17.9025,percent of total billed charges,999999999,,,,,,,,,,17.9025,percent of total billed charges,14.45925813,,,,,,,,,,17.9025,percent of total billed charges,22.80324718,,,,,,,,,,17.9025,percent of total billed charges,999999999,,,,,,,,,,17.9025,percent of total billed charges,15.59061653,,,,,,,,,,64.449,percent of total billed charges,,,,,
CLINDAMYCIN 600MG/100ML IVPB A/V,258,RC,0040-9405-03,NDC,,both,1,EA,80.14,80.14,17.06051932,80.14,80.14,percent of total billed charges,58.96184503,,,,80.14,percent of total billed charges,62.49838992,,,,80.14,percent of total billed charges,58.96184503,,,,80.14,percent of total billed charges,62.49838992,,,,80.14,percent of total billed charges,999999999,,,,80.14,percent of total billed charges,61.06117201,,,,80.14,percent of total billed charges,58.96184503,,,,80.14,percent of total billed charges,62.49838992,,,,57.13982,percent of total billed charges,28.51381584,,,,57.13982,percent of total billed charges,17.06051932,,,,57.13982,percent of total billed charges,28.51381584,,,,57.13982,percent of total billed charges,17.06051932,,,,57.13982,percent of total billed charges,28.51381584,,,,57.13982,percent of total billed charges,17.06051932,,,,56.57884,percent of total billed charges,56.14956096,,,,56.57884,percent of total billed charges,38.72590715,,,,,,,,,,57.7008,percent of total billed charges,37.50416218,,,,,,,,,,57.7008,percent of total billed charges,999999999,,,,,,,,,,64.112,percent of total billed charges,53.72252335,,,,63.3106,percent of total billed charges,61.09745357,,,,63.3106,percent of total billed charges,53.98162265,,,,64.112,percent of total billed charges,999999999,,,,64.112,percent of total billed charges,999999999,,,,56.098,percent of total billed charges,999999999,,,,56.098,percent of total billed charges,999999999,,,,,,,,,,,,,,,,42.63448,percent of total billed charges,999999999,,,,,,,,,,,,,,,,40.4707,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20.035,percent of total billed charges,19.02834926,,,,,,,,,,20.035,percent of total billed charges,18.71182562,,,,,,,,,,20.035,percent of total billed charges,18.65982626,,,,,,,,,,20.035,percent of total billed charges,18.38506054,,,,,,,,,,20.035,percent of total billed charges,18.85813518,,,,,,,,,,20.035,percent of total billed charges,999999999,,,,,,,,,,20.035,percent of total billed charges,16.18160797,,,,,,,,,,20.035,percent of total billed charges,25.51951165,,,,,,,,,,20.035,percent of total billed charges,999999999,,,,,,,,,,20.035,percent of total billed charges,17.44773089,,,,,,,,,,72.126,percent of total billed charges,,,,,
CLINDAMYCIN 900MG IVPB,258,RC,0033-8955-24,NDC,,both,1,EA,91.66,91.66,19.51294236,91.66,91.66,percent of total billed charges,67.43751829,,,,91.66,percent of total billed charges,71.48243598,,,,91.66,percent of total billed charges,67.43751829,,,,91.66,percent of total billed charges,71.48243598,,,,91.66,percent of total billed charges,999999999,,,,91.66,percent of total billed charges,69.83862025,,,,91.66,percent of total billed charges,67.43751829,,,,91.66,percent of total billed charges,71.48243598,,,,65.35358,percent of total billed charges,32.61263239,,,,65.35358,percent of total billed charges,19.51294236,,,,65.35358,percent of total billed charges,32.61263239,,,,65.35358,percent of total billed charges,19.51294236,,,,65.35358,percent of total billed charges,32.61263239,,,,65.35358,percent of total billed charges,19.51294236,,,,64.71196,percent of total billed charges,64.22097277,,,,64.71196,percent of total billed charges,44.2926959,,,,,,,,,,65.9952,percent of total billed charges,42.89532699,,,,,,,,,,65.9952,percent of total billed charges,999999999,,,,,,,,,,73.328,percent of total billed charges,61.44505228,,,,72.4114,percent of total billed charges,69.88011722,,,,72.4114,percent of total billed charges,61.7413967,,,,73.328,percent of total billed charges,999999999,,,,73.328,percent of total billed charges,999999999,,,,64.162,percent of total billed charges,999999999,,,,64.162,percent of total billed charges,999999999,,,,,,,,,,,,,,,,48.76312,percent of total billed charges,999999999,,,,,,,,,,,,,,,,46.2883,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,22.915,percent of total billed charges,21.76364479,,,,,,,,,,22.915,percent of total billed charges,21.40162136,,,,,,,,,,22.915,percent of total billed charges,21.34214717,,,,,,,,,,22.915,percent of total billed charges,21.02788432,,,,,,,,,,22.915,percent of total billed charges,21.56896269,,,,,,,,,,22.915,percent of total billed charges,999999999,,,,,,,,,,22.915,percent of total billed charges,18.50768888,,,,,,,,,,22.915,percent of total billed charges,29.18790164,,,,,,,,,,22.915,percent of total billed charges,999999999,,,,,,,,,,22.915,percent of total billed charges,19.95581499,,,,,,,,,,82.494,percent of total billed charges,,,,,
**AMIODarone 150MG/100ML IVPB,J0282,CDM,4306-6015-10,NDC,,both,1,EA,344,344,73.23207695,344,344,percent of total billed charges,253.0930208,,,,344,percent of total billed charges,268.2735978,,,,344,percent of total billed charges,253.0930208,,,,344,percent of total billed charges,268.2735978,,,,344,percent of total billed charges,999999999,,,,344,percent of total billed charges,262.104357,,,,344,percent of total billed charges,253.0930208,,,,344,percent of total billed charges,268.2735978,,,,245.272,percent of total billed charges,122.3952165,,,,245.272,percent of total billed charges,73.23207695,,,,245.272,percent of total billed charges,122.3952165,,,,245.272,percent of total billed charges,73.23207695,,,,245.272,percent of total billed charges,122.3952165,,,,245.272,percent of total billed charges,73.23207695,,,,242.864,percent of total billed charges,241.0213248,,,,242.864,percent of total billed charges,166.2304974,,,,,,,,,,247.68,percent of total billed charges,160.9861716,,,,,,,,,,247.68,percent of total billed charges,999999999,,,,,,,,,,275.2,percent of total billed charges,230.6032946,,,,271.76,percent of total billed charges,262.2600952,,,,271.76,percent of total billed charges,231.7154753,,,,275.2,percent of total billed charges,999999999,,,,275.2,percent of total billed charges,999999999,,,,240.8,percent of total billed charges,999999999,,,,240.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,183.008,percent of total billed charges,999999999,,,,,,,,,,,,,,,,173.72,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,86,percent of total billed charges,81.67896363,,,,,,,,,,86,percent of total billed charges,80.32028965,,,,,,,,,,86,percent of total billed charges,80.097083,,,,,,,,,,86,percent of total billed charges,78.91765443,,,,,,,,,,86,percent of total billed charges,80.94832169,,,,,,,,,,86,percent of total billed charges,999999999,,,,,,,,,,86,percent of total billed charges,69.4593604,,,,,,,,,,86,percent of total billed charges,109.5422012,,,,,,,,,,86,percent of total billed charges,999999999,,,,,,,,,,86,percent of total billed charges,74.89417802,,,,,,,,,,309.6,percent of total billed charges,,,,,
ERYTHROMYCIN 500MG/100ML NS MINIBAG,J1364,CDM,5528-9002-20,NDC,,both,1,EA,243,243,51.73079854,243,243,percent of total billed charges,178.7837328,,,,243,percent of total billed charges,189.5072217,,,,243,percent of total billed charges,178.7837328,,,,243,percent of total billed charges,189.5072217,,,,243,percent of total billed charges,999999999,,,,243,percent of total billed charges,185.1492987,,,,243,percent of total billed charges,178.7837328,,,,243,percent of total billed charges,189.5072217,,,,173.259,percent of total billed charges,86.45941165,,,,173.259,percent of total billed charges,51.73079854,,,,173.259,percent of total billed charges,86.45941165,,,,173.259,percent of total billed charges,51.73079854,,,,173.259,percent of total billed charges,86.45941165,,,,173.259,percent of total billed charges,51.73079854,,,,171.558,percent of total billed charges,170.2563428,,,,171.558,percent of total billed charges,117.4244502,,,,,,,,,,174.96,percent of total billed charges,113.7198828,,,,,,,,,,174.96,percent of total billed charges,999999999,,,,,,,,,,194.4,percent of total billed charges,162.8970947,,,,191.97,percent of total billed charges,185.2593114,,,,191.97,percent of total billed charges,163.682734,,,,194.4,percent of total billed charges,999999999,,,,194.4,percent of total billed charges,999999999,,,,170.1,percent of total billed charges,999999999,,,,170.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,129.276,percent of total billed charges,999999999,,,,,,,,,,,,,,,,122.715,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,60.75,percent of total billed charges,57.69764001,,,,,,,,,,60.75,percent of total billed charges,56.73787902,,,,,,,,,,60.75,percent of total billed charges,56.58020689,,,,,,,,,,60.75,percent of total billed charges,55.74706403,,,,,,,,,,60.75,percent of total billed charges,57.18151794,,,,,,,,,,60.75,percent of total billed charges,999999999,,,,,,,,,,60.75,percent of total billed charges,49.06576912,,,,,,,,,,60.75,percent of total billed charges,77.38010146,,,,,,,,,,60.75,percent of total billed charges,999999999,,,,,,,,,,60.75,percent of total billed charges,52.90489901,,,,,,,,,,218.7,percent of total billed charges,,,,,
**ERYTHROMYCIN 1GM/250ML IVPB,J1364,CDM,3877-9000-04,NDC,,both,1,EA,13,13,2.76749128,13,13,percent of total billed charges,9.564561834,,,,13,percent of total billed charges,10.13824643,,,,13,percent of total billed charges,9.564561834,,,,13,percent of total billed charges,10.13824643,,,,13,percent of total billed charges,999999999,,,,13,percent of total billed charges,9.905106516,,,,13,percent of total billed charges,9.564561834,,,,13,percent of total billed charges,10.13824643,,,,9.269,percent of total billed charges,4.625400623,,,,9.269,percent of total billed charges,2.76749128,,,,9.269,percent of total billed charges,4.625400623,,,,9.269,percent of total billed charges,2.76749128,,,,9.269,percent of total billed charges,4.625400623,,,,9.269,percent of total billed charges,2.76749128,,,,9.178,percent of total billed charges,9.108364019,,,,9.178,percent of total billed charges,6.281966471,,,,,,,,,,9.36,percent of total billed charges,6.083779739,,,,,,,,,,9.36,percent of total billed charges,999999999,,,,,,,,,,10.4,percent of total billed charges,8.71465939,,,,10.27,percent of total billed charges,9.910991969,,,,10.27,percent of total billed charges,8.756689473,,,,10.4,percent of total billed charges,999999999,,,,10.4,percent of total billed charges,999999999,,,,9.1,percent of total billed charges,999999999,,,,9.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.916,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.565,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3.25,percent of total billed charges,3.086705021,,,,,,,,,,3.25,percent of total billed charges,3.035359783,,,,,,,,,,3.25,percent of total billed charges,3.026924648,,,,,,,,,,3.25,percent of total billed charges,2.98235322,,,,,,,,,,3.25,percent of total billed charges,3.059093552,,,,,,,,,,3.25,percent of total billed charges,999999999,,,,,,,,,,3.25,percent of total billed charges,2.624917689,,,,,,,,,,3.25,percent of total billed charges,4.13967621,,,,,,,,,,3.25,percent of total billed charges,999999999,,,,,,,,,,3.25,percent of total billed charges,2.830303239,,,,,,,,,,11.7,percent of total billed charges,,,,,
**DOBUTAMINE 250MG/250ML D5W: IV,J1250,CDM,0000-2749-01,NDC,,both,1,EA,14,14,2.980375225,14,14,percent of total billed charges,10.30029736,,,,14,percent of total billed charges,10.91811154,,,,14,percent of total billed charges,10.30029736,,,,14,percent of total billed charges,10.91811154,,,,14,percent of total billed charges,999999999,,,,14,percent of total billed charges,10.66703779,,,,14,percent of total billed charges,10.30029736,,,,14,percent of total billed charges,10.91811154,,,,9.982,percent of total billed charges,4.981200671,,,,9.982,percent of total billed charges,2.980375225,,,,9.982,percent of total billed charges,4.981200671,,,,9.982,percent of total billed charges,2.980375225,,,,9.982,percent of total billed charges,4.981200671,,,,9.982,percent of total billed charges,2.980375225,,,,9.884,percent of total billed charges,9.809007405,,,,9.884,percent of total billed charges,6.765194661,,,,,,,,,,10.08,percent of total billed charges,6.551762796,,,,,,,,,,10.08,percent of total billed charges,999999999,,,,,,,,,,11.2,percent of total billed charges,9.385017804,,,,11.06,percent of total billed charges,10.67337597,,,,11.06,percent of total billed charges,9.430280971,,,,11.2,percent of total billed charges,999999999,,,,11.2,percent of total billed charges,999999999,,,,9.8,percent of total billed charges,999999999,,,,9.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,7.448,percent of total billed charges,999999999,,,,,,,,,,,,,,,,7.07,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3.5,percent of total billed charges,3.324143869,,,,,,,,,,3.5,percent of total billed charges,3.268848997,,,,,,,,,,3.5,percent of total billed charges,3.259765006,,,,,,,,,,3.5,percent of total billed charges,3.211765006,,,,,,,,,,3.5,percent of total billed charges,3.294408441,,,,,,,,,,3.5,percent of total billed charges,999999999,,,,,,,,,,3.5,percent of total billed charges,2.826834435,,,,,,,,,,3.5,percent of total billed charges,4.458112841,,,,,,,,,,3.5,percent of total billed charges,999999999,,,,,,,,,,3.5,percent of total billed charges,3.048018873,,,,,,,,,,12.6,percent of total billed charges,,,,,
**AMPICILLIN 500MG/50 ML IVPB,J0290,CDM,0004-7040-24,NDC,,both,1,EA,22,22,4.683446782,22,22,percent of total billed charges,16.18618157,,,,22,percent of total billed charges,17.15703242,,,,22,percent of total billed charges,16.18618157,,,,22,percent of total billed charges,17.15703242,,,,22,percent of total billed charges,999999999,,,,22,percent of total billed charges,16.76248795,,,,22,percent of total billed charges,16.18618157,,,,22,percent of total billed charges,17.15703242,,,,15.686,percent of total billed charges,7.827601054,,,,15.686,percent of total billed charges,4.683446782,,,,15.686,percent of total billed charges,7.827601054,,,,15.686,percent of total billed charges,4.683446782,,,,15.686,percent of total billed charges,7.827601054,,,,15.686,percent of total billed charges,4.683446782,,,,15.532,percent of total billed charges,15.41415449,,,,15.532,percent of total billed charges,10.63102018,,,,,,,,,,15.84,percent of total billed charges,10.29562725,,,,,,,,,,15.84,percent of total billed charges,999999999,,,,,,,,,,17.6,percent of total billed charges,14.74788512,,,,17.38,percent of total billed charges,16.77244795,,,,17.38,percent of total billed charges,14.81901295,,,,17.6,percent of total billed charges,999999999,,,,17.6,percent of total billed charges,999999999,,,,15.4,percent of total billed charges,999999999,,,,15.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,11.704,percent of total billed charges,999999999,,,,,,,,,,,,,,,,11.11,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5.5,percent of total billed charges,5.223654651,,,,,,,,,,5.5,percent of total billed charges,5.13676271,,,,,,,,,,5.5,percent of total billed charges,5.122487866,,,,,,,,,,5.5,percent of total billed charges,5.047059295,,,,,,,,,,5.5,percent of total billed charges,5.17692755,,,,,,,,,,5.5,percent of total billed charges,999999999,,,,,,,,,,5.5,percent of total billed charges,4.442168398,,,,,,,,,,5.5,percent of total billed charges,7.005605893,,,,,,,,,,5.5,percent of total billed charges,999999999,,,,,,,,,,5.5,percent of total billed charges,4.789743943,,,,,,,,,,19.8,percent of total billed charges,,,,,
**AMPICILLIN 1GM/100ML IVPB A/V,J0290,CDM,0001-5740-18,NDC,,both,1,EA,16,16,3.406143114,16,16,percent of total billed charges,11.77176841,,,,16,percent of total billed charges,12.47784176,,,,16,percent of total billed charges,11.77176841,,,,16,percent of total billed charges,12.47784176,,,,16,percent of total billed charges,999999999,,,,16,percent of total billed charges,12.19090033,,,,16,percent of total billed charges,11.77176841,,,,16,percent of total billed charges,12.47784176,,,,11.408,percent of total billed charges,5.692800767,,,,11.408,percent of total billed charges,3.406143114,,,,11.408,percent of total billed charges,5.692800767,,,,11.408,percent of total billed charges,3.406143114,,,,11.408,percent of total billed charges,5.692800767,,,,11.408,percent of total billed charges,3.406143114,,,,11.296,percent of total billed charges,11.21029418,,,,11.296,percent of total billed charges,7.731651041,,,,,,,,,,11.52,percent of total billed charges,7.48772891,,,,,,,,,,11.52,percent of total billed charges,999999999,,,,,,,,,,12.8,percent of total billed charges,10.72573463,,,,12.64,percent of total billed charges,12.19814396,,,,12.64,percent of total billed charges,10.77746397,,,,12.8,percent of total billed charges,999999999,,,,12.8,percent of total billed charges,999999999,,,,11.2,percent of total billed charges,999999999,,,,11.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,8.512,percent of total billed charges,999999999,,,,,,,,,,,,,,,,8.08,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4,percent of total billed charges,3.799021564,,,,,,,,,,4,percent of total billed charges,3.735827425,,,,,,,,,,4,percent of total billed charges,3.725445721,,,,,,,,,,4,percent of total billed charges,3.670588578,,,,,,,,,,4,percent of total billed charges,3.765038218,,,,,,,,,,4,percent of total billed charges,999999999,,,,,,,,,,4,percent of total billed charges,3.230667926,,,,,,,,,,4,percent of total billed charges,5.094986104,,,,,,,,,,4,percent of total billed charges,999999999,,,,,,,,,,4,percent of total billed charges,3.48345014,,,,,,,,,,14.4,percent of total billed charges,,,,,
**AMINOPHYLLINE 1GM/1000 D5LR: IV,J0280,CDM,9999-9999-99,NDC,,both,1,EA,16,16,3.406143114,16,16,percent of total billed charges,11.77176841,,,,16,percent of total billed charges,12.47784176,,,,16,percent of total billed charges,11.77176841,,,,16,percent of total billed charges,12.47784176,,,,16,percent of total billed charges,999999999,,,,16,percent of total billed charges,12.19090033,,,,16,percent of total billed charges,11.77176841,,,,16,percent of total billed charges,12.47784176,,,,11.408,percent of total billed charges,5.692800767,,,,11.408,percent of total billed charges,3.406143114,,,,11.408,percent of total billed charges,5.692800767,,,,11.408,percent of total billed charges,3.406143114,,,,11.408,percent of total billed charges,5.692800767,,,,11.408,percent of total billed charges,3.406143114,,,,11.296,percent of total billed charges,11.21029418,,,,11.296,percent of total billed charges,7.731651041,,,,,,,,,,11.52,percent of total billed charges,7.48772891,,,,,,,,,,11.52,percent of total billed charges,999999999,,,,,,,,,,12.8,percent of total billed charges,10.72573463,,,,12.64,percent of total billed charges,12.19814396,,,,12.64,percent of total billed charges,10.77746397,,,,12.8,percent of total billed charges,999999999,,,,12.8,percent of total billed charges,999999999,,,,11.2,percent of total billed charges,999999999,,,,11.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,8.512,percent of total billed charges,999999999,,,,,,,,,,,,,,,,8.08,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4,percent of total billed charges,3.799021564,,,,,,,,,,4,percent of total billed charges,3.735827425,,,,,,,,,,4,percent of total billed charges,3.725445721,,,,,,,,,,4,percent of total billed charges,3.670588578,,,,,,,,,,4,percent of total billed charges,3.765038218,,,,,,,,,,4,percent of total billed charges,999999999,,,,,,,,,,4,percent of total billed charges,3.230667926,,,,,,,,,,4,percent of total billed charges,5.094986104,,,,,,,,,,4,percent of total billed charges,999999999,,,,,,,,,,4,percent of total billed charges,3.48345014,,,,,,,,,,14.4,percent of total billed charges,,,,,
ceFAZolin 1GM/100 ML IVPB A/V,J0690,CDM,0040-9258-01,NDC,,both,1,EA,20.28,20.28,4.317286397,20.28,20.28,percent of total billed charges,14.92071646,,,,20.28,percent of total billed charges,15.81566443,,,,20.28,percent of total billed charges,14.92071646,,,,20.28,percent of total billed charges,15.81566443,,,,20.28,percent of total billed charges,999999999,,,,20.28,percent of total billed charges,15.45196616,,,,20.28,percent of total billed charges,14.92071646,,,,20.28,percent of total billed charges,15.81566443,,,,14.45964,percent of total billed charges,7.215624972,,,,14.45964,percent of total billed charges,4.317286397,,,,14.45964,percent of total billed charges,7.215624972,,,,14.45964,percent of total billed charges,4.317286397,,,,14.45964,percent of total billed charges,7.215624972,,,,14.45964,percent of total billed charges,4.317286397,,,,14.31768,percent of total billed charges,14.20904787,,,,14.31768,percent of total billed charges,9.799867694,,,,,,,,,,14.6016,percent of total billed charges,9.490696393,,,,,,,,,,14.6016,percent of total billed charges,999999999,,,,,,,,,,16.224,percent of total billed charges,13.59486865,,,,16.0212,percent of total billed charges,15.46114747,,,,16.0212,percent of total billed charges,13.66043558,,,,16.224,percent of total billed charges,999999999,,,,16.224,percent of total billed charges,999999999,,,,14.196,percent of total billed charges,999999999,,,,14.196,percent of total billed charges,999999999,,,,,,,,,,,,,,,,10.78896,percent of total billed charges,999999999,,,,,,,,,,,,,,,,10.2414,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5.07,percent of total billed charges,4.815259833,,,,,,,,,,5.07,percent of total billed charges,4.735161262,,,,,,,,,,5.07,percent of total billed charges,4.722002451,,,,,,,,,,5.07,percent of total billed charges,4.652471023,,,,,,,,,,5.07,percent of total billed charges,4.772185942,,,,,,,,,,5.07,percent of total billed charges,999999999,,,,,,,,,,5.07,percent of total billed charges,4.094871596,,,,,,,,,,5.07,percent of total billed charges,6.457894887,,,,,,,,,,5.07,percent of total billed charges,999999999,,,,,,,,,,5.07,percent of total billed charges,4.415273053,,,,,,,,,,18.252,percent of total billed charges,,,,,
dilTIAZem (CARDIZEM) 125MG/100ML NS,250,RC,0064-1601-10,NDC,,both,1,EA,112.69,112.69,23.98989172,112.69,112.69,percent of total billed charges,82.91003639,,,,112.69,percent of total billed charges,87.88299925,,,,112.69,percent of total billed charges,82.91003639,,,,112.69,percent of total billed charges,87.88299925,,,,112.69,percent of total billed charges,999999999,,,,112.69,percent of total billed charges,85.86203486,,,,112.69,percent of total billed charges,82.91003639,,,,112.69,percent of total billed charges,87.88299925,,,,80.34797,percent of total billed charges,40.0951074,,,,80.34797,percent of total billed charges,23.98989172,,,,80.34797,percent of total billed charges,40.0951074,,,,80.34797,percent of total billed charges,23.98989172,,,,80.34797,percent of total billed charges,40.0951074,,,,80.34797,percent of total billed charges,23.98989172,,,,79.55914,percent of total billed charges,78.95550318,,,,79.55914,percent of total billed charges,54.45498474,,,,,,,,,,81.1368,percent of total billed charges,52.73701068,,,,,,,,,,81.1368,percent of total billed charges,999999999,,,,,,,,,,90.152,percent of total billed charges,75.54268974,,,,89.0251,percent of total billed charges,85.91305269,,,,89.0251,percent of total billed charges,75.9070259,,,,90.152,percent of total billed charges,999999999,,,,90.152,percent of total billed charges,999999999,,,,78.883,percent of total billed charges,999999999,,,,78.883,percent of total billed charges,999999999,,,,,,,,,,,,,,,,59.95108,percent of total billed charges,999999999,,,,,,,,,,,,,,,,56.90845,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,28.1725,percent of total billed charges,26.75698375,,,,,,,,,,28.1725,percent of total billed charges,26.31189954,,,,,,,,,,28.1725,percent of total billed charges,26.23877989,,,,,,,,,,28.1725,percent of total billed charges,25.85241418,,,,,,,,,,28.1725,percent of total billed charges,26.5176348,,,,,,,,,,28.1725,percent of total billed charges,999999999,,,,,,,,,,28.1725,percent of total billed charges,22.75399803,,,,,,,,,,28.1725,percent of total billed charges,35.88462401,,,,,,,,,,28.1725,percent of total billed charges,999999999,,,,,,,,,,28.1725,percent of total billed charges,24.53437477,,,,,,,,,,101.421,percent of total billed charges,,,,,
**AMPICILLIN 125MG/50ML IVPB,J0290,CDM,,,,both,,,29,29,6.173634394,29,29,percent of total billed charges,21.33633025,,,,29,percent of total billed charges,22.61608819,,,,29,percent of total billed charges,21.33633025,,,,29,percent of total billed charges,22.61608819,,,,29,percent of total billed charges,999999999,,,,29,percent of total billed charges,22.09600684,,,,29,percent of total billed charges,21.33633025,,,,29,percent of total billed charges,22.61608819,,,,20.677,percent of total billed charges,10.31820139,,,,20.677,percent of total billed charges,6.173634394,,,,20.677,percent of total billed charges,10.31820139,,,,20.677,percent of total billed charges,6.173634394,,,,20.677,percent of total billed charges,10.31820139,,,,20.677,percent of total billed charges,6.173634394,,,,20.474,percent of total billed charges,20.3186582,,,,20.474,percent of total billed charges,14.01361751,,,,,,,,,,20.88,percent of total billed charges,13.57150865,,,,,,,,,,20.88,percent of total billed charges,999999999,,,,,,,,,,23.2,percent of total billed charges,19.44039402,,,,22.91,percent of total billed charges,22.10913593,,,,22.91,percent of total billed charges,19.53415344,,,,23.2,percent of total billed charges,999999999,,,,23.2,percent of total billed charges,999999999,,,,20.3,percent of total billed charges,999999999,,,,20.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,15.428,percent of total billed charges,999999999,,,,,,,,,,,,,,,,14.645,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7.25,percent of total billed charges,6.885726585,,,,,,,,,,7.25,percent of total billed charges,6.771187209,,,,,,,,,,7.25,percent of total billed charges,6.752370369,,,,,,,,,,7.25,percent of total billed charges,6.652941798,,,,,,,,,,7.25,percent of total billed charges,6.824131771,,,,,,,,,,7.25,percent of total billed charges,999999999,,,,,,,,,,7.25,percent of total billed charges,5.855585615,,,,,,,,,,7.25,percent of total billed charges,9.234662314,,,,,,,,,,7.25,percent of total billed charges,999999999,,,,,,,,,,7.25,percent of total billed charges,6.313753379,,,,,,,,,,26.1,percent of total billed charges,,,,,
**ESTRADIOL (CLIMARA) PATCH 0.075MG,259,RC,5041-9045-04,NDC,,both,1,EA,32,32,6.812286228,32,32,percent of total billed charges,23.54353682,,,,32,percent of total billed charges,24.95568352,,,,32,percent of total billed charges,23.54353682,,,,32,percent of total billed charges,24.95568352,,,,32,percent of total billed charges,999999999,,,,32,percent of total billed charges,24.38180065,,,,32,percent of total billed charges,23.54353682,,,,32,percent of total billed charges,24.95568352,,,,22.816,percent of total billed charges,11.38560153,,,,22.816,percent of total billed charges,6.812286228,,,,22.816,percent of total billed charges,11.38560153,,,,22.816,percent of total billed charges,6.812286228,,,,22.816,percent of total billed charges,11.38560153,,,,22.816,percent of total billed charges,6.812286228,,,,22.592,percent of total billed charges,22.42058835,,,,22.592,percent of total billed charges,15.46330208,,,,,,,,,,23.04,percent of total billed charges,14.97545782,,,,,,,,,,23.04,percent of total billed charges,999999999,,,,,,,,,,25.6,percent of total billed charges,21.45146927,,,,25.28,percent of total billed charges,24.39628792,,,,25.28,percent of total billed charges,21.55492793,,,,25.6,percent of total billed charges,999999999,,,,25.6,percent of total billed charges,999999999,,,,22.4,percent of total billed charges,999999999,,,,22.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,17.024,percent of total billed charges,999999999,,,,,,,,,,,,,,,,16.16,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8,percent of total billed charges,7.598043128,,,,,,,,,,8,percent of total billed charges,7.471654851,,,,,,,,,,8,percent of total billed charges,7.450891442,,,,,,,,,,8,percent of total billed charges,7.341177156,,,,,,,,,,8,percent of total billed charges,7.530076437,,,,,,,,,,8,percent of total billed charges,999999999,,,,,,,,,,8,percent of total billed charges,6.461335851,,,,,,,,,,8,percent of total billed charges,10.18997221,,,,,,,,,,8,percent of total billed charges,999999999,,,,,,,,,,8,percent of total billed charges,6.966900281,,,,,,,,,,28.8,percent of total billed charges,,,,,
**FOLIC AC 2.5MG/B12 1MG/B6 25MG,259,RC,1184-5011-99,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
**HYDROMORPHONE (DILAUDID) 1 MG/ML INJ,J1170,CDM,0040-9131-30,NDC,,both,1,EA,28,28,5.960750449,28,28,percent of total billed charges,20.60059472,,,,28,percent of total billed charges,21.83622308,,,,28,percent of total billed charges,20.60059472,,,,28,percent of total billed charges,21.83622308,,,,28,percent of total billed charges,999999999,,,,28,percent of total billed charges,21.33407557,,,,28,percent of total billed charges,20.60059472,,,,28,percent of total billed charges,21.83622308,,,,19.964,percent of total billed charges,9.962401342,,,,19.964,percent of total billed charges,5.960750449,,,,19.964,percent of total billed charges,9.962401342,,,,19.964,percent of total billed charges,5.960750449,,,,19.964,percent of total billed charges,9.962401342,,,,19.964,percent of total billed charges,5.960750449,,,,19.768,percent of total billed charges,19.61801481,,,,19.768,percent of total billed charges,13.53038932,,,,,,,,,,20.16,percent of total billed charges,13.10352559,,,,,,,,,,20.16,percent of total billed charges,999999999,,,,,,,,,,22.4,percent of total billed charges,18.77003561,,,,22.12,percent of total billed charges,21.34675193,,,,22.12,percent of total billed charges,18.86056194,,,,22.4,percent of total billed charges,999999999,,,,22.4,percent of total billed charges,999999999,,,,19.6,percent of total billed charges,999999999,,,,19.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,14.896,percent of total billed charges,999999999,,,,,,,,,,,,,,,,14.14,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7,percent of total billed charges,6.648287737,,,,,,,,,,7,percent of total billed charges,6.537697995,,,,,,,,,,7,percent of total billed charges,6.519530012,,,,,,,,,,7,percent of total billed charges,6.423530012,,,,,,,,,,7,percent of total billed charges,6.588816882,,,,,,,,,,7,percent of total billed charges,999999999,,,,,,,,,,7,percent of total billed charges,5.65366887,,,,,,,,,,7,percent of total billed charges,8.916225683,,,,,,,,,,7,percent of total billed charges,999999999,,,,,,,,,,7,percent of total billed charges,6.096037745,,,,,,,,,,25.2,percent of total billed charges,,,,,
**E-TRIAMINIC COUGH & SORE THROAT: 4OZ B,250,RC,0006-7634-04,NDC,,both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**E-ACETAMINOPHEN 500 MG CAPLETS: 50'S,250,RC,0005-4401-25,NDC,,both,1,EA,11,11,2.341723391,11,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,11,percent of total billed charges,999999999,,,,11,percent of total billed charges,8.381243975,,,,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.766,percent of total billed charges,7.707077247,,,,7.766,percent of total billed charges,5.31551009,,,,,,,,,,7.92,percent of total billed charges,5.147813626,,,,,,,,,,7.92,percent of total billed charges,999999999,,,,,,,,,,8.8,percent of total billed charges,7.373942561,,,,8.69,percent of total billed charges,8.386223973,,,,8.69,percent of total billed charges,7.409506477,,,,8.8,percent of total billed charges,999999999,,,,8.8,percent of total billed charges,999999999,,,,7.7,percent of total billed charges,999999999,,,,7.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.852,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.555,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.75,percent of total billed charges,2.611827325,,,,,,,,,,2.75,percent of total billed charges,2.568381355,,,,,,,,,,2.75,percent of total billed charges,2.561243933,,,,,,,,,,2.75,percent of total billed charges,2.523529647,,,,,,,,,,2.75,percent of total billed charges,2.588463775,,,,,,,,,,2.75,percent of total billed charges,999999999,,,,,,,,,,2.75,percent of total billed charges,2.221084199,,,,,,,,,,2.75,percent of total billed charges,3.502802947,,,,,,,,,,2.75,percent of total billed charges,999999999,,,,,,,,,,2.75,percent of total billed charges,2.394871971,,,,,,,,,,9.9,percent of total billed charges,,,,,
"**ACYCLOVIR (ZOVIRAX) 200MG/5ML, 60ML",259,RC,0047-2008-16,NDC,,both,1,EA,251,251,53.4338701,251,251,percent of total billed charges,184.669617,,,,251,percent of total billed charges,195.7461426,,,,251,percent of total billed charges,184.669617,,,,251,percent of total billed charges,195.7461426,,,,251,percent of total billed charges,999999999,,,,251,percent of total billed charges,191.2447489,,,,251,percent of total billed charges,184.669617,,,,251,percent of total billed charges,195.7461426,,,,178.963,percent of total billed charges,89.30581203,,,,178.963,percent of total billed charges,53.4338701,,,,178.963,percent of total billed charges,89.30581203,,,,178.963,percent of total billed charges,53.4338701,,,,178.963,percent of total billed charges,89.30581203,,,,178.963,percent of total billed charges,53.4338701,,,,177.206,percent of total billed charges,175.8614899,,,,177.206,percent of total billed charges,121.2902757,,,,,,,,,,180.72,percent of total billed charges,117.4637473,,,,,,,,,,180.72,percent of total billed charges,999999999,,,,,,,,,,200.8,percent of total billed charges,168.2599621,,,,198.29,percent of total billed charges,191.3583834,,,,198.29,percent of total billed charges,169.071466,,,,200.8,percent of total billed charges,999999999,,,,200.8,percent of total billed charges,999999999,,,,175.7,percent of total billed charges,999999999,,,,175.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,133.532,percent of total billed charges,999999999,,,,,,,,,,,,,,,,126.755,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,62.75,percent of total billed charges,59.59715079,,,,,,,,,,62.75,percent of total billed charges,58.60579274,,,,,,,,,,62.75,percent of total billed charges,58.44292975,,,,,,,,,,62.75,percent of total billed charges,57.58235832,,,,,,,,,,62.75,percent of total billed charges,59.06403705,,,,,,,,,,62.75,percent of total billed charges,999999999,,,,,,,,,,62.75,percent of total billed charges,50.68110308,,,,,,,,,,62.75,percent of total billed charges,79.92759451,,,,,,,,,,62.75,percent of total billed charges,999999999,,,,,,,,,,62.75,percent of total billed charges,54.64662408,,,,,,,,,,225.9,percent of total billed charges,,,,,
**ACLOVATE(ALCLOMETASONE) 0.05% CREAM: 4,259,RC,0017-3040-01,NDC,,both,1,EA,123,123,26.18472519,123,123,percent of total billed charges,90.49546966,,,,123,percent of total billed charges,95.92340853,,,,123,percent of total billed charges,90.49546966,,,,123,percent of total billed charges,95.92340853,,,,123,percent of total billed charges,999999999,,,,123,percent of total billed charges,93.71754626,,,,123,percent of total billed charges,90.49546966,,,,123,percent of total billed charges,95.92340853,,,,87.699,percent of total billed charges,43.7634059,,,,87.699,percent of total billed charges,26.18472519,,,,87.699,percent of total billed charges,43.7634059,,,,87.699,percent of total billed charges,26.18472519,,,,87.699,percent of total billed charges,43.7634059,,,,87.699,percent of total billed charges,26.18472519,,,,86.838,percent of total billed charges,86.17913649,,,,86.838,percent of total billed charges,59.43706737,,,,,,,,,,88.56,percent of total billed charges,57.561916,,,,,,,,,,88.56,percent of total billed charges,999999999,,,,,,,,,,98.4,percent of total billed charges,82.454085,,,,97.17,percent of total billed charges,93.7732317,,,,97.17,percent of total billed charges,82.85175425,,,,98.4,percent of total billed charges,999999999,,,,98.4,percent of total billed charges,999999999,,,,86.1,percent of total billed charges,999999999,,,,86.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,65.436,percent of total billed charges,999999999,,,,,,,,,,,,,,,,62.115,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,30.75,percent of total billed charges,29.20497827,,,,,,,,,,30.75,percent of total billed charges,28.71917333,,,,,,,,,,30.75,percent of total billed charges,28.63936398,,,,,,,,,,30.75,percent of total billed charges,28.21764969,,,,,,,,,,30.75,percent of total billed charges,28.9437313,,,,,,,,,,30.75,percent of total billed charges,999999999,,,,,,,,,,30.75,percent of total billed charges,24.83575968,,,,,,,,,,30.75,percent of total billed charges,39.16770568,,,,,,,,,,30.75,percent of total billed charges,999999999,,,,,,,,,,30.75,percent of total billed charges,26.77902295,,,,,,,,,,110.7,percent of total billed charges,,,,,
ATROPINE INJECTION 0.4 MG/ML VIAL,J0461,CDM,0051-7040-25,NDC,,both,1,EA,61.93,61.93,13.18390269,61.93,61.93,percent of total billed charges,45.56410111,,,,61.93,percent of total billed charges,48.29704626,,,,61.93,percent of total billed charges,45.56410111,,,,61.93,percent of total billed charges,48.29704626,,,,61.93,percent of total billed charges,999999999,,,,61.93,percent of total billed charges,47.18640358,,,,61.93,percent of total billed charges,45.56410111,,,,61.93,percent of total billed charges,48.29704626,,,,44.15609,percent of total billed charges,22.03469697,,,,44.15609,percent of total billed charges,13.18390269,,,,44.15609,percent of total billed charges,22.03469697,,,,44.15609,percent of total billed charges,13.18390269,,,,44.15609,percent of total billed charges,22.03469697,,,,44.15609,percent of total billed charges,13.18390269,,,,43.72258,percent of total billed charges,43.3908449,,,,43.72258,percent of total billed charges,29.92632181,,,,,,,,,,44.5896,percent of total billed charges,28.98219071,,,,,,,,,,44.5896,percent of total billed charges,999999999,,,,,,,,,,49.544,percent of total billed charges,41.51529662,,,,48.9247,percent of total billed charges,47.21444097,,,,48.9247,percent of total billed charges,41.71552147,,,,49.544,percent of total billed charges,999999999,,,,49.544,percent of total billed charges,999999999,,,,43.351,percent of total billed charges,999999999,,,,43.351,percent of total billed charges,999999999,,,,,,,,,,,,,,,,32.94676,percent of total billed charges,999999999,,,,,,,,,,,,,,,,31.27465,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15.4825,percent of total billed charges,14.70458784,,,,,,,,,,15.4825,percent of total billed charges,14.45998703,,,,,,,,,,15.4825,percent of total billed charges,14.41980334,,,,,,,,,,15.4825,percent of total billed charges,14.20747192,,,,,,,,,,15.4825,percent of total billed charges,14.57305105,,,,,,,,,,15.4825,percent of total billed charges,999999999,,,,,,,,,,15.4825,percent of total billed charges,12.50470404,,,,,,,,,,15.4825,percent of total billed charges,19.72078059,,,,,,,,,,15.4825,percent of total billed charges,999999999,,,,,,,,,,15.4825,percent of total billed charges,13.4831292,,,,,,,,,,55.737,percent of total billed charges,,,,,
BETAMETHASONE (DIPROLENE) CR 0.05% 45GM,259,RC,0016-8005-46,NDC,,both,1,EA,157.99,157.99,33.63353441,157.99,157.99,percent of total billed charges,116.2388557,,,,157.99,percent of total billed charges,123.2108887,,,,157.99,percent of total billed charges,116.2388557,,,,157.99,percent of total billed charges,123.2108887,,,,157.99,percent of total billed charges,999999999,,,,157.99,percent of total billed charges,120.3775214,,,,157.99,percent of total billed charges,116.2388557,,,,157.99,percent of total billed charges,123.2108887,,,,112.64687,percent of total billed charges,56.21284957,,,,112.64687,percent of total billed charges,33.63353441,,,,112.64687,percent of total billed charges,56.21284957,,,,112.64687,percent of total billed charges,33.63353441,,,,112.64687,percent of total billed charges,56.21284957,,,,112.64687,percent of total billed charges,33.63353441,,,,111.54094,percent of total billed charges,110.6946486,,,,111.54094,percent of total billed charges,76.34522174,,,,,,,,,,113.7528,percent of total billed charges,73.93664316,,,,,,,,,,113.7528,percent of total billed charges,999999999,,,,,,,,,,126.392,percent of total billed charges,105.9099259,,,,124.8121,percent of total billed charges,120.4490478,,,,124.8121,percent of total billed charges,106.4207208,,,,126.392,percent of total billed charges,999999999,,,,126.392,percent of total billed charges,999999999,,,,110.593,percent of total billed charges,999999999,,,,110.593,percent of total billed charges,999999999,,,,,,,,,,,,,,,,84.05068,percent of total billed charges,999999999,,,,,,,,,,,,,,,,79.78495,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,39.4975,percent of total billed charges,37.51296356,,,,,,,,,,39.4975,percent of total billed charges,36.88896093,,,,,,,,,,39.4975,percent of total billed charges,36.78644809,,,,,,,,,,39.4975,percent of total billed charges,36.24476809,,,,,,,,,,39.4975,percent of total billed charges,37.17739926,,,,,,,,,,39.4975,percent of total billed charges,999999999,,,,,,,,,,39.4975,percent of total billed charges,31.9008266,,,,,,,,,,39.4975,percent of total billed charges,50.30980341,,,,,,,,,,39.4975,percent of total billed charges,999999999,,,,,,,,,,39.4975,percent of total billed charges,34.39689298,,,,,,,,,,142.191,percent of total billed charges,,,,,
**E-PEPTO BISMOL TABLETS: 24'S,Local,Local,,,,both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
CARISOPRODOL (SOMA) 350MG TAB,637,RC,5022-8010-01,NDC,,both,1,EA,0.74,0.74,0.157534119,0.74,0.74,percent of total billed charges,0.544444289,,,,0.74,percent of total billed charges,0.577100181,,,,0.74,percent of total billed charges,0.544444289,,,,0.74,percent of total billed charges,0.577100181,,,,0.74,percent of total billed charges,999999999,,,,0.74,percent of total billed charges,0.56382914,,,,0.74,percent of total billed charges,0.544444289,,,,0.74,percent of total billed charges,0.577100181,,,,0.52762,percent of total billed charges,0.263292035,,,,0.52762,percent of total billed charges,0.157534119,,,,0.52762,percent of total billed charges,0.263292035,,,,0.52762,percent of total billed charges,0.157534119,,,,0.52762,percent of total billed charges,0.263292035,,,,0.52762,percent of total billed charges,0.157534119,,,,0.52244,percent of total billed charges,0.518476106,,,,0.52244,percent of total billed charges,0.357588861,,,,,,,,,,0.5328,percent of total billed charges,0.346307462,,,,,,,,,,0.5328,percent of total billed charges,999999999,,,,,,,,,,0.592,percent of total billed charges,0.496065227,,,,0.5846,percent of total billed charges,0.564164158,,,,0.5846,percent of total billed charges,0.498457708,,,,0.592,percent of total billed charges,999999999,,,,0.592,percent of total billed charges,999999999,,,,0.518,percent of total billed charges,999999999,,,,0.518,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.39368,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.3737,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.185,percent of total billed charges,0.175704747,,,,,,,,,,0.185,percent of total billed charges,0.172782018,,,,,,,,,,0.185,percent of total billed charges,0.172301865,,,,,,,,,,0.185,percent of total billed charges,0.169764722,,,,,,,,,,0.185,percent of total billed charges,0.174133018,,,,,,,,,,0.185,percent of total billed charges,999999999,,,,,,,,,,0.185,percent of total billed charges,0.149418392,,,,,,,,,,0.185,percent of total billed charges,0.235643107,,,,,,,,,,0.185,percent of total billed charges,999999999,,,,,,,,,,0.185,percent of total billed charges,0.161109569,,,,,,,,,,0.666,percent of total billed charges,,,,,
**E-CHILDREN CHEWABL MULTI-VITAMIN: 100,259,RC,6210-7004-01,NDC,,both,1,EA,9,9,1.915955502,9,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,9,percent of total billed charges,999999999,,,,9,percent of total billed charges,6.857381434,,,,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.354,percent of total billed charges,6.305790475,,,,6.354,percent of total billed charges,4.34905371,,,,,,,,,,6.48,percent of total billed charges,4.211847512,,,,,,,,,,6.48,percent of total billed charges,999999999,,,,,,,,,,7.2,percent of total billed charges,6.033225731,,,,7.11,percent of total billed charges,6.861455978,,,,7.11,percent of total billed charges,6.062323481,,,,7.2,percent of total billed charges,999999999,,,,7.2,percent of total billed charges,999999999,,,,6.3,percent of total billed charges,999999999,,,,6.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.788,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.545,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.25,percent of total billed charges,2.13694963,,,,,,,,,,2.25,percent of total billed charges,2.101402927,,,,,,,,,,2.25,percent of total billed charges,2.095563218,,,,,,,,,,2.25,percent of total billed charges,2.064706075,,,,,,,,,,2.25,percent of total billed charges,2.117833998,,,,,,,,,,2.25,percent of total billed charges,999999999,,,,,,,,,,2.25,percent of total billed charges,1.817250708,,,,,,,,,,2.25,percent of total billed charges,2.865929684,,,,,,,,,,2.25,percent of total billed charges,999999999,,,,,,,,,,2.25,percent of total billed charges,1.959440704,,,,,,,,,,8.1,percent of total billed charges,,,,,
CHLORPROMAZINE (THORAZINE) 50MG TAB,636,RC,0078-1171-01,NDC,,both,1,EA,13.37,13.37,2.84625834,13.37,13.37,percent of total billed charges,9.836783979,,,,13.37,percent of total billed charges,10.42679652,,,,13.37,percent of total billed charges,9.836783979,,,,13.37,percent of total billed charges,10.42679652,,,,13.37,percent of total billed charges,999999999,,,,13.37,percent of total billed charges,10.18702109,,,,13.37,percent of total billed charges,9.836783979,,,,13.37,percent of total billed charges,10.42679652,,,,9.53281,percent of total billed charges,4.757046641,,,,9.53281,percent of total billed charges,2.84625834,,,,9.53281,percent of total billed charges,4.757046641,,,,9.53281,percent of total billed charges,2.84625834,,,,9.53281,percent of total billed charges,4.757046641,,,,9.53281,percent of total billed charges,2.84625834,,,,9.43922,percent of total billed charges,9.367602072,,,,9.43922,percent of total billed charges,6.460760901,,,,,,,,,,9.6264,percent of total billed charges,6.25693347,,,,,,,,,,9.6264,percent of total billed charges,999999999,,,,,,,,,,10.696,percent of total billed charges,8.962692003,,,,10.5623,percent of total billed charges,10.19307405,,,,10.5623,percent of total billed charges,9.005918327,,,,10.696,percent of total billed charges,999999999,,,,10.696,percent of total billed charges,999999999,,,,9.359,percent of total billed charges,999999999,,,,9.359,percent of total billed charges,999999999,,,,,,,,,,,,,,,,7.11284,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.75185,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3.3425,percent of total billed charges,3.174557395,,,,,,,,,,3.3425,percent of total billed charges,3.121750792,,,,,,,,,,3.3425,percent of total billed charges,3.113075581,,,,,,,,,,3.3425,percent of total billed charges,3.067235581,,,,,,,,,,3.3425,percent of total billed charges,3.146160061,,,,,,,,,,3.3425,percent of total billed charges,999999999,,,,,,,,,,3.3425,percent of total billed charges,2.699626885,,,,,,,,,,3.3425,percent of total billed charges,4.257497763,,,,,,,,,,3.3425,percent of total billed charges,999999999,,,,,,,,,,3.3425,percent of total billed charges,2.910858023,,,,,,,,,,12.033,percent of total billed charges,,,,,
**DALTEPARIN SOD.(FRAGMIN) 2500 IU: SYRI,J1645,CDM,6285-6025-10,NDC,,both,1,EA,45,45,9.579777508,45,45,percent of total billed charges,33.10809866,,,,45,percent of total billed charges,35.09392995,,,,45,percent of total billed charges,33.10809866,,,,45,percent of total billed charges,35.09392995,,,,45,percent of total billed charges,999999999,,,,45,percent of total billed charges,34.28690717,,,,45,percent of total billed charges,33.10809866,,,,45,percent of total billed charges,35.09392995,,,,32.085,percent of total billed charges,16.01100216,,,,32.085,percent of total billed charges,9.579777508,,,,32.085,percent of total billed charges,16.01100216,,,,32.085,percent of total billed charges,9.579777508,,,,32.085,percent of total billed charges,16.01100216,,,,32.085,percent of total billed charges,9.579777508,,,,31.77,percent of total billed charges,31.52895237,,,,31.77,percent of total billed charges,21.74526855,,,,,,,,,,32.4,percent of total billed charges,21.05923756,,,,,,,,,,32.4,percent of total billed charges,999999999,,,,,,,,,,36,percent of total billed charges,30.16612866,,,,35.55,percent of total billed charges,34.30727989,,,,35.55,percent of total billed charges,30.31161741,,,,36,percent of total billed charges,999999999,,,,36,percent of total billed charges,999999999,,,,31.5,percent of total billed charges,999999999,,,,31.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,23.94,percent of total billed charges,999999999,,,,,,,,,,,,,,,,22.725,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11.25,percent of total billed charges,10.68474815,,,,,,,,,,11.25,percent of total billed charges,10.50701463,,,,,,,,,,11.25,percent of total billed charges,10.47781609,,,,,,,,,,11.25,percent of total billed charges,10.32353038,,,,,,,,,,11.25,percent of total billed charges,10.58916999,,,,,,,,,,11.25,percent of total billed charges,999999999,,,,,,,,,,11.25,percent of total billed charges,9.08625354,,,,,,,,,,11.25,percent of total billed charges,14.32964842,,,,,,,,,,11.25,percent of total billed charges,999999999,,,,,,,,,,11.25,percent of total billed charges,9.797203519,,,,,,,,,,40.5,percent of total billed charges,,,,,
**E-IBUP200PSE 30(ADVIL COLD AND SINUS,259,RC,0057-3018-21,NDC,,both,1,EA,23,23,4.896330726,23,23,percent of total billed charges,16.92191709,,,,23,percent of total billed charges,17.93689753,,,,23,percent of total billed charges,16.92191709,,,,23,percent of total billed charges,17.93689753,,,,23,percent of total billed charges,999999999,,,,23,percent of total billed charges,17.52441922,,,,23,percent of total billed charges,16.92191709,,,,23,percent of total billed charges,17.93689753,,,,16.399,percent of total billed charges,8.183401102,,,,16.399,percent of total billed charges,4.896330726,,,,16.399,percent of total billed charges,8.183401102,,,,16.399,percent of total billed charges,4.896330726,,,,16.399,percent of total billed charges,8.183401102,,,,16.399,percent of total billed charges,4.896330726,,,,16.238,percent of total billed charges,16.11479788,,,,16.238,percent of total billed charges,11.11424837,,,,,,,,,,16.56,percent of total billed charges,10.76361031,,,,,,,,,,16.56,percent of total billed charges,999999999,,,,,,,,,,18.4,percent of total billed charges,15.41824354,,,,18.17,percent of total billed charges,17.53483194,,,,18.17,percent of total billed charges,15.49260445,,,,18.4,percent of total billed charges,999999999,,,,18.4,percent of total billed charges,999999999,,,,16.1,percent of total billed charges,999999999,,,,16.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,12.236,percent of total billed charges,999999999,,,,,,,,,,,,,,,,11.615,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5.75,percent of total billed charges,5.461093499,,,,,,,,,,5.75,percent of total billed charges,5.370251924,,,,,,,,,,5.75,percent of total billed charges,5.355328224,,,,,,,,,,5.75,percent of total billed charges,5.276471081,,,,,,,,,,5.75,percent of total billed charges,5.412242439,,,,,,,,,,5.75,percent of total billed charges,999999999,,,,,,,,,,5.75,percent of total billed charges,4.644085143,,,,,,,,,,5.75,percent of total billed charges,7.324042525,,,,,,,,,,5.75,percent of total billed charges,999999999,,,,,,,,,,5.75,percent of total billed charges,5.007459577,,,,,,,,,,20.7,percent of total billed charges,,,,,
fentaNYL 250 MCG/5mL :5ML AMP,J3010,CDM,0040-9909-35,NDC,,both,1,EA,69.62,69.62,14.82098022,69.62,69.62,percent of total billed charges,51.2219073,,,,69.62,percent of total billed charges,54.29420896,,,,69.62,percent of total billed charges,51.2219073,,,,69.62,percent of total billed charges,54.29420896,,,,69.62,percent of total billed charges,999999999,,,,69.62,percent of total billed charges,53.04565505,,,,69.62,percent of total billed charges,51.2219073,,,,69.62,percent of total billed charges,54.29420896,,,,49.63906,percent of total billed charges,24.77079934,,,,49.63906,percent of total billed charges,14.82098022,,,,49.63906,percent of total billed charges,24.77079934,,,,49.63906,percent of total billed charges,14.82098022,,,,49.63906,percent of total billed charges,24.77079934,,,,49.63906,percent of total billed charges,14.82098022,,,,49.15172,percent of total billed charges,48.77879254,,,,49.15172,percent of total billed charges,33.64234659,,,,,,,,,,50.1264,percent of total billed charges,32.58098042,,,,,,,,,,50.1264,percent of total billed charges,999999999,,,,,,,,,,55.696,percent of total billed charges,46.67035282,,,,54.9998,percent of total billed charges,53.07717391,,,,54.9998,percent of total billed charges,46.89544009,,,,55.696,percent of total billed charges,999999999,,,,55.696,percent of total billed charges,999999999,,,,48.734,percent of total billed charges,999999999,,,,48.734,percent of total billed charges,999999999,,,,,,,,,,,,,,,,37.03784,percent of total billed charges,999999999,,,,,,,,,,,,,,,,35.1581,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17.405,percent of total billed charges,16.53049258,,,,,,,,,,17.405,percent of total billed charges,16.25551909,,,,,,,,,,17.405,percent of total billed charges,16.21034569,,,,,,,,,,17.405,percent of total billed charges,15.97164855,,,,,,,,,,17.405,percent of total billed charges,16.38262255,,,,,,,,,,17.405,percent of total billed charges,999999999,,,,,,,,,,17.405,percent of total billed charges,14.05744381,,,,,,,,,,17.405,percent of total billed charges,22.16955829,,,,,,,,,,17.405,percent of total billed charges,999999999,,,,,,,,,,17.405,percent of total billed charges,15.15736242,,,,,,,,,,62.658,percent of total billed charges,,,,,
**E-IBUPROFEN 200 MG TAB:BOTTLE OF 100,259,RC,0090-4791-59,NDC,,both,1,EA,11,11,2.341723391,11,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,11,percent of total billed charges,999999999,,,,11,percent of total billed charges,8.381243975,,,,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.766,percent of total billed charges,7.707077247,,,,7.766,percent of total billed charges,5.31551009,,,,,,,,,,7.92,percent of total billed charges,5.147813626,,,,,,,,,,7.92,percent of total billed charges,999999999,,,,,,,,,,8.8,percent of total billed charges,7.373942561,,,,8.69,percent of total billed charges,8.386223973,,,,8.69,percent of total billed charges,7.409506477,,,,8.8,percent of total billed charges,999999999,,,,8.8,percent of total billed charges,999999999,,,,7.7,percent of total billed charges,999999999,,,,7.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.852,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.555,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.75,percent of total billed charges,2.611827325,,,,,,,,,,2.75,percent of total billed charges,2.568381355,,,,,,,,,,2.75,percent of total billed charges,2.561243933,,,,,,,,,,2.75,percent of total billed charges,2.523529647,,,,,,,,,,2.75,percent of total billed charges,2.588463775,,,,,,,,,,2.75,percent of total billed charges,999999999,,,,,,,,,,2.75,percent of total billed charges,2.221084199,,,,,,,,,,2.75,percent of total billed charges,3.502802947,,,,,,,,,,2.75,percent of total billed charges,999999999,,,,,,,,,,2.75,percent of total billed charges,2.394871971,,,,,,,,,,9.9,percent of total billed charges,,,,,
**ITRACONAZOLE (SPORANOX) 100MG: CAP,259,RC,5045-8029-01,NDC,,both,1,EA,11,11,2.341723391,11,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,11,percent of total billed charges,999999999,,,,11,percent of total billed charges,8.381243975,,,,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.766,percent of total billed charges,7.707077247,,,,7.766,percent of total billed charges,5.31551009,,,,,,,,,,7.92,percent of total billed charges,5.147813626,,,,,,,,,,7.92,percent of total billed charges,999999999,,,,,,,,,,8.8,percent of total billed charges,7.373942561,,,,8.69,percent of total billed charges,8.386223973,,,,8.69,percent of total billed charges,7.409506477,,,,8.8,percent of total billed charges,999999999,,,,8.8,percent of total billed charges,999999999,,,,7.7,percent of total billed charges,999999999,,,,7.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.852,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.555,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.75,percent of total billed charges,2.611827325,,,,,,,,,,2.75,percent of total billed charges,2.568381355,,,,,,,,,,2.75,percent of total billed charges,2.561243933,,,,,,,,,,2.75,percent of total billed charges,2.523529647,,,,,,,,,,2.75,percent of total billed charges,2.588463775,,,,,,,,,,2.75,percent of total billed charges,999999999,,,,,,,,,,2.75,percent of total billed charges,2.221084199,,,,,,,,,,2.75,percent of total billed charges,3.502802947,,,,,,,,,,2.75,percent of total billed charges,999999999,,,,,,,,,,2.75,percent of total billed charges,2.394871971,,,,,,,,,,9.9,percent of total billed charges,,,,,
LIDOCAINE VISCOUS 2% 15ML,637,RC,0012-1090-15,NDC,,both,1,EA,12.5,12.5,2.661049308,12.5,12.5,percent of total billed charges,9.196694072,,,,12.5,percent of total billed charges,9.748313875,,,,12.5,percent of total billed charges,9.196694072,,,,12.5,percent of total billed charges,9.748313875,,,,12.5,percent of total billed charges,999999999,,,,12.5,percent of total billed charges,9.52414088,,,,12.5,percent of total billed charges,9.196694072,,,,12.5,percent of total billed charges,9.748313875,,,,8.9125,percent of total billed charges,4.447500599,,,,8.9125,percent of total billed charges,2.661049308,,,,8.9125,percent of total billed charges,4.447500599,,,,8.9125,percent of total billed charges,2.661049308,,,,8.9125,percent of total billed charges,4.447500599,,,,8.9125,percent of total billed charges,2.661049308,,,,8.825,percent of total billed charges,8.758042326,,,,8.825,percent of total billed charges,6.040352376,,,,,,,,,,9,percent of total billed charges,5.849788211,,,,,,,,,,9,percent of total billed charges,999999999,,,,,,,,,,10,percent of total billed charges,8.379480182,,,,9.875,percent of total billed charges,9.52979997,,,,9.875,percent of total billed charges,8.419893724,,,,10,percent of total billed charges,999999999,,,,10,percent of total billed charges,999999999,,,,8.75,percent of total billed charges,999999999,,,,8.75,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.65,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.3125,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3.125,percent of total billed charges,2.967985597,,,,,,,,,,3.125,percent of total billed charges,2.918615176,,,,,,,,,,3.125,percent of total billed charges,2.91050447,,,,,,,,,,3.125,percent of total billed charges,2.867647327,,,,,,,,,,3.125,percent of total billed charges,2.941436108,,,,,,,,,,3.125,percent of total billed charges,999999999,,,,,,,,,,3.125,percent of total billed charges,2.523959317,,,,,,,,,,3.125,percent of total billed charges,3.980457894,,,,,,,,,,3.125,percent of total billed charges,999999999,,,,,,,,,,3.125,percent of total billed charges,2.721445422,,,,,,,,,,11.25,percent of total billed charges,,,,,
**LORACARBEF(LORABID) 200MG/5ML: 100 ML,259,RC,6157-0013-10,NDC,,both,1,EA,161,161,34.27431508,161,161,percent of total billed charges,118.4534196,,,,161,percent of total billed charges,125.5582827,,,,161,percent of total billed charges,118.4534196,,,,161,percent of total billed charges,125.5582827,,,,161,percent of total billed charges,999999999,,,,161,percent of total billed charges,122.6709345,,,,161,percent of total billed charges,118.4534196,,,,161,percent of total billed charges,125.5582827,,,,114.793,percent of total billed charges,57.28380772,,,,114.793,percent of total billed charges,34.27431508,,,,114.793,percent of total billed charges,57.28380772,,,,114.793,percent of total billed charges,34.27431508,,,,114.793,percent of total billed charges,57.28380772,,,,114.793,percent of total billed charges,34.27431508,,,,113.666,percent of total billed charges,112.8035852,,,,113.666,percent of total billed charges,77.7997386,,,,,,,,,,115.92,percent of total billed charges,75.34527216,,,,,,,,,,115.92,percent of total billed charges,999999999,,,,,,,,,,128.8,percent of total billed charges,107.9277047,,,,127.19,percent of total billed charges,122.7438236,,,,127.19,percent of total billed charges,108.4482312,,,,128.8,percent of total billed charges,999999999,,,,128.8,percent of total billed charges,999999999,,,,112.7,percent of total billed charges,999999999,,,,112.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,85.652,percent of total billed charges,999999999,,,,,,,,,,,,,,,,81.305,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,40.25,percent of total billed charges,38.22765449,,,,,,,,,,40.25,percent of total billed charges,37.59176347,,,,,,,,,,40.25,percent of total billed charges,37.48729757,,,,,,,,,,40.25,percent of total billed charges,36.93529757,,,,,,,,,,40.25,percent of total billed charges,37.88569707,,,,,,,,,,40.25,percent of total billed charges,999999999,,,,,,,,,,40.25,percent of total billed charges,32.508596,,,,,,,,,,40.25,percent of total billed charges,51.26829767,,,,,,,,,,40.25,percent of total billed charges,999999999,,,,,,,,,,40.25,percent of total billed charges,35.05221704,,,,,,,,,,144.9,percent of total billed charges,,,,,
METOCLOPRAMIDE (REGLAN) 10MG/10ML O/S,259,RC,0012-1057-16,NDC,,both,1,EA,7.6,7.6,1.617917979,7.6,7.6,percent of total billed charges,5.591589995,,,,7.6,percent of total billed charges,5.926974836,,,,7.6,percent of total billed charges,5.591589995,,,,7.6,percent of total billed charges,5.926974836,,,,7.6,percent of total billed charges,999999999,,,,7.6,percent of total billed charges,5.790677655,,,,7.6,percent of total billed charges,5.591589995,,,,7.6,percent of total billed charges,5.926974836,,,,5.4188,percent of total billed charges,2.704080364,,,,5.4188,percent of total billed charges,1.617917979,,,,5.4188,percent of total billed charges,2.704080364,,,,5.4188,percent of total billed charges,1.617917979,,,,5.4188,percent of total billed charges,2.704080364,,,,5.4188,percent of total billed charges,1.617917979,,,,5.3656,percent of total billed charges,5.324889734,,,,5.3656,percent of total billed charges,3.672534244,,,,,,,,,,5.472,percent of total billed charges,3.556671232,,,,,,,,,,5.472,percent of total billed charges,999999999,,,,,,,,,,6.08,percent of total billed charges,5.094723951,,,,6.004,percent of total billed charges,5.794118382,,,,6.004,percent of total billed charges,5.119295384,,,,6.08,percent of total billed charges,999999999,,,,6.08,percent of total billed charges,999999999,,,,5.32,percent of total billed charges,999999999,,,,5.32,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.0432,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.838,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.9,percent of total billed charges,1.804535243,,,,,,,,,,1.9,percent of total billed charges,1.774518027,,,,,,,,,,1.9,percent of total billed charges,1.769586717,,,,,,,,,,1.9,percent of total billed charges,1.743529575,,,,,,,,,,1.9,percent of total billed charges,1.788393154,,,,,,,,,,1.9,percent of total billed charges,999999999,,,,,,,,,,1.9,percent of total billed charges,1.534567265,,,,,,,,,,1.9,percent of total billed charges,2.4201184,,,,,,,,,,1.9,percent of total billed charges,999999999,,,,,,,,,,1.9,percent of total billed charges,1.654638817,,,,,,,,,,6.84,percent of total billed charges,,,,,
MOMETASONE(ELOCON)LOTION: 30ML,259,RC,5167-2130-04,NDC,,both,1,EA,109.68,109.68,23.34911105,109.68,109.68,percent of total billed charges,80.69547246,,,,109.68,percent of total billed charges,85.53560527,,,,109.68,percent of total billed charges,80.69547246,,,,109.68,percent of total billed charges,85.53560527,,,,109.68,percent of total billed charges,999999999,,,,109.68,percent of total billed charges,83.56862174,,,,109.68,percent of total billed charges,80.69547246,,,,109.68,percent of total billed charges,85.53560527,,,,78.20184,percent of total billed charges,39.02414926,,,,78.20184,percent of total billed charges,23.34911105,,,,78.20184,percent of total billed charges,39.02414926,,,,78.20184,percent of total billed charges,23.34911105,,,,78.20184,percent of total billed charges,39.02414926,,,,78.20184,percent of total billed charges,23.34911105,,,,77.43408,percent of total billed charges,76.84656658,,,,77.43408,percent of total billed charges,53.00046788,,,,,,,,,,78.9696,percent of total billed charges,51.32838168,,,,,,,,,,78.9696,percent of total billed charges,999999999,,,,,,,,,,87.744,percent of total billed charges,73.52491091,,,,86.6472,percent of total billed charges,83.61827685,,,,86.6472,percent of total billed charges,73.87951549,,,,87.744,percent of total billed charges,999999999,,,,87.744,percent of total billed charges,999999999,,,,76.776,percent of total billed charges,999999999,,,,76.776,percent of total billed charges,999999999,,,,,,,,,,,,,,,,58.34976,percent of total billed charges,999999999,,,,,,,,,,,,,,,,55.3884,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,27.42,percent of total billed charges,26.04229282,,,,,,,,,,27.42,percent of total billed charges,25.609097,,,,,,,,,,27.42,percent of total billed charges,25.53793042,,,,,,,,,,27.42,percent of total billed charges,25.1618847,,,,,,,,,,27.42,percent of total billed charges,25.80933699,,,,,,,,,,27.42,percent of total billed charges,999999999,,,,,,,,,,27.42,percent of total billed charges,22.14622863,,,,,,,,,,27.42,percent of total billed charges,34.92612974,,,,,,,,,,27.42,percent of total billed charges,999999999,,,,,,,,,,27.42,percent of total billed charges,23.87905071,,,,,,,,,,98.712,percent of total billed charges,,,,,
MONTELUKAST (SINGULAIR) 5MG TAB,259,RC,0000-6027-31,NDC,,both,1,EA,1.49,1.49,0.317197077,1.49,1.49,percent of total billed charges,1.096245933,,,,1.49,percent of total billed charges,1.161999014,,,,1.49,percent of total billed charges,1.096245933,,,,1.49,percent of total billed charges,1.161999014,,,,1.49,percent of total billed charges,999999999,,,,1.49,percent of total billed charges,1.135277593,,,,1.49,percent of total billed charges,1.096245933,,,,1.49,percent of total billed charges,1.161999014,,,,1.06237,percent of total billed charges,0.530142071,,,,1.06237,percent of total billed charges,0.317197077,,,,1.06237,percent of total billed charges,0.530142071,,,,1.06237,percent of total billed charges,0.317197077,,,,1.06237,percent of total billed charges,0.530142071,,,,1.06237,percent of total billed charges,0.317197077,,,,1.05194,percent of total billed charges,1.043958645,,,,1.05194,percent of total billed charges,0.720010003,,,,,,,,,,1.0728,percent of total billed charges,0.697294755,,,,,,,,,,1.0728,percent of total billed charges,999999999,,,,,,,,,,1.192,percent of total billed charges,0.998834038,,,,1.1771,percent of total billed charges,1.135952156,,,,1.1771,percent of total billed charges,1.003651332,,,,1.192,percent of total billed charges,999999999,,,,1.192,percent of total billed charges,999999999,,,,1.043,percent of total billed charges,999999999,,,,1.043,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.79268,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.75245,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.3725,percent of total billed charges,0.353783883,,,,,,,,,,0.3725,percent of total billed charges,0.347898929,,,,,,,,,,0.3725,percent of total billed charges,0.346932133,,,,,,,,,,0.3725,percent of total billed charges,0.341823561,,,,,,,,,,0.3725,percent of total billed charges,0.350619184,,,,,,,,,,0.3725,percent of total billed charges,999999999,,,,,,,,,,0.3725,percent of total billed charges,0.300855951,,,,,,,,,,0.3725,percent of total billed charges,0.474470581,,,,,,,,,,0.3725,percent of total billed charges,999999999,,,,,,,,,,0.3725,percent of total billed charges,0.324396294,,,,,,,,,,1.341,percent of total billed charges,,,,,
**MORPHINE SULFATE SUPP (RMS-20),259,RC,0000-6027-31,NDC,,both,1,EA,24,24,5.109214671,24,24,percent of total billed charges,17.65765262,,,,24,percent of total billed charges,18.71676264,,,,24,percent of total billed charges,17.65765262,,,,24,percent of total billed charges,18.71676264,,,,24,percent of total billed charges,999999999,,,,24,percent of total billed charges,18.28635049,,,,24,percent of total billed charges,17.65765262,,,,24,percent of total billed charges,18.71676264,,,,17.112,percent of total billed charges,8.53920115,,,,17.112,percent of total billed charges,5.109214671,,,,17.112,percent of total billed charges,8.53920115,,,,17.112,percent of total billed charges,5.109214671,,,,17.112,percent of total billed charges,8.53920115,,,,17.112,percent of total billed charges,5.109214671,,,,16.944,percent of total billed charges,16.81544127,,,,16.944,percent of total billed charges,11.59747656,,,,,,,,,,17.28,percent of total billed charges,11.23159337,,,,,,,,,,17.28,percent of total billed charges,999999999,,,,,,,,,,19.2,percent of total billed charges,16.08860195,,,,18.96,percent of total billed charges,18.29721594,,,,18.96,percent of total billed charges,16.16619595,,,,19.2,percent of total billed charges,999999999,,,,19.2,percent of total billed charges,999999999,,,,16.8,percent of total billed charges,999999999,,,,16.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,12.768,percent of total billed charges,999999999,,,,,,,,,,,,,,,,12.12,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6,percent of total billed charges,5.698532346,,,,,,,,,,6,percent of total billed charges,5.603741138,,,,,,,,,,6,percent of total billed charges,5.588168582,,,,,,,,,,6,percent of total billed charges,5.505882867,,,,,,,,,,6,percent of total billed charges,5.647557328,,,,,,,,,,6,percent of total billed charges,999999999,,,,,,,,,,6,percent of total billed charges,4.846001888,,,,,,,,,,6,percent of total billed charges,7.642479156,,,,,,,,,,6,percent of total billed charges,999999999,,,,,,,,,,6,percent of total billed charges,5.22517521,,,,,,,,,,21.6,percent of total billed charges,,,,,
**E-MULTIPLE VIT WITH MINERAL ADULT:,259,RC,0018-2451-06,NDC,,both,1,EA,7,7,1.490187612,7,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,7,percent of total billed charges,999999999,,,,7,percent of total billed charges,5.333518893,,,,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.942,percent of total billed charges,4.904503703,,,,4.942,percent of total billed charges,3.38259733,,,,,,,,,,5.04,percent of total billed charges,3.275881398,,,,,,,,,,5.04,percent of total billed charges,999999999,,,,,,,,,,5.6,percent of total billed charges,4.692508902,,,,5.53,percent of total billed charges,5.336687983,,,,5.53,percent of total billed charges,4.715140486,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,4.9,percent of total billed charges,999999999,,,,4.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.724,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.535,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.75,percent of total billed charges,1.662071934,,,,,,,,,,1.75,percent of total billed charges,1.634424499,,,,,,,,,,1.75,percent of total billed charges,1.629882503,,,,,,,,,,1.75,percent of total billed charges,1.605882503,,,,,,,,,,1.75,percent of total billed charges,1.647204221,,,,,,,,,,1.75,percent of total billed charges,999999999,,,,,,,,,,1.75,percent of total billed charges,1.413417217,,,,,,,,,,1.75,percent of total billed charges,2.229056421,,,,,,,,,,1.75,percent of total billed charges,999999999,,,,,,,,,,1.75,percent of total billed charges,1.524009436,,,,,,,,,,6.3,percent of total billed charges,,,,,
**MULTIVITAMIN(SUNNY MAID) TAB: #100,250,RC,0076-1036-20,NDC,,both,1,EA,11,11,2.341723391,11,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,11,percent of total billed charges,999999999,,,,11,percent of total billed charges,8.381243975,,,,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.766,percent of total billed charges,7.707077247,,,,7.766,percent of total billed charges,5.31551009,,,,,,,,,,7.92,percent of total billed charges,5.147813626,,,,,,,,,,7.92,percent of total billed charges,999999999,,,,,,,,,,8.8,percent of total billed charges,7.373942561,,,,8.69,percent of total billed charges,8.386223973,,,,8.69,percent of total billed charges,7.409506477,,,,8.8,percent of total billed charges,999999999,,,,8.8,percent of total billed charges,999999999,,,,7.7,percent of total billed charges,999999999,,,,7.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.852,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.555,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.75,percent of total billed charges,2.611827325,,,,,,,,,,2.75,percent of total billed charges,2.568381355,,,,,,,,,,2.75,percent of total billed charges,2.561243933,,,,,,,,,,2.75,percent of total billed charges,2.523529647,,,,,,,,,,2.75,percent of total billed charges,2.588463775,,,,,,,,,,2.75,percent of total billed charges,999999999,,,,,,,,,,2.75,percent of total billed charges,2.221084199,,,,,,,,,,2.75,percent of total billed charges,3.502802947,,,,,,,,,,2.75,percent of total billed charges,999999999,,,,,,,,,,2.75,percent of total billed charges,2.394871971,,,,,,,,,,9.9,percent of total billed charges,,,,,
**NAPROXEN SOD 550MG TAB: ANAPROX,259,RC,0000-4620-01,NDC,,both,1,EA,10,10,2.128839446,10,10,percent of total billed charges,7.357355257,,,,10,percent of total billed charges,7.7986511,,,,10,percent of total billed charges,7.357355257,,,,10,percent of total billed charges,7.7986511,,,,10,percent of total billed charges,999999999,,,,10,percent of total billed charges,7.619312704,,,,10,percent of total billed charges,7.357355257,,,,10,percent of total billed charges,7.7986511,,,,7.13,percent of total billed charges,3.558000479,,,,7.13,percent of total billed charges,2.128839446,,,,7.13,percent of total billed charges,3.558000479,,,,7.13,percent of total billed charges,2.128839446,,,,7.13,percent of total billed charges,3.558000479,,,,7.13,percent of total billed charges,2.128839446,,,,7.06,percent of total billed charges,7.006433861,,,,7.06,percent of total billed charges,4.8322819,,,,,,,,,,7.2,percent of total billed charges,4.679830569,,,,,,,,,,7.2,percent of total billed charges,999999999,,,,,,,,,,8,percent of total billed charges,6.703584146,,,,7.9,percent of total billed charges,7.623839976,,,,7.9,percent of total billed charges,6.735914979,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,999999999,,,,7,percent of total billed charges,999999999,,,,7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.32,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.05,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.5,percent of total billed charges,2.374388478,,,,,,,,,,2.5,percent of total billed charges,2.334892141,,,,,,,,,,2.5,percent of total billed charges,2.328403576,,,,,,,,,,2.5,percent of total billed charges,2.294117861,,,,,,,,,,2.5,percent of total billed charges,2.353148886,,,,,,,,,,2.5,percent of total billed charges,999999999,,,,,,,,,,2.5,percent of total billed charges,2.019167453,,,,,,,,,,2.5,percent of total billed charges,3.184366315,,,,,,,,,,2.5,percent of total billed charges,999999999,,,,,,,,,,2.5,percent of total billed charges,2.177156338,,,,,,,,,,9,percent of total billed charges,,,,,
**NEOM.POLYMIX/HC (CORTISPORIN) CR:7.5GM,259,RC,6157-0003-75,NDC,,both,1,EA,100,100,21.28839446,100,100,percent of total billed charges,73.57355257,,,,100,percent of total billed charges,77.986511,,,,100,percent of total billed charges,73.57355257,,,,100,percent of total billed charges,77.986511,,,,100,percent of total billed charges,999999999,,,,100,percent of total billed charges,76.19312704,,,,100,percent of total billed charges,73.57355257,,,,100,percent of total billed charges,77.986511,,,,71.3,percent of total billed charges,35.58000479,,,,71.3,percent of total billed charges,21.28839446,,,,71.3,percent of total billed charges,35.58000479,,,,71.3,percent of total billed charges,21.28839446,,,,71.3,percent of total billed charges,35.58000479,,,,71.3,percent of total billed charges,21.28839446,,,,70.6,percent of total billed charges,70.06433861,,,,70.6,percent of total billed charges,48.322819,,,,,,,,,,72,percent of total billed charges,46.79830569,,,,,,,,,,72,percent of total billed charges,999999999,,,,,,,,,,80,percent of total billed charges,67.03584146,,,,79,percent of total billed charges,76.23839976,,,,79,percent of total billed charges,67.35914979,,,,80,percent of total billed charges,999999999,,,,80,percent of total billed charges,999999999,,,,70,percent of total billed charges,999999999,,,,70,percent of total billed charges,999999999,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,25,percent of total billed charges,23.74388478,,,,,,,,,,25,percent of total billed charges,23.34892141,,,,,,,,,,25,percent of total billed charges,23.28403576,,,,,,,,,,25,percent of total billed charges,22.94117861,,,,,,,,,,25,percent of total billed charges,23.53148886,,,,,,,,,,25,percent of total billed charges,999999999,,,,,,,,,,25,percent of total billed charges,20.19167453,,,,,,,,,,25,percent of total billed charges,31.84366315,,,,,,,,,,25,percent of total billed charges,999999999,,,,,,,,,,25,percent of total billed charges,21.77156338,,,,,,,,,,90,percent of total billed charges,,,,,
OLOPATADINE 1% (PATANOL) OPHTH SOLN,637,RC,4612-2067-64,NDC,,both,1,EA,56.32,56.32,11.98962376,56.32,56.32,percent of total billed charges,41.43662481,,,,56.32,percent of total billed charges,43.922003,,,,56.32,percent of total billed charges,41.43662481,,,,56.32,percent of total billed charges,43.922003,,,,56.32,percent of total billed charges,999999999,,,,56.32,percent of total billed charges,42.91196915,,,,56.32,percent of total billed charges,41.43662481,,,,56.32,percent of total billed charges,43.922003,,,,40.15616,percent of total billed charges,20.0386587,,,,40.15616,percent of total billed charges,11.98962376,,,,40.15616,percent of total billed charges,20.0386587,,,,40.15616,percent of total billed charges,11.98962376,,,,40.15616,percent of total billed charges,20.0386587,,,,40.15616,percent of total billed charges,11.98962376,,,,39.76192,percent of total billed charges,39.4602355,,,,39.76192,percent of total billed charges,27.21541166,,,,,,,,,,40.5504,percent of total billed charges,26.35680576,,,,,,,,,,40.5504,percent of total billed charges,999999999,,,,,,,,,,45.056,percent of total billed charges,37.75458591,,,,44.4928,percent of total billed charges,42.93746674,,,,44.4928,percent of total billed charges,37.93667316,,,,45.056,percent of total billed charges,999999999,,,,45.056,percent of total billed charges,999999999,,,,39.424,percent of total billed charges,999999999,,,,39.424,percent of total billed charges,999999999,,,,,,,,,,,,,,,,29.96224,percent of total billed charges,999999999,,,,,,,,,,,,,,,,28.4416,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14.08,percent of total billed charges,13.37255591,,,,,,,,,,14.08,percent of total billed charges,13.15011254,,,,,,,,,,14.08,percent of total billed charges,13.11356894,,,,,,,,,,14.08,percent of total billed charges,12.92047179,,,,,,,,,,14.08,percent of total billed charges,13.25293453,,,,,,,,,,14.08,percent of total billed charges,999999999,,,,,,,,,,14.08,percent of total billed charges,11.3719511,,,,,,,,,,14.08,percent of total billed charges,17.93435109,,,,,,,,,,14.08,percent of total billed charges,999999999,,,,,,,,,,14.08,percent of total billed charges,12.26174449,,,,,,,,,,50.688,percent of total billed charges,,,,,
PRAZOSIN (MINIPRESS) 2 MG CAP,637,RC,0009-3406-01,NDC,,both,1,EA,5.54,5.54,1.179377053,5.54,5.54,percent of total billed charges,4.075974812,,,,5.54,percent of total billed charges,4.320452709,,,,5.54,percent of total billed charges,4.075974812,,,,5.54,percent of total billed charges,4.320452709,,,,5.54,percent of total billed charges,999999999,,,,5.54,percent of total billed charges,4.221099238,,,,5.54,percent of total billed charges,4.075974812,,,,5.54,percent of total billed charges,4.320452709,,,,3.95002,percent of total billed charges,1.971132266,,,,3.95002,percent of total billed charges,1.179377053,,,,3.95002,percent of total billed charges,1.971132266,,,,3.95002,percent of total billed charges,1.179377053,,,,3.95002,percent of total billed charges,1.971132266,,,,3.95002,percent of total billed charges,1.179377053,,,,3.91124,percent of total billed charges,3.881564359,,,,3.91124,percent of total billed charges,2.677084173,,,,,,,,,,3.9888,percent of total billed charges,2.592626135,,,,,,,,,,3.9888,percent of total billed charges,999999999,,,,,,,,,,4.432,percent of total billed charges,3.713785617,,,,4.3766,percent of total billed charges,4.223607347,,,,4.3766,percent of total billed charges,3.731696899,,,,4.432,percent of total billed charges,999999999,,,,4.432,percent of total billed charges,999999999,,,,3.878,percent of total billed charges,999999999,,,,3.878,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2.94728,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2.7977,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.385,percent of total billed charges,1.315411217,,,,,,,,,,1.385,percent of total billed charges,1.293530246,,,,,,,,,,1.385,percent of total billed charges,1.289935581,,,,,,,,,,1.385,percent of total billed charges,1.270941295,,,,,,,,,,1.385,percent of total billed charges,1.303644483,,,,,,,,,,1.385,percent of total billed charges,999999999,,,,,,,,,,1.385,percent of total billed charges,1.118618769,,,,,,,,,,1.385,percent of total billed charges,1.764138939,,,,,,,,,,1.385,percent of total billed charges,999999999,,,,,,,,,,1.385,percent of total billed charges,1.206144611,,,,,,,,,,4.986,percent of total billed charges,,,,,
PROMETHAZINE (PHENERGAN) 12.5MG SUPP,259,RC,0071-3053-12,NDC,,both,1,EA,35,35,7.450938062,35,35,percent of total billed charges,25.7507434,,,,35,percent of total billed charges,27.29527885,,,,35,percent of total billed charges,25.7507434,,,,35,percent of total billed charges,27.29527885,,,,35,percent of total billed charges,999999999,,,,35,percent of total billed charges,26.66759446,,,,35,percent of total billed charges,25.7507434,,,,35,percent of total billed charges,27.29527885,,,,24.955,percent of total billed charges,12.45300168,,,,24.955,percent of total billed charges,7.450938062,,,,24.955,percent of total billed charges,12.45300168,,,,24.955,percent of total billed charges,7.450938062,,,,24.955,percent of total billed charges,12.45300168,,,,24.955,percent of total billed charges,7.450938062,,,,24.71,percent of total billed charges,24.52251851,,,,24.71,percent of total billed charges,16.91298665,,,,,,,,,,25.2,percent of total billed charges,16.37940699,,,,,,,,,,25.2,percent of total billed charges,999999999,,,,,,,,,,28,percent of total billed charges,23.46254451,,,,27.65,percent of total billed charges,26.68343992,,,,27.65,percent of total billed charges,23.57570243,,,,28,percent of total billed charges,999999999,,,,28,percent of total billed charges,999999999,,,,24.5,percent of total billed charges,999999999,,,,24.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,18.62,percent of total billed charges,999999999,,,,,,,,,,,,,,,,17.675,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8.75,percent of total billed charges,8.310359672,,,,,,,,,,8.75,percent of total billed charges,8.172122493,,,,,,,,,,8.75,percent of total billed charges,8.149412515,,,,,,,,,,8.75,percent of total billed charges,8.029412515,,,,,,,,,,8.75,percent of total billed charges,8.236021103,,,,,,,,,,8.75,percent of total billed charges,999999999,,,,,,,,,,8.75,percent of total billed charges,7.067086087,,,,,,,,,,8.75,percent of total billed charges,11.1452821,,,,,,,,,,8.75,percent of total billed charges,999999999,,,,,,,,,,8.75,percent of total billed charges,7.620047182,,,,,,,,,,31.5,percent of total billed charges,,,,,
PSEUDOEPHEDRINE (SUDAFED) 60MG TAB,637,RC,0090-4672-52,NDC,,both,1,EA,0.5,0.5,0.106441972,0.5,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,999999999,,,,0.5,percent of total billed charges,0.380965635,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.353,percent of total billed charges,0.350321693,,,,0.353,percent of total billed charges,0.241614095,,,,,,,,,,0.36,percent of total billed charges,0.233991528,,,,,,,,,,0.36,percent of total billed charges,999999999,,,,,,,,,,0.4,percent of total billed charges,0.335179207,,,,0.395,percent of total billed charges,0.381191999,,,,0.395,percent of total billed charges,0.336795749,,,,0.4,percent of total billed charges,999999999,,,,0.4,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.266,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.2525,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.125,percent of total billed charges,0.118719424,,,,,,,,,,0.125,percent of total billed charges,0.116744607,,,,,,,,,,0.125,percent of total billed charges,0.116420179,,,,,,,,,,0.125,percent of total billed charges,0.114705893,,,,,,,,,,0.125,percent of total billed charges,0.117657444,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.100958373,,,,,,,,,,0.125,percent of total billed charges,0.159218316,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.108857817,,,,,,,,,,0.45,percent of total billed charges,,,,,
**PSEUDOEPHED(SUDAFED) SYRUP: 4 OZ,259,RC,0090-4672-52,NDC,,both,1,EA,28,28,5.960750449,28,28,percent of total billed charges,20.60059472,,,,28,percent of total billed charges,21.83622308,,,,28,percent of total billed charges,20.60059472,,,,28,percent of total billed charges,21.83622308,,,,28,percent of total billed charges,999999999,,,,28,percent of total billed charges,21.33407557,,,,28,percent of total billed charges,20.60059472,,,,28,percent of total billed charges,21.83622308,,,,19.964,percent of total billed charges,9.962401342,,,,19.964,percent of total billed charges,5.960750449,,,,19.964,percent of total billed charges,9.962401342,,,,19.964,percent of total billed charges,5.960750449,,,,19.964,percent of total billed charges,9.962401342,,,,19.964,percent of total billed charges,5.960750449,,,,19.768,percent of total billed charges,19.61801481,,,,19.768,percent of total billed charges,13.53038932,,,,,,,,,,20.16,percent of total billed charges,13.10352559,,,,,,,,,,20.16,percent of total billed charges,999999999,,,,,,,,,,22.4,percent of total billed charges,18.77003561,,,,22.12,percent of total billed charges,21.34675193,,,,22.12,percent of total billed charges,18.86056194,,,,22.4,percent of total billed charges,999999999,,,,22.4,percent of total billed charges,999999999,,,,19.6,percent of total billed charges,999999999,,,,19.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,14.896,percent of total billed charges,999999999,,,,,,,,,,,,,,,,14.14,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7,percent of total billed charges,6.648287737,,,,,,,,,,7,percent of total billed charges,6.537697995,,,,,,,,,,7,percent of total billed charges,6.519530012,,,,,,,,,,7,percent of total billed charges,6.423530012,,,,,,,,,,7,percent of total billed charges,6.588816882,,,,,,,,,,7,percent of total billed charges,999999999,,,,,,,,,,7,percent of total billed charges,5.65366887,,,,,,,,,,7,percent of total billed charges,8.916225683,,,,,,,,,,7,percent of total billed charges,999999999,,,,,,,,,,7,percent of total billed charges,6.096037745,,,,,,,,,,25.2,percent of total billed charges,,,,,
pyRIDostigmine (MESTINON) LA 180MG TAB,259,RC,0018-7301-30,NDC,,both,1,EA,24,24,5.109214671,24,24,percent of total billed charges,17.65765262,,,,24,percent of total billed charges,18.71676264,,,,24,percent of total billed charges,17.65765262,,,,24,percent of total billed charges,18.71676264,,,,24,percent of total billed charges,999999999,,,,24,percent of total billed charges,18.28635049,,,,24,percent of total billed charges,17.65765262,,,,24,percent of total billed charges,18.71676264,,,,17.112,percent of total billed charges,8.53920115,,,,17.112,percent of total billed charges,5.109214671,,,,17.112,percent of total billed charges,8.53920115,,,,17.112,percent of total billed charges,5.109214671,,,,17.112,percent of total billed charges,8.53920115,,,,17.112,percent of total billed charges,5.109214671,,,,16.944,percent of total billed charges,16.81544127,,,,16.944,percent of total billed charges,11.59747656,,,,,,,,,,17.28,percent of total billed charges,11.23159337,,,,,,,,,,17.28,percent of total billed charges,999999999,,,,,,,,,,19.2,percent of total billed charges,16.08860195,,,,18.96,percent of total billed charges,18.29721594,,,,18.96,percent of total billed charges,16.16619595,,,,19.2,percent of total billed charges,999999999,,,,19.2,percent of total billed charges,999999999,,,,16.8,percent of total billed charges,999999999,,,,16.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,12.768,percent of total billed charges,999999999,,,,,,,,,,,,,,,,12.12,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6,percent of total billed charges,5.698532346,,,,,,,,,,6,percent of total billed charges,5.603741138,,,,,,,,,,6,percent of total billed charges,5.588168582,,,,,,,,,,6,percent of total billed charges,5.505882867,,,,,,,,,,6,percent of total billed charges,5.647557328,,,,,,,,,,6,percent of total billed charges,999999999,,,,,,,,,,6,percent of total billed charges,4.846001888,,,,,,,,,,6,percent of total billed charges,7.642479156,,,,,,,,,,6,percent of total billed charges,999999999,,,,,,,,,,6,percent of total billed charges,5.22517521,,,,,,,,,,21.6,percent of total billed charges,,,,,
RALOXIFENE (EVISTA) 60MG TAB,250,RC,6909-7082-02,NDC,,both,1,EA,7.8,7.8,1.660494768,7.8,7.8,percent of total billed charges,5.738737101,,,,7.8,percent of total billed charges,6.082947858,,,,7.8,percent of total billed charges,5.738737101,,,,7.8,percent of total billed charges,6.082947858,,,,7.8,percent of total billed charges,999999999,,,,7.8,percent of total billed charges,5.943063909,,,,7.8,percent of total billed charges,5.738737101,,,,7.8,percent of total billed charges,6.082947858,,,,5.5614,percent of total billed charges,2.775240374,,,,5.5614,percent of total billed charges,1.660494768,,,,5.5614,percent of total billed charges,2.775240374,,,,5.5614,percent of total billed charges,1.660494768,,,,5.5614,percent of total billed charges,2.775240374,,,,5.5614,percent of total billed charges,1.660494768,,,,5.5068,percent of total billed charges,5.465018411,,,,5.5068,percent of total billed charges,3.769179882,,,,,,,,,,5.616,percent of total billed charges,3.650267844,,,,,,,,,,5.616,percent of total billed charges,999999999,,,,,,,,,,6.24,percent of total billed charges,5.228795634,,,,6.162,percent of total billed charges,5.946595181,,,,6.162,percent of total billed charges,5.254013684,,,,6.24,percent of total billed charges,999999999,,,,6.24,percent of total billed charges,999999999,,,,5.46,percent of total billed charges,999999999,,,,5.46,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.1496,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.939,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.95,percent of total billed charges,1.852023013,,,,,,,,,,1.95,percent of total billed charges,1.82121587,,,,,,,,,,1.95,percent of total billed charges,1.816154789,,,,,,,,,,1.95,percent of total billed charges,1.789411932,,,,,,,,,,1.95,percent of total billed charges,1.835456131,,,,,,,,,,1.95,percent of total billed charges,999999999,,,,,,,,,,1.95,percent of total billed charges,1.574950614,,,,,,,,,,1.95,percent of total billed charges,2.483805726,,,,,,,,,,1.95,percent of total billed charges,999999999,,,,,,,,,,1.95,percent of total billed charges,1.698181943,,,,,,,,,,7.02,percent of total billed charges,,,,,
**raNITIdine (ZANTAC)150 MG CAPSULE,637,RC,5374-6025-01,NDC,,both,1,EA,0.59,0.59,0.125601527,0.59,0.59,percent of total billed charges,0.43408396,,,,0.59,percent of total billed charges,0.460120415,,,,0.59,percent of total billed charges,0.43408396,,,,0.59,percent of total billed charges,0.460120415,,,,0.59,percent of total billed charges,999999999,,,,0.59,percent of total billed charges,0.44953945,,,,0.59,percent of total billed charges,0.43408396,,,,0.59,percent of total billed charges,0.460120415,,,,0.42067,percent of total billed charges,0.209922028,,,,0.42067,percent of total billed charges,0.125601527,,,,0.42067,percent of total billed charges,0.209922028,,,,0.42067,percent of total billed charges,0.125601527,,,,0.42067,percent of total billed charges,0.209922028,,,,0.42067,percent of total billed charges,0.125601527,,,,0.41654,percent of total billed charges,0.413379598,,,,0.41654,percent of total billed charges,0.285104632,,,,,,,,,,0.4248,percent of total billed charges,0.276110004,,,,,,,,,,0.4248,percent of total billed charges,999999999,,,,,,,,,,0.472,percent of total billed charges,0.395511465,,,,0.4661,percent of total billed charges,0.449806559,,,,0.4661,percent of total billed charges,0.397418984,,,,0.472,percent of total billed charges,999999999,,,,0.472,percent of total billed charges,999999999,,,,0.413,percent of total billed charges,999999999,,,,0.413,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.31388,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.29795,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.1475,percent of total billed charges,0.14008892,,,,,,,,,,0.1475,percent of total billed charges,0.137758636,,,,,,,,,,0.1475,percent of total billed charges,0.137375811,,,,,,,,,,0.1475,percent of total billed charges,0.135352954,,,,,,,,,,0.1475,percent of total billed charges,0.138835784,,,,,,,,,,0.1475,percent of total billed charges,999999999,,,,,,,,,,0.1475,percent of total billed charges,0.11913088,,,,,,,,,,0.1475,percent of total billed charges,0.187877613,,,,,,,,,,0.1475,percent of total billed charges,999999999,,,,,,,,,,0.1475,percent of total billed charges,0.128452224,,,,,,,,,,0.531,percent of total billed charges,,,,,
**SENNA (SENOKOT) SYRUP: 240 ML,259,RC,0090-4545-09,NDC,,both,1,EA,17,17,3.619027059,17,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,17,percent of total billed charges,999999999,,,,17,percent of total billed charges,12.9528316,,,,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.002,percent of total billed charges,11.91093756,,,,12.002,percent of total billed charges,8.214879231,,,,,,,,,,12.24,percent of total billed charges,7.955711967,,,,,,,,,,12.24,percent of total billed charges,999999999,,,,,,,,,,13.6,percent of total billed charges,11.39609305,,,,13.43,percent of total billed charges,12.96052796,,,,13.43,percent of total billed charges,11.45105547,,,,13.6,percent of total billed charges,999999999,,,,13.6,percent of total billed charges,999999999,,,,11.9,percent of total billed charges,999999999,,,,11.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.044,percent of total billed charges,999999999,,,,,,,,,,,,,,,,8.585,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4.25,percent of total billed charges,4.036460412,,,,,,,,,,4.25,percent of total billed charges,3.96931664,,,,,,,,,,4.25,percent of total billed charges,3.958286079,,,,,,,,,,4.25,percent of total billed charges,3.900000364,,,,,,,,,,4.25,percent of total billed charges,4.000353107,,,,,,,,,,4.25,percent of total billed charges,999999999,,,,,,,,,,4.25,percent of total billed charges,3.432584671,,,,,,,,,,4.25,percent of total billed charges,5.413422736,,,,,,,,,,4.25,percent of total billed charges,999999999,,,,,,,,,,4.25,percent of total billed charges,3.701165774,,,,,,,,,,15.3,percent of total billed charges,,,,,
SERTRALINE (ZOLOFT) 100MG TAB,637,RC,5976-2491-03,NDC,,both,1,EA,1.42,1.42,0.302295201,1.42,1.42,percent of total billed charges,1.044744447,,,,1.42,percent of total billed charges,1.107408456,,,,1.42,percent of total billed charges,1.044744447,,,,1.42,percent of total billed charges,1.107408456,,,,1.42,percent of total billed charges,999999999,,,,1.42,percent of total billed charges,1.081942404,,,,1.42,percent of total billed charges,1.044744447,,,,1.42,percent of total billed charges,1.107408456,,,,1.01246,percent of total billed charges,0.505236068,,,,1.01246,percent of total billed charges,0.302295201,,,,1.01246,percent of total billed charges,0.505236068,,,,1.01246,percent of total billed charges,0.302295201,,,,1.01246,percent of total billed charges,0.505236068,,,,1.01246,percent of total billed charges,0.302295201,,,,1.00252,percent of total billed charges,0.994913608,,,,1.00252,percent of total billed charges,0.68618403,,,,,,,,,,1.0224,percent of total billed charges,0.664535941,,,,,,,,,,1.0224,percent of total billed charges,999999999,,,,,,,,,,1.136,percent of total billed charges,0.951908949,,,,1.1218,percent of total billed charges,1.082585277,,,,1.1218,percent of total billed charges,0.956499927,,,,1.136,percent of total billed charges,999999999,,,,1.136,percent of total billed charges,999999999,,,,0.994,percent of total billed charges,999999999,,,,0.994,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.75544,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.7171,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.355,percent of total billed charges,0.337163164,,,,,,,,,,0.355,percent of total billed charges,0.331554684,,,,,,,,,,0.355,percent of total billed charges,0.330633308,,,,,,,,,,0.355,percent of total billed charges,0.325764736,,,,,,,,,,0.355,percent of total billed charges,0.334147142,,,,,,,,,,0.355,percent of total billed charges,999999999,,,,,,,,,,0.355,percent of total billed charges,0.286721778,,,,,,,,,,0.355,percent of total billed charges,0.452180017,,,,,,,,,,0.355,percent of total billed charges,999999999,,,,,,,,,,0.355,percent of total billed charges,0.3091562,,,,,,,,,,1.278,percent of total billed charges,,,,,
TOBRAMYCIN/DEXAMETHASONE OPTH OINT,250,RC,0006-5064-35,NDC,,both,1,EA,448.62,448.62,95.50399524,448.62,448.62,percent of total billed charges,330.0656715,,,,448.62,percent of total billed charges,349.8630857,,,,448.62,percent of total billed charges,330.0656715,,,,448.62,percent of total billed charges,349.8630857,,,,448.62,percent of total billed charges,999999999,,,,448.62,percent of total billed charges,341.8176065,,,,448.62,percent of total billed charges,330.0656715,,,,448.62,percent of total billed charges,349.8630857,,,,319.86606,percent of total billed charges,159.6190175,,,,319.86606,percent of total billed charges,95.50399524,,,,319.86606,percent of total billed charges,159.6190175,,,,319.86606,percent of total billed charges,95.50399524,,,,319.86606,percent of total billed charges,159.6190175,,,,319.86606,percent of total billed charges,95.50399524,,,,316.72572,percent of total billed charges,314.3226359,,,,316.72572,percent of total billed charges,216.7858306,,,,,,,,,,323.0064,percent of total billed charges,209.946559,,,,,,,,,,323.0064,percent of total billed charges,999999999,,,,,,,,,,358.896,percent of total billed charges,300.736192,,,,354.4098,percent of total billed charges,342.020709,,,,354.4098,percent of total billed charges,302.1866178,,,,358.896,percent of total billed charges,999999999,,,,358.896,percent of total billed charges,999999999,,,,314.034,percent of total billed charges,999999999,,,,314.034,percent of total billed charges,999999999,,,,,,,,,,,,,,,,238.66584,percent of total billed charges,999999999,,,,,,,,,,,,,,,,226.5531,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,112.155,percent of total billed charges,106.5198159,,,,,,,,,,112.155,percent of total billed charges,104.7479312,,,,,,,,,,112.155,percent of total billed charges,104.4568412,,,,,,,,,,112.155,percent of total billed charges,102.9187155,,,,,,,,,,112.155,percent of total billed charges,105.5669653,,,,,,,,,,112.155,percent of total billed charges,999999999,,,,,,,,,,112.155,percent of total billed charges,90.5838903,,,,,,,,,,112.155,percent of total billed charges,142.8570416,,,,,,,,,,112.155,percent of total billed charges,999999999,,,,,,,,,,112.155,percent of total billed charges,97.67158762,,,,,,,,,,403.758,percent of total billed charges,,,,,
TRIAMCINOLONE CREAM 0.1% 80 GM,637,RC,0071-3022-80,NDC,,both,1,EA,57.12,57.12,12.15993092,57.12,57.12,percent of total billed charges,42.02521323,,,,57.12,percent of total billed charges,44.54589508,,,,57.12,percent of total billed charges,42.02521323,,,,57.12,percent of total billed charges,44.54589508,,,,57.12,percent of total billed charges,999999999,,,,57.12,percent of total billed charges,43.52151417,,,,57.12,percent of total billed charges,42.02521323,,,,57.12,percent of total billed charges,44.54589508,,,,40.72656,percent of total billed charges,20.32329874,,,,40.72656,percent of total billed charges,12.15993092,,,,40.72656,percent of total billed charges,20.32329874,,,,40.72656,percent of total billed charges,12.15993092,,,,40.72656,percent of total billed charges,20.32329874,,,,40.72656,percent of total billed charges,12.15993092,,,,40.32672,percent of total billed charges,40.02075021,,,,40.32672,percent of total billed charges,27.60199422,,,,,,,,,,41.1264,percent of total billed charges,26.73119221,,,,,,,,,,41.1264,percent of total billed charges,999999999,,,,,,,,,,45.696,percent of total billed charges,38.29087264,,,,45.1248,percent of total billed charges,43.54737394,,,,45.1248,percent of total billed charges,38.47554636,,,,45.696,percent of total billed charges,999999999,,,,45.696,percent of total billed charges,999999999,,,,39.984,percent of total billed charges,999999999,,,,39.984,percent of total billed charges,999999999,,,,,,,,,,,,,,,,30.38784,percent of total billed charges,999999999,,,,,,,,,,,,,,,,28.8456,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14.28,percent of total billed charges,13.56250698,,,,,,,,,,14.28,percent of total billed charges,13.33690391,,,,,,,,,,14.28,percent of total billed charges,13.29984122,,,,,,,,,,14.28,percent of total billed charges,13.10400122,,,,,,,,,,14.28,percent of total billed charges,13.44118644,,,,,,,,,,14.28,percent of total billed charges,999999999,,,,,,,,,,14.28,percent of total billed charges,11.53348449,,,,,,,,,,14.28,percent of total billed charges,18.18910039,,,,,,,,,,14.28,percent of total billed charges,999999999,,,,,,,,,,14.28,percent of total billed charges,12.435917,,,,,,,,,,51.408,percent of total billed charges,,,,,
**TRIAMCINOLONE CREAM 0.1% 80MG,259,RC,0016-8000-80,NDC,,both,1,EA,27,27,5.747866505,27,27,percent of total billed charges,19.86485919,,,,27,percent of total billed charges,21.05635797,,,,27,percent of total billed charges,19.86485919,,,,27,percent of total billed charges,21.05635797,,,,27,percent of total billed charges,999999999,,,,27,percent of total billed charges,20.5721443,,,,27,percent of total billed charges,19.86485919,,,,27,percent of total billed charges,21.05635797,,,,19.251,percent of total billed charges,9.606601294,,,,19.251,percent of total billed charges,5.747866505,,,,19.251,percent of total billed charges,9.606601294,,,,19.251,percent of total billed charges,5.747866505,,,,19.251,percent of total billed charges,9.606601294,,,,19.251,percent of total billed charges,5.747866505,,,,19.062,percent of total billed charges,18.91737142,,,,19.062,percent of total billed charges,13.04716113,,,,,,,,,,19.44,percent of total billed charges,12.63554254,,,,,,,,,,19.44,percent of total billed charges,999999999,,,,,,,,,,21.6,percent of total billed charges,18.09967719,,,,21.33,percent of total billed charges,20.58436793,,,,21.33,percent of total billed charges,18.18697044,,,,21.6,percent of total billed charges,999999999,,,,21.6,percent of total billed charges,999999999,,,,18.9,percent of total billed charges,999999999,,,,18.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,14.364,percent of total billed charges,999999999,,,,,,,,,,,,,,,,13.635,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6.75,percent of total billed charges,6.41084889,,,,,,,,,,6.75,percent of total billed charges,6.30420878,,,,,,,,,,6.75,percent of total billed charges,6.286689654,,,,,,,,,,6.75,percent of total billed charges,6.194118226,,,,,,,,,,6.75,percent of total billed charges,6.353501993,,,,,,,,,,6.75,percent of total billed charges,999999999,,,,,,,,,,6.75,percent of total billed charges,5.451752124,,,,,,,,,,6.75,percent of total billed charges,8.597789051,,,,,,,,,,6.75,percent of total billed charges,999999999,,,,,,,,,,6.75,percent of total billed charges,5.878322112,,,,,,,,,,24.3,percent of total billed charges,,,,,
**TRIMETHOBENZAMIDE (TIGAN) 250MG: CAP,250,RC,5295-9022-10,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
VITAMIN D  400 UNIT CAP,250,RC,1184-5011-31,NDC,,both,1,EA,0.89,0.89,0.189466711,0.89,0.89,percent of total billed charges,0.654804618,,,,0.89,percent of total billed charges,0.694079948,,,,0.89,percent of total billed charges,0.654804618,,,,0.89,percent of total billed charges,0.694079948,,,,0.89,percent of total billed charges,999999999,,,,0.89,percent of total billed charges,0.678118831,,,,0.89,percent of total billed charges,0.654804618,,,,0.89,percent of total billed charges,0.694079948,,,,0.63457,percent of total billed charges,0.316662043,,,,0.63457,percent of total billed charges,0.189466711,,,,0.63457,percent of total billed charges,0.316662043,,,,0.63457,percent of total billed charges,0.189466711,,,,0.63457,percent of total billed charges,0.316662043,,,,0.63457,percent of total billed charges,0.189466711,,,,0.62834,percent of total billed charges,0.623572614,,,,0.62834,percent of total billed charges,0.430073089,,,,,,,,,,0.6408,percent of total billed charges,0.416504921,,,,,,,,,,0.6408,percent of total billed charges,999999999,,,,,,,,,,0.712,percent of total billed charges,0.596618989,,,,0.7031,percent of total billed charges,0.678521758,,,,0.7031,percent of total billed charges,0.599496433,,,,0.712,percent of total billed charges,999999999,,,,0.712,percent of total billed charges,999999999,,,,0.623,percent of total billed charges,999999999,,,,0.623,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.47348,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.44945,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.2225,percent of total billed charges,0.211320575,,,,,,,,,,0.2225,percent of total billed charges,0.207805401,,,,,,,,,,0.2225,percent of total billed charges,0.207227918,,,,,,,,,,0.2225,percent of total billed charges,0.20417649,,,,,,,,,,0.2225,percent of total billed charges,0.209430251,,,,,,,,,,0.2225,percent of total billed charges,999999999,,,,,,,,,,0.2225,percent of total billed charges,0.179705903,,,,,,,,,,0.2225,percent of total billed charges,0.283408602,,,,,,,,,,0.2225,percent of total billed charges,999999999,,,,,,,,,,0.2225,percent of total billed charges,0.193766914,,,,,,,,,,0.801,percent of total billed charges,,,,,
FERRIC GLUCONATE: 62.5MG/5ML INJ,J2916,CDM,0002-4279-10,NDC,,both,1,EA,305.4,305.4,65.01475669,305.4,305.4,percent of total billed charges,224.6936296,,,,305.4,percent of total billed charges,238.1708046,,,,305.4,percent of total billed charges,224.6936296,,,,305.4,percent of total billed charges,238.1708046,,,,305.4,percent of total billed charges,999999999,,,,305.4,percent of total billed charges,232.69381,,,,305.4,percent of total billed charges,224.6936296,,,,305.4,percent of total billed charges,238.1708046,,,,217.7502,percent of total billed charges,108.6613346,,,,217.7502,percent of total billed charges,65.01475669,,,,217.7502,percent of total billed charges,108.6613346,,,,217.7502,percent of total billed charges,65.01475669,,,,217.7502,percent of total billed charges,108.6613346,,,,217.7502,percent of total billed charges,65.01475669,,,,215.6124,percent of total billed charges,213.9764901,,,,215.6124,percent of total billed charges,147.5778892,,,,,,,,,,219.888,percent of total billed charges,142.9220256,,,,,,,,,,219.888,percent of total billed charges,999999999,,,,,,,,,,244.32,percent of total billed charges,204.7274598,,,,241.266,percent of total billed charges,232.8320729,,,,241.266,percent of total billed charges,205.7148435,,,,244.32,percent of total billed charges,999999999,,,,244.32,percent of total billed charges,999999999,,,,213.78,percent of total billed charges,999999999,,,,213.78,percent of total billed charges,999999999,,,,,,,,,,,,,,,,162.4728,percent of total billed charges,999999999,,,,,,,,,,,,,,,,154.227,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,76.35,percent of total billed charges,72.51382411,,,,,,,,,,76.35,percent of total billed charges,71.30760598,,,,,,,,,,76.35,percent of total billed charges,71.1094452,,,,,,,,,,76.35,percent of total billed charges,70.06235948,,,,,,,,,,76.35,percent of total billed charges,71.86516699,,,,,,,,,,76.35,percent of total billed charges,999999999,,,,,,,,,,76.35,percent of total billed charges,61.66537403,,,,,,,,,,76.35,percent of total billed charges,97.25054727,,,,,,,,,,76.35,percent of total billed charges,999999999,,,,,,,,,,76.35,percent of total billed charges,66.49035455,,,,,,,,,,274.86,percent of total billed charges,,,,,
TERBUTALINE (BRETHINE) 1MG/ML INJ,J3105,CDM,6332-3066-01,NDC,,both,1,EA,20.62,20.62,4.389666938,20.62,20.62,percent of total billed charges,15.17086654,,,,20.62,percent of total billed charges,16.08081857,,,,20.62,percent of total billed charges,15.17086654,,,,20.62,percent of total billed charges,16.08081857,,,,20.62,percent of total billed charges,999999999,,,,20.62,percent of total billed charges,15.7110228,,,,20.62,percent of total billed charges,15.17086654,,,,20.62,percent of total billed charges,16.08081857,,,,14.70206,percent of total billed charges,7.336596988,,,,14.70206,percent of total billed charges,4.389666938,,,,14.70206,percent of total billed charges,7.336596988,,,,14.70206,percent of total billed charges,4.389666938,,,,14.70206,percent of total billed charges,7.336596988,,,,14.70206,percent of total billed charges,4.389666938,,,,14.55772,percent of total billed charges,14.44726662,,,,14.55772,percent of total billed charges,9.964165279,,,,,,,,,,14.8464,percent of total billed charges,9.649810633,,,,,,,,,,14.8464,percent of total billed charges,999999999,,,,,,,,,,16.496,percent of total billed charges,13.82279051,,,,16.2898,percent of total billed charges,15.72035803,,,,16.2898,percent of total billed charges,13.88945669,,,,16.496,percent of total billed charges,999999999,,,,16.496,percent of total billed charges,999999999,,,,14.434,percent of total billed charges,999999999,,,,14.434,percent of total billed charges,999999999,,,,,,,,,,,,,,,,10.96984,percent of total billed charges,999999999,,,,,,,,,,,,,,,,10.4131,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5.155,percent of total billed charges,4.895989041,,,,,,,,,,5.155,percent of total billed charges,4.814547595,,,,,,,,,,5.155,percent of total billed charges,4.801168173,,,,,,,,,,5.155,percent of total billed charges,4.73047103,,,,,,,,,,5.155,percent of total billed charges,4.852193004,,,,,,,,,,5.155,percent of total billed charges,999999999,,,,,,,,,,5.155,percent of total billed charges,4.163523289,,,,,,,,,,5.155,percent of total billed charges,6.566163342,,,,,,,,,,5.155,percent of total billed charges,999999999,,,,,,,,,,5.155,percent of total billed charges,4.489296368,,,,,,,,,,18.558,percent of total billed charges,,,,,
**BLOOD GLUCOSE MONITORING,258,RC,9999-9999-99,NDC,,both,1,EA,11,11,2.341723391,11,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,11,percent of total billed charges,999999999,,,,11,percent of total billed charges,8.381243975,,,,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.766,percent of total billed charges,7.707077247,,,,7.766,percent of total billed charges,5.31551009,,,,,,,,,,7.92,percent of total billed charges,5.147813626,,,,,,,,,,7.92,percent of total billed charges,999999999,,,,,,,,,,8.8,percent of total billed charges,7.373942561,,,,8.69,percent of total billed charges,8.386223973,,,,8.69,percent of total billed charges,7.409506477,,,,8.8,percent of total billed charges,999999999,,,,8.8,percent of total billed charges,999999999,,,,7.7,percent of total billed charges,999999999,,,,7.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.852,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.555,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.75,percent of total billed charges,2.611827325,,,,,,,,,,2.75,percent of total billed charges,2.568381355,,,,,,,,,,2.75,percent of total billed charges,2.561243933,,,,,,,,,,2.75,percent of total billed charges,2.523529647,,,,,,,,,,2.75,percent of total billed charges,2.588463775,,,,,,,,,,2.75,percent of total billed charges,999999999,,,,,,,,,,2.75,percent of total billed charges,2.221084199,,,,,,,,,,2.75,percent of total billed charges,3.502802947,,,,,,,,,,2.75,percent of total billed charges,999999999,,,,,,,,,,2.75,percent of total billed charges,2.394871971,,,,,,,,,,9.9,percent of total billed charges,,,,,
**ERYTHROMYCIN(ERYTHROCIN) 500 MG TAB:,259,RC,0007-4622-13,NDC,,both,1,EA,17,17,3.619027059,17,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,17,percent of total billed charges,999999999,,,,17,percent of total billed charges,12.9528316,,,,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.002,percent of total billed charges,11.91093756,,,,12.002,percent of total billed charges,8.214879231,,,,,,,,,,12.24,percent of total billed charges,7.955711967,,,,,,,,,,12.24,percent of total billed charges,999999999,,,,,,,,,,13.6,percent of total billed charges,11.39609305,,,,13.43,percent of total billed charges,12.96052796,,,,13.43,percent of total billed charges,11.45105547,,,,13.6,percent of total billed charges,999999999,,,,13.6,percent of total billed charges,999999999,,,,11.9,percent of total billed charges,999999999,,,,11.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.044,percent of total billed charges,999999999,,,,,,,,,,,,,,,,8.585,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4.25,percent of total billed charges,4.036460412,,,,,,,,,,4.25,percent of total billed charges,3.96931664,,,,,,,,,,4.25,percent of total billed charges,3.958286079,,,,,,,,,,4.25,percent of total billed charges,3.900000364,,,,,,,,,,4.25,percent of total billed charges,4.000353107,,,,,,,,,,4.25,percent of total billed charges,999999999,,,,,,,,,,4.25,percent of total billed charges,3.432584671,,,,,,,,,,4.25,percent of total billed charges,5.413422736,,,,,,,,,,4.25,percent of total billed charges,999999999,,,,,,,,,,4.25,percent of total billed charges,3.701165774,,,,,,,,,,15.3,percent of total billed charges,,,,,
PHENYTOIN (DILANTIN) INJ 100MG/ 2ML,J1165,CDM,0064-1049-25,NDC,,both,1,EA,19.4,19.4,4.129948526,19.4,19.4,percent of total billed charges,14.2732692,,,,19.4,percent of total billed charges,15.12938313,,,,19.4,percent of total billed charges,14.2732692,,,,19.4,percent of total billed charges,15.12938313,,,,19.4,percent of total billed charges,999999999,,,,19.4,percent of total billed charges,14.78146665,,,,19.4,percent of total billed charges,14.2732692,,,,19.4,percent of total billed charges,15.12938313,,,,13.8322,percent of total billed charges,6.90252093,,,,13.8322,percent of total billed charges,4.129948526,,,,13.8322,percent of total billed charges,6.90252093,,,,13.8322,percent of total billed charges,4.129948526,,,,13.8322,percent of total billed charges,6.90252093,,,,13.8322,percent of total billed charges,4.129948526,,,,13.6964,percent of total billed charges,13.59248169,,,,13.6964,percent of total billed charges,9.374626887,,,,,,,,,,13.968,percent of total billed charges,9.078871303,,,,,,,,,,13.968,percent of total billed charges,999999999,,,,,,,,,,15.52,percent of total billed charges,13.00495324,,,,15.326,percent of total billed charges,14.79024955,,,,15.326,percent of total billed charges,13.06767506,,,,15.52,percent of total billed charges,999999999,,,,15.52,percent of total billed charges,999999999,,,,13.58,percent of total billed charges,999999999,,,,13.58,percent of total billed charges,999999999,,,,,,,,,,,,,,,,10.3208,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.797,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4.85,percent of total billed charges,4.606313647,,,,,,,,,,4.85,percent of total billed charges,4.529690753,,,,,,,,,,4.85,percent of total billed charges,4.517102937,,,,,,,,,,4.85,percent of total billed charges,4.450588651,,,,,,,,,,4.85,percent of total billed charges,4.56510884,,,,,,,,,,4.85,percent of total billed charges,999999999,,,,,,,,,,4.85,percent of total billed charges,3.91718486,,,,,,,,,,4.85,percent of total billed charges,6.177670651,,,,,,,,,,4.85,percent of total billed charges,999999999,,,,,,,,,,4.85,percent of total billed charges,4.223683295,,,,,,,,,,17.46,percent of total billed charges,,,,,
**PROMETHAZINE SYRUP 6.25 MG/5ML U/D,259,RC,6043-2060-04,NDC,,both,1,EA,7,7,1.490187612,7,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,7,percent of total billed charges,999999999,,,,7,percent of total billed charges,5.333518893,,,,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.942,percent of total billed charges,4.904503703,,,,4.942,percent of total billed charges,3.38259733,,,,,,,,,,5.04,percent of total billed charges,3.275881398,,,,,,,,,,5.04,percent of total billed charges,999999999,,,,,,,,,,5.6,percent of total billed charges,4.692508902,,,,5.53,percent of total billed charges,5.336687983,,,,5.53,percent of total billed charges,4.715140486,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,4.9,percent of total billed charges,999999999,,,,4.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.724,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.535,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.75,percent of total billed charges,1.662071934,,,,,,,,,,1.75,percent of total billed charges,1.634424499,,,,,,,,,,1.75,percent of total billed charges,1.629882503,,,,,,,,,,1.75,percent of total billed charges,1.605882503,,,,,,,,,,1.75,percent of total billed charges,1.647204221,,,,,,,,,,1.75,percent of total billed charges,999999999,,,,,,,,,,1.75,percent of total billed charges,1.413417217,,,,,,,,,,1.75,percent of total billed charges,2.229056421,,,,,,,,,,1.75,percent of total billed charges,999999999,,,,,,,,,,1.75,percent of total billed charges,1.524009436,,,,,,,,,,6.3,percent of total billed charges,,,,,
**LABETOLOL (TRANDATE) 100 MG TAB,250,RC,0017-2436-60,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
INSULIN DRIP 100 UNITS/100ML:COMPOUNDED,J1815,CDM,0000-2821-01,NDC,,both,1,EA,69.17,69.17,14.72518245,69.17,69.17,percent of total billed charges,50.89082631,,,,69.17,percent of total billed charges,53.94326966,,,,69.17,percent of total billed charges,50.89082631,,,,69.17,percent of total billed charges,53.94326966,,,,69.17,percent of total billed charges,999999999,,,,69.17,percent of total billed charges,52.70278598,,,,69.17,percent of total billed charges,50.89082631,,,,69.17,percent of total billed charges,53.94326966,,,,49.31821,percent of total billed charges,24.61068932,,,,49.31821,percent of total billed charges,14.72518245,,,,49.31821,percent of total billed charges,24.61068932,,,,49.31821,percent of total billed charges,14.72518245,,,,49.31821,percent of total billed charges,24.61068932,,,,49.31821,percent of total billed charges,14.72518245,,,,48.83402,percent of total billed charges,48.46350301,,,,48.83402,percent of total billed charges,33.42489391,,,,,,,,,,49.8024,percent of total billed charges,32.37038804,,,,,,,,,,49.8024,percent of total billed charges,999999999,,,,,,,,,,55.336,percent of total billed charges,46.36869154,,,,54.6443,percent of total billed charges,52.73410111,,,,54.6443,percent of total billed charges,46.59232391,,,,55.336,percent of total billed charges,999999999,,,,55.336,percent of total billed charges,999999999,,,,48.419,percent of total billed charges,999999999,,,,48.419,percent of total billed charges,999999999,,,,,,,,,,,,,,,,36.79844,percent of total billed charges,999999999,,,,,,,,,,,,,,,,34.93085,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17.2925,percent of total billed charges,16.4236451,,,,,,,,,,17.2925,percent of total billed charges,16.15044894,,,,,,,,,,17.2925,percent of total billed charges,16.10556753,,,,,,,,,,17.2925,percent of total billed charges,15.86841325,,,,,,,,,,17.2925,percent of total billed charges,16.27673085,,,,,,,,,,17.2925,percent of total billed charges,999999999,,,,,,,,,,17.2925,percent of total billed charges,13.96658128,,,,,,,,,,17.2925,percent of total billed charges,22.0262618,,,,,,,,,,17.2925,percent of total billed charges,999999999,,,,,,,,,,17.2925,percent of total billed charges,15.05939039,,,,,,,,,,62.253,percent of total billed charges,,,,,
**AMOX/CLAV (AUGMENTIN) 400MG/5ML 5ML UD,259,RC,6668-5101-00,NDC,,both,1,EA,7,7,1.490187612,7,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,7,percent of total billed charges,999999999,,,,7,percent of total billed charges,5.333518893,,,,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.942,percent of total billed charges,4.904503703,,,,4.942,percent of total billed charges,3.38259733,,,,,,,,,,5.04,percent of total billed charges,3.275881398,,,,,,,,,,5.04,percent of total billed charges,999999999,,,,,,,,,,5.6,percent of total billed charges,4.692508902,,,,5.53,percent of total billed charges,5.336687983,,,,5.53,percent of total billed charges,4.715140486,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,4.9,percent of total billed charges,999999999,,,,4.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.724,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.535,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.75,percent of total billed charges,1.662071934,,,,,,,,,,1.75,percent of total billed charges,1.634424499,,,,,,,,,,1.75,percent of total billed charges,1.629882503,,,,,,,,,,1.75,percent of total billed charges,1.605882503,,,,,,,,,,1.75,percent of total billed charges,1.647204221,,,,,,,,,,1.75,percent of total billed charges,999999999,,,,,,,,,,1.75,percent of total billed charges,1.413417217,,,,,,,,,,1.75,percent of total billed charges,2.229056421,,,,,,,,,,1.75,percent of total billed charges,999999999,,,,,,,,,,1.75,percent of total billed charges,1.524009436,,,,,,,,,,6.3,percent of total billed charges,,,,,
AZITHROMYCIN 200MG/5ML: 5ML UD,259,RC,5976-2314-01,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
**CLARITHROMYCIN (BIAXIN SUSP) 250 MG/5M,259,RC,0007-4318-50,NDC,,both,1,EA,21,21,4.470562837,21,21,percent of total billed charges,15.45044604,,,,21,percent of total billed charges,16.37716731,,,,21,percent of total billed charges,15.45044604,,,,21,percent of total billed charges,16.37716731,,,,21,percent of total billed charges,999999999,,,,21,percent of total billed charges,16.00055668,,,,21,percent of total billed charges,15.45044604,,,,21,percent of total billed charges,16.37716731,,,,14.973,percent of total billed charges,7.471801006,,,,14.973,percent of total billed charges,4.470562837,,,,14.973,percent of total billed charges,7.471801006,,,,14.973,percent of total billed charges,4.470562837,,,,14.973,percent of total billed charges,7.471801006,,,,14.973,percent of total billed charges,4.470562837,,,,14.826,percent of total billed charges,14.71351111,,,,14.826,percent of total billed charges,10.14779199,,,,,,,,,,15.12,percent of total billed charges,9.827644194,,,,,,,,,,15.12,percent of total billed charges,999999999,,,,,,,,,,16.8,percent of total billed charges,14.07752671,,,,16.59,percent of total billed charges,16.01006395,,,,16.59,percent of total billed charges,14.14542146,,,,16.8,percent of total billed charges,999999999,,,,16.8,percent of total billed charges,999999999,,,,14.7,percent of total billed charges,999999999,,,,14.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,11.172,percent of total billed charges,999999999,,,,,,,,,,,,,,,,10.605,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5.25,percent of total billed charges,4.986215803,,,,,,,,,,5.25,percent of total billed charges,4.903273496,,,,,,,,,,5.25,percent of total billed charges,4.889647509,,,,,,,,,,5.25,percent of total billed charges,4.817647509,,,,,,,,,,5.25,percent of total billed charges,4.941612662,,,,,,,,,,5.25,percent of total billed charges,999999999,,,,,,,,,,5.25,percent of total billed charges,4.240251652,,,,,,,,,,5.25,percent of total billed charges,6.687169262,,,,,,,,,,5.25,percent of total billed charges,999999999,,,,,,,,,,5.25,percent of total billed charges,4.572028309,,,,,,,,,,18.9,percent of total billed charges,,,,,
"SODIUM PHOSPHATE INJ:15mM P, 20MEQNa/5ML",258,RC,6332-3088-01,NDC,,both,1,EA,11,11,2.341723391,11,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,11,percent of total billed charges,999999999,,,,11,percent of total billed charges,8.381243975,,,,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.766,percent of total billed charges,7.707077247,,,,7.766,percent of total billed charges,5.31551009,,,,,,,,,,7.92,percent of total billed charges,5.147813626,,,,,,,,,,7.92,percent of total billed charges,999999999,,,,,,,,,,8.8,percent of total billed charges,7.373942561,,,,8.69,percent of total billed charges,8.386223973,,,,8.69,percent of total billed charges,7.409506477,,,,8.8,percent of total billed charges,999999999,,,,8.8,percent of total billed charges,999999999,,,,7.7,percent of total billed charges,999999999,,,,7.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.852,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.555,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.75,percent of total billed charges,2.611827325,,,,,,,,,,2.75,percent of total billed charges,2.568381355,,,,,,,,,,2.75,percent of total billed charges,2.561243933,,,,,,,,,,2.75,percent of total billed charges,2.523529647,,,,,,,,,,2.75,percent of total billed charges,2.588463775,,,,,,,,,,2.75,percent of total billed charges,999999999,,,,,,,,,,2.75,percent of total billed charges,2.221084199,,,,,,,,,,2.75,percent of total billed charges,3.502802947,,,,,,,,,,2.75,percent of total billed charges,999999999,,,,,,,,,,2.75,percent of total billed charges,2.394871971,,,,,,,,,,9.9,percent of total billed charges,,,,,
**MUPRIOCIN (BACTROBAN) 2% CREAM 30 GM,259,RC,0002-9152-25,NDC,,both,1,EA,197,197,41.93813709,197,197,percent of total billed charges,144.9398986,,,,197,percent of total billed charges,153.6334267,,,,197,percent of total billed charges,144.9398986,,,,197,percent of total billed charges,153.6334267,,,,197,percent of total billed charges,999999999,,,,197,percent of total billed charges,150.1004603,,,,197,percent of total billed charges,144.9398986,,,,197,percent of total billed charges,153.6334267,,,,140.461,percent of total billed charges,70.09260944,,,,140.461,percent of total billed charges,41.93813709,,,,140.461,percent of total billed charges,70.09260944,,,,140.461,percent of total billed charges,41.93813709,,,,140.461,percent of total billed charges,70.09260944,,,,140.461,percent of total billed charges,41.93813709,,,,139.082,percent of total billed charges,138.0267471,,,,139.082,percent of total billed charges,95.19595344,,,,,,,,,,141.84,percent of total billed charges,92.19266221,,,,,,,,,,141.84,percent of total billed charges,999999999,,,,,,,,,,157.6,percent of total billed charges,132.0606077,,,,155.63,percent of total billed charges,150.1896475,,,,155.63,percent of total billed charges,132.6975251,,,,157.6,percent of total billed charges,999999999,,,,157.6,percent of total billed charges,999999999,,,,137.9,percent of total billed charges,999999999,,,,137.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,104.804,percent of total billed charges,999999999,,,,,,,,,,,,,,,,99.485,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,49.25,percent of total billed charges,46.77545301,,,,,,,,,,49.25,percent of total billed charges,45.99737518,,,,,,,,,,49.25,percent of total billed charges,45.86955044,,,,,,,,,,49.25,percent of total billed charges,45.19412187,,,,,,,,,,49.25,percent of total billed charges,46.35703306,,,,,,,,,,49.25,percent of total billed charges,999999999,,,,,,,,,,49.25,percent of total billed charges,39.77759883,,,,,,,,,,49.25,percent of total billed charges,62.73201641,,,,,,,,,,49.25,percent of total billed charges,999999999,,,,,,,,,,49.25,percent of total billed charges,42.88997985,,,,,,,,,,177.3,percent of total billed charges,,,,,
CALCIUM POLYCARB (FIBERCON) 625MG TAB,637,RC,0053-6430-11,NDC,,both,1,EA,0.5,0.5,0.106441972,0.5,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,999999999,,,,0.5,percent of total billed charges,0.380965635,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.353,percent of total billed charges,0.350321693,,,,0.353,percent of total billed charges,0.241614095,,,,,,,,,,0.36,percent of total billed charges,0.233991528,,,,,,,,,,0.36,percent of total billed charges,999999999,,,,,,,,,,0.4,percent of total billed charges,0.335179207,,,,0.395,percent of total billed charges,0.381191999,,,,0.395,percent of total billed charges,0.336795749,,,,0.4,percent of total billed charges,999999999,,,,0.4,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.266,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.2525,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.125,percent of total billed charges,0.118719424,,,,,,,,,,0.125,percent of total billed charges,0.116744607,,,,,,,,,,0.125,percent of total billed charges,0.116420179,,,,,,,,,,0.125,percent of total billed charges,0.114705893,,,,,,,,,,0.125,percent of total billed charges,0.117657444,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.100958373,,,,,,,,,,0.125,percent of total billed charges,0.159218316,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.108857817,,,,,,,,,,0.45,percent of total billed charges,,,,,
**ADENOSINE 90MG/30ML VIAL: ADENOSCAN,J0151,CDM,0046-9087-30,NDC,,both,1,EA,698,698,148.5929933,698,698,percent of total billed charges,513.543397,,,,698,percent of total billed charges,544.3458468,,,,698,percent of total billed charges,513.543397,,,,698,percent of total billed charges,544.3458468,,,,698,percent of total billed charges,999999999,,,,698,percent of total billed charges,531.8280268,,,,698,percent of total billed charges,513.543397,,,,698,percent of total billed charges,544.3458468,,,,497.674,percent of total billed charges,248.3484335,,,,497.674,percent of total billed charges,148.5929933,,,,497.674,percent of total billed charges,248.3484335,,,,497.674,percent of total billed charges,148.5929933,,,,497.674,percent of total billed charges,248.3484335,,,,497.674,percent of total billed charges,148.5929933,,,,492.788,percent of total billed charges,489.0490835,,,,492.788,percent of total billed charges,337.2932766,,,,,,,,,,502.56,percent of total billed charges,326.6521737,,,,,,,,,,502.56,percent of total billed charges,999999999,,,,,,,,,,558.4,percent of total billed charges,467.9101734,,,,551.42,percent of total billed charges,532.1440303,,,,551.42,percent of total billed charges,470.1668656,,,,558.4,percent of total billed charges,999999999,,,,558.4,percent of total billed charges,999999999,,,,488.6,percent of total billed charges,999999999,,,,488.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,371.336,percent of total billed charges,999999999,,,,,,,,,,,,,,,,352.49,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,174.5,percent of total billed charges,165.7323157,,,,,,,,,,174.5,percent of total billed charges,162.9754714,,,,,,,,,,174.5,percent of total billed charges,162.5225696,,,,,,,,,,174.5,percent of total billed charges,160.1294267,,,,,,,,,,174.5,percent of total billed charges,164.2497923,,,,,,,,,,174.5,percent of total billed charges,999999999,,,,,,,,,,174.5,percent of total billed charges,140.9378883,,,,,,,,,,174.5,percent of total billed charges,222.2687688,,,,,,,,,,174.5,percent of total billed charges,999999999,,,,,,,,,,174.5,percent of total billed charges,151.9655124,,,,,,,,,,628.2,percent of total billed charges,,,,,
FLUCONAZOLE 400MG IVPB: 200mL NS,J1450,CDM,6068-7010-95,NDC,,both,1,EA,79.08,79.08,16.83486234,79.08,79.08,percent of total billed charges,58.18196537,,,,79.08,percent of total billed charges,61.6717329,,,,79.08,percent of total billed charges,58.18196537,,,,79.08,percent of total billed charges,61.6717329,,,,79.08,percent of total billed charges,999999999,,,,79.08,percent of total billed charges,60.25352487,,,,79.08,percent of total billed charges,58.18196537,,,,79.08,percent of total billed charges,61.6717329,,,,56.38404,percent of total billed charges,28.13666779,,,,56.38404,percent of total billed charges,16.83486234,,,,56.38404,percent of total billed charges,28.13666779,,,,56.38404,percent of total billed charges,16.83486234,,,,56.38404,percent of total billed charges,28.13666779,,,,56.38404,percent of total billed charges,16.83486234,,,,55.83048,percent of total billed charges,55.40687897,,,,55.83048,percent of total billed charges,38.21368527,,,,,,,,,,56.9376,percent of total billed charges,37.00810014,,,,,,,,,,56.9376,percent of total billed charges,999999999,,,,,,,,,,63.264,percent of total billed charges,53.01194343,,,,62.4732,percent of total billed charges,60.28932653,,,,62.4732,percent of total billed charges,53.26761566,,,,63.264,percent of total billed charges,999999999,,,,63.264,percent of total billed charges,999999999,,,,55.356,percent of total billed charges,999999999,,,,55.356,percent of total billed charges,999999999,,,,,,,,,,,,,,,,42.07056,percent of total billed charges,999999999,,,,,,,,,,,,,,,,39.9354,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19.77,percent of total billed charges,18.77666408,,,,,,,,,,19.77,percent of total billed charges,18.46432705,,,,,,,,,,19.77,percent of total billed charges,18.41301548,,,,,,,,,,19.77,percent of total billed charges,18.14188405,,,,,,,,,,19.77,percent of total billed charges,18.60870139,,,,,,,,,,19.77,percent of total billed charges,999999999,,,,,,,,,,19.77,percent of total billed charges,15.96757622,,,,,,,,,,19.77,percent of total billed charges,25.18196882,,,,,,,,,,19.77,percent of total billed charges,999999999,,,,,,,,,,19.77,percent of total billed charges,17.21695232,,,,,,,,,,71.172,percent of total billed charges,,,,,
**ALUMINUM HYDROXIDE GEL 600MG/5ML: 12OZ,637,RC,0090-4000-14,NDC,,both,1,EA,16,16,3.406143114,16,16,percent of total billed charges,11.77176841,,,,16,percent of total billed charges,12.47784176,,,,16,percent of total billed charges,11.77176841,,,,16,percent of total billed charges,12.47784176,,,,16,percent of total billed charges,999999999,,,,16,percent of total billed charges,12.19090033,,,,16,percent of total billed charges,11.77176841,,,,16,percent of total billed charges,12.47784176,,,,11.408,percent of total billed charges,5.692800767,,,,11.408,percent of total billed charges,3.406143114,,,,11.408,percent of total billed charges,5.692800767,,,,11.408,percent of total billed charges,3.406143114,,,,11.408,percent of total billed charges,5.692800767,,,,11.408,percent of total billed charges,3.406143114,,,,11.296,percent of total billed charges,11.21029418,,,,11.296,percent of total billed charges,7.731651041,,,,,,,,,,11.52,percent of total billed charges,7.48772891,,,,,,,,,,11.52,percent of total billed charges,999999999,,,,,,,,,,12.8,percent of total billed charges,10.72573463,,,,12.64,percent of total billed charges,12.19814396,,,,12.64,percent of total billed charges,10.77746397,,,,12.8,percent of total billed charges,999999999,,,,12.8,percent of total billed charges,999999999,,,,11.2,percent of total billed charges,999999999,,,,11.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,8.512,percent of total billed charges,999999999,,,,,,,,,,,,,,,,8.08,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4,percent of total billed charges,3.799021564,,,,,,,,,,4,percent of total billed charges,3.735827425,,,,,,,,,,4,percent of total billed charges,3.725445721,,,,,,,,,,4,percent of total billed charges,3.670588578,,,,,,,,,,4,percent of total billed charges,3.765038218,,,,,,,,,,4,percent of total billed charges,999999999,,,,,,,,,,4,percent of total billed charges,3.230667926,,,,,,,,,,4,percent of total billed charges,5.094986104,,,,,,,,,,4,percent of total billed charges,999999999,,,,,,,,,,4,percent of total billed charges,3.48345014,,,,,,,,,,14.4,percent of total billed charges,,,,,
OMEGA-3 ACID (SEA-OMEGA) 1000MG CAP,637,RC,7733-3030-10,NDC,,both,1,EA,1.1,1.1,0.234172339,1.1,1.1,percent of total billed charges,0.809309078,,,,1.1,percent of total billed charges,0.857851621,,,,1.1,percent of total billed charges,0.809309078,,,,1.1,percent of total billed charges,0.857851621,,,,1.1,percent of total billed charges,999999999,,,,1.1,percent of total billed charges,0.838124397,,,,1.1,percent of total billed charges,0.809309078,,,,1.1,percent of total billed charges,0.857851621,,,,0.7843,percent of total billed charges,0.391380053,,,,0.7843,percent of total billed charges,0.234172339,,,,0.7843,percent of total billed charges,0.391380053,,,,0.7843,percent of total billed charges,0.234172339,,,,0.7843,percent of total billed charges,0.391380053,,,,0.7843,percent of total billed charges,0.234172339,,,,0.7766,percent of total billed charges,0.770707725,,,,0.7766,percent of total billed charges,0.531551009,,,,,,,,,,0.792,percent of total billed charges,0.514781363,,,,,,,,,,0.792,percent of total billed charges,999999999,,,,,,,,,,0.88,percent of total billed charges,0.737394256,,,,0.869,percent of total billed charges,0.838622397,,,,0.869,percent of total billed charges,0.740950648,,,,0.88,percent of total billed charges,999999999,,,,0.88,percent of total billed charges,999999999,,,,0.77,percent of total billed charges,999999999,,,,0.77,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.5852,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.5555,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.275,percent of total billed charges,0.261182733,,,,,,,,,,0.275,percent of total billed charges,0.256838136,,,,,,,,,,0.275,percent of total billed charges,0.256124393,,,,,,,,,,0.275,percent of total billed charges,0.252352965,,,,,,,,,,0.275,percent of total billed charges,0.258846378,,,,,,,,,,0.275,percent of total billed charges,999999999,,,,,,,,,,0.275,percent of total billed charges,0.22210842,,,,,,,,,,0.275,percent of total billed charges,0.350280295,,,,,,,,,,0.275,percent of total billed charges,999999999,,,,,,,,,,0.275,percent of total billed charges,0.239487197,,,,,,,,,,0.99,percent of total billed charges,,,,,
**ATENOLOL 50MG/CHLORTHALIDONE 25 MG,259,RC,5348-9053-01,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
SIMVASTATIN (ZOCOR) 20MG TAB,637,RC,6808-4051-01,NDC,,both,1,EA,0.5,0.5,0.106441972,0.5,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,999999999,,,,0.5,percent of total billed charges,0.380965635,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.353,percent of total billed charges,0.350321693,,,,0.353,percent of total billed charges,0.241614095,,,,,,,,,,0.36,percent of total billed charges,0.233991528,,,,,,,,,,0.36,percent of total billed charges,999999999,,,,,,,,,,0.4,percent of total billed charges,0.335179207,,,,0.395,percent of total billed charges,0.381191999,,,,0.395,percent of total billed charges,0.336795749,,,,0.4,percent of total billed charges,999999999,,,,0.4,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.266,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.2525,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.125,percent of total billed charges,0.118719424,,,,,,,,,,0.125,percent of total billed charges,0.116744607,,,,,,,,,,0.125,percent of total billed charges,0.116420179,,,,,,,,,,0.125,percent of total billed charges,0.114705893,,,,,,,,,,0.125,percent of total billed charges,0.117657444,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.100958373,,,,,,,,,,0.125,percent of total billed charges,0.159218316,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.108857817,,,,,,,,,,0.45,percent of total billed charges,,,,,
WARFARIN (COUMADIN) 3 MG TAB,250,RC,0083-2121-01,NDC,,both,1,EA,0.63,0.63,0.134116885,0.63,0.63,percent of total billed charges,0.463513381,,,,0.63,percent of total billed charges,0.491315019,,,,0.63,percent of total billed charges,0.463513381,,,,0.63,percent of total billed charges,0.491315019,,,,0.63,percent of total billed charges,999999999,,,,0.63,percent of total billed charges,0.4800167,,,,0.63,percent of total billed charges,0.463513381,,,,0.63,percent of total billed charges,0.491315019,,,,0.44919,percent of total billed charges,0.22415403,,,,0.44919,percent of total billed charges,0.134116885,,,,0.44919,percent of total billed charges,0.22415403,,,,0.44919,percent of total billed charges,0.134116885,,,,0.44919,percent of total billed charges,0.22415403,,,,0.44919,percent of total billed charges,0.134116885,,,,0.44478,percent of total billed charges,0.441405333,,,,0.44478,percent of total billed charges,0.30443376,,,,,,,,,,0.4536,percent of total billed charges,0.294829326,,,,,,,,,,0.4536,percent of total billed charges,999999999,,,,,,,,,,0.504,percent of total billed charges,0.422325801,,,,0.4977,percent of total billed charges,0.480301918,,,,0.4977,percent of total billed charges,0.424362644,,,,0.504,percent of total billed charges,999999999,,,,0.504,percent of total billed charges,999999999,,,,0.441,percent of total billed charges,999999999,,,,0.441,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.33516,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.31815,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.1575,percent of total billed charges,0.149586474,,,,,,,,,,0.1575,percent of total billed charges,0.147098205,,,,,,,,,,0.1575,percent of total billed charges,0.146689425,,,,,,,,,,0.1575,percent of total billed charges,0.144529425,,,,,,,,,,0.1575,percent of total billed charges,0.14824838,,,,,,,,,,0.1575,percent of total billed charges,999999999,,,,,,,,,,0.1575,percent of total billed charges,0.12720755,,,,,,,,,,0.1575,percent of total billed charges,0.200615078,,,,,,,,,,0.1575,percent of total billed charges,999999999,,,,,,,,,,0.1575,percent of total billed charges,0.137160849,,,,,,,,,,0.567,percent of total billed charges,,,,,
**WARFARIN (COUMADIN) 6 MG TAB,259,RC,0005-6018-70,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
**WARFARIN (COUMADIN) 7.5 MG: TAB,259,RC,0005-6017-70,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
LISINOPRIL (ZESTRIL) 10 MG TAB,250,RC,0090-4679-61,NDC,,both,1,EA,0.5,0.5,0.106441972,0.5,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,999999999,,,,0.5,percent of total billed charges,0.380965635,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.353,percent of total billed charges,0.350321693,,,,0.353,percent of total billed charges,0.241614095,,,,,,,,,,0.36,percent of total billed charges,0.233991528,,,,,,,,,,0.36,percent of total billed charges,999999999,,,,,,,,,,0.4,percent of total billed charges,0.335179207,,,,0.395,percent of total billed charges,0.381191999,,,,0.395,percent of total billed charges,0.336795749,,,,0.4,percent of total billed charges,999999999,,,,0.4,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.266,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.2525,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.125,percent of total billed charges,0.118719424,,,,,,,,,,0.125,percent of total billed charges,0.116744607,,,,,,,,,,0.125,percent of total billed charges,0.116420179,,,,,,,,,,0.125,percent of total billed charges,0.114705893,,,,,,,,,,0.125,percent of total billed charges,0.117657444,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.100958373,,,,,,,,,,0.125,percent of total billed charges,0.159218316,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.108857817,,,,,,,,,,0.45,percent of total billed charges,,,,,
**ALCOHOL (DEHYDRATED ABSOLUTE) 1ML: AMP,250,RC,0051-7857-10,NDC,,both,1,EA,27,27,5.747866505,27,27,percent of total billed charges,19.86485919,,,,27,percent of total billed charges,21.05635797,,,,27,percent of total billed charges,19.86485919,,,,27,percent of total billed charges,21.05635797,,,,27,percent of total billed charges,999999999,,,,27,percent of total billed charges,20.5721443,,,,27,percent of total billed charges,19.86485919,,,,27,percent of total billed charges,21.05635797,,,,19.251,percent of total billed charges,9.606601294,,,,19.251,percent of total billed charges,5.747866505,,,,19.251,percent of total billed charges,9.606601294,,,,19.251,percent of total billed charges,5.747866505,,,,19.251,percent of total billed charges,9.606601294,,,,19.251,percent of total billed charges,5.747866505,,,,19.062,percent of total billed charges,18.91737142,,,,19.062,percent of total billed charges,13.04716113,,,,,,,,,,19.44,percent of total billed charges,12.63554254,,,,,,,,,,19.44,percent of total billed charges,999999999,,,,,,,,,,21.6,percent of total billed charges,18.09967719,,,,21.33,percent of total billed charges,20.58436793,,,,21.33,percent of total billed charges,18.18697044,,,,21.6,percent of total billed charges,999999999,,,,21.6,percent of total billed charges,999999999,,,,18.9,percent of total billed charges,999999999,,,,18.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,14.364,percent of total billed charges,999999999,,,,,,,,,,,,,,,,13.635,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6.75,percent of total billed charges,6.41084889,,,,,,,,,,6.75,percent of total billed charges,6.30420878,,,,,,,,,,6.75,percent of total billed charges,6.286689654,,,,,,,,,,6.75,percent of total billed charges,6.194118226,,,,,,,,,,6.75,percent of total billed charges,6.353501993,,,,,,,,,,6.75,percent of total billed charges,999999999,,,,,,,,,,6.75,percent of total billed charges,5.451752124,,,,,,,,,,6.75,percent of total billed charges,8.597789051,,,,,,,,,,6.75,percent of total billed charges,999999999,,,,,,,,,,6.75,percent of total billed charges,5.878322112,,,,,,,,,,24.3,percent of total billed charges,,,,,
**TRIMETHOPRIM/SULFA 40/200MG/5ML:120ML,259,RC,5038-3082-16,NDC,,both,1,EA,34,34,7.238054117,34,34,percent of total billed charges,25.01500787,,,,34,percent of total billed charges,26.51541374,,,,34,percent of total billed charges,25.01500787,,,,34,percent of total billed charges,26.51541374,,,,34,percent of total billed charges,999999999,,,,34,percent of total billed charges,25.90566319,,,,34,percent of total billed charges,25.01500787,,,,34,percent of total billed charges,26.51541374,,,,24.242,percent of total billed charges,12.09720163,,,,24.242,percent of total billed charges,7.238054117,,,,24.242,percent of total billed charges,12.09720163,,,,24.242,percent of total billed charges,7.238054117,,,,24.242,percent of total billed charges,12.09720163,,,,24.242,percent of total billed charges,7.238054117,,,,24.004,percent of total billed charges,23.82187513,,,,24.004,percent of total billed charges,16.42975846,,,,,,,,,,24.48,percent of total billed charges,15.91142393,,,,,,,,,,24.48,percent of total billed charges,999999999,,,,,,,,,,27.2,percent of total billed charges,22.7921861,,,,26.86,percent of total billed charges,25.92105592,,,,26.86,percent of total billed charges,22.90211093,,,,27.2,percent of total billed charges,999999999,,,,27.2,percent of total billed charges,999999999,,,,23.8,percent of total billed charges,999999999,,,,23.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,18.088,percent of total billed charges,999999999,,,,,,,,,,,,,,,,17.17,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8.5,percent of total billed charges,8.072920824,,,,,,,,,,8.5,percent of total billed charges,7.938633279,,,,,,,,,,8.5,percent of total billed charges,7.916572157,,,,,,,,,,8.5,percent of total billed charges,7.800000728,,,,,,,,,,8.5,percent of total billed charges,8.000706214,,,,,,,,,,8.5,percent of total billed charges,999999999,,,,,,,,,,8.5,percent of total billed charges,6.865169342,,,,,,,,,,8.5,percent of total billed charges,10.82684547,,,,,,,,,,8.5,percent of total billed charges,999999999,,,,,,,,,,8.5,percent of total billed charges,7.402331548,,,,,,,,,,30.6,percent of total billed charges,,,,,
amLODIPine (NORVASC) 10 MG TAB,637,RC,6068-7049-01,NDC,,both,1,EA,0.5,0.5,0.106441972,0.5,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,999999999,,,,0.5,percent of total billed charges,0.380965635,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.353,percent of total billed charges,0.350321693,,,,0.353,percent of total billed charges,0.241614095,,,,,,,,,,0.36,percent of total billed charges,0.233991528,,,,,,,,,,0.36,percent of total billed charges,999999999,,,,,,,,,,0.4,percent of total billed charges,0.335179207,,,,0.395,percent of total billed charges,0.381191999,,,,0.395,percent of total billed charges,0.336795749,,,,0.4,percent of total billed charges,999999999,,,,0.4,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.266,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.2525,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.125,percent of total billed charges,0.118719424,,,,,,,,,,0.125,percent of total billed charges,0.116744607,,,,,,,,,,0.125,percent of total billed charges,0.116420179,,,,,,,,,,0.125,percent of total billed charges,0.114705893,,,,,,,,,,0.125,percent of total billed charges,0.117657444,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.100958373,,,,,,,,,,0.125,percent of total billed charges,0.159218316,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.108857817,,,,,,,,,,0.45,percent of total billed charges,,,,,
ATORVASTATIN (LIPITOR) 20 MG TAB,250,RC,5026-8009-11,NDC,,both,1,EA,0.86,0.86,0.183080192,0.86,0.86,percent of total billed charges,0.632732552,,,,0.86,percent of total billed charges,0.670683995,,,,0.86,percent of total billed charges,0.632732552,,,,0.86,percent of total billed charges,0.670683995,,,,0.86,percent of total billed charges,999999999,,,,0.86,percent of total billed charges,0.655260893,,,,0.86,percent of total billed charges,0.632732552,,,,0.86,percent of total billed charges,0.670683995,,,,0.61318,percent of total billed charges,0.305988041,,,,0.61318,percent of total billed charges,0.183080192,,,,0.61318,percent of total billed charges,0.305988041,,,,0.61318,percent of total billed charges,0.183080192,,,,0.61318,percent of total billed charges,0.305988041,,,,0.61318,percent of total billed charges,0.183080192,,,,0.60716,percent of total billed charges,0.602553312,,,,0.60716,percent of total billed charges,0.415576243,,,,,,,,,,0.6192,percent of total billed charges,0.402465429,,,,,,,,,,0.6192,percent of total billed charges,999999999,,,,,,,,,,0.688,percent of total billed charges,0.576508237,,,,0.6794,percent of total billed charges,0.655650238,,,,0.6794,percent of total billed charges,0.579288688,,,,0.688,percent of total billed charges,999999999,,,,0.688,percent of total billed charges,999999999,,,,0.602,percent of total billed charges,999999999,,,,0.602,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.45752,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.4343,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.215,percent of total billed charges,0.204197409,,,,,,,,,,0.215,percent of total billed charges,0.200800724,,,,,,,,,,0.215,percent of total billed charges,0.200242708,,,,,,,,,,0.215,percent of total billed charges,0.197294136,,,,,,,,,,0.215,percent of total billed charges,0.202370804,,,,,,,,,,0.215,percent of total billed charges,999999999,,,,,,,,,,0.215,percent of total billed charges,0.173648401,,,,,,,,,,0.215,percent of total billed charges,0.273855503,,,,,,,,,,0.215,percent of total billed charges,999999999,,,,,,,,,,0.215,percent of total billed charges,0.187235445,,,,,,,,,,0.774,percent of total billed charges,,,,,
**PENTAZOCAINE 50MG/NALOXONE 0.5MG: T,259,RC,0002-4195-04,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
**STANFORDS SUSPENSION:   360 ML BOTT,259,RC,9999-9999-99,NDC,,both,1,EA,64,64,13.62457246,64,64,percent of total billed charges,47.08707365,,,,64,percent of total billed charges,49.91136704,,,,64,percent of total billed charges,47.08707365,,,,64,percent of total billed charges,49.91136704,,,,64,percent of total billed charges,999999999,,,,64,percent of total billed charges,48.76360131,,,,64,percent of total billed charges,47.08707365,,,,64,percent of total billed charges,49.91136704,,,,45.632,percent of total billed charges,22.77120307,,,,45.632,percent of total billed charges,13.62457246,,,,45.632,percent of total billed charges,22.77120307,,,,45.632,percent of total billed charges,13.62457246,,,,45.632,percent of total billed charges,22.77120307,,,,45.632,percent of total billed charges,13.62457246,,,,45.184,percent of total billed charges,44.84117671,,,,45.184,percent of total billed charges,30.92660416,,,,,,,,,,46.08,percent of total billed charges,29.95091564,,,,,,,,,,46.08,percent of total billed charges,999999999,,,,,,,,,,51.2,percent of total billed charges,42.90293853,,,,50.56,percent of total billed charges,48.79257585,,,,50.56,percent of total billed charges,43.10985587,,,,51.2,percent of total billed charges,999999999,,,,51.2,percent of total billed charges,999999999,,,,44.8,percent of total billed charges,999999999,,,,44.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,34.048,percent of total billed charges,999999999,,,,,,,,,,,,,,,,32.32,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16,percent of total billed charges,15.19608626,,,,,,,,,,16,percent of total billed charges,14.9433097,,,,,,,,,,16,percent of total billed charges,14.90178288,,,,,,,,,,16,percent of total billed charges,14.68235431,,,,,,,,,,16,percent of total billed charges,15.06015287,,,,,,,,,,16,percent of total billed charges,999999999,,,,,,,,,,16,percent of total billed charges,12.9226717,,,,,,,,,,16,percent of total billed charges,20.37994442,,,,,,,,,,16,percent of total billed charges,999999999,,,,,,,,,,16,percent of total billed charges,13.93380056,,,,,,,,,,57.6,percent of total billed charges,,,,,
HETASTARCH 6% IN 0.9 NSS:  500ML BAG,258,RC,0040-9724-03,NDC,,both,1,EA,141.22,141.22,30.06347066,141.22,141.22,percent of total billed charges,103.9005709,,,,141.22,percent of total billed charges,110.1325508,,,,141.22,percent of total billed charges,103.9005709,,,,141.22,percent of total billed charges,110.1325508,,,,141.22,percent of total billed charges,999999999,,,,141.22,percent of total billed charges,107.599934,,,,141.22,percent of total billed charges,103.9005709,,,,141.22,percent of total billed charges,110.1325508,,,,100.68986,percent of total billed charges,50.24608277,,,,100.68986,percent of total billed charges,30.06347066,,,,100.68986,percent of total billed charges,50.24608277,,,,100.68986,percent of total billed charges,30.06347066,,,,100.68986,percent of total billed charges,50.24608277,,,,100.68986,percent of total billed charges,30.06347066,,,,99.70132,percent of total billed charges,98.94485898,,,,99.70132,percent of total billed charges,68.241485,,,,,,,,,,101.6784,percent of total billed charges,66.08856729,,,,,,,,,,101.6784,percent of total billed charges,999999999,,,,,,,,,,112.976,percent of total billed charges,94.66801531,,,,111.5638,percent of total billed charges,107.6638681,,,,111.5638,percent of total billed charges,95.12459134,,,,112.976,percent of total billed charges,999999999,,,,112.976,percent of total billed charges,999999999,,,,98.854,percent of total billed charges,999999999,,,,98.854,percent of total billed charges,999999999,,,,,,,,,,,,,,,,75.12904,percent of total billed charges,999999999,,,,,,,,,,,,,,,,71.3161,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,35.305,percent of total billed charges,33.53111408,,,,,,,,,,35.305,percent of total billed charges,32.97334681,,,,,,,,,,35.305,percent of total billed charges,32.8817153,,,,,,,,,,35.305,percent of total billed charges,32.39753244,,,,,,,,,,35.305,percent of total billed charges,33.23116857,,,,,,,,,,35.305,percent of total billed charges,999999999,,,,,,,,,,35.305,percent of total billed charges,28.51468278,,,,,,,,,,35.305,percent of total billed charges,44.9696211,,,,,,,,,,35.305,percent of total billed charges,999999999,,,,,,,,,,35.305,percent of total billed charges,30.7458018,,,,,,,,,,127.098,percent of total billed charges,,,,,
PHENYLEPHRINE OPTH SOLN 10%  5 ML,259,RC,1747-8020-10,NDC,,both,1,EA,155.34,155.34,33.06939196,155.34,155.34,percent of total billed charges,114.2891566,,,,155.34,percent of total billed charges,121.1442462,,,,155.34,percent of total billed charges,114.2891566,,,,155.34,percent of total billed charges,121.1442462,,,,155.34,percent of total billed charges,999999999,,,,155.34,percent of total billed charges,118.3584035,,,,155.34,percent of total billed charges,114.2891566,,,,155.34,percent of total billed charges,121.1442462,,,,110.75742,percent of total billed charges,55.26997945,,,,110.75742,percent of total billed charges,33.06939196,,,,110.75742,percent of total billed charges,55.26997945,,,,110.75742,percent of total billed charges,33.06939196,,,,110.75742,percent of total billed charges,55.26997945,,,,110.75742,percent of total billed charges,33.06939196,,,,109.67004,percent of total billed charges,108.8379436,,,,109.67004,percent of total billed charges,75.06466704,,,,,,,,,,111.8448,percent of total billed charges,72.69648806,,,,,,,,,,111.8448,percent of total billed charges,999999999,,,,,,,,,,124.272,percent of total billed charges,104.1334761,,,,122.7186,percent of total billed charges,118.4287302,,,,122.7186,percent of total billed charges,104.6357033,,,,124.272,percent of total billed charges,999999999,,,,124.272,percent of total billed charges,999999999,,,,108.738,percent of total billed charges,999999999,,,,108.738,percent of total billed charges,999999999,,,,,,,,,,,,,,,,82.64088,percent of total billed charges,999999999,,,,,,,,,,,,,,,,78.4467,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,38.835,percent of total billed charges,36.88375061,,,,,,,,,,38.835,percent of total billed charges,36.27021452,,,,,,,,,,38.835,percent of total billed charges,36.16942114,,,,,,,,,,38.835,percent of total billed charges,35.63682686,,,,,,,,,,38.835,percent of total billed charges,36.5538148,,,,,,,,,,38.835,percent of total billed charges,999999999,,,,,,,,,,38.835,percent of total billed charges,31.36574722,,,,,,,,,,38.835,percent of total billed charges,49.46594634,,,,,,,,,,38.835,percent of total billed charges,999999999,,,,,,,,,,38.835,percent of total billed charges,33.81994655,,,,,,,,,,139.806,percent of total billed charges,,,,,
**DEXTROSE 50%  500 ML INJ,258,RC,0040-9793-19,NDC,,both,1,EA,23,23,4.896330726,23,23,percent of total billed charges,16.92191709,,,,23,percent of total billed charges,17.93689753,,,,23,percent of total billed charges,16.92191709,,,,23,percent of total billed charges,17.93689753,,,,23,percent of total billed charges,999999999,,,,23,percent of total billed charges,17.52441922,,,,23,percent of total billed charges,16.92191709,,,,23,percent of total billed charges,17.93689753,,,,16.399,percent of total billed charges,8.183401102,,,,16.399,percent of total billed charges,4.896330726,,,,16.399,percent of total billed charges,8.183401102,,,,16.399,percent of total billed charges,4.896330726,,,,16.399,percent of total billed charges,8.183401102,,,,16.399,percent of total billed charges,4.896330726,,,,16.238,percent of total billed charges,16.11479788,,,,16.238,percent of total billed charges,11.11424837,,,,,,,,,,16.56,percent of total billed charges,10.76361031,,,,,,,,,,16.56,percent of total billed charges,999999999,,,,,,,,,,18.4,percent of total billed charges,15.41824354,,,,18.17,percent of total billed charges,17.53483194,,,,18.17,percent of total billed charges,15.49260445,,,,18.4,percent of total billed charges,999999999,,,,18.4,percent of total billed charges,999999999,,,,16.1,percent of total billed charges,999999999,,,,16.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,12.236,percent of total billed charges,999999999,,,,,,,,,,,,,,,,11.615,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5.75,percent of total billed charges,5.461093499,,,,,,,,,,5.75,percent of total billed charges,5.370251924,,,,,,,,,,5.75,percent of total billed charges,5.355328224,,,,,,,,,,5.75,percent of total billed charges,5.276471081,,,,,,,,,,5.75,percent of total billed charges,5.412242439,,,,,,,,,,5.75,percent of total billed charges,999999999,,,,,,,,,,5.75,percent of total billed charges,4.644085143,,,,,,,,,,5.75,percent of total billed charges,7.324042525,,,,,,,,,,5.75,percent of total billed charges,999999999,,,,,,,,,,5.75,percent of total billed charges,5.007459577,,,,,,,,,,20.7,percent of total billed charges,,,,,
SOD HYPOCHLORITE (DAKINS) 0.125% SOLN,637,RC,0043-6093-16,NDC,,both,1,EA,81.42,81.42,17.33301077,81.42,81.42,percent of total billed charges,59.9035865,,,,81.42,percent of total billed charges,63.49661726,,,,81.42,percent of total billed charges,59.9035865,,,,81.42,percent of total billed charges,63.49661726,,,,81.42,percent of total billed charges,999999999,,,,81.42,percent of total billed charges,62.03644404,,,,81.42,percent of total billed charges,59.9035865,,,,81.42,percent of total billed charges,63.49661726,,,,58.05246,percent of total billed charges,28.9692399,,,,58.05246,percent of total billed charges,17.33301077,,,,58.05246,percent of total billed charges,28.9692399,,,,58.05246,percent of total billed charges,17.33301077,,,,58.05246,percent of total billed charges,28.9692399,,,,58.05246,percent of total billed charges,17.33301077,,,,57.48252,percent of total billed charges,57.04638449,,,,57.48252,percent of total billed charges,39.34443923,,,,,,,,,,58.6224,percent of total billed charges,38.10318049,,,,,,,,,,58.6224,percent of total billed charges,999999999,,,,,,,,,,65.136,percent of total billed charges,54.58058212,,,,64.3218,percent of total billed charges,62.07330508,,,,64.3218,percent of total billed charges,54.84381976,,,,65.136,percent of total billed charges,999999999,,,,65.136,percent of total billed charges,999999999,,,,56.994,percent of total billed charges,999999999,,,,56.994,percent of total billed charges,999999999,,,,,,,,,,,,,,,,43.31544,percent of total billed charges,999999999,,,,,,,,,,,,,,,,41.1171,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20.355,percent of total billed charges,19.33227098,,,,,,,,,,20.355,percent of total billed charges,19.01069181,,,,,,,,,,20.355,percent of total billed charges,18.95786191,,,,,,,,,,20.355,percent of total billed charges,18.67870763,,,,,,,,,,20.355,percent of total billed charges,19.15933823,,,,,,,,,,20.355,percent of total billed charges,999999999,,,,,,,,,,20.355,percent of total billed charges,16.44006141,,,,,,,,,,20.355,percent of total billed charges,25.92711054,,,,,,,,,,20.355,percent of total billed charges,999999999,,,,,,,,,,20.355,percent of total billed charges,17.7264069,,,,,,,,,,73.278,percent of total billed charges,,,,,
**SORBSAN (ALGINATE) DRESSING 2X2: 10 PA,250,RC,6279-4009-04,NDC,,both,1,EA,68,68,14.47610823,68,68,percent of total billed charges,50.03001575,,,,68,percent of total billed charges,53.03082748,,,,68,percent of total billed charges,50.03001575,,,,68,percent of total billed charges,53.03082748,,,,68,percent of total billed charges,999999999,,,,68,percent of total billed charges,51.81132639,,,,68,percent of total billed charges,50.03001575,,,,68,percent of total billed charges,53.03082748,,,,48.484,percent of total billed charges,24.19440326,,,,48.484,percent of total billed charges,14.47610823,,,,48.484,percent of total billed charges,24.19440326,,,,48.484,percent of total billed charges,14.47610823,,,,48.484,percent of total billed charges,24.19440326,,,,48.484,percent of total billed charges,14.47610823,,,,48.008,percent of total billed charges,47.64375025,,,,48.008,percent of total billed charges,32.85951692,,,,,,,,,,48.96,percent of total billed charges,31.82284787,,,,,,,,,,48.96,percent of total billed charges,999999999,,,,,,,,,,54.4,percent of total billed charges,45.58437219,,,,53.72,percent of total billed charges,51.84211184,,,,53.72,percent of total billed charges,45.80422186,,,,54.4,percent of total billed charges,999999999,,,,54.4,percent of total billed charges,999999999,,,,47.6,percent of total billed charges,999999999,,,,47.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,36.176,percent of total billed charges,999999999,,,,,,,,,,,,,,,,34.34,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17,percent of total billed charges,16.14584165,,,,,,,,,,17,percent of total billed charges,15.87726656,,,,,,,,,,17,percent of total billed charges,15.83314431,,,,,,,,,,17,percent of total billed charges,15.60000146,,,,,,,,,,17,percent of total billed charges,16.00141243,,,,,,,,,,17,percent of total billed charges,999999999,,,,,,,,,,17,percent of total billed charges,13.73033868,,,,,,,,,,17,percent of total billed charges,21.65369094,,,,,,,,,,17,percent of total billed charges,999999999,,,,,,,,,,17,percent of total billed charges,14.8046631,,,,,,,,,,61.2,percent of total billed charges,,,,,
**MINERAL OIL:  6 OZ BOTTLE,259,RC,5486-8240-00,NDC,,both,1,EA,11,11,2.341723391,11,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,11,percent of total billed charges,999999999,,,,11,percent of total billed charges,8.381243975,,,,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.766,percent of total billed charges,7.707077247,,,,7.766,percent of total billed charges,5.31551009,,,,,,,,,,7.92,percent of total billed charges,5.147813626,,,,,,,,,,7.92,percent of total billed charges,999999999,,,,,,,,,,8.8,percent of total billed charges,7.373942561,,,,8.69,percent of total billed charges,8.386223973,,,,8.69,percent of total billed charges,7.409506477,,,,8.8,percent of total billed charges,999999999,,,,8.8,percent of total billed charges,999999999,,,,7.7,percent of total billed charges,999999999,,,,7.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.852,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.555,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.75,percent of total billed charges,2.611827325,,,,,,,,,,2.75,percent of total billed charges,2.568381355,,,,,,,,,,2.75,percent of total billed charges,2.561243933,,,,,,,,,,2.75,percent of total billed charges,2.523529647,,,,,,,,,,2.75,percent of total billed charges,2.588463775,,,,,,,,,,2.75,percent of total billed charges,999999999,,,,,,,,,,2.75,percent of total billed charges,2.221084199,,,,,,,,,,2.75,percent of total billed charges,3.502802947,,,,,,,,,,2.75,percent of total billed charges,999999999,,,,,,,,,,2.75,percent of total billed charges,2.394871971,,,,,,,,,,9.9,percent of total billed charges,,,,,
**E IBUPROFEN 200 MG TABS: 500CT,259,RC,0011-3060-90,NDC,,both,1,EA,12,12,2.554607335,12,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,12,percent of total billed charges,999999999,,,,12,percent of total billed charges,9.143175245,,,,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.472,percent of total billed charges,8.407720633,,,,8.472,percent of total billed charges,5.79873828,,,,,,,,,,8.64,percent of total billed charges,5.615796683,,,,,,,,,,8.64,percent of total billed charges,999999999,,,,,,,,,,9.6,percent of total billed charges,8.044300975,,,,9.48,percent of total billed charges,9.148607971,,,,9.48,percent of total billed charges,8.083097975,,,,9.6,percent of total billed charges,999999999,,,,9.6,percent of total billed charges,999999999,,,,8.4,percent of total billed charges,999999999,,,,8.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.384,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.06,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3,percent of total billed charges,2.849266173,,,,,,,,,,3,percent of total billed charges,2.801870569,,,,,,,,,,3,percent of total billed charges,2.794084291,,,,,,,,,,3,percent of total billed charges,2.752941434,,,,,,,,,,3,percent of total billed charges,2.823778664,,,,,,,,,,3,percent of total billed charges,999999999,,,,,,,,,,3,percent of total billed charges,2.423000944,,,,,,,,,,3,percent of total billed charges,3.821239578,,,,,,,,,,3,percent of total billed charges,999999999,,,,,,,,,,3,percent of total billed charges,2.612587605,,,,,,,,,,10.8,percent of total billed charges,,,,,
**E-CALCIUM 600 MG VIT D 400 UNIT: 150 E,259,RC,0090-4323-92,NDC,,both,1,EA,13,13,2.76749128,13,13,percent of total billed charges,9.564561834,,,,13,percent of total billed charges,10.13824643,,,,13,percent of total billed charges,9.564561834,,,,13,percent of total billed charges,10.13824643,,,,13,percent of total billed charges,999999999,,,,13,percent of total billed charges,9.905106516,,,,13,percent of total billed charges,9.564561834,,,,13,percent of total billed charges,10.13824643,,,,9.269,percent of total billed charges,4.625400623,,,,9.269,percent of total billed charges,2.76749128,,,,9.269,percent of total billed charges,4.625400623,,,,9.269,percent of total billed charges,2.76749128,,,,9.269,percent of total billed charges,4.625400623,,,,9.269,percent of total billed charges,2.76749128,,,,9.178,percent of total billed charges,9.108364019,,,,9.178,percent of total billed charges,6.281966471,,,,,,,,,,9.36,percent of total billed charges,6.083779739,,,,,,,,,,9.36,percent of total billed charges,999999999,,,,,,,,,,10.4,percent of total billed charges,8.71465939,,,,10.27,percent of total billed charges,9.910991969,,,,10.27,percent of total billed charges,8.756689473,,,,10.4,percent of total billed charges,999999999,,,,10.4,percent of total billed charges,999999999,,,,9.1,percent of total billed charges,999999999,,,,9.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.916,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.565,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3.25,percent of total billed charges,3.086705021,,,,,,,,,,3.25,percent of total billed charges,3.035359783,,,,,,,,,,3.25,percent of total billed charges,3.026924648,,,,,,,,,,3.25,percent of total billed charges,2.98235322,,,,,,,,,,3.25,percent of total billed charges,3.059093552,,,,,,,,,,3.25,percent of total billed charges,999999999,,,,,,,,,,3.25,percent of total billed charges,2.624917689,,,,,,,,,,3.25,percent of total billed charges,4.13967621,,,,,,,,,,3.25,percent of total billed charges,999999999,,,,,,,,,,3.25,percent of total billed charges,2.830303239,,,,,,,,,,11.7,percent of total billed charges,,,,,
**KANAMYCIN 1GM/ NACL IRRGATION 500ML',258,RC,6337-0012-20,NDC,,both,1,EA,31,31,6.599402283,31,31,percent of total billed charges,22.8078013,,,,31,percent of total billed charges,24.17581841,,,,31,percent of total billed charges,22.8078013,,,,31,percent of total billed charges,24.17581841,,,,31,percent of total billed charges,999999999,,,,31,percent of total billed charges,23.61986938,,,,31,percent of total billed charges,22.8078013,,,,31,percent of total billed charges,24.17581841,,,,22.103,percent of total billed charges,11.02980149,,,,22.103,percent of total billed charges,6.599402283,,,,22.103,percent of total billed charges,11.02980149,,,,22.103,percent of total billed charges,6.599402283,,,,22.103,percent of total billed charges,11.02980149,,,,22.103,percent of total billed charges,6.599402283,,,,21.886,percent of total billed charges,21.71994497,,,,21.886,percent of total billed charges,14.98007389,,,,,,,,,,22.32,percent of total billed charges,14.50747476,,,,,,,,,,22.32,percent of total billed charges,999999999,,,,,,,,,,24.8,percent of total billed charges,20.78111085,,,,24.49,percent of total billed charges,23.63390393,,,,24.49,percent of total billed charges,20.88133644,,,,24.8,percent of total billed charges,999999999,,,,24.8,percent of total billed charges,999999999,,,,21.7,percent of total billed charges,999999999,,,,21.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,16.492,percent of total billed charges,999999999,,,,,,,,,,,,,,,,15.655,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7.75,percent of total billed charges,7.360604281,,,,,,,,,,7.75,percent of total billed charges,7.238165637,,,,,,,,,,7.75,percent of total billed charges,7.218051084,,,,,,,,,,7.75,percent of total billed charges,7.11176537,,,,,,,,,,7.75,percent of total billed charges,7.294761548,,,,,,,,,,7.75,percent of total billed charges,999999999,,,,,,,,,,7.75,percent of total billed charges,6.259419106,,,,,,,,,,7.75,percent of total billed charges,9.871535577,,,,,,,,,,7.75,percent of total billed charges,999999999,,,,,,,,,,7.75,percent of total billed charges,6.749184647,,,,,,,,,,27.9,percent of total billed charges,,,,,
**BUPROPRION (WELLBUTRIN) 75MG TAB,259,RC,0017-3017-55,NDC,,both,1,EA,9,9,1.915955502,9,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,9,percent of total billed charges,999999999,,,,9,percent of total billed charges,6.857381434,,,,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.354,percent of total billed charges,6.305790475,,,,6.354,percent of total billed charges,4.34905371,,,,,,,,,,6.48,percent of total billed charges,4.211847512,,,,,,,,,,6.48,percent of total billed charges,999999999,,,,,,,,,,7.2,percent of total billed charges,6.033225731,,,,7.11,percent of total billed charges,6.861455978,,,,7.11,percent of total billed charges,6.062323481,,,,7.2,percent of total billed charges,999999999,,,,7.2,percent of total billed charges,999999999,,,,6.3,percent of total billed charges,999999999,,,,6.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.788,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.545,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.25,percent of total billed charges,2.13694963,,,,,,,,,,2.25,percent of total billed charges,2.101402927,,,,,,,,,,2.25,percent of total billed charges,2.095563218,,,,,,,,,,2.25,percent of total billed charges,2.064706075,,,,,,,,,,2.25,percent of total billed charges,2.117833998,,,,,,,,,,2.25,percent of total billed charges,999999999,,,,,,,,,,2.25,percent of total billed charges,1.817250708,,,,,,,,,,2.25,percent of total billed charges,2.865929684,,,,,,,,,,2.25,percent of total billed charges,999999999,,,,,,,,,,2.25,percent of total billed charges,1.959440704,,,,,,,,,,8.1,percent of total billed charges,,,,,
**PERINDOPRIL 8 MG: TAB,259,RC,0003-2110-01,NDC,,both,1,EA,10,10,2.128839446,10,10,percent of total billed charges,7.357355257,,,,10,percent of total billed charges,7.7986511,,,,10,percent of total billed charges,7.357355257,,,,10,percent of total billed charges,7.7986511,,,,10,percent of total billed charges,999999999,,,,10,percent of total billed charges,7.619312704,,,,10,percent of total billed charges,7.357355257,,,,10,percent of total billed charges,7.7986511,,,,7.13,percent of total billed charges,3.558000479,,,,7.13,percent of total billed charges,2.128839446,,,,7.13,percent of total billed charges,3.558000479,,,,7.13,percent of total billed charges,2.128839446,,,,7.13,percent of total billed charges,3.558000479,,,,7.13,percent of total billed charges,2.128839446,,,,7.06,percent of total billed charges,7.006433861,,,,7.06,percent of total billed charges,4.8322819,,,,,,,,,,7.2,percent of total billed charges,4.679830569,,,,,,,,,,7.2,percent of total billed charges,999999999,,,,,,,,,,8,percent of total billed charges,6.703584146,,,,7.9,percent of total billed charges,7.623839976,,,,7.9,percent of total billed charges,6.735914979,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,999999999,,,,7,percent of total billed charges,999999999,,,,7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.32,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.05,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.5,percent of total billed charges,2.374388478,,,,,,,,,,2.5,percent of total billed charges,2.334892141,,,,,,,,,,2.5,percent of total billed charges,2.328403576,,,,,,,,,,2.5,percent of total billed charges,2.294117861,,,,,,,,,,2.5,percent of total billed charges,2.353148886,,,,,,,,,,2.5,percent of total billed charges,999999999,,,,,,,,,,2.5,percent of total billed charges,2.019167453,,,,,,,,,,2.5,percent of total billed charges,3.184366315,,,,,,,,,,2.5,percent of total billed charges,999999999,,,,,,,,,,2.5,percent of total billed charges,2.177156338,,,,,,,,,,9,percent of total billed charges,,,,,
AZTREONAM (AZACTAM) 1 GM IVPB,J0457,CDM,6332-3040-20,NDC,,both,1,EA,318.68,318.68,67.84185547,318.68,318.68,percent of total billed charges,234.4641973,,,,318.68,percent of total billed charges,248.5274133,,,,318.68,percent of total billed charges,234.4641973,,,,318.68,percent of total billed charges,248.5274133,,,,318.68,percent of total billed charges,999999999,,,,318.68,percent of total billed charges,242.8122573,,,,318.68,percent of total billed charges,234.4641973,,,,318.68,percent of total billed charges,248.5274133,,,,227.21884,percent of total billed charges,113.3863593,,,,227.21884,percent of total billed charges,67.84185547,,,,227.21884,percent of total billed charges,113.3863593,,,,227.21884,percent of total billed charges,67.84185547,,,,227.21884,percent of total billed charges,113.3863593,,,,227.21884,percent of total billed charges,67.84185547,,,,224.98808,percent of total billed charges,223.2810343,,,,224.98808,percent of total billed charges,153.9951596,,,,,,,,,,229.4496,percent of total billed charges,149.1368406,,,,,,,,,,229.4496,percent of total billed charges,999999999,,,,,,,,,,254.944,percent of total billed charges,213.6298196,,,,251.7572,percent of total billed charges,242.9565323,,,,251.7572,percent of total billed charges,214.6601386,,,,254.944,percent of total billed charges,999999999,,,,254.944,percent of total billed charges,999999999,,,,223.076,percent of total billed charges,999999999,,,,223.076,percent of total billed charges,999999999,,,,,,,,,,,,,,,,169.53776,percent of total billed charges,999999999,,,,,,,,,,,,,,,,160.9334,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,79.67,percent of total billed charges,75.66701201,,,,,,,,,,79.67,percent of total billed charges,74.40834275,,,,,,,,,,79.67,percent of total billed charges,74.20156515,,,,,,,,,,79.67,percent of total billed charges,73.108948,,,,,,,,,,79.67,percent of total billed charges,74.99014871,,,,,,,,,,79.67,percent of total billed charges,999999999,,,,,,,,,,79.67,percent of total billed charges,64.34682841,,,,,,,,,,79.67,percent of total billed charges,101.4793857,,,,,,,,,,79.67,percent of total billed charges,999999999,,,,,,,,,,79.67,percent of total billed charges,69.38161817,,,,,,,,,,286.812,percent of total billed charges,,,,,
AMOX-CLAV K SUSP 400 MG-57/5ML: 50 ML,259,RC,0002-9609-39,NDC,,both,1,EA,51.16,51.16,10.89114261,51.16,51.16,percent of total billed charges,37.6402295,,,,51.16,percent of total billed charges,39.89789903,,,,51.16,percent of total billed charges,37.6402295,,,,51.16,percent of total billed charges,39.89789903,,,,51.16,percent of total billed charges,999999999,,,,51.16,percent of total billed charges,38.98040379,,,,51.16,percent of total billed charges,37.6402295,,,,51.16,percent of total billed charges,39.89789903,,,,36.47708,percent of total billed charges,18.20273045,,,,36.47708,percent of total billed charges,10.89114261,,,,36.47708,percent of total billed charges,18.20273045,,,,36.47708,percent of total billed charges,10.89114261,,,,36.47708,percent of total billed charges,18.20273045,,,,36.47708,percent of total billed charges,10.89114261,,,,36.11896,percent of total billed charges,35.84491563,,,,36.11896,percent of total billed charges,24.7219542,,,,,,,,,,36.8352,percent of total billed charges,23.94201319,,,,,,,,,,36.8352,percent of total billed charges,999999999,,,,,,,,,,40.928,percent of total billed charges,34.29553649,,,,40.4164,percent of total billed charges,39.00356532,,,,40.4164,percent of total billed charges,34.46094103,,,,40.928,percent of total billed charges,999999999,,,,40.928,percent of total billed charges,999999999,,,,35.812,percent of total billed charges,999999999,,,,35.812,percent of total billed charges,999999999,,,,,,,,,,,,,,,,27.21712,percent of total billed charges,999999999,,,,,,,,,,,,,,,,25.8358,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12.79,percent of total billed charges,12.14737145,,,,,,,,,,12.79,percent of total billed charges,11.94530819,,,,,,,,,,12.79,percent of total billed charges,11.91211269,,,,,,,,,,12.79,percent of total billed charges,11.73670698,,,,,,,,,,12.79,percent of total billed charges,12.0387097,,,,,,,,,,12.79,percent of total billed charges,999999999,,,,,,,,,,12.79,percent of total billed charges,10.33006069,,,,,,,,,,12.79,percent of total billed charges,16.29121807,,,,,,,,,,12.79,percent of total billed charges,999999999,,,,,,,,,,12.79,percent of total billed charges,11.13833182,,,,,,,,,,46.044,percent of total billed charges,,,,,
AUGMENTIN SUSP 400 MG/5ML: 5 ML DOSE,259,RC,0002-9609-51,NDC,,both,1,EA,5,5,1.064419723,5,5,percent of total billed charges,3.678677629,,,,5,percent of total billed charges,3.89932555,,,,5,percent of total billed charges,3.678677629,,,,5,percent of total billed charges,3.89932555,,,,5,percent of total billed charges,999999999,,,,5,percent of total billed charges,3.809656352,,,,5,percent of total billed charges,3.678677629,,,,5,percent of total billed charges,3.89932555,,,,3.565,percent of total billed charges,1.77900024,,,,3.565,percent of total billed charges,1.064419723,,,,3.565,percent of total billed charges,1.77900024,,,,3.565,percent of total billed charges,1.064419723,,,,3.565,percent of total billed charges,1.77900024,,,,3.565,percent of total billed charges,1.064419723,,,,3.53,percent of total billed charges,3.50321693,,,,3.53,percent of total billed charges,2.41614095,,,,,,,,,,3.6,percent of total billed charges,2.339915284,,,,,,,,,,3.6,percent of total billed charges,999999999,,,,,,,,,,4,percent of total billed charges,3.351792073,,,,3.95,percent of total billed charges,3.811919988,,,,3.95,percent of total billed charges,3.36795749,,,,4,percent of total billed charges,999999999,,,,4,percent of total billed charges,999999999,,,,3.5,percent of total billed charges,999999999,,,,3.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2.66,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2.525,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.25,percent of total billed charges,1.187194239,,,,,,,,,,1.25,percent of total billed charges,1.16744607,,,,,,,,,,1.25,percent of total billed charges,1.164201788,,,,,,,,,,1.25,percent of total billed charges,1.147058931,,,,,,,,,,1.25,percent of total billed charges,1.176574443,,,,,,,,,,1.25,percent of total billed charges,999999999,,,,,,,,,,1.25,percent of total billed charges,1.009583727,,,,,,,,,,1.25,percent of total billed charges,1.592183158,,,,,,,,,,1.25,percent of total billed charges,999999999,,,,,,,,,,1.25,percent of total billed charges,1.088578169,,,,,,,,,,4.5,percent of total billed charges,,,,,
MOMETASONE (NASONEX) NASAL SPRAY,259,RC,6050-5083-01,NDC,,both,1,EA,178.01,178.01,37.89547098,178.01,178.01,percent of total billed charges,130.9682809,,,,178.01,percent of total billed charges,138.8237882,,,,178.01,percent of total billed charges,130.9682809,,,,178.01,percent of total billed charges,138.8237882,,,,178.01,percent of total billed charges,999999999,,,,178.01,percent of total billed charges,135.6313854,,,,178.01,percent of total billed charges,130.9682809,,,,178.01,percent of total billed charges,138.8237882,,,,126.92113,percent of total billed charges,63.33596653,,,,126.92113,percent of total billed charges,37.89547098,,,,126.92113,percent of total billed charges,63.33596653,,,,126.92113,percent of total billed charges,37.89547098,,,,126.92113,percent of total billed charges,63.33596653,,,,126.92113,percent of total billed charges,37.89547098,,,,125.67506,percent of total billed charges,124.7215292,,,,125.67506,percent of total billed charges,86.01945011,,,,,,,,,,128.1672,percent of total billed charges,83.30566395,,,,,,,,,,128.1672,percent of total billed charges,999999999,,,,,,,,,,142.408,percent of total billed charges,119.3305014,,,,140.6279,percent of total billed charges,135.7119754,,,,140.6279,percent of total billed charges,119.9060225,,,,142.408,percent of total billed charges,999999999,,,,142.408,percent of total billed charges,999999999,,,,124.607,percent of total billed charges,999999999,,,,124.607,percent of total billed charges,999999999,,,,,,,,,,,,,,,,94.70132,percent of total billed charges,999999999,,,,,,,,,,,,,,,,89.89505,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,44.5025,percent of total billed charges,42.26648929,,,,,,,,,,44.5025,percent of total billed charges,41.563415,,,,,,,,,,44.5025,percent of total billed charges,41.44791205,,,,,,,,,,44.5025,percent of total billed charges,40.83759205,,,,,,,,,,44.5025,percent of total billed charges,41.88840333,,,,,,,,,,44.5025,percent of total billed charges,999999999,,,,,,,,,,44.5025,percent of total billed charges,35.94319984,,,,,,,,,,44.5025,percent of total billed charges,56.68490478,,,,,,,,,,44.5025,percent of total billed charges,999999999,,,,,,,,,,44.5025,percent of total billed charges,38.75555997,,,,,,,,,,160.209,percent of total billed charges,,,,,
LUBRICANT OPHTH OINT,637,RC,1747-8006-35,NDC,,both,1,EA,88.65,88.65,18.87216169,88.65,88.65,percent of total billed charges,65.22295436,,,,88.65,percent of total billed charges,69.135042,,,,88.65,percent of total billed charges,65.22295436,,,,88.65,percent of total billed charges,69.135042,,,,88.65,percent of total billed charges,999999999,,,,88.65,percent of total billed charges,67.54520712,,,,88.65,percent of total billed charges,65.22295436,,,,88.65,percent of total billed charges,69.135042,,,,63.20745,percent of total billed charges,31.54167425,,,,63.20745,percent of total billed charges,18.87216169,,,,63.20745,percent of total billed charges,31.54167425,,,,63.20745,percent of total billed charges,18.87216169,,,,63.20745,percent of total billed charges,31.54167425,,,,63.20745,percent of total billed charges,18.87216169,,,,62.5869,percent of total billed charges,62.11203618,,,,62.5869,percent of total billed charges,42.83817905,,,,,,,,,,63.828,percent of total billed charges,41.48669799,,,,,,,,,,63.828,percent of total billed charges,999999999,,,,,,,,,,70.92,percent of total billed charges,59.42727345,,,,70.0335,percent of total billed charges,67.58534139,,,,70.0335,percent of total billed charges,59.71388629,,,,70.92,percent of total billed charges,999999999,,,,70.92,percent of total billed charges,999999999,,,,62.055,percent of total billed charges,999999999,,,,62.055,percent of total billed charges,999999999,,,,,,,,,,,,,,,,47.1618,percent of total billed charges,999999999,,,,,,,,,,,,,,,,44.76825,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,22.1625,percent of total billed charges,21.04895385,,,,,,,,,,22.1625,percent of total billed charges,20.69881883,,,,,,,,,,22.1625,percent of total billed charges,20.6412977,,,,,,,,,,22.1625,percent of total billed charges,20.33735484,,,,,,,,,,22.1625,percent of total billed charges,20.86066488,,,,,,,,,,22.1625,percent of total billed charges,999999999,,,,,,,,,,22.1625,percent of total billed charges,17.89991947,,,,,,,,,,22.1625,percent of total billed charges,28.22940738,,,,,,,,,,22.1625,percent of total billed charges,999999999,,,,,,,,,,22.1625,percent of total billed charges,19.30049093,,,,,,,,,,79.785,percent of total billed charges,,,,,
**GUAIFENESIN SUGAR FREE 100MG/5ML: 120,259,RC,6056-9047-04,NDC,,both,1,EA,17,17,3.619027059,17,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,17,percent of total billed charges,999999999,,,,17,percent of total billed charges,12.9528316,,,,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.002,percent of total billed charges,11.91093756,,,,12.002,percent of total billed charges,8.214879231,,,,,,,,,,12.24,percent of total billed charges,7.955711967,,,,,,,,,,12.24,percent of total billed charges,999999999,,,,,,,,,,13.6,percent of total billed charges,11.39609305,,,,13.43,percent of total billed charges,12.96052796,,,,13.43,percent of total billed charges,11.45105547,,,,13.6,percent of total billed charges,999999999,,,,13.6,percent of total billed charges,999999999,,,,11.9,percent of total billed charges,999999999,,,,11.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.044,percent of total billed charges,999999999,,,,,,,,,,,,,,,,8.585,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4.25,percent of total billed charges,4.036460412,,,,,,,,,,4.25,percent of total billed charges,3.96931664,,,,,,,,,,4.25,percent of total billed charges,3.958286079,,,,,,,,,,4.25,percent of total billed charges,3.900000364,,,,,,,,,,4.25,percent of total billed charges,4.000353107,,,,,,,,,,4.25,percent of total billed charges,999999999,,,,,,,,,,4.25,percent of total billed charges,3.432584671,,,,,,,,,,4.25,percent of total billed charges,5.413422736,,,,,,,,,,4.25,percent of total billed charges,999999999,,,,,,,,,,4.25,percent of total billed charges,3.701165774,,,,,,,,,,15.3,percent of total billed charges,,,,,
**methylprednisoLONE(DEPOMEDROL)80MG: 5,J1040,CDM,0000-9030-02,NDC,,both,1,EA,165.35,165.35,35.20036024,165.35,165.35,percent of total billed charges,121.6538692,,,,165.35,percent of total billed charges,128.9506959,,,,165.35,percent of total billed charges,121.6538692,,,,165.35,percent of total billed charges,128.9506959,,,,165.35,percent of total billed charges,999999999,,,,165.35,percent of total billed charges,125.9853356,,,,165.35,percent of total billed charges,121.6538692,,,,165.35,percent of total billed charges,128.9506959,,,,117.89455,percent of total billed charges,58.83153792,,,,117.89455,percent of total billed charges,35.20036024,,,,117.89455,percent of total billed charges,58.83153792,,,,117.89455,percent of total billed charges,35.20036024,,,,117.89455,percent of total billed charges,58.83153792,,,,117.89455,percent of total billed charges,35.20036024,,,,116.7371,percent of total billed charges,115.8513839,,,,116.7371,percent of total billed charges,79.90178122,,,,,,,,,,119.052,percent of total billed charges,77.38099845,,,,,,,,,,119.052,percent of total billed charges,999999999,,,,,,,,,,132.28,percent of total billed charges,110.8437639,,,,130.6265,percent of total billed charges,126.060194,,,,130.6265,percent of total billed charges,111.3783542,,,,132.28,percent of total billed charges,999999999,,,,132.28,percent of total billed charges,999999999,,,,115.745,percent of total billed charges,999999999,,,,115.745,percent of total billed charges,999999999,,,,,,,,,,,,,,,,87.9662,percent of total billed charges,999999999,,,,,,,,,,,,,,,,83.50175,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,41.3375,percent of total billed charges,39.26051348,,,,,,,,,,41.3375,percent of total billed charges,38.60744155,,,,,,,,,,41.3375,percent of total billed charges,38.50015312,,,,,,,,,,41.3375,percent of total billed charges,37.93323884,,,,,,,,,,41.3375,percent of total billed charges,38.90931684,,,,,,,,,,41.3375,percent of total billed charges,999999999,,,,,,,,,,41.3375,percent of total billed charges,33.38693384,,,,,,,,,,41.3375,percent of total billed charges,52.65349702,,,,,,,,,,41.3375,percent of total billed charges,999999999,,,,,,,,,,41.3375,percent of total billed charges,35.99928004,,,,,,,,,,148.815,percent of total billed charges,,,,,
**MIRALAX (POLYETHYLENE GLYCOL: 255 GM,259,RC,5226-8080-02,NDC,,both,1,EA,60,60,12.77303668,60,60,percent of total billed charges,44.14413154,,,,60,percent of total billed charges,46.7919066,,,,60,percent of total billed charges,44.14413154,,,,60,percent of total billed charges,46.7919066,,,,60,percent of total billed charges,999999999,,,,60,percent of total billed charges,45.71587623,,,,60,percent of total billed charges,44.14413154,,,,60,percent of total billed charges,46.7919066,,,,42.78,percent of total billed charges,21.34800288,,,,42.78,percent of total billed charges,12.77303668,,,,42.78,percent of total billed charges,21.34800288,,,,42.78,percent of total billed charges,12.77303668,,,,42.78,percent of total billed charges,21.34800288,,,,42.78,percent of total billed charges,12.77303668,,,,42.36,percent of total billed charges,42.03860316,,,,42.36,percent of total billed charges,28.9936914,,,,,,,,,,43.2,percent of total billed charges,28.07898341,,,,,,,,,,43.2,percent of total billed charges,999999999,,,,,,,,,,48,percent of total billed charges,40.22150488,,,,47.4,percent of total billed charges,45.74303985,,,,47.4,percent of total billed charges,40.41548988,,,,48,percent of total billed charges,999999999,,,,48,percent of total billed charges,999999999,,,,42,percent of total billed charges,999999999,,,,42,percent of total billed charges,999999999,,,,,,,,,,,,,,,,31.92,percent of total billed charges,999999999,,,,,,,,,,,,,,,,30.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15,percent of total billed charges,14.24633087,,,,,,,,,,15,percent of total billed charges,14.00935285,,,,,,,,,,15,percent of total billed charges,13.97042145,,,,,,,,,,15,percent of total billed charges,13.76470717,,,,,,,,,,15,percent of total billed charges,14.11889332,,,,,,,,,,15,percent of total billed charges,999999999,,,,,,,,,,15,percent of total billed charges,12.11500472,,,,,,,,,,15,percent of total billed charges,19.10619789,,,,,,,,,,15,percent of total billed charges,999999999,,,,,,,,,,15,percent of total billed charges,13.06293803,,,,,,,,,,54,percent of total billed charges,,,,,
**LIDOCAINE 2% EPINEPHRINE SDV: 20 ML,J2000,CDM,0040-9318-01,NDC,,both,1,EA,69,69,14.68899218,69,69,percent of total billed charges,50.76575127,,,,69,percent of total billed charges,53.81069259,,,,69,percent of total billed charges,50.76575127,,,,69,percent of total billed charges,53.81069259,,,,69,percent of total billed charges,999999999,,,,69,percent of total billed charges,52.57325766,,,,69,percent of total billed charges,50.76575127,,,,69,percent of total billed charges,53.81069259,,,,49.197,percent of total billed charges,24.55020331,,,,49.197,percent of total billed charges,14.68899218,,,,49.197,percent of total billed charges,24.55020331,,,,49.197,percent of total billed charges,14.68899218,,,,49.197,percent of total billed charges,24.55020331,,,,49.197,percent of total billed charges,14.68899218,,,,48.714,percent of total billed charges,48.34439364,,,,48.714,percent of total billed charges,33.34274511,,,,,,,,,,49.68,percent of total billed charges,32.29083092,,,,,,,,,,49.68,percent of total billed charges,999999999,,,,,,,,,,55.2,percent of total billed charges,46.25473061,,,,54.51,percent of total billed charges,52.60449583,,,,54.51,percent of total billed charges,46.47781336,,,,55.2,percent of total billed charges,999999999,,,,55.2,percent of total billed charges,999999999,,,,48.3,percent of total billed charges,999999999,,,,48.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,36.708,percent of total billed charges,999999999,,,,,,,,,,,,,,,,34.845,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17.25,percent of total billed charges,16.3832805,,,,,,,,,,17.25,percent of total billed charges,16.11075577,,,,,,,,,,17.25,percent of total billed charges,16.06598467,,,,,,,,,,17.25,percent of total billed charges,15.82941324,,,,,,,,,,17.25,percent of total billed charges,16.23672732,,,,,,,,,,17.25,percent of total billed charges,999999999,,,,,,,,,,17.25,percent of total billed charges,13.93225543,,,,,,,,,,17.25,percent of total billed charges,21.97212757,,,,,,,,,,17.25,percent of total billed charges,999999999,,,,,,,,,,17.25,percent of total billed charges,15.02237873,,,,,,,,,,62.1,percent of total billed charges,,,,,
BISOPROLOL 5MG/HCTZ 6.25 MG (ZIAC 5) TAB,250,RC,2930-0018-13,NDC,,both,1,EA,2.15,2.15,0.457700481,2.15,2.15,percent of total billed charges,1.58183138,,,,2.15,percent of total billed charges,1.676709987,,,,2.15,percent of total billed charges,1.58183138,,,,2.15,percent of total billed charges,1.676709987,,,,2.15,percent of total billed charges,999999999,,,,2.15,percent of total billed charges,1.638152231,,,,2.15,percent of total billed charges,1.58183138,,,,2.15,percent of total billed charges,1.676709987,,,,1.53295,percent of total billed charges,0.764970103,,,,1.53295,percent of total billed charges,0.457700481,,,,1.53295,percent of total billed charges,0.764970103,,,,1.53295,percent of total billed charges,0.457700481,,,,1.53295,percent of total billed charges,0.764970103,,,,1.53295,percent of total billed charges,0.457700481,,,,1.5179,percent of total billed charges,1.50638328,,,,1.5179,percent of total billed charges,1.038940609,,,,,,,,,,1.548,percent of total billed charges,1.006163572,,,,,,,,,,1.548,percent of total billed charges,999999999,,,,,,,,,,1.72,percent of total billed charges,1.441270591,,,,1.6985,percent of total billed charges,1.639125595,,,,1.6985,percent of total billed charges,1.448221721,,,,1.72,percent of total billed charges,999999999,,,,1.72,percent of total billed charges,999999999,,,,1.505,percent of total billed charges,999999999,,,,1.505,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.1438,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.08575,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.5375,percent of total billed charges,0.510493523,,,,,,,,,,0.5375,percent of total billed charges,0.50200181,,,,,,,,,,0.5375,percent of total billed charges,0.500606769,,,,,,,,,,0.5375,percent of total billed charges,0.49323534,,,,,,,,,,0.5375,percent of total billed charges,0.505927011,,,,,,,,,,0.5375,percent of total billed charges,999999999,,,,,,,,,,0.5375,percent of total billed charges,0.434121002,,,,,,,,,,0.5375,percent of total billed charges,0.684638758,,,,,,,,,,0.5375,percent of total billed charges,999999999,,,,,,,,,,0.5375,percent of total billed charges,0.468088613,,,,,,,,,,1.935,percent of total billed charges,,,,,
HYDROCODONE APAP 10/500 (LORTAB 10/500),259,RC,0040-6036-01,NDC,,both,1,EA,5,5,1.064419723,5,5,percent of total billed charges,3.678677629,,,,5,percent of total billed charges,3.89932555,,,,5,percent of total billed charges,3.678677629,,,,5,percent of total billed charges,3.89932555,,,,5,percent of total billed charges,999999999,,,,5,percent of total billed charges,3.809656352,,,,5,percent of total billed charges,3.678677629,,,,5,percent of total billed charges,3.89932555,,,,3.565,percent of total billed charges,1.77900024,,,,3.565,percent of total billed charges,1.064419723,,,,3.565,percent of total billed charges,1.77900024,,,,3.565,percent of total billed charges,1.064419723,,,,3.565,percent of total billed charges,1.77900024,,,,3.565,percent of total billed charges,1.064419723,,,,3.53,percent of total billed charges,3.50321693,,,,3.53,percent of total billed charges,2.41614095,,,,,,,,,,3.6,percent of total billed charges,2.339915284,,,,,,,,,,3.6,percent of total billed charges,999999999,,,,,,,,,,4,percent of total billed charges,3.351792073,,,,3.95,percent of total billed charges,3.811919988,,,,3.95,percent of total billed charges,3.36795749,,,,4,percent of total billed charges,999999999,,,,4,percent of total billed charges,999999999,,,,3.5,percent of total billed charges,999999999,,,,3.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2.66,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2.525,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.25,percent of total billed charges,1.187194239,,,,,,,,,,1.25,percent of total billed charges,1.16744607,,,,,,,,,,1.25,percent of total billed charges,1.164201788,,,,,,,,,,1.25,percent of total billed charges,1.147058931,,,,,,,,,,1.25,percent of total billed charges,1.176574443,,,,,,,,,,1.25,percent of total billed charges,999999999,,,,,,,,,,1.25,percent of total billed charges,1.009583727,,,,,,,,,,1.25,percent of total billed charges,1.592183158,,,,,,,,,,1.25,percent of total billed charges,999999999,,,,,,,,,,1.25,percent of total billed charges,1.088578169,,,,,,,,,,4.5,percent of total billed charges,,,,,
ERTAPENEM: (INVANZ) 1 GM INJ VIAL,J1335,CDM,5515-0028-09,NDC,,both,1,EA,323.79,323.79,68.92969243,323.79,323.79,percent of total billed charges,238.2238059,,,,323.79,percent of total billed charges,252.512524,,,,323.79,percent of total billed charges,238.2238059,,,,323.79,percent of total billed charges,252.512524,,,,323.79,percent of total billed charges,999999999,,,,323.79,percent of total billed charges,246.7057261,,,,323.79,percent of total billed charges,238.2238059,,,,323.79,percent of total billed charges,252.512524,,,,230.86227,percent of total billed charges,115.2044975,,,,230.86227,percent of total billed charges,68.92969243,,,,230.86227,percent of total billed charges,115.2044975,,,,230.86227,percent of total billed charges,68.92969243,,,,230.86227,percent of total billed charges,115.2044975,,,,230.86227,percent of total billed charges,68.92969243,,,,228.59574,percent of total billed charges,226.861322,,,,228.59574,percent of total billed charges,156.4644557,,,,,,,,,,233.1288,percent of total billed charges,151.528234,,,,,,,,,,233.1288,percent of total billed charges,999999999,,,,,,,,,,259.032,percent of total billed charges,217.0553511,,,,255.7941,percent of total billed charges,246.8523146,,,,255.7941,percent of total billed charges,218.1021911,,,,259.032,percent of total billed charges,999999999,,,,259.032,percent of total billed charges,999999999,,,,226.653,percent of total billed charges,999999999,,,,226.653,percent of total billed charges,999999999,,,,,,,,,,,,,,,,172.25628,percent of total billed charges,999999999,,,,,,,,,,,,,,,,163.51395,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,80.9475,percent of total billed charges,76.88032452,,,,,,,,,,80.9475,percent of total billed charges,75.60147263,,,,,,,,,,80.9475,percent of total billed charges,75.39137938,,,,,,,,,,80.9475,percent of total billed charges,74.28124223,,,,,,,,,,80.9475,percent of total billed charges,76.19260779,,,,,,,,,,80.9475,percent of total billed charges,999999999,,,,,,,,,,80.9475,percent of total billed charges,65.37862297,,,,,,,,,,80.9475,percent of total billed charges,103.1065969,,,,,,,,,,80.9475,percent of total billed charges,999999999,,,,,,,,,,80.9475,percent of total billed charges,70.49414506,,,,,,,,,,291.411,percent of total billed charges,,,,,
**LOSARTAN (COZAAR) 50 MG TAB,259,RC,0000-6095-31,NDC,,both,1,EA,9,9,1.915955502,9,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,9,percent of total billed charges,999999999,,,,9,percent of total billed charges,6.857381434,,,,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.354,percent of total billed charges,6.305790475,,,,6.354,percent of total billed charges,4.34905371,,,,,,,,,,6.48,percent of total billed charges,4.211847512,,,,,,,,,,6.48,percent of total billed charges,999999999,,,,,,,,,,7.2,percent of total billed charges,6.033225731,,,,7.11,percent of total billed charges,6.861455978,,,,7.11,percent of total billed charges,6.062323481,,,,7.2,percent of total billed charges,999999999,,,,7.2,percent of total billed charges,999999999,,,,6.3,percent of total billed charges,999999999,,,,6.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.788,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.545,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.25,percent of total billed charges,2.13694963,,,,,,,,,,2.25,percent of total billed charges,2.101402927,,,,,,,,,,2.25,percent of total billed charges,2.095563218,,,,,,,,,,2.25,percent of total billed charges,2.064706075,,,,,,,,,,2.25,percent of total billed charges,2.117833998,,,,,,,,,,2.25,percent of total billed charges,999999999,,,,,,,,,,2.25,percent of total billed charges,1.817250708,,,,,,,,,,2.25,percent of total billed charges,2.865929684,,,,,,,,,,2.25,percent of total billed charges,999999999,,,,,,,,,,2.25,percent of total billed charges,1.959440704,,,,,,,,,,8.1,percent of total billed charges,,,,,
ERTAPENEM 1GM/50ML  IVPB,J1335,CDM,0000-6384-45,NDC,,both,1,EA,406.5,406.5,86.53732349,406.5,406.5,percent of total billed charges,299.0764912,,,,406.5,percent of total billed charges,317.0151672,,,,406.5,percent of total billed charges,299.0764912,,,,406.5,percent of total billed charges,317.0151672,,,,406.5,percent of total billed charges,999999999,,,,406.5,percent of total billed charges,309.7250614,,,,406.5,percent of total billed charges,299.0764912,,,,406.5,percent of total billed charges,317.0151672,,,,289.8345,percent of total billed charges,144.6327195,,,,289.8345,percent of total billed charges,86.53732349,,,,289.8345,percent of total billed charges,144.6327195,,,,289.8345,percent of total billed charges,86.53732349,,,,289.8345,percent of total billed charges,144.6327195,,,,289.8345,percent of total billed charges,86.53732349,,,,286.989,percent of total billed charges,284.8115364,,,,286.989,percent of total billed charges,196.4322593,,,,,,,,,,292.68,percent of total billed charges,190.2351126,,,,,,,,,,292.68,percent of total billed charges,999999999,,,,,,,,,,325.2,percent of total billed charges,272.5006955,,,,321.135,percent of total billed charges,309.909095,,,,321.135,percent of total billed charges,273.8149439,,,,325.2,percent of total billed charges,999999999,,,,325.2,percent of total billed charges,999999999,,,,284.55,percent of total billed charges,999999999,,,,284.55,percent of total billed charges,999999999,,,,,,,,,,,,,,,,216.258,percent of total billed charges,999999999,,,,,,,,,,,,,,,,205.2825,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,101.625,percent of total billed charges,96.51889162,,,,,,,,,,101.625,percent of total billed charges,94.91336553,,,,,,,,,,101.625,percent of total billed charges,94.64960535,,,,,,,,,,101.625,percent of total billed charges,93.25589106,,,,,,,,,,101.625,percent of total billed charges,95.65550223,,,,,,,,,,101.625,percent of total billed charges,999999999,,,,,,,,,,101.625,percent of total billed charges,82.07915698,,,,,,,,,,101.625,percent of total billed charges,129.4444907,,,,,,,,,,101.625,percent of total billed charges,999999999,,,,,,,,,,101.625,percent of total billed charges,88.50140513,,,,,,,,,,365.85,percent of total billed charges,,,,,
"BACITRACIN 50,000 UNIT VIAL",250,RC,7059-4002-03,NDC,,both,1,EA,47.36,47.36,10.08218362,47.36,47.36,percent of total billed charges,34.8444345,,,,47.36,percent of total billed charges,36.93441161,,,,47.36,percent of total billed charges,34.8444345,,,,47.36,percent of total billed charges,36.93441161,,,,47.36,percent of total billed charges,999999999,,,,47.36,percent of total billed charges,36.08506497,,,,47.36,percent of total billed charges,34.8444345,,,,47.36,percent of total billed charges,36.93441161,,,,33.76768,percent of total billed charges,16.85069027,,,,33.76768,percent of total billed charges,10.08218362,,,,33.76768,percent of total billed charges,16.85069027,,,,33.76768,percent of total billed charges,10.08218362,,,,33.76768,percent of total billed charges,16.85069027,,,,33.76768,percent of total billed charges,10.08218362,,,,33.43616,percent of total billed charges,33.18247076,,,,33.43616,percent of total billed charges,22.88568708,,,,,,,,,,34.0992,percent of total billed charges,22.16367757,,,,,,,,,,34.0992,percent of total billed charges,999999999,,,,,,,,,,37.888,percent of total billed charges,31.74817452,,,,37.4144,percent of total billed charges,36.10650613,,,,37.4144,percent of total billed charges,31.90129334,,,,37.888,percent of total billed charges,999999999,,,,37.888,percent of total billed charges,999999999,,,,33.152,percent of total billed charges,999999999,,,,33.152,percent of total billed charges,999999999,,,,,,,,,,,,,,,,25.19552,percent of total billed charges,999999999,,,,,,,,,,,,,,,,23.9168,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11.84,percent of total billed charges,11.24510383,,,,,,,,,,11.84,percent of total billed charges,11.05804918,,,,,,,,,,11.84,percent of total billed charges,11.02731933,,,,,,,,,,11.84,percent of total billed charges,10.86494219,,,,,,,,,,11.84,percent of total billed charges,11.14451313,,,,,,,,,,11.84,percent of total billed charges,999999999,,,,,,,,,,11.84,percent of total billed charges,9.562777059,,,,,,,,,,11.84,percent of total billed charges,15.08115887,,,,,,,,,,11.84,percent of total billed charges,999999999,,,,,,,,,,11.84,percent of total billed charges,10.31101242,,,,,,,,,,42.624,percent of total billed charges,,,,,
**HIDDEN*(FORTAZ) 0.1 GM DOSE :VIAL,258,RC,0000-2900-25,NDC,,both,1,EA,17,17,3.619027059,17,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,17,percent of total billed charges,999999999,,,,17,percent of total billed charges,12.9528316,,,,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.002,percent of total billed charges,11.91093756,,,,12.002,percent of total billed charges,8.214879231,,,,,,,,,,12.24,percent of total billed charges,7.955711967,,,,,,,,,,12.24,percent of total billed charges,999999999,,,,,,,,,,13.6,percent of total billed charges,11.39609305,,,,13.43,percent of total billed charges,12.96052796,,,,13.43,percent of total billed charges,11.45105547,,,,13.6,percent of total billed charges,999999999,,,,13.6,percent of total billed charges,999999999,,,,11.9,percent of total billed charges,999999999,,,,11.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.044,percent of total billed charges,999999999,,,,,,,,,,,,,,,,8.585,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4.25,percent of total billed charges,4.036460412,,,,,,,,,,4.25,percent of total billed charges,3.96931664,,,,,,,,,,4.25,percent of total billed charges,3.958286079,,,,,,,,,,4.25,percent of total billed charges,3.900000364,,,,,,,,,,4.25,percent of total billed charges,4.000353107,,,,,,,,,,4.25,percent of total billed charges,999999999,,,,,,,,,,4.25,percent of total billed charges,3.432584671,,,,,,,,,,4.25,percent of total billed charges,5.413422736,,,,,,,,,,4.25,percent of total billed charges,999999999,,,,,,,,,,4.25,percent of total billed charges,3.701165774,,,,,,,,,,15.3,percent of total billed charges,,,,,
**BEXTRA (VALDECOXIB) 10MG TAB,250,RC,0002-5197-31,NDC,,both,1,EA,11,11,2.341723391,11,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,11,percent of total billed charges,999999999,,,,11,percent of total billed charges,8.381243975,,,,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.766,percent of total billed charges,7.707077247,,,,7.766,percent of total billed charges,5.31551009,,,,,,,,,,7.92,percent of total billed charges,5.147813626,,,,,,,,,,7.92,percent of total billed charges,999999999,,,,,,,,,,8.8,percent of total billed charges,7.373942561,,,,8.69,percent of total billed charges,8.386223973,,,,8.69,percent of total billed charges,7.409506477,,,,8.8,percent of total billed charges,999999999,,,,8.8,percent of total billed charges,999999999,,,,7.7,percent of total billed charges,999999999,,,,7.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.852,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.555,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.75,percent of total billed charges,2.611827325,,,,,,,,,,2.75,percent of total billed charges,2.568381355,,,,,,,,,,2.75,percent of total billed charges,2.561243933,,,,,,,,,,2.75,percent of total billed charges,2.523529647,,,,,,,,,,2.75,percent of total billed charges,2.588463775,,,,,,,,,,2.75,percent of total billed charges,999999999,,,,,,,,,,2.75,percent of total billed charges,2.221084199,,,,,,,,,,2.75,percent of total billed charges,3.502802947,,,,,,,,,,2.75,percent of total billed charges,999999999,,,,,,,,,,2.75,percent of total billed charges,2.394871971,,,,,,,,,,9.9,percent of total billed charges,,,,,
RAMIPRIL (ALTACE) 5 MG CAP,637,RC,6818-0059-01,NDC,,both,1,EA,0.5,0.5,0.106441972,0.5,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,999999999,,,,0.5,percent of total billed charges,0.380965635,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.353,percent of total billed charges,0.350321693,,,,0.353,percent of total billed charges,0.241614095,,,,,,,,,,0.36,percent of total billed charges,0.233991528,,,,,,,,,,0.36,percent of total billed charges,999999999,,,,,,,,,,0.4,percent of total billed charges,0.335179207,,,,0.395,percent of total billed charges,0.381191999,,,,0.395,percent of total billed charges,0.336795749,,,,0.4,percent of total billed charges,999999999,,,,0.4,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.266,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.2525,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.125,percent of total billed charges,0.118719424,,,,,,,,,,0.125,percent of total billed charges,0.116744607,,,,,,,,,,0.125,percent of total billed charges,0.116420179,,,,,,,,,,0.125,percent of total billed charges,0.114705893,,,,,,,,,,0.125,percent of total billed charges,0.117657444,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.100958373,,,,,,,,,,0.125,percent of total billed charges,0.159218316,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.108857817,,,,,,,,,,0.45,percent of total billed charges,,,,,
QUINAPRIL (ACCUPRIL) 20 MG TAB,259,RC,0007-1053-40,NDC,,both,1,EA,3.75,3.75,0.798314792,3.75,3.75,percent of total billed charges,2.759008221,,,,3.75,percent of total billed charges,2.924494163,,,,3.75,percent of total billed charges,2.759008221,,,,3.75,percent of total billed charges,2.924494163,,,,3.75,percent of total billed charges,999999999,,,,3.75,percent of total billed charges,2.857242264,,,,3.75,percent of total billed charges,2.759008221,,,,3.75,percent of total billed charges,2.924494163,,,,2.67375,percent of total billed charges,1.33425018,,,,2.67375,percent of total billed charges,0.798314792,,,,2.67375,percent of total billed charges,1.33425018,,,,2.67375,percent of total billed charges,0.798314792,,,,2.67375,percent of total billed charges,1.33425018,,,,2.67375,percent of total billed charges,0.798314792,,,,2.6475,percent of total billed charges,2.627412698,,,,2.6475,percent of total billed charges,1.812105713,,,,,,,,,,2.7,percent of total billed charges,1.754936463,,,,,,,,,,2.7,percent of total billed charges,999999999,,,,,,,,,,3,percent of total billed charges,2.513844055,,,,2.9625,percent of total billed charges,2.858939991,,,,2.9625,percent of total billed charges,2.525968117,,,,3,percent of total billed charges,999999999,,,,3,percent of total billed charges,999999999,,,,2.625,percent of total billed charges,999999999,,,,2.625,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.995,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.89375,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.9375,percent of total billed charges,0.890395679,,,,,,,,,,0.9375,percent of total billed charges,0.875584553,,,,,,,,,,0.9375,percent of total billed charges,0.873151341,,,,,,,,,,0.9375,percent of total billed charges,0.860294198,,,,,,,,,,0.9375,percent of total billed charges,0.882430832,,,,,,,,,,0.9375,percent of total billed charges,999999999,,,,,,,,,,0.9375,percent of total billed charges,0.757187795,,,,,,,,,,0.9375,percent of total billed charges,1.194137368,,,,,,,,,,0.9375,percent of total billed charges,999999999,,,,,,,,,,0.9375,percent of total billed charges,0.816433627,,,,,,,,,,3.375,percent of total billed charges,,,,,
**METHYLPREDNISOLON(DEPOMEDROL)40MG/ML:5,J1030,CDM,0000-9028-51,NDC,,both,1,EA,63,63,13.41168851,63,63,percent of total billed charges,46.35133812,,,,63,percent of total billed charges,49.13150193,,,,63,percent of total billed charges,46.35133812,,,,63,percent of total billed charges,49.13150193,,,,63,percent of total billed charges,999999999,,,,63,percent of total billed charges,48.00167004,,,,63,percent of total billed charges,46.35133812,,,,63,percent of total billed charges,49.13150193,,,,44.919,percent of total billed charges,22.41540302,,,,44.919,percent of total billed charges,13.41168851,,,,44.919,percent of total billed charges,22.41540302,,,,44.919,percent of total billed charges,13.41168851,,,,44.919,percent of total billed charges,22.41540302,,,,44.919,percent of total billed charges,13.41168851,,,,44.478,percent of total billed charges,44.14053332,,,,44.478,percent of total billed charges,30.44337597,,,,,,,,,,45.36,percent of total billed charges,29.48293258,,,,,,,,,,45.36,percent of total billed charges,999999999,,,,,,,,,,50.4,percent of total billed charges,42.23258012,,,,49.77,percent of total billed charges,48.03019185,,,,49.77,percent of total billed charges,42.43626437,,,,50.4,percent of total billed charges,999999999,,,,50.4,percent of total billed charges,999999999,,,,44.1,percent of total billed charges,999999999,,,,44.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,33.516,percent of total billed charges,999999999,,,,,,,,,,,,,,,,31.815,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15.75,percent of total billed charges,14.95864741,,,,,,,,,,15.75,percent of total billed charges,14.70982049,,,,,,,,,,15.75,percent of total billed charges,14.66894253,,,,,,,,,,15.75,percent of total billed charges,14.45294253,,,,,,,,,,15.75,percent of total billed charges,14.82483798,,,,,,,,,,15.75,percent of total billed charges,999999999,,,,,,,,,,15.75,percent of total billed charges,12.72075496,,,,,,,,,,15.75,percent of total billed charges,20.06150779,,,,,,,,,,15.75,percent of total billed charges,999999999,,,,,,,,,,15.75,percent of total billed charges,13.71608493,,,,,,,,,,56.7,percent of total billed charges,,,,,
**NORTRIPTYLINE 50 MG : CAP,259,RC,0059-1578-01,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
ENOXAPARIN (LOVENOX) 40MG SYRINGE,J1650,CDM,6332-3053-98,NDC,,both,1,EA,56.82,56.82,12.09606573,56.82,56.82,percent of total billed charges,41.80449257,,,,56.82,percent of total billed charges,44.31193555,,,,56.82,percent of total billed charges,41.80449257,,,,56.82,percent of total billed charges,44.31193555,,,,56.82,percent of total billed charges,999999999,,,,56.82,percent of total billed charges,43.29293479,,,,56.82,percent of total billed charges,41.80449257,,,,56.82,percent of total billed charges,44.31193555,,,,40.51266,percent of total billed charges,20.21655872,,,,40.51266,percent of total billed charges,12.09606573,,,,40.51266,percent of total billed charges,20.21655872,,,,40.51266,percent of total billed charges,12.09606573,,,,40.51266,percent of total billed charges,20.21655872,,,,40.51266,percent of total billed charges,12.09606573,,,,40.11492,percent of total billed charges,39.8105572,,,,40.11492,percent of total billed charges,27.45702576,,,,,,,,,,40.9104,percent of total billed charges,26.59079729,,,,,,,,,,40.9104,percent of total billed charges,999999999,,,,,,,,,,45.456,percent of total billed charges,38.08976512,,,,44.8878,percent of total billed charges,43.31865874,,,,44.8878,percent of total billed charges,38.27346891,,,,45.456,percent of total billed charges,999999999,,,,45.456,percent of total billed charges,999999999,,,,39.774,percent of total billed charges,999999999,,,,39.774,percent of total billed charges,999999999,,,,,,,,,,,,,,,,30.22824,percent of total billed charges,999999999,,,,,,,,,,,,,,,,28.6941,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14.205,percent of total billed charges,13.49127533,,,,,,,,,,14.205,percent of total billed charges,13.26685714,,,,,,,,,,14.205,percent of total billed charges,13.22998912,,,,,,,,,,14.205,percent of total billed charges,13.03517769,,,,,,,,,,14.205,percent of total billed charges,13.37059197,,,,,,,,,,14.205,percent of total billed charges,999999999,,,,,,,,,,14.205,percent of total billed charges,11.47290947,,,,,,,,,,14.205,percent of total billed charges,18.0935694,,,,,,,,,,14.205,percent of total billed charges,999999999,,,,,,,,,,14.205,percent of total billed charges,12.37060231,,,,,,,,,,51.138,percent of total billed charges,,,,,
**E-ADVIL  200 MG TAB: BOTTLE OF 225,259,RC,9999-9999-99,NDC,,both,1,EA,11,11,2.341723391,11,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,11,percent of total billed charges,999999999,,,,11,percent of total billed charges,8.381243975,,,,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.766,percent of total billed charges,7.707077247,,,,7.766,percent of total billed charges,5.31551009,,,,,,,,,,7.92,percent of total billed charges,5.147813626,,,,,,,,,,7.92,percent of total billed charges,999999999,,,,,,,,,,8.8,percent of total billed charges,7.373942561,,,,8.69,percent of total billed charges,8.386223973,,,,8.69,percent of total billed charges,7.409506477,,,,8.8,percent of total billed charges,999999999,,,,8.8,percent of total billed charges,999999999,,,,7.7,percent of total billed charges,999999999,,,,7.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.852,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.555,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.75,percent of total billed charges,2.611827325,,,,,,,,,,2.75,percent of total billed charges,2.568381355,,,,,,,,,,2.75,percent of total billed charges,2.561243933,,,,,,,,,,2.75,percent of total billed charges,2.523529647,,,,,,,,,,2.75,percent of total billed charges,2.588463775,,,,,,,,,,2.75,percent of total billed charges,999999999,,,,,,,,,,2.75,percent of total billed charges,2.221084199,,,,,,,,,,2.75,percent of total billed charges,3.502802947,,,,,,,,,,2.75,percent of total billed charges,999999999,,,,,,,,,,2.75,percent of total billed charges,2.394871971,,,,,,,,,,9.9,percent of total billed charges,,,,,
**CILOXAN (CIPROFLOX) OPTH SOLN:0.3% 0.5,250,RC,5486-8278-00,NDC,,both,1,EA,16,16,3.406143114,16,16,percent of total billed charges,11.77176841,,,,16,percent of total billed charges,12.47784176,,,,16,percent of total billed charges,11.77176841,,,,16,percent of total billed charges,12.47784176,,,,16,percent of total billed charges,999999999,,,,16,percent of total billed charges,12.19090033,,,,16,percent of total billed charges,11.77176841,,,,16,percent of total billed charges,12.47784176,,,,11.408,percent of total billed charges,5.692800767,,,,11.408,percent of total billed charges,3.406143114,,,,11.408,percent of total billed charges,5.692800767,,,,11.408,percent of total billed charges,3.406143114,,,,11.408,percent of total billed charges,5.692800767,,,,11.408,percent of total billed charges,3.406143114,,,,11.296,percent of total billed charges,11.21029418,,,,11.296,percent of total billed charges,7.731651041,,,,,,,,,,11.52,percent of total billed charges,7.48772891,,,,,,,,,,11.52,percent of total billed charges,999999999,,,,,,,,,,12.8,percent of total billed charges,10.72573463,,,,12.64,percent of total billed charges,12.19814396,,,,12.64,percent of total billed charges,10.77746397,,,,12.8,percent of total billed charges,999999999,,,,12.8,percent of total billed charges,999999999,,,,11.2,percent of total billed charges,999999999,,,,11.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,8.512,percent of total billed charges,999999999,,,,,,,,,,,,,,,,8.08,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4,percent of total billed charges,3.799021564,,,,,,,,,,4,percent of total billed charges,3.735827425,,,,,,,,,,4,percent of total billed charges,3.725445721,,,,,,,,,,4,percent of total billed charges,3.670588578,,,,,,,,,,4,percent of total billed charges,3.765038218,,,,,,,,,,4,percent of total billed charges,999999999,,,,,,,,,,4,percent of total billed charges,3.230667926,,,,,,,,,,4,percent of total billed charges,5.094986104,,,,,,,,,,4,percent of total billed charges,999999999,,,,,,,,,,4,percent of total billed charges,3.48345014,,,,,,,,,,14.4,percent of total billed charges,,,,,
OCUFEN (FLURBIPROFEN)OPTH SOL.0.3%:0.2ML,250,RC,1198-0080-03,NDC,,both,1,EA,105.83,105.83,22.52950786,105.83,105.83,percent of total billed charges,77.86289069,,,,105.83,percent of total billed charges,82.53312459,,,,105.83,percent of total billed charges,77.86289069,,,,105.83,percent of total billed charges,82.53312459,,,,105.83,percent of total billed charges,999999999,,,,105.83,percent of total billed charges,80.63518635,,,,105.83,percent of total billed charges,77.86289069,,,,105.83,percent of total billed charges,82.53312459,,,,75.45679,percent of total billed charges,37.65431907,,,,75.45679,percent of total billed charges,22.52950786,,,,75.45679,percent of total billed charges,37.65431907,,,,75.45679,percent of total billed charges,22.52950786,,,,75.45679,percent of total billed charges,37.65431907,,,,75.45679,percent of total billed charges,22.52950786,,,,74.71598,percent of total billed charges,74.14908955,,,,74.71598,percent of total billed charges,51.14003935,,,,,,,,,,76.1976,percent of total billed charges,49.52664691,,,,,,,,,,76.1976,percent of total billed charges,999999999,,,,,,,,,,84.664,percent of total billed charges,70.94403102,,,,83.6057,percent of total billed charges,80.68309846,,,,83.6057,percent of total billed charges,71.28618823,,,,84.664,percent of total billed charges,999999999,,,,84.664,percent of total billed charges,999999999,,,,74.081,percent of total billed charges,999999999,,,,74.081,percent of total billed charges,999999999,,,,,,,,,,,,,,,,56.30156,percent of total billed charges,999999999,,,,,,,,,,,,,,,,53.44415,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,26.4575,percent of total billed charges,25.12815326,,,,,,,,,,26.4575,percent of total billed charges,24.71016353,,,,,,,,,,26.4575,percent of total billed charges,24.64149504,,,,,,,,,,26.4575,percent of total billed charges,24.27864933,,,,,,,,,,26.4575,percent of total billed charges,24.90337467,,,,,,,,,,26.4575,percent of total billed charges,999999999,,,,,,,,,,26.4575,percent of total billed charges,21.36884916,,,,,,,,,,26.4575,percent of total billed charges,33.70014871,,,,,,,,,,26.4575,percent of total billed charges,999999999,,,,,,,,,,26.4575,percent of total billed charges,23.04084552,,,,,,,,,,95.247,percent of total billed charges,,,,,
**TETRACAINE 0.5% OPTH SOL: 0.5ML,250,RC,0006-5074-12,NDC,,both,1,EA,35,35,7.450938062,35,35,percent of total billed charges,25.7507434,,,,35,percent of total billed charges,27.29527885,,,,35,percent of total billed charges,25.7507434,,,,35,percent of total billed charges,27.29527885,,,,35,percent of total billed charges,999999999,,,,35,percent of total billed charges,26.66759446,,,,35,percent of total billed charges,25.7507434,,,,35,percent of total billed charges,27.29527885,,,,24.955,percent of total billed charges,12.45300168,,,,24.955,percent of total billed charges,7.450938062,,,,24.955,percent of total billed charges,12.45300168,,,,24.955,percent of total billed charges,7.450938062,,,,24.955,percent of total billed charges,12.45300168,,,,24.955,percent of total billed charges,7.450938062,,,,24.71,percent of total billed charges,24.52251851,,,,24.71,percent of total billed charges,16.91298665,,,,,,,,,,25.2,percent of total billed charges,16.37940699,,,,,,,,,,25.2,percent of total billed charges,999999999,,,,,,,,,,28,percent of total billed charges,23.46254451,,,,27.65,percent of total billed charges,26.68343992,,,,27.65,percent of total billed charges,23.57570243,,,,28,percent of total billed charges,999999999,,,,28,percent of total billed charges,999999999,,,,24.5,percent of total billed charges,999999999,,,,24.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,18.62,percent of total billed charges,999999999,,,,,,,,,,,,,,,,17.675,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8.75,percent of total billed charges,8.310359672,,,,,,,,,,8.75,percent of total billed charges,8.172122493,,,,,,,,,,8.75,percent of total billed charges,8.149412515,,,,,,,,,,8.75,percent of total billed charges,8.029412515,,,,,,,,,,8.75,percent of total billed charges,8.236021103,,,,,,,,,,8.75,percent of total billed charges,999999999,,,,,,,,,,8.75,percent of total billed charges,7.067086087,,,,,,,,,,8.75,percent of total billed charges,11.1452821,,,,,,,,,,8.75,percent of total billed charges,999999999,,,,,,,,,,8.75,percent of total billed charges,7.620047182,,,,,,,,,,31.5,percent of total billed charges,,,,,
**PHENYLEPHRINE(NEO-SYNEPHRINE)VISCOP:1,250,RC,0002-4135-01,NDC,,both,1,EA,36,36,7.663822006,36,36,percent of total billed charges,26.48647893,,,,36,percent of total billed charges,28.07514396,,,,36,percent of total billed charges,26.48647893,,,,36,percent of total billed charges,28.07514396,,,,36,percent of total billed charges,999999999,,,,36,percent of total billed charges,27.42952574,,,,36,percent of total billed charges,26.48647893,,,,36,percent of total billed charges,28.07514396,,,,25.668,percent of total billed charges,12.80880173,,,,25.668,percent of total billed charges,7.663822006,,,,25.668,percent of total billed charges,12.80880173,,,,25.668,percent of total billed charges,7.663822006,,,,25.668,percent of total billed charges,12.80880173,,,,25.668,percent of total billed charges,7.663822006,,,,25.416,percent of total billed charges,25.2231619,,,,25.416,percent of total billed charges,17.39621484,,,,,,,,,,25.92,percent of total billed charges,16.84739005,,,,,,,,,,25.92,percent of total billed charges,999999999,,,,,,,,,,28.8,percent of total billed charges,24.13290293,,,,28.44,percent of total billed charges,27.44582391,,,,28.44,percent of total billed charges,24.24929393,,,,28.8,percent of total billed charges,999999999,,,,28.8,percent of total billed charges,999999999,,,,25.2,percent of total billed charges,999999999,,,,25.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,19.152,percent of total billed charges,999999999,,,,,,,,,,,,,,,,18.18,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9,percent of total billed charges,8.54779852,,,,,,,,,,9,percent of total billed charges,8.405611707,,,,,,,,,,9,percent of total billed charges,8.382252872,,,,,,,,,,9,percent of total billed charges,8.258824301,,,,,,,,,,9,percent of total billed charges,8.471335991,,,,,,,,,,9,percent of total billed charges,999999999,,,,,,,,,,9,percent of total billed charges,7.269002832,,,,,,,,,,9,percent of total billed charges,11.46371873,,,,,,,,,,9,percent of total billed charges,999999999,,,,,,,,,,9,percent of total billed charges,7.837762816,,,,,,,,,,32.4,percent of total billed charges,,,,,
MEROPENEM: (MERREM) 1GM VIAL,J2185,CDM,5515-0020-30,NDC,,both,1,EA,80.88,80.88,17.21805344,80.88,80.88,percent of total billed charges,59.50628932,,,,80.88,percent of total billed charges,63.0754901,,,,80.88,percent of total billed charges,59.50628932,,,,80.88,percent of total billed charges,63.0754901,,,,80.88,percent of total billed charges,999999999,,,,80.88,percent of total billed charges,61.62500115,,,,80.88,percent of total billed charges,59.50628932,,,,80.88,percent of total billed charges,63.0754901,,,,57.66744,percent of total billed charges,28.77710788,,,,57.66744,percent of total billed charges,17.21805344,,,,57.66744,percent of total billed charges,28.77710788,,,,57.66744,percent of total billed charges,17.21805344,,,,57.66744,percent of total billed charges,28.77710788,,,,57.66744,percent of total billed charges,17.21805344,,,,57.10128,percent of total billed charges,56.66803707,,,,57.10128,percent of total billed charges,39.08349601,,,,,,,,,,58.2336,percent of total billed charges,37.85046964,,,,,,,,,,58.2336,percent of total billed charges,999999999,,,,,,,,,,64.704,percent of total billed charges,54.21858857,,,,63.8952,percent of total billed charges,61.66161772,,,,63.8952,percent of total billed charges,54.48008035,,,,64.704,percent of total billed charges,999999999,,,,64.704,percent of total billed charges,999999999,,,,56.616,percent of total billed charges,999999999,,,,56.616,percent of total billed charges,999999999,,,,,,,,,,,,,,,,43.02816,percent of total billed charges,999999999,,,,,,,,,,,,,,,,40.8444,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20.22,percent of total billed charges,19.20405401,,,,,,,,,,20.22,percent of total billed charges,18.88460764,,,,,,,,,,20.22,percent of total billed charges,18.83212812,,,,,,,,,,20.22,percent of total billed charges,18.55482526,,,,,,,,,,20.22,percent of total billed charges,19.03226819,,,,,,,,,,20.22,percent of total billed charges,999999999,,,,,,,,,,20.22,percent of total billed charges,16.33102636,,,,,,,,,,20.22,percent of total billed charges,25.75515476,,,,,,,,,,20.22,percent of total billed charges,999999999,,,,,,,,,,20.22,percent of total billed charges,17.60884046,,,,,,,,,,72.792,percent of total billed charges,,,,,
DR. DERANIAN'S PRE-OP DROPS,250,RC,0006-5065-05,NDC,,both,1,EA,234,234,49.81484304,234,234,percent of total billed charges,172.162113,,,,234,percent of total billed charges,182.4884357,,,,234,percent of total billed charges,172.162113,,,,234,percent of total billed charges,182.4884357,,,,234,percent of total billed charges,999999999,,,,234,percent of total billed charges,178.2919173,,,,234,percent of total billed charges,172.162113,,,,234,percent of total billed charges,182.4884357,,,,166.842,percent of total billed charges,83.25721121,,,,166.842,percent of total billed charges,49.81484304,,,,166.842,percent of total billed charges,83.25721121,,,,166.842,percent of total billed charges,49.81484304,,,,166.842,percent of total billed charges,83.25721121,,,,166.842,percent of total billed charges,49.81484304,,,,165.204,percent of total billed charges,163.9505523,,,,165.204,percent of total billed charges,113.0753965,,,,,,,,,,168.48,percent of total billed charges,109.5080353,,,,,,,,,,168.48,percent of total billed charges,999999999,,,,,,,,,,187.2,percent of total billed charges,156.863869,,,,184.86,percent of total billed charges,178.3978554,,,,184.86,percent of total billed charges,157.6204105,,,,187.2,percent of total billed charges,999999999,,,,187.2,percent of total billed charges,999999999,,,,163.8,percent of total billed charges,999999999,,,,163.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,124.488,percent of total billed charges,999999999,,,,,,,,,,,,,,,,118.17,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,58.5,percent of total billed charges,55.56069038,,,,,,,,,,58.5,percent of total billed charges,54.6364761,,,,,,,,,,58.5,percent of total billed charges,54.48464367,,,,,,,,,,58.5,percent of total billed charges,53.68235795,,,,,,,,,,58.5,percent of total billed charges,55.06368394,,,,,,,,,,58.5,percent of total billed charges,999999999,,,,,,,,,,58.5,percent of total billed charges,47.24851841,,,,,,,,,,58.5,percent of total billed charges,74.51417178,,,,,,,,,,58.5,percent of total billed charges,999999999,,,,,,,,,,58.5,percent of total billed charges,50.9454583,,,,,,,,,,210.6,percent of total billed charges,,,,,
Metoprolol SUCC (TOPROL XL) 100MG TAB,637,RC,5486-8573-01,NDC,,both,1,EA,2.38,2.38,0.506663788,2.38,2.38,percent of total billed charges,1.751050551,,,,2.38,percent of total billed charges,1.856078962,,,,2.38,percent of total billed charges,1.751050551,,,,2.38,percent of total billed charges,1.856078962,,,,2.38,percent of total billed charges,999999999,,,,2.38,percent of total billed charges,1.813396424,,,,2.38,percent of total billed charges,1.751050551,,,,2.38,percent of total billed charges,1.856078962,,,,1.69694,percent of total billed charges,0.846804114,,,,1.69694,percent of total billed charges,0.506663788,,,,1.69694,percent of total billed charges,0.846804114,,,,1.69694,percent of total billed charges,0.506663788,,,,1.69694,percent of total billed charges,0.846804114,,,,1.69694,percent of total billed charges,0.506663788,,,,1.68028,percent of total billed charges,1.667531259,,,,1.68028,percent of total billed charges,1.150083092,,,,,,,,,,1.7136,percent of total billed charges,1.113799675,,,,,,,,,,1.7136,percent of total billed charges,999999999,,,,,,,,,,1.904,percent of total billed charges,1.595453027,,,,1.8802,percent of total billed charges,1.814473914,,,,1.8802,percent of total billed charges,1.603147765,,,,1.904,percent of total billed charges,999999999,,,,1.904,percent of total billed charges,999999999,,,,1.666,percent of total billed charges,999999999,,,,1.666,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.26616,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.2019,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.595,percent of total billed charges,0.565104458,,,,,,,,,,0.595,percent of total billed charges,0.55570433,,,,,,,,,,0.595,percent of total billed charges,0.554160051,,,,,,,,,,0.595,percent of total billed charges,0.546000051,,,,,,,,,,0.595,percent of total billed charges,0.560049435,,,,,,,,,,0.595,percent of total billed charges,999999999,,,,,,,,,,0.595,percent of total billed charges,0.480561854,,,,,,,,,,0.595,percent of total billed charges,0.757879183,,,,,,,,,,0.595,percent of total billed charges,999999999,,,,,,,,,,0.595,percent of total billed charges,0.518163208,,,,,,,,,,2.142,percent of total billed charges,,,,,
**AMITRIPTYLINE 150 MG TAB: ELAVIL,259,RC,0060-3221-21,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
**COLCHICINE INJECT 1MG: 2 ML AMP,J0760,CDM,5539-0060-02,NDC,,both,1,EA,25,25,5.322098616,25,25,percent of total billed charges,18.39338814,,,,25,percent of total billed charges,19.49662775,,,,25,percent of total billed charges,18.39338814,,,,25,percent of total billed charges,19.49662775,,,,25,percent of total billed charges,999999999,,,,25,percent of total billed charges,19.04828176,,,,25,percent of total billed charges,18.39338814,,,,25,percent of total billed charges,19.49662775,,,,17.825,percent of total billed charges,8.895001198,,,,17.825,percent of total billed charges,5.322098616,,,,17.825,percent of total billed charges,8.895001198,,,,17.825,percent of total billed charges,5.322098616,,,,17.825,percent of total billed charges,8.895001198,,,,17.825,percent of total billed charges,5.322098616,,,,17.65,percent of total billed charges,17.51608465,,,,17.65,percent of total billed charges,12.08070475,,,,,,,,,,18,percent of total billed charges,11.69957642,,,,,,,,,,18,percent of total billed charges,999999999,,,,,,,,,,20,percent of total billed charges,16.75896036,,,,19.75,percent of total billed charges,19.05959994,,,,19.75,percent of total billed charges,16.83978745,,,,20,percent of total billed charges,999999999,,,,20,percent of total billed charges,999999999,,,,17.5,percent of total billed charges,999999999,,,,17.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,13.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,12.625,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6.25,percent of total billed charges,5.935971194,,,,,,,,,,6.25,percent of total billed charges,5.837230352,,,,,,,,,,6.25,percent of total billed charges,5.821008939,,,,,,,,,,6.25,percent of total billed charges,5.735294653,,,,,,,,,,6.25,percent of total billed charges,5.882872216,,,,,,,,,,6.25,percent of total billed charges,999999999,,,,,,,,,,6.25,percent of total billed charges,5.047918634,,,,,,,,,,6.25,percent of total billed charges,7.960915788,,,,,,,,,,6.25,percent of total billed charges,999999999,,,,,,,,,,6.25,percent of total billed charges,5.442890844,,,,,,,,,,22.5,percent of total billed charges,,,,,
**E-ASPIRIN 81 MG E.C. : BOTTLE OF 120,259,RC,1013-5017-01,NDC,,both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**GUAIFENESIN DEXTROMETHORPHAN SUGAR FR,259,RC,0012-1063-04,NDC,,both,1,EA,12,12,2.554607335,12,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,12,percent of total billed charges,999999999,,,,12,percent of total billed charges,9.143175245,,,,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.472,percent of total billed charges,8.407720633,,,,8.472,percent of total billed charges,5.79873828,,,,,,,,,,8.64,percent of total billed charges,5.615796683,,,,,,,,,,8.64,percent of total billed charges,999999999,,,,,,,,,,9.6,percent of total billed charges,8.044300975,,,,9.48,percent of total billed charges,9.148607971,,,,9.48,percent of total billed charges,8.083097975,,,,9.6,percent of total billed charges,999999999,,,,9.6,percent of total billed charges,999999999,,,,8.4,percent of total billed charges,999999999,,,,8.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.384,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.06,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3,percent of total billed charges,2.849266173,,,,,,,,,,3,percent of total billed charges,2.801870569,,,,,,,,,,3,percent of total billed charges,2.794084291,,,,,,,,,,3,percent of total billed charges,2.752941434,,,,,,,,,,3,percent of total billed charges,2.823778664,,,,,,,,,,3,percent of total billed charges,999999999,,,,,,,,,,3,percent of total billed charges,2.423000944,,,,,,,,,,3,percent of total billed charges,3.821239578,,,,,,,,,,3,percent of total billed charges,999999999,,,,,,,,,,3,percent of total billed charges,2.612587605,,,,,,,,,,10.8,percent of total billed charges,,,,,
MORphine PF 1MG/ML 2 ML: ASTRAMORPH,J2274,CDM,0064-1601-10,NDC,,both,1,EA,307.51,307.51,65.46394181,307.51,307.51,percent of total billed charges,226.2460315,,,,307.51,percent of total billed charges,239.81632,,,,307.51,percent of total billed charges,226.2460315,,,,307.51,percent of total billed charges,239.81632,,,,307.51,percent of total billed charges,999999999,,,,307.51,percent of total billed charges,234.301485,,,,307.51,percent of total billed charges,226.2460315,,,,307.51,percent of total billed charges,239.81632,,,,219.25463,percent of total billed charges,109.4120727,,,,219.25463,percent of total billed charges,65.46394181,,,,219.25463,percent of total billed charges,109.4120727,,,,219.25463,percent of total billed charges,65.46394181,,,,219.25463,percent of total billed charges,109.4120727,,,,219.25463,percent of total billed charges,65.46394181,,,,217.10206,percent of total billed charges,215.4548477,,,,217.10206,percent of total billed charges,148.5975007,,,,,,,,,,221.4072,percent of total billed charges,143.9094698,,,,,,,,,,221.4072,percent of total billed charges,999999999,,,,,,,,,,246.008,percent of total billed charges,206.1419161,,,,242.9329,percent of total billed charges,234.4407031,,,,242.9329,percent of total billed charges,207.1361215,,,,246.008,percent of total billed charges,999999999,,,,246.008,percent of total billed charges,999999999,,,,215.257,percent of total billed charges,999999999,,,,215.257,percent of total billed charges,999999999,,,,,,,,,,,,,,,,163.59532,percent of total billed charges,999999999,,,,,,,,,,,,,,,,155.29255,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,76.8775,percent of total billed charges,73.01482008,,,,,,,,,,76.8775,percent of total billed charges,71.80026823,,,,,,,,,,76.8775,percent of total billed charges,71.60073835,,,,,,,,,,76.8775,percent of total billed charges,70.54641835,,,,,,,,,,76.8775,percent of total billed charges,72.36168141,,,,,,,,,,76.8775,percent of total billed charges,999999999,,,,,,,,,,76.8775,percent of total billed charges,62.09141836,,,,,,,,,,76.8775,percent of total billed charges,97.92244856,,,,,,,,,,76.8775,percent of total billed charges,999999999,,,,,,,,,,76.8775,percent of total billed charges,66.94973454,,,,,,,,,,276.759,percent of total billed charges,,,,,
**CYCLOSPORINE 50 MG/ML: 5 ML AMP,J7516,CDM,0007-8010-01,NDC,,both,1,EA,78,78,16.60494768,78,78,percent of total billed charges,57.38737101,,,,78,percent of total billed charges,60.82947858,,,,78,percent of total billed charges,57.38737101,,,,78,percent of total billed charges,60.82947858,,,,78,percent of total billed charges,999999999,,,,78,percent of total billed charges,59.43063909,,,,78,percent of total billed charges,57.38737101,,,,78,percent of total billed charges,60.82947858,,,,55.614,percent of total billed charges,27.75240374,,,,55.614,percent of total billed charges,16.60494768,,,,55.614,percent of total billed charges,27.75240374,,,,55.614,percent of total billed charges,16.60494768,,,,55.614,percent of total billed charges,27.75240374,,,,55.614,percent of total billed charges,16.60494768,,,,55.068,percent of total billed charges,54.65018411,,,,55.068,percent of total billed charges,37.69179882,,,,,,,,,,56.16,percent of total billed charges,36.50267844,,,,,,,,,,56.16,percent of total billed charges,999999999,,,,,,,,,,62.4,percent of total billed charges,52.28795634,,,,61.62,percent of total billed charges,59.46595181,,,,61.62,percent of total billed charges,52.54013684,,,,62.4,percent of total billed charges,999999999,,,,62.4,percent of total billed charges,999999999,,,,54.6,percent of total billed charges,999999999,,,,54.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,41.496,percent of total billed charges,999999999,,,,,,,,,,,,,,,,39.39,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19.5,percent of total billed charges,18.52023013,,,,,,,,,,19.5,percent of total billed charges,18.2121587,,,,,,,,,,19.5,percent of total billed charges,18.16154789,,,,,,,,,,19.5,percent of total billed charges,17.89411932,,,,,,,,,,19.5,percent of total billed charges,18.35456131,,,,,,,,,,19.5,percent of total billed charges,999999999,,,,,,,,,,19.5,percent of total billed charges,15.74950614,,,,,,,,,,19.5,percent of total billed charges,24.83805726,,,,,,,,,,19.5,percent of total billed charges,999999999,,,,,,,,,,19.5,percent of total billed charges,16.98181943,,,,,,,,,,70.2,percent of total billed charges,,,,,
**MYCOPHENOLATE (CELLCEPT) 500MG: 20ML V,259,RC,0000-4029-09,NDC,,both,1,EA,698,698,148.5929933,698,698,percent of total billed charges,513.543397,,,,698,percent of total billed charges,544.3458468,,,,698,percent of total billed charges,513.543397,,,,698,percent of total billed charges,544.3458468,,,,698,percent of total billed charges,999999999,,,,698,percent of total billed charges,531.8280268,,,,698,percent of total billed charges,513.543397,,,,698,percent of total billed charges,544.3458468,,,,497.674,percent of total billed charges,248.3484335,,,,497.674,percent of total billed charges,148.5929933,,,,497.674,percent of total billed charges,248.3484335,,,,497.674,percent of total billed charges,148.5929933,,,,497.674,percent of total billed charges,248.3484335,,,,497.674,percent of total billed charges,148.5929933,,,,492.788,percent of total billed charges,489.0490835,,,,492.788,percent of total billed charges,337.2932766,,,,,,,,,,502.56,percent of total billed charges,326.6521737,,,,,,,,,,502.56,percent of total billed charges,999999999,,,,,,,,,,558.4,percent of total billed charges,467.9101734,,,,551.42,percent of total billed charges,532.1440303,,,,551.42,percent of total billed charges,470.1668656,,,,558.4,percent of total billed charges,999999999,,,,558.4,percent of total billed charges,999999999,,,,488.6,percent of total billed charges,999999999,,,,488.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,371.336,percent of total billed charges,999999999,,,,,,,,,,,,,,,,352.49,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,174.5,percent of total billed charges,165.7323157,,,,,,,,,,174.5,percent of total billed charges,162.9754714,,,,,,,,,,174.5,percent of total billed charges,162.5225696,,,,,,,,,,174.5,percent of total billed charges,160.1294267,,,,,,,,,,174.5,percent of total billed charges,164.2497923,,,,,,,,,,174.5,percent of total billed charges,999999999,,,,,,,,,,174.5,percent of total billed charges,140.9378883,,,,,,,,,,174.5,percent of total billed charges,222.2687688,,,,,,,,,,174.5,percent of total billed charges,999999999,,,,,,,,,,174.5,percent of total billed charges,151.9655124,,,,,,,,,,628.2,percent of total billed charges,,,,,
**PILOCARPINE 4% GEL (PILOPINE HS) : 4,259,RC,0006-5021-35,NDC,,both,1,EA,143,143,30.44240408,143,143,percent of total billed charges,105.2101802,,,,143,percent of total billed charges,111.5207107,,,,143,percent of total billed charges,105.2101802,,,,143,percent of total billed charges,111.5207107,,,,143,percent of total billed charges,999999999,,,,143,percent of total billed charges,108.9561717,,,,143,percent of total billed charges,105.2101802,,,,143,percent of total billed charges,111.5207107,,,,101.959,percent of total billed charges,50.87940685,,,,101.959,percent of total billed charges,30.44240408,,,,101.959,percent of total billed charges,50.87940685,,,,101.959,percent of total billed charges,30.44240408,,,,101.959,percent of total billed charges,50.87940685,,,,101.959,percent of total billed charges,30.44240408,,,,100.958,percent of total billed charges,100.1920042,,,,100.958,percent of total billed charges,69.10163118,,,,,,,,,,102.96,percent of total billed charges,66.92157713,,,,,,,,,,102.96,percent of total billed charges,999999999,,,,,,,,,,114.4,percent of total billed charges,95.86125329,,,,112.97,percent of total billed charges,109.0209117,,,,112.97,percent of total billed charges,96.32358421,,,,114.4,percent of total billed charges,999999999,,,,114.4,percent of total billed charges,999999999,,,,100.1,percent of total billed charges,999999999,,,,100.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,76.076,percent of total billed charges,999999999,,,,,,,,,,,,,,,,72.215,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,35.75,percent of total billed charges,33.95375523,,,,,,,,,,35.75,percent of total billed charges,33.38895762,,,,,,,,,,35.75,percent of total billed charges,33.29617113,,,,,,,,,,35.75,percent of total billed charges,32.80588542,,,,,,,,,,35.75,percent of total billed charges,33.65002908,,,,,,,,,,35.75,percent of total billed charges,999999999,,,,,,,,,,35.75,percent of total billed charges,28.87409458,,,,,,,,,,35.75,percent of total billed charges,45.53643831,,,,,,,,,,35.75,percent of total billed charges,999999999,,,,,,,,,,35.75,percent of total billed charges,31.13333563,,,,,,,,,,128.7,percent of total billed charges,,,,,
**ROFECOXIB (VIOXX) 50MG: TAB,259,RC,0000-6011-68,NDC,,both,1,EA,12,12,2.554607335,12,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,12,percent of total billed charges,999999999,,,,12,percent of total billed charges,9.143175245,,,,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.472,percent of total billed charges,8.407720633,,,,8.472,percent of total billed charges,5.79873828,,,,,,,,,,8.64,percent of total billed charges,5.615796683,,,,,,,,,,8.64,percent of total billed charges,999999999,,,,,,,,,,9.6,percent of total billed charges,8.044300975,,,,9.48,percent of total billed charges,9.148607971,,,,9.48,percent of total billed charges,8.083097975,,,,9.6,percent of total billed charges,999999999,,,,9.6,percent of total billed charges,999999999,,,,8.4,percent of total billed charges,999999999,,,,8.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.384,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.06,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3,percent of total billed charges,2.849266173,,,,,,,,,,3,percent of total billed charges,2.801870569,,,,,,,,,,3,percent of total billed charges,2.794084291,,,,,,,,,,3,percent of total billed charges,2.752941434,,,,,,,,,,3,percent of total billed charges,2.823778664,,,,,,,,,,3,percent of total billed charges,999999999,,,,,,,,,,3,percent of total billed charges,2.423000944,,,,,,,,,,3,percent of total billed charges,3.821239578,,,,,,,,,,3,percent of total billed charges,999999999,,,,,,,,,,3,percent of total billed charges,2.612587605,,,,,,,,,,10.8,percent of total billed charges,,,,,
**RISEDRONATE 35 MG: ACTONEL,259,RC,0014-9047-01,NDC,,both,1,EA,53,53,11.28284907,53,53,percent of total billed charges,38.99398286,,,,53,percent of total billed charges,41.33285083,,,,53,percent of total billed charges,38.99398286,,,,53,percent of total billed charges,41.33285083,,,,53,percent of total billed charges,999999999,,,,53,percent of total billed charges,40.38235733,,,,53,percent of total billed charges,38.99398286,,,,53,percent of total billed charges,41.33285083,,,,37.789,percent of total billed charges,18.85740254,,,,37.789,percent of total billed charges,11.28284907,,,,37.789,percent of total billed charges,18.85740254,,,,37.789,percent of total billed charges,11.28284907,,,,37.789,percent of total billed charges,18.85740254,,,,37.789,percent of total billed charges,11.28284907,,,,37.418,percent of total billed charges,37.13409946,,,,37.418,percent of total billed charges,25.61109407,,,,,,,,,,38.16,percent of total billed charges,24.80310201,,,,,,,,,,38.16,percent of total billed charges,999999999,,,,,,,,,,42.4,percent of total billed charges,35.52899597,,,,41.87,percent of total billed charges,40.40635187,,,,41.87,percent of total billed charges,35.70034939,,,,42.4,percent of total billed charges,999999999,,,,42.4,percent of total billed charges,999999999,,,,37.1,percent of total billed charges,999999999,,,,37.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,28.196,percent of total billed charges,999999999,,,,,,,,,,,,,,,,26.765,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13.25,percent of total billed charges,12.58425893,,,,,,,,,,13.25,percent of total billed charges,12.37492835,,,,,,,,,,13.25,percent of total billed charges,12.34053895,,,,,,,,,,13.25,percent of total billed charges,12.15882466,,,,,,,,,,13.25,percent of total billed charges,12.4716891,,,,,,,,,,13.25,percent of total billed charges,999999999,,,,,,,,,,13.25,percent of total billed charges,10.7015875,,,,,,,,,,13.25,percent of total billed charges,16.87714147,,,,,,,,,,13.25,percent of total billed charges,999999999,,,,,,,,,,13.25,percent of total billed charges,11.53892859,,,,,,,,,,47.7,percent of total billed charges,,,,,
**HYDROCODONE 7.5MG APAP 500MG/15ML: 120,259,RC,0040-6037-16,NDC,,both,1,EA,43,43,9.154009619,43,43,percent of total billed charges,31.63662761,,,,43,percent of total billed charges,33.53419973,,,,43,percent of total billed charges,31.63662761,,,,43,percent of total billed charges,33.53419973,,,,43,percent of total billed charges,999999999,,,,43,percent of total billed charges,32.76304463,,,,43,percent of total billed charges,31.63662761,,,,43,percent of total billed charges,33.53419973,,,,30.659,percent of total billed charges,15.29940206,,,,30.659,percent of total billed charges,9.154009619,,,,30.659,percent of total billed charges,15.29940206,,,,30.659,percent of total billed charges,9.154009619,,,,30.659,percent of total billed charges,15.29940206,,,,30.659,percent of total billed charges,9.154009619,,,,30.358,percent of total billed charges,30.1276656,,,,30.358,percent of total billed charges,20.77881217,,,,,,,,,,30.96,percent of total billed charges,20.12327145,,,,,,,,,,30.96,percent of total billed charges,999999999,,,,,,,,,,34.4,percent of total billed charges,28.82541183,,,,33.97,percent of total billed charges,32.7825119,,,,33.97,percent of total billed charges,28.96443441,,,,34.4,percent of total billed charges,999999999,,,,34.4,percent of total billed charges,999999999,,,,30.1,percent of total billed charges,999999999,,,,30.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,22.876,percent of total billed charges,999999999,,,,,,,,,,,,,,,,21.715,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10.75,percent of total billed charges,10.20987045,,,,,,,,,,10.75,percent of total billed charges,10.04003621,,,,,,,,,,10.75,percent of total billed charges,10.01213538,,,,,,,,,,10.75,percent of total billed charges,9.864706804,,,,,,,,,,10.75,percent of total billed charges,10.11854021,,,,,,,,,,10.75,percent of total billed charges,999999999,,,,,,,,,,10.75,percent of total billed charges,8.68242005,,,,,,,,,,10.75,percent of total billed charges,13.69277516,,,,,,,,,,10.75,percent of total billed charges,999999999,,,,,,,,,,10.75,percent of total billed charges,9.361772252,,,,,,,,,,38.7,percent of total billed charges,,,,,
**MEPERIDINE PCA 10MG/ML ADULT PROTOCOL.,J2175,CDM,0040-9603-04,NDC,,both,1,EA,125,125,26.61049308,125,125,percent of total billed charges,91.96694072,,,,125,percent of total billed charges,97.48313875,,,,125,percent of total billed charges,91.96694072,,,,125,percent of total billed charges,97.48313875,,,,125,percent of total billed charges,999999999,,,,125,percent of total billed charges,95.2414088,,,,125,percent of total billed charges,91.96694072,,,,125,percent of total billed charges,97.48313875,,,,89.125,percent of total billed charges,44.47500599,,,,89.125,percent of total billed charges,26.61049308,,,,89.125,percent of total billed charges,44.47500599,,,,89.125,percent of total billed charges,26.61049308,,,,89.125,percent of total billed charges,44.47500599,,,,89.125,percent of total billed charges,26.61049308,,,,88.25,percent of total billed charges,87.58042326,,,,88.25,percent of total billed charges,60.40352376,,,,,,,,,,90,percent of total billed charges,58.49788211,,,,,,,,,,90,percent of total billed charges,999999999,,,,,,,,,,100,percent of total billed charges,83.79480182,,,,98.75,percent of total billed charges,95.2979997,,,,98.75,percent of total billed charges,84.19893724,,,,100,percent of total billed charges,999999999,,,,100,percent of total billed charges,999999999,,,,87.5,percent of total billed charges,999999999,,,,87.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,66.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,63.125,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,31.25,percent of total billed charges,29.67985597,,,,,,,,,,31.25,percent of total billed charges,29.18615176,,,,,,,,,,31.25,percent of total billed charges,29.1050447,,,,,,,,,,31.25,percent of total billed charges,28.67647327,,,,,,,,,,31.25,percent of total billed charges,29.41436108,,,,,,,,,,31.25,percent of total billed charges,999999999,,,,,,,,,,31.25,percent of total billed charges,25.23959317,,,,,,,,,,31.25,percent of total billed charges,39.80457894,,,,,,,,,,31.25,percent of total billed charges,999999999,,,,,,,,,,31.25,percent of total billed charges,27.21445422,,,,,,,,,,112.5,percent of total billed charges,,,,,
**DONNATAL ELIXIR 10ML,259,RC,1785-6042-02,NDC,,both,1,EA,41,41,8.72824173,41,41,percent of total billed charges,30.16515655,,,,41,percent of total billed charges,31.97446951,,,,41,percent of total billed charges,30.16515655,,,,41,percent of total billed charges,31.97446951,,,,41,percent of total billed charges,999999999,,,,41,percent of total billed charges,31.23918209,,,,41,percent of total billed charges,30.16515655,,,,41,percent of total billed charges,31.97446951,,,,29.233,percent of total billed charges,14.58780197,,,,29.233,percent of total billed charges,8.72824173,,,,29.233,percent of total billed charges,14.58780197,,,,29.233,percent of total billed charges,8.72824173,,,,29.233,percent of total billed charges,14.58780197,,,,29.233,percent of total billed charges,8.72824173,,,,28.946,percent of total billed charges,28.72637883,,,,28.946,percent of total billed charges,19.81235579,,,,,,,,,,29.52,percent of total billed charges,19.18730533,,,,,,,,,,29.52,percent of total billed charges,999999999,,,,,,,,,,32.8,percent of total billed charges,27.484695,,,,32.39,percent of total billed charges,31.2577439,,,,32.39,percent of total billed charges,27.61725142,,,,32.8,percent of total billed charges,999999999,,,,32.8,percent of total billed charges,999999999,,,,28.7,percent of total billed charges,999999999,,,,28.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,21.812,percent of total billed charges,999999999,,,,,,,,,,,,,,,,20.705,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10.25,percent of total billed charges,9.734992758,,,,,,,,,,10.25,percent of total billed charges,9.573057778,,,,,,,,,,10.25,percent of total billed charges,9.54645466,,,,,,,,,,10.25,percent of total billed charges,9.405883231,,,,,,,,,,10.25,percent of total billed charges,9.647910435,,,,,,,,,,10.25,percent of total billed charges,999999999,,,,,,,,,,10.25,percent of total billed charges,8.278586559,,,,,,,,,,10.25,percent of total billed charges,13.05590189,,,,,,,,,,10.25,percent of total billed charges,999999999,,,,,,,,,,10.25,percent of total billed charges,8.926340984,,,,,,,,,,36.9,percent of total billed charges,,,,,
**INDOMETHACIN(INDOCIN) CAP: 50MG,259,RC,0037-8014-01,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
**ESTROGEN/METHYLTESTOSTERONE 0.625/1.,259,RC,0003-2102-01,NDC,,both,1,EA,650,650,138.374564,650,650,percent of total billed charges,478.2280917,,,,650,percent of total billed charges,506.9123215,,,,650,percent of total billed charges,478.2280917,,,,650,percent of total billed charges,506.9123215,,,,650,percent of total billed charges,999999999,,,,650,percent of total billed charges,495.2553258,,,,650,percent of total billed charges,478.2280917,,,,650,percent of total billed charges,506.9123215,,,,463.45,percent of total billed charges,231.2700312,,,,463.45,percent of total billed charges,138.374564,,,,463.45,percent of total billed charges,231.2700312,,,,463.45,percent of total billed charges,138.374564,,,,463.45,percent of total billed charges,231.2700312,,,,463.45,percent of total billed charges,138.374564,,,,458.9,percent of total billed charges,455.4182009,,,,458.9,percent of total billed charges,314.0983235,,,,,,,,,,468,percent of total billed charges,304.188987,,,,,,,,,,468,percent of total billed charges,999999999,,,,,,,,,,520,percent of total billed charges,435.7329695,,,,513.5,percent of total billed charges,495.5495984,,,,513.5,percent of total billed charges,437.8344737,,,,520,percent of total billed charges,999999999,,,,520,percent of total billed charges,999999999,,,,455,percent of total billed charges,999999999,,,,455,percent of total billed charges,999999999,,,,,,,,,,,,,,,,345.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,328.25,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,162.5,percent of total billed charges,154.335251,,,,,,,,,,162.5,percent of total billed charges,151.7679892,,,,,,,,,,162.5,percent of total billed charges,151.3462324,,,,,,,,,,162.5,percent of total billed charges,149.117661,,,,,,,,,,162.5,percent of total billed charges,152.9546776,,,,,,,,,,162.5,percent of total billed charges,999999999,,,,,,,,,,162.5,percent of total billed charges,131.2458845,,,,,,,,,,162.5,percent of total billed charges,206.9838105,,,,,,,,,,162.5,percent of total billed charges,999999999,,,,,,,,,,162.5,percent of total billed charges,141.5151619,,,,,,,,,,585,percent of total billed charges,,,,,
**PROTONIX (PANTOPRAZOLE) 20MG: TAB,259,RC,0000-8084-81,NDC,,both,1,EA,9,9,1.915955502,9,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,9,percent of total billed charges,999999999,,,,9,percent of total billed charges,6.857381434,,,,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.354,percent of total billed charges,6.305790475,,,,6.354,percent of total billed charges,4.34905371,,,,,,,,,,6.48,percent of total billed charges,4.211847512,,,,,,,,,,6.48,percent of total billed charges,999999999,,,,,,,,,,7.2,percent of total billed charges,6.033225731,,,,7.11,percent of total billed charges,6.861455978,,,,7.11,percent of total billed charges,6.062323481,,,,7.2,percent of total billed charges,999999999,,,,7.2,percent of total billed charges,999999999,,,,6.3,percent of total billed charges,999999999,,,,6.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.788,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.545,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.25,percent of total billed charges,2.13694963,,,,,,,,,,2.25,percent of total billed charges,2.101402927,,,,,,,,,,2.25,percent of total billed charges,2.095563218,,,,,,,,,,2.25,percent of total billed charges,2.064706075,,,,,,,,,,2.25,percent of total billed charges,2.117833998,,,,,,,,,,2.25,percent of total billed charges,999999999,,,,,,,,,,2.25,percent of total billed charges,1.817250708,,,,,,,,,,2.25,percent of total billed charges,2.865929684,,,,,,,,,,2.25,percent of total billed charges,999999999,,,,,,,,,,2.25,percent of total billed charges,1.959440704,,,,,,,,,,8.1,percent of total billed charges,,,,,
**PSYLLIUM (METAMUCIL) SF POWDER: 48 DO,250,RC,3700-0001-08,NDC,,both,1,EA,26,26,5.53498256,26,26,percent of total billed charges,19.12912367,,,,26,percent of total billed charges,20.27649286,,,,26,percent of total billed charges,19.12912367,,,,26,percent of total billed charges,20.27649286,,,,26,percent of total billed charges,999999999,,,,26,percent of total billed charges,19.81021303,,,,26,percent of total billed charges,19.12912367,,,,26,percent of total billed charges,20.27649286,,,,18.538,percent of total billed charges,9.250801246,,,,18.538,percent of total billed charges,5.53498256,,,,18.538,percent of total billed charges,9.250801246,,,,18.538,percent of total billed charges,5.53498256,,,,18.538,percent of total billed charges,9.250801246,,,,18.538,percent of total billed charges,5.53498256,,,,18.356,percent of total billed charges,18.21672804,,,,18.356,percent of total billed charges,12.56393294,,,,,,,,,,18.72,percent of total billed charges,12.16755948,,,,,,,,,,18.72,percent of total billed charges,999999999,,,,,,,,,,20.8,percent of total billed charges,17.42931878,,,,20.54,percent of total billed charges,19.82198394,,,,20.54,percent of total billed charges,17.51337895,,,,20.8,percent of total billed charges,999999999,,,,20.8,percent of total billed charges,999999999,,,,18.2,percent of total billed charges,999999999,,,,18.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,13.832,percent of total billed charges,999999999,,,,,,,,,,,,,,,,13.13,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6.5,percent of total billed charges,6.173410042,,,,,,,,,,6.5,percent of total billed charges,6.070719566,,,,,,,,,,6.5,percent of total billed charges,6.053849297,,,,,,,,,,6.5,percent of total billed charges,5.964706439,,,,,,,,,,6.5,percent of total billed charges,6.118187105,,,,,,,,,,6.5,percent of total billed charges,999999999,,,,,,,,,,6.5,percent of total billed charges,5.249835379,,,,,,,,,,6.5,percent of total billed charges,8.279352419,,,,,,,,,,6.5,percent of total billed charges,999999999,,,,,,,,,,6.5,percent of total billed charges,5.660606478,,,,,,,,,,23.4,percent of total billed charges,,,,,
**CALCIUM CARBONATE (TUMS) 500MG: 3 ROLL,259,RC,0076-6074-20,NDC,,both,1,EA,17,17,3.619027059,17,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,17,percent of total billed charges,999999999,,,,17,percent of total billed charges,12.9528316,,,,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.002,percent of total billed charges,11.91093756,,,,12.002,percent of total billed charges,8.214879231,,,,,,,,,,12.24,percent of total billed charges,7.955711967,,,,,,,,,,12.24,percent of total billed charges,999999999,,,,,,,,,,13.6,percent of total billed charges,11.39609305,,,,13.43,percent of total billed charges,12.96052796,,,,13.43,percent of total billed charges,11.45105547,,,,13.6,percent of total billed charges,999999999,,,,13.6,percent of total billed charges,999999999,,,,11.9,percent of total billed charges,999999999,,,,11.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.044,percent of total billed charges,999999999,,,,,,,,,,,,,,,,8.585,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4.25,percent of total billed charges,4.036460412,,,,,,,,,,4.25,percent of total billed charges,3.96931664,,,,,,,,,,4.25,percent of total billed charges,3.958286079,,,,,,,,,,4.25,percent of total billed charges,3.900000364,,,,,,,,,,4.25,percent of total billed charges,4.000353107,,,,,,,,,,4.25,percent of total billed charges,999999999,,,,,,,,,,4.25,percent of total billed charges,3.432584671,,,,,,,,,,4.25,percent of total billed charges,5.413422736,,,,,,,,,,4.25,percent of total billed charges,999999999,,,,,,,,,,4.25,percent of total billed charges,3.701165774,,,,,,,,,,15.3,percent of total billed charges,,,,,
**ACETAMINOPHEN TAB 325 MG: CARD OF,250,RC,0004-5045-70,NDC,,both,1,EA,7,7,1.490187612,7,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,7,percent of total billed charges,999999999,,,,7,percent of total billed charges,5.333518893,,,,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.942,percent of total billed charges,4.904503703,,,,4.942,percent of total billed charges,3.38259733,,,,,,,,,,5.04,percent of total billed charges,3.275881398,,,,,,,,,,5.04,percent of total billed charges,999999999,,,,,,,,,,5.6,percent of total billed charges,4.692508902,,,,5.53,percent of total billed charges,5.336687983,,,,5.53,percent of total billed charges,4.715140486,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,4.9,percent of total billed charges,999999999,,,,4.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.724,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.535,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.75,percent of total billed charges,1.662071934,,,,,,,,,,1.75,percent of total billed charges,1.634424499,,,,,,,,,,1.75,percent of total billed charges,1.629882503,,,,,,,,,,1.75,percent of total billed charges,1.605882503,,,,,,,,,,1.75,percent of total billed charges,1.647204221,,,,,,,,,,1.75,percent of total billed charges,999999999,,,,,,,,,,1.75,percent of total billed charges,1.413417217,,,,,,,,,,1.75,percent of total billed charges,2.229056421,,,,,,,,,,1.75,percent of total billed charges,999999999,,,,,,,,,,1.75,percent of total billed charges,1.524009436,,,,,,,,,,6.3,percent of total billed charges,,,,,
**ACETAMINOPHEN 500 MG CAPLETS: CARD OF,250,RC,0004-5044-70,NDC,,both,1,EA,7,7,1.490187612,7,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,7,percent of total billed charges,999999999,,,,7,percent of total billed charges,5.333518893,,,,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.942,percent of total billed charges,4.904503703,,,,4.942,percent of total billed charges,3.38259733,,,,,,,,,,5.04,percent of total billed charges,3.275881398,,,,,,,,,,5.04,percent of total billed charges,999999999,,,,,,,,,,5.6,percent of total billed charges,4.692508902,,,,5.53,percent of total billed charges,5.336687983,,,,5.53,percent of total billed charges,4.715140486,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,4.9,percent of total billed charges,999999999,,,,4.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.724,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.535,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.75,percent of total billed charges,1.662071934,,,,,,,,,,1.75,percent of total billed charges,1.634424499,,,,,,,,,,1.75,percent of total billed charges,1.629882503,,,,,,,,,,1.75,percent of total billed charges,1.605882503,,,,,,,,,,1.75,percent of total billed charges,1.647204221,,,,,,,,,,1.75,percent of total billed charges,999999999,,,,,,,,,,1.75,percent of total billed charges,1.413417217,,,,,,,,,,1.75,percent of total billed charges,2.229056421,,,,,,,,,,1.75,percent of total billed charges,999999999,,,,,,,,,,1.75,percent of total billed charges,1.524009436,,,,,,,,,,6.3,percent of total billed charges,,,,,
**MULTIVITAMIN TABLET: CARD OF 30,250,RC,0018-2451-06,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
**MULTIVITIMIN WITH MINERAL TABLET: CD,250,RC,0018-2451-06,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
**BIMATOPROST (LUMIGAN) 0.03% OPHTH SO,259,RC,0002-3918-05,NDC,,both,1,EA,342,342,72.80630906,342,342,percent of total billed charges,251.6215498,,,,342,percent of total billed charges,266.7138676,,,,342,percent of total billed charges,251.6215498,,,,342,percent of total billed charges,266.7138676,,,,342,percent of total billed charges,999999999,,,,342,percent of total billed charges,260.5804945,,,,342,percent of total billed charges,251.6215498,,,,342,percent of total billed charges,266.7138676,,,,243.846,percent of total billed charges,121.6836164,,,,243.846,percent of total billed charges,72.80630906,,,,243.846,percent of total billed charges,121.6836164,,,,243.846,percent of total billed charges,72.80630906,,,,243.846,percent of total billed charges,121.6836164,,,,243.846,percent of total billed charges,72.80630906,,,,241.452,percent of total billed charges,239.620038,,,,241.452,percent of total billed charges,165.264041,,,,,,,,,,246.24,percent of total billed charges,160.0502055,,,,,,,,,,246.24,percent of total billed charges,999999999,,,,,,,,,,273.6,percent of total billed charges,229.2625778,,,,270.18,percent of total billed charges,260.7353272,,,,270.18,percent of total billed charges,230.3682923,,,,273.6,percent of total billed charges,999999999,,,,273.6,percent of total billed charges,999999999,,,,239.4,percent of total billed charges,999999999,,,,239.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,181.944,percent of total billed charges,999999999,,,,,,,,,,,,,,,,172.71,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,85.5,percent of total billed charges,81.20408594,,,,,,,,,,85.5,percent of total billed charges,79.85331122,,,,,,,,,,85.5,percent of total billed charges,79.63140229,,,,,,,,,,85.5,percent of total billed charges,78.45883086,,,,,,,,,,85.5,percent of total billed charges,80.47769192,,,,,,,,,,85.5,percent of total billed charges,999999999,,,,,,,,,,85.5,percent of total billed charges,69.05552691,,,,,,,,,,85.5,percent of total billed charges,108.905328,,,,,,,,,,85.5,percent of total billed charges,999999999,,,,,,,,,,85.5,percent of total billed charges,74.45874675,,,,,,,,,,307.8,percent of total billed charges,,,,,
**CHOLESTYRAMINE (QUESTRAN LIGHT): 268,259,RC,0018-5093-97,NDC,,both,1,EA,141,141,30.01663619,141,141,percent of total billed charges,103.7387091,,,,141,percent of total billed charges,109.9609805,,,,141,percent of total billed charges,103.7387091,,,,141,percent of total billed charges,109.9609805,,,,141,percent of total billed charges,999999999,,,,141,percent of total billed charges,107.4323091,,,,141,percent of total billed charges,103.7387091,,,,141,percent of total billed charges,109.9609805,,,,100.533,percent of total billed charges,50.16780676,,,,100.533,percent of total billed charges,30.01663619,,,,100.533,percent of total billed charges,50.16780676,,,,100.533,percent of total billed charges,30.01663619,,,,100.533,percent of total billed charges,50.16780676,,,,100.533,percent of total billed charges,30.01663619,,,,99.546,percent of total billed charges,98.79071744,,,,99.546,percent of total billed charges,68.1351748,,,,,,,,,,101.52,percent of total billed charges,65.98561102,,,,,,,,,,101.52,percent of total billed charges,999999999,,,,,,,,,,112.8,percent of total billed charges,94.52053646,,,,111.39,percent of total billed charges,107.4961437,,,,111.39,percent of total billed charges,94.97640121,,,,112.8,percent of total billed charges,999999999,,,,112.8,percent of total billed charges,999999999,,,,98.7,percent of total billed charges,999999999,,,,98.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,75.012,percent of total billed charges,999999999,,,,,,,,,,,,,,,,71.205,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,35.25,percent of total billed charges,33.47887753,,,,,,,,,,35.25,percent of total billed charges,32.92197919,,,,,,,,,,35.25,percent of total billed charges,32.83049042,,,,,,,,,,35.25,percent of total billed charges,32.34706184,,,,,,,,,,35.25,percent of total billed charges,33.1793993,,,,,,,,,,35.25,percent of total billed charges,999999999,,,,,,,,,,35.25,percent of total billed charges,28.47026109,,,,,,,,,,35.25,percent of total billed charges,44.89956504,,,,,,,,,,35.25,percent of total billed charges,999999999,,,,,,,,,,35.25,percent of total billed charges,30.69790436,,,,,,,,,,126.9,percent of total billed charges,,,,,
**ASPIRIN EC (ECOTRIN) 325 MG TAB:CARD,250,RC,1512-7076-08,NDC,,both,1,EA,7,7,1.490187612,7,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,7,percent of total billed charges,999999999,,,,7,percent of total billed charges,5.333518893,,,,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.942,percent of total billed charges,4.904503703,,,,4.942,percent of total billed charges,3.38259733,,,,,,,,,,5.04,percent of total billed charges,3.275881398,,,,,,,,,,5.04,percent of total billed charges,999999999,,,,,,,,,,5.6,percent of total billed charges,4.692508902,,,,5.53,percent of total billed charges,5.336687983,,,,5.53,percent of total billed charges,4.715140486,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,4.9,percent of total billed charges,999999999,,,,4.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.724,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.535,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.75,percent of total billed charges,1.662071934,,,,,,,,,,1.75,percent of total billed charges,1.634424499,,,,,,,,,,1.75,percent of total billed charges,1.629882503,,,,,,,,,,1.75,percent of total billed charges,1.605882503,,,,,,,,,,1.75,percent of total billed charges,1.647204221,,,,,,,,,,1.75,percent of total billed charges,999999999,,,,,,,,,,1.75,percent of total billed charges,1.413417217,,,,,,,,,,1.75,percent of total billed charges,2.229056421,,,,,,,,,,1.75,percent of total billed charges,999999999,,,,,,,,,,1.75,percent of total billed charges,1.524009436,,,,,,,,,,6.3,percent of total billed charges,,,,,
**PROPRANOLOL (INDERAL) 60MG: TAB,259,RC,5011-1047-01,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
**ASPIRIN BUFFERED 325 MG TABS: CD 30,250,RC,0018-2190-01,NDC,,both,1,EA,7,7,1.490187612,7,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,7,percent of total billed charges,999999999,,,,7,percent of total billed charges,5.333518893,,,,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.942,percent of total billed charges,4.904503703,,,,4.942,percent of total billed charges,3.38259733,,,,,,,,,,5.04,percent of total billed charges,3.275881398,,,,,,,,,,5.04,percent of total billed charges,999999999,,,,,,,,,,5.6,percent of total billed charges,4.692508902,,,,5.53,percent of total billed charges,5.336687983,,,,5.53,percent of total billed charges,4.715140486,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,4.9,percent of total billed charges,999999999,,,,4.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.724,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.535,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.75,percent of total billed charges,1.662071934,,,,,,,,,,1.75,percent of total billed charges,1.634424499,,,,,,,,,,1.75,percent of total billed charges,1.629882503,,,,,,,,,,1.75,percent of total billed charges,1.605882503,,,,,,,,,,1.75,percent of total billed charges,1.647204221,,,,,,,,,,1.75,percent of total billed charges,999999999,,,,,,,,,,1.75,percent of total billed charges,1.413417217,,,,,,,,,,1.75,percent of total billed charges,2.229056421,,,,,,,,,,1.75,percent of total billed charges,999999999,,,,,,,,,,1.75,percent of total billed charges,1.524009436,,,,,,,,,,6.3,percent of total billed charges,,,,,
**SEREVENT (SALMETEROL)DISCUS 50MCG 60DO,259,RC,0017-3052-00,NDC,,both,1,EA,334,334,71.1032375,334,334,percent of total billed charges,245.7356656,,,,334,percent of total billed charges,260.4749467,,,,334,percent of total billed charges,245.7356656,,,,334,percent of total billed charges,260.4749467,,,,334,percent of total billed charges,999999999,,,,334,percent of total billed charges,254.4850443,,,,334,percent of total billed charges,245.7356656,,,,334,percent of total billed charges,260.4749467,,,,238.142,percent of total billed charges,118.837216,,,,238.142,percent of total billed charges,71.1032375,,,,238.142,percent of total billed charges,118.837216,,,,238.142,percent of total billed charges,71.1032375,,,,238.142,percent of total billed charges,118.837216,,,,238.142,percent of total billed charges,71.1032375,,,,235.804,percent of total billed charges,234.0148909,,,,235.804,percent of total billed charges,161.3982155,,,,,,,,,,240.48,percent of total billed charges,156.306341,,,,,,,,,,240.48,percent of total billed charges,999999999,,,,,,,,,,267.2,percent of total billed charges,223.8997105,,,,263.86,percent of total billed charges,254.6362552,,,,263.86,percent of total billed charges,224.9795603,,,,267.2,percent of total billed charges,999999999,,,,267.2,percent of total billed charges,999999999,,,,233.8,percent of total billed charges,999999999,,,,233.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,177.688,percent of total billed charges,999999999,,,,,,,,,,,,,,,,168.67,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,83.5,percent of total billed charges,79.30457515,,,,,,,,,,83.5,percent of total billed charges,77.98539751,,,,,,,,,,83.5,percent of total billed charges,77.76867943,,,,,,,,,,83.5,percent of total billed charges,76.62353657,,,,,,,,,,83.5,percent of total billed charges,78.59517281,,,,,,,,,,83.5,percent of total billed charges,999999999,,,,,,,,,,83.5,percent of total billed charges,67.44019294,,,,,,,,,,83.5,percent of total billed charges,106.3578349,,,,,,,,,,83.5,percent of total billed charges,999999999,,,,,,,,,,83.5,percent of total billed charges,72.71702168,,,,,,,,,,300.6,percent of total billed charges,,,,,
**LISINOPRIL(ZESTRIL) 30MG : TAB,259,RC,0017-2376-60,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
**DOCUSATE 100 MG CAP: CARD OF 31,250,RC,0036-4011-02,NDC,,both,1,EA,7,7,1.490187612,7,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,7,percent of total billed charges,999999999,,,,7,percent of total billed charges,5.333518893,,,,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.942,percent of total billed charges,4.904503703,,,,4.942,percent of total billed charges,3.38259733,,,,,,,,,,5.04,percent of total billed charges,3.275881398,,,,,,,,,,5.04,percent of total billed charges,999999999,,,,,,,,,,5.6,percent of total billed charges,4.692508902,,,,5.53,percent of total billed charges,5.336687983,,,,5.53,percent of total billed charges,4.715140486,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,4.9,percent of total billed charges,999999999,,,,4.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.724,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.535,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.75,percent of total billed charges,1.662071934,,,,,,,,,,1.75,percent of total billed charges,1.634424499,,,,,,,,,,1.75,percent of total billed charges,1.629882503,,,,,,,,,,1.75,percent of total billed charges,1.605882503,,,,,,,,,,1.75,percent of total billed charges,1.647204221,,,,,,,,,,1.75,percent of total billed charges,999999999,,,,,,,,,,1.75,percent of total billed charges,1.413417217,,,,,,,,,,1.75,percent of total billed charges,2.229056421,,,,,,,,,,1.75,percent of total billed charges,999999999,,,,,,,,,,1.75,percent of total billed charges,1.524009436,,,,,,,,,,6.3,percent of total billed charges,,,,,
**CHLORASEPTIC LOZENGES: BOX OF 18,637,RC,7811-2001-06,NDC,,both,1,EA,42.3,42.3,9.004990858,42.3,42.3,percent of total billed charges,31.12161274,,,,42.3,percent of total billed charges,32.98829415,,,,42.3,percent of total billed charges,31.12161274,,,,42.3,percent of total billed charges,32.98829415,,,,42.3,percent of total billed charges,999999999,,,,42.3,percent of total billed charges,32.22969274,,,,42.3,percent of total billed charges,31.12161274,,,,42.3,percent of total billed charges,32.98829415,,,,30.1599,percent of total billed charges,15.05034203,,,,30.1599,percent of total billed charges,9.004990858,,,,30.1599,percent of total billed charges,15.05034203,,,,30.1599,percent of total billed charges,9.004990858,,,,30.1599,percent of total billed charges,15.05034203,,,,30.1599,percent of total billed charges,9.004990858,,,,29.8638,percent of total billed charges,29.63721523,,,,29.8638,percent of total billed charges,20.44055244,,,,,,,,,,30.456,percent of total billed charges,19.79568331,,,,,,,,,,30.456,percent of total billed charges,999999999,,,,,,,,,,33.84,percent of total billed charges,28.35616094,,,,33.417,percent of total billed charges,32.2488431,,,,33.417,percent of total billed charges,28.49292036,,,,33.84,percent of total billed charges,999999999,,,,33.84,percent of total billed charges,999999999,,,,29.61,percent of total billed charges,999999999,,,,29.61,percent of total billed charges,999999999,,,,,,,,,,,,,,,,22.5036,percent of total billed charges,999999999,,,,,,,,,,,,,,,,21.3615,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10.575,percent of total billed charges,10.04366326,,,,,,,,,,10.575,percent of total billed charges,9.876593756,,,,,,,,,,10.575,percent of total billed charges,9.849147125,,,,,,,,,,10.575,percent of total billed charges,9.704118553,,,,,,,,,,10.575,percent of total billed charges,9.95381979,,,,,,,,,,10.575,percent of total billed charges,999999999,,,,,,,,,,10.575,percent of total billed charges,8.541078328,,,,,,,,,,10.575,percent of total billed charges,13.46986951,,,,,,,,,,10.575,percent of total billed charges,999999999,,,,,,,,,,10.575,percent of total billed charges,9.209371308,,,,,,,,,,38.07,percent of total billed charges,,,,,
**MEGESTROL(MEGACE TABLET) 20 MG:,259,RC,0055-5060-02,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
**REFRESH PLUS SINGLE USE: BOX OF 30,259,RC,0002-3040-30,NDC,,both,1,EA,18,18,3.831911003,18,18,percent of total billed charges,13.24323946,,,,18,percent of total billed charges,14.03757198,,,,18,percent of total billed charges,13.24323946,,,,18,percent of total billed charges,14.03757198,,,,18,percent of total billed charges,999999999,,,,18,percent of total billed charges,13.71476287,,,,18,percent of total billed charges,13.24323946,,,,18,percent of total billed charges,14.03757198,,,,12.834,percent of total billed charges,6.404400863,,,,12.834,percent of total billed charges,3.831911003,,,,12.834,percent of total billed charges,6.404400863,,,,12.834,percent of total billed charges,3.831911003,,,,12.834,percent of total billed charges,6.404400863,,,,12.834,percent of total billed charges,3.831911003,,,,12.708,percent of total billed charges,12.61158095,,,,12.708,percent of total billed charges,8.698107421,,,,,,,,,,12.96,percent of total billed charges,8.423695024,,,,,,,,,,12.96,percent of total billed charges,999999999,,,,,,,,,,14.4,percent of total billed charges,12.06645146,,,,14.22,percent of total billed charges,13.72291196,,,,14.22,percent of total billed charges,12.12464696,,,,14.4,percent of total billed charges,999999999,,,,14.4,percent of total billed charges,999999999,,,,12.6,percent of total billed charges,999999999,,,,12.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.576,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.09,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4.5,percent of total billed charges,4.27389926,,,,,,,,,,4.5,percent of total billed charges,4.202805854,,,,,,,,,,4.5,percent of total billed charges,4.191126436,,,,,,,,,,4.5,percent of total billed charges,4.12941215,,,,,,,,,,4.5,percent of total billed charges,4.235667996,,,,,,,,,,4.5,percent of total billed charges,999999999,,,,,,,,,,4.5,percent of total billed charges,3.634501416,,,,,,,,,,4.5,percent of total billed charges,5.731859367,,,,,,,,,,4.5,percent of total billed charges,999999999,,,,,,,,,,4.5,percent of total billed charges,3.918881408,,,,,,,,,,16.2,percent of total billed charges,,,,,
**ASPIRIN EC 81 MG TAB:  CARD OF 30,250,RC,0018-2106-07,NDC,,both,1,EA,7,7,1.490187612,7,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,7,percent of total billed charges,999999999,,,,7,percent of total billed charges,5.333518893,,,,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.942,percent of total billed charges,4.904503703,,,,4.942,percent of total billed charges,3.38259733,,,,,,,,,,5.04,percent of total billed charges,3.275881398,,,,,,,,,,5.04,percent of total billed charges,999999999,,,,,,,,,,5.6,percent of total billed charges,4.692508902,,,,5.53,percent of total billed charges,5.336687983,,,,5.53,percent of total billed charges,4.715140486,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,4.9,percent of total billed charges,999999999,,,,4.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.724,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.535,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.75,percent of total billed charges,1.662071934,,,,,,,,,,1.75,percent of total billed charges,1.634424499,,,,,,,,,,1.75,percent of total billed charges,1.629882503,,,,,,,,,,1.75,percent of total billed charges,1.605882503,,,,,,,,,,1.75,percent of total billed charges,1.647204221,,,,,,,,,,1.75,percent of total billed charges,999999999,,,,,,,,,,1.75,percent of total billed charges,1.413417217,,,,,,,,,,1.75,percent of total billed charges,2.229056421,,,,,,,,,,1.75,percent of total billed charges,999999999,,,,,,,,,,1.75,percent of total billed charges,1.524009436,,,,,,,,,,6.3,percent of total billed charges,,,,,
**ACETAMINOPHEN 500 MG CAPLETS: CARD OF,250,RC,0004-5044-70,NDC,,both,1,EA,9,9,1.915955502,9,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,9,percent of total billed charges,999999999,,,,9,percent of total billed charges,6.857381434,,,,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.354,percent of total billed charges,6.305790475,,,,6.354,percent of total billed charges,4.34905371,,,,,,,,,,6.48,percent of total billed charges,4.211847512,,,,,,,,,,6.48,percent of total billed charges,999999999,,,,,,,,,,7.2,percent of total billed charges,6.033225731,,,,7.11,percent of total billed charges,6.861455978,,,,7.11,percent of total billed charges,6.062323481,,,,7.2,percent of total billed charges,999999999,,,,7.2,percent of total billed charges,999999999,,,,6.3,percent of total billed charges,999999999,,,,6.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.788,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.545,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.25,percent of total billed charges,2.13694963,,,,,,,,,,2.25,percent of total billed charges,2.101402927,,,,,,,,,,2.25,percent of total billed charges,2.095563218,,,,,,,,,,2.25,percent of total billed charges,2.064706075,,,,,,,,,,2.25,percent of total billed charges,2.117833998,,,,,,,,,,2.25,percent of total billed charges,999999999,,,,,,,,,,2.25,percent of total billed charges,1.817250708,,,,,,,,,,2.25,percent of total billed charges,2.865929684,,,,,,,,,,2.25,percent of total billed charges,999999999,,,,,,,,,,2.25,percent of total billed charges,1.959440704,,,,,,,,,,8.1,percent of total billed charges,,,,,
**ROFECOXIB (VIOXX) 12.5MG: TAB,250,RC,0000-6007-28,NDC,,both,1,EA,11,11,2.341723391,11,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,11,percent of total billed charges,999999999,,,,11,percent of total billed charges,8.381243975,,,,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.766,percent of total billed charges,7.707077247,,,,7.766,percent of total billed charges,5.31551009,,,,,,,,,,7.92,percent of total billed charges,5.147813626,,,,,,,,,,7.92,percent of total billed charges,999999999,,,,,,,,,,8.8,percent of total billed charges,7.373942561,,,,8.69,percent of total billed charges,8.386223973,,,,8.69,percent of total billed charges,7.409506477,,,,8.8,percent of total billed charges,999999999,,,,8.8,percent of total billed charges,999999999,,,,7.7,percent of total billed charges,999999999,,,,7.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.852,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.555,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.75,percent of total billed charges,2.611827325,,,,,,,,,,2.75,percent of total billed charges,2.568381355,,,,,,,,,,2.75,percent of total billed charges,2.561243933,,,,,,,,,,2.75,percent of total billed charges,2.523529647,,,,,,,,,,2.75,percent of total billed charges,2.588463775,,,,,,,,,,2.75,percent of total billed charges,999999999,,,,,,,,,,2.75,percent of total billed charges,2.221084199,,,,,,,,,,2.75,percent of total billed charges,3.502802947,,,,,,,,,,2.75,percent of total billed charges,999999999,,,,,,,,,,2.75,percent of total billed charges,2.394871971,,,,,,,,,,9.9,percent of total billed charges,,,,,
**E-MYLANTA GEL (GENERIC):12OZ,250,RC,0090-4000-14,NDC,,both,1,EA,12,12,2.554607335,12,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,12,percent of total billed charges,999999999,,,,12,percent of total billed charges,9.143175245,,,,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.472,percent of total billed charges,8.407720633,,,,8.472,percent of total billed charges,5.79873828,,,,,,,,,,8.64,percent of total billed charges,5.615796683,,,,,,,,,,8.64,percent of total billed charges,999999999,,,,,,,,,,9.6,percent of total billed charges,8.044300975,,,,9.48,percent of total billed charges,9.148607971,,,,9.48,percent of total billed charges,8.083097975,,,,9.6,percent of total billed charges,999999999,,,,9.6,percent of total billed charges,999999999,,,,8.4,percent of total billed charges,999999999,,,,8.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.384,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.06,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3,percent of total billed charges,2.849266173,,,,,,,,,,3,percent of total billed charges,2.801870569,,,,,,,,,,3,percent of total billed charges,2.794084291,,,,,,,,,,3,percent of total billed charges,2.752941434,,,,,,,,,,3,percent of total billed charges,2.823778664,,,,,,,,,,3,percent of total billed charges,999999999,,,,,,,,,,3,percent of total billed charges,2.423000944,,,,,,,,,,3,percent of total billed charges,3.821239578,,,,,,,,,,3,percent of total billed charges,999999999,,,,,,,,,,3,percent of total billed charges,2.612587605,,,,,,,,,,10.8,percent of total billed charges,,,,,
**PHENYTOIN SUSPENSION 125MG/5ML: 240 ML,259,RC,0047-2500-08,NDC,,both,1,EA,71,71,15.11476007,71,71,percent of total billed charges,52.23722233,,,,71,percent of total billed charges,55.37042281,,,,71,percent of total billed charges,52.23722233,,,,71,percent of total billed charges,55.37042281,,,,71,percent of total billed charges,999999999,,,,71,percent of total billed charges,54.0971202,,,,71,percent of total billed charges,52.23722233,,,,71,percent of total billed charges,55.37042281,,,,50.623,percent of total billed charges,25.2618034,,,,50.623,percent of total billed charges,15.11476007,,,,50.623,percent of total billed charges,25.2618034,,,,50.623,percent of total billed charges,15.11476007,,,,50.623,percent of total billed charges,25.2618034,,,,50.623,percent of total billed charges,15.11476007,,,,50.126,percent of total billed charges,49.74568041,,,,50.126,percent of total billed charges,34.30920149,,,,,,,,,,51.12,percent of total billed charges,33.22679704,,,,,,,,,,51.12,percent of total billed charges,999999999,,,,,,,,,,56.8,percent of total billed charges,47.59544744,,,,56.09,percent of total billed charges,54.12926383,,,,56.09,percent of total billed charges,47.82499635,,,,56.8,percent of total billed charges,999999999,,,,56.8,percent of total billed charges,999999999,,,,49.7,percent of total billed charges,999999999,,,,49.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,37.772,percent of total billed charges,999999999,,,,,,,,,,,,,,,,35.855,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17.75,percent of total billed charges,16.85815819,,,,,,,,,,17.75,percent of total billed charges,16.5777342,,,,,,,,,,17.75,percent of total billed charges,16.53166539,,,,,,,,,,17.75,percent of total billed charges,16.28823682,,,,,,,,,,17.75,percent of total billed charges,16.70735709,,,,,,,,,,17.75,percent of total billed charges,999999999,,,,,,,,,,17.75,percent of total billed charges,14.33608892,,,,,,,,,,17.75,percent of total billed charges,22.60900084,,,,,,,,,,17.75,percent of total billed charges,999999999,,,,,,,,,,17.75,percent of total billed charges,15.45781,,,,,,,,,,63.9,percent of total billed charges,,,,,
**ASPIRIN CHILD 81 MG CHEWABLE: CARD OF,250,RC,0018-2142-95,NDC,,both,1,EA,7,7,1.490187612,7,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,7,percent of total billed charges,999999999,,,,7,percent of total billed charges,5.333518893,,,,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.942,percent of total billed charges,4.904503703,,,,4.942,percent of total billed charges,3.38259733,,,,,,,,,,5.04,percent of total billed charges,3.275881398,,,,,,,,,,5.04,percent of total billed charges,999999999,,,,,,,,,,5.6,percent of total billed charges,4.692508902,,,,5.53,percent of total billed charges,5.336687983,,,,5.53,percent of total billed charges,4.715140486,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,4.9,percent of total billed charges,999999999,,,,4.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.724,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.535,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.75,percent of total billed charges,1.662071934,,,,,,,,,,1.75,percent of total billed charges,1.634424499,,,,,,,,,,1.75,percent of total billed charges,1.629882503,,,,,,,,,,1.75,percent of total billed charges,1.605882503,,,,,,,,,,1.75,percent of total billed charges,1.647204221,,,,,,,,,,1.75,percent of total billed charges,999999999,,,,,,,,,,1.75,percent of total billed charges,1.413417217,,,,,,,,,,1.75,percent of total billed charges,2.229056421,,,,,,,,,,1.75,percent of total billed charges,999999999,,,,,,,,,,1.75,percent of total billed charges,1.524009436,,,,,,,,,,6.3,percent of total billed charges,,,,,
**VIACTIVE CHEWABLE CALCIUM: BOX OF 60,250,RC,0004-5010-03,NDC,,both,1,EA,24,24,5.109214671,24,24,percent of total billed charges,17.65765262,,,,24,percent of total billed charges,18.71676264,,,,24,percent of total billed charges,17.65765262,,,,24,percent of total billed charges,18.71676264,,,,24,percent of total billed charges,999999999,,,,24,percent of total billed charges,18.28635049,,,,24,percent of total billed charges,17.65765262,,,,24,percent of total billed charges,18.71676264,,,,17.112,percent of total billed charges,8.53920115,,,,17.112,percent of total billed charges,5.109214671,,,,17.112,percent of total billed charges,8.53920115,,,,17.112,percent of total billed charges,5.109214671,,,,17.112,percent of total billed charges,8.53920115,,,,17.112,percent of total billed charges,5.109214671,,,,16.944,percent of total billed charges,16.81544127,,,,16.944,percent of total billed charges,11.59747656,,,,,,,,,,17.28,percent of total billed charges,11.23159337,,,,,,,,,,17.28,percent of total billed charges,999999999,,,,,,,,,,19.2,percent of total billed charges,16.08860195,,,,18.96,percent of total billed charges,18.29721594,,,,18.96,percent of total billed charges,16.16619595,,,,19.2,percent of total billed charges,999999999,,,,19.2,percent of total billed charges,999999999,,,,16.8,percent of total billed charges,999999999,,,,16.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,12.768,percent of total billed charges,999999999,,,,,,,,,,,,,,,,12.12,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6,percent of total billed charges,5.698532346,,,,,,,,,,6,percent of total billed charges,5.603741138,,,,,,,,,,6,percent of total billed charges,5.588168582,,,,,,,,,,6,percent of total billed charges,5.505882867,,,,,,,,,,6,percent of total billed charges,5.647557328,,,,,,,,,,6,percent of total billed charges,999999999,,,,,,,,,,6,percent of total billed charges,4.846001888,,,,,,,,,,6,percent of total billed charges,7.642479156,,,,,,,,,,6,percent of total billed charges,999999999,,,,,,,,,,6,percent of total billed charges,5.22517521,,,,,,,,,,21.6,percent of total billed charges,,,,,
**ADVAIR (FLUTICASON/SALMETER)100/50:60D,259,RC,0017-3069-00,NDC,,both,1,EA,378,378,80.47013107,378,378,percent of total billed charges,278.1080287,,,,378,percent of total billed charges,294.7890116,,,,378,percent of total billed charges,278.1080287,,,,378,percent of total billed charges,294.7890116,,,,378,percent of total billed charges,999999999,,,,378,percent of total billed charges,288.0100202,,,,378,percent of total billed charges,278.1080287,,,,378,percent of total billed charges,294.7890116,,,,269.514,percent of total billed charges,134.4924181,,,,269.514,percent of total billed charges,80.47013107,,,,269.514,percent of total billed charges,134.4924181,,,,269.514,percent of total billed charges,80.47013107,,,,269.514,percent of total billed charges,134.4924181,,,,269.514,percent of total billed charges,80.47013107,,,,266.868,percent of total billed charges,264.8431999,,,,266.868,percent of total billed charges,182.6602558,,,,,,,,,,272.16,percent of total billed charges,176.8975955,,,,,,,,,,272.16,percent of total billed charges,999999999,,,,,,,,,,302.4,percent of total billed charges,253.3954807,,,,298.62,percent of total billed charges,288.1811511,,,,298.62,percent of total billed charges,254.6175862,,,,302.4,percent of total billed charges,999999999,,,,302.4,percent of total billed charges,999999999,,,,264.6,percent of total billed charges,999999999,,,,264.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,201.096,percent of total billed charges,999999999,,,,,,,,,,,,,,,,190.89,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,94.5,percent of total billed charges,89.75188445,,,,,,,,,,94.5,percent of total billed charges,88.25892293,,,,,,,,,,94.5,percent of total billed charges,88.01365516,,,,,,,,,,94.5,percent of total billed charges,86.71765516,,,,,,,,,,94.5,percent of total billed charges,88.94902791,,,,,,,,,,94.5,percent of total billed charges,999999999,,,,,,,,,,94.5,percent of total billed charges,76.32452974,,,,,,,,,,94.5,percent of total billed charges,120.3690467,,,,,,,,,,94.5,percent of total billed charges,999999999,,,,,,,,,,94.5,percent of total billed charges,82.29650956,,,,,,,,,,340.2,percent of total billed charges,,,,,
**PERI-COLACE SYRUP: 16OZ,250,RC,5409-2041-16,NDC,,both,1,EA,21,21,4.470562837,21,21,percent of total billed charges,15.45044604,,,,21,percent of total billed charges,16.37716731,,,,21,percent of total billed charges,15.45044604,,,,21,percent of total billed charges,16.37716731,,,,21,percent of total billed charges,999999999,,,,21,percent of total billed charges,16.00055668,,,,21,percent of total billed charges,15.45044604,,,,21,percent of total billed charges,16.37716731,,,,14.973,percent of total billed charges,7.471801006,,,,14.973,percent of total billed charges,4.470562837,,,,14.973,percent of total billed charges,7.471801006,,,,14.973,percent of total billed charges,4.470562837,,,,14.973,percent of total billed charges,7.471801006,,,,14.973,percent of total billed charges,4.470562837,,,,14.826,percent of total billed charges,14.71351111,,,,14.826,percent of total billed charges,10.14779199,,,,,,,,,,15.12,percent of total billed charges,9.827644194,,,,,,,,,,15.12,percent of total billed charges,999999999,,,,,,,,,,16.8,percent of total billed charges,14.07752671,,,,16.59,percent of total billed charges,16.01006395,,,,16.59,percent of total billed charges,14.14542146,,,,16.8,percent of total billed charges,999999999,,,,16.8,percent of total billed charges,999999999,,,,14.7,percent of total billed charges,999999999,,,,14.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,11.172,percent of total billed charges,999999999,,,,,,,,,,,,,,,,10.605,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5.25,percent of total billed charges,4.986215803,,,,,,,,,,5.25,percent of total billed charges,4.903273496,,,,,,,,,,5.25,percent of total billed charges,4.889647509,,,,,,,,,,5.25,percent of total billed charges,4.817647509,,,,,,,,,,5.25,percent of total billed charges,4.941612662,,,,,,,,,,5.25,percent of total billed charges,999999999,,,,,,,,,,5.25,percent of total billed charges,4.240251652,,,,,,,,,,5.25,percent of total billed charges,6.687169262,,,,,,,,,,5.25,percent of total billed charges,999999999,,,,,,,,,,5.25,percent of total billed charges,4.572028309,,,,,,,,,,18.9,percent of total billed charges,,,,,
**FLOVENT 44 MCG (FLUTICASON) INH.:120DO,259,RC,0017-3071-00,NDC,,both,1,EA,232,232,49.38907515,232,232,percent of total billed charges,170.690642,,,,232,percent of total billed charges,180.9287055,,,,232,percent of total billed charges,170.690642,,,,232,percent of total billed charges,180.9287055,,,,232,percent of total billed charges,999999999,,,,232,percent of total billed charges,176.7680547,,,,232,percent of total billed charges,170.690642,,,,232,percent of total billed charges,180.9287055,,,,165.416,percent of total billed charges,82.54561112,,,,165.416,percent of total billed charges,49.38907515,,,,165.416,percent of total billed charges,82.54561112,,,,165.416,percent of total billed charges,49.38907515,,,,165.416,percent of total billed charges,82.54561112,,,,165.416,percent of total billed charges,49.38907515,,,,163.792,percent of total billed charges,162.5492656,,,,163.792,percent of total billed charges,112.1089401,,,,,,,,,,167.04,percent of total billed charges,108.5720692,,,,,,,,,,167.04,percent of total billed charges,999999999,,,,,,,,,,185.6,percent of total billed charges,155.5231522,,,,183.28,percent of total billed charges,176.8730874,,,,183.28,percent of total billed charges,156.2732275,,,,185.6,percent of total billed charges,999999999,,,,185.6,percent of total billed charges,999999999,,,,162.4,percent of total billed charges,999999999,,,,162.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,123.424,percent of total billed charges,999999999,,,,,,,,,,,,,,,,117.16,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,58,percent of total billed charges,55.08581268,,,,,,,,,,58,percent of total billed charges,54.16949767,,,,,,,,,,58,percent of total billed charges,54.01896295,,,,,,,,,,58,percent of total billed charges,53.22353438,,,,,,,,,,58,percent of total billed charges,54.59305417,,,,,,,,,,58,percent of total billed charges,999999999,,,,,,,,,,58,percent of total billed charges,46.84468492,,,,,,,,,,58,percent of total billed charges,73.87729851,,,,,,,,,,58,percent of total billed charges,999999999,,,,,,,,,,58,percent of total billed charges,50.51002703,,,,,,,,,,208.8,percent of total billed charges,,,,,
**BRIMONIDINE (ALPHAGAN P) 0.15% O/S,259,RC,0002-3917-05,NDC,,both,1,EA,124,124,26.39760913,124,124,percent of total billed charges,91.23120519,,,,124,percent of total billed charges,96.70327364,,,,124,percent of total billed charges,91.23120519,,,,124,percent of total billed charges,96.70327364,,,,124,percent of total billed charges,999999999,,,,124,percent of total billed charges,94.47947753,,,,124,percent of total billed charges,91.23120519,,,,124,percent of total billed charges,96.70327364,,,,88.412,percent of total billed charges,44.11920594,,,,88.412,percent of total billed charges,26.39760913,,,,88.412,percent of total billed charges,44.11920594,,,,88.412,percent of total billed charges,26.39760913,,,,88.412,percent of total billed charges,44.11920594,,,,88.412,percent of total billed charges,26.39760913,,,,87.544,percent of total billed charges,86.87977987,,,,87.544,percent of total billed charges,59.92029557,,,,,,,,,,89.28,percent of total billed charges,58.02989905,,,,,,,,,,89.28,percent of total billed charges,999999999,,,,,,,,,,99.2,percent of total billed charges,83.12444341,,,,97.96,percent of total billed charges,94.5356157,,,,97.96,percent of total billed charges,83.52534574,,,,99.2,percent of total billed charges,999999999,,,,99.2,percent of total billed charges,999999999,,,,86.8,percent of total billed charges,999999999,,,,86.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,65.968,percent of total billed charges,999999999,,,,,,,,,,,,,,,,62.62,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,31,percent of total billed charges,29.44241712,,,,,,,,,,31,percent of total billed charges,28.95266255,,,,,,,,,,31,percent of total billed charges,28.87220434,,,,,,,,,,31,percent of total billed charges,28.44706148,,,,,,,,,,31,percent of total billed charges,29.17904619,,,,,,,,,,31,percent of total billed charges,999999999,,,,,,,,,,31,percent of total billed charges,25.03767642,,,,,,,,,,31,percent of total billed charges,39.48614231,,,,,,,,,,31,percent of total billed charges,999999999,,,,,,,,,,31,percent of total billed charges,26.99673859,,,,,,,,,,111.6,percent of total billed charges,,,,,
**PLENDIL (FELODIPINE) 10 MG: TAB,259,RC,0018-6045-58,NDC,,both,1,EA,10,10,2.128839446,10,10,percent of total billed charges,7.357355257,,,,10,percent of total billed charges,7.7986511,,,,10,percent of total billed charges,7.357355257,,,,10,percent of total billed charges,7.7986511,,,,10,percent of total billed charges,999999999,,,,10,percent of total billed charges,7.619312704,,,,10,percent of total billed charges,7.357355257,,,,10,percent of total billed charges,7.7986511,,,,7.13,percent of total billed charges,3.558000479,,,,7.13,percent of total billed charges,2.128839446,,,,7.13,percent of total billed charges,3.558000479,,,,7.13,percent of total billed charges,2.128839446,,,,7.13,percent of total billed charges,3.558000479,,,,7.13,percent of total billed charges,2.128839446,,,,7.06,percent of total billed charges,7.006433861,,,,7.06,percent of total billed charges,4.8322819,,,,,,,,,,7.2,percent of total billed charges,4.679830569,,,,,,,,,,7.2,percent of total billed charges,999999999,,,,,,,,,,8,percent of total billed charges,6.703584146,,,,7.9,percent of total billed charges,7.623839976,,,,7.9,percent of total billed charges,6.735914979,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,999999999,,,,7,percent of total billed charges,999999999,,,,7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.32,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.05,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.5,percent of total billed charges,2.374388478,,,,,,,,,,2.5,percent of total billed charges,2.334892141,,,,,,,,,,2.5,percent of total billed charges,2.328403576,,,,,,,,,,2.5,percent of total billed charges,2.294117861,,,,,,,,,,2.5,percent of total billed charges,2.353148886,,,,,,,,,,2.5,percent of total billed charges,999999999,,,,,,,,,,2.5,percent of total billed charges,2.019167453,,,,,,,,,,2.5,percent of total billed charges,3.184366315,,,,,,,,,,2.5,percent of total billed charges,999999999,,,,,,,,,,2.5,percent of total billed charges,2.177156338,,,,,,,,,,9,percent of total billed charges,,,,,
**EMEDASTINE(EMADINE)0.05% OPTH.SOLN:5,259,RC,0006-5032-05,NDC,,both,1,EA,181,181,38.53199398,181,181,percent of total billed charges,133.1681302,,,,181,percent of total billed charges,141.1555849,,,,181,percent of total billed charges,133.1681302,,,,181,percent of total billed charges,141.1555849,,,,181,percent of total billed charges,999999999,,,,181,percent of total billed charges,137.9095599,,,,181,percent of total billed charges,133.1681302,,,,181,percent of total billed charges,141.1555849,,,,129.053,percent of total billed charges,64.39980867,,,,129.053,percent of total billed charges,38.53199398,,,,129.053,percent of total billed charges,64.39980867,,,,129.053,percent of total billed charges,38.53199398,,,,129.053,percent of total billed charges,64.39980867,,,,129.053,percent of total billed charges,38.53199398,,,,127.786,percent of total billed charges,126.8164529,,,,127.786,percent of total billed charges,87.4643024,,,,,,,,,,130.32,percent of total billed charges,84.7049333,,,,,,,,,,130.32,percent of total billed charges,999999999,,,,,,,,,,144.8,percent of total billed charges,121.334873,,,,142.99,percent of total billed charges,137.9915036,,,,142.99,percent of total billed charges,121.9200611,,,,144.8,percent of total billed charges,999999999,,,,144.8,percent of total billed charges,999999999,,,,126.7,percent of total billed charges,999999999,,,,126.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,96.292,percent of total billed charges,999999999,,,,,,,,,,,,,,,,91.405,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45.25,percent of total billed charges,42.97643145,,,,,,,,,,45.25,percent of total billed charges,42.26154775,,,,,,,,,,45.25,percent of total billed charges,42.14410472,,,,,,,,,,45.25,percent of total billed charges,41.52353329,,,,,,,,,,45.25,percent of total billed charges,42.59199485,,,,,,,,,,45.25,percent of total billed charges,999999999,,,,,,,,,,45.25,percent of total billed charges,36.54693091,,,,,,,,,,45.25,percent of total billed charges,57.6370303,,,,,,,,,,45.25,percent of total billed charges,999999999,,,,,,,,,,45.25,percent of total billed charges,39.40652971,,,,,,,,,,162.9,percent of total billed charges,,,,,
**(PAXIL (PAROXETINE) C.R. 25 MG  TAB,259,RC,0002-9320-13,NDC,,both,1,EA,12,12,2.554607335,12,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,12,percent of total billed charges,999999999,,,,12,percent of total billed charges,9.143175245,,,,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.472,percent of total billed charges,8.407720633,,,,8.472,percent of total billed charges,5.79873828,,,,,,,,,,8.64,percent of total billed charges,5.615796683,,,,,,,,,,8.64,percent of total billed charges,999999999,,,,,,,,,,9.6,percent of total billed charges,8.044300975,,,,9.48,percent of total billed charges,9.148607971,,,,9.48,percent of total billed charges,8.083097975,,,,9.6,percent of total billed charges,999999999,,,,9.6,percent of total billed charges,999999999,,,,8.4,percent of total billed charges,999999999,,,,8.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.384,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.06,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3,percent of total billed charges,2.849266173,,,,,,,,,,3,percent of total billed charges,2.801870569,,,,,,,,,,3,percent of total billed charges,2.794084291,,,,,,,,,,3,percent of total billed charges,2.752941434,,,,,,,,,,3,percent of total billed charges,2.823778664,,,,,,,,,,3,percent of total billed charges,999999999,,,,,,,,,,3,percent of total billed charges,2.423000944,,,,,,,,,,3,percent of total billed charges,3.821239578,,,,,,,,,,3,percent of total billed charges,999999999,,,,,,,,,,3,percent of total billed charges,2.612587605,,,,,,,,,,10.8,percent of total billed charges,,,,,
**DOCUSATE LIQUID 50 MG/5ML: 16 OZ,259,RC,0012-1054-16,NDC,,both,1,EA,12,12,2.554607335,12,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,12,percent of total billed charges,999999999,,,,12,percent of total billed charges,9.143175245,,,,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.472,percent of total billed charges,8.407720633,,,,8.472,percent of total billed charges,5.79873828,,,,,,,,,,8.64,percent of total billed charges,5.615796683,,,,,,,,,,8.64,percent of total billed charges,999999999,,,,,,,,,,9.6,percent of total billed charges,8.044300975,,,,9.48,percent of total billed charges,9.148607971,,,,9.48,percent of total billed charges,8.083097975,,,,9.6,percent of total billed charges,999999999,,,,9.6,percent of total billed charges,999999999,,,,8.4,percent of total billed charges,999999999,,,,8.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.384,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.06,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3,percent of total billed charges,2.849266173,,,,,,,,,,3,percent of total billed charges,2.801870569,,,,,,,,,,3,percent of total billed charges,2.794084291,,,,,,,,,,3,percent of total billed charges,2.752941434,,,,,,,,,,3,percent of total billed charges,2.823778664,,,,,,,,,,3,percent of total billed charges,999999999,,,,,,,,,,3,percent of total billed charges,2.423000944,,,,,,,,,,3,percent of total billed charges,3.821239578,,,,,,,,,,3,percent of total billed charges,999999999,,,,,,,,,,3,percent of total billed charges,2.612587605,,,,,,,,,,10.8,percent of total billed charges,,,,,
**LACTULOSE 10GM/15ML : 240 ML,259,RC,0047-2136-16,NDC,,both,1,EA,93,93,19.79820685,93,93,percent of total billed charges,68.42340389,,,,93,percent of total billed charges,72.52745523,,,,93,percent of total billed charges,68.42340389,,,,93,percent of total billed charges,72.52745523,,,,93,percent of total billed charges,999999999,,,,93,percent of total billed charges,70.85960815,,,,93,percent of total billed charges,68.42340389,,,,93,percent of total billed charges,72.52745523,,,,66.309,percent of total billed charges,33.08940446,,,,66.309,percent of total billed charges,19.79820685,,,,66.309,percent of total billed charges,33.08940446,,,,66.309,percent of total billed charges,19.79820685,,,,66.309,percent of total billed charges,33.08940446,,,,66.309,percent of total billed charges,19.79820685,,,,65.658,percent of total billed charges,65.1598349,,,,65.658,percent of total billed charges,44.94022167,,,,,,,,,,66.96,percent of total billed charges,43.52242429,,,,,,,,,,66.96,percent of total billed charges,999999999,,,,,,,,,,74.4,percent of total billed charges,62.34333256,,,,73.47,percent of total billed charges,70.90171178,,,,73.47,percent of total billed charges,62.64400931,,,,74.4,percent of total billed charges,999999999,,,,74.4,percent of total billed charges,999999999,,,,65.1,percent of total billed charges,999999999,,,,65.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,49.476,percent of total billed charges,999999999,,,,,,,,,,,,,,,,46.965,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23.25,percent of total billed charges,22.08181284,,,,,,,,,,23.25,percent of total billed charges,21.71449691,,,,,,,,,,23.25,percent of total billed charges,21.65415325,,,,,,,,,,23.25,percent of total billed charges,21.33529611,,,,,,,,,,23.25,percent of total billed charges,21.88428464,,,,,,,,,,23.25,percent of total billed charges,999999999,,,,,,,,,,23.25,percent of total billed charges,18.77825732,,,,,,,,,,23.25,percent of total billed charges,29.61460673,,,,,,,,,,23.25,percent of total billed charges,999999999,,,,,,,,,,23.25,percent of total billed charges,20.24755394,,,,,,,,,,83.7,percent of total billed charges,,,,,
**E-ACETAMINOPHEN 500MG:BOX OF 150 U/D.,250,RC,9999-9999-99,NDC,,both,1,EA,9,9,1.915955502,9,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,9,percent of total billed charges,999999999,,,,9,percent of total billed charges,6.857381434,,,,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.354,percent of total billed charges,6.305790475,,,,6.354,percent of total billed charges,4.34905371,,,,,,,,,,6.48,percent of total billed charges,4.211847512,,,,,,,,,,6.48,percent of total billed charges,999999999,,,,,,,,,,7.2,percent of total billed charges,6.033225731,,,,7.11,percent of total billed charges,6.861455978,,,,7.11,percent of total billed charges,6.062323481,,,,7.2,percent of total billed charges,999999999,,,,7.2,percent of total billed charges,999999999,,,,6.3,percent of total billed charges,999999999,,,,6.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.788,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.545,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.25,percent of total billed charges,2.13694963,,,,,,,,,,2.25,percent of total billed charges,2.101402927,,,,,,,,,,2.25,percent of total billed charges,2.095563218,,,,,,,,,,2.25,percent of total billed charges,2.064706075,,,,,,,,,,2.25,percent of total billed charges,2.117833998,,,,,,,,,,2.25,percent of total billed charges,999999999,,,,,,,,,,2.25,percent of total billed charges,1.817250708,,,,,,,,,,2.25,percent of total billed charges,2.865929684,,,,,,,,,,2.25,percent of total billed charges,999999999,,,,,,,,,,2.25,percent of total billed charges,1.959440704,,,,,,,,,,8.1,percent of total billed charges,,,,,
**E-TRIAMINIC COLD&ALLERGY SOFTCHEWS:,250,RC,9999-9999-99,NDC,,both,1,EA,17,17,3.619027059,17,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,17,percent of total billed charges,999999999,,,,17,percent of total billed charges,12.9528316,,,,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.002,percent of total billed charges,11.91093756,,,,12.002,percent of total billed charges,8.214879231,,,,,,,,,,12.24,percent of total billed charges,7.955711967,,,,,,,,,,12.24,percent of total billed charges,999999999,,,,,,,,,,13.6,percent of total billed charges,11.39609305,,,,13.43,percent of total billed charges,12.96052796,,,,13.43,percent of total billed charges,11.45105547,,,,13.6,percent of total billed charges,999999999,,,,13.6,percent of total billed charges,999999999,,,,11.9,percent of total billed charges,999999999,,,,11.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.044,percent of total billed charges,999999999,,,,,,,,,,,,,,,,8.585,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4.25,percent of total billed charges,4.036460412,,,,,,,,,,4.25,percent of total billed charges,3.96931664,,,,,,,,,,4.25,percent of total billed charges,3.958286079,,,,,,,,,,4.25,percent of total billed charges,3.900000364,,,,,,,,,,4.25,percent of total billed charges,4.000353107,,,,,,,,,,4.25,percent of total billed charges,999999999,,,,,,,,,,4.25,percent of total billed charges,3.432584671,,,,,,,,,,4.25,percent of total billed charges,5.413422736,,,,,,,,,,4.25,percent of total billed charges,999999999,,,,,,,,,,4.25,percent of total billed charges,3.701165774,,,,,,,,,,15.3,percent of total billed charges,,,,,
**E-ASCORBIC ACID 500 MG TABS: BOTTLE 10,259,RC,9999-9999-99,NDC,,both,1,EA,9,9,1.915955502,9,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,9,percent of total billed charges,999999999,,,,9,percent of total billed charges,6.857381434,,,,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.354,percent of total billed charges,6.305790475,,,,6.354,percent of total billed charges,4.34905371,,,,,,,,,,6.48,percent of total billed charges,4.211847512,,,,,,,,,,6.48,percent of total billed charges,999999999,,,,,,,,,,7.2,percent of total billed charges,6.033225731,,,,7.11,percent of total billed charges,6.861455978,,,,7.11,percent of total billed charges,6.062323481,,,,7.2,percent of total billed charges,999999999,,,,7.2,percent of total billed charges,999999999,,,,6.3,percent of total billed charges,999999999,,,,6.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.788,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.545,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.25,percent of total billed charges,2.13694963,,,,,,,,,,2.25,percent of total billed charges,2.101402927,,,,,,,,,,2.25,percent of total billed charges,2.095563218,,,,,,,,,,2.25,percent of total billed charges,2.064706075,,,,,,,,,,2.25,percent of total billed charges,2.117833998,,,,,,,,,,2.25,percent of total billed charges,999999999,,,,,,,,,,2.25,percent of total billed charges,1.817250708,,,,,,,,,,2.25,percent of total billed charges,2.865929684,,,,,,,,,,2.25,percent of total billed charges,999999999,,,,,,,,,,2.25,percent of total billed charges,1.959440704,,,,,,,,,,8.1,percent of total billed charges,,,,,
**CALCIUM 500MG VIT D 200 MG: CARD 30,250,RC,0090-4323-52,NDC,,both,1,EA,7,7,1.490187612,7,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,7,percent of total billed charges,999999999,,,,7,percent of total billed charges,5.333518893,,,,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.942,percent of total billed charges,4.904503703,,,,4.942,percent of total billed charges,3.38259733,,,,,,,,,,5.04,percent of total billed charges,3.275881398,,,,,,,,,,5.04,percent of total billed charges,999999999,,,,,,,,,,5.6,percent of total billed charges,4.692508902,,,,5.53,percent of total billed charges,5.336687983,,,,5.53,percent of total billed charges,4.715140486,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,4.9,percent of total billed charges,999999999,,,,4.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.724,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.535,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.75,percent of total billed charges,1.662071934,,,,,,,,,,1.75,percent of total billed charges,1.634424499,,,,,,,,,,1.75,percent of total billed charges,1.629882503,,,,,,,,,,1.75,percent of total billed charges,1.605882503,,,,,,,,,,1.75,percent of total billed charges,1.647204221,,,,,,,,,,1.75,percent of total billed charges,999999999,,,,,,,,,,1.75,percent of total billed charges,1.413417217,,,,,,,,,,1.75,percent of total billed charges,2.229056421,,,,,,,,,,1.75,percent of total billed charges,999999999,,,,,,,,,,1.75,percent of total billed charges,1.524009436,,,,,,,,,,6.3,percent of total billed charges,,,,,
**CALCIUM 500MG VIT D 200 MG: CARD 60,250,RC,0090-4323-52,NDC,,both,1,EA,9,9,1.915955502,9,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,9,percent of total billed charges,999999999,,,,9,percent of total billed charges,6.857381434,,,,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.354,percent of total billed charges,6.305790475,,,,6.354,percent of total billed charges,4.34905371,,,,,,,,,,6.48,percent of total billed charges,4.211847512,,,,,,,,,,6.48,percent of total billed charges,999999999,,,,,,,,,,7.2,percent of total billed charges,6.033225731,,,,7.11,percent of total billed charges,6.861455978,,,,7.11,percent of total billed charges,6.062323481,,,,7.2,percent of total billed charges,999999999,,,,7.2,percent of total billed charges,999999999,,,,6.3,percent of total billed charges,999999999,,,,6.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.788,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.545,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.25,percent of total billed charges,2.13694963,,,,,,,,,,2.25,percent of total billed charges,2.101402927,,,,,,,,,,2.25,percent of total billed charges,2.095563218,,,,,,,,,,2.25,percent of total billed charges,2.064706075,,,,,,,,,,2.25,percent of total billed charges,2.117833998,,,,,,,,,,2.25,percent of total billed charges,999999999,,,,,,,,,,2.25,percent of total billed charges,1.817250708,,,,,,,,,,2.25,percent of total billed charges,2.865929684,,,,,,,,,,2.25,percent of total billed charges,999999999,,,,,,,,,,2.25,percent of total billed charges,1.959440704,,,,,,,,,,8.1,percent of total billed charges,,,,,
**CALCIUM CARBONATE 500 MG TAB:  CARD 30,250,RC,0018-2157-07,NDC,,both,1,EA,7,7,1.490187612,7,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,7,percent of total billed charges,999999999,,,,7,percent of total billed charges,5.333518893,,,,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.942,percent of total billed charges,4.904503703,,,,4.942,percent of total billed charges,3.38259733,,,,,,,,,,5.04,percent of total billed charges,3.275881398,,,,,,,,,,5.04,percent of total billed charges,999999999,,,,,,,,,,5.6,percent of total billed charges,4.692508902,,,,5.53,percent of total billed charges,5.336687983,,,,5.53,percent of total billed charges,4.715140486,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,4.9,percent of total billed charges,999999999,,,,4.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.724,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.535,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.75,percent of total billed charges,1.662071934,,,,,,,,,,1.75,percent of total billed charges,1.634424499,,,,,,,,,,1.75,percent of total billed charges,1.629882503,,,,,,,,,,1.75,percent of total billed charges,1.605882503,,,,,,,,,,1.75,percent of total billed charges,1.647204221,,,,,,,,,,1.75,percent of total billed charges,999999999,,,,,,,,,,1.75,percent of total billed charges,1.413417217,,,,,,,,,,1.75,percent of total billed charges,2.229056421,,,,,,,,,,1.75,percent of total billed charges,999999999,,,,,,,,,,1.75,percent of total billed charges,1.524009436,,,,,,,,,,6.3,percent of total billed charges,,,,,
**CALCIUM CARBONATE 500 MG TAB:  CARD 60,250,RC,0018-2157-07,NDC,,both,1,EA,9,9,1.915955502,9,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,9,percent of total billed charges,999999999,,,,9,percent of total billed charges,6.857381434,,,,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.354,percent of total billed charges,6.305790475,,,,6.354,percent of total billed charges,4.34905371,,,,,,,,,,6.48,percent of total billed charges,4.211847512,,,,,,,,,,6.48,percent of total billed charges,999999999,,,,,,,,,,7.2,percent of total billed charges,6.033225731,,,,7.11,percent of total billed charges,6.861455978,,,,7.11,percent of total billed charges,6.062323481,,,,7.2,percent of total billed charges,999999999,,,,7.2,percent of total billed charges,999999999,,,,6.3,percent of total billed charges,999999999,,,,6.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.788,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.545,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.25,percent of total billed charges,2.13694963,,,,,,,,,,2.25,percent of total billed charges,2.101402927,,,,,,,,,,2.25,percent of total billed charges,2.095563218,,,,,,,,,,2.25,percent of total billed charges,2.064706075,,,,,,,,,,2.25,percent of total billed charges,2.117833998,,,,,,,,,,2.25,percent of total billed charges,999999999,,,,,,,,,,2.25,percent of total billed charges,1.817250708,,,,,,,,,,2.25,percent of total billed charges,2.865929684,,,,,,,,,,2.25,percent of total billed charges,999999999,,,,,,,,,,2.25,percent of total billed charges,1.959440704,,,,,,,,,,8.1,percent of total billed charges,,,,,
**VANCOMYCIN 20 MG DOSE (BSS ADDITION),258,RC,0040-9653-01,NDC,,both,1,EA,17,17,3.619027059,17,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,17,percent of total billed charges,999999999,,,,17,percent of total billed charges,12.9528316,,,,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.002,percent of total billed charges,11.91093756,,,,12.002,percent of total billed charges,8.214879231,,,,,,,,,,12.24,percent of total billed charges,7.955711967,,,,,,,,,,12.24,percent of total billed charges,999999999,,,,,,,,,,13.6,percent of total billed charges,11.39609305,,,,13.43,percent of total billed charges,12.96052796,,,,13.43,percent of total billed charges,11.45105547,,,,13.6,percent of total billed charges,999999999,,,,13.6,percent of total billed charges,999999999,,,,11.9,percent of total billed charges,999999999,,,,11.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.044,percent of total billed charges,999999999,,,,,,,,,,,,,,,,8.585,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4.25,percent of total billed charges,4.036460412,,,,,,,,,,4.25,percent of total billed charges,3.96931664,,,,,,,,,,4.25,percent of total billed charges,3.958286079,,,,,,,,,,4.25,percent of total billed charges,3.900000364,,,,,,,,,,4.25,percent of total billed charges,4.000353107,,,,,,,,,,4.25,percent of total billed charges,999999999,,,,,,,,,,4.25,percent of total billed charges,3.432584671,,,,,,,,,,4.25,percent of total billed charges,5.413422736,,,,,,,,,,4.25,percent of total billed charges,999999999,,,,,,,,,,4.25,percent of total billed charges,3.701165774,,,,,,,,,,15.3,percent of total billed charges,,,,,
**AMIODARONE(CORDARONE) 200 MG: TAB  (SN,259,RC,4988-4045-02,NDC,,both,1,EA,11,11,2.341723391,11,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,11,percent of total billed charges,999999999,,,,11,percent of total billed charges,8.381243975,,,,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.766,percent of total billed charges,7.707077247,,,,7.766,percent of total billed charges,5.31551009,,,,,,,,,,7.92,percent of total billed charges,5.147813626,,,,,,,,,,7.92,percent of total billed charges,999999999,,,,,,,,,,8.8,percent of total billed charges,7.373942561,,,,8.69,percent of total billed charges,8.386223973,,,,8.69,percent of total billed charges,7.409506477,,,,8.8,percent of total billed charges,999999999,,,,8.8,percent of total billed charges,999999999,,,,7.7,percent of total billed charges,999999999,,,,7.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.852,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.555,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.75,percent of total billed charges,2.611827325,,,,,,,,,,2.75,percent of total billed charges,2.568381355,,,,,,,,,,2.75,percent of total billed charges,2.561243933,,,,,,,,,,2.75,percent of total billed charges,2.523529647,,,,,,,,,,2.75,percent of total billed charges,2.588463775,,,,,,,,,,2.75,percent of total billed charges,999999999,,,,,,,,,,2.75,percent of total billed charges,2.221084199,,,,,,,,,,2.75,percent of total billed charges,3.502802947,,,,,,,,,,2.75,percent of total billed charges,999999999,,,,,,,,,,2.75,percent of total billed charges,2.394871971,,,,,,,,,,9.9,percent of total billed charges,,,,,
**ALBUTEROL(VENTOLIN)INH: 17 GM     (SNF,250,RC,5993-0156-01,NDC,,both,1,EA,107,107,22.77858207,107,107,percent of total billed charges,78.72370125,,,,107,percent of total billed charges,83.44556677,,,,107,percent of total billed charges,78.72370125,,,,107,percent of total billed charges,83.44556677,,,,107,percent of total billed charges,999999999,,,,107,percent of total billed charges,81.52664594,,,,107,percent of total billed charges,78.72370125,,,,107,percent of total billed charges,83.44556677,,,,76.291,percent of total billed charges,38.07060513,,,,76.291,percent of total billed charges,22.77858207,,,,76.291,percent of total billed charges,38.07060513,,,,76.291,percent of total billed charges,22.77858207,,,,76.291,percent of total billed charges,38.07060513,,,,76.291,percent of total billed charges,22.77858207,,,,75.542,percent of total billed charges,74.96884231,,,,75.542,percent of total billed charges,51.70541633,,,,,,,,,,77.04,percent of total billed charges,50.07418709,,,,,,,,,,77.04,percent of total billed charges,999999999,,,,,,,,,,85.6,percent of total billed charges,71.72835036,,,,84.53,percent of total billed charges,81.57508774,,,,84.53,percent of total billed charges,72.07429028,,,,85.6,percent of total billed charges,999999999,,,,85.6,percent of total billed charges,999999999,,,,74.9,percent of total billed charges,999999999,,,,74.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,56.924,percent of total billed charges,999999999,,,,,,,,,,,,,,,,54.035,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,26.75,percent of total billed charges,25.40595671,,,,,,,,,,26.75,percent of total billed charges,24.98334591,,,,,,,,,,26.75,percent of total billed charges,24.91391826,,,,,,,,,,26.75,percent of total billed charges,24.54706112,,,,,,,,,,26.75,percent of total billed charges,25.17869309,,,,,,,,,,26.75,percent of total billed charges,999999999,,,,,,,,,,26.75,percent of total billed charges,21.60509175,,,,,,,,,,26.75,percent of total billed charges,34.07271957,,,,,,,,,,26.75,percent of total billed charges,999999999,,,,,,,,,,26.75,percent of total billed charges,23.29557281,,,,,,,,,,96.3,percent of total billed charges,,,,,
**FLUOXETINE (PROZAC) 20MG: CAP (SNF),259,RC,0040-6066-01,NDC,,both,1,EA,10,10,2.128839446,10,10,percent of total billed charges,7.357355257,,,,10,percent of total billed charges,7.7986511,,,,10,percent of total billed charges,7.357355257,,,,10,percent of total billed charges,7.7986511,,,,10,percent of total billed charges,999999999,,,,10,percent of total billed charges,7.619312704,,,,10,percent of total billed charges,7.357355257,,,,10,percent of total billed charges,7.7986511,,,,7.13,percent of total billed charges,3.558000479,,,,7.13,percent of total billed charges,2.128839446,,,,7.13,percent of total billed charges,3.558000479,,,,7.13,percent of total billed charges,2.128839446,,,,7.13,percent of total billed charges,3.558000479,,,,7.13,percent of total billed charges,2.128839446,,,,7.06,percent of total billed charges,7.006433861,,,,7.06,percent of total billed charges,4.8322819,,,,,,,,,,7.2,percent of total billed charges,4.679830569,,,,,,,,,,7.2,percent of total billed charges,999999999,,,,,,,,,,8,percent of total billed charges,6.703584146,,,,7.9,percent of total billed charges,7.623839976,,,,7.9,percent of total billed charges,6.735914979,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,999999999,,,,7,percent of total billed charges,999999999,,,,7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.32,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.05,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.5,percent of total billed charges,2.374388478,,,,,,,,,,2.5,percent of total billed charges,2.334892141,,,,,,,,,,2.5,percent of total billed charges,2.328403576,,,,,,,,,,2.5,percent of total billed charges,2.294117861,,,,,,,,,,2.5,percent of total billed charges,2.353148886,,,,,,,,,,2.5,percent of total billed charges,999999999,,,,,,,,,,2.5,percent of total billed charges,2.019167453,,,,,,,,,,2.5,percent of total billed charges,3.184366315,,,,,,,,,,2.5,percent of total billed charges,999999999,,,,,,,,,,2.5,percent of total billed charges,2.177156338,,,,,,,,,,9,percent of total billed charges,,,,,
**ISOSORBIDE MONONITRATE :30 MG TAB  (SN,250,RC,5817-7022-04,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
**ISOSORBIDE MONONITRATE :60 MG TAB  (SN,250,RC,5817-7023-04,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
**LISINOPRIL(ZESTRIL) 30 MG: TAB    (SNF,250,RC,0017-2376-60,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
**PROTONIX (PANTOPRAZOLE) 40MG: TAB  (SN,259,RC,0000-8084-81,NDC,,both,1,EA,13,13,2.76749128,13,13,percent of total billed charges,9.564561834,,,,13,percent of total billed charges,10.13824643,,,,13,percent of total billed charges,9.564561834,,,,13,percent of total billed charges,10.13824643,,,,13,percent of total billed charges,999999999,,,,13,percent of total billed charges,9.905106516,,,,13,percent of total billed charges,9.564561834,,,,13,percent of total billed charges,10.13824643,,,,9.269,percent of total billed charges,4.625400623,,,,9.269,percent of total billed charges,2.76749128,,,,9.269,percent of total billed charges,4.625400623,,,,9.269,percent of total billed charges,2.76749128,,,,9.269,percent of total billed charges,4.625400623,,,,9.269,percent of total billed charges,2.76749128,,,,9.178,percent of total billed charges,9.108364019,,,,9.178,percent of total billed charges,6.281966471,,,,,,,,,,9.36,percent of total billed charges,6.083779739,,,,,,,,,,9.36,percent of total billed charges,999999999,,,,,,,,,,10.4,percent of total billed charges,8.71465939,,,,10.27,percent of total billed charges,9.910991969,,,,10.27,percent of total billed charges,8.756689473,,,,10.4,percent of total billed charges,999999999,,,,10.4,percent of total billed charges,999999999,,,,9.1,percent of total billed charges,999999999,,,,9.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.916,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.565,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3.25,percent of total billed charges,3.086705021,,,,,,,,,,3.25,percent of total billed charges,3.035359783,,,,,,,,,,3.25,percent of total billed charges,3.026924648,,,,,,,,,,3.25,percent of total billed charges,2.98235322,,,,,,,,,,3.25,percent of total billed charges,3.059093552,,,,,,,,,,3.25,percent of total billed charges,999999999,,,,,,,,,,3.25,percent of total billed charges,2.624917689,,,,,,,,,,3.25,percent of total billed charges,4.13967621,,,,,,,,,,3.25,percent of total billed charges,999999999,,,,,,,,,,3.25,percent of total billed charges,2.830303239,,,,,,,,,,11.7,percent of total billed charges,,,,,
**TERAZOSIN(HYTRIN) CAP: 2MG  (SNF),250,RC,0037-8226-01,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
**ROFECOXIB(VIOXX) TAB: 12.5MG       (SN,250,RC,0000-6007-68,NDC,,both,1,EA,10,10,2.128839446,10,10,percent of total billed charges,7.357355257,,,,10,percent of total billed charges,7.7986511,,,,10,percent of total billed charges,7.357355257,,,,10,percent of total billed charges,7.7986511,,,,10,percent of total billed charges,999999999,,,,10,percent of total billed charges,7.619312704,,,,10,percent of total billed charges,7.357355257,,,,10,percent of total billed charges,7.7986511,,,,7.13,percent of total billed charges,3.558000479,,,,7.13,percent of total billed charges,2.128839446,,,,7.13,percent of total billed charges,3.558000479,,,,7.13,percent of total billed charges,2.128839446,,,,7.13,percent of total billed charges,3.558000479,,,,7.13,percent of total billed charges,2.128839446,,,,7.06,percent of total billed charges,7.006433861,,,,7.06,percent of total billed charges,4.8322819,,,,,,,,,,7.2,percent of total billed charges,4.679830569,,,,,,,,,,7.2,percent of total billed charges,999999999,,,,,,,,,,8,percent of total billed charges,6.703584146,,,,7.9,percent of total billed charges,7.623839976,,,,7.9,percent of total billed charges,6.735914979,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,999999999,,,,7,percent of total billed charges,999999999,,,,7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.32,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.05,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.5,percent of total billed charges,2.374388478,,,,,,,,,,2.5,percent of total billed charges,2.334892141,,,,,,,,,,2.5,percent of total billed charges,2.328403576,,,,,,,,,,2.5,percent of total billed charges,2.294117861,,,,,,,,,,2.5,percent of total billed charges,2.353148886,,,,,,,,,,2.5,percent of total billed charges,999999999,,,,,,,,,,2.5,percent of total billed charges,2.019167453,,,,,,,,,,2.5,percent of total billed charges,3.184366315,,,,,,,,,,2.5,percent of total billed charges,999999999,,,,,,,,,,2.5,percent of total billed charges,2.177156338,,,,,,,,,,9,percent of total billed charges,,,,,
**ROFECOXIB(VIOXX) TAB: 25MG         (SN,250,RC,0000-6011-68,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
**RIFABUTIN (MYCOBUTIN) 150MG CAP,259,RC,0001-3530-17,NDC,,both,1,EA,27,27,5.747866505,27,27,percent of total billed charges,19.86485919,,,,27,percent of total billed charges,21.05635797,,,,27,percent of total billed charges,19.86485919,,,,27,percent of total billed charges,21.05635797,,,,27,percent of total billed charges,999999999,,,,27,percent of total billed charges,20.5721443,,,,27,percent of total billed charges,19.86485919,,,,27,percent of total billed charges,21.05635797,,,,19.251,percent of total billed charges,9.606601294,,,,19.251,percent of total billed charges,5.747866505,,,,19.251,percent of total billed charges,9.606601294,,,,19.251,percent of total billed charges,5.747866505,,,,19.251,percent of total billed charges,9.606601294,,,,19.251,percent of total billed charges,5.747866505,,,,19.062,percent of total billed charges,18.91737142,,,,19.062,percent of total billed charges,13.04716113,,,,,,,,,,19.44,percent of total billed charges,12.63554254,,,,,,,,,,19.44,percent of total billed charges,999999999,,,,,,,,,,21.6,percent of total billed charges,18.09967719,,,,21.33,percent of total billed charges,20.58436793,,,,21.33,percent of total billed charges,18.18697044,,,,21.6,percent of total billed charges,999999999,,,,21.6,percent of total billed charges,999999999,,,,18.9,percent of total billed charges,999999999,,,,18.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,14.364,percent of total billed charges,999999999,,,,,,,,,,,,,,,,13.635,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6.75,percent of total billed charges,6.41084889,,,,,,,,,,6.75,percent of total billed charges,6.30420878,,,,,,,,,,6.75,percent of total billed charges,6.286689654,,,,,,,,,,6.75,percent of total billed charges,6.194118226,,,,,,,,,,6.75,percent of total billed charges,6.353501993,,,,,,,,,,6.75,percent of total billed charges,999999999,,,,,,,,,,6.75,percent of total billed charges,5.451752124,,,,,,,,,,6.75,percent of total billed charges,8.597789051,,,,,,,,,,6.75,percent of total billed charges,999999999,,,,,,,,,,6.75,percent of total billed charges,5.878322112,,,,,,,,,,24.3,percent of total billed charges,,,,,
**KONDREMUL SUSPENSION: 12OZ,259,RC,0637-3601-10,NDC,,both,1,EA,28,28,5.960750449,28,28,percent of total billed charges,20.60059472,,,,28,percent of total billed charges,21.83622308,,,,28,percent of total billed charges,20.60059472,,,,28,percent of total billed charges,21.83622308,,,,28,percent of total billed charges,999999999,,,,28,percent of total billed charges,21.33407557,,,,28,percent of total billed charges,20.60059472,,,,28,percent of total billed charges,21.83622308,,,,19.964,percent of total billed charges,9.962401342,,,,19.964,percent of total billed charges,5.960750449,,,,19.964,percent of total billed charges,9.962401342,,,,19.964,percent of total billed charges,5.960750449,,,,19.964,percent of total billed charges,9.962401342,,,,19.964,percent of total billed charges,5.960750449,,,,19.768,percent of total billed charges,19.61801481,,,,19.768,percent of total billed charges,13.53038932,,,,,,,,,,20.16,percent of total billed charges,13.10352559,,,,,,,,,,20.16,percent of total billed charges,999999999,,,,,,,,,,22.4,percent of total billed charges,18.77003561,,,,22.12,percent of total billed charges,21.34675193,,,,22.12,percent of total billed charges,18.86056194,,,,22.4,percent of total billed charges,999999999,,,,22.4,percent of total billed charges,999999999,,,,19.6,percent of total billed charges,999999999,,,,19.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,14.896,percent of total billed charges,999999999,,,,,,,,,,,,,,,,14.14,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7,percent of total billed charges,6.648287737,,,,,,,,,,7,percent of total billed charges,6.537697995,,,,,,,,,,7,percent of total billed charges,6.519530012,,,,,,,,,,7,percent of total billed charges,6.423530012,,,,,,,,,,7,percent of total billed charges,6.588816882,,,,,,,,,,7,percent of total billed charges,999999999,,,,,,,,,,7,percent of total billed charges,5.65366887,,,,,,,,,,7,percent of total billed charges,8.916225683,,,,,,,,,,7,percent of total billed charges,999999999,,,,,,,,,,7,percent of total billed charges,6.096037745,,,,,,,,,,25.2,percent of total billed charges,,,,,
**TEMPLATE B,250,RC,9999-9999-99,NDC,,both,1,EA,2,2,0.425767889,2,2,percent of total billed charges,1.471471051,,,,2,percent of total billed charges,1.55973022,,,,2,percent of total billed charges,1.471471051,,,,2,percent of total billed charges,1.55973022,,,,2,percent of total billed charges,999999999,,,,2,percent of total billed charges,1.523862541,,,,2,percent of total billed charges,1.471471051,,,,2,percent of total billed charges,1.55973022,,,,1.426,percent of total billed charges,0.711600096,,,,1.426,percent of total billed charges,0.425767889,,,,1.426,percent of total billed charges,0.711600096,,,,1.426,percent of total billed charges,0.425767889,,,,1.426,percent of total billed charges,0.711600096,,,,1.426,percent of total billed charges,0.425767889,,,,1.412,percent of total billed charges,1.401286772,,,,1.412,percent of total billed charges,0.96645638,,,,,,,,,,1.44,percent of total billed charges,0.935966114,,,,,,,,,,1.44,percent of total billed charges,999999999,,,,,,,,,,1.6,percent of total billed charges,1.340716829,,,,1.58,percent of total billed charges,1.524767995,,,,1.58,percent of total billed charges,1.347182996,,,,1.6,percent of total billed charges,999999999,,,,1.6,percent of total billed charges,999999999,,,,1.4,percent of total billed charges,999999999,,,,1.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.064,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.01,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.5,percent of total billed charges,0.474877696,,,,,,,,,,0.5,percent of total billed charges,0.466978428,,,,,,,,,,0.5,percent of total billed charges,0.465680715,,,,,,,,,,0.5,percent of total billed charges,0.458823572,,,,,,,,,,0.5,percent of total billed charges,0.470629777,,,,,,,,,,0.5,percent of total billed charges,999999999,,,,,,,,,,0.5,percent of total billed charges,0.403833491,,,,,,,,,,0.5,percent of total billed charges,0.636873263,,,,,,,,,,0.5,percent of total billed charges,999999999,,,,,,,,,,0.5,percent of total billed charges,0.435431268,,,,,,,,,,1.8,percent of total billed charges,,,,,
**TEMPLATE C,250,RC,9999-9999-99,NDC,,both,1,EA,2,2,0.425767889,2,2,percent of total billed charges,1.471471051,,,,2,percent of total billed charges,1.55973022,,,,2,percent of total billed charges,1.471471051,,,,2,percent of total billed charges,1.55973022,,,,2,percent of total billed charges,999999999,,,,2,percent of total billed charges,1.523862541,,,,2,percent of total billed charges,1.471471051,,,,2,percent of total billed charges,1.55973022,,,,1.426,percent of total billed charges,0.711600096,,,,1.426,percent of total billed charges,0.425767889,,,,1.426,percent of total billed charges,0.711600096,,,,1.426,percent of total billed charges,0.425767889,,,,1.426,percent of total billed charges,0.711600096,,,,1.426,percent of total billed charges,0.425767889,,,,1.412,percent of total billed charges,1.401286772,,,,1.412,percent of total billed charges,0.96645638,,,,,,,,,,1.44,percent of total billed charges,0.935966114,,,,,,,,,,1.44,percent of total billed charges,999999999,,,,,,,,,,1.6,percent of total billed charges,1.340716829,,,,1.58,percent of total billed charges,1.524767995,,,,1.58,percent of total billed charges,1.347182996,,,,1.6,percent of total billed charges,999999999,,,,1.6,percent of total billed charges,999999999,,,,1.4,percent of total billed charges,999999999,,,,1.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.064,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.01,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.5,percent of total billed charges,0.474877696,,,,,,,,,,0.5,percent of total billed charges,0.466978428,,,,,,,,,,0.5,percent of total billed charges,0.465680715,,,,,,,,,,0.5,percent of total billed charges,0.458823572,,,,,,,,,,0.5,percent of total billed charges,0.470629777,,,,,,,,,,0.5,percent of total billed charges,999999999,,,,,,,,,,0.5,percent of total billed charges,0.403833491,,,,,,,,,,0.5,percent of total billed charges,0.636873263,,,,,,,,,,0.5,percent of total billed charges,999999999,,,,,,,,,,0.5,percent of total billed charges,0.435431268,,,,,,,,,,1.8,percent of total billed charges,,,,,
**PERMAX (PERGOLIDE) 0.25MG: TAB,259,RC,0018-7084-02,NDC,,both,1,EA,568,568,120.9180805,568,568,percent of total billed charges,417.8977786,,,,568,percent of total billed charges,442.9633825,,,,568,percent of total billed charges,417.8977786,,,,568,percent of total billed charges,442.9633825,,,,568,percent of total billed charges,999999999,,,,568,percent of total billed charges,432.7769616,,,,568,percent of total billed charges,417.8977786,,,,568,percent of total billed charges,442.9633825,,,,404.984,percent of total billed charges,202.0944272,,,,404.984,percent of total billed charges,120.9180805,,,,404.984,percent of total billed charges,202.0944272,,,,404.984,percent of total billed charges,120.9180805,,,,404.984,percent of total billed charges,202.0944272,,,,404.984,percent of total billed charges,120.9180805,,,,401.008,percent of total billed charges,397.9654433,,,,401.008,percent of total billed charges,274.4736119,,,,,,,,,,408.96,percent of total billed charges,265.8143763,,,,,,,,,,408.96,percent of total billed charges,999999999,,,,,,,,,,454.4,percent of total billed charges,380.7635795,,,,448.72,percent of total billed charges,433.0341106,,,,448.72,percent of total billed charges,382.5999708,,,,454.4,percent of total billed charges,999999999,,,,454.4,percent of total billed charges,999999999,,,,397.6,percent of total billed charges,999999999,,,,397.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,302.176,percent of total billed charges,999999999,,,,,,,,,,,,,,,,286.84,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,142,percent of total billed charges,134.8652655,,,,,,,,,,142,percent of total billed charges,132.6218736,,,,,,,,,,142,percent of total billed charges,132.2533231,,,,,,,,,,142,percent of total billed charges,130.3058945,,,,,,,,,,142,percent of total billed charges,133.6588568,,,,,,,,,,142,percent of total billed charges,999999999,,,,,,,,,,142,percent of total billed charges,114.6887114,,,,,,,,,,142,percent of total billed charges,180.8720067,,,,,,,,,,142,percent of total billed charges,999999999,,,,,,,,,,142,percent of total billed charges,123.66248,,,,,,,,,,511.2,percent of total billed charges,,,,,
**TEMPLATE D,Local,Local,,,,both,,,2,2,0.425767889,2,2,percent of total billed charges,1.471471051,,,,2,percent of total billed charges,1.55973022,,,,2,percent of total billed charges,1.471471051,,,,2,percent of total billed charges,1.55973022,,,,2,percent of total billed charges,999999999,,,,2,percent of total billed charges,1.523862541,,,,2,percent of total billed charges,1.471471051,,,,2,percent of total billed charges,1.55973022,,,,1.426,percent of total billed charges,0.711600096,,,,1.426,percent of total billed charges,0.425767889,,,,1.426,percent of total billed charges,0.711600096,,,,1.426,percent of total billed charges,0.425767889,,,,1.426,percent of total billed charges,0.711600096,,,,1.426,percent of total billed charges,0.425767889,,,,1.412,percent of total billed charges,1.401286772,,,,1.412,percent of total billed charges,0.96645638,,,,,,,,,,1.44,percent of total billed charges,0.935966114,,,,,,,,,,1.44,percent of total billed charges,999999999,,,,,,,,,,1.6,percent of total billed charges,1.340716829,,,,1.58,percent of total billed charges,1.524767995,,,,1.58,percent of total billed charges,1.347182996,,,,1.6,percent of total billed charges,999999999,,,,1.6,percent of total billed charges,999999999,,,,1.4,percent of total billed charges,999999999,,,,1.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.064,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.01,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.5,percent of total billed charges,0.474877696,,,,,,,,,,0.5,percent of total billed charges,0.466978428,,,,,,,,,,0.5,percent of total billed charges,0.465680715,,,,,,,,,,0.5,percent of total billed charges,0.458823572,,,,,,,,,,0.5,percent of total billed charges,0.470629777,,,,,,,,,,0.5,percent of total billed charges,999999999,,,,,,,,,,0.5,percent of total billed charges,0.403833491,,,,,,,,,,0.5,percent of total billed charges,0.636873263,,,,,,,,,,0.5,percent of total billed charges,999999999,,,,,,,,,,0.5,percent of total billed charges,0.435431268,,,,,,,,,,1.8,percent of total billed charges,,,,,
**TEMPLATE E,250,RC,9999-9999-99,NDC,,both,1,EA,2,2,0.425767889,2,2,percent of total billed charges,1.471471051,,,,2,percent of total billed charges,1.55973022,,,,2,percent of total billed charges,1.471471051,,,,2,percent of total billed charges,1.55973022,,,,2,percent of total billed charges,999999999,,,,2,percent of total billed charges,1.523862541,,,,2,percent of total billed charges,1.471471051,,,,2,percent of total billed charges,1.55973022,,,,1.426,percent of total billed charges,0.711600096,,,,1.426,percent of total billed charges,0.425767889,,,,1.426,percent of total billed charges,0.711600096,,,,1.426,percent of total billed charges,0.425767889,,,,1.426,percent of total billed charges,0.711600096,,,,1.426,percent of total billed charges,0.425767889,,,,1.412,percent of total billed charges,1.401286772,,,,1.412,percent of total billed charges,0.96645638,,,,,,,,,,1.44,percent of total billed charges,0.935966114,,,,,,,,,,1.44,percent of total billed charges,999999999,,,,,,,,,,1.6,percent of total billed charges,1.340716829,,,,1.58,percent of total billed charges,1.524767995,,,,1.58,percent of total billed charges,1.347182996,,,,1.6,percent of total billed charges,999999999,,,,1.6,percent of total billed charges,999999999,,,,1.4,percent of total billed charges,999999999,,,,1.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.064,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.01,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.5,percent of total billed charges,0.474877696,,,,,,,,,,0.5,percent of total billed charges,0.466978428,,,,,,,,,,0.5,percent of total billed charges,0.465680715,,,,,,,,,,0.5,percent of total billed charges,0.458823572,,,,,,,,,,0.5,percent of total billed charges,0.470629777,,,,,,,,,,0.5,percent of total billed charges,999999999,,,,,,,,,,0.5,percent of total billed charges,0.403833491,,,,,,,,,,0.5,percent of total billed charges,0.636873263,,,,,,,,,,0.5,percent of total billed charges,999999999,,,,,,,,,,0.5,percent of total billed charges,0.435431268,,,,,,,,,,1.8,percent of total billed charges,,,,,
**HYDROCORTISONE CREAM 1%: 454 GM,259,RC,4628-7000-16,NDC,,both,1,EA,79,79,16.81783163,79,79,percent of total billed charges,58.12310653,,,,79,percent of total billed charges,61.60934369,,,,79,percent of total billed charges,58.12310653,,,,79,percent of total billed charges,61.60934369,,,,79,percent of total billed charges,999999999,,,,79,percent of total billed charges,60.19257036,,,,79,percent of total billed charges,58.12310653,,,,79,percent of total billed charges,61.60934369,,,,56.327,percent of total billed charges,28.10820379,,,,56.327,percent of total billed charges,16.81783163,,,,56.327,percent of total billed charges,28.10820379,,,,56.327,percent of total billed charges,16.81783163,,,,56.327,percent of total billed charges,28.10820379,,,,56.327,percent of total billed charges,16.81783163,,,,55.774,percent of total billed charges,55.3508275,,,,55.774,percent of total billed charges,38.17502701,,,,,,,,,,56.88,percent of total billed charges,36.97066149,,,,,,,,,,56.88,percent of total billed charges,999999999,,,,,,,,,,63.2,percent of total billed charges,52.95831475,,,,62.41,percent of total billed charges,60.22833581,,,,62.41,percent of total billed charges,53.21372834,,,,63.2,percent of total billed charges,999999999,,,,63.2,percent of total billed charges,999999999,,,,55.3,percent of total billed charges,999999999,,,,55.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,42.028,percent of total billed charges,999999999,,,,,,,,,,,,,,,,39.895,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19.75,percent of total billed charges,18.75766897,,,,,,,,,,19.75,percent of total billed charges,18.44564791,,,,,,,,,,19.75,percent of total billed charges,18.39438825,,,,,,,,,,19.75,percent of total billed charges,18.1235311,,,,,,,,,,19.75,percent of total billed charges,18.5898762,,,,,,,,,,19.75,percent of total billed charges,999999999,,,,,,,,,,19.75,percent of total billed charges,15.95142288,,,,,,,,,,19.75,percent of total billed charges,25.15649389,,,,,,,,,,19.75,percent of total billed charges,999999999,,,,,,,,,,19.75,percent of total billed charges,17.19953507,,,,,,,,,,71.1,percent of total billed charges,,,,,
**NYSTATIN/TRIAMCINOLONE(MYCOLOG)CR: 60,259,RC,0016-8008-60,NDC,,both,1,EA,32,32,6.812286228,32,32,percent of total billed charges,23.54353682,,,,32,percent of total billed charges,24.95568352,,,,32,percent of total billed charges,23.54353682,,,,32,percent of total billed charges,24.95568352,,,,32,percent of total billed charges,999999999,,,,32,percent of total billed charges,24.38180065,,,,32,percent of total billed charges,23.54353682,,,,32,percent of total billed charges,24.95568352,,,,22.816,percent of total billed charges,11.38560153,,,,22.816,percent of total billed charges,6.812286228,,,,22.816,percent of total billed charges,11.38560153,,,,22.816,percent of total billed charges,6.812286228,,,,22.816,percent of total billed charges,11.38560153,,,,22.816,percent of total billed charges,6.812286228,,,,22.592,percent of total billed charges,22.42058835,,,,22.592,percent of total billed charges,15.46330208,,,,,,,,,,23.04,percent of total billed charges,14.97545782,,,,,,,,,,23.04,percent of total billed charges,999999999,,,,,,,,,,25.6,percent of total billed charges,21.45146927,,,,25.28,percent of total billed charges,24.39628792,,,,25.28,percent of total billed charges,21.55492793,,,,25.6,percent of total billed charges,999999999,,,,25.6,percent of total billed charges,999999999,,,,22.4,percent of total billed charges,999999999,,,,22.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,17.024,percent of total billed charges,999999999,,,,,,,,,,,,,,,,16.16,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8,percent of total billed charges,7.598043128,,,,,,,,,,8,percent of total billed charges,7.471654851,,,,,,,,,,8,percent of total billed charges,7.450891442,,,,,,,,,,8,percent of total billed charges,7.341177156,,,,,,,,,,8,percent of total billed charges,7.530076437,,,,,,,,,,8,percent of total billed charges,999999999,,,,,,,,,,8,percent of total billed charges,6.461335851,,,,,,,,,,8,percent of total billed charges,10.18997221,,,,,,,,,,8,percent of total billed charges,999999999,,,,,,,,,,8,percent of total billed charges,6.966900281,,,,,,,,,,28.8,percent of total billed charges,,,,,
**LOSARTAN (COZAAR) 100MG,259,RC,0000-6096-31,NDC,,both,1,EA,11,11,2.341723391,11,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,11,percent of total billed charges,999999999,,,,11,percent of total billed charges,8.381243975,,,,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.766,percent of total billed charges,7.707077247,,,,7.766,percent of total billed charges,5.31551009,,,,,,,,,,7.92,percent of total billed charges,5.147813626,,,,,,,,,,7.92,percent of total billed charges,999999999,,,,,,,,,,8.8,percent of total billed charges,7.373942561,,,,8.69,percent of total billed charges,8.386223973,,,,8.69,percent of total billed charges,7.409506477,,,,8.8,percent of total billed charges,999999999,,,,8.8,percent of total billed charges,999999999,,,,7.7,percent of total billed charges,999999999,,,,7.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.852,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.555,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.75,percent of total billed charges,2.611827325,,,,,,,,,,2.75,percent of total billed charges,2.568381355,,,,,,,,,,2.75,percent of total billed charges,2.561243933,,,,,,,,,,2.75,percent of total billed charges,2.523529647,,,,,,,,,,2.75,percent of total billed charges,2.588463775,,,,,,,,,,2.75,percent of total billed charges,999999999,,,,,,,,,,2.75,percent of total billed charges,2.221084199,,,,,,,,,,2.75,percent of total billed charges,3.502802947,,,,,,,,,,2.75,percent of total billed charges,999999999,,,,,,,,,,2.75,percent of total billed charges,2.394871971,,,,,,,,,,9.9,percent of total billed charges,,,,,
**E-TRIAMINIC COLD&COUGH   SOFTCHEWS:,250,RC,9999-9999-99,NDC,,both,1,EA,17,17,3.619027059,17,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,17,percent of total billed charges,999999999,,,,17,percent of total billed charges,12.9528316,,,,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.002,percent of total billed charges,11.91093756,,,,12.002,percent of total billed charges,8.214879231,,,,,,,,,,12.24,percent of total billed charges,7.955711967,,,,,,,,,,12.24,percent of total billed charges,999999999,,,,,,,,,,13.6,percent of total billed charges,11.39609305,,,,13.43,percent of total billed charges,12.96052796,,,,13.43,percent of total billed charges,11.45105547,,,,13.6,percent of total billed charges,999999999,,,,13.6,percent of total billed charges,999999999,,,,11.9,percent of total billed charges,999999999,,,,11.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.044,percent of total billed charges,999999999,,,,,,,,,,,,,,,,8.585,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4.25,percent of total billed charges,4.036460412,,,,,,,,,,4.25,percent of total billed charges,3.96931664,,,,,,,,,,4.25,percent of total billed charges,3.958286079,,,,,,,,,,4.25,percent of total billed charges,3.900000364,,,,,,,,,,4.25,percent of total billed charges,4.000353107,,,,,,,,,,4.25,percent of total billed charges,999999999,,,,,,,,,,4.25,percent of total billed charges,3.432584671,,,,,,,,,,4.25,percent of total billed charges,5.413422736,,,,,,,,,,4.25,percent of total billed charges,999999999,,,,,,,,,,4.25,percent of total billed charges,3.701165774,,,,,,,,,,15.3,percent of total billed charges,,,,,
**MINERAL OIL: 16 OZ BOTTLE,259,RC,0057-4061-16,NDC,,both,1,EA,18,18,3.831911003,18,18,percent of total billed charges,13.24323946,,,,18,percent of total billed charges,14.03757198,,,,18,percent of total billed charges,13.24323946,,,,18,percent of total billed charges,14.03757198,,,,18,percent of total billed charges,999999999,,,,18,percent of total billed charges,13.71476287,,,,18,percent of total billed charges,13.24323946,,,,18,percent of total billed charges,14.03757198,,,,12.834,percent of total billed charges,6.404400863,,,,12.834,percent of total billed charges,3.831911003,,,,12.834,percent of total billed charges,6.404400863,,,,12.834,percent of total billed charges,3.831911003,,,,12.834,percent of total billed charges,6.404400863,,,,12.834,percent of total billed charges,3.831911003,,,,12.708,percent of total billed charges,12.61158095,,,,12.708,percent of total billed charges,8.698107421,,,,,,,,,,12.96,percent of total billed charges,8.423695024,,,,,,,,,,12.96,percent of total billed charges,999999999,,,,,,,,,,14.4,percent of total billed charges,12.06645146,,,,14.22,percent of total billed charges,13.72291196,,,,14.22,percent of total billed charges,12.12464696,,,,14.4,percent of total billed charges,999999999,,,,14.4,percent of total billed charges,999999999,,,,12.6,percent of total billed charges,999999999,,,,12.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.576,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.09,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4.5,percent of total billed charges,4.27389926,,,,,,,,,,4.5,percent of total billed charges,4.202805854,,,,,,,,,,4.5,percent of total billed charges,4.191126436,,,,,,,,,,4.5,percent of total billed charges,4.12941215,,,,,,,,,,4.5,percent of total billed charges,4.235667996,,,,,,,,,,4.5,percent of total billed charges,999999999,,,,,,,,,,4.5,percent of total billed charges,3.634501416,,,,,,,,,,4.5,percent of total billed charges,5.731859367,,,,,,,,,,4.5,percent of total billed charges,999999999,,,,,,,,,,4.5,percent of total billed charges,3.918881408,,,,,,,,,,16.2,percent of total billed charges,,,,,
**DIAPER RASH OINT (DESITIN) TUBE,259,RC,0071-3025-04,NDC,,both,1,EA,12,12,2.554607335,12,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,12,percent of total billed charges,999999999,,,,12,percent of total billed charges,9.143175245,,,,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.472,percent of total billed charges,8.407720633,,,,8.472,percent of total billed charges,5.79873828,,,,,,,,,,8.64,percent of total billed charges,5.615796683,,,,,,,,,,8.64,percent of total billed charges,999999999,,,,,,,,,,9.6,percent of total billed charges,8.044300975,,,,9.48,percent of total billed charges,9.148607971,,,,9.48,percent of total billed charges,8.083097975,,,,9.6,percent of total billed charges,999999999,,,,9.6,percent of total billed charges,999999999,,,,8.4,percent of total billed charges,999999999,,,,8.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.384,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.06,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3,percent of total billed charges,2.849266173,,,,,,,,,,3,percent of total billed charges,2.801870569,,,,,,,,,,3,percent of total billed charges,2.794084291,,,,,,,,,,3,percent of total billed charges,2.752941434,,,,,,,,,,3,percent of total billed charges,2.823778664,,,,,,,,,,3,percent of total billed charges,999999999,,,,,,,,,,3,percent of total billed charges,2.423000944,,,,,,,,,,3,percent of total billed charges,3.821239578,,,,,,,,,,3,percent of total billed charges,999999999,,,,,,,,,,3,percent of total billed charges,2.612587605,,,,,,,,,,10.8,percent of total billed charges,,,,,
**PSYLLIUM POWDER 48 DOSE: 19 OZ,259,RC,3700-0001-08,NDC,,both,1,EA,28,28,5.960750449,28,28,percent of total billed charges,20.60059472,,,,28,percent of total billed charges,21.83622308,,,,28,percent of total billed charges,20.60059472,,,,28,percent of total billed charges,21.83622308,,,,28,percent of total billed charges,999999999,,,,28,percent of total billed charges,21.33407557,,,,28,percent of total billed charges,20.60059472,,,,28,percent of total billed charges,21.83622308,,,,19.964,percent of total billed charges,9.962401342,,,,19.964,percent of total billed charges,5.960750449,,,,19.964,percent of total billed charges,9.962401342,,,,19.964,percent of total billed charges,5.960750449,,,,19.964,percent of total billed charges,9.962401342,,,,19.964,percent of total billed charges,5.960750449,,,,19.768,percent of total billed charges,19.61801481,,,,19.768,percent of total billed charges,13.53038932,,,,,,,,,,20.16,percent of total billed charges,13.10352559,,,,,,,,,,20.16,percent of total billed charges,999999999,,,,,,,,,,22.4,percent of total billed charges,18.77003561,,,,22.12,percent of total billed charges,21.34675193,,,,22.12,percent of total billed charges,18.86056194,,,,22.4,percent of total billed charges,999999999,,,,22.4,percent of total billed charges,999999999,,,,19.6,percent of total billed charges,999999999,,,,19.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,14.896,percent of total billed charges,999999999,,,,,,,,,,,,,,,,14.14,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7,percent of total billed charges,6.648287737,,,,,,,,,,7,percent of total billed charges,6.537697995,,,,,,,,,,7,percent of total billed charges,6.519530012,,,,,,,,,,7,percent of total billed charges,6.423530012,,,,,,,,,,7,percent of total billed charges,6.588816882,,,,,,,,,,7,percent of total billed charges,999999999,,,,,,,,,,7,percent of total billed charges,5.65366887,,,,,,,,,,7,percent of total billed charges,8.916225683,,,,,,,,,,7,percent of total billed charges,999999999,,,,,,,,,,7,percent of total billed charges,6.096037745,,,,,,,,,,25.2,percent of total billed charges,,,,,
**PREDNISOLONE (ORAPRED) SYRUP 15MG/5ML:,259,RC,0012-1075-08,NDC,,both,1,EA,80,80,17.03071557,80,80,percent of total billed charges,58.85884206,,,,80,percent of total billed charges,62.3892088,,,,80,percent of total billed charges,58.85884206,,,,80,percent of total billed charges,62.3892088,,,,80,percent of total billed charges,999999999,,,,80,percent of total billed charges,60.95450163,,,,80,percent of total billed charges,58.85884206,,,,80,percent of total billed charges,62.3892088,,,,57.04,percent of total billed charges,28.46400383,,,,57.04,percent of total billed charges,17.03071557,,,,57.04,percent of total billed charges,28.46400383,,,,57.04,percent of total billed charges,17.03071557,,,,57.04,percent of total billed charges,28.46400383,,,,57.04,percent of total billed charges,17.03071557,,,,56.48,percent of total billed charges,56.05147089,,,,56.48,percent of total billed charges,38.6582552,,,,,,,,,,57.6,percent of total billed charges,37.43864455,,,,,,,,,,57.6,percent of total billed charges,999999999,,,,,,,,,,64,percent of total billed charges,53.62867317,,,,63.2,percent of total billed charges,60.99071981,,,,63.2,percent of total billed charges,53.88731984,,,,64,percent of total billed charges,999999999,,,,64,percent of total billed charges,999999999,,,,56,percent of total billed charges,999999999,,,,56,percent of total billed charges,999999999,,,,,,,,,,,,,,,,42.56,percent of total billed charges,999999999,,,,,,,,,,,,,,,,40.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20,percent of total billed charges,18.99510782,,,,,,,,,,20,percent of total billed charges,18.67913713,,,,,,,,,,20,percent of total billed charges,18.62722861,,,,,,,,,,20,percent of total billed charges,18.35294289,,,,,,,,,,20,percent of total billed charges,18.82519109,,,,,,,,,,20,percent of total billed charges,999999999,,,,,,,,,,20,percent of total billed charges,16.15333963,,,,,,,,,,20,percent of total billed charges,25.47493052,,,,,,,,,,20,percent of total billed charges,999999999,,,,,,,,,,20,percent of total billed charges,17.4172507,,,,,,,,,,72,percent of total billed charges,,,,,
**ZYRETEC (CETIRIZINE) 5MG/5ML: 60 ML,259,RC,0006-9553-47,NDC,,both,1,EA,55,55,11.70861695,55,55,percent of total billed charges,40.46545391,,,,55,percent of total billed charges,42.89258105,,,,55,percent of total billed charges,40.46545391,,,,55,percent of total billed charges,42.89258105,,,,55,percent of total billed charges,999999999,,,,55,percent of total billed charges,41.90621987,,,,55,percent of total billed charges,40.46545391,,,,55,percent of total billed charges,42.89258105,,,,39.215,percent of total billed charges,19.56900264,,,,39.215,percent of total billed charges,11.70861695,,,,39.215,percent of total billed charges,19.56900264,,,,39.215,percent of total billed charges,11.70861695,,,,39.215,percent of total billed charges,19.56900264,,,,39.215,percent of total billed charges,11.70861695,,,,38.83,percent of total billed charges,38.53538623,,,,38.83,percent of total billed charges,26.57755045,,,,,,,,,,39.6,percent of total billed charges,25.73906813,,,,,,,,,,39.6,percent of total billed charges,999999999,,,,,,,,,,44,percent of total billed charges,36.8697128,,,,43.45,percent of total billed charges,41.93111987,,,,43.45,percent of total billed charges,37.04753239,,,,44,percent of total billed charges,999999999,,,,44,percent of total billed charges,999999999,,,,38.5,percent of total billed charges,999999999,,,,38.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,29.26,percent of total billed charges,999999999,,,,,,,,,,,,,,,,27.775,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13.75,percent of total billed charges,13.05913663,,,,,,,,,,13.75,percent of total billed charges,12.84190678,,,,,,,,,,13.75,percent of total billed charges,12.80621967,,,,,,,,,,13.75,percent of total billed charges,12.61764824,,,,,,,,,,13.75,percent of total billed charges,12.94231888,,,,,,,,,,13.75,percent of total billed charges,999999999,,,,,,,,,,13.75,percent of total billed charges,11.10542099,,,,,,,,,,13.75,percent of total billed charges,17.51401473,,,,,,,,,,13.75,percent of total billed charges,999999999,,,,,,,,,,13.75,percent of total billed charges,11.97435986,,,,,,,,,,49.5,percent of total billed charges,,,,,
**DR JACKSONS DECUB COMPOUND: 30GM,259,RC,9999-9999-99,NDC,,both,1,EA,70,70,14.90187612,70,70,percent of total billed charges,51.5014868,,,,70,percent of total billed charges,54.5905577,,,,70,percent of total billed charges,51.5014868,,,,70,percent of total billed charges,54.5905577,,,,70,percent of total billed charges,999999999,,,,70,percent of total billed charges,53.33518893,,,,70,percent of total billed charges,51.5014868,,,,70,percent of total billed charges,54.5905577,,,,49.91,percent of total billed charges,24.90600335,,,,49.91,percent of total billed charges,14.90187612,,,,49.91,percent of total billed charges,24.90600335,,,,49.91,percent of total billed charges,14.90187612,,,,49.91,percent of total billed charges,24.90600335,,,,49.91,percent of total billed charges,14.90187612,,,,49.42,percent of total billed charges,49.04503703,,,,49.42,percent of total billed charges,33.8259733,,,,,,,,,,50.4,percent of total billed charges,32.75881398,,,,,,,,,,50.4,percent of total billed charges,999999999,,,,,,,,,,56,percent of total billed charges,46.92508902,,,,55.3,percent of total billed charges,53.36687983,,,,55.3,percent of total billed charges,47.15140486,,,,56,percent of total billed charges,999999999,,,,56,percent of total billed charges,999999999,,,,49,percent of total billed charges,999999999,,,,49,percent of total billed charges,999999999,,,,,,,,,,,,,,,,37.24,percent of total billed charges,999999999,,,,,,,,,,,,,,,,35.35,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17.5,percent of total billed charges,16.62071934,,,,,,,,,,17.5,percent of total billed charges,16.34424499,,,,,,,,,,17.5,percent of total billed charges,16.29882503,,,,,,,,,,17.5,percent of total billed charges,16.05882503,,,,,,,,,,17.5,percent of total billed charges,16.47204221,,,,,,,,,,17.5,percent of total billed charges,999999999,,,,,,,,,,17.5,percent of total billed charges,14.13417217,,,,,,,,,,17.5,percent of total billed charges,22.29056421,,,,,,,,,,17.5,percent of total billed charges,999999999,,,,,,,,,,17.5,percent of total billed charges,15.24009436,,,,,,,,,,63,percent of total billed charges,,,,,
**INSULIN NEEDLES: NOVOFINE-30: CTN OF 1,250,RC,9999-9999-99,NDC,,both,1,EA,76,76,16.17917979,76,76,percent of total billed charges,55.91589995,,,,76,percent of total billed charges,59.26974836,,,,76,percent of total billed charges,55.91589995,,,,76,percent of total billed charges,59.26974836,,,,76,percent of total billed charges,999999999,,,,76,percent of total billed charges,57.90677655,,,,76,percent of total billed charges,55.91589995,,,,76,percent of total billed charges,59.26974836,,,,54.188,percent of total billed charges,27.04080364,,,,54.188,percent of total billed charges,16.17917979,,,,54.188,percent of total billed charges,27.04080364,,,,54.188,percent of total billed charges,16.17917979,,,,54.188,percent of total billed charges,27.04080364,,,,54.188,percent of total billed charges,16.17917979,,,,53.656,percent of total billed charges,53.24889734,,,,53.656,percent of total billed charges,36.72534244,,,,,,,,,,54.72,percent of total billed charges,35.56671232,,,,,,,,,,54.72,percent of total billed charges,999999999,,,,,,,,,,60.8,percent of total billed charges,50.94723951,,,,60.04,percent of total billed charges,57.94118382,,,,60.04,percent of total billed charges,51.19295384,,,,60.8,percent of total billed charges,999999999,,,,60.8,percent of total billed charges,999999999,,,,53.2,percent of total billed charges,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,40.432,percent of total billed charges,999999999,,,,,,,,,,,,,,,,38.38,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19,percent of total billed charges,18.04535243,,,,,,,,,,19,percent of total billed charges,17.74518027,,,,,,,,,,19,percent of total billed charges,17.69586717,,,,,,,,,,19,percent of total billed charges,17.43529575,,,,,,,,,,19,percent of total billed charges,17.88393154,,,,,,,,,,19,percent of total billed charges,999999999,,,,,,,,,,19,percent of total billed charges,15.34567265,,,,,,,,,,19,percent of total billed charges,24.201184,,,,,,,,,,19,percent of total billed charges,999999999,,,,,,,,,,19,percent of total billed charges,16.54638817,,,,,,,,,,68.4,percent of total billed charges,,,,,
**HID**(SALMETEROL) INHALER:120 DOSE,250,RC,0017-3046-00,NDC,,both,1,EA,209,209,44.49274443,209,209,percent of total billed charges,153.7687249,,,,209,percent of total billed charges,162.991808,,,,209,percent of total billed charges,153.7687249,,,,209,percent of total billed charges,162.991808,,,,209,percent of total billed charges,999999999,,,,209,percent of total billed charges,159.2436355,,,,209,percent of total billed charges,153.7687249,,,,209,percent of total billed charges,162.991808,,,,149.017,percent of total billed charges,74.36221002,,,,149.017,percent of total billed charges,44.49274443,,,,149.017,percent of total billed charges,74.36221002,,,,149.017,percent of total billed charges,44.49274443,,,,149.017,percent of total billed charges,74.36221002,,,,149.017,percent of total billed charges,44.49274443,,,,147.554,percent of total billed charges,146.4344677,,,,147.554,percent of total billed charges,100.9946917,,,,,,,,,,150.48,percent of total billed charges,97.80845889,,,,,,,,,,150.48,percent of total billed charges,999999999,,,,,,,,,,167.2,percent of total billed charges,140.1049087,,,,165.11,percent of total billed charges,159.3382555,,,,165.11,percent of total billed charges,140.7806231,,,,167.2,percent of total billed charges,999999999,,,,167.2,percent of total billed charges,999999999,,,,146.3,percent of total billed charges,999999999,,,,146.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,111.188,percent of total billed charges,999999999,,,,,,,,,,,,,,,,105.545,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,52.25,percent of total billed charges,49.62471918,,,,,,,,,,52.25,percent of total billed charges,48.79924575,,,,,,,,,,52.25,percent of total billed charges,48.66363473,,,,,,,,,,52.25,percent of total billed charges,47.9470633,,,,,,,,,,52.25,percent of total billed charges,49.18081173,,,,,,,,,,52.25,percent of total billed charges,999999999,,,,,,,,,,52.25,percent of total billed charges,42.20059978,,,,,,,,,,52.25,percent of total billed charges,66.55325599,,,,,,,,,,52.25,percent of total billed charges,999999999,,,,,,,,,,52.25,percent of total billed charges,45.50256746,,,,,,,,,,188.1,percent of total billed charges,,,,,
**NIMOTOP (NIMOPIDINE) CAPS: 30 MG,259,RC,0002-6285-70,NDC,,both,1,EA,26,26,5.53498256,26,26,percent of total billed charges,19.12912367,,,,26,percent of total billed charges,20.27649286,,,,26,percent of total billed charges,19.12912367,,,,26,percent of total billed charges,20.27649286,,,,26,percent of total billed charges,999999999,,,,26,percent of total billed charges,19.81021303,,,,26,percent of total billed charges,19.12912367,,,,26,percent of total billed charges,20.27649286,,,,18.538,percent of total billed charges,9.250801246,,,,18.538,percent of total billed charges,5.53498256,,,,18.538,percent of total billed charges,9.250801246,,,,18.538,percent of total billed charges,5.53498256,,,,18.538,percent of total billed charges,9.250801246,,,,18.538,percent of total billed charges,5.53498256,,,,18.356,percent of total billed charges,18.21672804,,,,18.356,percent of total billed charges,12.56393294,,,,,,,,,,18.72,percent of total billed charges,12.16755948,,,,,,,,,,18.72,percent of total billed charges,999999999,,,,,,,,,,20.8,percent of total billed charges,17.42931878,,,,20.54,percent of total billed charges,19.82198394,,,,20.54,percent of total billed charges,17.51337895,,,,20.8,percent of total billed charges,999999999,,,,20.8,percent of total billed charges,999999999,,,,18.2,percent of total billed charges,999999999,,,,18.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,13.832,percent of total billed charges,999999999,,,,,,,,,,,,,,,,13.13,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6.5,percent of total billed charges,6.173410042,,,,,,,,,,6.5,percent of total billed charges,6.070719566,,,,,,,,,,6.5,percent of total billed charges,6.053849297,,,,,,,,,,6.5,percent of total billed charges,5.964706439,,,,,,,,,,6.5,percent of total billed charges,6.118187105,,,,,,,,,,6.5,percent of total billed charges,999999999,,,,,,,,,,6.5,percent of total billed charges,5.249835379,,,,,,,,,,6.5,percent of total billed charges,8.279352419,,,,,,,,,,6.5,percent of total billed charges,999999999,,,,,,,,,,6.5,percent of total billed charges,5.660606478,,,,,,,,,,23.4,percent of total billed charges,,,,,
**THEOPHYLLINE 125 MG EXTEND RELEASE: C,259,RC,0025-8363-01,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
**FERROUS SULFATE 300 MG TABS: CARD OF,Local,Local,,,,both,,,7,7,1.490187612,7,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,7,percent of total billed charges,999999999,,,,7,percent of total billed charges,5.333518893,,,,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.942,percent of total billed charges,4.904503703,,,,4.942,percent of total billed charges,3.38259733,,,,,,,,,,5.04,percent of total billed charges,3.275881398,,,,,,,,,,5.04,percent of total billed charges,999999999,,,,,,,,,,5.6,percent of total billed charges,4.692508902,,,,5.53,percent of total billed charges,5.336687983,,,,5.53,percent of total billed charges,4.715140486,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,4.9,percent of total billed charges,999999999,,,,4.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.724,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.535,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.75,percent of total billed charges,1.662071934,,,,,,,,,,1.75,percent of total billed charges,1.634424499,,,,,,,,,,1.75,percent of total billed charges,1.629882503,,,,,,,,,,1.75,percent of total billed charges,1.605882503,,,,,,,,,,1.75,percent of total billed charges,1.647204221,,,,,,,,,,1.75,percent of total billed charges,999999999,,,,,,,,,,1.75,percent of total billed charges,1.413417217,,,,,,,,,,1.75,percent of total billed charges,2.229056421,,,,,,,,,,1.75,percent of total billed charges,999999999,,,,,,,,,,1.75,percent of total billed charges,1.524009436,,,,,,,,,,6.3,percent of total billed charges,,,,,
**ADVAIR (FLUTICASON/SALMETER)250/50:60D,259,RC,5456-9524-00,NDC,,both,1,EA,413,413,87.92106913,413,413,percent of total billed charges,303.8587721,,,,413,percent of total billed charges,322.0842904,,,,413,percent of total billed charges,303.8587721,,,,413,percent of total billed charges,322.0842904,,,,413,percent of total billed charges,999999999,,,,413,percent of total billed charges,314.6776147,,,,413,percent of total billed charges,303.8587721,,,,413,percent of total billed charges,322.0842904,,,,294.469,percent of total billed charges,146.9454198,,,,294.469,percent of total billed charges,87.92106913,,,,294.469,percent of total billed charges,146.9454198,,,,294.469,percent of total billed charges,87.92106913,,,,294.469,percent of total billed charges,146.9454198,,,,294.469,percent of total billed charges,87.92106913,,,,291.578,percent of total billed charges,289.3657184,,,,291.578,percent of total billed charges,199.5732425,,,,,,,,,,297.36,percent of total billed charges,193.2770025,,,,,,,,,,297.36,percent of total billed charges,999999999,,,,,,,,,,330.4,percent of total billed charges,276.8580252,,,,326.27,percent of total billed charges,314.864591,,,,326.27,percent of total billed charges,278.1932887,,,,330.4,percent of total billed charges,999999999,,,,330.4,percent of total billed charges,999999999,,,,289.1,percent of total billed charges,999999999,,,,289.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,219.716,percent of total billed charges,999999999,,,,,,,,,,,,,,,,208.565,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,103.25,percent of total billed charges,98.06224413,,,,,,,,,,103.25,percent of total billed charges,96.43104542,,,,,,,,,,103.25,percent of total billed charges,96.16306767,,,,,,,,,,103.25,percent of total billed charges,94.74706767,,,,,,,,,,103.25,percent of total billed charges,97.18504901,,,,,,,,,,103.25,percent of total billed charges,999999999,,,,,,,,,,103.25,percent of total billed charges,83.39161583,,,,,,,,,,103.25,percent of total billed charges,131.5143288,,,,,,,,,,103.25,percent of total billed charges,999999999,,,,,,,,,,103.25,percent of total billed charges,89.91655675,,,,,,,,,,371.7,percent of total billed charges,,,,,
**PAXIL (PAROXETINE) C.R. 37.5 MG TAB,259,RC,0002-9320-13,NDC,,both,1,EA,12,12,2.554607335,12,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,12,percent of total billed charges,999999999,,,,12,percent of total billed charges,9.143175245,,,,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.472,percent of total billed charges,8.407720633,,,,8.472,percent of total billed charges,5.79873828,,,,,,,,,,8.64,percent of total billed charges,5.615796683,,,,,,,,,,8.64,percent of total billed charges,999999999,,,,,,,,,,9.6,percent of total billed charges,8.044300975,,,,9.48,percent of total billed charges,9.148607971,,,,9.48,percent of total billed charges,8.083097975,,,,9.6,percent of total billed charges,999999999,,,,9.6,percent of total billed charges,999999999,,,,8.4,percent of total billed charges,999999999,,,,8.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.384,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.06,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3,percent of total billed charges,2.849266173,,,,,,,,,,3,percent of total billed charges,2.801870569,,,,,,,,,,3,percent of total billed charges,2.794084291,,,,,,,,,,3,percent of total billed charges,2.752941434,,,,,,,,,,3,percent of total billed charges,2.823778664,,,,,,,,,,3,percent of total billed charges,999999999,,,,,,,,,,3,percent of total billed charges,2.423000944,,,,,,,,,,3,percent of total billed charges,3.821239578,,,,,,,,,,3,percent of total billed charges,999999999,,,,,,,,,,3,percent of total billed charges,2.612587605,,,,,,,,,,10.8,percent of total billed charges,,,,,
"**POLYMIXIN B INJECTION 500,000 UNIT VIA",250,RC,5539-0013-10,NDC,,both,1,EA,48,48,10.21842934,48,48,percent of total billed charges,35.31530523,,,,48,percent of total billed charges,37.43352528,,,,48,percent of total billed charges,35.31530523,,,,48,percent of total billed charges,37.43352528,,,,48,percent of total billed charges,999999999,,,,48,percent of total billed charges,36.57270098,,,,48,percent of total billed charges,35.31530523,,,,48,percent of total billed charges,37.43352528,,,,34.224,percent of total billed charges,17.0784023,,,,34.224,percent of total billed charges,10.21842934,,,,34.224,percent of total billed charges,17.0784023,,,,34.224,percent of total billed charges,10.21842934,,,,34.224,percent of total billed charges,17.0784023,,,,34.224,percent of total billed charges,10.21842934,,,,33.888,percent of total billed charges,33.63088253,,,,33.888,percent of total billed charges,23.19495312,,,,,,,,,,34.56,percent of total billed charges,22.46318673,,,,,,,,,,34.56,percent of total billed charges,999999999,,,,,,,,,,38.4,percent of total billed charges,32.1772039,,,,37.92,percent of total billed charges,36.59443188,,,,37.92,percent of total billed charges,32.3323919,,,,38.4,percent of total billed charges,999999999,,,,38.4,percent of total billed charges,999999999,,,,33.6,percent of total billed charges,999999999,,,,33.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,25.536,percent of total billed charges,999999999,,,,,,,,,,,,,,,,24.24,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12,percent of total billed charges,11.39706469,,,,,,,,,,12,percent of total billed charges,11.20748228,,,,,,,,,,12,percent of total billed charges,11.17633716,,,,,,,,,,12,percent of total billed charges,11.01176573,,,,,,,,,,12,percent of total billed charges,11.29511466,,,,,,,,,,12,percent of total billed charges,999999999,,,,,,,,,,12,percent of total billed charges,9.692003777,,,,,,,,,,12,percent of total billed charges,15.28495831,,,,,,,,,,12,percent of total billed charges,999999999,,,,,,,,,,12,percent of total billed charges,10.45035042,,,,,,,,,,43.2,percent of total billed charges,,,,,
**PEPTO BISMOL TABLETS: PACKAGE OF,259,RC,0014-9003-78,NDC,,both,1,EA,11,11,2.341723391,11,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,11,percent of total billed charges,999999999,,,,11,percent of total billed charges,8.381243975,,,,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.766,percent of total billed charges,7.707077247,,,,7.766,percent of total billed charges,5.31551009,,,,,,,,,,7.92,percent of total billed charges,5.147813626,,,,,,,,,,7.92,percent of total billed charges,999999999,,,,,,,,,,8.8,percent of total billed charges,7.373942561,,,,8.69,percent of total billed charges,8.386223973,,,,8.69,percent of total billed charges,7.409506477,,,,8.8,percent of total billed charges,999999999,,,,8.8,percent of total billed charges,999999999,,,,7.7,percent of total billed charges,999999999,,,,7.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.852,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.555,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.75,percent of total billed charges,2.611827325,,,,,,,,,,2.75,percent of total billed charges,2.568381355,,,,,,,,,,2.75,percent of total billed charges,2.561243933,,,,,,,,,,2.75,percent of total billed charges,2.523529647,,,,,,,,,,2.75,percent of total billed charges,2.588463775,,,,,,,,,,2.75,percent of total billed charges,999999999,,,,,,,,,,2.75,percent of total billed charges,2.221084199,,,,,,,,,,2.75,percent of total billed charges,3.502802947,,,,,,,,,,2.75,percent of total billed charges,999999999,,,,,,,,,,2.75,percent of total billed charges,2.394871971,,,,,,,,,,9.9,percent of total billed charges,,,,,
**INTERFERON ALPHA -2A (ROFERON A)3MMU I,250,RC,0008-5124-01,NDC,,both,1,EA,1204,1204,256.3122693,1204,1204,percent of total billed charges,885.825573,,,,1204,percent of total billed charges,938.9575924,,,,1204,percent of total billed charges,885.825573,,,,1204,percent of total billed charges,938.9575924,,,,1204,percent of total billed charges,999999999,,,,1204,percent of total billed charges,917.3652496,,,,1204,percent of total billed charges,885.825573,,,,1204,percent of total billed charges,938.9575924,,,,858.452,percent of total billed charges,428.3832577,,,,858.452,percent of total billed charges,256.3122693,,,,858.452,percent of total billed charges,428.3832577,,,,858.452,percent of total billed charges,256.3122693,,,,858.452,percent of total billed charges,428.3832577,,,,858.452,percent of total billed charges,256.3122693,,,,850.024,percent of total billed charges,843.5746368,,,,850.024,percent of total billed charges,581.8067408,,,,,,,,,,866.88,percent of total billed charges,563.4516005,,,,,,,,,,866.88,percent of total billed charges,999999999,,,,,,,,,,963.2,percent of total billed charges,807.1115312,,,,951.16,percent of total billed charges,917.9103331,,,,951.16,percent of total billed charges,811.0041635,,,,963.2,percent of total billed charges,999999999,,,,963.2,percent of total billed charges,999999999,,,,842.8,percent of total billed charges,999999999,,,,842.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,640.528,percent of total billed charges,999999999,,,,,,,,,,,,,,,,608.02,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,301,percent of total billed charges,285.8763727,,,,,,,,,,301,percent of total billed charges,281.1210138,,,,,,,,,,301,percent of total billed charges,280.3397905,,,,,,,,,,301,percent of total billed charges,276.2117905,,,,,,,,,,301,percent of total billed charges,283.3191259,,,,,,,,,,301,percent of total billed charges,999999999,,,,,,,,,,301,percent of total billed charges,243.1077614,,,,,,,,,,301,percent of total billed charges,383.3977043,,,,,,,,,,301,percent of total billed charges,999999999,,,,,,,,,,301,percent of total billed charges,262.1296231,,,,,,,,,,1083.6,percent of total billed charges,,,,,
**METHADONE TABLETS 10 MG,250,RC,0040-6345-34,NDC,,both,1,EA,12,12,2.554607335,12,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,12,percent of total billed charges,999999999,,,,12,percent of total billed charges,9.143175245,,,,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.472,percent of total billed charges,8.407720633,,,,8.472,percent of total billed charges,5.79873828,,,,,,,,,,8.64,percent of total billed charges,5.615796683,,,,,,,,,,8.64,percent of total billed charges,999999999,,,,,,,,,,9.6,percent of total billed charges,8.044300975,,,,9.48,percent of total billed charges,9.148607971,,,,9.48,percent of total billed charges,8.083097975,,,,9.6,percent of total billed charges,999999999,,,,9.6,percent of total billed charges,999999999,,,,8.4,percent of total billed charges,999999999,,,,8.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.384,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.06,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3,percent of total billed charges,2.849266173,,,,,,,,,,3,percent of total billed charges,2.801870569,,,,,,,,,,3,percent of total billed charges,2.794084291,,,,,,,,,,3,percent of total billed charges,2.752941434,,,,,,,,,,3,percent of total billed charges,2.823778664,,,,,,,,,,3,percent of total billed charges,999999999,,,,,,,,,,3,percent of total billed charges,2.423000944,,,,,,,,,,3,percent of total billed charges,3.821239578,,,,,,,,,,3,percent of total billed charges,999999999,,,,,,,,,,3,percent of total billed charges,2.612587605,,,,,,,,,,10.8,percent of total billed charges,,,,,
**TRIAMCINOLONE CREAM 0.5%: 15 GM,259,RC,0016-8000-15,NDC,,both,1,EA,18,18,3.831911003,18,18,percent of total billed charges,13.24323946,,,,18,percent of total billed charges,14.03757198,,,,18,percent of total billed charges,13.24323946,,,,18,percent of total billed charges,14.03757198,,,,18,percent of total billed charges,999999999,,,,18,percent of total billed charges,13.71476287,,,,18,percent of total billed charges,13.24323946,,,,18,percent of total billed charges,14.03757198,,,,12.834,percent of total billed charges,6.404400863,,,,12.834,percent of total billed charges,3.831911003,,,,12.834,percent of total billed charges,6.404400863,,,,12.834,percent of total billed charges,3.831911003,,,,12.834,percent of total billed charges,6.404400863,,,,12.834,percent of total billed charges,3.831911003,,,,12.708,percent of total billed charges,12.61158095,,,,12.708,percent of total billed charges,8.698107421,,,,,,,,,,12.96,percent of total billed charges,8.423695024,,,,,,,,,,12.96,percent of total billed charges,999999999,,,,,,,,,,14.4,percent of total billed charges,12.06645146,,,,14.22,percent of total billed charges,13.72291196,,,,14.22,percent of total billed charges,12.12464696,,,,14.4,percent of total billed charges,999999999,,,,14.4,percent of total billed charges,999999999,,,,12.6,percent of total billed charges,999999999,,,,12.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.576,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.09,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4.5,percent of total billed charges,4.27389926,,,,,,,,,,4.5,percent of total billed charges,4.202805854,,,,,,,,,,4.5,percent of total billed charges,4.191126436,,,,,,,,,,4.5,percent of total billed charges,4.12941215,,,,,,,,,,4.5,percent of total billed charges,4.235667996,,,,,,,,,,4.5,percent of total billed charges,999999999,,,,,,,,,,4.5,percent of total billed charges,3.634501416,,,,,,,,,,4.5,percent of total billed charges,5.731859367,,,,,,,,,,4.5,percent of total billed charges,999999999,,,,,,,,,,4.5,percent of total billed charges,3.918881408,,,,,,,,,,16.2,percent of total billed charges,,,,,
**MORPHINE ORAL SOLN 20MG/ML: 120 ML S,259,RC,5817-7088-03,NDC,,both,1,EA,175,175,37.25469031,175,175,percent of total billed charges,128.753717,,,,175,percent of total billed charges,136.4763943,,,,175,percent of total billed charges,128.753717,,,,175,percent of total billed charges,136.4763943,,,,175,percent of total billed charges,999999999,,,,175,percent of total billed charges,133.3379723,,,,175,percent of total billed charges,128.753717,,,,175,percent of total billed charges,136.4763943,,,,124.775,percent of total billed charges,62.26500839,,,,124.775,percent of total billed charges,37.25469031,,,,124.775,percent of total billed charges,62.26500839,,,,124.775,percent of total billed charges,37.25469031,,,,124.775,percent of total billed charges,62.26500839,,,,124.775,percent of total billed charges,37.25469031,,,,123.55,percent of total billed charges,122.6125926,,,,123.55,percent of total billed charges,84.56493326,,,,,,,,,,126,percent of total billed charges,81.89703495,,,,,,,,,,126,percent of total billed charges,999999999,,,,,,,,,,140,percent of total billed charges,117.3127226,,,,138.25,percent of total billed charges,133.4171996,,,,138.25,percent of total billed charges,117.8785121,,,,140,percent of total billed charges,999999999,,,,140,percent of total billed charges,999999999,,,,122.5,percent of total billed charges,999999999,,,,122.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,93.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,88.375,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,43.75,percent of total billed charges,41.55179836,,,,,,,,,,43.75,percent of total billed charges,40.86061247,,,,,,,,,,43.75,percent of total billed charges,40.74706257,,,,,,,,,,43.75,percent of total billed charges,40.14706257,,,,,,,,,,43.75,percent of total billed charges,41.18010551,,,,,,,,,,43.75,percent of total billed charges,999999999,,,,,,,,,,43.75,percent of total billed charges,35.33543044,,,,,,,,,,43.75,percent of total billed charges,55.72641052,,,,,,,,,,43.75,percent of total billed charges,999999999,,,,,,,,,,43.75,percent of total billed charges,38.10023591,,,,,,,,,,157.5,percent of total billed charges,,,,,
**EUCERIN CREAM: 120 GM,259,RC,7214-0000-22,NDC,,both,1,EA,21,21,4.470562837,21,21,percent of total billed charges,15.45044604,,,,21,percent of total billed charges,16.37716731,,,,21,percent of total billed charges,15.45044604,,,,21,percent of total billed charges,16.37716731,,,,21,percent of total billed charges,999999999,,,,21,percent of total billed charges,16.00055668,,,,21,percent of total billed charges,15.45044604,,,,21,percent of total billed charges,16.37716731,,,,14.973,percent of total billed charges,7.471801006,,,,14.973,percent of total billed charges,4.470562837,,,,14.973,percent of total billed charges,7.471801006,,,,14.973,percent of total billed charges,4.470562837,,,,14.973,percent of total billed charges,7.471801006,,,,14.973,percent of total billed charges,4.470562837,,,,14.826,percent of total billed charges,14.71351111,,,,14.826,percent of total billed charges,10.14779199,,,,,,,,,,15.12,percent of total billed charges,9.827644194,,,,,,,,,,15.12,percent of total billed charges,999999999,,,,,,,,,,16.8,percent of total billed charges,14.07752671,,,,16.59,percent of total billed charges,16.01006395,,,,16.59,percent of total billed charges,14.14542146,,,,16.8,percent of total billed charges,999999999,,,,16.8,percent of total billed charges,999999999,,,,14.7,percent of total billed charges,999999999,,,,14.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,11.172,percent of total billed charges,999999999,,,,,,,,,,,,,,,,10.605,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5.25,percent of total billed charges,4.986215803,,,,,,,,,,5.25,percent of total billed charges,4.903273496,,,,,,,,,,5.25,percent of total billed charges,4.889647509,,,,,,,,,,5.25,percent of total billed charges,4.817647509,,,,,,,,,,5.25,percent of total billed charges,4.941612662,,,,,,,,,,5.25,percent of total billed charges,999999999,,,,,,,,,,5.25,percent of total billed charges,4.240251652,,,,,,,,,,5.25,percent of total billed charges,6.687169262,,,,,,,,,,5.25,percent of total billed charges,999999999,,,,,,,,,,5.25,percent of total billed charges,4.572028309,,,,,,,,,,18.9,percent of total billed charges,,,,,
**FLUTICASONE (CUTIVATE) CREAM 0.05%: 15,259,RC,5486-8244-01,NDC,,both,1,EA,68,68,14.47610823,68,68,percent of total billed charges,50.03001575,,,,68,percent of total billed charges,53.03082748,,,,68,percent of total billed charges,50.03001575,,,,68,percent of total billed charges,53.03082748,,,,68,percent of total billed charges,999999999,,,,68,percent of total billed charges,51.81132639,,,,68,percent of total billed charges,50.03001575,,,,68,percent of total billed charges,53.03082748,,,,48.484,percent of total billed charges,24.19440326,,,,48.484,percent of total billed charges,14.47610823,,,,48.484,percent of total billed charges,24.19440326,,,,48.484,percent of total billed charges,14.47610823,,,,48.484,percent of total billed charges,24.19440326,,,,48.484,percent of total billed charges,14.47610823,,,,48.008,percent of total billed charges,47.64375025,,,,48.008,percent of total billed charges,32.85951692,,,,,,,,,,48.96,percent of total billed charges,31.82284787,,,,,,,,,,48.96,percent of total billed charges,999999999,,,,,,,,,,54.4,percent of total billed charges,45.58437219,,,,53.72,percent of total billed charges,51.84211184,,,,53.72,percent of total billed charges,45.80422186,,,,54.4,percent of total billed charges,999999999,,,,54.4,percent of total billed charges,999999999,,,,47.6,percent of total billed charges,999999999,,,,47.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,36.176,percent of total billed charges,999999999,,,,,,,,,,,,,,,,34.34,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17,percent of total billed charges,16.14584165,,,,,,,,,,17,percent of total billed charges,15.87726656,,,,,,,,,,17,percent of total billed charges,15.83314431,,,,,,,,,,17,percent of total billed charges,15.60000146,,,,,,,,,,17,percent of total billed charges,16.00141243,,,,,,,,,,17,percent of total billed charges,999999999,,,,,,,,,,17,percent of total billed charges,13.73033868,,,,,,,,,,17,percent of total billed charges,21.65369094,,,,,,,,,,17,percent of total billed charges,999999999,,,,,,,,,,17,percent of total billed charges,14.8046631,,,,,,,,,,61.2,percent of total billed charges,,,,,
**PROGESTERONE INJECT 50MG/ML:10 ML VIAL,J2675,CDM,6332-3026-10,NDC,,both,1,EA,285.6,285.6,60.79965458,285.6,285.6,percent of total billed charges,210.1260661,,,,285.6,percent of total billed charges,222.7294754,,,,285.6,percent of total billed charges,210.1260661,,,,285.6,percent of total billed charges,222.7294754,,,,285.6,percent of total billed charges,999999999,,,,285.6,percent of total billed charges,217.6075708,,,,285.6,percent of total billed charges,210.1260661,,,,285.6,percent of total billed charges,222.7294754,,,,203.6328,percent of total billed charges,101.6164937,,,,203.6328,percent of total billed charges,60.79965458,,,,203.6328,percent of total billed charges,101.6164937,,,,203.6328,percent of total billed charges,60.79965458,,,,203.6328,percent of total billed charges,101.6164937,,,,203.6328,percent of total billed charges,60.79965458,,,,201.6336,percent of total billed charges,200.1037511,,,,201.6336,percent of total billed charges,138.0099711,,,,,,,,,,205.632,percent of total billed charges,133.655961,,,,,,,,,,205.632,percent of total billed charges,999999999,,,,,,,,,,228.48,percent of total billed charges,191.4543632,,,,225.624,percent of total billed charges,217.7368697,,,,225.624,percent of total billed charges,192.3777318,,,,228.48,percent of total billed charges,999999999,,,,228.48,percent of total billed charges,999999999,,,,199.92,percent of total billed charges,999999999,,,,199.92,percent of total billed charges,999999999,,,,,,,,,,,,,,,,151.9392,percent of total billed charges,999999999,,,,,,,,,,,,,,,,144.228,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,71.4,percent of total billed charges,67.81253492,,,,,,,,,,71.4,percent of total billed charges,66.68451954,,,,,,,,,,71.4,percent of total billed charges,66.49920612,,,,,,,,,,71.4,percent of total billed charges,65.52000612,,,,,,,,,,71.4,percent of total billed charges,67.2059322,,,,,,,,,,71.4,percent of total billed charges,999999999,,,,,,,,,,71.4,percent of total billed charges,57.66742247,,,,,,,,,,71.4,percent of total billed charges,90.94550196,,,,,,,,,,71.4,percent of total billed charges,999999999,,,,,,,,,,71.4,percent of total billed charges,62.179585,,,,,,,,,,257.04,percent of total billed charges,,,,,
**CLOZARIL 100 MG: TAB,259,RC,0009-3436-93,NDC,,both,1,EA,11,11,2.341723391,11,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,11,percent of total billed charges,999999999,,,,11,percent of total billed charges,8.381243975,,,,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.766,percent of total billed charges,7.707077247,,,,7.766,percent of total billed charges,5.31551009,,,,,,,,,,7.92,percent of total billed charges,5.147813626,,,,,,,,,,7.92,percent of total billed charges,999999999,,,,,,,,,,8.8,percent of total billed charges,7.373942561,,,,8.69,percent of total billed charges,8.386223973,,,,8.69,percent of total billed charges,7.409506477,,,,8.8,percent of total billed charges,999999999,,,,8.8,percent of total billed charges,999999999,,,,7.7,percent of total billed charges,999999999,,,,7.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.852,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.555,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.75,percent of total billed charges,2.611827325,,,,,,,,,,2.75,percent of total billed charges,2.568381355,,,,,,,,,,2.75,percent of total billed charges,2.561243933,,,,,,,,,,2.75,percent of total billed charges,2.523529647,,,,,,,,,,2.75,percent of total billed charges,2.588463775,,,,,,,,,,2.75,percent of total billed charges,999999999,,,,,,,,,,2.75,percent of total billed charges,2.221084199,,,,,,,,,,2.75,percent of total billed charges,3.502802947,,,,,,,,,,2.75,percent of total billed charges,999999999,,,,,,,,,,2.75,percent of total billed charges,2.394871971,,,,,,,,,,9.9,percent of total billed charges,,,,,
**TRIPLE PASTE (FOR DIAPER RASH) 60GM:,259,RC,1108-6002-02,NDC,,both,1,EA,24,24,5.109214671,24,24,percent of total billed charges,17.65765262,,,,24,percent of total billed charges,18.71676264,,,,24,percent of total billed charges,17.65765262,,,,24,percent of total billed charges,18.71676264,,,,24,percent of total billed charges,999999999,,,,24,percent of total billed charges,18.28635049,,,,24,percent of total billed charges,17.65765262,,,,24,percent of total billed charges,18.71676264,,,,17.112,percent of total billed charges,8.53920115,,,,17.112,percent of total billed charges,5.109214671,,,,17.112,percent of total billed charges,8.53920115,,,,17.112,percent of total billed charges,5.109214671,,,,17.112,percent of total billed charges,8.53920115,,,,17.112,percent of total billed charges,5.109214671,,,,16.944,percent of total billed charges,16.81544127,,,,16.944,percent of total billed charges,11.59747656,,,,,,,,,,17.28,percent of total billed charges,11.23159337,,,,,,,,,,17.28,percent of total billed charges,999999999,,,,,,,,,,19.2,percent of total billed charges,16.08860195,,,,18.96,percent of total billed charges,18.29721594,,,,18.96,percent of total billed charges,16.16619595,,,,19.2,percent of total billed charges,999999999,,,,19.2,percent of total billed charges,999999999,,,,16.8,percent of total billed charges,999999999,,,,16.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,12.768,percent of total billed charges,999999999,,,,,,,,,,,,,,,,12.12,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6,percent of total billed charges,5.698532346,,,,,,,,,,6,percent of total billed charges,5.603741138,,,,,,,,,,6,percent of total billed charges,5.588168582,,,,,,,,,,6,percent of total billed charges,5.505882867,,,,,,,,,,6,percent of total billed charges,5.647557328,,,,,,,,,,6,percent of total billed charges,999999999,,,,,,,,,,6,percent of total billed charges,4.846001888,,,,,,,,,,6,percent of total billed charges,7.642479156,,,,,,,,,,6,percent of total billed charges,999999999,,,,,,,,,,6,percent of total billed charges,5.22517521,,,,,,,,,,21.6,percent of total billed charges,,,,,
**LACTAID,259,RC,3004-5008-02,NDC,,both,1,EA,27,27,5.747866505,27,27,percent of total billed charges,19.86485919,,,,27,percent of total billed charges,21.05635797,,,,27,percent of total billed charges,19.86485919,,,,27,percent of total billed charges,21.05635797,,,,27,percent of total billed charges,999999999,,,,27,percent of total billed charges,20.5721443,,,,27,percent of total billed charges,19.86485919,,,,27,percent of total billed charges,21.05635797,,,,19.251,percent of total billed charges,9.606601294,,,,19.251,percent of total billed charges,5.747866505,,,,19.251,percent of total billed charges,9.606601294,,,,19.251,percent of total billed charges,5.747866505,,,,19.251,percent of total billed charges,9.606601294,,,,19.251,percent of total billed charges,5.747866505,,,,19.062,percent of total billed charges,18.91737142,,,,19.062,percent of total billed charges,13.04716113,,,,,,,,,,19.44,percent of total billed charges,12.63554254,,,,,,,,,,19.44,percent of total billed charges,999999999,,,,,,,,,,21.6,percent of total billed charges,18.09967719,,,,21.33,percent of total billed charges,20.58436793,,,,21.33,percent of total billed charges,18.18697044,,,,21.6,percent of total billed charges,999999999,,,,21.6,percent of total billed charges,999999999,,,,18.9,percent of total billed charges,999999999,,,,18.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,14.364,percent of total billed charges,999999999,,,,,,,,,,,,,,,,13.635,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6.75,percent of total billed charges,6.41084889,,,,,,,,,,6.75,percent of total billed charges,6.30420878,,,,,,,,,,6.75,percent of total billed charges,6.286689654,,,,,,,,,,6.75,percent of total billed charges,6.194118226,,,,,,,,,,6.75,percent of total billed charges,6.353501993,,,,,,,,,,6.75,percent of total billed charges,999999999,,,,,,,,,,6.75,percent of total billed charges,5.451752124,,,,,,,,,,6.75,percent of total billed charges,8.597789051,,,,,,,,,,6.75,percent of total billed charges,999999999,,,,,,,,,,6.75,percent of total billed charges,5.878322112,,,,,,,,,,24.3,percent of total billed charges,,,,,
**EFFEXOR XR (VENLAXAFIN) 150MG : CAP,259,RC,0000-8083-03,NDC,,both,1,EA,13,13,2.76749128,13,13,percent of total billed charges,9.564561834,,,,13,percent of total billed charges,10.13824643,,,,13,percent of total billed charges,9.564561834,,,,13,percent of total billed charges,10.13824643,,,,13,percent of total billed charges,999999999,,,,13,percent of total billed charges,9.905106516,,,,13,percent of total billed charges,9.564561834,,,,13,percent of total billed charges,10.13824643,,,,9.269,percent of total billed charges,4.625400623,,,,9.269,percent of total billed charges,2.76749128,,,,9.269,percent of total billed charges,4.625400623,,,,9.269,percent of total billed charges,2.76749128,,,,9.269,percent of total billed charges,4.625400623,,,,9.269,percent of total billed charges,2.76749128,,,,9.178,percent of total billed charges,9.108364019,,,,9.178,percent of total billed charges,6.281966471,,,,,,,,,,9.36,percent of total billed charges,6.083779739,,,,,,,,,,9.36,percent of total billed charges,999999999,,,,,,,,,,10.4,percent of total billed charges,8.71465939,,,,10.27,percent of total billed charges,9.910991969,,,,10.27,percent of total billed charges,8.756689473,,,,10.4,percent of total billed charges,999999999,,,,10.4,percent of total billed charges,999999999,,,,9.1,percent of total billed charges,999999999,,,,9.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.916,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.565,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3.25,percent of total billed charges,3.086705021,,,,,,,,,,3.25,percent of total billed charges,3.035359783,,,,,,,,,,3.25,percent of total billed charges,3.026924648,,,,,,,,,,3.25,percent of total billed charges,2.98235322,,,,,,,,,,3.25,percent of total billed charges,3.059093552,,,,,,,,,,3.25,percent of total billed charges,999999999,,,,,,,,,,3.25,percent of total billed charges,2.624917689,,,,,,,,,,3.25,percent of total billed charges,4.13967621,,,,,,,,,,3.25,percent of total billed charges,999999999,,,,,,,,,,3.25,percent of total billed charges,2.830303239,,,,,,,,,,11.7,percent of total billed charges,,,,,
**LACTULOSE 10 GM/15ML: 480 ML,259,RC,0047-2136-16,NDC,,both,1,EA,93,93,19.79820685,93,93,percent of total billed charges,68.42340389,,,,93,percent of total billed charges,72.52745523,,,,93,percent of total billed charges,68.42340389,,,,93,percent of total billed charges,72.52745523,,,,93,percent of total billed charges,999999999,,,,93,percent of total billed charges,70.85960815,,,,93,percent of total billed charges,68.42340389,,,,93,percent of total billed charges,72.52745523,,,,66.309,percent of total billed charges,33.08940446,,,,66.309,percent of total billed charges,19.79820685,,,,66.309,percent of total billed charges,33.08940446,,,,66.309,percent of total billed charges,19.79820685,,,,66.309,percent of total billed charges,33.08940446,,,,66.309,percent of total billed charges,19.79820685,,,,65.658,percent of total billed charges,65.1598349,,,,65.658,percent of total billed charges,44.94022167,,,,,,,,,,66.96,percent of total billed charges,43.52242429,,,,,,,,,,66.96,percent of total billed charges,999999999,,,,,,,,,,74.4,percent of total billed charges,62.34333256,,,,73.47,percent of total billed charges,70.90171178,,,,73.47,percent of total billed charges,62.64400931,,,,74.4,percent of total billed charges,999999999,,,,74.4,percent of total billed charges,999999999,,,,65.1,percent of total billed charges,999999999,,,,65.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,49.476,percent of total billed charges,999999999,,,,,,,,,,,,,,,,46.965,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23.25,percent of total billed charges,22.08181284,,,,,,,,,,23.25,percent of total billed charges,21.71449691,,,,,,,,,,23.25,percent of total billed charges,21.65415325,,,,,,,,,,23.25,percent of total billed charges,21.33529611,,,,,,,,,,23.25,percent of total billed charges,21.88428464,,,,,,,,,,23.25,percent of total billed charges,999999999,,,,,,,,,,23.25,percent of total billed charges,18.77825732,,,,,,,,,,23.25,percent of total billed charges,29.61460673,,,,,,,,,,23.25,percent of total billed charges,999999999,,,,,,,,,,23.25,percent of total billed charges,20.24755394,,,,,,,,,,83.7,percent of total billed charges,,,,,
**RABIES VACCINE (RABAVERT) 2.5 IU/ML,90675,CDM,0033-8069-04,NDC,,both,1,EA,141,141,30.01663619,141,141,percent of total billed charges,103.7387091,,,,141,percent of total billed charges,109.9609805,,,,141,percent of total billed charges,103.7387091,,,,141,percent of total billed charges,109.9609805,,,,141,percent of total billed charges,999999999,,,,141,percent of total billed charges,107.4323091,,,,141,percent of total billed charges,103.7387091,,,,141,percent of total billed charges,109.9609805,,,,100.533,percent of total billed charges,50.16780676,,,,100.533,percent of total billed charges,30.01663619,,,,100.533,percent of total billed charges,50.16780676,,,,100.533,percent of total billed charges,30.01663619,,,,100.533,percent of total billed charges,50.16780676,,,,100.533,percent of total billed charges,30.01663619,,,,99.546,percent of total billed charges,98.79071744,,,,99.546,percent of total billed charges,68.1351748,,,,,,,,,,101.52,percent of total billed charges,65.98561102,,,,,,,,,,101.52,percent of total billed charges,999999999,,,,,,,,,,112.8,percent of total billed charges,94.52053646,,,,111.39,percent of total billed charges,107.4961437,,,,111.39,percent of total billed charges,94.97640121,,,,112.8,percent of total billed charges,999999999,,,,112.8,percent of total billed charges,999999999,,,,98.7,percent of total billed charges,999999999,,,,98.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,75.012,percent of total billed charges,999999999,,,,,,,,,,,,,,,,71.205,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,35.25,percent of total billed charges,33.47887753,,,,,,,,,,35.25,percent of total billed charges,32.92197919,,,,,,,,,,35.25,percent of total billed charges,32.83049042,,,,,,,,,,35.25,percent of total billed charges,32.34706184,,,,,,,,,,35.25,percent of total billed charges,33.1793993,,,,,,,,,,35.25,percent of total billed charges,999999999,,,,,,,,,,35.25,percent of total billed charges,28.47026109,,,,,,,,,,35.25,percent of total billed charges,44.89956504,,,,,,,,,,35.25,percent of total billed charges,999999999,,,,,,,,,,35.25,percent of total billed charges,30.69790436,,,,,,,,,,126.9,percent of total billed charges,,,,,
**WARFARIN (COUMADIN) DAILY ORDER BY MD,250,RC,9999-9999-99,NDC,,both,1,EA,2,2,0.425767889,2,2,percent of total billed charges,1.471471051,,,,2,percent of total billed charges,1.55973022,,,,2,percent of total billed charges,1.471471051,,,,2,percent of total billed charges,1.55973022,,,,2,percent of total billed charges,999999999,,,,2,percent of total billed charges,1.523862541,,,,2,percent of total billed charges,1.471471051,,,,2,percent of total billed charges,1.55973022,,,,1.426,percent of total billed charges,0.711600096,,,,1.426,percent of total billed charges,0.425767889,,,,1.426,percent of total billed charges,0.711600096,,,,1.426,percent of total billed charges,0.425767889,,,,1.426,percent of total billed charges,0.711600096,,,,1.426,percent of total billed charges,0.425767889,,,,1.412,percent of total billed charges,1.401286772,,,,1.412,percent of total billed charges,0.96645638,,,,,,,,,,1.44,percent of total billed charges,0.935966114,,,,,,,,,,1.44,percent of total billed charges,999999999,,,,,,,,,,1.6,percent of total billed charges,1.340716829,,,,1.58,percent of total billed charges,1.524767995,,,,1.58,percent of total billed charges,1.347182996,,,,1.6,percent of total billed charges,999999999,,,,1.6,percent of total billed charges,999999999,,,,1.4,percent of total billed charges,999999999,,,,1.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.064,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.01,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.5,percent of total billed charges,0.474877696,,,,,,,,,,0.5,percent of total billed charges,0.466978428,,,,,,,,,,0.5,percent of total billed charges,0.465680715,,,,,,,,,,0.5,percent of total billed charges,0.458823572,,,,,,,,,,0.5,percent of total billed charges,0.470629777,,,,,,,,,,0.5,percent of total billed charges,999999999,,,,,,,,,,0.5,percent of total billed charges,0.403833491,,,,,,,,,,0.5,percent of total billed charges,0.636873263,,,,,,,,,,0.5,percent of total billed charges,999999999,,,,,,,,,,0.5,percent of total billed charges,0.435431268,,,,,,,,,,1.8,percent of total billed charges,,,,,
**E-CHILDREN POLY VITAMIN DROPS: 50 ML,250,RC,9999-9999-99,NDC,,both,1,EA,9,9,1.915955502,9,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,9,percent of total billed charges,999999999,,,,9,percent of total billed charges,6.857381434,,,,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.354,percent of total billed charges,6.305790475,,,,6.354,percent of total billed charges,4.34905371,,,,,,,,,,6.48,percent of total billed charges,4.211847512,,,,,,,,,,6.48,percent of total billed charges,999999999,,,,,,,,,,7.2,percent of total billed charges,6.033225731,,,,7.11,percent of total billed charges,6.861455978,,,,7.11,percent of total billed charges,6.062323481,,,,7.2,percent of total billed charges,999999999,,,,7.2,percent of total billed charges,999999999,,,,6.3,percent of total billed charges,999999999,,,,6.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.788,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.545,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.25,percent of total billed charges,2.13694963,,,,,,,,,,2.25,percent of total billed charges,2.101402927,,,,,,,,,,2.25,percent of total billed charges,2.095563218,,,,,,,,,,2.25,percent of total billed charges,2.064706075,,,,,,,,,,2.25,percent of total billed charges,2.117833998,,,,,,,,,,2.25,percent of total billed charges,999999999,,,,,,,,,,2.25,percent of total billed charges,1.817250708,,,,,,,,,,2.25,percent of total billed charges,2.865929684,,,,,,,,,,2.25,percent of total billed charges,999999999,,,,,,,,,,2.25,percent of total billed charges,1.959440704,,,,,,,,,,8.1,percent of total billed charges,,,,,
**HYDROCODONE 7.5MG APAP500MG/15ML U.,259,RC,0040-6037-16,NDC,,both,1,EA,137,137,29.16510041,137,137,percent of total billed charges,100.795767,,,,137,percent of total billed charges,106.8415201,,,,137,percent of total billed charges,100.795767,,,,137,percent of total billed charges,106.8415201,,,,137,percent of total billed charges,999999999,,,,137,percent of total billed charges,104.384584,,,,137,percent of total billed charges,100.795767,,,,137,percent of total billed charges,106.8415201,,,,97.681,percent of total billed charges,48.74460657,,,,97.681,percent of total billed charges,29.16510041,,,,97.681,percent of total billed charges,48.74460657,,,,97.681,percent of total billed charges,29.16510041,,,,97.681,percent of total billed charges,48.74460657,,,,97.681,percent of total billed charges,29.16510041,,,,96.722,percent of total billed charges,95.98814389,,,,96.722,percent of total billed charges,66.20226204,,,,,,,,,,98.64,percent of total billed charges,64.11367879,,,,,,,,,,98.64,percent of total billed charges,999999999,,,,,,,,,,109.6,percent of total billed charges,91.8391028,,,,108.23,percent of total billed charges,104.4466077,,,,108.23,percent of total billed charges,92.28203522,,,,109.6,percent of total billed charges,999999999,,,,109.6,percent of total billed charges,999999999,,,,95.9,percent of total billed charges,999999999,,,,95.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,72.884,percent of total billed charges,999999999,,,,,,,,,,,,,,,,69.185,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,34.25,percent of total billed charges,32.52912214,,,,,,,,,,34.25,percent of total billed charges,31.98802233,,,,,,,,,,34.25,percent of total billed charges,31.89912899,,,,,,,,,,34.25,percent of total billed charges,31.4294147,,,,,,,,,,34.25,percent of total billed charges,32.23813974,,,,,,,,,,34.25,percent of total billed charges,999999999,,,,,,,,,,34.25,percent of total billed charges,27.66259411,,,,,,,,,,34.25,percent of total billed charges,43.62581852,,,,,,,,,,34.25,percent of total billed charges,999999999,,,,,,,,,,34.25,percent of total billed charges,29.82704183,,,,,,,,,,123.3,percent of total billed charges,,,,,
**FLUVASTATIN (LESCOL XL) 80 MG  TAB,259,RC,0007-8035-15,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
**INTERFERON BETA 1B (BETA SERON) 0.3MG(,J1830,CDM,5041-9052-25,NDC,,both,1,EA,391,391,83.23762235,391,391,percent of total billed charges,287.6725906,,,,391,percent of total billed charges,304.927258,,,,391,percent of total billed charges,287.6725906,,,,391,percent of total billed charges,304.927258,,,,391,percent of total billed charges,999999999,,,,391,percent of total billed charges,297.9151267,,,,391,percent of total billed charges,287.6725906,,,,391,percent of total billed charges,304.927258,,,,278.783,percent of total billed charges,139.1178187,,,,278.783,percent of total billed charges,83.23762235,,,,278.783,percent of total billed charges,139.1178187,,,,278.783,percent of total billed charges,83.23762235,,,,278.783,percent of total billed charges,139.1178187,,,,278.783,percent of total billed charges,83.23762235,,,,276.046,percent of total billed charges,273.951564,,,,276.046,percent of total billed charges,188.9422223,,,,,,,,,,281.52,percent of total billed charges,182.9813752,,,,,,,,,,281.52,percent of total billed charges,999999999,,,,,,,,,,312.8,percent of total billed charges,262.1101401,,,,308.89,percent of total billed charges,298.0921431,,,,308.89,percent of total billed charges,263.3742757,,,,312.8,percent of total billed charges,999999999,,,,312.8,percent of total billed charges,999999999,,,,273.7,percent of total billed charges,999999999,,,,273.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,208.012,percent of total billed charges,999999999,,,,,,,,,,,,,,,,197.455,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,97.75,percent of total billed charges,92.83858948,,,,,,,,,,97.75,percent of total billed charges,91.29428271,,,,,,,,,,97.75,percent of total billed charges,91.04057981,,,,,,,,,,97.75,percent of total billed charges,89.70000838,,,,,,,,,,97.75,percent of total billed charges,92.00812146,,,,,,,,,,97.75,percent of total billed charges,999999999,,,,,,,,,,97.75,percent of total billed charges,78.94944743,,,,,,,,,,97.75,percent of total billed charges,124.5087229,,,,,,,,,,97.75,percent of total billed charges,999999999,,,,,,,,,,97.75,percent of total billed charges,85.1268128,,,,,,,,,,351.9,percent of total billed charges,,,,,
**LITHIUM (LITHOBID) 300MG TAB,259,RC,6896-8449-01,NDC,,both,1,EA,9,9,1.915955502,9,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,9,percent of total billed charges,999999999,,,,9,percent of total billed charges,6.857381434,,,,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.354,percent of total billed charges,6.305790475,,,,6.354,percent of total billed charges,4.34905371,,,,,,,,,,6.48,percent of total billed charges,4.211847512,,,,,,,,,,6.48,percent of total billed charges,999999999,,,,,,,,,,7.2,percent of total billed charges,6.033225731,,,,7.11,percent of total billed charges,6.861455978,,,,7.11,percent of total billed charges,6.062323481,,,,7.2,percent of total billed charges,999999999,,,,7.2,percent of total billed charges,999999999,,,,6.3,percent of total billed charges,999999999,,,,6.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.788,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.545,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.25,percent of total billed charges,2.13694963,,,,,,,,,,2.25,percent of total billed charges,2.101402927,,,,,,,,,,2.25,percent of total billed charges,2.095563218,,,,,,,,,,2.25,percent of total billed charges,2.064706075,,,,,,,,,,2.25,percent of total billed charges,2.117833998,,,,,,,,,,2.25,percent of total billed charges,999999999,,,,,,,,,,2.25,percent of total billed charges,1.817250708,,,,,,,,,,2.25,percent of total billed charges,2.865929684,,,,,,,,,,2.25,percent of total billed charges,999999999,,,,,,,,,,2.25,percent of total billed charges,1.959440704,,,,,,,,,,8.1,percent of total billed charges,,,,,
**E-PHAZYME (SIMETHICONE 180MG) : PK OF,259,RC,0021-4042-08,NDC,,both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**CARBENICILLIN (GEOCILLIN) 382MG: TAB,250,RC,0004-9143-66,NDC,,both,1,EA,9,9,1.915955502,9,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,9,percent of total billed charges,999999999,,,,9,percent of total billed charges,6.857381434,,,,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.354,percent of total billed charges,6.305790475,,,,6.354,percent of total billed charges,4.34905371,,,,,,,,,,6.48,percent of total billed charges,4.211847512,,,,,,,,,,6.48,percent of total billed charges,999999999,,,,,,,,,,7.2,percent of total billed charges,6.033225731,,,,7.11,percent of total billed charges,6.861455978,,,,7.11,percent of total billed charges,6.062323481,,,,7.2,percent of total billed charges,999999999,,,,7.2,percent of total billed charges,999999999,,,,6.3,percent of total billed charges,999999999,,,,6.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.788,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.545,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.25,percent of total billed charges,2.13694963,,,,,,,,,,2.25,percent of total billed charges,2.101402927,,,,,,,,,,2.25,percent of total billed charges,2.095563218,,,,,,,,,,2.25,percent of total billed charges,2.064706075,,,,,,,,,,2.25,percent of total billed charges,2.117833998,,,,,,,,,,2.25,percent of total billed charges,999999999,,,,,,,,,,2.25,percent of total billed charges,1.817250708,,,,,,,,,,2.25,percent of total billed charges,2.865929684,,,,,,,,,,2.25,percent of total billed charges,999999999,,,,,,,,,,2.25,percent of total billed charges,1.959440704,,,,,,,,,,8.1,percent of total billed charges,,,,,
**E-GUAIFENESIN (ROBITUSSIN)P.E.SYRUP:4O,250,RC,5199-1023-16,NDC,,both,1,EA,9,9,1.915955502,9,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,9,percent of total billed charges,999999999,,,,9,percent of total billed charges,6.857381434,,,,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.354,percent of total billed charges,6.305790475,,,,6.354,percent of total billed charges,4.34905371,,,,,,,,,,6.48,percent of total billed charges,4.211847512,,,,,,,,,,6.48,percent of total billed charges,999999999,,,,,,,,,,7.2,percent of total billed charges,6.033225731,,,,7.11,percent of total billed charges,6.861455978,,,,7.11,percent of total billed charges,6.062323481,,,,7.2,percent of total billed charges,999999999,,,,7.2,percent of total billed charges,999999999,,,,6.3,percent of total billed charges,999999999,,,,6.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.788,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.545,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.25,percent of total billed charges,2.13694963,,,,,,,,,,2.25,percent of total billed charges,2.101402927,,,,,,,,,,2.25,percent of total billed charges,2.095563218,,,,,,,,,,2.25,percent of total billed charges,2.064706075,,,,,,,,,,2.25,percent of total billed charges,2.117833998,,,,,,,,,,2.25,percent of total billed charges,999999999,,,,,,,,,,2.25,percent of total billed charges,1.817250708,,,,,,,,,,2.25,percent of total billed charges,2.865929684,,,,,,,,,,2.25,percent of total billed charges,999999999,,,,,,,,,,2.25,percent of total billed charges,1.959440704,,,,,,,,,,8.1,percent of total billed charges,,,,,
**E-CITRACAL WITH D TABLETS: BOTTLE OF 1,259,RC,9999-9999-99,NDC,,both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**ETODOLAC (LODINE) 300 MG: TAB,259,RC,0009-3839-01,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
**VALSARTAN 160 HYDROCHLORTHIAZIDE 25:T,259,RC,0007-8038-34,NDC,,both,1,EA,10,10,2.128839446,10,10,percent of total billed charges,7.357355257,,,,10,percent of total billed charges,7.7986511,,,,10,percent of total billed charges,7.357355257,,,,10,percent of total billed charges,7.7986511,,,,10,percent of total billed charges,999999999,,,,10,percent of total billed charges,7.619312704,,,,10,percent of total billed charges,7.357355257,,,,10,percent of total billed charges,7.7986511,,,,7.13,percent of total billed charges,3.558000479,,,,7.13,percent of total billed charges,2.128839446,,,,7.13,percent of total billed charges,3.558000479,,,,7.13,percent of total billed charges,2.128839446,,,,7.13,percent of total billed charges,3.558000479,,,,7.13,percent of total billed charges,2.128839446,,,,7.06,percent of total billed charges,7.006433861,,,,7.06,percent of total billed charges,4.8322819,,,,,,,,,,7.2,percent of total billed charges,4.679830569,,,,,,,,,,7.2,percent of total billed charges,999999999,,,,,,,,,,8,percent of total billed charges,6.703584146,,,,7.9,percent of total billed charges,7.623839976,,,,7.9,percent of total billed charges,6.735914979,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,999999999,,,,7,percent of total billed charges,999999999,,,,7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.32,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.05,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.5,percent of total billed charges,2.374388478,,,,,,,,,,2.5,percent of total billed charges,2.334892141,,,,,,,,,,2.5,percent of total billed charges,2.328403576,,,,,,,,,,2.5,percent of total billed charges,2.294117861,,,,,,,,,,2.5,percent of total billed charges,2.353148886,,,,,,,,,,2.5,percent of total billed charges,999999999,,,,,,,,,,2.5,percent of total billed charges,2.019167453,,,,,,,,,,2.5,percent of total billed charges,3.184366315,,,,,,,,,,2.5,percent of total billed charges,999999999,,,,,,,,,,2.5,percent of total billed charges,2.177156338,,,,,,,,,,9,percent of total billed charges,,,,,
**LANSOPRAZOLE (PREVACID) SOLUTAB 30M,259,RC,0030-0731-30,NDC,,both,1,EA,15,15,3.193259169,15,15,percent of total billed charges,11.03603289,,,,15,percent of total billed charges,11.69797665,,,,15,percent of total billed charges,11.03603289,,,,15,percent of total billed charges,11.69797665,,,,15,percent of total billed charges,999999999,,,,15,percent of total billed charges,11.42896906,,,,15,percent of total billed charges,11.03603289,,,,15,percent of total billed charges,11.69797665,,,,10.695,percent of total billed charges,5.337000719,,,,10.695,percent of total billed charges,3.193259169,,,,10.695,percent of total billed charges,5.337000719,,,,10.695,percent of total billed charges,3.193259169,,,,10.695,percent of total billed charges,5.337000719,,,,10.695,percent of total billed charges,3.193259169,,,,10.59,percent of total billed charges,10.50965079,,,,10.59,percent of total billed charges,7.248422851,,,,,,,,,,10.8,percent of total billed charges,7.019745853,,,,,,,,,,10.8,percent of total billed charges,999999999,,,,,,,,,,12,percent of total billed charges,10.05537622,,,,11.85,percent of total billed charges,11.43575996,,,,11.85,percent of total billed charges,10.10387247,,,,12,percent of total billed charges,999999999,,,,12,percent of total billed charges,999999999,,,,10.5,percent of total billed charges,999999999,,,,10.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,7.98,percent of total billed charges,999999999,,,,,,,,,,,,,,,,7.575,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3.75,percent of total billed charges,3.561582716,,,,,,,,,,3.75,percent of total billed charges,3.502338211,,,,,,,,,,3.75,percent of total billed charges,3.492605363,,,,,,,,,,3.75,percent of total billed charges,3.441176792,,,,,,,,,,3.75,percent of total billed charges,3.52972333,,,,,,,,,,3.75,percent of total billed charges,999999999,,,,,,,,,,3.75,percent of total billed charges,3.02875118,,,,,,,,,,3.75,percent of total billed charges,4.776549473,,,,,,,,,,3.75,percent of total billed charges,999999999,,,,,,,,,,3.75,percent of total billed charges,3.265734506,,,,,,,,,,13.5,percent of total billed charges,,,,,
**BENZTROPINE (COGENTIN) 2 MG TAB,259,RC,6373-9003-10,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
**COLESEVELAN HCL (WELCHOL) 625 MG TA,259,RC,6559-7070-18,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
**ATENOLOL 100MG: TAB,250,RC,0037-8023-01,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
**DUODERM THICK 4 X 4 (5PER BOX): EACH,259,RC,0000-3187-60,NDC,,both,1,EA,17,17,3.619027059,17,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,17,percent of total billed charges,999999999,,,,17,percent of total billed charges,12.9528316,,,,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.002,percent of total billed charges,11.91093756,,,,12.002,percent of total billed charges,8.214879231,,,,,,,,,,12.24,percent of total billed charges,7.955711967,,,,,,,,,,12.24,percent of total billed charges,999999999,,,,,,,,,,13.6,percent of total billed charges,11.39609305,,,,13.43,percent of total billed charges,12.96052796,,,,13.43,percent of total billed charges,11.45105547,,,,13.6,percent of total billed charges,999999999,,,,13.6,percent of total billed charges,999999999,,,,11.9,percent of total billed charges,999999999,,,,11.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.044,percent of total billed charges,999999999,,,,,,,,,,,,,,,,8.585,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4.25,percent of total billed charges,4.036460412,,,,,,,,,,4.25,percent of total billed charges,3.96931664,,,,,,,,,,4.25,percent of total billed charges,3.958286079,,,,,,,,,,4.25,percent of total billed charges,3.900000364,,,,,,,,,,4.25,percent of total billed charges,4.000353107,,,,,,,,,,4.25,percent of total billed charges,999999999,,,,,,,,,,4.25,percent of total billed charges,3.432584671,,,,,,,,,,4.25,percent of total billed charges,5.413422736,,,,,,,,,,4.25,percent of total billed charges,999999999,,,,,,,,,,4.25,percent of total billed charges,3.701165774,,,,,,,,,,15.3,percent of total billed charges,,,,,
**AQUACEL HYDROFIBER DRESSING (2X45CM):,259,RC,0000-3177-03,NDC,,both,1,EA,26,26,5.53498256,26,26,percent of total billed charges,19.12912367,,,,26,percent of total billed charges,20.27649286,,,,26,percent of total billed charges,19.12912367,,,,26,percent of total billed charges,20.27649286,,,,26,percent of total billed charges,999999999,,,,26,percent of total billed charges,19.81021303,,,,26,percent of total billed charges,19.12912367,,,,26,percent of total billed charges,20.27649286,,,,18.538,percent of total billed charges,9.250801246,,,,18.538,percent of total billed charges,5.53498256,,,,18.538,percent of total billed charges,9.250801246,,,,18.538,percent of total billed charges,5.53498256,,,,18.538,percent of total billed charges,9.250801246,,,,18.538,percent of total billed charges,5.53498256,,,,18.356,percent of total billed charges,18.21672804,,,,18.356,percent of total billed charges,12.56393294,,,,,,,,,,18.72,percent of total billed charges,12.16755948,,,,,,,,,,18.72,percent of total billed charges,999999999,,,,,,,,,,20.8,percent of total billed charges,17.42931878,,,,20.54,percent of total billed charges,19.82198394,,,,20.54,percent of total billed charges,17.51337895,,,,20.8,percent of total billed charges,999999999,,,,20.8,percent of total billed charges,999999999,,,,18.2,percent of total billed charges,999999999,,,,18.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,13.832,percent of total billed charges,999999999,,,,,,,,,,,,,,,,13.13,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6.5,percent of total billed charges,6.173410042,,,,,,,,,,6.5,percent of total billed charges,6.070719566,,,,,,,,,,6.5,percent of total billed charges,6.053849297,,,,,,,,,,6.5,percent of total billed charges,5.964706439,,,,,,,,,,6.5,percent of total billed charges,6.118187105,,,,,,,,,,6.5,percent of total billed charges,999999999,,,,,,,,,,6.5,percent of total billed charges,5.249835379,,,,,,,,,,6.5,percent of total billed charges,8.279352419,,,,,,,,,,6.5,percent of total billed charges,999999999,,,,,,,,,,6.5,percent of total billed charges,5.660606478,,,,,,,,,,23.4,percent of total billed charges,,,,,
**STOMAHESIVE POWDER: 1OZ,259,RC,0000-3025-10,NDC,,both,1,EA,25,25,5.322098616,25,25,percent of total billed charges,18.39338814,,,,25,percent of total billed charges,19.49662775,,,,25,percent of total billed charges,18.39338814,,,,25,percent of total billed charges,19.49662775,,,,25,percent of total billed charges,999999999,,,,25,percent of total billed charges,19.04828176,,,,25,percent of total billed charges,18.39338814,,,,25,percent of total billed charges,19.49662775,,,,17.825,percent of total billed charges,8.895001198,,,,17.825,percent of total billed charges,5.322098616,,,,17.825,percent of total billed charges,8.895001198,,,,17.825,percent of total billed charges,5.322098616,,,,17.825,percent of total billed charges,8.895001198,,,,17.825,percent of total billed charges,5.322098616,,,,17.65,percent of total billed charges,17.51608465,,,,17.65,percent of total billed charges,12.08070475,,,,,,,,,,18,percent of total billed charges,11.69957642,,,,,,,,,,18,percent of total billed charges,999999999,,,,,,,,,,20,percent of total billed charges,16.75896036,,,,19.75,percent of total billed charges,19.05959994,,,,19.75,percent of total billed charges,16.83978745,,,,20,percent of total billed charges,999999999,,,,20,percent of total billed charges,999999999,,,,17.5,percent of total billed charges,999999999,,,,17.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,13.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,12.625,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6.25,percent of total billed charges,5.935971194,,,,,,,,,,6.25,percent of total billed charges,5.837230352,,,,,,,,,,6.25,percent of total billed charges,5.821008939,,,,,,,,,,6.25,percent of total billed charges,5.735294653,,,,,,,,,,6.25,percent of total billed charges,5.882872216,,,,,,,,,,6.25,percent of total billed charges,999999999,,,,,,,,,,6.25,percent of total billed charges,5.047918634,,,,,,,,,,6.25,percent of total billed charges,7.960915788,,,,,,,,,,6.25,percent of total billed charges,999999999,,,,,,,,,,6.25,percent of total billed charges,5.442890844,,,,,,,,,,22.5,percent of total billed charges,,,,,
**OXYCODONE (OXYCONTIN) 40MG: TAB,259,RC,5901-1010-20,NDC,,both,1,EA,23,23,4.896330726,23,23,percent of total billed charges,16.92191709,,,,23,percent of total billed charges,17.93689753,,,,23,percent of total billed charges,16.92191709,,,,23,percent of total billed charges,17.93689753,,,,23,percent of total billed charges,999999999,,,,23,percent of total billed charges,17.52441922,,,,23,percent of total billed charges,16.92191709,,,,23,percent of total billed charges,17.93689753,,,,16.399,percent of total billed charges,8.183401102,,,,16.399,percent of total billed charges,4.896330726,,,,16.399,percent of total billed charges,8.183401102,,,,16.399,percent of total billed charges,4.896330726,,,,16.399,percent of total billed charges,8.183401102,,,,16.399,percent of total billed charges,4.896330726,,,,16.238,percent of total billed charges,16.11479788,,,,16.238,percent of total billed charges,11.11424837,,,,,,,,,,16.56,percent of total billed charges,10.76361031,,,,,,,,,,16.56,percent of total billed charges,999999999,,,,,,,,,,18.4,percent of total billed charges,15.41824354,,,,18.17,percent of total billed charges,17.53483194,,,,18.17,percent of total billed charges,15.49260445,,,,18.4,percent of total billed charges,999999999,,,,18.4,percent of total billed charges,999999999,,,,16.1,percent of total billed charges,999999999,,,,16.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,12.236,percent of total billed charges,999999999,,,,,,,,,,,,,,,,11.615,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5.75,percent of total billed charges,5.461093499,,,,,,,,,,5.75,percent of total billed charges,5.370251924,,,,,,,,,,5.75,percent of total billed charges,5.355328224,,,,,,,,,,5.75,percent of total billed charges,5.276471081,,,,,,,,,,5.75,percent of total billed charges,5.412242439,,,,,,,,,,5.75,percent of total billed charges,999999999,,,,,,,,,,5.75,percent of total billed charges,4.644085143,,,,,,,,,,5.75,percent of total billed charges,7.324042525,,,,,,,,,,5.75,percent of total billed charges,999999999,,,,,,,,,,5.75,percent of total billed charges,5.007459577,,,,,,,,,,20.7,percent of total billed charges,,,,,
**ADVAIR (FLUTICASON/SALMETER)500/50:60D,259,RC,0017-3069-00,NDC,,both,1,EA,656,656,139.6518677,656,656,percent of total billed charges,482.6425049,,,,656,percent of total billed charges,511.5915122,,,,656,percent of total billed charges,482.6425049,,,,656,percent of total billed charges,511.5915122,,,,656,percent of total billed charges,999999999,,,,656,percent of total billed charges,499.8269134,,,,656,percent of total billed charges,482.6425049,,,,656,percent of total billed charges,511.5915122,,,,467.728,percent of total billed charges,233.4048314,,,,467.728,percent of total billed charges,139.6518677,,,,467.728,percent of total billed charges,233.4048314,,,,467.728,percent of total billed charges,139.6518677,,,,467.728,percent of total billed charges,233.4048314,,,,467.728,percent of total billed charges,139.6518677,,,,463.136,percent of total billed charges,459.6220613,,,,463.136,percent of total billed charges,316.9976927,,,,,,,,,,472.32,percent of total billed charges,306.9968853,,,,,,,,,,472.32,percent of total billed charges,999999999,,,,,,,,,,524.8,percent of total billed charges,439.75512,,,,518.24,percent of total billed charges,500.1239024,,,,518.24,percent of total billed charges,441.8760227,,,,524.8,percent of total billed charges,999999999,,,,524.8,percent of total billed charges,999999999,,,,459.2,percent of total billed charges,999999999,,,,459.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,348.992,percent of total billed charges,999999999,,,,,,,,,,,,,,,,331.28,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,164,percent of total billed charges,155.7598841,,,,,,,,,,164,percent of total billed charges,153.1689244,,,,,,,,,,164,percent of total billed charges,152.7432746,,,,,,,,,,164,percent of total billed charges,150.4941317,,,,,,,,,,164,percent of total billed charges,154.366567,,,,,,,,,,164,percent of total billed charges,999999999,,,,,,,,,,164,percent of total billed charges,132.4573849,,,,,,,,,,164,percent of total billed charges,208.8944303,,,,,,,,,,164,percent of total billed charges,999999999,,,,,,,,,,164,percent of total billed charges,142.8214558,,,,,,,,,,590.4,percent of total billed charges,,,,,
**ESOMEPRAZOLE MAG. (NEXIUM) 40MG: CAP,259,RC,0000-8084-81,NDC,,both,1,EA,12,12,2.554607335,12,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,12,percent of total billed charges,999999999,,,,12,percent of total billed charges,9.143175245,,,,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.472,percent of total billed charges,8.407720633,,,,8.472,percent of total billed charges,5.79873828,,,,,,,,,,8.64,percent of total billed charges,5.615796683,,,,,,,,,,8.64,percent of total billed charges,999999999,,,,,,,,,,9.6,percent of total billed charges,8.044300975,,,,9.48,percent of total billed charges,9.148607971,,,,9.48,percent of total billed charges,8.083097975,,,,9.6,percent of total billed charges,999999999,,,,9.6,percent of total billed charges,999999999,,,,8.4,percent of total billed charges,999999999,,,,8.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.384,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.06,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3,percent of total billed charges,2.849266173,,,,,,,,,,3,percent of total billed charges,2.801870569,,,,,,,,,,3,percent of total billed charges,2.794084291,,,,,,,,,,3,percent of total billed charges,2.752941434,,,,,,,,,,3,percent of total billed charges,2.823778664,,,,,,,,,,3,percent of total billed charges,999999999,,,,,,,,,,3,percent of total billed charges,2.423000944,,,,,,,,,,3,percent of total billed charges,3.821239578,,,,,,,,,,3,percent of total billed charges,999999999,,,,,,,,,,3,percent of total billed charges,2.612587605,,,,,,,,,,10.8,percent of total billed charges,,,,,
**BAG BALM: 10 OZ,259,RC,0981-9300-10,NDC,,both,1,EA,23,23,4.896330726,23,23,percent of total billed charges,16.92191709,,,,23,percent of total billed charges,17.93689753,,,,23,percent of total billed charges,16.92191709,,,,23,percent of total billed charges,17.93689753,,,,23,percent of total billed charges,999999999,,,,23,percent of total billed charges,17.52441922,,,,23,percent of total billed charges,16.92191709,,,,23,percent of total billed charges,17.93689753,,,,16.399,percent of total billed charges,8.183401102,,,,16.399,percent of total billed charges,4.896330726,,,,16.399,percent of total billed charges,8.183401102,,,,16.399,percent of total billed charges,4.896330726,,,,16.399,percent of total billed charges,8.183401102,,,,16.399,percent of total billed charges,4.896330726,,,,16.238,percent of total billed charges,16.11479788,,,,16.238,percent of total billed charges,11.11424837,,,,,,,,,,16.56,percent of total billed charges,10.76361031,,,,,,,,,,16.56,percent of total billed charges,999999999,,,,,,,,,,18.4,percent of total billed charges,15.41824354,,,,18.17,percent of total billed charges,17.53483194,,,,18.17,percent of total billed charges,15.49260445,,,,18.4,percent of total billed charges,999999999,,,,18.4,percent of total billed charges,999999999,,,,16.1,percent of total billed charges,999999999,,,,16.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,12.236,percent of total billed charges,999999999,,,,,,,,,,,,,,,,11.615,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5.75,percent of total billed charges,5.461093499,,,,,,,,,,5.75,percent of total billed charges,5.370251924,,,,,,,,,,5.75,percent of total billed charges,5.355328224,,,,,,,,,,5.75,percent of total billed charges,5.276471081,,,,,,,,,,5.75,percent of total billed charges,5.412242439,,,,,,,,,,5.75,percent of total billed charges,999999999,,,,,,,,,,5.75,percent of total billed charges,4.644085143,,,,,,,,,,5.75,percent of total billed charges,7.324042525,,,,,,,,,,5.75,percent of total billed charges,999999999,,,,,,,,,,5.75,percent of total billed charges,5.007459577,,,,,,,,,,20.7,percent of total billed charges,,,,,
**DICYCLOMINE (BENTYL) 20MG: TAB,259,RC,0052-7128-01,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
**TRILEPTAL (OXCARBAZEPINE) 300 MG: TAB,259,RC,0007-8033-05,NDC,,both,1,EA,11,11,2.341723391,11,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,11,percent of total billed charges,999999999,,,,11,percent of total billed charges,8.381243975,,,,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.766,percent of total billed charges,7.707077247,,,,7.766,percent of total billed charges,5.31551009,,,,,,,,,,7.92,percent of total billed charges,5.147813626,,,,,,,,,,7.92,percent of total billed charges,999999999,,,,,,,,,,8.8,percent of total billed charges,7.373942561,,,,8.69,percent of total billed charges,8.386223973,,,,8.69,percent of total billed charges,7.409506477,,,,8.8,percent of total billed charges,999999999,,,,8.8,percent of total billed charges,999999999,,,,7.7,percent of total billed charges,999999999,,,,7.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.852,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.555,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.75,percent of total billed charges,2.611827325,,,,,,,,,,2.75,percent of total billed charges,2.568381355,,,,,,,,,,2.75,percent of total billed charges,2.561243933,,,,,,,,,,2.75,percent of total billed charges,2.523529647,,,,,,,,,,2.75,percent of total billed charges,2.588463775,,,,,,,,,,2.75,percent of total billed charges,999999999,,,,,,,,,,2.75,percent of total billed charges,2.221084199,,,,,,,,,,2.75,percent of total billed charges,3.502802947,,,,,,,,,,2.75,percent of total billed charges,999999999,,,,,,,,,,2.75,percent of total billed charges,2.394871971,,,,,,,,,,9.9,percent of total billed charges,,,,,
**GEN TEAL LUBRICANT EYE DROPS: 15 ML,259,RC,5486-8469-00,NDC,,both,1,EA,26,26,5.53498256,26,26,percent of total billed charges,19.12912367,,,,26,percent of total billed charges,20.27649286,,,,26,percent of total billed charges,19.12912367,,,,26,percent of total billed charges,20.27649286,,,,26,percent of total billed charges,999999999,,,,26,percent of total billed charges,19.81021303,,,,26,percent of total billed charges,19.12912367,,,,26,percent of total billed charges,20.27649286,,,,18.538,percent of total billed charges,9.250801246,,,,18.538,percent of total billed charges,5.53498256,,,,18.538,percent of total billed charges,9.250801246,,,,18.538,percent of total billed charges,5.53498256,,,,18.538,percent of total billed charges,9.250801246,,,,18.538,percent of total billed charges,5.53498256,,,,18.356,percent of total billed charges,18.21672804,,,,18.356,percent of total billed charges,12.56393294,,,,,,,,,,18.72,percent of total billed charges,12.16755948,,,,,,,,,,18.72,percent of total billed charges,999999999,,,,,,,,,,20.8,percent of total billed charges,17.42931878,,,,20.54,percent of total billed charges,19.82198394,,,,20.54,percent of total billed charges,17.51337895,,,,20.8,percent of total billed charges,999999999,,,,20.8,percent of total billed charges,999999999,,,,18.2,percent of total billed charges,999999999,,,,18.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,13.832,percent of total billed charges,999999999,,,,,,,,,,,,,,,,13.13,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6.5,percent of total billed charges,6.173410042,,,,,,,,,,6.5,percent of total billed charges,6.070719566,,,,,,,,,,6.5,percent of total billed charges,6.053849297,,,,,,,,,,6.5,percent of total billed charges,5.964706439,,,,,,,,,,6.5,percent of total billed charges,6.118187105,,,,,,,,,,6.5,percent of total billed charges,999999999,,,,,,,,,,6.5,percent of total billed charges,5.249835379,,,,,,,,,,6.5,percent of total billed charges,8.279352419,,,,,,,,,,6.5,percent of total billed charges,999999999,,,,,,,,,,6.5,percent of total billed charges,5.660606478,,,,,,,,,,23.4,percent of total billed charges,,,,,
**D 5% / 1/4 NS + 30 meq KCL:LITER,258,RC,0040-9799-09,NDC,,both,1,EA,40,40,8.515357785,40,40,percent of total billed charges,29.42942103,,,,40,percent of total billed charges,31.1946044,,,,40,percent of total billed charges,29.42942103,,,,40,percent of total billed charges,31.1946044,,,,40,percent of total billed charges,999999999,,,,40,percent of total billed charges,30.47725082,,,,40,percent of total billed charges,29.42942103,,,,40,percent of total billed charges,31.1946044,,,,28.52,percent of total billed charges,14.23200192,,,,28.52,percent of total billed charges,8.515357785,,,,28.52,percent of total billed charges,14.23200192,,,,28.52,percent of total billed charges,8.515357785,,,,28.52,percent of total billed charges,14.23200192,,,,28.52,percent of total billed charges,8.515357785,,,,28.24,percent of total billed charges,28.02573544,,,,28.24,percent of total billed charges,19.3291276,,,,,,,,,,28.8,percent of total billed charges,18.71932228,,,,,,,,,,28.8,percent of total billed charges,999999999,,,,,,,,,,32,percent of total billed charges,26.81433658,,,,31.6,percent of total billed charges,30.4953599,,,,31.6,percent of total billed charges,26.94365992,,,,32,percent of total billed charges,999999999,,,,32,percent of total billed charges,999999999,,,,28,percent of total billed charges,999999999,,,,28,percent of total billed charges,999999999,,,,,,,,,,,,,,,,21.28,percent of total billed charges,999999999,,,,,,,,,,,,,,,,20.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10,percent of total billed charges,9.497553911,,,,,,,,,,10,percent of total billed charges,9.339568564,,,,,,,,,,10,percent of total billed charges,9.313614303,,,,,,,,,,10,percent of total billed charges,9.176471445,,,,,,,,,,10,percent of total billed charges,9.412595546,,,,,,,,,,10,percent of total billed charges,999999999,,,,,,,,,,10,percent of total billed charges,8.076669814,,,,,,,,,,10,percent of total billed charges,12.73746526,,,,,,,,,,10,percent of total billed charges,999999999,,,,,,,,,,10,percent of total billed charges,8.708625351,,,,,,,,,,36,percent of total billed charges,,,,,
**D 5% / 1/4 NS + 40 meq KCL:LITER,258,RC,0040-9799-09,NDC,,both,1,EA,40,40,8.515357785,40,40,percent of total billed charges,29.42942103,,,,40,percent of total billed charges,31.1946044,,,,40,percent of total billed charges,29.42942103,,,,40,percent of total billed charges,31.1946044,,,,40,percent of total billed charges,999999999,,,,40,percent of total billed charges,30.47725082,,,,40,percent of total billed charges,29.42942103,,,,40,percent of total billed charges,31.1946044,,,,28.52,percent of total billed charges,14.23200192,,,,28.52,percent of total billed charges,8.515357785,,,,28.52,percent of total billed charges,14.23200192,,,,28.52,percent of total billed charges,8.515357785,,,,28.52,percent of total billed charges,14.23200192,,,,28.52,percent of total billed charges,8.515357785,,,,28.24,percent of total billed charges,28.02573544,,,,28.24,percent of total billed charges,19.3291276,,,,,,,,,,28.8,percent of total billed charges,18.71932228,,,,,,,,,,28.8,percent of total billed charges,999999999,,,,,,,,,,32,percent of total billed charges,26.81433658,,,,31.6,percent of total billed charges,30.4953599,,,,31.6,percent of total billed charges,26.94365992,,,,32,percent of total billed charges,999999999,,,,32,percent of total billed charges,999999999,,,,28,percent of total billed charges,999999999,,,,28,percent of total billed charges,999999999,,,,,,,,,,,,,,,,21.28,percent of total billed charges,999999999,,,,,,,,,,,,,,,,20.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10,percent of total billed charges,9.497553911,,,,,,,,,,10,percent of total billed charges,9.339568564,,,,,,,,,,10,percent of total billed charges,9.313614303,,,,,,,,,,10,percent of total billed charges,9.176471445,,,,,,,,,,10,percent of total billed charges,9.412595546,,,,,,,,,,10,percent of total billed charges,999999999,,,,,,,,,,10,percent of total billed charges,8.076669814,,,,,,,,,,10,percent of total billed charges,12.73746526,,,,,,,,,,10,percent of total billed charges,999999999,,,,,,,,,,10,percent of total billed charges,8.708625351,,,,,,,,,,36,percent of total billed charges,,,,,
**D5W WITH 30 MEQ KCL : 1000 ML,258,RC,0040-9799-09,NDC,,both,1,EA,88,88,18.73378713,88,88,percent of total billed charges,64.74472626,,,,88,percent of total billed charges,68.62812968,,,,88,percent of total billed charges,64.74472626,,,,88,percent of total billed charges,68.62812968,,,,88,percent of total billed charges,999999999,,,,88,percent of total billed charges,67.0499518,,,,88,percent of total billed charges,64.74472626,,,,88,percent of total billed charges,68.62812968,,,,62.744,percent of total billed charges,31.31040422,,,,62.744,percent of total billed charges,18.73378713,,,,62.744,percent of total billed charges,31.31040422,,,,62.744,percent of total billed charges,18.73378713,,,,62.744,percent of total billed charges,31.31040422,,,,62.744,percent of total billed charges,18.73378713,,,,62.128,percent of total billed charges,61.65661797,,,,62.128,percent of total billed charges,42.52408072,,,,,,,,,,63.36,percent of total billed charges,41.18250901,,,,,,,,,,63.36,percent of total billed charges,999999999,,,,,,,,,,70.4,percent of total billed charges,58.99154048,,,,69.52,percent of total billed charges,67.08979179,,,,69.52,percent of total billed charges,59.27605182,,,,70.4,percent of total billed charges,999999999,,,,70.4,percent of total billed charges,999999999,,,,61.6,percent of total billed charges,999999999,,,,61.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,46.816,percent of total billed charges,999999999,,,,,,,,,,,,,,,,44.44,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,22,percent of total billed charges,20.8946186,,,,,,,,,,22,percent of total billed charges,20.54705084,,,,,,,,,,22,percent of total billed charges,20.48995147,,,,,,,,,,22,percent of total billed charges,20.18823718,,,,,,,,,,22,percent of total billed charges,20.7077102,,,,,,,,,,22,percent of total billed charges,999999999,,,,,,,,,,22,percent of total billed charges,17.76867359,,,,,,,,,,22,percent of total billed charges,28.02242357,,,,,,,,,,22,percent of total billed charges,999999999,,,,,,,,,,22,percent of total billed charges,19.15897577,,,,,,,,,,79.2,percent of total billed charges,,,,,
**TICAR/CLAVULAN(TIMENTIN) 3:1 GM: VIAL,258,RC,0002-9657-26,NDC,,both,1,EA,50,50,10.64419723,50,50,percent of total billed charges,36.78677629,,,,50,percent of total billed charges,38.9932555,,,,50,percent of total billed charges,36.78677629,,,,50,percent of total billed charges,38.9932555,,,,50,percent of total billed charges,999999999,,,,50,percent of total billed charges,38.09656352,,,,50,percent of total billed charges,36.78677629,,,,50,percent of total billed charges,38.9932555,,,,35.65,percent of total billed charges,17.7900024,,,,35.65,percent of total billed charges,10.64419723,,,,35.65,percent of total billed charges,17.7900024,,,,35.65,percent of total billed charges,10.64419723,,,,35.65,percent of total billed charges,17.7900024,,,,35.65,percent of total billed charges,10.64419723,,,,35.3,percent of total billed charges,35.0321693,,,,35.3,percent of total billed charges,24.1614095,,,,,,,,,,36,percent of total billed charges,23.39915284,,,,,,,,,,36,percent of total billed charges,999999999,,,,,,,,,,40,percent of total billed charges,33.51792073,,,,39.5,percent of total billed charges,38.11919988,,,,39.5,percent of total billed charges,33.6795749,,,,40,percent of total billed charges,999999999,,,,40,percent of total billed charges,999999999,,,,35,percent of total billed charges,999999999,,,,35,percent of total billed charges,999999999,,,,,,,,,,,,,,,,26.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,25.25,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12.5,percent of total billed charges,11.87194239,,,,,,,,,,12.5,percent of total billed charges,11.6744607,,,,,,,,,,12.5,percent of total billed charges,11.64201788,,,,,,,,,,12.5,percent of total billed charges,11.47058931,,,,,,,,,,12.5,percent of total billed charges,11.76574443,,,,,,,,,,12.5,percent of total billed charges,999999999,,,,,,,,,,12.5,percent of total billed charges,10.09583727,,,,,,,,,,12.5,percent of total billed charges,15.92183158,,,,,,,,,,12.5,percent of total billed charges,999999999,,,,,,,,,,12.5,percent of total billed charges,10.88578169,,,,,,,,,,45,percent of total billed charges,,,,,
**ICY HOT PATCH:  BOX OF 5,259,RC,0411-6700-43,NDC,,both,1,EA,7,7,1.490187612,7,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,7,percent of total billed charges,999999999,,,,7,percent of total billed charges,5.333518893,,,,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.942,percent of total billed charges,4.904503703,,,,4.942,percent of total billed charges,3.38259733,,,,,,,,,,5.04,percent of total billed charges,3.275881398,,,,,,,,,,5.04,percent of total billed charges,999999999,,,,,,,,,,5.6,percent of total billed charges,4.692508902,,,,5.53,percent of total billed charges,5.336687983,,,,5.53,percent of total billed charges,4.715140486,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,4.9,percent of total billed charges,999999999,,,,4.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.724,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.535,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.75,percent of total billed charges,1.662071934,,,,,,,,,,1.75,percent of total billed charges,1.634424499,,,,,,,,,,1.75,percent of total billed charges,1.629882503,,,,,,,,,,1.75,percent of total billed charges,1.605882503,,,,,,,,,,1.75,percent of total billed charges,1.647204221,,,,,,,,,,1.75,percent of total billed charges,999999999,,,,,,,,,,1.75,percent of total billed charges,1.413417217,,,,,,,,,,1.75,percent of total billed charges,2.229056421,,,,,,,,,,1.75,percent of total billed charges,999999999,,,,,,,,,,1.75,percent of total billed charges,1.524009436,,,,,,,,,,6.3,percent of total billed charges,,,,,
**DEMECLOCYCLINE (DECLOMYCIN) 300MG T,259,RC,6258-4016-65,NDC,,both,1,EA,35,35,7.450938062,35,35,percent of total billed charges,25.7507434,,,,35,percent of total billed charges,27.29527885,,,,35,percent of total billed charges,25.7507434,,,,35,percent of total billed charges,27.29527885,,,,35,percent of total billed charges,999999999,,,,35,percent of total billed charges,26.66759446,,,,35,percent of total billed charges,25.7507434,,,,35,percent of total billed charges,27.29527885,,,,24.955,percent of total billed charges,12.45300168,,,,24.955,percent of total billed charges,7.450938062,,,,24.955,percent of total billed charges,12.45300168,,,,24.955,percent of total billed charges,7.450938062,,,,24.955,percent of total billed charges,12.45300168,,,,24.955,percent of total billed charges,7.450938062,,,,24.71,percent of total billed charges,24.52251851,,,,24.71,percent of total billed charges,16.91298665,,,,,,,,,,25.2,percent of total billed charges,16.37940699,,,,,,,,,,25.2,percent of total billed charges,999999999,,,,,,,,,,28,percent of total billed charges,23.46254451,,,,27.65,percent of total billed charges,26.68343992,,,,27.65,percent of total billed charges,23.57570243,,,,28,percent of total billed charges,999999999,,,,28,percent of total billed charges,999999999,,,,24.5,percent of total billed charges,999999999,,,,24.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,18.62,percent of total billed charges,999999999,,,,,,,,,,,,,,,,17.675,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8.75,percent of total billed charges,8.310359672,,,,,,,,,,8.75,percent of total billed charges,8.172122493,,,,,,,,,,8.75,percent of total billed charges,8.149412515,,,,,,,,,,8.75,percent of total billed charges,8.029412515,,,,,,,,,,8.75,percent of total billed charges,8.236021103,,,,,,,,,,8.75,percent of total billed charges,999999999,,,,,,,,,,8.75,percent of total billed charges,7.067086087,,,,,,,,,,8.75,percent of total billed charges,11.1452821,,,,,,,,,,8.75,percent of total billed charges,999999999,,,,,,,,,,8.75,percent of total billed charges,7.620047182,,,,,,,,,,31.5,percent of total billed charges,,,,,
**TRIFLUROPERAZINE (STELAZINE) 2MG: T,259,RC,0037-8240-01,NDC,,both,1,EA,12,12,2.554607335,12,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,12,percent of total billed charges,999999999,,,,12,percent of total billed charges,9.143175245,,,,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.472,percent of total billed charges,8.407720633,,,,8.472,percent of total billed charges,5.79873828,,,,,,,,,,8.64,percent of total billed charges,5.615796683,,,,,,,,,,8.64,percent of total billed charges,999999999,,,,,,,,,,9.6,percent of total billed charges,8.044300975,,,,9.48,percent of total billed charges,9.148607971,,,,9.48,percent of total billed charges,8.083097975,,,,9.6,percent of total billed charges,999999999,,,,9.6,percent of total billed charges,999999999,,,,8.4,percent of total billed charges,999999999,,,,8.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.384,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.06,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3,percent of total billed charges,2.849266173,,,,,,,,,,3,percent of total billed charges,2.801870569,,,,,,,,,,3,percent of total billed charges,2.794084291,,,,,,,,,,3,percent of total billed charges,2.752941434,,,,,,,,,,3,percent of total billed charges,2.823778664,,,,,,,,,,3,percent of total billed charges,999999999,,,,,,,,,,3,percent of total billed charges,2.423000944,,,,,,,,,,3,percent of total billed charges,3.821239578,,,,,,,,,,3,percent of total billed charges,999999999,,,,,,,,,,3,percent of total billed charges,2.612587605,,,,,,,,,,10.8,percent of total billed charges,,,,,
**ACETYL-N-CYSTEIN 10% OPTH SOLN:COMPOUN,259,RC,9999-9999-99,NDC,,both,1,EA,11,11,2.341723391,11,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,11,percent of total billed charges,999999999,,,,11,percent of total billed charges,8.381243975,,,,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.766,percent of total billed charges,7.707077247,,,,7.766,percent of total billed charges,5.31551009,,,,,,,,,,7.92,percent of total billed charges,5.147813626,,,,,,,,,,7.92,percent of total billed charges,999999999,,,,,,,,,,8.8,percent of total billed charges,7.373942561,,,,8.69,percent of total billed charges,8.386223973,,,,8.69,percent of total billed charges,7.409506477,,,,8.8,percent of total billed charges,999999999,,,,8.8,percent of total billed charges,999999999,,,,7.7,percent of total billed charges,999999999,,,,7.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.852,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.555,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.75,percent of total billed charges,2.611827325,,,,,,,,,,2.75,percent of total billed charges,2.568381355,,,,,,,,,,2.75,percent of total billed charges,2.561243933,,,,,,,,,,2.75,percent of total billed charges,2.523529647,,,,,,,,,,2.75,percent of total billed charges,2.588463775,,,,,,,,,,2.75,percent of total billed charges,999999999,,,,,,,,,,2.75,percent of total billed charges,2.221084199,,,,,,,,,,2.75,percent of total billed charges,3.502802947,,,,,,,,,,2.75,percent of total billed charges,999999999,,,,,,,,,,2.75,percent of total billed charges,2.394871971,,,,,,,,,,9.9,percent of total billed charges,,,,,
**BEXTRA (VALDECOXIB) 20MG: TAB,250,RC,0002-5197-31,NDC,,both,1,EA,11,11,2.341723391,11,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,11,percent of total billed charges,999999999,,,,11,percent of total billed charges,8.381243975,,,,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.766,percent of total billed charges,7.707077247,,,,7.766,percent of total billed charges,5.31551009,,,,,,,,,,7.92,percent of total billed charges,5.147813626,,,,,,,,,,7.92,percent of total billed charges,999999999,,,,,,,,,,8.8,percent of total billed charges,7.373942561,,,,8.69,percent of total billed charges,8.386223973,,,,8.69,percent of total billed charges,7.409506477,,,,8.8,percent of total billed charges,999999999,,,,8.8,percent of total billed charges,999999999,,,,7.7,percent of total billed charges,999999999,,,,7.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.852,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.555,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.75,percent of total billed charges,2.611827325,,,,,,,,,,2.75,percent of total billed charges,2.568381355,,,,,,,,,,2.75,percent of total billed charges,2.561243933,,,,,,,,,,2.75,percent of total billed charges,2.523529647,,,,,,,,,,2.75,percent of total billed charges,2.588463775,,,,,,,,,,2.75,percent of total billed charges,999999999,,,,,,,,,,2.75,percent of total billed charges,2.221084199,,,,,,,,,,2.75,percent of total billed charges,3.502802947,,,,,,,,,,2.75,percent of total billed charges,999999999,,,,,,,,,,2.75,percent of total billed charges,2.394871971,,,,,,,,,,9.9,percent of total billed charges,,,,,
**IMIPRAMINE (TOFRANIL) 50MG: TAB,250,RC,0078-1176-01,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
**FORADIL (FORMOTEROL)AEROLIZER: 60 DO,259,RC,0008-5140-01,NDC,,both,1,EA,89,89,18.94667107,89,89,percent of total billed charges,65.48046179,,,,89,percent of total billed charges,69.40799479,,,,89,percent of total billed charges,65.48046179,,,,89,percent of total billed charges,69.40799479,,,,89,percent of total billed charges,999999999,,,,89,percent of total billed charges,67.81188307,,,,89,percent of total billed charges,65.48046179,,,,89,percent of total billed charges,69.40799479,,,,63.457,percent of total billed charges,31.66620427,,,,63.457,percent of total billed charges,18.94667107,,,,63.457,percent of total billed charges,31.66620427,,,,63.457,percent of total billed charges,18.94667107,,,,63.457,percent of total billed charges,31.66620427,,,,63.457,percent of total billed charges,18.94667107,,,,62.834,percent of total billed charges,62.35726136,,,,62.834,percent of total billed charges,43.00730891,,,,,,,,,,64.08,percent of total billed charges,41.65049206,,,,,,,,,,64.08,percent of total billed charges,999999999,,,,,,,,,,71.2,percent of total billed charges,59.6618989,,,,70.31,percent of total billed charges,67.85217578,,,,70.31,percent of total billed charges,59.94964332,,,,71.2,percent of total billed charges,999999999,,,,71.2,percent of total billed charges,999999999,,,,62.3,percent of total billed charges,999999999,,,,62.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,47.348,percent of total billed charges,999999999,,,,,,,,,,,,,,,,44.945,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,22.25,percent of total billed charges,21.13205745,,,,,,,,,,22.25,percent of total billed charges,20.78054005,,,,,,,,,,22.25,percent of total billed charges,20.72279182,,,,,,,,,,22.25,percent of total billed charges,20.41764897,,,,,,,,,,22.25,percent of total billed charges,20.94302509,,,,,,,,,,22.25,percent of total billed charges,999999999,,,,,,,,,,22.25,percent of total billed charges,17.97059034,,,,,,,,,,22.25,percent of total billed charges,28.34086021,,,,,,,,,,22.25,percent of total billed charges,999999999,,,,,,,,,,22.25,percent of total billed charges,19.37669141,,,,,,,,,,80.1,percent of total billed charges,,,,,
**TASMAR (TOLCAPONE) 100MG: TAB,259,RC,0018-7093-01,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
**GEODON (ZIPRASIDONE) 40MG: CAP,259,RC,0004-9397-60,NDC,,both,1,EA,15,15,3.193259169,15,15,percent of total billed charges,11.03603289,,,,15,percent of total billed charges,11.69797665,,,,15,percent of total billed charges,11.03603289,,,,15,percent of total billed charges,11.69797665,,,,15,percent of total billed charges,999999999,,,,15,percent of total billed charges,11.42896906,,,,15,percent of total billed charges,11.03603289,,,,15,percent of total billed charges,11.69797665,,,,10.695,percent of total billed charges,5.337000719,,,,10.695,percent of total billed charges,3.193259169,,,,10.695,percent of total billed charges,5.337000719,,,,10.695,percent of total billed charges,3.193259169,,,,10.695,percent of total billed charges,5.337000719,,,,10.695,percent of total billed charges,3.193259169,,,,10.59,percent of total billed charges,10.50965079,,,,10.59,percent of total billed charges,7.248422851,,,,,,,,,,10.8,percent of total billed charges,7.019745853,,,,,,,,,,10.8,percent of total billed charges,999999999,,,,,,,,,,12,percent of total billed charges,10.05537622,,,,11.85,percent of total billed charges,11.43575996,,,,11.85,percent of total billed charges,10.10387247,,,,12,percent of total billed charges,999999999,,,,12,percent of total billed charges,999999999,,,,10.5,percent of total billed charges,999999999,,,,10.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,7.98,percent of total billed charges,999999999,,,,,,,,,,,,,,,,7.575,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3.75,percent of total billed charges,3.561582716,,,,,,,,,,3.75,percent of total billed charges,3.502338211,,,,,,,,,,3.75,percent of total billed charges,3.492605363,,,,,,,,,,3.75,percent of total billed charges,3.441176792,,,,,,,,,,3.75,percent of total billed charges,3.52972333,,,,,,,,,,3.75,percent of total billed charges,999999999,,,,,,,,,,3.75,percent of total billed charges,3.02875118,,,,,,,,,,3.75,percent of total billed charges,4.776549473,,,,,,,,,,3.75,percent of total billed charges,999999999,,,,,,,,,,3.75,percent of total billed charges,3.265734506,,,,,,,,,,13.5,percent of total billed charges,,,,,
**CRIXIVAN (INDINAVIR) 400 MG: CAP,259,RC,0000-6057-54,NDC,,both,1,EA,11,11,2.341723391,11,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,11,percent of total billed charges,999999999,,,,11,percent of total billed charges,8.381243975,,,,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.766,percent of total billed charges,7.707077247,,,,7.766,percent of total billed charges,5.31551009,,,,,,,,,,7.92,percent of total billed charges,5.147813626,,,,,,,,,,7.92,percent of total billed charges,999999999,,,,,,,,,,8.8,percent of total billed charges,7.373942561,,,,8.69,percent of total billed charges,8.386223973,,,,8.69,percent of total billed charges,7.409506477,,,,8.8,percent of total billed charges,999999999,,,,8.8,percent of total billed charges,999999999,,,,7.7,percent of total billed charges,999999999,,,,7.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.852,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.555,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.75,percent of total billed charges,2.611827325,,,,,,,,,,2.75,percent of total billed charges,2.568381355,,,,,,,,,,2.75,percent of total billed charges,2.561243933,,,,,,,,,,2.75,percent of total billed charges,2.523529647,,,,,,,,,,2.75,percent of total billed charges,2.588463775,,,,,,,,,,2.75,percent of total billed charges,999999999,,,,,,,,,,2.75,percent of total billed charges,2.221084199,,,,,,,,,,2.75,percent of total billed charges,3.502802947,,,,,,,,,,2.75,percent of total billed charges,999999999,,,,,,,,,,2.75,percent of total billed charges,2.394871971,,,,,,,,,,9.9,percent of total billed charges,,,,,
**D-AMINE SR (PSE 120MG CHLORPHENIR.8MG,259,RC,5974-3005-01,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
**DUODERM DRESS. 4X4 ADHESIVE(BOX 5)SNF:,259,RC,0000-3187-71,NDC,,both,1,EA,23,23,4.896330726,23,23,percent of total billed charges,16.92191709,,,,23,percent of total billed charges,17.93689753,,,,23,percent of total billed charges,16.92191709,,,,23,percent of total billed charges,17.93689753,,,,23,percent of total billed charges,999999999,,,,23,percent of total billed charges,17.52441922,,,,23,percent of total billed charges,16.92191709,,,,23,percent of total billed charges,17.93689753,,,,16.399,percent of total billed charges,8.183401102,,,,16.399,percent of total billed charges,4.896330726,,,,16.399,percent of total billed charges,8.183401102,,,,16.399,percent of total billed charges,4.896330726,,,,16.399,percent of total billed charges,8.183401102,,,,16.399,percent of total billed charges,4.896330726,,,,16.238,percent of total billed charges,16.11479788,,,,16.238,percent of total billed charges,11.11424837,,,,,,,,,,16.56,percent of total billed charges,10.76361031,,,,,,,,,,16.56,percent of total billed charges,999999999,,,,,,,,,,18.4,percent of total billed charges,15.41824354,,,,18.17,percent of total billed charges,17.53483194,,,,18.17,percent of total billed charges,15.49260445,,,,18.4,percent of total billed charges,999999999,,,,18.4,percent of total billed charges,999999999,,,,16.1,percent of total billed charges,999999999,,,,16.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,12.236,percent of total billed charges,999999999,,,,,,,,,,,,,,,,11.615,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5.75,percent of total billed charges,5.461093499,,,,,,,,,,5.75,percent of total billed charges,5.370251924,,,,,,,,,,5.75,percent of total billed charges,5.355328224,,,,,,,,,,5.75,percent of total billed charges,5.276471081,,,,,,,,,,5.75,percent of total billed charges,5.412242439,,,,,,,,,,5.75,percent of total billed charges,999999999,,,,,,,,,,5.75,percent of total billed charges,4.644085143,,,,,,,,,,5.75,percent of total billed charges,7.324042525,,,,,,,,,,5.75,percent of total billed charges,999999999,,,,,,,,,,5.75,percent of total billed charges,5.007459577,,,,,,,,,,20.7,percent of total billed charges,,,,,
**CLARINEX (DESLORATADINE) 5MG: TAB,259,RC,0008-5126-03,NDC,,both,1,EA,12,12,2.554607335,12,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,12,percent of total billed charges,999999999,,,,12,percent of total billed charges,9.143175245,,,,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.472,percent of total billed charges,8.407720633,,,,8.472,percent of total billed charges,5.79873828,,,,,,,,,,8.64,percent of total billed charges,5.615796683,,,,,,,,,,8.64,percent of total billed charges,999999999,,,,,,,,,,9.6,percent of total billed charges,8.044300975,,,,9.48,percent of total billed charges,9.148607971,,,,9.48,percent of total billed charges,8.083097975,,,,9.6,percent of total billed charges,999999999,,,,9.6,percent of total billed charges,999999999,,,,8.4,percent of total billed charges,999999999,,,,8.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.384,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.06,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3,percent of total billed charges,2.849266173,,,,,,,,,,3,percent of total billed charges,2.801870569,,,,,,,,,,3,percent of total billed charges,2.794084291,,,,,,,,,,3,percent of total billed charges,2.752941434,,,,,,,,,,3,percent of total billed charges,2.823778664,,,,,,,,,,3,percent of total billed charges,999999999,,,,,,,,,,3,percent of total billed charges,2.423000944,,,,,,,,,,3,percent of total billed charges,3.821239578,,,,,,,,,,3,percent of total billed charges,999999999,,,,,,,,,,3,percent of total billed charges,2.612587605,,,,,,,,,,10.8,percent of total billed charges,,,,,
**ORTHO EVRA PATCH,259,RC,0031-0040-39,NDC,,both,1,EA,297,297,63.22653155,297,297,percent of total billed charges,218.5134511,,,,297,percent of total billed charges,231.6199377,,,,297,percent of total billed charges,218.5134511,,,,297,percent of total billed charges,231.6199377,,,,297,percent of total billed charges,999999999,,,,297,percent of total billed charges,226.2935873,,,,297,percent of total billed charges,218.5134511,,,,297,percent of total billed charges,231.6199377,,,,211.761,percent of total billed charges,105.6726142,,,,211.761,percent of total billed charges,63.22653155,,,,211.761,percent of total billed charges,105.6726142,,,,211.761,percent of total billed charges,63.22653155,,,,211.761,percent of total billed charges,105.6726142,,,,211.761,percent of total billed charges,63.22653155,,,,209.682,percent of total billed charges,208.0910857,,,,209.682,percent of total billed charges,143.5187724,,,,,,,,,,213.84,percent of total billed charges,138.9909679,,,,,,,,,,213.84,percent of total billed charges,999999999,,,,,,,,,,237.6,percent of total billed charges,199.0964491,,,,234.63,percent of total billed charges,226.4280473,,,,234.63,percent of total billed charges,200.0566749,,,,237.6,percent of total billed charges,999999999,,,,237.6,percent of total billed charges,999999999,,,,207.9,percent of total billed charges,999999999,,,,207.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,158.004,percent of total billed charges,999999999,,,,,,,,,,,,,,,,149.985,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,74.25,percent of total billed charges,70.51933779,,,,,,,,,,74.25,percent of total billed charges,69.34629659,,,,,,,,,,74.25,percent of total billed charges,69.1535862,,,,,,,,,,74.25,percent of total billed charges,68.13530048,,,,,,,,,,74.25,percent of total billed charges,69.88852193,,,,,,,,,,74.25,percent of total billed charges,999999999,,,,,,,,,,74.25,percent of total billed charges,59.96927337,,,,,,,,,,74.25,percent of total billed charges,94.57567956,,,,,,,,,,74.25,percent of total billed charges,999999999,,,,,,,,,,74.25,percent of total billed charges,64.66154323,,,,,,,,,,267.3,percent of total billed charges,,,,,
**predniSONE 5 MG/5ML SYRUP,J7506,CDM,0005-4872-16,NDC,,both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**ACYCLOVIR (ZOVIRAX) 800 MG: CAP,259,RC,6330-4050-01,NDC,,both,1,EA,13,13,2.76749128,13,13,percent of total billed charges,9.564561834,,,,13,percent of total billed charges,10.13824643,,,,13,percent of total billed charges,9.564561834,,,,13,percent of total billed charges,10.13824643,,,,13,percent of total billed charges,999999999,,,,13,percent of total billed charges,9.905106516,,,,13,percent of total billed charges,9.564561834,,,,13,percent of total billed charges,10.13824643,,,,9.269,percent of total billed charges,4.625400623,,,,9.269,percent of total billed charges,2.76749128,,,,9.269,percent of total billed charges,4.625400623,,,,9.269,percent of total billed charges,2.76749128,,,,9.269,percent of total billed charges,4.625400623,,,,9.269,percent of total billed charges,2.76749128,,,,9.178,percent of total billed charges,9.108364019,,,,9.178,percent of total billed charges,6.281966471,,,,,,,,,,9.36,percent of total billed charges,6.083779739,,,,,,,,,,9.36,percent of total billed charges,999999999,,,,,,,,,,10.4,percent of total billed charges,8.71465939,,,,10.27,percent of total billed charges,9.910991969,,,,10.27,percent of total billed charges,8.756689473,,,,10.4,percent of total billed charges,999999999,,,,10.4,percent of total billed charges,999999999,,,,9.1,percent of total billed charges,999999999,,,,9.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.916,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.565,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3.25,percent of total billed charges,3.086705021,,,,,,,,,,3.25,percent of total billed charges,3.035359783,,,,,,,,,,3.25,percent of total billed charges,3.026924648,,,,,,,,,,3.25,percent of total billed charges,2.98235322,,,,,,,,,,3.25,percent of total billed charges,3.059093552,,,,,,,,,,3.25,percent of total billed charges,999999999,,,,,,,,,,3.25,percent of total billed charges,2.624917689,,,,,,,,,,3.25,percent of total billed charges,4.13967621,,,,,,,,,,3.25,percent of total billed charges,999999999,,,,,,,,,,3.25,percent of total billed charges,2.830303239,,,,,,,,,,11.7,percent of total billed charges,,,,,
**CHLORPROPAMIDE (DIABINESE) 100MG: T,259,RC,5107-9020-20,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
**TRIMETHOBENZAMIDE (TIGAN) 300MG: C,259,RC,5215-2018-02,NDC,,both,1,EA,7,7,1.490187612,7,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,7,percent of total billed charges,999999999,,,,7,percent of total billed charges,5.333518893,,,,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.942,percent of total billed charges,4.904503703,,,,4.942,percent of total billed charges,3.38259733,,,,,,,,,,5.04,percent of total billed charges,3.275881398,,,,,,,,,,5.04,percent of total billed charges,999999999,,,,,,,,,,5.6,percent of total billed charges,4.692508902,,,,5.53,percent of total billed charges,5.336687983,,,,5.53,percent of total billed charges,4.715140486,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,4.9,percent of total billed charges,999999999,,,,4.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.724,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.535,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.75,percent of total billed charges,1.662071934,,,,,,,,,,1.75,percent of total billed charges,1.634424499,,,,,,,,,,1.75,percent of total billed charges,1.629882503,,,,,,,,,,1.75,percent of total billed charges,1.605882503,,,,,,,,,,1.75,percent of total billed charges,1.647204221,,,,,,,,,,1.75,percent of total billed charges,999999999,,,,,,,,,,1.75,percent of total billed charges,1.413417217,,,,,,,,,,1.75,percent of total billed charges,2.229056421,,,,,,,,,,1.75,percent of total billed charges,999999999,,,,,,,,,,1.75,percent of total billed charges,1.524009436,,,,,,,,,,6.3,percent of total billed charges,,,,,
**DUODERM DRESS.2.5X2.5 ADHES(BOX 5)SNF:,259,RC,0000-3187-70,NDC,,both,1,EA,14,14,2.980375225,14,14,percent of total billed charges,10.30029736,,,,14,percent of total billed charges,10.91811154,,,,14,percent of total billed charges,10.30029736,,,,14,percent of total billed charges,10.91811154,,,,14,percent of total billed charges,999999999,,,,14,percent of total billed charges,10.66703779,,,,14,percent of total billed charges,10.30029736,,,,14,percent of total billed charges,10.91811154,,,,9.982,percent of total billed charges,4.981200671,,,,9.982,percent of total billed charges,2.980375225,,,,9.982,percent of total billed charges,4.981200671,,,,9.982,percent of total billed charges,2.980375225,,,,9.982,percent of total billed charges,4.981200671,,,,9.982,percent of total billed charges,2.980375225,,,,9.884,percent of total billed charges,9.809007405,,,,9.884,percent of total billed charges,6.765194661,,,,,,,,,,10.08,percent of total billed charges,6.551762796,,,,,,,,,,10.08,percent of total billed charges,999999999,,,,,,,,,,11.2,percent of total billed charges,9.385017804,,,,11.06,percent of total billed charges,10.67337597,,,,11.06,percent of total billed charges,9.430280971,,,,11.2,percent of total billed charges,999999999,,,,11.2,percent of total billed charges,999999999,,,,9.8,percent of total billed charges,999999999,,,,9.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,7.448,percent of total billed charges,999999999,,,,,,,,,,,,,,,,7.07,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3.5,percent of total billed charges,3.324143869,,,,,,,,,,3.5,percent of total billed charges,3.268848997,,,,,,,,,,3.5,percent of total billed charges,3.259765006,,,,,,,,,,3.5,percent of total billed charges,3.211765006,,,,,,,,,,3.5,percent of total billed charges,3.294408441,,,,,,,,,,3.5,percent of total billed charges,999999999,,,,,,,,,,3.5,percent of total billed charges,2.826834435,,,,,,,,,,3.5,percent of total billed charges,4.458112841,,,,,,,,,,3.5,percent of total billed charges,999999999,,,,,,,,,,3.5,percent of total billed charges,3.048018873,,,,,,,,,,12.6,percent of total billed charges,,,,,
**CALDESENE (ZINC OXIDE) POWDER: 2.5 OZ,259,RC,0637-3636-01,NDC,,both,1,EA,13,13,2.76749128,13,13,percent of total billed charges,9.564561834,,,,13,percent of total billed charges,10.13824643,,,,13,percent of total billed charges,9.564561834,,,,13,percent of total billed charges,10.13824643,,,,13,percent of total billed charges,999999999,,,,13,percent of total billed charges,9.905106516,,,,13,percent of total billed charges,9.564561834,,,,13,percent of total billed charges,10.13824643,,,,9.269,percent of total billed charges,4.625400623,,,,9.269,percent of total billed charges,2.76749128,,,,9.269,percent of total billed charges,4.625400623,,,,9.269,percent of total billed charges,2.76749128,,,,9.269,percent of total billed charges,4.625400623,,,,9.269,percent of total billed charges,2.76749128,,,,9.178,percent of total billed charges,9.108364019,,,,9.178,percent of total billed charges,6.281966471,,,,,,,,,,9.36,percent of total billed charges,6.083779739,,,,,,,,,,9.36,percent of total billed charges,999999999,,,,,,,,,,10.4,percent of total billed charges,8.71465939,,,,10.27,percent of total billed charges,9.910991969,,,,10.27,percent of total billed charges,8.756689473,,,,10.4,percent of total billed charges,999999999,,,,10.4,percent of total billed charges,999999999,,,,9.1,percent of total billed charges,999999999,,,,9.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.916,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.565,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3.25,percent of total billed charges,3.086705021,,,,,,,,,,3.25,percent of total billed charges,3.035359783,,,,,,,,,,3.25,percent of total billed charges,3.026924648,,,,,,,,,,3.25,percent of total billed charges,2.98235322,,,,,,,,,,3.25,percent of total billed charges,3.059093552,,,,,,,,,,3.25,percent of total billed charges,999999999,,,,,,,,,,3.25,percent of total billed charges,2.624917689,,,,,,,,,,3.25,percent of total billed charges,4.13967621,,,,,,,,,,3.25,percent of total billed charges,999999999,,,,,,,,,,3.25,percent of total billed charges,2.830303239,,,,,,,,,,11.7,percent of total billed charges,,,,,
**CHLORPHENIRAMINE 12 MG CAP:,259,RC,5107-9020-20,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
**RT- LEVALBUTEROL (XOPENEX) 1.25MG/3ML,J7612,CDM,6340-2051-24,NDC,,both,1,EA,9,9,1.915955502,9,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,9,percent of total billed charges,999999999,,,,9,percent of total billed charges,6.857381434,,,,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.354,percent of total billed charges,6.305790475,,,,6.354,percent of total billed charges,4.34905371,,,,,,,,,,6.48,percent of total billed charges,4.211847512,,,,,,,,,,6.48,percent of total billed charges,999999999,,,,,,,,,,7.2,percent of total billed charges,6.033225731,,,,7.11,percent of total billed charges,6.861455978,,,,7.11,percent of total billed charges,6.062323481,,,,7.2,percent of total billed charges,999999999,,,,7.2,percent of total billed charges,999999999,,,,6.3,percent of total billed charges,999999999,,,,6.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.788,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.545,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.25,percent of total billed charges,2.13694963,,,,,,,,,,2.25,percent of total billed charges,2.101402927,,,,,,,,,,2.25,percent of total billed charges,2.095563218,,,,,,,,,,2.25,percent of total billed charges,2.064706075,,,,,,,,,,2.25,percent of total billed charges,2.117833998,,,,,,,,,,2.25,percent of total billed charges,999999999,,,,,,,,,,2.25,percent of total billed charges,1.817250708,,,,,,,,,,2.25,percent of total billed charges,2.865929684,,,,,,,,,,2.25,percent of total billed charges,999999999,,,,,,,,,,2.25,percent of total billed charges,1.959440704,,,,,,,,,,8.1,percent of total billed charges,,,,,
**ZYPREXA (OLANZAPINE) 7.5 MG : TAB,259,RC,0000-2411-30,NDC,,both,1,EA,25,25,5.322098616,25,25,percent of total billed charges,18.39338814,,,,25,percent of total billed charges,19.49662775,,,,25,percent of total billed charges,18.39338814,,,,25,percent of total billed charges,19.49662775,,,,25,percent of total billed charges,999999999,,,,25,percent of total billed charges,19.04828176,,,,25,percent of total billed charges,18.39338814,,,,25,percent of total billed charges,19.49662775,,,,17.825,percent of total billed charges,8.895001198,,,,17.825,percent of total billed charges,5.322098616,,,,17.825,percent of total billed charges,8.895001198,,,,17.825,percent of total billed charges,5.322098616,,,,17.825,percent of total billed charges,8.895001198,,,,17.825,percent of total billed charges,5.322098616,,,,17.65,percent of total billed charges,17.51608465,,,,17.65,percent of total billed charges,12.08070475,,,,,,,,,,18,percent of total billed charges,11.69957642,,,,,,,,,,18,percent of total billed charges,999999999,,,,,,,,,,20,percent of total billed charges,16.75896036,,,,19.75,percent of total billed charges,19.05959994,,,,19.75,percent of total billed charges,16.83978745,,,,20,percent of total billed charges,999999999,,,,20,percent of total billed charges,999999999,,,,17.5,percent of total billed charges,999999999,,,,17.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,13.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,12.625,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6.25,percent of total billed charges,5.935971194,,,,,,,,,,6.25,percent of total billed charges,5.837230352,,,,,,,,,,6.25,percent of total billed charges,5.821008939,,,,,,,,,,6.25,percent of total billed charges,5.735294653,,,,,,,,,,6.25,percent of total billed charges,5.882872216,,,,,,,,,,6.25,percent of total billed charges,999999999,,,,,,,,,,6.25,percent of total billed charges,5.047918634,,,,,,,,,,6.25,percent of total billed charges,7.960915788,,,,,,,,,,6.25,percent of total billed charges,999999999,,,,,,,,,,6.25,percent of total billed charges,5.442890844,,,,,,,,,,22.5,percent of total billed charges,,,,,
**TRICOR (FENOFIBRATE) 54 MG: TAB,250,RC,0007-4400-90,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
**E-DR SCHOLL BLISTER TX CUSHION,250,RC,9999-9999-99,NDC,,both,1,EA,11,11,2.341723391,11,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,11,percent of total billed charges,999999999,,,,11,percent of total billed charges,8.381243975,,,,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.766,percent of total billed charges,7.707077247,,,,7.766,percent of total billed charges,5.31551009,,,,,,,,,,7.92,percent of total billed charges,5.147813626,,,,,,,,,,7.92,percent of total billed charges,999999999,,,,,,,,,,8.8,percent of total billed charges,7.373942561,,,,8.69,percent of total billed charges,8.386223973,,,,8.69,percent of total billed charges,7.409506477,,,,8.8,percent of total billed charges,999999999,,,,8.8,percent of total billed charges,999999999,,,,7.7,percent of total billed charges,999999999,,,,7.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.852,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.555,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.75,percent of total billed charges,2.611827325,,,,,,,,,,2.75,percent of total billed charges,2.568381355,,,,,,,,,,2.75,percent of total billed charges,2.561243933,,,,,,,,,,2.75,percent of total billed charges,2.523529647,,,,,,,,,,2.75,percent of total billed charges,2.588463775,,,,,,,,,,2.75,percent of total billed charges,999999999,,,,,,,,,,2.75,percent of total billed charges,2.221084199,,,,,,,,,,2.75,percent of total billed charges,3.502802947,,,,,,,,,,2.75,percent of total billed charges,999999999,,,,,,,,,,2.75,percent of total billed charges,2.394871971,,,,,,,,,,9.9,percent of total billed charges,,,,,
**ROSIGLITAZONE (AVANDIA) 8 MG TAB,259,RC,0017-3083-13,NDC,,both,1,EA,10,10,2.128839446,10,10,percent of total billed charges,7.357355257,,,,10,percent of total billed charges,7.7986511,,,,10,percent of total billed charges,7.357355257,,,,10,percent of total billed charges,7.7986511,,,,10,percent of total billed charges,999999999,,,,10,percent of total billed charges,7.619312704,,,,10,percent of total billed charges,7.357355257,,,,10,percent of total billed charges,7.7986511,,,,7.13,percent of total billed charges,3.558000479,,,,7.13,percent of total billed charges,2.128839446,,,,7.13,percent of total billed charges,3.558000479,,,,7.13,percent of total billed charges,2.128839446,,,,7.13,percent of total billed charges,3.558000479,,,,7.13,percent of total billed charges,2.128839446,,,,7.06,percent of total billed charges,7.006433861,,,,7.06,percent of total billed charges,4.8322819,,,,,,,,,,7.2,percent of total billed charges,4.679830569,,,,,,,,,,7.2,percent of total billed charges,999999999,,,,,,,,,,8,percent of total billed charges,6.703584146,,,,7.9,percent of total billed charges,7.623839976,,,,7.9,percent of total billed charges,6.735914979,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,999999999,,,,7,percent of total billed charges,999999999,,,,7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.32,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.05,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.5,percent of total billed charges,2.374388478,,,,,,,,,,2.5,percent of total billed charges,2.334892141,,,,,,,,,,2.5,percent of total billed charges,2.328403576,,,,,,,,,,2.5,percent of total billed charges,2.294117861,,,,,,,,,,2.5,percent of total billed charges,2.353148886,,,,,,,,,,2.5,percent of total billed charges,999999999,,,,,,,,,,2.5,percent of total billed charges,2.019167453,,,,,,,,,,2.5,percent of total billed charges,3.184366315,,,,,,,,,,2.5,percent of total billed charges,999999999,,,,,,,,,,2.5,percent of total billed charges,2.177156338,,,,,,,,,,9,percent of total billed charges,,,,,
**PSYLLIUM POWDER (METAMUCIL ORANGE:48DO,259,RC,5229-7030-27,NDC,,both,1,EA,26,26,5.53498256,26,26,percent of total billed charges,19.12912367,,,,26,percent of total billed charges,20.27649286,,,,26,percent of total billed charges,19.12912367,,,,26,percent of total billed charges,20.27649286,,,,26,percent of total billed charges,999999999,,,,26,percent of total billed charges,19.81021303,,,,26,percent of total billed charges,19.12912367,,,,26,percent of total billed charges,20.27649286,,,,18.538,percent of total billed charges,9.250801246,,,,18.538,percent of total billed charges,5.53498256,,,,18.538,percent of total billed charges,9.250801246,,,,18.538,percent of total billed charges,5.53498256,,,,18.538,percent of total billed charges,9.250801246,,,,18.538,percent of total billed charges,5.53498256,,,,18.356,percent of total billed charges,18.21672804,,,,18.356,percent of total billed charges,12.56393294,,,,,,,,,,18.72,percent of total billed charges,12.16755948,,,,,,,,,,18.72,percent of total billed charges,999999999,,,,,,,,,,20.8,percent of total billed charges,17.42931878,,,,20.54,percent of total billed charges,19.82198394,,,,20.54,percent of total billed charges,17.51337895,,,,20.8,percent of total billed charges,999999999,,,,20.8,percent of total billed charges,999999999,,,,18.2,percent of total billed charges,999999999,,,,18.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,13.832,percent of total billed charges,999999999,,,,,,,,,,,,,,,,13.13,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6.5,percent of total billed charges,6.173410042,,,,,,,,,,6.5,percent of total billed charges,6.070719566,,,,,,,,,,6.5,percent of total billed charges,6.053849297,,,,,,,,,,6.5,percent of total billed charges,5.964706439,,,,,,,,,,6.5,percent of total billed charges,6.118187105,,,,,,,,,,6.5,percent of total billed charges,999999999,,,,,,,,,,6.5,percent of total billed charges,5.249835379,,,,,,,,,,6.5,percent of total billed charges,8.279352419,,,,,,,,,,6.5,percent of total billed charges,999999999,,,,,,,,,,6.5,percent of total billed charges,5.660606478,,,,,,,,,,23.4,percent of total billed charges,,,,,
**GARLIC CAPSULES 500MG:,259,RC,0002-9315-13,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
**DELETED***ELIDEL   CREAM 1%: 15 GM,250,RC,0007-8037-40,NDC,,both,1,EA,70,70,14.90187612,70,70,percent of total billed charges,51.5014868,,,,70,percent of total billed charges,54.5905577,,,,70,percent of total billed charges,51.5014868,,,,70,percent of total billed charges,54.5905577,,,,70,percent of total billed charges,999999999,,,,70,percent of total billed charges,53.33518893,,,,70,percent of total billed charges,51.5014868,,,,70,percent of total billed charges,54.5905577,,,,49.91,percent of total billed charges,24.90600335,,,,49.91,percent of total billed charges,14.90187612,,,,49.91,percent of total billed charges,24.90600335,,,,49.91,percent of total billed charges,14.90187612,,,,49.91,percent of total billed charges,24.90600335,,,,49.91,percent of total billed charges,14.90187612,,,,49.42,percent of total billed charges,49.04503703,,,,49.42,percent of total billed charges,33.8259733,,,,,,,,,,50.4,percent of total billed charges,32.75881398,,,,,,,,,,50.4,percent of total billed charges,999999999,,,,,,,,,,56,percent of total billed charges,46.92508902,,,,55.3,percent of total billed charges,53.36687983,,,,55.3,percent of total billed charges,47.15140486,,,,56,percent of total billed charges,999999999,,,,56,percent of total billed charges,999999999,,,,49,percent of total billed charges,999999999,,,,49,percent of total billed charges,999999999,,,,,,,,,,,,,,,,37.24,percent of total billed charges,999999999,,,,,,,,,,,,,,,,35.35,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17.5,percent of total billed charges,16.62071934,,,,,,,,,,17.5,percent of total billed charges,16.34424499,,,,,,,,,,17.5,percent of total billed charges,16.29882503,,,,,,,,,,17.5,percent of total billed charges,16.05882503,,,,,,,,,,17.5,percent of total billed charges,16.47204221,,,,,,,,,,17.5,percent of total billed charges,999999999,,,,,,,,,,17.5,percent of total billed charges,14.13417217,,,,,,,,,,17.5,percent of total billed charges,22.29056421,,,,,,,,,,17.5,percent of total billed charges,999999999,,,,,,,,,,17.5,percent of total billed charges,15.24009436,,,,,,,,,,63,percent of total billed charges,,,,,
**ACETAMINOPHEN/CODEINE(12 MG/5ML):4OZ S,250,RC,0047-2141-16,NDC,,both,1,EA,13,13,2.76749128,13,13,percent of total billed charges,9.564561834,,,,13,percent of total billed charges,10.13824643,,,,13,percent of total billed charges,9.564561834,,,,13,percent of total billed charges,10.13824643,,,,13,percent of total billed charges,999999999,,,,13,percent of total billed charges,9.905106516,,,,13,percent of total billed charges,9.564561834,,,,13,percent of total billed charges,10.13824643,,,,9.269,percent of total billed charges,4.625400623,,,,9.269,percent of total billed charges,2.76749128,,,,9.269,percent of total billed charges,4.625400623,,,,9.269,percent of total billed charges,2.76749128,,,,9.269,percent of total billed charges,4.625400623,,,,9.269,percent of total billed charges,2.76749128,,,,9.178,percent of total billed charges,9.108364019,,,,9.178,percent of total billed charges,6.281966471,,,,,,,,,,9.36,percent of total billed charges,6.083779739,,,,,,,,,,9.36,percent of total billed charges,999999999,,,,,,,,,,10.4,percent of total billed charges,8.71465939,,,,10.27,percent of total billed charges,9.910991969,,,,10.27,percent of total billed charges,8.756689473,,,,10.4,percent of total billed charges,999999999,,,,10.4,percent of total billed charges,999999999,,,,9.1,percent of total billed charges,999999999,,,,9.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.916,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.565,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3.25,percent of total billed charges,3.086705021,,,,,,,,,,3.25,percent of total billed charges,3.035359783,,,,,,,,,,3.25,percent of total billed charges,3.026924648,,,,,,,,,,3.25,percent of total billed charges,2.98235322,,,,,,,,,,3.25,percent of total billed charges,3.059093552,,,,,,,,,,3.25,percent of total billed charges,999999999,,,,,,,,,,3.25,percent of total billed charges,2.624917689,,,,,,,,,,3.25,percent of total billed charges,4.13967621,,,,,,,,,,3.25,percent of total billed charges,999999999,,,,,,,,,,3.25,percent of total billed charges,2.830303239,,,,,,,,,,11.7,percent of total billed charges,,,,,
**TRANDOLAPRIL (MAVIK) 4MG TAB,259,RC,0007-4228-11,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
**INSULIN HUMAN ULTRALENTE 100UNIT/ML:VI,J1815,CDM,0000-2861-01,NDC,,both,1,EA,70,70,14.90187612,70,70,percent of total billed charges,51.5014868,,,,70,percent of total billed charges,54.5905577,,,,70,percent of total billed charges,51.5014868,,,,70,percent of total billed charges,54.5905577,,,,70,percent of total billed charges,999999999,,,,70,percent of total billed charges,53.33518893,,,,70,percent of total billed charges,51.5014868,,,,70,percent of total billed charges,54.5905577,,,,49.91,percent of total billed charges,24.90600335,,,,49.91,percent of total billed charges,14.90187612,,,,49.91,percent of total billed charges,24.90600335,,,,49.91,percent of total billed charges,14.90187612,,,,49.91,percent of total billed charges,24.90600335,,,,49.91,percent of total billed charges,14.90187612,,,,49.42,percent of total billed charges,49.04503703,,,,49.42,percent of total billed charges,33.8259733,,,,,,,,,,50.4,percent of total billed charges,32.75881398,,,,,,,,,,50.4,percent of total billed charges,999999999,,,,,,,,,,56,percent of total billed charges,46.92508902,,,,55.3,percent of total billed charges,53.36687983,,,,55.3,percent of total billed charges,47.15140486,,,,56,percent of total billed charges,999999999,,,,56,percent of total billed charges,999999999,,,,49,percent of total billed charges,999999999,,,,49,percent of total billed charges,999999999,,,,,,,,,,,,,,,,37.24,percent of total billed charges,999999999,,,,,,,,,,,,,,,,35.35,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17.5,percent of total billed charges,16.62071934,,,,,,,,,,17.5,percent of total billed charges,16.34424499,,,,,,,,,,17.5,percent of total billed charges,16.29882503,,,,,,,,,,17.5,percent of total billed charges,16.05882503,,,,,,,,,,17.5,percent of total billed charges,16.47204221,,,,,,,,,,17.5,percent of total billed charges,999999999,,,,,,,,,,17.5,percent of total billed charges,14.13417217,,,,,,,,,,17.5,percent of total billed charges,22.29056421,,,,,,,,,,17.5,percent of total billed charges,999999999,,,,,,,,,,17.5,percent of total billed charges,15.24009436,,,,,,,,,,63,percent of total billed charges,,,,,
**CARBIDOPA (LODOSYN) 25MG: TAB,259,RC,0005-6051-68,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
**GERITOL COMPLETE LIQUID: 12OZ,259,RC,0531-0011-31,NDC,,both,1,EA,18,18,3.831911003,18,18,percent of total billed charges,13.24323946,,,,18,percent of total billed charges,14.03757198,,,,18,percent of total billed charges,13.24323946,,,,18,percent of total billed charges,14.03757198,,,,18,percent of total billed charges,999999999,,,,18,percent of total billed charges,13.71476287,,,,18,percent of total billed charges,13.24323946,,,,18,percent of total billed charges,14.03757198,,,,12.834,percent of total billed charges,6.404400863,,,,12.834,percent of total billed charges,3.831911003,,,,12.834,percent of total billed charges,6.404400863,,,,12.834,percent of total billed charges,3.831911003,,,,12.834,percent of total billed charges,6.404400863,,,,12.834,percent of total billed charges,3.831911003,,,,12.708,percent of total billed charges,12.61158095,,,,12.708,percent of total billed charges,8.698107421,,,,,,,,,,12.96,percent of total billed charges,8.423695024,,,,,,,,,,12.96,percent of total billed charges,999999999,,,,,,,,,,14.4,percent of total billed charges,12.06645146,,,,14.22,percent of total billed charges,13.72291196,,,,14.22,percent of total billed charges,12.12464696,,,,14.4,percent of total billed charges,999999999,,,,14.4,percent of total billed charges,999999999,,,,12.6,percent of total billed charges,999999999,,,,12.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.576,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.09,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4.5,percent of total billed charges,4.27389926,,,,,,,,,,4.5,percent of total billed charges,4.202805854,,,,,,,,,,4.5,percent of total billed charges,4.191126436,,,,,,,,,,4.5,percent of total billed charges,4.12941215,,,,,,,,,,4.5,percent of total billed charges,4.235667996,,,,,,,,,,4.5,percent of total billed charges,999999999,,,,,,,,,,4.5,percent of total billed charges,3.634501416,,,,,,,,,,4.5,percent of total billed charges,5.731859367,,,,,,,,,,4.5,percent of total billed charges,999999999,,,,,,,,,,4.5,percent of total billed charges,3.918881408,,,,,,,,,,16.2,percent of total billed charges,,,,,
**ADENOSINE 60MG/20ML VIAL: ADENOSCAN,J0152,CDM,0046-9087-20,NDC,,both,1,EA,465,465,98.99103425,465,465,percent of total billed charges,342.1170195,,,,465,percent of total billed charges,362.6372762,,,,465,percent of total billed charges,342.1170195,,,,465,percent of total billed charges,362.6372762,,,,465,percent of total billed charges,999999999,,,,465,percent of total billed charges,354.2980407,,,,465,percent of total billed charges,342.1170195,,,,465,percent of total billed charges,362.6372762,,,,331.545,percent of total billed charges,165.4470223,,,,331.545,percent of total billed charges,98.99103425,,,,331.545,percent of total billed charges,165.4470223,,,,331.545,percent of total billed charges,98.99103425,,,,331.545,percent of total billed charges,165.4470223,,,,331.545,percent of total billed charges,98.99103425,,,,328.29,percent of total billed charges,325.7991745,,,,328.29,percent of total billed charges,224.7011084,,,,,,,,,,334.8,percent of total billed charges,217.6121214,,,,,,,,,,334.8,percent of total billed charges,999999999,,,,,,,,,,372,percent of total billed charges,311.7166628,,,,367.35,percent of total billed charges,354.5085589,,,,367.35,percent of total billed charges,313.2200465,,,,372,percent of total billed charges,999999999,,,,372,percent of total billed charges,999999999,,,,325.5,percent of total billed charges,999999999,,,,325.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,247.38,percent of total billed charges,999999999,,,,,,,,,,,,,,,,234.825,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,116.25,percent of total billed charges,110.4090642,,,,,,,,,,116.25,percent of total billed charges,108.5724846,,,,,,,,,,116.25,percent of total billed charges,108.2707663,,,,,,,,,,116.25,percent of total billed charges,106.6764806,,,,,,,,,,116.25,percent of total billed charges,109.4214232,,,,,,,,,,116.25,percent of total billed charges,999999999,,,,,,,,,,116.25,percent of total billed charges,93.89128658,,,,,,,,,,116.25,percent of total billed charges,148.0730337,,,,,,,,,,116.25,percent of total billed charges,999999999,,,,,,,,,,116.25,percent of total billed charges,101.2377697,,,,,,,,,,418.5,percent of total billed charges,,,,,
**IRESSA (GEFITINIB) 250MG: TAB,J8565,CDM,0031-0048-30,NDC,,both,1,EA,10,10,2.128839446,10,10,percent of total billed charges,7.357355257,,,,10,percent of total billed charges,7.7986511,,,,10,percent of total billed charges,7.357355257,,,,10,percent of total billed charges,7.7986511,,,,10,percent of total billed charges,999999999,,,,10,percent of total billed charges,7.619312704,,,,10,percent of total billed charges,7.357355257,,,,10,percent of total billed charges,7.7986511,,,,7.13,percent of total billed charges,3.558000479,,,,7.13,percent of total billed charges,2.128839446,,,,7.13,percent of total billed charges,3.558000479,,,,7.13,percent of total billed charges,2.128839446,,,,7.13,percent of total billed charges,3.558000479,,,,7.13,percent of total billed charges,2.128839446,,,,7.06,percent of total billed charges,7.006433861,,,,7.06,percent of total billed charges,4.8322819,,,,,,,,,,7.2,percent of total billed charges,4.679830569,,,,,,,,,,7.2,percent of total billed charges,999999999,,,,,,,,,,8,percent of total billed charges,6.703584146,,,,7.9,percent of total billed charges,7.623839976,,,,7.9,percent of total billed charges,6.735914979,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,999999999,,,,7,percent of total billed charges,999999999,,,,7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.32,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.05,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.5,percent of total billed charges,2.374388478,,,,,,,,,,2.5,percent of total billed charges,2.334892141,,,,,,,,,,2.5,percent of total billed charges,2.328403576,,,,,,,,,,2.5,percent of total billed charges,2.294117861,,,,,,,,,,2.5,percent of total billed charges,2.353148886,,,,,,,,,,2.5,percent of total billed charges,999999999,,,,,,,,,,2.5,percent of total billed charges,2.019167453,,,,,,,,,,2.5,percent of total billed charges,3.184366315,,,,,,,,,,2.5,percent of total billed charges,999999999,,,,,,,,,,2.5,percent of total billed charges,2.177156338,,,,,,,,,,9,percent of total billed charges,,,,,
**SELENIUM 200 MCG: CAPS,259,RC,6095-1060-68,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
**SAL PALMETTO EXTRACT S,259,RC,6095-1060-68,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
**ESTRADIOL TRANSDERM (ESCLIM) 0.0375MG:,259,RC,0007-8034-45,NDC,,both,1,EA,14,14,2.980375225,14,14,percent of total billed charges,10.30029736,,,,14,percent of total billed charges,10.91811154,,,,14,percent of total billed charges,10.30029736,,,,14,percent of total billed charges,10.91811154,,,,14,percent of total billed charges,999999999,,,,14,percent of total billed charges,10.66703779,,,,14,percent of total billed charges,10.30029736,,,,14,percent of total billed charges,10.91811154,,,,9.982,percent of total billed charges,4.981200671,,,,9.982,percent of total billed charges,2.980375225,,,,9.982,percent of total billed charges,4.981200671,,,,9.982,percent of total billed charges,2.980375225,,,,9.982,percent of total billed charges,4.981200671,,,,9.982,percent of total billed charges,2.980375225,,,,9.884,percent of total billed charges,9.809007405,,,,9.884,percent of total billed charges,6.765194661,,,,,,,,,,10.08,percent of total billed charges,6.551762796,,,,,,,,,,10.08,percent of total billed charges,999999999,,,,,,,,,,11.2,percent of total billed charges,9.385017804,,,,11.06,percent of total billed charges,10.67337597,,,,11.06,percent of total billed charges,9.430280971,,,,11.2,percent of total billed charges,999999999,,,,11.2,percent of total billed charges,999999999,,,,9.8,percent of total billed charges,999999999,,,,9.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,7.448,percent of total billed charges,999999999,,,,,,,,,,,,,,,,7.07,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3.5,percent of total billed charges,3.324143869,,,,,,,,,,3.5,percent of total billed charges,3.268848997,,,,,,,,,,3.5,percent of total billed charges,3.259765006,,,,,,,,,,3.5,percent of total billed charges,3.211765006,,,,,,,,,,3.5,percent of total billed charges,3.294408441,,,,,,,,,,3.5,percent of total billed charges,999999999,,,,,,,,,,3.5,percent of total billed charges,2.826834435,,,,,,,,,,3.5,percent of total billed charges,4.458112841,,,,,,,,,,3.5,percent of total billed charges,999999999,,,,,,,,,,3.5,percent of total billed charges,3.048018873,,,,,,,,,,12.6,percent of total billed charges,,,,,
**HYDROCODONE 7.5MG APAP 750MG(VICODIN E,259,RC,0040-6036-01,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
**E-WITCH HAZEL: 16 OZ,250,RC,1525-6110-13,NDC,,both,1,EA,9,9,1.915955502,9,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,9,percent of total billed charges,999999999,,,,9,percent of total billed charges,6.857381434,,,,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.354,percent of total billed charges,6.305790475,,,,6.354,percent of total billed charges,4.34905371,,,,,,,,,,6.48,percent of total billed charges,4.211847512,,,,,,,,,,6.48,percent of total billed charges,999999999,,,,,,,,,,7.2,percent of total billed charges,6.033225731,,,,7.11,percent of total billed charges,6.861455978,,,,7.11,percent of total billed charges,6.062323481,,,,7.2,percent of total billed charges,999999999,,,,7.2,percent of total billed charges,999999999,,,,6.3,percent of total billed charges,999999999,,,,6.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.788,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.545,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.25,percent of total billed charges,2.13694963,,,,,,,,,,2.25,percent of total billed charges,2.101402927,,,,,,,,,,2.25,percent of total billed charges,2.095563218,,,,,,,,,,2.25,percent of total billed charges,2.064706075,,,,,,,,,,2.25,percent of total billed charges,2.117833998,,,,,,,,,,2.25,percent of total billed charges,999999999,,,,,,,,,,2.25,percent of total billed charges,1.817250708,,,,,,,,,,2.25,percent of total billed charges,2.865929684,,,,,,,,,,2.25,percent of total billed charges,999999999,,,,,,,,,,2.25,percent of total billed charges,1.959440704,,,,,,,,,,8.1,percent of total billed charges,,,,,
**ANTACID LIQ (ALUM. MAG.SIMETHICONE):12,259,RC,0018-2616-39,NDC,,both,1,EA,13,13,2.76749128,13,13,percent of total billed charges,9.564561834,,,,13,percent of total billed charges,10.13824643,,,,13,percent of total billed charges,9.564561834,,,,13,percent of total billed charges,10.13824643,,,,13,percent of total billed charges,999999999,,,,13,percent of total billed charges,9.905106516,,,,13,percent of total billed charges,9.564561834,,,,13,percent of total billed charges,10.13824643,,,,9.269,percent of total billed charges,4.625400623,,,,9.269,percent of total billed charges,2.76749128,,,,9.269,percent of total billed charges,4.625400623,,,,9.269,percent of total billed charges,2.76749128,,,,9.269,percent of total billed charges,4.625400623,,,,9.269,percent of total billed charges,2.76749128,,,,9.178,percent of total billed charges,9.108364019,,,,9.178,percent of total billed charges,6.281966471,,,,,,,,,,9.36,percent of total billed charges,6.083779739,,,,,,,,,,9.36,percent of total billed charges,999999999,,,,,,,,,,10.4,percent of total billed charges,8.71465939,,,,10.27,percent of total billed charges,9.910991969,,,,10.27,percent of total billed charges,8.756689473,,,,10.4,percent of total billed charges,999999999,,,,10.4,percent of total billed charges,999999999,,,,9.1,percent of total billed charges,999999999,,,,9.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.916,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.565,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3.25,percent of total billed charges,3.086705021,,,,,,,,,,3.25,percent of total billed charges,3.035359783,,,,,,,,,,3.25,percent of total billed charges,3.026924648,,,,,,,,,,3.25,percent of total billed charges,2.98235322,,,,,,,,,,3.25,percent of total billed charges,3.059093552,,,,,,,,,,3.25,percent of total billed charges,999999999,,,,,,,,,,3.25,percent of total billed charges,2.624917689,,,,,,,,,,3.25,percent of total billed charges,4.13967621,,,,,,,,,,3.25,percent of total billed charges,999999999,,,,,,,,,,3.25,percent of total billed charges,2.830303239,,,,,,,,,,11.7,percent of total billed charges,,,,,
**PIROXICAM (FELDENE) 20 MG: CAP,259,RC,5255-5097-01,NDC,,both,1,EA,10,10,2.128839446,10,10,percent of total billed charges,7.357355257,,,,10,percent of total billed charges,7.7986511,,,,10,percent of total billed charges,7.357355257,,,,10,percent of total billed charges,7.7986511,,,,10,percent of total billed charges,999999999,,,,10,percent of total billed charges,7.619312704,,,,10,percent of total billed charges,7.357355257,,,,10,percent of total billed charges,7.7986511,,,,7.13,percent of total billed charges,3.558000479,,,,7.13,percent of total billed charges,2.128839446,,,,7.13,percent of total billed charges,3.558000479,,,,7.13,percent of total billed charges,2.128839446,,,,7.13,percent of total billed charges,3.558000479,,,,7.13,percent of total billed charges,2.128839446,,,,7.06,percent of total billed charges,7.006433861,,,,7.06,percent of total billed charges,4.8322819,,,,,,,,,,7.2,percent of total billed charges,4.679830569,,,,,,,,,,7.2,percent of total billed charges,999999999,,,,,,,,,,8,percent of total billed charges,6.703584146,,,,7.9,percent of total billed charges,7.623839976,,,,7.9,percent of total billed charges,6.735914979,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,999999999,,,,7,percent of total billed charges,999999999,,,,7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.32,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.05,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.5,percent of total billed charges,2.374388478,,,,,,,,,,2.5,percent of total billed charges,2.334892141,,,,,,,,,,2.5,percent of total billed charges,2.328403576,,,,,,,,,,2.5,percent of total billed charges,2.294117861,,,,,,,,,,2.5,percent of total billed charges,2.353148886,,,,,,,,,,2.5,percent of total billed charges,999999999,,,,,,,,,,2.5,percent of total billed charges,2.019167453,,,,,,,,,,2.5,percent of total billed charges,3.184366315,,,,,,,,,,2.5,percent of total billed charges,999999999,,,,,,,,,,2.5,percent of total billed charges,2.177156338,,,,,,,,,,9,percent of total billed charges,,,,,
**INSULIN LENTE 100 UNIT/ML : DOSE,J1815,CDM,0000-2821-01,NDC,,both,1,EA,17,17,3.619027059,17,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,17,percent of total billed charges,999999999,,,,17,percent of total billed charges,12.9528316,,,,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.002,percent of total billed charges,11.91093756,,,,12.002,percent of total billed charges,8.214879231,,,,,,,,,,12.24,percent of total billed charges,7.955711967,,,,,,,,,,12.24,percent of total billed charges,999999999,,,,,,,,,,13.6,percent of total billed charges,11.39609305,,,,13.43,percent of total billed charges,12.96052796,,,,13.43,percent of total billed charges,11.45105547,,,,13.6,percent of total billed charges,999999999,,,,13.6,percent of total billed charges,999999999,,,,11.9,percent of total billed charges,999999999,,,,11.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.044,percent of total billed charges,999999999,,,,,,,,,,,,,,,,8.585,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4.25,percent of total billed charges,4.036460412,,,,,,,,,,4.25,percent of total billed charges,3.96931664,,,,,,,,,,4.25,percent of total billed charges,3.958286079,,,,,,,,,,4.25,percent of total billed charges,3.900000364,,,,,,,,,,4.25,percent of total billed charges,4.000353107,,,,,,,,,,4.25,percent of total billed charges,999999999,,,,,,,,,,4.25,percent of total billed charges,3.432584671,,,,,,,,,,4.25,percent of total billed charges,5.413422736,,,,,,,,,,4.25,percent of total billed charges,999999999,,,,,,,,,,4.25,percent of total billed charges,3.701165774,,,,,,,,,,15.3,percent of total billed charges,,,,,
**INSULIN 70/30 100 UNIT/ML:DOSE,J1815,CDM,0000-2871-01,NDC,,both,1,EA,1,1,0.212883945,1,1,percent of total billed charges,0.735735526,,,,1,percent of total billed charges,0.77986511,,,,1,percent of total billed charges,0.735735526,,,,1,percent of total billed charges,0.77986511,,,,1,percent of total billed charges,999999999,,,,1,percent of total billed charges,0.76193127,,,,1,percent of total billed charges,0.735735526,,,,1,percent of total billed charges,0.77986511,,,,0.713,percent of total billed charges,0.355800048,,,,0.713,percent of total billed charges,0.212883945,,,,0.713,percent of total billed charges,0.355800048,,,,0.713,percent of total billed charges,0.212883945,,,,0.713,percent of total billed charges,0.355800048,,,,0.713,percent of total billed charges,0.212883945,,,,0.706,percent of total billed charges,0.700643386,,,,0.706,percent of total billed charges,0.48322819,,,,,,,,,,0.72,percent of total billed charges,0.467983057,,,,,,,,,,0.72,percent of total billed charges,999999999,,,,,,,,,,0.8,percent of total billed charges,0.670358415,,,,0.79,percent of total billed charges,0.762383998,,,,0.79,percent of total billed charges,0.673591498,,,,0.8,percent of total billed charges,999999999,,,,0.8,percent of total billed charges,999999999,,,,0.7,percent of total billed charges,999999999,,,,0.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.532,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.505,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.25,percent of total billed charges,0.237438848,,,,,,,,,,0.25,percent of total billed charges,0.233489214,,,,,,,,,,0.25,percent of total billed charges,0.232840358,,,,,,,,,,0.25,percent of total billed charges,0.229411786,,,,,,,,,,0.25,percent of total billed charges,0.235314889,,,,,,,,,,0.25,percent of total billed charges,999999999,,,,,,,,,,0.25,percent of total billed charges,0.201916745,,,,,,,,,,0.25,percent of total billed charges,0.318436632,,,,,,,,,,0.25,percent of total billed charges,999999999,,,,,,,,,,0.25,percent of total billed charges,0.217715634,,,,,,,,,,0.9,percent of total billed charges,,,,,
**INSULIN (HUMAN) 50/50 100 UNIT/ML: DOS,J1815,CDM,0000-2951-01,NDC,,both,1,EA,17,17,3.619027059,17,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,17,percent of total billed charges,999999999,,,,17,percent of total billed charges,12.9528316,,,,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.002,percent of total billed charges,11.91093756,,,,12.002,percent of total billed charges,8.214879231,,,,,,,,,,12.24,percent of total billed charges,7.955711967,,,,,,,,,,12.24,percent of total billed charges,999999999,,,,,,,,,,13.6,percent of total billed charges,11.39609305,,,,13.43,percent of total billed charges,12.96052796,,,,13.43,percent of total billed charges,11.45105547,,,,13.6,percent of total billed charges,999999999,,,,13.6,percent of total billed charges,999999999,,,,11.9,percent of total billed charges,999999999,,,,11.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.044,percent of total billed charges,999999999,,,,,,,,,,,,,,,,8.585,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4.25,percent of total billed charges,4.036460412,,,,,,,,,,4.25,percent of total billed charges,3.96931664,,,,,,,,,,4.25,percent of total billed charges,3.958286079,,,,,,,,,,4.25,percent of total billed charges,3.900000364,,,,,,,,,,4.25,percent of total billed charges,4.000353107,,,,,,,,,,4.25,percent of total billed charges,999999999,,,,,,,,,,4.25,percent of total billed charges,3.432584671,,,,,,,,,,4.25,percent of total billed charges,5.413422736,,,,,,,,,,4.25,percent of total billed charges,999999999,,,,,,,,,,4.25,percent of total billed charges,3.701165774,,,,,,,,,,15.3,percent of total billed charges,,,,,
**INSULIN HUMALOG 75/25 MIX 100U/ML;DOSE,J1815,CDM,0000-2751-01,NDC,,both,1,EA,28,28,5.960750449,28,28,percent of total billed charges,20.60059472,,,,28,percent of total billed charges,21.83622308,,,,28,percent of total billed charges,20.60059472,,,,28,percent of total billed charges,21.83622308,,,,28,percent of total billed charges,999999999,,,,28,percent of total billed charges,21.33407557,,,,28,percent of total billed charges,20.60059472,,,,28,percent of total billed charges,21.83622308,,,,19.964,percent of total billed charges,9.962401342,,,,19.964,percent of total billed charges,5.960750449,,,,19.964,percent of total billed charges,9.962401342,,,,19.964,percent of total billed charges,5.960750449,,,,19.964,percent of total billed charges,9.962401342,,,,19.964,percent of total billed charges,5.960750449,,,,19.768,percent of total billed charges,19.61801481,,,,19.768,percent of total billed charges,13.53038932,,,,,,,,,,20.16,percent of total billed charges,13.10352559,,,,,,,,,,20.16,percent of total billed charges,999999999,,,,,,,,,,22.4,percent of total billed charges,18.77003561,,,,22.12,percent of total billed charges,21.34675193,,,,22.12,percent of total billed charges,18.86056194,,,,22.4,percent of total billed charges,999999999,,,,22.4,percent of total billed charges,999999999,,,,19.6,percent of total billed charges,999999999,,,,19.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,14.896,percent of total billed charges,999999999,,,,,,,,,,,,,,,,14.14,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7,percent of total billed charges,6.648287737,,,,,,,,,,7,percent of total billed charges,6.537697995,,,,,,,,,,7,percent of total billed charges,6.519530012,,,,,,,,,,7,percent of total billed charges,6.423530012,,,,,,,,,,7,percent of total billed charges,6.588816882,,,,,,,,,,7,percent of total billed charges,999999999,,,,,,,,,,7,percent of total billed charges,5.65366887,,,,,,,,,,7,percent of total billed charges,8.916225683,,,,,,,,,,7,percent of total billed charges,999999999,,,,,,,,,,7,percent of total billed charges,6.096037745,,,,,,,,,,25.2,percent of total billed charges,,,,,
**MAGNESIUM OH/ALUMINUM OH 12OZ FOR T,259,RC,0090-4000-14,NDC,,both,1,EA,13,13,2.76749128,13,13,percent of total billed charges,9.564561834,,,,13,percent of total billed charges,10.13824643,,,,13,percent of total billed charges,9.564561834,,,,13,percent of total billed charges,10.13824643,,,,13,percent of total billed charges,999999999,,,,13,percent of total billed charges,9.905106516,,,,13,percent of total billed charges,9.564561834,,,,13,percent of total billed charges,10.13824643,,,,9.269,percent of total billed charges,4.625400623,,,,9.269,percent of total billed charges,2.76749128,,,,9.269,percent of total billed charges,4.625400623,,,,9.269,percent of total billed charges,2.76749128,,,,9.269,percent of total billed charges,4.625400623,,,,9.269,percent of total billed charges,2.76749128,,,,9.178,percent of total billed charges,9.108364019,,,,9.178,percent of total billed charges,6.281966471,,,,,,,,,,9.36,percent of total billed charges,6.083779739,,,,,,,,,,9.36,percent of total billed charges,999999999,,,,,,,,,,10.4,percent of total billed charges,8.71465939,,,,10.27,percent of total billed charges,9.910991969,,,,10.27,percent of total billed charges,8.756689473,,,,10.4,percent of total billed charges,999999999,,,,10.4,percent of total billed charges,999999999,,,,9.1,percent of total billed charges,999999999,,,,9.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.916,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.565,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3.25,percent of total billed charges,3.086705021,,,,,,,,,,3.25,percent of total billed charges,3.035359783,,,,,,,,,,3.25,percent of total billed charges,3.026924648,,,,,,,,,,3.25,percent of total billed charges,2.98235322,,,,,,,,,,3.25,percent of total billed charges,3.059093552,,,,,,,,,,3.25,percent of total billed charges,999999999,,,,,,,,,,3.25,percent of total billed charges,2.624917689,,,,,,,,,,3.25,percent of total billed charges,4.13967621,,,,,,,,,,3.25,percent of total billed charges,999999999,,,,,,,,,,3.25,percent of total billed charges,2.830303239,,,,,,,,,,11.7,percent of total billed charges,,,,,
**TANNATE 12 S(CARBENT/CHLORPH.)SUPS:120,259,RC,5038-3086-04,NDC,,both,1,EA,74,74,15.7534119,74,74,percent of total billed charges,54.4444289,,,,74,percent of total billed charges,57.71001814,,,,74,percent of total billed charges,54.4444289,,,,74,percent of total billed charges,57.71001814,,,,74,percent of total billed charges,999999999,,,,74,percent of total billed charges,56.38291401,,,,74,percent of total billed charges,54.4444289,,,,74,percent of total billed charges,57.71001814,,,,52.762,percent of total billed charges,26.32920355,,,,52.762,percent of total billed charges,15.7534119,,,,52.762,percent of total billed charges,26.32920355,,,,52.762,percent of total billed charges,15.7534119,,,,52.762,percent of total billed charges,26.32920355,,,,52.762,percent of total billed charges,15.7534119,,,,52.244,percent of total billed charges,51.84761057,,,,52.244,percent of total billed charges,35.75888606,,,,,,,,,,53.28,percent of total billed charges,34.63074621,,,,,,,,,,53.28,percent of total billed charges,999999999,,,,,,,,,,59.2,percent of total billed charges,49.60652268,,,,58.46,percent of total billed charges,56.41641582,,,,58.46,percent of total billed charges,49.84577085,,,,59.2,percent of total billed charges,999999999,,,,59.2,percent of total billed charges,999999999,,,,51.8,percent of total billed charges,999999999,,,,51.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,39.368,percent of total billed charges,999999999,,,,,,,,,,,,,,,,37.37,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18.5,percent of total billed charges,17.57047473,,,,,,,,,,18.5,percent of total billed charges,17.27820184,,,,,,,,,,18.5,percent of total billed charges,17.23018646,,,,,,,,,,18.5,percent of total billed charges,16.97647217,,,,,,,,,,18.5,percent of total billed charges,17.41330176,,,,,,,,,,18.5,percent of total billed charges,999999999,,,,,,,,,,18.5,percent of total billed charges,14.94183916,,,,,,,,,,18.5,percent of total billed charges,23.56431073,,,,,,,,,,18.5,percent of total billed charges,999999999,,,,,,,,,,18.5,percent of total billed charges,16.1109569,,,,,,,,,,66.6,percent of total billed charges,,,,,
**ENLON (EDROPHONIUM CL) 10MG/ML:10 ML V,250,RC,1001-9087-15,NDC,,both,1,EA,70,70,14.90187612,70,70,percent of total billed charges,51.5014868,,,,70,percent of total billed charges,54.5905577,,,,70,percent of total billed charges,51.5014868,,,,70,percent of total billed charges,54.5905577,,,,70,percent of total billed charges,999999999,,,,70,percent of total billed charges,53.33518893,,,,70,percent of total billed charges,51.5014868,,,,70,percent of total billed charges,54.5905577,,,,49.91,percent of total billed charges,24.90600335,,,,49.91,percent of total billed charges,14.90187612,,,,49.91,percent of total billed charges,24.90600335,,,,49.91,percent of total billed charges,14.90187612,,,,49.91,percent of total billed charges,24.90600335,,,,49.91,percent of total billed charges,14.90187612,,,,49.42,percent of total billed charges,49.04503703,,,,49.42,percent of total billed charges,33.8259733,,,,,,,,,,50.4,percent of total billed charges,32.75881398,,,,,,,,,,50.4,percent of total billed charges,999999999,,,,,,,,,,56,percent of total billed charges,46.92508902,,,,55.3,percent of total billed charges,53.36687983,,,,55.3,percent of total billed charges,47.15140486,,,,56,percent of total billed charges,999999999,,,,56,percent of total billed charges,999999999,,,,49,percent of total billed charges,999999999,,,,49,percent of total billed charges,999999999,,,,,,,,,,,,,,,,37.24,percent of total billed charges,999999999,,,,,,,,,,,,,,,,35.35,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17.5,percent of total billed charges,16.62071934,,,,,,,,,,17.5,percent of total billed charges,16.34424499,,,,,,,,,,17.5,percent of total billed charges,16.29882503,,,,,,,,,,17.5,percent of total billed charges,16.05882503,,,,,,,,,,17.5,percent of total billed charges,16.47204221,,,,,,,,,,17.5,percent of total billed charges,999999999,,,,,,,,,,17.5,percent of total billed charges,14.13417217,,,,,,,,,,17.5,percent of total billed charges,22.29056421,,,,,,,,,,17.5,percent of total billed charges,999999999,,,,,,,,,,17.5,percent of total billed charges,15.24009436,,,,,,,,,,63,percent of total billed charges,,,,,
**PROCHLORPERAZINE 5MG/ML: 10 ML MDV-S,250,RC,0070-3717-01,NDC,,both,1,EA,119,119,25.33318941,119,119,percent of total billed charges,87.55252756,,,,119,percent of total billed charges,92.80394809,,,,119,percent of total billed charges,87.55252756,,,,119,percent of total billed charges,92.80394809,,,,119,percent of total billed charges,999999999,,,,119,percent of total billed charges,90.66982118,,,,119,percent of total billed charges,87.55252756,,,,119,percent of total billed charges,92.80394809,,,,84.847,percent of total billed charges,42.3402057,,,,84.847,percent of total billed charges,25.33318941,,,,84.847,percent of total billed charges,42.3402057,,,,84.847,percent of total billed charges,25.33318941,,,,84.847,percent of total billed charges,42.3402057,,,,84.847,percent of total billed charges,25.33318941,,,,84.014,percent of total billed charges,83.37656294,,,,84.014,percent of total billed charges,57.50415461,,,,,,,,,,85.68,percent of total billed charges,55.68998377,,,,,,,,,,85.68,percent of total billed charges,999999999,,,,,,,,,,95.2,percent of total billed charges,79.77265134,,,,94.01,percent of total billed charges,90.72369571,,,,94.01,percent of total billed charges,80.15738826,,,,95.2,percent of total billed charges,999999999,,,,95.2,percent of total billed charges,999999999,,,,83.3,percent of total billed charges,999999999,,,,83.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,63.308,percent of total billed charges,999999999,,,,,,,,,,,,,,,,60.095,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,29.75,percent of total billed charges,28.25522288,,,,,,,,,,29.75,percent of total billed charges,27.78521648,,,,,,,,,,29.75,percent of total billed charges,27.70800255,,,,,,,,,,29.75,percent of total billed charges,27.30000255,,,,,,,,,,29.75,percent of total billed charges,28.00247175,,,,,,,,,,29.75,percent of total billed charges,999999999,,,,,,,,,,29.75,percent of total billed charges,24.0280927,,,,,,,,,,29.75,percent of total billed charges,37.89395915,,,,,,,,,,29.75,percent of total billed charges,999999999,,,,,,,,,,29.75,percent of total billed charges,25.90816042,,,,,,,,,,107.1,percent of total billed charges,,,,,
**IVY BLOCK LOTION (BENTOQUATAM 5%,259,RC,6233-3011-40,NDC,,both,1,EA,33,33,7.025170173,33,33,percent of total billed charges,24.27927235,,,,33,percent of total billed charges,25.73554863,,,,33,percent of total billed charges,24.27927235,,,,33,percent of total billed charges,25.73554863,,,,33,percent of total billed charges,999999999,,,,33,percent of total billed charges,25.14373192,,,,33,percent of total billed charges,24.27927235,,,,33,percent of total billed charges,25.73554863,,,,23.529,percent of total billed charges,11.74140158,,,,23.529,percent of total billed charges,7.025170173,,,,23.529,percent of total billed charges,11.74140158,,,,23.529,percent of total billed charges,7.025170173,,,,23.529,percent of total billed charges,11.74140158,,,,23.529,percent of total billed charges,7.025170173,,,,23.298,percent of total billed charges,23.12123174,,,,23.298,percent of total billed charges,15.94653027,,,,,,,,,,23.76,percent of total billed charges,15.44344088,,,,,,,,,,23.76,percent of total billed charges,999999999,,,,,,,,,,26.4,percent of total billed charges,22.12182768,,,,26.07,percent of total billed charges,25.15867192,,,,26.07,percent of total billed charges,22.22851943,,,,26.4,percent of total billed charges,999999999,,,,26.4,percent of total billed charges,999999999,,,,23.1,percent of total billed charges,999999999,,,,23.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,17.556,percent of total billed charges,999999999,,,,,,,,,,,,,,,,16.665,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8.25,percent of total billed charges,7.835481976,,,,,,,,,,8.25,percent of total billed charges,7.705144065,,,,,,,,,,8.25,percent of total billed charges,7.6837318,,,,,,,,,,8.25,percent of total billed charges,7.570588942,,,,,,,,,,8.25,percent of total billed charges,7.765391325,,,,,,,,,,8.25,percent of total billed charges,999999999,,,,,,,,,,8.25,percent of total billed charges,6.663252596,,,,,,,,,,8.25,percent of total billed charges,10.50840884,,,,,,,,,,8.25,percent of total billed charges,999999999,,,,,,,,,,8.25,percent of total billed charges,7.184615914,,,,,,,,,,29.7,percent of total billed charges,,,,,
**IVY-DRY CREAM 30 GM (ZINC ACETATE 2%),259,RC,1212-6010-01,NDC,,both,1,EA,17,17,3.619027059,17,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,17,percent of total billed charges,999999999,,,,17,percent of total billed charges,12.9528316,,,,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.002,percent of total billed charges,11.91093756,,,,12.002,percent of total billed charges,8.214879231,,,,,,,,,,12.24,percent of total billed charges,7.955711967,,,,,,,,,,12.24,percent of total billed charges,999999999,,,,,,,,,,13.6,percent of total billed charges,11.39609305,,,,13.43,percent of total billed charges,12.96052796,,,,13.43,percent of total billed charges,11.45105547,,,,13.6,percent of total billed charges,999999999,,,,13.6,percent of total billed charges,999999999,,,,11.9,percent of total billed charges,999999999,,,,11.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.044,percent of total billed charges,999999999,,,,,,,,,,,,,,,,8.585,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4.25,percent of total billed charges,4.036460412,,,,,,,,,,4.25,percent of total billed charges,3.96931664,,,,,,,,,,4.25,percent of total billed charges,3.958286079,,,,,,,,,,4.25,percent of total billed charges,3.900000364,,,,,,,,,,4.25,percent of total billed charges,4.000353107,,,,,,,,,,4.25,percent of total billed charges,999999999,,,,,,,,,,4.25,percent of total billed charges,3.432584671,,,,,,,,,,4.25,percent of total billed charges,5.413422736,,,,,,,,,,4.25,percent of total billed charges,999999999,,,,,,,,,,4.25,percent of total billed charges,3.701165774,,,,,,,,,,15.3,percent of total billed charges,,,,,
"**FOLTX ( B12, FOLIC ACID, B6) TAB:",259,RC,0052-5090-90,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
**PCA ASSESSMENT,250,RC,9999-9999-99,NDC,,both,1,EA,12,12,2.554607335,12,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,12,percent of total billed charges,999999999,,,,12,percent of total billed charges,9.143175245,,,,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.472,percent of total billed charges,8.407720633,,,,8.472,percent of total billed charges,5.79873828,,,,,,,,,,8.64,percent of total billed charges,5.615796683,,,,,,,,,,8.64,percent of total billed charges,999999999,,,,,,,,,,9.6,percent of total billed charges,8.044300975,,,,9.48,percent of total billed charges,9.148607971,,,,9.48,percent of total billed charges,8.083097975,,,,9.6,percent of total billed charges,999999999,,,,9.6,percent of total billed charges,999999999,,,,8.4,percent of total billed charges,999999999,,,,8.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.384,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.06,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3,percent of total billed charges,2.849266173,,,,,,,,,,3,percent of total billed charges,2.801870569,,,,,,,,,,3,percent of total billed charges,2.794084291,,,,,,,,,,3,percent of total billed charges,2.752941434,,,,,,,,,,3,percent of total billed charges,2.823778664,,,,,,,,,,3,percent of total billed charges,999999999,,,,,,,,,,3,percent of total billed charges,2.423000944,,,,,,,,,,3,percent of total billed charges,3.821239578,,,,,,,,,,3,percent of total billed charges,999999999,,,,,,,,,,3,percent of total billed charges,2.612587605,,,,,,,,,,10.8,percent of total billed charges,,,,,
**PHENOBARBITAL 100 MG: TAB,259,RC,0060-3516-21,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
**CLORAZEPATE (TRANXENE)  7.5 MG: TAB,259,RC,5167-2404-01,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
**MULTIVITAMIN (PEDIATRIC DROPS): 50ML,259,RC,5038-3062-50,NDC,,both,1,EA,31,31,6.599402283,31,31,percent of total billed charges,22.8078013,,,,31,percent of total billed charges,24.17581841,,,,31,percent of total billed charges,22.8078013,,,,31,percent of total billed charges,24.17581841,,,,31,percent of total billed charges,999999999,,,,31,percent of total billed charges,23.61986938,,,,31,percent of total billed charges,22.8078013,,,,31,percent of total billed charges,24.17581841,,,,22.103,percent of total billed charges,11.02980149,,,,22.103,percent of total billed charges,6.599402283,,,,22.103,percent of total billed charges,11.02980149,,,,22.103,percent of total billed charges,6.599402283,,,,22.103,percent of total billed charges,11.02980149,,,,22.103,percent of total billed charges,6.599402283,,,,21.886,percent of total billed charges,21.71994497,,,,21.886,percent of total billed charges,14.98007389,,,,,,,,,,22.32,percent of total billed charges,14.50747476,,,,,,,,,,22.32,percent of total billed charges,999999999,,,,,,,,,,24.8,percent of total billed charges,20.78111085,,,,24.49,percent of total billed charges,23.63390393,,,,24.49,percent of total billed charges,20.88133644,,,,24.8,percent of total billed charges,999999999,,,,24.8,percent of total billed charges,999999999,,,,21.7,percent of total billed charges,999999999,,,,21.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,16.492,percent of total billed charges,999999999,,,,,,,,,,,,,,,,15.655,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7.75,percent of total billed charges,7.360604281,,,,,,,,,,7.75,percent of total billed charges,7.238165637,,,,,,,,,,7.75,percent of total billed charges,7.218051084,,,,,,,,,,7.75,percent of total billed charges,7.11176537,,,,,,,,,,7.75,percent of total billed charges,7.294761548,,,,,,,,,,7.75,percent of total billed charges,999999999,,,,,,,,,,7.75,percent of total billed charges,6.259419106,,,,,,,,,,7.75,percent of total billed charges,9.871535577,,,,,,,,,,7.75,percent of total billed charges,999999999,,,,,,,,,,7.75,percent of total billed charges,6.749184647,,,,,,,,,,27.9,percent of total billed charges,,,,,
**CYANIDE ANTIDOTE KIT,250,RC,1109-8050-01,NDC,,both,1,EA,511,511,108.7836957,511,511,percent of total billed charges,375.9608536,,,,511,percent of total billed charges,398.5110712,,,,511,percent of total billed charges,375.9608536,,,,511,percent of total billed charges,398.5110712,,,,511,percent of total billed charges,999999999,,,,511,percent of total billed charges,389.3468792,,,,511,percent of total billed charges,375.9608536,,,,511,percent of total billed charges,398.5110712,,,,364.343,percent of total billed charges,181.8138245,,,,364.343,percent of total billed charges,108.7836957,,,,364.343,percent of total billed charges,181.8138245,,,,364.343,percent of total billed charges,108.7836957,,,,364.343,percent of total billed charges,181.8138245,,,,364.343,percent of total billed charges,108.7836957,,,,360.766,percent of total billed charges,358.0287703,,,,360.766,percent of total billed charges,246.9296051,,,,,,,,,,367.92,percent of total billed charges,239.1393421,,,,,,,,,,367.92,percent of total billed charges,999999999,,,,,,,,,,408.8,percent of total billed charges,342.5531499,,,,403.69,percent of total billed charges,389.5782228,,,,403.69,percent of total billed charges,344.2052554,,,,408.8,percent of total billed charges,999999999,,,,408.8,percent of total billed charges,999999999,,,,357.7,percent of total billed charges,999999999,,,,357.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,271.852,percent of total billed charges,999999999,,,,,,,,,,,,,,,,258.055,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,127.75,percent of total billed charges,121.3312512,,,,,,,,,,127.75,percent of total billed charges,119.3129884,,,,,,,,,,127.75,percent of total billed charges,118.9814227,,,,,,,,,,127.75,percent of total billed charges,117.2294227,,,,,,,,,,127.75,percent of total billed charges,120.2459081,,,,,,,,,,127.75,percent of total billed charges,999999999,,,,,,,,,,127.75,percent of total billed charges,103.1794569,,,,,,,,,,127.75,percent of total billed charges,162.7211187,,,,,,,,,,127.75,percent of total billed charges,999999999,,,,,,,,,,127.75,percent of total billed charges,111.2526889,,,,,,,,,,459.9,percent of total billed charges,,,,,
DILTIAZEM (CARDIZEM) 100MG/100ML IV(AV),250,RC,5539-0056-05,NDC,,both,1,EA,216.67,216.67,46.12556428,216.67,216.67,percent of total billed charges,159.4118164,,,,216.67,percent of total billed charges,168.9733734,,,,216.67,percent of total billed charges,159.4118164,,,,216.67,percent of total billed charges,168.9733734,,,,216.67,percent of total billed charges,999999999,,,,216.67,percent of total billed charges,165.0876484,,,,216.67,percent of total billed charges,159.4118164,,,,216.67,percent of total billed charges,168.9733734,,,,154.48571,percent of total billed charges,77.09119638,,,,154.48571,percent of total billed charges,46.12556428,,,,154.48571,percent of total billed charges,77.09119638,,,,154.48571,percent of total billed charges,46.12556428,,,,154.48571,percent of total billed charges,77.09119638,,,,154.48571,percent of total billed charges,46.12556428,,,,152.96902,percent of total billed charges,151.8084025,,,,152.96902,percent of total billed charges,104.7010519,,,,,,,,,,156.0024,percent of total billed charges,101.3978889,,,,,,,,,,156.0024,percent of total billed charges,999999999,,,,,,,,,,173.336,percent of total billed charges,145.2465577,,,,171.1693,percent of total billed charges,165.1857408,,,,171.1693,percent of total billed charges,145.9470699,,,,173.336,percent of total billed charges,999999999,,,,173.336,percent of total billed charges,999999999,,,,151.669,percent of total billed charges,999999999,,,,151.669,percent of total billed charges,999999999,,,,,,,,,,,,,,,,115.26844,percent of total billed charges,999999999,,,,,,,,,,,,,,,,109.41835,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,54.1675,percent of total billed charges,51.44587515,,,,,,,,,,54.1675,percent of total billed charges,50.59010802,,,,,,,,,,54.1675,percent of total billed charges,50.44952027,,,,,,,,,,54.1675,percent of total billed charges,49.7066517,,,,,,,,,,54.1675,percent of total billed charges,50.98567692,,,,,,,,,,54.1675,percent of total billed charges,999999999,,,,,,,,,,54.1675,percent of total billed charges,43.74930121,,,,,,,,,,54.1675,percent of total billed charges,68.99566495,,,,,,,,,,54.1675,percent of total billed charges,999999999,,,,,,,,,,54.1675,percent of total billed charges,47.17244637,,,,,,,,,,195.003,percent of total billed charges,,,,,
**DILTIAZEM SR (CARDIZEM SR) 90MG CAPSUL,259,RC,0037-8609-01,NDC,,both,1,EA,7,7,1.490187612,7,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,7,percent of total billed charges,999999999,,,,7,percent of total billed charges,5.333518893,,,,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.942,percent of total billed charges,4.904503703,,,,4.942,percent of total billed charges,3.38259733,,,,,,,,,,5.04,percent of total billed charges,3.275881398,,,,,,,,,,5.04,percent of total billed charges,999999999,,,,,,,,,,5.6,percent of total billed charges,4.692508902,,,,5.53,percent of total billed charges,5.336687983,,,,5.53,percent of total billed charges,4.715140486,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,4.9,percent of total billed charges,999999999,,,,4.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.724,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.535,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.75,percent of total billed charges,1.662071934,,,,,,,,,,1.75,percent of total billed charges,1.634424499,,,,,,,,,,1.75,percent of total billed charges,1.629882503,,,,,,,,,,1.75,percent of total billed charges,1.605882503,,,,,,,,,,1.75,percent of total billed charges,1.647204221,,,,,,,,,,1.75,percent of total billed charges,999999999,,,,,,,,,,1.75,percent of total billed charges,1.413417217,,,,,,,,,,1.75,percent of total billed charges,2.229056421,,,,,,,,,,1.75,percent of total billed charges,999999999,,,,,,,,,,1.75,percent of total billed charges,1.524009436,,,,,,,,,,6.3,percent of total billed charges,,,,,
**BIMATOPROST (LUMIGAN) 0.03% OPHTH,259,RC,5486-8457-02,NDC,,both,1,EA,164,164,34.91296692,164,164,percent of total billed charges,120.6606262,,,,164,percent of total billed charges,127.897878,,,,164,percent of total billed charges,120.6606262,,,,164,percent of total billed charges,127.897878,,,,164,percent of total billed charges,999999999,,,,164,percent of total billed charges,124.9567283,,,,164,percent of total billed charges,120.6606262,,,,164,percent of total billed charges,127.897878,,,,116.932,percent of total billed charges,58.35120786,,,,116.932,percent of total billed charges,34.91296692,,,,116.932,percent of total billed charges,58.35120786,,,,116.932,percent of total billed charges,34.91296692,,,,116.932,percent of total billed charges,58.35120786,,,,116.932,percent of total billed charges,34.91296692,,,,115.784,percent of total billed charges,114.9055153,,,,115.784,percent of total billed charges,79.24942317,,,,,,,,,,118.08,percent of total billed charges,76.74922133,,,,,,,,,,118.08,percent of total billed charges,999999999,,,,,,,,,,131.2,percent of total billed charges,109.93878,,,,129.56,percent of total billed charges,125.0309756,,,,129.56,percent of total billed charges,110.4690057,,,,131.2,percent of total billed charges,999999999,,,,131.2,percent of total billed charges,999999999,,,,114.8,percent of total billed charges,999999999,,,,114.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,87.248,percent of total billed charges,999999999,,,,,,,,,,,,,,,,82.82,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,41,percent of total billed charges,38.93997103,,,,,,,,,,41,percent of total billed charges,38.29223111,,,,,,,,,,41,percent of total billed charges,38.18581864,,,,,,,,,,41,percent of total billed charges,37.62353293,,,,,,,,,,41,percent of total billed charges,38.59164174,,,,,,,,,,41,percent of total billed charges,999999999,,,,,,,,,,41,percent of total billed charges,33.11434624,,,,,,,,,,41,percent of total billed charges,52.22360757,,,,,,,,,,41,percent of total billed charges,999999999,,,,,,,,,,41,percent of total billed charges,35.70536394,,,,,,,,,,147.6,percent of total billed charges,,,,,
**FLUCONAZOLE (DIFLUCAN) 10MG/ML SUSP:35,259,RC,0004-9344-19,NDC,,both,1,EA,127,127,27.03626097,127,127,percent of total billed charges,93.43841177,,,,127,percent of total billed charges,99.04286897,,,,127,percent of total billed charges,93.43841177,,,,127,percent of total billed charges,99.04286897,,,,127,percent of total billed charges,999999999,,,,127,percent of total billed charges,96.76527134,,,,127,percent of total billed charges,93.43841177,,,,127,percent of total billed charges,99.04286897,,,,90.551,percent of total billed charges,45.18660609,,,,90.551,percent of total billed charges,27.03626097,,,,90.551,percent of total billed charges,45.18660609,,,,90.551,percent of total billed charges,27.03626097,,,,90.551,percent of total billed charges,45.18660609,,,,90.551,percent of total billed charges,27.03626097,,,,89.662,percent of total billed charges,88.98171003,,,,89.662,percent of total billed charges,61.36998014,,,,,,,,,,91.44,percent of total billed charges,59.43384822,,,,,,,,,,91.44,percent of total billed charges,999999999,,,,,,,,,,101.6,percent of total billed charges,85.13551865,,,,100.33,percent of total billed charges,96.82276769,,,,100.33,percent of total billed charges,85.54612024,,,,101.6,percent of total billed charges,999999999,,,,101.6,percent of total billed charges,999999999,,,,88.9,percent of total billed charges,999999999,,,,88.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,67.564,percent of total billed charges,999999999,,,,,,,,,,,,,,,,64.135,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,31.75,percent of total billed charges,30.15473367,,,,,,,,,,31.75,percent of total billed charges,29.65313019,,,,,,,,,,31.75,percent of total billed charges,29.57072541,,,,,,,,,,31.75,percent of total billed charges,29.13529684,,,,,,,,,,31.75,percent of total billed charges,29.88499086,,,,,,,,,,31.75,percent of total billed charges,999999999,,,,,,,,,,31.75,percent of total billed charges,25.64342666,,,,,,,,,,31.75,percent of total billed charges,40.4414522,,,,,,,,,,31.75,percent of total billed charges,999999999,,,,,,,,,,31.75,percent of total billed charges,27.64988549,,,,,,,,,,114.3,percent of total billed charges,,,,,
**REGRANEX (BECAPLERMIN) GEL: 15GM,259,RC,0004-5081-15,NDC,,both,1,EA,1678,1678,357.2192591,1678,1678,percent of total billed charges,1234.564212,,,,1678,percent of total billed charges,1308.613655,,,,1678,percent of total billed charges,1234.564212,,,,1678,percent of total billed charges,1308.613655,,,,1678,percent of total billed charges,999999999,,,,1678,percent of total billed charges,1278.520672,,,,1678,percent of total billed charges,1234.564212,,,,1678,percent of total billed charges,1308.613655,,,,1196.414,percent of total billed charges,597.0324804,,,,1196.414,percent of total billed charges,357.2192591,,,,1196.414,percent of total billed charges,597.0324804,,,,1196.414,percent of total billed charges,357.2192591,,,,1196.414,percent of total billed charges,597.0324804,,,,1196.414,percent of total billed charges,357.2192591,,,,1184.668,percent of total billed charges,1175.679602,,,,1184.668,percent of total billed charges,810.8569029,,,,,,,,,,1208.16,percent of total billed charges,785.2755694,,,,,,,,,,1208.16,percent of total billed charges,999999999,,,,,,,,,,1342.4,percent of total billed charges,1124.86142,,,,1325.62,percent of total billed charges,1279.280348,,,,1325.62,percent of total billed charges,1130.286534,,,,1342.4,percent of total billed charges,999999999,,,,1342.4,percent of total billed charges,999999999,,,,1174.6,percent of total billed charges,999999999,,,,1174.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,892.696,percent of total billed charges,999999999,,,,,,,,,,,,,,,,847.39,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,419.5,percent of total billed charges,398.4223865,,,,,,,,,,419.5,percent of total billed charges,391.7949012,,,,,,,,,,419.5,percent of total billed charges,390.70612,,,,,,,,,,419.5,percent of total billed charges,384.9529771,,,,,,,,,,419.5,percent of total billed charges,394.8583831,,,,,,,,,,419.5,percent of total billed charges,999999999,,,,,,,,,,419.5,percent of total billed charges,338.8162987,,,,,,,,,,419.5,percent of total billed charges,534.3366677,,,,,,,,,,419.5,percent of total billed charges,999999999,,,,,,,,,,419.5,percent of total billed charges,365.3268335,,,,,,,,,,1510.2,percent of total billed charges,,,,,
**VANCOMYCIN FORTIFIED OPTH DROPS: 10,259,RC,9999-9999-99,NDC,,both,1,EA,18,18,3.831911003,18,18,percent of total billed charges,13.24323946,,,,18,percent of total billed charges,14.03757198,,,,18,percent of total billed charges,13.24323946,,,,18,percent of total billed charges,14.03757198,,,,18,percent of total billed charges,999999999,,,,18,percent of total billed charges,13.71476287,,,,18,percent of total billed charges,13.24323946,,,,18,percent of total billed charges,14.03757198,,,,12.834,percent of total billed charges,6.404400863,,,,12.834,percent of total billed charges,3.831911003,,,,12.834,percent of total billed charges,6.404400863,,,,12.834,percent of total billed charges,3.831911003,,,,12.834,percent of total billed charges,6.404400863,,,,12.834,percent of total billed charges,3.831911003,,,,12.708,percent of total billed charges,12.61158095,,,,12.708,percent of total billed charges,8.698107421,,,,,,,,,,12.96,percent of total billed charges,8.423695024,,,,,,,,,,12.96,percent of total billed charges,999999999,,,,,,,,,,14.4,percent of total billed charges,12.06645146,,,,14.22,percent of total billed charges,13.72291196,,,,14.22,percent of total billed charges,12.12464696,,,,14.4,percent of total billed charges,999999999,,,,14.4,percent of total billed charges,999999999,,,,12.6,percent of total billed charges,999999999,,,,12.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.576,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.09,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4.5,percent of total billed charges,4.27389926,,,,,,,,,,4.5,percent of total billed charges,4.202805854,,,,,,,,,,4.5,percent of total billed charges,4.191126436,,,,,,,,,,4.5,percent of total billed charges,4.12941215,,,,,,,,,,4.5,percent of total billed charges,4.235667996,,,,,,,,,,4.5,percent of total billed charges,999999999,,,,,,,,,,4.5,percent of total billed charges,3.634501416,,,,,,,,,,4.5,percent of total billed charges,5.731859367,,,,,,,,,,4.5,percent of total billed charges,999999999,,,,,,,,,,4.5,percent of total billed charges,3.918881408,,,,,,,,,,16.2,percent of total billed charges,,,,,
**METHYLCELLULOSE POWDER (CITRUCEL)16,259,RC,0006-8041-16,NDC,,both,1,EA,21,21,4.470562837,21,21,percent of total billed charges,15.45044604,,,,21,percent of total billed charges,16.37716731,,,,21,percent of total billed charges,15.45044604,,,,21,percent of total billed charges,16.37716731,,,,21,percent of total billed charges,999999999,,,,21,percent of total billed charges,16.00055668,,,,21,percent of total billed charges,15.45044604,,,,21,percent of total billed charges,16.37716731,,,,14.973,percent of total billed charges,7.471801006,,,,14.973,percent of total billed charges,4.470562837,,,,14.973,percent of total billed charges,7.471801006,,,,14.973,percent of total billed charges,4.470562837,,,,14.973,percent of total billed charges,7.471801006,,,,14.973,percent of total billed charges,4.470562837,,,,14.826,percent of total billed charges,14.71351111,,,,14.826,percent of total billed charges,10.14779199,,,,,,,,,,15.12,percent of total billed charges,9.827644194,,,,,,,,,,15.12,percent of total billed charges,999999999,,,,,,,,,,16.8,percent of total billed charges,14.07752671,,,,16.59,percent of total billed charges,16.01006395,,,,16.59,percent of total billed charges,14.14542146,,,,16.8,percent of total billed charges,999999999,,,,16.8,percent of total billed charges,999999999,,,,14.7,percent of total billed charges,999999999,,,,14.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,11.172,percent of total billed charges,999999999,,,,,,,,,,,,,,,,10.605,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5.25,percent of total billed charges,4.986215803,,,,,,,,,,5.25,percent of total billed charges,4.903273496,,,,,,,,,,5.25,percent of total billed charges,4.889647509,,,,,,,,,,5.25,percent of total billed charges,4.817647509,,,,,,,,,,5.25,percent of total billed charges,4.941612662,,,,,,,,,,5.25,percent of total billed charges,999999999,,,,,,,,,,5.25,percent of total billed charges,4.240251652,,,,,,,,,,5.25,percent of total billed charges,6.687169262,,,,,,,,,,5.25,percent of total billed charges,999999999,,,,,,,,,,5.25,percent of total billed charges,4.572028309,,,,,,,,,,18.9,percent of total billed charges,,,,,
**LEXAPRO (ESCITALOPRAM) 1 MG/ML ORAL SO,259,RC,0045-6210-08,NDC,,both,1,EA,371,371,78.97994346,371,371,percent of total billed charges,272.95788,,,,371,percent of total billed charges,289.3299558,,,,371,percent of total billed charges,272.95788,,,,371,percent of total billed charges,289.3299558,,,,371,percent of total billed charges,999999999,,,,371,percent of total billed charges,282.6765013,,,,371,percent of total billed charges,272.95788,,,,371,percent of total billed charges,289.3299558,,,,264.523,percent of total billed charges,132.0018178,,,,264.523,percent of total billed charges,78.97994346,,,,264.523,percent of total billed charges,132.0018178,,,,264.523,percent of total billed charges,78.97994346,,,,264.523,percent of total billed charges,132.0018178,,,,264.523,percent of total billed charges,78.97994346,,,,261.926,percent of total billed charges,259.9386962,,,,261.926,percent of total billed charges,179.2776585,,,,,,,,,,267.12,percent of total billed charges,173.6217141,,,,,,,,,,267.12,percent of total billed charges,999999999,,,,,,,,,,296.8,percent of total billed charges,248.7029718,,,,293.09,percent of total billed charges,282.8444631,,,,293.09,percent of total billed charges,249.9024457,,,,296.8,percent of total billed charges,999999999,,,,296.8,percent of total billed charges,999999999,,,,259.7,percent of total billed charges,999999999,,,,259.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,197.372,percent of total billed charges,999999999,,,,,,,,,,,,,,,,187.355,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,92.75,percent of total billed charges,88.08981252,,,,,,,,,,92.75,percent of total billed charges,86.62449843,,,,,,,,,,92.75,percent of total billed charges,86.38377266,,,,,,,,,,92.75,percent of total billed charges,85.11177265,,,,,,,,,,92.75,percent of total billed charges,87.30182369,,,,,,,,,,92.75,percent of total billed charges,999999999,,,,,,,,,,92.75,percent of total billed charges,74.91111252,,,,,,,,,,92.75,percent of total billed charges,118.1399903,,,,,,,,,,92.75,percent of total billed charges,999999999,,,,,,,,,,92.75,percent of total billed charges,80.77250013,,,,,,,,,,333.9,percent of total billed charges,,,,,
**REMINYL (GALANTAMINE) 4MG/ML SOLN: 100,259,RC,0006-9314-19,NDC,,both,1,EA,112,112,23.8430018,112,112,percent of total billed charges,82.40237888,,,,112,percent of total billed charges,87.34489232,,,,112,percent of total billed charges,82.40237888,,,,112,percent of total billed charges,87.34489232,,,,112,percent of total billed charges,999999999,,,,112,percent of total billed charges,85.33630229,,,,112,percent of total billed charges,82.40237888,,,,112,percent of total billed charges,87.34489232,,,,79.856,percent of total billed charges,39.84960537,,,,79.856,percent of total billed charges,23.8430018,,,,79.856,percent of total billed charges,39.84960537,,,,79.856,percent of total billed charges,23.8430018,,,,79.856,percent of total billed charges,39.84960537,,,,79.856,percent of total billed charges,23.8430018,,,,79.072,percent of total billed charges,78.47205924,,,,79.072,percent of total billed charges,54.12155728,,,,,,,,,,80.64,percent of total billed charges,52.41410237,,,,,,,,,,80.64,percent of total billed charges,999999999,,,,,,,,,,89.6,percent of total billed charges,75.08014243,,,,88.48,percent of total billed charges,85.38700773,,,,88.48,percent of total billed charges,75.44224777,,,,89.6,percent of total billed charges,999999999,,,,89.6,percent of total billed charges,999999999,,,,78.4,percent of total billed charges,999999999,,,,78.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,59.584,percent of total billed charges,999999999,,,,,,,,,,,,,,,,56.56,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,28,percent of total billed charges,26.59315095,,,,,,,,,,28,percent of total billed charges,26.15079198,,,,,,,,,,28,percent of total billed charges,26.07812005,,,,,,,,,,28,percent of total billed charges,25.69412005,,,,,,,,,,28,percent of total billed charges,26.35526753,,,,,,,,,,28,percent of total billed charges,999999999,,,,,,,,,,28,percent of total billed charges,22.61467548,,,,,,,,,,28,percent of total billed charges,35.66490273,,,,,,,,,,28,percent of total billed charges,999999999,,,,,,,,,,28,percent of total billed charges,24.38415098,,,,,,,,,,100.8,percent of total billed charges,,,,,
**ZIDOVUDINE (RETROVIR) 300MG : TAB,259,RC,0017-3050-00,NDC,,both,1,EA,21,21,4.470562837,21,21,percent of total billed charges,15.45044604,,,,21,percent of total billed charges,16.37716731,,,,21,percent of total billed charges,15.45044604,,,,21,percent of total billed charges,16.37716731,,,,21,percent of total billed charges,999999999,,,,21,percent of total billed charges,16.00055668,,,,21,percent of total billed charges,15.45044604,,,,21,percent of total billed charges,16.37716731,,,,14.973,percent of total billed charges,7.471801006,,,,14.973,percent of total billed charges,4.470562837,,,,14.973,percent of total billed charges,7.471801006,,,,14.973,percent of total billed charges,4.470562837,,,,14.973,percent of total billed charges,7.471801006,,,,14.973,percent of total billed charges,4.470562837,,,,14.826,percent of total billed charges,14.71351111,,,,14.826,percent of total billed charges,10.14779199,,,,,,,,,,15.12,percent of total billed charges,9.827644194,,,,,,,,,,15.12,percent of total billed charges,999999999,,,,,,,,,,16.8,percent of total billed charges,14.07752671,,,,16.59,percent of total billed charges,16.01006395,,,,16.59,percent of total billed charges,14.14542146,,,,16.8,percent of total billed charges,999999999,,,,16.8,percent of total billed charges,999999999,,,,14.7,percent of total billed charges,999999999,,,,14.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,11.172,percent of total billed charges,999999999,,,,,,,,,,,,,,,,10.605,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5.25,percent of total billed charges,4.986215803,,,,,,,,,,5.25,percent of total billed charges,4.903273496,,,,,,,,,,5.25,percent of total billed charges,4.889647509,,,,,,,,,,5.25,percent of total billed charges,4.817647509,,,,,,,,,,5.25,percent of total billed charges,4.941612662,,,,,,,,,,5.25,percent of total billed charges,999999999,,,,,,,,,,5.25,percent of total billed charges,4.240251652,,,,,,,,,,5.25,percent of total billed charges,6.687169262,,,,,,,,,,5.25,percent of total billed charges,999999999,,,,,,,,,,5.25,percent of total billed charges,4.572028309,,,,,,,,,,18.9,percent of total billed charges,,,,,
**DIFLUNISAL (DOLOBID) 500 MG : TAB,259,RC,0009-3075-06,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
**E-ONE-A-DAY WEIGHT SMART VITAMIN:1 X 1,250,RC,9999-9999-99,NDC,,both,1,EA,18,18,3.831911003,18,18,percent of total billed charges,13.24323946,,,,18,percent of total billed charges,14.03757198,,,,18,percent of total billed charges,13.24323946,,,,18,percent of total billed charges,14.03757198,,,,18,percent of total billed charges,999999999,,,,18,percent of total billed charges,13.71476287,,,,18,percent of total billed charges,13.24323946,,,,18,percent of total billed charges,14.03757198,,,,12.834,percent of total billed charges,6.404400863,,,,12.834,percent of total billed charges,3.831911003,,,,12.834,percent of total billed charges,6.404400863,,,,12.834,percent of total billed charges,3.831911003,,,,12.834,percent of total billed charges,6.404400863,,,,12.834,percent of total billed charges,3.831911003,,,,12.708,percent of total billed charges,12.61158095,,,,12.708,percent of total billed charges,8.698107421,,,,,,,,,,12.96,percent of total billed charges,8.423695024,,,,,,,,,,12.96,percent of total billed charges,999999999,,,,,,,,,,14.4,percent of total billed charges,12.06645146,,,,14.22,percent of total billed charges,13.72291196,,,,14.22,percent of total billed charges,12.12464696,,,,14.4,percent of total billed charges,999999999,,,,14.4,percent of total billed charges,999999999,,,,12.6,percent of total billed charges,999999999,,,,12.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.576,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.09,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4.5,percent of total billed charges,4.27389926,,,,,,,,,,4.5,percent of total billed charges,4.202805854,,,,,,,,,,4.5,percent of total billed charges,4.191126436,,,,,,,,,,4.5,percent of total billed charges,4.12941215,,,,,,,,,,4.5,percent of total billed charges,4.235667996,,,,,,,,,,4.5,percent of total billed charges,999999999,,,,,,,,,,4.5,percent of total billed charges,3.634501416,,,,,,,,,,4.5,percent of total billed charges,5.731859367,,,,,,,,,,4.5,percent of total billed charges,999999999,,,,,,,,,,4.5,percent of total billed charges,3.918881408,,,,,,,,,,16.2,percent of total billed charges,,,,,
**ADDERAL XR 20MG (AMPHET/DEXTROAMPHET):,259,RC,5409-2038-01,NDC,,both,1,EA,965,965,205.4330066,965,965,percent of total billed charges,709.9847823,,,,965,percent of total billed charges,752.5698312,,,,965,percent of total billed charges,709.9847823,,,,965,percent of total billed charges,752.5698312,,,,965,percent of total billed charges,999999999,,,,965,percent of total billed charges,735.263676,,,,965,percent of total billed charges,709.9847823,,,,965,percent of total billed charges,752.5698312,,,,688.045,percent of total billed charges,343.3470462,,,,688.045,percent of total billed charges,205.4330066,,,,688.045,percent of total billed charges,343.3470462,,,,688.045,percent of total billed charges,205.4330066,,,,688.045,percent of total billed charges,343.3470462,,,,688.045,percent of total billed charges,205.4330066,,,,681.29,percent of total billed charges,676.1208676,,,,681.29,percent of total billed charges,466.3152034,,,,,,,,,,694.8,percent of total billed charges,451.6036499,,,,,,,,,,694.8,percent of total billed charges,999999999,,,,,,,,,,772,percent of total billed charges,646.8958701,,,,762.35,percent of total billed charges,735.7005577,,,,762.35,percent of total billed charges,650.0157955,,,,772,percent of total billed charges,999999999,,,,772,percent of total billed charges,999999999,,,,675.5,percent of total billed charges,999999999,,,,675.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,513.38,percent of total billed charges,999999999,,,,,,,,,,,,,,,,487.325,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,241.25,percent of total billed charges,229.1284881,,,,,,,,,,241.25,percent of total billed charges,225.3170916,,,,,,,,,,241.25,percent of total billed charges,224.690945,,,,,,,,,,241.25,percent of total billed charges,221.3823736,,,,,,,,,,241.25,percent of total billed charges,227.0788675,,,,,,,,,,241.25,percent of total billed charges,999999999,,,,,,,,,,241.25,percent of total billed charges,194.8496593,,,,,,,,,,241.25,percent of total billed charges,307.2913494,,,,,,,,,,241.25,percent of total billed charges,999999999,,,,,,,,,,241.25,percent of total billed charges,210.0955866,,,,,,,,,,868.5,percent of total billed charges,,,,,
**ISOPROTERENOL (ISUPREL) 1:5000: 5ML AM,250,RC,0040-9141-05,NDC,,both,1,EA,162,162,34.48719903,162,162,percent of total billed charges,119.1891552,,,,162,percent of total billed charges,126.3381478,,,,162,percent of total billed charges,119.1891552,,,,162,percent of total billed charges,126.3381478,,,,162,percent of total billed charges,999999999,,,,162,percent of total billed charges,123.4328658,,,,162,percent of total billed charges,119.1891552,,,,162,percent of total billed charges,126.3381478,,,,115.506,percent of total billed charges,57.63960776,,,,115.506,percent of total billed charges,34.48719903,,,,115.506,percent of total billed charges,57.63960776,,,,115.506,percent of total billed charges,34.48719903,,,,115.506,percent of total billed charges,57.63960776,,,,115.506,percent of total billed charges,34.48719903,,,,114.372,percent of total billed charges,113.5042285,,,,114.372,percent of total billed charges,78.28296679,,,,,,,,,,116.64,percent of total billed charges,75.81325521,,,,,,,,,,116.64,percent of total billed charges,999999999,,,,,,,,,,129.6,percent of total billed charges,108.5980632,,,,127.98,percent of total billed charges,123.5062076,,,,127.98,percent of total billed charges,109.1218227,,,,129.6,percent of total billed charges,999999999,,,,129.6,percent of total billed charges,999999999,,,,113.4,percent of total billed charges,999999999,,,,113.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,86.184,percent of total billed charges,999999999,,,,,,,,,,,,,,,,81.81,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,40.5,percent of total billed charges,38.46509334,,,,,,,,,,40.5,percent of total billed charges,37.82525268,,,,,,,,,,40.5,percent of total billed charges,37.72013793,,,,,,,,,,40.5,percent of total billed charges,37.16470935,,,,,,,,,,40.5,percent of total billed charges,38.12101196,,,,,,,,,,40.5,percent of total billed charges,999999999,,,,,,,,,,40.5,percent of total billed charges,32.71051275,,,,,,,,,,40.5,percent of total billed charges,51.58673431,,,,,,,,,,40.5,percent of total billed charges,999999999,,,,,,,,,,40.5,percent of total billed charges,35.26993267,,,,,,,,,,145.8,percent of total billed charges,,,,,
**GUAIFENESIN DM SUGAR FREE: 120 ML,259,RC,6056-9006-04,NDC,,both,1,EA,17,17,3.619027059,17,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,17,percent of total billed charges,999999999,,,,17,percent of total billed charges,12.9528316,,,,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.002,percent of total billed charges,11.91093756,,,,12.002,percent of total billed charges,8.214879231,,,,,,,,,,12.24,percent of total billed charges,7.955711967,,,,,,,,,,12.24,percent of total billed charges,999999999,,,,,,,,,,13.6,percent of total billed charges,11.39609305,,,,13.43,percent of total billed charges,12.96052796,,,,13.43,percent of total billed charges,11.45105547,,,,13.6,percent of total billed charges,999999999,,,,13.6,percent of total billed charges,999999999,,,,11.9,percent of total billed charges,999999999,,,,11.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.044,percent of total billed charges,999999999,,,,,,,,,,,,,,,,8.585,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4.25,percent of total billed charges,4.036460412,,,,,,,,,,4.25,percent of total billed charges,3.96931664,,,,,,,,,,4.25,percent of total billed charges,3.958286079,,,,,,,,,,4.25,percent of total billed charges,3.900000364,,,,,,,,,,4.25,percent of total billed charges,4.000353107,,,,,,,,,,4.25,percent of total billed charges,999999999,,,,,,,,,,4.25,percent of total billed charges,3.432584671,,,,,,,,,,4.25,percent of total billed charges,5.413422736,,,,,,,,,,4.25,percent of total billed charges,999999999,,,,,,,,,,4.25,percent of total billed charges,3.701165774,,,,,,,,,,15.3,percent of total billed charges,,,,,
**METHYLPHENIDATE CD (METADATE CD) 10MG:,259,RC,5301-4057-07,NDC,,both,1,EA,12,12,2.554607335,12,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,12,percent of total billed charges,999999999,,,,12,percent of total billed charges,9.143175245,,,,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.472,percent of total billed charges,8.407720633,,,,8.472,percent of total billed charges,5.79873828,,,,,,,,,,8.64,percent of total billed charges,5.615796683,,,,,,,,,,8.64,percent of total billed charges,999999999,,,,,,,,,,9.6,percent of total billed charges,8.044300975,,,,9.48,percent of total billed charges,9.148607971,,,,9.48,percent of total billed charges,8.083097975,,,,9.6,percent of total billed charges,999999999,,,,9.6,percent of total billed charges,999999999,,,,8.4,percent of total billed charges,999999999,,,,8.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.384,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.06,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3,percent of total billed charges,2.849266173,,,,,,,,,,3,percent of total billed charges,2.801870569,,,,,,,,,,3,percent of total billed charges,2.794084291,,,,,,,,,,3,percent of total billed charges,2.752941434,,,,,,,,,,3,percent of total billed charges,2.823778664,,,,,,,,,,3,percent of total billed charges,999999999,,,,,,,,,,3,percent of total billed charges,2.423000944,,,,,,,,,,3,percent of total billed charges,3.821239578,,,,,,,,,,3,percent of total billed charges,999999999,,,,,,,,,,3,percent of total billed charges,2.612587605,,,,,,,,,,10.8,percent of total billed charges,,,,,
**TOBRAMYCIN 1.2 GM DRY POWDER: EACH,250,RC,0070-3941-01,NDC,,both,1,EA,176,176,37.46757425,176,176,percent of total billed charges,129.4894525,,,,176,percent of total billed charges,137.2562594,,,,176,percent of total billed charges,129.4894525,,,,176,percent of total billed charges,137.2562594,,,,176,percent of total billed charges,999999999,,,,176,percent of total billed charges,134.0999036,,,,176,percent of total billed charges,129.4894525,,,,176,percent of total billed charges,137.2562594,,,,125.488,percent of total billed charges,62.62080844,,,,125.488,percent of total billed charges,37.46757425,,,,125.488,percent of total billed charges,62.62080844,,,,125.488,percent of total billed charges,37.46757425,,,,125.488,percent of total billed charges,62.62080844,,,,125.488,percent of total billed charges,37.46757425,,,,124.256,percent of total billed charges,123.3132359,,,,124.256,percent of total billed charges,85.04816145,,,,,,,,,,126.72,percent of total billed charges,82.36501801,,,,,,,,,,126.72,percent of total billed charges,999999999,,,,,,,,,,140.8,percent of total billed charges,117.983081,,,,139.04,percent of total billed charges,134.1795836,,,,139.04,percent of total billed charges,118.5521036,,,,140.8,percent of total billed charges,999999999,,,,140.8,percent of total billed charges,999999999,,,,123.2,percent of total billed charges,999999999,,,,123.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,93.632,percent of total billed charges,999999999,,,,,,,,,,,,,,,,88.88,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,44,percent of total billed charges,41.78923721,,,,,,,,,,44,percent of total billed charges,41.09410168,,,,,,,,,,44,percent of total billed charges,40.97990293,,,,,,,,,,44,percent of total billed charges,40.37647436,,,,,,,,,,44,percent of total billed charges,41.4154204,,,,,,,,,,44,percent of total billed charges,999999999,,,,,,,,,,44,percent of total billed charges,35.53734718,,,,,,,,,,44,percent of total billed charges,56.04484715,,,,,,,,,,44,percent of total billed charges,999999999,,,,,,,,,,44,percent of total billed charges,38.31795154,,,,,,,,,,158.4,percent of total billed charges,,,,,
**THEOPHYLLINE E.R. 100 MG: TABLET,259,RC,0025-8358-01,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
**ROPINirole (REQUIP) 3MG TAB,259,RC,0000-7489-20,NDC,,both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**SORIATANE (ACITRETIN) 10MG: CAP,259,RC,6303-2009-25,NDC,,both,1,EA,1112,1112,236.7269464,1112,1112,percent of total billed charges,818.1379046,,,,1112,percent of total billed charges,867.2100023,,,,1112,percent of total billed charges,818.1379046,,,,1112,percent of total billed charges,867.2100023,,,,1112,percent of total billed charges,999999999,,,,1112,percent of total billed charges,847.2675727,,,,1112,percent of total billed charges,818.1379046,,,,1112,percent of total billed charges,867.2100023,,,,792.856,percent of total billed charges,395.6496533,,,,792.856,percent of total billed charges,236.7269464,,,,792.856,percent of total billed charges,395.6496533,,,,792.856,percent of total billed charges,236.7269464,,,,792.856,percent of total billed charges,395.6496533,,,,792.856,percent of total billed charges,236.7269464,,,,785.072,percent of total billed charges,779.1154453,,,,785.072,percent of total billed charges,537.3497473,,,,,,,,,,800.64,percent of total billed charges,520.3971592,,,,,,,,,,800.64,percent of total billed charges,999999999,,,,,,,,,,889.6,percent of total billed charges,745.438557,,,,878.48,percent of total billed charges,847.7710053,,,,878.48,percent of total billed charges,749.0337457,,,,889.6,percent of total billed charges,999999999,,,,889.6,percent of total billed charges,999999999,,,,778.4,percent of total billed charges,999999999,,,,778.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,591.584,percent of total billed charges,999999999,,,,,,,,,,,,,,,,561.56,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,278,percent of total billed charges,264.0319987,,,,,,,,,,278,percent of total billed charges,259.6400061,,,,,,,,,,278,percent of total billed charges,258.9184776,,,,,,,,,,278,percent of total billed charges,255.1059062,,,,,,,,,,278,percent of total billed charges,261.6701562,,,,,,,,,,278,percent of total billed charges,999999999,,,,,,,,,,278,percent of total billed charges,224.5314208,,,,,,,,,,278,percent of total billed charges,354.1015342,,,,,,,,,,278,percent of total billed charges,999999999,,,,,,,,,,278,percent of total billed charges,242.0997847,,,,,,,,,,1000.8,percent of total billed charges,,,,,
**VANCOMYCIN 500MG IN 100ML NS IVPB M,J3370,CDM,0040-9433-01,NDC,,both,1,EA,28,28,5.960750449,28,28,percent of total billed charges,20.60059472,,,,28,percent of total billed charges,21.83622308,,,,28,percent of total billed charges,20.60059472,,,,28,percent of total billed charges,21.83622308,,,,28,percent of total billed charges,999999999,,,,28,percent of total billed charges,21.33407557,,,,28,percent of total billed charges,20.60059472,,,,28,percent of total billed charges,21.83622308,,,,19.964,percent of total billed charges,9.962401342,,,,19.964,percent of total billed charges,5.960750449,,,,19.964,percent of total billed charges,9.962401342,,,,19.964,percent of total billed charges,5.960750449,,,,19.964,percent of total billed charges,9.962401342,,,,19.964,percent of total billed charges,5.960750449,,,,19.768,percent of total billed charges,19.61801481,,,,19.768,percent of total billed charges,13.53038932,,,,,,,,,,20.16,percent of total billed charges,13.10352559,,,,,,,,,,20.16,percent of total billed charges,999999999,,,,,,,,,,22.4,percent of total billed charges,18.77003561,,,,22.12,percent of total billed charges,21.34675193,,,,22.12,percent of total billed charges,18.86056194,,,,22.4,percent of total billed charges,999999999,,,,22.4,percent of total billed charges,999999999,,,,19.6,percent of total billed charges,999999999,,,,19.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,14.896,percent of total billed charges,999999999,,,,,,,,,,,,,,,,14.14,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7,percent of total billed charges,6.648287737,,,,,,,,,,7,percent of total billed charges,6.537697995,,,,,,,,,,7,percent of total billed charges,6.519530012,,,,,,,,,,7,percent of total billed charges,6.423530012,,,,,,,,,,7,percent of total billed charges,6.588816882,,,,,,,,,,7,percent of total billed charges,999999999,,,,,,,,,,7,percent of total billed charges,5.65366887,,,,,,,,,,7,percent of total billed charges,8.916225683,,,,,,,,,,7,percent of total billed charges,999999999,,,,,,,,,,7,percent of total billed charges,6.096037745,,,,,,,,,,25.2,percent of total billed charges,,,,,
**ROBITUSSIN PE 4 OZ,259,RC,0003-1869-12,NDC,,both,1,EA,17,17,3.619027059,17,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,17,percent of total billed charges,999999999,,,,17,percent of total billed charges,12.9528316,,,,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.002,percent of total billed charges,11.91093756,,,,12.002,percent of total billed charges,8.214879231,,,,,,,,,,12.24,percent of total billed charges,7.955711967,,,,,,,,,,12.24,percent of total billed charges,999999999,,,,,,,,,,13.6,percent of total billed charges,11.39609305,,,,13.43,percent of total billed charges,12.96052796,,,,13.43,percent of total billed charges,11.45105547,,,,13.6,percent of total billed charges,999999999,,,,13.6,percent of total billed charges,999999999,,,,11.9,percent of total billed charges,999999999,,,,11.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.044,percent of total billed charges,999999999,,,,,,,,,,,,,,,,8.585,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4.25,percent of total billed charges,4.036460412,,,,,,,,,,4.25,percent of total billed charges,3.96931664,,,,,,,,,,4.25,percent of total billed charges,3.958286079,,,,,,,,,,4.25,percent of total billed charges,3.900000364,,,,,,,,,,4.25,percent of total billed charges,4.000353107,,,,,,,,,,4.25,percent of total billed charges,999999999,,,,,,,,,,4.25,percent of total billed charges,3.432584671,,,,,,,,,,4.25,percent of total billed charges,5.413422736,,,,,,,,,,4.25,percent of total billed charges,999999999,,,,,,,,,,4.25,percent of total billed charges,3.701165774,,,,,,,,,,15.3,percent of total billed charges,,,,,
**TRIAMTERINE 50MG HCTZ 25MG: CAP,259,RC,0017-2295-60,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
**VOLTAREN (DICLOFENAC) 75MG TAB,259,RC,0005-4822-25,NDC,,both,1,EA,9,9,1.915955502,9,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,9,percent of total billed charges,999999999,,,,9,percent of total billed charges,6.857381434,,,,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.354,percent of total billed charges,6.305790475,,,,6.354,percent of total billed charges,4.34905371,,,,,,,,,,6.48,percent of total billed charges,4.211847512,,,,,,,,,,6.48,percent of total billed charges,999999999,,,,,,,,,,7.2,percent of total billed charges,6.033225731,,,,7.11,percent of total billed charges,6.861455978,,,,7.11,percent of total billed charges,6.062323481,,,,7.2,percent of total billed charges,999999999,,,,7.2,percent of total billed charges,999999999,,,,6.3,percent of total billed charges,999999999,,,,6.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.788,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.545,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.25,percent of total billed charges,2.13694963,,,,,,,,,,2.25,percent of total billed charges,2.101402927,,,,,,,,,,2.25,percent of total billed charges,2.095563218,,,,,,,,,,2.25,percent of total billed charges,2.064706075,,,,,,,,,,2.25,percent of total billed charges,2.117833998,,,,,,,,,,2.25,percent of total billed charges,999999999,,,,,,,,,,2.25,percent of total billed charges,1.817250708,,,,,,,,,,2.25,percent of total billed charges,2.865929684,,,,,,,,,,2.25,percent of total billed charges,999999999,,,,,,,,,,2.25,percent of total billed charges,1.959440704,,,,,,,,,,8.1,percent of total billed charges,,,,,
**DROTRECOGIN ALGA (XIGRIX) 5 MG: VIAL,258,RC,0000-2755-01,NDC,,both,1,EA,642,642,136.6714924,642,642,percent of total billed charges,472.3422075,,,,642,percent of total billed charges,500.6734006,,,,642,percent of total billed charges,472.3422075,,,,642,percent of total billed charges,500.6734006,,,,642,percent of total billed charges,999999999,,,,642,percent of total billed charges,489.1598756,,,,642,percent of total billed charges,472.3422075,,,,642,percent of total billed charges,500.6734006,,,,457.746,percent of total billed charges,228.4236308,,,,457.746,percent of total billed charges,136.6714924,,,,457.746,percent of total billed charges,228.4236308,,,,457.746,percent of total billed charges,136.6714924,,,,457.746,percent of total billed charges,228.4236308,,,,457.746,percent of total billed charges,136.6714924,,,,453.252,percent of total billed charges,449.8130539,,,,453.252,percent of total billed charges,310.232498,,,,,,,,,,462.24,percent of total billed charges,300.4451225,,,,,,,,,,462.24,percent of total billed charges,999999999,,,,,,,,,,513.6,percent of total billed charges,430.3701022,,,,507.18,percent of total billed charges,489.4505264,,,,507.18,percent of total billed charges,432.4457417,,,,513.6,percent of total billed charges,999999999,,,,513.6,percent of total billed charges,999999999,,,,449.4,percent of total billed charges,999999999,,,,449.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,341.544,percent of total billed charges,999999999,,,,,,,,,,,,,,,,324.21,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,160.5,percent of total billed charges,152.4357403,,,,,,,,,,160.5,percent of total billed charges,149.9000754,,,,,,,,,,160.5,percent of total billed charges,149.4835096,,,,,,,,,,160.5,percent of total billed charges,147.2823667,,,,,,,,,,160.5,percent of total billed charges,151.0721585,,,,,,,,,,160.5,percent of total billed charges,999999999,,,,,,,,,,160.5,percent of total billed charges,129.6305505,,,,,,,,,,160.5,percent of total billed charges,204.4363174,,,,,,,,,,160.5,percent of total billed charges,999999999,,,,,,,,,,160.5,percent of total billed charges,139.7734369,,,,,,,,,,577.8,percent of total billed charges,,,,,
**METOCLOPRAMINE (REGLAN)SOLN5MG/5ML 480,259,RC,0012-1057-16,NDC,,both,1,EA,53,53,11.28284907,53,53,percent of total billed charges,38.99398286,,,,53,percent of total billed charges,41.33285083,,,,53,percent of total billed charges,38.99398286,,,,53,percent of total billed charges,41.33285083,,,,53,percent of total billed charges,999999999,,,,53,percent of total billed charges,40.38235733,,,,53,percent of total billed charges,38.99398286,,,,53,percent of total billed charges,41.33285083,,,,37.789,percent of total billed charges,18.85740254,,,,37.789,percent of total billed charges,11.28284907,,,,37.789,percent of total billed charges,18.85740254,,,,37.789,percent of total billed charges,11.28284907,,,,37.789,percent of total billed charges,18.85740254,,,,37.789,percent of total billed charges,11.28284907,,,,37.418,percent of total billed charges,37.13409946,,,,37.418,percent of total billed charges,25.61109407,,,,,,,,,,38.16,percent of total billed charges,24.80310201,,,,,,,,,,38.16,percent of total billed charges,999999999,,,,,,,,,,42.4,percent of total billed charges,35.52899597,,,,41.87,percent of total billed charges,40.40635187,,,,41.87,percent of total billed charges,35.70034939,,,,42.4,percent of total billed charges,999999999,,,,42.4,percent of total billed charges,999999999,,,,37.1,percent of total billed charges,999999999,,,,37.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,28.196,percent of total billed charges,999999999,,,,,,,,,,,,,,,,26.765,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13.25,percent of total billed charges,12.58425893,,,,,,,,,,13.25,percent of total billed charges,12.37492835,,,,,,,,,,13.25,percent of total billed charges,12.34053895,,,,,,,,,,13.25,percent of total billed charges,12.15882466,,,,,,,,,,13.25,percent of total billed charges,12.4716891,,,,,,,,,,13.25,percent of total billed charges,999999999,,,,,,,,,,13.25,percent of total billed charges,10.7015875,,,,,,,,,,13.25,percent of total billed charges,16.87714147,,,,,,,,,,13.25,percent of total billed charges,999999999,,,,,,,,,,13.25,percent of total billed charges,11.53892859,,,,,,,,,,47.7,percent of total billed charges,,,,,
**SORBSAN TOPICAL WOUND DRESSING,259,RC,6279-4009-04,NDC,,both,1,EA,12,12,2.554607335,12,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,12,percent of total billed charges,999999999,,,,12,percent of total billed charges,9.143175245,,,,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.472,percent of total billed charges,8.407720633,,,,8.472,percent of total billed charges,5.79873828,,,,,,,,,,8.64,percent of total billed charges,5.615796683,,,,,,,,,,8.64,percent of total billed charges,999999999,,,,,,,,,,9.6,percent of total billed charges,8.044300975,,,,9.48,percent of total billed charges,9.148607971,,,,9.48,percent of total billed charges,8.083097975,,,,9.6,percent of total billed charges,999999999,,,,9.6,percent of total billed charges,999999999,,,,8.4,percent of total billed charges,999999999,,,,8.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.384,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.06,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3,percent of total billed charges,2.849266173,,,,,,,,,,3,percent of total billed charges,2.801870569,,,,,,,,,,3,percent of total billed charges,2.794084291,,,,,,,,,,3,percent of total billed charges,2.752941434,,,,,,,,,,3,percent of total billed charges,2.823778664,,,,,,,,,,3,percent of total billed charges,999999999,,,,,,,,,,3,percent of total billed charges,2.423000944,,,,,,,,,,3,percent of total billed charges,3.821239578,,,,,,,,,,3,percent of total billed charges,999999999,,,,,,,,,,3,percent of total billed charges,2.612587605,,,,,,,,,,10.8,percent of total billed charges,,,,,
**PETROLATUM JELLY (VASELINE) : 1OZ TUBE,637,RC,0052-1275-00,NDC,,both,1,EA,23.12,23.12,4.9218768,23.12,23.12,percent of total billed charges,17.01020535,,,,23.12,percent of total billed charges,18.03048134,,,,23.12,percent of total billed charges,17.01020535,,,,23.12,percent of total billed charges,18.03048134,,,,23.12,percent of total billed charges,999999999,,,,23.12,percent of total billed charges,17.61585097,,,,23.12,percent of total billed charges,17.01020535,,,,23.12,percent of total billed charges,18.03048134,,,,16.48456,percent of total billed charges,8.226097108,,,,16.48456,percent of total billed charges,4.9218768,,,,16.48456,percent of total billed charges,8.226097108,,,,16.48456,percent of total billed charges,4.9218768,,,,16.48456,percent of total billed charges,8.226097108,,,,16.48456,percent of total billed charges,4.9218768,,,,16.32272,percent of total billed charges,16.19887509,,,,16.32272,percent of total billed charges,11.17223575,,,,,,,,,,16.6464,percent of total billed charges,10.81976828,,,,,,,,,,16.6464,percent of total billed charges,999999999,,,,,,,,,,18.496,percent of total billed charges,15.49868655,,,,18.2648,percent of total billed charges,17.62631802,,,,18.2648,percent of total billed charges,15.57343543,,,,18.496,percent of total billed charges,999999999,,,,18.496,percent of total billed charges,999999999,,,,16.184,percent of total billed charges,999999999,,,,16.184,percent of total billed charges,999999999,,,,,,,,,,,,,,,,12.29984,percent of total billed charges,999999999,,,,,,,,,,,,,,,,11.6756,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5.78,percent of total billed charges,5.48958616,,,,,,,,,,5.78,percent of total billed charges,5.39827063,,,,,,,,,,5.78,percent of total billed charges,5.383269067,,,,,,,,,,5.78,percent of total billed charges,5.304000495,,,,,,,,,,5.78,percent of total billed charges,5.440480226,,,,,,,,,,5.78,percent of total billed charges,999999999,,,,,,,,,,5.78,percent of total billed charges,4.668315152,,,,,,,,,,5.78,percent of total billed charges,7.362254921,,,,,,,,,,5.78,percent of total billed charges,999999999,,,,,,,,,,5.78,percent of total billed charges,5.033585453,,,,,,,,,,20.808,percent of total billed charges,,,,,
**E-VITAPLEX PLUS TABLETS / BOTTLE OF 1,250,RC,5215-2007-02,NDC,,both,1,EA,12,12,2.554607335,12,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,12,percent of total billed charges,999999999,,,,12,percent of total billed charges,9.143175245,,,,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.472,percent of total billed charges,8.407720633,,,,8.472,percent of total billed charges,5.79873828,,,,,,,,,,8.64,percent of total billed charges,5.615796683,,,,,,,,,,8.64,percent of total billed charges,999999999,,,,,,,,,,9.6,percent of total billed charges,8.044300975,,,,9.48,percent of total billed charges,9.148607971,,,,9.48,percent of total billed charges,8.083097975,,,,9.6,percent of total billed charges,999999999,,,,9.6,percent of total billed charges,999999999,,,,8.4,percent of total billed charges,999999999,,,,8.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.384,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.06,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3,percent of total billed charges,2.849266173,,,,,,,,,,3,percent of total billed charges,2.801870569,,,,,,,,,,3,percent of total billed charges,2.794084291,,,,,,,,,,3,percent of total billed charges,2.752941434,,,,,,,,,,3,percent of total billed charges,2.823778664,,,,,,,,,,3,percent of total billed charges,999999999,,,,,,,,,,3,percent of total billed charges,2.423000944,,,,,,,,,,3,percent of total billed charges,3.821239578,,,,,,,,,,3,percent of total billed charges,999999999,,,,,,,,,,3,percent of total billed charges,2.612587605,,,,,,,,,,10.8,percent of total billed charges,,,,,
**NACL 0.9% W 10MEQ KCL 50ML,250,RC,0033-8070-41,NDC,,both,1,EA,175,175,37.25469031,175,175,percent of total billed charges,128.753717,,,,175,percent of total billed charges,136.4763943,,,,175,percent of total billed charges,128.753717,,,,175,percent of total billed charges,136.4763943,,,,175,percent of total billed charges,999999999,,,,175,percent of total billed charges,133.3379723,,,,175,percent of total billed charges,128.753717,,,,175,percent of total billed charges,136.4763943,,,,124.775,percent of total billed charges,62.26500839,,,,124.775,percent of total billed charges,37.25469031,,,,124.775,percent of total billed charges,62.26500839,,,,124.775,percent of total billed charges,37.25469031,,,,124.775,percent of total billed charges,62.26500839,,,,124.775,percent of total billed charges,37.25469031,,,,123.55,percent of total billed charges,122.6125926,,,,123.55,percent of total billed charges,84.56493326,,,,,,,,,,126,percent of total billed charges,81.89703495,,,,,,,,,,126,percent of total billed charges,999999999,,,,,,,,,,140,percent of total billed charges,117.3127226,,,,138.25,percent of total billed charges,133.4171996,,,,138.25,percent of total billed charges,117.8785121,,,,140,percent of total billed charges,999999999,,,,140,percent of total billed charges,999999999,,,,122.5,percent of total billed charges,999999999,,,,122.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,93.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,88.375,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,43.75,percent of total billed charges,41.55179836,,,,,,,,,,43.75,percent of total billed charges,40.86061247,,,,,,,,,,43.75,percent of total billed charges,40.74706257,,,,,,,,,,43.75,percent of total billed charges,40.14706257,,,,,,,,,,43.75,percent of total billed charges,41.18010551,,,,,,,,,,43.75,percent of total billed charges,999999999,,,,,,,,,,43.75,percent of total billed charges,35.33543044,,,,,,,,,,43.75,percent of total billed charges,55.72641052,,,,,,,,,,43.75,percent of total billed charges,999999999,,,,,,,,,,43.75,percent of total billed charges,38.10023591,,,,,,,,,,157.5,percent of total billed charges,,,,,
**PIROXICAM (FELDENE) 10 MG: CAP,259,RC,5107-9074-20,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
**PSYLLIUM POWDER SF 30 DOSE 6.1OZ,259,RC,0370-0074-84,NDC,,both,1,EA,31,31,6.599402283,31,31,percent of total billed charges,22.8078013,,,,31,percent of total billed charges,24.17581841,,,,31,percent of total billed charges,22.8078013,,,,31,percent of total billed charges,24.17581841,,,,31,percent of total billed charges,999999999,,,,31,percent of total billed charges,23.61986938,,,,31,percent of total billed charges,22.8078013,,,,31,percent of total billed charges,24.17581841,,,,22.103,percent of total billed charges,11.02980149,,,,22.103,percent of total billed charges,6.599402283,,,,22.103,percent of total billed charges,11.02980149,,,,22.103,percent of total billed charges,6.599402283,,,,22.103,percent of total billed charges,11.02980149,,,,22.103,percent of total billed charges,6.599402283,,,,21.886,percent of total billed charges,21.71994497,,,,21.886,percent of total billed charges,14.98007389,,,,,,,,,,22.32,percent of total billed charges,14.50747476,,,,,,,,,,22.32,percent of total billed charges,999999999,,,,,,,,,,24.8,percent of total billed charges,20.78111085,,,,24.49,percent of total billed charges,23.63390393,,,,24.49,percent of total billed charges,20.88133644,,,,24.8,percent of total billed charges,999999999,,,,24.8,percent of total billed charges,999999999,,,,21.7,percent of total billed charges,999999999,,,,21.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,16.492,percent of total billed charges,999999999,,,,,,,,,,,,,,,,15.655,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7.75,percent of total billed charges,7.360604281,,,,,,,,,,7.75,percent of total billed charges,7.238165637,,,,,,,,,,7.75,percent of total billed charges,7.218051084,,,,,,,,,,7.75,percent of total billed charges,7.11176537,,,,,,,,,,7.75,percent of total billed charges,7.294761548,,,,,,,,,,7.75,percent of total billed charges,999999999,,,,,,,,,,7.75,percent of total billed charges,6.259419106,,,,,,,,,,7.75,percent of total billed charges,9.871535577,,,,,,,,,,7.75,percent of total billed charges,999999999,,,,,,,,,,7.75,percent of total billed charges,6.749184647,,,,,,,,,,27.9,percent of total billed charges,,,,,
**AMINO ACID 3.5% W/MAINT LYTES/5%D,258,RC,0040-9774-29,NDC,,both,1,EA,156,156,33.20989536,156,156,percent of total billed charges,114.774742,,,,156,percent of total billed charges,121.6589572,,,,156,percent of total billed charges,114.774742,,,,156,percent of total billed charges,121.6589572,,,,156,percent of total billed charges,999999999,,,,156,percent of total billed charges,118.8612782,,,,156,percent of total billed charges,114.774742,,,,156,percent of total billed charges,121.6589572,,,,111.228,percent of total billed charges,55.50480748,,,,111.228,percent of total billed charges,33.20989536,,,,111.228,percent of total billed charges,55.50480748,,,,111.228,percent of total billed charges,33.20989536,,,,111.228,percent of total billed charges,55.50480748,,,,111.228,percent of total billed charges,33.20989536,,,,110.136,percent of total billed charges,109.3003682,,,,110.136,percent of total billed charges,75.38359765,,,,,,,,,,112.32,percent of total billed charges,73.00535687,,,,,,,,,,112.32,percent of total billed charges,999999999,,,,,,,,,,124.8,percent of total billed charges,104.5759127,,,,123.24,percent of total billed charges,118.9319036,,,,123.24,percent of total billed charges,105.0802737,,,,124.8,percent of total billed charges,999999999,,,,124.8,percent of total billed charges,999999999,,,,109.2,percent of total billed charges,999999999,,,,109.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,82.992,percent of total billed charges,999999999,,,,,,,,,,,,,,,,78.78,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,39,percent of total billed charges,37.04046025,,,,,,,,,,39,percent of total billed charges,36.4243174,,,,,,,,,,39,percent of total billed charges,36.32309578,,,,,,,,,,39,percent of total billed charges,35.78823864,,,,,,,,,,39,percent of total billed charges,36.70912263,,,,,,,,,,39,percent of total billed charges,999999999,,,,,,,,,,39,percent of total billed charges,31.49901227,,,,,,,,,,39,percent of total billed charges,49.67611452,,,,,,,,,,39,percent of total billed charges,999999999,,,,,,,,,,39,percent of total billed charges,33.96363887,,,,,,,,,,140.4,percent of total billed charges,,,,,
**SUCROSE PAINFUL PROCEDURES (PEDS),250,RC,9999-9999-99,NDC,,both,1,EA,7,7,1.490187612,7,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,7,percent of total billed charges,999999999,,,,7,percent of total billed charges,5.333518893,,,,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.942,percent of total billed charges,4.904503703,,,,4.942,percent of total billed charges,3.38259733,,,,,,,,,,5.04,percent of total billed charges,3.275881398,,,,,,,,,,5.04,percent of total billed charges,999999999,,,,,,,,,,5.6,percent of total billed charges,4.692508902,,,,5.53,percent of total billed charges,5.336687983,,,,5.53,percent of total billed charges,4.715140486,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,4.9,percent of total billed charges,999999999,,,,4.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.724,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.535,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.75,percent of total billed charges,1.662071934,,,,,,,,,,1.75,percent of total billed charges,1.634424499,,,,,,,,,,1.75,percent of total billed charges,1.629882503,,,,,,,,,,1.75,percent of total billed charges,1.605882503,,,,,,,,,,1.75,percent of total billed charges,1.647204221,,,,,,,,,,1.75,percent of total billed charges,999999999,,,,,,,,,,1.75,percent of total billed charges,1.413417217,,,,,,,,,,1.75,percent of total billed charges,2.229056421,,,,,,,,,,1.75,percent of total billed charges,999999999,,,,,,,,,,1.75,percent of total billed charges,1.524009436,,,,,,,,,,6.3,percent of total billed charges,,,,,
**NS09% W/40MEQ KCL 1000ML,258,RC,0007-4711-09,NDC,,both,1,EA,93,93,19.79820685,93,93,percent of total billed charges,68.42340389,,,,93,percent of total billed charges,72.52745523,,,,93,percent of total billed charges,68.42340389,,,,93,percent of total billed charges,72.52745523,,,,93,percent of total billed charges,999999999,,,,93,percent of total billed charges,70.85960815,,,,93,percent of total billed charges,68.42340389,,,,93,percent of total billed charges,72.52745523,,,,66.309,percent of total billed charges,33.08940446,,,,66.309,percent of total billed charges,19.79820685,,,,66.309,percent of total billed charges,33.08940446,,,,66.309,percent of total billed charges,19.79820685,,,,66.309,percent of total billed charges,33.08940446,,,,66.309,percent of total billed charges,19.79820685,,,,65.658,percent of total billed charges,65.1598349,,,,65.658,percent of total billed charges,44.94022167,,,,,,,,,,66.96,percent of total billed charges,43.52242429,,,,,,,,,,66.96,percent of total billed charges,999999999,,,,,,,,,,74.4,percent of total billed charges,62.34333256,,,,73.47,percent of total billed charges,70.90171178,,,,73.47,percent of total billed charges,62.64400931,,,,74.4,percent of total billed charges,999999999,,,,74.4,percent of total billed charges,999999999,,,,65.1,percent of total billed charges,999999999,,,,65.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,49.476,percent of total billed charges,999999999,,,,,,,,,,,,,,,,46.965,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23.25,percent of total billed charges,22.08181284,,,,,,,,,,23.25,percent of total billed charges,21.71449691,,,,,,,,,,23.25,percent of total billed charges,21.65415325,,,,,,,,,,23.25,percent of total billed charges,21.33529611,,,,,,,,,,23.25,percent of total billed charges,21.88428464,,,,,,,,,,23.25,percent of total billed charges,999999999,,,,,,,,,,23.25,percent of total billed charges,18.77825732,,,,,,,,,,23.25,percent of total billed charges,29.61460673,,,,,,,,,,23.25,percent of total billed charges,999999999,,,,,,,,,,23.25,percent of total billed charges,20.24755394,,,,,,,,,,83.7,percent of total billed charges,,,,,
**HYDROCORTISONE TP GEL 10% 60GM,259,RC,6562-8001-01,NDC,,both,1,EA,152,152,32.35835958,152,152,percent of total billed charges,111.8317999,,,,152,percent of total billed charges,118.5394967,,,,152,percent of total billed charges,111.8317999,,,,152,percent of total billed charges,118.5394967,,,,152,percent of total billed charges,999999999,,,,152,percent of total billed charges,115.8135531,,,,152,percent of total billed charges,111.8317999,,,,152,percent of total billed charges,118.5394967,,,,108.376,percent of total billed charges,54.08160728,,,,108.376,percent of total billed charges,32.35835958,,,,108.376,percent of total billed charges,54.08160728,,,,108.376,percent of total billed charges,32.35835958,,,,108.376,percent of total billed charges,54.08160728,,,,108.376,percent of total billed charges,32.35835958,,,,107.312,percent of total billed charges,106.4977947,,,,107.312,percent of total billed charges,73.45068489,,,,,,,,,,109.44,percent of total billed charges,71.13342465,,,,,,,,,,109.44,percent of total billed charges,999999999,,,,,,,,,,121.6,percent of total billed charges,101.894479,,,,120.08,percent of total billed charges,115.8823676,,,,120.08,percent of total billed charges,102.3859077,,,,121.6,percent of total billed charges,999999999,,,,121.6,percent of total billed charges,999999999,,,,106.4,percent of total billed charges,999999999,,,,106.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,80.864,percent of total billed charges,999999999,,,,,,,,,,,,,,,,76.76,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,38,percent of total billed charges,36.09070486,,,,,,,,,,38,percent of total billed charges,35.49036054,,,,,,,,,,38,percent of total billed charges,35.39173435,,,,,,,,,,38,percent of total billed charges,34.87059149,,,,,,,,,,38,percent of total billed charges,35.76786307,,,,,,,,,,38,percent of total billed charges,999999999,,,,,,,,,,38,percent of total billed charges,30.69134529,,,,,,,,,,38,percent of total billed charges,48.40236799,,,,,,,,,,38,percent of total billed charges,999999999,,,,,,,,,,38,percent of total billed charges,33.09277633,,,,,,,,,,136.8,percent of total billed charges,,,,,
**NESIRITIDE: (NATRECOR) 1.5MG VIAL,J2325,CDM,6584-7020-25,NDC,,both,1,EA,7145,7145,1521.055784,7145,7145,percent of total billed charges,5256.830331,,,,7145,percent of total billed charges,5572.136211,,,,7145,percent of total billed charges,5256.830331,,,,7145,percent of total billed charges,5572.136211,,,,7145,percent of total billed charges,999999999,,,,7145,percent of total billed charges,5443.998927,,,,7145,percent of total billed charges,5256.830331,,,,7145,percent of total billed charges,5572.136211,,,,5094.385,percent of total billed charges,2542.191342,,,,5094.385,percent of total billed charges,1521.055784,,,,5094.385,percent of total billed charges,2542.191342,,,,5094.385,percent of total billed charges,1521.055784,,,,5094.385,percent of total billed charges,2542.191342,,,,5094.385,percent of total billed charges,1521.055784,,,,5044.37,percent of total billed charges,5006.096993,,,,5044.37,percent of total billed charges,3452.665418,,,,,,,,,,5144.4,percent of total billed charges,3343.738941,,,,,,,,,,5144.4,percent of total billed charges,999999999,,,,,,,,,,5716,percent of total billed charges,4789.710872,,,,5644.55,percent of total billed charges,5447.233663,,,,5644.55,percent of total billed charges,4812.811253,,,,5716,percent of total billed charges,999999999,,,,5716,percent of total billed charges,999999999,,,,5001.5,percent of total billed charges,999999999,,,,5001.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3801.14,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3608.225,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1786.25,percent of total billed charges,1696.500567,,,,,,,,,,1786.25,percent of total billed charges,1668.280435,,,,,,,,,,1786.25,percent of total billed charges,1663.644355,,,,,,,,,,1786.25,percent of total billed charges,1639.147212,,,,,,,,,,1786.25,percent of total billed charges,1681.324879,,,,,,,,,,1786.25,percent of total billed charges,999999999,,,,,,,,,,1786.25,percent of total billed charges,1442.695145,,,,,,,,,,1786.25,percent of total billed charges,2275.229732,,,,,,,,,,1786.25,percent of total billed charges,999999999,,,,,,,,,,1786.25,percent of total billed charges,1555.578203,,,,,,,,,,6430.5,percent of total billed charges,,,,,
**THEO-24 (THEOPHYLLINE) 300MG CAP,259,RC,5047-4030-01,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
**E-FAMOTIDINE (PEPCID) 10MG 60'S,250,RC,1683-7087-61,NDC,,both,1,EA,31,31,6.599402283,31,31,percent of total billed charges,22.8078013,,,,31,percent of total billed charges,24.17581841,,,,31,percent of total billed charges,22.8078013,,,,31,percent of total billed charges,24.17581841,,,,31,percent of total billed charges,999999999,,,,31,percent of total billed charges,23.61986938,,,,31,percent of total billed charges,22.8078013,,,,31,percent of total billed charges,24.17581841,,,,22.103,percent of total billed charges,11.02980149,,,,22.103,percent of total billed charges,6.599402283,,,,22.103,percent of total billed charges,11.02980149,,,,22.103,percent of total billed charges,6.599402283,,,,22.103,percent of total billed charges,11.02980149,,,,22.103,percent of total billed charges,6.599402283,,,,21.886,percent of total billed charges,21.71994497,,,,21.886,percent of total billed charges,14.98007389,,,,,,,,,,22.32,percent of total billed charges,14.50747476,,,,,,,,,,22.32,percent of total billed charges,999999999,,,,,,,,,,24.8,percent of total billed charges,20.78111085,,,,24.49,percent of total billed charges,23.63390393,,,,24.49,percent of total billed charges,20.88133644,,,,24.8,percent of total billed charges,999999999,,,,24.8,percent of total billed charges,999999999,,,,21.7,percent of total billed charges,999999999,,,,21.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,16.492,percent of total billed charges,999999999,,,,,,,,,,,,,,,,15.655,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7.75,percent of total billed charges,7.360604281,,,,,,,,,,7.75,percent of total billed charges,7.238165637,,,,,,,,,,7.75,percent of total billed charges,7.218051084,,,,,,,,,,7.75,percent of total billed charges,7.11176537,,,,,,,,,,7.75,percent of total billed charges,7.294761548,,,,,,,,,,7.75,percent of total billed charges,999999999,,,,,,,,,,7.75,percent of total billed charges,6.259419106,,,,,,,,,,7.75,percent of total billed charges,9.871535577,,,,,,,,,,7.75,percent of total billed charges,999999999,,,,,,,,,,7.75,percent of total billed charges,6.749184647,,,,,,,,,,27.9,percent of total billed charges,,,,,
**CARBETAPEN/CHLORPH (TUSSI-12) TAB,259,RC,0003-7068-10,NDC,,both,1,EA,14,14,2.980375225,14,14,percent of total billed charges,10.30029736,,,,14,percent of total billed charges,10.91811154,,,,14,percent of total billed charges,10.30029736,,,,14,percent of total billed charges,10.91811154,,,,14,percent of total billed charges,999999999,,,,14,percent of total billed charges,10.66703779,,,,14,percent of total billed charges,10.30029736,,,,14,percent of total billed charges,10.91811154,,,,9.982,percent of total billed charges,4.981200671,,,,9.982,percent of total billed charges,2.980375225,,,,9.982,percent of total billed charges,4.981200671,,,,9.982,percent of total billed charges,2.980375225,,,,9.982,percent of total billed charges,4.981200671,,,,9.982,percent of total billed charges,2.980375225,,,,9.884,percent of total billed charges,9.809007405,,,,9.884,percent of total billed charges,6.765194661,,,,,,,,,,10.08,percent of total billed charges,6.551762796,,,,,,,,,,10.08,percent of total billed charges,999999999,,,,,,,,,,11.2,percent of total billed charges,9.385017804,,,,11.06,percent of total billed charges,10.67337597,,,,11.06,percent of total billed charges,9.430280971,,,,11.2,percent of total billed charges,999999999,,,,11.2,percent of total billed charges,999999999,,,,9.8,percent of total billed charges,999999999,,,,9.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,7.448,percent of total billed charges,999999999,,,,,,,,,,,,,,,,7.07,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3.5,percent of total billed charges,3.324143869,,,,,,,,,,3.5,percent of total billed charges,3.268848997,,,,,,,,,,3.5,percent of total billed charges,3.259765006,,,,,,,,,,3.5,percent of total billed charges,3.211765006,,,,,,,,,,3.5,percent of total billed charges,3.294408441,,,,,,,,,,3.5,percent of total billed charges,999999999,,,,,,,,,,3.5,percent of total billed charges,2.826834435,,,,,,,,,,3.5,percent of total billed charges,4.458112841,,,,,,,,,,3.5,percent of total billed charges,999999999,,,,,,,,,,3.5,percent of total billed charges,3.048018873,,,,,,,,,,12.6,percent of total billed charges,,,,,
**INSULIN HUMALOG 75/25 100U/ML;PEN,J1815,CDM,0000-2879-59,NDC,,both,1,EA,88,88,18.73378713,88,88,percent of total billed charges,64.74472626,,,,88,percent of total billed charges,68.62812968,,,,88,percent of total billed charges,64.74472626,,,,88,percent of total billed charges,68.62812968,,,,88,percent of total billed charges,999999999,,,,88,percent of total billed charges,67.0499518,,,,88,percent of total billed charges,64.74472626,,,,88,percent of total billed charges,68.62812968,,,,62.744,percent of total billed charges,31.31040422,,,,62.744,percent of total billed charges,18.73378713,,,,62.744,percent of total billed charges,31.31040422,,,,62.744,percent of total billed charges,18.73378713,,,,62.744,percent of total billed charges,31.31040422,,,,62.744,percent of total billed charges,18.73378713,,,,62.128,percent of total billed charges,61.65661797,,,,62.128,percent of total billed charges,42.52408072,,,,,,,,,,63.36,percent of total billed charges,41.18250901,,,,,,,,,,63.36,percent of total billed charges,999999999,,,,,,,,,,70.4,percent of total billed charges,58.99154048,,,,69.52,percent of total billed charges,67.08979179,,,,69.52,percent of total billed charges,59.27605182,,,,70.4,percent of total billed charges,999999999,,,,70.4,percent of total billed charges,999999999,,,,61.6,percent of total billed charges,999999999,,,,61.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,46.816,percent of total billed charges,999999999,,,,,,,,,,,,,,,,44.44,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,22,percent of total billed charges,20.8946186,,,,,,,,,,22,percent of total billed charges,20.54705084,,,,,,,,,,22,percent of total billed charges,20.48995147,,,,,,,,,,22,percent of total billed charges,20.18823718,,,,,,,,,,22,percent of total billed charges,20.7077102,,,,,,,,,,22,percent of total billed charges,999999999,,,,,,,,,,22,percent of total billed charges,17.76867359,,,,,,,,,,22,percent of total billed charges,28.02242357,,,,,,,,,,22,percent of total billed charges,999999999,,,,,,,,,,22,percent of total billed charges,19.15897577,,,,,,,,,,79.2,percent of total billed charges,,,,,
**RIBOFLAVIN (VIT B2)50MG    TAB,259,RC,0022-3225-01,NDC,,both,1,EA,14,14,2.980375225,14,14,percent of total billed charges,10.30029736,,,,14,percent of total billed charges,10.91811154,,,,14,percent of total billed charges,10.30029736,,,,14,percent of total billed charges,10.91811154,,,,14,percent of total billed charges,999999999,,,,14,percent of total billed charges,10.66703779,,,,14,percent of total billed charges,10.30029736,,,,14,percent of total billed charges,10.91811154,,,,9.982,percent of total billed charges,4.981200671,,,,9.982,percent of total billed charges,2.980375225,,,,9.982,percent of total billed charges,4.981200671,,,,9.982,percent of total billed charges,2.980375225,,,,9.982,percent of total billed charges,4.981200671,,,,9.982,percent of total billed charges,2.980375225,,,,9.884,percent of total billed charges,9.809007405,,,,9.884,percent of total billed charges,6.765194661,,,,,,,,,,10.08,percent of total billed charges,6.551762796,,,,,,,,,,10.08,percent of total billed charges,999999999,,,,,,,,,,11.2,percent of total billed charges,9.385017804,,,,11.06,percent of total billed charges,10.67337597,,,,11.06,percent of total billed charges,9.430280971,,,,11.2,percent of total billed charges,999999999,,,,11.2,percent of total billed charges,999999999,,,,9.8,percent of total billed charges,999999999,,,,9.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,7.448,percent of total billed charges,999999999,,,,,,,,,,,,,,,,7.07,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3.5,percent of total billed charges,3.324143869,,,,,,,,,,3.5,percent of total billed charges,3.268848997,,,,,,,,,,3.5,percent of total billed charges,3.259765006,,,,,,,,,,3.5,percent of total billed charges,3.211765006,,,,,,,,,,3.5,percent of total billed charges,3.294408441,,,,,,,,,,3.5,percent of total billed charges,999999999,,,,,,,,,,3.5,percent of total billed charges,2.826834435,,,,,,,,,,3.5,percent of total billed charges,4.458112841,,,,,,,,,,3.5,percent of total billed charges,999999999,,,,,,,,,,3.5,percent of total billed charges,3.048018873,,,,,,,,,,12.6,percent of total billed charges,,,,,
MAGNESIUM OXIDE (MAG-OX) 250 MG TAB,259,RC,3160-4001-69,NDC,,both,1,EA,0.5,0.5,0.106441972,0.5,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.5,percent of total billed charges,999999999,,,,0.5,percent of total billed charges,0.380965635,,,,0.5,percent of total billed charges,0.367867763,,,,0.5,percent of total billed charges,0.389932555,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.3565,percent of total billed charges,0.177900024,,,,0.3565,percent of total billed charges,0.106441972,,,,0.353,percent of total billed charges,0.350321693,,,,0.353,percent of total billed charges,0.241614095,,,,,,,,,,0.36,percent of total billed charges,0.233991528,,,,,,,,,,0.36,percent of total billed charges,999999999,,,,,,,,,,0.4,percent of total billed charges,0.335179207,,,,0.395,percent of total billed charges,0.381191999,,,,0.395,percent of total billed charges,0.336795749,,,,0.4,percent of total billed charges,999999999,,,,0.4,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,0.35,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.266,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.2525,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.125,percent of total billed charges,0.118719424,,,,,,,,,,0.125,percent of total billed charges,0.116744607,,,,,,,,,,0.125,percent of total billed charges,0.116420179,,,,,,,,,,0.125,percent of total billed charges,0.114705893,,,,,,,,,,0.125,percent of total billed charges,0.117657444,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.100958373,,,,,,,,,,0.125,percent of total billed charges,0.159218316,,,,,,,,,,0.125,percent of total billed charges,999999999,,,,,,,,,,0.125,percent of total billed charges,0.108857817,,,,,,,,,,0.45,percent of total billed charges,,,,,
**VISTAVITAMIN (WELLNESS PLUS FORM),259,RC,9999-9999-99,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
**IBUPROFEN (MOTRIN) 100 MG/5ML: 120ML,259,RC,0090-4530-20,NDC,,both,1,EA,11,11,2.341723391,11,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,11,percent of total billed charges,999999999,,,,11,percent of total billed charges,8.381243975,,,,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.766,percent of total billed charges,7.707077247,,,,7.766,percent of total billed charges,5.31551009,,,,,,,,,,7.92,percent of total billed charges,5.147813626,,,,,,,,,,7.92,percent of total billed charges,999999999,,,,,,,,,,8.8,percent of total billed charges,7.373942561,,,,8.69,percent of total billed charges,8.386223973,,,,8.69,percent of total billed charges,7.409506477,,,,8.8,percent of total billed charges,999999999,,,,8.8,percent of total billed charges,999999999,,,,7.7,percent of total billed charges,999999999,,,,7.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.852,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.555,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.75,percent of total billed charges,2.611827325,,,,,,,,,,2.75,percent of total billed charges,2.568381355,,,,,,,,,,2.75,percent of total billed charges,2.561243933,,,,,,,,,,2.75,percent of total billed charges,2.523529647,,,,,,,,,,2.75,percent of total billed charges,2.588463775,,,,,,,,,,2.75,percent of total billed charges,999999999,,,,,,,,,,2.75,percent of total billed charges,2.221084199,,,,,,,,,,2.75,percent of total billed charges,3.502802947,,,,,,,,,,2.75,percent of total billed charges,999999999,,,,,,,,,,2.75,percent of total billed charges,2.394871971,,,,,,,,,,9.9,percent of total billed charges,,,,,
***INSULIN (NovoLOG) 70/30 MIX: PER DOSE,J1815,CDM,0016-9368-12,NDC,,both,1,EA,1,1,0.212883945,1,1,percent of total billed charges,0.735735526,,,,1,percent of total billed charges,0.77986511,,,,1,percent of total billed charges,0.735735526,,,,1,percent of total billed charges,0.77986511,,,,1,percent of total billed charges,999999999,,,,1,percent of total billed charges,0.76193127,,,,1,percent of total billed charges,0.735735526,,,,1,percent of total billed charges,0.77986511,,,,0.713,percent of total billed charges,0.355800048,,,,0.713,percent of total billed charges,0.212883945,,,,0.713,percent of total billed charges,0.355800048,,,,0.713,percent of total billed charges,0.212883945,,,,0.713,percent of total billed charges,0.355800048,,,,0.713,percent of total billed charges,0.212883945,,,,0.706,percent of total billed charges,0.700643386,,,,0.706,percent of total billed charges,0.48322819,,,,,,,,,,0.72,percent of total billed charges,0.467983057,,,,,,,,,,0.72,percent of total billed charges,999999999,,,,,,,,,,0.8,percent of total billed charges,0.670358415,,,,0.79,percent of total billed charges,0.762383998,,,,0.79,percent of total billed charges,0.673591498,,,,0.8,percent of total billed charges,999999999,,,,0.8,percent of total billed charges,999999999,,,,0.7,percent of total billed charges,999999999,,,,0.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.532,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.505,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.25,percent of total billed charges,0.237438848,,,,,,,,,,0.25,percent of total billed charges,0.233489214,,,,,,,,,,0.25,percent of total billed charges,0.232840358,,,,,,,,,,0.25,percent of total billed charges,0.229411786,,,,,,,,,,0.25,percent of total billed charges,0.235314889,,,,,,,,,,0.25,percent of total billed charges,999999999,,,,,,,,,,0.25,percent of total billed charges,0.201916745,,,,,,,,,,0.25,percent of total billed charges,0.318436632,,,,,,,,,,0.25,percent of total billed charges,999999999,,,,,,,,,,0.25,percent of total billed charges,0.217715634,,,,,,,,,,0.9,percent of total billed charges,,,,,
**TEGASEROD (ZELNORM) 2MG TAB,259,RC,0007-8035-80,NDC,,both,1,EA,11,11,2.341723391,11,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,11,percent of total billed charges,999999999,,,,11,percent of total billed charges,8.381243975,,,,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.766,percent of total billed charges,7.707077247,,,,7.766,percent of total billed charges,5.31551009,,,,,,,,,,7.92,percent of total billed charges,5.147813626,,,,,,,,,,7.92,percent of total billed charges,999999999,,,,,,,,,,8.8,percent of total billed charges,7.373942561,,,,8.69,percent of total billed charges,8.386223973,,,,8.69,percent of total billed charges,7.409506477,,,,8.8,percent of total billed charges,999999999,,,,8.8,percent of total billed charges,999999999,,,,7.7,percent of total billed charges,999999999,,,,7.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.852,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.555,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.75,percent of total billed charges,2.611827325,,,,,,,,,,2.75,percent of total billed charges,2.568381355,,,,,,,,,,2.75,percent of total billed charges,2.561243933,,,,,,,,,,2.75,percent of total billed charges,2.523529647,,,,,,,,,,2.75,percent of total billed charges,2.588463775,,,,,,,,,,2.75,percent of total billed charges,999999999,,,,,,,,,,2.75,percent of total billed charges,2.221084199,,,,,,,,,,2.75,percent of total billed charges,3.502802947,,,,,,,,,,2.75,percent of total billed charges,999999999,,,,,,,,,,2.75,percent of total billed charges,2.394871971,,,,,,,,,,9.9,percent of total billed charges,,,,,
**MIRAPEX (PRAMIPEXOLE) 0.125MG TAB,259,RC,0059-7018-90,NDC,,both,1,EA,10,10,2.128839446,10,10,percent of total billed charges,7.357355257,,,,10,percent of total billed charges,7.7986511,,,,10,percent of total billed charges,7.357355257,,,,10,percent of total billed charges,7.7986511,,,,10,percent of total billed charges,999999999,,,,10,percent of total billed charges,7.619312704,,,,10,percent of total billed charges,7.357355257,,,,10,percent of total billed charges,7.7986511,,,,7.13,percent of total billed charges,3.558000479,,,,7.13,percent of total billed charges,2.128839446,,,,7.13,percent of total billed charges,3.558000479,,,,7.13,percent of total billed charges,2.128839446,,,,7.13,percent of total billed charges,3.558000479,,,,7.13,percent of total billed charges,2.128839446,,,,7.06,percent of total billed charges,7.006433861,,,,7.06,percent of total billed charges,4.8322819,,,,,,,,,,7.2,percent of total billed charges,4.679830569,,,,,,,,,,7.2,percent of total billed charges,999999999,,,,,,,,,,8,percent of total billed charges,6.703584146,,,,7.9,percent of total billed charges,7.623839976,,,,7.9,percent of total billed charges,6.735914979,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,999999999,,,,7,percent of total billed charges,999999999,,,,7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.32,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.05,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.5,percent of total billed charges,2.374388478,,,,,,,,,,2.5,percent of total billed charges,2.334892141,,,,,,,,,,2.5,percent of total billed charges,2.328403576,,,,,,,,,,2.5,percent of total billed charges,2.294117861,,,,,,,,,,2.5,percent of total billed charges,2.353148886,,,,,,,,,,2.5,percent of total billed charges,999999999,,,,,,,,,,2.5,percent of total billed charges,2.019167453,,,,,,,,,,2.5,percent of total billed charges,3.184366315,,,,,,,,,,2.5,percent of total billed charges,999999999,,,,,,,,,,2.5,percent of total billed charges,2.177156338,,,,,,,,,,9,percent of total billed charges,,,,,
**HIBICLENS (CHLORHEXIDINE) 4% 8 OZ,259,RC,0023-4057-08,NDC,,both,1,EA,17,17,3.619027059,17,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,17,percent of total billed charges,999999999,,,,17,percent of total billed charges,12.9528316,,,,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.002,percent of total billed charges,11.91093756,,,,12.002,percent of total billed charges,8.214879231,,,,,,,,,,12.24,percent of total billed charges,7.955711967,,,,,,,,,,12.24,percent of total billed charges,999999999,,,,,,,,,,13.6,percent of total billed charges,11.39609305,,,,13.43,percent of total billed charges,12.96052796,,,,13.43,percent of total billed charges,11.45105547,,,,13.6,percent of total billed charges,999999999,,,,13.6,percent of total billed charges,999999999,,,,11.9,percent of total billed charges,999999999,,,,11.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.044,percent of total billed charges,999999999,,,,,,,,,,,,,,,,8.585,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4.25,percent of total billed charges,4.036460412,,,,,,,,,,4.25,percent of total billed charges,3.96931664,,,,,,,,,,4.25,percent of total billed charges,3.958286079,,,,,,,,,,4.25,percent of total billed charges,3.900000364,,,,,,,,,,4.25,percent of total billed charges,4.000353107,,,,,,,,,,4.25,percent of total billed charges,999999999,,,,,,,,,,4.25,percent of total billed charges,3.432584671,,,,,,,,,,4.25,percent of total billed charges,5.413422736,,,,,,,,,,4.25,percent of total billed charges,999999999,,,,,,,,,,4.25,percent of total billed charges,3.701165774,,,,,,,,,,15.3,percent of total billed charges,,,,,
"**STALEVO(CARIDOPA.LEVODOPA,ENTACAPONE)1",259,RC,0007-8040-05,NDC,,both,1,EA,10,10,2.128839446,10,10,percent of total billed charges,7.357355257,,,,10,percent of total billed charges,7.7986511,,,,10,percent of total billed charges,7.357355257,,,,10,percent of total billed charges,7.7986511,,,,10,percent of total billed charges,999999999,,,,10,percent of total billed charges,7.619312704,,,,10,percent of total billed charges,7.357355257,,,,10,percent of total billed charges,7.7986511,,,,7.13,percent of total billed charges,3.558000479,,,,7.13,percent of total billed charges,2.128839446,,,,7.13,percent of total billed charges,3.558000479,,,,7.13,percent of total billed charges,2.128839446,,,,7.13,percent of total billed charges,3.558000479,,,,7.13,percent of total billed charges,2.128839446,,,,7.06,percent of total billed charges,7.006433861,,,,7.06,percent of total billed charges,4.8322819,,,,,,,,,,7.2,percent of total billed charges,4.679830569,,,,,,,,,,7.2,percent of total billed charges,999999999,,,,,,,,,,8,percent of total billed charges,6.703584146,,,,7.9,percent of total billed charges,7.623839976,,,,7.9,percent of total billed charges,6.735914979,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,999999999,,,,7,percent of total billed charges,999999999,,,,7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.32,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.05,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.5,percent of total billed charges,2.374388478,,,,,,,,,,2.5,percent of total billed charges,2.334892141,,,,,,,,,,2.5,percent of total billed charges,2.328403576,,,,,,,,,,2.5,percent of total billed charges,2.294117861,,,,,,,,,,2.5,percent of total billed charges,2.353148886,,,,,,,,,,2.5,percent of total billed charges,999999999,,,,,,,,,,2.5,percent of total billed charges,2.019167453,,,,,,,,,,2.5,percent of total billed charges,3.184366315,,,,,,,,,,2.5,percent of total billed charges,999999999,,,,,,,,,,2.5,percent of total billed charges,2.177156338,,,,,,,,,,9,percent of total billed charges,,,,,
**ACETIC ACID OTIC (DOMEBORO):CHARGE EA,259,RC,2420-8061-77,NDC,,both,1,EA,26,26,5.53498256,26,26,percent of total billed charges,19.12912367,,,,26,percent of total billed charges,20.27649286,,,,26,percent of total billed charges,19.12912367,,,,26,percent of total billed charges,20.27649286,,,,26,percent of total billed charges,999999999,,,,26,percent of total billed charges,19.81021303,,,,26,percent of total billed charges,19.12912367,,,,26,percent of total billed charges,20.27649286,,,,18.538,percent of total billed charges,9.250801246,,,,18.538,percent of total billed charges,5.53498256,,,,18.538,percent of total billed charges,9.250801246,,,,18.538,percent of total billed charges,5.53498256,,,,18.538,percent of total billed charges,9.250801246,,,,18.538,percent of total billed charges,5.53498256,,,,18.356,percent of total billed charges,18.21672804,,,,18.356,percent of total billed charges,12.56393294,,,,,,,,,,18.72,percent of total billed charges,12.16755948,,,,,,,,,,18.72,percent of total billed charges,999999999,,,,,,,,,,20.8,percent of total billed charges,17.42931878,,,,20.54,percent of total billed charges,19.82198394,,,,20.54,percent of total billed charges,17.51337895,,,,20.8,percent of total billed charges,999999999,,,,20.8,percent of total billed charges,999999999,,,,18.2,percent of total billed charges,999999999,,,,18.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,13.832,percent of total billed charges,999999999,,,,,,,,,,,,,,,,13.13,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6.5,percent of total billed charges,6.173410042,,,,,,,,,,6.5,percent of total billed charges,6.070719566,,,,,,,,,,6.5,percent of total billed charges,6.053849297,,,,,,,,,,6.5,percent of total billed charges,5.964706439,,,,,,,,,,6.5,percent of total billed charges,6.118187105,,,,,,,,,,6.5,percent of total billed charges,999999999,,,,,,,,,,6.5,percent of total billed charges,5.249835379,,,,,,,,,,6.5,percent of total billed charges,8.279352419,,,,,,,,,,6.5,percent of total billed charges,999999999,,,,,,,,,,6.5,percent of total billed charges,5.660606478,,,,,,,,,,23.4,percent of total billed charges,,,,,
**STALEVO(CARBI/LEVODOPA/ENTACAPONE),259,RC,0007-8040-05,NDC,,both,1,EA,10,10,2.128839446,10,10,percent of total billed charges,7.357355257,,,,10,percent of total billed charges,7.7986511,,,,10,percent of total billed charges,7.357355257,,,,10,percent of total billed charges,7.7986511,,,,10,percent of total billed charges,999999999,,,,10,percent of total billed charges,7.619312704,,,,10,percent of total billed charges,7.357355257,,,,10,percent of total billed charges,7.7986511,,,,7.13,percent of total billed charges,3.558000479,,,,7.13,percent of total billed charges,2.128839446,,,,7.13,percent of total billed charges,3.558000479,,,,7.13,percent of total billed charges,2.128839446,,,,7.13,percent of total billed charges,3.558000479,,,,7.13,percent of total billed charges,2.128839446,,,,7.06,percent of total billed charges,7.006433861,,,,7.06,percent of total billed charges,4.8322819,,,,,,,,,,7.2,percent of total billed charges,4.679830569,,,,,,,,,,7.2,percent of total billed charges,999999999,,,,,,,,,,8,percent of total billed charges,6.703584146,,,,7.9,percent of total billed charges,7.623839976,,,,7.9,percent of total billed charges,6.735914979,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,999999999,,,,7,percent of total billed charges,999999999,,,,7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.32,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.05,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.5,percent of total billed charges,2.374388478,,,,,,,,,,2.5,percent of total billed charges,2.334892141,,,,,,,,,,2.5,percent of total billed charges,2.328403576,,,,,,,,,,2.5,percent of total billed charges,2.294117861,,,,,,,,,,2.5,percent of total billed charges,2.353148886,,,,,,,,,,2.5,percent of total billed charges,999999999,,,,,,,,,,2.5,percent of total billed charges,2.019167453,,,,,,,,,,2.5,percent of total billed charges,3.184366315,,,,,,,,,,2.5,percent of total billed charges,999999999,,,,,,,,,,2.5,percent of total billed charges,2.177156338,,,,,,,,,,9,percent of total billed charges,,,,,
**STALEVO(CARBI/LEVODOPA/ENTACAPONE)1,259,RC,0007-8040-05,NDC,,both,1,EA,10,10,2.128839446,10,10,percent of total billed charges,7.357355257,,,,10,percent of total billed charges,7.7986511,,,,10,percent of total billed charges,7.357355257,,,,10,percent of total billed charges,7.7986511,,,,10,percent of total billed charges,999999999,,,,10,percent of total billed charges,7.619312704,,,,10,percent of total billed charges,7.357355257,,,,10,percent of total billed charges,7.7986511,,,,7.13,percent of total billed charges,3.558000479,,,,7.13,percent of total billed charges,2.128839446,,,,7.13,percent of total billed charges,3.558000479,,,,7.13,percent of total billed charges,2.128839446,,,,7.13,percent of total billed charges,3.558000479,,,,7.13,percent of total billed charges,2.128839446,,,,7.06,percent of total billed charges,7.006433861,,,,7.06,percent of total billed charges,4.8322819,,,,,,,,,,7.2,percent of total billed charges,4.679830569,,,,,,,,,,7.2,percent of total billed charges,999999999,,,,,,,,,,8,percent of total billed charges,6.703584146,,,,7.9,percent of total billed charges,7.623839976,,,,7.9,percent of total billed charges,6.735914979,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,999999999,,,,7,percent of total billed charges,999999999,,,,7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.32,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.05,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.5,percent of total billed charges,2.374388478,,,,,,,,,,2.5,percent of total billed charges,2.334892141,,,,,,,,,,2.5,percent of total billed charges,2.328403576,,,,,,,,,,2.5,percent of total billed charges,2.294117861,,,,,,,,,,2.5,percent of total billed charges,2.353148886,,,,,,,,,,2.5,percent of total billed charges,999999999,,,,,,,,,,2.5,percent of total billed charges,2.019167453,,,,,,,,,,2.5,percent of total billed charges,3.184366315,,,,,,,,,,2.5,percent of total billed charges,999999999,,,,,,,,,,2.5,percent of total billed charges,2.177156338,,,,,,,,,,9,percent of total billed charges,,,,,
**PAPAIN/UREA CR 30GM: ACCUZYME,259,RC,0006-4100-01,NDC,,both,1,EA,136,136,28.95221647,136,136,percent of total billed charges,100.0600315,,,,136,percent of total billed charges,106.061655,,,,136,percent of total billed charges,100.0600315,,,,136,percent of total billed charges,106.061655,,,,136,percent of total billed charges,999999999,,,,136,percent of total billed charges,103.6226528,,,,136,percent of total billed charges,100.0600315,,,,136,percent of total billed charges,106.061655,,,,96.968,percent of total billed charges,48.38880652,,,,96.968,percent of total billed charges,28.95221647,,,,96.968,percent of total billed charges,48.38880652,,,,96.968,percent of total billed charges,28.95221647,,,,96.968,percent of total billed charges,48.38880652,,,,96.968,percent of total billed charges,28.95221647,,,,96.016,percent of total billed charges,95.28750051,,,,96.016,percent of total billed charges,65.71903385,,,,,,,,,,97.92,percent of total billed charges,63.64569574,,,,,,,,,,97.92,percent of total billed charges,999999999,,,,,,,,,,108.8,percent of total billed charges,91.16874438,,,,107.44,percent of total billed charges,103.6842237,,,,107.44,percent of total billed charges,91.60844372,,,,108.8,percent of total billed charges,999999999,,,,108.8,percent of total billed charges,999999999,,,,95.2,percent of total billed charges,999999999,,,,95.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,72.352,percent of total billed charges,999999999,,,,,,,,,,,,,,,,68.68,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,34,percent of total billed charges,32.2916833,,,,,,,,,,34,percent of total billed charges,31.75453312,,,,,,,,,,34,percent of total billed charges,31.66628863,,,,,,,,,,34,percent of total billed charges,31.20000291,,,,,,,,,,34,percent of total billed charges,32.00282486,,,,,,,,,,34,percent of total billed charges,999999999,,,,,,,,,,34,percent of total billed charges,27.46067737,,,,,,,,,,34,percent of total billed charges,43.30738189,,,,,,,,,,34,percent of total billed charges,999999999,,,,,,,,,,34,percent of total billed charges,29.60932619,,,,,,,,,,122.4,percent of total billed charges,,,,,
**EXEMESTANE 25MG TAB: AROMASIN,259,RC,0000-9766-04,NDC,,both,1,EA,28,28,5.960750449,28,28,percent of total billed charges,20.60059472,,,,28,percent of total billed charges,21.83622308,,,,28,percent of total billed charges,20.60059472,,,,28,percent of total billed charges,21.83622308,,,,28,percent of total billed charges,999999999,,,,28,percent of total billed charges,21.33407557,,,,28,percent of total billed charges,20.60059472,,,,28,percent of total billed charges,21.83622308,,,,19.964,percent of total billed charges,9.962401342,,,,19.964,percent of total billed charges,5.960750449,,,,19.964,percent of total billed charges,9.962401342,,,,19.964,percent of total billed charges,5.960750449,,,,19.964,percent of total billed charges,9.962401342,,,,19.964,percent of total billed charges,5.960750449,,,,19.768,percent of total billed charges,19.61801481,,,,19.768,percent of total billed charges,13.53038932,,,,,,,,,,20.16,percent of total billed charges,13.10352559,,,,,,,,,,20.16,percent of total billed charges,999999999,,,,,,,,,,22.4,percent of total billed charges,18.77003561,,,,22.12,percent of total billed charges,21.34675193,,,,22.12,percent of total billed charges,18.86056194,,,,22.4,percent of total billed charges,999999999,,,,22.4,percent of total billed charges,999999999,,,,19.6,percent of total billed charges,999999999,,,,19.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,14.896,percent of total billed charges,999999999,,,,,,,,,,,,,,,,14.14,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7,percent of total billed charges,6.648287737,,,,,,,,,,7,percent of total billed charges,6.537697995,,,,,,,,,,7,percent of total billed charges,6.519530012,,,,,,,,,,7,percent of total billed charges,6.423530012,,,,,,,,,,7,percent of total billed charges,6.588816882,,,,,,,,,,7,percent of total billed charges,999999999,,,,,,,,,,7,percent of total billed charges,5.65366887,,,,,,,,,,7,percent of total billed charges,8.916225683,,,,,,,,,,7,percent of total billed charges,999999999,,,,,,,,,,7,percent of total billed charges,6.096037745,,,,,,,,,,25.2,percent of total billed charges,,,,,
**ALENDRONATE (FOSAMAX) 35MG TAB,259,RC,0000-6007-44,NDC,,both,1,EA,50,50,10.64419723,50,50,percent of total billed charges,36.78677629,,,,50,percent of total billed charges,38.9932555,,,,50,percent of total billed charges,36.78677629,,,,50,percent of total billed charges,38.9932555,,,,50,percent of total billed charges,999999999,,,,50,percent of total billed charges,38.09656352,,,,50,percent of total billed charges,36.78677629,,,,50,percent of total billed charges,38.9932555,,,,35.65,percent of total billed charges,17.7900024,,,,35.65,percent of total billed charges,10.64419723,,,,35.65,percent of total billed charges,17.7900024,,,,35.65,percent of total billed charges,10.64419723,,,,35.65,percent of total billed charges,17.7900024,,,,35.65,percent of total billed charges,10.64419723,,,,35.3,percent of total billed charges,35.0321693,,,,35.3,percent of total billed charges,24.1614095,,,,,,,,,,36,percent of total billed charges,23.39915284,,,,,,,,,,36,percent of total billed charges,999999999,,,,,,,,,,40,percent of total billed charges,33.51792073,,,,39.5,percent of total billed charges,38.11919988,,,,39.5,percent of total billed charges,33.6795749,,,,40,percent of total billed charges,999999999,,,,40,percent of total billed charges,999999999,,,,35,percent of total billed charges,999999999,,,,35,percent of total billed charges,999999999,,,,,,,,,,,,,,,,26.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,25.25,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12.5,percent of total billed charges,11.87194239,,,,,,,,,,12.5,percent of total billed charges,11.6744607,,,,,,,,,,12.5,percent of total billed charges,11.64201788,,,,,,,,,,12.5,percent of total billed charges,11.47058931,,,,,,,,,,12.5,percent of total billed charges,11.76574443,,,,,,,,,,12.5,percent of total billed charges,999999999,,,,,,,,,,12.5,percent of total billed charges,10.09583727,,,,,,,,,,12.5,percent of total billed charges,15.92183158,,,,,,,,,,12.5,percent of total billed charges,999999999,,,,,,,,,,12.5,percent of total billed charges,10.88578169,,,,,,,,,,45,percent of total billed charges,,,,,
**SPIRIVA  (TIOTROPIUM)  INHALER: #30,259,RC,0059-7007-06,NDC,,both,1,EA,95,95,20.22397474,95,95,percent of total billed charges,69.89487494,,,,95,percent of total billed charges,74.08718545,,,,95,percent of total billed charges,69.89487494,,,,95,percent of total billed charges,74.08718545,,,,95,percent of total billed charges,999999999,,,,95,percent of total billed charges,72.38347069,,,,95,percent of total billed charges,69.89487494,,,,95,percent of total billed charges,74.08718545,,,,67.735,percent of total billed charges,33.80100455,,,,67.735,percent of total billed charges,20.22397474,,,,67.735,percent of total billed charges,33.80100455,,,,67.735,percent of total billed charges,20.22397474,,,,67.735,percent of total billed charges,33.80100455,,,,67.735,percent of total billed charges,20.22397474,,,,67.07,percent of total billed charges,66.56112168,,,,67.07,percent of total billed charges,45.90667805,,,,,,,,,,68.4,percent of total billed charges,44.4583904,,,,,,,,,,68.4,percent of total billed charges,999999999,,,,,,,,,,76,percent of total billed charges,63.68404939,,,,75.05,percent of total billed charges,72.42647977,,,,75.05,percent of total billed charges,63.9911923,,,,76,percent of total billed charges,999999999,,,,76,percent of total billed charges,999999999,,,,66.5,percent of total billed charges,999999999,,,,66.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,50.54,percent of total billed charges,999999999,,,,,,,,,,,,,,,,47.975,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23.75,percent of total billed charges,22.55669054,,,,,,,,,,23.75,percent of total billed charges,22.18147534,,,,,,,,,,23.75,percent of total billed charges,22.11983397,,,,,,,,,,23.75,percent of total billed charges,21.79411968,,,,,,,,,,23.75,percent of total billed charges,22.35491442,,,,,,,,,,23.75,percent of total billed charges,999999999,,,,,,,,,,23.75,percent of total billed charges,19.18209081,,,,,,,,,,23.75,percent of total billed charges,30.25147999,,,,,,,,,,23.75,percent of total billed charges,999999999,,,,,,,,,,23.75,percent of total billed charges,20.68298521,,,,,,,,,,85.5,percent of total billed charges,,,,,
**SLOW FE (FERROUS S04 160MG) 50 MG IRO,259,RC,0008-3012-74,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
**QUINUPRISTIN/DALFOPRISTIN: 500MG INJ,J2770,CDM,6157-0026-10,NDC,,both,1,EA,1736,1736,369.5665279,1736,1736,percent of total billed charges,1277.236873,,,,1736,percent of total billed charges,1353.845831,,,,1736,percent of total billed charges,1277.236873,,,,1736,percent of total billed charges,1353.845831,,,,1736,percent of total billed charges,999999999,,,,1736,percent of total billed charges,1322.712685,,,,1736,percent of total billed charges,1277.236873,,,,1736,percent of total billed charges,1353.845831,,,,1237.768,percent of total billed charges,617.6688832,,,,1237.768,percent of total billed charges,369.5665279,,,,1237.768,percent of total billed charges,617.6688832,,,,1237.768,percent of total billed charges,369.5665279,,,,1237.768,percent of total billed charges,617.6688832,,,,1237.768,percent of total billed charges,369.5665279,,,,1225.616,percent of total billed charges,1216.316918,,,,1225.616,percent of total billed charges,838.8841379,,,,,,,,,,1249.92,percent of total billed charges,812.4185867,,,,,,,,,,1249.92,percent of total billed charges,999999999,,,,,,,,,,1388.8,percent of total billed charges,1163.742208,,,,1371.44,percent of total billed charges,1323.49862,,,,1371.44,percent of total billed charges,1169.35484,,,,1388.8,percent of total billed charges,999999999,,,,1388.8,percent of total billed charges,999999999,,,,1215.2,percent of total billed charges,999999999,,,,1215.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,923.552,percent of total billed charges,999999999,,,,,,,,,,,,,,,,876.68,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,434,percent of total billed charges,412.1938397,,,,,,,,,,434,percent of total billed charges,405.3372757,,,,,,,,,,434,percent of total billed charges,404.2108607,,,,,,,,,,434,percent of total billed charges,398.2588607,,,,,,,,,,434,percent of total billed charges,408.5066467,,,,,,,,,,434,percent of total billed charges,999999999,,,,,,,,,,434,percent of total billed charges,350.5274699,,,,,,,,,,434,percent of total billed charges,552.8059923,,,,,,,,,,434,percent of total billed charges,999999999,,,,,,,,,,434,percent of total billed charges,377.9543402,,,,,,,,,,1562.4,percent of total billed charges,,,,,
**AMOX/CLAVULAN 1000MG: AUGMENTIN XR,259,RC,0002-9609-60,NDC,,both,1,EA,12,12,2.554607335,12,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,12,percent of total billed charges,999999999,,,,12,percent of total billed charges,9.143175245,,,,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.472,percent of total billed charges,8.407720633,,,,8.472,percent of total billed charges,5.79873828,,,,,,,,,,8.64,percent of total billed charges,5.615796683,,,,,,,,,,8.64,percent of total billed charges,999999999,,,,,,,,,,9.6,percent of total billed charges,8.044300975,,,,9.48,percent of total billed charges,9.148607971,,,,9.48,percent of total billed charges,8.083097975,,,,9.6,percent of total billed charges,999999999,,,,9.6,percent of total billed charges,999999999,,,,8.4,percent of total billed charges,999999999,,,,8.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.384,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.06,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3,percent of total billed charges,2.849266173,,,,,,,,,,3,percent of total billed charges,2.801870569,,,,,,,,,,3,percent of total billed charges,2.794084291,,,,,,,,,,3,percent of total billed charges,2.752941434,,,,,,,,,,3,percent of total billed charges,2.823778664,,,,,,,,,,3,percent of total billed charges,999999999,,,,,,,,,,3,percent of total billed charges,2.423000944,,,,,,,,,,3,percent of total billed charges,3.821239578,,,,,,,,,,3,percent of total billed charges,999999999,,,,,,,,,,3,percent of total billed charges,2.612587605,,,,,,,,,,10.8,percent of total billed charges,,,,,
**ESKALITH(LITHIUM) 450MG   TAB,259,RC,0014-3127-01,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
**MEGESTROL ORAL SUSP 40MG/ML: 240ML S,259,RC,4988-4090-38,NDC,,both,1,EA,352,352,74.93514851,352,352,percent of total billed charges,258.9789051,,,,352,percent of total billed charges,274.5125187,,,,352,percent of total billed charges,258.9789051,,,,352,percent of total billed charges,274.5125187,,,,352,percent of total billed charges,999999999,,,,352,percent of total billed charges,268.1998072,,,,352,percent of total billed charges,258.9789051,,,,352,percent of total billed charges,274.5125187,,,,250.976,percent of total billed charges,125.2416169,,,,250.976,percent of total billed charges,74.93514851,,,,250.976,percent of total billed charges,125.2416169,,,,250.976,percent of total billed charges,74.93514851,,,,250.976,percent of total billed charges,125.2416169,,,,250.976,percent of total billed charges,74.93514851,,,,248.512,percent of total billed charges,246.6264719,,,,248.512,percent of total billed charges,170.0963229,,,,,,,,,,253.44,percent of total billed charges,164.730036,,,,,,,,,,253.44,percent of total billed charges,999999999,,,,,,,,,,281.6,percent of total billed charges,235.9661619,,,,278.08,percent of total billed charges,268.3591671,,,,278.08,percent of total billed charges,237.1042073,,,,281.6,percent of total billed charges,999999999,,,,281.6,percent of total billed charges,999999999,,,,246.4,percent of total billed charges,999999999,,,,246.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,187.264,percent of total billed charges,999999999,,,,,,,,,,,,,,,,177.76,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,88,percent of total billed charges,83.57847441,,,,,,,,,,88,percent of total billed charges,82.18820336,,,,,,,,,,88,percent of total billed charges,81.95980586,,,,,,,,,,88,percent of total billed charges,80.75294872,,,,,,,,,,88,percent of total billed charges,82.8308408,,,,,,,,,,88,percent of total billed charges,999999999,,,,,,,,,,88,percent of total billed charges,71.07469436,,,,,,,,,,88,percent of total billed charges,112.0896943,,,,,,,,,,88,percent of total billed charges,999999999,,,,,,,,,,88,percent of total billed charges,76.63590309,,,,,,,,,,316.8,percent of total billed charges,,,,,
**THALIDOMIDE 50 MG CAP,250,RC,5957-2020-94,NDC,,both,1,EA,7289,7289,1551.711072,7289,7289,percent of total billed charges,5362.776247,,,,7289,percent of total billed charges,5684.436787,,,,7289,percent of total billed charges,5362.776247,,,,7289,percent of total billed charges,5684.436787,,,,7289,percent of total billed charges,999999999,,,,7289,percent of total billed charges,5553.71703,,,,7289,percent of total billed charges,5362.776247,,,,7289,percent of total billed charges,5684.436787,,,,5197.057,percent of total billed charges,2593.426549,,,,5197.057,percent of total billed charges,1551.711072,,,,5197.057,percent of total billed charges,2593.426549,,,,5197.057,percent of total billed charges,1551.711072,,,,5197.057,percent of total billed charges,2593.426549,,,,5197.057,percent of total billed charges,1551.711072,,,,5146.034,percent of total billed charges,5106.989641,,,,5146.034,percent of total billed charges,3522.250277,,,,,,,,,,5248.08,percent of total billed charges,3411.128502,,,,,,,,,,5248.08,percent of total billed charges,999999999,,,,,,,,,,5831.2,percent of total billed charges,4886.242484,,,,5758.31,percent of total billed charges,5557.016958,,,,5758.31,percent of total billed charges,4909.808429,,,,5831.2,percent of total billed charges,999999999,,,,5831.2,percent of total billed charges,999999999,,,,5102.3,percent of total billed charges,999999999,,,,5102.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3877.748,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3680.945,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1822.25,percent of total billed charges,1730.691761,,,,,,,,,,1822.25,percent of total billed charges,1701.902882,,,,,,,,,,1822.25,percent of total billed charges,1697.173366,,,,,,,,,,1822.25,percent of total billed charges,1672.182509,,,,,,,,,,1822.25,percent of total billed charges,1715.210223,,,,,,,,,,1822.25,percent of total billed charges,999999999,,,,,,,,,,1822.25,percent of total billed charges,1471.771157,,,,,,,,,,1822.25,percent of total billed charges,2321.084607,,,,,,,,,,1822.25,percent of total billed charges,999999999,,,,,,,,,,1822.25,percent of total billed charges,1586.929255,,,,,,,,,,6560.1,percent of total billed charges,,,,,
**INSULIN REGULAR **500 UNITS/ML** DOSE,637,RC,0000-2850-01,NDC,,both,1,EA,2315,2315,492.8263318,2315,2315,percent of total billed charges,1703.227742,,,,2315,percent of total billed charges,1805.38773,,,,2315,percent of total billed charges,1703.227742,,,,2315,percent of total billed charges,1805.38773,,,,2315,percent of total billed charges,999999999,,,,2315,percent of total billed charges,1763.870891,,,,2315,percent of total billed charges,1703.227742,,,,2315,percent of total billed charges,1805.38773,,,,1650.595,percent of total billed charges,823.677111,,,,1650.595,percent of total billed charges,492.8263318,,,,1650.595,percent of total billed charges,823.677111,,,,1650.595,percent of total billed charges,492.8263318,,,,1650.595,percent of total billed charges,823.677111,,,,1650.595,percent of total billed charges,492.8263318,,,,1634.39,percent of total billed charges,1621.989439,,,,1634.39,percent of total billed charges,1118.67326,,,,,,,,,,1666.8,percent of total billed charges,1083.380777,,,,,,,,,,1666.8,percent of total billed charges,999999999,,,,,,,,,,1852,percent of total billed charges,1551.87973,,,,1828.85,percent of total billed charges,1764.918954,,,,1828.85,percent of total billed charges,1559.364318,,,,1852,percent of total billed charges,999999999,,,,1852,percent of total billed charges,999999999,,,,1620.5,percent of total billed charges,999999999,,,,1620.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1231.58,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1169.075,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,578.75,percent of total billed charges,549.6709326,,,,,,,,,,578.75,percent of total billed charges,540.5275306,,,,,,,,,,578.75,percent of total billed charges,539.0254278,,,,,,,,,,578.75,percent of total billed charges,531.0882849,,,,,,,,,,578.75,percent of total billed charges,544.7539672,,,,,,,,,,578.75,percent of total billed charges,999999999,,,,,,,,,,578.75,percent of total billed charges,467.4372655,,,,,,,,,,578.75,percent of total billed charges,737.180802,,,,,,,,,,578.75,percent of total billed charges,999999999,,,,,,,,,,578.75,percent of total billed charges,504.0116922,,,,,,,,,,2083.5,percent of total billed charges,,,,,
**INSULIN (HUMAN) R U500 20 ML   VIAL,259,RC,0000-2850-01,NDC,,both,1,EA,32,32,6.812286228,32,32,percent of total billed charges,23.54353682,,,,32,percent of total billed charges,24.95568352,,,,32,percent of total billed charges,23.54353682,,,,32,percent of total billed charges,24.95568352,,,,32,percent of total billed charges,999999999,,,,32,percent of total billed charges,24.38180065,,,,32,percent of total billed charges,23.54353682,,,,32,percent of total billed charges,24.95568352,,,,22.816,percent of total billed charges,11.38560153,,,,22.816,percent of total billed charges,6.812286228,,,,22.816,percent of total billed charges,11.38560153,,,,22.816,percent of total billed charges,6.812286228,,,,22.816,percent of total billed charges,11.38560153,,,,22.816,percent of total billed charges,6.812286228,,,,22.592,percent of total billed charges,22.42058835,,,,22.592,percent of total billed charges,15.46330208,,,,,,,,,,23.04,percent of total billed charges,14.97545782,,,,,,,,,,23.04,percent of total billed charges,999999999,,,,,,,,,,25.6,percent of total billed charges,21.45146927,,,,25.28,percent of total billed charges,24.39628792,,,,25.28,percent of total billed charges,21.55492793,,,,25.6,percent of total billed charges,999999999,,,,25.6,percent of total billed charges,999999999,,,,22.4,percent of total billed charges,999999999,,,,22.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,17.024,percent of total billed charges,999999999,,,,,,,,,,,,,,,,16.16,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8,percent of total billed charges,7.598043128,,,,,,,,,,8,percent of total billed charges,7.471654851,,,,,,,,,,8,percent of total billed charges,7.450891442,,,,,,,,,,8,percent of total billed charges,7.341177156,,,,,,,,,,8,percent of total billed charges,7.530076437,,,,,,,,,,8,percent of total billed charges,999999999,,,,,,,,,,8,percent of total billed charges,6.461335851,,,,,,,,,,8,percent of total billed charges,10.18997221,,,,,,,,,,8,percent of total billed charges,999999999,,,,,,,,,,8,percent of total billed charges,6.966900281,,,,,,,,,,28.8,percent of total billed charges,,,,,
**ICY HOT RUB CREAM 3OZ,259,RC,0018-2509-44,NDC,,both,1,EA,18,18,3.831911003,18,18,percent of total billed charges,13.24323946,,,,18,percent of total billed charges,14.03757198,,,,18,percent of total billed charges,13.24323946,,,,18,percent of total billed charges,14.03757198,,,,18,percent of total billed charges,999999999,,,,18,percent of total billed charges,13.71476287,,,,18,percent of total billed charges,13.24323946,,,,18,percent of total billed charges,14.03757198,,,,12.834,percent of total billed charges,6.404400863,,,,12.834,percent of total billed charges,3.831911003,,,,12.834,percent of total billed charges,6.404400863,,,,12.834,percent of total billed charges,3.831911003,,,,12.834,percent of total billed charges,6.404400863,,,,12.834,percent of total billed charges,3.831911003,,,,12.708,percent of total billed charges,12.61158095,,,,12.708,percent of total billed charges,8.698107421,,,,,,,,,,12.96,percent of total billed charges,8.423695024,,,,,,,,,,12.96,percent of total billed charges,999999999,,,,,,,,,,14.4,percent of total billed charges,12.06645146,,,,14.22,percent of total billed charges,13.72291196,,,,14.22,percent of total billed charges,12.12464696,,,,14.4,percent of total billed charges,999999999,,,,14.4,percent of total billed charges,999999999,,,,12.6,percent of total billed charges,999999999,,,,12.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.576,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.09,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4.5,percent of total billed charges,4.27389926,,,,,,,,,,4.5,percent of total billed charges,4.202805854,,,,,,,,,,4.5,percent of total billed charges,4.191126436,,,,,,,,,,4.5,percent of total billed charges,4.12941215,,,,,,,,,,4.5,percent of total billed charges,4.235667996,,,,,,,,,,4.5,percent of total billed charges,999999999,,,,,,,,,,4.5,percent of total billed charges,3.634501416,,,,,,,,,,4.5,percent of total billed charges,5.731859367,,,,,,,,,,4.5,percent of total billed charges,999999999,,,,,,,,,,4.5,percent of total billed charges,3.918881408,,,,,,,,,,16.2,percent of total billed charges,,,,,
**ARTHRITIS PAIN CR 3 OZ,259,RC,0018-2505-82,NDC,,both,1,EA,12,12,2.554607335,12,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,12,percent of total billed charges,999999999,,,,12,percent of total billed charges,9.143175245,,,,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.472,percent of total billed charges,8.407720633,,,,8.472,percent of total billed charges,5.79873828,,,,,,,,,,8.64,percent of total billed charges,5.615796683,,,,,,,,,,8.64,percent of total billed charges,999999999,,,,,,,,,,9.6,percent of total billed charges,8.044300975,,,,9.48,percent of total billed charges,9.148607971,,,,9.48,percent of total billed charges,8.083097975,,,,9.6,percent of total billed charges,999999999,,,,9.6,percent of total billed charges,999999999,,,,8.4,percent of total billed charges,999999999,,,,8.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.384,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.06,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3,percent of total billed charges,2.849266173,,,,,,,,,,3,percent of total billed charges,2.801870569,,,,,,,,,,3,percent of total billed charges,2.794084291,,,,,,,,,,3,percent of total billed charges,2.752941434,,,,,,,,,,3,percent of total billed charges,2.823778664,,,,,,,,,,3,percent of total billed charges,999999999,,,,,,,,,,3,percent of total billed charges,2.423000944,,,,,,,,,,3,percent of total billed charges,3.821239578,,,,,,,,,,3,percent of total billed charges,999999999,,,,,,,,,,3,percent of total billed charges,2.612587605,,,,,,,,,,10.8,percent of total billed charges,,,,,
**REMERON (MIRTAZAPINE) 15MG SOLTAB,259,RC,0055-5024-71,NDC,,both,1,EA,10,10,2.128839446,10,10,percent of total billed charges,7.357355257,,,,10,percent of total billed charges,7.7986511,,,,10,percent of total billed charges,7.357355257,,,,10,percent of total billed charges,7.7986511,,,,10,percent of total billed charges,999999999,,,,10,percent of total billed charges,7.619312704,,,,10,percent of total billed charges,7.357355257,,,,10,percent of total billed charges,7.7986511,,,,7.13,percent of total billed charges,3.558000479,,,,7.13,percent of total billed charges,2.128839446,,,,7.13,percent of total billed charges,3.558000479,,,,7.13,percent of total billed charges,2.128839446,,,,7.13,percent of total billed charges,3.558000479,,,,7.13,percent of total billed charges,2.128839446,,,,7.06,percent of total billed charges,7.006433861,,,,7.06,percent of total billed charges,4.8322819,,,,,,,,,,7.2,percent of total billed charges,4.679830569,,,,,,,,,,7.2,percent of total billed charges,999999999,,,,,,,,,,8,percent of total billed charges,6.703584146,,,,7.9,percent of total billed charges,7.623839976,,,,7.9,percent of total billed charges,6.735914979,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,999999999,,,,7,percent of total billed charges,999999999,,,,7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.32,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.05,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.5,percent of total billed charges,2.374388478,,,,,,,,,,2.5,percent of total billed charges,2.334892141,,,,,,,,,,2.5,percent of total billed charges,2.328403576,,,,,,,,,,2.5,percent of total billed charges,2.294117861,,,,,,,,,,2.5,percent of total billed charges,2.353148886,,,,,,,,,,2.5,percent of total billed charges,999999999,,,,,,,,,,2.5,percent of total billed charges,2.019167453,,,,,,,,,,2.5,percent of total billed charges,3.184366315,,,,,,,,,,2.5,percent of total billed charges,999999999,,,,,,,,,,2.5,percent of total billed charges,2.177156338,,,,,,,,,,9,percent of total billed charges,,,,,
**E-ASPERCREME (TROLAMINE SAL) 10% 3OZ,250,RC,0018-2505-82,NDC,,both,1,EA,13,13,2.76749128,13,13,percent of total billed charges,9.564561834,,,,13,percent of total billed charges,10.13824643,,,,13,percent of total billed charges,9.564561834,,,,13,percent of total billed charges,10.13824643,,,,13,percent of total billed charges,999999999,,,,13,percent of total billed charges,9.905106516,,,,13,percent of total billed charges,9.564561834,,,,13,percent of total billed charges,10.13824643,,,,9.269,percent of total billed charges,4.625400623,,,,9.269,percent of total billed charges,2.76749128,,,,9.269,percent of total billed charges,4.625400623,,,,9.269,percent of total billed charges,2.76749128,,,,9.269,percent of total billed charges,4.625400623,,,,9.269,percent of total billed charges,2.76749128,,,,9.178,percent of total billed charges,9.108364019,,,,9.178,percent of total billed charges,6.281966471,,,,,,,,,,9.36,percent of total billed charges,6.083779739,,,,,,,,,,9.36,percent of total billed charges,999999999,,,,,,,,,,10.4,percent of total billed charges,8.71465939,,,,10.27,percent of total billed charges,9.910991969,,,,10.27,percent of total billed charges,8.756689473,,,,10.4,percent of total billed charges,999999999,,,,10.4,percent of total billed charges,999999999,,,,9.1,percent of total billed charges,999999999,,,,9.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.916,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.565,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3.25,percent of total billed charges,3.086705021,,,,,,,,,,3.25,percent of total billed charges,3.035359783,,,,,,,,,,3.25,percent of total billed charges,3.026924648,,,,,,,,,,3.25,percent of total billed charges,2.98235322,,,,,,,,,,3.25,percent of total billed charges,3.059093552,,,,,,,,,,3.25,percent of total billed charges,999999999,,,,,,,,,,3.25,percent of total billed charges,2.624917689,,,,,,,,,,3.25,percent of total billed charges,4.13967621,,,,,,,,,,3.25,percent of total billed charges,999999999,,,,,,,,,,3.25,percent of total billed charges,2.830303239,,,,,,,,,,11.7,percent of total billed charges,,,,,
**E-ARTHRICARE ODORFREE 1.5OZ,250,RC,1031-0022-35,NDC,,both,1,EA,13,13,2.76749128,13,13,percent of total billed charges,9.564561834,,,,13,percent of total billed charges,10.13824643,,,,13,percent of total billed charges,9.564561834,,,,13,percent of total billed charges,10.13824643,,,,13,percent of total billed charges,999999999,,,,13,percent of total billed charges,9.905106516,,,,13,percent of total billed charges,9.564561834,,,,13,percent of total billed charges,10.13824643,,,,9.269,percent of total billed charges,4.625400623,,,,9.269,percent of total billed charges,2.76749128,,,,9.269,percent of total billed charges,4.625400623,,,,9.269,percent of total billed charges,2.76749128,,,,9.269,percent of total billed charges,4.625400623,,,,9.269,percent of total billed charges,2.76749128,,,,9.178,percent of total billed charges,9.108364019,,,,9.178,percent of total billed charges,6.281966471,,,,,,,,,,9.36,percent of total billed charges,6.083779739,,,,,,,,,,9.36,percent of total billed charges,999999999,,,,,,,,,,10.4,percent of total billed charges,8.71465939,,,,10.27,percent of total billed charges,9.910991969,,,,10.27,percent of total billed charges,8.756689473,,,,10.4,percent of total billed charges,999999999,,,,10.4,percent of total billed charges,999999999,,,,9.1,percent of total billed charges,999999999,,,,9.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.916,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.565,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3.25,percent of total billed charges,3.086705021,,,,,,,,,,3.25,percent of total billed charges,3.035359783,,,,,,,,,,3.25,percent of total billed charges,3.026924648,,,,,,,,,,3.25,percent of total billed charges,2.98235322,,,,,,,,,,3.25,percent of total billed charges,3.059093552,,,,,,,,,,3.25,percent of total billed charges,999999999,,,,,,,,,,3.25,percent of total billed charges,2.624917689,,,,,,,,,,3.25,percent of total billed charges,4.13967621,,,,,,,,,,3.25,percent of total billed charges,999999999,,,,,,,,,,3.25,percent of total billed charges,2.830303239,,,,,,,,,,11.7,percent of total billed charges,,,,,
**INSULIN NEEDLES: INS PEN 31G: #100,250,RC,9999-9999-99,NDC,,both,1,EA,14,14,2.980375225,14,14,percent of total billed charges,10.30029736,,,,14,percent of total billed charges,10.91811154,,,,14,percent of total billed charges,10.30029736,,,,14,percent of total billed charges,10.91811154,,,,14,percent of total billed charges,999999999,,,,14,percent of total billed charges,10.66703779,,,,14,percent of total billed charges,10.30029736,,,,14,percent of total billed charges,10.91811154,,,,9.982,percent of total billed charges,4.981200671,,,,9.982,percent of total billed charges,2.980375225,,,,9.982,percent of total billed charges,4.981200671,,,,9.982,percent of total billed charges,2.980375225,,,,9.982,percent of total billed charges,4.981200671,,,,9.982,percent of total billed charges,2.980375225,,,,9.884,percent of total billed charges,9.809007405,,,,9.884,percent of total billed charges,6.765194661,,,,,,,,,,10.08,percent of total billed charges,6.551762796,,,,,,,,,,10.08,percent of total billed charges,999999999,,,,,,,,,,11.2,percent of total billed charges,9.385017804,,,,11.06,percent of total billed charges,10.67337597,,,,11.06,percent of total billed charges,9.430280971,,,,11.2,percent of total billed charges,999999999,,,,11.2,percent of total billed charges,999999999,,,,9.8,percent of total billed charges,999999999,,,,9.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,7.448,percent of total billed charges,999999999,,,,,,,,,,,,,,,,7.07,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3.5,percent of total billed charges,3.324143869,,,,,,,,,,3.5,percent of total billed charges,3.268848997,,,,,,,,,,3.5,percent of total billed charges,3.259765006,,,,,,,,,,3.5,percent of total billed charges,3.211765006,,,,,,,,,,3.5,percent of total billed charges,3.294408441,,,,,,,,,,3.5,percent of total billed charges,999999999,,,,,,,,,,3.5,percent of total billed charges,2.826834435,,,,,,,,,,3.5,percent of total billed charges,4.458112841,,,,,,,,,,3.5,percent of total billed charges,999999999,,,,,,,,,,3.5,percent of total billed charges,3.048018873,,,,,,,,,,12.6,percent of total billed charges,,,,,
**GABITRIL (TIAGABINE) 4MG TAB,259,RC,6345-9040-01,NDC,,both,1,EA,12,12,2.554607335,12,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,12,percent of total billed charges,999999999,,,,12,percent of total billed charges,9.143175245,,,,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.472,percent of total billed charges,8.407720633,,,,8.472,percent of total billed charges,5.79873828,,,,,,,,,,8.64,percent of total billed charges,5.615796683,,,,,,,,,,8.64,percent of total billed charges,999999999,,,,,,,,,,9.6,percent of total billed charges,8.044300975,,,,9.48,percent of total billed charges,9.148607971,,,,9.48,percent of total billed charges,8.083097975,,,,9.6,percent of total billed charges,999999999,,,,9.6,percent of total billed charges,999999999,,,,8.4,percent of total billed charges,999999999,,,,8.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.384,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.06,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3,percent of total billed charges,2.849266173,,,,,,,,,,3,percent of total billed charges,2.801870569,,,,,,,,,,3,percent of total billed charges,2.794084291,,,,,,,,,,3,percent of total billed charges,2.752941434,,,,,,,,,,3,percent of total billed charges,2.823778664,,,,,,,,,,3,percent of total billed charges,999999999,,,,,,,,,,3,percent of total billed charges,2.423000944,,,,,,,,,,3,percent of total billed charges,3.821239578,,,,,,,,,,3,percent of total billed charges,999999999,,,,,,,,,,3,percent of total billed charges,2.612587605,,,,,,,,,,10.8,percent of total billed charges,,,,,
**MEBENDAZOLE 100MG CHEW TAB (VERMO,259,RC,0009-3910-29,NDC,,both,1,EA,15,15,3.193259169,15,15,percent of total billed charges,11.03603289,,,,15,percent of total billed charges,11.69797665,,,,15,percent of total billed charges,11.03603289,,,,15,percent of total billed charges,11.69797665,,,,15,percent of total billed charges,999999999,,,,15,percent of total billed charges,11.42896906,,,,15,percent of total billed charges,11.03603289,,,,15,percent of total billed charges,11.69797665,,,,10.695,percent of total billed charges,5.337000719,,,,10.695,percent of total billed charges,3.193259169,,,,10.695,percent of total billed charges,5.337000719,,,,10.695,percent of total billed charges,3.193259169,,,,10.695,percent of total billed charges,5.337000719,,,,10.695,percent of total billed charges,3.193259169,,,,10.59,percent of total billed charges,10.50965079,,,,10.59,percent of total billed charges,7.248422851,,,,,,,,,,10.8,percent of total billed charges,7.019745853,,,,,,,,,,10.8,percent of total billed charges,999999999,,,,,,,,,,12,percent of total billed charges,10.05537622,,,,11.85,percent of total billed charges,11.43575996,,,,11.85,percent of total billed charges,10.10387247,,,,12,percent of total billed charges,999999999,,,,12,percent of total billed charges,999999999,,,,10.5,percent of total billed charges,999999999,,,,10.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,7.98,percent of total billed charges,999999999,,,,,,,,,,,,,,,,7.575,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3.75,percent of total billed charges,3.561582716,,,,,,,,,,3.75,percent of total billed charges,3.502338211,,,,,,,,,,3.75,percent of total billed charges,3.492605363,,,,,,,,,,3.75,percent of total billed charges,3.441176792,,,,,,,,,,3.75,percent of total billed charges,3.52972333,,,,,,,,,,3.75,percent of total billed charges,999999999,,,,,,,,,,3.75,percent of total billed charges,3.02875118,,,,,,,,,,3.75,percent of total billed charges,4.776549473,,,,,,,,,,3.75,percent of total billed charges,999999999,,,,,,,,,,3.75,percent of total billed charges,3.265734506,,,,,,,,,,13.5,percent of total billed charges,,,,,
**VITAMIN/MINERALSUPPL(I CAP TAB),259,RC,0065-8004-10,NDC,,both,1,EA,7,7,1.490187612,7,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,7,percent of total billed charges,999999999,,,,7,percent of total billed charges,5.333518893,,,,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.942,percent of total billed charges,4.904503703,,,,4.942,percent of total billed charges,3.38259733,,,,,,,,,,5.04,percent of total billed charges,3.275881398,,,,,,,,,,5.04,percent of total billed charges,999999999,,,,,,,,,,5.6,percent of total billed charges,4.692508902,,,,5.53,percent of total billed charges,5.336687983,,,,5.53,percent of total billed charges,4.715140486,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,4.9,percent of total billed charges,999999999,,,,4.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.724,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.535,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.75,percent of total billed charges,1.662071934,,,,,,,,,,1.75,percent of total billed charges,1.634424499,,,,,,,,,,1.75,percent of total billed charges,1.629882503,,,,,,,,,,1.75,percent of total billed charges,1.605882503,,,,,,,,,,1.75,percent of total billed charges,1.647204221,,,,,,,,,,1.75,percent of total billed charges,999999999,,,,,,,,,,1.75,percent of total billed charges,1.413417217,,,,,,,,,,1.75,percent of total billed charges,2.229056421,,,,,,,,,,1.75,percent of total billed charges,999999999,,,,,,,,,,1.75,percent of total billed charges,1.524009436,,,,,,,,,,6.3,percent of total billed charges,,,,,
**MEDROXYPROGESTERONE 150 INJ,J1055,CDM,0000-9074-30,NDC,,both,1,EA,431,431,91.75298013,431,431,percent of total billed charges,317.1020116,,,,431,percent of total billed charges,336.1218624,,,,431,percent of total billed charges,317.1020116,,,,431,percent of total billed charges,336.1218624,,,,431,percent of total billed charges,999999999,,,,431,percent of total billed charges,328.3923776,,,,431,percent of total billed charges,317.1020116,,,,431,percent of total billed charges,336.1218624,,,,307.303,percent of total billed charges,153.3498207,,,,307.303,percent of total billed charges,91.75298013,,,,307.303,percent of total billed charges,153.3498207,,,,307.303,percent of total billed charges,91.75298013,,,,307.303,percent of total billed charges,153.3498207,,,,307.303,percent of total billed charges,91.75298013,,,,304.286,percent of total billed charges,301.9772994,,,,304.286,percent of total billed charges,208.2713499,,,,,,,,,,310.32,percent of total billed charges,201.7006975,,,,,,,,,,310.32,percent of total billed charges,999999999,,,,,,,,,,344.8,percent of total billed charges,288.9244767,,,,340.49,percent of total billed charges,328.587503,,,,340.49,percent of total billed charges,290.3179356,,,,344.8,percent of total billed charges,999999999,,,,344.8,percent of total billed charges,999999999,,,,301.7,percent of total billed charges,999999999,,,,301.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,229.292,percent of total billed charges,999999999,,,,,,,,,,,,,,,,217.655,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,107.75,percent of total billed charges,102.3361434,,,,,,,,,,107.75,percent of total billed charges,100.6338513,,,,,,,,,,107.75,percent of total billed charges,100.3541941,,,,,,,,,,107.75,percent of total billed charges,98.87647982,,,,,,,,,,107.75,percent of total billed charges,101.420717,,,,,,,,,,107.75,percent of total billed charges,999999999,,,,,,,,,,107.75,percent of total billed charges,87.02611724,,,,,,,,,,107.75,percent of total billed charges,137.2461882,,,,,,,,,,107.75,percent of total billed charges,999999999,,,,,,,,,,107.75,percent of total billed charges,93.83543815,,,,,,,,,,387.9,percent of total billed charges,,,,,
**ROWASA (MESALAMINE) ENEMA 60ML,259,RC,6822-0006-28,NDC,,both,1,EA,52,52,11.06996512,52,52,percent of total billed charges,38.25824734,,,,52,percent of total billed charges,40.55298572,,,,52,percent of total billed charges,38.25824734,,,,52,percent of total billed charges,40.55298572,,,,52,percent of total billed charges,999999999,,,,52,percent of total billed charges,39.62042606,,,,52,percent of total billed charges,38.25824734,,,,52,percent of total billed charges,40.55298572,,,,37.076,percent of total billed charges,18.50160249,,,,37.076,percent of total billed charges,11.06996512,,,,37.076,percent of total billed charges,18.50160249,,,,37.076,percent of total billed charges,11.06996512,,,,37.076,percent of total billed charges,18.50160249,,,,37.076,percent of total billed charges,11.06996512,,,,36.712,percent of total billed charges,36.43345608,,,,36.712,percent of total billed charges,25.12786588,,,,,,,,,,37.44,percent of total billed charges,24.33511896,,,,,,,,,,37.44,percent of total billed charges,999999999,,,,,,,,,,41.6,percent of total billed charges,34.85863756,,,,41.08,percent of total billed charges,39.64396787,,,,41.08,percent of total billed charges,35.02675789,,,,41.6,percent of total billed charges,999999999,,,,41.6,percent of total billed charges,999999999,,,,36.4,percent of total billed charges,999999999,,,,36.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,27.664,percent of total billed charges,999999999,,,,,,,,,,,,,,,,26.26,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13,percent of total billed charges,12.34682008,,,,,,,,,,13,percent of total billed charges,12.14143913,,,,,,,,,,13,percent of total billed charges,12.10769859,,,,,,,,,,13,percent of total billed charges,11.92941288,,,,,,,,,,13,percent of total billed charges,12.23637421,,,,,,,,,,13,percent of total billed charges,999999999,,,,,,,,,,13,percent of total billed charges,10.49967076,,,,,,,,,,13,percent of total billed charges,16.55870484,,,,,,,,,,13,percent of total billed charges,999999999,,,,,,,,,,13,percent of total billed charges,11.32121296,,,,,,,,,,46.8,percent of total billed charges,,,,,
**ALENDRONATE LIQUID,259,RC,0000-6383-34,NDC,,both,1,EA,54,54,11.49573301,54,54,percent of total billed charges,39.72971839,,,,54,percent of total billed charges,42.11271594,,,,54,percent of total billed charges,39.72971839,,,,54,percent of total billed charges,42.11271594,,,,54,percent of total billed charges,999999999,,,,54,percent of total billed charges,41.1442886,,,,54,percent of total billed charges,39.72971839,,,,54,percent of total billed charges,42.11271594,,,,38.502,percent of total billed charges,19.21320259,,,,38.502,percent of total billed charges,11.49573301,,,,38.502,percent of total billed charges,19.21320259,,,,38.502,percent of total billed charges,11.49573301,,,,38.502,percent of total billed charges,19.21320259,,,,38.502,percent of total billed charges,11.49573301,,,,38.124,percent of total billed charges,37.83474285,,,,38.124,percent of total billed charges,26.09432226,,,,,,,,,,38.88,percent of total billed charges,25.27108507,,,,,,,,,,38.88,percent of total billed charges,999999999,,,,,,,,,,43.2,percent of total billed charges,36.19935439,,,,42.66,percent of total billed charges,41.16873587,,,,42.66,percent of total billed charges,36.37394089,,,,43.2,percent of total billed charges,999999999,,,,43.2,percent of total billed charges,999999999,,,,37.8,percent of total billed charges,999999999,,,,37.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,28.728,percent of total billed charges,999999999,,,,,,,,,,,,,,,,27.27,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13.5,percent of total billed charges,12.82169778,,,,,,,,,,13.5,percent of total billed charges,12.60841756,,,,,,,,,,13.5,percent of total billed charges,12.57337931,,,,,,,,,,13.5,percent of total billed charges,12.38823645,,,,,,,,,,13.5,percent of total billed charges,12.70700399,,,,,,,,,,13.5,percent of total billed charges,999999999,,,,,,,,,,13.5,percent of total billed charges,10.90350425,,,,,,,,,,13.5,percent of total billed charges,17.1955781,,,,,,,,,,13.5,percent of total billed charges,999999999,,,,,,,,,,13.5,percent of total billed charges,11.75664422,,,,,,,,,,48.6,percent of total billed charges,,,,,
**SILDENAFIL 50MG: VIAGRA,259,RC,0006-9421-30,NDC,,both,1,EA,27,27,5.747866505,27,27,percent of total billed charges,19.86485919,,,,27,percent of total billed charges,21.05635797,,,,27,percent of total billed charges,19.86485919,,,,27,percent of total billed charges,21.05635797,,,,27,percent of total billed charges,999999999,,,,27,percent of total billed charges,20.5721443,,,,27,percent of total billed charges,19.86485919,,,,27,percent of total billed charges,21.05635797,,,,19.251,percent of total billed charges,9.606601294,,,,19.251,percent of total billed charges,5.747866505,,,,19.251,percent of total billed charges,9.606601294,,,,19.251,percent of total billed charges,5.747866505,,,,19.251,percent of total billed charges,9.606601294,,,,19.251,percent of total billed charges,5.747866505,,,,19.062,percent of total billed charges,18.91737142,,,,19.062,percent of total billed charges,13.04716113,,,,,,,,,,19.44,percent of total billed charges,12.63554254,,,,,,,,,,19.44,percent of total billed charges,999999999,,,,,,,,,,21.6,percent of total billed charges,18.09967719,,,,21.33,percent of total billed charges,20.58436793,,,,21.33,percent of total billed charges,18.18697044,,,,21.6,percent of total billed charges,999999999,,,,21.6,percent of total billed charges,999999999,,,,18.9,percent of total billed charges,999999999,,,,18.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,14.364,percent of total billed charges,999999999,,,,,,,,,,,,,,,,13.635,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6.75,percent of total billed charges,6.41084889,,,,,,,,,,6.75,percent of total billed charges,6.30420878,,,,,,,,,,6.75,percent of total billed charges,6.286689654,,,,,,,,,,6.75,percent of total billed charges,6.194118226,,,,,,,,,,6.75,percent of total billed charges,6.353501993,,,,,,,,,,6.75,percent of total billed charges,999999999,,,,,,,,,,6.75,percent of total billed charges,5.451752124,,,,,,,,,,6.75,percent of total billed charges,8.597789051,,,,,,,,,,6.75,percent of total billed charges,999999999,,,,,,,,,,6.75,percent of total billed charges,5.878322112,,,,,,,,,,24.3,percent of total billed charges,,,,,
**RIMANTIDINE (FLUMADINE) SYRUP 8 OZ,259,RC,0045-6052-08,NDC,,both,1,EA,16,16,3.406143114,16,16,percent of total billed charges,11.77176841,,,,16,percent of total billed charges,12.47784176,,,,16,percent of total billed charges,11.77176841,,,,16,percent of total billed charges,12.47784176,,,,16,percent of total billed charges,999999999,,,,16,percent of total billed charges,12.19090033,,,,16,percent of total billed charges,11.77176841,,,,16,percent of total billed charges,12.47784176,,,,11.408,percent of total billed charges,5.692800767,,,,11.408,percent of total billed charges,3.406143114,,,,11.408,percent of total billed charges,5.692800767,,,,11.408,percent of total billed charges,3.406143114,,,,11.408,percent of total billed charges,5.692800767,,,,11.408,percent of total billed charges,3.406143114,,,,11.296,percent of total billed charges,11.21029418,,,,11.296,percent of total billed charges,7.731651041,,,,,,,,,,11.52,percent of total billed charges,7.48772891,,,,,,,,,,11.52,percent of total billed charges,999999999,,,,,,,,,,12.8,percent of total billed charges,10.72573463,,,,12.64,percent of total billed charges,12.19814396,,,,12.64,percent of total billed charges,10.77746397,,,,12.8,percent of total billed charges,999999999,,,,12.8,percent of total billed charges,999999999,,,,11.2,percent of total billed charges,999999999,,,,11.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,8.512,percent of total billed charges,999999999,,,,,,,,,,,,,,,,8.08,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4,percent of total billed charges,3.799021564,,,,,,,,,,4,percent of total billed charges,3.735827425,,,,,,,,,,4,percent of total billed charges,3.725445721,,,,,,,,,,4,percent of total billed charges,3.670588578,,,,,,,,,,4,percent of total billed charges,3.765038218,,,,,,,,,,4,percent of total billed charges,999999999,,,,,,,,,,4,percent of total billed charges,3.230667926,,,,,,,,,,4,percent of total billed charges,5.094986104,,,,,,,,,,4,percent of total billed charges,999999999,,,,,,,,,,4,percent of total billed charges,3.48345014,,,,,,,,,,14.4,percent of total billed charges,,,,,
**E-TYLENOL SINUS M/S CAPLET: 48,259,RC,9999-9999-99,NDC,,both,1,EA,9,9,1.915955502,9,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,9,percent of total billed charges,999999999,,,,9,percent of total billed charges,6.857381434,,,,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.354,percent of total billed charges,6.305790475,,,,6.354,percent of total billed charges,4.34905371,,,,,,,,,,6.48,percent of total billed charges,4.211847512,,,,,,,,,,6.48,percent of total billed charges,999999999,,,,,,,,,,7.2,percent of total billed charges,6.033225731,,,,7.11,percent of total billed charges,6.861455978,,,,7.11,percent of total billed charges,6.062323481,,,,7.2,percent of total billed charges,999999999,,,,7.2,percent of total billed charges,999999999,,,,6.3,percent of total billed charges,999999999,,,,6.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.788,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.545,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.25,percent of total billed charges,2.13694963,,,,,,,,,,2.25,percent of total billed charges,2.101402927,,,,,,,,,,2.25,percent of total billed charges,2.095563218,,,,,,,,,,2.25,percent of total billed charges,2.064706075,,,,,,,,,,2.25,percent of total billed charges,2.117833998,,,,,,,,,,2.25,percent of total billed charges,999999999,,,,,,,,,,2.25,percent of total billed charges,1.817250708,,,,,,,,,,2.25,percent of total billed charges,2.865929684,,,,,,,,,,2.25,percent of total billed charges,999999999,,,,,,,,,,2.25,percent of total billed charges,1.959440704,,,,,,,,,,8.1,percent of total billed charges,,,,,
**LUGOL'S SOLN (IODINE STRONG) 500ML,259,RC,0039-5277-16,NDC,,both,1,EA,225,225,47.89888754,225,225,percent of total billed charges,165.5404933,,,,225,percent of total billed charges,175.4696498,,,,225,percent of total billed charges,165.5404933,,,,225,percent of total billed charges,175.4696498,,,,225,percent of total billed charges,999999999,,,,225,percent of total billed charges,171.4345358,,,,225,percent of total billed charges,165.5404933,,,,225,percent of total billed charges,175.4696498,,,,160.425,percent of total billed charges,80.05501078,,,,160.425,percent of total billed charges,47.89888754,,,,160.425,percent of total billed charges,80.05501078,,,,160.425,percent of total billed charges,47.89888754,,,,160.425,percent of total billed charges,80.05501078,,,,160.425,percent of total billed charges,47.89888754,,,,158.85,percent of total billed charges,157.6447619,,,,158.85,percent of total billed charges,108.7263428,,,,,,,,,,162,percent of total billed charges,105.2961878,,,,,,,,,,162,percent of total billed charges,999999999,,,,,,,,,,180,percent of total billed charges,150.8306433,,,,177.75,percent of total billed charges,171.5363995,,,,177.75,percent of total billed charges,151.558087,,,,180,percent of total billed charges,999999999,,,,180,percent of total billed charges,999999999,,,,157.5,percent of total billed charges,999999999,,,,157.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,119.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,113.625,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,56.25,percent of total billed charges,53.42374075,,,,,,,,,,56.25,percent of total billed charges,52.53507317,,,,,,,,,,56.25,percent of total billed charges,52.38908045,,,,,,,,,,56.25,percent of total billed charges,51.61765188,,,,,,,,,,56.25,percent of total billed charges,52.94584995,,,,,,,,,,56.25,percent of total billed charges,999999999,,,,,,,,,,56.25,percent of total billed charges,45.4312677,,,,,,,,,,56.25,percent of total billed charges,71.64824209,,,,,,,,,,56.25,percent of total billed charges,999999999,,,,,,,,,,56.25,percent of total billed charges,48.9860176,,,,,,,,,,202.5,percent of total billed charges,,,,,
**MENTHOL/CAMPHOR LOTION (SARNA),259,RC,0014-5062-05,NDC,,both,1,EA,25,25,5.322098616,25,25,percent of total billed charges,18.39338814,,,,25,percent of total billed charges,19.49662775,,,,25,percent of total billed charges,18.39338814,,,,25,percent of total billed charges,19.49662775,,,,25,percent of total billed charges,999999999,,,,25,percent of total billed charges,19.04828176,,,,25,percent of total billed charges,18.39338814,,,,25,percent of total billed charges,19.49662775,,,,17.825,percent of total billed charges,8.895001198,,,,17.825,percent of total billed charges,5.322098616,,,,17.825,percent of total billed charges,8.895001198,,,,17.825,percent of total billed charges,5.322098616,,,,17.825,percent of total billed charges,8.895001198,,,,17.825,percent of total billed charges,5.322098616,,,,17.65,percent of total billed charges,17.51608465,,,,17.65,percent of total billed charges,12.08070475,,,,,,,,,,18,percent of total billed charges,11.69957642,,,,,,,,,,18,percent of total billed charges,999999999,,,,,,,,,,20,percent of total billed charges,16.75896036,,,,19.75,percent of total billed charges,19.05959994,,,,19.75,percent of total billed charges,16.83978745,,,,20,percent of total billed charges,999999999,,,,20,percent of total billed charges,999999999,,,,17.5,percent of total billed charges,999999999,,,,17.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,13.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,12.625,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6.25,percent of total billed charges,5.935971194,,,,,,,,,,6.25,percent of total billed charges,5.837230352,,,,,,,,,,6.25,percent of total billed charges,5.821008939,,,,,,,,,,6.25,percent of total billed charges,5.735294653,,,,,,,,,,6.25,percent of total billed charges,5.882872216,,,,,,,,,,6.25,percent of total billed charges,999999999,,,,,,,,,,6.25,percent of total billed charges,5.047918634,,,,,,,,,,6.25,percent of total billed charges,7.960915788,,,,,,,,,,6.25,percent of total billed charges,999999999,,,,,,,,,,6.25,percent of total billed charges,5.442890844,,,,,,,,,,22.5,percent of total billed charges,,,,,
**E-TAVIST/ALLER/SIN/HEAD: 24 TAB,250,RC,9999-9999-99,NDC,,both,1,EA,13,13,2.76749128,13,13,percent of total billed charges,9.564561834,,,,13,percent of total billed charges,10.13824643,,,,13,percent of total billed charges,9.564561834,,,,13,percent of total billed charges,10.13824643,,,,13,percent of total billed charges,999999999,,,,13,percent of total billed charges,9.905106516,,,,13,percent of total billed charges,9.564561834,,,,13,percent of total billed charges,10.13824643,,,,9.269,percent of total billed charges,4.625400623,,,,9.269,percent of total billed charges,2.76749128,,,,9.269,percent of total billed charges,4.625400623,,,,9.269,percent of total billed charges,2.76749128,,,,9.269,percent of total billed charges,4.625400623,,,,9.269,percent of total billed charges,2.76749128,,,,9.178,percent of total billed charges,9.108364019,,,,9.178,percent of total billed charges,6.281966471,,,,,,,,,,9.36,percent of total billed charges,6.083779739,,,,,,,,,,9.36,percent of total billed charges,999999999,,,,,,,,,,10.4,percent of total billed charges,8.71465939,,,,10.27,percent of total billed charges,9.910991969,,,,10.27,percent of total billed charges,8.756689473,,,,10.4,percent of total billed charges,999999999,,,,10.4,percent of total billed charges,999999999,,,,9.1,percent of total billed charges,999999999,,,,9.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.916,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.565,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3.25,percent of total billed charges,3.086705021,,,,,,,,,,3.25,percent of total billed charges,3.035359783,,,,,,,,,,3.25,percent of total billed charges,3.026924648,,,,,,,,,,3.25,percent of total billed charges,2.98235322,,,,,,,,,,3.25,percent of total billed charges,3.059093552,,,,,,,,,,3.25,percent of total billed charges,999999999,,,,,,,,,,3.25,percent of total billed charges,2.624917689,,,,,,,,,,3.25,percent of total billed charges,4.13967621,,,,,,,,,,3.25,percent of total billed charges,999999999,,,,,,,,,,3.25,percent of total billed charges,2.830303239,,,,,,,,,,11.7,percent of total billed charges,,,,,
**E-EXCEDRIN GEL TAB :50,259,RC,9999-9999-99,NDC,,both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**HIDDEN NOT TO BE USED UROMAG,250,RC,6068-7038-21,NDC,,both,1,EA,17,17,3.619027059,17,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,17,percent of total billed charges,999999999,,,,17,percent of total billed charges,12.9528316,,,,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.002,percent of total billed charges,11.91093756,,,,12.002,percent of total billed charges,8.214879231,,,,,,,,,,12.24,percent of total billed charges,7.955711967,,,,,,,,,,12.24,percent of total billed charges,999999999,,,,,,,,,,13.6,percent of total billed charges,11.39609305,,,,13.43,percent of total billed charges,12.96052796,,,,13.43,percent of total billed charges,11.45105547,,,,13.6,percent of total billed charges,999999999,,,,13.6,percent of total billed charges,999999999,,,,11.9,percent of total billed charges,999999999,,,,11.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.044,percent of total billed charges,999999999,,,,,,,,,,,,,,,,8.585,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4.25,percent of total billed charges,4.036460412,,,,,,,,,,4.25,percent of total billed charges,3.96931664,,,,,,,,,,4.25,percent of total billed charges,3.958286079,,,,,,,,,,4.25,percent of total billed charges,3.900000364,,,,,,,,,,4.25,percent of total billed charges,4.000353107,,,,,,,,,,4.25,percent of total billed charges,999999999,,,,,,,,,,4.25,percent of total billed charges,3.432584671,,,,,,,,,,4.25,percent of total billed charges,5.413422736,,,,,,,,,,4.25,percent of total billed charges,999999999,,,,,,,,,,4.25,percent of total billed charges,3.701165774,,,,,,,,,,15.3,percent of total billed charges,,,,,
**MYLANTA GEL CAPS: 50,259,RC,1683-7085-50,NDC,,both,1,EA,12,12,2.554607335,12,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,12,percent of total billed charges,999999999,,,,12,percent of total billed charges,9.143175245,,,,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.472,percent of total billed charges,8.407720633,,,,8.472,percent of total billed charges,5.79873828,,,,,,,,,,8.64,percent of total billed charges,5.615796683,,,,,,,,,,8.64,percent of total billed charges,999999999,,,,,,,,,,9.6,percent of total billed charges,8.044300975,,,,9.48,percent of total billed charges,9.148607971,,,,9.48,percent of total billed charges,8.083097975,,,,9.6,percent of total billed charges,999999999,,,,9.6,percent of total billed charges,999999999,,,,8.4,percent of total billed charges,999999999,,,,8.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.384,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.06,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3,percent of total billed charges,2.849266173,,,,,,,,,,3,percent of total billed charges,2.801870569,,,,,,,,,,3,percent of total billed charges,2.794084291,,,,,,,,,,3,percent of total billed charges,2.752941434,,,,,,,,,,3,percent of total billed charges,2.823778664,,,,,,,,,,3,percent of total billed charges,999999999,,,,,,,,,,3,percent of total billed charges,2.423000944,,,,,,,,,,3,percent of total billed charges,3.821239578,,,,,,,,,,3,percent of total billed charges,999999999,,,,,,,,,,3,percent of total billed charges,2.612587605,,,,,,,,,,10.8,percent of total billed charges,,,,,
**PENICILLIN G POT 20MMU IV,250,RC,0078-1613-94,NDC,,both,1,EA,391,391,83.23762235,391,391,percent of total billed charges,287.6725906,,,,391,percent of total billed charges,304.927258,,,,391,percent of total billed charges,287.6725906,,,,391,percent of total billed charges,304.927258,,,,391,percent of total billed charges,999999999,,,,391,percent of total billed charges,297.9151267,,,,391,percent of total billed charges,287.6725906,,,,391,percent of total billed charges,304.927258,,,,278.783,percent of total billed charges,139.1178187,,,,278.783,percent of total billed charges,83.23762235,,,,278.783,percent of total billed charges,139.1178187,,,,278.783,percent of total billed charges,83.23762235,,,,278.783,percent of total billed charges,139.1178187,,,,278.783,percent of total billed charges,83.23762235,,,,276.046,percent of total billed charges,273.951564,,,,276.046,percent of total billed charges,188.9422223,,,,,,,,,,281.52,percent of total billed charges,182.9813752,,,,,,,,,,281.52,percent of total billed charges,999999999,,,,,,,,,,312.8,percent of total billed charges,262.1101401,,,,308.89,percent of total billed charges,298.0921431,,,,308.89,percent of total billed charges,263.3742757,,,,312.8,percent of total billed charges,999999999,,,,312.8,percent of total billed charges,999999999,,,,273.7,percent of total billed charges,999999999,,,,273.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,208.012,percent of total billed charges,999999999,,,,,,,,,,,,,,,,197.455,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,97.75,percent of total billed charges,92.83858948,,,,,,,,,,97.75,percent of total billed charges,91.29428271,,,,,,,,,,97.75,percent of total billed charges,91.04057981,,,,,,,,,,97.75,percent of total billed charges,89.70000838,,,,,,,,,,97.75,percent of total billed charges,92.00812146,,,,,,,,,,97.75,percent of total billed charges,999999999,,,,,,,,,,97.75,percent of total billed charges,78.94944743,,,,,,,,,,97.75,percent of total billed charges,124.5087229,,,,,,,,,,97.75,percent of total billed charges,999999999,,,,,,,,,,97.75,percent of total billed charges,85.1268128,,,,,,,,,,351.9,percent of total billed charges,,,,,
**SPIRONOLACTONE 50 MG TAB,259,RC,5107-9097-20,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
**PAPAVERINE 30MG/ML 10ML VIAL,J2440,CDM,0051-7401-01,NDC,,both,1,EA,28,28,5.960750449,28,28,percent of total billed charges,20.60059472,,,,28,percent of total billed charges,21.83622308,,,,28,percent of total billed charges,20.60059472,,,,28,percent of total billed charges,21.83622308,,,,28,percent of total billed charges,999999999,,,,28,percent of total billed charges,21.33407557,,,,28,percent of total billed charges,20.60059472,,,,28,percent of total billed charges,21.83622308,,,,19.964,percent of total billed charges,9.962401342,,,,19.964,percent of total billed charges,5.960750449,,,,19.964,percent of total billed charges,9.962401342,,,,19.964,percent of total billed charges,5.960750449,,,,19.964,percent of total billed charges,9.962401342,,,,19.964,percent of total billed charges,5.960750449,,,,19.768,percent of total billed charges,19.61801481,,,,19.768,percent of total billed charges,13.53038932,,,,,,,,,,20.16,percent of total billed charges,13.10352559,,,,,,,,,,20.16,percent of total billed charges,999999999,,,,,,,,,,22.4,percent of total billed charges,18.77003561,,,,22.12,percent of total billed charges,21.34675193,,,,22.12,percent of total billed charges,18.86056194,,,,22.4,percent of total billed charges,999999999,,,,22.4,percent of total billed charges,999999999,,,,19.6,percent of total billed charges,999999999,,,,19.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,14.896,percent of total billed charges,999999999,,,,,,,,,,,,,,,,14.14,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7,percent of total billed charges,6.648287737,,,,,,,,,,7,percent of total billed charges,6.537697995,,,,,,,,,,7,percent of total billed charges,6.519530012,,,,,,,,,,7,percent of total billed charges,6.423530012,,,,,,,,,,7,percent of total billed charges,6.588816882,,,,,,,,,,7,percent of total billed charges,999999999,,,,,,,,,,7,percent of total billed charges,5.65366887,,,,,,,,,,7,percent of total billed charges,8.916225683,,,,,,,,,,7,percent of total billed charges,999999999,,,,,,,,,,7,percent of total billed charges,6.096037745,,,,,,,,,,25.2,percent of total billed charges,,,,,
**PERPHENAZINE/AMITRIPTYLINE 4/25: TAB,259,RC,0037-8057-01,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
**BENICAR (OLMESARTAN)/HCT 40/12.5MG T,259,RC,6559-7010-90,NDC,,both,1,EA,17,17,3.619027059,17,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,17,percent of total billed charges,999999999,,,,17,percent of total billed charges,12.9528316,,,,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.002,percent of total billed charges,11.91093756,,,,12.002,percent of total billed charges,8.214879231,,,,,,,,,,12.24,percent of total billed charges,7.955711967,,,,,,,,,,12.24,percent of total billed charges,999999999,,,,,,,,,,13.6,percent of total billed charges,11.39609305,,,,13.43,percent of total billed charges,12.96052796,,,,13.43,percent of total billed charges,11.45105547,,,,13.6,percent of total billed charges,999999999,,,,13.6,percent of total billed charges,999999999,,,,11.9,percent of total billed charges,999999999,,,,11.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.044,percent of total billed charges,999999999,,,,,,,,,,,,,,,,8.585,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4.25,percent of total billed charges,4.036460412,,,,,,,,,,4.25,percent of total billed charges,3.96931664,,,,,,,,,,4.25,percent of total billed charges,3.958286079,,,,,,,,,,4.25,percent of total billed charges,3.900000364,,,,,,,,,,4.25,percent of total billed charges,4.000353107,,,,,,,,,,4.25,percent of total billed charges,999999999,,,,,,,,,,4.25,percent of total billed charges,3.432584671,,,,,,,,,,4.25,percent of total billed charges,5.413422736,,,,,,,,,,4.25,percent of total billed charges,999999999,,,,,,,,,,4.25,percent of total billed charges,3.701165774,,,,,,,,,,15.3,percent of total billed charges,,,,,
**E-ACETAMINOPHEN (GEN) 325MG 1000'S,259,RC,6210-7005-10,NDC,,both,1,EA,31,31,6.599402283,31,31,percent of total billed charges,22.8078013,,,,31,percent of total billed charges,24.17581841,,,,31,percent of total billed charges,22.8078013,,,,31,percent of total billed charges,24.17581841,,,,31,percent of total billed charges,999999999,,,,31,percent of total billed charges,23.61986938,,,,31,percent of total billed charges,22.8078013,,,,31,percent of total billed charges,24.17581841,,,,22.103,percent of total billed charges,11.02980149,,,,22.103,percent of total billed charges,6.599402283,,,,22.103,percent of total billed charges,11.02980149,,,,22.103,percent of total billed charges,6.599402283,,,,22.103,percent of total billed charges,11.02980149,,,,22.103,percent of total billed charges,6.599402283,,,,21.886,percent of total billed charges,21.71994497,,,,21.886,percent of total billed charges,14.98007389,,,,,,,,,,22.32,percent of total billed charges,14.50747476,,,,,,,,,,22.32,percent of total billed charges,999999999,,,,,,,,,,24.8,percent of total billed charges,20.78111085,,,,24.49,percent of total billed charges,23.63390393,,,,24.49,percent of total billed charges,20.88133644,,,,24.8,percent of total billed charges,999999999,,,,24.8,percent of total billed charges,999999999,,,,21.7,percent of total billed charges,999999999,,,,21.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,16.492,percent of total billed charges,999999999,,,,,,,,,,,,,,,,15.655,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7.75,percent of total billed charges,7.360604281,,,,,,,,,,7.75,percent of total billed charges,7.238165637,,,,,,,,,,7.75,percent of total billed charges,7.218051084,,,,,,,,,,7.75,percent of total billed charges,7.11176537,,,,,,,,,,7.75,percent of total billed charges,7.294761548,,,,,,,,,,7.75,percent of total billed charges,999999999,,,,,,,,,,7.75,percent of total billed charges,6.259419106,,,,,,,,,,7.75,percent of total billed charges,9.871535577,,,,,,,,,,7.75,percent of total billed charges,999999999,,,,,,,,,,7.75,percent of total billed charges,6.749184647,,,,,,,,,,27.9,percent of total billed charges,,,,,
**ZIDOVUDINE (RETROVIR) SYRUP 10MG/ML,259,RC,0017-3011-18,NDC,,both,1,EA,18,18,3.831911003,18,18,percent of total billed charges,13.24323946,,,,18,percent of total billed charges,14.03757198,,,,18,percent of total billed charges,13.24323946,,,,18,percent of total billed charges,14.03757198,,,,18,percent of total billed charges,999999999,,,,18,percent of total billed charges,13.71476287,,,,18,percent of total billed charges,13.24323946,,,,18,percent of total billed charges,14.03757198,,,,12.834,percent of total billed charges,6.404400863,,,,12.834,percent of total billed charges,3.831911003,,,,12.834,percent of total billed charges,6.404400863,,,,12.834,percent of total billed charges,3.831911003,,,,12.834,percent of total billed charges,6.404400863,,,,12.834,percent of total billed charges,3.831911003,,,,12.708,percent of total billed charges,12.61158095,,,,12.708,percent of total billed charges,8.698107421,,,,,,,,,,12.96,percent of total billed charges,8.423695024,,,,,,,,,,12.96,percent of total billed charges,999999999,,,,,,,,,,14.4,percent of total billed charges,12.06645146,,,,14.22,percent of total billed charges,13.72291196,,,,14.22,percent of total billed charges,12.12464696,,,,14.4,percent of total billed charges,999999999,,,,14.4,percent of total billed charges,999999999,,,,12.6,percent of total billed charges,999999999,,,,12.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.576,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.09,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4.5,percent of total billed charges,4.27389926,,,,,,,,,,4.5,percent of total billed charges,4.202805854,,,,,,,,,,4.5,percent of total billed charges,4.191126436,,,,,,,,,,4.5,percent of total billed charges,4.12941215,,,,,,,,,,4.5,percent of total billed charges,4.235667996,,,,,,,,,,4.5,percent of total billed charges,999999999,,,,,,,,,,4.5,percent of total billed charges,3.634501416,,,,,,,,,,4.5,percent of total billed charges,5.731859367,,,,,,,,,,4.5,percent of total billed charges,999999999,,,,,,,,,,4.5,percent of total billed charges,3.918881408,,,,,,,,,,16.2,percent of total billed charges,,,,,
**ZIDOVUDINE 10MG/ML 20ML VIAL (RETROVIR,J3485,CDM,0017-3010-93,NDC,,both,1,EA,61,61,12.98592062,61,61,percent of total billed charges,44.87986707,,,,61,percent of total billed charges,47.57177171,,,,61,percent of total billed charges,44.87986707,,,,61,percent of total billed charges,47.57177171,,,,61,percent of total billed charges,999999999,,,,61,percent of total billed charges,46.4778075,,,,61,percent of total billed charges,44.87986707,,,,61,percent of total billed charges,47.57177171,,,,43.493,percent of total billed charges,21.70380292,,,,43.493,percent of total billed charges,12.98592062,,,,43.493,percent of total billed charges,21.70380292,,,,43.493,percent of total billed charges,12.98592062,,,,43.493,percent of total billed charges,21.70380292,,,,43.493,percent of total billed charges,12.98592062,,,,43.066,percent of total billed charges,42.73924655,,,,43.066,percent of total billed charges,29.47691959,,,,,,,,,,43.92,percent of total billed charges,28.54696647,,,,,,,,,,43.92,percent of total billed charges,999999999,,,,,,,,,,48.8,percent of total billed charges,40.89186329,,,,48.19,percent of total billed charges,46.50542385,,,,48.19,percent of total billed charges,41.08908137,,,,48.8,percent of total billed charges,999999999,,,,48.8,percent of total billed charges,999999999,,,,42.7,percent of total billed charges,999999999,,,,42.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,32.452,percent of total billed charges,999999999,,,,,,,,,,,,,,,,30.805,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15.25,percent of total billed charges,14.48376971,,,,,,,,,,15.25,percent of total billed charges,14.24284206,,,,,,,,,,15.25,percent of total billed charges,14.20326181,,,,,,,,,,15.25,percent of total billed charges,13.99411895,,,,,,,,,,15.25,percent of total billed charges,14.35420821,,,,,,,,,,15.25,percent of total billed charges,999999999,,,,,,,,,,15.25,percent of total billed charges,12.31692147,,,,,,,,,,15.25,percent of total billed charges,19.42463452,,,,,,,,,,15.25,percent of total billed charges,999999999,,,,,,,,,,15.25,percent of total billed charges,13.28065366,,,,,,,,,,54.9,percent of total billed charges,,,,,
**FERROUS SULFATE INFANT DROPS 50 ML,259,RC,5483-8000-50,NDC,,both,1,EA,18,18,3.831911003,18,18,percent of total billed charges,13.24323946,,,,18,percent of total billed charges,14.03757198,,,,18,percent of total billed charges,13.24323946,,,,18,percent of total billed charges,14.03757198,,,,18,percent of total billed charges,999999999,,,,18,percent of total billed charges,13.71476287,,,,18,percent of total billed charges,13.24323946,,,,18,percent of total billed charges,14.03757198,,,,12.834,percent of total billed charges,6.404400863,,,,12.834,percent of total billed charges,3.831911003,,,,12.834,percent of total billed charges,6.404400863,,,,12.834,percent of total billed charges,3.831911003,,,,12.834,percent of total billed charges,6.404400863,,,,12.834,percent of total billed charges,3.831911003,,,,12.708,percent of total billed charges,12.61158095,,,,12.708,percent of total billed charges,8.698107421,,,,,,,,,,12.96,percent of total billed charges,8.423695024,,,,,,,,,,12.96,percent of total billed charges,999999999,,,,,,,,,,14.4,percent of total billed charges,12.06645146,,,,14.22,percent of total billed charges,13.72291196,,,,14.22,percent of total billed charges,12.12464696,,,,14.4,percent of total billed charges,999999999,,,,14.4,percent of total billed charges,999999999,,,,12.6,percent of total billed charges,999999999,,,,12.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.576,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.09,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4.5,percent of total billed charges,4.27389926,,,,,,,,,,4.5,percent of total billed charges,4.202805854,,,,,,,,,,4.5,percent of total billed charges,4.191126436,,,,,,,,,,4.5,percent of total billed charges,4.12941215,,,,,,,,,,4.5,percent of total billed charges,4.235667996,,,,,,,,,,4.5,percent of total billed charges,999999999,,,,,,,,,,4.5,percent of total billed charges,3.634501416,,,,,,,,,,4.5,percent of total billed charges,5.731859367,,,,,,,,,,4.5,percent of total billed charges,999999999,,,,,,,,,,4.5,percent of total billed charges,3.918881408,,,,,,,,,,16.2,percent of total billed charges,,,,,
**DAPSONE 100MG TABLET,259,RC,4993-8010-01,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
**PEMOLINE 37.5MG TAB,259,RC,5215-2016-02,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
**ESTRACE (ESTRADIOL VAGINAL CREAM) 0.01,259,RC,0043-0375-14,NDC,,both,1,EA,292,292,62.16211183,292,292,percent of total billed charges,214.8347735,,,,292,percent of total billed charges,227.7206121,,,,292,percent of total billed charges,214.8347735,,,,292,percent of total billed charges,227.7206121,,,,292,percent of total billed charges,999999999,,,,292,percent of total billed charges,222.483931,,,,292,percent of total billed charges,214.8347735,,,,292,percent of total billed charges,227.7206121,,,,208.196,percent of total billed charges,103.893614,,,,208.196,percent of total billed charges,62.16211183,,,,208.196,percent of total billed charges,103.893614,,,,208.196,percent of total billed charges,62.16211183,,,,208.196,percent of total billed charges,103.893614,,,,208.196,percent of total billed charges,62.16211183,,,,206.152,percent of total billed charges,204.5878687,,,,206.152,percent of total billed charges,141.1026315,,,,,,,,,,210.24,percent of total billed charges,136.6510526,,,,,,,,,,210.24,percent of total billed charges,999999999,,,,,,,,,,233.6,percent of total billed charges,195.7446571,,,,230.68,percent of total billed charges,222.6161273,,,,230.68,percent of total billed charges,196.6887174,,,,233.6,percent of total billed charges,999999999,,,,233.6,percent of total billed charges,999999999,,,,204.4,percent of total billed charges,999999999,,,,204.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,155.344,percent of total billed charges,999999999,,,,,,,,,,,,,,,,147.46,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,73,percent of total billed charges,69.33214355,,,,,,,,,,73,percent of total billed charges,68.17885051,,,,,,,,,,73,percent of total billed charges,67.98938441,,,,,,,,,,73,percent of total billed charges,66.98824155,,,,,,,,,,73,percent of total billed charges,68.71194748,,,,,,,,,,73,percent of total billed charges,999999999,,,,,,,,,,73,percent of total billed charges,58.95968964,,,,,,,,,,73,percent of total billed charges,92.9834964,,,,,,,,,,73,percent of total billed charges,999999999,,,,,,,,,,73,percent of total billed charges,63.57296506,,,,,,,,,,262.8,percent of total billed charges,,,,,
**LEVOCARNITINE (CARNITOR) INJ 1 GM/5ML,J1955,CDM,0070-3040-02,NDC,,both,1,EA,80,80,17.03071557,80,80,percent of total billed charges,58.85884206,,,,80,percent of total billed charges,62.3892088,,,,80,percent of total billed charges,58.85884206,,,,80,percent of total billed charges,62.3892088,,,,80,percent of total billed charges,999999999,,,,80,percent of total billed charges,60.95450163,,,,80,percent of total billed charges,58.85884206,,,,80,percent of total billed charges,62.3892088,,,,57.04,percent of total billed charges,28.46400383,,,,57.04,percent of total billed charges,17.03071557,,,,57.04,percent of total billed charges,28.46400383,,,,57.04,percent of total billed charges,17.03071557,,,,57.04,percent of total billed charges,28.46400383,,,,57.04,percent of total billed charges,17.03071557,,,,56.48,percent of total billed charges,56.05147089,,,,56.48,percent of total billed charges,38.6582552,,,,,,,,,,57.6,percent of total billed charges,37.43864455,,,,,,,,,,57.6,percent of total billed charges,999999999,,,,,,,,,,64,percent of total billed charges,53.62867317,,,,63.2,percent of total billed charges,60.99071981,,,,63.2,percent of total billed charges,53.88731984,,,,64,percent of total billed charges,999999999,,,,64,percent of total billed charges,999999999,,,,56,percent of total billed charges,999999999,,,,56,percent of total billed charges,999999999,,,,,,,,,,,,,,,,42.56,percent of total billed charges,999999999,,,,,,,,,,,,,,,,40.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20,percent of total billed charges,18.99510782,,,,,,,,,,20,percent of total billed charges,18.67913713,,,,,,,,,,20,percent of total billed charges,18.62722861,,,,,,,,,,20,percent of total billed charges,18.35294289,,,,,,,,,,20,percent of total billed charges,18.82519109,,,,,,,,,,20,percent of total billed charges,999999999,,,,,,,,,,20,percent of total billed charges,16.15333963,,,,,,,,,,20,percent of total billed charges,25.47493052,,,,,,,,,,20,percent of total billed charges,999999999,,,,,,,,,,20,percent of total billed charges,17.4172507,,,,,,,,,,72,percent of total billed charges,,,,,
**RAMIPRIL 1.25 MG CAP,259,RC,6157-0011-01,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
**D10 (10% DEXTROSE) 1/4 NACL: 500 ML,258,RC,0040-9486-03,NDC,,both,1,EA,40,40,8.515357785,40,40,percent of total billed charges,29.42942103,,,,40,percent of total billed charges,31.1946044,,,,40,percent of total billed charges,29.42942103,,,,40,percent of total billed charges,31.1946044,,,,40,percent of total billed charges,999999999,,,,40,percent of total billed charges,30.47725082,,,,40,percent of total billed charges,29.42942103,,,,40,percent of total billed charges,31.1946044,,,,28.52,percent of total billed charges,14.23200192,,,,28.52,percent of total billed charges,8.515357785,,,,28.52,percent of total billed charges,14.23200192,,,,28.52,percent of total billed charges,8.515357785,,,,28.52,percent of total billed charges,14.23200192,,,,28.52,percent of total billed charges,8.515357785,,,,28.24,percent of total billed charges,28.02573544,,,,28.24,percent of total billed charges,19.3291276,,,,,,,,,,28.8,percent of total billed charges,18.71932228,,,,,,,,,,28.8,percent of total billed charges,999999999,,,,,,,,,,32,percent of total billed charges,26.81433658,,,,31.6,percent of total billed charges,30.4953599,,,,31.6,percent of total billed charges,26.94365992,,,,32,percent of total billed charges,999999999,,,,32,percent of total billed charges,999999999,,,,28,percent of total billed charges,999999999,,,,28,percent of total billed charges,999999999,,,,,,,,,,,,,,,,21.28,percent of total billed charges,999999999,,,,,,,,,,,,,,,,20.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10,percent of total billed charges,9.497553911,,,,,,,,,,10,percent of total billed charges,9.339568564,,,,,,,,,,10,percent of total billed charges,9.313614303,,,,,,,,,,10,percent of total billed charges,9.176471445,,,,,,,,,,10,percent of total billed charges,9.412595546,,,,,,,,,,10,percent of total billed charges,999999999,,,,,,,,,,10,percent of total billed charges,8.076669814,,,,,,,,,,10,percent of total billed charges,12.73746526,,,,,,,,,,10,percent of total billed charges,999999999,,,,,,,,,,10,percent of total billed charges,8.708625351,,,,,,,,,,36,percent of total billed charges,,,,,
**CYANOCOBALAMINE (VIT B-12) 100 MCG T,259,RC,0053-6354-01,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
**IRON/FOLIC ACID/VIT C TAB (FERO-FOLIC),259,RC,0007-4707-30,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
**DAPIPAZOLE (REV-EYES) 0.5% SOLN,250,RC,2420-8039-07,NDC,,both,1,EA,99,99,21.07551052,99,99,percent of total billed charges,72.83781705,,,,99,percent of total billed charges,77.20664589,,,,99,percent of total billed charges,72.83781705,,,,99,percent of total billed charges,77.20664589,,,,99,percent of total billed charges,999999999,,,,99,percent of total billed charges,75.43119577,,,,99,percent of total billed charges,72.83781705,,,,99,percent of total billed charges,77.20664589,,,,70.587,percent of total billed charges,35.22420474,,,,70.587,percent of total billed charges,21.07551052,,,,70.587,percent of total billed charges,35.22420474,,,,70.587,percent of total billed charges,21.07551052,,,,70.587,percent of total billed charges,35.22420474,,,,70.587,percent of total billed charges,21.07551052,,,,69.894,percent of total billed charges,69.36369522,,,,69.894,percent of total billed charges,47.83959081,,,,,,,,,,71.28,percent of total billed charges,46.33032263,,,,,,,,,,71.28,percent of total billed charges,999999999,,,,,,,,,,79.2,percent of total billed charges,66.36548304,,,,78.21,percent of total billed charges,75.47601576,,,,78.21,percent of total billed charges,66.6855583,,,,79.2,percent of total billed charges,999999999,,,,79.2,percent of total billed charges,999999999,,,,69.3,percent of total billed charges,999999999,,,,69.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,52.668,percent of total billed charges,999999999,,,,,,,,,,,,,,,,49.995,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,24.75,percent of total billed charges,23.50644593,,,,,,,,,,24.75,percent of total billed charges,23.1154322,,,,,,,,,,24.75,percent of total billed charges,23.0511954,,,,,,,,,,24.75,percent of total billed charges,22.71176683,,,,,,,,,,24.75,percent of total billed charges,23.29617398,,,,,,,,,,24.75,percent of total billed charges,999999999,,,,,,,,,,24.75,percent of total billed charges,19.98975779,,,,,,,,,,24.75,percent of total billed charges,31.52522652,,,,,,,,,,24.75,percent of total billed charges,999999999,,,,,,,,,,24.75,percent of total billed charges,21.55384774,,,,,,,,,,89.1,percent of total billed charges,,,,,
**oxyCODONE ORAL SOLN 5 MG/5ML 5ML DO,259,RC,0005-4368-63,NDC,,both,1,EA,9,9,1.915955502,9,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,9,percent of total billed charges,999999999,,,,9,percent of total billed charges,6.857381434,,,,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.354,percent of total billed charges,6.305790475,,,,6.354,percent of total billed charges,4.34905371,,,,,,,,,,6.48,percent of total billed charges,4.211847512,,,,,,,,,,6.48,percent of total billed charges,999999999,,,,,,,,,,7.2,percent of total billed charges,6.033225731,,,,7.11,percent of total billed charges,6.861455978,,,,7.11,percent of total billed charges,6.062323481,,,,7.2,percent of total billed charges,999999999,,,,7.2,percent of total billed charges,999999999,,,,6.3,percent of total billed charges,999999999,,,,6.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.788,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.545,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.25,percent of total billed charges,2.13694963,,,,,,,,,,2.25,percent of total billed charges,2.101402927,,,,,,,,,,2.25,percent of total billed charges,2.095563218,,,,,,,,,,2.25,percent of total billed charges,2.064706075,,,,,,,,,,2.25,percent of total billed charges,2.117833998,,,,,,,,,,2.25,percent of total billed charges,999999999,,,,,,,,,,2.25,percent of total billed charges,1.817250708,,,,,,,,,,2.25,percent of total billed charges,2.865929684,,,,,,,,,,2.25,percent of total billed charges,999999999,,,,,,,,,,2.25,percent of total billed charges,1.959440704,,,,,,,,,,8.1,percent of total billed charges,,,,,
**ROSIGLITAZONE/METFORMIN 5/500 (AVANDAM,259,RC,0000-7316-18,NDC,,both,1,EA,12,12,2.554607335,12,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,12,percent of total billed charges,999999999,,,,12,percent of total billed charges,9.143175245,,,,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.472,percent of total billed charges,8.407720633,,,,8.472,percent of total billed charges,5.79873828,,,,,,,,,,8.64,percent of total billed charges,5.615796683,,,,,,,,,,8.64,percent of total billed charges,999999999,,,,,,,,,,9.6,percent of total billed charges,8.044300975,,,,9.48,percent of total billed charges,9.148607971,,,,9.48,percent of total billed charges,8.083097975,,,,9.6,percent of total billed charges,999999999,,,,9.6,percent of total billed charges,999999999,,,,8.4,percent of total billed charges,999999999,,,,8.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.384,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.06,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3,percent of total billed charges,2.849266173,,,,,,,,,,3,percent of total billed charges,2.801870569,,,,,,,,,,3,percent of total billed charges,2.794084291,,,,,,,,,,3,percent of total billed charges,2.752941434,,,,,,,,,,3,percent of total billed charges,2.823778664,,,,,,,,,,3,percent of total billed charges,999999999,,,,,,,,,,3,percent of total billed charges,2.423000944,,,,,,,,,,3,percent of total billed charges,3.821239578,,,,,,,,,,3,percent of total billed charges,999999999,,,,,,,,,,3,percent of total billed charges,2.612587605,,,,,,,,,,10.8,percent of total billed charges,,,,,
**ATENOLOL 100MG TAB,259,RC,5107-9068-20,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
**TRIPLE DYE APPLICATOR SOLN: PER APPLIC,259,RC,5110-1282-05,NDC,,both,1,EA,11,11,2.341723391,11,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,11,percent of total billed charges,999999999,,,,11,percent of total billed charges,8.381243975,,,,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.766,percent of total billed charges,7.707077247,,,,7.766,percent of total billed charges,5.31551009,,,,,,,,,,7.92,percent of total billed charges,5.147813626,,,,,,,,,,7.92,percent of total billed charges,999999999,,,,,,,,,,8.8,percent of total billed charges,7.373942561,,,,8.69,percent of total billed charges,8.386223973,,,,8.69,percent of total billed charges,7.409506477,,,,8.8,percent of total billed charges,999999999,,,,8.8,percent of total billed charges,999999999,,,,7.7,percent of total billed charges,999999999,,,,7.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.852,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.555,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.75,percent of total billed charges,2.611827325,,,,,,,,,,2.75,percent of total billed charges,2.568381355,,,,,,,,,,2.75,percent of total billed charges,2.561243933,,,,,,,,,,2.75,percent of total billed charges,2.523529647,,,,,,,,,,2.75,percent of total billed charges,2.588463775,,,,,,,,,,2.75,percent of total billed charges,999999999,,,,,,,,,,2.75,percent of total billed charges,2.221084199,,,,,,,,,,2.75,percent of total billed charges,3.502802947,,,,,,,,,,2.75,percent of total billed charges,999999999,,,,,,,,,,2.75,percent of total billed charges,2.394871971,,,,,,,,,,9.9,percent of total billed charges,,,,,
**MENINGOCOCCAL VACCINE (MENOMUNE),90733,CDM,4928-1048-01,NDC,,both,1,EA,487.02,487.02,103.6787387,487.02,487.02,percent of total billed charges,358.3179157,,,,487.02,percent of total billed charges,379.8099059,,,,487.02,percent of total billed charges,358.3179157,,,,487.02,percent of total billed charges,379.8099059,,,,487.02,percent of total billed charges,999999999,,,,487.02,percent of total billed charges,371.0757673,,,,487.02,percent of total billed charges,358.3179157,,,,487.02,percent of total billed charges,379.8099059,,,,347.24526,percent of total billed charges,173.2817393,,,,347.24526,percent of total billed charges,103.6787387,,,,347.24526,percent of total billed charges,173.2817393,,,,347.24526,percent of total billed charges,103.6787387,,,,347.24526,percent of total billed charges,173.2817393,,,,347.24526,percent of total billed charges,103.6787387,,,,343.83612,percent of total billed charges,341.2273419,,,,343.83612,percent of total billed charges,235.3417931,,,,,,,,,,350.6544,percent of total billed charges,227.9171084,,,,,,,,,,350.6544,percent of total billed charges,999999999,,,,,,,,,,389.616,percent of total billed charges,326.4779551,,,,384.7458,percent of total billed charges,371.2962545,,,,384.7458,percent of total billed charges,328.0525313,,,,389.616,percent of total billed charges,999999999,,,,389.616,percent of total billed charges,999999999,,,,340.914,percent of total billed charges,999999999,,,,340.914,percent of total billed charges,999999999,,,,,,,,,,,,,,,,259.09464,percent of total billed charges,999999999,,,,,,,,,,,,,,,,245.9451,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,121.755,percent of total billed charges,115.6374676,,,,,,,,,,121.755,percent of total billed charges,113.713917,,,,,,,,,,121.755,percent of total billed charges,113.3979109,,,,,,,,,,121.755,percent of total billed charges,111.7281281,,,,,,,,,,121.755,percent of total billed charges,114.6030571,,,,,,,,,,121.755,percent of total billed charges,999999999,,,,,,,,,,121.755,percent of total billed charges,98.33749332,,,,,,,,,,121.755,percent of total billed charges,155.0850083,,,,,,,,,,121.755,percent of total billed charges,999999999,,,,,,,,,,121.755,percent of total billed charges,106.031868,,,,,,,,,,438.318,percent of total billed charges,,,,,
**BUDESONIDE (PULMICORT) RESPULS 0.5MG/2,J7626,CDM,0018-6198-04,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
**E-NAPROXEN SOD 220 MG 50'S (NAPROSYN),250,RC,0018-2110-19,NDC,,both,1,EA,17,17,3.619027059,17,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,17,percent of total billed charges,999999999,,,,17,percent of total billed charges,12.9528316,,,,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.002,percent of total billed charges,11.91093756,,,,12.002,percent of total billed charges,8.214879231,,,,,,,,,,12.24,percent of total billed charges,7.955711967,,,,,,,,,,12.24,percent of total billed charges,999999999,,,,,,,,,,13.6,percent of total billed charges,11.39609305,,,,13.43,percent of total billed charges,12.96052796,,,,13.43,percent of total billed charges,11.45105547,,,,13.6,percent of total billed charges,999999999,,,,13.6,percent of total billed charges,999999999,,,,11.9,percent of total billed charges,999999999,,,,11.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.044,percent of total billed charges,999999999,,,,,,,,,,,,,,,,8.585,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4.25,percent of total billed charges,4.036460412,,,,,,,,,,4.25,percent of total billed charges,3.96931664,,,,,,,,,,4.25,percent of total billed charges,3.958286079,,,,,,,,,,4.25,percent of total billed charges,3.900000364,,,,,,,,,,4.25,percent of total billed charges,4.000353107,,,,,,,,,,4.25,percent of total billed charges,999999999,,,,,,,,,,4.25,percent of total billed charges,3.432584671,,,,,,,,,,4.25,percent of total billed charges,5.413422736,,,,,,,,,,4.25,percent of total billed charges,999999999,,,,,,,,,,4.25,percent of total billed charges,3.701165774,,,,,,,,,,15.3,percent of total billed charges,,,,,
**PENTAMIDINE 300MG VIAL (PENTAM),J2545,CDM,6332-3011-10,NDC,,both,1,EA,151,151,32.14547564,151,151,percent of total billed charges,111.0960644,,,,151,percent of total billed charges,117.7596316,,,,151,percent of total billed charges,111.0960644,,,,151,percent of total billed charges,117.7596316,,,,151,percent of total billed charges,999999999,,,,151,percent of total billed charges,115.0516218,,,,151,percent of total billed charges,111.0960644,,,,151,percent of total billed charges,117.7596316,,,,107.663,percent of total billed charges,53.72580724,,,,107.663,percent of total billed charges,32.14547564,,,,107.663,percent of total billed charges,53.72580724,,,,107.663,percent of total billed charges,32.14547564,,,,107.663,percent of total billed charges,53.72580724,,,,107.663,percent of total billed charges,32.14547564,,,,106.606,percent of total billed charges,105.7971513,,,,106.606,percent of total billed charges,72.9674567,,,,,,,,,,108.72,percent of total billed charges,70.66544159,,,,,,,,,,108.72,percent of total billed charges,999999999,,,,,,,,,,120.8,percent of total billed charges,101.2241206,,,,119.29,percent of total billed charges,115.1199836,,,,119.29,percent of total billed charges,101.7123162,,,,120.8,percent of total billed charges,999999999,,,,120.8,percent of total billed charges,999999999,,,,105.7,percent of total billed charges,999999999,,,,105.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,80.332,percent of total billed charges,999999999,,,,,,,,,,,,,,,,76.255,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,37.75,percent of total billed charges,35.85326601,,,,,,,,,,37.75,percent of total billed charges,35.25687133,,,,,,,,,,37.75,percent of total billed charges,35.15889399,,,,,,,,,,37.75,percent of total billed charges,34.64117971,,,,,,,,,,37.75,percent of total billed charges,35.53254819,,,,,,,,,,37.75,percent of total billed charges,999999999,,,,,,,,,,37.75,percent of total billed charges,30.48942855,,,,,,,,,,37.75,percent of total billed charges,48.08393136,,,,,,,,,,37.75,percent of total billed charges,999999999,,,,,,,,,,37.75,percent of total billed charges,32.8750607,,,,,,,,,,135.9,percent of total billed charges,,,,,
**E-LORATADINE (CLARITIN) 10MG 30'S BOX,259,RC,0057-3262-30,NDC,,both,1,EA,17,17,3.619027059,17,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,17,percent of total billed charges,999999999,,,,17,percent of total billed charges,12.9528316,,,,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.002,percent of total billed charges,11.91093756,,,,12.002,percent of total billed charges,8.214879231,,,,,,,,,,12.24,percent of total billed charges,7.955711967,,,,,,,,,,12.24,percent of total billed charges,999999999,,,,,,,,,,13.6,percent of total billed charges,11.39609305,,,,13.43,percent of total billed charges,12.96052796,,,,13.43,percent of total billed charges,11.45105547,,,,13.6,percent of total billed charges,999999999,,,,13.6,percent of total billed charges,999999999,,,,11.9,percent of total billed charges,999999999,,,,11.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.044,percent of total billed charges,999999999,,,,,,,,,,,,,,,,8.585,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4.25,percent of total billed charges,4.036460412,,,,,,,,,,4.25,percent of total billed charges,3.96931664,,,,,,,,,,4.25,percent of total billed charges,3.958286079,,,,,,,,,,4.25,percent of total billed charges,3.900000364,,,,,,,,,,4.25,percent of total billed charges,4.000353107,,,,,,,,,,4.25,percent of total billed charges,999999999,,,,,,,,,,4.25,percent of total billed charges,3.432584671,,,,,,,,,,4.25,percent of total billed charges,5.413422736,,,,,,,,,,4.25,percent of total billed charges,999999999,,,,,,,,,,4.25,percent of total billed charges,3.701165774,,,,,,,,,,15.3,percent of total billed charges,,,,,
**VALCYTE (VALGANCYCLOVIR) 450 MG TABL,259,RC,0000-4003-22,NDC,,both,1,EA,90,90,19.15955502,90,90,percent of total billed charges,66.21619731,,,,90,percent of total billed charges,70.1878599,,,,90,percent of total billed charges,66.21619731,,,,90,percent of total billed charges,70.1878599,,,,90,percent of total billed charges,999999999,,,,90,percent of total billed charges,68.57381434,,,,90,percent of total billed charges,66.21619731,,,,90,percent of total billed charges,70.1878599,,,,64.17,percent of total billed charges,32.02200431,,,,64.17,percent of total billed charges,19.15955502,,,,64.17,percent of total billed charges,32.02200431,,,,64.17,percent of total billed charges,19.15955502,,,,64.17,percent of total billed charges,32.02200431,,,,64.17,percent of total billed charges,19.15955502,,,,63.54,percent of total billed charges,63.05790475,,,,63.54,percent of total billed charges,43.4905371,,,,,,,,,,64.8,percent of total billed charges,42.11847512,,,,,,,,,,64.8,percent of total billed charges,999999999,,,,,,,,,,72,percent of total billed charges,60.33225731,,,,71.1,percent of total billed charges,68.61455978,,,,71.1,percent of total billed charges,60.62323481,,,,72,percent of total billed charges,999999999,,,,72,percent of total billed charges,999999999,,,,63,percent of total billed charges,999999999,,,,63,percent of total billed charges,999999999,,,,,,,,,,,,,,,,47.88,percent of total billed charges,999999999,,,,,,,,,,,,,,,,45.45,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,22.5,percent of total billed charges,21.3694963,,,,,,,,,,22.5,percent of total billed charges,21.01402927,,,,,,,,,,22.5,percent of total billed charges,20.95563218,,,,,,,,,,22.5,percent of total billed charges,20.64706075,,,,,,,,,,22.5,percent of total billed charges,21.17833998,,,,,,,,,,22.5,percent of total billed charges,999999999,,,,,,,,,,22.5,percent of total billed charges,18.17250708,,,,,,,,,,22.5,percent of total billed charges,28.65929684,,,,,,,,,,22.5,percent of total billed charges,999999999,,,,,,,,,,22.5,percent of total billed charges,19.59440704,,,,,,,,,,81,percent of total billed charges,,,,,
**VYTORIN 10/20 TABLET,259,RC,6658-2031-31,NDC,,both,1,EA,12,12,2.554607335,12,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,12,percent of total billed charges,999999999,,,,12,percent of total billed charges,9.143175245,,,,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.472,percent of total billed charges,8.407720633,,,,8.472,percent of total billed charges,5.79873828,,,,,,,,,,8.64,percent of total billed charges,5.615796683,,,,,,,,,,8.64,percent of total billed charges,999999999,,,,,,,,,,9.6,percent of total billed charges,8.044300975,,,,9.48,percent of total billed charges,9.148607971,,,,9.48,percent of total billed charges,8.083097975,,,,9.6,percent of total billed charges,999999999,,,,9.6,percent of total billed charges,999999999,,,,8.4,percent of total billed charges,999999999,,,,8.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.384,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.06,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3,percent of total billed charges,2.849266173,,,,,,,,,,3,percent of total billed charges,2.801870569,,,,,,,,,,3,percent of total billed charges,2.794084291,,,,,,,,,,3,percent of total billed charges,2.752941434,,,,,,,,,,3,percent of total billed charges,2.823778664,,,,,,,,,,3,percent of total billed charges,999999999,,,,,,,,,,3,percent of total billed charges,2.423000944,,,,,,,,,,3,percent of total billed charges,3.821239578,,,,,,,,,,3,percent of total billed charges,999999999,,,,,,,,,,3,percent of total billed charges,2.612587605,,,,,,,,,,10.8,percent of total billed charges,,,,,
**NICOTINE POLACRILEX (NICORETTE) 4 MG,259,RC,0090-4573-51,NDC,,both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**PINDOLOL 5MG TAB (VISKEN),259,RC,0037-8005-01,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
**E-ACETAMINOPHEN 500MG CAPLET 100CT,259,RC,6210-7005-01,NDC,,both,1,EA,9,9,1.915955502,9,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,9,percent of total billed charges,999999999,,,,9,percent of total billed charges,6.857381434,,,,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.354,percent of total billed charges,6.305790475,,,,6.354,percent of total billed charges,4.34905371,,,,,,,,,,6.48,percent of total billed charges,4.211847512,,,,,,,,,,6.48,percent of total billed charges,999999999,,,,,,,,,,7.2,percent of total billed charges,6.033225731,,,,7.11,percent of total billed charges,6.861455978,,,,7.11,percent of total billed charges,6.062323481,,,,7.2,percent of total billed charges,999999999,,,,7.2,percent of total billed charges,999999999,,,,6.3,percent of total billed charges,999999999,,,,6.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.788,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.545,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.25,percent of total billed charges,2.13694963,,,,,,,,,,2.25,percent of total billed charges,2.101402927,,,,,,,,,,2.25,percent of total billed charges,2.095563218,,,,,,,,,,2.25,percent of total billed charges,2.064706075,,,,,,,,,,2.25,percent of total billed charges,2.117833998,,,,,,,,,,2.25,percent of total billed charges,999999999,,,,,,,,,,2.25,percent of total billed charges,1.817250708,,,,,,,,,,2.25,percent of total billed charges,2.865929684,,,,,,,,,,2.25,percent of total billed charges,999999999,,,,,,,,,,2.25,percent of total billed charges,1.959440704,,,,,,,,,,8.1,percent of total billed charges,,,,,
**E-SINUTAB SINUS ALLERGY CAPLET,259,RC,9999-9999-99,NDC,,both,1,EA,31,31,6.599402283,31,31,percent of total billed charges,22.8078013,,,,31,percent of total billed charges,24.17581841,,,,31,percent of total billed charges,22.8078013,,,,31,percent of total billed charges,24.17581841,,,,31,percent of total billed charges,999999999,,,,31,percent of total billed charges,23.61986938,,,,31,percent of total billed charges,22.8078013,,,,31,percent of total billed charges,24.17581841,,,,22.103,percent of total billed charges,11.02980149,,,,22.103,percent of total billed charges,6.599402283,,,,22.103,percent of total billed charges,11.02980149,,,,22.103,percent of total billed charges,6.599402283,,,,22.103,percent of total billed charges,11.02980149,,,,22.103,percent of total billed charges,6.599402283,,,,21.886,percent of total billed charges,21.71994497,,,,21.886,percent of total billed charges,14.98007389,,,,,,,,,,22.32,percent of total billed charges,14.50747476,,,,,,,,,,22.32,percent of total billed charges,999999999,,,,,,,,,,24.8,percent of total billed charges,20.78111085,,,,24.49,percent of total billed charges,23.63390393,,,,24.49,percent of total billed charges,20.88133644,,,,24.8,percent of total billed charges,999999999,,,,24.8,percent of total billed charges,999999999,,,,21.7,percent of total billed charges,999999999,,,,21.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,16.492,percent of total billed charges,999999999,,,,,,,,,,,,,,,,15.655,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7.75,percent of total billed charges,7.360604281,,,,,,,,,,7.75,percent of total billed charges,7.238165637,,,,,,,,,,7.75,percent of total billed charges,7.218051084,,,,,,,,,,7.75,percent of total billed charges,7.11176537,,,,,,,,,,7.75,percent of total billed charges,7.294761548,,,,,,,,,,7.75,percent of total billed charges,999999999,,,,,,,,,,7.75,percent of total billed charges,6.259419106,,,,,,,,,,7.75,percent of total billed charges,9.871535577,,,,,,,,,,7.75,percent of total billed charges,999999999,,,,,,,,,,7.75,percent of total billed charges,6.749184647,,,,,,,,,,27.9,percent of total billed charges,,,,,
**LEVOFLOXACIN [LEVAQUIN] TAB:  750 MG,200,RC,5486-8630-00,NDC,,both,1,EA,54,54,11.49573301,54,54,percent of total billed charges,39.72971839,,,,54,percent of total billed charges,42.11271594,,,,54,percent of total billed charges,39.72971839,,,,54,percent of total billed charges,42.11271594,,,,54,percent of total billed charges,999999999,,,,54,percent of total billed charges,41.1442886,,,,54,percent of total billed charges,39.72971839,,,,54,percent of total billed charges,42.11271594,,,,38.502,percent of total billed charges,19.21320259,,,,38.502,percent of total billed charges,11.49573301,,,,38.502,percent of total billed charges,19.21320259,,,,38.502,percent of total billed charges,11.49573301,,,,38.502,percent of total billed charges,19.21320259,,,,38.502,percent of total billed charges,11.49573301,,,,38.124,percent of total billed charges,37.83474285,,,,38.124,percent of total billed charges,26.09432226,,,,,,,,,,38.88,percent of total billed charges,25.27108507,,,,,,,,,,38.88,percent of total billed charges,999999999,,,,,,,,,,43.2,percent of total billed charges,36.19935439,,,,42.66,percent of total billed charges,41.16873587,,,,42.66,percent of total billed charges,36.37394089,,,,43.2,percent of total billed charges,999999999,,,,43.2,percent of total billed charges,999999999,,,,37.8,percent of total billed charges,999999999,,,,37.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,28.728,percent of total billed charges,999999999,,,,,,,,,,,,,,,,27.27,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13.5,percent of total billed charges,12.82169778,,,,,,,,,,13.5,percent of total billed charges,12.60841756,,,,,,,,,,13.5,percent of total billed charges,12.57337931,,,,,,,,,,13.5,percent of total billed charges,12.38823645,,,,,,,,,,13.5,percent of total billed charges,12.70700399,,,,,,,,,,13.5,percent of total billed charges,999999999,,,,,,,,,,13.5,percent of total billed charges,10.90350425,,,,,,,,,,13.5,percent of total billed charges,17.1955781,,,,,,,,,,13.5,percent of total billed charges,999999999,,,,,,,,,,13.5,percent of total billed charges,11.75664422,,,,,,,,,,48.6,percent of total billed charges,,,,,
**SODIUM CHLORIDE 0.9%: 1000ML + KCL 10M,Local,Local,,,,both,,,88,88,18.73378713,88,88,percent of total billed charges,64.74472626,,,,88,percent of total billed charges,68.62812968,,,,88,percent of total billed charges,64.74472626,,,,88,percent of total billed charges,68.62812968,,,,88,percent of total billed charges,999999999,,,,88,percent of total billed charges,67.0499518,,,,88,percent of total billed charges,64.74472626,,,,88,percent of total billed charges,68.62812968,,,,62.744,percent of total billed charges,31.31040422,,,,62.744,percent of total billed charges,18.73378713,,,,62.744,percent of total billed charges,31.31040422,,,,62.744,percent of total billed charges,18.73378713,,,,62.744,percent of total billed charges,31.31040422,,,,62.744,percent of total billed charges,18.73378713,,,,62.128,percent of total billed charges,61.65661797,,,,62.128,percent of total billed charges,42.52408072,,,,,,,,,,63.36,percent of total billed charges,41.18250901,,,,,,,,,,63.36,percent of total billed charges,999999999,,,,,,,,,,70.4,percent of total billed charges,58.99154048,,,,69.52,percent of total billed charges,67.08979179,,,,69.52,percent of total billed charges,59.27605182,,,,70.4,percent of total billed charges,999999999,,,,70.4,percent of total billed charges,999999999,,,,61.6,percent of total billed charges,999999999,,,,61.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,46.816,percent of total billed charges,999999999,,,,,,,,,,,,,,,,44.44,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,22,percent of total billed charges,20.8946186,,,,,,,,,,22,percent of total billed charges,20.54705084,,,,,,,,,,22,percent of total billed charges,20.48995147,,,,,,,,,,22,percent of total billed charges,20.18823718,,,,,,,,,,22,percent of total billed charges,20.7077102,,,,,,,,,,22,percent of total billed charges,999999999,,,,,,,,,,22,percent of total billed charges,17.76867359,,,,,,,,,,22,percent of total billed charges,28.02242357,,,,,,,,,,22,percent of total billed charges,999999999,,,,,,,,,,22,percent of total billed charges,19.15897577,,,,,,,,,,79.2,percent of total billed charges,,,,,
**NACL 0.9% WITH KCL 30MEQ: LITER,Local,Local,,,,both,,,88,88,18.73378713,88,88,percent of total billed charges,64.74472626,,,,88,percent of total billed charges,68.62812968,,,,88,percent of total billed charges,64.74472626,,,,88,percent of total billed charges,68.62812968,,,,88,percent of total billed charges,999999999,,,,88,percent of total billed charges,67.0499518,,,,88,percent of total billed charges,64.74472626,,,,88,percent of total billed charges,68.62812968,,,,62.744,percent of total billed charges,31.31040422,,,,62.744,percent of total billed charges,18.73378713,,,,62.744,percent of total billed charges,31.31040422,,,,62.744,percent of total billed charges,18.73378713,,,,62.744,percent of total billed charges,31.31040422,,,,62.744,percent of total billed charges,18.73378713,,,,62.128,percent of total billed charges,61.65661797,,,,62.128,percent of total billed charges,42.52408072,,,,,,,,,,63.36,percent of total billed charges,41.18250901,,,,,,,,,,63.36,percent of total billed charges,999999999,,,,,,,,,,70.4,percent of total billed charges,58.99154048,,,,69.52,percent of total billed charges,67.08979179,,,,69.52,percent of total billed charges,59.27605182,,,,70.4,percent of total billed charges,999999999,,,,70.4,percent of total billed charges,999999999,,,,61.6,percent of total billed charges,999999999,,,,61.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,46.816,percent of total billed charges,999999999,,,,,,,,,,,,,,,,44.44,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,22,percent of total billed charges,20.8946186,,,,,,,,,,22,percent of total billed charges,20.54705084,,,,,,,,,,22,percent of total billed charges,20.48995147,,,,,,,,,,22,percent of total billed charges,20.18823718,,,,,,,,,,22,percent of total billed charges,20.7077102,,,,,,,,,,22,percent of total billed charges,999999999,,,,,,,,,,22,percent of total billed charges,17.76867359,,,,,,,,,,22,percent of total billed charges,28.02242357,,,,,,,,,,22,percent of total billed charges,999999999,,,,,,,,,,22,percent of total billed charges,19.15897577,,,,,,,,,,79.2,percent of total billed charges,,,,,
**D5/NS (D5W 0.9%NACL) W/10 MEQ KCL 1000,Local,Local,,,,both,,,51,51,10.85708118,51,51,percent of total billed charges,37.52251181,,,,51,percent of total billed charges,39.77312061,,,,51,percent of total billed charges,37.52251181,,,,51,percent of total billed charges,39.77312061,,,,51,percent of total billed charges,999999999,,,,51,percent of total billed charges,38.85849479,,,,51,percent of total billed charges,37.52251181,,,,51,percent of total billed charges,39.77312061,,,,36.363,percent of total billed charges,18.14580244,,,,36.363,percent of total billed charges,10.85708118,,,,36.363,percent of total billed charges,18.14580244,,,,36.363,percent of total billed charges,10.85708118,,,,36.363,percent of total billed charges,18.14580244,,,,36.363,percent of total billed charges,10.85708118,,,,36.006,percent of total billed charges,35.73281269,,,,36.006,percent of total billed charges,24.64463769,,,,,,,,,,36.72,percent of total billed charges,23.8671359,,,,,,,,,,36.72,percent of total billed charges,999999999,,,,,,,,,,40.8,percent of total billed charges,34.18827914,,,,40.29,percent of total billed charges,38.88158388,,,,40.29,percent of total billed charges,34.3531664,,,,40.8,percent of total billed charges,999999999,,,,40.8,percent of total billed charges,999999999,,,,35.7,percent of total billed charges,999999999,,,,35.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,27.132,percent of total billed charges,999999999,,,,,,,,,,,,,,,,25.755,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12.75,percent of total billed charges,12.10938124,,,,,,,,,,12.75,percent of total billed charges,11.90794992,,,,,,,,,,12.75,percent of total billed charges,11.87485824,,,,,,,,,,12.75,percent of total billed charges,11.70000109,,,,,,,,,,12.75,percent of total billed charges,12.00105932,,,,,,,,,,12.75,percent of total billed charges,999999999,,,,,,,,,,12.75,percent of total billed charges,10.29775401,,,,,,,,,,12.75,percent of total billed charges,16.24026821,,,,,,,,,,12.75,percent of total billed charges,999999999,,,,,,,,,,12.75,percent of total billed charges,11.10349732,,,,,,,,,,45.9,percent of total billed charges,,,,,
**D5W/0.9%NS W/30MEQ KCL 1000ML,Local,Local,,,,both,,,51,51,10.85708118,51,51,percent of total billed charges,37.52251181,,,,51,percent of total billed charges,39.77312061,,,,51,percent of total billed charges,37.52251181,,,,51,percent of total billed charges,39.77312061,,,,51,percent of total billed charges,999999999,,,,51,percent of total billed charges,38.85849479,,,,51,percent of total billed charges,37.52251181,,,,51,percent of total billed charges,39.77312061,,,,36.363,percent of total billed charges,18.14580244,,,,36.363,percent of total billed charges,10.85708118,,,,36.363,percent of total billed charges,18.14580244,,,,36.363,percent of total billed charges,10.85708118,,,,36.363,percent of total billed charges,18.14580244,,,,36.363,percent of total billed charges,10.85708118,,,,36.006,percent of total billed charges,35.73281269,,,,36.006,percent of total billed charges,24.64463769,,,,,,,,,,36.72,percent of total billed charges,23.8671359,,,,,,,,,,36.72,percent of total billed charges,999999999,,,,,,,,,,40.8,percent of total billed charges,34.18827914,,,,40.29,percent of total billed charges,38.88158388,,,,40.29,percent of total billed charges,34.3531664,,,,40.8,percent of total billed charges,999999999,,,,40.8,percent of total billed charges,999999999,,,,35.7,percent of total billed charges,999999999,,,,35.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,27.132,percent of total billed charges,999999999,,,,,,,,,,,,,,,,25.755,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12.75,percent of total billed charges,12.10938124,,,,,,,,,,12.75,percent of total billed charges,11.90794992,,,,,,,,,,12.75,percent of total billed charges,11.87485824,,,,,,,,,,12.75,percent of total billed charges,11.70000109,,,,,,,,,,12.75,percent of total billed charges,12.00105932,,,,,,,,,,12.75,percent of total billed charges,999999999,,,,,,,,,,12.75,percent of total billed charges,10.29775401,,,,,,,,,,12.75,percent of total billed charges,16.24026821,,,,,,,,,,12.75,percent of total billed charges,999999999,,,,,,,,,,12.75,percent of total billed charges,11.10349732,,,,,,,,,,45.9,percent of total billed charges,,,,,
**DEXTROSE 5% IN 0.9% NACL: + KCL 40MEQ,258,RC,0040-9710-09,NDC,,both,1,EA,40,40,8.515357785,40,40,percent of total billed charges,29.42942103,,,,40,percent of total billed charges,31.1946044,,,,40,percent of total billed charges,29.42942103,,,,40,percent of total billed charges,31.1946044,,,,40,percent of total billed charges,999999999,,,,40,percent of total billed charges,30.47725082,,,,40,percent of total billed charges,29.42942103,,,,40,percent of total billed charges,31.1946044,,,,28.52,percent of total billed charges,14.23200192,,,,28.52,percent of total billed charges,8.515357785,,,,28.52,percent of total billed charges,14.23200192,,,,28.52,percent of total billed charges,8.515357785,,,,28.52,percent of total billed charges,14.23200192,,,,28.52,percent of total billed charges,8.515357785,,,,28.24,percent of total billed charges,28.02573544,,,,28.24,percent of total billed charges,19.3291276,,,,,,,,,,28.8,percent of total billed charges,18.71932228,,,,,,,,,,28.8,percent of total billed charges,999999999,,,,,,,,,,32,percent of total billed charges,26.81433658,,,,31.6,percent of total billed charges,30.4953599,,,,31.6,percent of total billed charges,26.94365992,,,,32,percent of total billed charges,999999999,,,,32,percent of total billed charges,999999999,,,,28,percent of total billed charges,999999999,,,,28,percent of total billed charges,999999999,,,,,,,,,,,,,,,,21.28,percent of total billed charges,999999999,,,,,,,,,,,,,,,,20.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10,percent of total billed charges,9.497553911,,,,,,,,,,10,percent of total billed charges,9.339568564,,,,,,,,,,10,percent of total billed charges,9.313614303,,,,,,,,,,10,percent of total billed charges,9.176471445,,,,,,,,,,10,percent of total billed charges,9.412595546,,,,,,,,,,10,percent of total billed charges,999999999,,,,,,,,,,10,percent of total billed charges,8.076669814,,,,,,,,,,10,percent of total billed charges,12.73746526,,,,,,,,,,10,percent of total billed charges,999999999,,,,,,,,,,10,percent of total billed charges,8.708625351,,,,,,,,,,36,percent of total billed charges,,,,,
**CEFOTETAN (CEFOTAN) 2 GM: VIAL,258,RC,0031-0037-31,NDC,,both,1,EA,69,69,14.68899218,69,69,percent of total billed charges,50.76575127,,,,69,percent of total billed charges,53.81069259,,,,69,percent of total billed charges,50.76575127,,,,69,percent of total billed charges,53.81069259,,,,69,percent of total billed charges,999999999,,,,69,percent of total billed charges,52.57325766,,,,69,percent of total billed charges,50.76575127,,,,69,percent of total billed charges,53.81069259,,,,49.197,percent of total billed charges,24.55020331,,,,49.197,percent of total billed charges,14.68899218,,,,49.197,percent of total billed charges,24.55020331,,,,49.197,percent of total billed charges,14.68899218,,,,49.197,percent of total billed charges,24.55020331,,,,49.197,percent of total billed charges,14.68899218,,,,48.714,percent of total billed charges,48.34439364,,,,48.714,percent of total billed charges,33.34274511,,,,,,,,,,49.68,percent of total billed charges,32.29083092,,,,,,,,,,49.68,percent of total billed charges,999999999,,,,,,,,,,55.2,percent of total billed charges,46.25473061,,,,54.51,percent of total billed charges,52.60449583,,,,54.51,percent of total billed charges,46.47781336,,,,55.2,percent of total billed charges,999999999,,,,55.2,percent of total billed charges,999999999,,,,48.3,percent of total billed charges,999999999,,,,48.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,36.708,percent of total billed charges,999999999,,,,,,,,,,,,,,,,34.845,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17.25,percent of total billed charges,16.3832805,,,,,,,,,,17.25,percent of total billed charges,16.11075577,,,,,,,,,,17.25,percent of total billed charges,16.06598467,,,,,,,,,,17.25,percent of total billed charges,15.82941324,,,,,,,,,,17.25,percent of total billed charges,16.23672732,,,,,,,,,,17.25,percent of total billed charges,999999999,,,,,,,,,,17.25,percent of total billed charges,13.93225543,,,,,,,,,,17.25,percent of total billed charges,21.97212757,,,,,,,,,,17.25,percent of total billed charges,999999999,,,,,,,,,,17.25,percent of total billed charges,15.02237873,,,,,,,,,,62.1,percent of total billed charges,,,,,
**METHYLPHENIDATE (RITALIN) 20 MG TABL,259,RC,0078-1884-01,NDC,,both,1,EA,7,7,1.490187612,7,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,7,percent of total billed charges,999999999,,,,7,percent of total billed charges,5.333518893,,,,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.942,percent of total billed charges,4.904503703,,,,4.942,percent of total billed charges,3.38259733,,,,,,,,,,5.04,percent of total billed charges,3.275881398,,,,,,,,,,5.04,percent of total billed charges,999999999,,,,,,,,,,5.6,percent of total billed charges,4.692508902,,,,5.53,percent of total billed charges,5.336687983,,,,5.53,percent of total billed charges,4.715140486,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,4.9,percent of total billed charges,999999999,,,,4.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.724,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.535,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.75,percent of total billed charges,1.662071934,,,,,,,,,,1.75,percent of total billed charges,1.634424499,,,,,,,,,,1.75,percent of total billed charges,1.629882503,,,,,,,,,,1.75,percent of total billed charges,1.605882503,,,,,,,,,,1.75,percent of total billed charges,1.647204221,,,,,,,,,,1.75,percent of total billed charges,999999999,,,,,,,,,,1.75,percent of total billed charges,1.413417217,,,,,,,,,,1.75,percent of total billed charges,2.229056421,,,,,,,,,,1.75,percent of total billed charges,999999999,,,,,,,,,,1.75,percent of total billed charges,1.524009436,,,,,,,,,,6.3,percent of total billed charges,,,,,
**NATRECOR DRIP [NESIRITIDE],J2325,CDM,6584-7020-25,NDC,,both,1,EA,7145,7145,1521.055784,7145,7145,percent of total billed charges,5256.830331,,,,7145,percent of total billed charges,5572.136211,,,,7145,percent of total billed charges,5256.830331,,,,7145,percent of total billed charges,5572.136211,,,,7145,percent of total billed charges,999999999,,,,7145,percent of total billed charges,5443.998927,,,,7145,percent of total billed charges,5256.830331,,,,7145,percent of total billed charges,5572.136211,,,,5094.385,percent of total billed charges,2542.191342,,,,5094.385,percent of total billed charges,1521.055784,,,,5094.385,percent of total billed charges,2542.191342,,,,5094.385,percent of total billed charges,1521.055784,,,,5094.385,percent of total billed charges,2542.191342,,,,5094.385,percent of total billed charges,1521.055784,,,,5044.37,percent of total billed charges,5006.096993,,,,5044.37,percent of total billed charges,3452.665418,,,,,,,,,,5144.4,percent of total billed charges,3343.738941,,,,,,,,,,5144.4,percent of total billed charges,999999999,,,,,,,,,,5716,percent of total billed charges,4789.710872,,,,5644.55,percent of total billed charges,5447.233663,,,,5644.55,percent of total billed charges,4812.811253,,,,5716,percent of total billed charges,999999999,,,,5716,percent of total billed charges,999999999,,,,5001.5,percent of total billed charges,999999999,,,,5001.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3801.14,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3608.225,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1786.25,percent of total billed charges,1696.500567,,,,,,,,,,1786.25,percent of total billed charges,1668.280435,,,,,,,,,,1786.25,percent of total billed charges,1663.644355,,,,,,,,,,1786.25,percent of total billed charges,1639.147212,,,,,,,,,,1786.25,percent of total billed charges,1681.324879,,,,,,,,,,1786.25,percent of total billed charges,999999999,,,,,,,,,,1786.25,percent of total billed charges,1442.695145,,,,,,,,,,1786.25,percent of total billed charges,2275.229732,,,,,,,,,,1786.25,percent of total billed charges,999999999,,,,,,,,,,1786.25,percent of total billed charges,1555.578203,,,,,,,,,,6430.5,percent of total billed charges,,,,,
**ZOSYN 3.375 GM IVPB: PREDEFINED,J2543,CDM,,,,both,,,16,16,3.406143114,16,16,percent of total billed charges,11.77176841,,,,16,percent of total billed charges,12.47784176,,,,16,percent of total billed charges,11.77176841,,,,16,percent of total billed charges,12.47784176,,,,16,percent of total billed charges,999999999,,,,16,percent of total billed charges,12.19090033,,,,16,percent of total billed charges,11.77176841,,,,16,percent of total billed charges,12.47784176,,,,11.408,percent of total billed charges,5.692800767,,,,11.408,percent of total billed charges,3.406143114,,,,11.408,percent of total billed charges,5.692800767,,,,11.408,percent of total billed charges,3.406143114,,,,11.408,percent of total billed charges,5.692800767,,,,11.408,percent of total billed charges,3.406143114,,,,11.296,percent of total billed charges,11.21029418,,,,11.296,percent of total billed charges,7.731651041,,,,,,,,,,11.52,percent of total billed charges,7.48772891,,,,,,,,,,11.52,percent of total billed charges,999999999,,,,,,,,,,12.8,percent of total billed charges,10.72573463,,,,12.64,percent of total billed charges,12.19814396,,,,12.64,percent of total billed charges,10.77746397,,,,12.8,percent of total billed charges,999999999,,,,12.8,percent of total billed charges,999999999,,,,11.2,percent of total billed charges,999999999,,,,11.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,8.512,percent of total billed charges,999999999,,,,,,,,,,,,,,,,8.08,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4,percent of total billed charges,3.799021564,,,,,,,,,,4,percent of total billed charges,3.735827425,,,,,,,,,,4,percent of total billed charges,3.725445721,,,,,,,,,,4,percent of total billed charges,3.670588578,,,,,,,,,,4,percent of total billed charges,3.765038218,,,,,,,,,,4,percent of total billed charges,999999999,,,,,,,,,,4,percent of total billed charges,3.230667926,,,,,,,,,,4,percent of total billed charges,5.094986104,,,,,,,,,,4,percent of total billed charges,999999999,,,,,,,,,,4,percent of total billed charges,3.48345014,,,,,,,,,,14.4,percent of total billed charges,,,,,
**RIVASTIGMINE (EXELON) 6 MG CAPSULE,259,RC,0007-8032-44,NDC,,both,1,EA,21,21,4.470562837,21,21,percent of total billed charges,15.45044604,,,,21,percent of total billed charges,16.37716731,,,,21,percent of total billed charges,15.45044604,,,,21,percent of total billed charges,16.37716731,,,,21,percent of total billed charges,999999999,,,,21,percent of total billed charges,16.00055668,,,,21,percent of total billed charges,15.45044604,,,,21,percent of total billed charges,16.37716731,,,,14.973,percent of total billed charges,7.471801006,,,,14.973,percent of total billed charges,4.470562837,,,,14.973,percent of total billed charges,7.471801006,,,,14.973,percent of total billed charges,4.470562837,,,,14.973,percent of total billed charges,7.471801006,,,,14.973,percent of total billed charges,4.470562837,,,,14.826,percent of total billed charges,14.71351111,,,,14.826,percent of total billed charges,10.14779199,,,,,,,,,,15.12,percent of total billed charges,9.827644194,,,,,,,,,,15.12,percent of total billed charges,999999999,,,,,,,,,,16.8,percent of total billed charges,14.07752671,,,,16.59,percent of total billed charges,16.01006395,,,,16.59,percent of total billed charges,14.14542146,,,,16.8,percent of total billed charges,999999999,,,,16.8,percent of total billed charges,999999999,,,,14.7,percent of total billed charges,999999999,,,,14.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,11.172,percent of total billed charges,999999999,,,,,,,,,,,,,,,,10.605,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5.25,percent of total billed charges,4.986215803,,,,,,,,,,5.25,percent of total billed charges,4.903273496,,,,,,,,,,5.25,percent of total billed charges,4.889647509,,,,,,,,,,5.25,percent of total billed charges,4.817647509,,,,,,,,,,5.25,percent of total billed charges,4.941612662,,,,,,,,,,5.25,percent of total billed charges,999999999,,,,,,,,,,5.25,percent of total billed charges,4.240251652,,,,,,,,,,5.25,percent of total billed charges,6.687169262,,,,,,,,,,5.25,percent of total billed charges,999999999,,,,,,,,,,5.25,percent of total billed charges,4.572028309,,,,,,,,,,18.9,percent of total billed charges,,,,,
**DULOXETINE (CYMBALTA) 60 MG CAP,259,RC,0000-2323-33,NDC,,both,1,EA,13,13,2.76749128,13,13,percent of total billed charges,9.564561834,,,,13,percent of total billed charges,10.13824643,,,,13,percent of total billed charges,9.564561834,,,,13,percent of total billed charges,10.13824643,,,,13,percent of total billed charges,999999999,,,,13,percent of total billed charges,9.905106516,,,,13,percent of total billed charges,9.564561834,,,,13,percent of total billed charges,10.13824643,,,,9.269,percent of total billed charges,4.625400623,,,,9.269,percent of total billed charges,2.76749128,,,,9.269,percent of total billed charges,4.625400623,,,,9.269,percent of total billed charges,2.76749128,,,,9.269,percent of total billed charges,4.625400623,,,,9.269,percent of total billed charges,2.76749128,,,,9.178,percent of total billed charges,9.108364019,,,,9.178,percent of total billed charges,6.281966471,,,,,,,,,,9.36,percent of total billed charges,6.083779739,,,,,,,,,,9.36,percent of total billed charges,999999999,,,,,,,,,,10.4,percent of total billed charges,8.71465939,,,,10.27,percent of total billed charges,9.910991969,,,,10.27,percent of total billed charges,8.756689473,,,,10.4,percent of total billed charges,999999999,,,,10.4,percent of total billed charges,999999999,,,,9.1,percent of total billed charges,999999999,,,,9.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.916,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.565,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3.25,percent of total billed charges,3.086705021,,,,,,,,,,3.25,percent of total billed charges,3.035359783,,,,,,,,,,3.25,percent of total billed charges,3.026924648,,,,,,,,,,3.25,percent of total billed charges,2.98235322,,,,,,,,,,3.25,percent of total billed charges,3.059093552,,,,,,,,,,3.25,percent of total billed charges,999999999,,,,,,,,,,3.25,percent of total billed charges,2.624917689,,,,,,,,,,3.25,percent of total billed charges,4.13967621,,,,,,,,,,3.25,percent of total billed charges,999999999,,,,,,,,,,3.25,percent of total billed charges,2.830303239,,,,,,,,,,11.7,percent of total billed charges,,,,,
**PRAMIPEXOLE (MIRAPEX) 0.25 MG TABLET,259,RC,6332-3016-01,NDC,,both,1,EA,19,19,4.044794948,19,19,percent of total billed charges,13.97897499,,,,19,percent of total billed charges,14.81743709,,,,19,percent of total billed charges,13.97897499,,,,19,percent of total billed charges,14.81743709,,,,19,percent of total billed charges,999999999,,,,19,percent of total billed charges,14.47669414,,,,19,percent of total billed charges,13.97897499,,,,19,percent of total billed charges,14.81743709,,,,13.547,percent of total billed charges,6.760200911,,,,13.547,percent of total billed charges,4.044794948,,,,13.547,percent of total billed charges,6.760200911,,,,13.547,percent of total billed charges,4.044794948,,,,13.547,percent of total billed charges,6.760200911,,,,13.547,percent of total billed charges,4.044794948,,,,13.414,percent of total billed charges,13.31222434,,,,13.414,percent of total billed charges,9.181335611,,,,,,,,,,13.68,percent of total billed charges,8.891678081,,,,,,,,,,13.68,percent of total billed charges,999999999,,,,,,,,,,15.2,percent of total billed charges,12.73680988,,,,15.01,percent of total billed charges,14.48529595,,,,15.01,percent of total billed charges,12.79823846,,,,15.2,percent of total billed charges,999999999,,,,15.2,percent of total billed charges,999999999,,,,13.3,percent of total billed charges,999999999,,,,13.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,10.108,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.595,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4.75,percent of total billed charges,4.511338108,,,,,,,,,,4.75,percent of total billed charges,4.436295068,,,,,,,,,,4.75,percent of total billed charges,4.423966794,,,,,,,,,,4.75,percent of total billed charges,4.358823937,,,,,,,,,,4.75,percent of total billed charges,4.470982884,,,,,,,,,,4.75,percent of total billed charges,999999999,,,,,,,,,,4.75,percent of total billed charges,3.836418162,,,,,,,,,,4.75,percent of total billed charges,6.050295999,,,,,,,,,,4.75,percent of total billed charges,999999999,,,,,,,,,,4.75,percent of total billed charges,4.136597042,,,,,,,,,,17.1,percent of total billed charges,,,,,
**LEUCOVORIN 5 MG TABLET,259,RC,0055-5048-01,NDC,,both,1,EA,10,10,2.128839446,10,10,percent of total billed charges,7.357355257,,,,10,percent of total billed charges,7.7986511,,,,10,percent of total billed charges,7.357355257,,,,10,percent of total billed charges,7.7986511,,,,10,percent of total billed charges,999999999,,,,10,percent of total billed charges,7.619312704,,,,10,percent of total billed charges,7.357355257,,,,10,percent of total billed charges,7.7986511,,,,7.13,percent of total billed charges,3.558000479,,,,7.13,percent of total billed charges,2.128839446,,,,7.13,percent of total billed charges,3.558000479,,,,7.13,percent of total billed charges,2.128839446,,,,7.13,percent of total billed charges,3.558000479,,,,7.13,percent of total billed charges,2.128839446,,,,7.06,percent of total billed charges,7.006433861,,,,7.06,percent of total billed charges,4.8322819,,,,,,,,,,7.2,percent of total billed charges,4.679830569,,,,,,,,,,7.2,percent of total billed charges,999999999,,,,,,,,,,8,percent of total billed charges,6.703584146,,,,7.9,percent of total billed charges,7.623839976,,,,7.9,percent of total billed charges,6.735914979,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,999999999,,,,7,percent of total billed charges,999999999,,,,7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.32,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.05,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.5,percent of total billed charges,2.374388478,,,,,,,,,,2.5,percent of total billed charges,2.334892141,,,,,,,,,,2.5,percent of total billed charges,2.328403576,,,,,,,,,,2.5,percent of total billed charges,2.294117861,,,,,,,,,,2.5,percent of total billed charges,2.353148886,,,,,,,,,,2.5,percent of total billed charges,999999999,,,,,,,,,,2.5,percent of total billed charges,2.019167453,,,,,,,,,,2.5,percent of total billed charges,3.184366315,,,,,,,,,,2.5,percent of total billed charges,999999999,,,,,,,,,,2.5,percent of total billed charges,2.177156338,,,,,,,,,,9,percent of total billed charges,,,,,
**OXYBUTYNIN (DITROPAN) X.L 10MG: TAB,259,RC,5045-8081-01,NDC,,both,1,EA,12,12,2.554607335,12,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,12,percent of total billed charges,999999999,,,,12,percent of total billed charges,9.143175245,,,,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.472,percent of total billed charges,8.407720633,,,,8.472,percent of total billed charges,5.79873828,,,,,,,,,,8.64,percent of total billed charges,5.615796683,,,,,,,,,,8.64,percent of total billed charges,999999999,,,,,,,,,,9.6,percent of total billed charges,8.044300975,,,,9.48,percent of total billed charges,9.148607971,,,,9.48,percent of total billed charges,8.083097975,,,,9.6,percent of total billed charges,999999999,,,,9.6,percent of total billed charges,999999999,,,,8.4,percent of total billed charges,999999999,,,,8.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.384,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.06,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3,percent of total billed charges,2.849266173,,,,,,,,,,3,percent of total billed charges,2.801870569,,,,,,,,,,3,percent of total billed charges,2.794084291,,,,,,,,,,3,percent of total billed charges,2.752941434,,,,,,,,,,3,percent of total billed charges,2.823778664,,,,,,,,,,3,percent of total billed charges,999999999,,,,,,,,,,3,percent of total billed charges,2.423000944,,,,,,,,,,3,percent of total billed charges,3.821239578,,,,,,,,,,3,percent of total billed charges,999999999,,,,,,,,,,3,percent of total billed charges,2.612587605,,,,,,,,,,10.8,percent of total billed charges,,,,,
**E-NICOTINE (NICODERM) 14 MG PATCH #14,259,RC,0006-7512-14,NDC,,both,1,EA,49,49,10.43131329,49,49,percent of total billed charges,36.05104076,,,,49,percent of total billed charges,38.21339039,,,,49,percent of total billed charges,36.05104076,,,,49,percent of total billed charges,38.21339039,,,,49,percent of total billed charges,999999999,,,,49,percent of total billed charges,37.33463225,,,,49,percent of total billed charges,36.05104076,,,,49,percent of total billed charges,38.21339039,,,,34.937,percent of total billed charges,17.43420235,,,,34.937,percent of total billed charges,10.43131329,,,,34.937,percent of total billed charges,17.43420235,,,,34.937,percent of total billed charges,10.43131329,,,,34.937,percent of total billed charges,17.43420235,,,,34.937,percent of total billed charges,10.43131329,,,,34.594,percent of total billed charges,34.33152592,,,,34.594,percent of total billed charges,23.67818131,,,,,,,,,,35.28,percent of total billed charges,22.93116979,,,,,,,,,,35.28,percent of total billed charges,999999999,,,,,,,,,,39.2,percent of total billed charges,32.84756232,,,,38.71,percent of total billed charges,37.35681588,,,,38.71,percent of total billed charges,33.0059834,,,,39.2,percent of total billed charges,999999999,,,,39.2,percent of total billed charges,999999999,,,,34.3,percent of total billed charges,999999999,,,,34.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,26.068,percent of total billed charges,999999999,,,,,,,,,,,,,,,,24.745,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12.25,percent of total billed charges,11.63450354,,,,,,,,,,12.25,percent of total billed charges,11.44097149,,,,,,,,,,12.25,percent of total billed charges,11.40917752,,,,,,,,,,12.25,percent of total billed charges,11.24117752,,,,,,,,,,12.25,percent of total billed charges,11.53042954,,,,,,,,,,12.25,percent of total billed charges,999999999,,,,,,,,,,12.25,percent of total billed charges,9.893920522,,,,,,,,,,12.25,percent of total billed charges,15.60339494,,,,,,,,,,12.25,percent of total billed charges,999999999,,,,,,,,,,12.25,percent of total billed charges,10.66806605,,,,,,,,,,44.1,percent of total billed charges,,,,,
**PROPOXYPHENE HCL (DARVON) 65 MG CAPSU,259,RC,6647-9051-10,NDC,,both,1,EA,7,7,1.490187612,7,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,7,percent of total billed charges,999999999,,,,7,percent of total billed charges,5.333518893,,,,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.942,percent of total billed charges,4.904503703,,,,4.942,percent of total billed charges,3.38259733,,,,,,,,,,5.04,percent of total billed charges,3.275881398,,,,,,,,,,5.04,percent of total billed charges,999999999,,,,,,,,,,5.6,percent of total billed charges,4.692508902,,,,5.53,percent of total billed charges,5.336687983,,,,5.53,percent of total billed charges,4.715140486,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,4.9,percent of total billed charges,999999999,,,,4.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.724,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.535,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.75,percent of total billed charges,1.662071934,,,,,,,,,,1.75,percent of total billed charges,1.634424499,,,,,,,,,,1.75,percent of total billed charges,1.629882503,,,,,,,,,,1.75,percent of total billed charges,1.605882503,,,,,,,,,,1.75,percent of total billed charges,1.647204221,,,,,,,,,,1.75,percent of total billed charges,999999999,,,,,,,,,,1.75,percent of total billed charges,1.413417217,,,,,,,,,,1.75,percent of total billed charges,2.229056421,,,,,,,,,,1.75,percent of total billed charges,999999999,,,,,,,,,,1.75,percent of total billed charges,1.524009436,,,,,,,,,,6.3,percent of total billed charges,,,,,
**INTERFERON ALPHA -2B (INTRON A}18MMU I,250,RC,0008-5116-01,NDC,,both,1,EA,1204,1204,256.3122693,1204,1204,percent of total billed charges,885.825573,,,,1204,percent of total billed charges,938.9575924,,,,1204,percent of total billed charges,885.825573,,,,1204,percent of total billed charges,938.9575924,,,,1204,percent of total billed charges,999999999,,,,1204,percent of total billed charges,917.3652496,,,,1204,percent of total billed charges,885.825573,,,,1204,percent of total billed charges,938.9575924,,,,858.452,percent of total billed charges,428.3832577,,,,858.452,percent of total billed charges,256.3122693,,,,858.452,percent of total billed charges,428.3832577,,,,858.452,percent of total billed charges,256.3122693,,,,858.452,percent of total billed charges,428.3832577,,,,858.452,percent of total billed charges,256.3122693,,,,850.024,percent of total billed charges,843.5746368,,,,850.024,percent of total billed charges,581.8067408,,,,,,,,,,866.88,percent of total billed charges,563.4516005,,,,,,,,,,866.88,percent of total billed charges,999999999,,,,,,,,,,963.2,percent of total billed charges,807.1115312,,,,951.16,percent of total billed charges,917.9103331,,,,951.16,percent of total billed charges,811.0041635,,,,963.2,percent of total billed charges,999999999,,,,963.2,percent of total billed charges,999999999,,,,842.8,percent of total billed charges,999999999,,,,842.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,640.528,percent of total billed charges,999999999,,,,,,,,,,,,,,,,608.02,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,301,percent of total billed charges,285.8763727,,,,,,,,,,301,percent of total billed charges,281.1210138,,,,,,,,,,301,percent of total billed charges,280.3397905,,,,,,,,,,301,percent of total billed charges,276.2117905,,,,,,,,,,301,percent of total billed charges,283.3191259,,,,,,,,,,301,percent of total billed charges,999999999,,,,,,,,,,301,percent of total billed charges,243.1077614,,,,,,,,,,301,percent of total billed charges,383.3977043,,,,,,,,,,301,percent of total billed charges,999999999,,,,,,,,,,301,percent of total billed charges,262.1296231,,,,,,,,,,1083.6,percent of total billed charges,,,,,
**AMIKACIN 500MG IVPB :PREDEFINED,J0278,CDM,,,,both,,,16,16,3.406143114,16,16,percent of total billed charges,11.77176841,,,,16,percent of total billed charges,12.47784176,,,,16,percent of total billed charges,11.77176841,,,,16,percent of total billed charges,12.47784176,,,,16,percent of total billed charges,999999999,,,,16,percent of total billed charges,12.19090033,,,,16,percent of total billed charges,11.77176841,,,,16,percent of total billed charges,12.47784176,,,,11.408,percent of total billed charges,5.692800767,,,,11.408,percent of total billed charges,3.406143114,,,,11.408,percent of total billed charges,5.692800767,,,,11.408,percent of total billed charges,3.406143114,,,,11.408,percent of total billed charges,5.692800767,,,,11.408,percent of total billed charges,3.406143114,,,,11.296,percent of total billed charges,11.21029418,,,,11.296,percent of total billed charges,7.731651041,,,,,,,,,,11.52,percent of total billed charges,7.48772891,,,,,,,,,,11.52,percent of total billed charges,999999999,,,,,,,,,,12.8,percent of total billed charges,10.72573463,,,,12.64,percent of total billed charges,12.19814396,,,,12.64,percent of total billed charges,10.77746397,,,,12.8,percent of total billed charges,999999999,,,,12.8,percent of total billed charges,999999999,,,,11.2,percent of total billed charges,999999999,,,,11.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,8.512,percent of total billed charges,999999999,,,,,,,,,,,,,,,,8.08,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4,percent of total billed charges,3.799021564,,,,,,,,,,4,percent of total billed charges,3.735827425,,,,,,,,,,4,percent of total billed charges,3.725445721,,,,,,,,,,4,percent of total billed charges,3.670588578,,,,,,,,,,4,percent of total billed charges,3.765038218,,,,,,,,,,4,percent of total billed charges,999999999,,,,,,,,,,4,percent of total billed charges,3.230667926,,,,,,,,,,4,percent of total billed charges,5.094986104,,,,,,,,,,4,percent of total billed charges,999999999,,,,,,,,,,4,percent of total billed charges,3.48345014,,,,,,,,,,14.4,percent of total billed charges,,,,,
**BACTERIOSTATIC WATER FOR INJ. 30 ML,250,RC,0040-9397-03,NDC,,both,1,EA,12,12,2.554607335,12,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,12,percent of total billed charges,999999999,,,,12,percent of total billed charges,9.143175245,,,,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.472,percent of total billed charges,8.407720633,,,,8.472,percent of total billed charges,5.79873828,,,,,,,,,,8.64,percent of total billed charges,5.615796683,,,,,,,,,,8.64,percent of total billed charges,999999999,,,,,,,,,,9.6,percent of total billed charges,8.044300975,,,,9.48,percent of total billed charges,9.148607971,,,,9.48,percent of total billed charges,8.083097975,,,,9.6,percent of total billed charges,999999999,,,,9.6,percent of total billed charges,999999999,,,,8.4,percent of total billed charges,999999999,,,,8.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.384,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.06,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3,percent of total billed charges,2.849266173,,,,,,,,,,3,percent of total billed charges,2.801870569,,,,,,,,,,3,percent of total billed charges,2.794084291,,,,,,,,,,3,percent of total billed charges,2.752941434,,,,,,,,,,3,percent of total billed charges,2.823778664,,,,,,,,,,3,percent of total billed charges,999999999,,,,,,,,,,3,percent of total billed charges,2.423000944,,,,,,,,,,3,percent of total billed charges,3.821239578,,,,,,,,,,3,percent of total billed charges,999999999,,,,,,,,,,3,percent of total billed charges,2.612587605,,,,,,,,,,10.8,percent of total billed charges,,,,,
**QUINIDINE GLUCONATE SUST REL 324MG T,259,RC,5348-9014-01,NDC,,both,1,EA,7,7,1.490187612,7,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,7,percent of total billed charges,999999999,,,,7,percent of total billed charges,5.333518893,,,,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.942,percent of total billed charges,4.904503703,,,,4.942,percent of total billed charges,3.38259733,,,,,,,,,,5.04,percent of total billed charges,3.275881398,,,,,,,,,,5.04,percent of total billed charges,999999999,,,,,,,,,,5.6,percent of total billed charges,4.692508902,,,,5.53,percent of total billed charges,5.336687983,,,,5.53,percent of total billed charges,4.715140486,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,4.9,percent of total billed charges,999999999,,,,4.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.724,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.535,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.75,percent of total billed charges,1.662071934,,,,,,,,,,1.75,percent of total billed charges,1.634424499,,,,,,,,,,1.75,percent of total billed charges,1.629882503,,,,,,,,,,1.75,percent of total billed charges,1.605882503,,,,,,,,,,1.75,percent of total billed charges,1.647204221,,,,,,,,,,1.75,percent of total billed charges,999999999,,,,,,,,,,1.75,percent of total billed charges,1.413417217,,,,,,,,,,1.75,percent of total billed charges,2.229056421,,,,,,,,,,1.75,percent of total billed charges,999999999,,,,,,,,,,1.75,percent of total billed charges,1.524009436,,,,,,,,,,6.3,percent of total billed charges,,,,,
**E-ACETAMINOPHEN 650MG ARTHRITIS   150C,259,RC,3004-5083-15,NDC,,both,1,EA,24,24,5.109214671,24,24,percent of total billed charges,17.65765262,,,,24,percent of total billed charges,18.71676264,,,,24,percent of total billed charges,17.65765262,,,,24,percent of total billed charges,18.71676264,,,,24,percent of total billed charges,999999999,,,,24,percent of total billed charges,18.28635049,,,,24,percent of total billed charges,17.65765262,,,,24,percent of total billed charges,18.71676264,,,,17.112,percent of total billed charges,8.53920115,,,,17.112,percent of total billed charges,5.109214671,,,,17.112,percent of total billed charges,8.53920115,,,,17.112,percent of total billed charges,5.109214671,,,,17.112,percent of total billed charges,8.53920115,,,,17.112,percent of total billed charges,5.109214671,,,,16.944,percent of total billed charges,16.81544127,,,,16.944,percent of total billed charges,11.59747656,,,,,,,,,,17.28,percent of total billed charges,11.23159337,,,,,,,,,,17.28,percent of total billed charges,999999999,,,,,,,,,,19.2,percent of total billed charges,16.08860195,,,,18.96,percent of total billed charges,18.29721594,,,,18.96,percent of total billed charges,16.16619595,,,,19.2,percent of total billed charges,999999999,,,,19.2,percent of total billed charges,999999999,,,,16.8,percent of total billed charges,999999999,,,,16.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,12.768,percent of total billed charges,999999999,,,,,,,,,,,,,,,,12.12,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6,percent of total billed charges,5.698532346,,,,,,,,,,6,percent of total billed charges,5.603741138,,,,,,,,,,6,percent of total billed charges,5.588168582,,,,,,,,,,6,percent of total billed charges,5.505882867,,,,,,,,,,6,percent of total billed charges,5.647557328,,,,,,,,,,6,percent of total billed charges,999999999,,,,,,,,,,6,percent of total billed charges,4.846001888,,,,,,,,,,6,percent of total billed charges,7.642479156,,,,,,,,,,6,percent of total billed charges,999999999,,,,,,,,,,6,percent of total billed charges,5.22517521,,,,,,,,,,21.6,percent of total billed charges,,,,,
**E-NAPROXEN SOD 220 MG 150{ALEVE},250,RC,5504-5214-01,NDC,,both,1,EA,7,7,1.490187612,7,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,7,percent of total billed charges,999999999,,,,7,percent of total billed charges,5.333518893,,,,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.942,percent of total billed charges,4.904503703,,,,4.942,percent of total billed charges,3.38259733,,,,,,,,,,5.04,percent of total billed charges,3.275881398,,,,,,,,,,5.04,percent of total billed charges,999999999,,,,,,,,,,5.6,percent of total billed charges,4.692508902,,,,5.53,percent of total billed charges,5.336687983,,,,5.53,percent of total billed charges,4.715140486,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,4.9,percent of total billed charges,999999999,,,,4.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.724,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.535,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.75,percent of total billed charges,1.662071934,,,,,,,,,,1.75,percent of total billed charges,1.634424499,,,,,,,,,,1.75,percent of total billed charges,1.629882503,,,,,,,,,,1.75,percent of total billed charges,1.605882503,,,,,,,,,,1.75,percent of total billed charges,1.647204221,,,,,,,,,,1.75,percent of total billed charges,999999999,,,,,,,,,,1.75,percent of total billed charges,1.413417217,,,,,,,,,,1.75,percent of total billed charges,2.229056421,,,,,,,,,,1.75,percent of total billed charges,999999999,,,,,,,,,,1.75,percent of total billed charges,1.524009436,,,,,,,,,,6.3,percent of total billed charges,,,,,
**TRICOR (FENOFIBRATE) 48 MG TAB,259,RC,0007-4612-90,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
**THYMOGLOBULIN 25 MG,250,RC,5846-8008-01,NDC,,both,1,EA,888,888,189.0409428,888,888,percent of total billed charges,653.3331468,,,,888,percent of total billed charges,692.5202177,,,,888,percent of total billed charges,653.3331468,,,,888,percent of total billed charges,692.5202177,,,,888,percent of total billed charges,999999999,,,,888,percent of total billed charges,676.5949681,,,,888,percent of total billed charges,653.3331468,,,,888,percent of total billed charges,692.5202177,,,,633.144,percent of total billed charges,315.9504426,,,,633.144,percent of total billed charges,189.0409428,,,,633.144,percent of total billed charges,315.9504426,,,,633.144,percent of total billed charges,189.0409428,,,,633.144,percent of total billed charges,315.9504426,,,,633.144,percent of total billed charges,189.0409428,,,,626.928,percent of total billed charges,622.1713268,,,,626.928,percent of total billed charges,429.1066328,,,,,,,,,,639.36,percent of total billed charges,415.5689545,,,,,,,,,,639.36,percent of total billed charges,999999999,,,,,,,,,,710.4,percent of total billed charges,595.2782722,,,,701.52,percent of total billed charges,676.9969899,,,,701.52,percent of total billed charges,598.1492502,,,,710.4,percent of total billed charges,999999999,,,,710.4,percent of total billed charges,999999999,,,,621.6,percent of total billed charges,999999999,,,,621.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,472.416,percent of total billed charges,999999999,,,,,,,,,,,,,,,,448.44,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,222,percent of total billed charges,210.8456968,,,,,,,,,,222,percent of total billed charges,207.3384221,,,,,,,,,,222,percent of total billed charges,206.7622375,,,,,,,,,,222,percent of total billed charges,203.7176661,,,,,,,,,,222,percent of total billed charges,208.9596211,,,,,,,,,,222,percent of total billed charges,999999999,,,,,,,,,,222,percent of total billed charges,179.3020699,,,,,,,,,,222,percent of total billed charges,282.7717288,,,,,,,,,,222,percent of total billed charges,999999999,,,,,,,,,,222,percent of total billed charges,193.3314828,,,,,,,,,,799.2,percent of total billed charges,,,,,
**PHENOBARBITAL ELIX 60MG/15ML UD,259,RC,0060-3150-58,NDC,,both,1,EA,9,9,1.915955502,9,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,9,percent of total billed charges,999999999,,,,9,percent of total billed charges,6.857381434,,,,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.354,percent of total billed charges,6.305790475,,,,6.354,percent of total billed charges,4.34905371,,,,,,,,,,6.48,percent of total billed charges,4.211847512,,,,,,,,,,6.48,percent of total billed charges,999999999,,,,,,,,,,7.2,percent of total billed charges,6.033225731,,,,7.11,percent of total billed charges,6.861455978,,,,7.11,percent of total billed charges,6.062323481,,,,7.2,percent of total billed charges,999999999,,,,7.2,percent of total billed charges,999999999,,,,6.3,percent of total billed charges,999999999,,,,6.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.788,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.545,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.25,percent of total billed charges,2.13694963,,,,,,,,,,2.25,percent of total billed charges,2.101402927,,,,,,,,,,2.25,percent of total billed charges,2.095563218,,,,,,,,,,2.25,percent of total billed charges,2.064706075,,,,,,,,,,2.25,percent of total billed charges,2.117833998,,,,,,,,,,2.25,percent of total billed charges,999999999,,,,,,,,,,2.25,percent of total billed charges,1.817250708,,,,,,,,,,2.25,percent of total billed charges,2.865929684,,,,,,,,,,2.25,percent of total billed charges,999999999,,,,,,,,,,2.25,percent of total billed charges,1.959440704,,,,,,,,,,8.1,percent of total billed charges,,,,,
**EPLERENONE {INSPRA} 50 MG TABLET,259,RC,0002-5172-03,NDC,,both,1,EA,13,13,2.76749128,13,13,percent of total billed charges,9.564561834,,,,13,percent of total billed charges,10.13824643,,,,13,percent of total billed charges,9.564561834,,,,13,percent of total billed charges,10.13824643,,,,13,percent of total billed charges,999999999,,,,13,percent of total billed charges,9.905106516,,,,13,percent of total billed charges,9.564561834,,,,13,percent of total billed charges,10.13824643,,,,9.269,percent of total billed charges,4.625400623,,,,9.269,percent of total billed charges,2.76749128,,,,9.269,percent of total billed charges,4.625400623,,,,9.269,percent of total billed charges,2.76749128,,,,9.269,percent of total billed charges,4.625400623,,,,9.269,percent of total billed charges,2.76749128,,,,9.178,percent of total billed charges,9.108364019,,,,9.178,percent of total billed charges,6.281966471,,,,,,,,,,9.36,percent of total billed charges,6.083779739,,,,,,,,,,9.36,percent of total billed charges,999999999,,,,,,,,,,10.4,percent of total billed charges,8.71465939,,,,10.27,percent of total billed charges,9.910991969,,,,10.27,percent of total billed charges,8.756689473,,,,10.4,percent of total billed charges,999999999,,,,10.4,percent of total billed charges,999999999,,,,9.1,percent of total billed charges,999999999,,,,9.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.916,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.565,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3.25,percent of total billed charges,3.086705021,,,,,,,,,,3.25,percent of total billed charges,3.035359783,,,,,,,,,,3.25,percent of total billed charges,3.026924648,,,,,,,,,,3.25,percent of total billed charges,2.98235322,,,,,,,,,,3.25,percent of total billed charges,3.059093552,,,,,,,,,,3.25,percent of total billed charges,999999999,,,,,,,,,,3.25,percent of total billed charges,2.624917689,,,,,,,,,,3.25,percent of total billed charges,4.13967621,,,,,,,,,,3.25,percent of total billed charges,999999999,,,,,,,,,,3.25,percent of total billed charges,2.830303239,,,,,,,,,,11.7,percent of total billed charges,,,,,
**CINACALCET HCL (SENSIPAR) 30 MG TABL,259,RC,5551-3007-30,NDC,,both,1,EA,30,30,6.386518339,30,30,percent of total billed charges,22.07206577,,,,30,percent of total billed charges,23.3959533,,,,30,percent of total billed charges,22.07206577,,,,30,percent of total billed charges,23.3959533,,,,30,percent of total billed charges,999999999,,,,30,percent of total billed charges,22.85793811,,,,30,percent of total billed charges,22.07206577,,,,30,percent of total billed charges,23.3959533,,,,21.39,percent of total billed charges,10.67400144,,,,21.39,percent of total billed charges,6.386518339,,,,21.39,percent of total billed charges,10.67400144,,,,21.39,percent of total billed charges,6.386518339,,,,21.39,percent of total billed charges,10.67400144,,,,21.39,percent of total billed charges,6.386518339,,,,21.18,percent of total billed charges,21.01930158,,,,21.18,percent of total billed charges,14.4968457,,,,,,,,,,21.6,percent of total billed charges,14.03949171,,,,,,,,,,21.6,percent of total billed charges,999999999,,,,,,,,,,24,percent of total billed charges,20.11075244,,,,23.7,percent of total billed charges,22.87151993,,,,23.7,percent of total billed charges,20.20774494,,,,24,percent of total billed charges,999999999,,,,24,percent of total billed charges,999999999,,,,21,percent of total billed charges,999999999,,,,21,percent of total billed charges,999999999,,,,,,,,,,,,,,,,15.96,percent of total billed charges,999999999,,,,,,,,,,,,,,,,15.15,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7.5,percent of total billed charges,7.123165433,,,,,,,,,,7.5,percent of total billed charges,7.004676423,,,,,,,,,,7.5,percent of total billed charges,6.985210727,,,,,,,,,,7.5,percent of total billed charges,6.882353584,,,,,,,,,,7.5,percent of total billed charges,7.059446659,,,,,,,,,,7.5,percent of total billed charges,999999999,,,,,,,,,,7.5,percent of total billed charges,6.05750236,,,,,,,,,,7.5,percent of total billed charges,9.553098946,,,,,,,,,,7.5,percent of total billed charges,999999999,,,,,,,,,,7.5,percent of total billed charges,6.531469013,,,,,,,,,,27,percent of total billed charges,,,,,
**LORAZEPAM 2 MG TAB: ATIVAN,259,RC,0078-1140-01,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
**E-TROLAMINE SALICILATE (ASPERCREME) 10,259,RC,0411-6705-03,NDC,,both,1,EA,10,10,2.128839446,10,10,percent of total billed charges,7.357355257,,,,10,percent of total billed charges,7.7986511,,,,10,percent of total billed charges,7.357355257,,,,10,percent of total billed charges,7.7986511,,,,10,percent of total billed charges,999999999,,,,10,percent of total billed charges,7.619312704,,,,10,percent of total billed charges,7.357355257,,,,10,percent of total billed charges,7.7986511,,,,7.13,percent of total billed charges,3.558000479,,,,7.13,percent of total billed charges,2.128839446,,,,7.13,percent of total billed charges,3.558000479,,,,7.13,percent of total billed charges,2.128839446,,,,7.13,percent of total billed charges,3.558000479,,,,7.13,percent of total billed charges,2.128839446,,,,7.06,percent of total billed charges,7.006433861,,,,7.06,percent of total billed charges,4.8322819,,,,,,,,,,7.2,percent of total billed charges,4.679830569,,,,,,,,,,7.2,percent of total billed charges,999999999,,,,,,,,,,8,percent of total billed charges,6.703584146,,,,7.9,percent of total billed charges,7.623839976,,,,7.9,percent of total billed charges,6.735914979,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,999999999,,,,7,percent of total billed charges,999999999,,,,7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.32,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.05,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.5,percent of total billed charges,2.374388478,,,,,,,,,,2.5,percent of total billed charges,2.334892141,,,,,,,,,,2.5,percent of total billed charges,2.328403576,,,,,,,,,,2.5,percent of total billed charges,2.294117861,,,,,,,,,,2.5,percent of total billed charges,2.353148886,,,,,,,,,,2.5,percent of total billed charges,999999999,,,,,,,,,,2.5,percent of total billed charges,2.019167453,,,,,,,,,,2.5,percent of total billed charges,3.184366315,,,,,,,,,,2.5,percent of total billed charges,999999999,,,,,,,,,,2.5,percent of total billed charges,2.177156338,,,,,,,,,,9,percent of total billed charges,,,,,
**CENTRUM SILVER,259,RC,0000-5417-23,NDC,,both,1,EA,7,7,1.490187612,7,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,7,percent of total billed charges,999999999,,,,7,percent of total billed charges,5.333518893,,,,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.942,percent of total billed charges,4.904503703,,,,4.942,percent of total billed charges,3.38259733,,,,,,,,,,5.04,percent of total billed charges,3.275881398,,,,,,,,,,5.04,percent of total billed charges,999999999,,,,,,,,,,5.6,percent of total billed charges,4.692508902,,,,5.53,percent of total billed charges,5.336687983,,,,5.53,percent of total billed charges,4.715140486,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,4.9,percent of total billed charges,999999999,,,,4.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.724,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.535,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.75,percent of total billed charges,1.662071934,,,,,,,,,,1.75,percent of total billed charges,1.634424499,,,,,,,,,,1.75,percent of total billed charges,1.629882503,,,,,,,,,,1.75,percent of total billed charges,1.605882503,,,,,,,,,,1.75,percent of total billed charges,1.647204221,,,,,,,,,,1.75,percent of total billed charges,999999999,,,,,,,,,,1.75,percent of total billed charges,1.413417217,,,,,,,,,,1.75,percent of total billed charges,2.229056421,,,,,,,,,,1.75,percent of total billed charges,999999999,,,,,,,,,,1.75,percent of total billed charges,1.524009436,,,,,,,,,,6.3,percent of total billed charges,,,,,
**MAGNESIUM SULFATE 50% (500MG/ML): 50,J3475,CDM,0051-7265-25,NDC,,both,1,EA,14,14,2.980375225,14,14,percent of total billed charges,10.30029736,,,,14,percent of total billed charges,10.91811154,,,,14,percent of total billed charges,10.30029736,,,,14,percent of total billed charges,10.91811154,,,,14,percent of total billed charges,999999999,,,,14,percent of total billed charges,10.66703779,,,,14,percent of total billed charges,10.30029736,,,,14,percent of total billed charges,10.91811154,,,,9.982,percent of total billed charges,4.981200671,,,,9.982,percent of total billed charges,2.980375225,,,,9.982,percent of total billed charges,4.981200671,,,,9.982,percent of total billed charges,2.980375225,,,,9.982,percent of total billed charges,4.981200671,,,,9.982,percent of total billed charges,2.980375225,,,,9.884,percent of total billed charges,9.809007405,,,,9.884,percent of total billed charges,6.765194661,,,,,,,,,,10.08,percent of total billed charges,6.551762796,,,,,,,,,,10.08,percent of total billed charges,999999999,,,,,,,,,,11.2,percent of total billed charges,9.385017804,,,,11.06,percent of total billed charges,10.67337597,,,,11.06,percent of total billed charges,9.430280971,,,,11.2,percent of total billed charges,999999999,,,,11.2,percent of total billed charges,999999999,,,,9.8,percent of total billed charges,999999999,,,,9.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,7.448,percent of total billed charges,999999999,,,,,,,,,,,,,,,,7.07,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3.5,percent of total billed charges,3.324143869,,,,,,,,,,3.5,percent of total billed charges,3.268848997,,,,,,,,,,3.5,percent of total billed charges,3.259765006,,,,,,,,,,3.5,percent of total billed charges,3.211765006,,,,,,,,,,3.5,percent of total billed charges,3.294408441,,,,,,,,,,3.5,percent of total billed charges,999999999,,,,,,,,,,3.5,percent of total billed charges,2.826834435,,,,,,,,,,3.5,percent of total billed charges,4.458112841,,,,,,,,,,3.5,percent of total billed charges,999999999,,,,,,,,,,3.5,percent of total billed charges,3.048018873,,,,,,,,,,12.6,percent of total billed charges,,,,,
**GALANTAMINE ER 24 MG: RAZADYNE ER,259,RC,5045-8038-30,NDC,,both,1,EA,17,17,3.619027059,17,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,17,percent of total billed charges,999999999,,,,17,percent of total billed charges,12.9528316,,,,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.002,percent of total billed charges,11.91093756,,,,12.002,percent of total billed charges,8.214879231,,,,,,,,,,12.24,percent of total billed charges,7.955711967,,,,,,,,,,12.24,percent of total billed charges,999999999,,,,,,,,,,13.6,percent of total billed charges,11.39609305,,,,13.43,percent of total billed charges,12.96052796,,,,13.43,percent of total billed charges,11.45105547,,,,13.6,percent of total billed charges,999999999,,,,13.6,percent of total billed charges,999999999,,,,11.9,percent of total billed charges,999999999,,,,11.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.044,percent of total billed charges,999999999,,,,,,,,,,,,,,,,8.585,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4.25,percent of total billed charges,4.036460412,,,,,,,,,,4.25,percent of total billed charges,3.96931664,,,,,,,,,,4.25,percent of total billed charges,3.958286079,,,,,,,,,,4.25,percent of total billed charges,3.900000364,,,,,,,,,,4.25,percent of total billed charges,4.000353107,,,,,,,,,,4.25,percent of total billed charges,999999999,,,,,,,,,,4.25,percent of total billed charges,3.432584671,,,,,,,,,,4.25,percent of total billed charges,5.413422736,,,,,,,,,,4.25,percent of total billed charges,999999999,,,,,,,,,,4.25,percent of total billed charges,3.701165774,,,,,,,,,,15.3,percent of total billed charges,,,,,
**ARIPIPRAZOLE 5 MG TABLET: ABILIFY,259,RC,5914-8000-13,NDC,,both,1,EA,33,33,7.025170173,33,33,percent of total billed charges,24.27927235,,,,33,percent of total billed charges,25.73554863,,,,33,percent of total billed charges,24.27927235,,,,33,percent of total billed charges,25.73554863,,,,33,percent of total billed charges,999999999,,,,33,percent of total billed charges,25.14373192,,,,33,percent of total billed charges,24.27927235,,,,33,percent of total billed charges,25.73554863,,,,23.529,percent of total billed charges,11.74140158,,,,23.529,percent of total billed charges,7.025170173,,,,23.529,percent of total billed charges,11.74140158,,,,23.529,percent of total billed charges,7.025170173,,,,23.529,percent of total billed charges,11.74140158,,,,23.529,percent of total billed charges,7.025170173,,,,23.298,percent of total billed charges,23.12123174,,,,23.298,percent of total billed charges,15.94653027,,,,,,,,,,23.76,percent of total billed charges,15.44344088,,,,,,,,,,23.76,percent of total billed charges,999999999,,,,,,,,,,26.4,percent of total billed charges,22.12182768,,,,26.07,percent of total billed charges,25.15867192,,,,26.07,percent of total billed charges,22.22851943,,,,26.4,percent of total billed charges,999999999,,,,26.4,percent of total billed charges,999999999,,,,23.1,percent of total billed charges,999999999,,,,23.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,17.556,percent of total billed charges,999999999,,,,,,,,,,,,,,,,16.665,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8.25,percent of total billed charges,7.835481976,,,,,,,,,,8.25,percent of total billed charges,7.705144065,,,,,,,,,,8.25,percent of total billed charges,7.6837318,,,,,,,,,,8.25,percent of total billed charges,7.570588942,,,,,,,,,,8.25,percent of total billed charges,7.765391325,,,,,,,,,,8.25,percent of total billed charges,999999999,,,,,,,,,,8.25,percent of total billed charges,6.663252596,,,,,,,,,,8.25,percent of total billed charges,10.50840884,,,,,,,,,,8.25,percent of total billed charges,999999999,,,,,,,,,,8.25,percent of total billed charges,7.184615914,,,,,,,,,,29.7,percent of total billed charges,,,,,
**GALANTAMINE ER (RAZADYNE ER) 8MG CAP,259,RC,5045-8038-30,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
**TELITHROMYCIN 400 MG: KETEK,259,RC,0008-8222-41,NDC,,both,1,EA,15,15,3.193259169,15,15,percent of total billed charges,11.03603289,,,,15,percent of total billed charges,11.69797665,,,,15,percent of total billed charges,11.03603289,,,,15,percent of total billed charges,11.69797665,,,,15,percent of total billed charges,999999999,,,,15,percent of total billed charges,11.42896906,,,,15,percent of total billed charges,11.03603289,,,,15,percent of total billed charges,11.69797665,,,,10.695,percent of total billed charges,5.337000719,,,,10.695,percent of total billed charges,3.193259169,,,,10.695,percent of total billed charges,5.337000719,,,,10.695,percent of total billed charges,3.193259169,,,,10.695,percent of total billed charges,5.337000719,,,,10.695,percent of total billed charges,3.193259169,,,,10.59,percent of total billed charges,10.50965079,,,,10.59,percent of total billed charges,7.248422851,,,,,,,,,,10.8,percent of total billed charges,7.019745853,,,,,,,,,,10.8,percent of total billed charges,999999999,,,,,,,,,,12,percent of total billed charges,10.05537622,,,,11.85,percent of total billed charges,11.43575996,,,,11.85,percent of total billed charges,10.10387247,,,,12,percent of total billed charges,999999999,,,,12,percent of total billed charges,999999999,,,,10.5,percent of total billed charges,999999999,,,,10.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,7.98,percent of total billed charges,999999999,,,,,,,,,,,,,,,,7.575,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3.75,percent of total billed charges,3.561582716,,,,,,,,,,3.75,percent of total billed charges,3.502338211,,,,,,,,,,3.75,percent of total billed charges,3.492605363,,,,,,,,,,3.75,percent of total billed charges,3.441176792,,,,,,,,,,3.75,percent of total billed charges,3.52972333,,,,,,,,,,3.75,percent of total billed charges,999999999,,,,,,,,,,3.75,percent of total billed charges,3.02875118,,,,,,,,,,3.75,percent of total billed charges,4.776549473,,,,,,,,,,3.75,percent of total billed charges,999999999,,,,,,,,,,3.75,percent of total billed charges,3.265734506,,,,,,,,,,13.5,percent of total billed charges,,,,,
**LOW-OGESTREL,259,RC,5254-4084-28,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
**SORAFENIB (NEXAVAR) 200 MG,259,RC,0002-6848-58,NDC,,both,1,EA,92,92,19.58532291,92,92,percent of total billed charges,67.68766837,,,,92,percent of total billed charges,71.74759012,,,,92,percent of total billed charges,67.68766837,,,,92,percent of total billed charges,71.74759012,,,,92,percent of total billed charges,999999999,,,,92,percent of total billed charges,70.09767688,,,,92,percent of total billed charges,67.68766837,,,,92,percent of total billed charges,71.74759012,,,,65.596,percent of total billed charges,32.73360441,,,,65.596,percent of total billed charges,19.58532291,,,,65.596,percent of total billed charges,32.73360441,,,,65.596,percent of total billed charges,19.58532291,,,,65.596,percent of total billed charges,32.73360441,,,,65.596,percent of total billed charges,19.58532291,,,,64.952,percent of total billed charges,64.45919152,,,,64.952,percent of total billed charges,44.45699348,,,,,,,,,,66.24,percent of total billed charges,43.05444123,,,,,,,,,,66.24,percent of total billed charges,999999999,,,,,,,,,,73.6,percent of total billed charges,61.67297414,,,,72.68,percent of total billed charges,70.13932778,,,,72.68,percent of total billed charges,61.97041781,,,,73.6,percent of total billed charges,999999999,,,,73.6,percent of total billed charges,999999999,,,,64.4,percent of total billed charges,999999999,,,,64.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,48.944,percent of total billed charges,999999999,,,,,,,,,,,,,,,,46.46,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23,percent of total billed charges,21.84437399,,,,,,,,,,23,percent of total billed charges,21.4810077,,,,,,,,,,23,percent of total billed charges,21.4213129,,,,,,,,,,23,percent of total billed charges,21.10588432,,,,,,,,,,23,percent of total billed charges,21.64896976,,,,,,,,,,23,percent of total billed charges,999999999,,,,,,,,,,23,percent of total billed charges,18.57634057,,,,,,,,,,23,percent of total billed charges,29.2961701,,,,,,,,,,23,percent of total billed charges,999999999,,,,,,,,,,23,percent of total billed charges,20.02983831,,,,,,,,,,82.8,percent of total billed charges,,,,,
**AMOXETINE HCL 80 MG: STRATTERA,259,RC,0000-2325-30,NDC,,both,1,EA,14,14,2.980375225,14,14,percent of total billed charges,10.30029736,,,,14,percent of total billed charges,10.91811154,,,,14,percent of total billed charges,10.30029736,,,,14,percent of total billed charges,10.91811154,,,,14,percent of total billed charges,999999999,,,,14,percent of total billed charges,10.66703779,,,,14,percent of total billed charges,10.30029736,,,,14,percent of total billed charges,10.91811154,,,,9.982,percent of total billed charges,4.981200671,,,,9.982,percent of total billed charges,2.980375225,,,,9.982,percent of total billed charges,4.981200671,,,,9.982,percent of total billed charges,2.980375225,,,,9.982,percent of total billed charges,4.981200671,,,,9.982,percent of total billed charges,2.980375225,,,,9.884,percent of total billed charges,9.809007405,,,,9.884,percent of total billed charges,6.765194661,,,,,,,,,,10.08,percent of total billed charges,6.551762796,,,,,,,,,,10.08,percent of total billed charges,999999999,,,,,,,,,,11.2,percent of total billed charges,9.385017804,,,,11.06,percent of total billed charges,10.67337597,,,,11.06,percent of total billed charges,9.430280971,,,,11.2,percent of total billed charges,999999999,,,,11.2,percent of total billed charges,999999999,,,,9.8,percent of total billed charges,999999999,,,,9.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,7.448,percent of total billed charges,999999999,,,,,,,,,,,,,,,,7.07,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3.5,percent of total billed charges,3.324143869,,,,,,,,,,3.5,percent of total billed charges,3.268848997,,,,,,,,,,3.5,percent of total billed charges,3.259765006,,,,,,,,,,3.5,percent of total billed charges,3.211765006,,,,,,,,,,3.5,percent of total billed charges,3.294408441,,,,,,,,,,3.5,percent of total billed charges,999999999,,,,,,,,,,3.5,percent of total billed charges,2.826834435,,,,,,,,,,3.5,percent of total billed charges,4.458112841,,,,,,,,,,3.5,percent of total billed charges,999999999,,,,,,,,,,3.5,percent of total billed charges,3.048018873,,,,,,,,,,12.6,percent of total billed charges,,,,,
**TESTOSTERONE CYPIONATE 200MG/ML,250,RC,0000-9041-01,NDC,,both,1,EA,70,70,14.90187612,70,70,percent of total billed charges,51.5014868,,,,70,percent of total billed charges,54.5905577,,,,70,percent of total billed charges,51.5014868,,,,70,percent of total billed charges,54.5905577,,,,70,percent of total billed charges,999999999,,,,70,percent of total billed charges,53.33518893,,,,70,percent of total billed charges,51.5014868,,,,70,percent of total billed charges,54.5905577,,,,49.91,percent of total billed charges,24.90600335,,,,49.91,percent of total billed charges,14.90187612,,,,49.91,percent of total billed charges,24.90600335,,,,49.91,percent of total billed charges,14.90187612,,,,49.91,percent of total billed charges,24.90600335,,,,49.91,percent of total billed charges,14.90187612,,,,49.42,percent of total billed charges,49.04503703,,,,49.42,percent of total billed charges,33.8259733,,,,,,,,,,50.4,percent of total billed charges,32.75881398,,,,,,,,,,50.4,percent of total billed charges,999999999,,,,,,,,,,56,percent of total billed charges,46.92508902,,,,55.3,percent of total billed charges,53.36687983,,,,55.3,percent of total billed charges,47.15140486,,,,56,percent of total billed charges,999999999,,,,56,percent of total billed charges,999999999,,,,49,percent of total billed charges,999999999,,,,49,percent of total billed charges,999999999,,,,,,,,,,,,,,,,37.24,percent of total billed charges,999999999,,,,,,,,,,,,,,,,35.35,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17.5,percent of total billed charges,16.62071934,,,,,,,,,,17.5,percent of total billed charges,16.34424499,,,,,,,,,,17.5,percent of total billed charges,16.29882503,,,,,,,,,,17.5,percent of total billed charges,16.05882503,,,,,,,,,,17.5,percent of total billed charges,16.47204221,,,,,,,,,,17.5,percent of total billed charges,999999999,,,,,,,,,,17.5,percent of total billed charges,14.13417217,,,,,,,,,,17.5,percent of total billed charges,22.29056421,,,,,,,,,,17.5,percent of total billed charges,999999999,,,,,,,,,,17.5,percent of total billed charges,15.24009436,,,,,,,,,,63,percent of total billed charges,,,,,
**TESTOSTERONE ENANTHATE 200MG/ML,250,RC,0059-1322-26,NDC,,both,1,EA,183,183,38.95776187,183,183,percent of total billed charges,134.6396012,,,,183,percent of total billed charges,142.7153151,,,,183,percent of total billed charges,134.6396012,,,,183,percent of total billed charges,142.7153151,,,,183,percent of total billed charges,999999999,,,,183,percent of total billed charges,139.4334225,,,,183,percent of total billed charges,134.6396012,,,,183,percent of total billed charges,142.7153151,,,,130.479,percent of total billed charges,65.11140877,,,,130.479,percent of total billed charges,38.95776187,,,,130.479,percent of total billed charges,65.11140877,,,,130.479,percent of total billed charges,38.95776187,,,,130.479,percent of total billed charges,65.11140877,,,,130.479,percent of total billed charges,38.95776187,,,,129.198,percent of total billed charges,128.2177397,,,,129.198,percent of total billed charges,88.43075878,,,,,,,,,,131.76,percent of total billed charges,85.64089941,,,,,,,,,,131.76,percent of total billed charges,999999999,,,,,,,,,,146.4,percent of total billed charges,122.6755899,,,,144.57,percent of total billed charges,139.5162716,,,,144.57,percent of total billed charges,123.2672441,,,,146.4,percent of total billed charges,999999999,,,,146.4,percent of total billed charges,999999999,,,,128.1,percent of total billed charges,999999999,,,,128.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,97.356,percent of total billed charges,999999999,,,,,,,,,,,,,,,,92.415,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45.75,percent of total billed charges,43.45130914,,,,,,,,,,45.75,percent of total billed charges,42.72852618,,,,,,,,,,45.75,percent of total billed charges,42.60978543,,,,,,,,,,45.75,percent of total billed charges,41.98235686,,,,,,,,,,45.75,percent of total billed charges,43.06262462,,,,,,,,,,45.75,percent of total billed charges,999999999,,,,,,,,,,45.75,percent of total billed charges,36.9507644,,,,,,,,,,45.75,percent of total billed charges,58.27390357,,,,,,,,,,45.75,percent of total billed charges,999999999,,,,,,,,,,45.75,percent of total billed charges,39.84196098,,,,,,,,,,164.7,percent of total billed charges,,,,,
**SUPPORT SOCKS,259,RC,9999-9999-99,NDC,,both,1,EA,26,26,5.53498256,26,26,percent of total billed charges,19.12912367,,,,26,percent of total billed charges,20.27649286,,,,26,percent of total billed charges,19.12912367,,,,26,percent of total billed charges,20.27649286,,,,26,percent of total billed charges,999999999,,,,26,percent of total billed charges,19.81021303,,,,26,percent of total billed charges,19.12912367,,,,26,percent of total billed charges,20.27649286,,,,18.538,percent of total billed charges,9.250801246,,,,18.538,percent of total billed charges,5.53498256,,,,18.538,percent of total billed charges,9.250801246,,,,18.538,percent of total billed charges,5.53498256,,,,18.538,percent of total billed charges,9.250801246,,,,18.538,percent of total billed charges,5.53498256,,,,18.356,percent of total billed charges,18.21672804,,,,18.356,percent of total billed charges,12.56393294,,,,,,,,,,18.72,percent of total billed charges,12.16755948,,,,,,,,,,18.72,percent of total billed charges,999999999,,,,,,,,,,20.8,percent of total billed charges,17.42931878,,,,20.54,percent of total billed charges,19.82198394,,,,20.54,percent of total billed charges,17.51337895,,,,20.8,percent of total billed charges,999999999,,,,20.8,percent of total billed charges,999999999,,,,18.2,percent of total billed charges,999999999,,,,18.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,13.832,percent of total billed charges,999999999,,,,,,,,,,,,,,,,13.13,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6.5,percent of total billed charges,6.173410042,,,,,,,,,,6.5,percent of total billed charges,6.070719566,,,,,,,,,,6.5,percent of total billed charges,6.053849297,,,,,,,,,,6.5,percent of total billed charges,5.964706439,,,,,,,,,,6.5,percent of total billed charges,6.118187105,,,,,,,,,,6.5,percent of total billed charges,999999999,,,,,,,,,,6.5,percent of total billed charges,5.249835379,,,,,,,,,,6.5,percent of total billed charges,8.279352419,,,,,,,,,,6.5,percent of total billed charges,999999999,,,,,,,,,,6.5,percent of total billed charges,5.660606478,,,,,,,,,,23.4,percent of total billed charges,,,,,
**CEFACLOR 500MG CAPSULE:  CECLOR,259,RC,6330-4065-01,NDC,,both,1,EA,12,12,2.554607335,12,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,12,percent of total billed charges,999999999,,,,12,percent of total billed charges,9.143175245,,,,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.472,percent of total billed charges,8.407720633,,,,8.472,percent of total billed charges,5.79873828,,,,,,,,,,8.64,percent of total billed charges,5.615796683,,,,,,,,,,8.64,percent of total billed charges,999999999,,,,,,,,,,9.6,percent of total billed charges,8.044300975,,,,9.48,percent of total billed charges,9.148607971,,,,9.48,percent of total billed charges,8.083097975,,,,9.6,percent of total billed charges,999999999,,,,9.6,percent of total billed charges,999999999,,,,8.4,percent of total billed charges,999999999,,,,8.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.384,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.06,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3,percent of total billed charges,2.849266173,,,,,,,,,,3,percent of total billed charges,2.801870569,,,,,,,,,,3,percent of total billed charges,2.794084291,,,,,,,,,,3,percent of total billed charges,2.752941434,,,,,,,,,,3,percent of total billed charges,2.823778664,,,,,,,,,,3,percent of total billed charges,999999999,,,,,,,,,,3,percent of total billed charges,2.423000944,,,,,,,,,,3,percent of total billed charges,3.821239578,,,,,,,,,,3,percent of total billed charges,999999999,,,,,,,,,,3,percent of total billed charges,2.612587605,,,,,,,,,,10.8,percent of total billed charges,,,,,
"**VITAMIN A INJECTION 50,000 UNITS/ML",250,RC,6170-3041-07,NDC,,both,1,EA,72,72,15.32764401,72,72,percent of total billed charges,52.97295785,,,,72,percent of total billed charges,56.15028792,,,,72,percent of total billed charges,52.97295785,,,,72,percent of total billed charges,56.15028792,,,,72,percent of total billed charges,999999999,,,,72,percent of total billed charges,54.85905147,,,,72,percent of total billed charges,52.97295785,,,,72,percent of total billed charges,56.15028792,,,,51.336,percent of total billed charges,25.61760345,,,,51.336,percent of total billed charges,15.32764401,,,,51.336,percent of total billed charges,25.61760345,,,,51.336,percent of total billed charges,15.32764401,,,,51.336,percent of total billed charges,25.61760345,,,,51.336,percent of total billed charges,15.32764401,,,,50.832,percent of total billed charges,50.4463238,,,,50.832,percent of total billed charges,34.79242968,,,,,,,,,,51.84,percent of total billed charges,33.6947801,,,,,,,,,,51.84,percent of total billed charges,999999999,,,,,,,,,,57.6,percent of total billed charges,48.26580585,,,,56.88,percent of total billed charges,54.89164783,,,,56.88,percent of total billed charges,48.49858785,,,,57.6,percent of total billed charges,999999999,,,,57.6,percent of total billed charges,999999999,,,,50.4,percent of total billed charges,999999999,,,,50.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,38.304,percent of total billed charges,999999999,,,,,,,,,,,,,,,,36.36,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18,percent of total billed charges,17.09559704,,,,,,,,,,18,percent of total billed charges,16.81122341,,,,,,,,,,18,percent of total billed charges,16.76450574,,,,,,,,,,18,percent of total billed charges,16.5176486,,,,,,,,,,18,percent of total billed charges,16.94267198,,,,,,,,,,18,percent of total billed charges,999999999,,,,,,,,,,18,percent of total billed charges,14.53800566,,,,,,,,,,18,percent of total billed charges,22.92743747,,,,,,,,,,18,percent of total billed charges,999999999,,,,,,,,,,18,percent of total billed charges,15.67552563,,,,,,,,,,64.8,percent of total billed charges,,,,,
**DESLORATADINE(CLARINEX) 0.5 MG/ML 120,259,RC,0008-5132-01,NDC,,both,1,EA,570,570,121.3438484,570,570,percent of total billed charges,419.3692497,,,,570,percent of total billed charges,444.5231127,,,,570,percent of total billed charges,419.3692497,,,,570,percent of total billed charges,444.5231127,,,,570,percent of total billed charges,999999999,,,,570,percent of total billed charges,434.3008241,,,,570,percent of total billed charges,419.3692497,,,,570,percent of total billed charges,444.5231127,,,,406.41,percent of total billed charges,202.8060273,,,,406.41,percent of total billed charges,121.3438484,,,,406.41,percent of total billed charges,202.8060273,,,,406.41,percent of total billed charges,121.3438484,,,,406.41,percent of total billed charges,202.8060273,,,,406.41,percent of total billed charges,121.3438484,,,,402.42,percent of total billed charges,399.3667301,,,,402.42,percent of total billed charges,275.4400683,,,,,,,,,,410.4,percent of total billed charges,266.7503424,,,,,,,,,,410.4,percent of total billed charges,999999999,,,,,,,,,,456,percent of total billed charges,382.1042963,,,,450.3,percent of total billed charges,434.5588786,,,,450.3,percent of total billed charges,383.9471538,,,,456,percent of total billed charges,999999999,,,,456,percent of total billed charges,999999999,,,,399,percent of total billed charges,999999999,,,,399,percent of total billed charges,999999999,,,,,,,,,,,,,,,,303.24,percent of total billed charges,999999999,,,,,,,,,,,,,,,,287.85,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,142.5,percent of total billed charges,135.3401432,,,,,,,,,,142.5,percent of total billed charges,133.088852,,,,,,,,,,142.5,percent of total billed charges,132.7190038,,,,,,,,,,142.5,percent of total billed charges,130.7647181,,,,,,,,,,142.5,percent of total billed charges,134.1294865,,,,,,,,,,142.5,percent of total billed charges,999999999,,,,,,,,,,142.5,percent of total billed charges,115.0925448,,,,,,,,,,142.5,percent of total billed charges,181.50888,,,,,,,,,,142.5,percent of total billed charges,999999999,,,,,,,,,,142.5,percent of total billed charges,124.0979112,,,,,,,,,,513,percent of total billed charges,,,,,
**NESIRITIDE BOLUS:  NATRECOR,J2325,CDM,6584-7020-25,NDC,,both,1,EA,7145,7145,1521.055784,7145,7145,percent of total billed charges,5256.830331,,,,7145,percent of total billed charges,5572.136211,,,,7145,percent of total billed charges,5256.830331,,,,7145,percent of total billed charges,5572.136211,,,,7145,percent of total billed charges,999999999,,,,7145,percent of total billed charges,5443.998927,,,,7145,percent of total billed charges,5256.830331,,,,7145,percent of total billed charges,5572.136211,,,,5094.385,percent of total billed charges,2542.191342,,,,5094.385,percent of total billed charges,1521.055784,,,,5094.385,percent of total billed charges,2542.191342,,,,5094.385,percent of total billed charges,1521.055784,,,,5094.385,percent of total billed charges,2542.191342,,,,5094.385,percent of total billed charges,1521.055784,,,,5044.37,percent of total billed charges,5006.096993,,,,5044.37,percent of total billed charges,3452.665418,,,,,,,,,,5144.4,percent of total billed charges,3343.738941,,,,,,,,,,5144.4,percent of total billed charges,999999999,,,,,,,,,,5716,percent of total billed charges,4789.710872,,,,5644.55,percent of total billed charges,5447.233663,,,,5644.55,percent of total billed charges,4812.811253,,,,5716,percent of total billed charges,999999999,,,,5716,percent of total billed charges,999999999,,,,5001.5,percent of total billed charges,999999999,,,,5001.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3801.14,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3608.225,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1786.25,percent of total billed charges,1696.500567,,,,,,,,,,1786.25,percent of total billed charges,1668.280435,,,,,,,,,,1786.25,percent of total billed charges,1663.644355,,,,,,,,,,1786.25,percent of total billed charges,1639.147212,,,,,,,,,,1786.25,percent of total billed charges,1681.324879,,,,,,,,,,1786.25,percent of total billed charges,999999999,,,,,,,,,,1786.25,percent of total billed charges,1442.695145,,,,,,,,,,1786.25,percent of total billed charges,2275.229732,,,,,,,,,,1786.25,percent of total billed charges,999999999,,,,,,,,,,1786.25,percent of total billed charges,1555.578203,,,,,,,,,,6430.5,percent of total billed charges,,,,,
**TRANYLCYPROMINE 10MG TAB: PARNATE,259,RC,0000-7447-20,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
**CASTOR OIL 16 OZ,250,RC,0039-5051-16,NDC,,both,1,EA,35,35,7.450938062,35,35,percent of total billed charges,25.7507434,,,,35,percent of total billed charges,27.29527885,,,,35,percent of total billed charges,25.7507434,,,,35,percent of total billed charges,27.29527885,,,,35,percent of total billed charges,999999999,,,,35,percent of total billed charges,26.66759446,,,,35,percent of total billed charges,25.7507434,,,,35,percent of total billed charges,27.29527885,,,,24.955,percent of total billed charges,12.45300168,,,,24.955,percent of total billed charges,7.450938062,,,,24.955,percent of total billed charges,12.45300168,,,,24.955,percent of total billed charges,7.450938062,,,,24.955,percent of total billed charges,12.45300168,,,,24.955,percent of total billed charges,7.450938062,,,,24.71,percent of total billed charges,24.52251851,,,,24.71,percent of total billed charges,16.91298665,,,,,,,,,,25.2,percent of total billed charges,16.37940699,,,,,,,,,,25.2,percent of total billed charges,999999999,,,,,,,,,,28,percent of total billed charges,23.46254451,,,,27.65,percent of total billed charges,26.68343992,,,,27.65,percent of total billed charges,23.57570243,,,,28,percent of total billed charges,999999999,,,,28,percent of total billed charges,999999999,,,,24.5,percent of total billed charges,999999999,,,,24.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,18.62,percent of total billed charges,999999999,,,,,,,,,,,,,,,,17.675,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8.75,percent of total billed charges,8.310359672,,,,,,,,,,8.75,percent of total billed charges,8.172122493,,,,,,,,,,8.75,percent of total billed charges,8.149412515,,,,,,,,,,8.75,percent of total billed charges,8.029412515,,,,,,,,,,8.75,percent of total billed charges,8.236021103,,,,,,,,,,8.75,percent of total billed charges,999999999,,,,,,,,,,8.75,percent of total billed charges,7.067086087,,,,,,,,,,8.75,percent of total billed charges,11.1452821,,,,,,,,,,8.75,percent of total billed charges,999999999,,,,,,,,,,8.75,percent of total billed charges,7.620047182,,,,,,,,,,31.5,percent of total billed charges,,,,,
**ALENDRONATE/CHOLECALCIFEROL: FOSAMAX,259,RC,0000-6071-44,NDC,,both,1,EA,50,50,10.64419723,50,50,percent of total billed charges,36.78677629,,,,50,percent of total billed charges,38.9932555,,,,50,percent of total billed charges,36.78677629,,,,50,percent of total billed charges,38.9932555,,,,50,percent of total billed charges,999999999,,,,50,percent of total billed charges,38.09656352,,,,50,percent of total billed charges,36.78677629,,,,50,percent of total billed charges,38.9932555,,,,35.65,percent of total billed charges,17.7900024,,,,35.65,percent of total billed charges,10.64419723,,,,35.65,percent of total billed charges,17.7900024,,,,35.65,percent of total billed charges,10.64419723,,,,35.65,percent of total billed charges,17.7900024,,,,35.65,percent of total billed charges,10.64419723,,,,35.3,percent of total billed charges,35.0321693,,,,35.3,percent of total billed charges,24.1614095,,,,,,,,,,36,percent of total billed charges,23.39915284,,,,,,,,,,36,percent of total billed charges,999999999,,,,,,,,,,40,percent of total billed charges,33.51792073,,,,39.5,percent of total billed charges,38.11919988,,,,39.5,percent of total billed charges,33.6795749,,,,40,percent of total billed charges,999999999,,,,40,percent of total billed charges,999999999,,,,35,percent of total billed charges,999999999,,,,35,percent of total billed charges,999999999,,,,,,,,,,,,,,,,26.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,25.25,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12.5,percent of total billed charges,11.87194239,,,,,,,,,,12.5,percent of total billed charges,11.6744607,,,,,,,,,,12.5,percent of total billed charges,11.64201788,,,,,,,,,,12.5,percent of total billed charges,11.47058931,,,,,,,,,,12.5,percent of total billed charges,11.76574443,,,,,,,,,,12.5,percent of total billed charges,999999999,,,,,,,,,,12.5,percent of total billed charges,10.09583727,,,,,,,,,,12.5,percent of total billed charges,15.92183158,,,,,,,,,,12.5,percent of total billed charges,999999999,,,,,,,,,,12.5,percent of total billed charges,10.88578169,,,,,,,,,,45,percent of total billed charges,,,,,
**INFUSE OVER 90 MINUTES,Local,Local,,,,both,,,7,7,1.490187612,7,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,7,percent of total billed charges,999999999,,,,7,percent of total billed charges,5.333518893,,,,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.942,percent of total billed charges,4.904503703,,,,4.942,percent of total billed charges,3.38259733,,,,,,,,,,5.04,percent of total billed charges,3.275881398,,,,,,,,,,5.04,percent of total billed charges,999999999,,,,,,,,,,5.6,percent of total billed charges,4.692508902,,,,5.53,percent of total billed charges,5.336687983,,,,5.53,percent of total billed charges,4.715140486,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,4.9,percent of total billed charges,999999999,,,,4.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.724,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.535,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.75,percent of total billed charges,1.662071934,,,,,,,,,,1.75,percent of total billed charges,1.634424499,,,,,,,,,,1.75,percent of total billed charges,1.629882503,,,,,,,,,,1.75,percent of total billed charges,1.605882503,,,,,,,,,,1.75,percent of total billed charges,1.647204221,,,,,,,,,,1.75,percent of total billed charges,999999999,,,,,,,,,,1.75,percent of total billed charges,1.413417217,,,,,,,,,,1.75,percent of total billed charges,2.229056421,,,,,,,,,,1.75,percent of total billed charges,999999999,,,,,,,,,,1.75,percent of total billed charges,1.524009436,,,,,,,,,,6.3,percent of total billed charges,,,,,
**GANANTAMINE 16 MG: RAZADYNE ER 16MG,259,RC,5045-8038-30,NDC,,both,1,EA,17,17,3.619027059,17,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,17,percent of total billed charges,999999999,,,,17,percent of total billed charges,12.9528316,,,,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.002,percent of total billed charges,11.91093756,,,,12.002,percent of total billed charges,8.214879231,,,,,,,,,,12.24,percent of total billed charges,7.955711967,,,,,,,,,,12.24,percent of total billed charges,999999999,,,,,,,,,,13.6,percent of total billed charges,11.39609305,,,,13.43,percent of total billed charges,12.96052796,,,,13.43,percent of total billed charges,11.45105547,,,,13.6,percent of total billed charges,999999999,,,,13.6,percent of total billed charges,999999999,,,,11.9,percent of total billed charges,999999999,,,,11.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.044,percent of total billed charges,999999999,,,,,,,,,,,,,,,,8.585,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4.25,percent of total billed charges,4.036460412,,,,,,,,,,4.25,percent of total billed charges,3.96931664,,,,,,,,,,4.25,percent of total billed charges,3.958286079,,,,,,,,,,4.25,percent of total billed charges,3.900000364,,,,,,,,,,4.25,percent of total billed charges,4.000353107,,,,,,,,,,4.25,percent of total billed charges,999999999,,,,,,,,,,4.25,percent of total billed charges,3.432584671,,,,,,,,,,4.25,percent of total billed charges,5.413422736,,,,,,,,,,4.25,percent of total billed charges,999999999,,,,,,,,,,4.25,percent of total billed charges,3.701165774,,,,,,,,,,15.3,percent of total billed charges,,,,,
**INTERFERON BETA 1-A 22 MCG: REBIF 22M,259,RC,4408-7002-03,NDC,,both,1,EA,4666,4666,993.3164856,4666,4666,percent of total billed charges,3432.941963,,,,4666,percent of total billed charges,3638.850603,,,,4666,percent of total billed charges,3432.941963,,,,4666,percent of total billed charges,3638.850603,,,,4666,percent of total billed charges,999999999,,,,4666,percent of total billed charges,3555.171308,,,,4666,percent of total billed charges,3432.941963,,,,4666,percent of total billed charges,3638.850603,,,,3326.858,percent of total billed charges,1660.163024,,,,3326.858,percent of total billed charges,993.3164856,,,,3326.858,percent of total billed charges,1660.163024,,,,3326.858,percent of total billed charges,993.3164856,,,,3326.858,percent of total billed charges,1660.163024,,,,3326.858,percent of total billed charges,993.3164856,,,,3294.196,percent of total billed charges,3269.202039,,,,3294.196,percent of total billed charges,2254.742735,,,,,,,,,,3359.52,percent of total billed charges,2183.608943,,,,,,,,,,3359.52,percent of total billed charges,999999999,,,,,,,,,,3732.8,percent of total billed charges,3127.892362,,,,3686.14,percent of total billed charges,3557.283733,,,,3686.14,percent of total billed charges,3142.977929,,,,3732.8,percent of total billed charges,999999999,,,,3732.8,percent of total billed charges,999999999,,,,3266.2,percent of total billed charges,999999999,,,,3266.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2482.312,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2356.33,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1166.5,percent of total billed charges,1107.889664,,,,,,,,,,1166.5,percent of total billed charges,1089.460673,,,,,,,,,,1166.5,percent of total billed charges,1086.433108,,,,,,,,,,1166.5,percent of total billed charges,1070.435394,,,,,,,,,,1166.5,percent of total billed charges,1097.97927,,,,,,,,,,1166.5,percent of total billed charges,999999999,,,,,,,,,,1166.5,percent of total billed charges,942.1435338,,,,,,,,,,1166.5,percent of total billed charges,1485.825323,,,,,,,,,,1166.5,percent of total billed charges,999999999,,,,,,,,,,1166.5,percent of total billed charges,1015.861147,,,,,,,,,,4199.4,percent of total billed charges,,,,,
**INTERFERON BETA 1-A 44MCG: REBIF 44 M,259,RC,4408-7004-03,NDC,,both,1,EA,5479,5479,1166.391133,5479,5479,percent of total billed charges,4031.094945,,,,5479,percent of total billed charges,4272.880938,,,,5479,percent of total billed charges,4031.094945,,,,5479,percent of total billed charges,4272.880938,,,,5479,percent of total billed charges,999999999,,,,5479,percent of total billed charges,4174.621431,,,,5479,percent of total billed charges,4031.094945,,,,5479,percent of total billed charges,4272.880938,,,,3906.527,percent of total billed charges,1949.428463,,,,3906.527,percent of total billed charges,1166.391133,,,,3906.527,percent of total billed charges,1949.428463,,,,3906.527,percent of total billed charges,1166.391133,,,,3906.527,percent of total billed charges,1949.428463,,,,3906.527,percent of total billed charges,1166.391133,,,,3868.174,percent of total billed charges,3838.825112,,,,3868.174,percent of total billed charges,2647.607253,,,,,,,,,,3944.88,percent of total billed charges,2564.079169,,,,,,,,,,3944.88,percent of total billed charges,999999999,,,,,,,,,,4383.2,percent of total billed charges,3672.893754,,,,4328.41,percent of total billed charges,4177.101923,,,,4328.41,percent of total billed charges,3690.607817,,,,4383.2,percent of total billed charges,999999999,,,,4383.2,percent of total billed charges,999999999,,,,3835.3,percent of total billed charges,999999999,,,,3835.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2914.828,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2766.895,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1369.75,percent of total billed charges,1300.927447,,,,,,,,,,1369.75,percent of total billed charges,1279.287404,,,,,,,,,,1369.75,percent of total billed charges,1275.732319,,,,,,,,,,1369.75,percent of total billed charges,1256.947176,,,,,,,,,,1369.75,percent of total billed charges,1289.290275,,,,,,,,,,1369.75,percent of total billed charges,999999999,,,,,,,,,,1369.75,percent of total billed charges,1106.301848,,,,,,,,,,1369.75,percent of total billed charges,1744.714304,,,,,,,,,,1369.75,percent of total billed charges,999999999,,,,,,,,,,1369.75,percent of total billed charges,1192.863957,,,,,,,,,,4931.1,percent of total billed charges,,,,,
**ARIPIPRAZOLE 2 MG TABLET: ABILIFY,259,RC,5914-8000-13,NDC,,both,1,EA,895,895,190.5311304,895,895,percent of total billed charges,658.4832955,,,,895,percent of total billed charges,697.9792735,,,,895,percent of total billed charges,658.4832955,,,,895,percent of total billed charges,697.9792735,,,,895,percent of total billed charges,999999999,,,,895,percent of total billed charges,681.928487,,,,895,percent of total billed charges,658.4832955,,,,895,percent of total billed charges,697.9792735,,,,638.135,percent of total billed charges,318.4410429,,,,638.135,percent of total billed charges,190.5311304,,,,638.135,percent of total billed charges,318.4410429,,,,638.135,percent of total billed charges,190.5311304,,,,638.135,percent of total billed charges,318.4410429,,,,638.135,percent of total billed charges,190.5311304,,,,631.87,percent of total billed charges,627.0758305,,,,631.87,percent of total billed charges,432.4892301,,,,,,,,,,644.4,percent of total billed charges,418.8448359,,,,,,,,,,644.4,percent of total billed charges,999999999,,,,,,,,,,716,percent of total billed charges,599.9707811,,,,707.05,percent of total billed charges,682.3336778,,,,707.05,percent of total billed charges,602.8643907,,,,716,percent of total billed charges,999999999,,,,716,percent of total billed charges,999999999,,,,626.5,percent of total billed charges,999999999,,,,626.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,476.14,percent of total billed charges,999999999,,,,,,,,,,,,,,,,451.975,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,223.75,percent of total billed charges,212.5077687,,,,,,,,,,223.75,percent of total billed charges,208.9728466,,,,,,,,,,223.75,percent of total billed charges,208.39212,,,,,,,,,,223.75,percent of total billed charges,205.3235486,,,,,,,,,,223.75,percent of total billed charges,210.6068253,,,,,,,,,,223.75,percent of total billed charges,999999999,,,,,,,,,,223.75,percent of total billed charges,180.7154871,,,,,,,,,,223.75,percent of total billed charges,285.0007852,,,,,,,,,,223.75,percent of total billed charges,999999999,,,,,,,,,,223.75,percent of total billed charges,194.8554922,,,,,,,,,,805.5,percent of total billed charges,,,,,
**DEFERASIROX (EXJADE) 500MG,259,RC,0007-8047-15,NDC,,both,1,EA,98,98,20.86262657,98,98,percent of total billed charges,72.10208152,,,,98,percent of total billed charges,76.42678078,,,,98,percent of total billed charges,72.10208152,,,,98,percent of total billed charges,76.42678078,,,,98,percent of total billed charges,999999999,,,,98,percent of total billed charges,74.6692645,,,,98,percent of total billed charges,72.10208152,,,,98,percent of total billed charges,76.42678078,,,,69.874,percent of total billed charges,34.8684047,,,,69.874,percent of total billed charges,20.86262657,,,,69.874,percent of total billed charges,34.8684047,,,,69.874,percent of total billed charges,20.86262657,,,,69.874,percent of total billed charges,34.8684047,,,,69.874,percent of total billed charges,20.86262657,,,,69.188,percent of total billed charges,68.66305184,,,,69.188,percent of total billed charges,47.35636262,,,,,,,,,,70.56,percent of total billed charges,45.86233957,,,,,,,,,,70.56,percent of total billed charges,999999999,,,,,,,,,,78.4,percent of total billed charges,65.69512463,,,,77.42,percent of total billed charges,74.71363176,,,,77.42,percent of total billed charges,66.0119668,,,,78.4,percent of total billed charges,999999999,,,,78.4,percent of total billed charges,999999999,,,,68.6,percent of total billed charges,999999999,,,,68.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,52.136,percent of total billed charges,999999999,,,,,,,,,,,,,,,,49.49,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,24.5,percent of total billed charges,23.26900708,,,,,,,,,,24.5,percent of total billed charges,22.88194298,,,,,,,,,,24.5,percent of total billed charges,22.81835504,,,,,,,,,,24.5,percent of total billed charges,22.48235504,,,,,,,,,,24.5,percent of total billed charges,23.06085909,,,,,,,,,,24.5,percent of total billed charges,999999999,,,,,,,,,,24.5,percent of total billed charges,19.78784104,,,,,,,,,,24.5,percent of total billed charges,31.20678989,,,,,,,,,,24.5,percent of total billed charges,999999999,,,,,,,,,,24.5,percent of total billed charges,21.33613211,,,,,,,,,,88.2,percent of total billed charges,,,,,
**AZTREONAM 1GM IN 0.9% NACL 100 ML,250,RC,5147-9004-15,NDC,,both,1,EA,86,86,18.30801924,86,86,percent of total billed charges,63.27325521,,,,86,percent of total billed charges,67.06839946,,,,86,percent of total billed charges,63.27325521,,,,86,percent of total billed charges,67.06839946,,,,86,percent of total billed charges,999999999,,,,86,percent of total billed charges,65.52608926,,,,86,percent of total billed charges,63.27325521,,,,86,percent of total billed charges,67.06839946,,,,61.318,percent of total billed charges,30.59880412,,,,61.318,percent of total billed charges,18.30801924,,,,61.318,percent of total billed charges,30.59880412,,,,61.318,percent of total billed charges,18.30801924,,,,61.318,percent of total billed charges,30.59880412,,,,61.318,percent of total billed charges,18.30801924,,,,60.716,percent of total billed charges,60.2553312,,,,60.716,percent of total billed charges,41.55762434,,,,,,,,,,61.92,percent of total billed charges,40.24654289,,,,,,,,,,61.92,percent of total billed charges,999999999,,,,,,,,,,68.8,percent of total billed charges,57.65082366,,,,67.94,percent of total billed charges,65.56502379,,,,67.94,percent of total billed charges,57.92886882,,,,68.8,percent of total billed charges,999999999,,,,68.8,percent of total billed charges,999999999,,,,60.2,percent of total billed charges,999999999,,,,60.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,45.752,percent of total billed charges,999999999,,,,,,,,,,,,,,,,43.43,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21.5,percent of total billed charges,20.41974091,,,,,,,,,,21.5,percent of total billed charges,20.08007241,,,,,,,,,,21.5,percent of total billed charges,20.02427075,,,,,,,,,,21.5,percent of total billed charges,19.72941361,,,,,,,,,,21.5,percent of total billed charges,20.23708042,,,,,,,,,,21.5,percent of total billed charges,999999999,,,,,,,,,,21.5,percent of total billed charges,17.3648401,,,,,,,,,,21.5,percent of total billed charges,27.38555031,,,,,,,,,,21.5,percent of total billed charges,999999999,,,,,,,,,,21.5,percent of total billed charges,18.7235445,,,,,,,,,,77.4,percent of total billed charges,,,,,
**CYPROHEPTADINE (PERITACTIN)  4MG/5ML:,259,RC,0047-2140-16,NDC,,both,1,EA,3,3,0.638651834,3,3,percent of total billed charges,2.207206577,,,,3,percent of total billed charges,2.33959533,,,,3,percent of total billed charges,2.207206577,,,,3,percent of total billed charges,2.33959533,,,,3,percent of total billed charges,999999999,,,,3,percent of total billed charges,2.285793811,,,,3,percent of total billed charges,2.207206577,,,,3,percent of total billed charges,2.33959533,,,,2.139,percent of total billed charges,1.067400144,,,,2.139,percent of total billed charges,0.638651834,,,,2.139,percent of total billed charges,1.067400144,,,,2.139,percent of total billed charges,0.638651834,,,,2.139,percent of total billed charges,1.067400144,,,,2.139,percent of total billed charges,0.638651834,,,,2.118,percent of total billed charges,2.101930158,,,,2.118,percent of total billed charges,1.44968457,,,,,,,,,,2.16,percent of total billed charges,1.403949171,,,,,,,,,,2.16,percent of total billed charges,999999999,,,,,,,,,,2.4,percent of total billed charges,2.011075244,,,,2.37,percent of total billed charges,2.287151993,,,,2.37,percent of total billed charges,2.020774494,,,,2.4,percent of total billed charges,999999999,,,,2.4,percent of total billed charges,999999999,,,,2.1,percent of total billed charges,999999999,,,,2.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.596,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.515,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.75,percent of total billed charges,0.712316543,,,,,,,,,,0.75,percent of total billed charges,0.700467642,,,,,,,,,,0.75,percent of total billed charges,0.698521073,,,,,,,,,,0.75,percent of total billed charges,0.688235358,,,,,,,,,,0.75,percent of total billed charges,0.705944666,,,,,,,,,,0.75,percent of total billed charges,999999999,,,,,,,,,,0.75,percent of total billed charges,0.605750236,,,,,,,,,,0.75,percent of total billed charges,0.955309895,,,,,,,,,,0.75,percent of total billed charges,999999999,,,,,,,,,,0.75,percent of total billed charges,0.653146901,,,,,,,,,,2.7,percent of total billed charges,,,,,
**E-GUAIFENESIN TABLETS 200MG,250,RC,0090-4515-60,NDC,,both,1,EA,40,40,8.515357785,40,40,percent of total billed charges,29.42942103,,,,40,percent of total billed charges,31.1946044,,,,40,percent of total billed charges,29.42942103,,,,40,percent of total billed charges,31.1946044,,,,40,percent of total billed charges,999999999,,,,40,percent of total billed charges,30.47725082,,,,40,percent of total billed charges,29.42942103,,,,40,percent of total billed charges,31.1946044,,,,28.52,percent of total billed charges,14.23200192,,,,28.52,percent of total billed charges,8.515357785,,,,28.52,percent of total billed charges,14.23200192,,,,28.52,percent of total billed charges,8.515357785,,,,28.52,percent of total billed charges,14.23200192,,,,28.52,percent of total billed charges,8.515357785,,,,28.24,percent of total billed charges,28.02573544,,,,28.24,percent of total billed charges,19.3291276,,,,,,,,,,28.8,percent of total billed charges,18.71932228,,,,,,,,,,28.8,percent of total billed charges,999999999,,,,,,,,,,32,percent of total billed charges,26.81433658,,,,31.6,percent of total billed charges,30.4953599,,,,31.6,percent of total billed charges,26.94365992,,,,32,percent of total billed charges,999999999,,,,32,percent of total billed charges,999999999,,,,28,percent of total billed charges,999999999,,,,28,percent of total billed charges,999999999,,,,,,,,,,,,,,,,21.28,percent of total billed charges,999999999,,,,,,,,,,,,,,,,20.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10,percent of total billed charges,9.497553911,,,,,,,,,,10,percent of total billed charges,9.339568564,,,,,,,,,,10,percent of total billed charges,9.313614303,,,,,,,,,,10,percent of total billed charges,9.176471445,,,,,,,,,,10,percent of total billed charges,9.412595546,,,,,,,,,,10,percent of total billed charges,999999999,,,,,,,,,,10,percent of total billed charges,8.076669814,,,,,,,,,,10,percent of total billed charges,12.73746526,,,,,,,,,,10,percent of total billed charges,999999999,,,,,,,,,,10,percent of total billed charges,8.708625351,,,,,,,,,,36,percent of total billed charges,,,,,
**SIMETHICONE 180MG:  PHAZYME 36CT,259,RC,0021-4042-08,NDC,,both,1,EA,18,18,3.831911003,18,18,percent of total billed charges,13.24323946,,,,18,percent of total billed charges,14.03757198,,,,18,percent of total billed charges,13.24323946,,,,18,percent of total billed charges,14.03757198,,,,18,percent of total billed charges,999999999,,,,18,percent of total billed charges,13.71476287,,,,18,percent of total billed charges,13.24323946,,,,18,percent of total billed charges,14.03757198,,,,12.834,percent of total billed charges,6.404400863,,,,12.834,percent of total billed charges,3.831911003,,,,12.834,percent of total billed charges,6.404400863,,,,12.834,percent of total billed charges,3.831911003,,,,12.834,percent of total billed charges,6.404400863,,,,12.834,percent of total billed charges,3.831911003,,,,12.708,percent of total billed charges,12.61158095,,,,12.708,percent of total billed charges,8.698107421,,,,,,,,,,12.96,percent of total billed charges,8.423695024,,,,,,,,,,12.96,percent of total billed charges,999999999,,,,,,,,,,14.4,percent of total billed charges,12.06645146,,,,14.22,percent of total billed charges,13.72291196,,,,14.22,percent of total billed charges,12.12464696,,,,14.4,percent of total billed charges,999999999,,,,14.4,percent of total billed charges,999999999,,,,12.6,percent of total billed charges,999999999,,,,12.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.576,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.09,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4.5,percent of total billed charges,4.27389926,,,,,,,,,,4.5,percent of total billed charges,4.202805854,,,,,,,,,,4.5,percent of total billed charges,4.191126436,,,,,,,,,,4.5,percent of total billed charges,4.12941215,,,,,,,,,,4.5,percent of total billed charges,4.235667996,,,,,,,,,,4.5,percent of total billed charges,999999999,,,,,,,,,,4.5,percent of total billed charges,3.634501416,,,,,,,,,,4.5,percent of total billed charges,5.731859367,,,,,,,,,,4.5,percent of total billed charges,999999999,,,,,,,,,,4.5,percent of total billed charges,3.918881408,,,,,,,,,,16.2,percent of total billed charges,,,,,
**AMPICILLIN 1GM IVPB IN NS 100ML MB+,Local,Local,,,,both,,,17,17,3.619027059,17,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,17,percent of total billed charges,999999999,,,,17,percent of total billed charges,12.9528316,,,,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.002,percent of total billed charges,11.91093756,,,,12.002,percent of total billed charges,8.214879231,,,,,,,,,,12.24,percent of total billed charges,7.955711967,,,,,,,,,,12.24,percent of total billed charges,999999999,,,,,,,,,,13.6,percent of total billed charges,11.39609305,,,,13.43,percent of total billed charges,12.96052796,,,,13.43,percent of total billed charges,11.45105547,,,,13.6,percent of total billed charges,999999999,,,,13.6,percent of total billed charges,999999999,,,,11.9,percent of total billed charges,999999999,,,,11.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.044,percent of total billed charges,999999999,,,,,,,,,,,,,,,,8.585,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4.25,percent of total billed charges,4.036460412,,,,,,,,,,4.25,percent of total billed charges,3.96931664,,,,,,,,,,4.25,percent of total billed charges,3.958286079,,,,,,,,,,4.25,percent of total billed charges,3.900000364,,,,,,,,,,4.25,percent of total billed charges,4.000353107,,,,,,,,,,4.25,percent of total billed charges,999999999,,,,,,,,,,4.25,percent of total billed charges,3.432584671,,,,,,,,,,4.25,percent of total billed charges,5.413422736,,,,,,,,,,4.25,percent of total billed charges,999999999,,,,,,,,,,4.25,percent of total billed charges,3.701165774,,,,,,,,,,15.3,percent of total billed charges,,,,,
**AMPICILLIN 2GM IVPB IN NS 100ML MB+,Local,Local,,,,both,,,17,17,3.619027059,17,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,17,percent of total billed charges,999999999,,,,17,percent of total billed charges,12.9528316,,,,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.002,percent of total billed charges,11.91093756,,,,12.002,percent of total billed charges,8.214879231,,,,,,,,,,12.24,percent of total billed charges,7.955711967,,,,,,,,,,12.24,percent of total billed charges,999999999,,,,,,,,,,13.6,percent of total billed charges,11.39609305,,,,13.43,percent of total billed charges,12.96052796,,,,13.43,percent of total billed charges,11.45105547,,,,13.6,percent of total billed charges,999999999,,,,13.6,percent of total billed charges,999999999,,,,11.9,percent of total billed charges,999999999,,,,11.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.044,percent of total billed charges,999999999,,,,,,,,,,,,,,,,8.585,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4.25,percent of total billed charges,4.036460412,,,,,,,,,,4.25,percent of total billed charges,3.96931664,,,,,,,,,,4.25,percent of total billed charges,3.958286079,,,,,,,,,,4.25,percent of total billed charges,3.900000364,,,,,,,,,,4.25,percent of total billed charges,4.000353107,,,,,,,,,,4.25,percent of total billed charges,999999999,,,,,,,,,,4.25,percent of total billed charges,3.432584671,,,,,,,,,,4.25,percent of total billed charges,5.413422736,,,,,,,,,,4.25,percent of total billed charges,999999999,,,,,,,,,,4.25,percent of total billed charges,3.701165774,,,,,,,,,,15.3,percent of total billed charges,,,,,
**RAMELTEON 8MG TAB: ROZEREM,259,RC,6476-4080-10,NDC,,both,1,EA,12,12,2.554607335,12,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,12,percent of total billed charges,999999999,,,,12,percent of total billed charges,9.143175245,,,,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.472,percent of total billed charges,8.407720633,,,,8.472,percent of total billed charges,5.79873828,,,,,,,,,,8.64,percent of total billed charges,5.615796683,,,,,,,,,,8.64,percent of total billed charges,999999999,,,,,,,,,,9.6,percent of total billed charges,8.044300975,,,,9.48,percent of total billed charges,9.148607971,,,,9.48,percent of total billed charges,8.083097975,,,,9.6,percent of total billed charges,999999999,,,,9.6,percent of total billed charges,999999999,,,,8.4,percent of total billed charges,999999999,,,,8.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.384,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.06,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3,percent of total billed charges,2.849266173,,,,,,,,,,3,percent of total billed charges,2.801870569,,,,,,,,,,3,percent of total billed charges,2.794084291,,,,,,,,,,3,percent of total billed charges,2.752941434,,,,,,,,,,3,percent of total billed charges,2.823778664,,,,,,,,,,3,percent of total billed charges,999999999,,,,,,,,,,3,percent of total billed charges,2.423000944,,,,,,,,,,3,percent of total billed charges,3.821239578,,,,,,,,,,3,percent of total billed charges,999999999,,,,,,,,,,3,percent of total billed charges,2.612587605,,,,,,,,,,10.8,percent of total billed charges,,,,,
**IMMUNE GLOBULIN 10 GM:GAMMAGARD LIQ,J1567,CDM,1353-3064-12,NDC,,both,1,EA,155,155,32.99701142,155,155,percent of total billed charges,114.0390065,,,,155,percent of total billed charges,120.8790921,,,,155,percent of total billed charges,114.0390065,,,,155,percent of total billed charges,120.8790921,,,,155,percent of total billed charges,999999999,,,,155,percent of total billed charges,118.0993469,,,,155,percent of total billed charges,114.0390065,,,,155,percent of total billed charges,120.8790921,,,,110.515,percent of total billed charges,55.14900743,,,,110.515,percent of total billed charges,32.99701142,,,,110.515,percent of total billed charges,55.14900743,,,,110.515,percent of total billed charges,32.99701142,,,,110.515,percent of total billed charges,55.14900743,,,,110.515,percent of total billed charges,32.99701142,,,,109.43,percent of total billed charges,108.5997248,,,,109.43,percent of total billed charges,74.90036946,,,,,,,,,,111.6,percent of total billed charges,72.53737382,,,,,,,,,,111.6,percent of total billed charges,999999999,,,,,,,,,,124,percent of total billed charges,103.9055543,,,,122.45,percent of total billed charges,118.1695196,,,,122.45,percent of total billed charges,104.4066822,,,,124,percent of total billed charges,999999999,,,,124,percent of total billed charges,999999999,,,,108.5,percent of total billed charges,999999999,,,,108.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,82.46,percent of total billed charges,999999999,,,,,,,,,,,,,,,,78.275,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,38.75,percent of total billed charges,36.8030214,,,,,,,,,,38.75,percent of total billed charges,36.19082818,,,,,,,,,,38.75,percent of total billed charges,36.09025542,,,,,,,,,,38.75,percent of total billed charges,35.55882685,,,,,,,,,,38.75,percent of total billed charges,36.47380774,,,,,,,,,,38.75,percent of total billed charges,999999999,,,,,,,,,,38.75,percent of total billed charges,31.29709553,,,,,,,,,,38.75,percent of total billed charges,49.35767789,,,,,,,,,,38.75,percent of total billed charges,999999999,,,,,,,,,,38.75,percent of total billed charges,33.74592323,,,,,,,,,,139.5,percent of total billed charges,,,,,
**LR 1000ML W/PITOCIN 10 UNITS DRIP,Local,Local,,,,both,,,13,13,2.76749128,13,13,percent of total billed charges,9.564561834,,,,13,percent of total billed charges,10.13824643,,,,13,percent of total billed charges,9.564561834,,,,13,percent of total billed charges,10.13824643,,,,13,percent of total billed charges,999999999,,,,13,percent of total billed charges,9.905106516,,,,13,percent of total billed charges,9.564561834,,,,13,percent of total billed charges,10.13824643,,,,9.269,percent of total billed charges,4.625400623,,,,9.269,percent of total billed charges,2.76749128,,,,9.269,percent of total billed charges,4.625400623,,,,9.269,percent of total billed charges,2.76749128,,,,9.269,percent of total billed charges,4.625400623,,,,9.269,percent of total billed charges,2.76749128,,,,9.178,percent of total billed charges,9.108364019,,,,9.178,percent of total billed charges,6.281966471,,,,,,,,,,9.36,percent of total billed charges,6.083779739,,,,,,,,,,9.36,percent of total billed charges,999999999,,,,,,,,,,10.4,percent of total billed charges,8.71465939,,,,10.27,percent of total billed charges,9.910991969,,,,10.27,percent of total billed charges,8.756689473,,,,10.4,percent of total billed charges,999999999,,,,10.4,percent of total billed charges,999999999,,,,9.1,percent of total billed charges,999999999,,,,9.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.916,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.565,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3.25,percent of total billed charges,3.086705021,,,,,,,,,,3.25,percent of total billed charges,3.035359783,,,,,,,,,,3.25,percent of total billed charges,3.026924648,,,,,,,,,,3.25,percent of total billed charges,2.98235322,,,,,,,,,,3.25,percent of total billed charges,3.059093552,,,,,,,,,,3.25,percent of total billed charges,999999999,,,,,,,,,,3.25,percent of total billed charges,2.624917689,,,,,,,,,,3.25,percent of total billed charges,4.13967621,,,,,,,,,,3.25,percent of total billed charges,999999999,,,,,,,,,,3.25,percent of total billed charges,2.830303239,,,,,,,,,,11.7,percent of total billed charges,,,,,
**FOSINOPRIL (MONOPRIL) 40MG TAB,259,RC,0009-3722-98,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
**QUETIAPINE 200MG TABLET: SEROQUEL,259,RC,0031-0027-39,NDC,,both,1,EA,21,21,4.470562837,21,21,percent of total billed charges,15.45044604,,,,21,percent of total billed charges,16.37716731,,,,21,percent of total billed charges,15.45044604,,,,21,percent of total billed charges,16.37716731,,,,21,percent of total billed charges,999999999,,,,21,percent of total billed charges,16.00055668,,,,21,percent of total billed charges,15.45044604,,,,21,percent of total billed charges,16.37716731,,,,14.973,percent of total billed charges,7.471801006,,,,14.973,percent of total billed charges,4.470562837,,,,14.973,percent of total billed charges,7.471801006,,,,14.973,percent of total billed charges,4.470562837,,,,14.973,percent of total billed charges,7.471801006,,,,14.973,percent of total billed charges,4.470562837,,,,14.826,percent of total billed charges,14.71351111,,,,14.826,percent of total billed charges,10.14779199,,,,,,,,,,15.12,percent of total billed charges,9.827644194,,,,,,,,,,15.12,percent of total billed charges,999999999,,,,,,,,,,16.8,percent of total billed charges,14.07752671,,,,16.59,percent of total billed charges,16.01006395,,,,16.59,percent of total billed charges,14.14542146,,,,16.8,percent of total billed charges,999999999,,,,16.8,percent of total billed charges,999999999,,,,14.7,percent of total billed charges,999999999,,,,14.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,11.172,percent of total billed charges,999999999,,,,,,,,,,,,,,,,10.605,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5.25,percent of total billed charges,4.986215803,,,,,,,,,,5.25,percent of total billed charges,4.903273496,,,,,,,,,,5.25,percent of total billed charges,4.889647509,,,,,,,,,,5.25,percent of total billed charges,4.817647509,,,,,,,,,,5.25,percent of total billed charges,4.941612662,,,,,,,,,,5.25,percent of total billed charges,999999999,,,,,,,,,,5.25,percent of total billed charges,4.240251652,,,,,,,,,,5.25,percent of total billed charges,6.687169262,,,,,,,,,,5.25,percent of total billed charges,999999999,,,,,,,,,,5.25,percent of total billed charges,4.572028309,,,,,,,,,,18.9,percent of total billed charges,,,,,
**OLANZAPINE 10MG VIAL: ZYPREXA 10MG IM,259,RC,0000-2759-01,NDC,,both,1,EA,72,72,15.32764401,72,72,percent of total billed charges,52.97295785,,,,72,percent of total billed charges,56.15028792,,,,72,percent of total billed charges,52.97295785,,,,72,percent of total billed charges,56.15028792,,,,72,percent of total billed charges,999999999,,,,72,percent of total billed charges,54.85905147,,,,72,percent of total billed charges,52.97295785,,,,72,percent of total billed charges,56.15028792,,,,51.336,percent of total billed charges,25.61760345,,,,51.336,percent of total billed charges,15.32764401,,,,51.336,percent of total billed charges,25.61760345,,,,51.336,percent of total billed charges,15.32764401,,,,51.336,percent of total billed charges,25.61760345,,,,51.336,percent of total billed charges,15.32764401,,,,50.832,percent of total billed charges,50.4463238,,,,50.832,percent of total billed charges,34.79242968,,,,,,,,,,51.84,percent of total billed charges,33.6947801,,,,,,,,,,51.84,percent of total billed charges,999999999,,,,,,,,,,57.6,percent of total billed charges,48.26580585,,,,56.88,percent of total billed charges,54.89164783,,,,56.88,percent of total billed charges,48.49858785,,,,57.6,percent of total billed charges,999999999,,,,57.6,percent of total billed charges,999999999,,,,50.4,percent of total billed charges,999999999,,,,50.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,38.304,percent of total billed charges,999999999,,,,,,,,,,,,,,,,36.36,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18,percent of total billed charges,17.09559704,,,,,,,,,,18,percent of total billed charges,16.81122341,,,,,,,,,,18,percent of total billed charges,16.76450574,,,,,,,,,,18,percent of total billed charges,16.5176486,,,,,,,,,,18,percent of total billed charges,16.94267198,,,,,,,,,,18,percent of total billed charges,999999999,,,,,,,,,,18,percent of total billed charges,14.53800566,,,,,,,,,,18,percent of total billed charges,22.92743747,,,,,,,,,,18,percent of total billed charges,999999999,,,,,,,,,,18,percent of total billed charges,15.67552563,,,,,,,,,,64.8,percent of total billed charges,,,,,
**MELATONIN 3 MG TAB,259,RC,5199-1001-06,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
**QUETIAPINE 300MG TABLET: SEROQUEL,259,RC,0031-0027-60,NDC,,both,1,EA,26,26,5.53498256,26,26,percent of total billed charges,19.12912367,,,,26,percent of total billed charges,20.27649286,,,,26,percent of total billed charges,19.12912367,,,,26,percent of total billed charges,20.27649286,,,,26,percent of total billed charges,999999999,,,,26,percent of total billed charges,19.81021303,,,,26,percent of total billed charges,19.12912367,,,,26,percent of total billed charges,20.27649286,,,,18.538,percent of total billed charges,9.250801246,,,,18.538,percent of total billed charges,5.53498256,,,,18.538,percent of total billed charges,9.250801246,,,,18.538,percent of total billed charges,5.53498256,,,,18.538,percent of total billed charges,9.250801246,,,,18.538,percent of total billed charges,5.53498256,,,,18.356,percent of total billed charges,18.21672804,,,,18.356,percent of total billed charges,12.56393294,,,,,,,,,,18.72,percent of total billed charges,12.16755948,,,,,,,,,,18.72,percent of total billed charges,999999999,,,,,,,,,,20.8,percent of total billed charges,17.42931878,,,,20.54,percent of total billed charges,19.82198394,,,,20.54,percent of total billed charges,17.51337895,,,,20.8,percent of total billed charges,999999999,,,,20.8,percent of total billed charges,999999999,,,,18.2,percent of total billed charges,999999999,,,,18.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,13.832,percent of total billed charges,999999999,,,,,,,,,,,,,,,,13.13,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6.5,percent of total billed charges,6.173410042,,,,,,,,,,6.5,percent of total billed charges,6.070719566,,,,,,,,,,6.5,percent of total billed charges,6.053849297,,,,,,,,,,6.5,percent of total billed charges,5.964706439,,,,,,,,,,6.5,percent of total billed charges,6.118187105,,,,,,,,,,6.5,percent of total billed charges,999999999,,,,,,,,,,6.5,percent of total billed charges,5.249835379,,,,,,,,,,6.5,percent of total billed charges,8.279352419,,,,,,,,,,6.5,percent of total billed charges,999999999,,,,,,,,,,6.5,percent of total billed charges,5.660606478,,,,,,,,,,23.4,percent of total billed charges,,,,,
**LAMOTRIGINE 200MG TAB: LAMICTAL,259,RC,0017-3064-60,NDC,,both,1,EA,12,12,2.554607335,12,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,12,percent of total billed charges,999999999,,,,12,percent of total billed charges,9.143175245,,,,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.472,percent of total billed charges,8.407720633,,,,8.472,percent of total billed charges,5.79873828,,,,,,,,,,8.64,percent of total billed charges,5.615796683,,,,,,,,,,8.64,percent of total billed charges,999999999,,,,,,,,,,9.6,percent of total billed charges,8.044300975,,,,9.48,percent of total billed charges,9.148607971,,,,9.48,percent of total billed charges,8.083097975,,,,9.6,percent of total billed charges,999999999,,,,9.6,percent of total billed charges,999999999,,,,8.4,percent of total billed charges,999999999,,,,8.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.384,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.06,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3,percent of total billed charges,2.849266173,,,,,,,,,,3,percent of total billed charges,2.801870569,,,,,,,,,,3,percent of total billed charges,2.794084291,,,,,,,,,,3,percent of total billed charges,2.752941434,,,,,,,,,,3,percent of total billed charges,2.823778664,,,,,,,,,,3,percent of total billed charges,999999999,,,,,,,,,,3,percent of total billed charges,2.423000944,,,,,,,,,,3,percent of total billed charges,3.821239578,,,,,,,,,,3,percent of total billed charges,999999999,,,,,,,,,,3,percent of total billed charges,2.612587605,,,,,,,,,,10.8,percent of total billed charges,,,,,
**POLYETHYLENE GLYCOL 115 GM: MIRALAX,259,RC,5199-1045-58,NDC,,both,1,EA,32,32,6.812286228,32,32,percent of total billed charges,23.54353682,,,,32,percent of total billed charges,24.95568352,,,,32,percent of total billed charges,23.54353682,,,,32,percent of total billed charges,24.95568352,,,,32,percent of total billed charges,999999999,,,,32,percent of total billed charges,24.38180065,,,,32,percent of total billed charges,23.54353682,,,,32,percent of total billed charges,24.95568352,,,,22.816,percent of total billed charges,11.38560153,,,,22.816,percent of total billed charges,6.812286228,,,,22.816,percent of total billed charges,11.38560153,,,,22.816,percent of total billed charges,6.812286228,,,,22.816,percent of total billed charges,11.38560153,,,,22.816,percent of total billed charges,6.812286228,,,,22.592,percent of total billed charges,22.42058835,,,,22.592,percent of total billed charges,15.46330208,,,,,,,,,,23.04,percent of total billed charges,14.97545782,,,,,,,,,,23.04,percent of total billed charges,999999999,,,,,,,,,,25.6,percent of total billed charges,21.45146927,,,,25.28,percent of total billed charges,24.39628792,,,,25.28,percent of total billed charges,21.55492793,,,,25.6,percent of total billed charges,999999999,,,,25.6,percent of total billed charges,999999999,,,,22.4,percent of total billed charges,999999999,,,,22.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,17.024,percent of total billed charges,999999999,,,,,,,,,,,,,,,,16.16,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8,percent of total billed charges,7.598043128,,,,,,,,,,8,percent of total billed charges,7.471654851,,,,,,,,,,8,percent of total billed charges,7.450891442,,,,,,,,,,8,percent of total billed charges,7.341177156,,,,,,,,,,8,percent of total billed charges,7.530076437,,,,,,,,,,8,percent of total billed charges,999999999,,,,,,,,,,8,percent of total billed charges,6.461335851,,,,,,,,,,8,percent of total billed charges,10.18997221,,,,,,,,,,8,percent of total billed charges,999999999,,,,,,,,,,8,percent of total billed charges,6.966900281,,,,,,,,,,28.8,percent of total billed charges,,,,,
**QUINAPRIL (ACCUPRIL) 5MG TAB,259,RC,0007-1052-40,NDC,,both,1,EA,9,9,1.915955502,9,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,9,percent of total billed charges,999999999,,,,9,percent of total billed charges,6.857381434,,,,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.354,percent of total billed charges,6.305790475,,,,6.354,percent of total billed charges,4.34905371,,,,,,,,,,6.48,percent of total billed charges,4.211847512,,,,,,,,,,6.48,percent of total billed charges,999999999,,,,,,,,,,7.2,percent of total billed charges,6.033225731,,,,7.11,percent of total billed charges,6.861455978,,,,7.11,percent of total billed charges,6.062323481,,,,7.2,percent of total billed charges,999999999,,,,7.2,percent of total billed charges,999999999,,,,6.3,percent of total billed charges,999999999,,,,6.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.788,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.545,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.25,percent of total billed charges,2.13694963,,,,,,,,,,2.25,percent of total billed charges,2.101402927,,,,,,,,,,2.25,percent of total billed charges,2.095563218,,,,,,,,,,2.25,percent of total billed charges,2.064706075,,,,,,,,,,2.25,percent of total billed charges,2.117833998,,,,,,,,,,2.25,percent of total billed charges,999999999,,,,,,,,,,2.25,percent of total billed charges,1.817250708,,,,,,,,,,2.25,percent of total billed charges,2.865929684,,,,,,,,,,2.25,percent of total billed charges,999999999,,,,,,,,,,2.25,percent of total billed charges,1.959440704,,,,,,,,,,8.1,percent of total billed charges,,,,,
**DOCOSANOL 10%: ABREVA,259,RC,0076-6080-00,NDC,,both,1,EA,32,32,6.812286228,32,32,percent of total billed charges,23.54353682,,,,32,percent of total billed charges,24.95568352,,,,32,percent of total billed charges,23.54353682,,,,32,percent of total billed charges,24.95568352,,,,32,percent of total billed charges,999999999,,,,32,percent of total billed charges,24.38180065,,,,32,percent of total billed charges,23.54353682,,,,32,percent of total billed charges,24.95568352,,,,22.816,percent of total billed charges,11.38560153,,,,22.816,percent of total billed charges,6.812286228,,,,22.816,percent of total billed charges,11.38560153,,,,22.816,percent of total billed charges,6.812286228,,,,22.816,percent of total billed charges,11.38560153,,,,22.816,percent of total billed charges,6.812286228,,,,22.592,percent of total billed charges,22.42058835,,,,22.592,percent of total billed charges,15.46330208,,,,,,,,,,23.04,percent of total billed charges,14.97545782,,,,,,,,,,23.04,percent of total billed charges,999999999,,,,,,,,,,25.6,percent of total billed charges,21.45146927,,,,25.28,percent of total billed charges,24.39628792,,,,25.28,percent of total billed charges,21.55492793,,,,25.6,percent of total billed charges,999999999,,,,25.6,percent of total billed charges,999999999,,,,22.4,percent of total billed charges,999999999,,,,22.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,17.024,percent of total billed charges,999999999,,,,,,,,,,,,,,,,16.16,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8,percent of total billed charges,7.598043128,,,,,,,,,,8,percent of total billed charges,7.471654851,,,,,,,,,,8,percent of total billed charges,7.450891442,,,,,,,,,,8,percent of total billed charges,7.341177156,,,,,,,,,,8,percent of total billed charges,7.530076437,,,,,,,,,,8,percent of total billed charges,999999999,,,,,,,,,,8,percent of total billed charges,6.461335851,,,,,,,,,,8,percent of total billed charges,10.18997221,,,,,,,,,,8,percent of total billed charges,999999999,,,,,,,,,,8,percent of total billed charges,6.966900281,,,,,,,,,,28.8,percent of total billed charges,,,,,
**DENTURE ADHESIVE PASTE,259,RC,0060-3017-29,NDC,,both,1,EA,17,17,3.619027059,17,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,17,percent of total billed charges,999999999,,,,17,percent of total billed charges,12.9528316,,,,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.002,percent of total billed charges,11.91093756,,,,12.002,percent of total billed charges,8.214879231,,,,,,,,,,12.24,percent of total billed charges,7.955711967,,,,,,,,,,12.24,percent of total billed charges,999999999,,,,,,,,,,13.6,percent of total billed charges,11.39609305,,,,13.43,percent of total billed charges,12.96052796,,,,13.43,percent of total billed charges,11.45105547,,,,13.6,percent of total billed charges,999999999,,,,13.6,percent of total billed charges,999999999,,,,11.9,percent of total billed charges,999999999,,,,11.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.044,percent of total billed charges,999999999,,,,,,,,,,,,,,,,8.585,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4.25,percent of total billed charges,4.036460412,,,,,,,,,,4.25,percent of total billed charges,3.96931664,,,,,,,,,,4.25,percent of total billed charges,3.958286079,,,,,,,,,,4.25,percent of total billed charges,3.900000364,,,,,,,,,,4.25,percent of total billed charges,4.000353107,,,,,,,,,,4.25,percent of total billed charges,999999999,,,,,,,,,,4.25,percent of total billed charges,3.432584671,,,,,,,,,,4.25,percent of total billed charges,5.413422736,,,,,,,,,,4.25,percent of total billed charges,999999999,,,,,,,,,,4.25,percent of total billed charges,3.701165774,,,,,,,,,,15.3,percent of total billed charges,,,,,
**ZICAM INTENSE SINUS RELIEF,259,RC,6275-0000-10,NDC,,both,1,EA,24,24,5.109214671,24,24,percent of total billed charges,17.65765262,,,,24,percent of total billed charges,18.71676264,,,,24,percent of total billed charges,17.65765262,,,,24,percent of total billed charges,18.71676264,,,,24,percent of total billed charges,999999999,,,,24,percent of total billed charges,18.28635049,,,,24,percent of total billed charges,17.65765262,,,,24,percent of total billed charges,18.71676264,,,,17.112,percent of total billed charges,8.53920115,,,,17.112,percent of total billed charges,5.109214671,,,,17.112,percent of total billed charges,8.53920115,,,,17.112,percent of total billed charges,5.109214671,,,,17.112,percent of total billed charges,8.53920115,,,,17.112,percent of total billed charges,5.109214671,,,,16.944,percent of total billed charges,16.81544127,,,,16.944,percent of total billed charges,11.59747656,,,,,,,,,,17.28,percent of total billed charges,11.23159337,,,,,,,,,,17.28,percent of total billed charges,999999999,,,,,,,,,,19.2,percent of total billed charges,16.08860195,,,,18.96,percent of total billed charges,18.29721594,,,,18.96,percent of total billed charges,16.16619595,,,,19.2,percent of total billed charges,999999999,,,,19.2,percent of total billed charges,999999999,,,,16.8,percent of total billed charges,999999999,,,,16.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,12.768,percent of total billed charges,999999999,,,,,,,,,,,,,,,,12.12,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6,percent of total billed charges,5.698532346,,,,,,,,,,6,percent of total billed charges,5.603741138,,,,,,,,,,6,percent of total billed charges,5.588168582,,,,,,,,,,6,percent of total billed charges,5.505882867,,,,,,,,,,6,percent of total billed charges,5.647557328,,,,,,,,,,6,percent of total billed charges,999999999,,,,,,,,,,6,percent of total billed charges,4.846001888,,,,,,,,,,6,percent of total billed charges,7.642479156,,,,,,,,,,6,percent of total billed charges,999999999,,,,,,,,,,6,percent of total billed charges,5.22517521,,,,,,,,,,21.6,percent of total billed charges,,,,,
**AMLODIPINE/BENAZEPRIL 5/20: LOTREL,259,RC,0007-8040-05,NDC,,both,1,EA,11,11,2.341723391,11,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,11,percent of total billed charges,999999999,,,,11,percent of total billed charges,8.381243975,,,,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.766,percent of total billed charges,7.707077247,,,,7.766,percent of total billed charges,5.31551009,,,,,,,,,,7.92,percent of total billed charges,5.147813626,,,,,,,,,,7.92,percent of total billed charges,999999999,,,,,,,,,,8.8,percent of total billed charges,7.373942561,,,,8.69,percent of total billed charges,8.386223973,,,,8.69,percent of total billed charges,7.409506477,,,,8.8,percent of total billed charges,999999999,,,,8.8,percent of total billed charges,999999999,,,,7.7,percent of total billed charges,999999999,,,,7.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.852,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.555,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.75,percent of total billed charges,2.611827325,,,,,,,,,,2.75,percent of total billed charges,2.568381355,,,,,,,,,,2.75,percent of total billed charges,2.561243933,,,,,,,,,,2.75,percent of total billed charges,2.523529647,,,,,,,,,,2.75,percent of total billed charges,2.588463775,,,,,,,,,,2.75,percent of total billed charges,999999999,,,,,,,,,,2.75,percent of total billed charges,2.221084199,,,,,,,,,,2.75,percent of total billed charges,3.502802947,,,,,,,,,,2.75,percent of total billed charges,999999999,,,,,,,,,,2.75,percent of total billed charges,2.394871971,,,,,,,,,,9.9,percent of total billed charges,,,,,
**IMMUNE GLOBULIN 1GM: GAMMAR-PIV,J1567,CDM,0005-3748-10,NDC,,both,1,EA,163,163,34.70008297,163,163,percent of total billed charges,119.9248907,,,,163,percent of total billed charges,127.1180129,,,,163,percent of total billed charges,119.9248907,,,,163,percent of total billed charges,127.1180129,,,,163,percent of total billed charges,999999999,,,,163,percent of total billed charges,124.1947971,,,,163,percent of total billed charges,119.9248907,,,,163,percent of total billed charges,127.1180129,,,,116.219,percent of total billed charges,57.99540781,,,,116.219,percent of total billed charges,34.70008297,,,,116.219,percent of total billed charges,57.99540781,,,,116.219,percent of total billed charges,34.70008297,,,,116.219,percent of total billed charges,57.99540781,,,,116.219,percent of total billed charges,34.70008297,,,,115.078,percent of total billed charges,114.2048719,,,,115.078,percent of total billed charges,78.76619498,,,,,,,,,,117.36,percent of total billed charges,76.28123827,,,,,,,,,,117.36,percent of total billed charges,999999999,,,,,,,,,,130.4,percent of total billed charges,109.2684216,,,,128.77,percent of total billed charges,124.2685916,,,,128.77,percent of total billed charges,109.7954142,,,,130.4,percent of total billed charges,999999999,,,,130.4,percent of total billed charges,999999999,,,,114.1,percent of total billed charges,999999999,,,,114.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,86.716,percent of total billed charges,999999999,,,,,,,,,,,,,,,,82.315,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,40.75,percent of total billed charges,38.70253219,,,,,,,,,,40.75,percent of total billed charges,38.0587419,,,,,,,,,,40.75,percent of total billed charges,37.95297828,,,,,,,,,,40.75,percent of total billed charges,37.39412114,,,,,,,,,,40.75,percent of total billed charges,38.35632685,,,,,,,,,,40.75,percent of total billed charges,999999999,,,,,,,,,,40.75,percent of total billed charges,32.91242949,,,,,,,,,,40.75,percent of total billed charges,51.90517094,,,,,,,,,,40.75,percent of total billed charges,999999999,,,,,,,,,,40.75,percent of total billed charges,35.4876483,,,,,,,,,,146.7,percent of total billed charges,,,,,
**INSULIN LISPRO MIX 50/50: PER DOSE,250,RC,0000-2751-01,NDC,,both,1,EA,1,1,0.212883945,1,1,percent of total billed charges,0.735735526,,,,1,percent of total billed charges,0.77986511,,,,1,percent of total billed charges,0.735735526,,,,1,percent of total billed charges,0.77986511,,,,1,percent of total billed charges,999999999,,,,1,percent of total billed charges,0.76193127,,,,1,percent of total billed charges,0.735735526,,,,1,percent of total billed charges,0.77986511,,,,0.713,percent of total billed charges,0.355800048,,,,0.713,percent of total billed charges,0.212883945,,,,0.713,percent of total billed charges,0.355800048,,,,0.713,percent of total billed charges,0.212883945,,,,0.713,percent of total billed charges,0.355800048,,,,0.713,percent of total billed charges,0.212883945,,,,0.706,percent of total billed charges,0.700643386,,,,0.706,percent of total billed charges,0.48322819,,,,,,,,,,0.72,percent of total billed charges,0.467983057,,,,,,,,,,0.72,percent of total billed charges,999999999,,,,,,,,,,0.8,percent of total billed charges,0.670358415,,,,0.79,percent of total billed charges,0.762383998,,,,0.79,percent of total billed charges,0.673591498,,,,0.8,percent of total billed charges,999999999,,,,0.8,percent of total billed charges,999999999,,,,0.7,percent of total billed charges,999999999,,,,0.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.532,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.505,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.25,percent of total billed charges,0.237438848,,,,,,,,,,0.25,percent of total billed charges,0.233489214,,,,,,,,,,0.25,percent of total billed charges,0.232840358,,,,,,,,,,0.25,percent of total billed charges,0.229411786,,,,,,,,,,0.25,percent of total billed charges,0.235314889,,,,,,,,,,0.25,percent of total billed charges,999999999,,,,,,,,,,0.25,percent of total billed charges,0.201916745,,,,,,,,,,0.25,percent of total billed charges,0.318436632,,,,,,,,,,0.25,percent of total billed charges,999999999,,,,,,,,,,0.25,percent of total billed charges,0.217715634,,,,,,,,,,0.9,percent of total billed charges,,,,,
**ZOLPIDEM CR 12.5MG: AMBIEN,259,RC,0002-4552-10,NDC,,both,1,EA,13,13,2.76749128,13,13,percent of total billed charges,9.564561834,,,,13,percent of total billed charges,10.13824643,,,,13,percent of total billed charges,9.564561834,,,,13,percent of total billed charges,10.13824643,,,,13,percent of total billed charges,999999999,,,,13,percent of total billed charges,9.905106516,,,,13,percent of total billed charges,9.564561834,,,,13,percent of total billed charges,10.13824643,,,,9.269,percent of total billed charges,4.625400623,,,,9.269,percent of total billed charges,2.76749128,,,,9.269,percent of total billed charges,4.625400623,,,,9.269,percent of total billed charges,2.76749128,,,,9.269,percent of total billed charges,4.625400623,,,,9.269,percent of total billed charges,2.76749128,,,,9.178,percent of total billed charges,9.108364019,,,,9.178,percent of total billed charges,6.281966471,,,,,,,,,,9.36,percent of total billed charges,6.083779739,,,,,,,,,,9.36,percent of total billed charges,999999999,,,,,,,,,,10.4,percent of total billed charges,8.71465939,,,,10.27,percent of total billed charges,9.910991969,,,,10.27,percent of total billed charges,8.756689473,,,,10.4,percent of total billed charges,999999999,,,,10.4,percent of total billed charges,999999999,,,,9.1,percent of total billed charges,999999999,,,,9.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.916,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.565,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3.25,percent of total billed charges,3.086705021,,,,,,,,,,3.25,percent of total billed charges,3.035359783,,,,,,,,,,3.25,percent of total billed charges,3.026924648,,,,,,,,,,3.25,percent of total billed charges,2.98235322,,,,,,,,,,3.25,percent of total billed charges,3.059093552,,,,,,,,,,3.25,percent of total billed charges,999999999,,,,,,,,,,3.25,percent of total billed charges,2.624917689,,,,,,,,,,3.25,percent of total billed charges,4.13967621,,,,,,,,,,3.25,percent of total billed charges,999999999,,,,,,,,,,3.25,percent of total billed charges,2.830303239,,,,,,,,,,11.7,percent of total billed charges,,,,,
**CITALOPRAM (CELEXA) 10 MG TAB,259,RC,0045-6402-01,NDC,,both,1,EA,12,12,2.554607335,12,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,12,percent of total billed charges,999999999,,,,12,percent of total billed charges,9.143175245,,,,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.472,percent of total billed charges,8.407720633,,,,8.472,percent of total billed charges,5.79873828,,,,,,,,,,8.64,percent of total billed charges,5.615796683,,,,,,,,,,8.64,percent of total billed charges,999999999,,,,,,,,,,9.6,percent of total billed charges,8.044300975,,,,9.48,percent of total billed charges,9.148607971,,,,9.48,percent of total billed charges,8.083097975,,,,9.6,percent of total billed charges,999999999,,,,9.6,percent of total billed charges,999999999,,,,8.4,percent of total billed charges,999999999,,,,8.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.384,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.06,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3,percent of total billed charges,2.849266173,,,,,,,,,,3,percent of total billed charges,2.801870569,,,,,,,,,,3,percent of total billed charges,2.794084291,,,,,,,,,,3,percent of total billed charges,2.752941434,,,,,,,,,,3,percent of total billed charges,2.823778664,,,,,,,,,,3,percent of total billed charges,999999999,,,,,,,,,,3,percent of total billed charges,2.423000944,,,,,,,,,,3,percent of total billed charges,3.821239578,,,,,,,,,,3,percent of total billed charges,999999999,,,,,,,,,,3,percent of total billed charges,2.612587605,,,,,,,,,,10.8,percent of total billed charges,,,,,
**MODAFINIL 100MG: PROVIGIL,259,RC,6345-9010-01,NDC,,both,1,EA,21,21,4.470562837,21,21,percent of total billed charges,15.45044604,,,,21,percent of total billed charges,16.37716731,,,,21,percent of total billed charges,15.45044604,,,,21,percent of total billed charges,16.37716731,,,,21,percent of total billed charges,999999999,,,,21,percent of total billed charges,16.00055668,,,,21,percent of total billed charges,15.45044604,,,,21,percent of total billed charges,16.37716731,,,,14.973,percent of total billed charges,7.471801006,,,,14.973,percent of total billed charges,4.470562837,,,,14.973,percent of total billed charges,7.471801006,,,,14.973,percent of total billed charges,4.470562837,,,,14.973,percent of total billed charges,7.471801006,,,,14.973,percent of total billed charges,4.470562837,,,,14.826,percent of total billed charges,14.71351111,,,,14.826,percent of total billed charges,10.14779199,,,,,,,,,,15.12,percent of total billed charges,9.827644194,,,,,,,,,,15.12,percent of total billed charges,999999999,,,,,,,,,,16.8,percent of total billed charges,14.07752671,,,,16.59,percent of total billed charges,16.01006395,,,,16.59,percent of total billed charges,14.14542146,,,,16.8,percent of total billed charges,999999999,,,,16.8,percent of total billed charges,999999999,,,,14.7,percent of total billed charges,999999999,,,,14.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,11.172,percent of total billed charges,999999999,,,,,,,,,,,,,,,,10.605,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5.25,percent of total billed charges,4.986215803,,,,,,,,,,5.25,percent of total billed charges,4.903273496,,,,,,,,,,5.25,percent of total billed charges,4.889647509,,,,,,,,,,5.25,percent of total billed charges,4.817647509,,,,,,,,,,5.25,percent of total billed charges,4.941612662,,,,,,,,,,5.25,percent of total billed charges,999999999,,,,,,,,,,5.25,percent of total billed charges,4.240251652,,,,,,,,,,5.25,percent of total billed charges,6.687169262,,,,,,,,,,5.25,percent of total billed charges,999999999,,,,,,,,,,5.25,percent of total billed charges,4.572028309,,,,,,,,,,18.9,percent of total billed charges,,,,,
**HYDROcodone/CH0LORPHENIRAMINE SUSP,259,RC,5301-4054-01,NDC,,both,1,EA,67,67,14.26322429,67,67,percent of total billed charges,49.29428022,,,,67,percent of total billed charges,52.25096237,,,,67,percent of total billed charges,49.29428022,,,,67,percent of total billed charges,52.25096237,,,,67,percent of total billed charges,999999999,,,,67,percent of total billed charges,51.04939512,,,,67,percent of total billed charges,49.29428022,,,,67,percent of total billed charges,52.25096237,,,,47.771,percent of total billed charges,23.83860321,,,,47.771,percent of total billed charges,14.26322429,,,,47.771,percent of total billed charges,23.83860321,,,,47.771,percent of total billed charges,14.26322429,,,,47.771,percent of total billed charges,23.83860321,,,,47.771,percent of total billed charges,14.26322429,,,,47.302,percent of total billed charges,46.94310687,,,,47.302,percent of total billed charges,32.37628873,,,,,,,,,,48.24,percent of total billed charges,31.35486481,,,,,,,,,,48.24,percent of total billed charges,999999999,,,,,,,,,,53.6,percent of total billed charges,44.91401378,,,,52.93,percent of total billed charges,51.07972784,,,,52.93,percent of total billed charges,45.13063036,,,,53.6,percent of total billed charges,999999999,,,,53.6,percent of total billed charges,999999999,,,,46.9,percent of total billed charges,999999999,,,,46.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,35.644,percent of total billed charges,999999999,,,,,,,,,,,,,,,,33.835,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16.75,percent of total billed charges,15.9084028,,,,,,,,,,16.75,percent of total billed charges,15.64377734,,,,,,,,,,16.75,percent of total billed charges,15.60030396,,,,,,,,,,16.75,percent of total billed charges,15.37058967,,,,,,,,,,16.75,percent of total billed charges,15.76609754,,,,,,,,,,16.75,percent of total billed charges,999999999,,,,,,,,,,16.75,percent of total billed charges,13.52842194,,,,,,,,,,16.75,percent of total billed charges,21.33525431,,,,,,,,,,16.75,percent of total billed charges,999999999,,,,,,,,,,16.75,percent of total billed charges,14.58694746,,,,,,,,,,60.3,percent of total billed charges,,,,,
**ISRADIPINE CR 5MG: DYNACIRC CR,259,RC,1625-2054-01,NDC,,both,1,EA,10,10,2.128839446,10,10,percent of total billed charges,7.357355257,,,,10,percent of total billed charges,7.7986511,,,,10,percent of total billed charges,7.357355257,,,,10,percent of total billed charges,7.7986511,,,,10,percent of total billed charges,999999999,,,,10,percent of total billed charges,7.619312704,,,,10,percent of total billed charges,7.357355257,,,,10,percent of total billed charges,7.7986511,,,,7.13,percent of total billed charges,3.558000479,,,,7.13,percent of total billed charges,2.128839446,,,,7.13,percent of total billed charges,3.558000479,,,,7.13,percent of total billed charges,2.128839446,,,,7.13,percent of total billed charges,3.558000479,,,,7.13,percent of total billed charges,2.128839446,,,,7.06,percent of total billed charges,7.006433861,,,,7.06,percent of total billed charges,4.8322819,,,,,,,,,,7.2,percent of total billed charges,4.679830569,,,,,,,,,,7.2,percent of total billed charges,999999999,,,,,,,,,,8,percent of total billed charges,6.703584146,,,,7.9,percent of total billed charges,7.623839976,,,,7.9,percent of total billed charges,6.735914979,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,999999999,,,,7,percent of total billed charges,999999999,,,,7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.32,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.05,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.5,percent of total billed charges,2.374388478,,,,,,,,,,2.5,percent of total billed charges,2.334892141,,,,,,,,,,2.5,percent of total billed charges,2.328403576,,,,,,,,,,2.5,percent of total billed charges,2.294117861,,,,,,,,,,2.5,percent of total billed charges,2.353148886,,,,,,,,,,2.5,percent of total billed charges,999999999,,,,,,,,,,2.5,percent of total billed charges,2.019167453,,,,,,,,,,2.5,percent of total billed charges,3.184366315,,,,,,,,,,2.5,percent of total billed charges,999999999,,,,,,,,,,2.5,percent of total billed charges,2.177156338,,,,,,,,,,9,percent of total billed charges,,,,,
**ONDANSETRON 4MG/2ML SYRINGE:ZOFRAN,250,RC,0040-9112-62,NDC,,both,1,EA,16,16,3.406143114,16,16,percent of total billed charges,11.77176841,,,,16,percent of total billed charges,12.47784176,,,,16,percent of total billed charges,11.77176841,,,,16,percent of total billed charges,12.47784176,,,,16,percent of total billed charges,999999999,,,,16,percent of total billed charges,12.19090033,,,,16,percent of total billed charges,11.77176841,,,,16,percent of total billed charges,12.47784176,,,,11.408,percent of total billed charges,5.692800767,,,,11.408,percent of total billed charges,3.406143114,,,,11.408,percent of total billed charges,5.692800767,,,,11.408,percent of total billed charges,3.406143114,,,,11.408,percent of total billed charges,5.692800767,,,,11.408,percent of total billed charges,3.406143114,,,,11.296,percent of total billed charges,11.21029418,,,,11.296,percent of total billed charges,7.731651041,,,,,,,,,,11.52,percent of total billed charges,7.48772891,,,,,,,,,,11.52,percent of total billed charges,999999999,,,,,,,,,,12.8,percent of total billed charges,10.72573463,,,,12.64,percent of total billed charges,12.19814396,,,,12.64,percent of total billed charges,10.77746397,,,,12.8,percent of total billed charges,999999999,,,,12.8,percent of total billed charges,999999999,,,,11.2,percent of total billed charges,999999999,,,,11.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,8.512,percent of total billed charges,999999999,,,,,,,,,,,,,,,,8.08,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4,percent of total billed charges,3.799021564,,,,,,,,,,4,percent of total billed charges,3.735827425,,,,,,,,,,4,percent of total billed charges,3.725445721,,,,,,,,,,4,percent of total billed charges,3.670588578,,,,,,,,,,4,percent of total billed charges,3.765038218,,,,,,,,,,4,percent of total billed charges,999999999,,,,,,,,,,4,percent of total billed charges,3.230667926,,,,,,,,,,4,percent of total billed charges,5.094986104,,,,,,,,,,4,percent of total billed charges,999999999,,,,,,,,,,4,percent of total billed charges,3.48345014,,,,,,,,,,14.4,percent of total billed charges,,,,,
**ERGOCALCIFEROL DROPS:CALCIFEROL,259,RC,0009-1415-60,NDC,,both,1,EA,178,178,37.89334214,178,178,percent of total billed charges,130.9609236,,,,178,percent of total billed charges,138.8159896,,,,178,percent of total billed charges,130.9609236,,,,178,percent of total billed charges,138.8159896,,,,178,percent of total billed charges,999999999,,,,178,percent of total billed charges,135.6237661,,,,178,percent of total billed charges,130.9609236,,,,178,percent of total billed charges,138.8159896,,,,126.914,percent of total billed charges,63.33240853,,,,126.914,percent of total billed charges,37.89334214,,,,126.914,percent of total billed charges,63.33240853,,,,126.914,percent of total billed charges,37.89334214,,,,126.914,percent of total billed charges,63.33240853,,,,126.914,percent of total billed charges,37.89334214,,,,125.668,percent of total billed charges,124.7145227,,,,125.668,percent of total billed charges,86.01461783,,,,,,,,,,128.16,percent of total billed charges,83.30098412,,,,,,,,,,128.16,percent of total billed charges,999999999,,,,,,,,,,142.4,percent of total billed charges,119.3237978,,,,140.62,percent of total billed charges,135.7043516,,,,140.62,percent of total billed charges,119.8992866,,,,142.4,percent of total billed charges,999999999,,,,142.4,percent of total billed charges,999999999,,,,124.6,percent of total billed charges,999999999,,,,124.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,94.696,percent of total billed charges,999999999,,,,,,,,,,,,,,,,89.89,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,44.5,percent of total billed charges,42.2641149,,,,,,,,,,44.5,percent of total billed charges,41.56108011,,,,,,,,,,44.5,percent of total billed charges,41.44558365,,,,,,,,,,44.5,percent of total billed charges,40.83529793,,,,,,,,,,44.5,percent of total billed charges,41.88605018,,,,,,,,,,44.5,percent of total billed charges,999999999,,,,,,,,,,44.5,percent of total billed charges,35.94118067,,,,,,,,,,44.5,percent of total billed charges,56.68172041,,,,,,,,,,44.5,percent of total billed charges,999999999,,,,,,,,,,44.5,percent of total billed charges,38.75338281,,,,,,,,,,160.2,percent of total billed charges,,,,,
**AMPICILLIN 1GM/100ML IVPB MINIBAG+,J0290,CDM,0078-1940-85,NDC,,both,1,EA,16,16,3.406143114,16,16,percent of total billed charges,11.77176841,,,,16,percent of total billed charges,12.47784176,,,,16,percent of total billed charges,11.77176841,,,,16,percent of total billed charges,12.47784176,,,,16,percent of total billed charges,999999999,,,,16,percent of total billed charges,12.19090033,,,,16,percent of total billed charges,11.77176841,,,,16,percent of total billed charges,12.47784176,,,,11.408,percent of total billed charges,5.692800767,,,,11.408,percent of total billed charges,3.406143114,,,,11.408,percent of total billed charges,5.692800767,,,,11.408,percent of total billed charges,3.406143114,,,,11.408,percent of total billed charges,5.692800767,,,,11.408,percent of total billed charges,3.406143114,,,,11.296,percent of total billed charges,11.21029418,,,,11.296,percent of total billed charges,7.731651041,,,,,,,,,,11.52,percent of total billed charges,7.48772891,,,,,,,,,,11.52,percent of total billed charges,999999999,,,,,,,,,,12.8,percent of total billed charges,10.72573463,,,,12.64,percent of total billed charges,12.19814396,,,,12.64,percent of total billed charges,10.77746397,,,,12.8,percent of total billed charges,999999999,,,,12.8,percent of total billed charges,999999999,,,,11.2,percent of total billed charges,999999999,,,,11.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,8.512,percent of total billed charges,999999999,,,,,,,,,,,,,,,,8.08,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4,percent of total billed charges,3.799021564,,,,,,,,,,4,percent of total billed charges,3.735827425,,,,,,,,,,4,percent of total billed charges,3.725445721,,,,,,,,,,4,percent of total billed charges,3.670588578,,,,,,,,,,4,percent of total billed charges,3.765038218,,,,,,,,,,4,percent of total billed charges,999999999,,,,,,,,,,4,percent of total billed charges,3.230667926,,,,,,,,,,4,percent of total billed charges,5.094986104,,,,,,,,,,4,percent of total billed charges,999999999,,,,,,,,,,4,percent of total billed charges,3.48345014,,,,,,,,,,14.4,percent of total billed charges,,,,,
**CEFOXITIN (MEFOXIN) 2GM/100ML IVPB MB+,J0694,CDM,6332-3034-20,NDC,,both,1,EA,16,16,3.406143114,16,16,percent of total billed charges,11.77176841,,,,16,percent of total billed charges,12.47784176,,,,16,percent of total billed charges,11.77176841,,,,16,percent of total billed charges,12.47784176,,,,16,percent of total billed charges,999999999,,,,16,percent of total billed charges,12.19090033,,,,16,percent of total billed charges,11.77176841,,,,16,percent of total billed charges,12.47784176,,,,11.408,percent of total billed charges,5.692800767,,,,11.408,percent of total billed charges,3.406143114,,,,11.408,percent of total billed charges,5.692800767,,,,11.408,percent of total billed charges,3.406143114,,,,11.408,percent of total billed charges,5.692800767,,,,11.408,percent of total billed charges,3.406143114,,,,11.296,percent of total billed charges,11.21029418,,,,11.296,percent of total billed charges,7.731651041,,,,,,,,,,11.52,percent of total billed charges,7.48772891,,,,,,,,,,11.52,percent of total billed charges,999999999,,,,,,,,,,12.8,percent of total billed charges,10.72573463,,,,12.64,percent of total billed charges,12.19814396,,,,12.64,percent of total billed charges,10.77746397,,,,12.8,percent of total billed charges,999999999,,,,12.8,percent of total billed charges,999999999,,,,11.2,percent of total billed charges,999999999,,,,11.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,8.512,percent of total billed charges,999999999,,,,,,,,,,,,,,,,8.08,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4,percent of total billed charges,3.799021564,,,,,,,,,,4,percent of total billed charges,3.735827425,,,,,,,,,,4,percent of total billed charges,3.725445721,,,,,,,,,,4,percent of total billed charges,3.670588578,,,,,,,,,,4,percent of total billed charges,3.765038218,,,,,,,,,,4,percent of total billed charges,999999999,,,,,,,,,,4,percent of total billed charges,3.230667926,,,,,,,,,,4,percent of total billed charges,5.094986104,,,,,,,,,,4,percent of total billed charges,999999999,,,,,,,,,,4,percent of total billed charges,3.48345014,,,,,,,,,,14.4,percent of total billed charges,,,,,
**ESZOPICLONE 3 MG: LUNESTA,259,RC,6340-2019-09,NDC,,both,1,EA,13,13,2.76749128,13,13,percent of total billed charges,9.564561834,,,,13,percent of total billed charges,10.13824643,,,,13,percent of total billed charges,9.564561834,,,,13,percent of total billed charges,10.13824643,,,,13,percent of total billed charges,999999999,,,,13,percent of total billed charges,9.905106516,,,,13,percent of total billed charges,9.564561834,,,,13,percent of total billed charges,10.13824643,,,,9.269,percent of total billed charges,4.625400623,,,,9.269,percent of total billed charges,2.76749128,,,,9.269,percent of total billed charges,4.625400623,,,,9.269,percent of total billed charges,2.76749128,,,,9.269,percent of total billed charges,4.625400623,,,,9.269,percent of total billed charges,2.76749128,,,,9.178,percent of total billed charges,9.108364019,,,,9.178,percent of total billed charges,6.281966471,,,,,,,,,,9.36,percent of total billed charges,6.083779739,,,,,,,,,,9.36,percent of total billed charges,999999999,,,,,,,,,,10.4,percent of total billed charges,8.71465939,,,,10.27,percent of total billed charges,9.910991969,,,,10.27,percent of total billed charges,8.756689473,,,,10.4,percent of total billed charges,999999999,,,,10.4,percent of total billed charges,999999999,,,,9.1,percent of total billed charges,999999999,,,,9.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.916,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.565,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3.25,percent of total billed charges,3.086705021,,,,,,,,,,3.25,percent of total billed charges,3.035359783,,,,,,,,,,3.25,percent of total billed charges,3.026924648,,,,,,,,,,3.25,percent of total billed charges,2.98235322,,,,,,,,,,3.25,percent of total billed charges,3.059093552,,,,,,,,,,3.25,percent of total billed charges,999999999,,,,,,,,,,3.25,percent of total billed charges,2.624917689,,,,,,,,,,3.25,percent of total billed charges,4.13967621,,,,,,,,,,3.25,percent of total billed charges,999999999,,,,,,,,,,3.25,percent of total billed charges,2.830303239,,,,,,,,,,11.7,percent of total billed charges,,,,,
**POTASSIUM CHLORIDE 40MEQ,259,RC,0024-5005-11,NDC,,both,1,EA,7,7,1.490187612,7,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,7,percent of total billed charges,999999999,,,,7,percent of total billed charges,5.333518893,,,,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.942,percent of total billed charges,4.904503703,,,,4.942,percent of total billed charges,3.38259733,,,,,,,,,,5.04,percent of total billed charges,3.275881398,,,,,,,,,,5.04,percent of total billed charges,999999999,,,,,,,,,,5.6,percent of total billed charges,4.692508902,,,,5.53,percent of total billed charges,5.336687983,,,,5.53,percent of total billed charges,4.715140486,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,4.9,percent of total billed charges,999999999,,,,4.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.724,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.535,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.75,percent of total billed charges,1.662071934,,,,,,,,,,1.75,percent of total billed charges,1.634424499,,,,,,,,,,1.75,percent of total billed charges,1.629882503,,,,,,,,,,1.75,percent of total billed charges,1.605882503,,,,,,,,,,1.75,percent of total billed charges,1.647204221,,,,,,,,,,1.75,percent of total billed charges,999999999,,,,,,,,,,1.75,percent of total billed charges,1.413417217,,,,,,,,,,1.75,percent of total billed charges,2.229056421,,,,,,,,,,1.75,percent of total billed charges,999999999,,,,,,,,,,1.75,percent of total billed charges,1.524009436,,,,,,,,,,6.3,percent of total billed charges,,,,,
**LEUPROLIDE 7.5MG INJ.: LUPRON DEPOT,250,RC,0007-4364-03,NDC,,both,1,EA,1603,1603,341.2529632,1603,1603,percent of total billed charges,1179.384048,,,,1603,percent of total billed charges,1250.123771,,,,1603,percent of total billed charges,1179.384048,,,,1603,percent of total billed charges,1250.123771,,,,1603,percent of total billed charges,999999999,,,,1603,percent of total billed charges,1221.375826,,,,1603,percent of total billed charges,1179.384048,,,,1603,percent of total billed charges,1250.123771,,,,1142.939,percent of total billed charges,570.3474768,,,,1142.939,percent of total billed charges,341.2529632,,,,1142.939,percent of total billed charges,570.3474768,,,,1142.939,percent of total billed charges,341.2529632,,,,1142.939,percent of total billed charges,570.3474768,,,,1142.939,percent of total billed charges,341.2529632,,,,1131.718,percent of total billed charges,1123.131348,,,,1131.718,percent of total billed charges,774.6147886,,,,,,,,,,1154.16,percent of total billed charges,750.1768402,,,,,,,,,,1154.16,percent of total billed charges,999999999,,,,,,,,,,1282.4,percent of total billed charges,1074.584539,,,,1266.37,percent of total billed charges,1222.101548,,,,1266.37,percent of total billed charges,1079.767171,,,,1282.4,percent of total billed charges,999999999,,,,1282.4,percent of total billed charges,999999999,,,,1122.1,percent of total billed charges,999999999,,,,1122.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,852.796,percent of total billed charges,999999999,,,,,,,,,,,,,,,,809.515,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,400.75,percent of total billed charges,380.614473,,,,,,,,,,400.75,percent of total billed charges,374.2832102,,,,,,,,,,400.75,percent of total billed charges,373.2430932,,,,,,,,,,400.75,percent of total billed charges,367.7470932,,,,,,,,,,400.75,percent of total billed charges,377.2097665,,,,,,,,,,400.75,percent of total billed charges,999999999,,,,,,,,,,400.75,percent of total billed charges,323.6725428,,,,,,,,,,400.75,percent of total billed charges,510.4539203,,,,,,,,,,400.75,percent of total billed charges,999999999,,,,,,,,,,400.75,percent of total billed charges,348.9981609,,,,,,,,,,1442.7,percent of total billed charges,,,,,
**PENTAZOCINE INJ 30MG/1ML: TALWIN,250,RC,0040-9194-01,NDC,,both,1,EA,45,45,9.579777508,45,45,percent of total billed charges,33.10809866,,,,45,percent of total billed charges,35.09392995,,,,45,percent of total billed charges,33.10809866,,,,45,percent of total billed charges,35.09392995,,,,45,percent of total billed charges,999999999,,,,45,percent of total billed charges,34.28690717,,,,45,percent of total billed charges,33.10809866,,,,45,percent of total billed charges,35.09392995,,,,32.085,percent of total billed charges,16.01100216,,,,32.085,percent of total billed charges,9.579777508,,,,32.085,percent of total billed charges,16.01100216,,,,32.085,percent of total billed charges,9.579777508,,,,32.085,percent of total billed charges,16.01100216,,,,32.085,percent of total billed charges,9.579777508,,,,31.77,percent of total billed charges,31.52895237,,,,31.77,percent of total billed charges,21.74526855,,,,,,,,,,32.4,percent of total billed charges,21.05923756,,,,,,,,,,32.4,percent of total billed charges,999999999,,,,,,,,,,36,percent of total billed charges,30.16612866,,,,35.55,percent of total billed charges,34.30727989,,,,35.55,percent of total billed charges,30.31161741,,,,36,percent of total billed charges,999999999,,,,36,percent of total billed charges,999999999,,,,31.5,percent of total billed charges,999999999,,,,31.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,23.94,percent of total billed charges,999999999,,,,,,,,,,,,,,,,22.725,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11.25,percent of total billed charges,10.68474815,,,,,,,,,,11.25,percent of total billed charges,10.50701463,,,,,,,,,,11.25,percent of total billed charges,10.47781609,,,,,,,,,,11.25,percent of total billed charges,10.32353038,,,,,,,,,,11.25,percent of total billed charges,10.58916999,,,,,,,,,,11.25,percent of total billed charges,999999999,,,,,,,,,,11.25,percent of total billed charges,9.08625354,,,,,,,,,,11.25,percent of total billed charges,14.32964842,,,,,,,,,,11.25,percent of total billed charges,999999999,,,,,,,,,,11.25,percent of total billed charges,9.797203519,,,,,,,,,,40.5,percent of total billed charges,,,,,
**TETRACYCLINE (SUMYCIN) 250MG CAPSULE,259,RC,5528-9025-01,NDC,,both,1,EA,2,2,0.425767889,2,2,percent of total billed charges,1.471471051,,,,2,percent of total billed charges,1.55973022,,,,2,percent of total billed charges,1.471471051,,,,2,percent of total billed charges,1.55973022,,,,2,percent of total billed charges,999999999,,,,2,percent of total billed charges,1.523862541,,,,2,percent of total billed charges,1.471471051,,,,2,percent of total billed charges,1.55973022,,,,1.426,percent of total billed charges,0.711600096,,,,1.426,percent of total billed charges,0.425767889,,,,1.426,percent of total billed charges,0.711600096,,,,1.426,percent of total billed charges,0.425767889,,,,1.426,percent of total billed charges,0.711600096,,,,1.426,percent of total billed charges,0.425767889,,,,1.412,percent of total billed charges,1.401286772,,,,1.412,percent of total billed charges,0.96645638,,,,,,,,,,1.44,percent of total billed charges,0.935966114,,,,,,,,,,1.44,percent of total billed charges,999999999,,,,,,,,,,1.6,percent of total billed charges,1.340716829,,,,1.58,percent of total billed charges,1.524767995,,,,1.58,percent of total billed charges,1.347182996,,,,1.6,percent of total billed charges,999999999,,,,1.6,percent of total billed charges,999999999,,,,1.4,percent of total billed charges,999999999,,,,1.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.064,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.01,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.5,percent of total billed charges,0.474877696,,,,,,,,,,0.5,percent of total billed charges,0.466978428,,,,,,,,,,0.5,percent of total billed charges,0.465680715,,,,,,,,,,0.5,percent of total billed charges,0.458823572,,,,,,,,,,0.5,percent of total billed charges,0.470629777,,,,,,,,,,0.5,percent of total billed charges,999999999,,,,,,,,,,0.5,percent of total billed charges,0.403833491,,,,,,,,,,0.5,percent of total billed charges,0.636873263,,,,,,,,,,0.5,percent of total billed charges,999999999,,,,,,,,,,0.5,percent of total billed charges,0.435431268,,,,,,,,,,1.8,percent of total billed charges,,,,,
**NAPHAZOLINE 0.1% 15ML,259,RC,1747-8021-12,NDC,,both,1,EA,17,17,3.619027059,17,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,17,percent of total billed charges,999999999,,,,17,percent of total billed charges,12.9528316,,,,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.002,percent of total billed charges,11.91093756,,,,12.002,percent of total billed charges,8.214879231,,,,,,,,,,12.24,percent of total billed charges,7.955711967,,,,,,,,,,12.24,percent of total billed charges,999999999,,,,,,,,,,13.6,percent of total billed charges,11.39609305,,,,13.43,percent of total billed charges,12.96052796,,,,13.43,percent of total billed charges,11.45105547,,,,13.6,percent of total billed charges,999999999,,,,13.6,percent of total billed charges,999999999,,,,11.9,percent of total billed charges,999999999,,,,11.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.044,percent of total billed charges,999999999,,,,,,,,,,,,,,,,8.585,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4.25,percent of total billed charges,4.036460412,,,,,,,,,,4.25,percent of total billed charges,3.96931664,,,,,,,,,,4.25,percent of total billed charges,3.958286079,,,,,,,,,,4.25,percent of total billed charges,3.900000364,,,,,,,,,,4.25,percent of total billed charges,4.000353107,,,,,,,,,,4.25,percent of total billed charges,999999999,,,,,,,,,,4.25,percent of total billed charges,3.432584671,,,,,,,,,,4.25,percent of total billed charges,5.413422736,,,,,,,,,,4.25,percent of total billed charges,999999999,,,,,,,,,,4.25,percent of total billed charges,3.701165774,,,,,,,,,,15.3,percent of total billed charges,,,,,
**VARENICLINE (CHANTIX) 1MG TAB,259,RC,0006-9046-56,NDC,,both,1,EA,17,17,3.619027059,17,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,17,percent of total billed charges,999999999,,,,17,percent of total billed charges,12.9528316,,,,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.002,percent of total billed charges,11.91093756,,,,12.002,percent of total billed charges,8.214879231,,,,,,,,,,12.24,percent of total billed charges,7.955711967,,,,,,,,,,12.24,percent of total billed charges,999999999,,,,,,,,,,13.6,percent of total billed charges,11.39609305,,,,13.43,percent of total billed charges,12.96052796,,,,13.43,percent of total billed charges,11.45105547,,,,13.6,percent of total billed charges,999999999,,,,13.6,percent of total billed charges,999999999,,,,11.9,percent of total billed charges,999999999,,,,11.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.044,percent of total billed charges,999999999,,,,,,,,,,,,,,,,8.585,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4.25,percent of total billed charges,4.036460412,,,,,,,,,,4.25,percent of total billed charges,3.96931664,,,,,,,,,,4.25,percent of total billed charges,3.958286079,,,,,,,,,,4.25,percent of total billed charges,3.900000364,,,,,,,,,,4.25,percent of total billed charges,4.000353107,,,,,,,,,,4.25,percent of total billed charges,999999999,,,,,,,,,,4.25,percent of total billed charges,3.432584671,,,,,,,,,,4.25,percent of total billed charges,5.413422736,,,,,,,,,,4.25,percent of total billed charges,999999999,,,,,,,,,,4.25,percent of total billed charges,3.701165774,,,,,,,,,,15.3,percent of total billed charges,,,,,
**FENOFIBRATE 200MG CAP: LOFIBRA,259,RC,0011-5053-01,NDC,,both,1,EA,9,9,1.915955502,9,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,9,percent of total billed charges,999999999,,,,9,percent of total billed charges,6.857381434,,,,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.354,percent of total billed charges,6.305790475,,,,6.354,percent of total billed charges,4.34905371,,,,,,,,,,6.48,percent of total billed charges,4.211847512,,,,,,,,,,6.48,percent of total billed charges,999999999,,,,,,,,,,7.2,percent of total billed charges,6.033225731,,,,7.11,percent of total billed charges,6.861455978,,,,7.11,percent of total billed charges,6.062323481,,,,7.2,percent of total billed charges,999999999,,,,7.2,percent of total billed charges,999999999,,,,6.3,percent of total billed charges,999999999,,,,6.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.788,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.545,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.25,percent of total billed charges,2.13694963,,,,,,,,,,2.25,percent of total billed charges,2.101402927,,,,,,,,,,2.25,percent of total billed charges,2.095563218,,,,,,,,,,2.25,percent of total billed charges,2.064706075,,,,,,,,,,2.25,percent of total billed charges,2.117833998,,,,,,,,,,2.25,percent of total billed charges,999999999,,,,,,,,,,2.25,percent of total billed charges,1.817250708,,,,,,,,,,2.25,percent of total billed charges,2.865929684,,,,,,,,,,2.25,percent of total billed charges,999999999,,,,,,,,,,2.25,percent of total billed charges,1.959440704,,,,,,,,,,8.1,percent of total billed charges,,,,,
ESOMEPRAZOLE SOD 40 MG IV (NEXIUM IV),258,RC,0018-6604-01,NDC,,both,1,EA,39.18,39.18,8.34079295,39.18,39.18,percent of total billed charges,28.8261179,,,,39.18,percent of total billed charges,30.55511501,,,,39.18,percent of total billed charges,28.8261179,,,,39.18,percent of total billed charges,30.55511501,,,,39.18,percent of total billed charges,999999999,,,,39.18,percent of total billed charges,29.85246718,,,,39.18,percent of total billed charges,28.8261179,,,,39.18,percent of total billed charges,30.55511501,,,,27.93534,percent of total billed charges,13.94024588,,,,27.93534,percent of total billed charges,8.34079295,,,,27.93534,percent of total billed charges,13.94024588,,,,27.93534,percent of total billed charges,8.34079295,,,,27.93534,percent of total billed charges,13.94024588,,,,27.93534,percent of total billed charges,8.34079295,,,,27.66108,percent of total billed charges,27.45120787,,,,27.66108,percent of total billed charges,18.93288049,,,,,,,,,,28.2096,percent of total billed charges,18.33557617,,,,,,,,,,28.2096,percent of total billed charges,999999999,,,,,,,,,,31.344,percent of total billed charges,26.26464268,,,,30.9522,percent of total billed charges,29.87020503,,,,30.9522,percent of total billed charges,26.39131489,,,,31.344,percent of total billed charges,999999999,,,,31.344,percent of total billed charges,999999999,,,,27.426,percent of total billed charges,999999999,,,,27.426,percent of total billed charges,999999999,,,,,,,,,,,,,,,,20.84376,percent of total billed charges,999999999,,,,,,,,,,,,,,,,19.7859,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9.795,percent of total billed charges,9.302854055,,,,,,,,,,9.795,percent of total billed charges,9.148107408,,,,,,,,,,9.795,percent of total billed charges,9.122685209,,,,,,,,,,9.795,percent of total billed charges,8.988353781,,,,,,,,,,9.795,percent of total billed charges,9.219637337,,,,,,,,,,9.795,percent of total billed charges,999999999,,,,,,,,,,9.795,percent of total billed charges,7.911098083,,,,,,,,,,9.795,percent of total billed charges,12.47634722,,,,,,,,,,9.795,percent of total billed charges,999999999,,,,,,,,,,9.795,percent of total billed charges,8.530098531,,,,,,,,,,35.262,percent of total billed charges,,,,,
**HYDRoxyzine 50 MG,259,RC,5011-1030-01,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
**VALSARTAN (DIOVAN) 320MG: TAB,259,RC,0007-8038-06,NDC,,both,1,EA,11,11,2.341723391,11,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,11,percent of total billed charges,999999999,,,,11,percent of total billed charges,8.381243975,,,,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.766,percent of total billed charges,7.707077247,,,,7.766,percent of total billed charges,5.31551009,,,,,,,,,,7.92,percent of total billed charges,5.147813626,,,,,,,,,,7.92,percent of total billed charges,999999999,,,,,,,,,,8.8,percent of total billed charges,7.373942561,,,,8.69,percent of total billed charges,8.386223973,,,,8.69,percent of total billed charges,7.409506477,,,,8.8,percent of total billed charges,999999999,,,,8.8,percent of total billed charges,999999999,,,,7.7,percent of total billed charges,999999999,,,,7.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.852,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.555,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.75,percent of total billed charges,2.611827325,,,,,,,,,,2.75,percent of total billed charges,2.568381355,,,,,,,,,,2.75,percent of total billed charges,2.561243933,,,,,,,,,,2.75,percent of total billed charges,2.523529647,,,,,,,,,,2.75,percent of total billed charges,2.588463775,,,,,,,,,,2.75,percent of total billed charges,999999999,,,,,,,,,,2.75,percent of total billed charges,2.221084199,,,,,,,,,,2.75,percent of total billed charges,3.502802947,,,,,,,,,,2.75,percent of total billed charges,999999999,,,,,,,,,,2.75,percent of total billed charges,2.394871971,,,,,,,,,,9.9,percent of total billed charges,,,,,
**OXYTOCIN 20UNITS IN D5W 1000ML,250,RC,6155-3072-04,NDC,,both,1,EA,47,47,10.0055454,47,47,percent of total billed charges,34.57956971,,,,47,percent of total billed charges,36.65366017,,,,47,percent of total billed charges,34.57956971,,,,47,percent of total billed charges,36.65366017,,,,47,percent of total billed charges,999999999,,,,47,percent of total billed charges,35.81076971,,,,47,percent of total billed charges,34.57956971,,,,47,percent of total billed charges,36.65366017,,,,33.511,percent of total billed charges,16.72260225,,,,33.511,percent of total billed charges,10.0055454,,,,33.511,percent of total billed charges,16.72260225,,,,33.511,percent of total billed charges,10.0055454,,,,33.511,percent of total billed charges,16.72260225,,,,33.511,percent of total billed charges,10.0055454,,,,33.182,percent of total billed charges,32.93023915,,,,33.182,percent of total billed charges,22.71172493,,,,,,,,,,33.84,percent of total billed charges,21.99520367,,,,,,,,,,33.84,percent of total billed charges,999999999,,,,,,,,,,37.6,percent of total billed charges,31.50684549,,,,37.13,percent of total billed charges,35.83204789,,,,37.13,percent of total billed charges,31.6588004,,,,37.6,percent of total billed charges,999999999,,,,37.6,percent of total billed charges,999999999,,,,32.9,percent of total billed charges,999999999,,,,32.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,25.004,percent of total billed charges,999999999,,,,,,,,,,,,,,,,23.735,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11.75,percent of total billed charges,11.15962584,,,,,,,,,,11.75,percent of total billed charges,10.97399306,,,,,,,,,,11.75,percent of total billed charges,10.94349681,,,,,,,,,,11.75,percent of total billed charges,10.78235395,,,,,,,,,,11.75,percent of total billed charges,11.05979977,,,,,,,,,,11.75,percent of total billed charges,999999999,,,,,,,,,,11.75,percent of total billed charges,9.490087031,,,,,,,,,,11.75,percent of total billed charges,14.96652168,,,,,,,,,,11.75,percent of total billed charges,999999999,,,,,,,,,,11.75,percent of total billed charges,10.23263479,,,,,,,,,,42.3,percent of total billed charges,,,,,
**TRAMADOL (ULTRAM ER) 100 MG: TABLET,259,RC,0004-9396-41,NDC,,both,1,EA,2,2,0.425767889,2,2,percent of total billed charges,1.471471051,,,,2,percent of total billed charges,1.55973022,,,,2,percent of total billed charges,1.471471051,,,,2,percent of total billed charges,1.55973022,,,,2,percent of total billed charges,999999999,,,,2,percent of total billed charges,1.523862541,,,,2,percent of total billed charges,1.471471051,,,,2,percent of total billed charges,1.55973022,,,,1.426,percent of total billed charges,0.711600096,,,,1.426,percent of total billed charges,0.425767889,,,,1.426,percent of total billed charges,0.711600096,,,,1.426,percent of total billed charges,0.425767889,,,,1.426,percent of total billed charges,0.711600096,,,,1.426,percent of total billed charges,0.425767889,,,,1.412,percent of total billed charges,1.401286772,,,,1.412,percent of total billed charges,0.96645638,,,,,,,,,,1.44,percent of total billed charges,0.935966114,,,,,,,,,,1.44,percent of total billed charges,999999999,,,,,,,,,,1.6,percent of total billed charges,1.340716829,,,,1.58,percent of total billed charges,1.524767995,,,,1.58,percent of total billed charges,1.347182996,,,,1.6,percent of total billed charges,999999999,,,,1.6,percent of total billed charges,999999999,,,,1.4,percent of total billed charges,999999999,,,,1.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.064,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.01,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.5,percent of total billed charges,0.474877696,,,,,,,,,,0.5,percent of total billed charges,0.466978428,,,,,,,,,,0.5,percent of total billed charges,0.465680715,,,,,,,,,,0.5,percent of total billed charges,0.458823572,,,,,,,,,,0.5,percent of total billed charges,0.470629777,,,,,,,,,,0.5,percent of total billed charges,999999999,,,,,,,,,,0.5,percent of total billed charges,0.403833491,,,,,,,,,,0.5,percent of total billed charges,0.636873263,,,,,,,,,,0.5,percent of total billed charges,999999999,,,,,,,,,,0.5,percent of total billed charges,0.435431268,,,,,,,,,,1.8,percent of total billed charges,,,,,
**FOSFOMYCIN GRANULES: MONUROL,250,RC,0045-6430-08,NDC,,both,1,EA,92,92,19.58532291,92,92,percent of total billed charges,67.68766837,,,,92,percent of total billed charges,71.74759012,,,,92,percent of total billed charges,67.68766837,,,,92,percent of total billed charges,71.74759012,,,,92,percent of total billed charges,999999999,,,,92,percent of total billed charges,70.09767688,,,,92,percent of total billed charges,67.68766837,,,,92,percent of total billed charges,71.74759012,,,,65.596,percent of total billed charges,32.73360441,,,,65.596,percent of total billed charges,19.58532291,,,,65.596,percent of total billed charges,32.73360441,,,,65.596,percent of total billed charges,19.58532291,,,,65.596,percent of total billed charges,32.73360441,,,,65.596,percent of total billed charges,19.58532291,,,,64.952,percent of total billed charges,64.45919152,,,,64.952,percent of total billed charges,44.45699348,,,,,,,,,,66.24,percent of total billed charges,43.05444123,,,,,,,,,,66.24,percent of total billed charges,999999999,,,,,,,,,,73.6,percent of total billed charges,61.67297414,,,,72.68,percent of total billed charges,70.13932778,,,,72.68,percent of total billed charges,61.97041781,,,,73.6,percent of total billed charges,999999999,,,,73.6,percent of total billed charges,999999999,,,,64.4,percent of total billed charges,999999999,,,,64.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,48.944,percent of total billed charges,999999999,,,,,,,,,,,,,,,,46.46,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23,percent of total billed charges,21.84437399,,,,,,,,,,23,percent of total billed charges,21.4810077,,,,,,,,,,23,percent of total billed charges,21.4213129,,,,,,,,,,23,percent of total billed charges,21.10588432,,,,,,,,,,23,percent of total billed charges,21.64896976,,,,,,,,,,23,percent of total billed charges,999999999,,,,,,,,,,23,percent of total billed charges,18.57634057,,,,,,,,,,23,percent of total billed charges,29.2961701,,,,,,,,,,23,percent of total billed charges,999999999,,,,,,,,,,23,percent of total billed charges,20.02983831,,,,,,,,,,82.8,percent of total billed charges,,,,,
**ZONISAMIDE 100MG CAP: ZONEGRAN,259,RC,0037-8672-01,NDC,,both,1,EA,7,7,1.490187612,7,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,7,percent of total billed charges,999999999,,,,7,percent of total billed charges,5.333518893,,,,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.942,percent of total billed charges,4.904503703,,,,4.942,percent of total billed charges,3.38259733,,,,,,,,,,5.04,percent of total billed charges,3.275881398,,,,,,,,,,5.04,percent of total billed charges,999999999,,,,,,,,,,5.6,percent of total billed charges,4.692508902,,,,5.53,percent of total billed charges,5.336687983,,,,5.53,percent of total billed charges,4.715140486,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,4.9,percent of total billed charges,999999999,,,,4.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.724,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.535,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.75,percent of total billed charges,1.662071934,,,,,,,,,,1.75,percent of total billed charges,1.634424499,,,,,,,,,,1.75,percent of total billed charges,1.629882503,,,,,,,,,,1.75,percent of total billed charges,1.605882503,,,,,,,,,,1.75,percent of total billed charges,1.647204221,,,,,,,,,,1.75,percent of total billed charges,999999999,,,,,,,,,,1.75,percent of total billed charges,1.413417217,,,,,,,,,,1.75,percent of total billed charges,2.229056421,,,,,,,,,,1.75,percent of total billed charges,999999999,,,,,,,,,,1.75,percent of total billed charges,1.524009436,,,,,,,,,,6.3,percent of total billed charges,,,,,
**E- MILK OF MAGNESIA 12 OZ BOTTLE,259,RC,0090-4078-14,NDC,,both,1,EA,7,7,1.490187612,7,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,7,percent of total billed charges,999999999,,,,7,percent of total billed charges,5.333518893,,,,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.942,percent of total billed charges,4.904503703,,,,4.942,percent of total billed charges,3.38259733,,,,,,,,,,5.04,percent of total billed charges,3.275881398,,,,,,,,,,5.04,percent of total billed charges,999999999,,,,,,,,,,5.6,percent of total billed charges,4.692508902,,,,5.53,percent of total billed charges,5.336687983,,,,5.53,percent of total billed charges,4.715140486,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,4.9,percent of total billed charges,999999999,,,,4.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.724,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.535,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.75,percent of total billed charges,1.662071934,,,,,,,,,,1.75,percent of total billed charges,1.634424499,,,,,,,,,,1.75,percent of total billed charges,1.629882503,,,,,,,,,,1.75,percent of total billed charges,1.605882503,,,,,,,,,,1.75,percent of total billed charges,1.647204221,,,,,,,,,,1.75,percent of total billed charges,999999999,,,,,,,,,,1.75,percent of total billed charges,1.413417217,,,,,,,,,,1.75,percent of total billed charges,2.229056421,,,,,,,,,,1.75,percent of total billed charges,999999999,,,,,,,,,,1.75,percent of total billed charges,1.524009436,,,,,,,,,,6.3,percent of total billed charges,,,,,
**oxyCODONE LIQ 5MG/5ML UD: ROXICODONE,259,RC,0005-4368-63,NDC,,both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**INFLUENZA VACCINE 2007-2008: FLUARIX,90656,CDM,5816-0087-46,NDC,,both,1,EA,50,50,10.64419723,50,50,percent of total billed charges,36.78677629,,,,50,percent of total billed charges,38.9932555,,,,50,percent of total billed charges,36.78677629,,,,50,percent of total billed charges,38.9932555,,,,50,percent of total billed charges,999999999,,,,50,percent of total billed charges,38.09656352,,,,50,percent of total billed charges,36.78677629,,,,50,percent of total billed charges,38.9932555,,,,35.65,percent of total billed charges,17.7900024,,,,35.65,percent of total billed charges,10.64419723,,,,35.65,percent of total billed charges,17.7900024,,,,35.65,percent of total billed charges,10.64419723,,,,35.65,percent of total billed charges,17.7900024,,,,35.65,percent of total billed charges,10.64419723,,,,35.3,percent of total billed charges,35.0321693,,,,35.3,percent of total billed charges,24.1614095,,,,,,,,,,36,percent of total billed charges,23.39915284,,,,,,,,,,36,percent of total billed charges,999999999,,,,,,,,,,40,percent of total billed charges,33.51792073,,,,39.5,percent of total billed charges,38.11919988,,,,39.5,percent of total billed charges,33.6795749,,,,40,percent of total billed charges,999999999,,,,40,percent of total billed charges,999999999,,,,35,percent of total billed charges,999999999,,,,35,percent of total billed charges,999999999,,,,,,,,,,,,,,,,26.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,25.25,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12.5,percent of total billed charges,11.87194239,,,,,,,,,,12.5,percent of total billed charges,11.6744607,,,,,,,,,,12.5,percent of total billed charges,11.64201788,,,,,,,,,,12.5,percent of total billed charges,11.47058931,,,,,,,,,,12.5,percent of total billed charges,11.76574443,,,,,,,,,,12.5,percent of total billed charges,999999999,,,,,,,,,,12.5,percent of total billed charges,10.09583727,,,,,,,,,,12.5,percent of total billed charges,15.92183158,,,,,,,,,,12.5,percent of total billed charges,999999999,,,,,,,,,,12.5,percent of total billed charges,10.88578169,,,,,,,,,,45,percent of total billed charges,,,,,
**E-TYLENOL MELTAWAY 80MG 30CT,250,RC,0090-4522-59,NDC,,both,1,EA,15,15,3.193259169,15,15,percent of total billed charges,11.03603289,,,,15,percent of total billed charges,11.69797665,,,,15,percent of total billed charges,11.03603289,,,,15,percent of total billed charges,11.69797665,,,,15,percent of total billed charges,999999999,,,,15,percent of total billed charges,11.42896906,,,,15,percent of total billed charges,11.03603289,,,,15,percent of total billed charges,11.69797665,,,,10.695,percent of total billed charges,5.337000719,,,,10.695,percent of total billed charges,3.193259169,,,,10.695,percent of total billed charges,5.337000719,,,,10.695,percent of total billed charges,3.193259169,,,,10.695,percent of total billed charges,5.337000719,,,,10.695,percent of total billed charges,3.193259169,,,,10.59,percent of total billed charges,10.50965079,,,,10.59,percent of total billed charges,7.248422851,,,,,,,,,,10.8,percent of total billed charges,7.019745853,,,,,,,,,,10.8,percent of total billed charges,999999999,,,,,,,,,,12,percent of total billed charges,10.05537622,,,,11.85,percent of total billed charges,11.43575996,,,,11.85,percent of total billed charges,10.10387247,,,,12,percent of total billed charges,999999999,,,,12,percent of total billed charges,999999999,,,,10.5,percent of total billed charges,999999999,,,,10.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,7.98,percent of total billed charges,999999999,,,,,,,,,,,,,,,,7.575,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3.75,percent of total billed charges,3.561582716,,,,,,,,,,3.75,percent of total billed charges,3.502338211,,,,,,,,,,3.75,percent of total billed charges,3.492605363,,,,,,,,,,3.75,percent of total billed charges,3.441176792,,,,,,,,,,3.75,percent of total billed charges,3.52972333,,,,,,,,,,3.75,percent of total billed charges,999999999,,,,,,,,,,3.75,percent of total billed charges,3.02875118,,,,,,,,,,3.75,percent of total billed charges,4.776549473,,,,,,,,,,3.75,percent of total billed charges,999999999,,,,,,,,,,3.75,percent of total billed charges,3.265734506,,,,,,,,,,13.5,percent of total billed charges,,,,,
**HYDROCODONE 7.5MG APAP 500MG,259,RC,0040-6035-62,NDC,,both,1,EA,12,12,2.554607335,12,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,12,percent of total billed charges,999999999,,,,12,percent of total billed charges,9.143175245,,,,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.472,percent of total billed charges,8.407720633,,,,8.472,percent of total billed charges,5.79873828,,,,,,,,,,8.64,percent of total billed charges,5.615796683,,,,,,,,,,8.64,percent of total billed charges,999999999,,,,,,,,,,9.6,percent of total billed charges,8.044300975,,,,9.48,percent of total billed charges,9.148607971,,,,9.48,percent of total billed charges,8.083097975,,,,9.6,percent of total billed charges,999999999,,,,9.6,percent of total billed charges,999999999,,,,8.4,percent of total billed charges,999999999,,,,8.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.384,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.06,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3,percent of total billed charges,2.849266173,,,,,,,,,,3,percent of total billed charges,2.801870569,,,,,,,,,,3,percent of total billed charges,2.794084291,,,,,,,,,,3,percent of total billed charges,2.752941434,,,,,,,,,,3,percent of total billed charges,2.823778664,,,,,,,,,,3,percent of total billed charges,999999999,,,,,,,,,,3,percent of total billed charges,2.423000944,,,,,,,,,,3,percent of total billed charges,3.821239578,,,,,,,,,,3,percent of total billed charges,999999999,,,,,,,,,,3,percent of total billed charges,2.612587605,,,,,,,,,,10.8,percent of total billed charges,,,,,
**OCUSOFT PADS 30CT,259,RC,0157-1810-30,NDC,,both,1,EA,25,25,5.322098616,25,25,percent of total billed charges,18.39338814,,,,25,percent of total billed charges,19.49662775,,,,25,percent of total billed charges,18.39338814,,,,25,percent of total billed charges,19.49662775,,,,25,percent of total billed charges,999999999,,,,25,percent of total billed charges,19.04828176,,,,25,percent of total billed charges,18.39338814,,,,25,percent of total billed charges,19.49662775,,,,17.825,percent of total billed charges,8.895001198,,,,17.825,percent of total billed charges,5.322098616,,,,17.825,percent of total billed charges,8.895001198,,,,17.825,percent of total billed charges,5.322098616,,,,17.825,percent of total billed charges,8.895001198,,,,17.825,percent of total billed charges,5.322098616,,,,17.65,percent of total billed charges,17.51608465,,,,17.65,percent of total billed charges,12.08070475,,,,,,,,,,18,percent of total billed charges,11.69957642,,,,,,,,,,18,percent of total billed charges,999999999,,,,,,,,,,20,percent of total billed charges,16.75896036,,,,19.75,percent of total billed charges,19.05959994,,,,19.75,percent of total billed charges,16.83978745,,,,20,percent of total billed charges,999999999,,,,20,percent of total billed charges,999999999,,,,17.5,percent of total billed charges,999999999,,,,17.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,13.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,12.625,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6.25,percent of total billed charges,5.935971194,,,,,,,,,,6.25,percent of total billed charges,5.837230352,,,,,,,,,,6.25,percent of total billed charges,5.821008939,,,,,,,,,,6.25,percent of total billed charges,5.735294653,,,,,,,,,,6.25,percent of total billed charges,5.882872216,,,,,,,,,,6.25,percent of total billed charges,999999999,,,,,,,,,,6.25,percent of total billed charges,5.047918634,,,,,,,,,,6.25,percent of total billed charges,7.960915788,,,,,,,,,,6.25,percent of total billed charges,999999999,,,,,,,,,,6.25,percent of total billed charges,5.442890844,,,,,,,,,,22.5,percent of total billed charges,,,,,
**MOXIFLOXACIN 400MG TAB: AVELOX,259,RC,0008-5173-02,NDC,,both,1,EA,33,33,7.025170173,33,33,percent of total billed charges,24.27927235,,,,33,percent of total billed charges,25.73554863,,,,33,percent of total billed charges,24.27927235,,,,33,percent of total billed charges,25.73554863,,,,33,percent of total billed charges,999999999,,,,33,percent of total billed charges,25.14373192,,,,33,percent of total billed charges,24.27927235,,,,33,percent of total billed charges,25.73554863,,,,23.529,percent of total billed charges,11.74140158,,,,23.529,percent of total billed charges,7.025170173,,,,23.529,percent of total billed charges,11.74140158,,,,23.529,percent of total billed charges,7.025170173,,,,23.529,percent of total billed charges,11.74140158,,,,23.529,percent of total billed charges,7.025170173,,,,23.298,percent of total billed charges,23.12123174,,,,23.298,percent of total billed charges,15.94653027,,,,,,,,,,23.76,percent of total billed charges,15.44344088,,,,,,,,,,23.76,percent of total billed charges,999999999,,,,,,,,,,26.4,percent of total billed charges,22.12182768,,,,26.07,percent of total billed charges,25.15867192,,,,26.07,percent of total billed charges,22.22851943,,,,26.4,percent of total billed charges,999999999,,,,26.4,percent of total billed charges,999999999,,,,23.1,percent of total billed charges,999999999,,,,23.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,17.556,percent of total billed charges,999999999,,,,,,,,,,,,,,,,16.665,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8.25,percent of total billed charges,7.835481976,,,,,,,,,,8.25,percent of total billed charges,7.705144065,,,,,,,,,,8.25,percent of total billed charges,7.6837318,,,,,,,,,,8.25,percent of total billed charges,7.570588942,,,,,,,,,,8.25,percent of total billed charges,7.765391325,,,,,,,,,,8.25,percent of total billed charges,999999999,,,,,,,,,,8.25,percent of total billed charges,6.663252596,,,,,,,,,,8.25,percent of total billed charges,10.50840884,,,,,,,,,,8.25,percent of total billed charges,999999999,,,,,,,,,,8.25,percent of total billed charges,7.184615914,,,,,,,,,,29.7,percent of total billed charges,,,,,
**ADDERALL XR 30MG CAPSULE,259,RC,5409-2039-01,NDC,,both,1,EA,24,24,5.109214671,24,24,percent of total billed charges,17.65765262,,,,24,percent of total billed charges,18.71676264,,,,24,percent of total billed charges,17.65765262,,,,24,percent of total billed charges,18.71676264,,,,24,percent of total billed charges,999999999,,,,24,percent of total billed charges,18.28635049,,,,24,percent of total billed charges,17.65765262,,,,24,percent of total billed charges,18.71676264,,,,17.112,percent of total billed charges,8.53920115,,,,17.112,percent of total billed charges,5.109214671,,,,17.112,percent of total billed charges,8.53920115,,,,17.112,percent of total billed charges,5.109214671,,,,17.112,percent of total billed charges,8.53920115,,,,17.112,percent of total billed charges,5.109214671,,,,16.944,percent of total billed charges,16.81544127,,,,16.944,percent of total billed charges,11.59747656,,,,,,,,,,17.28,percent of total billed charges,11.23159337,,,,,,,,,,17.28,percent of total billed charges,999999999,,,,,,,,,,19.2,percent of total billed charges,16.08860195,,,,18.96,percent of total billed charges,18.29721594,,,,18.96,percent of total billed charges,16.16619595,,,,19.2,percent of total billed charges,999999999,,,,19.2,percent of total billed charges,999999999,,,,16.8,percent of total billed charges,999999999,,,,16.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,12.768,percent of total billed charges,999999999,,,,,,,,,,,,,,,,12.12,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6,percent of total billed charges,5.698532346,,,,,,,,,,6,percent of total billed charges,5.603741138,,,,,,,,,,6,percent of total billed charges,5.588168582,,,,,,,,,,6,percent of total billed charges,5.505882867,,,,,,,,,,6,percent of total billed charges,5.647557328,,,,,,,,,,6,percent of total billed charges,999999999,,,,,,,,,,6,percent of total billed charges,4.846001888,,,,,,,,,,6,percent of total billed charges,7.642479156,,,,,,,,,,6,percent of total billed charges,999999999,,,,,,,,,,6,percent of total billed charges,5.22517521,,,,,,,,,,21.6,percent of total billed charges,,,,,
**CLOMIPRAMINE 50MG CAPSULE,259,RC,5167-2401-06,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
**TOLNAFTATE 1% SPRAY 133GM,259,RC,1091-6012-53,NDC,,both,1,EA,17,17,3.619027059,17,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,17,percent of total billed charges,999999999,,,,17,percent of total billed charges,12.9528316,,,,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.002,percent of total billed charges,11.91093756,,,,12.002,percent of total billed charges,8.214879231,,,,,,,,,,12.24,percent of total billed charges,7.955711967,,,,,,,,,,12.24,percent of total billed charges,999999999,,,,,,,,,,13.6,percent of total billed charges,11.39609305,,,,13.43,percent of total billed charges,12.96052796,,,,13.43,percent of total billed charges,11.45105547,,,,13.6,percent of total billed charges,999999999,,,,13.6,percent of total billed charges,999999999,,,,11.9,percent of total billed charges,999999999,,,,11.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.044,percent of total billed charges,999999999,,,,,,,,,,,,,,,,8.585,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4.25,percent of total billed charges,4.036460412,,,,,,,,,,4.25,percent of total billed charges,3.96931664,,,,,,,,,,4.25,percent of total billed charges,3.958286079,,,,,,,,,,4.25,percent of total billed charges,3.900000364,,,,,,,,,,4.25,percent of total billed charges,4.000353107,,,,,,,,,,4.25,percent of total billed charges,999999999,,,,,,,,,,4.25,percent of total billed charges,3.432584671,,,,,,,,,,4.25,percent of total billed charges,5.413422736,,,,,,,,,,4.25,percent of total billed charges,999999999,,,,,,,,,,4.25,percent of total billed charges,3.701165774,,,,,,,,,,15.3,percent of total billed charges,,,,,
**HEPARIN 1000UNITS IN NS 500ML: 2UNITS/,250,RC,0040-9762-03,NDC,,both,1,EA,22,22,4.683446782,22,22,percent of total billed charges,16.18618157,,,,22,percent of total billed charges,17.15703242,,,,22,percent of total billed charges,16.18618157,,,,22,percent of total billed charges,17.15703242,,,,22,percent of total billed charges,999999999,,,,22,percent of total billed charges,16.76248795,,,,22,percent of total billed charges,16.18618157,,,,22,percent of total billed charges,17.15703242,,,,15.686,percent of total billed charges,7.827601054,,,,15.686,percent of total billed charges,4.683446782,,,,15.686,percent of total billed charges,7.827601054,,,,15.686,percent of total billed charges,4.683446782,,,,15.686,percent of total billed charges,7.827601054,,,,15.686,percent of total billed charges,4.683446782,,,,15.532,percent of total billed charges,15.41415449,,,,15.532,percent of total billed charges,10.63102018,,,,,,,,,,15.84,percent of total billed charges,10.29562725,,,,,,,,,,15.84,percent of total billed charges,999999999,,,,,,,,,,17.6,percent of total billed charges,14.74788512,,,,17.38,percent of total billed charges,16.77244795,,,,17.38,percent of total billed charges,14.81901295,,,,17.6,percent of total billed charges,999999999,,,,17.6,percent of total billed charges,999999999,,,,15.4,percent of total billed charges,999999999,,,,15.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,11.704,percent of total billed charges,999999999,,,,,,,,,,,,,,,,11.11,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5.5,percent of total billed charges,5.223654651,,,,,,,,,,5.5,percent of total billed charges,5.13676271,,,,,,,,,,5.5,percent of total billed charges,5.122487866,,,,,,,,,,5.5,percent of total billed charges,5.047059295,,,,,,,,,,5.5,percent of total billed charges,5.17692755,,,,,,,,,,5.5,percent of total billed charges,999999999,,,,,,,,,,5.5,percent of total billed charges,4.442168398,,,,,,,,,,5.5,percent of total billed charges,7.005605893,,,,,,,,,,5.5,percent of total billed charges,999999999,,,,,,,,,,5.5,percent of total billed charges,4.789743943,,,,,,,,,,19.8,percent of total billed charges,,,,,
**CETAPHIL DAILY FACIAL CLEANSER,250,RC,0029-9392-08,NDC,,both,1,EA,21,21,4.470562837,21,21,percent of total billed charges,15.45044604,,,,21,percent of total billed charges,16.37716731,,,,21,percent of total billed charges,15.45044604,,,,21,percent of total billed charges,16.37716731,,,,21,percent of total billed charges,999999999,,,,21,percent of total billed charges,16.00055668,,,,21,percent of total billed charges,15.45044604,,,,21,percent of total billed charges,16.37716731,,,,14.973,percent of total billed charges,7.471801006,,,,14.973,percent of total billed charges,4.470562837,,,,14.973,percent of total billed charges,7.471801006,,,,14.973,percent of total billed charges,4.470562837,,,,14.973,percent of total billed charges,7.471801006,,,,14.973,percent of total billed charges,4.470562837,,,,14.826,percent of total billed charges,14.71351111,,,,14.826,percent of total billed charges,10.14779199,,,,,,,,,,15.12,percent of total billed charges,9.827644194,,,,,,,,,,15.12,percent of total billed charges,999999999,,,,,,,,,,16.8,percent of total billed charges,14.07752671,,,,16.59,percent of total billed charges,16.01006395,,,,16.59,percent of total billed charges,14.14542146,,,,16.8,percent of total billed charges,999999999,,,,16.8,percent of total billed charges,999999999,,,,14.7,percent of total billed charges,999999999,,,,14.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,11.172,percent of total billed charges,999999999,,,,,,,,,,,,,,,,10.605,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5.25,percent of total billed charges,4.986215803,,,,,,,,,,5.25,percent of total billed charges,4.903273496,,,,,,,,,,5.25,percent of total billed charges,4.889647509,,,,,,,,,,5.25,percent of total billed charges,4.817647509,,,,,,,,,,5.25,percent of total billed charges,4.941612662,,,,,,,,,,5.25,percent of total billed charges,999999999,,,,,,,,,,5.25,percent of total billed charges,4.240251652,,,,,,,,,,5.25,percent of total billed charges,6.687169262,,,,,,,,,,5.25,percent of total billed charges,999999999,,,,,,,,,,5.25,percent of total billed charges,4.572028309,,,,,,,,,,18.9,percent of total billed charges,,,,,
**PROGESTERONE 100MG CAP (PROMETRIU,259,RC,0003-2170-01,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
**IMMUNE GLOBULIN 5GM IN 100ML: OCTAGAM,J1568,CDM,1353-3080-20,NDC,,both,1,EA,195,195,41.5123692,195,195,percent of total billed charges,143.4684275,,,,195,percent of total billed charges,152.0736965,,,,195,percent of total billed charges,143.4684275,,,,195,percent of total billed charges,152.0736965,,,,195,percent of total billed charges,999999999,,,,195,percent of total billed charges,148.5765977,,,,195,percent of total billed charges,143.4684275,,,,195,percent of total billed charges,152.0736965,,,,139.035,percent of total billed charges,69.38100935,,,,139.035,percent of total billed charges,41.5123692,,,,139.035,percent of total billed charges,69.38100935,,,,139.035,percent of total billed charges,41.5123692,,,,139.035,percent of total billed charges,69.38100935,,,,139.035,percent of total billed charges,41.5123692,,,,137.67,percent of total billed charges,136.6254603,,,,137.67,percent of total billed charges,94.22949706,,,,,,,,,,140.4,percent of total billed charges,91.25669609,,,,,,,,,,140.4,percent of total billed charges,999999999,,,,,,,,,,156,percent of total billed charges,130.7198908,,,,154.05,percent of total billed charges,148.6648795,,,,154.05,percent of total billed charges,131.3503421,,,,156,percent of total billed charges,999999999,,,,156,percent of total billed charges,999999999,,,,136.5,percent of total billed charges,999999999,,,,136.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,103.74,percent of total billed charges,999999999,,,,,,,,,,,,,,,,98.475,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,48.75,percent of total billed charges,46.30057531,,,,,,,,,,48.75,percent of total billed charges,45.53039675,,,,,,,,,,48.75,percent of total billed charges,45.40386972,,,,,,,,,,48.75,percent of total billed charges,44.7352983,,,,,,,,,,48.75,percent of total billed charges,45.88640329,,,,,,,,,,48.75,percent of total billed charges,999999999,,,,,,,,,,48.75,percent of total billed charges,39.37376534,,,,,,,,,,48.75,percent of total billed charges,62.09514315,,,,,,,,,,48.75,percent of total billed charges,999999999,,,,,,,,,,48.75,percent of total billed charges,42.45454858,,,,,,,,,,175.5,percent of total billed charges,,,,,
**IMMUNE GLOBULIN 10GM IN 200ML: OCTAG,J1568,CDM,1353-3080-71,NDC,,both,1,EA,195,195,41.5123692,195,195,percent of total billed charges,143.4684275,,,,195,percent of total billed charges,152.0736965,,,,195,percent of total billed charges,143.4684275,,,,195,percent of total billed charges,152.0736965,,,,195,percent of total billed charges,999999999,,,,195,percent of total billed charges,148.5765977,,,,195,percent of total billed charges,143.4684275,,,,195,percent of total billed charges,152.0736965,,,,139.035,percent of total billed charges,69.38100935,,,,139.035,percent of total billed charges,41.5123692,,,,139.035,percent of total billed charges,69.38100935,,,,139.035,percent of total billed charges,41.5123692,,,,139.035,percent of total billed charges,69.38100935,,,,139.035,percent of total billed charges,41.5123692,,,,137.67,percent of total billed charges,136.6254603,,,,137.67,percent of total billed charges,94.22949706,,,,,,,,,,140.4,percent of total billed charges,91.25669609,,,,,,,,,,140.4,percent of total billed charges,999999999,,,,,,,,,,156,percent of total billed charges,130.7198908,,,,154.05,percent of total billed charges,148.6648795,,,,154.05,percent of total billed charges,131.3503421,,,,156,percent of total billed charges,999999999,,,,156,percent of total billed charges,999999999,,,,136.5,percent of total billed charges,999999999,,,,136.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,103.74,percent of total billed charges,999999999,,,,,,,,,,,,,,,,98.475,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,48.75,percent of total billed charges,46.30057531,,,,,,,,,,48.75,percent of total billed charges,45.53039675,,,,,,,,,,48.75,percent of total billed charges,45.40386972,,,,,,,,,,48.75,percent of total billed charges,44.7352983,,,,,,,,,,48.75,percent of total billed charges,45.88640329,,,,,,,,,,48.75,percent of total billed charges,999999999,,,,,,,,,,48.75,percent of total billed charges,39.37376534,,,,,,,,,,48.75,percent of total billed charges,62.09514315,,,,,,,,,,48.75,percent of total billed charges,999999999,,,,,,,,,,48.75,percent of total billed charges,42.45454858,,,,,,,,,,175.5,percent of total billed charges,,,,,
**AMOXICILLIN/CLAV 400MG CHEWABLE TABLE,259,RC,4988-4036-81,NDC,,both,1,EA,11,11,2.341723391,11,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,11,percent of total billed charges,999999999,,,,11,percent of total billed charges,8.381243975,,,,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.766,percent of total billed charges,7.707077247,,,,7.766,percent of total billed charges,5.31551009,,,,,,,,,,7.92,percent of total billed charges,5.147813626,,,,,,,,,,7.92,percent of total billed charges,999999999,,,,,,,,,,8.8,percent of total billed charges,7.373942561,,,,8.69,percent of total billed charges,8.386223973,,,,8.69,percent of total billed charges,7.409506477,,,,8.8,percent of total billed charges,999999999,,,,8.8,percent of total billed charges,999999999,,,,7.7,percent of total billed charges,999999999,,,,7.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.852,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.555,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.75,percent of total billed charges,2.611827325,,,,,,,,,,2.75,percent of total billed charges,2.568381355,,,,,,,,,,2.75,percent of total billed charges,2.561243933,,,,,,,,,,2.75,percent of total billed charges,2.523529647,,,,,,,,,,2.75,percent of total billed charges,2.588463775,,,,,,,,,,2.75,percent of total billed charges,999999999,,,,,,,,,,2.75,percent of total billed charges,2.221084199,,,,,,,,,,2.75,percent of total billed charges,3.502802947,,,,,,,,,,2.75,percent of total billed charges,999999999,,,,,,,,,,2.75,percent of total billed charges,2.394871971,,,,,,,,,,9.9,percent of total billed charges,,,,,
**DIGOXIN 0.125MG/2.5ML LIQUID UNIT DOSE,259,RC,0005-4005-16,NDC,,both,1,EA,7,7,1.490187612,7,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,7,percent of total billed charges,999999999,,,,7,percent of total billed charges,5.333518893,,,,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.942,percent of total billed charges,4.904503703,,,,4.942,percent of total billed charges,3.38259733,,,,,,,,,,5.04,percent of total billed charges,3.275881398,,,,,,,,,,5.04,percent of total billed charges,999999999,,,,,,,,,,5.6,percent of total billed charges,4.692508902,,,,5.53,percent of total billed charges,5.336687983,,,,5.53,percent of total billed charges,4.715140486,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,4.9,percent of total billed charges,999999999,,,,4.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.724,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.535,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.75,percent of total billed charges,1.662071934,,,,,,,,,,1.75,percent of total billed charges,1.634424499,,,,,,,,,,1.75,percent of total billed charges,1.629882503,,,,,,,,,,1.75,percent of total billed charges,1.605882503,,,,,,,,,,1.75,percent of total billed charges,1.647204221,,,,,,,,,,1.75,percent of total billed charges,999999999,,,,,,,,,,1.75,percent of total billed charges,1.413417217,,,,,,,,,,1.75,percent of total billed charges,2.229056421,,,,,,,,,,1.75,percent of total billed charges,999999999,,,,,,,,,,1.75,percent of total billed charges,1.524009436,,,,,,,,,,6.3,percent of total billed charges,,,,,
**DIGOXIN 0.25MG/5ML LIQUID UNIT DOSE,259,RC,1785-6005-30,NDC,,both,1,EA,25,25,5.322098616,25,25,percent of total billed charges,18.39338814,,,,25,percent of total billed charges,19.49662775,,,,25,percent of total billed charges,18.39338814,,,,25,percent of total billed charges,19.49662775,,,,25,percent of total billed charges,999999999,,,,25,percent of total billed charges,19.04828176,,,,25,percent of total billed charges,18.39338814,,,,25,percent of total billed charges,19.49662775,,,,17.825,percent of total billed charges,8.895001198,,,,17.825,percent of total billed charges,5.322098616,,,,17.825,percent of total billed charges,8.895001198,,,,17.825,percent of total billed charges,5.322098616,,,,17.825,percent of total billed charges,8.895001198,,,,17.825,percent of total billed charges,5.322098616,,,,17.65,percent of total billed charges,17.51608465,,,,17.65,percent of total billed charges,12.08070475,,,,,,,,,,18,percent of total billed charges,11.69957642,,,,,,,,,,18,percent of total billed charges,999999999,,,,,,,,,,20,percent of total billed charges,16.75896036,,,,19.75,percent of total billed charges,19.05959994,,,,19.75,percent of total billed charges,16.83978745,,,,20,percent of total billed charges,999999999,,,,20,percent of total billed charges,999999999,,,,17.5,percent of total billed charges,999999999,,,,17.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,13.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,12.625,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6.25,percent of total billed charges,5.935971194,,,,,,,,,,6.25,percent of total billed charges,5.837230352,,,,,,,,,,6.25,percent of total billed charges,5.821008939,,,,,,,,,,6.25,percent of total billed charges,5.735294653,,,,,,,,,,6.25,percent of total billed charges,5.882872216,,,,,,,,,,6.25,percent of total billed charges,999999999,,,,,,,,,,6.25,percent of total billed charges,5.047918634,,,,,,,,,,6.25,percent of total billed charges,7.960915788,,,,,,,,,,6.25,percent of total billed charges,999999999,,,,,,,,,,6.25,percent of total billed charges,5.442890844,,,,,,,,,,22.5,percent of total billed charges,,,,,
**E LOPERAMIDE 2MG CAPS 12 CT,259,RC,0037-8210-01,NDC,,both,1,EA,11,11,2.341723391,11,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,11,percent of total billed charges,999999999,,,,11,percent of total billed charges,8.381243975,,,,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.766,percent of total billed charges,7.707077247,,,,7.766,percent of total billed charges,5.31551009,,,,,,,,,,7.92,percent of total billed charges,5.147813626,,,,,,,,,,7.92,percent of total billed charges,999999999,,,,,,,,,,8.8,percent of total billed charges,7.373942561,,,,8.69,percent of total billed charges,8.386223973,,,,8.69,percent of total billed charges,7.409506477,,,,8.8,percent of total billed charges,999999999,,,,8.8,percent of total billed charges,999999999,,,,7.7,percent of total billed charges,999999999,,,,7.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.852,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.555,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.75,percent of total billed charges,2.611827325,,,,,,,,,,2.75,percent of total billed charges,2.568381355,,,,,,,,,,2.75,percent of total billed charges,2.561243933,,,,,,,,,,2.75,percent of total billed charges,2.523529647,,,,,,,,,,2.75,percent of total billed charges,2.588463775,,,,,,,,,,2.75,percent of total billed charges,999999999,,,,,,,,,,2.75,percent of total billed charges,2.221084199,,,,,,,,,,2.75,percent of total billed charges,3.502802947,,,,,,,,,,2.75,percent of total billed charges,999999999,,,,,,,,,,2.75,percent of total billed charges,2.394871971,,,,,,,,,,9.9,percent of total billed charges,,,,,
**SITAGLIPTIN 100MG TABLET: JANUVIA,259,RC,0000-6027-31,NDC,,both,1,EA,17,17,3.619027059,17,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,17,percent of total billed charges,999999999,,,,17,percent of total billed charges,12.9528316,,,,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.002,percent of total billed charges,11.91093756,,,,12.002,percent of total billed charges,8.214879231,,,,,,,,,,12.24,percent of total billed charges,7.955711967,,,,,,,,,,12.24,percent of total billed charges,999999999,,,,,,,,,,13.6,percent of total billed charges,11.39609305,,,,13.43,percent of total billed charges,12.96052796,,,,13.43,percent of total billed charges,11.45105547,,,,13.6,percent of total billed charges,999999999,,,,13.6,percent of total billed charges,999999999,,,,11.9,percent of total billed charges,999999999,,,,11.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.044,percent of total billed charges,999999999,,,,,,,,,,,,,,,,8.585,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4.25,percent of total billed charges,4.036460412,,,,,,,,,,4.25,percent of total billed charges,3.96931664,,,,,,,,,,4.25,percent of total billed charges,3.958286079,,,,,,,,,,4.25,percent of total billed charges,3.900000364,,,,,,,,,,4.25,percent of total billed charges,4.000353107,,,,,,,,,,4.25,percent of total billed charges,999999999,,,,,,,,,,4.25,percent of total billed charges,3.432584671,,,,,,,,,,4.25,percent of total billed charges,5.413422736,,,,,,,,,,4.25,percent of total billed charges,999999999,,,,,,,,,,4.25,percent of total billed charges,3.701165774,,,,,,,,,,15.3,percent of total billed charges,,,,,
"**DETEMIR (LEVEMIR) 300UNITS/3ML, PEN",637,RC,0016-9368-12,NDC,,both,1,EA,235.24,235.24,50.07881913,235.24,235.24,percent of total billed charges,173.0744251,,,,235.24,percent of total billed charges,183.4554685,,,,235.24,percent of total billed charges,173.0744251,,,,235.24,percent of total billed charges,183.4554685,,,,235.24,percent of total billed charges,999999999,,,,235.24,percent of total billed charges,179.2367121,,,,235.24,percent of total billed charges,173.0744251,,,,235.24,percent of total billed charges,183.4554685,,,,167.72612,percent of total billed charges,83.69840327,,,,167.72612,percent of total billed charges,50.07881913,,,,167.72612,percent of total billed charges,83.69840327,,,,167.72612,percent of total billed charges,50.07881913,,,,167.72612,percent of total billed charges,83.69840327,,,,167.72612,percent of total billed charges,50.07881913,,,,166.07944,percent of total billed charges,164.8193501,,,,166.07944,percent of total billed charges,113.6745994,,,,,,,,,,169.3728,percent of total billed charges,110.0883343,,,,,,,,,,169.3728,percent of total billed charges,999999999,,,,,,,,,,188.192,percent of total billed charges,157.6951134,,,,185.8396,percent of total billed charges,179.3432116,,,,185.8396,percent of total billed charges,158.455664,,,,188.192,percent of total billed charges,999999999,,,,188.192,percent of total billed charges,999999999,,,,164.668,percent of total billed charges,999999999,,,,164.668,percent of total billed charges,999999999,,,,,,,,,,,,,,,,125.14768,percent of total billed charges,999999999,,,,,,,,,,,,,,,,118.7962,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,58.81,percent of total billed charges,55.85511455,,,,,,,,,,58.81,percent of total billed charges,54.92600272,,,,,,,,,,58.81,percent of total billed charges,54.77336571,,,,,,,,,,58.81,percent of total billed charges,53.96682857,,,,,,,,,,58.81,percent of total billed charges,55.35547441,,,,,,,,,,58.81,percent of total billed charges,999999999,,,,,,,,,,58.81,percent of total billed charges,47.49889517,,,,,,,,,,58.81,percent of total billed charges,74.9090332,,,,,,,,,,58.81,percent of total billed charges,999999999,,,,,,,,,,58.81,percent of total billed charges,51.21542569,,,,,,,,,,211.716,percent of total billed charges,,,,,
**NATALIZUMAB 300MG/15ML: TYSABRI,250,RC,5907-5073-15,NDC,,both,1,EA,5223,5223,1111.892843,5223,5223,percent of total billed charges,3842.746651,,,,5223,percent of total billed charges,4073.23547,,,,5223,percent of total billed charges,3842.746651,,,,5223,percent of total billed charges,4073.23547,,,,5223,percent of total billed charges,999999999,,,,5223,percent of total billed charges,3979.567025,,,,5223,percent of total billed charges,3842.746651,,,,5223,percent of total billed charges,4073.23547,,,,3723.999,percent of total billed charges,1858.34365,,,,3723.999,percent of total billed charges,1111.892843,,,,3723.999,percent of total billed charges,1858.34365,,,,3723.999,percent of total billed charges,1111.892843,,,,3723.999,percent of total billed charges,1858.34365,,,,3723.999,percent of total billed charges,1111.892843,,,,3687.438,percent of total billed charges,3659.460405,,,,3687.438,percent of total billed charges,2523.900837,,,,,,,,,,3760.56,percent of total billed charges,2444.275506,,,,,,,,,,3760.56,percent of total billed charges,999999999,,,,,,,,,,4178.4,percent of total billed charges,3501.281999,,,,4126.17,percent of total billed charges,3981.931619,,,,4126.17,percent of total billed charges,3518.168394,,,,4178.4,percent of total billed charges,999999999,,,,4178.4,percent of total billed charges,999999999,,,,3656.1,percent of total billed charges,999999999,,,,3656.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2778.636,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2637.615,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1305.75,percent of total billed charges,1240.143102,,,,,,,,,,1305.75,percent of total billed charges,1219.514165,,,,,,,,,,1305.75,percent of total billed charges,1216.125188,,,,,,,,,,1305.75,percent of total billed charges,1198.217759,,,,,,,,,,1305.75,percent of total billed charges,1229.049663,,,,,,,,,,1305.75,percent of total billed charges,999999999,,,,,,,,,,1305.75,percent of total billed charges,1054.611161,,,,,,,,,,1305.75,percent of total billed charges,1663.194526,,,,,,,,,,1305.75,percent of total billed charges,999999999,,,,,,,,,,1305.75,percent of total billed charges,1137.128755,,,,,,,,,,4700.7,percent of total billed charges,,,,,
**E MOTRIN IB 500CT BOTTLE,250,RC,3505-8011-51,NDC,,both,1,EA,12,12,2.554607335,12,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,12,percent of total billed charges,999999999,,,,12,percent of total billed charges,9.143175245,,,,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.472,percent of total billed charges,8.407720633,,,,8.472,percent of total billed charges,5.79873828,,,,,,,,,,8.64,percent of total billed charges,5.615796683,,,,,,,,,,8.64,percent of total billed charges,999999999,,,,,,,,,,9.6,percent of total billed charges,8.044300975,,,,9.48,percent of total billed charges,9.148607971,,,,9.48,percent of total billed charges,8.083097975,,,,9.6,percent of total billed charges,999999999,,,,9.6,percent of total billed charges,999999999,,,,8.4,percent of total billed charges,999999999,,,,8.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.384,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.06,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3,percent of total billed charges,2.849266173,,,,,,,,,,3,percent of total billed charges,2.801870569,,,,,,,,,,3,percent of total billed charges,2.794084291,,,,,,,,,,3,percent of total billed charges,2.752941434,,,,,,,,,,3,percent of total billed charges,2.823778664,,,,,,,,,,3,percent of total billed charges,999999999,,,,,,,,,,3,percent of total billed charges,2.423000944,,,,,,,,,,3,percent of total billed charges,3.821239578,,,,,,,,,,3,percent of total billed charges,999999999,,,,,,,,,,3,percent of total billed charges,2.612587605,,,,,,,,,,10.8,percent of total billed charges,,,,,
**RITUXIMAB 500MG/50ML:RITUXAN,J9310,CDM,5024-2005-06,NDC,,both,1,EA,23273,23273,4954.448043,23273,23273,percent of total billed charges,17122.77289,,,,23273,percent of total billed charges,18149.80071,,,,23273,percent of total billed charges,17122.77289,,,,23273,percent of total billed charges,18149.80071,,,,23273,percent of total billed charges,999999999,,,,23273,percent of total billed charges,17732.42646,,,,23273,percent of total billed charges,17122.77289,,,,23273,percent of total billed charges,18149.80071,,,,16593.649,percent of total billed charges,8280.534515,,,,16593.649,percent of total billed charges,4954.448043,,,,16593.649,percent of total billed charges,8280.534515,,,,16593.649,percent of total billed charges,4954.448043,,,,16593.649,percent of total billed charges,8280.534515,,,,16593.649,percent of total billed charges,4954.448043,,,,16430.738,percent of total billed charges,16306.07352,,,,16430.738,percent of total billed charges,11246.16967,,,,,,,,,,16756.56,percent of total billed charges,10891.36968,,,,,,,,,,16756.56,percent of total billed charges,999999999,,,,,,,,,,18618.4,percent of total billed charges,15601.25138,,,,18385.67,percent of total billed charges,17742.96278,,,,18385.67,percent of total billed charges,15676.49493,,,,18618.4,percent of total billed charges,999999999,,,,18618.4,percent of total billed charges,999999999,,,,16291.1,percent of total billed charges,999999999,,,,16291.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,12381.236,percent of total billed charges,999999999,,,,,,,,,,,,,,,,11752.865,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5818.25,percent of total billed charges,5525.914304,,,,,,,,,,5818.25,percent of total billed charges,5433.99448,,,,,,,,,,5818.25,percent of total billed charges,5418.893642,,,,,,,,,,5818.25,percent of total billed charges,5339.100499,,,,,,,,,,5818.25,percent of total billed charges,5476.483403,,,,,,,,,,5818.25,percent of total billed charges,999999999,,,,,,,,,,5818.25,percent of total billed charges,4699.208414,,,,,,,,,,5818.25,percent of total billed charges,7410.975725,,,,,,,,,,5818.25,percent of total billed charges,999999999,,,,,,,,,,5818.25,percent of total billed charges,5066.895945,,,,,,,,,,20945.7,percent of total billed charges,,,,,
**MORphine 15MG/ML VIAL (PARAMEDIC),250,RC,0040-9126-31,NDC,,both,1,EA,22,22,4.683446782,22,22,percent of total billed charges,16.18618157,,,,22,percent of total billed charges,17.15703242,,,,22,percent of total billed charges,16.18618157,,,,22,percent of total billed charges,17.15703242,,,,22,percent of total billed charges,999999999,,,,22,percent of total billed charges,16.76248795,,,,22,percent of total billed charges,16.18618157,,,,22,percent of total billed charges,17.15703242,,,,15.686,percent of total billed charges,7.827601054,,,,15.686,percent of total billed charges,4.683446782,,,,15.686,percent of total billed charges,7.827601054,,,,15.686,percent of total billed charges,4.683446782,,,,15.686,percent of total billed charges,7.827601054,,,,15.686,percent of total billed charges,4.683446782,,,,15.532,percent of total billed charges,15.41415449,,,,15.532,percent of total billed charges,10.63102018,,,,,,,,,,15.84,percent of total billed charges,10.29562725,,,,,,,,,,15.84,percent of total billed charges,999999999,,,,,,,,,,17.6,percent of total billed charges,14.74788512,,,,17.38,percent of total billed charges,16.77244795,,,,17.38,percent of total billed charges,14.81901295,,,,17.6,percent of total billed charges,999999999,,,,17.6,percent of total billed charges,999999999,,,,15.4,percent of total billed charges,999999999,,,,15.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,11.704,percent of total billed charges,999999999,,,,,,,,,,,,,,,,11.11,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5.5,percent of total billed charges,5.223654651,,,,,,,,,,5.5,percent of total billed charges,5.13676271,,,,,,,,,,5.5,percent of total billed charges,5.122487866,,,,,,,,,,5.5,percent of total billed charges,5.047059295,,,,,,,,,,5.5,percent of total billed charges,5.17692755,,,,,,,,,,5.5,percent of total billed charges,999999999,,,,,,,,,,5.5,percent of total billed charges,4.442168398,,,,,,,,,,5.5,percent of total billed charges,7.005605893,,,,,,,,,,5.5,percent of total billed charges,999999999,,,,,,,,,,5.5,percent of total billed charges,4.789743943,,,,,,,,,,19.8,percent of total billed charges,,,,,
**SILDENAFIL 25MG TAB: VIAGRA,259,RC,0006-9420-30,NDC,,both,1,EA,36,36,7.663822006,36,36,percent of total billed charges,26.48647893,,,,36,percent of total billed charges,28.07514396,,,,36,percent of total billed charges,26.48647893,,,,36,percent of total billed charges,28.07514396,,,,36,percent of total billed charges,999999999,,,,36,percent of total billed charges,27.42952574,,,,36,percent of total billed charges,26.48647893,,,,36,percent of total billed charges,28.07514396,,,,25.668,percent of total billed charges,12.80880173,,,,25.668,percent of total billed charges,7.663822006,,,,25.668,percent of total billed charges,12.80880173,,,,25.668,percent of total billed charges,7.663822006,,,,25.668,percent of total billed charges,12.80880173,,,,25.668,percent of total billed charges,7.663822006,,,,25.416,percent of total billed charges,25.2231619,,,,25.416,percent of total billed charges,17.39621484,,,,,,,,,,25.92,percent of total billed charges,16.84739005,,,,,,,,,,25.92,percent of total billed charges,999999999,,,,,,,,,,28.8,percent of total billed charges,24.13290293,,,,28.44,percent of total billed charges,27.44582391,,,,28.44,percent of total billed charges,24.24929393,,,,28.8,percent of total billed charges,999999999,,,,28.8,percent of total billed charges,999999999,,,,25.2,percent of total billed charges,999999999,,,,25.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,19.152,percent of total billed charges,999999999,,,,,,,,,,,,,,,,18.18,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9,percent of total billed charges,8.54779852,,,,,,,,,,9,percent of total billed charges,8.405611707,,,,,,,,,,9,percent of total billed charges,8.382252872,,,,,,,,,,9,percent of total billed charges,8.258824301,,,,,,,,,,9,percent of total billed charges,8.471335991,,,,,,,,,,9,percent of total billed charges,999999999,,,,,,,,,,9,percent of total billed charges,7.269002832,,,,,,,,,,9,percent of total billed charges,11.46371873,,,,,,,,,,9,percent of total billed charges,999999999,,,,,,,,,,9,percent of total billed charges,7.837762816,,,,,,,,,,32.4,percent of total billed charges,,,,,
**ZIDOVUDINE SYRUP 50MG/5ML,259,RC,6586-2004-24,NDC,,both,1,EA,114,114,24.26876969,114,114,percent of total billed charges,83.87384993,,,,114,percent of total billed charges,88.90462254,,,,114,percent of total billed charges,83.87384993,,,,114,percent of total billed charges,88.90462254,,,,114,percent of total billed charges,999999999,,,,114,percent of total billed charges,86.86016483,,,,114,percent of total billed charges,83.87384993,,,,114,percent of total billed charges,88.90462254,,,,81.282,percent of total billed charges,40.56120546,,,,81.282,percent of total billed charges,24.26876969,,,,81.282,percent of total billed charges,40.56120546,,,,81.282,percent of total billed charges,24.26876969,,,,81.282,percent of total billed charges,40.56120546,,,,81.282,percent of total billed charges,24.26876969,,,,80.484,percent of total billed charges,79.87334601,,,,80.484,percent of total billed charges,55.08801366,,,,,,,,,,82.08,percent of total billed charges,53.35006848,,,,,,,,,,82.08,percent of total billed charges,999999999,,,,,,,,,,91.2,percent of total billed charges,76.42085926,,,,90.06,percent of total billed charges,86.91177572,,,,90.06,percent of total billed charges,76.78943077,,,,91.2,percent of total billed charges,999999999,,,,91.2,percent of total billed charges,999999999,,,,79.8,percent of total billed charges,999999999,,,,79.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,60.648,percent of total billed charges,999999999,,,,,,,,,,,,,,,,57.57,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,28.5,percent of total billed charges,27.06802865,,,,,,,,,,28.5,percent of total billed charges,26.61777041,,,,,,,,,,28.5,percent of total billed charges,26.54380076,,,,,,,,,,28.5,percent of total billed charges,26.15294362,,,,,,,,,,28.5,percent of total billed charges,26.82589731,,,,,,,,,,28.5,percent of total billed charges,999999999,,,,,,,,,,28.5,percent of total billed charges,23.01850897,,,,,,,,,,28.5,percent of total billed charges,36.30177599,,,,,,,,,,28.5,percent of total billed charges,999999999,,,,,,,,,,28.5,percent of total billed charges,24.81958225,,,,,,,,,,102.6,percent of total billed charges,,,,,
**NICOTINE PATCH REMOVAL,259,RC,9999-9999-99,NDC,,both,1,EA,2,2,0.425767889,2,2,percent of total billed charges,1.471471051,,,,2,percent of total billed charges,1.55973022,,,,2,percent of total billed charges,1.471471051,,,,2,percent of total billed charges,1.55973022,,,,2,percent of total billed charges,999999999,,,,2,percent of total billed charges,1.523862541,,,,2,percent of total billed charges,1.471471051,,,,2,percent of total billed charges,1.55973022,,,,1.426,percent of total billed charges,0.711600096,,,,1.426,percent of total billed charges,0.425767889,,,,1.426,percent of total billed charges,0.711600096,,,,1.426,percent of total billed charges,0.425767889,,,,1.426,percent of total billed charges,0.711600096,,,,1.426,percent of total billed charges,0.425767889,,,,1.412,percent of total billed charges,1.401286772,,,,1.412,percent of total billed charges,0.96645638,,,,,,,,,,1.44,percent of total billed charges,0.935966114,,,,,,,,,,1.44,percent of total billed charges,999999999,,,,,,,,,,1.6,percent of total billed charges,1.340716829,,,,1.58,percent of total billed charges,1.524767995,,,,1.58,percent of total billed charges,1.347182996,,,,1.6,percent of total billed charges,999999999,,,,1.6,percent of total billed charges,999999999,,,,1.4,percent of total billed charges,999999999,,,,1.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.064,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.01,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.5,percent of total billed charges,0.474877696,,,,,,,,,,0.5,percent of total billed charges,0.466978428,,,,,,,,,,0.5,percent of total billed charges,0.465680715,,,,,,,,,,0.5,percent of total billed charges,0.458823572,,,,,,,,,,0.5,percent of total billed charges,0.470629777,,,,,,,,,,0.5,percent of total billed charges,999999999,,,,,,,,,,0.5,percent of total billed charges,0.403833491,,,,,,,,,,0.5,percent of total billed charges,0.636873263,,,,,,,,,,0.5,percent of total billed charges,999999999,,,,,,,,,,0.5,percent of total billed charges,0.435431268,,,,,,,,,,1.8,percent of total billed charges,,,,,
**PIPERONYL BUTOXIDE/PYRETHRINS 118ML,259,RC,0018-2616-37,NDC,,both,1,EA,25,25,5.322098616,25,25,percent of total billed charges,18.39338814,,,,25,percent of total billed charges,19.49662775,,,,25,percent of total billed charges,18.39338814,,,,25,percent of total billed charges,19.49662775,,,,25,percent of total billed charges,999999999,,,,25,percent of total billed charges,19.04828176,,,,25,percent of total billed charges,18.39338814,,,,25,percent of total billed charges,19.49662775,,,,17.825,percent of total billed charges,8.895001198,,,,17.825,percent of total billed charges,5.322098616,,,,17.825,percent of total billed charges,8.895001198,,,,17.825,percent of total billed charges,5.322098616,,,,17.825,percent of total billed charges,8.895001198,,,,17.825,percent of total billed charges,5.322098616,,,,17.65,percent of total billed charges,17.51608465,,,,17.65,percent of total billed charges,12.08070475,,,,,,,,,,18,percent of total billed charges,11.69957642,,,,,,,,,,18,percent of total billed charges,999999999,,,,,,,,,,20,percent of total billed charges,16.75896036,,,,19.75,percent of total billed charges,19.05959994,,,,19.75,percent of total billed charges,16.83978745,,,,20,percent of total billed charges,999999999,,,,20,percent of total billed charges,999999999,,,,17.5,percent of total billed charges,999999999,,,,17.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,13.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,12.625,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6.25,percent of total billed charges,5.935971194,,,,,,,,,,6.25,percent of total billed charges,5.837230352,,,,,,,,,,6.25,percent of total billed charges,5.821008939,,,,,,,,,,6.25,percent of total billed charges,5.735294653,,,,,,,,,,6.25,percent of total billed charges,5.882872216,,,,,,,,,,6.25,percent of total billed charges,999999999,,,,,,,,,,6.25,percent of total billed charges,5.047918634,,,,,,,,,,6.25,percent of total billed charges,7.960915788,,,,,,,,,,6.25,percent of total billed charges,999999999,,,,,,,,,,6.25,percent of total billed charges,5.442890844,,,,,,,,,,22.5,percent of total billed charges,,,,,
**TOBRAMYCIN 80MG ADDVANTAGE,J3260,CDM,0040-9325-03,NDC,,both,1,EA,27,27,5.747866505,27,27,percent of total billed charges,19.86485919,,,,27,percent of total billed charges,21.05635797,,,,27,percent of total billed charges,19.86485919,,,,27,percent of total billed charges,21.05635797,,,,27,percent of total billed charges,999999999,,,,27,percent of total billed charges,20.5721443,,,,27,percent of total billed charges,19.86485919,,,,27,percent of total billed charges,21.05635797,,,,19.251,percent of total billed charges,9.606601294,,,,19.251,percent of total billed charges,5.747866505,,,,19.251,percent of total billed charges,9.606601294,,,,19.251,percent of total billed charges,5.747866505,,,,19.251,percent of total billed charges,9.606601294,,,,19.251,percent of total billed charges,5.747866505,,,,19.062,percent of total billed charges,18.91737142,,,,19.062,percent of total billed charges,13.04716113,,,,,,,,,,19.44,percent of total billed charges,12.63554254,,,,,,,,,,19.44,percent of total billed charges,999999999,,,,,,,,,,21.6,percent of total billed charges,18.09967719,,,,21.33,percent of total billed charges,20.58436793,,,,21.33,percent of total billed charges,18.18697044,,,,21.6,percent of total billed charges,999999999,,,,21.6,percent of total billed charges,999999999,,,,18.9,percent of total billed charges,999999999,,,,18.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,14.364,percent of total billed charges,999999999,,,,,,,,,,,,,,,,13.635,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6.75,percent of total billed charges,6.41084889,,,,,,,,,,6.75,percent of total billed charges,6.30420878,,,,,,,,,,6.75,percent of total billed charges,6.286689654,,,,,,,,,,6.75,percent of total billed charges,6.194118226,,,,,,,,,,6.75,percent of total billed charges,6.353501993,,,,,,,,,,6.75,percent of total billed charges,999999999,,,,,,,,,,6.75,percent of total billed charges,5.451752124,,,,,,,,,,6.75,percent of total billed charges,8.597789051,,,,,,,,,,6.75,percent of total billed charges,999999999,,,,,,,,,,6.75,percent of total billed charges,5.878322112,,,,,,,,,,24.3,percent of total billed charges,,,,,
**RANITIDINE: 150MG/6ML INJ,J2780,CDM,5256-5010-01,NDC,,both,1,EA,222.89,222.89,47.44970242,222.89,222.89,percent of total billed charges,163.9880913,,,,222.89,percent of total billed charges,173.8241344,,,,222.89,percent of total billed charges,163.9880913,,,,222.89,percent of total billed charges,173.8241344,,,,222.89,percent of total billed charges,999999999,,,,222.89,percent of total billed charges,169.8268609,,,,222.89,percent of total billed charges,163.9880913,,,,222.89,percent of total billed charges,173.8241344,,,,158.92057,percent of total billed charges,79.30427268,,,,158.92057,percent of total billed charges,47.44970242,,,,158.92057,percent of total billed charges,79.30427268,,,,158.92057,percent of total billed charges,47.44970242,,,,158.92057,percent of total billed charges,79.30427268,,,,158.92057,percent of total billed charges,47.44970242,,,,157.36034,percent of total billed charges,156.1664043,,,,157.36034,percent of total billed charges,107.7067313,,,,,,,,,,160.4808,percent of total billed charges,104.3087435,,,,,,,,,,160.4808,percent of total billed charges,999999999,,,,,,,,,,178.312,percent of total billed charges,149.416187,,,,176.0831,percent of total billed charges,169.9277692,,,,176.0831,percent of total billed charges,150.136809,,,,178.312,percent of total billed charges,999999999,,,,178.312,percent of total billed charges,999999999,,,,156.023,percent of total billed charges,999999999,,,,156.023,percent of total billed charges,999999999,,,,,,,,,,,,,,,,118.57748,percent of total billed charges,999999999,,,,,,,,,,,,,,,,112.55945,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,55.7225,percent of total billed charges,52.92274478,,,,,,,,,,55.7225,percent of total billed charges,52.04241093,,,,,,,,,,55.7225,percent of total billed charges,51.8977873,,,,,,,,,,55.7225,percent of total billed charges,51.13359301,,,,,,,,,,55.7225,percent of total billed charges,52.44933553,,,,,,,,,,55.7225,percent of total billed charges,999999999,,,,,,,,,,55.7225,percent of total billed charges,45.00522337,,,,,,,,,,55.7225,percent of total billed charges,70.9763408,,,,,,,,,,55.7225,percent of total billed charges,999999999,,,,,,,,,,55.7225,percent of total billed charges,48.52663761,,,,,,,,,,200.601,percent of total billed charges,,,,,
**E-EXCEDRIN MIGRAINE,259,RC,1981-0000-08,NDC,,both,1,EA,17,17,3.619027059,17,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,17,percent of total billed charges,999999999,,,,17,percent of total billed charges,12.9528316,,,,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.002,percent of total billed charges,11.91093756,,,,12.002,percent of total billed charges,8.214879231,,,,,,,,,,12.24,percent of total billed charges,7.955711967,,,,,,,,,,12.24,percent of total billed charges,999999999,,,,,,,,,,13.6,percent of total billed charges,11.39609305,,,,13.43,percent of total billed charges,12.96052796,,,,13.43,percent of total billed charges,11.45105547,,,,13.6,percent of total billed charges,999999999,,,,13.6,percent of total billed charges,999999999,,,,11.9,percent of total billed charges,999999999,,,,11.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.044,percent of total billed charges,999999999,,,,,,,,,,,,,,,,8.585,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4.25,percent of total billed charges,4.036460412,,,,,,,,,,4.25,percent of total billed charges,3.96931664,,,,,,,,,,4.25,percent of total billed charges,3.958286079,,,,,,,,,,4.25,percent of total billed charges,3.900000364,,,,,,,,,,4.25,percent of total billed charges,4.000353107,,,,,,,,,,4.25,percent of total billed charges,999999999,,,,,,,,,,4.25,percent of total billed charges,3.432584671,,,,,,,,,,4.25,percent of total billed charges,5.413422736,,,,,,,,,,4.25,percent of total billed charges,999999999,,,,,,,,,,4.25,percent of total billed charges,3.701165774,,,,,,,,,,15.3,percent of total billed charges,,,,,
**OLANZAPINE/FLUOXETINE 3MG-25MG,259,RC,0000-2323-30,NDC,,both,1,EA,24,24,5.109214671,24,24,percent of total billed charges,17.65765262,,,,24,percent of total billed charges,18.71676264,,,,24,percent of total billed charges,17.65765262,,,,24,percent of total billed charges,18.71676264,,,,24,percent of total billed charges,999999999,,,,24,percent of total billed charges,18.28635049,,,,24,percent of total billed charges,17.65765262,,,,24,percent of total billed charges,18.71676264,,,,17.112,percent of total billed charges,8.53920115,,,,17.112,percent of total billed charges,5.109214671,,,,17.112,percent of total billed charges,8.53920115,,,,17.112,percent of total billed charges,5.109214671,,,,17.112,percent of total billed charges,8.53920115,,,,17.112,percent of total billed charges,5.109214671,,,,16.944,percent of total billed charges,16.81544127,,,,16.944,percent of total billed charges,11.59747656,,,,,,,,,,17.28,percent of total billed charges,11.23159337,,,,,,,,,,17.28,percent of total billed charges,999999999,,,,,,,,,,19.2,percent of total billed charges,16.08860195,,,,18.96,percent of total billed charges,18.29721594,,,,18.96,percent of total billed charges,16.16619595,,,,19.2,percent of total billed charges,999999999,,,,19.2,percent of total billed charges,999999999,,,,16.8,percent of total billed charges,999999999,,,,16.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,12.768,percent of total billed charges,999999999,,,,,,,,,,,,,,,,12.12,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6,percent of total billed charges,5.698532346,,,,,,,,,,6,percent of total billed charges,5.603741138,,,,,,,,,,6,percent of total billed charges,5.588168582,,,,,,,,,,6,percent of total billed charges,5.505882867,,,,,,,,,,6,percent of total billed charges,5.647557328,,,,,,,,,,6,percent of total billed charges,999999999,,,,,,,,,,6,percent of total billed charges,4.846001888,,,,,,,,,,6,percent of total billed charges,7.642479156,,,,,,,,,,6,percent of total billed charges,999999999,,,,,,,,,,6,percent of total billed charges,5.22517521,,,,,,,,,,21.6,percent of total billed charges,,,,,
**DOXAZOSIN 1MG TAB,259,RC,5817-7026-04,NDC,,both,1,EA,7,7,1.490187612,7,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,7,percent of total billed charges,999999999,,,,7,percent of total billed charges,5.333518893,,,,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.942,percent of total billed charges,4.904503703,,,,4.942,percent of total billed charges,3.38259733,,,,,,,,,,5.04,percent of total billed charges,3.275881398,,,,,,,,,,5.04,percent of total billed charges,999999999,,,,,,,,,,5.6,percent of total billed charges,4.692508902,,,,5.53,percent of total billed charges,5.336687983,,,,5.53,percent of total billed charges,4.715140486,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,4.9,percent of total billed charges,999999999,,,,4.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.724,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.535,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.75,percent of total billed charges,1.662071934,,,,,,,,,,1.75,percent of total billed charges,1.634424499,,,,,,,,,,1.75,percent of total billed charges,1.629882503,,,,,,,,,,1.75,percent of total billed charges,1.605882503,,,,,,,,,,1.75,percent of total billed charges,1.647204221,,,,,,,,,,1.75,percent of total billed charges,999999999,,,,,,,,,,1.75,percent of total billed charges,1.413417217,,,,,,,,,,1.75,percent of total billed charges,2.229056421,,,,,,,,,,1.75,percent of total billed charges,999999999,,,,,,,,,,1.75,percent of total billed charges,1.524009436,,,,,,,,,,6.3,percent of total billed charges,,,,,
**METOPROLOL SUCCINATE 200MG TAB: TOPROL,259,RC,5817-7035-04,NDC,,both,1,EA,12,12,2.554607335,12,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,12,percent of total billed charges,999999999,,,,12,percent of total billed charges,9.143175245,,,,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.472,percent of total billed charges,8.407720633,,,,8.472,percent of total billed charges,5.79873828,,,,,,,,,,8.64,percent of total billed charges,5.615796683,,,,,,,,,,8.64,percent of total billed charges,999999999,,,,,,,,,,9.6,percent of total billed charges,8.044300975,,,,9.48,percent of total billed charges,9.148607971,,,,9.48,percent of total billed charges,8.083097975,,,,9.6,percent of total billed charges,999999999,,,,9.6,percent of total billed charges,999999999,,,,8.4,percent of total billed charges,999999999,,,,8.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.384,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.06,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3,percent of total billed charges,2.849266173,,,,,,,,,,3,percent of total billed charges,2.801870569,,,,,,,,,,3,percent of total billed charges,2.794084291,,,,,,,,,,3,percent of total billed charges,2.752941434,,,,,,,,,,3,percent of total billed charges,2.823778664,,,,,,,,,,3,percent of total billed charges,999999999,,,,,,,,,,3,percent of total billed charges,2.423000944,,,,,,,,,,3,percent of total billed charges,3.821239578,,,,,,,,,,3,percent of total billed charges,999999999,,,,,,,,,,3,percent of total billed charges,2.612587605,,,,,,,,,,10.8,percent of total billed charges,,,,,
**INFLUENZA VACCINE 2010-2011: FLUZONE,90656,CDM,4928-1001-50,NDC,,both,1,EA,54,54,11.49573301,54,54,percent of total billed charges,39.72971839,,,,54,percent of total billed charges,42.11271594,,,,54,percent of total billed charges,39.72971839,,,,54,percent of total billed charges,42.11271594,,,,54,percent of total billed charges,999999999,,,,54,percent of total billed charges,41.1442886,,,,54,percent of total billed charges,39.72971839,,,,54,percent of total billed charges,42.11271594,,,,38.502,percent of total billed charges,19.21320259,,,,38.502,percent of total billed charges,11.49573301,,,,38.502,percent of total billed charges,19.21320259,,,,38.502,percent of total billed charges,11.49573301,,,,38.502,percent of total billed charges,19.21320259,,,,38.502,percent of total billed charges,11.49573301,,,,38.124,percent of total billed charges,37.83474285,,,,38.124,percent of total billed charges,26.09432226,,,,,,,,,,38.88,percent of total billed charges,25.27108507,,,,,,,,,,38.88,percent of total billed charges,999999999,,,,,,,,,,43.2,percent of total billed charges,36.19935439,,,,42.66,percent of total billed charges,41.16873587,,,,42.66,percent of total billed charges,36.37394089,,,,43.2,percent of total billed charges,999999999,,,,43.2,percent of total billed charges,999999999,,,,37.8,percent of total billed charges,999999999,,,,37.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,28.728,percent of total billed charges,999999999,,,,,,,,,,,,,,,,27.27,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13.5,percent of total billed charges,12.82169778,,,,,,,,,,13.5,percent of total billed charges,12.60841756,,,,,,,,,,13.5,percent of total billed charges,12.57337931,,,,,,,,,,13.5,percent of total billed charges,12.38823645,,,,,,,,,,13.5,percent of total billed charges,12.70700399,,,,,,,,,,13.5,percent of total billed charges,999999999,,,,,,,,,,13.5,percent of total billed charges,10.90350425,,,,,,,,,,13.5,percent of total billed charges,17.1955781,,,,,,,,,,13.5,percent of total billed charges,999999999,,,,,,,,,,13.5,percent of total billed charges,11.75664422,,,,,,,,,,48.6,percent of total billed charges,,,,,
**D5W 500ML GLASS,250,RC,0040-9152-03,NDC,,both,1,EA,102,102,21.71416235,102,102,percent of total billed charges,75.04502362,,,,102,percent of total billed charges,79.54624122,,,,102,percent of total billed charges,75.04502362,,,,102,percent of total billed charges,79.54624122,,,,102,percent of total billed charges,999999999,,,,102,percent of total billed charges,77.71698958,,,,102,percent of total billed charges,75.04502362,,,,102,percent of total billed charges,79.54624122,,,,72.726,percent of total billed charges,36.29160489,,,,72.726,percent of total billed charges,21.71416235,,,,72.726,percent of total billed charges,36.29160489,,,,72.726,percent of total billed charges,21.71416235,,,,72.726,percent of total billed charges,36.29160489,,,,72.726,percent of total billed charges,21.71416235,,,,72.012,percent of total billed charges,71.46562538,,,,72.012,percent of total billed charges,49.28927538,,,,,,,,,,73.44,percent of total billed charges,47.7342718,,,,,,,,,,73.44,percent of total billed charges,999999999,,,,,,,,,,81.6,percent of total billed charges,68.37655829,,,,80.58,percent of total billed charges,77.76316775,,,,80.58,percent of total billed charges,68.70633279,,,,81.6,percent of total billed charges,999999999,,,,81.6,percent of total billed charges,999999999,,,,71.4,percent of total billed charges,999999999,,,,71.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,54.264,percent of total billed charges,999999999,,,,,,,,,,,,,,,,51.51,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,25.5,percent of total billed charges,24.21876247,,,,,,,,,,25.5,percent of total billed charges,23.81589984,,,,,,,,,,25.5,percent of total billed charges,23.74971647,,,,,,,,,,25.5,percent of total billed charges,23.40000219,,,,,,,,,,25.5,percent of total billed charges,24.00211864,,,,,,,,,,25.5,percent of total billed charges,999999999,,,,,,,,,,25.5,percent of total billed charges,20.59550803,,,,,,,,,,25.5,percent of total billed charges,32.48053641,,,,,,,,,,25.5,percent of total billed charges,999999999,,,,,,,,,,25.5,percent of total billed charges,22.20699464,,,,,,,,,,91.8,percent of total billed charges,,,,,
**HOLD BISPHOSPHONATE WHILE HOSPITALIZED,250,RC,0014-9047-01,NDC,,both,1,EA,2,2,0.425767889,2,2,percent of total billed charges,1.471471051,,,,2,percent of total billed charges,1.55973022,,,,2,percent of total billed charges,1.471471051,,,,2,percent of total billed charges,1.55973022,,,,2,percent of total billed charges,999999999,,,,2,percent of total billed charges,1.523862541,,,,2,percent of total billed charges,1.471471051,,,,2,percent of total billed charges,1.55973022,,,,1.426,percent of total billed charges,0.711600096,,,,1.426,percent of total billed charges,0.425767889,,,,1.426,percent of total billed charges,0.711600096,,,,1.426,percent of total billed charges,0.425767889,,,,1.426,percent of total billed charges,0.711600096,,,,1.426,percent of total billed charges,0.425767889,,,,1.412,percent of total billed charges,1.401286772,,,,1.412,percent of total billed charges,0.96645638,,,,,,,,,,1.44,percent of total billed charges,0.935966114,,,,,,,,,,1.44,percent of total billed charges,999999999,,,,,,,,,,1.6,percent of total billed charges,1.340716829,,,,1.58,percent of total billed charges,1.524767995,,,,1.58,percent of total billed charges,1.347182996,,,,1.6,percent of total billed charges,999999999,,,,1.6,percent of total billed charges,999999999,,,,1.4,percent of total billed charges,999999999,,,,1.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.064,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1.01,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.5,percent of total billed charges,0.474877696,,,,,,,,,,0.5,percent of total billed charges,0.466978428,,,,,,,,,,0.5,percent of total billed charges,0.465680715,,,,,,,,,,0.5,percent of total billed charges,0.458823572,,,,,,,,,,0.5,percent of total billed charges,0.470629777,,,,,,,,,,0.5,percent of total billed charges,999999999,,,,,,,,,,0.5,percent of total billed charges,0.403833491,,,,,,,,,,0.5,percent of total billed charges,0.636873263,,,,,,,,,,0.5,percent of total billed charges,999999999,,,,,,,,,,0.5,percent of total billed charges,0.435431268,,,,,,,,,,1.8,percent of total billed charges,,,,,
**CINACALCET (SENSIPAR) 60MG,250,RC,5551-3007-30,NDC,,both,1,EA,93,93,19.79820685,93,93,percent of total billed charges,68.42340389,,,,93,percent of total billed charges,72.52745523,,,,93,percent of total billed charges,68.42340389,,,,93,percent of total billed charges,72.52745523,,,,93,percent of total billed charges,999999999,,,,93,percent of total billed charges,70.85960815,,,,93,percent of total billed charges,68.42340389,,,,93,percent of total billed charges,72.52745523,,,,66.309,percent of total billed charges,33.08940446,,,,66.309,percent of total billed charges,19.79820685,,,,66.309,percent of total billed charges,33.08940446,,,,66.309,percent of total billed charges,19.79820685,,,,66.309,percent of total billed charges,33.08940446,,,,66.309,percent of total billed charges,19.79820685,,,,65.658,percent of total billed charges,65.1598349,,,,65.658,percent of total billed charges,44.94022167,,,,,,,,,,66.96,percent of total billed charges,43.52242429,,,,,,,,,,66.96,percent of total billed charges,999999999,,,,,,,,,,74.4,percent of total billed charges,62.34333256,,,,73.47,percent of total billed charges,70.90171178,,,,73.47,percent of total billed charges,62.64400931,,,,74.4,percent of total billed charges,999999999,,,,74.4,percent of total billed charges,999999999,,,,65.1,percent of total billed charges,999999999,,,,65.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,49.476,percent of total billed charges,999999999,,,,,,,,,,,,,,,,46.965,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23.25,percent of total billed charges,22.08181284,,,,,,,,,,23.25,percent of total billed charges,21.71449691,,,,,,,,,,23.25,percent of total billed charges,21.65415325,,,,,,,,,,23.25,percent of total billed charges,21.33529611,,,,,,,,,,23.25,percent of total billed charges,21.88428464,,,,,,,,,,23.25,percent of total billed charges,999999999,,,,,,,,,,23.25,percent of total billed charges,18.77825732,,,,,,,,,,23.25,percent of total billed charges,29.61460673,,,,,,,,,,23.25,percent of total billed charges,999999999,,,,,,,,,,23.25,percent of total billed charges,20.24755394,,,,,,,,,,83.7,percent of total billed charges,,,,,
**KETOCONAZOLE (NIZORAL) 200MG,259,RC,6050-5009-00,NDC,,both,1,EA,10,10,2.128839446,10,10,percent of total billed charges,7.357355257,,,,10,percent of total billed charges,7.7986511,,,,10,percent of total billed charges,7.357355257,,,,10,percent of total billed charges,7.7986511,,,,10,percent of total billed charges,999999999,,,,10,percent of total billed charges,7.619312704,,,,10,percent of total billed charges,7.357355257,,,,10,percent of total billed charges,7.7986511,,,,7.13,percent of total billed charges,3.558000479,,,,7.13,percent of total billed charges,2.128839446,,,,7.13,percent of total billed charges,3.558000479,,,,7.13,percent of total billed charges,2.128839446,,,,7.13,percent of total billed charges,3.558000479,,,,7.13,percent of total billed charges,2.128839446,,,,7.06,percent of total billed charges,7.006433861,,,,7.06,percent of total billed charges,4.8322819,,,,,,,,,,7.2,percent of total billed charges,4.679830569,,,,,,,,,,7.2,percent of total billed charges,999999999,,,,,,,,,,8,percent of total billed charges,6.703584146,,,,7.9,percent of total billed charges,7.623839976,,,,7.9,percent of total billed charges,6.735914979,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,999999999,,,,7,percent of total billed charges,999999999,,,,7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.32,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.05,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.5,percent of total billed charges,2.374388478,,,,,,,,,,2.5,percent of total billed charges,2.334892141,,,,,,,,,,2.5,percent of total billed charges,2.328403576,,,,,,,,,,2.5,percent of total billed charges,2.294117861,,,,,,,,,,2.5,percent of total billed charges,2.353148886,,,,,,,,,,2.5,percent of total billed charges,999999999,,,,,,,,,,2.5,percent of total billed charges,2.019167453,,,,,,,,,,2.5,percent of total billed charges,3.184366315,,,,,,,,,,2.5,percent of total billed charges,999999999,,,,,,,,,,2.5,percent of total billed charges,2.177156338,,,,,,,,,,9,percent of total billed charges,,,,,
**BETAMETHASONE (VALISONE) 0.05% LOTI30,259,RC,0016-8026-30,NDC,,both,1,EA,136,136,28.95221647,136,136,percent of total billed charges,100.0600315,,,,136,percent of total billed charges,106.061655,,,,136,percent of total billed charges,100.0600315,,,,136,percent of total billed charges,106.061655,,,,136,percent of total billed charges,999999999,,,,136,percent of total billed charges,103.6226528,,,,136,percent of total billed charges,100.0600315,,,,136,percent of total billed charges,106.061655,,,,96.968,percent of total billed charges,48.38880652,,,,96.968,percent of total billed charges,28.95221647,,,,96.968,percent of total billed charges,48.38880652,,,,96.968,percent of total billed charges,28.95221647,,,,96.968,percent of total billed charges,48.38880652,,,,96.968,percent of total billed charges,28.95221647,,,,96.016,percent of total billed charges,95.28750051,,,,96.016,percent of total billed charges,65.71903385,,,,,,,,,,97.92,percent of total billed charges,63.64569574,,,,,,,,,,97.92,percent of total billed charges,999999999,,,,,,,,,,108.8,percent of total billed charges,91.16874438,,,,107.44,percent of total billed charges,103.6842237,,,,107.44,percent of total billed charges,91.60844372,,,,108.8,percent of total billed charges,999999999,,,,108.8,percent of total billed charges,999999999,,,,95.2,percent of total billed charges,999999999,,,,95.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,72.352,percent of total billed charges,999999999,,,,,,,,,,,,,,,,68.68,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,34,percent of total billed charges,32.2916833,,,,,,,,,,34,percent of total billed charges,31.75453312,,,,,,,,,,34,percent of total billed charges,31.66628863,,,,,,,,,,34,percent of total billed charges,31.20000291,,,,,,,,,,34,percent of total billed charges,32.00282486,,,,,,,,,,34,percent of total billed charges,999999999,,,,,,,,,,34,percent of total billed charges,27.46067737,,,,,,,,,,34,percent of total billed charges,43.30738189,,,,,,,,,,34,percent of total billed charges,999999999,,,,,,,,,,34,percent of total billed charges,29.60932619,,,,,,,,,,122.4,percent of total billed charges,,,,,
**HALOPERIDOL ORAL CONC 2MG/ML UD SYR,259,RC,5483-8050-40,NDC,,both,1,EA,7,7,1.490187612,7,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,7,percent of total billed charges,999999999,,,,7,percent of total billed charges,5.333518893,,,,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.942,percent of total billed charges,4.904503703,,,,4.942,percent of total billed charges,3.38259733,,,,,,,,,,5.04,percent of total billed charges,3.275881398,,,,,,,,,,5.04,percent of total billed charges,999999999,,,,,,,,,,5.6,percent of total billed charges,4.692508902,,,,5.53,percent of total billed charges,5.336687983,,,,5.53,percent of total billed charges,4.715140486,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,4.9,percent of total billed charges,999999999,,,,4.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.724,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.535,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.75,percent of total billed charges,1.662071934,,,,,,,,,,1.75,percent of total billed charges,1.634424499,,,,,,,,,,1.75,percent of total billed charges,1.629882503,,,,,,,,,,1.75,percent of total billed charges,1.605882503,,,,,,,,,,1.75,percent of total billed charges,1.647204221,,,,,,,,,,1.75,percent of total billed charges,999999999,,,,,,,,,,1.75,percent of total billed charges,1.413417217,,,,,,,,,,1.75,percent of total billed charges,2.229056421,,,,,,,,,,1.75,percent of total billed charges,999999999,,,,,,,,,,1.75,percent of total billed charges,1.524009436,,,,,,,,,,6.3,percent of total billed charges,,,,,
**ZINC 1MG/ML 10ML VIAL,250,RC,0040-9409-01,NDC,,both,1,EA,16,16,3.406143114,16,16,percent of total billed charges,11.77176841,,,,16,percent of total billed charges,12.47784176,,,,16,percent of total billed charges,11.77176841,,,,16,percent of total billed charges,12.47784176,,,,16,percent of total billed charges,999999999,,,,16,percent of total billed charges,12.19090033,,,,16,percent of total billed charges,11.77176841,,,,16,percent of total billed charges,12.47784176,,,,11.408,percent of total billed charges,5.692800767,,,,11.408,percent of total billed charges,3.406143114,,,,11.408,percent of total billed charges,5.692800767,,,,11.408,percent of total billed charges,3.406143114,,,,11.408,percent of total billed charges,5.692800767,,,,11.408,percent of total billed charges,3.406143114,,,,11.296,percent of total billed charges,11.21029418,,,,11.296,percent of total billed charges,7.731651041,,,,,,,,,,11.52,percent of total billed charges,7.48772891,,,,,,,,,,11.52,percent of total billed charges,999999999,,,,,,,,,,12.8,percent of total billed charges,10.72573463,,,,12.64,percent of total billed charges,12.19814396,,,,12.64,percent of total billed charges,10.77746397,,,,12.8,percent of total billed charges,999999999,,,,12.8,percent of total billed charges,999999999,,,,11.2,percent of total billed charges,999999999,,,,11.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,8.512,percent of total billed charges,999999999,,,,,,,,,,,,,,,,8.08,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4,percent of total billed charges,3.799021564,,,,,,,,,,4,percent of total billed charges,3.735827425,,,,,,,,,,4,percent of total billed charges,3.725445721,,,,,,,,,,4,percent of total billed charges,3.670588578,,,,,,,,,,4,percent of total billed charges,3.765038218,,,,,,,,,,4,percent of total billed charges,999999999,,,,,,,,,,4,percent of total billed charges,3.230667926,,,,,,,,,,4,percent of total billed charges,5.094986104,,,,,,,,,,4,percent of total billed charges,999999999,,,,,,,,,,4,percent of total billed charges,3.48345014,,,,,,,,,,14.4,percent of total billed charges,,,,,
**AMINO ACID 5% IN DEXTROSE 15% 1000ML,250,RC,0033-8113-03,NDC,,both,1,EA,100,100,21.28839446,100,100,percent of total billed charges,73.57355257,,,,100,percent of total billed charges,77.986511,,,,100,percent of total billed charges,73.57355257,,,,100,percent of total billed charges,77.986511,,,,100,percent of total billed charges,999999999,,,,100,percent of total billed charges,76.19312704,,,,100,percent of total billed charges,73.57355257,,,,100,percent of total billed charges,77.986511,,,,71.3,percent of total billed charges,35.58000479,,,,71.3,percent of total billed charges,21.28839446,,,,71.3,percent of total billed charges,35.58000479,,,,71.3,percent of total billed charges,21.28839446,,,,71.3,percent of total billed charges,35.58000479,,,,71.3,percent of total billed charges,21.28839446,,,,70.6,percent of total billed charges,70.06433861,,,,70.6,percent of total billed charges,48.322819,,,,,,,,,,72,percent of total billed charges,46.79830569,,,,,,,,,,72,percent of total billed charges,999999999,,,,,,,,,,80,percent of total billed charges,67.03584146,,,,79,percent of total billed charges,76.23839976,,,,79,percent of total billed charges,67.35914979,,,,80,percent of total billed charges,999999999,,,,80,percent of total billed charges,999999999,,,,70,percent of total billed charges,999999999,,,,70,percent of total billed charges,999999999,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,25,percent of total billed charges,23.74388478,,,,,,,,,,25,percent of total billed charges,23.34892141,,,,,,,,,,25,percent of total billed charges,23.28403576,,,,,,,,,,25,percent of total billed charges,22.94117861,,,,,,,,,,25,percent of total billed charges,23.53148886,,,,,,,,,,25,percent of total billed charges,999999999,,,,,,,,,,25,percent of total billed charges,20.19167453,,,,,,,,,,25,percent of total billed charges,31.84366315,,,,,,,,,,25,percent of total billed charges,999999999,,,,,,,,,,25,percent of total billed charges,21.77156338,,,,,,,,,,90,percent of total billed charges,,,,,
**LOXAPINE (LOXITANE) 25MG CAP,259,RC,0059-1037-01,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
**GRANISETRON 0.1MG VIAL,250,RC,5539-0025-10,NDC,,both,1,EA,24,24,5.109214671,24,24,percent of total billed charges,17.65765262,,,,24,percent of total billed charges,18.71676264,,,,24,percent of total billed charges,17.65765262,,,,24,percent of total billed charges,18.71676264,,,,24,percent of total billed charges,999999999,,,,24,percent of total billed charges,18.28635049,,,,24,percent of total billed charges,17.65765262,,,,24,percent of total billed charges,18.71676264,,,,17.112,percent of total billed charges,8.53920115,,,,17.112,percent of total billed charges,5.109214671,,,,17.112,percent of total billed charges,8.53920115,,,,17.112,percent of total billed charges,5.109214671,,,,17.112,percent of total billed charges,8.53920115,,,,17.112,percent of total billed charges,5.109214671,,,,16.944,percent of total billed charges,16.81544127,,,,16.944,percent of total billed charges,11.59747656,,,,,,,,,,17.28,percent of total billed charges,11.23159337,,,,,,,,,,17.28,percent of total billed charges,999999999,,,,,,,,,,19.2,percent of total billed charges,16.08860195,,,,18.96,percent of total billed charges,18.29721594,,,,18.96,percent of total billed charges,16.16619595,,,,19.2,percent of total billed charges,999999999,,,,19.2,percent of total billed charges,999999999,,,,16.8,percent of total billed charges,999999999,,,,16.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,12.768,percent of total billed charges,999999999,,,,,,,,,,,,,,,,12.12,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6,percent of total billed charges,5.698532346,,,,,,,,,,6,percent of total billed charges,5.603741138,,,,,,,,,,6,percent of total billed charges,5.588168582,,,,,,,,,,6,percent of total billed charges,5.505882867,,,,,,,,,,6,percent of total billed charges,5.647557328,,,,,,,,,,6,percent of total billed charges,999999999,,,,,,,,,,6,percent of total billed charges,4.846001888,,,,,,,,,,6,percent of total billed charges,7.642479156,,,,,,,,,,6,percent of total billed charges,999999999,,,,,,,,,,6,percent of total billed charges,5.22517521,,,,,,,,,,21.6,percent of total billed charges,,,,,
**HOMATROPINE 2% OPHTH DROPS 5ML,259,RC,0099-8031-05,NDC,,both,1,EA,56,56,11.9215009,56,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,56,percent of total billed charges,999999999,,,,56,percent of total billed charges,42.66815114,,,,56,percent of total billed charges,41.20118944,,,,56,percent of total billed charges,43.67244616,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.928,percent of total billed charges,19.92480268,,,,39.928,percent of total billed charges,11.9215009,,,,39.536,percent of total billed charges,39.23602962,,,,39.536,percent of total billed charges,27.06077864,,,,,,,,,,40.32,percent of total billed charges,26.20705119,,,,,,,,,,40.32,percent of total billed charges,999999999,,,,,,,,,,44.8,percent of total billed charges,37.54007122,,,,44.24,percent of total billed charges,42.69350386,,,,44.24,percent of total billed charges,37.72112388,,,,44.8,percent of total billed charges,999999999,,,,44.8,percent of total billed charges,999999999,,,,39.2,percent of total billed charges,999999999,,,,39.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,29.792,percent of total billed charges,999999999,,,,,,,,,,,,,,,,28.28,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14,percent of total billed charges,13.29657547,,,,,,,,,,14,percent of total billed charges,13.07539599,,,,,,,,,,14,percent of total billed charges,13.03906002,,,,,,,,,,14,percent of total billed charges,12.84706002,,,,,,,,,,14,percent of total billed charges,13.17763376,,,,,,,,,,14,percent of total billed charges,999999999,,,,,,,,,,14,percent of total billed charges,11.30733774,,,,,,,,,,14,percent of total billed charges,17.83245137,,,,,,,,,,14,percent of total billed charges,999999999,,,,,,,,,,14,percent of total billed charges,12.19207549,,,,,,,,,,50.4,percent of total billed charges,,,,,
**HEXACHLORPHEN 3% SUSP (PHISOHEX) 4,259,RC,0002-4153-06,NDC,,both,1,EA,93,93,19.79820685,93,93,percent of total billed charges,68.42340389,,,,93,percent of total billed charges,72.52745523,,,,93,percent of total billed charges,68.42340389,,,,93,percent of total billed charges,72.52745523,,,,93,percent of total billed charges,999999999,,,,93,percent of total billed charges,70.85960815,,,,93,percent of total billed charges,68.42340389,,,,93,percent of total billed charges,72.52745523,,,,66.309,percent of total billed charges,33.08940446,,,,66.309,percent of total billed charges,19.79820685,,,,66.309,percent of total billed charges,33.08940446,,,,66.309,percent of total billed charges,19.79820685,,,,66.309,percent of total billed charges,33.08940446,,,,66.309,percent of total billed charges,19.79820685,,,,65.658,percent of total billed charges,65.1598349,,,,65.658,percent of total billed charges,44.94022167,,,,,,,,,,66.96,percent of total billed charges,43.52242429,,,,,,,,,,66.96,percent of total billed charges,999999999,,,,,,,,,,74.4,percent of total billed charges,62.34333256,,,,73.47,percent of total billed charges,70.90171178,,,,73.47,percent of total billed charges,62.64400931,,,,74.4,percent of total billed charges,999999999,,,,74.4,percent of total billed charges,999999999,,,,65.1,percent of total billed charges,999999999,,,,65.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,49.476,percent of total billed charges,999999999,,,,,,,,,,,,,,,,46.965,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23.25,percent of total billed charges,22.08181284,,,,,,,,,,23.25,percent of total billed charges,21.71449691,,,,,,,,,,23.25,percent of total billed charges,21.65415325,,,,,,,,,,23.25,percent of total billed charges,21.33529611,,,,,,,,,,23.25,percent of total billed charges,21.88428464,,,,,,,,,,23.25,percent of total billed charges,999999999,,,,,,,,,,23.25,percent of total billed charges,18.77825732,,,,,,,,,,23.25,percent of total billed charges,29.61460673,,,,,,,,,,23.25,percent of total billed charges,999999999,,,,,,,,,,23.25,percent of total billed charges,20.24755394,,,,,,,,,,83.7,percent of total billed charges,,,,,
**OMEPRAZOLE (PRILOSEC OTC) 20.6MG TAB,259,RC,3700-0045-04,NDC,,both,1,EA,7,7,1.490187612,7,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,7,percent of total billed charges,999999999,,,,7,percent of total billed charges,5.333518893,,,,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.942,percent of total billed charges,4.904503703,,,,4.942,percent of total billed charges,3.38259733,,,,,,,,,,5.04,percent of total billed charges,3.275881398,,,,,,,,,,5.04,percent of total billed charges,999999999,,,,,,,,,,5.6,percent of total billed charges,4.692508902,,,,5.53,percent of total billed charges,5.336687983,,,,5.53,percent of total billed charges,4.715140486,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,4.9,percent of total billed charges,999999999,,,,4.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.724,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.535,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.75,percent of total billed charges,1.662071934,,,,,,,,,,1.75,percent of total billed charges,1.634424499,,,,,,,,,,1.75,percent of total billed charges,1.629882503,,,,,,,,,,1.75,percent of total billed charges,1.605882503,,,,,,,,,,1.75,percent of total billed charges,1.647204221,,,,,,,,,,1.75,percent of total billed charges,999999999,,,,,,,,,,1.75,percent of total billed charges,1.413417217,,,,,,,,,,1.75,percent of total billed charges,2.229056421,,,,,,,,,,1.75,percent of total billed charges,999999999,,,,,,,,,,1.75,percent of total billed charges,1.524009436,,,,,,,,,,6.3,percent of total billed charges,,,,,
**ESTRADIOL (VAGIFEM) 25MCG VAGINAL TAB,259,RC,0016-9517-03,NDC,,both,1,EA,21,21,4.470562837,21,21,percent of total billed charges,15.45044604,,,,21,percent of total billed charges,16.37716731,,,,21,percent of total billed charges,15.45044604,,,,21,percent of total billed charges,16.37716731,,,,21,percent of total billed charges,999999999,,,,21,percent of total billed charges,16.00055668,,,,21,percent of total billed charges,15.45044604,,,,21,percent of total billed charges,16.37716731,,,,14.973,percent of total billed charges,7.471801006,,,,14.973,percent of total billed charges,4.470562837,,,,14.973,percent of total billed charges,7.471801006,,,,14.973,percent of total billed charges,4.470562837,,,,14.973,percent of total billed charges,7.471801006,,,,14.973,percent of total billed charges,4.470562837,,,,14.826,percent of total billed charges,14.71351111,,,,14.826,percent of total billed charges,10.14779199,,,,,,,,,,15.12,percent of total billed charges,9.827644194,,,,,,,,,,15.12,percent of total billed charges,999999999,,,,,,,,,,16.8,percent of total billed charges,14.07752671,,,,16.59,percent of total billed charges,16.01006395,,,,16.59,percent of total billed charges,14.14542146,,,,16.8,percent of total billed charges,999999999,,,,16.8,percent of total billed charges,999999999,,,,14.7,percent of total billed charges,999999999,,,,14.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,11.172,percent of total billed charges,999999999,,,,,,,,,,,,,,,,10.605,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5.25,percent of total billed charges,4.986215803,,,,,,,,,,5.25,percent of total billed charges,4.903273496,,,,,,,,,,5.25,percent of total billed charges,4.889647509,,,,,,,,,,5.25,percent of total billed charges,4.817647509,,,,,,,,,,5.25,percent of total billed charges,4.941612662,,,,,,,,,,5.25,percent of total billed charges,999999999,,,,,,,,,,5.25,percent of total billed charges,4.240251652,,,,,,,,,,5.25,percent of total billed charges,6.687169262,,,,,,,,,,5.25,percent of total billed charges,999999999,,,,,,,,,,5.25,percent of total billed charges,4.572028309,,,,,,,,,,18.9,percent of total billed charges,,,,,
**ERYTHROMYCIN (ERYPED) 400MG/5ML ORAL,259,RC,2433-8013-13,NDC,,both,1,EA,515,515,109.6352315,515,515,percent of total billed charges,378.9037957,,,,515,percent of total billed charges,401.6305317,,,,515,percent of total billed charges,378.9037957,,,,515,percent of total billed charges,401.6305317,,,,515,percent of total billed charges,999999999,,,,515,percent of total billed charges,392.3946043,,,,515,percent of total billed charges,378.9037957,,,,515,percent of total billed charges,401.6305317,,,,367.195,percent of total billed charges,183.2370247,,,,367.195,percent of total billed charges,109.6352315,,,,367.195,percent of total billed charges,183.2370247,,,,367.195,percent of total billed charges,109.6352315,,,,367.195,percent of total billed charges,183.2370247,,,,367.195,percent of total billed charges,109.6352315,,,,363.59,percent of total billed charges,360.8313438,,,,363.59,percent of total billed charges,248.8625179,,,,,,,,,,370.8,percent of total billed charges,241.0112743,,,,,,,,,,370.8,percent of total billed charges,999999999,,,,,,,,,,412,percent of total billed charges,345.2345835,,,,406.85,percent of total billed charges,392.6277588,,,,406.85,percent of total billed charges,346.8996214,,,,412,percent of total billed charges,999999999,,,,412,percent of total billed charges,999999999,,,,360.5,percent of total billed charges,999999999,,,,360.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,273.98,percent of total billed charges,999999999,,,,,,,,,,,,,,,,260.075,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,128.75,percent of total billed charges,122.2810066,,,,,,,,,,128.75,percent of total billed charges,120.2469453,,,,,,,,,,128.75,percent of total billed charges,119.9127841,,,,,,,,,,128.75,percent of total billed charges,118.1470699,,,,,,,,,,128.75,percent of total billed charges,121.1871677,,,,,,,,,,128.75,percent of total billed charges,999999999,,,,,,,,,,128.75,percent of total billed charges,103.9871239,,,,,,,,,,128.75,percent of total billed charges,163.9948652,,,,,,,,,,128.75,percent of total billed charges,999999999,,,,,,,,,,128.75,percent of total billed charges,112.1235514,,,,,,,,,,463.5,percent of total billed charges,,,,,
**BACITRACIN OINTMENT 1 LB JAR,259,RC,0016-8001-16,NDC,,both,1,EA,11,11,2.341723391,11,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,11,percent of total billed charges,999999999,,,,11,percent of total billed charges,8.381243975,,,,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.766,percent of total billed charges,7.707077247,,,,7.766,percent of total billed charges,5.31551009,,,,,,,,,,7.92,percent of total billed charges,5.147813626,,,,,,,,,,7.92,percent of total billed charges,999999999,,,,,,,,,,8.8,percent of total billed charges,7.373942561,,,,8.69,percent of total billed charges,8.386223973,,,,8.69,percent of total billed charges,7.409506477,,,,8.8,percent of total billed charges,999999999,,,,8.8,percent of total billed charges,999999999,,,,7.7,percent of total billed charges,999999999,,,,7.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.852,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.555,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.75,percent of total billed charges,2.611827325,,,,,,,,,,2.75,percent of total billed charges,2.568381355,,,,,,,,,,2.75,percent of total billed charges,2.561243933,,,,,,,,,,2.75,percent of total billed charges,2.523529647,,,,,,,,,,2.75,percent of total billed charges,2.588463775,,,,,,,,,,2.75,percent of total billed charges,999999999,,,,,,,,,,2.75,percent of total billed charges,2.221084199,,,,,,,,,,2.75,percent of total billed charges,3.502802947,,,,,,,,,,2.75,percent of total billed charges,999999999,,,,,,,,,,2.75,percent of total billed charges,2.394871971,,,,,,,,,,9.9,percent of total billed charges,,,,,
**HEPARIN 50 UNITS/ML / 0.45% NACL 500ML,J1644,CDM,0040-9765-03,NDC,,both,1,EA,40,40,8.515357785,40,40,percent of total billed charges,29.42942103,,,,40,percent of total billed charges,31.1946044,,,,40,percent of total billed charges,29.42942103,,,,40,percent of total billed charges,31.1946044,,,,40,percent of total billed charges,999999999,,,,40,percent of total billed charges,30.47725082,,,,40,percent of total billed charges,29.42942103,,,,40,percent of total billed charges,31.1946044,,,,28.52,percent of total billed charges,14.23200192,,,,28.52,percent of total billed charges,8.515357785,,,,28.52,percent of total billed charges,14.23200192,,,,28.52,percent of total billed charges,8.515357785,,,,28.52,percent of total billed charges,14.23200192,,,,28.52,percent of total billed charges,8.515357785,,,,28.24,percent of total billed charges,28.02573544,,,,28.24,percent of total billed charges,19.3291276,,,,,,,,,,28.8,percent of total billed charges,18.71932228,,,,,,,,,,28.8,percent of total billed charges,999999999,,,,,,,,,,32,percent of total billed charges,26.81433658,,,,31.6,percent of total billed charges,30.4953599,,,,31.6,percent of total billed charges,26.94365992,,,,32,percent of total billed charges,999999999,,,,32,percent of total billed charges,999999999,,,,28,percent of total billed charges,999999999,,,,28,percent of total billed charges,999999999,,,,,,,,,,,,,,,,21.28,percent of total billed charges,999999999,,,,,,,,,,,,,,,,20.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10,percent of total billed charges,9.497553911,,,,,,,,,,10,percent of total billed charges,9.339568564,,,,,,,,,,10,percent of total billed charges,9.313614303,,,,,,,,,,10,percent of total billed charges,9.176471445,,,,,,,,,,10,percent of total billed charges,9.412595546,,,,,,,,,,10,percent of total billed charges,999999999,,,,,,,,,,10,percent of total billed charges,8.076669814,,,,,,,,,,10,percent of total billed charges,12.73746526,,,,,,,,,,10,percent of total billed charges,999999999,,,,,,,,,,10,percent of total billed charges,8.708625351,,,,,,,,,,36,percent of total billed charges,,,,,
**MIRACLE MOUTHWASH,Local,Local,,,,both,,,7,7,1.490187612,7,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,7,percent of total billed charges,999999999,,,,7,percent of total billed charges,5.333518893,,,,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.942,percent of total billed charges,4.904503703,,,,4.942,percent of total billed charges,3.38259733,,,,,,,,,,5.04,percent of total billed charges,3.275881398,,,,,,,,,,5.04,percent of total billed charges,999999999,,,,,,,,,,5.6,percent of total billed charges,4.692508902,,,,5.53,percent of total billed charges,5.336687983,,,,5.53,percent of total billed charges,4.715140486,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,4.9,percent of total billed charges,999999999,,,,4.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.724,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.535,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.75,percent of total billed charges,1.662071934,,,,,,,,,,1.75,percent of total billed charges,1.634424499,,,,,,,,,,1.75,percent of total billed charges,1.629882503,,,,,,,,,,1.75,percent of total billed charges,1.605882503,,,,,,,,,,1.75,percent of total billed charges,1.647204221,,,,,,,,,,1.75,percent of total billed charges,999999999,,,,,,,,,,1.75,percent of total billed charges,1.413417217,,,,,,,,,,1.75,percent of total billed charges,2.229056421,,,,,,,,,,1.75,percent of total billed charges,999999999,,,,,,,,,,1.75,percent of total billed charges,1.524009436,,,,,,,,,,6.3,percent of total billed charges,,,,,
**TACROLIMUS (PROTOPIC) 0.1% 30GM,259,RC,0046-9520-30,NDC,,both,1,EA,271,271,57.69154899,271,271,percent of total billed charges,199.3843275,,,,271,percent of total billed charges,211.3434448,,,,271,percent of total billed charges,199.3843275,,,,271,percent of total billed charges,211.3434448,,,,271,percent of total billed charges,999999999,,,,271,percent of total billed charges,206.4833743,,,,271,percent of total billed charges,199.3843275,,,,271,percent of total billed charges,211.3434448,,,,193.223,percent of total billed charges,96.42181299,,,,193.223,percent of total billed charges,57.69154899,,,,193.223,percent of total billed charges,96.42181299,,,,193.223,percent of total billed charges,57.69154899,,,,193.223,percent of total billed charges,96.42181299,,,,193.223,percent of total billed charges,57.69154899,,,,191.326,percent of total billed charges,189.8743576,,,,191.326,percent of total billed charges,130.9548395,,,,,,,,,,195.12,percent of total billed charges,126.8234084,,,,,,,,,,195.12,percent of total billed charges,999999999,,,,,,,,,,216.8,percent of total billed charges,181.6671304,,,,214.09,percent of total billed charges,206.6060633,,,,214.09,percent of total billed charges,182.5432959,,,,216.8,percent of total billed charges,999999999,,,,216.8,percent of total billed charges,999999999,,,,189.7,percent of total billed charges,999999999,,,,189.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,144.172,percent of total billed charges,999999999,,,,,,,,,,,,,,,,136.855,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,67.75,percent of total billed charges,64.34592774,,,,,,,,,,67.75,percent of total billed charges,63.27557702,,,,,,,,,,67.75,percent of total billed charges,63.0997369,,,,,,,,,,67.75,percent of total billed charges,62.17059404,,,,,,,,,,67.75,percent of total billed charges,63.77033482,,,,,,,,,,67.75,percent of total billed charges,999999999,,,,,,,,,,67.75,percent of total billed charges,54.71943799,,,,,,,,,,67.75,percent of total billed charges,86.29632714,,,,,,,,,,67.75,percent of total billed charges,999999999,,,,,,,,,,67.75,percent of total billed charges,59.00093675,,,,,,,,,,243.9,percent of total billed charges,,,,,
**TOBRAMYCIN (NEBCIN) 80MG/2ML ADV,J3260,CDM,,,,both,,,23,23,4.896330726,23,23,percent of total billed charges,16.92191709,,,,23,percent of total billed charges,17.93689753,,,,23,percent of total billed charges,16.92191709,,,,23,percent of total billed charges,17.93689753,,,,23,percent of total billed charges,999999999,,,,23,percent of total billed charges,17.52441922,,,,23,percent of total billed charges,16.92191709,,,,23,percent of total billed charges,17.93689753,,,,16.399,percent of total billed charges,8.183401102,,,,16.399,percent of total billed charges,4.896330726,,,,16.399,percent of total billed charges,8.183401102,,,,16.399,percent of total billed charges,4.896330726,,,,16.399,percent of total billed charges,8.183401102,,,,16.399,percent of total billed charges,4.896330726,,,,16.238,percent of total billed charges,16.11479788,,,,16.238,percent of total billed charges,11.11424837,,,,,,,,,,16.56,percent of total billed charges,10.76361031,,,,,,,,,,16.56,percent of total billed charges,999999999,,,,,,,,,,18.4,percent of total billed charges,15.41824354,,,,18.17,percent of total billed charges,17.53483194,,,,18.17,percent of total billed charges,15.49260445,,,,18.4,percent of total billed charges,999999999,,,,18.4,percent of total billed charges,999999999,,,,16.1,percent of total billed charges,999999999,,,,16.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,12.236,percent of total billed charges,999999999,,,,,,,,,,,,,,,,11.615,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5.75,percent of total billed charges,5.461093499,,,,,,,,,,5.75,percent of total billed charges,5.370251924,,,,,,,,,,5.75,percent of total billed charges,5.355328224,,,,,,,,,,5.75,percent of total billed charges,5.276471081,,,,,,,,,,5.75,percent of total billed charges,5.412242439,,,,,,,,,,5.75,percent of total billed charges,999999999,,,,,,,,,,5.75,percent of total billed charges,4.644085143,,,,,,,,,,5.75,percent of total billed charges,7.324042525,,,,,,,,,,5.75,percent of total billed charges,999999999,,,,,,,,,,5.75,percent of total billed charges,5.007459577,,,,,,,,,,20.7,percent of total billed charges,,,,,
**ACIDOPHILUS (LACTINEX) PACKET,259,RC,3011-4936-50,NDC,,both,1,EA,7,7,1.490187612,7,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,7,percent of total billed charges,999999999,,,,7,percent of total billed charges,5.333518893,,,,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.942,percent of total billed charges,4.904503703,,,,4.942,percent of total billed charges,3.38259733,,,,,,,,,,5.04,percent of total billed charges,3.275881398,,,,,,,,,,5.04,percent of total billed charges,999999999,,,,,,,,,,5.6,percent of total billed charges,4.692508902,,,,5.53,percent of total billed charges,5.336687983,,,,5.53,percent of total billed charges,4.715140486,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,4.9,percent of total billed charges,999999999,,,,4.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.724,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.535,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.75,percent of total billed charges,1.662071934,,,,,,,,,,1.75,percent of total billed charges,1.634424499,,,,,,,,,,1.75,percent of total billed charges,1.629882503,,,,,,,,,,1.75,percent of total billed charges,1.605882503,,,,,,,,,,1.75,percent of total billed charges,1.647204221,,,,,,,,,,1.75,percent of total billed charges,999999999,,,,,,,,,,1.75,percent of total billed charges,1.413417217,,,,,,,,,,1.75,percent of total billed charges,2.229056421,,,,,,,,,,1.75,percent of total billed charges,999999999,,,,,,,,,,1.75,percent of total billed charges,1.524009436,,,,,,,,,,6.3,percent of total billed charges,,,,,
**THYROTROPIN (THYROGEN) 1.1MG VIAL,250,RC,5846-8184-04,NDC,,both,1,EA,2029,2029,431.9415236,2029,2029,percent of total billed charges,1492.807382,,,,2029,percent of total billed charges,1582.346308,,,,2029,percent of total billed charges,1492.807382,,,,2029,percent of total billed charges,1582.346308,,,,2029,percent of total billed charges,999999999,,,,2029,percent of total billed charges,1545.958548,,,,2029,percent of total billed charges,1492.807382,,,,2029,percent of total billed charges,1582.346308,,,,1446.677,percent of total billed charges,721.9182972,,,,1446.677,percent of total billed charges,431.9415236,,,,1446.677,percent of total billed charges,721.9182972,,,,1446.677,percent of total billed charges,431.9415236,,,,1446.677,percent of total billed charges,721.9182972,,,,1446.677,percent of total billed charges,431.9415236,,,,1432.474,percent of total billed charges,1421.60543,,,,1432.474,percent of total billed charges,980.4699976,,,,,,,,,,1460.88,percent of total billed charges,949.5376224,,,,,,,,,,1460.88,percent of total billed charges,999999999,,,,,,,,,,1623.2,percent of total billed charges,1360.157223,,,,1602.91,percent of total billed charges,1546.877131,,,,1602.91,percent of total billed charges,1366.717149,,,,1623.2,percent of total billed charges,999999999,,,,1623.2,percent of total billed charges,999999999,,,,1420.3,percent of total billed charges,999999999,,,,1420.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1079.428,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1024.645,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,507.25,percent of total billed charges,481.7634221,,,,,,,,,,507.25,percent of total billed charges,473.7496154,,,,,,,,,,507.25,percent of total billed charges,472.4330855,,,,,,,,,,507.25,percent of total billed charges,465.4765141,,,,,,,,,,507.25,percent of total billed charges,477.4539091,,,,,,,,,,507.25,percent of total billed charges,999999999,,,,,,,,,,507.25,percent of total billed charges,409.6890763,,,,,,,,,,507.25,percent of total billed charges,646.1079254,,,,,,,,,,507.25,percent of total billed charges,999999999,,,,,,,,,,507.25,percent of total billed charges,441.7450209,,,,,,,,,,1826.1,percent of total billed charges,,,,,
**SUNITINIB 50MG CAPSULE,259,RC,0006-9098-38,NDC,,both,1,EA,354,354,75.3609164,354,354,percent of total billed charges,260.4503761,,,,354,percent of total billed charges,276.0722489,,,,354,percent of total billed charges,260.4503761,,,,354,percent of total billed charges,276.0722489,,,,354,percent of total billed charges,999999999,,,,354,percent of total billed charges,269.7236697,,,,354,percent of total billed charges,260.4503761,,,,354,percent of total billed charges,276.0722489,,,,252.402,percent of total billed charges,125.953217,,,,252.402,percent of total billed charges,75.3609164,,,,252.402,percent of total billed charges,125.953217,,,,252.402,percent of total billed charges,75.3609164,,,,252.402,percent of total billed charges,125.953217,,,,252.402,percent of total billed charges,75.3609164,,,,249.924,percent of total billed charges,248.0277587,,,,249.924,percent of total billed charges,171.0627793,,,,,,,,,,254.88,percent of total billed charges,165.6660021,,,,,,,,,,254.88,percent of total billed charges,999999999,,,,,,,,,,283.2,percent of total billed charges,237.3068788,,,,279.66,percent of total billed charges,269.8839351,,,,279.66,percent of total billed charges,238.4513903,,,,283.2,percent of total billed charges,999999999,,,,283.2,percent of total billed charges,999999999,,,,247.8,percent of total billed charges,999999999,,,,247.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,188.328,percent of total billed charges,999999999,,,,,,,,,,,,,,,,178.77,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,88.5,percent of total billed charges,84.05335211,,,,,,,,,,88.5,percent of total billed charges,82.65518179,,,,,,,,,,88.5,percent of total billed charges,82.42548658,,,,,,,,,,88.5,percent of total billed charges,81.21177229,,,,,,,,,,88.5,percent of total billed charges,83.30147058,,,,,,,,,,88.5,percent of total billed charges,999999999,,,,,,,,,,88.5,percent of total billed charges,71.47852785,,,,,,,,,,88.5,percent of total billed charges,112.7265676,,,,,,,,,,88.5,percent of total billed charges,999999999,,,,,,,,,,88.5,percent of total billed charges,77.07133435,,,,,,,,,,318.6,percent of total billed charges,,,,,
**MESALAMINE (CANASA) 1000MG,259,RC,5891-4050-56,NDC,,both,1,EA,29,29,6.173634394,29,29,percent of total billed charges,21.33633025,,,,29,percent of total billed charges,22.61608819,,,,29,percent of total billed charges,21.33633025,,,,29,percent of total billed charges,22.61608819,,,,29,percent of total billed charges,999999999,,,,29,percent of total billed charges,22.09600684,,,,29,percent of total billed charges,21.33633025,,,,29,percent of total billed charges,22.61608819,,,,20.677,percent of total billed charges,10.31820139,,,,20.677,percent of total billed charges,6.173634394,,,,20.677,percent of total billed charges,10.31820139,,,,20.677,percent of total billed charges,6.173634394,,,,20.677,percent of total billed charges,10.31820139,,,,20.677,percent of total billed charges,6.173634394,,,,20.474,percent of total billed charges,20.3186582,,,,20.474,percent of total billed charges,14.01361751,,,,,,,,,,20.88,percent of total billed charges,13.57150865,,,,,,,,,,20.88,percent of total billed charges,999999999,,,,,,,,,,23.2,percent of total billed charges,19.44039402,,,,22.91,percent of total billed charges,22.10913593,,,,22.91,percent of total billed charges,19.53415344,,,,23.2,percent of total billed charges,999999999,,,,23.2,percent of total billed charges,999999999,,,,20.3,percent of total billed charges,999999999,,,,20.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,15.428,percent of total billed charges,999999999,,,,,,,,,,,,,,,,14.645,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7.25,percent of total billed charges,6.885726585,,,,,,,,,,7.25,percent of total billed charges,6.771187209,,,,,,,,,,7.25,percent of total billed charges,6.752370369,,,,,,,,,,7.25,percent of total billed charges,6.652941798,,,,,,,,,,7.25,percent of total billed charges,6.824131771,,,,,,,,,,7.25,percent of total billed charges,999999999,,,,,,,,,,7.25,percent of total billed charges,5.855585615,,,,,,,,,,7.25,percent of total billed charges,9.234662314,,,,,,,,,,7.25,percent of total billed charges,999999999,,,,,,,,,,7.25,percent of total billed charges,6.313753379,,,,,,,,,,26.1,percent of total billed charges,,,,,
NULYTELY ORAL SOLUTION 4000 ML,259,RC,5226-8010-01,NDC,,both,1,EA,69.38,69.38,14.76988808,69.38,69.38,percent of total billed charges,51.04533077,,,,69.38,percent of total billed charges,54.10704133,,,,69.38,percent of total billed charges,51.04533077,,,,69.38,percent of total billed charges,54.10704133,,,,69.38,percent of total billed charges,999999999,,,,69.38,percent of total billed charges,52.86279154,,,,69.38,percent of total billed charges,51.04533077,,,,69.38,percent of total billed charges,54.10704133,,,,49.46794,percent of total billed charges,24.68540733,,,,49.46794,percent of total billed charges,14.76988808,,,,49.46794,percent of total billed charges,24.68540733,,,,49.46794,percent of total billed charges,14.76988808,,,,49.46794,percent of total billed charges,24.68540733,,,,49.46794,percent of total billed charges,14.76988808,,,,48.98228,percent of total billed charges,48.61063813,,,,48.98228,percent of total billed charges,33.52637183,,,,,,,,,,49.9536,percent of total billed charges,32.46866449,,,,,,,,,,49.9536,percent of total billed charges,999999999,,,,,,,,,,55.504,percent of total billed charges,46.5094668,,,,54.8102,percent of total billed charges,52.89420175,,,,54.8102,percent of total billed charges,46.73377813,,,,55.504,percent of total billed charges,999999999,,,,55.504,percent of total billed charges,999999999,,,,48.566,percent of total billed charges,999999999,,,,48.566,percent of total billed charges,999999999,,,,,,,,,,,,,,,,36.91016,percent of total billed charges,999999999,,,,,,,,,,,,,,,,35.0369,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17.345,percent of total billed charges,16.47350726,,,,,,,,,,17.345,percent of total billed charges,16.19948167,,,,,,,,,,17.345,percent of total billed charges,16.15446401,,,,,,,,,,17.345,percent of total billed charges,15.91658972,,,,,,,,,,17.345,percent of total billed charges,16.32614697,,,,,,,,,,17.345,percent of total billed charges,999999999,,,,,,,,,,17.345,percent of total billed charges,14.00898379,,,,,,,,,,17.345,percent of total billed charges,22.09313349,,,,,,,,,,17.345,percent of total billed charges,999999999,,,,,,,,,,17.345,percent of total billed charges,15.10511067,,,,,,,,,,62.442,percent of total billed charges,,,,,
AMPICILLIN 250 MG CAP,637,RC,0078-1214-01,NDC,,both,1,EA,1.06,1.06,0.225656981,1.06,1.06,percent of total billed charges,0.779879657,,,,1.06,percent of total billed charges,0.826657017,,,,1.06,percent of total billed charges,0.779879657,,,,1.06,percent of total billed charges,0.826657017,,,,1.06,percent of total billed charges,999999999,,,,1.06,percent of total billed charges,0.807647147,,,,1.06,percent of total billed charges,0.779879657,,,,1.06,percent of total billed charges,0.826657017,,,,0.75578,percent of total billed charges,0.377148051,,,,0.75578,percent of total billed charges,0.225656981,,,,0.75578,percent of total billed charges,0.377148051,,,,0.75578,percent of total billed charges,0.225656981,,,,0.75578,percent of total billed charges,0.377148051,,,,0.75578,percent of total billed charges,0.225656981,,,,0.74836,percent of total billed charges,0.742681989,,,,0.74836,percent of total billed charges,0.512221881,,,,,,,,,,0.7632,percent of total billed charges,0.49606204,,,,,,,,,,0.7632,percent of total billed charges,999999999,,,,,,,,,,0.848,percent of total billed charges,0.710579919,,,,0.8374,percent of total billed charges,0.808127037,,,,0.8374,percent of total billed charges,0.714006988,,,,0.848,percent of total billed charges,999999999,,,,0.848,percent of total billed charges,999999999,,,,0.742,percent of total billed charges,999999999,,,,0.742,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.56392,percent of total billed charges,999999999,,,,,,,,,,,,,,,,0.5353,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0.265,percent of total billed charges,0.251685179,,,,,,,,,,0.265,percent of total billed charges,0.247498567,,,,,,,,,,0.265,percent of total billed charges,0.246810779,,,,,,,,,,0.265,percent of total billed charges,0.243176493,,,,,,,,,,0.265,percent of total billed charges,0.249433782,,,,,,,,,,0.265,percent of total billed charges,999999999,,,,,,,,,,0.265,percent of total billed charges,0.21403175,,,,,,,,,,0.265,percent of total billed charges,0.337542829,,,,,,,,,,0.265,percent of total billed charges,999999999,,,,,,,,,,0.265,percent of total billed charges,0.230778572,,,,,,,,,,0.954,percent of total billed charges,,,,,
RAMIPRIL (ALTACE) 1.25 MG CAP,637,RC,1625-2057-30,NDC,,both,1,EA,4.75,4.75,1.011198737,4.75,4.75,percent of total billed charges,3.494743747,,,,4.75,percent of total billed charges,3.704359273,,,,4.75,percent of total billed charges,3.494743747,,,,4.75,percent of total billed charges,3.704359273,,,,4.75,percent of total billed charges,999999999,,,,4.75,percent of total billed charges,3.619173535,,,,4.75,percent of total billed charges,3.494743747,,,,4.75,percent of total billed charges,3.704359273,,,,3.38675,percent of total billed charges,1.690050228,,,,3.38675,percent of total billed charges,1.011198737,,,,3.38675,percent of total billed charges,1.690050228,,,,3.38675,percent of total billed charges,1.011198737,,,,3.38675,percent of total billed charges,1.690050228,,,,3.38675,percent of total billed charges,1.011198737,,,,3.3535,percent of total billed charges,3.328056084,,,,3.3535,percent of total billed charges,2.295333903,,,,,,,,,,3.42,percent of total billed charges,2.22291952,,,,,,,,,,3.42,percent of total billed charges,999999999,,,,,,,,,,3.8,percent of total billed charges,3.184202469,,,,3.7525,percent of total billed charges,3.621323989,,,,3.7525,percent of total billed charges,3.199559615,,,,3.8,percent of total billed charges,999999999,,,,3.8,percent of total billed charges,999999999,,,,3.325,percent of total billed charges,999999999,,,,3.325,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2.527,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2.39875,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.1875,percent of total billed charges,1.127834527,,,,,,,,,,1.1875,percent of total billed charges,1.109073767,,,,,,,,,,1.1875,percent of total billed charges,1.105991698,,,,,,,,,,1.1875,percent of total billed charges,1.089705984,,,,,,,,,,1.1875,percent of total billed charges,1.117745721,,,,,,,,,,1.1875,percent of total billed charges,999999999,,,,,,,,,,1.1875,percent of total billed charges,0.95910454,,,,,,,,,,1.1875,percent of total billed charges,1.512574,,,,,,,,,,1.1875,percent of total billed charges,999999999,,,,,,,,,,1.1875,percent of total billed charges,1.03414926,,,,,,,,,,4.275,percent of total billed charges,,,,,
CLOPIDOGREL (PLAVIX) 300 MG TAB,637,RC,0090-4646-07,NDC,,both,1,EA,27.38,27.38,5.828762404,27.38,27.38,percent of total billed charges,20.14443869,,,,27.38,percent of total billed charges,21.35270671,,,,27.38,percent of total billed charges,20.14443869,,,,27.38,percent of total billed charges,21.35270671,,,,27.38,percent of total billed charges,999999999,,,,27.38,percent of total billed charges,20.86167818,,,,27.38,percent of total billed charges,20.14443869,,,,27.38,percent of total billed charges,21.35270671,,,,19.52194,percent of total billed charges,9.741805312,,,,19.52194,percent of total billed charges,5.828762404,,,,19.52194,percent of total billed charges,9.741805312,,,,19.52194,percent of total billed charges,5.828762404,,,,19.52194,percent of total billed charges,9.741805312,,,,19.52194,percent of total billed charges,5.828762404,,,,19.33028,percent of total billed charges,19.18361591,,,,19.33028,percent of total billed charges,13.23078784,,,,,,,,,,19.7136,percent of total billed charges,12.8133761,,,,,,,,,,19.7136,percent of total billed charges,999999999,,,,,,,,,,21.904,percent of total billed charges,18.35441339,,,,21.6302,percent of total billed charges,20.87407385,,,,21.6302,percent of total billed charges,18.44293521,,,,21.904,percent of total billed charges,999999999,,,,21.904,percent of total billed charges,999999999,,,,19.166,percent of total billed charges,999999999,,,,19.166,percent of total billed charges,999999999,,,,,,,,,,,,,,,,14.56616,percent of total billed charges,999999999,,,,,,,,,,,,,,,,13.8269,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6.845,percent of total billed charges,6.501075652,,,,,,,,,,6.845,percent of total billed charges,6.392934682,,,,,,,,,,6.845,percent of total billed charges,6.37516899,,,,,,,,,,6.845,percent of total billed charges,6.281294704,,,,,,,,,,6.845,percent of total billed charges,6.442921651,,,,,,,,,,6.845,percent of total billed charges,999999999,,,,,,,,,,6.845,percent of total billed charges,5.528480488,,,,,,,,,,6.845,percent of total billed charges,8.718794971,,,,,,,,,,6.845,percent of total billed charges,999999999,,,,,,,,,,6.845,percent of total billed charges,5.961054053,,,,,,,,,,24.642,percent of total billed charges,,,,,
**AMINO ACID 4.25% IN DEXTROSE 10% + ELE,250,RC,0033-8111-04,NDC,,both,1,EA,162,162,34.48719903,162,162,percent of total billed charges,119.1891552,,,,162,percent of total billed charges,126.3381478,,,,162,percent of total billed charges,119.1891552,,,,162,percent of total billed charges,126.3381478,,,,162,percent of total billed charges,999999999,,,,162,percent of total billed charges,123.4328658,,,,162,percent of total billed charges,119.1891552,,,,162,percent of total billed charges,126.3381478,,,,115.506,percent of total billed charges,57.63960776,,,,115.506,percent of total billed charges,34.48719903,,,,115.506,percent of total billed charges,57.63960776,,,,115.506,percent of total billed charges,34.48719903,,,,115.506,percent of total billed charges,57.63960776,,,,115.506,percent of total billed charges,34.48719903,,,,114.372,percent of total billed charges,113.5042285,,,,114.372,percent of total billed charges,78.28296679,,,,,,,,,,116.64,percent of total billed charges,75.81325521,,,,,,,,,,116.64,percent of total billed charges,999999999,,,,,,,,,,129.6,percent of total billed charges,108.5980632,,,,127.98,percent of total billed charges,123.5062076,,,,127.98,percent of total billed charges,109.1218227,,,,129.6,percent of total billed charges,999999999,,,,129.6,percent of total billed charges,999999999,,,,113.4,percent of total billed charges,999999999,,,,113.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,86.184,percent of total billed charges,999999999,,,,,,,,,,,,,,,,81.81,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,40.5,percent of total billed charges,38.46509334,,,,,,,,,,40.5,percent of total billed charges,37.82525268,,,,,,,,,,40.5,percent of total billed charges,37.72013793,,,,,,,,,,40.5,percent of total billed charges,37.16470935,,,,,,,,,,40.5,percent of total billed charges,38.12101196,,,,,,,,,,40.5,percent of total billed charges,999999999,,,,,,,,,,40.5,percent of total billed charges,32.71051275,,,,,,,,,,40.5,percent of total billed charges,51.58673431,,,,,,,,,,40.5,percent of total billed charges,999999999,,,,,,,,,,40.5,percent of total billed charges,35.26993267,,,,,,,,,,145.8,percent of total billed charges,,,,,
"EPOETIN (PROCRIT) 40,000 UNIT (DIALYSIS)",J0885,CDM,5967-6034-01,NDC,,both,1,EA,4034.94,4034.94,858.9739435,4034.94,4034.94,percent of total billed charges,2968.648702,,,,4034.94,percent of total billed charges,3146.708927,,,,4034.94,percent of total billed charges,2968.648702,,,,4034.94,percent of total billed charges,3146.708927,,,,4034.94,percent of total billed charges,999999999,,,,4034.94,percent of total billed charges,3074.34696,,,,4034.94,percent of total billed charges,2968.648702,,,,4034.94,percent of total billed charges,3146.708927,,,,2876.91222,percent of total billed charges,1435.631845,,,,2876.91222,percent of total billed charges,858.9739435,,,,2876.91222,percent of total billed charges,1435.631845,,,,2876.91222,percent of total billed charges,858.9739435,,,,2876.91222,percent of total billed charges,1435.631845,,,,2876.91222,percent of total billed charges,858.9739435,,,,2848.66764,percent of total billed charges,2827.054024,,,,2848.66764,percent of total billed charges,1949.796753,,,,,,,,,,2905.1568,percent of total billed charges,1888.283556,,,,,,,,,,2905.1568,percent of total billed charges,999999999,,,,,,,,,,3227.952,percent of total billed charges,2704.855981,,,,3187.6026,percent of total billed charges,3076.173687,,,,3187.6026,percent of total billed charges,2717.901279,,,,3227.952,percent of total billed charges,999999999,,,,3227.952,percent of total billed charges,999999999,,,,2824.458,percent of total billed charges,999999999,,,,2824.458,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2146.58808,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2037.6447,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1008.735,percent of total billed charges,958.0515044,,,,,,,,,,1008.735,percent of total billed charges,942.1149695,,,,,,,,,,1008.735,percent of total billed charges,939.4968723,,,,,,,,,,1008.735,percent of total billed charges,925.6627923,,,,,,,,,,1008.735,percent of total billed charges,949.4814568,,,,,,,,,,1008.735,percent of total billed charges,999999999,,,,,,,,,,1008.735,percent of total billed charges,814.7219525,,,,,,,,,,1008.735,percent of total billed charges,1284.872702,,,,,,,,,,1008.735,percent of total billed charges,999999999,,,,,,,,,,1008.735,percent of total billed charges,878.4695193,,,,,,,,,,3631.446,percent of total billed charges,,,,,
EPOETIN (PROCRIT) 3000 UNITS (DIALYSIS),J0885,CDM,5967-6030-01,NDC,,both,1,EA,532.54,532.54,113.3692159,532.54,532.54,percent of total billed charges,391.8085969,,,,532.54,percent of total billed charges,415.3093657,,,,532.54,percent of total billed charges,391.8085969,,,,532.54,percent of total billed charges,415.3093657,,,,532.54,percent of total billed charges,999999999,,,,532.54,percent of total billed charges,405.7588788,,,,532.54,percent of total billed charges,391.8085969,,,,532.54,percent of total billed charges,415.3093657,,,,379.70102,percent of total billed charges,189.4777575,,,,379.70102,percent of total billed charges,113.3692159,,,,379.70102,percent of total billed charges,189.4777575,,,,379.70102,percent of total billed charges,113.3692159,,,,379.70102,percent of total billed charges,189.4777575,,,,379.70102,percent of total billed charges,113.3692159,,,,375.97324,percent of total billed charges,373.1206288,,,,375.97324,percent of total billed charges,257.3383403,,,,,,,,,,383.4288,percent of total billed charges,249.2196971,,,,,,,,,,383.4288,percent of total billed charges,999999999,,,,,,,,,,426.032,percent of total billed charges,356.9926701,,,,420.7066,percent of total billed charges,405.9999741,,,,420.7066,percent of total billed charges,358.7144163,,,,426.032,percent of total billed charges,999999999,,,,426.032,percent of total billed charges,999999999,,,,372.778,percent of total billed charges,999999999,,,,372.778,percent of total billed charges,999999999,,,,,,,,,,,,,,,,283.31128,percent of total billed charges,999999999,,,,,,,,,,,,,,,,268.9327,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,133.135,percent of total billed charges,126.445684,,,,,,,,,,133.135,percent of total billed charges,124.3423461,,,,,,,,,,133.135,percent of total billed charges,123.996804,,,,,,,,,,133.135,percent of total billed charges,122.1709526,,,,,,,,,,133.135,percent of total billed charges,125.3145908,,,,,,,,,,133.135,percent of total billed charges,999999999,,,,,,,,,,133.135,percent of total billed charges,107.5287436,,,,,,,,,,133.135,percent of total billed charges,169.5802437,,,,,,,,,,133.135,percent of total billed charges,999999999,,,,,,,,,,133.135,percent of total billed charges,115.9422836,,,,,,,,,,479.286,percent of total billed charges,,,,,
"EPOETIN (PROCRIT) 4,000 UNITS (DIALYSIS)",J0885,CDM,5967-6030-01,NDC,,both,1,EA,708.29,708.29,150.7835691,708.29,708.29,percent of total billed charges,521.1141155,,,,708.29,percent of total billed charges,552.3706588,,,,708.29,percent of total billed charges,521.1141155,,,,708.29,percent of total billed charges,552.3706588,,,,708.29,percent of total billed charges,999999999,,,,708.29,percent of total billed charges,539.6682995,,,,708.29,percent of total billed charges,521.1141155,,,,708.29,percent of total billed charges,552.3706588,,,,505.01077,percent of total billed charges,252.0096159,,,,505.01077,percent of total billed charges,150.7835691,,,,505.01077,percent of total billed charges,252.0096159,,,,505.01077,percent of total billed charges,150.7835691,,,,505.01077,percent of total billed charges,252.0096159,,,,505.01077,percent of total billed charges,150.7835691,,,,500.05274,percent of total billed charges,496.2587039,,,,500.05274,percent of total billed charges,342.2656947,,,,,,,,,,509.9688,percent of total billed charges,331.4677194,,,,,,,,,,509.9688,percent of total billed charges,999999999,,,,,,,,,,566.632,percent of total billed charges,474.8081615,,,,559.5491,percent of total billed charges,539.9889616,,,,559.5491,percent of total billed charges,477.0981221,,,,566.632,percent of total billed charges,999999999,,,,566.632,percent of total billed charges,999999999,,,,495.803,percent of total billed charges,999999999,,,,495.803,percent of total billed charges,999999999,,,,,,,,,,,,,,,,376.81028,percent of total billed charges,999999999,,,,,,,,,,,,,,,,357.68645,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,177.0725,percent of total billed charges,168.1755615,,,,,,,,,,177.0725,percent of total billed charges,165.3780754,,,,,,,,,,177.0725,percent of total billed charges,164.9184969,,,,,,,,,,177.0725,percent of total billed charges,162.490074,,,,,,,,,,177.0725,percent of total billed charges,166.6711825,,,,,,,,,,177.0725,percent of total billed charges,999999999,,,,,,,,,,177.0725,percent of total billed charges,143.0156116,,,,,,,,,,177.0725,percent of total billed charges,225.5454817,,,,,,,,,,177.0725,percent of total billed charges,999999999,,,,,,,,,,177.0725,percent of total billed charges,154.2058062,,,,,,,,,,637.461,percent of total billed charges,,,,,
"EPOTEIN (PROCRIT) 10,000 UNIT (DIALYSIS)",J0885,CDM,5967-6031-01,NDC,,both,1,EA,570.27,570.27,121.4013271,570.27,570.27,percent of total billed charges,419.5678983,,,,570.27,percent of total billed charges,444.7336763,,,,570.27,percent of total billed charges,419.5678983,,,,570.27,percent of total billed charges,444.7336763,,,,570.27,percent of total billed charges,999999999,,,,570.27,percent of total billed charges,434.5065456,,,,570.27,percent of total billed charges,419.5678983,,,,570.27,percent of total billed charges,444.7336763,,,,406.60251,percent of total billed charges,202.9020933,,,,406.60251,percent of total billed charges,121.4013271,,,,406.60251,percent of total billed charges,202.9020933,,,,406.60251,percent of total billed charges,121.4013271,,,,406.60251,percent of total billed charges,202.9020933,,,,406.60251,percent of total billed charges,121.4013271,,,,402.61062,percent of total billed charges,399.5559038,,,,402.61062,percent of total billed charges,275.5705399,,,,,,,,,,410.5944,percent of total billed charges,266.8766978,,,,,,,,,,410.5944,percent of total billed charges,999999999,,,,,,,,,,456.216,percent of total billed charges,382.2852931,,,,450.5133,percent of total billed charges,434.7647223,,,,450.5133,percent of total billed charges,384.1290235,,,,456.216,percent of total billed charges,999999999,,,,456.216,percent of total billed charges,999999999,,,,399.189,percent of total billed charges,999999999,,,,399.189,percent of total billed charges,999999999,,,,,,,,,,,,,,,,303.38364,percent of total billed charges,999999999,,,,,,,,,,,,,,,,287.98635,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,142.5675,percent of total billed charges,135.4042517,,,,,,,,,,142.5675,percent of total billed charges,133.1518941,,,,,,,,,,142.5675,percent of total billed charges,132.7818707,,,,,,,,,,142.5675,percent of total billed charges,130.8266593,,,,,,,,,,142.5675,percent of total billed charges,134.1930215,,,,,,,,,,142.5675,percent of total billed charges,999999999,,,,,,,,,,142.5675,percent of total billed charges,115.1470624,,,,,,,,,,142.5675,percent of total billed charges,181.5948579,,,,,,,,,,142.5675,percent of total billed charges,999999999,,,,,,,,,,142.5675,percent of total billed charges,124.1566945,,,,,,,,,,513.243,percent of total billed charges,,,,,
FEBUXOSTAT (ULORIC) 40MG TAB,637,RC,6476-4091-30,NDC,,both,1,EA,35.03,35.03,7.45732458,35.03,35.03,percent of total billed charges,25.77281547,,,,35.03,percent of total billed charges,27.3186748,,,,35.03,percent of total billed charges,25.77281547,,,,35.03,percent of total billed charges,27.3186748,,,,35.03,percent of total billed charges,999999999,,,,35.03,percent of total billed charges,26.6904524,,,,35.03,percent of total billed charges,25.77281547,,,,35.03,percent of total billed charges,27.3186748,,,,24.97639,percent of total billed charges,12.46367568,,,,24.97639,percent of total billed charges,7.45732458,,,,24.97639,percent of total billed charges,12.46367568,,,,24.97639,percent of total billed charges,7.45732458,,,,24.97639,percent of total billed charges,12.46367568,,,,24.97639,percent of total billed charges,7.45732458,,,,24.73118,percent of total billed charges,24.54353781,,,,24.73118,percent of total billed charges,16.9274835,,,,,,,,,,25.2216,percent of total billed charges,16.39344648,,,,,,,,,,25.2216,percent of total billed charges,999999999,,,,,,,,,,28.024,percent of total billed charges,23.48265526,,,,27.6737,percent of total billed charges,26.70631144,,,,27.6737,percent of total billed charges,23.59591017,,,,28.024,percent of total billed charges,999999999,,,,28.024,percent of total billed charges,999999999,,,,24.521,percent of total billed charges,999999999,,,,24.521,percent of total billed charges,999999999,,,,,,,,,,,,,,,,18.63596,percent of total billed charges,999999999,,,,,,,,,,,,,,,,17.69015,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8.7575,percent of total billed charges,8.317482837,,,,,,,,,,8.7575,percent of total billed charges,8.17912717,,,,,,,,,,8.7575,percent of total billed charges,8.156397725,,,,,,,,,,8.7575,percent of total billed charges,8.036294868,,,,,,,,,,8.7575,percent of total billed charges,8.243080549,,,,,,,,,,8.7575,percent of total billed charges,999999999,,,,,,,,,,8.7575,percent of total billed charges,7.073143589,,,,,,,,,,8.7575,percent of total billed charges,11.1548352,,,,,,,,,,8.7575,percent of total billed charges,999999999,,,,,,,,,,8.7575,percent of total billed charges,7.626578651,,,,,,,,,,31.527,percent of total billed charges,,,,,
**E-MECLIZINE 25MG TAB,259,RC,0060-3211-21,NDC,,both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**FOSPROPOFOL (LUSEDRA) INJ: 1050MG/30ML,250,RC,6699-2014-16,NDC,,both,1,EA,307,307,65.355371,307,307,percent of total billed charges,225.8708064,,,,307,percent of total billed charges,239.4185888,,,,307,percent of total billed charges,225.8708064,,,,307,percent of total billed charges,239.4185888,,,,307,percent of total billed charges,999999999,,,,307,percent of total billed charges,233.9129,,,,307,percent of total billed charges,225.8708064,,,,307,percent of total billed charges,239.4185888,,,,218.891,percent of total billed charges,109.2306147,,,,218.891,percent of total billed charges,65.355371,,,,218.891,percent of total billed charges,109.2306147,,,,218.891,percent of total billed charges,65.355371,,,,218.891,percent of total billed charges,109.2306147,,,,218.891,percent of total billed charges,65.355371,,,,216.742,percent of total billed charges,215.0975195,,,,216.742,percent of total billed charges,148.3510543,,,,,,,,,,221.04,percent of total billed charges,143.6707985,,,,,,,,,,221.04,percent of total billed charges,999999999,,,,,,,,,,245.6,percent of total billed charges,205.8000333,,,,242.53,percent of total billed charges,234.0518873,,,,242.53,percent of total billed charges,206.7925899,,,,245.6,percent of total billed charges,999999999,,,,245.6,percent of total billed charges,999999999,,,,214.9,percent of total billed charges,999999999,,,,214.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,163.324,percent of total billed charges,999999999,,,,,,,,,,,,,,,,155.035,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,76.75,percent of total billed charges,72.89372626,,,,,,,,,,76.75,percent of total billed charges,71.68118873,,,,,,,,,,76.75,percent of total billed charges,71.48198977,,,,,,,,,,76.75,percent of total billed charges,70.42941834,,,,,,,,,,76.75,percent of total billed charges,72.24167081,,,,,,,,,,76.75,percent of total billed charges,999999999,,,,,,,,,,76.75,percent of total billed charges,61.98844082,,,,,,,,,,76.75,percent of total billed charges,97.76004588,,,,,,,,,,76.75,percent of total billed charges,999999999,,,,,,,,,,76.75,percent of total billed charges,66.83869957,,,,,,,,,,276.3,percent of total billed charges,,,,,
CANDESARTAN (ATACAND) 4 MG TAB:,250,RC,4988-4065-09,NDC,,both,1,EA,4.8,4.8,1.021842934,4.8,4.8,percent of total billed charges,3.531530523,,,,4.8,percent of total billed charges,3.743352528,,,,4.8,percent of total billed charges,3.531530523,,,,4.8,percent of total billed charges,3.743352528,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,3.657270098,,,,4.8,percent of total billed charges,3.531530523,,,,4.8,percent of total billed charges,3.743352528,,,,3.4224,percent of total billed charges,1.70784023,,,,3.4224,percent of total billed charges,1.021842934,,,,3.4224,percent of total billed charges,1.70784023,,,,3.4224,percent of total billed charges,1.021842934,,,,3.4224,percent of total billed charges,1.70784023,,,,3.4224,percent of total billed charges,1.021842934,,,,3.3888,percent of total billed charges,3.363088253,,,,3.3888,percent of total billed charges,2.319495312,,,,,,,,,,3.456,percent of total billed charges,2.246318673,,,,,,,,,,3.456,percent of total billed charges,999999999,,,,,,,,,,3.84,percent of total billed charges,3.21772039,,,,3.792,percent of total billed charges,3.659443188,,,,3.792,percent of total billed charges,3.23323919,,,,3.84,percent of total billed charges,999999999,,,,3.84,percent of total billed charges,999999999,,,,3.36,percent of total billed charges,999999999,,,,3.36,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2.5536,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2.424,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.2,percent of total billed charges,1.139706469,,,,,,,,,,1.2,percent of total billed charges,1.120748228,,,,,,,,,,1.2,percent of total billed charges,1.117633716,,,,,,,,,,1.2,percent of total billed charges,1.101176573,,,,,,,,,,1.2,percent of total billed charges,1.129511466,,,,,,,,,,1.2,percent of total billed charges,999999999,,,,,,,,,,1.2,percent of total billed charges,0.969200378,,,,,,,,,,1.2,percent of total billed charges,1.528495831,,,,,,,,,,1.2,percent of total billed charges,999999999,,,,,,,,,,1.2,percent of total billed charges,1.045035042,,,,,,,,,,4.32,percent of total billed charges,,,,,
**MILNACIPRAN (SAVELLA) 12.5MG TAB,259,RC,0045-6151-60,NDC,,both,1,EA,26.46,26.46,5.632909175,26.46,26.46,percent of total billed charges,19.46756201,,,,26.46,percent of total billed charges,20.63523081,,,,26.46,percent of total billed charges,19.46756201,,,,26.46,percent of total billed charges,20.63523081,,,,26.46,percent of total billed charges,999999999,,,,26.46,percent of total billed charges,20.16070142,,,,26.46,percent of total billed charges,19.46756201,,,,26.46,percent of total billed charges,20.63523081,,,,18.86598,percent of total billed charges,9.414469268,,,,18.86598,percent of total billed charges,5.632909175,,,,18.86598,percent of total billed charges,9.414469268,,,,18.86598,percent of total billed charges,5.632909175,,,,18.86598,percent of total billed charges,9.414469268,,,,18.86598,percent of total billed charges,5.632909175,,,,18.68076,percent of total billed charges,18.539024,,,,18.68076,percent of total billed charges,12.78621791,,,,,,,,,,19.0512,percent of total billed charges,12.38283169,,,,,,,,,,19.0512,percent of total billed charges,999999999,,,,,,,,,,21.168,percent of total billed charges,17.73768365,,,,20.9034,percent of total billed charges,20.17268058,,,,20.9034,percent of total billed charges,17.82323104,,,,21.168,percent of total billed charges,999999999,,,,21.168,percent of total billed charges,999999999,,,,18.522,percent of total billed charges,999999999,,,,18.522,percent of total billed charges,999999999,,,,,,,,,,,,,,,,14.07672,percent of total billed charges,999999999,,,,,,,,,,,,,,,,13.3623,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6.615,percent of total billed charges,6.282631912,,,,,,,,,,6.615,percent of total billed charges,6.178124605,,,,,,,,,,6.615,percent of total billed charges,6.160955861,,,,,,,,,,6.615,percent of total billed charges,6.070235861,,,,,,,,,,6.615,percent of total billed charges,6.226431954,,,,,,,,,,6.615,percent of total billed charges,999999999,,,,,,,,,,6.615,percent of total billed charges,5.342717082,,,,,,,,,,6.615,percent of total billed charges,8.42583327,,,,,,,,,,6.615,percent of total billed charges,999999999,,,,,,,,,,6.615,percent of total billed charges,5.760755669,,,,,,,,,,23.814,percent of total billed charges,,,,,
**ESTRADIOL (VAGIFEM) 25MCG VAGINAL TAB,259,RC,0016-9517-03,NDC,,both,1,EA,90,90,19.15955502,90,90,percent of total billed charges,66.21619731,,,,90,percent of total billed charges,70.1878599,,,,90,percent of total billed charges,66.21619731,,,,90,percent of total billed charges,70.1878599,,,,90,percent of total billed charges,999999999,,,,90,percent of total billed charges,68.57381434,,,,90,percent of total billed charges,66.21619731,,,,90,percent of total billed charges,70.1878599,,,,64.17,percent of total billed charges,32.02200431,,,,64.17,percent of total billed charges,19.15955502,,,,64.17,percent of total billed charges,32.02200431,,,,64.17,percent of total billed charges,19.15955502,,,,64.17,percent of total billed charges,32.02200431,,,,64.17,percent of total billed charges,19.15955502,,,,63.54,percent of total billed charges,63.05790475,,,,63.54,percent of total billed charges,43.4905371,,,,,,,,,,64.8,percent of total billed charges,42.11847512,,,,,,,,,,64.8,percent of total billed charges,999999999,,,,,,,,,,72,percent of total billed charges,60.33225731,,,,71.1,percent of total billed charges,68.61455978,,,,71.1,percent of total billed charges,60.62323481,,,,72,percent of total billed charges,999999999,,,,72,percent of total billed charges,999999999,,,,63,percent of total billed charges,999999999,,,,63,percent of total billed charges,999999999,,,,,,,,,,,,,,,,47.88,percent of total billed charges,999999999,,,,,,,,,,,,,,,,45.45,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,22.5,percent of total billed charges,21.3694963,,,,,,,,,,22.5,percent of total billed charges,21.01402927,,,,,,,,,,22.5,percent of total billed charges,20.95563218,,,,,,,,,,22.5,percent of total billed charges,20.64706075,,,,,,,,,,22.5,percent of total billed charges,21.17833998,,,,,,,,,,22.5,percent of total billed charges,999999999,,,,,,,,,,22.5,percent of total billed charges,18.17250708,,,,,,,,,,22.5,percent of total billed charges,28.65929684,,,,,,,,,,22.5,percent of total billed charges,999999999,,,,,,,,,,22.5,percent of total billed charges,19.59440704,,,,,,,,,,81,percent of total billed charges,,,,,
raNITIdine (ZANTAC) 150MG/10ML UD,637,RC,3326-1051-01,NDC,,both,1,EA,11.64,11.64,2.477969115,11.64,11.64,percent of total billed charges,8.563961519,,,,11.64,percent of total billed charges,9.07762988,,,,11.64,percent of total billed charges,8.563961519,,,,11.64,percent of total billed charges,9.07762988,,,,11.64,percent of total billed charges,999999999,,,,11.64,percent of total billed charges,8.868879988,,,,11.64,percent of total billed charges,8.563961519,,,,11.64,percent of total billed charges,9.07762988,,,,8.29932,percent of total billed charges,4.141512558,,,,8.29932,percent of total billed charges,2.477969115,,,,8.29932,percent of total billed charges,4.141512558,,,,8.29932,percent of total billed charges,2.477969115,,,,8.29932,percent of total billed charges,4.141512558,,,,8.29932,percent of total billed charges,2.477969115,,,,8.21784,percent of total billed charges,8.155489014,,,,8.21784,percent of total billed charges,5.624776132,,,,,,,,,,8.3808,percent of total billed charges,5.447322782,,,,,,,,,,8.3808,percent of total billed charges,999999999,,,,,,,,,,9.312,percent of total billed charges,7.802971946,,,,9.1956,percent of total billed charges,8.874149732,,,,9.1956,percent of total billed charges,7.840605036,,,,9.312,percent of total billed charges,999999999,,,,9.312,percent of total billed charges,999999999,,,,8.148,percent of total billed charges,999999999,,,,8.148,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.19248,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.8782,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.91,percent of total billed charges,2.763788188,,,,,,,,,,2.91,percent of total billed charges,2.717814452,,,,,,,,,,2.91,percent of total billed charges,2.710261762,,,,,,,,,,2.91,percent of total billed charges,2.670353191,,,,,,,,,,2.91,percent of total billed charges,2.739065304,,,,,,,,,,2.91,percent of total billed charges,999999999,,,,,,,,,,2.91,percent of total billed charges,2.350310916,,,,,,,,,,2.91,percent of total billed charges,3.706602391,,,,,,,,,,2.91,percent of total billed charges,999999999,,,,,,,,,,2.91,percent of total billed charges,2.534209977,,,,,,,,,,10.476,percent of total billed charges,,,,,
**BUMETANIDE (BUMEX) 1MG/4ML INJ,250,RC,0040-9141-49,NDC,,both,1,EA,11,11,2.341723391,11,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,11,percent of total billed charges,999999999,,,,11,percent of total billed charges,8.381243975,,,,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.766,percent of total billed charges,7.707077247,,,,7.766,percent of total billed charges,5.31551009,,,,,,,,,,7.92,percent of total billed charges,5.147813626,,,,,,,,,,7.92,percent of total billed charges,999999999,,,,,,,,,,8.8,percent of total billed charges,7.373942561,,,,8.69,percent of total billed charges,8.386223973,,,,8.69,percent of total billed charges,7.409506477,,,,8.8,percent of total billed charges,999999999,,,,8.8,percent of total billed charges,999999999,,,,7.7,percent of total billed charges,999999999,,,,7.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.852,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.555,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.75,percent of total billed charges,2.611827325,,,,,,,,,,2.75,percent of total billed charges,2.568381355,,,,,,,,,,2.75,percent of total billed charges,2.561243933,,,,,,,,,,2.75,percent of total billed charges,2.523529647,,,,,,,,,,2.75,percent of total billed charges,2.588463775,,,,,,,,,,2.75,percent of total billed charges,999999999,,,,,,,,,,2.75,percent of total billed charges,2.221084199,,,,,,,,,,2.75,percent of total billed charges,3.502802947,,,,,,,,,,2.75,percent of total billed charges,999999999,,,,,,,,,,2.75,percent of total billed charges,2.394871971,,,,,,,,,,9.9,percent of total billed charges,,,,,
PRAZOSIN (MINIPRESS) 1 MG CAP,637,RC,5107-9063-20,NDC,,both,1,EA,5.99,5.99,1.275174828,5.99,5.99,percent of total billed charges,4.407055799,,,,5.99,percent of total billed charges,4.671392009,,,,5.99,percent of total billed charges,4.407055799,,,,5.99,percent of total billed charges,4.671392009,,,,5.99,percent of total billed charges,999999999,,,,5.99,percent of total billed charges,4.56396831,,,,5.99,percent of total billed charges,4.407055799,,,,5.99,percent of total billed charges,4.671392009,,,,4.27087,percent of total billed charges,2.131242287,,,,4.27087,percent of total billed charges,1.275174828,,,,4.27087,percent of total billed charges,2.131242287,,,,4.27087,percent of total billed charges,1.275174828,,,,4.27087,percent of total billed charges,2.131242287,,,,4.27087,percent of total billed charges,1.275174828,,,,4.22894,percent of total billed charges,4.196853883,,,,4.22894,percent of total billed charges,2.894536858,,,,,,,,,,4.3128,percent of total billed charges,2.803218511,,,,,,,,,,4.3128,percent of total billed charges,999999999,,,,,,,,,,4.792,percent of total billed charges,4.015446903,,,,4.7321,percent of total billed charges,4.566680146,,,,4.7321,percent of total billed charges,4.034813073,,,,4.792,percent of total billed charges,999999999,,,,4.792,percent of total billed charges,999999999,,,,4.193,percent of total billed charges,999999999,,,,4.193,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.18668,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.02495,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.4975,percent of total billed charges,1.422258698,,,,,,,,,,1.4975,percent of total billed charges,1.398600392,,,,,,,,,,1.4975,percent of total billed charges,1.394713742,,,,,,,,,,1.4975,percent of total billed charges,1.374176599,,,,,,,,,,1.4975,percent of total billed charges,1.409536183,,,,,,,,,,1.4975,percent of total billed charges,999999999,,,,,,,,,,1.4975,percent of total billed charges,1.209481305,,,,,,,,,,1.4975,percent of total billed charges,1.907435423,,,,,,,,,,1.4975,percent of total billed charges,999999999,,,,,,,,,,1.4975,percent of total billed charges,1.304116646,,,,,,,,,,5.391,percent of total billed charges,,,,,
HYDROmorphone (DILAUDID) 4 MG/ML SYRING,J1171,CDM,0040-9131-30,NDC,,both,1,EA,65.51,65.51,13.94602721,65.51,65.51,percent of total billed charges,48.19803429,,,,65.51,percent of total billed charges,51.08896336,,,,65.51,percent of total billed charges,48.19803429,,,,65.51,percent of total billed charges,51.08896336,,,,65.51,percent of total billed charges,999999999,,,,65.51,percent of total billed charges,49.91411753,,,,65.51,percent of total billed charges,48.19803429,,,,65.51,percent of total billed charges,51.08896336,,,,46.70863,percent of total billed charges,23.30846114,,,,46.70863,percent of total billed charges,13.94602721,,,,46.70863,percent of total billed charges,23.30846114,,,,46.70863,percent of total billed charges,13.94602721,,,,46.70863,percent of total billed charges,23.30846114,,,,46.70863,percent of total billed charges,13.94602721,,,,46.25006,percent of total billed charges,45.89914822,,,,46.25006,percent of total billed charges,31.65627873,,,,,,,,,,47.1672,percent of total billed charges,30.65757006,,,,,,,,,,47.1672,percent of total billed charges,999999999,,,,,,,,,,52.408,percent of total billed charges,43.91517974,,,,51.7529,percent of total billed charges,49.94377568,,,,51.7529,percent of total billed charges,44.12697903,,,,52.408,percent of total billed charges,999999999,,,,52.408,percent of total billed charges,999999999,,,,45.857,percent of total billed charges,999999999,,,,45.857,percent of total billed charges,999999999,,,,,,,,,,,,,,,,34.85132,percent of total billed charges,999999999,,,,,,,,,,,,,,,,33.08255,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16.3775,percent of total billed charges,15.55461892,,,,,,,,,,16.3775,percent of total billed charges,15.29587842,,,,,,,,,,16.3775,percent of total billed charges,15.25337182,,,,,,,,,,16.3775,percent of total billed charges,15.02876611,,,,,,,,,,16.3775,percent of total billed charges,15.41547836,,,,,,,,,,16.3775,percent of total billed charges,999999999,,,,,,,,,,16.3775,percent of total billed charges,13.22756599,,,,,,,,,,16.3775,percent of total billed charges,20.86078373,,,,,,,,,,16.3775,percent of total billed charges,999999999,,,,,,,,,,16.3775,percent of total billed charges,14.26255117,,,,,,,,,,58.959,percent of total billed charges,,,,,
**INFLUENZA HIGH-DOSE VACCINE (>=65YO),90656,CDM,4928-1038-65,NDC,,both,1,EA,65,65,13.8374564,65,65,percent of total billed charges,47.82280917,,,,65,percent of total billed charges,50.69123215,,,,65,percent of total billed charges,47.82280917,,,,65,percent of total billed charges,50.69123215,,,,65,percent of total billed charges,999999999,,,,65,percent of total billed charges,49.52553258,,,,65,percent of total billed charges,47.82280917,,,,65,percent of total billed charges,50.69123215,,,,46.345,percent of total billed charges,23.12700312,,,,46.345,percent of total billed charges,13.8374564,,,,46.345,percent of total billed charges,23.12700312,,,,46.345,percent of total billed charges,13.8374564,,,,46.345,percent of total billed charges,23.12700312,,,,46.345,percent of total billed charges,13.8374564,,,,45.89,percent of total billed charges,45.54182009,,,,45.89,percent of total billed charges,31.40983235,,,,,,,,,,46.8,percent of total billed charges,30.4188987,,,,,,,,,,46.8,percent of total billed charges,999999999,,,,,,,,,,52,percent of total billed charges,43.57329695,,,,51.35,percent of total billed charges,49.55495984,,,,51.35,percent of total billed charges,43.78344737,,,,52,percent of total billed charges,999999999,,,,52,percent of total billed charges,999999999,,,,45.5,percent of total billed charges,999999999,,,,45.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,34.58,percent of total billed charges,999999999,,,,,,,,,,,,,,,,32.825,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16.25,percent of total billed charges,15.4335251,,,,,,,,,,16.25,percent of total billed charges,15.17679892,,,,,,,,,,16.25,percent of total billed charges,15.13462324,,,,,,,,,,16.25,percent of total billed charges,14.9117661,,,,,,,,,,16.25,percent of total billed charges,15.29546776,,,,,,,,,,16.25,percent of total billed charges,999999999,,,,,,,,,,16.25,percent of total billed charges,13.12458845,,,,,,,,,,16.25,percent of total billed charges,20.69838105,,,,,,,,,,16.25,percent of total billed charges,999999999,,,,,,,,,,16.25,percent of total billed charges,14.15151619,,,,,,,,,,58.5,percent of total billed charges,,,,,
**EXT.MIDDLE & INNER EAR,370,RC,0059-1289-30,NDC,,both,1,EA,629,629,133.9040012,629,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,629,percent of total billed charges,999999999,,,,629,percent of total billed charges,479.2547691,,,,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,444.074,percent of total billed charges,440.7046898,,,,444.074,percent of total billed charges,303.9505315,,,,,,,,,,452.88,percent of total billed charges,294.3613428,,,,,,,,,,452.88,percent of total billed charges,999999999,,,,,,,,,,503.2,percent of total billed charges,421.6554428,,,,496.91,percent of total billed charges,479.5395345,,,,496.91,percent of total billed charges,423.6890522,,,,503.2,percent of total billed charges,999999999,,,,503.2,percent of total billed charges,999999999,,,,440.3,percent of total billed charges,999999999,,,,440.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,334.628,percent of total billed charges,999999999,,,,,,,,,,,,,,,,317.645,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,157.25,percent of total billed charges,149.3490352,,,,,,,,,,157.25,percent of total billed charges,146.8647157,,,,,,,,,,157.25,percent of total billed charges,146.4565849,,,,,,,,,,157.25,percent of total billed charges,144.3000135,,,,,,,,,,157.25,percent of total billed charges,148.013065,,,,,,,,,,157.25,percent of total billed charges,999999999,,,,,,,,,,157.25,percent of total billed charges,127.0056328,,,,,,,,,,157.25,percent of total billed charges,200.2966412,,,,,,,,,,157.25,percent of total billed charges,999999999,,,,,,,,,,157.25,percent of total billed charges,136.9431336,,,,,,,,,,566.1,percent of total billed charges,,,,,
**TYMPANOTOMY,370,RC,0059-1289-30,NDC,,both,1,EA,629,629,133.9040012,629,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,629,percent of total billed charges,999999999,,,,629,percent of total billed charges,479.2547691,,,,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,444.074,percent of total billed charges,440.7046898,,,,444.074,percent of total billed charges,303.9505315,,,,,,,,,,452.88,percent of total billed charges,294.3613428,,,,,,,,,,452.88,percent of total billed charges,999999999,,,,,,,,,,503.2,percent of total billed charges,421.6554428,,,,496.91,percent of total billed charges,479.5395345,,,,496.91,percent of total billed charges,423.6890522,,,,503.2,percent of total billed charges,999999999,,,,503.2,percent of total billed charges,999999999,,,,440.3,percent of total billed charges,999999999,,,,440.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,334.628,percent of total billed charges,999999999,,,,,,,,,,,,,,,,317.645,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,157.25,percent of total billed charges,149.3490352,,,,,,,,,,157.25,percent of total billed charges,146.8647157,,,,,,,,,,157.25,percent of total billed charges,146.4565849,,,,,,,,,,157.25,percent of total billed charges,144.3000135,,,,,,,,,,157.25,percent of total billed charges,148.013065,,,,,,,,,,157.25,percent of total billed charges,999999999,,,,,,,,,,157.25,percent of total billed charges,127.0056328,,,,,,,,,,157.25,percent of total billed charges,200.2966412,,,,,,,,,,157.25,percent of total billed charges,999999999,,,,,,,,,,157.25,percent of total billed charges,136.9431336,,,,,,,,,,566.1,percent of total billed charges,,,,,
"**PROCEDURE ON EYE,NOSE",370,RC,0059-1289-30,NDC,,both,1,EA,629,629,133.9040012,629,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,629,percent of total billed charges,999999999,,,,629,percent of total billed charges,479.2547691,,,,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,444.074,percent of total billed charges,440.7046898,,,,444.074,percent of total billed charges,303.9505315,,,,,,,,,,452.88,percent of total billed charges,294.3613428,,,,,,,,,,452.88,percent of total billed charges,999999999,,,,,,,,,,503.2,percent of total billed charges,421.6554428,,,,496.91,percent of total billed charges,479.5395345,,,,496.91,percent of total billed charges,423.6890522,,,,503.2,percent of total billed charges,999999999,,,,503.2,percent of total billed charges,999999999,,,,440.3,percent of total billed charges,999999999,,,,440.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,334.628,percent of total billed charges,999999999,,,,,,,,,,,,,,,,317.645,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,157.25,percent of total billed charges,149.3490352,,,,,,,,,,157.25,percent of total billed charges,146.8647157,,,,,,,,,,157.25,percent of total billed charges,146.4565849,,,,,,,,,,157.25,percent of total billed charges,144.3000135,,,,,,,,,,157.25,percent of total billed charges,148.013065,,,,,,,,,,157.25,percent of total billed charges,999999999,,,,,,,,,,157.25,percent of total billed charges,127.0056328,,,,,,,,,,157.25,percent of total billed charges,200.2966412,,,,,,,,,,157.25,percent of total billed charges,999999999,,,,,,,,,,157.25,percent of total billed charges,136.9431336,,,,,,,,,,566.1,percent of total billed charges,,,,,
**LENS SURGERY,370,RC,0059-1289-30,NDC,,both,1,EA,629,629,133.9040012,629,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,629,percent of total billed charges,999999999,,,,629,percent of total billed charges,479.2547691,,,,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,444.074,percent of total billed charges,440.7046898,,,,444.074,percent of total billed charges,303.9505315,,,,,,,,,,452.88,percent of total billed charges,294.3613428,,,,,,,,,,452.88,percent of total billed charges,999999999,,,,,,,,,,503.2,percent of total billed charges,421.6554428,,,,496.91,percent of total billed charges,479.5395345,,,,496.91,percent of total billed charges,423.6890522,,,,503.2,percent of total billed charges,999999999,,,,503.2,percent of total billed charges,999999999,,,,440.3,percent of total billed charges,999999999,,,,440.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,334.628,percent of total billed charges,999999999,,,,,,,,,,,,,,,,317.645,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,157.25,percent of total billed charges,149.3490352,,,,,,,,,,157.25,percent of total billed charges,146.8647157,,,,,,,,,,157.25,percent of total billed charges,146.4565849,,,,,,,,,,157.25,percent of total billed charges,144.3000135,,,,,,,,,,157.25,percent of total billed charges,148.013065,,,,,,,,,,157.25,percent of total billed charges,999999999,,,,,,,,,,157.25,percent of total billed charges,127.0056328,,,,,,,,,,157.25,percent of total billed charges,200.2966412,,,,,,,,,,157.25,percent of total billed charges,999999999,,,,,,,,,,157.25,percent of total billed charges,136.9431336,,,,,,,,,,566.1,percent of total billed charges,,,,,
"**Intra Procedure, Including Box",370,RC,0059-1289-30,NDC,,both,1,EA,629,629,133.9040012,629,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,629,percent of total billed charges,999999999,,,,629,percent of total billed charges,479.2547691,,,,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,444.074,percent of total billed charges,440.7046898,,,,444.074,percent of total billed charges,303.9505315,,,,,,,,,,452.88,percent of total billed charges,294.3613428,,,,,,,,,,452.88,percent of total billed charges,999999999,,,,,,,,,,503.2,percent of total billed charges,421.6554428,,,,496.91,percent of total billed charges,479.5395345,,,,496.91,percent of total billed charges,423.6890522,,,,503.2,percent of total billed charges,999999999,,,,503.2,percent of total billed charges,999999999,,,,440.3,percent of total billed charges,999999999,,,,440.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,334.628,percent of total billed charges,999999999,,,,,,,,,,,,,,,,317.645,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,157.25,percent of total billed charges,149.3490352,,,,,,,,,,157.25,percent of total billed charges,146.8647157,,,,,,,,,,157.25,percent of total billed charges,146.4565849,,,,,,,,,,157.25,percent of total billed charges,144.3000135,,,,,,,,,,157.25,percent of total billed charges,148.013065,,,,,,,,,,157.25,percent of total billed charges,999999999,,,,,,,,,,157.25,percent of total billed charges,127.0056328,,,,,,,,,,157.25,percent of total billed charges,200.2966412,,,,,,,,,,157.25,percent of total billed charges,999999999,,,,,,,,,,157.25,percent of total billed charges,136.9431336,,,,,,,,,,566.1,percent of total billed charges,,,,,
"**ESOPH, THY, LARY, TRACH, LYM SYSTEM",370,RC,0059-1289-30,NDC,,both,1,EA,629,629,133.9040012,629,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,629,percent of total billed charges,999999999,,,,629,percent of total billed charges,479.2547691,,,,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,444.074,percent of total billed charges,440.7046898,,,,444.074,percent of total billed charges,303.9505315,,,,,,,,,,452.88,percent of total billed charges,294.3613428,,,,,,,,,,452.88,percent of total billed charges,999999999,,,,,,,,,,503.2,percent of total billed charges,421.6554428,,,,496.91,percent of total billed charges,479.5395345,,,,496.91,percent of total billed charges,423.6890522,,,,503.2,percent of total billed charges,999999999,,,,503.2,percent of total billed charges,999999999,,,,440.3,percent of total billed charges,999999999,,,,440.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,334.628,percent of total billed charges,999999999,,,,,,,,,,,,,,,,317.645,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,157.25,percent of total billed charges,149.3490352,,,,,,,,,,157.25,percent of total billed charges,146.8647157,,,,,,,,,,157.25,percent of total billed charges,146.4565849,,,,,,,,,,157.25,percent of total billed charges,144.3000135,,,,,,,,,,157.25,percent of total billed charges,148.013065,,,,,,,,,,157.25,percent of total billed charges,999999999,,,,,,,,,,157.25,percent of total billed charges,127.0056328,,,,,,,,,,157.25,percent of total billed charges,200.2966412,,,,,,,,,,157.25,percent of total billed charges,999999999,,,,,,,,,,157.25,percent of total billed charges,136.9431336,,,,,,,,,,566.1,percent of total billed charges,,,,,
"**Integrary,Muscle & Nerve",370,RC,0059-1289-30,NDC,,both,1,EA,629,629,133.9040012,629,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,629,percent of total billed charges,999999999,,,,629,percent of total billed charges,479.2547691,,,,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,444.074,percent of total billed charges,440.7046898,,,,444.074,percent of total billed charges,303.9505315,,,,,,,,,,452.88,percent of total billed charges,294.3613428,,,,,,,,,,452.88,percent of total billed charges,999999999,,,,,,,,,,503.2,percent of total billed charges,421.6554428,,,,496.91,percent of total billed charges,479.5395345,,,,496.91,percent of total billed charges,423.6890522,,,,503.2,percent of total billed charges,999999999,,,,503.2,percent of total billed charges,999999999,,,,440.3,percent of total billed charges,999999999,,,,440.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,334.628,percent of total billed charges,999999999,,,,,,,,,,,,,,,,317.645,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,157.25,percent of total billed charges,149.3490352,,,,,,,,,,157.25,percent of total billed charges,146.8647157,,,,,,,,,,157.25,percent of total billed charges,146.4565849,,,,,,,,,,157.25,percent of total billed charges,144.3000135,,,,,,,,,,157.25,percent of total billed charges,148.013065,,,,,,,,,,157.25,percent of total billed charges,999999999,,,,,,,,,,157.25,percent of total billed charges,127.0056328,,,,,,,,,,157.25,percent of total billed charges,200.2966412,,,,,,,,,,157.25,percent of total billed charges,999999999,,,,,,,,,,157.25,percent of total billed charges,136.9431336,,,,,,,,,,566.1,percent of total billed charges,,,,,
**SIMPLE LIGATION,370,RC,0059-1289-30,NDC,,both,1,EA,629,629,133.9040012,629,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,629,percent of total billed charges,999999999,,,,629,percent of total billed charges,479.2547691,,,,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,444.074,percent of total billed charges,440.7046898,,,,444.074,percent of total billed charges,303.9505315,,,,,,,,,,452.88,percent of total billed charges,294.3613428,,,,,,,,,,452.88,percent of total billed charges,999999999,,,,,,,,,,503.2,percent of total billed charges,421.6554428,,,,496.91,percent of total billed charges,479.5395345,,,,496.91,percent of total billed charges,423.6890522,,,,503.2,percent of total billed charges,999999999,,,,503.2,percent of total billed charges,999999999,,,,440.3,percent of total billed charges,999999999,,,,440.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,334.628,percent of total billed charges,999999999,,,,,,,,,,,,,,,,317.645,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,157.25,percent of total billed charges,149.3490352,,,,,,,,,,157.25,percent of total billed charges,146.8647157,,,,,,,,,,157.25,percent of total billed charges,146.4565849,,,,,,,,,,157.25,percent of total billed charges,144.3000135,,,,,,,,,,157.25,percent of total billed charges,148.013065,,,,,,,,,,157.25,percent of total billed charges,999999999,,,,,,,,,,157.25,percent of total billed charges,127.0056328,,,,,,,,,,157.25,percent of total billed charges,200.2966412,,,,,,,,,,157.25,percent of total billed charges,999999999,,,,,,,,,,157.25,percent of total billed charges,136.9431336,,,,,,,,,,566.1,percent of total billed charges,,,,,
"**INTEGNTARY,EXT.,ANT TRUNK",370,RC,0059-1289-30,NDC,,both,1,EA,629,629,133.9040012,629,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,629,percent of total billed charges,999999999,,,,629,percent of total billed charges,479.2547691,,,,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,444.074,percent of total billed charges,440.7046898,,,,444.074,percent of total billed charges,303.9505315,,,,,,,,,,452.88,percent of total billed charges,294.3613428,,,,,,,,,,452.88,percent of total billed charges,999999999,,,,,,,,,,503.2,percent of total billed charges,421.6554428,,,,496.91,percent of total billed charges,479.5395345,,,,496.91,percent of total billed charges,423.6890522,,,,503.2,percent of total billed charges,999999999,,,,503.2,percent of total billed charges,999999999,,,,440.3,percent of total billed charges,999999999,,,,440.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,334.628,percent of total billed charges,999999999,,,,,,,,,,,,,,,,317.645,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,157.25,percent of total billed charges,149.3490352,,,,,,,,,,157.25,percent of total billed charges,146.8647157,,,,,,,,,,157.25,percent of total billed charges,146.4565849,,,,,,,,,,157.25,percent of total billed charges,144.3000135,,,,,,,,,,157.25,percent of total billed charges,148.013065,,,,,,,,,,157.25,percent of total billed charges,999999999,,,,,,,,,,157.25,percent of total billed charges,127.0056328,,,,,,,,,,157.25,percent of total billed charges,200.2966412,,,,,,,,,,157.25,percent of total billed charges,999999999,,,,,,,,,,157.25,percent of total billed charges,136.9431336,,,,,,,,,,566.1,percent of total billed charges,,,,,
**RADICAL/MODIFIED BREAST,370,RC,0059-1289-30,NDC,,both,1,EA,629,629,133.9040012,629,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,629,percent of total billed charges,999999999,,,,629,percent of total billed charges,479.2547691,,,,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,444.074,percent of total billed charges,440.7046898,,,,444.074,percent of total billed charges,303.9505315,,,,,,,,,,452.88,percent of total billed charges,294.3613428,,,,,,,,,,452.88,percent of total billed charges,999999999,,,,,,,,,,503.2,percent of total billed charges,421.6554428,,,,496.91,percent of total billed charges,479.5395345,,,,496.91,percent of total billed charges,423.6890522,,,,503.2,percent of total billed charges,999999999,,,,503.2,percent of total billed charges,999999999,,,,440.3,percent of total billed charges,999999999,,,,440.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,334.628,percent of total billed charges,999999999,,,,,,,,,,,,,,,,317.645,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,157.25,percent of total billed charges,149.3490352,,,,,,,,,,157.25,percent of total billed charges,146.8647157,,,,,,,,,,157.25,percent of total billed charges,146.4565849,,,,,,,,,,157.25,percent of total billed charges,144.3000135,,,,,,,,,,157.25,percent of total billed charges,148.013065,,,,,,,,,,157.25,percent of total billed charges,999999999,,,,,,,,,,157.25,percent of total billed charges,127.0056328,,,,,,,,,,157.25,percent of total billed charges,200.2966412,,,,,,,,,,157.25,percent of total billed charges,999999999,,,,,,,,,,157.25,percent of total billed charges,136.9431336,,,,,,,,,,566.1,percent of total billed charges,,,,,
**ELECTRICAL CONVS OF ARRHYTH,370,RC,0059-1289-30,NDC,,both,1,EA,629,629,133.9040012,629,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,629,percent of total billed charges,999999999,,,,629,percent of total billed charges,479.2547691,,,,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,444.074,percent of total billed charges,440.7046898,,,,444.074,percent of total billed charges,303.9505315,,,,,,,,,,452.88,percent of total billed charges,294.3613428,,,,,,,,,,452.88,percent of total billed charges,999999999,,,,,,,,,,503.2,percent of total billed charges,421.6554428,,,,496.91,percent of total billed charges,479.5395345,,,,496.91,percent of total billed charges,423.6890522,,,,503.2,percent of total billed charges,999999999,,,,503.2,percent of total billed charges,999999999,,,,440.3,percent of total billed charges,999999999,,,,440.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,334.628,percent of total billed charges,999999999,,,,,,,,,,,,,,,,317.645,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,157.25,percent of total billed charges,149.3490352,,,,,,,,,,157.25,percent of total billed charges,146.8647157,,,,,,,,,,157.25,percent of total billed charges,146.4565849,,,,,,,,,,157.25,percent of total billed charges,144.3000135,,,,,,,,,,157.25,percent of total billed charges,148.013065,,,,,,,,,,157.25,percent of total billed charges,999999999,,,,,,,,,,157.25,percent of total billed charges,127.0056328,,,,,,,,,,157.25,percent of total billed charges,200.2966412,,,,,,,,,,157.25,percent of total billed charges,999999999,,,,,,,,,,157.25,percent of total billed charges,136.9431336,,,,,,,,,,566.1,percent of total billed charges,,,,,
**CLOSED CHEST PROCEDURE,370,RC,0059-1289-30,NDC,,both,1,EA,629,629,133.9040012,629,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,629,percent of total billed charges,999999999,,,,629,percent of total billed charges,479.2547691,,,,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,444.074,percent of total billed charges,440.7046898,,,,444.074,percent of total billed charges,303.9505315,,,,,,,,,,452.88,percent of total billed charges,294.3613428,,,,,,,,,,452.88,percent of total billed charges,999999999,,,,,,,,,,503.2,percent of total billed charges,421.6554428,,,,496.91,percent of total billed charges,479.5395345,,,,496.91,percent of total billed charges,423.6890522,,,,503.2,percent of total billed charges,999999999,,,,503.2,percent of total billed charges,999999999,,,,440.3,percent of total billed charges,999999999,,,,440.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,334.628,percent of total billed charges,999999999,,,,,,,,,,,,,,,,317.645,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,157.25,percent of total billed charges,149.3490352,,,,,,,,,,157.25,percent of total billed charges,146.8647157,,,,,,,,,,157.25,percent of total billed charges,146.4565849,,,,,,,,,,157.25,percent of total billed charges,144.3000135,,,,,,,,,,157.25,percent of total billed charges,148.013065,,,,,,,,,,157.25,percent of total billed charges,999999999,,,,,,,,,,157.25,percent of total billed charges,127.0056328,,,,,,,,,,157.25,percent of total billed charges,200.2966412,,,,,,,,,,157.25,percent of total billed charges,999999999,,,,,,,,,,157.25,percent of total billed charges,136.9431336,,,,,,,,,,566.1,percent of total billed charges,,,,,
**PERM TRANSVN PACEMAKER,370,RC,0059-1289-30,NDC,,both,1,EA,629,629,133.9040012,629,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,629,percent of total billed charges,999999999,,,,629,percent of total billed charges,479.2547691,,,,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,444.074,percent of total billed charges,440.7046898,,,,444.074,percent of total billed charges,303.9505315,,,,,,,,,,452.88,percent of total billed charges,294.3613428,,,,,,,,,,452.88,percent of total billed charges,999999999,,,,,,,,,,503.2,percent of total billed charges,421.6554428,,,,496.91,percent of total billed charges,479.5395345,,,,496.91,percent of total billed charges,423.6890522,,,,503.2,percent of total billed charges,999999999,,,,503.2,percent of total billed charges,999999999,,,,440.3,percent of total billed charges,999999999,,,,440.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,334.628,percent of total billed charges,999999999,,,,,,,,,,,,,,,,317.645,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,157.25,percent of total billed charges,149.3490352,,,,,,,,,,157.25,percent of total billed charges,146.8647157,,,,,,,,,,157.25,percent of total billed charges,146.4565849,,,,,,,,,,157.25,percent of total billed charges,144.3000135,,,,,,,,,,157.25,percent of total billed charges,148.013065,,,,,,,,,,157.25,percent of total billed charges,999999999,,,,,,,,,,157.25,percent of total billed charges,127.0056328,,,,,,,,,,157.25,percent of total billed charges,200.2966412,,,,,,,,,,157.25,percent of total billed charges,999999999,,,,,,,,,,157.25,percent of total billed charges,136.9431336,,,,,,,,,,566.1,percent of total billed charges,,,,,
**ACCESS TO CNTRL VENOUS CIRC.,370,RC,0059-1289-30,NDC,,both,1,EA,2961,2961,630.34936,2961,2961,percent of total billed charges,2178.512892,,,,2961,percent of total billed charges,2309.180591,,,,2961,percent of total billed charges,2178.512892,,,,2961,percent of total billed charges,2309.180591,,,,2961,percent of total billed charges,999999999,,,,2961,percent of total billed charges,2256.078492,,,,2961,percent of total billed charges,2178.512892,,,,2961,percent of total billed charges,2309.180591,,,,2111.193,percent of total billed charges,1053.523942,,,,2111.193,percent of total billed charges,630.34936,,,,2111.193,percent of total billed charges,1053.523942,,,,2111.193,percent of total billed charges,630.34936,,,,2111.193,percent of total billed charges,1053.523942,,,,2111.193,percent of total billed charges,630.34936,,,,2090.466,percent of total billed charges,2074.605066,,,,2090.466,percent of total billed charges,1430.838671,,,,,,,,,,2131.92,percent of total billed charges,1385.697831,,,,,,,,,,2131.92,percent of total billed charges,999999999,,,,,,,,,,2368.8,percent of total billed charges,1984.931266,,,,2339.19,percent of total billed charges,2257.419017,,,,2339.19,percent of total billed charges,1994.504425,,,,2368.8,percent of total billed charges,999999999,,,,2368.8,percent of total billed charges,999999999,,,,2072.7,percent of total billed charges,999999999,,,,2072.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1575.252,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1495.305,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,740.25,percent of total billed charges,703.0564282,,,,,,,,,,740.25,percent of total billed charges,691.3615629,,,,,,,,,,740.25,percent of total billed charges,689.4402987,,,,,,,,,,740.25,percent of total billed charges,679.2882987,,,,,,,,,,740.25,percent of total billed charges,696.7673853,,,,,,,,,,740.25,percent of total billed charges,999999999,,,,,,,,,,740.25,percent of total billed charges,597.875483,,,,,,,,,,740.25,percent of total billed charges,942.8908659,,,,,,,,,,740.25,percent of total billed charges,999999999,,,,,,,,,,740.25,percent of total billed charges,644.6559916,,,,,,,,,,2664.9,percent of total billed charges,,,,,
**TRANSV INSRT/RPLC/PACING CARDIVTR/DEF,370,RC,0059-1289-30,NDC,,both,1,EA,629,629,133.9040012,629,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,629,percent of total billed charges,999999999,,,,629,percent of total billed charges,479.2547691,,,,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,444.074,percent of total billed charges,440.7046898,,,,444.074,percent of total billed charges,303.9505315,,,,,,,,,,452.88,percent of total billed charges,294.3613428,,,,,,,,,,452.88,percent of total billed charges,999999999,,,,,,,,,,503.2,percent of total billed charges,421.6554428,,,,496.91,percent of total billed charges,479.5395345,,,,496.91,percent of total billed charges,423.6890522,,,,503.2,percent of total billed charges,999999999,,,,503.2,percent of total billed charges,999999999,,,,440.3,percent of total billed charges,999999999,,,,440.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,334.628,percent of total billed charges,999999999,,,,,,,,,,,,,,,,317.645,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,157.25,percent of total billed charges,149.3490352,,,,,,,,,,157.25,percent of total billed charges,146.8647157,,,,,,,,,,157.25,percent of total billed charges,146.4565849,,,,,,,,,,157.25,percent of total billed charges,144.3000135,,,,,,,,,,157.25,percent of total billed charges,148.013065,,,,,,,,,,157.25,percent of total billed charges,999999999,,,,,,,,,,157.25,percent of total billed charges,127.0056328,,,,,,,,,,157.25,percent of total billed charges,200.2966412,,,,,,,,,,157.25,percent of total billed charges,999999999,,,,,,,,,,157.25,percent of total billed charges,136.9431336,,,,,,,,,,566.1,percent of total billed charges,,,,,
**CLSD SHOULDER JOINT,370,RC,0059-1289-30,NDC,,both,1,EA,629,629,133.9040012,629,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,629,percent of total billed charges,999999999,,,,629,percent of total billed charges,479.2547691,,,,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,444.074,percent of total billed charges,440.7046898,,,,444.074,percent of total billed charges,303.9505315,,,,,,,,,,452.88,percent of total billed charges,294.3613428,,,,,,,,,,452.88,percent of total billed charges,999999999,,,,,,,,,,503.2,percent of total billed charges,421.6554428,,,,496.91,percent of total billed charges,479.5395345,,,,496.91,percent of total billed charges,423.6890522,,,,503.2,percent of total billed charges,999999999,,,,503.2,percent of total billed charges,999999999,,,,440.3,percent of total billed charges,999999999,,,,440.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,334.628,percent of total billed charges,999999999,,,,,,,,,,,,,,,,317.645,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,157.25,percent of total billed charges,149.3490352,,,,,,,,,,157.25,percent of total billed charges,146.8647157,,,,,,,,,,157.25,percent of total billed charges,146.4565849,,,,,,,,,,157.25,percent of total billed charges,144.3000135,,,,,,,,,,157.25,percent of total billed charges,148.013065,,,,,,,,,,157.25,percent of total billed charges,999999999,,,,,,,,,,157.25,percent of total billed charges,127.0056328,,,,,,,,,,157.25,percent of total billed charges,200.2966412,,,,,,,,,,157.25,percent of total billed charges,999999999,,,,,,,,,,157.25,percent of total billed charges,136.9431336,,,,,,,,,,566.1,percent of total billed charges,,,,,
**UPPER ANT.ABDOMEN WALL,370,RC,0059-1289-30,NDC,,both,1,EA,629,629,133.9040012,629,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,629,percent of total billed charges,999999999,,,,629,percent of total billed charges,479.2547691,,,,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,444.074,percent of total billed charges,440.7046898,,,,444.074,percent of total billed charges,303.9505315,,,,,,,,,,452.88,percent of total billed charges,294.3613428,,,,,,,,,,452.88,percent of total billed charges,999999999,,,,,,,,,,503.2,percent of total billed charges,421.6554428,,,,496.91,percent of total billed charges,479.5395345,,,,496.91,percent of total billed charges,423.6890522,,,,503.2,percent of total billed charges,999999999,,,,503.2,percent of total billed charges,999999999,,,,440.3,percent of total billed charges,999999999,,,,440.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,334.628,percent of total billed charges,999999999,,,,,,,,,,,,,,,,317.645,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,157.25,percent of total billed charges,149.3490352,,,,,,,,,,157.25,percent of total billed charges,146.8647157,,,,,,,,,,157.25,percent of total billed charges,146.4565849,,,,,,,,,,157.25,percent of total billed charges,144.3000135,,,,,,,,,,157.25,percent of total billed charges,148.013065,,,,,,,,,,157.25,percent of total billed charges,999999999,,,,,,,,,,157.25,percent of total billed charges,127.0056328,,,,,,,,,,157.25,percent of total billed charges,200.2966412,,,,,,,,,,157.25,percent of total billed charges,999999999,,,,,,,,,,157.25,percent of total billed charges,136.9431336,,,,,,,,,,566.1,percent of total billed charges,,,,,
**POSTERIOR ABDOMEN WALL,370,RC,0059-1289-30,NDC,,both,1,EA,629,629,133.9040012,629,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,629,percent of total billed charges,999999999,,,,629,percent of total billed charges,479.2547691,,,,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,444.074,percent of total billed charges,440.7046898,,,,444.074,percent of total billed charges,303.9505315,,,,,,,,,,452.88,percent of total billed charges,294.3613428,,,,,,,,,,452.88,percent of total billed charges,999999999,,,,,,,,,,503.2,percent of total billed charges,421.6554428,,,,496.91,percent of total billed charges,479.5395345,,,,496.91,percent of total billed charges,423.6890522,,,,503.2,percent of total billed charges,999999999,,,,503.2,percent of total billed charges,999999999,,,,440.3,percent of total billed charges,999999999,,,,440.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,334.628,percent of total billed charges,999999999,,,,,,,,,,,,,,,,317.645,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,157.25,percent of total billed charges,149.3490352,,,,,,,,,,157.25,percent of total billed charges,146.8647157,,,,,,,,,,157.25,percent of total billed charges,146.4565849,,,,,,,,,,157.25,percent of total billed charges,144.3000135,,,,,,,,,,157.25,percent of total billed charges,148.013065,,,,,,,,,,157.25,percent of total billed charges,999999999,,,,,,,,,,157.25,percent of total billed charges,127.0056328,,,,,,,,,,157.25,percent of total billed charges,200.2966412,,,,,,,,,,157.25,percent of total billed charges,999999999,,,,,,,,,,157.25,percent of total billed charges,136.9431336,,,,,,,,,,566.1,percent of total billed charges,,,,,
**UPPER GASTRO ENDOSCOPY,370,RC,0059-1289-30,NDC,,both,1,EA,629,629,133.9040012,629,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,629,percent of total billed charges,999999999,,,,629,percent of total billed charges,479.2547691,,,,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,444.074,percent of total billed charges,440.7046898,,,,444.074,percent of total billed charges,303.9505315,,,,,,,,,,452.88,percent of total billed charges,294.3613428,,,,,,,,,,452.88,percent of total billed charges,999999999,,,,,,,,,,503.2,percent of total billed charges,421.6554428,,,,496.91,percent of total billed charges,479.5395345,,,,496.91,percent of total billed charges,423.6890522,,,,503.2,percent of total billed charges,999999999,,,,503.2,percent of total billed charges,999999999,,,,440.3,percent of total billed charges,999999999,,,,440.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,334.628,percent of total billed charges,999999999,,,,,,,,,,,,,,,,317.645,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,157.25,percent of total billed charges,149.3490352,,,,,,,,,,157.25,percent of total billed charges,146.8647157,,,,,,,,,,157.25,percent of total billed charges,146.4565849,,,,,,,,,,157.25,percent of total billed charges,144.3000135,,,,,,,,,,157.25,percent of total billed charges,148.013065,,,,,,,,,,157.25,percent of total billed charges,999999999,,,,,,,,,,157.25,percent of total billed charges,127.0056328,,,,,,,,,,157.25,percent of total billed charges,200.2966412,,,,,,,,,,157.25,percent of total billed charges,999999999,,,,,,,,,,157.25,percent of total billed charges,136.9431336,,,,,,,,,,566.1,percent of total billed charges,,,,,
"**HERNIA REPAIRS, UPPER ABDOMEN",370,RC,0059-1289-30,NDC,,both,1,EA,629,629,133.9040012,629,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,629,percent of total billed charges,999999999,,,,629,percent of total billed charges,479.2547691,,,,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,444.074,percent of total billed charges,440.7046898,,,,444.074,percent of total billed charges,303.9505315,,,,,,,,,,452.88,percent of total billed charges,294.3613428,,,,,,,,,,452.88,percent of total billed charges,999999999,,,,,,,,,,503.2,percent of total billed charges,421.6554428,,,,496.91,percent of total billed charges,479.5395345,,,,496.91,percent of total billed charges,423.6890522,,,,503.2,percent of total billed charges,999999999,,,,503.2,percent of total billed charges,999999999,,,,440.3,percent of total billed charges,999999999,,,,440.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,334.628,percent of total billed charges,999999999,,,,,,,,,,,,,,,,317.645,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,157.25,percent of total billed charges,149.3490352,,,,,,,,,,157.25,percent of total billed charges,146.8647157,,,,,,,,,,157.25,percent of total billed charges,146.4565849,,,,,,,,,,157.25,percent of total billed charges,144.3000135,,,,,,,,,,157.25,percent of total billed charges,148.013065,,,,,,,,,,157.25,percent of total billed charges,999999999,,,,,,,,,,157.25,percent of total billed charges,127.0056328,,,,,,,,,,157.25,percent of total billed charges,200.2966412,,,,,,,,,,157.25,percent of total billed charges,999999999,,,,,,,,,,157.25,percent of total billed charges,136.9431336,,,,,,,,,,566.1,percent of total billed charges,,,,,
**LUMBR/VENTRL HERNIA OR WD ADH,370,RC,0059-1289-30,NDC,,both,1,EA,629,629,133.9040012,629,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,629,percent of total billed charges,999999999,,,,629,percent of total billed charges,479.2547691,,,,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,444.074,percent of total billed charges,440.7046898,,,,444.074,percent of total billed charges,303.9505315,,,,,,,,,,452.88,percent of total billed charges,294.3613428,,,,,,,,,,452.88,percent of total billed charges,999999999,,,,,,,,,,503.2,percent of total billed charges,421.6554428,,,,496.91,percent of total billed charges,479.5395345,,,,496.91,percent of total billed charges,423.6890522,,,,503.2,percent of total billed charges,999999999,,,,503.2,percent of total billed charges,999999999,,,,440.3,percent of total billed charges,999999999,,,,440.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,334.628,percent of total billed charges,999999999,,,,,,,,,,,,,,,,317.645,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,157.25,percent of total billed charges,149.3490352,,,,,,,,,,157.25,percent of total billed charges,146.8647157,,,,,,,,,,157.25,percent of total billed charges,146.4565849,,,,,,,,,,157.25,percent of total billed charges,144.3000135,,,,,,,,,,157.25,percent of total billed charges,148.013065,,,,,,,,,,157.25,percent of total billed charges,999999999,,,,,,,,,,157.25,percent of total billed charges,127.0056328,,,,,,,,,,157.25,percent of total billed charges,200.2966412,,,,,,,,,,157.25,percent of total billed charges,999999999,,,,,,,,,,157.25,percent of total billed charges,136.9431336,,,,,,,,,,566.1,percent of total billed charges,,,,,
**INTRAPERITIONEL PROCEDURES,370,RC,0059-1289-30,NDC,,both,1,EA,629,629,133.9040012,629,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,629,percent of total billed charges,999999999,,,,629,percent of total billed charges,479.2547691,,,,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,444.074,percent of total billed charges,440.7046898,,,,444.074,percent of total billed charges,303.9505315,,,,,,,,,,452.88,percent of total billed charges,294.3613428,,,,,,,,,,452.88,percent of total billed charges,999999999,,,,,,,,,,503.2,percent of total billed charges,421.6554428,,,,496.91,percent of total billed charges,479.5395345,,,,496.91,percent of total billed charges,423.6890522,,,,503.2,percent of total billed charges,999999999,,,,503.2,percent of total billed charges,999999999,,,,440.3,percent of total billed charges,999999999,,,,440.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,334.628,percent of total billed charges,999999999,,,,,,,,,,,,,,,,317.645,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,157.25,percent of total billed charges,149.3490352,,,,,,,,,,157.25,percent of total billed charges,146.8647157,,,,,,,,,,157.25,percent of total billed charges,146.4565849,,,,,,,,,,157.25,percent of total billed charges,144.3000135,,,,,,,,,,157.25,percent of total billed charges,148.013065,,,,,,,,,,157.25,percent of total billed charges,999999999,,,,,,,,,,157.25,percent of total billed charges,127.0056328,,,,,,,,,,157.25,percent of total billed charges,200.2966412,,,,,,,,,,157.25,percent of total billed charges,999999999,,,,,,,,,,157.25,percent of total billed charges,136.9431336,,,,,,,,,,566.1,percent of total billed charges,,,,,
**ANTERIOR ABDOMEN WALL,370,RC,0059-1289-30,NDC,,both,1,EA,629,629,133.9040012,629,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,629,percent of total billed charges,999999999,,,,629,percent of total billed charges,479.2547691,,,,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,444.074,percent of total billed charges,440.7046898,,,,444.074,percent of total billed charges,303.9505315,,,,,,,,,,452.88,percent of total billed charges,294.3613428,,,,,,,,,,452.88,percent of total billed charges,999999999,,,,,,,,,,503.2,percent of total billed charges,421.6554428,,,,496.91,percent of total billed charges,479.5395345,,,,496.91,percent of total billed charges,423.6890522,,,,503.2,percent of total billed charges,999999999,,,,503.2,percent of total billed charges,999999999,,,,440.3,percent of total billed charges,999999999,,,,440.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,334.628,percent of total billed charges,999999999,,,,,,,,,,,,,,,,317.645,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,157.25,percent of total billed charges,149.3490352,,,,,,,,,,157.25,percent of total billed charges,146.8647157,,,,,,,,,,157.25,percent of total billed charges,146.4565849,,,,,,,,,,157.25,percent of total billed charges,144.3000135,,,,,,,,,,157.25,percent of total billed charges,148.013065,,,,,,,,,,157.25,percent of total billed charges,999999999,,,,,,,,,,157.25,percent of total billed charges,127.0056328,,,,,,,,,,157.25,percent of total billed charges,200.2966412,,,,,,,,,,157.25,percent of total billed charges,999999999,,,,,,,,,,157.25,percent of total billed charges,136.9431336,,,,,,,,,,566.1,percent of total billed charges,,,,,
**LOWER INTESTINAL ENDO,370,RC,0059-1289-30,NDC,,both,1,EA,629,629,133.9040012,629,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,629,percent of total billed charges,999999999,,,,629,percent of total billed charges,479.2547691,,,,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,444.074,percent of total billed charges,440.7046898,,,,444.074,percent of total billed charges,303.9505315,,,,,,,,,,452.88,percent of total billed charges,294.3613428,,,,,,,,,,452.88,percent of total billed charges,999999999,,,,,,,,,,503.2,percent of total billed charges,421.6554428,,,,496.91,percent of total billed charges,479.5395345,,,,496.91,percent of total billed charges,423.6890522,,,,503.2,percent of total billed charges,999999999,,,,503.2,percent of total billed charges,999999999,,,,440.3,percent of total billed charges,999999999,,,,440.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,334.628,percent of total billed charges,999999999,,,,,,,,,,,,,,,,317.645,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,157.25,percent of total billed charges,149.3490352,,,,,,,,,,157.25,percent of total billed charges,146.8647157,,,,,,,,,,157.25,percent of total billed charges,146.4565849,,,,,,,,,,157.25,percent of total billed charges,144.3000135,,,,,,,,,,157.25,percent of total billed charges,148.013065,,,,,,,,,,157.25,percent of total billed charges,999999999,,,,,,,,,,157.25,percent of total billed charges,127.0056328,,,,,,,,,,157.25,percent of total billed charges,200.2966412,,,,,,,,,,157.25,percent of total billed charges,999999999,,,,,,,,,,157.25,percent of total billed charges,136.9431336,,,,,,,,,,566.1,percent of total billed charges,,,,,
**POSTERIOR ABDOMEN WALL,370,RC,0059-1289-30,NDC,,both,1,EA,629,629,133.9040012,629,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,629,percent of total billed charges,999999999,,,,629,percent of total billed charges,479.2547691,,,,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,444.074,percent of total billed charges,440.7046898,,,,444.074,percent of total billed charges,303.9505315,,,,,,,,,,452.88,percent of total billed charges,294.3613428,,,,,,,,,,452.88,percent of total billed charges,999999999,,,,,,,,,,503.2,percent of total billed charges,421.6554428,,,,496.91,percent of total billed charges,479.5395345,,,,496.91,percent of total billed charges,423.6890522,,,,503.2,percent of total billed charges,999999999,,,,503.2,percent of total billed charges,999999999,,,,440.3,percent of total billed charges,999999999,,,,440.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,334.628,percent of total billed charges,999999999,,,,,,,,,,,,,,,,317.645,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,157.25,percent of total billed charges,149.3490352,,,,,,,,,,157.25,percent of total billed charges,146.8647157,,,,,,,,,,157.25,percent of total billed charges,146.4565849,,,,,,,,,,157.25,percent of total billed charges,144.3000135,,,,,,,,,,157.25,percent of total billed charges,148.013065,,,,,,,,,,157.25,percent of total billed charges,999999999,,,,,,,,,,157.25,percent of total billed charges,127.0056328,,,,,,,,,,157.25,percent of total billed charges,200.2966412,,,,,,,,,,157.25,percent of total billed charges,999999999,,,,,,,,,,157.25,percent of total billed charges,136.9431336,,,,,,,,,,566.1,percent of total billed charges,,,,,
"**HERNIA REPAIRS, LOWER ABDOMEN",370,RC,0059-1289-30,NDC,,both,1,EA,629,629,133.9040012,629,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,629,percent of total billed charges,999999999,,,,629,percent of total billed charges,479.2547691,,,,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,444.074,percent of total billed charges,440.7046898,,,,444.074,percent of total billed charges,303.9505315,,,,,,,,,,452.88,percent of total billed charges,294.3613428,,,,,,,,,,452.88,percent of total billed charges,999999999,,,,,,,,,,503.2,percent of total billed charges,421.6554428,,,,496.91,percent of total billed charges,479.5395345,,,,496.91,percent of total billed charges,423.6890522,,,,503.2,percent of total billed charges,999999999,,,,503.2,percent of total billed charges,999999999,,,,440.3,percent of total billed charges,999999999,,,,440.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,334.628,percent of total billed charges,999999999,,,,,,,,,,,,,,,,317.645,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,157.25,percent of total billed charges,149.3490352,,,,,,,,,,157.25,percent of total billed charges,146.8647157,,,,,,,,,,157.25,percent of total billed charges,146.4565849,,,,,,,,,,157.25,percent of total billed charges,144.3000135,,,,,,,,,,157.25,percent of total billed charges,148.013065,,,,,,,,,,157.25,percent of total billed charges,999999999,,,,,,,,,,157.25,percent of total billed charges,127.0056328,,,,,,,,,,157.25,percent of total billed charges,200.2966412,,,,,,,,,,157.25,percent of total billed charges,999999999,,,,,,,,,,157.25,percent of total billed charges,136.9431336,,,,,,,,,,566.1,percent of total billed charges,,,,,
"**HERNIA REPAIR,UNSPECIFIED",370,RC,0059-1289-30,NDC,,both,1,EA,629,629,133.9040012,629,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,629,percent of total billed charges,999999999,,,,629,percent of total billed charges,479.2547691,,,,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,444.074,percent of total billed charges,440.7046898,,,,444.074,percent of total billed charges,303.9505315,,,,,,,,,,452.88,percent of total billed charges,294.3613428,,,,,,,,,,452.88,percent of total billed charges,999999999,,,,,,,,,,503.2,percent of total billed charges,421.6554428,,,,496.91,percent of total billed charges,479.5395345,,,,496.91,percent of total billed charges,423.6890522,,,,503.2,percent of total billed charges,999999999,,,,503.2,percent of total billed charges,999999999,,,,440.3,percent of total billed charges,999999999,,,,440.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,334.628,percent of total billed charges,999999999,,,,,,,,,,,,,,,,317.645,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,157.25,percent of total billed charges,149.3490352,,,,,,,,,,157.25,percent of total billed charges,146.8647157,,,,,,,,,,157.25,percent of total billed charges,146.4565849,,,,,,,,,,157.25,percent of total billed charges,144.3000135,,,,,,,,,,157.25,percent of total billed charges,148.013065,,,,,,,,,,157.25,percent of total billed charges,999999999,,,,,,,,,,157.25,percent of total billed charges,127.0056328,,,,,,,,,,157.25,percent of total billed charges,200.2966412,,,,,,,,,,157.25,percent of total billed charges,999999999,,,,,,,,,,157.25,percent of total billed charges,136.9431336,,,,,,,,,,566.1,percent of total billed charges,,,,,
**INTRAPERITIONEAL PROCEDURES,370,RC,0059-1289-30,NDC,,both,1,EA,629,629,133.9040012,629,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,629,percent of total billed charges,999999999,,,,629,percent of total billed charges,479.2547691,,,,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,444.074,percent of total billed charges,440.7046898,,,,444.074,percent of total billed charges,303.9505315,,,,,,,,,,452.88,percent of total billed charges,294.3613428,,,,,,,,,,452.88,percent of total billed charges,999999999,,,,,,,,,,503.2,percent of total billed charges,421.6554428,,,,496.91,percent of total billed charges,479.5395345,,,,496.91,percent of total billed charges,423.6890522,,,,503.2,percent of total billed charges,999999999,,,,503.2,percent of total billed charges,999999999,,,,440.3,percent of total billed charges,999999999,,,,440.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,334.628,percent of total billed charges,999999999,,,,,,,,,,,,,,,,317.645,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,157.25,percent of total billed charges,149.3490352,,,,,,,,,,157.25,percent of total billed charges,146.8647157,,,,,,,,,,157.25,percent of total billed charges,146.4565849,,,,,,,,,,157.25,percent of total billed charges,144.3000135,,,,,,,,,,157.25,percent of total billed charges,148.013065,,,,,,,,,,157.25,percent of total billed charges,999999999,,,,,,,,,,157.25,percent of total billed charges,127.0056328,,,,,,,,,,157.25,percent of total billed charges,200.2966412,,,,,,,,,,157.25,percent of total billed charges,999999999,,,,,,,,,,157.25,percent of total billed charges,136.9431336,,,,,,,,,,566.1,percent of total billed charges,,,,,
**TUBAL LIGATION/TRANSECTION,370,RC,0059-1289-30,NDC,,both,1,EA,629,629,133.9040012,629,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,629,percent of total billed charges,999999999,,,,629,percent of total billed charges,479.2547691,,,,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,444.074,percent of total billed charges,440.7046898,,,,444.074,percent of total billed charges,303.9505315,,,,,,,,,,452.88,percent of total billed charges,294.3613428,,,,,,,,,,452.88,percent of total billed charges,999999999,,,,,,,,,,503.2,percent of total billed charges,421.6554428,,,,496.91,percent of total billed charges,479.5395345,,,,496.91,percent of total billed charges,423.6890522,,,,503.2,percent of total billed charges,999999999,,,,503.2,percent of total billed charges,999999999,,,,440.3,percent of total billed charges,999999999,,,,440.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,334.628,percent of total billed charges,999999999,,,,,,,,,,,,,,,,317.645,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,157.25,percent of total billed charges,149.3490352,,,,,,,,,,157.25,percent of total billed charges,146.8647157,,,,,,,,,,157.25,percent of total billed charges,146.4565849,,,,,,,,,,157.25,percent of total billed charges,144.3000135,,,,,,,,,,157.25,percent of total billed charges,148.013065,,,,,,,,,,157.25,percent of total billed charges,999999999,,,,,,,,,,157.25,percent of total billed charges,127.0056328,,,,,,,,,,157.25,percent of total billed charges,200.2966412,,,,,,,,,,157.25,percent of total billed charges,999999999,,,,,,,,,,157.25,percent of total billed charges,136.9431336,,,,,,,,,,566.1,percent of total billed charges,,,,,
**EXTRAPERITION PROCEDURE LOWER ABDOME,370,RC,0059-1289-30,NDC,,both,1,EA,629,629,133.9040012,629,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,629,percent of total billed charges,999999999,,,,629,percent of total billed charges,479.2547691,,,,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,444.074,percent of total billed charges,440.7046898,,,,444.074,percent of total billed charges,303.9505315,,,,,,,,,,452.88,percent of total billed charges,294.3613428,,,,,,,,,,452.88,percent of total billed charges,999999999,,,,,,,,,,503.2,percent of total billed charges,421.6554428,,,,496.91,percent of total billed charges,479.5395345,,,,496.91,percent of total billed charges,423.6890522,,,,503.2,percent of total billed charges,999999999,,,,503.2,percent of total billed charges,999999999,,,,440.3,percent of total billed charges,999999999,,,,440.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,334.628,percent of total billed charges,999999999,,,,,,,,,,,,,,,,317.645,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,157.25,percent of total billed charges,149.3490352,,,,,,,,,,157.25,percent of total billed charges,146.8647157,,,,,,,,,,157.25,percent of total billed charges,146.4565849,,,,,,,,,,157.25,percent of total billed charges,144.3000135,,,,,,,,,,157.25,percent of total billed charges,148.013065,,,,,,,,,,157.25,percent of total billed charges,999999999,,,,,,,,,,157.25,percent of total billed charges,127.0056328,,,,,,,,,,157.25,percent of total billed charges,200.2966412,,,,,,,,,,157.25,percent of total billed charges,999999999,,,,,,,,,,157.25,percent of total billed charges,136.9431336,,,,,,,,,,566.1,percent of total billed charges,,,,,
**ANORECTAL PROCEDURE,370,RC,0059-1289-30,NDC,,both,1,EA,629,629,133.9040012,629,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,629,percent of total billed charges,999999999,,,,629,percent of total billed charges,479.2547691,,,,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,444.074,percent of total billed charges,440.7046898,,,,444.074,percent of total billed charges,303.9505315,,,,,,,,,,452.88,percent of total billed charges,294.3613428,,,,,,,,,,452.88,percent of total billed charges,999999999,,,,,,,,,,503.2,percent of total billed charges,421.6554428,,,,496.91,percent of total billed charges,479.5395345,,,,496.91,percent of total billed charges,423.6890522,,,,503.2,percent of total billed charges,999999999,,,,503.2,percent of total billed charges,999999999,,,,440.3,percent of total billed charges,999999999,,,,440.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,334.628,percent of total billed charges,999999999,,,,,,,,,,,,,,,,317.645,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,157.25,percent of total billed charges,149.3490352,,,,,,,,,,157.25,percent of total billed charges,146.8647157,,,,,,,,,,157.25,percent of total billed charges,146.4565849,,,,,,,,,,157.25,percent of total billed charges,144.3000135,,,,,,,,,,157.25,percent of total billed charges,148.013065,,,,,,,,,,157.25,percent of total billed charges,999999999,,,,,,,,,,157.25,percent of total billed charges,127.0056328,,,,,,,,,,157.25,percent of total billed charges,200.2966412,,,,,,,,,,157.25,percent of total billed charges,999999999,,,,,,,,,,157.25,percent of total billed charges,136.9431336,,,,,,,,,,566.1,percent of total billed charges,,,,,
**TRANSURETHRAL PROCEDURE,370,RC,0059-1289-30,NDC,,both,1,EA,629,629,133.9040012,629,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,629,percent of total billed charges,999999999,,,,629,percent of total billed charges,479.2547691,,,,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,444.074,percent of total billed charges,440.7046898,,,,444.074,percent of total billed charges,303.9505315,,,,,,,,,,452.88,percent of total billed charges,294.3613428,,,,,,,,,,452.88,percent of total billed charges,999999999,,,,,,,,,,503.2,percent of total billed charges,421.6554428,,,,496.91,percent of total billed charges,479.5395345,,,,496.91,percent of total billed charges,423.6890522,,,,503.2,percent of total billed charges,999999999,,,,503.2,percent of total billed charges,999999999,,,,440.3,percent of total billed charges,999999999,,,,440.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,334.628,percent of total billed charges,999999999,,,,,,,,,,,,,,,,317.645,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,157.25,percent of total billed charges,149.3490352,,,,,,,,,,157.25,percent of total billed charges,146.8647157,,,,,,,,,,157.25,percent of total billed charges,146.4565849,,,,,,,,,,157.25,percent of total billed charges,144.3000135,,,,,,,,,,157.25,percent of total billed charges,148.013065,,,,,,,,,,157.25,percent of total billed charges,999999999,,,,,,,,,,157.25,percent of total billed charges,127.0056328,,,,,,,,,,157.25,percent of total billed charges,200.2966412,,,,,,,,,,157.25,percent of total billed charges,999999999,,,,,,,,,,157.25,percent of total billed charges,136.9431336,,,,,,,,,,566.1,percent of total billed charges,,,,,
**TRANSURETHRAL RESECTION,370,RC,0059-1289-30,NDC,,both,1,EA,629,629,133.9040012,629,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,629,percent of total billed charges,999999999,,,,629,percent of total billed charges,479.2547691,,,,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,444.074,percent of total billed charges,440.7046898,,,,444.074,percent of total billed charges,303.9505315,,,,,,,,,,452.88,percent of total billed charges,294.3613428,,,,,,,,,,452.88,percent of total billed charges,999999999,,,,,,,,,,503.2,percent of total billed charges,421.6554428,,,,496.91,percent of total billed charges,479.5395345,,,,496.91,percent of total billed charges,423.6890522,,,,503.2,percent of total billed charges,999999999,,,,503.2,percent of total billed charges,999999999,,,,440.3,percent of total billed charges,999999999,,,,440.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,334.628,percent of total billed charges,999999999,,,,,,,,,,,,,,,,317.645,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,157.25,percent of total billed charges,149.3490352,,,,,,,,,,157.25,percent of total billed charges,146.8647157,,,,,,,,,,157.25,percent of total billed charges,146.4565849,,,,,,,,,,157.25,percent of total billed charges,144.3000135,,,,,,,,,,157.25,percent of total billed charges,148.013065,,,,,,,,,,157.25,percent of total billed charges,999999999,,,,,,,,,,157.25,percent of total billed charges,127.0056328,,,,,,,,,,157.25,percent of total billed charges,200.2966412,,,,,,,,,,157.25,percent of total billed charges,999999999,,,,,,,,,,157.25,percent of total billed charges,136.9431336,,,,,,,,,,566.1,percent of total billed charges,,,,,
**VAGINAL PROCEDURES,370,RC,0059-1289-30,NDC,,both,1,EA,629,629,133.9040012,629,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,629,percent of total billed charges,999999999,,,,629,percent of total billed charges,479.2547691,,,,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,444.074,percent of total billed charges,440.7046898,,,,444.074,percent of total billed charges,303.9505315,,,,,,,,,,452.88,percent of total billed charges,294.3613428,,,,,,,,,,452.88,percent of total billed charges,999999999,,,,,,,,,,503.2,percent of total billed charges,421.6554428,,,,496.91,percent of total billed charges,479.5395345,,,,496.91,percent of total billed charges,423.6890522,,,,503.2,percent of total billed charges,999999999,,,,503.2,percent of total billed charges,999999999,,,,440.3,percent of total billed charges,999999999,,,,440.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,334.628,percent of total billed charges,999999999,,,,,,,,,,,,,,,,317.645,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,157.25,percent of total billed charges,149.3490352,,,,,,,,,,157.25,percent of total billed charges,146.8647157,,,,,,,,,,157.25,percent of total billed charges,146.4565849,,,,,,,,,,157.25,percent of total billed charges,144.3000135,,,,,,,,,,157.25,percent of total billed charges,148.013065,,,,,,,,,,157.25,percent of total billed charges,999999999,,,,,,,,,,157.25,percent of total billed charges,127.0056328,,,,,,,,,,157.25,percent of total billed charges,200.2966412,,,,,,,,,,157.25,percent of total billed charges,999999999,,,,,,,,,,157.25,percent of total billed charges,136.9431336,,,,,,,,,,566.1,percent of total billed charges,,,,,
"**COLPTOMY, VAGINECTOMY",370,RC,0059-1289-30,NDC,,both,1,EA,629,629,133.9040012,629,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,629,percent of total billed charges,999999999,,,,629,percent of total billed charges,479.2547691,,,,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,444.074,percent of total billed charges,440.7046898,,,,444.074,percent of total billed charges,303.9505315,,,,,,,,,,452.88,percent of total billed charges,294.3613428,,,,,,,,,,452.88,percent of total billed charges,999999999,,,,,,,,,,503.2,percent of total billed charges,421.6554428,,,,496.91,percent of total billed charges,479.5395345,,,,496.91,percent of total billed charges,423.6890522,,,,503.2,percent of total billed charges,999999999,,,,503.2,percent of total billed charges,999999999,,,,440.3,percent of total billed charges,999999999,,,,440.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,334.628,percent of total billed charges,999999999,,,,,,,,,,,,,,,,317.645,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,157.25,percent of total billed charges,149.3490352,,,,,,,,,,157.25,percent of total billed charges,146.8647157,,,,,,,,,,157.25,percent of total billed charges,146.4565849,,,,,,,,,,157.25,percent of total billed charges,144.3000135,,,,,,,,,,157.25,percent of total billed charges,148.013065,,,,,,,,,,157.25,percent of total billed charges,999999999,,,,,,,,,,157.25,percent of total billed charges,127.0056328,,,,,,,,,,157.25,percent of total billed charges,200.2966412,,,,,,,,,,157.25,percent of total billed charges,999999999,,,,,,,,,,157.25,percent of total billed charges,136.9431336,,,,,,,,,,566.1,percent of total billed charges,,,,,
**VAGINAL HYSTERECTOMY,370,RC,0059-1289-30,NDC,,both,1,EA,629,629,133.9040012,629,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,629,percent of total billed charges,999999999,,,,629,percent of total billed charges,479.2547691,,,,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,444.074,percent of total billed charges,440.7046898,,,,444.074,percent of total billed charges,303.9505315,,,,,,,,,,452.88,percent of total billed charges,294.3613428,,,,,,,,,,452.88,percent of total billed charges,999999999,,,,,,,,,,503.2,percent of total billed charges,421.6554428,,,,496.91,percent of total billed charges,479.5395345,,,,496.91,percent of total billed charges,423.6890522,,,,503.2,percent of total billed charges,999999999,,,,503.2,percent of total billed charges,999999999,,,,440.3,percent of total billed charges,999999999,,,,440.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,334.628,percent of total billed charges,999999999,,,,,,,,,,,,,,,,317.645,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,157.25,percent of total billed charges,149.3490352,,,,,,,,,,157.25,percent of total billed charges,146.8647157,,,,,,,,,,157.25,percent of total billed charges,146.4565849,,,,,,,,,,157.25,percent of total billed charges,144.3000135,,,,,,,,,,157.25,percent of total billed charges,148.013065,,,,,,,,,,157.25,percent of total billed charges,999999999,,,,,,,,,,157.25,percent of total billed charges,127.0056328,,,,,,,,,,157.25,percent of total billed charges,200.2966412,,,,,,,,,,157.25,percent of total billed charges,999999999,,,,,,,,,,157.25,percent of total billed charges,136.9431336,,,,,,,,,,566.1,percent of total billed charges,,,,,
**CERVICAL CERCLAGE,370,RC,0059-1289-30,NDC,,both,1,EA,629,629,133.9040012,629,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,629,percent of total billed charges,999999999,,,,629,percent of total billed charges,479.2547691,,,,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,444.074,percent of total billed charges,440.7046898,,,,444.074,percent of total billed charges,303.9505315,,,,,,,,,,452.88,percent of total billed charges,294.3613428,,,,,,,,,,452.88,percent of total billed charges,999999999,,,,,,,,,,503.2,percent of total billed charges,421.6554428,,,,496.91,percent of total billed charges,479.5395345,,,,496.91,percent of total billed charges,423.6890522,,,,503.2,percent of total billed charges,999999999,,,,503.2,percent of total billed charges,999999999,,,,440.3,percent of total billed charges,999999999,,,,440.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,334.628,percent of total billed charges,999999999,,,,,,,,,,,,,,,,317.645,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,157.25,percent of total billed charges,149.3490352,,,,,,,,,,157.25,percent of total billed charges,146.8647157,,,,,,,,,,157.25,percent of total billed charges,146.4565849,,,,,,,,,,157.25,percent of total billed charges,144.3000135,,,,,,,,,,157.25,percent of total billed charges,148.013065,,,,,,,,,,157.25,percent of total billed charges,999999999,,,,,,,,,,157.25,percent of total billed charges,127.0056328,,,,,,,,,,157.25,percent of total billed charges,200.2966412,,,,,,,,,,157.25,percent of total billed charges,999999999,,,,,,,,,,157.25,percent of total billed charges,136.9431336,,,,,,,,,,566.1,percent of total billed charges,,,,,
**HYSTEROSCOPY/HYSTEROSALPINGOGRA,370,RC,0059-1289-30,NDC,,both,1,EA,629,629,133.9040012,629,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,629,percent of total billed charges,999999999,,,,629,percent of total billed charges,479.2547691,,,,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,444.074,percent of total billed charges,440.7046898,,,,444.074,percent of total billed charges,303.9505315,,,,,,,,,,452.88,percent of total billed charges,294.3613428,,,,,,,,,,452.88,percent of total billed charges,999999999,,,,,,,,,,503.2,percent of total billed charges,421.6554428,,,,496.91,percent of total billed charges,479.5395345,,,,496.91,percent of total billed charges,423.6890522,,,,503.2,percent of total billed charges,999999999,,,,503.2,percent of total billed charges,999999999,,,,440.3,percent of total billed charges,999999999,,,,440.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,334.628,percent of total billed charges,999999999,,,,,,,,,,,,,,,,317.645,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,157.25,percent of total billed charges,149.3490352,,,,,,,,,,157.25,percent of total billed charges,146.8647157,,,,,,,,,,157.25,percent of total billed charges,146.4565849,,,,,,,,,,157.25,percent of total billed charges,144.3000135,,,,,,,,,,157.25,percent of total billed charges,148.013065,,,,,,,,,,157.25,percent of total billed charges,999999999,,,,,,,,,,157.25,percent of total billed charges,127.0056328,,,,,,,,,,157.25,percent of total billed charges,200.2966412,,,,,,,,,,157.25,percent of total billed charges,999999999,,,,,,,,,,157.25,percent of total billed charges,136.9431336,,,,,,,,,,566.1,percent of total billed charges,,,,,
**ALL CLOSED HIP PROCEDURES,370,RC,0059-1289-30,NDC,,both,1,EA,629,629,133.9040012,629,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,629,percent of total billed charges,999999999,,,,629,percent of total billed charges,479.2547691,,,,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,444.074,percent of total billed charges,440.7046898,,,,444.074,percent of total billed charges,303.9505315,,,,,,,,,,452.88,percent of total billed charges,294.3613428,,,,,,,,,,452.88,percent of total billed charges,999999999,,,,,,,,,,503.2,percent of total billed charges,421.6554428,,,,496.91,percent of total billed charges,479.5395345,,,,496.91,percent of total billed charges,423.6890522,,,,503.2,percent of total billed charges,999999999,,,,503.2,percent of total billed charges,999999999,,,,440.3,percent of total billed charges,999999999,,,,440.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,334.628,percent of total billed charges,999999999,,,,,,,,,,,,,,,,317.645,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,157.25,percent of total billed charges,149.3490352,,,,,,,,,,157.25,percent of total billed charges,146.8647157,,,,,,,,,,157.25,percent of total billed charges,146.4565849,,,,,,,,,,157.25,percent of total billed charges,144.3000135,,,,,,,,,,157.25,percent of total billed charges,148.013065,,,,,,,,,,157.25,percent of total billed charges,999999999,,,,,,,,,,157.25,percent of total billed charges,127.0056328,,,,,,,,,,157.25,percent of total billed charges,200.2966412,,,,,,,,,,157.25,percent of total billed charges,999999999,,,,,,,,,,157.25,percent of total billed charges,136.9431336,,,,,,,,,,566.1,percent of total billed charges,,,,,
**ALL OPEN HIP PROCEDURES,370,RC,0059-1289-30,NDC,,both,1,EA,629,629,133.9040012,629,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,629,percent of total billed charges,999999999,,,,629,percent of total billed charges,479.2547691,,,,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,444.074,percent of total billed charges,440.7046898,,,,444.074,percent of total billed charges,303.9505315,,,,,,,,,,452.88,percent of total billed charges,294.3613428,,,,,,,,,,452.88,percent of total billed charges,999999999,,,,,,,,,,503.2,percent of total billed charges,421.6554428,,,,496.91,percent of total billed charges,479.5395345,,,,496.91,percent of total billed charges,423.6890522,,,,503.2,percent of total billed charges,999999999,,,,503.2,percent of total billed charges,999999999,,,,440.3,percent of total billed charges,999999999,,,,440.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,334.628,percent of total billed charges,999999999,,,,,,,,,,,,,,,,317.645,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,157.25,percent of total billed charges,149.3490352,,,,,,,,,,157.25,percent of total billed charges,146.8647157,,,,,,,,,,157.25,percent of total billed charges,146.4565849,,,,,,,,,,157.25,percent of total billed charges,144.3000135,,,,,,,,,,157.25,percent of total billed charges,148.013065,,,,,,,,,,157.25,percent of total billed charges,999999999,,,,,,,,,,157.25,percent of total billed charges,127.0056328,,,,,,,,,,157.25,percent of total billed charges,200.2966412,,,,,,,,,,157.25,percent of total billed charges,999999999,,,,,,,,,,157.25,percent of total billed charges,136.9431336,,,,,,,,,,566.1,percent of total billed charges,,,,,
**CLOSED PROCEDURE/UPPER 2/3 FEMUR,370,RC,0059-1289-30,NDC,,both,1,EA,629,629,133.9040012,629,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,629,percent of total billed charges,999999999,,,,629,percent of total billed charges,479.2547691,,,,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,444.074,percent of total billed charges,440.7046898,,,,444.074,percent of total billed charges,303.9505315,,,,,,,,,,452.88,percent of total billed charges,294.3613428,,,,,,,,,,452.88,percent of total billed charges,999999999,,,,,,,,,,503.2,percent of total billed charges,421.6554428,,,,496.91,percent of total billed charges,479.5395345,,,,496.91,percent of total billed charges,423.6890522,,,,503.2,percent of total billed charges,999999999,,,,503.2,percent of total billed charges,999999999,,,,440.3,percent of total billed charges,999999999,,,,440.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,334.628,percent of total billed charges,999999999,,,,,,,,,,,,,,,,317.645,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,157.25,percent of total billed charges,149.3490352,,,,,,,,,,157.25,percent of total billed charges,146.8647157,,,,,,,,,,157.25,percent of total billed charges,146.4565849,,,,,,,,,,157.25,percent of total billed charges,144.3000135,,,,,,,,,,157.25,percent of total billed charges,148.013065,,,,,,,,,,157.25,percent of total billed charges,999999999,,,,,,,,,,157.25,percent of total billed charges,127.0056328,,,,,,,,,,157.25,percent of total billed charges,200.2966412,,,,,,,,,,157.25,percent of total billed charges,999999999,,,,,,,,,,157.25,percent of total billed charges,136.9431336,,,,,,,,,,566.1,percent of total billed charges,,,,,
**OPEN PROCEDURE /UPPER 2/3 FEMUR,370,RC,0059-1289-30,NDC,,both,1,EA,629,629,133.9040012,629,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,629,percent of total billed charges,999999999,,,,629,percent of total billed charges,479.2547691,,,,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,444.074,percent of total billed charges,440.7046898,,,,444.074,percent of total billed charges,303.9505315,,,,,,,,,,452.88,percent of total billed charges,294.3613428,,,,,,,,,,452.88,percent of total billed charges,999999999,,,,,,,,,,503.2,percent of total billed charges,421.6554428,,,,496.91,percent of total billed charges,479.5395345,,,,496.91,percent of total billed charges,423.6890522,,,,503.2,percent of total billed charges,999999999,,,,503.2,percent of total billed charges,999999999,,,,440.3,percent of total billed charges,999999999,,,,440.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,334.628,percent of total billed charges,999999999,,,,,,,,,,,,,,,,317.645,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,157.25,percent of total billed charges,149.3490352,,,,,,,,,,157.25,percent of total billed charges,146.8647157,,,,,,,,,,157.25,percent of total billed charges,146.4565849,,,,,,,,,,157.25,percent of total billed charges,144.3000135,,,,,,,,,,157.25,percent of total billed charges,148.013065,,,,,,,,,,157.25,percent of total billed charges,999999999,,,,,,,,,,157.25,percent of total billed charges,127.0056328,,,,,,,,,,157.25,percent of total billed charges,200.2966412,,,,,,,,,,157.25,percent of total billed charges,999999999,,,,,,,,,,157.25,percent of total billed charges,136.9431336,,,,,,,,,,566.1,percent of total billed charges,,,,,
**AMPUTATION,370,RC,0059-1289-30,NDC,,both,1,EA,629,629,133.9040012,629,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,629,percent of total billed charges,999999999,,,,629,percent of total billed charges,479.2547691,,,,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,444.074,percent of total billed charges,440.7046898,,,,444.074,percent of total billed charges,303.9505315,,,,,,,,,,452.88,percent of total billed charges,294.3613428,,,,,,,,,,452.88,percent of total billed charges,999999999,,,,,,,,,,503.2,percent of total billed charges,421.6554428,,,,496.91,percent of total billed charges,479.5395345,,,,496.91,percent of total billed charges,423.6890522,,,,503.2,percent of total billed charges,999999999,,,,503.2,percent of total billed charges,999999999,,,,440.3,percent of total billed charges,999999999,,,,440.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,334.628,percent of total billed charges,999999999,,,,,,,,,,,,,,,,317.645,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,157.25,percent of total billed charges,149.3490352,,,,,,,,,,157.25,percent of total billed charges,146.8647157,,,,,,,,,,157.25,percent of total billed charges,146.4565849,,,,,,,,,,157.25,percent of total billed charges,144.3000135,,,,,,,,,,157.25,percent of total billed charges,148.013065,,,,,,,,,,157.25,percent of total billed charges,999999999,,,,,,,,,,157.25,percent of total billed charges,127.0056328,,,,,,,,,,157.25,percent of total billed charges,200.2966412,,,,,,,,,,157.25,percent of total billed charges,999999999,,,,,,,,,,157.25,percent of total billed charges,136.9431336,,,,,,,,,,566.1,percent of total billed charges,,,,,
**UPPER LEG,370,RC,0059-1289-30,NDC,,both,1,EA,629,629,133.9040012,629,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,629,percent of total billed charges,999999999,,,,629,percent of total billed charges,479.2547691,,,,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,444.074,percent of total billed charges,440.7046898,,,,444.074,percent of total billed charges,303.9505315,,,,,,,,,,452.88,percent of total billed charges,294.3613428,,,,,,,,,,452.88,percent of total billed charges,999999999,,,,,,,,,,503.2,percent of total billed charges,421.6554428,,,,496.91,percent of total billed charges,479.5395345,,,,496.91,percent of total billed charges,423.6890522,,,,503.2,percent of total billed charges,999999999,,,,503.2,percent of total billed charges,999999999,,,,440.3,percent of total billed charges,999999999,,,,440.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,334.628,percent of total billed charges,999999999,,,,,,,,,,,,,,,,317.645,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,157.25,percent of total billed charges,149.3490352,,,,,,,,,,157.25,percent of total billed charges,146.8647157,,,,,,,,,,157.25,percent of total billed charges,146.4565849,,,,,,,,,,157.25,percent of total billed charges,144.3000135,,,,,,,,,,157.25,percent of total billed charges,148.013065,,,,,,,,,,157.25,percent of total billed charges,999999999,,,,,,,,,,157.25,percent of total billed charges,127.0056328,,,,,,,,,,157.25,percent of total billed charges,200.2966412,,,,,,,,,,157.25,percent of total billed charges,999999999,,,,,,,,,,157.25,percent of total billed charges,136.9431336,,,,,,,,,,566.1,percent of total billed charges,,,,,
**TOTAL HIP,370,RC,0059-1289-30,NDC,,both,1,EA,629,629,133.9040012,629,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,629,percent of total billed charges,999999999,,,,629,percent of total billed charges,479.2547691,,,,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,444.074,percent of total billed charges,440.7046898,,,,444.074,percent of total billed charges,303.9505315,,,,,,,,,,452.88,percent of total billed charges,294.3613428,,,,,,,,,,452.88,percent of total billed charges,999999999,,,,,,,,,,503.2,percent of total billed charges,421.6554428,,,,496.91,percent of total billed charges,479.5395345,,,,496.91,percent of total billed charges,423.6890522,,,,503.2,percent of total billed charges,999999999,,,,503.2,percent of total billed charges,999999999,,,,440.3,percent of total billed charges,999999999,,,,440.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,334.628,percent of total billed charges,999999999,,,,,,,,,,,,,,,,317.645,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,157.25,percent of total billed charges,149.3490352,,,,,,,,,,157.25,percent of total billed charges,146.8647157,,,,,,,,,,157.25,percent of total billed charges,146.4565849,,,,,,,,,,157.25,percent of total billed charges,144.3000135,,,,,,,,,,157.25,percent of total billed charges,148.013065,,,,,,,,,,157.25,percent of total billed charges,999999999,,,,,,,,,,157.25,percent of total billed charges,127.0056328,,,,,,,,,,157.25,percent of total billed charges,200.2966412,,,,,,,,,,157.25,percent of total billed charges,999999999,,,,,,,,,,157.25,percent of total billed charges,136.9431336,,,,,,,,,,566.1,percent of total billed charges,,,,,
**DIAG ARTHROSCOPIC KNEE JT,370,RC,0059-1289-30,NDC,,both,1,EA,629,629,133.9040012,629,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,629,percent of total billed charges,999999999,,,,629,percent of total billed charges,479.2547691,,,,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,444.074,percent of total billed charges,440.7046898,,,,444.074,percent of total billed charges,303.9505315,,,,,,,,,,452.88,percent of total billed charges,294.3613428,,,,,,,,,,452.88,percent of total billed charges,999999999,,,,,,,,,,503.2,percent of total billed charges,421.6554428,,,,496.91,percent of total billed charges,479.5395345,,,,496.91,percent of total billed charges,423.6890522,,,,503.2,percent of total billed charges,999999999,,,,503.2,percent of total billed charges,999999999,,,,440.3,percent of total billed charges,999999999,,,,440.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,334.628,percent of total billed charges,999999999,,,,,,,,,,,,,,,,317.645,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,157.25,percent of total billed charges,149.3490352,,,,,,,,,,157.25,percent of total billed charges,146.8647157,,,,,,,,,,157.25,percent of total billed charges,146.4565849,,,,,,,,,,157.25,percent of total billed charges,144.3000135,,,,,,,,,,157.25,percent of total billed charges,148.013065,,,,,,,,,,157.25,percent of total billed charges,999999999,,,,,,,,,,157.25,percent of total billed charges,127.0056328,,,,,,,,,,157.25,percent of total billed charges,200.2966412,,,,,,,,,,157.25,percent of total billed charges,999999999,,,,,,,,,,157.25,percent of total billed charges,136.9431336,,,,,,,,,,566.1,percent of total billed charges,,,,,
**KNEE JOINT ARTHROSCOPY,370,RC,0059-1289-30,NDC,,both,1,EA,629,629,133.9040012,629,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,629,percent of total billed charges,999999999,,,,629,percent of total billed charges,479.2547691,,,,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,444.074,percent of total billed charges,440.7046898,,,,444.074,percent of total billed charges,303.9505315,,,,,,,,,,452.88,percent of total billed charges,294.3613428,,,,,,,,,,452.88,percent of total billed charges,999999999,,,,,,,,,,503.2,percent of total billed charges,421.6554428,,,,496.91,percent of total billed charges,479.5395345,,,,496.91,percent of total billed charges,423.6890522,,,,503.2,percent of total billed charges,999999999,,,,503.2,percent of total billed charges,999999999,,,,440.3,percent of total billed charges,999999999,,,,440.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,334.628,percent of total billed charges,999999999,,,,,,,,,,,,,,,,317.645,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,157.25,percent of total billed charges,149.3490352,,,,,,,,,,157.25,percent of total billed charges,146.8647157,,,,,,,,,,157.25,percent of total billed charges,146.4565849,,,,,,,,,,157.25,percent of total billed charges,144.3000135,,,,,,,,,,157.25,percent of total billed charges,148.013065,,,,,,,,,,157.25,percent of total billed charges,999999999,,,,,,,,,,157.25,percent of total billed charges,127.0056328,,,,,,,,,,157.25,percent of total billed charges,200.2966412,,,,,,,,,,157.25,percent of total billed charges,999999999,,,,,,,,,,157.25,percent of total billed charges,136.9431336,,,,,,,,,,566.1,percent of total billed charges,,,,,
**ARTHROSCOPIC ANKLE &/OR FOOT,370,RC,0059-1289-30,NDC,,both,1,EA,629,629,133.9040012,629,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,629,percent of total billed charges,999999999,,,,629,percent of total billed charges,479.2547691,,,,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,444.074,percent of total billed charges,440.7046898,,,,444.074,percent of total billed charges,303.9505315,,,,,,,,,,452.88,percent of total billed charges,294.3613428,,,,,,,,,,452.88,percent of total billed charges,999999999,,,,,,,,,,503.2,percent of total billed charges,421.6554428,,,,496.91,percent of total billed charges,479.5395345,,,,496.91,percent of total billed charges,423.6890522,,,,503.2,percent of total billed charges,999999999,,,,503.2,percent of total billed charges,999999999,,,,440.3,percent of total billed charges,999999999,,,,440.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,334.628,percent of total billed charges,999999999,,,,,,,,,,,,,,,,317.645,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,157.25,percent of total billed charges,149.3490352,,,,,,,,,,157.25,percent of total billed charges,146.8647157,,,,,,,,,,157.25,percent of total billed charges,146.4565849,,,,,,,,,,157.25,percent of total billed charges,144.3000135,,,,,,,,,,157.25,percent of total billed charges,148.013065,,,,,,,,,,157.25,percent of total billed charges,999999999,,,,,,,,,,157.25,percent of total billed charges,127.0056328,,,,,,,,,,157.25,percent of total billed charges,200.2966412,,,,,,,,,,157.25,percent of total billed charges,999999999,,,,,,,,,,157.25,percent of total billed charges,136.9431336,,,,,,,,,,566.1,percent of total billed charges,,,,,
"**PROD/NERVE,MUSCLE,TENDONS,FASC",370,RC,0059-1289-30,NDC,,both,1,EA,629,629,133.9040012,629,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,629,percent of total billed charges,999999999,,,,629,percent of total billed charges,479.2547691,,,,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,444.074,percent of total billed charges,440.7046898,,,,444.074,percent of total billed charges,303.9505315,,,,,,,,,,452.88,percent of total billed charges,294.3613428,,,,,,,,,,452.88,percent of total billed charges,999999999,,,,,,,,,,503.2,percent of total billed charges,421.6554428,,,,496.91,percent of total billed charges,479.5395345,,,,496.91,percent of total billed charges,423.6890522,,,,503.2,percent of total billed charges,999999999,,,,503.2,percent of total billed charges,999999999,,,,440.3,percent of total billed charges,999999999,,,,440.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,334.628,percent of total billed charges,999999999,,,,,,,,,,,,,,,,317.645,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,157.25,percent of total billed charges,149.3490352,,,,,,,,,,157.25,percent of total billed charges,146.8647157,,,,,,,,,,157.25,percent of total billed charges,146.4565849,,,,,,,,,,157.25,percent of total billed charges,144.3000135,,,,,,,,,,157.25,percent of total billed charges,148.013065,,,,,,,,,,157.25,percent of total billed charges,999999999,,,,,,,,,,157.25,percent of total billed charges,127.0056328,,,,,,,,,,157.25,percent of total billed charges,200.2966412,,,,,,,,,,157.25,percent of total billed charges,999999999,,,,,,,,,,157.25,percent of total billed charges,136.9431336,,,,,,,,,,566.1,percent of total billed charges,,,,,
"**BONES OF LOWER LEG,ANKLE,FOOT",370,RC,0059-1289-30,NDC,,both,1,EA,629,629,133.9040012,629,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,629,percent of total billed charges,999999999,,,,629,percent of total billed charges,479.2547691,,,,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,444.074,percent of total billed charges,440.7046898,,,,444.074,percent of total billed charges,303.9505315,,,,,,,,,,452.88,percent of total billed charges,294.3613428,,,,,,,,,,452.88,percent of total billed charges,999999999,,,,,,,,,,503.2,percent of total billed charges,421.6554428,,,,496.91,percent of total billed charges,479.5395345,,,,496.91,percent of total billed charges,423.6890522,,,,503.2,percent of total billed charges,999999999,,,,503.2,percent of total billed charges,999999999,,,,440.3,percent of total billed charges,999999999,,,,440.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,334.628,percent of total billed charges,999999999,,,,,,,,,,,,,,,,317.645,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,157.25,percent of total billed charges,149.3490352,,,,,,,,,,157.25,percent of total billed charges,146.8647157,,,,,,,,,,157.25,percent of total billed charges,146.4565849,,,,,,,,,,157.25,percent of total billed charges,144.3000135,,,,,,,,,,157.25,percent of total billed charges,148.013065,,,,,,,,,,157.25,percent of total billed charges,999999999,,,,,,,,,,157.25,percent of total billed charges,127.0056328,,,,,,,,,,157.25,percent of total billed charges,200.2966412,,,,,,,,,,157.25,percent of total billed charges,999999999,,,,,,,,,,157.25,percent of total billed charges,136.9431336,,,,,,,,,,566.1,percent of total billed charges,,,,,
**RADICAL RESECTION,370,RC,0059-1289-30,NDC,,both,1,EA,629,629,133.9040012,629,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,629,percent of total billed charges,999999999,,,,629,percent of total billed charges,479.2547691,,,,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,444.074,percent of total billed charges,440.7046898,,,,444.074,percent of total billed charges,303.9505315,,,,,,,,,,452.88,percent of total billed charges,294.3613428,,,,,,,,,,452.88,percent of total billed charges,999999999,,,,,,,,,,503.2,percent of total billed charges,421.6554428,,,,496.91,percent of total billed charges,479.5395345,,,,496.91,percent of total billed charges,423.6890522,,,,503.2,percent of total billed charges,999999999,,,,503.2,percent of total billed charges,999999999,,,,440.3,percent of total billed charges,999999999,,,,440.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,334.628,percent of total billed charges,999999999,,,,,,,,,,,,,,,,317.645,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,157.25,percent of total billed charges,149.3490352,,,,,,,,,,157.25,percent of total billed charges,146.8647157,,,,,,,,,,157.25,percent of total billed charges,146.4565849,,,,,,,,,,157.25,percent of total billed charges,144.3000135,,,,,,,,,,157.25,percent of total billed charges,148.013065,,,,,,,,,,157.25,percent of total billed charges,999999999,,,,,,,,,,157.25,percent of total billed charges,127.0056328,,,,,,,,,,157.25,percent of total billed charges,200.2966412,,,,,,,,,,157.25,percent of total billed charges,999999999,,,,,,,,,,157.25,percent of total billed charges,136.9431336,,,,,,,,,,566.1,percent of total billed charges,,,,,
**VEINS OF LOWER LEG NOT SPECIFIED,370,RC,0059-1289-30,NDC,,both,1,EA,629,629,133.9040012,629,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,629,percent of total billed charges,999999999,,,,629,percent of total billed charges,479.2547691,,,,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,444.074,percent of total billed charges,440.7046898,,,,444.074,percent of total billed charges,303.9505315,,,,,,,,,,452.88,percent of total billed charges,294.3613428,,,,,,,,,,452.88,percent of total billed charges,999999999,,,,,,,,,,503.2,percent of total billed charges,421.6554428,,,,496.91,percent of total billed charges,479.5395345,,,,496.91,percent of total billed charges,423.6890522,,,,503.2,percent of total billed charges,999999999,,,,503.2,percent of total billed charges,999999999,,,,440.3,percent of total billed charges,999999999,,,,440.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,334.628,percent of total billed charges,999999999,,,,,,,,,,,,,,,,317.645,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,157.25,percent of total billed charges,149.3490352,,,,,,,,,,157.25,percent of total billed charges,146.8647157,,,,,,,,,,157.25,percent of total billed charges,146.4565849,,,,,,,,,,157.25,percent of total billed charges,144.3000135,,,,,,,,,,157.25,percent of total billed charges,148.013065,,,,,,,,,,157.25,percent of total billed charges,999999999,,,,,,,,,,157.25,percent of total billed charges,127.0056328,,,,,,,,,,157.25,percent of total billed charges,200.2966412,,,,,,,,,,157.25,percent of total billed charges,999999999,,,,,,,,,,157.25,percent of total billed charges,136.9431336,,,,,,,,,,566.1,percent of total billed charges,,,,,
**TOTAL KNEE,370,RC,0059-1289-30,NDC,,both,1,EA,629,629,133.9040012,629,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,629,percent of total billed charges,999999999,,,,629,percent of total billed charges,479.2547691,,,,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,444.074,percent of total billed charges,440.7046898,,,,444.074,percent of total billed charges,303.9505315,,,,,,,,,,452.88,percent of total billed charges,294.3613428,,,,,,,,,,452.88,percent of total billed charges,999999999,,,,,,,,,,503.2,percent of total billed charges,421.6554428,,,,496.91,percent of total billed charges,479.5395345,,,,496.91,percent of total billed charges,423.6890522,,,,503.2,percent of total billed charges,999999999,,,,503.2,percent of total billed charges,999999999,,,,440.3,percent of total billed charges,999999999,,,,440.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,334.628,percent of total billed charges,999999999,,,,,,,,,,,,,,,,317.645,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,157.25,percent of total billed charges,149.3490352,,,,,,,,,,157.25,percent of total billed charges,146.8647157,,,,,,,,,,157.25,percent of total billed charges,146.4565849,,,,,,,,,,157.25,percent of total billed charges,144.3000135,,,,,,,,,,157.25,percent of total billed charges,148.013065,,,,,,,,,,157.25,percent of total billed charges,999999999,,,,,,,,,,157.25,percent of total billed charges,127.0056328,,,,,,,,,,157.25,percent of total billed charges,200.2966412,,,,,,,,,,157.25,percent of total billed charges,999999999,,,,,,,,,,157.25,percent of total billed charges,136.9431336,,,,,,,,,,566.1,percent of total billed charges,,,,,
**PRONE POSITION,370,RC,0059-1289-30,NDC,,both,1,EA,629,629,133.9040012,629,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,629,percent of total billed charges,999999999,,,,629,percent of total billed charges,479.2547691,,,,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,444.074,percent of total billed charges,440.7046898,,,,444.074,percent of total billed charges,303.9505315,,,,,,,,,,452.88,percent of total billed charges,294.3613428,,,,,,,,,,452.88,percent of total billed charges,999999999,,,,,,,,,,503.2,percent of total billed charges,421.6554428,,,,496.91,percent of total billed charges,479.5395345,,,,496.91,percent of total billed charges,423.6890522,,,,503.2,percent of total billed charges,999999999,,,,503.2,percent of total billed charges,999999999,,,,440.3,percent of total billed charges,999999999,,,,440.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,334.628,percent of total billed charges,999999999,,,,,,,,,,,,,,,,317.645,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,157.25,percent of total billed charges,149.3490352,,,,,,,,,,157.25,percent of total billed charges,146.8647157,,,,,,,,,,157.25,percent of total billed charges,146.4565849,,,,,,,,,,157.25,percent of total billed charges,144.3000135,,,,,,,,,,157.25,percent of total billed charges,148.013065,,,,,,,,,,157.25,percent of total billed charges,999999999,,,,,,,,,,157.25,percent of total billed charges,127.0056328,,,,,,,,,,157.25,percent of total billed charges,200.2966412,,,,,,,,,,157.25,percent of total billed charges,999999999,,,,,,,,,,157.25,percent of total billed charges,136.9431336,,,,,,,,,,566.1,percent of total billed charges,,,,,
**AXILLA NERVES MUSC TENDONS FASCIAL SHO,370,RC,0059-1289-30,NDC,,both,1,EA,629,629,133.9040012,629,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,629,percent of total billed charges,999999999,,,,629,percent of total billed charges,479.2547691,,,,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,444.074,percent of total billed charges,440.7046898,,,,444.074,percent of total billed charges,303.9505315,,,,,,,,,,452.88,percent of total billed charges,294.3613428,,,,,,,,,,452.88,percent of total billed charges,999999999,,,,,,,,,,503.2,percent of total billed charges,421.6554428,,,,496.91,percent of total billed charges,479.5395345,,,,496.91,percent of total billed charges,423.6890522,,,,503.2,percent of total billed charges,999999999,,,,503.2,percent of total billed charges,999999999,,,,440.3,percent of total billed charges,999999999,,,,440.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,334.628,percent of total billed charges,999999999,,,,,,,,,,,,,,,,317.645,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,157.25,percent of total billed charges,149.3490352,,,,,,,,,,157.25,percent of total billed charges,146.8647157,,,,,,,,,,157.25,percent of total billed charges,146.4565849,,,,,,,,,,157.25,percent of total billed charges,144.3000135,,,,,,,,,,157.25,percent of total billed charges,148.013065,,,,,,,,,,157.25,percent of total billed charges,999999999,,,,,,,,,,157.25,percent of total billed charges,127.0056328,,,,,,,,,,157.25,percent of total billed charges,200.2966412,,,,,,,,,,157.25,percent of total billed charges,999999999,,,,,,,,,,157.25,percent of total billed charges,136.9431336,,,,,,,,,,566.1,percent of total billed charges,,,,,
**DX ARTHROSCOPY SHOULDER JT,370,RC,0059-1289-30,NDC,,both,1,EA,629,629,133.9040012,629,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,629,percent of total billed charges,999999999,,,,629,percent of total billed charges,479.2547691,,,,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,444.074,percent of total billed charges,440.7046898,,,,444.074,percent of total billed charges,303.9505315,,,,,,,,,,452.88,percent of total billed charges,294.3613428,,,,,,,,,,452.88,percent of total billed charges,999999999,,,,,,,,,,503.2,percent of total billed charges,421.6554428,,,,496.91,percent of total billed charges,479.5395345,,,,496.91,percent of total billed charges,423.6890522,,,,503.2,percent of total billed charges,999999999,,,,503.2,percent of total billed charges,999999999,,,,440.3,percent of total billed charges,999999999,,,,440.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,334.628,percent of total billed charges,999999999,,,,,,,,,,,,,,,,317.645,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,157.25,percent of total billed charges,149.3490352,,,,,,,,,,157.25,percent of total billed charges,146.8647157,,,,,,,,,,157.25,percent of total billed charges,146.4565849,,,,,,,,,,157.25,percent of total billed charges,144.3000135,,,,,,,,,,157.25,percent of total billed charges,148.013065,,,,,,,,,,157.25,percent of total billed charges,999999999,,,,,,,,,,157.25,percent of total billed charges,127.0056328,,,,,,,,,,157.25,percent of total billed charges,200.2966412,,,,,,,,,,157.25,percent of total billed charges,999999999,,,,,,,,,,157.25,percent of total billed charges,136.9431336,,,,,,,,,,566.1,percent of total billed charges,,,,,
"**HUMERAL HEAD & NECK, ETC",370,RC,0059-1289-30,NDC,,both,1,EA,629,629,133.9040012,629,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,629,percent of total billed charges,999999999,,,,629,percent of total billed charges,479.2547691,,,,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,444.074,percent of total billed charges,440.7046898,,,,444.074,percent of total billed charges,303.9505315,,,,,,,,,,452.88,percent of total billed charges,294.3613428,,,,,,,,,,452.88,percent of total billed charges,999999999,,,,,,,,,,503.2,percent of total billed charges,421.6554428,,,,496.91,percent of total billed charges,479.5395345,,,,496.91,percent of total billed charges,423.6890522,,,,503.2,percent of total billed charges,999999999,,,,503.2,percent of total billed charges,999999999,,,,440.3,percent of total billed charges,999999999,,,,440.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,334.628,percent of total billed charges,999999999,,,,,,,,,,,,,,,,317.645,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,157.25,percent of total billed charges,149.3490352,,,,,,,,,,157.25,percent of total billed charges,146.8647157,,,,,,,,,,157.25,percent of total billed charges,146.4565849,,,,,,,,,,157.25,percent of total billed charges,144.3000135,,,,,,,,,,157.25,percent of total billed charges,148.013065,,,,,,,,,,157.25,percent of total billed charges,999999999,,,,,,,,,,157.25,percent of total billed charges,127.0056328,,,,,,,,,,157.25,percent of total billed charges,200.2966412,,,,,,,,,,157.25,percent of total billed charges,999999999,,,,,,,,,,157.25,percent of total billed charges,136.9431336,,,,,,,,,,566.1,percent of total billed charges,,,,,
**UPPER ARM & ELBOW,370,RC,0059-1289-30,NDC,,both,1,EA,629,629,133.9040012,629,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,629,percent of total billed charges,999999999,,,,629,percent of total billed charges,479.2547691,,,,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,444.074,percent of total billed charges,440.7046898,,,,444.074,percent of total billed charges,303.9505315,,,,,,,,,,452.88,percent of total billed charges,294.3613428,,,,,,,,,,452.88,percent of total billed charges,999999999,,,,,,,,,,503.2,percent of total billed charges,421.6554428,,,,496.91,percent of total billed charges,479.5395345,,,,496.91,percent of total billed charges,423.6890522,,,,503.2,percent of total billed charges,999999999,,,,503.2,percent of total billed charges,999999999,,,,440.3,percent of total billed charges,999999999,,,,440.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,334.628,percent of total billed charges,999999999,,,,,,,,,,,,,,,,317.645,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,157.25,percent of total billed charges,149.3490352,,,,,,,,,,157.25,percent of total billed charges,146.8647157,,,,,,,,,,157.25,percent of total billed charges,146.4565849,,,,,,,,,,157.25,percent of total billed charges,144.3000135,,,,,,,,,,157.25,percent of total billed charges,148.013065,,,,,,,,,,157.25,percent of total billed charges,999999999,,,,,,,,,,157.25,percent of total billed charges,127.0056328,,,,,,,,,,157.25,percent of total billed charges,200.2966412,,,,,,,,,,157.25,percent of total billed charges,999999999,,,,,,,,,,157.25,percent of total billed charges,136.9431336,,,,,,,,,,566.1,percent of total billed charges,,,,,
"**PROCD,NERVE,MUSCLE,TENDONS,FASC",370,RC,0059-1289-30,NDC,,both,1,EA,629,629,133.9040012,629,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,629,percent of total billed charges,999999999,,,,629,percent of total billed charges,479.2547691,,,,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,444.074,percent of total billed charges,440.7046898,,,,444.074,percent of total billed charges,303.9505315,,,,,,,,,,452.88,percent of total billed charges,294.3613428,,,,,,,,,,452.88,percent of total billed charges,999999999,,,,,,,,,,503.2,percent of total billed charges,421.6554428,,,,496.91,percent of total billed charges,479.5395345,,,,496.91,percent of total billed charges,423.6890522,,,,503.2,percent of total billed charges,999999999,,,,503.2,percent of total billed charges,999999999,,,,440.3,percent of total billed charges,999999999,,,,440.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,334.628,percent of total billed charges,999999999,,,,,,,,,,,,,,,,317.645,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,157.25,percent of total billed charges,149.3490352,,,,,,,,,,157.25,percent of total billed charges,146.8647157,,,,,,,,,,157.25,percent of total billed charges,146.4565849,,,,,,,,,,157.25,percent of total billed charges,144.3000135,,,,,,,,,,157.25,percent of total billed charges,148.013065,,,,,,,,,,157.25,percent of total billed charges,999999999,,,,,,,,,,157.25,percent of total billed charges,127.0056328,,,,,,,,,,157.25,percent of total billed charges,200.2966412,,,,,,,,,,157.25,percent of total billed charges,999999999,,,,,,,,,,157.25,percent of total billed charges,136.9431336,,,,,,,,,,566.1,percent of total billed charges,,,,,
"**ALL CLSD PRC,RADIUS URNA,WRIST,HAND",370,RC,0059-1289-30,NDC,,both,1,EA,629,629,133.9040012,629,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,629,percent of total billed charges,999999999,,,,629,percent of total billed charges,479.2547691,,,,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,444.074,percent of total billed charges,440.7046898,,,,444.074,percent of total billed charges,303.9505315,,,,,,,,,,452.88,percent of total billed charges,294.3613428,,,,,,,,,,452.88,percent of total billed charges,999999999,,,,,,,,,,503.2,percent of total billed charges,421.6554428,,,,496.91,percent of total billed charges,479.5395345,,,,496.91,percent of total billed charges,423.6890522,,,,503.2,percent of total billed charges,999999999,,,,503.2,percent of total billed charges,999999999,,,,440.3,percent of total billed charges,999999999,,,,440.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,334.628,percent of total billed charges,999999999,,,,,,,,,,,,,,,,317.645,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,157.25,percent of total billed charges,149.3490352,,,,,,,,,,157.25,percent of total billed charges,146.8647157,,,,,,,,,,157.25,percent of total billed charges,146.4565849,,,,,,,,,,157.25,percent of total billed charges,144.3000135,,,,,,,,,,157.25,percent of total billed charges,148.013065,,,,,,,,,,157.25,percent of total billed charges,999999999,,,,,,,,,,157.25,percent of total billed charges,127.0056328,,,,,,,,,,157.25,percent of total billed charges,200.2966412,,,,,,,,,,157.25,percent of total billed charges,999999999,,,,,,,,,,157.25,percent of total billed charges,136.9431336,,,,,,,,,,566.1,percent of total billed charges,,,,,
**HAND OPEN PROC ON RADIAL ULNAR,370,RC,0059-1289-30,NDC,,both,1,EA,629,629,133.9040012,629,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,629,percent of total billed charges,999999999,,,,629,percent of total billed charges,479.2547691,,,,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,444.074,percent of total billed charges,440.7046898,,,,444.074,percent of total billed charges,303.9505315,,,,,,,,,,452.88,percent of total billed charges,294.3613428,,,,,,,,,,452.88,percent of total billed charges,999999999,,,,,,,,,,503.2,percent of total billed charges,421.6554428,,,,496.91,percent of total billed charges,479.5395345,,,,496.91,percent of total billed charges,423.6890522,,,,503.2,percent of total billed charges,999999999,,,,503.2,percent of total billed charges,999999999,,,,440.3,percent of total billed charges,999999999,,,,440.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,334.628,percent of total billed charges,999999999,,,,,,,,,,,,,,,,317.645,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,157.25,percent of total billed charges,149.3490352,,,,,,,,,,157.25,percent of total billed charges,146.8647157,,,,,,,,,,157.25,percent of total billed charges,146.4565849,,,,,,,,,,157.25,percent of total billed charges,144.3000135,,,,,,,,,,157.25,percent of total billed charges,148.013065,,,,,,,,,,157.25,percent of total billed charges,999999999,,,,,,,,,,157.25,percent of total billed charges,127.0056328,,,,,,,,,,157.25,percent of total billed charges,200.2966412,,,,,,,,,,157.25,percent of total billed charges,999999999,,,,,,,,,,157.25,percent of total billed charges,136.9431336,,,,,,,,,,566.1,percent of total billed charges,,,,,
**ELBOW REDUCTION,370,RC,0059-1289-30,NDC,,both,1,EA,629,629,133.9040012,629,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,629,percent of total billed charges,999999999,,,,629,percent of total billed charges,479.2547691,,,,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,444.074,percent of total billed charges,440.7046898,,,,444.074,percent of total billed charges,303.9505315,,,,,,,,,,452.88,percent of total billed charges,294.3613428,,,,,,,,,,452.88,percent of total billed charges,999999999,,,,,,,,,,503.2,percent of total billed charges,421.6554428,,,,496.91,percent of total billed charges,479.5395345,,,,496.91,percent of total billed charges,423.6890522,,,,503.2,percent of total billed charges,999999999,,,,503.2,percent of total billed charges,999999999,,,,440.3,percent of total billed charges,999999999,,,,440.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,334.628,percent of total billed charges,999999999,,,,,,,,,,,,,,,,317.645,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,157.25,percent of total billed charges,149.3490352,,,,,,,,,,157.25,percent of total billed charges,146.8647157,,,,,,,,,,157.25,percent of total billed charges,146.4565849,,,,,,,,,,157.25,percent of total billed charges,144.3000135,,,,,,,,,,157.25,percent of total billed charges,148.013065,,,,,,,,,,157.25,percent of total billed charges,999999999,,,,,,,,,,157.25,percent of total billed charges,127.0056328,,,,,,,,,,157.25,percent of total billed charges,200.2966412,,,,,,,,,,157.25,percent of total billed charges,999999999,,,,,,,,,,157.25,percent of total billed charges,136.9431336,,,,,,,,,,566.1,percent of total billed charges,,,,,
**NON-INVASIVE OR RAD.THERAPY,370,RC,0059-1289-30,NDC,,both,1,EA,629,629,133.9040012,629,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,629,percent of total billed charges,999999999,,,,629,percent of total billed charges,479.2547691,,,,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,444.074,percent of total billed charges,440.7046898,,,,444.074,percent of total billed charges,303.9505315,,,,,,,,,,452.88,percent of total billed charges,294.3613428,,,,,,,,,,452.88,percent of total billed charges,999999999,,,,,,,,,,503.2,percent of total billed charges,421.6554428,,,,496.91,percent of total billed charges,479.5395345,,,,496.91,percent of total billed charges,423.6890522,,,,503.2,percent of total billed charges,999999999,,,,503.2,percent of total billed charges,999999999,,,,440.3,percent of total billed charges,999999999,,,,440.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,334.628,percent of total billed charges,999999999,,,,,,,,,,,,,,,,317.645,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,157.25,percent of total billed charges,149.3490352,,,,,,,,,,157.25,percent of total billed charges,146.8647157,,,,,,,,,,157.25,percent of total billed charges,146.4565849,,,,,,,,,,157.25,percent of total billed charges,144.3000135,,,,,,,,,,157.25,percent of total billed charges,148.013065,,,,,,,,,,157.25,percent of total billed charges,999999999,,,,,,,,,,157.25,percent of total billed charges,127.0056328,,,,,,,,,,157.25,percent of total billed charges,200.2966412,,,,,,,,,,157.25,percent of total billed charges,999999999,,,,,,,,,,157.25,percent of total billed charges,136.9431336,,,,,,,,,,566.1,percent of total billed charges,,,,,
**VAGINAL DELIVERY,370,RC,0059-1289-30,NDC,,both,1,EA,629,629,133.9040012,629,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,629,percent of total billed charges,999999999,,,,629,percent of total billed charges,479.2547691,,,,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,444.074,percent of total billed charges,440.7046898,,,,444.074,percent of total billed charges,303.9505315,,,,,,,,,,452.88,percent of total billed charges,294.3613428,,,,,,,,,,452.88,percent of total billed charges,999999999,,,,,,,,,,503.2,percent of total billed charges,421.6554428,,,,496.91,percent of total billed charges,479.5395345,,,,496.91,percent of total billed charges,423.6890522,,,,503.2,percent of total billed charges,999999999,,,,503.2,percent of total billed charges,999999999,,,,440.3,percent of total billed charges,999999999,,,,440.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,334.628,percent of total billed charges,999999999,,,,,,,,,,,,,,,,317.645,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,157.25,percent of total billed charges,149.3490352,,,,,,,,,,157.25,percent of total billed charges,146.8647157,,,,,,,,,,157.25,percent of total billed charges,146.4565849,,,,,,,,,,157.25,percent of total billed charges,144.3000135,,,,,,,,,,157.25,percent of total billed charges,148.013065,,,,,,,,,,157.25,percent of total billed charges,999999999,,,,,,,,,,157.25,percent of total billed charges,127.0056328,,,,,,,,,,157.25,percent of total billed charges,200.2966412,,,,,,,,,,157.25,percent of total billed charges,999999999,,,,,,,,,,157.25,percent of total billed charges,136.9431336,,,,,,,,,,566.1,percent of total billed charges,,,,,
**SPONTANEOUS ABORTION,370,RC,0059-1289-30,NDC,,both,1,EA,629,629,133.9040012,629,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,629,percent of total billed charges,999999999,,,,629,percent of total billed charges,479.2547691,,,,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,444.074,percent of total billed charges,440.7046898,,,,444.074,percent of total billed charges,303.9505315,,,,,,,,,,452.88,percent of total billed charges,294.3613428,,,,,,,,,,452.88,percent of total billed charges,999999999,,,,,,,,,,503.2,percent of total billed charges,421.6554428,,,,496.91,percent of total billed charges,479.5395345,,,,496.91,percent of total billed charges,423.6890522,,,,503.2,percent of total billed charges,999999999,,,,503.2,percent of total billed charges,999999999,,,,440.3,percent of total billed charges,999999999,,,,440.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,334.628,percent of total billed charges,999999999,,,,,,,,,,,,,,,,317.645,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,157.25,percent of total billed charges,149.3490352,,,,,,,,,,157.25,percent of total billed charges,146.8647157,,,,,,,,,,157.25,percent of total billed charges,146.4565849,,,,,,,,,,157.25,percent of total billed charges,144.3000135,,,,,,,,,,157.25,percent of total billed charges,148.013065,,,,,,,,,,157.25,percent of total billed charges,999999999,,,,,,,,,,157.25,percent of total billed charges,127.0056328,,,,,,,,,,157.25,percent of total billed charges,200.2966412,,,,,,,,,,157.25,percent of total billed charges,999999999,,,,,,,,,,157.25,percent of total billed charges,136.9431336,,,,,,,,,,566.1,percent of total billed charges,,,,,
**EXT.MIDDLE & INNER EAR,0,CDM,0059-1289-30,NDC,,both,1,EA,1243,1243,264.6147432,1243,1243,percent of total billed charges,914.5192585,,,,1243,percent of total billed charges,969.3723317,,,,1243,percent of total billed charges,914.5192585,,,,1243,percent of total billed charges,969.3723317,,,,1243,percent of total billed charges,999999999,,,,1243,percent of total billed charges,947.0805691,,,,1243,percent of total billed charges,914.5192585,,,,1243,percent of total billed charges,969.3723317,,,,886.259,percent of total billed charges,442.2594596,,,,886.259,percent of total billed charges,264.6147432,,,,886.259,percent of total billed charges,442.2594596,,,,886.259,percent of total billed charges,264.6147432,,,,886.259,percent of total billed charges,442.2594596,,,,886.259,percent of total billed charges,264.6147432,,,,877.558,percent of total billed charges,870.8997289,,,,877.558,percent of total billed charges,600.6526402,,,,,,,,,,894.96,percent of total billed charges,581.7029397,,,,,,,,,,894.96,percent of total billed charges,999999999,,,,,,,,,,994.4,percent of total billed charges,833.2555093,,,,981.97,percent of total billed charges,947.643309,,,,981.97,percent of total billed charges,837.2742319,,,,994.4,percent of total billed charges,999999999,,,,994.4,percent of total billed charges,999999999,,,,870.1,percent of total billed charges,999999999,,,,870.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,661.276,percent of total billed charges,999999999,,,,,,,,,,,,,,,,627.715,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,310.75,percent of total billed charges,295.1364878,,,,,,,,,,310.75,percent of total billed charges,290.2270931,,,,,,,,,,310.75,percent of total billed charges,289.4205645,,,,,,,,,,310.75,percent of total billed charges,285.1588502,,,,,,,,,,310.75,percent of total billed charges,292.4964066,,,,,,,,,,310.75,percent of total billed charges,999999999,,,,,,,,,,310.75,percent of total billed charges,250.9825145,,,,,,,,,,310.75,percent of total billed charges,395.816733,,,,,,,,,,310.75,percent of total billed charges,999999999,,,,,,,,,,310.75,percent of total billed charges,270.6205328,,,,,,,,,,1118.7,percent of total billed charges,,,,,
**TYMPANOTOMY,0,CDM,0059-1289-30,NDC,,both,1,EA,2004,2004,426.619425,2004,2004,percent of total billed charges,1474.413994,,,,2004,percent of total billed charges,1562.84968,,,,2004,percent of total billed charges,1474.413994,,,,2004,percent of total billed charges,1562.84968,,,,2004,percent of total billed charges,999999999,,,,2004,percent of total billed charges,1526.910266,,,,2004,percent of total billed charges,1474.413994,,,,2004,percent of total billed charges,1562.84968,,,,1428.852,percent of total billed charges,713.023296,,,,1428.852,percent of total billed charges,426.619425,,,,1428.852,percent of total billed charges,713.023296,,,,1428.852,percent of total billed charges,426.619425,,,,1428.852,percent of total billed charges,713.023296,,,,1428.852,percent of total billed charges,426.619425,,,,1414.824,percent of total billed charges,1404.089346,,,,1414.824,percent of total billed charges,968.3892928,,,,,,,,,,1442.88,percent of total billed charges,937.838046,,,,,,,,,,1442.88,percent of total billed charges,999999999,,,,,,,,,,1603.2,percent of total billed charges,1343.398263,,,,1583.16,percent of total billed charges,1527.817531,,,,1583.16,percent of total billed charges,1349.877362,,,,1603.2,percent of total billed charges,999999999,,,,1603.2,percent of total billed charges,999999999,,,,1402.8,percent of total billed charges,999999999,,,,1402.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1066.128,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1012.02,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,501,percent of total billed charges,475.8274509,,,,,,,,,,501,percent of total billed charges,467.912385,,,,,,,,,,501,percent of total billed charges,466.6120766,,,,,,,,,,501,percent of total billed charges,459.7412194,,,,,,,,,,501,percent of total billed charges,471.5710368,,,,,,,,,,501,percent of total billed charges,999999999,,,,,,,,,,501,percent of total billed charges,404.6411577,,,,,,,,,,501,percent of total billed charges,638.1470096,,,,,,,,,,501,percent of total billed charges,999999999,,,,,,,,,,501,percent of total billed charges,436.3021301,,,,,,,,,,1803.6,percent of total billed charges,,,,,
"**PROCEDURE ON EYE,NOSE",0,CDM,0059-1289-30,NDC,,both,1,EA,1243,1243,264.6147432,1243,1243,percent of total billed charges,914.5192585,,,,1243,percent of total billed charges,969.3723317,,,,1243,percent of total billed charges,914.5192585,,,,1243,percent of total billed charges,969.3723317,,,,1243,percent of total billed charges,999999999,,,,1243,percent of total billed charges,947.0805691,,,,1243,percent of total billed charges,914.5192585,,,,1243,percent of total billed charges,969.3723317,,,,886.259,percent of total billed charges,442.2594596,,,,886.259,percent of total billed charges,264.6147432,,,,886.259,percent of total billed charges,442.2594596,,,,886.259,percent of total billed charges,264.6147432,,,,886.259,percent of total billed charges,442.2594596,,,,886.259,percent of total billed charges,264.6147432,,,,877.558,percent of total billed charges,870.8997289,,,,877.558,percent of total billed charges,600.6526402,,,,,,,,,,894.96,percent of total billed charges,581.7029397,,,,,,,,,,894.96,percent of total billed charges,999999999,,,,,,,,,,994.4,percent of total billed charges,833.2555093,,,,981.97,percent of total billed charges,947.643309,,,,981.97,percent of total billed charges,837.2742319,,,,994.4,percent of total billed charges,999999999,,,,994.4,percent of total billed charges,999999999,,,,870.1,percent of total billed charges,999999999,,,,870.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,661.276,percent of total billed charges,999999999,,,,,,,,,,,,,,,,627.715,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,310.75,percent of total billed charges,295.1364878,,,,,,,,,,310.75,percent of total billed charges,290.2270931,,,,,,,,,,310.75,percent of total billed charges,289.4205645,,,,,,,,,,310.75,percent of total billed charges,285.1588502,,,,,,,,,,310.75,percent of total billed charges,292.4964066,,,,,,,,,,310.75,percent of total billed charges,999999999,,,,,,,,,,310.75,percent of total billed charges,250.9825145,,,,,,,,,,310.75,percent of total billed charges,395.816733,,,,,,,,,,310.75,percent of total billed charges,999999999,,,,,,,,,,310.75,percent of total billed charges,270.6205328,,,,,,,,,,1118.7,percent of total billed charges,,,,,
**LENS SURGERY,0,CDM,0059-1289-30,NDC,,both,1,EA,1214,1214,258.4411088,1214,1214,percent of total billed charges,893.1829282,,,,1214,percent of total billed charges,946.7562435,,,,1214,percent of total billed charges,893.1829282,,,,1214,percent of total billed charges,946.7562435,,,,1214,percent of total billed charges,999999999,,,,1214,percent of total billed charges,924.9845623,,,,1214,percent of total billed charges,893.1829282,,,,1214,percent of total billed charges,946.7562435,,,,865.582,percent of total billed charges,431.9412582,,,,865.582,percent of total billed charges,258.4411088,,,,865.582,percent of total billed charges,431.9412582,,,,865.582,percent of total billed charges,258.4411088,,,,865.582,percent of total billed charges,431.9412582,,,,865.582,percent of total billed charges,258.4411088,,,,857.084,percent of total billed charges,850.5810707,,,,857.084,percent of total billed charges,586.6390227,,,,,,,,,,874.08,percent of total billed charges,568.1314311,,,,,,,,,,874.08,percent of total billed charges,999999999,,,,,,,,,,971.2,percent of total billed charges,813.8151153,,,,959.06,percent of total billed charges,925.5341731,,,,959.06,percent of total billed charges,817.7400785,,,,971.2,percent of total billed charges,999999999,,,,971.2,percent of total billed charges,999999999,,,,849.8,percent of total billed charges,999999999,,,,849.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,645.848,percent of total billed charges,999999999,,,,,,,,,,,,,,,,613.07,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,303.5,percent of total billed charges,288.2507612,,,,,,,,,,303.5,percent of total billed charges,283.4559059,,,,,,,,,,303.5,percent of total billed charges,282.6681941,,,,,,,,,,303.5,percent of total billed charges,278.5059084,,,,,,,,,,303.5,percent of total billed charges,285.6722748,,,,,,,,,,303.5,percent of total billed charges,999999999,,,,,,,,,,303.5,percent of total billed charges,245.1269288,,,,,,,,,,303.5,percent of total billed charges,386.5820707,,,,,,,,,,303.5,percent of total billed charges,999999999,,,,,,,,,,303.5,percent of total billed charges,264.3067794,,,,,,,,,,1092.6,percent of total billed charges,,,,,
"**Intra Procedure, Including Box",0,CDM,0059-1289-30,NDC,,both,1,EA,2501,2501,532.4227455,2501,2501,percent of total billed charges,1840.07455,,,,2501,percent of total billed charges,1950.44264,,,,2501,percent of total billed charges,1840.07455,,,,2501,percent of total billed charges,1950.44264,,,,2501,percent of total billed charges,999999999,,,,2501,percent of total billed charges,1905.590107,,,,2501,percent of total billed charges,1840.07455,,,,2501,percent of total billed charges,1950.44264,,,,1783.213,percent of total billed charges,889.8559199,,,,1783.213,percent of total billed charges,532.4227455,,,,1783.213,percent of total billed charges,889.8559199,,,,1783.213,percent of total billed charges,532.4227455,,,,1783.213,percent of total billed charges,889.8559199,,,,1783.213,percent of total billed charges,532.4227455,,,,1765.706,percent of total billed charges,1752.309109,,,,1765.706,percent of total billed charges,1208.553703,,,,,,,,,,1800.72,percent of total billed charges,1170.425625,,,,,,,,,,1800.72,percent of total billed charges,999999999,,,,,,,,,,2000.8,percent of total billed charges,1676.566395,,,,1975.79,percent of total billed charges,1906.722378,,,,1975.79,percent of total billed charges,1684.652336,,,,2000.8,percent of total billed charges,999999999,,,,2000.8,percent of total billed charges,999999999,,,,1750.7,percent of total billed charges,999999999,,,,1750.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1330.532,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1263.005,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,625.25,percent of total billed charges,593.8345583,,,,,,,,,,625.25,percent of total billed charges,583.9565244,,,,,,,,,,625.25,percent of total billed charges,582.3337343,,,,,,,,,,625.25,percent of total billed charges,573.7588771,,,,,,,,,,625.25,percent of total billed charges,588.5225365,,,,,,,,,,625.25,percent of total billed charges,999999999,,,,,,,,,,625.25,percent of total billed charges,504.9937801,,,,,,,,,,625.25,percent of total billed charges,796.4100154,,,,,,,,,,625.25,percent of total billed charges,999999999,,,,,,,,,,625.25,percent of total billed charges,544.5068,,,,,,,,,,2250.9,percent of total billed charges,,,,,
"**ESOPH, THY, LARY, TRACH, LYM SYSTEM",0,CDM,0059-1289-30,NDC,,both,1,EA,1611,1611,342.9560348,1611,1611,percent of total billed charges,1185.269932,,,,1611,percent of total billed charges,1256.362692,,,,1611,percent of total billed charges,1185.269932,,,,1611,percent of total billed charges,1256.362692,,,,1611,percent of total billed charges,999999999,,,,1611,percent of total billed charges,1227.471277,,,,1611,percent of total billed charges,1185.269932,,,,1611,percent of total billed charges,1256.362692,,,,1148.643,percent of total billed charges,573.1938772,,,,1148.643,percent of total billed charges,342.9560348,,,,1148.643,percent of total billed charges,573.1938772,,,,1148.643,percent of total billed charges,342.9560348,,,,1148.643,percent of total billed charges,573.1938772,,,,1148.643,percent of total billed charges,342.9560348,,,,1137.366,percent of total billed charges,1128.736495,,,,1137.366,percent of total billed charges,778.4806142,,,,,,,,,,1159.92,percent of total billed charges,753.9207046,,,,,,,,,,1159.92,percent of total billed charges,999999999,,,,,,,,,,1288.8,percent of total billed charges,1079.947406,,,,1272.69,percent of total billed charges,1228.20062,,,,1272.69,percent of total billed charges,1085.155903,,,,1288.8,percent of total billed charges,999999999,,,,1288.8,percent of total billed charges,999999999,,,,1127.7,percent of total billed charges,999999999,,,,1127.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,857.052,percent of total billed charges,999999999,,,,,,,,,,,,,,,,813.555,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,402.75,percent of total billed charges,382.5139837,,,,,,,,,,402.75,percent of total billed charges,376.1511239,,,,,,,,,,402.75,percent of total billed charges,375.105816,,,,,,,,,,402.75,percent of total billed charges,369.5823875,,,,,,,,,,402.75,percent of total billed charges,379.0922856,,,,,,,,,,402.75,percent of total billed charges,999999999,,,,,,,,,,402.75,percent of total billed charges,325.2878767,,,,,,,,,,402.75,percent of total billed charges,513.0014134,,,,,,,,,,402.75,percent of total billed charges,999999999,,,,,,,,,,402.75,percent of total billed charges,350.739886,,,,,,,,,,1449.9,percent of total billed charges,,,,,
"**Integrary,Muscle & Nerve",0,CDM,0059-1289-30,NDC,,both,1,EA,2501,2501,532.4227455,2501,2501,percent of total billed charges,1840.07455,,,,2501,percent of total billed charges,1950.44264,,,,2501,percent of total billed charges,1840.07455,,,,2501,percent of total billed charges,1950.44264,,,,2501,percent of total billed charges,999999999,,,,2501,percent of total billed charges,1905.590107,,,,2501,percent of total billed charges,1840.07455,,,,2501,percent of total billed charges,1950.44264,,,,1783.213,percent of total billed charges,889.8559199,,,,1783.213,percent of total billed charges,532.4227455,,,,1783.213,percent of total billed charges,889.8559199,,,,1783.213,percent of total billed charges,532.4227455,,,,1783.213,percent of total billed charges,889.8559199,,,,1783.213,percent of total billed charges,532.4227455,,,,1765.706,percent of total billed charges,1752.309109,,,,1765.706,percent of total billed charges,1208.553703,,,,,,,,,,1800.72,percent of total billed charges,1170.425625,,,,,,,,,,1800.72,percent of total billed charges,999999999,,,,,,,,,,2000.8,percent of total billed charges,1676.566395,,,,1975.79,percent of total billed charges,1906.722378,,,,1975.79,percent of total billed charges,1684.652336,,,,2000.8,percent of total billed charges,999999999,,,,2000.8,percent of total billed charges,999999999,,,,1750.7,percent of total billed charges,999999999,,,,1750.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1330.532,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1263.005,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,625.25,percent of total billed charges,593.8345583,,,,,,,,,,625.25,percent of total billed charges,583.9565244,,,,,,,,,,625.25,percent of total billed charges,582.3337343,,,,,,,,,,625.25,percent of total billed charges,573.7588771,,,,,,,,,,625.25,percent of total billed charges,588.5225365,,,,,,,,,,625.25,percent of total billed charges,999999999,,,,,,,,,,625.25,percent of total billed charges,504.9937801,,,,,,,,,,625.25,percent of total billed charges,796.4100154,,,,,,,,,,625.25,percent of total billed charges,999999999,,,,,,,,,,625.25,percent of total billed charges,544.5068,,,,,,,,,,2250.9,percent of total billed charges,,,,,
**SIMPLE LIGATION,0,CDM,0059-1289-30,NDC,,both,1,EA,1243,1243,264.6147432,1243,1243,percent of total billed charges,914.5192585,,,,1243,percent of total billed charges,969.3723317,,,,1243,percent of total billed charges,914.5192585,,,,1243,percent of total billed charges,969.3723317,,,,1243,percent of total billed charges,999999999,,,,1243,percent of total billed charges,947.0805691,,,,1243,percent of total billed charges,914.5192585,,,,1243,percent of total billed charges,969.3723317,,,,886.259,percent of total billed charges,442.2594596,,,,886.259,percent of total billed charges,264.6147432,,,,886.259,percent of total billed charges,442.2594596,,,,886.259,percent of total billed charges,264.6147432,,,,886.259,percent of total billed charges,442.2594596,,,,886.259,percent of total billed charges,264.6147432,,,,877.558,percent of total billed charges,870.8997289,,,,877.558,percent of total billed charges,600.6526402,,,,,,,,,,894.96,percent of total billed charges,581.7029397,,,,,,,,,,894.96,percent of total billed charges,999999999,,,,,,,,,,994.4,percent of total billed charges,833.2555093,,,,981.97,percent of total billed charges,947.643309,,,,981.97,percent of total billed charges,837.2742319,,,,994.4,percent of total billed charges,999999999,,,,994.4,percent of total billed charges,999999999,,,,870.1,percent of total billed charges,999999999,,,,870.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,661.276,percent of total billed charges,999999999,,,,,,,,,,,,,,,,627.715,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,310.75,percent of total billed charges,295.1364878,,,,,,,,,,310.75,percent of total billed charges,290.2270931,,,,,,,,,,310.75,percent of total billed charges,289.4205645,,,,,,,,,,310.75,percent of total billed charges,285.1588502,,,,,,,,,,310.75,percent of total billed charges,292.4964066,,,,,,,,,,310.75,percent of total billed charges,999999999,,,,,,,,,,310.75,percent of total billed charges,250.9825145,,,,,,,,,,310.75,percent of total billed charges,395.816733,,,,,,,,,,310.75,percent of total billed charges,999999999,,,,,,,,,,310.75,percent of total billed charges,270.6205328,,,,,,,,,,1118.7,percent of total billed charges,,,,,
"**INTEGNTARY,EXTR.,ANT TRUNK",400,CDM,0059-1289-30,NDC,,both,1,EA,1507,1507,320.8161045,1507,1507,percent of total billed charges,1108.753437,,,,1507,percent of total billed charges,1175.256721,,,,1507,percent of total billed charges,1108.753437,,,,1507,percent of total billed charges,1175.256721,,,,1507,percent of total billed charges,999999999,,,,1507,percent of total billed charges,1148.230425,,,,1507,percent of total billed charges,1108.753437,,,,1507,percent of total billed charges,1175.256721,,,,1074.491,percent of total billed charges,536.1906722,,,,1074.491,percent of total billed charges,320.8161045,,,,1074.491,percent of total billed charges,536.1906722,,,,1074.491,percent of total billed charges,320.8161045,,,,1074.491,percent of total billed charges,536.1906722,,,,1074.491,percent of total billed charges,320.8161045,,,,1063.942,percent of total billed charges,1055.869583,,,,1063.942,percent of total billed charges,728.2248824,,,,,,,,,,1085.04,percent of total billed charges,705.2504667,,,,,,,,,,1085.04,percent of total billed charges,999999999,,,,,,,,,,1205.6,percent of total billed charges,1010.230131,,,,1190.53,percent of total billed charges,1148.912684,,,,1190.53,percent of total billed charges,1015.102387,,,,1205.6,percent of total billed charges,999999999,,,,1205.6,percent of total billed charges,999999999,,,,1054.9,percent of total billed charges,999999999,,,,1054.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,801.724,percent of total billed charges,999999999,,,,,,,,,,,,,,,,761.035,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,376.75,percent of total billed charges,357.8203436,,,,,,,,,,376.75,percent of total billed charges,351.8682456,,,,,,,,,,376.75,percent of total billed charges,350.8904188,,,,,,,,,,376.75,percent of total billed charges,345.7235617,,,,,,,,,,376.75,percent of total billed charges,354.6195372,,,,,,,,,,376.75,percent of total billed charges,999999999,,,,,,,,,,376.75,percent of total billed charges,304.2885352,,,,,,,,,,376.75,percent of total billed charges,479.8840037,,,,,,,,,,376.75,percent of total billed charges,999999999,,,,,,,,,,376.75,percent of total billed charges,328.0974601,,,,,,,,,,1356.3,percent of total billed charges,,,,,
**RADICAL/MODIFIED BREAST,0,CDM,0059-1289-30,NDC,,both,1,EA,1341,1341,285.4773697,1341,1341,percent of total billed charges,986.62134,,,,1341,percent of total billed charges,1045.799113,,,,1341,percent of total billed charges,986.62134,,,,1341,percent of total billed charges,1045.799113,,,,1341,percent of total billed charges,999999999,,,,1341,percent of total billed charges,1021.749834,,,,1341,percent of total billed charges,986.62134,,,,1341,percent of total billed charges,1045.799113,,,,956.133,percent of total billed charges,477.1278643,,,,956.133,percent of total billed charges,285.4773697,,,,956.133,percent of total billed charges,477.1278643,,,,956.133,percent of total billed charges,285.4773697,,,,956.133,percent of total billed charges,477.1278643,,,,956.133,percent of total billed charges,285.4773697,,,,946.746,percent of total billed charges,939.5627807,,,,946.746,percent of total billed charges,648.0090028,,,,,,,,,,965.52,percent of total billed charges,627.5652793,,,,,,,,,,965.52,percent of total billed charges,999999999,,,,,,,,,,1072.8,percent of total billed charges,898.950634,,,,1059.39,percent of total billed charges,1022.356941,,,,1059.39,percent of total billed charges,903.2861987,,,,1072.8,percent of total billed charges,999999999,,,,1072.8,percent of total billed charges,999999999,,,,938.7,percent of total billed charges,999999999,,,,938.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,713.412,percent of total billed charges,999999999,,,,,,,,,,,,,,,,677.205,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,335.25,percent of total billed charges,318.4054949,,,,,,,,,,335.25,percent of total billed charges,313.1090361,,,,,,,,,,335.25,percent of total billed charges,312.2389195,,,,,,,,,,335.25,percent of total billed charges,307.6412052,,,,,,,,,,335.25,percent of total billed charges,315.5572657,,,,,,,,,,335.25,percent of total billed charges,999999999,,,,,,,,,,335.25,percent of total billed charges,270.7703555,,,,,,,,,,335.25,percent of total billed charges,427.0235229,,,,,,,,,,335.25,percent of total billed charges,999999999,,,,,,,,,,335.25,percent of total billed charges,291.9566649,,,,,,,,,,1206.9,percent of total billed charges,,,,,
**ELECTRICAL CONVS OF ARRHYTH,0,CDM,0059-1289-30,NDC,,both,1,EA,1000,1000,212.8839446,1000,1000,percent of total billed charges,735.7355257,,,,1000,percent of total billed charges,779.86511,,,,1000,percent of total billed charges,735.7355257,,,,1000,percent of total billed charges,779.86511,,,,1000,percent of total billed charges,999999999,,,,1000,percent of total billed charges,761.9312704,,,,1000,percent of total billed charges,735.7355257,,,,1000,percent of total billed charges,779.86511,,,,713,percent of total billed charges,355.8000479,,,,713,percent of total billed charges,212.8839446,,,,713,percent of total billed charges,355.8000479,,,,713,percent of total billed charges,212.8839446,,,,713,percent of total billed charges,355.8000479,,,,713,percent of total billed charges,212.8839446,,,,706,percent of total billed charges,700.6433861,,,,706,percent of total billed charges,483.22819,,,,,,,,,,720,percent of total billed charges,467.9830569,,,,,,,,,,720,percent of total billed charges,999999999,,,,,,,,,,800,percent of total billed charges,670.3584146,,,,790,percent of total billed charges,762.3839976,,,,790,percent of total billed charges,673.5914979,,,,800,percent of total billed charges,999999999,,,,800,percent of total billed charges,999999999,,,,700,percent of total billed charges,999999999,,,,700,percent of total billed charges,999999999,,,,,,,,,,,,,,,,532,percent of total billed charges,999999999,,,,,,,,,,,,,,,,505,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,250,percent of total billed charges,237.4388478,,,,,,,,,,250,percent of total billed charges,233.4892141,,,,,,,,,,250,percent of total billed charges,232.8403576,,,,,,,,,,250,percent of total billed charges,229.4117861,,,,,,,,,,250,percent of total billed charges,235.3148886,,,,,,,,,,250,percent of total billed charges,999999999,,,,,,,,,,250,percent of total billed charges,201.9167453,,,,,,,,,,250,percent of total billed charges,318.4366315,,,,,,,,,,250,percent of total billed charges,999999999,,,,,,,,,,250,percent of total billed charges,217.7156338,,,,,,,,,,900,percent of total billed charges,,,,,
**CLOSED CHEST PROCEDURE,0,CDM,0059-1289-30,NDC,,both,1,EA,3002,3002,639.0776018,3002,3002,percent of total billed charges,2208.678048,,,,3002,percent of total billed charges,2341.15506,,,,3002,percent of total billed charges,2208.678048,,,,3002,percent of total billed charges,2341.15506,,,,3002,percent of total billed charges,999999999,,,,3002,percent of total billed charges,2287.317674,,,,3002,percent of total billed charges,2208.678048,,,,3002,percent of total billed charges,2341.15506,,,,2140.426,percent of total billed charges,1068.111744,,,,2140.426,percent of total billed charges,639.0776018,,,,2140.426,percent of total billed charges,1068.111744,,,,2140.426,percent of total billed charges,639.0776018,,,,2140.426,percent of total billed charges,1068.111744,,,,2140.426,percent of total billed charges,639.0776018,,,,2119.412,percent of total billed charges,2103.331445,,,,2119.412,percent of total billed charges,1450.651027,,,,,,,,,,2161.44,percent of total billed charges,1404.885137,,,,,,,,,,2161.44,percent of total billed charges,999999999,,,,,,,,,,2401.6,percent of total billed charges,2012.415961,,,,2371.58,percent of total billed charges,2288.676761,,,,2371.58,percent of total billed charges,2022.121677,,,,2401.6,percent of total billed charges,999999999,,,,2401.6,percent of total billed charges,999999999,,,,2101.4,percent of total billed charges,999999999,,,,2101.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1597.064,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1516.01,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,750.5,percent of total billed charges,712.791421,,,,,,,,,,750.5,percent of total billed charges,700.9346207,,,,,,,,,,750.5,percent of total billed charges,698.9867534,,,,,,,,,,750.5,percent of total billed charges,688.694182,,,,,,,,,,750.5,percent of total billed charges,706.4152957,,,,,,,,,,750.5,percent of total billed charges,999999999,,,,,,,,,,750.5,percent of total billed charges,606.1540695,,,,,,,,,,750.5,percent of total billed charges,955.9467678,,,,,,,,,,750.5,percent of total billed charges,999999999,,,,,,,,,,750.5,percent of total billed charges,653.5823326,,,,,,,,,,2701.8,percent of total billed charges,,,,,
**PERM TRANSVN PACEMAKER,0,CDM,0059-1289-30,NDC,,both,1,EA,2004,2004,426.619425,2004,2004,percent of total billed charges,1474.413994,,,,2004,percent of total billed charges,1562.84968,,,,2004,percent of total billed charges,1474.413994,,,,2004,percent of total billed charges,1562.84968,,,,2004,percent of total billed charges,999999999,,,,2004,percent of total billed charges,1526.910266,,,,2004,percent of total billed charges,1474.413994,,,,2004,percent of total billed charges,1562.84968,,,,1428.852,percent of total billed charges,713.023296,,,,1428.852,percent of total billed charges,426.619425,,,,1428.852,percent of total billed charges,713.023296,,,,1428.852,percent of total billed charges,426.619425,,,,1428.852,percent of total billed charges,713.023296,,,,1428.852,percent of total billed charges,426.619425,,,,1414.824,percent of total billed charges,1404.089346,,,,1414.824,percent of total billed charges,968.3892928,,,,,,,,,,1442.88,percent of total billed charges,937.838046,,,,,,,,,,1442.88,percent of total billed charges,999999999,,,,,,,,,,1603.2,percent of total billed charges,1343.398263,,,,1583.16,percent of total billed charges,1527.817531,,,,1583.16,percent of total billed charges,1349.877362,,,,1603.2,percent of total billed charges,999999999,,,,1603.2,percent of total billed charges,999999999,,,,1402.8,percent of total billed charges,999999999,,,,1402.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1066.128,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1012.02,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,501,percent of total billed charges,475.8274509,,,,,,,,,,501,percent of total billed charges,467.912385,,,,,,,,,,501,percent of total billed charges,466.6120766,,,,,,,,,,501,percent of total billed charges,459.7412194,,,,,,,,,,501,percent of total billed charges,471.5710368,,,,,,,,,,501,percent of total billed charges,999999999,,,,,,,,,,501,percent of total billed charges,404.6411577,,,,,,,,,,501,percent of total billed charges,638.1470096,,,,,,,,,,501,percent of total billed charges,999999999,,,,,,,,,,501,percent of total billed charges,436.3021301,,,,,,,,,,1803.6,percent of total billed charges,,,,,
**ACCESS TO CNTRL VENOUS CIRC,532,CDM,0059-1289-30,NDC,,both,1,EA,2004,2004,426.619425,2004,2004,percent of total billed charges,1474.413994,,,,2004,percent of total billed charges,1562.84968,,,,2004,percent of total billed charges,1474.413994,,,,2004,percent of total billed charges,1562.84968,,,,2004,percent of total billed charges,999999999,,,,2004,percent of total billed charges,1526.910266,,,,2004,percent of total billed charges,1474.413994,,,,2004,percent of total billed charges,1562.84968,,,,1428.852,percent of total billed charges,713.023296,,,,1428.852,percent of total billed charges,426.619425,,,,1428.852,percent of total billed charges,713.023296,,,,1428.852,percent of total billed charges,426.619425,,,,1428.852,percent of total billed charges,713.023296,,,,1428.852,percent of total billed charges,426.619425,,,,1414.824,percent of total billed charges,1404.089346,,,,1414.824,percent of total billed charges,968.3892928,,,,,,,,,,1442.88,percent of total billed charges,937.838046,,,,,,,,,,1442.88,percent of total billed charges,999999999,,,,,,,,,,1603.2,percent of total billed charges,1343.398263,,,,1583.16,percent of total billed charges,1527.817531,,,,1583.16,percent of total billed charges,1349.877362,,,,1603.2,percent of total billed charges,999999999,,,,1603.2,percent of total billed charges,999999999,,,,1402.8,percent of total billed charges,999999999,,,,1402.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1066.128,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1012.02,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,501,percent of total billed charges,475.8274509,,,,,,,,,,501,percent of total billed charges,467.912385,,,,,,,,,,501,percent of total billed charges,466.6120766,,,,,,,,,,501,percent of total billed charges,459.7412194,,,,,,,,,,501,percent of total billed charges,471.5710368,,,,,,,,,,501,percent of total billed charges,999999999,,,,,,,,,,501,percent of total billed charges,404.6411577,,,,,,,,,,501,percent of total billed charges,638.1470096,,,,,,,,,,501,percent of total billed charges,999999999,,,,,,,,,,501,percent of total billed charges,436.3021301,,,,,,,,,,1803.6,percent of total billed charges,,,,,
**TRANSV INSRT/RPLC/PACING CARDIVTR/DEF,0,CDM,0059-1289-30,NDC,,both,1,EA,3505,3505,746.1582259,3505,3505,percent of total billed charges,2578.753018,,,,3505,percent of total billed charges,2733.427211,,,,3505,percent of total billed charges,2578.753018,,,,3505,percent of total billed charges,2733.427211,,,,3505,percent of total billed charges,999999999,,,,3505,percent of total billed charges,2670.569103,,,,3505,percent of total billed charges,2578.753018,,,,3505,percent of total billed charges,2733.427211,,,,2499.065,percent of total billed charges,1247.079168,,,,2499.065,percent of total billed charges,746.1582259,,,,2499.065,percent of total billed charges,1247.079168,,,,2499.065,percent of total billed charges,746.1582259,,,,2499.065,percent of total billed charges,1247.079168,,,,2499.065,percent of total billed charges,746.1582259,,,,2474.53,percent of total billed charges,2455.755068,,,,2474.53,percent of total billed charges,1693.714806,,,,,,,,,,2523.6,percent of total billed charges,1640.280614,,,,,,,,,,2523.6,percent of total billed charges,999999999,,,,,,,,,,2804,percent of total billed charges,2349.606243,,,,2768.95,percent of total billed charges,2672.155912,,,,2768.95,percent of total billed charges,2360.9382,,,,2804,percent of total billed charges,999999999,,,,2804,percent of total billed charges,999999999,,,,2453.5,percent of total billed charges,999999999,,,,2453.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1864.66,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1770.025,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,876.25,percent of total billed charges,832.2231614,,,,,,,,,,876.25,percent of total billed charges,818.3796954,,,,,,,,,,876.25,percent of total billed charges,816.1054533,,,,,,,,,,876.25,percent of total billed charges,804.0883104,,,,,,,,,,876.25,percent of total billed charges,824.7786847,,,,,,,,,,876.25,percent of total billed charges,999999999,,,,,,,,,,876.25,percent of total billed charges,707.7181924,,,,,,,,,,876.25,percent of total billed charges,1116.120393,,,,,,,,,,876.25,percent of total billed charges,999999999,,,,,,,,,,876.25,percent of total billed charges,763.0932963,,,,,,,,,,3154.5,percent of total billed charges,,,,,
**CLSD SHOULDER JOINT,0,CDM,0059-1289-30,NDC,,both,1,EA,1000,1000,212.8839446,1000,1000,percent of total billed charges,735.7355257,,,,1000,percent of total billed charges,779.86511,,,,1000,percent of total billed charges,735.7355257,,,,1000,percent of total billed charges,779.86511,,,,1000,percent of total billed charges,999999999,,,,1000,percent of total billed charges,761.9312704,,,,1000,percent of total billed charges,735.7355257,,,,1000,percent of total billed charges,779.86511,,,,713,percent of total billed charges,355.8000479,,,,713,percent of total billed charges,212.8839446,,,,713,percent of total billed charges,355.8000479,,,,713,percent of total billed charges,212.8839446,,,,713,percent of total billed charges,355.8000479,,,,713,percent of total billed charges,212.8839446,,,,706,percent of total billed charges,700.6433861,,,,706,percent of total billed charges,483.22819,,,,,,,,,,720,percent of total billed charges,467.9830569,,,,,,,,,,720,percent of total billed charges,999999999,,,,,,,,,,800,percent of total billed charges,670.3584146,,,,790,percent of total billed charges,762.3839976,,,,790,percent of total billed charges,673.5914979,,,,800,percent of total billed charges,999999999,,,,800,percent of total billed charges,999999999,,,,700,percent of total billed charges,999999999,,,,700,percent of total billed charges,999999999,,,,,,,,,,,,,,,,532,percent of total billed charges,999999999,,,,,,,,,,,,,,,,505,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,250,percent of total billed charges,237.4388478,,,,,,,,,,250,percent of total billed charges,233.4892141,,,,,,,,,,250,percent of total billed charges,232.8403576,,,,,,,,,,250,percent of total billed charges,229.4117861,,,,,,,,,,250,percent of total billed charges,235.3148886,,,,,,,,,,250,percent of total billed charges,999999999,,,,,,,,,,250,percent of total billed charges,201.9167453,,,,,,,,,,250,percent of total billed charges,318.4366315,,,,,,,,,,250,percent of total billed charges,999999999,,,,,,,,,,250,percent of total billed charges,217.7156338,,,,,,,,,,900,percent of total billed charges,,,,,
**UPPER ANT.ABDOMEN WALL,0,CDM,0059-1289-30,NDC,,both,1,EA,1077,1077,229.2760084,1077,1077,percent of total billed charges,792.3871612,,,,1077,percent of total billed charges,839.9147235,,,,1077,percent of total billed charges,792.3871612,,,,1077,percent of total billed charges,839.9147235,,,,1077,percent of total billed charges,999999999,,,,1077,percent of total billed charges,820.5999782,,,,1077,percent of total billed charges,792.3871612,,,,1077,percent of total billed charges,839.9147235,,,,767.901,percent of total billed charges,383.1966516,,,,767.901,percent of total billed charges,229.2760084,,,,767.901,percent of total billed charges,383.1966516,,,,767.901,percent of total billed charges,229.2760084,,,,767.901,percent of total billed charges,383.1966516,,,,767.901,percent of total billed charges,229.2760084,,,,760.362,percent of total billed charges,754.5929268,,,,760.362,percent of total billed charges,520.4367607,,,,,,,,,,775.44,percent of total billed charges,504.0177523,,,,,,,,,,775.44,percent of total billed charges,999999999,,,,,,,,,,861.6,percent of total billed charges,721.9760125,,,,850.83,percent of total billed charges,821.0875654,,,,850.83,percent of total billed charges,725.4580433,,,,861.6,percent of total billed charges,999999999,,,,861.6,percent of total billed charges,999999999,,,,753.9,percent of total billed charges,999999999,,,,753.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,572.964,percent of total billed charges,999999999,,,,,,,,,,,,,,,,543.885,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,269.25,percent of total billed charges,255.721639,,,,,,,,,,269.25,percent of total billed charges,251.4678836,,,,,,,,,,269.25,percent of total billed charges,250.7690651,,,,,,,,,,269.25,percent of total billed charges,247.0764937,,,,,,,,,,269.25,percent of total billed charges,253.4341351,,,,,,,,,,269.25,percent of total billed charges,999999999,,,,,,,,,,269.25,percent of total billed charges,217.4643347,,,,,,,,,,269.25,percent of total billed charges,342.9562521,,,,,,,,,,269.25,percent of total billed charges,999999999,,,,,,,,,,269.25,percent of total billed charges,234.4797376,,,,,,,,,,969.3,percent of total billed charges,,,,,
**POSTERIOR ABDOMEN WALL,0,CDM,0059-1289-30,NDC,,both,1,EA,1341,1341,285.4773697,1341,1341,percent of total billed charges,986.62134,,,,1341,percent of total billed charges,1045.799113,,,,1341,percent of total billed charges,986.62134,,,,1341,percent of total billed charges,1045.799113,,,,1341,percent of total billed charges,999999999,,,,1341,percent of total billed charges,1021.749834,,,,1341,percent of total billed charges,986.62134,,,,1341,percent of total billed charges,1045.799113,,,,956.133,percent of total billed charges,477.1278643,,,,956.133,percent of total billed charges,285.4773697,,,,956.133,percent of total billed charges,477.1278643,,,,956.133,percent of total billed charges,285.4773697,,,,956.133,percent of total billed charges,477.1278643,,,,956.133,percent of total billed charges,285.4773697,,,,946.746,percent of total billed charges,939.5627807,,,,946.746,percent of total billed charges,648.0090028,,,,,,,,,,965.52,percent of total billed charges,627.5652793,,,,,,,,,,965.52,percent of total billed charges,999999999,,,,,,,,,,1072.8,percent of total billed charges,898.950634,,,,1059.39,percent of total billed charges,1022.356941,,,,1059.39,percent of total billed charges,903.2861987,,,,1072.8,percent of total billed charges,999999999,,,,1072.8,percent of total billed charges,999999999,,,,938.7,percent of total billed charges,999999999,,,,938.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,713.412,percent of total billed charges,999999999,,,,,,,,,,,,,,,,677.205,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,335.25,percent of total billed charges,318.4054949,,,,,,,,,,335.25,percent of total billed charges,313.1090361,,,,,,,,,,335.25,percent of total billed charges,312.2389195,,,,,,,,,,335.25,percent of total billed charges,307.6412052,,,,,,,,,,335.25,percent of total billed charges,315.5572657,,,,,,,,,,335.25,percent of total billed charges,999999999,,,,,,,,,,335.25,percent of total billed charges,270.7703555,,,,,,,,,,335.25,percent of total billed charges,427.0235229,,,,,,,,,,335.25,percent of total billed charges,999999999,,,,,,,,,,335.25,percent of total billed charges,291.9566649,,,,,,,,,,1206.9,percent of total billed charges,,,,,
**UPPER GASTRO ENDOSCOPY,0,CDM,0059-1289-30,NDC,,both,1,EA,2501,2501,532.4227455,2501,2501,percent of total billed charges,1840.07455,,,,2501,percent of total billed charges,1950.44264,,,,2501,percent of total billed charges,1840.07455,,,,2501,percent of total billed charges,1950.44264,,,,2501,percent of total billed charges,999999999,,,,2501,percent of total billed charges,1905.590107,,,,2501,percent of total billed charges,1840.07455,,,,2501,percent of total billed charges,1950.44264,,,,1783.213,percent of total billed charges,889.8559199,,,,1783.213,percent of total billed charges,532.4227455,,,,1783.213,percent of total billed charges,889.8559199,,,,1783.213,percent of total billed charges,532.4227455,,,,1783.213,percent of total billed charges,889.8559199,,,,1783.213,percent of total billed charges,532.4227455,,,,1765.706,percent of total billed charges,1752.309109,,,,1765.706,percent of total billed charges,1208.553703,,,,,,,,,,1800.72,percent of total billed charges,1170.425625,,,,,,,,,,1800.72,percent of total billed charges,999999999,,,,,,,,,,2000.8,percent of total billed charges,1676.566395,,,,1975.79,percent of total billed charges,1906.722378,,,,1975.79,percent of total billed charges,1684.652336,,,,2000.8,percent of total billed charges,999999999,,,,2000.8,percent of total billed charges,999999999,,,,1750.7,percent of total billed charges,999999999,,,,1750.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1330.532,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1263.005,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,625.25,percent of total billed charges,593.8345583,,,,,,,,,,625.25,percent of total billed charges,583.9565244,,,,,,,,,,625.25,percent of total billed charges,582.3337343,,,,,,,,,,625.25,percent of total billed charges,573.7588771,,,,,,,,,,625.25,percent of total billed charges,588.5225365,,,,,,,,,,625.25,percent of total billed charges,999999999,,,,,,,,,,625.25,percent of total billed charges,504.9937801,,,,,,,,,,625.25,percent of total billed charges,796.4100154,,,,,,,,,,625.25,percent of total billed charges,999999999,,,,,,,,,,625.25,percent of total billed charges,544.5068,,,,,,,,,,2250.9,percent of total billed charges,,,,,
"**HERNIS REPAIRS, UPPER ABDOMEN",750,CDM,0059-1289-30,NDC,,both,1,EA,2004,2004,426.619425,2004,2004,percent of total billed charges,1474.413994,,,,2004,percent of total billed charges,1562.84968,,,,2004,percent of total billed charges,1474.413994,,,,2004,percent of total billed charges,1562.84968,,,,2004,percent of total billed charges,999999999,,,,2004,percent of total billed charges,1526.910266,,,,2004,percent of total billed charges,1474.413994,,,,2004,percent of total billed charges,1562.84968,,,,1428.852,percent of total billed charges,713.023296,,,,1428.852,percent of total billed charges,426.619425,,,,1428.852,percent of total billed charges,713.023296,,,,1428.852,percent of total billed charges,426.619425,,,,1428.852,percent of total billed charges,713.023296,,,,1428.852,percent of total billed charges,426.619425,,,,1414.824,percent of total billed charges,1404.089346,,,,1414.824,percent of total billed charges,968.3892928,,,,,,,,,,1442.88,percent of total billed charges,937.838046,,,,,,,,,,1442.88,percent of total billed charges,999999999,,,,,,,,,,1603.2,percent of total billed charges,1343.398263,,,,1583.16,percent of total billed charges,1527.817531,,,,1583.16,percent of total billed charges,1349.877362,,,,1603.2,percent of total billed charges,999999999,,,,1603.2,percent of total billed charges,999999999,,,,1402.8,percent of total billed charges,999999999,,,,1402.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1066.128,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1012.02,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,501,percent of total billed charges,475.8274509,,,,,,,,,,501,percent of total billed charges,467.912385,,,,,,,,,,501,percent of total billed charges,466.6120766,,,,,,,,,,501,percent of total billed charges,459.7412194,,,,,,,,,,501,percent of total billed charges,471.5710368,,,,,,,,,,501,percent of total billed charges,999999999,,,,,,,,,,501,percent of total billed charges,404.6411577,,,,,,,,,,501,percent of total billed charges,638.1470096,,,,,,,,,,501,percent of total billed charges,999999999,,,,,,,,,,501,percent of total billed charges,436.3021301,,,,,,,,,,1803.6,percent of total billed charges,,,,,
**LUMBER/VENTRL HERNIA OR WD ADH,752,CDM,0059-1289-30,NDC,,both,1,EA,1493,1493,317.8357293,1493,1493,percent of total billed charges,1098.45314,,,,1493,percent of total billed charges,1164.338609,,,,1493,percent of total billed charges,1098.45314,,,,1493,percent of total billed charges,1164.338609,,,,1493,percent of total billed charges,999999999,,,,1493,percent of total billed charges,1137.563387,,,,1493,percent of total billed charges,1098.45314,,,,1493,percent of total billed charges,1164.338609,,,,1064.509,percent of total billed charges,531.2094716,,,,1064.509,percent of total billed charges,317.8357293,,,,1064.509,percent of total billed charges,531.2094716,,,,1064.509,percent of total billed charges,317.8357293,,,,1064.509,percent of total billed charges,531.2094716,,,,1064.509,percent of total billed charges,317.8357293,,,,1054.058,percent of total billed charges,1046.060575,,,,1054.058,percent of total billed charges,721.4596877,,,,,,,,,,1074.96,percent of total billed charges,698.6987039,,,,,,,,,,1074.96,percent of total billed charges,999999999,,,,,,,,,,1194.4,percent of total billed charges,1000.845113,,,,1179.47,percent of total billed charges,1138.239308,,,,1179.47,percent of total billed charges,1005.672106,,,,1194.4,percent of total billed charges,999999999,,,,1194.4,percent of total billed charges,999999999,,,,1045.1,percent of total billed charges,999999999,,,,1045.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,794.276,percent of total billed charges,999999999,,,,,,,,,,,,,,,,753.965,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,373.25,percent of total billed charges,354.4961997,,,,,,,,,,373.25,percent of total billed charges,348.5993966,,,,,,,,,,373.25,percent of total billed charges,347.6306538,,,,,,,,,,373.25,percent of total billed charges,342.5117967,,,,,,,,,,373.25,percent of total billed charges,351.3251287,,,,,,,,,,373.25,percent of total billed charges,999999999,,,,,,,,,,373.25,percent of total billed charges,301.4617008,,,,,,,,,,373.25,percent of total billed charges,475.4258909,,,,,,,,,,373.25,percent of total billed charges,999999999,,,,,,,,,,373.25,percent of total billed charges,325.0494412,,,,,,,,,,1343.7,percent of total billed charges,,,,,
**INTRAPERITIONEL PROCEDURES,0,CDM,0059-1289-30,NDC,,both,1,EA,3505,3505,746.1582259,3505,3505,percent of total billed charges,2578.753018,,,,3505,percent of total billed charges,2733.427211,,,,3505,percent of total billed charges,2578.753018,,,,3505,percent of total billed charges,2733.427211,,,,3505,percent of total billed charges,999999999,,,,3505,percent of total billed charges,2670.569103,,,,3505,percent of total billed charges,2578.753018,,,,3505,percent of total billed charges,2733.427211,,,,2499.065,percent of total billed charges,1247.079168,,,,2499.065,percent of total billed charges,746.1582259,,,,2499.065,percent of total billed charges,1247.079168,,,,2499.065,percent of total billed charges,746.1582259,,,,2499.065,percent of total billed charges,1247.079168,,,,2499.065,percent of total billed charges,746.1582259,,,,2474.53,percent of total billed charges,2455.755068,,,,2474.53,percent of total billed charges,1693.714806,,,,,,,,,,2523.6,percent of total billed charges,1640.280614,,,,,,,,,,2523.6,percent of total billed charges,999999999,,,,,,,,,,2804,percent of total billed charges,2349.606243,,,,2768.95,percent of total billed charges,2672.155912,,,,2768.95,percent of total billed charges,2360.9382,,,,2804,percent of total billed charges,999999999,,,,2804,percent of total billed charges,999999999,,,,2453.5,percent of total billed charges,999999999,,,,2453.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1864.66,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1770.025,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,876.25,percent of total billed charges,832.2231614,,,,,,,,,,876.25,percent of total billed charges,818.3796954,,,,,,,,,,876.25,percent of total billed charges,816.1054533,,,,,,,,,,876.25,percent of total billed charges,804.0883104,,,,,,,,,,876.25,percent of total billed charges,824.7786847,,,,,,,,,,876.25,percent of total billed charges,999999999,,,,,,,,,,876.25,percent of total billed charges,707.7181924,,,,,,,,,,876.25,percent of total billed charges,1116.120393,,,,,,,,,,876.25,percent of total billed charges,999999999,,,,,,,,,,876.25,percent of total billed charges,763.0932963,,,,,,,,,,3154.5,percent of total billed charges,,,,,
**ANTERIOR ABDOMEN WALL,0,CDM,0059-1289-30,NDC,,both,1,EA,2004,2004,426.619425,2004,2004,percent of total billed charges,1474.413994,,,,2004,percent of total billed charges,1562.84968,,,,2004,percent of total billed charges,1474.413994,,,,2004,percent of total billed charges,1562.84968,,,,2004,percent of total billed charges,999999999,,,,2004,percent of total billed charges,1526.910266,,,,2004,percent of total billed charges,1474.413994,,,,2004,percent of total billed charges,1562.84968,,,,1428.852,percent of total billed charges,713.023296,,,,1428.852,percent of total billed charges,426.619425,,,,1428.852,percent of total billed charges,713.023296,,,,1428.852,percent of total billed charges,426.619425,,,,1428.852,percent of total billed charges,713.023296,,,,1428.852,percent of total billed charges,426.619425,,,,1414.824,percent of total billed charges,1404.089346,,,,1414.824,percent of total billed charges,968.3892928,,,,,,,,,,1442.88,percent of total billed charges,937.838046,,,,,,,,,,1442.88,percent of total billed charges,999999999,,,,,,,,,,1603.2,percent of total billed charges,1343.398263,,,,1583.16,percent of total billed charges,1527.817531,,,,1583.16,percent of total billed charges,1349.877362,,,,1603.2,percent of total billed charges,999999999,,,,1603.2,percent of total billed charges,999999999,,,,1402.8,percent of total billed charges,999999999,,,,1402.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1066.128,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1012.02,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,501,percent of total billed charges,475.8274509,,,,,,,,,,501,percent of total billed charges,467.912385,,,,,,,,,,501,percent of total billed charges,466.6120766,,,,,,,,,,501,percent of total billed charges,459.7412194,,,,,,,,,,501,percent of total billed charges,471.5710368,,,,,,,,,,501,percent of total billed charges,999999999,,,,,,,,,,501,percent of total billed charges,404.6411577,,,,,,,,,,501,percent of total billed charges,638.1470096,,,,,,,,,,501,percent of total billed charges,999999999,,,,,,,,,,501,percent of total billed charges,436.3021301,,,,,,,,,,1803.6,percent of total billed charges,,,,,
**LOWER INTESTINAL ENDO,0,CDM,0059-1289-30,NDC,,both,1,EA,3002,3002,639.0776018,3002,3002,percent of total billed charges,2208.678048,,,,3002,percent of total billed charges,2341.15506,,,,3002,percent of total billed charges,2208.678048,,,,3002,percent of total billed charges,2341.15506,,,,3002,percent of total billed charges,999999999,,,,3002,percent of total billed charges,2287.317674,,,,3002,percent of total billed charges,2208.678048,,,,3002,percent of total billed charges,2341.15506,,,,2140.426,percent of total billed charges,1068.111744,,,,2140.426,percent of total billed charges,639.0776018,,,,2140.426,percent of total billed charges,1068.111744,,,,2140.426,percent of total billed charges,639.0776018,,,,2140.426,percent of total billed charges,1068.111744,,,,2140.426,percent of total billed charges,639.0776018,,,,2119.412,percent of total billed charges,2103.331445,,,,2119.412,percent of total billed charges,1450.651027,,,,,,,,,,2161.44,percent of total billed charges,1404.885137,,,,,,,,,,2161.44,percent of total billed charges,999999999,,,,,,,,,,2401.6,percent of total billed charges,2012.415961,,,,2371.58,percent of total billed charges,2288.676761,,,,2371.58,percent of total billed charges,2022.121677,,,,2401.6,percent of total billed charges,999999999,,,,2401.6,percent of total billed charges,999999999,,,,2101.4,percent of total billed charges,999999999,,,,2101.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1597.064,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1516.01,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,750.5,percent of total billed charges,712.791421,,,,,,,,,,750.5,percent of total billed charges,700.9346207,,,,,,,,,,750.5,percent of total billed charges,698.9867534,,,,,,,,,,750.5,percent of total billed charges,688.694182,,,,,,,,,,750.5,percent of total billed charges,706.4152957,,,,,,,,,,750.5,percent of total billed charges,999999999,,,,,,,,,,750.5,percent of total billed charges,606.1540695,,,,,,,,,,750.5,percent of total billed charges,955.9467678,,,,,,,,,,750.5,percent of total billed charges,999999999,,,,,,,,,,750.5,percent of total billed charges,653.5823326,,,,,,,,,,2701.8,percent of total billed charges,,,,,
**POSTERIOR ABDOMEN WALL,0,CDM,0059-1289-30,NDC,,both,1,EA,1243,1243,264.6147432,1243,1243,percent of total billed charges,914.5192585,,,,1243,percent of total billed charges,969.3723317,,,,1243,percent of total billed charges,914.5192585,,,,1243,percent of total billed charges,969.3723317,,,,1243,percent of total billed charges,999999999,,,,1243,percent of total billed charges,947.0805691,,,,1243,percent of total billed charges,914.5192585,,,,1243,percent of total billed charges,969.3723317,,,,886.259,percent of total billed charges,442.2594596,,,,886.259,percent of total billed charges,264.6147432,,,,886.259,percent of total billed charges,442.2594596,,,,886.259,percent of total billed charges,264.6147432,,,,886.259,percent of total billed charges,442.2594596,,,,886.259,percent of total billed charges,264.6147432,,,,877.558,percent of total billed charges,870.8997289,,,,877.558,percent of total billed charges,600.6526402,,,,,,,,,,894.96,percent of total billed charges,581.7029397,,,,,,,,,,894.96,percent of total billed charges,999999999,,,,,,,,,,994.4,percent of total billed charges,833.2555093,,,,981.97,percent of total billed charges,947.643309,,,,981.97,percent of total billed charges,837.2742319,,,,994.4,percent of total billed charges,999999999,,,,994.4,percent of total billed charges,999999999,,,,870.1,percent of total billed charges,999999999,,,,870.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,661.276,percent of total billed charges,999999999,,,,,,,,,,,,,,,,627.715,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,310.75,percent of total billed charges,295.1364878,,,,,,,,,,310.75,percent of total billed charges,290.2270931,,,,,,,,,,310.75,percent of total billed charges,289.4205645,,,,,,,,,,310.75,percent of total billed charges,285.1588502,,,,,,,,,,310.75,percent of total billed charges,292.4964066,,,,,,,,,,310.75,percent of total billed charges,999999999,,,,,,,,,,310.75,percent of total billed charges,250.9825145,,,,,,,,,,310.75,percent of total billed charges,395.816733,,,,,,,,,,310.75,percent of total billed charges,999999999,,,,,,,,,,310.75,percent of total billed charges,270.6205328,,,,,,,,,,1118.7,percent of total billed charges,,,,,
"**HERNIA REPAIRS, LOWER ABDOMEN",0,CDM,0059-1289-30,NDC,,both,1,EA,2004,2004,426.619425,2004,2004,percent of total billed charges,1474.413994,,,,2004,percent of total billed charges,1562.84968,,,,2004,percent of total billed charges,1474.413994,,,,2004,percent of total billed charges,1562.84968,,,,2004,percent of total billed charges,999999999,,,,2004,percent of total billed charges,1526.910266,,,,2004,percent of total billed charges,1474.413994,,,,2004,percent of total billed charges,1562.84968,,,,1428.852,percent of total billed charges,713.023296,,,,1428.852,percent of total billed charges,426.619425,,,,1428.852,percent of total billed charges,713.023296,,,,1428.852,percent of total billed charges,426.619425,,,,1428.852,percent of total billed charges,713.023296,,,,1428.852,percent of total billed charges,426.619425,,,,1414.824,percent of total billed charges,1404.089346,,,,1414.824,percent of total billed charges,968.3892928,,,,,,,,,,1442.88,percent of total billed charges,937.838046,,,,,,,,,,1442.88,percent of total billed charges,999999999,,,,,,,,,,1603.2,percent of total billed charges,1343.398263,,,,1583.16,percent of total billed charges,1527.817531,,,,1583.16,percent of total billed charges,1349.877362,,,,1603.2,percent of total billed charges,999999999,,,,1603.2,percent of total billed charges,999999999,,,,1402.8,percent of total billed charges,999999999,,,,1402.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1066.128,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1012.02,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,501,percent of total billed charges,475.8274509,,,,,,,,,,501,percent of total billed charges,467.912385,,,,,,,,,,501,percent of total billed charges,466.6120766,,,,,,,,,,501,percent of total billed charges,459.7412194,,,,,,,,,,501,percent of total billed charges,471.5710368,,,,,,,,,,501,percent of total billed charges,999999999,,,,,,,,,,501,percent of total billed charges,404.6411577,,,,,,,,,,501,percent of total billed charges,638.1470096,,,,,,,,,,501,percent of total billed charges,999999999,,,,,,,,,,501,percent of total billed charges,436.3021301,,,,,,,,,,1803.6,percent of total billed charges,,,,,
**VENTRAL & INCISIONAL HERNIAS,832,CDM,0059-1289-30,NDC,,both,1,EA,3002,3002,639.0776018,3002,3002,percent of total billed charges,2208.678048,,,,3002,percent of total billed charges,2341.15506,,,,3002,percent of total billed charges,2208.678048,,,,3002,percent of total billed charges,2341.15506,,,,3002,percent of total billed charges,999999999,,,,3002,percent of total billed charges,2287.317674,,,,3002,percent of total billed charges,2208.678048,,,,3002,percent of total billed charges,2341.15506,,,,2140.426,percent of total billed charges,1068.111744,,,,2140.426,percent of total billed charges,639.0776018,,,,2140.426,percent of total billed charges,1068.111744,,,,2140.426,percent of total billed charges,639.0776018,,,,2140.426,percent of total billed charges,1068.111744,,,,2140.426,percent of total billed charges,639.0776018,,,,2119.412,percent of total billed charges,2103.331445,,,,2119.412,percent of total billed charges,1450.651027,,,,,,,,,,2161.44,percent of total billed charges,1404.885137,,,,,,,,,,2161.44,percent of total billed charges,999999999,,,,,,,,,,2401.6,percent of total billed charges,2012.415961,,,,2371.58,percent of total billed charges,2288.676761,,,,2371.58,percent of total billed charges,2022.121677,,,,2401.6,percent of total billed charges,999999999,,,,2401.6,percent of total billed charges,999999999,,,,2101.4,percent of total billed charges,999999999,,,,2101.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1597.064,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1516.01,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,750.5,percent of total billed charges,712.791421,,,,,,,,,,750.5,percent of total billed charges,700.9346207,,,,,,,,,,750.5,percent of total billed charges,698.9867534,,,,,,,,,,750.5,percent of total billed charges,688.694182,,,,,,,,,,750.5,percent of total billed charges,706.4152957,,,,,,,,,,750.5,percent of total billed charges,999999999,,,,,,,,,,750.5,percent of total billed charges,606.1540695,,,,,,,,,,750.5,percent of total billed charges,955.9467678,,,,,,,,,,750.5,percent of total billed charges,999999999,,,,,,,,,,750.5,percent of total billed charges,653.5823326,,,,,,,,,,2701.8,percent of total billed charges,,,,,
"**HERNIA REPAIR,UNSPECIFIED",0,CDM,0059-1289-30,NDC,,both,1,EA,3002,3002,639.0776018,3002,3002,percent of total billed charges,2208.678048,,,,3002,percent of total billed charges,2341.15506,,,,3002,percent of total billed charges,2208.678048,,,,3002,percent of total billed charges,2341.15506,,,,3002,percent of total billed charges,999999999,,,,3002,percent of total billed charges,2287.317674,,,,3002,percent of total billed charges,2208.678048,,,,3002,percent of total billed charges,2341.15506,,,,2140.426,percent of total billed charges,1068.111744,,,,2140.426,percent of total billed charges,639.0776018,,,,2140.426,percent of total billed charges,1068.111744,,,,2140.426,percent of total billed charges,639.0776018,,,,2140.426,percent of total billed charges,1068.111744,,,,2140.426,percent of total billed charges,639.0776018,,,,2119.412,percent of total billed charges,2103.331445,,,,2119.412,percent of total billed charges,1450.651027,,,,,,,,,,2161.44,percent of total billed charges,1404.885137,,,,,,,,,,2161.44,percent of total billed charges,999999999,,,,,,,,,,2401.6,percent of total billed charges,2012.415961,,,,2371.58,percent of total billed charges,2288.676761,,,,2371.58,percent of total billed charges,2022.121677,,,,2401.6,percent of total billed charges,999999999,,,,2401.6,percent of total billed charges,999999999,,,,2101.4,percent of total billed charges,999999999,,,,2101.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1597.064,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1516.01,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,750.5,percent of total billed charges,712.791421,,,,,,,,,,750.5,percent of total billed charges,700.9346207,,,,,,,,,,750.5,percent of total billed charges,698.9867534,,,,,,,,,,750.5,percent of total billed charges,688.694182,,,,,,,,,,750.5,percent of total billed charges,706.4152957,,,,,,,,,,750.5,percent of total billed charges,999999999,,,,,,,,,,750.5,percent of total billed charges,606.1540695,,,,,,,,,,750.5,percent of total billed charges,955.9467678,,,,,,,,,,750.5,percent of total billed charges,999999999,,,,,,,,,,750.5,percent of total billed charges,653.5823326,,,,,,,,,,2701.8,percent of total billed charges,,,,,
**INTRAPERITIONEAL PROCEDURES,0,CDM,0059-1289-30,NDC,,both,1,EA,3002,3002,639.0776018,3002,3002,percent of total billed charges,2208.678048,,,,3002,percent of total billed charges,2341.15506,,,,3002,percent of total billed charges,2208.678048,,,,3002,percent of total billed charges,2341.15506,,,,3002,percent of total billed charges,999999999,,,,3002,percent of total billed charges,2287.317674,,,,3002,percent of total billed charges,2208.678048,,,,3002,percent of total billed charges,2341.15506,,,,2140.426,percent of total billed charges,1068.111744,,,,2140.426,percent of total billed charges,639.0776018,,,,2140.426,percent of total billed charges,1068.111744,,,,2140.426,percent of total billed charges,639.0776018,,,,2140.426,percent of total billed charges,1068.111744,,,,2140.426,percent of total billed charges,639.0776018,,,,2119.412,percent of total billed charges,2103.331445,,,,2119.412,percent of total billed charges,1450.651027,,,,,,,,,,2161.44,percent of total billed charges,1404.885137,,,,,,,,,,2161.44,percent of total billed charges,999999999,,,,,,,,,,2401.6,percent of total billed charges,2012.415961,,,,2371.58,percent of total billed charges,2288.676761,,,,2371.58,percent of total billed charges,2022.121677,,,,2401.6,percent of total billed charges,999999999,,,,2401.6,percent of total billed charges,999999999,,,,2101.4,percent of total billed charges,999999999,,,,2101.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1597.064,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1516.01,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,750.5,percent of total billed charges,712.791421,,,,,,,,,,750.5,percent of total billed charges,700.9346207,,,,,,,,,,750.5,percent of total billed charges,698.9867534,,,,,,,,,,750.5,percent of total billed charges,688.694182,,,,,,,,,,750.5,percent of total billed charges,706.4152957,,,,,,,,,,750.5,percent of total billed charges,999999999,,,,,,,,,,750.5,percent of total billed charges,606.1540695,,,,,,,,,,750.5,percent of total billed charges,955.9467678,,,,,,,,,,750.5,percent of total billed charges,999999999,,,,,,,,,,750.5,percent of total billed charges,653.5823326,,,,,,,,,,2701.8,percent of total billed charges,,,,,
**TUBAL LIGATION/TRANSECTION,0,CDM,0059-1289-30,NDC,,both,1,EA,3002,3002,639.0776018,3002,3002,percent of total billed charges,2208.678048,,,,3002,percent of total billed charges,2341.15506,,,,3002,percent of total billed charges,2208.678048,,,,3002,percent of total billed charges,2341.15506,,,,3002,percent of total billed charges,999999999,,,,3002,percent of total billed charges,2287.317674,,,,3002,percent of total billed charges,2208.678048,,,,3002,percent of total billed charges,2341.15506,,,,2140.426,percent of total billed charges,1068.111744,,,,2140.426,percent of total billed charges,639.0776018,,,,2140.426,percent of total billed charges,1068.111744,,,,2140.426,percent of total billed charges,639.0776018,,,,2140.426,percent of total billed charges,1068.111744,,,,2140.426,percent of total billed charges,639.0776018,,,,2119.412,percent of total billed charges,2103.331445,,,,2119.412,percent of total billed charges,1450.651027,,,,,,,,,,2161.44,percent of total billed charges,1404.885137,,,,,,,,,,2161.44,percent of total billed charges,999999999,,,,,,,,,,2401.6,percent of total billed charges,2012.415961,,,,2371.58,percent of total billed charges,2288.676761,,,,2371.58,percent of total billed charges,2022.121677,,,,2401.6,percent of total billed charges,999999999,,,,2401.6,percent of total billed charges,999999999,,,,2101.4,percent of total billed charges,999999999,,,,2101.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1597.064,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1516.01,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,750.5,percent of total billed charges,712.791421,,,,,,,,,,750.5,percent of total billed charges,700.9346207,,,,,,,,,,750.5,percent of total billed charges,698.9867534,,,,,,,,,,750.5,percent of total billed charges,688.694182,,,,,,,,,,750.5,percent of total billed charges,706.4152957,,,,,,,,,,750.5,percent of total billed charges,999999999,,,,,,,,,,750.5,percent of total billed charges,606.1540695,,,,,,,,,,750.5,percent of total billed charges,955.9467678,,,,,,,,,,750.5,percent of total billed charges,999999999,,,,,,,,,,750.5,percent of total billed charges,653.5823326,,,,,,,,,,2701.8,percent of total billed charges,,,,,
**EXTRAPERITION PROCEDURE LOWER ABDO,860,CDM,0059-1289-30,NDC,,both,1,EA,3002,3002,639.0776018,3002,3002,percent of total billed charges,2208.678048,,,,3002,percent of total billed charges,2341.15506,,,,3002,percent of total billed charges,2208.678048,,,,3002,percent of total billed charges,2341.15506,,,,3002,percent of total billed charges,999999999,,,,3002,percent of total billed charges,2287.317674,,,,3002,percent of total billed charges,2208.678048,,,,3002,percent of total billed charges,2341.15506,,,,2140.426,percent of total billed charges,1068.111744,,,,2140.426,percent of total billed charges,639.0776018,,,,2140.426,percent of total billed charges,1068.111744,,,,2140.426,percent of total billed charges,639.0776018,,,,2140.426,percent of total billed charges,1068.111744,,,,2140.426,percent of total billed charges,639.0776018,,,,2119.412,percent of total billed charges,2103.331445,,,,2119.412,percent of total billed charges,1450.651027,,,,,,,,,,2161.44,percent of total billed charges,1404.885137,,,,,,,,,,2161.44,percent of total billed charges,999999999,,,,,,,,,,2401.6,percent of total billed charges,2012.415961,,,,2371.58,percent of total billed charges,2288.676761,,,,2371.58,percent of total billed charges,2022.121677,,,,2401.6,percent of total billed charges,999999999,,,,2401.6,percent of total billed charges,999999999,,,,2101.4,percent of total billed charges,999999999,,,,2101.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1597.064,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1516.01,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,750.5,percent of total billed charges,712.791421,,,,,,,,,,750.5,percent of total billed charges,700.9346207,,,,,,,,,,750.5,percent of total billed charges,698.9867534,,,,,,,,,,750.5,percent of total billed charges,688.694182,,,,,,,,,,750.5,percent of total billed charges,706.4152957,,,,,,,,,,750.5,percent of total billed charges,999999999,,,,,,,,,,750.5,percent of total billed charges,606.1540695,,,,,,,,,,750.5,percent of total billed charges,955.9467678,,,,,,,,,,750.5,percent of total billed charges,999999999,,,,,,,,,,750.5,percent of total billed charges,653.5823326,,,,,,,,,,2701.8,percent of total billed charges,,,,,
**ANORECTAL PROCEDURE,0,CDM,0059-1289-30,NDC,,both,1,EA,2501,2501,532.4227455,2501,2501,percent of total billed charges,1840.07455,,,,2501,percent of total billed charges,1950.44264,,,,2501,percent of total billed charges,1840.07455,,,,2501,percent of total billed charges,1950.44264,,,,2501,percent of total billed charges,999999999,,,,2501,percent of total billed charges,1905.590107,,,,2501,percent of total billed charges,1840.07455,,,,2501,percent of total billed charges,1950.44264,,,,1783.213,percent of total billed charges,889.8559199,,,,1783.213,percent of total billed charges,532.4227455,,,,1783.213,percent of total billed charges,889.8559199,,,,1783.213,percent of total billed charges,532.4227455,,,,1783.213,percent of total billed charges,889.8559199,,,,1783.213,percent of total billed charges,532.4227455,,,,1765.706,percent of total billed charges,1752.309109,,,,1765.706,percent of total billed charges,1208.553703,,,,,,,,,,1800.72,percent of total billed charges,1170.425625,,,,,,,,,,1800.72,percent of total billed charges,999999999,,,,,,,,,,2000.8,percent of total billed charges,1676.566395,,,,1975.79,percent of total billed charges,1906.722378,,,,1975.79,percent of total billed charges,1684.652336,,,,2000.8,percent of total billed charges,999999999,,,,2000.8,percent of total billed charges,999999999,,,,1750.7,percent of total billed charges,999999999,,,,1750.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1330.532,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1263.005,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,625.25,percent of total billed charges,593.8345583,,,,,,,,,,625.25,percent of total billed charges,583.9565244,,,,,,,,,,625.25,percent of total billed charges,582.3337343,,,,,,,,,,625.25,percent of total billed charges,573.7588771,,,,,,,,,,625.25,percent of total billed charges,588.5225365,,,,,,,,,,625.25,percent of total billed charges,999999999,,,,,,,,,,625.25,percent of total billed charges,504.9937801,,,,,,,,,,625.25,percent of total billed charges,796.4100154,,,,,,,,,,625.25,percent of total billed charges,999999999,,,,,,,,,,625.25,percent of total billed charges,544.5068,,,,,,,,,,2250.9,percent of total billed charges,,,,,
**TRANSURETHRAL PROCEDURE,0,CDM,0059-1289-30,NDC,,both,1,EA,1507,1507,320.8161045,1507,1507,percent of total billed charges,1108.753437,,,,1507,percent of total billed charges,1175.256721,,,,1507,percent of total billed charges,1108.753437,,,,1507,percent of total billed charges,1175.256721,,,,1507,percent of total billed charges,999999999,,,,1507,percent of total billed charges,1148.230425,,,,1507,percent of total billed charges,1108.753437,,,,1507,percent of total billed charges,1175.256721,,,,1074.491,percent of total billed charges,536.1906722,,,,1074.491,percent of total billed charges,320.8161045,,,,1074.491,percent of total billed charges,536.1906722,,,,1074.491,percent of total billed charges,320.8161045,,,,1074.491,percent of total billed charges,536.1906722,,,,1074.491,percent of total billed charges,320.8161045,,,,1063.942,percent of total billed charges,1055.869583,,,,1063.942,percent of total billed charges,728.2248824,,,,,,,,,,1085.04,percent of total billed charges,705.2504667,,,,,,,,,,1085.04,percent of total billed charges,999999999,,,,,,,,,,1205.6,percent of total billed charges,1010.230131,,,,1190.53,percent of total billed charges,1148.912684,,,,1190.53,percent of total billed charges,1015.102387,,,,1205.6,percent of total billed charges,999999999,,,,1205.6,percent of total billed charges,999999999,,,,1054.9,percent of total billed charges,999999999,,,,1054.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,801.724,percent of total billed charges,999999999,,,,,,,,,,,,,,,,761.035,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,376.75,percent of total billed charges,357.8203436,,,,,,,,,,376.75,percent of total billed charges,351.8682456,,,,,,,,,,376.75,percent of total billed charges,350.8904188,,,,,,,,,,376.75,percent of total billed charges,345.7235617,,,,,,,,,,376.75,percent of total billed charges,354.6195372,,,,,,,,,,376.75,percent of total billed charges,999999999,,,,,,,,,,376.75,percent of total billed charges,304.2885352,,,,,,,,,,376.75,percent of total billed charges,479.8840037,,,,,,,,,,376.75,percent of total billed charges,999999999,,,,,,,,,,376.75,percent of total billed charges,328.0974601,,,,,,,,,,1356.3,percent of total billed charges,,,,,
**TRANSURETHRAL RESECTION,0,CDM,0059-1289-30,NDC,,both,1,EA,1243,1243,264.6147432,1243,1243,percent of total billed charges,914.5192585,,,,1243,percent of total billed charges,969.3723317,,,,1243,percent of total billed charges,914.5192585,,,,1243,percent of total billed charges,969.3723317,,,,1243,percent of total billed charges,999999999,,,,1243,percent of total billed charges,947.0805691,,,,1243,percent of total billed charges,914.5192585,,,,1243,percent of total billed charges,969.3723317,,,,886.259,percent of total billed charges,442.2594596,,,,886.259,percent of total billed charges,264.6147432,,,,886.259,percent of total billed charges,442.2594596,,,,886.259,percent of total billed charges,264.6147432,,,,886.259,percent of total billed charges,442.2594596,,,,886.259,percent of total billed charges,264.6147432,,,,877.558,percent of total billed charges,870.8997289,,,,877.558,percent of total billed charges,600.6526402,,,,,,,,,,894.96,percent of total billed charges,581.7029397,,,,,,,,,,894.96,percent of total billed charges,999999999,,,,,,,,,,994.4,percent of total billed charges,833.2555093,,,,981.97,percent of total billed charges,947.643309,,,,981.97,percent of total billed charges,837.2742319,,,,994.4,percent of total billed charges,999999999,,,,994.4,percent of total billed charges,999999999,,,,870.1,percent of total billed charges,999999999,,,,870.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,661.276,percent of total billed charges,999999999,,,,,,,,,,,,,,,,627.715,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,310.75,percent of total billed charges,295.1364878,,,,,,,,,,310.75,percent of total billed charges,290.2270931,,,,,,,,,,310.75,percent of total billed charges,289.4205645,,,,,,,,,,310.75,percent of total billed charges,285.1588502,,,,,,,,,,310.75,percent of total billed charges,292.4964066,,,,,,,,,,310.75,percent of total billed charges,999999999,,,,,,,,,,310.75,percent of total billed charges,250.9825145,,,,,,,,,,310.75,percent of total billed charges,395.816733,,,,,,,,,,310.75,percent of total billed charges,999999999,,,,,,,,,,310.75,percent of total billed charges,270.6205328,,,,,,,,,,1118.7,percent of total billed charges,,,,,
**MALE GENITALIA,920,CDM,0059-1289-30,NDC,,both,1,EA,751,751,159.8758424,751,751,percent of total billed charges,552.5373798,,,,751,percent of total billed charges,585.6786976,,,,751,percent of total billed charges,552.5373798,,,,751,percent of total billed charges,585.6786976,,,,751,percent of total billed charges,999999999,,,,751,percent of total billed charges,572.2103841,,,,751,percent of total billed charges,552.5373798,,,,751,percent of total billed charges,585.6786976,,,,535.463,percent of total billed charges,267.205836,,,,535.463,percent of total billed charges,159.8758424,,,,535.463,percent of total billed charges,267.205836,,,,535.463,percent of total billed charges,159.8758424,,,,535.463,percent of total billed charges,267.205836,,,,535.463,percent of total billed charges,159.8758424,,,,530.206,percent of total billed charges,526.1831829,,,,530.206,percent of total billed charges,362.9043707,,,,,,,,,,540.72,percent of total billed charges,351.4552757,,,,,,,,,,540.72,percent of total billed charges,999999999,,,,,,,,,,600.8,percent of total billed charges,503.4391694,,,,593.29,percent of total billed charges,572.5503822,,,,593.29,percent of total billed charges,505.867215,,,,600.8,percent of total billed charges,999999999,,,,600.8,percent of total billed charges,999999999,,,,525.7,percent of total billed charges,999999999,,,,525.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,399.532,percent of total billed charges,999999999,,,,,,,,,,,,,,,,379.255,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,187.75,percent of total billed charges,178.3165747,,,,,,,,,,187.75,percent of total billed charges,175.3503998,,,,,,,,,,187.75,percent of total billed charges,174.8631085,,,,,,,,,,187.75,percent of total billed charges,172.2882514,,,,,,,,,,187.75,percent of total billed charges,176.7214814,,,,,,,,,,187.75,percent of total billed charges,999999999,,,,,,,,,,187.75,percent of total billed charges,151.6394758,,,,,,,,,,187.75,percent of total billed charges,239.1459103,,,,,,,,,,187.75,percent of total billed charges,999999999,,,,,,,,,,187.75,percent of total billed charges,163.504441,,,,,,,,,,675.9,percent of total billed charges,,,,,
**VASECTOMY,921,CDM,0059-1289-30,NDC,,both,1,EA,809,809,172.2231112,809,809,percent of total billed charges,595.2100403,,,,809,percent of total billed charges,630.910874,,,,809,percent of total billed charges,595.2100403,,,,809,percent of total billed charges,630.910874,,,,809,percent of total billed charges,999999999,,,,809,percent of total billed charges,616.4023978,,,,809,percent of total billed charges,595.2100403,,,,809,percent of total billed charges,630.910874,,,,576.817,percent of total billed charges,287.8422388,,,,576.817,percent of total billed charges,172.2231112,,,,576.817,percent of total billed charges,287.8422388,,,,576.817,percent of total billed charges,172.2231112,,,,576.817,percent of total billed charges,287.8422388,,,,576.817,percent of total billed charges,172.2231112,,,,571.154,percent of total billed charges,566.8204993,,,,571.154,percent of total billed charges,390.9316057,,,,,,,,,,582.48,percent of total billed charges,378.598293,,,,,,,,,,582.48,percent of total billed charges,999999999,,,,,,,,,,647.2,percent of total billed charges,542.3199574,,,,639.11,percent of total billed charges,616.768654,,,,639.11,percent of total billed charges,544.9355218,,,,647.2,percent of total billed charges,999999999,,,,647.2,percent of total billed charges,999999999,,,,566.3,percent of total billed charges,999999999,,,,566.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,430.388,percent of total billed charges,999999999,,,,,,,,,,,,,,,,408.545,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,202.25,percent of total billed charges,192.0880278,,,,,,,,,,202.25,percent of total billed charges,188.8927742,,,,,,,,,,202.25,percent of total billed charges,188.3678493,,,,,,,,,,202.25,percent of total billed charges,185.594135,,,,,,,,,,202.25,percent of total billed charges,190.3697449,,,,,,,,,,202.25,percent of total billed charges,999999999,,,,,,,,,,202.25,percent of total billed charges,163.350647,,,,,,,,,,202.25,percent of total billed charges,257.6152349,,,,,,,,,,202.25,percent of total billed charges,999999999,,,,,,,,,,202.25,percent of total billed charges,176.1319477,,,,,,,,,,728.1,percent of total billed charges,,,,,
**VAGINAL PROCEDURES,0,CDM,0059-1289-30,NDC,,both,1,EA,1507,1507,320.8161045,1507,1507,percent of total billed charges,1108.753437,,,,1507,percent of total billed charges,1175.256721,,,,1507,percent of total billed charges,1108.753437,,,,1507,percent of total billed charges,1175.256721,,,,1507,percent of total billed charges,999999999,,,,1507,percent of total billed charges,1148.230425,,,,1507,percent of total billed charges,1108.753437,,,,1507,percent of total billed charges,1175.256721,,,,1074.491,percent of total billed charges,536.1906722,,,,1074.491,percent of total billed charges,320.8161045,,,,1074.491,percent of total billed charges,536.1906722,,,,1074.491,percent of total billed charges,320.8161045,,,,1074.491,percent of total billed charges,536.1906722,,,,1074.491,percent of total billed charges,320.8161045,,,,1063.942,percent of total billed charges,1055.869583,,,,1063.942,percent of total billed charges,728.2248824,,,,,,,,,,1085.04,percent of total billed charges,705.2504667,,,,,,,,,,1085.04,percent of total billed charges,999999999,,,,,,,,,,1205.6,percent of total billed charges,1010.230131,,,,1190.53,percent of total billed charges,1148.912684,,,,1190.53,percent of total billed charges,1015.102387,,,,1205.6,percent of total billed charges,999999999,,,,1205.6,percent of total billed charges,999999999,,,,1054.9,percent of total billed charges,999999999,,,,1054.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,801.724,percent of total billed charges,999999999,,,,,,,,,,,,,,,,761.035,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,376.75,percent of total billed charges,357.8203436,,,,,,,,,,376.75,percent of total billed charges,351.8682456,,,,,,,,,,376.75,percent of total billed charges,350.8904188,,,,,,,,,,376.75,percent of total billed charges,345.7235617,,,,,,,,,,376.75,percent of total billed charges,354.6195372,,,,,,,,,,376.75,percent of total billed charges,999999999,,,,,,,,,,376.75,percent of total billed charges,304.2885352,,,,,,,,,,376.75,percent of total billed charges,479.8840037,,,,,,,,,,376.75,percent of total billed charges,999999999,,,,,,,,,,376.75,percent of total billed charges,328.0974601,,,,,,,,,,1356.3,percent of total billed charges,,,,,
"**COLPTOMY, VAGINECTOMY",0,CDM,0059-1289-30,NDC,,both,1,EA,2004,2004,426.619425,2004,2004,percent of total billed charges,1474.413994,,,,2004,percent of total billed charges,1562.84968,,,,2004,percent of total billed charges,1474.413994,,,,2004,percent of total billed charges,1562.84968,,,,2004,percent of total billed charges,999999999,,,,2004,percent of total billed charges,1526.910266,,,,2004,percent of total billed charges,1474.413994,,,,2004,percent of total billed charges,1562.84968,,,,1428.852,percent of total billed charges,713.023296,,,,1428.852,percent of total billed charges,426.619425,,,,1428.852,percent of total billed charges,713.023296,,,,1428.852,percent of total billed charges,426.619425,,,,1428.852,percent of total billed charges,713.023296,,,,1428.852,percent of total billed charges,426.619425,,,,1414.824,percent of total billed charges,1404.089346,,,,1414.824,percent of total billed charges,968.3892928,,,,,,,,,,1442.88,percent of total billed charges,937.838046,,,,,,,,,,1442.88,percent of total billed charges,999999999,,,,,,,,,,1603.2,percent of total billed charges,1343.398263,,,,1583.16,percent of total billed charges,1527.817531,,,,1583.16,percent of total billed charges,1349.877362,,,,1603.2,percent of total billed charges,999999999,,,,1603.2,percent of total billed charges,999999999,,,,1402.8,percent of total billed charges,999999999,,,,1402.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1066.128,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1012.02,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,501,percent of total billed charges,475.8274509,,,,,,,,,,501,percent of total billed charges,467.912385,,,,,,,,,,501,percent of total billed charges,466.6120766,,,,,,,,,,501,percent of total billed charges,459.7412194,,,,,,,,,,501,percent of total billed charges,471.5710368,,,,,,,,,,501,percent of total billed charges,999999999,,,,,,,,,,501,percent of total billed charges,404.6411577,,,,,,,,,,501,percent of total billed charges,638.1470096,,,,,,,,,,501,percent of total billed charges,999999999,,,,,,,,,,501,percent of total billed charges,436.3021301,,,,,,,,,,1803.6,percent of total billed charges,,,,,
**VAGINAL HYSTERECTOMY,0,CDM,0059-1289-30,NDC,,both,1,EA,3002,3002,639.0776018,3002,3002,percent of total billed charges,2208.678048,,,,3002,percent of total billed charges,2341.15506,,,,3002,percent of total billed charges,2208.678048,,,,3002,percent of total billed charges,2341.15506,,,,3002,percent of total billed charges,999999999,,,,3002,percent of total billed charges,2287.317674,,,,3002,percent of total billed charges,2208.678048,,,,3002,percent of total billed charges,2341.15506,,,,2140.426,percent of total billed charges,1068.111744,,,,2140.426,percent of total billed charges,639.0776018,,,,2140.426,percent of total billed charges,1068.111744,,,,2140.426,percent of total billed charges,639.0776018,,,,2140.426,percent of total billed charges,1068.111744,,,,2140.426,percent of total billed charges,639.0776018,,,,2119.412,percent of total billed charges,2103.331445,,,,2119.412,percent of total billed charges,1450.651027,,,,,,,,,,2161.44,percent of total billed charges,1404.885137,,,,,,,,,,2161.44,percent of total billed charges,999999999,,,,,,,,,,2401.6,percent of total billed charges,2012.415961,,,,2371.58,percent of total billed charges,2288.676761,,,,2371.58,percent of total billed charges,2022.121677,,,,2401.6,percent of total billed charges,999999999,,,,2401.6,percent of total billed charges,999999999,,,,2101.4,percent of total billed charges,999999999,,,,2101.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1597.064,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1516.01,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,750.5,percent of total billed charges,712.791421,,,,,,,,,,750.5,percent of total billed charges,700.9346207,,,,,,,,,,750.5,percent of total billed charges,698.9867534,,,,,,,,,,750.5,percent of total billed charges,688.694182,,,,,,,,,,750.5,percent of total billed charges,706.4152957,,,,,,,,,,750.5,percent of total billed charges,999999999,,,,,,,,,,750.5,percent of total billed charges,606.1540695,,,,,,,,,,750.5,percent of total billed charges,955.9467678,,,,,,,,,,750.5,percent of total billed charges,999999999,,,,,,,,,,750.5,percent of total billed charges,653.5823326,,,,,,,,,,2701.8,percent of total billed charges,,,,,
**CERVICAL CERCLAGE,0,CDM,0059-1289-30,NDC,,both,1,EA,1077,1077,229.2760084,1077,1077,percent of total billed charges,792.3871612,,,,1077,percent of total billed charges,839.9147235,,,,1077,percent of total billed charges,792.3871612,,,,1077,percent of total billed charges,839.9147235,,,,1077,percent of total billed charges,999999999,,,,1077,percent of total billed charges,820.5999782,,,,1077,percent of total billed charges,792.3871612,,,,1077,percent of total billed charges,839.9147235,,,,767.901,percent of total billed charges,383.1966516,,,,767.901,percent of total billed charges,229.2760084,,,,767.901,percent of total billed charges,383.1966516,,,,767.901,percent of total billed charges,229.2760084,,,,767.901,percent of total billed charges,383.1966516,,,,767.901,percent of total billed charges,229.2760084,,,,760.362,percent of total billed charges,754.5929268,,,,760.362,percent of total billed charges,520.4367607,,,,,,,,,,775.44,percent of total billed charges,504.0177523,,,,,,,,,,775.44,percent of total billed charges,999999999,,,,,,,,,,861.6,percent of total billed charges,721.9760125,,,,850.83,percent of total billed charges,821.0875654,,,,850.83,percent of total billed charges,725.4580433,,,,861.6,percent of total billed charges,999999999,,,,861.6,percent of total billed charges,999999999,,,,753.9,percent of total billed charges,999999999,,,,753.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,572.964,percent of total billed charges,999999999,,,,,,,,,,,,,,,,543.885,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,269.25,percent of total billed charges,255.721639,,,,,,,,,,269.25,percent of total billed charges,251.4678836,,,,,,,,,,269.25,percent of total billed charges,250.7690651,,,,,,,,,,269.25,percent of total billed charges,247.0764937,,,,,,,,,,269.25,percent of total billed charges,253.4341351,,,,,,,,,,269.25,percent of total billed charges,999999999,,,,,,,,,,269.25,percent of total billed charges,217.4643347,,,,,,,,,,269.25,percent of total billed charges,342.9562521,,,,,,,,,,269.25,percent of total billed charges,999999999,,,,,,,,,,269.25,percent of total billed charges,234.4797376,,,,,,,,,,969.3,percent of total billed charges,,,,,
**HYSTEROSCOPY/HYSTEROSALPINGOGRAPH,952,CDM,0059-1289-30,NDC,,both,1,EA,2004,2004,426.619425,2004,2004,percent of total billed charges,1474.413994,,,,2004,percent of total billed charges,1562.84968,,,,2004,percent of total billed charges,1474.413994,,,,2004,percent of total billed charges,1562.84968,,,,2004,percent of total billed charges,999999999,,,,2004,percent of total billed charges,1526.910266,,,,2004,percent of total billed charges,1474.413994,,,,2004,percent of total billed charges,1562.84968,,,,1428.852,percent of total billed charges,713.023296,,,,1428.852,percent of total billed charges,426.619425,,,,1428.852,percent of total billed charges,713.023296,,,,1428.852,percent of total billed charges,426.619425,,,,1428.852,percent of total billed charges,713.023296,,,,1428.852,percent of total billed charges,426.619425,,,,1414.824,percent of total billed charges,1404.089346,,,,1414.824,percent of total billed charges,968.3892928,,,,,,,,,,1442.88,percent of total billed charges,937.838046,,,,,,,,,,1442.88,percent of total billed charges,999999999,,,,,,,,,,1603.2,percent of total billed charges,1343.398263,,,,1583.16,percent of total billed charges,1527.817531,,,,1583.16,percent of total billed charges,1349.877362,,,,1603.2,percent of total billed charges,999999999,,,,1603.2,percent of total billed charges,999999999,,,,1402.8,percent of total billed charges,999999999,,,,1402.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1066.128,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1012.02,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,501,percent of total billed charges,475.8274509,,,,,,,,,,501,percent of total billed charges,467.912385,,,,,,,,,,501,percent of total billed charges,466.6120766,,,,,,,,,,501,percent of total billed charges,459.7412194,,,,,,,,,,501,percent of total billed charges,471.5710368,,,,,,,,,,501,percent of total billed charges,999999999,,,,,,,,,,501,percent of total billed charges,404.6411577,,,,,,,,,,501,percent of total billed charges,638.1470096,,,,,,,,,,501,percent of total billed charges,999999999,,,,,,,,,,501,percent of total billed charges,436.3021301,,,,,,,,,,1803.6,percent of total billed charges,,,,,
**ALL CLOSED HIP PROCEDURES,0,CDM,0059-1289-30,NDC,,both,1,EA,1000,1000,212.8839446,1000,1000,percent of total billed charges,735.7355257,,,,1000,percent of total billed charges,779.86511,,,,1000,percent of total billed charges,735.7355257,,,,1000,percent of total billed charges,779.86511,,,,1000,percent of total billed charges,999999999,,,,1000,percent of total billed charges,761.9312704,,,,1000,percent of total billed charges,735.7355257,,,,1000,percent of total billed charges,779.86511,,,,713,percent of total billed charges,355.8000479,,,,713,percent of total billed charges,212.8839446,,,,713,percent of total billed charges,355.8000479,,,,713,percent of total billed charges,212.8839446,,,,713,percent of total billed charges,355.8000479,,,,713,percent of total billed charges,212.8839446,,,,706,percent of total billed charges,700.6433861,,,,706,percent of total billed charges,483.22819,,,,,,,,,,720,percent of total billed charges,467.9830569,,,,,,,,,,720,percent of total billed charges,999999999,,,,,,,,,,800,percent of total billed charges,670.3584146,,,,790,percent of total billed charges,762.3839976,,,,790,percent of total billed charges,673.5914979,,,,800,percent of total billed charges,999999999,,,,800,percent of total billed charges,999999999,,,,700,percent of total billed charges,999999999,,,,700,percent of total billed charges,999999999,,,,,,,,,,,,,,,,532,percent of total billed charges,999999999,,,,,,,,,,,,,,,,505,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,250,percent of total billed charges,237.4388478,,,,,,,,,,250,percent of total billed charges,233.4892141,,,,,,,,,,250,percent of total billed charges,232.8403576,,,,,,,,,,250,percent of total billed charges,229.4117861,,,,,,,,,,250,percent of total billed charges,235.3148886,,,,,,,,,,250,percent of total billed charges,999999999,,,,,,,,,,250,percent of total billed charges,201.9167453,,,,,,,,,,250,percent of total billed charges,318.4366315,,,,,,,,,,250,percent of total billed charges,999999999,,,,,,,,,,250,percent of total billed charges,217.7156338,,,,,,,,,,900,percent of total billed charges,,,,,
**ALL OPEN HIP PROCEDURES,0,CDM,0059-1289-30,NDC,,both,1,EA,3002,3002,639.0776018,3002,3002,percent of total billed charges,2208.678048,,,,3002,percent of total billed charges,2341.15506,,,,3002,percent of total billed charges,2208.678048,,,,3002,percent of total billed charges,2341.15506,,,,3002,percent of total billed charges,999999999,,,,3002,percent of total billed charges,2287.317674,,,,3002,percent of total billed charges,2208.678048,,,,3002,percent of total billed charges,2341.15506,,,,2140.426,percent of total billed charges,1068.111744,,,,2140.426,percent of total billed charges,639.0776018,,,,2140.426,percent of total billed charges,1068.111744,,,,2140.426,percent of total billed charges,639.0776018,,,,2140.426,percent of total billed charges,1068.111744,,,,2140.426,percent of total billed charges,639.0776018,,,,2119.412,percent of total billed charges,2103.331445,,,,2119.412,percent of total billed charges,1450.651027,,,,,,,,,,2161.44,percent of total billed charges,1404.885137,,,,,,,,,,2161.44,percent of total billed charges,999999999,,,,,,,,,,2401.6,percent of total billed charges,2012.415961,,,,2371.58,percent of total billed charges,2288.676761,,,,2371.58,percent of total billed charges,2022.121677,,,,2401.6,percent of total billed charges,999999999,,,,2401.6,percent of total billed charges,999999999,,,,2101.4,percent of total billed charges,999999999,,,,2101.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1597.064,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1516.01,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,750.5,percent of total billed charges,712.791421,,,,,,,,,,750.5,percent of total billed charges,700.9346207,,,,,,,,,,750.5,percent of total billed charges,698.9867534,,,,,,,,,,750.5,percent of total billed charges,688.694182,,,,,,,,,,750.5,percent of total billed charges,706.4152957,,,,,,,,,,750.5,percent of total billed charges,999999999,,,,,,,,,,750.5,percent of total billed charges,606.1540695,,,,,,,,,,750.5,percent of total billed charges,955.9467678,,,,,,,,,,750.5,percent of total billed charges,999999999,,,,,,,,,,750.5,percent of total billed charges,653.5823326,,,,,,,,,,2701.8,percent of total billed charges,,,,,
**CLOSED PROCEDURE/UPPER 2/3 FEMUR,0,CDM,0059-1289-30,NDC,,both,1,EA,1077,1077,229.2760084,1077,1077,percent of total billed charges,792.3871612,,,,1077,percent of total billed charges,839.9147235,,,,1077,percent of total billed charges,792.3871612,,,,1077,percent of total billed charges,839.9147235,,,,1077,percent of total billed charges,999999999,,,,1077,percent of total billed charges,820.5999782,,,,1077,percent of total billed charges,792.3871612,,,,1077,percent of total billed charges,839.9147235,,,,767.901,percent of total billed charges,383.1966516,,,,767.901,percent of total billed charges,229.2760084,,,,767.901,percent of total billed charges,383.1966516,,,,767.901,percent of total billed charges,229.2760084,,,,767.901,percent of total billed charges,383.1966516,,,,767.901,percent of total billed charges,229.2760084,,,,760.362,percent of total billed charges,754.5929268,,,,760.362,percent of total billed charges,520.4367607,,,,,,,,,,775.44,percent of total billed charges,504.0177523,,,,,,,,,,775.44,percent of total billed charges,999999999,,,,,,,,,,861.6,percent of total billed charges,721.9760125,,,,850.83,percent of total billed charges,821.0875654,,,,850.83,percent of total billed charges,725.4580433,,,,861.6,percent of total billed charges,999999999,,,,861.6,percent of total billed charges,999999999,,,,753.9,percent of total billed charges,999999999,,,,753.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,572.964,percent of total billed charges,999999999,,,,,,,,,,,,,,,,543.885,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,269.25,percent of total billed charges,255.721639,,,,,,,,,,269.25,percent of total billed charges,251.4678836,,,,,,,,,,269.25,percent of total billed charges,250.7690651,,,,,,,,,,269.25,percent of total billed charges,247.0764937,,,,,,,,,,269.25,percent of total billed charges,253.4341351,,,,,,,,,,269.25,percent of total billed charges,999999999,,,,,,,,,,269.25,percent of total billed charges,217.4643347,,,,,,,,,,269.25,percent of total billed charges,342.9562521,,,,,,,,,,269.25,percent of total billed charges,999999999,,,,,,,,,,269.25,percent of total billed charges,234.4797376,,,,,,,,,,969.3,percent of total billed charges,,,,,
**OPEN PROCEDURE /UPPER 2/3 FEMUR,0,CDM,0059-1289-30,NDC,,both,1,EA,1611,1611,342.9560348,1611,1611,percent of total billed charges,1185.269932,,,,1611,percent of total billed charges,1256.362692,,,,1611,percent of total billed charges,1185.269932,,,,1611,percent of total billed charges,1256.362692,,,,1611,percent of total billed charges,999999999,,,,1611,percent of total billed charges,1227.471277,,,,1611,percent of total billed charges,1185.269932,,,,1611,percent of total billed charges,1256.362692,,,,1148.643,percent of total billed charges,573.1938772,,,,1148.643,percent of total billed charges,342.9560348,,,,1148.643,percent of total billed charges,573.1938772,,,,1148.643,percent of total billed charges,342.9560348,,,,1148.643,percent of total billed charges,573.1938772,,,,1148.643,percent of total billed charges,342.9560348,,,,1137.366,percent of total billed charges,1128.736495,,,,1137.366,percent of total billed charges,778.4806142,,,,,,,,,,1159.92,percent of total billed charges,753.9207046,,,,,,,,,,1159.92,percent of total billed charges,999999999,,,,,,,,,,1288.8,percent of total billed charges,1079.947406,,,,1272.69,percent of total billed charges,1228.20062,,,,1272.69,percent of total billed charges,1085.155903,,,,1288.8,percent of total billed charges,999999999,,,,1288.8,percent of total billed charges,999999999,,,,1127.7,percent of total billed charges,999999999,,,,1127.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,857.052,percent of total billed charges,999999999,,,,,,,,,,,,,,,,813.555,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,402.75,percent of total billed charges,382.5139837,,,,,,,,,,402.75,percent of total billed charges,376.1511239,,,,,,,,,,402.75,percent of total billed charges,375.105816,,,,,,,,,,402.75,percent of total billed charges,369.5823875,,,,,,,,,,402.75,percent of total billed charges,379.0922856,,,,,,,,,,402.75,percent of total billed charges,999999999,,,,,,,,,,402.75,percent of total billed charges,325.2878767,,,,,,,,,,402.75,percent of total billed charges,513.0014134,,,,,,,,,,402.75,percent of total billed charges,999999999,,,,,,,,,,402.75,percent of total billed charges,350.739886,,,,,,,,,,1449.9,percent of total billed charges,,,,,
**AMPUTATION,0,CDM,0059-1289-30,NDC,,both,1,EA,1341,1341,285.4773697,1341,1341,percent of total billed charges,986.62134,,,,1341,percent of total billed charges,1045.799113,,,,1341,percent of total billed charges,986.62134,,,,1341,percent of total billed charges,1045.799113,,,,1341,percent of total billed charges,999999999,,,,1341,percent of total billed charges,1021.749834,,,,1341,percent of total billed charges,986.62134,,,,1341,percent of total billed charges,1045.799113,,,,956.133,percent of total billed charges,477.1278643,,,,956.133,percent of total billed charges,285.4773697,,,,956.133,percent of total billed charges,477.1278643,,,,956.133,percent of total billed charges,285.4773697,,,,956.133,percent of total billed charges,477.1278643,,,,956.133,percent of total billed charges,285.4773697,,,,946.746,percent of total billed charges,939.5627807,,,,946.746,percent of total billed charges,648.0090028,,,,,,,,,,965.52,percent of total billed charges,627.5652793,,,,,,,,,,965.52,percent of total billed charges,999999999,,,,,,,,,,1072.8,percent of total billed charges,898.950634,,,,1059.39,percent of total billed charges,1022.356941,,,,1059.39,percent of total billed charges,903.2861987,,,,1072.8,percent of total billed charges,999999999,,,,1072.8,percent of total billed charges,999999999,,,,938.7,percent of total billed charges,999999999,,,,938.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,713.412,percent of total billed charges,999999999,,,,,,,,,,,,,,,,677.205,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,335.25,percent of total billed charges,318.4054949,,,,,,,,,,335.25,percent of total billed charges,313.1090361,,,,,,,,,,335.25,percent of total billed charges,312.2389195,,,,,,,,,,335.25,percent of total billed charges,307.6412052,,,,,,,,,,335.25,percent of total billed charges,315.5572657,,,,,,,,,,335.25,percent of total billed charges,999999999,,,,,,,,,,335.25,percent of total billed charges,270.7703555,,,,,,,,,,335.25,percent of total billed charges,427.0235229,,,,,,,,,,335.25,percent of total billed charges,999999999,,,,,,,,,,335.25,percent of total billed charges,291.9566649,,,,,,,,,,1206.9,percent of total billed charges,,,,,
**UPPER LEG,0,CDM,0059-1289-30,NDC,,both,1,EA,1077,1077,229.2760084,1077,1077,percent of total billed charges,792.3871612,,,,1077,percent of total billed charges,839.9147235,,,,1077,percent of total billed charges,792.3871612,,,,1077,percent of total billed charges,839.9147235,,,,1077,percent of total billed charges,999999999,,,,1077,percent of total billed charges,820.5999782,,,,1077,percent of total billed charges,792.3871612,,,,1077,percent of total billed charges,839.9147235,,,,767.901,percent of total billed charges,383.1966516,,,,767.901,percent of total billed charges,229.2760084,,,,767.901,percent of total billed charges,383.1966516,,,,767.901,percent of total billed charges,229.2760084,,,,767.901,percent of total billed charges,383.1966516,,,,767.901,percent of total billed charges,229.2760084,,,,760.362,percent of total billed charges,754.5929268,,,,760.362,percent of total billed charges,520.4367607,,,,,,,,,,775.44,percent of total billed charges,504.0177523,,,,,,,,,,775.44,percent of total billed charges,999999999,,,,,,,,,,861.6,percent of total billed charges,721.9760125,,,,850.83,percent of total billed charges,821.0875654,,,,850.83,percent of total billed charges,725.4580433,,,,861.6,percent of total billed charges,999999999,,,,861.6,percent of total billed charges,999999999,,,,753.9,percent of total billed charges,999999999,,,,753.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,572.964,percent of total billed charges,999999999,,,,,,,,,,,,,,,,543.885,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,269.25,percent of total billed charges,255.721639,,,,,,,,,,269.25,percent of total billed charges,251.4678836,,,,,,,,,,269.25,percent of total billed charges,250.7690651,,,,,,,,,,269.25,percent of total billed charges,247.0764937,,,,,,,,,,269.25,percent of total billed charges,253.4341351,,,,,,,,,,269.25,percent of total billed charges,999999999,,,,,,,,,,269.25,percent of total billed charges,217.4643347,,,,,,,,,,269.25,percent of total billed charges,342.9562521,,,,,,,,,,269.25,percent of total billed charges,999999999,,,,,,,,,,269.25,percent of total billed charges,234.4797376,,,,,,,,,,969.3,percent of total billed charges,,,,,
**TOTAL HIP,0,CDM,0059-1289-30,NDC,,both,1,EA,2144,2144,456.4231773,2144,2144,percent of total billed charges,1577.416967,,,,2144,percent of total billed charges,1672.030796,,,,2144,percent of total billed charges,1577.416967,,,,2144,percent of total billed charges,1672.030796,,,,2144,percent of total billed charges,999999999,,,,2144,percent of total billed charges,1633.580644,,,,2144,percent of total billed charges,1577.416967,,,,2144,percent of total billed charges,1672.030796,,,,1528.672,percent of total billed charges,762.8353028,,,,1528.672,percent of total billed charges,456.4231773,,,,1528.672,percent of total billed charges,762.8353028,,,,1528.672,percent of total billed charges,456.4231773,,,,1528.672,percent of total billed charges,762.8353028,,,,1528.672,percent of total billed charges,456.4231773,,,,1513.664,percent of total billed charges,1502.17942,,,,1513.664,percent of total billed charges,1036.041239,,,,,,,,,,1543.68,percent of total billed charges,1003.355674,,,,,,,,,,1543.68,percent of total billed charges,999999999,,,,,,,,,,1715.2,percent of total billed charges,1437.248441,,,,1693.76,percent of total billed charges,1634.551291,,,,1693.76,percent of total billed charges,1444.180172,,,,1715.2,percent of total billed charges,999999999,,,,1715.2,percent of total billed charges,999999999,,,,1500.8,percent of total billed charges,999999999,,,,1500.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1140.608,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1082.72,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,536,percent of total billed charges,509.0688896,,,,,,,,,,536,percent of total billed charges,500.600875,,,,,,,,,,536,percent of total billed charges,499.2097266,,,,,,,,,,536,percent of total billed charges,491.8588695,,,,,,,,,,536,percent of total billed charges,504.5151213,,,,,,,,,,536,percent of total billed charges,999999999,,,,,,,,,,536,percent of total billed charges,432.909502,,,,,,,,,,536,percent of total billed charges,682.728138,,,,,,,,,,536,percent of total billed charges,999999999,,,,,,,,,,536,percent of total billed charges,466.7823188,,,,,,,,,,1929.6,percent of total billed charges,,,,,
**DIAG ARTHROSCOPIC KNEE JT,0,CDM,0059-1289-30,NDC,,both,1,EA,621,621,132.2009296,621,621,percent of total billed charges,456.8917615,,,,621,percent of total billed charges,484.2962333,,,,621,percent of total billed charges,456.8917615,,,,621,percent of total billed charges,484.2962333,,,,621,percent of total billed charges,999999999,,,,621,percent of total billed charges,473.1593189,,,,621,percent of total billed charges,456.8917615,,,,621,percent of total billed charges,484.2962333,,,,442.773,percent of total billed charges,220.9518298,,,,442.773,percent of total billed charges,132.2009296,,,,442.773,percent of total billed charges,220.9518298,,,,442.773,percent of total billed charges,132.2009296,,,,442.773,percent of total billed charges,220.9518298,,,,442.773,percent of total billed charges,132.2009296,,,,438.426,percent of total billed charges,435.0995428,,,,438.426,percent of total billed charges,300.084706,,,,,,,,,,447.12,percent of total billed charges,290.6174783,,,,,,,,,,447.12,percent of total billed charges,999999999,,,,,,,,,,496.8,percent of total billed charges,416.2925755,,,,490.59,percent of total billed charges,473.4404625,,,,490.59,percent of total billed charges,418.3003202,,,,496.8,percent of total billed charges,999999999,,,,496.8,percent of total billed charges,999999999,,,,434.7,percent of total billed charges,999999999,,,,434.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,330.372,percent of total billed charges,999999999,,,,,,,,,,,,,,,,313.605,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,155.25,percent of total billed charges,147.4495245,,,,,,,,,,155.25,percent of total billed charges,144.996802,,,,,,,,,,155.25,percent of total billed charges,144.593862,,,,,,,,,,155.25,percent of total billed charges,142.4647192,,,,,,,,,,155.25,percent of total billed charges,146.1305458,,,,,,,,,,155.25,percent of total billed charges,999999999,,,,,,,,,,155.25,percent of total billed charges,125.3902989,,,,,,,,,,155.25,percent of total billed charges,197.7491482,,,,,,,,,,155.25,percent of total billed charges,999999999,,,,,,,,,,155.25,percent of total billed charges,135.2014086,,,,,,,,,,558.9,percent of total billed charges,,,,,
**KNEE JOINT ARTHROSCOPY,0,CDM,0059-1289-30,NDC,,both,1,EA,2004,2004,426.619425,2004,2004,percent of total billed charges,1474.413994,,,,2004,percent of total billed charges,1562.84968,,,,2004,percent of total billed charges,1474.413994,,,,2004,percent of total billed charges,1562.84968,,,,2004,percent of total billed charges,999999999,,,,2004,percent of total billed charges,1526.910266,,,,2004,percent of total billed charges,1474.413994,,,,2004,percent of total billed charges,1562.84968,,,,1428.852,percent of total billed charges,713.023296,,,,1428.852,percent of total billed charges,426.619425,,,,1428.852,percent of total billed charges,713.023296,,,,1428.852,percent of total billed charges,426.619425,,,,1428.852,percent of total billed charges,713.023296,,,,1428.852,percent of total billed charges,426.619425,,,,1414.824,percent of total billed charges,1404.089346,,,,1414.824,percent of total billed charges,968.3892928,,,,,,,,,,1442.88,percent of total billed charges,937.838046,,,,,,,,,,1442.88,percent of total billed charges,999999999,,,,,,,,,,1603.2,percent of total billed charges,1343.398263,,,,1583.16,percent of total billed charges,1527.817531,,,,1583.16,percent of total billed charges,1349.877362,,,,1603.2,percent of total billed charges,999999999,,,,1603.2,percent of total billed charges,999999999,,,,1402.8,percent of total billed charges,999999999,,,,1402.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1066.128,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1012.02,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,501,percent of total billed charges,475.8274509,,,,,,,,,,501,percent of total billed charges,467.912385,,,,,,,,,,501,percent of total billed charges,466.6120766,,,,,,,,,,501,percent of total billed charges,459.7412194,,,,,,,,,,501,percent of total billed charges,471.5710368,,,,,,,,,,501,percent of total billed charges,999999999,,,,,,,,,,501,percent of total billed charges,404.6411577,,,,,,,,,,501,percent of total billed charges,638.1470096,,,,,,,,,,501,percent of total billed charges,999999999,,,,,,,,,,501,percent of total billed charges,436.3021301,,,,,,,,,,1803.6,percent of total billed charges,,,,,
**ARTHROSCOPIC ANKLE &/OR FOOT,0,CDM,0059-1289-30,NDC,,both,1,EA,1507,1507,320.8161045,1507,1507,percent of total billed charges,1108.753437,,,,1507,percent of total billed charges,1175.256721,,,,1507,percent of total billed charges,1108.753437,,,,1507,percent of total billed charges,1175.256721,,,,1507,percent of total billed charges,999999999,,,,1507,percent of total billed charges,1148.230425,,,,1507,percent of total billed charges,1108.753437,,,,1507,percent of total billed charges,1175.256721,,,,1074.491,percent of total billed charges,536.1906722,,,,1074.491,percent of total billed charges,320.8161045,,,,1074.491,percent of total billed charges,536.1906722,,,,1074.491,percent of total billed charges,320.8161045,,,,1074.491,percent of total billed charges,536.1906722,,,,1074.491,percent of total billed charges,320.8161045,,,,1063.942,percent of total billed charges,1055.869583,,,,1063.942,percent of total billed charges,728.2248824,,,,,,,,,,1085.04,percent of total billed charges,705.2504667,,,,,,,,,,1085.04,percent of total billed charges,999999999,,,,,,,,,,1205.6,percent of total billed charges,1010.230131,,,,1190.53,percent of total billed charges,1148.912684,,,,1190.53,percent of total billed charges,1015.102387,,,,1205.6,percent of total billed charges,999999999,,,,1205.6,percent of total billed charges,999999999,,,,1054.9,percent of total billed charges,999999999,,,,1054.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,801.724,percent of total billed charges,999999999,,,,,,,,,,,,,,,,761.035,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,376.75,percent of total billed charges,357.8203436,,,,,,,,,,376.75,percent of total billed charges,351.8682456,,,,,,,,,,376.75,percent of total billed charges,350.8904188,,,,,,,,,,376.75,percent of total billed charges,345.7235617,,,,,,,,,,376.75,percent of total billed charges,354.6195372,,,,,,,,,,376.75,percent of total billed charges,999999999,,,,,,,,,,376.75,percent of total billed charges,304.2885352,,,,,,,,,,376.75,percent of total billed charges,479.8840037,,,,,,,,,,376.75,percent of total billed charges,999999999,,,,,,,,,,376.75,percent of total billed charges,328.0974601,,,,,,,,,,1356.3,percent of total billed charges,,,,,
"**PROD/NERVE,MUSCLE,TENDONS,FASC",0,CDM,0059-1289-30,NDC,,both,1,EA,809,809,172.2231112,809,809,percent of total billed charges,595.2100403,,,,809,percent of total billed charges,630.910874,,,,809,percent of total billed charges,595.2100403,,,,809,percent of total billed charges,630.910874,,,,809,percent of total billed charges,999999999,,,,809,percent of total billed charges,616.4023978,,,,809,percent of total billed charges,595.2100403,,,,809,percent of total billed charges,630.910874,,,,576.817,percent of total billed charges,287.8422388,,,,576.817,percent of total billed charges,172.2231112,,,,576.817,percent of total billed charges,287.8422388,,,,576.817,percent of total billed charges,172.2231112,,,,576.817,percent of total billed charges,287.8422388,,,,576.817,percent of total billed charges,172.2231112,,,,571.154,percent of total billed charges,566.8204993,,,,571.154,percent of total billed charges,390.9316057,,,,,,,,,,582.48,percent of total billed charges,378.598293,,,,,,,,,,582.48,percent of total billed charges,999999999,,,,,,,,,,647.2,percent of total billed charges,542.3199574,,,,639.11,percent of total billed charges,616.768654,,,,639.11,percent of total billed charges,544.9355218,,,,647.2,percent of total billed charges,999999999,,,,647.2,percent of total billed charges,999999999,,,,566.3,percent of total billed charges,999999999,,,,566.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,430.388,percent of total billed charges,999999999,,,,,,,,,,,,,,,,408.545,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,202.25,percent of total billed charges,192.0880278,,,,,,,,,,202.25,percent of total billed charges,188.8927742,,,,,,,,,,202.25,percent of total billed charges,188.3678493,,,,,,,,,,202.25,percent of total billed charges,185.594135,,,,,,,,,,202.25,percent of total billed charges,190.3697449,,,,,,,,,,202.25,percent of total billed charges,999999999,,,,,,,,,,202.25,percent of total billed charges,163.350647,,,,,,,,,,202.25,percent of total billed charges,257.6152349,,,,,,,,,,202.25,percent of total billed charges,999999999,,,,,,,,,,202.25,percent of total billed charges,176.1319477,,,,,,,,,,728.1,percent of total billed charges,,,,,
"**BONES OF LOWER LEF,ANKLE,FOOT",1480,CDM,0059-1289-30,NDC,,both,1,EA,1507,1507,320.8161045,1507,1507,percent of total billed charges,1108.753437,,,,1507,percent of total billed charges,1175.256721,,,,1507,percent of total billed charges,1108.753437,,,,1507,percent of total billed charges,1175.256721,,,,1507,percent of total billed charges,999999999,,,,1507,percent of total billed charges,1148.230425,,,,1507,percent of total billed charges,1108.753437,,,,1507,percent of total billed charges,1175.256721,,,,1074.491,percent of total billed charges,536.1906722,,,,1074.491,percent of total billed charges,320.8161045,,,,1074.491,percent of total billed charges,536.1906722,,,,1074.491,percent of total billed charges,320.8161045,,,,1074.491,percent of total billed charges,536.1906722,,,,1074.491,percent of total billed charges,320.8161045,,,,1063.942,percent of total billed charges,1055.869583,,,,1063.942,percent of total billed charges,728.2248824,,,,,,,,,,1085.04,percent of total billed charges,705.2504667,,,,,,,,,,1085.04,percent of total billed charges,999999999,,,,,,,,,,1205.6,percent of total billed charges,1010.230131,,,,1190.53,percent of total billed charges,1148.912684,,,,1190.53,percent of total billed charges,1015.102387,,,,1205.6,percent of total billed charges,999999999,,,,1205.6,percent of total billed charges,999999999,,,,1054.9,percent of total billed charges,999999999,,,,1054.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,801.724,percent of total billed charges,999999999,,,,,,,,,,,,,,,,761.035,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,376.75,percent of total billed charges,357.8203436,,,,,,,,,,376.75,percent of total billed charges,351.8682456,,,,,,,,,,376.75,percent of total billed charges,350.8904188,,,,,,,,,,376.75,percent of total billed charges,345.7235617,,,,,,,,,,376.75,percent of total billed charges,354.6195372,,,,,,,,,,376.75,percent of total billed charges,999999999,,,,,,,,,,376.75,percent of total billed charges,304.2885352,,,,,,,,,,376.75,percent of total billed charges,479.8840037,,,,,,,,,,376.75,percent of total billed charges,999999999,,,,,,,,,,376.75,percent of total billed charges,328.0974601,,,,,,,,,,1356.3,percent of total billed charges,,,,,
**RADICAL RESECTION,0,CDM,0059-1289-30,NDC,,both,1,EA,2004,2004,426.619425,2004,2004,percent of total billed charges,1474.413994,,,,2004,percent of total billed charges,1562.84968,,,,2004,percent of total billed charges,1474.413994,,,,2004,percent of total billed charges,1562.84968,,,,2004,percent of total billed charges,999999999,,,,2004,percent of total billed charges,1526.910266,,,,2004,percent of total billed charges,1474.413994,,,,2004,percent of total billed charges,1562.84968,,,,1428.852,percent of total billed charges,713.023296,,,,1428.852,percent of total billed charges,426.619425,,,,1428.852,percent of total billed charges,713.023296,,,,1428.852,percent of total billed charges,426.619425,,,,1428.852,percent of total billed charges,713.023296,,,,1428.852,percent of total billed charges,426.619425,,,,1414.824,percent of total billed charges,1404.089346,,,,1414.824,percent of total billed charges,968.3892928,,,,,,,,,,1442.88,percent of total billed charges,937.838046,,,,,,,,,,1442.88,percent of total billed charges,999999999,,,,,,,,,,1603.2,percent of total billed charges,1343.398263,,,,1583.16,percent of total billed charges,1527.817531,,,,1583.16,percent of total billed charges,1349.877362,,,,1603.2,percent of total billed charges,999999999,,,,1603.2,percent of total billed charges,999999999,,,,1402.8,percent of total billed charges,999999999,,,,1402.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1066.128,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1012.02,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,501,percent of total billed charges,475.8274509,,,,,,,,,,501,percent of total billed charges,467.912385,,,,,,,,,,501,percent of total billed charges,466.6120766,,,,,,,,,,501,percent of total billed charges,459.7412194,,,,,,,,,,501,percent of total billed charges,471.5710368,,,,,,,,,,501,percent of total billed charges,999999999,,,,,,,,,,501,percent of total billed charges,404.6411577,,,,,,,,,,501,percent of total billed charges,638.1470096,,,,,,,,,,501,percent of total billed charges,999999999,,,,,,,,,,501,percent of total billed charges,436.3021301,,,,,,,,,,1803.6,percent of total billed charges,,,,,
**VEINS OF LOWER LEG NOT SPECIFIED,0,CDM,0059-1289-30,NDC,,both,1,EA,809,809,172.2231112,809,809,percent of total billed charges,595.2100403,,,,809,percent of total billed charges,630.910874,,,,809,percent of total billed charges,595.2100403,,,,809,percent of total billed charges,630.910874,,,,809,percent of total billed charges,999999999,,,,809,percent of total billed charges,616.4023978,,,,809,percent of total billed charges,595.2100403,,,,809,percent of total billed charges,630.910874,,,,576.817,percent of total billed charges,287.8422388,,,,576.817,percent of total billed charges,172.2231112,,,,576.817,percent of total billed charges,287.8422388,,,,576.817,percent of total billed charges,172.2231112,,,,576.817,percent of total billed charges,287.8422388,,,,576.817,percent of total billed charges,172.2231112,,,,571.154,percent of total billed charges,566.8204993,,,,571.154,percent of total billed charges,390.9316057,,,,,,,,,,582.48,percent of total billed charges,378.598293,,,,,,,,,,582.48,percent of total billed charges,999999999,,,,,,,,,,647.2,percent of total billed charges,542.3199574,,,,639.11,percent of total billed charges,616.768654,,,,639.11,percent of total billed charges,544.9355218,,,,647.2,percent of total billed charges,999999999,,,,647.2,percent of total billed charges,999999999,,,,566.3,percent of total billed charges,999999999,,,,566.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,430.388,percent of total billed charges,999999999,,,,,,,,,,,,,,,,408.545,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,202.25,percent of total billed charges,192.0880278,,,,,,,,,,202.25,percent of total billed charges,188.8927742,,,,,,,,,,202.25,percent of total billed charges,188.3678493,,,,,,,,,,202.25,percent of total billed charges,185.594135,,,,,,,,,,202.25,percent of total billed charges,190.3697449,,,,,,,,,,202.25,percent of total billed charges,999999999,,,,,,,,,,202.25,percent of total billed charges,163.350647,,,,,,,,,,202.25,percent of total billed charges,257.6152349,,,,,,,,,,202.25,percent of total billed charges,999999999,,,,,,,,,,202.25,percent of total billed charges,176.1319477,,,,,,,,,,728.1,percent of total billed charges,,,,,
**TOTAL KNEE,0,CDM,0059-1289-30,NDC,,both,1,EA,3505,3505,746.1582259,3505,3505,percent of total billed charges,2578.753018,,,,3505,percent of total billed charges,2733.427211,,,,3505,percent of total billed charges,2578.753018,,,,3505,percent of total billed charges,2733.427211,,,,3505,percent of total billed charges,999999999,,,,3505,percent of total billed charges,2670.569103,,,,3505,percent of total billed charges,2578.753018,,,,3505,percent of total billed charges,2733.427211,,,,2499.065,percent of total billed charges,1247.079168,,,,2499.065,percent of total billed charges,746.1582259,,,,2499.065,percent of total billed charges,1247.079168,,,,2499.065,percent of total billed charges,746.1582259,,,,2499.065,percent of total billed charges,1247.079168,,,,2499.065,percent of total billed charges,746.1582259,,,,2474.53,percent of total billed charges,2455.755068,,,,2474.53,percent of total billed charges,1693.714806,,,,,,,,,,2523.6,percent of total billed charges,1640.280614,,,,,,,,,,2523.6,percent of total billed charges,999999999,,,,,,,,,,2804,percent of total billed charges,2349.606243,,,,2768.95,percent of total billed charges,2672.155912,,,,2768.95,percent of total billed charges,2360.9382,,,,2804,percent of total billed charges,999999999,,,,2804,percent of total billed charges,999999999,,,,2453.5,percent of total billed charges,999999999,,,,2453.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1864.66,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1770.025,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,876.25,percent of total billed charges,832.2231614,,,,,,,,,,876.25,percent of total billed charges,818.3796954,,,,,,,,,,876.25,percent of total billed charges,816.1054533,,,,,,,,,,876.25,percent of total billed charges,804.0883104,,,,,,,,,,876.25,percent of total billed charges,824.7786847,,,,,,,,,,876.25,percent of total billed charges,999999999,,,,,,,,,,876.25,percent of total billed charges,707.7181924,,,,,,,,,,876.25,percent of total billed charges,1116.120393,,,,,,,,,,876.25,percent of total billed charges,999999999,,,,,,,,,,876.25,percent of total billed charges,763.0932963,,,,,,,,,,3154.5,percent of total billed charges,,,,,
**ANESTHESIA MINUTES,963,RC,0059-1289-30,NDC,,both,1,EA,24,24,5.109214671,24,24,percent of total billed charges,17.65765262,,,,24,percent of total billed charges,18.71676264,,,,24,percent of total billed charges,17.65765262,,,,24,percent of total billed charges,18.71676264,,,,24,percent of total billed charges,999999999,,,,24,percent of total billed charges,18.28635049,,,,24,percent of total billed charges,17.65765262,,,,24,percent of total billed charges,18.71676264,,,,17.112,percent of total billed charges,8.53920115,,,,17.112,percent of total billed charges,5.109214671,,,,17.112,percent of total billed charges,8.53920115,,,,17.112,percent of total billed charges,5.109214671,,,,17.112,percent of total billed charges,8.53920115,,,,17.112,percent of total billed charges,5.109214671,,,,16.944,percent of total billed charges,16.81544127,,,,16.944,percent of total billed charges,11.59747656,,,,,,,,,,17.28,percent of total billed charges,11.23159337,,,,,,,,,,17.28,percent of total billed charges,999999999,,,,,,,,,,19.2,percent of total billed charges,16.08860195,,,,18.96,percent of total billed charges,18.29721594,,,,18.96,percent of total billed charges,16.16619595,,,,19.2,percent of total billed charges,999999999,,,,19.2,percent of total billed charges,999999999,,,,16.8,percent of total billed charges,999999999,,,,16.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,12.768,percent of total billed charges,999999999,,,,,,,,,,,,,,,,12.12,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6,percent of total billed charges,5.698532346,,,,,,,,,,6,percent of total billed charges,5.603741138,,,,,,,,,,6,percent of total billed charges,5.588168582,,,,,,,,,,6,percent of total billed charges,5.505882867,,,,,,,,,,6,percent of total billed charges,5.647557328,,,,,,,,,,6,percent of total billed charges,999999999,,,,,,,,,,6,percent of total billed charges,4.846001888,,,,,,,,,,6,percent of total billed charges,7.642479156,,,,,,,,,,6,percent of total billed charges,999999999,,,,,,,,,,6,percent of total billed charges,5.22517521,,,,,,,,,,21.6,percent of total billed charges,,,,,
**AXILLA NERVES MUSC TENDONS FASCIA SHOU,1610,CDM,0059-1289-30,NDC,,both,1,EA,2501,2501,532.4227455,2501,2501,percent of total billed charges,1840.07455,,,,2501,percent of total billed charges,1950.44264,,,,2501,percent of total billed charges,1840.07455,,,,2501,percent of total billed charges,1950.44264,,,,2501,percent of total billed charges,999999999,,,,2501,percent of total billed charges,1905.590107,,,,2501,percent of total billed charges,1840.07455,,,,2501,percent of total billed charges,1950.44264,,,,1783.213,percent of total billed charges,889.8559199,,,,1783.213,percent of total billed charges,532.4227455,,,,1783.213,percent of total billed charges,889.8559199,,,,1783.213,percent of total billed charges,532.4227455,,,,1783.213,percent of total billed charges,889.8559199,,,,1783.213,percent of total billed charges,532.4227455,,,,1765.706,percent of total billed charges,1752.309109,,,,1765.706,percent of total billed charges,1208.553703,,,,,,,,,,1800.72,percent of total billed charges,1170.425625,,,,,,,,,,1800.72,percent of total billed charges,999999999,,,,,,,,,,2000.8,percent of total billed charges,1676.566395,,,,1975.79,percent of total billed charges,1906.722378,,,,1975.79,percent of total billed charges,1684.652336,,,,2000.8,percent of total billed charges,999999999,,,,2000.8,percent of total billed charges,999999999,,,,1750.7,percent of total billed charges,999999999,,,,1750.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1330.532,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1263.005,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,625.25,percent of total billed charges,593.8345583,,,,,,,,,,625.25,percent of total billed charges,583.9565244,,,,,,,,,,625.25,percent of total billed charges,582.3337343,,,,,,,,,,625.25,percent of total billed charges,573.7588771,,,,,,,,,,625.25,percent of total billed charges,588.5225365,,,,,,,,,,625.25,percent of total billed charges,999999999,,,,,,,,,,625.25,percent of total billed charges,504.9937801,,,,,,,,,,625.25,percent of total billed charges,796.4100154,,,,,,,,,,625.25,percent of total billed charges,999999999,,,,,,,,,,625.25,percent of total billed charges,544.5068,,,,,,,,,,2250.9,percent of total billed charges,,,,,
**DX ARTHROSCOPY SHOULDER JT,0,CDM,0059-1289-30,NDC,,both,1,EA,1077,1077,229.2760084,1077,1077,percent of total billed charges,792.3871612,,,,1077,percent of total billed charges,839.9147235,,,,1077,percent of total billed charges,792.3871612,,,,1077,percent of total billed charges,839.9147235,,,,1077,percent of total billed charges,999999999,,,,1077,percent of total billed charges,820.5999782,,,,1077,percent of total billed charges,792.3871612,,,,1077,percent of total billed charges,839.9147235,,,,767.901,percent of total billed charges,383.1966516,,,,767.901,percent of total billed charges,229.2760084,,,,767.901,percent of total billed charges,383.1966516,,,,767.901,percent of total billed charges,229.2760084,,,,767.901,percent of total billed charges,383.1966516,,,,767.901,percent of total billed charges,229.2760084,,,,760.362,percent of total billed charges,754.5929268,,,,760.362,percent of total billed charges,520.4367607,,,,,,,,,,775.44,percent of total billed charges,504.0177523,,,,,,,,,,775.44,percent of total billed charges,999999999,,,,,,,,,,861.6,percent of total billed charges,721.9760125,,,,850.83,percent of total billed charges,821.0875654,,,,850.83,percent of total billed charges,725.4580433,,,,861.6,percent of total billed charges,999999999,,,,861.6,percent of total billed charges,999999999,,,,753.9,percent of total billed charges,999999999,,,,753.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,572.964,percent of total billed charges,999999999,,,,,,,,,,,,,,,,543.885,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,269.25,percent of total billed charges,255.721639,,,,,,,,,,269.25,percent of total billed charges,251.4678836,,,,,,,,,,269.25,percent of total billed charges,250.7690651,,,,,,,,,,269.25,percent of total billed charges,247.0764937,,,,,,,,,,269.25,percent of total billed charges,253.4341351,,,,,,,,,,269.25,percent of total billed charges,999999999,,,,,,,,,,269.25,percent of total billed charges,217.4643347,,,,,,,,,,269.25,percent of total billed charges,342.9562521,,,,,,,,,,269.25,percent of total billed charges,999999999,,,,,,,,,,269.25,percent of total billed charges,234.4797376,,,,,,,,,,969.3,percent of total billed charges,,,,,
"**HUMERAL HEAD & NECK, ETC",0,CDM,0059-1289-30,NDC,,both,1,EA,2501,2501,532.4227455,2501,2501,percent of total billed charges,1840.07455,,,,2501,percent of total billed charges,1950.44264,,,,2501,percent of total billed charges,1840.07455,,,,2501,percent of total billed charges,1950.44264,,,,2501,percent of total billed charges,999999999,,,,2501,percent of total billed charges,1905.590107,,,,2501,percent of total billed charges,1840.07455,,,,2501,percent of total billed charges,1950.44264,,,,1783.213,percent of total billed charges,889.8559199,,,,1783.213,percent of total billed charges,532.4227455,,,,1783.213,percent of total billed charges,889.8559199,,,,1783.213,percent of total billed charges,532.4227455,,,,1783.213,percent of total billed charges,889.8559199,,,,1783.213,percent of total billed charges,532.4227455,,,,1765.706,percent of total billed charges,1752.309109,,,,1765.706,percent of total billed charges,1208.553703,,,,,,,,,,1800.72,percent of total billed charges,1170.425625,,,,,,,,,,1800.72,percent of total billed charges,999999999,,,,,,,,,,2000.8,percent of total billed charges,1676.566395,,,,1975.79,percent of total billed charges,1906.722378,,,,1975.79,percent of total billed charges,1684.652336,,,,2000.8,percent of total billed charges,999999999,,,,2000.8,percent of total billed charges,999999999,,,,1750.7,percent of total billed charges,999999999,,,,1750.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1330.532,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1263.005,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,625.25,percent of total billed charges,593.8345583,,,,,,,,,,625.25,percent of total billed charges,583.9565244,,,,,,,,,,625.25,percent of total billed charges,582.3337343,,,,,,,,,,625.25,percent of total billed charges,573.7588771,,,,,,,,,,625.25,percent of total billed charges,588.5225365,,,,,,,,,,625.25,percent of total billed charges,999999999,,,,,,,,,,625.25,percent of total billed charges,504.9937801,,,,,,,,,,625.25,percent of total billed charges,796.4100154,,,,,,,,,,625.25,percent of total billed charges,999999999,,,,,,,,,,625.25,percent of total billed charges,544.5068,,,,,,,,,,2250.9,percent of total billed charges,,,,,
**UPPER ARM & ELBOW,0,CDM,0059-1289-30,NDC,,both,1,EA,751,751,159.8758424,751,751,percent of total billed charges,552.5373798,,,,751,percent of total billed charges,585.6786976,,,,751,percent of total billed charges,552.5373798,,,,751,percent of total billed charges,585.6786976,,,,751,percent of total billed charges,999999999,,,,751,percent of total billed charges,572.2103841,,,,751,percent of total billed charges,552.5373798,,,,751,percent of total billed charges,585.6786976,,,,535.463,percent of total billed charges,267.205836,,,,535.463,percent of total billed charges,159.8758424,,,,535.463,percent of total billed charges,267.205836,,,,535.463,percent of total billed charges,159.8758424,,,,535.463,percent of total billed charges,267.205836,,,,535.463,percent of total billed charges,159.8758424,,,,530.206,percent of total billed charges,526.1831829,,,,530.206,percent of total billed charges,362.9043707,,,,,,,,,,540.72,percent of total billed charges,351.4552757,,,,,,,,,,540.72,percent of total billed charges,999999999,,,,,,,,,,600.8,percent of total billed charges,503.4391694,,,,593.29,percent of total billed charges,572.5503822,,,,593.29,percent of total billed charges,505.867215,,,,600.8,percent of total billed charges,999999999,,,,600.8,percent of total billed charges,999999999,,,,525.7,percent of total billed charges,999999999,,,,525.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,399.532,percent of total billed charges,999999999,,,,,,,,,,,,,,,,379.255,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,187.75,percent of total billed charges,178.3165747,,,,,,,,,,187.75,percent of total billed charges,175.3503998,,,,,,,,,,187.75,percent of total billed charges,174.8631085,,,,,,,,,,187.75,percent of total billed charges,172.2882514,,,,,,,,,,187.75,percent of total billed charges,176.7214814,,,,,,,,,,187.75,percent of total billed charges,999999999,,,,,,,,,,187.75,percent of total billed charges,151.6394758,,,,,,,,,,187.75,percent of total billed charges,239.1459103,,,,,,,,,,187.75,percent of total billed charges,999999999,,,,,,,,,,187.75,percent of total billed charges,163.504441,,,,,,,,,,675.9,percent of total billed charges,,,,,
"**PROCD,NERVE,MUSCLE,TENDONS,FASC",0,CDM,0059-1289-30,NDC,,both,1,EA,1507,1507,320.8161045,1507,1507,percent of total billed charges,1108.753437,,,,1507,percent of total billed charges,1175.256721,,,,1507,percent of total billed charges,1108.753437,,,,1507,percent of total billed charges,1175.256721,,,,1507,percent of total billed charges,999999999,,,,1507,percent of total billed charges,1148.230425,,,,1507,percent of total billed charges,1108.753437,,,,1507,percent of total billed charges,1175.256721,,,,1074.491,percent of total billed charges,536.1906722,,,,1074.491,percent of total billed charges,320.8161045,,,,1074.491,percent of total billed charges,536.1906722,,,,1074.491,percent of total billed charges,320.8161045,,,,1074.491,percent of total billed charges,536.1906722,,,,1074.491,percent of total billed charges,320.8161045,,,,1063.942,percent of total billed charges,1055.869583,,,,1063.942,percent of total billed charges,728.2248824,,,,,,,,,,1085.04,percent of total billed charges,705.2504667,,,,,,,,,,1085.04,percent of total billed charges,999999999,,,,,,,,,,1205.6,percent of total billed charges,1010.230131,,,,1190.53,percent of total billed charges,1148.912684,,,,1190.53,percent of total billed charges,1015.102387,,,,1205.6,percent of total billed charges,999999999,,,,1205.6,percent of total billed charges,999999999,,,,1054.9,percent of total billed charges,999999999,,,,1054.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,801.724,percent of total billed charges,999999999,,,,,,,,,,,,,,,,761.035,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,376.75,percent of total billed charges,357.8203436,,,,,,,,,,376.75,percent of total billed charges,351.8682456,,,,,,,,,,376.75,percent of total billed charges,350.8904188,,,,,,,,,,376.75,percent of total billed charges,345.7235617,,,,,,,,,,376.75,percent of total billed charges,354.6195372,,,,,,,,,,376.75,percent of total billed charges,999999999,,,,,,,,,,376.75,percent of total billed charges,304.2885352,,,,,,,,,,376.75,percent of total billed charges,479.8840037,,,,,,,,,,376.75,percent of total billed charges,999999999,,,,,,,,,,376.75,percent of total billed charges,328.0974601,,,,,,,,,,1356.3,percent of total billed charges,,,,,
"**ALL CLSD PRC,RADIUS URNA,WRIST,HAND BO",1820,CDM,0059-1289-30,NDC,,both,1,EA,809,809,172.2231112,809,809,percent of total billed charges,595.2100403,,,,809,percent of total billed charges,630.910874,,,,809,percent of total billed charges,595.2100403,,,,809,percent of total billed charges,630.910874,,,,809,percent of total billed charges,999999999,,,,809,percent of total billed charges,616.4023978,,,,809,percent of total billed charges,595.2100403,,,,809,percent of total billed charges,630.910874,,,,576.817,percent of total billed charges,287.8422388,,,,576.817,percent of total billed charges,172.2231112,,,,576.817,percent of total billed charges,287.8422388,,,,576.817,percent of total billed charges,172.2231112,,,,576.817,percent of total billed charges,287.8422388,,,,576.817,percent of total billed charges,172.2231112,,,,571.154,percent of total billed charges,566.8204993,,,,571.154,percent of total billed charges,390.9316057,,,,,,,,,,582.48,percent of total billed charges,378.598293,,,,,,,,,,582.48,percent of total billed charges,999999999,,,,,,,,,,647.2,percent of total billed charges,542.3199574,,,,639.11,percent of total billed charges,616.768654,,,,639.11,percent of total billed charges,544.9355218,,,,647.2,percent of total billed charges,999999999,,,,647.2,percent of total billed charges,999999999,,,,566.3,percent of total billed charges,999999999,,,,566.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,430.388,percent of total billed charges,999999999,,,,,,,,,,,,,,,,408.545,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,202.25,percent of total billed charges,192.0880278,,,,,,,,,,202.25,percent of total billed charges,188.8927742,,,,,,,,,,202.25,percent of total billed charges,188.3678493,,,,,,,,,,202.25,percent of total billed charges,185.594135,,,,,,,,,,202.25,percent of total billed charges,190.3697449,,,,,,,,,,202.25,percent of total billed charges,999999999,,,,,,,,,,202.25,percent of total billed charges,163.350647,,,,,,,,,,202.25,percent of total billed charges,257.6152349,,,,,,,,,,202.25,percent of total billed charges,999999999,,,,,,,,,,202.25,percent of total billed charges,176.1319477,,,,,,,,,,728.1,percent of total billed charges,,,,,
**HAND OPEN PROC ON RADIAL ULNAR BONES,1830,CDM,0059-1289-30,NDC,,both,1,EA,809,809,172.2231112,809,809,percent of total billed charges,595.2100403,,,,809,percent of total billed charges,630.910874,,,,809,percent of total billed charges,595.2100403,,,,809,percent of total billed charges,630.910874,,,,809,percent of total billed charges,999999999,,,,809,percent of total billed charges,616.4023978,,,,809,percent of total billed charges,595.2100403,,,,809,percent of total billed charges,630.910874,,,,576.817,percent of total billed charges,287.8422388,,,,576.817,percent of total billed charges,172.2231112,,,,576.817,percent of total billed charges,287.8422388,,,,576.817,percent of total billed charges,172.2231112,,,,576.817,percent of total billed charges,287.8422388,,,,576.817,percent of total billed charges,172.2231112,,,,571.154,percent of total billed charges,566.8204993,,,,571.154,percent of total billed charges,390.9316057,,,,,,,,,,582.48,percent of total billed charges,378.598293,,,,,,,,,,582.48,percent of total billed charges,999999999,,,,,,,,,,647.2,percent of total billed charges,542.3199574,,,,639.11,percent of total billed charges,616.768654,,,,639.11,percent of total billed charges,544.9355218,,,,647.2,percent of total billed charges,999999999,,,,647.2,percent of total billed charges,999999999,,,,566.3,percent of total billed charges,999999999,,,,566.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,430.388,percent of total billed charges,999999999,,,,,,,,,,,,,,,,408.545,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,202.25,percent of total billed charges,192.0880278,,,,,,,,,,202.25,percent of total billed charges,188.8927742,,,,,,,,,,202.25,percent of total billed charges,188.3678493,,,,,,,,,,202.25,percent of total billed charges,185.594135,,,,,,,,,,202.25,percent of total billed charges,190.3697449,,,,,,,,,,202.25,percent of total billed charges,999999999,,,,,,,,,,202.25,percent of total billed charges,163.350647,,,,,,,,,,202.25,percent of total billed charges,257.6152349,,,,,,,,,,202.25,percent of total billed charges,999999999,,,,,,,,,,202.25,percent of total billed charges,176.1319477,,,,,,,,,,728.1,percent of total billed charges,,,,,
**ELBOW REDUCTION,0,CDM,0059-1289-30,NDC,,both,1,EA,701,701,149.2316452,701,701,percent of total billed charges,515.7506035,,,,701,percent of total billed charges,546.6854421,,,,701,percent of total billed charges,515.7506035,,,,701,percent of total billed charges,546.6854421,,,,701,percent of total billed charges,999999999,,,,701,percent of total billed charges,534.1138206,,,,701,percent of total billed charges,515.7506035,,,,701,percent of total billed charges,546.6854421,,,,499.813,percent of total billed charges,249.4158336,,,,499.813,percent of total billed charges,149.2316452,,,,499.813,percent of total billed charges,249.4158336,,,,499.813,percent of total billed charges,149.2316452,,,,499.813,percent of total billed charges,249.4158336,,,,499.813,percent of total billed charges,149.2316452,,,,494.906,percent of total billed charges,491.1510136,,,,494.906,percent of total billed charges,338.7429612,,,,,,,,,,504.72,percent of total billed charges,328.0561229,,,,,,,,,,504.72,percent of total billed charges,999999999,,,,,,,,,,560.8,percent of total billed charges,469.9212486,,,,553.79,percent of total billed charges,534.4311823,,,,553.79,percent of total billed charges,472.1876401,,,,560.8,percent of total billed charges,999999999,,,,560.8,percent of total billed charges,999999999,,,,490.7,percent of total billed charges,999999999,,,,490.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,372.932,percent of total billed charges,999999999,,,,,,,,,,,,,,,,354.005,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,175.25,percent of total billed charges,166.4446323,,,,,,,,,,175.25,percent of total billed charges,163.6759391,,,,,,,,,,175.25,percent of total billed charges,163.2210907,,,,,,,,,,175.25,percent of total billed charges,160.8176621,,,,,,,,,,175.25,percent of total billed charges,164.9557369,,,,,,,,,,175.25,percent of total billed charges,999999999,,,,,,,,,,175.25,percent of total billed charges,141.5436385,,,,,,,,,,175.25,percent of total billed charges,223.2240787,,,,,,,,,,175.25,percent of total billed charges,999999999,,,,,,,,,,175.25,percent of total billed charges,152.6186593,,,,,,,,,,630.9,percent of total billed charges,,,,,
**NON-INVASIVE OR RAD.THERAPY,0,CDM,0059-1289-30,NDC,,both,1,EA,3505,3505,746.1582259,3505,3505,percent of total billed charges,2578.753018,,,,3505,percent of total billed charges,2733.427211,,,,3505,percent of total billed charges,2578.753018,,,,3505,percent of total billed charges,2733.427211,,,,3505,percent of total billed charges,999999999,,,,3505,percent of total billed charges,2670.569103,,,,3505,percent of total billed charges,2578.753018,,,,3505,percent of total billed charges,2733.427211,,,,2499.065,percent of total billed charges,1247.079168,,,,2499.065,percent of total billed charges,746.1582259,,,,2499.065,percent of total billed charges,1247.079168,,,,2499.065,percent of total billed charges,746.1582259,,,,2499.065,percent of total billed charges,1247.079168,,,,2499.065,percent of total billed charges,746.1582259,,,,2474.53,percent of total billed charges,2455.755068,,,,2474.53,percent of total billed charges,1693.714806,,,,,,,,,,2523.6,percent of total billed charges,1640.280614,,,,,,,,,,2523.6,percent of total billed charges,999999999,,,,,,,,,,2804,percent of total billed charges,2349.606243,,,,2768.95,percent of total billed charges,2672.155912,,,,2768.95,percent of total billed charges,2360.9382,,,,2804,percent of total billed charges,999999999,,,,2804,percent of total billed charges,999999999,,,,2453.5,percent of total billed charges,999999999,,,,2453.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1864.66,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1770.025,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,876.25,percent of total billed charges,832.2231614,,,,,,,,,,876.25,percent of total billed charges,818.3796954,,,,,,,,,,876.25,percent of total billed charges,816.1054533,,,,,,,,,,876.25,percent of total billed charges,804.0883104,,,,,,,,,,876.25,percent of total billed charges,824.7786847,,,,,,,,,,876.25,percent of total billed charges,999999999,,,,,,,,,,876.25,percent of total billed charges,707.7181924,,,,,,,,,,876.25,percent of total billed charges,1116.120393,,,,,,,,,,876.25,percent of total billed charges,999999999,,,,,,,,,,876.25,percent of total billed charges,763.0932963,,,,,,,,,,3154.5,percent of total billed charges,,,,,
**VAGINAL DELIVERY,0,CDM,0059-1289-30,NDC,,both,1,EA,2501,2501,532.4227455,2501,2501,percent of total billed charges,1840.07455,,,,2501,percent of total billed charges,1950.44264,,,,2501,percent of total billed charges,1840.07455,,,,2501,percent of total billed charges,1950.44264,,,,2501,percent of total billed charges,999999999,,,,2501,percent of total billed charges,1905.590107,,,,2501,percent of total billed charges,1840.07455,,,,2501,percent of total billed charges,1950.44264,,,,1783.213,percent of total billed charges,889.8559199,,,,1783.213,percent of total billed charges,532.4227455,,,,1783.213,percent of total billed charges,889.8559199,,,,1783.213,percent of total billed charges,532.4227455,,,,1783.213,percent of total billed charges,889.8559199,,,,1783.213,percent of total billed charges,532.4227455,,,,1765.706,percent of total billed charges,1752.309109,,,,1765.706,percent of total billed charges,1208.553703,,,,,,,,,,1800.72,percent of total billed charges,1170.425625,,,,,,,,,,1800.72,percent of total billed charges,999999999,,,,,,,,,,2000.8,percent of total billed charges,1676.566395,,,,1975.79,percent of total billed charges,1906.722378,,,,1975.79,percent of total billed charges,1684.652336,,,,2000.8,percent of total billed charges,999999999,,,,2000.8,percent of total billed charges,999999999,,,,1750.7,percent of total billed charges,999999999,,,,1750.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1330.532,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1263.005,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,625.25,percent of total billed charges,593.8345583,,,,,,,,,,625.25,percent of total billed charges,583.9565244,,,,,,,,,,625.25,percent of total billed charges,582.3337343,,,,,,,,,,625.25,percent of total billed charges,573.7588771,,,,,,,,,,625.25,percent of total billed charges,588.5225365,,,,,,,,,,625.25,percent of total billed charges,999999999,,,,,,,,,,625.25,percent of total billed charges,504.9937801,,,,,,,,,,625.25,percent of total billed charges,796.4100154,,,,,,,,,,625.25,percent of total billed charges,999999999,,,,,,,,,,625.25,percent of total billed charges,544.5068,,,,,,,,,,2250.9,percent of total billed charges,,,,,
**SPONTANEOUS ABORTION,0,CDM,0059-1289-30,NDC,,both,1,EA,2004,2004,426.619425,2004,2004,percent of total billed charges,1474.413994,,,,2004,percent of total billed charges,1562.84968,,,,2004,percent of total billed charges,1474.413994,,,,2004,percent of total billed charges,1562.84968,,,,2004,percent of total billed charges,999999999,,,,2004,percent of total billed charges,1526.910266,,,,2004,percent of total billed charges,1474.413994,,,,2004,percent of total billed charges,1562.84968,,,,1428.852,percent of total billed charges,713.023296,,,,1428.852,percent of total billed charges,426.619425,,,,1428.852,percent of total billed charges,713.023296,,,,1428.852,percent of total billed charges,426.619425,,,,1428.852,percent of total billed charges,713.023296,,,,1428.852,percent of total billed charges,426.619425,,,,1414.824,percent of total billed charges,1404.089346,,,,1414.824,percent of total billed charges,968.3892928,,,,,,,,,,1442.88,percent of total billed charges,937.838046,,,,,,,,,,1442.88,percent of total billed charges,999999999,,,,,,,,,,1603.2,percent of total billed charges,1343.398263,,,,1583.16,percent of total billed charges,1527.817531,,,,1583.16,percent of total billed charges,1349.877362,,,,1603.2,percent of total billed charges,999999999,,,,1603.2,percent of total billed charges,999999999,,,,1402.8,percent of total billed charges,999999999,,,,1402.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1066.128,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1012.02,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,501,percent of total billed charges,475.8274509,,,,,,,,,,501,percent of total billed charges,467.912385,,,,,,,,,,501,percent of total billed charges,466.6120766,,,,,,,,,,501,percent of total billed charges,459.7412194,,,,,,,,,,501,percent of total billed charges,471.5710368,,,,,,,,,,501,percent of total billed charges,999999999,,,,,,,,,,501,percent of total billed charges,404.6411577,,,,,,,,,,501,percent of total billed charges,638.1470096,,,,,,,,,,501,percent of total billed charges,999999999,,,,,,,,,,501,percent of total billed charges,436.3021301,,,,,,,,,,1803.6,percent of total billed charges,,,,,
**NEWBORN RESUSCITATION,99440,CDM,0059-1289-30,NDC,,both,1,EA,3999,3999,851.3228946,3999,3999,percent of total billed charges,2942.206367,,,,3999,percent of total billed charges,3118.680575,,,,3999,percent of total billed charges,2942.206367,,,,3999,percent of total billed charges,3118.680575,,,,3999,percent of total billed charges,999999999,,,,3999,percent of total billed charges,3046.96315,,,,3999,percent of total billed charges,2942.206367,,,,3999,percent of total billed charges,3118.680575,,,,2851.287,percent of total billed charges,1422.844392,,,,2851.287,percent of total billed charges,851.3228946,,,,2851.287,percent of total billed charges,1422.844392,,,,2851.287,percent of total billed charges,851.3228946,,,,2851.287,percent of total billed charges,1422.844392,,,,2851.287,percent of total billed charges,851.3228946,,,,2823.294,percent of total billed charges,2801.872901,,,,2823.294,percent of total billed charges,1932.429532,,,,,,,,,,2879.28,percent of total billed charges,1871.464244,,,,,,,,,,2879.28,percent of total billed charges,999999999,,,,,,,,,,3199.2,percent of total billed charges,2680.7633,,,,3159.21,percent of total billed charges,3048.773606,,,,3159.21,percent of total billed charges,2693.6924,,,,3199.2,percent of total billed charges,999999999,,,,3199.2,percent of total billed charges,999999999,,,,2799.3,percent of total billed charges,999999999,,,,2799.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2127.468,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2019.495,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,999.75,percent of total billed charges,949.5179522,,,,,,,,,,999.75,percent of total billed charges,933.7233672,,,,,,,,,,999.75,percent of total billed charges,931.1285899,,,,,,,,,,999.75,percent of total billed charges,917.4177327,,,,,,,,,,999.75,percent of total billed charges,941.0242397,,,,,,,,,,999.75,percent of total billed charges,999999999,,,,,,,,,,999.75,percent of total billed charges,807.4650646,,,,,,,,,,999.75,percent of total billed charges,1273.428089,,,,,,,,,,999.75,percent of total billed charges,999999999,,,,,,,,,,999.75,percent of total billed charges,870.6448194,,,,,,,,,,3599.1,percent of total billed charges,,,,,
**DAILY MANAGEMENT OF EPIDUR/SUBARACHNO,1996,CDM,0059-1289-30,NDC,,both,1,EA,809,809,172.2231112,809,809,percent of total billed charges,595.2100403,,,,809,percent of total billed charges,630.910874,,,,809,percent of total billed charges,595.2100403,,,,809,percent of total billed charges,630.910874,,,,809,percent of total billed charges,999999999,,,,809,percent of total billed charges,616.4023978,,,,809,percent of total billed charges,595.2100403,,,,809,percent of total billed charges,630.910874,,,,576.817,percent of total billed charges,287.8422388,,,,576.817,percent of total billed charges,172.2231112,,,,576.817,percent of total billed charges,287.8422388,,,,576.817,percent of total billed charges,172.2231112,,,,576.817,percent of total billed charges,287.8422388,,,,576.817,percent of total billed charges,172.2231112,,,,571.154,percent of total billed charges,566.8204993,,,,571.154,percent of total billed charges,390.9316057,,,,,,,,,,582.48,percent of total billed charges,378.598293,,,,,,,,,,582.48,percent of total billed charges,999999999,,,,,,,,,,647.2,percent of total billed charges,542.3199574,,,,639.11,percent of total billed charges,616.768654,,,,639.11,percent of total billed charges,544.9355218,,,,647.2,percent of total billed charges,999999999,,,,647.2,percent of total billed charges,999999999,,,,566.3,percent of total billed charges,999999999,,,,566.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,430.388,percent of total billed charges,999999999,,,,,,,,,,,,,,,,408.545,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,202.25,percent of total billed charges,192.0880278,,,,,,,,,,202.25,percent of total billed charges,188.8927742,,,,,,,,,,202.25,percent of total billed charges,188.3678493,,,,,,,,,,202.25,percent of total billed charges,185.594135,,,,,,,,,,202.25,percent of total billed charges,190.3697449,,,,,,,,,,202.25,percent of total billed charges,999999999,,,,,,,,,,202.25,percent of total billed charges,163.350647,,,,,,,,,,202.25,percent of total billed charges,257.6152349,,,,,,,,,,202.25,percent of total billed charges,999999999,,,,,,,,,,202.25,percent of total billed charges,176.1319477,,,,,,,,,,728.1,percent of total billed charges,,,,,
"**SPINAL PUNCTURE,DIAGNOSTIC",62270,CDM,0059-1289-30,NDC,,both,1,EA,2501,2501,532.4227455,2501,2501,percent of total billed charges,1840.07455,,,,2501,percent of total billed charges,1950.44264,,,,2501,percent of total billed charges,1840.07455,,,,2501,percent of total billed charges,1950.44264,,,,2501,percent of total billed charges,999999999,,,,2501,percent of total billed charges,1905.590107,,,,2501,percent of total billed charges,1840.07455,,,,2501,percent of total billed charges,1950.44264,,,,1783.213,percent of total billed charges,889.8559199,,,,1783.213,percent of total billed charges,532.4227455,,,,1783.213,percent of total billed charges,889.8559199,,,,1783.213,percent of total billed charges,532.4227455,,,,1783.213,percent of total billed charges,889.8559199,,,,1783.213,percent of total billed charges,532.4227455,,,,1765.706,percent of total billed charges,1752.309109,,,,1765.706,percent of total billed charges,1208.553703,,,,,,,,,,1800.72,percent of total billed charges,1170.425625,,,,,,,,,,1800.72,percent of total billed charges,999999999,,,,,,,,,,2000.8,percent of total billed charges,1676.566395,,,,1975.79,percent of total billed charges,1906.722378,,,,1975.79,percent of total billed charges,1684.652336,,,,2000.8,percent of total billed charges,999999999,,,,2000.8,percent of total billed charges,999999999,,,,1750.7,percent of total billed charges,999999999,,,,1750.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1330.532,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1263.005,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,625.25,percent of total billed charges,593.8345583,,,,,,,,,,625.25,percent of total billed charges,583.9565244,,,,,,,,,,625.25,percent of total billed charges,582.3337343,,,,,,,,,,625.25,percent of total billed charges,573.7588771,,,,,,,,,,625.25,percent of total billed charges,588.5225365,,,,,,,,,,625.25,percent of total billed charges,999999999,,,,,,,,,,625.25,percent of total billed charges,504.9937801,,,,,,,,,,625.25,percent of total billed charges,796.4100154,,,,,,,,,,625.25,percent of total billed charges,999999999,,,,,,,,,,625.25,percent of total billed charges,544.5068,,,,,,,,,,2250.9,percent of total billed charges,,,,,
"**SPINAL PUNCTURE, THERAPTIC",62272,CDM,0059-1289-30,NDC,,both,1,EA,1984,1984,422.3617461,1984,1984,percent of total billed charges,1459.699283,,,,1984,percent of total billed charges,1547.252378,,,,1984,percent of total billed charges,1459.699283,,,,1984,percent of total billed charges,1547.252378,,,,1984,percent of total billed charges,999999999,,,,1984,percent of total billed charges,1511.671641,,,,1984,percent of total billed charges,1459.699283,,,,1984,percent of total billed charges,1547.252378,,,,1414.592,percent of total billed charges,705.9072951,,,,1414.592,percent of total billed charges,422.3617461,,,,1414.592,percent of total billed charges,705.9072951,,,,1414.592,percent of total billed charges,422.3617461,,,,1414.592,percent of total billed charges,705.9072951,,,,1414.592,percent of total billed charges,422.3617461,,,,1400.704,percent of total billed charges,1390.076478,,,,1400.704,percent of total billed charges,958.724729,,,,,,,,,,1428.48,percent of total billed charges,928.4783848,,,,,,,,,,1428.48,percent of total billed charges,999999999,,,,,,,,,,1587.2,percent of total billed charges,1329.991095,,,,1567.36,percent of total billed charges,1512.569851,,,,1567.36,percent of total billed charges,1336.405532,,,,1587.2,percent of total billed charges,999999999,,,,1587.2,percent of total billed charges,999999999,,,,1388.8,percent of total billed charges,999999999,,,,1388.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1055.488,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1001.92,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,496,percent of total billed charges,471.078674,,,,,,,,,,496,percent of total billed charges,463.2426008,,,,,,,,,,496,percent of total billed charges,461.9552694,,,,,,,,,,496,percent of total billed charges,455.1529837,,,,,,,,,,496,percent of total billed charges,466.8647391,,,,,,,,,,496,percent of total billed charges,999999999,,,,,,,,,,496,percent of total billed charges,400.6028228,,,,,,,,,,496,percent of total billed charges,631.7782769,,,,,,,,,,496,percent of total billed charges,999999999,,,,,,,,,,496,percent of total billed charges,431.9478174,,,,,,,,,,1785.6,percent of total billed charges,,,,,
**INJ. EPIDURAL OF BLOOD OR CLOT PATCH,62273,CDM,0059-1289-30,NDC,,both,1,EA,3999,3999,851.3228946,3999,3999,percent of total billed charges,2942.206367,,,,3999,percent of total billed charges,3118.680575,,,,3999,percent of total billed charges,2942.206367,,,,3999,percent of total billed charges,3118.680575,,,,3999,percent of total billed charges,999999999,,,,3999,percent of total billed charges,3046.96315,,,,3999,percent of total billed charges,2942.206367,,,,3999,percent of total billed charges,3118.680575,,,,2851.287,percent of total billed charges,1422.844392,,,,2851.287,percent of total billed charges,851.3228946,,,,2851.287,percent of total billed charges,1422.844392,,,,2851.287,percent of total billed charges,851.3228946,,,,2851.287,percent of total billed charges,1422.844392,,,,2851.287,percent of total billed charges,851.3228946,,,,2823.294,percent of total billed charges,2801.872901,,,,2823.294,percent of total billed charges,1932.429532,,,,,,,,,,2879.28,percent of total billed charges,1871.464244,,,,,,,,,,2879.28,percent of total billed charges,999999999,,,,,,,,,,3199.2,percent of total billed charges,2680.7633,,,,3159.21,percent of total billed charges,3048.773606,,,,3159.21,percent of total billed charges,2693.6924,,,,3199.2,percent of total billed charges,999999999,,,,3199.2,percent of total billed charges,999999999,,,,2799.3,percent of total billed charges,999999999,,,,2799.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2127.468,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2019.495,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,999.75,percent of total billed charges,949.5179522,,,,,,,,,,999.75,percent of total billed charges,933.7233672,,,,,,,,,,999.75,percent of total billed charges,931.1285899,,,,,,,,,,999.75,percent of total billed charges,917.4177327,,,,,,,,,,999.75,percent of total billed charges,941.0242397,,,,,,,,,,999.75,percent of total billed charges,999999999,,,,,,,,,,999.75,percent of total billed charges,807.4650646,,,,,,,,,,999.75,percent of total billed charges,1273.428089,,,,,,,,,,999.75,percent of total billed charges,999999999,,,,,,,,,,999.75,percent of total billed charges,870.6448194,,,,,,,,,,3599.1,percent of total billed charges,,,,,
**INJ INCLUDE CATH PLCMNT CONTINUOUS,62319,CDM,0059-1289-30,NDC,,both,1,EA,4499,4499,957.7648669,4499,4499,percent of total billed charges,3310.07413,,,,4499,percent of total billed charges,3508.61313,,,,4499,percent of total billed charges,3310.07413,,,,4499,percent of total billed charges,3508.61313,,,,4499,percent of total billed charges,999999999,,,,4499,percent of total billed charges,3427.928786,,,,4499,percent of total billed charges,3310.07413,,,,4499,percent of total billed charges,3508.61313,,,,3207.787,percent of total billed charges,1600.744416,,,,3207.787,percent of total billed charges,957.7648669,,,,3207.787,percent of total billed charges,1600.744416,,,,3207.787,percent of total billed charges,957.7648669,,,,3207.787,percent of total billed charges,1600.744416,,,,3207.787,percent of total billed charges,957.7648669,,,,3176.294,percent of total billed charges,3152.194594,,,,3176.294,percent of total billed charges,2174.043627,,,,,,,,,,3239.28,percent of total billed charges,2105.455773,,,,,,,,,,3239.28,percent of total billed charges,999999999,,,,,,,,,,3599.2,percent of total billed charges,3015.942507,,,,3554.21,percent of total billed charges,3429.965605,,,,3554.21,percent of total billed charges,3030.488149,,,,3599.2,percent of total billed charges,999999999,,,,3599.2,percent of total billed charges,999999999,,,,3149.3,percent of total billed charges,999999999,,,,3149.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2393.468,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2271.995,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1124.75,percent of total billed charges,1068.237376,,,,,,,,,,1124.75,percent of total billed charges,1050.467974,,,,,,,,,,1124.75,percent of total billed charges,1047.548769,,,,,,,,,,1124.75,percent of total billed charges,1032.123626,,,,,,,,,,1124.75,percent of total billed charges,1058.681684,,,,,,,,,,1124.75,percent of total billed charges,999999999,,,,,,,,,,1124.75,percent of total billed charges,908.4234373,,,,,,,,,,1124.75,percent of total billed charges,1432.646405,,,,,,,,,,1124.75,percent of total billed charges,999999999,,,,,,,,,,1124.75,percent of total billed charges,979.5026363,,,,,,,,,,4049.1,percent of total billed charges,,,,,
**FEMORAL NERVE SINGLE,64447,CDM,0059-1289-30,NDC,,both,1,EA,3505,3505,746.1582259,3505,3505,percent of total billed charges,2578.753018,,,,3505,percent of total billed charges,2733.427211,,,,3505,percent of total billed charges,2578.753018,,,,3505,percent of total billed charges,2733.427211,,,,3505,percent of total billed charges,999999999,,,,3505,percent of total billed charges,2670.569103,,,,3505,percent of total billed charges,2578.753018,,,,3505,percent of total billed charges,2733.427211,,,,2499.065,percent of total billed charges,1247.079168,,,,2499.065,percent of total billed charges,746.1582259,,,,2499.065,percent of total billed charges,1247.079168,,,,2499.065,percent of total billed charges,746.1582259,,,,2499.065,percent of total billed charges,1247.079168,,,,2499.065,percent of total billed charges,746.1582259,,,,2474.53,percent of total billed charges,2455.755068,,,,2474.53,percent of total billed charges,1693.714806,,,,,,,,,,2523.6,percent of total billed charges,1640.280614,,,,,,,,,,2523.6,percent of total billed charges,999999999,,,,,,,,,,2804,percent of total billed charges,2349.606243,,,,2768.95,percent of total billed charges,2672.155912,,,,2768.95,percent of total billed charges,2360.9382,,,,2804,percent of total billed charges,999999999,,,,2804,percent of total billed charges,999999999,,,,2453.5,percent of total billed charges,999999999,,,,2453.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1864.66,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1770.025,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,876.25,percent of total billed charges,832.2231614,,,,,,,,,,876.25,percent of total billed charges,818.3796954,,,,,,,,,,876.25,percent of total billed charges,816.1054533,,,,,,,,,,876.25,percent of total billed charges,804.0883104,,,,,,,,,,876.25,percent of total billed charges,824.7786847,,,,,,,,,,876.25,percent of total billed charges,999999999,,,,,,,,,,876.25,percent of total billed charges,707.7181924,,,,,,,,,,876.25,percent of total billed charges,1116.120393,,,,,,,,,,876.25,percent of total billed charges,999999999,,,,,,,,,,876.25,percent of total billed charges,763.0932963,,,,,,,,,,3154.5,percent of total billed charges,,,,,
**BRACHIAL PLEXUS SINGLE,64415,CDM,0059-1289-30,NDC,,both,1,EA,3999,3999,851.3228946,3999,3999,percent of total billed charges,2942.206367,,,,3999,percent of total billed charges,3118.680575,,,,3999,percent of total billed charges,2942.206367,,,,3999,percent of total billed charges,3118.680575,,,,3999,percent of total billed charges,999999999,,,,3999,percent of total billed charges,3046.96315,,,,3999,percent of total billed charges,2942.206367,,,,3999,percent of total billed charges,3118.680575,,,,2851.287,percent of total billed charges,1422.844392,,,,2851.287,percent of total billed charges,851.3228946,,,,2851.287,percent of total billed charges,1422.844392,,,,2851.287,percent of total billed charges,851.3228946,,,,2851.287,percent of total billed charges,1422.844392,,,,2851.287,percent of total billed charges,851.3228946,,,,2823.294,percent of total billed charges,2801.872901,,,,2823.294,percent of total billed charges,1932.429532,,,,,,,,,,2879.28,percent of total billed charges,1871.464244,,,,,,,,,,2879.28,percent of total billed charges,999999999,,,,,,,,,,3199.2,percent of total billed charges,2680.7633,,,,3159.21,percent of total billed charges,3048.773606,,,,3159.21,percent of total billed charges,2693.6924,,,,3199.2,percent of total billed charges,999999999,,,,3199.2,percent of total billed charges,999999999,,,,2799.3,percent of total billed charges,999999999,,,,2799.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2127.468,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2019.495,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,999.75,percent of total billed charges,949.5179522,,,,,,,,,,999.75,percent of total billed charges,933.7233672,,,,,,,,,,999.75,percent of total billed charges,931.1285899,,,,,,,,,,999.75,percent of total billed charges,917.4177327,,,,,,,,,,999.75,percent of total billed charges,941.0242397,,,,,,,,,,999.75,percent of total billed charges,999999999,,,,,,,,,,999.75,percent of total billed charges,807.4650646,,,,,,,,,,999.75,percent of total billed charges,1273.428089,,,,,,,,,,999.75,percent of total billed charges,999999999,,,,,,,,,,999.75,percent of total billed charges,870.6448194,,,,,,,,,,3599.1,percent of total billed charges,,,,,
**AGE 5 OR OLDER,36556,CDM,0059-1289-30,NDC,,both,1,EA,2004,2004,426.619425,2004,2004,percent of total billed charges,1474.413994,,,,2004,percent of total billed charges,1562.84968,,,,2004,percent of total billed charges,1474.413994,,,,2004,percent of total billed charges,1562.84968,,,,2004,percent of total billed charges,999999999,,,,2004,percent of total billed charges,1526.910266,,,,2004,percent of total billed charges,1474.413994,,,,2004,percent of total billed charges,1562.84968,,,,1428.852,percent of total billed charges,713.023296,,,,1428.852,percent of total billed charges,426.619425,,,,1428.852,percent of total billed charges,713.023296,,,,1428.852,percent of total billed charges,426.619425,,,,1428.852,percent of total billed charges,713.023296,,,,1428.852,percent of total billed charges,426.619425,,,,1414.824,percent of total billed charges,1404.089346,,,,1414.824,percent of total billed charges,968.3892928,,,,,,,,,,1442.88,percent of total billed charges,937.838046,,,,,,,,,,1442.88,percent of total billed charges,999999999,,,,,,,,,,1603.2,percent of total billed charges,1343.398263,,,,1583.16,percent of total billed charges,1527.817531,,,,1583.16,percent of total billed charges,1349.877362,,,,1603.2,percent of total billed charges,999999999,,,,1603.2,percent of total billed charges,999999999,,,,1402.8,percent of total billed charges,999999999,,,,1402.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1066.128,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1012.02,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,501,percent of total billed charges,475.8274509,,,,,,,,,,501,percent of total billed charges,467.912385,,,,,,,,,,501,percent of total billed charges,466.6120766,,,,,,,,,,501,percent of total billed charges,459.7412194,,,,,,,,,,501,percent of total billed charges,471.5710368,,,,,,,,,,501,percent of total billed charges,999999999,,,,,,,,,,501,percent of total billed charges,404.6411577,,,,,,,,,,501,percent of total billed charges,638.1470096,,,,,,,,,,501,percent of total billed charges,999999999,,,,,,,,,,501,percent of total billed charges,436.3021301,,,,,,,,,,1803.6,percent of total billed charges,,,,,
"**ARTERIAL CATHERIZATION, PERCUTANOUS",36620,CDM,0059-1289-30,NDC,,both,1,EA,809,809,172.2231112,809,809,percent of total billed charges,595.2100403,,,,809,percent of total billed charges,630.910874,,,,809,percent of total billed charges,595.2100403,,,,809,percent of total billed charges,630.910874,,,,809,percent of total billed charges,999999999,,,,809,percent of total billed charges,616.4023978,,,,809,percent of total billed charges,595.2100403,,,,809,percent of total billed charges,630.910874,,,,576.817,percent of total billed charges,287.8422388,,,,576.817,percent of total billed charges,172.2231112,,,,576.817,percent of total billed charges,287.8422388,,,,576.817,percent of total billed charges,172.2231112,,,,576.817,percent of total billed charges,287.8422388,,,,576.817,percent of total billed charges,172.2231112,,,,571.154,percent of total billed charges,566.8204993,,,,571.154,percent of total billed charges,390.9316057,,,,,,,,,,582.48,percent of total billed charges,378.598293,,,,,,,,,,582.48,percent of total billed charges,999999999,,,,,,,,,,647.2,percent of total billed charges,542.3199574,,,,639.11,percent of total billed charges,616.768654,,,,639.11,percent of total billed charges,544.9355218,,,,647.2,percent of total billed charges,999999999,,,,647.2,percent of total billed charges,999999999,,,,566.3,percent of total billed charges,999999999,,,,566.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,430.388,percent of total billed charges,999999999,,,,,,,,,,,,,,,,408.545,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,202.25,percent of total billed charges,192.0880278,,,,,,,,,,202.25,percent of total billed charges,188.8927742,,,,,,,,,,202.25,percent of total billed charges,188.3678493,,,,,,,,,,202.25,percent of total billed charges,185.594135,,,,,,,,,,202.25,percent of total billed charges,190.3697449,,,,,,,,,,202.25,percent of total billed charges,999999999,,,,,,,,,,202.25,percent of total billed charges,163.350647,,,,,,,,,,202.25,percent of total billed charges,257.6152349,,,,,,,,,,202.25,percent of total billed charges,999999999,,,,,,,,,,202.25,percent of total billed charges,176.1319477,,,,,,,,,,728.1,percent of total billed charges,,,,,
**GUIDANCE FOR VASCULAR ACCESS,76937,CDM,0059-1289-30,NDC,,both,1,EA,274,274,58.33020083,274,274,percent of total billed charges,201.591534,,,,274,percent of total billed charges,213.6830401,,,,274,percent of total billed charges,201.591534,,,,274,percent of total billed charges,213.6830401,,,,274,percent of total billed charges,999999999,,,,274,percent of total billed charges,208.7691681,,,,274,percent of total billed charges,201.591534,,,,274,percent of total billed charges,213.6830401,,,,195.362,percent of total billed charges,97.48921313,,,,195.362,percent of total billed charges,58.33020083,,,,195.362,percent of total billed charges,97.48921313,,,,195.362,percent of total billed charges,58.33020083,,,,195.362,percent of total billed charges,97.48921313,,,,195.362,percent of total billed charges,58.33020083,,,,193.444,percent of total billed charges,191.9762878,,,,193.444,percent of total billed charges,132.4045241,,,,,,,,,,197.28,percent of total billed charges,128.2273576,,,,,,,,,,197.28,percent of total billed charges,999999999,,,,,,,,,,219.2,percent of total billed charges,183.6782056,,,,216.46,percent of total billed charges,208.8932153,,,,216.46,percent of total billed charges,184.5640704,,,,219.2,percent of total billed charges,999999999,,,,219.2,percent of total billed charges,999999999,,,,191.8,percent of total billed charges,999999999,,,,191.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,145.768,percent of total billed charges,999999999,,,,,,,,,,,,,,,,138.37,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,68.5,percent of total billed charges,65.05824429,,,,,,,,,,68.5,percent of total billed charges,63.97604466,,,,,,,,,,68.5,percent of total billed charges,63.79825797,,,,,,,,,,68.5,percent of total billed charges,62.8588294,,,,,,,,,,68.5,percent of total billed charges,64.47627949,,,,,,,,,,68.5,percent of total billed charges,999999999,,,,,,,,,,68.5,percent of total billed charges,55.32518822,,,,,,,,,,68.5,percent of total billed charges,87.25163704,,,,,,,,,,68.5,percent of total billed charges,999999999,,,,,,,,,,68.5,percent of total billed charges,59.65408365,,,,,,,,,,246.6,percent of total billed charges,,,,,
**FLUORO GUIDE FOR CV ACCESS,77001,CDM,0059-1289-30,NDC,,both,1,EA,541,541,115.170214,541,541,percent of total billed charges,398.0329194,,,,541,percent of total billed charges,421.9070245,,,,541,percent of total billed charges,398.0329194,,,,541,percent of total billed charges,421.9070245,,,,541,percent of total billed charges,999999999,,,,541,percent of total billed charges,412.2048173,,,,541,percent of total billed charges,398.0329194,,,,541,percent of total billed charges,421.9070245,,,,385.733,percent of total billed charges,192.4878259,,,,385.733,percent of total billed charges,115.170214,,,,385.733,percent of total billed charges,192.4878259,,,,385.733,percent of total billed charges,115.170214,,,,385.733,percent of total billed charges,192.4878259,,,,385.733,percent of total billed charges,115.170214,,,,381.946,percent of total billed charges,379.0480719,,,,381.946,percent of total billed charges,261.4264508,,,,,,,,,,389.52,percent of total billed charges,253.1788338,,,,,,,,,,389.52,percent of total billed charges,999999999,,,,,,,,,,432.8,percent of total billed charges,362.6639023,,,,427.39,percent of total billed charges,412.4497427,,,,427.39,percent of total billed charges,364.4130004,,,,432.8,percent of total billed charges,999999999,,,,432.8,percent of total billed charges,999999999,,,,378.7,percent of total billed charges,999999999,,,,378.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,287.812,percent of total billed charges,999999999,,,,,,,,,,,,,,,,273.205,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,135.25,percent of total billed charges,128.4544166,,,,,,,,,,135.25,percent of total billed charges,126.3176648,,,,,,,,,,135.25,percent of total billed charges,125.9666334,,,,,,,,,,135.25,percent of total billed charges,124.1117763,,,,,,,,,,135.25,percent of total billed charges,127.3053548,,,,,,,,,,135.25,percent of total billed charges,999999999,,,,,,,,,,135.25,percent of total billed charges,109.2369592,,,,,,,,,,135.25,percent of total billed charges,172.2742177,,,,,,,,,,135.25,percent of total billed charges,999999999,,,,,,,,,,135.25,percent of total billed charges,117.7841579,,,,,,,,,,486.9,percent of total billed charges,,,,,
**PRONE POSITION,0,CDM,0059-1289-30,NDC,,both,1,EA,2501,2501,532.4227455,2501,2501,percent of total billed charges,1840.07455,,,,2501,percent of total billed charges,1950.44264,,,,2501,percent of total billed charges,1840.07455,,,,2501,percent of total billed charges,1950.44264,,,,2501,percent of total billed charges,999999999,,,,2501,percent of total billed charges,1905.590107,,,,2501,percent of total billed charges,1840.07455,,,,2501,percent of total billed charges,1950.44264,,,,1783.213,percent of total billed charges,889.8559199,,,,1783.213,percent of total billed charges,532.4227455,,,,1783.213,percent of total billed charges,889.8559199,,,,1783.213,percent of total billed charges,532.4227455,,,,1783.213,percent of total billed charges,889.8559199,,,,1783.213,percent of total billed charges,532.4227455,,,,1765.706,percent of total billed charges,1752.309109,,,,1765.706,percent of total billed charges,1208.553703,,,,,,,,,,1800.72,percent of total billed charges,1170.425625,,,,,,,,,,1800.72,percent of total billed charges,999999999,,,,,,,,,,2000.8,percent of total billed charges,1676.566395,,,,1975.79,percent of total billed charges,1906.722378,,,,1975.79,percent of total billed charges,1684.652336,,,,2000.8,percent of total billed charges,999999999,,,,2000.8,percent of total billed charges,999999999,,,,1750.7,percent of total billed charges,999999999,,,,1750.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1330.532,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1263.005,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,625.25,percent of total billed charges,593.8345583,,,,,,,,,,625.25,percent of total billed charges,583.9565244,,,,,,,,,,625.25,percent of total billed charges,582.3337343,,,,,,,,,,625.25,percent of total billed charges,573.7588771,,,,,,,,,,625.25,percent of total billed charges,588.5225365,,,,,,,,,,625.25,percent of total billed charges,999999999,,,,,,,,,,625.25,percent of total billed charges,504.9937801,,,,,,,,,,625.25,percent of total billed charges,796.4100154,,,,,,,,,,625.25,percent of total billed charges,999999999,,,,,,,,,,625.25,percent of total billed charges,544.5068,,,,,,,,,,2250.9,percent of total billed charges,,,,,
"**VENIPUNCTURE, AGE 3 OR OLDER",36410,CDM,0059-1289-30,NDC,,both,1,EA,1507,1507,320.8161045,1507,1507,percent of total billed charges,1108.753437,,,,1507,percent of total billed charges,1175.256721,,,,1507,percent of total billed charges,1108.753437,,,,1507,percent of total billed charges,1175.256721,,,,1507,percent of total billed charges,999999999,,,,1507,percent of total billed charges,1148.230425,,,,1507,percent of total billed charges,1108.753437,,,,1507,percent of total billed charges,1175.256721,,,,1074.491,percent of total billed charges,536.1906722,,,,1074.491,percent of total billed charges,320.8161045,,,,1074.491,percent of total billed charges,536.1906722,,,,1074.491,percent of total billed charges,320.8161045,,,,1074.491,percent of total billed charges,536.1906722,,,,1074.491,percent of total billed charges,320.8161045,,,,1063.942,percent of total billed charges,1055.869583,,,,1063.942,percent of total billed charges,728.2248824,,,,,,,,,,1085.04,percent of total billed charges,705.2504667,,,,,,,,,,1085.04,percent of total billed charges,999999999,,,,,,,,,,1205.6,percent of total billed charges,1010.230131,,,,1190.53,percent of total billed charges,1148.912684,,,,1190.53,percent of total billed charges,1015.102387,,,,1205.6,percent of total billed charges,999999999,,,,1205.6,percent of total billed charges,999999999,,,,1054.9,percent of total billed charges,999999999,,,,1054.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,801.724,percent of total billed charges,999999999,,,,,,,,,,,,,,,,761.035,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,376.75,percent of total billed charges,357.8203436,,,,,,,,,,376.75,percent of total billed charges,351.8682456,,,,,,,,,,376.75,percent of total billed charges,350.8904188,,,,,,,,,,376.75,percent of total billed charges,345.7235617,,,,,,,,,,376.75,percent of total billed charges,354.6195372,,,,,,,,,,376.75,percent of total billed charges,999999999,,,,,,,,,,376.75,percent of total billed charges,304.2885352,,,,,,,,,,376.75,percent of total billed charges,479.8840037,,,,,,,,,,376.75,percent of total billed charges,999999999,,,,,,,,,,376.75,percent of total billed charges,328.0974601,,,,,,,,,,1356.3,percent of total billed charges,,,,,
**CARDIOPULMONARY RESUSCITATION,92950,CDM,0059-1289-30,NDC,,both,1,EA,4997,4997,1063.781071,4997,4997,percent of total billed charges,3676.470422,,,,4997,percent of total billed charges,3896.985955,,,,4997,percent of total billed charges,3676.470422,,,,4997,percent of total billed charges,3896.985955,,,,4997,percent of total billed charges,999999999,,,,4997,percent of total billed charges,3807.370558,,,,4997,percent of total billed charges,3676.470422,,,,4997,percent of total billed charges,3896.985955,,,,3562.861,percent of total billed charges,1777.932839,,,,3562.861,percent of total billed charges,1063.781071,,,,3562.861,percent of total billed charges,1777.932839,,,,3562.861,percent of total billed charges,1063.781071,,,,3562.861,percent of total billed charges,1777.932839,,,,3562.861,percent of total billed charges,1063.781071,,,,3527.882,percent of total billed charges,3501.115,,,,3527.882,percent of total billed charges,2414.691266,,,,,,,,,,3597.84,percent of total billed charges,2338.511335,,,,,,,,,,3597.84,percent of total billed charges,999999999,,,,,,,,,,3997.6,percent of total billed charges,3349.780998,,,,3947.63,percent of total billed charges,3809.632836,,,,3947.63,percent of total billed charges,3365.936715,,,,3997.6,percent of total billed charges,999999999,,,,3997.6,percent of total billed charges,999999999,,,,3497.9,percent of total billed charges,999999999,,,,3497.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2658.404,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2523.485,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1249.25,percent of total billed charges,1186.481922,,,,,,,,,,1249.25,percent of total billed charges,1166.745603,,,,,,,,,,1249.25,percent of total billed charges,1163.503267,,,,,,,,,,1249.25,percent of total billed charges,1146.370695,,,,,,,,,,1249.25,percent of total billed charges,1175.868499,,,,,,,,,,1249.25,percent of total billed charges,999999999,,,,,,,,,,1249.25,percent of total billed charges,1008.977976,,,,,,,,,,1249.25,percent of total billed charges,1591.227848,,,,,,,,,,1249.25,percent of total billed charges,999999999,,,,,,,,,,1249.25,percent of total billed charges,1087.925022,,,,,,,,,,4497.3,percent of total billed charges,,,,,
**VENTILATION ASSIST/MGMT,94002,CDM,0059-1289-30,NDC,,both,1,EA,1984,1984,422.3617461,1984,1984,percent of total billed charges,1459.699283,,,,1984,percent of total billed charges,1547.252378,,,,1984,percent of total billed charges,1459.699283,,,,1984,percent of total billed charges,1547.252378,,,,1984,percent of total billed charges,999999999,,,,1984,percent of total billed charges,1511.671641,,,,1984,percent of total billed charges,1459.699283,,,,1984,percent of total billed charges,1547.252378,,,,1414.592,percent of total billed charges,705.9072951,,,,1414.592,percent of total billed charges,422.3617461,,,,1414.592,percent of total billed charges,705.9072951,,,,1414.592,percent of total billed charges,422.3617461,,,,1414.592,percent of total billed charges,705.9072951,,,,1414.592,percent of total billed charges,422.3617461,,,,1400.704,percent of total billed charges,1390.076478,,,,1400.704,percent of total billed charges,958.724729,,,,,,,,,,1428.48,percent of total billed charges,928.4783848,,,,,,,,,,1428.48,percent of total billed charges,999999999,,,,,,,,,,1587.2,percent of total billed charges,1329.991095,,,,1567.36,percent of total billed charges,1512.569851,,,,1567.36,percent of total billed charges,1336.405532,,,,1587.2,percent of total billed charges,999999999,,,,1587.2,percent of total billed charges,999999999,,,,1388.8,percent of total billed charges,999999999,,,,1388.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1055.488,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1001.92,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,496,percent of total billed charges,471.078674,,,,,,,,,,496,percent of total billed charges,463.2426008,,,,,,,,,,496,percent of total billed charges,461.9552694,,,,,,,,,,496,percent of total billed charges,455.1529837,,,,,,,,,,496,percent of total billed charges,466.8647391,,,,,,,,,,496,percent of total billed charges,999999999,,,,,,,,,,496,percent of total billed charges,400.6028228,,,,,,,,,,496,percent of total billed charges,631.7782769,,,,,,,,,,496,percent of total billed charges,999999999,,,,,,,,,,496,percent of total billed charges,431.9478174,,,,,,,,,,1785.6,percent of total billed charges,,,,,
**VENIPUNTURE UNDER 3 AGE,36400,CDM,0059-1289-30,NDC,,both,1,EA,1005,1005,213.9483643,1005,1005,percent of total billed charges,739.4142034,,,,1005,percent of total billed charges,783.7644356,,,,1005,percent of total billed charges,739.4142034,,,,1005,percent of total billed charges,783.7644356,,,,1005,percent of total billed charges,999999999,,,,1005,percent of total billed charges,765.7409268,,,,1005,percent of total billed charges,739.4142034,,,,1005,percent of total billed charges,783.7644356,,,,716.565,percent of total billed charges,357.5790482,,,,716.565,percent of total billed charges,213.9483643,,,,716.565,percent of total billed charges,357.5790482,,,,716.565,percent of total billed charges,213.9483643,,,,716.565,percent of total billed charges,357.5790482,,,,716.565,percent of total billed charges,213.9483643,,,,709.53,percent of total billed charges,704.146603,,,,709.53,percent of total billed charges,485.644331,,,,,,,,,,723.6,percent of total billed charges,470.3229722,,,,,,,,,,723.6,percent of total billed charges,999999999,,,,,,,,,,804,percent of total billed charges,673.7102067,,,,793.95,percent of total billed charges,766.1959176,,,,793.95,percent of total billed charges,676.9594554,,,,804,percent of total billed charges,999999999,,,,804,percent of total billed charges,999999999,,,,703.5,percent of total billed charges,999999999,,,,703.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,534.66,percent of total billed charges,999999999,,,,,,,,,,,,,,,,507.525,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,251.25,percent of total billed charges,238.626042,,,,,,,,,,251.25,percent of total billed charges,234.6566602,,,,,,,,,,251.25,percent of total billed charges,234.0045594,,,,,,,,,,251.25,percent of total billed charges,230.5588451,,,,,,,,,,251.25,percent of total billed charges,236.4914631,,,,,,,,,,251.25,percent of total billed charges,999999999,,,,,,,,,,251.25,percent of total billed charges,202.9263291,,,,,,,,,,251.25,percent of total billed charges,320.0288147,,,,,,,,,,251.25,percent of total billed charges,999999999,,,,,,,,,,251.25,percent of total billed charges,218.8042119,,,,,,,,,,904.5,percent of total billed charges,,,,,
**EMERGENCY,99140,CDM,0059-1289-30,NDC,,both,1,EA,1077,1077,229.2760084,1077,1077,percent of total billed charges,792.3871612,,,,1077,percent of total billed charges,839.9147235,,,,1077,percent of total billed charges,792.3871612,,,,1077,percent of total billed charges,839.9147235,,,,1077,percent of total billed charges,999999999,,,,1077,percent of total billed charges,820.5999782,,,,1077,percent of total billed charges,792.3871612,,,,1077,percent of total billed charges,839.9147235,,,,767.901,percent of total billed charges,383.1966516,,,,767.901,percent of total billed charges,229.2760084,,,,767.901,percent of total billed charges,383.1966516,,,,767.901,percent of total billed charges,229.2760084,,,,767.901,percent of total billed charges,383.1966516,,,,767.901,percent of total billed charges,229.2760084,,,,760.362,percent of total billed charges,754.5929268,,,,760.362,percent of total billed charges,520.4367607,,,,,,,,,,775.44,percent of total billed charges,504.0177523,,,,,,,,,,775.44,percent of total billed charges,999999999,,,,,,,,,,861.6,percent of total billed charges,721.9760125,,,,850.83,percent of total billed charges,821.0875654,,,,850.83,percent of total billed charges,725.4580433,,,,861.6,percent of total billed charges,999999999,,,,861.6,percent of total billed charges,999999999,,,,753.9,percent of total billed charges,999999999,,,,753.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,572.964,percent of total billed charges,999999999,,,,,,,,,,,,,,,,543.885,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,269.25,percent of total billed charges,255.721639,,,,,,,,,,269.25,percent of total billed charges,251.4678836,,,,,,,,,,269.25,percent of total billed charges,250.7690651,,,,,,,,,,269.25,percent of total billed charges,247.0764937,,,,,,,,,,269.25,percent of total billed charges,253.4341351,,,,,,,,,,269.25,percent of total billed charges,999999999,,,,,,,,,,269.25,percent of total billed charges,217.4643347,,,,,,,,,,269.25,percent of total billed charges,342.9562521,,,,,,,,,,269.25,percent of total billed charges,999999999,,,,,,,,,,269.25,percent of total billed charges,234.4797376,,,,,,,,,,969.3,percent of total billed charges,,,,,
**EXTREME AGE (<1YR./>70),99100,CDM,0059-1289-30,NDC,,both,1,EA,508,508,108.1450439,508,508,percent of total billed charges,373.7536471,,,,508,percent of total billed charges,396.1714759,,,,508,percent of total billed charges,373.7536471,,,,508,percent of total billed charges,396.1714759,,,,508,percent of total billed charges,999999999,,,,508,percent of total billed charges,387.0610854,,,,508,percent of total billed charges,373.7536471,,,,508,percent of total billed charges,396.1714759,,,,362.204,percent of total billed charges,180.7464243,,,,362.204,percent of total billed charges,108.1450439,,,,362.204,percent of total billed charges,180.7464243,,,,362.204,percent of total billed charges,108.1450439,,,,362.204,percent of total billed charges,180.7464243,,,,362.204,percent of total billed charges,108.1450439,,,,358.648,percent of total billed charges,355.9268401,,,,358.648,percent of total billed charges,245.4799205,,,,,,,,,,365.76,percent of total billed charges,237.7353929,,,,,,,,,,365.76,percent of total billed charges,999999999,,,,,,,,,,406.4,percent of total billed charges,340.5420746,,,,401.32,percent of total billed charges,387.2910708,,,,401.32,percent of total billed charges,342.184481,,,,406.4,percent of total billed charges,999999999,,,,406.4,percent of total billed charges,999999999,,,,355.6,percent of total billed charges,999999999,,,,355.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,270.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,256.54,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,127,percent of total billed charges,120.6189347,,,,,,,,,,127,percent of total billed charges,118.6125208,,,,,,,,,,127,percent of total billed charges,118.2829016,,,,,,,,,,127,percent of total billed charges,116.5411874,,,,,,,,,,127,percent of total billed charges,119.5399634,,,,,,,,,,127,percent of total billed charges,999999999,,,,,,,,,,127,percent of total billed charges,102.5737066,,,,,,,,,,127,percent of total billed charges,161.7658088,,,,,,,,,,127,percent of total billed charges,999999999,,,,,,,,,,127,percent of total billed charges,110.599542,,,,,,,,,,457.2,percent of total billed charges,,,,,
**MOD SEDATION SAME DR <5YRS 1ST 30 MIN,99143,CDM,0059-1289-30,NDC,,both,1,EA,153,153,32.57124353,153,153,percent of total billed charges,112.5675354,,,,153,percent of total billed charges,119.3193618,,,,153,percent of total billed charges,112.5675354,,,,153,percent of total billed charges,119.3193618,,,,153,percent of total billed charges,999999999,,,,153,percent of total billed charges,116.5754844,,,,153,percent of total billed charges,112.5675354,,,,153,percent of total billed charges,119.3193618,,,,109.089,percent of total billed charges,54.43740733,,,,109.089,percent of total billed charges,32.57124353,,,,109.089,percent of total billed charges,54.43740733,,,,109.089,percent of total billed charges,32.57124353,,,,109.089,percent of total billed charges,54.43740733,,,,109.089,percent of total billed charges,32.57124353,,,,108.018,percent of total billed charges,107.1984381,,,,108.018,percent of total billed charges,73.93391308,,,,,,,,,,110.16,percent of total billed charges,71.6014077,,,,,,,,,,110.16,percent of total billed charges,999999999,,,,,,,,,,122.4,percent of total billed charges,102.5648374,,,,120.87,percent of total billed charges,116.6447516,,,,120.87,percent of total billed charges,103.0594992,,,,122.4,percent of total billed charges,999999999,,,,122.4,percent of total billed charges,999999999,,,,107.1,percent of total billed charges,999999999,,,,107.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,81.396,percent of total billed charges,999999999,,,,,,,,,,,,,,,,77.265,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,38.25,percent of total billed charges,36.32814371,,,,,,,,,,38.25,percent of total billed charges,35.72384976,,,,,,,,,,38.25,percent of total billed charges,35.62457471,,,,,,,,,,38.25,percent of total billed charges,35.10000328,,,,,,,,,,38.25,percent of total billed charges,36.00317796,,,,,,,,,,38.25,percent of total billed charges,999999999,,,,,,,,,,38.25,percent of total billed charges,30.89326204,,,,,,,,,,38.25,percent of total billed charges,48.72080462,,,,,,,,,,38.25,percent of total billed charges,999999999,,,,,,,,,,38.25,percent of total billed charges,33.31049197,,,,,,,,,,137.7,percent of total billed charges,,,,,
**MOD SEDATION SAME DR >5YRS 1ST 30,99144,CDM,0059-1289-30,NDC,,both,1,EA,153,153,32.57124353,153,153,percent of total billed charges,112.5675354,,,,153,percent of total billed charges,119.3193618,,,,153,percent of total billed charges,112.5675354,,,,153,percent of total billed charges,119.3193618,,,,153,percent of total billed charges,999999999,,,,153,percent of total billed charges,116.5754844,,,,153,percent of total billed charges,112.5675354,,,,153,percent of total billed charges,119.3193618,,,,109.089,percent of total billed charges,54.43740733,,,,109.089,percent of total billed charges,32.57124353,,,,109.089,percent of total billed charges,54.43740733,,,,109.089,percent of total billed charges,32.57124353,,,,109.089,percent of total billed charges,54.43740733,,,,109.089,percent of total billed charges,32.57124353,,,,108.018,percent of total billed charges,107.1984381,,,,108.018,percent of total billed charges,73.93391308,,,,,,,,,,110.16,percent of total billed charges,71.6014077,,,,,,,,,,110.16,percent of total billed charges,999999999,,,,,,,,,,122.4,percent of total billed charges,102.5648374,,,,120.87,percent of total billed charges,116.6447516,,,,120.87,percent of total billed charges,103.0594992,,,,122.4,percent of total billed charges,999999999,,,,122.4,percent of total billed charges,999999999,,,,107.1,percent of total billed charges,999999999,,,,107.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,81.396,percent of total billed charges,999999999,,,,,,,,,,,,,,,,77.265,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,38.25,percent of total billed charges,36.32814371,,,,,,,,,,38.25,percent of total billed charges,35.72384976,,,,,,,,,,38.25,percent of total billed charges,35.62457471,,,,,,,,,,38.25,percent of total billed charges,35.10000328,,,,,,,,,,38.25,percent of total billed charges,36.00317796,,,,,,,,,,38.25,percent of total billed charges,999999999,,,,,,,,,,38.25,percent of total billed charges,30.89326204,,,,,,,,,,38.25,percent of total billed charges,48.72080462,,,,,,,,,,38.25,percent of total billed charges,999999999,,,,,,,,,,38.25,percent of total billed charges,33.31049197,,,,,,,,,,137.7,percent of total billed charges,,,,,
**MOD SEDATION SAME DR EACH ADD 15 M,99145,CDM,0059-1289-30,NDC,,both,1,EA,80,80,17.03071557,80,80,percent of total billed charges,58.85884206,,,,80,percent of total billed charges,62.3892088,,,,80,percent of total billed charges,58.85884206,,,,80,percent of total billed charges,62.3892088,,,,80,percent of total billed charges,999999999,,,,80,percent of total billed charges,60.95450163,,,,80,percent of total billed charges,58.85884206,,,,80,percent of total billed charges,62.3892088,,,,57.04,percent of total billed charges,28.46400383,,,,57.04,percent of total billed charges,17.03071557,,,,57.04,percent of total billed charges,28.46400383,,,,57.04,percent of total billed charges,17.03071557,,,,57.04,percent of total billed charges,28.46400383,,,,57.04,percent of total billed charges,17.03071557,,,,56.48,percent of total billed charges,56.05147089,,,,56.48,percent of total billed charges,38.6582552,,,,,,,,,,57.6,percent of total billed charges,37.43864455,,,,,,,,,,57.6,percent of total billed charges,999999999,,,,,,,,,,64,percent of total billed charges,53.62867317,,,,63.2,percent of total billed charges,60.99071981,,,,63.2,percent of total billed charges,53.88731984,,,,64,percent of total billed charges,999999999,,,,64,percent of total billed charges,999999999,,,,56,percent of total billed charges,999999999,,,,56,percent of total billed charges,999999999,,,,,,,,,,,,,,,,42.56,percent of total billed charges,999999999,,,,,,,,,,,,,,,,40.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20,percent of total billed charges,18.99510782,,,,,,,,,,20,percent of total billed charges,18.67913713,,,,,,,,,,20,percent of total billed charges,18.62722861,,,,,,,,,,20,percent of total billed charges,18.35294289,,,,,,,,,,20,percent of total billed charges,18.82519109,,,,,,,,,,20,percent of total billed charges,999999999,,,,,,,,,,20,percent of total billed charges,16.15333963,,,,,,,,,,20,percent of total billed charges,25.47493052,,,,,,,,,,20,percent of total billed charges,999999999,,,,,,,,,,20,percent of total billed charges,17.4172507,,,,,,,,,,72,percent of total billed charges,,,,,
**MOD SEDATION DIFF DR <5YRS 1ST 30 MIN,99148,CDM,0059-1289-30,NDC,,both,1,EA,153,153,32.57124353,153,153,percent of total billed charges,112.5675354,,,,153,percent of total billed charges,119.3193618,,,,153,percent of total billed charges,112.5675354,,,,153,percent of total billed charges,119.3193618,,,,153,percent of total billed charges,999999999,,,,153,percent of total billed charges,116.5754844,,,,153,percent of total billed charges,112.5675354,,,,153,percent of total billed charges,119.3193618,,,,109.089,percent of total billed charges,54.43740733,,,,109.089,percent of total billed charges,32.57124353,,,,109.089,percent of total billed charges,54.43740733,,,,109.089,percent of total billed charges,32.57124353,,,,109.089,percent of total billed charges,54.43740733,,,,109.089,percent of total billed charges,32.57124353,,,,108.018,percent of total billed charges,107.1984381,,,,108.018,percent of total billed charges,73.93391308,,,,,,,,,,110.16,percent of total billed charges,71.6014077,,,,,,,,,,110.16,percent of total billed charges,999999999,,,,,,,,,,122.4,percent of total billed charges,102.5648374,,,,120.87,percent of total billed charges,116.6447516,,,,120.87,percent of total billed charges,103.0594992,,,,122.4,percent of total billed charges,999999999,,,,122.4,percent of total billed charges,999999999,,,,107.1,percent of total billed charges,999999999,,,,107.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,81.396,percent of total billed charges,999999999,,,,,,,,,,,,,,,,77.265,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,38.25,percent of total billed charges,36.32814371,,,,,,,,,,38.25,percent of total billed charges,35.72384976,,,,,,,,,,38.25,percent of total billed charges,35.62457471,,,,,,,,,,38.25,percent of total billed charges,35.10000328,,,,,,,,,,38.25,percent of total billed charges,36.00317796,,,,,,,,,,38.25,percent of total billed charges,999999999,,,,,,,,,,38.25,percent of total billed charges,30.89326204,,,,,,,,,,38.25,percent of total billed charges,48.72080462,,,,,,,,,,38.25,percent of total billed charges,999999999,,,,,,,,,,38.25,percent of total billed charges,33.31049197,,,,,,,,,,137.7,percent of total billed charges,,,,,
**MOD SEDATION DIFF DR >5YRS 1ST 30 MIN,99149,CDM,0059-1289-30,NDC,,both,1,EA,153,153,32.57124353,153,153,percent of total billed charges,112.5675354,,,,153,percent of total billed charges,119.3193618,,,,153,percent of total billed charges,112.5675354,,,,153,percent of total billed charges,119.3193618,,,,153,percent of total billed charges,999999999,,,,153,percent of total billed charges,116.5754844,,,,153,percent of total billed charges,112.5675354,,,,153,percent of total billed charges,119.3193618,,,,109.089,percent of total billed charges,54.43740733,,,,109.089,percent of total billed charges,32.57124353,,,,109.089,percent of total billed charges,54.43740733,,,,109.089,percent of total billed charges,32.57124353,,,,109.089,percent of total billed charges,54.43740733,,,,109.089,percent of total billed charges,32.57124353,,,,108.018,percent of total billed charges,107.1984381,,,,108.018,percent of total billed charges,73.93391308,,,,,,,,,,110.16,percent of total billed charges,71.6014077,,,,,,,,,,110.16,percent of total billed charges,999999999,,,,,,,,,,122.4,percent of total billed charges,102.5648374,,,,120.87,percent of total billed charges,116.6447516,,,,120.87,percent of total billed charges,103.0594992,,,,122.4,percent of total billed charges,999999999,,,,122.4,percent of total billed charges,999999999,,,,107.1,percent of total billed charges,999999999,,,,107.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,81.396,percent of total billed charges,999999999,,,,,,,,,,,,,,,,77.265,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,38.25,percent of total billed charges,36.32814371,,,,,,,,,,38.25,percent of total billed charges,35.72384976,,,,,,,,,,38.25,percent of total billed charges,35.62457471,,,,,,,,,,38.25,percent of total billed charges,35.10000328,,,,,,,,,,38.25,percent of total billed charges,36.00317796,,,,,,,,,,38.25,percent of total billed charges,999999999,,,,,,,,,,38.25,percent of total billed charges,30.89326204,,,,,,,,,,38.25,percent of total billed charges,48.72080462,,,,,,,,,,38.25,percent of total billed charges,999999999,,,,,,,,,,38.25,percent of total billed charges,33.31049197,,,,,,,,,,137.7,percent of total billed charges,,,,,
**MOD SEDATION DIFF DR EACH ADD 15 MIN,99150,CDM,0059-1289-30,NDC,,both,1,EA,80,80,17.03071557,80,80,percent of total billed charges,58.85884206,,,,80,percent of total billed charges,62.3892088,,,,80,percent of total billed charges,58.85884206,,,,80,percent of total billed charges,62.3892088,,,,80,percent of total billed charges,999999999,,,,80,percent of total billed charges,60.95450163,,,,80,percent of total billed charges,58.85884206,,,,80,percent of total billed charges,62.3892088,,,,57.04,percent of total billed charges,28.46400383,,,,57.04,percent of total billed charges,17.03071557,,,,57.04,percent of total billed charges,28.46400383,,,,57.04,percent of total billed charges,17.03071557,,,,57.04,percent of total billed charges,28.46400383,,,,57.04,percent of total billed charges,17.03071557,,,,56.48,percent of total billed charges,56.05147089,,,,56.48,percent of total billed charges,38.6582552,,,,,,,,,,57.6,percent of total billed charges,37.43864455,,,,,,,,,,57.6,percent of total billed charges,999999999,,,,,,,,,,64,percent of total billed charges,53.62867317,,,,63.2,percent of total billed charges,60.99071981,,,,63.2,percent of total billed charges,53.88731984,,,,64,percent of total billed charges,999999999,,,,64,percent of total billed charges,999999999,,,,56,percent of total billed charges,999999999,,,,56,percent of total billed charges,999999999,,,,,,,,,,,,,,,,42.56,percent of total billed charges,999999999,,,,,,,,,,,,,,,,40.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20,percent of total billed charges,18.99510782,,,,,,,,,,20,percent of total billed charges,18.67913713,,,,,,,,,,20,percent of total billed charges,18.62722861,,,,,,,,,,20,percent of total billed charges,18.35294289,,,,,,,,,,20,percent of total billed charges,18.82519109,,,,,,,,,,20,percent of total billed charges,999999999,,,,,,,,,,20,percent of total billed charges,16.15333963,,,,,,,,,,20,percent of total billed charges,25.47493052,,,,,,,,,,20,percent of total billed charges,999999999,,,,,,,,,,20,percent of total billed charges,17.4172507,,,,,,,,,,72,percent of total billed charges,,,,,
ACCESS TO CNTRL VENOUS CIRC.,370,RC,0059-1289-30,NDC,,both,1,EA,1128,1128,240.1330895,1128,1128,percent of total billed charges,829.909673,,,,1128,percent of total billed charges,879.6878441,,,,1128,percent of total billed charges,829.909673,,,,1128,percent of total billed charges,879.6878441,,,,1128,percent of total billed charges,999999999,,,,1128,percent of total billed charges,859.458473,,,,1128,percent of total billed charges,829.909673,,,,1128,percent of total billed charges,879.6878441,,,,804.264,percent of total billed charges,401.3424541,,,,804.264,percent of total billed charges,240.1330895,,,,804.264,percent of total billed charges,401.3424541,,,,804.264,percent of total billed charges,240.1330895,,,,804.264,percent of total billed charges,401.3424541,,,,804.264,percent of total billed charges,240.1330895,,,,796.368,percent of total billed charges,790.3257395,,,,796.368,percent of total billed charges,545.0813984,,,,,,,,,,812.16,percent of total billed charges,527.8848882,,,,,,,,,,812.16,percent of total billed charges,999999999,,,,,,,,,,902.4,percent of total billed charges,756.1642917,,,,891.12,percent of total billed charges,859.9691493,,,,891.12,percent of total billed charges,759.8112097,,,,902.4,percent of total billed charges,999999999,,,,902.4,percent of total billed charges,999999999,,,,789.6,percent of total billed charges,999999999,,,,789.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,600.096,percent of total billed charges,999999999,,,,,,,,,,,,,,,,569.64,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,282,percent of total billed charges,267.8310203,,,,,,,,,,282,percent of total billed charges,263.3758335,,,,,,,,,,282,percent of total billed charges,262.6439233,,,,,,,,,,282,percent of total billed charges,258.7764948,,,,,,,,,,282,percent of total billed charges,265.4351944,,,,,,,,,,282,percent of total billed charges,999999999,,,,,,,,,,282,percent of total billed charges,227.7620887,,,,,,,,,,282,percent of total billed charges,359.1965204,,,,,,,,,,282,percent of total billed charges,999999999,,,,,,,,,,282,percent of total billed charges,245.5832349,,,,,,,,,,1015.2,percent of total billed charges,,,,,
**TOTAL HIP,370,RC,0059-1289-30,NDC,,both,1,EA,7542,7542,1605.57071,7542,7542,percent of total billed charges,5548.917335,,,,7542,percent of total billed charges,5881.74266,,,,7542,percent of total billed charges,5548.917335,,,,7542,percent of total billed charges,5881.74266,,,,7542,percent of total billed charges,999999999,,,,7542,percent of total billed charges,5746.485642,,,,7542,percent of total billed charges,5548.917335,,,,7542,percent of total billed charges,5881.74266,,,,5377.446,percent of total billed charges,2683.443961,,,,5377.446,percent of total billed charges,1605.57071,,,,5377.446,percent of total billed charges,2683.443961,,,,5377.446,percent of total billed charges,1605.57071,,,,5377.446,percent of total billed charges,2683.443961,,,,5377.446,percent of total billed charges,1605.57071,,,,5324.652,percent of total billed charges,5284.252418,,,,5324.652,percent of total billed charges,3644.507009,,,,,,,,,,5430.24,percent of total billed charges,3529.528215,,,,,,,,,,5430.24,percent of total billed charges,999999999,,,,,,,,,,6033.6,percent of total billed charges,5055.843163,,,,5958.18,percent of total billed charges,5749.90011,,,,5958.18,percent of total billed charges,5080.227077,,,,6033.6,percent of total billed charges,999999999,,,,6033.6,percent of total billed charges,999999999,,,,5279.4,percent of total billed charges,999999999,,,,5279.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4012.344,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3808.71,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1885.5,percent of total billed charges,1790.76379,,,,,,,,,,1885.5,percent of total billed charges,1760.975653,,,,,,,,,,1885.5,percent of total billed charges,1756.081977,,,,,,,,,,1885.5,percent of total billed charges,1730.223691,,,,,,,,,,1885.5,percent of total billed charges,1774.74489,,,,,,,,,,1885.5,percent of total billed charges,999999999,,,,,,,,,,1885.5,percent of total billed charges,1522.856093,,,,,,,,,,1885.5,percent of total billed charges,2401.649075,,,,,,,,,,1885.5,percent of total billed charges,999999999,,,,,,,,,,1885.5,percent of total billed charges,1642.01131,,,,,,,,,,6787.8,percent of total billed charges,,,,,
**VAGINAL DELIVERY,370,RC,0059-1289-30,NDC,,both,1,EA,629,629,133.9040012,629,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,629,percent of total billed charges,999999999,,,,629,percent of total billed charges,479.2547691,,,,629,percent of total billed charges,462.7776457,,,,629,percent of total billed charges,490.5351542,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,448.477,percent of total billed charges,223.7982301,,,,448.477,percent of total billed charges,133.9040012,,,,444.074,percent of total billed charges,440.7046898,,,,444.074,percent of total billed charges,303.9505315,,,,,,,,,,452.88,percent of total billed charges,294.3613428,,,,,,,,,,452.88,percent of total billed charges,999999999,,,,,,,,,,503.2,percent of total billed charges,421.6554428,,,,496.91,percent of total billed charges,479.5395345,,,,496.91,percent of total billed charges,423.6890522,,,,503.2,percent of total billed charges,999999999,,,,503.2,percent of total billed charges,999999999,,,,440.3,percent of total billed charges,999999999,,,,440.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,334.628,percent of total billed charges,999999999,,,,,,,,,,,,,,,,317.645,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,157.25,percent of total billed charges,149.3490352,,,,,,,,,,157.25,percent of total billed charges,146.8647157,,,,,,,,,,157.25,percent of total billed charges,146.4565849,,,,,,,,,,157.25,percent of total billed charges,144.3000135,,,,,,,,,,157.25,percent of total billed charges,148.013065,,,,,,,,,,157.25,percent of total billed charges,999999999,,,,,,,,,,157.25,percent of total billed charges,127.0056328,,,,,,,,,,157.25,percent of total billed charges,200.2966412,,,,,,,,,,157.25,percent of total billed charges,999999999,,,,,,,,,,157.25,percent of total billed charges,136.9431336,,,,,,,,,,566.1,percent of total billed charges,,,,,
**CESAREAN DELIVERY,370,RC,0059-1289-30,NDC,,both,1,EA,3626,3626,771.9171832,3626,3626,percent of total billed charges,2667.777016,,,,3626,percent of total billed charges,2827.790889,,,,3626,percent of total billed charges,2667.777016,,,,3626,percent of total billed charges,2827.790889,,,,3626,percent of total billed charges,999999999,,,,3626,percent of total billed charges,2762.762787,,,,3626,percent of total billed charges,2667.777016,,,,3626,percent of total billed charges,2827.790889,,,,2585.338,percent of total billed charges,1290.130974,,,,2585.338,percent of total billed charges,771.9171832,,,,2585.338,percent of total billed charges,1290.130974,,,,2585.338,percent of total billed charges,771.9171832,,,,2585.338,percent of total billed charges,1290.130974,,,,2585.338,percent of total billed charges,771.9171832,,,,2559.956,percent of total billed charges,2540.532918,,,,2559.956,percent of total billed charges,1752.185417,,,,,,,,,,2610.72,percent of total billed charges,1696.906564,,,,,,,,,,2610.72,percent of total billed charges,999999999,,,,,,,,,,2900.8,percent of total billed charges,2430.719611,,,,2864.54,percent of total billed charges,2764.404375,,,,2864.54,percent of total billed charges,2442.442772,,,,2900.8,percent of total billed charges,999999999,,,,2900.8,percent of total billed charges,999999999,,,,2538.2,percent of total billed charges,999999999,,,,2538.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1929.032,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1831.13,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,906.5,percent of total billed charges,860.953262,,,,,,,,,,906.5,percent of total billed charges,846.6318903,,,,,,,,,,906.5,percent of total billed charges,844.2791365,,,,,,,,,,906.5,percent of total billed charges,831.8471365,,,,,,,,,,906.5,percent of total billed charges,853.2517862,,,,,,,,,,906.5,percent of total billed charges,999999999,,,,,,,,,,906.5,percent of total billed charges,732.1501186,,,,,,,,,,906.5,percent of total billed charges,1154.651226,,,,,,,,,,906.5,percent of total billed charges,999999999,,,,,,,,,,906.5,percent of total billed charges,789.436888,,,,,,,,,,3263.4,percent of total billed charges,,,,,
ANESTHESIA MINUTES,964,RC,0059-1289-30,NDC,,both,1,EA,24,24,5.109214671,24,24,percent of total billed charges,17.65765262,,,,24,percent of total billed charges,18.71676264,,,,24,percent of total billed charges,17.65765262,,,,24,percent of total billed charges,18.71676264,,,,24,percent of total billed charges,999999999,,,,24,percent of total billed charges,18.28635049,,,,24,percent of total billed charges,17.65765262,,,,24,percent of total billed charges,18.71676264,,,,17.112,percent of total billed charges,8.53920115,,,,17.112,percent of total billed charges,5.109214671,,,,17.112,percent of total billed charges,8.53920115,,,,17.112,percent of total billed charges,5.109214671,,,,17.112,percent of total billed charges,8.53920115,,,,17.112,percent of total billed charges,5.109214671,,,,16.944,percent of total billed charges,16.81544127,,,,16.944,percent of total billed charges,11.59747656,,,,,,,,,,17.28,percent of total billed charges,11.23159337,,,,,,,,,,17.28,percent of total billed charges,999999999,,,,,,,,,,19.2,percent of total billed charges,16.08860195,,,,18.96,percent of total billed charges,18.29721594,,,,18.96,percent of total billed charges,16.16619595,,,,19.2,percent of total billed charges,999999999,,,,19.2,percent of total billed charges,999999999,,,,16.8,percent of total billed charges,999999999,,,,16.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,12.768,percent of total billed charges,999999999,,,,,,,,,,,,,,,,12.12,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6,percent of total billed charges,5.698532346,,,,,,,,,,6,percent of total billed charges,5.603741138,,,,,,,,,,6,percent of total billed charges,5.588168582,,,,,,,,,,6,percent of total billed charges,5.505882867,,,,,,,,,,6,percent of total billed charges,5.647557328,,,,,,,,,,6,percent of total billed charges,999999999,,,,,,,,,,6,percent of total billed charges,4.846001888,,,,,,,,,,6,percent of total billed charges,7.642479156,,,,,,,,,,6,percent of total billed charges,999999999,,,,,,,,,,6,percent of total billed charges,5.22517521,,,,,,,,,,21.6,percent of total billed charges,,,,,
**ALL CLOSED PROC.HUM/ELBOW,0,CDM,0059-1289-30,NDC,,both,1,EA,701,701,149.2316452,701,701,percent of total billed charges,515.7506035,,,,701,percent of total billed charges,546.6854421,,,,701,percent of total billed charges,515.7506035,,,,701,percent of total billed charges,546.6854421,,,,701,percent of total billed charges,999999999,,,,701,percent of total billed charges,534.1138206,,,,701,percent of total billed charges,515.7506035,,,,701,percent of total billed charges,546.6854421,,,,499.813,percent of total billed charges,249.4158336,,,,499.813,percent of total billed charges,149.2316452,,,,499.813,percent of total billed charges,249.4158336,,,,499.813,percent of total billed charges,149.2316452,,,,499.813,percent of total billed charges,249.4158336,,,,499.813,percent of total billed charges,149.2316452,,,,494.906,percent of total billed charges,491.1510136,,,,494.906,percent of total billed charges,338.7429612,,,,,,,,,,504.72,percent of total billed charges,328.0561229,,,,,,,,,,504.72,percent of total billed charges,999999999,,,,,,,,,,560.8,percent of total billed charges,469.9212486,,,,553.79,percent of total billed charges,534.4311823,,,,553.79,percent of total billed charges,472.1876401,,,,560.8,percent of total billed charges,999999999,,,,560.8,percent of total billed charges,999999999,,,,490.7,percent of total billed charges,999999999,,,,490.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,372.932,percent of total billed charges,999999999,,,,,,,,,,,,,,,,354.005,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,175.25,percent of total billed charges,166.4446323,,,,,,,,,,175.25,percent of total billed charges,163.6759391,,,,,,,,,,175.25,percent of total billed charges,163.2210907,,,,,,,,,,175.25,percent of total billed charges,160.8176621,,,,,,,,,,175.25,percent of total billed charges,164.9557369,,,,,,,,,,175.25,percent of total billed charges,999999999,,,,,,,,,,175.25,percent of total billed charges,141.5436385,,,,,,,,,,175.25,percent of total billed charges,223.2240787,,,,,,,,,,175.25,percent of total billed charges,999999999,,,,,,,,,,175.25,percent of total billed charges,152.6186593,,,,,,,,,,630.9,percent of total billed charges,,,,,
**VAGINAL DELIVERY,0,CDM,0059-1289-30,NDC,,both,1,EA,1243,1243,264.6147432,1243,1243,percent of total billed charges,914.5192585,,,,1243,percent of total billed charges,969.3723317,,,,1243,percent of total billed charges,914.5192585,,,,1243,percent of total billed charges,969.3723317,,,,1243,percent of total billed charges,999999999,,,,1243,percent of total billed charges,947.0805691,,,,1243,percent of total billed charges,914.5192585,,,,1243,percent of total billed charges,969.3723317,,,,886.259,percent of total billed charges,442.2594596,,,,886.259,percent of total billed charges,264.6147432,,,,886.259,percent of total billed charges,442.2594596,,,,886.259,percent of total billed charges,264.6147432,,,,886.259,percent of total billed charges,442.2594596,,,,886.259,percent of total billed charges,264.6147432,,,,877.558,percent of total billed charges,870.8997289,,,,877.558,percent of total billed charges,600.6526402,,,,,,,,,,894.96,percent of total billed charges,581.7029397,,,,,,,,,,894.96,percent of total billed charges,999999999,,,,,,,,,,994.4,percent of total billed charges,833.2555093,,,,981.97,percent of total billed charges,947.643309,,,,981.97,percent of total billed charges,837.2742319,,,,994.4,percent of total billed charges,999999999,,,,994.4,percent of total billed charges,999999999,,,,870.1,percent of total billed charges,999999999,,,,870.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,661.276,percent of total billed charges,999999999,,,,,,,,,,,,,,,,627.715,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,310.75,percent of total billed charges,295.1364878,,,,,,,,,,310.75,percent of total billed charges,290.2270931,,,,,,,,,,310.75,percent of total billed charges,289.4205645,,,,,,,,,,310.75,percent of total billed charges,285.1588502,,,,,,,,,,310.75,percent of total billed charges,292.4964066,,,,,,,,,,310.75,percent of total billed charges,999999999,,,,,,,,,,310.75,percent of total billed charges,250.9825145,,,,,,,,,,310.75,percent of total billed charges,395.816733,,,,,,,,,,310.75,percent of total billed charges,999999999,,,,,,,,,,310.75,percent of total billed charges,270.6205328,,,,,,,,,,1118.7,percent of total billed charges,,,,,
**CESAREAN DELIVERY,59612,CDM,0059-1289-30,NDC,,both,1,EA,1738,1738,369.9922958,1738,1738,percent of total billed charges,1278.708344,,,,1738,percent of total billed charges,1355.405561,,,,1738,percent of total billed charges,1278.708344,,,,1738,percent of total billed charges,1355.405561,,,,1738,percent of total billed charges,999999999,,,,1738,percent of total billed charges,1324.236548,,,,1738,percent of total billed charges,1278.708344,,,,1738,percent of total billed charges,1355.405561,,,,1239.194,percent of total billed charges,618.3804833,,,,1239.194,percent of total billed charges,369.9922958,,,,1239.194,percent of total billed charges,618.3804833,,,,1239.194,percent of total billed charges,369.9922958,,,,1239.194,percent of total billed charges,618.3804833,,,,1239.194,percent of total billed charges,369.9922958,,,,1227.028,percent of total billed charges,1217.718205,,,,1227.028,percent of total billed charges,839.8505943,,,,,,,,,,1251.36,percent of total billed charges,813.3545529,,,,,,,,,,1251.36,percent of total billed charges,999999999,,,,,,,,,,1390.4,percent of total billed charges,1165.082925,,,,1373.02,percent of total billed charges,1325.023388,,,,1373.02,percent of total billed charges,1170.702023,,,,1390.4,percent of total billed charges,999999999,,,,1390.4,percent of total billed charges,999999999,,,,1216.6,percent of total billed charges,999999999,,,,1216.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,924.616,percent of total billed charges,999999999,,,,,,,,,,,,,,,,877.69,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,434.5,percent of total billed charges,412.6687174,,,,,,,,,,434.5,percent of total billed charges,405.8042541,,,,,,,,,,434.5,percent of total billed charges,404.6765414,,,,,,,,,,434.5,percent of total billed charges,398.7176843,,,,,,,,,,434.5,percent of total billed charges,408.9772765,,,,,,,,,,434.5,percent of total billed charges,999999999,,,,,,,,,,434.5,percent of total billed charges,350.9313034,,,,,,,,,,434.5,percent of total billed charges,553.4428656,,,,,,,,,,434.5,percent of total billed charges,999999999,,,,,,,,,,434.5,percent of total billed charges,378.3897715,,,,,,,,,,1564.2,percent of total billed charges,,,,,
**CESAREAN HYST.(NO LABOR CARE),0,CDM,0059-1289-30,NDC,,both,1,EA,2479,2479,527.7392987,2479,2479,percent of total billed charges,1823.888368,,,,2479,percent of total billed charges,1933.285608,,,,2479,percent of total billed charges,1823.888368,,,,2479,percent of total billed charges,1933.285608,,,,2479,percent of total billed charges,999999999,,,,2479,percent of total billed charges,1888.827619,,,,2479,percent of total billed charges,1823.888368,,,,2479,percent of total billed charges,1933.285608,,,,1767.527,percent of total billed charges,882.0283188,,,,1767.527,percent of total billed charges,527.7392987,,,,1767.527,percent of total billed charges,882.0283188,,,,1767.527,percent of total billed charges,527.7392987,,,,1767.527,percent of total billed charges,882.0283188,,,,1767.527,percent of total billed charges,527.7392987,,,,1750.174,percent of total billed charges,1736.894954,,,,1750.174,percent of total billed charges,1197.922683,,,,,,,,,,1784.88,percent of total billed charges,1160.129998,,,,,,,,,,1784.88,percent of total billed charges,999999999,,,,,,,,,,1983.2,percent of total billed charges,1661.81851,,,,1958.41,percent of total billed charges,1889.94993,,,,1958.41,percent of total billed charges,1669.833323,,,,1983.2,percent of total billed charges,999999999,,,,1983.2,percent of total billed charges,999999999,,,,1735.3,percent of total billed charges,999999999,,,,1735.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1318.828,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1251.895,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,619.75,percent of total billed charges,588.6109036,,,,,,,,,,619.75,percent of total billed charges,578.8197617,,,,,,,,,,619.75,percent of total billed charges,577.2112464,,,,,,,,,,619.75,percent of total billed charges,568.7118178,,,,,,,,,,619.75,percent of total billed charges,583.345609,,,,,,,,,,619.75,percent of total billed charges,999999999,,,,,,,,,,619.75,percent of total billed charges,500.5516117,,,,,,,,,,619.75,percent of total billed charges,789.4044095,,,,,,,,,,619.75,percent of total billed charges,999999999,,,,,,,,,,619.75,percent of total billed charges,539.7170561,,,,,,,,,,2231.1,percent of total billed charges,,,,,
"**NEURAXIAL LABOR ANALGESIA, PLANNED",0,CDM,0059-1289-30,NDC,,both,1,EA,1341,1341,285.4773697,1341,1341,percent of total billed charges,986.62134,,,,1341,percent of total billed charges,1045.799113,,,,1341,percent of total billed charges,986.62134,,,,1341,percent of total billed charges,1045.799113,,,,1341,percent of total billed charges,999999999,,,,1341,percent of total billed charges,1021.749834,,,,1341,percent of total billed charges,986.62134,,,,1341,percent of total billed charges,1045.799113,,,,956.133,percent of total billed charges,477.1278643,,,,956.133,percent of total billed charges,285.4773697,,,,956.133,percent of total billed charges,477.1278643,,,,956.133,percent of total billed charges,285.4773697,,,,956.133,percent of total billed charges,477.1278643,,,,956.133,percent of total billed charges,285.4773697,,,,946.746,percent of total billed charges,939.5627807,,,,946.746,percent of total billed charges,648.0090028,,,,,,,,,,965.52,percent of total billed charges,627.5652793,,,,,,,,,,965.52,percent of total billed charges,999999999,,,,,,,,,,1072.8,percent of total billed charges,898.950634,,,,1059.39,percent of total billed charges,1022.356941,,,,1059.39,percent of total billed charges,903.2861987,,,,1072.8,percent of total billed charges,999999999,,,,1072.8,percent of total billed charges,999999999,,,,938.7,percent of total billed charges,999999999,,,,938.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,713.412,percent of total billed charges,999999999,,,,,,,,,,,,,,,,677.205,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,335.25,percent of total billed charges,318.4054949,,,,,,,,,,335.25,percent of total billed charges,313.1090361,,,,,,,,,,335.25,percent of total billed charges,312.2389195,,,,,,,,,,335.25,percent of total billed charges,307.6412052,,,,,,,,,,335.25,percent of total billed charges,315.5572657,,,,,,,,,,335.25,percent of total billed charges,999999999,,,,,,,,,,335.25,percent of total billed charges,270.7703555,,,,,,,,,,335.25,percent of total billed charges,427.0235229,,,,,,,,,,335.25,percent of total billed charges,999999999,,,,,,,,,,335.25,percent of total billed charges,291.9566649,,,,,,,,,,1206.9,percent of total billed charges,,,,,
**CS FOLLOWING NEURAXIAL LABOR,0,CDM,0059-1289-30,NDC,,both,1,EA,751,751,159.8758424,751,751,percent of total billed charges,552.5373798,,,,751,percent of total billed charges,585.6786976,,,,751,percent of total billed charges,552.5373798,,,,751,percent of total billed charges,585.6786976,,,,751,percent of total billed charges,999999999,,,,751,percent of total billed charges,572.2103841,,,,751,percent of total billed charges,552.5373798,,,,751,percent of total billed charges,585.6786976,,,,535.463,percent of total billed charges,267.205836,,,,535.463,percent of total billed charges,159.8758424,,,,535.463,percent of total billed charges,267.205836,,,,535.463,percent of total billed charges,159.8758424,,,,535.463,percent of total billed charges,267.205836,,,,535.463,percent of total billed charges,159.8758424,,,,530.206,percent of total billed charges,526.1831829,,,,530.206,percent of total billed charges,362.9043707,,,,,,,,,,540.72,percent of total billed charges,351.4552757,,,,,,,,,,540.72,percent of total billed charges,999999999,,,,,,,,,,600.8,percent of total billed charges,503.4391694,,,,593.29,percent of total billed charges,572.5503822,,,,593.29,percent of total billed charges,505.867215,,,,600.8,percent of total billed charges,999999999,,,,600.8,percent of total billed charges,999999999,,,,525.7,percent of total billed charges,999999999,,,,525.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,399.532,percent of total billed charges,999999999,,,,,,,,,,,,,,,,379.255,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,187.75,percent of total billed charges,178.3165747,,,,,,,,,,187.75,percent of total billed charges,175.3503998,,,,,,,,,,187.75,percent of total billed charges,174.8631085,,,,,,,,,,187.75,percent of total billed charges,172.2882514,,,,,,,,,,187.75,percent of total billed charges,176.7214814,,,,,,,,,,187.75,percent of total billed charges,999999999,,,,,,,,,,187.75,percent of total billed charges,151.6394758,,,,,,,,,,187.75,percent of total billed charges,239.1459103,,,,,,,,,,187.75,percent of total billed charges,999999999,,,,,,,,,,187.75,percent of total billed charges,163.504441,,,,,,,,,,675.9,percent of total billed charges,,,,,
**NEWBORN RESUSCITATION,99440,CDM,0059-1289-30,NDC,,both,1,EA,1240,1240,263.9760913,1240,1240,percent of total billed charges,912.3120519,,,,1240,percent of total billed charges,967.0327364,,,,1240,percent of total billed charges,912.3120519,,,,1240,percent of total billed charges,967.0327364,,,,1240,percent of total billed charges,999999999,,,,1240,percent of total billed charges,944.7947753,,,,1240,percent of total billed charges,912.3120519,,,,1240,percent of total billed charges,967.0327364,,,,884.12,percent of total billed charges,441.1920594,,,,884.12,percent of total billed charges,263.9760913,,,,884.12,percent of total billed charges,441.1920594,,,,884.12,percent of total billed charges,263.9760913,,,,884.12,percent of total billed charges,441.1920594,,,,884.12,percent of total billed charges,263.9760913,,,,875.44,percent of total billed charges,868.7977987,,,,875.44,percent of total billed charges,599.2029557,,,,,,,,,,892.8,percent of total billed charges,580.2989905,,,,,,,,,,892.8,percent of total billed charges,999999999,,,,,,,,,,992,percent of total billed charges,831.2444341,,,,979.6,percent of total billed charges,945.356157,,,,979.6,percent of total billed charges,835.2534574,,,,992,percent of total billed charges,999999999,,,,992,percent of total billed charges,999999999,,,,868,percent of total billed charges,999999999,,,,868,percent of total billed charges,999999999,,,,,,,,,,,,,,,,659.68,percent of total billed charges,999999999,,,,,,,,,,,,,,,,626.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,310,percent of total billed charges,294.4241712,,,,,,,,,,310,percent of total billed charges,289.5266255,,,,,,,,,,310,percent of total billed charges,288.7220434,,,,,,,,,,310,percent of total billed charges,284.4706148,,,,,,,,,,310,percent of total billed charges,291.7904619,,,,,,,,,,310,percent of total billed charges,999999999,,,,,,,,,,310,percent of total billed charges,250.3767642,,,,,,,,,,310,percent of total billed charges,394.8614231,,,,,,,,,,310,percent of total billed charges,999999999,,,,,,,,,,310,percent of total billed charges,269.9673859,,,,,,,,,,1116,percent of total billed charges,,,,,
**CARDIOPULMONARY RESUSCITATION,92950,CDM,0059-1289-30,NDC,,both,1,EA,2479,2479,527.7392987,2479,2479,percent of total billed charges,1823.888368,,,,2479,percent of total billed charges,1933.285608,,,,2479,percent of total billed charges,1823.888368,,,,2479,percent of total billed charges,1933.285608,,,,2479,percent of total billed charges,999999999,,,,2479,percent of total billed charges,1888.827619,,,,2479,percent of total billed charges,1823.888368,,,,2479,percent of total billed charges,1933.285608,,,,1767.527,percent of total billed charges,882.0283188,,,,1767.527,percent of total billed charges,527.7392987,,,,1767.527,percent of total billed charges,882.0283188,,,,1767.527,percent of total billed charges,527.7392987,,,,1767.527,percent of total billed charges,882.0283188,,,,1767.527,percent of total billed charges,527.7392987,,,,1750.174,percent of total billed charges,1736.894954,,,,1750.174,percent of total billed charges,1197.922683,,,,,,,,,,1784.88,percent of total billed charges,1160.129998,,,,,,,,,,1784.88,percent of total billed charges,999999999,,,,,,,,,,1983.2,percent of total billed charges,1661.81851,,,,1958.41,percent of total billed charges,1889.94993,,,,1958.41,percent of total billed charges,1669.833323,,,,1983.2,percent of total billed charges,999999999,,,,1983.2,percent of total billed charges,999999999,,,,1735.3,percent of total billed charges,999999999,,,,1735.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1318.828,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1251.895,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,619.75,percent of total billed charges,588.6109036,,,,,,,,,,619.75,percent of total billed charges,578.8197617,,,,,,,,,,619.75,percent of total billed charges,577.2112464,,,,,,,,,,619.75,percent of total billed charges,568.7118178,,,,,,,,,,619.75,percent of total billed charges,583.345609,,,,,,,,,,619.75,percent of total billed charges,999999999,,,,,,,,,,619.75,percent of total billed charges,500.5516117,,,,,,,,,,619.75,percent of total billed charges,789.4044095,,,,,,,,,,619.75,percent of total billed charges,999999999,,,,,,,,,,619.75,percent of total billed charges,539.7170561,,,,,,,,,,2231.1,percent of total billed charges,,,,,
**VENIPUNTURE UNDER 3 AGE,36400,CDM,0059-1289-30,NDC,,both,1,EA,505,505,107.506392,505,505,percent of total billed charges,371.5464405,,,,505,percent of total billed charges,393.8318806,,,,505,percent of total billed charges,371.5464405,,,,505,percent of total billed charges,393.8318806,,,,505,percent of total billed charges,999999999,,,,505,percent of total billed charges,384.7752916,,,,505,percent of total billed charges,371.5464405,,,,505,percent of total billed charges,393.8318806,,,,360.065,percent of total billed charges,179.6790242,,,,360.065,percent of total billed charges,107.506392,,,,360.065,percent of total billed charges,179.6790242,,,,360.065,percent of total billed charges,107.506392,,,,360.065,percent of total billed charges,179.6790242,,,,360.065,percent of total billed charges,107.506392,,,,356.53,percent of total billed charges,353.82491,,,,356.53,percent of total billed charges,244.030236,,,,,,,,,,363.6,percent of total billed charges,236.3314437,,,,,,,,,,363.6,percent of total billed charges,999999999,,,,,,,,,,404,percent of total billed charges,338.5309994,,,,398.95,percent of total billed charges,385.0039188,,,,398.95,percent of total billed charges,340.1637065,,,,404,percent of total billed charges,999999999,,,,404,percent of total billed charges,999999999,,,,353.5,percent of total billed charges,999999999,,,,353.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,268.66,percent of total billed charges,999999999,,,,,,,,,,,,,,,,255.025,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,126.25,percent of total billed charges,119.9066181,,,,,,,,,,126.25,percent of total billed charges,117.9120531,,,,,,,,,,126.25,percent of total billed charges,117.5843806,,,,,,,,,,126.25,percent of total billed charges,115.852952,,,,,,,,,,126.25,percent of total billed charges,118.8340188,,,,,,,,,,126.25,percent of total billed charges,999999999,,,,,,,,,,126.25,percent of total billed charges,101.9679564,,,,,,,,,,126.25,percent of total billed charges,160.8104989,,,,,,,,,,126.25,percent of total billed charges,999999999,,,,,,,,,,126.25,percent of total billed charges,109.9463951,,,,,,,,,,454.5,percent of total billed charges,,,,,
**EMERGENCY,99140,CDM,0059-1289-30,NDC,,both,1,EA,1077,1077,229.2760084,1077,1077,percent of total billed charges,792.3871612,,,,1077,percent of total billed charges,839.9147235,,,,1077,percent of total billed charges,792.3871612,,,,1077,percent of total billed charges,839.9147235,,,,1077,percent of total billed charges,999999999,,,,1077,percent of total billed charges,820.5999782,,,,1077,percent of total billed charges,792.3871612,,,,1077,percent of total billed charges,839.9147235,,,,767.901,percent of total billed charges,383.1966516,,,,767.901,percent of total billed charges,229.2760084,,,,767.901,percent of total billed charges,383.1966516,,,,767.901,percent of total billed charges,229.2760084,,,,767.901,percent of total billed charges,383.1966516,,,,767.901,percent of total billed charges,229.2760084,,,,760.362,percent of total billed charges,754.5929268,,,,760.362,percent of total billed charges,520.4367607,,,,,,,,,,775.44,percent of total billed charges,504.0177523,,,,,,,,,,775.44,percent of total billed charges,999999999,,,,,,,,,,861.6,percent of total billed charges,721.9760125,,,,850.83,percent of total billed charges,821.0875654,,,,850.83,percent of total billed charges,725.4580433,,,,861.6,percent of total billed charges,999999999,,,,861.6,percent of total billed charges,999999999,,,,753.9,percent of total billed charges,999999999,,,,753.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,572.964,percent of total billed charges,999999999,,,,,,,,,,,,,,,,543.885,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,269.25,percent of total billed charges,255.721639,,,,,,,,,,269.25,percent of total billed charges,251.4678836,,,,,,,,,,269.25,percent of total billed charges,250.7690651,,,,,,,,,,269.25,percent of total billed charges,247.0764937,,,,,,,,,,269.25,percent of total billed charges,253.4341351,,,,,,,,,,269.25,percent of total billed charges,999999999,,,,,,,,,,269.25,percent of total billed charges,217.4643347,,,,,,,,,,269.25,percent of total billed charges,342.9562521,,,,,,,,,,269.25,percent of total billed charges,999999999,,,,,,,,,,269.25,percent of total billed charges,234.4797376,,,,,,,,,,969.3,percent of total billed charges,,,,,
**EXTREME AGE (<1YR./>70),99100,CDM,0059-1289-30,NDC,,both,1,EA,275,275,58.54308477,275,275,percent of total billed charges,202.3272696,,,,275,percent of total billed charges,214.4629053,,,,275,percent of total billed charges,202.3272696,,,,275,percent of total billed charges,214.4629053,,,,275,percent of total billed charges,999999999,,,,275,percent of total billed charges,209.5310994,,,,275,percent of total billed charges,202.3272696,,,,275,percent of total billed charges,214.4629053,,,,196.075,percent of total billed charges,97.84501318,,,,196.075,percent of total billed charges,58.54308477,,,,196.075,percent of total billed charges,97.84501318,,,,196.075,percent of total billed charges,58.54308477,,,,196.075,percent of total billed charges,97.84501318,,,,196.075,percent of total billed charges,58.54308477,,,,194.15,percent of total billed charges,192.6769312,,,,194.15,percent of total billed charges,132.8877523,,,,,,,,,,198,percent of total billed charges,128.6953406,,,,,,,,,,198,percent of total billed charges,999999999,,,,,,,,,,220,percent of total billed charges,184.348564,,,,217.25,percent of total billed charges,209.6555993,,,,217.25,percent of total billed charges,185.2376619,,,,220,percent of total billed charges,999999999,,,,220,percent of total billed charges,999999999,,,,192.5,percent of total billed charges,999999999,,,,192.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,146.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,138.875,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,68.75,percent of total billed charges,65.29568314,,,,,,,,,,68.75,percent of total billed charges,64.20953388,,,,,,,,,,68.75,percent of total billed charges,64.03109833,,,,,,,,,,68.75,percent of total billed charges,63.08824119,,,,,,,,,,68.75,percent of total billed charges,64.71159438,,,,,,,,,,68.75,percent of total billed charges,999999999,,,,,,,,,,68.75,percent of total billed charges,55.52710497,,,,,,,,,,68.75,percent of total billed charges,87.57007367,,,,,,,,,,68.75,percent of total billed charges,999999999,,,,,,,,,,68.75,percent of total billed charges,59.87179929,,,,,,,,,,247.5,percent of total billed charges,,,,,
**MOD SEDATION MD 1ST 30 MINS >5 YRS OLD,99144,CDM,0059-1289-30,NDC,,both,1,EA,153,153,32.57124353,153,153,percent of total billed charges,112.5675354,,,,153,percent of total billed charges,119.3193618,,,,153,percent of total billed charges,112.5675354,,,,153,percent of total billed charges,119.3193618,,,,153,percent of total billed charges,999999999,,,,153,percent of total billed charges,116.5754844,,,,153,percent of total billed charges,112.5675354,,,,153,percent of total billed charges,119.3193618,,,,109.089,percent of total billed charges,54.43740733,,,,109.089,percent of total billed charges,32.57124353,,,,109.089,percent of total billed charges,54.43740733,,,,109.089,percent of total billed charges,32.57124353,,,,109.089,percent of total billed charges,54.43740733,,,,109.089,percent of total billed charges,32.57124353,,,,108.018,percent of total billed charges,107.1984381,,,,108.018,percent of total billed charges,73.93391308,,,,,,,,,,110.16,percent of total billed charges,71.6014077,,,,,,,,,,110.16,percent of total billed charges,999999999,,,,,,,,,,122.4,percent of total billed charges,102.5648374,,,,120.87,percent of total billed charges,116.6447516,,,,120.87,percent of total billed charges,103.0594992,,,,122.4,percent of total billed charges,999999999,,,,122.4,percent of total billed charges,999999999,,,,107.1,percent of total billed charges,999999999,,,,107.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,81.396,percent of total billed charges,999999999,,,,,,,,,,,,,,,,77.265,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,38.25,percent of total billed charges,36.32814371,,,,,,,,,,38.25,percent of total billed charges,35.72384976,,,,,,,,,,38.25,percent of total billed charges,35.62457471,,,,,,,,,,38.25,percent of total billed charges,35.10000328,,,,,,,,,,38.25,percent of total billed charges,36.00317796,,,,,,,,,,38.25,percent of total billed charges,999999999,,,,,,,,,,38.25,percent of total billed charges,30.89326204,,,,,,,,,,38.25,percent of total billed charges,48.72080462,,,,,,,,,,38.25,percent of total billed charges,999999999,,,,,,,,,,38.25,percent of total billed charges,33.31049197,,,,,,,,,,137.7,percent of total billed charges,,,,,
**MOD SEDATION DR EACH ADD 15 MIN > 5 Y,99145,CDM,0059-1289-30,NDC,,both,1,EA,80,80,17.03071557,80,80,percent of total billed charges,58.85884206,,,,80,percent of total billed charges,62.3892088,,,,80,percent of total billed charges,58.85884206,,,,80,percent of total billed charges,62.3892088,,,,80,percent of total billed charges,999999999,,,,80,percent of total billed charges,60.95450163,,,,80,percent of total billed charges,58.85884206,,,,80,percent of total billed charges,62.3892088,,,,57.04,percent of total billed charges,28.46400383,,,,57.04,percent of total billed charges,17.03071557,,,,57.04,percent of total billed charges,28.46400383,,,,57.04,percent of total billed charges,17.03071557,,,,57.04,percent of total billed charges,28.46400383,,,,57.04,percent of total billed charges,17.03071557,,,,56.48,percent of total billed charges,56.05147089,,,,56.48,percent of total billed charges,38.6582552,,,,,,,,,,57.6,percent of total billed charges,37.43864455,,,,,,,,,,57.6,percent of total billed charges,999999999,,,,,,,,,,64,percent of total billed charges,53.62867317,,,,63.2,percent of total billed charges,60.99071981,,,,63.2,percent of total billed charges,53.88731984,,,,64,percent of total billed charges,999999999,,,,64,percent of total billed charges,999999999,,,,56,percent of total billed charges,999999999,,,,56,percent of total billed charges,999999999,,,,,,,,,,,,,,,,42.56,percent of total billed charges,999999999,,,,,,,,,,,,,,,,40.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20,percent of total billed charges,18.99510782,,,,,,,,,,20,percent of total billed charges,18.67913713,,,,,,,,,,20,percent of total billed charges,18.62722861,,,,,,,,,,20,percent of total billed charges,18.35294289,,,,,,,,,,20,percent of total billed charges,18.82519109,,,,,,,,,,20,percent of total billed charges,999999999,,,,,,,,,,20,percent of total billed charges,16.15333963,,,,,,,,,,20,percent of total billed charges,25.47493052,,,,,,,,,,20,percent of total billed charges,999999999,,,,,,,,,,20,percent of total billed charges,17.4172507,,,,,,,,,,72,percent of total billed charges,,,,,
**TOTAL HIP,0,CDM,0059-1289-30,NDC,,both,1,EA,1738,1738,369.9922958,1738,1738,percent of total billed charges,1278.708344,,,,1738,percent of total billed charges,1355.405561,,,,1738,percent of total billed charges,1278.708344,,,,1738,percent of total billed charges,1355.405561,,,,1738,percent of total billed charges,999999999,,,,1738,percent of total billed charges,1324.236548,,,,1738,percent of total billed charges,1278.708344,,,,1738,percent of total billed charges,1355.405561,,,,1239.194,percent of total billed charges,618.3804833,,,,1239.194,percent of total billed charges,369.9922958,,,,1239.194,percent of total billed charges,618.3804833,,,,1239.194,percent of total billed charges,369.9922958,,,,1239.194,percent of total billed charges,618.3804833,,,,1239.194,percent of total billed charges,369.9922958,,,,1227.028,percent of total billed charges,1217.718205,,,,1227.028,percent of total billed charges,839.8505943,,,,,,,,,,1251.36,percent of total billed charges,813.3545529,,,,,,,,,,1251.36,percent of total billed charges,999999999,,,,,,,,,,1390.4,percent of total billed charges,1165.082925,,,,1373.02,percent of total billed charges,1325.023388,,,,1373.02,percent of total billed charges,1170.702023,,,,1390.4,percent of total billed charges,999999999,,,,1390.4,percent of total billed charges,999999999,,,,1216.6,percent of total billed charges,999999999,,,,1216.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,924.616,percent of total billed charges,999999999,,,,,,,,,,,,,,,,877.69,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,434.5,percent of total billed charges,412.6687174,,,,,,,,,,434.5,percent of total billed charges,405.8042541,,,,,,,,,,434.5,percent of total billed charges,404.6765414,,,,,,,,,,434.5,percent of total billed charges,398.7176843,,,,,,,,,,434.5,percent of total billed charges,408.9772765,,,,,,,,,,434.5,percent of total billed charges,999999999,,,,,,,,,,434.5,percent of total billed charges,350.9313034,,,,,,,,,,434.5,percent of total billed charges,553.4428656,,,,,,,,,,434.5,percent of total billed charges,999999999,,,,,,,,,,434.5,percent of total billed charges,378.3897715,,,,,,,,,,1564.2,percent of total billed charges,,,,,
THORACENTESIS PUNCT PLRL W/O IMAGING,32554,CDM,0059-1289-30,NDC,,both,1,EA,1459,1459,310.5976752,1459,1459,percent of total billed charges,1073.438132,,,,1459,percent of total billed charges,1137.823195,,,,1459,percent of total billed charges,1073.438132,,,,1459,percent of total billed charges,1137.823195,,,,1459,percent of total billed charges,999999999,,,,1459,percent of total billed charges,1111.657724,,,,1459,percent of total billed charges,1073.438132,,,,1459,percent of total billed charges,1137.823195,,,,1040.267,percent of total billed charges,519.1122699,,,,1040.267,percent of total billed charges,310.5976752,,,,1040.267,percent of total billed charges,519.1122699,,,,1040.267,percent of total billed charges,310.5976752,,,,1040.267,percent of total billed charges,519.1122699,,,,1040.267,percent of total billed charges,310.5976752,,,,1030.054,percent of total billed charges,1022.2387,,,,1030.054,percent of total billed charges,705.0299293,,,,,,,,,,1050.48,percent of total billed charges,682.78728,,,,,,,,,,1050.48,percent of total billed charges,999999999,,,,,,,,,,1167.2,percent of total billed charges,978.0529269,,,,1152.61,percent of total billed charges,1112.318252,,,,1152.61,percent of total billed charges,982.7699955,,,,1167.2,percent of total billed charges,999999999,,,,1167.2,percent of total billed charges,999999999,,,,1021.3,percent of total billed charges,999999999,,,,1021.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,776.188,percent of total billed charges,999999999,,,,,,,,,,,,,,,,736.795,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,364.75,percent of total billed charges,346.4232789,,,,,,,,,,364.75,percent of total billed charges,340.6607634,,,,,,,,,,364.75,percent of total billed charges,339.7140817,,,,,,,,,,364.75,percent of total billed charges,334.711796,,,,,,,,,,364.75,percent of total billed charges,343.3244225,,,,,,,,,,364.75,percent of total billed charges,999999999,,,,,,,,,,364.75,percent of total billed charges,294.5965315,,,,,,,,,,364.75,percent of total billed charges,464.5990454,,,,,,,,,,364.75,percent of total billed charges,999999999,,,,,,,,,,364.75,percent of total billed charges,317.6471097,,,,,,,,,,1313.1,percent of total billed charges,,,,,
**ANESTHESIA SET UP,271,RC,0059-1289-30,NDC,,both,1,EA,939,939,199.898024,939,939,percent of total billed charges,690.8556587,,,,939,percent of total billed charges,732.2933383,,,,939,percent of total billed charges,690.8556587,,,,939,percent of total billed charges,732.2933383,,,,939,percent of total billed charges,999999999,,,,939,percent of total billed charges,715.4534629,,,,939,percent of total billed charges,690.8556587,,,,939,percent of total billed charges,732.2933383,,,,669.507,percent of total billed charges,334.096245,,,,669.507,percent of total billed charges,199.898024,,,,669.507,percent of total billed charges,334.096245,,,,669.507,percent of total billed charges,199.898024,,,,669.507,percent of total billed charges,334.096245,,,,669.507,percent of total billed charges,199.898024,,,,662.934,percent of total billed charges,657.9041395,,,,662.934,percent of total billed charges,453.7512704,,,,,,,,,,676.08,percent of total billed charges,439.4360904,,,,,,,,,,676.08,percent of total billed charges,999999999,,,,,,,,,,751.2,percent of total billed charges,629.4665513,,,,741.81,percent of total billed charges,715.8785737,,,,741.81,percent of total billed charges,632.5024166,,,,751.2,percent of total billed charges,999999999,,,,751.2,percent of total billed charges,999999999,,,,657.3,percent of total billed charges,999999999,,,,657.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,499.548,percent of total billed charges,999999999,,,,,,,,,,,,,,,,474.195,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,234.75,percent of total billed charges,222.9550781,,,,,,,,,,234.75,percent of total billed charges,219.246372,,,,,,,,,,234.75,percent of total billed charges,218.6370958,,,,,,,,,,234.75,percent of total billed charges,215.4176672,,,,,,,,,,234.75,percent of total billed charges,220.9606804,,,,,,,,,,234.75,percent of total billed charges,999999999,,,,,,,,,,234.75,percent of total billed charges,189.5998239,,,,,,,,,,234.75,percent of total billed charges,299.011997,,,,,,,,,,234.75,percent of total billed charges,999999999,,,,,,,,,,234.75,percent of total billed charges,204.4349801,,,,,,,,,,845.1,percent of total billed charges,,,,,
**BIER BLOCK-DISP SUPPLIES,272,RC,0059-1289-30,NDC,,both,1,EA,133,133,28.31356463,133,133,percent of total billed charges,97.85282492,,,,133,percent of total billed charges,103.7220596,,,,133,percent of total billed charges,97.85282492,,,,133,percent of total billed charges,103.7220596,,,,133,percent of total billed charges,999999999,,,,133,percent of total billed charges,101.336859,,,,133,percent of total billed charges,97.85282492,,,,133,percent of total billed charges,103.7220596,,,,94.829,percent of total billed charges,47.32140637,,,,94.829,percent of total billed charges,28.31356463,,,,94.829,percent of total billed charges,47.32140637,,,,94.829,percent of total billed charges,28.31356463,,,,94.829,percent of total billed charges,47.32140637,,,,94.829,percent of total billed charges,28.31356463,,,,93.898,percent of total billed charges,93.18557035,,,,93.898,percent of total billed charges,64.26934928,,,,,,,,,,95.76,percent of total billed charges,62.24174656,,,,,,,,,,95.76,percent of total billed charges,999999999,,,,,,,,,,106.4,percent of total billed charges,89.15766914,,,,105.07,percent of total billed charges,101.3970717,,,,105.07,percent of total billed charges,89.58766923,,,,106.4,percent of total billed charges,999999999,,,,106.4,percent of total billed charges,999999999,,,,93.1,percent of total billed charges,999999999,,,,93.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,70.756,percent of total billed charges,999999999,,,,,,,,,,,,,,,,67.165,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,33.25,percent of total billed charges,31.57936675,,,,,,,,,,33.25,percent of total billed charges,31.05406547,,,,,,,,,,33.25,percent of total billed charges,30.96776756,,,,,,,,,,33.25,percent of total billed charges,30.51176756,,,,,,,,,,33.25,percent of total billed charges,31.29688019,,,,,,,,,,33.25,percent of total billed charges,999999999,,,,,,,,,,33.25,percent of total billed charges,26.85492713,,,,,,,,,,33.25,percent of total billed charges,42.35207199,,,,,,,,,,33.25,percent of total billed charges,999999999,,,,,,,,,,33.25,percent of total billed charges,28.95617929,,,,,,,,,,119.7,percent of total billed charges,,,,,
**GLIDE SCOPE,272,RC,0059-1289-30,NDC,,both,1,EA,178,178,37.89334214,178,178,percent of total billed charges,130.9609236,,,,178,percent of total billed charges,138.8159896,,,,178,percent of total billed charges,130.9609236,,,,178,percent of total billed charges,138.8159896,,,,178,percent of total billed charges,999999999,,,,178,percent of total billed charges,135.6237661,,,,178,percent of total billed charges,130.9609236,,,,178,percent of total billed charges,138.8159896,,,,126.914,percent of total billed charges,63.33240853,,,,126.914,percent of total billed charges,37.89334214,,,,126.914,percent of total billed charges,63.33240853,,,,126.914,percent of total billed charges,37.89334214,,,,126.914,percent of total billed charges,63.33240853,,,,126.914,percent of total billed charges,37.89334214,,,,125.668,percent of total billed charges,124.7145227,,,,125.668,percent of total billed charges,86.01461783,,,,,,,,,,128.16,percent of total billed charges,83.30098412,,,,,,,,,,128.16,percent of total billed charges,999999999,,,,,,,,,,142.4,percent of total billed charges,119.3237978,,,,140.62,percent of total billed charges,135.7043516,,,,140.62,percent of total billed charges,119.8992866,,,,142.4,percent of total billed charges,999999999,,,,142.4,percent of total billed charges,999999999,,,,124.6,percent of total billed charges,999999999,,,,124.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,94.696,percent of total billed charges,999999999,,,,,,,,,,,,,,,,89.89,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,44.5,percent of total billed charges,42.2641149,,,,,,,,,,44.5,percent of total billed charges,41.56108011,,,,,,,,,,44.5,percent of total billed charges,41.44558365,,,,,,,,,,44.5,percent of total billed charges,40.83529793,,,,,,,,,,44.5,percent of total billed charges,41.88605018,,,,,,,,,,44.5,percent of total billed charges,999999999,,,,,,,,,,44.5,percent of total billed charges,35.94118067,,,,,,,,,,44.5,percent of total billed charges,56.68172041,,,,,,,,,,44.5,percent of total billed charges,999999999,,,,,,,,,,44.5,percent of total billed charges,38.75338281,,,,,,,,,,160.2,percent of total billed charges,,,,,
**5% DEX IN D/W 500CC,258,RC,0059-1289-30,NDC,,both,1,EA,137,137,29.16510041,137,137,percent of total billed charges,100.795767,,,,137,percent of total billed charges,106.8415201,,,,137,percent of total billed charges,100.795767,,,,137,percent of total billed charges,106.8415201,,,,137,percent of total billed charges,999999999,,,,137,percent of total billed charges,104.384584,,,,137,percent of total billed charges,100.795767,,,,137,percent of total billed charges,106.8415201,,,,97.681,percent of total billed charges,48.74460657,,,,97.681,percent of total billed charges,29.16510041,,,,97.681,percent of total billed charges,48.74460657,,,,97.681,percent of total billed charges,29.16510041,,,,97.681,percent of total billed charges,48.74460657,,,,97.681,percent of total billed charges,29.16510041,,,,96.722,percent of total billed charges,95.98814389,,,,96.722,percent of total billed charges,66.20226204,,,,,,,,,,98.64,percent of total billed charges,64.11367879,,,,,,,,,,98.64,percent of total billed charges,999999999,,,,,,,,,,109.6,percent of total billed charges,91.8391028,,,,108.23,percent of total billed charges,104.4466077,,,,108.23,percent of total billed charges,92.28203522,,,,109.6,percent of total billed charges,999999999,,,,109.6,percent of total billed charges,999999999,,,,95.9,percent of total billed charges,999999999,,,,95.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,72.884,percent of total billed charges,999999999,,,,,,,,,,,,,,,,69.185,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,34.25,percent of total billed charges,32.52912214,,,,,,,,,,34.25,percent of total billed charges,31.98802233,,,,,,,,,,34.25,percent of total billed charges,31.89912899,,,,,,,,,,34.25,percent of total billed charges,31.4294147,,,,,,,,,,34.25,percent of total billed charges,32.23813974,,,,,,,,,,34.25,percent of total billed charges,999999999,,,,,,,,,,34.25,percent of total billed charges,27.66259411,,,,,,,,,,34.25,percent of total billed charges,43.62581852,,,,,,,,,,34.25,percent of total billed charges,999999999,,,,,,,,,,34.25,percent of total billed charges,29.82704183,,,,,,,,,,123.3,percent of total billed charges,,,,,
5% DEX IN D/W 1000CC,250,RC,0059-1289-30,NDC,,both,1,EA,138,138,29.37798436,138,138,percent of total billed charges,101.5315025,,,,138,percent of total billed charges,107.6213852,,,,138,percent of total billed charges,101.5315025,,,,138,percent of total billed charges,107.6213852,,,,138,percent of total billed charges,999999999,,,,138,percent of total billed charges,105.1465153,,,,138,percent of total billed charges,101.5315025,,,,138,percent of total billed charges,107.6213852,,,,98.394,percent of total billed charges,49.10040661,,,,98.394,percent of total billed charges,29.37798436,,,,98.394,percent of total billed charges,49.10040661,,,,98.394,percent of total billed charges,29.37798436,,,,98.394,percent of total billed charges,49.10040661,,,,98.394,percent of total billed charges,29.37798436,,,,97.428,percent of total billed charges,96.68878728,,,,97.428,percent of total billed charges,66.68549023,,,,,,,,,,99.36,percent of total billed charges,64.58166185,,,,,,,,,,99.36,percent of total billed charges,999999999,,,,,,,,,,110.4,percent of total billed charges,92.50946121,,,,109.02,percent of total billed charges,105.2089917,,,,109.02,percent of total billed charges,92.95562672,,,,110.4,percent of total billed charges,999999999,,,,110.4,percent of total billed charges,999999999,,,,96.6,percent of total billed charges,999999999,,,,96.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,73.416,percent of total billed charges,999999999,,,,,,,,,,,,,,,,69.69,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,34.5,percent of total billed charges,32.76656099,,,,,,,,,,34.5,percent of total billed charges,32.22151154,,,,,,,,,,34.5,percent of total billed charges,32.13196934,,,,,,,,,,34.5,percent of total billed charges,31.65882649,,,,,,,,,,34.5,percent of total billed charges,32.47345463,,,,,,,,,,34.5,percent of total billed charges,999999999,,,,,,,,,,34.5,percent of total billed charges,27.86451086,,,,,,,,,,34.5,percent of total billed charges,43.94425515,,,,,,,,,,34.5,percent of total billed charges,999999999,,,,,,,,,,34.5,percent of total billed charges,30.04475746,,,,,,,,,,124.2,percent of total billed charges,,,,,
**WARMING SET-DISP,272,RC,0059-1289-30,NDC,,both,1,EA,197,197,41.93813709,197,197,percent of total billed charges,144.9398986,,,,197,percent of total billed charges,153.6334267,,,,197,percent of total billed charges,144.9398986,,,,197,percent of total billed charges,153.6334267,,,,197,percent of total billed charges,999999999,,,,197,percent of total billed charges,150.1004603,,,,197,percent of total billed charges,144.9398986,,,,197,percent of total billed charges,153.6334267,,,,140.461,percent of total billed charges,70.09260944,,,,140.461,percent of total billed charges,41.93813709,,,,140.461,percent of total billed charges,70.09260944,,,,140.461,percent of total billed charges,41.93813709,,,,140.461,percent of total billed charges,70.09260944,,,,140.461,percent of total billed charges,41.93813709,,,,139.082,percent of total billed charges,138.0267471,,,,139.082,percent of total billed charges,95.19595344,,,,,,,,,,141.84,percent of total billed charges,92.19266221,,,,,,,,,,141.84,percent of total billed charges,999999999,,,,,,,,,,157.6,percent of total billed charges,132.0606077,,,,155.63,percent of total billed charges,150.1896475,,,,155.63,percent of total billed charges,132.6975251,,,,157.6,percent of total billed charges,999999999,,,,157.6,percent of total billed charges,999999999,,,,137.9,percent of total billed charges,999999999,,,,137.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,104.804,percent of total billed charges,999999999,,,,,,,,,,,,,,,,99.485,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,49.25,percent of total billed charges,46.77545301,,,,,,,,,,49.25,percent of total billed charges,45.99737518,,,,,,,,,,49.25,percent of total billed charges,45.86955044,,,,,,,,,,49.25,percent of total billed charges,45.19412187,,,,,,,,,,49.25,percent of total billed charges,46.35703306,,,,,,,,,,49.25,percent of total billed charges,999999999,,,,,,,,,,49.25,percent of total billed charges,39.77759883,,,,,,,,,,49.25,percent of total billed charges,62.73201641,,,,,,,,,,49.25,percent of total billed charges,999999999,,,,,,,,,,49.25,percent of total billed charges,42.88997985,,,,,,,,,,177.3,percent of total billed charges,,,,,
**BULB SYRINGE-DISP,272,RC,0059-1289-30,NDC,,both,1,EA,52,52,11.06996512,52,52,percent of total billed charges,38.25824734,,,,52,percent of total billed charges,40.55298572,,,,52,percent of total billed charges,38.25824734,,,,52,percent of total billed charges,40.55298572,,,,52,percent of total billed charges,999999999,,,,52,percent of total billed charges,39.62042606,,,,52,percent of total billed charges,38.25824734,,,,52,percent of total billed charges,40.55298572,,,,37.076,percent of total billed charges,18.50160249,,,,37.076,percent of total billed charges,11.06996512,,,,37.076,percent of total billed charges,18.50160249,,,,37.076,percent of total billed charges,11.06996512,,,,37.076,percent of total billed charges,18.50160249,,,,37.076,percent of total billed charges,11.06996512,,,,36.712,percent of total billed charges,36.43345608,,,,36.712,percent of total billed charges,25.12786588,,,,,,,,,,37.44,percent of total billed charges,24.33511896,,,,,,,,,,37.44,percent of total billed charges,999999999,,,,,,,,,,41.6,percent of total billed charges,34.85863756,,,,41.08,percent of total billed charges,39.64396787,,,,41.08,percent of total billed charges,35.02675789,,,,41.6,percent of total billed charges,999999999,,,,41.6,percent of total billed charges,999999999,,,,36.4,percent of total billed charges,999999999,,,,36.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,27.664,percent of total billed charges,999999999,,,,,,,,,,,,,,,,26.26,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13,percent of total billed charges,12.34682008,,,,,,,,,,13,percent of total billed charges,12.14143913,,,,,,,,,,13,percent of total billed charges,12.10769859,,,,,,,,,,13,percent of total billed charges,11.92941288,,,,,,,,,,13,percent of total billed charges,12.23637421,,,,,,,,,,13,percent of total billed charges,999999999,,,,,,,,,,13,percent of total billed charges,10.49967076,,,,,,,,,,13,percent of total billed charges,16.55870484,,,,,,,,,,13,percent of total billed charges,999999999,,,,,,,,,,13,percent of total billed charges,11.32121296,,,,,,,,,,46.8,percent of total billed charges,,,,,
**EKG MONITOR,271,RC,0059-1289-30,NDC,,both,1,EA,93,93,19.79820685,93,93,percent of total billed charges,68.42340389,,,,93,percent of total billed charges,72.52745523,,,,93,percent of total billed charges,68.42340389,,,,93,percent of total billed charges,72.52745523,,,,93,percent of total billed charges,999999999,,,,93,percent of total billed charges,70.85960815,,,,93,percent of total billed charges,68.42340389,,,,93,percent of total billed charges,72.52745523,,,,66.309,percent of total billed charges,33.08940446,,,,66.309,percent of total billed charges,19.79820685,,,,66.309,percent of total billed charges,33.08940446,,,,66.309,percent of total billed charges,19.79820685,,,,66.309,percent of total billed charges,33.08940446,,,,66.309,percent of total billed charges,19.79820685,,,,65.658,percent of total billed charges,65.1598349,,,,65.658,percent of total billed charges,44.94022167,,,,,,,,,,66.96,percent of total billed charges,43.52242429,,,,,,,,,,66.96,percent of total billed charges,999999999,,,,,,,,,,74.4,percent of total billed charges,62.34333256,,,,73.47,percent of total billed charges,70.90171178,,,,73.47,percent of total billed charges,62.64400931,,,,74.4,percent of total billed charges,999999999,,,,74.4,percent of total billed charges,999999999,,,,65.1,percent of total billed charges,999999999,,,,65.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,49.476,percent of total billed charges,999999999,,,,,,,,,,,,,,,,46.965,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23.25,percent of total billed charges,22.08181284,,,,,,,,,,23.25,percent of total billed charges,21.71449691,,,,,,,,,,23.25,percent of total billed charges,21.65415325,,,,,,,,,,23.25,percent of total billed charges,21.33529611,,,,,,,,,,23.25,percent of total billed charges,21.88428464,,,,,,,,,,23.25,percent of total billed charges,999999999,,,,,,,,,,23.25,percent of total billed charges,18.77825732,,,,,,,,,,23.25,percent of total billed charges,29.61460673,,,,,,,,,,23.25,percent of total billed charges,999999999,,,,,,,,,,23.25,percent of total billed charges,20.24755394,,,,,,,,,,83.7,percent of total billed charges,,,,,
**RINGERS LAC 1000CC,258,RC,0059-1289-30,NDC,,both,1,EA,182,182,38.74487792,182,182,percent of total billed charges,133.9038657,,,,182,percent of total billed charges,141.93545,,,,182,percent of total billed charges,133.9038657,,,,182,percent of total billed charges,141.93545,,,,182,percent of total billed charges,999999999,,,,182,percent of total billed charges,138.6714912,,,,182,percent of total billed charges,133.9038657,,,,182,percent of total billed charges,141.93545,,,,129.766,percent of total billed charges,64.75560872,,,,129.766,percent of total billed charges,38.74487792,,,,129.766,percent of total billed charges,64.75560872,,,,129.766,percent of total billed charges,38.74487792,,,,129.766,percent of total billed charges,64.75560872,,,,129.766,percent of total billed charges,38.74487792,,,,128.492,percent of total billed charges,127.5170963,,,,128.492,percent of total billed charges,87.94753059,,,,,,,,,,131.04,percent of total billed charges,85.17291635,,,,,,,,,,131.04,percent of total billed charges,999999999,,,,,,,,,,145.6,percent of total billed charges,122.0052315,,,,143.78,percent of total billed charges,138.7538876,,,,143.78,percent of total billed charges,122.5936526,,,,145.6,percent of total billed charges,999999999,,,,145.6,percent of total billed charges,999999999,,,,127.4,percent of total billed charges,999999999,,,,127.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,96.824,percent of total billed charges,999999999,,,,,,,,,,,,,,,,91.91,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45.5,percent of total billed charges,43.21387029,,,,,,,,,,45.5,percent of total billed charges,42.49503696,,,,,,,,,,45.5,percent of total billed charges,42.37694508,,,,,,,,,,45.5,percent of total billed charges,41.75294508,,,,,,,,,,45.5,percent of total billed charges,42.82730973,,,,,,,,,,45.5,percent of total billed charges,999999999,,,,,,,,,,45.5,percent of total billed charges,36.74884765,,,,,,,,,,45.5,percent of total billed charges,57.95546694,,,,,,,,,,45.5,percent of total billed charges,999999999,,,,,,,,,,45.5,percent of total billed charges,39.62424535,,,,,,,,,,163.8,percent of total billed charges,,,,,
**END TITLE CO2 MONITOR,271,RC,0059-1289-30,NDC,,both,1,EA,93,93,19.79820685,93,93,percent of total billed charges,68.42340389,,,,93,percent of total billed charges,72.52745523,,,,93,percent of total billed charges,68.42340389,,,,93,percent of total billed charges,72.52745523,,,,93,percent of total billed charges,999999999,,,,93,percent of total billed charges,70.85960815,,,,93,percent of total billed charges,68.42340389,,,,93,percent of total billed charges,72.52745523,,,,66.309,percent of total billed charges,33.08940446,,,,66.309,percent of total billed charges,19.79820685,,,,66.309,percent of total billed charges,33.08940446,,,,66.309,percent of total billed charges,19.79820685,,,,66.309,percent of total billed charges,33.08940446,,,,66.309,percent of total billed charges,19.79820685,,,,65.658,percent of total billed charges,65.1598349,,,,65.658,percent of total billed charges,44.94022167,,,,,,,,,,66.96,percent of total billed charges,43.52242429,,,,,,,,,,66.96,percent of total billed charges,999999999,,,,,,,,,,74.4,percent of total billed charges,62.34333256,,,,73.47,percent of total billed charges,70.90171178,,,,73.47,percent of total billed charges,62.64400931,,,,74.4,percent of total billed charges,999999999,,,,74.4,percent of total billed charges,999999999,,,,65.1,percent of total billed charges,999999999,,,,65.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,49.476,percent of total billed charges,999999999,,,,,,,,,,,,,,,,46.965,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23.25,percent of total billed charges,22.08181284,,,,,,,,,,23.25,percent of total billed charges,21.71449691,,,,,,,,,,23.25,percent of total billed charges,21.65415325,,,,,,,,,,23.25,percent of total billed charges,21.33529611,,,,,,,,,,23.25,percent of total billed charges,21.88428464,,,,,,,,,,23.25,percent of total billed charges,999999999,,,,,,,,,,23.25,percent of total billed charges,18.77825732,,,,,,,,,,23.25,percent of total billed charges,29.61460673,,,,,,,,,,23.25,percent of total billed charges,999999999,,,,,,,,,,23.25,percent of total billed charges,20.24755394,,,,,,,,,,83.7,percent of total billed charges,,,,,
**VENOSETS-DISP,272,RC,0059-1289-30,NDC,,both,1,EA,116,116,24.69453758,116,116,percent of total billed charges,85.34532098,,,,116,percent of total billed charges,90.46435276,,,,116,percent of total billed charges,85.34532098,,,,116,percent of total billed charges,90.46435276,,,,116,percent of total billed charges,999999999,,,,116,percent of total billed charges,88.38402737,,,,116,percent of total billed charges,85.34532098,,,,116,percent of total billed charges,90.46435276,,,,82.708,percent of total billed charges,41.27280556,,,,82.708,percent of total billed charges,24.69453758,,,,82.708,percent of total billed charges,41.27280556,,,,82.708,percent of total billed charges,24.69453758,,,,82.708,percent of total billed charges,41.27280556,,,,82.708,percent of total billed charges,24.69453758,,,,81.896,percent of total billed charges,81.27463278,,,,81.896,percent of total billed charges,56.05447004,,,,,,,,,,83.52,percent of total billed charges,54.2860346,,,,,,,,,,83.52,percent of total billed charges,999999999,,,,,,,,,,92.8,percent of total billed charges,77.76157609,,,,91.64,percent of total billed charges,88.43654372,,,,91.64,percent of total billed charges,78.13661376,,,,92.8,percent of total billed charges,999999999,,,,92.8,percent of total billed charges,999999999,,,,81.2,percent of total billed charges,999999999,,,,81.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,61.712,percent of total billed charges,999999999,,,,,,,,,,,,,,,,58.58,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,29,percent of total billed charges,27.54290634,,,,,,,,,,29,percent of total billed charges,27.08474883,,,,,,,,,,29,percent of total billed charges,27.00948148,,,,,,,,,,29,percent of total billed charges,26.61176719,,,,,,,,,,29,percent of total billed charges,27.29652708,,,,,,,,,,29,percent of total billed charges,999999999,,,,,,,,,,29,percent of total billed charges,23.42234246,,,,,,,,,,29,percent of total billed charges,36.93864926,,,,,,,,,,29,percent of total billed charges,999999999,,,,,,,,,,29,percent of total billed charges,25.25501352,,,,,,,,,,104.4,percent of total billed charges,,,,,
**OPTI GARD-DISP,272,RC,0059-1289-30,NDC,,both,1,EA,51,51,10.85708118,51,51,percent of total billed charges,37.52251181,,,,51,percent of total billed charges,39.77312061,,,,51,percent of total billed charges,37.52251181,,,,51,percent of total billed charges,39.77312061,,,,51,percent of total billed charges,999999999,,,,51,percent of total billed charges,38.85849479,,,,51,percent of total billed charges,37.52251181,,,,51,percent of total billed charges,39.77312061,,,,36.363,percent of total billed charges,18.14580244,,,,36.363,percent of total billed charges,10.85708118,,,,36.363,percent of total billed charges,18.14580244,,,,36.363,percent of total billed charges,10.85708118,,,,36.363,percent of total billed charges,18.14580244,,,,36.363,percent of total billed charges,10.85708118,,,,36.006,percent of total billed charges,35.73281269,,,,36.006,percent of total billed charges,24.64463769,,,,,,,,,,36.72,percent of total billed charges,23.8671359,,,,,,,,,,36.72,percent of total billed charges,999999999,,,,,,,,,,40.8,percent of total billed charges,34.18827914,,,,40.29,percent of total billed charges,38.88158388,,,,40.29,percent of total billed charges,34.3531664,,,,40.8,percent of total billed charges,999999999,,,,40.8,percent of total billed charges,999999999,,,,35.7,percent of total billed charges,999999999,,,,35.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,27.132,percent of total billed charges,999999999,,,,,,,,,,,,,,,,25.755,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12.75,percent of total billed charges,12.10938124,,,,,,,,,,12.75,percent of total billed charges,11.90794992,,,,,,,,,,12.75,percent of total billed charges,11.87485824,,,,,,,,,,12.75,percent of total billed charges,11.70000109,,,,,,,,,,12.75,percent of total billed charges,12.00105932,,,,,,,,,,12.75,percent of total billed charges,999999999,,,,,,,,,,12.75,percent of total billed charges,10.29775401,,,,,,,,,,12.75,percent of total billed charges,16.24026821,,,,,,,,,,12.75,percent of total billed charges,999999999,,,,,,,,,,12.75,percent of total billed charges,11.10349732,,,,,,,,,,45.9,percent of total billed charges,,,,,
5% DEX IN R/L 1000CC,258,RC,0059-1289-30,NDC,,both,1,EA,153,153,32.57124353,153,153,percent of total billed charges,112.5675354,,,,153,percent of total billed charges,119.3193618,,,,153,percent of total billed charges,112.5675354,,,,153,percent of total billed charges,119.3193618,,,,153,percent of total billed charges,999999999,,,,153,percent of total billed charges,116.5754844,,,,153,percent of total billed charges,112.5675354,,,,153,percent of total billed charges,119.3193618,,,,109.089,percent of total billed charges,54.43740733,,,,109.089,percent of total billed charges,32.57124353,,,,109.089,percent of total billed charges,54.43740733,,,,109.089,percent of total billed charges,32.57124353,,,,109.089,percent of total billed charges,54.43740733,,,,109.089,percent of total billed charges,32.57124353,,,,108.018,percent of total billed charges,107.1984381,,,,108.018,percent of total billed charges,73.93391308,,,,,,,,,,110.16,percent of total billed charges,71.6014077,,,,,,,,,,110.16,percent of total billed charges,999999999,,,,,,,,,,122.4,percent of total billed charges,102.5648374,,,,120.87,percent of total billed charges,116.6447516,,,,120.87,percent of total billed charges,103.0594992,,,,122.4,percent of total billed charges,999999999,,,,122.4,percent of total billed charges,999999999,,,,107.1,percent of total billed charges,999999999,,,,107.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,81.396,percent of total billed charges,999999999,,,,,,,,,,,,,,,,77.265,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,38.25,percent of total billed charges,36.32814371,,,,,,,,,,38.25,percent of total billed charges,35.72384976,,,,,,,,,,38.25,percent of total billed charges,35.62457471,,,,,,,,,,38.25,percent of total billed charges,35.10000328,,,,,,,,,,38.25,percent of total billed charges,36.00317796,,,,,,,,,,38.25,percent of total billed charges,999999999,,,,,,,,,,38.25,percent of total billed charges,30.89326204,,,,,,,,,,38.25,percent of total billed charges,48.72080462,,,,,,,,,,38.25,percent of total billed charges,999999999,,,,,,,,,,38.25,percent of total billed charges,33.31049197,,,,,,,,,,137.7,percent of total billed charges,,,,,
**NORMAL SALINE 250CC,258,RC,0059-1289-30,NDC,,both,1,EA,131,131,27.88779675,131,131,percent of total billed charges,96.38135387,,,,131,percent of total billed charges,102.1623294,,,,131,percent of total billed charges,96.38135387,,,,131,percent of total billed charges,102.1623294,,,,131,percent of total billed charges,999999999,,,,131,percent of total billed charges,99.81299643,,,,131,percent of total billed charges,96.38135387,,,,131,percent of total billed charges,102.1623294,,,,93.403,percent of total billed charges,46.60980628,,,,93.403,percent of total billed charges,27.88779675,,,,93.403,percent of total billed charges,46.60980628,,,,93.403,percent of total billed charges,27.88779675,,,,93.403,percent of total billed charges,46.60980628,,,,93.403,percent of total billed charges,27.88779675,,,,92.486,percent of total billed charges,91.78428358,,,,92.486,percent of total billed charges,63.3028929,,,,,,,,,,94.32,percent of total billed charges,61.30578045,,,,,,,,,,94.32,percent of total billed charges,999999999,,,,,,,,,,104.8,percent of total billed charges,87.81695231,,,,103.49,percent of total billed charges,99.87230368,,,,103.49,percent of total billed charges,88.24048623,,,,104.8,percent of total billed charges,999999999,,,,104.8,percent of total billed charges,999999999,,,,91.7,percent of total billed charges,999999999,,,,91.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,69.692,percent of total billed charges,999999999,,,,,,,,,,,,,,,,66.155,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,32.75,percent of total billed charges,31.10448906,,,,,,,,,,32.75,percent of total billed charges,30.58708705,,,,,,,,,,32.75,percent of total billed charges,30.50208684,,,,,,,,,,32.75,percent of total billed charges,30.05294398,,,,,,,,,,32.75,percent of total billed charges,30.82625041,,,,,,,,,,32.75,percent of total billed charges,999999999,,,,,,,,,,32.75,percent of total billed charges,26.45109364,,,,,,,,,,32.75,percent of total billed charges,41.71519873,,,,,,,,,,32.75,percent of total billed charges,999999999,,,,,,,,,,32.75,percent of total billed charges,28.52074802,,,,,,,,,,117.9,percent of total billed charges,,,,,
**EPIDURAL PUMP,271,RC,0059-1289-30,NDC,,both,1,EA,426,426,90.68856041,426,426,percent of total billed charges,313.423334,,,,426,percent of total billed charges,332.2225369,,,,426,percent of total billed charges,313.423334,,,,426,percent of total billed charges,332.2225369,,,,426,percent of total billed charges,999999999,,,,426,percent of total billed charges,324.5827212,,,,426,percent of total billed charges,313.423334,,,,426,percent of total billed charges,332.2225369,,,,303.738,percent of total billed charges,151.5708204,,,,303.738,percent of total billed charges,90.68856041,,,,303.738,percent of total billed charges,151.5708204,,,,303.738,percent of total billed charges,90.68856041,,,,303.738,percent of total billed charges,151.5708204,,,,303.738,percent of total billed charges,90.68856041,,,,300.756,percent of total billed charges,298.4740825,,,,300.756,percent of total billed charges,205.855209,,,,,,,,,,306.72,percent of total billed charges,199.3607822,,,,,,,,,,306.72,percent of total billed charges,999999999,,,,,,,,,,340.8,percent of total billed charges,285.5726846,,,,336.54,percent of total billed charges,324.775583,,,,336.54,percent of total billed charges,286.9499781,,,,340.8,percent of total billed charges,999999999,,,,340.8,percent of total billed charges,999999999,,,,298.2,percent of total billed charges,999999999,,,,298.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,226.632,percent of total billed charges,999999999,,,,,,,,,,,,,,,,215.13,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,106.5,percent of total billed charges,101.1489491,,,,,,,,,,106.5,percent of total billed charges,99.4664052,,,,,,,,,,106.5,percent of total billed charges,99.18999232,,,,,,,,,,106.5,percent of total billed charges,97.72942089,,,,,,,,,,106.5,percent of total billed charges,100.2441426,,,,,,,,,,106.5,percent of total billed charges,999999999,,,,,,,,,,106.5,percent of total billed charges,86.01653352,,,,,,,,,,106.5,percent of total billed charges,135.654005,,,,,,,,,,106.5,percent of total billed charges,999999999,,,,,,,,,,106.5,percent of total billed charges,92.74685998,,,,,,,,,,383.4,percent of total billed charges,,,,,
**NORMAL SALINE 500CC,258,RC,0059-1289-30,NDC,,both,1,EA,148,148,31.5068238,148,148,percent of total billed charges,108.8888578,,,,148,percent of total billed charges,115.4200363,,,,148,percent of total billed charges,108.8888578,,,,148,percent of total billed charges,115.4200363,,,,148,percent of total billed charges,999999999,,,,148,percent of total billed charges,112.765828,,,,148,percent of total billed charges,108.8888578,,,,148,percent of total billed charges,115.4200363,,,,105.524,percent of total billed charges,52.65840709,,,,105.524,percent of total billed charges,31.5068238,,,,105.524,percent of total billed charges,52.65840709,,,,105.524,percent of total billed charges,31.5068238,,,,105.524,percent of total billed charges,52.65840709,,,,105.524,percent of total billed charges,31.5068238,,,,104.488,percent of total billed charges,103.6952211,,,,104.488,percent of total billed charges,71.51777213,,,,,,,,,,106.56,percent of total billed charges,69.26149242,,,,,,,,,,106.56,percent of total billed charges,999999999,,,,,,,,,,118.4,percent of total billed charges,99.21304536,,,,116.92,percent of total billed charges,112.8328316,,,,116.92,percent of total billed charges,99.6915417,,,,118.4,percent of total billed charges,999999999,,,,118.4,percent of total billed charges,999999999,,,,103.6,percent of total billed charges,999999999,,,,103.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,78.736,percent of total billed charges,999999999,,,,,,,,,,,,,,,,74.74,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,37,percent of total billed charges,35.14094947,,,,,,,,,,37,percent of total billed charges,34.55640369,,,,,,,,,,37,percent of total billed charges,34.46037292,,,,,,,,,,37,percent of total billed charges,33.95294435,,,,,,,,,,37,percent of total billed charges,34.82660352,,,,,,,,,,37,percent of total billed charges,999999999,,,,,,,,,,37,percent of total billed charges,29.88367831,,,,,,,,,,37,percent of total billed charges,47.12862146,,,,,,,,,,37,percent of total billed charges,999999999,,,,,,,,,,37,percent of total billed charges,32.2219138,,,,,,,,,,133.2,percent of total billed charges,,,,,
**NORM R 1000CC,250,RC,0059-1289-30,NDC,,both,1,EA,165,165,35.12585086,165,165,percent of total billed charges,121.3963617,,,,165,percent of total billed charges,128.6777432,,,,165,percent of total billed charges,121.3963617,,,,165,percent of total billed charges,128.6777432,,,,165,percent of total billed charges,999999999,,,,165,percent of total billed charges,125.7186596,,,,165,percent of total billed charges,121.3963617,,,,165,percent of total billed charges,128.6777432,,,,117.645,percent of total billed charges,58.70700791,,,,117.645,percent of total billed charges,35.12585086,,,,117.645,percent of total billed charges,58.70700791,,,,117.645,percent of total billed charges,35.12585086,,,,117.645,percent of total billed charges,58.70700791,,,,117.645,percent of total billed charges,35.12585086,,,,116.49,percent of total billed charges,115.6061587,,,,116.49,percent of total billed charges,79.73265136,,,,,,,,,,118.8,percent of total billed charges,77.21720438,,,,,,,,,,118.8,percent of total billed charges,999999999,,,,,,,,,,132,percent of total billed charges,110.6091384,,,,130.35,percent of total billed charges,125.7933596,,,,130.35,percent of total billed charges,111.1425972,,,,132,percent of total billed charges,999999999,,,,132,percent of total billed charges,999999999,,,,115.5,percent of total billed charges,999999999,,,,115.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,87.78,percent of total billed charges,999999999,,,,,,,,,,,,,,,,83.325,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,41.25,percent of total billed charges,39.17740988,,,,,,,,,,41.25,percent of total billed charges,38.52572033,,,,,,,,,,41.25,percent of total billed charges,38.418659,,,,,,,,,,41.25,percent of total billed charges,37.85294471,,,,,,,,,,41.25,percent of total billed charges,38.82695663,,,,,,,,,,41.25,percent of total billed charges,999999999,,,,,,,,,,41.25,percent of total billed charges,33.31626298,,,,,,,,,,41.25,percent of total billed charges,52.5420442,,,,,,,,,,41.25,percent of total billed charges,999999999,,,,,,,,,,41.25,percent of total billed charges,35.92307957,,,,,,,,,,148.5,percent of total billed charges,,,,,
**VENTILATOR,271,RC,0059-1289-30,NDC,,both,1,EA,102,102,21.71416235,102,102,percent of total billed charges,75.04502362,,,,102,percent of total billed charges,79.54624122,,,,102,percent of total billed charges,75.04502362,,,,102,percent of total billed charges,79.54624122,,,,102,percent of total billed charges,999999999,,,,102,percent of total billed charges,77.71698958,,,,102,percent of total billed charges,75.04502362,,,,102,percent of total billed charges,79.54624122,,,,72.726,percent of total billed charges,36.29160489,,,,72.726,percent of total billed charges,21.71416235,,,,72.726,percent of total billed charges,36.29160489,,,,72.726,percent of total billed charges,21.71416235,,,,72.726,percent of total billed charges,36.29160489,,,,72.726,percent of total billed charges,21.71416235,,,,72.012,percent of total billed charges,71.46562538,,,,72.012,percent of total billed charges,49.28927538,,,,,,,,,,73.44,percent of total billed charges,47.7342718,,,,,,,,,,73.44,percent of total billed charges,999999999,,,,,,,,,,81.6,percent of total billed charges,68.37655829,,,,80.58,percent of total billed charges,77.76316775,,,,80.58,percent of total billed charges,68.70633279,,,,81.6,percent of total billed charges,999999999,,,,81.6,percent of total billed charges,999999999,,,,71.4,percent of total billed charges,999999999,,,,71.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,54.264,percent of total billed charges,999999999,,,,,,,,,,,,,,,,51.51,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,25.5,percent of total billed charges,24.21876247,,,,,,,,,,25.5,percent of total billed charges,23.81589984,,,,,,,,,,25.5,percent of total billed charges,23.74971647,,,,,,,,,,25.5,percent of total billed charges,23.40000219,,,,,,,,,,25.5,percent of total billed charges,24.00211864,,,,,,,,,,25.5,percent of total billed charges,999999999,,,,,,,,,,25.5,percent of total billed charges,20.59550803,,,,,,,,,,25.5,percent of total billed charges,32.48053641,,,,,,,,,,25.5,percent of total billed charges,999999999,,,,,,,,,,25.5,percent of total billed charges,22.20699464,,,,,,,,,,91.8,percent of total billed charges,,,,,
**NERVE STIMULATOR,271,RC,0059-1289-30,NDC,,both,1,EA,72,72,15.32764401,72,72,percent of total billed charges,52.97295785,,,,72,percent of total billed charges,56.15028792,,,,72,percent of total billed charges,52.97295785,,,,72,percent of total billed charges,56.15028792,,,,72,percent of total billed charges,999999999,,,,72,percent of total billed charges,54.85905147,,,,72,percent of total billed charges,52.97295785,,,,72,percent of total billed charges,56.15028792,,,,51.336,percent of total billed charges,25.61760345,,,,51.336,percent of total billed charges,15.32764401,,,,51.336,percent of total billed charges,25.61760345,,,,51.336,percent of total billed charges,15.32764401,,,,51.336,percent of total billed charges,25.61760345,,,,51.336,percent of total billed charges,15.32764401,,,,50.832,percent of total billed charges,50.4463238,,,,50.832,percent of total billed charges,34.79242968,,,,,,,,,,51.84,percent of total billed charges,33.6947801,,,,,,,,,,51.84,percent of total billed charges,999999999,,,,,,,,,,57.6,percent of total billed charges,48.26580585,,,,56.88,percent of total billed charges,54.89164783,,,,56.88,percent of total billed charges,48.49858785,,,,57.6,percent of total billed charges,999999999,,,,57.6,percent of total billed charges,999999999,,,,50.4,percent of total billed charges,999999999,,,,50.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,38.304,percent of total billed charges,999999999,,,,,,,,,,,,,,,,36.36,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18,percent of total billed charges,17.09559704,,,,,,,,,,18,percent of total billed charges,16.81122341,,,,,,,,,,18,percent of total billed charges,16.76450574,,,,,,,,,,18,percent of total billed charges,16.5176486,,,,,,,,,,18,percent of total billed charges,16.94267198,,,,,,,,,,18,percent of total billed charges,999999999,,,,,,,,,,18,percent of total billed charges,14.53800566,,,,,,,,,,18,percent of total billed charges,22.92743747,,,,,,,,,,18,percent of total billed charges,999999999,,,,,,,,,,18,percent of total billed charges,15.67552563,,,,,,,,,,64.8,percent of total billed charges,,,,,
**OXIMETER,271,RC,0059-1289-30,NDC,,both,1,EA,93,93,19.79820685,93,93,percent of total billed charges,68.42340389,,,,93,percent of total billed charges,72.52745523,,,,93,percent of total billed charges,68.42340389,,,,93,percent of total billed charges,72.52745523,,,,93,percent of total billed charges,999999999,,,,93,percent of total billed charges,70.85960815,,,,93,percent of total billed charges,68.42340389,,,,93,percent of total billed charges,72.52745523,,,,66.309,percent of total billed charges,33.08940446,,,,66.309,percent of total billed charges,19.79820685,,,,66.309,percent of total billed charges,33.08940446,,,,66.309,percent of total billed charges,19.79820685,,,,66.309,percent of total billed charges,33.08940446,,,,66.309,percent of total billed charges,19.79820685,,,,65.658,percent of total billed charges,65.1598349,,,,65.658,percent of total billed charges,44.94022167,,,,,,,,,,66.96,percent of total billed charges,43.52242429,,,,,,,,,,66.96,percent of total billed charges,999999999,,,,,,,,,,74.4,percent of total billed charges,62.34333256,,,,73.47,percent of total billed charges,70.90171178,,,,73.47,percent of total billed charges,62.64400931,,,,74.4,percent of total billed charges,999999999,,,,74.4,percent of total billed charges,999999999,,,,65.1,percent of total billed charges,999999999,,,,65.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,49.476,percent of total billed charges,999999999,,,,,,,,,,,,,,,,46.965,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23.25,percent of total billed charges,22.08181284,,,,,,,,,,23.25,percent of total billed charges,21.71449691,,,,,,,,,,23.25,percent of total billed charges,21.65415325,,,,,,,,,,23.25,percent of total billed charges,21.33529611,,,,,,,,,,23.25,percent of total billed charges,21.88428464,,,,,,,,,,23.25,percent of total billed charges,999999999,,,,,,,,,,23.25,percent of total billed charges,18.77825732,,,,,,,,,,23.25,percent of total billed charges,29.61460673,,,,,,,,,,23.25,percent of total billed charges,999999999,,,,,,,,,,23.25,percent of total billed charges,20.24755394,,,,,,,,,,83.7,percent of total billed charges,,,,,
**INHALATION,272,RC,0059-1289-30,NDC,,both,1,EA,182,182,38.74487792,182,182,percent of total billed charges,133.9038657,,,,182,percent of total billed charges,141.93545,,,,182,percent of total billed charges,133.9038657,,,,182,percent of total billed charges,141.93545,,,,182,percent of total billed charges,999999999,,,,182,percent of total billed charges,138.6714912,,,,182,percent of total billed charges,133.9038657,,,,182,percent of total billed charges,141.93545,,,,129.766,percent of total billed charges,64.75560872,,,,129.766,percent of total billed charges,38.74487792,,,,129.766,percent of total billed charges,64.75560872,,,,129.766,percent of total billed charges,38.74487792,,,,129.766,percent of total billed charges,64.75560872,,,,129.766,percent of total billed charges,38.74487792,,,,128.492,percent of total billed charges,127.5170963,,,,128.492,percent of total billed charges,87.94753059,,,,,,,,,,131.04,percent of total billed charges,85.17291635,,,,,,,,,,131.04,percent of total billed charges,999999999,,,,,,,,,,145.6,percent of total billed charges,122.0052315,,,,143.78,percent of total billed charges,138.7538876,,,,143.78,percent of total billed charges,122.5936526,,,,145.6,percent of total billed charges,999999999,,,,145.6,percent of total billed charges,999999999,,,,127.4,percent of total billed charges,999999999,,,,127.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,96.824,percent of total billed charges,999999999,,,,,,,,,,,,,,,,91.91,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45.5,percent of total billed charges,43.21387029,,,,,,,,,,45.5,percent of total billed charges,42.49503696,,,,,,,,,,45.5,percent of total billed charges,42.37694508,,,,,,,,,,45.5,percent of total billed charges,41.75294508,,,,,,,,,,45.5,percent of total billed charges,42.82730973,,,,,,,,,,45.5,percent of total billed charges,999999999,,,,,,,,,,45.5,percent of total billed charges,36.74884765,,,,,,,,,,45.5,percent of total billed charges,57.95546694,,,,,,,,,,45.5,percent of total billed charges,999999999,,,,,,,,,,45.5,percent of total billed charges,39.62424535,,,,,,,,,,163.8,percent of total billed charges,,,,,
**INTERNAL JUGUEN TRAY-DISP,272,RC,0059-1289-30,NDC,,both,1,EA,176,176,37.46757425,176,176,percent of total billed charges,129.4894525,,,,176,percent of total billed charges,137.2562594,,,,176,percent of total billed charges,129.4894525,,,,176,percent of total billed charges,137.2562594,,,,176,percent of total billed charges,999999999,,,,176,percent of total billed charges,134.0999036,,,,176,percent of total billed charges,129.4894525,,,,176,percent of total billed charges,137.2562594,,,,125.488,percent of total billed charges,62.62080844,,,,125.488,percent of total billed charges,37.46757425,,,,125.488,percent of total billed charges,62.62080844,,,,125.488,percent of total billed charges,37.46757425,,,,125.488,percent of total billed charges,62.62080844,,,,125.488,percent of total billed charges,37.46757425,,,,124.256,percent of total billed charges,123.3132359,,,,124.256,percent of total billed charges,85.04816145,,,,,,,,,,126.72,percent of total billed charges,82.36501801,,,,,,,,,,126.72,percent of total billed charges,999999999,,,,,,,,,,140.8,percent of total billed charges,117.983081,,,,139.04,percent of total billed charges,134.1795836,,,,139.04,percent of total billed charges,118.5521036,,,,140.8,percent of total billed charges,999999999,,,,140.8,percent of total billed charges,999999999,,,,123.2,percent of total billed charges,999999999,,,,123.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,93.632,percent of total billed charges,999999999,,,,,,,,,,,,,,,,88.88,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,44,percent of total billed charges,41.78923721,,,,,,,,,,44,percent of total billed charges,41.09410168,,,,,,,,,,44,percent of total billed charges,40.97990293,,,,,,,,,,44,percent of total billed charges,40.37647436,,,,,,,,,,44,percent of total billed charges,41.4154204,,,,,,,,,,44,percent of total billed charges,999999999,,,,,,,,,,44,percent of total billed charges,35.53734718,,,,,,,,,,44,percent of total billed charges,56.04484715,,,,,,,,,,44,percent of total billed charges,999999999,,,,,,,,,,44,percent of total billed charges,38.31795154,,,,,,,,,,158.4,percent of total billed charges,,,,,
"**VENIPUNCTURE, AGE 3+",36410,CDM,0059-1289-30,NDC,,both,1,EA,135,135,28.73933252,135,135,percent of total billed charges,99.32429597,,,,135,percent of total billed charges,105.2817899,,,,135,percent of total billed charges,99.32429597,,,,135,percent of total billed charges,105.2817899,,,,135,percent of total billed charges,999999999,,,,135,percent of total billed charges,102.8607215,,,,135,percent of total billed charges,99.32429597,,,,135,percent of total billed charges,105.2817899,,,,96.255,percent of total billed charges,48.03300647,,,,96.255,percent of total billed charges,28.73933252,,,,96.255,percent of total billed charges,48.03300647,,,,96.255,percent of total billed charges,28.73933252,,,,96.255,percent of total billed charges,48.03300647,,,,96.255,percent of total billed charges,28.73933252,,,,95.31,percent of total billed charges,94.58685712,,,,95.31,percent of total billed charges,65.23580566,,,,,,,,,,97.2,percent of total billed charges,63.17771268,,,,,,,,,,97.2,percent of total billed charges,999999999,,,,,,,,,,108,percent of total billed charges,90.49838597,,,,106.65,percent of total billed charges,102.9218397,,,,106.65,percent of total billed charges,90.93485222,,,,108,percent of total billed charges,999999999,,,,108,percent of total billed charges,999999999,,,,94.5,percent of total billed charges,999999999,,,,94.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,71.82,percent of total billed charges,999999999,,,,,,,,,,,,,,,,68.175,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,33.75,percent of total billed charges,32.05424445,,,,,,,,,,33.75,percent of total billed charges,31.5210439,,,,,,,,,,33.75,percent of total billed charges,31.43344827,,,,,,,,,,33.75,percent of total billed charges,30.97059113,,,,,,,,,,33.75,percent of total billed charges,31.76750997,,,,,,,,,,33.75,percent of total billed charges,999999999,,,,,,,,,,33.75,percent of total billed charges,27.25876062,,,,,,,,,,33.75,percent of total billed charges,42.98894525,,,,,,,,,,33.75,percent of total billed charges,999999999,,,,,,,,,,33.75,percent of total billed charges,29.39161056,,,,,,,,,,121.5,percent of total billed charges,,,,,
**TRANSFER MONITORING PACK - 4 HOURS,272,RC,0059-1289-30,NDC,,both,1,EA,1209,1209,257.3766891,1209,1209,percent of total billed charges,889.5042506,,,,1209,percent of total billed charges,942.856918,,,,1209,percent of total billed charges,889.5042506,,,,1209,percent of total billed charges,942.856918,,,,1209,percent of total billed charges,999999999,,,,1209,percent of total billed charges,921.1749059,,,,1209,percent of total billed charges,889.5042506,,,,1209,percent of total billed charges,942.856918,,,,862.017,percent of total billed charges,430.1622579,,,,862.017,percent of total billed charges,257.3766891,,,,862.017,percent of total billed charges,430.1622579,,,,862.017,percent of total billed charges,257.3766891,,,,862.017,percent of total billed charges,430.1622579,,,,862.017,percent of total billed charges,257.3766891,,,,853.554,percent of total billed charges,847.0778538,,,,853.554,percent of total billed charges,584.2228818,,,,,,,,,,870.48,percent of total billed charges,565.7915158,,,,,,,,,,870.48,percent of total billed charges,999999999,,,,,,,,,,967.2,percent of total billed charges,810.4633232,,,,955.11,percent of total billed charges,921.7222531,,,,955.11,percent of total billed charges,814.372121,,,,967.2,percent of total billed charges,999999999,,,,967.2,percent of total billed charges,999999999,,,,846.3,percent of total billed charges,999999999,,,,846.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,643.188,percent of total billed charges,999999999,,,,,,,,,,,,,,,,610.545,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,302.25,percent of total billed charges,287.0635669,,,,,,,,,,302.25,percent of total billed charges,282.2884598,,,,,,,,,,302.25,percent of total billed charges,281.5039923,,,,,,,,,,302.25,percent of total billed charges,277.3588494,,,,,,,,,,302.25,percent of total billed charges,284.4957004,,,,,,,,,,302.25,percent of total billed charges,999999999,,,,,,,,,,302.25,percent of total billed charges,244.1173451,,,,,,,,,,302.25,percent of total billed charges,384.9898875,,,,,,,,,,302.25,percent of total billed charges,999999999,,,,,,,,,,302.25,percent of total billed charges,263.2182012,,,,,,,,,,1088.1,percent of total billed charges,,,,,
**5% DEX IN R/L 500CC,258,RC,0059-1289-30,NDC,,both,1,EA,148,148,31.5068238,148,148,percent of total billed charges,108.8888578,,,,148,percent of total billed charges,115.4200363,,,,148,percent of total billed charges,108.8888578,,,,148,percent of total billed charges,115.4200363,,,,148,percent of total billed charges,999999999,,,,148,percent of total billed charges,112.765828,,,,148,percent of total billed charges,108.8888578,,,,148,percent of total billed charges,115.4200363,,,,105.524,percent of total billed charges,52.65840709,,,,105.524,percent of total billed charges,31.5068238,,,,105.524,percent of total billed charges,52.65840709,,,,105.524,percent of total billed charges,31.5068238,,,,105.524,percent of total billed charges,52.65840709,,,,105.524,percent of total billed charges,31.5068238,,,,104.488,percent of total billed charges,103.6952211,,,,104.488,percent of total billed charges,71.51777213,,,,,,,,,,106.56,percent of total billed charges,69.26149242,,,,,,,,,,106.56,percent of total billed charges,999999999,,,,,,,,,,118.4,percent of total billed charges,99.21304536,,,,116.92,percent of total billed charges,112.8328316,,,,116.92,percent of total billed charges,99.6915417,,,,118.4,percent of total billed charges,999999999,,,,118.4,percent of total billed charges,999999999,,,,103.6,percent of total billed charges,999999999,,,,103.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,78.736,percent of total billed charges,999999999,,,,,,,,,,,,,,,,74.74,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,37,percent of total billed charges,35.14094947,,,,,,,,,,37,percent of total billed charges,34.55640369,,,,,,,,,,37,percent of total billed charges,34.46037292,,,,,,,,,,37,percent of total billed charges,33.95294435,,,,,,,,,,37,percent of total billed charges,34.82660352,,,,,,,,,,37,percent of total billed charges,999999999,,,,,,,,,,37,percent of total billed charges,29.88367831,,,,,,,,,,37,percent of total billed charges,47.12862146,,,,,,,,,,37,percent of total billed charges,999999999,,,,,,,,,,37,percent of total billed charges,32.2219138,,,,,,,,,,133.2,percent of total billed charges,,,,,
**POLSOMNOGRAPHY 1-3 ADD PARAMETERS,95808,CDM,0059-1289-30,NDC,,both,1,EA,3442,3442,732.7465374,3442,3442,percent of total billed charges,2532.40168,,,,3442,percent of total billed charges,2684.295709,,,,3442,percent of total billed charges,2532.40168,,,,3442,percent of total billed charges,2684.295709,,,,3442,percent of total billed charges,999999999,,,,3442,percent of total billed charges,2622.567433,,,,3442,percent of total billed charges,2532.40168,,,,3442,percent of total billed charges,2684.295709,,,,2454.146,percent of total billed charges,1224.663765,,,,2454.146,percent of total billed charges,732.7465374,,,,2454.146,percent of total billed charges,1224.663765,,,,2454.146,percent of total billed charges,732.7465374,,,,2454.146,percent of total billed charges,1224.663765,,,,2454.146,percent of total billed charges,732.7465374,,,,2430.052,percent of total billed charges,2411.614535,,,,2430.052,percent of total billed charges,1663.27143,,,,,,,,,,2478.24,percent of total billed charges,1610.797682,,,,,,,,,,2478.24,percent of total billed charges,999999999,,,,,,,,,,2753.6,percent of total billed charges,2307.373663,,,,2719.18,percent of total billed charges,2624.12572,,,,2719.18,percent of total billed charges,2318.501936,,,,2753.6,percent of total billed charges,999999999,,,,2753.6,percent of total billed charges,999999999,,,,2409.4,percent of total billed charges,999999999,,,,2409.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1831.144,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1738.21,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,860.5,percent of total billed charges,817.264514,,,,,,,,,,860.5,percent of total billed charges,803.6698749,,,,,,,,,,860.5,percent of total billed charges,801.4365107,,,,,,,,,,860.5,percent of total billed charges,789.6353679,,,,,,,,,,860.5,percent of total billed charges,809.9538467,,,,,,,,,,860.5,percent of total billed charges,999999999,,,,,,,,,,860.5,percent of total billed charges,694.9974375,,,,,,,,,,860.5,percent of total billed charges,1096.058886,,,,,,,,,,860.5,percent of total billed charges,999999999,,,,,,,,,,860.5,percent of total billed charges,749.3772114,,,,,,,,,,3097.8,percent of total billed charges,,,,,
SLEEP APNEA PSG,95810,CDM,0059-1289-30,NDC,,both,1,EA,6259,6259,1332.440609,6259,6259,percent of total billed charges,4604.968655,,,,6259,percent of total billed charges,4881.175724,,,,6259,percent of total billed charges,4604.968655,,,,6259,percent of total billed charges,4881.175724,,,,6259,percent of total billed charges,999999999,,,,6259,percent of total billed charges,4768.927822,,,,6259,percent of total billed charges,4604.968655,,,,6259,percent of total billed charges,4881.175724,,,,4462.667,percent of total billed charges,2226.9525,,,,4462.667,percent of total billed charges,1332.440609,,,,4462.667,percent of total billed charges,2226.9525,,,,4462.667,percent of total billed charges,1332.440609,,,,4462.667,percent of total billed charges,2226.9525,,,,4462.667,percent of total billed charges,1332.440609,,,,4418.854,percent of total billed charges,4385.326953,,,,4418.854,percent of total billed charges,3024.525241,,,,,,,,,,4506.48,percent of total billed charges,2929.105953,,,,,,,,,,4506.48,percent of total billed charges,999999999,,,,,,,,,,5007.2,percent of total billed charges,4195.773317,,,,4944.61,percent of total billed charges,4771.761441,,,,4944.61,percent of total billed charges,4216.009186,,,,5007.2,percent of total billed charges,999999999,,,,5007.2,percent of total billed charges,999999999,,,,4381.3,percent of total billed charges,999999999,,,,4381.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3329.788,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3160.795,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1564.75,percent of total billed charges,1486.129748,,,,,,,,,,1564.75,percent of total billed charges,1461.408991,,,,,,,,,,1564.75,percent of total billed charges,1457.347798,,,,,,,,,,1564.75,percent of total billed charges,1435.888369,,,,,,,,,,1564.75,percent of total billed charges,1472.835888,,,,,,,,,,1564.75,percent of total billed charges,999999999,,,,,,,,,,1564.75,percent of total billed charges,1263.796909,,,,,,,,,,1564.75,percent of total billed charges,1993.094877,,,,,,,,,,1564.75,percent of total billed charges,999999999,,,,,,,,,,1564.75,percent of total billed charges,1362.682152,,,,,,,,,,5633.1,percent of total billed charges,,,,,
SLEEP STAGING INITIATION OF CPAP BIPAP,95811,CDM,0059-1289-30,NDC,,both,1,EA,7947,7947,1691.788708,7947,7947,percent of total billed charges,5846.890223,,,,7947,percent of total billed charges,6197.588029,,,,7947,percent of total billed charges,5846.890223,,,,7947,percent of total billed charges,6197.588029,,,,7947,percent of total billed charges,999999999,,,,7947,percent of total billed charges,6055.067806,,,,7947,percent of total billed charges,5846.890223,,,,7947,percent of total billed charges,6197.588029,,,,5666.211,percent of total billed charges,2827.542981,,,,5666.211,percent of total billed charges,1691.788708,,,,5666.211,percent of total billed charges,2827.542981,,,,5666.211,percent of total billed charges,1691.788708,,,,5666.211,percent of total billed charges,2827.542981,,,,5666.211,percent of total billed charges,1691.788708,,,,5610.582,percent of total billed charges,5568.012989,,,,5610.582,percent of total billed charges,3840.214426,,,,,,,,,,5721.84,percent of total billed charges,3719.061353,,,,,,,,,,5721.84,percent of total billed charges,999999999,,,,,,,,,,6357.6,percent of total billed charges,5327.338321,,,,6278.13,percent of total billed charges,6058.665629,,,,6278.13,percent of total billed charges,5353.031634,,,,6357.6,percent of total billed charges,999999999,,,,6357.6,percent of total billed charges,999999999,,,,5562.9,percent of total billed charges,999999999,,,,5562.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4227.804,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4013.235,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1986.75,percent of total billed charges,1886.926523,,,,,,,,,,1986.75,percent of total billed charges,1855.538784,,,,,,,,,,1986.75,percent of total billed charges,1850.382322,,,,,,,,,,1986.75,percent of total billed charges,1823.135464,,,,,,,,,,1986.75,percent of total billed charges,1870.04742,,,,,,,,,,1986.75,percent of total billed charges,999999999,,,,,,,,,,1986.75,percent of total billed charges,1604.632375,,,,,,,,,,1986.75,percent of total billed charges,2530.615911,,,,,,,,,,1986.75,percent of total billed charges,999999999,,,,,,,,,,1986.75,percent of total billed charges,1730.186142,,,,,,,,,,7152.3,percent of total billed charges,,,,,
**AQUA PAK,272,RC,0059-1289-30,NDC,,both,1,EA,72,72,15.32764401,72,72,percent of total billed charges,52.97295785,,,,72,percent of total billed charges,56.15028792,,,,72,percent of total billed charges,52.97295785,,,,72,percent of total billed charges,56.15028792,,,,72,percent of total billed charges,999999999,,,,72,percent of total billed charges,54.85905147,,,,72,percent of total billed charges,52.97295785,,,,72,percent of total billed charges,56.15028792,,,,51.336,percent of total billed charges,25.61760345,,,,51.336,percent of total billed charges,15.32764401,,,,51.336,percent of total billed charges,25.61760345,,,,51.336,percent of total billed charges,15.32764401,,,,51.336,percent of total billed charges,25.61760345,,,,51.336,percent of total billed charges,15.32764401,,,,50.832,percent of total billed charges,50.4463238,,,,50.832,percent of total billed charges,34.79242968,,,,,,,,,,51.84,percent of total billed charges,33.6947801,,,,,,,,,,51.84,percent of total billed charges,999999999,,,,,,,,,,57.6,percent of total billed charges,48.26580585,,,,56.88,percent of total billed charges,54.89164783,,,,56.88,percent of total billed charges,48.49858785,,,,57.6,percent of total billed charges,999999999,,,,57.6,percent of total billed charges,999999999,,,,50.4,percent of total billed charges,999999999,,,,50.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,38.304,percent of total billed charges,999999999,,,,,,,,,,,,,,,,36.36,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18,percent of total billed charges,17.09559704,,,,,,,,,,18,percent of total billed charges,16.81122341,,,,,,,,,,18,percent of total billed charges,16.76450574,,,,,,,,,,18,percent of total billed charges,16.5176486,,,,,,,,,,18,percent of total billed charges,16.94267198,,,,,,,,,,18,percent of total billed charges,999999999,,,,,,,,,,18,percent of total billed charges,14.53800566,,,,,,,,,,18,percent of total billed charges,22.92743747,,,,,,,,,,18,percent of total billed charges,999999999,,,,,,,,,,18,percent of total billed charges,15.67552563,,,,,,,,,,64.8,percent of total billed charges,,,,,
**NITROGEN WASH,94350,CDM,0059-1289-30,NDC,,both,1,EA,334,334,71.1032375,334,334,percent of total billed charges,245.7356656,,,,334,percent of total billed charges,260.4749467,,,,334,percent of total billed charges,245.7356656,,,,334,percent of total billed charges,260.4749467,,,,334,percent of total billed charges,999999999,,,,334,percent of total billed charges,254.4850443,,,,334,percent of total billed charges,245.7356656,,,,334,percent of total billed charges,260.4749467,,,,238.142,percent of total billed charges,118.837216,,,,238.142,percent of total billed charges,71.1032375,,,,238.142,percent of total billed charges,118.837216,,,,238.142,percent of total billed charges,71.1032375,,,,238.142,percent of total billed charges,118.837216,,,,238.142,percent of total billed charges,71.1032375,,,,235.804,percent of total billed charges,234.0148909,,,,235.804,percent of total billed charges,161.3982155,,,,,,,,,,240.48,percent of total billed charges,156.306341,,,,,,,,,,240.48,percent of total billed charges,999999999,,,,,,,,,,267.2,percent of total billed charges,223.8997105,,,,263.86,percent of total billed charges,254.6362552,,,,263.86,percent of total billed charges,224.9795603,,,,267.2,percent of total billed charges,999999999,,,,267.2,percent of total billed charges,999999999,,,,233.8,percent of total billed charges,999999999,,,,233.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,177.688,percent of total billed charges,999999999,,,,,,,,,,,,,,,,168.67,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,83.5,percent of total billed charges,79.30457515,,,,,,,,,,83.5,percent of total billed charges,77.98539751,,,,,,,,,,83.5,percent of total billed charges,77.76867943,,,,,,,,,,83.5,percent of total billed charges,76.62353657,,,,,,,,,,83.5,percent of total billed charges,78.59517281,,,,,,,,,,83.5,percent of total billed charges,999999999,,,,,,,,,,83.5,percent of total billed charges,67.44019294,,,,,,,,,,83.5,percent of total billed charges,106.3578349,,,,,,,,,,83.5,percent of total billed charges,999999999,,,,,,,,,,83.5,percent of total billed charges,72.71702168,,,,,,,,,,300.6,percent of total billed charges,,,,,
**TRANSFER W/ RT ASSISTANCE,94799,CDM,0059-1289-30,NDC,,both,1,EA,607,607,129.2205544,607,607,percent of total billed charges,446.5914641,,,,607,percent of total billed charges,473.3781218,,,,607,percent of total billed charges,446.5914641,,,,607,percent of total billed charges,473.3781218,,,,607,percent of total billed charges,999999999,,,,607,percent of total billed charges,462.4922811,,,,607,percent of total billed charges,446.5914641,,,,607,percent of total billed charges,473.3781218,,,,432.791,percent of total billed charges,215.9706291,,,,432.791,percent of total billed charges,129.2205544,,,,432.791,percent of total billed charges,215.9706291,,,,432.791,percent of total billed charges,129.2205544,,,,432.791,percent of total billed charges,215.9706291,,,,432.791,percent of total billed charges,129.2205544,,,,428.542,percent of total billed charges,425.2905353,,,,428.542,percent of total billed charges,293.3195114,,,,,,,,,,437.04,percent of total billed charges,284.0657155,,,,,,,,,,437.04,percent of total billed charges,999999999,,,,,,,,,,485.6,percent of total billed charges,406.9075577,,,,479.53,percent of total billed charges,462.7670865,,,,479.53,percent of total billed charges,408.8700393,,,,485.6,percent of total billed charges,999999999,,,,485.6,percent of total billed charges,999999999,,,,424.9,percent of total billed charges,999999999,,,,424.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,322.924,percent of total billed charges,999999999,,,,,,,,,,,,,,,,306.535,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,151.75,percent of total billed charges,144.1253806,,,,,,,,,,151.75,percent of total billed charges,141.727953,,,,,,,,,,151.75,percent of total billed charges,141.334097,,,,,,,,,,151.75,percent of total billed charges,139.2529542,,,,,,,,,,151.75,percent of total billed charges,142.8361374,,,,,,,,,,151.75,percent of total billed charges,999999999,,,,,,,,,,151.75,percent of total billed charges,122.5634644,,,,,,,,,,151.75,percent of total billed charges,193.2910353,,,,,,,,,,151.75,percent of total billed charges,999999999,,,,,,,,,,151.75,percent of total billed charges,132.1533897,,,,,,,,,,546.3,percent of total billed charges,,,,,
**02 TRANSPORT,410,RC,0059-1289-30,NDC,,both,1,EA,52,52,11.06996512,52,52,percent of total billed charges,38.25824734,,,,52,percent of total billed charges,40.55298572,,,,52,percent of total billed charges,38.25824734,,,,52,percent of total billed charges,40.55298572,,,,52,percent of total billed charges,999999999,,,,52,percent of total billed charges,39.62042606,,,,52,percent of total billed charges,38.25824734,,,,52,percent of total billed charges,40.55298572,,,,37.076,percent of total billed charges,18.50160249,,,,37.076,percent of total billed charges,11.06996512,,,,37.076,percent of total billed charges,18.50160249,,,,37.076,percent of total billed charges,11.06996512,,,,37.076,percent of total billed charges,18.50160249,,,,37.076,percent of total billed charges,11.06996512,,,,36.712,percent of total billed charges,36.43345608,,,,36.712,percent of total billed charges,25.12786588,,,,,,,,,,37.44,percent of total billed charges,24.33511896,,,,,,,,,,37.44,percent of total billed charges,999999999,,,,,,,,,,41.6,percent of total billed charges,34.85863756,,,,41.08,percent of total billed charges,39.64396787,,,,41.08,percent of total billed charges,35.02675789,,,,41.6,percent of total billed charges,999999999,,,,41.6,percent of total billed charges,999999999,,,,36.4,percent of total billed charges,999999999,,,,36.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,27.664,percent of total billed charges,999999999,,,,,,,,,,,,,,,,26.26,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13,percent of total billed charges,12.34682008,,,,,,,,,,13,percent of total billed charges,12.14143913,,,,,,,,,,13,percent of total billed charges,12.10769859,,,,,,,,,,13,percent of total billed charges,11.92941288,,,,,,,,,,13,percent of total billed charges,12.23637421,,,,,,,,,,13,percent of total billed charges,999999999,,,,,,,,,,13,percent of total billed charges,10.49967076,,,,,,,,,,13,percent of total billed charges,16.55870484,,,,,,,,,,13,percent of total billed charges,999999999,,,,,,,,,,13,percent of total billed charges,11.32121296,,,,,,,,,,46.8,percent of total billed charges,,,,,
OXIMETRY,94760,CDM,0059-1289-30,NDC,,both,1,EA,141,141,30.01663619,141,141,percent of total billed charges,103.7387091,,,,141,percent of total billed charges,109.9609805,,,,141,percent of total billed charges,103.7387091,,,,141,percent of total billed charges,109.9609805,,,,141,percent of total billed charges,999999999,,,,141,percent of total billed charges,107.4323091,,,,141,percent of total billed charges,103.7387091,,,,141,percent of total billed charges,109.9609805,,,,100.533,percent of total billed charges,50.16780676,,,,100.533,percent of total billed charges,30.01663619,,,,100.533,percent of total billed charges,50.16780676,,,,100.533,percent of total billed charges,30.01663619,,,,100.533,percent of total billed charges,50.16780676,,,,100.533,percent of total billed charges,30.01663619,,,,99.546,percent of total billed charges,98.79071744,,,,99.546,percent of total billed charges,68.1351748,,,,,,,,,,101.52,percent of total billed charges,65.98561102,,,,,,,,,,101.52,percent of total billed charges,999999999,,,,,,,,,,112.8,percent of total billed charges,94.52053646,,,,111.39,percent of total billed charges,107.4961437,,,,111.39,percent of total billed charges,94.97640121,,,,112.8,percent of total billed charges,999999999,,,,112.8,percent of total billed charges,999999999,,,,98.7,percent of total billed charges,999999999,,,,98.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,75.012,percent of total billed charges,999999999,,,,,,,,,,,,,,,,71.205,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,35.25,percent of total billed charges,33.47887753,,,,,,,,,,35.25,percent of total billed charges,32.92197919,,,,,,,,,,35.25,percent of total billed charges,32.83049042,,,,,,,,,,35.25,percent of total billed charges,32.34706184,,,,,,,,,,35.25,percent of total billed charges,33.1793993,,,,,,,,,,35.25,percent of total billed charges,999999999,,,,,,,,,,35.25,percent of total billed charges,28.47026109,,,,,,,,,,35.25,percent of total billed charges,44.89956504,,,,,,,,,,35.25,percent of total billed charges,999999999,,,,,,,,,,35.25,percent of total billed charges,30.69790436,,,,,,,,,,126.9,percent of total billed charges,,,,,
**CYTOLOGY BRUSH FOR BRONCH,272,RC,0059-1289-30,NDC,,both,1,EA,63,63,13.41168851,63,63,percent of total billed charges,46.35133812,,,,63,percent of total billed charges,49.13150193,,,,63,percent of total billed charges,46.35133812,,,,63,percent of total billed charges,49.13150193,,,,63,percent of total billed charges,999999999,,,,63,percent of total billed charges,48.00167004,,,,63,percent of total billed charges,46.35133812,,,,63,percent of total billed charges,49.13150193,,,,44.919,percent of total billed charges,22.41540302,,,,44.919,percent of total billed charges,13.41168851,,,,44.919,percent of total billed charges,22.41540302,,,,44.919,percent of total billed charges,13.41168851,,,,44.919,percent of total billed charges,22.41540302,,,,44.919,percent of total billed charges,13.41168851,,,,44.478,percent of total billed charges,44.14053332,,,,44.478,percent of total billed charges,30.44337597,,,,,,,,,,45.36,percent of total billed charges,29.48293258,,,,,,,,,,45.36,percent of total billed charges,999999999,,,,,,,,,,50.4,percent of total billed charges,42.23258012,,,,49.77,percent of total billed charges,48.03019185,,,,49.77,percent of total billed charges,42.43626437,,,,50.4,percent of total billed charges,999999999,,,,50.4,percent of total billed charges,999999999,,,,44.1,percent of total billed charges,999999999,,,,44.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,33.516,percent of total billed charges,999999999,,,,,,,,,,,,,,,,31.815,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15.75,percent of total billed charges,14.95864741,,,,,,,,,,15.75,percent of total billed charges,14.70982049,,,,,,,,,,15.75,percent of total billed charges,14.66894253,,,,,,,,,,15.75,percent of total billed charges,14.45294253,,,,,,,,,,15.75,percent of total billed charges,14.82483798,,,,,,,,,,15.75,percent of total billed charges,999999999,,,,,,,,,,15.75,percent of total billed charges,12.72075496,,,,,,,,,,15.75,percent of total billed charges,20.06150779,,,,,,,,,,15.75,percent of total billed charges,999999999,,,,,,,,,,15.75,percent of total billed charges,13.71608493,,,,,,,,,,56.7,percent of total billed charges,,,,,
O2 EVALUATION,94760,CDM,0059-1289-30,NDC,,both,1,EA,141,141,30.01663619,141,141,percent of total billed charges,103.7387091,,,,141,percent of total billed charges,109.9609805,,,,141,percent of total billed charges,103.7387091,,,,141,percent of total billed charges,109.9609805,,,,141,percent of total billed charges,999999999,,,,141,percent of total billed charges,107.4323091,,,,141,percent of total billed charges,103.7387091,,,,141,percent of total billed charges,109.9609805,,,,100.533,percent of total billed charges,50.16780676,,,,100.533,percent of total billed charges,30.01663619,,,,100.533,percent of total billed charges,50.16780676,,,,100.533,percent of total billed charges,30.01663619,,,,100.533,percent of total billed charges,50.16780676,,,,100.533,percent of total billed charges,30.01663619,,,,99.546,percent of total billed charges,98.79071744,,,,99.546,percent of total billed charges,68.1351748,,,,,,,,,,101.52,percent of total billed charges,65.98561102,,,,,,,,,,101.52,percent of total billed charges,999999999,,,,,,,,,,112.8,percent of total billed charges,94.52053646,,,,111.39,percent of total billed charges,107.4961437,,,,111.39,percent of total billed charges,94.97640121,,,,112.8,percent of total billed charges,999999999,,,,112.8,percent of total billed charges,999999999,,,,98.7,percent of total billed charges,999999999,,,,98.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,75.012,percent of total billed charges,999999999,,,,,,,,,,,,,,,,71.205,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,35.25,percent of total billed charges,33.47887753,,,,,,,,,,35.25,percent of total billed charges,32.92197919,,,,,,,,,,35.25,percent of total billed charges,32.83049042,,,,,,,,,,35.25,percent of total billed charges,32.34706184,,,,,,,,,,35.25,percent of total billed charges,33.1793993,,,,,,,,,,35.25,percent of total billed charges,999999999,,,,,,,,,,35.25,percent of total billed charges,28.47026109,,,,,,,,,,35.25,percent of total billed charges,44.89956504,,,,,,,,,,35.25,percent of total billed charges,999999999,,,,,,,,,,35.25,percent of total billed charges,30.69790436,,,,,,,,,,126.9,percent of total billed charges,,,,,
**JETNEB ALTERNATE,94640,CDM,,,,both,,,53,53,11.28284907,53,53,percent of total billed charges,38.99398286,,,,53,percent of total billed charges,41.33285083,,,,53,percent of total billed charges,38.99398286,,,,53,percent of total billed charges,41.33285083,,,,53,percent of total billed charges,999999999,,,,53,percent of total billed charges,40.38235733,,,,53,percent of total billed charges,38.99398286,,,,53,percent of total billed charges,41.33285083,,,,37.789,percent of total billed charges,18.85740254,,,,37.789,percent of total billed charges,11.28284907,,,,37.789,percent of total billed charges,18.85740254,,,,37.789,percent of total billed charges,11.28284907,,,,37.789,percent of total billed charges,18.85740254,,,,37.789,percent of total billed charges,11.28284907,,,,37.418,percent of total billed charges,37.13409946,,,,37.418,percent of total billed charges,25.61109407,,,,,,,,,,38.16,percent of total billed charges,24.80310201,,,,,,,,,,38.16,percent of total billed charges,999999999,,,,,,,,,,42.4,percent of total billed charges,35.52899597,,,,41.87,percent of total billed charges,40.40635187,,,,41.87,percent of total billed charges,35.70034939,,,,42.4,percent of total billed charges,999999999,,,,42.4,percent of total billed charges,999999999,,,,37.1,percent of total billed charges,999999999,,,,37.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,28.196,percent of total billed charges,999999999,,,,,,,,,,,,,,,,26.765,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13.25,percent of total billed charges,12.58425893,,,,,,,,,,13.25,percent of total billed charges,12.37492835,,,,,,,,,,13.25,percent of total billed charges,12.34053895,,,,,,,,,,13.25,percent of total billed charges,12.15882466,,,,,,,,,,13.25,percent of total billed charges,12.4716891,,,,,,,,,,13.25,percent of total billed charges,999999999,,,,,,,,,,13.25,percent of total billed charges,10.7015875,,,,,,,,,,13.25,percent of total billed charges,16.87714147,,,,,,,,,,13.25,percent of total billed charges,999999999,,,,,,,,,,13.25,percent of total billed charges,11.53892859,,,,,,,,,,47.7,percent of total billed charges,,,,,
**JETNEB SUBSEQUENT,94640,CDM,,,,both,,,65,65,13.8374564,65,65,percent of total billed charges,47.82280917,,,,65,percent of total billed charges,50.69123215,,,,65,percent of total billed charges,47.82280917,,,,65,percent of total billed charges,50.69123215,,,,65,percent of total billed charges,999999999,,,,65,percent of total billed charges,49.52553258,,,,65,percent of total billed charges,47.82280917,,,,65,percent of total billed charges,50.69123215,,,,46.345,percent of total billed charges,23.12700312,,,,46.345,percent of total billed charges,13.8374564,,,,46.345,percent of total billed charges,23.12700312,,,,46.345,percent of total billed charges,13.8374564,,,,46.345,percent of total billed charges,23.12700312,,,,46.345,percent of total billed charges,13.8374564,,,,45.89,percent of total billed charges,45.54182009,,,,45.89,percent of total billed charges,31.40983235,,,,,,,,,,46.8,percent of total billed charges,30.4188987,,,,,,,,,,46.8,percent of total billed charges,999999999,,,,,,,,,,52,percent of total billed charges,43.57329695,,,,51.35,percent of total billed charges,49.55495984,,,,51.35,percent of total billed charges,43.78344737,,,,52,percent of total billed charges,999999999,,,,52,percent of total billed charges,999999999,,,,45.5,percent of total billed charges,999999999,,,,45.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,34.58,percent of total billed charges,999999999,,,,,,,,,,,,,,,,32.825,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16.25,percent of total billed charges,15.4335251,,,,,,,,,,16.25,percent of total billed charges,15.17679892,,,,,,,,,,16.25,percent of total billed charges,15.13462324,,,,,,,,,,16.25,percent of total billed charges,14.9117661,,,,,,,,,,16.25,percent of total billed charges,15.29546776,,,,,,,,,,16.25,percent of total billed charges,999999999,,,,,,,,,,16.25,percent of total billed charges,13.12458845,,,,,,,,,,16.25,percent of total billed charges,20.69838105,,,,,,,,,,16.25,percent of total billed charges,999999999,,,,,,,,,,16.25,percent of total billed charges,14.15151619,,,,,,,,,,58.5,percent of total billed charges,,,,,
**INTUBATION BY R T,31500,CDM,,,,both,,,536,536,114.1057943,536,536,percent of total billed charges,394.3542418,,,,536,percent of total billed charges,418.007699,,,,536,percent of total billed charges,394.3542418,,,,536,percent of total billed charges,418.007699,,,,536,percent of total billed charges,999999999,,,,536,percent of total billed charges,408.3951609,,,,536,percent of total billed charges,394.3542418,,,,536,percent of total billed charges,418.007699,,,,382.168,percent of total billed charges,190.7088257,,,,382.168,percent of total billed charges,114.1057943,,,,382.168,percent of total billed charges,190.7088257,,,,382.168,percent of total billed charges,114.1057943,,,,382.168,percent of total billed charges,190.7088257,,,,382.168,percent of total billed charges,114.1057943,,,,378.416,percent of total billed charges,375.5448549,,,,378.416,percent of total billed charges,259.0103099,,,,,,,,,,385.92,percent of total billed charges,250.8389185,,,,,,,,,,385.92,percent of total billed charges,999999999,,,,,,,,,,428.8,percent of total billed charges,359.3121102,,,,423.44,percent of total billed charges,408.6378227,,,,423.44,percent of total billed charges,361.0450429,,,,428.8,percent of total billed charges,999999999,,,,428.8,percent of total billed charges,999999999,,,,375.2,percent of total billed charges,999999999,,,,375.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,285.152,percent of total billed charges,999999999,,,,,,,,,,,,,,,,270.68,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,134,percent of total billed charges,127.2672224,,,,,,,,,,134,percent of total billed charges,125.1502188,,,,,,,,,,134,percent of total billed charges,124.8024317,,,,,,,,,,134,percent of total billed charges,122.9647174,,,,,,,,,,134,percent of total billed charges,126.1287803,,,,,,,,,,134,percent of total billed charges,999999999,,,,,,,,,,134,percent of total billed charges,108.2273755,,,,,,,,,,134,percent of total billed charges,170.6820345,,,,,,,,,,134,percent of total billed charges,999999999,,,,,,,,,,134,percent of total billed charges,116.6955797,,,,,,,,,,482.4,percent of total billed charges,,,,,
**WALK EXER WITH 02,94799,CDM,,,,both,,,96,96,20.43685868,96,96,percent of total billed charges,70.63061047,,,,96,percent of total billed charges,74.86705056,,,,96,percent of total billed charges,70.63061047,,,,96,percent of total billed charges,74.86705056,,,,96,percent of total billed charges,999999999,,,,96,percent of total billed charges,73.14540196,,,,96,percent of total billed charges,70.63061047,,,,96,percent of total billed charges,74.86705056,,,,68.448,percent of total billed charges,34.1568046,,,,68.448,percent of total billed charges,20.43685868,,,,68.448,percent of total billed charges,34.1568046,,,,68.448,percent of total billed charges,20.43685868,,,,68.448,percent of total billed charges,34.1568046,,,,68.448,percent of total billed charges,20.43685868,,,,67.776,percent of total billed charges,67.26176506,,,,67.776,percent of total billed charges,46.38990624,,,,,,,,,,69.12,percent of total billed charges,44.92637346,,,,,,,,,,69.12,percent of total billed charges,999999999,,,,,,,,,,76.8,percent of total billed charges,64.3544078,,,,75.84,percent of total billed charges,73.18886377,,,,75.84,percent of total billed charges,64.6647838,,,,76.8,percent of total billed charges,999999999,,,,76.8,percent of total billed charges,999999999,,,,67.2,percent of total billed charges,999999999,,,,67.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,51.072,percent of total billed charges,999999999,,,,,,,,,,,,,,,,48.48,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,24,percent of total billed charges,22.79412939,,,,,,,,,,24,percent of total billed charges,22.41496455,,,,,,,,,,24,percent of total billed charges,22.35267433,,,,,,,,,,24,percent of total billed charges,22.02353147,,,,,,,,,,24,percent of total billed charges,22.59022931,,,,,,,,,,24,percent of total billed charges,999999999,,,,,,,,,,24,percent of total billed charges,19.38400755,,,,,,,,,,24,percent of total billed charges,30.56991663,,,,,,,,,,24,percent of total billed charges,999999999,,,,,,,,,,24,percent of total billed charges,20.90070084,,,,,,,,,,86.4,percent of total billed charges,,,,,
**ULTRA NEB,94664,CDM,,,,both,,,71,71,15.11476007,71,71,percent of total billed charges,52.23722233,,,,71,percent of total billed charges,55.37042281,,,,71,percent of total billed charges,52.23722233,,,,71,percent of total billed charges,55.37042281,,,,71,percent of total billed charges,999999999,,,,71,percent of total billed charges,54.0971202,,,,71,percent of total billed charges,52.23722233,,,,71,percent of total billed charges,55.37042281,,,,50.623,percent of total billed charges,25.2618034,,,,50.623,percent of total billed charges,15.11476007,,,,50.623,percent of total billed charges,25.2618034,,,,50.623,percent of total billed charges,15.11476007,,,,50.623,percent of total billed charges,25.2618034,,,,50.623,percent of total billed charges,15.11476007,,,,50.126,percent of total billed charges,49.74568041,,,,50.126,percent of total billed charges,34.30920149,,,,,,,,,,51.12,percent of total billed charges,33.22679704,,,,,,,,,,51.12,percent of total billed charges,999999999,,,,,,,,,,56.8,percent of total billed charges,47.59544744,,,,56.09,percent of total billed charges,54.12926383,,,,56.09,percent of total billed charges,47.82499635,,,,56.8,percent of total billed charges,999999999,,,,56.8,percent of total billed charges,999999999,,,,49.7,percent of total billed charges,999999999,,,,49.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,37.772,percent of total billed charges,999999999,,,,,,,,,,,,,,,,35.855,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17.75,percent of total billed charges,16.85815819,,,,,,,,,,17.75,percent of total billed charges,16.5777342,,,,,,,,,,17.75,percent of total billed charges,16.53166539,,,,,,,,,,17.75,percent of total billed charges,16.28823682,,,,,,,,,,17.75,percent of total billed charges,16.70735709,,,,,,,,,,17.75,percent of total billed charges,999999999,,,,,,,,,,17.75,percent of total billed charges,14.33608892,,,,,,,,,,17.75,percent of total billed charges,22.60900084,,,,,,,,,,17.75,percent of total billed charges,999999999,,,,,,,,,,17.75,percent of total billed charges,15.45781,,,,,,,,,,63.9,percent of total billed charges,,,,,
CHEST PERCUSSION-SUBSEQUENT,94668,CDM,,,,both,,,208,208,44.27986048,208,208,percent of total billed charges,153.0329894,,,,208,percent of total billed charges,162.2119429,,,,208,percent of total billed charges,153.0329894,,,,208,percent of total billed charges,162.2119429,,,,208,percent of total billed charges,999999999,,,,208,percent of total billed charges,158.4817042,,,,208,percent of total billed charges,153.0329894,,,,208,percent of total billed charges,162.2119429,,,,148.304,percent of total billed charges,74.00640997,,,,148.304,percent of total billed charges,44.27986048,,,,148.304,percent of total billed charges,74.00640997,,,,148.304,percent of total billed charges,44.27986048,,,,148.304,percent of total billed charges,74.00640997,,,,148.304,percent of total billed charges,44.27986048,,,,146.848,percent of total billed charges,145.7338243,,,,146.848,percent of total billed charges,100.5114635,,,,,,,,,,149.76,percent of total billed charges,97.34047583,,,,,,,,,,149.76,percent of total billed charges,999999999,,,,,,,,,,166.4,percent of total billed charges,139.4345502,,,,164.32,percent of total billed charges,158.5758715,,,,164.32,percent of total billed charges,140.1070316,,,,166.4,percent of total billed charges,999999999,,,,166.4,percent of total billed charges,999999999,,,,145.6,percent of total billed charges,999999999,,,,145.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,110.656,percent of total billed charges,999999999,,,,,,,,,,,,,,,,105.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,52,percent of total billed charges,49.38728033,,,,,,,,,,52,percent of total billed charges,48.56575653,,,,,,,,,,52,percent of total billed charges,48.43079437,,,,,,,,,,52,percent of total billed charges,47.71765152,,,,,,,,,,52,percent of total billed charges,48.94549684,,,,,,,,,,52,percent of total billed charges,999999999,,,,,,,,,,52,percent of total billed charges,41.99868303,,,,,,,,,,52,percent of total billed charges,66.23481936,,,,,,,,,,52,percent of total billed charges,999999999,,,,,,,,,,52,percent of total billed charges,45.28485182,,,,,,,,,,187.2,percent of total billed charges,,,,,
OXIMETRY CONTINUOUS OVERNIGHT (IP),94762,CDM,,,,both,,,380,380,80.89589896,380,380,percent of total billed charges,279.5794998,,,,380,percent of total billed charges,296.3487418,,,,380,percent of total billed charges,279.5794998,,,,380,percent of total billed charges,296.3487418,,,,380,percent of total billed charges,999999999,,,,380,percent of total billed charges,289.5338828,,,,380,percent of total billed charges,279.5794998,,,,380,percent of total billed charges,296.3487418,,,,270.94,percent of total billed charges,135.2040182,,,,270.94,percent of total billed charges,80.89589896,,,,270.94,percent of total billed charges,135.2040182,,,,270.94,percent of total billed charges,80.89589896,,,,270.94,percent of total billed charges,135.2040182,,,,270.94,percent of total billed charges,80.89589896,,,,268.28,percent of total billed charges,266.2444867,,,,268.28,percent of total billed charges,183.6267122,,,,,,,,,,273.6,percent of total billed charges,177.8335616,,,,,,,,,,273.6,percent of total billed charges,999999999,,,,,,,,,,304,percent of total billed charges,254.7361975,,,,300.2,percent of total billed charges,289.7059191,,,,300.2,percent of total billed charges,255.9647692,,,,304,percent of total billed charges,999999999,,,,304,percent of total billed charges,999999999,,,,266,percent of total billed charges,999999999,,,,266,percent of total billed charges,999999999,,,,,,,,,,,,,,,,202.16,percent of total billed charges,999999999,,,,,,,,,,,,,,,,191.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,95,percent of total billed charges,90.22676215,,,,,,,,,,95,percent of total billed charges,88.72590135,,,,,,,,,,95,percent of total billed charges,88.47933587,,,,,,,,,,95,percent of total billed charges,87.17647873,,,,,,,,,,95,percent of total billed charges,89.41965769,,,,,,,,,,95,percent of total billed charges,999999999,,,,,,,,,,95,percent of total billed charges,76.72836323,,,,,,,,,,95,percent of total billed charges,121.00592,,,,,,,,,,95,percent of total billed charges,999999999,,,,,,,,,,95,percent of total billed charges,82.73194083,,,,,,,,,,342,percent of total billed charges,,,,,
OXIMETRY-MULTIPLE DETERMINATIONS,94761,CDM,,,,both,,,291,291,61.94922789,291,291,percent of total billed charges,214.099038,,,,291,percent of total billed charges,226.940747,,,,291,percent of total billed charges,214.099038,,,,291,percent of total billed charges,226.940747,,,,291,percent of total billed charges,999999999,,,,291,percent of total billed charges,221.7219997,,,,291,percent of total billed charges,214.099038,,,,291,percent of total billed charges,226.940747,,,,207.483,percent of total billed charges,103.5378139,,,,207.483,percent of total billed charges,61.94922789,,,,207.483,percent of total billed charges,103.5378139,,,,207.483,percent of total billed charges,61.94922789,,,,207.483,percent of total billed charges,103.5378139,,,,207.483,percent of total billed charges,61.94922789,,,,205.446,percent of total billed charges,203.8872253,,,,205.446,percent of total billed charges,140.6194033,,,,,,,,,,209.52,percent of total billed charges,136.1830696,,,,,,,,,,209.52,percent of total billed charges,999999999,,,,,,,,,,232.8,percent of total billed charges,195.0742986,,,,229.89,percent of total billed charges,221.8537433,,,,229.89,percent of total billed charges,196.0151259,,,,232.8,percent of total billed charges,999999999,,,,232.8,percent of total billed charges,999999999,,,,203.7,percent of total billed charges,999999999,,,,203.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,154.812,percent of total billed charges,999999999,,,,,,,,,,,,,,,,146.955,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,72.75,percent of total billed charges,69.0947047,,,,,,,,,,72.75,percent of total billed charges,67.9453613,,,,,,,,,,72.75,percent of total billed charges,67.75654405,,,,,,,,,,72.75,percent of total billed charges,66.75882976,,,,,,,,,,72.75,percent of total billed charges,68.4766326,,,,,,,,,,72.75,percent of total billed charges,999999999,,,,,,,,,,72.75,percent of total billed charges,58.7577729,,,,,,,,,,72.75,percent of total billed charges,92.66505977,,,,,,,,,,72.75,percent of total billed charges,999999999,,,,,,,,,,72.75,percent of total billed charges,63.35524943,,,,,,,,,,261.9,percent of total billed charges,,,,,
**PEAK FLOWMETER,Local,Local,,,,both,,,193,193,41.08660131,193,193,percent of total billed charges,141.9969565,,,,193,percent of total billed charges,150.5139662,,,,193,percent of total billed charges,141.9969565,,,,193,percent of total billed charges,150.5139662,,,,193,percent of total billed charges,999999999,,,,193,percent of total billed charges,147.0527352,,,,193,percent of total billed charges,141.9969565,,,,193,percent of total billed charges,150.5139662,,,,137.609,percent of total billed charges,68.66940925,,,,137.609,percent of total billed charges,41.08660131,,,,137.609,percent of total billed charges,68.66940925,,,,137.609,percent of total billed charges,41.08660131,,,,137.609,percent of total billed charges,68.66940925,,,,137.609,percent of total billed charges,41.08660131,,,,136.258,percent of total billed charges,135.2241735,,,,136.258,percent of total billed charges,93.26304068,,,,,,,,,,138.96,percent of total billed charges,90.32072998,,,,,,,,,,138.96,percent of total billed charges,999999999,,,,,,,,,,154.4,percent of total billed charges,129.379174,,,,152.47,percent of total billed charges,147.1401115,,,,152.47,percent of total billed charges,130.0031591,,,,154.4,percent of total billed charges,999999999,,,,154.4,percent of total billed charges,999999999,,,,135.1,percent of total billed charges,999999999,,,,135.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,102.676,percent of total billed charges,999999999,,,,,,,,,,,,,,,,97.465,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,48.25,percent of total billed charges,45.82569762,,,,,,,,,,48.25,percent of total billed charges,45.06341832,,,,,,,,,,48.25,percent of total billed charges,44.93818901,,,,,,,,,,48.25,percent of total billed charges,44.27647472,,,,,,,,,,48.25,percent of total billed charges,45.41577351,,,,,,,,,,48.25,percent of total billed charges,999999999,,,,,,,,,,48.25,percent of total billed charges,38.96993185,,,,,,,,,,48.25,percent of total billed charges,61.45826988,,,,,,,,,,48.25,percent of total billed charges,999999999,,,,,,,,,,48.25,percent of total billed charges,42.01911732,,,,,,,,,,173.7,percent of total billed charges,,,,,
**PEAK FLOW,Local,Local,,,,both,,,48,48,10.21842934,48,48,percent of total billed charges,35.31530523,,,,48,percent of total billed charges,37.43352528,,,,48,percent of total billed charges,35.31530523,,,,48,percent of total billed charges,37.43352528,,,,48,percent of total billed charges,999999999,,,,48,percent of total billed charges,36.57270098,,,,48,percent of total billed charges,35.31530523,,,,48,percent of total billed charges,37.43352528,,,,34.224,percent of total billed charges,17.0784023,,,,34.224,percent of total billed charges,10.21842934,,,,34.224,percent of total billed charges,17.0784023,,,,34.224,percent of total billed charges,10.21842934,,,,34.224,percent of total billed charges,17.0784023,,,,34.224,percent of total billed charges,10.21842934,,,,33.888,percent of total billed charges,33.63088253,,,,33.888,percent of total billed charges,23.19495312,,,,,,,,,,34.56,percent of total billed charges,22.46318673,,,,,,,,,,34.56,percent of total billed charges,999999999,,,,,,,,,,38.4,percent of total billed charges,32.1772039,,,,37.92,percent of total billed charges,36.59443188,,,,37.92,percent of total billed charges,32.3323919,,,,38.4,percent of total billed charges,999999999,,,,38.4,percent of total billed charges,999999999,,,,33.6,percent of total billed charges,999999999,,,,33.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,25.536,percent of total billed charges,999999999,,,,,,,,,,,,,,,,24.24,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12,percent of total billed charges,11.39706469,,,,,,,,,,12,percent of total billed charges,11.20748228,,,,,,,,,,12,percent of total billed charges,11.17633716,,,,,,,,,,12,percent of total billed charges,11.01176573,,,,,,,,,,12,percent of total billed charges,11.29511466,,,,,,,,,,12,percent of total billed charges,999999999,,,,,,,,,,12,percent of total billed charges,9.692003777,,,,,,,,,,12,percent of total billed charges,15.28495831,,,,,,,,,,12,percent of total billed charges,999999999,,,,,,,,,,12,percent of total billed charges,10.45035042,,,,,,,,,,43.2,percent of total billed charges,,,,,
**JETNEB SETUP,94799,CDM,,,,both,,,47,47,10.0055454,47,47,percent of total billed charges,34.57956971,,,,47,percent of total billed charges,36.65366017,,,,47,percent of total billed charges,34.57956971,,,,47,percent of total billed charges,36.65366017,,,,47,percent of total billed charges,999999999,,,,47,percent of total billed charges,35.81076971,,,,47,percent of total billed charges,34.57956971,,,,47,percent of total billed charges,36.65366017,,,,33.511,percent of total billed charges,16.72260225,,,,33.511,percent of total billed charges,10.0055454,,,,33.511,percent of total billed charges,16.72260225,,,,33.511,percent of total billed charges,10.0055454,,,,33.511,percent of total billed charges,16.72260225,,,,33.511,percent of total billed charges,10.0055454,,,,33.182,percent of total billed charges,32.93023915,,,,33.182,percent of total billed charges,22.71172493,,,,,,,,,,33.84,percent of total billed charges,21.99520367,,,,,,,,,,33.84,percent of total billed charges,999999999,,,,,,,,,,37.6,percent of total billed charges,31.50684549,,,,37.13,percent of total billed charges,35.83204789,,,,37.13,percent of total billed charges,31.6588004,,,,37.6,percent of total billed charges,999999999,,,,37.6,percent of total billed charges,999999999,,,,32.9,percent of total billed charges,999999999,,,,32.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,25.004,percent of total billed charges,999999999,,,,,,,,,,,,,,,,23.735,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11.75,percent of total billed charges,11.15962584,,,,,,,,,,11.75,percent of total billed charges,10.97399306,,,,,,,,,,11.75,percent of total billed charges,10.94349681,,,,,,,,,,11.75,percent of total billed charges,10.78235395,,,,,,,,,,11.75,percent of total billed charges,11.05979977,,,,,,,,,,11.75,percent of total billed charges,999999999,,,,,,,,,,11.75,percent of total billed charges,9.490087031,,,,,,,,,,11.75,percent of total billed charges,14.96652168,,,,,,,,,,11.75,percent of total billed charges,999999999,,,,,,,,,,11.75,percent of total billed charges,10.23263479,,,,,,,,,,42.3,percent of total billed charges,,,,,
"VENT MGMT INPT/OBSERV,INIT DAY",94002,CDM,,,,both,,,2646,2646,563.2909175,2646,2646,percent of total billed charges,1946.756201,,,,2646,percent of total billed charges,2063.523081,,,,2646,percent of total billed charges,1946.756201,,,,2646,percent of total billed charges,2063.523081,,,,2646,percent of total billed charges,999999999,,,,2646,percent of total billed charges,2016.070142,,,,2646,percent of total billed charges,1946.756201,,,,2646,percent of total billed charges,2063.523081,,,,1886.598,percent of total billed charges,941.4469268,,,,1886.598,percent of total billed charges,563.2909175,,,,1886.598,percent of total billed charges,941.4469268,,,,1886.598,percent of total billed charges,563.2909175,,,,1886.598,percent of total billed charges,941.4469268,,,,1886.598,percent of total billed charges,563.2909175,,,,1868.076,percent of total billed charges,1853.9024,,,,1868.076,percent of total billed charges,1278.621791,,,,,,,,,,1905.12,percent of total billed charges,1238.283169,,,,,,,,,,1905.12,percent of total billed charges,999999999,,,,,,,,,,2116.8,percent of total billed charges,1773.768365,,,,2090.34,percent of total billed charges,2017.268058,,,,2090.34,percent of total billed charges,1782.323104,,,,2116.8,percent of total billed charges,999999999,,,,2116.8,percent of total billed charges,999999999,,,,1852.2,percent of total billed charges,999999999,,,,1852.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1407.672,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1336.23,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,661.5,percent of total billed charges,628.2631912,,,,,,,,,,661.5,percent of total billed charges,617.8124605,,,,,,,,,,661.5,percent of total billed charges,616.0955861,,,,,,,,,,661.5,percent of total billed charges,607.0235861,,,,,,,,,,661.5,percent of total billed charges,622.6431954,,,,,,,,,,661.5,percent of total billed charges,999999999,,,,,,,,,,661.5,percent of total billed charges,534.2717082,,,,,,,,,,661.5,percent of total billed charges,842.583327,,,,,,,,,,661.5,percent of total billed charges,999999999,,,,,,,,,,661.5,percent of total billed charges,576.0755669,,,,,,,,,,2381.4,percent of total billed charges,,,,,
VENT MGMT INPT/OPBV SUBSEQENT DAYS,94003,CDM,,,,both,,,1832,1832,390.0033866,1832,1832,percent of total billed charges,1347.867483,,,,1832,percent of total billed charges,1428.712882,,,,1832,percent of total billed charges,1347.867483,,,,1832,percent of total billed charges,1428.712882,,,,1832,percent of total billed charges,999999999,,,,1832,percent of total billed charges,1395.858087,,,,1832,percent of total billed charges,1347.867483,,,,1832,percent of total billed charges,1428.712882,,,,1306.216,percent of total billed charges,651.8256878,,,,1306.216,percent of total billed charges,390.0033866,,,,1306.216,percent of total billed charges,651.8256878,,,,1306.216,percent of total billed charges,390.0033866,,,,1306.216,percent of total billed charges,651.8256878,,,,1306.216,percent of total billed charges,390.0033866,,,,1293.392,percent of total billed charges,1283.578683,,,,1293.392,percent of total billed charges,885.2740442,,,,,,,,,,1319.04,percent of total billed charges,857.3449602,,,,,,,,,,1319.04,percent of total billed charges,999999999,,,,,,,,,,1465.6,percent of total billed charges,1228.096616,,,,1447.28,percent of total billed charges,1396.687484,,,,1447.28,percent of total billed charges,1234.019624,,,,1465.6,percent of total billed charges,999999999,,,,1465.6,percent of total billed charges,999999999,,,,1282.4,percent of total billed charges,999999999,,,,1282.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,974.624,percent of total billed charges,999999999,,,,,,,,,,,,,,,,925.16,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,458,percent of total billed charges,434.9879691,,,,,,,,,,458,percent of total billed charges,427.7522402,,,,,,,,,,458,percent of total billed charges,426.5635351,,,,,,,,,,458,percent of total billed charges,420.2823922,,,,,,,,,,458,percent of total billed charges,431.096876,,,,,,,,,,458,percent of total billed charges,999999999,,,,,,,,,,458,percent of total billed charges,369.9114775,,,,,,,,,,458,percent of total billed charges,583.3759089,,,,,,,,,,458,percent of total billed charges,999999999,,,,,,,,,,458,percent of total billed charges,398.8550411,,,,,,,,,,1648.8,percent of total billed charges,,,,,
**VENT CIRCUIT SET-UP,Local,Local,,,,both,,,175,175,37.25469031,175,175,percent of total billed charges,128.753717,,,,175,percent of total billed charges,136.4763943,,,,175,percent of total billed charges,128.753717,,,,175,percent of total billed charges,136.4763943,,,,175,percent of total billed charges,999999999,,,,175,percent of total billed charges,133.3379723,,,,175,percent of total billed charges,128.753717,,,,175,percent of total billed charges,136.4763943,,,,124.775,percent of total billed charges,62.26500839,,,,124.775,percent of total billed charges,37.25469031,,,,124.775,percent of total billed charges,62.26500839,,,,124.775,percent of total billed charges,37.25469031,,,,124.775,percent of total billed charges,62.26500839,,,,124.775,percent of total billed charges,37.25469031,,,,123.55,percent of total billed charges,122.6125926,,,,123.55,percent of total billed charges,84.56493326,,,,,,,,,,126,percent of total billed charges,81.89703495,,,,,,,,,,126,percent of total billed charges,999999999,,,,,,,,,,140,percent of total billed charges,117.3127226,,,,138.25,percent of total billed charges,133.4171996,,,,138.25,percent of total billed charges,117.8785121,,,,140,percent of total billed charges,999999999,,,,140,percent of total billed charges,999999999,,,,122.5,percent of total billed charges,999999999,,,,122.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,93.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,88.375,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,43.75,percent of total billed charges,41.55179836,,,,,,,,,,43.75,percent of total billed charges,40.86061247,,,,,,,,,,43.75,percent of total billed charges,40.74706257,,,,,,,,,,43.75,percent of total billed charges,40.14706257,,,,,,,,,,43.75,percent of total billed charges,41.18010551,,,,,,,,,,43.75,percent of total billed charges,999999999,,,,,,,,,,43.75,percent of total billed charges,35.33543044,,,,,,,,,,43.75,percent of total billed charges,55.72641052,,,,,,,,,,43.75,percent of total billed charges,999999999,,,,,,,,,,43.75,percent of total billed charges,38.10023591,,,,,,,,,,157.5,percent of total billed charges,,,,,
**JETNEB SECOND MEDICATION,94640,CDM,,,,both,,,113,113,24.05588574,113,113,percent of total billed charges,83.13811441,,,,113,percent of total billed charges,88.12475743,,,,113,percent of total billed charges,83.13811441,,,,113,percent of total billed charges,88.12475743,,,,113,percent of total billed charges,999999999,,,,113,percent of total billed charges,86.09823356,,,,113,percent of total billed charges,83.13811441,,,,113,percent of total billed charges,88.12475743,,,,80.569,percent of total billed charges,40.20540542,,,,80.569,percent of total billed charges,24.05588574,,,,80.569,percent of total billed charges,40.20540542,,,,80.569,percent of total billed charges,24.05588574,,,,80.569,percent of total billed charges,40.20540542,,,,80.569,percent of total billed charges,24.05588574,,,,79.778,percent of total billed charges,79.17270263,,,,79.778,percent of total billed charges,54.60478547,,,,,,,,,,81.36,percent of total billed charges,52.88208543,,,,,,,,,,81.36,percent of total billed charges,999999999,,,,,,,,,,90.4,percent of total billed charges,75.75050085,,,,89.27,percent of total billed charges,86.14939173,,,,89.27,percent of total billed charges,76.11583927,,,,90.4,percent of total billed charges,999999999,,,,90.4,percent of total billed charges,999999999,,,,79.1,percent of total billed charges,999999999,,,,79.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,60.116,percent of total billed charges,999999999,,,,,,,,,,,,,,,,57.065,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,28.25,percent of total billed charges,26.8305898,,,,,,,,,,28.25,percent of total billed charges,26.38428119,,,,,,,,,,28.25,percent of total billed charges,26.3109604,,,,,,,,,,28.25,percent of total billed charges,25.92353183,,,,,,,,,,28.25,percent of total billed charges,26.59058242,,,,,,,,,,28.25,percent of total billed charges,999999999,,,,,,,,,,28.25,percent of total billed charges,22.81659222,,,,,,,,,,28.25,percent of total billed charges,35.98333936,,,,,,,,,,28.25,percent of total billed charges,999999999,,,,,,,,,,28.25,percent of total billed charges,24.60186662,,,,,,,,,,101.7,percent of total billed charges,,,,,
CHEST PERCUSSION- INITIAL,94667,CDM,,,,both,,,247,247,52.58233432,247,247,percent of total billed charges,181.7266749,,,,247,percent of total billed charges,192.6266822,,,,247,percent of total billed charges,181.7266749,,,,247,percent of total billed charges,192.6266822,,,,247,percent of total billed charges,999999999,,,,247,percent of total billed charges,188.1970238,,,,247,percent of total billed charges,181.7266749,,,,247,percent of total billed charges,192.6266822,,,,176.111,percent of total billed charges,87.88261184,,,,176.111,percent of total billed charges,52.58233432,,,,176.111,percent of total billed charges,87.88261184,,,,176.111,percent of total billed charges,52.58233432,,,,176.111,percent of total billed charges,87.88261184,,,,176.111,percent of total billed charges,52.58233432,,,,174.382,percent of total billed charges,173.0589164,,,,174.382,percent of total billed charges,119.3573629,,,,,,,,,,177.84,percent of total billed charges,115.591815,,,,,,,,,,177.84,percent of total billed charges,999999999,,,,,,,,,,197.6,percent of total billed charges,165.5785284,,,,195.13,percent of total billed charges,188.3088474,,,,195.13,percent of total billed charges,166.3771,,,,197.6,percent of total billed charges,999999999,,,,197.6,percent of total billed charges,999999999,,,,172.9,percent of total billed charges,999999999,,,,172.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,131.404,percent of total billed charges,999999999,,,,,,,,,,,,,,,,124.735,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,61.75,percent of total billed charges,58.6473954,,,,,,,,,,61.75,percent of total billed charges,57.67183588,,,,,,,,,,61.75,percent of total billed charges,57.51156832,,,,,,,,,,61.75,percent of total billed charges,56.66471117,,,,,,,,,,61.75,percent of total billed charges,58.1227775,,,,,,,,,,61.75,percent of total billed charges,999999999,,,,,,,,,,61.75,percent of total billed charges,49.8734361,,,,,,,,,,61.75,percent of total billed charges,78.65384799,,,,,,,,,,61.75,percent of total billed charges,999999999,,,,,,,,,,61.75,percent of total billed charges,53.77576154,,,,,,,,,,222.3,percent of total billed charges,,,,,
CARDIOPULMONARY RESUSCITATION,92950,CDM,,,,both,,,1437,1437,305.9142284,1437,1437,percent of total billed charges,1057.25195,,,,1437,percent of total billed charges,1120.666163,,,,1437,percent of total billed charges,1057.25195,,,,1437,percent of total billed charges,1120.666163,,,,1437,percent of total billed charges,999999999,,,,1437,percent of total billed charges,1094.895236,,,,1437,percent of total billed charges,1057.25195,,,,1437,percent of total billed charges,1120.666163,,,,1024.581,percent of total billed charges,511.2846689,,,,1024.581,percent of total billed charges,305.9142284,,,,1024.581,percent of total billed charges,511.2846689,,,,1024.581,percent of total billed charges,305.9142284,,,,1024.581,percent of total billed charges,511.2846689,,,,1024.581,percent of total billed charges,305.9142284,,,,1014.522,percent of total billed charges,1006.824546,,,,1014.522,percent of total billed charges,694.3989091,,,,,,,,,,1034.64,percent of total billed charges,672.4916527,,,,,,,,,,1034.64,percent of total billed charges,999999999,,,,,,,,,,1149.6,percent of total billed charges,963.3050418,,,,1135.23,percent of total billed charges,1095.545805,,,,1135.23,percent of total billed charges,967.9509825,,,,1149.6,percent of total billed charges,999999999,,,,1149.6,percent of total billed charges,999999999,,,,1005.9,percent of total billed charges,999999999,,,,1005.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,764.484,percent of total billed charges,999999999,,,,,,,,,,,,,,,,725.685,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,359.25,percent of total billed charges,341.1996242,,,,,,,,,,359.25,percent of total billed charges,335.5240006,,,,,,,,,,359.25,percent of total billed charges,334.5915938,,,,,,,,,,359.25,percent of total billed charges,329.6647367,,,,,,,,,,359.25,percent of total billed charges,338.147495,,,,,,,,,,359.25,percent of total billed charges,999999999,,,,,,,,,,359.25,percent of total billed charges,290.1543631,,,,,,,,,,359.25,percent of total billed charges,457.5934395,,,,,,,,,,359.25,percent of total billed charges,999999999,,,,,,,,,,359.25,percent of total billed charges,312.8573657,,,,,,,,,,1293.3,percent of total billed charges,,,,,
**RESPIRATORY RATE & TIDAL VOLUME,94799,CDM,,,,both,,,77,77,16.39206374,77,77,percent of total billed charges,56.65163548,,,,77,percent of total billed charges,60.04961347,,,,77,percent of total billed charges,56.65163548,,,,77,percent of total billed charges,60.04961347,,,,77,percent of total billed charges,999999999,,,,77,percent of total billed charges,58.66870782,,,,77,percent of total billed charges,56.65163548,,,,77,percent of total billed charges,60.04961347,,,,54.901,percent of total billed charges,27.39660369,,,,54.901,percent of total billed charges,16.39206374,,,,54.901,percent of total billed charges,27.39660369,,,,54.901,percent of total billed charges,16.39206374,,,,54.901,percent of total billed charges,27.39660369,,,,54.901,percent of total billed charges,16.39206374,,,,54.362,percent of total billed charges,53.94954073,,,,54.362,percent of total billed charges,37.20857063,,,,,,,,,,55.44,percent of total billed charges,36.03469538,,,,,,,,,,55.44,percent of total billed charges,999999999,,,,,,,,,,61.6,percent of total billed charges,51.61759792,,,,60.83,percent of total billed charges,58.70356781,,,,60.83,percent of total billed charges,51.86654534,,,,61.6,percent of total billed charges,999999999,,,,61.6,percent of total billed charges,999999999,,,,53.9,percent of total billed charges,999999999,,,,53.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,40.964,percent of total billed charges,999999999,,,,,,,,,,,,,,,,38.885,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19.25,percent of total billed charges,18.28279128,,,,,,,,,,19.25,percent of total billed charges,17.97866949,,,,,,,,,,19.25,percent of total billed charges,17.92870753,,,,,,,,,,19.25,percent of total billed charges,17.66470753,,,,,,,,,,19.25,percent of total billed charges,18.11924643,,,,,,,,,,19.25,percent of total billed charges,999999999,,,,,,,,,,19.25,percent of total billed charges,15.54758939,,,,,,,,,,19.25,percent of total billed charges,24.51962063,,,,,,,,,,19.25,percent of total billed charges,999999999,,,,,,,,,,19.25,percent of total billed charges,16.7641038,,,,,,,,,,69.3,percent of total billed charges,,,,,
**CARDIOPULMONARY EXERCISE TEST-COMP,94621,CDM,,,,both,,,2382,2382,507.0895561,2382,2382,percent of total billed charges,1752.522022,,,,2382,percent of total billed charges,1857.638692,,,,2382,percent of total billed charges,1752.522022,,,,2382,percent of total billed charges,1857.638692,,,,2382,percent of total billed charges,999999999,,,,2382,percent of total billed charges,1814.920286,,,,2382,percent of total billed charges,1752.522022,,,,2382,percent of total billed charges,1857.638692,,,,1698.366,percent of total billed charges,847.5157142,,,,1698.366,percent of total billed charges,507.0895561,,,,1698.366,percent of total billed charges,847.5157142,,,,1698.366,percent of total billed charges,507.0895561,,,,1698.366,percent of total billed charges,847.5157142,,,,1698.366,percent of total billed charges,507.0895561,,,,1681.692,percent of total billed charges,1668.932546,,,,1681.692,percent of total billed charges,1151.049549,,,,,,,,,,1715.04,percent of total billed charges,1114.735641,,,,,,,,,,1715.04,percent of total billed charges,999999999,,,,,,,,,,1905.6,percent of total billed charges,1596.793744,,,,1881.78,percent of total billed charges,1815.998682,,,,1881.78,percent of total billed charges,1604.494948,,,,1905.6,percent of total billed charges,999999999,,,,1905.6,percent of total billed charges,999999999,,,,1667.4,percent of total billed charges,999999999,,,,1667.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1267.224,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1202.91,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,595.5,percent of total billed charges,565.5793354,,,,,,,,,,595.5,percent of total billed charges,556.171308,,,,,,,,,,595.5,percent of total billed charges,554.6257317,,,,,,,,,,595.5,percent of total billed charges,546.4588746,,,,,,,,,,595.5,percent of total billed charges,560.5200648,,,,,,,,,,595.5,percent of total billed charges,999999999,,,,,,,,,,595.5,percent of total billed charges,480.9656874,,,,,,,,,,595.5,percent of total billed charges,758.5160563,,,,,,,,,,595.5,percent of total billed charges,999999999,,,,,,,,,,595.5,percent of total billed charges,518.5986396,,,,,,,,,,2143.8,percent of total billed charges,,,,,
**RESPIRATORY ASSISTANCE,94799,CDM,,,,both,,,305,305,64.92960311,305,305,percent of total billed charges,224.3993353,,,,305,percent of total billed charges,237.8588586,,,,305,percent of total billed charges,224.3993353,,,,305,percent of total billed charges,237.8588586,,,,305,percent of total billed charges,999999999,,,,305,percent of total billed charges,232.3890375,,,,305,percent of total billed charges,224.3993353,,,,305,percent of total billed charges,237.8588586,,,,217.465,percent of total billed charges,108.5190146,,,,217.465,percent of total billed charges,64.92960311,,,,217.465,percent of total billed charges,108.5190146,,,,217.465,percent of total billed charges,64.92960311,,,,217.465,percent of total billed charges,108.5190146,,,,217.465,percent of total billed charges,64.92960311,,,,215.33,percent of total billed charges,213.6962328,,,,215.33,percent of total billed charges,147.384598,,,,,,,,,,219.6,percent of total billed charges,142.7348323,,,,,,,,,,219.6,percent of total billed charges,999999999,,,,,,,,,,244,percent of total billed charges,204.4593165,,,,240.95,percent of total billed charges,232.5271193,,,,240.95,percent of total billed charges,205.4454069,,,,244,percent of total billed charges,999999999,,,,244,percent of total billed charges,999999999,,,,213.5,percent of total billed charges,999999999,,,,213.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,162.26,percent of total billed charges,999999999,,,,,,,,,,,,,,,,154.025,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,76.25,percent of total billed charges,72.41884857,,,,,,,,,,76.25,percent of total billed charges,71.2142103,,,,,,,,,,76.25,percent of total billed charges,71.01630906,,,,,,,,,,76.25,percent of total billed charges,69.97059477,,,,,,,,,,76.25,percent of total billed charges,71.77104104,,,,,,,,,,76.25,percent of total billed charges,999999999,,,,,,,,,,76.25,percent of total billed charges,61.58460733,,,,,,,,,,76.25,percent of total billed charges,97.12317261,,,,,,,,,,76.25,percent of total billed charges,999999999,,,,,,,,,,76.25,percent of total billed charges,66.4032683,,,,,,,,,,274.5,percent of total billed charges,,,,,
**FLOW VOLUME LOOPS W/O PRO FEE,94375,CDM,,,,both,,,575,575,122.4082682,575,575,percent of total billed charges,423.0479273,,,,575,percent of total billed charges,448.4224383,,,,575,percent of total billed charges,423.0479273,,,,575,percent of total billed charges,448.4224383,,,,575,percent of total billed charges,999999999,,,,575,percent of total billed charges,438.1104805,,,,575,percent of total billed charges,423.0479273,,,,575,percent of total billed charges,448.4224383,,,,409.975,percent of total billed charges,204.5850276,,,,409.975,percent of total billed charges,122.4082682,,,,409.975,percent of total billed charges,204.5850276,,,,409.975,percent of total billed charges,122.4082682,,,,409.975,percent of total billed charges,204.5850276,,,,409.975,percent of total billed charges,122.4082682,,,,405.95,percent of total billed charges,402.869947,,,,405.95,percent of total billed charges,277.8562093,,,,,,,,,,414,percent of total billed charges,269.0902577,,,,,,,,,,414,percent of total billed charges,999999999,,,,,,,,,,460,percent of total billed charges,385.4560884,,,,454.25,percent of total billed charges,438.3707986,,,,454.25,percent of total billed charges,387.3151113,,,,460,percent of total billed charges,999999999,,,,460,percent of total billed charges,999999999,,,,402.5,percent of total billed charges,999999999,,,,402.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,305.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,290.375,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,143.75,percent of total billed charges,136.5273375,,,,,,,,,,143.75,percent of total billed charges,134.2562981,,,,,,,,,,143.75,percent of total billed charges,133.8832056,,,,,,,,,,143.75,percent of total billed charges,131.911777,,,,,,,,,,143.75,percent of total billed charges,135.306061,,,,,,,,,,143.75,percent of total billed charges,999999999,,,,,,,,,,143.75,percent of total billed charges,116.1021286,,,,,,,,,,143.75,percent of total billed charges,183.1010631,,,,,,,,,,143.75,percent of total billed charges,999999999,,,,,,,,,,143.75,percent of total billed charges,125.1864894,,,,,,,,,,517.5,percent of total billed charges,,,,,
PLETHYSMOGRAPHY,94726,CDM,,,,both,,,621,621,132.2009296,621,621,percent of total billed charges,456.8917615,,,,621,percent of total billed charges,484.2962333,,,,621,percent of total billed charges,456.8917615,,,,621,percent of total billed charges,484.2962333,,,,621,percent of total billed charges,999999999,,,,621,percent of total billed charges,473.1593189,,,,621,percent of total billed charges,456.8917615,,,,621,percent of total billed charges,484.2962333,,,,442.773,percent of total billed charges,220.9518298,,,,442.773,percent of total billed charges,132.2009296,,,,442.773,percent of total billed charges,220.9518298,,,,442.773,percent of total billed charges,132.2009296,,,,442.773,percent of total billed charges,220.9518298,,,,442.773,percent of total billed charges,132.2009296,,,,438.426,percent of total billed charges,435.0995428,,,,438.426,percent of total billed charges,300.084706,,,,,,,,,,447.12,percent of total billed charges,290.6174783,,,,,,,,,,447.12,percent of total billed charges,999999999,,,,,,,,,,496.8,percent of total billed charges,416.2925755,,,,490.59,percent of total billed charges,473.4404625,,,,490.59,percent of total billed charges,418.3003202,,,,496.8,percent of total billed charges,999999999,,,,496.8,percent of total billed charges,999999999,,,,434.7,percent of total billed charges,999999999,,,,434.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,330.372,percent of total billed charges,999999999,,,,,,,,,,,,,,,,313.605,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,155.25,percent of total billed charges,147.4495245,,,,,,,,,,155.25,percent of total billed charges,144.996802,,,,,,,,,,155.25,percent of total billed charges,144.593862,,,,,,,,,,155.25,percent of total billed charges,142.4647192,,,,,,,,,,155.25,percent of total billed charges,146.1305458,,,,,,,,,,155.25,percent of total billed charges,999999999,,,,,,,,,,155.25,percent of total billed charges,125.3902989,,,,,,,,,,155.25,percent of total billed charges,197.7491482,,,,,,,,,,155.25,percent of total billed charges,999999999,,,,,,,,,,155.25,percent of total billed charges,135.2014086,,,,,,,,,,558.9,percent of total billed charges,,,,,
DIFFUSING CAPACITY,94729,CDM,,,,both,,,668,668,142.206475,668,668,percent of total billed charges,491.4713312,,,,668,percent of total billed charges,520.9498935,,,,668,percent of total billed charges,491.4713312,,,,668,percent of total billed charges,520.9498935,,,,668,percent of total billed charges,999999999,,,,668,percent of total billed charges,508.9700886,,,,668,percent of total billed charges,491.4713312,,,,668,percent of total billed charges,520.9498935,,,,476.284,percent of total billed charges,237.674432,,,,476.284,percent of total billed charges,142.206475,,,,476.284,percent of total billed charges,237.674432,,,,476.284,percent of total billed charges,142.206475,,,,476.284,percent of total billed charges,237.674432,,,,476.284,percent of total billed charges,142.206475,,,,471.608,percent of total billed charges,468.0297819,,,,471.608,percent of total billed charges,322.7964309,,,,,,,,,,480.96,percent of total billed charges,312.612682,,,,,,,,,,480.96,percent of total billed charges,999999999,,,,,,,,,,534.4,percent of total billed charges,447.7994209,,,,527.72,percent of total billed charges,509.2725104,,,,527.72,percent of total billed charges,449.9591206,,,,534.4,percent of total billed charges,999999999,,,,534.4,percent of total billed charges,999999999,,,,467.6,percent of total billed charges,999999999,,,,467.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,355.376,percent of total billed charges,999999999,,,,,,,,,,,,,,,,337.34,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,167,percent of total billed charges,158.6091503,,,,,,,,,,167,percent of total billed charges,155.970795,,,,,,,,,,167,percent of total billed charges,155.5373589,,,,,,,,,,167,percent of total billed charges,153.2470731,,,,,,,,,,167,percent of total billed charges,157.1903456,,,,,,,,,,167,percent of total billed charges,999999999,,,,,,,,,,167,percent of total billed charges,134.8803859,,,,,,,,,,167,percent of total billed charges,212.7156699,,,,,,,,,,167,percent of total billed charges,999999999,,,,,,,,,,167,percent of total billed charges,145.4340434,,,,,,,,,,601.2,percent of total billed charges,,,,,
**SPUTUM INDUCTION,94640,CDM,,,,both,,,180,180,38.31911003,180,180,percent of total billed charges,132.4323946,,,,180,percent of total billed charges,140.3757198,,,,180,percent of total billed charges,132.4323946,,,,180,percent of total billed charges,140.3757198,,,,180,percent of total billed charges,999999999,,,,180,percent of total billed charges,137.1476287,,,,180,percent of total billed charges,132.4323946,,,,180,percent of total billed charges,140.3757198,,,,128.34,percent of total billed charges,64.04400863,,,,128.34,percent of total billed charges,38.31911003,,,,128.34,percent of total billed charges,64.04400863,,,,128.34,percent of total billed charges,38.31911003,,,,128.34,percent of total billed charges,64.04400863,,,,128.34,percent of total billed charges,38.31911003,,,,127.08,percent of total billed charges,126.1158095,,,,127.08,percent of total billed charges,86.98107421,,,,,,,,,,129.6,percent of total billed charges,84.23695024,,,,,,,,,,129.6,percent of total billed charges,999999999,,,,,,,,,,144,percent of total billed charges,120.6645146,,,,142.2,percent of total billed charges,137.2291196,,,,142.2,percent of total billed charges,121.2464696,,,,144,percent of total billed charges,999999999,,,,144,percent of total billed charges,999999999,,,,126,percent of total billed charges,999999999,,,,126,percent of total billed charges,999999999,,,,,,,,,,,,,,,,95.76,percent of total billed charges,999999999,,,,,,,,,,,,,,,,90.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,percent of total billed charges,42.7389926,,,,,,,,,,45,percent of total billed charges,42.02805854,,,,,,,,,,45,percent of total billed charges,41.91126436,,,,,,,,,,45,percent of total billed charges,41.2941215,,,,,,,,,,45,percent of total billed charges,42.35667996,,,,,,,,,,45,percent of total billed charges,999999999,,,,,,,,,,45,percent of total billed charges,36.34501416,,,,,,,,,,45,percent of total billed charges,57.31859367,,,,,,,,,,45,percent of total billed charges,999999999,,,,,,,,,,45,percent of total billed charges,39.18881408,,,,,,,,,,162,percent of total billed charges,,,,,
"CPAP/BIPAP,INITIATION & MANAGEMENT",94660,CDM,,,,both,,,1052,1052,223.9539097,1052,1052,percent of total billed charges,773.9937731,,,,1052,percent of total billed charges,820.4180957,,,,1052,percent of total billed charges,773.9937731,,,,1052,percent of total billed charges,820.4180957,,,,1052,percent of total billed charges,999999999,,,,1052,percent of total billed charges,801.5516965,,,,1052,percent of total billed charges,773.9937731,,,,1052,percent of total billed charges,820.4180957,,,,750.076,percent of total billed charges,374.3016504,,,,750.076,percent of total billed charges,223.9539097,,,,750.076,percent of total billed charges,374.3016504,,,,750.076,percent of total billed charges,223.9539097,,,,750.076,percent of total billed charges,374.3016504,,,,750.076,percent of total billed charges,223.9539097,,,,742.712,percent of total billed charges,737.0768421,,,,742.712,percent of total billed charges,508.3560559,,,,,,,,,,757.44,percent of total billed charges,492.3181758,,,,,,,,,,757.44,percent of total billed charges,999999999,,,,,,,,,,841.6,percent of total billed charges,705.2170522,,,,831.08,percent of total billed charges,802.0279655,,,,831.08,percent of total billed charges,708.6182558,,,,841.6,percent of total billed charges,999999999,,,,841.6,percent of total billed charges,999999999,,,,736.4,percent of total billed charges,999999999,,,,736.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,559.664,percent of total billed charges,999999999,,,,,,,,,,,,,,,,531.26,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,263,percent of total billed charges,249.7856678,,,,,,,,,,263,percent of total billed charges,245.6306532,,,,,,,,,,263,percent of total billed charges,244.9480562,,,,,,,,,,263,percent of total billed charges,241.341199,,,,,,,,,,263,percent of total billed charges,247.5512629,,,,,,,,,,263,percent of total billed charges,999999999,,,,,,,,,,263,percent of total billed charges,212.4164161,,,,,,,,,,263,percent of total billed charges,334.9953364,,,,,,,,,,263,percent of total billed charges,999999999,,,,,,,,,,263,percent of total billed charges,229.0368467,,,,,,,,,,946.8,percent of total billed charges,,,,,
**LARYNGAL TRACHEAL ANESTHIA,Local,Local,,,,both,,,92,92,19.58532291,92,92,percent of total billed charges,67.68766837,,,,92,percent of total billed charges,71.74759012,,,,92,percent of total billed charges,67.68766837,,,,92,percent of total billed charges,71.74759012,,,,92,percent of total billed charges,999999999,,,,92,percent of total billed charges,70.09767688,,,,92,percent of total billed charges,67.68766837,,,,92,percent of total billed charges,71.74759012,,,,65.596,percent of total billed charges,32.73360441,,,,65.596,percent of total billed charges,19.58532291,,,,65.596,percent of total billed charges,32.73360441,,,,65.596,percent of total billed charges,19.58532291,,,,65.596,percent of total billed charges,32.73360441,,,,65.596,percent of total billed charges,19.58532291,,,,64.952,percent of total billed charges,64.45919152,,,,64.952,percent of total billed charges,44.45699348,,,,,,,,,,66.24,percent of total billed charges,43.05444123,,,,,,,,,,66.24,percent of total billed charges,999999999,,,,,,,,,,73.6,percent of total billed charges,61.67297414,,,,72.68,percent of total billed charges,70.13932778,,,,72.68,percent of total billed charges,61.97041781,,,,73.6,percent of total billed charges,999999999,,,,73.6,percent of total billed charges,999999999,,,,64.4,percent of total billed charges,999999999,,,,64.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,48.944,percent of total billed charges,999999999,,,,,,,,,,,,,,,,46.46,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23,percent of total billed charges,21.84437399,,,,,,,,,,23,percent of total billed charges,21.4810077,,,,,,,,,,23,percent of total billed charges,21.4213129,,,,,,,,,,23,percent of total billed charges,21.10588432,,,,,,,,,,23,percent of total billed charges,21.64896976,,,,,,,,,,23,percent of total billed charges,999999999,,,,,,,,,,23,percent of total billed charges,18.57634057,,,,,,,,,,23,percent of total billed charges,29.2961701,,,,,,,,,,23,percent of total billed charges,999999999,,,,,,,,,,23,percent of total billed charges,20.02983831,,,,,,,,,,82.8,percent of total billed charges,,,,,
BRONCHOSPASM EVALUATION,94070,CDM,,,,both,,,1562,1562,332.5247215,1562,1562,percent of total billed charges,1149.218891,,,,1562,percent of total billed charges,1218.149302,,,,1562,percent of total billed charges,1149.218891,,,,1562,percent of total billed charges,1218.149302,,,,1562,percent of total billed charges,999999999,,,,1562,percent of total billed charges,1190.136644,,,,1562,percent of total billed charges,1149.218891,,,,1562,percent of total billed charges,1218.149302,,,,1113.706,percent of total billed charges,555.7596749,,,,1113.706,percent of total billed charges,332.5247215,,,,1113.706,percent of total billed charges,555.7596749,,,,1113.706,percent of total billed charges,332.5247215,,,,1113.706,percent of total billed charges,555.7596749,,,,1113.706,percent of total billed charges,332.5247215,,,,1102.772,percent of total billed charges,1094.404969,,,,1102.772,percent of total billed charges,754.8024328,,,,,,,,,,1124.64,percent of total billed charges,730.9895348,,,,,,,,,,1124.64,percent of total billed charges,999999999,,,,,,,,,,1249.6,percent of total billed charges,1047.099844,,,,1233.98,percent of total billed charges,1190.843804,,,,1233.98,percent of total billed charges,1052.14992,,,,1249.6,percent of total billed charges,999999999,,,,1249.6,percent of total billed charges,999999999,,,,1093.4,percent of total billed charges,999999999,,,,1093.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,830.984,percent of total billed charges,999999999,,,,,,,,,,,,,,,,788.81,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,390.5,percent of total billed charges,370.8794802,,,,,,,,,,390.5,percent of total billed charges,364.7101524,,,,,,,,,,390.5,percent of total billed charges,363.6966385,,,,,,,,,,390.5,percent of total billed charges,358.3412099,,,,,,,,,,390.5,percent of total billed charges,367.5618561,,,,,,,,,,390.5,percent of total billed charges,999999999,,,,,,,,,,390.5,percent of total billed charges,315.3939562,,,,,,,,,,390.5,percent of total billed charges,497.3980184,,,,,,,,,,390.5,percent of total billed charges,999999999,,,,,,,,,,390.5,percent of total billed charges,340.0718199,,,,,,,,,,1405.8,percent of total billed charges,,,,,
**PT EDUCATION/ 15 MIN,94799,CDM,,,,both,,,93,93,19.79820685,93,93,percent of total billed charges,68.42340389,,,,93,percent of total billed charges,72.52745523,,,,93,percent of total billed charges,68.42340389,,,,93,percent of total billed charges,72.52745523,,,,93,percent of total billed charges,999999999,,,,93,percent of total billed charges,70.85960815,,,,93,percent of total billed charges,68.42340389,,,,93,percent of total billed charges,72.52745523,,,,66.309,percent of total billed charges,33.08940446,,,,66.309,percent of total billed charges,19.79820685,,,,66.309,percent of total billed charges,33.08940446,,,,66.309,percent of total billed charges,19.79820685,,,,66.309,percent of total billed charges,33.08940446,,,,66.309,percent of total billed charges,19.79820685,,,,65.658,percent of total billed charges,65.1598349,,,,65.658,percent of total billed charges,44.94022167,,,,,,,,,,66.96,percent of total billed charges,43.52242429,,,,,,,,,,66.96,percent of total billed charges,999999999,,,,,,,,,,74.4,percent of total billed charges,62.34333256,,,,73.47,percent of total billed charges,70.90171178,,,,73.47,percent of total billed charges,62.64400931,,,,74.4,percent of total billed charges,999999999,,,,74.4,percent of total billed charges,999999999,,,,65.1,percent of total billed charges,999999999,,,,65.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,49.476,percent of total billed charges,999999999,,,,,,,,,,,,,,,,46.965,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23.25,percent of total billed charges,22.08181284,,,,,,,,,,23.25,percent of total billed charges,21.71449691,,,,,,,,,,23.25,percent of total billed charges,21.65415325,,,,,,,,,,23.25,percent of total billed charges,21.33529611,,,,,,,,,,23.25,percent of total billed charges,21.88428464,,,,,,,,,,23.25,percent of total billed charges,999999999,,,,,,,,,,23.25,percent of total billed charges,18.77825732,,,,,,,,,,23.25,percent of total billed charges,29.61460673,,,,,,,,,,23.25,percent of total billed charges,999999999,,,,,,,,,,23.25,percent of total billed charges,20.24755394,,,,,,,,,,83.7,percent of total billed charges,,,,,
PFT COMPLETE,94010,CDM,,,,both,,,489,489,104.1002489,489,489,percent of total billed charges,359.7746721,,,,489,percent of total billed charges,381.3540388,,,,489,percent of total billed charges,359.7746721,,,,489,percent of total billed charges,381.3540388,,,,489,percent of total billed charges,999999999,,,,489,percent of total billed charges,372.5843912,,,,489,percent of total billed charges,359.7746721,,,,489,percent of total billed charges,381.3540388,,,,348.657,percent of total billed charges,173.9862234,,,,348.657,percent of total billed charges,104.1002489,,,,348.657,percent of total billed charges,173.9862234,,,,348.657,percent of total billed charges,104.1002489,,,,348.657,percent of total billed charges,173.9862234,,,,348.657,percent of total billed charges,104.1002489,,,,345.234,percent of total billed charges,342.6146158,,,,345.234,percent of total billed charges,236.2985849,,,,,,,,,,352.08,percent of total billed charges,228.8437148,,,,,,,,,,352.08,percent of total billed charges,999999999,,,,,,,,,,391.2,percent of total billed charges,327.8052647,,,,386.31,percent of total billed charges,372.8057748,,,,386.31,percent of total billed charges,329.3862425,,,,391.2,percent of total billed charges,999999999,,,,391.2,percent of total billed charges,999999999,,,,342.3,percent of total billed charges,999999999,,,,342.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,260.148,percent of total billed charges,999999999,,,,,,,,,,,,,,,,246.945,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,122.25,percent of total billed charges,116.1075966,,,,,,,,,,122.25,percent of total billed charges,114.1762257,,,,,,,,,,122.25,percent of total billed charges,113.8589348,,,,,,,,,,122.25,percent of total billed charges,112.1823634,,,,,,,,,,122.25,percent of total billed charges,115.0689805,,,,,,,,,,122.25,percent of total billed charges,999999999,,,,,,,,,,122.25,percent of total billed charges,98.73728847,,,,,,,,,,122.25,percent of total billed charges,155.7155128,,,,,,,,,,122.25,percent of total billed charges,999999999,,,,,,,,,,122.25,percent of total billed charges,106.4629449,,,,,,,,,,440.1,percent of total billed charges,,,,,
**PULMONARY COMPLIANCE STUDY,94750,CDM,,,,both,,,285,285,60.67192422,285,285,percent of total billed charges,209.6846248,,,,285,percent of total billed charges,222.2615564,,,,285,percent of total billed charges,209.6846248,,,,285,percent of total billed charges,222.2615564,,,,285,percent of total billed charges,999999999,,,,285,percent of total billed charges,217.1504121,,,,285,percent of total billed charges,209.6846248,,,,285,percent of total billed charges,222.2615564,,,,203.205,percent of total billed charges,101.4030137,,,,203.205,percent of total billed charges,60.67192422,,,,203.205,percent of total billed charges,101.4030137,,,,203.205,percent of total billed charges,60.67192422,,,,203.205,percent of total billed charges,101.4030137,,,,203.205,percent of total billed charges,60.67192422,,,,201.21,percent of total billed charges,199.683365,,,,201.21,percent of total billed charges,137.7200342,,,,,,,,,,205.2,percent of total billed charges,133.3751712,,,,,,,,,,205.2,percent of total billed charges,999999999,,,,,,,,,,228,percent of total billed charges,191.0521482,,,,225.15,percent of total billed charges,217.2794393,,,,225.15,percent of total billed charges,191.9735769,,,,228,percent of total billed charges,999999999,,,,228,percent of total billed charges,999999999,,,,199.5,percent of total billed charges,999999999,,,,199.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,151.62,percent of total billed charges,999999999,,,,,,,,,,,,,,,,143.925,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,71.25,percent of total billed charges,67.67007161,,,,,,,,,,71.25,percent of total billed charges,66.54442602,,,,,,,,,,71.25,percent of total billed charges,66.35950191,,,,,,,,,,71.25,percent of total billed charges,65.38235905,,,,,,,,,,71.25,percent of total billed charges,67.06474326,,,,,,,,,,71.25,percent of total billed charges,999999999,,,,,,,,,,71.25,percent of total billed charges,57.54627242,,,,,,,,,,71.25,percent of total billed charges,90.75443998,,,,,,,,,,71.25,percent of total billed charges,999999999,,,,,,,,,,71.25,percent of total billed charges,62.04895562,,,,,,,,,,256.5,percent of total billed charges,,,,,
**RESISTANCE TO AIRFLOW DETERMINATION,94360,CDM,,,,both,,,247,247,52.58233432,247,247,percent of total billed charges,181.7266749,,,,247,percent of total billed charges,192.6266822,,,,247,percent of total billed charges,181.7266749,,,,247,percent of total billed charges,192.6266822,,,,247,percent of total billed charges,999999999,,,,247,percent of total billed charges,188.1970238,,,,247,percent of total billed charges,181.7266749,,,,247,percent of total billed charges,192.6266822,,,,176.111,percent of total billed charges,87.88261184,,,,176.111,percent of total billed charges,52.58233432,,,,176.111,percent of total billed charges,87.88261184,,,,176.111,percent of total billed charges,52.58233432,,,,176.111,percent of total billed charges,87.88261184,,,,176.111,percent of total billed charges,52.58233432,,,,174.382,percent of total billed charges,173.0589164,,,,174.382,percent of total billed charges,119.3573629,,,,,,,,,,177.84,percent of total billed charges,115.591815,,,,,,,,,,177.84,percent of total billed charges,999999999,,,,,,,,,,197.6,percent of total billed charges,165.5785284,,,,195.13,percent of total billed charges,188.3088474,,,,195.13,percent of total billed charges,166.3771,,,,197.6,percent of total billed charges,999999999,,,,197.6,percent of total billed charges,999999999,,,,172.9,percent of total billed charges,999999999,,,,172.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,131.404,percent of total billed charges,999999999,,,,,,,,,,,,,,,,124.735,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,61.75,percent of total billed charges,58.6473954,,,,,,,,,,61.75,percent of total billed charges,57.67183588,,,,,,,,,,61.75,percent of total billed charges,57.51156832,,,,,,,,,,61.75,percent of total billed charges,56.66471117,,,,,,,,,,61.75,percent of total billed charges,58.1227775,,,,,,,,,,61.75,percent of total billed charges,999999999,,,,,,,,,,61.75,percent of total billed charges,49.8734361,,,,,,,,,,61.75,percent of total billed charges,78.65384799,,,,,,,,,,61.75,percent of total billed charges,999999999,,,,,,,,,,61.75,percent of total billed charges,53.77576154,,,,,,,,,,222.3,percent of total billed charges,,,,,
PFT BEFORE AND AFTER,94060,CDM,,,,both,,,876,876,186.4863355,876,876,percent of total billed charges,644.5043205,,,,876,percent of total billed charges,683.1618364,,,,876,percent of total billed charges,644.5043205,,,,876,percent of total billed charges,683.1618364,,,,876,percent of total billed charges,999999999,,,,876,percent of total billed charges,667.4517929,,,,876,percent of total billed charges,644.5043205,,,,876,percent of total billed charges,683.1618364,,,,624.588,percent of total billed charges,311.680842,,,,624.588,percent of total billed charges,186.4863355,,,,624.588,percent of total billed charges,311.680842,,,,624.588,percent of total billed charges,186.4863355,,,,624.588,percent of total billed charges,311.680842,,,,624.588,percent of total billed charges,186.4863355,,,,618.456,percent of total billed charges,613.7636062,,,,618.456,percent of total billed charges,423.3078945,,,,,,,,,,630.72,percent of total billed charges,409.9531578,,,,,,,,,,630.72,percent of total billed charges,999999999,,,,,,,,,,700.8,percent of total billed charges,587.2339712,,,,692.04,percent of total billed charges,667.8483819,,,,692.04,percent of total billed charges,590.0661522,,,,700.8,percent of total billed charges,999999999,,,,700.8,percent of total billed charges,999999999,,,,613.2,percent of total billed charges,999999999,,,,613.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,466.032,percent of total billed charges,999999999,,,,,,,,,,,,,,,,442.38,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,219,percent of total billed charges,207.9964306,,,,,,,,,,219,percent of total billed charges,204.5365515,,,,,,,,,,219,percent of total billed charges,203.9681532,,,,,,,,,,219,percent of total billed charges,200.9647247,,,,,,,,,,219,percent of total billed charges,206.1358425,,,,,,,,,,219,percent of total billed charges,999999999,,,,,,,,,,219,percent of total billed charges,176.8790689,,,,,,,,,,219,percent of total billed charges,278.9504892,,,,,,,,,,219,percent of total billed charges,999999999,,,,,,,,,,219,percent of total billed charges,190.7188952,,,,,,,,,,788.4,percent of total billed charges,,,,,
SIMPLE SPIRO W/O PRO FEE,94010,CDM,,,,both,,,489,489,104.1002489,489,489,percent of total billed charges,359.7746721,,,,489,percent of total billed charges,381.3540388,,,,489,percent of total billed charges,359.7746721,,,,489,percent of total billed charges,381.3540388,,,,489,percent of total billed charges,999999999,,,,489,percent of total billed charges,372.5843912,,,,489,percent of total billed charges,359.7746721,,,,489,percent of total billed charges,381.3540388,,,,348.657,percent of total billed charges,173.9862234,,,,348.657,percent of total billed charges,104.1002489,,,,348.657,percent of total billed charges,173.9862234,,,,348.657,percent of total billed charges,104.1002489,,,,348.657,percent of total billed charges,173.9862234,,,,348.657,percent of total billed charges,104.1002489,,,,345.234,percent of total billed charges,342.6146158,,,,345.234,percent of total billed charges,236.2985849,,,,,,,,,,352.08,percent of total billed charges,228.8437148,,,,,,,,,,352.08,percent of total billed charges,999999999,,,,,,,,,,391.2,percent of total billed charges,327.8052647,,,,386.31,percent of total billed charges,372.8057748,,,,386.31,percent of total billed charges,329.3862425,,,,391.2,percent of total billed charges,999999999,,,,391.2,percent of total billed charges,999999999,,,,342.3,percent of total billed charges,999999999,,,,342.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,260.148,percent of total billed charges,999999999,,,,,,,,,,,,,,,,246.945,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,122.25,percent of total billed charges,116.1075966,,,,,,,,,,122.25,percent of total billed charges,114.1762257,,,,,,,,,,122.25,percent of total billed charges,113.8589348,,,,,,,,,,122.25,percent of total billed charges,112.1823634,,,,,,,,,,122.25,percent of total billed charges,115.0689805,,,,,,,,,,122.25,percent of total billed charges,999999999,,,,,,,,,,122.25,percent of total billed charges,98.73728847,,,,,,,,,,122.25,percent of total billed charges,155.7155128,,,,,,,,,,122.25,percent of total billed charges,999999999,,,,,,,,,,122.25,percent of total billed charges,106.4629449,,,,,,,,,,440.1,percent of total billed charges,,,,,
**VITAL CAPACITY,94150,CDM,,,,both,,,167,167,35.55161875,167,167,percent of total billed charges,122.8678328,,,,167,percent of total billed charges,130.2374734,,,,167,percent of total billed charges,122.8678328,,,,167,percent of total billed charges,130.2374734,,,,167,percent of total billed charges,999999999,,,,167,percent of total billed charges,127.2425222,,,,167,percent of total billed charges,122.8678328,,,,167,percent of total billed charges,130.2374734,,,,119.071,percent of total billed charges,59.418608,,,,119.071,percent of total billed charges,35.55161875,,,,119.071,percent of total billed charges,59.418608,,,,119.071,percent of total billed charges,35.55161875,,,,119.071,percent of total billed charges,59.418608,,,,119.071,percent of total billed charges,35.55161875,,,,117.902,percent of total billed charges,117.0074455,,,,117.902,percent of total billed charges,80.69910774,,,,,,,,,,120.24,percent of total billed charges,78.1531705,,,,,,,,,,120.24,percent of total billed charges,999999999,,,,,,,,,,133.6,percent of total billed charges,111.9498552,,,,131.93,percent of total billed charges,127.3181276,,,,131.93,percent of total billed charges,112.4897802,,,,133.6,percent of total billed charges,999999999,,,,133.6,percent of total billed charges,999999999,,,,116.9,percent of total billed charges,999999999,,,,116.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,88.844,percent of total billed charges,999999999,,,,,,,,,,,,,,,,84.335,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,41.75,percent of total billed charges,39.65228758,,,,,,,,,,41.75,percent of total billed charges,38.99269875,,,,,,,,,,41.75,percent of total billed charges,38.88433971,,,,,,,,,,41.75,percent of total billed charges,38.31176828,,,,,,,,,,41.75,percent of total billed charges,39.2975864,,,,,,,,,,41.75,percent of total billed charges,999999999,,,,,,,,,,41.75,percent of total billed charges,33.72009647,,,,,,,,,,41.75,percent of total billed charges,53.17891746,,,,,,,,,,41.75,percent of total billed charges,999999999,,,,,,,,,,41.75,percent of total billed charges,36.35851084,,,,,,,,,,150.3,percent of total billed charges,,,,,
"DEMO/EVAL OF NEB,MDI OR TAG",94664,CDM,,,,both,,,113,113,24.05588574,113,113,percent of total billed charges,83.13811441,,,,113,percent of total billed charges,88.12475743,,,,113,percent of total billed charges,83.13811441,,,,113,percent of total billed charges,88.12475743,,,,113,percent of total billed charges,999999999,,,,113,percent of total billed charges,86.09823356,,,,113,percent of total billed charges,83.13811441,,,,113,percent of total billed charges,88.12475743,,,,80.569,percent of total billed charges,40.20540542,,,,80.569,percent of total billed charges,24.05588574,,,,80.569,percent of total billed charges,40.20540542,,,,80.569,percent of total billed charges,24.05588574,,,,80.569,percent of total billed charges,40.20540542,,,,80.569,percent of total billed charges,24.05588574,,,,79.778,percent of total billed charges,79.17270263,,,,79.778,percent of total billed charges,54.60478547,,,,,,,,,,81.36,percent of total billed charges,52.88208543,,,,,,,,,,81.36,percent of total billed charges,999999999,,,,,,,,,,90.4,percent of total billed charges,75.75050085,,,,89.27,percent of total billed charges,86.14939173,,,,89.27,percent of total billed charges,76.11583927,,,,90.4,percent of total billed charges,999999999,,,,90.4,percent of total billed charges,999999999,,,,79.1,percent of total billed charges,999999999,,,,79.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,60.116,percent of total billed charges,999999999,,,,,,,,,,,,,,,,57.065,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,28.25,percent of total billed charges,26.8305898,,,,,,,,,,28.25,percent of total billed charges,26.38428119,,,,,,,,,,28.25,percent of total billed charges,26.3109604,,,,,,,,,,28.25,percent of total billed charges,25.92353183,,,,,,,,,,28.25,percent of total billed charges,26.59058242,,,,,,,,,,28.25,percent of total billed charges,999999999,,,,,,,,,,28.25,percent of total billed charges,22.81659222,,,,,,,,,,28.25,percent of total billed charges,35.98333936,,,,,,,,,,28.25,percent of total billed charges,999999999,,,,,,,,,,28.25,percent of total billed charges,24.60186662,,,,,,,,,,101.7,percent of total billed charges,,,,,
POLYSOMNOGAPHY SLEEP STAGING 4 OR MORE,95810,CDM,,,,both,,,7254,7254,1544.260134,7254,7254,percent of total billed charges,5337.025504,,,,7254,percent of total billed charges,5657.141508,,,,7254,percent of total billed charges,5337.025504,,,,7254,percent of total billed charges,5657.141508,,,,7254,percent of total billed charges,999999999,,,,7254,percent of total billed charges,5527.049436,,,,7254,percent of total billed charges,5337.025504,,,,7254,percent of total billed charges,5657.141508,,,,5172.102,percent of total billed charges,2580.973548,,,,5172.102,percent of total billed charges,1544.260134,,,,5172.102,percent of total billed charges,2580.973548,,,,5172.102,percent of total billed charges,1544.260134,,,,5172.102,percent of total billed charges,2580.973548,,,,5172.102,percent of total billed charges,1544.260134,,,,5121.324,percent of total billed charges,5082.467123,,,,5121.324,percent of total billed charges,3505.337291,,,,,,,,,,5222.88,percent of total billed charges,3394.749095,,,,,,,,,,5222.88,percent of total billed charges,999999999,,,,,,,,,,5803.2,percent of total billed charges,4862.779939,,,,5730.66,percent of total billed charges,5530.333518,,,,5730.66,percent of total billed charges,4886.232726,,,,5803.2,percent of total billed charges,999999999,,,,5803.2,percent of total billed charges,999999999,,,,5077.8,percent of total billed charges,999999999,,,,5077.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3859.128,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3663.27,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1813.5,percent of total billed charges,1722.381402,,,,,,,,,,1813.5,percent of total billed charges,1693.730759,,,,,,,,,,1813.5,percent of total billed charges,1689.023954,,,,,,,,,,1813.5,percent of total billed charges,1664.153097,,,,,,,,,,1813.5,percent of total billed charges,1706.974202,,,,,,,,,,1813.5,percent of total billed charges,999999999,,,,,,,,,,1813.5,percent of total billed charges,1464.704071,,,,,,,,,,1813.5,percent of total billed charges,2309.939325,,,,,,,,,,1813.5,percent of total billed charges,999999999,,,,,,,,,,1813.5,percent of total billed charges,1579.309207,,,,,,,,,,6528.6,percent of total billed charges,,,,,
**BRONCHOSCOPY ASSISTANCE BY R T BART,94799,CDM,,,,both,,,371,371,78.97994346,371,371,percent of total billed charges,272.95788,,,,371,percent of total billed charges,289.3299558,,,,371,percent of total billed charges,272.95788,,,,371,percent of total billed charges,289.3299558,,,,371,percent of total billed charges,999999999,,,,371,percent of total billed charges,282.6765013,,,,371,percent of total billed charges,272.95788,,,,371,percent of total billed charges,289.3299558,,,,264.523,percent of total billed charges,132.0018178,,,,264.523,percent of total billed charges,78.97994346,,,,264.523,percent of total billed charges,132.0018178,,,,264.523,percent of total billed charges,78.97994346,,,,264.523,percent of total billed charges,132.0018178,,,,264.523,percent of total billed charges,78.97994346,,,,261.926,percent of total billed charges,259.9386962,,,,261.926,percent of total billed charges,179.2776585,,,,,,,,,,267.12,percent of total billed charges,173.6217141,,,,,,,,,,267.12,percent of total billed charges,999999999,,,,,,,,,,296.8,percent of total billed charges,248.7029718,,,,293.09,percent of total billed charges,282.8444631,,,,293.09,percent of total billed charges,249.9024457,,,,296.8,percent of total billed charges,999999999,,,,296.8,percent of total billed charges,999999999,,,,259.7,percent of total billed charges,999999999,,,,259.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,197.372,percent of total billed charges,999999999,,,,,,,,,,,,,,,,187.355,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,92.75,percent of total billed charges,88.08981252,,,,,,,,,,92.75,percent of total billed charges,86.62449843,,,,,,,,,,92.75,percent of total billed charges,86.38377266,,,,,,,,,,92.75,percent of total billed charges,85.11177265,,,,,,,,,,92.75,percent of total billed charges,87.30182369,,,,,,,,,,92.75,percent of total billed charges,999999999,,,,,,,,,,92.75,percent of total billed charges,74.91111252,,,,,,,,,,92.75,percent of total billed charges,118.1399903,,,,,,,,,,92.75,percent of total billed charges,999999999,,,,,,,,,,92.75,percent of total billed charges,80.77250013,,,,,,,,,,333.9,percent of total billed charges,,,,,
**BRONCHOSCOPY LUNG BX EACH,31628,CDM,,,,both,,,2738,2738,582.8762404,2738,2738,percent of total billed charges,2014.443869,,,,2738,percent of total billed charges,2135.270671,,,,2738,percent of total billed charges,2014.443869,,,,2738,percent of total billed charges,2135.270671,,,,2738,percent of total billed charges,999999999,,,,2738,percent of total billed charges,2086.167818,,,,2738,percent of total billed charges,2014.443869,,,,2738,percent of total billed charges,2135.270671,,,,1952.194,percent of total billed charges,974.1805312,,,,1952.194,percent of total billed charges,582.8762404,,,,1952.194,percent of total billed charges,974.1805312,,,,1952.194,percent of total billed charges,582.8762404,,,,1952.194,percent of total billed charges,974.1805312,,,,1952.194,percent of total billed charges,582.8762404,,,,1933.028,percent of total billed charges,1918.361591,,,,1933.028,percent of total billed charges,1323.078784,,,,,,,,,,1971.36,percent of total billed charges,1281.33761,,,,,,,,,,1971.36,percent of total billed charges,999999999,,,,,,,,,,2190.4,percent of total billed charges,1835.441339,,,,2163.02,percent of total billed charges,2087.407385,,,,2163.02,percent of total billed charges,1844.293521,,,,2190.4,percent of total billed charges,999999999,,,,2190.4,percent of total billed charges,999999999,,,,1916.6,percent of total billed charges,999999999,,,,1916.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1456.616,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1382.69,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,684.5,percent of total billed charges,650.1075652,,,,,,,,,,684.5,percent of total billed charges,639.2934682,,,,,,,,,,684.5,percent of total billed charges,637.516899,,,,,,,,,,684.5,percent of total billed charges,628.1294704,,,,,,,,,,684.5,percent of total billed charges,644.2921651,,,,,,,,,,684.5,percent of total billed charges,999999999,,,,,,,,,,684.5,percent of total billed charges,552.8480488,,,,,,,,,,684.5,percent of total billed charges,871.8794971,,,,,,,,,,684.5,percent of total billed charges,999999999,,,,,,,,,,684.5,percent of total billed charges,596.1054053,,,,,,,,,,2464.2,percent of total billed charges,,,,,
**THERAPEUTIC BRONCHOSCOPY,31624,CDM,,,,both,,,2866,2866,610.1253853,2866,2866,percent of total billed charges,2108.618017,,,,2866,percent of total billed charges,2235.093405,,,,2866,percent of total billed charges,2108.618017,,,,2866,percent of total billed charges,2235.093405,,,,2866,percent of total billed charges,999999999,,,,2866,percent of total billed charges,2183.695021,,,,2866,percent of total billed charges,2108.618017,,,,2866,percent of total billed charges,2235.093405,,,,2043.458,percent of total billed charges,1019.722937,,,,2043.458,percent of total billed charges,610.1253853,,,,2043.458,percent of total billed charges,1019.722937,,,,2043.458,percent of total billed charges,610.1253853,,,,2043.458,percent of total billed charges,1019.722937,,,,2043.458,percent of total billed charges,610.1253853,,,,2023.396,percent of total billed charges,2008.043944,,,,2023.396,percent of total billed charges,1384.931993,,,,,,,,,,2063.52,percent of total billed charges,1341.239441,,,,,,,,,,2063.52,percent of total billed charges,999999999,,,,,,,,,,2292.8,percent of total billed charges,1921.247216,,,,2264.14,percent of total billed charges,2184.992537,,,,2264.14,percent of total billed charges,1930.513233,,,,2292.8,percent of total billed charges,999999999,,,,2292.8,percent of total billed charges,999999999,,,,2006.2,percent of total billed charges,999999999,,,,2006.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1524.712,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1447.33,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,716.5,percent of total billed charges,680.4997377,,,,,,,,,,716.5,percent of total billed charges,669.1800876,,,,,,,,,,716.5,percent of total billed charges,667.3204648,,,,,,,,,,716.5,percent of total billed charges,657.4941791,,,,,,,,,,716.5,percent of total billed charges,674.4124709,,,,,,,,,,716.5,percent of total billed charges,999999999,,,,,,,,,,716.5,percent of total billed charges,578.6933922,,,,,,,,,,716.5,percent of total billed charges,912.6393859,,,,,,,,,,716.5,percent of total billed charges,999999999,,,,,,,,,,716.5,percent of total billed charges,623.9730064,,,,,,,,,,2579.4,percent of total billed charges,,,,,
**BRONCHOSCOPY WITH BRUSHING,31623,CDM,,,,both,,,2636,2636,561.162078,2636,2636,percent of total billed charges,1939.398846,,,,2636,percent of total billed charges,2055.72443,,,,2636,percent of total billed charges,1939.398846,,,,2636,percent of total billed charges,2055.72443,,,,2636,percent of total billed charges,999999999,,,,2636,percent of total billed charges,2008.450829,,,,2636,percent of total billed charges,1939.398846,,,,2636,percent of total billed charges,2055.72443,,,,1879.468,percent of total billed charges,937.8889263,,,,1879.468,percent of total billed charges,561.162078,,,,1879.468,percent of total billed charges,937.8889263,,,,1879.468,percent of total billed charges,561.162078,,,,1879.468,percent of total billed charges,937.8889263,,,,1879.468,percent of total billed charges,561.162078,,,,1861.016,percent of total billed charges,1846.895966,,,,1861.016,percent of total billed charges,1273.789509,,,,,,,,,,1897.92,percent of total billed charges,1233.603338,,,,,,,,,,1897.92,percent of total billed charges,999999999,,,,,,,,,,2108.8,percent of total billed charges,1767.064781,,,,2082.44,percent of total billed charges,2009.644218,,,,2082.44,percent of total billed charges,1775.587189,,,,2108.8,percent of total billed charges,999999999,,,,2108.8,percent of total billed charges,999999999,,,,1845.2,percent of total billed charges,999999999,,,,1845.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1402.352,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1331.18,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,659,percent of total billed charges,625.8888027,,,,,,,,,,659,percent of total billed charges,615.4775683,,,,,,,,,,659,percent of total billed charges,613.7671825,,,,,,,,,,659,percent of total billed charges,604.7294682,,,,,,,,,,659,percent of total billed charges,620.2900465,,,,,,,,,,659,percent of total billed charges,999999999,,,,,,,,,,659,percent of total billed charges,532.2525407,,,,,,,,,,659,percent of total billed charges,839.3989607,,,,,,,,,,659,percent of total billed charges,999999999,,,,,,,,,,659,percent of total billed charges,573.8984106,,,,,,,,,,2372.4,percent of total billed charges,,,,,
**BRONCHOSCOPY W/TRANS BRONCH NEEDLE ASP,31629,CDM,,,,both,,,2495,2495,531.1454418,2495,2495,percent of total billed charges,1835.660137,,,,2495,percent of total billed charges,1945.763449,,,,2495,percent of total billed charges,1835.660137,,,,2495,percent of total billed charges,1945.763449,,,,2495,percent of total billed charges,999999999,,,,2495,percent of total billed charges,1901.01852,,,,2495,percent of total billed charges,1835.660137,,,,2495,percent of total billed charges,1945.763449,,,,1778.935,percent of total billed charges,887.7211196,,,,1778.935,percent of total billed charges,531.1454418,,,,1778.935,percent of total billed charges,887.7211196,,,,1778.935,percent of total billed charges,531.1454418,,,,1778.935,percent of total billed charges,887.7211196,,,,1778.935,percent of total billed charges,531.1454418,,,,1761.47,percent of total billed charges,1748.105248,,,,1761.47,percent of total billed charges,1205.654334,,,,,,,,,,1796.4,percent of total billed charges,1167.617727,,,,,,,,,,1796.4,percent of total billed charges,999999999,,,,,,,,,,1996,percent of total billed charges,1672.544244,,,,1971.05,percent of total billed charges,1902.148074,,,,1971.05,percent of total billed charges,1680.610787,,,,1996,percent of total billed charges,999999999,,,,1996,percent of total billed charges,999999999,,,,1746.5,percent of total billed charges,999999999,,,,1746.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1327.34,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1259.975,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,623.75,percent of total billed charges,592.4099252,,,,,,,,,,623.75,percent of total billed charges,582.5555892,,,,,,,,,,623.75,percent of total billed charges,580.9366921,,,,,,,,,,623.75,percent of total billed charges,572.3824064,,,,,,,,,,623.75,percent of total billed charges,587.1106472,,,,,,,,,,623.75,percent of total billed charges,999999999,,,,,,,,,,623.75,percent of total billed charges,503.7822796,,,,,,,,,,623.75,percent of total billed charges,794.4993956,,,,,,,,,,623.75,percent of total billed charges,999999999,,,,,,,,,,623.75,percent of total billed charges,543.2005062,,,,,,,,,,2245.5,percent of total billed charges,,,,,
**CPAP HOURLY,94660,CDM,,,,both,,,83,83,17.6693674,83,83,percent of total billed charges,61.06604863,,,,83,percent of total billed charges,64.72880413,,,,83,percent of total billed charges,61.06604863,,,,83,percent of total billed charges,64.72880413,,,,83,percent of total billed charges,999999999,,,,83,percent of total billed charges,63.24029545,,,,83,percent of total billed charges,61.06604863,,,,83,percent of total billed charges,64.72880413,,,,59.179,percent of total billed charges,29.53140398,,,,59.179,percent of total billed charges,17.6693674,,,,59.179,percent of total billed charges,29.53140398,,,,59.179,percent of total billed charges,17.6693674,,,,59.179,percent of total billed charges,29.53140398,,,,59.179,percent of total billed charges,17.6693674,,,,58.598,percent of total billed charges,58.15340104,,,,58.598,percent of total billed charges,40.10793977,,,,,,,,,,59.76,percent of total billed charges,38.84259372,,,,,,,,,,59.76,percent of total billed charges,999999999,,,,,,,,,,66.4,percent of total billed charges,55.63974841,,,,65.57,percent of total billed charges,63.2778718,,,,65.57,percent of total billed charges,55.90809433,,,,66.4,percent of total billed charges,999999999,,,,66.4,percent of total billed charges,999999999,,,,58.1,percent of total billed charges,999999999,,,,58.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,44.156,percent of total billed charges,999999999,,,,,,,,,,,,,,,,41.915,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20.75,percent of total billed charges,19.70742436,,,,,,,,,,20.75,percent of total billed charges,19.37960477,,,,,,,,,,20.75,percent of total billed charges,19.32574968,,,,,,,,,,20.75,percent of total billed charges,19.04117825,,,,,,,,,,20.75,percent of total billed charges,19.53113576,,,,,,,,,,20.75,percent of total billed charges,999999999,,,,,,,,,,20.75,percent of total billed charges,16.75908986,,,,,,,,,,20.75,percent of total billed charges,26.43024042,,,,,,,,,,20.75,percent of total billed charges,999999999,,,,,,,,,,20.75,percent of total billed charges,18.0703976,,,,,,,,,,74.7,percent of total billed charges,,,,,
**TRACHEOBRONCHOSCOPY,31615,CDM,,,,both,,,3877,3877,825.3510533,3877,3877,percent of total billed charges,2852.446633,,,,3877,percent of total billed charges,3023.537031,,,,3877,percent of total billed charges,2852.446633,,,,3877,percent of total billed charges,3023.537031,,,,3877,percent of total billed charges,999999999,,,,3877,percent of total billed charges,2954.007535,,,,3877,percent of total billed charges,2852.446633,,,,3877,percent of total billed charges,3023.537031,,,,2764.301,percent of total billed charges,1379.436786,,,,2764.301,percent of total billed charges,825.3510533,,,,2764.301,percent of total billed charges,1379.436786,,,,2764.301,percent of total billed charges,825.3510533,,,,2764.301,percent of total billed charges,1379.436786,,,,2764.301,percent of total billed charges,825.3510533,,,,2737.162,percent of total billed charges,2716.394408,,,,2737.162,percent of total billed charges,1873.475693,,,,,,,,,,2791.44,percent of total billed charges,1814.370312,,,,,,,,,,2791.44,percent of total billed charges,999999999,,,,,,,,,,3101.6,percent of total billed charges,2598.979573,,,,3062.83,percent of total billed charges,2955.762759,,,,3062.83,percent of total billed charges,2611.514238,,,,3101.6,percent of total billed charges,999999999,,,,3101.6,percent of total billed charges,999999999,,,,2713.9,percent of total billed charges,999999999,,,,2713.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2062.564,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1957.885,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,969.25,percent of total billed charges,920.5504128,,,,,,,,,,969.25,percent of total billed charges,905.237683,,,,,,,,,,969.25,percent of total billed charges,902.7220663,,,,,,,,,,969.25,percent of total billed charges,889.4294948,,,,,,,,,,969.25,percent of total billed charges,912.3158233,,,,,,,,,,969.25,percent of total billed charges,999999999,,,,,,,,,,969.25,percent of total billed charges,782.8312217,,,,,,,,,,969.25,percent of total billed charges,1234.57882,,,,,,,,,,969.25,percent of total billed charges,999999999,,,,,,,,,,969.25,percent of total billed charges,844.0835121,,,,,,,,,,3489.3,percent of total billed charges,,,,,
**BRONCH W THERA INITIAL ASPIR OF TRACH,31645,CDM,,,,both,,,2714,2714,577.7670257,2714,2714,percent of total billed charges,1996.786217,,,,2714,percent of total billed charges,2116.553909,,,,2714,percent of total billed charges,1996.786217,,,,2714,percent of total billed charges,2116.553909,,,,2714,percent of total billed charges,999999999,,,,2714,percent of total billed charges,2067.881468,,,,2714,percent of total billed charges,1996.786217,,,,2714,percent of total billed charges,2116.553909,,,,1935.082,percent of total billed charges,965.6413301,,,,1935.082,percent of total billed charges,577.7670257,,,,1935.082,percent of total billed charges,965.6413301,,,,1935.082,percent of total billed charges,577.7670257,,,,1935.082,percent of total billed charges,965.6413301,,,,1935.082,percent of total billed charges,577.7670257,,,,1916.084,percent of total billed charges,1901.54615,,,,1916.084,percent of total billed charges,1311.481308,,,,,,,,,,1954.08,percent of total billed charges,1270.106016,,,,,,,,,,1954.08,percent of total billed charges,999999999,,,,,,,,,,2171.2,percent of total billed charges,1819.352737,,,,2144.06,percent of total billed charges,2069.110169,,,,2144.06,percent of total billed charges,1828.127325,,,,2171.2,percent of total billed charges,999999999,,,,2171.2,percent of total billed charges,999999999,,,,1899.8,percent of total billed charges,999999999,,,,1899.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1443.848,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1370.57,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,678.5,percent of total billed charges,644.4090328,,,,,,,,,,678.5,percent of total billed charges,633.689727,,,,,,,,,,678.5,percent of total billed charges,631.9287304,,,,,,,,,,678.5,percent of total billed charges,622.6235876,,,,,,,,,,678.5,percent of total billed charges,638.6446078,,,,,,,,,,678.5,percent of total billed charges,999999999,,,,,,,,,,678.5,percent of total billed charges,548.0020469,,,,,,,,,,678.5,percent of total billed charges,864.2370179,,,,,,,,,,678.5,percent of total billed charges,999999999,,,,,,,,,,678.5,percent of total billed charges,590.88023,,,,,,,,,,2442.6,percent of total billed charges,,,,,
**BRONCH W THERA SUBSEQU ASPIR OF TRACH,31646,CDM,,,,both,,,3090,3090,657.8113889,3090,3090,percent of total billed charges,2273.422774,,,,3090,percent of total billed charges,2409.78319,,,,3090,percent of total billed charges,2273.422774,,,,3090,percent of total billed charges,2409.78319,,,,3090,percent of total billed charges,999999999,,,,3090,percent of total billed charges,2354.367626,,,,3090,percent of total billed charges,2273.422774,,,,3090,percent of total billed charges,2409.78319,,,,2203.17,percent of total billed charges,1099.422148,,,,2203.17,percent of total billed charges,657.8113889,,,,2203.17,percent of total billed charges,1099.422148,,,,2203.17,percent of total billed charges,657.8113889,,,,2203.17,percent of total billed charges,1099.422148,,,,2203.17,percent of total billed charges,657.8113889,,,,2181.54,percent of total billed charges,2164.988063,,,,2181.54,percent of total billed charges,1493.175107,,,,,,,,,,2224.8,percent of total billed charges,1446.067646,,,,,,,,,,2224.8,percent of total billed charges,999999999,,,,,,,,,,2472,percent of total billed charges,2071.407501,,,,2441.1,percent of total billed charges,2355.766553,,,,2441.1,percent of total billed charges,2081.397729,,,,2472,percent of total billed charges,999999999,,,,2472,percent of total billed charges,999999999,,,,2163,percent of total billed charges,999999999,,,,2163,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1643.88,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1560.45,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,772.5,percent of total billed charges,733.6860396,,,,,,,,,,772.5,percent of total billed charges,721.4816715,,,,,,,,,,772.5,percent of total billed charges,719.4767049,,,,,,,,,,772.5,percent of total billed charges,708.8824191,,,,,,,,,,772.5,percent of total billed charges,727.1230059,,,,,,,,,,772.5,percent of total billed charges,999999999,,,,,,,,,,772.5,percent of total billed charges,623.9227431,,,,,,,,,,772.5,percent of total billed charges,983.9691914,,,,,,,,,,772.5,percent of total billed charges,999999999,,,,,,,,,,772.5,percent of total billed charges,672.7413083,,,,,,,,,,2781,percent of total billed charges,,,,,
"**THORACENTESIS, ASPIRATION W/O GUIDANCE",32554,CDM,,,,both,,,1375,1375,292.7154239,1375,1375,percent of total billed charges,1011.636348,,,,1375,percent of total billed charges,1072.314526,,,,1375,percent of total billed charges,1011.636348,,,,1375,percent of total billed charges,1072.314526,,,,1375,percent of total billed charges,999999999,,,,1375,percent of total billed charges,1047.655497,,,,1375,percent of total billed charges,1011.636348,,,,1375,percent of total billed charges,1072.314526,,,,980.375,percent of total billed charges,489.2250659,,,,980.375,percent of total billed charges,292.7154239,,,,980.375,percent of total billed charges,489.2250659,,,,980.375,percent of total billed charges,292.7154239,,,,980.375,percent of total billed charges,489.2250659,,,,980.375,percent of total billed charges,292.7154239,,,,970.75,percent of total billed charges,963.3846558,,,,970.75,percent of total billed charges,664.4387613,,,,,,,,,,990,percent of total billed charges,643.4767032,,,,,,,,,,990,percent of total billed charges,999999999,,,,,,,,,,1100,percent of total billed charges,921.7428201,,,,1086.25,percent of total billed charges,1048.277997,,,,1086.25,percent of total billed charges,926.1883097,,,,1100,percent of total billed charges,999999999,,,,1100,percent of total billed charges,999999999,,,,962.5,percent of total billed charges,999999999,,,,962.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,731.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,694.375,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,343.75,percent of total billed charges,326.4784157,,,,,,,,,,343.75,percent of total billed charges,321.0476694,,,,,,,,,,343.75,percent of total billed charges,320.1554916,,,,,,,,,,343.75,percent of total billed charges,315.4412059,,,,,,,,,,343.75,percent of total billed charges,323.5579719,,,,,,,,,,343.75,percent of total billed charges,999999999,,,,,,,,,,343.75,percent of total billed charges,277.6355248,,,,,,,,,,343.75,percent of total billed charges,437.8503683,,,,,,,,,,343.75,percent of total billed charges,999999999,,,,,,,,,,343.75,percent of total billed charges,299.3589964,,,,,,,,,,1237.5,percent of total billed charges,,,,,
"**THORACENTESIS, ASPIRATION W/ GUIDANCE",32555,CDM,,,,both,,,1473,1473,313.5780504,1473,1473,percent of total billed charges,1083.738429,,,,1473,percent of total billed charges,1148.741307,,,,1473,percent of total billed charges,1083.738429,,,,1473,percent of total billed charges,1148.741307,,,,1473,percent of total billed charges,999999999,,,,1473,percent of total billed charges,1122.324761,,,,1473,percent of total billed charges,1083.738429,,,,1473,percent of total billed charges,1148.741307,,,,1050.249,percent of total billed charges,524.0934706,,,,1050.249,percent of total billed charges,313.5780504,,,,1050.249,percent of total billed charges,524.0934706,,,,1050.249,percent of total billed charges,313.5780504,,,,1050.249,percent of total billed charges,524.0934706,,,,1050.249,percent of total billed charges,313.5780504,,,,1039.938,percent of total billed charges,1032.047708,,,,1039.938,percent of total billed charges,711.7951239,,,,,,,,,,1060.56,percent of total billed charges,689.3390428,,,,,,,,,,1060.56,percent of total billed charges,999999999,,,,,,,,,,1178.4,percent of total billed charges,987.4379447,,,,1163.67,percent of total billed charges,1122.991628,,,,1163.67,percent of total billed charges,992.2002765,,,,1178.4,percent of total billed charges,999999999,,,,1178.4,percent of total billed charges,999999999,,,,1031.1,percent of total billed charges,999999999,,,,1031.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,783.636,percent of total billed charges,999999999,,,,,,,,,,,,,,,,743.865,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,368.25,percent of total billed charges,349.7474228,,,,,,,,,,368.25,percent of total billed charges,343.9296124,,,,,,,,,,368.25,percent of total billed charges,342.9738467,,,,,,,,,,368.25,percent of total billed charges,337.923561,,,,,,,,,,368.25,percent of total billed charges,346.618831,,,,,,,,,,368.25,percent of total billed charges,999999999,,,,,,,,,,368.25,percent of total billed charges,297.4233659,,,,,,,,,,368.25,percent of total billed charges,469.0571582,,,,,,,,,,368.25,percent of total billed charges,999999999,,,,,,,,,,368.25,percent of total billed charges,320.6951285,,,,,,,,,,1325.7,percent of total billed charges,,,,,
**TREATMENT ROOM,99212,CDM,,,,both,,,246,246,52.36945038,246,246,percent of total billed charges,180.9909393,,,,246,percent of total billed charges,191.8468171,,,,246,percent of total billed charges,180.9909393,,,,246,percent of total billed charges,191.8468171,,,,246,percent of total billed charges,999999999,,,,246,percent of total billed charges,187.4350925,,,,246,percent of total billed charges,180.9909393,,,,246,percent of total billed charges,191.8468171,,,,175.398,percent of total billed charges,87.52681179,,,,175.398,percent of total billed charges,52.36945038,,,,175.398,percent of total billed charges,87.52681179,,,,175.398,percent of total billed charges,52.36945038,,,,175.398,percent of total billed charges,87.52681179,,,,175.398,percent of total billed charges,52.36945038,,,,173.676,percent of total billed charges,172.358273,,,,173.676,percent of total billed charges,118.8741347,,,,,,,,,,177.12,percent of total billed charges,115.123832,,,,,,,,,,177.12,percent of total billed charges,999999999,,,,,,,,,,196.8,percent of total billed charges,164.90817,,,,194.34,percent of total billed charges,187.5464634,,,,194.34,percent of total billed charges,165.7035085,,,,196.8,percent of total billed charges,999999999,,,,196.8,percent of total billed charges,999999999,,,,172.2,percent of total billed charges,999999999,,,,172.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,130.872,percent of total billed charges,999999999,,,,,,,,,,,,,,,,124.23,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,61.5,percent of total billed charges,58.40995655,,,,,,,,,,61.5,percent of total billed charges,57.43834667,,,,,,,,,,61.5,percent of total billed charges,57.27872796,,,,,,,,,,61.5,percent of total billed charges,56.43529939,,,,,,,,,,61.5,percent of total billed charges,57.88746261,,,,,,,,,,61.5,percent of total billed charges,999999999,,,,,,,,,,61.5,percent of total billed charges,49.67151935,,,,,,,,,,61.5,percent of total billed charges,78.33541135,,,,,,,,,,61.5,percent of total billed charges,999999999,,,,,,,,,,61.5,percent of total billed charges,53.55804591,,,,,,,,,,221.4,percent of total billed charges,,,,,
**BRONCHOSCOPY WITH BRUSHING,31623,CDM,,,,both,,,2636,2636,561.162078,2636,2636,percent of total billed charges,1939.398846,,,,2636,percent of total billed charges,2055.72443,,,,2636,percent of total billed charges,1939.398846,,,,2636,percent of total billed charges,2055.72443,,,,2636,percent of total billed charges,999999999,,,,2636,percent of total billed charges,2008.450829,,,,2636,percent of total billed charges,1939.398846,,,,2636,percent of total billed charges,2055.72443,,,,1879.468,percent of total billed charges,937.8889263,,,,1879.468,percent of total billed charges,561.162078,,,,1879.468,percent of total billed charges,937.8889263,,,,1879.468,percent of total billed charges,561.162078,,,,1879.468,percent of total billed charges,937.8889263,,,,1879.468,percent of total billed charges,561.162078,,,,1861.016,percent of total billed charges,1846.895966,,,,1861.016,percent of total billed charges,1273.789509,,,,,,,,,,1897.92,percent of total billed charges,1233.603338,,,,,,,,,,1897.92,percent of total billed charges,999999999,,,,,,,,,,2108.8,percent of total billed charges,1767.064781,,,,2082.44,percent of total billed charges,2009.644218,,,,2082.44,percent of total billed charges,1775.587189,,,,2108.8,percent of total billed charges,999999999,,,,2108.8,percent of total billed charges,999999999,,,,1845.2,percent of total billed charges,999999999,,,,1845.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1402.352,percent of total billed charges,999999999,,,,,,,,,,,,,,,,1331.18,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,659,percent of total billed charges,625.8888027,,,,,,,,,,659,percent of total billed charges,615.4775683,,,,,,,,,,659,percent of total billed charges,613.7671825,,,,,,,,,,659,percent of total billed charges,604.7294682,,,,,,,,,,659,percent of total billed charges,620.2900465,,,,,,,,,,659,percent of total billed charges,999999999,,,,,,,,,,659,percent of total billed charges,532.2525407,,,,,,,,,,659,percent of total billed charges,839.3989607,,,,,,,,,,659,percent of total billed charges,999999999,,,,,,,,,,659,percent of total billed charges,573.8984106,,,,,,,,,,2372.4,percent of total billed charges,,,,,
ACTIGRAPHY DR GILL,95803,CDM,,,TC,both,,,392,392,83.45050629,392,392,percent of total billed charges,288.4083261,,,,392,percent of total billed charges,305.7071231,,,,392,percent of total billed charges,288.4083261,,,,392,percent of total billed charges,305.7071231,,,,392,percent of total billed charges,999999999,,,,392,percent of total billed charges,298.677058,,,,392,percent of total billed charges,288.4083261,,,,392,percent of total billed charges,305.7071231,,,,279.496,percent of total billed charges,139.4736188,,,,279.496,percent of total billed charges,83.45050629,,,,279.496,percent of total billed charges,139.4736188,,,,279.496,percent of total billed charges,83.45050629,,,,279.496,percent of total billed charges,139.4736188,,,,279.496,percent of total billed charges,83.45050629,,,,276.752,percent of total billed charges,274.6522073,,,,276.752,percent of total billed charges,189.4254505,,,,,,,,,,282.24,percent of total billed charges,183.4493583,,,,,,,,,,282.24,percent of total billed charges,999999999,,,,,,,,,,313.6,percent of total billed charges,262.7804985,,,,309.68,percent of total billed charges,298.8545271,,,,309.68,percent of total billed charges,264.0478672,,,,313.6,percent of total billed charges,999999999,,,,313.6,percent of total billed charges,999999999,,,,274.4,percent of total billed charges,999999999,,,,274.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,208.544,percent of total billed charges,999999999,,,,,,,,,,,,,,,,197.96,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,98,percent of total billed charges,93.07602832,,,,,,,,,,98,percent of total billed charges,91.52777192,,,,,,,,,,98,percent of total billed charges,91.27342016,,,,,,,,,,98,percent of total billed charges,89.92942016,,,,,,,,,,98,percent of total billed charges,92.24343635,,,,,,,,,,98,percent of total billed charges,999999999,,,,,,,,,,98,percent of total billed charges,79.15136417,,,,,,,,,,98,percent of total billed charges,124.8271596,,,,,,,,,,98,percent of total billed charges,999999999,,,,,,,,,,98,percent of total billed charges,85.34452844,,,,,,,,,,352.8,percent of total billed charges,,,,,
**ACTIGRAPHY DR PRABHU,95803,CDM,,,TC,both,,,392,392,83.45050629,392,392,percent of total billed charges,288.4083261,,,,392,percent of total billed charges,305.7071231,,,,392,percent of total billed charges,288.4083261,,,,392,percent of total billed charges,305.7071231,,,,392,percent of total billed charges,999999999,,,,392,percent of total billed charges,298.677058,,,,392,percent of total billed charges,288.4083261,,,,392,percent of total billed charges,305.7071231,,,,279.496,percent of total billed charges,139.4736188,,,,279.496,percent of total billed charges,83.45050629,,,,279.496,percent of total billed charges,139.4736188,,,,279.496,percent of total billed charges,83.45050629,,,,279.496,percent of total billed charges,139.4736188,,,,279.496,percent of total billed charges,83.45050629,,,,276.752,percent of total billed charges,274.6522073,,,,276.752,percent of total billed charges,189.4254505,,,,,,,,,,282.24,percent of total billed charges,183.4493583,,,,,,,,,,282.24,percent of total billed charges,999999999,,,,,,,,,,313.6,percent of total billed charges,262.7804985,,,,309.68,percent of total billed charges,298.8545271,,,,309.68,percent of total billed charges,264.0478672,,,,313.6,percent of total billed charges,999999999,,,,313.6,percent of total billed charges,999999999,,,,274.4,percent of total billed charges,999999999,,,,274.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,208.544,percent of total billed charges,999999999,,,,,,,,,,,,,,,,197.96,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,98,percent of total billed charges,93.07602832,,,,,,,,,,98,percent of total billed charges,91.52777192,,,,,,,,,,98,percent of total billed charges,91.27342016,,,,,,,,,,98,percent of total billed charges,89.92942016,,,,,,,,,,98,percent of total billed charges,92.24343635,,,,,,,,,,98,percent of total billed charges,999999999,,,,,,,,,,98,percent of total billed charges,79.15136417,,,,,,,,,,98,percent of total billed charges,124.8271596,,,,,,,,,,98,percent of total billed charges,999999999,,,,,,,,,,98,percent of total billed charges,85.34452844,,,,,,,,,,352.8,percent of total billed charges,,,,,
SLEEP STUDY UNATTEND/HOME SLEEP STUDY,95806,CDM,,,,both,,,1320,1320,281.0068069,1320,1320,percent of total billed charges,971.170894,,,,1320,percent of total billed charges,1029.421945,,,,1320,percent of total billed charges,971.170894,,,,1320,percent of total billed charges,1029.421945,,,,1320,percent of total billed charges,999999999,,,,1320,percent of total billed charges,1005.749277,,,,1320,percent of total billed charges,971.170894,,,,1320,percent of total billed charges,1029.421945,,,,941.16,percent of total billed charges,469.6560633,,,,941.16,percent of total billed charges,281.0068069,,,,941.16,percent of total billed charges,469.6560633,,,,941.16,percent of total billed charges,281.0068069,,,,941.16,percent of total billed charges,469.6560633,,,,941.16,percent of total billed charges,281.0068069,,,,931.92,percent of total billed charges,924.8492696,,,,931.92,percent of total billed charges,637.8612109,,,,,,,,,,950.4,percent of total billed charges,617.7376351,,,,,,,,,,950.4,percent of total billed charges,999999999,,,,,,,,,,1056,percent of total billed charges,884.8731073,,,,1042.8,percent of total billed charges,1006.346877,,,,1042.8,percent of total billed charges,889.1407773,,,,1056,percent of total billed charges,999999999,,,,1056,percent of total billed charges,999999999,,,,924,percent of total billed charges,999999999,,,,924,percent of total billed charges,999999999,,,,,,,,,,,,,,,,702.24,percent of total billed charges,999999999,,,,,,,,,,,,,,,,666.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,330,percent of total billed charges,313.419279,,,,,,,,,,330,percent of total billed charges,308.2057626,,,,,,,,,,330,percent of total billed charges,307.349272,,,,,,,,,,330,percent of total billed charges,302.8235577,,,,,,,,,,330,percent of total billed charges,310.615653,,,,,,,,,,330,percent of total billed charges,999999999,,,,,,,,,,330,percent of total billed charges,266.5301039,,,,,,,,,,330,percent of total billed charges,420.3363536,,,,,,,,,,330,percent of total billed charges,999999999,,,,,,,,,,330,percent of total billed charges,287.3846366,,,,,,,,,,1188,percent of total billed charges,,,,,
**BRONCHOSCOPY W/REMOVAL OF FOREIGN BODY,31635,CDM,,,,both,,,4866,4866,1035.893275,4866,4866,percent of total billed charges,3580.089068,,,,4866,percent of total billed charges,3794.823625,,,,4866,percent of total billed charges,3580.089068,,,,4866,percent of total billed charges,3794.823625,,,,4866,percent of total billed charges,999999999,,,,4866,percent of total billed charges,3707.557562,,,,4866,percent of total billed charges,3580.089068,,,,4866,percent of total billed charges,3794.823625,,,,3469.458,percent of total billed charges,1731.323033,,,,3469.458,percent of total billed charges,1035.893275,,,,3469.458,percent of total billed charges,1731.323033,,,,3469.458,percent of total billed charges,1035.893275,,,,3469.458,percent of total billed charges,1731.323033,,,,3469.458,percent of total billed charges,1035.893275,,,,3435.396,percent of total billed charges,3409.330717,,,,3435.396,percent of total billed charges,2351.388373,,,,,,,,,,3503.52,percent of total billed charges,2277.205555,,,,,,,,,,3503.52,percent of total billed charges,999999999,,,,,,,,,,3892.8,percent of total billed charges,3261.964045,,,,3844.14,percent of total billed charges,3709.760532,,,,3844.14,percent of total billed charges,3277.696229,,,,3892.8,percent of total billed charges,999999999,,,,3892.8,percent of total billed charges,999999999,,,,3406.2,percent of total billed charges,999999999,,,,3406.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2588.712,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2457.33,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1216.5,percent of total billed charges,1155.377433,,,,,,,,,,1216.5,percent of total billed charges,1136.158516,,,,,,,,,,1216.5,percent of total billed charges,1133.00118,,,,,,,,,,1216.5,percent of total billed charges,1116.317751,,,,,,,,,,1216.5,percent of total billed charges,1145.042248,,,,,,,,,,1216.5,percent of total billed charges,999999999,,,,,,,,,,1216.5,percent of total billed charges,982.5268828,,,,,,,,,,1216.5,percent of total billed charges,1549.512649,,,,,,,,,,1216.5,percent of total billed charges,999999999,,,,,,,,,,1216.5,percent of total billed charges,1059.404274,,,,,,,,,,4379.4,percent of total billed charges,,,,,
MULTIPLE SLEEP LATENCY TEST,95805,CDM,,,,both,,,4939,4939,1051.433802,4939,4939,percent of total billed charges,3633.797762,,,,4939,percent of total billed charges,3851.753778,,,,4939,percent of total billed charges,3633.797762,,,,4939,percent of total billed charges,3851.753778,,,,4939,percent of total billed charges,999999999,,,,4939,percent of total billed charges,3763.178545,,,,4939,percent of total billed charges,3633.797762,,,,4939,percent of total billed charges,3851.753778,,,,3521.507,percent of total billed charges,1757.296437,,,,3521.507,percent of total billed charges,1051.433802,,,,3521.507,percent of total billed charges,1757.296437,,,,3521.507,percent of total billed charges,1051.433802,,,,3521.507,percent of total billed charges,1757.296437,,,,3521.507,percent of total billed charges,1051.433802,,,,3486.934,percent of total billed charges,3460.477684,,,,3486.934,percent of total billed charges,2386.664031,,,,,,,,,,3556.08,percent of total billed charges,2311.368318,,,,,,,,,,3556.08,percent of total billed charges,999999999,,,,,,,,,,3951.2,percent of total billed charges,3310.90021,,,,3901.81,percent of total billed charges,3765.414564,,,,3901.81,percent of total billed charges,3326.868408,,,,3951.2,percent of total billed charges,999999999,,,,3951.2,percent of total billed charges,999999999,,,,3457.3,percent of total billed charges,999999999,,,,3457.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2627.548,percent of total billed charges,999999999,,,,,,,,,,,,,,,,2494.195,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1234.75,percent of total billed charges,1172.710469,,,,,,,,,,1234.75,percent of total billed charges,1153.203228,,,,,,,,,,1234.75,percent of total billed charges,1149.998526,,,,,,,,,,1234.75,percent of total billed charges,1133.064812,,,,,,,,,,1234.75,percent of total billed charges,1162.220235,,,,,,,,,,1234.75,percent of total billed charges,999999999,,,,,,,,,,1234.75,percent of total billed charges,997.2668053,,,,,,,,,,1234.75,percent of total billed charges,1572.758523,,,,,,,,,,1234.75,percent of total billed charges,999999999,,,,,,,,,,1234.75,percent of total billed charges,1075.297515,,,,,,,,,,4445.1,percent of total billed charges,,,,,
SMOKING/TOBACCO COUNSEL >3MIN TO 10MIN,99406,CDM,,,,both,,,85,85,18.09513529,85,85,percent of total billed charges,62.53751969,,,,85,percent of total billed charges,66.28853435,,,,85,percent of total billed charges,62.53751969,,,,85,percent of total billed charges,66.28853435,,,,85,percent of total billed charges,999999999,,,,85,percent of total billed charges,64.76415799,,,,85,percent of total billed charges,62.53751969,,,,85,percent of total billed charges,66.28853435,,,,60.605,percent of total billed charges,30.24300407,,,,60.605,percent of total billed charges,18.09513529,,,,60.605,percent of total billed charges,30.24300407,,,,60.605,percent of total billed charges,18.09513529,,,,60.605,percent of total billed charges,30.24300407,,,,60.605,percent of total billed charges,18.09513529,,,,60.01,percent of total billed charges,59.55468782,,,,60.01,percent of total billed charges,41.07439615,,,,,,,,,,61.2,percent of total billed charges,39.77855983,,,,,,,,,,61.2,percent of total billed charges,999999999,,,,,,,,,,68,percent of total billed charges,56.98046524,,,,67.15,percent of total billed charges,64.80263979,,,,67.15,percent of total billed charges,57.25527733,,,,68,percent of total billed charges,999999999,,,,68,percent of total billed charges,999999999,,,,59.5,percent of total billed charges,999999999,,,,59.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,45.22,percent of total billed charges,999999999,,,,,,,,,,,,,,,,42.925,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21.25,percent of total billed charges,20.18230206,,,,,,,,,,21.25,percent of total billed charges,19.8465832,,,,,,,,,,21.25,percent of total billed charges,19.79143039,,,,,,,,,,21.25,percent of total billed charges,19.50000182,,,,,,,,,,21.25,percent of total billed charges,20.00176553,,,,,,,,,,21.25,percent of total billed charges,999999999,,,,,,,,,,21.25,percent of total billed charges,17.16292335,,,,,,,,,,21.25,percent of total billed charges,27.06711368,,,,,,,,,,21.25,percent of total billed charges,999999999,,,,,,,,,,21.25,percent of total billed charges,18.50582887,,,,,,,,,,76.5,percent of total billed charges,,,,,
SMOKING/TOBACCO COUNSEL >10MIN,99407,CDM,,,,both,,,111,111,23.63011785,111,111,percent of total billed charges,81.66664336,,,,111,percent of total billed charges,86.56502721,,,,111,percent of total billed charges,81.66664336,,,,111,percent of total billed charges,86.56502721,,,,111,percent of total billed charges,999999999,,,,111,percent of total billed charges,84.57437102,,,,111,percent of total billed charges,81.66664336,,,,111,percent of total billed charges,86.56502721,,,,79.143,percent of total billed charges,39.49380532,,,,79.143,percent of total billed charges,23.63011785,,,,79.143,percent of total billed charges,39.49380532,,,,79.143,percent of total billed charges,23.63011785,,,,79.143,percent of total billed charges,39.49380532,,,,79.143,percent of total billed charges,23.63011785,,,,78.366,percent of total billed charges,77.77141585,,,,78.366,percent of total billed charges,53.63832909,,,,,,,,,,79.92,percent of total billed charges,51.94611931,,,,,,,,,,79.92,percent of total billed charges,999999999,,,,,,,,,,88.8,percent of total billed charges,74.40978402,,,,87.69,percent of total billed charges,84.62462373,,,,87.69,percent of total billed charges,74.76865627,,,,88.8,percent of total billed charges,999999999,,,,88.8,percent of total billed charges,999999999,,,,77.7,percent of total billed charges,999999999,,,,77.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,59.052,percent of total billed charges,999999999,,,,,,,,,,,,,,,,56.055,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,27.75,percent of total billed charges,26.3557121,,,,,,,,,,27.75,percent of total billed charges,25.91730276,,,,,,,,,,27.75,percent of total billed charges,25.84527969,,,,,,,,,,27.75,percent of total billed charges,25.46470826,,,,,,,,,,27.75,percent of total billed charges,26.11995264,,,,,,,,,,27.75,percent of total billed charges,999999999,,,,,,,,,,27.75,percent of total billed charges,22.41275873,,,,,,,,,,27.75,percent of total billed charges,35.3464661,,,,,,,,,,27.75,percent of total billed charges,999999999,,,,,,,,,,27.75,percent of total billed charges,24.16643535,,,,,,,,,,99.9,percent of total billed charges,,,,,
SMOKING/TOBACCO INTERMED >3MIN TO 10MIN,99406,CDM,,,,both,,,85,85,18.09513529,85,85,percent of total billed charges,62.53751969,,,,85,percent of total billed charges,66.28853435,,,,85,percent of total billed charges,62.53751969,,,,85,percent of total billed charges,66.28853435,,,,85,percent of total billed charges,999999999,,,,85,percent of total billed charges,64.76415799,,,,85,percent of total billed charges,62.53751969,,,,85,percent of total billed charges,66.28853435,,,,60.605,percent of total billed charges,30.24300407,,,,60.605,percent of total billed charges,18.09513529,,,,60.605,percent of total billed charges,30.24300407,,,,60.605,percent of total billed charges,18.09513529,,,,60.605,percent of total billed charges,30.24300407,,,,60.605,percent of total billed charges,18.09513529,,,,60.01,percent of total billed charges,59.55468782,,,,60.01,percent of total billed charges,41.07439615,,,,,,,,,,61.2,percent of total billed charges,39.77855983,,,,,,,,,,61.2,percent of total billed charges,999999999,,,,,,,,,,68,percent of total billed charges,56.98046524,,,,67.15,percent of total billed charges,64.80263979,,,,67.15,percent of total billed charges,57.25527733,,,,68,percent of total billed charges,999999999,,,,68,percent of total billed charges,999999999,,,,59.5,percent of total billed charges,999999999,,,,59.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,45.22,percent of total billed charges,999999999,,,,,,,,,,,,,,,,42.925,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21.25,percent of total billed charges,20.18230206,,,,,,,,,,21.25,percent of total billed charges,19.8465832,,,,,,,,,,21.25,percent of total billed charges,19.79143039,,,,,,,,,,21.25,percent of total billed charges,19.50000182,,,,,,,,,,21.25,percent of total billed charges,20.00176553,,,,,,,,,,21.25,percent of total billed charges,999999999,,,,,,,,,,21.25,percent of total billed charges,17.16292335,,,,,,,,,,21.25,percent of total billed charges,27.06711368,,,,,,,,,,21.25,percent of total billed charges,999999999,,,,,,,,,,21.25,percent of total billed charges,18.50582887,,,,,,,,,,76.5,percent of total billed charges,,,,,
SMOKING/TOBACCO INTERMED >10MIN,99407,CDM,,,,both,,,118,118,25.12030547,118,118,percent of total billed charges,86.81679204,,,,118,percent of total billed charges,92.02408298,,,,118,percent of total billed charges,86.81679204,,,,118,percent of total billed charges,92.02408298,,,,118,percent of total billed charges,999999999,,,,118,percent of total billed charges,89.90788991,,,,118,percent of total billed charges,86.81679204,,,,118,percent of total billed charges,92.02408298,,,,84.134,percent of total billed charges,41.98440566,,,,84.134,percent of total billed charges,25.12030547,,,,84.134,percent of total billed charges,41.98440566,,,,84.134,percent of total billed charges,25.12030547,,,,84.134,percent of total billed charges,41.98440566,,,,84.134,percent of total billed charges,25.12030547,,,,83.308,percent of total billed charges,82.67591956,,,,83.308,percent of total billed charges,57.02092642,,,,,,,,,,84.96,percent of total billed charges,55.22200071,,,,,,,,,,84.96,percent of total billed charges,999999999,,,,,,,,,,94.4,percent of total billed charges,79.10229292,,,,93.22,percent of total billed charges,89.96131171,,,,93.22,percent of total billed charges,79.48379676,,,,94.4,percent of total billed charges,999999999,,,,94.4,percent of total billed charges,999999999,,,,82.6,percent of total billed charges,999999999,,,,82.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,62.776,percent of total billed charges,999999999,,,,,,,,,,,,,,,,59.59,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,29.5,percent of total billed charges,28.01778404,,,,,,,,,,29.5,percent of total billed charges,27.55172726,,,,,,,,,,29.5,percent of total billed charges,27.47516219,,,,,,,,,,29.5,percent of total billed charges,27.07059076,,,,,,,,,,29.5,percent of total billed charges,27.76715686,,,,,,,,,,29.5,percent of total billed charges,999999999,,,,,,,,,,29.5,percent of total billed charges,23.82617595,,,,,,,,,,29.5,percent of total billed charges,37.57552252,,,,,,,,,,29.5,percent of total billed charges,999999999,,,,,,,,,,29.5,percent of total billed charges,25.69044478,,,,,,,,,,106.2,percent of total billed charges,,,,,
PULMONARY SIX MINUTE WALK,94618,CDM,,,,both,,,196,196,41.72525315,196,196,percent of total billed charges,144.204163,,,,196,percent of total billed charges,152.8535616,,,,196,percent of total billed charges,144.204163,,,,196,percent of total billed charges,152.8535616,,,,196,percent of total billed charges,999999999,,,,196,percent of total billed charges,149.338529,,,,196,percent of total billed charges,144.204163,,,,196,percent of total billed charges,152.8535616,,,,139.748,percent of total billed charges,69.73680939,,,,139.748,percent of total billed charges,41.72525315,,,,139.748,percent of total billed charges,69.73680939,,,,139.748,percent of total billed charges,41.72525315,,,,139.748,percent of total billed charges,69.73680939,,,,139.748,percent of total billed charges,41.72525315,,,,138.376,percent of total billed charges,137.3261037,,,,138.376,percent of total billed charges,94.71272525,,,,,,,,,,141.12,percent of total billed charges,91.72467915,,,,,,,,,,141.12,percent of total billed charges,999999999,,,,,,,,,,156.8,percent of total billed charges,131.3902493,,,,154.84,percent of total billed charges,149.4272635,,,,154.84,percent of total billed charges,132.0239336,,,,156.8,percent of total billed charges,999999999,,,,156.8,percent of total billed charges,999999999,,,,137.2,percent of total billed charges,999999999,,,,137.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,104.272,percent of total billed charges,999999999,,,,,,,,,,,,,,,,98.98,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,49,percent of total billed charges,46.53801416,,,,,,,,,,49,percent of total billed charges,45.76388596,,,,,,,,,,49,percent of total billed charges,45.63671008,,,,,,,,,,49,percent of total billed charges,44.96471008,,,,,,,,,,49,percent of total billed charges,46.12171817,,,,,,,,,,49,percent of total billed charges,999999999,,,,,,,,,,49,percent of total billed charges,39.57568209,,,,,,,,,,49,percent of total billed charges,62.41357978,,,,,,,,,,49,percent of total billed charges,999999999,,,,,,,,,,49,percent of total billed charges,42.67226422,,,,,,,,,,176.4,percent of total billed charges,,,,,
TRACH TUBE ANY SIZE,Local,Local,,,,both,,,618,618,131.5622778,618,618,percent of total billed charges,454.6845549,,,,618,percent of total billed charges,481.956638,,,,618,percent of total billed charges,454.6845549,,,,618,percent of total billed charges,481.956638,,,,618,percent of total billed charges,999999999,,,,618,percent of total billed charges,470.8735251,,,,618,percent of total billed charges,454.6845549,,,,618,percent of total billed charges,481.956638,,,,440.634,percent of total billed charges,219.8844296,,,,440.634,percent of total billed charges,131.5622778,,,,440.634,percent of total billed charges,219.8844296,,,,440.634,percent of total billed charges,131.5622778,,,,440.634,percent of total billed charges,219.8844296,,,,440.634,percent of total billed charges,131.5622778,,,,436.308,percent of total billed charges,432.9976126,,,,436.308,percent of total billed charges,298.6350214,,,,,,,,,,444.96,percent of total billed charges,289.2135292,,,,,,,,,,444.96,percent of total billed charges,999999999,,,,,,,,,,494.4,percent of total billed charges,414.2815002,,,,488.22,percent of total billed charges,471.1533105,,,,488.22,percent of total billed charges,416.2795457,,,,494.4,percent of total billed charges,999999999,,,,494.4,percent of total billed charges,999999999,,,,432.6,percent of total billed charges,999999999,,,,432.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,328.776,percent of total billed charges,999999999,,,,,,,,,,,,,,,,312.09,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,154.5,percent of total billed charges,146.7372079,,,,,,,,,,154.5,percent of total billed charges,144.2963343,,,,,,,,,,154.5,percent of total billed charges,143.895341,,,,,,,,,,154.5,percent of total billed charges,141.7764838,,,,,,,,,,154.5,percent of total billed charges,145.4246012,,,,,,,,,,154.5,percent of total billed charges,999999999,,,,,,,,,,154.5,percent of total billed charges,124.7845486,,,,,,,,,,154.5,percent of total billed charges,196.7938383,,,,,,,,,,154.5,percent of total billed charges,999999999,,,,,,,,,,154.5,percent of total billed charges,134.5482617,,,,,,,,,,556.2,percent of total billed charges,,,,,
**PT HOME MANAGEMENT TRAINING/15 MINS,97535,CDM,,,,both,,,185,185,39.38352976,185,185,percent of total billed charges,136.1110723,,,,185,percent of total billed charges,144.2750454,,,,185,percent of total billed charges,136.1110723,,,,185,percent of total billed charges,144.2750454,,,,185,percent of total billed charges,999999999,,,,185,percent of total billed charges,140.957285,,,,185,percent of total billed charges,136.1110723,,,,185,percent of total billed charges,144.2750454,,,,131.905,percent of total billed charges,65.82300887,,,,131.905,percent of total billed charges,39.38352976,,,,131.905,percent of total billed charges,65.82300887,,,,131.905,percent of total billed charges,39.38352976,,,,131.905,percent of total billed charges,65.82300887,,,,131.905,percent of total billed charges,39.38352976,,,,130.61,percent of total billed charges,129.6190264,,,,130.61,percent of total billed charges,89.39721516,,,,,,,,,,133.2,percent of total billed charges,86.57686552,,,,,,,,,,133.2,percent of total billed charges,999999999,,,,,,,,,,148,percent of total billed charges,124.0163067,,,,146.15,percent of total billed charges,141.0410396,,,,146.15,percent of total billed charges,124.6144271,,,,148,percent of total billed charges,999999999,,,,148,percent of total billed charges,999999999,,,,129.5,percent of total billed charges,999999999,,,,129.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,98.42,percent of total billed charges,999999999,,,,,,,,,,,,,,,,93.425,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,46.25,percent of total billed charges,43.92618684,,,,,,,,,,46.25,percent of total billed charges,43.19550461,,,,,,,,,,46.25,percent of total billed charges,43.07546615,,,,,,,,,,46.25,percent of total billed charges,42.44118043,,,,,,,,,,46.25,percent of total billed charges,43.5332544,,,,,,,,,,46.25,percent of total billed charges,999999999,,,,,,,,,,46.25,percent of total billed charges,37.35459789,,,,,,,,,,46.25,percent of total billed charges,58.91077683,,,,,,,,,,46.25,percent of total billed charges,999999999,,,,,,,,,,46.25,percent of total billed charges,40.27739225,,,,,,,,,,166.5,percent of total billed charges,,,,,
PT HOT/COLD PACK,97010,CDM,,,GP ,both,,,94,94,20.01109079,94,94,percent of total billed charges,69.15913942,,,,94,percent of total billed charges,73.30732034,,,,94,percent of total billed charges,69.15913942,,,,94,percent of total billed charges,73.30732034,,,,94,percent of total billed charges,999999999,,,,94,percent of total billed charges,71.62153942,,,,94,percent of total billed charges,69.15913942,,,,94,percent of total billed charges,73.30732034,,,,67.022,percent of total billed charges,33.44520451,,,,67.022,percent of total billed charges,20.01109079,,,,67.022,percent of total billed charges,33.44520451,,,,67.022,percent of total billed charges,20.01109079,,,,67.022,percent of total billed charges,33.44520451,,,,67.022,percent of total billed charges,20.01109079,,,,66.364,percent of total billed charges,65.86047829,,,,66.364,percent of total billed charges,45.42344986,,,,,,,,,,67.68,percent of total billed charges,43.99040735,,,,,,,,,,67.68,percent of total billed charges,999999999,,,,,,,,,,75.2,percent of total billed charges,63.01369097,,,,74.26,percent of total billed charges,71.66409577,,,,74.26,percent of total billed charges,63.31760081,,,,75.2,percent of total billed charges,999999999,,,,75.2,percent of total billed charges,999999999,,,,65.8,percent of total billed charges,999999999,,,,65.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,50.008,percent of total billed charges,999999999,,,,,,,,,,,,,,,,47.47,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23.5,percent of total billed charges,22.31925169,,,,,,,,,,23.5,percent of total billed charges,21.94798612,,,,,,,,,,23.5,percent of total billed charges,21.88699361,,,,,,,,,,23.5,percent of total billed charges,21.5647079,,,,,,,,,,23.5,percent of total billed charges,22.11959953,,,,,,,,,,23.5,percent of total billed charges,999999999,,,,,,,,,,23.5,percent of total billed charges,18.98017406,,,,,,,,,,23.5,percent of total billed charges,29.93304336,,,,,,,,,,23.5,percent of total billed charges,999999999,,,,,,,,,,23.5,percent of total billed charges,20.46526957,,,,,,,,,,84.6,percent of total billed charges,,,,,
OT HOT/COLD PACK,97010,CDM,,,GO,both,,,90,90,19.15955502,90,90,percent of total billed charges,66.21619731,,,,90,percent of total billed charges,70.1878599,,,,90,percent of total billed charges,66.21619731,,,,90,percent of total billed charges,70.1878599,,,,90,percent of total billed charges,999999999,,,,90,percent of total billed charges,68.57381434,,,,90,percent of total billed charges,66.21619731,,,,90,percent of total billed charges,70.1878599,,,,64.17,percent of total billed charges,32.02200431,,,,64.17,percent of total billed charges,19.15955502,,,,64.17,percent of total billed charges,32.02200431,,,,64.17,percent of total billed charges,19.15955502,,,,64.17,percent of total billed charges,32.02200431,,,,64.17,percent of total billed charges,19.15955502,,,,63.54,percent of total billed charges,63.05790475,,,,63.54,percent of total billed charges,43.4905371,,,,,,,,,,64.8,percent of total billed charges,42.11847512,,,,,,,,,,64.8,percent of total billed charges,999999999,,,,,,,,,,72,percent of total billed charges,60.33225731,,,,71.1,percent of total billed charges,68.61455978,,,,71.1,percent of total billed charges,60.62323481,,,,72,percent of total billed charges,999999999,,,,72,percent of total billed charges,999999999,,,,63,percent of total billed charges,999999999,,,,63,percent of total billed charges,999999999,,,,,,,,,,,,,,,,47.88,percent of total billed charges,999999999,,,,,,,,,,,,,,,,45.45,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,22.5,percent of total billed charges,21.3694963,,,,,,,,,,22.5,percent of total billed charges,21.01402927,,,,,,,,,,22.5,percent of total billed charges,20.95563218,,,,,,,,,,22.5,percent of total billed charges,20.64706075,,,,,,,,,,22.5,percent of total billed charges,21.17833998,,,,,,,,,,22.5,percent of total billed charges,999999999,,,,,,,,,,22.5,percent of total billed charges,18.17250708,,,,,,,,,,22.5,percent of total billed charges,28.65929684,,,,,,,,,,22.5,percent of total billed charges,999999999,,,,,,,,,,22.5,percent of total billed charges,19.59440704,,,,,,,,,,81,percent of total billed charges,,,,,
**PT GROUP THERAPY,97150,CDM,,,,both,,,201,201,42.78967287,201,201,percent of total billed charges,147.8828407,,,,201,percent of total billed charges,156.7528871,,,,201,percent of total billed charges,147.8828407,,,,201,percent of total billed charges,156.7528871,,,,201,percent of total billed charges,999999999,,,,201,percent of total billed charges,153.1481854,,,,201,percent of total billed charges,147.8828407,,,,201,percent of total billed charges,156.7528871,,,,143.313,percent of total billed charges,71.51580963,,,,143.313,percent of total billed charges,42.78967287,,,,143.313,percent of total billed charges,71.51580963,,,,143.313,percent of total billed charges,42.78967287,,,,143.313,percent of total billed charges,71.51580963,,,,143.313,percent of total billed charges,42.78967287,,,,141.906,percent of total billed charges,140.8293206,,,,141.906,percent of total billed charges,97.1288662,,,,,,,,,,144.72,percent of total billed charges,94.06459443,,,,,,,,,,144.72,percent of total billed charges,999999999,,,,,,,,,,160.8,percent of total billed charges,134.7420413,,,,158.79,percent of total billed charges,153.2391835,,,,158.79,percent of total billed charges,135.3918911,,,,160.8,percent of total billed charges,999999999,,,,160.8,percent of total billed charges,999999999,,,,140.7,percent of total billed charges,999999999,,,,140.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,106.932,percent of total billed charges,999999999,,,,,,,,,,,,,,,,101.505,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,50.25,percent of total billed charges,47.7252084,,,,,,,,,,50.25,percent of total billed charges,46.93133203,,,,,,,,,,50.25,percent of total billed charges,46.80091187,,,,,,,,,,50.25,percent of total billed charges,46.11176901,,,,,,,,,,50.25,percent of total billed charges,47.29829262,,,,,,,,,,50.25,percent of total billed charges,999999999,,,,,,,,,,50.25,percent of total billed charges,40.58526581,,,,,,,,,,50.25,percent of total billed charges,64.00576294,,,,,,,,,,50.25,percent of total billed charges,999999999,,,,,,,,,,50.25,percent of total billed charges,43.76084239,,,,,,,,,,180.9,percent of total billed charges,,,,,
PT AQUATICS-EXERCISE 15 MIN,97113,CDM,,,GP ,both,,,218,218,46.40869993,218,218,percent of total billed charges,160.3903446,,,,218,percent of total billed charges,170.010594,,,,218,percent of total billed charges,160.3903446,,,,218,percent of total billed charges,170.010594,,,,218,percent of total billed charges,999999999,,,,218,percent of total billed charges,166.101017,,,,218,percent of total billed charges,160.3903446,,,,218,percent of total billed charges,170.010594,,,,155.434,percent of total billed charges,77.56441045,,,,155.434,percent of total billed charges,46.40869993,,,,155.434,percent of total billed charges,77.56441045,,,,155.434,percent of total billed charges,46.40869993,,,,155.434,percent of total billed charges,77.56441045,,,,155.434,percent of total billed charges,46.40869993,,,,153.908,percent of total billed charges,152.7402582,,,,153.908,percent of total billed charges,105.3437454,,,,,,,,,,156.96,percent of total billed charges,102.0203064,,,,,,,,,,156.96,percent of total billed charges,999999999,,,,,,,,,,174.4,percent of total billed charges,146.1381344,,,,172.22,percent of total billed charges,166.1997115,,,,172.22,percent of total billed charges,146.8429466,,,,174.4,percent of total billed charges,999999999,,,,174.4,percent of total billed charges,999999999,,,,152.6,percent of total billed charges,999999999,,,,152.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,115.976,percent of total billed charges,999999999,,,,,,,,,,,,,,,,110.09,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,54.5,percent of total billed charges,51.76166881,,,,,,,,,,54.5,percent of total billed charges,50.90064867,,,,,,,,,,54.5,percent of total billed charges,50.75919795,,,,,,,,,,54.5,percent of total billed charges,50.01176938,,,,,,,,,,54.5,percent of total billed charges,51.29864572,,,,,,,,,,54.5,percent of total billed charges,999999999,,,,,,,,,,54.5,percent of total billed charges,44.01785048,,,,,,,,,,54.5,percent of total billed charges,69.41918567,,,,,,,,,,54.5,percent of total billed charges,999999999,,,,,,,,,,54.5,percent of total billed charges,47.46200816,,,,,,,,,,196.2,percent of total billed charges,,,,,
**PT (WC) EVALUATION 30 -45 MINUTES,97001,CDM,,,GP ,both,,,505,505,107.506392,505,505,percent of total billed charges,371.5464405,,,,505,percent of total billed charges,393.8318806,,,,505,percent of total billed charges,371.5464405,,,,505,percent of total billed charges,393.8318806,,,,505,percent of total billed charges,999999999,,,,505,percent of total billed charges,384.7752916,,,,505,percent of total billed charges,371.5464405,,,,505,percent of total billed charges,393.8318806,,,,360.065,percent of total billed charges,179.6790242,,,,360.065,percent of total billed charges,107.506392,,,,360.065,percent of total billed charges,179.6790242,,,,360.065,percent of total billed charges,107.506392,,,,360.065,percent of total billed charges,179.6790242,,,,360.065,percent of total billed charges,107.506392,,,,356.53,percent of total billed charges,353.82491,,,,356.53,percent of total billed charges,244.030236,,,,,,,,,,363.6,percent of total billed charges,236.3314437,,,,,,,,,,363.6,percent of total billed charges,999999999,,,,,,,,,,404,percent of total billed charges,338.5309994,,,,398.95,percent of total billed charges,385.0039188,,,,398.95,percent of total billed charges,340.1637065,,,,404,percent of total billed charges,999999999,,,,404,percent of total billed charges,999999999,,,,353.5,percent of total billed charges,999999999,,,,353.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,268.66,percent of total billed charges,999999999,,,,,,,,,,,,,,,,255.025,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,126.25,percent of total billed charges,119.9066181,,,,,,,,,,126.25,percent of total billed charges,117.9120531,,,,,,,,,,126.25,percent of total billed charges,117.5843806,,,,,,,,,,126.25,percent of total billed charges,115.852952,,,,,,,,,,126.25,percent of total billed charges,118.8340188,,,,,,,,,,126.25,percent of total billed charges,999999999,,,,,,,,,,126.25,percent of total billed charges,101.9679564,,,,,,,,,,126.25,percent of total billed charges,160.8104989,,,,,,,,,,126.25,percent of total billed charges,999999999,,,,,,,,,,126.25,percent of total billed charges,109.9463951,,,,,,,,,,454.5,percent of total billed charges,,,,,
**PT (WC) EVALUATION OUTPATIENT,97110,CDM,,,GP ,both,,,599,599,127.5174828,599,599,percent of total billed charges,440.7055799,,,,599,percent of total billed charges,467.1392009,,,,599,percent of total billed charges,440.7055799,,,,599,percent of total billed charges,467.1392009,,,,599,percent of total billed charges,999999999,,,,599,percent of total billed charges,456.396831,,,,599,percent of total billed charges,440.7055799,,,,599,percent of total billed charges,467.1392009,,,,427.087,percent of total billed charges,213.1242287,,,,427.087,percent of total billed charges,127.5174828,,,,427.087,percent of total billed charges,213.1242287,,,,427.087,percent of total billed charges,127.5174828,,,,427.087,percent of total billed charges,213.1242287,,,,427.087,percent of total billed charges,127.5174828,,,,422.894,percent of total billed charges,419.6853883,,,,422.894,percent of total billed charges,289.4536858,,,,,,,,,,431.28,percent of total billed charges,280.3218511,,,,,,,,,,431.28,percent of total billed charges,999999999,,,,,,,,,,479.2,percent of total billed charges,401.5446903,,,,473.21,percent of total billed charges,456.6680146,,,,473.21,percent of total billed charges,403.4813073,,,,479.2,percent of total billed charges,999999999,,,,479.2,percent of total billed charges,999999999,,,,419.3,percent of total billed charges,999999999,,,,419.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,318.668,percent of total billed charges,999999999,,,,,,,,,,,,,,,,302.495,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,149.75,percent of total billed charges,142.2258698,,,,,,,,,,149.75,percent of total billed charges,139.8600392,,,,,,,,,,149.75,percent of total billed charges,139.4713742,,,,,,,,,,149.75,percent of total billed charges,137.4176599,,,,,,,,,,149.75,percent of total billed charges,140.9536183,,,,,,,,,,149.75,percent of total billed charges,999999999,,,,,,,,,,149.75,percent of total billed charges,120.9481305,,,,,,,,,,149.75,percent of total billed charges,190.7435423,,,,,,,,,,149.75,percent of total billed charges,999999999,,,,,,,,,,149.75,percent of total billed charges,130.4116646,,,,,,,,,,539.1,percent of total billed charges,,,,,
**PT FLUIDO THERAPY,97022,CDM,,,GP ,both,,,278,278,59.18173661,278,278,percent of total billed charges,204.5344762,,,,278,percent of total billed charges,216.8025006,,,,278,percent of total billed charges,204.5344762,,,,278,percent of total billed charges,216.8025006,,,,278,percent of total billed charges,999999999,,,,278,percent of total billed charges,211.8168932,,,,278,percent of total billed charges,204.5344762,,,,278,percent of total billed charges,216.8025006,,,,198.214,percent of total billed charges,98.91241332,,,,198.214,percent of total billed charges,59.18173661,,,,198.214,percent of total billed charges,98.91241332,,,,198.214,percent of total billed charges,59.18173661,,,,198.214,percent of total billed charges,98.91241332,,,,198.214,percent of total billed charges,59.18173661,,,,196.268,percent of total billed charges,194.7788613,,,,196.268,percent of total billed charges,134.3374368,,,,,,,,,,200.16,percent of total billed charges,130.0992898,,,,,,,,,,200.16,percent of total billed charges,999999999,,,,,,,,,,222.4,percent of total billed charges,186.3596393,,,,219.62,percent of total billed charges,211.9427513,,,,219.62,percent of total billed charges,187.2584364,,,,222.4,percent of total billed charges,999999999,,,,222.4,percent of total billed charges,999999999,,,,194.6,percent of total billed charges,999999999,,,,194.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,147.896,percent of total billed charges,999999999,,,,,,,,,,,,,,,,140.39,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,69.5,percent of total billed charges,66.00799968,,,,,,,,,,69.5,percent of total billed charges,64.91000152,,,,,,,,,,69.5,percent of total billed charges,64.7296194,,,,,,,,,,69.5,percent of total billed charges,63.77647654,,,,,,,,,,69.5,percent of total billed charges,65.41753904,,,,,,,,,,69.5,percent of total billed charges,999999999,,,,,,,,,,69.5,percent of total billed charges,56.13285521,,,,,,,,,,69.5,percent of total billed charges,88.52538356,,,,,,,,,,69.5,percent of total billed charges,999999999,,,,,,,,,,69.5,percent of total billed charges,60.52494619,,,,,,,,,,250.2,percent of total billed charges,,,,,
PT ELECTRIC STIM-ATTEND 15 MIN,97032,CDM,,,GP ,both,,,201,201,42.78967287,201,201,percent of total billed charges,147.8828407,,,,201,percent of total billed charges,156.7528871,,,,201,percent of total billed charges,147.8828407,,,,201,percent of total billed charges,156.7528871,,,,201,percent of total billed charges,999999999,,,,201,percent of total billed charges,153.1481854,,,,201,percent of total billed charges,147.8828407,,,,201,percent of total billed charges,156.7528871,,,,143.313,percent of total billed charges,71.51580963,,,,143.313,percent of total billed charges,42.78967287,,,,143.313,percent of total billed charges,71.51580963,,,,143.313,percent of total billed charges,42.78967287,,,,143.313,percent of total billed charges,71.51580963,,,,143.313,percent of total billed charges,42.78967287,,,,141.906,percent of total billed charges,140.8293206,,,,141.906,percent of total billed charges,97.1288662,,,,,,,,,,144.72,percent of total billed charges,94.06459443,,,,,,,,,,144.72,percent of total billed charges,999999999,,,,,,,,,,160.8,percent of total billed charges,134.7420413,,,,158.79,percent of total billed charges,153.2391835,,,,158.79,percent of total billed charges,135.3918911,,,,160.8,percent of total billed charges,999999999,,,,160.8,percent of total billed charges,999999999,,,,140.7,percent of total billed charges,999999999,,,,140.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,106.932,percent of total billed charges,999999999,,,,,,,,,,,,,,,,101.505,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,50.25,percent of total billed charges,47.7252084,,,,,,,,,,50.25,percent of total billed charges,46.93133203,,,,,,,,,,50.25,percent of total billed charges,46.80091187,,,,,,,,,,50.25,percent of total billed charges,46.11176901,,,,,,,,,,50.25,percent of total billed charges,47.29829262,,,,,,,,,,50.25,percent of total billed charges,999999999,,,,,,,,,,50.25,percent of total billed charges,40.58526581,,,,,,,,,,50.25,percent of total billed charges,64.00576294,,,,,,,,,,50.25,percent of total billed charges,999999999,,,,,,,,,,50.25,percent of total billed charges,43.76084239,,,,,,,,,,180.9,percent of total billed charges,,,,,
**PT ORTHOTIC RECHECK 15 MIN,97762,CDM,,,GP ,both,,,125,125,26.61049308,125,125,percent of total billed charges,91.96694072,,,,125,percent of total billed charges,97.48313875,,,,125,percent of total billed charges,91.96694072,,,,125,percent of total billed charges,97.48313875,,,,125,percent of total billed charges,999999999,,,,125,percent of total billed charges,95.2414088,,,,125,percent of total billed charges,91.96694072,,,,125,percent of total billed charges,97.48313875,,,,89.125,percent of total billed charges,44.47500599,,,,89.125,percent of total billed charges,26.61049308,,,,89.125,percent of total billed charges,44.47500599,,,,89.125,percent of total billed charges,26.61049308,,,,89.125,percent of total billed charges,44.47500599,,,,89.125,percent of total billed charges,26.61049308,,,,88.25,percent of total billed charges,87.58042326,,,,88.25,percent of total billed charges,60.40352376,,,,,,,,,,90,percent of total billed charges,58.49788211,,,,,,,,,,90,percent of total billed charges,999999999,,,,,,,,,,100,percent of total billed charges,83.79480182,,,,98.75,percent of total billed charges,95.2979997,,,,98.75,percent of total billed charges,84.19893724,,,,100,percent of total billed charges,999999999,,,,100,percent of total billed charges,999999999,,,,87.5,percent of total billed charges,999999999,,,,87.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,66.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,63.125,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,31.25,percent of total billed charges,29.67985597,,,,,,,,,,31.25,percent of total billed charges,29.18615176,,,,,,,,,,31.25,percent of total billed charges,29.1050447,,,,,,,,,,31.25,percent of total billed charges,28.67647327,,,,,,,,,,31.25,percent of total billed charges,29.41436108,,,,,,,,,,31.25,percent of total billed charges,999999999,,,,,,,,,,31.25,percent of total billed charges,25.23959317,,,,,,,,,,31.25,percent of total billed charges,39.80457894,,,,,,,,,,31.25,percent of total billed charges,999999999,,,,,,,,,,31.25,percent of total billed charges,27.21445422,,,,,,,,,,112.5,percent of total billed charges,,,,,
PT MASSAGE ALL METHODS 15 MIN,97124,CDM,,,GP ,both,,,179,179,38.10622609,179,179,percent of total billed charges,131.6966591,,,,179,percent of total billed charges,139.5958547,,,,179,percent of total billed charges,131.6966591,,,,179,percent of total billed charges,139.5958547,,,,179,percent of total billed charges,999999999,,,,179,percent of total billed charges,136.3856974,,,,179,percent of total billed charges,131.6966591,,,,179,percent of total billed charges,139.5958547,,,,127.627,percent of total billed charges,63.68820858,,,,127.627,percent of total billed charges,38.10622609,,,,127.627,percent of total billed charges,63.68820858,,,,127.627,percent of total billed charges,38.10622609,,,,127.627,percent of total billed charges,63.68820858,,,,127.627,percent of total billed charges,38.10622609,,,,126.374,percent of total billed charges,125.4151661,,,,126.374,percent of total billed charges,86.49784602,,,,,,,,,,128.88,percent of total billed charges,83.76896718,,,,,,,,,,128.88,percent of total billed charges,999999999,,,,,,,,,,143.2,percent of total billed charges,119.9941562,,,,141.41,percent of total billed charges,136.4667356,,,,141.41,percent of total billed charges,120.5728781,,,,143.2,percent of total billed charges,999999999,,,,143.2,percent of total billed charges,999999999,,,,125.3,percent of total billed charges,999999999,,,,125.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,95.228,percent of total billed charges,999999999,,,,,,,,,,,,,,,,90.395,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,44.75,percent of total billed charges,42.50155375,,,,,,,,,,44.75,percent of total billed charges,41.79456932,,,,,,,,,,44.75,percent of total billed charges,41.678424,,,,,,,,,,44.75,percent of total billed charges,41.06470972,,,,,,,,,,44.75,percent of total billed charges,42.12136507,,,,,,,,,,44.75,percent of total billed charges,999999999,,,,,,,,,,44.75,percent of total billed charges,36.14309742,,,,,,,,,,44.75,percent of total billed charges,57.00015704,,,,,,,,,,44.75,percent of total billed charges,999999999,,,,,,,,,,44.75,percent of total billed charges,38.97109844,,,,,,,,,,161.1,percent of total billed charges,,,,,
**PT PHYSICAL PERFORMANCE TEST,97750,CDM,,,,both,,,99,99,21.07551052,99,99,percent of total billed charges,72.83781705,,,,99,percent of total billed charges,77.20664589,,,,99,percent of total billed charges,72.83781705,,,,99,percent of total billed charges,77.20664589,,,,99,percent of total billed charges,999999999,,,,99,percent of total billed charges,75.43119577,,,,99,percent of total billed charges,72.83781705,,,,99,percent of total billed charges,77.20664589,,,,70.587,percent of total billed charges,35.22420474,,,,70.587,percent of total billed charges,21.07551052,,,,70.587,percent of total billed charges,35.22420474,,,,70.587,percent of total billed charges,21.07551052,,,,70.587,percent of total billed charges,35.22420474,,,,70.587,percent of total billed charges,21.07551052,,,,69.894,percent of total billed charges,69.36369522,,,,69.894,percent of total billed charges,47.83959081,,,,,,,,,,71.28,percent of total billed charges,46.33032263,,,,,,,,,,71.28,percent of total billed charges,999999999,,,,,,,,,,79.2,percent of total billed charges,66.36548304,,,,78.21,percent of total billed charges,75.47601576,,,,78.21,percent of total billed charges,66.6855583,,,,79.2,percent of total billed charges,999999999,,,,79.2,percent of total billed charges,999999999,,,,69.3,percent of total billed charges,999999999,,,,69.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,52.668,percent of total billed charges,999999999,,,,,,,,,,,,,,,,49.995,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,24.75,percent of total billed charges,23.50644593,,,,,,,,,,24.75,percent of total billed charges,23.1154322,,,,,,,,,,24.75,percent of total billed charges,23.0511954,,,,,,,,,,24.75,percent of total billed charges,22.71176683,,,,,,,,,,24.75,percent of total billed charges,23.29617398,,,,,,,,,,24.75,percent of total billed charges,999999999,,,,,,,,,,24.75,percent of total billed charges,19.98975779,,,,,,,,,,24.75,percent of total billed charges,31.52522652,,,,,,,,,,24.75,percent of total billed charges,999999999,,,,,,,,,,24.75,percent of total billed charges,21.55384774,,,,,,,,,,89.1,percent of total billed charges,,,,,
PT GAIT TRAINING 15 MIN,97116,CDM,,,GP ,both,,,199,199,42.36390498,199,199,percent of total billed charges,146.4113696,,,,199,percent of total billed charges,155.1931569,,,,199,percent of total billed charges,146.4113696,,,,199,percent of total billed charges,155.1931569,,,,199,percent of total billed charges,999999999,,,,199,percent of total billed charges,151.6243228,,,,199,percent of total billed charges,146.4113696,,,,199,percent of total billed charges,155.1931569,,,,141.887,percent of total billed charges,70.80420954,,,,141.887,percent of total billed charges,42.36390498,,,,141.887,percent of total billed charges,70.80420954,,,,141.887,percent of total billed charges,42.36390498,,,,141.887,percent of total billed charges,70.80420954,,,,141.887,percent of total billed charges,42.36390498,,,,140.494,percent of total billed charges,139.4280338,,,,140.494,percent of total billed charges,96.16240982,,,,,,,,,,143.28,percent of total billed charges,93.12862832,,,,,,,,,,143.28,percent of total billed charges,999999999,,,,,,,,,,159.2,percent of total billed charges,133.4013245,,,,157.21,percent of total billed charges,151.7144155,,,,157.21,percent of total billed charges,134.0447081,,,,159.2,percent of total billed charges,999999999,,,,159.2,percent of total billed charges,999999999,,,,139.3,percent of total billed charges,999999999,,,,139.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,105.868,percent of total billed charges,999999999,,,,,,,,,,,,,,,,100.495,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,49.75,percent of total billed charges,47.25033071,,,,,,,,,,49.75,percent of total billed charges,46.4643536,,,,,,,,,,49.75,percent of total billed charges,46.33523116,,,,,,,,,,49.75,percent of total billed charges,45.65294544,,,,,,,,,,49.75,percent of total billed charges,46.82766284,,,,,,,,,,49.75,percent of total billed charges,999999999,,,,,,,,,,49.75,percent of total billed charges,40.18143232,,,,,,,,,,49.75,percent of total billed charges,63.36888967,,,,,,,,,,49.75,percent of total billed charges,999999999,,,,,,,,,,49.75,percent of total billed charges,43.32541112,,,,,,,,,,179.1,percent of total billed charges,,,,,
PT MANUAL THERAPY 15 MIN,97140,CDM,,,GP ,both,,,196,196,41.72525315,196,196,percent of total billed charges,144.204163,,,,196,percent of total billed charges,152.8535616,,,,196,percent of total billed charges,144.204163,,,,196,percent of total billed charges,152.8535616,,,,196,percent of total billed charges,999999999,,,,196,percent of total billed charges,149.338529,,,,196,percent of total billed charges,144.204163,,,,196,percent of total billed charges,152.8535616,,,,139.748,percent of total billed charges,69.73680939,,,,139.748,percent of total billed charges,41.72525315,,,,139.748,percent of total billed charges,69.73680939,,,,139.748,percent of total billed charges,41.72525315,,,,139.748,percent of total billed charges,69.73680939,,,,139.748,percent of total billed charges,41.72525315,,,,138.376,percent of total billed charges,137.3261037,,,,138.376,percent of total billed charges,94.71272525,,,,,,,,,,141.12,percent of total billed charges,91.72467915,,,,,,,,,,141.12,percent of total billed charges,999999999,,,,,,,,,,156.8,percent of total billed charges,131.3902493,,,,154.84,percent of total billed charges,149.4272635,,,,154.84,percent of total billed charges,132.0239336,,,,156.8,percent of total billed charges,999999999,,,,156.8,percent of total billed charges,999999999,,,,137.2,percent of total billed charges,999999999,,,,137.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,104.272,percent of total billed charges,999999999,,,,,,,,,,,,,,,,98.98,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,49,percent of total billed charges,46.53801416,,,,,,,,,,49,percent of total billed charges,45.76388596,,,,,,,,,,49,percent of total billed charges,45.63671008,,,,,,,,,,49,percent of total billed charges,44.96471008,,,,,,,,,,49,percent of total billed charges,46.12171817,,,,,,,,,,49,percent of total billed charges,999999999,,,,,,,,,,49,percent of total billed charges,39.57568209,,,,,,,,,,49,percent of total billed charges,62.41357978,,,,,,,,,,49,percent of total billed charges,999999999,,,,,,,,,,49,percent of total billed charges,42.67226422,,,,,,,,,,176.4,percent of total billed charges,,,,,
**PT ELECTRICAL STIMULATION UNATTENDED,97014,CDM,,,GP ,both,,,289,289,61.52346,289,289,percent of total billed charges,212.6275669,,,,289,percent of total billed charges,225.3810168,,,,289,percent of total billed charges,212.6275669,,,,289,percent of total billed charges,225.3810168,,,,289,percent of total billed charges,999999999,,,,289,percent of total billed charges,220.1981372,,,,289,percent of total billed charges,212.6275669,,,,289,percent of total billed charges,225.3810168,,,,206.057,percent of total billed charges,102.8262139,,,,206.057,percent of total billed charges,61.52346,,,,206.057,percent of total billed charges,102.8262139,,,,206.057,percent of total billed charges,61.52346,,,,206.057,percent of total billed charges,102.8262139,,,,206.057,percent of total billed charges,61.52346,,,,204.034,percent of total billed charges,202.4859386,,,,204.034,percent of total billed charges,139.6529469,,,,,,,,,,208.08,percent of total billed charges,135.2471034,,,,,,,,,,208.08,percent of total billed charges,999999999,,,,,,,,,,231.2,percent of total billed charges,193.7335818,,,,228.31,percent of total billed charges,220.3289753,,,,228.31,percent of total billed charges,194.6679429,,,,231.2,percent of total billed charges,999999999,,,,231.2,percent of total billed charges,999999999,,,,202.3,percent of total billed charges,999999999,,,,202.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,153.748,percent of total billed charges,999999999,,,,,,,,,,,,,,,,145.945,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,72.25,percent of total billed charges,68.619827,,,,,,,,,,72.25,percent of total billed charges,67.47838287,,,,,,,,,,72.25,percent of total billed charges,67.29086334,,,,,,,,,,72.25,percent of total billed charges,66.30000619,,,,,,,,,,72.25,percent of total billed charges,68.00600282,,,,,,,,,,72.25,percent of total billed charges,999999999,,,,,,,,,,72.25,percent of total billed charges,58.3539394,,,,,,,,,,72.25,percent of total billed charges,92.02818651,,,,,,,,,,72.25,percent of total billed charges,999999999,,,,,,,,,,72.25,percent of total billed charges,62.91981816,,,,,,,,,,260.1,percent of total billed charges,,,,,
PT THERAPEUTIC ACTIVITY 15 MIN,97530,CDM,,,GP ,both,,,190,190,40.44794948,190,190,percent of total billed charges,139.7897499,,,,190,percent of total billed charges,148.1743709,,,,190,percent of total billed charges,139.7897499,,,,190,percent of total billed charges,148.1743709,,,,190,percent of total billed charges,999999999,,,,190,percent of total billed charges,144.7669414,,,,190,percent of total billed charges,139.7897499,,,,190,percent of total billed charges,148.1743709,,,,135.47,percent of total billed charges,67.60200911,,,,135.47,percent of total billed charges,40.44794948,,,,135.47,percent of total billed charges,67.60200911,,,,135.47,percent of total billed charges,40.44794948,,,,135.47,percent of total billed charges,67.60200911,,,,135.47,percent of total billed charges,40.44794948,,,,134.14,percent of total billed charges,133.1222434,,,,134.14,percent of total billed charges,91.81335611,,,,,,,,,,136.8,percent of total billed charges,88.91678081,,,,,,,,,,136.8,percent of total billed charges,999999999,,,,,,,,,,152,percent of total billed charges,127.3680988,,,,150.1,percent of total billed charges,144.8529595,,,,150.1,percent of total billed charges,127.9823846,,,,152,percent of total billed charges,999999999,,,,152,percent of total billed charges,999999999,,,,133,percent of total billed charges,999999999,,,,133,percent of total billed charges,999999999,,,,,,,,,,,,,,,,101.08,percent of total billed charges,999999999,,,,,,,,,,,,,,,,95.95,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,47.5,percent of total billed charges,45.11338108,,,,,,,,,,47.5,percent of total billed charges,44.36295068,,,,,,,,,,47.5,percent of total billed charges,44.23966794,,,,,,,,,,47.5,percent of total billed charges,43.58823937,,,,,,,,,,47.5,percent of total billed charges,44.70982884,,,,,,,,,,47.5,percent of total billed charges,999999999,,,,,,,,,,47.5,percent of total billed charges,38.36418162,,,,,,,,,,47.5,percent of total billed charges,60.50295999,,,,,,,,,,47.5,percent of total billed charges,999999999,,,,,,,,,,47.5,percent of total billed charges,41.36597042,,,,,,,,,,171,percent of total billed charges,,,,,
PT WHEELCHAIR MNGT 15 MIN,97542,CDM,,,GP ,both,,,162,162,34.48719903,162,162,percent of total billed charges,119.1891552,,,,162,percent of total billed charges,126.3381478,,,,162,percent of total billed charges,119.1891552,,,,162,percent of total billed charges,126.3381478,,,,162,percent of total billed charges,999999999,,,,162,percent of total billed charges,123.4328658,,,,162,percent of total billed charges,119.1891552,,,,162,percent of total billed charges,126.3381478,,,,115.506,percent of total billed charges,57.63960776,,,,115.506,percent of total billed charges,34.48719903,,,,115.506,percent of total billed charges,57.63960776,,,,115.506,percent of total billed charges,34.48719903,,,,115.506,percent of total billed charges,57.63960776,,,,115.506,percent of total billed charges,34.48719903,,,,114.372,percent of total billed charges,113.5042285,,,,114.372,percent of total billed charges,78.28296679,,,,,,,,,,116.64,percent of total billed charges,75.81325521,,,,,,,,,,116.64,percent of total billed charges,999999999,,,,,,,,,,129.6,percent of total billed charges,108.5980632,,,,127.98,percent of total billed charges,123.5062076,,,,127.98,percent of total billed charges,109.1218227,,,,129.6,percent of total billed charges,999999999,,,,129.6,percent of total billed charges,999999999,,,,113.4,percent of total billed charges,999999999,,,,113.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,86.184,percent of total billed charges,999999999,,,,,,,,,,,,,,,,81.81,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,40.5,percent of total billed charges,38.46509334,,,,,,,,,,40.5,percent of total billed charges,37.82525268,,,,,,,,,,40.5,percent of total billed charges,37.72013793,,,,,,,,,,40.5,percent of total billed charges,37.16470935,,,,,,,,,,40.5,percent of total billed charges,38.12101196,,,,,,,,,,40.5,percent of total billed charges,999999999,,,,,,,,,,40.5,percent of total billed charges,32.71051275,,,,,,,,,,40.5,percent of total billed charges,51.58673431,,,,,,,,,,40.5,percent of total billed charges,999999999,,,,,,,,,,40.5,percent of total billed charges,35.26993267,,,,,,,,,,145.8,percent of total billed charges,,,,,
**PT WHIRLPOOL,97022,CDM,,,GP ,both,,,249,249,53.00810221,249,249,percent of total billed charges,183.1981459,,,,249,percent of total billed charges,194.1864124,,,,249,percent of total billed charges,183.1981459,,,,249,percent of total billed charges,194.1864124,,,,249,percent of total billed charges,999999999,,,,249,percent of total billed charges,189.7208863,,,,249,percent of total billed charges,183.1981459,,,,249,percent of total billed charges,194.1864124,,,,177.537,percent of total billed charges,88.59421193,,,,177.537,percent of total billed charges,53.00810221,,,,177.537,percent of total billed charges,88.59421193,,,,177.537,percent of total billed charges,53.00810221,,,,177.537,percent of total billed charges,88.59421193,,,,177.537,percent of total billed charges,53.00810221,,,,175.794,percent of total billed charges,174.4602031,,,,175.794,percent of total billed charges,120.3238193,,,,,,,,,,179.28,percent of total billed charges,116.5277812,,,,,,,,,,179.28,percent of total billed charges,999999999,,,,,,,,,,199.2,percent of total billed charges,166.9192452,,,,196.71,percent of total billed charges,189.8336154,,,,196.71,percent of total billed charges,167.724283,,,,199.2,percent of total billed charges,999999999,,,,199.2,percent of total billed charges,999999999,,,,174.3,percent of total billed charges,999999999,,,,174.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,132.468,percent of total billed charges,999999999,,,,,,,,,,,,,,,,125.745,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,62.25,percent of total billed charges,59.12227309,,,,,,,,,,62.25,percent of total billed charges,58.13881431,,,,,,,,,,62.25,percent of total billed charges,57.97724903,,,,,,,,,,62.25,percent of total billed charges,57.12353475,,,,,,,,,,62.25,percent of total billed charges,58.59340727,,,,,,,,,,62.25,percent of total billed charges,999999999,,,,,,,,,,62.25,percent of total billed charges,50.27726959,,,,,,,,,,62.25,percent of total billed charges,79.29072125,,,,,,,,,,62.25,percent of total billed charges,999999999,,,,,,,,,,62.25,percent of total billed charges,54.21119281,,,,,,,,,,224.1,percent of total billed charges,,,,,
**PT WOUND DEBRIDEMENT <20CM,97597,CDM,,,GP ,both,,,723,723,153.915092,723,723,percent of total billed charges,531.9367851,,,,723,percent of total billed charges,563.8424745,,,,723,percent of total billed charges,531.9367851,,,,723,percent of total billed charges,563.8424745,,,,723,percent of total billed charges,999999999,,,,723,percent of total billed charges,550.8763085,,,,723,percent of total billed charges,531.9367851,,,,723,percent of total billed charges,563.8424745,,,,515.499,percent of total billed charges,257.2434347,,,,515.499,percent of total billed charges,153.915092,,,,515.499,percent of total billed charges,257.2434347,,,,515.499,percent of total billed charges,153.915092,,,,515.499,percent of total billed charges,257.2434347,,,,515.499,percent of total billed charges,153.915092,,,,510.438,percent of total billed charges,506.5651681,,,,510.438,percent of total billed charges,349.3739814,,,,,,,,,,520.56,percent of total billed charges,338.3517501,,,,,,,,,,520.56,percent of total billed charges,999999999,,,,,,,,,,578.4,percent of total billed charges,484.6691338,,,,571.17,percent of total billed charges,551.2036303,,,,571.17,percent of total billed charges,487.006653,,,,578.4,percent of total billed charges,999999999,,,,578.4,percent of total billed charges,999999999,,,,506.1,percent of total billed charges,999999999,,,,506.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,384.636,percent of total billed charges,999999999,,,,,,,,,,,,,,,,365.115,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,180.75,percent of total billed charges,171.6682869,,,,,,,,,,180.75,percent of total billed charges,168.8127018,,,,,,,,,,180.75,percent of total billed charges,168.3435785,,,,,,,,,,180.75,percent of total billed charges,165.8647214,,,,,,,,,,180.75,percent of total billed charges,170.1326645,,,,,,,,,,180.75,percent of total billed charges,999999999,,,,,,,,,,180.75,percent of total billed charges,145.9858069,,,,,,,,,,180.75,percent of total billed charges,230.2296846,,,,,,,,,,180.75,percent of total billed charges,999999999,,,,,,,,,,180.75,percent of total billed charges,157.4084032,,,,,,,,,,650.7,percent of total billed charges,,,,,
**PT WOUND DEBRIDEMENT >20CM,97598,CDM,,,GP ,both,,,723,723,153.915092,723,723,percent of total billed charges,531.9367851,,,,723,percent of total billed charges,563.8424745,,,,723,percent of total billed charges,531.9367851,,,,723,percent of total billed charges,563.8424745,,,,723,percent of total billed charges,999999999,,,,723,percent of total billed charges,550.8763085,,,,723,percent of total billed charges,531.9367851,,,,723,percent of total billed charges,563.8424745,,,,515.499,percent of total billed charges,257.2434347,,,,515.499,percent of total billed charges,153.915092,,,,515.499,percent of total billed charges,257.2434347,,,,515.499,percent of total billed charges,153.915092,,,,515.499,percent of total billed charges,257.2434347,,,,515.499,percent of total billed charges,153.915092,,,,510.438,percent of total billed charges,506.5651681,,,,510.438,percent of total billed charges,349.3739814,,,,,,,,,,520.56,percent of total billed charges,338.3517501,,,,,,,,,,520.56,percent of total billed charges,999999999,,,,,,,,,,578.4,percent of total billed charges,484.6691338,,,,571.17,percent of total billed charges,551.2036303,,,,571.17,percent of total billed charges,487.006653,,,,578.4,percent of total billed charges,999999999,,,,578.4,percent of total billed charges,999999999,,,,506.1,percent of total billed charges,999999999,,,,506.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,384.636,percent of total billed charges,999999999,,,,,,,,,,,,,,,,365.115,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,180.75,percent of total billed charges,171.6682869,,,,,,,,,,180.75,percent of total billed charges,168.8127018,,,,,,,,,,180.75,percent of total billed charges,168.3435785,,,,,,,,,,180.75,percent of total billed charges,165.8647214,,,,,,,,,,180.75,percent of total billed charges,170.1326645,,,,,,,,,,180.75,percent of total billed charges,999999999,,,,,,,,,,180.75,percent of total billed charges,145.9858069,,,,,,,,,,180.75,percent of total billed charges,230.2296846,,,,,,,,,,180.75,percent of total billed charges,999999999,,,,,,,,,,180.75,percent of total billed charges,157.4084032,,,,,,,,,,650.7,percent of total billed charges,,,,,
**OT GROUP THERAPY,97150,CDM,,,GO,both,,,284,284,60.45904027,284,284,percent of total billed charges,208.9488893,,,,284,percent of total billed charges,221.4816912,,,,284,percent of total billed charges,208.9488893,,,,284,percent of total billed charges,221.4816912,,,,284,percent of total billed charges,999999999,,,,284,percent of total billed charges,216.3884808,,,,284,percent of total billed charges,208.9488893,,,,284,percent of total billed charges,221.4816912,,,,202.492,percent of total billed charges,101.0472136,,,,202.492,percent of total billed charges,60.45904027,,,,202.492,percent of total billed charges,101.0472136,,,,202.492,percent of total billed charges,60.45904027,,,,202.492,percent of total billed charges,101.0472136,,,,202.492,percent of total billed charges,60.45904027,,,,200.504,percent of total billed charges,198.9827216,,,,200.504,percent of total billed charges,137.236806,,,,,,,,,,204.48,percent of total billed charges,132.9071882,,,,,,,,,,204.48,percent of total billed charges,999999999,,,,,,,,,,227.2,percent of total billed charges,190.3817897,,,,224.36,percent of total billed charges,216.5170553,,,,224.36,percent of total billed charges,191.2999854,,,,227.2,percent of total billed charges,999999999,,,,227.2,percent of total billed charges,999999999,,,,198.8,percent of total billed charges,999999999,,,,198.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,151.088,percent of total billed charges,999999999,,,,,,,,,,,,,,,,143.42,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,71,percent of total billed charges,67.43263276,,,,,,,,,,71,percent of total billed charges,66.3109368,,,,,,,,,,71,percent of total billed charges,66.12666155,,,,,,,,,,71,percent of total billed charges,65.15294726,,,,,,,,,,71,percent of total billed charges,66.82942838,,,,,,,,,,71,percent of total billed charges,999999999,,,,,,,,,,71,percent of total billed charges,57.34435568,,,,,,,,,,71,percent of total billed charges,90.43600335,,,,,,,,,,71,percent of total billed charges,999999999,,,,,,,,,,71,percent of total billed charges,61.83123999,,,,,,,,,,255.6,percent of total billed charges,,,,,
**PT CONTRAST BATHS 15 MIN,97034,CDM,,,GP ,both,,,209,209,44.49274443,209,209,percent of total billed charges,153.7687249,,,,209,percent of total billed charges,162.991808,,,,209,percent of total billed charges,153.7687249,,,,209,percent of total billed charges,162.991808,,,,209,percent of total billed charges,999999999,,,,209,percent of total billed charges,159.2436355,,,,209,percent of total billed charges,153.7687249,,,,209,percent of total billed charges,162.991808,,,,149.017,percent of total billed charges,74.36221002,,,,149.017,percent of total billed charges,44.49274443,,,,149.017,percent of total billed charges,74.36221002,,,,149.017,percent of total billed charges,44.49274443,,,,149.017,percent of total billed charges,74.36221002,,,,149.017,percent of total billed charges,44.49274443,,,,147.554,percent of total billed charges,146.4344677,,,,147.554,percent of total billed charges,100.9946917,,,,,,,,,,150.48,percent of total billed charges,97.80845889,,,,,,,,,,150.48,percent of total billed charges,999999999,,,,,,,,,,167.2,percent of total billed charges,140.1049087,,,,165.11,percent of total billed charges,159.3382555,,,,165.11,percent of total billed charges,140.7806231,,,,167.2,percent of total billed charges,999999999,,,,167.2,percent of total billed charges,999999999,,,,146.3,percent of total billed charges,999999999,,,,146.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,111.188,percent of total billed charges,999999999,,,,,,,,,,,,,,,,105.545,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,52.25,percent of total billed charges,49.62471918,,,,,,,,,,52.25,percent of total billed charges,48.79924575,,,,,,,,,,52.25,percent of total billed charges,48.66363473,,,,,,,,,,52.25,percent of total billed charges,47.9470633,,,,,,,,,,52.25,percent of total billed charges,49.18081173,,,,,,,,,,52.25,percent of total billed charges,999999999,,,,,,,,,,52.25,percent of total billed charges,42.20059978,,,,,,,,,,52.25,percent of total billed charges,66.55325599,,,,,,,,,,52.25,percent of total billed charges,999999999,,,,,,,,,,52.25,percent of total billed charges,45.50256746,,,,,,,,,,188.1,percent of total billed charges,,,,,
**PT PARAFFIN BATH,97018,CDM,,,GP ,both,,,166,166,35.33873481,166,166,percent of total billed charges,122.1320973,,,,166,percent of total billed charges,129.4576083,,,,166,percent of total billed charges,122.1320973,,,,166,percent of total billed charges,129.4576083,,,,166,percent of total billed charges,999999999,,,,166,percent of total billed charges,126.4805909,,,,166,percent of total billed charges,122.1320973,,,,166,percent of total billed charges,129.4576083,,,,118.358,percent of total billed charges,59.06280796,,,,118.358,percent of total billed charges,35.33873481,,,,118.358,percent of total billed charges,59.06280796,,,,118.358,percent of total billed charges,35.33873481,,,,118.358,percent of total billed charges,59.06280796,,,,118.358,percent of total billed charges,35.33873481,,,,117.196,percent of total billed charges,116.3068021,,,,117.196,percent of total billed charges,80.21587955,,,,,,,,,,119.52,percent of total billed charges,77.68518744,,,,,,,,,,119.52,percent of total billed charges,999999999,,,,,,,,,,132.8,percent of total billed charges,111.2794968,,,,131.14,percent of total billed charges,126.5557436,,,,131.14,percent of total billed charges,111.8161887,,,,132.8,percent of total billed charges,999999999,,,,132.8,percent of total billed charges,999999999,,,,116.2,percent of total billed charges,999999999,,,,116.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,88.312,percent of total billed charges,999999999,,,,,,,,,,,,,,,,83.83,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,41.5,percent of total billed charges,39.41484873,,,,,,,,,,41.5,percent of total billed charges,38.75920954,,,,,,,,,,41.5,percent of total billed charges,38.65149936,,,,,,,,,,41.5,percent of total billed charges,38.0823565,,,,,,,,,,41.5,percent of total billed charges,39.06227152,,,,,,,,,,41.5,percent of total billed charges,999999999,,,,,,,,,,41.5,percent of total billed charges,33.51817973,,,,,,,,,,41.5,percent of total billed charges,52.86048083,,,,,,,,,,41.5,percent of total billed charges,999999999,,,,,,,,,,41.5,percent of total billed charges,36.14079521,,,,,,,,,,149.4,percent of total billed charges,,,,,
PT EXERCISE 15 MIN,97110,CDM,,,GP ,both,,,197,197,41.93813709,197,197,percent of total billed charges,144.9398986,,,,197,percent of total billed charges,153.6334267,,,,197,percent of total billed charges,144.9398986,,,,197,percent of total billed charges,153.6334267,,,,197,percent of total billed charges,999999999,,,,197,percent of total billed charges,150.1004603,,,,197,percent of total billed charges,144.9398986,,,,197,percent of total billed charges,153.6334267,,,,140.461,percent of total billed charges,70.09260944,,,,140.461,percent of total billed charges,41.93813709,,,,140.461,percent of total billed charges,70.09260944,,,,140.461,percent of total billed charges,41.93813709,,,,140.461,percent of total billed charges,70.09260944,,,,140.461,percent of total billed charges,41.93813709,,,,139.082,percent of total billed charges,138.0267471,,,,139.082,percent of total billed charges,95.19595344,,,,,,,,,,141.84,percent of total billed charges,92.19266221,,,,,,,,,,141.84,percent of total billed charges,999999999,,,,,,,,,,157.6,percent of total billed charges,132.0606077,,,,155.63,percent of total billed charges,150.1896475,,,,155.63,percent of total billed charges,132.6975251,,,,157.6,percent of total billed charges,999999999,,,,157.6,percent of total billed charges,999999999,,,,137.9,percent of total billed charges,999999999,,,,137.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,104.804,percent of total billed charges,999999999,,,,,,,,,,,,,,,,99.485,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,49.25,percent of total billed charges,46.77545301,,,,,,,,,,49.25,percent of total billed charges,45.99737518,,,,,,,,,,49.25,percent of total billed charges,45.86955044,,,,,,,,,,49.25,percent of total billed charges,45.19412187,,,,,,,,,,49.25,percent of total billed charges,46.35703306,,,,,,,,,,49.25,percent of total billed charges,999999999,,,,,,,,,,49.25,percent of total billed charges,39.77759883,,,,,,,,,,49.25,percent of total billed charges,62.73201641,,,,,,,,,,49.25,percent of total billed charges,999999999,,,,,,,,,,49.25,percent of total billed charges,42.88997985,,,,,,,,,,177.3,percent of total billed charges,,,,,
**PT PROSTHETIC TRAINING 15 MIN,97761,CDM,,,GP ,both,,,249,249,53.00810221,249,249,percent of total billed charges,183.1981459,,,,249,percent of total billed charges,194.1864124,,,,249,percent of total billed charges,183.1981459,,,,249,percent of total billed charges,194.1864124,,,,249,percent of total billed charges,999999999,,,,249,percent of total billed charges,189.7208863,,,,249,percent of total billed charges,183.1981459,,,,249,percent of total billed charges,194.1864124,,,,177.537,percent of total billed charges,88.59421193,,,,177.537,percent of total billed charges,53.00810221,,,,177.537,percent of total billed charges,88.59421193,,,,177.537,percent of total billed charges,53.00810221,,,,177.537,percent of total billed charges,88.59421193,,,,177.537,percent of total billed charges,53.00810221,,,,175.794,percent of total billed charges,174.4602031,,,,175.794,percent of total billed charges,120.3238193,,,,,,,,,,179.28,percent of total billed charges,116.5277812,,,,,,,,,,179.28,percent of total billed charges,999999999,,,,,,,,,,199.2,percent of total billed charges,166.9192452,,,,196.71,percent of total billed charges,189.8336154,,,,196.71,percent of total billed charges,167.724283,,,,199.2,percent of total billed charges,999999999,,,,199.2,percent of total billed charges,999999999,,,,174.3,percent of total billed charges,999999999,,,,174.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,132.468,percent of total billed charges,999999999,,,,,,,,,,,,,,,,125.745,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,62.25,percent of total billed charges,59.12227309,,,,,,,,,,62.25,percent of total billed charges,58.13881431,,,,,,,,,,62.25,percent of total billed charges,57.97724903,,,,,,,,,,62.25,percent of total billed charges,57.12353475,,,,,,,,,,62.25,percent of total billed charges,58.59340727,,,,,,,,,,62.25,percent of total billed charges,999999999,,,,,,,,,,62.25,percent of total billed charges,50.27726959,,,,,,,,,,62.25,percent of total billed charges,79.29072125,,,,,,,,,,62.25,percent of total billed charges,999999999,,,,,,,,,,62.25,percent of total billed charges,54.21119281,,,,,,,,,,224.1,percent of total billed charges,,,,,
PT IONTOPHORESIS 15 MINUTES,97033,CDM,,,GP ,both,,,190,190,40.44794948,190,190,percent of total billed charges,139.7897499,,,,190,percent of total billed charges,148.1743709,,,,190,percent of total billed charges,139.7897499,,,,190,percent of total billed charges,148.1743709,,,,190,percent of total billed charges,999999999,,,,190,percent of total billed charges,144.7669414,,,,190,percent of total billed charges,139.7897499,,,,190,percent of total billed charges,148.1743709,,,,135.47,percent of total billed charges,67.60200911,,,,135.47,percent of total billed charges,40.44794948,,,,135.47,percent of total billed charges,67.60200911,,,,135.47,percent of total billed charges,40.44794948,,,,135.47,percent of total billed charges,67.60200911,,,,135.47,percent of total billed charges,40.44794948,,,,134.14,percent of total billed charges,133.1222434,,,,134.14,percent of total billed charges,91.81335611,,,,,,,,,,136.8,percent of total billed charges,88.91678081,,,,,,,,,,136.8,percent of total billed charges,999999999,,,,,,,,,,152,percent of total billed charges,127.3680988,,,,150.1,percent of total billed charges,144.8529595,,,,150.1,percent of total billed charges,127.9823846,,,,152,percent of total billed charges,999999999,,,,152,percent of total billed charges,999999999,,,,133,percent of total billed charges,999999999,,,,133,percent of total billed charges,999999999,,,,,,,,,,,,,,,,101.08,percent of total billed charges,999999999,,,,,,,,,,,,,,,,95.95,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,47.5,percent of total billed charges,45.11338108,,,,,,,,,,47.5,percent of total billed charges,44.36295068,,,,,,,,,,47.5,percent of total billed charges,44.23966794,,,,,,,,,,47.5,percent of total billed charges,43.58823937,,,,,,,,,,47.5,percent of total billed charges,44.70982884,,,,,,,,,,47.5,percent of total billed charges,999999999,,,,,,,,,,47.5,percent of total billed charges,38.36418162,,,,,,,,,,47.5,percent of total billed charges,60.50295999,,,,,,,,,,47.5,percent of total billed charges,999999999,,,,,,,,,,47.5,percent of total billed charges,41.36597042,,,,,,,,,,171,percent of total billed charges,,,,,
PT TRACTION MECHANICAL,97012,CDM,,,GP ,both,,,203,203,43.21544076,203,203,percent of total billed charges,149.3543117,,,,203,percent of total billed charges,158.3126173,,,,203,percent of total billed charges,149.3543117,,,,203,percent of total billed charges,158.3126173,,,,203,percent of total billed charges,999999999,,,,203,percent of total billed charges,154.6720479,,,,203,percent of total billed charges,149.3543117,,,,203,percent of total billed charges,158.3126173,,,,144.739,percent of total billed charges,72.22740973,,,,144.739,percent of total billed charges,43.21544076,,,,144.739,percent of total billed charges,72.22740973,,,,144.739,percent of total billed charges,43.21544076,,,,144.739,percent of total billed charges,72.22740973,,,,144.739,percent of total billed charges,43.21544076,,,,143.318,percent of total billed charges,142.2306074,,,,143.318,percent of total billed charges,98.09532258,,,,,,,,,,146.16,percent of total billed charges,95.00056055,,,,,,,,,,146.16,percent of total billed charges,999999999,,,,,,,,,,162.4,percent of total billed charges,136.0827582,,,,160.37,percent of total billed charges,154.7639515,,,,160.37,percent of total billed charges,136.7390741,,,,162.4,percent of total billed charges,999999999,,,,162.4,percent of total billed charges,999999999,,,,142.1,percent of total billed charges,999999999,,,,142.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,107.996,percent of total billed charges,999999999,,,,,,,,,,,,,,,,102.515,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,50.75,percent of total billed charges,48.2000861,,,,,,,,,,50.75,percent of total billed charges,47.39831046,,,,,,,,,,50.75,percent of total billed charges,47.26659259,,,,,,,,,,50.75,percent of total billed charges,46.57059258,,,,,,,,,,50.75,percent of total billed charges,47.7689224,,,,,,,,,,50.75,percent of total billed charges,999999999,,,,,,,,,,50.75,percent of total billed charges,40.9890993,,,,,,,,,,50.75,percent of total billed charges,64.6426362,,,,,,,,,,50.75,percent of total billed charges,999999999,,,,,,,,,,50.75,percent of total billed charges,44.19627365,,,,,,,,,,182.7,percent of total billed charges,,,,,
**PT ORTHOTICS TRAINING-15 MIN,97760,CDM,,,GP ,both,,,165,165,35.12585086,165,165,percent of total billed charges,121.3963617,,,,165,percent of total billed charges,128.6777432,,,,165,percent of total billed charges,121.3963617,,,,165,percent of total billed charges,128.6777432,,,,165,percent of total billed charges,999999999,,,,165,percent of total billed charges,125.7186596,,,,165,percent of total billed charges,121.3963617,,,,165,percent of total billed charges,128.6777432,,,,117.645,percent of total billed charges,58.70700791,,,,117.645,percent of total billed charges,35.12585086,,,,117.645,percent of total billed charges,58.70700791,,,,117.645,percent of total billed charges,35.12585086,,,,117.645,percent of total billed charges,58.70700791,,,,117.645,percent of total billed charges,35.12585086,,,,116.49,percent of total billed charges,115.6061587,,,,116.49,percent of total billed charges,79.73265136,,,,,,,,,,118.8,percent of total billed charges,77.21720438,,,,,,,,,,118.8,percent of total billed charges,999999999,,,,,,,,,,132,percent of total billed charges,110.6091384,,,,130.35,percent of total billed charges,125.7933596,,,,130.35,percent of total billed charges,111.1425972,,,,132,percent of total billed charges,999999999,,,,132,percent of total billed charges,999999999,,,,115.5,percent of total billed charges,999999999,,,,115.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,87.78,percent of total billed charges,999999999,,,,,,,,,,,,,,,,83.325,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,41.25,percent of total billed charges,39.17740988,,,,,,,,,,41.25,percent of total billed charges,38.52572033,,,,,,,,,,41.25,percent of total billed charges,38.418659,,,,,,,,,,41.25,percent of total billed charges,37.85294471,,,,,,,,,,41.25,percent of total billed charges,38.82695663,,,,,,,,,,41.25,percent of total billed charges,999999999,,,,,,,,,,41.25,percent of total billed charges,33.31626298,,,,,,,,,,41.25,percent of total billed charges,52.5420442,,,,,,,,,,41.25,percent of total billed charges,999999999,,,,,,,,,,41.25,percent of total billed charges,35.92307957,,,,,,,,,,148.5,percent of total billed charges,,,,,
**NEGATIVE PRESSURE WOUND THERAPY TOTAL,97605,CDM,,,,both,,,669,669,142.419359,669,669,percent of total billed charges,492.2070667,,,,669,percent of total billed charges,521.7297586,,,,669,percent of total billed charges,492.2070667,,,,669,percent of total billed charges,521.7297586,,,,669,percent of total billed charges,999999999,,,,669,percent of total billed charges,509.7320199,,,,669,percent of total billed charges,492.2070667,,,,669,percent of total billed charges,521.7297586,,,,476.997,percent of total billed charges,238.0302321,,,,476.997,percent of total billed charges,142.419359,,,,476.997,percent of total billed charges,238.0302321,,,,476.997,percent of total billed charges,142.419359,,,,476.997,percent of total billed charges,238.0302321,,,,476.997,percent of total billed charges,142.419359,,,,472.314,percent of total billed charges,468.7304253,,,,472.314,percent of total billed charges,323.2796591,,,,,,,,,,481.68,percent of total billed charges,313.0806651,,,,,,,,,,481.68,percent of total billed charges,999999999,,,,,,,,,,535.2,percent of total billed charges,448.4697794,,,,528.51,percent of total billed charges,510.0348944,,,,528.51,percent of total billed charges,450.6327121,,,,535.2,percent of total billed charges,999999999,,,,535.2,percent of total billed charges,999999999,,,,468.3,percent of total billed charges,999999999,,,,468.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,355.908,percent of total billed charges,999999999,,,,,,,,,,,,,,,,337.845,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,167.25,percent of total billed charges,158.8465892,,,,,,,,,,167.25,percent of total billed charges,156.2042842,,,,,,,,,,167.25,percent of total billed charges,155.7701992,,,,,,,,,,167.25,percent of total billed charges,153.4764849,,,,,,,,,,167.25,percent of total billed charges,157.4256605,,,,,,,,,,167.25,percent of total billed charges,999999999,,,,,,,,,,167.25,percent of total billed charges,135.0823026,,,,,,,,,,167.25,percent of total billed charges,213.0341065,,,,,,,,,,167.25,percent of total billed charges,999999999,,,,,,,,,,167.25,percent of total billed charges,145.651759,,,,,,,,,,602.1,percent of total billed charges,,,,,
PT ULTRASOUND 15 MIN,97035,CDM,,,GP ,both,,,158,158,33.63566325,158,158,percent of total billed charges,116.2462131,,,,158,percent of total billed charges,123.2186874,,,,158,percent of total billed charges,116.2462131,,,,158,percent of total billed charges,123.2186874,,,,158,percent of total billed charges,999999999,,,,158,percent of total billed charges,120.3851407,,,,158,percent of total billed charges,116.2462131,,,,158,percent of total billed charges,123.2186874,,,,112.654,percent of total billed charges,56.21640757,,,,112.654,percent of total billed charges,33.63566325,,,,112.654,percent of total billed charges,56.21640757,,,,112.654,percent of total billed charges,33.63566325,,,,112.654,percent of total billed charges,56.21640757,,,,112.654,percent of total billed charges,33.63566325,,,,111.548,percent of total billed charges,110.701655,,,,111.548,percent of total billed charges,76.35005403,,,,,,,,,,113.76,percent of total billed charges,73.94132299,,,,,,,,,,113.76,percent of total billed charges,999999999,,,,,,,,,,126.4,percent of total billed charges,105.9166295,,,,124.82,percent of total billed charges,120.4566716,,,,124.82,percent of total billed charges,106.4274567,,,,126.4,percent of total billed charges,999999999,,,,126.4,percent of total billed charges,999999999,,,,110.6,percent of total billed charges,999999999,,,,110.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,84.056,percent of total billed charges,999999999,,,,,,,,,,,,,,,,79.79,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,39.5,percent of total billed charges,37.51533795,,,,,,,,,,39.5,percent of total billed charges,36.89129583,,,,,,,,,,39.5,percent of total billed charges,36.7887765,,,,,,,,,,39.5,percent of total billed charges,36.24706221,,,,,,,,,,39.5,percent of total billed charges,37.17975241,,,,,,,,,,39.5,percent of total billed charges,999999999,,,,,,,,,,39.5,percent of total billed charges,31.90284576,,,,,,,,,,39.5,percent of total billed charges,50.31298778,,,,,,,,,,39.5,percent of total billed charges,999999999,,,,,,,,,,39.5,percent of total billed charges,34.39907014,,,,,,,,,,142.2,percent of total billed charges,,,,,
**PT MOBILITY (CURRENT) CH,G8978,CDM,,,"CH , GP",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**PT MOBILITY (CURRENT) CI,G8978,CDM,,,"CI , GP",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**PT MOBILITY (CURRENT) CJ,G8978,CDM,,,"CJ , GP",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**PT MOBILITY (CURRENT) CK,G8978,CDM,,,"CK , GP",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**PT MOBILITY (CURRENT) CL,G8978,CDM,,,"CL , GP",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**PT MOBILITY (CURRENT) CM,G8978,CDM,,,"CM , GP",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**PT MOBILITY (CURRENT) CN,G8978,CDM,,,"CN , GP",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**PT MOBILITY (GOAL) CH,G8979,CDM,,,"CH , GP",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**PT MOBILITY (GOAL) CI,G8979,CDM,,,"CI , GP",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**PT MOBILITY (GOAL) CJ,G8979,CDM,,,"CJ , GP",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**PT MOBILITY (GOAL) CK,G8979,CDM,,,"CK , GP",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**PT MOBILITY (GOAL) CL,G8979,CDM,,,"CL , GP",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**PT MOBILITY (GOAL) CM,G8979,CDM,,,"CM , GP",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**PT MOBILITY (GOAL) CN,G8979,CDM,,,"CN , GP",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**PT MOBILITY (DC) CH,G8980,CDM,,,"CH , GP",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**PT MOBILITY (DC) CI,G8980,CDM,,,"CI , GP",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**PT MOBILITY (DC) CJ,G8980,CDM,,,"CJ , GP",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**PT MOBILITY (DC) CK,G8980,CDM,,,"CK , GP",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**PT MOBILITY (DC) CL,G8980,CDM,,,"CL , GP",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**PT MOBILITY (DC) CM,G8980,CDM,,,"CM , GP",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**PT MOBILITY (DC) CN,G8980,CDM,,,"CN , GP",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**PT CHANGING BODY POSITION (CURRENT) CH,G8981,CDM,,,"CH , GP",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**PT CHANGING BODY POSITION (CURRENT) CI,G8981,CDM,,,"CI , GP",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**PT CHANGING BODY POSITION (CURRENT) CJ,G8981,CDM,,,"CJ , GP",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**PT CHANGING BODY POSITION (CURRENT) CK,G8981,CDM,,,"CK , GP",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**PT CHANGING BODY POSITION (CURRENT) CL,G8981,CDM,,,"CL , GP",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**PT CHANGING BODY POSITION (CURRENT) CM,G8981,CDM,,,"CM , GP",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**PT CHANGING BODY POSITION (CURRENT) CN,G8981,CDM,,,"CN , GP",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**PT CHANGING BODY POSITION (GOAL) CH,G8982,CDM,,,"CH , GP",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**PT CHANGING BODY POSITION (GOAL) CI,G8982,CDM,,,"CI , GP",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**PT CHANGING BODY POSITION (GOAL) CJ,G8982,CDM,,,"CJ , GP",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**PT CHANGING BODY POSITION (GOAL) CK,G8982,CDM,,,"CK , GP",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**PT CHANGING BODY POSITION (GOAL) CL,G8982,CDM,,,"CL , GP",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**PT CHANGING BODY POSITION (GOAL) CM,G8982,CDM,,,"CM , GP",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**PT CHANGING BODY POSITION (GOAL) CN,G8982,CDM,,,"CN , GP",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**PT CHANGING BODY POSITION (DC) CH,G8983,CDM,,,"CH , GP",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**PT CHANGING BODY POSITION (DC) CI,G8983,CDM,,,"CI , GP",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**PT CHANGING BODY POSITION (DC) CJ,G8983,CDM,,,"CJ , GP",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**PT CHANGING BODY POSITION (DC) CK,G8983,CDM,,,"CK , GP",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**PT CHANGING BODY POSITION (DC) CL,G8983,CDM,,,"CL , GP",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**PT CHANGING BODY POSITION (DC) CM,G8983,CDM,,,"CM , GP",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**PT CHANGING BODY POSITION (DC) CN,G8983,CDM,,,"CN , GP",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
"**PT CARRYING, MOVING OBJECTS (CURRENT)",G8984,CDM,,,"CH , GP",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
"**PT CARRYING, MOVING OBJECTS (CURRENT)",G8984,CDM,,,"CI , GP",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
"**PT CARRYING, MOVING OBJECTS (CURRENT)",G8984,CDM,,,"CJ , GP",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
"**PT CARRYING, MOVING OBJECTS (CURRENT)",G8984,CDM,,,"CK , GP",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
"**PT CARRYING, MOVING OBJECTS (CURRENT)",G8984,CDM,,,"CL , GP",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
"**PT CARRYING, MOVING OBJECTS (CURRENT)",G8984,CDM,,,"CM , GP",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
"**PT CARRYING, MOVING OBJECTS (CURRENT)",G8984,CDM,,,"CN , GP",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
"**PT CARRYING, MOVING OBJECTS (GOAL) CH",G8985,CDM,,,"CH , GP",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
"**PT CARRYING, MOVING OBJECTS (GOAL) CI",G8985,CDM,,,"CI , GP",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
"**PT CARRYING, MOVING OBJECTS (GOAL) CJ",G8985,CDM,,,"CJ , GP",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
"**PT CARRYING, MOVING OBJECTS (GOAL) CK",G8985,CDM,,,"CK , GP",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
"**PT CARRYING, MOVING OBJECTS (GOAL) CL",G8985,CDM,,,"CL , GP",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
"**PT CARRYING, MOVING OBJECTS (GOAL) CM",G8985,CDM,,,"CM , GP",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
"**PT CARRYING, MOVING OBJECTS (GOAL) CN",G8985,CDM,,,"CN , GP",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
"**PT CARRYING, MOVING OBJECTS (DC) CH",G8986,CDM,,,"CH , GP",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
"**PT CARRYING, MOVING OBJECTS (DC) CI",G8986,CDM,,,"CI , GP",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
"**PT CARRYING, MOVING OBJECTS (DC) CJ",G8986,CDM,,,"CJ , GP",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
"**PT CARRYING, MOVING OBJECTS (DC) CK",G8986,CDM,,,"CK , GP",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
"**PT CARRYING, MOVING OBJECTS (DC) CL",G8986,CDM,,,"CL , GP",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
"**PT CARRYING, MOVING OBJECTS (DC) CM",G8986,CDM,,,"CM , GP",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
"**PT CARRYING, MOVING OBJECTS (DC) CN",G8986,CDM,,,"CN , GP",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**PT SELF CARE (CURRENT) CH,G8987,CDM,,,"CH , GP",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**PT SELF CARE (CURRENT) CI,G8987,CDM,,,"CI , GP",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**PT SELF CARE (CURRENT) CJ,G8987,CDM,,,"CJ , GP",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**PT SELF CARE (CURRENT) CL,G8987,CDM,,,"CL , GP",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**PT SELF CARE (CURRENT) CM,G8987,CDM,,,"CM , GP",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**PT SELF CARE (CURRENT) CN,G8987,CDM,,,"CN , GP",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**PT SELF CARE (GOAL) CH,G8988,CDM,,,"CH , GP",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**PT SELF CARE (GOAL) CI,G8988,CDM,,,"CI , GP",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**PT SELF CARE (GOAL) CJ,G8988,CDM,,,"CJ , GP",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**PT SELF CARE (GOAL) CK,G8988,CDM,,,"CK , GP",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**PT SELF CARE (GOAL) CL,G8988,CDM,,,"CL , GP",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**PT SELF CARE (GOAL) CM,G8988,CDM,,,"CM , GP",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**PT SELF CARE (GOAL) CN,G8988,CDM,,,"CN , GP",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**PT SELF CARE (DC) CH,G8989,CDM,,,"CH , GP",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**PT SELF CARE (DC) CI,G8989,CDM,,,"CI , GP",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**PT SELF CARE (DC) CJ,G8989,CDM,,,"CJ , GP",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**PT SELF CARE (DC) CK,G8989,CDM,,,"CK , GP",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**PT SELF CARE (DC) CL,G8989,CDM,,,"CL , GP",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**PT SELF CARE (DC) CM,G8989,CDM,,,"CM , GP",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**PT SELF CARE (DC) CN,G8989,CDM,,,"CN , GP",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OTHER PT PRIMARY FUNC LIMIT (CURRENT,G8990,CDM,,,"CH , GP",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OTHER PT PRIMARY FUNC LIMIT (CURRENT),G8990,CDM,,,"CI , GP",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OTHER PT PRIMARY FUNC LIMIT (CURRENT),G8990,CDM,,,"CJ , GP",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OTHER PT PRIMARY FUNC LIMIT (CURRENT),G8990,CDM,,,"CK , GP",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OTHER PT PRIMARY FUNC LIMIT (CURRENT),G8990,CDM,,,"CL , GP",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OTHER PT PRIMARY FUNC LIMIT (CURRENT),G8990,CDM,,,"CM , GP",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OTHER PT PRIMARY FUNC LIMIT (CURRENT),G8990,CDM,,,"CN , GP",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OTHER PT PRIMARY FUNC LIMIT (GOAL),G8991,CDM,,,"CH , GP",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OTHER PT PRIMARY FUNC LIMIT (GOAL),G8991,CDM,,,"CI , GP",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OTHER PT PRIMARY FUNC LIMIT (GOAL),G8991,CDM,,,"CJ , GP",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OTHER PT PRIMARY FUNC LIMIT (GOAL),G8991,CDM,,,"CK , GP",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
*OTHER PT PRIMARY FUNC LIMIT (GOAL),G8991,CDM,,,"CL , GP",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OTHER PT PRIMARY FUNC LIMIT (GOAL),G8991,CDM,,,"CM , GP",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OTHER PT PRIMARY FUNC LIMIT (GOAL),G8991,CDM,,,"CN , GP",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OTHER PT PRIMARY FUNC LIMIT (DC),G8992,CDM,,,"CH , GP",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OTHER PT PRIMARY FUNC LIMIT (DC),G8992,CDM,,,"CI , GP",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OTHER PT PRIMARY FUNC LIMIT (DC),G8992,CDM,,,"CJ , GP",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OTHER PT PRIMARY FUNC LIMIT (DC),G8992,CDM,,,"CK , GP",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OTHER PT PRIMARY FUNC LIMIT (DC),G8992,CDM,,,"CL , GP",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OTHER PT PRIMARY FUNC LIMIT (DC),G8992,CDM,,,"CM , GP",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OTHER PT PRIMARY FUNC LIMIT (DC),G8992,CDM,,,"CN , GP",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OTHER PT SUBSEQ FUNC LIMIT (CURRENT),G8993,CDM,,,"CH , GP",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OTHER PT SUBSEQ FUNC LIMIT (CURRENT),G8993,CDM,,,"CI , GP",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OTHER PT SUBSEQ FUNC LIMIT (CURRENT),G8993,CDM,,,"CK , GP",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OTHER PT SUBSEQ FUNC LIMIT (CURRENT),G8993,CDM,,,"CL , GP",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OTHER PT SUBSEQ FUNC LIMIT (CURRENT),G8993,CDM,,,"CM , GP",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OTHER PT SUBSEQ FUNC LIMIT (CURRENT),G8993,CDM,,,"CN , GP",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OTHER PT SUBSEQ FUNC LIMIT (GOAL),G8994,CDM,,,"CH , GP",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OTHER PT SUBSEQ FUNC LIMIT (GOAL),G8994,CDM,,,"CI , GP",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OTHER PT SUBSEQ FUNC LIMIT (GOAL),G8994,CDM,,,"CJ , GP",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OTHER PT SUBSEQ FUNC LIMIT (GOAL),G8994,CDM,,,"CK , GP",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OTHER PT SUBSEQ FUNC LIMIT (GOAL),G8994,CDM,,,"CL , GP",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OTHER PT SUBSEQ FUNC LIMIT (GOAL),G8994,CDM,,,"CM , GP",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OTHER PT SUBSEQ FUNC LIMIT (GOAL),G8994,CDM,,,"CN , GP",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OTHER PT SUBSEQ FUNC LIMIT (DC),G8995,CDM,,,"CH , GP",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OTHER PT SUBSEQ FUNC LIMIT (DC),G8995,CDM,,,"CI , GP",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OTHER PT SUBSEQ FUNC LIMIT (DC),G8995,CDM,,,"CJ , GP",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OTHER PT SUBSEQ FUNC LIMIT (DC),G8995,CDM,,,"CK , GP",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OTHER PT SUBSEQ FUNC LIMIT (DC),G8995,CDM,,,"CL , GP",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OTHER PT SUBSEQ FUNC LIMIT (DC),G8995,CDM,,,"CM , GP",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OTHER PT SUBSEQ FUNC LIMIT (DC),G8995,CDM,,,"CN , GP",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**PT TENS UNIT,64550,CDM,,,GP ,both,,,222,222,47.26023571,222,222,percent of total billed charges,163.3332867,,,,222,percent of total billed charges,173.1300544,,,,222,percent of total billed charges,163.3332867,,,,222,percent of total billed charges,173.1300544,,,,222,percent of total billed charges,999999999,,,,222,percent of total billed charges,169.148742,,,,222,percent of total billed charges,163.3332867,,,,222,percent of total billed charges,173.1300544,,,,158.286,percent of total billed charges,78.98761064,,,,158.286,percent of total billed charges,47.26023571,,,,158.286,percent of total billed charges,78.98761064,,,,158.286,percent of total billed charges,47.26023571,,,,158.286,percent of total billed charges,78.98761064,,,,158.286,percent of total billed charges,47.26023571,,,,156.732,percent of total billed charges,155.5428317,,,,156.732,percent of total billed charges,107.2766582,,,,,,,,,,159.84,percent of total billed charges,103.8922386,,,,,,,,,,159.84,percent of total billed charges,999999999,,,,,,,,,,177.6,percent of total billed charges,148.819568,,,,175.38,percent of total billed charges,169.2492475,,,,175.38,percent of total billed charges,149.5373125,,,,177.6,percent of total billed charges,999999999,,,,177.6,percent of total billed charges,999999999,,,,155.4,percent of total billed charges,999999999,,,,155.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,118.104,percent of total billed charges,999999999,,,,,,,,,,,,,,,,112.11,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,55.5,percent of total billed charges,52.7114242,,,,,,,,,,55.5,percent of total billed charges,51.83460553,,,,,,,,,,55.5,percent of total billed charges,51.69055938,,,,,,,,,,55.5,percent of total billed charges,50.92941652,,,,,,,,,,55.5,percent of total billed charges,52.23990528,,,,,,,,,,55.5,percent of total billed charges,999999999,,,,,,,,,,55.5,percent of total billed charges,44.82551747,,,,,,,,,,55.5,percent of total billed charges,70.6929322,,,,,,,,,,55.5,percent of total billed charges,999999999,,,,,,,,,,55.5,percent of total billed charges,48.3328707,,,,,,,,,,199.8,percent of total billed charges,,,,,
PT CANALITH REPOSITIONING,95992,CDM,,,GP ,both,,,169,169,35.97738664,169,169,percent of total billed charges,124.3393038,,,,169,percent of total billed charges,131.7972036,,,,169,percent of total billed charges,124.3393038,,,,169,percent of total billed charges,131.7972036,,,,169,percent of total billed charges,999999999,,,,169,percent of total billed charges,128.7663847,,,,169,percent of total billed charges,124.3393038,,,,169,percent of total billed charges,131.7972036,,,,120.497,percent of total billed charges,60.1302081,,,,120.497,percent of total billed charges,35.97738664,,,,120.497,percent of total billed charges,60.1302081,,,,120.497,percent of total billed charges,35.97738664,,,,120.497,percent of total billed charges,60.1302081,,,,120.497,percent of total billed charges,35.97738664,,,,119.314,percent of total billed charges,118.4087322,,,,119.314,percent of total billed charges,81.66556412,,,,,,,,,,121.68,percent of total billed charges,79.08913661,,,,,,,,,,121.68,percent of total billed charges,999999999,,,,,,,,,,135.2,percent of total billed charges,113.2905721,,,,133.51,percent of total billed charges,128.8428956,,,,133.51,percent of total billed charges,113.8369632,,,,135.2,percent of total billed charges,999999999,,,,135.2,percent of total billed charges,999999999,,,,118.3,percent of total billed charges,999999999,,,,118.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,89.908,percent of total billed charges,999999999,,,,,,,,,,,,,,,,85.345,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,42.25,percent of total billed charges,40.12716527,,,,,,,,,,42.25,percent of total billed charges,39.45967718,,,,,,,,,,42.25,percent of total billed charges,39.35002043,,,,,,,,,,42.25,percent of total billed charges,38.77059186,,,,,,,,,,42.25,percent of total billed charges,39.76821618,,,,,,,,,,42.25,percent of total billed charges,999999999,,,,,,,,,,42.25,percent of total billed charges,34.12392996,,,,,,,,,,42.25,percent of total billed charges,53.81579073,,,,,,,,,,42.25,percent of total billed charges,999999999,,,,,,,,,,42.25,percent of total billed charges,36.79394211,,,,,,,,,,152.1,percent of total billed charges,,,,,
**PT (WC) EVAL MODERATE COMPLEXITY,97162,CDM,,,,both,,,588,588,125.1757594,588,588,percent of total billed charges,432.6124891,,,,588,percent of total billed charges,458.5606847,,,,588,percent of total billed charges,432.6124891,,,,588,percent of total billed charges,458.5606847,,,,588,percent of total billed charges,999999999,,,,588,percent of total billed charges,448.015587,,,,588,percent of total billed charges,432.6124891,,,,588,percent of total billed charges,458.5606847,,,,419.244,percent of total billed charges,209.2104282,,,,419.244,percent of total billed charges,125.1757594,,,,419.244,percent of total billed charges,209.2104282,,,,419.244,percent of total billed charges,125.1757594,,,,419.244,percent of total billed charges,209.2104282,,,,419.244,percent of total billed charges,125.1757594,,,,415.128,percent of total billed charges,411.978311,,,,415.128,percent of total billed charges,284.1381757,,,,,,,,,,423.36,percent of total billed charges,275.1740374,,,,,,,,,,423.36,percent of total billed charges,999999999,,,,,,,,,,470.4,percent of total billed charges,394.1707478,,,,464.52,percent of total billed charges,448.2817906,,,,464.52,percent of total billed charges,396.0718008,,,,470.4,percent of total billed charges,999999999,,,,470.4,percent of total billed charges,999999999,,,,411.6,percent of total billed charges,999999999,,,,411.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,312.816,percent of total billed charges,999999999,,,,,,,,,,,,,,,,296.94,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,147,percent of total billed charges,139.6140425,,,,,,,,,,147,percent of total billed charges,137.2916579,,,,,,,,,,147,percent of total billed charges,136.9101302,,,,,,,,,,147,percent of total billed charges,134.8941302,,,,,,,,,,147,percent of total billed charges,138.3651545,,,,,,,,,,147,percent of total billed charges,999999999,,,,,,,,,,147,percent of total billed charges,118.7270463,,,,,,,,,,147,percent of total billed charges,187.2407393,,,,,,,,,,147,percent of total billed charges,999999999,,,,,,,,,,147,percent of total billed charges,128.0167927,,,,,,,,,,529.2,percent of total billed charges,,,,,
**PT (WC) EVALUATION 61- 90  MINUTES,97163,CDM,,,GP ,both,,,669,669,142.419359,669,669,percent of total billed charges,492.2070667,,,,669,percent of total billed charges,521.7297586,,,,669,percent of total billed charges,492.2070667,,,,669,percent of total billed charges,521.7297586,,,,669,percent of total billed charges,999999999,,,,669,percent of total billed charges,509.7320199,,,,669,percent of total billed charges,492.2070667,,,,669,percent of total billed charges,521.7297586,,,,476.997,percent of total billed charges,238.0302321,,,,476.997,percent of total billed charges,142.419359,,,,476.997,percent of total billed charges,238.0302321,,,,476.997,percent of total billed charges,142.419359,,,,476.997,percent of total billed charges,238.0302321,,,,476.997,percent of total billed charges,142.419359,,,,472.314,percent of total billed charges,468.7304253,,,,472.314,percent of total billed charges,323.2796591,,,,,,,,,,481.68,percent of total billed charges,313.0806651,,,,,,,,,,481.68,percent of total billed charges,999999999,,,,,,,,,,535.2,percent of total billed charges,448.4697794,,,,528.51,percent of total billed charges,510.0348944,,,,528.51,percent of total billed charges,450.6327121,,,,535.2,percent of total billed charges,999999999,,,,535.2,percent of total billed charges,999999999,,,,468.3,percent of total billed charges,999999999,,,,468.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,355.908,percent of total billed charges,999999999,,,,,,,,,,,,,,,,337.845,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,167.25,percent of total billed charges,158.8465892,,,,,,,,,,167.25,percent of total billed charges,156.2042842,,,,,,,,,,167.25,percent of total billed charges,155.7701992,,,,,,,,,,167.25,percent of total billed charges,153.4764849,,,,,,,,,,167.25,percent of total billed charges,157.4256605,,,,,,,,,,167.25,percent of total billed charges,999999999,,,,,,,,,,167.25,percent of total billed charges,135.0823026,,,,,,,,,,167.25,percent of total billed charges,213.0341065,,,,,,,,,,167.25,percent of total billed charges,999999999,,,,,,,,,,167.25,percent of total billed charges,145.651759,,,,,,,,,,602.1,percent of total billed charges,,,,,
**PT TEAM CONF W/O PAT BY PHYS > 30 MIN,99367,CDM,,,GP ,both,,,303,303,64.50383522,303,303,percent of total billed charges,222.9278643,,,,303,percent of total billed charges,236.2991283,,,,303,percent of total billed charges,222.9278643,,,,303,percent of total billed charges,236.2991283,,,,303,percent of total billed charges,999999999,,,,303,percent of total billed charges,230.8651749,,,,303,percent of total billed charges,222.9278643,,,,303,percent of total billed charges,236.2991283,,,,216.039,percent of total billed charges,107.8074145,,,,216.039,percent of total billed charges,64.50383522,,,,216.039,percent of total billed charges,107.8074145,,,,216.039,percent of total billed charges,64.50383522,,,,216.039,percent of total billed charges,107.8074145,,,,216.039,percent of total billed charges,64.50383522,,,,213.918,percent of total billed charges,212.294946,,,,213.918,percent of total billed charges,146.4181416,,,,,,,,,,218.16,percent of total billed charges,141.7988662,,,,,,,,,,218.16,percent of total billed charges,999999999,,,,,,,,,,242.4,percent of total billed charges,203.1185996,,,,239.37,percent of total billed charges,231.0023513,,,,239.37,percent of total billed charges,204.0982239,,,,242.4,percent of total billed charges,999999999,,,,242.4,percent of total billed charges,999999999,,,,212.1,percent of total billed charges,999999999,,,,212.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,161.196,percent of total billed charges,999999999,,,,,,,,,,,,,,,,153.015,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,75.75,percent of total billed charges,71.94397087,,,,,,,,,,75.75,percent of total billed charges,70.74723187,,,,,,,,,,75.75,percent of total billed charges,70.55062834,,,,,,,,,,75.75,percent of total billed charges,69.5117712,,,,,,,,,,75.75,percent of total billed charges,71.30041126,,,,,,,,,,75.75,percent of total billed charges,999999999,,,,,,,,,,75.75,percent of total billed charges,61.18077384,,,,,,,,,,75.75,percent of total billed charges,96.48629935,,,,,,,,,,75.75,percent of total billed charges,999999999,,,,,,,,,,75.75,percent of total billed charges,65.96783703,,,,,,,,,,272.7,percent of total billed charges,,,,,
PT TEAM CONF W/O PAT BY HC PRO > 30 MIN,99368,CDM,,,GP ,both,,,219,219,46.62158387,219,219,percent of total billed charges,161.1260801,,,,219,percent of total billed charges,170.7904591,,,,219,percent of total billed charges,161.1260801,,,,219,percent of total billed charges,170.7904591,,,,219,percent of total billed charges,999999999,,,,219,percent of total billed charges,166.8629482,,,,219,percent of total billed charges,161.1260801,,,,219,percent of total billed charges,170.7904591,,,,156.147,percent of total billed charges,77.9202105,,,,156.147,percent of total billed charges,46.62158387,,,,156.147,percent of total billed charges,77.9202105,,,,156.147,percent of total billed charges,46.62158387,,,,156.147,percent of total billed charges,77.9202105,,,,156.147,percent of total billed charges,46.62158387,,,,154.614,percent of total billed charges,153.4409015,,,,154.614,percent of total billed charges,105.8269736,,,,,,,,,,157.68,percent of total billed charges,102.4882895,,,,,,,,,,157.68,percent of total billed charges,999999999,,,,,,,,,,175.2,percent of total billed charges,146.8084928,,,,173.01,percent of total billed charges,166.9620955,,,,173.01,percent of total billed charges,147.516538,,,,175.2,percent of total billed charges,999999999,,,,175.2,percent of total billed charges,999999999,,,,153.3,percent of total billed charges,999999999,,,,153.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,116.508,percent of total billed charges,999999999,,,,,,,,,,,,,,,,110.595,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,54.75,percent of total billed charges,51.99910766,,,,,,,,,,54.75,percent of total billed charges,51.13413789,,,,,,,,,,54.75,percent of total billed charges,50.99203831,,,,,,,,,,54.75,percent of total billed charges,50.24118116,,,,,,,,,,54.75,percent of total billed charges,51.53396061,,,,,,,,,,54.75,percent of total billed charges,999999999,,,,,,,,,,54.75,percent of total billed charges,44.21976723,,,,,,,,,,54.75,percent of total billed charges,69.7376223,,,,,,,,,,54.75,percent of total billed charges,999999999,,,,,,,,,,54.75,percent of total billed charges,47.67972379,,,,,,,,,,197.1,percent of total billed charges,,,,,
**PT (WC) EVAL LOW COMPLEXITY,97161,CDM,,,,both,,,422,422,89.83702463,422,422,percent of total billed charges,310.4803919,,,,422,percent of total billed charges,329.1030764,,,,422,percent of total billed charges,310.4803919,,,,422,percent of total billed charges,329.1030764,,,,422,percent of total billed charges,999999999,,,,422,percent of total billed charges,321.5349961,,,,422,percent of total billed charges,310.4803919,,,,422,percent of total billed charges,329.1030764,,,,300.886,percent of total billed charges,150.1476202,,,,300.886,percent of total billed charges,89.83702463,,,,300.886,percent of total billed charges,150.1476202,,,,300.886,percent of total billed charges,89.83702463,,,,300.886,percent of total billed charges,150.1476202,,,,300.886,percent of total billed charges,89.83702463,,,,297.932,percent of total billed charges,295.6715089,,,,297.932,percent of total billed charges,203.9222962,,,,,,,,,,303.84,percent of total billed charges,197.48885,,,,,,,,,,303.84,percent of total billed charges,999999999,,,,,,,,,,337.6,percent of total billed charges,282.891251,,,,333.38,percent of total billed charges,321.726047,,,,333.38,percent of total billed charges,284.2556121,,,,337.6,percent of total billed charges,999999999,,,,337.6,percent of total billed charges,999999999,,,,295.4,percent of total billed charges,999999999,,,,295.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,224.504,percent of total billed charges,999999999,,,,,,,,,,,,,,,,213.11,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,105.5,percent of total billed charges,100.1991938,,,,,,,,,,105.5,percent of total billed charges,98.53244835,,,,,,,,,,105.5,percent of total billed charges,98.25863089,,,,,,,,,,105.5,percent of total billed charges,96.81177375,,,,,,,,,,105.5,percent of total billed charges,99.30288301,,,,,,,,,,105.5,percent of total billed charges,999999999,,,,,,,,,,105.5,percent of total billed charges,85.20886654,,,,,,,,,,105.5,percent of total billed charges,134.3802585,,,,,,,,,,105.5,percent of total billed charges,999999999,,,,,,,,,,105.5,percent of total billed charges,91.87599745,,,,,,,,,,379.8,percent of total billed charges,,,,,
**PT (WC) EVAL HIGH COMPLEXITY,97163,CDM,,,GP ,both,,,752,752,160.0887264,752,752,percent of total billed charges,553.2731153,,,,752,percent of total billed charges,586.4585627,,,,752,percent of total billed charges,553.2731153,,,,752,percent of total billed charges,586.4585627,,,,752,percent of total billed charges,999999999,,,,752,percent of total billed charges,572.9723154,,,,752,percent of total billed charges,553.2731153,,,,752,percent of total billed charges,586.4585627,,,,536.176,percent of total billed charges,267.561636,,,,536.176,percent of total billed charges,160.0887264,,,,536.176,percent of total billed charges,267.561636,,,,536.176,percent of total billed charges,160.0887264,,,,536.176,percent of total billed charges,267.561636,,,,536.176,percent of total billed charges,160.0887264,,,,530.912,percent of total billed charges,526.8838263,,,,530.912,percent of total billed charges,363.3875989,,,,,,,,,,541.44,percent of total billed charges,351.9232588,,,,,,,,,,541.44,percent of total billed charges,999999999,,,,,,,,,,601.6,percent of total billed charges,504.1095278,,,,594.08,percent of total billed charges,573.3127662,,,,594.08,percent of total billed charges,506.5408065,,,,601.6,percent of total billed charges,999999999,,,,601.6,percent of total billed charges,999999999,,,,526.4,percent of total billed charges,999999999,,,,526.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,400.064,percent of total billed charges,999999999,,,,,,,,,,,,,,,,379.76,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,188,percent of total billed charges,178.5540135,,,,,,,,,,188,percent of total billed charges,175.583889,,,,,,,,,,188,percent of total billed charges,175.0959489,,,,,,,,,,188,percent of total billed charges,172.5176632,,,,,,,,,,188,percent of total billed charges,176.9567963,,,,,,,,,,188,percent of total billed charges,999999999,,,,,,,,,,188,percent of total billed charges,151.8413925,,,,,,,,,,188,percent of total billed charges,239.4643469,,,,,,,,,,188,percent of total billed charges,999999999,,,,,,,,,,188,percent of total billed charges,163.7221566,,,,,,,,,,676.8,percent of total billed charges,,,,,
PT TEAM CONF W/ PAT BY HC PRO > 30 MIN,99366,CDM,,,GP ,both,,,294,294,62.58787972,294,294,percent of total billed charges,216.3062446,,,,294,percent of total billed charges,229.2803423,,,,294,percent of total billed charges,216.3062446,,,,294,percent of total billed charges,229.2803423,,,,294,percent of total billed charges,999999999,,,,294,percent of total billed charges,224.0077935,,,,294,percent of total billed charges,216.3062446,,,,294,percent of total billed charges,229.2803423,,,,209.622,percent of total billed charges,104.6052141,,,,209.622,percent of total billed charges,62.58787972,,,,209.622,percent of total billed charges,104.6052141,,,,209.622,percent of total billed charges,62.58787972,,,,209.622,percent of total billed charges,104.6052141,,,,209.622,percent of total billed charges,62.58787972,,,,207.564,percent of total billed charges,205.9891555,,,,207.564,percent of total billed charges,142.0690879,,,,,,,,,,211.68,percent of total billed charges,137.5870187,,,,,,,,,,211.68,percent of total billed charges,999999999,,,,,,,,,,235.2,percent of total billed charges,197.0853739,,,,232.26,percent of total billed charges,224.1408953,,,,232.26,percent of total billed charges,198.0359004,,,,235.2,percent of total billed charges,999999999,,,,235.2,percent of total billed charges,999999999,,,,205.8,percent of total billed charges,999999999,,,,205.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,156.408,percent of total billed charges,999999999,,,,,,,,,,,,,,,,148.47,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,73.5,percent of total billed charges,69.80702124,,,,,,,,,,73.5,percent of total billed charges,68.64582894,,,,,,,,,,73.5,percent of total billed charges,68.45506512,,,,,,,,,,73.5,percent of total billed charges,67.44706512,,,,,,,,,,73.5,percent of total billed charges,69.18257726,,,,,,,,,,73.5,percent of total billed charges,999999999,,,,,,,,,,73.5,percent of total billed charges,59.36352313,,,,,,,,,,73.5,percent of total billed charges,93.62036967,,,,,,,,,,73.5,percent of total billed charges,999999999,,,,,,,,,,73.5,percent of total billed charges,64.00839633,,,,,,,,,,264.6,percent of total billed charges,,,,,
PT EVALUATION LOW COMPLEXITY,97161,CDM,,,GP ,both,,,464,464,98.77815031,464,464,percent of total billed charges,341.3812839,,,,464,percent of total billed charges,361.857411,,,,464,percent of total billed charges,341.3812839,,,,464,percent of total billed charges,361.857411,,,,464,percent of total billed charges,999999999,,,,464,percent of total billed charges,353.5361095,,,,464,percent of total billed charges,341.3812839,,,,464,percent of total billed charges,361.857411,,,,330.832,percent of total billed charges,165.0912222,,,,330.832,percent of total billed charges,98.77815031,,,,330.832,percent of total billed charges,165.0912222,,,,330.832,percent of total billed charges,98.77815031,,,,330.832,percent of total billed charges,165.0912222,,,,330.832,percent of total billed charges,98.77815031,,,,327.584,percent of total billed charges,325.0985311,,,,327.584,percent of total billed charges,224.2178802,,,,,,,,,,334.08,percent of total billed charges,217.1441384,,,,,,,,,,334.08,percent of total billed charges,999999999,,,,,,,,,,371.2,percent of total billed charges,311.0463044,,,,366.56,percent of total billed charges,353.7461749,,,,366.56,percent of total billed charges,312.546455,,,,371.2,percent of total billed charges,999999999,,,,371.2,percent of total billed charges,999999999,,,,324.8,percent of total billed charges,999999999,,,,324.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,246.848,percent of total billed charges,999999999,,,,,,,,,,,,,,,,234.32,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,116,percent of total billed charges,110.1716254,,,,,,,,,,116,percent of total billed charges,108.3389953,,,,,,,,,,116,percent of total billed charges,108.0379259,,,,,,,,,,116,percent of total billed charges,106.4470688,,,,,,,,,,116,percent of total billed charges,109.1861083,,,,,,,,,,116,percent of total billed charges,999999999,,,,,,,,,,116,percent of total billed charges,93.68936984,,,,,,,,,,116,percent of total billed charges,147.754597,,,,,,,,,,116,percent of total billed charges,999999999,,,,,,,,,,116,percent of total billed charges,101.0200541,,,,,,,,,,417.6,percent of total billed charges,,,,,
PT EVALUATION MOD COMPLEXITY,97162,CDM,,,GP ,both,,,494,494,105.1646686,494,494,percent of total billed charges,363.4533497,,,,494,percent of total billed charges,385.2533643,,,,494,percent of total billed charges,363.4533497,,,,494,percent of total billed charges,385.2533643,,,,494,percent of total billed charges,999999999,,,,494,percent of total billed charges,376.3940476,,,,494,percent of total billed charges,363.4533497,,,,494,percent of total billed charges,385.2533643,,,,352.222,percent of total billed charges,175.7652237,,,,352.222,percent of total billed charges,105.1646686,,,,352.222,percent of total billed charges,175.7652237,,,,352.222,percent of total billed charges,105.1646686,,,,352.222,percent of total billed charges,175.7652237,,,,352.222,percent of total billed charges,105.1646686,,,,348.764,percent of total billed charges,346.1178327,,,,348.764,percent of total billed charges,238.7147259,,,,,,,,,,355.68,percent of total billed charges,231.1836301,,,,,,,,,,355.68,percent of total billed charges,999999999,,,,,,,,,,395.2,percent of total billed charges,331.1570568,,,,390.26,percent of total billed charges,376.6176948,,,,390.26,percent of total billed charges,332.7542,,,,395.2,percent of total billed charges,999999999,,,,395.2,percent of total billed charges,999999999,,,,345.8,percent of total billed charges,999999999,,,,345.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,262.808,percent of total billed charges,999999999,,,,,,,,,,,,,,,,249.47,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,123.5,percent of total billed charges,117.2947908,,,,,,,,,,123.5,percent of total billed charges,115.3436718,,,,,,,,,,123.5,percent of total billed charges,115.0231366,,,,,,,,,,123.5,percent of total billed charges,113.3294223,,,,,,,,,,123.5,percent of total billed charges,116.245555,,,,,,,,,,123.5,percent of total billed charges,999999999,,,,,,,,,,123.5,percent of total billed charges,99.7468722,,,,,,,,,,123.5,percent of total billed charges,157.307696,,,,,,,,,,123.5,percent of total billed charges,999999999,,,,,,,,,,123.5,percent of total billed charges,107.5515231,,,,,,,,,,444.6,percent of total billed charges,,,,,
PT EVAL HIGH COMPLEXITY,97163,CDM,,,GP ,both,,,494,494,105.1646686,494,494,percent of total billed charges,363.4533497,,,,494,percent of total billed charges,385.2533643,,,,494,percent of total billed charges,363.4533497,,,,494,percent of total billed charges,385.2533643,,,,494,percent of total billed charges,999999999,,,,494,percent of total billed charges,376.3940476,,,,494,percent of total billed charges,363.4533497,,,,494,percent of total billed charges,385.2533643,,,,352.222,percent of total billed charges,175.7652237,,,,352.222,percent of total billed charges,105.1646686,,,,352.222,percent of total billed charges,175.7652237,,,,352.222,percent of total billed charges,105.1646686,,,,352.222,percent of total billed charges,175.7652237,,,,352.222,percent of total billed charges,105.1646686,,,,348.764,percent of total billed charges,346.1178327,,,,348.764,percent of total billed charges,238.7147259,,,,,,,,,,355.68,percent of total billed charges,231.1836301,,,,,,,,,,355.68,percent of total billed charges,999999999,,,,,,,,,,395.2,percent of total billed charges,331.1570568,,,,390.26,percent of total billed charges,376.6176948,,,,390.26,percent of total billed charges,332.7542,,,,395.2,percent of total billed charges,999999999,,,,395.2,percent of total billed charges,999999999,,,,345.8,percent of total billed charges,999999999,,,,345.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,262.808,percent of total billed charges,999999999,,,,,,,,,,,,,,,,249.47,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,123.5,percent of total billed charges,117.2947908,,,,,,,,,,123.5,percent of total billed charges,115.3436718,,,,,,,,,,123.5,percent of total billed charges,115.0231366,,,,,,,,,,123.5,percent of total billed charges,113.3294223,,,,,,,,,,123.5,percent of total billed charges,116.245555,,,,,,,,,,123.5,percent of total billed charges,999999999,,,,,,,,,,123.5,percent of total billed charges,99.7468722,,,,,,,,,,123.5,percent of total billed charges,157.307696,,,,,,,,,,123.5,percent of total billed charges,999999999,,,,,,,,,,123.5,percent of total billed charges,107.5515231,,,,,,,,,,444.6,percent of total billed charges,,,,,
**PT RE-EVALUATION,97164,CDM,,,GP ,both,,,359,359,76.42533612,359,359,percent of total billed charges,264.1290537,,,,359,percent of total billed charges,279.9715745,,,,359,percent of total billed charges,264.1290537,,,,359,percent of total billed charges,279.9715745,,,,359,percent of total billed charges,999999999,,,,359,percent of total billed charges,273.5333261,,,,359,percent of total billed charges,264.1290537,,,,359,percent of total billed charges,279.9715745,,,,255.967,percent of total billed charges,127.7322172,,,,255.967,percent of total billed charges,76.42533612,,,,255.967,percent of total billed charges,127.7322172,,,,255.967,percent of total billed charges,76.42533612,,,,255.967,percent of total billed charges,127.7322172,,,,255.967,percent of total billed charges,76.42533612,,,,253.454,percent of total billed charges,251.5309756,,,,253.454,percent of total billed charges,173.4789202,,,,,,,,,,258.48,percent of total billed charges,168.0059174,,,,,,,,,,258.48,percent of total billed charges,999999999,,,,,,,,,,287.2,percent of total billed charges,240.6586708,,,,283.61,percent of total billed charges,273.6958551,,,,283.61,percent of total billed charges,241.8193478,,,,287.2,percent of total billed charges,999999999,,,,287.2,percent of total billed charges,999999999,,,,251.3,percent of total billed charges,999999999,,,,251.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,190.988,percent of total billed charges,999999999,,,,,,,,,,,,,,,,181.295,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,89.75,percent of total billed charges,85.24054635,,,,,,,,,,89.75,percent of total billed charges,83.82262786,,,,,,,,,,89.75,percent of total billed charges,83.58968837,,,,,,,,,,89.75,percent of total billed charges,82.35883122,,,,,,,,,,89.75,percent of total billed charges,84.47804502,,,,,,,,,,89.75,percent of total billed charges,999999999,,,,,,,,,,89.75,percent of total billed charges,72.48811158,,,,,,,,,,89.75,percent of total billed charges,114.3187507,,,,,,,,,,89.75,percent of total billed charges,999999999,,,,,,,,,,89.75,percent of total billed charges,78.15991252,,,,,,,,,,323.1,percent of total billed charges,,,,,
**PT EVAL (PA)  LOW COMPLEXITY 15 MINS,97161,CDM,,,GP ,both,,,44,44,9.366893563,44,44,percent of total billed charges,32.37236313,,,,44,percent of total billed charges,34.31406484,,,,44,percent of total billed charges,32.37236313,,,,44,percent of total billed charges,34.31406484,,,,44,percent of total billed charges,999999999,,,,44,percent of total billed charges,33.5249759,,,,44,percent of total billed charges,32.37236313,,,,44,percent of total billed charges,34.31406484,,,,31.372,percent of total billed charges,15.65520211,,,,31.372,percent of total billed charges,9.366893563,,,,31.372,percent of total billed charges,15.65520211,,,,31.372,percent of total billed charges,9.366893563,,,,31.372,percent of total billed charges,15.65520211,,,,31.372,percent of total billed charges,9.366893563,,,,31.064,percent of total billed charges,30.82830899,,,,31.064,percent of total billed charges,21.26204036,,,,,,,,,,31.68,percent of total billed charges,20.5912545,,,,,,,,,,31.68,percent of total billed charges,999999999,,,,,,,,,,35.2,percent of total billed charges,29.49577024,,,,34.76,percent of total billed charges,33.54489589,,,,34.76,percent of total billed charges,29.63802591,,,,35.2,percent of total billed charges,999999999,,,,35.2,percent of total billed charges,999999999,,,,30.8,percent of total billed charges,999999999,,,,30.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,23.408,percent of total billed charges,999999999,,,,,,,,,,,,,,,,22.22,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11,percent of total billed charges,10.4473093,,,,,,,,,,11,percent of total billed charges,10.27352542,,,,,,,,,,11,percent of total billed charges,10.24497573,,,,,,,,,,11,percent of total billed charges,10.09411859,,,,,,,,,,11,percent of total billed charges,10.3538551,,,,,,,,,,11,percent of total billed charges,999999999,,,,,,,,,,11,percent of total billed charges,8.884336795,,,,,,,,,,11,percent of total billed charges,14.01121179,,,,,,,,,,11,percent of total billed charges,999999999,,,,,,,,,,11,percent of total billed charges,9.579487886,,,,,,,,,,39.6,percent of total billed charges,,,,,
**PT EVAL (PA) MODERATE COMPLEXITY 15 MI,97162,CDM,,,GP ,both,,,44,44,9.366893563,44,44,percent of total billed charges,32.37236313,,,,44,percent of total billed charges,34.31406484,,,,44,percent of total billed charges,32.37236313,,,,44,percent of total billed charges,34.31406484,,,,44,percent of total billed charges,999999999,,,,44,percent of total billed charges,33.5249759,,,,44,percent of total billed charges,32.37236313,,,,44,percent of total billed charges,34.31406484,,,,31.372,percent of total billed charges,15.65520211,,,,31.372,percent of total billed charges,9.366893563,,,,31.372,percent of total billed charges,15.65520211,,,,31.372,percent of total billed charges,9.366893563,,,,31.372,percent of total billed charges,15.65520211,,,,31.372,percent of total billed charges,9.366893563,,,,31.064,percent of total billed charges,30.82830899,,,,31.064,percent of total billed charges,21.26204036,,,,,,,,,,31.68,percent of total billed charges,20.5912545,,,,,,,,,,31.68,percent of total billed charges,999999999,,,,,,,,,,35.2,percent of total billed charges,29.49577024,,,,34.76,percent of total billed charges,33.54489589,,,,34.76,percent of total billed charges,29.63802591,,,,35.2,percent of total billed charges,999999999,,,,35.2,percent of total billed charges,999999999,,,,30.8,percent of total billed charges,999999999,,,,30.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,23.408,percent of total billed charges,999999999,,,,,,,,,,,,,,,,22.22,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11,percent of total billed charges,10.4473093,,,,,,,,,,11,percent of total billed charges,10.27352542,,,,,,,,,,11,percent of total billed charges,10.24497573,,,,,,,,,,11,percent of total billed charges,10.09411859,,,,,,,,,,11,percent of total billed charges,10.3538551,,,,,,,,,,11,percent of total billed charges,999999999,,,,,,,,,,11,percent of total billed charges,8.884336795,,,,,,,,,,11,percent of total billed charges,14.01121179,,,,,,,,,,11,percent of total billed charges,999999999,,,,,,,,,,11,percent of total billed charges,9.579487886,,,,,,,,,,39.6,percent of total billed charges,,,,,
**PT EVAL (PA) HIGH COMPLEXITY 15 MINS,97163,CDM,,,GP ,both,,,44,44,9.366893563,44,44,percent of total billed charges,32.37236313,,,,44,percent of total billed charges,34.31406484,,,,44,percent of total billed charges,32.37236313,,,,44,percent of total billed charges,34.31406484,,,,44,percent of total billed charges,999999999,,,,44,percent of total billed charges,33.5249759,,,,44,percent of total billed charges,32.37236313,,,,44,percent of total billed charges,34.31406484,,,,31.372,percent of total billed charges,15.65520211,,,,31.372,percent of total billed charges,9.366893563,,,,31.372,percent of total billed charges,15.65520211,,,,31.372,percent of total billed charges,9.366893563,,,,31.372,percent of total billed charges,15.65520211,,,,31.372,percent of total billed charges,9.366893563,,,,31.064,percent of total billed charges,30.82830899,,,,31.064,percent of total billed charges,21.26204036,,,,,,,,,,31.68,percent of total billed charges,20.5912545,,,,,,,,,,31.68,percent of total billed charges,999999999,,,,,,,,,,35.2,percent of total billed charges,29.49577024,,,,34.76,percent of total billed charges,33.54489589,,,,34.76,percent of total billed charges,29.63802591,,,,35.2,percent of total billed charges,999999999,,,,35.2,percent of total billed charges,999999999,,,,30.8,percent of total billed charges,999999999,,,,30.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,23.408,percent of total billed charges,999999999,,,,,,,,,,,,,,,,22.22,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11,percent of total billed charges,10.4473093,,,,,,,,,,11,percent of total billed charges,10.27352542,,,,,,,,,,11,percent of total billed charges,10.24497573,,,,,,,,,,11,percent of total billed charges,10.09411859,,,,,,,,,,11,percent of total billed charges,10.3538551,,,,,,,,,,11,percent of total billed charges,999999999,,,,,,,,,,11,percent of total billed charges,8.884336795,,,,,,,,,,11,percent of total billed charges,14.01121179,,,,,,,,,,11,percent of total billed charges,999999999,,,,,,,,,,11,percent of total billed charges,9.579487886,,,,,,,,,,39.6,percent of total billed charges,,,,,
**PT TAPING,97112,CDM,,,GP ,both,,,218,218,46.40869993,218,218,percent of total billed charges,160.3903446,,,,218,percent of total billed charges,170.010594,,,,218,percent of total billed charges,160.3903446,,,,218,percent of total billed charges,170.010594,,,,218,percent of total billed charges,999999999,,,,218,percent of total billed charges,166.101017,,,,218,percent of total billed charges,160.3903446,,,,218,percent of total billed charges,170.010594,,,,155.434,percent of total billed charges,77.56441045,,,,155.434,percent of total billed charges,46.40869993,,,,155.434,percent of total billed charges,77.56441045,,,,155.434,percent of total billed charges,46.40869993,,,,155.434,percent of total billed charges,77.56441045,,,,155.434,percent of total billed charges,46.40869993,,,,153.908,percent of total billed charges,152.7402582,,,,153.908,percent of total billed charges,105.3437454,,,,,,,,,,156.96,percent of total billed charges,102.0203064,,,,,,,,,,156.96,percent of total billed charges,999999999,,,,,,,,,,174.4,percent of total billed charges,146.1381344,,,,172.22,percent of total billed charges,166.1997115,,,,172.22,percent of total billed charges,146.8429466,,,,174.4,percent of total billed charges,999999999,,,,174.4,percent of total billed charges,999999999,,,,152.6,percent of total billed charges,999999999,,,,152.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,115.976,percent of total billed charges,999999999,,,,,,,,,,,,,,,,110.09,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,54.5,percent of total billed charges,51.76166881,,,,,,,,,,54.5,percent of total billed charges,50.90064867,,,,,,,,,,54.5,percent of total billed charges,50.75919795,,,,,,,,,,54.5,percent of total billed charges,50.01176938,,,,,,,,,,54.5,percent of total billed charges,51.29864572,,,,,,,,,,54.5,percent of total billed charges,999999999,,,,,,,,,,54.5,percent of total billed charges,44.01785048,,,,,,,,,,54.5,percent of total billed charges,69.41918567,,,,,,,,,,54.5,percent of total billed charges,999999999,,,,,,,,,,54.5,percent of total billed charges,47.46200816,,,,,,,,,,196.2,percent of total billed charges,,,,,
OT SENSORY INTEGRATIVE TECHNIQUES-15 MIN,97533,CDM,,,GO,both,,,149,149,31.71970775,149,149,percent of total billed charges,109.6245933,,,,149,percent of total billed charges,116.1999014,,,,149,percent of total billed charges,109.6245933,,,,149,percent of total billed charges,116.1999014,,,,149,percent of total billed charges,999999999,,,,149,percent of total billed charges,113.5277593,,,,149,percent of total billed charges,109.6245933,,,,149,percent of total billed charges,116.1999014,,,,106.237,percent of total billed charges,53.01420714,,,,106.237,percent of total billed charges,31.71970775,,,,106.237,percent of total billed charges,53.01420714,,,,106.237,percent of total billed charges,31.71970775,,,,106.237,percent of total billed charges,53.01420714,,,,106.237,percent of total billed charges,31.71970775,,,,105.194,percent of total billed charges,104.3958645,,,,105.194,percent of total billed charges,72.00100032,,,,,,,,,,107.28,percent of total billed charges,69.72947547,,,,,,,,,,107.28,percent of total billed charges,999999999,,,,,,,,,,119.2,percent of total billed charges,99.88340377,,,,117.71,percent of total billed charges,113.5952156,,,,117.71,percent of total billed charges,100.3651332,,,,119.2,percent of total billed charges,999999999,,,,119.2,percent of total billed charges,999999999,,,,104.3,percent of total billed charges,999999999,,,,104.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,79.268,percent of total billed charges,999999999,,,,,,,,,,,,,,,,75.245,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,37.25,percent of total billed charges,35.37838832,,,,,,,,,,37.25,percent of total billed charges,34.7898929,,,,,,,,,,37.25,percent of total billed charges,34.69321328,,,,,,,,,,37.25,percent of total billed charges,34.18235613,,,,,,,,,,37.25,percent of total billed charges,35.06191841,,,,,,,,,,37.25,percent of total billed charges,999999999,,,,,,,,,,37.25,percent of total billed charges,30.08559506,,,,,,,,,,37.25,percent of total billed charges,47.4470581,,,,,,,,,,37.25,percent of total billed charges,999999999,,,,,,,,,,37.25,percent of total billed charges,32.43962943,,,,,,,,,,134.1,percent of total billed charges,,,,,
**OT BAL & COORD 15 MIN,97112,CDM,,,GO,both,,,184,184,39.17064581,184,184,percent of total billed charges,135.3753367,,,,184,percent of total billed charges,143.4951802,,,,184,percent of total billed charges,135.3753367,,,,184,percent of total billed charges,143.4951802,,,,184,percent of total billed charges,999999999,,,,184,percent of total billed charges,140.1953538,,,,184,percent of total billed charges,135.3753367,,,,184,percent of total billed charges,143.4951802,,,,131.192,percent of total billed charges,65.46720882,,,,131.192,percent of total billed charges,39.17064581,,,,131.192,percent of total billed charges,65.46720882,,,,131.192,percent of total billed charges,39.17064581,,,,131.192,percent of total billed charges,65.46720882,,,,131.192,percent of total billed charges,39.17064581,,,,129.904,percent of total billed charges,128.918383,,,,129.904,percent of total billed charges,88.91398697,,,,,,,,,,132.48,percent of total billed charges,86.10888247,,,,,,,,,,132.48,percent of total billed charges,999999999,,,,,,,,,,147.2,percent of total billed charges,123.3459483,,,,145.36,percent of total billed charges,140.2786556,,,,145.36,percent of total billed charges,123.9408356,,,,147.2,percent of total billed charges,999999999,,,,147.2,percent of total billed charges,999999999,,,,128.8,percent of total billed charges,999999999,,,,128.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,97.888,percent of total billed charges,999999999,,,,,,,,,,,,,,,,92.92,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,46,percent of total billed charges,43.68874799,,,,,,,,,,46,percent of total billed charges,42.96201539,,,,,,,,,,46,percent of total billed charges,42.84262579,,,,,,,,,,46,percent of total billed charges,42.21176865,,,,,,,,,,46,percent of total billed charges,43.29793951,,,,,,,,,,46,percent of total billed charges,999999999,,,,,,,,,,46,percent of total billed charges,37.15268114,,,,,,,,,,46,percent of total billed charges,58.5923402,,,,,,,,,,46,percent of total billed charges,999999999,,,,,,,,,,46,percent of total billed charges,40.05967661,,,,,,,,,,165.6,percent of total billed charges,,,,,
OT PARAFFIN BATH,97018,CDM,,,GO,both,,,167,167,35.55161875,167,167,percent of total billed charges,122.8678328,,,,167,percent of total billed charges,130.2374734,,,,167,percent of total billed charges,122.8678328,,,,167,percent of total billed charges,130.2374734,,,,167,percent of total billed charges,999999999,,,,167,percent of total billed charges,127.2425222,,,,167,percent of total billed charges,122.8678328,,,,167,percent of total billed charges,130.2374734,,,,119.071,percent of total billed charges,59.418608,,,,119.071,percent of total billed charges,35.55161875,,,,119.071,percent of total billed charges,59.418608,,,,119.071,percent of total billed charges,35.55161875,,,,119.071,percent of total billed charges,59.418608,,,,119.071,percent of total billed charges,35.55161875,,,,117.902,percent of total billed charges,117.0074455,,,,117.902,percent of total billed charges,80.69910774,,,,,,,,,,120.24,percent of total billed charges,78.1531705,,,,,,,,,,120.24,percent of total billed charges,999999999,,,,,,,,,,133.6,percent of total billed charges,111.9498552,,,,131.93,percent of total billed charges,127.3181276,,,,131.93,percent of total billed charges,112.4897802,,,,133.6,percent of total billed charges,999999999,,,,133.6,percent of total billed charges,999999999,,,,116.9,percent of total billed charges,999999999,,,,116.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,88.844,percent of total billed charges,999999999,,,,,,,,,,,,,,,,84.335,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,41.75,percent of total billed charges,39.65228758,,,,,,,,,,41.75,percent of total billed charges,38.99269875,,,,,,,,,,41.75,percent of total billed charges,38.88433971,,,,,,,,,,41.75,percent of total billed charges,38.31176828,,,,,,,,,,41.75,percent of total billed charges,39.2975864,,,,,,,,,,41.75,percent of total billed charges,999999999,,,,,,,,,,41.75,percent of total billed charges,33.72009647,,,,,,,,,,41.75,percent of total billed charges,53.17891746,,,,,,,,,,41.75,percent of total billed charges,999999999,,,,,,,,,,41.75,percent of total billed charges,36.35851084,,,,,,,,,,150.3,percent of total billed charges,,,,,
**OT ORTHOTIC RECHECK 15 MIN,97762,CDM,,,GO,both,,,116,116,24.69453758,116,116,percent of total billed charges,85.34532098,,,,116,percent of total billed charges,90.46435276,,,,116,percent of total billed charges,85.34532098,,,,116,percent of total billed charges,90.46435276,,,,116,percent of total billed charges,999999999,,,,116,percent of total billed charges,88.38402737,,,,116,percent of total billed charges,85.34532098,,,,116,percent of total billed charges,90.46435276,,,,82.708,percent of total billed charges,41.27280556,,,,82.708,percent of total billed charges,24.69453758,,,,82.708,percent of total billed charges,41.27280556,,,,82.708,percent of total billed charges,24.69453758,,,,82.708,percent of total billed charges,41.27280556,,,,82.708,percent of total billed charges,24.69453758,,,,81.896,percent of total billed charges,81.27463278,,,,81.896,percent of total billed charges,56.05447004,,,,,,,,,,83.52,percent of total billed charges,54.2860346,,,,,,,,,,83.52,percent of total billed charges,999999999,,,,,,,,,,92.8,percent of total billed charges,77.76157609,,,,91.64,percent of total billed charges,88.43654372,,,,91.64,percent of total billed charges,78.13661376,,,,92.8,percent of total billed charges,999999999,,,,92.8,percent of total billed charges,999999999,,,,81.2,percent of total billed charges,999999999,,,,81.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,61.712,percent of total billed charges,999999999,,,,,,,,,,,,,,,,58.58,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,29,percent of total billed charges,27.54290634,,,,,,,,,,29,percent of total billed charges,27.08474883,,,,,,,,,,29,percent of total billed charges,27.00948148,,,,,,,,,,29,percent of total billed charges,26.61176719,,,,,,,,,,29,percent of total billed charges,27.29652708,,,,,,,,,,29,percent of total billed charges,999999999,,,,,,,,,,29,percent of total billed charges,23.42234246,,,,,,,,,,29,percent of total billed charges,36.93864926,,,,,,,,,,29,percent of total billed charges,999999999,,,,,,,,,,29,percent of total billed charges,25.25501352,,,,,,,,,,104.4,percent of total billed charges,,,,,
OT IONTOPHORESIS 15 MIN,97033,CDM,,,GO,both,,,190,190,40.44794948,190,190,percent of total billed charges,139.7897499,,,,190,percent of total billed charges,148.1743709,,,,190,percent of total billed charges,139.7897499,,,,190,percent of total billed charges,148.1743709,,,,190,percent of total billed charges,999999999,,,,190,percent of total billed charges,144.7669414,,,,190,percent of total billed charges,139.7897499,,,,190,percent of total billed charges,148.1743709,,,,135.47,percent of total billed charges,67.60200911,,,,135.47,percent of total billed charges,40.44794948,,,,135.47,percent of total billed charges,67.60200911,,,,135.47,percent of total billed charges,40.44794948,,,,135.47,percent of total billed charges,67.60200911,,,,135.47,percent of total billed charges,40.44794948,,,,134.14,percent of total billed charges,133.1222434,,,,134.14,percent of total billed charges,91.81335611,,,,,,,,,,136.8,percent of total billed charges,88.91678081,,,,,,,,,,136.8,percent of total billed charges,999999999,,,,,,,,,,152,percent of total billed charges,127.3680988,,,,150.1,percent of total billed charges,144.8529595,,,,150.1,percent of total billed charges,127.9823846,,,,152,percent of total billed charges,999999999,,,,152,percent of total billed charges,999999999,,,,133,percent of total billed charges,999999999,,,,133,percent of total billed charges,999999999,,,,,,,,,,,,,,,,101.08,percent of total billed charges,999999999,,,,,,,,,,,,,,,,95.95,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,47.5,percent of total billed charges,45.11338108,,,,,,,,,,47.5,percent of total billed charges,44.36295068,,,,,,,,,,47.5,percent of total billed charges,44.23966794,,,,,,,,,,47.5,percent of total billed charges,43.58823937,,,,,,,,,,47.5,percent of total billed charges,44.70982884,,,,,,,,,,47.5,percent of total billed charges,999999999,,,,,,,,,,47.5,percent of total billed charges,38.36418162,,,,,,,,,,47.5,percent of total billed charges,60.50295999,,,,,,,,,,47.5,percent of total billed charges,999999999,,,,,,,,,,47.5,percent of total billed charges,41.36597042,,,,,,,,,,171,percent of total billed charges,,,,,
**OT CONTRAST BATH 15 MIN,97034,CDM,,,GO,both,,,196,196,41.72525315,196,196,percent of total billed charges,144.204163,,,,196,percent of total billed charges,152.8535616,,,,196,percent of total billed charges,144.204163,,,,196,percent of total billed charges,152.8535616,,,,196,percent of total billed charges,999999999,,,,196,percent of total billed charges,149.338529,,,,196,percent of total billed charges,144.204163,,,,196,percent of total billed charges,152.8535616,,,,139.748,percent of total billed charges,69.73680939,,,,139.748,percent of total billed charges,41.72525315,,,,139.748,percent of total billed charges,69.73680939,,,,139.748,percent of total billed charges,41.72525315,,,,139.748,percent of total billed charges,69.73680939,,,,139.748,percent of total billed charges,41.72525315,,,,138.376,percent of total billed charges,137.3261037,,,,138.376,percent of total billed charges,94.71272525,,,,,,,,,,141.12,percent of total billed charges,91.72467915,,,,,,,,,,141.12,percent of total billed charges,999999999,,,,,,,,,,156.8,percent of total billed charges,131.3902493,,,,154.84,percent of total billed charges,149.4272635,,,,154.84,percent of total billed charges,132.0239336,,,,156.8,percent of total billed charges,999999999,,,,156.8,percent of total billed charges,999999999,,,,137.2,percent of total billed charges,999999999,,,,137.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,104.272,percent of total billed charges,999999999,,,,,,,,,,,,,,,,98.98,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,49,percent of total billed charges,46.53801416,,,,,,,,,,49,percent of total billed charges,45.76388596,,,,,,,,,,49,percent of total billed charges,45.63671008,,,,,,,,,,49,percent of total billed charges,44.96471008,,,,,,,,,,49,percent of total billed charges,46.12171817,,,,,,,,,,49,percent of total billed charges,999999999,,,,,,,,,,49,percent of total billed charges,39.57568209,,,,,,,,,,49,percent of total billed charges,62.41357978,,,,,,,,,,49,percent of total billed charges,999999999,,,,,,,,,,49,percent of total billed charges,42.67226422,,,,,,,,,,176.4,percent of total billed charges,,,,,
OT ULTRASOUND 15 MIN,97035,CDM,,,GO,both,,,158,158,33.63566325,158,158,percent of total billed charges,116.2462131,,,,158,percent of total billed charges,123.2186874,,,,158,percent of total billed charges,116.2462131,,,,158,percent of total billed charges,123.2186874,,,,158,percent of total billed charges,999999999,,,,158,percent of total billed charges,120.3851407,,,,158,percent of total billed charges,116.2462131,,,,158,percent of total billed charges,123.2186874,,,,112.654,percent of total billed charges,56.21640757,,,,112.654,percent of total billed charges,33.63566325,,,,112.654,percent of total billed charges,56.21640757,,,,112.654,percent of total billed charges,33.63566325,,,,112.654,percent of total billed charges,56.21640757,,,,112.654,percent of total billed charges,33.63566325,,,,111.548,percent of total billed charges,110.701655,,,,111.548,percent of total billed charges,76.35005403,,,,,,,,,,113.76,percent of total billed charges,73.94132299,,,,,,,,,,113.76,percent of total billed charges,999999999,,,,,,,,,,126.4,percent of total billed charges,105.9166295,,,,124.82,percent of total billed charges,120.4566716,,,,124.82,percent of total billed charges,106.4274567,,,,126.4,percent of total billed charges,999999999,,,,126.4,percent of total billed charges,999999999,,,,110.6,percent of total billed charges,999999999,,,,110.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,84.056,percent of total billed charges,999999999,,,,,,,,,,,,,,,,79.79,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,39.5,percent of total billed charges,37.51533795,,,,,,,,,,39.5,percent of total billed charges,36.89129583,,,,,,,,,,39.5,percent of total billed charges,36.7887765,,,,,,,,,,39.5,percent of total billed charges,36.24706221,,,,,,,,,,39.5,percent of total billed charges,37.17975241,,,,,,,,,,39.5,percent of total billed charges,999999999,,,,,,,,,,39.5,percent of total billed charges,31.90284576,,,,,,,,,,39.5,percent of total billed charges,50.31298778,,,,,,,,,,39.5,percent of total billed charges,999999999,,,,,,,,,,39.5,percent of total billed charges,34.39907014,,,,,,,,,,142.2,percent of total billed charges,,,,,
OT THERAPUTIC EXERCISE 15 MIN,97110,CDM,,,GO,both,,,197,197,41.93813709,197,197,percent of total billed charges,144.9398986,,,,197,percent of total billed charges,153.6334267,,,,197,percent of total billed charges,144.9398986,,,,197,percent of total billed charges,153.6334267,,,,197,percent of total billed charges,999999999,,,,197,percent of total billed charges,150.1004603,,,,197,percent of total billed charges,144.9398986,,,,197,percent of total billed charges,153.6334267,,,,140.461,percent of total billed charges,70.09260944,,,,140.461,percent of total billed charges,41.93813709,,,,140.461,percent of total billed charges,70.09260944,,,,140.461,percent of total billed charges,41.93813709,,,,140.461,percent of total billed charges,70.09260944,,,,140.461,percent of total billed charges,41.93813709,,,,139.082,percent of total billed charges,138.0267471,,,,139.082,percent of total billed charges,95.19595344,,,,,,,,,,141.84,percent of total billed charges,92.19266221,,,,,,,,,,141.84,percent of total billed charges,999999999,,,,,,,,,,157.6,percent of total billed charges,132.0606077,,,,155.63,percent of total billed charges,150.1896475,,,,155.63,percent of total billed charges,132.6975251,,,,157.6,percent of total billed charges,999999999,,,,157.6,percent of total billed charges,999999999,,,,137.9,percent of total billed charges,999999999,,,,137.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,104.804,percent of total billed charges,999999999,,,,,,,,,,,,,,,,99.485,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,49.25,percent of total billed charges,46.77545301,,,,,,,,,,49.25,percent of total billed charges,45.99737518,,,,,,,,,,49.25,percent of total billed charges,45.86955044,,,,,,,,,,49.25,percent of total billed charges,45.19412187,,,,,,,,,,49.25,percent of total billed charges,46.35703306,,,,,,,,,,49.25,percent of total billed charges,999999999,,,,,,,,,,49.25,percent of total billed charges,39.77759883,,,,,,,,,,49.25,percent of total billed charges,62.73201641,,,,,,,,,,49.25,percent of total billed charges,999999999,,,,,,,,,,49.25,percent of total billed charges,42.88997985,,,,,,,,,,177.3,percent of total billed charges,,,,,
OT MANUAL THERAPY 15 MIN,97140,CDM,,,GO,both,,,196,196,41.72525315,196,196,percent of total billed charges,144.204163,,,,196,percent of total billed charges,152.8535616,,,,196,percent of total billed charges,144.204163,,,,196,percent of total billed charges,152.8535616,,,,196,percent of total billed charges,999999999,,,,196,percent of total billed charges,149.338529,,,,196,percent of total billed charges,144.204163,,,,196,percent of total billed charges,152.8535616,,,,139.748,percent of total billed charges,69.73680939,,,,139.748,percent of total billed charges,41.72525315,,,,139.748,percent of total billed charges,69.73680939,,,,139.748,percent of total billed charges,41.72525315,,,,139.748,percent of total billed charges,69.73680939,,,,139.748,percent of total billed charges,41.72525315,,,,138.376,percent of total billed charges,137.3261037,,,,138.376,percent of total billed charges,94.71272525,,,,,,,,,,141.12,percent of total billed charges,91.72467915,,,,,,,,,,141.12,percent of total billed charges,999999999,,,,,,,,,,156.8,percent of total billed charges,131.3902493,,,,154.84,percent of total billed charges,149.4272635,,,,154.84,percent of total billed charges,132.0239336,,,,156.8,percent of total billed charges,999999999,,,,156.8,percent of total billed charges,999999999,,,,137.2,percent of total billed charges,999999999,,,,137.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,104.272,percent of total billed charges,999999999,,,,,,,,,,,,,,,,98.98,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,49,percent of total billed charges,46.53801416,,,,,,,,,,49,percent of total billed charges,45.76388596,,,,,,,,,,49,percent of total billed charges,45.63671008,,,,,,,,,,49,percent of total billed charges,44.96471008,,,,,,,,,,49,percent of total billed charges,46.12171817,,,,,,,,,,49,percent of total billed charges,999999999,,,,,,,,,,49,percent of total billed charges,39.57568209,,,,,,,,,,49,percent of total billed charges,62.41357978,,,,,,,,,,49,percent of total billed charges,999999999,,,,,,,,,,49,percent of total billed charges,42.67226422,,,,,,,,,,176.4,percent of total billed charges,,,,,
OT ORTHOTIC FITTING 15 MIN,97760,CDM,,,GO,both,,,165,165,35.12585086,165,165,percent of total billed charges,121.3963617,,,,165,percent of total billed charges,128.6777432,,,,165,percent of total billed charges,121.3963617,,,,165,percent of total billed charges,128.6777432,,,,165,percent of total billed charges,999999999,,,,165,percent of total billed charges,125.7186596,,,,165,percent of total billed charges,121.3963617,,,,165,percent of total billed charges,128.6777432,,,,117.645,percent of total billed charges,58.70700791,,,,117.645,percent of total billed charges,35.12585086,,,,117.645,percent of total billed charges,58.70700791,,,,117.645,percent of total billed charges,35.12585086,,,,117.645,percent of total billed charges,58.70700791,,,,117.645,percent of total billed charges,35.12585086,,,,116.49,percent of total billed charges,115.6061587,,,,116.49,percent of total billed charges,79.73265136,,,,,,,,,,118.8,percent of total billed charges,77.21720438,,,,,,,,,,118.8,percent of total billed charges,999999999,,,,,,,,,,132,percent of total billed charges,110.6091384,,,,130.35,percent of total billed charges,125.7933596,,,,130.35,percent of total billed charges,111.1425972,,,,132,percent of total billed charges,999999999,,,,132,percent of total billed charges,999999999,,,,115.5,percent of total billed charges,999999999,,,,115.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,87.78,percent of total billed charges,999999999,,,,,,,,,,,,,,,,83.325,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,41.25,percent of total billed charges,39.17740988,,,,,,,,,,41.25,percent of total billed charges,38.52572033,,,,,,,,,,41.25,percent of total billed charges,38.418659,,,,,,,,,,41.25,percent of total billed charges,37.85294471,,,,,,,,,,41.25,percent of total billed charges,38.82695663,,,,,,,,,,41.25,percent of total billed charges,999999999,,,,,,,,,,41.25,percent of total billed charges,33.31626298,,,,,,,,,,41.25,percent of total billed charges,52.5420442,,,,,,,,,,41.25,percent of total billed charges,999999999,,,,,,,,,,41.25,percent of total billed charges,35.92307957,,,,,,,,,,148.5,percent of total billed charges,,,,,
**THERAPUTIC ACTIVITY 15 MIN,97530,CDM,,,GO,both,,,137,137,29.16510041,137,137,percent of total billed charges,100.795767,,,,137,percent of total billed charges,106.8415201,,,,137,percent of total billed charges,100.795767,,,,137,percent of total billed charges,106.8415201,,,,137,percent of total billed charges,999999999,,,,137,percent of total billed charges,104.384584,,,,137,percent of total billed charges,100.795767,,,,137,percent of total billed charges,106.8415201,,,,97.681,percent of total billed charges,48.74460657,,,,97.681,percent of total billed charges,29.16510041,,,,97.681,percent of total billed charges,48.74460657,,,,97.681,percent of total billed charges,29.16510041,,,,97.681,percent of total billed charges,48.74460657,,,,97.681,percent of total billed charges,29.16510041,,,,96.722,percent of total billed charges,95.98814389,,,,96.722,percent of total billed charges,66.20226204,,,,,,,,,,98.64,percent of total billed charges,64.11367879,,,,,,,,,,98.64,percent of total billed charges,999999999,,,,,,,,,,109.6,percent of total billed charges,91.8391028,,,,108.23,percent of total billed charges,104.4466077,,,,108.23,percent of total billed charges,92.28203522,,,,109.6,percent of total billed charges,999999999,,,,109.6,percent of total billed charges,999999999,,,,95.9,percent of total billed charges,999999999,,,,95.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,72.884,percent of total billed charges,999999999,,,,,,,,,,,,,,,,69.185,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,34.25,percent of total billed charges,32.52912214,,,,,,,,,,34.25,percent of total billed charges,31.98802233,,,,,,,,,,34.25,percent of total billed charges,31.89912899,,,,,,,,,,34.25,percent of total billed charges,31.4294147,,,,,,,,,,34.25,percent of total billed charges,32.23813974,,,,,,,,,,34.25,percent of total billed charges,999999999,,,,,,,,,,34.25,percent of total billed charges,27.66259411,,,,,,,,,,34.25,percent of total billed charges,43.62581852,,,,,,,,,,34.25,percent of total billed charges,999999999,,,,,,,,,,34.25,percent of total billed charges,29.82704183,,,,,,,,,,123.3,percent of total billed charges,,,,,
**OT GROUP THERAPY,97150,CDM,,,GO,both,,,284,284,60.45904027,284,284,percent of total billed charges,208.9488893,,,,284,percent of total billed charges,221.4816912,,,,284,percent of total billed charges,208.9488893,,,,284,percent of total billed charges,221.4816912,,,,284,percent of total billed charges,999999999,,,,284,percent of total billed charges,216.3884808,,,,284,percent of total billed charges,208.9488893,,,,284,percent of total billed charges,221.4816912,,,,202.492,percent of total billed charges,101.0472136,,,,202.492,percent of total billed charges,60.45904027,,,,202.492,percent of total billed charges,101.0472136,,,,202.492,percent of total billed charges,60.45904027,,,,202.492,percent of total billed charges,101.0472136,,,,202.492,percent of total billed charges,60.45904027,,,,200.504,percent of total billed charges,198.9827216,,,,200.504,percent of total billed charges,137.236806,,,,,,,,,,204.48,percent of total billed charges,132.9071882,,,,,,,,,,204.48,percent of total billed charges,999999999,,,,,,,,,,227.2,percent of total billed charges,190.3817897,,,,224.36,percent of total billed charges,216.5170553,,,,224.36,percent of total billed charges,191.2999854,,,,227.2,percent of total billed charges,999999999,,,,227.2,percent of total billed charges,999999999,,,,198.8,percent of total billed charges,999999999,,,,198.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,151.088,percent of total billed charges,999999999,,,,,,,,,,,,,,,,143.42,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,71,percent of total billed charges,67.43263276,,,,,,,,,,71,percent of total billed charges,66.3109368,,,,,,,,,,71,percent of total billed charges,66.12666155,,,,,,,,,,71,percent of total billed charges,65.15294726,,,,,,,,,,71,percent of total billed charges,66.82942838,,,,,,,,,,71,percent of total billed charges,999999999,,,,,,,,,,71,percent of total billed charges,57.34435568,,,,,,,,,,71,percent of total billed charges,90.43600335,,,,,,,,,,71,percent of total billed charges,999999999,,,,,,,,,,71,percent of total billed charges,61.83123999,,,,,,,,,,255.6,percent of total billed charges,,,,,
OT SELF-CARE/HOME MANAGEMENT ADL 15 MIN,97535,CDM,,,GO,both,,,201,201,42.78967287,201,201,percent of total billed charges,147.8828407,,,,201,percent of total billed charges,156.7528871,,,,201,percent of total billed charges,147.8828407,,,,201,percent of total billed charges,156.7528871,,,,201,percent of total billed charges,999999999,,,,201,percent of total billed charges,153.1481854,,,,201,percent of total billed charges,147.8828407,,,,201,percent of total billed charges,156.7528871,,,,143.313,percent of total billed charges,71.51580963,,,,143.313,percent of total billed charges,42.78967287,,,,143.313,percent of total billed charges,71.51580963,,,,143.313,percent of total billed charges,42.78967287,,,,143.313,percent of total billed charges,71.51580963,,,,143.313,percent of total billed charges,42.78967287,,,,141.906,percent of total billed charges,140.8293206,,,,141.906,percent of total billed charges,97.1288662,,,,,,,,,,144.72,percent of total billed charges,94.06459443,,,,,,,,,,144.72,percent of total billed charges,999999999,,,,,,,,,,160.8,percent of total billed charges,134.7420413,,,,158.79,percent of total billed charges,153.2391835,,,,158.79,percent of total billed charges,135.3918911,,,,160.8,percent of total billed charges,999999999,,,,160.8,percent of total billed charges,999999999,,,,140.7,percent of total billed charges,999999999,,,,140.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,106.932,percent of total billed charges,999999999,,,,,,,,,,,,,,,,101.505,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,50.25,percent of total billed charges,47.7252084,,,,,,,,,,50.25,percent of total billed charges,46.93133203,,,,,,,,,,50.25,percent of total billed charges,46.80091187,,,,,,,,,,50.25,percent of total billed charges,46.11176901,,,,,,,,,,50.25,percent of total billed charges,47.29829262,,,,,,,,,,50.25,percent of total billed charges,999999999,,,,,,,,,,50.25,percent of total billed charges,40.58526581,,,,,,,,,,50.25,percent of total billed charges,64.00576294,,,,,,,,,,50.25,percent of total billed charges,999999999,,,,,,,,,,50.25,percent of total billed charges,43.76084239,,,,,,,,,,180.9,percent of total billed charges,,,,,
**OT RE-EVAL,97004,CDM,,,GO,both,,,485,485,103.2487131,485,485,percent of total billed charges,356.83173,,,,485,percent of total billed charges,378.2345784,,,,485,percent of total billed charges,356.83173,,,,485,percent of total billed charges,378.2345784,,,,485,percent of total billed charges,999999999,,,,485,percent of total billed charges,369.5366662,,,,485,percent of total billed charges,356.83173,,,,485,percent of total billed charges,378.2345784,,,,345.805,percent of total billed charges,172.5630232,,,,345.805,percent of total billed charges,103.2487131,,,,345.805,percent of total billed charges,172.5630232,,,,345.805,percent of total billed charges,103.2487131,,,,345.805,percent of total billed charges,172.5630232,,,,345.805,percent of total billed charges,103.2487131,,,,342.41,percent of total billed charges,339.8120422,,,,342.41,percent of total billed charges,234.3656722,,,,,,,,,,349.2,percent of total billed charges,226.9717826,,,,,,,,,,349.2,percent of total billed charges,999999999,,,,,,,,,,388,percent of total billed charges,325.1238311,,,,383.15,percent of total billed charges,369.7562388,,,,383.15,percent of total billed charges,326.6918765,,,,388,percent of total billed charges,999999999,,,,388,percent of total billed charges,999999999,,,,339.5,percent of total billed charges,999999999,,,,339.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,258.02,percent of total billed charges,999999999,,,,,,,,,,,,,,,,244.925,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,121.25,percent of total billed charges,115.1578412,,,,,,,,,,121.25,percent of total billed charges,113.2422688,,,,,,,,,,121.25,percent of total billed charges,112.9275734,,,,,,,,,,121.25,percent of total billed charges,111.2647163,,,,,,,,,,121.25,percent of total billed charges,114.127721,,,,,,,,,,121.25,percent of total billed charges,999999999,,,,,,,,,,121.25,percent of total billed charges,97.92962149,,,,,,,,,,121.25,percent of total billed charges,154.4417663,,,,,,,,,,121.25,percent of total billed charges,999999999,,,,,,,,,,121.25,percent of total billed charges,105.5920824,,,,,,,,,,436.5,percent of total billed charges,,,,,
**OT (WC) EVAL MODERATE COMPLEXITY,97166,CDM,,,GO,both,,,535,535,113.8929104,535,535,percent of total billed charges,393.6185063,,,,535,percent of total billed charges,417.2278339,,,,535,percent of total billed charges,393.6185063,,,,535,percent of total billed charges,417.2278339,,,,535,percent of total billed charges,999999999,,,,535,percent of total billed charges,407.6332297,,,,535,percent of total billed charges,393.6185063,,,,535,percent of total billed charges,417.2278339,,,,381.455,percent of total billed charges,190.3530256,,,,381.455,percent of total billed charges,113.8929104,,,,381.455,percent of total billed charges,190.3530256,,,,381.455,percent of total billed charges,113.8929104,,,,381.455,percent of total billed charges,190.3530256,,,,381.455,percent of total billed charges,113.8929104,,,,377.71,percent of total billed charges,374.8442115,,,,377.71,percent of total billed charges,258.5270817,,,,,,,,,,385.2,percent of total billed charges,250.3709354,,,,,,,,,,385.2,percent of total billed charges,999999999,,,,,,,,,,428,percent of total billed charges,358.6417518,,,,422.65,percent of total billed charges,407.8754387,,,,422.65,percent of total billed charges,360.3714514,,,,428,percent of total billed charges,999999999,,,,428,percent of total billed charges,999999999,,,,374.5,percent of total billed charges,999999999,,,,374.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,284.62,percent of total billed charges,999999999,,,,,,,,,,,,,,,,270.175,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,133.75,percent of total billed charges,127.0297836,,,,,,,,,,133.75,percent of total billed charges,124.9167295,,,,,,,,,,133.75,percent of total billed charges,124.5695913,,,,,,,,,,133.75,percent of total billed charges,122.7353056,,,,,,,,,,133.75,percent of total billed charges,125.8934654,,,,,,,,,,133.75,percent of total billed charges,999999999,,,,,,,,,,133.75,percent of total billed charges,108.0254588,,,,,,,,,,133.75,percent of total billed charges,170.3635979,,,,,,,,,,133.75,percent of total billed charges,999999999,,,,,,,,,,133.75,percent of total billed charges,116.4778641,,,,,,,,,,481.5,percent of total billed charges,,,,,
**OT FLUIDO THERAPY,97022,CDM,,,GO,both,,,278,278,59.18173661,278,278,percent of total billed charges,204.5344762,,,,278,percent of total billed charges,216.8025006,,,,278,percent of total billed charges,204.5344762,,,,278,percent of total billed charges,216.8025006,,,,278,percent of total billed charges,999999999,,,,278,percent of total billed charges,211.8168932,,,,278,percent of total billed charges,204.5344762,,,,278,percent of total billed charges,216.8025006,,,,198.214,percent of total billed charges,98.91241332,,,,198.214,percent of total billed charges,59.18173661,,,,198.214,percent of total billed charges,98.91241332,,,,198.214,percent of total billed charges,59.18173661,,,,198.214,percent of total billed charges,98.91241332,,,,198.214,percent of total billed charges,59.18173661,,,,196.268,percent of total billed charges,194.7788613,,,,196.268,percent of total billed charges,134.3374368,,,,,,,,,,200.16,percent of total billed charges,130.0992898,,,,,,,,,,200.16,percent of total billed charges,999999999,,,,,,,,,,222.4,percent of total billed charges,186.3596393,,,,219.62,percent of total billed charges,211.9427513,,,,219.62,percent of total billed charges,187.2584364,,,,222.4,percent of total billed charges,999999999,,,,222.4,percent of total billed charges,999999999,,,,194.6,percent of total billed charges,999999999,,,,194.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,147.896,percent of total billed charges,999999999,,,,,,,,,,,,,,,,140.39,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,69.5,percent of total billed charges,66.00799968,,,,,,,,,,69.5,percent of total billed charges,64.91000152,,,,,,,,,,69.5,percent of total billed charges,64.7296194,,,,,,,,,,69.5,percent of total billed charges,63.77647654,,,,,,,,,,69.5,percent of total billed charges,65.41753904,,,,,,,,,,69.5,percent of total billed charges,999999999,,,,,,,,,,69.5,percent of total billed charges,56.13285521,,,,,,,,,,69.5,percent of total billed charges,88.52538356,,,,,,,,,,69.5,percent of total billed charges,999999999,,,,,,,,,,69.5,percent of total billed charges,60.52494619,,,,,,,,,,250.2,percent of total billed charges,,,,,
**OT MOBILITY (CURRENT),G8978,CDM,,,"CH , GO",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OT MOBILITY (CURRENT),G8978,CDM,,,"CI , GO",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OT MOBILITY (CURRENT),G8978,CDM,,,"CJ , GO",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OT MOBILITY (CURRENT),G8978,CDM,,,"CK , GO",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OT MOBILITY (CURRENT),G8978,CDM,,,"CL , GO",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OT MOBILITY (CURRENT),G8978,CDM,,,"CM , GO",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OT MOBILITY (CURRENT),G8978,CDM,,,"CN , GO",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OT MOBILITY (GOAL),G8979,CDM,,,"CH , GO",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OT MOBILITY (GOAL),G8979,CDM,,,"CI , GO",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OT MOBILITY (GOAL),G8979,CDM,,,"CJ , GO",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OT MOBILITY (GOAL),G8979,CDM,,,"CK , GO",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OT MOBILITY (GOAL),G8979,CDM,,,"CL , GO",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OT MOBILITY (GOAL),G8979,CDM,,,"CM , GO",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OT MOBILITY (GOAL),G8979,CDM,,,"CN , GO",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OT MOBILITY (DC),G8980,CDM,,,"CH , GO",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OT MOBILITY (DC),G8980,CDM,,,"CI , GO",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OT MOBILITY (DC),G8980,CDM,,,"CJ , GO",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OT MOBILITY (DC),G8980,CDM,,,"CK , GO",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OT MOBILITY (DC),G8980,CDM,,,"CL , GO",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OT MOBILITY (DC),G8980,CDM,,,"CM , GO",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OT MOBILITY (DC),G8980,CDM,,,"CN , GO",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OT CHANGING BODY POSITION (CURRENT),G8981,CDM,,,"CH , GO",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OT CHANGING BODY POSITION (CURRENT),G8981,CDM,,,"CI , GO",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OT CHANGING BODY POSITION (CURRENT),G8981,CDM,,,"CJ , GO",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OT CHANGING BODY POSITION (CURRENT),G8981,CDM,,,"CK , GO",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OT CHANGING BODY POSITION (CURRENT),G8981,CDM,,,"CL , GO",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OT CHANGING BODY POSITION (CURRENT),G8981,CDM,,,"CM , GO",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OT CHANGING BODY POSITION (CURRENT),G8981,CDM,,,"CN , GO",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OT CHANGING BODY POSITION (GOAL),G8982,CDM,,,"CH , GO",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OT CHANGING BODY POSITION (GOAL),G8982,CDM,,,"CI , GO",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OT CHANGING BODY POSITION (GOAL),G8982,CDM,,,"CJ , GO",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OT CHANGING BODY POSITION (GOAL),G8982,CDM,,,"CK , GO",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OT CHANGING BODY POSITION (GOAL),G8982,CDM,,,"CL , GO",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OT CHANGING BODY POSITION (GOAL),G8982,CDM,,,"CM , GO",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OT CHANGING BODY POSITION (GOAL),G8982,CDM,,,"CN , GO",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OT CHANGING BODY POSITION (DC),G8983,CDM,,,"CH , GO",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OT CHANGING BODY POSITION (DC),G8983,CDM,,,"CI , GO",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OT CHANGING BODY POSITION (DC),G8983,CDM,,,"CJ , GO",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OT CHANGING BODY POSITION (DC),G8983,CDM,,,"CK , GO",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OT CHANGING BODY POSITION (DC),G8983,CDM,,,"CL , GO",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OT CHANGING BODY POSITION (DC),G8983,CDM,,,"CM , GO",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OT CHANGING BODY POSITION (DC),G8983,CDM,,,"CN , GO",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
"**OT CARRYING, MOVING OBJECTS (CURRENT)",G8984,CDM,,,"CH , GO",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
"**OT CARRYING, MOVING OBJECTS (CURRENT)",G8984,CDM,,,"CI , GO",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
"**OT CARRYING, MOVING OBJECTS (CURRENT)",G8984,CDM,,,"CJ , GO",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
"**OT CARRYING, MOVING OBJECTS (CURRENT)",G8984,CDM,,,"CK , GO",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
"**OT CARRYING, MOVING OBJECTS (CURRENT)",G8984,CDM,,,"CL , GO",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
"**OT CARRYING, MOVING OBJECTS (CURRENT)",G8984,CDM,,,"CM , GO",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
"**OT CARRYING, MOVING OBJECTS (CURRENT)",G8984,CDM,,,"CN , GO",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
"**OT CARRYING, MOVING OBJECTS (GOAL)",G8985,CDM,,,"CH , GO",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
"**OT CARRYING, MOVING OBJECTS (GOAL)",G8985,CDM,,,"CI , GO",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
"**OT CARRYING, MOVING OBJECTS (GOAL)",G8985,CDM,,,"CJ , GO",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
"**OT CARRYING, MOVING OBJECTS (GOAL)",G8985,CDM,,,"CK , GO",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
"**OT CARRYING, MOVING OBJECTS (GOAL)",G8985,CDM,,,"CL , GO",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
"**OT CARRYING, MOVING OBJECTS (GOAL)",G8985,CDM,,,"CM , GO",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
"**OT CARRYING, MOVING OBJECTS (GOAL)",G8985,CDM,,,"CN , GO",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
"**OT CARRYING, MOVING OBJECTS (DC)",G8986,CDM,,,"CH , GO",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
"**OT CARRYING, MOVING OBJECTS (DC)",G8986,CDM,,,"CI , GO",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
"**OT CARRYING, MOVING OBJECTS (DC)",G8986,CDM,,,"CJ , GO",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
"**OT CARRYING, MOVING OBJECTS (DC)",G8986,CDM,,,"CK , GO",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
"**OT CARRYING, MOVING OBJECTS (DC)",G8986,CDM,,,"CL , GO",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
"**OT CARRYING, MOVING OBJECTS (DC)",G8986,CDM,,,"CM , GO",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
"**OT CARRYING, MOVING OBJECTS (DC)",G8986,CDM,,,"CN , GO",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OT SELF CARE (CURRENT),G8987,CDM,,,"CH , GO",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OT SELF CARE (CURRENT),G8987,CDM,,,"CI , GO",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OT SELF CARE (CURRENT),G8987,CDM,,,"CJ , GO",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OT SELF CARE (CURRENT),G8987,CDM,,,"CK , GO",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OT SELF CARE (CURRENT),G8987,CDM,,,"CL , GO",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OT SELF CARE (CURRENT),G8987,CDM,,,"CM , GO",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OT SELF CARE (CURRENT),G8987,CDM,,,"CN , GO",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OT SELF CARE (GOAL),G8988,CDM,,,"CH , GO",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OT SELF CARE (GOAL),G8988,CDM,,,"CI , GO",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OT SELF CARE (GOAL) CJ,G8988,CDM,,,"CJ , GO",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OT SELF CARE (GOAL) CK,G8988,CDM,,,"CK , GO",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OT SELF CARE (GOAL) CL,G8988,CDM,,,"CL , GO",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OT SELF CARE (GOAL) CM,G8988,CDM,,,"CM , GO",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OT SELF CARE (GOAL) CN,G8988,CDM,,,"CN , GO",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OT SELF CARE (DC) CH,G8989,CDM,,,"CH , GO",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OT SELF CARE (DC) CI,G8989,CDM,,,"CI , GO",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OT SELF CARE (DC) CJ,G8989,CDM,,,"CJ , GO",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OT SELF CARE (DC) CK,G8989,CDM,,,"CK , GO",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OT SELF CARE (DC) CL,G8989,CDM,,,"CL , GO",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OT SELF CARE (DC) CM,G8989,CDM,,,"CM , GO",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OT SELF CARE (DC) CN,G8989,CDM,,,"CN , GO",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OTHER OT PRIMARY FUNC LIMIT (CURRENT),G8990,CDM,,,"CH , GO",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OTHER OT PRIMARY FUNC LIMIT (CURRENT),G8990,CDM,,,"CI , GO",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OTHER OT PRIMARY FUNC LIMIT (CURRENT),G8990,CDM,,,"CJ , GO",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OTHER OT PRIMARY FUNC LIMIT (CURRENT),G8990,CDM,,,"CK , GO",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OTHER OT PRIMARY FUNC LIMIT (CURRENT),G8990,CDM,,,"CL , GO",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OTHER OT PRIMARY FUNC LIMIT (CURRENT),G8990,CDM,,,"CM , GO",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OTHER OT PRIMARY FUNC LIMIT (CURRENT),G8990,CDM,,,"CN , GO",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OTHER OT PRIMARY FUNC LIMIT (GOAL),G8991,CDM,,,"CH , GO",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OTHER OT PRIMARY FUNC LIMIT (GOAL),G8991,CDM,,,"CI , GO",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OTHER OT PRIMARY FUNC LIMIT (GOAL),G8991,CDM,,,"CJ , GO",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OTHER OT PRIMARY FUNC LIMIT (GOAL),G8991,CDM,,,"CK , GO",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OTHER OT PRIMARY FUNC LIMIT (GOAL),G8991,CDM,,,"CL , GO",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OTHER OT PRIMARY FUNC LIMIT (GOAL),G8991,CDM,,,"CM , GO",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
*OTHER OT PRIMARY FUNC LIMIT (GOAL),G8991,CDM,,,"CN , GO",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OTHER OT PRIMARY FUNC LIMIT (DC),G8992,CDM,,,"CH , GO",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OTHER OT PRIMARY FUNC LIMIT (DC),G8992,CDM,,,"CI , GO",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OTHER OT PRIMARY FUNC LIMIT (DC),G8992,CDM,,,"CJ , GO",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OTHER OT PRIMARY FUNC LIMIT (DC),G8992,CDM,,,"CK , GO",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OTHER OT PRIMARY FUNC LIMIT (DC),G8992,CDM,,,"CL , GO",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OTHER OT PRIMARY FUNC LIMIT (DC),G8992,CDM,,,"CM , GO",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OTHER OT PRIMARY FUNC LIMIT (DC),G8992,CDM,,,"CN , GO",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OTHER OT SUBSEQ FUNC LIMIT (CURRENT),G8993,CDM,,,"CH , GO",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OTHER OT SUBSEQ FUNC LIMIT (CURRENT),G8993,CDM,,,"CI , GO",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OTHER OT SUBSEQ FUNC LIMIT (CURRENT),G8993,CDM,,,"CJ , GO",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OTHER OT SUBSEQ FUNC LIMIT (CURRENT),G8993,CDM,,,"CK , GO",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OTHER OT SUBSEQ FUNC LIMIT (CURRENT),G8993,CDM,,,"CL , GO",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OTHER OT SUBSEQ FUNC LIMIT (CURRENT),G8993,CDM,,,"CM , GO",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OTHER OT SUBSEQ FUNC LIMIT (CURRENT),G8993,CDM,,,"CN , GO",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
*OTHER OT SUBSEQ FUNC LIMIT (GOAL),G8994,CDM,,,"CH , GO",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OTHER OT SUBSEQ FUNC LIMIT (GOAL),G8994,CDM,,,"CI , GO",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OTHER OT SUBSEQ FUNC LIMIT (GOAL),G8994,CDM,,,"CJ , GO",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OTHER OT SUBSEQ FUNC LIMIT (GOAL),G8994,CDM,,,"CK , GO",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OTHER OT SUBSEQ FUNC LIMIT (GOAL),G8994,CDM,,,"CL , GO",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OTHER OT SUBSEQ FUNC LIMIT (GOAL),G8994,CDM,,,"CM , GO",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OTHER OT SUBSEQ FUNC LIMIT (GOAL),G8994,CDM,,,"CN , GO",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OTHER OT SUBSEQ FUNC LIMIT (DC),G8995,CDM,,,"CH , GO",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OTHER OT SUBSEQ FUNC LIMIT (DC) CI,G8995,CDM,,,"CI , GO",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OTHER OT SUBSEQ FUNC LIMIT (DC) CJ,G8995,CDM,,,"CJ , GO",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OTHER OT SUBSEQ FUNC LIMIT (DC) CK,G8995,CDM,,,"CK , GO",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OTHER OT SUBSEQ FUNC LIMIT (DC) CL,G8995,CDM,,,"CL , GO",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OTHER OT SUBSEQ FUNC LIMIT (DC) CM,G8995,CDM,,,"CM , GO",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OTHER OT SUBSEQ FUNC LIMIT (DC) CN,G8995,CDM,,,"CN , GO",both,,,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
OT ASSISTIVE TECHOLOGY ASSESS,97755,CDM,,,GO,both,,,203,203,43.21544076,203,203,percent of total billed charges,149.3543117,,,,203,percent of total billed charges,158.3126173,,,,203,percent of total billed charges,149.3543117,,,,203,percent of total billed charges,158.3126173,,,,203,percent of total billed charges,999999999,,,,203,percent of total billed charges,154.6720479,,,,203,percent of total billed charges,149.3543117,,,,203,percent of total billed charges,158.3126173,,,,144.739,percent of total billed charges,72.22740973,,,,144.739,percent of total billed charges,43.21544076,,,,144.739,percent of total billed charges,72.22740973,,,,144.739,percent of total billed charges,43.21544076,,,,144.739,percent of total billed charges,72.22740973,,,,144.739,percent of total billed charges,43.21544076,,,,143.318,percent of total billed charges,142.2306074,,,,143.318,percent of total billed charges,98.09532258,,,,,,,,,,146.16,percent of total billed charges,95.00056055,,,,,,,,,,146.16,percent of total billed charges,999999999,,,,,,,,,,162.4,percent of total billed charges,136.0827582,,,,160.37,percent of total billed charges,154.7639515,,,,160.37,percent of total billed charges,136.7390741,,,,162.4,percent of total billed charges,999999999,,,,162.4,percent of total billed charges,999999999,,,,142.1,percent of total billed charges,999999999,,,,142.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,107.996,percent of total billed charges,999999999,,,,,,,,,,,,,,,,102.515,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,50.75,percent of total billed charges,48.2000861,,,,,,,,,,50.75,percent of total billed charges,47.39831046,,,,,,,,,,50.75,percent of total billed charges,47.26659259,,,,,,,,,,50.75,percent of total billed charges,46.57059258,,,,,,,,,,50.75,percent of total billed charges,47.7689224,,,,,,,,,,50.75,percent of total billed charges,999999999,,,,,,,,,,50.75,percent of total billed charges,40.9890993,,,,,,,,,,50.75,percent of total billed charges,64.6426362,,,,,,,,,,50.75,percent of total billed charges,999999999,,,,,,,,,,50.75,percent of total billed charges,44.19627365,,,,,,,,,,182.7,percent of total billed charges,,,,,
**OT (WC) EVALUATION 46-60  MIN,97003,CDM,,,GO,both,,,618,618,131.5622778,618,618,percent of total billed charges,454.6845549,,,,618,percent of total billed charges,481.956638,,,,618,percent of total billed charges,454.6845549,,,,618,percent of total billed charges,481.956638,,,,618,percent of total billed charges,999999999,,,,618,percent of total billed charges,470.8735251,,,,618,percent of total billed charges,454.6845549,,,,618,percent of total billed charges,481.956638,,,,440.634,percent of total billed charges,219.8844296,,,,440.634,percent of total billed charges,131.5622778,,,,440.634,percent of total billed charges,219.8844296,,,,440.634,percent of total billed charges,131.5622778,,,,440.634,percent of total billed charges,219.8844296,,,,440.634,percent of total billed charges,131.5622778,,,,436.308,percent of total billed charges,432.9976126,,,,436.308,percent of total billed charges,298.6350214,,,,,,,,,,444.96,percent of total billed charges,289.2135292,,,,,,,,,,444.96,percent of total billed charges,999999999,,,,,,,,,,494.4,percent of total billed charges,414.2815002,,,,488.22,percent of total billed charges,471.1533105,,,,488.22,percent of total billed charges,416.2795457,,,,494.4,percent of total billed charges,999999999,,,,494.4,percent of total billed charges,999999999,,,,432.6,percent of total billed charges,999999999,,,,432.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,328.776,percent of total billed charges,999999999,,,,,,,,,,,,,,,,312.09,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,154.5,percent of total billed charges,146.7372079,,,,,,,,,,154.5,percent of total billed charges,144.2963343,,,,,,,,,,154.5,percent of total billed charges,143.895341,,,,,,,,,,154.5,percent of total billed charges,141.7764838,,,,,,,,,,154.5,percent of total billed charges,145.4246012,,,,,,,,,,154.5,percent of total billed charges,999999999,,,,,,,,,,154.5,percent of total billed charges,124.7845486,,,,,,,,,,154.5,percent of total billed charges,196.7938383,,,,,,,,,,154.5,percent of total billed charges,999999999,,,,,,,,,,154.5,percent of total billed charges,134.5482617,,,,,,,,,,556.2,percent of total billed charges,,,,,
**OT (WC) EVALUATION 61-90 MIN,97003,CDM,,,GO,both,,,700,700,149.0187612,700,700,percent of total billed charges,515.014868,,,,700,percent of total billed charges,545.905577,,,,700,percent of total billed charges,515.014868,,,,700,percent of total billed charges,545.905577,,,,700,percent of total billed charges,999999999,,,,700,percent of total billed charges,533.3518893,,,,700,percent of total billed charges,515.014868,,,,700,percent of total billed charges,545.905577,,,,499.1,percent of total billed charges,249.0600335,,,,499.1,percent of total billed charges,149.0187612,,,,499.1,percent of total billed charges,249.0600335,,,,499.1,percent of total billed charges,149.0187612,,,,499.1,percent of total billed charges,249.0600335,,,,499.1,percent of total billed charges,149.0187612,,,,494.2,percent of total billed charges,490.4503703,,,,494.2,percent of total billed charges,338.259733,,,,,,,,,,504,percent of total billed charges,327.5881398,,,,,,,,,,504,percent of total billed charges,999999999,,,,,,,,,,560,percent of total billed charges,469.2508902,,,,553,percent of total billed charges,533.6687983,,,,553,percent of total billed charges,471.5140486,,,,560,percent of total billed charges,999999999,,,,560,percent of total billed charges,999999999,,,,490,percent of total billed charges,999999999,,,,490,percent of total billed charges,999999999,,,,,,,,,,,,,,,,372.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,353.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,175,percent of total billed charges,166.2071934,,,,,,,,,,175,percent of total billed charges,163.4424499,,,,,,,,,,175,percent of total billed charges,162.9882503,,,,,,,,,,175,percent of total billed charges,160.5882503,,,,,,,,,,175,percent of total billed charges,164.7204221,,,,,,,,,,175,percent of total billed charges,999999999,,,,,,,,,,175,percent of total billed charges,141.3417217,,,,,,,,,,175,percent of total billed charges,222.9056421,,,,,,,,,,175,percent of total billed charges,999999999,,,,,,,,,,175,percent of total billed charges,152.4009436,,,,,,,,,,630,percent of total billed charges,,,,,
**OT TEAM CONF W/O PAT BY PHYS > 30 MIN,99367,CDM,,,GO,both,,,303,303,64.50383522,303,303,percent of total billed charges,222.9278643,,,,303,percent of total billed charges,236.2991283,,,,303,percent of total billed charges,222.9278643,,,,303,percent of total billed charges,236.2991283,,,,303,percent of total billed charges,999999999,,,,303,percent of total billed charges,230.8651749,,,,303,percent of total billed charges,222.9278643,,,,303,percent of total billed charges,236.2991283,,,,216.039,percent of total billed charges,107.8074145,,,,216.039,percent of total billed charges,64.50383522,,,,216.039,percent of total billed charges,107.8074145,,,,216.039,percent of total billed charges,64.50383522,,,,216.039,percent of total billed charges,107.8074145,,,,216.039,percent of total billed charges,64.50383522,,,,213.918,percent of total billed charges,212.294946,,,,213.918,percent of total billed charges,146.4181416,,,,,,,,,,218.16,percent of total billed charges,141.7988662,,,,,,,,,,218.16,percent of total billed charges,999999999,,,,,,,,,,242.4,percent of total billed charges,203.1185996,,,,239.37,percent of total billed charges,231.0023513,,,,239.37,percent of total billed charges,204.0982239,,,,242.4,percent of total billed charges,999999999,,,,242.4,percent of total billed charges,999999999,,,,212.1,percent of total billed charges,999999999,,,,212.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,161.196,percent of total billed charges,999999999,,,,,,,,,,,,,,,,153.015,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,75.75,percent of total billed charges,71.94397087,,,,,,,,,,75.75,percent of total billed charges,70.74723187,,,,,,,,,,75.75,percent of total billed charges,70.55062834,,,,,,,,,,75.75,percent of total billed charges,69.5117712,,,,,,,,,,75.75,percent of total billed charges,71.30041126,,,,,,,,,,75.75,percent of total billed charges,999999999,,,,,,,,,,75.75,percent of total billed charges,61.18077384,,,,,,,,,,75.75,percent of total billed charges,96.48629935,,,,,,,,,,75.75,percent of total billed charges,999999999,,,,,,,,,,75.75,percent of total billed charges,65.96783703,,,,,,,,,,272.7,percent of total billed charges,,,,,
OT TEAM CONF W/O PAT BY HC PRO > 30 MIN,99368,CDM,,,GO,both,,,219,219,46.62158387,219,219,percent of total billed charges,161.1260801,,,,219,percent of total billed charges,170.7904591,,,,219,percent of total billed charges,161.1260801,,,,219,percent of total billed charges,170.7904591,,,,219,percent of total billed charges,999999999,,,,219,percent of total billed charges,166.8629482,,,,219,percent of total billed charges,161.1260801,,,,219,percent of total billed charges,170.7904591,,,,156.147,percent of total billed charges,77.9202105,,,,156.147,percent of total billed charges,46.62158387,,,,156.147,percent of total billed charges,77.9202105,,,,156.147,percent of total billed charges,46.62158387,,,,156.147,percent of total billed charges,77.9202105,,,,156.147,percent of total billed charges,46.62158387,,,,154.614,percent of total billed charges,153.4409015,,,,154.614,percent of total billed charges,105.8269736,,,,,,,,,,157.68,percent of total billed charges,102.4882895,,,,,,,,,,157.68,percent of total billed charges,999999999,,,,,,,,,,175.2,percent of total billed charges,146.8084928,,,,173.01,percent of total billed charges,166.9620955,,,,173.01,percent of total billed charges,147.516538,,,,175.2,percent of total billed charges,999999999,,,,175.2,percent of total billed charges,999999999,,,,153.3,percent of total billed charges,999999999,,,,153.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,116.508,percent of total billed charges,999999999,,,,,,,,,,,,,,,,110.595,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,54.75,percent of total billed charges,51.99910766,,,,,,,,,,54.75,percent of total billed charges,51.13413789,,,,,,,,,,54.75,percent of total billed charges,50.99203831,,,,,,,,,,54.75,percent of total billed charges,50.24118116,,,,,,,,,,54.75,percent of total billed charges,51.53396061,,,,,,,,,,54.75,percent of total billed charges,999999999,,,,,,,,,,54.75,percent of total billed charges,44.21976723,,,,,,,,,,54.75,percent of total billed charges,69.7376223,,,,,,,,,,54.75,percent of total billed charges,999999999,,,,,,,,,,54.75,percent of total billed charges,47.67972379,,,,,,,,,,197.1,percent of total billed charges,,,,,
**OT (WC) EVAL LOW COMPLEXITY,97165,CDM,,,GO,both,,,454,454,96.64931086,454,454,percent of total billed charges,334.0239287,,,,454,percent of total billed charges,354.0587599,,,,454,percent of total billed charges,334.0239287,,,,454,percent of total billed charges,354.0587599,,,,454,percent of total billed charges,999999999,,,,454,percent of total billed charges,345.9167968,,,,454,percent of total billed charges,334.0239287,,,,454,percent of total billed charges,354.0587599,,,,323.702,percent of total billed charges,161.5332218,,,,323.702,percent of total billed charges,96.64931086,,,,323.702,percent of total billed charges,161.5332218,,,,323.702,percent of total billed charges,96.64931086,,,,323.702,percent of total billed charges,161.5332218,,,,323.702,percent of total billed charges,96.64931086,,,,320.524,percent of total billed charges,318.0920973,,,,320.524,percent of total billed charges,219.3855983,,,,,,,,,,326.88,percent of total billed charges,212.4643078,,,,,,,,,,326.88,percent of total billed charges,999999999,,,,,,,,,,363.2,percent of total billed charges,304.3427202,,,,358.66,percent of total billed charges,346.1223349,,,,358.66,percent of total billed charges,305.8105401,,,,363.2,percent of total billed charges,999999999,,,,363.2,percent of total billed charges,999999999,,,,317.8,percent of total billed charges,999999999,,,,317.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,241.528,percent of total billed charges,999999999,,,,,,,,,,,,,,,,229.27,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,113.5,percent of total billed charges,107.7972369,,,,,,,,,,113.5,percent of total billed charges,106.0041032,,,,,,,,,,113.5,percent of total billed charges,105.7095223,,,,,,,,,,113.5,percent of total billed charges,104.1529509,,,,,,,,,,113.5,percent of total billed charges,106.8329594,,,,,,,,,,113.5,percent of total billed charges,999999999,,,,,,,,,,113.5,percent of total billed charges,91.67020239,,,,,,,,,,113.5,percent of total billed charges,144.5702307,,,,,,,,,,113.5,percent of total billed charges,999999999,,,,,,,,,,113.5,percent of total billed charges,98.84289773,,,,,,,,,,408.6,percent of total billed charges,,,,,
**OT (WC) EVAL HIGH COMPLEXITY,97167,CDM,,,GO,both,,,783,783,166.6881286,783,783,percent of total billed charges,576.0809166,,,,783,percent of total billed charges,610.6343811,,,,783,percent of total billed charges,576.0809166,,,,783,percent of total billed charges,610.6343811,,,,783,percent of total billed charges,999999999,,,,783,percent of total billed charges,596.5921847,,,,783,percent of total billed charges,576.0809166,,,,783,percent of total billed charges,610.6343811,,,,558.279,percent of total billed charges,278.5914375,,,,558.279,percent of total billed charges,166.6881286,,,,558.279,percent of total billed charges,278.5914375,,,,558.279,percent of total billed charges,166.6881286,,,,558.279,percent of total billed charges,278.5914375,,,,558.279,percent of total billed charges,166.6881286,,,,552.798,percent of total billed charges,548.6037713,,,,552.798,percent of total billed charges,378.3676728,,,,,,,,,,563.76,percent of total billed charges,366.4307335,,,,,,,,,,563.76,percent of total billed charges,999999999,,,,,,,,,,626.4,percent of total billed charges,524.8906386,,,,618.57,percent of total billed charges,596.9466701,,,,618.57,percent of total billed charges,527.4221429,,,,626.4,percent of total billed charges,999999999,,,,626.4,percent of total billed charges,999999999,,,,548.1,percent of total billed charges,999999999,,,,548.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,416.556,percent of total billed charges,999999999,,,,,,,,,,,,,,,,395.415,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,195.75,percent of total billed charges,185.9146178,,,,,,,,,,195.75,percent of total billed charges,182.8220546,,,,,,,,,,195.75,percent of total billed charges,182.314,,,,,,,,,,195.75,percent of total billed charges,179.6294285,,,,,,,,,,195.75,percent of total billed charges,184.2515578,,,,,,,,,,195.75,percent of total billed charges,999999999,,,,,,,,,,195.75,percent of total billed charges,158.1008116,,,,,,,,,,195.75,percent of total billed charges,249.3358825,,,,,,,,,,195.75,percent of total billed charges,999999999,,,,,,,,,,195.75,percent of total billed charges,170.4713412,,,,,,,,,,704.7,percent of total billed charges,,,,,
OT TEAM CONF W/PAT BY HC PRO > 30 MIN,99366,CDM,,,GO,both,,,294,294,62.58787972,294,294,percent of total billed charges,216.3062446,,,,294,percent of total billed charges,229.2803423,,,,294,percent of total billed charges,216.3062446,,,,294,percent of total billed charges,229.2803423,,,,294,percent of total billed charges,999999999,,,,294,percent of total billed charges,224.0077935,,,,294,percent of total billed charges,216.3062446,,,,294,percent of total billed charges,229.2803423,,,,209.622,percent of total billed charges,104.6052141,,,,209.622,percent of total billed charges,62.58787972,,,,209.622,percent of total billed charges,104.6052141,,,,209.622,percent of total billed charges,62.58787972,,,,209.622,percent of total billed charges,104.6052141,,,,209.622,percent of total billed charges,62.58787972,,,,207.564,percent of total billed charges,205.9891555,,,,207.564,percent of total billed charges,142.0690879,,,,,,,,,,211.68,percent of total billed charges,137.5870187,,,,,,,,,,211.68,percent of total billed charges,999999999,,,,,,,,,,235.2,percent of total billed charges,197.0853739,,,,232.26,percent of total billed charges,224.1408953,,,,232.26,percent of total billed charges,198.0359004,,,,235.2,percent of total billed charges,999999999,,,,235.2,percent of total billed charges,999999999,,,,205.8,percent of total billed charges,999999999,,,,205.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,156.408,percent of total billed charges,999999999,,,,,,,,,,,,,,,,148.47,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,73.5,percent of total billed charges,69.80702124,,,,,,,,,,73.5,percent of total billed charges,68.64582894,,,,,,,,,,73.5,percent of total billed charges,68.45506512,,,,,,,,,,73.5,percent of total billed charges,67.44706512,,,,,,,,,,73.5,percent of total billed charges,69.18257726,,,,,,,,,,73.5,percent of total billed charges,999999999,,,,,,,,,,73.5,percent of total billed charges,59.36352313,,,,,,,,,,73.5,percent of total billed charges,93.62036967,,,,,,,,,,73.5,percent of total billed charges,999999999,,,,,,,,,,73.5,percent of total billed charges,64.00839633,,,,,,,,,,264.6,percent of total billed charges,,,,,
OT EVAL LOW COMPLEXITY,97165,CDM,,,GO,both,,,494,494,105.1646686,494,494,percent of total billed charges,363.4533497,,,,494,percent of total billed charges,385.2533643,,,,494,percent of total billed charges,363.4533497,,,,494,percent of total billed charges,385.2533643,,,,494,percent of total billed charges,999999999,,,,494,percent of total billed charges,376.3940476,,,,494,percent of total billed charges,363.4533497,,,,494,percent of total billed charges,385.2533643,,,,352.222,percent of total billed charges,175.7652237,,,,352.222,percent of total billed charges,105.1646686,,,,352.222,percent of total billed charges,175.7652237,,,,352.222,percent of total billed charges,105.1646686,,,,352.222,percent of total billed charges,175.7652237,,,,352.222,percent of total billed charges,105.1646686,,,,348.764,percent of total billed charges,346.1178327,,,,348.764,percent of total billed charges,238.7147259,,,,,,,,,,355.68,percent of total billed charges,231.1836301,,,,,,,,,,355.68,percent of total billed charges,999999999,,,,,,,,,,395.2,percent of total billed charges,331.1570568,,,,390.26,percent of total billed charges,376.6176948,,,,390.26,percent of total billed charges,332.7542,,,,395.2,percent of total billed charges,999999999,,,,395.2,percent of total billed charges,999999999,,,,345.8,percent of total billed charges,999999999,,,,345.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,262.808,percent of total billed charges,999999999,,,,,,,,,,,,,,,,249.47,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,123.5,percent of total billed charges,117.2947908,,,,,,,,,,123.5,percent of total billed charges,115.3436718,,,,,,,,,,123.5,percent of total billed charges,115.0231366,,,,,,,,,,123.5,percent of total billed charges,113.3294223,,,,,,,,,,123.5,percent of total billed charges,116.245555,,,,,,,,,,123.5,percent of total billed charges,999999999,,,,,,,,,,123.5,percent of total billed charges,99.7468722,,,,,,,,,,123.5,percent of total billed charges,157.307696,,,,,,,,,,123.5,percent of total billed charges,999999999,,,,,,,,,,123.5,percent of total billed charges,107.5515231,,,,,,,,,,444.6,percent of total billed charges,,,,,
OT EVAL MODERATE COMPLEXITY,97166,CDM,,,GO,both,,,494,494,105.1646686,494,494,percent of total billed charges,363.4533497,,,,494,percent of total billed charges,385.2533643,,,,494,percent of total billed charges,363.4533497,,,,494,percent of total billed charges,385.2533643,,,,494,percent of total billed charges,999999999,,,,494,percent of total billed charges,376.3940476,,,,494,percent of total billed charges,363.4533497,,,,494,percent of total billed charges,385.2533643,,,,352.222,percent of total billed charges,175.7652237,,,,352.222,percent of total billed charges,105.1646686,,,,352.222,percent of total billed charges,175.7652237,,,,352.222,percent of total billed charges,105.1646686,,,,352.222,percent of total billed charges,175.7652237,,,,352.222,percent of total billed charges,105.1646686,,,,348.764,percent of total billed charges,346.1178327,,,,348.764,percent of total billed charges,238.7147259,,,,,,,,,,355.68,percent of total billed charges,231.1836301,,,,,,,,,,355.68,percent of total billed charges,999999999,,,,,,,,,,395.2,percent of total billed charges,331.1570568,,,,390.26,percent of total billed charges,376.6176948,,,,390.26,percent of total billed charges,332.7542,,,,395.2,percent of total billed charges,999999999,,,,395.2,percent of total billed charges,999999999,,,,345.8,percent of total billed charges,999999999,,,,345.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,262.808,percent of total billed charges,999999999,,,,,,,,,,,,,,,,249.47,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,123.5,percent of total billed charges,117.2947908,,,,,,,,,,123.5,percent of total billed charges,115.3436718,,,,,,,,,,123.5,percent of total billed charges,115.0231366,,,,,,,,,,123.5,percent of total billed charges,113.3294223,,,,,,,,,,123.5,percent of total billed charges,116.245555,,,,,,,,,,123.5,percent of total billed charges,999999999,,,,,,,,,,123.5,percent of total billed charges,99.7468722,,,,,,,,,,123.5,percent of total billed charges,157.307696,,,,,,,,,,123.5,percent of total billed charges,999999999,,,,,,,,,,123.5,percent of total billed charges,107.5515231,,,,,,,,,,444.6,percent of total billed charges,,,,,
OT EVAL HIGH COMPLEXITY,97167,CDM,,,GO,both,,,464,464,98.77815031,464,464,percent of total billed charges,341.3812839,,,,464,percent of total billed charges,361.857411,,,,464,percent of total billed charges,341.3812839,,,,464,percent of total billed charges,361.857411,,,,464,percent of total billed charges,999999999,,,,464,percent of total billed charges,353.5361095,,,,464,percent of total billed charges,341.3812839,,,,464,percent of total billed charges,361.857411,,,,330.832,percent of total billed charges,165.0912222,,,,330.832,percent of total billed charges,98.77815031,,,,330.832,percent of total billed charges,165.0912222,,,,330.832,percent of total billed charges,98.77815031,,,,330.832,percent of total billed charges,165.0912222,,,,330.832,percent of total billed charges,98.77815031,,,,327.584,percent of total billed charges,325.0985311,,,,327.584,percent of total billed charges,224.2178802,,,,,,,,,,334.08,percent of total billed charges,217.1441384,,,,,,,,,,334.08,percent of total billed charges,999999999,,,,,,,,,,371.2,percent of total billed charges,311.0463044,,,,366.56,percent of total billed charges,353.7461749,,,,366.56,percent of total billed charges,312.546455,,,,371.2,percent of total billed charges,999999999,,,,371.2,percent of total billed charges,999999999,,,,324.8,percent of total billed charges,999999999,,,,324.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,246.848,percent of total billed charges,999999999,,,,,,,,,,,,,,,,234.32,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,116,percent of total billed charges,110.1716254,,,,,,,,,,116,percent of total billed charges,108.3389953,,,,,,,,,,116,percent of total billed charges,108.0379259,,,,,,,,,,116,percent of total billed charges,106.4470688,,,,,,,,,,116,percent of total billed charges,109.1861083,,,,,,,,,,116,percent of total billed charges,999999999,,,,,,,,,,116,percent of total billed charges,93.68936984,,,,,,,,,,116,percent of total billed charges,147.754597,,,,,,,,,,116,percent of total billed charges,999999999,,,,,,,,,,116,percent of total billed charges,101.0200541,,,,,,,,,,417.6,percent of total billed charges,,,,,
OT RE-EVALUATION,97168,CDM,,,GO,both,,,516,516,109.8481154,516,516,percent of total billed charges,379.6395313,,,,516,percent of total billed charges,402.4103968,,,,516,percent of total billed charges,379.6395313,,,,516,percent of total billed charges,402.4103968,,,,516,percent of total billed charges,999999999,,,,516,percent of total billed charges,393.1565355,,,,516,percent of total billed charges,379.6395313,,,,516,percent of total billed charges,402.4103968,,,,367.908,percent of total billed charges,183.5928247,,,,367.908,percent of total billed charges,109.8481154,,,,367.908,percent of total billed charges,183.5928247,,,,367.908,percent of total billed charges,109.8481154,,,,367.908,percent of total billed charges,183.5928247,,,,367.908,percent of total billed charges,109.8481154,,,,364.296,percent of total billed charges,361.5319872,,,,364.296,percent of total billed charges,249.3457461,,,,,,,,,,371.52,percent of total billed charges,241.4792573,,,,,,,,,,371.52,percent of total billed charges,999999999,,,,,,,,,,412.8,percent of total billed charges,345.9049419,,,,407.64,percent of total billed charges,393.3901428,,,,407.64,percent of total billed charges,347.5732129,,,,412.8,percent of total billed charges,999999999,,,,412.8,percent of total billed charges,999999999,,,,361.2,percent of total billed charges,999999999,,,,361.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,274.512,percent of total billed charges,999999999,,,,,,,,,,,,,,,,260.58,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,129,percent of total billed charges,122.5184454,,,,,,,,,,129,percent of total billed charges,120.4804345,,,,,,,,,,129,percent of total billed charges,120.1456245,,,,,,,,,,129,percent of total billed charges,118.3764816,,,,,,,,,,129,percent of total billed charges,121.4224825,,,,,,,,,,129,percent of total billed charges,999999999,,,,,,,,,,129,percent of total billed charges,104.1890406,,,,,,,,,,129,percent of total billed charges,164.3133019,,,,,,,,,,129,percent of total billed charges,999999999,,,,,,,,,,129,percent of total billed charges,112.341267,,,,,,,,,,464.4,percent of total billed charges,,,,,
**OT EVAL (PA) LOW COMPLEXITY 15 MI,97165,CDM,,,GO,both,,,44,44,9.366893563,44,44,percent of total billed charges,32.37236313,,,,44,percent of total billed charges,34.31406484,,,,44,percent of total billed charges,32.37236313,,,,44,percent of total billed charges,34.31406484,,,,44,percent of total billed charges,999999999,,,,44,percent of total billed charges,33.5249759,,,,44,percent of total billed charges,32.37236313,,,,44,percent of total billed charges,34.31406484,,,,31.372,percent of total billed charges,15.65520211,,,,31.372,percent of total billed charges,9.366893563,,,,31.372,percent of total billed charges,15.65520211,,,,31.372,percent of total billed charges,9.366893563,,,,31.372,percent of total billed charges,15.65520211,,,,31.372,percent of total billed charges,9.366893563,,,,31.064,percent of total billed charges,30.82830899,,,,31.064,percent of total billed charges,21.26204036,,,,,,,,,,31.68,percent of total billed charges,20.5912545,,,,,,,,,,31.68,percent of total billed charges,999999999,,,,,,,,,,35.2,percent of total billed charges,29.49577024,,,,34.76,percent of total billed charges,33.54489589,,,,34.76,percent of total billed charges,29.63802591,,,,35.2,percent of total billed charges,999999999,,,,35.2,percent of total billed charges,999999999,,,,30.8,percent of total billed charges,999999999,,,,30.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,23.408,percent of total billed charges,999999999,,,,,,,,,,,,,,,,22.22,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11,percent of total billed charges,10.4473093,,,,,,,,,,11,percent of total billed charges,10.27352542,,,,,,,,,,11,percent of total billed charges,10.24497573,,,,,,,,,,11,percent of total billed charges,10.09411859,,,,,,,,,,11,percent of total billed charges,10.3538551,,,,,,,,,,11,percent of total billed charges,999999999,,,,,,,,,,11,percent of total billed charges,8.884336795,,,,,,,,,,11,percent of total billed charges,14.01121179,,,,,,,,,,11,percent of total billed charges,999999999,,,,,,,,,,11,percent of total billed charges,9.579487886,,,,,,,,,,39.6,percent of total billed charges,,,,,
**OT EVAL (PA) MODERATE COMPLEXITY 15 MI,97166,CDM,,,GO,both,,,44,44,9.366893563,44,44,percent of total billed charges,32.37236313,,,,44,percent of total billed charges,34.31406484,,,,44,percent of total billed charges,32.37236313,,,,44,percent of total billed charges,34.31406484,,,,44,percent of total billed charges,999999999,,,,44,percent of total billed charges,33.5249759,,,,44,percent of total billed charges,32.37236313,,,,44,percent of total billed charges,34.31406484,,,,31.372,percent of total billed charges,15.65520211,,,,31.372,percent of total billed charges,9.366893563,,,,31.372,percent of total billed charges,15.65520211,,,,31.372,percent of total billed charges,9.366893563,,,,31.372,percent of total billed charges,15.65520211,,,,31.372,percent of total billed charges,9.366893563,,,,31.064,percent of total billed charges,30.82830899,,,,31.064,percent of total billed charges,21.26204036,,,,,,,,,,31.68,percent of total billed charges,20.5912545,,,,,,,,,,31.68,percent of total billed charges,999999999,,,,,,,,,,35.2,percent of total billed charges,29.49577024,,,,34.76,percent of total billed charges,33.54489589,,,,34.76,percent of total billed charges,29.63802591,,,,35.2,percent of total billed charges,999999999,,,,35.2,percent of total billed charges,999999999,,,,30.8,percent of total billed charges,999999999,,,,30.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,23.408,percent of total billed charges,999999999,,,,,,,,,,,,,,,,22.22,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11,percent of total billed charges,10.4473093,,,,,,,,,,11,percent of total billed charges,10.27352542,,,,,,,,,,11,percent of total billed charges,10.24497573,,,,,,,,,,11,percent of total billed charges,10.09411859,,,,,,,,,,11,percent of total billed charges,10.3538551,,,,,,,,,,11,percent of total billed charges,999999999,,,,,,,,,,11,percent of total billed charges,8.884336795,,,,,,,,,,11,percent of total billed charges,14.01121179,,,,,,,,,,11,percent of total billed charges,999999999,,,,,,,,,,11,percent of total billed charges,9.579487886,,,,,,,,,,39.6,percent of total billed charges,,,,,
**OT EVAL (PA) HIGH COMPLEXITY 15 MINS,97167,CDM,,,GO,both,,,44,44,9.366893563,44,44,percent of total billed charges,32.37236313,,,,44,percent of total billed charges,34.31406484,,,,44,percent of total billed charges,32.37236313,,,,44,percent of total billed charges,34.31406484,,,,44,percent of total billed charges,999999999,,,,44,percent of total billed charges,33.5249759,,,,44,percent of total billed charges,32.37236313,,,,44,percent of total billed charges,34.31406484,,,,31.372,percent of total billed charges,15.65520211,,,,31.372,percent of total billed charges,9.366893563,,,,31.372,percent of total billed charges,15.65520211,,,,31.372,percent of total billed charges,9.366893563,,,,31.372,percent of total billed charges,15.65520211,,,,31.372,percent of total billed charges,9.366893563,,,,31.064,percent of total billed charges,30.82830899,,,,31.064,percent of total billed charges,21.26204036,,,,,,,,,,31.68,percent of total billed charges,20.5912545,,,,,,,,,,31.68,percent of total billed charges,999999999,,,,,,,,,,35.2,percent of total billed charges,29.49577024,,,,34.76,percent of total billed charges,33.54489589,,,,34.76,percent of total billed charges,29.63802591,,,,35.2,percent of total billed charges,999999999,,,,35.2,percent of total billed charges,999999999,,,,30.8,percent of total billed charges,999999999,,,,30.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,23.408,percent of total billed charges,999999999,,,,,,,,,,,,,,,,22.22,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11,percent of total billed charges,10.4473093,,,,,,,,,,11,percent of total billed charges,10.27352542,,,,,,,,,,11,percent of total billed charges,10.24497573,,,,,,,,,,11,percent of total billed charges,10.09411859,,,,,,,,,,11,percent of total billed charges,10.3538551,,,,,,,,,,11,percent of total billed charges,999999999,,,,,,,,,,11,percent of total billed charges,8.884336795,,,,,,,,,,11,percent of total billed charges,14.01121179,,,,,,,,,,11,percent of total billed charges,999999999,,,,,,,,,,11,percent of total billed charges,9.579487886,,,,,,,,,,39.6,percent of total billed charges,,,,,
OT E-STIM- 15 MIN,97032,CDM,,,GO,both,,,201,201,42.78967287,201,201,percent of total billed charges,147.8828407,,,,201,percent of total billed charges,156.7528871,,,,201,percent of total billed charges,147.8828407,,,,201,percent of total billed charges,156.7528871,,,,201,percent of total billed charges,999999999,,,,201,percent of total billed charges,153.1481854,,,,201,percent of total billed charges,147.8828407,,,,201,percent of total billed charges,156.7528871,,,,143.313,percent of total billed charges,71.51580963,,,,143.313,percent of total billed charges,42.78967287,,,,143.313,percent of total billed charges,71.51580963,,,,143.313,percent of total billed charges,42.78967287,,,,143.313,percent of total billed charges,71.51580963,,,,143.313,percent of total billed charges,42.78967287,,,,141.906,percent of total billed charges,140.8293206,,,,141.906,percent of total billed charges,97.1288662,,,,,,,,,,144.72,percent of total billed charges,94.06459443,,,,,,,,,,144.72,percent of total billed charges,999999999,,,,,,,,,,160.8,percent of total billed charges,134.7420413,,,,158.79,percent of total billed charges,153.2391835,,,,158.79,percent of total billed charges,135.3918911,,,,160.8,percent of total billed charges,999999999,,,,160.8,percent of total billed charges,999999999,,,,140.7,percent of total billed charges,999999999,,,,140.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,106.932,percent of total billed charges,999999999,,,,,,,,,,,,,,,,101.505,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,50.25,percent of total billed charges,47.7252084,,,,,,,,,,50.25,percent of total billed charges,46.93133203,,,,,,,,,,50.25,percent of total billed charges,46.80091187,,,,,,,,,,50.25,percent of total billed charges,46.11176901,,,,,,,,,,50.25,percent of total billed charges,47.29829262,,,,,,,,,,50.25,percent of total billed charges,999999999,,,,,,,,,,50.25,percent of total billed charges,40.58526581,,,,,,,,,,50.25,percent of total billed charges,64.00576294,,,,,,,,,,50.25,percent of total billed charges,999999999,,,,,,,,,,50.25,percent of total billed charges,43.76084239,,,,,,,,,,180.9,percent of total billed charges,,,,,
**MICONAZOLE 2% (ZEASORB) PWDR,259,RC,5486-8587-00,NDC,,both,1,EA,11,11,2.341723391,11,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,11,percent of total billed charges,999999999,,,,11,percent of total billed charges,8.381243975,,,,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.766,percent of total billed charges,7.707077247,,,,7.766,percent of total billed charges,5.31551009,,,,,,,,,,7.92,percent of total billed charges,5.147813626,,,,,,,,,,7.92,percent of total billed charges,999999999,,,,,,,,,,8.8,percent of total billed charges,7.373942561,,,,8.69,percent of total billed charges,8.386223973,,,,8.69,percent of total billed charges,7.409506477,,,,8.8,percent of total billed charges,999999999,,,,8.8,percent of total billed charges,999999999,,,,7.7,percent of total billed charges,999999999,,,,7.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.852,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.555,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.75,percent of total billed charges,2.611827325,,,,,,,,,,2.75,percent of total billed charges,2.568381355,,,,,,,,,,2.75,percent of total billed charges,2.561243933,,,,,,,,,,2.75,percent of total billed charges,2.523529647,,,,,,,,,,2.75,percent of total billed charges,2.588463775,,,,,,,,,,2.75,percent of total billed charges,999999999,,,,,,,,,,2.75,percent of total billed charges,2.221084199,,,,,,,,,,2.75,percent of total billed charges,3.502802947,,,,,,,,,,2.75,percent of total billed charges,999999999,,,,,,,,,,2.75,percent of total billed charges,2.394871971,,,,,,,,,,9.9,percent of total billed charges,,,,,
**BARRIER STERILE FIELD,272,RC,5486-8587-00,NDC,,both,1,EA,7,7,1.490187612,7,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,7,percent of total billed charges,999999999,,,,7,percent of total billed charges,5.333518893,,,,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.942,percent of total billed charges,4.904503703,,,,4.942,percent of total billed charges,3.38259733,,,,,,,,,,5.04,percent of total billed charges,3.275881398,,,,,,,,,,5.04,percent of total billed charges,999999999,,,,,,,,,,5.6,percent of total billed charges,4.692508902,,,,5.53,percent of total billed charges,5.336687983,,,,5.53,percent of total billed charges,4.715140486,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,4.9,percent of total billed charges,999999999,,,,4.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.724,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.535,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.75,percent of total billed charges,1.662071934,,,,,,,,,,1.75,percent of total billed charges,1.634424499,,,,,,,,,,1.75,percent of total billed charges,1.629882503,,,,,,,,,,1.75,percent of total billed charges,1.605882503,,,,,,,,,,1.75,percent of total billed charges,1.647204221,,,,,,,,,,1.75,percent of total billed charges,999999999,,,,,,,,,,1.75,percent of total billed charges,1.413417217,,,,,,,,,,1.75,percent of total billed charges,2.229056421,,,,,,,,,,1.75,percent of total billed charges,999999999,,,,,,,,,,1.75,percent of total billed charges,1.524009436,,,,,,,,,,6.3,percent of total billed charges,,,,,
**COLOSTOMY BELT ADJUSTABLE,272,RC,5486-8587-00,NDC,,both,1,EA,45,45,9.579777508,45,45,percent of total billed charges,33.10809866,,,,45,percent of total billed charges,35.09392995,,,,45,percent of total billed charges,33.10809866,,,,45,percent of total billed charges,35.09392995,,,,45,percent of total billed charges,999999999,,,,45,percent of total billed charges,34.28690717,,,,45,percent of total billed charges,33.10809866,,,,45,percent of total billed charges,35.09392995,,,,32.085,percent of total billed charges,16.01100216,,,,32.085,percent of total billed charges,9.579777508,,,,32.085,percent of total billed charges,16.01100216,,,,32.085,percent of total billed charges,9.579777508,,,,32.085,percent of total billed charges,16.01100216,,,,32.085,percent of total billed charges,9.579777508,,,,31.77,percent of total billed charges,31.52895237,,,,31.77,percent of total billed charges,21.74526855,,,,,,,,,,32.4,percent of total billed charges,21.05923756,,,,,,,,,,32.4,percent of total billed charges,999999999,,,,,,,,,,36,percent of total billed charges,30.16612866,,,,35.55,percent of total billed charges,34.30727989,,,,35.55,percent of total billed charges,30.31161741,,,,36,percent of total billed charges,999999999,,,,36,percent of total billed charges,999999999,,,,31.5,percent of total billed charges,999999999,,,,31.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,23.94,percent of total billed charges,999999999,,,,,,,,,,,,,,,,22.725,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11.25,percent of total billed charges,10.68474815,,,,,,,,,,11.25,percent of total billed charges,10.50701463,,,,,,,,,,11.25,percent of total billed charges,10.47781609,,,,,,,,,,11.25,percent of total billed charges,10.32353038,,,,,,,,,,11.25,percent of total billed charges,10.58916999,,,,,,,,,,11.25,percent of total billed charges,999999999,,,,,,,,,,11.25,percent of total billed charges,9.08625354,,,,,,,,,,11.25,percent of total billed charges,14.32964842,,,,,,,,,,11.25,percent of total billed charges,999999999,,,,,,,,,,11.25,percent of total billed charges,9.797203519,,,,,,,,,,40.5,percent of total billed charges,,,,,
**COLOSTOMY CONVEX INSERTS 1 3/8,272,RC,5486-8587-00,NDC,,both,1,EA,23,23,4.896330726,23,23,percent of total billed charges,16.92191709,,,,23,percent of total billed charges,17.93689753,,,,23,percent of total billed charges,16.92191709,,,,23,percent of total billed charges,17.93689753,,,,23,percent of total billed charges,999999999,,,,23,percent of total billed charges,17.52441922,,,,23,percent of total billed charges,16.92191709,,,,23,percent of total billed charges,17.93689753,,,,16.399,percent of total billed charges,8.183401102,,,,16.399,percent of total billed charges,4.896330726,,,,16.399,percent of total billed charges,8.183401102,,,,16.399,percent of total billed charges,4.896330726,,,,16.399,percent of total billed charges,8.183401102,,,,16.399,percent of total billed charges,4.896330726,,,,16.238,percent of total billed charges,16.11479788,,,,16.238,percent of total billed charges,11.11424837,,,,,,,,,,16.56,percent of total billed charges,10.76361031,,,,,,,,,,16.56,percent of total billed charges,999999999,,,,,,,,,,18.4,percent of total billed charges,15.41824354,,,,18.17,percent of total billed charges,17.53483194,,,,18.17,percent of total billed charges,15.49260445,,,,18.4,percent of total billed charges,999999999,,,,18.4,percent of total billed charges,999999999,,,,16.1,percent of total billed charges,999999999,,,,16.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,12.236,percent of total billed charges,999999999,,,,,,,,,,,,,,,,11.615,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5.75,percent of total billed charges,5.461093499,,,,,,,,,,5.75,percent of total billed charges,5.370251924,,,,,,,,,,5.75,percent of total billed charges,5.355328224,,,,,,,,,,5.75,percent of total billed charges,5.276471081,,,,,,,,,,5.75,percent of total billed charges,5.412242439,,,,,,,,,,5.75,percent of total billed charges,999999999,,,,,,,,,,5.75,percent of total billed charges,4.644085143,,,,,,,,,,5.75,percent of total billed charges,7.324042525,,,,,,,,,,5.75,percent of total billed charges,999999999,,,,,,,,,,5.75,percent of total billed charges,5.007459577,,,,,,,,,,20.7,percent of total billed charges,,,,,
**PICC LINE,36592,CDM,5486-8587-00,NDC,,both,1,EA,523,523,111.338303,523,523,percent of total billed charges,384.78968,,,,523,percent of total billed charges,407.8694525,,,,523,percent of total billed charges,384.78968,,,,523,percent of total billed charges,407.8694525,,,,523,percent of total billed charges,999999999,,,,523,percent of total billed charges,398.4900544,,,,523,percent of total billed charges,384.78968,,,,523,percent of total billed charges,407.8694525,,,,372.899,percent of total billed charges,186.0834251,,,,372.899,percent of total billed charges,111.338303,,,,372.899,percent of total billed charges,186.0834251,,,,372.899,percent of total billed charges,111.338303,,,,372.899,percent of total billed charges,186.0834251,,,,372.899,percent of total billed charges,111.338303,,,,369.238,percent of total billed charges,366.4364909,,,,369.238,percent of total billed charges,252.7283434,,,,,,,,,,376.56,percent of total billed charges,244.7551387,,,,,,,,,,376.56,percent of total billed charges,999999999,,,,,,,,,,418.4,percent of total billed charges,350.5974508,,,,413.17,percent of total billed charges,398.7268307,,,,413.17,percent of total billed charges,352.2883534,,,,418.4,percent of total billed charges,999999999,,,,418.4,percent of total billed charges,999999999,,,,366.1,percent of total billed charges,999999999,,,,366.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,278.236,percent of total billed charges,999999999,,,,,,,,,,,,,,,,264.115,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,130.75,percent of total billed charges,124.1805174,,,,,,,,,,130.75,percent of total billed charges,122.114859,,,,,,,,,,130.75,percent of total billed charges,121.775507,,,,,,,,,,130.75,percent of total billed charges,119.9823641,,,,,,,,,,130.75,percent of total billed charges,123.0696868,,,,,,,,,,130.75,percent of total billed charges,999999999,,,,,,,,,,130.75,percent of total billed charges,105.6024578,,,,,,,,,,130.75,percent of total billed charges,166.5423583,,,,,,,,,,130.75,percent of total billed charges,999999999,,,,,,,,,,130.75,percent of total billed charges,113.8652765,,,,,,,,,,470.7,percent of total billed charges,,,,,
**COLOSTOMY DRAIN POUCH CUSTOM,272,RC,5486-8587-00,NDC,,both,1,EA,23,23,4.896330726,23,23,percent of total billed charges,16.92191709,,,,23,percent of total billed charges,17.93689753,,,,23,percent of total billed charges,16.92191709,,,,23,percent of total billed charges,17.93689753,,,,23,percent of total billed charges,999999999,,,,23,percent of total billed charges,17.52441922,,,,23,percent of total billed charges,16.92191709,,,,23,percent of total billed charges,17.93689753,,,,16.399,percent of total billed charges,8.183401102,,,,16.399,percent of total billed charges,4.896330726,,,,16.399,percent of total billed charges,8.183401102,,,,16.399,percent of total billed charges,4.896330726,,,,16.399,percent of total billed charges,8.183401102,,,,16.399,percent of total billed charges,4.896330726,,,,16.238,percent of total billed charges,16.11479788,,,,16.238,percent of total billed charges,11.11424837,,,,,,,,,,16.56,percent of total billed charges,10.76361031,,,,,,,,,,16.56,percent of total billed charges,999999999,,,,,,,,,,18.4,percent of total billed charges,15.41824354,,,,18.17,percent of total billed charges,17.53483194,,,,18.17,percent of total billed charges,15.49260445,,,,18.4,percent of total billed charges,999999999,,,,18.4,percent of total billed charges,999999999,,,,16.1,percent of total billed charges,999999999,,,,16.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,12.236,percent of total billed charges,999999999,,,,,,,,,,,,,,,,11.615,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5.75,percent of total billed charges,5.461093499,,,,,,,,,,5.75,percent of total billed charges,5.370251924,,,,,,,,,,5.75,percent of total billed charges,5.355328224,,,,,,,,,,5.75,percent of total billed charges,5.276471081,,,,,,,,,,5.75,percent of total billed charges,5.412242439,,,,,,,,,,5.75,percent of total billed charges,999999999,,,,,,,,,,5.75,percent of total billed charges,4.644085143,,,,,,,,,,5.75,percent of total billed charges,7.324042525,,,,,,,,,,5.75,percent of total billed charges,999999999,,,,,,,,,,5.75,percent of total billed charges,5.007459577,,,,,,,,,,20.7,percent of total billed charges,,,,,
**COLOSTOMY IRRIGATION SLEEVE 1 3/4,272,RC,5486-8587-00,NDC,,both,1,EA,32,32,6.812286228,32,32,percent of total billed charges,23.54353682,,,,32,percent of total billed charges,24.95568352,,,,32,percent of total billed charges,23.54353682,,,,32,percent of total billed charges,24.95568352,,,,32,percent of total billed charges,999999999,,,,32,percent of total billed charges,24.38180065,,,,32,percent of total billed charges,23.54353682,,,,32,percent of total billed charges,24.95568352,,,,22.816,percent of total billed charges,11.38560153,,,,22.816,percent of total billed charges,6.812286228,,,,22.816,percent of total billed charges,11.38560153,,,,22.816,percent of total billed charges,6.812286228,,,,22.816,percent of total billed charges,11.38560153,,,,22.816,percent of total billed charges,6.812286228,,,,22.592,percent of total billed charges,22.42058835,,,,22.592,percent of total billed charges,15.46330208,,,,,,,,,,23.04,percent of total billed charges,14.97545782,,,,,,,,,,23.04,percent of total billed charges,999999999,,,,,,,,,,25.6,percent of total billed charges,21.45146927,,,,25.28,percent of total billed charges,24.39628792,,,,25.28,percent of total billed charges,21.55492793,,,,25.6,percent of total billed charges,999999999,,,,25.6,percent of total billed charges,999999999,,,,22.4,percent of total billed charges,999999999,,,,22.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,17.024,percent of total billed charges,999999999,,,,,,,,,,,,,,,,16.16,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8,percent of total billed charges,7.598043128,,,,,,,,,,8,percent of total billed charges,7.471654851,,,,,,,,,,8,percent of total billed charges,7.450891442,,,,,,,,,,8,percent of total billed charges,7.341177156,,,,,,,,,,8,percent of total billed charges,7.530076437,,,,,,,,,,8,percent of total billed charges,999999999,,,,,,,,,,8,percent of total billed charges,6.461335851,,,,,,,,,,8,percent of total billed charges,10.18997221,,,,,,,,,,8,percent of total billed charges,999999999,,,,,,,,,,8,percent of total billed charges,6.966900281,,,,,,,,,,28.8,percent of total billed charges,,,,,
**COLOSTOMY IRRIGATION SLEEVE 4,272,RC,5486-8587-00,NDC,,both,1,EA,32,32,6.812286228,32,32,percent of total billed charges,23.54353682,,,,32,percent of total billed charges,24.95568352,,,,32,percent of total billed charges,23.54353682,,,,32,percent of total billed charges,24.95568352,,,,32,percent of total billed charges,999999999,,,,32,percent of total billed charges,24.38180065,,,,32,percent of total billed charges,23.54353682,,,,32,percent of total billed charges,24.95568352,,,,22.816,percent of total billed charges,11.38560153,,,,22.816,percent of total billed charges,6.812286228,,,,22.816,percent of total billed charges,11.38560153,,,,22.816,percent of total billed charges,6.812286228,,,,22.816,percent of total billed charges,11.38560153,,,,22.816,percent of total billed charges,6.812286228,,,,22.592,percent of total billed charges,22.42058835,,,,22.592,percent of total billed charges,15.46330208,,,,,,,,,,23.04,percent of total billed charges,14.97545782,,,,,,,,,,23.04,percent of total billed charges,999999999,,,,,,,,,,25.6,percent of total billed charges,21.45146927,,,,25.28,percent of total billed charges,24.39628792,,,,25.28,percent of total billed charges,21.55492793,,,,25.6,percent of total billed charges,999999999,,,,25.6,percent of total billed charges,999999999,,,,22.4,percent of total billed charges,999999999,,,,22.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,17.024,percent of total billed charges,999999999,,,,,,,,,,,,,,,,16.16,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8,percent of total billed charges,7.598043128,,,,,,,,,,8,percent of total billed charges,7.471654851,,,,,,,,,,8,percent of total billed charges,7.450891442,,,,,,,,,,8,percent of total billed charges,7.341177156,,,,,,,,,,8,percent of total billed charges,7.530076437,,,,,,,,,,8,percent of total billed charges,999999999,,,,,,,,,,8,percent of total billed charges,6.461335851,,,,,,,,,,8,percent of total billed charges,10.18997221,,,,,,,,,,8,percent of total billed charges,999999999,,,,,,,,,,8,percent of total billed charges,6.966900281,,,,,,,,,,28.8,percent of total billed charges,,,,,
**COLOSTOMY IRRIGATION START SET 1 3/4,272,RC,5486-8587-00,NDC,,both,1,EA,431,431,91.75298013,431,431,percent of total billed charges,317.1020116,,,,431,percent of total billed charges,336.1218624,,,,431,percent of total billed charges,317.1020116,,,,431,percent of total billed charges,336.1218624,,,,431,percent of total billed charges,999999999,,,,431,percent of total billed charges,328.3923776,,,,431,percent of total billed charges,317.1020116,,,,431,percent of total billed charges,336.1218624,,,,307.303,percent of total billed charges,153.3498207,,,,307.303,percent of total billed charges,91.75298013,,,,307.303,percent of total billed charges,153.3498207,,,,307.303,percent of total billed charges,91.75298013,,,,307.303,percent of total billed charges,153.3498207,,,,307.303,percent of total billed charges,91.75298013,,,,304.286,percent of total billed charges,301.9772994,,,,304.286,percent of total billed charges,208.2713499,,,,,,,,,,310.32,percent of total billed charges,201.7006975,,,,,,,,,,310.32,percent of total billed charges,999999999,,,,,,,,,,344.8,percent of total billed charges,288.9244767,,,,340.49,percent of total billed charges,328.587503,,,,340.49,percent of total billed charges,290.3179356,,,,344.8,percent of total billed charges,999999999,,,,344.8,percent of total billed charges,999999999,,,,301.7,percent of total billed charges,999999999,,,,301.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,229.292,percent of total billed charges,999999999,,,,,,,,,,,,,,,,217.655,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,107.75,percent of total billed charges,102.3361434,,,,,,,,,,107.75,percent of total billed charges,100.6338513,,,,,,,,,,107.75,percent of total billed charges,100.3541941,,,,,,,,,,107.75,percent of total billed charges,98.87647982,,,,,,,,,,107.75,percent of total billed charges,101.420717,,,,,,,,,,107.75,percent of total billed charges,999999999,,,,,,,,,,107.75,percent of total billed charges,87.02611724,,,,,,,,,,107.75,percent of total billed charges,137.2461882,,,,,,,,,,107.75,percent of total billed charges,999999999,,,,,,,,,,107.75,percent of total billed charges,93.83543815,,,,,,,,,,387.9,percent of total billed charges,,,,,
**IODOFORM NUGAUZ 1/4,272,RC,5486-8587-00,NDC,,both,1,EA,37,37,7.876705951,37,37,percent of total billed charges,27.22221445,,,,37,percent of total billed charges,28.85500907,,,,37,percent of total billed charges,27.22221445,,,,37,percent of total billed charges,28.85500907,,,,37,percent of total billed charges,999999999,,,,37,percent of total billed charges,28.19145701,,,,37,percent of total billed charges,27.22221445,,,,37,percent of total billed charges,28.85500907,,,,26.381,percent of total billed charges,13.16460177,,,,26.381,percent of total billed charges,7.876705951,,,,26.381,percent of total billed charges,13.16460177,,,,26.381,percent of total billed charges,7.876705951,,,,26.381,percent of total billed charges,13.16460177,,,,26.381,percent of total billed charges,7.876705951,,,,26.122,percent of total billed charges,25.92380528,,,,26.122,percent of total billed charges,17.87944303,,,,,,,,,,26.64,percent of total billed charges,17.3153731,,,,,,,,,,26.64,percent of total billed charges,999999999,,,,,,,,,,29.6,percent of total billed charges,24.80326134,,,,29.23,percent of total billed charges,28.20820791,,,,29.23,percent of total billed charges,24.92288542,,,,29.6,percent of total billed charges,999999999,,,,29.6,percent of total billed charges,999999999,,,,25.9,percent of total billed charges,999999999,,,,25.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,19.684,percent of total billed charges,999999999,,,,,,,,,,,,,,,,18.685,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9.25,percent of total billed charges,8.785237367,,,,,,,,,,9.25,percent of total billed charges,8.639100921,,,,,,,,,,9.25,percent of total billed charges,8.61509323,,,,,,,,,,9.25,percent of total billed charges,8.488236087,,,,,,,,,,9.25,percent of total billed charges,8.70665088,,,,,,,,,,9.25,percent of total billed charges,999999999,,,,,,,,,,9.25,percent of total billed charges,7.470919578,,,,,,,,,,9.25,percent of total billed charges,11.78215537,,,,,,,,,,9.25,percent of total billed charges,999999999,,,,,,,,,,9.25,percent of total billed charges,8.055478449,,,,,,,,,,33.3,percent of total billed charges,,,,,
**BUTTERFLY 27 X 3/8,272,RC,5486-8587-00,NDC,,both,1,EA,34,34,7.238054117,34,34,percent of total billed charges,25.01500787,,,,34,percent of total billed charges,26.51541374,,,,34,percent of total billed charges,25.01500787,,,,34,percent of total billed charges,26.51541374,,,,34,percent of total billed charges,999999999,,,,34,percent of total billed charges,25.90566319,,,,34,percent of total billed charges,25.01500787,,,,34,percent of total billed charges,26.51541374,,,,24.242,percent of total billed charges,12.09720163,,,,24.242,percent of total billed charges,7.238054117,,,,24.242,percent of total billed charges,12.09720163,,,,24.242,percent of total billed charges,7.238054117,,,,24.242,percent of total billed charges,12.09720163,,,,24.242,percent of total billed charges,7.238054117,,,,24.004,percent of total billed charges,23.82187513,,,,24.004,percent of total billed charges,16.42975846,,,,,,,,,,24.48,percent of total billed charges,15.91142393,,,,,,,,,,24.48,percent of total billed charges,999999999,,,,,,,,,,27.2,percent of total billed charges,22.7921861,,,,26.86,percent of total billed charges,25.92105592,,,,26.86,percent of total billed charges,22.90211093,,,,27.2,percent of total billed charges,999999999,,,,27.2,percent of total billed charges,999999999,,,,23.8,percent of total billed charges,999999999,,,,23.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,18.088,percent of total billed charges,999999999,,,,,,,,,,,,,,,,17.17,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8.5,percent of total billed charges,8.072920824,,,,,,,,,,8.5,percent of total billed charges,7.938633279,,,,,,,,,,8.5,percent of total billed charges,7.916572157,,,,,,,,,,8.5,percent of total billed charges,7.800000728,,,,,,,,,,8.5,percent of total billed charges,8.000706214,,,,,,,,,,8.5,percent of total billed charges,999999999,,,,,,,,,,8.5,percent of total billed charges,6.865169342,,,,,,,,,,8.5,percent of total billed charges,10.82684547,,,,,,,,,,8.5,percent of total billed charges,999999999,,,,,,,,,,8.5,percent of total billed charges,7.402331548,,,,,,,,,,30.6,percent of total billed charges,,,,,
**CATHETER PROTECT IV 20 X 1 1/4,272,RC,5486-8587-00,NDC,,both,1,EA,47,47,10.0055454,47,47,percent of total billed charges,34.57956971,,,,47,percent of total billed charges,36.65366017,,,,47,percent of total billed charges,34.57956971,,,,47,percent of total billed charges,36.65366017,,,,47,percent of total billed charges,999999999,,,,47,percent of total billed charges,35.81076971,,,,47,percent of total billed charges,34.57956971,,,,47,percent of total billed charges,36.65366017,,,,33.511,percent of total billed charges,16.72260225,,,,33.511,percent of total billed charges,10.0055454,,,,33.511,percent of total billed charges,16.72260225,,,,33.511,percent of total billed charges,10.0055454,,,,33.511,percent of total billed charges,16.72260225,,,,33.511,percent of total billed charges,10.0055454,,,,33.182,percent of total billed charges,32.93023915,,,,33.182,percent of total billed charges,22.71172493,,,,,,,,,,33.84,percent of total billed charges,21.99520367,,,,,,,,,,33.84,percent of total billed charges,999999999,,,,,,,,,,37.6,percent of total billed charges,31.50684549,,,,37.13,percent of total billed charges,35.83204789,,,,37.13,percent of total billed charges,31.6588004,,,,37.6,percent of total billed charges,999999999,,,,37.6,percent of total billed charges,999999999,,,,32.9,percent of total billed charges,999999999,,,,32.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,25.004,percent of total billed charges,999999999,,,,,,,,,,,,,,,,23.735,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11.75,percent of total billed charges,11.15962584,,,,,,,,,,11.75,percent of total billed charges,10.97399306,,,,,,,,,,11.75,percent of total billed charges,10.94349681,,,,,,,,,,11.75,percent of total billed charges,10.78235395,,,,,,,,,,11.75,percent of total billed charges,11.05979977,,,,,,,,,,11.75,percent of total billed charges,999999999,,,,,,,,,,11.75,percent of total billed charges,9.490087031,,,,,,,,,,11.75,percent of total billed charges,14.96652168,,,,,,,,,,11.75,percent of total billed charges,999999999,,,,,,,,,,11.75,percent of total billed charges,10.23263479,,,,,,,,,,42.3,percent of total billed charges,,,,,
**CATHETER IV TWO LUMEN 18 X 1 3/4,272,RC,5486-8587-00,NDC,,both,1,EA,66,66,14.05034035,66,66,percent of total billed charges,48.5585447,,,,66,percent of total billed charges,51.47109726,,,,66,percent of total billed charges,48.5585447,,,,66,percent of total billed charges,51.47109726,,,,66,percent of total billed charges,999999999,,,,66,percent of total billed charges,50.28746385,,,,66,percent of total billed charges,48.5585447,,,,66,percent of total billed charges,51.47109726,,,,47.058,percent of total billed charges,23.48280316,,,,47.058,percent of total billed charges,14.05034035,,,,47.058,percent of total billed charges,23.48280316,,,,47.058,percent of total billed charges,14.05034035,,,,47.058,percent of total billed charges,23.48280316,,,,47.058,percent of total billed charges,14.05034035,,,,46.596,percent of total billed charges,46.24246348,,,,46.596,percent of total billed charges,31.89306054,,,,,,,,,,47.52,percent of total billed charges,30.88688175,,,,,,,,,,47.52,percent of total billed charges,999999999,,,,,,,,,,52.8,percent of total billed charges,44.24365536,,,,52.14,percent of total billed charges,50.31734384,,,,52.14,percent of total billed charges,44.45703886,,,,52.8,percent of total billed charges,999999999,,,,52.8,percent of total billed charges,999999999,,,,46.2,percent of total billed charges,999999999,,,,46.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,35.112,percent of total billed charges,999999999,,,,,,,,,,,,,,,,33.33,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16.5,percent of total billed charges,15.67096395,,,,,,,,,,16.5,percent of total billed charges,15.41028813,,,,,,,,,,16.5,percent of total billed charges,15.3674636,,,,,,,,,,16.5,percent of total billed charges,15.14117788,,,,,,,,,,16.5,percent of total billed charges,15.53078265,,,,,,,,,,16.5,percent of total billed charges,999999999,,,,,,,,,,16.5,percent of total billed charges,13.32650519,,,,,,,,,,16.5,percent of total billed charges,21.01681768,,,,,,,,,,16.5,percent of total billed charges,999999999,,,,,,,,,,16.5,percent of total billed charges,14.36923183,,,,,,,,,,59.4,percent of total billed charges,,,,,
**CATHETER IV TWO LUMEN 16 X 1 3/4,272,RC,5486-8587-00,NDC,,both,1,EA,66,66,14.05034035,66,66,percent of total billed charges,48.5585447,,,,66,percent of total billed charges,51.47109726,,,,66,percent of total billed charges,48.5585447,,,,66,percent of total billed charges,51.47109726,,,,66,percent of total billed charges,999999999,,,,66,percent of total billed charges,50.28746385,,,,66,percent of total billed charges,48.5585447,,,,66,percent of total billed charges,51.47109726,,,,47.058,percent of total billed charges,23.48280316,,,,47.058,percent of total billed charges,14.05034035,,,,47.058,percent of total billed charges,23.48280316,,,,47.058,percent of total billed charges,14.05034035,,,,47.058,percent of total billed charges,23.48280316,,,,47.058,percent of total billed charges,14.05034035,,,,46.596,percent of total billed charges,46.24246348,,,,46.596,percent of total billed charges,31.89306054,,,,,,,,,,47.52,percent of total billed charges,30.88688175,,,,,,,,,,47.52,percent of total billed charges,999999999,,,,,,,,,,52.8,percent of total billed charges,44.24365536,,,,52.14,percent of total billed charges,50.31734384,,,,52.14,percent of total billed charges,44.45703886,,,,52.8,percent of total billed charges,999999999,,,,52.8,percent of total billed charges,999999999,,,,46.2,percent of total billed charges,999999999,,,,46.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,35.112,percent of total billed charges,999999999,,,,,,,,,,,,,,,,33.33,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16.5,percent of total billed charges,15.67096395,,,,,,,,,,16.5,percent of total billed charges,15.41028813,,,,,,,,,,16.5,percent of total billed charges,15.3674636,,,,,,,,,,16.5,percent of total billed charges,15.14117788,,,,,,,,,,16.5,percent of total billed charges,15.53078265,,,,,,,,,,16.5,percent of total billed charges,999999999,,,,,,,,,,16.5,percent of total billed charges,13.32650519,,,,,,,,,,16.5,percent of total billed charges,21.01681768,,,,,,,,,,16.5,percent of total billed charges,999999999,,,,,,,,,,16.5,percent of total billed charges,14.36923183,,,,,,,,,,59.4,percent of total billed charges,,,,,
**CLAVE CON-PIGGYBACK,272,RC,5486-8587-00,NDC,,both,1,EA,15,15,3.193259169,15,15,percent of total billed charges,11.03603289,,,,15,percent of total billed charges,11.69797665,,,,15,percent of total billed charges,11.03603289,,,,15,percent of total billed charges,11.69797665,,,,15,percent of total billed charges,999999999,,,,15,percent of total billed charges,11.42896906,,,,15,percent of total billed charges,11.03603289,,,,15,percent of total billed charges,11.69797665,,,,10.695,percent of total billed charges,5.337000719,,,,10.695,percent of total billed charges,3.193259169,,,,10.695,percent of total billed charges,5.337000719,,,,10.695,percent of total billed charges,3.193259169,,,,10.695,percent of total billed charges,5.337000719,,,,10.695,percent of total billed charges,3.193259169,,,,10.59,percent of total billed charges,10.50965079,,,,10.59,percent of total billed charges,7.248422851,,,,,,,,,,10.8,percent of total billed charges,7.019745853,,,,,,,,,,10.8,percent of total billed charges,999999999,,,,,,,,,,12,percent of total billed charges,10.05537622,,,,11.85,percent of total billed charges,11.43575996,,,,11.85,percent of total billed charges,10.10387247,,,,12,percent of total billed charges,999999999,,,,12,percent of total billed charges,999999999,,,,10.5,percent of total billed charges,999999999,,,,10.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,7.98,percent of total billed charges,999999999,,,,,,,,,,,,,,,,7.575,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3.75,percent of total billed charges,3.561582716,,,,,,,,,,3.75,percent of total billed charges,3.502338211,,,,,,,,,,3.75,percent of total billed charges,3.492605363,,,,,,,,,,3.75,percent of total billed charges,3.441176792,,,,,,,,,,3.75,percent of total billed charges,3.52972333,,,,,,,,,,3.75,percent of total billed charges,999999999,,,,,,,,,,3.75,percent of total billed charges,3.02875118,,,,,,,,,,3.75,percent of total billed charges,4.776549473,,,,,,,,,,3.75,percent of total billed charges,999999999,,,,,,,,,,3.75,percent of total billed charges,3.265734506,,,,,,,,,,13.5,percent of total billed charges,,,,,
**STERILE SALINE 250 ML,272,RC,5486-8587-00,NDC,,both,1,EA,12,12,2.554607335,12,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,12,percent of total billed charges,999999999,,,,12,percent of total billed charges,9.143175245,,,,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.472,percent of total billed charges,8.407720633,,,,8.472,percent of total billed charges,5.79873828,,,,,,,,,,8.64,percent of total billed charges,5.615796683,,,,,,,,,,8.64,percent of total billed charges,999999999,,,,,,,,,,9.6,percent of total billed charges,8.044300975,,,,9.48,percent of total billed charges,9.148607971,,,,9.48,percent of total billed charges,8.083097975,,,,9.6,percent of total billed charges,999999999,,,,9.6,percent of total billed charges,999999999,,,,8.4,percent of total billed charges,999999999,,,,8.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.384,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.06,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3,percent of total billed charges,2.849266173,,,,,,,,,,3,percent of total billed charges,2.801870569,,,,,,,,,,3,percent of total billed charges,2.794084291,,,,,,,,,,3,percent of total billed charges,2.752941434,,,,,,,,,,3,percent of total billed charges,2.823778664,,,,,,,,,,3,percent of total billed charges,999999999,,,,,,,,,,3,percent of total billed charges,2.423000944,,,,,,,,,,3,percent of total billed charges,3.821239578,,,,,,,,,,3,percent of total billed charges,999999999,,,,,,,,,,3,percent of total billed charges,2.612587605,,,,,,,,,,10.8,percent of total billed charges,,,,,
**SALINE NORMAL 500CC,272,RC,5486-8587-00,NDC,,both,1,EA,12,12,2.554607335,12,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,12,percent of total billed charges,999999999,,,,12,percent of total billed charges,9.143175245,,,,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.472,percent of total billed charges,8.407720633,,,,8.472,percent of total billed charges,5.79873828,,,,,,,,,,8.64,percent of total billed charges,5.615796683,,,,,,,,,,8.64,percent of total billed charges,999999999,,,,,,,,,,9.6,percent of total billed charges,8.044300975,,,,9.48,percent of total billed charges,9.148607971,,,,9.48,percent of total billed charges,8.083097975,,,,9.6,percent of total billed charges,999999999,,,,9.6,percent of total billed charges,999999999,,,,8.4,percent of total billed charges,999999999,,,,8.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.384,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.06,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3,percent of total billed charges,2.849266173,,,,,,,,,,3,percent of total billed charges,2.801870569,,,,,,,,,,3,percent of total billed charges,2.794084291,,,,,,,,,,3,percent of total billed charges,2.752941434,,,,,,,,,,3,percent of total billed charges,2.823778664,,,,,,,,,,3,percent of total billed charges,999999999,,,,,,,,,,3,percent of total billed charges,2.423000944,,,,,,,,,,3,percent of total billed charges,3.821239578,,,,,,,,,,3,percent of total billed charges,999999999,,,,,,,,,,3,percent of total billed charges,2.612587605,,,,,,,,,,10.8,percent of total billed charges,,,,,
**SALINE .9% NS 1500CC IRRIGATION,272,RC,5486-8587-00,NDC,,both,1,EA,49,49,10.43131329,49,49,percent of total billed charges,36.05104076,,,,49,percent of total billed charges,38.21339039,,,,49,percent of total billed charges,36.05104076,,,,49,percent of total billed charges,38.21339039,,,,49,percent of total billed charges,999999999,,,,49,percent of total billed charges,37.33463225,,,,49,percent of total billed charges,36.05104076,,,,49,percent of total billed charges,38.21339039,,,,34.937,percent of total billed charges,17.43420235,,,,34.937,percent of total billed charges,10.43131329,,,,34.937,percent of total billed charges,17.43420235,,,,34.937,percent of total billed charges,10.43131329,,,,34.937,percent of total billed charges,17.43420235,,,,34.937,percent of total billed charges,10.43131329,,,,34.594,percent of total billed charges,34.33152592,,,,34.594,percent of total billed charges,23.67818131,,,,,,,,,,35.28,percent of total billed charges,22.93116979,,,,,,,,,,35.28,percent of total billed charges,999999999,,,,,,,,,,39.2,percent of total billed charges,32.84756232,,,,38.71,percent of total billed charges,37.35681588,,,,38.71,percent of total billed charges,33.0059834,,,,39.2,percent of total billed charges,999999999,,,,39.2,percent of total billed charges,999999999,,,,34.3,percent of total billed charges,999999999,,,,34.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,26.068,percent of total billed charges,999999999,,,,,,,,,,,,,,,,24.745,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12.25,percent of total billed charges,11.63450354,,,,,,,,,,12.25,percent of total billed charges,11.44097149,,,,,,,,,,12.25,percent of total billed charges,11.40917752,,,,,,,,,,12.25,percent of total billed charges,11.24117752,,,,,,,,,,12.25,percent of total billed charges,11.53042954,,,,,,,,,,12.25,percent of total billed charges,999999999,,,,,,,,,,12.25,percent of total billed charges,9.893920522,,,,,,,,,,12.25,percent of total billed charges,15.60339494,,,,,,,,,,12.25,percent of total billed charges,999999999,,,,,,,,,,12.25,percent of total billed charges,10.66806605,,,,,,,,,,44.1,percent of total billed charges,,,,,
**WATER IRRIGATION 250CC,272,RC,5486-8587-00,NDC,,both,1,EA,29,29,6.173634394,29,29,percent of total billed charges,21.33633025,,,,29,percent of total billed charges,22.61608819,,,,29,percent of total billed charges,21.33633025,,,,29,percent of total billed charges,22.61608819,,,,29,percent of total billed charges,999999999,,,,29,percent of total billed charges,22.09600684,,,,29,percent of total billed charges,21.33633025,,,,29,percent of total billed charges,22.61608819,,,,20.677,percent of total billed charges,10.31820139,,,,20.677,percent of total billed charges,6.173634394,,,,20.677,percent of total billed charges,10.31820139,,,,20.677,percent of total billed charges,6.173634394,,,,20.677,percent of total billed charges,10.31820139,,,,20.677,percent of total billed charges,6.173634394,,,,20.474,percent of total billed charges,20.3186582,,,,20.474,percent of total billed charges,14.01361751,,,,,,,,,,20.88,percent of total billed charges,13.57150865,,,,,,,,,,20.88,percent of total billed charges,999999999,,,,,,,,,,23.2,percent of total billed charges,19.44039402,,,,22.91,percent of total billed charges,22.10913593,,,,22.91,percent of total billed charges,19.53415344,,,,23.2,percent of total billed charges,999999999,,,,23.2,percent of total billed charges,999999999,,,,20.3,percent of total billed charges,999999999,,,,20.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,15.428,percent of total billed charges,999999999,,,,,,,,,,,,,,,,14.645,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7.25,percent of total billed charges,6.885726585,,,,,,,,,,7.25,percent of total billed charges,6.771187209,,,,,,,,,,7.25,percent of total billed charges,6.752370369,,,,,,,,,,7.25,percent of total billed charges,6.652941798,,,,,,,,,,7.25,percent of total billed charges,6.824131771,,,,,,,,,,7.25,percent of total billed charges,999999999,,,,,,,,,,7.25,percent of total billed charges,5.855585615,,,,,,,,,,7.25,percent of total billed charges,9.234662314,,,,,,,,,,7.25,percent of total billed charges,999999999,,,,,,,,,,7.25,percent of total billed charges,6.313753379,,,,,,,,,,26.1,percent of total billed charges,,,,,
**VENT ADAPTER PIN UNIVERSAL,272,RC,5486-8587-00,NDC,,both,1,EA,17,17,3.619027059,17,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,17,percent of total billed charges,999999999,,,,17,percent of total billed charges,12.9528316,,,,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.002,percent of total billed charges,11.91093756,,,,12.002,percent of total billed charges,8.214879231,,,,,,,,,,12.24,percent of total billed charges,7.955711967,,,,,,,,,,12.24,percent of total billed charges,999999999,,,,,,,,,,13.6,percent of total billed charges,11.39609305,,,,13.43,percent of total billed charges,12.96052796,,,,13.43,percent of total billed charges,11.45105547,,,,13.6,percent of total billed charges,999999999,,,,13.6,percent of total billed charges,999999999,,,,11.9,percent of total billed charges,999999999,,,,11.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.044,percent of total billed charges,999999999,,,,,,,,,,,,,,,,8.585,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4.25,percent of total billed charges,4.036460412,,,,,,,,,,4.25,percent of total billed charges,3.96931664,,,,,,,,,,4.25,percent of total billed charges,3.958286079,,,,,,,,,,4.25,percent of total billed charges,3.900000364,,,,,,,,,,4.25,percent of total billed charges,4.000353107,,,,,,,,,,4.25,percent of total billed charges,999999999,,,,,,,,,,4.25,percent of total billed charges,3.432584671,,,,,,,,,,4.25,percent of total billed charges,5.413422736,,,,,,,,,,4.25,percent of total billed charges,999999999,,,,,,,,,,4.25,percent of total billed charges,3.701165774,,,,,,,,,,15.3,percent of total billed charges,,,,,
**MATTRESS EGGCRATE FOAM DISPOSABLE,271,RC,5486-8587-00,NDC,,both,1,EA,110,110,23.41723391,110,110,percent of total billed charges,80.93090783,,,,110,percent of total billed charges,85.7851621,,,,110,percent of total billed charges,80.93090783,,,,110,percent of total billed charges,85.7851621,,,,110,percent of total billed charges,999999999,,,,110,percent of total billed charges,83.81243975,,,,110,percent of total billed charges,80.93090783,,,,110,percent of total billed charges,85.7851621,,,,78.43,percent of total billed charges,39.13800527,,,,78.43,percent of total billed charges,23.41723391,,,,78.43,percent of total billed charges,39.13800527,,,,78.43,percent of total billed charges,23.41723391,,,,78.43,percent of total billed charges,39.13800527,,,,78.43,percent of total billed charges,23.41723391,,,,77.66,percent of total billed charges,77.07077247,,,,77.66,percent of total billed charges,53.1551009,,,,,,,,,,79.2,percent of total billed charges,51.47813626,,,,,,,,,,79.2,percent of total billed charges,999999999,,,,,,,,,,88,percent of total billed charges,73.73942561,,,,86.9,percent of total billed charges,83.86223973,,,,86.9,percent of total billed charges,74.09506477,,,,88,percent of total billed charges,999999999,,,,88,percent of total billed charges,999999999,,,,77,percent of total billed charges,999999999,,,,77,percent of total billed charges,999999999,,,,,,,,,,,,,,,,58.52,percent of total billed charges,999999999,,,,,,,,,,,,,,,,55.55,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,27.5,percent of total billed charges,26.11827325,,,,,,,,,,27.5,percent of total billed charges,25.68381355,,,,,,,,,,27.5,percent of total billed charges,25.61243933,,,,,,,,,,27.5,percent of total billed charges,25.23529647,,,,,,,,,,27.5,percent of total billed charges,25.88463775,,,,,,,,,,27.5,percent of total billed charges,999999999,,,,,,,,,,27.5,percent of total billed charges,22.21084199,,,,,,,,,,27.5,percent of total billed charges,35.02802947,,,,,,,,,,27.5,percent of total billed charges,999999999,,,,,,,,,,27.5,percent of total billed charges,23.94871971,,,,,,,,,,99,percent of total billed charges,,,,,
**SLIPPER ADULT 1 1/2 - 4 1/2 PAIR,271,RC,5486-8587-00,NDC,,both,1,EA,63,63,13.41168851,63,63,percent of total billed charges,46.35133812,,,,63,percent of total billed charges,49.13150193,,,,63,percent of total billed charges,46.35133812,,,,63,percent of total billed charges,49.13150193,,,,63,percent of total billed charges,999999999,,,,63,percent of total billed charges,48.00167004,,,,63,percent of total billed charges,46.35133812,,,,63,percent of total billed charges,49.13150193,,,,44.919,percent of total billed charges,22.41540302,,,,44.919,percent of total billed charges,13.41168851,,,,44.919,percent of total billed charges,22.41540302,,,,44.919,percent of total billed charges,13.41168851,,,,44.919,percent of total billed charges,22.41540302,,,,44.919,percent of total billed charges,13.41168851,,,,44.478,percent of total billed charges,44.14053332,,,,44.478,percent of total billed charges,30.44337597,,,,,,,,,,45.36,percent of total billed charges,29.48293258,,,,,,,,,,45.36,percent of total billed charges,999999999,,,,,,,,,,50.4,percent of total billed charges,42.23258012,,,,49.77,percent of total billed charges,48.03019185,,,,49.77,percent of total billed charges,42.43626437,,,,50.4,percent of total billed charges,999999999,,,,50.4,percent of total billed charges,999999999,,,,44.1,percent of total billed charges,999999999,,,,44.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,33.516,percent of total billed charges,999999999,,,,,,,,,,,,,,,,31.815,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15.75,percent of total billed charges,14.95864741,,,,,,,,,,15.75,percent of total billed charges,14.70982049,,,,,,,,,,15.75,percent of total billed charges,14.66894253,,,,,,,,,,15.75,percent of total billed charges,14.45294253,,,,,,,,,,15.75,percent of total billed charges,14.82483798,,,,,,,,,,15.75,percent of total billed charges,999999999,,,,,,,,,,15.75,percent of total billed charges,12.72075496,,,,,,,,,,15.75,percent of total billed charges,20.06150779,,,,,,,,,,15.75,percent of total billed charges,999999999,,,,,,,,,,15.75,percent of total billed charges,13.71608493,,,,,,,,,,56.7,percent of total billed charges,,,,,
**CLINISTIX BX/50,272,RC,5486-8587-00,NDC,,both,1,EA,45,45,9.579777508,45,45,percent of total billed charges,33.10809866,,,,45,percent of total billed charges,35.09392995,,,,45,percent of total billed charges,33.10809866,,,,45,percent of total billed charges,35.09392995,,,,45,percent of total billed charges,999999999,,,,45,percent of total billed charges,34.28690717,,,,45,percent of total billed charges,33.10809866,,,,45,percent of total billed charges,35.09392995,,,,32.085,percent of total billed charges,16.01100216,,,,32.085,percent of total billed charges,9.579777508,,,,32.085,percent of total billed charges,16.01100216,,,,32.085,percent of total billed charges,9.579777508,,,,32.085,percent of total billed charges,16.01100216,,,,32.085,percent of total billed charges,9.579777508,,,,31.77,percent of total billed charges,31.52895237,,,,31.77,percent of total billed charges,21.74526855,,,,,,,,,,32.4,percent of total billed charges,21.05923756,,,,,,,,,,32.4,percent of total billed charges,999999999,,,,,,,,,,36,percent of total billed charges,30.16612866,,,,35.55,percent of total billed charges,34.30727989,,,,35.55,percent of total billed charges,30.31161741,,,,36,percent of total billed charges,999999999,,,,36,percent of total billed charges,999999999,,,,31.5,percent of total billed charges,999999999,,,,31.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,23.94,percent of total billed charges,999999999,,,,,,,,,,,,,,,,22.725,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11.25,percent of total billed charges,10.68474815,,,,,,,,,,11.25,percent of total billed charges,10.50701463,,,,,,,,,,11.25,percent of total billed charges,10.47781609,,,,,,,,,,11.25,percent of total billed charges,10.32353038,,,,,,,,,,11.25,percent of total billed charges,10.58916999,,,,,,,,,,11.25,percent of total billed charges,999999999,,,,,,,,,,11.25,percent of total billed charges,9.08625354,,,,,,,,,,11.25,percent of total billed charges,14.32964842,,,,,,,,,,11.25,percent of total billed charges,999999999,,,,,,,,,,11.25,percent of total billed charges,9.797203519,,,,,,,,,,40.5,percent of total billed charges,,,,,
**CONDITIONER SKIN CAST AEROZOIN,272,RC,5486-8587-00,NDC,,both,1,EA,33,33,7.025170173,33,33,percent of total billed charges,24.27927235,,,,33,percent of total billed charges,25.73554863,,,,33,percent of total billed charges,24.27927235,,,,33,percent of total billed charges,25.73554863,,,,33,percent of total billed charges,999999999,,,,33,percent of total billed charges,25.14373192,,,,33,percent of total billed charges,24.27927235,,,,33,percent of total billed charges,25.73554863,,,,23.529,percent of total billed charges,11.74140158,,,,23.529,percent of total billed charges,7.025170173,,,,23.529,percent of total billed charges,11.74140158,,,,23.529,percent of total billed charges,7.025170173,,,,23.529,percent of total billed charges,11.74140158,,,,23.529,percent of total billed charges,7.025170173,,,,23.298,percent of total billed charges,23.12123174,,,,23.298,percent of total billed charges,15.94653027,,,,,,,,,,23.76,percent of total billed charges,15.44344088,,,,,,,,,,23.76,percent of total billed charges,999999999,,,,,,,,,,26.4,percent of total billed charges,22.12182768,,,,26.07,percent of total billed charges,25.15867192,,,,26.07,percent of total billed charges,22.22851943,,,,26.4,percent of total billed charges,999999999,,,,26.4,percent of total billed charges,999999999,,,,23.1,percent of total billed charges,999999999,,,,23.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,17.556,percent of total billed charges,999999999,,,,,,,,,,,,,,,,16.665,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8.25,percent of total billed charges,7.835481976,,,,,,,,,,8.25,percent of total billed charges,7.705144065,,,,,,,,,,8.25,percent of total billed charges,7.6837318,,,,,,,,,,8.25,percent of total billed charges,7.570588942,,,,,,,,,,8.25,percent of total billed charges,7.765391325,,,,,,,,,,8.25,percent of total billed charges,999999999,,,,,,,,,,8.25,percent of total billed charges,6.663252596,,,,,,,,,,8.25,percent of total billed charges,10.50840884,,,,,,,,,,8.25,percent of total billed charges,999999999,,,,,,,,,,8.25,percent of total billed charges,7.184615914,,,,,,,,,,29.7,percent of total billed charges,,,,,
**DEFRIBRILLATOR PADS,272,RC,5486-8587-00,NDC,,both,1,EA,46,46,9.792661453,46,46,percent of total billed charges,33.84383418,,,,46,percent of total billed charges,35.87379506,,,,46,percent of total billed charges,33.84383418,,,,46,percent of total billed charges,35.87379506,,,,46,percent of total billed charges,999999999,,,,46,percent of total billed charges,35.04883844,,,,46,percent of total billed charges,33.84383418,,,,46,percent of total billed charges,35.87379506,,,,32.798,percent of total billed charges,16.3668022,,,,32.798,percent of total billed charges,9.792661453,,,,32.798,percent of total billed charges,16.3668022,,,,32.798,percent of total billed charges,9.792661453,,,,32.798,percent of total billed charges,16.3668022,,,,32.798,percent of total billed charges,9.792661453,,,,32.476,percent of total billed charges,32.22959576,,,,32.476,percent of total billed charges,22.22849674,,,,,,,,,,33.12,percent of total billed charges,21.52722062,,,,,,,,,,33.12,percent of total billed charges,999999999,,,,,,,,,,36.8,percent of total billed charges,30.83648707,,,,36.34,percent of total billed charges,35.06966389,,,,36.34,percent of total billed charges,30.98520891,,,,36.8,percent of total billed charges,999999999,,,,36.8,percent of total billed charges,999999999,,,,32.2,percent of total billed charges,999999999,,,,32.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,24.472,percent of total billed charges,999999999,,,,,,,,,,,,,,,,23.23,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11.5,percent of total billed charges,10.922187,,,,,,,,,,11.5,percent of total billed charges,10.74050385,,,,,,,,,,11.5,percent of total billed charges,10.71065645,,,,,,,,,,11.5,percent of total billed charges,10.55294216,,,,,,,,,,11.5,percent of total billed charges,10.82448488,,,,,,,,,,11.5,percent of total billed charges,999999999,,,,,,,,,,11.5,percent of total billed charges,9.288170286,,,,,,,,,,11.5,percent of total billed charges,14.64808505,,,,,,,,,,11.5,percent of total billed charges,999999999,,,,,,,,,,11.5,percent of total billed charges,10.01491915,,,,,,,,,,41.4,percent of total billed charges,,,,,
**ELECTRODE PACING 6 FR BIPOLAR,272,RC,5486-8587-00,NDC,,both,1,EA,847,847,180.3127011,847,847,percent of total billed charges,623.1679903,,,,847,percent of total billed charges,660.5457482,,,,847,percent of total billed charges,623.1679903,,,,847,percent of total billed charges,660.5457482,,,,847,percent of total billed charges,999999999,,,,847,percent of total billed charges,645.3557861,,,,847,percent of total billed charges,623.1679903,,,,847,percent of total billed charges,660.5457482,,,,603.911,percent of total billed charges,301.3626406,,,,603.911,percent of total billed charges,180.3127011,,,,603.911,percent of total billed charges,301.3626406,,,,603.911,percent of total billed charges,180.3127011,,,,603.911,percent of total billed charges,301.3626406,,,,603.911,percent of total billed charges,180.3127011,,,,597.982,percent of total billed charges,593.444948,,,,597.982,percent of total billed charges,409.294277,,,,,,,,,,609.84,percent of total billed charges,396.3816492,,,,,,,,,,609.84,percent of total billed charges,999999999,,,,,,,,,,677.6,percent of total billed charges,567.7935772,,,,669.13,percent of total billed charges,645.739246,,,,669.13,percent of total billed charges,570.5319988,,,,677.6,percent of total billed charges,999999999,,,,677.6,percent of total billed charges,999999999,,,,592.9,percent of total billed charges,999999999,,,,592.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,450.604,percent of total billed charges,999999999,,,,,,,,,,,,,,,,427.735,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,211.75,percent of total billed charges,201.1107041,,,,,,,,,,211.75,percent of total billed charges,197.7653643,,,,,,,,,,211.75,percent of total billed charges,197.2157829,,,,,,,,,,211.75,percent of total billed charges,194.3117829,,,,,,,,,,211.75,percent of total billed charges,199.3117107,,,,,,,,,,211.75,percent of total billed charges,999999999,,,,,,,,,,211.75,percent of total billed charges,171.0234833,,,,,,,,,,211.75,percent of total billed charges,269.7158269,,,,,,,,,,211.75,percent of total billed charges,999999999,,,,,,,,,,211.75,percent of total billed charges,184.4051418,,,,,,,,,,762.3,percent of total billed charges,,,,,
**BABY BATH LIQUID,25365,CDM,5486-8587-00,NDC,,both,1,EA,11,11,2.341723391,11,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,11,percent of total billed charges,999999999,,,,11,percent of total billed charges,8.381243975,,,,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.766,percent of total billed charges,7.707077247,,,,7.766,percent of total billed charges,5.31551009,,,,,,,,,,7.92,percent of total billed charges,5.147813626,,,,,,,,,,7.92,percent of total billed charges,999999999,,,,,,,,,,8.8,percent of total billed charges,7.373942561,,,,8.69,percent of total billed charges,8.386223973,,,,8.69,percent of total billed charges,7.409506477,,,,8.8,percent of total billed charges,999999999,,,,8.8,percent of total billed charges,999999999,,,,7.7,percent of total billed charges,999999999,,,,7.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.852,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.555,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.75,percent of total billed charges,2.611827325,,,,,,,,,,2.75,percent of total billed charges,2.568381355,,,,,,,,,,2.75,percent of total billed charges,2.561243933,,,,,,,,,,2.75,percent of total billed charges,2.523529647,,,,,,,,,,2.75,percent of total billed charges,2.588463775,,,,,,,,,,2.75,percent of total billed charges,999999999,,,,,,,,,,2.75,percent of total billed charges,2.221084199,,,,,,,,,,2.75,percent of total billed charges,3.502802947,,,,,,,,,,2.75,percent of total billed charges,999999999,,,,,,,,,,2.75,percent of total billed charges,2.394871971,,,,,,,,,,9.9,percent of total billed charges,,,,,
**LOTION VASELINE INTENSIVE CARE 3.5,271,RC,5486-8587-00,NDC,,both,1,EA,10,10,2.128839446,10,10,percent of total billed charges,7.357355257,,,,10,percent of total billed charges,7.7986511,,,,10,percent of total billed charges,7.357355257,,,,10,percent of total billed charges,7.7986511,,,,10,percent of total billed charges,999999999,,,,10,percent of total billed charges,7.619312704,,,,10,percent of total billed charges,7.357355257,,,,10,percent of total billed charges,7.7986511,,,,7.13,percent of total billed charges,3.558000479,,,,7.13,percent of total billed charges,2.128839446,,,,7.13,percent of total billed charges,3.558000479,,,,7.13,percent of total billed charges,2.128839446,,,,7.13,percent of total billed charges,3.558000479,,,,7.13,percent of total billed charges,2.128839446,,,,7.06,percent of total billed charges,7.006433861,,,,7.06,percent of total billed charges,4.8322819,,,,,,,,,,7.2,percent of total billed charges,4.679830569,,,,,,,,,,7.2,percent of total billed charges,999999999,,,,,,,,,,8,percent of total billed charges,6.703584146,,,,7.9,percent of total billed charges,7.623839976,,,,7.9,percent of total billed charges,6.735914979,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,999999999,,,,7,percent of total billed charges,999999999,,,,7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.32,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.05,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.5,percent of total billed charges,2.374388478,,,,,,,,,,2.5,percent of total billed charges,2.334892141,,,,,,,,,,2.5,percent of total billed charges,2.328403576,,,,,,,,,,2.5,percent of total billed charges,2.294117861,,,,,,,,,,2.5,percent of total billed charges,2.353148886,,,,,,,,,,2.5,percent of total billed charges,999999999,,,,,,,,,,2.5,percent of total billed charges,2.019167453,,,,,,,,,,2.5,percent of total billed charges,3.184366315,,,,,,,,,,2.5,percent of total billed charges,999999999,,,,,,,,,,2.5,percent of total billed charges,2.177156338,,,,,,,,,,9,percent of total billed charges,,,,,
**BABY POWDER 4 OZ,271,RC,5486-8587-00,NDC,,both,1,EA,11,11,2.341723391,11,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,11,percent of total billed charges,999999999,,,,11,percent of total billed charges,8.381243975,,,,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.766,percent of total billed charges,7.707077247,,,,7.766,percent of total billed charges,5.31551009,,,,,,,,,,7.92,percent of total billed charges,5.147813626,,,,,,,,,,7.92,percent of total billed charges,999999999,,,,,,,,,,8.8,percent of total billed charges,7.373942561,,,,8.69,percent of total billed charges,8.386223973,,,,8.69,percent of total billed charges,7.409506477,,,,8.8,percent of total billed charges,999999999,,,,8.8,percent of total billed charges,999999999,,,,7.7,percent of total billed charges,999999999,,,,7.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.852,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.555,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.75,percent of total billed charges,2.611827325,,,,,,,,,,2.75,percent of total billed charges,2.568381355,,,,,,,,,,2.75,percent of total billed charges,2.561243933,,,,,,,,,,2.75,percent of total billed charges,2.523529647,,,,,,,,,,2.75,percent of total billed charges,2.588463775,,,,,,,,,,2.75,percent of total billed charges,999999999,,,,,,,,,,2.75,percent of total billed charges,2.221084199,,,,,,,,,,2.75,percent of total billed charges,3.502802947,,,,,,,,,,2.75,percent of total billed charges,999999999,,,,,,,,,,2.75,percent of total billed charges,2.394871971,,,,,,,,,,9.9,percent of total billed charges,,,,,
**REAGENT CLINITEST SET BX/36,272,RC,5486-8587-00,NDC,,both,1,EA,63,63,13.41168851,63,63,percent of total billed charges,46.35133812,,,,63,percent of total billed charges,49.13150193,,,,63,percent of total billed charges,46.35133812,,,,63,percent of total billed charges,49.13150193,,,,63,percent of total billed charges,999999999,,,,63,percent of total billed charges,48.00167004,,,,63,percent of total billed charges,46.35133812,,,,63,percent of total billed charges,49.13150193,,,,44.919,percent of total billed charges,22.41540302,,,,44.919,percent of total billed charges,13.41168851,,,,44.919,percent of total billed charges,22.41540302,,,,44.919,percent of total billed charges,13.41168851,,,,44.919,percent of total billed charges,22.41540302,,,,44.919,percent of total billed charges,13.41168851,,,,44.478,percent of total billed charges,44.14053332,,,,44.478,percent of total billed charges,30.44337597,,,,,,,,,,45.36,percent of total billed charges,29.48293258,,,,,,,,,,45.36,percent of total billed charges,999999999,,,,,,,,,,50.4,percent of total billed charges,42.23258012,,,,49.77,percent of total billed charges,48.03019185,,,,49.77,percent of total billed charges,42.43626437,,,,50.4,percent of total billed charges,999999999,,,,50.4,percent of total billed charges,999999999,,,,44.1,percent of total billed charges,999999999,,,,44.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,33.516,percent of total billed charges,999999999,,,,,,,,,,,,,,,,31.815,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15.75,percent of total billed charges,14.95864741,,,,,,,,,,15.75,percent of total billed charges,14.70982049,,,,,,,,,,15.75,percent of total billed charges,14.66894253,,,,,,,,,,15.75,percent of total billed charges,14.45294253,,,,,,,,,,15.75,percent of total billed charges,14.82483798,,,,,,,,,,15.75,percent of total billed charges,999999999,,,,,,,,,,15.75,percent of total billed charges,12.72075496,,,,,,,,,,15.75,percent of total billed charges,20.06150779,,,,,,,,,,15.75,percent of total billed charges,999999999,,,,,,,,,,15.75,percent of total billed charges,13.71608493,,,,,,,,,,56.7,percent of total billed charges,,,,,
**REAGENT STRIP KETOSTIX BX/50,272,RC,5486-8587-00,NDC,,both,1,EA,45,45,9.579777508,45,45,percent of total billed charges,33.10809866,,,,45,percent of total billed charges,35.09392995,,,,45,percent of total billed charges,33.10809866,,,,45,percent of total billed charges,35.09392995,,,,45,percent of total billed charges,999999999,,,,45,percent of total billed charges,34.28690717,,,,45,percent of total billed charges,33.10809866,,,,45,percent of total billed charges,35.09392995,,,,32.085,percent of total billed charges,16.01100216,,,,32.085,percent of total billed charges,9.579777508,,,,32.085,percent of total billed charges,16.01100216,,,,32.085,percent of total billed charges,9.579777508,,,,32.085,percent of total billed charges,16.01100216,,,,32.085,percent of total billed charges,9.579777508,,,,31.77,percent of total billed charges,31.52895237,,,,31.77,percent of total billed charges,21.74526855,,,,,,,,,,32.4,percent of total billed charges,21.05923756,,,,,,,,,,32.4,percent of total billed charges,999999999,,,,,,,,,,36,percent of total billed charges,30.16612866,,,,35.55,percent of total billed charges,34.30727989,,,,35.55,percent of total billed charges,30.31161741,,,,36,percent of total billed charges,999999999,,,,36,percent of total billed charges,999999999,,,,31.5,percent of total billed charges,999999999,,,,31.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,23.94,percent of total billed charges,999999999,,,,,,,,,,,,,,,,22.725,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11.25,percent of total billed charges,10.68474815,,,,,,,,,,11.25,percent of total billed charges,10.50701463,,,,,,,,,,11.25,percent of total billed charges,10.47781609,,,,,,,,,,11.25,percent of total billed charges,10.32353038,,,,,,,,,,11.25,percent of total billed charges,10.58916999,,,,,,,,,,11.25,percent of total billed charges,999999999,,,,,,,,,,11.25,percent of total billed charges,9.08625354,,,,,,,,,,11.25,percent of total billed charges,14.32964842,,,,,,,,,,11.25,percent of total billed charges,999999999,,,,,,,,,,11.25,percent of total billed charges,9.797203519,,,,,,,,,,40.5,percent of total billed charges,,,,,
**SANITARY BELT,271,RC,5486-8587-00,NDC,,both,1,EA,15,15,3.193259169,15,15,percent of total billed charges,11.03603289,,,,15,percent of total billed charges,11.69797665,,,,15,percent of total billed charges,11.03603289,,,,15,percent of total billed charges,11.69797665,,,,15,percent of total billed charges,999999999,,,,15,percent of total billed charges,11.42896906,,,,15,percent of total billed charges,11.03603289,,,,15,percent of total billed charges,11.69797665,,,,10.695,percent of total billed charges,5.337000719,,,,10.695,percent of total billed charges,3.193259169,,,,10.695,percent of total billed charges,5.337000719,,,,10.695,percent of total billed charges,3.193259169,,,,10.695,percent of total billed charges,5.337000719,,,,10.695,percent of total billed charges,3.193259169,,,,10.59,percent of total billed charges,10.50965079,,,,10.59,percent of total billed charges,7.248422851,,,,,,,,,,10.8,percent of total billed charges,7.019745853,,,,,,,,,,10.8,percent of total billed charges,999999999,,,,,,,,,,12,percent of total billed charges,10.05537622,,,,11.85,percent of total billed charges,11.43575996,,,,11.85,percent of total billed charges,10.10387247,,,,12,percent of total billed charges,999999999,,,,12,percent of total billed charges,999999999,,,,10.5,percent of total billed charges,999999999,,,,10.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,7.98,percent of total billed charges,999999999,,,,,,,,,,,,,,,,7.575,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3.75,percent of total billed charges,3.561582716,,,,,,,,,,3.75,percent of total billed charges,3.502338211,,,,,,,,,,3.75,percent of total billed charges,3.492605363,,,,,,,,,,3.75,percent of total billed charges,3.441176792,,,,,,,,,,3.75,percent of total billed charges,3.52972333,,,,,,,,,,3.75,percent of total billed charges,999999999,,,,,,,,,,3.75,percent of total billed charges,3.02875118,,,,,,,,,,3.75,percent of total billed charges,4.776549473,,,,,,,,,,3.75,percent of total billed charges,999999999,,,,,,,,,,3.75,percent of total billed charges,3.265734506,,,,,,,,,,13.5,percent of total billed charges,,,,,
**SWABSTICK LEMON-GLYCERIN PK/3,272,RC,5486-8587-00,NDC,,both,1,EA,12,12,2.554607335,12,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,12,percent of total billed charges,999999999,,,,12,percent of total billed charges,9.143175245,,,,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.472,percent of total billed charges,8.407720633,,,,8.472,percent of total billed charges,5.79873828,,,,,,,,,,8.64,percent of total billed charges,5.615796683,,,,,,,,,,8.64,percent of total billed charges,999999999,,,,,,,,,,9.6,percent of total billed charges,8.044300975,,,,9.48,percent of total billed charges,9.148607971,,,,9.48,percent of total billed charges,8.083097975,,,,9.6,percent of total billed charges,999999999,,,,9.6,percent of total billed charges,999999999,,,,8.4,percent of total billed charges,999999999,,,,8.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.384,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.06,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3,percent of total billed charges,2.849266173,,,,,,,,,,3,percent of total billed charges,2.801870569,,,,,,,,,,3,percent of total billed charges,2.794084291,,,,,,,,,,3,percent of total billed charges,2.752941434,,,,,,,,,,3,percent of total billed charges,2.823778664,,,,,,,,,,3,percent of total billed charges,999999999,,,,,,,,,,3,percent of total billed charges,2.423000944,,,,,,,,,,3,percent of total billed charges,3.821239578,,,,,,,,,,3,percent of total billed charges,999999999,,,,,,,,,,3,percent of total billed charges,2.612587605,,,,,,,,,,10.8,percent of total billed charges,,,,,
**TES TAPE,272,RC,5486-8587-00,NDC,,both,1,EA,51,51,10.85708118,51,51,percent of total billed charges,37.52251181,,,,51,percent of total billed charges,39.77312061,,,,51,percent of total billed charges,37.52251181,,,,51,percent of total billed charges,39.77312061,,,,51,percent of total billed charges,999999999,,,,51,percent of total billed charges,38.85849479,,,,51,percent of total billed charges,37.52251181,,,,51,percent of total billed charges,39.77312061,,,,36.363,percent of total billed charges,18.14580244,,,,36.363,percent of total billed charges,10.85708118,,,,36.363,percent of total billed charges,18.14580244,,,,36.363,percent of total billed charges,10.85708118,,,,36.363,percent of total billed charges,18.14580244,,,,36.363,percent of total billed charges,10.85708118,,,,36.006,percent of total billed charges,35.73281269,,,,36.006,percent of total billed charges,24.64463769,,,,,,,,,,36.72,percent of total billed charges,23.8671359,,,,,,,,,,36.72,percent of total billed charges,999999999,,,,,,,,,,40.8,percent of total billed charges,34.18827914,,,,40.29,percent of total billed charges,38.88158388,,,,40.29,percent of total billed charges,34.3531664,,,,40.8,percent of total billed charges,999999999,,,,40.8,percent of total billed charges,999999999,,,,35.7,percent of total billed charges,999999999,,,,35.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,27.132,percent of total billed charges,999999999,,,,,,,,,,,,,,,,25.755,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12.75,percent of total billed charges,12.10938124,,,,,,,,,,12.75,percent of total billed charges,11.90794992,,,,,,,,,,12.75,percent of total billed charges,11.87485824,,,,,,,,,,12.75,percent of total billed charges,11.70000109,,,,,,,,,,12.75,percent of total billed charges,12.00105932,,,,,,,,,,12.75,percent of total billed charges,999999999,,,,,,,,,,12.75,percent of total billed charges,10.29775401,,,,,,,,,,12.75,percent of total billed charges,16.24026821,,,,,,,,,,12.75,percent of total billed charges,999999999,,,,,,,,,,12.75,percent of total billed charges,11.10349732,,,,,,,,,,45.9,percent of total billed charges,,,,,
**THERMOMETER DUAL SCALE,272,RC,5486-8587-00,NDC,,both,1,EA,13,13,2.76749128,13,13,percent of total billed charges,9.564561834,,,,13,percent of total billed charges,10.13824643,,,,13,percent of total billed charges,9.564561834,,,,13,percent of total billed charges,10.13824643,,,,13,percent of total billed charges,999999999,,,,13,percent of total billed charges,9.905106516,,,,13,percent of total billed charges,9.564561834,,,,13,percent of total billed charges,10.13824643,,,,9.269,percent of total billed charges,4.625400623,,,,9.269,percent of total billed charges,2.76749128,,,,9.269,percent of total billed charges,4.625400623,,,,9.269,percent of total billed charges,2.76749128,,,,9.269,percent of total billed charges,4.625400623,,,,9.269,percent of total billed charges,2.76749128,,,,9.178,percent of total billed charges,9.108364019,,,,9.178,percent of total billed charges,6.281966471,,,,,,,,,,9.36,percent of total billed charges,6.083779739,,,,,,,,,,9.36,percent of total billed charges,999999999,,,,,,,,,,10.4,percent of total billed charges,8.71465939,,,,10.27,percent of total billed charges,9.910991969,,,,10.27,percent of total billed charges,8.756689473,,,,10.4,percent of total billed charges,999999999,,,,10.4,percent of total billed charges,999999999,,,,9.1,percent of total billed charges,999999999,,,,9.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.916,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.565,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3.25,percent of total billed charges,3.086705021,,,,,,,,,,3.25,percent of total billed charges,3.035359783,,,,,,,,,,3.25,percent of total billed charges,3.026924648,,,,,,,,,,3.25,percent of total billed charges,2.98235322,,,,,,,,,,3.25,percent of total billed charges,3.059093552,,,,,,,,,,3.25,percent of total billed charges,999999999,,,,,,,,,,3.25,percent of total billed charges,2.624917689,,,,,,,,,,3.25,percent of total billed charges,4.13967621,,,,,,,,,,3.25,percent of total billed charges,999999999,,,,,,,,,,3.25,percent of total billed charges,2.830303239,,,,,,,,,,11.7,percent of total billed charges,,,,,
**THORACENTESIS TRAY ADULT,272,RC,5486-8587-00,NDC,,both,1,EA,929,929,197.7691846,929,929,percent of total billed charges,683.4983034,,,,929,percent of total billed charges,724.4946872,,,,929,percent of total billed charges,683.4983034,,,,929,percent of total billed charges,724.4946872,,,,929,percent of total billed charges,999999999,,,,929,percent of total billed charges,707.8341502,,,,929,percent of total billed charges,683.4983034,,,,929,percent of total billed charges,724.4946872,,,,662.377,percent of total billed charges,330.5382445,,,,662.377,percent of total billed charges,197.7691846,,,,662.377,percent of total billed charges,330.5382445,,,,662.377,percent of total billed charges,197.7691846,,,,662.377,percent of total billed charges,330.5382445,,,,662.377,percent of total billed charges,197.7691846,,,,655.874,percent of total billed charges,650.8977057,,,,655.874,percent of total billed charges,448.9189885,,,,,,,,,,668.88,percent of total billed charges,434.7562598,,,,,,,,,,668.88,percent of total billed charges,999999999,,,,,,,,,,743.2,percent of total billed charges,622.7629672,,,,733.91,percent of total billed charges,708.2547338,,,,733.91,percent of total billed charges,625.7665016,,,,743.2,percent of total billed charges,999999999,,,,743.2,percent of total billed charges,999999999,,,,650.3,percent of total billed charges,999999999,,,,650.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,494.228,percent of total billed charges,999999999,,,,,,,,,,,,,,,,469.145,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,232.25,percent of total billed charges,220.5806896,,,,,,,,,,232.25,percent of total billed charges,216.9114799,,,,,,,,,,232.25,percent of total billed charges,216.3086922,,,,,,,,,,232.25,percent of total billed charges,213.1235493,,,,,,,,,,232.25,percent of total billed charges,218.6075316,,,,,,,,,,232.25,percent of total billed charges,999999999,,,,,,,,,,232.25,percent of total billed charges,187.5806564,,,,,,,,,,232.25,percent of total billed charges,295.8276307,,,,,,,,,,232.25,percent of total billed charges,999999999,,,,,,,,,,232.25,percent of total billed charges,202.2578238,,,,,,,,,,836.1,percent of total billed charges,,,,,
**PAD PRO ADULT PK,272,RC,5486-8587-00,NDC,,both,1,EA,250,250,53.22098616,250,250,percent of total billed charges,183.9338814,,,,250,percent of total billed charges,194.9662775,,,,250,percent of total billed charges,183.9338814,,,,250,percent of total billed charges,194.9662775,,,,250,percent of total billed charges,999999999,,,,250,percent of total billed charges,190.4828176,,,,250,percent of total billed charges,183.9338814,,,,250,percent of total billed charges,194.9662775,,,,178.25,percent of total billed charges,88.95001198,,,,178.25,percent of total billed charges,53.22098616,,,,178.25,percent of total billed charges,88.95001198,,,,178.25,percent of total billed charges,53.22098616,,,,178.25,percent of total billed charges,88.95001198,,,,178.25,percent of total billed charges,53.22098616,,,,176.5,percent of total billed charges,175.1608465,,,,176.5,percent of total billed charges,120.8070475,,,,,,,,,,180,percent of total billed charges,116.9957642,,,,,,,,,,180,percent of total billed charges,999999999,,,,,,,,,,200,percent of total billed charges,167.5896036,,,,197.5,percent of total billed charges,190.5959994,,,,197.5,percent of total billed charges,168.3978745,,,,200,percent of total billed charges,999999999,,,,200,percent of total billed charges,999999999,,,,175,percent of total billed charges,999999999,,,,175,percent of total billed charges,999999999,,,,,,,,,,,,,,,,133,percent of total billed charges,999999999,,,,,,,,,,,,,,,,126.25,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,62.5,percent of total billed charges,59.35971194,,,,,,,,,,62.5,percent of total billed charges,58.37230352,,,,,,,,,,62.5,percent of total billed charges,58.21008939,,,,,,,,,,62.5,percent of total billed charges,57.35294653,,,,,,,,,,62.5,percent of total billed charges,58.82872216,,,,,,,,,,62.5,percent of total billed charges,999999999,,,,,,,,,,62.5,percent of total billed charges,50.47918634,,,,,,,,,,62.5,percent of total billed charges,79.60915788,,,,,,,,,,62.5,percent of total billed charges,999999999,,,,,,,,,,62.5,percent of total billed charges,54.42890844,,,,,,,,,,225,percent of total billed charges,,,,,
**NON-CONDUCTIVE CONNECTING TUBE,272,RC,5486-8587-00,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
**RING FOAM RUBBER,272,RC,5486-8587-00,NDC,,both,1,EA,106,106,22.56569813,106,106,percent of total billed charges,77.98796573,,,,106,percent of total billed charges,82.66570166,,,,106,percent of total billed charges,77.98796573,,,,106,percent of total billed charges,82.66570166,,,,106,percent of total billed charges,999999999,,,,106,percent of total billed charges,80.76471467,,,,106,percent of total billed charges,77.98796573,,,,106,percent of total billed charges,82.66570166,,,,75.578,percent of total billed charges,37.71480508,,,,75.578,percent of total billed charges,22.56569813,,,,75.578,percent of total billed charges,37.71480508,,,,75.578,percent of total billed charges,22.56569813,,,,75.578,percent of total billed charges,37.71480508,,,,75.578,percent of total billed charges,22.56569813,,,,74.836,percent of total billed charges,74.26819892,,,,74.836,percent of total billed charges,51.22218814,,,,,,,,,,76.32,percent of total billed charges,49.60620403,,,,,,,,,,76.32,percent of total billed charges,999999999,,,,,,,,,,84.8,percent of total billed charges,71.05799195,,,,83.74,percent of total billed charges,80.81270374,,,,83.74,percent of total billed charges,71.40069878,,,,84.8,percent of total billed charges,999999999,,,,84.8,percent of total billed charges,999999999,,,,74.2,percent of total billed charges,999999999,,,,74.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,56.392,percent of total billed charges,999999999,,,,,,,,,,,,,,,,53.53,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,26.5,percent of total billed charges,25.16851786,,,,,,,,,,26.5,percent of total billed charges,24.74985669,,,,,,,,,,26.5,percent of total billed charges,24.6810779,,,,,,,,,,26.5,percent of total billed charges,24.31764933,,,,,,,,,,26.5,percent of total billed charges,24.9433782,,,,,,,,,,26.5,percent of total billed charges,999999999,,,,,,,,,,26.5,percent of total billed charges,21.40317501,,,,,,,,,,26.5,percent of total billed charges,33.75428294,,,,,,,,,,26.5,percent of total billed charges,999999999,,,,,,,,,,26.5,percent of total billed charges,23.07785718,,,,,,,,,,95.4,percent of total billed charges,,,,,
**ISOLATION SET UP,272,RC,5486-8587-00,NDC,,both,1,EA,106,106,22.56569813,106,106,percent of total billed charges,77.98796573,,,,106,percent of total billed charges,82.66570166,,,,106,percent of total billed charges,77.98796573,,,,106,percent of total billed charges,82.66570166,,,,106,percent of total billed charges,999999999,,,,106,percent of total billed charges,80.76471467,,,,106,percent of total billed charges,77.98796573,,,,106,percent of total billed charges,82.66570166,,,,75.578,percent of total billed charges,37.71480508,,,,75.578,percent of total billed charges,22.56569813,,,,75.578,percent of total billed charges,37.71480508,,,,75.578,percent of total billed charges,22.56569813,,,,75.578,percent of total billed charges,37.71480508,,,,75.578,percent of total billed charges,22.56569813,,,,74.836,percent of total billed charges,74.26819892,,,,74.836,percent of total billed charges,51.22218814,,,,,,,,,,76.32,percent of total billed charges,49.60620403,,,,,,,,,,76.32,percent of total billed charges,999999999,,,,,,,,,,84.8,percent of total billed charges,71.05799195,,,,83.74,percent of total billed charges,80.81270374,,,,83.74,percent of total billed charges,71.40069878,,,,84.8,percent of total billed charges,999999999,,,,84.8,percent of total billed charges,999999999,,,,74.2,percent of total billed charges,999999999,,,,74.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,56.392,percent of total billed charges,999999999,,,,,,,,,,,,,,,,53.53,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,26.5,percent of total billed charges,25.16851786,,,,,,,,,,26.5,percent of total billed charges,24.74985669,,,,,,,,,,26.5,percent of total billed charges,24.6810779,,,,,,,,,,26.5,percent of total billed charges,24.31764933,,,,,,,,,,26.5,percent of total billed charges,24.9433782,,,,,,,,,,26.5,percent of total billed charges,999999999,,,,,,,,,,26.5,percent of total billed charges,21.40317501,,,,,,,,,,26.5,percent of total billed charges,33.75428294,,,,,,,,,,26.5,percent of total billed charges,999999999,,,,,,,,,,26.5,percent of total billed charges,23.07785718,,,,,,,,,,95.4,percent of total billed charges,,,,,
**SMALL ISOLATION SET,272,RC,5486-8587-00,NDC,,both,1,EA,87,87,18.52090318,87,87,percent of total billed charges,64.00899074,,,,87,percent of total billed charges,67.84826457,,,,87,percent of total billed charges,64.00899074,,,,87,percent of total billed charges,67.84826457,,,,87,percent of total billed charges,999999999,,,,87,percent of total billed charges,66.28802053,,,,87,percent of total billed charges,64.00899074,,,,87,percent of total billed charges,67.84826457,,,,62.031,percent of total billed charges,30.95460417,,,,62.031,percent of total billed charges,18.52090318,,,,62.031,percent of total billed charges,30.95460417,,,,62.031,percent of total billed charges,18.52090318,,,,62.031,percent of total billed charges,30.95460417,,,,62.031,percent of total billed charges,18.52090318,,,,61.422,percent of total billed charges,60.95597459,,,,61.422,percent of total billed charges,42.04085253,,,,,,,,,,62.64,percent of total billed charges,40.71452595,,,,,,,,,,62.64,percent of total billed charges,999999999,,,,,,,,,,69.6,percent of total billed charges,58.32118207,,,,68.73,percent of total billed charges,66.32740779,,,,68.73,percent of total billed charges,58.60246032,,,,69.6,percent of total billed charges,999999999,,,,69.6,percent of total billed charges,999999999,,,,60.9,percent of total billed charges,999999999,,,,60.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,46.284,percent of total billed charges,999999999,,,,,,,,,,,,,,,,43.935,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21.75,percent of total billed charges,20.65717976,,,,,,,,,,21.75,percent of total billed charges,20.31356163,,,,,,,,,,21.75,percent of total billed charges,20.25711111,,,,,,,,,,21.75,percent of total billed charges,19.95882539,,,,,,,,,,21.75,percent of total billed charges,20.47239531,,,,,,,,,,21.75,percent of total billed charges,999999999,,,,,,,,,,21.75,percent of total billed charges,17.56675684,,,,,,,,,,21.75,percent of total billed charges,27.70398694,,,,,,,,,,21.75,percent of total billed charges,999999999,,,,,,,,,,21.75,percent of total billed charges,18.94126014,,,,,,,,,,78.3,percent of total billed charges,,,,,
**BAG HAZARDOUS WASTE RED,271,RC,5486-8587-00,NDC,,both,1,EA,17,17,3.619027059,17,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,17,percent of total billed charges,999999999,,,,17,percent of total billed charges,12.9528316,,,,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.002,percent of total billed charges,11.91093756,,,,12.002,percent of total billed charges,8.214879231,,,,,,,,,,12.24,percent of total billed charges,7.955711967,,,,,,,,,,12.24,percent of total billed charges,999999999,,,,,,,,,,13.6,percent of total billed charges,11.39609305,,,,13.43,percent of total billed charges,12.96052796,,,,13.43,percent of total billed charges,11.45105547,,,,13.6,percent of total billed charges,999999999,,,,13.6,percent of total billed charges,999999999,,,,11.9,percent of total billed charges,999999999,,,,11.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.044,percent of total billed charges,999999999,,,,,,,,,,,,,,,,8.585,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4.25,percent of total billed charges,4.036460412,,,,,,,,,,4.25,percent of total billed charges,3.96931664,,,,,,,,,,4.25,percent of total billed charges,3.958286079,,,,,,,,,,4.25,percent of total billed charges,3.900000364,,,,,,,,,,4.25,percent of total billed charges,4.000353107,,,,,,,,,,4.25,percent of total billed charges,999999999,,,,,,,,,,4.25,percent of total billed charges,3.432584671,,,,,,,,,,4.25,percent of total billed charges,5.413422736,,,,,,,,,,4.25,percent of total billed charges,999999999,,,,,,,,,,4.25,percent of total billed charges,3.701165774,,,,,,,,,,15.3,percent of total billed charges,,,,,
**EMESIS BAG,271,RC,5486-8587-00,NDC,,both,1,EA,9,9,1.915955502,9,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,9,percent of total billed charges,999999999,,,,9,percent of total billed charges,6.857381434,,,,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.354,percent of total billed charges,6.305790475,,,,6.354,percent of total billed charges,4.34905371,,,,,,,,,,6.48,percent of total billed charges,4.211847512,,,,,,,,,,6.48,percent of total billed charges,999999999,,,,,,,,,,7.2,percent of total billed charges,6.033225731,,,,7.11,percent of total billed charges,6.861455978,,,,7.11,percent of total billed charges,6.062323481,,,,7.2,percent of total billed charges,999999999,,,,7.2,percent of total billed charges,999999999,,,,6.3,percent of total billed charges,999999999,,,,6.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.788,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.545,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.25,percent of total billed charges,2.13694963,,,,,,,,,,2.25,percent of total billed charges,2.101402927,,,,,,,,,,2.25,percent of total billed charges,2.095563218,,,,,,,,,,2.25,percent of total billed charges,2.064706075,,,,,,,,,,2.25,percent of total billed charges,2.117833998,,,,,,,,,,2.25,percent of total billed charges,999999999,,,,,,,,,,2.25,percent of total billed charges,1.817250708,,,,,,,,,,2.25,percent of total billed charges,2.865929684,,,,,,,,,,2.25,percent of total billed charges,999999999,,,,,,,,,,2.25,percent of total billed charges,1.959440704,,,,,,,,,,8.1,percent of total billed charges,,,,,
**CARAFE,272,RC,5486-8587-00,NDC,,both,1,EA,15,15,3.193259169,15,15,percent of total billed charges,11.03603289,,,,15,percent of total billed charges,11.69797665,,,,15,percent of total billed charges,11.03603289,,,,15,percent of total billed charges,11.69797665,,,,15,percent of total billed charges,999999999,,,,15,percent of total billed charges,11.42896906,,,,15,percent of total billed charges,11.03603289,,,,15,percent of total billed charges,11.69797665,,,,10.695,percent of total billed charges,5.337000719,,,,10.695,percent of total billed charges,3.193259169,,,,10.695,percent of total billed charges,5.337000719,,,,10.695,percent of total billed charges,3.193259169,,,,10.695,percent of total billed charges,5.337000719,,,,10.695,percent of total billed charges,3.193259169,,,,10.59,percent of total billed charges,10.50965079,,,,10.59,percent of total billed charges,7.248422851,,,,,,,,,,10.8,percent of total billed charges,7.019745853,,,,,,,,,,10.8,percent of total billed charges,999999999,,,,,,,,,,12,percent of total billed charges,10.05537622,,,,11.85,percent of total billed charges,11.43575996,,,,11.85,percent of total billed charges,10.10387247,,,,12,percent of total billed charges,999999999,,,,12,percent of total billed charges,999999999,,,,10.5,percent of total billed charges,999999999,,,,10.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,7.98,percent of total billed charges,999999999,,,,,,,,,,,,,,,,7.575,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3.75,percent of total billed charges,3.561582716,,,,,,,,,,3.75,percent of total billed charges,3.502338211,,,,,,,,,,3.75,percent of total billed charges,3.492605363,,,,,,,,,,3.75,percent of total billed charges,3.441176792,,,,,,,,,,3.75,percent of total billed charges,3.52972333,,,,,,,,,,3.75,percent of total billed charges,999999999,,,,,,,,,,3.75,percent of total billed charges,3.02875118,,,,,,,,,,3.75,percent of total billed charges,4.776549473,,,,,,,,,,3.75,percent of total billed charges,999999999,,,,,,,,,,3.75,percent of total billed charges,3.265734506,,,,,,,,,,13.5,percent of total billed charges,,,,,
**RAZOR DISPOSABLE BATTERY OPERATED,271,RC,5486-8587-00,NDC,,both,1,EA,98,98,20.86262657,98,98,percent of total billed charges,72.10208152,,,,98,percent of total billed charges,76.42678078,,,,98,percent of total billed charges,72.10208152,,,,98,percent of total billed charges,76.42678078,,,,98,percent of total billed charges,999999999,,,,98,percent of total billed charges,74.6692645,,,,98,percent of total billed charges,72.10208152,,,,98,percent of total billed charges,76.42678078,,,,69.874,percent of total billed charges,34.8684047,,,,69.874,percent of total billed charges,20.86262657,,,,69.874,percent of total billed charges,34.8684047,,,,69.874,percent of total billed charges,20.86262657,,,,69.874,percent of total billed charges,34.8684047,,,,69.874,percent of total billed charges,20.86262657,,,,69.188,percent of total billed charges,68.66305184,,,,69.188,percent of total billed charges,47.35636262,,,,,,,,,,70.56,percent of total billed charges,45.86233957,,,,,,,,,,70.56,percent of total billed charges,999999999,,,,,,,,,,78.4,percent of total billed charges,65.69512463,,,,77.42,percent of total billed charges,74.71363176,,,,77.42,percent of total billed charges,66.0119668,,,,78.4,percent of total billed charges,999999999,,,,78.4,percent of total billed charges,999999999,,,,68.6,percent of total billed charges,999999999,,,,68.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,52.136,percent of total billed charges,999999999,,,,,,,,,,,,,,,,49.49,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,24.5,percent of total billed charges,23.26900708,,,,,,,,,,24.5,percent of total billed charges,22.88194298,,,,,,,,,,24.5,percent of total billed charges,22.81835504,,,,,,,,,,24.5,percent of total billed charges,22.48235504,,,,,,,,,,24.5,percent of total billed charges,23.06085909,,,,,,,,,,24.5,percent of total billed charges,999999999,,,,,,,,,,24.5,percent of total billed charges,19.78784104,,,,,,,,,,24.5,percent of total billed charges,31.20678989,,,,,,,,,,24.5,percent of total billed charges,999999999,,,,,,,,,,24.5,percent of total billed charges,21.33613211,,,,,,,,,,88.2,percent of total billed charges,,,,,
**AIRWAY PREMIE 40MM,272,RC,5486-8587-00,NDC,,both,1,EA,63,63,13.41168851,63,63,percent of total billed charges,46.35133812,,,,63,percent of total billed charges,49.13150193,,,,63,percent of total billed charges,46.35133812,,,,63,percent of total billed charges,49.13150193,,,,63,percent of total billed charges,999999999,,,,63,percent of total billed charges,48.00167004,,,,63,percent of total billed charges,46.35133812,,,,63,percent of total billed charges,49.13150193,,,,44.919,percent of total billed charges,22.41540302,,,,44.919,percent of total billed charges,13.41168851,,,,44.919,percent of total billed charges,22.41540302,,,,44.919,percent of total billed charges,13.41168851,,,,44.919,percent of total billed charges,22.41540302,,,,44.919,percent of total billed charges,13.41168851,,,,44.478,percent of total billed charges,44.14053332,,,,44.478,percent of total billed charges,30.44337597,,,,,,,,,,45.36,percent of total billed charges,29.48293258,,,,,,,,,,45.36,percent of total billed charges,999999999,,,,,,,,,,50.4,percent of total billed charges,42.23258012,,,,49.77,percent of total billed charges,48.03019185,,,,49.77,percent of total billed charges,42.43626437,,,,50.4,percent of total billed charges,999999999,,,,50.4,percent of total billed charges,999999999,,,,44.1,percent of total billed charges,999999999,,,,44.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,33.516,percent of total billed charges,999999999,,,,,,,,,,,,,,,,31.815,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15.75,percent of total billed charges,14.95864741,,,,,,,,,,15.75,percent of total billed charges,14.70982049,,,,,,,,,,15.75,percent of total billed charges,14.66894253,,,,,,,,,,15.75,percent of total billed charges,14.45294253,,,,,,,,,,15.75,percent of total billed charges,14.82483798,,,,,,,,,,15.75,percent of total billed charges,999999999,,,,,,,,,,15.75,percent of total billed charges,12.72075496,,,,,,,,,,15.75,percent of total billed charges,20.06150779,,,,,,,,,,15.75,percent of total billed charges,999999999,,,,,,,,,,15.75,percent of total billed charges,13.71608493,,,,,,,,,,56.7,percent of total billed charges,,,,,
**BAG TUBE FEEDING FLIP TOP,272,RC,5486-8587-00,NDC,,both,1,EA,17,17,3.619027059,17,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,17,percent of total billed charges,999999999,,,,17,percent of total billed charges,12.9528316,,,,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.002,percent of total billed charges,11.91093756,,,,12.002,percent of total billed charges,8.214879231,,,,,,,,,,12.24,percent of total billed charges,7.955711967,,,,,,,,,,12.24,percent of total billed charges,999999999,,,,,,,,,,13.6,percent of total billed charges,11.39609305,,,,13.43,percent of total billed charges,12.96052796,,,,13.43,percent of total billed charges,11.45105547,,,,13.6,percent of total billed charges,999999999,,,,13.6,percent of total billed charges,999999999,,,,11.9,percent of total billed charges,999999999,,,,11.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.044,percent of total billed charges,999999999,,,,,,,,,,,,,,,,8.585,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4.25,percent of total billed charges,4.036460412,,,,,,,,,,4.25,percent of total billed charges,3.96931664,,,,,,,,,,4.25,percent of total billed charges,3.958286079,,,,,,,,,,4.25,percent of total billed charges,3.900000364,,,,,,,,,,4.25,percent of total billed charges,4.000353107,,,,,,,,,,4.25,percent of total billed charges,999999999,,,,,,,,,,4.25,percent of total billed charges,3.432584671,,,,,,,,,,4.25,percent of total billed charges,5.413422736,,,,,,,,,,4.25,percent of total billed charges,999999999,,,,,,,,,,4.25,percent of total billed charges,3.701165774,,,,,,,,,,15.3,percent of total billed charges,,,,,
**CATHETER REPAIR KIT SMALL,272,RC,5486-8587-00,NDC,,both,1,EA,321,321,68.33574622,321,321,percent of total billed charges,236.1711038,,,,321,percent of total billed charges,250.3367003,,,,321,percent of total billed charges,236.1711038,,,,321,percent of total billed charges,250.3367003,,,,321,percent of total billed charges,999999999,,,,321,percent of total billed charges,244.5799378,,,,321,percent of total billed charges,236.1711038,,,,321,percent of total billed charges,250.3367003,,,,228.873,percent of total billed charges,114.2118154,,,,228.873,percent of total billed charges,68.33574622,,,,228.873,percent of total billed charges,114.2118154,,,,228.873,percent of total billed charges,68.33574622,,,,228.873,percent of total billed charges,114.2118154,,,,228.873,percent of total billed charges,68.33574622,,,,226.626,percent of total billed charges,224.9065269,,,,226.626,percent of total billed charges,155.116249,,,,,,,,,,231.12,percent of total billed charges,150.2225613,,,,,,,,,,231.12,percent of total billed charges,999999999,,,,,,,,,,256.8,percent of total billed charges,215.1850511,,,,253.59,percent of total billed charges,244.7252632,,,,253.59,percent of total billed charges,216.2228708,,,,256.8,percent of total billed charges,999999999,,,,256.8,percent of total billed charges,999999999,,,,224.7,percent of total billed charges,999999999,,,,224.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,170.772,percent of total billed charges,999999999,,,,,,,,,,,,,,,,162.105,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,80.25,percent of total billed charges,76.21787013,,,,,,,,,,80.25,percent of total billed charges,74.95003772,,,,,,,,,,80.25,percent of total billed charges,74.74175478,,,,,,,,,,80.25,percent of total billed charges,73.64118335,,,,,,,,,,80.25,percent of total billed charges,75.53607926,,,,,,,,,,80.25,percent of total billed charges,999999999,,,,,,,,,,80.25,percent of total billed charges,64.81527526,,,,,,,,,,80.25,percent of total billed charges,102.2181587,,,,,,,,,,80.25,percent of total billed charges,999999999,,,,,,,,,,80.25,percent of total billed charges,69.88671844,,,,,,,,,,288.9,percent of total billed charges,,,,,
**CATHETER SUCTION KIT 14FR,272,RC,5486-8587-00,NDC,,both,1,EA,41,41,8.72824173,41,41,percent of total billed charges,30.16515655,,,,41,percent of total billed charges,31.97446951,,,,41,percent of total billed charges,30.16515655,,,,41,percent of total billed charges,31.97446951,,,,41,percent of total billed charges,999999999,,,,41,percent of total billed charges,31.23918209,,,,41,percent of total billed charges,30.16515655,,,,41,percent of total billed charges,31.97446951,,,,29.233,percent of total billed charges,14.58780197,,,,29.233,percent of total billed charges,8.72824173,,,,29.233,percent of total billed charges,14.58780197,,,,29.233,percent of total billed charges,8.72824173,,,,29.233,percent of total billed charges,14.58780197,,,,29.233,percent of total billed charges,8.72824173,,,,28.946,percent of total billed charges,28.72637883,,,,28.946,percent of total billed charges,19.81235579,,,,,,,,,,29.52,percent of total billed charges,19.18730533,,,,,,,,,,29.52,percent of total billed charges,999999999,,,,,,,,,,32.8,percent of total billed charges,27.484695,,,,32.39,percent of total billed charges,31.2577439,,,,32.39,percent of total billed charges,27.61725142,,,,32.8,percent of total billed charges,999999999,,,,32.8,percent of total billed charges,999999999,,,,28.7,percent of total billed charges,999999999,,,,28.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,21.812,percent of total billed charges,999999999,,,,,,,,,,,,,,,,20.705,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10.25,percent of total billed charges,9.734992758,,,,,,,,,,10.25,percent of total billed charges,9.573057778,,,,,,,,,,10.25,percent of total billed charges,9.54645466,,,,,,,,,,10.25,percent of total billed charges,9.405883231,,,,,,,,,,10.25,percent of total billed charges,9.647910435,,,,,,,,,,10.25,percent of total billed charges,999999999,,,,,,,,,,10.25,percent of total billed charges,8.278586559,,,,,,,,,,10.25,percent of total billed charges,13.05590189,,,,,,,,,,10.25,percent of total billed charges,999999999,,,,,,,,,,10.25,percent of total billed charges,8.926340984,,,,,,,,,,36.9,percent of total billed charges,,,,,
**CONNECTOR TUBE 6 IN 1,272,RC,5486-8587-00,NDC,,both,1,EA,14,14,2.980375225,14,14,percent of total billed charges,10.30029736,,,,14,percent of total billed charges,10.91811154,,,,14,percent of total billed charges,10.30029736,,,,14,percent of total billed charges,10.91811154,,,,14,percent of total billed charges,999999999,,,,14,percent of total billed charges,10.66703779,,,,14,percent of total billed charges,10.30029736,,,,14,percent of total billed charges,10.91811154,,,,9.982,percent of total billed charges,4.981200671,,,,9.982,percent of total billed charges,2.980375225,,,,9.982,percent of total billed charges,4.981200671,,,,9.982,percent of total billed charges,2.980375225,,,,9.982,percent of total billed charges,4.981200671,,,,9.982,percent of total billed charges,2.980375225,,,,9.884,percent of total billed charges,9.809007405,,,,9.884,percent of total billed charges,6.765194661,,,,,,,,,,10.08,percent of total billed charges,6.551762796,,,,,,,,,,10.08,percent of total billed charges,999999999,,,,,,,,,,11.2,percent of total billed charges,9.385017804,,,,11.06,percent of total billed charges,10.67337597,,,,11.06,percent of total billed charges,9.430280971,,,,11.2,percent of total billed charges,999999999,,,,11.2,percent of total billed charges,999999999,,,,9.8,percent of total billed charges,999999999,,,,9.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,7.448,percent of total billed charges,999999999,,,,,,,,,,,,,,,,7.07,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3.5,percent of total billed charges,3.324143869,,,,,,,,,,3.5,percent of total billed charges,3.268848997,,,,,,,,,,3.5,percent of total billed charges,3.259765006,,,,,,,,,,3.5,percent of total billed charges,3.211765006,,,,,,,,,,3.5,percent of total billed charges,3.294408441,,,,,,,,,,3.5,percent of total billed charges,999999999,,,,,,,,,,3.5,percent of total billed charges,2.826834435,,,,,,,,,,3.5,percent of total billed charges,4.458112841,,,,,,,,,,3.5,percent of total billed charges,999999999,,,,,,,,,,3.5,percent of total billed charges,3.048018873,,,,,,,,,,12.6,percent of total billed charges,,,,,
**STOPCOCK 1-WAY,272,RC,5486-8587-00,NDC,,both,1,EA,12,12,2.554607335,12,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,12,percent of total billed charges,999999999,,,,12,percent of total billed charges,9.143175245,,,,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.472,percent of total billed charges,8.407720633,,,,8.472,percent of total billed charges,5.79873828,,,,,,,,,,8.64,percent of total billed charges,5.615796683,,,,,,,,,,8.64,percent of total billed charges,999999999,,,,,,,,,,9.6,percent of total billed charges,8.044300975,,,,9.48,percent of total billed charges,9.148607971,,,,9.48,percent of total billed charges,8.083097975,,,,9.6,percent of total billed charges,999999999,,,,9.6,percent of total billed charges,999999999,,,,8.4,percent of total billed charges,999999999,,,,8.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.384,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.06,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3,percent of total billed charges,2.849266173,,,,,,,,,,3,percent of total billed charges,2.801870569,,,,,,,,,,3,percent of total billed charges,2.794084291,,,,,,,,,,3,percent of total billed charges,2.752941434,,,,,,,,,,3,percent of total billed charges,2.823778664,,,,,,,,,,3,percent of total billed charges,999999999,,,,,,,,,,3,percent of total billed charges,2.423000944,,,,,,,,,,3,percent of total billed charges,3.821239578,,,,,,,,,,3,percent of total billed charges,999999999,,,,,,,,,,3,percent of total billed charges,2.612587605,,,,,,,,,,10.8,percent of total billed charges,,,,,
**STOPCOCK 3-WAY,272,RC,5486-8587-00,NDC,,both,1,EA,15,15,3.193259169,15,15,percent of total billed charges,11.03603289,,,,15,percent of total billed charges,11.69797665,,,,15,percent of total billed charges,11.03603289,,,,15,percent of total billed charges,11.69797665,,,,15,percent of total billed charges,999999999,,,,15,percent of total billed charges,11.42896906,,,,15,percent of total billed charges,11.03603289,,,,15,percent of total billed charges,11.69797665,,,,10.695,percent of total billed charges,5.337000719,,,,10.695,percent of total billed charges,3.193259169,,,,10.695,percent of total billed charges,5.337000719,,,,10.695,percent of total billed charges,3.193259169,,,,10.695,percent of total billed charges,5.337000719,,,,10.695,percent of total billed charges,3.193259169,,,,10.59,percent of total billed charges,10.50965079,,,,10.59,percent of total billed charges,7.248422851,,,,,,,,,,10.8,percent of total billed charges,7.019745853,,,,,,,,,,10.8,percent of total billed charges,999999999,,,,,,,,,,12,percent of total billed charges,10.05537622,,,,11.85,percent of total billed charges,11.43575996,,,,11.85,percent of total billed charges,10.10387247,,,,12,percent of total billed charges,999999999,,,,12,percent of total billed charges,999999999,,,,10.5,percent of total billed charges,999999999,,,,10.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,7.98,percent of total billed charges,999999999,,,,,,,,,,,,,,,,7.575,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3.75,percent of total billed charges,3.561582716,,,,,,,,,,3.75,percent of total billed charges,3.502338211,,,,,,,,,,3.75,percent of total billed charges,3.492605363,,,,,,,,,,3.75,percent of total billed charges,3.441176792,,,,,,,,,,3.75,percent of total billed charges,3.52972333,,,,,,,,,,3.75,percent of total billed charges,999999999,,,,,,,,,,3.75,percent of total billed charges,3.02875118,,,,,,,,,,3.75,percent of total billed charges,4.776549473,,,,,,,,,,3.75,percent of total billed charges,999999999,,,,,,,,,,3.75,percent of total billed charges,3.265734506,,,,,,,,,,13.5,percent of total billed charges,,,,,
**STOPCOCK 3-WAY WITH TUBING,272,RC,5486-8587-00,NDC,,both,1,EA,17,17,3.619027059,17,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,17,percent of total billed charges,999999999,,,,17,percent of total billed charges,12.9528316,,,,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.002,percent of total billed charges,11.91093756,,,,12.002,percent of total billed charges,8.214879231,,,,,,,,,,12.24,percent of total billed charges,7.955711967,,,,,,,,,,12.24,percent of total billed charges,999999999,,,,,,,,,,13.6,percent of total billed charges,11.39609305,,,,13.43,percent of total billed charges,12.96052796,,,,13.43,percent of total billed charges,11.45105547,,,,13.6,percent of total billed charges,999999999,,,,13.6,percent of total billed charges,999999999,,,,11.9,percent of total billed charges,999999999,,,,11.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.044,percent of total billed charges,999999999,,,,,,,,,,,,,,,,8.585,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4.25,percent of total billed charges,4.036460412,,,,,,,,,,4.25,percent of total billed charges,3.96931664,,,,,,,,,,4.25,percent of total billed charges,3.958286079,,,,,,,,,,4.25,percent of total billed charges,3.900000364,,,,,,,,,,4.25,percent of total billed charges,4.000353107,,,,,,,,,,4.25,percent of total billed charges,999999999,,,,,,,,,,4.25,percent of total billed charges,3.432584671,,,,,,,,,,4.25,percent of total billed charges,5.413422736,,,,,,,,,,4.25,percent of total billed charges,999999999,,,,,,,,,,4.25,percent of total billed charges,3.701165774,,,,,,,,,,15.3,percent of total billed charges,,,,,
**STERILE INSTRUMENT SINGLE-DISP,272,RC,5486-8587-00,NDC,,both,1,EA,17,17,3.619027059,17,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,17,percent of total billed charges,999999999,,,,17,percent of total billed charges,12.9528316,,,,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.002,percent of total billed charges,11.91093756,,,,12.002,percent of total billed charges,8.214879231,,,,,,,,,,12.24,percent of total billed charges,7.955711967,,,,,,,,,,12.24,percent of total billed charges,999999999,,,,,,,,,,13.6,percent of total billed charges,11.39609305,,,,13.43,percent of total billed charges,12.96052796,,,,13.43,percent of total billed charges,11.45105547,,,,13.6,percent of total billed charges,999999999,,,,13.6,percent of total billed charges,999999999,,,,11.9,percent of total billed charges,999999999,,,,11.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.044,percent of total billed charges,999999999,,,,,,,,,,,,,,,,8.585,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4.25,percent of total billed charges,4.036460412,,,,,,,,,,4.25,percent of total billed charges,3.96931664,,,,,,,,,,4.25,percent of total billed charges,3.958286079,,,,,,,,,,4.25,percent of total billed charges,3.900000364,,,,,,,,,,4.25,percent of total billed charges,4.000353107,,,,,,,,,,4.25,percent of total billed charges,999999999,,,,,,,,,,4.25,percent of total billed charges,3.432584671,,,,,,,,,,4.25,percent of total billed charges,5.413422736,,,,,,,,,,4.25,percent of total billed charges,999999999,,,,,,,,,,4.25,percent of total billed charges,3.701165774,,,,,,,,,,15.3,percent of total billed charges,,,,,
**TUBE EXTENSION SET 30,272,RC,5486-8587-00,NDC,,both,1,EA,11,11,2.341723391,11,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,11,percent of total billed charges,999999999,,,,11,percent of total billed charges,8.381243975,,,,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.766,percent of total billed charges,7.707077247,,,,7.766,percent of total billed charges,5.31551009,,,,,,,,,,7.92,percent of total billed charges,5.147813626,,,,,,,,,,7.92,percent of total billed charges,999999999,,,,,,,,,,8.8,percent of total billed charges,7.373942561,,,,8.69,percent of total billed charges,8.386223973,,,,8.69,percent of total billed charges,7.409506477,,,,8.8,percent of total billed charges,999999999,,,,8.8,percent of total billed charges,999999999,,,,7.7,percent of total billed charges,999999999,,,,7.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.852,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.555,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.75,percent of total billed charges,2.611827325,,,,,,,,,,2.75,percent of total billed charges,2.568381355,,,,,,,,,,2.75,percent of total billed charges,2.561243933,,,,,,,,,,2.75,percent of total billed charges,2.523529647,,,,,,,,,,2.75,percent of total billed charges,2.588463775,,,,,,,,,,2.75,percent of total billed charges,999999999,,,,,,,,,,2.75,percent of total billed charges,2.221084199,,,,,,,,,,2.75,percent of total billed charges,3.502802947,,,,,,,,,,2.75,percent of total billed charges,999999999,,,,,,,,,,2.75,percent of total billed charges,2.394871971,,,,,,,,,,9.9,percent of total billed charges,,,,,
**TUBE FEEDING LEVINE 16FR X 50,272,RC,5486-8587-00,NDC,,both,1,EA,23,23,4.896330726,23,23,percent of total billed charges,16.92191709,,,,23,percent of total billed charges,17.93689753,,,,23,percent of total billed charges,16.92191709,,,,23,percent of total billed charges,17.93689753,,,,23,percent of total billed charges,999999999,,,,23,percent of total billed charges,17.52441922,,,,23,percent of total billed charges,16.92191709,,,,23,percent of total billed charges,17.93689753,,,,16.399,percent of total billed charges,8.183401102,,,,16.399,percent of total billed charges,4.896330726,,,,16.399,percent of total billed charges,8.183401102,,,,16.399,percent of total billed charges,4.896330726,,,,16.399,percent of total billed charges,8.183401102,,,,16.399,percent of total billed charges,4.896330726,,,,16.238,percent of total billed charges,16.11479788,,,,16.238,percent of total billed charges,11.11424837,,,,,,,,,,16.56,percent of total billed charges,10.76361031,,,,,,,,,,16.56,percent of total billed charges,999999999,,,,,,,,,,18.4,percent of total billed charges,15.41824354,,,,18.17,percent of total billed charges,17.53483194,,,,18.17,percent of total billed charges,15.49260445,,,,18.4,percent of total billed charges,999999999,,,,18.4,percent of total billed charges,999999999,,,,16.1,percent of total billed charges,999999999,,,,16.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,12.236,percent of total billed charges,999999999,,,,,,,,,,,,,,,,11.615,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5.75,percent of total billed charges,5.461093499,,,,,,,,,,5.75,percent of total billed charges,5.370251924,,,,,,,,,,5.75,percent of total billed charges,5.355328224,,,,,,,,,,5.75,percent of total billed charges,5.276471081,,,,,,,,,,5.75,percent of total billed charges,5.412242439,,,,,,,,,,5.75,percent of total billed charges,999999999,,,,,,,,,,5.75,percent of total billed charges,4.644085143,,,,,,,,,,5.75,percent of total billed charges,7.324042525,,,,,,,,,,5.75,percent of total billed charges,999999999,,,,,,,,,,5.75,percent of total billed charges,5.007459577,,,,,,,,,,20.7,percent of total billed charges,,,,,
**ENDOTRACHEAL TUBE CS,272,RC,5486-8587-00,NDC,,both,1,EA,67,67,14.26322429,67,67,percent of total billed charges,49.29428022,,,,67,percent of total billed charges,52.25096237,,,,67,percent of total billed charges,49.29428022,,,,67,percent of total billed charges,52.25096237,,,,67,percent of total billed charges,999999999,,,,67,percent of total billed charges,51.04939512,,,,67,percent of total billed charges,49.29428022,,,,67,percent of total billed charges,52.25096237,,,,47.771,percent of total billed charges,23.83860321,,,,47.771,percent of total billed charges,14.26322429,,,,47.771,percent of total billed charges,23.83860321,,,,47.771,percent of total billed charges,14.26322429,,,,47.771,percent of total billed charges,23.83860321,,,,47.771,percent of total billed charges,14.26322429,,,,47.302,percent of total billed charges,46.94310687,,,,47.302,percent of total billed charges,32.37628873,,,,,,,,,,48.24,percent of total billed charges,31.35486481,,,,,,,,,,48.24,percent of total billed charges,999999999,,,,,,,,,,53.6,percent of total billed charges,44.91401378,,,,52.93,percent of total billed charges,51.07972784,,,,52.93,percent of total billed charges,45.13063036,,,,53.6,percent of total billed charges,999999999,,,,53.6,percent of total billed charges,999999999,,,,46.9,percent of total billed charges,999999999,,,,46.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,35.644,percent of total billed charges,999999999,,,,,,,,,,,,,,,,33.835,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16.75,percent of total billed charges,15.9084028,,,,,,,,,,16.75,percent of total billed charges,15.64377734,,,,,,,,,,16.75,percent of total billed charges,15.60030396,,,,,,,,,,16.75,percent of total billed charges,15.37058967,,,,,,,,,,16.75,percent of total billed charges,15.76609754,,,,,,,,,,16.75,percent of total billed charges,999999999,,,,,,,,,,16.75,percent of total billed charges,13.52842194,,,,,,,,,,16.75,percent of total billed charges,21.33525431,,,,,,,,,,16.75,percent of total billed charges,999999999,,,,,,,,,,16.75,percent of total billed charges,14.58694746,,,,,,,,,,60.3,percent of total billed charges,,,,,
**TUBE TRAC SIZE 8,272,RC,5486-8587-00,NDC,,both,1,EA,402,402,85.57934574,402,402,percent of total billed charges,295.7656813,,,,402,percent of total billed charges,313.5057742,,,,402,percent of total billed charges,295.7656813,,,,402,percent of total billed charges,313.5057742,,,,402,percent of total billed charges,999999999,,,,402,percent of total billed charges,306.2963707,,,,402,percent of total billed charges,295.7656813,,,,402,percent of total billed charges,313.5057742,,,,286.626,percent of total billed charges,143.0316193,,,,286.626,percent of total billed charges,85.57934574,,,,286.626,percent of total billed charges,143.0316193,,,,286.626,percent of total billed charges,85.57934574,,,,286.626,percent of total billed charges,143.0316193,,,,286.626,percent of total billed charges,85.57934574,,,,283.812,percent of total billed charges,281.6586412,,,,283.812,percent of total billed charges,194.2577324,,,,,,,,,,289.44,percent of total billed charges,188.1291889,,,,,,,,,,289.44,percent of total billed charges,999999999,,,,,,,,,,321.6,percent of total billed charges,269.4840827,,,,317.58,percent of total billed charges,306.478367,,,,317.58,percent of total billed charges,270.7837822,,,,321.6,percent of total billed charges,999999999,,,,321.6,percent of total billed charges,999999999,,,,281.4,percent of total billed charges,999999999,,,,281.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,213.864,percent of total billed charges,999999999,,,,,,,,,,,,,,,,203.01,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,100.5,percent of total billed charges,95.4504168,,,,,,,,,,100.5,percent of total billed charges,93.86266406,,,,,,,,,,100.5,percent of total billed charges,93.60182374,,,,,,,,,,100.5,percent of total billed charges,92.22353803,,,,,,,,,,100.5,percent of total billed charges,94.59658524,,,,,,,,,,100.5,percent of total billed charges,999999999,,,,,,,,,,100.5,percent of total billed charges,81.17053163,,,,,,,,,,100.5,percent of total billed charges,128.0115259,,,,,,,,,,100.5,percent of total billed charges,999999999,,,,,,,,,,100.5,percent of total billed charges,87.52168477,,,,,,,,,,361.8,percent of total billed charges,,,,,
**WALL SUCTION KIT,271,RC,5486-8587-00,NDC,,both,1,EA,74,74,15.7534119,74,74,percent of total billed charges,54.4444289,,,,74,percent of total billed charges,57.71001814,,,,74,percent of total billed charges,54.4444289,,,,74,percent of total billed charges,57.71001814,,,,74,percent of total billed charges,999999999,,,,74,percent of total billed charges,56.38291401,,,,74,percent of total billed charges,54.4444289,,,,74,percent of total billed charges,57.71001814,,,,52.762,percent of total billed charges,26.32920355,,,,52.762,percent of total billed charges,15.7534119,,,,52.762,percent of total billed charges,26.32920355,,,,52.762,percent of total billed charges,15.7534119,,,,52.762,percent of total billed charges,26.32920355,,,,52.762,percent of total billed charges,15.7534119,,,,52.244,percent of total billed charges,51.84761057,,,,52.244,percent of total billed charges,35.75888606,,,,,,,,,,53.28,percent of total billed charges,34.63074621,,,,,,,,,,53.28,percent of total billed charges,999999999,,,,,,,,,,59.2,percent of total billed charges,49.60652268,,,,58.46,percent of total billed charges,56.41641582,,,,58.46,percent of total billed charges,49.84577085,,,,59.2,percent of total billed charges,999999999,,,,59.2,percent of total billed charges,999999999,,,,51.8,percent of total billed charges,999999999,,,,51.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,39.368,percent of total billed charges,999999999,,,,,,,,,,,,,,,,37.37,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18.5,percent of total billed charges,17.57047473,,,,,,,,,,18.5,percent of total billed charges,17.27820184,,,,,,,,,,18.5,percent of total billed charges,17.23018646,,,,,,,,,,18.5,percent of total billed charges,16.97647217,,,,,,,,,,18.5,percent of total billed charges,17.41330176,,,,,,,,,,18.5,percent of total billed charges,999999999,,,,,,,,,,18.5,percent of total billed charges,14.94183916,,,,,,,,,,18.5,percent of total billed charges,23.56431073,,,,,,,,,,18.5,percent of total billed charges,999999999,,,,,,,,,,18.5,percent of total billed charges,16.1109569,,,,,,,,,,66.6,percent of total billed charges,,,,,
**BETADINE SPRAY 3 OZ,272,RC,5486-8587-00,NDC,,both,1,EA,60,60,12.77303668,60,60,percent of total billed charges,44.14413154,,,,60,percent of total billed charges,46.7919066,,,,60,percent of total billed charges,44.14413154,,,,60,percent of total billed charges,46.7919066,,,,60,percent of total billed charges,999999999,,,,60,percent of total billed charges,45.71587623,,,,60,percent of total billed charges,44.14413154,,,,60,percent of total billed charges,46.7919066,,,,42.78,percent of total billed charges,21.34800288,,,,42.78,percent of total billed charges,12.77303668,,,,42.78,percent of total billed charges,21.34800288,,,,42.78,percent of total billed charges,12.77303668,,,,42.78,percent of total billed charges,21.34800288,,,,42.78,percent of total billed charges,12.77303668,,,,42.36,percent of total billed charges,42.03860316,,,,42.36,percent of total billed charges,28.9936914,,,,,,,,,,43.2,percent of total billed charges,28.07898341,,,,,,,,,,43.2,percent of total billed charges,999999999,,,,,,,,,,48,percent of total billed charges,40.22150488,,,,47.4,percent of total billed charges,45.74303985,,,,47.4,percent of total billed charges,40.41548988,,,,48,percent of total billed charges,999999999,,,,48,percent of total billed charges,999999999,,,,42,percent of total billed charges,999999999,,,,42,percent of total billed charges,999999999,,,,,,,,,,,,,,,,31.92,percent of total billed charges,999999999,,,,,,,,,,,,,,,,30.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15,percent of total billed charges,14.24633087,,,,,,,,,,15,percent of total billed charges,14.00935285,,,,,,,,,,15,percent of total billed charges,13.97042145,,,,,,,,,,15,percent of total billed charges,13.76470717,,,,,,,,,,15,percent of total billed charges,14.11889332,,,,,,,,,,15,percent of total billed charges,999999999,,,,,,,,,,15,percent of total billed charges,12.11500472,,,,,,,,,,15,percent of total billed charges,19.10619789,,,,,,,,,,15,percent of total billed charges,999999999,,,,,,,,,,15,percent of total billed charges,13.06293803,,,,,,,,,,54,percent of total billed charges,,,,,
**BETADINE SURGICAL SCRUB 1/2 OZ PK,272,RC,5486-8587-00,NDC,,both,1,EA,34,34,7.238054117,34,34,percent of total billed charges,25.01500787,,,,34,percent of total billed charges,26.51541374,,,,34,percent of total billed charges,25.01500787,,,,34,percent of total billed charges,26.51541374,,,,34,percent of total billed charges,999999999,,,,34,percent of total billed charges,25.90566319,,,,34,percent of total billed charges,25.01500787,,,,34,percent of total billed charges,26.51541374,,,,24.242,percent of total billed charges,12.09720163,,,,24.242,percent of total billed charges,7.238054117,,,,24.242,percent of total billed charges,12.09720163,,,,24.242,percent of total billed charges,7.238054117,,,,24.242,percent of total billed charges,12.09720163,,,,24.242,percent of total billed charges,7.238054117,,,,24.004,percent of total billed charges,23.82187513,,,,24.004,percent of total billed charges,16.42975846,,,,,,,,,,24.48,percent of total billed charges,15.91142393,,,,,,,,,,24.48,percent of total billed charges,999999999,,,,,,,,,,27.2,percent of total billed charges,22.7921861,,,,26.86,percent of total billed charges,25.92105592,,,,26.86,percent of total billed charges,22.90211093,,,,27.2,percent of total billed charges,999999999,,,,27.2,percent of total billed charges,999999999,,,,23.8,percent of total billed charges,999999999,,,,23.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,18.088,percent of total billed charges,999999999,,,,,,,,,,,,,,,,17.17,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8.5,percent of total billed charges,8.072920824,,,,,,,,,,8.5,percent of total billed charges,7.938633279,,,,,,,,,,8.5,percent of total billed charges,7.916572157,,,,,,,,,,8.5,percent of total billed charges,7.800000728,,,,,,,,,,8.5,percent of total billed charges,8.000706214,,,,,,,,,,8.5,percent of total billed charges,999999999,,,,,,,,,,8.5,percent of total billed charges,6.865169342,,,,,,,,,,8.5,percent of total billed charges,10.82684547,,,,,,,,,,8.5,percent of total billed charges,999999999,,,,,,,,,,8.5,percent of total billed charges,7.402331548,,,,,,,,,,30.6,percent of total billed charges,,,,,
**CATHETER FOLEY COUDE 18 FR 5CC,272,RC,5486-8587-00,NDC,,both,1,EA,167,167,35.55161875,167,167,percent of total billed charges,122.8678328,,,,167,percent of total billed charges,130.2374734,,,,167,percent of total billed charges,122.8678328,,,,167,percent of total billed charges,130.2374734,,,,167,percent of total billed charges,999999999,,,,167,percent of total billed charges,127.2425222,,,,167,percent of total billed charges,122.8678328,,,,167,percent of total billed charges,130.2374734,,,,119.071,percent of total billed charges,59.418608,,,,119.071,percent of total billed charges,35.55161875,,,,119.071,percent of total billed charges,59.418608,,,,119.071,percent of total billed charges,35.55161875,,,,119.071,percent of total billed charges,59.418608,,,,119.071,percent of total billed charges,35.55161875,,,,117.902,percent of total billed charges,117.0074455,,,,117.902,percent of total billed charges,80.69910774,,,,,,,,,,120.24,percent of total billed charges,78.1531705,,,,,,,,,,120.24,percent of total billed charges,999999999,,,,,,,,,,133.6,percent of total billed charges,111.9498552,,,,131.93,percent of total billed charges,127.3181276,,,,131.93,percent of total billed charges,112.4897802,,,,133.6,percent of total billed charges,999999999,,,,133.6,percent of total billed charges,999999999,,,,116.9,percent of total billed charges,999999999,,,,116.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,88.844,percent of total billed charges,999999999,,,,,,,,,,,,,,,,84.335,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,41.75,percent of total billed charges,39.65228758,,,,,,,,,,41.75,percent of total billed charges,38.99269875,,,,,,,,,,41.75,percent of total billed charges,38.88433971,,,,,,,,,,41.75,percent of total billed charges,38.31176828,,,,,,,,,,41.75,percent of total billed charges,39.2975864,,,,,,,,,,41.75,percent of total billed charges,999999999,,,,,,,,,,41.75,percent of total billed charges,33.72009647,,,,,,,,,,41.75,percent of total billed charges,53.17891746,,,,,,,,,,41.75,percent of total billed charges,999999999,,,,,,,,,,41.75,percent of total billed charges,36.35851084,,,,,,,,,,150.3,percent of total billed charges,,,,,
**5CC 14FT FOLLEY CATH,272,RC,5486-8587-00,NDC,,both,1,EA,136,136,28.95221647,136,136,percent of total billed charges,100.0600315,,,,136,percent of total billed charges,106.061655,,,,136,percent of total billed charges,100.0600315,,,,136,percent of total billed charges,106.061655,,,,136,percent of total billed charges,999999999,,,,136,percent of total billed charges,103.6226528,,,,136,percent of total billed charges,100.0600315,,,,136,percent of total billed charges,106.061655,,,,96.968,percent of total billed charges,48.38880652,,,,96.968,percent of total billed charges,28.95221647,,,,96.968,percent of total billed charges,48.38880652,,,,96.968,percent of total billed charges,28.95221647,,,,96.968,percent of total billed charges,48.38880652,,,,96.968,percent of total billed charges,28.95221647,,,,96.016,percent of total billed charges,95.28750051,,,,96.016,percent of total billed charges,65.71903385,,,,,,,,,,97.92,percent of total billed charges,63.64569574,,,,,,,,,,97.92,percent of total billed charges,999999999,,,,,,,,,,108.8,percent of total billed charges,91.16874438,,,,107.44,percent of total billed charges,103.6842237,,,,107.44,percent of total billed charges,91.60844372,,,,108.8,percent of total billed charges,999999999,,,,108.8,percent of total billed charges,999999999,,,,95.2,percent of total billed charges,999999999,,,,95.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,72.352,percent of total billed charges,999999999,,,,,,,,,,,,,,,,68.68,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,34,percent of total billed charges,32.2916833,,,,,,,,,,34,percent of total billed charges,31.75453312,,,,,,,,,,34,percent of total billed charges,31.66628863,,,,,,,,,,34,percent of total billed charges,31.20000291,,,,,,,,,,34,percent of total billed charges,32.00282486,,,,,,,,,,34,percent of total billed charges,999999999,,,,,,,,,,34,percent of total billed charges,27.46067737,,,,,,,,,,34,percent of total billed charges,43.30738189,,,,,,,,,,34,percent of total billed charges,999999999,,,,,,,,,,34,percent of total billed charges,29.60932619,,,,,,,,,,122.4,percent of total billed charges,,,,,
**FOLEY CATH SILICONE 16ft 5cc,272,RC,5486-8587-00,NDC,,both,1,EA,126,126,26.82337702,126,126,percent of total billed charges,92.70267624,,,,126,percent of total billed charges,98.26300386,,,,126,percent of total billed charges,92.70267624,,,,126,percent of total billed charges,98.26300386,,,,126,percent of total billed charges,999999999,,,,126,percent of total billed charges,96.00334007,,,,126,percent of total billed charges,92.70267624,,,,126,percent of total billed charges,98.26300386,,,,89.838,percent of total billed charges,44.83080604,,,,89.838,percent of total billed charges,26.82337702,,,,89.838,percent of total billed charges,44.83080604,,,,89.838,percent of total billed charges,26.82337702,,,,89.838,percent of total billed charges,44.83080604,,,,89.838,percent of total billed charges,26.82337702,,,,88.956,percent of total billed charges,88.28106665,,,,88.956,percent of total billed charges,60.88675195,,,,,,,,,,90.72,percent of total billed charges,58.96586517,,,,,,,,,,90.72,percent of total billed charges,999999999,,,,,,,,,,100.8,percent of total billed charges,84.46516024,,,,99.54,percent of total billed charges,96.0603837,,,,99.54,percent of total billed charges,84.87252874,,,,100.8,percent of total billed charges,999999999,,,,100.8,percent of total billed charges,999999999,,,,88.2,percent of total billed charges,999999999,,,,88.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,67.032,percent of total billed charges,999999999,,,,,,,,,,,,,,,,63.63,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,31.5,percent of total billed charges,29.91729482,,,,,,,,,,31.5,percent of total billed charges,29.41964098,,,,,,,,,,31.5,percent of total billed charges,29.33788505,,,,,,,,,,31.5,percent of total billed charges,28.90588505,,,,,,,,,,31.5,percent of total billed charges,29.64967597,,,,,,,,,,31.5,percent of total billed charges,999999999,,,,,,,,,,31.5,percent of total billed charges,25.44150991,,,,,,,,,,31.5,percent of total billed charges,40.12301557,,,,,,,,,,31.5,percent of total billed charges,999999999,,,,,,,,,,31.5,percent of total billed charges,27.43216985,,,,,,,,,,113.4,percent of total billed charges,,,,,
**CATHETER FOLEY 3-WAY 30CC BAL 20FR,272,RC,5486-8587-00,NDC,,both,1,EA,200,200,42.57678892,200,200,percent of total billed charges,147.1471051,,,,200,percent of total billed charges,155.973022,,,,200,percent of total billed charges,147.1471051,,,,200,percent of total billed charges,155.973022,,,,200,percent of total billed charges,999999999,,,,200,percent of total billed charges,152.3862541,,,,200,percent of total billed charges,147.1471051,,,,200,percent of total billed charges,155.973022,,,,142.6,percent of total billed charges,71.16000959,,,,142.6,percent of total billed charges,42.57678892,,,,142.6,percent of total billed charges,71.16000959,,,,142.6,percent of total billed charges,42.57678892,,,,142.6,percent of total billed charges,71.16000959,,,,142.6,percent of total billed charges,42.57678892,,,,141.2,percent of total billed charges,140.1286772,,,,141.2,percent of total billed charges,96.64563801,,,,,,,,,,144,percent of total billed charges,93.59661138,,,,,,,,,,144,percent of total billed charges,999999999,,,,,,,,,,160,percent of total billed charges,134.0716829,,,,158,percent of total billed charges,152.4767995,,,,158,percent of total billed charges,134.7182996,,,,160,percent of total billed charges,999999999,,,,160,percent of total billed charges,999999999,,,,140,percent of total billed charges,999999999,,,,140,percent of total billed charges,999999999,,,,,,,,,,,,,,,,106.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,101,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,50,percent of total billed charges,47.48776955,,,,,,,,,,50,percent of total billed charges,46.69784282,,,,,,,,,,50,percent of total billed charges,46.56807151,,,,,,,,,,50,percent of total billed charges,45.88235723,,,,,,,,,,50,percent of total billed charges,47.06297773,,,,,,,,,,50,percent of total billed charges,999999999,,,,,,,,,,50,percent of total billed charges,40.38334907,,,,,,,,,,50,percent of total billed charges,63.6873263,,,,,,,,,,50,percent of total billed charges,999999999,,,,,,,,,,50,percent of total billed charges,43.54312675,,,,,,,,,,180,percent of total billed charges,,,,,
**CATHETER SUPERPUBIC STAMEY,C2627,CDM,5486-8587-00,NDC,,both,1,EA,456,456,97.07507875,456,456,percent of total billed charges,335.4953997,,,,456,percent of total billed charges,355.6184902,,,,456,percent of total billed charges,335.4953997,,,,456,percent of total billed charges,355.6184902,,,,456,percent of total billed charges,999999999,,,,456,percent of total billed charges,347.4406593,,,,456,percent of total billed charges,335.4953997,,,,456,percent of total billed charges,355.6184902,,,,325.128,percent of total billed charges,162.2448219,,,,325.128,percent of total billed charges,97.07507875,,,,325.128,percent of total billed charges,162.2448219,,,,325.128,percent of total billed charges,97.07507875,,,,325.128,percent of total billed charges,162.2448219,,,,325.128,percent of total billed charges,97.07507875,,,,321.936,percent of total billed charges,319.493384,,,,321.936,percent of total billed charges,220.3520547,,,,,,,,,,328.32,percent of total billed charges,213.4002739,,,,,,,,,,328.32,percent of total billed charges,999999999,,,,,,,,,,364.8,percent of total billed charges,305.6834371,,,,360.24,percent of total billed charges,347.6471029,,,,360.24,percent of total billed charges,307.1577231,,,,364.8,percent of total billed charges,999999999,,,,364.8,percent of total billed charges,999999999,,,,319.2,percent of total billed charges,999999999,,,,319.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,242.592,percent of total billed charges,999999999,,,,,,,,,,,,,,,,230.28,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,114,percent of total billed charges,108.2721146,,,,,,,,,,114,percent of total billed charges,106.4710816,,,,,,,,,,114,percent of total billed charges,106.175203,,,,,,,,,,114,percent of total billed charges,104.6117745,,,,,,,,,,114,percent of total billed charges,107.3035892,,,,,,,,,,114,percent of total billed charges,999999999,,,,,,,,,,114,percent of total billed charges,92.07403588,,,,,,,,,,114,percent of total billed charges,145.207104,,,,,,,,,,114,percent of total billed charges,999999999,,,,,,,,,,114,percent of total billed charges,99.278329,,,,,,,,,,410.4,percent of total billed charges,,,,,
**CATHETER URETHRAL ROBINSON 10 FR,272,RC,5486-8587-00,NDC,,both,1,EA,80,80,17.03071557,80,80,percent of total billed charges,58.85884206,,,,80,percent of total billed charges,62.3892088,,,,80,percent of total billed charges,58.85884206,,,,80,percent of total billed charges,62.3892088,,,,80,percent of total billed charges,999999999,,,,80,percent of total billed charges,60.95450163,,,,80,percent of total billed charges,58.85884206,,,,80,percent of total billed charges,62.3892088,,,,57.04,percent of total billed charges,28.46400383,,,,57.04,percent of total billed charges,17.03071557,,,,57.04,percent of total billed charges,28.46400383,,,,57.04,percent of total billed charges,17.03071557,,,,57.04,percent of total billed charges,28.46400383,,,,57.04,percent of total billed charges,17.03071557,,,,56.48,percent of total billed charges,56.05147089,,,,56.48,percent of total billed charges,38.6582552,,,,,,,,,,57.6,percent of total billed charges,37.43864455,,,,,,,,,,57.6,percent of total billed charges,999999999,,,,,,,,,,64,percent of total billed charges,53.62867317,,,,63.2,percent of total billed charges,60.99071981,,,,63.2,percent of total billed charges,53.88731984,,,,64,percent of total billed charges,999999999,,,,64,percent of total billed charges,999999999,,,,56,percent of total billed charges,999999999,,,,56,percent of total billed charges,999999999,,,,,,,,,,,,,,,,42.56,percent of total billed charges,999999999,,,,,,,,,,,,,,,,40.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20,percent of total billed charges,18.99510782,,,,,,,,,,20,percent of total billed charges,18.67913713,,,,,,,,,,20,percent of total billed charges,18.62722861,,,,,,,,,,20,percent of total billed charges,18.35294289,,,,,,,,,,20,percent of total billed charges,18.82519109,,,,,,,,,,20,percent of total billed charges,999999999,,,,,,,,,,20,percent of total billed charges,16.15333963,,,,,,,,,,20,percent of total billed charges,25.47493052,,,,,,,,,,20,percent of total billed charges,999999999,,,,,,,,,,20,percent of total billed charges,17.4172507,,,,,,,,,,72,percent of total billed charges,,,,,
**CATHETER URETHRAL ROBINSON 12 FR,272,RC,5486-8587-00,NDC,,both,1,EA,80,80,17.03071557,80,80,percent of total billed charges,58.85884206,,,,80,percent of total billed charges,62.3892088,,,,80,percent of total billed charges,58.85884206,,,,80,percent of total billed charges,62.3892088,,,,80,percent of total billed charges,999999999,,,,80,percent of total billed charges,60.95450163,,,,80,percent of total billed charges,58.85884206,,,,80,percent of total billed charges,62.3892088,,,,57.04,percent of total billed charges,28.46400383,,,,57.04,percent of total billed charges,17.03071557,,,,57.04,percent of total billed charges,28.46400383,,,,57.04,percent of total billed charges,17.03071557,,,,57.04,percent of total billed charges,28.46400383,,,,57.04,percent of total billed charges,17.03071557,,,,56.48,percent of total billed charges,56.05147089,,,,56.48,percent of total billed charges,38.6582552,,,,,,,,,,57.6,percent of total billed charges,37.43864455,,,,,,,,,,57.6,percent of total billed charges,999999999,,,,,,,,,,64,percent of total billed charges,53.62867317,,,,63.2,percent of total billed charges,60.99071981,,,,63.2,percent of total billed charges,53.88731984,,,,64,percent of total billed charges,999999999,,,,64,percent of total billed charges,999999999,,,,56,percent of total billed charges,999999999,,,,56,percent of total billed charges,999999999,,,,,,,,,,,,,,,,42.56,percent of total billed charges,999999999,,,,,,,,,,,,,,,,40.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20,percent of total billed charges,18.99510782,,,,,,,,,,20,percent of total billed charges,18.67913713,,,,,,,,,,20,percent of total billed charges,18.62722861,,,,,,,,,,20,percent of total billed charges,18.35294289,,,,,,,,,,20,percent of total billed charges,18.82519109,,,,,,,,,,20,percent of total billed charges,999999999,,,,,,,,,,20,percent of total billed charges,16.15333963,,,,,,,,,,20,percent of total billed charges,25.47493052,,,,,,,,,,20,percent of total billed charges,999999999,,,,,,,,,,20,percent of total billed charges,17.4172507,,,,,,,,,,72,percent of total billed charges,,,,,
**CATHETER URETHRAL ROBINSON 14 FR,272,RC,5486-8587-00,NDC,,both,1,EA,80,80,17.03071557,80,80,percent of total billed charges,58.85884206,,,,80,percent of total billed charges,62.3892088,,,,80,percent of total billed charges,58.85884206,,,,80,percent of total billed charges,62.3892088,,,,80,percent of total billed charges,999999999,,,,80,percent of total billed charges,60.95450163,,,,80,percent of total billed charges,58.85884206,,,,80,percent of total billed charges,62.3892088,,,,57.04,percent of total billed charges,28.46400383,,,,57.04,percent of total billed charges,17.03071557,,,,57.04,percent of total billed charges,28.46400383,,,,57.04,percent of total billed charges,17.03071557,,,,57.04,percent of total billed charges,28.46400383,,,,57.04,percent of total billed charges,17.03071557,,,,56.48,percent of total billed charges,56.05147089,,,,56.48,percent of total billed charges,38.6582552,,,,,,,,,,57.6,percent of total billed charges,37.43864455,,,,,,,,,,57.6,percent of total billed charges,999999999,,,,,,,,,,64,percent of total billed charges,53.62867317,,,,63.2,percent of total billed charges,60.99071981,,,,63.2,percent of total billed charges,53.88731984,,,,64,percent of total billed charges,999999999,,,,64,percent of total billed charges,999999999,,,,56,percent of total billed charges,999999999,,,,56,percent of total billed charges,999999999,,,,,,,,,,,,,,,,42.56,percent of total billed charges,999999999,,,,,,,,,,,,,,,,40.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20,percent of total billed charges,18.99510782,,,,,,,,,,20,percent of total billed charges,18.67913713,,,,,,,,,,20,percent of total billed charges,18.62722861,,,,,,,,,,20,percent of total billed charges,18.35294289,,,,,,,,,,20,percent of total billed charges,18.82519109,,,,,,,,,,20,percent of total billed charges,999999999,,,,,,,,,,20,percent of total billed charges,16.15333963,,,,,,,,,,20,percent of total billed charges,25.47493052,,,,,,,,,,20,percent of total billed charges,999999999,,,,,,,,,,20,percent of total billed charges,17.4172507,,,,,,,,,,72,percent of total billed charges,,,,,
**CATHETER URETHRAL ROBINSON 16 FR,272,RC,5486-8587-00,NDC,,both,1,EA,80,80,17.03071557,80,80,percent of total billed charges,58.85884206,,,,80,percent of total billed charges,62.3892088,,,,80,percent of total billed charges,58.85884206,,,,80,percent of total billed charges,62.3892088,,,,80,percent of total billed charges,999999999,,,,80,percent of total billed charges,60.95450163,,,,80,percent of total billed charges,58.85884206,,,,80,percent of total billed charges,62.3892088,,,,57.04,percent of total billed charges,28.46400383,,,,57.04,percent of total billed charges,17.03071557,,,,57.04,percent of total billed charges,28.46400383,,,,57.04,percent of total billed charges,17.03071557,,,,57.04,percent of total billed charges,28.46400383,,,,57.04,percent of total billed charges,17.03071557,,,,56.48,percent of total billed charges,56.05147089,,,,56.48,percent of total billed charges,38.6582552,,,,,,,,,,57.6,percent of total billed charges,37.43864455,,,,,,,,,,57.6,percent of total billed charges,999999999,,,,,,,,,,64,percent of total billed charges,53.62867317,,,,63.2,percent of total billed charges,60.99071981,,,,63.2,percent of total billed charges,53.88731984,,,,64,percent of total billed charges,999999999,,,,64,percent of total billed charges,999999999,,,,56,percent of total billed charges,999999999,,,,56,percent of total billed charges,999999999,,,,,,,,,,,,,,,,42.56,percent of total billed charges,999999999,,,,,,,,,,,,,,,,40.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20,percent of total billed charges,18.99510782,,,,,,,,,,20,percent of total billed charges,18.67913713,,,,,,,,,,20,percent of total billed charges,18.62722861,,,,,,,,,,20,percent of total billed charges,18.35294289,,,,,,,,,,20,percent of total billed charges,18.82519109,,,,,,,,,,20,percent of total billed charges,999999999,,,,,,,,,,20,percent of total billed charges,16.15333963,,,,,,,,,,20,percent of total billed charges,25.47493052,,,,,,,,,,20,percent of total billed charges,999999999,,,,,,,,,,20,percent of total billed charges,17.4172507,,,,,,,,,,72,percent of total billed charges,,,,,
**CATHETER URETHRAL ROBINSON 8FR,272,RC,5486-8587-00,NDC,,both,1,EA,80,80,17.03071557,80,80,percent of total billed charges,58.85884206,,,,80,percent of total billed charges,62.3892088,,,,80,percent of total billed charges,58.85884206,,,,80,percent of total billed charges,62.3892088,,,,80,percent of total billed charges,999999999,,,,80,percent of total billed charges,60.95450163,,,,80,percent of total billed charges,58.85884206,,,,80,percent of total billed charges,62.3892088,,,,57.04,percent of total billed charges,28.46400383,,,,57.04,percent of total billed charges,17.03071557,,,,57.04,percent of total billed charges,28.46400383,,,,57.04,percent of total billed charges,17.03071557,,,,57.04,percent of total billed charges,28.46400383,,,,57.04,percent of total billed charges,17.03071557,,,,56.48,percent of total billed charges,56.05147089,,,,56.48,percent of total billed charges,38.6582552,,,,,,,,,,57.6,percent of total billed charges,37.43864455,,,,,,,,,,57.6,percent of total billed charges,999999999,,,,,,,,,,64,percent of total billed charges,53.62867317,,,,63.2,percent of total billed charges,60.99071981,,,,63.2,percent of total billed charges,53.88731984,,,,64,percent of total billed charges,999999999,,,,64,percent of total billed charges,999999999,,,,56,percent of total billed charges,999999999,,,,56,percent of total billed charges,999999999,,,,,,,,,,,,,,,,42.56,percent of total billed charges,999999999,,,,,,,,,,,,,,,,40.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20,percent of total billed charges,18.99510782,,,,,,,,,,20,percent of total billed charges,18.67913713,,,,,,,,,,20,percent of total billed charges,18.62722861,,,,,,,,,,20,percent of total billed charges,18.35294289,,,,,,,,,,20,percent of total billed charges,18.82519109,,,,,,,,,,20,percent of total billed charges,999999999,,,,,,,,,,20,percent of total billed charges,16.15333963,,,,,,,,,,20,percent of total billed charges,25.47493052,,,,,,,,,,20,percent of total billed charges,999999999,,,,,,,,,,20,percent of total billed charges,17.4172507,,,,,,,,,,72,percent of total billed charges,,,,,
**IRRIGATION BAG VAGINAL,272,RC,5486-8587-00,NDC,,both,1,EA,54,54,11.49573301,54,54,percent of total billed charges,39.72971839,,,,54,percent of total billed charges,42.11271594,,,,54,percent of total billed charges,39.72971839,,,,54,percent of total billed charges,42.11271594,,,,54,percent of total billed charges,999999999,,,,54,percent of total billed charges,41.1442886,,,,54,percent of total billed charges,39.72971839,,,,54,percent of total billed charges,42.11271594,,,,38.502,percent of total billed charges,19.21320259,,,,38.502,percent of total billed charges,11.49573301,,,,38.502,percent of total billed charges,19.21320259,,,,38.502,percent of total billed charges,11.49573301,,,,38.502,percent of total billed charges,19.21320259,,,,38.502,percent of total billed charges,11.49573301,,,,38.124,percent of total billed charges,37.83474285,,,,38.124,percent of total billed charges,26.09432226,,,,,,,,,,38.88,percent of total billed charges,25.27108507,,,,,,,,,,38.88,percent of total billed charges,999999999,,,,,,,,,,43.2,percent of total billed charges,36.19935439,,,,42.66,percent of total billed charges,41.16873587,,,,42.66,percent of total billed charges,36.37394089,,,,43.2,percent of total billed charges,999999999,,,,43.2,percent of total billed charges,999999999,,,,37.8,percent of total billed charges,999999999,,,,37.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,28.728,percent of total billed charges,999999999,,,,,,,,,,,,,,,,27.27,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13.5,percent of total billed charges,12.82169778,,,,,,,,,,13.5,percent of total billed charges,12.60841756,,,,,,,,,,13.5,percent of total billed charges,12.57337931,,,,,,,,,,13.5,percent of total billed charges,12.38823645,,,,,,,,,,13.5,percent of total billed charges,12.70700399,,,,,,,,,,13.5,percent of total billed charges,999999999,,,,,,,,,,13.5,percent of total billed charges,10.90350425,,,,,,,,,,13.5,percent of total billed charges,17.1955781,,,,,,,,,,13.5,percent of total billed charges,999999999,,,,,,,,,,13.5,percent of total billed charges,11.75664422,,,,,,,,,,48.6,percent of total billed charges,,,,,
**SUTURE SET,272,RC,5486-8587-00,NDC,,both,1,EA,73,73,15.54052796,73,73,percent of total billed charges,53.70869338,,,,73,percent of total billed charges,56.93015303,,,,73,percent of total billed charges,53.70869338,,,,73,percent of total billed charges,56.93015303,,,,73,percent of total billed charges,999999999,,,,73,percent of total billed charges,55.62098274,,,,73,percent of total billed charges,53.70869338,,,,73,percent of total billed charges,56.93015303,,,,52.049,percent of total billed charges,25.9734035,,,,52.049,percent of total billed charges,15.54052796,,,,52.049,percent of total billed charges,25.9734035,,,,52.049,percent of total billed charges,15.54052796,,,,52.049,percent of total billed charges,25.9734035,,,,52.049,percent of total billed charges,15.54052796,,,,51.538,percent of total billed charges,51.14696718,,,,51.538,percent of total billed charges,35.27565787,,,,,,,,,,52.56,percent of total billed charges,34.16276315,,,,,,,,,,52.56,percent of total billed charges,999999999,,,,,,,,,,58.4,percent of total billed charges,48.93616427,,,,57.67,percent of total billed charges,55.65403182,,,,57.67,percent of total billed charges,49.17217935,,,,58.4,percent of total billed charges,999999999,,,,58.4,percent of total billed charges,999999999,,,,51.1,percent of total billed charges,999999999,,,,51.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,38.836,percent of total billed charges,999999999,,,,,,,,,,,,,,,,36.865,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18.25,percent of total billed charges,17.33303589,,,,,,,,,,18.25,percent of total billed charges,17.04471263,,,,,,,,,,18.25,percent of total billed charges,16.9973461,,,,,,,,,,18.25,percent of total billed charges,16.74706039,,,,,,,,,,18.25,percent of total billed charges,17.17798687,,,,,,,,,,18.25,percent of total billed charges,999999999,,,,,,,,,,18.25,percent of total billed charges,14.73992241,,,,,,,,,,18.25,percent of total billed charges,23.2458741,,,,,,,,,,18.25,percent of total billed charges,999999999,,,,,,,,,,18.25,percent of total billed charges,15.89324126,,,,,,,,,,65.7,percent of total billed charges,,,,,
**SAFETY SCALPEL SIZE 11,272,RC,5486-8587-00,NDC,,both,1,EA,14,14,2.980375225,14,14,percent of total billed charges,10.30029736,,,,14,percent of total billed charges,10.91811154,,,,14,percent of total billed charges,10.30029736,,,,14,percent of total billed charges,10.91811154,,,,14,percent of total billed charges,999999999,,,,14,percent of total billed charges,10.66703779,,,,14,percent of total billed charges,10.30029736,,,,14,percent of total billed charges,10.91811154,,,,9.982,percent of total billed charges,4.981200671,,,,9.982,percent of total billed charges,2.980375225,,,,9.982,percent of total billed charges,4.981200671,,,,9.982,percent of total billed charges,2.980375225,,,,9.982,percent of total billed charges,4.981200671,,,,9.982,percent of total billed charges,2.980375225,,,,9.884,percent of total billed charges,9.809007405,,,,9.884,percent of total billed charges,6.765194661,,,,,,,,,,10.08,percent of total billed charges,6.551762796,,,,,,,,,,10.08,percent of total billed charges,999999999,,,,,,,,,,11.2,percent of total billed charges,9.385017804,,,,11.06,percent of total billed charges,10.67337597,,,,11.06,percent of total billed charges,9.430280971,,,,11.2,percent of total billed charges,999999999,,,,11.2,percent of total billed charges,999999999,,,,9.8,percent of total billed charges,999999999,,,,9.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,7.448,percent of total billed charges,999999999,,,,,,,,,,,,,,,,7.07,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3.5,percent of total billed charges,3.324143869,,,,,,,,,,3.5,percent of total billed charges,3.268848997,,,,,,,,,,3.5,percent of total billed charges,3.259765006,,,,,,,,,,3.5,percent of total billed charges,3.211765006,,,,,,,,,,3.5,percent of total billed charges,3.294408441,,,,,,,,,,3.5,percent of total billed charges,999999999,,,,,,,,,,3.5,percent of total billed charges,2.826834435,,,,,,,,,,3.5,percent of total billed charges,4.458112841,,,,,,,,,,3.5,percent of total billed charges,999999999,,,,,,,,,,3.5,percent of total billed charges,3.048018873,,,,,,,,,,12.6,percent of total billed charges,,,,,
**SAFETY SCALPEL SIZE 15,272,RC,5486-8587-00,NDC,,both,1,EA,28,28,5.960750449,28,28,percent of total billed charges,20.60059472,,,,28,percent of total billed charges,21.83622308,,,,28,percent of total billed charges,20.60059472,,,,28,percent of total billed charges,21.83622308,,,,28,percent of total billed charges,999999999,,,,28,percent of total billed charges,21.33407557,,,,28,percent of total billed charges,20.60059472,,,,28,percent of total billed charges,21.83622308,,,,19.964,percent of total billed charges,9.962401342,,,,19.964,percent of total billed charges,5.960750449,,,,19.964,percent of total billed charges,9.962401342,,,,19.964,percent of total billed charges,5.960750449,,,,19.964,percent of total billed charges,9.962401342,,,,19.964,percent of total billed charges,5.960750449,,,,19.768,percent of total billed charges,19.61801481,,,,19.768,percent of total billed charges,13.53038932,,,,,,,,,,20.16,percent of total billed charges,13.10352559,,,,,,,,,,20.16,percent of total billed charges,999999999,,,,,,,,,,22.4,percent of total billed charges,18.77003561,,,,22.12,percent of total billed charges,21.34675193,,,,22.12,percent of total billed charges,18.86056194,,,,22.4,percent of total billed charges,999999999,,,,22.4,percent of total billed charges,999999999,,,,19.6,percent of total billed charges,999999999,,,,19.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,14.896,percent of total billed charges,999999999,,,,,,,,,,,,,,,,14.14,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7,percent of total billed charges,6.648287737,,,,,,,,,,7,percent of total billed charges,6.537697995,,,,,,,,,,7,percent of total billed charges,6.519530012,,,,,,,,,,7,percent of total billed charges,6.423530012,,,,,,,,,,7,percent of total billed charges,6.588816882,,,,,,,,,,7,percent of total billed charges,999999999,,,,,,,,,,7,percent of total billed charges,5.65366887,,,,,,,,,,7,percent of total billed charges,8.916225683,,,,,,,,,,7,percent of total billed charges,999999999,,,,,,,,,,7,percent of total billed charges,6.096037745,,,,,,,,,,25.2,percent of total billed charges,,,,,
**DIAPER PULL-UP MEDIUM PKG/6,272,RC,5486-8587-00,NDC,,both,1,EA,29,29,6.173634394,29,29,percent of total billed charges,21.33633025,,,,29,percent of total billed charges,22.61608819,,,,29,percent of total billed charges,21.33633025,,,,29,percent of total billed charges,22.61608819,,,,29,percent of total billed charges,999999999,,,,29,percent of total billed charges,22.09600684,,,,29,percent of total billed charges,21.33633025,,,,29,percent of total billed charges,22.61608819,,,,20.677,percent of total billed charges,10.31820139,,,,20.677,percent of total billed charges,6.173634394,,,,20.677,percent of total billed charges,10.31820139,,,,20.677,percent of total billed charges,6.173634394,,,,20.677,percent of total billed charges,10.31820139,,,,20.677,percent of total billed charges,6.173634394,,,,20.474,percent of total billed charges,20.3186582,,,,20.474,percent of total billed charges,14.01361751,,,,,,,,,,20.88,percent of total billed charges,13.57150865,,,,,,,,,,20.88,percent of total billed charges,999999999,,,,,,,,,,23.2,percent of total billed charges,19.44039402,,,,22.91,percent of total billed charges,22.10913593,,,,22.91,percent of total billed charges,19.53415344,,,,23.2,percent of total billed charges,999999999,,,,23.2,percent of total billed charges,999999999,,,,20.3,percent of total billed charges,999999999,,,,20.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,15.428,percent of total billed charges,999999999,,,,,,,,,,,,,,,,14.645,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7.25,percent of total billed charges,6.885726585,,,,,,,,,,7.25,percent of total billed charges,6.771187209,,,,,,,,,,7.25,percent of total billed charges,6.752370369,,,,,,,,,,7.25,percent of total billed charges,6.652941798,,,,,,,,,,7.25,percent of total billed charges,6.824131771,,,,,,,,,,7.25,percent of total billed charges,999999999,,,,,,,,,,7.25,percent of total billed charges,5.855585615,,,,,,,,,,7.25,percent of total billed charges,9.234662314,,,,,,,,,,7.25,percent of total billed charges,999999999,,,,,,,,,,7.25,percent of total billed charges,6.313753379,,,,,,,,,,26.1,percent of total billed charges,,,,,
**DIAPER PULL-UP SMALL PKG/Y,271,RC,5486-8587-00,NDC,,both,1,EA,26,26,5.53498256,26,26,percent of total billed charges,19.12912367,,,,26,percent of total billed charges,20.27649286,,,,26,percent of total billed charges,19.12912367,,,,26,percent of total billed charges,20.27649286,,,,26,percent of total billed charges,999999999,,,,26,percent of total billed charges,19.81021303,,,,26,percent of total billed charges,19.12912367,,,,26,percent of total billed charges,20.27649286,,,,18.538,percent of total billed charges,9.250801246,,,,18.538,percent of total billed charges,5.53498256,,,,18.538,percent of total billed charges,9.250801246,,,,18.538,percent of total billed charges,5.53498256,,,,18.538,percent of total billed charges,9.250801246,,,,18.538,percent of total billed charges,5.53498256,,,,18.356,percent of total billed charges,18.21672804,,,,18.356,percent of total billed charges,12.56393294,,,,,,,,,,18.72,percent of total billed charges,12.16755948,,,,,,,,,,18.72,percent of total billed charges,999999999,,,,,,,,,,20.8,percent of total billed charges,17.42931878,,,,20.54,percent of total billed charges,19.82198394,,,,20.54,percent of total billed charges,17.51337895,,,,20.8,percent of total billed charges,999999999,,,,20.8,percent of total billed charges,999999999,,,,18.2,percent of total billed charges,999999999,,,,18.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,13.832,percent of total billed charges,999999999,,,,,,,,,,,,,,,,13.13,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6.5,percent of total billed charges,6.173410042,,,,,,,,,,6.5,percent of total billed charges,6.070719566,,,,,,,,,,6.5,percent of total billed charges,6.053849297,,,,,,,,,,6.5,percent of total billed charges,5.964706439,,,,,,,,,,6.5,percent of total billed charges,6.118187105,,,,,,,,,,6.5,percent of total billed charges,999999999,,,,,,,,,,6.5,percent of total billed charges,5.249835379,,,,,,,,,,6.5,percent of total billed charges,8.279352419,,,,,,,,,,6.5,percent of total billed charges,999999999,,,,,,,,,,6.5,percent of total billed charges,5.660606478,,,,,,,,,,23.4,percent of total billed charges,,,,,
**CATHETER CUT DOWN 14 GA (4242),272,RC,5486-8587-00,NDC,,both,1,EA,60,60,12.77303668,60,60,percent of total billed charges,44.14413154,,,,60,percent of total billed charges,46.7919066,,,,60,percent of total billed charges,44.14413154,,,,60,percent of total billed charges,46.7919066,,,,60,percent of total billed charges,999999999,,,,60,percent of total billed charges,45.71587623,,,,60,percent of total billed charges,44.14413154,,,,60,percent of total billed charges,46.7919066,,,,42.78,percent of total billed charges,21.34800288,,,,42.78,percent of total billed charges,12.77303668,,,,42.78,percent of total billed charges,21.34800288,,,,42.78,percent of total billed charges,12.77303668,,,,42.78,percent of total billed charges,21.34800288,,,,42.78,percent of total billed charges,12.77303668,,,,42.36,percent of total billed charges,42.03860316,,,,42.36,percent of total billed charges,28.9936914,,,,,,,,,,43.2,percent of total billed charges,28.07898341,,,,,,,,,,43.2,percent of total billed charges,999999999,,,,,,,,,,48,percent of total billed charges,40.22150488,,,,47.4,percent of total billed charges,45.74303985,,,,47.4,percent of total billed charges,40.41548988,,,,48,percent of total billed charges,999999999,,,,48,percent of total billed charges,999999999,,,,42,percent of total billed charges,999999999,,,,42,percent of total billed charges,999999999,,,,,,,,,,,,,,,,31.92,percent of total billed charges,999999999,,,,,,,,,,,,,,,,30.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15,percent of total billed charges,14.24633087,,,,,,,,,,15,percent of total billed charges,14.00935285,,,,,,,,,,15,percent of total billed charges,13.97042145,,,,,,,,,,15,percent of total billed charges,13.76470717,,,,,,,,,,15,percent of total billed charges,14.11889332,,,,,,,,,,15,percent of total billed charges,999999999,,,,,,,,,,15,percent of total billed charges,12.11500472,,,,,,,,,,15,percent of total billed charges,19.10619789,,,,,,,,,,15,percent of total billed charges,999999999,,,,,,,,,,15,percent of total billed charges,13.06293803,,,,,,,,,,54,percent of total billed charges,,,,,
**CATHETER CUT DOWN 18 GA (4222),272,RC,5486-8587-00,NDC,,both,1,EA,60,60,12.77303668,60,60,percent of total billed charges,44.14413154,,,,60,percent of total billed charges,46.7919066,,,,60,percent of total billed charges,44.14413154,,,,60,percent of total billed charges,46.7919066,,,,60,percent of total billed charges,999999999,,,,60,percent of total billed charges,45.71587623,,,,60,percent of total billed charges,44.14413154,,,,60,percent of total billed charges,46.7919066,,,,42.78,percent of total billed charges,21.34800288,,,,42.78,percent of total billed charges,12.77303668,,,,42.78,percent of total billed charges,21.34800288,,,,42.78,percent of total billed charges,12.77303668,,,,42.78,percent of total billed charges,21.34800288,,,,42.78,percent of total billed charges,12.77303668,,,,42.36,percent of total billed charges,42.03860316,,,,42.36,percent of total billed charges,28.9936914,,,,,,,,,,43.2,percent of total billed charges,28.07898341,,,,,,,,,,43.2,percent of total billed charges,999999999,,,,,,,,,,48,percent of total billed charges,40.22150488,,,,47.4,percent of total billed charges,45.74303985,,,,47.4,percent of total billed charges,40.41548988,,,,48,percent of total billed charges,999999999,,,,48,percent of total billed charges,999999999,,,,42,percent of total billed charges,999999999,,,,42,percent of total billed charges,999999999,,,,,,,,,,,,,,,,31.92,percent of total billed charges,999999999,,,,,,,,,,,,,,,,30.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15,percent of total billed charges,14.24633087,,,,,,,,,,15,percent of total billed charges,14.00935285,,,,,,,,,,15,percent of total billed charges,13.97042145,,,,,,,,,,15,percent of total billed charges,13.76470717,,,,,,,,,,15,percent of total billed charges,14.11889332,,,,,,,,,,15,percent of total billed charges,999999999,,,,,,,,,,15,percent of total billed charges,12.11500472,,,,,,,,,,15,percent of total billed charges,19.10619789,,,,,,,,,,15,percent of total billed charges,999999999,,,,,,,,,,15,percent of total billed charges,13.06293803,,,,,,,,,,54,percent of total billed charges,,,,,
**CATHETER CUT DOWN 22 GA (4212),272,RC,5486-8587-00,NDC,,both,1,EA,60,60,12.77303668,60,60,percent of total billed charges,44.14413154,,,,60,percent of total billed charges,46.7919066,,,,60,percent of total billed charges,44.14413154,,,,60,percent of total billed charges,46.7919066,,,,60,percent of total billed charges,999999999,,,,60,percent of total billed charges,45.71587623,,,,60,percent of total billed charges,44.14413154,,,,60,percent of total billed charges,46.7919066,,,,42.78,percent of total billed charges,21.34800288,,,,42.78,percent of total billed charges,12.77303668,,,,42.78,percent of total billed charges,21.34800288,,,,42.78,percent of total billed charges,12.77303668,,,,42.78,percent of total billed charges,21.34800288,,,,42.78,percent of total billed charges,12.77303668,,,,42.36,percent of total billed charges,42.03860316,,,,42.36,percent of total billed charges,28.9936914,,,,,,,,,,43.2,percent of total billed charges,28.07898341,,,,,,,,,,43.2,percent of total billed charges,999999999,,,,,,,,,,48,percent of total billed charges,40.22150488,,,,47.4,percent of total billed charges,45.74303985,,,,47.4,percent of total billed charges,40.41548988,,,,48,percent of total billed charges,999999999,,,,48,percent of total billed charges,999999999,,,,42,percent of total billed charges,999999999,,,,42,percent of total billed charges,999999999,,,,,,,,,,,,,,,,31.92,percent of total billed charges,999999999,,,,,,,,,,,,,,,,30.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15,percent of total billed charges,14.24633087,,,,,,,,,,15,percent of total billed charges,14.00935285,,,,,,,,,,15,percent of total billed charges,13.97042145,,,,,,,,,,15,percent of total billed charges,13.76470717,,,,,,,,,,15,percent of total billed charges,14.11889332,,,,,,,,,,15,percent of total billed charges,999999999,,,,,,,,,,15,percent of total billed charges,12.11500472,,,,,,,,,,15,percent of total billed charges,19.10619789,,,,,,,,,,15,percent of total billed charges,999999999,,,,,,,,,,15,percent of total billed charges,13.06293803,,,,,,,,,,54,percent of total billed charges,,,,,
**CATHETER INTRA-MEDICUT 16 GA,272,RC,5486-8587-00,NDC,,both,1,EA,127,127,27.03626097,127,127,percent of total billed charges,93.43841177,,,,127,percent of total billed charges,99.04286897,,,,127,percent of total billed charges,93.43841177,,,,127,percent of total billed charges,99.04286897,,,,127,percent of total billed charges,999999999,,,,127,percent of total billed charges,96.76527134,,,,127,percent of total billed charges,93.43841177,,,,127,percent of total billed charges,99.04286897,,,,90.551,percent of total billed charges,45.18660609,,,,90.551,percent of total billed charges,27.03626097,,,,90.551,percent of total billed charges,45.18660609,,,,90.551,percent of total billed charges,27.03626097,,,,90.551,percent of total billed charges,45.18660609,,,,90.551,percent of total billed charges,27.03626097,,,,89.662,percent of total billed charges,88.98171003,,,,89.662,percent of total billed charges,61.36998014,,,,,,,,,,91.44,percent of total billed charges,59.43384822,,,,,,,,,,91.44,percent of total billed charges,999999999,,,,,,,,,,101.6,percent of total billed charges,85.13551865,,,,100.33,percent of total billed charges,96.82276769,,,,100.33,percent of total billed charges,85.54612024,,,,101.6,percent of total billed charges,999999999,,,,101.6,percent of total billed charges,999999999,,,,88.9,percent of total billed charges,999999999,,,,88.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,67.564,percent of total billed charges,999999999,,,,,,,,,,,,,,,,64.135,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,31.75,percent of total billed charges,30.15473367,,,,,,,,,,31.75,percent of total billed charges,29.65313019,,,,,,,,,,31.75,percent of total billed charges,29.57072541,,,,,,,,,,31.75,percent of total billed charges,29.13529684,,,,,,,,,,31.75,percent of total billed charges,29.88499086,,,,,,,,,,31.75,percent of total billed charges,999999999,,,,,,,,,,31.75,percent of total billed charges,25.64342666,,,,,,,,,,31.75,percent of total billed charges,40.4414522,,,,,,,,,,31.75,percent of total billed charges,999999999,,,,,,,,,,31.75,percent of total billed charges,27.64988549,,,,,,,,,,114.3,percent of total billed charges,,,,,
**CATHETER THORACIC 24 FR,272,RC,5486-8587-00,NDC,,both,1,EA,96,96,20.43685868,96,96,percent of total billed charges,70.63061047,,,,96,percent of total billed charges,74.86705056,,,,96,percent of total billed charges,70.63061047,,,,96,percent of total billed charges,74.86705056,,,,96,percent of total billed charges,999999999,,,,96,percent of total billed charges,73.14540196,,,,96,percent of total billed charges,70.63061047,,,,96,percent of total billed charges,74.86705056,,,,68.448,percent of total billed charges,34.1568046,,,,68.448,percent of total billed charges,20.43685868,,,,68.448,percent of total billed charges,34.1568046,,,,68.448,percent of total billed charges,20.43685868,,,,68.448,percent of total billed charges,34.1568046,,,,68.448,percent of total billed charges,20.43685868,,,,67.776,percent of total billed charges,67.26176506,,,,67.776,percent of total billed charges,46.38990624,,,,,,,,,,69.12,percent of total billed charges,44.92637346,,,,,,,,,,69.12,percent of total billed charges,999999999,,,,,,,,,,76.8,percent of total billed charges,64.3544078,,,,75.84,percent of total billed charges,73.18886377,,,,75.84,percent of total billed charges,64.6647838,,,,76.8,percent of total billed charges,999999999,,,,76.8,percent of total billed charges,999999999,,,,67.2,percent of total billed charges,999999999,,,,67.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,51.072,percent of total billed charges,999999999,,,,,,,,,,,,,,,,48.48,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,24,percent of total billed charges,22.79412939,,,,,,,,,,24,percent of total billed charges,22.41496455,,,,,,,,,,24,percent of total billed charges,22.35267433,,,,,,,,,,24,percent of total billed charges,22.02353147,,,,,,,,,,24,percent of total billed charges,22.59022931,,,,,,,,,,24,percent of total billed charges,999999999,,,,,,,,,,24,percent of total billed charges,19.38400755,,,,,,,,,,24,percent of total billed charges,30.56991663,,,,,,,,,,24,percent of total billed charges,999999999,,,,,,,,,,24,percent of total billed charges,20.90070084,,,,,,,,,,86.4,percent of total billed charges,,,,,
**CATHETER TRIPLE,272,RC,5486-8587-00,NDC,,both,1,EA,815,815,173.5004149,815,815,percent of total billed charges,599.6244535,,,,815,percent of total billed charges,635.5900647,,,,815,percent of total billed charges,599.6244535,,,,815,percent of total billed charges,635.5900647,,,,815,percent of total billed charges,999999999,,,,815,percent of total billed charges,620.9739854,,,,815,percent of total billed charges,599.6244535,,,,815,percent of total billed charges,635.5900647,,,,581.095,percent of total billed charges,289.9770391,,,,581.095,percent of total billed charges,173.5004149,,,,581.095,percent of total billed charges,289.9770391,,,,581.095,percent of total billed charges,173.5004149,,,,581.095,percent of total billed charges,289.9770391,,,,581.095,percent of total billed charges,173.5004149,,,,575.39,percent of total billed charges,571.0243596,,,,575.39,percent of total billed charges,393.8309749,,,,,,,,,,586.8,percent of total billed charges,381.4061914,,,,,,,,,,586.8,percent of total billed charges,999999999,,,,,,,,,,652,percent of total billed charges,546.3421079,,,,643.85,percent of total billed charges,621.342958,,,,643.85,percent of total billed charges,548.9770708,,,,652,percent of total billed charges,999999999,,,,652,percent of total billed charges,999999999,,,,570.5,percent of total billed charges,999999999,,,,570.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,433.58,percent of total billed charges,999999999,,,,,,,,,,,,,,,,411.575,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,203.75,percent of total billed charges,193.5126609,,,,,,,,,,203.75,percent of total billed charges,190.2937095,,,,,,,,,,203.75,percent of total billed charges,189.7648914,,,,,,,,,,203.75,percent of total billed charges,186.9706057,,,,,,,,,,203.75,percent of total billed charges,191.7816342,,,,,,,,,,203.75,percent of total billed charges,999999999,,,,,,,,,,203.75,percent of total billed charges,164.5621475,,,,,,,,,,203.75,percent of total billed charges,259.5258547,,,,,,,,,,203.75,percent of total billed charges,999999999,,,,,,,,,,203.75,percent of total billed charges,177.4382415,,,,,,,,,,733.5,percent of total billed charges,,,,,
**CATHETER THERMODILUTION,272,RC,5486-8587-00,NDC,,both,1,EA,528,528,112.4027228,528,528,percent of total billed charges,388.4683576,,,,528,percent of total billed charges,411.7687781,,,,528,percent of total billed charges,388.4683576,,,,528,percent of total billed charges,411.7687781,,,,528,percent of total billed charges,999999999,,,,528,percent of total billed charges,402.2997108,,,,528,percent of total billed charges,388.4683576,,,,528,percent of total billed charges,411.7687781,,,,376.464,percent of total billed charges,187.8624253,,,,376.464,percent of total billed charges,112.4027228,,,,376.464,percent of total billed charges,187.8624253,,,,376.464,percent of total billed charges,112.4027228,,,,376.464,percent of total billed charges,187.8624253,,,,376.464,percent of total billed charges,112.4027228,,,,372.768,percent of total billed charges,369.9397078,,,,372.768,percent of total billed charges,255.1444843,,,,,,,,,,380.16,percent of total billed charges,247.095054,,,,,,,,,,380.16,percent of total billed charges,999999999,,,,,,,,,,422.4,percent of total billed charges,353.9492429,,,,417.12,percent of total billed charges,402.5387507,,,,417.12,percent of total billed charges,355.6563109,,,,422.4,percent of total billed charges,999999999,,,,422.4,percent of total billed charges,999999999,,,,369.6,percent of total billed charges,999999999,,,,369.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,280.896,percent of total billed charges,999999999,,,,,,,,,,,,,,,,266.64,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,132,percent of total billed charges,125.3677116,,,,,,,,,,132,percent of total billed charges,123.282305,,,,,,,,,,132,percent of total billed charges,122.9397088,,,,,,,,,,132,percent of total billed charges,121.1294231,,,,,,,,,,132,percent of total billed charges,124.2462612,,,,,,,,,,132,percent of total billed charges,999999999,,,,,,,,,,132,percent of total billed charges,106.6120415,,,,,,,,,,132,percent of total billed charges,168.1345414,,,,,,,,,,132,percent of total billed charges,999999999,,,,,,,,,,132,percent of total billed charges,114.9538546,,,,,,,,,,475.2,percent of total billed charges,,,,,
**CATHETER INTRA 16 GA X 12,272,RC,5486-8587-00,NDC,,both,1,EA,79,79,16.81783163,79,79,percent of total billed charges,58.12310653,,,,79,percent of total billed charges,61.60934369,,,,79,percent of total billed charges,58.12310653,,,,79,percent of total billed charges,61.60934369,,,,79,percent of total billed charges,999999999,,,,79,percent of total billed charges,60.19257036,,,,79,percent of total billed charges,58.12310653,,,,79,percent of total billed charges,61.60934369,,,,56.327,percent of total billed charges,28.10820379,,,,56.327,percent of total billed charges,16.81783163,,,,56.327,percent of total billed charges,28.10820379,,,,56.327,percent of total billed charges,16.81783163,,,,56.327,percent of total billed charges,28.10820379,,,,56.327,percent of total billed charges,16.81783163,,,,55.774,percent of total billed charges,55.3508275,,,,55.774,percent of total billed charges,38.17502701,,,,,,,,,,56.88,percent of total billed charges,36.97066149,,,,,,,,,,56.88,percent of total billed charges,999999999,,,,,,,,,,63.2,percent of total billed charges,52.95831475,,,,62.41,percent of total billed charges,60.22833581,,,,62.41,percent of total billed charges,53.21372834,,,,63.2,percent of total billed charges,999999999,,,,63.2,percent of total billed charges,999999999,,,,55.3,percent of total billed charges,999999999,,,,55.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,42.028,percent of total billed charges,999999999,,,,,,,,,,,,,,,,39.895,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19.75,percent of total billed charges,18.75766897,,,,,,,,,,19.75,percent of total billed charges,18.44564791,,,,,,,,,,19.75,percent of total billed charges,18.39438825,,,,,,,,,,19.75,percent of total billed charges,18.1235311,,,,,,,,,,19.75,percent of total billed charges,18.5898762,,,,,,,,,,19.75,percent of total billed charges,999999999,,,,,,,,,,19.75,percent of total billed charges,15.95142288,,,,,,,,,,19.75,percent of total billed charges,25.15649389,,,,,,,,,,19.75,percent of total billed charges,999999999,,,,,,,,,,19.75,percent of total billed charges,17.19953507,,,,,,,,,,71.1,percent of total billed charges,,,,,
**CATHETER INTRA 19 GA X 24,272,RC,5486-8587-00,NDC,,both,1,EA,206,206,43.85409259,206,206,percent of total billed charges,151.5615183,,,,206,percent of total billed charges,160.6522127,,,,206,percent of total billed charges,151.5615183,,,,206,percent of total billed charges,160.6522127,,,,206,percent of total billed charges,999999999,,,,206,percent of total billed charges,156.9578417,,,,206,percent of total billed charges,151.5615183,,,,206,percent of total billed charges,160.6522127,,,,146.878,percent of total billed charges,73.29480987,,,,146.878,percent of total billed charges,43.85409259,,,,146.878,percent of total billed charges,73.29480987,,,,146.878,percent of total billed charges,43.85409259,,,,146.878,percent of total billed charges,73.29480987,,,,146.878,percent of total billed charges,43.85409259,,,,145.436,percent of total billed charges,144.3325375,,,,145.436,percent of total billed charges,99.54500715,,,,,,,,,,148.32,percent of total billed charges,96.40450972,,,,,,,,,,148.32,percent of total billed charges,999999999,,,,,,,,,,164.8,percent of total billed charges,138.0938334,,,,162.74,percent of total billed charges,157.0511035,,,,162.74,percent of total billed charges,138.7598486,,,,164.8,percent of total billed charges,999999999,,,,164.8,percent of total billed charges,999999999,,,,144.2,percent of total billed charges,999999999,,,,144.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,109.592,percent of total billed charges,999999999,,,,,,,,,,,,,,,,104.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,51.5,percent of total billed charges,48.91240264,,,,,,,,,,51.5,percent of total billed charges,48.0987781,,,,,,,,,,51.5,percent of total billed charges,47.96511366,,,,,,,,,,51.5,percent of total billed charges,47.25882794,,,,,,,,,,51.5,percent of total billed charges,48.47486706,,,,,,,,,,51.5,percent of total billed charges,999999999,,,,,,,,,,51.5,percent of total billed charges,41.59484954,,,,,,,,,,51.5,percent of total billed charges,65.59794609,,,,,,,,,,51.5,percent of total billed charges,999999999,,,,,,,,,,51.5,percent of total billed charges,44.84942056,,,,,,,,,,185.4,percent of total billed charges,,,,,
**CATHETER INTRA 19 GA X 12,272,RC,5486-8587-00,NDC,,both,1,EA,79,79,16.81783163,79,79,percent of total billed charges,58.12310653,,,,79,percent of total billed charges,61.60934369,,,,79,percent of total billed charges,58.12310653,,,,79,percent of total billed charges,61.60934369,,,,79,percent of total billed charges,999999999,,,,79,percent of total billed charges,60.19257036,,,,79,percent of total billed charges,58.12310653,,,,79,percent of total billed charges,61.60934369,,,,56.327,percent of total billed charges,28.10820379,,,,56.327,percent of total billed charges,16.81783163,,,,56.327,percent of total billed charges,28.10820379,,,,56.327,percent of total billed charges,16.81783163,,,,56.327,percent of total billed charges,28.10820379,,,,56.327,percent of total billed charges,16.81783163,,,,55.774,percent of total billed charges,55.3508275,,,,55.774,percent of total billed charges,38.17502701,,,,,,,,,,56.88,percent of total billed charges,36.97066149,,,,,,,,,,56.88,percent of total billed charges,999999999,,,,,,,,,,63.2,percent of total billed charges,52.95831475,,,,62.41,percent of total billed charges,60.22833581,,,,62.41,percent of total billed charges,53.21372834,,,,63.2,percent of total billed charges,999999999,,,,63.2,percent of total billed charges,999999999,,,,55.3,percent of total billed charges,999999999,,,,55.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,42.028,percent of total billed charges,999999999,,,,,,,,,,,,,,,,39.895,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19.75,percent of total billed charges,18.75766897,,,,,,,,,,19.75,percent of total billed charges,18.44564791,,,,,,,,,,19.75,percent of total billed charges,18.39438825,,,,,,,,,,19.75,percent of total billed charges,18.1235311,,,,,,,,,,19.75,percent of total billed charges,18.5898762,,,,,,,,,,19.75,percent of total billed charges,999999999,,,,,,,,,,19.75,percent of total billed charges,15.95142288,,,,,,,,,,19.75,percent of total billed charges,25.15649389,,,,,,,,,,19.75,percent of total billed charges,999999999,,,,,,,,,,19.75,percent of total billed charges,17.19953507,,,,,,,,,,71.1,percent of total billed charges,,,,,
**CATHETER INTRA 19 GA X 8,272,RC,5486-8587-00,NDC,,both,1,EA,77,77,16.39206374,77,77,percent of total billed charges,56.65163548,,,,77,percent of total billed charges,60.04961347,,,,77,percent of total billed charges,56.65163548,,,,77,percent of total billed charges,60.04961347,,,,77,percent of total billed charges,999999999,,,,77,percent of total billed charges,58.66870782,,,,77,percent of total billed charges,56.65163548,,,,77,percent of total billed charges,60.04961347,,,,54.901,percent of total billed charges,27.39660369,,,,54.901,percent of total billed charges,16.39206374,,,,54.901,percent of total billed charges,27.39660369,,,,54.901,percent of total billed charges,16.39206374,,,,54.901,percent of total billed charges,27.39660369,,,,54.901,percent of total billed charges,16.39206374,,,,54.362,percent of total billed charges,53.94954073,,,,54.362,percent of total billed charges,37.20857063,,,,,,,,,,55.44,percent of total billed charges,36.03469538,,,,,,,,,,55.44,percent of total billed charges,999999999,,,,,,,,,,61.6,percent of total billed charges,51.61759792,,,,60.83,percent of total billed charges,58.70356781,,,,60.83,percent of total billed charges,51.86654534,,,,61.6,percent of total billed charges,999999999,,,,61.6,percent of total billed charges,999999999,,,,53.9,percent of total billed charges,999999999,,,,53.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,40.964,percent of total billed charges,999999999,,,,,,,,,,,,,,,,38.885,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19.25,percent of total billed charges,18.28279128,,,,,,,,,,19.25,percent of total billed charges,17.97866949,,,,,,,,,,19.25,percent of total billed charges,17.92870753,,,,,,,,,,19.25,percent of total billed charges,17.66470753,,,,,,,,,,19.25,percent of total billed charges,18.11924643,,,,,,,,,,19.25,percent of total billed charges,999999999,,,,,,,,,,19.25,percent of total billed charges,15.54758939,,,,,,,,,,19.25,percent of total billed charges,24.51962063,,,,,,,,,,19.25,percent of total billed charges,999999999,,,,,,,,,,19.25,percent of total billed charges,16.7641038,,,,,,,,,,69.3,percent of total billed charges,,,,,
**CATHETER INTRA 22 GA X 12,272,RC,5486-8587-00,NDC,,both,1,EA,79,79,16.81783163,79,79,percent of total billed charges,58.12310653,,,,79,percent of total billed charges,61.60934369,,,,79,percent of total billed charges,58.12310653,,,,79,percent of total billed charges,61.60934369,,,,79,percent of total billed charges,999999999,,,,79,percent of total billed charges,60.19257036,,,,79,percent of total billed charges,58.12310653,,,,79,percent of total billed charges,61.60934369,,,,56.327,percent of total billed charges,28.10820379,,,,56.327,percent of total billed charges,16.81783163,,,,56.327,percent of total billed charges,28.10820379,,,,56.327,percent of total billed charges,16.81783163,,,,56.327,percent of total billed charges,28.10820379,,,,56.327,percent of total billed charges,16.81783163,,,,55.774,percent of total billed charges,55.3508275,,,,55.774,percent of total billed charges,38.17502701,,,,,,,,,,56.88,percent of total billed charges,36.97066149,,,,,,,,,,56.88,percent of total billed charges,999999999,,,,,,,,,,63.2,percent of total billed charges,52.95831475,,,,62.41,percent of total billed charges,60.22833581,,,,62.41,percent of total billed charges,53.21372834,,,,63.2,percent of total billed charges,999999999,,,,63.2,percent of total billed charges,999999999,,,,55.3,percent of total billed charges,999999999,,,,55.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,42.028,percent of total billed charges,999999999,,,,,,,,,,,,,,,,39.895,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19.75,percent of total billed charges,18.75766897,,,,,,,,,,19.75,percent of total billed charges,18.44564791,,,,,,,,,,19.75,percent of total billed charges,18.39438825,,,,,,,,,,19.75,percent of total billed charges,18.1235311,,,,,,,,,,19.75,percent of total billed charges,18.5898762,,,,,,,,,,19.75,percent of total billed charges,999999999,,,,,,,,,,19.75,percent of total billed charges,15.95142288,,,,,,,,,,19.75,percent of total billed charges,25.15649389,,,,,,,,,,19.75,percent of total billed charges,999999999,,,,,,,,,,19.75,percent of total billed charges,17.19953507,,,,,,,,,,71.1,percent of total billed charges,,,,,
**CATHETER INTRA 22 GA X 8,272,RC,5486-8587-00,NDC,,both,1,EA,77,77,16.39206374,77,77,percent of total billed charges,56.65163548,,,,77,percent of total billed charges,60.04961347,,,,77,percent of total billed charges,56.65163548,,,,77,percent of total billed charges,60.04961347,,,,77,percent of total billed charges,999999999,,,,77,percent of total billed charges,58.66870782,,,,77,percent of total billed charges,56.65163548,,,,77,percent of total billed charges,60.04961347,,,,54.901,percent of total billed charges,27.39660369,,,,54.901,percent of total billed charges,16.39206374,,,,54.901,percent of total billed charges,27.39660369,,,,54.901,percent of total billed charges,16.39206374,,,,54.901,percent of total billed charges,27.39660369,,,,54.901,percent of total billed charges,16.39206374,,,,54.362,percent of total billed charges,53.94954073,,,,54.362,percent of total billed charges,37.20857063,,,,,,,,,,55.44,percent of total billed charges,36.03469538,,,,,,,,,,55.44,percent of total billed charges,999999999,,,,,,,,,,61.6,percent of total billed charges,51.61759792,,,,60.83,percent of total billed charges,58.70356781,,,,60.83,percent of total billed charges,51.86654534,,,,61.6,percent of total billed charges,999999999,,,,61.6,percent of total billed charges,999999999,,,,53.9,percent of total billed charges,999999999,,,,53.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,40.964,percent of total billed charges,999999999,,,,,,,,,,,,,,,,38.885,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19.25,percent of total billed charges,18.28279128,,,,,,,,,,19.25,percent of total billed charges,17.97866949,,,,,,,,,,19.25,percent of total billed charges,17.92870753,,,,,,,,,,19.25,percent of total billed charges,17.66470753,,,,,,,,,,19.25,percent of total billed charges,18.11924643,,,,,,,,,,19.25,percent of total billed charges,999999999,,,,,,,,,,19.25,percent of total billed charges,15.54758939,,,,,,,,,,19.25,percent of total billed charges,24.51962063,,,,,,,,,,19.25,percent of total billed charges,999999999,,,,,,,,,,19.25,percent of total billed charges,16.7641038,,,,,,,,,,69.3,percent of total billed charges,,,,,
**DEFIBRILLATOR SUPPLIES,272,RC,5486-8587-00,NDC,,both,1,EA,130,130,27.6749128,130,130,percent of total billed charges,95.64561834,,,,130,percent of total billed charges,101.3824643,,,,130,percent of total billed charges,95.64561834,,,,130,percent of total billed charges,101.3824643,,,,130,percent of total billed charges,999999999,,,,130,percent of total billed charges,99.05106516,,,,130,percent of total billed charges,95.64561834,,,,130,percent of total billed charges,101.3824643,,,,92.69,percent of total billed charges,46.25400623,,,,92.69,percent of total billed charges,27.6749128,,,,92.69,percent of total billed charges,46.25400623,,,,92.69,percent of total billed charges,27.6749128,,,,92.69,percent of total billed charges,46.25400623,,,,92.69,percent of total billed charges,27.6749128,,,,91.78,percent of total billed charges,91.08364019,,,,91.78,percent of total billed charges,62.81966471,,,,,,,,,,93.6,percent of total billed charges,60.83779739,,,,,,,,,,93.6,percent of total billed charges,999999999,,,,,,,,,,104,percent of total billed charges,87.1465939,,,,102.7,percent of total billed charges,99.10991969,,,,102.7,percent of total billed charges,87.56689473,,,,104,percent of total billed charges,999999999,,,,104,percent of total billed charges,999999999,,,,91,percent of total billed charges,999999999,,,,91,percent of total billed charges,999999999,,,,,,,,,,,,,,,,69.16,percent of total billed charges,999999999,,,,,,,,,,,,,,,,65.65,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,32.5,percent of total billed charges,30.86705021,,,,,,,,,,32.5,percent of total billed charges,30.35359783,,,,,,,,,,32.5,percent of total billed charges,30.26924648,,,,,,,,,,32.5,percent of total billed charges,29.8235322,,,,,,,,,,32.5,percent of total billed charges,30.59093552,,,,,,,,,,32.5,percent of total billed charges,999999999,,,,,,,,,,32.5,percent of total billed charges,26.24917689,,,,,,,,,,32.5,percent of total billed charges,41.3967621,,,,,,,,,,32.5,percent of total billed charges,999999999,,,,,,,,,,32.5,percent of total billed charges,28.30303239,,,,,,,,,,117,percent of total billed charges,,,,,
**CHEST TUBE CLAMPS,272,RC,5486-8587-00,NDC,,both,1,EA,41,41,8.72824173,41,41,percent of total billed charges,30.16515655,,,,41,percent of total billed charges,31.97446951,,,,41,percent of total billed charges,30.16515655,,,,41,percent of total billed charges,31.97446951,,,,41,percent of total billed charges,999999999,,,,41,percent of total billed charges,31.23918209,,,,41,percent of total billed charges,30.16515655,,,,41,percent of total billed charges,31.97446951,,,,29.233,percent of total billed charges,14.58780197,,,,29.233,percent of total billed charges,8.72824173,,,,29.233,percent of total billed charges,14.58780197,,,,29.233,percent of total billed charges,8.72824173,,,,29.233,percent of total billed charges,14.58780197,,,,29.233,percent of total billed charges,8.72824173,,,,28.946,percent of total billed charges,28.72637883,,,,28.946,percent of total billed charges,19.81235579,,,,,,,,,,29.52,percent of total billed charges,19.18730533,,,,,,,,,,29.52,percent of total billed charges,999999999,,,,,,,,,,32.8,percent of total billed charges,27.484695,,,,32.39,percent of total billed charges,31.2577439,,,,32.39,percent of total billed charges,27.61725142,,,,32.8,percent of total billed charges,999999999,,,,32.8,percent of total billed charges,999999999,,,,28.7,percent of total billed charges,999999999,,,,28.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,21.812,percent of total billed charges,999999999,,,,,,,,,,,,,,,,20.705,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10.25,percent of total billed charges,9.734992758,,,,,,,,,,10.25,percent of total billed charges,9.573057778,,,,,,,,,,10.25,percent of total billed charges,9.54645466,,,,,,,,,,10.25,percent of total billed charges,9.405883231,,,,,,,,,,10.25,percent of total billed charges,9.647910435,,,,,,,,,,10.25,percent of total billed charges,999999999,,,,,,,,,,10.25,percent of total billed charges,8.278586559,,,,,,,,,,10.25,percent of total billed charges,13.05590189,,,,,,,,,,10.25,percent of total billed charges,999999999,,,,,,,,,,10.25,percent of total billed charges,8.926340984,,,,,,,,,,36.9,percent of total billed charges,,,,,
**MANDARIN CATH GUIDE,272,RC,5486-8587-00,NDC,,both,1,EA,66,66,14.05034035,66,66,percent of total billed charges,48.5585447,,,,66,percent of total billed charges,51.47109726,,,,66,percent of total billed charges,48.5585447,,,,66,percent of total billed charges,51.47109726,,,,66,percent of total billed charges,999999999,,,,66,percent of total billed charges,50.28746385,,,,66,percent of total billed charges,48.5585447,,,,66,percent of total billed charges,51.47109726,,,,47.058,percent of total billed charges,23.48280316,,,,47.058,percent of total billed charges,14.05034035,,,,47.058,percent of total billed charges,23.48280316,,,,47.058,percent of total billed charges,14.05034035,,,,47.058,percent of total billed charges,23.48280316,,,,47.058,percent of total billed charges,14.05034035,,,,46.596,percent of total billed charges,46.24246348,,,,46.596,percent of total billed charges,31.89306054,,,,,,,,,,47.52,percent of total billed charges,30.88688175,,,,,,,,,,47.52,percent of total billed charges,999999999,,,,,,,,,,52.8,percent of total billed charges,44.24365536,,,,52.14,percent of total billed charges,50.31734384,,,,52.14,percent of total billed charges,44.45703886,,,,52.8,percent of total billed charges,999999999,,,,52.8,percent of total billed charges,999999999,,,,46.2,percent of total billed charges,999999999,,,,46.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,35.112,percent of total billed charges,999999999,,,,,,,,,,,,,,,,33.33,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16.5,percent of total billed charges,15.67096395,,,,,,,,,,16.5,percent of total billed charges,15.41028813,,,,,,,,,,16.5,percent of total billed charges,15.3674636,,,,,,,,,,16.5,percent of total billed charges,15.14117788,,,,,,,,,,16.5,percent of total billed charges,15.53078265,,,,,,,,,,16.5,percent of total billed charges,999999999,,,,,,,,,,16.5,percent of total billed charges,13.32650519,,,,,,,,,,16.5,percent of total billed charges,21.01681768,,,,,,,,,,16.5,percent of total billed charges,999999999,,,,,,,,,,16.5,percent of total billed charges,14.36923183,,,,,,,,,,59.4,percent of total billed charges,,,,,
**BLOOD THERAPY BOX,271,RC,5486-8587-00,NDC,,both,1,EA,85,85,18.09513529,85,85,percent of total billed charges,62.53751969,,,,85,percent of total billed charges,66.28853435,,,,85,percent of total billed charges,62.53751969,,,,85,percent of total billed charges,66.28853435,,,,85,percent of total billed charges,999999999,,,,85,percent of total billed charges,64.76415799,,,,85,percent of total billed charges,62.53751969,,,,85,percent of total billed charges,66.28853435,,,,60.605,percent of total billed charges,30.24300407,,,,60.605,percent of total billed charges,18.09513529,,,,60.605,percent of total billed charges,30.24300407,,,,60.605,percent of total billed charges,18.09513529,,,,60.605,percent of total billed charges,30.24300407,,,,60.605,percent of total billed charges,18.09513529,,,,60.01,percent of total billed charges,59.55468782,,,,60.01,percent of total billed charges,41.07439615,,,,,,,,,,61.2,percent of total billed charges,39.77855983,,,,,,,,,,61.2,percent of total billed charges,999999999,,,,,,,,,,68,percent of total billed charges,56.98046524,,,,67.15,percent of total billed charges,64.80263979,,,,67.15,percent of total billed charges,57.25527733,,,,68,percent of total billed charges,999999999,,,,68,percent of total billed charges,999999999,,,,59.5,percent of total billed charges,999999999,,,,59.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,45.22,percent of total billed charges,999999999,,,,,,,,,,,,,,,,42.925,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21.25,percent of total billed charges,20.18230206,,,,,,,,,,21.25,percent of total billed charges,19.8465832,,,,,,,,,,21.25,percent of total billed charges,19.79143039,,,,,,,,,,21.25,percent of total billed charges,19.50000182,,,,,,,,,,21.25,percent of total billed charges,20.00176553,,,,,,,,,,21.25,percent of total billed charges,999999999,,,,,,,,,,21.25,percent of total billed charges,17.16292335,,,,,,,,,,21.25,percent of total billed charges,27.06711368,,,,,,,,,,21.25,percent of total billed charges,999999999,,,,,,,,,,21.25,percent of total billed charges,18.50582887,,,,,,,,,,76.5,percent of total billed charges,,,,,
**CODE BLUE-CRASH CART,271,RC,5486-8587-00,NDC,,both,1,EA,593,593,126.2401792,593,593,percent of total billed charges,436.2911668,,,,593,percent of total billed charges,462.4600102,,,,593,percent of total billed charges,436.2911668,,,,593,percent of total billed charges,462.4600102,,,,593,percent of total billed charges,999999999,,,,593,percent of total billed charges,451.8252434,,,,593,percent of total billed charges,436.2911668,,,,593,percent of total billed charges,462.4600102,,,,422.809,percent of total billed charges,210.9894284,,,,422.809,percent of total billed charges,126.2401792,,,,422.809,percent of total billed charges,210.9894284,,,,422.809,percent of total billed charges,126.2401792,,,,422.809,percent of total billed charges,210.9894284,,,,422.809,percent of total billed charges,126.2401792,,,,418.658,percent of total billed charges,415.4815279,,,,418.658,percent of total billed charges,286.5543167,,,,,,,,,,426.96,percent of total billed charges,277.5139527,,,,,,,,,,426.96,percent of total billed charges,999999999,,,,,,,,,,474.4,percent of total billed charges,397.5225399,,,,468.47,percent of total billed charges,452.0937106,,,,468.47,percent of total billed charges,399.4397583,,,,474.4,percent of total billed charges,999999999,,,,474.4,percent of total billed charges,999999999,,,,415.1,percent of total billed charges,999999999,,,,415.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,315.476,percent of total billed charges,999999999,,,,,,,,,,,,,,,,299.465,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,148.25,percent of total billed charges,140.8012367,,,,,,,,,,148.25,percent of total billed charges,138.459104,,,,,,,,,,148.25,percent of total billed charges,138.074332,,,,,,,,,,148.25,percent of total billed charges,136.0411892,,,,,,,,,,148.25,percent of total billed charges,139.541729,,,,,,,,,,148.25,percent of total billed charges,999999999,,,,,,,,,,148.25,percent of total billed charges,119.73663,,,,,,,,,,148.25,percent of total billed charges,188.8329225,,,,,,,,,,148.25,percent of total billed charges,999999999,,,,,,,,,,148.25,percent of total billed charges,129.1053708,,,,,,,,,,533.7,percent of total billed charges,,,,,
**UROLOGY CART,271,RC,5486-8587-00,NDC,,both,1,EA,90,90,19.15955502,90,90,percent of total billed charges,66.21619731,,,,90,percent of total billed charges,70.1878599,,,,90,percent of total billed charges,66.21619731,,,,90,percent of total billed charges,70.1878599,,,,90,percent of total billed charges,999999999,,,,90,percent of total billed charges,68.57381434,,,,90,percent of total billed charges,66.21619731,,,,90,percent of total billed charges,70.1878599,,,,64.17,percent of total billed charges,32.02200431,,,,64.17,percent of total billed charges,19.15955502,,,,64.17,percent of total billed charges,32.02200431,,,,64.17,percent of total billed charges,19.15955502,,,,64.17,percent of total billed charges,32.02200431,,,,64.17,percent of total billed charges,19.15955502,,,,63.54,percent of total billed charges,63.05790475,,,,63.54,percent of total billed charges,43.4905371,,,,,,,,,,64.8,percent of total billed charges,42.11847512,,,,,,,,,,64.8,percent of total billed charges,999999999,,,,,,,,,,72,percent of total billed charges,60.33225731,,,,71.1,percent of total billed charges,68.61455978,,,,71.1,percent of total billed charges,60.62323481,,,,72,percent of total billed charges,999999999,,,,72,percent of total billed charges,999999999,,,,63,percent of total billed charges,999999999,,,,63,percent of total billed charges,999999999,,,,,,,,,,,,,,,,47.88,percent of total billed charges,999999999,,,,,,,,,,,,,,,,45.45,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,22.5,percent of total billed charges,21.3694963,,,,,,,,,,22.5,percent of total billed charges,21.01402927,,,,,,,,,,22.5,percent of total billed charges,20.95563218,,,,,,,,,,22.5,percent of total billed charges,20.64706075,,,,,,,,,,22.5,percent of total billed charges,21.17833998,,,,,,,,,,22.5,percent of total billed charges,999999999,,,,,,,,,,22.5,percent of total billed charges,18.17250708,,,,,,,,,,22.5,percent of total billed charges,28.65929684,,,,,,,,,,22.5,percent of total billed charges,999999999,,,,,,,,,,22.5,percent of total billed charges,19.59440704,,,,,,,,,,81,percent of total billed charges,,,,,
**FOLLOWERS PHILLIPS,271,RC,5486-8587-00,NDC,,both,1,EA,17,17,3.619027059,17,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,17,percent of total billed charges,999999999,,,,17,percent of total billed charges,12.9528316,,,,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.002,percent of total billed charges,11.91093756,,,,12.002,percent of total billed charges,8.214879231,,,,,,,,,,12.24,percent of total billed charges,7.955711967,,,,,,,,,,12.24,percent of total billed charges,999999999,,,,,,,,,,13.6,percent of total billed charges,11.39609305,,,,13.43,percent of total billed charges,12.96052796,,,,13.43,percent of total billed charges,11.45105547,,,,13.6,percent of total billed charges,999999999,,,,13.6,percent of total billed charges,999999999,,,,11.9,percent of total billed charges,999999999,,,,11.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.044,percent of total billed charges,999999999,,,,,,,,,,,,,,,,8.585,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4.25,percent of total billed charges,4.036460412,,,,,,,,,,4.25,percent of total billed charges,3.96931664,,,,,,,,,,4.25,percent of total billed charges,3.958286079,,,,,,,,,,4.25,percent of total billed charges,3.900000364,,,,,,,,,,4.25,percent of total billed charges,4.000353107,,,,,,,,,,4.25,percent of total billed charges,999999999,,,,,,,,,,4.25,percent of total billed charges,3.432584671,,,,,,,,,,4.25,percent of total billed charges,5.413422736,,,,,,,,,,4.25,percent of total billed charges,999999999,,,,,,,,,,4.25,percent of total billed charges,3.701165774,,,,,,,,,,15.3,percent of total billed charges,,,,,
**FILIFORMS,272,RC,5486-8587-00,NDC,,both,1,EA,85,85,18.09513529,85,85,percent of total billed charges,62.53751969,,,,85,percent of total billed charges,66.28853435,,,,85,percent of total billed charges,62.53751969,,,,85,percent of total billed charges,66.28853435,,,,85,percent of total billed charges,999999999,,,,85,percent of total billed charges,64.76415799,,,,85,percent of total billed charges,62.53751969,,,,85,percent of total billed charges,66.28853435,,,,60.605,percent of total billed charges,30.24300407,,,,60.605,percent of total billed charges,18.09513529,,,,60.605,percent of total billed charges,30.24300407,,,,60.605,percent of total billed charges,18.09513529,,,,60.605,percent of total billed charges,30.24300407,,,,60.605,percent of total billed charges,18.09513529,,,,60.01,percent of total billed charges,59.55468782,,,,60.01,percent of total billed charges,41.07439615,,,,,,,,,,61.2,percent of total billed charges,39.77855983,,,,,,,,,,61.2,percent of total billed charges,999999999,,,,,,,,,,68,percent of total billed charges,56.98046524,,,,67.15,percent of total billed charges,64.80263979,,,,67.15,percent of total billed charges,57.25527733,,,,68,percent of total billed charges,999999999,,,,68,percent of total billed charges,999999999,,,,59.5,percent of total billed charges,999999999,,,,59.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,45.22,percent of total billed charges,999999999,,,,,,,,,,,,,,,,42.925,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21.25,percent of total billed charges,20.18230206,,,,,,,,,,21.25,percent of total billed charges,19.8465832,,,,,,,,,,21.25,percent of total billed charges,19.79143039,,,,,,,,,,21.25,percent of total billed charges,19.50000182,,,,,,,,,,21.25,percent of total billed charges,20.00176553,,,,,,,,,,21.25,percent of total billed charges,999999999,,,,,,,,,,21.25,percent of total billed charges,17.16292335,,,,,,,,,,21.25,percent of total billed charges,27.06711368,,,,,,,,,,21.25,percent of total billed charges,999999999,,,,,,,,,,21.25,percent of total billed charges,18.50582887,,,,,,,,,,76.5,percent of total billed charges,,,,,
**DISP EXAM GLOVES,271,RC,5486-8587-00,NDC,,both,1,EA,144,144,30.65528803,144,144,percent of total billed charges,105.9459157,,,,144,percent of total billed charges,112.3005758,,,,144,percent of total billed charges,105.9459157,,,,144,percent of total billed charges,112.3005758,,,,144,percent of total billed charges,999999999,,,,144,percent of total billed charges,109.7181029,,,,144,percent of total billed charges,105.9459157,,,,144,percent of total billed charges,112.3005758,,,,102.672,percent of total billed charges,51.2352069,,,,102.672,percent of total billed charges,30.65528803,,,,102.672,percent of total billed charges,51.2352069,,,,102.672,percent of total billed charges,30.65528803,,,,102.672,percent of total billed charges,51.2352069,,,,102.672,percent of total billed charges,30.65528803,,,,101.664,percent of total billed charges,100.8926476,,,,101.664,percent of total billed charges,69.58485937,,,,,,,,,,103.68,percent of total billed charges,67.38956019,,,,,,,,,,103.68,percent of total billed charges,999999999,,,,,,,,,,115.2,percent of total billed charges,96.5316117,,,,113.76,percent of total billed charges,109.7832957,,,,113.76,percent of total billed charges,96.9971757,,,,115.2,percent of total billed charges,999999999,,,,115.2,percent of total billed charges,999999999,,,,100.8,percent of total billed charges,999999999,,,,100.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,76.608,percent of total billed charges,999999999,,,,,,,,,,,,,,,,72.72,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,36,percent of total billed charges,34.19119408,,,,,,,,,,36,percent of total billed charges,33.62244683,,,,,,,,,,36,percent of total billed charges,33.52901149,,,,,,,,,,36,percent of total billed charges,33.0352972,,,,,,,,,,36,percent of total billed charges,33.88534397,,,,,,,,,,36,percent of total billed charges,999999999,,,,,,,,,,36,percent of total billed charges,29.07601133,,,,,,,,,,36,percent of total billed charges,45.85487494,,,,,,,,,,36,percent of total billed charges,999999999,,,,,,,,,,36,percent of total billed charges,31.35105126,,,,,,,,,,129.6,percent of total billed charges,,,,,
**DECUBINEX FLEECE PAD,271,RC,5486-8587-00,NDC,,both,1,EA,45,45,9.579777508,45,45,percent of total billed charges,33.10809866,,,,45,percent of total billed charges,35.09392995,,,,45,percent of total billed charges,33.10809866,,,,45,percent of total billed charges,35.09392995,,,,45,percent of total billed charges,999999999,,,,45,percent of total billed charges,34.28690717,,,,45,percent of total billed charges,33.10809866,,,,45,percent of total billed charges,35.09392995,,,,32.085,percent of total billed charges,16.01100216,,,,32.085,percent of total billed charges,9.579777508,,,,32.085,percent of total billed charges,16.01100216,,,,32.085,percent of total billed charges,9.579777508,,,,32.085,percent of total billed charges,16.01100216,,,,32.085,percent of total billed charges,9.579777508,,,,31.77,percent of total billed charges,31.52895237,,,,31.77,percent of total billed charges,21.74526855,,,,,,,,,,32.4,percent of total billed charges,21.05923756,,,,,,,,,,32.4,percent of total billed charges,999999999,,,,,,,,,,36,percent of total billed charges,30.16612866,,,,35.55,percent of total billed charges,34.30727989,,,,35.55,percent of total billed charges,30.31161741,,,,36,percent of total billed charges,999999999,,,,36,percent of total billed charges,999999999,,,,31.5,percent of total billed charges,999999999,,,,31.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,23.94,percent of total billed charges,999999999,,,,,,,,,,,,,,,,22.725,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11.25,percent of total billed charges,10.68474815,,,,,,,,,,11.25,percent of total billed charges,10.50701463,,,,,,,,,,11.25,percent of total billed charges,10.47781609,,,,,,,,,,11.25,percent of total billed charges,10.32353038,,,,,,,,,,11.25,percent of total billed charges,10.58916999,,,,,,,,,,11.25,percent of total billed charges,999999999,,,,,,,,,,11.25,percent of total billed charges,9.08625354,,,,,,,,,,11.25,percent of total billed charges,14.32964842,,,,,,,,,,11.25,percent of total billed charges,999999999,,,,,,,,,,11.25,percent of total billed charges,9.797203519,,,,,,,,,,40.5,percent of total billed charges,,,,,
**NAIL CLIPPERS,271,RC,5486-8587-00,NDC,,both,1,EA,17,17,3.619027059,17,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,17,percent of total billed charges,999999999,,,,17,percent of total billed charges,12.9528316,,,,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.002,percent of total billed charges,11.91093756,,,,12.002,percent of total billed charges,8.214879231,,,,,,,,,,12.24,percent of total billed charges,7.955711967,,,,,,,,,,12.24,percent of total billed charges,999999999,,,,,,,,,,13.6,percent of total billed charges,11.39609305,,,,13.43,percent of total billed charges,12.96052796,,,,13.43,percent of total billed charges,11.45105547,,,,13.6,percent of total billed charges,999999999,,,,13.6,percent of total billed charges,999999999,,,,11.9,percent of total billed charges,999999999,,,,11.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.044,percent of total billed charges,999999999,,,,,,,,,,,,,,,,8.585,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4.25,percent of total billed charges,4.036460412,,,,,,,,,,4.25,percent of total billed charges,3.96931664,,,,,,,,,,4.25,percent of total billed charges,3.958286079,,,,,,,,,,4.25,percent of total billed charges,3.900000364,,,,,,,,,,4.25,percent of total billed charges,4.000353107,,,,,,,,,,4.25,percent of total billed charges,999999999,,,,,,,,,,4.25,percent of total billed charges,3.432584671,,,,,,,,,,4.25,percent of total billed charges,5.413422736,,,,,,,,,,4.25,percent of total billed charges,999999999,,,,,,,,,,4.25,percent of total billed charges,3.701165774,,,,,,,,,,15.3,percent of total billed charges,,,,,
**STERILE PITCHER,272,RC,5486-8587-00,NDC,,both,1,EA,18,18,3.831911003,18,18,percent of total billed charges,13.24323946,,,,18,percent of total billed charges,14.03757198,,,,18,percent of total billed charges,13.24323946,,,,18,percent of total billed charges,14.03757198,,,,18,percent of total billed charges,999999999,,,,18,percent of total billed charges,13.71476287,,,,18,percent of total billed charges,13.24323946,,,,18,percent of total billed charges,14.03757198,,,,12.834,percent of total billed charges,6.404400863,,,,12.834,percent of total billed charges,3.831911003,,,,12.834,percent of total billed charges,6.404400863,,,,12.834,percent of total billed charges,3.831911003,,,,12.834,percent of total billed charges,6.404400863,,,,12.834,percent of total billed charges,3.831911003,,,,12.708,percent of total billed charges,12.61158095,,,,12.708,percent of total billed charges,8.698107421,,,,,,,,,,12.96,percent of total billed charges,8.423695024,,,,,,,,,,12.96,percent of total billed charges,999999999,,,,,,,,,,14.4,percent of total billed charges,12.06645146,,,,14.22,percent of total billed charges,13.72291196,,,,14.22,percent of total billed charges,12.12464696,,,,14.4,percent of total billed charges,999999999,,,,14.4,percent of total billed charges,999999999,,,,12.6,percent of total billed charges,999999999,,,,12.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.576,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.09,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4.5,percent of total billed charges,4.27389926,,,,,,,,,,4.5,percent of total billed charges,4.202805854,,,,,,,,,,4.5,percent of total billed charges,4.191126436,,,,,,,,,,4.5,percent of total billed charges,4.12941215,,,,,,,,,,4.5,percent of total billed charges,4.235667996,,,,,,,,,,4.5,percent of total billed charges,999999999,,,,,,,,,,4.5,percent of total billed charges,3.634501416,,,,,,,,,,4.5,percent of total billed charges,5.731859367,,,,,,,,,,4.5,percent of total billed charges,999999999,,,,,,,,,,4.5,percent of total billed charges,3.918881408,,,,,,,,,,16.2,percent of total billed charges,,,,,
**RESTRAINTS-WRIST,271,RC,5486-8587-00,NDC,,both,1,EA,18,18,3.831911003,18,18,percent of total billed charges,13.24323946,,,,18,percent of total billed charges,14.03757198,,,,18,percent of total billed charges,13.24323946,,,,18,percent of total billed charges,14.03757198,,,,18,percent of total billed charges,999999999,,,,18,percent of total billed charges,13.71476287,,,,18,percent of total billed charges,13.24323946,,,,18,percent of total billed charges,14.03757198,,,,12.834,percent of total billed charges,6.404400863,,,,12.834,percent of total billed charges,3.831911003,,,,12.834,percent of total billed charges,6.404400863,,,,12.834,percent of total billed charges,3.831911003,,,,12.834,percent of total billed charges,6.404400863,,,,12.834,percent of total billed charges,3.831911003,,,,12.708,percent of total billed charges,12.61158095,,,,12.708,percent of total billed charges,8.698107421,,,,,,,,,,12.96,percent of total billed charges,8.423695024,,,,,,,,,,12.96,percent of total billed charges,999999999,,,,,,,,,,14.4,percent of total billed charges,12.06645146,,,,14.22,percent of total billed charges,13.72291196,,,,14.22,percent of total billed charges,12.12464696,,,,14.4,percent of total billed charges,999999999,,,,14.4,percent of total billed charges,999999999,,,,12.6,percent of total billed charges,999999999,,,,12.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.576,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.09,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4.5,percent of total billed charges,4.27389926,,,,,,,,,,4.5,percent of total billed charges,4.202805854,,,,,,,,,,4.5,percent of total billed charges,4.191126436,,,,,,,,,,4.5,percent of total billed charges,4.12941215,,,,,,,,,,4.5,percent of total billed charges,4.235667996,,,,,,,,,,4.5,percent of total billed charges,999999999,,,,,,,,,,4.5,percent of total billed charges,3.634501416,,,,,,,,,,4.5,percent of total billed charges,5.731859367,,,,,,,,,,4.5,percent of total billed charges,999999999,,,,,,,,,,4.5,percent of total billed charges,3.918881408,,,,,,,,,,16.2,percent of total billed charges,,,,,
**RESTRAINTS-HOUDINI,271,RC,5486-8587-00,NDC,,both,1,EA,54,54,11.49573301,54,54,percent of total billed charges,39.72971839,,,,54,percent of total billed charges,42.11271594,,,,54,percent of total billed charges,39.72971839,,,,54,percent of total billed charges,42.11271594,,,,54,percent of total billed charges,999999999,,,,54,percent of total billed charges,41.1442886,,,,54,percent of total billed charges,39.72971839,,,,54,percent of total billed charges,42.11271594,,,,38.502,percent of total billed charges,19.21320259,,,,38.502,percent of total billed charges,11.49573301,,,,38.502,percent of total billed charges,19.21320259,,,,38.502,percent of total billed charges,11.49573301,,,,38.502,percent of total billed charges,19.21320259,,,,38.502,percent of total billed charges,11.49573301,,,,38.124,percent of total billed charges,37.83474285,,,,38.124,percent of total billed charges,26.09432226,,,,,,,,,,38.88,percent of total billed charges,25.27108507,,,,,,,,,,38.88,percent of total billed charges,999999999,,,,,,,,,,43.2,percent of total billed charges,36.19935439,,,,42.66,percent of total billed charges,41.16873587,,,,42.66,percent of total billed charges,36.37394089,,,,43.2,percent of total billed charges,999999999,,,,43.2,percent of total billed charges,999999999,,,,37.8,percent of total billed charges,999999999,,,,37.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,28.728,percent of total billed charges,999999999,,,,,,,,,,,,,,,,27.27,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13.5,percent of total billed charges,12.82169778,,,,,,,,,,13.5,percent of total billed charges,12.60841756,,,,,,,,,,13.5,percent of total billed charges,12.57337931,,,,,,,,,,13.5,percent of total billed charges,12.38823645,,,,,,,,,,13.5,percent of total billed charges,12.70700399,,,,,,,,,,13.5,percent of total billed charges,999999999,,,,,,,,,,13.5,percent of total billed charges,10.90350425,,,,,,,,,,13.5,percent of total billed charges,17.1955781,,,,,,,,,,13.5,percent of total billed charges,999999999,,,,,,,,,,13.5,percent of total billed charges,11.75664422,,,,,,,,,,48.6,percent of total billed charges,,,,,
**RESTRAINTS-POSEY,271,RC,5486-8587-00,NDC,,both,1,EA,103,103,21.9270463,103,103,percent of total billed charges,75.78075915,,,,103,percent of total billed charges,80.32610633,,,,103,percent of total billed charges,75.78075915,,,,103,percent of total billed charges,80.32610633,,,,103,percent of total billed charges,999999999,,,,103,percent of total billed charges,78.47892085,,,,103,percent of total billed charges,75.78075915,,,,103,percent of total billed charges,80.32610633,,,,73.439,percent of total billed charges,36.64740494,,,,73.439,percent of total billed charges,21.9270463,,,,73.439,percent of total billed charges,36.64740494,,,,73.439,percent of total billed charges,21.9270463,,,,73.439,percent of total billed charges,36.64740494,,,,73.439,percent of total billed charges,21.9270463,,,,72.718,percent of total billed charges,72.16626877,,,,72.718,percent of total billed charges,49.77250357,,,,,,,,,,74.16,percent of total billed charges,48.20225486,,,,,,,,,,74.16,percent of total billed charges,999999999,,,,,,,,,,82.4,percent of total billed charges,69.0469167,,,,81.37,percent of total billed charges,78.52555175,,,,81.37,percent of total billed charges,69.37992429,,,,82.4,percent of total billed charges,999999999,,,,82.4,percent of total billed charges,999999999,,,,72.1,percent of total billed charges,999999999,,,,72.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,54.796,percent of total billed charges,999999999,,,,,,,,,,,,,,,,52.015,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,25.75,percent of total billed charges,24.45620132,,,,,,,,,,25.75,percent of total billed charges,24.04938905,,,,,,,,,,25.75,percent of total billed charges,23.98255683,,,,,,,,,,25.75,percent of total billed charges,23.62941397,,,,,,,,,,25.75,percent of total billed charges,24.23743353,,,,,,,,,,25.75,percent of total billed charges,999999999,,,,,,,,,,25.75,percent of total billed charges,20.79742477,,,,,,,,,,25.75,percent of total billed charges,32.79897305,,,,,,,,,,25.75,percent of total billed charges,999999999,,,,,,,,,,25.75,percent of total billed charges,22.42471028,,,,,,,,,,92.7,percent of total billed charges,,,,,
**RESTRAINTS-WAIST,271,RC,5486-8587-00,NDC,,both,1,EA,54,54,11.49573301,54,54,percent of total billed charges,39.72971839,,,,54,percent of total billed charges,42.11271594,,,,54,percent of total billed charges,39.72971839,,,,54,percent of total billed charges,42.11271594,,,,54,percent of total billed charges,999999999,,,,54,percent of total billed charges,41.1442886,,,,54,percent of total billed charges,39.72971839,,,,54,percent of total billed charges,42.11271594,,,,38.502,percent of total billed charges,19.21320259,,,,38.502,percent of total billed charges,11.49573301,,,,38.502,percent of total billed charges,19.21320259,,,,38.502,percent of total billed charges,11.49573301,,,,38.502,percent of total billed charges,19.21320259,,,,38.502,percent of total billed charges,11.49573301,,,,38.124,percent of total billed charges,37.83474285,,,,38.124,percent of total billed charges,26.09432226,,,,,,,,,,38.88,percent of total billed charges,25.27108507,,,,,,,,,,38.88,percent of total billed charges,999999999,,,,,,,,,,43.2,percent of total billed charges,36.19935439,,,,42.66,percent of total billed charges,41.16873587,,,,42.66,percent of total billed charges,36.37394089,,,,43.2,percent of total billed charges,999999999,,,,43.2,percent of total billed charges,999999999,,,,37.8,percent of total billed charges,999999999,,,,37.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,28.728,percent of total billed charges,999999999,,,,,,,,,,,,,,,,27.27,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13.5,percent of total billed charges,12.82169778,,,,,,,,,,13.5,percent of total billed charges,12.60841756,,,,,,,,,,13.5,percent of total billed charges,12.57337931,,,,,,,,,,13.5,percent of total billed charges,12.38823645,,,,,,,,,,13.5,percent of total billed charges,12.70700399,,,,,,,,,,13.5,percent of total billed charges,999999999,,,,,,,,,,13.5,percent of total billed charges,10.90350425,,,,,,,,,,13.5,percent of total billed charges,17.1955781,,,,,,,,,,13.5,percent of total billed charges,999999999,,,,,,,,,,13.5,percent of total billed charges,11.75664422,,,,,,,,,,48.6,percent of total billed charges,,,,,
**SCISSORS + FORCEPS,272,RC,5486-8587-00,NDC,,both,1,EA,82,82,17.45648346,82,82,percent of total billed charges,60.33031311,,,,82,percent of total billed charges,63.94893902,,,,82,percent of total billed charges,60.33031311,,,,82,percent of total billed charges,63.94893902,,,,82,percent of total billed charges,999999999,,,,82,percent of total billed charges,62.47836417,,,,82,percent of total billed charges,60.33031311,,,,82,percent of total billed charges,63.94893902,,,,58.466,percent of total billed charges,29.17560393,,,,58.466,percent of total billed charges,17.45648346,,,,58.466,percent of total billed charges,29.17560393,,,,58.466,percent of total billed charges,17.45648346,,,,58.466,percent of total billed charges,29.17560393,,,,58.466,percent of total billed charges,17.45648346,,,,57.892,percent of total billed charges,57.45275766,,,,57.892,percent of total billed charges,39.62471158,,,,,,,,,,59.04,percent of total billed charges,38.37461066,,,,,,,,,,59.04,percent of total billed charges,999999999,,,,,,,,,,65.6,percent of total billed charges,54.96939,,,,64.78,percent of total billed charges,62.5154878,,,,64.78,percent of total billed charges,55.23450283,,,,65.6,percent of total billed charges,999999999,,,,65.6,percent of total billed charges,999999999,,,,57.4,percent of total billed charges,999999999,,,,57.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,43.624,percent of total billed charges,999999999,,,,,,,,,,,,,,,,41.41,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20.5,percent of total billed charges,19.46998552,,,,,,,,,,20.5,percent of total billed charges,19.14611556,,,,,,,,,,20.5,percent of total billed charges,19.09290932,,,,,,,,,,20.5,percent of total billed charges,18.81176646,,,,,,,,,,20.5,percent of total billed charges,19.29582087,,,,,,,,,,20.5,percent of total billed charges,999999999,,,,,,,,,,20.5,percent of total billed charges,16.55717312,,,,,,,,,,20.5,percent of total billed charges,26.11180378,,,,,,,,,,20.5,percent of total billed charges,999999999,,,,,,,,,,20.5,percent of total billed charges,17.85268197,,,,,,,,,,73.8,percent of total billed charges,,,,,
**DILATORS MALE & FEMALE,272,RC,5486-8587-00,NDC,,both,1,EA,10,10,2.128839446,10,10,percent of total billed charges,7.357355257,,,,10,percent of total billed charges,7.7986511,,,,10,percent of total billed charges,7.357355257,,,,10,percent of total billed charges,7.7986511,,,,10,percent of total billed charges,999999999,,,,10,percent of total billed charges,7.619312704,,,,10,percent of total billed charges,7.357355257,,,,10,percent of total billed charges,7.7986511,,,,7.13,percent of total billed charges,3.558000479,,,,7.13,percent of total billed charges,2.128839446,,,,7.13,percent of total billed charges,3.558000479,,,,7.13,percent of total billed charges,2.128839446,,,,7.13,percent of total billed charges,3.558000479,,,,7.13,percent of total billed charges,2.128839446,,,,7.06,percent of total billed charges,7.006433861,,,,7.06,percent of total billed charges,4.8322819,,,,,,,,,,7.2,percent of total billed charges,4.679830569,,,,,,,,,,7.2,percent of total billed charges,999999999,,,,,,,,,,8,percent of total billed charges,6.703584146,,,,7.9,percent of total billed charges,7.623839976,,,,7.9,percent of total billed charges,6.735914979,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,999999999,,,,7,percent of total billed charges,999999999,,,,7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.32,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.05,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.5,percent of total billed charges,2.374388478,,,,,,,,,,2.5,percent of total billed charges,2.334892141,,,,,,,,,,2.5,percent of total billed charges,2.328403576,,,,,,,,,,2.5,percent of total billed charges,2.294117861,,,,,,,,,,2.5,percent of total billed charges,2.353148886,,,,,,,,,,2.5,percent of total billed charges,999999999,,,,,,,,,,2.5,percent of total billed charges,2.019167453,,,,,,,,,,2.5,percent of total billed charges,3.184366315,,,,,,,,,,2.5,percent of total billed charges,999999999,,,,,,,,,,2.5,percent of total billed charges,2.177156338,,,,,,,,,,9,percent of total billed charges,,,,,
**ASPIRATION TRAY,272,RC,5486-8587-00,NDC,,both,1,EA,159,159,33.8485472,159,159,percent of total billed charges,116.9819486,,,,159,percent of total billed charges,123.9985525,,,,159,percent of total billed charges,116.9819486,,,,159,percent of total billed charges,123.9985525,,,,159,percent of total billed charges,999999999,,,,159,percent of total billed charges,121.147072,,,,159,percent of total billed charges,116.9819486,,,,159,percent of total billed charges,123.9985525,,,,113.367,percent of total billed charges,56.57220762,,,,113.367,percent of total billed charges,33.8485472,,,,113.367,percent of total billed charges,56.57220762,,,,113.367,percent of total billed charges,33.8485472,,,,113.367,percent of total billed charges,56.57220762,,,,113.367,percent of total billed charges,33.8485472,,,,112.254,percent of total billed charges,111.4022984,,,,112.254,percent of total billed charges,76.83328222,,,,,,,,,,114.48,percent of total billed charges,74.40930604,,,,,,,,,,114.48,percent of total billed charges,999999999,,,,,,,,,,127.2,percent of total billed charges,106.5869879,,,,125.61,percent of total billed charges,121.2190556,,,,125.61,percent of total billed charges,107.1010482,,,,127.2,percent of total billed charges,999999999,,,,127.2,percent of total billed charges,999999999,,,,111.3,percent of total billed charges,999999999,,,,111.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,84.588,percent of total billed charges,999999999,,,,,,,,,,,,,,,,80.295,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,39.75,percent of total billed charges,37.75277679,,,,,,,,,,39.75,percent of total billed charges,37.12478504,,,,,,,,,,39.75,percent of total billed charges,37.02161685,,,,,,,,,,39.75,percent of total billed charges,36.47647399,,,,,,,,,,39.75,percent of total billed charges,37.41506729,,,,,,,,,,39.75,percent of total billed charges,999999999,,,,,,,,,,39.75,percent of total billed charges,32.10476251,,,,,,,,,,39.75,percent of total billed charges,50.63142441,,,,,,,,,,39.75,percent of total billed charges,999999999,,,,,,,,,,39.75,percent of total billed charges,34.61678577,,,,,,,,,,143.1,percent of total billed charges,,,,,
**ABDOMINAL TAP TRAY,272,RC,5486-8587-00,NDC,,both,1,EA,109,109,23.20434996,109,109,percent of total billed charges,80.1951723,,,,109,percent of total billed charges,85.00529699,,,,109,percent of total billed charges,80.1951723,,,,109,percent of total billed charges,85.00529699,,,,109,percent of total billed charges,999999999,,,,109,percent of total billed charges,83.05050848,,,,109,percent of total billed charges,80.1951723,,,,109,percent of total billed charges,85.00529699,,,,77.717,percent of total billed charges,38.78220522,,,,77.717,percent of total billed charges,23.20434996,,,,77.717,percent of total billed charges,38.78220522,,,,77.717,percent of total billed charges,23.20434996,,,,77.717,percent of total billed charges,38.78220522,,,,77.717,percent of total billed charges,23.20434996,,,,76.954,percent of total billed charges,76.37012908,,,,76.954,percent of total billed charges,52.67187271,,,,,,,,,,78.48,percent of total billed charges,51.0101532,,,,,,,,,,78.48,percent of total billed charges,999999999,,,,,,,,,,87.2,percent of total billed charges,73.06906719,,,,86.11,percent of total billed charges,83.09985574,,,,86.11,percent of total billed charges,73.42147328,,,,87.2,percent of total billed charges,999999999,,,,87.2,percent of total billed charges,999999999,,,,76.3,percent of total billed charges,999999999,,,,76.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,57.988,percent of total billed charges,999999999,,,,,,,,,,,,,,,,55.045,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,27.25,percent of total billed charges,25.88083441,,,,,,,,,,27.25,percent of total billed charges,25.45032434,,,,,,,,,,27.25,percent of total billed charges,25.37959897,,,,,,,,,,27.25,percent of total billed charges,25.00588469,,,,,,,,,,27.25,percent of total billed charges,25.64932286,,,,,,,,,,27.25,percent of total billed charges,999999999,,,,,,,,,,27.25,percent of total billed charges,22.00892524,,,,,,,,,,27.25,percent of total billed charges,34.70959284,,,,,,,,,,27.25,percent of total billed charges,999999999,,,,,,,,,,27.25,percent of total billed charges,23.73100408,,,,,,,,,,98.1,percent of total billed charges,,,,,
**PATIENT PACK TRAY,272,RC,5486-8587-00,NDC,,both,1,EA,215,215,45.77004809,215,215,percent of total billed charges,158.183138,,,,215,percent of total billed charges,167.6709987,,,,215,percent of total billed charges,158.183138,,,,215,percent of total billed charges,167.6709987,,,,215,percent of total billed charges,999999999,,,,215,percent of total billed charges,163.8152231,,,,215,percent of total billed charges,158.183138,,,,215,percent of total billed charges,167.6709987,,,,153.295,percent of total billed charges,76.4970103,,,,153.295,percent of total billed charges,45.77004809,,,,153.295,percent of total billed charges,76.4970103,,,,153.295,percent of total billed charges,45.77004809,,,,153.295,percent of total billed charges,76.4970103,,,,153.295,percent of total billed charges,45.77004809,,,,151.79,percent of total billed charges,150.638328,,,,151.79,percent of total billed charges,103.8940609,,,,,,,,,,154.8,percent of total billed charges,100.6163572,,,,,,,,,,154.8,percent of total billed charges,999999999,,,,,,,,,,172,percent of total billed charges,144.1270591,,,,169.85,percent of total billed charges,163.9125595,,,,169.85,percent of total billed charges,144.8221721,,,,172,percent of total billed charges,999999999,,,,172,percent of total billed charges,999999999,,,,150.5,percent of total billed charges,999999999,,,,150.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,114.38,percent of total billed charges,999999999,,,,,,,,,,,,,,,,108.575,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.75,percent of total billed charges,51.04935227,,,,,,,,,,53.75,percent of total billed charges,50.20018103,,,,,,,,,,53.75,percent of total billed charges,50.06067688,,,,,,,,,,53.75,percent of total billed charges,49.32353402,,,,,,,,,,53.75,percent of total billed charges,50.59270106,,,,,,,,,,53.75,percent of total billed charges,999999999,,,,,,,,,,53.75,percent of total billed charges,43.41210025,,,,,,,,,,53.75,percent of total billed charges,68.46387578,,,,,,,,,,53.75,percent of total billed charges,999999999,,,,,,,,,,53.75,percent of total billed charges,46.80886126,,,,,,,,,,193.5,percent of total billed charges,,,,,
**BLOOD TRANS TRAY,272,RC,5486-8587-00,NDC,,both,1,EA,260,260,55.3498256,260,260,percent of total billed charges,191.2912367,,,,260,percent of total billed charges,202.7649286,,,,260,percent of total billed charges,191.2912367,,,,260,percent of total billed charges,202.7649286,,,,260,percent of total billed charges,999999999,,,,260,percent of total billed charges,198.1021303,,,,260,percent of total billed charges,191.2912367,,,,260,percent of total billed charges,202.7649286,,,,185.38,percent of total billed charges,92.50801246,,,,185.38,percent of total billed charges,55.3498256,,,,185.38,percent of total billed charges,92.50801246,,,,185.38,percent of total billed charges,55.3498256,,,,185.38,percent of total billed charges,92.50801246,,,,185.38,percent of total billed charges,55.3498256,,,,183.56,percent of total billed charges,182.1672804,,,,183.56,percent of total billed charges,125.6393294,,,,,,,,,,187.2,percent of total billed charges,121.6755948,,,,,,,,,,187.2,percent of total billed charges,999999999,,,,,,,,,,208,percent of total billed charges,174.2931878,,,,205.4,percent of total billed charges,198.2198394,,,,205.4,percent of total billed charges,175.1337895,,,,208,percent of total billed charges,999999999,,,,208,percent of total billed charges,999999999,,,,182,percent of total billed charges,999999999,,,,182,percent of total billed charges,999999999,,,,,,,,,,,,,,,,138.32,percent of total billed charges,999999999,,,,,,,,,,,,,,,,131.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,65,percent of total billed charges,61.73410042,,,,,,,,,,65,percent of total billed charges,60.70719566,,,,,,,,,,65,percent of total billed charges,60.53849297,,,,,,,,,,65,percent of total billed charges,59.64706439,,,,,,,,,,65,percent of total billed charges,61.18187105,,,,,,,,,,65,percent of total billed charges,999999999,,,,,,,,,,65,percent of total billed charges,52.49835379,,,,,,,,,,65,percent of total billed charges,82.79352419,,,,,,,,,,65,percent of total billed charges,999999999,,,,,,,,,,65,percent of total billed charges,56.60606478,,,,,,,,,,234,percent of total billed charges,,,,,
**CUT DOWN TRAY,272,RC,5486-8587-00,NDC,,both,1,EA,610,610,129.8592062,610,610,percent of total billed charges,448.7986707,,,,610,percent of total billed charges,475.7177171,,,,610,percent of total billed charges,448.7986707,,,,610,percent of total billed charges,475.7177171,,,,610,percent of total billed charges,999999999,,,,610,percent of total billed charges,464.778075,,,,610,percent of total billed charges,448.7986707,,,,610,percent of total billed charges,475.7177171,,,,434.93,percent of total billed charges,217.0380292,,,,434.93,percent of total billed charges,129.8592062,,,,434.93,percent of total billed charges,217.0380292,,,,434.93,percent of total billed charges,129.8592062,,,,434.93,percent of total billed charges,217.0380292,,,,434.93,percent of total billed charges,129.8592062,,,,430.66,percent of total billed charges,427.3924655,,,,430.66,percent of total billed charges,294.7691959,,,,,,,,,,439.2,percent of total billed charges,285.4696647,,,,,,,,,,439.2,percent of total billed charges,999999999,,,,,,,,,,488,percent of total billed charges,408.9186329,,,,481.9,percent of total billed charges,465.0542385,,,,481.9,percent of total billed charges,410.8908137,,,,488,percent of total billed charges,999999999,,,,488,percent of total billed charges,999999999,,,,427,percent of total billed charges,999999999,,,,427,percent of total billed charges,999999999,,,,,,,,,,,,,,,,324.52,percent of total billed charges,999999999,,,,,,,,,,,,,,,,308.05,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,152.5,percent of total billed charges,144.8376971,,,,,,,,,,152.5,percent of total billed charges,142.4284206,,,,,,,,,,152.5,percent of total billed charges,142.0326181,,,,,,,,,,152.5,percent of total billed charges,139.9411895,,,,,,,,,,152.5,percent of total billed charges,143.5420821,,,,,,,,,,152.5,percent of total billed charges,999999999,,,,,,,,,,152.5,percent of total billed charges,123.1692147,,,,,,,,,,152.5,percent of total billed charges,194.2463452,,,,,,,,,,152.5,percent of total billed charges,999999999,,,,,,,,,,152.5,percent of total billed charges,132.8065366,,,,,,,,,,549,percent of total billed charges,,,,,
**CVP TRAY,272,RC,5486-8587-00,NDC,,both,1,EA,399,399,84.9406939,399,399,percent of total billed charges,293.5584748,,,,399,percent of total billed charges,311.1661789,,,,399,percent of total billed charges,293.5584748,,,,399,percent of total billed charges,311.1661789,,,,399,percent of total billed charges,999999999,,,,399,percent of total billed charges,304.0105769,,,,399,percent of total billed charges,293.5584748,,,,399,percent of total billed charges,311.1661789,,,,284.487,percent of total billed charges,141.9642191,,,,284.487,percent of total billed charges,84.9406939,,,,284.487,percent of total billed charges,141.9642191,,,,284.487,percent of total billed charges,84.9406939,,,,284.487,percent of total billed charges,141.9642191,,,,284.487,percent of total billed charges,84.9406939,,,,281.694,percent of total billed charges,279.556711,,,,281.694,percent of total billed charges,192.8080478,,,,,,,,,,287.28,percent of total billed charges,186.7252397,,,,,,,,,,287.28,percent of total billed charges,999999999,,,,,,,,,,319.2,percent of total billed charges,267.4730074,,,,315.21,percent of total billed charges,304.191215,,,,315.21,percent of total billed charges,268.7630077,,,,319.2,percent of total billed charges,999999999,,,,319.2,percent of total billed charges,999999999,,,,279.3,percent of total billed charges,999999999,,,,279.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,212.268,percent of total billed charges,999999999,,,,,,,,,,,,,,,,201.495,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,99.75,percent of total billed charges,94.73810026,,,,,,,,,,99.75,percent of total billed charges,93.16219642,,,,,,,,,,99.75,percent of total billed charges,92.90330267,,,,,,,,,,99.75,percent of total billed charges,91.53530267,,,,,,,,,,99.75,percent of total billed charges,93.89064057,,,,,,,,,,99.75,percent of total billed charges,999999999,,,,,,,,,,99.75,percent of total billed charges,80.56478139,,,,,,,,,,99.75,percent of total billed charges,127.056216,,,,,,,,,,99.75,percent of total billed charges,999999999,,,,,,,,,,99.75,percent of total billed charges,86.86853787,,,,,,,,,,359.1,percent of total billed charges,,,,,
**CHEST HEIM DRAIN VALVE,272,RC,5486-8587-00,NDC,,both,1,EA,139,139,29.5908683,139,139,percent of total billed charges,102.2672381,,,,139,percent of total billed charges,108.4012503,,,,139,percent of total billed charges,102.2672381,,,,139,percent of total billed charges,108.4012503,,,,139,percent of total billed charges,999999999,,,,139,percent of total billed charges,105.9084466,,,,139,percent of total billed charges,102.2672381,,,,139,percent of total billed charges,108.4012503,,,,99.107,percent of total billed charges,49.45620666,,,,99.107,percent of total billed charges,29.5908683,,,,99.107,percent of total billed charges,49.45620666,,,,99.107,percent of total billed charges,29.5908683,,,,99.107,percent of total billed charges,49.45620666,,,,99.107,percent of total billed charges,29.5908683,,,,98.134,percent of total billed charges,97.38943066,,,,98.134,percent of total billed charges,67.16871842,,,,,,,,,,100.08,percent of total billed charges,65.04964491,,,,,,,,,,100.08,percent of total billed charges,999999999,,,,,,,,,,111.2,percent of total billed charges,93.17981963,,,,109.81,percent of total billed charges,105.9713757,,,,109.81,percent of total billed charges,93.62921821,,,,111.2,percent of total billed charges,999999999,,,,111.2,percent of total billed charges,999999999,,,,97.3,percent of total billed charges,999999999,,,,97.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,73.948,percent of total billed charges,999999999,,,,,,,,,,,,,,,,70.195,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,34.75,percent of total billed charges,33.00399984,,,,,,,,,,34.75,percent of total billed charges,32.45500076,,,,,,,,,,34.75,percent of total billed charges,32.3648097,,,,,,,,,,34.75,percent of total billed charges,31.88823827,,,,,,,,,,34.75,percent of total billed charges,32.70876952,,,,,,,,,,34.75,percent of total billed charges,999999999,,,,,,,,,,34.75,percent of total billed charges,28.0664276,,,,,,,,,,34.75,percent of total billed charges,44.26269178,,,,,,,,,,34.75,percent of total billed charges,999999999,,,,,,,,,,34.75,percent of total billed charges,30.26247309,,,,,,,,,,125.1,percent of total billed charges,,,,,
**DRESSING TRAY (SMALL),272,RC,5486-8587-00,NDC,,both,1,EA,247,247,52.58233432,247,247,percent of total billed charges,181.7266749,,,,247,percent of total billed charges,192.6266822,,,,247,percent of total billed charges,181.7266749,,,,247,percent of total billed charges,192.6266822,,,,247,percent of total billed charges,999999999,,,,247,percent of total billed charges,188.1970238,,,,247,percent of total billed charges,181.7266749,,,,247,percent of total billed charges,192.6266822,,,,176.111,percent of total billed charges,87.88261184,,,,176.111,percent of total billed charges,52.58233432,,,,176.111,percent of total billed charges,87.88261184,,,,176.111,percent of total billed charges,52.58233432,,,,176.111,percent of total billed charges,87.88261184,,,,176.111,percent of total billed charges,52.58233432,,,,174.382,percent of total billed charges,173.0589164,,,,174.382,percent of total billed charges,119.3573629,,,,,,,,,,177.84,percent of total billed charges,115.591815,,,,,,,,,,177.84,percent of total billed charges,999999999,,,,,,,,,,197.6,percent of total billed charges,165.5785284,,,,195.13,percent of total billed charges,188.3088474,,,,195.13,percent of total billed charges,166.3771,,,,197.6,percent of total billed charges,999999999,,,,197.6,percent of total billed charges,999999999,,,,172.9,percent of total billed charges,999999999,,,,172.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,131.404,percent of total billed charges,999999999,,,,,,,,,,,,,,,,124.735,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,61.75,percent of total billed charges,58.6473954,,,,,,,,,,61.75,percent of total billed charges,57.67183588,,,,,,,,,,61.75,percent of total billed charges,57.51156832,,,,,,,,,,61.75,percent of total billed charges,56.66471117,,,,,,,,,,61.75,percent of total billed charges,58.1227775,,,,,,,,,,61.75,percent of total billed charges,999999999,,,,,,,,,,61.75,percent of total billed charges,49.8734361,,,,,,,,,,61.75,percent of total billed charges,78.65384799,,,,,,,,,,61.75,percent of total billed charges,999999999,,,,,,,,,,61.75,percent of total billed charges,53.77576154,,,,,,,,,,222.3,percent of total billed charges,,,,,
**DRESSING TRAY (LARGE),272,RC,5486-8587-00,NDC,,both,1,EA,334,334,71.1032375,334,334,percent of total billed charges,245.7356656,,,,334,percent of total billed charges,260.4749467,,,,334,percent of total billed charges,245.7356656,,,,334,percent of total billed charges,260.4749467,,,,334,percent of total billed charges,999999999,,,,334,percent of total billed charges,254.4850443,,,,334,percent of total billed charges,245.7356656,,,,334,percent of total billed charges,260.4749467,,,,238.142,percent of total billed charges,118.837216,,,,238.142,percent of total billed charges,71.1032375,,,,238.142,percent of total billed charges,118.837216,,,,238.142,percent of total billed charges,71.1032375,,,,238.142,percent of total billed charges,118.837216,,,,238.142,percent of total billed charges,71.1032375,,,,235.804,percent of total billed charges,234.0148909,,,,235.804,percent of total billed charges,161.3982155,,,,,,,,,,240.48,percent of total billed charges,156.306341,,,,,,,,,,240.48,percent of total billed charges,999999999,,,,,,,,,,267.2,percent of total billed charges,223.8997105,,,,263.86,percent of total billed charges,254.6362552,,,,263.86,percent of total billed charges,224.9795603,,,,267.2,percent of total billed charges,999999999,,,,267.2,percent of total billed charges,999999999,,,,233.8,percent of total billed charges,999999999,,,,233.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,177.688,percent of total billed charges,999999999,,,,,,,,,,,,,,,,168.67,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,83.5,percent of total billed charges,79.30457515,,,,,,,,,,83.5,percent of total billed charges,77.98539751,,,,,,,,,,83.5,percent of total billed charges,77.76867943,,,,,,,,,,83.5,percent of total billed charges,76.62353657,,,,,,,,,,83.5,percent of total billed charges,78.59517281,,,,,,,,,,83.5,percent of total billed charges,999999999,,,,,,,,,,83.5,percent of total billed charges,67.44019294,,,,,,,,,,83.5,percent of total billed charges,106.3578349,,,,,,,,,,83.5,percent of total billed charges,999999999,,,,,,,,,,83.5,percent of total billed charges,72.71702168,,,,,,,,,,300.6,percent of total billed charges,,,,,
**SUTURE & DEBRIV REMOVAL SET,272,RC,5486-8587-00,NDC,,both,1,EA,76,76,16.17917979,76,76,percent of total billed charges,55.91589995,,,,76,percent of total billed charges,59.26974836,,,,76,percent of total billed charges,55.91589995,,,,76,percent of total billed charges,59.26974836,,,,76,percent of total billed charges,999999999,,,,76,percent of total billed charges,57.90677655,,,,76,percent of total billed charges,55.91589995,,,,76,percent of total billed charges,59.26974836,,,,54.188,percent of total billed charges,27.04080364,,,,54.188,percent of total billed charges,16.17917979,,,,54.188,percent of total billed charges,27.04080364,,,,54.188,percent of total billed charges,16.17917979,,,,54.188,percent of total billed charges,27.04080364,,,,54.188,percent of total billed charges,16.17917979,,,,53.656,percent of total billed charges,53.24889734,,,,53.656,percent of total billed charges,36.72534244,,,,,,,,,,54.72,percent of total billed charges,35.56671232,,,,,,,,,,54.72,percent of total billed charges,999999999,,,,,,,,,,60.8,percent of total billed charges,50.94723951,,,,60.04,percent of total billed charges,57.94118382,,,,60.04,percent of total billed charges,51.19295384,,,,60.8,percent of total billed charges,999999999,,,,60.8,percent of total billed charges,999999999,,,,53.2,percent of total billed charges,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,40.432,percent of total billed charges,999999999,,,,,,,,,,,,,,,,38.38,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19,percent of total billed charges,18.04535243,,,,,,,,,,19,percent of total billed charges,17.74518027,,,,,,,,,,19,percent of total billed charges,17.69586717,,,,,,,,,,19,percent of total billed charges,17.43529575,,,,,,,,,,19,percent of total billed charges,17.88393154,,,,,,,,,,19,percent of total billed charges,999999999,,,,,,,,,,19,percent of total billed charges,15.34567265,,,,,,,,,,19,percent of total billed charges,24.201184,,,,,,,,,,19,percent of total billed charges,999999999,,,,,,,,,,19,percent of total billed charges,16.54638817,,,,,,,,,,68.4,percent of total billed charges,,,,,
**EAR TRAY,271,RC,5486-8587-00,NDC,,both,1,EA,233,233,49.6019591,233,233,percent of total billed charges,171.4263775,,,,233,percent of total billed charges,181.7085706,,,,233,percent of total billed charges,171.4263775,,,,233,percent of total billed charges,181.7085706,,,,233,percent of total billed charges,999999999,,,,233,percent of total billed charges,177.529986,,,,233,percent of total billed charges,171.4263775,,,,233,percent of total billed charges,181.7085706,,,,166.129,percent of total billed charges,82.90141117,,,,166.129,percent of total billed charges,49.6019591,,,,166.129,percent of total billed charges,82.90141117,,,,166.129,percent of total billed charges,49.6019591,,,,166.129,percent of total billed charges,82.90141117,,,,166.129,percent of total billed charges,49.6019591,,,,164.498,percent of total billed charges,163.249909,,,,164.498,percent of total billed charges,112.5921683,,,,,,,,,,167.76,percent of total billed charges,109.0400523,,,,,,,,,,167.76,percent of total billed charges,999999999,,,,,,,,,,186.4,percent of total billed charges,156.1935106,,,,184.07,percent of total billed charges,177.6354714,,,,184.07,percent of total billed charges,156.946819,,,,186.4,percent of total billed charges,999999999,,,,186.4,percent of total billed charges,999999999,,,,163.1,percent of total billed charges,999999999,,,,163.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,123.956,percent of total billed charges,999999999,,,,,,,,,,,,,,,,117.665,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,58.25,percent of total billed charges,55.32325153,,,,,,,,,,58.25,percent of total billed charges,54.40298688,,,,,,,,,,58.25,percent of total billed charges,54.25180331,,,,,,,,,,58.25,percent of total billed charges,53.45294617,,,,,,,,,,58.25,percent of total billed charges,54.82836905,,,,,,,,,,58.25,percent of total billed charges,999999999,,,,,,,,,,58.25,percent of total billed charges,47.04660167,,,,,,,,,,58.25,percent of total billed charges,74.19573514,,,,,,,,,,58.25,percent of total billed charges,999999999,,,,,,,,,,58.25,percent of total billed charges,50.72774267,,,,,,,,,,209.7,percent of total billed charges,,,,,
**SUTURE PACK,272,RC,5486-8587-00,NDC,,both,1,EA,126,126,26.82337702,126,126,percent of total billed charges,92.70267624,,,,126,percent of total billed charges,98.26300386,,,,126,percent of total billed charges,92.70267624,,,,126,percent of total billed charges,98.26300386,,,,126,percent of total billed charges,999999999,,,,126,percent of total billed charges,96.00334007,,,,126,percent of total billed charges,92.70267624,,,,126,percent of total billed charges,98.26300386,,,,89.838,percent of total billed charges,44.83080604,,,,89.838,percent of total billed charges,26.82337702,,,,89.838,percent of total billed charges,44.83080604,,,,89.838,percent of total billed charges,26.82337702,,,,89.838,percent of total billed charges,44.83080604,,,,89.838,percent of total billed charges,26.82337702,,,,88.956,percent of total billed charges,88.28106665,,,,88.956,percent of total billed charges,60.88675195,,,,,,,,,,90.72,percent of total billed charges,58.96586517,,,,,,,,,,90.72,percent of total billed charges,999999999,,,,,,,,,,100.8,percent of total billed charges,84.46516024,,,,99.54,percent of total billed charges,96.0603837,,,,99.54,percent of total billed charges,84.87252874,,,,100.8,percent of total billed charges,999999999,,,,100.8,percent of total billed charges,999999999,,,,88.2,percent of total billed charges,999999999,,,,88.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,67.032,percent of total billed charges,999999999,,,,,,,,,,,,,,,,63.63,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,31.5,percent of total billed charges,29.91729482,,,,,,,,,,31.5,percent of total billed charges,29.41964098,,,,,,,,,,31.5,percent of total billed charges,29.33788505,,,,,,,,,,31.5,percent of total billed charges,28.90588505,,,,,,,,,,31.5,percent of total billed charges,29.64967597,,,,,,,,,,31.5,percent of total billed charges,999999999,,,,,,,,,,31.5,percent of total billed charges,25.44150991,,,,,,,,,,31.5,percent of total billed charges,40.12301557,,,,,,,,,,31.5,percent of total billed charges,999999999,,,,,,,,,,31.5,percent of total billed charges,27.43216985,,,,,,,,,,113.4,percent of total billed charges,,,,,
**FOUR QUAD TEST PACK,272,RC,5486-8587-00,NDC,,both,1,EA,163,163,34.70008297,163,163,percent of total billed charges,119.9248907,,,,163,percent of total billed charges,127.1180129,,,,163,percent of total billed charges,119.9248907,,,,163,percent of total billed charges,127.1180129,,,,163,percent of total billed charges,999999999,,,,163,percent of total billed charges,124.1947971,,,,163,percent of total billed charges,119.9248907,,,,163,percent of total billed charges,127.1180129,,,,116.219,percent of total billed charges,57.99540781,,,,116.219,percent of total billed charges,34.70008297,,,,116.219,percent of total billed charges,57.99540781,,,,116.219,percent of total billed charges,34.70008297,,,,116.219,percent of total billed charges,57.99540781,,,,116.219,percent of total billed charges,34.70008297,,,,115.078,percent of total billed charges,114.2048719,,,,115.078,percent of total billed charges,78.76619498,,,,,,,,,,117.36,percent of total billed charges,76.28123827,,,,,,,,,,117.36,percent of total billed charges,999999999,,,,,,,,,,130.4,percent of total billed charges,109.2684216,,,,128.77,percent of total billed charges,124.2685916,,,,128.77,percent of total billed charges,109.7954142,,,,130.4,percent of total billed charges,999999999,,,,130.4,percent of total billed charges,999999999,,,,114.1,percent of total billed charges,999999999,,,,114.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,86.716,percent of total billed charges,999999999,,,,,,,,,,,,,,,,82.315,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,40.75,percent of total billed charges,38.70253219,,,,,,,,,,40.75,percent of total billed charges,38.0587419,,,,,,,,,,40.75,percent of total billed charges,37.95297828,,,,,,,,,,40.75,percent of total billed charges,37.39412114,,,,,,,,,,40.75,percent of total billed charges,38.35632685,,,,,,,,,,40.75,percent of total billed charges,999999999,,,,,,,,,,40.75,percent of total billed charges,32.91242949,,,,,,,,,,40.75,percent of total billed charges,51.90517094,,,,,,,,,,40.75,percent of total billed charges,999999999,,,,,,,,,,40.75,percent of total billed charges,35.4876483,,,,,,,,,,146.7,percent of total billed charges,,,,,
**TRAY HICKMAN CATH,272,RC,5486-8587-00,NDC,,both,1,EA,73,73,15.54052796,73,73,percent of total billed charges,53.70869338,,,,73,percent of total billed charges,56.93015303,,,,73,percent of total billed charges,53.70869338,,,,73,percent of total billed charges,56.93015303,,,,73,percent of total billed charges,999999999,,,,73,percent of total billed charges,55.62098274,,,,73,percent of total billed charges,53.70869338,,,,73,percent of total billed charges,56.93015303,,,,52.049,percent of total billed charges,25.9734035,,,,52.049,percent of total billed charges,15.54052796,,,,52.049,percent of total billed charges,25.9734035,,,,52.049,percent of total billed charges,15.54052796,,,,52.049,percent of total billed charges,25.9734035,,,,52.049,percent of total billed charges,15.54052796,,,,51.538,percent of total billed charges,51.14696718,,,,51.538,percent of total billed charges,35.27565787,,,,,,,,,,52.56,percent of total billed charges,34.16276315,,,,,,,,,,52.56,percent of total billed charges,999999999,,,,,,,,,,58.4,percent of total billed charges,48.93616427,,,,57.67,percent of total billed charges,55.65403182,,,,57.67,percent of total billed charges,49.17217935,,,,58.4,percent of total billed charges,999999999,,,,58.4,percent of total billed charges,999999999,,,,51.1,percent of total billed charges,999999999,,,,51.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,38.836,percent of total billed charges,999999999,,,,,,,,,,,,,,,,36.865,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18.25,percent of total billed charges,17.33303589,,,,,,,,,,18.25,percent of total billed charges,17.04471263,,,,,,,,,,18.25,percent of total billed charges,16.9973461,,,,,,,,,,18.25,percent of total billed charges,16.74706039,,,,,,,,,,18.25,percent of total billed charges,17.17798687,,,,,,,,,,18.25,percent of total billed charges,999999999,,,,,,,,,,18.25,percent of total billed charges,14.73992241,,,,,,,,,,18.25,percent of total billed charges,23.2458741,,,,,,,,,,18.25,percent of total billed charges,999999999,,,,,,,,,,18.25,percent of total billed charges,15.89324126,,,,,,,,,,65.7,percent of total billed charges,,,,,
**INCISION TRAY,272,RC,5486-8587-00,NDC,,both,1,EA,201,201,42.78967287,201,201,percent of total billed charges,147.8828407,,,,201,percent of total billed charges,156.7528871,,,,201,percent of total billed charges,147.8828407,,,,201,percent of total billed charges,156.7528871,,,,201,percent of total billed charges,999999999,,,,201,percent of total billed charges,153.1481854,,,,201,percent of total billed charges,147.8828407,,,,201,percent of total billed charges,156.7528871,,,,143.313,percent of total billed charges,71.51580963,,,,143.313,percent of total billed charges,42.78967287,,,,143.313,percent of total billed charges,71.51580963,,,,143.313,percent of total billed charges,42.78967287,,,,143.313,percent of total billed charges,71.51580963,,,,143.313,percent of total billed charges,42.78967287,,,,141.906,percent of total billed charges,140.8293206,,,,141.906,percent of total billed charges,97.1288662,,,,,,,,,,144.72,percent of total billed charges,94.06459443,,,,,,,,,,144.72,percent of total billed charges,999999999,,,,,,,,,,160.8,percent of total billed charges,134.7420413,,,,158.79,percent of total billed charges,153.2391835,,,,158.79,percent of total billed charges,135.3918911,,,,160.8,percent of total billed charges,999999999,,,,160.8,percent of total billed charges,999999999,,,,140.7,percent of total billed charges,999999999,,,,140.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,106.932,percent of total billed charges,999999999,,,,,,,,,,,,,,,,101.505,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,50.25,percent of total billed charges,47.7252084,,,,,,,,,,50.25,percent of total billed charges,46.93133203,,,,,,,,,,50.25,percent of total billed charges,46.80091187,,,,,,,,,,50.25,percent of total billed charges,46.11176901,,,,,,,,,,50.25,percent of total billed charges,47.29829262,,,,,,,,,,50.25,percent of total billed charges,999999999,,,,,,,,,,50.25,percent of total billed charges,40.58526581,,,,,,,,,,50.25,percent of total billed charges,64.00576294,,,,,,,,,,50.25,percent of total billed charges,999999999,,,,,,,,,,50.25,percent of total billed charges,43.76084239,,,,,,,,,,180.9,percent of total billed charges,,,,,
**LOCAL PREP TRAY,272,RC,5486-8587-00,NDC,,both,1,EA,256,256,54.49828982,256,256,percent of total billed charges,188.3482946,,,,256,percent of total billed charges,199.6454682,,,,256,percent of total billed charges,188.3482946,,,,256,percent of total billed charges,199.6454682,,,,256,percent of total billed charges,999999999,,,,256,percent of total billed charges,195.0544052,,,,256,percent of total billed charges,188.3482946,,,,256,percent of total billed charges,199.6454682,,,,182.528,percent of total billed charges,91.08481227,,,,182.528,percent of total billed charges,54.49828982,,,,182.528,percent of total billed charges,91.08481227,,,,182.528,percent of total billed charges,54.49828982,,,,182.528,percent of total billed charges,91.08481227,,,,182.528,percent of total billed charges,54.49828982,,,,180.736,percent of total billed charges,179.3647068,,,,180.736,percent of total billed charges,123.7064167,,,,,,,,,,184.32,percent of total billed charges,119.8036626,,,,,,,,,,184.32,percent of total billed charges,999999999,,,,,,,,,,204.8,percent of total billed charges,171.6117541,,,,202.24,percent of total billed charges,195.1703034,,,,202.24,percent of total billed charges,172.4394235,,,,204.8,percent of total billed charges,999999999,,,,204.8,percent of total billed charges,999999999,,,,179.2,percent of total billed charges,999999999,,,,179.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,136.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,129.28,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,64,percent of total billed charges,60.78434503,,,,,,,,,,64,percent of total billed charges,59.77323881,,,,,,,,,,64,percent of total billed charges,59.60713154,,,,,,,,,,64,percent of total billed charges,58.72941725,,,,,,,,,,64,percent of total billed charges,60.24061149,,,,,,,,,,64,percent of total billed charges,999999999,,,,,,,,,,64,percent of total billed charges,51.69068681,,,,,,,,,,64,percent of total billed charges,81.51977767,,,,,,,,,,64,percent of total billed charges,999999999,,,,,,,,,,64,percent of total billed charges,55.73520224,,,,,,,,,,230.4,percent of total billed charges,,,,,
**NEEDLE INTRA CARDIAC,272,RC,5486-8587-00,NDC,,both,1,EA,145,145,30.86817197,145,145,percent of total billed charges,106.6816512,,,,145,percent of total billed charges,113.080441,,,,145,percent of total billed charges,106.6816512,,,,145,percent of total billed charges,113.080441,,,,145,percent of total billed charges,999999999,,,,145,percent of total billed charges,110.4800342,,,,145,percent of total billed charges,106.6816512,,,,145,percent of total billed charges,113.080441,,,,103.385,percent of total billed charges,51.59100695,,,,103.385,percent of total billed charges,30.86817197,,,,103.385,percent of total billed charges,51.59100695,,,,103.385,percent of total billed charges,30.86817197,,,,103.385,percent of total billed charges,51.59100695,,,,103.385,percent of total billed charges,30.86817197,,,,102.37,percent of total billed charges,101.593291,,,,102.37,percent of total billed charges,70.06808756,,,,,,,,,,104.4,percent of total billed charges,67.85754325,,,,,,,,,,104.4,percent of total billed charges,999999999,,,,,,,,,,116,percent of total billed charges,97.20197012,,,,114.55,percent of total billed charges,110.5456796,,,,114.55,percent of total billed charges,97.6707672,,,,116,percent of total billed charges,999999999,,,,116,percent of total billed charges,999999999,,,,101.5,percent of total billed charges,999999999,,,,101.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,77.14,percent of total billed charges,999999999,,,,,,,,,,,,,,,,73.225,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,36.25,percent of total billed charges,34.42863293,,,,,,,,,,36.25,percent of total billed charges,33.85593604,,,,,,,,,,36.25,percent of total billed charges,33.76185185,,,,,,,,,,36.25,percent of total billed charges,33.26470899,,,,,,,,,,36.25,percent of total billed charges,34.12065885,,,,,,,,,,36.25,percent of total billed charges,999999999,,,,,,,,,,36.25,percent of total billed charges,29.27792807,,,,,,,,,,36.25,percent of total billed charges,46.17331157,,,,,,,,,,36.25,percent of total billed charges,999999999,,,,,,,,,,36.25,percent of total billed charges,31.5687669,,,,,,,,,,130.5,percent of total billed charges,,,,,
**PARACENTESIS TRAY,272,RC,5486-8587-00,NDC,,both,1,EA,392,392,83.45050629,392,392,percent of total billed charges,288.4083261,,,,392,percent of total billed charges,305.7071231,,,,392,percent of total billed charges,288.4083261,,,,392,percent of total billed charges,305.7071231,,,,392,percent of total billed charges,999999999,,,,392,percent of total billed charges,298.677058,,,,392,percent of total billed charges,288.4083261,,,,392,percent of total billed charges,305.7071231,,,,279.496,percent of total billed charges,139.4736188,,,,279.496,percent of total billed charges,83.45050629,,,,279.496,percent of total billed charges,139.4736188,,,,279.496,percent of total billed charges,83.45050629,,,,279.496,percent of total billed charges,139.4736188,,,,279.496,percent of total billed charges,83.45050629,,,,276.752,percent of total billed charges,274.6522073,,,,276.752,percent of total billed charges,189.4254505,,,,,,,,,,282.24,percent of total billed charges,183.4493583,,,,,,,,,,282.24,percent of total billed charges,999999999,,,,,,,,,,313.6,percent of total billed charges,262.7804985,,,,309.68,percent of total billed charges,298.8545271,,,,309.68,percent of total billed charges,264.0478672,,,,313.6,percent of total billed charges,999999999,,,,313.6,percent of total billed charges,999999999,,,,274.4,percent of total billed charges,999999999,,,,274.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,208.544,percent of total billed charges,999999999,,,,,,,,,,,,,,,,197.96,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,98,percent of total billed charges,93.07602832,,,,,,,,,,98,percent of total billed charges,91.52777192,,,,,,,,,,98,percent of total billed charges,91.27342016,,,,,,,,,,98,percent of total billed charges,89.92942016,,,,,,,,,,98,percent of total billed charges,92.24343635,,,,,,,,,,98,percent of total billed charges,999999999,,,,,,,,,,98,percent of total billed charges,79.15136417,,,,,,,,,,98,percent of total billed charges,124.8271596,,,,,,,,,,98,percent of total billed charges,999999999,,,,,,,,,,98,percent of total billed charges,85.34452844,,,,,,,,,,352.8,percent of total billed charges,,,,,
**PELVIC EXAM TRAY,272,RC,5486-8587-00,NDC,,both,1,EA,145,145,30.86817197,145,145,percent of total billed charges,106.6816512,,,,145,percent of total billed charges,113.080441,,,,145,percent of total billed charges,106.6816512,,,,145,percent of total billed charges,113.080441,,,,145,percent of total billed charges,999999999,,,,145,percent of total billed charges,110.4800342,,,,145,percent of total billed charges,106.6816512,,,,145,percent of total billed charges,113.080441,,,,103.385,percent of total billed charges,51.59100695,,,,103.385,percent of total billed charges,30.86817197,,,,103.385,percent of total billed charges,51.59100695,,,,103.385,percent of total billed charges,30.86817197,,,,103.385,percent of total billed charges,51.59100695,,,,103.385,percent of total billed charges,30.86817197,,,,102.37,percent of total billed charges,101.593291,,,,102.37,percent of total billed charges,70.06808756,,,,,,,,,,104.4,percent of total billed charges,67.85754325,,,,,,,,,,104.4,percent of total billed charges,999999999,,,,,,,,,,116,percent of total billed charges,97.20197012,,,,114.55,percent of total billed charges,110.5456796,,,,114.55,percent of total billed charges,97.6707672,,,,116,percent of total billed charges,999999999,,,,116,percent of total billed charges,999999999,,,,101.5,percent of total billed charges,999999999,,,,101.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,77.14,percent of total billed charges,999999999,,,,,,,,,,,,,,,,73.225,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,36.25,percent of total billed charges,34.42863293,,,,,,,,,,36.25,percent of total billed charges,33.85593604,,,,,,,,,,36.25,percent of total billed charges,33.76185185,,,,,,,,,,36.25,percent of total billed charges,33.26470899,,,,,,,,,,36.25,percent of total billed charges,34.12065885,,,,,,,,,,36.25,percent of total billed charges,999999999,,,,,,,,,,36.25,percent of total billed charges,29.27792807,,,,,,,,,,36.25,percent of total billed charges,46.17331157,,,,,,,,,,36.25,percent of total billed charges,999999999,,,,,,,,,,36.25,percent of total billed charges,31.5687669,,,,,,,,,,130.5,percent of total billed charges,,,,,
**SUBCLAVIAN INS + DRSG TRAY,272,RC,5486-8587-00,NDC,,both,1,EA,272,272,57.90443294,272,272,percent of total billed charges,200.120063,,,,272,percent of total billed charges,212.1233099,,,,272,percent of total billed charges,200.120063,,,,272,percent of total billed charges,212.1233099,,,,272,percent of total billed charges,999999999,,,,272,percent of total billed charges,207.2453056,,,,272,percent of total billed charges,200.120063,,,,272,percent of total billed charges,212.1233099,,,,193.936,percent of total billed charges,96.77761304,,,,193.936,percent of total billed charges,57.90443294,,,,193.936,percent of total billed charges,96.77761304,,,,193.936,percent of total billed charges,57.90443294,,,,193.936,percent of total billed charges,96.77761304,,,,193.936,percent of total billed charges,57.90443294,,,,192.032,percent of total billed charges,190.575001,,,,192.032,percent of total billed charges,131.4380677,,,,,,,,,,195.84,percent of total billed charges,127.2913915,,,,,,,,,,195.84,percent of total billed charges,999999999,,,,,,,,,,217.6,percent of total billed charges,182.3374888,,,,214.88,percent of total billed charges,207.3684473,,,,214.88,percent of total billed charges,183.2168874,,,,217.6,percent of total billed charges,999999999,,,,217.6,percent of total billed charges,999999999,,,,190.4,percent of total billed charges,999999999,,,,190.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,144.704,percent of total billed charges,999999999,,,,,,,,,,,,,,,,137.36,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,68,percent of total billed charges,64.58336659,,,,,,,,,,68,percent of total billed charges,63.50906623,,,,,,,,,,68,percent of total billed charges,63.33257726,,,,,,,,,,68,percent of total billed charges,62.40000583,,,,,,,,,,68,percent of total billed charges,64.00564971,,,,,,,,,,68,percent of total billed charges,999999999,,,,,,,,,,68,percent of total billed charges,54.92135473,,,,,,,,,,68,percent of total billed charges,86.61476377,,,,,,,,,,68,percent of total billed charges,999999999,,,,,,,,,,68,percent of total billed charges,59.21865238,,,,,,,,,,244.8,percent of total billed charges,,,,,
**VENOGRAM TRAY,272,RC,5486-8587-00,NDC,,both,1,EA,412,412,87.70818519,412,412,percent of total billed charges,303.1230366,,,,412,percent of total billed charges,321.3044253,,,,412,percent of total billed charges,303.1230366,,,,412,percent of total billed charges,321.3044253,,,,412,percent of total billed charges,999999999,,,,412,percent of total billed charges,313.9156834,,,,412,percent of total billed charges,303.1230366,,,,412,percent of total billed charges,321.3044253,,,,293.756,percent of total billed charges,146.5896197,,,,293.756,percent of total billed charges,87.70818519,,,,293.756,percent of total billed charges,146.5896197,,,,293.756,percent of total billed charges,87.70818519,,,,293.756,percent of total billed charges,146.5896197,,,,293.756,percent of total billed charges,87.70818519,,,,290.872,percent of total billed charges,288.6650751,,,,290.872,percent of total billed charges,199.0900143,,,,,,,,,,296.64,percent of total billed charges,192.8090194,,,,,,,,,,296.64,percent of total billed charges,999999999,,,,,,,,,,329.6,percent of total billed charges,276.1876668,,,,325.48,percent of total billed charges,314.102207,,,,325.48,percent of total billed charges,277.5196972,,,,329.6,percent of total billed charges,999999999,,,,329.6,percent of total billed charges,999999999,,,,288.4,percent of total billed charges,999999999,,,,288.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,219.184,percent of total billed charges,999999999,,,,,,,,,,,,,,,,208.06,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,103,percent of total billed charges,97.82480528,,,,,,,,,,103,percent of total billed charges,96.19755621,,,,,,,,,,103,percent of total billed charges,95.93022732,,,,,,,,,,103,percent of total billed charges,94.51765589,,,,,,,,,,103,percent of total billed charges,96.94973412,,,,,,,,,,103,percent of total billed charges,999999999,,,,,,,,,,103,percent of total billed charges,83.18969908,,,,,,,,,,103,percent of total billed charges,131.1958922,,,,,,,,,,103,percent of total billed charges,999999999,,,,,,,,,,103,percent of total billed charges,89.69884111,,,,,,,,,,370.8,percent of total billed charges,,,,,
**MAJOR PACK,272,RC,5486-8587-00,NDC,,both,1,EA,249,249,53.00810221,249,249,percent of total billed charges,183.1981459,,,,249,percent of total billed charges,194.1864124,,,,249,percent of total billed charges,183.1981459,,,,249,percent of total billed charges,194.1864124,,,,249,percent of total billed charges,999999999,,,,249,percent of total billed charges,189.7208863,,,,249,percent of total billed charges,183.1981459,,,,249,percent of total billed charges,194.1864124,,,,177.537,percent of total billed charges,88.59421193,,,,177.537,percent of total billed charges,53.00810221,,,,177.537,percent of total billed charges,88.59421193,,,,177.537,percent of total billed charges,53.00810221,,,,177.537,percent of total billed charges,88.59421193,,,,177.537,percent of total billed charges,53.00810221,,,,175.794,percent of total billed charges,174.4602031,,,,175.794,percent of total billed charges,120.3238193,,,,,,,,,,179.28,percent of total billed charges,116.5277812,,,,,,,,,,179.28,percent of total billed charges,999999999,,,,,,,,,,199.2,percent of total billed charges,166.9192452,,,,196.71,percent of total billed charges,189.8336154,,,,196.71,percent of total billed charges,167.724283,,,,199.2,percent of total billed charges,999999999,,,,199.2,percent of total billed charges,999999999,,,,174.3,percent of total billed charges,999999999,,,,174.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,132.468,percent of total billed charges,999999999,,,,,,,,,,,,,,,,125.745,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,62.25,percent of total billed charges,59.12227309,,,,,,,,,,62.25,percent of total billed charges,58.13881431,,,,,,,,,,62.25,percent of total billed charges,57.97724903,,,,,,,,,,62.25,percent of total billed charges,57.12353475,,,,,,,,,,62.25,percent of total billed charges,58.59340727,,,,,,,,,,62.25,percent of total billed charges,999999999,,,,,,,,,,62.25,percent of total billed charges,50.27726959,,,,,,,,,,62.25,percent of total billed charges,79.29072125,,,,,,,,,,62.25,percent of total billed charges,999999999,,,,,,,,,,62.25,percent of total billed charges,54.21119281,,,,,,,,,,224.1,percent of total billed charges,,,,,
**SPONGE PACK,272,RC,5486-8587-00,NDC,,both,1,EA,12,12,2.554607335,12,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,12,percent of total billed charges,999999999,,,,12,percent of total billed charges,9.143175245,,,,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.472,percent of total billed charges,8.407720633,,,,8.472,percent of total billed charges,5.79873828,,,,,,,,,,8.64,percent of total billed charges,5.615796683,,,,,,,,,,8.64,percent of total billed charges,999999999,,,,,,,,,,9.6,percent of total billed charges,8.044300975,,,,9.48,percent of total billed charges,9.148607971,,,,9.48,percent of total billed charges,8.083097975,,,,9.6,percent of total billed charges,999999999,,,,9.6,percent of total billed charges,999999999,,,,8.4,percent of total billed charges,999999999,,,,8.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.384,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.06,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3,percent of total billed charges,2.849266173,,,,,,,,,,3,percent of total billed charges,2.801870569,,,,,,,,,,3,percent of total billed charges,2.794084291,,,,,,,,,,3,percent of total billed charges,2.752941434,,,,,,,,,,3,percent of total billed charges,2.823778664,,,,,,,,,,3,percent of total billed charges,999999999,,,,,,,,,,3,percent of total billed charges,2.423000944,,,,,,,,,,3,percent of total billed charges,3.821239578,,,,,,,,,,3,percent of total billed charges,999999999,,,,,,,,,,3,percent of total billed charges,2.612587605,,,,,,,,,,10.8,percent of total billed charges,,,,,
**MINOR PACK,272,RC,5486-8587-00,NDC,,both,1,EA,128,128,27.24914491,128,128,percent of total billed charges,94.17414729,,,,128,percent of total billed charges,99.82273408,,,,128,percent of total billed charges,94.17414729,,,,128,percent of total billed charges,99.82273408,,,,128,percent of total billed charges,999999999,,,,128,percent of total billed charges,97.52720261,,,,128,percent of total billed charges,94.17414729,,,,128,percent of total billed charges,99.82273408,,,,91.264,percent of total billed charges,45.54240613,,,,91.264,percent of total billed charges,27.24914491,,,,91.264,percent of total billed charges,45.54240613,,,,91.264,percent of total billed charges,27.24914491,,,,91.264,percent of total billed charges,45.54240613,,,,91.264,percent of total billed charges,27.24914491,,,,90.368,percent of total billed charges,89.68235342,,,,90.368,percent of total billed charges,61.85320833,,,,,,,,,,92.16,percent of total billed charges,59.90183128,,,,,,,,,,92.16,percent of total billed charges,999999999,,,,,,,,,,102.4,percent of total billed charges,85.80587707,,,,101.12,percent of total billed charges,97.58515169,,,,101.12,percent of total billed charges,86.21971174,,,,102.4,percent of total billed charges,999999999,,,,102.4,percent of total billed charges,999999999,,,,89.6,percent of total billed charges,999999999,,,,89.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,68.096,percent of total billed charges,999999999,,,,,,,,,,,,,,,,64.64,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,32,percent of total billed charges,30.39217251,,,,,,,,,,32,percent of total billed charges,29.8866194,,,,,,,,,,32,percent of total billed charges,29.80356577,,,,,,,,,,32,percent of total billed charges,29.36470862,,,,,,,,,,32,percent of total billed charges,30.12030575,,,,,,,,,,32,percent of total billed charges,999999999,,,,,,,,,,32,percent of total billed charges,25.8453434,,,,,,,,,,32,percent of total billed charges,40.75988883,,,,,,,,,,32,percent of total billed charges,999999999,,,,,,,,,,32,percent of total billed charges,27.86760112,,,,,,,,,,115.2,percent of total billed charges,,,,,
**PREP BASIN STERILE,272,RC,5486-8587-00,NDC,,both,1,EA,28,28,5.960750449,28,28,percent of total billed charges,20.60059472,,,,28,percent of total billed charges,21.83622308,,,,28,percent of total billed charges,20.60059472,,,,28,percent of total billed charges,21.83622308,,,,28,percent of total billed charges,999999999,,,,28,percent of total billed charges,21.33407557,,,,28,percent of total billed charges,20.60059472,,,,28,percent of total billed charges,21.83622308,,,,19.964,percent of total billed charges,9.962401342,,,,19.964,percent of total billed charges,5.960750449,,,,19.964,percent of total billed charges,9.962401342,,,,19.964,percent of total billed charges,5.960750449,,,,19.964,percent of total billed charges,9.962401342,,,,19.964,percent of total billed charges,5.960750449,,,,19.768,percent of total billed charges,19.61801481,,,,19.768,percent of total billed charges,13.53038932,,,,,,,,,,20.16,percent of total billed charges,13.10352559,,,,,,,,,,20.16,percent of total billed charges,999999999,,,,,,,,,,22.4,percent of total billed charges,18.77003561,,,,22.12,percent of total billed charges,21.34675193,,,,22.12,percent of total billed charges,18.86056194,,,,22.4,percent of total billed charges,999999999,,,,22.4,percent of total billed charges,999999999,,,,19.6,percent of total billed charges,999999999,,,,19.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,14.896,percent of total billed charges,999999999,,,,,,,,,,,,,,,,14.14,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7,percent of total billed charges,6.648287737,,,,,,,,,,7,percent of total billed charges,6.537697995,,,,,,,,,,7,percent of total billed charges,6.519530012,,,,,,,,,,7,percent of total billed charges,6.423530012,,,,,,,,,,7,percent of total billed charges,6.588816882,,,,,,,,,,7,percent of total billed charges,999999999,,,,,,,,,,7,percent of total billed charges,5.65366887,,,,,,,,,,7,percent of total billed charges,8.916225683,,,,,,,,,,7,percent of total billed charges,999999999,,,,,,,,,,7,percent of total billed charges,6.096037745,,,,,,,,,,25.2,percent of total billed charges,,,,,
**HEAT THERAPY MACHINE,271,RC,5486-8587-00,NDC,,both,1,EA,410,410,87.2824173,410,410,percent of total billed charges,301.6515655,,,,410,percent of total billed charges,319.7446951,,,,410,percent of total billed charges,301.6515655,,,,410,percent of total billed charges,319.7446951,,,,410,percent of total billed charges,999999999,,,,410,percent of total billed charges,312.3918209,,,,410,percent of total billed charges,301.6515655,,,,410,percent of total billed charges,319.7446951,,,,292.33,percent of total billed charges,145.8780197,,,,292.33,percent of total billed charges,87.2824173,,,,292.33,percent of total billed charges,145.8780197,,,,292.33,percent of total billed charges,87.2824173,,,,292.33,percent of total billed charges,145.8780197,,,,292.33,percent of total billed charges,87.2824173,,,,289.46,percent of total billed charges,287.2637883,,,,289.46,percent of total billed charges,198.1235579,,,,,,,,,,295.2,percent of total billed charges,191.8730533,,,,,,,,,,295.2,percent of total billed charges,999999999,,,,,,,,,,328,percent of total billed charges,274.84695,,,,323.9,percent of total billed charges,312.577439,,,,323.9,percent of total billed charges,276.1725142,,,,328,percent of total billed charges,999999999,,,,328,percent of total billed charges,999999999,,,,287,percent of total billed charges,999999999,,,,287,percent of total billed charges,999999999,,,,,,,,,,,,,,,,218.12,percent of total billed charges,999999999,,,,,,,,,,,,,,,,207.05,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,102.5,percent of total billed charges,97.34992758,,,,,,,,,,102.5,percent of total billed charges,95.73057778,,,,,,,,,,102.5,percent of total billed charges,95.4645466,,,,,,,,,,102.5,percent of total billed charges,94.05883231,,,,,,,,,,102.5,percent of total billed charges,96.47910435,,,,,,,,,,102.5,percent of total billed charges,999999999,,,,,,,,,,102.5,percent of total billed charges,82.78586559,,,,,,,,,,102.5,percent of total billed charges,130.5590189,,,,,,,,,,102.5,percent of total billed charges,999999999,,,,,,,,,,102.5,percent of total billed charges,89.26340984,,,,,,,,,,369,percent of total billed charges,,,,,
**SUCTION MACHINE,271,RC,5486-8587-00,NDC,,both,1,EA,618,618,131.5622778,618,618,percent of total billed charges,454.6845549,,,,618,percent of total billed charges,481.956638,,,,618,percent of total billed charges,454.6845549,,,,618,percent of total billed charges,481.956638,,,,618,percent of total billed charges,999999999,,,,618,percent of total billed charges,470.8735251,,,,618,percent of total billed charges,454.6845549,,,,618,percent of total billed charges,481.956638,,,,440.634,percent of total billed charges,219.8844296,,,,440.634,percent of total billed charges,131.5622778,,,,440.634,percent of total billed charges,219.8844296,,,,440.634,percent of total billed charges,131.5622778,,,,440.634,percent of total billed charges,219.8844296,,,,440.634,percent of total billed charges,131.5622778,,,,436.308,percent of total billed charges,432.9976126,,,,436.308,percent of total billed charges,298.6350214,,,,,,,,,,444.96,percent of total billed charges,289.2135292,,,,,,,,,,444.96,percent of total billed charges,999999999,,,,,,,,,,494.4,percent of total billed charges,414.2815002,,,,488.22,percent of total billed charges,471.1533105,,,,488.22,percent of total billed charges,416.2795457,,,,494.4,percent of total billed charges,999999999,,,,494.4,percent of total billed charges,999999999,,,,432.6,percent of total billed charges,999999999,,,,432.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,328.776,percent of total billed charges,999999999,,,,,,,,,,,,,,,,312.09,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,154.5,percent of total billed charges,146.7372079,,,,,,,,,,154.5,percent of total billed charges,144.2963343,,,,,,,,,,154.5,percent of total billed charges,143.895341,,,,,,,,,,154.5,percent of total billed charges,141.7764838,,,,,,,,,,154.5,percent of total billed charges,145.4246012,,,,,,,,,,154.5,percent of total billed charges,999999999,,,,,,,,,,154.5,percent of total billed charges,124.7845486,,,,,,,,,,154.5,percent of total billed charges,196.7938383,,,,,,,,,,154.5,percent of total billed charges,999999999,,,,,,,,,,154.5,percent of total billed charges,134.5482617,,,,,,,,,,556.2,percent of total billed charges,,,,,
**HANDTOWELS (2) STERILE,272,RC,5486-8587-00,NDC,,both,1,EA,46,46,9.792661453,46,46,percent of total billed charges,33.84383418,,,,46,percent of total billed charges,35.87379506,,,,46,percent of total billed charges,33.84383418,,,,46,percent of total billed charges,35.87379506,,,,46,percent of total billed charges,999999999,,,,46,percent of total billed charges,35.04883844,,,,46,percent of total billed charges,33.84383418,,,,46,percent of total billed charges,35.87379506,,,,32.798,percent of total billed charges,16.3668022,,,,32.798,percent of total billed charges,9.792661453,,,,32.798,percent of total billed charges,16.3668022,,,,32.798,percent of total billed charges,9.792661453,,,,32.798,percent of total billed charges,16.3668022,,,,32.798,percent of total billed charges,9.792661453,,,,32.476,percent of total billed charges,32.22959576,,,,32.476,percent of total billed charges,22.22849674,,,,,,,,,,33.12,percent of total billed charges,21.52722062,,,,,,,,,,33.12,percent of total billed charges,999999999,,,,,,,,,,36.8,percent of total billed charges,30.83648707,,,,36.34,percent of total billed charges,35.06966389,,,,36.34,percent of total billed charges,30.98520891,,,,36.8,percent of total billed charges,999999999,,,,36.8,percent of total billed charges,999999999,,,,32.2,percent of total billed charges,999999999,,,,32.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,24.472,percent of total billed charges,999999999,,,,,,,,,,,,,,,,23.23,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11.5,percent of total billed charges,10.922187,,,,,,,,,,11.5,percent of total billed charges,10.74050385,,,,,,,,,,11.5,percent of total billed charges,10.71065645,,,,,,,,,,11.5,percent of total billed charges,10.55294216,,,,,,,,,,11.5,percent of total billed charges,10.82448488,,,,,,,,,,11.5,percent of total billed charges,999999999,,,,,,,,,,11.5,percent of total billed charges,9.288170286,,,,,,,,,,11.5,percent of total billed charges,14.64808505,,,,,,,,,,11.5,percent of total billed charges,999999999,,,,,,,,,,11.5,percent of total billed charges,10.01491915,,,,,,,,,,41.4,percent of total billed charges,,,,,
**TOWELS (2 BATH),272,RC,5486-8587-00,NDC,,both,1,EA,34,34,7.238054117,34,34,percent of total billed charges,25.01500787,,,,34,percent of total billed charges,26.51541374,,,,34,percent of total billed charges,25.01500787,,,,34,percent of total billed charges,26.51541374,,,,34,percent of total billed charges,999999999,,,,34,percent of total billed charges,25.90566319,,,,34,percent of total billed charges,25.01500787,,,,34,percent of total billed charges,26.51541374,,,,24.242,percent of total billed charges,12.09720163,,,,24.242,percent of total billed charges,7.238054117,,,,24.242,percent of total billed charges,12.09720163,,,,24.242,percent of total billed charges,7.238054117,,,,24.242,percent of total billed charges,12.09720163,,,,24.242,percent of total billed charges,7.238054117,,,,24.004,percent of total billed charges,23.82187513,,,,24.004,percent of total billed charges,16.42975846,,,,,,,,,,24.48,percent of total billed charges,15.91142393,,,,,,,,,,24.48,percent of total billed charges,999999999,,,,,,,,,,27.2,percent of total billed charges,22.7921861,,,,26.86,percent of total billed charges,25.92105592,,,,26.86,percent of total billed charges,22.90211093,,,,27.2,percent of total billed charges,999999999,,,,27.2,percent of total billed charges,999999999,,,,23.8,percent of total billed charges,999999999,,,,23.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,18.088,percent of total billed charges,999999999,,,,,,,,,,,,,,,,17.17,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8.5,percent of total billed charges,8.072920824,,,,,,,,,,8.5,percent of total billed charges,7.938633279,,,,,,,,,,8.5,percent of total billed charges,7.916572157,,,,,,,,,,8.5,percent of total billed charges,7.800000728,,,,,,,,,,8.5,percent of total billed charges,8.000706214,,,,,,,,,,8.5,percent of total billed charges,999999999,,,,,,,,,,8.5,percent of total billed charges,6.865169342,,,,,,,,,,8.5,percent of total billed charges,10.82684547,,,,,,,,,,8.5,percent of total billed charges,999999999,,,,,,,,,,8.5,percent of total billed charges,7.402331548,,,,,,,,,,30.6,percent of total billed charges,,,,,
**KALTOSTAT WOUND PACKING,272,RC,5486-8587-00,NDC,,both,1,EA,11,11,2.341723391,11,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,11,percent of total billed charges,999999999,,,,11,percent of total billed charges,8.381243975,,,,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.766,percent of total billed charges,7.707077247,,,,7.766,percent of total billed charges,5.31551009,,,,,,,,,,7.92,percent of total billed charges,5.147813626,,,,,,,,,,7.92,percent of total billed charges,999999999,,,,,,,,,,8.8,percent of total billed charges,7.373942561,,,,8.69,percent of total billed charges,8.386223973,,,,8.69,percent of total billed charges,7.409506477,,,,8.8,percent of total billed charges,999999999,,,,8.8,percent of total billed charges,999999999,,,,7.7,percent of total billed charges,999999999,,,,7.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.852,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.555,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.75,percent of total billed charges,2.611827325,,,,,,,,,,2.75,percent of total billed charges,2.568381355,,,,,,,,,,2.75,percent of total billed charges,2.561243933,,,,,,,,,,2.75,percent of total billed charges,2.523529647,,,,,,,,,,2.75,percent of total billed charges,2.588463775,,,,,,,,,,2.75,percent of total billed charges,999999999,,,,,,,,,,2.75,percent of total billed charges,2.221084199,,,,,,,,,,2.75,percent of total billed charges,3.502802947,,,,,,,,,,2.75,percent of total billed charges,999999999,,,,,,,,,,2.75,percent of total billed charges,2.394871971,,,,,,,,,,9.9,percent of total billed charges,,,,,
**KALTOSTAT FORTEX WOUND DRESSING,272,RC,5486-8587-00,NDC,,both,1,EA,21,21,4.470562837,21,21,percent of total billed charges,15.45044604,,,,21,percent of total billed charges,16.37716731,,,,21,percent of total billed charges,15.45044604,,,,21,percent of total billed charges,16.37716731,,,,21,percent of total billed charges,999999999,,,,21,percent of total billed charges,16.00055668,,,,21,percent of total billed charges,15.45044604,,,,21,percent of total billed charges,16.37716731,,,,14.973,percent of total billed charges,7.471801006,,,,14.973,percent of total billed charges,4.470562837,,,,14.973,percent of total billed charges,7.471801006,,,,14.973,percent of total billed charges,4.470562837,,,,14.973,percent of total billed charges,7.471801006,,,,14.973,percent of total billed charges,4.470562837,,,,14.826,percent of total billed charges,14.71351111,,,,14.826,percent of total billed charges,10.14779199,,,,,,,,,,15.12,percent of total billed charges,9.827644194,,,,,,,,,,15.12,percent of total billed charges,999999999,,,,,,,,,,16.8,percent of total billed charges,14.07752671,,,,16.59,percent of total billed charges,16.01006395,,,,16.59,percent of total billed charges,14.14542146,,,,16.8,percent of total billed charges,999999999,,,,16.8,percent of total billed charges,999999999,,,,14.7,percent of total billed charges,999999999,,,,14.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,11.172,percent of total billed charges,999999999,,,,,,,,,,,,,,,,10.605,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5.25,percent of total billed charges,4.986215803,,,,,,,,,,5.25,percent of total billed charges,4.903273496,,,,,,,,,,5.25,percent of total billed charges,4.889647509,,,,,,,,,,5.25,percent of total billed charges,4.817647509,,,,,,,,,,5.25,percent of total billed charges,4.941612662,,,,,,,,,,5.25,percent of total billed charges,999999999,,,,,,,,,,5.25,percent of total billed charges,4.240251652,,,,,,,,,,5.25,percent of total billed charges,6.687169262,,,,,,,,,,5.25,percent of total billed charges,999999999,,,,,,,,,,5.25,percent of total billed charges,4.572028309,,,,,,,,,,18.9,percent of total billed charges,,,,,
**SORB SAN FORTEX WOUND DRESSING,272,RC,5486-8587-00,NDC,,both,1,EA,14,14,2.980375225,14,14,percent of total billed charges,10.30029736,,,,14,percent of total billed charges,10.91811154,,,,14,percent of total billed charges,10.30029736,,,,14,percent of total billed charges,10.91811154,,,,14,percent of total billed charges,999999999,,,,14,percent of total billed charges,10.66703779,,,,14,percent of total billed charges,10.30029736,,,,14,percent of total billed charges,10.91811154,,,,9.982,percent of total billed charges,4.981200671,,,,9.982,percent of total billed charges,2.980375225,,,,9.982,percent of total billed charges,4.981200671,,,,9.982,percent of total billed charges,2.980375225,,,,9.982,percent of total billed charges,4.981200671,,,,9.982,percent of total billed charges,2.980375225,,,,9.884,percent of total billed charges,9.809007405,,,,9.884,percent of total billed charges,6.765194661,,,,,,,,,,10.08,percent of total billed charges,6.551762796,,,,,,,,,,10.08,percent of total billed charges,999999999,,,,,,,,,,11.2,percent of total billed charges,9.385017804,,,,11.06,percent of total billed charges,10.67337597,,,,11.06,percent of total billed charges,9.430280971,,,,11.2,percent of total billed charges,999999999,,,,11.2,percent of total billed charges,999999999,,,,9.8,percent of total billed charges,999999999,,,,9.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,7.448,percent of total billed charges,999999999,,,,,,,,,,,,,,,,7.07,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3.5,percent of total billed charges,3.324143869,,,,,,,,,,3.5,percent of total billed charges,3.268848997,,,,,,,,,,3.5,percent of total billed charges,3.259765006,,,,,,,,,,3.5,percent of total billed charges,3.211765006,,,,,,,,,,3.5,percent of total billed charges,3.294408441,,,,,,,,,,3.5,percent of total billed charges,999999999,,,,,,,,,,3.5,percent of total billed charges,2.826834435,,,,,,,,,,3.5,percent of total billed charges,4.458112841,,,,,,,,,,3.5,percent of total billed charges,999999999,,,,,,,,,,3.5,percent of total billed charges,3.048018873,,,,,,,,,,12.6,percent of total billed charges,,,,,
**SORB SAN 4X4 DRESSING,272,RC,5486-8587-00,NDC,,both,1,EA,11,11,2.341723391,11,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,11,percent of total billed charges,999999999,,,,11,percent of total billed charges,8.381243975,,,,11,percent of total billed charges,8.093090783,,,,11,percent of total billed charges,8.57851621,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.843,percent of total billed charges,3.913800527,,,,7.843,percent of total billed charges,2.341723391,,,,7.766,percent of total billed charges,7.707077247,,,,7.766,percent of total billed charges,5.31551009,,,,,,,,,,7.92,percent of total billed charges,5.147813626,,,,,,,,,,7.92,percent of total billed charges,999999999,,,,,,,,,,8.8,percent of total billed charges,7.373942561,,,,8.69,percent of total billed charges,8.386223973,,,,8.69,percent of total billed charges,7.409506477,,,,8.8,percent of total billed charges,999999999,,,,8.8,percent of total billed charges,999999999,,,,7.7,percent of total billed charges,999999999,,,,7.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.852,percent of total billed charges,999999999,,,,,,,,,,,,,,,,5.555,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.75,percent of total billed charges,2.611827325,,,,,,,,,,2.75,percent of total billed charges,2.568381355,,,,,,,,,,2.75,percent of total billed charges,2.561243933,,,,,,,,,,2.75,percent of total billed charges,2.523529647,,,,,,,,,,2.75,percent of total billed charges,2.588463775,,,,,,,,,,2.75,percent of total billed charges,999999999,,,,,,,,,,2.75,percent of total billed charges,2.221084199,,,,,,,,,,2.75,percent of total billed charges,3.502802947,,,,,,,,,,2.75,percent of total billed charges,999999999,,,,,,,,,,2.75,percent of total billed charges,2.394871971,,,,,,,,,,9.9,percent of total billed charges,,,,,
**SORB SAN 4X8 DRESSING,272,RC,5486-8587-00,NDC,,both,1,EA,17,17,3.619027059,17,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,17,percent of total billed charges,999999999,,,,17,percent of total billed charges,12.9528316,,,,17,percent of total billed charges,12.50750394,,,,17,percent of total billed charges,13.25770687,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.121,percent of total billed charges,6.048600815,,,,12.121,percent of total billed charges,3.619027059,,,,12.002,percent of total billed charges,11.91093756,,,,12.002,percent of total billed charges,8.214879231,,,,,,,,,,12.24,percent of total billed charges,7.955711967,,,,,,,,,,12.24,percent of total billed charges,999999999,,,,,,,,,,13.6,percent of total billed charges,11.39609305,,,,13.43,percent of total billed charges,12.96052796,,,,13.43,percent of total billed charges,11.45105547,,,,13.6,percent of total billed charges,999999999,,,,13.6,percent of total billed charges,999999999,,,,11.9,percent of total billed charges,999999999,,,,11.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,9.044,percent of total billed charges,999999999,,,,,,,,,,,,,,,,8.585,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4.25,percent of total billed charges,4.036460412,,,,,,,,,,4.25,percent of total billed charges,3.96931664,,,,,,,,,,4.25,percent of total billed charges,3.958286079,,,,,,,,,,4.25,percent of total billed charges,3.900000364,,,,,,,,,,4.25,percent of total billed charges,4.000353107,,,,,,,,,,4.25,percent of total billed charges,999999999,,,,,,,,,,4.25,percent of total billed charges,3.432584671,,,,,,,,,,4.25,percent of total billed charges,5.413422736,,,,,,,,,,4.25,percent of total billed charges,999999999,,,,,,,,,,4.25,percent of total billed charges,3.701165774,,,,,,,,,,15.3,percent of total billed charges,,,,,
ST SWALLOWING THERAPY,92526,CDM,5486-8587-00,NDC,GN,both,1,EA,485,485,103.2487131,485,485,percent of total billed charges,356.83173,,,,485,percent of total billed charges,378.2345784,,,,485,percent of total billed charges,356.83173,,,,485,percent of total billed charges,378.2345784,,,,485,percent of total billed charges,999999999,,,,485,percent of total billed charges,369.5366662,,,,485,percent of total billed charges,356.83173,,,,485,percent of total billed charges,378.2345784,,,,345.805,percent of total billed charges,172.5630232,,,,345.805,percent of total billed charges,103.2487131,,,,345.805,percent of total billed charges,172.5630232,,,,345.805,percent of total billed charges,103.2487131,,,,345.805,percent of total billed charges,172.5630232,,,,345.805,percent of total billed charges,103.2487131,,,,342.41,percent of total billed charges,339.8120422,,,,342.41,percent of total billed charges,234.3656722,,,,,,,,,,349.2,percent of total billed charges,226.9717826,,,,,,,,,,349.2,percent of total billed charges,999999999,,,,,,,,,,388,percent of total billed charges,325.1238311,,,,383.15,percent of total billed charges,369.7562388,,,,383.15,percent of total billed charges,326.6918765,,,,388,percent of total billed charges,999999999,,,,388,percent of total billed charges,999999999,,,,339.5,percent of total billed charges,999999999,,,,339.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,258.02,percent of total billed charges,999999999,,,,,,,,,,,,,,,,244.925,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,121.25,percent of total billed charges,115.1578412,,,,,,,,,,121.25,percent of total billed charges,113.2422688,,,,,,,,,,121.25,percent of total billed charges,112.9275734,,,,,,,,,,121.25,percent of total billed charges,111.2647163,,,,,,,,,,121.25,percent of total billed charges,114.127721,,,,,,,,,,121.25,percent of total billed charges,999999999,,,,,,,,,,121.25,percent of total billed charges,97.92962149,,,,,,,,,,121.25,percent of total billed charges,154.4417663,,,,,,,,,,121.25,percent of total billed charges,999999999,,,,,,,,,,121.25,percent of total billed charges,105.5920824,,,,,,,,,,436.5,percent of total billed charges,,,,,
ST SWALLOWING EVAL,92610,CDM,5486-8587-00,NDC,GN,both,1,EA,827,827,176.0550222,827,827,percent of total billed charges,608.4532798,,,,827,percent of total billed charges,644.948446,,,,827,percent of total billed charges,608.4532798,,,,827,percent of total billed charges,644.948446,,,,827,percent of total billed charges,999999999,,,,827,percent of total billed charges,630.1171606,,,,827,percent of total billed charges,608.4532798,,,,827,percent of total billed charges,644.948446,,,,589.651,percent of total billed charges,294.2466396,,,,589.651,percent of total billed charges,176.0550222,,,,589.651,percent of total billed charges,294.2466396,,,,589.651,percent of total billed charges,176.0550222,,,,589.651,percent of total billed charges,294.2466396,,,,589.651,percent of total billed charges,176.0550222,,,,583.862,percent of total billed charges,579.4320803,,,,583.862,percent of total billed charges,399.6297132,,,,,,,,,,595.44,percent of total billed charges,387.021988,,,,,,,,,,595.44,percent of total billed charges,999999999,,,,,,,,,,661.6,percent of total billed charges,554.3864089,,,,653.33,percent of total billed charges,630.491566,,,,653.33,percent of total billed charges,557.0601688,,,,661.6,percent of total billed charges,999999999,,,,661.6,percent of total billed charges,999999999,,,,578.9,percent of total billed charges,999999999,,,,578.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,439.964,percent of total billed charges,999999999,,,,,,,,,,,,,,,,417.635,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,206.75,percent of total billed charges,196.3619271,,,,,,,,,,206.75,percent of total billed charges,193.0955801,,,,,,,,,,206.75,percent of total billed charges,192.5589757,,,,,,,,,,206.75,percent of total billed charges,189.7235471,,,,,,,,,,206.75,percent of total billed charges,194.6054129,,,,,,,,,,206.75,percent of total billed charges,999999999,,,,,,,,,,206.75,percent of total billed charges,166.9851484,,,,,,,,,,206.75,percent of total billed charges,263.3470943,,,,,,,,,,206.75,percent of total billed charges,999999999,,,,,,,,,,206.75,percent of total billed charges,180.0508291,,,,,,,,,,744.3,percent of total billed charges,,,,,
ST APHASIA ASSESSMENT/HR,96105,CDM,5486-8587-00,NDC,GN,both,1,EA,579,579,123.2598039,579,579,percent of total billed charges,425.9908694,,,,579,percent of total billed charges,451.5418987,,,,579,percent of total billed charges,425.9908694,,,,579,percent of total billed charges,451.5418987,,,,579,percent of total billed charges,999999999,,,,579,percent of total billed charges,441.1582056,,,,579,percent of total billed charges,425.9908694,,,,579,percent of total billed charges,451.5418987,,,,412.827,percent of total billed charges,206.0082277,,,,412.827,percent of total billed charges,123.2598039,,,,412.827,percent of total billed charges,206.0082277,,,,412.827,percent of total billed charges,123.2598039,,,,412.827,percent of total billed charges,206.0082277,,,,412.827,percent of total billed charges,123.2598039,,,,408.774,percent of total billed charges,405.6725205,,,,408.774,percent of total billed charges,279.789122,,,,,,,,,,416.88,percent of total billed charges,270.9621899,,,,,,,,,,416.88,percent of total billed charges,999999999,,,,,,,,,,463.2,percent of total billed charges,388.1375221,,,,457.41,percent of total billed charges,441.4203346,,,,457.41,percent of total billed charges,390.0094773,,,,463.2,percent of total billed charges,999999999,,,,463.2,percent of total billed charges,999999999,,,,405.3,percent of total billed charges,999999999,,,,405.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,308.028,percent of total billed charges,999999999,,,,,,,,,,,,,,,,292.395,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,144.75,percent of total billed charges,137.4770929,,,,,,,,,,144.75,percent of total billed charges,135.190255,,,,,,,,,,144.75,percent of total billed charges,134.814567,,,,,,,,,,144.75,percent of total billed charges,132.8294242,,,,,,,,,,144.75,percent of total billed charges,136.2473205,,,,,,,,,,144.75,percent of total billed charges,999999999,,,,,,,,,,144.75,percent of total billed charges,116.9097956,,,,,,,,,,144.75,percent of total billed charges,184.3748096,,,,,,,,,,144.75,percent of total billed charges,999999999,,,,,,,,,,144.75,percent of total billed charges,126.057352,,,,,,,,,,521.1,percent of total billed charges,,,,,
ST STANDARDIZED COGNITIVE PERFORM/ HR,96125,CDM,5486-8587-00,NDC,GN,both,1,EA,554,554,117.9377053,554,554,percent of total billed charges,407.5974812,,,,554,percent of total billed charges,432.0452709,,,,554,percent of total billed charges,407.5974812,,,,554,percent of total billed charges,432.0452709,,,,554,percent of total billed charges,999999999,,,,554,percent of total billed charges,422.1099238,,,,554,percent of total billed charges,407.5974812,,,,554,percent of total billed charges,432.0452709,,,,395.002,percent of total billed charges,197.1132266,,,,395.002,percent of total billed charges,117.9377053,,,,395.002,percent of total billed charges,197.1132266,,,,395.002,percent of total billed charges,117.9377053,,,,395.002,percent of total billed charges,197.1132266,,,,395.002,percent of total billed charges,117.9377053,,,,391.124,percent of total billed charges,388.1564359,,,,391.124,percent of total billed charges,267.7084173,,,,,,,,,,398.88,percent of total billed charges,259.2626135,,,,,,,,,,398.88,percent of total billed charges,999999999,,,,,,,,,,443.2,percent of total billed charges,371.3785617,,,,437.66,percent of total billed charges,422.3607347,,,,437.66,percent of total billed charges,373.1696899,,,,443.2,percent of total billed charges,999999999,,,,443.2,percent of total billed charges,999999999,,,,387.8,percent of total billed charges,999999999,,,,387.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,294.728,percent of total billed charges,999999999,,,,,,,,,,,,,,,,279.77,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,138.5,percent of total billed charges,131.5411217,,,,,,,,,,138.5,percent of total billed charges,129.3530246,,,,,,,,,,138.5,percent of total billed charges,128.9935581,,,,,,,,,,138.5,percent of total billed charges,127.0941295,,,,,,,,,,138.5,percent of total billed charges,130.3644483,,,,,,,,,,138.5,percent of total billed charges,999999999,,,,,,,,,,138.5,percent of total billed charges,111.8618769,,,,,,,,,,138.5,percent of total billed charges,176.4138939,,,,,,,,,,138.5,percent of total billed charges,999999999,,,,,,,,,,138.5,percent of total billed charges,120.6144611,,,,,,,,,,498.6,percent of total billed charges,,,,,
**ST DIAG EVAL,92506,CDM,5486-8587-00,NDC,GN,both,1,EA,801,801,170.5200396,801,801,percent of total billed charges,589.3241561,,,,801,percent of total billed charges,624.6719531,,,,801,percent of total billed charges,589.3241561,,,,801,percent of total billed charges,624.6719531,,,,801,percent of total billed charges,999999999,,,,801,percent of total billed charges,610.3069476,,,,801,percent of total billed charges,589.3241561,,,,801,percent of total billed charges,624.6719531,,,,571.113,percent of total billed charges,284.9958384,,,,571.113,percent of total billed charges,170.5200396,,,,571.113,percent of total billed charges,284.9958384,,,,571.113,percent of total billed charges,170.5200396,,,,571.113,percent of total billed charges,284.9958384,,,,571.113,percent of total billed charges,170.5200396,,,,565.506,percent of total billed charges,561.2153522,,,,565.506,percent of total billed charges,387.0657802,,,,,,,,,,576.72,percent of total billed charges,374.8544286,,,,,,,,,,576.72,percent of total billed charges,999999999,,,,,,,,,,640.8,percent of total billed charges,536.9570901,,,,632.79,percent of total billed charges,610.6695821,,,,632.79,percent of total billed charges,539.5467899,,,,640.8,percent of total billed charges,999999999,,,,640.8,percent of total billed charges,999999999,,,,560.7,percent of total billed charges,999999999,,,,560.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,426.132,percent of total billed charges,999999999,,,,,,,,,,,,,,,,404.505,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,200.25,percent of total billed charges,190.1885171,,,,,,,,,,200.25,percent of total billed charges,187.0248605,,,,,,,,,,200.25,percent of total billed charges,186.5051264,,,,,,,,,,200.25,percent of total billed charges,183.7588407,,,,,,,,,,200.25,percent of total billed charges,188.4872258,,,,,,,,,,200.25,percent of total billed charges,999999999,,,,,,,,,,200.25,percent of total billed charges,161.735313,,,,,,,,,,200.25,percent of total billed charges,255.0677418,,,,,,,,,,200.25,percent of total billed charges,999999999,,,,,,,,,,200.25,percent of total billed charges,174.3902226,,,,,,,,,,720.9,percent of total billed charges,,,,,
**ST DIAGNOSTIC EVALUATION OUTPATIENT,92506,CDM,5486-8587-00,NDC,GN,both,1,EA,801,801,170.5200396,801,801,percent of total billed charges,589.3241561,,,,801,percent of total billed charges,624.6719531,,,,801,percent of total billed charges,589.3241561,,,,801,percent of total billed charges,624.6719531,,,,801,percent of total billed charges,999999999,,,,801,percent of total billed charges,610.3069476,,,,801,percent of total billed charges,589.3241561,,,,801,percent of total billed charges,624.6719531,,,,571.113,percent of total billed charges,284.9958384,,,,571.113,percent of total billed charges,170.5200396,,,,571.113,percent of total billed charges,284.9958384,,,,571.113,percent of total billed charges,170.5200396,,,,571.113,percent of total billed charges,284.9958384,,,,571.113,percent of total billed charges,170.5200396,,,,565.506,percent of total billed charges,561.2153522,,,,565.506,percent of total billed charges,387.0657802,,,,,,,,,,576.72,percent of total billed charges,374.8544286,,,,,,,,,,576.72,percent of total billed charges,999999999,,,,,,,,,,640.8,percent of total billed charges,536.9570901,,,,632.79,percent of total billed charges,610.6695821,,,,632.79,percent of total billed charges,539.5467899,,,,640.8,percent of total billed charges,999999999,,,,640.8,percent of total billed charges,999999999,,,,560.7,percent of total billed charges,999999999,,,,560.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,426.132,percent of total billed charges,999999999,,,,,,,,,,,,,,,,404.505,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,200.25,percent of total billed charges,190.1885171,,,,,,,,,,200.25,percent of total billed charges,187.0248605,,,,,,,,,,200.25,percent of total billed charges,186.5051264,,,,,,,,,,200.25,percent of total billed charges,183.7588407,,,,,,,,,,200.25,percent of total billed charges,188.4872258,,,,,,,,,,200.25,percent of total billed charges,999999999,,,,,,,,,,200.25,percent of total billed charges,161.735313,,,,,,,,,,200.25,percent of total billed charges,255.0677418,,,,,,,,,,200.25,percent of total billed charges,999999999,,,,,,,,,,200.25,percent of total billed charges,174.3902226,,,,,,,,,,720.9,percent of total billed charges,,,,,
**ST HEARING SCREENING,92551,CDM,5486-8587-00,NDC,GN,both,1,EA,126,126,26.82337702,126,126,percent of total billed charges,92.70267624,,,,126,percent of total billed charges,98.26300386,,,,126,percent of total billed charges,92.70267624,,,,126,percent of total billed charges,98.26300386,,,,126,percent of total billed charges,999999999,,,,126,percent of total billed charges,96.00334007,,,,126,percent of total billed charges,92.70267624,,,,126,percent of total billed charges,98.26300386,,,,89.838,percent of total billed charges,44.83080604,,,,89.838,percent of total billed charges,26.82337702,,,,89.838,percent of total billed charges,44.83080604,,,,89.838,percent of total billed charges,26.82337702,,,,89.838,percent of total billed charges,44.83080604,,,,89.838,percent of total billed charges,26.82337702,,,,88.956,percent of total billed charges,88.28106665,,,,88.956,percent of total billed charges,60.88675195,,,,,,,,,,90.72,percent of total billed charges,58.96586517,,,,,,,,,,90.72,percent of total billed charges,999999999,,,,,,,,,,100.8,percent of total billed charges,84.46516024,,,,99.54,percent of total billed charges,96.0603837,,,,99.54,percent of total billed charges,84.87252874,,,,100.8,percent of total billed charges,999999999,,,,100.8,percent of total billed charges,999999999,,,,88.2,percent of total billed charges,999999999,,,,88.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,67.032,percent of total billed charges,999999999,,,,,,,,,,,,,,,,63.63,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,31.5,percent of total billed charges,29.91729482,,,,,,,,,,31.5,percent of total billed charges,29.41964098,,,,,,,,,,31.5,percent of total billed charges,29.33788505,,,,,,,,,,31.5,percent of total billed charges,28.90588505,,,,,,,,,,31.5,percent of total billed charges,29.64967597,,,,,,,,,,31.5,percent of total billed charges,999999999,,,,,,,,,,31.5,percent of total billed charges,25.44150991,,,,,,,,,,31.5,percent of total billed charges,40.12301557,,,,,,,,,,31.5,percent of total billed charges,999999999,,,,,,,,,,31.5,percent of total billed charges,27.43216985,,,,,,,,,,113.4,percent of total billed charges,,,,,
ST LANG/VOICE/COMM THERAPY,92507,CDM,5486-8587-00,NDC,GN,both,1,EA,435,435,92.60451591,435,435,percent of total billed charges,320.0449537,,,,435,percent of total billed charges,339.2413229,,,,435,percent of total billed charges,320.0449537,,,,435,percent of total billed charges,339.2413229,,,,435,percent of total billed charges,999999999,,,,435,percent of total billed charges,331.4401026,,,,435,percent of total billed charges,320.0449537,,,,435,percent of total billed charges,339.2413229,,,,310.155,percent of total billed charges,154.7730208,,,,310.155,percent of total billed charges,92.60451591,,,,310.155,percent of total billed charges,154.7730208,,,,310.155,percent of total billed charges,92.60451591,,,,310.155,percent of total billed charges,154.7730208,,,,310.155,percent of total billed charges,92.60451591,,,,307.11,percent of total billed charges,304.7798729,,,,307.11,percent of total billed charges,210.2042627,,,,,,,,,,313.2,percent of total billed charges,203.5726297,,,,,,,,,,313.2,percent of total billed charges,999999999,,,,,,,,,,348,percent of total billed charges,291.6059103,,,,343.65,percent of total billed charges,331.6370389,,,,343.65,percent of total billed charges,293.0123016,,,,348,percent of total billed charges,999999999,,,,348,percent of total billed charges,999999999,,,,304.5,percent of total billed charges,999999999,,,,304.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,231.42,percent of total billed charges,999999999,,,,,,,,,,,,,,,,219.675,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,108.75,percent of total billed charges,103.2858988,,,,,,,,,,108.75,percent of total billed charges,101.5678081,,,,,,,,,,108.75,percent of total billed charges,101.2855555,,,,,,,,,,108.75,percent of total billed charges,99.79412697,,,,,,,,,,108.75,percent of total billed charges,102.3619766,,,,,,,,,,108.75,percent of total billed charges,999999999,,,,,,,,,,108.75,percent of total billed charges,87.83378422,,,,,,,,,,108.75,percent of total billed charges,138.5199347,,,,,,,,,,108.75,percent of total billed charges,999999999,,,,,,,,,,108.75,percent of total billed charges,94.70630069,,,,,,,,,,391.5,percent of total billed charges,,,,,
ST VIDEO FLOUROSCOPY EVAL,92611,CDM,5486-8587-00,NDC,GN,both,1,EA,966,966,205.6458905,966,966,percent of total billed charges,710.7205178,,,,966,percent of total billed charges,753.3496963,,,,966,percent of total billed charges,710.7205178,,,,966,percent of total billed charges,753.3496963,,,,966,percent of total billed charges,999999999,,,,966,percent of total billed charges,736.0256072,,,,966,percent of total billed charges,710.7205178,,,,966,percent of total billed charges,753.3496963,,,,688.758,percent of total billed charges,343.7028463,,,,688.758,percent of total billed charges,205.6458905,,,,688.758,percent of total billed charges,343.7028463,,,,688.758,percent of total billed charges,205.6458905,,,,688.758,percent of total billed charges,343.7028463,,,,688.758,percent of total billed charges,205.6458905,,,,681.996,percent of total billed charges,676.8215109,,,,681.996,percent of total billed charges,466.7984316,,,,,,,,,,695.52,percent of total billed charges,452.0716329,,,,,,,,,,695.52,percent of total billed charges,999999999,,,,,,,,,,772.8,percent of total billed charges,647.5662285,,,,763.14,percent of total billed charges,736.4629417,,,,763.14,percent of total billed charges,650.689387,,,,772.8,percent of total billed charges,999999999,,,,772.8,percent of total billed charges,999999999,,,,676.2,percent of total billed charges,999999999,,,,676.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,513.912,percent of total billed charges,999999999,,,,,,,,,,,,,,,,487.83,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,241.5,percent of total billed charges,229.3659269,,,,,,,,,,241.5,percent of total billed charges,225.5505808,,,,,,,,,,241.5,percent of total billed charges,224.9237854,,,,,,,,,,241.5,percent of total billed charges,221.6117854,,,,,,,,,,241.5,percent of total billed charges,227.3141824,,,,,,,,,,241.5,percent of total billed charges,999999999,,,,,,,,,,241.5,percent of total billed charges,195.051576,,,,,,,,,,241.5,percent of total billed charges,307.609786,,,,,,,,,,241.5,percent of total billed charges,999999999,,,,,,,,,,241.5,percent of total billed charges,210.3133022,,,,,,,,,,869.4,percent of total billed charges,,,,,
**ST GROUP THERAPY,92508,CDM,5486-8587-00,NDC,GN,both,1,EA,443,443,94.30758747,443,443,percent of total billed charges,325.9308379,,,,443,percent of total billed charges,345.4802437,,,,443,percent of total billed charges,325.9308379,,,,443,percent of total billed charges,345.4802437,,,,443,percent of total billed charges,999999999,,,,443,percent of total billed charges,337.5355528,,,,443,percent of total billed charges,325.9308379,,,,443,percent of total billed charges,345.4802437,,,,315.859,percent of total billed charges,157.6194212,,,,315.859,percent of total billed charges,94.30758747,,,,315.859,percent of total billed charges,157.6194212,,,,315.859,percent of total billed charges,94.30758747,,,,315.859,percent of total billed charges,157.6194212,,,,315.859,percent of total billed charges,94.30758747,,,,312.758,percent of total billed charges,310.38502,,,,312.758,percent of total billed charges,214.0700882,,,,,,,,,,318.96,percent of total billed charges,207.3164942,,,,,,,,,,318.96,percent of total billed charges,999999999,,,,,,,,,,354.4,percent of total billed charges,296.9687777,,,,349.97,percent of total billed charges,337.7361109,,,,349.97,percent of total billed charges,298.4010336,,,,354.4,percent of total billed charges,999999999,,,,354.4,percent of total billed charges,999999999,,,,310.1,percent of total billed charges,999999999,,,,310.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,235.676,percent of total billed charges,999999999,,,,,,,,,,,,,,,,223.715,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,110.75,percent of total billed charges,105.1854096,,,,,,,,,,110.75,percent of total billed charges,103.4357218,,,,,,,,,,110.75,percent of total billed charges,103.1482784,,,,,,,,,,110.75,percent of total billed charges,101.6294213,,,,,,,,,,110.75,percent of total billed charges,104.2444957,,,,,,,,,,110.75,percent of total billed charges,999999999,,,,,,,,,,110.75,percent of total billed charges,89.44911819,,,,,,,,,,110.75,percent of total billed charges,141.0674278,,,,,,,,,,110.75,percent of total billed charges,999999999,,,,,,,,,,110.75,percent of total billed charges,96.44802576,,,,,,,,,,398.7,percent of total billed charges,,,,,
**SWALLOW (CURRENT) CH,G8996,CDM,5486-8587-00,NDC,"CH , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**SWALLOW (CURRENT) CI,G8996,CDM,5486-8587-00,NDC,"CI , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**SWALLOW (CURRENT) CJ,G8996,CDM,5486-8587-00,NDC,"CJ , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**SWALLOW (CURRENT) CK,G8996,CDM,5486-8587-00,NDC,"CK , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**SWALLOW (CURRENT) CL,G8996,CDM,5486-8587-00,NDC,"CL , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**SWALLOW (CURRENT) CM,G8996,CDM,5486-8587-00,NDC,"CM , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**SWALLOW (CURRENT) CN,G8996,CDM,5486-8587-00,NDC,"CN , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**SWALLOW (GOAL) CH,G8997,CDM,5486-8587-00,NDC,"CH , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**SWALLOW (GOAL) CI,G8997,CDM,5486-8587-00,NDC,"CI , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**SWALLOW (GOAL) CJ,G8997,CDM,5486-8587-00,NDC,"CJ , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**SWALLOW (GOAL) CK,G8997,CDM,5486-8587-00,NDC,"CK , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**SWALLOW (GOAL) CL,G8997,CDM,5486-8587-00,NDC,"CL , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**SWALLOW (GOAL) CM,G8997,CDM,5486-8587-00,NDC,"CM , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**SWALLOW (GOAL) CN,G8997,CDM,5486-8587-00,NDC,"CN , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**SWALLOW (DC) CH,G8998,CDM,5486-8587-00,NDC,"CH , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**SWALLOW (DC) CI,G8998,CDM,5486-8587-00,NDC,"CI , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**SWALLOW (DC) CJ,G8998,CDM,5486-8587-00,NDC,"CJ , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**SWALLOW (DC) CK,G8998,CDM,5486-8587-00,NDC,"CK , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**SWALLOW (DC) CL,G8998,CDM,5486-8587-00,NDC,"CL , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**SWALLOW (DC) CM,G8998,CDM,5486-8587-00,NDC,"CM , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**SWALLOW (DC) CN,G8998,CDM,5486-8587-00,NDC,"CN , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**MOTOR SPEECH (CURRENT) CH,G8999,CDM,5486-8587-00,NDC,"CH , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**MOTOR SPEECH (CURRENT) CI,G8999,CDM,5486-8587-00,NDC,"CI , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**MOTOR SPEECH (CURRENT) CJ,G8999,CDM,5486-8587-00,NDC,"CJ , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**MOTOR SPEECH (CURRENT) CK,G8999,CDM,5486-8587-00,NDC,"CK , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**MOTOR SPEECH (CURRENT) CL,G8999,CDM,5486-8587-00,NDC,"CL , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**MOTOR SPEECH (CURRENT) CM,G8999,CDM,5486-8587-00,NDC,"CM , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**MOTOR SPEECH (CURRENT) CN,G8999,CDM,5486-8587-00,NDC,"CN , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**MOTOR SPEECH (GOAL) CH,G9186,CDM,5486-8587-00,NDC,"CH , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**MOTOR SPEECH (GOAL) CI,G9186,CDM,5486-8587-00,NDC,"CI , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**MOTOR SPEECH (GOAL) CJ,G9186,CDM,5486-8587-00,NDC,"CJ , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**MOTOR SPEECH (GOAL) CK,G9186,CDM,5486-8587-00,NDC,"CK , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**MOTOR SPEECH (GOAL) CL,G9186,CDM,5486-8587-00,NDC,"CL , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**MOTOR SPEECH (GOAL) CM,G9186,CDM,5486-8587-00,NDC,"CM , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**MOTOR SPEECH (GOAL) CN,G9186,CDM,5486-8587-00,NDC,"CN , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**MOTOR SPEECH (DC) CH,G9158,CDM,5486-8587-00,NDC,"CH , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**MOTOR SPEECH (DC) CI,G9158,CDM,5486-8587-00,NDC,"CI , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**MOTOR SPEECH (DC) CJ,G9158,CDM,5486-8587-00,NDC,"CJ , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**MOTOR SPEECH (DC) CK,G9158,CDM,5486-8587-00,NDC,"CK , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**MOTOR SPEECH (DC) CL,G9158,CDM,5486-8587-00,NDC,"CL , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**MOTOR SPEECH (DC) CM,G9158,CDM,5486-8587-00,NDC,"CM , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**MOTOR SPEECH (DC) CN,G9158,CDM,5486-8587-00,NDC,"CN , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**LANG COMP (CURRENT) CH,G9159,CDM,5486-8587-00,NDC,"CH , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**LANG COMP (CURRENT) CI,G9159,CDM,5486-8587-00,NDC,"CI , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**LANG COMP (CURRENT) CJ,G9159,CDM,5486-8587-00,NDC,"CJ , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**LANG COMP (CURRENT) CK,G9159,CDM,5486-8587-00,NDC,"CK , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**LANG COMP (CURRENT) CL,G9159,CDM,5486-8587-00,NDC,"CL , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**LANG COMP (CURRENT) CM,G9159,CDM,5486-8587-00,NDC,"CM , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**LANG COMP (CURRENT) CN,G9159,CDM,5486-8587-00,NDC,"CN , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**LANG COMP (GOAL) CH,G9160,CDM,5486-8587-00,NDC,"CH , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**LANG COMP (GOAL) CI,G9160,CDM,5486-8587-00,NDC,"CI , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**LANG COMP (GOAL) CJ,G9160,CDM,5486-8587-00,NDC,"CJ , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**LANG COMP (GOAL) CK,G9160,CDM,5486-8587-00,NDC,"CK , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**LANG COMP (GOAL) CL,G9160,CDM,5486-8587-00,NDC,"CL , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**LANG COMP (GOAL) CM,G9160,CDM,5486-8587-00,NDC,"CM , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**LANG COMP (GOAL) CN,G9160,CDM,5486-8587-00,NDC,"CN , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**LANG COMP (DC) CH,G9161,CDM,5486-8587-00,NDC,"CH , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**LANG COMP (DC) CI,G9161,CDM,5486-8587-00,NDC,"CI , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**LANG COMP (DC) CJ,G9161,CDM,5486-8587-00,NDC,"CJ , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**LANG COMP (DC) CK,G9161,CDM,5486-8587-00,NDC,"CK , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**LANG COMP (DC) CL,G9161,CDM,5486-8587-00,NDC,"CL , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**LANG COMP (DC) CM,G9161,CDM,5486-8587-00,NDC,"CM , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**LANG COMP (DC) CN,G9161,CDM,5486-8587-00,NDC,"CN , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**LANG EXPRESS (CURRENT) CH,G9162,CDM,5486-8587-00,NDC,"CH , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**LANG EXPRESS (CURRENT) CI,G9162,CDM,5486-8587-00,NDC,"CI , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**LANG EXPRESS (CURRENT) CJ,G9162,CDM,5486-8587-00,NDC,"CJ , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**LANG EXPRESS (CURRENT) CK,G9162,CDM,5486-8587-00,NDC,"CK , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**LANG EXPRESS (CURRENT) CL,G9162,CDM,5486-8587-00,NDC,"CL , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**LANG EXPRESS (CURRENT) CM,G9162,CDM,5486-8587-00,NDC,"CM , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**LANG EXPRESS (CURRENT) CN,G9162,CDM,5486-8587-00,NDC,"CN , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**LANG EXPRESS (GOAL) CH,G9163,CDM,5486-8587-00,NDC,"CH , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**LANG EXPRESS (GOAL) CI,G9163,CDM,5486-8587-00,NDC,"CI , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**LANG EXPRESS (GOAL) CJ,G9163,CDM,5486-8587-00,NDC,"CJ , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**LANG EXPRESS (GOAL) CK,G9163,CDM,5486-8587-00,NDC,"CK , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**LANG EXPRESS (GOAL) CL,G9163,CDM,5486-8587-00,NDC,"CL , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**LANG EXPRESS (GOAL) CM,G9163,CDM,5486-8587-00,NDC,"CM , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**LANG EXPRESS (GOAL) CN,G9163,CDM,5486-8587-00,NDC,"CN , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**LANG EXPRESS (DC) CH,G9164,CDM,5486-8587-00,NDC,"CH , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**LANG EXPRESS (DC) CI,G9164,CDM,5486-8587-00,NDC,"CI , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**LANG EXPRESS (DC) CJ,G9164,CDM,5486-8587-00,NDC,"CJ , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**LANG EXPRESS (DC) CK,G9164,CDM,5486-8587-00,NDC,"CK , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**LANG EXPRESS (DC) CL,G9164,CDM,5486-8587-00,NDC,"CL , GN",both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
**LANG EXPRESS (DC) CM,G9164,CDM,5486-8587-00,NDC,"CM , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**LANG EXPRESS (DC) CN,G9164,CDM,5486-8587-00,NDC,"CN , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**ATTEN (CURRENT) CH,G9165,CDM,5486-8587-00,NDC,"CH , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**ATTEN (CURRENT) CI,G9165,CDM,5486-8587-00,NDC,"CI , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**ATTEN (CURRENT) CJ,G9165,CDM,5486-8587-00,NDC,"CJ , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**ATTEN (CURRENT) CK,G9165,CDM,5486-8587-00,NDC,"CK , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**ATTEN (CURRENT) CL,G9165,CDM,5486-8587-00,NDC,"CL , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**ATTEN (CURRENT) CM,G9165,CDM,5486-8587-00,NDC,"CM , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**ATTEN (CURRENT) CN,G9165,CDM,5486-8587-00,NDC,"CN , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**ATTEN (GOAL) CH,G9166,CDM,5486-8587-00,NDC,"CH , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**ATTEN (GOAL) CI,G9166,CDM,5486-8587-00,NDC,"CI , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**ATTEN (GOAL) CJ,G9166,CDM,5486-8587-00,NDC,"CJ , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**ATTEN (GOAL) CK,G9166,CDM,5486-8587-00,NDC,"CK , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**ATTEN (GOAL) CL,G9166,CDM,5486-8587-00,NDC,"CL , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**ATTEN (GOAL) CM,G9166,CDM,5486-8587-00,NDC,"CM , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**ATTEN (GOAL) CN,G9166,CDM,5486-8587-00,NDC,"CN , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**ATTEN (DC) CH,G9167,CDM,5486-8587-00,NDC,"CH , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**ATTEN (DC) CI,G9167,CDM,5486-8587-00,NDC,"CI , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**ATTEN (DC) CJ,G9167,CDM,5486-8587-00,NDC,"CJ , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**ATTEN (DC) CK,G9167,CDM,5486-8587-00,NDC,"CK , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**ATTEN (DC) CL,G9167,CDM,5486-8587-00,NDC,"CL , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**ATTEN (DC) CM,G9167,CDM,5486-8587-00,NDC,"CM , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**ATTEN (DC) CN,G9167,CDM,5486-8587-00,NDC,"CN , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**MEMORY (CURRENT) CH,G9168,CDM,5486-8587-00,NDC,"CH , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**MEMORY (CURRENT) CI,G9168,CDM,5486-8587-00,NDC,"CI , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**MEMORY (CURRENT) CJ,G9168,CDM,5486-8587-00,NDC,"CJ , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**MEMORY (CURRENT) CK,G9168,CDM,5486-8587-00,NDC,"CK , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**MEMORY (CURRENT) CL,G9168,CDM,5486-8587-00,NDC,"CL , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**MEMORY (CURRENT) CM,G9168,CDM,5486-8587-00,NDC,"CM , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**MEMORY (CURRENT) CN,G9168,CDM,5486-8587-00,NDC,"CN , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**MEMORY (GOAL) CH,G9169,CDM,5486-8587-00,NDC,"CH , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**MEMORY (GOAL) CI,G9169,CDM,5486-8587-00,NDC,"CI , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**MEMORY (GOAL) CJ,G9169,CDM,5486-8587-00,NDC,"CJ , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**MEMORY (GOAL) CK,G9169,CDM,5486-8587-00,NDC,"CK , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**MEMORY (GOAL) CL,G9169,CDM,5486-8587-00,NDC,"CL , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**MEMORY (GOAL) CM,G9169,CDM,5486-8587-00,NDC,"CM , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**MEMORY (GOAL) CN,G9169,CDM,5486-8587-00,NDC,"CN , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**MEMORY (DC) CH,G9170,CDM,5486-8587-00,NDC,"CH , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**MEMORY (DC) CI,G9170,CDM,5486-8587-00,NDC,"CI , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**MEMORY (DC) CJ,G9170,CDM,5486-8587-00,NDC,"CJ , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**MEMORY (DC) CK,G9170,CDM,5486-8587-00,NDC,"CK , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**MEMORY (DC) CL,G9170,CDM,5486-8587-00,NDC,"CL , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**MEMORY (DC) CM,G9170,CDM,5486-8587-00,NDC,"CM , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**MEMORY (DC) CN,G9170,CDM,5486-8587-00,NDC,"CN , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**VOICE (CURRENT) CH,G9171,CDM,5486-8587-00,NDC,"CH , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**VOICE (CURRENT) CI,G9171,CDM,5486-8587-00,NDC,"CI , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**VOICE (CURRENT) CJ,G9171,CDM,5486-8587-00,NDC,"CJ , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**VOICE (CURRENT) CK,G9171,CDM,5486-8587-00,NDC,"CK , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**VOICE (CURRENT) CL,G9171,CDM,5486-8587-00,NDC,"CL , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**VOICE (CURRENT) CM,G9171,CDM,5486-8587-00,NDC,"CM , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**VOICE (CURRENT) CN,G9171,CDM,5486-8587-00,NDC,"CN , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**VOICE (GOAL) CH,G9172,CDM,5486-8587-00,NDC,"CH , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**VOICE (GOAL) CI,G9172,CDM,5486-8587-00,NDC,"CI , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**VOICE (GOAL) CJ,G9172,CDM,5486-8587-00,NDC,"CJ , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**VOICE (GOAL) CK,G9172,CDM,5486-8587-00,NDC,"CK , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**VOICE (GOAL) CL,G9172,CDM,5486-8587-00,NDC,"CL , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**VOICE (GOAL) CM,G9172,CDM,5486-8587-00,NDC,"CM , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**VOICE (GOAL) CN,G9172,CDM,5486-8587-00,NDC,"CN , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**VOICE (DC) CH,G9173,CDM,5486-8587-00,NDC,"CH , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**VOICE (DC) CI,G9173,CDM,5486-8587-00,NDC,"CI , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**VOICE (DC) CJ,G9173,CDM,5486-8587-00,NDC,"CJ , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**VOICE (DC) CK,G9173,CDM,5486-8587-00,NDC,"CK , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**VOICE (DC) CL,G9173,CDM,5486-8587-00,NDC,"CL , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**VOICE (DC) CM,G9173,CDM,5486-8587-00,NDC,"CM , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**VOICE (DC) CN,G9173,CDM,5486-8587-00,NDC,"CN , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**SPEECH LANG (CURRENT) CH,G9174,CDM,5486-8587-00,NDC,"CH , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**SPEECH LANG (CURRENT) CI,G9174,CDM,5486-8587-00,NDC,"CI , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**SPEECH LANG (CURRENT) CJ,G9174,CDM,5486-8587-00,NDC,"CJ , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**SPEECH LANG (CURRENT) CK,G9174,CDM,5486-8587-00,NDC,"CK , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**SPEECH LANG (CURRENT) CL,G9174,CDM,5486-8587-00,NDC,"CL , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**SPEECH LANG (CURRENT) CM,G9174,CDM,5486-8587-00,NDC,"CM , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**SPEECH LANG (CURRENT) CN,G9174,CDM,5486-8587-00,NDC,"CN , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**SPEECH LANG (GOAL) CH,G9175,CDM,5486-8587-00,NDC,"CH , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**SPEECH LANG (GOAL) CI,G9175,CDM,5486-8587-00,NDC,"CI , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**SPEECH LANG (GOAL) CJ,G9175,CDM,5486-8587-00,NDC,"CJ , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**SPEECH LANG (GOAL) CK,G9175,CDM,5486-8587-00,NDC,"CK , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**SPEECH LANG (GOAL) CL,G9175,CDM,5486-8587-00,NDC,"CL , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**SPEECH LANG (GOAL) CM,G9175,CDM,5486-8587-00,NDC,"CM , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**SPEECH LANG (GOAL) CN,G9175,CDM,5486-8587-00,NDC,"CN , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**SPEECH LANG (DC) CH,G9176,CDM,5486-8587-00,NDC,"CH , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**SPEECH LANG (DC) CI,G9176,CDM,5486-8587-00,NDC,"CI , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**SPEECH LANG (DC) CJ,G9176,CDM,5486-8587-00,NDC,"CJ , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**SPEECH LANG (DC) CK,G9176,CDM,5486-8587-00,NDC,"CK , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**SPEECH LANG (DC) CL,G9176,CDM,5486-8587-00,NDC,"CL , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**SPEECH LANG (DC) CM,G9176,CDM,5486-8587-00,NDC,"CM , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**SPEECH LANG (DC) CN,G9176,CDM,5486-8587-00,NDC,"CN , GN",both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
ST EVAL SPEECH FLUENCY,92521,CDM,5486-8587-00,NDC,GN,both,1,EA,595,595,126.6659471,595,595,percent of total billed charges,437.7626378,,,,595,percent of total billed charges,464.0197405,,,,595,percent of total billed charges,437.7626378,,,,595,percent of total billed charges,464.0197405,,,,595,percent of total billed charges,999999999,,,,595,percent of total billed charges,453.3491059,,,,595,percent of total billed charges,437.7626378,,,,595,percent of total billed charges,464.0197405,,,,424.235,percent of total billed charges,211.7010285,,,,424.235,percent of total billed charges,126.6659471,,,,424.235,percent of total billed charges,211.7010285,,,,424.235,percent of total billed charges,126.6659471,,,,424.235,percent of total billed charges,211.7010285,,,,424.235,percent of total billed charges,126.6659471,,,,420.07,percent of total billed charges,416.8828147,,,,420.07,percent of total billed charges,287.5207731,,,,,,,,,,428.4,percent of total billed charges,278.4499188,,,,,,,,,,428.4,percent of total billed charges,999999999,,,,,,,,,,476,percent of total billed charges,398.8632567,,,,470.05,percent of total billed charges,453.6184786,,,,470.05,percent of total billed charges,400.7869413,,,,476,percent of total billed charges,999999999,,,,476,percent of total billed charges,999999999,,,,416.5,percent of total billed charges,999999999,,,,416.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,316.54,percent of total billed charges,999999999,,,,,,,,,,,,,,,,300.475,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,148.75,percent of total billed charges,141.2761144,,,,,,,,,,148.75,percent of total billed charges,138.9260824,,,,,,,,,,148.75,percent of total billed charges,138.5400128,,,,,,,,,,148.75,percent of total billed charges,136.5000127,,,,,,,,,,148.75,percent of total billed charges,140.0123587,,,,,,,,,,148.75,percent of total billed charges,999999999,,,,,,,,,,148.75,percent of total billed charges,120.1404635,,,,,,,,,,148.75,percent of total billed charges,189.4697958,,,,,,,,,,148.75,percent of total billed charges,999999999,,,,,,,,,,148.75,percent of total billed charges,129.5408021,,,,,,,,,,535.5,percent of total billed charges,,,,,
ST EVAL SPEECH SOUND PROD,92522,CDM,5486-8587-00,NDC,GN,both,1,EA,635,635,135.1813048,635,635,percent of total billed charges,467.1920588,,,,635,percent of total billed charges,495.2143449,,,,635,percent of total billed charges,467.1920588,,,,635,percent of total billed charges,495.2143449,,,,635,percent of total billed charges,999999999,,,,635,percent of total billed charges,483.8263567,,,,635,percent of total billed charges,467.1920588,,,,635,percent of total billed charges,495.2143449,,,,452.755,percent of total billed charges,225.9330304,,,,452.755,percent of total billed charges,135.1813048,,,,452.755,percent of total billed charges,225.9330304,,,,452.755,percent of total billed charges,135.1813048,,,,452.755,percent of total billed charges,225.9330304,,,,452.755,percent of total billed charges,135.1813048,,,,448.31,percent of total billed charges,444.9085502,,,,448.31,percent of total billed charges,306.8499007,,,,,,,,,,457.2,percent of total billed charges,297.1692411,,,,,,,,,,457.2,percent of total billed charges,999999999,,,,,,,,,,508,percent of total billed charges,425.6775933,,,,501.65,percent of total billed charges,484.1138385,,,,501.65,percent of total billed charges,427.7306012,,,,508,percent of total billed charges,999999999,,,,508,percent of total billed charges,999999999,,,,444.5,percent of total billed charges,999999999,,,,444.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,337.82,percent of total billed charges,999999999,,,,,,,,,,,,,,,,320.675,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,158.75,percent of total billed charges,150.7736683,,,,,,,,,,158.75,percent of total billed charges,148.2656509,,,,,,,,,,158.75,percent of total billed charges,147.8536271,,,,,,,,,,158.75,percent of total billed charges,145.6764842,,,,,,,,,,158.75,percent of total billed charges,149.4249543,,,,,,,,,,158.75,percent of total billed charges,999999999,,,,,,,,,,158.75,percent of total billed charges,128.2171333,,,,,,,,,,158.75,percent of total billed charges,202.207261,,,,,,,,,,158.75,percent of total billed charges,999999999,,,,,,,,,,158.75,percent of total billed charges,138.2494274,,,,,,,,,,571.5,percent of total billed charges,,,,,
ST EVAL SPEECH SOUND PROD W/EVA LANG,92523,CDM,5486-8587-00,NDC,GN,both,1,EA,683,683,145.3997342,683,683,percent of total billed charges,502.5073641,,,,683,percent of total billed charges,532.6478701,,,,683,percent of total billed charges,502.5073641,,,,683,percent of total billed charges,532.6478701,,,,683,percent of total billed charges,999999999,,,,683,percent of total billed charges,520.3990577,,,,683,percent of total billed charges,502.5073641,,,,683,percent of total billed charges,532.6478701,,,,486.979,percent of total billed charges,243.0114327,,,,486.979,percent of total billed charges,145.3997342,,,,486.979,percent of total billed charges,243.0114327,,,,486.979,percent of total billed charges,145.3997342,,,,486.979,percent of total billed charges,243.0114327,,,,486.979,percent of total billed charges,145.3997342,,,,482.198,percent of total billed charges,478.5394327,,,,482.198,percent of total billed charges,330.0448538,,,,,,,,,,491.76,percent of total billed charges,319.6324278,,,,,,,,,,491.76,percent of total billed charges,999999999,,,,,,,,,,546.4,percent of total billed charges,457.8547972,,,,539.57,percent of total billed charges,520.7082703,,,,539.57,percent of total billed charges,460.0629931,,,,546.4,percent of total billed charges,999999999,,,,546.4,percent of total billed charges,999999999,,,,478.1,percent of total billed charges,999999999,,,,478.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,363.356,percent of total billed charges,999999999,,,,,,,,,,,,,,,,344.915,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,170.75,percent of total billed charges,162.170733,,,,,,,,,,170.75,percent of total billed charges,159.4731332,,,,,,,,,,170.75,percent of total billed charges,159.0299642,,,,,,,,,,170.75,percent of total billed charges,156.6882499,,,,,,,,,,170.75,percent of total billed charges,160.7200689,,,,,,,,,,170.75,percent of total billed charges,999999999,,,,,,,,,,170.75,percent of total billed charges,137.9091371,,,,,,,,,,170.75,percent of total billed charges,217.4922193,,,,,,,,,,170.75,percent of total billed charges,999999999,,,,,,,,,,170.75,percent of total billed charges,148.6997779,,,,,,,,,,614.7,percent of total billed charges,,,,,
ST BEHAVIORAL & QUALITATIVE ANALYSIS,92524,CDM,5486-8587-00,NDC,GN,both,1,EA,801,801,170.5200396,801,801,percent of total billed charges,589.3241561,,,,801,percent of total billed charges,624.6719531,,,,801,percent of total billed charges,589.3241561,,,,801,percent of total billed charges,624.6719531,,,,801,percent of total billed charges,999999999,,,,801,percent of total billed charges,610.3069476,,,,801,percent of total billed charges,589.3241561,,,,801,percent of total billed charges,624.6719531,,,,571.113,percent of total billed charges,284.9958384,,,,571.113,percent of total billed charges,170.5200396,,,,571.113,percent of total billed charges,284.9958384,,,,571.113,percent of total billed charges,170.5200396,,,,571.113,percent of total billed charges,284.9958384,,,,571.113,percent of total billed charges,170.5200396,,,,565.506,percent of total billed charges,561.2153522,,,,565.506,percent of total billed charges,387.0657802,,,,,,,,,,576.72,percent of total billed charges,374.8544286,,,,,,,,,,576.72,percent of total billed charges,999999999,,,,,,,,,,640.8,percent of total billed charges,536.9570901,,,,632.79,percent of total billed charges,610.6695821,,,,632.79,percent of total billed charges,539.5467899,,,,640.8,percent of total billed charges,999999999,,,,640.8,percent of total billed charges,999999999,,,,560.7,percent of total billed charges,999999999,,,,560.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,426.132,percent of total billed charges,999999999,,,,,,,,,,,,,,,,404.505,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,200.25,percent of total billed charges,190.1885171,,,,,,,,,,200.25,percent of total billed charges,187.0248605,,,,,,,,,,200.25,percent of total billed charges,186.5051264,,,,,,,,,,200.25,percent of total billed charges,183.7588407,,,,,,,,,,200.25,percent of total billed charges,188.4872258,,,,,,,,,,200.25,percent of total billed charges,999999999,,,,,,,,,,200.25,percent of total billed charges,161.735313,,,,,,,,,,200.25,percent of total billed charges,255.0677418,,,,,,,,,,200.25,percent of total billed charges,999999999,,,,,,,,,,200.25,percent of total billed charges,174.3902226,,,,,,,,,,720.9,percent of total billed charges,,,,,
EI-EVAL SP SOUND PROD W/ EVAL LAN 15 MIN,92523,CDM,5486-8587-00,NDC,,both,1,EA,176,176,37.46757425,176,176,percent of total billed charges,129.4894525,,,,176,percent of total billed charges,137.2562594,,,,176,percent of total billed charges,129.4894525,,,,176,percent of total billed charges,137.2562594,,,,176,percent of total billed charges,999999999,,,,176,percent of total billed charges,134.0999036,,,,176,percent of total billed charges,129.4894525,,,,176,percent of total billed charges,137.2562594,,,,125.488,percent of total billed charges,62.62080844,,,,125.488,percent of total billed charges,37.46757425,,,,125.488,percent of total billed charges,62.62080844,,,,125.488,percent of total billed charges,37.46757425,,,,125.488,percent of total billed charges,62.62080844,,,,125.488,percent of total billed charges,37.46757425,,,,124.256,percent of total billed charges,123.3132359,,,,124.256,percent of total billed charges,85.04816145,,,,,,,,,,126.72,percent of total billed charges,82.36501801,,,,,,,,,,126.72,percent of total billed charges,999999999,,,,,,,,,,140.8,percent of total billed charges,117.983081,,,,139.04,percent of total billed charges,134.1795836,,,,139.04,percent of total billed charges,118.5521036,,,,140.8,percent of total billed charges,999999999,,,,140.8,percent of total billed charges,999999999,,,,123.2,percent of total billed charges,999999999,,,,123.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,93.632,percent of total billed charges,999999999,,,,,,,,,,,,,,,,88.88,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,44,percent of total billed charges,41.78923721,,,,,,,,,,44,percent of total billed charges,41.09410168,,,,,,,,,,44,percent of total billed charges,40.97990293,,,,,,,,,,44,percent of total billed charges,40.37647436,,,,,,,,,,44,percent of total billed charges,41.4154204,,,,,,,,,,44,percent of total billed charges,999999999,,,,,,,,,,44,percent of total billed charges,35.53734718,,,,,,,,,,44,percent of total billed charges,56.04484715,,,,,,,,,,44,percent of total billed charges,999999999,,,,,,,,,,44,percent of total billed charges,38.31795154,,,,,,,,,,158.4,percent of total billed charges,,,,,
**EI-EVAL SPEECH FLUENCY 15 MIN,92521,CDM,5486-8587-00,NDC,,both,1,EA,176,176,37.46757425,176,176,percent of total billed charges,129.4894525,,,,176,percent of total billed charges,137.2562594,,,,176,percent of total billed charges,129.4894525,,,,176,percent of total billed charges,137.2562594,,,,176,percent of total billed charges,999999999,,,,176,percent of total billed charges,134.0999036,,,,176,percent of total billed charges,129.4894525,,,,176,percent of total billed charges,137.2562594,,,,125.488,percent of total billed charges,62.62080844,,,,125.488,percent of total billed charges,37.46757425,,,,125.488,percent of total billed charges,62.62080844,,,,125.488,percent of total billed charges,37.46757425,,,,125.488,percent of total billed charges,62.62080844,,,,125.488,percent of total billed charges,37.46757425,,,,124.256,percent of total billed charges,123.3132359,,,,124.256,percent of total billed charges,85.04816145,,,,,,,,,,126.72,percent of total billed charges,82.36501801,,,,,,,,,,126.72,percent of total billed charges,999999999,,,,,,,,,,140.8,percent of total billed charges,117.983081,,,,139.04,percent of total billed charges,134.1795836,,,,139.04,percent of total billed charges,118.5521036,,,,140.8,percent of total billed charges,999999999,,,,140.8,percent of total billed charges,999999999,,,,123.2,percent of total billed charges,999999999,,,,123.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,93.632,percent of total billed charges,999999999,,,,,,,,,,,,,,,,88.88,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,44,percent of total billed charges,41.78923721,,,,,,,,,,44,percent of total billed charges,41.09410168,,,,,,,,,,44,percent of total billed charges,40.97990293,,,,,,,,,,44,percent of total billed charges,40.37647436,,,,,,,,,,44,percent of total billed charges,41.4154204,,,,,,,,,,44,percent of total billed charges,999999999,,,,,,,,,,44,percent of total billed charges,35.53734718,,,,,,,,,,44,percent of total billed charges,56.04484715,,,,,,,,,,44,percent of total billed charges,999999999,,,,,,,,,,44,percent of total billed charges,38.31795154,,,,,,,,,,158.4,percent of total billed charges,,,,,
**EI-EVAL SPEECH SOUND PRODUCTION 15 MIN,92522,CDM,5486-8587-00,NDC,,both,1,EA,176,176,37.46757425,176,176,percent of total billed charges,129.4894525,,,,176,percent of total billed charges,137.2562594,,,,176,percent of total billed charges,129.4894525,,,,176,percent of total billed charges,137.2562594,,,,176,percent of total billed charges,999999999,,,,176,percent of total billed charges,134.0999036,,,,176,percent of total billed charges,129.4894525,,,,176,percent of total billed charges,137.2562594,,,,125.488,percent of total billed charges,62.62080844,,,,125.488,percent of total billed charges,37.46757425,,,,125.488,percent of total billed charges,62.62080844,,,,125.488,percent of total billed charges,37.46757425,,,,125.488,percent of total billed charges,62.62080844,,,,125.488,percent of total billed charges,37.46757425,,,,124.256,percent of total billed charges,123.3132359,,,,124.256,percent of total billed charges,85.04816145,,,,,,,,,,126.72,percent of total billed charges,82.36501801,,,,,,,,,,126.72,percent of total billed charges,999999999,,,,,,,,,,140.8,percent of total billed charges,117.983081,,,,139.04,percent of total billed charges,134.1795836,,,,139.04,percent of total billed charges,118.5521036,,,,140.8,percent of total billed charges,999999999,,,,140.8,percent of total billed charges,999999999,,,,123.2,percent of total billed charges,999999999,,,,123.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,93.632,percent of total billed charges,999999999,,,,,,,,,,,,,,,,88.88,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,44,percent of total billed charges,41.78923721,,,,,,,,,,44,percent of total billed charges,41.09410168,,,,,,,,,,44,percent of total billed charges,40.97990293,,,,,,,,,,44,percent of total billed charges,40.37647436,,,,,,,,,,44,percent of total billed charges,41.4154204,,,,,,,,,,44,percent of total billed charges,999999999,,,,,,,,,,44,percent of total billed charges,35.53734718,,,,,,,,,,44,percent of total billed charges,56.04484715,,,,,,,,,,44,percent of total billed charges,999999999,,,,,,,,,,44,percent of total billed charges,38.31795154,,,,,,,,,,158.4,percent of total billed charges,,,,,
EI-IFSP DEVELOPMENT 15 MIN,99499,CDM,5486-8587-00,NDC,GN,both,1,EA,125,125,26.61049308,125,125,percent of total billed charges,91.96694072,,,,125,percent of total billed charges,97.48313875,,,,125,percent of total billed charges,91.96694072,,,,125,percent of total billed charges,97.48313875,,,,125,percent of total billed charges,999999999,,,,125,percent of total billed charges,95.2414088,,,,125,percent of total billed charges,91.96694072,,,,125,percent of total billed charges,97.48313875,,,,89.125,percent of total billed charges,44.47500599,,,,89.125,percent of total billed charges,26.61049308,,,,89.125,percent of total billed charges,44.47500599,,,,89.125,percent of total billed charges,26.61049308,,,,89.125,percent of total billed charges,44.47500599,,,,89.125,percent of total billed charges,26.61049308,,,,88.25,percent of total billed charges,87.58042326,,,,88.25,percent of total billed charges,60.40352376,,,,,,,,,,90,percent of total billed charges,58.49788211,,,,,,,,,,90,percent of total billed charges,999999999,,,,,,,,,,100,percent of total billed charges,83.79480182,,,,98.75,percent of total billed charges,95.2979997,,,,98.75,percent of total billed charges,84.19893724,,,,100,percent of total billed charges,999999999,,,,100,percent of total billed charges,999999999,,,,87.5,percent of total billed charges,999999999,,,,87.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,66.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,63.125,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,31.25,percent of total billed charges,29.67985597,,,,,,,,,,31.25,percent of total billed charges,29.18615176,,,,,,,,,,31.25,percent of total billed charges,29.1050447,,,,,,,,,,31.25,percent of total billed charges,28.67647327,,,,,,,,,,31.25,percent of total billed charges,29.41436108,,,,,,,,,,31.25,percent of total billed charges,999999999,,,,,,,,,,31.25,percent of total billed charges,25.23959317,,,,,,,,,,31.25,percent of total billed charges,39.80457894,,,,,,,,,,31.25,percent of total billed charges,999999999,,,,,,,,,,31.25,percent of total billed charges,27.21445422,,,,,,,,,,112.5,percent of total billed charges,,,,,
**EI-SPEECH GRP TREATMENT 15 MIN,92508,CDM,5486-8587-00,NDC,,both,1,EA,45,45,9.579777508,45,45,percent of total billed charges,33.10809866,,,,45,percent of total billed charges,35.09392995,,,,45,percent of total billed charges,33.10809866,,,,45,percent of total billed charges,35.09392995,,,,45,percent of total billed charges,999999999,,,,45,percent of total billed charges,34.28690717,,,,45,percent of total billed charges,33.10809866,,,,45,percent of total billed charges,35.09392995,,,,32.085,percent of total billed charges,16.01100216,,,,32.085,percent of total billed charges,9.579777508,,,,32.085,percent of total billed charges,16.01100216,,,,32.085,percent of total billed charges,9.579777508,,,,32.085,percent of total billed charges,16.01100216,,,,32.085,percent of total billed charges,9.579777508,,,,31.77,percent of total billed charges,31.52895237,,,,31.77,percent of total billed charges,21.74526855,,,,,,,,,,32.4,percent of total billed charges,21.05923756,,,,,,,,,,32.4,percent of total billed charges,999999999,,,,,,,,,,36,percent of total billed charges,30.16612866,,,,35.55,percent of total billed charges,34.30727989,,,,35.55,percent of total billed charges,30.31161741,,,,36,percent of total billed charges,999999999,,,,36,percent of total billed charges,999999999,,,,31.5,percent of total billed charges,999999999,,,,31.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,23.94,percent of total billed charges,999999999,,,,,,,,,,,,,,,,22.725,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11.25,percent of total billed charges,10.68474815,,,,,,,,,,11.25,percent of total billed charges,10.50701463,,,,,,,,,,11.25,percent of total billed charges,10.47781609,,,,,,,,,,11.25,percent of total billed charges,10.32353038,,,,,,,,,,11.25,percent of total billed charges,10.58916999,,,,,,,,,,11.25,percent of total billed charges,999999999,,,,,,,,,,11.25,percent of total billed charges,9.08625354,,,,,,,,,,11.25,percent of total billed charges,14.32964842,,,,,,,,,,11.25,percent of total billed charges,999999999,,,,,,,,,,11.25,percent of total billed charges,9.797203519,,,,,,,,,,40.5,percent of total billed charges,,,,,
EI-SPEECH TREATMENT 15 MIN,92507,CDM,5486-8587-00,NDC,,both,1,EA,435,435,92.60451591,435,435,percent of total billed charges,320.0449537,,,,435,percent of total billed charges,339.2413229,,,,435,percent of total billed charges,320.0449537,,,,435,percent of total billed charges,339.2413229,,,,435,percent of total billed charges,999999999,,,,435,percent of total billed charges,331.4401026,,,,435,percent of total billed charges,320.0449537,,,,435,percent of total billed charges,339.2413229,,,,310.155,percent of total billed charges,154.7730208,,,,310.155,percent of total billed charges,92.60451591,,,,310.155,percent of total billed charges,154.7730208,,,,310.155,percent of total billed charges,92.60451591,,,,310.155,percent of total billed charges,154.7730208,,,,310.155,percent of total billed charges,92.60451591,,,,307.11,percent of total billed charges,304.7798729,,,,307.11,percent of total billed charges,210.2042627,,,,,,,,,,313.2,percent of total billed charges,203.5726297,,,,,,,,,,313.2,percent of total billed charges,999999999,,,,,,,,,,348,percent of total billed charges,291.6059103,,,,343.65,percent of total billed charges,331.6370389,,,,343.65,percent of total billed charges,293.0123016,,,,348,percent of total billed charges,999999999,,,,348,percent of total billed charges,999999999,,,,304.5,percent of total billed charges,999999999,,,,304.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,231.42,percent of total billed charges,999999999,,,,,,,,,,,,,,,,219.675,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,108.75,percent of total billed charges,103.2858988,,,,,,,,,,108.75,percent of total billed charges,101.5678081,,,,,,,,,,108.75,percent of total billed charges,101.2855555,,,,,,,,,,108.75,percent of total billed charges,99.79412697,,,,,,,,,,108.75,percent of total billed charges,102.3619766,,,,,,,,,,108.75,percent of total billed charges,999999999,,,,,,,,,,108.75,percent of total billed charges,87.83378422,,,,,,,,,,108.75,percent of total billed charges,138.5199347,,,,,,,,,,108.75,percent of total billed charges,999999999,,,,,,,,,,108.75,percent of total billed charges,94.70630069,,,,,,,,,,391.5,percent of total billed charges,,,,,
ST ASSISTIVE TECHNOLOGY ASSESS,97755,CDM,5486-8587-00,NDC,GN,both,1,EA,203,203,43.21544076,203,203,percent of total billed charges,149.3543117,,,,203,percent of total billed charges,158.3126173,,,,203,percent of total billed charges,149.3543117,,,,203,percent of total billed charges,158.3126173,,,,203,percent of total billed charges,999999999,,,,203,percent of total billed charges,154.6720479,,,,203,percent of total billed charges,149.3543117,,,,203,percent of total billed charges,158.3126173,,,,144.739,percent of total billed charges,72.22740973,,,,144.739,percent of total billed charges,43.21544076,,,,144.739,percent of total billed charges,72.22740973,,,,144.739,percent of total billed charges,43.21544076,,,,144.739,percent of total billed charges,72.22740973,,,,144.739,percent of total billed charges,43.21544076,,,,143.318,percent of total billed charges,142.2306074,,,,143.318,percent of total billed charges,98.09532258,,,,,,,,,,146.16,percent of total billed charges,95.00056055,,,,,,,,,,146.16,percent of total billed charges,999999999,,,,,,,,,,162.4,percent of total billed charges,136.0827582,,,,160.37,percent of total billed charges,154.7639515,,,,160.37,percent of total billed charges,136.7390741,,,,162.4,percent of total billed charges,999999999,,,,162.4,percent of total billed charges,999999999,,,,142.1,percent of total billed charges,999999999,,,,142.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,107.996,percent of total billed charges,999999999,,,,,,,,,,,,,,,,102.515,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,50.75,percent of total billed charges,48.2000861,,,,,,,,,,50.75,percent of total billed charges,47.39831046,,,,,,,,,,50.75,percent of total billed charges,47.26659259,,,,,,,,,,50.75,percent of total billed charges,46.57059258,,,,,,,,,,50.75,percent of total billed charges,47.7689224,,,,,,,,,,50.75,percent of total billed charges,999999999,,,,,,,,,,50.75,percent of total billed charges,40.9890993,,,,,,,,,,50.75,percent of total billed charges,64.6426362,,,,,,,,,,50.75,percent of total billed charges,999999999,,,,,,,,,,50.75,percent of total billed charges,44.19627365,,,,,,,,,,182.7,percent of total billed charges,,,,,
**ST TEAM CONF W/O PAT BY PHYS > 30 MIN,99367,CDM,5486-8587-00,NDC,GN,both,1,EA,303,303,64.50383522,303,303,percent of total billed charges,222.9278643,,,,303,percent of total billed charges,236.2991283,,,,303,percent of total billed charges,222.9278643,,,,303,percent of total billed charges,236.2991283,,,,303,percent of total billed charges,999999999,,,,303,percent of total billed charges,230.8651749,,,,303,percent of total billed charges,222.9278643,,,,303,percent of total billed charges,236.2991283,,,,216.039,percent of total billed charges,107.8074145,,,,216.039,percent of total billed charges,64.50383522,,,,216.039,percent of total billed charges,107.8074145,,,,216.039,percent of total billed charges,64.50383522,,,,216.039,percent of total billed charges,107.8074145,,,,216.039,percent of total billed charges,64.50383522,,,,213.918,percent of total billed charges,212.294946,,,,213.918,percent of total billed charges,146.4181416,,,,,,,,,,218.16,percent of total billed charges,141.7988662,,,,,,,,,,218.16,percent of total billed charges,999999999,,,,,,,,,,242.4,percent of total billed charges,203.1185996,,,,239.37,percent of total billed charges,231.0023513,,,,239.37,percent of total billed charges,204.0982239,,,,242.4,percent of total billed charges,999999999,,,,242.4,percent of total billed charges,999999999,,,,212.1,percent of total billed charges,999999999,,,,212.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,161.196,percent of total billed charges,999999999,,,,,,,,,,,,,,,,153.015,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,75.75,percent of total billed charges,71.94397087,,,,,,,,,,75.75,percent of total billed charges,70.74723187,,,,,,,,,,75.75,percent of total billed charges,70.55062834,,,,,,,,,,75.75,percent of total billed charges,69.5117712,,,,,,,,,,75.75,percent of total billed charges,71.30041126,,,,,,,,,,75.75,percent of total billed charges,999999999,,,,,,,,,,75.75,percent of total billed charges,61.18077384,,,,,,,,,,75.75,percent of total billed charges,96.48629935,,,,,,,,,,75.75,percent of total billed charges,999999999,,,,,,,,,,75.75,percent of total billed charges,65.96783703,,,,,,,,,,272.7,percent of total billed charges,,,,,
ST TEAM CONF W/O PAT BY HC PRO > 30 MIN,99368,CDM,5486-8587-00,NDC,GN,both,1,EA,219,219,46.62158387,219,219,percent of total billed charges,161.1260801,,,,219,percent of total billed charges,170.7904591,,,,219,percent of total billed charges,161.1260801,,,,219,percent of total billed charges,170.7904591,,,,219,percent of total billed charges,999999999,,,,219,percent of total billed charges,166.8629482,,,,219,percent of total billed charges,161.1260801,,,,219,percent of total billed charges,170.7904591,,,,156.147,percent of total billed charges,77.9202105,,,,156.147,percent of total billed charges,46.62158387,,,,156.147,percent of total billed charges,77.9202105,,,,156.147,percent of total billed charges,46.62158387,,,,156.147,percent of total billed charges,77.9202105,,,,156.147,percent of total billed charges,46.62158387,,,,154.614,percent of total billed charges,153.4409015,,,,154.614,percent of total billed charges,105.8269736,,,,,,,,,,157.68,percent of total billed charges,102.4882895,,,,,,,,,,157.68,percent of total billed charges,999999999,,,,,,,,,,175.2,percent of total billed charges,146.8084928,,,,173.01,percent of total billed charges,166.9620955,,,,173.01,percent of total billed charges,147.516538,,,,175.2,percent of total billed charges,999999999,,,,175.2,percent of total billed charges,999999999,,,,153.3,percent of total billed charges,999999999,,,,153.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,116.508,percent of total billed charges,999999999,,,,,,,,,,,,,,,,110.595,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,54.75,percent of total billed charges,51.99910766,,,,,,,,,,54.75,percent of total billed charges,51.13413789,,,,,,,,,,54.75,percent of total billed charges,50.99203831,,,,,,,,,,54.75,percent of total billed charges,50.24118116,,,,,,,,,,54.75,percent of total billed charges,51.53396061,,,,,,,,,,54.75,percent of total billed charges,999999999,,,,,,,,,,54.75,percent of total billed charges,44.21976723,,,,,,,,,,54.75,percent of total billed charges,69.7376223,,,,,,,,,,54.75,percent of total billed charges,999999999,,,,,,,,,,54.75,percent of total billed charges,47.67972379,,,,,,,,,,197.1,percent of total billed charges,,,,,
ST TEAM CONF W/PAT BY HC PRO > 30 MIN,99366,CDM,5486-8587-00,NDC,GN,both,1,EA,294,294,62.58787972,294,294,percent of total billed charges,216.3062446,,,,294,percent of total billed charges,229.2803423,,,,294,percent of total billed charges,216.3062446,,,,294,percent of total billed charges,229.2803423,,,,294,percent of total billed charges,999999999,,,,294,percent of total billed charges,224.0077935,,,,294,percent of total billed charges,216.3062446,,,,294,percent of total billed charges,229.2803423,,,,209.622,percent of total billed charges,104.6052141,,,,209.622,percent of total billed charges,62.58787972,,,,209.622,percent of total billed charges,104.6052141,,,,209.622,percent of total billed charges,62.58787972,,,,209.622,percent of total billed charges,104.6052141,,,,209.622,percent of total billed charges,62.58787972,,,,207.564,percent of total billed charges,205.9891555,,,,207.564,percent of total billed charges,142.0690879,,,,,,,,,,211.68,percent of total billed charges,137.5870187,,,,,,,,,,211.68,percent of total billed charges,999999999,,,,,,,,,,235.2,percent of total billed charges,197.0853739,,,,232.26,percent of total billed charges,224.1408953,,,,232.26,percent of total billed charges,198.0359004,,,,235.2,percent of total billed charges,999999999,,,,235.2,percent of total billed charges,999999999,,,,205.8,percent of total billed charges,999999999,,,,205.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,156.408,percent of total billed charges,999999999,,,,,,,,,,,,,,,,148.47,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,73.5,percent of total billed charges,69.80702124,,,,,,,,,,73.5,percent of total billed charges,68.64582894,,,,,,,,,,73.5,percent of total billed charges,68.45506512,,,,,,,,,,73.5,percent of total billed charges,67.44706512,,,,,,,,,,73.5,percent of total billed charges,69.18257726,,,,,,,,,,73.5,percent of total billed charges,999999999,,,,,,,,,,73.5,percent of total billed charges,59.36352313,,,,,,,,,,73.5,percent of total billed charges,93.62036967,,,,,,,,,,73.5,percent of total billed charges,999999999,,,,,,,,,,73.5,percent of total billed charges,64.00839633,,,,,,,,,,264.6,percent of total billed charges,,,,,
**ST IFSP DEVELOP-SPEECH 15 MIN ONSITE,99499,CDM,5486-8587-00,NDC,GN,both,1,EA,60,60,12.77303668,60,60,percent of total billed charges,44.14413154,,,,60,percent of total billed charges,46.7919066,,,,60,percent of total billed charges,44.14413154,,,,60,percent of total billed charges,46.7919066,,,,60,percent of total billed charges,999999999,,,,60,percent of total billed charges,45.71587623,,,,60,percent of total billed charges,44.14413154,,,,60,percent of total billed charges,46.7919066,,,,42.78,percent of total billed charges,21.34800288,,,,42.78,percent of total billed charges,12.77303668,,,,42.78,percent of total billed charges,21.34800288,,,,42.78,percent of total billed charges,12.77303668,,,,42.78,percent of total billed charges,21.34800288,,,,42.78,percent of total billed charges,12.77303668,,,,42.36,percent of total billed charges,42.03860316,,,,42.36,percent of total billed charges,28.9936914,,,,,,,,,,43.2,percent of total billed charges,28.07898341,,,,,,,,,,43.2,percent of total billed charges,999999999,,,,,,,,,,48,percent of total billed charges,40.22150488,,,,47.4,percent of total billed charges,45.74303985,,,,47.4,percent of total billed charges,40.41548988,,,,48,percent of total billed charges,999999999,,,,48,percent of total billed charges,999999999,,,,42,percent of total billed charges,999999999,,,,42,percent of total billed charges,999999999,,,,,,,,,,,,,,,,31.92,percent of total billed charges,999999999,,,,,,,,,,,,,,,,30.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15,percent of total billed charges,14.24633087,,,,,,,,,,15,percent of total billed charges,14.00935285,,,,,,,,,,15,percent of total billed charges,13.97042145,,,,,,,,,,15,percent of total billed charges,13.76470717,,,,,,,,,,15,percent of total billed charges,14.11889332,,,,,,,,,,15,percent of total billed charges,999999999,,,,,,,,,,15,percent of total billed charges,12.11500472,,,,,,,,,,15,percent of total billed charges,19.10619789,,,,,,,,,,15,percent of total billed charges,999999999,,,,,,,,,,15,percent of total billed charges,13.06293803,,,,,,,,,,54,percent of total billed charges,,,,,
**PR AEROCHAMBER-DISP,272,RC,5486-8587-00,NDC,,both,1,EA,102,102,21.71416235,102,102,percent of total billed charges,75.04502362,,,,102,percent of total billed charges,79.54624122,,,,102,percent of total billed charges,75.04502362,,,,102,percent of total billed charges,79.54624122,,,,102,percent of total billed charges,999999999,,,,102,percent of total billed charges,77.71698958,,,,102,percent of total billed charges,75.04502362,,,,102,percent of total billed charges,79.54624122,,,,72.726,percent of total billed charges,36.29160489,,,,72.726,percent of total billed charges,21.71416235,,,,72.726,percent of total billed charges,36.29160489,,,,72.726,percent of total billed charges,21.71416235,,,,72.726,percent of total billed charges,36.29160489,,,,72.726,percent of total billed charges,21.71416235,,,,72.012,percent of total billed charges,71.46562538,,,,72.012,percent of total billed charges,49.28927538,,,,,,,,,,73.44,percent of total billed charges,47.7342718,,,,,,,,,,73.44,percent of total billed charges,999999999,,,,,,,,,,81.6,percent of total billed charges,68.37655829,,,,80.58,percent of total billed charges,77.76316775,,,,80.58,percent of total billed charges,68.70633279,,,,81.6,percent of total billed charges,999999999,,,,81.6,percent of total billed charges,999999999,,,,71.4,percent of total billed charges,999999999,,,,71.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,54.264,percent of total billed charges,999999999,,,,,,,,,,,,,,,,51.51,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,25.5,percent of total billed charges,24.21876247,,,,,,,,,,25.5,percent of total billed charges,23.81589984,,,,,,,,,,25.5,percent of total billed charges,23.74971647,,,,,,,,,,25.5,percent of total billed charges,23.40000219,,,,,,,,,,25.5,percent of total billed charges,24.00211864,,,,,,,,,,25.5,percent of total billed charges,999999999,,,,,,,,,,25.5,percent of total billed charges,20.59550803,,,,,,,,,,25.5,percent of total billed charges,32.48053641,,,,,,,,,,25.5,percent of total billed charges,999999999,,,,,,,,,,25.5,percent of total billed charges,22.20699464,,,,,,,,,,91.8,percent of total billed charges,,,,,
**PR GLUCOSCAN,82948,CDM,5486-8587-00,NDC,,both,1,EA,74,74,15.7534119,74,74,percent of total billed charges,54.4444289,,,,74,percent of total billed charges,57.71001814,,,,74,percent of total billed charges,54.4444289,,,,74,percent of total billed charges,57.71001814,,,,74,percent of total billed charges,999999999,,,,74,percent of total billed charges,56.38291401,,,,74,percent of total billed charges,54.4444289,,,,74,percent of total billed charges,57.71001814,,,,52.762,percent of total billed charges,26.32920355,,,,52.762,percent of total billed charges,15.7534119,,,,52.762,percent of total billed charges,26.32920355,,,,52.762,percent of total billed charges,15.7534119,,,,52.762,percent of total billed charges,26.32920355,,,,52.762,percent of total billed charges,15.7534119,,,,52.244,percent of total billed charges,51.84761057,,,,52.244,percent of total billed charges,35.75888606,,,,,,,,,,53.28,percent of total billed charges,34.63074621,,,,,,,,,,53.28,percent of total billed charges,999999999,,,,,,,,,,59.2,percent of total billed charges,49.60652268,,,,58.46,percent of total billed charges,56.41641582,,,,58.46,percent of total billed charges,49.84577085,,,,59.2,percent of total billed charges,999999999,,,,59.2,percent of total billed charges,999999999,,,,51.8,percent of total billed charges,999999999,,,,51.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,39.368,percent of total billed charges,999999999,,,,,,,,,,,,,,,,37.37,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18.5,percent of total billed charges,17.57047473,,,,,,,,,,18.5,percent of total billed charges,17.27820184,,,,,,,,,,18.5,percent of total billed charges,17.23018646,,,,,,,,,,18.5,percent of total billed charges,16.97647217,,,,,,,,,,18.5,percent of total billed charges,17.41330176,,,,,,,,,,18.5,percent of total billed charges,999999999,,,,,,,,,,18.5,percent of total billed charges,14.94183916,,,,,,,,,,18.5,percent of total billed charges,23.56431073,,,,,,,,,,18.5,percent of total billed charges,999999999,,,,,,,,,,18.5,percent of total billed charges,16.1109569,,,,,,,,,,66.6,percent of total billed charges,,,,,
**PR PULMONARY RE-EVAL,99211,CDM,5486-8587-00,NDC,,both,1,EA,166,166,35.33873481,166,166,percent of total billed charges,122.1320973,,,,166,percent of total billed charges,129.4576083,,,,166,percent of total billed charges,122.1320973,,,,166,percent of total billed charges,129.4576083,,,,166,percent of total billed charges,999999999,,,,166,percent of total billed charges,126.4805909,,,,166,percent of total billed charges,122.1320973,,,,166,percent of total billed charges,129.4576083,,,,118.358,percent of total billed charges,59.06280796,,,,118.358,percent of total billed charges,35.33873481,,,,118.358,percent of total billed charges,59.06280796,,,,118.358,percent of total billed charges,35.33873481,,,,118.358,percent of total billed charges,59.06280796,,,,118.358,percent of total billed charges,35.33873481,,,,117.196,percent of total billed charges,116.3068021,,,,117.196,percent of total billed charges,80.21587955,,,,,,,,,,119.52,percent of total billed charges,77.68518744,,,,,,,,,,119.52,percent of total billed charges,999999999,,,,,,,,,,132.8,percent of total billed charges,111.2794968,,,,131.14,percent of total billed charges,126.5557436,,,,131.14,percent of total billed charges,111.8161887,,,,132.8,percent of total billed charges,999999999,,,,132.8,percent of total billed charges,999999999,,,,116.2,percent of total billed charges,999999999,,,,116.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,88.312,percent of total billed charges,999999999,,,,,,,,,,,,,,,,83.83,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,41.5,percent of total billed charges,39.41484873,,,,,,,,,,41.5,percent of total billed charges,38.75920954,,,,,,,,,,41.5,percent of total billed charges,38.65149936,,,,,,,,,,41.5,percent of total billed charges,38.0823565,,,,,,,,,,41.5,percent of total billed charges,39.06227152,,,,,,,,,,41.5,percent of total billed charges,999999999,,,,,,,,,,41.5,percent of total billed charges,33.51817973,,,,,,,,,,41.5,percent of total billed charges,52.86048083,,,,,,,,,,41.5,percent of total billed charges,999999999,,,,,,,,,,41.5,percent of total billed charges,36.14079521,,,,,,,,,,149.4,percent of total billed charges,,,,,
**PR MDI INSTRUCTION,94664,CDM,5486-8587-00,NDC,,both,1,EA,99,99,21.07551052,99,99,percent of total billed charges,72.83781705,,,,99,percent of total billed charges,77.20664589,,,,99,percent of total billed charges,72.83781705,,,,99,percent of total billed charges,77.20664589,,,,99,percent of total billed charges,999999999,,,,99,percent of total billed charges,75.43119577,,,,99,percent of total billed charges,72.83781705,,,,99,percent of total billed charges,77.20664589,,,,70.587,percent of total billed charges,35.22420474,,,,70.587,percent of total billed charges,21.07551052,,,,70.587,percent of total billed charges,35.22420474,,,,70.587,percent of total billed charges,21.07551052,,,,70.587,percent of total billed charges,35.22420474,,,,70.587,percent of total billed charges,21.07551052,,,,69.894,percent of total billed charges,69.36369522,,,,69.894,percent of total billed charges,47.83959081,,,,,,,,,,71.28,percent of total billed charges,46.33032263,,,,,,,,,,71.28,percent of total billed charges,999999999,,,,,,,,,,79.2,percent of total billed charges,66.36548304,,,,78.21,percent of total billed charges,75.47601576,,,,78.21,percent of total billed charges,66.6855583,,,,79.2,percent of total billed charges,999999999,,,,79.2,percent of total billed charges,999999999,,,,69.3,percent of total billed charges,999999999,,,,69.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,52.668,percent of total billed charges,999999999,,,,,,,,,,,,,,,,49.995,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,24.75,percent of total billed charges,23.50644593,,,,,,,,,,24.75,percent of total billed charges,23.1154322,,,,,,,,,,24.75,percent of total billed charges,23.0511954,,,,,,,,,,24.75,percent of total billed charges,22.71176683,,,,,,,,,,24.75,percent of total billed charges,23.29617398,,,,,,,,,,24.75,percent of total billed charges,999999999,,,,,,,,,,24.75,percent of total billed charges,19.98975779,,,,,,,,,,24.75,percent of total billed charges,31.52522652,,,,,,,,,,24.75,percent of total billed charges,999999999,,,,,,,,,,24.75,percent of total billed charges,21.55384774,,,,,,,,,,89.1,percent of total billed charges,,,,,
**PR PFLEX INSP TRAIN-DISP,271,RC,5486-8587-00,NDC,,both,1,EA,72,72,15.32764401,72,72,percent of total billed charges,52.97295785,,,,72,percent of total billed charges,56.15028792,,,,72,percent of total billed charges,52.97295785,,,,72,percent of total billed charges,56.15028792,,,,72,percent of total billed charges,999999999,,,,72,percent of total billed charges,54.85905147,,,,72,percent of total billed charges,52.97295785,,,,72,percent of total billed charges,56.15028792,,,,51.336,percent of total billed charges,25.61760345,,,,51.336,percent of total billed charges,15.32764401,,,,51.336,percent of total billed charges,25.61760345,,,,51.336,percent of total billed charges,15.32764401,,,,51.336,percent of total billed charges,25.61760345,,,,51.336,percent of total billed charges,15.32764401,,,,50.832,percent of total billed charges,50.4463238,,,,50.832,percent of total billed charges,34.79242968,,,,,,,,,,51.84,percent of total billed charges,33.6947801,,,,,,,,,,51.84,percent of total billed charges,999999999,,,,,,,,,,57.6,percent of total billed charges,48.26580585,,,,56.88,percent of total billed charges,54.89164783,,,,56.88,percent of total billed charges,48.49858785,,,,57.6,percent of total billed charges,999999999,,,,57.6,percent of total billed charges,999999999,,,,50.4,percent of total billed charges,999999999,,,,50.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,38.304,percent of total billed charges,999999999,,,,,,,,,,,,,,,,36.36,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18,percent of total billed charges,17.09559704,,,,,,,,,,18,percent of total billed charges,16.81122341,,,,,,,,,,18,percent of total billed charges,16.76450574,,,,,,,,,,18,percent of total billed charges,16.5176486,,,,,,,,,,18,percent of total billed charges,16.94267198,,,,,,,,,,18,percent of total billed charges,999999999,,,,,,,,,,18,percent of total billed charges,14.53800566,,,,,,,,,,18,percent of total billed charges,22.92743747,,,,,,,,,,18,percent of total billed charges,999999999,,,,,,,,,,18,percent of total billed charges,15.67552563,,,,,,,,,,64.8,percent of total billed charges,,,,,
**PR PT EXERCISE,97530,CDM,5486-8587-00,NDC,,both,1,EA,135,135,28.73933252,135,135,percent of total billed charges,99.32429597,,,,135,percent of total billed charges,105.2817899,,,,135,percent of total billed charges,99.32429597,,,,135,percent of total billed charges,105.2817899,,,,135,percent of total billed charges,999999999,,,,135,percent of total billed charges,102.8607215,,,,135,percent of total billed charges,99.32429597,,,,135,percent of total billed charges,105.2817899,,,,96.255,percent of total billed charges,48.03300647,,,,96.255,percent of total billed charges,28.73933252,,,,96.255,percent of total billed charges,48.03300647,,,,96.255,percent of total billed charges,28.73933252,,,,96.255,percent of total billed charges,48.03300647,,,,96.255,percent of total billed charges,28.73933252,,,,95.31,percent of total billed charges,94.58685712,,,,95.31,percent of total billed charges,65.23580566,,,,,,,,,,97.2,percent of total billed charges,63.17771268,,,,,,,,,,97.2,percent of total billed charges,999999999,,,,,,,,,,108,percent of total billed charges,90.49838597,,,,106.65,percent of total billed charges,102.9218397,,,,106.65,percent of total billed charges,90.93485222,,,,108,percent of total billed charges,999999999,,,,108,percent of total billed charges,999999999,,,,94.5,percent of total billed charges,999999999,,,,94.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,71.82,percent of total billed charges,999999999,,,,,,,,,,,,,,,,68.175,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,33.75,percent of total billed charges,32.05424445,,,,,,,,,,33.75,percent of total billed charges,31.5210439,,,,,,,,,,33.75,percent of total billed charges,31.43344827,,,,,,,,,,33.75,percent of total billed charges,30.97059113,,,,,,,,,,33.75,percent of total billed charges,31.76750997,,,,,,,,,,33.75,percent of total billed charges,999999999,,,,,,,,,,33.75,percent of total billed charges,27.25876062,,,,,,,,,,33.75,percent of total billed charges,42.98894525,,,,,,,,,,33.75,percent of total billed charges,999999999,,,,,,,,,,33.75,percent of total billed charges,29.39161056,,,,,,,,,,121.5,percent of total billed charges,,,,,
**PR 02 THERAPY,271,RC,5486-8587-00,NDC,,both,1,EA,35,35,7.450938062,35,35,percent of total billed charges,25.7507434,,,,35,percent of total billed charges,27.29527885,,,,35,percent of total billed charges,25.7507434,,,,35,percent of total billed charges,27.29527885,,,,35,percent of total billed charges,999999999,,,,35,percent of total billed charges,26.66759446,,,,35,percent of total billed charges,25.7507434,,,,35,percent of total billed charges,27.29527885,,,,24.955,percent of total billed charges,12.45300168,,,,24.955,percent of total billed charges,7.450938062,,,,24.955,percent of total billed charges,12.45300168,,,,24.955,percent of total billed charges,7.450938062,,,,24.955,percent of total billed charges,12.45300168,,,,24.955,percent of total billed charges,7.450938062,,,,24.71,percent of total billed charges,24.52251851,,,,24.71,percent of total billed charges,16.91298665,,,,,,,,,,25.2,percent of total billed charges,16.37940699,,,,,,,,,,25.2,percent of total billed charges,999999999,,,,,,,,,,28,percent of total billed charges,23.46254451,,,,27.65,percent of total billed charges,26.68343992,,,,27.65,percent of total billed charges,23.57570243,,,,28,percent of total billed charges,999999999,,,,28,percent of total billed charges,999999999,,,,24.5,percent of total billed charges,999999999,,,,24.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,18.62,percent of total billed charges,999999999,,,,,,,,,,,,,,,,17.675,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8.75,percent of total billed charges,8.310359672,,,,,,,,,,8.75,percent of total billed charges,8.172122493,,,,,,,,,,8.75,percent of total billed charges,8.149412515,,,,,,,,,,8.75,percent of total billed charges,8.029412515,,,,,,,,,,8.75,percent of total billed charges,8.236021103,,,,,,,,,,8.75,percent of total billed charges,999999999,,,,,,,,,,8.75,percent of total billed charges,7.067086087,,,,,,,,,,8.75,percent of total billed charges,11.1452821,,,,,,,,,,8.75,percent of total billed charges,999999999,,,,,,,,,,8.75,percent of total billed charges,7.620047182,,,,,,,,,,31.5,percent of total billed charges,,,,,
**PR OXIMETRY-MULTIPLE DETERMINATIONS,94761,CDM,5486-8587-00,NDC,,both,1,EA,296,296,63.01364761,296,296,percent of total billed charges,217.7777156,,,,296,percent of total billed charges,230.8400726,,,,296,percent of total billed charges,217.7777156,,,,296,percent of total billed charges,230.8400726,,,,296,percent of total billed charges,999999999,,,,296,percent of total billed charges,225.531656,,,,296,percent of total billed charges,217.7777156,,,,296,percent of total billed charges,230.8400726,,,,211.048,percent of total billed charges,105.3168142,,,,211.048,percent of total billed charges,63.01364761,,,,211.048,percent of total billed charges,105.3168142,,,,211.048,percent of total billed charges,63.01364761,,,,211.048,percent of total billed charges,105.3168142,,,,211.048,percent of total billed charges,63.01364761,,,,208.976,percent of total billed charges,207.3904423,,,,208.976,percent of total billed charges,143.0355443,,,,,,,,,,213.12,percent of total billed charges,138.5229848,,,,,,,,,,213.12,percent of total billed charges,999999999,,,,,,,,,,236.8,percent of total billed charges,198.4260907,,,,233.84,percent of total billed charges,225.6656633,,,,233.84,percent of total billed charges,199.3830834,,,,236.8,percent of total billed charges,999999999,,,,236.8,percent of total billed charges,999999999,,,,207.2,percent of total billed charges,999999999,,,,207.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,157.472,percent of total billed charges,999999999,,,,,,,,,,,,,,,,149.48,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,74,percent of total billed charges,70.28189894,,,,,,,,,,74,percent of total billed charges,69.11280737,,,,,,,,,,74,percent of total billed charges,68.92074584,,,,,,,,,,74,percent of total billed charges,67.9058887,,,,,,,,,,74,percent of total billed charges,69.65320704,,,,,,,,,,74,percent of total billed charges,999999999,,,,,,,,,,74,percent of total billed charges,59.76735662,,,,,,,,,,74,percent of total billed charges,94.25724293,,,,,,,,,,74,percent of total billed charges,999999999,,,,,,,,,,74,percent of total billed charges,64.44382759,,,,,,,,,,266.4,percent of total billed charges,,,,,
**PR PEAKFLOW,94150,CDM,5486-8587-00,NDC,,both,1,EA,41,41,8.72824173,41,41,percent of total billed charges,30.16515655,,,,41,percent of total billed charges,31.97446951,,,,41,percent of total billed charges,30.16515655,,,,41,percent of total billed charges,31.97446951,,,,41,percent of total billed charges,999999999,,,,41,percent of total billed charges,31.23918209,,,,41,percent of total billed charges,30.16515655,,,,41,percent of total billed charges,31.97446951,,,,29.233,percent of total billed charges,14.58780197,,,,29.233,percent of total billed charges,8.72824173,,,,29.233,percent of total billed charges,14.58780197,,,,29.233,percent of total billed charges,8.72824173,,,,29.233,percent of total billed charges,14.58780197,,,,29.233,percent of total billed charges,8.72824173,,,,28.946,percent of total billed charges,28.72637883,,,,28.946,percent of total billed charges,19.81235579,,,,,,,,,,29.52,percent of total billed charges,19.18730533,,,,,,,,,,29.52,percent of total billed charges,999999999,,,,,,,,,,32.8,percent of total billed charges,27.484695,,,,32.39,percent of total billed charges,31.2577439,,,,32.39,percent of total billed charges,27.61725142,,,,32.8,percent of total billed charges,999999999,,,,32.8,percent of total billed charges,999999999,,,,28.7,percent of total billed charges,999999999,,,,28.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,21.812,percent of total billed charges,999999999,,,,,,,,,,,,,,,,20.705,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10.25,percent of total billed charges,9.734992758,,,,,,,,,,10.25,percent of total billed charges,9.573057778,,,,,,,,,,10.25,percent of total billed charges,9.54645466,,,,,,,,,,10.25,percent of total billed charges,9.405883231,,,,,,,,,,10.25,percent of total billed charges,9.647910435,,,,,,,,,,10.25,percent of total billed charges,999999999,,,,,,,,,,10.25,percent of total billed charges,8.278586559,,,,,,,,,,10.25,percent of total billed charges,13.05590189,,,,,,,,,,10.25,percent of total billed charges,999999999,,,,,,,,,,10.25,percent of total billed charges,8.926340984,,,,,,,,,,36.9,percent of total billed charges,,,,,
**PR PEAK FLOWMETER-DISP,271,RC,5486-8587-00,NDC,,both,1,EA,167,167,35.55161875,167,167,percent of total billed charges,122.8678328,,,,167,percent of total billed charges,130.2374734,,,,167,percent of total billed charges,122.8678328,,,,167,percent of total billed charges,130.2374734,,,,167,percent of total billed charges,999999999,,,,167,percent of total billed charges,127.2425222,,,,167,percent of total billed charges,122.8678328,,,,167,percent of total billed charges,130.2374734,,,,119.071,percent of total billed charges,59.418608,,,,119.071,percent of total billed charges,35.55161875,,,,119.071,percent of total billed charges,59.418608,,,,119.071,percent of total billed charges,35.55161875,,,,119.071,percent of total billed charges,59.418608,,,,119.071,percent of total billed charges,35.55161875,,,,117.902,percent of total billed charges,117.0074455,,,,117.902,percent of total billed charges,80.69910774,,,,,,,,,,120.24,percent of total billed charges,78.1531705,,,,,,,,,,120.24,percent of total billed charges,999999999,,,,,,,,,,133.6,percent of total billed charges,111.9498552,,,,131.93,percent of total billed charges,127.3181276,,,,131.93,percent of total billed charges,112.4897802,,,,133.6,percent of total billed charges,999999999,,,,133.6,percent of total billed charges,999999999,,,,116.9,percent of total billed charges,999999999,,,,116.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,88.844,percent of total billed charges,999999999,,,,,,,,,,,,,,,,84.335,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,41.75,percent of total billed charges,39.65228758,,,,,,,,,,41.75,percent of total billed charges,38.99269875,,,,,,,,,,41.75,percent of total billed charges,38.88433971,,,,,,,,,,41.75,percent of total billed charges,38.31176828,,,,,,,,,,41.75,percent of total billed charges,39.2975864,,,,,,,,,,41.75,percent of total billed charges,999999999,,,,,,,,,,41.75,percent of total billed charges,33.72009647,,,,,,,,,,41.75,percent of total billed charges,53.17891746,,,,,,,,,,41.75,percent of total billed charges,999999999,,,,,,,,,,41.75,percent of total billed charges,36.35851084,,,,,,,,,,150.3,percent of total billed charges,,,,,
**PR RESISTIVE BREATHING TRAINING-DISP,271,RC,5486-8587-00,NDC,,both,1,EA,86,86,18.30801924,86,86,percent of total billed charges,63.27325521,,,,86,percent of total billed charges,67.06839946,,,,86,percent of total billed charges,63.27325521,,,,86,percent of total billed charges,67.06839946,,,,86,percent of total billed charges,999999999,,,,86,percent of total billed charges,65.52608926,,,,86,percent of total billed charges,63.27325521,,,,86,percent of total billed charges,67.06839946,,,,61.318,percent of total billed charges,30.59880412,,,,61.318,percent of total billed charges,18.30801924,,,,61.318,percent of total billed charges,30.59880412,,,,61.318,percent of total billed charges,18.30801924,,,,61.318,percent of total billed charges,30.59880412,,,,61.318,percent of total billed charges,18.30801924,,,,60.716,percent of total billed charges,60.2553312,,,,60.716,percent of total billed charges,41.55762434,,,,,,,,,,61.92,percent of total billed charges,40.24654289,,,,,,,,,,61.92,percent of total billed charges,999999999,,,,,,,,,,68.8,percent of total billed charges,57.65082366,,,,67.94,percent of total billed charges,65.56502379,,,,67.94,percent of total billed charges,57.92886882,,,,68.8,percent of total billed charges,999999999,,,,68.8,percent of total billed charges,999999999,,,,60.2,percent of total billed charges,999999999,,,,60.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,45.752,percent of total billed charges,999999999,,,,,,,,,,,,,,,,43.43,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21.5,percent of total billed charges,20.41974091,,,,,,,,,,21.5,percent of total billed charges,20.08007241,,,,,,,,,,21.5,percent of total billed charges,20.02427075,,,,,,,,,,21.5,percent of total billed charges,19.72941361,,,,,,,,,,21.5,percent of total billed charges,20.23708042,,,,,,,,,,21.5,percent of total billed charges,999999999,,,,,,,,,,21.5,percent of total billed charges,17.3648401,,,,,,,,,,21.5,percent of total billed charges,27.38555031,,,,,,,,,,21.5,percent of total billed charges,999999999,,,,,,,,,,21.5,percent of total billed charges,18.7235445,,,,,,,,,,77.4,percent of total billed charges,,,,,
**PR FLOW VOLUME LOOPS-HAND HELD-DISP,272,RC,5486-8587-00,NDC,,both,1,EA,103,103,21.9270463,103,103,percent of total billed charges,75.78075915,,,,103,percent of total billed charges,80.32610633,,,,103,percent of total billed charges,75.78075915,,,,103,percent of total billed charges,80.32610633,,,,103,percent of total billed charges,999999999,,,,103,percent of total billed charges,78.47892085,,,,103,percent of total billed charges,75.78075915,,,,103,percent of total billed charges,80.32610633,,,,73.439,percent of total billed charges,36.64740494,,,,73.439,percent of total billed charges,21.9270463,,,,73.439,percent of total billed charges,36.64740494,,,,73.439,percent of total billed charges,21.9270463,,,,73.439,percent of total billed charges,36.64740494,,,,73.439,percent of total billed charges,21.9270463,,,,72.718,percent of total billed charges,72.16626877,,,,72.718,percent of total billed charges,49.77250357,,,,,,,,,,74.16,percent of total billed charges,48.20225486,,,,,,,,,,74.16,percent of total billed charges,999999999,,,,,,,,,,82.4,percent of total billed charges,69.0469167,,,,81.37,percent of total billed charges,78.52555175,,,,81.37,percent of total billed charges,69.37992429,,,,82.4,percent of total billed charges,999999999,,,,82.4,percent of total billed charges,999999999,,,,72.1,percent of total billed charges,999999999,,,,72.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,54.796,percent of total billed charges,999999999,,,,,,,,,,,,,,,,52.015,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,25.75,percent of total billed charges,24.45620132,,,,,,,,,,25.75,percent of total billed charges,24.04938905,,,,,,,,,,25.75,percent of total billed charges,23.98255683,,,,,,,,,,25.75,percent of total billed charges,23.62941397,,,,,,,,,,25.75,percent of total billed charges,24.23743353,,,,,,,,,,25.75,percent of total billed charges,999999999,,,,,,,,,,25.75,percent of total billed charges,20.79742477,,,,,,,,,,25.75,percent of total billed charges,32.79897305,,,,,,,,,,25.75,percent of total billed charges,999999999,,,,,,,,,,25.75,percent of total billed charges,22.42471028,,,,,,,,,,92.7,percent of total billed charges,,,,,
**PR 12 LEAD EKG,93005,CDM,5486-8587-00,NDC,,both,1,EA,516,516,109.8481154,516,516,percent of total billed charges,379.6395313,,,,516,percent of total billed charges,402.4103968,,,,516,percent of total billed charges,379.6395313,,,,516,percent of total billed charges,402.4103968,,,,516,percent of total billed charges,999999999,,,,516,percent of total billed charges,393.1565355,,,,516,percent of total billed charges,379.6395313,,,,516,percent of total billed charges,402.4103968,,,,367.908,percent of total billed charges,183.5928247,,,,367.908,percent of total billed charges,109.8481154,,,,367.908,percent of total billed charges,183.5928247,,,,367.908,percent of total billed charges,109.8481154,,,,367.908,percent of total billed charges,183.5928247,,,,367.908,percent of total billed charges,109.8481154,,,,364.296,percent of total billed charges,361.5319872,,,,364.296,percent of total billed charges,249.3457461,,,,,,,,,,371.52,percent of total billed charges,241.4792573,,,,,,,,,,371.52,percent of total billed charges,999999999,,,,,,,,,,412.8,percent of total billed charges,345.9049419,,,,407.64,percent of total billed charges,393.3901428,,,,407.64,percent of total billed charges,347.5732129,,,,412.8,percent of total billed charges,999999999,,,,412.8,percent of total billed charges,999999999,,,,361.2,percent of total billed charges,999999999,,,,361.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,274.512,percent of total billed charges,999999999,,,,,,,,,,,,,,,,260.58,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,129,percent of total billed charges,122.5184454,,,,,,,,,,129,percent of total billed charges,120.4804345,,,,,,,,,,129,percent of total billed charges,120.1456245,,,,,,,,,,129,percent of total billed charges,118.3764816,,,,,,,,,,129,percent of total billed charges,121.4224825,,,,,,,,,,129,percent of total billed charges,999999999,,,,,,,,,,129,percent of total billed charges,104.1890406,,,,,,,,,,129,percent of total billed charges,164.3133019,,,,,,,,,,129,percent of total billed charges,999999999,,,,,,,,,,129,percent of total billed charges,112.341267,,,,,,,,,,464.4,percent of total billed charges,,,,,
**PR RHYTHM ECG,93041,CDM,5486-8587-00,NDC,,both,1,EA,323,323,68.76151411,323,323,percent of total billed charges,237.6425748,,,,323,percent of total billed charges,251.8964305,,,,323,percent of total billed charges,237.6425748,,,,323,percent of total billed charges,251.8964305,,,,323,percent of total billed charges,999999999,,,,323,percent of total billed charges,246.1038003,,,,323,percent of total billed charges,237.6425748,,,,323,percent of total billed charges,251.8964305,,,,230.299,percent of total billed charges,114.9234155,,,,230.299,percent of total billed charges,68.76151411,,,,230.299,percent of total billed charges,114.9234155,,,,230.299,percent of total billed charges,68.76151411,,,,230.299,percent of total billed charges,114.9234155,,,,230.299,percent of total billed charges,68.76151411,,,,228.038,percent of total billed charges,226.3078137,,,,228.038,percent of total billed charges,156.0827054,,,,,,,,,,232.56,percent of total billed charges,151.1585274,,,,,,,,,,232.56,percent of total billed charges,999999999,,,,,,,,,,258.4,percent of total billed charges,216.5257679,,,,255.17,percent of total billed charges,246.2500312,,,,255.17,percent of total billed charges,217.5700538,,,,258.4,percent of total billed charges,999999999,,,,258.4,percent of total billed charges,999999999,,,,226.1,percent of total billed charges,999999999,,,,226.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,171.836,percent of total billed charges,999999999,,,,,,,,,,,,,,,,163.115,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,80.75,percent of total billed charges,76.69274783,,,,,,,,,,80.75,percent of total billed charges,75.41701615,,,,,,,,,,80.75,percent of total billed charges,75.20743549,,,,,,,,,,80.75,percent of total billed charges,74.10000692,,,,,,,,,,80.75,percent of total billed charges,76.00670903,,,,,,,,,,80.75,percent of total billed charges,999999999,,,,,,,,,,80.75,percent of total billed charges,65.21910875,,,,,,,,,,80.75,percent of total billed charges,102.855032,,,,,,,,,,80.75,percent of total billed charges,999999999,,,,,,,,,,80.75,percent of total billed charges,70.32214971,,,,,,,,,,290.7,percent of total billed charges,,,,,
**PR NEBULIZER/INHALER INITIAL,94664,CDM,5486-8587-00,NDC,,both,1,EA,94,94,20.01109079,94,94,percent of total billed charges,69.15913942,,,,94,percent of total billed charges,73.30732034,,,,94,percent of total billed charges,69.15913942,,,,94,percent of total billed charges,73.30732034,,,,94,percent of total billed charges,999999999,,,,94,percent of total billed charges,71.62153942,,,,94,percent of total billed charges,69.15913942,,,,94,percent of total billed charges,73.30732034,,,,67.022,percent of total billed charges,33.44520451,,,,67.022,percent of total billed charges,20.01109079,,,,67.022,percent of total billed charges,33.44520451,,,,67.022,percent of total billed charges,20.01109079,,,,67.022,percent of total billed charges,33.44520451,,,,67.022,percent of total billed charges,20.01109079,,,,66.364,percent of total billed charges,65.86047829,,,,66.364,percent of total billed charges,45.42344986,,,,,,,,,,67.68,percent of total billed charges,43.99040735,,,,,,,,,,67.68,percent of total billed charges,999999999,,,,,,,,,,75.2,percent of total billed charges,63.01369097,,,,74.26,percent of total billed charges,71.66409577,,,,74.26,percent of total billed charges,63.31760081,,,,75.2,percent of total billed charges,999999999,,,,75.2,percent of total billed charges,999999999,,,,65.8,percent of total billed charges,999999999,,,,65.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,50.008,percent of total billed charges,999999999,,,,,,,,,,,,,,,,47.47,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23.5,percent of total billed charges,22.31925169,,,,,,,,,,23.5,percent of total billed charges,21.94798612,,,,,,,,,,23.5,percent of total billed charges,21.88699361,,,,,,,,,,23.5,percent of total billed charges,21.5647079,,,,,,,,,,23.5,percent of total billed charges,22.11959953,,,,,,,,,,23.5,percent of total billed charges,999999999,,,,,,,,,,23.5,percent of total billed charges,18.98017406,,,,,,,,,,23.5,percent of total billed charges,29.93304336,,,,,,,,,,23.5,percent of total billed charges,999999999,,,,,,,,,,23.5,percent of total billed charges,20.46526957,,,,,,,,,,84.6,percent of total billed charges,,,,,
**PR NEBULIZER/INHALER SUBSQUENT,94665,CDM,5486-8587-00,NDC,,both,1,EA,113,113,24.05588574,113,113,percent of total billed charges,83.13811441,,,,113,percent of total billed charges,88.12475743,,,,113,percent of total billed charges,83.13811441,,,,113,percent of total billed charges,88.12475743,,,,113,percent of total billed charges,999999999,,,,113,percent of total billed charges,86.09823356,,,,113,percent of total billed charges,83.13811441,,,,113,percent of total billed charges,88.12475743,,,,80.569,percent of total billed charges,40.20540542,,,,80.569,percent of total billed charges,24.05588574,,,,80.569,percent of total billed charges,40.20540542,,,,80.569,percent of total billed charges,24.05588574,,,,80.569,percent of total billed charges,40.20540542,,,,80.569,percent of total billed charges,24.05588574,,,,79.778,percent of total billed charges,79.17270263,,,,79.778,percent of total billed charges,54.60478547,,,,,,,,,,81.36,percent of total billed charges,52.88208543,,,,,,,,,,81.36,percent of total billed charges,999999999,,,,,,,,,,90.4,percent of total billed charges,75.75050085,,,,89.27,percent of total billed charges,86.14939173,,,,89.27,percent of total billed charges,76.11583927,,,,90.4,percent of total billed charges,999999999,,,,90.4,percent of total billed charges,999999999,,,,79.1,percent of total billed charges,999999999,,,,79.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,60.116,percent of total billed charges,999999999,,,,,,,,,,,,,,,,57.065,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,28.25,percent of total billed charges,26.8305898,,,,,,,,,,28.25,percent of total billed charges,26.38428119,,,,,,,,,,28.25,percent of total billed charges,26.3109604,,,,,,,,,,28.25,percent of total billed charges,25.92353183,,,,,,,,,,28.25,percent of total billed charges,26.59058242,,,,,,,,,,28.25,percent of total billed charges,999999999,,,,,,,,,,28.25,percent of total billed charges,22.81659222,,,,,,,,,,28.25,percent of total billed charges,35.98333936,,,,,,,,,,28.25,percent of total billed charges,999999999,,,,,,,,,,28.25,percent of total billed charges,24.60186662,,,,,,,,,,101.7,percent of total billed charges,,,,,
**PR PULMONARY MUSCLE TRAINING 1:1 15 M,G0237,CDM,5486-8587-00,NDC,,both,1,EA,196,196,41.72525315,196,196,percent of total billed charges,144.204163,,,,196,percent of total billed charges,152.8535616,,,,196,percent of total billed charges,144.204163,,,,196,percent of total billed charges,152.8535616,,,,196,percent of total billed charges,999999999,,,,196,percent of total billed charges,149.338529,,,,196,percent of total billed charges,144.204163,,,,196,percent of total billed charges,152.8535616,,,,139.748,percent of total billed charges,69.73680939,,,,139.748,percent of total billed charges,41.72525315,,,,139.748,percent of total billed charges,69.73680939,,,,139.748,percent of total billed charges,41.72525315,,,,139.748,percent of total billed charges,69.73680939,,,,139.748,percent of total billed charges,41.72525315,,,,138.376,percent of total billed charges,137.3261037,,,,138.376,percent of total billed charges,94.71272525,,,,,,,,,,141.12,percent of total billed charges,91.72467915,,,,,,,,,,141.12,percent of total billed charges,999999999,,,,,,,,,,156.8,percent of total billed charges,131.3902493,,,,154.84,percent of total billed charges,149.4272635,,,,154.84,percent of total billed charges,132.0239336,,,,156.8,percent of total billed charges,999999999,,,,156.8,percent of total billed charges,999999999,,,,137.2,percent of total billed charges,999999999,,,,137.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,104.272,percent of total billed charges,999999999,,,,,,,,,,,,,,,,98.98,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,49,percent of total billed charges,46.53801416,,,,,,,,,,49,percent of total billed charges,45.76388596,,,,,,,,,,49,percent of total billed charges,45.63671008,,,,,,,,,,49,percent of total billed charges,44.96471008,,,,,,,,,,49,percent of total billed charges,46.12171817,,,,,,,,,,49,percent of total billed charges,999999999,,,,,,,,,,49,percent of total billed charges,39.57568209,,,,,,,,,,49,percent of total billed charges,62.41357978,,,,,,,,,,49,percent of total billed charges,999999999,,,,,,,,,,49,percent of total billed charges,42.67226422,,,,,,,,,,176.4,percent of total billed charges,,,,,
**PR PULMONARY EXERCISE/GROUP,97150,CDM,5486-8587-00,NDC,,both,1,EA,106,106,22.56569813,106,106,percent of total billed charges,77.98796573,,,,106,percent of total billed charges,82.66570166,,,,106,percent of total billed charges,77.98796573,,,,106,percent of total billed charges,82.66570166,,,,106,percent of total billed charges,999999999,,,,106,percent of total billed charges,80.76471467,,,,106,percent of total billed charges,77.98796573,,,,106,percent of total billed charges,82.66570166,,,,75.578,percent of total billed charges,37.71480508,,,,75.578,percent of total billed charges,22.56569813,,,,75.578,percent of total billed charges,37.71480508,,,,75.578,percent of total billed charges,22.56569813,,,,75.578,percent of total billed charges,37.71480508,,,,75.578,percent of total billed charges,22.56569813,,,,74.836,percent of total billed charges,74.26819892,,,,74.836,percent of total billed charges,51.22218814,,,,,,,,,,76.32,percent of total billed charges,49.60620403,,,,,,,,,,76.32,percent of total billed charges,999999999,,,,,,,,,,84.8,percent of total billed charges,71.05799195,,,,83.74,percent of total billed charges,80.81270374,,,,83.74,percent of total billed charges,71.40069878,,,,84.8,percent of total billed charges,999999999,,,,84.8,percent of total billed charges,999999999,,,,74.2,percent of total billed charges,999999999,,,,74.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,56.392,percent of total billed charges,999999999,,,,,,,,,,,,,,,,53.53,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,26.5,percent of total billed charges,25.16851786,,,,,,,,,,26.5,percent of total billed charges,24.74985669,,,,,,,,,,26.5,percent of total billed charges,24.6810779,,,,,,,,,,26.5,percent of total billed charges,24.31764933,,,,,,,,,,26.5,percent of total billed charges,24.9433782,,,,,,,,,,26.5,percent of total billed charges,999999999,,,,,,,,,,26.5,percent of total billed charges,21.40317501,,,,,,,,,,26.5,percent of total billed charges,33.75428294,,,,,,,,,,26.5,percent of total billed charges,999999999,,,,,,,,,,26.5,percent of total billed charges,23.07785718,,,,,,,,,,95.4,percent of total billed charges,,,,,
PR PULMONARY SIX MINUTE WALK,94618,CDM,5486-8587-00,NDC,,both,1,EA,196,196,41.72525315,196,196,percent of total billed charges,144.204163,,,,196,percent of total billed charges,152.8535616,,,,196,percent of total billed charges,144.204163,,,,196,percent of total billed charges,152.8535616,,,,196,percent of total billed charges,999999999,,,,196,percent of total billed charges,149.338529,,,,196,percent of total billed charges,144.204163,,,,196,percent of total billed charges,152.8535616,,,,139.748,percent of total billed charges,69.73680939,,,,139.748,percent of total billed charges,41.72525315,,,,139.748,percent of total billed charges,69.73680939,,,,139.748,percent of total billed charges,41.72525315,,,,139.748,percent of total billed charges,69.73680939,,,,139.748,percent of total billed charges,41.72525315,,,,138.376,percent of total billed charges,137.3261037,,,,138.376,percent of total billed charges,94.71272525,,,,,,,,,,141.12,percent of total billed charges,91.72467915,,,,,,,,,,141.12,percent of total billed charges,999999999,,,,,,,,,,156.8,percent of total billed charges,131.3902493,,,,154.84,percent of total billed charges,149.4272635,,,,154.84,percent of total billed charges,132.0239336,,,,156.8,percent of total billed charges,999999999,,,,156.8,percent of total billed charges,999999999,,,,137.2,percent of total billed charges,999999999,,,,137.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,104.272,percent of total billed charges,999999999,,,,,,,,,,,,,,,,98.98,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,49,percent of total billed charges,46.53801416,,,,,,,,,,49,percent of total billed charges,45.76388596,,,,,,,,,,49,percent of total billed charges,45.63671008,,,,,,,,,,49,percent of total billed charges,44.96471008,,,,,,,,,,49,percent of total billed charges,46.12171817,,,,,,,,,,49,percent of total billed charges,999999999,,,,,,,,,,49,percent of total billed charges,39.57568209,,,,,,,,,,49,percent of total billed charges,62.41357978,,,,,,,,,,49,percent of total billed charges,999999999,,,,,,,,,,49,percent of total billed charges,42.67226422,,,,,,,,,,176.4,percent of total billed charges,,,,,
**PR OXIMETRY-SINGLE,94760,CDM,5486-8587-00,NDC,,both,1,EA,155,155,32.99701142,155,155,percent of total billed charges,114.0390065,,,,155,percent of total billed charges,120.8790921,,,,155,percent of total billed charges,114.0390065,,,,155,percent of total billed charges,120.8790921,,,,155,percent of total billed charges,999999999,,,,155,percent of total billed charges,118.0993469,,,,155,percent of total billed charges,114.0390065,,,,155,percent of total billed charges,120.8790921,,,,110.515,percent of total billed charges,55.14900743,,,,110.515,percent of total billed charges,32.99701142,,,,110.515,percent of total billed charges,55.14900743,,,,110.515,percent of total billed charges,32.99701142,,,,110.515,percent of total billed charges,55.14900743,,,,110.515,percent of total billed charges,32.99701142,,,,109.43,percent of total billed charges,108.5997248,,,,109.43,percent of total billed charges,74.90036946,,,,,,,,,,111.6,percent of total billed charges,72.53737382,,,,,,,,,,111.6,percent of total billed charges,999999999,,,,,,,,,,124,percent of total billed charges,103.9055543,,,,122.45,percent of total billed charges,118.1695196,,,,122.45,percent of total billed charges,104.4066822,,,,124,percent of total billed charges,999999999,,,,124,percent of total billed charges,999999999,,,,108.5,percent of total billed charges,999999999,,,,108.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,82.46,percent of total billed charges,999999999,,,,,,,,,,,,,,,,78.275,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,38.75,percent of total billed charges,36.8030214,,,,,,,,,,38.75,percent of total billed charges,36.19082818,,,,,,,,,,38.75,percent of total billed charges,36.09025542,,,,,,,,,,38.75,percent of total billed charges,35.55882685,,,,,,,,,,38.75,percent of total billed charges,36.47380774,,,,,,,,,,38.75,percent of total billed charges,999999999,,,,,,,,,,38.75,percent of total billed charges,31.29709553,,,,,,,,,,38.75,percent of total billed charges,49.35767789,,,,,,,,,,38.75,percent of total billed charges,999999999,,,,,,,,,,38.75,percent of total billed charges,33.74592323,,,,,,,,,,139.5,percent of total billed charges,,,,,
**PR CHEST PERCUSSION,94667,CDM,5486-8587-00,NDC,,both,1,EA,155,155,32.99701142,155,155,percent of total billed charges,114.0390065,,,,155,percent of total billed charges,120.8790921,,,,155,percent of total billed charges,114.0390065,,,,155,percent of total billed charges,120.8790921,,,,155,percent of total billed charges,999999999,,,,155,percent of total billed charges,118.0993469,,,,155,percent of total billed charges,114.0390065,,,,155,percent of total billed charges,120.8790921,,,,110.515,percent of total billed charges,55.14900743,,,,110.515,percent of total billed charges,32.99701142,,,,110.515,percent of total billed charges,55.14900743,,,,110.515,percent of total billed charges,32.99701142,,,,110.515,percent of total billed charges,55.14900743,,,,110.515,percent of total billed charges,32.99701142,,,,109.43,percent of total billed charges,108.5997248,,,,109.43,percent of total billed charges,74.90036946,,,,,,,,,,111.6,percent of total billed charges,72.53737382,,,,,,,,,,111.6,percent of total billed charges,999999999,,,,,,,,,,124,percent of total billed charges,103.9055543,,,,122.45,percent of total billed charges,118.1695196,,,,122.45,percent of total billed charges,104.4066822,,,,124,percent of total billed charges,999999999,,,,124,percent of total billed charges,999999999,,,,108.5,percent of total billed charges,999999999,,,,108.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,82.46,percent of total billed charges,999999999,,,,,,,,,,,,,,,,78.275,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,38.75,percent of total billed charges,36.8030214,,,,,,,,,,38.75,percent of total billed charges,36.19082818,,,,,,,,,,38.75,percent of total billed charges,36.09025542,,,,,,,,,,38.75,percent of total billed charges,35.55882685,,,,,,,,,,38.75,percent of total billed charges,36.47380774,,,,,,,,,,38.75,percent of total billed charges,999999999,,,,,,,,,,38.75,percent of total billed charges,31.29709553,,,,,,,,,,38.75,percent of total billed charges,49.35767789,,,,,,,,,,38.75,percent of total billed charges,999999999,,,,,,,,,,38.75,percent of total billed charges,33.74592323,,,,,,,,,,139.5,percent of total billed charges,,,,,
**PR PULMONARY INITIAL EVAL,99211,CDM,5486-8587-00,NDC,25,both,1,EA,217,217,46.19581598,217,217,percent of total billed charges,159.6546091,,,,217,percent of total billed charges,169.2307289,,,,217,percent of total billed charges,159.6546091,,,,217,percent of total billed charges,169.2307289,,,,217,percent of total billed charges,999999999,,,,217,percent of total billed charges,165.3390857,,,,217,percent of total billed charges,159.6546091,,,,217,percent of total billed charges,169.2307289,,,,154.721,percent of total billed charges,77.2086104,,,,154.721,percent of total billed charges,46.19581598,,,,154.721,percent of total billed charges,77.2086104,,,,154.721,percent of total billed charges,46.19581598,,,,154.721,percent of total billed charges,77.2086104,,,,154.721,percent of total billed charges,46.19581598,,,,153.202,percent of total billed charges,152.0396148,,,,153.202,percent of total billed charges,104.8605172,,,,,,,,,,156.24,percent of total billed charges,101.5523233,,,,,,,,,,156.24,percent of total billed charges,999999999,,,,,,,,,,173.6,percent of total billed charges,145.467776,,,,171.43,percent of total billed charges,165.4373275,,,,171.43,percent of total billed charges,146.1693551,,,,173.6,percent of total billed charges,999999999,,,,173.6,percent of total billed charges,999999999,,,,151.9,percent of total billed charges,999999999,,,,151.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,115.444,percent of total billed charges,999999999,,,,,,,,,,,,,,,,109.585,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,54.25,percent of total billed charges,51.52422996,,,,,,,,,,54.25,percent of total billed charges,50.66715946,,,,,,,,,,54.25,percent of total billed charges,50.52635759,,,,,,,,,,54.25,percent of total billed charges,49.78235759,,,,,,,,,,54.25,percent of total billed charges,51.06333084,,,,,,,,,,54.25,percent of total billed charges,999999999,,,,,,,,,,54.25,percent of total billed charges,43.81593374,,,,,,,,,,54.25,percent of total billed charges,69.10074904,,,,,,,,,,54.25,percent of total billed charges,999999999,,,,,,,,,,54.25,percent of total billed charges,47.24429253,,,,,,,,,,195.3,percent of total billed charges,,,,,
**PR PULMONARY EXERCISE 2 OR MORE 15 M,G0239,CDM,5486-8587-00,NDC,,both,1,EA,304,304,64.71671917,304,304,percent of total billed charges,223.6635998,,,,304,percent of total billed charges,237.0789934,,,,304,percent of total billed charges,223.6635998,,,,304,percent of total billed charges,237.0789934,,,,304,percent of total billed charges,999999999,,,,304,percent of total billed charges,231.6271062,,,,304,percent of total billed charges,223.6635998,,,,304,percent of total billed charges,237.0789934,,,,216.752,percent of total billed charges,108.1632146,,,,216.752,percent of total billed charges,64.71671917,,,,216.752,percent of total billed charges,108.1632146,,,,216.752,percent of total billed charges,64.71671917,,,,216.752,percent of total billed charges,108.1632146,,,,216.752,percent of total billed charges,64.71671917,,,,214.624,percent of total billed charges,212.9955894,,,,214.624,percent of total billed charges,146.9013698,,,,,,,,,,218.88,percent of total billed charges,142.2668493,,,,,,,,,,218.88,percent of total billed charges,999999999,,,,,,,,,,243.2,percent of total billed charges,203.788958,,,,240.16,percent of total billed charges,231.7647353,,,,240.16,percent of total billed charges,204.7718154,,,,243.2,percent of total billed charges,999999999,,,,243.2,percent of total billed charges,999999999,,,,212.8,percent of total billed charges,999999999,,,,212.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,161.728,percent of total billed charges,999999999,,,,,,,,,,,,,,,,153.52,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,76,percent of total billed charges,72.18140972,,,,,,,,,,76,percent of total billed charges,70.98072108,,,,,,,,,,76,percent of total billed charges,70.7834687,,,,,,,,,,76,percent of total billed charges,69.74118298,,,,,,,,,,76,percent of total billed charges,71.53572615,,,,,,,,,,76,percent of total billed charges,999999999,,,,,,,,,,76,percent of total billed charges,61.38269058,,,,,,,,,,76,percent of total billed charges,96.80473598,,,,,,,,,,76,percent of total billed charges,999999999,,,,,,,,,,76,percent of total billed charges,66.18555266,,,,,,,,,,273.6,percent of total billed charges,,,,,
PR OP PULM W/O CONT. PULSE OX,94625,CDM,5486-8587-00,NDC,,both,1,EA,375,375,79.83147923,375,375,percent of total billed charges,275.9008221,,,,375,percent of total billed charges,292.4494163,,,,375,percent of total billed charges,275.9008221,,,,375,percent of total billed charges,292.4494163,,,,375,percent of total billed charges,999999999,,,,375,percent of total billed charges,285.7242264,,,,375,percent of total billed charges,275.9008221,,,,375,percent of total billed charges,292.4494163,,,,267.375,percent of total billed charges,133.425018,,,,267.375,percent of total billed charges,79.83147923,,,,267.375,percent of total billed charges,133.425018,,,,267.375,percent of total billed charges,79.83147923,,,,267.375,percent of total billed charges,133.425018,,,,267.375,percent of total billed charges,79.83147923,,,,264.75,percent of total billed charges,262.7412698,,,,264.75,percent of total billed charges,181.2105713,,,,,,,,,,270,percent of total billed charges,175.4936463,,,,,,,,,,270,percent of total billed charges,999999999,,,,,,,,,,300,percent of total billed charges,251.3844055,,,,296.25,percent of total billed charges,285.8939991,,,,296.25,percent of total billed charges,252.5968117,,,,300,percent of total billed charges,999999999,,,,300,percent of total billed charges,999999999,,,,262.5,percent of total billed charges,999999999,,,,262.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,199.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,189.375,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,93.75,percent of total billed charges,89.03956791,,,,,,,,,,93.75,percent of total billed charges,87.55845528,,,,,,,,,,93.75,percent of total billed charges,87.31513409,,,,,,,,,,93.75,percent of total billed charges,86.0294198,,,,,,,,,,93.75,percent of total billed charges,88.24308324,,,,,,,,,,93.75,percent of total billed charges,999999999,,,,,,,,,,93.75,percent of total billed charges,75.7187795,,,,,,,,,,93.75,percent of total billed charges,119.4137368,,,,,,,,,,93.75,percent of total billed charges,999999999,,,,,,,,,,93.75,percent of total billed charges,81.64336266,,,,,,,,,,337.5,percent of total billed charges,,,,,
**PR PULMONARY ADL 1:1 PER 15 MINUTES,G0238,CDM,5486-8587-00,NDC,,both,1,EA,196,196,41.72525315,196,196,percent of total billed charges,144.204163,,,,196,percent of total billed charges,152.8535616,,,,196,percent of total billed charges,144.204163,,,,196,percent of total billed charges,152.8535616,,,,196,percent of total billed charges,999999999,,,,196,percent of total billed charges,149.338529,,,,196,percent of total billed charges,144.204163,,,,196,percent of total billed charges,152.8535616,,,,139.748,percent of total billed charges,69.73680939,,,,139.748,percent of total billed charges,41.72525315,,,,139.748,percent of total billed charges,69.73680939,,,,139.748,percent of total billed charges,41.72525315,,,,139.748,percent of total billed charges,69.73680939,,,,139.748,percent of total billed charges,41.72525315,,,,138.376,percent of total billed charges,137.3261037,,,,138.376,percent of total billed charges,94.71272525,,,,,,,,,,141.12,percent of total billed charges,91.72467915,,,,,,,,,,141.12,percent of total billed charges,999999999,,,,,,,,,,156.8,percent of total billed charges,131.3902493,,,,154.84,percent of total billed charges,149.4272635,,,,154.84,percent of total billed charges,132.0239336,,,,156.8,percent of total billed charges,999999999,,,,156.8,percent of total billed charges,999999999,,,,137.2,percent of total billed charges,999999999,,,,137.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,104.272,percent of total billed charges,999999999,,,,,,,,,,,,,,,,98.98,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,49,percent of total billed charges,46.53801416,,,,,,,,,,49,percent of total billed charges,45.76388596,,,,,,,,,,49,percent of total billed charges,45.63671008,,,,,,,,,,49,percent of total billed charges,44.96471008,,,,,,,,,,49,percent of total billed charges,46.12171817,,,,,,,,,,49,percent of total billed charges,999999999,,,,,,,,,,49,percent of total billed charges,39.57568209,,,,,,,,,,49,percent of total billed charges,62.41357978,,,,,,,,,,49,percent of total billed charges,999999999,,,,,,,,,,49,percent of total billed charges,42.67226422,,,,,,,,,,176.4,percent of total billed charges,,,,,
**WEEKLY WEIGHT CHECK MONITIOR,500,RC,5486-8587-00,NDC,,both,1,EA,15,15,3.193259169,15,15,percent of total billed charges,11.03603289,,,,15,percent of total billed charges,11.69797665,,,,15,percent of total billed charges,11.03603289,,,,15,percent of total billed charges,11.69797665,,,,15,percent of total billed charges,999999999,,,,15,percent of total billed charges,11.42896906,,,,15,percent of total billed charges,11.03603289,,,,15,percent of total billed charges,11.69797665,,,,10.695,percent of total billed charges,5.337000719,,,,10.695,percent of total billed charges,3.193259169,,,,10.695,percent of total billed charges,5.337000719,,,,10.695,percent of total billed charges,3.193259169,,,,10.695,percent of total billed charges,5.337000719,,,,10.695,percent of total billed charges,3.193259169,,,,10.59,percent of total billed charges,10.50965079,,,,10.59,percent of total billed charges,7.248422851,,,,,,,,,,10.8,percent of total billed charges,7.019745853,,,,,,,,,,10.8,percent of total billed charges,999999999,,,,,,,,,,12,percent of total billed charges,10.05537622,,,,11.85,percent of total billed charges,11.43575996,,,,11.85,percent of total billed charges,10.10387247,,,,12,percent of total billed charges,999999999,,,,12,percent of total billed charges,999999999,,,,10.5,percent of total billed charges,999999999,,,,10.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,7.98,percent of total billed charges,999999999,,,,,,,,,,,,,,,,7.575,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3.75,percent of total billed charges,3.561582716,,,,,,,,,,3.75,percent of total billed charges,3.502338211,,,,,,,,,,3.75,percent of total billed charges,3.492605363,,,,,,,,,,3.75,percent of total billed charges,3.441176792,,,,,,,,,,3.75,percent of total billed charges,3.52972333,,,,,,,,,,3.75,percent of total billed charges,999999999,,,,,,,,,,3.75,percent of total billed charges,3.02875118,,,,,,,,,,3.75,percent of total billed charges,4.776549473,,,,,,,,,,3.75,percent of total billed charges,999999999,,,,,,,,,,3.75,percent of total billed charges,3.265734506,,,,,,,,,,13.5,percent of total billed charges,,,,,
**MEDICAL NUTRITION THERAPY 60 MIN,942,RC,5486-8587-00,NDC,,both,1,EA,326,326,69.40016595,326,326,percent of total billed charges,239.8497814,,,,326,percent of total billed charges,254.2360259,,,,326,percent of total billed charges,239.8497814,,,,326,percent of total billed charges,254.2360259,,,,326,percent of total billed charges,999999999,,,,326,percent of total billed charges,248.3895942,,,,326,percent of total billed charges,239.8497814,,,,326,percent of total billed charges,254.2360259,,,,232.438,percent of total billed charges,115.9908156,,,,232.438,percent of total billed charges,69.40016595,,,,232.438,percent of total billed charges,115.9908156,,,,232.438,percent of total billed charges,69.40016595,,,,232.438,percent of total billed charges,115.9908156,,,,232.438,percent of total billed charges,69.40016595,,,,230.156,percent of total billed charges,228.4097439,,,,230.156,percent of total billed charges,157.53239,,,,,,,,,,234.72,percent of total billed charges,152.5624765,,,,,,,,,,234.72,percent of total billed charges,999999999,,,,,,,,,,260.8,percent of total billed charges,218.5368432,,,,257.54,percent of total billed charges,248.5371832,,,,257.54,percent of total billed charges,219.5908283,,,,260.8,percent of total billed charges,999999999,,,,260.8,percent of total billed charges,999999999,,,,228.2,percent of total billed charges,999999999,,,,228.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,173.432,percent of total billed charges,999999999,,,,,,,,,,,,,,,,164.63,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,81.5,percent of total billed charges,77.40506437,,,,,,,,,,81.5,percent of total billed charges,76.11748379,,,,,,,,,,81.5,percent of total billed charges,75.90595657,,,,,,,,,,81.5,percent of total billed charges,74.78824228,,,,,,,,,,81.5,percent of total billed charges,76.7126537,,,,,,,,,,81.5,percent of total billed charges,999999999,,,,,,,,,,81.5,percent of total billed charges,65.82485898,,,,,,,,,,81.5,percent of total billed charges,103.8103419,,,,,,,,,,81.5,percent of total billed charges,999999999,,,,,,,,,,81.5,percent of total billed charges,70.97529661,,,,,,,,,,293.4,percent of total billed charges,,,,,
**MEDICAL NUTRITION THERAPY 30 MIN,942,RC,5486-8587-00,NDC,,both,1,EA,165,165,35.12585086,165,165,percent of total billed charges,121.3963617,,,,165,percent of total billed charges,128.6777432,,,,165,percent of total billed charges,121.3963617,,,,165,percent of total billed charges,128.6777432,,,,165,percent of total billed charges,999999999,,,,165,percent of total billed charges,125.7186596,,,,165,percent of total billed charges,121.3963617,,,,165,percent of total billed charges,128.6777432,,,,117.645,percent of total billed charges,58.70700791,,,,117.645,percent of total billed charges,35.12585086,,,,117.645,percent of total billed charges,58.70700791,,,,117.645,percent of total billed charges,35.12585086,,,,117.645,percent of total billed charges,58.70700791,,,,117.645,percent of total billed charges,35.12585086,,,,116.49,percent of total billed charges,115.6061587,,,,116.49,percent of total billed charges,79.73265136,,,,,,,,,,118.8,percent of total billed charges,77.21720438,,,,,,,,,,118.8,percent of total billed charges,999999999,,,,,,,,,,132,percent of total billed charges,110.6091384,,,,130.35,percent of total billed charges,125.7933596,,,,130.35,percent of total billed charges,111.1425972,,,,132,percent of total billed charges,999999999,,,,132,percent of total billed charges,999999999,,,,115.5,percent of total billed charges,999999999,,,,115.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,87.78,percent of total billed charges,999999999,,,,,,,,,,,,,,,,83.325,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,41.25,percent of total billed charges,39.17740988,,,,,,,,,,41.25,percent of total billed charges,38.52572033,,,,,,,,,,41.25,percent of total billed charges,38.418659,,,,,,,,,,41.25,percent of total billed charges,37.85294471,,,,,,,,,,41.25,percent of total billed charges,38.82695663,,,,,,,,,,41.25,percent of total billed charges,999999999,,,,,,,,,,41.25,percent of total billed charges,33.31626298,,,,,,,,,,41.25,percent of total billed charges,52.5420442,,,,,,,,,,41.25,percent of total billed charges,999999999,,,,,,,,,,41.25,percent of total billed charges,35.92307957,,,,,,,,,,148.5,percent of total billed charges,,,,,
MEDICAL NUTRITION THERAPY 15 MIN INITIAL,97802,CDM,5486-8587-00,NDC,,both,1,EA,110,110,23.41723391,110,110,percent of total billed charges,80.93090783,,,,110,percent of total billed charges,85.7851621,,,,110,percent of total billed charges,80.93090783,,,,110,percent of total billed charges,85.7851621,,,,110,percent of total billed charges,999999999,,,,110,percent of total billed charges,83.81243975,,,,110,percent of total billed charges,80.93090783,,,,110,percent of total billed charges,85.7851621,,,,78.43,percent of total billed charges,39.13800527,,,,78.43,percent of total billed charges,23.41723391,,,,78.43,percent of total billed charges,39.13800527,,,,78.43,percent of total billed charges,23.41723391,,,,78.43,percent of total billed charges,39.13800527,,,,78.43,percent of total billed charges,23.41723391,,,,77.66,percent of total billed charges,77.07077247,,,,77.66,percent of total billed charges,53.1551009,,,,,,,,,,79.2,percent of total billed charges,51.47813626,,,,,,,,,,79.2,percent of total billed charges,999999999,,,,,,,,,,88,percent of total billed charges,73.73942561,,,,86.9,percent of total billed charges,83.86223973,,,,86.9,percent of total billed charges,74.09506477,,,,88,percent of total billed charges,999999999,,,,88,percent of total billed charges,999999999,,,,77,percent of total billed charges,999999999,,,,77,percent of total billed charges,999999999,,,,,,,,,,,,,,,,58.52,percent of total billed charges,999999999,,,,,,,,,,,,,,,,55.55,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,27.5,percent of total billed charges,26.11827325,,,,,,,,,,27.5,percent of total billed charges,25.68381355,,,,,,,,,,27.5,percent of total billed charges,25.61243933,,,,,,,,,,27.5,percent of total billed charges,25.23529647,,,,,,,,,,27.5,percent of total billed charges,25.88463775,,,,,,,,,,27.5,percent of total billed charges,999999999,,,,,,,,,,27.5,percent of total billed charges,22.21084199,,,,,,,,,,27.5,percent of total billed charges,35.02802947,,,,,,,,,,27.5,percent of total billed charges,999999999,,,,,,,,,,27.5,percent of total billed charges,23.94871971,,,,,,,,,,99,percent of total billed charges,,,,,
**MEDICAL NUTRITION THERAPY REASSESSMENT,97803,CDM,5486-8587-00,NDC,,both,1,EA,144,144,30.65528803,144,144,percent of total billed charges,105.9459157,,,,144,percent of total billed charges,112.3005758,,,,144,percent of total billed charges,105.9459157,,,,144,percent of total billed charges,112.3005758,,,,144,percent of total billed charges,999999999,,,,144,percent of total billed charges,109.7181029,,,,144,percent of total billed charges,105.9459157,,,,144,percent of total billed charges,112.3005758,,,,102.672,percent of total billed charges,51.2352069,,,,102.672,percent of total billed charges,30.65528803,,,,102.672,percent of total billed charges,51.2352069,,,,102.672,percent of total billed charges,30.65528803,,,,102.672,percent of total billed charges,51.2352069,,,,102.672,percent of total billed charges,30.65528803,,,,101.664,percent of total billed charges,100.8926476,,,,101.664,percent of total billed charges,69.58485937,,,,,,,,,,103.68,percent of total billed charges,67.38956019,,,,,,,,,,103.68,percent of total billed charges,999999999,,,,,,,,,,115.2,percent of total billed charges,96.5316117,,,,113.76,percent of total billed charges,109.7832957,,,,113.76,percent of total billed charges,96.9971757,,,,115.2,percent of total billed charges,999999999,,,,115.2,percent of total billed charges,999999999,,,,100.8,percent of total billed charges,999999999,,,,100.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,76.608,percent of total billed charges,999999999,,,,,,,,,,,,,,,,72.72,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,36,percent of total billed charges,34.19119408,,,,,,,,,,36,percent of total billed charges,33.62244683,,,,,,,,,,36,percent of total billed charges,33.52901149,,,,,,,,,,36,percent of total billed charges,33.0352972,,,,,,,,,,36,percent of total billed charges,33.88534397,,,,,,,,,,36,percent of total billed charges,999999999,,,,,,,,,,36,percent of total billed charges,29.07601133,,,,,,,,,,36,percent of total billed charges,45.85487494,,,,,,,,,,36,percent of total billed charges,999999999,,,,,,,,,,36,percent of total billed charges,31.35105126,,,,,,,,,,129.6,percent of total billed charges,,,,,
**MEDICAL NUT THERAPY CHANGE IN CONDITIO,G0270,CDM,5486-8587-00,NDC,,both,1,EA,89,89,18.94667107,89,89,percent of total billed charges,65.48046179,,,,89,percent of total billed charges,69.40799479,,,,89,percent of total billed charges,65.48046179,,,,89,percent of total billed charges,69.40799479,,,,89,percent of total billed charges,999999999,,,,89,percent of total billed charges,67.81188307,,,,89,percent of total billed charges,65.48046179,,,,89,percent of total billed charges,69.40799479,,,,63.457,percent of total billed charges,31.66620427,,,,63.457,percent of total billed charges,18.94667107,,,,63.457,percent of total billed charges,31.66620427,,,,63.457,percent of total billed charges,18.94667107,,,,63.457,percent of total billed charges,31.66620427,,,,63.457,percent of total billed charges,18.94667107,,,,62.834,percent of total billed charges,62.35726136,,,,62.834,percent of total billed charges,43.00730891,,,,,,,,,,64.08,percent of total billed charges,41.65049206,,,,,,,,,,64.08,percent of total billed charges,999999999,,,,,,,,,,71.2,percent of total billed charges,59.6618989,,,,70.31,percent of total billed charges,67.85217578,,,,70.31,percent of total billed charges,59.94964332,,,,71.2,percent of total billed charges,999999999,,,,71.2,percent of total billed charges,999999999,,,,62.3,percent of total billed charges,999999999,,,,62.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,47.348,percent of total billed charges,999999999,,,,,,,,,,,,,,,,44.945,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,22.25,percent of total billed charges,21.13205745,,,,,,,,,,22.25,percent of total billed charges,20.78054005,,,,,,,,,,22.25,percent of total billed charges,20.72279182,,,,,,,,,,22.25,percent of total billed charges,20.41764897,,,,,,,,,,22.25,percent of total billed charges,20.94302509,,,,,,,,,,22.25,percent of total billed charges,999999999,,,,,,,,,,22.25,percent of total billed charges,17.97059034,,,,,,,,,,22.25,percent of total billed charges,28.34086021,,,,,,,,,,22.25,percent of total billed charges,999999999,,,,,,,,,,22.25,percent of total billed charges,19.37669141,,,,,,,,,,80.1,percent of total billed charges,,,,,
**MEDICAL NUTRITION THERAPY 45 MIN,942,RC,5486-8587-00,NDC,,both,1,EA,246,246,52.36945038,246,246,percent of total billed charges,180.9909393,,,,246,percent of total billed charges,191.8468171,,,,246,percent of total billed charges,180.9909393,,,,246,percent of total billed charges,191.8468171,,,,246,percent of total billed charges,999999999,,,,246,percent of total billed charges,187.4350925,,,,246,percent of total billed charges,180.9909393,,,,246,percent of total billed charges,191.8468171,,,,175.398,percent of total billed charges,87.52681179,,,,175.398,percent of total billed charges,52.36945038,,,,175.398,percent of total billed charges,87.52681179,,,,175.398,percent of total billed charges,52.36945038,,,,175.398,percent of total billed charges,87.52681179,,,,175.398,percent of total billed charges,52.36945038,,,,173.676,percent of total billed charges,172.358273,,,,173.676,percent of total billed charges,118.8741347,,,,,,,,,,177.12,percent of total billed charges,115.123832,,,,,,,,,,177.12,percent of total billed charges,999999999,,,,,,,,,,196.8,percent of total billed charges,164.90817,,,,194.34,percent of total billed charges,187.5464634,,,,194.34,percent of total billed charges,165.7035085,,,,196.8,percent of total billed charges,999999999,,,,196.8,percent of total billed charges,999999999,,,,172.2,percent of total billed charges,999999999,,,,172.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,130.872,percent of total billed charges,999999999,,,,,,,,,,,,,,,,124.23,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,61.5,percent of total billed charges,58.40995655,,,,,,,,,,61.5,percent of total billed charges,57.43834667,,,,,,,,,,61.5,percent of total billed charges,57.27872796,,,,,,,,,,61.5,percent of total billed charges,56.43529939,,,,,,,,,,61.5,percent of total billed charges,57.88746261,,,,,,,,,,61.5,percent of total billed charges,999999999,,,,,,,,,,61.5,percent of total billed charges,49.67151935,,,,,,,,,,61.5,percent of total billed charges,78.33541135,,,,,,,,,,61.5,percent of total billed charges,999999999,,,,,,,,,,61.5,percent of total billed charges,53.55804591,,,,,,,,,,221.4,percent of total billed charges,,,,,
=>GUARD MEAL<=,991,RC,5486-8587-00,NDC,,both,1,EA,23,23,4.896330726,23,23,percent of total billed charges,16.92191709,,,,23,percent of total billed charges,17.93689753,,,,23,percent of total billed charges,16.92191709,,,,23,percent of total billed charges,17.93689753,,,,23,percent of total billed charges,999999999,,,,23,percent of total billed charges,17.52441922,,,,23,percent of total billed charges,16.92191709,,,,23,percent of total billed charges,17.93689753,,,,16.399,percent of total billed charges,8.183401102,,,,16.399,percent of total billed charges,4.896330726,,,,16.399,percent of total billed charges,8.183401102,,,,16.399,percent of total billed charges,4.896330726,,,,16.399,percent of total billed charges,8.183401102,,,,16.399,percent of total billed charges,4.896330726,,,,16.238,percent of total billed charges,16.11479788,,,,16.238,percent of total billed charges,11.11424837,,,,,,,,,,16.56,percent of total billed charges,10.76361031,,,,,,,,,,16.56,percent of total billed charges,999999999,,,,,,,,,,18.4,percent of total billed charges,15.41824354,,,,18.17,percent of total billed charges,17.53483194,,,,18.17,percent of total billed charges,15.49260445,,,,18.4,percent of total billed charges,999999999,,,,18.4,percent of total billed charges,999999999,,,,16.1,percent of total billed charges,999999999,,,,16.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,12.236,percent of total billed charges,999999999,,,,,,,,,,,,,,,,11.615,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5.75,percent of total billed charges,5.461093499,,,,,,,,,,5.75,percent of total billed charges,5.370251924,,,,,,,,,,5.75,percent of total billed charges,5.355328224,,,,,,,,,,5.75,percent of total billed charges,5.276471081,,,,,,,,,,5.75,percent of total billed charges,5.412242439,,,,,,,,,,5.75,percent of total billed charges,999999999,,,,,,,,,,5.75,percent of total billed charges,4.644085143,,,,,,,,,,5.75,percent of total billed charges,7.324042525,,,,,,,,,,5.75,percent of total billed charges,999999999,,,,,,,,,,5.75,percent of total billed charges,5.007459577,,,,,,,,,,20.7,percent of total billed charges,,,,,
**BOOST PUDDING,271,RC,5486-8587-00,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
**PEPTAMEN - 8OZ,271,RC,5486-8587-00,NDC,,both,1,EA,51,51,10.85708118,51,51,percent of total billed charges,37.52251181,,,,51,percent of total billed charges,39.77312061,,,,51,percent of total billed charges,37.52251181,,,,51,percent of total billed charges,39.77312061,,,,51,percent of total billed charges,999999999,,,,51,percent of total billed charges,38.85849479,,,,51,percent of total billed charges,37.52251181,,,,51,percent of total billed charges,39.77312061,,,,36.363,percent of total billed charges,18.14580244,,,,36.363,percent of total billed charges,10.85708118,,,,36.363,percent of total billed charges,18.14580244,,,,36.363,percent of total billed charges,10.85708118,,,,36.363,percent of total billed charges,18.14580244,,,,36.363,percent of total billed charges,10.85708118,,,,36.006,percent of total billed charges,35.73281269,,,,36.006,percent of total billed charges,24.64463769,,,,,,,,,,36.72,percent of total billed charges,23.8671359,,,,,,,,,,36.72,percent of total billed charges,999999999,,,,,,,,,,40.8,percent of total billed charges,34.18827914,,,,40.29,percent of total billed charges,38.88158388,,,,40.29,percent of total billed charges,34.3531664,,,,40.8,percent of total billed charges,999999999,,,,40.8,percent of total billed charges,999999999,,,,35.7,percent of total billed charges,999999999,,,,35.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,27.132,percent of total billed charges,999999999,,,,,,,,,,,,,,,,25.755,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12.75,percent of total billed charges,12.10938124,,,,,,,,,,12.75,percent of total billed charges,11.90794992,,,,,,,,,,12.75,percent of total billed charges,11.87485824,,,,,,,,,,12.75,percent of total billed charges,11.70000109,,,,,,,,,,12.75,percent of total billed charges,12.00105932,,,,,,,,,,12.75,percent of total billed charges,999999999,,,,,,,,,,12.75,percent of total billed charges,10.29775401,,,,,,,,,,12.75,percent of total billed charges,16.24026821,,,,,,,,,,12.75,percent of total billed charges,999999999,,,,,,,,,,12.75,percent of total billed charges,11.10349732,,,,,,,,,,45.9,percent of total billed charges,,,,,
**PROMOD,271,RC,5486-8587-00,NDC,,both,1,EA,65,65,13.8374564,65,65,percent of total billed charges,47.82280917,,,,65,percent of total billed charges,50.69123215,,,,65,percent of total billed charges,47.82280917,,,,65,percent of total billed charges,50.69123215,,,,65,percent of total billed charges,999999999,,,,65,percent of total billed charges,49.52553258,,,,65,percent of total billed charges,47.82280917,,,,65,percent of total billed charges,50.69123215,,,,46.345,percent of total billed charges,23.12700312,,,,46.345,percent of total billed charges,13.8374564,,,,46.345,percent of total billed charges,23.12700312,,,,46.345,percent of total billed charges,13.8374564,,,,46.345,percent of total billed charges,23.12700312,,,,46.345,percent of total billed charges,13.8374564,,,,45.89,percent of total billed charges,45.54182009,,,,45.89,percent of total billed charges,31.40983235,,,,,,,,,,46.8,percent of total billed charges,30.4188987,,,,,,,,,,46.8,percent of total billed charges,999999999,,,,,,,,,,52,percent of total billed charges,43.57329695,,,,51.35,percent of total billed charges,49.55495984,,,,51.35,percent of total billed charges,43.78344737,,,,52,percent of total billed charges,999999999,,,,52,percent of total billed charges,999999999,,,,45.5,percent of total billed charges,999999999,,,,45.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,34.58,percent of total billed charges,999999999,,,,,,,,,,,,,,,,32.825,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16.25,percent of total billed charges,15.4335251,,,,,,,,,,16.25,percent of total billed charges,15.17679892,,,,,,,,,,16.25,percent of total billed charges,15.13462324,,,,,,,,,,16.25,percent of total billed charges,14.9117661,,,,,,,,,,16.25,percent of total billed charges,15.29546776,,,,,,,,,,16.25,percent of total billed charges,999999999,,,,,,,,,,16.25,percent of total billed charges,13.12458845,,,,,,,,,,16.25,percent of total billed charges,20.69838105,,,,,,,,,,16.25,percent of total billed charges,999999999,,,,,,,,,,16.25,percent of total billed charges,14.15151619,,,,,,,,,,58.5,percent of total billed charges,,,,,
**NEPRO,271,RC,5486-8587-00,NDC,,both,1,EA,15,15,3.193259169,15,15,percent of total billed charges,11.03603289,,,,15,percent of total billed charges,11.69797665,,,,15,percent of total billed charges,11.03603289,,,,15,percent of total billed charges,11.69797665,,,,15,percent of total billed charges,999999999,,,,15,percent of total billed charges,11.42896906,,,,15,percent of total billed charges,11.03603289,,,,15,percent of total billed charges,11.69797665,,,,10.695,percent of total billed charges,5.337000719,,,,10.695,percent of total billed charges,3.193259169,,,,10.695,percent of total billed charges,5.337000719,,,,10.695,percent of total billed charges,3.193259169,,,,10.695,percent of total billed charges,5.337000719,,,,10.695,percent of total billed charges,3.193259169,,,,10.59,percent of total billed charges,10.50965079,,,,10.59,percent of total billed charges,7.248422851,,,,,,,,,,10.8,percent of total billed charges,7.019745853,,,,,,,,,,10.8,percent of total billed charges,999999999,,,,,,,,,,12,percent of total billed charges,10.05537622,,,,11.85,percent of total billed charges,11.43575996,,,,11.85,percent of total billed charges,10.10387247,,,,12,percent of total billed charges,999999999,,,,12,percent of total billed charges,999999999,,,,10.5,percent of total billed charges,999999999,,,,10.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,7.98,percent of total billed charges,999999999,,,,,,,,,,,,,,,,7.575,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3.75,percent of total billed charges,3.561582716,,,,,,,,,,3.75,percent of total billed charges,3.502338211,,,,,,,,,,3.75,percent of total billed charges,3.492605363,,,,,,,,,,3.75,percent of total billed charges,3.441176792,,,,,,,,,,3.75,percent of total billed charges,3.52972333,,,,,,,,,,3.75,percent of total billed charges,999999999,,,,,,,,,,3.75,percent of total billed charges,3.02875118,,,,,,,,,,3.75,percent of total billed charges,4.776549473,,,,,,,,,,3.75,percent of total billed charges,999999999,,,,,,,,,,3.75,percent of total billed charges,3.265734506,,,,,,,,,,13.5,percent of total billed charges,,,,,
**OSMOLITE 8OZ,271,RC,5486-8587-00,NDC,,both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**OSMOLITE HN 8OZ,271,RC,5486-8587-00,NDC,,both,1,EA,7,7,1.490187612,7,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,7,percent of total billed charges,999999999,,,,7,percent of total billed charges,5.333518893,,,,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.942,percent of total billed charges,4.904503703,,,,4.942,percent of total billed charges,3.38259733,,,,,,,,,,5.04,percent of total billed charges,3.275881398,,,,,,,,,,5.04,percent of total billed charges,999999999,,,,,,,,,,5.6,percent of total billed charges,4.692508902,,,,5.53,percent of total billed charges,5.336687983,,,,5.53,percent of total billed charges,4.715140486,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,4.9,percent of total billed charges,999999999,,,,4.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.724,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.535,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.75,percent of total billed charges,1.662071934,,,,,,,,,,1.75,percent of total billed charges,1.634424499,,,,,,,,,,1.75,percent of total billed charges,1.629882503,,,,,,,,,,1.75,percent of total billed charges,1.605882503,,,,,,,,,,1.75,percent of total billed charges,1.647204221,,,,,,,,,,1.75,percent of total billed charges,999999999,,,,,,,,,,1.75,percent of total billed charges,1.413417217,,,,,,,,,,1.75,percent of total billed charges,2.229056421,,,,,,,,,,1.75,percent of total billed charges,999999999,,,,,,,,,,1.75,percent of total billed charges,1.524009436,,,,,,,,,,6.3,percent of total billed charges,,,,,
**PROMOTE WITH FIBER,271,RC,5486-8587-00,NDC,,both,1,EA,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
**THICKEN UP,271,RC,5486-8587-00,NDC,,both,1,EA,35,35,7.450938062,35,35,percent of total billed charges,25.7507434,,,,35,percent of total billed charges,27.29527885,,,,35,percent of total billed charges,25.7507434,,,,35,percent of total billed charges,27.29527885,,,,35,percent of total billed charges,999999999,,,,35,percent of total billed charges,26.66759446,,,,35,percent of total billed charges,25.7507434,,,,35,percent of total billed charges,27.29527885,,,,24.955,percent of total billed charges,12.45300168,,,,24.955,percent of total billed charges,7.450938062,,,,24.955,percent of total billed charges,12.45300168,,,,24.955,percent of total billed charges,7.450938062,,,,24.955,percent of total billed charges,12.45300168,,,,24.955,percent of total billed charges,7.450938062,,,,24.71,percent of total billed charges,24.52251851,,,,24.71,percent of total billed charges,16.91298665,,,,,,,,,,25.2,percent of total billed charges,16.37940699,,,,,,,,,,25.2,percent of total billed charges,999999999,,,,,,,,,,28,percent of total billed charges,23.46254451,,,,27.65,percent of total billed charges,26.68343992,,,,27.65,percent of total billed charges,23.57570243,,,,28,percent of total billed charges,999999999,,,,28,percent of total billed charges,999999999,,,,24.5,percent of total billed charges,999999999,,,,24.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,18.62,percent of total billed charges,999999999,,,,,,,,,,,,,,,,17.675,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8.75,percent of total billed charges,8.310359672,,,,,,,,,,8.75,percent of total billed charges,8.172122493,,,,,,,,,,8.75,percent of total billed charges,8.149412515,,,,,,,,,,8.75,percent of total billed charges,8.029412515,,,,,,,,,,8.75,percent of total billed charges,8.236021103,,,,,,,,,,8.75,percent of total billed charges,999999999,,,,,,,,,,8.75,percent of total billed charges,7.067086087,,,,,,,,,,8.75,percent of total billed charges,11.1452821,,,,,,,,,,8.75,percent of total billed charges,999999999,,,,,,,,,,8.75,percent of total billed charges,7.620047182,,,,,,,,,,31.5,percent of total billed charges,,,,,
**CRITICARE HN,271,RC,5486-8587-00,NDC,,both,1,EA,28,28,5.960750449,28,28,percent of total billed charges,20.60059472,,,,28,percent of total billed charges,21.83622308,,,,28,percent of total billed charges,20.60059472,,,,28,percent of total billed charges,21.83622308,,,,28,percent of total billed charges,999999999,,,,28,percent of total billed charges,21.33407557,,,,28,percent of total billed charges,20.60059472,,,,28,percent of total billed charges,21.83622308,,,,19.964,percent of total billed charges,9.962401342,,,,19.964,percent of total billed charges,5.960750449,,,,19.964,percent of total billed charges,9.962401342,,,,19.964,percent of total billed charges,5.960750449,,,,19.964,percent of total billed charges,9.962401342,,,,19.964,percent of total billed charges,5.960750449,,,,19.768,percent of total billed charges,19.61801481,,,,19.768,percent of total billed charges,13.53038932,,,,,,,,,,20.16,percent of total billed charges,13.10352559,,,,,,,,,,20.16,percent of total billed charges,999999999,,,,,,,,,,22.4,percent of total billed charges,18.77003561,,,,22.12,percent of total billed charges,21.34675193,,,,22.12,percent of total billed charges,18.86056194,,,,22.4,percent of total billed charges,999999999,,,,22.4,percent of total billed charges,999999999,,,,19.6,percent of total billed charges,999999999,,,,19.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,14.896,percent of total billed charges,999999999,,,,,,,,,,,,,,,,14.14,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7,percent of total billed charges,6.648287737,,,,,,,,,,7,percent of total billed charges,6.537697995,,,,,,,,,,7,percent of total billed charges,6.519530012,,,,,,,,,,7,percent of total billed charges,6.423530012,,,,,,,,,,7,percent of total billed charges,6.588816882,,,,,,,,,,7,percent of total billed charges,999999999,,,,,,,,,,7,percent of total billed charges,5.65366887,,,,,,,,,,7,percent of total billed charges,8.916225683,,,,,,,,,,7,percent of total billed charges,999999999,,,,,,,,,,7,percent of total billed charges,6.096037745,,,,,,,,,,25.2,percent of total billed charges,,,,,
**NUTRITION MANAGEMENT,942,RC,5486-8587-00,NDC,,both,1,EA,218,218,46.40869993,218,218,percent of total billed charges,160.3903446,,,,218,percent of total billed charges,170.010594,,,,218,percent of total billed charges,160.3903446,,,,218,percent of total billed charges,170.010594,,,,218,percent of total billed charges,999999999,,,,218,percent of total billed charges,166.101017,,,,218,percent of total billed charges,160.3903446,,,,218,percent of total billed charges,170.010594,,,,155.434,percent of total billed charges,77.56441045,,,,155.434,percent of total billed charges,46.40869993,,,,155.434,percent of total billed charges,77.56441045,,,,155.434,percent of total billed charges,46.40869993,,,,155.434,percent of total billed charges,77.56441045,,,,155.434,percent of total billed charges,46.40869993,,,,153.908,percent of total billed charges,152.7402582,,,,153.908,percent of total billed charges,105.3437454,,,,,,,,,,156.96,percent of total billed charges,102.0203064,,,,,,,,,,156.96,percent of total billed charges,999999999,,,,,,,,,,174.4,percent of total billed charges,146.1381344,,,,172.22,percent of total billed charges,166.1997115,,,,172.22,percent of total billed charges,146.8429466,,,,174.4,percent of total billed charges,999999999,,,,174.4,percent of total billed charges,999999999,,,,152.6,percent of total billed charges,999999999,,,,152.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,115.976,percent of total billed charges,999999999,,,,,,,,,,,,,,,,110.09,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,54.5,percent of total billed charges,51.76166881,,,,,,,,,,54.5,percent of total billed charges,50.90064867,,,,,,,,,,54.5,percent of total billed charges,50.75919795,,,,,,,,,,54.5,percent of total billed charges,50.01176938,,,,,,,,,,54.5,percent of total billed charges,51.29864572,,,,,,,,,,54.5,percent of total billed charges,999999999,,,,,,,,,,54.5,percent of total billed charges,44.01785048,,,,,,,,,,54.5,percent of total billed charges,69.41918567,,,,,,,,,,54.5,percent of total billed charges,999999999,,,,,,,,,,54.5,percent of total billed charges,47.46200816,,,,,,,,,,196.2,percent of total billed charges,,,,,
**NUTRITION MANAGEMENT COMPREHENSIVE,942,RC,5486-8587-00,NDC,,both,1,EA,325,325,69.187282,325,325,percent of total billed charges,239.1140459,,,,325,percent of total billed charges,253.4561608,,,,325,percent of total billed charges,239.1140459,,,,325,percent of total billed charges,253.4561608,,,,325,percent of total billed charges,999999999,,,,325,percent of total billed charges,247.6276629,,,,325,percent of total billed charges,239.1140459,,,,325,percent of total billed charges,253.4561608,,,,231.725,percent of total billed charges,115.6350156,,,,231.725,percent of total billed charges,69.187282,,,,231.725,percent of total billed charges,115.6350156,,,,231.725,percent of total billed charges,69.187282,,,,231.725,percent of total billed charges,115.6350156,,,,231.725,percent of total billed charges,69.187282,,,,229.45,percent of total billed charges,227.7091005,,,,229.45,percent of total billed charges,157.0491618,,,,,,,,,,234,percent of total billed charges,152.0944935,,,,,,,,,,234,percent of total billed charges,999999999,,,,,,,,,,260,percent of total billed charges,217.8664847,,,,256.75,percent of total billed charges,247.7747992,,,,256.75,percent of total billed charges,218.9172368,,,,260,percent of total billed charges,999999999,,,,260,percent of total billed charges,999999999,,,,227.5,percent of total billed charges,999999999,,,,227.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,172.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,164.125,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,81.25,percent of total billed charges,77.16762552,,,,,,,,,,81.25,percent of total billed charges,75.88399458,,,,,,,,,,81.25,percent of total billed charges,75.67311621,,,,,,,,,,81.25,percent of total billed charges,74.55883049,,,,,,,,,,81.25,percent of total billed charges,76.47733881,,,,,,,,,,81.25,percent of total billed charges,999999999,,,,,,,,,,81.25,percent of total billed charges,65.62294224,,,,,,,,,,81.25,percent of total billed charges,103.4919052,,,,,,,,,,81.25,percent of total billed charges,999999999,,,,,,,,,,81.25,percent of total billed charges,70.75758097,,,,,,,,,,292.5,percent of total billed charges,,,,,
=>GUEST MEAL<=,991,RC,5486-8587-00,NDC,,both,1,EA,23,23,4.896330726,23,23,percent of total billed charges,16.92191709,,,,23,percent of total billed charges,17.93689753,,,,23,percent of total billed charges,16.92191709,,,,23,percent of total billed charges,17.93689753,,,,23,percent of total billed charges,999999999,,,,23,percent of total billed charges,17.52441922,,,,23,percent of total billed charges,16.92191709,,,,23,percent of total billed charges,17.93689753,,,,16.399,percent of total billed charges,8.183401102,,,,16.399,percent of total billed charges,4.896330726,,,,16.399,percent of total billed charges,8.183401102,,,,16.399,percent of total billed charges,4.896330726,,,,16.399,percent of total billed charges,8.183401102,,,,16.399,percent of total billed charges,4.896330726,,,,16.238,percent of total billed charges,16.11479788,,,,16.238,percent of total billed charges,11.11424837,,,,,,,,,,16.56,percent of total billed charges,10.76361031,,,,,,,,,,16.56,percent of total billed charges,999999999,,,,,,,,,,18.4,percent of total billed charges,15.41824354,,,,18.17,percent of total billed charges,17.53483194,,,,18.17,percent of total billed charges,15.49260445,,,,18.4,percent of total billed charges,999999999,,,,18.4,percent of total billed charges,999999999,,,,16.1,percent of total billed charges,999999999,,,,16.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,12.236,percent of total billed charges,999999999,,,,,,,,,,,,,,,,11.615,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5.75,percent of total billed charges,5.461093499,,,,,,,,,,5.75,percent of total billed charges,5.370251924,,,,,,,,,,5.75,percent of total billed charges,5.355328224,,,,,,,,,,5.75,percent of total billed charges,5.276471081,,,,,,,,,,5.75,percent of total billed charges,5.412242439,,,,,,,,,,5.75,percent of total billed charges,999999999,,,,,,,,,,5.75,percent of total billed charges,4.644085143,,,,,,,,,,5.75,percent of total billed charges,7.324042525,,,,,,,,,,5.75,percent of total billed charges,999999999,,,,,,,,,,5.75,percent of total billed charges,5.007459577,,,,,,,,,,20.7,percent of total billed charges,,,,,
**SNF PERSONAL LINEN,992,RC,5486-8587-00,NDC,,both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**CCMC HK LINEN,992,RC,5486-8587-00,NDC,,both,1,EA,6,6,1.277303668,6,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,6,percent of total billed charges,999999999,,,,6,percent of total billed charges,4.571587623,,,,6,percent of total billed charges,4.414413154,,,,6,percent of total billed charges,4.67919066,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.278,percent of total billed charges,2.134800288,,,,4.278,percent of total billed charges,1.277303668,,,,4.236,percent of total billed charges,4.203860316,,,,4.236,percent of total billed charges,2.89936914,,,,,,,,,,4.32,percent of total billed charges,2.807898341,,,,,,,,,,4.32,percent of total billed charges,999999999,,,,,,,,,,4.8,percent of total billed charges,4.022150488,,,,4.74,percent of total billed charges,4.574303985,,,,4.74,percent of total billed charges,4.041548988,,,,4.8,percent of total billed charges,999999999,,,,4.8,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,4.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.192,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.5,percent of total billed charges,1.424633087,,,,,,,,,,1.5,percent of total billed charges,1.400935285,,,,,,,,,,1.5,percent of total billed charges,1.397042145,,,,,,,,,,1.5,percent of total billed charges,1.376470717,,,,,,,,,,1.5,percent of total billed charges,1.411889332,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.211500472,,,,,,,,,,1.5,percent of total billed charges,1.910619789,,,,,,,,,,1.5,percent of total billed charges,999999999,,,,,,,,,,1.5,percent of total billed charges,1.306293803,,,,,,,,,,5.4,percent of total billed charges,,,,,
**PROCIDE/METRICIDE,271,RC,5486-8587-00,NDC,,both,1,EA,36,36,7.663822006,36,36,percent of total billed charges,26.48647893,,,,36,percent of total billed charges,28.07514396,,,,36,percent of total billed charges,26.48647893,,,,36,percent of total billed charges,28.07514396,,,,36,percent of total billed charges,999999999,,,,36,percent of total billed charges,27.42952574,,,,36,percent of total billed charges,26.48647893,,,,36,percent of total billed charges,28.07514396,,,,25.668,percent of total billed charges,12.80880173,,,,25.668,percent of total billed charges,7.663822006,,,,25.668,percent of total billed charges,12.80880173,,,,25.668,percent of total billed charges,7.663822006,,,,25.668,percent of total billed charges,12.80880173,,,,25.668,percent of total billed charges,7.663822006,,,,25.416,percent of total billed charges,25.2231619,,,,25.416,percent of total billed charges,17.39621484,,,,,,,,,,25.92,percent of total billed charges,16.84739005,,,,,,,,,,25.92,percent of total billed charges,999999999,,,,,,,,,,28.8,percent of total billed charges,24.13290293,,,,28.44,percent of total billed charges,27.44582391,,,,28.44,percent of total billed charges,24.24929393,,,,28.8,percent of total billed charges,999999999,,,,28.8,percent of total billed charges,999999999,,,,25.2,percent of total billed charges,999999999,,,,25.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,19.152,percent of total billed charges,999999999,,,,,,,,,,,,,,,,18.18,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9,percent of total billed charges,8.54779852,,,,,,,,,,9,percent of total billed charges,8.405611707,,,,,,,,,,9,percent of total billed charges,8.382252872,,,,,,,,,,9,percent of total billed charges,8.258824301,,,,,,,,,,9,percent of total billed charges,8.471335991,,,,,,,,,,9,percent of total billed charges,999999999,,,,,,,,,,9,percent of total billed charges,7.269002832,,,,,,,,,,9,percent of total billed charges,11.46371873,,,,,,,,,,9,percent of total billed charges,999999999,,,,,,,,,,9,percent of total billed charges,7.837762816,,,,,,,,,,32.4,percent of total billed charges,,,,,
**MEPILEX BORDER AG 6X6,272,RC,5486-8587-00,NDC,,both,1,EA,28,28,5.960750449,28,28,percent of total billed charges,20.60059472,,,,28,percent of total billed charges,21.83622308,,,,28,percent of total billed charges,20.60059472,,,,28,percent of total billed charges,21.83622308,,,,28,percent of total billed charges,999999999,,,,28,percent of total billed charges,21.33407557,,,,28,percent of total billed charges,20.60059472,,,,28,percent of total billed charges,21.83622308,,,,19.964,percent of total billed charges,9.962401342,,,,19.964,percent of total billed charges,5.960750449,,,,19.964,percent of total billed charges,9.962401342,,,,19.964,percent of total billed charges,5.960750449,,,,19.964,percent of total billed charges,9.962401342,,,,19.964,percent of total billed charges,5.960750449,,,,19.768,percent of total billed charges,19.61801481,,,,19.768,percent of total billed charges,13.53038932,,,,,,,,,,20.16,percent of total billed charges,13.10352559,,,,,,,,,,20.16,percent of total billed charges,999999999,,,,,,,,,,22.4,percent of total billed charges,18.77003561,,,,22.12,percent of total billed charges,21.34675193,,,,22.12,percent of total billed charges,18.86056194,,,,22.4,percent of total billed charges,999999999,,,,22.4,percent of total billed charges,999999999,,,,19.6,percent of total billed charges,999999999,,,,19.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,14.896,percent of total billed charges,999999999,,,,,,,,,,,,,,,,14.14,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7,percent of total billed charges,6.648287737,,,,,,,,,,7,percent of total billed charges,6.537697995,,,,,,,,,,7,percent of total billed charges,6.519530012,,,,,,,,,,7,percent of total billed charges,6.423530012,,,,,,,,,,7,percent of total billed charges,6.588816882,,,,,,,,,,7,percent of total billed charges,999999999,,,,,,,,,,7,percent of total billed charges,5.65366887,,,,,,,,,,7,percent of total billed charges,8.916225683,,,,,,,,,,7,percent of total billed charges,999999999,,,,,,,,,,7,percent of total billed charges,6.096037745,,,,,,,,,,25.2,percent of total billed charges,,,,,
**DVT BARIATRIC CALF,272,RC,5486-8587-00,NDC,,both,1,EA,482,482,102.6100613,482,482,percent of total billed charges,354.6245234,,,,482,percent of total billed charges,375.894983,,,,482,percent of total billed charges,354.6245234,,,,482,percent of total billed charges,375.894983,,,,482,percent of total billed charges,999999999,,,,482,percent of total billed charges,367.2508723,,,,482,percent of total billed charges,354.6245234,,,,482,percent of total billed charges,375.894983,,,,343.666,percent of total billed charges,171.4956231,,,,343.666,percent of total billed charges,102.6100613,,,,343.666,percent of total billed charges,171.4956231,,,,343.666,percent of total billed charges,102.6100613,,,,343.666,percent of total billed charges,171.4956231,,,,343.666,percent of total billed charges,102.6100613,,,,340.292,percent of total billed charges,337.7101121,,,,340.292,percent of total billed charges,232.9159876,,,,,,,,,,347.04,percent of total billed charges,225.5678334,,,,,,,,,,347.04,percent of total billed charges,999999999,,,,,,,,,,385.6,percent of total billed charges,323.1127558,,,,380.78,percent of total billed charges,367.4690868,,,,380.78,percent of total billed charges,324.671102,,,,385.6,percent of total billed charges,999999999,,,,385.6,percent of total billed charges,999999999,,,,337.4,percent of total billed charges,999999999,,,,337.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,256.424,percent of total billed charges,999999999,,,,,,,,,,,,,,,,243.41,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,120.5,percent of total billed charges,114.4455246,,,,,,,,,,120.5,percent of total billed charges,112.5418012,,,,,,,,,,120.5,percent of total billed charges,112.2290523,,,,,,,,,,120.5,percent of total billed charges,110.5764809,,,,,,,,,,120.5,percent of total billed charges,113.4217763,,,,,,,,,,120.5,percent of total billed charges,999999999,,,,,,,,,,120.5,percent of total billed charges,97.32387126,,,,,,,,,,120.5,percent of total billed charges,153.4864564,,,,,,,,,,120.5,percent of total billed charges,999999999,,,,,,,,,,120.5,percent of total billed charges,104.9389355,,,,,,,,,,433.8,percent of total billed charges,,,,,
**SUSPENSORY LARGE,272,RC,5486-8587-00,NDC,,both,1,EA,138,138,29.37798436,138,138,percent of total billed charges,101.5315025,,,,138,percent of total billed charges,107.6213852,,,,138,percent of total billed charges,101.5315025,,,,138,percent of total billed charges,107.6213852,,,,138,percent of total billed charges,999999999,,,,138,percent of total billed charges,105.1465153,,,,138,percent of total billed charges,101.5315025,,,,138,percent of total billed charges,107.6213852,,,,98.394,percent of total billed charges,49.10040661,,,,98.394,percent of total billed charges,29.37798436,,,,98.394,percent of total billed charges,49.10040661,,,,98.394,percent of total billed charges,29.37798436,,,,98.394,percent of total billed charges,49.10040661,,,,98.394,percent of total billed charges,29.37798436,,,,97.428,percent of total billed charges,96.68878728,,,,97.428,percent of total billed charges,66.68549023,,,,,,,,,,99.36,percent of total billed charges,64.58166185,,,,,,,,,,99.36,percent of total billed charges,999999999,,,,,,,,,,110.4,percent of total billed charges,92.50946121,,,,109.02,percent of total billed charges,105.2089917,,,,109.02,percent of total billed charges,92.95562672,,,,110.4,percent of total billed charges,999999999,,,,110.4,percent of total billed charges,999999999,,,,96.6,percent of total billed charges,999999999,,,,96.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,73.416,percent of total billed charges,999999999,,,,,,,,,,,,,,,,69.69,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,34.5,percent of total billed charges,32.76656099,,,,,,,,,,34.5,percent of total billed charges,32.22151154,,,,,,,,,,34.5,percent of total billed charges,32.13196934,,,,,,,,,,34.5,percent of total billed charges,31.65882649,,,,,,,,,,34.5,percent of total billed charges,32.47345463,,,,,,,,,,34.5,percent of total billed charges,999999999,,,,,,,,,,34.5,percent of total billed charges,27.86451086,,,,,,,,,,34.5,percent of total billed charges,43.94425515,,,,,,,,,,34.5,percent of total billed charges,999999999,,,,,,,,,,34.5,percent of total billed charges,30.04475746,,,,,,,,,,124.2,percent of total billed charges,,,,,
**SUSPENSORY MEDIUM,272,RC,5486-8587-00,NDC,,both,1,EA,138,138,29.37798436,138,138,percent of total billed charges,101.5315025,,,,138,percent of total billed charges,107.6213852,,,,138,percent of total billed charges,101.5315025,,,,138,percent of total billed charges,107.6213852,,,,138,percent of total billed charges,999999999,,,,138,percent of total billed charges,105.1465153,,,,138,percent of total billed charges,101.5315025,,,,138,percent of total billed charges,107.6213852,,,,98.394,percent of total billed charges,49.10040661,,,,98.394,percent of total billed charges,29.37798436,,,,98.394,percent of total billed charges,49.10040661,,,,98.394,percent of total billed charges,29.37798436,,,,98.394,percent of total billed charges,49.10040661,,,,98.394,percent of total billed charges,29.37798436,,,,97.428,percent of total billed charges,96.68878728,,,,97.428,percent of total billed charges,66.68549023,,,,,,,,,,99.36,percent of total billed charges,64.58166185,,,,,,,,,,99.36,percent of total billed charges,999999999,,,,,,,,,,110.4,percent of total billed charges,92.50946121,,,,109.02,percent of total billed charges,105.2089917,,,,109.02,percent of total billed charges,92.95562672,,,,110.4,percent of total billed charges,999999999,,,,110.4,percent of total billed charges,999999999,,,,96.6,percent of total billed charges,999999999,,,,96.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,73.416,percent of total billed charges,999999999,,,,,,,,,,,,,,,,69.69,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,34.5,percent of total billed charges,32.76656099,,,,,,,,,,34.5,percent of total billed charges,32.22151154,,,,,,,,,,34.5,percent of total billed charges,32.13196934,,,,,,,,,,34.5,percent of total billed charges,31.65882649,,,,,,,,,,34.5,percent of total billed charges,32.47345463,,,,,,,,,,34.5,percent of total billed charges,999999999,,,,,,,,,,34.5,percent of total billed charges,27.86451086,,,,,,,,,,34.5,percent of total billed charges,43.94425515,,,,,,,,,,34.5,percent of total billed charges,999999999,,,,,,,,,,34.5,percent of total billed charges,30.04475746,,,,,,,,,,124.2,percent of total billed charges,,,,,
**ILL STERNAL ASPIR NEEDLE,272,RC,5486-8587-00,NDC,,both,1,EA,122,122,25.97184124,122,122,percent of total billed charges,89.75973414,,,,122,percent of total billed charges,95.14354342,,,,122,percent of total billed charges,89.75973414,,,,122,percent of total billed charges,95.14354342,,,,122,percent of total billed charges,999999999,,,,122,percent of total billed charges,92.95561499,,,,122,percent of total billed charges,89.75973414,,,,122,percent of total billed charges,95.14354342,,,,86.986,percent of total billed charges,43.40760585,,,,86.986,percent of total billed charges,25.97184124,,,,86.986,percent of total billed charges,43.40760585,,,,86.986,percent of total billed charges,25.97184124,,,,86.986,percent of total billed charges,43.40760585,,,,86.986,percent of total billed charges,25.97184124,,,,86.132,percent of total billed charges,85.4784931,,,,86.132,percent of total billed charges,58.95383918,,,,,,,,,,87.84,percent of total billed charges,57.09393294,,,,,,,,,,87.84,percent of total billed charges,999999999,,,,,,,,,,97.6,percent of total billed charges,81.78372658,,,,96.38,percent of total billed charges,93.01084771,,,,96.38,percent of total billed charges,82.17816275,,,,97.6,percent of total billed charges,999999999,,,,97.6,percent of total billed charges,999999999,,,,85.4,percent of total billed charges,999999999,,,,85.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,64.904,percent of total billed charges,999999999,,,,,,,,,,,,,,,,61.61,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,30.5,percent of total billed charges,28.96753943,,,,,,,,,,30.5,percent of total billed charges,28.48568412,,,,,,,,,,30.5,percent of total billed charges,28.40652362,,,,,,,,,,30.5,percent of total billed charges,27.98823791,,,,,,,,,,30.5,percent of total billed charges,28.70841641,,,,,,,,,,30.5,percent of total billed charges,999999999,,,,,,,,,,30.5,percent of total billed charges,24.63384293,,,,,,,,,,30.5,percent of total billed charges,38.84926905,,,,,,,,,,30.5,percent of total billed charges,999999999,,,,,,,,,,30.5,percent of total billed charges,26.56130732,,,,,,,,,,109.8,percent of total billed charges,,,,,
**MIC GASTROSTOMY TUBE 16 FR,272,RC,5486-8587-00,NDC,,both,1,EA,501,501,106.6548563,501,501,percent of total billed charges,368.6034984,,,,501,percent of total billed charges,390.7124201,,,,501,percent of total billed charges,368.6034984,,,,501,percent of total billed charges,390.7124201,,,,501,percent of total billed charges,999999999,,,,501,percent of total billed charges,381.7275665,,,,501,percent of total billed charges,368.6034984,,,,501,percent of total billed charges,390.7124201,,,,357.213,percent of total billed charges,178.255824,,,,357.213,percent of total billed charges,106.6548563,,,,357.213,percent of total billed charges,178.255824,,,,357.213,percent of total billed charges,106.6548563,,,,357.213,percent of total billed charges,178.255824,,,,357.213,percent of total billed charges,106.6548563,,,,353.706,percent of total billed charges,351.0223364,,,,353.706,percent of total billed charges,242.0973232,,,,,,,,,,360.72,percent of total billed charges,234.4595115,,,,,,,,,,360.72,percent of total billed charges,999999999,,,,,,,,,,400.8,percent of total billed charges,335.8495657,,,,395.79,percent of total billed charges,381.9543828,,,,395.79,percent of total billed charges,337.4693405,,,,400.8,percent of total billed charges,999999999,,,,400.8,percent of total billed charges,999999999,,,,350.7,percent of total billed charges,999999999,,,,350.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,266.532,percent of total billed charges,999999999,,,,,,,,,,,,,,,,253.005,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,125.25,percent of total billed charges,118.9568627,,,,,,,,,,125.25,percent of total billed charges,116.9780963,,,,,,,,,,125.25,percent of total billed charges,116.6530191,,,,,,,,,,125.25,percent of total billed charges,114.9353049,,,,,,,,,,125.25,percent of total billed charges,117.8927592,,,,,,,,,,125.25,percent of total billed charges,999999999,,,,,,,,,,125.25,percent of total billed charges,101.1602894,,,,,,,,,,125.25,percent of total billed charges,159.5367524,,,,,,,,,,125.25,percent of total billed charges,999999999,,,,,,,,,,125.25,percent of total billed charges,109.0755325,,,,,,,,,,450.9,percent of total billed charges,,,,,
**MIC GASTROSTOMY TUBE 20 FR,272,RC,5486-8587-00,NDC,,both,1,EA,819,819,174.3519506,819,819,percent of total billed charges,602.5673956,,,,819,percent of total billed charges,638.7095251,,,,819,percent of total billed charges,602.5673956,,,,819,percent of total billed charges,638.7095251,,,,819,percent of total billed charges,999999999,,,,819,percent of total billed charges,624.0217105,,,,819,percent of total billed charges,602.5673956,,,,819,percent of total billed charges,638.7095251,,,,583.947,percent of total billed charges,291.4002393,,,,583.947,percent of total billed charges,174.3519506,,,,583.947,percent of total billed charges,291.4002393,,,,583.947,percent of total billed charges,174.3519506,,,,583.947,percent of total billed charges,291.4002393,,,,583.947,percent of total billed charges,174.3519506,,,,578.214,percent of total billed charges,573.8269332,,,,578.214,percent of total billed charges,395.7638876,,,,,,,,,,589.68,percent of total billed charges,383.2781236,,,,,,,,,,589.68,percent of total billed charges,999999999,,,,,,,,,,655.2,percent of total billed charges,549.0235416,,,,647.01,percent of total billed charges,624.392494,,,,647.01,percent of total billed charges,551.6714368,,,,655.2,percent of total billed charges,999999999,,,,655.2,percent of total billed charges,999999999,,,,573.3,percent of total billed charges,999999999,,,,573.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,435.708,percent of total billed charges,999999999,,,,,,,,,,,,,,,,413.595,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,204.75,percent of total billed charges,194.4624163,,,,,,,,,,204.75,percent of total billed charges,191.2276663,,,,,,,,,,204.75,percent of total billed charges,190.6962528,,,,,,,,,,204.75,percent of total billed charges,187.8882528,,,,,,,,,,204.75,percent of total billed charges,192.7228938,,,,,,,,,,204.75,percent of total billed charges,999999999,,,,,,,,,,204.75,percent of total billed charges,165.3698144,,,,,,,,,,204.75,percent of total billed charges,260.7996012,,,,,,,,,,204.75,percent of total billed charges,999999999,,,,,,,,,,204.75,percent of total billed charges,178.3091041,,,,,,,,,,737.1,percent of total billed charges,,,,,
**MIC GASTROSTOMY TUBE 22 FR,272,RC,5486-8587-00,NDC,,both,1,EA,239,239,50.87926277,239,239,percent of total billed charges,175.8407906,,,,239,percent of total billed charges,186.3877613,,,,239,percent of total billed charges,175.8407906,,,,239,percent of total billed charges,186.3877613,,,,239,percent of total billed charges,999999999,,,,239,percent of total billed charges,182.1015736,,,,239,percent of total billed charges,175.8407906,,,,239,percent of total billed charges,186.3877613,,,,170.407,percent of total billed charges,85.03621145,,,,170.407,percent of total billed charges,50.87926277,,,,170.407,percent of total billed charges,85.03621145,,,,170.407,percent of total billed charges,50.87926277,,,,170.407,percent of total billed charges,85.03621145,,,,170.407,percent of total billed charges,50.87926277,,,,168.734,percent of total billed charges,167.4537693,,,,168.734,percent of total billed charges,115.4915374,,,,,,,,,,172.08,percent of total billed charges,111.8479506,,,,,,,,,,172.08,percent of total billed charges,999999999,,,,,,,,,,191.2,percent of total billed charges,160.2156611,,,,188.81,percent of total billed charges,182.2097754,,,,188.81,percent of total billed charges,160.988368,,,,191.2,percent of total billed charges,999999999,,,,191.2,percent of total billed charges,999999999,,,,167.3,percent of total billed charges,999999999,,,,167.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,127.148,percent of total billed charges,999999999,,,,,,,,,,,,,,,,120.695,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,59.75,percent of total billed charges,56.74788462,,,,,,,,,,59.75,percent of total billed charges,55.80392217,,,,,,,,,,59.75,percent of total billed charges,55.64884546,,,,,,,,,,59.75,percent of total billed charges,54.82941689,,,,,,,,,,59.75,percent of total billed charges,56.24025839,,,,,,,,,,59.75,percent of total billed charges,999999999,,,,,,,,,,59.75,percent of total billed charges,48.25810214,,,,,,,,,,59.75,percent of total billed charges,76.10635493,,,,,,,,,,59.75,percent of total billed charges,999999999,,,,,,,,,,59.75,percent of total billed charges,52.03403647,,,,,,,,,,215.1,percent of total billed charges,,,,,
**MIC GASTROSTOMY TUBE 24 FR,272,RC,5486-8587-00,NDC,,both,1,EA,239,239,50.87926277,239,239,percent of total billed charges,175.8407906,,,,239,percent of total billed charges,186.3877613,,,,239,percent of total billed charges,175.8407906,,,,239,percent of total billed charges,186.3877613,,,,239,percent of total billed charges,999999999,,,,239,percent of total billed charges,182.1015736,,,,239,percent of total billed charges,175.8407906,,,,239,percent of total billed charges,186.3877613,,,,170.407,percent of total billed charges,85.03621145,,,,170.407,percent of total billed charges,50.87926277,,,,170.407,percent of total billed charges,85.03621145,,,,170.407,percent of total billed charges,50.87926277,,,,170.407,percent of total billed charges,85.03621145,,,,170.407,percent of total billed charges,50.87926277,,,,168.734,percent of total billed charges,167.4537693,,,,168.734,percent of total billed charges,115.4915374,,,,,,,,,,172.08,percent of total billed charges,111.8479506,,,,,,,,,,172.08,percent of total billed charges,999999999,,,,,,,,,,191.2,percent of total billed charges,160.2156611,,,,188.81,percent of total billed charges,182.2097754,,,,188.81,percent of total billed charges,160.988368,,,,191.2,percent of total billed charges,999999999,,,,191.2,percent of total billed charges,999999999,,,,167.3,percent of total billed charges,999999999,,,,167.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,127.148,percent of total billed charges,999999999,,,,,,,,,,,,,,,,120.695,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,59.75,percent of total billed charges,56.74788462,,,,,,,,,,59.75,percent of total billed charges,55.80392217,,,,,,,,,,59.75,percent of total billed charges,55.64884546,,,,,,,,,,59.75,percent of total billed charges,54.82941689,,,,,,,,,,59.75,percent of total billed charges,56.24025839,,,,,,,,,,59.75,percent of total billed charges,999999999,,,,,,,,,,59.75,percent of total billed charges,48.25810214,,,,,,,,,,59.75,percent of total billed charges,76.10635493,,,,,,,,,,59.75,percent of total billed charges,999999999,,,,,,,,,,59.75,percent of total billed charges,52.03403647,,,,,,,,,,215.1,percent of total billed charges,,,,,
THORACENTESIS TRAY ADULT,272,RC,5486-8587-00,NDC,,both,1,EA,674,674,143.4837787,674,674,percent of total billed charges,495.8857443,,,,674,percent of total billed charges,525.6290841,,,,674,percent of total billed charges,495.8857443,,,,674,percent of total billed charges,525.6290841,,,,674,percent of total billed charges,999999999,,,,674,percent of total billed charges,513.5416763,,,,674,percent of total billed charges,495.8857443,,,,674,percent of total billed charges,525.6290841,,,,480.562,percent of total billed charges,239.8092323,,,,480.562,percent of total billed charges,143.4837787,,,,480.562,percent of total billed charges,239.8092323,,,,480.562,percent of total billed charges,143.4837787,,,,480.562,percent of total billed charges,239.8092323,,,,480.562,percent of total billed charges,143.4837787,,,,475.844,percent of total billed charges,472.2336422,,,,475.844,percent of total billed charges,325.6958001,,,,,,,,,,485.28,percent of total billed charges,315.4205803,,,,,,,,,,485.28,percent of total billed charges,999999999,,,,,,,,,,539.2,percent of total billed charges,451.8215714,,,,532.46,percent of total billed charges,513.8468144,,,,532.46,percent of total billed charges,454.0006696,,,,539.2,percent of total billed charges,999999999,,,,539.2,percent of total billed charges,999999999,,,,471.8,percent of total billed charges,999999999,,,,471.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,358.568,percent of total billed charges,999999999,,,,,,,,,,,,,,,,340.37,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,168.5,percent of total billed charges,160.0337834,,,,,,,,,,168.5,percent of total billed charges,157.3717303,,,,,,,,,,168.5,percent of total billed charges,156.934401,,,,,,,,,,168.5,percent of total billed charges,154.6235439,,,,,,,,,,168.5,percent of total billed charges,158.6022349,,,,,,,,,,168.5,percent of total billed charges,999999999,,,,,,,,,,168.5,percent of total billed charges,136.0918864,,,,,,,,,,168.5,percent of total billed charges,214.6262896,,,,,,,,,,168.5,percent of total billed charges,999999999,,,,,,,,,,168.5,percent of total billed charges,146.7403372,,,,,,,,,,606.6,percent of total billed charges,,,,,
**BONE MARROW DISP NEEDLE 2,272,RC,5486-8587-00,NDC,,both,1,EA,448,448,95.37200719,448,448,percent of total billed charges,329.6095155,,,,448,percent of total billed charges,349.3795693,,,,448,percent of total billed charges,329.6095155,,,,448,percent of total billed charges,349.3795693,,,,448,percent of total billed charges,999999999,,,,448,percent of total billed charges,341.3452092,,,,448,percent of total billed charges,329.6095155,,,,448,percent of total billed charges,349.3795693,,,,319.424,percent of total billed charges,159.3984215,,,,319.424,percent of total billed charges,95.37200719,,,,319.424,percent of total billed charges,159.3984215,,,,319.424,percent of total billed charges,95.37200719,,,,319.424,percent of total billed charges,159.3984215,,,,319.424,percent of total billed charges,95.37200719,,,,316.288,percent of total billed charges,313.888237,,,,316.288,percent of total billed charges,216.4862291,,,,,,,,,,322.56,percent of total billed charges,209.6564095,,,,,,,,,,322.56,percent of total billed charges,999999999,,,,,,,,,,358.4,percent of total billed charges,300.3205697,,,,353.92,percent of total billed charges,341.5480309,,,,353.92,percent of total billed charges,301.7689911,,,,358.4,percent of total billed charges,999999999,,,,358.4,percent of total billed charges,999999999,,,,313.6,percent of total billed charges,999999999,,,,313.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,238.336,percent of total billed charges,999999999,,,,,,,,,,,,,,,,226.24,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,112,percent of total billed charges,106.3726038,,,,,,,,,,112,percent of total billed charges,104.6031679,,,,,,,,,,112,percent of total billed charges,104.3124802,,,,,,,,,,112,percent of total billed charges,102.7764802,,,,,,,,,,112,percent of total billed charges,105.4210701,,,,,,,,,,112,percent of total billed charges,999999999,,,,,,,,,,112,percent of total billed charges,90.45870191,,,,,,,,,,112,percent of total billed charges,142.6596109,,,,,,,,,,112,percent of total billed charges,999999999,,,,,,,,,,112,percent of total billed charges,97.53660393,,,,,,,,,,403.2,percent of total billed charges,,,,,
**SUSPENSORY X-LARGE,272,RC,5486-8587-00,NDC,,both,1,EA,138,138,29.37798436,138,138,percent of total billed charges,101.5315025,,,,138,percent of total billed charges,107.6213852,,,,138,percent of total billed charges,101.5315025,,,,138,percent of total billed charges,107.6213852,,,,138,percent of total billed charges,999999999,,,,138,percent of total billed charges,105.1465153,,,,138,percent of total billed charges,101.5315025,,,,138,percent of total billed charges,107.6213852,,,,98.394,percent of total billed charges,49.10040661,,,,98.394,percent of total billed charges,29.37798436,,,,98.394,percent of total billed charges,49.10040661,,,,98.394,percent of total billed charges,29.37798436,,,,98.394,percent of total billed charges,49.10040661,,,,98.394,percent of total billed charges,29.37798436,,,,97.428,percent of total billed charges,96.68878728,,,,97.428,percent of total billed charges,66.68549023,,,,,,,,,,99.36,percent of total billed charges,64.58166185,,,,,,,,,,99.36,percent of total billed charges,999999999,,,,,,,,,,110.4,percent of total billed charges,92.50946121,,,,109.02,percent of total billed charges,105.2089917,,,,109.02,percent of total billed charges,92.95562672,,,,110.4,percent of total billed charges,999999999,,,,110.4,percent of total billed charges,999999999,,,,96.6,percent of total billed charges,999999999,,,,96.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,73.416,percent of total billed charges,999999999,,,,,,,,,,,,,,,,69.69,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,34.5,percent of total billed charges,32.76656099,,,,,,,,,,34.5,percent of total billed charges,32.22151154,,,,,,,,,,34.5,percent of total billed charges,32.13196934,,,,,,,,,,34.5,percent of total billed charges,31.65882649,,,,,,,,,,34.5,percent of total billed charges,32.47345463,,,,,,,,,,34.5,percent of total billed charges,999999999,,,,,,,,,,34.5,percent of total billed charges,27.86451086,,,,,,,,,,34.5,percent of total billed charges,43.94425515,,,,,,,,,,34.5,percent of total billed charges,999999999,,,,,,,,,,34.5,percent of total billed charges,30.04475746,,,,,,,,,,124.2,percent of total billed charges,,,,,
**BLADE SAW SAGITAL,270,RC,5486-8587-00,NDC,,both,1,EA,589,589,125.3886434,589,589,percent of total billed charges,433.3482247,,,,589,percent of total billed charges,459.3405498,,,,589,percent of total billed charges,433.3482247,,,,589,percent of total billed charges,459.3405498,,,,589,percent of total billed charges,999999999,,,,589,percent of total billed charges,448.7775183,,,,589,percent of total billed charges,433.3482247,,,,589,percent of total billed charges,459.3405498,,,,419.957,percent of total billed charges,209.5662282,,,,419.957,percent of total billed charges,125.3886434,,,,419.957,percent of total billed charges,209.5662282,,,,419.957,percent of total billed charges,125.3886434,,,,419.957,percent of total billed charges,209.5662282,,,,419.957,percent of total billed charges,125.3886434,,,,415.834,percent of total billed charges,412.6789544,,,,415.834,percent of total billed charges,284.6214039,,,,,,,,,,424.08,percent of total billed charges,275.6420205,,,,,,,,,,424.08,percent of total billed charges,999999999,,,,,,,,,,471.2,percent of total billed charges,394.8411062,,,,465.31,percent of total billed charges,449.0441746,,,,465.31,percent of total billed charges,396.7453923,,,,471.2,percent of total billed charges,999999999,,,,471.2,percent of total billed charges,999999999,,,,412.3,percent of total billed charges,999999999,,,,412.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,313.348,percent of total billed charges,999999999,,,,,,,,,,,,,,,,297.445,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,147.25,percent of total billed charges,139.8514813,,,,,,,,,,147.25,percent of total billed charges,137.5251471,,,,,,,,,,147.25,percent of total billed charges,137.1429706,,,,,,,,,,147.25,percent of total billed charges,135.123542,,,,,,,,,,147.25,percent of total billed charges,138.6004694,,,,,,,,,,147.25,percent of total billed charges,999999999,,,,,,,,,,147.25,percent of total billed charges,118.928963,,,,,,,,,,147.25,percent of total billed charges,187.559176,,,,,,,,,,147.25,percent of total billed charges,999999999,,,,,,,,,,147.25,percent of total billed charges,128.2345083,,,,,,,,,,530.1,percent of total billed charges,,,,,
**DILATOR BALLOON CRE 15 16.5 18,272,RC,5486-8587-00,NDC,,both,1,EA,1865,1865,397.0285567,1865,1865,percent of total billed charges,1372.146755,,,,1865,percent of total billed charges,1454.44843,,,,1865,percent of total billed charges,1372.146755,,,,1865,percent of total billed charges,1454.44843,,,,1865,percent of total billed charges,999999999,,,,1865,percent of total billed charges,1421.001819,,,,1865,percent of total billed charges,1372.146755,,,,1865,percent of total billed charges,1454.44843,,,,1329.745,percent of total billed charges,663.5670894,,,,1329.745,percent of total billed charges,397.0285567,,,,1329.745,percent of total billed charges,663.5670894,,,,1329.745,percent of total billed charges,397.0285567,,,,1329.745,percent of total billed charges,663.5670894,,,,1329.745,percent of total billed charges,397.0285567,,,,1316.69,percent of total billed charges,1306.699915,,,,1316.69,percent of total billed charges,901.2205744,,,,,,,,,,1342.8,percent of total billed charges,872.7884011,,,,,,,,,,1342.8,percent of total billed charges,999999999,,,,,,,,,,1492,percent of total billed charges,1250.218443,,,,1473.35,percent of total billed charges,1421.846155,,,,1473.35,percent of total billed charges,1256.248144,,,,1492,percent of total billed charges,999999999,,,,1492,percent of total billed charges,999999999,,,,1305.5,percent of total billed charges,999999999,,,,1305.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,992.18,percent of total billed charges,999999999,,,,,,,,,,,,,,,,941.825,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,466.25,percent of total billed charges,442.8234511,,,,,,,,,,466.25,percent of total billed charges,435.4573843,,,,,,,,,,466.25,percent of total billed charges,434.2472669,,,,,,,,,,466.25,percent of total billed charges,427.8529811,,,,,,,,,,466.25,percent of total billed charges,438.8622673,,,,,,,,,,466.25,percent of total billed charges,999999999,,,,,,,,,,466.25,percent of total billed charges,376.5747301,,,,,,,,,,466.25,percent of total billed charges,593.8843178,,,,,,,,,,466.25,percent of total billed charges,999999999,,,,,,,,,,466.25,percent of total billed charges,406.039657,,,,,,,,,,1678.5,percent of total billed charges,,,,,
**TUBE TRAC SIZE 10,272,RC,5486-8587-00,NDC,,both,1,EA,650,650,138.374564,650,650,percent of total billed charges,478.2280917,,,,650,percent of total billed charges,506.9123215,,,,650,percent of total billed charges,478.2280917,,,,650,percent of total billed charges,506.9123215,,,,650,percent of total billed charges,999999999,,,,650,percent of total billed charges,495.2553258,,,,650,percent of total billed charges,478.2280917,,,,650,percent of total billed charges,506.9123215,,,,463.45,percent of total billed charges,231.2700312,,,,463.45,percent of total billed charges,138.374564,,,,463.45,percent of total billed charges,231.2700312,,,,463.45,percent of total billed charges,138.374564,,,,463.45,percent of total billed charges,231.2700312,,,,463.45,percent of total billed charges,138.374564,,,,458.9,percent of total billed charges,455.4182009,,,,458.9,percent of total billed charges,314.0983235,,,,,,,,,,468,percent of total billed charges,304.188987,,,,,,,,,,468,percent of total billed charges,999999999,,,,,,,,,,520,percent of total billed charges,435.7329695,,,,513.5,percent of total billed charges,495.5495984,,,,513.5,percent of total billed charges,437.8344737,,,,520,percent of total billed charges,999999999,,,,520,percent of total billed charges,999999999,,,,455,percent of total billed charges,999999999,,,,455,percent of total billed charges,999999999,,,,,,,,,,,,,,,,345.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,328.25,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,162.5,percent of total billed charges,154.335251,,,,,,,,,,162.5,percent of total billed charges,151.7679892,,,,,,,,,,162.5,percent of total billed charges,151.3462324,,,,,,,,,,162.5,percent of total billed charges,149.117661,,,,,,,,,,162.5,percent of total billed charges,152.9546776,,,,,,,,,,162.5,percent of total billed charges,999999999,,,,,,,,,,162.5,percent of total billed charges,131.2458845,,,,,,,,,,162.5,percent of total billed charges,206.9838105,,,,,,,,,,162.5,percent of total billed charges,999999999,,,,,,,,,,162.5,percent of total billed charges,141.5151619,,,,,,,,,,585,percent of total billed charges,,,,,
**TUBE TRAC SIZE 3,272,RC,5486-8587-00,NDC,,both,1,EA,377,377,80.25724712,377,377,percent of total billed charges,277.3722932,,,,377,percent of total billed charges,294.0091465,,,,377,percent of total billed charges,277.3722932,,,,377,percent of total billed charges,294.0091465,,,,377,percent of total billed charges,999999999,,,,377,percent of total billed charges,287.248089,,,,377,percent of total billed charges,277.3722932,,,,377,percent of total billed charges,294.0091465,,,,268.801,percent of total billed charges,134.1366181,,,,268.801,percent of total billed charges,80.25724712,,,,268.801,percent of total billed charges,134.1366181,,,,268.801,percent of total billed charges,80.25724712,,,,268.801,percent of total billed charges,134.1366181,,,,268.801,percent of total billed charges,80.25724712,,,,266.162,percent of total billed charges,264.1425565,,,,266.162,percent of total billed charges,182.1770276,,,,,,,,,,271.44,percent of total billed charges,176.4296124,,,,,,,,,,271.44,percent of total billed charges,999999999,,,,,,,,,,301.6,percent of total billed charges,252.7251223,,,,297.83,percent of total billed charges,287.4187671,,,,297.83,percent of total billed charges,253.9439947,,,,301.6,percent of total billed charges,999999999,,,,301.6,percent of total billed charges,999999999,,,,263.9,percent of total billed charges,999999999,,,,263.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,200.564,percent of total billed charges,999999999,,,,,,,,,,,,,,,,190.385,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,94.25,percent of total billed charges,89.51444561,,,,,,,,,,94.25,percent of total billed charges,88.02543371,,,,,,,,,,94.25,percent of total billed charges,87.7808148,,,,,,,,,,94.25,percent of total billed charges,86.48824337,,,,,,,,,,94.25,percent of total billed charges,88.71371302,,,,,,,,,,94.25,percent of total billed charges,999999999,,,,,,,,,,94.25,percent of total billed charges,76.12261299,,,,,,,,,,94.25,percent of total billed charges,120.0506101,,,,,,,,,,94.25,percent of total billed charges,999999999,,,,,,,,,,94.25,percent of total billed charges,82.07879393,,,,,,,,,,339.3,percent of total billed charges,,,,,
**TUBE TRAC SIZE 6,272,RC,5486-8587-00,NDC,,both,1,EA,590,590,125.6015273,590,590,percent of total billed charges,434.0839602,,,,590,percent of total billed charges,460.1204149,,,,590,percent of total billed charges,434.0839602,,,,590,percent of total billed charges,460.1204149,,,,590,percent of total billed charges,999999999,,,,590,percent of total billed charges,449.5394496,,,,590,percent of total billed charges,434.0839602,,,,590,percent of total billed charges,460.1204149,,,,420.67,percent of total billed charges,209.9220283,,,,420.67,percent of total billed charges,125.6015273,,,,420.67,percent of total billed charges,209.9220283,,,,420.67,percent of total billed charges,125.6015273,,,,420.67,percent of total billed charges,209.9220283,,,,420.67,percent of total billed charges,125.6015273,,,,416.54,percent of total billed charges,413.3795978,,,,416.54,percent of total billed charges,285.1046321,,,,,,,,,,424.8,percent of total billed charges,276.1100036,,,,,,,,,,424.8,percent of total billed charges,999999999,,,,,,,,,,472,percent of total billed charges,395.5114646,,,,466.1,percent of total billed charges,449.8065586,,,,466.1,percent of total billed charges,397.4189838,,,,472,percent of total billed charges,999999999,,,,472,percent of total billed charges,999999999,,,,413,percent of total billed charges,999999999,,,,413,percent of total billed charges,999999999,,,,,,,,,,,,,,,,313.88,percent of total billed charges,999999999,,,,,,,,,,,,,,,,297.95,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,147.5,percent of total billed charges,140.0889202,,,,,,,,,,147.5,percent of total billed charges,137.7586363,,,,,,,,,,147.5,percent of total billed charges,137.375811,,,,,,,,,,147.5,percent of total billed charges,135.3529538,,,,,,,,,,147.5,percent of total billed charges,138.8357843,,,,,,,,,,147.5,percent of total billed charges,999999999,,,,,,,,,,147.5,percent of total billed charges,119.1308798,,,,,,,,,,147.5,percent of total billed charges,187.8776126,,,,,,,,,,147.5,percent of total billed charges,999999999,,,,,,,,,,147.5,percent of total billed charges,128.4522239,,,,,,,,,,531,percent of total billed charges,,,,,
**TUBE TRAC SIZE 8,272,RC,5486-8587-00,NDC,,both,1,EA,493,493,104.9517847,493,493,percent of total billed charges,362.7176142,,,,493,percent of total billed charges,384.4734992,,,,493,percent of total billed charges,362.7176142,,,,493,percent of total billed charges,384.4734992,,,,493,percent of total billed charges,999999999,,,,493,percent of total billed charges,375.6321163,,,,493,percent of total billed charges,362.7176142,,,,493,percent of total billed charges,384.4734992,,,,351.509,percent of total billed charges,175.4094236,,,,351.509,percent of total billed charges,104.9517847,,,,351.509,percent of total billed charges,175.4094236,,,,351.509,percent of total billed charges,104.9517847,,,,351.509,percent of total billed charges,175.4094236,,,,351.509,percent of total billed charges,104.9517847,,,,348.058,percent of total billed charges,345.4171893,,,,348.058,percent of total billed charges,238.2314977,,,,,,,,,,354.96,percent of total billed charges,230.715647,,,,,,,,,,354.96,percent of total billed charges,999999999,,,,,,,,,,394.4,percent of total billed charges,330.4866984,,,,389.47,percent of total billed charges,375.8553108,,,,389.47,percent of total billed charges,332.0806085,,,,394.4,percent of total billed charges,999999999,,,,394.4,percent of total billed charges,999999999,,,,345.1,percent of total billed charges,999999999,,,,345.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,262.276,percent of total billed charges,999999999,,,,,,,,,,,,,,,,248.965,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,123.25,percent of total billed charges,117.0573519,,,,,,,,,,123.25,percent of total billed charges,115.1101825,,,,,,,,,,123.25,percent of total billed charges,114.7902963,,,,,,,,,,123.25,percent of total billed charges,113.1000106,,,,,,,,,,123.25,percent of total billed charges,116.0102401,,,,,,,,,,123.25,percent of total billed charges,999999999,,,,,,,,,,123.25,percent of total billed charges,99.54495545,,,,,,,,,,123.25,percent of total billed charges,156.9892593,,,,,,,,,,123.25,percent of total billed charges,999999999,,,,,,,,,,123.25,percent of total billed charges,107.3338074,,,,,,,,,,443.7,percent of total billed charges,,,,,
**ENDOTRACHEAL TUBES CUFFED 9.0,272,RC,5486-8587-00,NDC,,both,1,EA,151,151,32.14547564,151,151,percent of total billed charges,111.0960644,,,,151,percent of total billed charges,117.7596316,,,,151,percent of total billed charges,111.0960644,,,,151,percent of total billed charges,117.7596316,,,,151,percent of total billed charges,999999999,,,,151,percent of total billed charges,115.0516218,,,,151,percent of total billed charges,111.0960644,,,,151,percent of total billed charges,117.7596316,,,,107.663,percent of total billed charges,53.72580724,,,,107.663,percent of total billed charges,32.14547564,,,,107.663,percent of total billed charges,53.72580724,,,,107.663,percent of total billed charges,32.14547564,,,,107.663,percent of total billed charges,53.72580724,,,,107.663,percent of total billed charges,32.14547564,,,,106.606,percent of total billed charges,105.7971513,,,,106.606,percent of total billed charges,72.9674567,,,,,,,,,,108.72,percent of total billed charges,70.66544159,,,,,,,,,,108.72,percent of total billed charges,999999999,,,,,,,,,,120.8,percent of total billed charges,101.2241206,,,,119.29,percent of total billed charges,115.1199836,,,,119.29,percent of total billed charges,101.7123162,,,,120.8,percent of total billed charges,999999999,,,,120.8,percent of total billed charges,999999999,,,,105.7,percent of total billed charges,999999999,,,,105.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,80.332,percent of total billed charges,999999999,,,,,,,,,,,,,,,,76.255,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,37.75,percent of total billed charges,35.85326601,,,,,,,,,,37.75,percent of total billed charges,35.25687133,,,,,,,,,,37.75,percent of total billed charges,35.15889399,,,,,,,,,,37.75,percent of total billed charges,34.64117971,,,,,,,,,,37.75,percent of total billed charges,35.53254819,,,,,,,,,,37.75,percent of total billed charges,999999999,,,,,,,,,,37.75,percent of total billed charges,30.48942855,,,,,,,,,,37.75,percent of total billed charges,48.08393136,,,,,,,,,,37.75,percent of total billed charges,999999999,,,,,,,,,,37.75,percent of total billed charges,32.8750607,,,,,,,,,,135.9,percent of total billed charges,,,,,
**OT APP SHORT ARM SPLINT FOREARM TO HAN,29125,CDM,1013-5015-01,NDC,GO,both,1,EA,124,124,26.39760913,124,124,percent of total billed charges,91.23120519,,,,124,percent of total billed charges,96.70327364,,,,124,percent of total billed charges,91.23120519,,,,124,percent of total billed charges,96.70327364,,,,124,percent of total billed charges,999999999,,,,124,percent of total billed charges,94.47947753,,,,124,percent of total billed charges,91.23120519,,,,124,percent of total billed charges,96.70327364,,,,88.412,percent of total billed charges,44.11920594,,,,88.412,percent of total billed charges,26.39760913,,,,88.412,percent of total billed charges,44.11920594,,,,88.412,percent of total billed charges,26.39760913,,,,88.412,percent of total billed charges,44.11920594,,,,88.412,percent of total billed charges,26.39760913,,,,87.544,percent of total billed charges,86.87977987,,,,87.544,percent of total billed charges,59.92029557,,,,,,,,,,89.28,percent of total billed charges,58.02989905,,,,,,,,,,89.28,percent of total billed charges,999999999,,,,,,,,,,99.2,percent of total billed charges,83.12444341,,,,97.96,percent of total billed charges,94.5356157,,,,97.96,percent of total billed charges,83.52534574,,,,99.2,percent of total billed charges,999999999,,,,99.2,percent of total billed charges,999999999,,,,86.8,percent of total billed charges,999999999,,,,86.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,65.968,percent of total billed charges,999999999,,,,,,,,,,,,,,,,62.62,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,31,percent of total billed charges,29.44241712,,,,,,,,,,31,percent of total billed charges,28.95266255,,,,,,,,,,31,percent of total billed charges,28.87220434,,,,,,,,,,31,percent of total billed charges,28.44706148,,,,,,,,,,31,percent of total billed charges,29.17904619,,,,,,,,,,31,percent of total billed charges,999999999,,,,,,,,,,31,percent of total billed charges,25.03767642,,,,,,,,,,31,percent of total billed charges,39.48614231,,,,,,,,,,31,percent of total billed charges,999999999,,,,,,,,,,31,percent of total billed charges,26.99673859,,,,,,,,,,111.6,percent of total billed charges,,,,,
**PT HOT/COLD PACK,97010,CDM,1013-5015-01,NDC,GP,both,1,EA,167,167,35.55161875,167,167,percent of total billed charges,122.8678328,,,,167,percent of total billed charges,130.2374734,,,,167,percent of total billed charges,122.8678328,,,,167,percent of total billed charges,130.2374734,,,,167,percent of total billed charges,999999999,,,,167,percent of total billed charges,127.2425222,,,,167,percent of total billed charges,122.8678328,,,,167,percent of total billed charges,130.2374734,,,,119.071,percent of total billed charges,59.418608,,,,119.071,percent of total billed charges,35.55161875,,,,119.071,percent of total billed charges,59.418608,,,,119.071,percent of total billed charges,35.55161875,,,,119.071,percent of total billed charges,59.418608,,,,119.071,percent of total billed charges,35.55161875,,,,117.902,percent of total billed charges,117.0074455,,,,117.902,percent of total billed charges,80.69910774,,,,,,,,,,120.24,percent of total billed charges,78.1531705,,,,,,,,,,120.24,percent of total billed charges,999999999,,,,,,,,,,133.6,percent of total billed charges,111.9498552,,,,131.93,percent of total billed charges,127.3181276,,,,131.93,percent of total billed charges,112.4897802,,,,133.6,percent of total billed charges,999999999,,,,133.6,percent of total billed charges,999999999,,,,116.9,percent of total billed charges,999999999,,,,116.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,88.844,percent of total billed charges,999999999,,,,,,,,,,,,,,,,84.335,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,41.75,percent of total billed charges,39.65228758,,,,,,,,,,41.75,percent of total billed charges,38.99269875,,,,,,,,,,41.75,percent of total billed charges,38.88433971,,,,,,,,,,41.75,percent of total billed charges,38.31176828,,,,,,,,,,41.75,percent of total billed charges,39.2975864,,,,,,,,,,41.75,percent of total billed charges,999999999,,,,,,,,,,41.75,percent of total billed charges,33.72009647,,,,,,,,,,41.75,percent of total billed charges,53.17891746,,,,,,,,,,41.75,percent of total billed charges,999999999,,,,,,,,,,41.75,percent of total billed charges,36.35851084,,,,,,,,,,150.3,percent of total billed charges,,,,,
**PT NEUROMUSCULAR REEDUCATION 15 MIN,97112,CDM,1013-5015-01,NDC,GP,both,1,EA,199,199,42.36390498,199,199,percent of total billed charges,146.4113696,,,,199,percent of total billed charges,155.1931569,,,,199,percent of total billed charges,146.4113696,,,,199,percent of total billed charges,155.1931569,,,,199,percent of total billed charges,999999999,,,,199,percent of total billed charges,151.6243228,,,,199,percent of total billed charges,146.4113696,,,,199,percent of total billed charges,155.1931569,,,,141.887,percent of total billed charges,70.80420954,,,,141.887,percent of total billed charges,42.36390498,,,,141.887,percent of total billed charges,70.80420954,,,,141.887,percent of total billed charges,42.36390498,,,,141.887,percent of total billed charges,70.80420954,,,,141.887,percent of total billed charges,42.36390498,,,,140.494,percent of total billed charges,139.4280338,,,,140.494,percent of total billed charges,96.16240982,,,,,,,,,,143.28,percent of total billed charges,93.12862832,,,,,,,,,,143.28,percent of total billed charges,999999999,,,,,,,,,,159.2,percent of total billed charges,133.4013245,,,,157.21,percent of total billed charges,151.7144155,,,,157.21,percent of total billed charges,134.0447081,,,,159.2,percent of total billed charges,999999999,,,,159.2,percent of total billed charges,999999999,,,,139.3,percent of total billed charges,999999999,,,,139.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,105.868,percent of total billed charges,999999999,,,,,,,,,,,,,,,,100.495,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,49.75,percent of total billed charges,47.25033071,,,,,,,,,,49.75,percent of total billed charges,46.4643536,,,,,,,,,,49.75,percent of total billed charges,46.33523116,,,,,,,,,,49.75,percent of total billed charges,45.65294544,,,,,,,,,,49.75,percent of total billed charges,46.82766284,,,,,,,,,,49.75,percent of total billed charges,999999999,,,,,,,,,,49.75,percent of total billed charges,40.18143232,,,,,,,,,,49.75,percent of total billed charges,63.36888967,,,,,,,,,,49.75,percent of total billed charges,999999999,,,,,,,,,,49.75,percent of total billed charges,43.32541112,,,,,,,,,,179.1,percent of total billed charges,,,,,
**OT HOT/COLD PACK,97010,CDM,1013-5015-01,NDC,GO,both,1,EA,167,167,35.55161875,167,167,percent of total billed charges,122.8678328,,,,167,percent of total billed charges,130.2374734,,,,167,percent of total billed charges,122.8678328,,,,167,percent of total billed charges,130.2374734,,,,167,percent of total billed charges,999999999,,,,167,percent of total billed charges,127.2425222,,,,167,percent of total billed charges,122.8678328,,,,167,percent of total billed charges,130.2374734,,,,119.071,percent of total billed charges,59.418608,,,,119.071,percent of total billed charges,35.55161875,,,,119.071,percent of total billed charges,59.418608,,,,119.071,percent of total billed charges,35.55161875,,,,119.071,percent of total billed charges,59.418608,,,,119.071,percent of total billed charges,35.55161875,,,,117.902,percent of total billed charges,117.0074455,,,,117.902,percent of total billed charges,80.69910774,,,,,,,,,,120.24,percent of total billed charges,78.1531705,,,,,,,,,,120.24,percent of total billed charges,999999999,,,,,,,,,,133.6,percent of total billed charges,111.9498552,,,,131.93,percent of total billed charges,127.3181276,,,,131.93,percent of total billed charges,112.4897802,,,,133.6,percent of total billed charges,999999999,,,,133.6,percent of total billed charges,999999999,,,,116.9,percent of total billed charges,999999999,,,,116.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,88.844,percent of total billed charges,999999999,,,,,,,,,,,,,,,,84.335,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,41.75,percent of total billed charges,39.65228758,,,,,,,,,,41.75,percent of total billed charges,38.99269875,,,,,,,,,,41.75,percent of total billed charges,38.88433971,,,,,,,,,,41.75,percent of total billed charges,38.31176828,,,,,,,,,,41.75,percent of total billed charges,39.2975864,,,,,,,,,,41.75,percent of total billed charges,999999999,,,,,,,,,,41.75,percent of total billed charges,33.72009647,,,,,,,,,,41.75,percent of total billed charges,53.17891746,,,,,,,,,,41.75,percent of total billed charges,999999999,,,,,,,,,,41.75,percent of total billed charges,36.35851084,,,,,,,,,,150.3,percent of total billed charges,,,,,
**OT THERAPEUTIC ACTIVITY 15 MIN,97530,CDM,1013-5015-01,NDC,GO,both,1,EA,199,199,42.36390498,199,199,percent of total billed charges,146.4113696,,,,199,percent of total billed charges,155.1931569,,,,199,percent of total billed charges,146.4113696,,,,199,percent of total billed charges,155.1931569,,,,199,percent of total billed charges,999999999,,,,199,percent of total billed charges,151.6243228,,,,199,percent of total billed charges,146.4113696,,,,199,percent of total billed charges,155.1931569,,,,141.887,percent of total billed charges,70.80420954,,,,141.887,percent of total billed charges,42.36390498,,,,141.887,percent of total billed charges,70.80420954,,,,141.887,percent of total billed charges,42.36390498,,,,141.887,percent of total billed charges,70.80420954,,,,141.887,percent of total billed charges,42.36390498,,,,140.494,percent of total billed charges,139.4280338,,,,140.494,percent of total billed charges,96.16240982,,,,,,,,,,143.28,percent of total billed charges,93.12862832,,,,,,,,,,143.28,percent of total billed charges,999999999,,,,,,,,,,159.2,percent of total billed charges,133.4013245,,,,157.21,percent of total billed charges,151.7144155,,,,157.21,percent of total billed charges,134.0447081,,,,159.2,percent of total billed charges,999999999,,,,159.2,percent of total billed charges,999999999,,,,139.3,percent of total billed charges,999999999,,,,139.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,105.868,percent of total billed charges,999999999,,,,,,,,,,,,,,,,100.495,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,49.75,percent of total billed charges,47.25033071,,,,,,,,,,49.75,percent of total billed charges,46.4643536,,,,,,,,,,49.75,percent of total billed charges,46.33523116,,,,,,,,,,49.75,percent of total billed charges,45.65294544,,,,,,,,,,49.75,percent of total billed charges,46.82766284,,,,,,,,,,49.75,percent of total billed charges,999999999,,,,,,,,,,49.75,percent of total billed charges,40.18143232,,,,,,,,,,49.75,percent of total billed charges,63.36888967,,,,,,,,,,49.75,percent of total billed charges,999999999,,,,,,,,,,49.75,percent of total billed charges,43.32541112,,,,,,,,,,179.1,percent of total billed charges,,,,,
**ST THERAPEUTIC GROUP THERAPY,97150,CDM,1013-5015-01,NDC,GN,both,1,EA,201,201,42.78967287,201,201,percent of total billed charges,147.8828407,,,,201,percent of total billed charges,156.7528871,,,,201,percent of total billed charges,147.8828407,,,,201,percent of total billed charges,156.7528871,,,,201,percent of total billed charges,999999999,,,,201,percent of total billed charges,153.1481854,,,,201,percent of total billed charges,147.8828407,,,,201,percent of total billed charges,156.7528871,,,,143.313,percent of total billed charges,71.51580963,,,,143.313,percent of total billed charges,42.78967287,,,,143.313,percent of total billed charges,71.51580963,,,,143.313,percent of total billed charges,42.78967287,,,,143.313,percent of total billed charges,71.51580963,,,,143.313,percent of total billed charges,42.78967287,,,,141.906,percent of total billed charges,140.8293206,,,,141.906,percent of total billed charges,97.1288662,,,,,,,,,,144.72,percent of total billed charges,94.06459443,,,,,,,,,,144.72,percent of total billed charges,999999999,,,,,,,,,,160.8,percent of total billed charges,134.7420413,,,,158.79,percent of total billed charges,153.2391835,,,,158.79,percent of total billed charges,135.3918911,,,,160.8,percent of total billed charges,999999999,,,,160.8,percent of total billed charges,999999999,,,,140.7,percent of total billed charges,999999999,,,,140.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,106.932,percent of total billed charges,999999999,,,,,,,,,,,,,,,,101.505,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,50.25,percent of total billed charges,47.7252084,,,,,,,,,,50.25,percent of total billed charges,46.93133203,,,,,,,,,,50.25,percent of total billed charges,46.80091187,,,,,,,,,,50.25,percent of total billed charges,46.11176901,,,,,,,,,,50.25,percent of total billed charges,47.29829262,,,,,,,,,,50.25,percent of total billed charges,999999999,,,,,,,,,,50.25,percent of total billed charges,40.58526581,,,,,,,,,,50.25,percent of total billed charges,64.00576294,,,,,,,,,,50.25,percent of total billed charges,999999999,,,,,,,,,,50.25,percent of total billed charges,43.76084239,,,,,,,,,,180.9,percent of total billed charges,,,,,
**OT GROUP THERAPY,97150,CDM,1013-5015-01,NDC,GO,both,1,EA,284,284,60.45904027,284,284,percent of total billed charges,208.9488893,,,,284,percent of total billed charges,221.4816912,,,,284,percent of total billed charges,208.9488893,,,,284,percent of total billed charges,221.4816912,,,,284,percent of total billed charges,999999999,,,,284,percent of total billed charges,216.3884808,,,,284,percent of total billed charges,208.9488893,,,,284,percent of total billed charges,221.4816912,,,,202.492,percent of total billed charges,101.0472136,,,,202.492,percent of total billed charges,60.45904027,,,,202.492,percent of total billed charges,101.0472136,,,,202.492,percent of total billed charges,60.45904027,,,,202.492,percent of total billed charges,101.0472136,,,,202.492,percent of total billed charges,60.45904027,,,,200.504,percent of total billed charges,198.9827216,,,,200.504,percent of total billed charges,137.236806,,,,,,,,,,204.48,percent of total billed charges,132.9071882,,,,,,,,,,204.48,percent of total billed charges,999999999,,,,,,,,,,227.2,percent of total billed charges,190.3817897,,,,224.36,percent of total billed charges,216.5170553,,,,224.36,percent of total billed charges,191.2999854,,,,227.2,percent of total billed charges,999999999,,,,227.2,percent of total billed charges,999999999,,,,198.8,percent of total billed charges,999999999,,,,198.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,151.088,percent of total billed charges,999999999,,,,,,,,,,,,,,,,143.42,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,71,percent of total billed charges,67.43263276,,,,,,,,,,71,percent of total billed charges,66.3109368,,,,,,,,,,71,percent of total billed charges,66.12666155,,,,,,,,,,71,percent of total billed charges,65.15294726,,,,,,,,,,71,percent of total billed charges,66.82942838,,,,,,,,,,71,percent of total billed charges,999999999,,,,,,,,,,71,percent of total billed charges,57.34435568,,,,,,,,,,71,percent of total billed charges,90.43600335,,,,,,,,,,71,percent of total billed charges,999999999,,,,,,,,,,71,percent of total billed charges,61.83123999,,,,,,,,,,255.6,percent of total billed charges,,,,,
**PT MANUAL TECHNIQUES,97140,CDM,1013-5015-01,NDC,GP,both,1,EA,208,208,44.27986048,208,208,percent of total billed charges,153.0329894,,,,208,percent of total billed charges,162.2119429,,,,208,percent of total billed charges,153.0329894,,,,208,percent of total billed charges,162.2119429,,,,208,percent of total billed charges,999999999,,,,208,percent of total billed charges,158.4817042,,,,208,percent of total billed charges,153.0329894,,,,208,percent of total billed charges,162.2119429,,,,148.304,percent of total billed charges,74.00640997,,,,148.304,percent of total billed charges,44.27986048,,,,148.304,percent of total billed charges,74.00640997,,,,148.304,percent of total billed charges,44.27986048,,,,148.304,percent of total billed charges,74.00640997,,,,148.304,percent of total billed charges,44.27986048,,,,146.848,percent of total billed charges,145.7338243,,,,146.848,percent of total billed charges,100.5114635,,,,,,,,,,149.76,percent of total billed charges,97.34047583,,,,,,,,,,149.76,percent of total billed charges,999999999,,,,,,,,,,166.4,percent of total billed charges,139.4345502,,,,164.32,percent of total billed charges,158.5758715,,,,164.32,percent of total billed charges,140.1070316,,,,166.4,percent of total billed charges,999999999,,,,166.4,percent of total billed charges,999999999,,,,145.6,percent of total billed charges,999999999,,,,145.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,110.656,percent of total billed charges,999999999,,,,,,,,,,,,,,,,105.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,52,percent of total billed charges,49.38728033,,,,,,,,,,52,percent of total billed charges,48.56575653,,,,,,,,,,52,percent of total billed charges,48.43079437,,,,,,,,,,52,percent of total billed charges,47.71765152,,,,,,,,,,52,percent of total billed charges,48.94549684,,,,,,,,,,52,percent of total billed charges,999999999,,,,,,,,,,52,percent of total billed charges,41.99868303,,,,,,,,,,52,percent of total billed charges,66.23481936,,,,,,,,,,52,percent of total billed charges,999999999,,,,,,,,,,52,percent of total billed charges,45.28485182,,,,,,,,,,187.2,percent of total billed charges,,,,,
**PT GROUP THERAPY,97150,CDM,1013-5015-01,NDC,GP,both,1,EA,201,201,42.78967287,201,201,percent of total billed charges,147.8828407,,,,201,percent of total billed charges,156.7528871,,,,201,percent of total billed charges,147.8828407,,,,201,percent of total billed charges,156.7528871,,,,201,percent of total billed charges,999999999,,,,201,percent of total billed charges,153.1481854,,,,201,percent of total billed charges,147.8828407,,,,201,percent of total billed charges,156.7528871,,,,143.313,percent of total billed charges,71.51580963,,,,143.313,percent of total billed charges,42.78967287,,,,143.313,percent of total billed charges,71.51580963,,,,143.313,percent of total billed charges,42.78967287,,,,143.313,percent of total billed charges,71.51580963,,,,143.313,percent of total billed charges,42.78967287,,,,141.906,percent of total billed charges,140.8293206,,,,141.906,percent of total billed charges,97.1288662,,,,,,,,,,144.72,percent of total billed charges,94.06459443,,,,,,,,,,144.72,percent of total billed charges,999999999,,,,,,,,,,160.8,percent of total billed charges,134.7420413,,,,158.79,percent of total billed charges,153.2391835,,,,158.79,percent of total billed charges,135.3918911,,,,160.8,percent of total billed charges,999999999,,,,160.8,percent of total billed charges,999999999,,,,140.7,percent of total billed charges,999999999,,,,140.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,106.932,percent of total billed charges,999999999,,,,,,,,,,,,,,,,101.505,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,50.25,percent of total billed charges,47.7252084,,,,,,,,,,50.25,percent of total billed charges,46.93133203,,,,,,,,,,50.25,percent of total billed charges,46.80091187,,,,,,,,,,50.25,percent of total billed charges,46.11176901,,,,,,,,,,50.25,percent of total billed charges,47.29829262,,,,,,,,,,50.25,percent of total billed charges,999999999,,,,,,,,,,50.25,percent of total billed charges,40.58526581,,,,,,,,,,50.25,percent of total billed charges,64.00576294,,,,,,,,,,50.25,percent of total billed charges,999999999,,,,,,,,,,50.25,percent of total billed charges,43.76084239,,,,,,,,,,180.9,percent of total billed charges,,,,,
**ST DIAG EVAL,92506,CDM,1013-5015-01,NDC,GN,both,1,EA,801,801,170.5200396,801,801,percent of total billed charges,589.3241561,,,,801,percent of total billed charges,624.6719531,,,,801,percent of total billed charges,589.3241561,,,,801,percent of total billed charges,624.6719531,,,,801,percent of total billed charges,999999999,,,,801,percent of total billed charges,610.3069476,,,,801,percent of total billed charges,589.3241561,,,,801,percent of total billed charges,624.6719531,,,,571.113,percent of total billed charges,284.9958384,,,,571.113,percent of total billed charges,170.5200396,,,,571.113,percent of total billed charges,284.9958384,,,,571.113,percent of total billed charges,170.5200396,,,,571.113,percent of total billed charges,284.9958384,,,,571.113,percent of total billed charges,170.5200396,,,,565.506,percent of total billed charges,561.2153522,,,,565.506,percent of total billed charges,387.0657802,,,,,,,,,,576.72,percent of total billed charges,374.8544286,,,,,,,,,,576.72,percent of total billed charges,999999999,,,,,,,,,,640.8,percent of total billed charges,536.9570901,,,,632.79,percent of total billed charges,610.6695821,,,,632.79,percent of total billed charges,539.5467899,,,,640.8,percent of total billed charges,999999999,,,,640.8,percent of total billed charges,999999999,,,,560.7,percent of total billed charges,999999999,,,,560.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,426.132,percent of total billed charges,999999999,,,,,,,,,,,,,,,,404.505,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,200.25,percent of total billed charges,190.1885171,,,,,,,,,,200.25,percent of total billed charges,187.0248605,,,,,,,,,,200.25,percent of total billed charges,186.5051264,,,,,,,,,,200.25,percent of total billed charges,183.7588407,,,,,,,,,,200.25,percent of total billed charges,188.4872258,,,,,,,,,,200.25,percent of total billed charges,999999999,,,,,,,,,,200.25,percent of total billed charges,161.735313,,,,,,,,,,200.25,percent of total billed charges,255.0677418,,,,,,,,,,200.25,percent of total billed charges,999999999,,,,,,,,,,200.25,percent of total billed charges,174.3902226,,,,,,,,,,720.9,percent of total billed charges,,,,,
**ST LANG/VOICE/COMM THERAPY DISTINCT,92507,CDM,1013-5015-01,NDC,59,both,1,EA,585,585,124.5371076,585,585,percent of total billed charges,430.4052825,,,,585,percent of total billed charges,456.2210894,,,,585,percent of total billed charges,430.4052825,,,,585,percent of total billed charges,456.2210894,,,,585,percent of total billed charges,999999999,,,,585,percent of total billed charges,445.7297932,,,,585,percent of total billed charges,430.4052825,,,,585,percent of total billed charges,456.2210894,,,,417.105,percent of total billed charges,208.143028,,,,417.105,percent of total billed charges,124.5371076,,,,417.105,percent of total billed charges,208.143028,,,,417.105,percent of total billed charges,124.5371076,,,,417.105,percent of total billed charges,208.143028,,,,417.105,percent of total billed charges,124.5371076,,,,413.01,percent of total billed charges,409.8763809,,,,413.01,percent of total billed charges,282.6884912,,,,,,,,,,421.2,percent of total billed charges,273.7700883,,,,,,,,,,421.2,percent of total billed charges,999999999,,,,,,,,,,468,percent of total billed charges,392.1596725,,,,462.15,percent of total billed charges,445.9946386,,,,462.15,percent of total billed charges,394.0510263,,,,468,percent of total billed charges,999999999,,,,468,percent of total billed charges,999999999,,,,409.5,percent of total billed charges,999999999,,,,409.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,311.22,percent of total billed charges,999999999,,,,,,,,,,,,,,,,295.425,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,146.25,percent of total billed charges,138.9017259,,,,,,,,,,146.25,percent of total billed charges,136.5911902,,,,,,,,,,146.25,percent of total billed charges,136.2116092,,,,,,,,,,146.25,percent of total billed charges,134.2058949,,,,,,,,,,146.25,percent of total billed charges,137.6592099,,,,,,,,,,146.25,percent of total billed charges,999999999,,,,,,,,,,146.25,percent of total billed charges,118.121296,,,,,,,,,,146.25,percent of total billed charges,186.2854294,,,,,,,,,,146.25,percent of total billed charges,999999999,,,,,,,,,,146.25,percent of total billed charges,127.3636458,,,,,,,,,,526.5,percent of total billed charges,,,,,
**ST LANG/VOICE/COMM THERAPY,92507,CDM,1013-5015-01,NDC,GN,both,1,EA,585,585,124.5371076,585,585,percent of total billed charges,430.4052825,,,,585,percent of total billed charges,456.2210894,,,,585,percent of total billed charges,430.4052825,,,,585,percent of total billed charges,456.2210894,,,,585,percent of total billed charges,999999999,,,,585,percent of total billed charges,445.7297932,,,,585,percent of total billed charges,430.4052825,,,,585,percent of total billed charges,456.2210894,,,,417.105,percent of total billed charges,208.143028,,,,417.105,percent of total billed charges,124.5371076,,,,417.105,percent of total billed charges,208.143028,,,,417.105,percent of total billed charges,124.5371076,,,,417.105,percent of total billed charges,208.143028,,,,417.105,percent of total billed charges,124.5371076,,,,413.01,percent of total billed charges,409.8763809,,,,413.01,percent of total billed charges,282.6884912,,,,,,,,,,421.2,percent of total billed charges,273.7700883,,,,,,,,,,421.2,percent of total billed charges,999999999,,,,,,,,,,468,percent of total billed charges,392.1596725,,,,462.15,percent of total billed charges,445.9946386,,,,462.15,percent of total billed charges,394.0510263,,,,468,percent of total billed charges,999999999,,,,468,percent of total billed charges,999999999,,,,409.5,percent of total billed charges,999999999,,,,409.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,311.22,percent of total billed charges,999999999,,,,,,,,,,,,,,,,295.425,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,146.25,percent of total billed charges,138.9017259,,,,,,,,,,146.25,percent of total billed charges,136.5911902,,,,,,,,,,146.25,percent of total billed charges,136.2116092,,,,,,,,,,146.25,percent of total billed charges,134.2058949,,,,,,,,,,146.25,percent of total billed charges,137.6592099,,,,,,,,,,146.25,percent of total billed charges,999999999,,,,,,,,,,146.25,percent of total billed charges,118.121296,,,,,,,,,,146.25,percent of total billed charges,186.2854294,,,,,,,,,,146.25,percent of total billed charges,999999999,,,,,,,,,,146.25,percent of total billed charges,127.3636458,,,,,,,,,,526.5,percent of total billed charges,,,,,
**ST TREATMENT GROUP THERAPY,92508,CDM,1013-5015-01,NDC,GN,both,1,EA,443,443,94.30758747,443,443,percent of total billed charges,325.9308379,,,,443,percent of total billed charges,345.4802437,,,,443,percent of total billed charges,325.9308379,,,,443,percent of total billed charges,345.4802437,,,,443,percent of total billed charges,999999999,,,,443,percent of total billed charges,337.5355528,,,,443,percent of total billed charges,325.9308379,,,,443,percent of total billed charges,345.4802437,,,,315.859,percent of total billed charges,157.6194212,,,,315.859,percent of total billed charges,94.30758747,,,,315.859,percent of total billed charges,157.6194212,,,,315.859,percent of total billed charges,94.30758747,,,,315.859,percent of total billed charges,157.6194212,,,,315.859,percent of total billed charges,94.30758747,,,,312.758,percent of total billed charges,310.38502,,,,312.758,percent of total billed charges,214.0700882,,,,,,,,,,318.96,percent of total billed charges,207.3164942,,,,,,,,,,318.96,percent of total billed charges,999999999,,,,,,,,,,354.4,percent of total billed charges,296.9687777,,,,349.97,percent of total billed charges,337.7361109,,,,349.97,percent of total billed charges,298.4010336,,,,354.4,percent of total billed charges,999999999,,,,354.4,percent of total billed charges,999999999,,,,310.1,percent of total billed charges,999999999,,,,310.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,235.676,percent of total billed charges,999999999,,,,,,,,,,,,,,,,223.715,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,110.75,percent of total billed charges,105.1854096,,,,,,,,,,110.75,percent of total billed charges,103.4357218,,,,,,,,,,110.75,percent of total billed charges,103.1482784,,,,,,,,,,110.75,percent of total billed charges,101.6294213,,,,,,,,,,110.75,percent of total billed charges,104.2444957,,,,,,,,,,110.75,percent of total billed charges,999999999,,,,,,,,,,110.75,percent of total billed charges,89.44911819,,,,,,,,,,110.75,percent of total billed charges,141.0674278,,,,,,,,,,110.75,percent of total billed charges,999999999,,,,,,,,,,110.75,percent of total billed charges,96.44802576,,,,,,,,,,398.7,percent of total billed charges,,,,,
**ST SWALLOWING EVAL,92610,CDM,1013-5015-01,NDC,GN,both,1,EA,827,827,176.0550222,827,827,percent of total billed charges,608.4532798,,,,827,percent of total billed charges,644.948446,,,,827,percent of total billed charges,608.4532798,,,,827,percent of total billed charges,644.948446,,,,827,percent of total billed charges,999999999,,,,827,percent of total billed charges,630.1171606,,,,827,percent of total billed charges,608.4532798,,,,827,percent of total billed charges,644.948446,,,,589.651,percent of total billed charges,294.2466396,,,,589.651,percent of total billed charges,176.0550222,,,,589.651,percent of total billed charges,294.2466396,,,,589.651,percent of total billed charges,176.0550222,,,,589.651,percent of total billed charges,294.2466396,,,,589.651,percent of total billed charges,176.0550222,,,,583.862,percent of total billed charges,579.4320803,,,,583.862,percent of total billed charges,399.6297132,,,,,,,,,,595.44,percent of total billed charges,387.021988,,,,,,,,,,595.44,percent of total billed charges,999999999,,,,,,,,,,661.6,percent of total billed charges,554.3864089,,,,653.33,percent of total billed charges,630.491566,,,,653.33,percent of total billed charges,557.0601688,,,,661.6,percent of total billed charges,999999999,,,,661.6,percent of total billed charges,999999999,,,,578.9,percent of total billed charges,999999999,,,,578.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,439.964,percent of total billed charges,999999999,,,,,,,,,,,,,,,,417.635,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,206.75,percent of total billed charges,196.3619271,,,,,,,,,,206.75,percent of total billed charges,193.0955801,,,,,,,,,,206.75,percent of total billed charges,192.5589757,,,,,,,,,,206.75,percent of total billed charges,189.7235471,,,,,,,,,,206.75,percent of total billed charges,194.6054129,,,,,,,,,,206.75,percent of total billed charges,999999999,,,,,,,,,,206.75,percent of total billed charges,166.9851484,,,,,,,,,,206.75,percent of total billed charges,263.3470943,,,,,,,,,,206.75,percent of total billed charges,999999999,,,,,,,,,,206.75,percent of total billed charges,180.0508291,,,,,,,,,,744.3,percent of total billed charges,,,,,
**ST EVAL OF AUDITOR REHAB STATUS,92627,CDM,1013-5015-01,NDC,GN,both,1,EA,63,63,13.41168851,63,63,percent of total billed charges,46.35133812,,,,63,percent of total billed charges,49.13150193,,,,63,percent of total billed charges,46.35133812,,,,63,percent of total billed charges,49.13150193,,,,63,percent of total billed charges,999999999,,,,63,percent of total billed charges,48.00167004,,,,63,percent of total billed charges,46.35133812,,,,63,percent of total billed charges,49.13150193,,,,44.919,percent of total billed charges,22.41540302,,,,44.919,percent of total billed charges,13.41168851,,,,44.919,percent of total billed charges,22.41540302,,,,44.919,percent of total billed charges,13.41168851,,,,44.919,percent of total billed charges,22.41540302,,,,44.919,percent of total billed charges,13.41168851,,,,44.478,percent of total billed charges,44.14053332,,,,44.478,percent of total billed charges,30.44337597,,,,,,,,,,45.36,percent of total billed charges,29.48293258,,,,,,,,,,45.36,percent of total billed charges,999999999,,,,,,,,,,50.4,percent of total billed charges,42.23258012,,,,49.77,percent of total billed charges,48.03019185,,,,49.77,percent of total billed charges,42.43626437,,,,50.4,percent of total billed charges,999999999,,,,50.4,percent of total billed charges,999999999,,,,44.1,percent of total billed charges,999999999,,,,44.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,33.516,percent of total billed charges,999999999,,,,,,,,,,,,,,,,31.815,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15.75,percent of total billed charges,14.95864741,,,,,,,,,,15.75,percent of total billed charges,14.70982049,,,,,,,,,,15.75,percent of total billed charges,14.66894253,,,,,,,,,,15.75,percent of total billed charges,14.45294253,,,,,,,,,,15.75,percent of total billed charges,14.82483798,,,,,,,,,,15.75,percent of total billed charges,999999999,,,,,,,,,,15.75,percent of total billed charges,12.72075496,,,,,,,,,,15.75,percent of total billed charges,20.06150779,,,,,,,,,,15.75,percent of total billed charges,999999999,,,,,,,,,,15.75,percent of total billed charges,13.71608493,,,,,,,,,,56.7,percent of total billed charges,,,,,
**ST SWALLOWING THERAPY,92526,CDM,1013-5015-01,NDC,GN,both,1,EA,545,545,116.0217498,545,545,percent of total billed charges,400.9758615,,,,545,percent of total billed charges,425.026485,,,,545,percent of total billed charges,400.9758615,,,,545,percent of total billed charges,425.026485,,,,545,percent of total billed charges,999999999,,,,545,percent of total billed charges,415.2525424,,,,545,percent of total billed charges,400.9758615,,,,545,percent of total billed charges,425.026485,,,,388.585,percent of total billed charges,193.9110261,,,,388.585,percent of total billed charges,116.0217498,,,,388.585,percent of total billed charges,193.9110261,,,,388.585,percent of total billed charges,116.0217498,,,,388.585,percent of total billed charges,193.9110261,,,,388.585,percent of total billed charges,116.0217498,,,,384.77,percent of total billed charges,381.8506454,,,,384.77,percent of total billed charges,263.3593636,,,,,,,,,,392.4,percent of total billed charges,255.050766,,,,,,,,,,392.4,percent of total billed charges,999999999,,,,,,,,,,436,percent of total billed charges,365.345336,,,,430.55,percent of total billed charges,415.4992787,,,,430.55,percent of total billed charges,367.1073664,,,,436,percent of total billed charges,999999999,,,,436,percent of total billed charges,999999999,,,,381.5,percent of total billed charges,999999999,,,,381.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,289.94,percent of total billed charges,999999999,,,,,,,,,,,,,,,,275.225,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,136.25,percent of total billed charges,129.404172,,,,,,,,,,136.25,percent of total billed charges,127.2516217,,,,,,,,,,136.25,percent of total billed charges,126.8979949,,,,,,,,,,136.25,percent of total billed charges,125.0294234,,,,,,,,,,136.25,percent of total billed charges,128.2466143,,,,,,,,,,136.25,percent of total billed charges,999999999,,,,,,,,,,136.25,percent of total billed charges,110.0446262,,,,,,,,,,136.25,percent of total billed charges,173.5479642,,,,,,,,,,136.25,percent of total billed charges,999999999,,,,,,,,,,136.25,percent of total billed charges,118.6550204,,,,,,,,,,490.5,percent of total billed charges,,,,,
**ST COGNITIVE SKILLS DEV,97532,CDM,1013-5015-01,NDC,GN,both,1,EA,206,206,43.85409259,206,206,percent of total billed charges,151.5615183,,,,206,percent of total billed charges,160.6522127,,,,206,percent of total billed charges,151.5615183,,,,206,percent of total billed charges,160.6522127,,,,206,percent of total billed charges,999999999,,,,206,percent of total billed charges,156.9578417,,,,206,percent of total billed charges,151.5615183,,,,206,percent of total billed charges,160.6522127,,,,146.878,percent of total billed charges,73.29480987,,,,146.878,percent of total billed charges,43.85409259,,,,146.878,percent of total billed charges,73.29480987,,,,146.878,percent of total billed charges,43.85409259,,,,146.878,percent of total billed charges,73.29480987,,,,146.878,percent of total billed charges,43.85409259,,,,145.436,percent of total billed charges,144.3325375,,,,145.436,percent of total billed charges,99.54500715,,,,,,,,,,148.32,percent of total billed charges,96.40450972,,,,,,,,,,148.32,percent of total billed charges,999999999,,,,,,,,,,164.8,percent of total billed charges,138.0938334,,,,162.74,percent of total billed charges,157.0511035,,,,162.74,percent of total billed charges,138.7598486,,,,164.8,percent of total billed charges,999999999,,,,164.8,percent of total billed charges,999999999,,,,144.2,percent of total billed charges,999999999,,,,144.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,109.592,percent of total billed charges,999999999,,,,,,,,,,,,,,,,104.03,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,51.5,percent of total billed charges,48.91240264,,,,,,,,,,51.5,percent of total billed charges,48.0987781,,,,,,,,,,51.5,percent of total billed charges,47.96511366,,,,,,,,,,51.5,percent of total billed charges,47.25882794,,,,,,,,,,51.5,percent of total billed charges,48.47486706,,,,,,,,,,51.5,percent of total billed charges,999999999,,,,,,,,,,51.5,percent of total billed charges,41.59484954,,,,,,,,,,51.5,percent of total billed charges,65.59794609,,,,,,,,,,51.5,percent of total billed charges,999999999,,,,,,,,,,51.5,percent of total billed charges,44.84942056,,,,,,,,,,185.4,percent of total billed charges,,,,,
**ST TREATMENT GROUP THERAPY DISTINCT,92508,CDM,1013-5015-01,NDC,59,both,1,EA,443,443,94.30758747,443,443,percent of total billed charges,325.9308379,,,,443,percent of total billed charges,345.4802437,,,,443,percent of total billed charges,325.9308379,,,,443,percent of total billed charges,345.4802437,,,,443,percent of total billed charges,999999999,,,,443,percent of total billed charges,337.5355528,,,,443,percent of total billed charges,325.9308379,,,,443,percent of total billed charges,345.4802437,,,,315.859,percent of total billed charges,157.6194212,,,,315.859,percent of total billed charges,94.30758747,,,,315.859,percent of total billed charges,157.6194212,,,,315.859,percent of total billed charges,94.30758747,,,,315.859,percent of total billed charges,157.6194212,,,,315.859,percent of total billed charges,94.30758747,,,,312.758,percent of total billed charges,310.38502,,,,312.758,percent of total billed charges,214.0700882,,,,,,,,,,318.96,percent of total billed charges,207.3164942,,,,,,,,,,318.96,percent of total billed charges,999999999,,,,,,,,,,354.4,percent of total billed charges,296.9687777,,,,349.97,percent of total billed charges,337.7361109,,,,349.97,percent of total billed charges,298.4010336,,,,354.4,percent of total billed charges,999999999,,,,354.4,percent of total billed charges,999999999,,,,310.1,percent of total billed charges,999999999,,,,310.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,235.676,percent of total billed charges,999999999,,,,,,,,,,,,,,,,223.715,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,110.75,percent of total billed charges,105.1854096,,,,,,,,,,110.75,percent of total billed charges,103.4357218,,,,,,,,,,110.75,percent of total billed charges,103.1482784,,,,,,,,,,110.75,percent of total billed charges,101.6294213,,,,,,,,,,110.75,percent of total billed charges,104.2444957,,,,,,,,,,110.75,percent of total billed charges,999999999,,,,,,,,,,110.75,percent of total billed charges,89.44911819,,,,,,,,,,110.75,percent of total billed charges,141.0674278,,,,,,,,,,110.75,percent of total billed charges,999999999,,,,,,,,,,110.75,percent of total billed charges,96.44802576,,,,,,,,,,398.7,percent of total billed charges,,,,,
**ST ORAL SPEECH DEVICE EVAL,92597,CDM,1013-5015-01,NDC,GN,both,1,EA,656,656,139.6518677,656,656,percent of total billed charges,482.6425049,,,,656,percent of total billed charges,511.5915122,,,,656,percent of total billed charges,482.6425049,,,,656,percent of total billed charges,511.5915122,,,,656,percent of total billed charges,999999999,,,,656,percent of total billed charges,499.8269134,,,,656,percent of total billed charges,482.6425049,,,,656,percent of total billed charges,511.5915122,,,,467.728,percent of total billed charges,233.4048314,,,,467.728,percent of total billed charges,139.6518677,,,,467.728,percent of total billed charges,233.4048314,,,,467.728,percent of total billed charges,139.6518677,,,,467.728,percent of total billed charges,233.4048314,,,,467.728,percent of total billed charges,139.6518677,,,,463.136,percent of total billed charges,459.6220613,,,,463.136,percent of total billed charges,316.9976927,,,,,,,,,,472.32,percent of total billed charges,306.9968853,,,,,,,,,,472.32,percent of total billed charges,999999999,,,,,,,,,,524.8,percent of total billed charges,439.75512,,,,518.24,percent of total billed charges,500.1239024,,,,518.24,percent of total billed charges,441.8760227,,,,524.8,percent of total billed charges,999999999,,,,524.8,percent of total billed charges,999999999,,,,459.2,percent of total billed charges,999999999,,,,459.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,348.992,percent of total billed charges,999999999,,,,,,,,,,,,,,,,331.28,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,164,percent of total billed charges,155.7598841,,,,,,,,,,164,percent of total billed charges,153.1689244,,,,,,,,,,164,percent of total billed charges,152.7432746,,,,,,,,,,164,percent of total billed charges,150.4941317,,,,,,,,,,164,percent of total billed charges,154.366567,,,,,,,,,,164,percent of total billed charges,999999999,,,,,,,,,,164,percent of total billed charges,132.4573849,,,,,,,,,,164,percent of total billed charges,208.8944303,,,,,,,,,,164,percent of total billed charges,999999999,,,,,,,,,,164,percent of total billed charges,142.8214558,,,,,,,,,,590.4,percent of total billed charges,,,,,
**ST EVAL SPEECH FLUENCY,92521,CDM,1013-5015-01,NDC,GN,both,1,EA,755,755,160.7273782,755,755,percent of total billed charges,555.4803219,,,,755,percent of total billed charges,588.7981581,,,,755,percent of total billed charges,555.4803219,,,,755,percent of total billed charges,588.7981581,,,,755,percent of total billed charges,999999999,,,,755,percent of total billed charges,575.2581092,,,,755,percent of total billed charges,555.4803219,,,,755,percent of total billed charges,588.7981581,,,,538.315,percent of total billed charges,268.6290362,,,,538.315,percent of total billed charges,160.7273782,,,,538.315,percent of total billed charges,268.6290362,,,,538.315,percent of total billed charges,160.7273782,,,,538.315,percent of total billed charges,268.6290362,,,,538.315,percent of total billed charges,160.7273782,,,,533.03,percent of total billed charges,528.9857565,,,,533.03,percent of total billed charges,364.8372835,,,,,,,,,,543.6,percent of total billed charges,353.3272079,,,,,,,,,,543.6,percent of total billed charges,999999999,,,,,,,,,,604,percent of total billed charges,506.120603,,,,596.45,percent of total billed charges,575.5999182,,,,596.45,percent of total billed charges,508.5615809,,,,604,percent of total billed charges,999999999,,,,604,percent of total billed charges,999999999,,,,528.5,percent of total billed charges,999999999,,,,528.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,401.66,percent of total billed charges,999999999,,,,,,,,,,,,,,,,381.275,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,188.75,percent of total billed charges,179.2663301,,,,,,,,,,188.75,percent of total billed charges,176.2843566,,,,,,,,,,188.75,percent of total billed charges,175.79447,,,,,,,,,,188.75,percent of total billed charges,173.2058985,,,,,,,,,,188.75,percent of total billed charges,177.6627409,,,,,,,,,,188.75,percent of total billed charges,999999999,,,,,,,,,,188.75,percent of total billed charges,152.4471427,,,,,,,,,,188.75,percent of total billed charges,240.4196568,,,,,,,,,,188.75,percent of total billed charges,999999999,,,,,,,,,,188.75,percent of total billed charges,164.3753035,,,,,,,,,,679.5,percent of total billed charges,,,,,
**ST EVAL SPEECH SOUND PRODUCTION,92522,CDM,1013-5015-01,NDC,GN,both,1,EA,755,755,160.7273782,755,755,percent of total billed charges,555.4803219,,,,755,percent of total billed charges,588.7981581,,,,755,percent of total billed charges,555.4803219,,,,755,percent of total billed charges,588.7981581,,,,755,percent of total billed charges,999999999,,,,755,percent of total billed charges,575.2581092,,,,755,percent of total billed charges,555.4803219,,,,755,percent of total billed charges,588.7981581,,,,538.315,percent of total billed charges,268.6290362,,,,538.315,percent of total billed charges,160.7273782,,,,538.315,percent of total billed charges,268.6290362,,,,538.315,percent of total billed charges,160.7273782,,,,538.315,percent of total billed charges,268.6290362,,,,538.315,percent of total billed charges,160.7273782,,,,533.03,percent of total billed charges,528.9857565,,,,533.03,percent of total billed charges,364.8372835,,,,,,,,,,543.6,percent of total billed charges,353.3272079,,,,,,,,,,543.6,percent of total billed charges,999999999,,,,,,,,,,604,percent of total billed charges,506.120603,,,,596.45,percent of total billed charges,575.5999182,,,,596.45,percent of total billed charges,508.5615809,,,,604,percent of total billed charges,999999999,,,,604,percent of total billed charges,999999999,,,,528.5,percent of total billed charges,999999999,,,,528.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,401.66,percent of total billed charges,999999999,,,,,,,,,,,,,,,,381.275,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,188.75,percent of total billed charges,179.2663301,,,,,,,,,,188.75,percent of total billed charges,176.2843566,,,,,,,,,,188.75,percent of total billed charges,175.79447,,,,,,,,,,188.75,percent of total billed charges,173.2058985,,,,,,,,,,188.75,percent of total billed charges,177.6627409,,,,,,,,,,188.75,percent of total billed charges,999999999,,,,,,,,,,188.75,percent of total billed charges,152.4471427,,,,,,,,,,188.75,percent of total billed charges,240.4196568,,,,,,,,,,188.75,percent of total billed charges,999999999,,,,,,,,,,188.75,percent of total billed charges,164.3753035,,,,,,,,,,679.5,percent of total billed charges,,,,,
**ST EVAL SPEECH SOUND PROD W/EVAL LANG,92523,CDM,1013-5015-01,NDC,GN,both,1,EA,755,755,160.7273782,755,755,percent of total billed charges,555.4803219,,,,755,percent of total billed charges,588.7981581,,,,755,percent of total billed charges,555.4803219,,,,755,percent of total billed charges,588.7981581,,,,755,percent of total billed charges,999999999,,,,755,percent of total billed charges,575.2581092,,,,755,percent of total billed charges,555.4803219,,,,755,percent of total billed charges,588.7981581,,,,538.315,percent of total billed charges,268.6290362,,,,538.315,percent of total billed charges,160.7273782,,,,538.315,percent of total billed charges,268.6290362,,,,538.315,percent of total billed charges,160.7273782,,,,538.315,percent of total billed charges,268.6290362,,,,538.315,percent of total billed charges,160.7273782,,,,533.03,percent of total billed charges,528.9857565,,,,533.03,percent of total billed charges,364.8372835,,,,,,,,,,543.6,percent of total billed charges,353.3272079,,,,,,,,,,543.6,percent of total billed charges,999999999,,,,,,,,,,604,percent of total billed charges,506.120603,,,,596.45,percent of total billed charges,575.5999182,,,,596.45,percent of total billed charges,508.5615809,,,,604,percent of total billed charges,999999999,,,,604,percent of total billed charges,999999999,,,,528.5,percent of total billed charges,999999999,,,,528.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,401.66,percent of total billed charges,999999999,,,,,,,,,,,,,,,,381.275,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,188.75,percent of total billed charges,179.2663301,,,,,,,,,,188.75,percent of total billed charges,176.2843566,,,,,,,,,,188.75,percent of total billed charges,175.79447,,,,,,,,,,188.75,percent of total billed charges,173.2058985,,,,,,,,,,188.75,percent of total billed charges,177.6627409,,,,,,,,,,188.75,percent of total billed charges,999999999,,,,,,,,,,188.75,percent of total billed charges,152.4471427,,,,,,,,,,188.75,percent of total billed charges,240.4196568,,,,,,,,,,188.75,percent of total billed charges,999999999,,,,,,,,,,188.75,percent of total billed charges,164.3753035,,,,,,,,,,679.5,percent of total billed charges,,,,,
**ST BEHAVIORAL & QUALITATIVE ANALYSIS,92524,CDM,1013-5015-01,NDC,GN,both,1,EA,801,801,170.5200396,801,801,percent of total billed charges,589.3241561,,,,801,percent of total billed charges,624.6719531,,,,801,percent of total billed charges,589.3241561,,,,801,percent of total billed charges,624.6719531,,,,801,percent of total billed charges,999999999,,,,801,percent of total billed charges,610.3069476,,,,801,percent of total billed charges,589.3241561,,,,801,percent of total billed charges,624.6719531,,,,571.113,percent of total billed charges,284.9958384,,,,571.113,percent of total billed charges,170.5200396,,,,571.113,percent of total billed charges,284.9958384,,,,571.113,percent of total billed charges,170.5200396,,,,571.113,percent of total billed charges,284.9958384,,,,571.113,percent of total billed charges,170.5200396,,,,565.506,percent of total billed charges,561.2153522,,,,565.506,percent of total billed charges,387.0657802,,,,,,,,,,576.72,percent of total billed charges,374.8544286,,,,,,,,,,576.72,percent of total billed charges,999999999,,,,,,,,,,640.8,percent of total billed charges,536.9570901,,,,632.79,percent of total billed charges,610.6695821,,,,632.79,percent of total billed charges,539.5467899,,,,640.8,percent of total billed charges,999999999,,,,640.8,percent of total billed charges,999999999,,,,560.7,percent of total billed charges,999999999,,,,560.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,426.132,percent of total billed charges,999999999,,,,,,,,,,,,,,,,404.505,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,200.25,percent of total billed charges,190.1885171,,,,,,,,,,200.25,percent of total billed charges,187.0248605,,,,,,,,,,200.25,percent of total billed charges,186.5051264,,,,,,,,,,200.25,percent of total billed charges,183.7588407,,,,,,,,,,200.25,percent of total billed charges,188.4872258,,,,,,,,,,200.25,percent of total billed charges,999999999,,,,,,,,,,200.25,percent of total billed charges,161.735313,,,,,,,,,,200.25,percent of total billed charges,255.0677418,,,,,,,,,,200.25,percent of total billed charges,999999999,,,,,,,,,,200.25,percent of total billed charges,174.3902226,,,,,,,,,,720.9,percent of total billed charges,,,,,
**PT EVALUATION,97001,CDM,1013-5015-01,NDC,GP,both,1,EA,515,515,109.6352315,515,515,percent of total billed charges,378.9037957,,,,515,percent of total billed charges,401.6305317,,,,515,percent of total billed charges,378.9037957,,,,515,percent of total billed charges,401.6305317,,,,515,percent of total billed charges,999999999,,,,515,percent of total billed charges,392.3946043,,,,515,percent of total billed charges,378.9037957,,,,515,percent of total billed charges,401.6305317,,,,367.195,percent of total billed charges,183.2370247,,,,367.195,percent of total billed charges,109.6352315,,,,367.195,percent of total billed charges,183.2370247,,,,367.195,percent of total billed charges,109.6352315,,,,367.195,percent of total billed charges,183.2370247,,,,367.195,percent of total billed charges,109.6352315,,,,363.59,percent of total billed charges,360.8313438,,,,363.59,percent of total billed charges,248.8625179,,,,,,,,,,370.8,percent of total billed charges,241.0112743,,,,,,,,,,370.8,percent of total billed charges,999999999,,,,,,,,,,412,percent of total billed charges,345.2345835,,,,406.85,percent of total billed charges,392.6277588,,,,406.85,percent of total billed charges,346.8996214,,,,412,percent of total billed charges,999999999,,,,412,percent of total billed charges,999999999,,,,360.5,percent of total billed charges,999999999,,,,360.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,273.98,percent of total billed charges,999999999,,,,,,,,,,,,,,,,260.075,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,128.75,percent of total billed charges,122.2810066,,,,,,,,,,128.75,percent of total billed charges,120.2469453,,,,,,,,,,128.75,percent of total billed charges,119.9127841,,,,,,,,,,128.75,percent of total billed charges,118.1470699,,,,,,,,,,128.75,percent of total billed charges,121.1871677,,,,,,,,,,128.75,percent of total billed charges,999999999,,,,,,,,,,128.75,percent of total billed charges,103.9871239,,,,,,,,,,128.75,percent of total billed charges,163.9948652,,,,,,,,,,128.75,percent of total billed charges,999999999,,,,,,,,,,128.75,percent of total billed charges,112.1235514,,,,,,,,,,463.5,percent of total billed charges,,,,,
**PT RE-EVALUATION,97164,CDM,1013-5015-01,NDC,GP,both,1,EA,359,359,76.42533612,359,359,percent of total billed charges,264.1290537,,,,359,percent of total billed charges,279.9715745,,,,359,percent of total billed charges,264.1290537,,,,359,percent of total billed charges,279.9715745,,,,359,percent of total billed charges,999999999,,,,359,percent of total billed charges,273.5333261,,,,359,percent of total billed charges,264.1290537,,,,359,percent of total billed charges,279.9715745,,,,255.967,percent of total billed charges,127.7322172,,,,255.967,percent of total billed charges,76.42533612,,,,255.967,percent of total billed charges,127.7322172,,,,255.967,percent of total billed charges,76.42533612,,,,255.967,percent of total billed charges,127.7322172,,,,255.967,percent of total billed charges,76.42533612,,,,253.454,percent of total billed charges,251.5309756,,,,253.454,percent of total billed charges,173.4789202,,,,,,,,,,258.48,percent of total billed charges,168.0059174,,,,,,,,,,258.48,percent of total billed charges,999999999,,,,,,,,,,287.2,percent of total billed charges,240.6586708,,,,283.61,percent of total billed charges,273.6958551,,,,283.61,percent of total billed charges,241.8193478,,,,287.2,percent of total billed charges,999999999,,,,287.2,percent of total billed charges,999999999,,,,251.3,percent of total billed charges,999999999,,,,251.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,190.988,percent of total billed charges,999999999,,,,,,,,,,,,,,,,181.295,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,89.75,percent of total billed charges,85.24054635,,,,,,,,,,89.75,percent of total billed charges,83.82262786,,,,,,,,,,89.75,percent of total billed charges,83.58968837,,,,,,,,,,89.75,percent of total billed charges,82.35883122,,,,,,,,,,89.75,percent of total billed charges,84.47804502,,,,,,,,,,89.75,percent of total billed charges,999999999,,,,,,,,,,89.75,percent of total billed charges,72.48811158,,,,,,,,,,89.75,percent of total billed charges,114.3187507,,,,,,,,,,89.75,percent of total billed charges,999999999,,,,,,,,,,89.75,percent of total billed charges,78.15991252,,,,,,,,,,323.1,percent of total billed charges,,,,,
**OT NEUROMUSCULAR REEDUCATION PER MIN,97112,CDM,1013-5015-01,NDC,GO,both,1,EA,199,199,42.36390498,199,199,percent of total billed charges,146.4113696,,,,199,percent of total billed charges,155.1931569,,,,199,percent of total billed charges,146.4113696,,,,199,percent of total billed charges,155.1931569,,,,199,percent of total billed charges,999999999,,,,199,percent of total billed charges,151.6243228,,,,199,percent of total billed charges,146.4113696,,,,199,percent of total billed charges,155.1931569,,,,141.887,percent of total billed charges,70.80420954,,,,141.887,percent of total billed charges,42.36390498,,,,141.887,percent of total billed charges,70.80420954,,,,141.887,percent of total billed charges,42.36390498,,,,141.887,percent of total billed charges,70.80420954,,,,141.887,percent of total billed charges,42.36390498,,,,140.494,percent of total billed charges,139.4280338,,,,140.494,percent of total billed charges,96.16240982,,,,,,,,,,143.28,percent of total billed charges,93.12862832,,,,,,,,,,143.28,percent of total billed charges,999999999,,,,,,,,,,159.2,percent of total billed charges,133.4013245,,,,157.21,percent of total billed charges,151.7144155,,,,157.21,percent of total billed charges,134.0447081,,,,159.2,percent of total billed charges,999999999,,,,159.2,percent of total billed charges,999999999,,,,139.3,percent of total billed charges,999999999,,,,139.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,105.868,percent of total billed charges,999999999,,,,,,,,,,,,,,,,100.495,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,49.75,percent of total billed charges,47.25033071,,,,,,,,,,49.75,percent of total billed charges,46.4643536,,,,,,,,,,49.75,percent of total billed charges,46.33523116,,,,,,,,,,49.75,percent of total billed charges,45.65294544,,,,,,,,,,49.75,percent of total billed charges,46.82766284,,,,,,,,,,49.75,percent of total billed charges,999999999,,,,,,,,,,49.75,percent of total billed charges,40.18143232,,,,,,,,,,49.75,percent of total billed charges,63.36888967,,,,,,,,,,49.75,percent of total billed charges,999999999,,,,,,,,,,49.75,percent of total billed charges,43.32541112,,,,,,,,,,179.1,percent of total billed charges,,,,,
**OT SELF-CARE/HOME ADL 15 MIN,97535,CDM,1013-5015-01,NDC,,both,1,EA,199,199,42.36390498,199,199,percent of total billed charges,146.4113696,,,,199,percent of total billed charges,155.1931569,,,,199,percent of total billed charges,146.4113696,,,,199,percent of total billed charges,155.1931569,,,,199,percent of total billed charges,999999999,,,,199,percent of total billed charges,151.6243228,,,,199,percent of total billed charges,146.4113696,,,,199,percent of total billed charges,155.1931569,,,,141.887,percent of total billed charges,70.80420954,,,,141.887,percent of total billed charges,42.36390498,,,,141.887,percent of total billed charges,70.80420954,,,,141.887,percent of total billed charges,42.36390498,,,,141.887,percent of total billed charges,70.80420954,,,,141.887,percent of total billed charges,42.36390498,,,,140.494,percent of total billed charges,139.4280338,,,,140.494,percent of total billed charges,96.16240982,,,,,,,,,,143.28,percent of total billed charges,93.12862832,,,,,,,,,,143.28,percent of total billed charges,999999999,,,,,,,,,,159.2,percent of total billed charges,133.4013245,,,,157.21,percent of total billed charges,151.7144155,,,,157.21,percent of total billed charges,134.0447081,,,,159.2,percent of total billed charges,999999999,,,,159.2,percent of total billed charges,999999999,,,,139.3,percent of total billed charges,999999999,,,,139.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,105.868,percent of total billed charges,999999999,,,,,,,,,,,,,,,,100.495,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,49.75,percent of total billed charges,47.25033071,,,,,,,,,,49.75,percent of total billed charges,46.4643536,,,,,,,,,,49.75,percent of total billed charges,46.33523116,,,,,,,,,,49.75,percent of total billed charges,45.65294544,,,,,,,,,,49.75,percent of total billed charges,46.82766284,,,,,,,,,,49.75,percent of total billed charges,999999999,,,,,,,,,,49.75,percent of total billed charges,40.18143232,,,,,,,,,,49.75,percent of total billed charges,63.36888967,,,,,,,,,,49.75,percent of total billed charges,999999999,,,,,,,,,,49.75,percent of total billed charges,43.32541112,,,,,,,,,,179.1,percent of total billed charges,,,,,
**OT SELF-CARE/HOME ADL 15 MIN DISTINCT,97535,CDM,1013-5015-01,NDC,59,both,1,EA,199,199,42.36390498,199,199,percent of total billed charges,146.4113696,,,,199,percent of total billed charges,155.1931569,,,,199,percent of total billed charges,146.4113696,,,,199,percent of total billed charges,155.1931569,,,,199,percent of total billed charges,999999999,,,,199,percent of total billed charges,151.6243228,,,,199,percent of total billed charges,146.4113696,,,,199,percent of total billed charges,155.1931569,,,,141.887,percent of total billed charges,70.80420954,,,,141.887,percent of total billed charges,42.36390498,,,,141.887,percent of total billed charges,70.80420954,,,,141.887,percent of total billed charges,42.36390498,,,,141.887,percent of total billed charges,70.80420954,,,,141.887,percent of total billed charges,42.36390498,,,,140.494,percent of total billed charges,139.4280338,,,,140.494,percent of total billed charges,96.16240982,,,,,,,,,,143.28,percent of total billed charges,93.12862832,,,,,,,,,,143.28,percent of total billed charges,999999999,,,,,,,,,,159.2,percent of total billed charges,133.4013245,,,,157.21,percent of total billed charges,151.7144155,,,,157.21,percent of total billed charges,134.0447081,,,,159.2,percent of total billed charges,999999999,,,,159.2,percent of total billed charges,999999999,,,,139.3,percent of total billed charges,999999999,,,,139.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,105.868,percent of total billed charges,999999999,,,,,,,,,,,,,,,,100.495,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,49.75,percent of total billed charges,47.25033071,,,,,,,,,,49.75,percent of total billed charges,46.4643536,,,,,,,,,,49.75,percent of total billed charges,46.33523116,,,,,,,,,,49.75,percent of total billed charges,45.65294544,,,,,,,,,,49.75,percent of total billed charges,46.82766284,,,,,,,,,,49.75,percent of total billed charges,999999999,,,,,,,,,,49.75,percent of total billed charges,40.18143232,,,,,,,,,,49.75,percent of total billed charges,63.36888967,,,,,,,,,,49.75,percent of total billed charges,999999999,,,,,,,,,,49.75,percent of total billed charges,43.32541112,,,,,,,,,,179.1,percent of total billed charges,,,,,
**PT ORTHOTIC RECHECK 15 MIN,97762,CDM,1013-5015-01,NDC,GP,both,1,EA,102,102,21.71416235,102,102,percent of total billed charges,75.04502362,,,,102,percent of total billed charges,79.54624122,,,,102,percent of total billed charges,75.04502362,,,,102,percent of total billed charges,79.54624122,,,,102,percent of total billed charges,999999999,,,,102,percent of total billed charges,77.71698958,,,,102,percent of total billed charges,75.04502362,,,,102,percent of total billed charges,79.54624122,,,,72.726,percent of total billed charges,36.29160489,,,,72.726,percent of total billed charges,21.71416235,,,,72.726,percent of total billed charges,36.29160489,,,,72.726,percent of total billed charges,21.71416235,,,,72.726,percent of total billed charges,36.29160489,,,,72.726,percent of total billed charges,21.71416235,,,,72.012,percent of total billed charges,71.46562538,,,,72.012,percent of total billed charges,49.28927538,,,,,,,,,,73.44,percent of total billed charges,47.7342718,,,,,,,,,,73.44,percent of total billed charges,999999999,,,,,,,,,,81.6,percent of total billed charges,68.37655829,,,,80.58,percent of total billed charges,77.76316775,,,,80.58,percent of total billed charges,68.70633279,,,,81.6,percent of total billed charges,999999999,,,,81.6,percent of total billed charges,999999999,,,,71.4,percent of total billed charges,999999999,,,,71.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,54.264,percent of total billed charges,999999999,,,,,,,,,,,,,,,,51.51,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,25.5,percent of total billed charges,24.21876247,,,,,,,,,,25.5,percent of total billed charges,23.81589984,,,,,,,,,,25.5,percent of total billed charges,23.74971647,,,,,,,,,,25.5,percent of total billed charges,23.40000219,,,,,,,,,,25.5,percent of total billed charges,24.00211864,,,,,,,,,,25.5,percent of total billed charges,999999999,,,,,,,,,,25.5,percent of total billed charges,20.59550803,,,,,,,,,,25.5,percent of total billed charges,32.48053641,,,,,,,,,,25.5,percent of total billed charges,999999999,,,,,,,,,,25.5,percent of total billed charges,22.20699464,,,,,,,,,,91.8,percent of total billed charges,,,,,
**PT GAIT TRAINING 15 MIN,97116,CDM,1013-5015-01,NDC,,both,1,EA,249,249,53.00810221,249,249,percent of total billed charges,183.1981459,,,,249,percent of total billed charges,194.1864124,,,,249,percent of total billed charges,183.1981459,,,,249,percent of total billed charges,194.1864124,,,,249,percent of total billed charges,999999999,,,,249,percent of total billed charges,189.7208863,,,,249,percent of total billed charges,183.1981459,,,,249,percent of total billed charges,194.1864124,,,,177.537,percent of total billed charges,88.59421193,,,,177.537,percent of total billed charges,53.00810221,,,,177.537,percent of total billed charges,88.59421193,,,,177.537,percent of total billed charges,53.00810221,,,,177.537,percent of total billed charges,88.59421193,,,,177.537,percent of total billed charges,53.00810221,,,,175.794,percent of total billed charges,174.4602031,,,,175.794,percent of total billed charges,120.3238193,,,,,,,,,,179.28,percent of total billed charges,116.5277812,,,,,,,,,,179.28,percent of total billed charges,999999999,,,,,,,,,,199.2,percent of total billed charges,166.9192452,,,,196.71,percent of total billed charges,189.8336154,,,,196.71,percent of total billed charges,167.724283,,,,199.2,percent of total billed charges,999999999,,,,199.2,percent of total billed charges,999999999,,,,174.3,percent of total billed charges,999999999,,,,174.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,132.468,percent of total billed charges,999999999,,,,,,,,,,,,,,,,125.745,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,62.25,percent of total billed charges,59.12227309,,,,,,,,,,62.25,percent of total billed charges,58.13881431,,,,,,,,,,62.25,percent of total billed charges,57.97724903,,,,,,,,,,62.25,percent of total billed charges,57.12353475,,,,,,,,,,62.25,percent of total billed charges,58.59340727,,,,,,,,,,62.25,percent of total billed charges,999999999,,,,,,,,,,62.25,percent of total billed charges,50.27726959,,,,,,,,,,62.25,percent of total billed charges,79.29072125,,,,,,,,,,62.25,percent of total billed charges,999999999,,,,,,,,,,62.25,percent of total billed charges,54.21119281,,,,,,,,,,224.1,percent of total billed charges,,,,,
**PT GAIT TRAINING 15 MIN DISTINCT,97116,CDM,1013-5015-01,NDC,59,both,1,EA,249,249,53.00810221,249,249,percent of total billed charges,183.1981459,,,,249,percent of total billed charges,194.1864124,,,,249,percent of total billed charges,183.1981459,,,,249,percent of total billed charges,194.1864124,,,,249,percent of total billed charges,999999999,,,,249,percent of total billed charges,189.7208863,,,,249,percent of total billed charges,183.1981459,,,,249,percent of total billed charges,194.1864124,,,,177.537,percent of total billed charges,88.59421193,,,,177.537,percent of total billed charges,53.00810221,,,,177.537,percent of total billed charges,88.59421193,,,,177.537,percent of total billed charges,53.00810221,,,,177.537,percent of total billed charges,88.59421193,,,,177.537,percent of total billed charges,53.00810221,,,,175.794,percent of total billed charges,174.4602031,,,,175.794,percent of total billed charges,120.3238193,,,,,,,,,,179.28,percent of total billed charges,116.5277812,,,,,,,,,,179.28,percent of total billed charges,999999999,,,,,,,,,,199.2,percent of total billed charges,166.9192452,,,,196.71,percent of total billed charges,189.8336154,,,,196.71,percent of total billed charges,167.724283,,,,199.2,percent of total billed charges,999999999,,,,199.2,percent of total billed charges,999999999,,,,174.3,percent of total billed charges,999999999,,,,174.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,132.468,percent of total billed charges,999999999,,,,,,,,,,,,,,,,125.745,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,62.25,percent of total billed charges,59.12227309,,,,,,,,,,62.25,percent of total billed charges,58.13881431,,,,,,,,,,62.25,percent of total billed charges,57.97724903,,,,,,,,,,62.25,percent of total billed charges,57.12353475,,,,,,,,,,62.25,percent of total billed charges,58.59340727,,,,,,,,,,62.25,percent of total billed charges,999999999,,,,,,,,,,62.25,percent of total billed charges,50.27726959,,,,,,,,,,62.25,percent of total billed charges,79.29072125,,,,,,,,,,62.25,percent of total billed charges,999999999,,,,,,,,,,62.25,percent of total billed charges,54.21119281,,,,,,,,,,224.1,percent of total billed charges,,,,,
**PT ELECTRICAL STIMULATION UNATTENDED,97014,CDM,1013-5015-01,NDC,GP,both,1,EA,249,249,53.00810221,249,249,percent of total billed charges,183.1981459,,,,249,percent of total billed charges,194.1864124,,,,249,percent of total billed charges,183.1981459,,,,249,percent of total billed charges,194.1864124,,,,249,percent of total billed charges,999999999,,,,249,percent of total billed charges,189.7208863,,,,249,percent of total billed charges,183.1981459,,,,249,percent of total billed charges,194.1864124,,,,177.537,percent of total billed charges,88.59421193,,,,177.537,percent of total billed charges,53.00810221,,,,177.537,percent of total billed charges,88.59421193,,,,177.537,percent of total billed charges,53.00810221,,,,177.537,percent of total billed charges,88.59421193,,,,177.537,percent of total billed charges,53.00810221,,,,175.794,percent of total billed charges,174.4602031,,,,175.794,percent of total billed charges,120.3238193,,,,,,,,,,179.28,percent of total billed charges,116.5277812,,,,,,,,,,179.28,percent of total billed charges,999999999,,,,,,,,,,199.2,percent of total billed charges,166.9192452,,,,196.71,percent of total billed charges,189.8336154,,,,196.71,percent of total billed charges,167.724283,,,,199.2,percent of total billed charges,999999999,,,,199.2,percent of total billed charges,999999999,,,,174.3,percent of total billed charges,999999999,,,,174.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,132.468,percent of total billed charges,999999999,,,,,,,,,,,,,,,,125.745,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,62.25,percent of total billed charges,59.12227309,,,,,,,,,,62.25,percent of total billed charges,58.13881431,,,,,,,,,,62.25,percent of total billed charges,57.97724903,,,,,,,,,,62.25,percent of total billed charges,57.12353475,,,,,,,,,,62.25,percent of total billed charges,58.59340727,,,,,,,,,,62.25,percent of total billed charges,999999999,,,,,,,,,,62.25,percent of total billed charges,50.27726959,,,,,,,,,,62.25,percent of total billed charges,79.29072125,,,,,,,,,,62.25,percent of total billed charges,999999999,,,,,,,,,,62.25,percent of total billed charges,54.21119281,,,,,,,,,,224.1,percent of total billed charges,,,,,
**PT THERAPEUTIC ACTIVITY 15 MIN,97530,CDM,1013-5015-01,NDC,GP,both,1,EA,199,199,42.36390498,199,199,percent of total billed charges,146.4113696,,,,199,percent of total billed charges,155.1931569,,,,199,percent of total billed charges,146.4113696,,,,199,percent of total billed charges,155.1931569,,,,199,percent of total billed charges,999999999,,,,199,percent of total billed charges,151.6243228,,,,199,percent of total billed charges,146.4113696,,,,199,percent of total billed charges,155.1931569,,,,141.887,percent of total billed charges,70.80420954,,,,141.887,percent of total billed charges,42.36390498,,,,141.887,percent of total billed charges,70.80420954,,,,141.887,percent of total billed charges,42.36390498,,,,141.887,percent of total billed charges,70.80420954,,,,141.887,percent of total billed charges,42.36390498,,,,140.494,percent of total billed charges,139.4280338,,,,140.494,percent of total billed charges,96.16240982,,,,,,,,,,143.28,percent of total billed charges,93.12862832,,,,,,,,,,143.28,percent of total billed charges,999999999,,,,,,,,,,159.2,percent of total billed charges,133.4013245,,,,157.21,percent of total billed charges,151.7144155,,,,157.21,percent of total billed charges,134.0447081,,,,159.2,percent of total billed charges,999999999,,,,159.2,percent of total billed charges,999999999,,,,139.3,percent of total billed charges,999999999,,,,139.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,105.868,percent of total billed charges,999999999,,,,,,,,,,,,,,,,100.495,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,49.75,percent of total billed charges,47.25033071,,,,,,,,,,49.75,percent of total billed charges,46.4643536,,,,,,,,,,49.75,percent of total billed charges,46.33523116,,,,,,,,,,49.75,percent of total billed charges,45.65294544,,,,,,,,,,49.75,percent of total billed charges,46.82766284,,,,,,,,,,49.75,percent of total billed charges,999999999,,,,,,,,,,49.75,percent of total billed charges,40.18143232,,,,,,,,,,49.75,percent of total billed charges,63.36888967,,,,,,,,,,49.75,percent of total billed charges,999999999,,,,,,,,,,49.75,percent of total billed charges,43.32541112,,,,,,,,,,179.1,percent of total billed charges,,,,,
**PT WHEELCHAIR MNGT 15 MIN,97542,CDM,1013-5015-01,NDC,GP,both,1,EA,178,178,37.89334214,178,178,percent of total billed charges,130.9609236,,,,178,percent of total billed charges,138.8159896,,,,178,percent of total billed charges,130.9609236,,,,178,percent of total billed charges,138.8159896,,,,178,percent of total billed charges,999999999,,,,178,percent of total billed charges,135.6237661,,,,178,percent of total billed charges,130.9609236,,,,178,percent of total billed charges,138.8159896,,,,126.914,percent of total billed charges,63.33240853,,,,126.914,percent of total billed charges,37.89334214,,,,126.914,percent of total billed charges,63.33240853,,,,126.914,percent of total billed charges,37.89334214,,,,126.914,percent of total billed charges,63.33240853,,,,126.914,percent of total billed charges,37.89334214,,,,125.668,percent of total billed charges,124.7145227,,,,125.668,percent of total billed charges,86.01461783,,,,,,,,,,128.16,percent of total billed charges,83.30098412,,,,,,,,,,128.16,percent of total billed charges,999999999,,,,,,,,,,142.4,percent of total billed charges,119.3237978,,,,140.62,percent of total billed charges,135.7043516,,,,140.62,percent of total billed charges,119.8992866,,,,142.4,percent of total billed charges,999999999,,,,142.4,percent of total billed charges,999999999,,,,124.6,percent of total billed charges,999999999,,,,124.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,94.696,percent of total billed charges,999999999,,,,,,,,,,,,,,,,89.89,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,44.5,percent of total billed charges,42.2641149,,,,,,,,,,44.5,percent of total billed charges,41.56108011,,,,,,,,,,44.5,percent of total billed charges,41.44558365,,,,,,,,,,44.5,percent of total billed charges,40.83529793,,,,,,,,,,44.5,percent of total billed charges,41.88605018,,,,,,,,,,44.5,percent of total billed charges,999999999,,,,,,,,,,44.5,percent of total billed charges,35.94118067,,,,,,,,,,44.5,percent of total billed charges,56.68172041,,,,,,,,,,44.5,percent of total billed charges,999999999,,,,,,,,,,44.5,percent of total billed charges,38.75338281,,,,,,,,,,160.2,percent of total billed charges,,,,,
**PT WOUND DEBRIDEMENT <20CM,97597,CDM,1013-5015-01,NDC,GP,both,1,EA,578,578,123.04692,578,578,percent of total billed charges,425.2551339,,,,578,percent of total billed charges,450.7620336,,,,578,percent of total billed charges,425.2551339,,,,578,percent of total billed charges,450.7620336,,,,578,percent of total billed charges,999999999,,,,578,percent of total billed charges,440.3962743,,,,578,percent of total billed charges,425.2551339,,,,578,percent of total billed charges,450.7620336,,,,412.114,percent of total billed charges,205.6524277,,,,412.114,percent of total billed charges,123.04692,,,,412.114,percent of total billed charges,205.6524277,,,,412.114,percent of total billed charges,123.04692,,,,412.114,percent of total billed charges,205.6524277,,,,412.114,percent of total billed charges,123.04692,,,,408.068,percent of total billed charges,404.9718771,,,,408.068,percent of total billed charges,279.3058938,,,,,,,,,,416.16,percent of total billed charges,270.4942069,,,,,,,,,,416.16,percent of total billed charges,999999999,,,,,,,,,,462.4,percent of total billed charges,387.4671636,,,,456.62,percent of total billed charges,440.6579506,,,,456.62,percent of total billed charges,389.3358858,,,,462.4,percent of total billed charges,999999999,,,,462.4,percent of total billed charges,999999999,,,,404.6,percent of total billed charges,999999999,,,,404.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,307.496,percent of total billed charges,999999999,,,,,,,,,,,,,,,,291.89,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,144.5,percent of total billed charges,137.239654,,,,,,,,,,144.5,percent of total billed charges,134.9567657,,,,,,,,,,144.5,percent of total billed charges,134.5817267,,,,,,,,,,144.5,percent of total billed charges,132.6000124,,,,,,,,,,144.5,percent of total billed charges,136.0120056,,,,,,,,,,144.5,percent of total billed charges,999999999,,,,,,,,,,144.5,percent of total billed charges,116.7078788,,,,,,,,,,144.5,percent of total billed charges,184.056373,,,,,,,,,,144.5,percent of total billed charges,999999999,,,,,,,,,,144.5,percent of total billed charges,125.8396363,,,,,,,,,,520.2,percent of total billed charges,,,,,
**PT WOUND DEBRIDEMENT >20CM,97598,CDM,1013-5015-01,NDC,GP,both,1,EA,578,578,123.04692,578,578,percent of total billed charges,425.2551339,,,,578,percent of total billed charges,450.7620336,,,,578,percent of total billed charges,425.2551339,,,,578,percent of total billed charges,450.7620336,,,,578,percent of total billed charges,999999999,,,,578,percent of total billed charges,440.3962743,,,,578,percent of total billed charges,425.2551339,,,,578,percent of total billed charges,450.7620336,,,,412.114,percent of total billed charges,205.6524277,,,,412.114,percent of total billed charges,123.04692,,,,412.114,percent of total billed charges,205.6524277,,,,412.114,percent of total billed charges,123.04692,,,,412.114,percent of total billed charges,205.6524277,,,,412.114,percent of total billed charges,123.04692,,,,408.068,percent of total billed charges,404.9718771,,,,408.068,percent of total billed charges,279.3058938,,,,,,,,,,416.16,percent of total billed charges,270.4942069,,,,,,,,,,416.16,percent of total billed charges,999999999,,,,,,,,,,462.4,percent of total billed charges,387.4671636,,,,456.62,percent of total billed charges,440.6579506,,,,456.62,percent of total billed charges,389.3358858,,,,462.4,percent of total billed charges,999999999,,,,462.4,percent of total billed charges,999999999,,,,404.6,percent of total billed charges,999999999,,,,404.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,307.496,percent of total billed charges,999999999,,,,,,,,,,,,,,,,291.89,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,144.5,percent of total billed charges,137.239654,,,,,,,,,,144.5,percent of total billed charges,134.9567657,,,,,,,,,,144.5,percent of total billed charges,134.5817267,,,,,,,,,,144.5,percent of total billed charges,132.6000124,,,,,,,,,,144.5,percent of total billed charges,136.0120056,,,,,,,,,,144.5,percent of total billed charges,999999999,,,,,,,,,,144.5,percent of total billed charges,116.7078788,,,,,,,,,,144.5,percent of total billed charges,184.056373,,,,,,,,,,144.5,percent of total billed charges,999999999,,,,,,,,,,144.5,percent of total billed charges,125.8396363,,,,,,,,,,520.2,percent of total billed charges,,,,,
**PT PHYSICAL PERFORMANCE TEST,97750,CDM,1013-5015-01,NDC,GP,both,1,EA,99,99,21.07551052,99,99,percent of total billed charges,72.83781705,,,,99,percent of total billed charges,77.20664589,,,,99,percent of total billed charges,72.83781705,,,,99,percent of total billed charges,77.20664589,,,,99,percent of total billed charges,999999999,,,,99,percent of total billed charges,75.43119577,,,,99,percent of total billed charges,72.83781705,,,,99,percent of total billed charges,77.20664589,,,,70.587,percent of total billed charges,35.22420474,,,,70.587,percent of total billed charges,21.07551052,,,,70.587,percent of total billed charges,35.22420474,,,,70.587,percent of total billed charges,21.07551052,,,,70.587,percent of total billed charges,35.22420474,,,,70.587,percent of total billed charges,21.07551052,,,,69.894,percent of total billed charges,69.36369522,,,,69.894,percent of total billed charges,47.83959081,,,,,,,,,,71.28,percent of total billed charges,46.33032263,,,,,,,,,,71.28,percent of total billed charges,999999999,,,,,,,,,,79.2,percent of total billed charges,66.36548304,,,,78.21,percent of total billed charges,75.47601576,,,,78.21,percent of total billed charges,66.6855583,,,,79.2,percent of total billed charges,999999999,,,,79.2,percent of total billed charges,999999999,,,,69.3,percent of total billed charges,999999999,,,,69.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,52.668,percent of total billed charges,999999999,,,,,,,,,,,,,,,,49.995,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,24.75,percent of total billed charges,23.50644593,,,,,,,,,,24.75,percent of total billed charges,23.1154322,,,,,,,,,,24.75,percent of total billed charges,23.0511954,,,,,,,,,,24.75,percent of total billed charges,22.71176683,,,,,,,,,,24.75,percent of total billed charges,23.29617398,,,,,,,,,,24.75,percent of total billed charges,999999999,,,,,,,,,,24.75,percent of total billed charges,19.98975779,,,,,,,,,,24.75,percent of total billed charges,31.52522652,,,,,,,,,,24.75,percent of total billed charges,999999999,,,,,,,,,,24.75,percent of total billed charges,21.55384774,,,,,,,,,,89.1,percent of total billed charges,,,,,
**PT MUSCLE TEST LIMB,95831,CDM,1013-5015-01,NDC,GP,both,1,EA,164,164,34.91296692,164,164,percent of total billed charges,120.6606262,,,,164,percent of total billed charges,127.897878,,,,164,percent of total billed charges,120.6606262,,,,164,percent of total billed charges,127.897878,,,,164,percent of total billed charges,999999999,,,,164,percent of total billed charges,124.9567283,,,,164,percent of total billed charges,120.6606262,,,,164,percent of total billed charges,127.897878,,,,116.932,percent of total billed charges,58.35120786,,,,116.932,percent of total billed charges,34.91296692,,,,116.932,percent of total billed charges,58.35120786,,,,116.932,percent of total billed charges,34.91296692,,,,116.932,percent of total billed charges,58.35120786,,,,116.932,percent of total billed charges,34.91296692,,,,115.784,percent of total billed charges,114.9055153,,,,115.784,percent of total billed charges,79.24942317,,,,,,,,,,118.08,percent of total billed charges,76.74922133,,,,,,,,,,118.08,percent of total billed charges,999999999,,,,,,,,,,131.2,percent of total billed charges,109.93878,,,,129.56,percent of total billed charges,125.0309756,,,,129.56,percent of total billed charges,110.4690057,,,,131.2,percent of total billed charges,999999999,,,,131.2,percent of total billed charges,999999999,,,,114.8,percent of total billed charges,999999999,,,,114.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,87.248,percent of total billed charges,999999999,,,,,,,,,,,,,,,,82.82,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,41,percent of total billed charges,38.93997103,,,,,,,,,,41,percent of total billed charges,38.29223111,,,,,,,,,,41,percent of total billed charges,38.18581864,,,,,,,,,,41,percent of total billed charges,37.62353293,,,,,,,,,,41,percent of total billed charges,38.59164174,,,,,,,,,,41,percent of total billed charges,999999999,,,,,,,,,,41,percent of total billed charges,33.11434624,,,,,,,,,,41,percent of total billed charges,52.22360757,,,,,,,,,,41,percent of total billed charges,999999999,,,,,,,,,,41,percent of total billed charges,35.70536394,,,,,,,,,,147.6,percent of total billed charges,,,,,
**PT SELF-CARE/HOME MNGMENT,97535,CDM,1013-5015-01,NDC,GP,both,1,EA,176,176,37.46757425,176,176,percent of total billed charges,129.4894525,,,,176,percent of total billed charges,137.2562594,,,,176,percent of total billed charges,129.4894525,,,,176,percent of total billed charges,137.2562594,,,,176,percent of total billed charges,999999999,,,,176,percent of total billed charges,134.0999036,,,,176,percent of total billed charges,129.4894525,,,,176,percent of total billed charges,137.2562594,,,,125.488,percent of total billed charges,62.62080844,,,,125.488,percent of total billed charges,37.46757425,,,,125.488,percent of total billed charges,62.62080844,,,,125.488,percent of total billed charges,37.46757425,,,,125.488,percent of total billed charges,62.62080844,,,,125.488,percent of total billed charges,37.46757425,,,,124.256,percent of total billed charges,123.3132359,,,,124.256,percent of total billed charges,85.04816145,,,,,,,,,,126.72,percent of total billed charges,82.36501801,,,,,,,,,,126.72,percent of total billed charges,999999999,,,,,,,,,,140.8,percent of total billed charges,117.983081,,,,139.04,percent of total billed charges,134.1795836,,,,139.04,percent of total billed charges,118.5521036,,,,140.8,percent of total billed charges,999999999,,,,140.8,percent of total billed charges,999999999,,,,123.2,percent of total billed charges,999999999,,,,123.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,93.632,percent of total billed charges,999999999,,,,,,,,,,,,,,,,88.88,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,44,percent of total billed charges,41.78923721,,,,,,,,,,44,percent of total billed charges,41.09410168,,,,,,,,,,44,percent of total billed charges,40.97990293,,,,,,,,,,44,percent of total billed charges,40.37647436,,,,,,,,,,44,percent of total billed charges,41.4154204,,,,,,,,,,44,percent of total billed charges,999999999,,,,,,,,,,44,percent of total billed charges,35.53734718,,,,,,,,,,44,percent of total billed charges,56.04484715,,,,,,,,,,44,percent of total billed charges,999999999,,,,,,,,,,44,percent of total billed charges,38.31795154,,,,,,,,,,158.4,percent of total billed charges,,,,,
**PT RANGE OF MOTION LIMB,95851,CDM,1013-5015-01,NDC,GP,both,1,EA,164,164,34.91296692,164,164,percent of total billed charges,120.6606262,,,,164,percent of total billed charges,127.897878,,,,164,percent of total billed charges,120.6606262,,,,164,percent of total billed charges,127.897878,,,,164,percent of total billed charges,999999999,,,,164,percent of total billed charges,124.9567283,,,,164,percent of total billed charges,120.6606262,,,,164,percent of total billed charges,127.897878,,,,116.932,percent of total billed charges,58.35120786,,,,116.932,percent of total billed charges,34.91296692,,,,116.932,percent of total billed charges,58.35120786,,,,116.932,percent of total billed charges,34.91296692,,,,116.932,percent of total billed charges,58.35120786,,,,116.932,percent of total billed charges,34.91296692,,,,115.784,percent of total billed charges,114.9055153,,,,115.784,percent of total billed charges,79.24942317,,,,,,,,,,118.08,percent of total billed charges,76.74922133,,,,,,,,,,118.08,percent of total billed charges,999999999,,,,,,,,,,131.2,percent of total billed charges,109.93878,,,,129.56,percent of total billed charges,125.0309756,,,,129.56,percent of total billed charges,110.4690057,,,,131.2,percent of total billed charges,999999999,,,,131.2,percent of total billed charges,999999999,,,,114.8,percent of total billed charges,999999999,,,,114.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,87.248,percent of total billed charges,999999999,,,,,,,,,,,,,,,,82.82,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,41,percent of total billed charges,38.93997103,,,,,,,,,,41,percent of total billed charges,38.29223111,,,,,,,,,,41,percent of total billed charges,38.18581864,,,,,,,,,,41,percent of total billed charges,37.62353293,,,,,,,,,,41,percent of total billed charges,38.59164174,,,,,,,,,,41,percent of total billed charges,999999999,,,,,,,,,,41,percent of total billed charges,33.11434624,,,,,,,,,,41,percent of total billed charges,52.22360757,,,,,,,,,,41,percent of total billed charges,999999999,,,,,,,,,,41,percent of total billed charges,35.70536394,,,,,,,,,,147.6,percent of total billed charges,,,,,
**PT ELECTRICAL STIM MANUAL,97032,CDM,1013-5015-01,NDC,GP,both,1,EA,189,189,40.23506553,189,189,percent of total billed charges,139.0540144,,,,189,percent of total billed charges,147.3945058,,,,189,percent of total billed charges,139.0540144,,,,189,percent of total billed charges,147.3945058,,,,189,percent of total billed charges,999999999,,,,189,percent of total billed charges,144.0050101,,,,189,percent of total billed charges,139.0540144,,,,189,percent of total billed charges,147.3945058,,,,134.757,percent of total billed charges,67.24620906,,,,134.757,percent of total billed charges,40.23506553,,,,134.757,percent of total billed charges,67.24620906,,,,134.757,percent of total billed charges,40.23506553,,,,134.757,percent of total billed charges,67.24620906,,,,134.757,percent of total billed charges,40.23506553,,,,133.434,percent of total billed charges,132.4216,,,,133.434,percent of total billed charges,91.33012792,,,,,,,,,,136.08,percent of total billed charges,88.44879775,,,,,,,,,,136.08,percent of total billed charges,999999999,,,,,,,,,,151.2,percent of total billed charges,126.6977404,,,,149.31,percent of total billed charges,144.0905755,,,,149.31,percent of total billed charges,127.3087931,,,,151.2,percent of total billed charges,999999999,,,,151.2,percent of total billed charges,999999999,,,,132.3,percent of total billed charges,999999999,,,,132.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,100.548,percent of total billed charges,999999999,,,,,,,,,,,,,,,,95.445,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,47.25,percent of total billed charges,44.87594223,,,,,,,,,,47.25,percent of total billed charges,44.12946146,,,,,,,,,,47.25,percent of total billed charges,44.00682758,,,,,,,,,,47.25,percent of total billed charges,43.35882758,,,,,,,,,,47.25,percent of total billed charges,44.47451395,,,,,,,,,,47.25,percent of total billed charges,999999999,,,,,,,,,,47.25,percent of total billed charges,38.16226487,,,,,,,,,,47.25,percent of total billed charges,60.18452336,,,,,,,,,,47.25,percent of total billed charges,999999999,,,,,,,,,,47.25,percent of total billed charges,41.14825478,,,,,,,,,,170.1,percent of total billed charges,,,,,
**PT ELECTRICAL STIM MANUAL DISTINCT,97032,CDM,1013-5015-01,NDC,59,both,1,EA,189,189,40.23506553,189,189,percent of total billed charges,139.0540144,,,,189,percent of total billed charges,147.3945058,,,,189,percent of total billed charges,139.0540144,,,,189,percent of total billed charges,147.3945058,,,,189,percent of total billed charges,999999999,,,,189,percent of total billed charges,144.0050101,,,,189,percent of total billed charges,139.0540144,,,,189,percent of total billed charges,147.3945058,,,,134.757,percent of total billed charges,67.24620906,,,,134.757,percent of total billed charges,40.23506553,,,,134.757,percent of total billed charges,67.24620906,,,,134.757,percent of total billed charges,40.23506553,,,,134.757,percent of total billed charges,67.24620906,,,,134.757,percent of total billed charges,40.23506553,,,,133.434,percent of total billed charges,132.4216,,,,133.434,percent of total billed charges,91.33012792,,,,,,,,,,136.08,percent of total billed charges,88.44879775,,,,,,,,,,136.08,percent of total billed charges,999999999,,,,,,,,,,151.2,percent of total billed charges,126.6977404,,,,149.31,percent of total billed charges,144.0905755,,,,149.31,percent of total billed charges,127.3087931,,,,151.2,percent of total billed charges,999999999,,,,151.2,percent of total billed charges,999999999,,,,132.3,percent of total billed charges,999999999,,,,132.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,100.548,percent of total billed charges,999999999,,,,,,,,,,,,,,,,95.445,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,47.25,percent of total billed charges,44.87594223,,,,,,,,,,47.25,percent of total billed charges,44.12946146,,,,,,,,,,47.25,percent of total billed charges,44.00682758,,,,,,,,,,47.25,percent of total billed charges,43.35882758,,,,,,,,,,47.25,percent of total billed charges,44.47451395,,,,,,,,,,47.25,percent of total billed charges,999999999,,,,,,,,,,47.25,percent of total billed charges,38.16226487,,,,,,,,,,47.25,percent of total billed charges,60.18452336,,,,,,,,,,47.25,percent of total billed charges,999999999,,,,,,,,,,47.25,percent of total billed charges,41.14825478,,,,,,,,,,170.1,percent of total billed charges,,,,,
**PT EXERCISE 15 MIN,97110,CDM,1013-5015-01,NDC,GP,both,1,EA,199,199,42.36390498,199,199,percent of total billed charges,146.4113696,,,,199,percent of total billed charges,155.1931569,,,,199,percent of total billed charges,146.4113696,,,,199,percent of total billed charges,155.1931569,,,,199,percent of total billed charges,999999999,,,,199,percent of total billed charges,151.6243228,,,,199,percent of total billed charges,146.4113696,,,,199,percent of total billed charges,155.1931569,,,,141.887,percent of total billed charges,70.80420954,,,,141.887,percent of total billed charges,42.36390498,,,,141.887,percent of total billed charges,70.80420954,,,,141.887,percent of total billed charges,42.36390498,,,,141.887,percent of total billed charges,70.80420954,,,,141.887,percent of total billed charges,42.36390498,,,,140.494,percent of total billed charges,139.4280338,,,,140.494,percent of total billed charges,96.16240982,,,,,,,,,,143.28,percent of total billed charges,93.12862832,,,,,,,,,,143.28,percent of total billed charges,999999999,,,,,,,,,,159.2,percent of total billed charges,133.4013245,,,,157.21,percent of total billed charges,151.7144155,,,,157.21,percent of total billed charges,134.0447081,,,,159.2,percent of total billed charges,999999999,,,,159.2,percent of total billed charges,999999999,,,,139.3,percent of total billed charges,999999999,,,,139.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,105.868,percent of total billed charges,999999999,,,,,,,,,,,,,,,,100.495,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,49.75,percent of total billed charges,47.25033071,,,,,,,,,,49.75,percent of total billed charges,46.4643536,,,,,,,,,,49.75,percent of total billed charges,46.33523116,,,,,,,,,,49.75,percent of total billed charges,45.65294544,,,,,,,,,,49.75,percent of total billed charges,46.82766284,,,,,,,,,,49.75,percent of total billed charges,999999999,,,,,,,,,,49.75,percent of total billed charges,40.18143232,,,,,,,,,,49.75,percent of total billed charges,63.36888967,,,,,,,,,,49.75,percent of total billed charges,999999999,,,,,,,,,,49.75,percent of total billed charges,43.32541112,,,,,,,,,,179.1,percent of total billed charges,,,,,
**PT HOME MANAGEMENT TRAINING,97535,CDM,1013-5015-01,NDC,,both,1,EA,199,199,42.36390498,199,199,percent of total billed charges,146.4113696,,,,199,percent of total billed charges,155.1931569,,,,199,percent of total billed charges,146.4113696,,,,199,percent of total billed charges,155.1931569,,,,199,percent of total billed charges,999999999,,,,199,percent of total billed charges,151.6243228,,,,199,percent of total billed charges,146.4113696,,,,199,percent of total billed charges,155.1931569,,,,141.887,percent of total billed charges,70.80420954,,,,141.887,percent of total billed charges,42.36390498,,,,141.887,percent of total billed charges,70.80420954,,,,141.887,percent of total billed charges,42.36390498,,,,141.887,percent of total billed charges,70.80420954,,,,141.887,percent of total billed charges,42.36390498,,,,140.494,percent of total billed charges,139.4280338,,,,140.494,percent of total billed charges,96.16240982,,,,,,,,,,143.28,percent of total billed charges,93.12862832,,,,,,,,,,143.28,percent of total billed charges,999999999,,,,,,,,,,159.2,percent of total billed charges,133.4013245,,,,157.21,percent of total billed charges,151.7144155,,,,157.21,percent of total billed charges,134.0447081,,,,159.2,percent of total billed charges,999999999,,,,159.2,percent of total billed charges,999999999,,,,139.3,percent of total billed charges,999999999,,,,139.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,105.868,percent of total billed charges,999999999,,,,,,,,,,,,,,,,100.495,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,49.75,percent of total billed charges,47.25033071,,,,,,,,,,49.75,percent of total billed charges,46.4643536,,,,,,,,,,49.75,percent of total billed charges,46.33523116,,,,,,,,,,49.75,percent of total billed charges,45.65294544,,,,,,,,,,49.75,percent of total billed charges,46.82766284,,,,,,,,,,49.75,percent of total billed charges,999999999,,,,,,,,,,49.75,percent of total billed charges,40.18143232,,,,,,,,,,49.75,percent of total billed charges,63.36888967,,,,,,,,,,49.75,percent of total billed charges,999999999,,,,,,,,,,49.75,percent of total billed charges,43.32541112,,,,,,,,,,179.1,percent of total billed charges,,,,,
**PT ORTHOTICS TRAINING 15 MIN,97760,CDM,1013-5015-01,NDC,GP,both,1,EA,133,133,28.31356463,133,133,percent of total billed charges,97.85282492,,,,133,percent of total billed charges,103.7220596,,,,133,percent of total billed charges,97.85282492,,,,133,percent of total billed charges,103.7220596,,,,133,percent of total billed charges,999999999,,,,133,percent of total billed charges,101.336859,,,,133,percent of total billed charges,97.85282492,,,,133,percent of total billed charges,103.7220596,,,,94.829,percent of total billed charges,47.32140637,,,,94.829,percent of total billed charges,28.31356463,,,,94.829,percent of total billed charges,47.32140637,,,,94.829,percent of total billed charges,28.31356463,,,,94.829,percent of total billed charges,47.32140637,,,,94.829,percent of total billed charges,28.31356463,,,,93.898,percent of total billed charges,93.18557035,,,,93.898,percent of total billed charges,64.26934928,,,,,,,,,,95.76,percent of total billed charges,62.24174656,,,,,,,,,,95.76,percent of total billed charges,999999999,,,,,,,,,,106.4,percent of total billed charges,89.15766914,,,,105.07,percent of total billed charges,101.3970717,,,,105.07,percent of total billed charges,89.58766923,,,,106.4,percent of total billed charges,999999999,,,,106.4,percent of total billed charges,999999999,,,,93.1,percent of total billed charges,999999999,,,,93.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,70.756,percent of total billed charges,999999999,,,,,,,,,,,,,,,,67.165,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,33.25,percent of total billed charges,31.57936675,,,,,,,,,,33.25,percent of total billed charges,31.05406547,,,,,,,,,,33.25,percent of total billed charges,30.96776756,,,,,,,,,,33.25,percent of total billed charges,30.51176756,,,,,,,,,,33.25,percent of total billed charges,31.29688019,,,,,,,,,,33.25,percent of total billed charges,999999999,,,,,,,,,,33.25,percent of total billed charges,26.85492713,,,,,,,,,,33.25,percent of total billed charges,42.35207199,,,,,,,,,,33.25,percent of total billed charges,999999999,,,,,,,,,,33.25,percent of total billed charges,28.95617929,,,,,,,,,,119.7,percent of total billed charges,,,,,
**PT ULTRASOUND 15 MIN,97035,CDM,1013-5015-01,NDC,GP,both,1,EA,211,211,44.91851232,211,211,percent of total billed charges,155.2401959,,,,211,percent of total billed charges,164.5515382,,,,211,percent of total billed charges,155.2401959,,,,211,percent of total billed charges,164.5515382,,,,211,percent of total billed charges,999999999,,,,211,percent of total billed charges,160.7674981,,,,211,percent of total billed charges,155.2401959,,,,211,percent of total billed charges,164.5515382,,,,150.443,percent of total billed charges,75.07381011,,,,150.443,percent of total billed charges,44.91851232,,,,150.443,percent of total billed charges,75.07381011,,,,150.443,percent of total billed charges,44.91851232,,,,150.443,percent of total billed charges,75.07381011,,,,150.443,percent of total billed charges,44.91851232,,,,148.966,percent of total billed charges,147.8357545,,,,148.966,percent of total billed charges,101.9611481,,,,,,,,,,151.92,percent of total billed charges,98.744425,,,,,,,,,,151.92,percent of total billed charges,999999999,,,,,,,,,,168.8,percent of total billed charges,141.4456255,,,,166.69,percent of total billed charges,160.8630235,,,,166.69,percent of total billed charges,142.1278061,,,,168.8,percent of total billed charges,999999999,,,,168.8,percent of total billed charges,999999999,,,,147.7,percent of total billed charges,999999999,,,,147.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,112.252,percent of total billed charges,999999999,,,,,,,,,,,,,,,,106.555,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,52.75,percent of total billed charges,50.09959688,,,,,,,,,,52.75,percent of total billed charges,49.26622417,,,,,,,,,,52.75,percent of total billed charges,49.12931545,,,,,,,,,,52.75,percent of total billed charges,48.40588687,,,,,,,,,,52.75,percent of total billed charges,49.6514415,,,,,,,,,,52.75,percent of total billed charges,999999999,,,,,,,,,,52.75,percent of total billed charges,42.60443327,,,,,,,,,,52.75,percent of total billed charges,67.19012925,,,,,,,,,,52.75,percent of total billed charges,999999999,,,,,,,,,,52.75,percent of total billed charges,45.93799872,,,,,,,,,,189.9,percent of total billed charges,,,,,
**PT EXERCISE 15 MIN DISTINCT,97110,CDM,1013-5015-01,NDC,59,both,1,EA,199,199,42.36390498,199,199,percent of total billed charges,146.4113696,,,,199,percent of total billed charges,155.1931569,,,,199,percent of total billed charges,146.4113696,,,,199,percent of total billed charges,155.1931569,,,,199,percent of total billed charges,999999999,,,,199,percent of total billed charges,151.6243228,,,,199,percent of total billed charges,146.4113696,,,,199,percent of total billed charges,155.1931569,,,,141.887,percent of total billed charges,70.80420954,,,,141.887,percent of total billed charges,42.36390498,,,,141.887,percent of total billed charges,70.80420954,,,,141.887,percent of total billed charges,42.36390498,,,,141.887,percent of total billed charges,70.80420954,,,,141.887,percent of total billed charges,42.36390498,,,,140.494,percent of total billed charges,139.4280338,,,,140.494,percent of total billed charges,96.16240982,,,,,,,,,,143.28,percent of total billed charges,93.12862832,,,,,,,,,,143.28,percent of total billed charges,999999999,,,,,,,,,,159.2,percent of total billed charges,133.4013245,,,,157.21,percent of total billed charges,151.7144155,,,,157.21,percent of total billed charges,134.0447081,,,,159.2,percent of total billed charges,999999999,,,,159.2,percent of total billed charges,999999999,,,,139.3,percent of total billed charges,999999999,,,,139.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,105.868,percent of total billed charges,999999999,,,,,,,,,,,,,,,,100.495,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,49.75,percent of total billed charges,47.25033071,,,,,,,,,,49.75,percent of total billed charges,46.4643536,,,,,,,,,,49.75,percent of total billed charges,46.33523116,,,,,,,,,,49.75,percent of total billed charges,45.65294544,,,,,,,,,,49.75,percent of total billed charges,46.82766284,,,,,,,,,,49.75,percent of total billed charges,999999999,,,,,,,,,,49.75,percent of total billed charges,40.18143232,,,,,,,,,,49.75,percent of total billed charges,63.36888967,,,,,,,,,,49.75,percent of total billed charges,999999999,,,,,,,,,,49.75,percent of total billed charges,43.32541112,,,,,,,,,,179.1,percent of total billed charges,,,,,
**PT GROUP THERAPY DISTINCT,97150,CDM,1013-5015-01,NDC,59,both,1,EA,201,201,42.78967287,201,201,percent of total billed charges,147.8828407,,,,201,percent of total billed charges,156.7528871,,,,201,percent of total billed charges,147.8828407,,,,201,percent of total billed charges,156.7528871,,,,201,percent of total billed charges,999999999,,,,201,percent of total billed charges,153.1481854,,,,201,percent of total billed charges,147.8828407,,,,201,percent of total billed charges,156.7528871,,,,143.313,percent of total billed charges,71.51580963,,,,143.313,percent of total billed charges,42.78967287,,,,143.313,percent of total billed charges,71.51580963,,,,143.313,percent of total billed charges,42.78967287,,,,143.313,percent of total billed charges,71.51580963,,,,143.313,percent of total billed charges,42.78967287,,,,141.906,percent of total billed charges,140.8293206,,,,141.906,percent of total billed charges,97.1288662,,,,,,,,,,144.72,percent of total billed charges,94.06459443,,,,,,,,,,144.72,percent of total billed charges,999999999,,,,,,,,,,160.8,percent of total billed charges,134.7420413,,,,158.79,percent of total billed charges,153.2391835,,,,158.79,percent of total billed charges,135.3918911,,,,160.8,percent of total billed charges,999999999,,,,160.8,percent of total billed charges,999999999,,,,140.7,percent of total billed charges,999999999,,,,140.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,106.932,percent of total billed charges,999999999,,,,,,,,,,,,,,,,101.505,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,50.25,percent of total billed charges,47.7252084,,,,,,,,,,50.25,percent of total billed charges,46.93133203,,,,,,,,,,50.25,percent of total billed charges,46.80091187,,,,,,,,,,50.25,percent of total billed charges,46.11176901,,,,,,,,,,50.25,percent of total billed charges,47.29829262,,,,,,,,,,50.25,percent of total billed charges,999999999,,,,,,,,,,50.25,percent of total billed charges,40.58526581,,,,,,,,,,50.25,percent of total billed charges,64.00576294,,,,,,,,,,50.25,percent of total billed charges,999999999,,,,,,,,,,50.25,percent of total billed charges,43.76084239,,,,,,,,,,180.9,percent of total billed charges,,,,,
**PT NEUROMUSCU REEDUCAT15 MIN DISTINCT,97112,CDM,1013-5015-01,NDC,59,both,1,EA,199,199,42.36390498,199,199,percent of total billed charges,146.4113696,,,,199,percent of total billed charges,155.1931569,,,,199,percent of total billed charges,146.4113696,,,,199,percent of total billed charges,155.1931569,,,,199,percent of total billed charges,999999999,,,,199,percent of total billed charges,151.6243228,,,,199,percent of total billed charges,146.4113696,,,,199,percent of total billed charges,155.1931569,,,,141.887,percent of total billed charges,70.80420954,,,,141.887,percent of total billed charges,42.36390498,,,,141.887,percent of total billed charges,70.80420954,,,,141.887,percent of total billed charges,42.36390498,,,,141.887,percent of total billed charges,70.80420954,,,,141.887,percent of total billed charges,42.36390498,,,,140.494,percent of total billed charges,139.4280338,,,,140.494,percent of total billed charges,96.16240982,,,,,,,,,,143.28,percent of total billed charges,93.12862832,,,,,,,,,,143.28,percent of total billed charges,999999999,,,,,,,,,,159.2,percent of total billed charges,133.4013245,,,,157.21,percent of total billed charges,151.7144155,,,,157.21,percent of total billed charges,134.0447081,,,,159.2,percent of total billed charges,999999999,,,,159.2,percent of total billed charges,999999999,,,,139.3,percent of total billed charges,999999999,,,,139.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,105.868,percent of total billed charges,999999999,,,,,,,,,,,,,,,,100.495,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,49.75,percent of total billed charges,47.25033071,,,,,,,,,,49.75,percent of total billed charges,46.4643536,,,,,,,,,,49.75,percent of total billed charges,46.33523116,,,,,,,,,,49.75,percent of total billed charges,45.65294544,,,,,,,,,,49.75,percent of total billed charges,46.82766284,,,,,,,,,,49.75,percent of total billed charges,999999999,,,,,,,,,,49.75,percent of total billed charges,40.18143232,,,,,,,,,,49.75,percent of total billed charges,63.36888967,,,,,,,,,,49.75,percent of total billed charges,999999999,,,,,,,,,,49.75,percent of total billed charges,43.32541112,,,,,,,,,,179.1,percent of total billed charges,,,,,
**PT THERAPEUTIC ACTIVITY 15 MIN DISTINC,97530,CDM,1013-5015-01,NDC,59,both,1,EA,199,199,42.36390498,199,199,percent of total billed charges,146.4113696,,,,199,percent of total billed charges,155.1931569,,,,199,percent of total billed charges,146.4113696,,,,199,percent of total billed charges,155.1931569,,,,199,percent of total billed charges,999999999,,,,199,percent of total billed charges,151.6243228,,,,199,percent of total billed charges,146.4113696,,,,199,percent of total billed charges,155.1931569,,,,141.887,percent of total billed charges,70.80420954,,,,141.887,percent of total billed charges,42.36390498,,,,141.887,percent of total billed charges,70.80420954,,,,141.887,percent of total billed charges,42.36390498,,,,141.887,percent of total billed charges,70.80420954,,,,141.887,percent of total billed charges,42.36390498,,,,140.494,percent of total billed charges,139.4280338,,,,140.494,percent of total billed charges,96.16240982,,,,,,,,,,143.28,percent of total billed charges,93.12862832,,,,,,,,,,143.28,percent of total billed charges,999999999,,,,,,,,,,159.2,percent of total billed charges,133.4013245,,,,157.21,percent of total billed charges,151.7144155,,,,157.21,percent of total billed charges,134.0447081,,,,159.2,percent of total billed charges,999999999,,,,159.2,percent of total billed charges,999999999,,,,139.3,percent of total billed charges,999999999,,,,139.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,105.868,percent of total billed charges,999999999,,,,,,,,,,,,,,,,100.495,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,49.75,percent of total billed charges,47.25033071,,,,,,,,,,49.75,percent of total billed charges,46.4643536,,,,,,,,,,49.75,percent of total billed charges,46.33523116,,,,,,,,,,49.75,percent of total billed charges,45.65294544,,,,,,,,,,49.75,percent of total billed charges,46.82766284,,,,,,,,,,49.75,percent of total billed charges,999999999,,,,,,,,,,49.75,percent of total billed charges,40.18143232,,,,,,,,,,49.75,percent of total billed charges,63.36888967,,,,,,,,,,49.75,percent of total billed charges,999999999,,,,,,,,,,49.75,percent of total billed charges,43.32541112,,,,,,,,,,179.1,percent of total billed charges,,,,,
**PT MASSAGE,97124,CDM,1013-5015-01,NDC,GP,both,1,EA,199,199,42.36390498,199,199,percent of total billed charges,146.4113696,,,,199,percent of total billed charges,155.1931569,,,,199,percent of total billed charges,146.4113696,,,,199,percent of total billed charges,155.1931569,,,,199,percent of total billed charges,999999999,,,,199,percent of total billed charges,151.6243228,,,,199,percent of total billed charges,146.4113696,,,,199,percent of total billed charges,155.1931569,,,,141.887,percent of total billed charges,70.80420954,,,,141.887,percent of total billed charges,42.36390498,,,,141.887,percent of total billed charges,70.80420954,,,,141.887,percent of total billed charges,42.36390498,,,,141.887,percent of total billed charges,70.80420954,,,,141.887,percent of total billed charges,42.36390498,,,,140.494,percent of total billed charges,139.4280338,,,,140.494,percent of total billed charges,96.16240982,,,,,,,,,,143.28,percent of total billed charges,93.12862832,,,,,,,,,,143.28,percent of total billed charges,999999999,,,,,,,,,,159.2,percent of total billed charges,133.4013245,,,,157.21,percent of total billed charges,151.7144155,,,,157.21,percent of total billed charges,134.0447081,,,,159.2,percent of total billed charges,999999999,,,,159.2,percent of total billed charges,999999999,,,,139.3,percent of total billed charges,999999999,,,,139.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,105.868,percent of total billed charges,999999999,,,,,,,,,,,,,,,,100.495,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,49.75,percent of total billed charges,47.25033071,,,,,,,,,,49.75,percent of total billed charges,46.4643536,,,,,,,,,,49.75,percent of total billed charges,46.33523116,,,,,,,,,,49.75,percent of total billed charges,45.65294544,,,,,,,,,,49.75,percent of total billed charges,46.82766284,,,,,,,,,,49.75,percent of total billed charges,999999999,,,,,,,,,,49.75,percent of total billed charges,40.18143232,,,,,,,,,,49.75,percent of total billed charges,63.36888967,,,,,,,,,,49.75,percent of total billed charges,999999999,,,,,,,,,,49.75,percent of total billed charges,43.32541112,,,,,,,,,,179.1,percent of total billed charges,,,,,
**PT E STIM UNATTENDED NOT WOUND,G0283,CDM,1013-5015-01,NDC,GP,both,1,EA,196,196,41.72525315,196,196,percent of total billed charges,144.204163,,,,196,percent of total billed charges,152.8535616,,,,196,percent of total billed charges,144.204163,,,,196,percent of total billed charges,152.8535616,,,,196,percent of total billed charges,999999999,,,,196,percent of total billed charges,149.338529,,,,196,percent of total billed charges,144.204163,,,,196,percent of total billed charges,152.8535616,,,,139.748,percent of total billed charges,69.73680939,,,,139.748,percent of total billed charges,41.72525315,,,,139.748,percent of total billed charges,69.73680939,,,,139.748,percent of total billed charges,41.72525315,,,,139.748,percent of total billed charges,69.73680939,,,,139.748,percent of total billed charges,41.72525315,,,,138.376,percent of total billed charges,137.3261037,,,,138.376,percent of total billed charges,94.71272525,,,,,,,,,,141.12,percent of total billed charges,91.72467915,,,,,,,,,,141.12,percent of total billed charges,999999999,,,,,,,,,,156.8,percent of total billed charges,131.3902493,,,,154.84,percent of total billed charges,149.4272635,,,,154.84,percent of total billed charges,132.0239336,,,,156.8,percent of total billed charges,999999999,,,,156.8,percent of total billed charges,999999999,,,,137.2,percent of total billed charges,999999999,,,,137.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,104.272,percent of total billed charges,999999999,,,,,,,,,,,,,,,,98.98,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,49,percent of total billed charges,46.53801416,,,,,,,,,,49,percent of total billed charges,45.76388596,,,,,,,,,,49,percent of total billed charges,45.63671008,,,,,,,,,,49,percent of total billed charges,44.96471008,,,,,,,,,,49,percent of total billed charges,46.12171817,,,,,,,,,,49,percent of total billed charges,999999999,,,,,,,,,,49,percent of total billed charges,39.57568209,,,,,,,,,,49,percent of total billed charges,62.41357978,,,,,,,,,,49,percent of total billed charges,999999999,,,,,,,,,,49,percent of total billed charges,42.67226422,,,,,,,,,,176.4,percent of total billed charges,,,,,
**PT WHIRLPOOL,97022,CDM,1013-5015-01,NDC,GP,both,1,EA,232,232,49.38907515,232,232,percent of total billed charges,170.690642,,,,232,percent of total billed charges,180.9287055,,,,232,percent of total billed charges,170.690642,,,,232,percent of total billed charges,180.9287055,,,,232,percent of total billed charges,999999999,,,,232,percent of total billed charges,176.7680547,,,,232,percent of total billed charges,170.690642,,,,232,percent of total billed charges,180.9287055,,,,165.416,percent of total billed charges,82.54561112,,,,165.416,percent of total billed charges,49.38907515,,,,165.416,percent of total billed charges,82.54561112,,,,165.416,percent of total billed charges,49.38907515,,,,165.416,percent of total billed charges,82.54561112,,,,165.416,percent of total billed charges,49.38907515,,,,163.792,percent of total billed charges,162.5492656,,,,163.792,percent of total billed charges,112.1089401,,,,,,,,,,167.04,percent of total billed charges,108.5720692,,,,,,,,,,167.04,percent of total billed charges,999999999,,,,,,,,,,185.6,percent of total billed charges,155.5231522,,,,183.28,percent of total billed charges,176.8730874,,,,183.28,percent of total billed charges,156.2732275,,,,185.6,percent of total billed charges,999999999,,,,185.6,percent of total billed charges,999999999,,,,162.4,percent of total billed charges,999999999,,,,162.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,123.424,percent of total billed charges,999999999,,,,,,,,,,,,,,,,117.16,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,58,percent of total billed charges,55.08581268,,,,,,,,,,58,percent of total billed charges,54.16949767,,,,,,,,,,58,percent of total billed charges,54.01896295,,,,,,,,,,58,percent of total billed charges,53.22353438,,,,,,,,,,58,percent of total billed charges,54.59305417,,,,,,,,,,58,percent of total billed charges,999999999,,,,,,,,,,58,percent of total billed charges,46.84468492,,,,,,,,,,58,percent of total billed charges,73.87729851,,,,,,,,,,58,percent of total billed charges,999999999,,,,,,,,,,58,percent of total billed charges,50.51002703,,,,,,,,,,208.8,percent of total billed charges,,,,,
**OT ORTHOTIC RECHECK 15 MIN,97762,CDM,1013-5015-01,NDC,GO,both,1,EA,102,102,21.71416235,102,102,percent of total billed charges,75.04502362,,,,102,percent of total billed charges,79.54624122,,,,102,percent of total billed charges,75.04502362,,,,102,percent of total billed charges,79.54624122,,,,102,percent of total billed charges,999999999,,,,102,percent of total billed charges,77.71698958,,,,102,percent of total billed charges,75.04502362,,,,102,percent of total billed charges,79.54624122,,,,72.726,percent of total billed charges,36.29160489,,,,72.726,percent of total billed charges,21.71416235,,,,72.726,percent of total billed charges,36.29160489,,,,72.726,percent of total billed charges,21.71416235,,,,72.726,percent of total billed charges,36.29160489,,,,72.726,percent of total billed charges,21.71416235,,,,72.012,percent of total billed charges,71.46562538,,,,72.012,percent of total billed charges,49.28927538,,,,,,,,,,73.44,percent of total billed charges,47.7342718,,,,,,,,,,73.44,percent of total billed charges,999999999,,,,,,,,,,81.6,percent of total billed charges,68.37655829,,,,80.58,percent of total billed charges,77.76316775,,,,80.58,percent of total billed charges,68.70633279,,,,81.6,percent of total billed charges,999999999,,,,81.6,percent of total billed charges,999999999,,,,71.4,percent of total billed charges,999999999,,,,71.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,54.264,percent of total billed charges,999999999,,,,,,,,,,,,,,,,51.51,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,25.5,percent of total billed charges,24.21876247,,,,,,,,,,25.5,percent of total billed charges,23.81589984,,,,,,,,,,25.5,percent of total billed charges,23.74971647,,,,,,,,,,25.5,percent of total billed charges,23.40000219,,,,,,,,,,25.5,percent of total billed charges,24.00211864,,,,,,,,,,25.5,percent of total billed charges,999999999,,,,,,,,,,25.5,percent of total billed charges,20.59550803,,,,,,,,,,25.5,percent of total billed charges,32.48053641,,,,,,,,,,25.5,percent of total billed charges,999999999,,,,,,,,,,25.5,percent of total billed charges,22.20699464,,,,,,,,,,91.8,percent of total billed charges,,,,,
**OT THERAPUTIC EXERCISE 15 MIN,97110,CDM,1013-5015-01,NDC,GO,both,1,EA,199,199,42.36390498,199,199,percent of total billed charges,146.4113696,,,,199,percent of total billed charges,155.1931569,,,,199,percent of total billed charges,146.4113696,,,,199,percent of total billed charges,155.1931569,,,,199,percent of total billed charges,999999999,,,,199,percent of total billed charges,151.6243228,,,,199,percent of total billed charges,146.4113696,,,,199,percent of total billed charges,155.1931569,,,,141.887,percent of total billed charges,70.80420954,,,,141.887,percent of total billed charges,42.36390498,,,,141.887,percent of total billed charges,70.80420954,,,,141.887,percent of total billed charges,42.36390498,,,,141.887,percent of total billed charges,70.80420954,,,,141.887,percent of total billed charges,42.36390498,,,,140.494,percent of total billed charges,139.4280338,,,,140.494,percent of total billed charges,96.16240982,,,,,,,,,,143.28,percent of total billed charges,93.12862832,,,,,,,,,,143.28,percent of total billed charges,999999999,,,,,,,,,,159.2,percent of total billed charges,133.4013245,,,,157.21,percent of total billed charges,151.7144155,,,,157.21,percent of total billed charges,134.0447081,,,,159.2,percent of total billed charges,999999999,,,,159.2,percent of total billed charges,999999999,,,,139.3,percent of total billed charges,999999999,,,,139.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,105.868,percent of total billed charges,999999999,,,,,,,,,,,,,,,,100.495,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,49.75,percent of total billed charges,47.25033071,,,,,,,,,,49.75,percent of total billed charges,46.4643536,,,,,,,,,,49.75,percent of total billed charges,46.33523116,,,,,,,,,,49.75,percent of total billed charges,45.65294544,,,,,,,,,,49.75,percent of total billed charges,46.82766284,,,,,,,,,,49.75,percent of total billed charges,999999999,,,,,,,,,,49.75,percent of total billed charges,40.18143232,,,,,,,,,,49.75,percent of total billed charges,63.36888967,,,,,,,,,,49.75,percent of total billed charges,999999999,,,,,,,,,,49.75,percent of total billed charges,43.32541112,,,,,,,,,,179.1,percent of total billed charges,,,,,
**OT MANUAL THERAPY 15 MIN,97140,CDM,1013-5015-01,NDC,GO,both,1,EA,199,199,42.36390498,199,199,percent of total billed charges,146.4113696,,,,199,percent of total billed charges,155.1931569,,,,199,percent of total billed charges,146.4113696,,,,199,percent of total billed charges,155.1931569,,,,199,percent of total billed charges,999999999,,,,199,percent of total billed charges,151.6243228,,,,199,percent of total billed charges,146.4113696,,,,199,percent of total billed charges,155.1931569,,,,141.887,percent of total billed charges,70.80420954,,,,141.887,percent of total billed charges,42.36390498,,,,141.887,percent of total billed charges,70.80420954,,,,141.887,percent of total billed charges,42.36390498,,,,141.887,percent of total billed charges,70.80420954,,,,141.887,percent of total billed charges,42.36390498,,,,140.494,percent of total billed charges,139.4280338,,,,140.494,percent of total billed charges,96.16240982,,,,,,,,,,143.28,percent of total billed charges,93.12862832,,,,,,,,,,143.28,percent of total billed charges,999999999,,,,,,,,,,159.2,percent of total billed charges,133.4013245,,,,157.21,percent of total billed charges,151.7144155,,,,157.21,percent of total billed charges,134.0447081,,,,159.2,percent of total billed charges,999999999,,,,159.2,percent of total billed charges,999999999,,,,139.3,percent of total billed charges,999999999,,,,139.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,105.868,percent of total billed charges,999999999,,,,,,,,,,,,,,,,100.495,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,49.75,percent of total billed charges,47.25033071,,,,,,,,,,49.75,percent of total billed charges,46.4643536,,,,,,,,,,49.75,percent of total billed charges,46.33523116,,,,,,,,,,49.75,percent of total billed charges,45.65294544,,,,,,,,,,49.75,percent of total billed charges,46.82766284,,,,,,,,,,49.75,percent of total billed charges,999999999,,,,,,,,,,49.75,percent of total billed charges,40.18143232,,,,,,,,,,49.75,percent of total billed charges,63.36888967,,,,,,,,,,49.75,percent of total billed charges,999999999,,,,,,,,,,49.75,percent of total billed charges,43.32541112,,,,,,,,,,179.1,percent of total billed charges,,,,,
**OT WHEELCHAIR MNGT 15 MIN,97542,CDM,1013-5015-01,NDC,GO,both,1,EA,178,178,37.89334214,178,178,percent of total billed charges,130.9609236,,,,178,percent of total billed charges,138.8159896,,,,178,percent of total billed charges,130.9609236,,,,178,percent of total billed charges,138.8159896,,,,178,percent of total billed charges,999999999,,,,178,percent of total billed charges,135.6237661,,,,178,percent of total billed charges,130.9609236,,,,178,percent of total billed charges,138.8159896,,,,126.914,percent of total billed charges,63.33240853,,,,126.914,percent of total billed charges,37.89334214,,,,126.914,percent of total billed charges,63.33240853,,,,126.914,percent of total billed charges,37.89334214,,,,126.914,percent of total billed charges,63.33240853,,,,126.914,percent of total billed charges,37.89334214,,,,125.668,percent of total billed charges,124.7145227,,,,125.668,percent of total billed charges,86.01461783,,,,,,,,,,128.16,percent of total billed charges,83.30098412,,,,,,,,,,128.16,percent of total billed charges,999999999,,,,,,,,,,142.4,percent of total billed charges,119.3237978,,,,140.62,percent of total billed charges,135.7043516,,,,140.62,percent of total billed charges,119.8992866,,,,142.4,percent of total billed charges,999999999,,,,142.4,percent of total billed charges,999999999,,,,124.6,percent of total billed charges,999999999,,,,124.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,94.696,percent of total billed charges,999999999,,,,,,,,,,,,,,,,89.89,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,44.5,percent of total billed charges,42.2641149,,,,,,,,,,44.5,percent of total billed charges,41.56108011,,,,,,,,,,44.5,percent of total billed charges,41.44558365,,,,,,,,,,44.5,percent of total billed charges,40.83529793,,,,,,,,,,44.5,percent of total billed charges,41.88605018,,,,,,,,,,44.5,percent of total billed charges,999999999,,,,,,,,,,44.5,percent of total billed charges,35.94118067,,,,,,,,,,44.5,percent of total billed charges,56.68172041,,,,,,,,,,44.5,percent of total billed charges,999999999,,,,,,,,,,44.5,percent of total billed charges,38.75338281,,,,,,,,,,160.2,percent of total billed charges,,,,,
**OT BODY MUSCLE TEST WITH HANDS,95834,CDM,1013-5015-01,NDC,GO,both,1,EA,169,169,35.97738664,169,169,percent of total billed charges,124.3393038,,,,169,percent of total billed charges,131.7972036,,,,169,percent of total billed charges,124.3393038,,,,169,percent of total billed charges,131.7972036,,,,169,percent of total billed charges,999999999,,,,169,percent of total billed charges,128.7663847,,,,169,percent of total billed charges,124.3393038,,,,169,percent of total billed charges,131.7972036,,,,120.497,percent of total billed charges,60.1302081,,,,120.497,percent of total billed charges,35.97738664,,,,120.497,percent of total billed charges,60.1302081,,,,120.497,percent of total billed charges,35.97738664,,,,120.497,percent of total billed charges,60.1302081,,,,120.497,percent of total billed charges,35.97738664,,,,119.314,percent of total billed charges,118.4087322,,,,119.314,percent of total billed charges,81.66556412,,,,,,,,,,121.68,percent of total billed charges,79.08913661,,,,,,,,,,121.68,percent of total billed charges,999999999,,,,,,,,,,135.2,percent of total billed charges,113.2905721,,,,133.51,percent of total billed charges,128.8428956,,,,133.51,percent of total billed charges,113.8369632,,,,135.2,percent of total billed charges,999999999,,,,135.2,percent of total billed charges,999999999,,,,118.3,percent of total billed charges,999999999,,,,118.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,89.908,percent of total billed charges,999999999,,,,,,,,,,,,,,,,85.345,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,42.25,percent of total billed charges,40.12716527,,,,,,,,,,42.25,percent of total billed charges,39.45967718,,,,,,,,,,42.25,percent of total billed charges,39.35002043,,,,,,,,,,42.25,percent of total billed charges,38.77059186,,,,,,,,,,42.25,percent of total billed charges,39.76821618,,,,,,,,,,42.25,percent of total billed charges,999999999,,,,,,,,,,42.25,percent of total billed charges,34.12392996,,,,,,,,,,42.25,percent of total billed charges,53.81579073,,,,,,,,,,42.25,percent of total billed charges,999999999,,,,,,,,,,42.25,percent of total billed charges,36.79394211,,,,,,,,,,152.1,percent of total billed charges,,,,,
**OT ORTHOTIC FITTING 15 MIN,97760,CDM,1013-5015-01,NDC,GO,both,1,EA,133,133,28.31356463,133,133,percent of total billed charges,97.85282492,,,,133,percent of total billed charges,103.7220596,,,,133,percent of total billed charges,97.85282492,,,,133,percent of total billed charges,103.7220596,,,,133,percent of total billed charges,999999999,,,,133,percent of total billed charges,101.336859,,,,133,percent of total billed charges,97.85282492,,,,133,percent of total billed charges,103.7220596,,,,94.829,percent of total billed charges,47.32140637,,,,94.829,percent of total billed charges,28.31356463,,,,94.829,percent of total billed charges,47.32140637,,,,94.829,percent of total billed charges,28.31356463,,,,94.829,percent of total billed charges,47.32140637,,,,94.829,percent of total billed charges,28.31356463,,,,93.898,percent of total billed charges,93.18557035,,,,93.898,percent of total billed charges,64.26934928,,,,,,,,,,95.76,percent of total billed charges,62.24174656,,,,,,,,,,95.76,percent of total billed charges,999999999,,,,,,,,,,106.4,percent of total billed charges,89.15766914,,,,105.07,percent of total billed charges,101.3970717,,,,105.07,percent of total billed charges,89.58766923,,,,106.4,percent of total billed charges,999999999,,,,106.4,percent of total billed charges,999999999,,,,93.1,percent of total billed charges,999999999,,,,93.1,percent of total billed charges,999999999,,,,,,,,,,,,,,,,70.756,percent of total billed charges,999999999,,,,,,,,,,,,,,,,67.165,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,33.25,percent of total billed charges,31.57936675,,,,,,,,,,33.25,percent of total billed charges,31.05406547,,,,,,,,,,33.25,percent of total billed charges,30.96776756,,,,,,,,,,33.25,percent of total billed charges,30.51176756,,,,,,,,,,33.25,percent of total billed charges,31.29688019,,,,,,,,,,33.25,percent of total billed charges,999999999,,,,,,,,,,33.25,percent of total billed charges,26.85492713,,,,,,,,,,33.25,percent of total billed charges,42.35207199,,,,,,,,,,33.25,percent of total billed charges,999999999,,,,,,,,,,33.25,percent of total billed charges,28.95617929,,,,,,,,,,119.7,percent of total billed charges,,,,,
**OT EVALUATION,97003,CDM,1013-5015-01,NDC,GO,both,1,EA,515,515,109.6352315,515,515,percent of total billed charges,378.9037957,,,,515,percent of total billed charges,401.6305317,,,,515,percent of total billed charges,378.9037957,,,,515,percent of total billed charges,401.6305317,,,,515,percent of total billed charges,999999999,,,,515,percent of total billed charges,392.3946043,,,,515,percent of total billed charges,378.9037957,,,,515,percent of total billed charges,401.6305317,,,,367.195,percent of total billed charges,183.2370247,,,,367.195,percent of total billed charges,109.6352315,,,,367.195,percent of total billed charges,183.2370247,,,,367.195,percent of total billed charges,109.6352315,,,,367.195,percent of total billed charges,183.2370247,,,,367.195,percent of total billed charges,109.6352315,,,,363.59,percent of total billed charges,360.8313438,,,,363.59,percent of total billed charges,248.8625179,,,,,,,,,,370.8,percent of total billed charges,241.0112743,,,,,,,,,,370.8,percent of total billed charges,999999999,,,,,,,,,,412,percent of total billed charges,345.2345835,,,,406.85,percent of total billed charges,392.6277588,,,,406.85,percent of total billed charges,346.8996214,,,,412,percent of total billed charges,999999999,,,,412,percent of total billed charges,999999999,,,,360.5,percent of total billed charges,999999999,,,,360.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,273.98,percent of total billed charges,999999999,,,,,,,,,,,,,,,,260.075,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,128.75,percent of total billed charges,122.2810066,,,,,,,,,,128.75,percent of total billed charges,120.2469453,,,,,,,,,,128.75,percent of total billed charges,119.9127841,,,,,,,,,,128.75,percent of total billed charges,118.1470699,,,,,,,,,,128.75,percent of total billed charges,121.1871677,,,,,,,,,,128.75,percent of total billed charges,999999999,,,,,,,,,,128.75,percent of total billed charges,103.9871239,,,,,,,,,,128.75,percent of total billed charges,163.9948652,,,,,,,,,,128.75,percent of total billed charges,999999999,,,,,,,,,,128.75,percent of total billed charges,112.1235514,,,,,,,,,,463.5,percent of total billed charges,,,,,
**OT COGNITIVE STND TST INTP DISTINCT,97532,CDM,1013-5015-01,NDC,59,both,1,EA,402,402,85.57934574,402,402,percent of total billed charges,295.7656813,,,,402,percent of total billed charges,313.5057742,,,,402,percent of total billed charges,295.7656813,,,,402,percent of total billed charges,313.5057742,,,,402,percent of total billed charges,999999999,,,,402,percent of total billed charges,306.2963707,,,,402,percent of total billed charges,295.7656813,,,,402,percent of total billed charges,313.5057742,,,,286.626,percent of total billed charges,143.0316193,,,,286.626,percent of total billed charges,85.57934574,,,,286.626,percent of total billed charges,143.0316193,,,,286.626,percent of total billed charges,85.57934574,,,,286.626,percent of total billed charges,143.0316193,,,,286.626,percent of total billed charges,85.57934574,,,,283.812,percent of total billed charges,281.6586412,,,,283.812,percent of total billed charges,194.2577324,,,,,,,,,,289.44,percent of total billed charges,188.1291889,,,,,,,,,,289.44,percent of total billed charges,999999999,,,,,,,,,,321.6,percent of total billed charges,269.4840827,,,,317.58,percent of total billed charges,306.478367,,,,317.58,percent of total billed charges,270.7837822,,,,321.6,percent of total billed charges,999999999,,,,321.6,percent of total billed charges,999999999,,,,281.4,percent of total billed charges,999999999,,,,281.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,213.864,percent of total billed charges,999999999,,,,,,,,,,,,,,,,203.01,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,100.5,percent of total billed charges,95.4504168,,,,,,,,,,100.5,percent of total billed charges,93.86266406,,,,,,,,,,100.5,percent of total billed charges,93.60182374,,,,,,,,,,100.5,percent of total billed charges,92.22353803,,,,,,,,,,100.5,percent of total billed charges,94.59658524,,,,,,,,,,100.5,percent of total billed charges,999999999,,,,,,,,,,100.5,percent of total billed charges,81.17053163,,,,,,,,,,100.5,percent of total billed charges,128.0115259,,,,,,,,,,100.5,percent of total billed charges,999999999,,,,,,,,,,100.5,percent of total billed charges,87.52168477,,,,,,,,,,361.8,percent of total billed charges,,,,,
**OT COGNITIVE STANDARD TEST INTERPRET,97532,CDM,1013-5015-01,NDC,GO,both,1,EA,241,241,51.30503065,241,241,percent of total billed charges,177.3122617,,,,241,percent of total billed charges,187.9474915,,,,241,percent of total billed charges,177.3122617,,,,241,percent of total billed charges,187.9474915,,,,241,percent of total billed charges,999999999,,,,241,percent of total billed charges,183.6254362,,,,241,percent of total billed charges,177.3122617,,,,241,percent of total billed charges,187.9474915,,,,171.833,percent of total billed charges,85.74781155,,,,171.833,percent of total billed charges,51.30503065,,,,171.833,percent of total billed charges,85.74781155,,,,171.833,percent of total billed charges,51.30503065,,,,171.833,percent of total billed charges,85.74781155,,,,171.833,percent of total billed charges,51.30503065,,,,170.146,percent of total billed charges,168.855056,,,,170.146,percent of total billed charges,116.4579938,,,,,,,,,,173.52,percent of total billed charges,112.7839167,,,,,,,,,,173.52,percent of total billed charges,999999999,,,,,,,,,,192.8,percent of total billed charges,161.5563779,,,,190.39,percent of total billed charges,183.7345434,,,,190.39,percent of total billed charges,162.335551,,,,192.8,percent of total billed charges,999999999,,,,192.8,percent of total billed charges,999999999,,,,168.7,percent of total billed charges,999999999,,,,168.7,percent of total billed charges,999999999,,,,,,,,,,,,,,,,128.212,percent of total billed charges,999999999,,,,,,,,,,,,,,,,121.705,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,60.25,percent of total billed charges,57.22276231,,,,,,,,,,60.25,percent of total billed charges,56.2709006,,,,,,,,,,60.25,percent of total billed charges,56.11452617,,,,,,,,,,60.25,percent of total billed charges,55.28824046,,,,,,,,,,60.25,percent of total billed charges,56.71088816,,,,,,,,,,60.25,percent of total billed charges,999999999,,,,,,,,,,60.25,percent of total billed charges,48.66193563,,,,,,,,,,60.25,percent of total billed charges,76.7432282,,,,,,,,,,60.25,percent of total billed charges,999999999,,,,,,,,,,60.25,percent of total billed charges,52.46946774,,,,,,,,,,216.9,percent of total billed charges,,,,,
**OT THERAPEUTIC ACTIVITY 15 MIN DISTINC,97530,CDM,1013-5015-01,NDC,59,both,1,EA,199,199,42.36390498,199,199,percent of total billed charges,146.4113696,,,,199,percent of total billed charges,155.1931569,,,,199,percent of total billed charges,146.4113696,,,,199,percent of total billed charges,155.1931569,,,,199,percent of total billed charges,999999999,,,,199,percent of total billed charges,151.6243228,,,,199,percent of total billed charges,146.4113696,,,,199,percent of total billed charges,155.1931569,,,,141.887,percent of total billed charges,70.80420954,,,,141.887,percent of total billed charges,42.36390498,,,,141.887,percent of total billed charges,70.80420954,,,,141.887,percent of total billed charges,42.36390498,,,,141.887,percent of total billed charges,70.80420954,,,,141.887,percent of total billed charges,42.36390498,,,,140.494,percent of total billed charges,139.4280338,,,,140.494,percent of total billed charges,96.16240982,,,,,,,,,,143.28,percent of total billed charges,93.12862832,,,,,,,,,,143.28,percent of total billed charges,999999999,,,,,,,,,,159.2,percent of total billed charges,133.4013245,,,,157.21,percent of total billed charges,151.7144155,,,,157.21,percent of total billed charges,134.0447081,,,,159.2,percent of total billed charges,999999999,,,,159.2,percent of total billed charges,999999999,,,,139.3,percent of total billed charges,999999999,,,,139.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,105.868,percent of total billed charges,999999999,,,,,,,,,,,,,,,,100.495,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,49.75,percent of total billed charges,47.25033071,,,,,,,,,,49.75,percent of total billed charges,46.4643536,,,,,,,,,,49.75,percent of total billed charges,46.33523116,,,,,,,,,,49.75,percent of total billed charges,45.65294544,,,,,,,,,,49.75,percent of total billed charges,46.82766284,,,,,,,,,,49.75,percent of total billed charges,999999999,,,,,,,,,,49.75,percent of total billed charges,40.18143232,,,,,,,,,,49.75,percent of total billed charges,63.36888967,,,,,,,,,,49.75,percent of total billed charges,999999999,,,,,,,,,,49.75,percent of total billed charges,43.32541112,,,,,,,,,,179.1,percent of total billed charges,,,,,
**OT THERAPUTIC EXERCISE 15 MIN DISTINCT,97110,CDM,1013-5015-01,NDC,59,both,1,EA,199,199,42.36390498,199,199,percent of total billed charges,146.4113696,,,,199,percent of total billed charges,155.1931569,,,,199,percent of total billed charges,146.4113696,,,,199,percent of total billed charges,155.1931569,,,,199,percent of total billed charges,999999999,,,,199,percent of total billed charges,151.6243228,,,,199,percent of total billed charges,146.4113696,,,,199,percent of total billed charges,155.1931569,,,,141.887,percent of total billed charges,70.80420954,,,,141.887,percent of total billed charges,42.36390498,,,,141.887,percent of total billed charges,70.80420954,,,,141.887,percent of total billed charges,42.36390498,,,,141.887,percent of total billed charges,70.80420954,,,,141.887,percent of total billed charges,42.36390498,,,,140.494,percent of total billed charges,139.4280338,,,,140.494,percent of total billed charges,96.16240982,,,,,,,,,,143.28,percent of total billed charges,93.12862832,,,,,,,,,,143.28,percent of total billed charges,999999999,,,,,,,,,,159.2,percent of total billed charges,133.4013245,,,,157.21,percent of total billed charges,151.7144155,,,,157.21,percent of total billed charges,134.0447081,,,,159.2,percent of total billed charges,999999999,,,,159.2,percent of total billed charges,999999999,,,,139.3,percent of total billed charges,999999999,,,,139.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,105.868,percent of total billed charges,999999999,,,,,,,,,,,,,,,,100.495,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,49.75,percent of total billed charges,47.25033071,,,,,,,,,,49.75,percent of total billed charges,46.4643536,,,,,,,,,,49.75,percent of total billed charges,46.33523116,,,,,,,,,,49.75,percent of total billed charges,45.65294544,,,,,,,,,,49.75,percent of total billed charges,46.82766284,,,,,,,,,,49.75,percent of total billed charges,999999999,,,,,,,,,,49.75,percent of total billed charges,40.18143232,,,,,,,,,,49.75,percent of total billed charges,63.36888967,,,,,,,,,,49.75,percent of total billed charges,999999999,,,,,,,,,,49.75,percent of total billed charges,43.32541112,,,,,,,,,,179.1,percent of total billed charges,,,,,
**OT NEUROMUSCU REEDUCAT 15 MIN DISTINCT,97112,CDM,1013-5015-01,NDC,"G5 , 9",both,1,EA,199,199,42.36390498,199,199,percent of total billed charges,146.4113696,,,,199,percent of total billed charges,155.1931569,,,,199,percent of total billed charges,146.4113696,,,,199,percent of total billed charges,155.1931569,,,,199,percent of total billed charges,999999999,,,,199,percent of total billed charges,151.6243228,,,,199,percent of total billed charges,146.4113696,,,,199,percent of total billed charges,155.1931569,,,,141.887,percent of total billed charges,70.80420954,,,,141.887,percent of total billed charges,42.36390498,,,,141.887,percent of total billed charges,70.80420954,,,,141.887,percent of total billed charges,42.36390498,,,,141.887,percent of total billed charges,70.80420954,,,,141.887,percent of total billed charges,42.36390498,,,,140.494,percent of total billed charges,139.4280338,,,,140.494,percent of total billed charges,96.16240982,,,,,,,,,,143.28,percent of total billed charges,93.12862832,,,,,,,,,,143.28,percent of total billed charges,999999999,,,,,,,,,,159.2,percent of total billed charges,133.4013245,,,,157.21,percent of total billed charges,151.7144155,,,,157.21,percent of total billed charges,134.0447081,,,,159.2,percent of total billed charges,999999999,,,,159.2,percent of total billed charges,999999999,,,,139.3,percent of total billed charges,999999999,,,,139.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,105.868,percent of total billed charges,999999999,,,,,,,,,,,,,,,,100.495,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,49.75,percent of total billed charges,47.25033071,,,,,,,,,,49.75,percent of total billed charges,46.4643536,,,,,,,,,,49.75,percent of total billed charges,46.33523116,,,,,,,,,,49.75,percent of total billed charges,45.65294544,,,,,,,,,,49.75,percent of total billed charges,46.82766284,,,,,,,,,,49.75,percent of total billed charges,999999999,,,,,,,,,,49.75,percent of total billed charges,40.18143232,,,,,,,,,,49.75,percent of total billed charges,63.36888967,,,,,,,,,,49.75,percent of total billed charges,999999999,,,,,,,,,,49.75,percent of total billed charges,43.32541112,,,,,,,,,,179.1,percent of total billed charges,,,,,
**OT GROUP THERAPY DISTINCT,97150,CDM,1013-5015-01,NDC,59,both,1,EA,284,284,60.45904027,284,284,percent of total billed charges,208.9488893,,,,284,percent of total billed charges,221.4816912,,,,284,percent of total billed charges,208.9488893,,,,284,percent of total billed charges,221.4816912,,,,284,percent of total billed charges,999999999,,,,284,percent of total billed charges,216.3884808,,,,284,percent of total billed charges,208.9488893,,,,284,percent of total billed charges,221.4816912,,,,202.492,percent of total billed charges,101.0472136,,,,202.492,percent of total billed charges,60.45904027,,,,202.492,percent of total billed charges,101.0472136,,,,202.492,percent of total billed charges,60.45904027,,,,202.492,percent of total billed charges,101.0472136,,,,202.492,percent of total billed charges,60.45904027,,,,200.504,percent of total billed charges,198.9827216,,,,200.504,percent of total billed charges,137.236806,,,,,,,,,,204.48,percent of total billed charges,132.9071882,,,,,,,,,,204.48,percent of total billed charges,999999999,,,,,,,,,,227.2,percent of total billed charges,190.3817897,,,,224.36,percent of total billed charges,216.5170553,,,,224.36,percent of total billed charges,191.2999854,,,,227.2,percent of total billed charges,999999999,,,,227.2,percent of total billed charges,999999999,,,,198.8,percent of total billed charges,999999999,,,,198.8,percent of total billed charges,999999999,,,,,,,,,,,,,,,,151.088,percent of total billed charges,999999999,,,,,,,,,,,,,,,,143.42,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,71,percent of total billed charges,67.43263276,,,,,,,,,,71,percent of total billed charges,66.3109368,,,,,,,,,,71,percent of total billed charges,66.12666155,,,,,,,,,,71,percent of total billed charges,65.15294726,,,,,,,,,,71,percent of total billed charges,66.82942838,,,,,,,,,,71,percent of total billed charges,999999999,,,,,,,,,,71,percent of total billed charges,57.34435568,,,,,,,,,,71,percent of total billed charges,90.43600335,,,,,,,,,,71,percent of total billed charges,999999999,,,,,,,,,,71,percent of total billed charges,61.83123999,,,,,,,,,,255.6,percent of total billed charges,,,,,
**OT E STIM UNATTENDED NOT WOUND,G0283,CDM,1013-5015-01,NDC,GO,both,1,EA,196,196,41.72525315,196,196,percent of total billed charges,144.204163,,,,196,percent of total billed charges,152.8535616,,,,196,percent of total billed charges,144.204163,,,,196,percent of total billed charges,152.8535616,,,,196,percent of total billed charges,999999999,,,,196,percent of total billed charges,149.338529,,,,196,percent of total billed charges,144.204163,,,,196,percent of total billed charges,152.8535616,,,,139.748,percent of total billed charges,69.73680939,,,,139.748,percent of total billed charges,41.72525315,,,,139.748,percent of total billed charges,69.73680939,,,,139.748,percent of total billed charges,41.72525315,,,,139.748,percent of total billed charges,69.73680939,,,,139.748,percent of total billed charges,41.72525315,,,,138.376,percent of total billed charges,137.3261037,,,,138.376,percent of total billed charges,94.71272525,,,,,,,,,,141.12,percent of total billed charges,91.72467915,,,,,,,,,,141.12,percent of total billed charges,999999999,,,,,,,,,,156.8,percent of total billed charges,131.3902493,,,,154.84,percent of total billed charges,149.4272635,,,,154.84,percent of total billed charges,132.0239336,,,,156.8,percent of total billed charges,999999999,,,,156.8,percent of total billed charges,999999999,,,,137.2,percent of total billed charges,999999999,,,,137.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,104.272,percent of total billed charges,999999999,,,,,,,,,,,,,,,,98.98,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,49,percent of total billed charges,46.53801416,,,,,,,,,,49,percent of total billed charges,45.76388596,,,,,,,,,,49,percent of total billed charges,45.63671008,,,,,,,,,,49,percent of total billed charges,44.96471008,,,,,,,,,,49,percent of total billed charges,46.12171817,,,,,,,,,,49,percent of total billed charges,999999999,,,,,,,,,,49,percent of total billed charges,39.57568209,,,,,,,,,,49,percent of total billed charges,62.41357978,,,,,,,,,,49,percent of total billed charges,999999999,,,,,,,,,,49,percent of total billed charges,42.67226422,,,,,,,,,,176.4,percent of total billed charges,,,,,
**PT MOBILITY (CURRENT) CJ,G8978,CDM,1013-5015-01,NDC,"CJ , GP",both,1,EA,9,9,1.915955502,9,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,9,percent of total billed charges,999999999,,,,9,percent of total billed charges,6.857381434,,,,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.354,percent of total billed charges,6.305790475,,,,6.354,percent of total billed charges,4.34905371,,,,,,,,,,6.48,percent of total billed charges,4.211847512,,,,,,,,,,6.48,percent of total billed charges,999999999,,,,,,,,,,7.2,percent of total billed charges,6.033225731,,,,7.11,percent of total billed charges,6.861455978,,,,7.11,percent of total billed charges,6.062323481,,,,7.2,percent of total billed charges,999999999,,,,7.2,percent of total billed charges,999999999,,,,6.3,percent of total billed charges,999999999,,,,6.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.788,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.545,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.25,percent of total billed charges,2.13694963,,,,,,,,,,2.25,percent of total billed charges,2.101402927,,,,,,,,,,2.25,percent of total billed charges,2.095563218,,,,,,,,,,2.25,percent of total billed charges,2.064706075,,,,,,,,,,2.25,percent of total billed charges,2.117833998,,,,,,,,,,2.25,percent of total billed charges,999999999,,,,,,,,,,2.25,percent of total billed charges,1.817250708,,,,,,,,,,2.25,percent of total billed charges,2.865929684,,,,,,,,,,2.25,percent of total billed charges,999999999,,,,,,,,,,2.25,percent of total billed charges,1.959440704,,,,,,,,,,8.1,percent of total billed charges,,,,,
**PT MOBILITY (GOAL) CI,G8979,CDM,1013-5015-01,NDC,"CI , GP",both,1,EA,9,9,1.915955502,9,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,9,percent of total billed charges,999999999,,,,9,percent of total billed charges,6.857381434,,,,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.354,percent of total billed charges,6.305790475,,,,6.354,percent of total billed charges,4.34905371,,,,,,,,,,6.48,percent of total billed charges,4.211847512,,,,,,,,,,6.48,percent of total billed charges,999999999,,,,,,,,,,7.2,percent of total billed charges,6.033225731,,,,7.11,percent of total billed charges,6.861455978,,,,7.11,percent of total billed charges,6.062323481,,,,7.2,percent of total billed charges,999999999,,,,7.2,percent of total billed charges,999999999,,,,6.3,percent of total billed charges,999999999,,,,6.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.788,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.545,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.25,percent of total billed charges,2.13694963,,,,,,,,,,2.25,percent of total billed charges,2.101402927,,,,,,,,,,2.25,percent of total billed charges,2.095563218,,,,,,,,,,2.25,percent of total billed charges,2.064706075,,,,,,,,,,2.25,percent of total billed charges,2.117833998,,,,,,,,,,2.25,percent of total billed charges,999999999,,,,,,,,,,2.25,percent of total billed charges,1.817250708,,,,,,,,,,2.25,percent of total billed charges,2.865929684,,,,,,,,,,2.25,percent of total billed charges,999999999,,,,,,,,,,2.25,percent of total billed charges,1.959440704,,,,,,,,,,8.1,percent of total billed charges,,,,,
**PT MOBILITY (DC) CI,G8980,CDM,1013-5015-01,NDC,"CI , GP",both,1,EA,9,9,1.915955502,9,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,9,percent of total billed charges,999999999,,,,9,percent of total billed charges,6.857381434,,,,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.354,percent of total billed charges,6.305790475,,,,6.354,percent of total billed charges,4.34905371,,,,,,,,,,6.48,percent of total billed charges,4.211847512,,,,,,,,,,6.48,percent of total billed charges,999999999,,,,,,,,,,7.2,percent of total billed charges,6.033225731,,,,7.11,percent of total billed charges,6.861455978,,,,7.11,percent of total billed charges,6.062323481,,,,7.2,percent of total billed charges,999999999,,,,7.2,percent of total billed charges,999999999,,,,6.3,percent of total billed charges,999999999,,,,6.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.788,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.545,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.25,percent of total billed charges,2.13694963,,,,,,,,,,2.25,percent of total billed charges,2.101402927,,,,,,,,,,2.25,percent of total billed charges,2.095563218,,,,,,,,,,2.25,percent of total billed charges,2.064706075,,,,,,,,,,2.25,percent of total billed charges,2.117833998,,,,,,,,,,2.25,percent of total billed charges,999999999,,,,,,,,,,2.25,percent of total billed charges,1.817250708,,,,,,,,,,2.25,percent of total billed charges,2.865929684,,,,,,,,,,2.25,percent of total billed charges,999999999,,,,,,,,,,2.25,percent of total billed charges,1.959440704,,,,,,,,,,8.1,percent of total billed charges,,,,,
**PT SELF CARE (CURRENT) CK,G8987,CDM,1013-5015-01,NDC,"CK , GP",both,1,EA,9,9,1.915955502,9,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,9,percent of total billed charges,999999999,,,,9,percent of total billed charges,6.857381434,,,,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.354,percent of total billed charges,6.305790475,,,,6.354,percent of total billed charges,4.34905371,,,,,,,,,,6.48,percent of total billed charges,4.211847512,,,,,,,,,,6.48,percent of total billed charges,999999999,,,,,,,,,,7.2,percent of total billed charges,6.033225731,,,,7.11,percent of total billed charges,6.861455978,,,,7.11,percent of total billed charges,6.062323481,,,,7.2,percent of total billed charges,999999999,,,,7.2,percent of total billed charges,999999999,,,,6.3,percent of total billed charges,999999999,,,,6.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.788,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.545,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.25,percent of total billed charges,2.13694963,,,,,,,,,,2.25,percent of total billed charges,2.101402927,,,,,,,,,,2.25,percent of total billed charges,2.095563218,,,,,,,,,,2.25,percent of total billed charges,2.064706075,,,,,,,,,,2.25,percent of total billed charges,2.117833998,,,,,,,,,,2.25,percent of total billed charges,999999999,,,,,,,,,,2.25,percent of total billed charges,1.817250708,,,,,,,,,,2.25,percent of total billed charges,2.865929684,,,,,,,,,,2.25,percent of total billed charges,999999999,,,,,,,,,,2.25,percent of total billed charges,1.959440704,,,,,,,,,,8.1,percent of total billed charges,,,,,
**PT SELF CARE (GOAL) CJ,G8988,CDM,1013-5015-01,NDC,"CJ , GP",both,1,EA,9,9,1.915955502,9,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,9,percent of total billed charges,999999999,,,,9,percent of total billed charges,6.857381434,,,,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.354,percent of total billed charges,6.305790475,,,,6.354,percent of total billed charges,4.34905371,,,,,,,,,,6.48,percent of total billed charges,4.211847512,,,,,,,,,,6.48,percent of total billed charges,999999999,,,,,,,,,,7.2,percent of total billed charges,6.033225731,,,,7.11,percent of total billed charges,6.861455978,,,,7.11,percent of total billed charges,6.062323481,,,,7.2,percent of total billed charges,999999999,,,,7.2,percent of total billed charges,999999999,,,,6.3,percent of total billed charges,999999999,,,,6.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.788,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.545,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.25,percent of total billed charges,2.13694963,,,,,,,,,,2.25,percent of total billed charges,2.101402927,,,,,,,,,,2.25,percent of total billed charges,2.095563218,,,,,,,,,,2.25,percent of total billed charges,2.064706075,,,,,,,,,,2.25,percent of total billed charges,2.117833998,,,,,,,,,,2.25,percent of total billed charges,999999999,,,,,,,,,,2.25,percent of total billed charges,1.817250708,,,,,,,,,,2.25,percent of total billed charges,2.865929684,,,,,,,,,,2.25,percent of total billed charges,999999999,,,,,,,,,,2.25,percent of total billed charges,1.959440704,,,,,,,,,,8.1,percent of total billed charges,,,,,
**PT SELF CARE (DC) CJ,G8989,CDM,1013-5015-01,NDC,"CJ , GP",both,1,EA,9,9,1.915955502,9,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,9,percent of total billed charges,999999999,,,,9,percent of total billed charges,6.857381434,,,,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.354,percent of total billed charges,6.305790475,,,,6.354,percent of total billed charges,4.34905371,,,,,,,,,,6.48,percent of total billed charges,4.211847512,,,,,,,,,,6.48,percent of total billed charges,999999999,,,,,,,,,,7.2,percent of total billed charges,6.033225731,,,,7.11,percent of total billed charges,6.861455978,,,,7.11,percent of total billed charges,6.062323481,,,,7.2,percent of total billed charges,999999999,,,,7.2,percent of total billed charges,999999999,,,,6.3,percent of total billed charges,999999999,,,,6.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.788,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.545,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.25,percent of total billed charges,2.13694963,,,,,,,,,,2.25,percent of total billed charges,2.101402927,,,,,,,,,,2.25,percent of total billed charges,2.095563218,,,,,,,,,,2.25,percent of total billed charges,2.064706075,,,,,,,,,,2.25,percent of total billed charges,2.117833998,,,,,,,,,,2.25,percent of total billed charges,999999999,,,,,,,,,,2.25,percent of total billed charges,1.817250708,,,,,,,,,,2.25,percent of total billed charges,2.865929684,,,,,,,,,,2.25,percent of total billed charges,999999999,,,,,,,,,,2.25,percent of total billed charges,1.959440704,,,,,,,,,,8.1,percent of total billed charges,,,,,
**PT MOBILITY (CURRENT) CI,G8978,CDM,1013-5015-01,NDC,"CI , GP",both,1,EA,9,9,1.915955502,9,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,9,percent of total billed charges,999999999,,,,9,percent of total billed charges,6.857381434,,,,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.354,percent of total billed charges,6.305790475,,,,6.354,percent of total billed charges,4.34905371,,,,,,,,,,6.48,percent of total billed charges,4.211847512,,,,,,,,,,6.48,percent of total billed charges,999999999,,,,,,,,,,7.2,percent of total billed charges,6.033225731,,,,7.11,percent of total billed charges,6.861455978,,,,7.11,percent of total billed charges,6.062323481,,,,7.2,percent of total billed charges,999999999,,,,7.2,percent of total billed charges,999999999,,,,6.3,percent of total billed charges,999999999,,,,6.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.788,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.545,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.25,percent of total billed charges,2.13694963,,,,,,,,,,2.25,percent of total billed charges,2.101402927,,,,,,,,,,2.25,percent of total billed charges,2.095563218,,,,,,,,,,2.25,percent of total billed charges,2.064706075,,,,,,,,,,2.25,percent of total billed charges,2.117833998,,,,,,,,,,2.25,percent of total billed charges,999999999,,,,,,,,,,2.25,percent of total billed charges,1.817250708,,,,,,,,,,2.25,percent of total billed charges,2.865929684,,,,,,,,,,2.25,percent of total billed charges,999999999,,,,,,,,,,2.25,percent of total billed charges,1.959440704,,,,,,,,,,8.1,percent of total billed charges,,,,,
**PT MOBILITY (GOAL) CH,G8979,CDM,1013-5015-01,NDC,"CH , GP",both,1,EA,9,9,1.915955502,9,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,9,percent of total billed charges,999999999,,,,9,percent of total billed charges,6.857381434,,,,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.354,percent of total billed charges,6.305790475,,,,6.354,percent of total billed charges,4.34905371,,,,,,,,,,6.48,percent of total billed charges,4.211847512,,,,,,,,,,6.48,percent of total billed charges,999999999,,,,,,,,,,7.2,percent of total billed charges,6.033225731,,,,7.11,percent of total billed charges,6.861455978,,,,7.11,percent of total billed charges,6.062323481,,,,7.2,percent of total billed charges,999999999,,,,7.2,percent of total billed charges,999999999,,,,6.3,percent of total billed charges,999999999,,,,6.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.788,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.545,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.25,percent of total billed charges,2.13694963,,,,,,,,,,2.25,percent of total billed charges,2.101402927,,,,,,,,,,2.25,percent of total billed charges,2.095563218,,,,,,,,,,2.25,percent of total billed charges,2.064706075,,,,,,,,,,2.25,percent of total billed charges,2.117833998,,,,,,,,,,2.25,percent of total billed charges,999999999,,,,,,,,,,2.25,percent of total billed charges,1.817250708,,,,,,,,,,2.25,percent of total billed charges,2.865929684,,,,,,,,,,2.25,percent of total billed charges,999999999,,,,,,,,,,2.25,percent of total billed charges,1.959440704,,,,,,,,,,8.1,percent of total billed charges,,,,,
**PT SELF CARE (GOAL) CI,G8988,CDM,1013-5015-01,NDC,"CI , GP",both,1,EA,9,9,1.915955502,9,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,9,percent of total billed charges,999999999,,,,9,percent of total billed charges,6.857381434,,,,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.354,percent of total billed charges,6.305790475,,,,6.354,percent of total billed charges,4.34905371,,,,,,,,,,6.48,percent of total billed charges,4.211847512,,,,,,,,,,6.48,percent of total billed charges,999999999,,,,,,,,,,7.2,percent of total billed charges,6.033225731,,,,7.11,percent of total billed charges,6.861455978,,,,7.11,percent of total billed charges,6.062323481,,,,7.2,percent of total billed charges,999999999,,,,7.2,percent of total billed charges,999999999,,,,6.3,percent of total billed charges,999999999,,,,6.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.788,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.545,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.25,percent of total billed charges,2.13694963,,,,,,,,,,2.25,percent of total billed charges,2.101402927,,,,,,,,,,2.25,percent of total billed charges,2.095563218,,,,,,,,,,2.25,percent of total billed charges,2.064706075,,,,,,,,,,2.25,percent of total billed charges,2.117833998,,,,,,,,,,2.25,percent of total billed charges,999999999,,,,,,,,,,2.25,percent of total billed charges,1.817250708,,,,,,,,,,2.25,percent of total billed charges,2.865929684,,,,,,,,,,2.25,percent of total billed charges,999999999,,,,,,,,,,2.25,percent of total billed charges,1.959440704,,,,,,,,,,8.1,percent of total billed charges,,,,,
**PT MOBILITY (CURRENT) CH,G8978,CDM,1013-5015-01,NDC,"CH , GP",both,1,EA,9,9,1.915955502,9,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,9,percent of total billed charges,999999999,,,,9,percent of total billed charges,6.857381434,,,,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.354,percent of total billed charges,6.305790475,,,,6.354,percent of total billed charges,4.34905371,,,,,,,,,,6.48,percent of total billed charges,4.211847512,,,,,,,,,,6.48,percent of total billed charges,999999999,,,,,,,,,,7.2,percent of total billed charges,6.033225731,,,,7.11,percent of total billed charges,6.861455978,,,,7.11,percent of total billed charges,6.062323481,,,,7.2,percent of total billed charges,999999999,,,,7.2,percent of total billed charges,999999999,,,,6.3,percent of total billed charges,999999999,,,,6.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.788,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.545,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.25,percent of total billed charges,2.13694963,,,,,,,,,,2.25,percent of total billed charges,2.101402927,,,,,,,,,,2.25,percent of total billed charges,2.095563218,,,,,,,,,,2.25,percent of total billed charges,2.064706075,,,,,,,,,,2.25,percent of total billed charges,2.117833998,,,,,,,,,,2.25,percent of total billed charges,999999999,,,,,,,,,,2.25,percent of total billed charges,1.817250708,,,,,,,,,,2.25,percent of total billed charges,2.865929684,,,,,,,,,,2.25,percent of total billed charges,999999999,,,,,,,,,,2.25,percent of total billed charges,1.959440704,,,,,,,,,,8.1,percent of total billed charges,,,,,
**OT SELF CARE (CURRENT) CK,G8987,CDM,1013-5015-01,NDC,"CK , GO",both,1,EA,9,9,1.915955502,9,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,9,percent of total billed charges,999999999,,,,9,percent of total billed charges,6.857381434,,,,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.354,percent of total billed charges,6.305790475,,,,6.354,percent of total billed charges,4.34905371,,,,,,,,,,6.48,percent of total billed charges,4.211847512,,,,,,,,,,6.48,percent of total billed charges,999999999,,,,,,,,,,7.2,percent of total billed charges,6.033225731,,,,7.11,percent of total billed charges,6.861455978,,,,7.11,percent of total billed charges,6.062323481,,,,7.2,percent of total billed charges,999999999,,,,7.2,percent of total billed charges,999999999,,,,6.3,percent of total billed charges,999999999,,,,6.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.788,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.545,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.25,percent of total billed charges,2.13694963,,,,,,,,,,2.25,percent of total billed charges,2.101402927,,,,,,,,,,2.25,percent of total billed charges,2.095563218,,,,,,,,,,2.25,percent of total billed charges,2.064706075,,,,,,,,,,2.25,percent of total billed charges,2.117833998,,,,,,,,,,2.25,percent of total billed charges,999999999,,,,,,,,,,2.25,percent of total billed charges,1.817250708,,,,,,,,,,2.25,percent of total billed charges,2.865929684,,,,,,,,,,2.25,percent of total billed charges,999999999,,,,,,,,,,2.25,percent of total billed charges,1.959440704,,,,,,,,,,8.1,percent of total billed charges,,,,,
**OT SELF CARE (CURRENT) CM,G8987,CDM,1013-5015-01,NDC,"CM , GO",both,1,EA,9,9,1.915955502,9,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,9,percent of total billed charges,999999999,,,,9,percent of total billed charges,6.857381434,,,,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.354,percent of total billed charges,6.305790475,,,,6.354,percent of total billed charges,4.34905371,,,,,,,,,,6.48,percent of total billed charges,4.211847512,,,,,,,,,,6.48,percent of total billed charges,999999999,,,,,,,,,,7.2,percent of total billed charges,6.033225731,,,,7.11,percent of total billed charges,6.861455978,,,,7.11,percent of total billed charges,6.062323481,,,,7.2,percent of total billed charges,999999999,,,,7.2,percent of total billed charges,999999999,,,,6.3,percent of total billed charges,999999999,,,,6.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.788,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.545,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.25,percent of total billed charges,2.13694963,,,,,,,,,,2.25,percent of total billed charges,2.101402927,,,,,,,,,,2.25,percent of total billed charges,2.095563218,,,,,,,,,,2.25,percent of total billed charges,2.064706075,,,,,,,,,,2.25,percent of total billed charges,2.117833998,,,,,,,,,,2.25,percent of total billed charges,999999999,,,,,,,,,,2.25,percent of total billed charges,1.817250708,,,,,,,,,,2.25,percent of total billed charges,2.865929684,,,,,,,,,,2.25,percent of total billed charges,999999999,,,,,,,,,,2.25,percent of total billed charges,1.959440704,,,,,,,,,,8.1,percent of total billed charges,,,,,
**OT SELF CARE (CURRENT) CJ,G8987,CDM,1013-5015-01,NDC,"CJ , GO",both,1,EA,9,9,1.915955502,9,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,9,percent of total billed charges,999999999,,,,9,percent of total billed charges,6.857381434,,,,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.354,percent of total billed charges,6.305790475,,,,6.354,percent of total billed charges,4.34905371,,,,,,,,,,6.48,percent of total billed charges,4.211847512,,,,,,,,,,6.48,percent of total billed charges,999999999,,,,,,,,,,7.2,percent of total billed charges,6.033225731,,,,7.11,percent of total billed charges,6.861455978,,,,7.11,percent of total billed charges,6.062323481,,,,7.2,percent of total billed charges,999999999,,,,7.2,percent of total billed charges,999999999,,,,6.3,percent of total billed charges,999999999,,,,6.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.788,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.545,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.25,percent of total billed charges,2.13694963,,,,,,,,,,2.25,percent of total billed charges,2.101402927,,,,,,,,,,2.25,percent of total billed charges,2.095563218,,,,,,,,,,2.25,percent of total billed charges,2.064706075,,,,,,,,,,2.25,percent of total billed charges,2.117833998,,,,,,,,,,2.25,percent of total billed charges,999999999,,,,,,,,,,2.25,percent of total billed charges,1.817250708,,,,,,,,,,2.25,percent of total billed charges,2.865929684,,,,,,,,,,2.25,percent of total billed charges,999999999,,,,,,,,,,2.25,percent of total billed charges,1.959440704,,,,,,,,,,8.1,percent of total billed charges,,,,,
**OT SELF CARE (GOAL) CI,G8988,CDM,1013-5015-01,NDC,"CI , GO",both,1,EA,9,9,1.915955502,9,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,9,percent of total billed charges,999999999,,,,9,percent of total billed charges,6.857381434,,,,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.354,percent of total billed charges,6.305790475,,,,6.354,percent of total billed charges,4.34905371,,,,,,,,,,6.48,percent of total billed charges,4.211847512,,,,,,,,,,6.48,percent of total billed charges,999999999,,,,,,,,,,7.2,percent of total billed charges,6.033225731,,,,7.11,percent of total billed charges,6.861455978,,,,7.11,percent of total billed charges,6.062323481,,,,7.2,percent of total billed charges,999999999,,,,7.2,percent of total billed charges,999999999,,,,6.3,percent of total billed charges,999999999,,,,6.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.788,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.545,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.25,percent of total billed charges,2.13694963,,,,,,,,,,2.25,percent of total billed charges,2.101402927,,,,,,,,,,2.25,percent of total billed charges,2.095563218,,,,,,,,,,2.25,percent of total billed charges,2.064706075,,,,,,,,,,2.25,percent of total billed charges,2.117833998,,,,,,,,,,2.25,percent of total billed charges,999999999,,,,,,,,,,2.25,percent of total billed charges,1.817250708,,,,,,,,,,2.25,percent of total billed charges,2.865929684,,,,,,,,,,2.25,percent of total billed charges,999999999,,,,,,,,,,2.25,percent of total billed charges,1.959440704,,,,,,,,,,8.1,percent of total billed charges,,,,,
**OT SELF CARE (DC) CJ,G8989,CDM,1013-5015-01,NDC,"CJ , GO",both,1,EA,9,9,1.915955502,9,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,9,percent of total billed charges,999999999,,,,9,percent of total billed charges,6.857381434,,,,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.354,percent of total billed charges,6.305790475,,,,6.354,percent of total billed charges,4.34905371,,,,,,,,,,6.48,percent of total billed charges,4.211847512,,,,,,,,,,6.48,percent of total billed charges,999999999,,,,,,,,,,7.2,percent of total billed charges,6.033225731,,,,7.11,percent of total billed charges,6.861455978,,,,7.11,percent of total billed charges,6.062323481,,,,7.2,percent of total billed charges,999999999,,,,7.2,percent of total billed charges,999999999,,,,6.3,percent of total billed charges,999999999,,,,6.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.788,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.545,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.25,percent of total billed charges,2.13694963,,,,,,,,,,2.25,percent of total billed charges,2.101402927,,,,,,,,,,2.25,percent of total billed charges,2.095563218,,,,,,,,,,2.25,percent of total billed charges,2.064706075,,,,,,,,,,2.25,percent of total billed charges,2.117833998,,,,,,,,,,2.25,percent of total billed charges,999999999,,,,,,,,,,2.25,percent of total billed charges,1.817250708,,,,,,,,,,2.25,percent of total billed charges,2.865929684,,,,,,,,,,2.25,percent of total billed charges,999999999,,,,,,,,,,2.25,percent of total billed charges,1.959440704,,,,,,,,,,8.1,percent of total billed charges,,,,,
**PT MOBILITY (GOAL) CH,G8979,CDM,1013-5015-01,NDC,"CH , GP",both,1,EA,9,9,1.915955502,9,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,9,percent of total billed charges,999999999,,,,9,percent of total billed charges,6.857381434,,,,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.354,percent of total billed charges,6.305790475,,,,6.354,percent of total billed charges,4.34905371,,,,,,,,,,6.48,percent of total billed charges,4.211847512,,,,,,,,,,6.48,percent of total billed charges,999999999,,,,,,,,,,7.2,percent of total billed charges,6.033225731,,,,7.11,percent of total billed charges,6.861455978,,,,7.11,percent of total billed charges,6.062323481,,,,7.2,percent of total billed charges,999999999,,,,7.2,percent of total billed charges,999999999,,,,6.3,percent of total billed charges,999999999,,,,6.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.788,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.545,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.25,percent of total billed charges,2.13694963,,,,,,,,,,2.25,percent of total billed charges,2.101402927,,,,,,,,,,2.25,percent of total billed charges,2.095563218,,,,,,,,,,2.25,percent of total billed charges,2.064706075,,,,,,,,,,2.25,percent of total billed charges,2.117833998,,,,,,,,,,2.25,percent of total billed charges,999999999,,,,,,,,,,2.25,percent of total billed charges,1.817250708,,,,,,,,,,2.25,percent of total billed charges,2.865929684,,,,,,,,,,2.25,percent of total billed charges,999999999,,,,,,,,,,2.25,percent of total billed charges,1.959440704,,,,,,,,,,8.1,percent of total billed charges,,,,,
**PT MOBILITY (DC) CH,G8980,CDM,1013-5015-01,NDC,"CH , GP",both,1,EA,9,9,1.915955502,9,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,9,percent of total billed charges,999999999,,,,9,percent of total billed charges,6.857381434,,,,9,percent of total billed charges,6.621619731,,,,9,percent of total billed charges,7.01878599,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.417,percent of total billed charges,3.202200431,,,,6.417,percent of total billed charges,1.915955502,,,,6.354,percent of total billed charges,6.305790475,,,,6.354,percent of total billed charges,4.34905371,,,,,,,,,,6.48,percent of total billed charges,4.211847512,,,,,,,,,,6.48,percent of total billed charges,999999999,,,,,,,,,,7.2,percent of total billed charges,6.033225731,,,,7.11,percent of total billed charges,6.861455978,,,,7.11,percent of total billed charges,6.062323481,,,,7.2,percent of total billed charges,999999999,,,,7.2,percent of total billed charges,999999999,,,,6.3,percent of total billed charges,999999999,,,,6.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.788,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.545,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2.25,percent of total billed charges,2.13694963,,,,,,,,,,2.25,percent of total billed charges,2.101402927,,,,,,,,,,2.25,percent of total billed charges,2.095563218,,,,,,,,,,2.25,percent of total billed charges,2.064706075,,,,,,,,,,2.25,percent of total billed charges,2.117833998,,,,,,,,,,2.25,percent of total billed charges,999999999,,,,,,,,,,2.25,percent of total billed charges,1.817250708,,,,,,,,,,2.25,percent of total billed charges,2.865929684,,,,,,,,,,2.25,percent of total billed charges,999999999,,,,,,,,,,2.25,percent of total billed charges,1.959440704,,,,,,,,,,8.1,percent of total billed charges,,,,,
COLOSTOMY SKIN PREP WIPES,272,RC,1013-5015-01,NDC,,both,1,EA,12,12,2.554607335,12,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,12,percent of total billed charges,999999999,,,,12,percent of total billed charges,9.143175245,,,,12,percent of total billed charges,8.828826309,,,,12,percent of total billed charges,9.35838132,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.556,percent of total billed charges,4.269600575,,,,8.556,percent of total billed charges,2.554607335,,,,8.472,percent of total billed charges,8.407720633,,,,8.472,percent of total billed charges,5.79873828,,,,,,,,,,8.64,percent of total billed charges,5.615796683,,,,,,,,,,8.64,percent of total billed charges,999999999,,,,,,,,,,9.6,percent of total billed charges,8.044300975,,,,9.48,percent of total billed charges,9.148607971,,,,9.48,percent of total billed charges,8.083097975,,,,9.6,percent of total billed charges,999999999,,,,9.6,percent of total billed charges,999999999,,,,8.4,percent of total billed charges,999999999,,,,8.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.384,percent of total billed charges,999999999,,,,,,,,,,,,,,,,6.06,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3,percent of total billed charges,2.849266173,,,,,,,,,,3,percent of total billed charges,2.801870569,,,,,,,,,,3,percent of total billed charges,2.794084291,,,,,,,,,,3,percent of total billed charges,2.752941434,,,,,,,,,,3,percent of total billed charges,2.823778664,,,,,,,,,,3,percent of total billed charges,999999999,,,,,,,,,,3,percent of total billed charges,2.423000944,,,,,,,,,,3,percent of total billed charges,3.821239578,,,,,,,,,,3,percent of total billed charges,999999999,,,,,,,,,,3,percent of total billed charges,2.612587605,,,,,,,,,,10.8,percent of total billed charges,,,,,
**SMOOTH MUSCLE ANTIBODY(*),86015,CDM,1013-5015-01,NDC,,both,1,EA,269,269,57.2657811,269,269,percent of total billed charges,197.9128564,,,,269,percent of total billed charges,209.7837146,,,,269,percent of total billed charges,197.9128564,,,,269,percent of total billed charges,209.7837146,,,,269,percent of total billed charges,999999999,,,,269,percent of total billed charges,204.9595117,,,,269,percent of total billed charges,197.9128564,,,,269,percent of total billed charges,209.7837146,,,,191.797,percent of total billed charges,95.71021289,,,,191.797,percent of total billed charges,57.2657811,,,,191.797,percent of total billed charges,95.71021289,,,,191.797,percent of total billed charges,57.2657811,,,,191.797,percent of total billed charges,95.71021289,,,,191.797,percent of total billed charges,57.2657811,,,,189.914,percent of total billed charges,188.4730709,,,,189.914,percent of total billed charges,129.9883831,,,,,,,,,,193.68,percent of total billed charges,125.8874423,,,,,,,,,,193.68,percent of total billed charges,999999999,,,,,,,,,,215.2,percent of total billed charges,180.3264135,,,,212.51,percent of total billed charges,205.0812953,,,,212.51,percent of total billed charges,181.1961129,,,,215.2,percent of total billed charges,999999999,,,,215.2,percent of total billed charges,999999999,,,,188.3,percent of total billed charges,999999999,,,,188.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,143.108,percent of total billed charges,999999999,,,,,,,,,,,,,,,,135.845,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,67.25,percent of total billed charges,63.87105005,,,,,,,,,,67.25,percent of total billed charges,62.80859859,,,,,,,,,,67.25,percent of total billed charges,62.63405618,,,,,,,,,,67.25,percent of total billed charges,61.71177047,,,,,,,,,,67.25,percent of total billed charges,63.29970505,,,,,,,,,,67.25,percent of total billed charges,999999999,,,,,,,,,,67.25,percent of total billed charges,54.3156045,,,,,,,,,,67.25,percent of total billed charges,85.65945388,,,,,,,,,,67.25,percent of total billed charges,999999999,,,,,,,,,,67.25,percent of total billed charges,58.56550548,,,,,,,,,,242.1,percent of total billed charges,,,,,
**CYTO PATH CONSULT 2,88334,CDM,1013-5015-01,NDC,,both,1,EA,176,176,37.46757425,176,176,percent of total billed charges,129.4894525,,,,176,percent of total billed charges,137.2562594,,,,176,percent of total billed charges,129.4894525,,,,176,percent of total billed charges,137.2562594,,,,176,percent of total billed charges,999999999,,,,176,percent of total billed charges,134.0999036,,,,176,percent of total billed charges,129.4894525,,,,176,percent of total billed charges,137.2562594,,,,125.488,percent of total billed charges,62.62080844,,,,125.488,percent of total billed charges,37.46757425,,,,125.488,percent of total billed charges,62.62080844,,,,125.488,percent of total billed charges,37.46757425,,,,125.488,percent of total billed charges,62.62080844,,,,125.488,percent of total billed charges,37.46757425,,,,124.256,percent of total billed charges,123.3132359,,,,124.256,percent of total billed charges,85.04816145,,,,,,,,,,126.72,percent of total billed charges,82.36501801,,,,,,,,,,126.72,percent of total billed charges,999999999,,,,,,,,,,140.8,percent of total billed charges,117.983081,,,,139.04,percent of total billed charges,134.1795836,,,,139.04,percent of total billed charges,118.5521036,,,,140.8,percent of total billed charges,999999999,,,,140.8,percent of total billed charges,999999999,,,,123.2,percent of total billed charges,999999999,,,,123.2,percent of total billed charges,999999999,,,,,,,,,,,,,,,,93.632,percent of total billed charges,999999999,,,,,,,,,,,,,,,,88.88,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,44,percent of total billed charges,41.78923721,,,,,,,,,,44,percent of total billed charges,41.09410168,,,,,,,,,,44,percent of total billed charges,40.97990293,,,,,,,,,,44,percent of total billed charges,40.37647436,,,,,,,,,,44,percent of total billed charges,41.4154204,,,,,,,,,,44,percent of total billed charges,999999999,,,,,,,,,,44,percent of total billed charges,35.53734718,,,,,,,,,,44,percent of total billed charges,56.04484715,,,,,,,,,,44,percent of total billed charges,999999999,,,,,,,,,,44,percent of total billed charges,38.31795154,,,,,,,,,,158.4,percent of total billed charges,,,,,
**MEFOXIN 1GM/NS 100ML ** PREDEFINED,J0694,CDM,,,,both,,,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
**MEFOXIN 2GM/NS 100ML *** PREDEFIN,J0694,CDM,,,,both,,,8,8,1.703071557,8,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,8,percent of total billed charges,999999999,,,,8,percent of total billed charges,6.095450163,,,,8,percent of total billed charges,5.885884206,,,,8,percent of total billed charges,6.23892088,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.704,percent of total billed charges,2.846400383,,,,5.704,percent of total billed charges,1.703071557,,,,5.648,percent of total billed charges,5.605147089,,,,5.648,percent of total billed charges,3.86582552,,,,,,,,,,5.76,percent of total billed charges,3.743864455,,,,,,,,,,5.76,percent of total billed charges,999999999,,,,,,,,,,6.4,percent of total billed charges,5.362867317,,,,6.32,percent of total billed charges,6.099071981,,,,6.32,percent of total billed charges,5.388731984,,,,6.4,percent of total billed charges,999999999,,,,6.4,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.256,percent of total billed charges,999999999,,,,,,,,,,,,,,,,4.04,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2,percent of total billed charges,1.899510782,,,,,,,,,,2,percent of total billed charges,1.867913713,,,,,,,,,,2,percent of total billed charges,1.862722861,,,,,,,,,,2,percent of total billed charges,1.835294289,,,,,,,,,,2,percent of total billed charges,1.882519109,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.615333963,,,,,,,,,,2,percent of total billed charges,2.547493052,,,,,,,,,,2,percent of total billed charges,999999999,,,,,,,,,,2,percent of total billed charges,1.74172507,,,,,,,,,,7.2,percent of total billed charges,,,,,
**PHARMACY NOTE,250,RC,9999-9999-99,NDC,,both,1,EA,7,7,1.490187612,7,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,7,percent of total billed charges,999999999,,,,7,percent of total billed charges,5.333518893,,,,7,percent of total billed charges,5.15014868,,,,7,percent of total billed charges,5.45905577,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.991,percent of total billed charges,2.490600335,,,,4.991,percent of total billed charges,1.490187612,,,,4.942,percent of total billed charges,4.904503703,,,,4.942,percent of total billed charges,3.38259733,,,,,,,,,,5.04,percent of total billed charges,3.275881398,,,,,,,,,,5.04,percent of total billed charges,999999999,,,,,,,,,,5.6,percent of total billed charges,4.692508902,,,,5.53,percent of total billed charges,5.336687983,,,,5.53,percent of total billed charges,4.715140486,,,,5.6,percent of total billed charges,999999999,,,,5.6,percent of total billed charges,999999999,,,,4.9,percent of total billed charges,999999999,,,,4.9,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.724,percent of total billed charges,999999999,,,,,,,,,,,,,,,,3.535,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.75,percent of total billed charges,1.662071934,,,,,,,,,,1.75,percent of total billed charges,1.634424499,,,,,,,,,,1.75,percent of total billed charges,1.629882503,,,,,,,,,,1.75,percent of total billed charges,1.605882503,,,,,,,,,,1.75,percent of total billed charges,1.647204221,,,,,,,,,,1.75,percent of total billed charges,999999999,,,,,,,,,,1.75,percent of total billed charges,1.413417217,,,,,,,,,,1.75,percent of total billed charges,2.229056421,,,,,,,,,,1.75,percent of total billed charges,999999999,,,,,,,,,,1.75,percent of total billed charges,1.524009436,,,,,,,,,,6.3,percent of total billed charges,,,,,
**PILOCARPINE OPHTH SOL:0.5%/15ML,259,RC,2420-8080-15,NDC,,both,1,EA,52,52,11.06996512,52,52,percent of total billed charges,38.25824734,,,,52,percent of total billed charges,40.55298572,,,,52,percent of total billed charges,38.25824734,,,,52,percent of total billed charges,40.55298572,,,,52,percent of total billed charges,999999999,,,,52,percent of total billed charges,39.62042606,,,,52,percent of total billed charges,38.25824734,,,,52,percent of total billed charges,40.55298572,,,,37.076,percent of total billed charges,18.50160249,,,,37.076,percent of total billed charges,11.06996512,,,,37.076,percent of total billed charges,18.50160249,,,,37.076,percent of total billed charges,11.06996512,,,,37.076,percent of total billed charges,18.50160249,,,,37.076,percent of total billed charges,11.06996512,,,,36.712,percent of total billed charges,36.43345608,,,,36.712,percent of total billed charges,25.12786588,,,,,,,,,,37.44,percent of total billed charges,24.33511896,,,,,,,,,,37.44,percent of total billed charges,999999999,,,,,,,,,,41.6,percent of total billed charges,34.85863756,,,,41.08,percent of total billed charges,39.64396787,,,,41.08,percent of total billed charges,35.02675789,,,,41.6,percent of total billed charges,999999999,,,,41.6,percent of total billed charges,999999999,,,,36.4,percent of total billed charges,999999999,,,,36.4,percent of total billed charges,999999999,,,,,,,,,,,,,,,,27.664,percent of total billed charges,999999999,,,,,,,,,,,,,,,,26.26,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13,percent of total billed charges,12.34682008,,,,,,,,,,13,percent of total billed charges,12.14143913,,,,,,,,,,13,percent of total billed charges,12.10769859,,,,,,,,,,13,percent of total billed charges,11.92941288,,,,,,,,,,13,percent of total billed charges,12.23637421,,,,,,,,,,13,percent of total billed charges,999999999,,,,,,,,,,13,percent of total billed charges,10.49967076,,,,,,,,,,13,percent of total billed charges,16.55870484,,,,,,,,,,13,percent of total billed charges,999999999,,,,,,,,,,13,percent of total billed charges,11.32121296,,,,,,,,,,46.8,percent of total billed charges,,,,,
**VALPROIC ACID SYR (DEPAKENE)250MG/5ML:,259,RC,5038-3079-16,NDC,,both,1,EA,29,29,6.173634394,29,29,percent of total billed charges,21.33633025,,,,29,percent of total billed charges,22.61608819,,,,29,percent of total billed charges,21.33633025,,,,29,percent of total billed charges,22.61608819,,,,29,percent of total billed charges,999999999,,,,29,percent of total billed charges,22.09600684,,,,29,percent of total billed charges,21.33633025,,,,29,percent of total billed charges,22.61608819,,,,20.677,percent of total billed charges,10.31820139,,,,20.677,percent of total billed charges,6.173634394,,,,20.677,percent of total billed charges,10.31820139,,,,20.677,percent of total billed charges,6.173634394,,,,20.677,percent of total billed charges,10.31820139,,,,20.677,percent of total billed charges,6.173634394,,,,20.474,percent of total billed charges,20.3186582,,,,20.474,percent of total billed charges,14.01361751,,,,,,,,,,20.88,percent of total billed charges,13.57150865,,,,,,,,,,20.88,percent of total billed charges,999999999,,,,,,,,,,23.2,percent of total billed charges,19.44039402,,,,22.91,percent of total billed charges,22.10913593,,,,22.91,percent of total billed charges,19.53415344,,,,23.2,percent of total billed charges,999999999,,,,23.2,percent of total billed charges,999999999,,,,20.3,percent of total billed charges,999999999,,,,20.3,percent of total billed charges,999999999,,,,,,,,,,,,,,,,15.428,percent of total billed charges,999999999,,,,,,,,,,,,,,,,14.645,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7.25,percent of total billed charges,6.885726585,,,,,,,,,,7.25,percent of total billed charges,6.771187209,,,,,,,,,,7.25,percent of total billed charges,6.752370369,,,,,,,,,,7.25,percent of total billed charges,6.652941798,,,,,,,,,,7.25,percent of total billed charges,6.824131771,,,,,,,,,,7.25,percent of total billed charges,999999999,,,,,,,,,,7.25,percent of total billed charges,5.855585615,,,,,,,,,,7.25,percent of total billed charges,9.234662314,,,,,,,,,,7.25,percent of total billed charges,999999999,,,,,,,,,,7.25,percent of total billed charges,6.313753379,,,,,,,,,,26.1,percent of total billed charges,,,,,
001-1 - LIVER TRANSPLANT AND/OR INTESTINAL TRANSPLANT,001-1,APR-DRG,,,,inpatient,,,999999999,,39291.95406,39291.95406,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,39291.95406,case rate,999999999,,,,,,,,,,39291.95406,case rate,999999999,,,,,,,,,,39291.95406,case rate,999999999,,,,,,,,,,39291.95406,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
001-2 - LIVER TRANSPLANT AND/OR INTESTINAL TRANSPLANT,001-2,APR-DRG,,,,inpatient,,,999999999,,44254.12615,44254.12615,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,44254.12615,case rate,999999999,,,,,,,,,,44254.12615,case rate,999999999,,,,,,,,,,44254.12615,case rate,999999999,,,,,,,,,,44254.12615,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
001-3 - LIVER TRANSPLANT AND/OR INTESTINAL TRANSPLANT,001-3,APR-DRG,,,,inpatient,,,999999999,,52801.6581,52801.6581,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,52801.6581,case rate,999999999,,,,,,,,,,52801.6581,case rate,999999999,,,,,,,,,,52801.6581,case rate,999999999,,,,,,,,,,52801.6581,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
001-4 - LIVER TRANSPLANT AND/OR INTESTINAL TRANSPLANT,001-4,APR-DRG,,,,inpatient,,,999999999,,91331.89728,91331.89728,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,91331.89728,case rate,999999999,,,,,,,,,,91331.89728,case rate,999999999,,,,,,,,,,91331.89728,case rate,999999999,,,,,,,,,,91331.89728,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
002-1 - HEART AND/OR LUNG TRANSPLANT,002-1,APR-DRG,,,,inpatient,,,999999999,,56206.35729,56206.35729,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,56206.35729,case rate,999999999,,,,,,,,,,56206.35729,case rate,999999999,,,,,,,,,,56206.35729,case rate,999999999,,,,,,,,,,56206.35729,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
002-2 - HEART AND/OR LUNG TRANSPLANT,002-2,APR-DRG,,,,inpatient,,,999999999,,65564.73455,65564.73455,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,65564.73455,case rate,999999999,,,,,,,,,,65564.73455,case rate,999999999,,,,,,,,,,65564.73455,case rate,999999999,,,,,,,,,,65564.73455,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
002-3 - HEART AND/OR LUNG TRANSPLANT,002-3,APR-DRG,,,,inpatient,,,999999999,,88349.25544,88349.25544,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,88349.25544,case rate,999999999,,,,,,,,,,88349.25544,case rate,999999999,,,,,,,,,,88349.25544,case rate,999999999,,,,,,,,,,88349.25544,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
002-4 - HEART AND/OR LUNG TRANSPLANT,002-4,APR-DRG,,,,inpatient,,,999999999,,142870.865,142870.865,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,142870.865,case rate,999999999,,,,,,,,,,142870.865,case rate,999999999,,,,,,,,,,142870.865,case rate,999999999,,,,,,,,,,142870.865,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
004-1 - TRACHEOSTOMY WITH MV >96 HOURS WITH EXTENSIVE PROCEDURE,004-1,APR-DRG,,,,inpatient,,,999999999,,29147.877,29147.877,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,29147.877,case rate,999999999,,,,,,,,,,29147.877,case rate,999999999,,,,,,,,,,29147.877,case rate,999999999,,,,,,,,,,29147.877,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
004-2 - TRACHEOSTOMY WITH MV >96 HOURS WITH EXTENSIVE PROCEDURE,004-2,APR-DRG,,,,inpatient,,,999999999,,43648.3133,43648.3133,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,43648.3133,case rate,999999999,,,,,,,,,,43648.3133,case rate,999999999,,,,,,,,,,43648.3133,case rate,999999999,,,,,,,,,,43648.3133,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
004-3 - TRACHEOSTOMY WITH MV >96 HOURS WITH EXTENSIVE PROCEDURE,004-3,APR-DRG,,,,inpatient,,,999999999,,63488.10402,63488.10402,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,63488.10402,case rate,999999999,,,,,,,,,,63488.10402,case rate,999999999,,,,,,,,,,63488.10402,case rate,999999999,,,,,,,,,,63488.10402,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
004-4 - TRACHEOSTOMY WITH MV >96 HOURS WITH EXTENSIVE PROCEDURE,004-4,APR-DRG,,,,inpatient,,,999999999,,92774.47463,92774.47463,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,92774.47463,case rate,999999999,,,,,,,,,,92774.47463,case rate,999999999,,,,,,,,,,92774.47463,case rate,999999999,,,,,,,,,,92774.47463,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
005-1 - TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE,005-1,APR-DRG,,,,inpatient,,,999999999,,27366.80268,27366.80268,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,27366.80268,case rate,999999999,,,,,,,,,,27366.80268,case rate,999999999,,,,,,,,,,27366.80268,case rate,999999999,,,,,,,,,,27366.80268,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
005-2 - TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE,005-2,APR-DRG,,,,inpatient,,,999999999,,32955.67772,32955.67772,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,32955.67772,case rate,999999999,,,,,,,,,,32955.67772,case rate,999999999,,,,,,,,,,32955.67772,case rate,999999999,,,,,,,,,,32955.67772,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
005-3 - TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE,005-3,APR-DRG,,,,inpatient,,,999999999,,45022.8044,45022.8044,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45022.8044,case rate,999999999,,,,,,,,,,45022.8044,case rate,999999999,,,,,,,,,,45022.8044,case rate,999999999,,,,,,,,,,45022.8044,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
005-4 - TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE,005-4,APR-DRG,,,,inpatient,,,999999999,,61140.28907,61140.28907,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,61140.28907,case rate,999999999,,,,,,,,,,61140.28907,case rate,999999999,,,,,,,,,,61140.28907,case rate,999999999,,,,,,,,,,61140.28907,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
006-1 - PANCREAS TRANSPLANT,006-1,APR-DRG,,,,inpatient,,,999999999,,38699.29423,38699.29423,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,38699.29423,case rate,999999999,,,,,,,,,,38699.29423,case rate,999999999,,,,,,,,,,38699.29423,case rate,999999999,,,,,,,,,,38699.29423,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
006-2 - PANCREAS TRANSPLANT,006-2,APR-DRG,,,,inpatient,,,999999999,,49232.93295,49232.93295,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,49232.93295,case rate,999999999,,,,,,,,,,49232.93295,case rate,999999999,,,,,,,,,,49232.93295,case rate,999999999,,,,,,,,,,49232.93295,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
006-3 - PANCREAS TRANSPLANT,006-3,APR-DRG,,,,inpatient,,,999999999,,56713.52246,56713.52246,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,56713.52246,case rate,999999999,,,,,,,,,,56713.52246,case rate,999999999,,,,,,,,,,56713.52246,case rate,999999999,,,,,,,,,,56713.52246,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
006-4 - PANCREAS TRANSPLANT,006-4,APR-DRG,,,,inpatient,,,999999999,,80656.67012,80656.67012,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,80656.67012,case rate,999999999,,,,,,,,,,80656.67012,case rate,999999999,,,,,,,,,,80656.67012,case rate,999999999,,,,,,,,,,80656.67012,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
007-1 - ALLOGENEIC BONE MARROW TRANSPLANT,007-1,APR-DRG,,,,inpatient,,,999999999,,38445.51822,38445.51822,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,38445.51822,case rate,999999999,,,,,,,,,,38445.51822,case rate,999999999,,,,,,,,,,38445.51822,case rate,999999999,,,,,,,,,,38445.51822,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
007-2 - ALLOGENEIC BONE MARROW TRANSPLANT,007-2,APR-DRG,,,,inpatient,,,999999999,,43176.73867,43176.73867,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,43176.73867,case rate,999999999,,,,,,,,,,43176.73867,case rate,999999999,,,,,,,,,,43176.73867,case rate,999999999,,,,,,,,,,43176.73867,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
007-3 - ALLOGENEIC BONE MARROW TRANSPLANT,007-3,APR-DRG,,,,inpatient,,,999999999,,55198.60347,55198.60347,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,55198.60347,case rate,999999999,,,,,,,,,,55198.60347,case rate,999999999,,,,,,,,,,55198.60347,case rate,999999999,,,,,,,,,,55198.60347,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
007-4 - ALLOGENEIC BONE MARROW TRANSPLANT,007-4,APR-DRG,,,,inpatient,,,999999999,,93663.85123,93663.85123,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,93663.85123,case rate,999999999,,,,,,,,,,93663.85123,case rate,999999999,,,,,,,,,,93663.85123,case rate,999999999,,,,,,,,,,93663.85123,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
008-1 - AUTOLOGOUS BONE MARROW TRANSPLANT,008-1,APR-DRG,,,,inpatient,,,999999999,,18758.14785,18758.14785,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18758.14785,case rate,999999999,,,,,,,,,,18758.14785,case rate,999999999,,,,,,,,,,18758.14785,case rate,999999999,,,,,,,,,,18758.14785,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
008-2 - AUTOLOGOUS BONE MARROW TRANSPLANT,008-2,APR-DRG,,,,inpatient,,,999999999,,24962.12023,24962.12023,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,24962.12023,case rate,999999999,,,,,,,,,,24962.12023,case rate,999999999,,,,,,,,,,24962.12023,case rate,999999999,,,,,,,,,,24962.12023,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
008-3 - AUTOLOGOUS BONE MARROW TRANSPLANT,008-3,APR-DRG,,,,inpatient,,,999999999,,29834.92912,29834.92912,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,29834.92912,case rate,999999999,,,,,,,,,,29834.92912,case rate,999999999,,,,,,,,,,29834.92912,case rate,999999999,,,,,,,,,,29834.92912,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
008-4 - AUTOLOGOUS BONE MARROW TRANSPLANT,008-4,APR-DRG,,,,inpatient,,,999999999,,47380.67755,47380.67755,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,47380.67755,case rate,999999999,,,,,,,,,,47380.67755,case rate,999999999,,,,,,,,,,47380.67755,case rate,999999999,,,,,,,,,,47380.67755,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
009-1 - EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO),009-1,APR-DRG,,,,inpatient,,,999999999,,25057.67309,25057.67309,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,25057.67309,case rate,999999999,,,,,,,,,,25057.67309,case rate,999999999,,,,,,,,,,25057.67309,case rate,999999999,,,,,,,,,,25057.67309,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
009-2 - EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO),009-2,APR-DRG,,,,inpatient,,,999999999,,30532.81315,30532.81315,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,30532.81315,case rate,999999999,,,,,,,,,,30532.81315,case rate,999999999,,,,,,,,,,30532.81315,case rate,999999999,,,,,,,,,,30532.81315,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
009-3 - EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO),009-3,APR-DRG,,,,inpatient,,,999999999,,41862.20988,41862.20988,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,41862.20988,case rate,999999999,,,,,,,,,,41862.20988,case rate,999999999,,,,,,,,,,41862.20988,case rate,999999999,,,,,,,,,,41862.20988,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
009-4 - EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO),009-4,APR-DRG,,,,inpatient,,,999999999,,90828.60065,90828.60065,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,90828.60065,case rate,999999999,,,,,,,,,,90828.60065,case rate,999999999,,,,,,,,,,90828.60065,case rate,999999999,,,,,,,,,,90828.60065,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
011-1 - CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES,011-1,APR-DRG,,,,inpatient,,,999999999,,17114.01973,17114.01973,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17114.01973,case rate,999999999,,,,,,,,,,17114.01973,case rate,999999999,,,,,,,,,,17114.01973,case rate,999999999,,,,,,,,,,17114.01973,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
011-2 - CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES,011-2,APR-DRG,,,,inpatient,,,999999999,,25393.84893,25393.84893,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,25393.84893,case rate,999999999,,,,,,,,,,25393.84893,case rate,999999999,,,,,,,,,,25393.84893,case rate,999999999,,,,,,,,,,25393.84893,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
011-3 - CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES,011-3,APR-DRG,,,,inpatient,,,999999999,,47940.06797,47940.06797,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,47940.06797,case rate,999999999,,,,,,,,,,47940.06797,case rate,999999999,,,,,,,,,,47940.06797,case rate,999999999,,,,,,,,,,47940.06797,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
011-4 - CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES,011-4,APR-DRG,,,,inpatient,,,999999999,,97394.28122,97394.28122,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,97394.28122,case rate,999999999,,,,,,,,,,97394.28122,case rate,999999999,,,,,,,,,,97394.28122,case rate,999999999,,,,,,,,,,97394.28122,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
020-1 - OPEN CRANIOTOMY FOR TRAUMA,020-1,APR-DRG,,,,inpatient,,,999999999,,12987.06472,12987.06472,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12987.06472,case rate,999999999,,,,,,,,,,12987.06472,case rate,999999999,,,,,,,,,,12987.06472,case rate,999999999,,,,,,,,,,12987.06472,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
020-2 - OPEN CRANIOTOMY FOR TRAUMA,020-2,APR-DRG,,,,inpatient,,,999999999,,15601.42186,15601.42186,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15601.42186,case rate,999999999,,,,,,,,,,15601.42186,case rate,999999999,,,,,,,,,,15601.42186,case rate,999999999,,,,,,,,,,15601.42186,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
020-3 - OPEN CRANIOTOMY FOR TRAUMA,020-3,APR-DRG,,,,inpatient,,,999999999,,21346.97264,21346.97264,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21346.97264,case rate,999999999,,,,,,,,,,21346.97264,case rate,999999999,,,,,,,,,,21346.97264,case rate,999999999,,,,,,,,,,21346.97264,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
020-4 - OPEN CRANIOTOMY FOR TRAUMA,020-4,APR-DRG,,,,inpatient,,,999999999,,33372.70598,33372.70598,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,33372.70598,case rate,999999999,,,,,,,,,,33372.70598,case rate,999999999,,,,,,,,,,33372.70598,case rate,999999999,,,,,,,,,,33372.70598,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
021-1 - OPEN CRANIOTOMY EXCEPT TRAUMA,021-1,APR-DRG,,,,inpatient,,,999999999,,12174.28515,12174.28515,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12174.28515,case rate,999999999,,,,,,,,,,12174.28515,case rate,999999999,,,,,,,,,,12174.28515,case rate,999999999,,,,,,,,,,12174.28515,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
021-2 - OPEN CRANIOTOMY EXCEPT TRAUMA,021-2,APR-DRG,,,,inpatient,,,999999999,,15496.97137,15496.97137,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15496.97137,case rate,999999999,,,,,,,,,,15496.97137,case rate,999999999,,,,,,,,,,15496.97137,case rate,999999999,,,,,,,,,,15496.97137,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
021-3 - OPEN CRANIOTOMY EXCEPT TRAUMA,021-3,APR-DRG,,,,inpatient,,,999999999,,23185.3013,23185.3013,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23185.3013,case rate,999999999,,,,,,,,,,23185.3013,case rate,999999999,,,,,,,,,,23185.3013,case rate,999999999,,,,,,,,,,23185.3013,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
021-4 - OPEN CRANIOTOMY EXCEPT TRAUMA,021-4,APR-DRG,,,,inpatient,,,999999999,,36173.52659,36173.52659,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,36173.52659,case rate,999999999,,,,,,,,,,36173.52659,case rate,999999999,,,,,,,,,,36173.52659,case rate,999999999,,,,,,,,,,36173.52659,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
022-1 - VENTRICULAR SHUNT PROCEDURES,022-1,APR-DRG,,,,inpatient,,,999999999,,8300.332451,8300.332451,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8300.332451,case rate,999999999,,,,,,,,,,8300.332451,case rate,999999999,,,,,,,,,,8300.332451,case rate,999999999,,,,,,,,,,8300.332451,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
022-2 - VENTRICULAR SHUNT PROCEDURES,022-2,APR-DRG,,,,inpatient,,,999999999,,9843.878614,9843.878614,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9843.878614,case rate,999999999,,,,,,,,,,9843.878614,case rate,999999999,,,,,,,,,,9843.878614,case rate,999999999,,,,,,,,,,9843.878614,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
022-3 - VENTRICULAR SHUNT PROCEDURES,022-3,APR-DRG,,,,inpatient,,,999999999,,13687.65673,13687.65673,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13687.65673,case rate,999999999,,,,,,,,,,13687.65673,case rate,999999999,,,,,,,,,,13687.65673,case rate,999999999,,,,,,,,,,13687.65673,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
022-4 - VENTRICULAR SHUNT PROCEDURES,022-4,APR-DRG,,,,inpatient,,,999999999,,27643.0162,27643.0162,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,27643.0162,case rate,999999999,,,,,,,,,,27643.0162,case rate,999999999,,,,,,,,,,27643.0162,case rate,999999999,,,,,,,,,,27643.0162,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
023-1 - SPINAL PROCEDURES,023-1,APR-DRG,,,,inpatient,,,999999999,,9758.383952,9758.383952,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9758.383952,case rate,999999999,,,,,,,,,,9758.383952,case rate,999999999,,,,,,,,,,9758.383952,case rate,999999999,,,,,,,,,,9758.383952,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
023-2 - SPINAL PROCEDURES,023-2,APR-DRG,,,,inpatient,,,999999999,,13378.17379,13378.17379,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13378.17379,case rate,999999999,,,,,,,,,,13378.17379,case rate,999999999,,,,,,,,,,13378.17379,case rate,999999999,,,,,,,,,,13378.17379,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
023-3 - SPINAL PROCEDURES,023-3,APR-DRG,,,,inpatient,,,999999999,,22536.93454,22536.93454,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,22536.93454,case rate,999999999,,,,,,,,,,22536.93454,case rate,999999999,,,,,,,,,,22536.93454,case rate,999999999,,,,,,,,,,22536.93454,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
023-4 - SPINAL PROCEDURES,023-4,APR-DRG,,,,inpatient,,,999999999,,36676.04951,36676.04951,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,36676.04951,case rate,999999999,,,,,,,,,,36676.04951,case rate,999999999,,,,,,,,,,36676.04951,case rate,999999999,,,,,,,,,,36676.04951,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
024-1 - OPEN EXTRACRANIAL VASCULAR PROCEDURES,024-1,APR-DRG,,,,inpatient,,,999999999,,6520.418692,6520.418692,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6520.418692,case rate,999999999,,,,,,,,,,6520.418692,case rate,999999999,,,,,,,,,,6520.418692,case rate,999999999,,,,,,,,,,6520.418692,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
024-2 - OPEN EXTRACRANIAL VASCULAR PROCEDURES,024-2,APR-DRG,,,,inpatient,,,999999999,,8134.759078,8134.759078,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8134.759078,case rate,999999999,,,,,,,,,,8134.759078,case rate,999999999,,,,,,,,,,8134.759078,case rate,999999999,,,,,,,,,,8134.759078,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
024-3 - OPEN EXTRACRANIAL VASCULAR PROCEDURES,024-3,APR-DRG,,,,inpatient,,,999999999,,14215.712,14215.712,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14215.712,case rate,999999999,,,,,,,,,,14215.712,case rate,999999999,,,,,,,,,,14215.712,case rate,999999999,,,,,,,,,,14215.712,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
024-4 - OPEN EXTRACRANIAL VASCULAR PROCEDURES,024-4,APR-DRG,,,,inpatient,,,999999999,,24188.41288,24188.41288,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,24188.41288,case rate,999999999,,,,,,,,,,24188.41288,case rate,999999999,,,,,,,,,,24188.41288,case rate,999999999,,,,,,,,,,24188.41288,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
026-1 - OTHER NERVOUS SYSTEM AND RELATED PROCEDURES,026-1,APR-DRG,,,,inpatient,,,999999999,,7689.877352,7689.877352,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7689.877352,case rate,999999999,,,,,,,,,,7689.877352,case rate,999999999,,,,,,,,,,7689.877352,case rate,999999999,,,,,,,,,,7689.877352,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
026-2 - OTHER NERVOUS SYSTEM AND RELATED PROCEDURES,026-2,APR-DRG,,,,inpatient,,,999999999,,9742.522951,9742.522951,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9742.522951,case rate,999999999,,,,,,,,,,9742.522951,case rate,999999999,,,,,,,,,,9742.522951,case rate,999999999,,,,,,,,,,9742.522951,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
026-3 - OTHER NERVOUS SYSTEM AND RELATED PROCEDURES,026-3,APR-DRG,,,,inpatient,,,999999999,,14895.80076,14895.80076,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14895.80076,case rate,999999999,,,,,,,,,,14895.80076,case rate,999999999,,,,,,,,,,14895.80076,case rate,999999999,,,,,,,,,,14895.80076,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
026-4 - OTHER NERVOUS SYSTEM AND RELATED PROCEDURES,026-4,APR-DRG,,,,inpatient,,,999999999,,27809.75013,27809.75013,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,27809.75013,case rate,999999999,,,,,,,,,,27809.75013,case rate,999999999,,,,,,,,,,27809.75013,case rate,999999999,,,,,,,,,,27809.75013,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
027-1 - OTHER OPEN CRANIOTOMY,027-1,APR-DRG,,,,inpatient,,,999999999,,10224.15578,10224.15578,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10224.15578,case rate,999999999,,,,,,,,,,10224.15578,case rate,999999999,,,,,,,,,,10224.15578,case rate,999999999,,,,,,,,,,10224.15578,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
027-2 - OTHER OPEN CRANIOTOMY,027-2,APR-DRG,,,,inpatient,,,999999999,,11901.55331,11901.55331,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11901.55331,case rate,999999999,,,,,,,,,,11901.55331,case rate,999999999,,,,,,,,,,11901.55331,case rate,999999999,,,,,,,,,,11901.55331,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
027-3 - OTHER OPEN CRANIOTOMY,027-3,APR-DRG,,,,inpatient,,,999999999,,19338.42836,19338.42836,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19338.42836,case rate,999999999,,,,,,,,,,19338.42836,case rate,999999999,,,,,,,,,,19338.42836,case rate,999999999,,,,,,,,,,19338.42836,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
027-4 - OTHER OPEN CRANIOTOMY,027-4,APR-DRG,,,,inpatient,,,999999999,,31884.86675,31884.86675,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,31884.86675,case rate,999999999,,,,,,,,,,31884.86675,case rate,999999999,,,,,,,,,,31884.86675,case rate,999999999,,,,,,,,,,31884.86675,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
029-1 - OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES,029-1,APR-DRG,,,,inpatient,,,999999999,,11583.94644,11583.94644,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11583.94644,case rate,999999999,,,,,,,,,,11583.94644,case rate,999999999,,,,,,,,,,11583.94644,case rate,999999999,,,,,,,,,,11583.94644,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
029-2 - OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES,029-2,APR-DRG,,,,inpatient,,,999999999,,12163.0664,12163.0664,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12163.0664,case rate,999999999,,,,,,,,,,12163.0664,case rate,999999999,,,,,,,,,,12163.0664,case rate,999999999,,,,,,,,,,12163.0664,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
029-3 - OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES,029-3,APR-DRG,,,,inpatient,,,999999999,,15650.55228,15650.55228,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15650.55228,case rate,999999999,,,,,,,,,,15650.55228,case rate,999999999,,,,,,,,,,15650.55228,case rate,999999999,,,,,,,,,,15650.55228,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
029-4 - OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES,029-4,APR-DRG,,,,inpatient,,,999999999,,25849.94942,25849.94942,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,25849.94942,case rate,999999999,,,,,,,,,,25849.94942,case rate,999999999,,,,,,,,,,25849.94942,case rate,999999999,,,,,,,,,,25849.94942,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
030-1 - PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES,030-1,APR-DRG,,,,inpatient,,,999999999,,11644.29562,11644.29562,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11644.29562,case rate,999999999,,,,,,,,,,11644.29562,case rate,999999999,,,,,,,,,,11644.29562,case rate,999999999,,,,,,,,,,11644.29562,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
030-2 - PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES,030-2,APR-DRG,,,,inpatient,,,999999999,,15603.35613,15603.35613,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15603.35613,case rate,999999999,,,,,,,,,,15603.35613,case rate,999999999,,,,,,,,,,15603.35613,case rate,999999999,,,,,,,,,,15603.35613,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
030-3 - PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES,030-3,APR-DRG,,,,inpatient,,,999999999,,21377.53408,21377.53408,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21377.53408,case rate,999999999,,,,,,,,,,21377.53408,case rate,999999999,,,,,,,,,,21377.53408,case rate,999999999,,,,,,,,,,21377.53408,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
030-4 - PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES,030-4,APR-DRG,,,,inpatient,,,999999999,,28223.68357,28223.68357,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,28223.68357,case rate,999999999,,,,,,,,,,28223.68357,case rate,999999999,,,,,,,,,,28223.68357,case rate,999999999,,,,,,,,,,28223.68357,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
040-1 - SPINAL DISORDERS AND INJURIES,040-1,APR-DRG,,,,inpatient,,,999999999,,5454.249964,5454.249964,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5454.249964,case rate,999999999,,,,,,,,,,5454.249964,case rate,999999999,,,,,,,,,,5454.249964,case rate,999999999,,,,,,,,,,5454.249964,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
040-2 - SPINAL DISORDERS AND INJURIES,040-2,APR-DRG,,,,inpatient,,,999999999,,7670.921522,7670.921522,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7670.921522,case rate,999999999,,,,,,,,,,7670.921522,case rate,999999999,,,,,,,,,,7670.921522,case rate,999999999,,,,,,,,,,7670.921522,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
040-3 - SPINAL DISORDERS AND INJURIES,040-3,APR-DRG,,,,inpatient,,,999999999,,10652.40279,10652.40279,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10652.40279,case rate,999999999,,,,,,,,,,10652.40279,case rate,999999999,,,,,,,,,,10652.40279,case rate,999999999,,,,,,,,,,10652.40279,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
040-4 - SPINAL DISORDERS AND INJURIES,040-4,APR-DRG,,,,inpatient,,,999999999,,17269.14805,17269.14805,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17269.14805,case rate,999999999,,,,,,,,,,17269.14805,case rate,999999999,,,,,,,,,,17269.14805,case rate,999999999,,,,,,,,,,17269.14805,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
041-1 - NERVOUS SYSTEM MALIGNANCY,041-1,APR-DRG,,,,inpatient,,,999999999,,4392.72348,4392.72348,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4392.72348,case rate,999999999,,,,,,,,,,4392.72348,case rate,999999999,,,,,,,,,,4392.72348,case rate,999999999,,,,,,,,,,4392.72348,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
041-2 - NERVOUS SYSTEM MALIGNANCY,041-2,APR-DRG,,,,inpatient,,,999999999,,4896.020111,4896.020111,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4896.020111,case rate,999999999,,,,,,,,,,4896.020111,case rate,999999999,,,,,,,,,,4896.020111,case rate,999999999,,,,,,,,,,4896.020111,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
041-3 - NERVOUS SYSTEM MALIGNANCY,041-3,APR-DRG,,,,inpatient,,,999999999,,6467.806592,6467.806592,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6467.806592,case rate,999999999,,,,,,,,,,6467.806592,case rate,999999999,,,,,,,,,,6467.806592,case rate,999999999,,,,,,,,,,6467.806592,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
041-4 - NERVOUS SYSTEM MALIGNANCY,041-4,APR-DRG,,,,inpatient,,,999999999,,9568.825651,9568.825651,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9568.825651,case rate,999999999,,,,,,,,,,9568.825651,case rate,999999999,,,,,,,,,,9568.825651,case rate,999999999,,,,,,,,,,9568.825651,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
042-1 - DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS,042-1,APR-DRG,,,,inpatient,,,999999999,,4090.590759,4090.590759,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4090.590759,case rate,999999999,,,,,,,,,,4090.590759,case rate,999999999,,,,,,,,,,4090.590759,case rate,999999999,,,,,,,,,,4090.590759,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
042-2 - DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS,042-2,APR-DRG,,,,inpatient,,,999999999,,5191.963172,5191.963172,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5191.963172,case rate,999999999,,,,,,,,,,5191.963172,case rate,999999999,,,,,,,,,,5191.963172,case rate,999999999,,,,,,,,,,5191.963172,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
042-3 - DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS,042-3,APR-DRG,,,,inpatient,,,999999999,,6985.803663,6985.803663,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6985.803663,case rate,999999999,,,,,,,,,,6985.803663,case rate,999999999,,,,,,,,,,6985.803663,case rate,999999999,,,,,,,,,,6985.803663,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
042-4 - DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS,042-4,APR-DRG,,,,inpatient,,,999999999,,12438.50621,12438.50621,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12438.50621,case rate,999999999,,,,,,,,,,12438.50621,case rate,999999999,,,,,,,,,,12438.50621,case rate,999999999,,,,,,,,,,12438.50621,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"043-1 - MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES",043-1,APR-DRG,,,,inpatient,,,999999999,,5001.24431,5001.24431,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5001.24431,case rate,999999999,,,,,,,,,,5001.24431,case rate,999999999,,,,,,,,,,5001.24431,case rate,999999999,,,,,,,,,,5001.24431,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"043-2 - MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES",043-2,APR-DRG,,,,inpatient,,,999999999,,6734.348774,6734.348774,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6734.348774,case rate,999999999,,,,,,,,,,6734.348774,case rate,999999999,,,,,,,,,,6734.348774,case rate,999999999,,,,,,,,,,6734.348774,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"043-3 - MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES",043-3,APR-DRG,,,,inpatient,,,999999999,,10439.24642,10439.24642,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10439.24642,case rate,999999999,,,,,,,,,,10439.24642,case rate,999999999,,,,,,,,,,10439.24642,case rate,999999999,,,,,,,,,,10439.24642,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"043-4 - MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES",043-4,APR-DRG,,,,inpatient,,,999999999,,19033.58766,19033.58766,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19033.58766,case rate,999999999,,,,,,,,,,19033.58766,case rate,999999999,,,,,,,,,,19033.58766,case rate,999999999,,,,,,,,,,19033.58766,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
044-1 - INTRACRANIAL HEMORRHAGE,044-1,APR-DRG,,,,inpatient,,,999999999,,4550.559779,4550.559779,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4550.559779,case rate,999999999,,,,,,,,,,4550.559779,case rate,999999999,,,,,,,,,,4550.559779,case rate,999999999,,,,,,,,,,4550.559779,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
044-2 - INTRACRANIAL HEMORRHAGE,044-2,APR-DRG,,,,inpatient,,,999999999,,6369.545759,6369.545759,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6369.545759,case rate,999999999,,,,,,,,,,6369.545759,case rate,999999999,,,,,,,,,,6369.545759,case rate,999999999,,,,,,,,,,6369.545759,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
044-3 - INTRACRANIAL HEMORRHAGE,044-3,APR-DRG,,,,inpatient,,,999999999,,8340.952087,8340.952087,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8340.952087,case rate,999999999,,,,,,,,,,8340.952087,case rate,999999999,,,,,,,,,,8340.952087,case rate,999999999,,,,,,,,,,8340.952087,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
044-4 - INTRACRANIAL HEMORRHAGE,044-4,APR-DRG,,,,inpatient,,,999999999,,9293.385835,9293.385835,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9293.385835,case rate,999999999,,,,,,,,,,9293.385835,case rate,999999999,,,,,,,,,,9293.385835,case rate,999999999,,,,,,,,,,9293.385835,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
045-1 - CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION,045-1,APR-DRG,,,,inpatient,,,999999999,,4843.408011,4843.408011,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4843.408011,case rate,999999999,,,,,,,,,,4843.408011,case rate,999999999,,,,,,,,,,4843.408011,case rate,999999999,,,,,,,,,,4843.408011,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
045-2 - CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION,045-2,APR-DRG,,,,inpatient,,,999999999,,5991.202865,5991.202865,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5991.202865,case rate,999999999,,,,,,,,,,5991.202865,case rate,999999999,,,,,,,,,,5991.202865,case rate,999999999,,,,,,,,,,5991.202865,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
045-3 - CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION,045-3,APR-DRG,,,,inpatient,,,999999999,,8019.476683,8019.476683,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8019.476683,case rate,999999999,,,,,,,,,,8019.476683,case rate,999999999,,,,,,,,,,8019.476683,case rate,999999999,,,,,,,,,,8019.476683,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
045-4 - CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION,045-4,APR-DRG,,,,inpatient,,,999999999,,12056.29478,12056.29478,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12056.29478,case rate,999999999,,,,,,,,,,12056.29478,case rate,999999999,,,,,,,,,,12056.29478,case rate,999999999,,,,,,,,,,12056.29478,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
046-1 - NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION,046-1,APR-DRG,,,,inpatient,,,999999999,,3975.308364,3975.308364,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3975.308364,case rate,999999999,,,,,,,,,,3975.308364,case rate,999999999,,,,,,,,,,3975.308364,case rate,999999999,,,,,,,,,,3975.308364,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
046-2 - NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION,046-2,APR-DRG,,,,inpatient,,,999999999,,5012.463067,5012.463067,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5012.463067,case rate,999999999,,,,,,,,,,5012.463067,case rate,999999999,,,,,,,,,,5012.463067,case rate,999999999,,,,,,,,,,5012.463067,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
046-3 - NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION,046-3,APR-DRG,,,,inpatient,,,999999999,,6192.366776,6192.366776,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6192.366776,case rate,999999999,,,,,,,,,,6192.366776,case rate,999999999,,,,,,,,,,6192.366776,case rate,999999999,,,,,,,,,,6192.366776,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
046-4 - NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION,046-4,APR-DRG,,,,inpatient,,,999999999,,10868.26715,10868.26715,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10868.26715,case rate,999999999,,,,,,,,,,10868.26715,case rate,999999999,,,,,,,,,,10868.26715,case rate,999999999,,,,,,,,,,10868.26715,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
047-1 - TRANSIENT ISCHEMIA,047-1,APR-DRG,,,,inpatient,,,999999999,,4053.065953,4053.065953,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4053.065953,case rate,999999999,,,,,,,,,,4053.065953,case rate,999999999,,,,,,,,,,4053.065953,case rate,999999999,,,,,,,,,,4053.065953,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
047-2 - TRANSIENT ISCHEMIA,047-2,APR-DRG,,,,inpatient,,,999999999,,4625.609392,4625.609392,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4625.609392,case rate,999999999,,,,,,,,,,4625.609392,case rate,999999999,,,,,,,,,,4625.609392,case rate,999999999,,,,,,,,,,4625.609392,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
047-3 - TRANSIENT ISCHEMIA,047-3,APR-DRG,,,,inpatient,,,999999999,,5808.994784,5808.994784,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5808.994784,case rate,999999999,,,,,,,,,,5808.994784,case rate,999999999,,,,,,,,,,5808.994784,case rate,999999999,,,,,,,,,,5808.994784,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
047-4 - TRANSIENT ISCHEMIA,047-4,APR-DRG,,,,inpatient,,,999999999,,9450.448427,9450.448427,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9450.448427,case rate,999999999,,,,,,,,,,9450.448427,case rate,999999999,,,,,,,,,,9450.448427,case rate,999999999,,,,,,,,,,9450.448427,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"048-1 - PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS",048-1,APR-DRG,,,,inpatient,,,999999999,,3774.918161,3774.918161,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3774.918161,case rate,999999999,,,,,,,,,,3774.918161,case rate,999999999,,,,,,,,,,3774.918161,case rate,999999999,,,,,,,,,,3774.918161,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"048-2 - PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS",048-2,APR-DRG,,,,inpatient,,,999999999,,4347.074746,4347.074746,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4347.074746,case rate,999999999,,,,,,,,,,4347.074746,case rate,999999999,,,,,,,,,,4347.074746,case rate,999999999,,,,,,,,,,4347.074746,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"048-3 - PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS",048-3,APR-DRG,,,,inpatient,,,999999999,,5899.518544,5899.518544,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5899.518544,case rate,999999999,,,,,,,,,,5899.518544,case rate,999999999,,,,,,,,,,5899.518544,case rate,999999999,,,,,,,,,,5899.518544,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"048-4 - PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS",048-4,APR-DRG,,,,inpatient,,,999999999,,10938.28766,10938.28766,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10938.28766,case rate,999999999,,,,,,,,,,10938.28766,case rate,999999999,,,,,,,,,,10938.28766,case rate,999999999,,,,,,,,,,10938.28766,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
049-1 - BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM,049-1,APR-DRG,,,,inpatient,,,999999999,,5783.849295,5783.849295,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5783.849295,case rate,999999999,,,,,,,,,,5783.849295,case rate,999999999,,,,,,,,,,5783.849295,case rate,999999999,,,,,,,,,,5783.849295,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
049-2 - BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM,049-2,APR-DRG,,,,inpatient,,,999999999,,11472.53259,11472.53259,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11472.53259,case rate,999999999,,,,,,,,,,11472.53259,case rate,999999999,,,,,,,,,,11472.53259,case rate,999999999,,,,,,,,,,11472.53259,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
049-3 - BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM,049-3,APR-DRG,,,,inpatient,,,999999999,,12780.87171,12780.87171,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12780.87171,case rate,999999999,,,,,,,,,,12780.87171,case rate,999999999,,,,,,,,,,12780.87171,case rate,999999999,,,,,,,,,,12780.87171,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
049-4 - BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM,049-4,APR-DRG,,,,inpatient,,,999999999,,21392.62137,21392.62137,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21392.62137,case rate,999999999,,,,,,,,,,21392.62137,case rate,999999999,,,,,,,,,,21392.62137,case rate,999999999,,,,,,,,,,21392.62137,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
050-1 - NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS,050-1,APR-DRG,,,,inpatient,,,999999999,,4007.417219,4007.417219,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4007.417219,case rate,999999999,,,,,,,,,,4007.417219,case rate,999999999,,,,,,,,,,4007.417219,case rate,999999999,,,,,,,,,,4007.417219,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
050-2 - NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS,050-2,APR-DRG,,,,inpatient,,,999999999,,6963.36615,6963.36615,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6963.36615,case rate,999999999,,,,,,,,,,6963.36615,case rate,999999999,,,,,,,,,,6963.36615,case rate,999999999,,,,,,,,,,6963.36615,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
050-3 - NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS,050-3,APR-DRG,,,,inpatient,,,999999999,,11044.28557,11044.28557,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11044.28557,case rate,999999999,,,,,,,,,,11044.28557,case rate,999999999,,,,,,,,,,11044.28557,case rate,999999999,,,,,,,,,,11044.28557,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
050-4 - NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS,050-4,APR-DRG,,,,inpatient,,,999999999,,22622.81606,22622.81606,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,22622.81606,case rate,999999999,,,,,,,,,,22622.81606,case rate,999999999,,,,,,,,,,22622.81606,case rate,999999999,,,,,,,,,,22622.81606,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
051-1 - VIRAL MENINGITIS,051-1,APR-DRG,,,,inpatient,,,999999999,,2938.927369,2938.927369,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2938.927369,case rate,999999999,,,,,,,,,,2938.927369,case rate,999999999,,,,,,,,,,2938.927369,case rate,999999999,,,,,,,,,,2938.927369,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
051-2 - VIRAL MENINGITIS,051-2,APR-DRG,,,,inpatient,,,999999999,,4426.379749,4426.379749,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4426.379749,case rate,999999999,,,,,,,,,,4426.379749,case rate,999999999,,,,,,,,,,4426.379749,case rate,999999999,,,,,,,,,,4426.379749,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
051-3 - VIRAL MENINGITIS,051-3,APR-DRG,,,,inpatient,,,999999999,,7356.409484,7356.409484,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7356.409484,case rate,999999999,,,,,,,,,,7356.409484,case rate,999999999,,,,,,,,,,7356.409484,case rate,999999999,,,,,,,,,,7356.409484,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
051-4 - VIRAL MENINGITIS,051-4,APR-DRG,,,,inpatient,,,999999999,,14628.48487,14628.48487,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14628.48487,case rate,999999999,,,,,,,,,,14628.48487,case rate,999999999,,,,,,,,,,14628.48487,case rate,999999999,,,,,,,,,,14628.48487,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
052-1 - ALTERATION IN CONSCIOUSNESS,052-1,APR-DRG,,,,inpatient,,,999999999,,3557.506395,3557.506395,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3557.506395,case rate,999999999,,,,,,,,,,3557.506395,case rate,999999999,,,,,,,,,,3557.506395,case rate,999999999,,,,,,,,,,3557.506395,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
052-2 - ALTERATION IN CONSCIOUSNESS,052-2,APR-DRG,,,,inpatient,,,999999999,,4210.902252,4210.902252,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4210.902252,case rate,999999999,,,,,,,,,,4210.902252,case rate,999999999,,,,,,,,,,4210.902252,case rate,999999999,,,,,,,,,,4210.902252,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
052-3 - ALTERATION IN CONSCIOUSNESS,052-3,APR-DRG,,,,inpatient,,,999999999,,5473.979501,5473.979501,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5473.979501,case rate,999999999,,,,,,,,,,5473.979501,case rate,999999999,,,,,,,,,,5473.979501,case rate,999999999,,,,,,,,,,5473.979501,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
052-4 - ALTERATION IN CONSCIOUSNESS,052-4,APR-DRG,,,,inpatient,,,999999999,,10705.40175,10705.40175,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10705.40175,case rate,999999999,,,,,,,,,,10705.40175,case rate,999999999,,,,,,,,,,10705.40175,case rate,999999999,,,,,,,,,,10705.40175,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
053-1 - SEIZURE,053-1,APR-DRG,,,,inpatient,,,999999999,,3013.203275,3013.203275,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3013.203275,case rate,999999999,,,,,,,,,,3013.203275,case rate,999999999,,,,,,,,,,3013.203275,case rate,999999999,,,,,,,,,,3013.203275,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
053-2 - SEIZURE,053-2,APR-DRG,,,,inpatient,,,999999999,,3843.004407,3843.004407,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3843.004407,case rate,999999999,,,,,,,,,,3843.004407,case rate,999999999,,,,,,,,,,3843.004407,case rate,999999999,,,,,,,,,,3843.004407,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
053-3 - SEIZURE,053-3,APR-DRG,,,,inpatient,,,999999999,,5007.433969,5007.433969,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5007.433969,case rate,999999999,,,,,,,,,,5007.433969,case rate,999999999,,,,,,,,,,5007.433969,case rate,999999999,,,,,,,,,,5007.433969,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
053-4 - SEIZURE,053-4,APR-DRG,,,,inpatient,,,999999999,,11393.61444,11393.61444,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11393.61444,case rate,999999999,,,,,,,,,,11393.61444,case rate,999999999,,,,,,,,,,11393.61444,case rate,999999999,,,,,,,,,,11393.61444,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
054-1 - MIGRAINE AND OTHER HEADACHES,054-1,APR-DRG,,,,inpatient,,,999999999,,3381.10112,3381.10112,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3381.10112,case rate,999999999,,,,,,,,,,3381.10112,case rate,999999999,,,,,,,,,,3381.10112,case rate,999999999,,,,,,,,,,3381.10112,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
054-2 - MIGRAINE AND OTHER HEADACHES,054-2,APR-DRG,,,,inpatient,,,999999999,,4116.509956,4116.509956,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4116.509956,case rate,999999999,,,,,,,,,,4116.509956,case rate,999999999,,,,,,,,,,4116.509956,case rate,999999999,,,,,,,,,,4116.509956,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
054-3 - MIGRAINE AND OTHER HEADACHES,054-3,APR-DRG,,,,inpatient,,,999999999,,5123.876925,5123.876925,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5123.876925,case rate,999999999,,,,,,,,,,5123.876925,case rate,999999999,,,,,,,,,,5123.876925,case rate,999999999,,,,,,,,,,5123.876925,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
054-4 - MIGRAINE AND OTHER HEADACHES,054-4,APR-DRG,,,,inpatient,,,999999999,,8001.681414,8001.681414,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8001.681414,case rate,999999999,,,,,,,,,,8001.681414,case rate,999999999,,,,,,,,,,8001.681414,case rate,999999999,,,,,,,,,,8001.681414,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
055-1 - HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE,055-1,APR-DRG,,,,inpatient,,,999999999,,3883.624043,3883.624043,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3883.624043,case rate,999999999,,,,,,,,,,3883.624043,case rate,999999999,,,,,,,,,,3883.624043,case rate,999999999,,,,,,,,,,3883.624043,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
055-2 - HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE,055-2,APR-DRG,,,,inpatient,,,999999999,,5470.497818,5470.497818,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5470.497818,case rate,999999999,,,,,,,,,,5470.497818,case rate,999999999,,,,,,,,,,5470.497818,case rate,999999999,,,,,,,,,,5470.497818,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
055-3 - HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE,055-3,APR-DRG,,,,inpatient,,,999999999,,8198.203081,8198.203081,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8198.203081,case rate,999999999,,,,,,,,,,8198.203081,case rate,999999999,,,,,,,,,,8198.203081,case rate,999999999,,,,,,,,,,8198.203081,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
055-4 - HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE,055-4,APR-DRG,,,,inpatient,,,999999999,,14485.34901,14485.34901,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14485.34901,case rate,999999999,,,,,,,,,,14485.34901,case rate,999999999,,,,,,,,,,14485.34901,case rate,999999999,,,,,,,,,,14485.34901,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"056-1 - BRAIN CONTUSION OR LACERATION AND COMPLICATED SKULL FRACTURE, COMA < 1 HOUR OR NO COMA",056-1,APR-DRG,,,,inpatient,,,999999999,,3692.131474,3692.131474,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3692.131474,case rate,999999999,,,,,,,,,,3692.131474,case rate,999999999,,,,,,,,,,3692.131474,case rate,999999999,,,,,,,,,,3692.131474,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"056-2 - BRAIN CONTUSION OR LACERATION AND COMPLICATED SKULL FRACTURE, COMA < 1 HOUR OR NO COMA",056-2,APR-DRG,,,,inpatient,,,999999999,,5270.107615,5270.107615,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5270.107615,case rate,999999999,,,,,,,,,,5270.107615,case rate,999999999,,,,,,,,,,5270.107615,case rate,999999999,,,,,,,,,,5270.107615,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"056-3 - BRAIN CONTUSION OR LACERATION AND COMPLICATED SKULL FRACTURE, COMA < 1 HOUR OR NO COMA",056-3,APR-DRG,,,,inpatient,,,999999999,,7256.601236,7256.601236,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7256.601236,case rate,999999999,,,,,,,,,,7256.601236,case rate,999999999,,,,,,,,,,7256.601236,case rate,999999999,,,,,,,,,,7256.601236,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"056-4 - BRAIN CONTUSION OR LACERATION AND COMPLICATED SKULL FRACTURE, COMA < 1 HOUR OR NO COMA",056-4,APR-DRG,,,,inpatient,,,999999999,,11622.63181,11622.63181,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11622.63181,case rate,999999999,,,,,,,,,,11622.63181,case rate,999999999,,,,,,,,,,11622.63181,case rate,999999999,,,,,,,,,,11622.63181,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"057-1 - CONCUSSION, CLOSED SKULL FRACTURE NOS, AND UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HOUR OR NO COMA",057-1,APR-DRG,,,,inpatient,,,999999999,,3311.854312,3311.854312,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3311.854312,case rate,999999999,,,,,,,,,,3311.854312,case rate,999999999,,,,,,,,,,3311.854312,case rate,999999999,,,,,,,,,,3311.854312,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"057-2 - CONCUSSION, CLOSED SKULL FRACTURE NOS, AND UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HOUR OR NO COMA",057-2,APR-DRG,,,,inpatient,,,999999999,,4935.479186,4935.479186,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4935.479186,case rate,999999999,,,,,,,,,,4935.479186,case rate,999999999,,,,,,,,,,4935.479186,case rate,999999999,,,,,,,,,,4935.479186,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"057-3 - CONCUSSION, CLOSED SKULL FRACTURE NOS, AND UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HOUR OR NO COMA",057-3,APR-DRG,,,,inpatient,,,999999999,,7268.980553,7268.980553,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7268.980553,case rate,999999999,,,,,,,,,,7268.980553,case rate,999999999,,,,,,,,,,7268.980553,case rate,999999999,,,,,,,,,,7268.980553,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"057-4 - CONCUSSION, CLOSED SKULL FRACTURE NOS, AND UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HOUR OR NO COMA",057-4,APR-DRG,,,,inpatient,,,999999999,,12014.12773,12014.12773,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12014.12773,case rate,999999999,,,,,,,,,,12014.12773,case rate,999999999,,,,,,,,,,12014.12773,case rate,999999999,,,,,,,,,,12014.12773,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
058-1 - OTHER DISORDERS OF NERVOUS SYSTEM,058-1,APR-DRG,,,,inpatient,,,999999999,,4802.014668,4802.014668,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4802.014668,case rate,999999999,,,,,,,,,,4802.014668,case rate,999999999,,,,,,,,,,4802.014668,case rate,999999999,,,,,,,,,,4802.014668,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
058-2 - OTHER DISORDERS OF NERVOUS SYSTEM,058-2,APR-DRG,,,,inpatient,,,999999999,,6443.434811,6443.434811,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6443.434811,case rate,999999999,,,,,,,,,,6443.434811,case rate,999999999,,,,,,,,,,6443.434811,case rate,999999999,,,,,,,,,,6443.434811,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
058-3 - OTHER DISORDERS OF NERVOUS SYSTEM,058-3,APR-DRG,,,,inpatient,,,999999999,,8441.534042,8441.534042,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8441.534042,case rate,999999999,,,,,,,,,,8441.534042,case rate,999999999,,,,,,,,,,8441.534042,case rate,999999999,,,,,,,,,,8441.534042,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
058-4 - OTHER DISORDERS OF NERVOUS SYSTEM,058-4,APR-DRG,,,,inpatient,,,999999999,,11746.42499,11746.42499,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11746.42499,case rate,999999999,,,,,,,,,,11746.42499,case rate,999999999,,,,,,,,,,11746.42499,case rate,999999999,,,,,,,,,,11746.42499,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
059-1 - ANOXIC AND OTHER SEVERE BRAIN DAMAGE,059-1,APR-DRG,,,,inpatient,,,999999999,,3218.235722,3218.235722,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3218.235722,case rate,999999999,,,,,,,,,,3218.235722,case rate,999999999,,,,,,,,,,3218.235722,case rate,999999999,,,,,,,,,,3218.235722,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
059-2 - ANOXIC AND OTHER SEVERE BRAIN DAMAGE,059-2,APR-DRG,,,,inpatient,,,999999999,,5285.581762,5285.581762,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5285.581762,case rate,999999999,,,,,,,,,,5285.581762,case rate,999999999,,,,,,,,,,5285.581762,case rate,999999999,,,,,,,,,,5285.581762,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
059-3 - ANOXIC AND OTHER SEVERE BRAIN DAMAGE,059-3,APR-DRG,,,,inpatient,,,999999999,,7455.830878,7455.830878,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7455.830878,case rate,999999999,,,,,,,,,,7455.830878,case rate,999999999,,,,,,,,,,7455.830878,case rate,999999999,,,,,,,,,,7455.830878,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
059-4 - ANOXIC AND OTHER SEVERE BRAIN DAMAGE,059-4,APR-DRG,,,,inpatient,,,999999999,,10319.70863,10319.70863,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10319.70863,case rate,999999999,,,,,,,,,,10319.70863,case rate,999999999,,,,,,,,,,10319.70863,case rate,999999999,,,,,,,,,,10319.70863,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
073-1 - ORBIT AND EYE PROCEDURES,073-1,APR-DRG,,,,inpatient,,,999999999,,5619.049629,5619.049629,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5619.049629,case rate,999999999,,,,,,,,,,5619.049629,case rate,999999999,,,,,,,,,,5619.049629,case rate,999999999,,,,,,,,,,5619.049629,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
073-2 - ORBIT AND EYE PROCEDURES,073-2,APR-DRG,,,,inpatient,,,999999999,,7132.80806,7132.80806,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7132.80806,case rate,999999999,,,,,,,,,,7132.80806,case rate,999999999,,,,,,,,,,7132.80806,case rate,999999999,,,,,,,,,,7132.80806,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
073-3 - ORBIT AND EYE PROCEDURES,073-3,APR-DRG,,,,inpatient,,,999999999,,11161.50223,11161.50223,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11161.50223,case rate,999999999,,,,,,,,,,11161.50223,case rate,999999999,,,,,,,,,,11161.50223,case rate,999999999,,,,,,,,,,11161.50223,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
073-4 - ORBIT AND EYE PROCEDURES,073-4,APR-DRG,,,,inpatient,,,999999999,,21528.79387,21528.79387,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21528.79387,case rate,999999999,,,,,,,,,,21528.79387,case rate,999999999,,,,,,,,,,21528.79387,case rate,999999999,,,,,,,,,,21528.79387,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
082-1 - EYE INFECTIONS AND OTHER EYE DISORDERS,082-1,APR-DRG,,,,inpatient,,,999999999,,3355.568777,3355.568777,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3355.568777,case rate,999999999,,,,,,,,,,3355.568777,case rate,999999999,,,,,,,,,,3355.568777,case rate,999999999,,,,,,,,,,3355.568777,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
082-2 - EYE INFECTIONS AND OTHER EYE DISORDERS,082-2,APR-DRG,,,,inpatient,,,999999999,,4123.860176,4123.860176,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4123.860176,case rate,999999999,,,,,,,,,,4123.860176,case rate,999999999,,,,,,,,,,4123.860176,case rate,999999999,,,,,,,,,,4123.860176,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
082-3 - EYE INFECTIONS AND OTHER EYE DISORDERS,082-3,APR-DRG,,,,inpatient,,,999999999,,6001.26106,6001.26106,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6001.26106,case rate,999999999,,,,,,,,,,6001.26106,case rate,999999999,,,,,,,,,,6001.26106,case rate,999999999,,,,,,,,,,6001.26106,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
082-4 - EYE INFECTIONS AND OTHER EYE DISORDERS,082-4,APR-DRG,,,,inpatient,,,999999999,,11857.06514,11857.06514,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11857.06514,case rate,999999999,,,,,,,,,,11857.06514,case rate,999999999,,,,,,,,,,11857.06514,case rate,999999999,,,,,,,,,,11857.06514,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
089-1 - MAJOR CRANIAL OR FACIAL BONE PROCEDURES,089-1,APR-DRG,,,,inpatient,,,999999999,,9666.312777,9666.312777,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9666.312777,case rate,999999999,,,,,,,,,,9666.312777,case rate,999999999,,,,,,,,,,9666.312777,case rate,999999999,,,,,,,,,,9666.312777,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
089-2 - MAJOR CRANIAL OR FACIAL BONE PROCEDURES,089-2,APR-DRG,,,,inpatient,,,999999999,,12937.93431,12937.93431,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12937.93431,case rate,999999999,,,,,,,,,,12937.93431,case rate,999999999,,,,,,,,,,12937.93431,case rate,999999999,,,,,,,,,,12937.93431,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
089-3 - MAJOR CRANIAL OR FACIAL BONE PROCEDURES,089-3,APR-DRG,,,,inpatient,,,999999999,,23634.43842,23634.43842,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23634.43842,case rate,999999999,,,,,,,,,,23634.43842,case rate,999999999,,,,,,,,,,23634.43842,case rate,999999999,,,,,,,,,,23634.43842,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
089-4 - MAJOR CRANIAL OR FACIAL BONE PROCEDURES,089-4,APR-DRG,,,,inpatient,,,999999999,,34031.90464,34031.90464,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,34031.90464,case rate,999999999,,,,,,,,,,34031.90464,case rate,999999999,,,,,,,,,,34031.90464,case rate,999999999,,,,,,,,,,34031.90464,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
091-1 - OTHER MAJOR HEAD AND NECK PROCEDURES,091-1,APR-DRG,,,,inpatient,,,999999999,,9143.286609,9143.286609,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9143.286609,case rate,999999999,,,,,,,,,,9143.286609,case rate,999999999,,,,,,,,,,9143.286609,case rate,999999999,,,,,,,,,,9143.286609,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
091-2 - OTHER MAJOR HEAD AND NECK PROCEDURES,091-2,APR-DRG,,,,inpatient,,,999999999,,13725.18154,13725.18154,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13725.18154,case rate,999999999,,,,,,,,,,13725.18154,case rate,999999999,,,,,,,,,,13725.18154,case rate,999999999,,,,,,,,,,13725.18154,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
091-3 - OTHER MAJOR HEAD AND NECK PROCEDURES,091-3,APR-DRG,,,,inpatient,,,999999999,,24434.83867,24434.83867,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,24434.83867,case rate,999999999,,,,,,,,,,24434.83867,case rate,999999999,,,,,,,,,,24434.83867,case rate,999999999,,,,,,,,,,24434.83867,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
091-4 - OTHER MAJOR HEAD AND NECK PROCEDURES,091-4,APR-DRG,,,,inpatient,,,999999999,,38282.65282,38282.65282,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,38282.65282,case rate,999999999,,,,,,,,,,38282.65282,case rate,999999999,,,,,,,,,,38282.65282,case rate,999999999,,,,,,,,,,38282.65282,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
092-1 - FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL OR FACIAL BONE PROCEDURES,092-1,APR-DRG,,,,inpatient,,,999999999,,7801.29121,7801.29121,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7801.29121,case rate,999999999,,,,,,,,,,7801.29121,case rate,999999999,,,,,,,,,,7801.29121,case rate,999999999,,,,,,,,,,7801.29121,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
092-2 - FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL OR FACIAL BONE PROCEDURES,092-2,APR-DRG,,,,inpatient,,,999999999,,10044.26882,10044.26882,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10044.26882,case rate,999999999,,,,,,,,,,10044.26882,case rate,999999999,,,,,,,,,,10044.26882,case rate,999999999,,,,,,,,,,10044.26882,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
092-3 - FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL OR FACIAL BONE PROCEDURES,092-3,APR-DRG,,,,inpatient,,,999999999,,15746.49199,15746.49199,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15746.49199,case rate,999999999,,,,,,,,,,15746.49199,case rate,999999999,,,,,,,,,,15746.49199,case rate,999999999,,,,,,,,,,15746.49199,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
092-4 - FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL OR FACIAL BONE PROCEDURES,092-4,APR-DRG,,,,inpatient,,,999999999,,30285.2268,30285.2268,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,30285.2268,case rate,999999999,,,,,,,,,,30285.2268,case rate,999999999,,,,,,,,,,30285.2268,case rate,999999999,,,,,,,,,,30285.2268,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
095-1 - CLEFT LIP AND PALATE REPAIR,095-1,APR-DRG,,,,inpatient,,,999999999,,4985.38331,4985.38331,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4985.38331,case rate,999999999,,,,,,,,,,4985.38331,case rate,999999999,,,,,,,,,,4985.38331,case rate,999999999,,,,,,,,,,4985.38331,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
095-2 - CLEFT LIP AND PALATE REPAIR,095-2,APR-DRG,,,,inpatient,,,999999999,,5758.316952,5758.316952,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5758.316952,case rate,999999999,,,,,,,,,,5758.316952,case rate,999999999,,,,,,,,,,5758.316952,case rate,999999999,,,,,,,,,,5758.316952,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
095-3 - CLEFT LIP AND PALATE REPAIR,095-3,APR-DRG,,,,inpatient,,,999999999,,9305.378298,9305.378298,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9305.378298,case rate,999999999,,,,,,,,,,9305.378298,case rate,999999999,,,,,,,,,,9305.378298,case rate,999999999,,,,,,,,,,9305.378298,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
095-4 - CLEFT LIP AND PALATE REPAIR,095-4,APR-DRG,,,,inpatient,,,999999999,,13284.94205,13284.94205,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13284.94205,case rate,999999999,,,,,,,,,,13284.94205,case rate,999999999,,,,,,,,,,13284.94205,case rate,999999999,,,,,,,,,,13284.94205,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
097-1 - TONSIL AND ADENOID PROCEDURES,097-1,APR-DRG,,,,inpatient,,,999999999,,3236.030991,3236.030991,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3236.030991,case rate,999999999,,,,,,,,,,3236.030991,case rate,999999999,,,,,,,,,,3236.030991,case rate,999999999,,,,,,,,,,3236.030991,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
097-2 - TONSIL AND ADENOID PROCEDURES,097-2,APR-DRG,,,,inpatient,,,999999999,,4689.440248,4689.440248,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4689.440248,case rate,999999999,,,,,,,,,,4689.440248,case rate,999999999,,,,,,,,,,4689.440248,case rate,999999999,,,,,,,,,,4689.440248,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
097-3 - TONSIL AND ADENOID PROCEDURES,097-3,APR-DRG,,,,inpatient,,,999999999,,7212.113063,7212.113063,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7212.113063,case rate,999999999,,,,,,,,,,7212.113063,case rate,999999999,,,,,,,,,,7212.113063,case rate,999999999,,,,,,,,,,7212.113063,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
097-4 - TONSIL AND ADENOID PROCEDURES,097-4,APR-DRG,,,,inpatient,,,999999999,,16565.84807,16565.84807,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16565.84807,case rate,999999999,,,,,,,,,,16565.84807,case rate,999999999,,,,,,,,,,16565.84807,case rate,999999999,,,,,,,,,,16565.84807,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"098-1 - OTHER EAR, NOSE, MOUTH AND THROAT PROCEDURES",098-1,APR-DRG,,,,inpatient,,,999999999,,5174.94161,5174.94161,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5174.94161,case rate,999999999,,,,,,,,,,5174.94161,case rate,999999999,,,,,,,,,,5174.94161,case rate,999999999,,,,,,,,,,5174.94161,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"098-2 - OTHER EAR, NOSE, MOUTH AND THROAT PROCEDURES",098-2,APR-DRG,,,,inpatient,,,999999999,,7164.916915,7164.916915,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7164.916915,case rate,999999999,,,,,,,,,,7164.916915,case rate,999999999,,,,,,,,,,7164.916915,case rate,999999999,,,,,,,,,,7164.916915,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"098-3 - OTHER EAR, NOSE, MOUTH AND THROAT PROCEDURES",098-3,APR-DRG,,,,inpatient,,,999999999,,12048.94456,12048.94456,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12048.94456,case rate,999999999,,,,,,,,,,12048.94456,case rate,999999999,,,,,,,,,,12048.94456,case rate,999999999,,,,,,,,,,12048.94456,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"098-4 - OTHER EAR, NOSE, MOUTH AND THROAT PROCEDURES",098-4,APR-DRG,,,,inpatient,,,999999999,,20556.24373,20556.24373,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20556.24373,case rate,999999999,,,,,,,,,,20556.24373,case rate,999999999,,,,,,,,,,20556.24373,case rate,999999999,,,,,,,,,,20556.24373,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"110-1 - EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES",110-1,APR-DRG,,,,inpatient,,,999999999,,4371.833381,4371.833381,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4371.833381,case rate,999999999,,,,,,,,,,4371.833381,case rate,999999999,,,,,,,,,,4371.833381,case rate,999999999,,,,,,,,,,4371.833381,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"110-2 - EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES",110-2,APR-DRG,,,,inpatient,,,999999999,,5000.470603,5000.470603,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5000.470603,case rate,999999999,,,,,,,,,,5000.470603,case rate,999999999,,,,,,,,,,5000.470603,case rate,999999999,,,,,,,,,,5000.470603,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"110-3 - EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES",110-3,APR-DRG,,,,inpatient,,,999999999,,7243.835064,7243.835064,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7243.835064,case rate,999999999,,,,,,,,,,7243.835064,case rate,999999999,,,,,,,,,,7243.835064,case rate,999999999,,,,,,,,,,7243.835064,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"110-4 - EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES",110-4,APR-DRG,,,,inpatient,,,999999999,,11795.94226,11795.94226,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11795.94226,case rate,999999999,,,,,,,,,,11795.94226,case rate,999999999,,,,,,,,,,11795.94226,case rate,999999999,,,,,,,,,,11795.94226,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
111-1 - VERTIGO AND OTHER LABYRINTH DISORDERS,111-1,APR-DRG,,,,inpatient,,,999999999,,3394.640998,3394.640998,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3394.640998,case rate,999999999,,,,,,,,,,3394.640998,case rate,999999999,,,,,,,,,,3394.640998,case rate,999999999,,,,,,,,,,3394.640998,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
111-2 - VERTIGO AND OTHER LABYRINTH DISORDERS,111-2,APR-DRG,,,,inpatient,,,999999999,,3899.871898,3899.871898,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3899.871898,case rate,999999999,,,,,,,,,,3899.871898,case rate,999999999,,,,,,,,,,3899.871898,case rate,999999999,,,,,,,,,,3899.871898,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
111-3 - VERTIGO AND OTHER LABYRINTH DISORDERS,111-3,APR-DRG,,,,inpatient,,,999999999,,4708.396078,4708.396078,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4708.396078,case rate,999999999,,,,,,,,,,4708.396078,case rate,999999999,,,,,,,,,,4708.396078,case rate,999999999,,,,,,,,,,4708.396078,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
111-4 - VERTIGO AND OTHER LABYRINTH DISORDERS,111-4,APR-DRG,,,,inpatient,,,999999999,,8255.070571,8255.070571,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8255.070571,case rate,999999999,,,,,,,,,,8255.070571,case rate,999999999,,,,,,,,,,8255.070571,case rate,999999999,,,,,,,,,,8255.070571,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
113-1 - INFECTIONS OF UPPER RESPIRATORY TRACT,113-1,APR-DRG,,,,inpatient,,,999999999,,2041.039989,2041.039989,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2041.039989,case rate,999999999,,,,,,,,,,2041.039989,case rate,999999999,,,,,,,,,,2041.039989,case rate,999999999,,,,,,,,,,2041.039989,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
113-2 - INFECTIONS OF UPPER RESPIRATORY TRACT,113-2,APR-DRG,,,,inpatient,,,999999999,,3012.042714,3012.042714,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3012.042714,case rate,999999999,,,,,,,,,,3012.042714,case rate,999999999,,,,,,,,,,3012.042714,case rate,999999999,,,,,,,,,,3012.042714,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
113-3 - INFECTIONS OF UPPER RESPIRATORY TRACT,113-3,APR-DRG,,,,inpatient,,,999999999,,4388.854943,4388.854943,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4388.854943,case rate,999999999,,,,,,,,,,4388.854943,case rate,999999999,,,,,,,,,,4388.854943,case rate,999999999,,,,,,,,,,4388.854943,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
113-4 - INFECTIONS OF UPPER RESPIRATORY TRACT,113-4,APR-DRG,,,,inpatient,,,999999999,,7177.683086,7177.683086,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7177.683086,case rate,999999999,,,,,,,,,,7177.683086,case rate,999999999,,,,,,,,,,7177.683086,case rate,999999999,,,,,,,,,,7177.683086,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
114-1 - DENTAL DISEASES AND DISORDERS,114-1,APR-DRG,,,,inpatient,,,999999999,,2415.127493,2415.127493,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2415.127493,case rate,999999999,,,,,,,,,,2415.127493,case rate,999999999,,,,,,,,,,2415.127493,case rate,999999999,,,,,,,,,,2415.127493,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
114-2 - DENTAL DISEASES AND DISORDERS,114-2,APR-DRG,,,,inpatient,,,999999999,,3333.518117,3333.518117,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3333.518117,case rate,999999999,,,,,,,,,,3333.518117,case rate,999999999,,,,,,,,,,3333.518117,case rate,999999999,,,,,,,,,,3333.518117,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
114-3 - DENTAL DISEASES AND DISORDERS,114-3,APR-DRG,,,,inpatient,,,999999999,,5353.668008,5353.668008,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5353.668008,case rate,999999999,,,,,,,,,,5353.668008,case rate,999999999,,,,,,,,,,5353.668008,case rate,999999999,,,,,,,,,,5353.668008,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
114-4 - DENTAL DISEASES AND DISORDERS,114-4,APR-DRG,,,,inpatient,,,999999999,,9370.369716,9370.369716,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9370.369716,case rate,999999999,,,,,,,,,,9370.369716,case rate,999999999,,,,,,,,,,9370.369716,case rate,999999999,,,,,,,,,,9370.369716,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"115-1 - OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES",115-1,APR-DRG,,,,inpatient,,,999999999,,2810.491949,2810.491949,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2810.491949,case rate,999999999,,,,,,,,,,2810.491949,case rate,999999999,,,,,,,,,,2810.491949,case rate,999999999,,,,,,,,,,2810.491949,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"115-2 - OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES",115-2,APR-DRG,,,,inpatient,,,999999999,,3883.624043,3883.624043,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3883.624043,case rate,999999999,,,,,,,,,,3883.624043,case rate,999999999,,,,,,,,,,3883.624043,case rate,999999999,,,,,,,,,,3883.624043,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"115-3 - OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES",115-3,APR-DRG,,,,inpatient,,,999999999,,5877.081031,5877.081031,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5877.081031,case rate,999999999,,,,,,,,,,5877.081031,case rate,999999999,,,,,,,,,,5877.081031,case rate,999999999,,,,,,,,,,5877.081031,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"115-4 - OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES",115-4,APR-DRG,,,,inpatient,,,999999999,,10750.66363,10750.66363,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10750.66363,case rate,999999999,,,,,,,,,,10750.66363,case rate,999999999,,,,,,,,,,10750.66363,case rate,999999999,,,,,,,,,,10750.66363,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
120-1 - MAJOR RESPIRATORY AND CHEST PROCEDURES,120-1,APR-DRG,,,,inpatient,,,999999999,,11420.30734,11420.30734,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11420.30734,case rate,999999999,,,,,,,,,,11420.30734,case rate,999999999,,,,,,,,,,11420.30734,case rate,999999999,,,,,,,,,,11420.30734,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
120-2 - MAJOR RESPIRATORY AND CHEST PROCEDURES,120-2,APR-DRG,,,,inpatient,,,999999999,,14022.28516,14022.28516,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14022.28516,case rate,999999999,,,,,,,,,,14022.28516,case rate,999999999,,,,,,,,,,14022.28516,case rate,999999999,,,,,,,,,,14022.28516,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
120-3 - MAJOR RESPIRATORY AND CHEST PROCEDURES,120-3,APR-DRG,,,,inpatient,,,999999999,,19043.64586,19043.64586,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19043.64586,case rate,999999999,,,,,,,,,,19043.64586,case rate,999999999,,,,,,,,,,19043.64586,case rate,999999999,,,,,,,,,,19043.64586,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
120-4 - MAJOR RESPIRATORY AND CHEST PROCEDURES,120-4,APR-DRG,,,,inpatient,,,999999999,,33218.73822,33218.73822,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,33218.73822,case rate,999999999,,,,,,,,,,33218.73822,case rate,999999999,,,,,,,,,,33218.73822,case rate,999999999,,,,,,,,,,33218.73822,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
121-1 - OTHER RESPIRATORY AND CHEST PROCEDURES,121-1,APR-DRG,,,,inpatient,,,999999999,,8317.354013,8317.354013,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8317.354013,case rate,999999999,,,,,,,,,,8317.354013,case rate,999999999,,,,,,,,,,8317.354013,case rate,999999999,,,,,,,,,,8317.354013,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
121-2 - OTHER RESPIRATORY AND CHEST PROCEDURES,121-2,APR-DRG,,,,inpatient,,,999999999,,10752.98475,10752.98475,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10752.98475,case rate,999999999,,,,,,,,,,10752.98475,case rate,999999999,,,,,,,,,,10752.98475,case rate,999999999,,,,,,,,,,10752.98475,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
121-3 - OTHER RESPIRATORY AND CHEST PROCEDURES,121-3,APR-DRG,,,,inpatient,,,999999999,,16355.39967,16355.39967,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16355.39967,case rate,999999999,,,,,,,,,,16355.39967,case rate,999999999,,,,,,,,,,16355.39967,case rate,999999999,,,,,,,,,,16355.39967,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
121-4 - OTHER RESPIRATORY AND CHEST PROCEDURES,121-4,APR-DRG,,,,inpatient,,,999999999,,27160.60967,27160.60967,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,27160.60967,case rate,999999999,,,,,,,,,,27160.60967,case rate,999999999,,,,,,,,,,27160.60967,case rate,999999999,,,,,,,,,,27160.60967,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
130-1 - RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS,130-1,APR-DRG,,,,inpatient,,,999999999,,19877.31553,19877.31553,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19877.31553,case rate,999999999,,,,,,,,,,19877.31553,case rate,999999999,,,,,,,,,,19877.31553,case rate,999999999,,,,,,,,,,19877.31553,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
130-2 - RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS,130-2,APR-DRG,,,,inpatient,,,999999999,,19881.57092,19881.57092,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19881.57092,case rate,999999999,,,,,,,,,,19881.57092,case rate,999999999,,,,,,,,,,19881.57092,case rate,999999999,,,,,,,,,,19881.57092,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
130-3 - RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS,130-3,APR-DRG,,,,inpatient,,,999999999,,24336.96469,24336.96469,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,24336.96469,case rate,999999999,,,,,,,,,,24336.96469,case rate,999999999,,,,,,,,,,24336.96469,case rate,999999999,,,,,,,,,,24336.96469,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
130-4 - RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS,130-4,APR-DRG,,,,inpatient,,,999999999,,31524.31912,31524.31912,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,31524.31912,case rate,999999999,,,,,,,,,,31524.31912,case rate,999999999,,,,,,,,,,31524.31912,case rate,999999999,,,,,,,,,,31524.31912,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
131-1 - CYSTIC FIBROSIS - PULMONARY DISEASE,131-1,APR-DRG,,,,inpatient,,,999999999,,6597.402573,6597.402573,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6597.402573,case rate,999999999,,,,,,,,,,6597.402573,case rate,999999999,,,,,,,,,,6597.402573,case rate,999999999,,,,,,,,,,6597.402573,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
131-2 - CYSTIC FIBROSIS - PULMONARY DISEASE,131-2,APR-DRG,,,,inpatient,,,999999999,,9282.553932,9282.553932,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9282.553932,case rate,999999999,,,,,,,,,,9282.553932,case rate,999999999,,,,,,,,,,9282.553932,case rate,999999999,,,,,,,,,,9282.553932,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
131-3 - CYSTIC FIBROSIS - PULMONARY DISEASE,131-3,APR-DRG,,,,inpatient,,,999999999,,12364.61716,12364.61716,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12364.61716,case rate,999999999,,,,,,,,,,12364.61716,case rate,999999999,,,,,,,,,,12364.61716,case rate,999999999,,,,,,,,,,12364.61716,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
131-4 - CYSTIC FIBROSIS - PULMONARY DISEASE,131-4,APR-DRG,,,,inpatient,,,999999999,,16050.17212,16050.17212,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16050.17212,case rate,999999999,,,,,,,,,,16050.17212,case rate,999999999,,,,,,,,,,16050.17212,case rate,999999999,,,,,,,,,,16050.17212,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
132-1 - BPD AND OTHER CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD,132-1,APR-DRG,,,,inpatient,,,999999999,,2384.566053,2384.566053,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2384.566053,case rate,999999999,,,,,,,,,,2384.566053,case rate,999999999,,,,,,,,,,2384.566053,case rate,999999999,,,,,,,,,,2384.566053,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
132-2 - BPD AND OTHER CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD,132-2,APR-DRG,,,,inpatient,,,999999999,,3131.193645,3131.193645,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3131.193645,case rate,999999999,,,,,,,,,,3131.193645,case rate,999999999,,,,,,,,,,3131.193645,case rate,999999999,,,,,,,,,,3131.193645,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
132-3 - BPD AND OTHER CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD,132-3,APR-DRG,,,,inpatient,,,999999999,,5260.049419,5260.049419,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5260.049419,case rate,999999999,,,,,,,,,,5260.049419,case rate,999999999,,,,,,,,,,5260.049419,case rate,999999999,,,,,,,,,,5260.049419,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
132-4 - BPD AND OTHER CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD,132-4,APR-DRG,,,,inpatient,,,999999999,,8380.411162,8380.411162,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8380.411162,case rate,999999999,,,,,,,,,,8380.411162,case rate,999999999,,,,,,,,,,8380.411162,case rate,999999999,,,,,,,,,,8380.411162,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
133-1 - RESPIRATORY FAILURE,133-1,APR-DRG,,,,inpatient,,,999999999,,2732.347507,2732.347507,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2732.347507,case rate,999999999,,,,,,,,,,2732.347507,case rate,999999999,,,,,,,,,,2732.347507,case rate,999999999,,,,,,,,,,2732.347507,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
133-2 - RESPIRATORY FAILURE,133-2,APR-DRG,,,,inpatient,,,999999999,,4510.713851,4510.713851,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4510.713851,case rate,999999999,,,,,,,,,,4510.713851,case rate,999999999,,,,,,,,,,4510.713851,case rate,999999999,,,,,,,,,,4510.713851,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
133-3 - RESPIRATORY FAILURE,133-3,APR-DRG,,,,inpatient,,,999999999,,6792.763679,6792.763679,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6792.763679,case rate,999999999,,,,,,,,,,6792.763679,case rate,999999999,,,,,,,,,,6792.763679,case rate,999999999,,,,,,,,,,6792.763679,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
133-4 - RESPIRATORY FAILURE,133-4,APR-DRG,,,,inpatient,,,999999999,,11211.79321,11211.79321,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11211.79321,case rate,999999999,,,,,,,,,,11211.79321,case rate,999999999,,,,,,,,,,11211.79321,case rate,999999999,,,,,,,,,,11211.79321,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
134-1 - PULMONARY EMBOLISM,134-1,APR-DRG,,,,inpatient,,,999999999,,3564.469761,3564.469761,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3564.469761,case rate,999999999,,,,,,,,,,3564.469761,case rate,999999999,,,,,,,,,,3564.469761,case rate,999999999,,,,,,,,,,3564.469761,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
134-2 - PULMONARY EMBOLISM,134-2,APR-DRG,,,,inpatient,,,999999999,,4641.470393,4641.470393,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4641.470393,case rate,999999999,,,,,,,,,,4641.470393,case rate,999999999,,,,,,,,,,4641.470393,case rate,999999999,,,,,,,,,,4641.470393,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
134-3 - PULMONARY EMBOLISM,134-3,APR-DRG,,,,inpatient,,,999999999,,6696.050261,6696.050261,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6696.050261,case rate,999999999,,,,,,,,,,6696.050261,case rate,999999999,,,,,,,,,,6696.050261,case rate,999999999,,,,,,,,,,6696.050261,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
134-4 - PULMONARY EMBOLISM,134-4,APR-DRG,,,,inpatient,,,999999999,,10192.43378,10192.43378,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10192.43378,case rate,999999999,,,,,,,,,,10192.43378,case rate,999999999,,,,,,,,,,10192.43378,case rate,999999999,,,,,,,,,,10192.43378,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
135-1 - MAJOR CHEST AND RESPIRATORY TRAUMA,135-1,APR-DRG,,,,inpatient,,,999999999,,4318.834428,4318.834428,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4318.834428,case rate,999999999,,,,,,,,,,4318.834428,case rate,999999999,,,,,,,,,,4318.834428,case rate,999999999,,,,,,,,,,4318.834428,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
135-2 - MAJOR CHEST AND RESPIRATORY TRAUMA,135-2,APR-DRG,,,,inpatient,,,999999999,,5026.002946,5026.002946,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5026.002946,case rate,999999999,,,,,,,,,,5026.002946,case rate,999999999,,,,,,,,,,5026.002946,case rate,999999999,,,,,,,,,,5026.002946,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
135-3 - MAJOR CHEST AND RESPIRATORY TRAUMA,135-3,APR-DRG,,,,inpatient,,,999999999,,7209.791941,7209.791941,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7209.791941,case rate,999999999,,,,,,,,,,7209.791941,case rate,999999999,,,,,,,,,,7209.791941,case rate,999999999,,,,,,,,,,7209.791941,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
135-4 - MAJOR CHEST AND RESPIRATORY TRAUMA,135-4,APR-DRG,,,,inpatient,,,999999999,,12145.65798,12145.65798,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12145.65798,case rate,999999999,,,,,,,,,,12145.65798,case rate,999999999,,,,,,,,,,12145.65798,case rate,999999999,,,,,,,,,,12145.65798,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
136-1 - RESPIRATORY MALIGNANCY,136-1,APR-DRG,,,,inpatient,,,999999999,,3751.320086,3751.320086,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3751.320086,case rate,999999999,,,,,,,,,,3751.320086,case rate,999999999,,,,,,,,,,3751.320086,case rate,999999999,,,,,,,,,,3751.320086,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
136-2 - RESPIRATORY MALIGNANCY,136-2,APR-DRG,,,,inpatient,,,999999999,,5191.189465,5191.189465,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5191.189465,case rate,999999999,,,,,,,,,,5191.189465,case rate,999999999,,,,,,,,,,5191.189465,case rate,999999999,,,,,,,,,,5191.189465,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
136-3 - RESPIRATORY MALIGNANCY,136-3,APR-DRG,,,,inpatient,,,999999999,,7380.007558,7380.007558,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7380.007558,case rate,999999999,,,,,,,,,,7380.007558,case rate,999999999,,,,,,,,,,7380.007558,case rate,999999999,,,,,,,,,,7380.007558,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
136-4 - RESPIRATORY MALIGNANCY,136-4,APR-DRG,,,,inpatient,,,999999999,,10462.07079,10462.07079,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10462.07079,case rate,999999999,,,,,,,,,,10462.07079,case rate,999999999,,,,,,,,,,10462.07079,case rate,999999999,,,,,,,,,,10462.07079,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
137-1 - MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS,137-1,APR-DRG,,,,inpatient,,,999999999,,3834.88048,3834.88048,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3834.88048,case rate,999999999,,,,,,,,,,3834.88048,case rate,999999999,,,,,,,,,,3834.88048,case rate,999999999,,,,,,,,,,3834.88048,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
137-2 - MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS,137-2,APR-DRG,,,,inpatient,,,999999999,,4887.122476,4887.122476,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4887.122476,case rate,999999999,,,,,,,,,,4887.122476,case rate,999999999,,,,,,,,,,4887.122476,case rate,999999999,,,,,,,,,,4887.122476,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
137-3 - MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS,137-3,APR-DRG,,,,inpatient,,,999999999,,6661.620284,6661.620284,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6661.620284,case rate,999999999,,,,,,,,,,6661.620284,case rate,999999999,,,,,,,,,,6661.620284,case rate,999999999,,,,,,,,,,6661.620284,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
137-4 - MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS,137-4,APR-DRG,,,,inpatient,,,999999999,,9622.985166,9622.985166,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9622.985166,case rate,999999999,,,,,,,,,,9622.985166,case rate,999999999,,,,,,,,,,9622.985166,case rate,999999999,,,,,,,,,,9622.985166,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
138-1 - BRONCHIOLITIS AND RSV PNEUMONIA,138-1,APR-DRG,,,,inpatient,,,999999999,,1807.767223,1807.767223,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1807.767223,case rate,999999999,,,,,,,,,,1807.767223,case rate,999999999,,,,,,,,,,1807.767223,case rate,999999999,,,,,,,,,,1807.767223,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
138-2 - BRONCHIOLITIS AND RSV PNEUMONIA,138-2,APR-DRG,,,,inpatient,,,999999999,,2588.824793,2588.824793,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2588.824793,case rate,999999999,,,,,,,,,,2588.824793,case rate,999999999,,,,,,,,,,2588.824793,case rate,999999999,,,,,,,,,,2588.824793,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
138-3 - BRONCHIOLITIS AND RSV PNEUMONIA,138-3,APR-DRG,,,,inpatient,,,999999999,,4101.422662,4101.422662,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4101.422662,case rate,999999999,,,,,,,,,,4101.422662,case rate,999999999,,,,,,,,,,4101.422662,case rate,999999999,,,,,,,,,,4101.422662,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
138-4 - BRONCHIOLITIS AND RSV PNEUMONIA,138-4,APR-DRG,,,,inpatient,,,999999999,,8719.681835,8719.681835,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8719.681835,case rate,999999999,,,,,,,,,,8719.681835,case rate,999999999,,,,,,,,,,8719.681835,case rate,999999999,,,,,,,,,,8719.681835,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
139-1 - OTHER PNEUMONIA,139-1,APR-DRG,,,,inpatient,,,999999999,,2802.754875,2802.754875,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2802.754875,case rate,999999999,,,,,,,,,,2802.754875,case rate,999999999,,,,,,,,,,2802.754875,case rate,999999999,,,,,,,,,,2802.754875,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
139-2 - OTHER PNEUMONIA,139-2,APR-DRG,,,,inpatient,,,999999999,,3887.49258,3887.49258,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3887.49258,case rate,999999999,,,,,,,,,,3887.49258,case rate,999999999,,,,,,,,,,3887.49258,case rate,999999999,,,,,,,,,,3887.49258,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
139-3 - OTHER PNEUMONIA,139-3,APR-DRG,,,,inpatient,,,999999999,,5388.484839,5388.484839,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5388.484839,case rate,999999999,,,,,,,,,,5388.484839,case rate,999999999,,,,,,,,,,5388.484839,case rate,999999999,,,,,,,,,,5388.484839,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
139-4 - OTHER PNEUMONIA,139-4,APR-DRG,,,,inpatient,,,999999999,,8104.971345,8104.971345,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8104.971345,case rate,999999999,,,,,,,,,,8104.971345,case rate,999999999,,,,,,,,,,8104.971345,case rate,999999999,,,,,,,,,,8104.971345,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
140-1 - CHRONIC OBSTRUCTIVE PULMONARY DISEASE,140-1,APR-DRG,,,,inpatient,,,999999999,,3329.649581,3329.649581,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3329.649581,case rate,999999999,,,,,,,,,,3329.649581,case rate,999999999,,,,,,,,,,3329.649581,case rate,999999999,,,,,,,,,,3329.649581,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
140-2 - CHRONIC OBSTRUCTIVE PULMONARY DISEASE,140-2,APR-DRG,,,,inpatient,,,999999999,,4100.648955,4100.648955,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4100.648955,case rate,999999999,,,,,,,,,,4100.648955,case rate,999999999,,,,,,,,,,4100.648955,case rate,999999999,,,,,,,,,,4100.648955,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
140-3 - CHRONIC OBSTRUCTIVE PULMONARY DISEASE,140-3,APR-DRG,,,,inpatient,,,999999999,,4972.617138,4972.617138,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4972.617138,case rate,999999999,,,,,,,,,,4972.617138,case rate,999999999,,,,,,,,,,4972.617138,case rate,999999999,,,,,,,,,,4972.617138,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
140-4 - CHRONIC OBSTRUCTIVE PULMONARY DISEASE,140-4,APR-DRG,,,,inpatient,,,999999999,,7354.088362,7354.088362,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7354.088362,case rate,999999999,,,,,,,,,,7354.088362,case rate,999999999,,,,,,,,,,7354.088362,case rate,999999999,,,,,,,,,,7354.088362,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
141-1 - ASTHMA,141-1,APR-DRG,,,,inpatient,,,999999999,,2354.391466,2354.391466,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2354.391466,case rate,999999999,,,,,,,,,,2354.391466,case rate,999999999,,,,,,,,,,2354.391466,case rate,999999999,,,,,,,,,,2354.391466,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
141-2 - ASTHMA,141-2,APR-DRG,,,,inpatient,,,999999999,,3541.645395,3541.645395,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3541.645395,case rate,999999999,,,,,,,,,,3541.645395,case rate,999999999,,,,,,,,,,3541.645395,case rate,999999999,,,,,,,,,,3541.645395,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
141-3 - ASTHMA,141-3,APR-DRG,,,,inpatient,,,999999999,,4259.258962,4259.258962,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4259.258962,case rate,999999999,,,,,,,,,,4259.258962,case rate,999999999,,,,,,,,,,4259.258962,case rate,999999999,,,,,,,,,,4259.258962,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
141-4 - ASTHMA,141-4,APR-DRG,,,,inpatient,,,999999999,,7485.231758,7485.231758,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7485.231758,case rate,999999999,,,,,,,,,,7485.231758,case rate,999999999,,,,,,,,,,7485.231758,case rate,999999999,,,,,,,,,,7485.231758,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
142-1 - INTERSTITIAL AND ALVEOLAR LUNG DISEASES,142-1,APR-DRG,,,,inpatient,,,999999999,,3855.770579,3855.770579,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3855.770579,case rate,999999999,,,,,,,,,,3855.770579,case rate,999999999,,,,,,,,,,3855.770579,case rate,999999999,,,,,,,,,,3855.770579,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
142-2 - INTERSTITIAL AND ALVEOLAR LUNG DISEASES,142-2,APR-DRG,,,,inpatient,,,999999999,,4540.501583,4540.501583,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4540.501583,case rate,999999999,,,,,,,,,,4540.501583,case rate,999999999,,,,,,,,,,4540.501583,case rate,999999999,,,,,,,,,,4540.501583,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
142-3 - INTERSTITIAL AND ALVEOLAR LUNG DISEASES,142-3,APR-DRG,,,,inpatient,,,999999999,,6147.491749,6147.491749,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6147.491749,case rate,999999999,,,,,,,,,,6147.491749,case rate,999999999,,,,,,,,,,6147.491749,case rate,999999999,,,,,,,,,,6147.491749,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
142-4 - INTERSTITIAL AND ALVEOLAR LUNG DISEASES,142-4,APR-DRG,,,,inpatient,,,999999999,,9269.400907,9269.400907,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9269.400907,case rate,999999999,,,,,,,,,,9269.400907,case rate,999999999,,,,,,,,,,9269.400907,case rate,999999999,,,,,,,,,,9269.400907,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"143-1 - OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES",143-1,APR-DRG,,,,inpatient,,,999999999,,3119.201182,3119.201182,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3119.201182,case rate,999999999,,,,,,,,,,3119.201182,case rate,999999999,,,,,,,,,,3119.201182,case rate,999999999,,,,,,,,,,3119.201182,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"143-2 - OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES",143-2,APR-DRG,,,,inpatient,,,999999999,,4419.416383,4419.416383,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4419.416383,case rate,999999999,,,,,,,,,,4419.416383,case rate,999999999,,,,,,,,,,4419.416383,case rate,999999999,,,,,,,,,,4419.416383,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"143-3 - OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES",143-3,APR-DRG,,,,inpatient,,,999999999,,6323.897025,6323.897025,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6323.897025,case rate,999999999,,,,,,,,,,6323.897025,case rate,999999999,,,,,,,,,,6323.897025,case rate,999999999,,,,,,,,,,6323.897025,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"143-4 - OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES",143-4,APR-DRG,,,,inpatient,,,999999999,,9739.428122,9739.428122,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9739.428122,case rate,999999999,,,,,,,,,,9739.428122,case rate,999999999,,,,,,,,,,9739.428122,case rate,999999999,,,,,,,,,,9739.428122,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"144-1 - RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES",144-1,APR-DRG,,,,inpatient,,,999999999,,3026.743153,3026.743153,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3026.743153,case rate,999999999,,,,,,,,,,3026.743153,case rate,999999999,,,,,,,,,,3026.743153,case rate,999999999,,,,,,,,,,3026.743153,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"144-2 - RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES",144-2,APR-DRG,,,,inpatient,,,999999999,,3983.819145,3983.819145,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3983.819145,case rate,999999999,,,,,,,,,,3983.819145,case rate,999999999,,,,,,,,,,3983.819145,case rate,999999999,,,,,,,,,,3983.819145,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"144-3 - RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES",144-3,APR-DRG,,,,inpatient,,,999999999,,5627.947264,5627.947264,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5627.947264,case rate,999999999,,,,,,,,,,5627.947264,case rate,999999999,,,,,,,,,,5627.947264,case rate,999999999,,,,,,,,,,5627.947264,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"144-4 - RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES",144-4,APR-DRG,,,,inpatient,,,999999999,,9814.477735,9814.477735,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9814.477735,case rate,999999999,,,,,,,,,,9814.477735,case rate,999999999,,,,,,,,,,9814.477735,case rate,999999999,,,,,,,,,,9814.477735,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
145-1 - ACUTE BRONCHITIS AND RELATED SYMPTOMS,145-1,APR-DRG,,,,inpatient,,,999999999,,2897.147172,2897.147172,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2897.147172,case rate,999999999,,,,,,,,,,2897.147172,case rate,999999999,,,,,,,,,,2897.147172,case rate,999999999,,,,,,,,,,2897.147172,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
145-2 - ACUTE BRONCHITIS AND RELATED SYMPTOMS,145-2,APR-DRG,,,,inpatient,,,999999999,,3702.963377,3702.963377,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3702.963377,case rate,999999999,,,,,,,,,,3702.963377,case rate,999999999,,,,,,,,,,3702.963377,case rate,999999999,,,,,,,,,,3702.963377,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
145-3 - ACUTE BRONCHITIS AND RELATED SYMPTOMS,145-3,APR-DRG,,,,inpatient,,,999999999,,4777.642886,4777.642886,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4777.642886,case rate,999999999,,,,,,,,,,4777.642886,case rate,999999999,,,,,,,,,,4777.642886,case rate,999999999,,,,,,,,,,4777.642886,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
145-4 - ACUTE BRONCHITIS AND RELATED SYMPTOMS,145-4,APR-DRG,,,,inpatient,,,999999999,,7278.265041,7278.265041,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7278.265041,case rate,999999999,,,,,,,,,,7278.265041,case rate,999999999,,,,,,,,,,7278.265041,case rate,999999999,,,,,,,,,,7278.265041,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
160-1 - MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY,160-1,APR-DRG,,,,inpatient,,,999999999,,17694.68709,17694.68709,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17694.68709,case rate,999999999,,,,,,,,,,17694.68709,case rate,999999999,,,,,,,,,,17694.68709,case rate,999999999,,,,,,,,,,17694.68709,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
160-2 - MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY,160-2,APR-DRG,,,,inpatient,,,999999999,,21794.9492,21794.9492,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21794.9492,case rate,999999999,,,,,,,,,,21794.9492,case rate,999999999,,,,,,,,,,21794.9492,case rate,999999999,,,,,,,,,,21794.9492,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
160-3 - MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY,160-3,APR-DRG,,,,inpatient,,,999999999,,33628.41626,33628.41626,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,33628.41626,case rate,999999999,,,,,,,,,,33628.41626,case rate,999999999,,,,,,,,,,33628.41626,case rate,999999999,,,,,,,,,,33628.41626,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
160-4 - MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY,160-4,APR-DRG,,,,inpatient,,,999999999,,62645.53671,62645.53671,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,62645.53671,case rate,999999999,,,,,,,,,,62645.53671,case rate,999999999,,,,,,,,,,62645.53671,case rate,999999999,,,,,,,,,,62645.53671,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
161-1 - IMPLANTABLE HEART ASSIST SYSTEMS,161-1,APR-DRG,,,,inpatient,,,999999999,,86512.86105,86512.86105,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,86512.86105,case rate,999999999,,,,,,,,,,86512.86105,case rate,999999999,,,,,,,,,,86512.86105,case rate,999999999,,,,,,,,,,86512.86105,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
161-2 - IMPLANTABLE HEART ASSIST SYSTEMS,161-2,APR-DRG,,,,inpatient,,,999999999,,91066.51566,91066.51566,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,91066.51566,case rate,999999999,,,,,,,,,,91066.51566,case rate,999999999,,,,,,,,,,91066.51566,case rate,999999999,,,,,,,,,,91066.51566,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
161-3 - IMPLANTABLE HEART ASSIST SYSTEMS,161-3,APR-DRG,,,,inpatient,,,999999999,,113420.0816,113420.0816,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,113420.0816,case rate,999999999,,,,,,,,,,113420.0816,case rate,999999999,,,,,,,,,,113420.0816,case rate,999999999,,,,,,,,,,113420.0816,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
161-4 - IMPLANTABLE HEART ASSIST SYSTEMS,161-4,APR-DRG,,,,inpatient,,,999999999,,148048.1277,148048.1277,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,148048.1277,case rate,999999999,,,,,,,,,,148048.1277,case rate,999999999,,,,,,,,,,148048.1277,case rate,999999999,,,,,,,,,,148048.1277,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
162-1 - CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS,162-1,APR-DRG,,,,inpatient,,,999999999,,27350.16797,27350.16797,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,27350.16797,case rate,999999999,,,,,,,,,,27350.16797,case rate,999999999,,,,,,,,,,27350.16797,case rate,999999999,,,,,,,,,,27350.16797,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
162-2 - CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS,162-2,APR-DRG,,,,inpatient,,,999999999,,32049.66641,32049.66641,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,32049.66641,case rate,999999999,,,,,,,,,,32049.66641,case rate,999999999,,,,,,,,,,32049.66641,case rate,999999999,,,,,,,,,,32049.66641,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
162-3 - CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS,162-3,APR-DRG,,,,inpatient,,,999999999,,40438.97521,40438.97521,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,40438.97521,case rate,999999999,,,,,,,,,,40438.97521,case rate,999999999,,,,,,,,,,40438.97521,case rate,999999999,,,,,,,,,,40438.97521,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
162-4 - CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS,162-4,APR-DRG,,,,inpatient,,,999999999,,59042.38159,59042.38159,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,59042.38159,case rate,999999999,,,,,,,,,,59042.38159,case rate,999999999,,,,,,,,,,59042.38159,case rate,999999999,,,,,,,,,,59042.38159,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
163-1 - CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS,163-1,APR-DRG,,,,inpatient,,,999999999,,23921.48385,23921.48385,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23921.48385,case rate,999999999,,,,,,,,,,23921.48385,case rate,999999999,,,,,,,,,,23921.48385,case rate,999999999,,,,,,,,,,23921.48385,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
163-2 - CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS,163-2,APR-DRG,,,,inpatient,,,999999999,,26470.07586,26470.07586,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,26470.07586,case rate,999999999,,,,,,,,,,26470.07586,case rate,999999999,,,,,,,,,,26470.07586,case rate,999999999,,,,,,,,,,26470.07586,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
163-3 - CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS,163-3,APR-DRG,,,,inpatient,,,999999999,,33446.98189,33446.98189,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,33446.98189,case rate,999999999,,,,,,,,,,33446.98189,case rate,999999999,,,,,,,,,,33446.98189,case rate,999999999,,,,,,,,,,33446.98189,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
163-4 - CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS,163-4,APR-DRG,,,,inpatient,,,999999999,,50241.46048,50241.46048,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,50241.46048,case rate,999999999,,,,,,,,,,50241.46048,case rate,999999999,,,,,,,,,,50241.46048,case rate,999999999,,,,,,,,,,50241.46048,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
165-1 - CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS,165-1,APR-DRG,,,,inpatient,,,999999999,,23176.40367,23176.40367,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23176.40367,case rate,999999999,,,,,,,,,,23176.40367,case rate,999999999,,,,,,,,,,23176.40367,case rate,999999999,,,,,,,,,,23176.40367,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
165-2 - CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS,165-2,APR-DRG,,,,inpatient,,,999999999,,28222.52301,28222.52301,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,28222.52301,case rate,999999999,,,,,,,,,,28222.52301,case rate,999999999,,,,,,,,,,28222.52301,case rate,999999999,,,,,,,,,,28222.52301,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
165-3 - CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS,165-3,APR-DRG,,,,inpatient,,,999999999,,33933.25696,33933.25696,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,33933.25696,case rate,999999999,,,,,,,,,,33933.25696,case rate,999999999,,,,,,,,,,33933.25696,case rate,999999999,,,,,,,,,,33933.25696,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
165-4 - CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS,165-4,APR-DRG,,,,inpatient,,,999999999,,45944.67671,45944.67671,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45944.67671,case rate,999999999,,,,,,,,,,45944.67671,case rate,999999999,,,,,,,,,,45944.67671,case rate,999999999,,,,,,,,,,45944.67671,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
166-1 - CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS,166-1,APR-DRG,,,,inpatient,,,999999999,,21335.36703,21335.36703,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21335.36703,case rate,999999999,,,,,,,,,,21335.36703,case rate,999999999,,,,,,,,,,21335.36703,case rate,999999999,,,,,,,,,,21335.36703,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
166-2 - CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS,166-2,APR-DRG,,,,inpatient,,,999999999,,23756.68418,23756.68418,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23756.68418,case rate,999999999,,,,,,,,,,23756.68418,case rate,999999999,,,,,,,,,,23756.68418,case rate,999999999,,,,,,,,,,23756.68418,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
166-3 - CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS,166-3,APR-DRG,,,,inpatient,,,999999999,,28211.6911,28211.6911,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,28211.6911,case rate,999999999,,,,,,,,,,28211.6911,case rate,999999999,,,,,,,,,,28211.6911,case rate,999999999,,,,,,,,,,28211.6911,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
166-4 - CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS,166-4,APR-DRG,,,,inpatient,,,999999999,,41415.00703,41415.00703,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,41415.00703,case rate,999999999,,,,,,,,,,41415.00703,case rate,999999999,,,,,,,,,,41415.00703,case rate,999999999,,,,,,,,,,41415.00703,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
167-1 - OTHER CARDIOTHORACIC AND THORACIC VASCULAR PROCEDURES,167-1,APR-DRG,,,,inpatient,,,999999999,,17937.24435,17937.24435,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17937.24435,case rate,999999999,,,,,,,,,,17937.24435,case rate,999999999,,,,,,,,,,17937.24435,case rate,999999999,,,,,,,,,,17937.24435,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
167-2 - OTHER CARDIOTHORACIC AND THORACIC VASCULAR PROCEDURES,167-2,APR-DRG,,,,inpatient,,,999999999,,18644.79972,18644.79972,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18644.79972,case rate,999999999,,,,,,,,,,18644.79972,case rate,999999999,,,,,,,,,,18644.79972,case rate,999999999,,,,,,,,,,18644.79972,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
167-3 - OTHER CARDIOTHORACIC AND THORACIC VASCULAR PROCEDURES,167-3,APR-DRG,,,,inpatient,,,999999999,,28148.2471,28148.2471,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,28148.2471,case rate,999999999,,,,,,,,,,28148.2471,case rate,999999999,,,,,,,,,,28148.2471,case rate,999999999,,,,,,,,,,28148.2471,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
167-4 - OTHER CARDIOTHORACIC AND THORACIC VASCULAR PROCEDURES,167-4,APR-DRG,,,,inpatient,,,999999999,,45192.63317,45192.63317,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45192.63317,case rate,999999999,,,,,,,,,,45192.63317,case rate,999999999,,,,,,,,,,45192.63317,case rate,999999999,,,,,,,,,,45192.63317,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
169-1 - MAJOR ABDOMINAL VASCULAR PROCEDURES,169-1,APR-DRG,,,,inpatient,,,999999999,,17991.79072,17991.79072,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17991.79072,case rate,999999999,,,,,,,,,,17991.79072,case rate,999999999,,,,,,,,,,17991.79072,case rate,999999999,,,,,,,,,,17991.79072,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
169-2 - MAJOR ABDOMINAL VASCULAR PROCEDURES,169-2,APR-DRG,,,,inpatient,,,999999999,,18234.34797,18234.34797,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18234.34797,case rate,999999999,,,,,,,,,,18234.34797,case rate,999999999,,,,,,,,,,18234.34797,case rate,999999999,,,,,,,,,,18234.34797,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
169-3 - MAJOR ABDOMINAL VASCULAR PROCEDURES,169-3,APR-DRG,,,,inpatient,,,999999999,,23827.09155,23827.09155,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23827.09155,case rate,999999999,,,,,,,,,,23827.09155,case rate,999999999,,,,,,,,,,23827.09155,case rate,999999999,,,,,,,,,,23827.09155,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
169-4 - MAJOR ABDOMINAL VASCULAR PROCEDURES,169-4,APR-DRG,,,,inpatient,,,999999999,,38763.12509,38763.12509,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,38763.12509,case rate,999999999,,,,,,,,,,38763.12509,case rate,999999999,,,,,,,,,,38763.12509,case rate,999999999,,,,,,,,,,38763.12509,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"170-1 - PERMANENT CARDIAC PACEMAKER IMPLANT WITH AMI, HEART FAILURE OR SHOCK",170-1,APR-DRG,,,,inpatient,,,999999999,,13494.22989,13494.22989,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13494.22989,case rate,999999999,,,,,,,,,,13494.22989,case rate,999999999,,,,,,,,,,13494.22989,case rate,999999999,,,,,,,,,,13494.22989,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"170-2 - PERMANENT CARDIAC PACEMAKER IMPLANT WITH AMI, HEART FAILURE OR SHOCK",170-2,APR-DRG,,,,inpatient,,,999999999,,15327.91631,15327.91631,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15327.91631,case rate,999999999,,,,,,,,,,15327.91631,case rate,999999999,,,,,,,,,,15327.91631,case rate,999999999,,,,,,,,,,15327.91631,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"170-3 - PERMANENT CARDIAC PACEMAKER IMPLANT WITH AMI, HEART FAILURE OR SHOCK",170-3,APR-DRG,,,,inpatient,,,999999999,,19439.39717,19439.39717,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19439.39717,case rate,999999999,,,,,,,,,,19439.39717,case rate,999999999,,,,,,,,,,19439.39717,case rate,999999999,,,,,,,,,,19439.39717,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"170-4 - PERMANENT CARDIAC PACEMAKER IMPLANT WITH AMI, HEART FAILURE OR SHOCK",170-4,APR-DRG,,,,inpatient,,,999999999,,27333.14641,27333.14641,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,27333.14641,case rate,999999999,,,,,,,,,,27333.14641,case rate,999999999,,,,,,,,,,27333.14641,case rate,999999999,,,,,,,,,,27333.14641,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"171-1 - PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK",171-1,APR-DRG,,,,inpatient,,,999999999,,10000.94121,10000.94121,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10000.94121,case rate,999999999,,,,,,,,,,10000.94121,case rate,999999999,,,,,,,,,,10000.94121,case rate,999999999,,,,,,,,,,10000.94121,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"171-2 - PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK",171-2,APR-DRG,,,,inpatient,,,999999999,,11467.50349,11467.50349,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11467.50349,case rate,999999999,,,,,,,,,,11467.50349,case rate,999999999,,,,,,,,,,11467.50349,case rate,999999999,,,,,,,,,,11467.50349,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"171-3 - PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK",171-3,APR-DRG,,,,inpatient,,,999999999,,14676.84158,14676.84158,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14676.84158,case rate,999999999,,,,,,,,,,14676.84158,case rate,999999999,,,,,,,,,,14676.84158,case rate,999999999,,,,,,,,,,14676.84158,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"171-4 - PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK",171-4,APR-DRG,,,,inpatient,,,999999999,,21827.83176,21827.83176,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21827.83176,case rate,999999999,,,,,,,,,,21827.83176,case rate,999999999,,,,,,,,,,21827.83176,case rate,999999999,,,,,,,,,,21827.83176,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
174-1 - PERCUTANEOUS CARDIAC INTERVENTION WITH AMI,174-1,APR-DRG,,,,inpatient,,,999999999,,12440.44048,12440.44048,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12440.44048,case rate,999999999,,,,,,,,,,12440.44048,case rate,999999999,,,,,,,,,,12440.44048,case rate,999999999,,,,,,,,,,12440.44048,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
174-2 - PERCUTANEOUS CARDIAC INTERVENTION WITH AMI,174-2,APR-DRG,,,,inpatient,,,999999999,,13499.25899,13499.25899,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13499.25899,case rate,999999999,,,,,,,,,,13499.25899,case rate,999999999,,,,,,,,,,13499.25899,case rate,999999999,,,,,,,,,,13499.25899,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
174-3 - PERCUTANEOUS CARDIAC INTERVENTION WITH AMI,174-3,APR-DRG,,,,inpatient,,,999999999,,16560.43212,16560.43212,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16560.43212,case rate,999999999,,,,,,,,,,16560.43212,case rate,999999999,,,,,,,,,,16560.43212,case rate,999999999,,,,,,,,,,16560.43212,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
174-4 - PERCUTANEOUS CARDIAC INTERVENTION WITH AMI,174-4,APR-DRG,,,,inpatient,,,999999999,,23143.13425,23143.13425,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23143.13425,case rate,999999999,,,,,,,,,,23143.13425,case rate,999999999,,,,,,,,,,23143.13425,case rate,999999999,,,,,,,,,,23143.13425,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
175-1 - PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI,175-1,APR-DRG,,,,inpatient,,,999999999,,12527.48256,12527.48256,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12527.48256,case rate,999999999,,,,,,,,,,12527.48256,case rate,999999999,,,,,,,,,,12527.48256,case rate,999999999,,,,,,,,,,12527.48256,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
175-2 - PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI,175-2,APR-DRG,,,,inpatient,,,999999999,,14159.61821,14159.61821,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14159.61821,case rate,999999999,,,,,,,,,,14159.61821,case rate,999999999,,,,,,,,,,14159.61821,case rate,999999999,,,,,,,,,,14159.61821,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
175-3 - PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI,175-3,APR-DRG,,,,inpatient,,,999999999,,17475.34106,17475.34106,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17475.34106,case rate,999999999,,,,,,,,,,17475.34106,case rate,999999999,,,,,,,,,,17475.34106,case rate,999999999,,,,,,,,,,17475.34106,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
175-4 - PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI,175-4,APR-DRG,,,,inpatient,,,999999999,,25572.57533,25572.57533,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,25572.57533,case rate,999999999,,,,,,,,,,25572.57533,case rate,999999999,,,,,,,,,,25572.57533,case rate,999999999,,,,,,,,,,25572.57533,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"176-1 - INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES",176-1,APR-DRG,,,,inpatient,,,999999999,,10343.30671,10343.30671,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10343.30671,case rate,999999999,,,,,,,,,,10343.30671,case rate,999999999,,,,,,,,,,10343.30671,case rate,999999999,,,,,,,,,,10343.30671,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"176-2 - INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES",176-2,APR-DRG,,,,inpatient,,,999999999,,12270.61172,12270.61172,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12270.61172,case rate,999999999,,,,,,,,,,12270.61172,case rate,999999999,,,,,,,,,,12270.61172,case rate,999999999,,,,,,,,,,12270.61172,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"176-3 - INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES",176-3,APR-DRG,,,,inpatient,,,999999999,,19009.98959,19009.98959,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19009.98959,case rate,999999999,,,,,,,,,,19009.98959,case rate,999999999,,,,,,,,,,19009.98959,case rate,999999999,,,,,,,,,,19009.98959,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"176-4 - INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES",176-4,APR-DRG,,,,inpatient,,,999999999,,31485.2469,31485.2469,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,31485.2469,case rate,999999999,,,,,,,,,,31485.2469,case rate,999999999,,,,,,,,,,31485.2469,case rate,999999999,,,,,,,,,,31485.2469,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
177-1 - CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT,177-1,APR-DRG,,,,inpatient,,,999999999,,7410.568998,7410.568998,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7410.568998,case rate,999999999,,,,,,,,,,7410.568998,case rate,999999999,,,,,,,,,,7410.568998,case rate,999999999,,,,,,,,,,7410.568998,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
177-2 - CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT,177-2,APR-DRG,,,,inpatient,,,999999999,,10697.66467,10697.66467,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10697.66467,case rate,999999999,,,,,,,,,,10697.66467,case rate,999999999,,,,,,,,,,10697.66467,case rate,999999999,,,,,,,,,,10697.66467,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
177-3 - CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT,177-3,APR-DRG,,,,inpatient,,,999999999,,14373.93515,14373.93515,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14373.93515,case rate,999999999,,,,,,,,,,14373.93515,case rate,999999999,,,,,,,,,,14373.93515,case rate,999999999,,,,,,,,,,14373.93515,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
177-4 - CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT,177-4,APR-DRG,,,,inpatient,,,999999999,,19832.82736,19832.82736,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19832.82736,case rate,999999999,,,,,,,,,,19832.82736,case rate,999999999,,,,,,,,,,19832.82736,case rate,999999999,,,,,,,,,,19832.82736,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
178-1 - EXTERNAL HEART ASSIST SYSTEMS,178-1,APR-DRG,,,,inpatient,,,999999999,,30680.59126,30680.59126,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,30680.59126,case rate,999999999,,,,,,,,,,30680.59126,case rate,999999999,,,,,,,,,,30680.59126,case rate,999999999,,,,,,,,,,30680.59126,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
178-2 - EXTERNAL HEART ASSIST SYSTEMS,178-2,APR-DRG,,,,inpatient,,,999999999,,34398.25507,34398.25507,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,34398.25507,case rate,999999999,,,,,,,,,,34398.25507,case rate,999999999,,,,,,,,,,34398.25507,case rate,999999999,,,,,,,,,,34398.25507,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
178-3 - EXTERNAL HEART ASSIST SYSTEMS,178-3,APR-DRG,,,,inpatient,,,999999999,,36920.54103,36920.54103,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,36920.54103,case rate,999999999,,,,,,,,,,36920.54103,case rate,999999999,,,,,,,,,,36920.54103,case rate,999999999,,,,,,,,,,36920.54103,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
178-4 - EXTERNAL HEART ASSIST SYSTEMS,178-4,APR-DRG,,,,inpatient,,,999999999,,49906.05834,49906.05834,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,49906.05834,case rate,999999999,,,,,,,,,,49906.05834,case rate,999999999,,,,,,,,,,49906.05834,case rate,999999999,,,,,,,,,,49906.05834,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
179-1 - DEFIBRILLATOR IMPLANTS,179-1,APR-DRG,,,,inpatient,,,999999999,,21315.25064,21315.25064,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21315.25064,case rate,999999999,,,,,,,,,,21315.25064,case rate,999999999,,,,,,,,,,21315.25064,case rate,999999999,,,,,,,,,,21315.25064,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
179-2 - DEFIBRILLATOR IMPLANTS,179-2,APR-DRG,,,,inpatient,,,999999999,,24155.53032,24155.53032,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,24155.53032,case rate,999999999,,,,,,,,,,24155.53032,case rate,999999999,,,,,,,,,,24155.53032,case rate,999999999,,,,,,,,,,24155.53032,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
179-3 - DEFIBRILLATOR IMPLANTS,179-3,APR-DRG,,,,inpatient,,,999999999,,29647.30509,29647.30509,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,29647.30509,case rate,999999999,,,,,,,,,,29647.30509,case rate,999999999,,,,,,,,,,29647.30509,case rate,999999999,,,,,,,,,,29647.30509,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
179-4 - DEFIBRILLATOR IMPLANTS,179-4,APR-DRG,,,,inpatient,,,999999999,,40659.86866,40659.86866,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,40659.86866,case rate,999999999,,,,,,,,,,40659.86866,case rate,999999999,,,,,,,,,,40659.86866,case rate,999999999,,,,,,,,,,40659.86866,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
180-1 - OTHER CIRCULATORY SYSTEM PROCEDURES,180-1,APR-DRG,,,,inpatient,,,999999999,,7264.338309,7264.338309,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7264.338309,case rate,999999999,,,,,,,,,,7264.338309,case rate,999999999,,,,,,,,,,7264.338309,case rate,999999999,,,,,,,,,,7264.338309,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
180-2 - OTHER CIRCULATORY SYSTEM PROCEDURES,180-2,APR-DRG,,,,inpatient,,,999999999,,9068.623849,9068.623849,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9068.623849,case rate,999999999,,,,,,,,,,9068.623849,case rate,999999999,,,,,,,,,,9068.623849,case rate,999999999,,,,,,,,,,9068.623849,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
180-3 - OTHER CIRCULATORY SYSTEM PROCEDURES,180-3,APR-DRG,,,,inpatient,,,999999999,,12530.96424,12530.96424,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12530.96424,case rate,999999999,,,,,,,,,,12530.96424,case rate,999999999,,,,,,,,,,12530.96424,case rate,999999999,,,,,,,,,,12530.96424,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
180-4 - OTHER CIRCULATORY SYSTEM PROCEDURES,180-4,APR-DRG,,,,inpatient,,,999999999,,23064.2161,23064.2161,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23064.2161,case rate,999999999,,,,,,,,,,23064.2161,case rate,999999999,,,,,,,,,,23064.2161,case rate,999999999,,,,,,,,,,23064.2161,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
181-1 - LOWER EXTREMITY ARTERIAL PROCEDURES,181-1,APR-DRG,,,,inpatient,,,999999999,,9571.533627,9571.533627,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9571.533627,case rate,999999999,,,,,,,,,,9571.533627,case rate,999999999,,,,,,,,,,9571.533627,case rate,999999999,,,,,,,,,,9571.533627,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
181-2 - LOWER EXTREMITY ARTERIAL PROCEDURES,181-2,APR-DRG,,,,inpatient,,,999999999,,13227.30086,13227.30086,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13227.30086,case rate,999999999,,,,,,,,,,13227.30086,case rate,999999999,,,,,,,,,,13227.30086,case rate,999999999,,,,,,,,,,13227.30086,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
181-3 - LOWER EXTREMITY ARTERIAL PROCEDURES,181-3,APR-DRG,,,,inpatient,,,999999999,,20556.63058,20556.63058,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20556.63058,case rate,999999999,,,,,,,,,,20556.63058,case rate,999999999,,,,,,,,,,20556.63058,case rate,999999999,,,,,,,,,,20556.63058,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
181-4 - LOWER EXTREMITY ARTERIAL PROCEDURES,181-4,APR-DRG,,,,inpatient,,,999999999,,32049.66641,32049.66641,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,32049.66641,case rate,999999999,,,,,,,,,,32049.66641,case rate,999999999,,,,,,,,,,32049.66641,case rate,999999999,,,,,,,,,,32049.66641,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
182-1 - OTHER PERIPHERAL VASCULAR AND RELATED PROCEDURES,182-1,APR-DRG,,,,inpatient,,,999999999,,11567.31174,11567.31174,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11567.31174,case rate,999999999,,,,,,,,,,11567.31174,case rate,999999999,,,,,,,,,,11567.31174,case rate,999999999,,,,,,,,,,11567.31174,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
182-2 - OTHER PERIPHERAL VASCULAR AND RELATED PROCEDURES,182-2,APR-DRG,,,,inpatient,,,999999999,,12561.13883,12561.13883,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12561.13883,case rate,999999999,,,,,,,,,,12561.13883,case rate,999999999,,,,,,,,,,12561.13883,case rate,999999999,,,,,,,,,,12561.13883,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
182-3 - OTHER PERIPHERAL VASCULAR AND RELATED PROCEDURES,182-3,APR-DRG,,,,inpatient,,,999999999,,15201.80201,15201.80201,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15201.80201,case rate,999999999,,,,,,,,,,15201.80201,case rate,999999999,,,,,,,,,,15201.80201,case rate,999999999,,,,,,,,,,15201.80201,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
182-4 - OTHER PERIPHERAL VASCULAR AND RELATED PROCEDURES,182-4,APR-DRG,,,,inpatient,,,999999999,,27229.46962,27229.46962,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,27229.46962,case rate,999999999,,,,,,,,,,27229.46962,case rate,999999999,,,,,,,,,,27229.46962,case rate,999999999,,,,,,,,,,27229.46962,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
183-1 - PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES,183-1,APR-DRG,,,,inpatient,,,999999999,,24976.82067,24976.82067,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,24976.82067,case rate,999999999,,,,,,,,,,24976.82067,case rate,5144.66,,,,,,,,,,24976.82067,case rate,999999999,,,,,,,,,,24976.82067,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
183-2 - PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES,183-2,APR-DRG,,,,inpatient,,,999999999,,25692.88683,25692.88683,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,25692.88683,case rate,999999999,,,,,,,,,,25692.88683,case rate,999999999,,,,,,,,,,25692.88683,case rate,999999999,,,,,,,,,,25692.88683,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
183-3 - PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES,183-3,APR-DRG,,,,inpatient,,,999999999,,29915.78154,29915.78154,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,29915.78154,case rate,999999999,,,,,,,,,,29915.78154,case rate,999999999,,,,,,,,,,29915.78154,case rate,999999999,,,,,,,,,,29915.78154,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
183-4 - PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES,183-4,APR-DRG,,,,inpatient,,,999999999,,42587.17367,42587.17367,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,42587.17367,case rate,999999999,,,,,,,,,,42587.17367,case rate,999999999,,,,,,,,,,42587.17367,case rate,999999999,,,,,,,,,,42587.17367,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
190-1 - ACUTE MYOCARDIAL INFARCTION,190-1,APR-DRG,,,,inpatient,,,999999999,,4831.415547,4831.415547,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4831.415547,case rate,999999999,,,,,,,,,,4831.415547,case rate,999999999,,,,,,,,,,4831.415547,case rate,999999999,,,,,,,,,,4831.415547,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
190-2 - ACUTE MYOCARDIAL INFARCTION,190-2,APR-DRG,,,,inpatient,,,999999999,,5267.012785,5267.012785,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5267.012785,case rate,999999999,,,,,,,,,,5267.012785,case rate,999999999,,,,,,,,,,5267.012785,case rate,999999999,,,,,,,,,,5267.012785,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
190-3 - ACUTE MYOCARDIAL INFARCTION,190-3,APR-DRG,,,,inpatient,,,999999999,,6745.180677,6745.180677,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6745.180677,case rate,999999999,,,,,,,,,,6745.180677,case rate,999999999,,,,,,,,,,6745.180677,case rate,999999999,,,,,,,,,,6745.180677,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
190-4 - ACUTE MYOCARDIAL INFARCTION,190-4,APR-DRG,,,,inpatient,,,999999999,,9787.784831,9787.784831,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9787.784831,case rate,999999999,,,,,,,,,,9787.784831,case rate,999999999,,,,,,,,,,9787.784831,case rate,999999999,,,,,,,,,,9787.784831,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
191-1 - CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE,191-1,APR-DRG,,,,inpatient,,,999999999,,5765.280319,5765.280319,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5765.280319,case rate,999999999,,,,,,,,,,5765.280319,case rate,999999999,,,,,,,,,,5765.280319,case rate,4143.73,,,,,,,,,,5765.280319,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
191-2 - CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE,191-2,APR-DRG,,,,inpatient,,,999999999,,6758.333702,6758.333702,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6758.333702,case rate,999999999,,,,,,,,,,6758.333702,case rate,999999999,,,,,,,,,,6758.333702,case rate,999999999,,,,,,,,,,6758.333702,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
191-3 - CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE,191-3,APR-DRG,,,,inpatient,,,999999999,,8776.936178,8776.936178,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8776.936178,case rate,999999999,,,,,,,,,,8776.936178,case rate,999999999,,,,,,,,,,8776.936178,case rate,999999999,,,,,,,,,,8776.936178,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
191-4 - CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE,191-4,APR-DRG,,,,inpatient,,,999999999,,12586.67117,12586.67117,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12586.67117,case rate,999999999,,,,,,,,,,12586.67117,case rate,999999999,,,,,,,,,,12586.67117,case rate,999999999,,,,,,,,,,12586.67117,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
192-1 - CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS,192-1,APR-DRG,,,,inpatient,,,999999999,,6184.629702,6184.629702,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6184.629702,case rate,999999999,,,,,,,,,,6184.629702,case rate,999999999,,,,,,,,,,6184.629702,case rate,999999999,,,,,,,,,,6184.629702,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
192-2 - CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS,192-2,APR-DRG,,,,inpatient,,,999999999,,7695.680157,7695.680157,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7695.680157,case rate,999999999,,,,,,,,,,7695.680157,case rate,999999999,,,,,,,,,,7695.680157,case rate,999999999,,,,,,,,,,7695.680157,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
192-3 - CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS,192-3,APR-DRG,,,,inpatient,,,999999999,,10792.44383,10792.44383,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10792.44383,case rate,999999999,,,,,,,,,,10792.44383,case rate,999999999,,,,,,,,,,10792.44383,case rate,999999999,,,,,,,,,,10792.44383,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
192-4 - CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS,192-4,APR-DRG,,,,inpatient,,,999999999,,16770.88052,16770.88052,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16770.88052,case rate,999999999,,,,,,,,,,16770.88052,case rate,999999999,,,,,,,,,,16770.88052,case rate,999999999,,,,,,,,,,16770.88052,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
193-1 - ACUTE AND SUBACUTE ENDOCARDITIS,193-1,APR-DRG,,,,inpatient,,,999999999,,4695.629907,4695.629907,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4695.629907,case rate,999999999,,,,,,,,,,4695.629907,case rate,999999999,,,,,,,,,,4695.629907,case rate,999999999,,,,,,,,,,4695.629907,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
193-2 - ACUTE AND SUBACUTE ENDOCARDITIS,193-2,APR-DRG,,,,inpatient,,,999999999,,6916.943709,6916.943709,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6916.943709,case rate,999999999,,,,,,,,,,6916.943709,case rate,999999999,,,,,,,,,,6916.943709,case rate,999999999,,,,,,,,,,6916.943709,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
193-3 - ACUTE AND SUBACUTE ENDOCARDITIS,193-3,APR-DRG,,,,inpatient,,,999999999,,9161.855585,9161.855585,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9161.855585,case rate,999999999,,,,,,,,,,9161.855585,case rate,999999999,,,,,,,,,,9161.855585,case rate,999999999,,,,,,,,,,9161.855585,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
193-4 - ACUTE AND SUBACUTE ENDOCARDITIS,193-4,APR-DRG,,,,inpatient,,,999999999,,14237.76265,14237.76265,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14237.76265,case rate,999999999,,,,,,,,,,14237.76265,case rate,999999999,,,,,,,,,,14237.76265,case rate,999999999,,,,,,,,,,14237.76265,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
194-1 - HEART FAILURE,194-1,APR-DRG,,,,inpatient,,,999999999,,3217.075161,3217.075161,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3217.075161,case rate,999999999,,,,,,,,,,3217.075161,case rate,999999999,,,,,,,,,,3217.075161,case rate,3677.04,,,,,,,,,,3217.075161,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
194-2 - HEART FAILURE,194-2,APR-DRG,,,,inpatient,,,999999999,,4222.121009,4222.121009,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4222.121009,case rate,999999999,,,,,,,,,,4222.121009,case rate,999999999,,,,,,,,,,4222.121009,case rate,999999999,,,,,,,,,,4222.121009,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
194-3 - HEART FAILURE,194-3,APR-DRG,,,,inpatient,,,999999999,,5840.329931,5840.329931,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5840.329931,case rate,999999999,,,,,,,,,,5840.329931,case rate,999999999,,,,,,,,,,5840.329931,case rate,999999999,,,,,,,,,,5840.329931,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
194-4 - HEART FAILURE,194-4,APR-DRG,,,,inpatient,,,999999999,,8853.146352,8853.146352,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8853.146352,case rate,999999999,,,,,,,,,,8853.146352,case rate,999999999,,,,,,,,,,8853.146352,case rate,999999999,,,,,,,,,,8853.146352,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
196-1 - CARDIAC ARREST AND SHOCK,196-1,APR-DRG,,,,inpatient,,,999999999,,2310.290147,2310.290147,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2310.290147,case rate,999999999,,,,,,,,,,2310.290147,case rate,999999999,,,,,,,,,,2310.290147,case rate,999999999,,,,,,,,,,2310.290147,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
196-2 - CARDIAC ARREST AND SHOCK,196-2,APR-DRG,,,,inpatient,,,999999999,,3417.465365,3417.465365,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3417.465365,case rate,999999999,,,,,,,,,,3417.465365,case rate,999999999,,,,,,,,,,3417.465365,case rate,999999999,,,,,,,,,,3417.465365,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
196-3 - CARDIAC ARREST AND SHOCK,196-3,APR-DRG,,,,inpatient,,,999999999,,5322.332861,5322.332861,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5322.332861,case rate,999999999,,,,,,,,,,5322.332861,case rate,999999999,,,,,,,,,,5322.332861,case rate,999999999,,,,,,,,,,5322.332861,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
196-4 - CARDIAC ARREST AND SHOCK,196-4,APR-DRG,,,,inpatient,,,999999999,,9571.920481,9571.920481,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9571.920481,case rate,999999999,,,,,,,,,,9571.920481,case rate,999999999,,,,,,,,,,9571.920481,case rate,999999999,,,,,,,,,,9571.920481,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
197-1 - PERIPHERAL AND OTHER VASCULAR DISORDERS,197-1,APR-DRG,,,,inpatient,,,999999999,,2954.78837,2954.78837,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2954.78837,case rate,999999999,,,,,,,,,,2954.78837,case rate,999999999,,,,,,,,,,2954.78837,case rate,999999999,,,,,,,,,,2954.78837,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
197-2 - PERIPHERAL AND OTHER VASCULAR DISORDERS,197-2,APR-DRG,,,,inpatient,,,999999999,,3946.681192,3946.681192,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3946.681192,case rate,999999999,,,,,,,,,,3946.681192,case rate,999999999,,,,,,,,,,3946.681192,case rate,999999999,,,,,,,,,,3946.681192,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
197-3 - PERIPHERAL AND OTHER VASCULAR DISORDERS,197-3,APR-DRG,,,,inpatient,,,999999999,,5458.118501,5458.118501,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5458.118501,case rate,999999999,,,,,,,,,,5458.118501,case rate,999999999,,,,,,,,,,5458.118501,case rate,999999999,,,,,,,,,,5458.118501,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
197-4 - PERIPHERAL AND OTHER VASCULAR DISORDERS,197-4,APR-DRG,,,,inpatient,,,999999999,,9945.621131,9945.621131,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9945.621131,case rate,999999999,,,,,,,,,,9945.621131,case rate,999999999,,,,,,,,,,9945.621131,case rate,999999999,,,,,,,,,,9945.621131,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
198-1 - ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS,198-1,APR-DRG,,,,inpatient,,,999999999,,2930.803442,2930.803442,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2930.803442,case rate,999999999,,,,,,,,,,2930.803442,case rate,999999999,,,,,,,,,,2930.803442,case rate,999999999,,,,,,,,,,2930.803442,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
198-2 - ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS,198-2,APR-DRG,,,,inpatient,,,999999999,,3502.18632,3502.18632,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3502.18632,case rate,999999999,,,,,,,,,,3502.18632,case rate,999999999,,,,,,,,,,3502.18632,case rate,999999999,,,,,,,,,,3502.18632,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
198-3 - ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS,198-3,APR-DRG,,,,inpatient,,,999999999,,4620.580294,4620.580294,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4620.580294,case rate,999999999,,,,,,,,,,4620.580294,case rate,999999999,,,,,,,,,,4620.580294,case rate,999999999,,,,,,,,,,4620.580294,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
198-4 - ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS,198-4,APR-DRG,,,,inpatient,,,999999999,,8033.403415,8033.403415,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8033.403415,case rate,999999999,,,,,,,,,,8033.403415,case rate,999999999,,,,,,,,,,8033.403415,case rate,999999999,,,,,,,,,,8033.403415,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
199-1 - HYPERTENSION,199-1,APR-DRG,,,,inpatient,,,999999999,,3127.325109,3127.325109,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3127.325109,case rate,999999999,,,,,,,,,,3127.325109,case rate,999999999,,,,,,,,,,3127.325109,case rate,999999999,,,,,,,,,,3127.325109,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
199-2 - HYPERTENSION,199-2,APR-DRG,,,,inpatient,,,999999999,,3821.340602,3821.340602,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3821.340602,case rate,999999999,,,,,,,,,,3821.340602,case rate,999999999,,,,,,,,,,3821.340602,case rate,999999999,,,,,,,,,,3821.340602,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
199-3 - HYPERTENSION,199-3,APR-DRG,,,,inpatient,,,999999999,,5263.917956,5263.917956,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5263.917956,case rate,999999999,,,,,,,,,,5263.917956,case rate,999999999,,,,,,,,,,5263.917956,case rate,999999999,,,,,,,,,,5263.917956,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
199-4 - HYPERTENSION,199-4,APR-DRG,,,,inpatient,,,999999999,,7686.782522,7686.782522,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7686.782522,case rate,999999999,,,,,,,,,,7686.782522,case rate,999999999,,,,,,,,,,7686.782522,case rate,999999999,,,,,,,,,,7686.782522,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
200-1 - CARDIAC STRUCTURAL AND VALVULAR DISORDERS,200-1,APR-DRG,,,,inpatient,,,999999999,,2683.990797,2683.990797,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2683.990797,case rate,999999999,,,,,,,,,,2683.990797,case rate,999999999,,,,,,,,,,2683.990797,case rate,999999999,,,,,,,,,,2683.990797,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
200-2 - CARDIAC STRUCTURAL AND VALVULAR DISORDERS,200-2,APR-DRG,,,,inpatient,,,999999999,,3973.374096,3973.374096,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3973.374096,case rate,999999999,,,,,,,,,,3973.374096,case rate,999999999,,,,,,,,,,3973.374096,case rate,999999999,,,,,,,,,,3973.374096,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
200-3 - CARDIAC STRUCTURAL AND VALVULAR DISORDERS,200-3,APR-DRG,,,,inpatient,,,999999999,,5746.324488,5746.324488,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5746.324488,case rate,999999999,,,,,,,,,,5746.324488,case rate,999999999,,,,,,,,,,5746.324488,case rate,999999999,,,,,,,,,,5746.324488,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
200-4 - CARDIAC STRUCTURAL AND VALVULAR DISORDERS,200-4,APR-DRG,,,,inpatient,,,999999999,,8916.590355,8916.590355,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8916.590355,case rate,999999999,,,,,,,,,,8916.590355,case rate,999999999,,,,,,,,,,8916.590355,case rate,999999999,,,,,,,,,,8916.590355,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
201-1 - CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS,201-1,APR-DRG,,,,inpatient,,,999999999,,2777.222533,2777.222533,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2777.222533,case rate,999999999,,,,,,,,,,2777.222533,case rate,999999999,,,,,,,,,,2777.222533,case rate,999999999,,,,,,,,,,2777.222533,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
201-2 - CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS,201-2,APR-DRG,,,,inpatient,,,999999999,,3600.834007,3600.834007,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3600.834007,case rate,999999999,,,,,,,,,,3600.834007,case rate,999999999,,,,,,,,,,3600.834007,case rate,999999999,,,,,,,,,,3600.834007,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
201-3 - CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS,201-3,APR-DRG,,,,inpatient,,,999999999,,5377.652936,5377.652936,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5377.652936,case rate,999999999,,,,,,,,,,5377.652936,case rate,999999999,,,,,,,,,,5377.652936,case rate,999999999,,,,,,,,,,5377.652936,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
201-4 - CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS,201-4,APR-DRG,,,,inpatient,,,999999999,,8832.643108,8832.643108,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8832.643108,case rate,999999999,,,,,,,,,,8832.643108,case rate,999999999,,,,,,,,,,8832.643108,case rate,999999999,,,,,,,,,,8832.643108,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
203-1 - CHEST PAIN,203-1,APR-DRG,,,,inpatient,,,999999999,,2968.715102,2968.715102,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2968.715102,case rate,999999999,,,,,,,,,,2968.715102,case rate,592.58,,,,,,,,,,2968.715102,case rate,999999999,,,,,,,,,,2968.715102,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
203-2 - CHEST PAIN,203-2,APR-DRG,,,,inpatient,,,999999999,,3511.470808,3511.470808,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3511.470808,case rate,999999999,,,,,,,,,,3511.470808,case rate,999999999,,,,,,,,,,3511.470808,case rate,999999999,,,,,,,,,,3511.470808,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
203-3 - CHEST PAIN,203-3,APR-DRG,,,,inpatient,,,999999999,,4376.862479,4376.862479,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4376.862479,case rate,999999999,,,,,,,,,,4376.862479,case rate,999999999,,,,,,,,,,4376.862479,case rate,999999999,,,,,,,,,,4376.862479,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
203-4 - CHEST PAIN,203-4,APR-DRG,,,,inpatient,,,999999999,,6500.302301,6500.302301,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6500.302301,case rate,999999999,,,,,,,,,,6500.302301,case rate,999999999,,,,,,,,,,6500.302301,case rate,999999999,,,,,,,,,,6500.302301,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
204-1 - SYNCOPE AND COLLAPSE,204-1,APR-DRG,,,,inpatient,,,999999999,,3421.333902,3421.333902,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3421.333902,case rate,999999999,,,,,,,,,,3421.333902,case rate,999999999,,,,,,,,,,3421.333902,case rate,999999999,,,,,,,,,,3421.333902,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
204-2 - SYNCOPE AND COLLAPSE,204-2,APR-DRG,,,,inpatient,,,999999999,,4021.730805,4021.730805,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4021.730805,case rate,999999999,,,,,,,,,,4021.730805,case rate,999999999,,,,,,,,,,4021.730805,case rate,999999999,,,,,,,,,,4021.730805,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
204-3 - SYNCOPE AND COLLAPSE,204-3,APR-DRG,,,,inpatient,,,999999999,,5181.904977,5181.904977,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5181.904977,case rate,999999999,,,,,,,,,,5181.904977,case rate,999999999,,,,,,,,,,5181.904977,case rate,999999999,,,,,,,,,,5181.904977,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
204-4 - SYNCOPE AND COLLAPSE,204-4,APR-DRG,,,,inpatient,,,999999999,,8119.671785,8119.671785,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8119.671785,case rate,999999999,,,,,,,,,,8119.671785,case rate,999999999,,,,,,,,,,8119.671785,case rate,999999999,,,,,,,,,,8119.671785,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
205-1 - CARDIOMYOPATHY,205-1,APR-DRG,,,,inpatient,,,999999999,,3072.391887,3072.391887,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3072.391887,case rate,999999999,,,,,,,,,,3072.391887,case rate,999999999,,,,,,,,,,3072.391887,case rate,999999999,,,,,,,,,,3072.391887,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
205-2 - CARDIOMYOPATHY,205-2,APR-DRG,,,,inpatient,,,999999999,,3828.303968,3828.303968,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3828.303968,case rate,999999999,,,,,,,,,,3828.303968,case rate,999999999,,,,,,,,,,3828.303968,case rate,999999999,,,,,,,,,,3828.303968,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
205-3 - CARDIOMYOPATHY,205-3,APR-DRG,,,,inpatient,,,999999999,,5667.406339,5667.406339,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5667.406339,case rate,999999999,,,,,,,,,,5667.406339,case rate,999999999,,,,,,,,,,5667.406339,case rate,999999999,,,,,,,,,,5667.406339,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
205-4 - CARDIOMYOPATHY,205-4,APR-DRG,,,,inpatient,,,999999999,,10186.24412,10186.24412,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10186.24412,case rate,999999999,,,,,,,,,,10186.24412,case rate,999999999,,,,,,,,,,10186.24412,case rate,999999999,,,,,,,,,,10186.24412,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"206-1 - MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE",206-1,APR-DRG,,,,inpatient,,,999999999,,3937.783558,3937.783558,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3937.783558,case rate,999999999,,,,,,,,,,3937.783558,case rate,999999999,,,,,,,,,,3937.783558,case rate,999999999,,,,,,,,,,3937.783558,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"206-2 - MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE",206-2,APR-DRG,,,,inpatient,,,999999999,,4015.541147,4015.541147,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4015.541147,case rate,999999999,,,,,,,,,,4015.541147,case rate,999999999,,,,,,,,,,4015.541147,case rate,999999999,,,,,,,,,,4015.541147,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"206-3 - MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE",206-3,APR-DRG,,,,inpatient,,,999999999,,6020.603744,6020.603744,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6020.603744,case rate,999999999,,,,,,,,,,6020.603744,case rate,999999999,,,,,,,,,,6020.603744,case rate,999999999,,,,,,,,,,6020.603744,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"206-4 - MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE",206-4,APR-DRG,,,,inpatient,,,999999999,,11922.44341,11922.44341,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11922.44341,case rate,999999999,,,,,,,,,,11922.44341,case rate,999999999,,,,,,,,,,11922.44341,case rate,999999999,,,,,,,,,,11922.44341,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
207-1 - OTHER CIRCULATORY SYSTEM DIAGNOSES,207-1,APR-DRG,,,,inpatient,,,999999999,,3283.22714,3283.22714,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3283.22714,case rate,999999999,,,,,,,,,,3283.22714,case rate,999999999,,,,,,,,,,3283.22714,case rate,999999999,,,,,,,,,,3283.22714,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
207-2 - OTHER CIRCULATORY SYSTEM DIAGNOSES,207-2,APR-DRG,,,,inpatient,,,999999999,,4113.415126,4113.415126,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4113.415126,case rate,999999999,,,,,,,,,,4113.415126,case rate,999999999,,,,,,,,,,4113.415126,case rate,999999999,,,,,,,,,,4113.415126,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
207-3 - OTHER CIRCULATORY SYSTEM DIAGNOSES,207-3,APR-DRG,,,,inpatient,,,999999999,,5721.565853,5721.565853,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5721.565853,case rate,999999999,,,,,,,,,,5721.565853,case rate,999999999,,,,,,,,,,5721.565853,case rate,999999999,,,,,,,,,,5721.565853,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
207-4 - OTHER CIRCULATORY SYSTEM DIAGNOSES,207-4,APR-DRG,,,,inpatient,,,999999999,,9694.939949,9694.939949,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9694.939949,case rate,999999999,,,,,,,,,,9694.939949,case rate,999999999,,,,,,,,,,9694.939949,case rate,999999999,,,,,,,,,,9694.939949,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"220-1 - MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES",220-1,APR-DRG,,,,inpatient,,,999999999,,8778.096739,8778.096739,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8778.096739,case rate,999999999,,,,,,,,,,8778.096739,case rate,999999999,,,,,,,,,,8778.096739,case rate,999999999,,,,,,,,,,8778.096739,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"220-2 - MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES",220-2,APR-DRG,,,,inpatient,,,999999999,,12597.11622,12597.11622,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12597.11622,case rate,999999999,,,,,,,,,,12597.11622,case rate,999999999,,,,,,,,,,12597.11622,case rate,999999999,,,,,,,,,,12597.11622,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"220-3 - MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES",220-3,APR-DRG,,,,inpatient,,,999999999,,19183.68689,19183.68689,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19183.68689,case rate,999999999,,,,,,,,,,19183.68689,case rate,999999999,,,,,,,,,,19183.68689,case rate,999999999,,,,,,,,,,19183.68689,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"220-4 - MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES",220-4,APR-DRG,,,,inpatient,,,999999999,,34263.24314,34263.24314,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,34263.24314,case rate,999999999,,,,,,,,,,34263.24314,case rate,999999999,,,,,,,,,,34263.24314,case rate,999999999,,,,,,,,,,34263.24314,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"222-1 - OTHER STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES",222-1,APR-DRG,,,,inpatient,,,999999999,,4684.411151,4684.411151,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4684.411151,case rate,999999999,,,,,,,,,,4684.411151,case rate,999999999,,,,,,,,,,4684.411151,case rate,999999999,,,,,,,,,,4684.411151,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"222-2 - OTHER STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES",222-2,APR-DRG,,,,inpatient,,,999999999,,7903.033727,7903.033727,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7903.033727,case rate,999999999,,,,,,,,,,7903.033727,case rate,999999999,,,,,,,,,,7903.033727,case rate,999999999,,,,,,,,,,7903.033727,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"222-3 - OTHER STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES",222-3,APR-DRG,,,,inpatient,,,999999999,,11805.6136,11805.6136,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11805.6136,case rate,999999999,,,,,,,,,,11805.6136,case rate,999999999,,,,,,,,,,11805.6136,case rate,999999999,,,,,,,,,,11805.6136,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"222-4 - OTHER STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES",222-4,APR-DRG,,,,inpatient,,,999999999,,25168.31324,25168.31324,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,25168.31324,case rate,999999999,,,,,,,,,,25168.31324,case rate,999999999,,,,,,,,,,25168.31324,case rate,999999999,,,,,,,,,,25168.31324,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
223-1 - OTHER SMALL AND LARGE BOWEL PROCEDURES,223-1,APR-DRG,,,,inpatient,,,999999999,,6446.916494,6446.916494,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6446.916494,case rate,999999999,,,,,,,,,,6446.916494,case rate,999999999,,,,,,,,,,6446.916494,case rate,999999999,,,,,,,,,,6446.916494,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
223-2 - OTHER SMALL AND LARGE BOWEL PROCEDURES,223-2,APR-DRG,,,,inpatient,,,999999999,,9752.968,9752.968,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9752.968,case rate,999999999,,,,,,,,,,9752.968,case rate,999999999,,,,,,,,,,9752.968,case rate,999999999,,,,,,,,,,9752.968,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
223-3 - OTHER SMALL AND LARGE BOWEL PROCEDURES,223-3,APR-DRG,,,,inpatient,,,999999999,,13707.38627,13707.38627,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13707.38627,case rate,999999999,,,,,,,,,,13707.38627,case rate,999999999,,,,,,,,,,13707.38627,case rate,999999999,,,,,,,,,,13707.38627,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
223-4 - OTHER SMALL AND LARGE BOWEL PROCEDURES,223-4,APR-DRG,,,,inpatient,,,999999999,,24189.9603,24189.9603,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,24189.9603,case rate,999999999,,,,,,,,,,24189.9603,case rate,999999999,,,,,,,,,,24189.9603,case rate,999999999,,,,,,,,,,24189.9603,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
224-1 - PERITONEAL ADHESIOLYSIS,224-1,APR-DRG,,,,inpatient,,,999999999,,7803.999186,7803.999186,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7803.999186,case rate,999999999,,,,,,,,,,7803.999186,case rate,999999999,,,,,,,,,,7803.999186,case rate,999999999,,,,,,,,,,7803.999186,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
224-2 - PERITONEAL ADHESIOLYSIS,224-2,APR-DRG,,,,inpatient,,,999999999,,9650.451777,9650.451777,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9650.451777,case rate,999999999,,,,,,,,,,9650.451777,case rate,999999999,,,,,,,,,,9650.451777,case rate,999999999,,,,,,,,,,9650.451777,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
224-3 - PERITONEAL ADHESIOLYSIS,224-3,APR-DRG,,,,inpatient,,,999999999,,13712.41536,13712.41536,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13712.41536,case rate,999999999,,,,,,,,,,13712.41536,case rate,999999999,,,,,,,,,,13712.41536,case rate,999999999,,,,,,,,,,13712.41536,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
224-4 - PERITONEAL ADHESIOLYSIS,224-4,APR-DRG,,,,inpatient,,,999999999,,23492.46312,23492.46312,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23492.46312,case rate,999999999,,,,,,,,,,23492.46312,case rate,999999999,,,,,,,,,,23492.46312,case rate,999999999,,,,,,,,,,23492.46312,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
226-1 - ANAL AND PERINEAL PROCEDURES,226-1,APR-DRG,,,,inpatient,,,999999999,,5164.109708,5164.109708,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5164.109708,case rate,999999999,,,,,,,,,,5164.109708,case rate,999999999,,,,,,,,,,5164.109708,case rate,999999999,,,,,,,,,,5164.109708,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
226-2 - ANAL AND PERINEAL PROCEDURES,226-2,APR-DRG,,,,inpatient,,,999999999,,6832.996462,6832.996462,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6832.996462,case rate,999999999,,,,,,,,,,6832.996462,case rate,999999999,,,,,,,,,,6832.996462,case rate,999999999,,,,,,,,,,6832.996462,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
226-3 - ANAL AND PERINEAL PROCEDURES,226-3,APR-DRG,,,,inpatient,,,999999999,,10024.53928,10024.53928,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10024.53928,case rate,999999999,,,,,,,,,,10024.53928,case rate,999999999,,,,,,,,,,10024.53928,case rate,999999999,,,,,,,,,,10024.53928,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
226-4 - ANAL AND PERINEAL PROCEDURES,226-4,APR-DRG,,,,inpatient,,,999999999,,16756.95379,16756.95379,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16756.95379,case rate,999999999,,,,,,,,,,16756.95379,case rate,999999999,,,,,,,,,,16756.95379,case rate,999999999,,,,,,,,,,16756.95379,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"227-1 - HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL",227-1,APR-DRG,,,,inpatient,,,999999999,,7351.380386,7351.380386,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7351.380386,case rate,999999999,,,,,,,,,,7351.380386,case rate,999999999,,,,,,,,,,7351.380386,case rate,999999999,,,,,,,,,,7351.380386,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"227-2 - HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL",227-2,APR-DRG,,,,inpatient,,,999999999,,9196.672416,9196.672416,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9196.672416,case rate,999999999,,,,,,,,,,9196.672416,case rate,999999999,,,,,,,,,,9196.672416,case rate,999999999,,,,,,,,,,9196.672416,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"227-3 - HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL",227-3,APR-DRG,,,,inpatient,,,999999999,,12997.89663,12997.89663,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12997.89663,case rate,999999999,,,,,,,,,,12997.89663,case rate,999999999,,,,,,,,,,12997.89663,case rate,999999999,,,,,,,,,,12997.89663,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"227-4 - HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL",227-4,APR-DRG,,,,inpatient,,,999999999,,23678.15289,23678.15289,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23678.15289,case rate,999999999,,,,,,,,,,23678.15289,case rate,999999999,,,,,,,,,,23678.15289,case rate,999999999,,,,,,,,,,23678.15289,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"228-1 - INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES",228-1,APR-DRG,,,,inpatient,,,999999999,,5585.780213,5585.780213,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5585.780213,case rate,999999999,,,,,,,,,,5585.780213,case rate,999999999,,,,,,,,,,5585.780213,case rate,999999999,,,,,,,,,,5585.780213,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"228-2 - INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES",228-2,APR-DRG,,,,inpatient,,,999999999,,7202.441721,7202.441721,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7202.441721,case rate,999999999,,,,,,,,,,7202.441721,case rate,999999999,,,,,,,,,,7202.441721,case rate,999999999,,,,,,,,,,7202.441721,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"228-3 - INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES",228-3,APR-DRG,,,,inpatient,,,999999999,,9808.288076,9808.288076,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9808.288076,case rate,999999999,,,,,,,,,,9808.288076,case rate,999999999,,,,,,,,,,9808.288076,case rate,999999999,,,,,,,,,,9808.288076,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"228-4 - INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES",228-4,APR-DRG,,,,inpatient,,,999999999,,16873.39674,16873.39674,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16873.39674,case rate,999999999,,,,,,,,,,16873.39674,case rate,999999999,,,,,,,,,,16873.39674,case rate,999999999,,,,,,,,,,16873.39674,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
229-1 - OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES,229-1,APR-DRG,,,,inpatient,,,999999999,,7002.825225,7002.825225,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7002.825225,case rate,999999999,,,,,,,,,,7002.825225,case rate,999999999,,,,,,,,,,7002.825225,case rate,999999999,,,,,,,,,,7002.825225,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
229-2 - OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES,229-2,APR-DRG,,,,inpatient,,,999999999,,9654.707167,9654.707167,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9654.707167,case rate,999999999,,,,,,,,,,9654.707167,case rate,999999999,,,,,,,,,,9654.707167,case rate,999999999,,,,,,,,,,9654.707167,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
229-3 - OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES,229-3,APR-DRG,,,,inpatient,,,999999999,,14578.19389,14578.19389,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14578.19389,case rate,999999999,,,,,,,,,,14578.19389,case rate,999999999,,,,,,,,,,14578.19389,case rate,999999999,,,,,,,,,,14578.19389,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
229-4 - OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES,229-4,APR-DRG,,,,inpatient,,,999999999,,25156.32078,25156.32078,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,25156.32078,case rate,999999999,,,,,,,,,,25156.32078,case rate,999999999,,,,,,,,,,25156.32078,case rate,999999999,,,,,,,,,,25156.32078,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
230-1 - MAJOR SMALL BOWEL PROCEDURES,230-1,APR-DRG,,,,inpatient,,,999999999,,8219.866886,8219.866886,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8219.866886,case rate,999999999,,,,,,,,,,8219.866886,case rate,999999999,,,,,,,,,,8219.866886,case rate,999999999,,,,,,,,,,8219.866886,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
230-2 - MAJOR SMALL BOWEL PROCEDURES,230-2,APR-DRG,,,,inpatient,,,999999999,,11270.98182,11270.98182,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11270.98182,case rate,999999999,,,,,,,,,,11270.98182,case rate,999999999,,,,,,,,,,11270.98182,case rate,999999999,,,,,,,,,,11270.98182,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
230-3 - MAJOR SMALL BOWEL PROCEDURES,230-3,APR-DRG,,,,inpatient,,,999999999,,16691.18866,16691.18866,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16691.18866,case rate,999999999,,,,,,,,,,16691.18866,case rate,999999999,,,,,,,,,,16691.18866,case rate,999999999,,,,,,,,,,16691.18866,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
230-4 - MAJOR SMALL BOWEL PROCEDURES,230-4,APR-DRG,,,,inpatient,,,999999999,,30709.60528,30709.60528,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,30709.60528,case rate,999999999,,,,,,,,,,30709.60528,case rate,999999999,,,,,,,,,,30709.60528,case rate,999999999,,,,,,,,,,30709.60528,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
231-1 - MAJOR LARGE BOWEL PROCEDURES,231-1,APR-DRG,,,,inpatient,,,999999999,,9389.325546,9389.325546,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9389.325546,case rate,999999999,,,,,,,,,,9389.325546,case rate,999999999,,,,,,,,,,9389.325546,case rate,999999999,,,,,,,,,,9389.325546,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
231-2 - MAJOR LARGE BOWEL PROCEDURES,231-2,APR-DRG,,,,inpatient,,,999999999,,11529.40008,11529.40008,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11529.40008,case rate,999999999,,,,,,,,,,11529.40008,case rate,999999999,,,,,,,,,,11529.40008,case rate,999999999,,,,,,,,,,11529.40008,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
231-3 - MAJOR LARGE BOWEL PROCEDURES,231-3,APR-DRG,,,,inpatient,,,999999999,,16479.96656,16479.96656,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16479.96656,case rate,999999999,,,,,,,,,,16479.96656,case rate,999999999,,,,,,,,,,16479.96656,case rate,999999999,,,,,,,,,,16479.96656,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
231-4 - MAJOR LARGE BOWEL PROCEDURES,231-4,APR-DRG,,,,inpatient,,,999999999,,27020.56864,27020.56864,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,27020.56864,case rate,999999999,,,,,,,,,,27020.56864,case rate,999999999,,,,,,,,,,27020.56864,case rate,999999999,,,,,,,,,,27020.56864,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
232-1 - GASTRIC FUNDOPLICATION,232-1,APR-DRG,,,,inpatient,,,999999999,,7120.041888,7120.041888,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7120.041888,case rate,999999999,,,,,,,,,,7120.041888,case rate,999999999,,,,,,,,,,7120.041888,case rate,999999999,,,,,,,,,,7120.041888,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
232-2 - GASTRIC FUNDOPLICATION,232-2,APR-DRG,,,,inpatient,,,999999999,,8697.244321,8697.244321,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8697.244321,case rate,999999999,,,,,,,,,,8697.244321,case rate,999999999,,,,,,,,,,8697.244321,case rate,999999999,,,,,,,,,,8697.244321,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
232-3 - GASTRIC FUNDOPLICATION,232-3,APR-DRG,,,,inpatient,,,999999999,,11496.13066,11496.13066,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11496.13066,case rate,999999999,,,,,,,,,,11496.13066,case rate,999999999,,,,,,,,,,11496.13066,case rate,999999999,,,,,,,,,,11496.13066,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
232-4 - GASTRIC FUNDOPLICATION,232-4,APR-DRG,,,,inpatient,,,999999999,,25228.27556,25228.27556,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,25228.27556,case rate,999999999,,,,,,,,,,25228.27556,case rate,999999999,,,,,,,,,,25228.27556,case rate,999999999,,,,,,,,,,25228.27556,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
233-1 - APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS,233-1,APR-DRG,,,,inpatient,,,999999999,,6366.064076,6366.064076,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6366.064076,case rate,999999999,,,,,,,,,,6366.064076,case rate,999999999,,,,,,,,,,6366.064076,case rate,999999999,,,,,,,,,,6366.064076,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
233-2 - APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS,233-2,APR-DRG,,,,inpatient,,,999999999,,8221.801155,8221.801155,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8221.801155,case rate,999999999,,,,,,,,,,8221.801155,case rate,999999999,,,,,,,,,,8221.801155,case rate,999999999,,,,,,,,,,8221.801155,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
233-3 - APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS,233-3,APR-DRG,,,,inpatient,,,999999999,,11914.31948,11914.31948,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11914.31948,case rate,999999999,,,,,,,,,,11914.31948,case rate,999999999,,,,,,,,,,11914.31948,case rate,999999999,,,,,,,,,,11914.31948,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
233-4 - APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS,233-4,APR-DRG,,,,inpatient,,,999999999,,17823.12251,17823.12251,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17823.12251,case rate,999999999,,,,,,,,,,17823.12251,case rate,999999999,,,,,,,,,,17823.12251,case rate,999999999,,,,,,,,,,17823.12251,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
234-1 - APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS,234-1,APR-DRG,,,,inpatient,,,999999999,,5162.562293,5162.562293,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5162.562293,case rate,999999999,,,,,,,,,,5162.562293,case rate,999999999,,,,,,,,,,5162.562293,case rate,999999999,,,,,,,,,,5162.562293,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
234-2 - APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS,234-2,APR-DRG,,,,inpatient,,,999999999,,6668.196796,6668.196796,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6668.196796,case rate,999999999,,,,,,,,,,6668.196796,case rate,999999999,,,,,,,,,,6668.196796,case rate,999999999,,,,,,,,,,6668.196796,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
234-3 - APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS,234-3,APR-DRG,,,,inpatient,,,999999999,,9803.645832,9803.645832,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9803.645832,case rate,999999999,,,,,,,,,,9803.645832,case rate,999999999,,,,,,,,,,9803.645832,case rate,999999999,,,,,,,,,,9803.645832,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
234-4 - APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS,234-4,APR-DRG,,,,inpatient,,,999999999,,16696.60461,16696.60461,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16696.60461,case rate,999999999,,,,,,,,,,16696.60461,case rate,999999999,,,,,,,,,,16696.60461,case rate,999999999,,,,,,,,,,16696.60461,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
240-1 - DIGESTIVE MALIGNANCY,240-1,APR-DRG,,,,inpatient,,,999999999,,4442.627604,4442.627604,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4442.627604,case rate,999999999,,,,,,,,,,4442.627604,case rate,999999999,,,,,,,,,,4442.627604,case rate,999999999,,,,,,,,,,4442.627604,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
240-2 - DIGESTIVE MALIGNANCY,240-2,APR-DRG,,,,inpatient,,,999999999,,5134.708828,5134.708828,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5134.708828,case rate,999999999,,,,,,,,,,5134.708828,case rate,999999999,,,,,,,,,,5134.708828,case rate,999999999,,,,,,,,,,5134.708828,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
240-3 - DIGESTIVE MALIGNANCY,240-3,APR-DRG,,,,inpatient,,,999999999,,7002.051518,7002.051518,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7002.051518,case rate,999999999,,,,,,,,,,7002.051518,case rate,999999999,,,,,,,,,,7002.051518,case rate,999999999,,,,,,,,,,7002.051518,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
240-4 - DIGESTIVE MALIGNANCY,240-4,APR-DRG,,,,inpatient,,,999999999,,11510.05739,11510.05739,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11510.05739,case rate,999999999,,,,,,,,,,11510.05739,case rate,999999999,,,,,,,,,,11510.05739,case rate,999999999,,,,,,,,,,11510.05739,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
241-1 - PEPTIC ULCER AND GASTRITIS,241-1,APR-DRG,,,,inpatient,,,999999999,,3755.962331,3755.962331,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3755.962331,case rate,999999999,,,,,,,,,,3755.962331,case rate,999999999,,,,,,,,,,3755.962331,case rate,999999999,,,,,,,,,,3755.962331,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
241-2 - PEPTIC ULCER AND GASTRITIS,241-2,APR-DRG,,,,inpatient,,,999999999,,4675.513516,4675.513516,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4675.513516,case rate,999999999,,,,,,,,,,4675.513516,case rate,999999999,,,,,,,,,,4675.513516,case rate,999999999,,,,,,,,,,4675.513516,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
241-3 - PEPTIC ULCER AND GASTRITIS,241-3,APR-DRG,,,,inpatient,,,999999999,,6815.201192,6815.201192,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6815.201192,case rate,999999999,,,,,,,,,,6815.201192,case rate,999999999,,,,,,,,,,6815.201192,case rate,999999999,,,,,,,,,,6815.201192,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
241-4 - PEPTIC ULCER AND GASTRITIS,241-4,APR-DRG,,,,inpatient,,,999999999,,13274.11015,13274.11015,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13274.11015,case rate,999999999,,,,,,,,,,13274.11015,case rate,999999999,,,,,,,,,,13274.11015,case rate,999999999,,,,,,,,,,13274.11015,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
242-1 - MAJOR ESOPHAGEAL DISORDERS,242-1,APR-DRG,,,,inpatient,,,999999999,,3426.362999,3426.362999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3426.362999,case rate,999999999,,,,,,,,,,3426.362999,case rate,999999999,,,,,,,,,,3426.362999,case rate,999999999,,,,,,,,,,3426.362999,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
242-2 - MAJOR ESOPHAGEAL DISORDERS,242-2,APR-DRG,,,,inpatient,,,999999999,,4432.182554,4432.182554,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4432.182554,case rate,999999999,,,,,,,,,,4432.182554,case rate,999999999,,,,,,,,,,4432.182554,case rate,999999999,,,,,,,,,,4432.182554,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
242-3 - MAJOR ESOPHAGEAL DISORDERS,242-3,APR-DRG,,,,inpatient,,,999999999,,6356.392734,6356.392734,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6356.392734,case rate,999999999,,,,,,,,,,6356.392734,case rate,999999999,,,,,,,,,,6356.392734,case rate,999999999,,,,,,,,,,6356.392734,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
242-4 - MAJOR ESOPHAGEAL DISORDERS,242-4,APR-DRG,,,,inpatient,,,999999999,,13044.31907,13044.31907,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13044.31907,case rate,999999999,,,,,,,,,,13044.31907,case rate,999999999,,,,,,,,,,13044.31907,case rate,999999999,,,,,,,,,,13044.31907,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
243-1 - OTHER ESOPHAGEAL DISORDERS,243-1,APR-DRG,,,,inpatient,,,999999999,,3227.133357,3227.133357,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3227.133357,case rate,999999999,,,,,,,,,,3227.133357,case rate,999999999,,,,,,,,,,3227.133357,case rate,999999999,,,,,,,,,,3227.133357,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
243-2 - OTHER ESOPHAGEAL DISORDERS,243-2,APR-DRG,,,,inpatient,,,999999999,,4149.779372,4149.779372,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4149.779372,case rate,999999999,,,,,,,,,,4149.779372,case rate,999999999,,,,,,,,,,4149.779372,case rate,999999999,,,,,,,,,,4149.779372,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
243-3 - OTHER ESOPHAGEAL DISORDERS,243-3,APR-DRG,,,,inpatient,,,999999999,,6049.230916,6049.230916,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6049.230916,case rate,999999999,,,,,,,,,,6049.230916,case rate,999999999,,,,,,,,,,6049.230916,case rate,999999999,,,,,,,,,,6049.230916,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
243-4 - OTHER ESOPHAGEAL DISORDERS,243-4,APR-DRG,,,,inpatient,,,999999999,,10896.12061,10896.12061,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10896.12061,case rate,999999999,,,,,,,,,,10896.12061,case rate,999999999,,,,,,,,,,10896.12061,case rate,999999999,,,,,,,,,,10896.12061,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
244-1 - DIVERTICULITIS AND DIVERTICULOSIS,244-1,APR-DRG,,,,inpatient,,,999999999,,3244.541772,3244.541772,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3244.541772,case rate,999999999,,,,,,,,,,3244.541772,case rate,999999999,,,,,,,,,,3244.541772,case rate,999999999,,,,,,,,,,3244.541772,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
244-2 - DIVERTICULITIS AND DIVERTICULOSIS,244-2,APR-DRG,,,,inpatient,,,999999999,,4238.755717,4238.755717,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4238.755717,case rate,999999999,,,,,,,,,,4238.755717,case rate,999999999,,,,,,,,,,4238.755717,case rate,999999999,,,,,,,,,,4238.755717,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
244-3 - DIVERTICULITIS AND DIVERTICULOSIS,244-3,APR-DRG,,,,inpatient,,,999999999,,6409.004834,6409.004834,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6409.004834,case rate,999999999,,,,,,,,,,6409.004834,case rate,999999999,,,,,,,,,,6409.004834,case rate,999999999,,,,,,,,,,6409.004834,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
244-4 - DIVERTICULITIS AND DIVERTICULOSIS,244-4,APR-DRG,,,,inpatient,,,999999999,,10971.17022,10971.17022,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10971.17022,case rate,999999999,,,,,,,,,,10971.17022,case rate,999999999,,,,,,,,,,10971.17022,case rate,999999999,,,,,,,,,,10971.17022,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
245-1 - INFLAMMATORY BOWEL DISEASE,245-1,APR-DRG,,,,inpatient,,,999999999,,3473.946002,3473.946002,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3473.946002,case rate,999999999,,,,,,,,,,3473.946002,case rate,999999999,,,,,,,,,,3473.946002,case rate,999999999,,,,,,,,,,3473.946002,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
245-2 - INFLAMMATORY BOWEL DISEASE,245-2,APR-DRG,,,,inpatient,,,999999999,,4430.248286,4430.248286,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4430.248286,case rate,999999999,,,,,,,,,,4430.248286,case rate,999999999,,,,,,,,,,4430.248286,case rate,999999999,,,,,,,,,,4430.248286,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
245-3 - INFLAMMATORY BOWEL DISEASE,245-3,APR-DRG,,,,inpatient,,,999999999,,6355.619027,6355.619027,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6355.619027,case rate,999999999,,,,,,,,,,6355.619027,case rate,999999999,,,,,,,,,,6355.619027,case rate,999999999,,,,,,,,,,6355.619027,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
245-4 - INFLAMMATORY BOWEL DISEASE,245-4,APR-DRG,,,,inpatient,,,999999999,,11105.40845,11105.40845,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11105.40845,case rate,999999999,,,,,,,,,,11105.40845,case rate,999999999,,,,,,,,,,11105.40845,case rate,999999999,,,,,,,,,,11105.40845,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
246-1 - GASTROINTESTINAL VASCULAR INSUFFICIENCY,246-1,APR-DRG,,,,inpatient,,,999999999,,3680.13901,3680.13901,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3680.13901,case rate,999999999,,,,,,,,,,3680.13901,case rate,999999999,,,,,,,,,,3680.13901,case rate,999999999,,,,,,,,,,3680.13901,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
246-2 - GASTROINTESTINAL VASCULAR INSUFFICIENCY,246-2,APR-DRG,,,,inpatient,,,999999999,,4657.331393,4657.331393,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4657.331393,case rate,999999999,,,,,,,,,,4657.331393,case rate,999999999,,,,,,,,,,4657.331393,case rate,999999999,,,,,,,,,,4657.331393,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
246-3 - GASTROINTESTINAL VASCULAR INSUFFICIENCY,246-3,APR-DRG,,,,inpatient,,,999999999,,6583.475841,6583.475841,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6583.475841,case rate,999999999,,,,,,,,,,6583.475841,case rate,999999999,,,,,,,,,,6583.475841,case rate,999999999,,,,,,,,,,6583.475841,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
246-4 - GASTROINTESTINAL VASCULAR INSUFFICIENCY,246-4,APR-DRG,,,,inpatient,,,999999999,,9516.600405,9516.600405,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9516.600405,case rate,999999999,,,,,,,,,,9516.600405,case rate,999999999,,,,,,,,,,9516.600405,case rate,999999999,,,,,,,,,,9516.600405,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
247-1 - INTESTINAL OBSTRUCTION,247-1,APR-DRG,,,,inpatient,,,999999999,,2946.664442,2946.664442,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2946.664442,case rate,999999999,,,,,,,,,,2946.664442,case rate,999999999,,,,,,,,,,2946.664442,case rate,999999999,,,,,,,,,,2946.664442,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
247-2 - INTESTINAL OBSTRUCTION,247-2,APR-DRG,,,,inpatient,,,999999999,,3817.472065,3817.472065,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3817.472065,case rate,999999999,,,,,,,,,,3817.472065,case rate,999999999,,,,,,,,,,3817.472065,case rate,999999999,,,,,,,,,,3817.472065,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
247-3 - INTESTINAL OBSTRUCTION,247-3,APR-DRG,,,,inpatient,,,999999999,,5706.865414,5706.865414,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5706.865414,case rate,999999999,,,,,,,,,,5706.865414,case rate,999999999,,,,,,,,,,5706.865414,case rate,999999999,,,,,,,,,,5706.865414,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
247-4 - INTESTINAL OBSTRUCTION,247-4,APR-DRG,,,,inpatient,,,999999999,,10527.83591,10527.83591,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10527.83591,case rate,999999999,,,,,,,,,,10527.83591,case rate,999999999,,,,,,,,,,10527.83591,case rate,999999999,,,,,,,,,,10527.83591,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
248-1 - MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS,248-1,APR-DRG,,,,inpatient,,,999999999,,3245.702333,3245.702333,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3245.702333,case rate,999999999,,,,,,,,,,3245.702333,case rate,999999999,,,,,,,,,,3245.702333,case rate,999999999,,,,,,,,,,3245.702333,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
248-2 - MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS,248-2,APR-DRG,,,,inpatient,,,999999999,,4273.185694,4273.185694,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4273.185694,case rate,999999999,,,,,,,,,,4273.185694,case rate,999999999,,,,,,,,,,4273.185694,case rate,999999999,,,,,,,,,,4273.185694,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
248-3 - MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS,248-3,APR-DRG,,,,inpatient,,,999999999,,6277.474584,6277.474584,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6277.474584,case rate,999999999,,,,,,,,,,6277.474584,case rate,999999999,,,,,,,,,,6277.474584,case rate,999999999,,,,,,,,,,6277.474584,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
248-4 - MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS,248-4,APR-DRG,,,,inpatient,,,999999999,,11410.24914,11410.24914,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11410.24914,case rate,999999999,,,,,,,,,,11410.24914,case rate,999999999,,,,,,,,,,11410.24914,case rate,999999999,,,,,,,,,,11410.24914,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"249-1 - OTHER GASTROENTERITIS, NAUSEA AND VOMITING",249-1,APR-DRG,,,,inpatient,,,999999999,,2753.237605,2753.237605,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2753.237605,case rate,999999999,,,,,,,,,,2753.237605,case rate,999999999,,,,,,,,,,2753.237605,case rate,999999999,,,,,,,,,,2753.237605,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"249-2 - OTHER GASTROENTERITIS, NAUSEA AND VOMITING",249-2,APR-DRG,,,,inpatient,,,999999999,,3441.450293,3441.450293,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3441.450293,case rate,999999999,,,,,,,,,,3441.450293,case rate,999999999,,,,,,,,,,3441.450293,case rate,999999999,,,,,,,,,,3441.450293,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"249-3 - OTHER GASTROENTERITIS, NAUSEA AND VOMITING",249-3,APR-DRG,,,,inpatient,,,999999999,,4977.646236,4977.646236,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4977.646236,case rate,999999999,,,,,,,,,,4977.646236,case rate,999999999,,,,,,,,,,4977.646236,case rate,999999999,,,,,,,,,,4977.646236,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"249-4 - OTHER GASTROENTERITIS, NAUSEA AND VOMITING",249-4,APR-DRG,,,,inpatient,,,999999999,,9161.855585,9161.855585,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9161.855585,case rate,999999999,,,,,,,,,,9161.855585,case rate,999999999,,,,,,,,,,9161.855585,case rate,999999999,,,,,,,,,,9161.855585,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
251-1 - ABDOMINAL PAIN,251-1,APR-DRG,,,,inpatient,,,999999999,,2897.534026,2897.534026,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2897.534026,case rate,999999999,,,,,,,,,,2897.534026,case rate,999999999,,,,,,,,,,2897.534026,case rate,999999999,,,,,,,,,,2897.534026,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
251-2 - ABDOMINAL PAIN,251-2,APR-DRG,,,,inpatient,,,999999999,,3742.035598,3742.035598,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3742.035598,case rate,999999999,,,,,,,,,,3742.035598,case rate,999999999,,,,,,,,,,3742.035598,case rate,999999999,,,,,,,,,,3742.035598,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
251-3 - ABDOMINAL PAIN,251-3,APR-DRG,,,,inpatient,,,999999999,,4939.347722,4939.347722,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4939.347722,case rate,999999999,,,,,,,,,,4939.347722,case rate,999999999,,,,,,,,,,4939.347722,case rate,999999999,,,,,,,,,,4939.347722,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
251-4 - ABDOMINAL PAIN,251-4,APR-DRG,,,,inpatient,,,999999999,,8347.915453,8347.915453,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8347.915453,case rate,999999999,,,,,,,,,,8347.915453,case rate,999999999,,,,,,,,,,8347.915453,case rate,999999999,,,,,,,,,,8347.915453,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"252-1 - MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE",252-1,APR-DRG,,,,inpatient,,,999999999,,3525.784394,3525.784394,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3525.784394,case rate,999999999,,,,,,,,,,3525.784394,case rate,999999999,,,,,,,,,,3525.784394,case rate,999999999,,,,,,,,,,3525.784394,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"252-2 - MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE",252-2,APR-DRG,,,,inpatient,,,999999999,,4364.096308,4364.096308,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4364.096308,case rate,999999999,,,,,,,,,,4364.096308,case rate,999999999,,,,,,,,,,4364.096308,case rate,999999999,,,,,,,,,,4364.096308,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"252-3 - MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE",252-3,APR-DRG,,,,inpatient,,,999999999,,6203.585532,6203.585532,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6203.585532,case rate,999999999,,,,,,,,,,6203.585532,case rate,999999999,,,,,,,,,,6203.585532,case rate,999999999,,,,,,,,,,6203.585532,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"252-4 - MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE",252-4,APR-DRG,,,,inpatient,,,999999999,,11804.83989,11804.83989,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11804.83989,case rate,999999999,,,,,,,,,,11804.83989,case rate,999999999,,,,,,,,,,11804.83989,case rate,999999999,,,,,,,,,,11804.83989,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
253-1 - OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE,253-1,APR-DRG,,,,inpatient,,,999999999,,3542.805956,3542.805956,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3542.805956,case rate,999999999,,,,,,,,,,3542.805956,case rate,999999999,,,,,,,,,,3542.805956,case rate,999999999,,,,,,,,,,3542.805956,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
253-2 - OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE,253-2,APR-DRG,,,,inpatient,,,999999999,,4578.02639,4578.02639,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4578.02639,case rate,999999999,,,,,,,,,,4578.02639,case rate,999999999,,,,,,,,,,4578.02639,case rate,999999999,,,,,,,,,,4578.02639,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
253-3 - OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE,253-3,APR-DRG,,,,inpatient,,,999999999,,6446.916494,6446.916494,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6446.916494,case rate,999999999,,,,,,,,,,6446.916494,case rate,999999999,,,,,,,,,,6446.916494,case rate,999999999,,,,,,,,,,6446.916494,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
253-4 - OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE,253-4,APR-DRG,,,,inpatient,,,999999999,,11105.02159,11105.02159,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11105.02159,case rate,999999999,,,,,,,,,,11105.02159,case rate,999999999,,,,,,,,,,11105.02159,case rate,999999999,,,,,,,,,,11105.02159,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
254-1 - OTHER DIGESTIVE SYSTEM DIAGNOSES,254-1,APR-DRG,,,,inpatient,,,999999999,,3034.86708,3034.86708,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3034.86708,case rate,999999999,,,,,,,,,,3034.86708,case rate,999999999,,,,,,,,,,3034.86708,case rate,999999999,,,,,,,,,,3034.86708,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
254-2 - OTHER DIGESTIVE SYSTEM DIAGNOSES,254-2,APR-DRG,,,,inpatient,,,999999999,,4236.821449,4236.821449,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4236.821449,case rate,999999999,,,,,,,,,,4236.821449,case rate,999999999,,,,,,,,,,4236.821449,case rate,999999999,,,,,,,,,,4236.821449,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
254-3 - OTHER DIGESTIVE SYSTEM DIAGNOSES,254-3,APR-DRG,,,,inpatient,,,999999999,,6092.171674,6092.171674,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6092.171674,case rate,999999999,,,,,,,,,,6092.171674,case rate,999999999,,,,,,,,,,6092.171674,case rate,999999999,,,,,,,,,,6092.171674,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
254-4 - OTHER DIGESTIVE SYSTEM DIAGNOSES,254-4,APR-DRG,,,,inpatient,,,999999999,,10705.40175,10705.40175,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10705.40175,case rate,999999999,,,,,,,,,,10705.40175,case rate,999999999,,,,,,,,,,10705.40175,case rate,999999999,,,,,,,,,,10705.40175,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"260-1 - MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES",260-1,APR-DRG,,,,inpatient,,,999999999,,10887.22298,10887.22298,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10887.22298,case rate,999999999,,,,,,,,,,10887.22298,case rate,999999999,,,,,,,,,,10887.22298,case rate,999999999,,,,,,,,,,10887.22298,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"260-2 - MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES",260-2,APR-DRG,,,,inpatient,,,999999999,,13801.39171,13801.39171,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13801.39171,case rate,999999999,,,,,,,,,,13801.39171,case rate,999999999,,,,,,,,,,13801.39171,case rate,999999999,,,,,,,,,,13801.39171,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"260-3 - MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES",260-3,APR-DRG,,,,inpatient,,,999999999,,18915.59729,18915.59729,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18915.59729,case rate,999999999,,,,,,,,,,18915.59729,case rate,999999999,,,,,,,,,,18915.59729,case rate,999999999,,,,,,,,,,18915.59729,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"260-4 - MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES",260-4,APR-DRG,,,,inpatient,,,999999999,,35713.55757,35713.55757,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,35713.55757,case rate,999999999,,,,,,,,,,35713.55757,case rate,999999999,,,,,,,,,,35713.55757,case rate,999999999,,,,,,,,,,35713.55757,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
261-1 - MAJOR BILIARY TRACT PROCEDURES,261-1,APR-DRG,,,,inpatient,,,999999999,,9089.127094,9089.127094,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9089.127094,case rate,999999999,,,,,,,,,,9089.127094,case rate,999999999,,,,,,,,,,9089.127094,case rate,999999999,,,,,,,,,,9089.127094,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
261-2 - MAJOR BILIARY TRACT PROCEDURES,261-2,APR-DRG,,,,inpatient,,,999999999,,11894.9768,11894.9768,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11894.9768,case rate,999999999,,,,,,,,,,11894.9768,case rate,999999999,,,,,,,,,,11894.9768,case rate,999999999,,,,,,,,,,11894.9768,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
261-3 - MAJOR BILIARY TRACT PROCEDURES,261-3,APR-DRG,,,,inpatient,,,999999999,,16480.74026,16480.74026,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16480.74026,case rate,999999999,,,,,,,,,,16480.74026,case rate,999999999,,,,,,,,,,16480.74026,case rate,999999999,,,,,,,,,,16480.74026,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
261-4 - MAJOR BILIARY TRACT PROCEDURES,261-4,APR-DRG,,,,inpatient,,,999999999,,31391.24146,31391.24146,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,31391.24146,case rate,999999999,,,,,,,,,,31391.24146,case rate,999999999,,,,,,,,,,31391.24146,case rate,999999999,,,,,,,,,,31391.24146,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
263-1 - CHOLECYSTECTOMY,263-1,APR-DRG,,,,inpatient,,,999999999,,6667.423089,6667.423089,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6667.423089,case rate,999999999,,,,,,,,,,6667.423089,case rate,999999999,,,,,,,,,,6667.423089,case rate,999999999,,,,,,,,,,6667.423089,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
263-2 - CHOLECYSTECTOMY,263-2,APR-DRG,,,,inpatient,,,999999999,,8451.592238,8451.592238,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8451.592238,case rate,999999999,,,,,,,,,,8451.592238,case rate,999999999,,,,,,,,,,8451.592238,case rate,999999999,,,,,,,,,,8451.592238,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
263-3 - CHOLECYSTECTOMY,263-3,APR-DRG,,,,inpatient,,,999999999,,10722.03646,10722.03646,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10722.03646,case rate,999999999,,,,,,,,,,10722.03646,case rate,999999999,,,,,,,,,,10722.03646,case rate,999999999,,,,,,,,,,10722.03646,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
263-4 - CHOLECYSTECTOMY,263-4,APR-DRG,,,,inpatient,,,999999999,,19786.79177,19786.79177,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19786.79177,case rate,999999999,,,,,,,,,,19786.79177,case rate,999999999,,,,,,,,,,19786.79177,case rate,999999999,,,,,,,,,,19786.79177,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"264-1 - OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES",264-1,APR-DRG,,,,inpatient,,,999999999,,8250.428327,8250.428327,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8250.428327,case rate,999999999,,,,,,,,,,8250.428327,case rate,999999999,,,,,,,,,,8250.428327,case rate,999999999,,,,,,,,,,8250.428327,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"264-2 - OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES",264-2,APR-DRG,,,,inpatient,,,999999999,,9026.843652,9026.843652,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9026.843652,case rate,999999999,,,,,,,,,,9026.843652,case rate,999999999,,,,,,,,,,9026.843652,case rate,999999999,,,,,,,,,,9026.843652,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"264-3 - OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES",264-3,APR-DRG,,,,inpatient,,,999999999,,13119.36868,13119.36868,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13119.36868,case rate,999999999,,,,,,,,,,13119.36868,case rate,999999999,,,,,,,,,,13119.36868,case rate,999999999,,,,,,,,,,13119.36868,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"264-4 - OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES",264-4,APR-DRG,,,,inpatient,,,999999999,,27883.25233,27883.25233,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,27883.25233,case rate,999999999,,,,,,,,,,27883.25233,case rate,999999999,,,,,,,,,,27883.25233,case rate,999999999,,,,,,,,,,27883.25233,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
279-1 - HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS,279-1,APR-DRG,,,,inpatient,,,999999999,,3099.858498,3099.858498,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3099.858498,case rate,999999999,,,,,,,,,,3099.858498,case rate,999999999,,,,,,,,,,3099.858498,case rate,999999999,,,,,,,,,,3099.858498,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
279-2 - HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS,279-2,APR-DRG,,,,inpatient,,,999999999,,3805.092747,3805.092747,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3805.092747,case rate,999999999,,,,,,,,,,3805.092747,case rate,999999999,,,,,,,,,,3805.092747,case rate,999999999,,,,,,,,,,3805.092747,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
279-3 - HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS,279-3,APR-DRG,,,,inpatient,,,999999999,,5822.534662,5822.534662,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5822.534662,case rate,999999999,,,,,,,,,,5822.534662,case rate,999999999,,,,,,,,,,5822.534662,case rate,999999999,,,,,,,,,,5822.534662,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
279-4 - HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS,279-4,APR-DRG,,,,inpatient,,,999999999,,12156.10303,12156.10303,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12156.10303,case rate,999999999,,,,,,,,,,12156.10303,case rate,999999999,,,,,,,,,,12156.10303,case rate,999999999,,,,,,,,,,12156.10303,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
280-1 - ALCOHOLIC LIVER DISEASE,280-1,APR-DRG,,,,inpatient,,,999999999,,3190.769111,3190.769111,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3190.769111,case rate,999999999,,,,,,,,,,3190.769111,case rate,999999999,,,,,,,,,,3190.769111,case rate,999999999,,,,,,,,,,3190.769111,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
280-2 - ALCOHOLIC LIVER DISEASE,280-2,APR-DRG,,,,inpatient,,,999999999,,4117.283663,4117.283663,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4117.283663,case rate,999999999,,,,,,,,,,4117.283663,case rate,999999999,,,,,,,,,,4117.283663,case rate,999999999,,,,,,,,,,4117.283663,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
280-3 - ALCOHOLIC LIVER DISEASE,280-3,APR-DRG,,,,inpatient,,,999999999,,6269.737511,6269.737511,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6269.737511,case rate,999999999,,,,,,,,,,6269.737511,case rate,999999999,,,,,,,,,,6269.737511,case rate,999999999,,,,,,,,,,6269.737511,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
280-4 - ALCOHOLIC LIVER DISEASE,280-4,APR-DRG,,,,inpatient,,,999999999,,13186.68122,13186.68122,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13186.68122,case rate,999999999,,,,,,,,,,13186.68122,case rate,999999999,,,,,,,,,,13186.68122,case rate,999999999,,,,,,,,,,13186.68122,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
281-1 - MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS,281-1,APR-DRG,,,,inpatient,,,999999999,,3874.339555,3874.339555,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3874.339555,case rate,999999999,,,,,,,,,,3874.339555,case rate,999999999,,,,,,,,,,3874.339555,case rate,999999999,,,,,,,,,,3874.339555,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
281-2 - MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS,281-2,APR-DRG,,,,inpatient,,,999999999,,5137.803658,5137.803658,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5137.803658,case rate,999999999,,,,,,,,,,5137.803658,case rate,999999999,,,,,,,,,,5137.803658,case rate,999999999,,,,,,,,,,5137.803658,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
281-3 - MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS,281-3,APR-DRG,,,,inpatient,,,999999999,,6685.992065,6685.992065,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6685.992065,case rate,999999999,,,,,,,,,,6685.992065,case rate,999999999,,,,,,,,,,6685.992065,case rate,999999999,,,,,,,,,,6685.992065,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
281-4 - MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS,281-4,APR-DRG,,,,inpatient,,,999999999,,9829.951882,9829.951882,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9829.951882,case rate,999999999,,,,,,,,,,9829.951882,case rate,999999999,,,,,,,,,,9829.951882,case rate,999999999,,,,,,,,,,9829.951882,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
282-1 - DISORDERS OF PANCREAS EXCEPT MALIGNANCY,282-1,APR-DRG,,,,inpatient,,,999999999,,3271.234676,3271.234676,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3271.234676,case rate,999999999,,,,,,,,,,3271.234676,case rate,999999999,,,,,,,,,,3271.234676,case rate,999999999,,,,,,,,,,3271.234676,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
282-2 - DISORDERS OF PANCREAS EXCEPT MALIGNANCY,282-2,APR-DRG,,,,inpatient,,,999999999,,4259.258962,4259.258962,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4259.258962,case rate,999999999,,,,,,,,,,4259.258962,case rate,999999999,,,,,,,,,,4259.258962,case rate,999999999,,,,,,,,,,4259.258962,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
282-3 - DISORDERS OF PANCREAS EXCEPT MALIGNANCY,282-3,APR-DRG,,,,inpatient,,,999999999,,6483.667593,6483.667593,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6483.667593,case rate,999999999,,,,,,,,,,6483.667593,case rate,999999999,,,,,,,,,,6483.667593,case rate,999999999,,,,,,,,,,6483.667593,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
282-4 - DISORDERS OF PANCREAS EXCEPT MALIGNANCY,282-4,APR-DRG,,,,inpatient,,,999999999,,14357.68729,14357.68729,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14357.68729,case rate,999999999,,,,,,,,,,14357.68729,case rate,999999999,,,,,,,,,,14357.68729,case rate,999999999,,,,,,,,,,14357.68729,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
283-1 - OTHER DISORDERS OF THE LIVER,283-1,APR-DRG,,,,inpatient,,,999999999,,3091.734571,3091.734571,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3091.734571,case rate,999999999,,,,,,,,,,3091.734571,case rate,999999999,,,,,,,,,,3091.734571,case rate,999999999,,,,,,,,,,3091.734571,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
283-2 - OTHER DISORDERS OF THE LIVER,283-2,APR-DRG,,,,inpatient,,,999999999,,3956.352534,3956.352534,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3956.352534,case rate,999999999,,,,,,,,,,3956.352534,case rate,999999999,,,,,,,,,,3956.352534,case rate,999999999,,,,,,,,,,3956.352534,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
283-3 - OTHER DISORDERS OF THE LIVER,283-3,APR-DRG,,,,inpatient,,,999999999,,5757.156391,5757.156391,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5757.156391,case rate,999999999,,,,,,,,,,5757.156391,case rate,999999999,,,,,,,,,,5757.156391,case rate,999999999,,,,,,,,,,5757.156391,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
283-4 - OTHER DISORDERS OF THE LIVER,283-4,APR-DRG,,,,inpatient,,,999999999,,10794.37809,10794.37809,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10794.37809,case rate,999999999,,,,,,,,,,10794.37809,case rate,999999999,,,,,,,,,,10794.37809,case rate,999999999,,,,,,,,,,10794.37809,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
284-1 - DISORDERS OF GALLBLADDER AND BILIARY TRACT,284-1,APR-DRG,,,,inpatient,,,999999999,,3959.06051,3959.06051,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3959.06051,case rate,999999999,,,,,,,,,,3959.06051,case rate,999999999,,,,,,,,,,3959.06051,case rate,999999999,,,,,,,,,,3959.06051,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
284-2 - DISORDERS OF GALLBLADDER AND BILIARY TRACT,284-2,APR-DRG,,,,inpatient,,,999999999,,5228.714271,5228.714271,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5228.714271,case rate,999999999,,,,,,,,,,5228.714271,case rate,999999999,,,,,,,,,,5228.714271,case rate,999999999,,,,,,,,,,5228.714271,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
284-3 - DISORDERS OF GALLBLADDER AND BILIARY TRACT,284-3,APR-DRG,,,,inpatient,,,999999999,,7241.900796,7241.900796,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7241.900796,case rate,999999999,,,,,,,,,,7241.900796,case rate,999999999,,,,,,,,,,7241.900796,case rate,999999999,,,,,,,,,,7241.900796,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
284-4 - DISORDERS OF GALLBLADDER AND BILIARY TRACT,284-4,APR-DRG,,,,inpatient,,,999999999,,12568.8759,12568.8759,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12568.8759,case rate,999999999,,,,,,,,,,12568.8759,case rate,999999999,,,,,,,,,,12568.8759,case rate,999999999,,,,,,,,,,12568.8759,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
303-1 - DORSAL AND LUMBAR FUSION PROCEDURE FOR CURVATURE OF BACK,303-1,APR-DRG,,,,inpatient,,,999999999,,25853.04425,25853.04425,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,25853.04425,case rate,999999999,,,,,,,,,,25853.04425,case rate,999999999,,,,,,,,,,25853.04425,case rate,999999999,,,,,,,,,,25853.04425,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
303-2 - DORSAL AND LUMBAR FUSION PROCEDURE FOR CURVATURE OF BACK,303-2,APR-DRG,,,,inpatient,,,999999999,,31051.97078,31051.97078,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,31051.97078,case rate,999999999,,,,,,,,,,31051.97078,case rate,999999999,,,,,,,,,,31051.97078,case rate,999999999,,,,,,,,,,31051.97078,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
303-3 - DORSAL AND LUMBAR FUSION PROCEDURE FOR CURVATURE OF BACK,303-3,APR-DRG,,,,inpatient,,,999999999,,42739.20716,42739.20716,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,42739.20716,case rate,999999999,,,,,,,,,,42739.20716,case rate,999999999,,,,,,,,,,42739.20716,case rate,999999999,,,,,,,,,,42739.20716,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
303-4 - DORSAL AND LUMBAR FUSION PROCEDURE FOR CURVATURE OF BACK,303-4,APR-DRG,,,,inpatient,,,999999999,,56446.20657,56446.20657,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,56446.20657,case rate,999999999,,,,,,,,,,56446.20657,case rate,999999999,,,,,,,,,,56446.20657,case rate,999999999,,,,,,,,,,56446.20657,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
304-1 - DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK,304-1,APR-DRG,,,,inpatient,,,999999999,,17473.40679,17473.40679,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17473.40679,case rate,999999999,,,,,,,,,,17473.40679,case rate,999999999,,,,,,,,,,17473.40679,case rate,999999999,,,,,,,,,,17473.40679,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
304-2 - DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK,304-2,APR-DRG,,,,inpatient,,,999999999,,20757.79449,20757.79449,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20757.79449,case rate,999999999,,,,,,,,,,20757.79449,case rate,999999999,,,,,,,,,,20757.79449,case rate,999999999,,,,,,,,,,20757.79449,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
304-3 - DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK,304-3,APR-DRG,,,,inpatient,,,999999999,,29279.40725,29279.40725,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,29279.40725,case rate,999999999,,,,,,,,,,29279.40725,case rate,999999999,,,,,,,,,,29279.40725,case rate,999999999,,,,,,,,,,29279.40725,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
304-4 - DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK,304-4,APR-DRG,,,,inpatient,,,999999999,,43325.29048,43325.29048,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,43325.29048,case rate,999999999,,,,,,,,,,43325.29048,case rate,999999999,,,,,,,,,,43325.29048,case rate,999999999,,,,,,,,,,43325.29048,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
305-1 - AMPUTATION OF LOWER LIMB EXCEPT TOES,305-1,APR-DRG,,,,inpatient,,,999999999,,6524.287229,6524.287229,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6524.287229,case rate,999999999,,,,,,,,,,6524.287229,case rate,999999999,,,,,,,,,,6524.287229,case rate,999999999,,,,,,,,,,6524.287229,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
305-2 - AMPUTATION OF LOWER LIMB EXCEPT TOES,305-2,APR-DRG,,,,inpatient,,,999999999,,8699.952297,8699.952297,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8699.952297,case rate,999999999,,,,,,,,,,8699.952297,case rate,999999999,,,,,,,,,,8699.952297,case rate,999999999,,,,,,,,,,8699.952297,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
305-3 - AMPUTATION OF LOWER LIMB EXCEPT TOES,305-3,APR-DRG,,,,inpatient,,,999999999,,13176.62302,13176.62302,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13176.62302,case rate,999999999,,,,,,,,,,13176.62302,case rate,999999999,,,,,,,,,,13176.62302,case rate,999999999,,,,,,,,,,13176.62302,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
305-4 - AMPUTATION OF LOWER LIMB EXCEPT TOES,305-4,APR-DRG,,,,inpatient,,,999999999,,24460.75787,24460.75787,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,24460.75787,case rate,999999999,,,,,,,,,,24460.75787,case rate,999999999,,,,,,,,,,24460.75787,case rate,999999999,,,,,,,,,,24460.75787,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
308-1 - HIP AND FEMUR FRACTURE REPAIR,308-1,APR-DRG,,,,inpatient,,,999999999,,8737.477104,8737.477104,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8737.477104,case rate,999999999,,,,,,,,,,8737.477104,case rate,999999999,,,,,,,,,,8737.477104,case rate,999999999,,,,,,,,,,8737.477104,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
308-2 - HIP AND FEMUR FRACTURE REPAIR,308-2,APR-DRG,,,,inpatient,,,999999999,,10306.16876,10306.16876,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10306.16876,case rate,999999999,,,,,,,,,,10306.16876,case rate,999999999,,,,,,,,,,10306.16876,case rate,999999999,,,,,,,,,,10306.16876,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
308-3 - HIP AND FEMUR FRACTURE REPAIR,308-3,APR-DRG,,,,inpatient,,,999999999,,13231.9431,13231.9431,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13231.9431,case rate,999999999,,,,,,,,,,13231.9431,case rate,999999999,,,,,,,,,,13231.9431,case rate,999999999,,,,,,,,,,13231.9431,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
308-4 - HIP AND FEMUR FRACTURE REPAIR,308-4,APR-DRG,,,,inpatient,,,999999999,,19125.27198,19125.27198,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19125.27198,case rate,999999999,,,,,,,,,,19125.27198,case rate,999999999,,,,,,,,,,19125.27198,case rate,999999999,,,,,,,,,,19125.27198,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
309-1 - OTHER SIGNIFICANT HIP AND FEMUR SURGERY,309-1,APR-DRG,,,,inpatient,,,999999999,,8475.964019,8475.964019,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8475.964019,case rate,999999999,,,,,,,,,,8475.964019,case rate,999999999,,,,,,,,,,8475.964019,case rate,999999999,,,,,,,,,,8475.964019,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
309-2 - OTHER SIGNIFICANT HIP AND FEMUR SURGERY,309-2,APR-DRG,,,,inpatient,,,999999999,,11272.91609,11272.91609,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11272.91609,case rate,999999999,,,,,,,,,,11272.91609,case rate,999999999,,,,,,,,,,11272.91609,case rate,999999999,,,,,,,,,,11272.91609,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
309-3 - OTHER SIGNIFICANT HIP AND FEMUR SURGERY,309-3,APR-DRG,,,,inpatient,,,999999999,,16032.37685,16032.37685,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16032.37685,case rate,999999999,,,,,,,,,,16032.37685,case rate,999999999,,,,,,,,,,16032.37685,case rate,999999999,,,,,,,,,,16032.37685,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
309-4 - OTHER SIGNIFICANT HIP AND FEMUR SURGERY,309-4,APR-DRG,,,,inpatient,,,999999999,,25644.91697,25644.91697,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,25644.91697,case rate,999999999,,,,,,,,,,25644.91697,case rate,999999999,,,,,,,,,,25644.91697,case rate,999999999,,,,,,,,,,25644.91697,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
310-1 - VERTEBRAL AND INTERVERTEBRAL SPINAL PROCEDURES INCLUDING DISC PROCEDURES,310-1,APR-DRG,,,,inpatient,,,999999999,,6899.922147,6899.922147,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6899.922147,case rate,999999999,,,,,,,,,,6899.922147,case rate,999999999,,,,,,,,,,6899.922147,case rate,999999999,,,,,,,,,,6899.922147,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
310-2 - VERTEBRAL AND INTERVERTEBRAL SPINAL PROCEDURES INCLUDING DISC PROCEDURES,310-2,APR-DRG,,,,inpatient,,,999999999,,9302.283469,9302.283469,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9302.283469,case rate,999999999,,,,,,,,,,9302.283469,case rate,999999999,,,,,,,,,,9302.283469,case rate,999999999,,,,,,,,,,9302.283469,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
310-3 - VERTEBRAL AND INTERVERTEBRAL SPINAL PROCEDURES INCLUDING DISC PROCEDURES,310-3,APR-DRG,,,,inpatient,,,999999999,,13018.01302,13018.01302,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13018.01302,case rate,999999999,,,,,,,,,,13018.01302,case rate,999999999,,,,,,,,,,13018.01302,case rate,999999999,,,,,,,,,,13018.01302,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
310-4 - VERTEBRAL AND INTERVERTEBRAL SPINAL PROCEDURES INCLUDING DISC PROCEDURES,310-4,APR-DRG,,,,inpatient,,,999999999,,22391.86442,22391.86442,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,22391.86442,case rate,999999999,,,,,,,,,,22391.86442,case rate,999999999,,,,,,,,,,22391.86442,case rate,999999999,,,,,,,,,,22391.86442,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"312-1 - SKIN GRAFT, EXCEPT HAND, FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DIAGNOSES",312-1,APR-DRG,,,,inpatient,,,999999999,,7012.88342,7012.88342,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7012.88342,case rate,999999999,,,,,,,,,,7012.88342,case rate,999999999,,,,,,,,,,7012.88342,case rate,999999999,,,,,,,,,,7012.88342,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"312-2 - SKIN GRAFT, EXCEPT HAND, FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DIAGNOSES",312-2,APR-DRG,,,,inpatient,,,999999999,,11234.61758,11234.61758,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11234.61758,case rate,999999999,,,,,,,,,,11234.61758,case rate,999999999,,,,,,,,,,11234.61758,case rate,999999999,,,,,,,,,,11234.61758,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"312-3 - SKIN GRAFT, EXCEPT HAND, FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DIAGNOSES",312-3,APR-DRG,,,,inpatient,,,999999999,,18976.33332,18976.33332,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18976.33332,case rate,999999999,,,,,,,,,,18976.33332,case rate,999999999,,,,,,,,,,18976.33332,case rate,999999999,,,,,,,,,,18976.33332,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"312-4 - SKIN GRAFT, EXCEPT HAND, FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DIAGNOSES",312-4,APR-DRG,,,,inpatient,,,999999999,,38484.20359,38484.20359,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,38484.20359,case rate,999999999,,,,,,,,,,38484.20359,case rate,999999999,,,,,,,,,,38484.20359,case rate,999999999,,,,,,,,,,38484.20359,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
313-1 - KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT,313-1,APR-DRG,,,,inpatient,,,999999999,,8143.656712,8143.656712,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8143.656712,case rate,999999999,,,,,,,,,,8143.656712,case rate,999999999,,,,,,,,,,8143.656712,case rate,999999999,,,,,,,,,,8143.656712,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
313-2 - KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT,313-2,APR-DRG,,,,inpatient,,,999999999,,10721.26275,10721.26275,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10721.26275,case rate,999999999,,,,,,,,,,10721.26275,case rate,999999999,,,,,,,,,,10721.26275,case rate,999999999,,,,,,,,,,10721.26275,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
313-3 - KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT,313-3,APR-DRG,,,,inpatient,,,999999999,,15642.04149,15642.04149,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15642.04149,case rate,999999999,,,,,,,,,,15642.04149,case rate,999999999,,,,,,,,,,15642.04149,case rate,999999999,,,,,,,,,,15642.04149,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
313-4 - KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT,313-4,APR-DRG,,,,inpatient,,,999999999,,24356.69423,24356.69423,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,24356.69423,case rate,999999999,,,,,,,,,,24356.69423,case rate,999999999,,,,,,,,,,24356.69423,case rate,999999999,,,,,,,,,,24356.69423,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
314-1 - FOOT AND TOE PROCEDURES,314-1,APR-DRG,,,,inpatient,,,999999999,,6902.243269,6902.243269,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6902.243269,case rate,999999999,,,,,,,,,,6902.243269,case rate,999999999,,,,,,,,,,6902.243269,case rate,999999999,,,,,,,,,,6902.243269,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
314-2 - FOOT AND TOE PROCEDURES,314-2,APR-DRG,,,,inpatient,,,999999999,,7347.511849,7347.511849,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7347.511849,case rate,999999999,,,,,,,,,,7347.511849,case rate,999999999,,,,,,,,,,7347.511849,case rate,999999999,,,,,,,,,,7347.511849,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
314-3 - FOOT AND TOE PROCEDURES,314-3,APR-DRG,,,,inpatient,,,999999999,,9745.617781,9745.617781,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9745.617781,case rate,999999999,,,,,,,,,,9745.617781,case rate,999999999,,,,,,,,,,9745.617781,case rate,999999999,,,,,,,,,,9745.617781,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
314-4 - FOOT AND TOE PROCEDURES,314-4,APR-DRG,,,,inpatient,,,999999999,,17682.69463,17682.69463,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17682.69463,case rate,999999999,,,,,,,,,,17682.69463,case rate,999999999,,,,,,,,,,17682.69463,case rate,999999999,,,,,,,,,,17682.69463,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"315-1 - SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT",315-1,APR-DRG,,,,inpatient,,,999999999,,5979.210401,5979.210401,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5979.210401,case rate,999999999,,,,,,,,,,5979.210401,case rate,999999999,,,,,,,,,,5979.210401,case rate,999999999,,,,,,,,,,5979.210401,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"315-2 - SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT",315-2,APR-DRG,,,,inpatient,,,999999999,,9569.599358,9569.599358,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9569.599358,case rate,999999999,,,,,,,,,,9569.599358,case rate,999999999,,,,,,,,,,9569.599358,case rate,999999999,,,,,,,,,,9569.599358,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"315-3 - SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT",315-3,APR-DRG,,,,inpatient,,,999999999,,14259.03961,14259.03961,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14259.03961,case rate,999999999,,,,,,,,,,14259.03961,case rate,999999999,,,,,,,,,,14259.03961,case rate,999999999,,,,,,,,,,14259.03961,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"315-4 - SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT",315-4,APR-DRG,,,,inpatient,,,999999999,,23185.3013,23185.3013,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23185.3013,case rate,999999999,,,,,,,,,,23185.3013,case rate,999999999,,,,,,,,,,23185.3013,case rate,999999999,,,,,,,,,,23185.3013,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
316-1 - HAND AND WRIST PROCEDURES,316-1,APR-DRG,,,,inpatient,,,999999999,,5039.155971,5039.155971,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5039.155971,case rate,999999999,,,,,,,,,,5039.155971,case rate,999999999,,,,,,,,,,5039.155971,case rate,999999999,,,,,,,,,,5039.155971,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
316-2 - HAND AND WRIST PROCEDURES,316-2,APR-DRG,,,,inpatient,,,999999999,,6804.36929,6804.36929,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6804.36929,case rate,999999999,,,,,,,,,,6804.36929,case rate,999999999,,,,,,,,,,6804.36929,case rate,999999999,,,,,,,,,,6804.36929,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
316-3 - HAND AND WRIST PROCEDURES,316-3,APR-DRG,,,,inpatient,,,999999999,,10500.3693,10500.3693,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10500.3693,case rate,999999999,,,,,,,,,,10500.3693,case rate,999999999,,,,,,,,,,10500.3693,case rate,999999999,,,,,,,,,,10500.3693,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
316-4 - HAND AND WRIST PROCEDURES,316-4,APR-DRG,,,,inpatient,,,999999999,,19154.28601,19154.28601,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19154.28601,case rate,999999999,,,,,,,,,,19154.28601,case rate,999999999,,,,,,,,,,19154.28601,case rate,999999999,,,,,,,,,,19154.28601,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"317-1 - TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES",317-1,APR-DRG,,,,inpatient,,,999999999,,5917.313813,5917.313813,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5917.313813,case rate,999999999,,,,,,,,,,5917.313813,case rate,999999999,,,,,,,,,,5917.313813,case rate,999999999,,,,,,,,,,5917.313813,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"317-2 - TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES",317-2,APR-DRG,,,,inpatient,,,999999999,,7653.89996,7653.89996,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7653.89996,case rate,999999999,,,,,,,,,,7653.89996,case rate,999999999,,,,,,,,,,7653.89996,case rate,999999999,,,,,,,,,,7653.89996,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"317-3 - TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES",317-3,APR-DRG,,,,inpatient,,,999999999,,11752.61465,11752.61465,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11752.61465,case rate,999999999,,,,,,,,,,11752.61465,case rate,999999999,,,,,,,,,,11752.61465,case rate,999999999,,,,,,,,,,11752.61465,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"317-4 - TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES",317-4,APR-DRG,,,,inpatient,,,999999999,,21464.1893,21464.1893,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21464.1893,case rate,999999999,,,,,,,,,,21464.1893,case rate,999999999,,,,,,,,,,21464.1893,case rate,999999999,,,,,,,,,,21464.1893,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
320-1 - OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES,320-1,APR-DRG,,,,inpatient,,,999999999,,6572.643938,6572.643938,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6572.643938,case rate,999999999,,,,,,,,,,6572.643938,case rate,999999999,,,,,,,,,,6572.643938,case rate,999999999,,,,,,,,,,6572.643938,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
320-2 - OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES,320-2,APR-DRG,,,,inpatient,,,999999999,,9106.53551,9106.53551,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9106.53551,case rate,999999999,,,,,,,,,,9106.53551,case rate,999999999,,,,,,,,,,9106.53551,case rate,999999999,,,,,,,,,,9106.53551,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
320-3 - OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES,320-3,APR-DRG,,,,inpatient,,,999999999,,13265.59937,13265.59937,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13265.59937,case rate,999999999,,,,,,,,,,13265.59937,case rate,999999999,,,,,,,,,,13265.59937,case rate,999999999,,,,,,,,,,13265.59937,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
320-4 - OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES,320-4,APR-DRG,,,,inpatient,,,999999999,,22632.10055,22632.10055,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,22632.10055,case rate,999999999,,,,,,,,,,22632.10055,case rate,999999999,,,,,,,,,,22632.10055,case rate,999999999,,,,,,,,,,22632.10055,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
321-1 - SPINAL FUSION AND OTHER BACK AND NECK PROCEDURES EXCEPT FOR DISC PROCEDURES,321-1,APR-DRG,,,,inpatient,,,999999999,,10891.09151,10891.09151,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10891.09151,case rate,999999999,,,,,,,,,,10891.09151,case rate,999999999,,,,,,,,,,10891.09151,case rate,999999999,,,,,,,,,,10891.09151,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
321-2 - SPINAL FUSION AND OTHER BACK AND NECK PROCEDURES EXCEPT FOR DISC PROCEDURES,321-2,APR-DRG,,,,inpatient,,,999999999,,13211.053,13211.053,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13211.053,case rate,999999999,,,,,,,,,,13211.053,case rate,999999999,,,,,,,,,,13211.053,case rate,999999999,,,,,,,,,,13211.053,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
321-3 - SPINAL FUSION AND OTHER BACK AND NECK PROCEDURES EXCEPT FOR DISC PROCEDURES,321-3,APR-DRG,,,,inpatient,,,999999999,,18185.21755,18185.21755,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18185.21755,case rate,999999999,,,,,,,,,,18185.21755,case rate,999999999,,,,,,,,,,18185.21755,case rate,999999999,,,,,,,,,,18185.21755,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
321-4 - SPINAL FUSION AND OTHER BACK AND NECK PROCEDURES EXCEPT FOR DISC PROCEDURES,321-4,APR-DRG,,,,inpatient,,,999999999,,28431.42399,28431.42399,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,28431.42399,case rate,999999999,,,,,,,,,,28431.42399,case rate,999999999,,,,,,,,,,28431.42399,case rate,999999999,,,,,,,,,,28431.42399,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
322-1 - SHOULDER AND ELBOW JOINT REPLACEMENT,322-1,APR-DRG,,,,inpatient,,,999999999,,11287.61653,11287.61653,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11287.61653,case rate,999999999,,,,,,,,,,11287.61653,case rate,999999999,,,,,,,,,,11287.61653,case rate,999999999,,,,,,,,,,11287.61653,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
322-2 - SHOULDER AND ELBOW JOINT REPLACEMENT,322-2,APR-DRG,,,,inpatient,,,999999999,,12255.91128,12255.91128,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12255.91128,case rate,999999999,,,,,,,,,,12255.91128,case rate,999999999,,,,,,,,,,12255.91128,case rate,999999999,,,,,,,,,,12255.91128,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
322-3 - SHOULDER AND ELBOW JOINT REPLACEMENT,322-3,APR-DRG,,,,inpatient,,,999999999,,16093.88659,16093.88659,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16093.88659,case rate,999999999,,,,,,,,,,16093.88659,case rate,999999999,,,,,,,,,,16093.88659,case rate,999999999,,,,,,,,,,16093.88659,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
322-4 - SHOULDER AND ELBOW JOINT REPLACEMENT,322-4,APR-DRG,,,,inpatient,,,999999999,,21548.5234,21548.5234,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21548.5234,case rate,999999999,,,,,,,,,,21548.5234,case rate,999999999,,,,,,,,,,21548.5234,case rate,999999999,,,,,,,,,,21548.5234,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
323-1 - NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT,323-1,APR-DRG,,,,inpatient,,,999999999,,10422.61171,10422.61171,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10422.61171,case rate,999999999,,,,,,,,,,10422.61171,case rate,999999999,,,,,,,,,,10422.61171,case rate,999999999,,,,,,,,,,10422.61171,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
323-2 - NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT,323-2,APR-DRG,,,,inpatient,,,999999999,,11703.48423,11703.48423,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11703.48423,case rate,999999999,,,,,,,,,,11703.48423,case rate,999999999,,,,,,,,,,11703.48423,case rate,999999999,,,,,,,,,,11703.48423,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
323-3 - NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT,323-3,APR-DRG,,,,inpatient,,,999999999,,15576.66322,15576.66322,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15576.66322,case rate,999999999,,,,,,,,,,15576.66322,case rate,999999999,,,,,,,,,,15576.66322,case rate,999999999,,,,,,,,,,15576.66322,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
323-4 - NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT,323-4,APR-DRG,,,,inpatient,,,999999999,,21725.70239,21725.70239,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21725.70239,case rate,999999999,,,,,,,,,,21725.70239,case rate,999999999,,,,,,,,,,21725.70239,case rate,999999999,,,,,,,,,,21725.70239,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
324-1 - ELECTIVE HIP JOINT REPLACEMENT,324-1,APR-DRG,,,,inpatient,,,999999999,,9318.918177,9318.918177,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9318.918177,case rate,999999999,,,,,,,,,,9318.918177,case rate,999999999,,,,,,,,,,9318.918177,case rate,999999999,,,,,,,,,,9318.918177,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
324-2 - ELECTIVE HIP JOINT REPLACEMENT,324-2,APR-DRG,,,,inpatient,,,999999999,,10152.20099,10152.20099,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10152.20099,case rate,999999999,,,,,,,,,,10152.20099,case rate,999999999,,,,,,,,,,10152.20099,case rate,999999999,,,,,,,,,,10152.20099,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
324-3 - ELECTIVE HIP JOINT REPLACEMENT,324-3,APR-DRG,,,,inpatient,,,999999999,,13701.97031,13701.97031,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13701.97031,case rate,999999999,,,,,,,,,,13701.97031,case rate,999999999,,,,,,,,,,13701.97031,case rate,999999999,,,,,,,,,,13701.97031,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
324-4 - ELECTIVE HIP JOINT REPLACEMENT,324-4,APR-DRG,,,,inpatient,,,999999999,,21745.81878,21745.81878,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21745.81878,case rate,999999999,,,,,,,,,,21745.81878,case rate,999999999,,,,,,,,,,21745.81878,case rate,999999999,,,,,,,,,,21745.81878,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
325-1 - NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT,325-1,APR-DRG,,,,inpatient,,,999999999,,12950.70048,12950.70048,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12950.70048,case rate,999999999,,,,,,,,,,12950.70048,case rate,999999999,,,,,,,,,,12950.70048,case rate,999999999,,,,,,,,,,12950.70048,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
325-2 - NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT,325-2,APR-DRG,,,,inpatient,,,999999999,,15075.68771,15075.68771,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15075.68771,case rate,999999999,,,,,,,,,,15075.68771,case rate,999999999,,,,,,,,,,15075.68771,case rate,999999999,,,,,,,,,,15075.68771,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
325-3 - NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT,325-3,APR-DRG,,,,inpatient,,,999999999,,19898.97933,19898.97933,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19898.97933,case rate,999999999,,,,,,,,,,19898.97933,case rate,999999999,,,,,,,,,,19898.97933,case rate,999999999,,,,,,,,,,19898.97933,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
325-4 - NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT,325-4,APR-DRG,,,,inpatient,,,999999999,,27700.27054,27700.27054,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,27700.27054,case rate,999999999,,,,,,,,,,27700.27054,case rate,999999999,,,,,,,,,,27700.27054,case rate,999999999,,,,,,,,,,27700.27054,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
326-1 - ELECTIVE KNEE JOINT REPLACEMENT,326-1,APR-DRG,,,,inpatient,,,999999999,,9264.758663,9264.758663,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9264.758663,case rate,999999999,,,,,,,,,,9264.758663,case rate,999999999,,,,,,,,,,9264.758663,case rate,999999999,,,,,,,,,,9264.758663,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
326-2 - ELECTIVE KNEE JOINT REPLACEMENT,326-2,APR-DRG,,,,inpatient,,,999999999,,9835.367833,9835.367833,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9835.367833,case rate,999999999,,,,,,,,,,9835.367833,case rate,999999999,,,,,,,,,,9835.367833,case rate,999999999,,,,,,,,,,9835.367833,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
326-3 - ELECTIVE KNEE JOINT REPLACEMENT,326-3,APR-DRG,,,,inpatient,,,999999999,,13987.08147,13987.08147,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13987.08147,case rate,999999999,,,,,,,,,,13987.08147,case rate,999999999,,,,,,,,,,13987.08147,case rate,999999999,,,,,,,,,,13987.08147,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
326-4 - ELECTIVE KNEE JOINT REPLACEMENT,326-4,APR-DRG,,,,inpatient,,,999999999,,18329.90083,18329.90083,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18329.90083,case rate,999999999,,,,,,,,,,18329.90083,case rate,999999999,,,,,,,,,,18329.90083,case rate,999999999,,,,,,,,,,18329.90083,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
340-1 - FRACTURE OF FEMUR,340-1,APR-DRG,,,,inpatient,,,999999999,,2904.497392,2904.497392,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2904.497392,case rate,999999999,,,,,,,,,,2904.497392,case rate,999999999,,,,,,,,,,2904.497392,case rate,999999999,,,,,,,,,,2904.497392,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
340-2 - FRACTURE OF FEMUR,340-2,APR-DRG,,,,inpatient,,,999999999,,3610.892202,3610.892202,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3610.892202,case rate,999999999,,,,,,,,,,3610.892202,case rate,999999999,,,,,,,,,,3610.892202,case rate,999999999,,,,,,,,,,3610.892202,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
340-3 - FRACTURE OF FEMUR,340-3,APR-DRG,,,,inpatient,,,999999999,,5148.635561,5148.635561,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5148.635561,case rate,999999999,,,,,,,,,,5148.635561,case rate,999999999,,,,,,,,,,5148.635561,case rate,999999999,,,,,,,,,,5148.635561,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
340-4 - FRACTURE OF FEMUR,340-4,APR-DRG,,,,inpatient,,,999999999,,7573.047542,7573.047542,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7573.047542,case rate,999999999,,,,,,,,,,7573.047542,case rate,999999999,,,,,,,,,,7573.047542,case rate,999999999,,,,,,,,,,7573.047542,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
341-1 - FRACTURE OF PELVIS OR DISLOCATION OF HIP,341-1,APR-DRG,,,,inpatient,,,999999999,,3120.748596,3120.748596,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3120.748596,case rate,999999999,,,,,,,,,,3120.748596,case rate,999999999,,,,,,,,,,3120.748596,case rate,999999999,,,,,,,,,,3120.748596,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
341-2 - FRACTURE OF PELVIS OR DISLOCATION OF HIP,341-2,APR-DRG,,,,inpatient,,,999999999,,3827.917114,3827.917114,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3827.917114,case rate,999999999,,,,,,,,,,3827.917114,case rate,999999999,,,,,,,,,,3827.917114,case rate,999999999,,,,,,,,,,3827.917114,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
341-3 - FRACTURE OF PELVIS OR DISLOCATION OF HIP,341-3,APR-DRG,,,,inpatient,,,999999999,,4877.837988,4877.837988,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4877.837988,case rate,999999999,,,,,,,,,,4877.837988,case rate,999999999,,,,,,,,,,4877.837988,case rate,999999999,,,,,,,,,,4877.837988,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
341-4 - FRACTURE OF PELVIS OR DISLOCATION OF HIP,341-4,APR-DRG,,,,inpatient,,,999999999,,9100.732704,9100.732704,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9100.732704,case rate,999999999,,,,,,,,,,9100.732704,case rate,999999999,,,,,,,,,,9100.732704,case rate,999999999,,,,,,,,,,9100.732704,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"342-1 - FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK",342-1,APR-DRG,,,,inpatient,,,999999999,,3129.646231,3129.646231,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3129.646231,case rate,999999999,,,,,,,,,,3129.646231,case rate,999999999,,,,,,,,,,3129.646231,case rate,999999999,,,,,,,,,,3129.646231,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"342-2 - FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK",342-2,APR-DRG,,,,inpatient,,,999999999,,4215.93135,4215.93135,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4215.93135,case rate,999999999,,,,,,,,,,4215.93135,case rate,999999999,,,,,,,,,,4215.93135,case rate,999999999,,,,,,,,,,4215.93135,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"342-3 - FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK",342-3,APR-DRG,,,,inpatient,,,999999999,,5875.92047,5875.92047,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5875.92047,case rate,999999999,,,,,,,,,,5875.92047,case rate,999999999,,,,,,,,,,5875.92047,case rate,999999999,,,,,,,,,,5875.92047,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"342-4 - FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK",342-4,APR-DRG,,,,inpatient,,,999999999,,9651.612338,9651.612338,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9651.612338,case rate,999999999,,,,,,,,,,9651.612338,case rate,999999999,,,,,,,,,,9651.612338,case rate,999999999,,,,,,,,,,9651.612338,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
343-1 - MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALIGNANCY,343-1,APR-DRG,,,,inpatient,,,999999999,,4754.818519,4754.818519,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4754.818519,case rate,999999999,,,,,,,,,,4754.818519,case rate,999999999,,,,,,,,,,4754.818519,case rate,999999999,,,,,,,,,,4754.818519,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
343-2 - MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALIGNANCY,343-2,APR-DRG,,,,inpatient,,,999999999,,5588.488189,5588.488189,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5588.488189,case rate,999999999,,,,,,,,,,5588.488189,case rate,999999999,,,,,,,,,,5588.488189,case rate,999999999,,,,,,,,,,5588.488189,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
343-3 - MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALIGNANCY,343-3,APR-DRG,,,,inpatient,,,999999999,,8166.481079,8166.481079,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8166.481079,case rate,999999999,,,,,,,,,,8166.481079,case rate,999999999,,,,,,,,,,8166.481079,case rate,999999999,,,,,,,,,,8166.481079,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
343-4 - MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALIGNANCY,343-4,APR-DRG,,,,inpatient,,,999999999,,13223.81917,13223.81917,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13223.81917,case rate,999999999,,,,,,,,,,13223.81917,case rate,999999999,,,,,,,,,,13223.81917,case rate,999999999,,,,,,,,,,13223.81917,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"344-1 - OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS",344-1,APR-DRG,,,,inpatient,,,999999999,,4130.823542,4130.823542,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4130.823542,case rate,999999999,,,,,,,,,,4130.823542,case rate,999999999,,,,,,,,,,4130.823542,case rate,999999999,,,,,,,,,,4130.823542,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"344-2 - OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS",344-2,APR-DRG,,,,inpatient,,,999999999,,5240.319882,5240.319882,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5240.319882,case rate,999999999,,,,,,,,,,5240.319882,case rate,999999999,,,,,,,,,,5240.319882,case rate,999999999,,,,,,,,,,5240.319882,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"344-3 - OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS",344-3,APR-DRG,,,,inpatient,,,999999999,,7516.953759,7516.953759,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7516.953759,case rate,999999999,,,,,,,,,,7516.953759,case rate,999999999,,,,,,,,,,7516.953759,case rate,999999999,,,,,,,,,,7516.953759,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"344-4 - OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS",344-4,APR-DRG,,,,inpatient,,,999999999,,12070.22151,12070.22151,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12070.22151,case rate,999999999,,,,,,,,,,12070.22151,case rate,999999999,,,,,,,,,,12070.22151,case rate,999999999,,,,,,,,,,12070.22151,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
346-1 - CONNECTIVE TISSUE DISORDERS,346-1,APR-DRG,,,,inpatient,,,999999999,,3756.736038,3756.736038,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3756.736038,case rate,999999999,,,,,,,,,,3756.736038,case rate,999999999,,,,,,,,,,3756.736038,case rate,999999999,,,,,,,,,,3756.736038,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
346-2 - CONNECTIVE TISSUE DISORDERS,346-2,APR-DRG,,,,inpatient,,,999999999,,5002.404871,5002.404871,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5002.404871,case rate,999999999,,,,,,,,,,5002.404871,case rate,999999999,,,,,,,,,,5002.404871,case rate,999999999,,,,,,,,,,5002.404871,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
346-3 - CONNECTIVE TISSUE DISORDERS,346-3,APR-DRG,,,,inpatient,,,999999999,,7634.557276,7634.557276,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7634.557276,case rate,999999999,,,,,,,,,,7634.557276,case rate,999999999,,,,,,,,,,7634.557276,case rate,999999999,,,,,,,,,,7634.557276,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
346-4 - CONNECTIVE TISSUE DISORDERS,346-4,APR-DRG,,,,inpatient,,,999999999,,15849.00821,15849.00821,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15849.00821,case rate,999999999,,,,,,,,,,15849.00821,case rate,999999999,,,,,,,,,,15849.00821,case rate,999999999,,,,,,,,,,15849.00821,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"347-1 - OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES",347-1,APR-DRG,,,,inpatient,,,999999999,,3690.197206,3690.197206,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3690.197206,case rate,999999999,,,,,,,,,,3690.197206,case rate,999999999,,,,,,,,,,3690.197206,case rate,999999999,,,,,,,,,,3690.197206,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"347-2 - OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES",347-2,APR-DRG,,,,inpatient,,,999999999,,4653.84971,4653.84971,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4653.84971,case rate,999999999,,,,,,,,,,4653.84971,case rate,999999999,,,,,,,,,,4653.84971,case rate,999999999,,,,,,,,,,4653.84971,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"347-3 - OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES",347-3,APR-DRG,,,,inpatient,,,999999999,,6297.977829,6297.977829,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6297.977829,case rate,999999999,,,,,,,,,,6297.977829,case rate,999999999,,,,,,,,,,6297.977829,case rate,999999999,,,,,,,,,,6297.977829,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"347-4 - OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES",347-4,APR-DRG,,,,inpatient,,,999999999,,10857.43524,10857.43524,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10857.43524,case rate,999999999,,,,,,,,,,10857.43524,case rate,999999999,,,,,,,,,,10857.43524,case rate,999999999,,,,,,,,,,10857.43524,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"349-1 - MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE",349-1,APR-DRG,,,,inpatient,,,999999999,,3268.5267,3268.5267,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3268.5267,case rate,999999999,,,,,,,,,,3268.5267,case rate,999999999,,,,,,,,,,3268.5267,case rate,999999999,,,,,,,,,,3268.5267,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"349-2 - MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE",349-2,APR-DRG,,,,inpatient,,,999999999,,4628.317368,4628.317368,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4628.317368,case rate,999999999,,,,,,,,,,4628.317368,case rate,999999999,,,,,,,,,,4628.317368,case rate,999999999,,,,,,,,,,4628.317368,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"349-3 - MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE",349-3,APR-DRG,,,,inpatient,,,999999999,,6648.467259,6648.467259,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6648.467259,case rate,999999999,,,,,,,,,,6648.467259,case rate,999999999,,,,,,,,,,6648.467259,case rate,999999999,,,,,,,,,,6648.467259,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"349-4 - MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE",349-4,APR-DRG,,,,inpatient,,,999999999,,11826.89055,11826.89055,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11826.89055,case rate,999999999,,,,,,,,,,11826.89055,case rate,999999999,,,,,,,,,,11826.89055,case rate,999999999,,,,,,,,,,11826.89055,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
351-1 - OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES,351-1,APR-DRG,,,,inpatient,,,999999999,,2952.854101,2952.854101,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2952.854101,case rate,999999999,,,,,,,,,,2952.854101,case rate,999999999,,,,,,,,,,2952.854101,case rate,999999999,,,,,,,,,,2952.854101,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
351-2 - OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES,351-2,APR-DRG,,,,inpatient,,,999999999,,3743.969867,3743.969867,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3743.969867,case rate,999999999,,,,,,,,,,3743.969867,case rate,999999999,,,,,,,,,,3743.969867,case rate,999999999,,,,,,,,,,3743.969867,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
351-3 - OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES,351-3,APR-DRG,,,,inpatient,,,999999999,,5795.841759,5795.841759,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5795.841759,case rate,999999999,,,,,,,,,,5795.841759,case rate,999999999,,,,,,,,,,5795.841759,case rate,999999999,,,,,,,,,,5795.841759,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
351-4 - OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES,351-4,APR-DRG,,,,inpatient,,,999999999,,10181.60187,10181.60187,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10181.60187,case rate,999999999,,,,,,,,,,10181.60187,case rate,999999999,,,,,,,,,,10181.60187,case rate,999999999,,,,,,,,,,10181.60187,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
361-1 - SKIN GRAFT FOR SKIN AND SUBCUTANEOUS TISSUE DIAGNOSES,361-1,APR-DRG,,,,inpatient,,,999999999,,8557.976998,8557.976998,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8557.976998,case rate,999999999,,,,,,,,,,8557.976998,case rate,999999999,,,,,,,,,,8557.976998,case rate,999999999,,,,,,,,,,8557.976998,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
361-2 - SKIN GRAFT FOR SKIN AND SUBCUTANEOUS TISSUE DIAGNOSES,361-2,APR-DRG,,,,inpatient,,,999999999,,10629.57843,10629.57843,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10629.57843,case rate,999999999,,,,,,,,,,10629.57843,case rate,999999999,,,,,,,,,,10629.57843,case rate,999999999,,,,,,,,,,10629.57843,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
361-3 - SKIN GRAFT FOR SKIN AND SUBCUTANEOUS TISSUE DIAGNOSES,361-3,APR-DRG,,,,inpatient,,,999999999,,16209.16898,16209.16898,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16209.16898,case rate,999999999,,,,,,,,,,16209.16898,case rate,999999999,,,,,,,,,,16209.16898,case rate,999999999,,,,,,,,,,16209.16898,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
361-4 - SKIN GRAFT FOR SKIN AND SUBCUTANEOUS TISSUE DIAGNOSES,361-4,APR-DRG,,,,inpatient,,,999999999,,32591.26156,32591.26156,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,32591.26156,case rate,999999999,,,,,,,,,,32591.26156,case rate,999999999,,,,,,,,,,32591.26156,case rate,999999999,,,,,,,,,,32591.26156,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
362-1 - MASTECTOMY PROCEDURES,362-1,APR-DRG,,,,inpatient,,,999999999,,7899.16519,7899.16519,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7899.16519,case rate,999999999,,,,,,,,,,7899.16519,case rate,999999999,,,,,,,,,,7899.16519,case rate,999999999,,,,,,,,,,7899.16519,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
362-2 - MASTECTOMY PROCEDURES,362-2,APR-DRG,,,,inpatient,,,999999999,,11373.8849,11373.8849,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11373.8849,case rate,999999999,,,,,,,,,,11373.8849,case rate,999999999,,,,,,,,,,11373.8849,case rate,999999999,,,,,,,,,,11373.8849,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
362-3 - MASTECTOMY PROCEDURES,362-3,APR-DRG,,,,inpatient,,,999999999,,13479.91631,13479.91631,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13479.91631,case rate,999999999,,,,,,,,,,13479.91631,case rate,999999999,,,,,,,,,,13479.91631,case rate,999999999,,,,,,,,,,13479.91631,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
362-4 - MASTECTOMY PROCEDURES,362-4,APR-DRG,,,,inpatient,,,999999999,,23935.79743,23935.79743,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23935.79743,case rate,999999999,,,,,,,,,,23935.79743,case rate,999999999,,,,,,,,,,23935.79743,case rate,999999999,,,,,,,,,,23935.79743,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
363-1 - BREAST PROCEDURES EXCEPT MASTECTOMY,363-1,APR-DRG,,,,inpatient,,,999999999,,6518.09757,6518.09757,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6518.09757,case rate,999999999,,,,,,,,,,6518.09757,case rate,999999999,,,,,,,,,,6518.09757,case rate,999999999,,,,,,,,,,6518.09757,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
363-2 - BREAST PROCEDURES EXCEPT MASTECTOMY,363-2,APR-DRG,,,,inpatient,,,999999999,,11997.49302,11997.49302,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11997.49302,case rate,999999999,,,,,,,,,,11997.49302,case rate,999999999,,,,,,,,,,11997.49302,case rate,999999999,,,,,,,,,,11997.49302,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
363-3 - BREAST PROCEDURES EXCEPT MASTECTOMY,363-3,APR-DRG,,,,inpatient,,,999999999,,15228.10806,15228.10806,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15228.10806,case rate,999999999,,,,,,,,,,15228.10806,case rate,999999999,,,,,,,,,,15228.10806,case rate,999999999,,,,,,,,,,15228.10806,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
363-4 - BREAST PROCEDURES EXCEPT MASTECTOMY,363-4,APR-DRG,,,,inpatient,,,999999999,,19343.84431,19343.84431,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19343.84431,case rate,999999999,,,,,,,,,,19343.84431,case rate,999999999,,,,,,,,,,19343.84431,case rate,999999999,,,,,,,,,,19343.84431,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"364-1 - OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES",364-1,APR-DRG,,,,inpatient,,,999999999,,4665.068467,4665.068467,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4665.068467,case rate,999999999,,,,,,,,,,4665.068467,case rate,999999999,,,,,,,,,,4665.068467,case rate,999999999,,,,,,,,,,4665.068467,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"364-2 - OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES",364-2,APR-DRG,,,,inpatient,,,999999999,,6445.369079,6445.369079,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6445.369079,case rate,999999999,,,,,,,,,,6445.369079,case rate,999999999,,,,,,,,,,6445.369079,case rate,999999999,,,,,,,,,,6445.369079,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"364-3 - OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES",364-3,APR-DRG,,,,inpatient,,,999999999,,10293.01573,10293.01573,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10293.01573,case rate,999999999,,,,,,,,,,10293.01573,case rate,999999999,,,,,,,,,,10293.01573,case rate,999999999,,,,,,,,,,10293.01573,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"364-4 - OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES",364-4,APR-DRG,,,,inpatient,,,999999999,,18397.98708,18397.98708,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18397.98708,case rate,999999999,,,,,,,,,,18397.98708,case rate,999999999,,,,,,,,,,18397.98708,case rate,999999999,,,,,,,,,,18397.98708,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
380-1 - SKIN ULCERS,380-1,APR-DRG,,,,inpatient,,,999999999,,3265.431871,3265.431871,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3265.431871,case rate,999999999,,,,,,,,,,3265.431871,case rate,999999999,,,,,,,,,,3265.431871,case rate,999999999,,,,,,,,,,3265.431871,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
380-2 - SKIN ULCERS,380-2,APR-DRG,,,,inpatient,,,999999999,,4251.521888,4251.521888,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4251.521888,case rate,999999999,,,,,,,,,,4251.521888,case rate,999999999,,,,,,,,,,4251.521888,case rate,999999999,,,,,,,,,,4251.521888,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
380-3 - SKIN ULCERS,380-3,APR-DRG,,,,inpatient,,,999999999,,6150.973433,6150.973433,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6150.973433,case rate,999999999,,,,,,,,,,6150.973433,case rate,999999999,,,,,,,,,,6150.973433,case rate,999999999,,,,,,,,,,6150.973433,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
380-4 - SKIN ULCERS,380-4,APR-DRG,,,,inpatient,,,999999999,,10780.83821,10780.83821,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10780.83821,case rate,999999999,,,,,,,,,,10780.83821,case rate,999999999,,,,,,,,,,10780.83821,case rate,999999999,,,,,,,,,,10780.83821,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
381-1 - MAJOR SKIN DISORDERS,381-1,APR-DRG,,,,inpatient,,,999999999,,2304.100488,2304.100488,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2304.100488,case rate,999999999,,,,,,,,,,2304.100488,case rate,999999999,,,,,,,,,,2304.100488,case rate,999999999,,,,,,,,,,2304.100488,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
381-2 - MAJOR SKIN DISORDERS,381-2,APR-DRG,,,,inpatient,,,999999999,,3796.195113,3796.195113,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3796.195113,case rate,999999999,,,,,,,,,,3796.195113,case rate,999999999,,,,,,,,,,3796.195113,case rate,999999999,,,,,,,,,,3796.195113,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
381-3 - MAJOR SKIN DISORDERS,381-3,APR-DRG,,,,inpatient,,,999999999,,7632.236154,7632.236154,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7632.236154,case rate,999999999,,,,,,,,,,7632.236154,case rate,999999999,,,,,,,,,,7632.236154,case rate,999999999,,,,,,,,,,7632.236154,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
381-4 - MAJOR SKIN DISORDERS,381-4,APR-DRG,,,,inpatient,,,999999999,,15027.33101,15027.33101,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15027.33101,case rate,999999999,,,,,,,,,,15027.33101,case rate,999999999,,,,,,,,,,15027.33101,case rate,999999999,,,,,,,,,,15027.33101,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
382-1 - MALIGNANT BREAST DISORDERS,382-1,APR-DRG,,,,inpatient,,,999999999,,3661.18318,3661.18318,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3661.18318,case rate,999999999,,,,,,,,,,3661.18318,case rate,999999999,,,,,,,,,,3661.18318,case rate,999999999,,,,,,,,,,3661.18318,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
382-2 - MALIGNANT BREAST DISORDERS,382-2,APR-DRG,,,,inpatient,,,999999999,,4311.484208,4311.484208,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4311.484208,case rate,999999999,,,,,,,,,,4311.484208,case rate,999999999,,,,,,,,,,4311.484208,case rate,999999999,,,,,,,,,,4311.484208,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
382-3 - MALIGNANT BREAST DISORDERS,382-3,APR-DRG,,,,inpatient,,,999999999,,6106.48526,6106.48526,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6106.48526,case rate,999999999,,,,,,,,,,6106.48526,case rate,999999999,,,,,,,,,,6106.48526,case rate,999999999,,,,,,,,,,6106.48526,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
382-4 - MALIGNANT BREAST DISORDERS,382-4,APR-DRG,,,,inpatient,,,999999999,,9043.47836,9043.47836,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9043.47836,case rate,999999999,,,,,,,,,,9043.47836,case rate,999999999,,,,,,,,,,9043.47836,case rate,999999999,,,,,,,,,,9043.47836,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
383-1 - CELLULITIS AND OTHER SKIN INFECTIONS,383-1,APR-DRG,,,,inpatient,,,999999999,,2680.12226,2680.12226,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2680.12226,case rate,999999999,,,,,,,,,,2680.12226,case rate,999999999,,,,,,,,,,2680.12226,case rate,999999999,,,,,,,,,,2680.12226,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
383-2 - CELLULITIS AND OTHER SKIN INFECTIONS,383-2,APR-DRG,,,,inpatient,,,999999999,,3673.175644,3673.175644,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3673.175644,case rate,999999999,,,,,,,,,,3673.175644,case rate,999999999,,,,,,,,,,3673.175644,case rate,999999999,,,,,,,,,,3673.175644,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
383-3 - CELLULITIS AND OTHER SKIN INFECTIONS,383-3,APR-DRG,,,,inpatient,,,999999999,,5465.081867,5465.081867,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5465.081867,case rate,999999999,,,,,,,,,,5465.081867,case rate,999999999,,,,,,,,,,5465.081867,case rate,999999999,,,,,,,,,,5465.081867,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
383-4 - CELLULITIS AND OTHER SKIN INFECTIONS,383-4,APR-DRG,,,,inpatient,,,999999999,,9983.145937,9983.145937,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9983.145937,case rate,999999999,,,,,,,,,,9983.145937,case rate,999999999,,,,,,,,,,9983.145937,case rate,999999999,,,,,,,,,,9983.145937,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"384-1 - CONTUSION, OPEN WOUND AND OTHER TRAUMA TO SKIN AND SUBCUTANEOUS TISSUE",384-1,APR-DRG,,,,inpatient,,,999999999,,3428.297268,3428.297268,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3428.297268,case rate,999999999,,,,,,,,,,3428.297268,case rate,999999999,,,,,,,,,,3428.297268,case rate,999999999,,,,,,,,,,3428.297268,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"384-2 - CONTUSION, OPEN WOUND AND OTHER TRAUMA TO SKIN AND SUBCUTANEOUS TISSUE",384-2,APR-DRG,,,,inpatient,,,999999999,,4296.783768,4296.783768,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4296.783768,case rate,999999999,,,,,,,,,,4296.783768,case rate,999999999,,,,,,,,,,4296.783768,case rate,999999999,,,,,,,,,,4296.783768,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"384-3 - CONTUSION, OPEN WOUND AND OTHER TRAUMA TO SKIN AND SUBCUTANEOUS TISSUE",384-3,APR-DRG,,,,inpatient,,,999999999,,6260.453023,6260.453023,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6260.453023,case rate,999999999,,,,,,,,,,6260.453023,case rate,999999999,,,,,,,,,,6260.453023,case rate,999999999,,,,,,,,,,6260.453023,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"384-4 - CONTUSION, OPEN WOUND AND OTHER TRAUMA TO SKIN AND SUBCUTANEOUS TISSUE",384-4,APR-DRG,,,,inpatient,,,999999999,,10493.40593,10493.40593,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10493.40593,case rate,999999999,,,,,,,,,,10493.40593,case rate,999999999,,,,,,,,,,10493.40593,case rate,999999999,,,,,,,,,,10493.40593,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"385-1 - OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS",385-1,APR-DRG,,,,inpatient,,,999999999,,2638.728917,2638.728917,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2638.728917,case rate,999999999,,,,,,,,,,2638.728917,case rate,999999999,,,,,,,,,,2638.728917,case rate,999999999,,,,,,,,,,2638.728917,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"385-2 - OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS",385-2,APR-DRG,,,,inpatient,,,999999999,,3480.522514,3480.522514,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3480.522514,case rate,999999999,,,,,,,,,,3480.522514,case rate,999999999,,,,,,,,,,3480.522514,case rate,999999999,,,,,,,,,,3480.522514,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"385-3 - OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS",385-3,APR-DRG,,,,inpatient,,,999999999,,5403.958986,5403.958986,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5403.958986,case rate,999999999,,,,,,,,,,5403.958986,case rate,999999999,,,,,,,,,,5403.958986,case rate,999999999,,,,,,,,,,5403.958986,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"385-4 - OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS",385-4,APR-DRG,,,,inpatient,,,999999999,,10841.57424,10841.57424,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10841.57424,case rate,999999999,,,,,,,,,,10841.57424,case rate,999999999,,,,,,,,,,10841.57424,case rate,999999999,,,,,,,,,,10841.57424,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
401-1 - ADRENAL PROCEDURES,401-1,APR-DRG,,,,inpatient,,,999999999,,8100.329101,8100.329101,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8100.329101,case rate,999999999,,,,,,,,,,8100.329101,case rate,999999999,,,,,,,,,,8100.329101,case rate,999999999,,,,,,,,,,8100.329101,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
401-2 - ADRENAL PROCEDURES,401-2,APR-DRG,,,,inpatient,,,999999999,,14274.1269,14274.1269,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14274.1269,case rate,999999999,,,,,,,,,,14274.1269,case rate,999999999,,,,,,,,,,14274.1269,case rate,999999999,,,,,,,,,,14274.1269,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
401-3 - ADRENAL PROCEDURES,401-3,APR-DRG,,,,inpatient,,,999999999,,17912.87257,17912.87257,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17912.87257,case rate,999999999,,,,,,,,,,17912.87257,case rate,999999999,,,,,,,,,,17912.87257,case rate,999999999,,,,,,,,,,17912.87257,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
401-4 - ADRENAL PROCEDURES,401-4,APR-DRG,,,,inpatient,,,999999999,,30075.93896,30075.93896,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,30075.93896,case rate,999999999,,,,,,,,,,30075.93896,case rate,999999999,,,,,,,,,,30075.93896,case rate,999999999,,,,,,,,,,30075.93896,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
403-1 - PROCEDURES FOR OBESITY,403-1,APR-DRG,,,,inpatient,,,999999999,,7039.18947,7039.18947,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7039.18947,case rate,999999999,,,,,,,,,,7039.18947,case rate,999999999,,,,,,,,,,7039.18947,case rate,999999999,,,,,,,,,,7039.18947,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
403-2 - PROCEDURES FOR OBESITY,403-2,APR-DRG,,,,inpatient,,,999999999,,8172.283884,8172.283884,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8172.283884,case rate,999999999,,,,,,,,,,8172.283884,case rate,999999999,,,,,,,,,,8172.283884,case rate,999999999,,,,,,,,,,8172.283884,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
403-3 - PROCEDURES FOR OBESITY,403-3,APR-DRG,,,,inpatient,,,999999999,,11657.8355,11657.8355,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11657.8355,case rate,999999999,,,,,,,,,,11657.8355,case rate,999999999,,,,,,,,,,11657.8355,case rate,999999999,,,,,,,,,,11657.8355,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
403-4 - PROCEDURES FOR OBESITY,403-4,APR-DRG,,,,inpatient,,,999999999,,23811.23055,23811.23055,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23811.23055,case rate,999999999,,,,,,,,,,23811.23055,case rate,999999999,,,,,,,,,,23811.23055,case rate,999999999,,,,,,,,,,23811.23055,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"404-1 - THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES",404-1,APR-DRG,,,,inpatient,,,999999999,,5771.469977,5771.469977,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5771.469977,case rate,999999999,,,,,,,,,,5771.469977,case rate,999999999,,,,,,,,,,5771.469977,case rate,999999999,,,,,,,,,,5771.469977,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"404-2 - THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES",404-2,APR-DRG,,,,inpatient,,,999999999,,8467.066385,8467.066385,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8467.066385,case rate,999999999,,,,,,,,,,8467.066385,case rate,999999999,,,,,,,,,,8467.066385,case rate,999999999,,,,,,,,,,8467.066385,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"404-3 - THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES",404-3,APR-DRG,,,,inpatient,,,999999999,,14208.74863,14208.74863,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14208.74863,case rate,999999999,,,,,,,,,,14208.74863,case rate,999999999,,,,,,,,,,14208.74863,case rate,999999999,,,,,,,,,,14208.74863,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"404-4 - THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES",404-4,APR-DRG,,,,inpatient,,,999999999,,29556.00762,29556.00762,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,29556.00762,case rate,999999999,,,,,,,,,,29556.00762,case rate,999999999,,,,,,,,,,29556.00762,case rate,999999999,,,,,,,,,,29556.00762,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"405-1 - OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS",405-1,APR-DRG,,,,inpatient,,,999999999,,8115.803248,8115.803248,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8115.803248,case rate,999999999,,,,,,,,,,8115.803248,case rate,999999999,,,,,,,,,,8115.803248,case rate,999999999,,,,,,,,,,8115.803248,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"405-2 - OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS",405-2,APR-DRG,,,,inpatient,,,999999999,,9151.023682,9151.023682,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9151.023682,case rate,999999999,,,,,,,,,,9151.023682,case rate,999999999,,,,,,,,,,9151.023682,case rate,999999999,,,,,,,,,,9151.023682,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"405-3 - OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS",405-3,APR-DRG,,,,inpatient,,,999999999,,13898.87884,13898.87884,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13898.87884,case rate,999999999,,,,,,,,,,13898.87884,case rate,999999999,,,,,,,,,,13898.87884,case rate,999999999,,,,,,,,,,13898.87884,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"405-4 - OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS",405-4,APR-DRG,,,,inpatient,,,999999999,,27581.11961,27581.11961,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,27581.11961,case rate,999999999,,,,,,,,,,27581.11961,case rate,999999999,,,,,,,,,,27581.11961,case rate,999999999,,,,,,,,,,27581.11961,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
420-1 - DIABETES,420-1,APR-DRG,,,,inpatient,,,999999999,,2694.435846,2694.435846,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2694.435846,case rate,999999999,,,,,,,,,,2694.435846,case rate,999999999,,,,,,,,,,2694.435846,case rate,999999999,,,,,,,,,,2694.435846,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
420-2 - DIABETES,420-2,APR-DRG,,,,inpatient,,,999999999,,3462.727245,3462.727245,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3462.727245,case rate,999999999,,,,,,,,,,3462.727245,case rate,999999999,,,,,,,,,,3462.727245,case rate,999999999,,,,,,,,,,3462.727245,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
420-3 - DIABETES,420-3,APR-DRG,,,,inpatient,,,999999999,,5119.621535,5119.621535,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5119.621535,case rate,999999999,,,,,,,,,,5119.621535,case rate,999999999,,,,,,,,,,5119.621535,case rate,999999999,,,,,,,,,,5119.621535,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
420-4 - DIABETES,420-4,APR-DRG,,,,inpatient,,,999999999,,10010.9994,10010.9994,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10010.9994,case rate,999999999,,,,,,,,,,10010.9994,case rate,999999999,,,,,,,,,,10010.9994,case rate,999999999,,,,,,,,,,10010.9994,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"421-1 - MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS",421-1,APR-DRG,,,,inpatient,,,999999999,,2469.287008,2469.287008,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2469.287008,case rate,999999999,,,,,,,,,,2469.287008,case rate,999999999,,,,,,,,,,2469.287008,case rate,999999999,,,,,,,,,,2469.287008,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"421-2 - MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS",421-2,APR-DRG,,,,inpatient,,,999999999,,3693.678889,3693.678889,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3693.678889,case rate,999999999,,,,,,,,,,3693.678889,case rate,999999999,,,,,,,,,,3693.678889,case rate,999999999,,,,,,,,,,3693.678889,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"421-3 - MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS",421-3,APR-DRG,,,,inpatient,,,999999999,,5597.385824,5597.385824,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5597.385824,case rate,999999999,,,,,,,,,,5597.385824,case rate,999999999,,,,,,,,,,5597.385824,case rate,999999999,,,,,,,,,,5597.385824,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"421-4 - MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS",421-4,APR-DRG,,,,inpatient,,,999999999,,10795.53865,10795.53865,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10795.53865,case rate,999999999,,,,,,,,,,10795.53865,case rate,999999999,,,,,,,,,,10795.53865,case rate,999999999,,,,,,,,,,10795.53865,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
422-1 - HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS,422-1,APR-DRG,,,,inpatient,,,999999999,,2092.878382,2092.878382,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2092.878382,case rate,999999999,,,,,,,,,,2092.878382,case rate,999999999,,,,,,,,,,2092.878382,case rate,999999999,,,,,,,,,,2092.878382,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
422-2 - HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS,422-2,APR-DRG,,,,inpatient,,,999999999,,3114.558937,3114.558937,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3114.558937,case rate,999999999,,,,,,,,,,3114.558937,case rate,999999999,,,,,,,,,,3114.558937,case rate,999999999,,,,,,,,,,3114.558937,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
422-3 - HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS,422-3,APR-DRG,,,,inpatient,,,999999999,,4533.538217,4533.538217,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4533.538217,case rate,999999999,,,,,,,,,,4533.538217,case rate,999999999,,,,,,,,,,4533.538217,case rate,999999999,,,,,,,,,,4533.538217,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
422-4 - HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS,422-4,APR-DRG,,,,inpatient,,,999999999,,7925.47124,7925.47124,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7925.47124,case rate,999999999,,,,,,,,,,7925.47124,case rate,999999999,,,,,,,,,,7925.47124,case rate,999999999,,,,,,,,,,7925.47124,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
423-1 - INBORN ERRORS OF METABOLISM,423-1,APR-DRG,,,,inpatient,,,999999999,,3174.521257,3174.521257,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3174.521257,case rate,999999999,,,,,,,,,,3174.521257,case rate,999999999,,,,,,,,,,3174.521257,case rate,999999999,,,,,,,,,,3174.521257,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
423-2 - INBORN ERRORS OF METABOLISM,423-2,APR-DRG,,,,inpatient,,,999999999,,4158.677006,4158.677006,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4158.677006,case rate,999999999,,,,,,,,,,4158.677006,case rate,999999999,,,,,,,,,,4158.677006,case rate,999999999,,,,,,,,,,4158.677006,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
423-3 - INBORN ERRORS OF METABOLISM,423-3,APR-DRG,,,,inpatient,,,999999999,,6532.024302,6532.024302,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6532.024302,case rate,999999999,,,,,,,,,,6532.024302,case rate,999999999,,,,,,,,,,6532.024302,case rate,999999999,,,,,,,,,,6532.024302,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
423-4 - INBORN ERRORS OF METABOLISM,423-4,APR-DRG,,,,inpatient,,,999999999,,14131.76475,14131.76475,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14131.76475,case rate,999999999,,,,,,,,,,14131.76475,case rate,999999999,,,,,,,,,,14131.76475,case rate,999999999,,,,,,,,,,14131.76475,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
424-1 - OTHER ENDOCRINE DISORDERS,424-1,APR-DRG,,,,inpatient,,,999999999,,3025.582592,3025.582592,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3025.582592,case rate,999999999,,,,,,,,,,3025.582592,case rate,999999999,,,,,,,,,,3025.582592,case rate,999999999,,,,,,,,,,3025.582592,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
424-2 - OTHER ENDOCRINE DISORDERS,424-2,APR-DRG,,,,inpatient,,,999999999,,4210.128545,4210.128545,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4210.128545,case rate,999999999,,,,,,,,,,4210.128545,case rate,999999999,,,,,,,,,,4210.128545,case rate,999999999,,,,,,,,,,4210.128545,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
424-3 - OTHER ENDOCRINE DISORDERS,424-3,APR-DRG,,,,inpatient,,,999999999,,6190.819361,6190.819361,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6190.819361,case rate,999999999,,,,,,,,,,6190.819361,case rate,999999999,,,,,,,,,,6190.819361,case rate,999999999,,,,,,,,,,6190.819361,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
424-4 - OTHER ENDOCRINE DISORDERS,424-4,APR-DRG,,,,inpatient,,,999999999,,10942.1562,10942.1562,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10942.1562,case rate,999999999,,,,,,,,,,10942.1562,case rate,999999999,,,,,,,,,,10942.1562,case rate,999999999,,,,,,,,,,10942.1562,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
425-1 - OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS,425-1,APR-DRG,,,,inpatient,,,999999999,,2690.180456,2690.180456,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2690.180456,case rate,999999999,,,,,,,,,,2690.180456,case rate,999999999,,,,,,,,,,2690.180456,case rate,999999999,,,,,,,,,,2690.180456,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
425-2 - OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS,425-2,APR-DRG,,,,inpatient,,,999999999,,3294.059043,3294.059043,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3294.059043,case rate,999999999,,,,,,,,,,3294.059043,case rate,999999999,,,,,,,,,,3294.059043,case rate,999999999,,,,,,,,,,3294.059043,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
425-3 - OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS,425-3,APR-DRG,,,,inpatient,,,999999999,,4458.488604,4458.488604,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4458.488604,case rate,999999999,,,,,,,,,,4458.488604,case rate,999999999,,,,,,,,,,4458.488604,case rate,999999999,,,,,,,,,,4458.488604,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
425-4 - OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS,425-4,APR-DRG,,,,inpatient,,,999999999,,8814.460985,8814.460985,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8814.460985,case rate,999999999,,,,,,,,,,8814.460985,case rate,999999999,,,,,,,,,,8814.460985,case rate,999999999,,,,,,,,,,8814.460985,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
426-1 - NON-HYPOVOLEMIC SODIUM DISORDERS,426-1,APR-DRG,,,,inpatient,,,999999999,,2871.61483,2871.61483,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2871.61483,case rate,999999999,,,,,,,,,,2871.61483,case rate,999999999,,,,,,,,,,2871.61483,case rate,999999999,,,,,,,,,,2871.61483,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
426-2 - NON-HYPOVOLEMIC SODIUM DISORDERS,426-2,APR-DRG,,,,inpatient,,,999999999,,3803.545333,3803.545333,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3803.545333,case rate,999999999,,,,,,,,,,3803.545333,case rate,999999999,,,,,,,,,,3803.545333,case rate,999999999,,,,,,,,,,3803.545333,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
426-3 - NON-HYPOVOLEMIC SODIUM DISORDERS,426-3,APR-DRG,,,,inpatient,,,999999999,,5559.861017,5559.861017,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5559.861017,case rate,999999999,,,,,,,,,,5559.861017,case rate,999999999,,,,,,,,,,5559.861017,case rate,999999999,,,,,,,,,,5559.861017,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
426-4 - NON-HYPOVOLEMIC SODIUM DISORDERS,426-4,APR-DRG,,,,inpatient,,,999999999,,9857.031639,9857.031639,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9857.031639,case rate,999999999,,,,,,,,,,9857.031639,case rate,999999999,,,,,,,,,,9857.031639,case rate,999999999,,,,,,,,,,9857.031639,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
427-1 - THYROID DISORDERS,427-1,APR-DRG,,,,inpatient,,,999999999,,2803.528583,2803.528583,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2803.528583,case rate,999999999,,,,,,,,,,2803.528583,case rate,999999999,,,,,,,,,,2803.528583,case rate,999999999,,,,,,,,,,2803.528583,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
427-2 - THYROID DISORDERS,427-2,APR-DRG,,,,inpatient,,,999999999,,3867.376189,3867.376189,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3867.376189,case rate,999999999,,,,,,,,,,3867.376189,case rate,999999999,,,,,,,,,,3867.376189,case rate,999999999,,,,,,,,,,3867.376189,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
427-3 - THYROID DISORDERS,427-3,APR-DRG,,,,inpatient,,,999999999,,6159.871067,6159.871067,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6159.871067,case rate,999999999,,,,,,,,,,6159.871067,case rate,999999999,,,,,,,,,,6159.871067,case rate,999999999,,,,,,,,,,6159.871067,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
427-4 - THYROID DISORDERS,427-4,APR-DRG,,,,inpatient,,,999999999,,10758.01385,10758.01385,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10758.01385,case rate,999999999,,,,,,,,,,10758.01385,case rate,999999999,,,,,,,,,,10758.01385,case rate,999999999,,,,,,,,,,10758.01385,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
440-1 - KIDNEY TRANSPLANT,440-1,APR-DRG,,,,inpatient,,,999999999,,27088.65488,27088.65488,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,27088.65488,case rate,999999999,,,,,,,,,,27088.65488,case rate,999999999,,,,,,,,,,27088.65488,case rate,999999999,,,,,,,,,,27088.65488,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
440-2 - KIDNEY TRANSPLANT,440-2,APR-DRG,,,,inpatient,,,999999999,,30337.06519,30337.06519,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,30337.06519,case rate,999999999,,,,,,,,,,30337.06519,case rate,999999999,,,,,,,,,,30337.06519,case rate,999999999,,,,,,,,,,30337.06519,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
440-3 - KIDNEY TRANSPLANT,440-3,APR-DRG,,,,inpatient,,,999999999,,35371.57892,35371.57892,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,35371.57892,case rate,999999999,,,,,,,,,,35371.57892,case rate,999999999,,,,,,,,,,35371.57892,case rate,999999999,,,,,,,,,,35371.57892,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
440-4 - KIDNEY TRANSPLANT,440-4,APR-DRG,,,,inpatient,,,999999999,,53662.02067,53662.02067,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53662.02067,case rate,999999999,,,,,,,,,,53662.02067,case rate,999999999,,,,,,,,,,53662.02067,case rate,999999999,,,,,,,,,,53662.02067,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
441-1 - MAJOR BLADDER PROCEDURES,441-1,APR-DRG,,,,inpatient,,,999999999,,9225.299588,9225.299588,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9225.299588,case rate,999999999,,,,,,,,,,9225.299588,case rate,999999999,,,,,,,,,,9225.299588,case rate,999999999,,,,,,,,,,9225.299588,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
441-2 - MAJOR BLADDER PROCEDURES,441-2,APR-DRG,,,,inpatient,,,999999999,,14039.30672,14039.30672,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14039.30672,case rate,999999999,,,,,,,,,,14039.30672,case rate,999999999,,,,,,,,,,14039.30672,case rate,999999999,,,,,,,,,,14039.30672,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
441-3 - MAJOR BLADDER PROCEDURES,441-3,APR-DRG,,,,inpatient,,,999999999,,18356.98059,18356.98059,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18356.98059,case rate,999999999,,,,,,,,,,18356.98059,case rate,999999999,,,,,,,,,,18356.98059,case rate,999999999,,,,,,,,,,18356.98059,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
441-4 - MAJOR BLADDER PROCEDURES,441-4,APR-DRG,,,,inpatient,,,999999999,,36166.95008,36166.95008,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,36166.95008,case rate,999999999,,,,,,,,,,36166.95008,case rate,999999999,,,,,,,,,,36166.95008,case rate,999999999,,,,,,,,,,36166.95008,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
442-1 - KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY,442-1,APR-DRG,,,,inpatient,,,999999999,,8629.158075,8629.158075,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8629.158075,case rate,999999999,,,,,,,,,,8629.158075,case rate,999999999,,,,,,,,,,8629.158075,case rate,999999999,,,,,,,,,,8629.158075,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
442-2 - KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY,442-2,APR-DRG,,,,inpatient,,,999999999,,10020.67074,10020.67074,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10020.67074,case rate,999999999,,,,,,,,,,10020.67074,case rate,999999999,,,,,,,,,,10020.67074,case rate,999999999,,,,,,,,,,10020.67074,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
442-3 - KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY,442-3,APR-DRG,,,,inpatient,,,999999999,,14558.46435,14558.46435,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14558.46435,case rate,999999999,,,,,,,,,,14558.46435,case rate,999999999,,,,,,,,,,14558.46435,case rate,999999999,,,,,,,,,,14558.46435,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
442-4 - KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY,442-4,APR-DRG,,,,inpatient,,,999999999,,25505.64965,25505.64965,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,25505.64965,case rate,999999999,,,,,,,,,,25505.64965,case rate,999999999,,,,,,,,,,25505.64965,case rate,999999999,,,,,,,,,,25505.64965,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
443-1 - KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY,443-1,APR-DRG,,,,inpatient,,,999999999,,7263.564602,7263.564602,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7263.564602,case rate,999999999,,,,,,,,,,7263.564602,case rate,999999999,,,,,,,,,,7263.564602,case rate,999999999,,,,,,,,,,7263.564602,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
443-2 - KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY,443-2,APR-DRG,,,,inpatient,,,999999999,,8410.198895,8410.198895,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8410.198895,case rate,999999999,,,,,,,,,,8410.198895,case rate,999999999,,,,,,,,,,8410.198895,case rate,999999999,,,,,,,,,,8410.198895,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
443-3 - KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY,443-3,APR-DRG,,,,inpatient,,,999999999,,12367.71199,12367.71199,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12367.71199,case rate,999999999,,,,,,,,,,12367.71199,case rate,999999999,,,,,,,,,,12367.71199,case rate,999999999,,,,,,,,,,12367.71199,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
443-4 - KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY,443-4,APR-DRG,,,,inpatient,,,999999999,,20726.45935,20726.45935,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20726.45935,case rate,999999999,,,,,,,,,,20726.45935,case rate,999999999,,,,,,,,,,20726.45935,case rate,999999999,,,,,,,,,,20726.45935,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
444-1 - RENAL DIALYSIS ACCESS DEVICE PROCEDURES,444-1,APR-DRG,,,,inpatient,,,999999999,,5713.055072,5713.055072,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5713.055072,case rate,999999999,,,,,,,,,,5713.055072,case rate,999999999,,,,,,,,,,5713.055072,case rate,999999999,,,,,,,,,,5713.055072,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
444-2 - RENAL DIALYSIS ACCESS DEVICE PROCEDURES,444-2,APR-DRG,,,,inpatient,,,999999999,,8518.904777,8518.904777,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8518.904777,case rate,999999999,,,,,,,,,,8518.904777,case rate,999999999,,,,,,,,,,8518.904777,case rate,999999999,,,,,,,,,,8518.904777,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
444-3 - RENAL DIALYSIS ACCESS DEVICE PROCEDURES,444-3,APR-DRG,,,,inpatient,,,999999999,,12568.8759,12568.8759,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12568.8759,case rate,999999999,,,,,,,,,,12568.8759,case rate,999999999,,,,,,,,,,12568.8759,case rate,999999999,,,,,,,,,,12568.8759,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
444-4 - RENAL DIALYSIS ACCESS DEVICE PROCEDURES,444-4,APR-DRG,,,,inpatient,,,999999999,,21478.50289,21478.50289,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21478.50289,case rate,999999999,,,,,,,,,,21478.50289,case rate,999999999,,,,,,,,,,21478.50289,case rate,999999999,,,,,,,,,,21478.50289,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
445-1 - OTHER BLADDER PROCEDURES,445-1,APR-DRG,,,,inpatient,,,999999999,,5943.619863,5943.619863,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5943.619863,case rate,999999999,,,,,,,,,,5943.619863,case rate,999999999,,,,,,,,,,5943.619863,case rate,999999999,,,,,,,,,,5943.619863,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
445-2 - OTHER BLADDER PROCEDURES,445-2,APR-DRG,,,,inpatient,,,999999999,,7562.215639,7562.215639,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7562.215639,case rate,999999999,,,,,,,,,,7562.215639,case rate,999999999,,,,,,,,,,7562.215639,case rate,999999999,,,,,,,,,,7562.215639,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
445-3 - OTHER BLADDER PROCEDURES,445-3,APR-DRG,,,,inpatient,,,999999999,,10619.90709,10619.90709,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10619.90709,case rate,999999999,,,,,,,,,,10619.90709,case rate,999999999,,,,,,,,,,10619.90709,case rate,999999999,,,,,,,,,,10619.90709,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
445-4 - OTHER BLADDER PROCEDURES,445-4,APR-DRG,,,,inpatient,,,999999999,,19832.05365,19832.05365,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19832.05365,case rate,999999999,,,,,,,,,,19832.05365,case rate,999999999,,,,,,,,,,19832.05365,case rate,999999999,,,,,,,,,,19832.05365,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
446-1 - URETHRAL AND TRANSURETHRAL PROCEDURES,446-1,APR-DRG,,,,inpatient,,,999999999,,5144.38017,5144.38017,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5144.38017,case rate,999999999,,,,,,,,,,5144.38017,case rate,999999999,,,,,,,,,,5144.38017,case rate,999999999,,,,,,,,,,5144.38017,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
446-2 - URETHRAL AND TRANSURETHRAL PROCEDURES,446-2,APR-DRG,,,,inpatient,,,999999999,,6263.934706,6263.934706,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6263.934706,case rate,999999999,,,,,,,,,,6263.934706,case rate,999999999,,,,,,,,,,6263.934706,case rate,999999999,,,,,,,,,,6263.934706,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
446-3 - URETHRAL AND TRANSURETHRAL PROCEDURES,446-3,APR-DRG,,,,inpatient,,,999999999,,9846.973443,9846.973443,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9846.973443,case rate,999999999,,,,,,,,,,9846.973443,case rate,999999999,,,,,,,,,,9846.973443,case rate,999999999,,,,,,,,,,9846.973443,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
446-4 - URETHRAL AND TRANSURETHRAL PROCEDURES,446-4,APR-DRG,,,,inpatient,,,999999999,,16320.58284,16320.58284,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16320.58284,case rate,999999999,,,,,,,,,,16320.58284,case rate,999999999,,,,,,,,,,16320.58284,case rate,999999999,,,,,,,,,,16320.58284,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"447-1 - OTHER KIDNEY, URINARY TRACT AND RELATED PROCEDURES",447-1,APR-DRG,,,,inpatient,,,999999999,,7752.934501,7752.934501,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7752.934501,case rate,999999999,,,,,,,,,,7752.934501,case rate,999999999,,,,,,,,,,7752.934501,case rate,999999999,,,,,,,,,,7752.934501,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"447-2 - OTHER KIDNEY, URINARY TRACT AND RELATED PROCEDURES",447-2,APR-DRG,,,,inpatient,,,999999999,,9387.004424,9387.004424,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9387.004424,case rate,999999999,,,,,,,,,,9387.004424,case rate,999999999,,,,,,,,,,9387.004424,case rate,999999999,,,,,,,,,,9387.004424,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"447-3 - OTHER KIDNEY, URINARY TRACT AND RELATED PROCEDURES",447-3,APR-DRG,,,,inpatient,,,999999999,,13101.96026,13101.96026,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13101.96026,case rate,999999999,,,,,,,,,,13101.96026,case rate,999999999,,,,,,,,,,13101.96026,case rate,999999999,,,,,,,,,,13101.96026,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"447-4 - OTHER KIDNEY, URINARY TRACT AND RELATED PROCEDURES",447-4,APR-DRG,,,,inpatient,,,999999999,,26710.31199,26710.31199,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,26710.31199,case rate,999999999,,,,,,,,,,26710.31199,case rate,999999999,,,,,,,,,,26710.31199,case rate,999999999,,,,,,,,,,26710.31199,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
461-1 - KIDNEY AND URINARY TRACT MALIGNANCY,461-1,APR-DRG,,,,inpatient,,,999999999,,3828.303968,3828.303968,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3828.303968,case rate,999999999,,,,,,,,,,3828.303968,case rate,999999999,,,,,,,,,,3828.303968,case rate,999999999,,,,,,,,,,3828.303968,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
461-2 - KIDNEY AND URINARY TRACT MALIGNANCY,461-2,APR-DRG,,,,inpatient,,,999999999,,4617.485465,4617.485465,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4617.485465,case rate,999999999,,,,,,,,,,4617.485465,case rate,999999999,,,,,,,,,,4617.485465,case rate,999999999,,,,,,,,,,4617.485465,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
461-3 - KIDNEY AND URINARY TRACT MALIGNANCY,461-3,APR-DRG,,,,inpatient,,,999999999,,6682.897236,6682.897236,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6682.897236,case rate,999999999,,,,,,,,,,6682.897236,case rate,999999999,,,,,,,,,,6682.897236,case rate,999999999,,,,,,,,,,6682.897236,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
461-4 - KIDNEY AND URINARY TRACT MALIGNANCY,461-4,APR-DRG,,,,inpatient,,,999999999,,9674.049851,9674.049851,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9674.049851,case rate,999999999,,,,,,,,,,9674.049851,case rate,999999999,,,,,,,,,,9674.049851,case rate,999999999,,,,,,,,,,9674.049851,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
462-1 - NEPHRITIS AND NEPHROSIS,462-1,APR-DRG,,,,inpatient,,,999999999,,2618.225672,2618.225672,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2618.225672,case rate,999999999,,,,,,,,,,2618.225672,case rate,999999999,,,,,,,,,,2618.225672,case rate,999999999,,,,,,,,,,2618.225672,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
462-2 - NEPHRITIS AND NEPHROSIS,462-2,APR-DRG,,,,inpatient,,,999999999,,3823.27487,3823.27487,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3823.27487,case rate,999999999,,,,,,,,,,3823.27487,case rate,999999999,,,,,,,,,,3823.27487,case rate,999999999,,,,,,,,,,3823.27487,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
462-3 - NEPHRITIS AND NEPHROSIS,462-3,APR-DRG,,,,inpatient,,,999999999,,7095.670107,7095.670107,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7095.670107,case rate,999999999,,,,,,,,,,7095.670107,case rate,999999999,,,,,,,,,,7095.670107,case rate,999999999,,,,,,,,,,7095.670107,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
462-4 - NEPHRITIS AND NEPHROSIS,462-4,APR-DRG,,,,inpatient,,,999999999,,15926.37895,15926.37895,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15926.37895,case rate,999999999,,,,,,,,,,15926.37895,case rate,999999999,,,,,,,,,,15926.37895,case rate,999999999,,,,,,,,,,15926.37895,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
463-1 - KIDNEY AND URINARY TRACT INFECTIONS,463-1,APR-DRG,,,,inpatient,,,999999999,,2919.197832,2919.197832,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2919.197832,case rate,999999999,,,,,,,,,,2919.197832,case rate,999999999,,,,,,,,,,2919.197832,case rate,999999999,,,,,,,,,,2919.197832,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
463-2 - KIDNEY AND URINARY TRACT INFECTIONS,463-2,APR-DRG,,,,inpatient,,,999999999,,3668.920254,3668.920254,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3668.920254,case rate,999999999,,,,,,,,,,3668.920254,case rate,999999999,,,,,,,,,,3668.920254,case rate,999999999,,,,,,,,,,3668.920254,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
463-3 - KIDNEY AND URINARY TRACT INFECTIONS,463-3,APR-DRG,,,,inpatient,,,999999999,,4926.581551,4926.581551,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4926.581551,case rate,999999999,,,,,,,,,,4926.581551,case rate,999999999,,,,,,,,,,4926.581551,case rate,999999999,,,,,,,,,,4926.581551,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
463-4 - KIDNEY AND URINARY TRACT INFECTIONS,463-4,APR-DRG,,,,inpatient,,,999999999,,7664.731863,7664.731863,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7664.731863,case rate,999999999,,,,,,,,,,7664.731863,case rate,999999999,,,,,,,,,,7664.731863,case rate,999999999,,,,,,,,,,7664.731863,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
465-1 - URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION,465-1,APR-DRG,,,,inpatient,,,999999999,,3075.099863,3075.099863,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3075.099863,case rate,999999999,,,,,,,,,,3075.099863,case rate,999999999,,,,,,,,,,3075.099863,case rate,999999999,,,,,,,,,,3075.099863,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
465-2 - URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION,465-2,APR-DRG,,,,inpatient,,,999999999,,3778.01299,3778.01299,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3778.01299,case rate,999999999,,,,,,,,,,3778.01299,case rate,999999999,,,,,,,,,,3778.01299,case rate,999999999,,,,,,,,,,3778.01299,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
465-3 - URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION,465-3,APR-DRG,,,,inpatient,,,999999999,,6252.715949,6252.715949,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6252.715949,case rate,999999999,,,,,,,,,,6252.715949,case rate,999999999,,,,,,,,,,6252.715949,case rate,999999999,,,,,,,,,,6252.715949,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
465-4 - URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION,465-4,APR-DRG,,,,inpatient,,,999999999,,10861.30378,10861.30378,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10861.30378,case rate,999999999,,,,,,,,,,10861.30378,case rate,999999999,,,,,,,,,,10861.30378,case rate,999999999,,,,,,,,,,10861.30378,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"466-1 - MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE",466-1,APR-DRG,,,,inpatient,,,999999999,,2638.728917,2638.728917,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2638.728917,case rate,999999999,,,,,,,,,,2638.728917,case rate,999999999,,,,,,,,,,2638.728917,case rate,999999999,,,,,,,,,,2638.728917,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"466-2 - MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE",466-2,APR-DRG,,,,inpatient,,,999999999,,3779.560405,3779.560405,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3779.560405,case rate,999999999,,,,,,,,,,3779.560405,case rate,999999999,,,,,,,,,,3779.560405,case rate,999999999,,,,,,,,,,3779.560405,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"466-3 - MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE",466-3,APR-DRG,,,,inpatient,,,999999999,,5370.68957,5370.68957,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5370.68957,case rate,999999999,,,,,,,,,,5370.68957,case rate,999999999,,,,,,,,,,5370.68957,case rate,999999999,,,,,,,,,,5370.68957,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"466-4 - MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE",466-4,APR-DRG,,,,inpatient,,,999999999,,8993.187383,8993.187383,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8993.187383,case rate,999999999,,,,,,,,,,8993.187383,case rate,999999999,,,,,,,,,,8993.187383,case rate,999999999,,,,,,,,,,8993.187383,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"468-1 - OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS",468-1,APR-DRG,,,,inpatient,,,999999999,,2848.016755,2848.016755,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2848.016755,case rate,999999999,,,,,,,,,,2848.016755,case rate,999999999,,,,,,,,,,2848.016755,case rate,999999999,,,,,,,,,,2848.016755,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"468-2 - OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS",468-2,APR-DRG,,,,inpatient,,,999999999,,3916.893459,3916.893459,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3916.893459,case rate,999999999,,,,,,,,,,3916.893459,case rate,999999999,,,,,,,,,,3916.893459,case rate,999999999,,,,,,,,,,3916.893459,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"468-3 - OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS",468-3,APR-DRG,,,,inpatient,,,999999999,,5592.356726,5592.356726,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5592.356726,case rate,999999999,,,,,,,,,,5592.356726,case rate,999999999,,,,,,,,,,5592.356726,case rate,999999999,,,,,,,,,,5592.356726,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"468-4 - OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS",468-4,APR-DRG,,,,inpatient,,,999999999,,9802.485271,9802.485271,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9802.485271,case rate,999999999,,,,,,,,,,9802.485271,case rate,999999999,,,,,,,,,,9802.485271,case rate,999999999,,,,,,,,,,9802.485271,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
469-1 - ACUTE KIDNEY INJURY,469-1,APR-DRG,,,,inpatient,,,999999999,,2880.899318,2880.899318,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2880.899318,case rate,999999999,,,,,,,,,,2880.899318,case rate,999999999,,,,,,,,,,2880.899318,case rate,999999999,,,,,,,,,,2880.899318,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
469-2 - ACUTE KIDNEY INJURY,469-2,APR-DRG,,,,inpatient,,,999999999,,3736.232793,3736.232793,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3736.232793,case rate,999999999,,,,,,,,,,3736.232793,case rate,999999999,,,,,,,,,,3736.232793,case rate,999999999,,,,,,,,,,3736.232793,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
469-3 - ACUTE KIDNEY INJURY,469-3,APR-DRG,,,,inpatient,,,999999999,,5831.432297,5831.432297,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5831.432297,case rate,999999999,,,,,,,,,,5831.432297,case rate,999999999,,,,,,,,,,5831.432297,case rate,999999999,,,,,,,,,,5831.432297,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
469-4 - ACUTE KIDNEY INJURY,469-4,APR-DRG,,,,inpatient,,,999999999,,10910.04734,10910.04734,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10910.04734,case rate,999999999,,,,,,,,,,10910.04734,case rate,999999999,,,,,,,,,,10910.04734,case rate,999999999,,,,,,,,,,10910.04734,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
470-1 - CHRONIC KIDNEY DISEASE,470-1,APR-DRG,,,,inpatient,,,999999999,,2408.937834,2408.937834,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2408.937834,case rate,999999999,,,,,,,,,,2408.937834,case rate,999999999,,,,,,,,,,2408.937834,case rate,999999999,,,,,,,,,,2408.937834,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
470-2 - CHRONIC KIDNEY DISEASE,470-2,APR-DRG,,,,inpatient,,,999999999,,3280.519164,3280.519164,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3280.519164,case rate,999999999,,,,,,,,,,3280.519164,case rate,999999999,,,,,,,,,,3280.519164,case rate,999999999,,,,,,,,,,3280.519164,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
470-3 - CHRONIC KIDNEY DISEASE,470-3,APR-DRG,,,,inpatient,,,999999999,,5420.980548,5420.980548,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5420.980548,case rate,999999999,,,,,,,,,,5420.980548,case rate,999999999,,,,,,,,,,5420.980548,case rate,999999999,,,,,,,,,,5420.980548,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
470-4 - CHRONIC KIDNEY DISEASE,470-4,APR-DRG,,,,inpatient,,,999999999,,9494.936599,9494.936599,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9494.936599,case rate,999999999,,,,,,,,,,9494.936599,case rate,999999999,,,,,,,,,,9494.936599,case rate,999999999,,,,,,,,,,9494.936599,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
480-1 - MAJOR MALE PELVIC PROCEDURES,480-1,APR-DRG,,,,inpatient,,,999999999,,8113.095272,8113.095272,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8113.095272,case rate,999999999,,,,,,,,,,8113.095272,case rate,999999999,,,,,,,,,,8113.095272,case rate,999999999,,,,,,,,,,8113.095272,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
480-2 - MAJOR MALE PELVIC PROCEDURES,480-2,APR-DRG,,,,inpatient,,,999999999,,9324.720982,9324.720982,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9324.720982,case rate,999999999,,,,,,,,,,9324.720982,case rate,999999999,,,,,,,,,,9324.720982,case rate,999999999,,,,,,,,,,9324.720982,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
480-3 - MAJOR MALE PELVIC PROCEDURES,480-3,APR-DRG,,,,inpatient,,,999999999,,13905.8422,13905.8422,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13905.8422,case rate,999999999,,,,,,,,,,13905.8422,case rate,999999999,,,,,,,,,,13905.8422,case rate,999999999,,,,,,,,,,13905.8422,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
480-4 - MAJOR MALE PELVIC PROCEDURES,480-4,APR-DRG,,,,inpatient,,,999999999,,22839.06726,22839.06726,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,22839.06726,case rate,999999999,,,,,,,,,,22839.06726,case rate,999999999,,,,,,,,,,22839.06726,case rate,999999999,,,,,,,,,,22839.06726,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
482-1 - TRANSURETHRAL PROSTATECTOMY,482-1,APR-DRG,,,,inpatient,,,999999999,,4466.612532,4466.612532,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4466.612532,case rate,999999999,,,,,,,,,,4466.612532,case rate,999999999,,,,,,,,,,4466.612532,case rate,999999999,,,,,,,,,,4466.612532,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
482-2 - TRANSURETHRAL PROSTATECTOMY,482-2,APR-DRG,,,,inpatient,,,999999999,,5462.373891,5462.373891,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5462.373891,case rate,999999999,,,,,,,,,,5462.373891,case rate,999999999,,,,,,,,,,5462.373891,case rate,999999999,,,,,,,,,,5462.373891,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
482-3 - TRANSURETHRAL PROSTATECTOMY,482-3,APR-DRG,,,,inpatient,,,999999999,,9934.789228,9934.789228,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9934.789228,case rate,999999999,,,,,,,,,,9934.789228,case rate,999999999,,,,,,,,,,9934.789228,case rate,999999999,,,,,,,,,,9934.789228,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
482-4 - TRANSURETHRAL PROSTATECTOMY,482-4,APR-DRG,,,,inpatient,,,999999999,,16532.1918,16532.1918,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16532.1918,case rate,999999999,,,,,,,,,,16532.1918,case rate,999999999,,,,,,,,,,16532.1918,case rate,999999999,,,,,,,,,,16532.1918,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"483-1 - PENIS, TESTES AND SCROTAL PROCEDURES",483-1,APR-DRG,,,,inpatient,,,999999999,,5752.514147,5752.514147,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5752.514147,case rate,999999999,,,,,,,,,,5752.514147,case rate,999999999,,,,,,,,,,5752.514147,case rate,999999999,,,,,,,,,,5752.514147,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"483-2 - PENIS, TESTES AND SCROTAL PROCEDURES",483-2,APR-DRG,,,,inpatient,,,999999999,,7683.687693,7683.687693,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7683.687693,case rate,999999999,,,,,,,,,,7683.687693,case rate,999999999,,,,,,,,,,7683.687693,case rate,999999999,,,,,,,,,,7683.687693,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"483-3 - PENIS, TESTES AND SCROTAL PROCEDURES",483-3,APR-DRG,,,,inpatient,,,999999999,,11548.35591,11548.35591,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11548.35591,case rate,999999999,,,,,,,,,,11548.35591,case rate,999999999,,,,,,,,,,11548.35591,case rate,999999999,,,,,,,,,,11548.35591,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"483-4 - PENIS, TESTES AND SCROTAL PROCEDURES",483-4,APR-DRG,,,,inpatient,,,999999999,,20840.96803,20840.96803,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20840.96803,case rate,999999999,,,,,,,,,,20840.96803,case rate,999999999,,,,,,,,,,20840.96803,case rate,999999999,,,,,,,,,,20840.96803,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
484-1 - OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES,484-1,APR-DRG,,,,inpatient,,,999999999,,6856.981389,6856.981389,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6856.981389,case rate,999999999,,,,,,,,,,6856.981389,case rate,999999999,,,,,,,,,,6856.981389,case rate,999999999,,,,,,,,,,6856.981389,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
484-2 - OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES,484-2,APR-DRG,,,,inpatient,,,999999999,,8763.3963,8763.3963,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8763.3963,case rate,999999999,,,,,,,,,,8763.3963,case rate,999999999,,,,,,,,,,8763.3963,case rate,999999999,,,,,,,,,,8763.3963,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
484-3 - OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES,484-3,APR-DRG,,,,inpatient,,,999999999,,10509.26694,10509.26694,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10509.26694,case rate,999999999,,,,,,,,,,10509.26694,case rate,999999999,,,,,,,,,,10509.26694,case rate,999999999,,,,,,,,,,10509.26694,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
484-4 - OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES,484-4,APR-DRG,,,,inpatient,,,999999999,,23164.79806,23164.79806,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23164.79806,case rate,999999999,,,,,,,,,,23164.79806,case rate,999999999,,,,,,,,,,23164.79806,case rate,999999999,,,,,,,,,,23164.79806,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"500-1 - MALIGNANCY, MALE REPRODUCTIVE SYSTEM",500-1,APR-DRG,,,,inpatient,,,999999999,,3074.326155,3074.326155,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3074.326155,case rate,999999999,,,,,,,,,,3074.326155,case rate,999999999,,,,,,,,,,3074.326155,case rate,999999999,,,,,,,,,,3074.326155,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"500-2 - MALIGNANCY, MALE REPRODUCTIVE SYSTEM",500-2,APR-DRG,,,,inpatient,,,999999999,,4213.223374,4213.223374,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4213.223374,case rate,999999999,,,,,,,,,,4213.223374,case rate,999999999,,,,,,,,,,4213.223374,case rate,999999999,,,,,,,,,,4213.223374,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"500-3 - MALIGNANCY, MALE REPRODUCTIVE SYSTEM",500-3,APR-DRG,,,,inpatient,,,999999999,,6493.338935,6493.338935,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6493.338935,case rate,999999999,,,,,,,,,,6493.338935,case rate,999999999,,,,,,,,,,6493.338935,case rate,999999999,,,,,,,,,,6493.338935,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"500-4 - MALIGNANCY, MALE REPRODUCTIVE SYSTEM",500-4,APR-DRG,,,,inpatient,,,999999999,,11541.39254,11541.39254,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11541.39254,case rate,999999999,,,,,,,,,,11541.39254,case rate,999999999,,,,,,,,,,11541.39254,case rate,999999999,,,,,,,,,,11541.39254,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
501-1 - MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY,501-1,APR-DRG,,,,inpatient,,,999999999,,2796.95207,2796.95207,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2796.95207,case rate,999999999,,,,,,,,,,2796.95207,case rate,999999999,,,,,,,,,,2796.95207,case rate,999999999,,,,,,,,,,2796.95207,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
501-2 - MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY,501-2,APR-DRG,,,,inpatient,,,999999999,,3753.254355,3753.254355,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3753.254355,case rate,999999999,,,,,,,,,,3753.254355,case rate,999999999,,,,,,,,,,3753.254355,case rate,999999999,,,,,,,,,,3753.254355,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
501-3 - MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY,501-3,APR-DRG,,,,inpatient,,,999999999,,5510.7306,5510.7306,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5510.7306,case rate,999999999,,,,,,,,,,5510.7306,case rate,999999999,,,,,,,,,,5510.7306,case rate,999999999,,,,,,,,,,5510.7306,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
501-4 - MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY,501-4,APR-DRG,,,,inpatient,,,999999999,,11248.54431,11248.54431,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11248.54431,case rate,999999999,,,,,,,,,,11248.54431,case rate,999999999,,,,,,,,,,11248.54431,case rate,999999999,,,,,,,,,,11248.54431,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"510-1 - PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND OTHER RADICAL GYNECOLOGICAL PROCEDURES",510-1,APR-DRG,,,,inpatient,,,999999999,,8366.484429,8366.484429,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8366.484429,case rate,999999999,,,,,,,,,,8366.484429,case rate,999999999,,,,,,,,,,8366.484429,case rate,999999999,,,,,,,,,,8366.484429,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"510-2 - PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND OTHER RADICAL GYNECOLOGICAL PROCEDURES",510-2,APR-DRG,,,,inpatient,,,999999999,,9790.492807,9790.492807,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9790.492807,case rate,999999999,,,,,,,,,,9790.492807,case rate,999999999,,,,,,,,,,9790.492807,case rate,999999999,,,,,,,,,,9790.492807,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"510-3 - PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND OTHER RADICAL GYNECOLOGICAL PROCEDURES",510-3,APR-DRG,,,,inpatient,,,999999999,,14921.71995,14921.71995,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14921.71995,case rate,999999999,,,,,,,,,,14921.71995,case rate,999999999,,,,,,,,,,14921.71995,case rate,999999999,,,,,,,,,,14921.71995,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"510-4 - PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND OTHER RADICAL GYNECOLOGICAL PROCEDURES",510-4,APR-DRG,,,,inpatient,,,999999999,,30698.38653,30698.38653,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,30698.38653,case rate,999999999,,,,,,,,,,30698.38653,case rate,999999999,,,,,,,,,,30698.38653,case rate,999999999,,,,,,,,,,30698.38653,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
511-1 - UTERINE AND ADNEXA PROCEDURES FOR OVARIAN AND ADNEXAL MALIGNANCY,511-1,APR-DRG,,,,inpatient,,,999999999,,8412.90687,8412.90687,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8412.90687,case rate,999999999,,,,,,,,,,8412.90687,case rate,999999999,,,,,,,,,,8412.90687,case rate,999999999,,,,,,,,,,8412.90687,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
511-2 - UTERINE AND ADNEXA PROCEDURES FOR OVARIAN AND ADNEXAL MALIGNANCY,511-2,APR-DRG,,,,inpatient,,,999999999,,10216.80556,10216.80556,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10216.80556,case rate,999999999,,,,,,,,,,10216.80556,case rate,999999999,,,,,,,,,,10216.80556,case rate,999999999,,,,,,,,,,10216.80556,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
511-3 - UTERINE AND ADNEXA PROCEDURES FOR OVARIAN AND ADNEXAL MALIGNANCY,511-3,APR-DRG,,,,inpatient,,,999999999,,15046.67369,15046.67369,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15046.67369,case rate,999999999,,,,,,,,,,15046.67369,case rate,999999999,,,,,,,,,,15046.67369,case rate,999999999,,,,,,,,,,15046.67369,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
511-4 - UTERINE AND ADNEXA PROCEDURES FOR OVARIAN AND ADNEXAL MALIGNANCY,511-4,APR-DRG,,,,inpatient,,,999999999,,27712.26301,27712.26301,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,27712.26301,case rate,999999999,,,,,,,,,,27712.26301,case rate,999999999,,,,,,,,,,27712.26301,case rate,999999999,,,,,,,,,,27712.26301,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
512-1 - UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY,512-1,APR-DRG,,,,inpatient,,,999999999,,7714.249133,7714.249133,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7714.249133,case rate,999999999,,,,,,,,,,7714.249133,case rate,999999999,,,,,,,,,,7714.249133,case rate,999999999,,,,,,,,,,7714.249133,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
512-2 - UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY,512-2,APR-DRG,,,,inpatient,,,999999999,,9126.651901,9126.651901,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9126.651901,case rate,999999999,,,,,,,,,,9126.651901,case rate,999999999,,,,,,,,,,9126.651901,case rate,999999999,,,,,,,,,,9126.651901,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
512-3 - UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY,512-3,APR-DRG,,,,inpatient,,,999999999,,14363.10325,14363.10325,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14363.10325,case rate,999999999,,,,,,,,,,14363.10325,case rate,999999999,,,,,,,,,,14363.10325,case rate,999999999,,,,,,,,,,14363.10325,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
512-4 - UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY,512-4,APR-DRG,,,,inpatient,,,999999999,,24607.76227,24607.76227,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,24607.76227,case rate,999999999,,,,,,,,,,24607.76227,case rate,999999999,,,,,,,,,,24607.76227,case rate,999999999,,,,,,,,,,24607.76227,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
513-1 - UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA,513-1,APR-DRG,,,,inpatient,,,999999999,,5960.641424,5960.641424,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5960.641424,case rate,999999999,,,,,,,,,,5960.641424,case rate,999999999,,,,,,,,,,5960.641424,case rate,999999999,,,,,,,,,,5960.641424,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
513-2 - UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA,513-2,APR-DRG,,,,inpatient,,,999999999,,7175.361964,7175.361964,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7175.361964,case rate,999999999,,,,,,,,,,7175.361964,case rate,999999999,,,,,,,,,,7175.361964,case rate,999999999,,,,,,,,,,7175.361964,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
513-3 - UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA,513-3,APR-DRG,,,,inpatient,,,999999999,,11399.41724,11399.41724,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11399.41724,case rate,999999999,,,,,,,,,,11399.41724,case rate,999999999,,,,,,,,,,11399.41724,case rate,999999999,,,,,,,,,,11399.41724,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
513-4 - UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA,513-4,APR-DRG,,,,inpatient,,,999999999,,18500.11645,18500.11645,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18500.11645,case rate,999999999,,,,,,,,,,18500.11645,case rate,999999999,,,,,,,,,,18500.11645,case rate,999999999,,,,,,,,,,18500.11645,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
514-1 - FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES,514-1,APR-DRG,,,,inpatient,,,999999999,,4936.252893,4936.252893,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4936.252893,case rate,999999999,,,,,,,,,,4936.252893,case rate,999999999,,,,,,,,,,4936.252893,case rate,999999999,,,,,,,,,,4936.252893,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
514-2 - FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES,514-2,APR-DRG,,,,inpatient,,,999999999,,7322.36636,7322.36636,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7322.36636,case rate,999999999,,,,,,,,,,7322.36636,case rate,999999999,,,,,,,,,,7322.36636,case rate,999999999,,,,,,,,,,7322.36636,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
514-3 - FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES,514-3,APR-DRG,,,,inpatient,,,999999999,,14133.69902,14133.69902,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14133.69902,case rate,999999999,,,,,,,,,,14133.69902,case rate,999999999,,,,,,,,,,14133.69902,case rate,999999999,,,,,,,,,,14133.69902,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
514-4 - FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES,514-4,APR-DRG,,,,inpatient,,,999999999,,23622.44596,23622.44596,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23622.44596,case rate,999999999,,,,,,,,,,23622.44596,case rate,999999999,,,,,,,,,,23622.44596,case rate,999999999,,,,,,,,,,23622.44596,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
517-1 - DILATION AND CURETTAGE FOR NON-OBSTETRIC DIAGNOSES,517-1,APR-DRG,,,,inpatient,,,999999999,,4168.735202,4168.735202,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4168.735202,case rate,999999999,,,,,,,,,,4168.735202,case rate,999999999,,,,,,,,,,4168.735202,case rate,999999999,,,,,,,,,,4168.735202,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
517-2 - DILATION AND CURETTAGE FOR NON-OBSTETRIC DIAGNOSES,517-2,APR-DRG,,,,inpatient,,,999999999,,5291.77142,5291.77142,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5291.77142,case rate,999999999,,,,,,,,,,5291.77142,case rate,999999999,,,,,,,,,,5291.77142,case rate,999999999,,,,,,,,,,5291.77142,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
517-3 - DILATION AND CURETTAGE FOR NON-OBSTETRIC DIAGNOSES,517-3,APR-DRG,,,,inpatient,,,999999999,,8881.773524,8881.773524,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8881.773524,case rate,999999999,,,,,,,,,,8881.773524,case rate,999999999,,,,,,,,,,8881.773524,case rate,999999999,,,,,,,,,,8881.773524,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
517-4 - DILATION AND CURETTAGE FOR NON-OBSTETRIC DIAGNOSES,517-4,APR-DRG,,,,inpatient,,,999999999,,15623.08566,15623.08566,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15623.08566,case rate,999999999,,,,,,,,,,15623.08566,case rate,999999999,,,,,,,,,,15623.08566,case rate,999999999,,,,,,,,,,15623.08566,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
518-1 - OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES,518-1,APR-DRG,,,,inpatient,,,999999999,,5062.754045,5062.754045,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5062.754045,case rate,999999999,,,,,,,,,,5062.754045,case rate,999999999,,,,,,,,,,5062.754045,case rate,999999999,,,,,,,,,,5062.754045,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
518-2 - OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES,518-2,APR-DRG,,,,inpatient,,,999999999,,7348.285557,7348.285557,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7348.285557,case rate,999999999,,,,,,,,,,7348.285557,case rate,999999999,,,,,,,,,,7348.285557,case rate,999999999,,,,,,,,,,7348.285557,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
518-3 - OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES,518-3,APR-DRG,,,,inpatient,,,999999999,,12358.4275,12358.4275,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12358.4275,case rate,999999999,,,,,,,,,,12358.4275,case rate,999999999,,,,,,,,,,12358.4275,case rate,999999999,,,,,,,,,,12358.4275,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
518-4 - OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES,518-4,APR-DRG,,,,inpatient,,,999999999,,22665.36996,22665.36996,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,22665.36996,case rate,999999999,,,,,,,,,,22665.36996,case rate,999999999,,,,,,,,,,22665.36996,case rate,999999999,,,,,,,,,,22665.36996,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
519-1 - UTERINE AND ADNEXA PROCEDURES FOR LEIOMYOMA,519-1,APR-DRG,,,,inpatient,,,999999999,,5636.844898,5636.844898,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5636.844898,case rate,999999999,,,,,,,,,,5636.844898,case rate,999999999,,,,,,,,,,5636.844898,case rate,999999999,,,,,,,,,,5636.844898,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
519-2 - UTERINE AND ADNEXA PROCEDURES FOR LEIOMYOMA,519-2,APR-DRG,,,,inpatient,,,999999999,,7162.982646,7162.982646,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7162.982646,case rate,999999999,,,,,,,,,,7162.982646,case rate,999999999,,,,,,,,,,7162.982646,case rate,999999999,,,,,,,,,,7162.982646,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
519-3 - UTERINE AND ADNEXA PROCEDURES FOR LEIOMYOMA,519-3,APR-DRG,,,,inpatient,,,999999999,,11578.91735,11578.91735,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11578.91735,case rate,999999999,,,,,,,,,,11578.91735,case rate,999999999,,,,,,,,,,11578.91735,case rate,999999999,,,,,,,,,,11578.91735,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
519-4 - UTERINE AND ADNEXA PROCEDURES FOR LEIOMYOMA,519-4,APR-DRG,,,,inpatient,,,999999999,,22148.53345,22148.53345,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,22148.53345,case rate,999999999,,,,,,,,,,22148.53345,case rate,999999999,,,,,,,,,,22148.53345,case rate,999999999,,,,,,,,,,22148.53345,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
530-1 - FEMALE REPRODUCTIVE SYSTEM MALIGNANCY,530-1,APR-DRG,,,,inpatient,,,999999999,,3318.817678,3318.817678,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3318.817678,case rate,999999999,,,,,,,,,,3318.817678,case rate,999999999,,,,,,,,,,3318.817678,case rate,999999999,,,,,,,,,,3318.817678,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
530-2 - FEMALE REPRODUCTIVE SYSTEM MALIGNANCY,530-2,APR-DRG,,,,inpatient,,,999999999,,4468.5468,4468.5468,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4468.5468,case rate,999999999,,,,,,,,,,4468.5468,case rate,999999999,,,,,,,,,,4468.5468,case rate,999999999,,,,,,,,,,4468.5468,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
530-3 - FEMALE REPRODUCTIVE SYSTEM MALIGNANCY,530-3,APR-DRG,,,,inpatient,,,999999999,,6496.820618,6496.820618,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6496.820618,case rate,999999999,,,,,,,,,,6496.820618,case rate,999999999,,,,,,,,,,6496.820618,case rate,999999999,,,,,,,,,,6496.820618,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
530-4 - FEMALE REPRODUCTIVE SYSTEM MALIGNANCY,530-4,APR-DRG,,,,inpatient,,,999999999,,10433.44361,10433.44361,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10433.44361,case rate,999999999,,,,,,,,,,10433.44361,case rate,999999999,,,,,,,,,,10433.44361,case rate,999999999,,,,,,,,,,10433.44361,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
531-1 - FEMALE REPRODUCTIVE SYSTEM INFECTIONS,531-1,APR-DRG,,,,inpatient,,,999999999,,3032.545958,3032.545958,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3032.545958,case rate,999999999,,,,,,,,,,3032.545958,case rate,999999999,,,,,,,,,,3032.545958,case rate,999999999,,,,,,,,,,3032.545958,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
531-2 - FEMALE REPRODUCTIVE SYSTEM INFECTIONS,531-2,APR-DRG,,,,inpatient,,,999999999,,3959.06051,3959.06051,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3959.06051,case rate,999999999,,,,,,,,,,3959.06051,case rate,999999999,,,,,,,,,,3959.06051,case rate,999999999,,,,,,,,,,3959.06051,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
531-3 - FEMALE REPRODUCTIVE SYSTEM INFECTIONS,531-3,APR-DRG,,,,inpatient,,,999999999,,6112.674919,6112.674919,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6112.674919,case rate,999999999,,,,,,,,,,6112.674919,case rate,999999999,,,,,,,,,,6112.674919,case rate,999999999,,,,,,,,,,6112.674919,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
531-4 - FEMALE REPRODUCTIVE SYSTEM INFECTIONS,531-4,APR-DRG,,,,inpatient,,,999999999,,10004.03604,10004.03604,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10004.03604,case rate,999999999,,,,,,,,,,10004.03604,case rate,999999999,,,,,,,,,,10004.03604,case rate,999999999,,,,,,,,,,10004.03604,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
532-1 - MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS,532-1,APR-DRG,,,,inpatient,,,999999999,,2528.47562,2528.47562,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2528.47562,case rate,999999999,,,,,,,,,,2528.47562,case rate,999999999,,,,,,,,,,2528.47562,case rate,999999999,,,,,,,,,,2528.47562,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
532-2 - MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS,532-2,APR-DRG,,,,inpatient,,,999999999,,3169.879013,3169.879013,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3169.879013,case rate,999999999,,,,,,,,,,3169.879013,case rate,999999999,,,,,,,,,,3169.879013,case rate,999999999,,,,,,,,,,3169.879013,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
532-3 - MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS,532-3,APR-DRG,,,,inpatient,,,999999999,,4985.38331,4985.38331,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4985.38331,case rate,999999999,,,,,,,,,,4985.38331,case rate,999999999,,,,,,,,,,4985.38331,case rate,999999999,,,,,,,,,,4985.38331,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
532-4 - MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS,532-4,APR-DRG,,,,inpatient,,,999999999,,8245.399229,8245.399229,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8245.399229,case rate,999999999,,,,,,,,,,8245.399229,case rate,999999999,,,,,,,,,,8245.399229,case rate,999999999,,,,,,,,,,8245.399229,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
539-1 - CESAREAN SECTION WITH STERILIZATION,539-1,APR-DRG,,,,inpatient,,,999999999,,3766.794233,3766.794233,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3766.794233,case rate,999999999,,,,,,,,,,3766.794233,case rate,999999999,,,,,,,,,,3766.794233,case rate,999999999,,,,,,,,,,3766.794233,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
539-2 - CESAREAN SECTION WITH STERILIZATION,539-2,APR-DRG,,,,inpatient,,,999999999,,4350.943283,4350.943283,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4350.943283,case rate,999999999,,,,,,,,,,4350.943283,case rate,999999999,,,,,,,,,,4350.943283,case rate,999999999,,,,,,,,,,4350.943283,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
539-3 - CESAREAN SECTION WITH STERILIZATION,539-3,APR-DRG,,,,inpatient,,,999999999,,6149.039164,6149.039164,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6149.039164,case rate,999999999,,,,,,,,,,6149.039164,case rate,999999999,,,,,,,,,,6149.039164,case rate,999999999,,,,,,,,,,6149.039164,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
539-4 - CESAREAN SECTION WITH STERILIZATION,539-4,APR-DRG,,,,inpatient,,,999999999,,12724.77793,12724.77793,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12724.77793,case rate,999999999,,,,,,,,,,12724.77793,case rate,999999999,,,,,,,,,,12724.77793,case rate,999999999,,,,,,,,,,12724.77793,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
540-1 - CESAREAN SECTION WITHOUT STERILIZATION,540-1,APR-DRG,,,,inpatient,,,999999999,,3696.000011,3696.000011,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3696.000011,case rate,999999999,,,,,,,,,,3696.000011,case rate,999999999,,,,,,,,,,3696.000011,case rate,999999999,,,,,,,,,,3696.000011,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
540-2 - CESAREAN SECTION WITHOUT STERILIZATION,540-2,APR-DRG,,,,inpatient,,,999999999,,4502.20307,4502.20307,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4502.20307,case rate,999999999,,,,,,,,,,4502.20307,case rate,999999999,,,,,,,,,,4502.20307,case rate,999999999,,,,,,,,,,4502.20307,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
540-3 - CESAREAN SECTION WITHOUT STERILIZATION,540-3,APR-DRG,,,,inpatient,,,999999999,,5691.004413,5691.004413,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5691.004413,case rate,999999999,,,,,,,,,,5691.004413,case rate,999999999,,,,,,,,,,5691.004413,case rate,999999999,,,,,,,,,,5691.004413,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
540-4 - CESAREAN SECTION WITHOUT STERILIZATION,540-4,APR-DRG,,,,inpatient,,,999999999,,9563.022846,9563.022846,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9563.022846,case rate,999999999,,,,,,,,,,9563.022846,case rate,999999999,,,,,,,,,,9563.022846,case rate,999999999,,,,,,,,,,9563.022846,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
541-1 - VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C,541-1,APR-DRG,,,,inpatient,,,999999999,,3837.201602,3837.201602,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3837.201602,case rate,999999999,,,,,,,,,,3837.201602,case rate,999999999,,,,,,,,,,3837.201602,case rate,999999999,,,,,,,,,,3837.201602,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
541-2 - VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C,541-2,APR-DRG,,,,inpatient,,,999999999,,3998.906438,3998.906438,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3998.906438,case rate,999999999,,,,,,,,,,3998.906438,case rate,999999999,,,,,,,,,,3998.906438,case rate,999999999,,,,,,,,,,3998.906438,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
541-3 - VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C,541-3,APR-DRG,,,,inpatient,,,999999999,,4922.713014,4922.713014,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4922.713014,case rate,999999999,,,,,,,,,,4922.713014,case rate,999999999,,,,,,,,,,4922.713014,case rate,999999999,,,,,,,,,,4922.713014,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
541-4 - VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C,541-4,APR-DRG,,,,inpatient,,,999999999,,6619.840087,6619.840087,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6619.840087,case rate,999999999,,,,,,,,,,6619.840087,case rate,999999999,,,,,,,,,,6619.840087,case rate,999999999,,,,,,,,,,6619.840087,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
542-1 - VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C,542-1,APR-DRG,,,,inpatient,,,999999999,,2517.643717,2517.643717,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2517.643717,case rate,999999999,,,,,,,,,,2517.643717,case rate,999999999,,,,,,,,,,2517.643717,case rate,999999999,,,,,,,,,,2517.643717,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
542-2 - VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C,542-2,APR-DRG,,,,inpatient,,,999999999,,2864.651463,2864.651463,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2864.651463,case rate,999999999,,,,,,,,,,2864.651463,case rate,999999999,,,,,,,,,,2864.651463,case rate,999999999,,,,,,,,,,2864.651463,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
542-3 - VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C,542-3,APR-DRG,,,,inpatient,,,999999999,,4224.828985,4224.828985,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4224.828985,case rate,999999999,,,,,,,,,,4224.828985,case rate,999999999,,,,,,,,,,4224.828985,case rate,999999999,,,,,,,,,,4224.828985,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
542-4 - VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C,542-4,APR-DRG,,,,inpatient,,,999999999,,9701.903315,9701.903315,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9701.903315,case rate,999999999,,,,,,,,,,9701.903315,case rate,999999999,,,,,,,,,,9701.903315,case rate,999999999,,,,,,,,,,9701.903315,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"543-1 - ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY",543-1,APR-DRG,,,,inpatient,,,999999999,,2940.861637,2940.861637,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2940.861637,case rate,999999999,,,,,,,,,,2940.861637,case rate,999999999,,,,,,,,,,2940.861637,case rate,999999999,,,,,,,,,,2940.861637,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"543-2 - ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY",543-2,APR-DRG,,,,inpatient,,,999999999,,3892.908532,3892.908532,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3892.908532,case rate,999999999,,,,,,,,,,3892.908532,case rate,999999999,,,,,,,,,,3892.908532,case rate,999999999,,,,,,,,,,3892.908532,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"543-3 - ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY",543-3,APR-DRG,,,,inpatient,,,999999999,,5263.144248,5263.144248,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5263.144248,case rate,999999999,,,,,,,,,,5263.144248,case rate,999999999,,,,,,,,,,5263.144248,case rate,999999999,,,,,,,,,,5263.144248,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"543-4 - ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY",543-4,APR-DRG,,,,inpatient,,,999999999,,14286.11936,14286.11936,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14286.11936,case rate,999999999,,,,,,,,,,14286.11936,case rate,999999999,,,,,,,,,,14286.11936,case rate,999999999,,,,,,,,,,14286.11936,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
547-1 - ANTEPARTUM WITH O.R. PROCEDURE,547-1,APR-DRG,,,,inpatient,,,999999999,,3783.815795,3783.815795,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3783.815795,case rate,999999999,,,,,,,,,,3783.815795,case rate,999999999,,,,,,,,,,3783.815795,case rate,999999999,,,,,,,,,,3783.815795,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
547-2 - ANTEPARTUM WITH O.R. PROCEDURE,547-2,APR-DRG,,,,inpatient,,,999999999,,5290.610859,5290.610859,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5290.610859,case rate,999999999,,,,,,,,,,5290.610859,case rate,999999999,,,,,,,,,,5290.610859,case rate,999999999,,,,,,,,,,5290.610859,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
547-3 - ANTEPARTUM WITH O.R. PROCEDURE,547-3,APR-DRG,,,,inpatient,,,999999999,,7861.25353,7861.25353,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7861.25353,case rate,999999999,,,,,,,,,,7861.25353,case rate,999999999,,,,,,,,,,7861.25353,case rate,999999999,,,,,,,,,,7861.25353,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
547-4 - ANTEPARTUM WITH O.R. PROCEDURE,547-4,APR-DRG,,,,inpatient,,,999999999,,14042.40155,14042.40155,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14042.40155,case rate,999999999,,,,,,,,,,14042.40155,case rate,999999999,,,,,,,,,,14042.40155,case rate,999999999,,,,,,,,,,14042.40155,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
548-1 - POSTPARTUM AND POST ABORTION DIAGNOSIS WITH O.R. PROCEDURE,548-1,APR-DRG,,,,inpatient,,,999999999,,2553.234255,2553.234255,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2553.234255,case rate,999999999,,,,,,,,,,2553.234255,case rate,999999999,,,,,,,,,,2553.234255,case rate,999999999,,,,,,,,,,2553.234255,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
548-2 - POSTPARTUM AND POST ABORTION DIAGNOSIS WITH O.R. PROCEDURE,548-2,APR-DRG,,,,inpatient,,,999999999,,5295.253103,5295.253103,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5295.253103,case rate,999999999,,,,,,,,,,5295.253103,case rate,999999999,,,,,,,,,,5295.253103,case rate,999999999,,,,,,,,,,5295.253103,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
548-3 - POSTPARTUM AND POST ABORTION DIAGNOSIS WITH O.R. PROCEDURE,548-3,APR-DRG,,,,inpatient,,,999999999,,8845.409279,8845.409279,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8845.409279,case rate,999999999,,,,,,,,,,8845.409279,case rate,999999999,,,,,,,,,,8845.409279,case rate,999999999,,,,,,,,,,8845.409279,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
548-4 - POSTPARTUM AND POST ABORTION DIAGNOSIS WITH O.R. PROCEDURE,548-4,APR-DRG,,,,inpatient,,,999999999,,20197.24352,20197.24352,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20197.24352,case rate,999999999,,,,,,,,,,20197.24352,case rate,999999999,,,,,,,,,,20197.24352,case rate,999999999,,,,,,,,,,20197.24352,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
560-1 - VAGINAL DELIVERY,560-1,APR-DRG,,,,inpatient,,,999999999,,2183.788995,2183.788995,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2183.788995,case rate,999999999,,,,,,,,,,2183.788995,case rate,999999999,,,,,,,,,,2183.788995,case rate,999999999,,,,,,,,,,2183.788995,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
560-2 - VAGINAL DELIVERY,560-2,APR-DRG,,,,inpatient,,,999999999,,2493.658789,2493.658789,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2493.658789,case rate,999999999,,,,,,,,,,2493.658789,case rate,999999999,,,,,,,,,,2493.658789,case rate,999999999,,,,,,,,,,2493.658789,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
560-3 - VAGINAL DELIVERY,560-3,APR-DRG,,,,inpatient,,,999999999,,3247.636602,3247.636602,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3247.636602,case rate,999999999,,,,,,,,,,3247.636602,case rate,999999999,,,,,,,,,,3247.636602,case rate,999999999,,,,,,,,,,3247.636602,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
560-4 - VAGINAL DELIVERY,560-4,APR-DRG,,,,inpatient,,,999999999,,4572.997292,4572.997292,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4572.997292,case rate,999999999,,,,,,,,,,4572.997292,case rate,999999999,,,,,,,,,,4572.997292,case rate,999999999,,,,,,,,,,4572.997292,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
561-1 - POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT PROCEDURE,561-1,APR-DRG,,,,inpatient,,,999999999,,1533.487968,1533.487968,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1533.487968,case rate,999999999,,,,,,,,,,1533.487968,case rate,999999999,,,,,,,,,,1533.487968,case rate,999999999,,,,,,,,,,1533.487968,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
561-2 - POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT PROCEDURE,561-2,APR-DRG,,,,inpatient,,,999999999,,2328.859124,2328.859124,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2328.859124,case rate,999999999,,,,,,,,,,2328.859124,case rate,999999999,,,,,,,,,,2328.859124,case rate,999999999,,,,,,,,,,2328.859124,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
561-3 - POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT PROCEDURE,561-3,APR-DRG,,,,inpatient,,,999999999,,3642.614204,3642.614204,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3642.614204,case rate,999999999,,,,,,,,,,3642.614204,case rate,999999999,,,,,,,,,,3642.614204,case rate,999999999,,,,,,,,,,3642.614204,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
561-4 - POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT PROCEDURE,561-4,APR-DRG,,,,inpatient,,,999999999,,7696.840718,7696.840718,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7696.840718,case rate,999999999,,,,,,,,,,7696.840718,case rate,999999999,,,,,,,,,,7696.840718,case rate,999999999,,,,,,,,,,7696.840718,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"564-1 - ABORTION WITHOUT D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY",564-1,APR-DRG,,,,inpatient,,,999999999,,1878.174592,1878.174592,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1878.174592,case rate,999999999,,,,,,,,,,1878.174592,case rate,999999999,,,,,,,,,,1878.174592,case rate,999999999,,,,,,,,,,1878.174592,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"564-2 - ABORTION WITHOUT D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY",564-2,APR-DRG,,,,inpatient,,,999999999,,2511.840912,2511.840912,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2511.840912,case rate,999999999,,,,,,,,,,2511.840912,case rate,999999999,,,,,,,,,,2511.840912,case rate,999999999,,,,,,,,,,2511.840912,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"564-3 - ABORTION WITHOUT D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY",564-3,APR-DRG,,,,inpatient,,,999999999,,3506.44171,3506.44171,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3506.44171,case rate,999999999,,,,,,,,,,3506.44171,case rate,999999999,,,,,,,,,,3506.44171,case rate,999999999,,,,,,,,,,3506.44171,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"564-4 - ABORTION WITHOUT D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY",564-4,APR-DRG,,,,inpatient,,,999999999,,9224.52588,9224.52588,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9224.52588,case rate,999999999,,,,,,,,,,9224.52588,case rate,999999999,,,,,,,,,,9224.52588,case rate,999999999,,,,,,,,,,9224.52588,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
566-1 - ANTEPARTUM WITHOUT O.R. PROCEDURE,566-1,APR-DRG,,,,inpatient,,,999999999,,1478.167892,1478.167892,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1478.167892,case rate,999999999,,,,,,,,,,1478.167892,case rate,999999999,,,,,,,,,,1478.167892,case rate,999999999,,,,,,,,,,1478.167892,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
566-2 - ANTEPARTUM WITHOUT O.R. PROCEDURE,566-2,APR-DRG,,,,inpatient,,,999999999,,1988.814743,1988.814743,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1988.814743,case rate,999999999,,,,,,,,,,1988.814743,case rate,999999999,,,,,,,,,,1988.814743,case rate,999999999,,,,,,,,,,1988.814743,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
566-3 - ANTEPARTUM WITHOUT O.R. PROCEDURE,566-3,APR-DRG,,,,inpatient,,,999999999,,2893.665489,2893.665489,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2893.665489,case rate,999999999,,,,,,,,,,2893.665489,case rate,999999999,,,,,,,,,,2893.665489,case rate,999999999,,,,,,,,,,2893.665489,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
566-4 - ANTEPARTUM WITHOUT O.R. PROCEDURE,566-4,APR-DRG,,,,inpatient,,,999999999,,6419.836737,6419.836737,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6419.836737,case rate,999999999,,,,,,,,,,6419.836737,case rate,999999999,,,,,,,,,,6419.836737,case rate,999999999,,,,,,,,,,6419.836737,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"580-1 - NEONATE, TRANSFERRED < 5 DAYS OLD, NOT BORN HERE",580-1,APR-DRG,,,,inpatient,,,999999999,,1860.379323,1860.379323,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1860.379323,case rate,999999999,,,,,,,,,,1860.379323,case rate,999999999,,,,,,,,,,1860.379323,case rate,999999999,,,,,,,,,,1860.379323,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"580-2 - NEONATE, TRANSFERRED < 5 DAYS OLD, NOT BORN HERE",580-2,APR-DRG,,,,inpatient,,,999999999,,2379.150101,2379.150101,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2379.150101,case rate,999999999,,,,,,,,,,2379.150101,case rate,999999999,,,,,,,,,,2379.150101,case rate,999999999,,,,,,,,,,2379.150101,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"580-3 - NEONATE, TRANSFERRED < 5 DAYS OLD, NOT BORN HERE",580-3,APR-DRG,,,,inpatient,,,999999999,,3902.966727,3902.966727,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3902.966727,case rate,999999999,,,,,,,,,,3902.966727,case rate,999999999,,,,,,,,,,3902.966727,case rate,999999999,,,,,,,,,,3902.966727,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"580-4 - NEONATE, TRANSFERRED < 5 DAYS OLD, NOT BORN HERE",580-4,APR-DRG,,,,inpatient,,,999999999,,6399.720346,6399.720346,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6399.720346,case rate,999999999,,,,,,,,,,6399.720346,case rate,999999999,,,,,,,,,,6399.720346,case rate,999999999,,,,,,,,,,6399.720346,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"581-1 - NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE",581-1,APR-DRG,,,,inpatient,,,999999999,,647.593052,647.593052,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,647.593052,case rate,999999999,,,,,,,,,,647.593052,case rate,999999999,,,,,,,,,,647.593052,case rate,999999999,,,,,,,,,,647.593052,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"581-2 - NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE",581-2,APR-DRG,,,,inpatient,,,999999999,,970.2290169,970.2290169,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,970.2290169,case rate,999999999,,,,,,,,,,970.2290169,case rate,999999999,,,,,,,,,,970.2290169,case rate,999999999,,,,,,,,,,970.2290169,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"581-3 - NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE",581-3,APR-DRG,,,,inpatient,,,999999999,,1487.45238,1487.45238,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1487.45238,case rate,999999999,,,,,,,,,,1487.45238,case rate,999999999,,,,,,,,,,1487.45238,case rate,999999999,,,,,,,,,,1487.45238,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"581-4 - NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE",581-4,APR-DRG,,,,inpatient,,,999999999,,2489.016545,2489.016545,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2489.016545,case rate,999999999,,,,,,,,,,2489.016545,case rate,999999999,,,,,,,,,,2489.016545,case rate,999999999,,,,,,,,,,2489.016545,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
583-1 - NEONATE WITH ECMO,583-1,APR-DRG,,,,inpatient,,,999999999,,95275.09679,95275.09679,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,95275.09679,case rate,999999999,,,,,,,,,,95275.09679,case rate,999999999,,,,,,,,,,95275.09679,case rate,999999999,,,,,,,,,,95275.09679,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
583-2 - NEONATE WITH ECMO,583-2,APR-DRG,,,,inpatient,,,999999999,,110249.042,110249.042,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,110249.042,case rate,999999999,,,,,,,,,,110249.042,case rate,999999999,,,,,,,,,,110249.042,case rate,999999999,,,,,,,,,,110249.042,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
583-3 - NEONATE WITH ECMO,583-3,APR-DRG,,,,inpatient,,,999999999,,149509.6609,149509.6609,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,149509.6609,case rate,999999999,,,,,,,,,,149509.6609,case rate,999999999,,,,,,,,,,149509.6609,case rate,999999999,,,,,,,,,,149509.6609,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
583-4 - NEONATE WITH ECMO,583-4,APR-DRG,,,,inpatient,,,999999999,,188770.2798,188770.2798,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,188770.2798,case rate,999999999,,,,,,,,,,188770.2798,case rate,999999999,,,,,,,,,,188770.2798,case rate,999999999,,,,,,,,,,188770.2798,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
588-1 - NEONATE BIRTH WEIGHT < 1500 GRAMS WITH MAJOR PROCEDURE,588-1,APR-DRG,,,,inpatient,,,999999999,,64296.6282,64296.6282,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,64296.6282,case rate,999999999,,,,,,,,,,64296.6282,case rate,999999999,,,,,,,,,,64296.6282,case rate,999999999,,,,,,,,,,64296.6282,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
588-2 - NEONATE BIRTH WEIGHT < 1500 GRAMS WITH MAJOR PROCEDURE,588-2,APR-DRG,,,,inpatient,,,999999999,,97680.16608,97680.16608,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,97680.16608,case rate,999999999,,,,,,,,,,97680.16608,case rate,999999999,,,,,,,,,,97680.16608,case rate,999999999,,,,,,,,,,97680.16608,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
588-3 - NEONATE BIRTH WEIGHT < 1500 GRAMS WITH MAJOR PROCEDURE,588-3,APR-DRG,,,,inpatient,,,999999999,,99755.63605,99755.63605,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,99755.63605,case rate,999999999,,,,,,,,,,99755.63605,case rate,999999999,,,,,,,,,,99755.63605,case rate,999999999,,,,,,,,,,99755.63605,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
588-4 - NEONATE BIRTH WEIGHT < 1500 GRAMS WITH MAJOR PROCEDURE,588-4,APR-DRG,,,,inpatient,,,999999999,,154842.8257,154842.8257,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,154842.8257,case rate,999999999,,,,,,,,,,154842.8257,case rate,999999999,,,,,,,,,,154842.8257,case rate,999999999,,,,,,,,,,154842.8257,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"589-1 - NEONATE BIRTH WEIGHT < 500 GRAMS, OR BIRTH WEIGHT 500-999 GRAMS AND GESTATIONAL AGE <24 WEEKS, OR BIRTH WEIGHT 500-749 GRAMS WITH MAJOR ANOMALY OR WITHOUT LIFE SUSTAINING INTERVENTION",589-1,APR-DRG,,,,inpatient,,,999999999,,30252.73109,30252.73109,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,30252.73109,case rate,999999999,,,,,,,,,,30252.73109,case rate,999999999,,,,,,,,,,30252.73109,case rate,999999999,,,,,,,,,,30252.73109,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"589-2 - NEONATE BIRTH WEIGHT < 500 GRAMS, OR BIRTH WEIGHT 500-999 GRAMS AND GESTATIONAL AGE <24 WEEKS, OR BIRTH WEIGHT 500-749 GRAMS WITH MAJOR ANOMALY OR WITHOUT LIFE SUSTAINING INTERVENTION",589-2,APR-DRG,,,,inpatient,,,999999999,,25114.54058,25114.54058,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,25114.54058,case rate,999999999,,,,,,,,,,25114.54058,case rate,999999999,,,,,,,,,,25114.54058,case rate,999999999,,,,,,,,,,25114.54058,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"589-3 - NEONATE BIRTH WEIGHT < 500 GRAMS, OR BIRTH WEIGHT 500-999 GRAMS AND GESTATIONAL AGE <24 WEEKS, OR BIRTH WEIGHT 500-749 GRAMS WITH MAJOR ANOMALY OR WITHOUT LIFE SUSTAINING INTERVENTION",589-3,APR-DRG,,,,inpatient,,,999999999,,19976.35007,19976.35007,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19976.35007,case rate,999999999,,,,,,,,,,19976.35007,case rate,999999999,,,,,,,,,,19976.35007,case rate,999999999,,,,,,,,,,19976.35007,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"589-4 - NEONATE BIRTH WEIGHT < 500 GRAMS, OR BIRTH WEIGHT 500-999 GRAMS AND GESTATIONAL AGE <24 WEEKS, OR BIRTH WEIGHT 500-749 GRAMS WITH MAJOR ANOMALY OR WITHOUT LIFE SUSTAINING INTERVENTION",589-4,APR-DRG,,,,inpatient,,,999999999,,423.6047741,423.6047741,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,423.6047741,case rate,999999999,,,,,,,,,,423.6047741,case rate,999999999,,,,,,,,,,423.6047741,case rate,999999999,,,,,,,,,,423.6047741,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
591-1 - NEONATE BIRTH WEIGHT 500-749 GRAMS WITHOUT MAJOR PROCEDURE,591-1,APR-DRG,,,,inpatient,,,999999999,,825.9325961,825.9325961,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,825.9325961,case rate,999999999,,,,,,,,,,825.9325961,case rate,999999999,,,,,,,,,,825.9325961,case rate,999999999,,,,,,,,,,825.9325961,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
591-2 - NEONATE BIRTH WEIGHT 500-749 GRAMS WITHOUT MAJOR PROCEDURE,591-2,APR-DRG,,,,inpatient,,,999999999,,30401.2829,30401.2829,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,30401.2829,case rate,999999999,,,,,,,,,,30401.2829,case rate,999999999,,,,,,,,,,30401.2829,case rate,999999999,,,,,,,,,,30401.2829,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
591-3 - NEONATE BIRTH WEIGHT 500-749 GRAMS WITHOUT MAJOR PROCEDURE,591-3,APR-DRG,,,,inpatient,,,999999999,,57131.71129,57131.71129,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,57131.71129,case rate,999999999,,,,,,,,,,57131.71129,case rate,999999999,,,,,,,,,,57131.71129,case rate,999999999,,,,,,,,,,57131.71129,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
591-4 - NEONATE BIRTH WEIGHT 500-749 GRAMS WITHOUT MAJOR PROCEDURE,591-4,APR-DRG,,,,inpatient,,,999999999,,97519.62181,97519.62181,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,97519.62181,case rate,999999999,,,,,,,,,,97519.62181,case rate,999999999,,,,,,,,,,97519.62181,case rate,999999999,,,,,,,,,,97519.62181,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
593-1 - NEONATE BIRTH WEIGHT 750-999 GRAMS WITHOUT MAJOR PROCEDURE,593-1,APR-DRG,,,,inpatient,,,999999999,,953.2074552,953.2074552,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,953.2074552,case rate,999999999,,,,,,,,,,953.2074552,case rate,999999999,,,,,,,,,,953.2074552,case rate,999999999,,,,,,,,,,953.2074552,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
593-2 - NEONATE BIRTH WEIGHT 750-999 GRAMS WITHOUT MAJOR PROCEDURE,593-2,APR-DRG,,,,inpatient,,,999999999,,51472.04202,51472.04202,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,51472.04202,case rate,999999999,,,,,,,,,,51472.04202,case rate,999999999,,,,,,,,,,51472.04202,case rate,999999999,,,,,,,,,,51472.04202,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
593-3 - NEONATE BIRTH WEIGHT 750-999 GRAMS WITHOUT MAJOR PROCEDURE,593-3,APR-DRG,,,,inpatient,,,999999999,,64941.12642,64941.12642,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,64941.12642,case rate,999999999,,,,,,,,,,64941.12642,case rate,999999999,,,,,,,,,,64941.12642,case rate,999999999,,,,,,,,,,64941.12642,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
593-4 - NEONATE BIRTH WEIGHT 750-999 GRAMS WITHOUT MAJOR PROCEDURE,593-4,APR-DRG,,,,inpatient,,,999999999,,100986.9913,100986.9913,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,100986.9913,case rate,999999999,,,,,,,,,,100986.9913,case rate,999999999,,,,,,,,,,100986.9913,case rate,999999999,,,,,,,,,,100986.9913,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
602-1 - NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY,602-1,APR-DRG,,,,inpatient,,,999999999,,8564.166657,8564.166657,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8564.166657,case rate,3788,,,,,,,,,,8564.166657,case rate,999999999,,,,,,,,,,8564.166657,case rate,999999999,,,,,,,,,,8564.166657,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
602-2 - NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY,602-2,APR-DRG,,,,inpatient,,,999999999,,43553.53415,43553.53415,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,43553.53415,case rate,999999999,,,,,,,,,,43553.53415,case rate,999999999,,,,,,,,,,43553.53415,case rate,999999999,,,,,,,,,,43553.53415,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
602-3 - NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY,602-3,APR-DRG,,,,inpatient,,,999999999,,57079.48604,57079.48604,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,57079.48604,case rate,999999999,,,,,,,,,,57079.48604,case rate,999999999,,,,,,,,,,57079.48604,case rate,999999999,,,,,,,,,,57079.48604,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
602-4 - NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY,602-4,APR-DRG,,,,inpatient,,,999999999,,72387.67281,72387.67281,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,72387.67281,case rate,999999999,,,,,,,,,,72387.67281,case rate,999999999,,,,,,,,,,72387.67281,case rate,999999999,,,,,,,,,,72387.67281,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
603-1 - NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION,603-1,APR-DRG,,,,inpatient,,,999999999,,946.2440891,946.2440891,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,946.2440891,case rate,999999999,,,,,,,,,,946.2440891,case rate,999999999,,,,,,,,,,946.2440891,case rate,3348.4,,,,,,,,,,946.2440891,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
603-2 - NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION,603-2,APR-DRG,,,,inpatient,,,999999999,,19490.46185,19490.46185,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19490.46185,case rate,999999999,,,,,,,,,,19490.46185,case rate,999999999,,,,,,,,,,19490.46185,case rate,999999999,,,,,,,,,,19490.46185,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
603-3 - NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION,603-3,APR-DRG,,,,inpatient,,,999999999,,39503.17617,39503.17617,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,39503.17617,case rate,999999999,,,,,,,,,,39503.17617,case rate,999999999,,,,,,,,,,39503.17617,case rate,999999999,,,,,,,,,,39503.17617,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
603-4 - NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION,603-4,APR-DRG,,,,inpatient,,,999999999,,81176.60145,81176.60145,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,81176.60145,case rate,999999999,,,,,,,,,,81176.60145,case rate,999999999,,,,,,,,,,81176.60145,case rate,999999999,,,,,,,,,,81176.60145,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
607-1 - NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY,607-1,APR-DRG,,,,inpatient,,,999999999,,13863.2883,13863.2883,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13863.2883,case rate,999999999,,,,,,,,,,13863.2883,case rate,999999999,,,,,,,,,,13863.2883,case rate,999999999,,,,,,,,,,13863.2883,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
607-2 - NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY,607-2,APR-DRG,,,,inpatient,,,999999999,,33492.63062,33492.63062,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,33492.63062,case rate,999999999,,,,,,,,,,33492.63062,case rate,999999999,,,,,,,,,,33492.63062,case rate,999999999,,,,,,,,,,33492.63062,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
607-3 - NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY,607-3,APR-DRG,,,,inpatient,,,999999999,,43253.72255,43253.72255,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,43253.72255,case rate,999999999,,,,,,,,,,43253.72255,case rate,999999999,,,,,,,,,,43253.72255,case rate,999999999,,,,,,,,,,43253.72255,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
607-4 - NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY,607-4,APR-DRG,,,,inpatient,,,999999999,,55600.15759,55600.15759,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,55600.15759,case rate,999999999,,,,,,,,,,55600.15759,case rate,999999999,,,,,,,,,,55600.15759,case rate,999999999,,,,,,,,,,55600.15759,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
608-1 - NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION,608-1,APR-DRG,,,,inpatient,,,999999999,,3353.247655,3353.247655,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3353.247655,case rate,999999999,,,,,,,,,,3353.247655,case rate,999999999,,,,,,,,,,3353.247655,case rate,999999999,,,,,,,,,,3353.247655,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
608-2 - NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION,608-2,APR-DRG,,,,inpatient,,,999999999,,24750.51127,24750.51127,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,24750.51127,case rate,999999999,,,,,,,,,,24750.51127,case rate,999999999,,,,,,,,,,24750.51127,case rate,999999999,,,,,,,,,,24750.51127,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
608-3 - NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION,608-3,APR-DRG,,,,inpatient,,,999999999,,33527.0606,33527.0606,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,33527.0606,case rate,999999999,,,,,,,,,,33527.0606,case rate,999999999,,,,,,,,,,33527.0606,case rate,999999999,,,,,,,,,,33527.0606,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
608-4 - NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION,608-4,APR-DRG,,,,inpatient,,,999999999,,35203.68443,35203.68443,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,35203.68443,case rate,999999999,,,,,,,,,,35203.68443,case rate,999999999,,,,,,,,,,35203.68443,case rate,999999999,,,,,,,,,,35203.68443,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
609-1 - NEONATE BIRTH WEIGHT 1500-2499 GRAMS WITH MAJOR PROCEDURE,609-1,APR-DRG,,,,inpatient,,,999999999,,21783.34359,21783.34359,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21783.34359,case rate,999999999,,,,,,,,,,21783.34359,case rate,999999999,,,,,,,,,,21783.34359,case rate,999999999,,,,,,,,,,21783.34359,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
609-2 - NEONATE BIRTH WEIGHT 1500-2499 GRAMS WITH MAJOR PROCEDURE,609-2,APR-DRG,,,,inpatient,,,999999999,,22929.97788,22929.97788,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,22929.97788,case rate,999999999,,,,,,,,,,22929.97788,case rate,999999999,,,,,,,,,,22929.97788,case rate,999999999,,,,,,,,,,22929.97788,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
609-3 - NEONATE BIRTH WEIGHT 1500-2499 GRAMS WITH MAJOR PROCEDURE,609-3,APR-DRG,,,,inpatient,,,999999999,,48274.6964,48274.6964,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,48274.6964,case rate,999999999,,,,,,,,,,48274.6964,case rate,999999999,,,,,,,,,,48274.6964,case rate,999999999,,,,,,,,,,48274.6964,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
609-4 - NEONATE BIRTH WEIGHT 1500-2499 GRAMS WITH MAJOR PROCEDURE,609-4,APR-DRG,,,,inpatient,,,999999999,,96897.5611,96897.5611,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,96897.5611,case rate,999999999,,,,,,,,,,96897.5611,case rate,999999999,,,,,,,,,,96897.5611,case rate,999999999,,,,,,,,,,96897.5611,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
611-1 - NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH MAJOR ANOMALY,611-1,APR-DRG,,,,inpatient,,,999999999,,7092.575277,7092.575277,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7092.575277,case rate,999999999,,,,,,,,,,7092.575277,case rate,999999999,,,,,,,,,,7092.575277,case rate,999999999,,,,,,,,,,7092.575277,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
611-2 - NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH MAJOR ANOMALY,611-2,APR-DRG,,,,inpatient,,,999999999,,15763.1267,15763.1267,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15763.1267,case rate,999999999,,,,,,,,,,15763.1267,case rate,999999999,,,,,,,,,,15763.1267,case rate,999999999,,,,,,,,,,15763.1267,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
611-3 - NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH MAJOR ANOMALY,611-3,APR-DRG,,,,inpatient,,,999999999,,27519.99673,27519.99673,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,27519.99673,case rate,999999999,,,,,,,,,,27519.99673,case rate,999999999,,,,,,,,,,27519.99673,case rate,999999999,,,,,,,,,,27519.99673,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
611-4 - NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH MAJOR ANOMALY,611-4,APR-DRG,,,,inpatient,,,999999999,,42251.77153,42251.77153,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,42251.77153,case rate,999999999,,,,,,,,,,42251.77153,case rate,999999999,,,,,,,,,,42251.77153,case rate,999999999,,,,,,,,,,42251.77153,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
612-1 - NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,612-1,APR-DRG,,,,inpatient,,,999999999,,14382.83278,14382.83278,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14382.83278,case rate,999999999,,,,,,,,,,14382.83278,case rate,999999999,,,,,,,,,,14382.83278,case rate,999999999,,,,,,,,,,14382.83278,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
612-2 - NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,612-2,APR-DRG,,,,inpatient,,,999999999,,22004.23703,22004.23703,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,22004.23703,case rate,999999999,,,,,,,,,,22004.23703,case rate,999999999,,,,,,,,,,22004.23703,case rate,999999999,,,,,,,,,,22004.23703,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
612-3 - NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,612-3,APR-DRG,,,,inpatient,,,999999999,,28414.78928,28414.78928,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,28414.78928,case rate,999999999,,,,,,,,,,28414.78928,case rate,999999999,,,,,,,,,,28414.78928,case rate,999999999,,,,,,,,,,28414.78928,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
612-4 - NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,612-4,APR-DRG,,,,inpatient,,,999999999,,40403.38467,40403.38467,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,40403.38467,case rate,999999999,,,,,,,,,,40403.38467,case rate,999999999,,,,,,,,,,40403.38467,case rate,999999999,,,,,,,,,,40403.38467,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
613-1 - NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH CONGENITAL OR PERINATAL INFECTION,613-1,APR-DRG,,,,inpatient,,,999999999,,8848.504108,8848.504108,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8848.504108,case rate,999999999,,,,,,,,,,8848.504108,case rate,999999999,,,,,,,,,,8848.504108,case rate,999999999,,,,,,,,,,8848.504108,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
613-2 - NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH CONGENITAL OR PERINATAL INFECTION,613-2,APR-DRG,,,,inpatient,,,999999999,,16059.45661,16059.45661,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16059.45661,case rate,999999999,,,,,,,,,,16059.45661,case rate,999999999,,,,,,,,,,16059.45661,case rate,999999999,,,,,,,,,,16059.45661,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
613-3 - NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH CONGENITAL OR PERINATAL INFECTION,613-3,APR-DRG,,,,inpatient,,,999999999,,25849.17571,25849.17571,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,25849.17571,case rate,999999999,,,,,,,,,,25849.17571,case rate,999999999,,,,,,,,,,25849.17571,case rate,999999999,,,,,,,,,,25849.17571,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
613-4 - NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH CONGENITAL OR PERINATAL INFECTION,613-4,APR-DRG,,,,inpatient,,,999999999,,39640.50922,39640.50922,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,39640.50922,case rate,999999999,,,,,,,,,,39640.50922,case rate,999999999,,,,,,,,,,39640.50922,case rate,999999999,,,,,,,,,,39640.50922,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
614-1 - NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH OR WITHOUT OTHER SIGNIFICANT CONDITION,614-1,APR-DRG,,,,inpatient,,,999999999,,5527.365308,5527.365308,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5527.365308,case rate,999999999,,,,,,,,,,5527.365308,case rate,999999999,,,,,,,,,,5527.365308,case rate,999999999,,,,,,,,,,5527.365308,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
614-2 - NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH OR WITHOUT OTHER SIGNIFICANT CONDITION,614-2,APR-DRG,,,,inpatient,,,999999999,,13426.5305,13426.5305,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13426.5305,case rate,999999999,,,,,,,,,,13426.5305,case rate,999999999,,,,,,,,,,13426.5305,case rate,999999999,,,,,,,,,,13426.5305,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
614-3 - NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH OR WITHOUT OTHER SIGNIFICANT CONDITION,614-3,APR-DRG,,,,inpatient,,,999999999,,24437.9335,24437.9335,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,24437.9335,case rate,999999999,,,,,,,,,,24437.9335,case rate,999999999,,,,,,,,,,24437.9335,case rate,999999999,,,,,,,,,,24437.9335,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
614-4 - NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH OR WITHOUT OTHER SIGNIFICANT CONDITION,614-4,APR-DRG,,,,inpatient,,,999999999,,31855.85272,31855.85272,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,31855.85272,case rate,999999999,,,,,,,,,,31855.85272,case rate,999999999,,,,,,,,,,31855.85272,case rate,999999999,,,,,,,,,,31855.85272,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
621-1 - NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY,621-1,APR-DRG,,,,inpatient,,,999999999,,2526.154498,2526.154498,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2526.154498,case rate,999999999,,,,,,,,,,2526.154498,case rate,999999999,,,,,,,,,,2526.154498,case rate,999999999,,,,,,,,,,2526.154498,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
621-2 - NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY,621-2,APR-DRG,,,,inpatient,,,999999999,,8181.955226,8181.955226,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8181.955226,case rate,999999999,,,,,,,,,,8181.955226,case rate,999999999,,,,,,,,,,8181.955226,case rate,999999999,,,,,,,,,,8181.955226,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
621-3 - NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY,621-3,APR-DRG,,,,inpatient,,,999999999,,19457.19244,19457.19244,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19457.19244,case rate,999999999,,,,,,,,,,19457.19244,case rate,999999999,,,,,,,,,,19457.19244,case rate,999999999,,,,,,,,,,19457.19244,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
621-4 - NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY,621-4,APR-DRG,,,,inpatient,,,999999999,,33147.17029,33147.17029,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,33147.17029,case rate,999999999,,,,,,,,,,33147.17029,case rate,999999999,,,,,,,,,,33147.17029,case rate,999999999,,,,,,,,,,33147.17029,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
622-1 - NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,622-1,APR-DRG,,,,inpatient,,,999999999,,8982.742334,8982.742334,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8982.742334,case rate,999999999,,,,,,,,,,8982.742334,case rate,999999999,,,,,,,,,,8982.742334,case rate,999999999,,,,,,,,,,8982.742334,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
622-2 - NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,622-2,APR-DRG,,,,inpatient,,,999999999,,13435.42813,13435.42813,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13435.42813,case rate,999999999,,,,,,,,,,13435.42813,case rate,999999999,,,,,,,,,,13435.42813,case rate,999999999,,,,,,,,,,13435.42813,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
622-3 - NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,622-3,APR-DRG,,,,inpatient,,,999999999,,15237.0057,15237.0057,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15237.0057,case rate,999999999,,,,,,,,,,15237.0057,case rate,999999999,,,,,,,,,,15237.0057,case rate,999999999,,,,,,,,,,15237.0057,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
622-4 - NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,622-4,APR-DRG,,,,inpatient,,,999999999,,26162.91404,26162.91404,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,26162.91404,case rate,999999999,,,,,,,,,,26162.91404,case rate,999999999,,,,,,,,,,26162.91404,case rate,999999999,,,,,,,,,,26162.91404,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
623-1 - NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION,623-1,APR-DRG,,,,inpatient,,,999999999,,5547.4817,5547.4817,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5547.4817,case rate,999999999,,,,,,,,,,5547.4817,case rate,999999999,,,,,,,,,,5547.4817,case rate,999999999,,,,,,,,,,5547.4817,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
623-2 - NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION,623-2,APR-DRG,,,,inpatient,,,999999999,,8998.990188,8998.990188,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8998.990188,case rate,999999999,,,,,,,,,,8998.990188,case rate,999999999,,,,,,,,,,8998.990188,case rate,999999999,,,,,,,,,,8998.990188,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
623-3 - NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION,623-3,APR-DRG,,,,inpatient,,,999999999,,19800.33165,19800.33165,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19800.33165,case rate,999999999,,,,,,,,,,19800.33165,case rate,999999999,,,,,,,,,,19800.33165,case rate,999999999,,,,,,,,,,19800.33165,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
623-4 - NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION,623-4,APR-DRG,,,,inpatient,,,999999999,,24011.2339,24011.2339,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,24011.2339,case rate,999999999,,,,,,,,,,24011.2339,case rate,999999999,,,,,,,,,,24011.2339,case rate,999999999,,,,,,,,,,24011.2339,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
625-1 - NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION,625-1,APR-DRG,,,,inpatient,,,999999999,,6410.552248,6410.552248,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6410.552248,case rate,999999999,,,,,,,,,,6410.552248,case rate,999999999,,,,,,,,,,6410.552248,case rate,999999999,,,,,,,,,,6410.552248,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
625-2 - NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION,625-2,APR-DRG,,,,inpatient,,,999999999,,8716.973859,8716.973859,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8716.973859,case rate,999999999,,,,,,,,,,8716.973859,case rate,999999999,,,,,,,,,,8716.973859,case rate,999999999,,,,,,,,,,8716.973859,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
625-3 - NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION,625-3,APR-DRG,,,,inpatient,,,999999999,,15765.06096,15765.06096,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15765.06096,case rate,999999999,,,,,,,,,,15765.06096,case rate,999999999,,,,,,,,,,15765.06096,case rate,999999999,,,,,,,,,,15765.06096,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
625-4 - NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION,625-4,APR-DRG,,,,inpatient,,,999999999,,22119.90628,22119.90628,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,22119.90628,case rate,999999999,,,,,,,,,,22119.90628,case rate,999999999,,,,,,,,,,22119.90628,case rate,999999999,,,,,,,,,,22119.90628,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"626-1 - NEONATE BIRTH WEIGHT 2000-2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM",626-1,APR-DRG,,,,inpatient,,,999999999,,970.2290169,970.2290169,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,970.2290169,case rate,999999999,,,,,,,,,,970.2290169,case rate,999999999,,,,,,,,,,970.2290169,case rate,999999999,,,,,,,,,,970.2290169,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"626-2 - NEONATE BIRTH WEIGHT 2000-2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM",626-2,APR-DRG,,,,inpatient,,,999999999,,1131.933853,1131.933853,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1131.933853,case rate,999999999,,,,,,,,,,1131.933853,case rate,999999999,,,,,,,,,,1131.933853,case rate,999999999,,,,,,,,,,1131.933853,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"626-3 - NEONATE BIRTH WEIGHT 2000-2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM",626-3,APR-DRG,,,,inpatient,,,999999999,,2680.12226,2680.12226,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2680.12226,case rate,999999999,,,,,,,,,,2680.12226,case rate,999999999,,,,,,,,,,2680.12226,case rate,999999999,,,,,,,,,,2680.12226,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"626-4 - NEONATE BIRTH WEIGHT 2000-2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM",626-4,APR-DRG,,,,inpatient,,,999999999,,14764.65736,14764.65736,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14764.65736,case rate,999999999,,,,,,,,,,14764.65736,case rate,999999999,,,,,,,,,,14764.65736,case rate,999999999,,,,,,,,,,14764.65736,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
630-1 - NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR CARDIOVASCULAR PROCEDURE,630-1,APR-DRG,,,,inpatient,,,999999999,,13667.92719,13667.92719,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13667.92719,case rate,999999999,,,,,,,,,,13667.92719,case rate,999999999,,,,,,,,,,13667.92719,case rate,999999999,,,,,,,,,,13667.92719,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
630-2 - NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR CARDIOVASCULAR PROCEDURE,630-2,APR-DRG,,,,inpatient,,,999999999,,34454.34886,34454.34886,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,34454.34886,case rate,999999999,,,,,,,,,,34454.34886,case rate,999999999,,,,,,,,,,34454.34886,case rate,999999999,,,,,,,,,,34454.34886,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
630-3 - NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR CARDIOVASCULAR PROCEDURE,630-3,APR-DRG,,,,inpatient,,,999999999,,54304.58463,54304.58463,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,54304.58463,case rate,999999999,,,,,,,,,,54304.58463,case rate,999999999,,,,,,,,,,54304.58463,case rate,999999999,,,,,,,,,,54304.58463,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
630-4 - NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR CARDIOVASCULAR PROCEDURE,630-4,APR-DRG,,,,inpatient,,,999999999,,112390.6639,112390.6639,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,112390.6639,case rate,999999999,,,,,,,,,,112390.6639,case rate,999999999,,,,,,,,,,112390.6639,case rate,999999999,,,,,,,,,,112390.6639,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
631-1 - NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER MAJOR PROCEDURE,631-1,APR-DRG,,,,inpatient,,,999999999,,2829.447779,2829.447779,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2829.447779,case rate,999999999,,,,,,,,,,2829.447779,case rate,999999999,,,,,,,,,,2829.447779,case rate,999999999,,,,,,,,,,2829.447779,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
631-2 - NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER MAJOR PROCEDURE,631-2,APR-DRG,,,,inpatient,,,999999999,,21909.45788,21909.45788,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21909.45788,case rate,999999999,,,,,,,,,,21909.45788,case rate,999999999,,,,,,,,,,21909.45788,case rate,999999999,,,,,,,,,,21909.45788,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
631-3 - NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER MAJOR PROCEDURE,631-3,APR-DRG,,,,inpatient,,,999999999,,35724.38947,35724.38947,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,35724.38947,case rate,999999999,,,,,,,,,,35724.38947,case rate,999999999,,,,,,,,,,35724.38947,case rate,999999999,,,,,,,,,,35724.38947,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
631-4 - NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER MAJOR PROCEDURE,631-4,APR-DRG,,,,inpatient,,,999999999,,93025.92952,93025.92952,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,93025.92952,case rate,999999999,,,,,,,,,,93025.92952,case rate,999999999,,,,,,,,,,93025.92952,case rate,999999999,,,,,,,,,,93025.92952,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
633-1 - NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY,633-1,APR-DRG,,,,inpatient,,,999999999,,1154.75822,1154.75822,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1154.75822,case rate,999999999,,,,,,,,,,1154.75822,case rate,999999999,,,,,,,,,,1154.75822,case rate,999999999,,,,,,,,,,1154.75822,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
633-2 - NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY,633-2,APR-DRG,,,,inpatient,,,999999999,,3282.453432,3282.453432,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3282.453432,case rate,999999999,,,,,,,,,,3282.453432,case rate,999999999,,,,,,,,,,3282.453432,case rate,999999999,,,,,,,,,,3282.453432,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
633-3 - NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY,633-3,APR-DRG,,,,inpatient,,,999999999,,11650.09842,11650.09842,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11650.09842,case rate,999999999,,,,,,,,,,11650.09842,case rate,999999999,,,,,,,,,,11650.09842,case rate,999999999,,,,,,,,,,11650.09842,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
633-4 - NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY,633-4,APR-DRG,,,,inpatient,,,999999999,,30127.3905,30127.3905,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,30127.3905,case rate,999999999,,,,,,,,,,30127.3905,case rate,999999999,,,,,,,,,,30127.3905,case rate,999999999,,,,,,,,,,30127.3905,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
634-1 - NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,634-1,APR-DRG,,,,inpatient,,,999999999,,3429.070975,3429.070975,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3429.070975,case rate,999999999,,,,,,,,,,3429.070975,case rate,999999999,,,,,,,,,,3429.070975,case rate,999999999,,,,,,,,,,3429.070975,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
634-2 - NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,634-2,APR-DRG,,,,inpatient,,,999999999,,7033.386665,7033.386665,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7033.386665,case rate,999999999,,,,,,,,,,7033.386665,case rate,999999999,,,,,,,,,,7033.386665,case rate,999999999,,,,,,,,,,7033.386665,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
634-3 - NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,634-3,APR-DRG,,,,inpatient,,,999999999,,7942.105948,7942.105948,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7942.105948,case rate,999999999,,,,,,,,,,7942.105948,case rate,999999999,,,,,,,,,,7942.105948,case rate,999999999,,,,,,,,,,7942.105948,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
634-4 - NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,634-4,APR-DRG,,,,inpatient,,,999999999,,23090.52215,23090.52215,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23090.52215,case rate,999999999,,,,,,,,,,23090.52215,case rate,999999999,,,,,,,,,,23090.52215,case rate,999999999,,,,,,,,,,23090.52215,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
636-1 - NEONATE BIRTH WEIGHT > 2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION,636-1,APR-DRG,,,,inpatient,,,999999999,,3055.370325,3055.370325,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3055.370325,case rate,999999999,,,,,,,,,,3055.370325,case rate,999999999,,,,,,,,,,3055.370325,case rate,999999999,,,,,,,,,,3055.370325,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
636-2 - NEONATE BIRTH WEIGHT > 2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION,636-2,APR-DRG,,,,inpatient,,,999999999,,5722.726414,5722.726414,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5722.726414,case rate,999999999,,,,,,,,,,5722.726414,case rate,999999999,,,,,,,,,,5722.726414,case rate,999999999,,,,,,,,,,5722.726414,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
636-3 - NEONATE BIRTH WEIGHT > 2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION,636-3,APR-DRG,,,,inpatient,,,999999999,,11830.37224,11830.37224,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11830.37224,case rate,999999999,,,,,,,,,,11830.37224,case rate,999999999,,,,,,,,,,11830.37224,case rate,999999999,,,,,,,,,,11830.37224,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
636-4 - NEONATE BIRTH WEIGHT > 2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION,636-4,APR-DRG,,,,inpatient,,,999999999,,19115.60064,19115.60064,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19115.60064,case rate,999999999,,,,,,,,,,19115.60064,case rate,999999999,,,,,,,,,,19115.60064,case rate,999999999,,,,,,,,,,19115.60064,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
639-1 - NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER SIGNIFICANT CONDITION,639-1,APR-DRG,,,,inpatient,,,999999999,,2136.592847,2136.592847,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2136.592847,case rate,999999999,,,,,,,,,,2136.592847,case rate,999999999,,,,,,,,,,2136.592847,case rate,999999999,,,,,,,,,,2136.592847,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
639-2 - NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER SIGNIFICANT CONDITION,639-2,APR-DRG,,,,inpatient,,,999999999,,2922.292661,2922.292661,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2922.292661,case rate,999999999,,,,,,,,,,2922.292661,case rate,999999999,,,,,,,,,,2922.292661,case rate,999999999,,,,,,,,,,2922.292661,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
639-3 - NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER SIGNIFICANT CONDITION,639-3,APR-DRG,,,,inpatient,,,999999999,,9570.373066,9570.373066,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9570.373066,case rate,999999999,,,,,,,,,,9570.373066,case rate,999999999,,,,,,,,,,9570.373066,case rate,999999999,,,,,,,,,,9570.373066,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
639-4 - NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER SIGNIFICANT CONDITION,639-4,APR-DRG,,,,inpatient,,,999999999,,14132.1516,14132.1516,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14132.1516,case rate,999999999,,,,,,,,,,14132.1516,case rate,999999999,,,,,,,,,,14132.1516,case rate,999999999,,,,,,,,,,14132.1516,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"640-1 - NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM",640-1,APR-DRG,,,,inpatient,,,999999999,,675.0596629,675.0596629,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,675.0596629,case rate,4012.39,,,,,,,,,,675.0596629,case rate,999999999,,,,,,,,,,675.0596629,case rate,999999999,,,,,,,,,,675.0596629,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"640-2 - NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM",640-2,APR-DRG,,,,inpatient,,,999999999,,893.2451356,893.2451356,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,893.2451356,case rate,999999999,,,,,,,,,,893.2451356,case rate,999999999,,,,,,,,,,893.2451356,case rate,999999999,,,,,,,,,,893.2451356,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"640-3 - NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM",640-3,APR-DRG,,,,inpatient,,,999999999,,1614.340386,1614.340386,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1614.340386,case rate,999999999,,,,,,,,,,1614.340386,case rate,999999999,,,,,,,,,,1614.340386,case rate,999999999,,,,,,,,,,1614.340386,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"640-4 - NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM",640-4,APR-DRG,,,,inpatient,,,999999999,,12183.18279,12183.18279,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12183.18279,case rate,999999999,,,,,,,,,,12183.18279,case rate,999999999,,,,,,,,,,12183.18279,case rate,999999999,,,,,,,,,,12183.18279,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
650-1 - SPLENECTOMY,650-1,APR-DRG,,,,inpatient,,,999999999,,8505.751752,8505.751752,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8505.751752,case rate,999999999,,,,,,,,,,8505.751752,case rate,999999999,,,,,,,,,,8505.751752,case rate,999999999,,,,,,,,,,8505.751752,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
650-2 - SPLENECTOMY,650-2,APR-DRG,,,,inpatient,,,999999999,,11256.28138,11256.28138,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11256.28138,case rate,999999999,,,,,,,,,,11256.28138,case rate,999999999,,,,,,,,,,11256.28138,case rate,999999999,,,,,,,,,,11256.28138,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
650-3 - SPLENECTOMY,650-3,APR-DRG,,,,inpatient,,,999999999,,16587.51188,16587.51188,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16587.51188,case rate,999999999,,,,,,,,,,16587.51188,case rate,999999999,,,,,,,,,,16587.51188,case rate,999999999,,,,,,,,,,16587.51188,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
650-4 - SPLENECTOMY,650-4,APR-DRG,,,,inpatient,,,999999999,,27121.9243,27121.9243,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,27121.9243,case rate,999999999,,,,,,,,,,27121.9243,case rate,999999999,,,,,,,,,,27121.9243,case rate,999999999,,,,,,,,,,27121.9243,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
651-1 - OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS,651-1,APR-DRG,,,,inpatient,,,999999999,,6571.483377,6571.483377,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6571.483377,case rate,999999999,,,,,,,,,,6571.483377,case rate,999999999,,,,,,,,,,6571.483377,case rate,999999999,,,,,,,,,,6571.483377,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
651-2 - OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS,651-2,APR-DRG,,,,inpatient,,,999999999,,9619.890336,9619.890336,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9619.890336,case rate,999999999,,,,,,,,,,9619.890336,case rate,999999999,,,,,,,,,,9619.890336,case rate,999999999,,,,,,,,,,9619.890336,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
651-3 - OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS,651-3,APR-DRG,,,,inpatient,,,999999999,,13006.79426,13006.79426,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13006.79426,case rate,999999999,,,,,,,,,,13006.79426,case rate,999999999,,,,,,,,,,13006.79426,case rate,999999999,,,,,,,,,,13006.79426,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
651-4 - OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS,651-4,APR-DRG,,,,inpatient,,,999999999,,29885.60695,29885.60695,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,29885.60695,case rate,999999999,,,,,,,,,,29885.60695,case rate,999999999,,,,,,,,,,29885.60695,case rate,999999999,,,,,,,,,,29885.60695,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
660-1 - MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION,660-1,APR-DRG,,,,inpatient,,,999999999,,3754.80177,3754.80177,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3754.80177,case rate,999999999,,,,,,,,,,3754.80177,case rate,999999999,,,,,,,,,,3754.80177,case rate,999999999,,,,,,,,,,3754.80177,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
660-2 - MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION,660-2,APR-DRG,,,,inpatient,,,999999999,,4412.453017,4412.453017,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4412.453017,case rate,999999999,,,,,,,,,,4412.453017,case rate,999999999,,,,,,,,,,4412.453017,case rate,999999999,,,,,,,,,,4412.453017,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
660-3 - MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION,660-3,APR-DRG,,,,inpatient,,,999999999,,6878.645195,6878.645195,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6878.645195,case rate,999999999,,,,,,,,,,6878.645195,case rate,999999999,,,,,,,,,,6878.645195,case rate,999999999,,,,,,,,,,6878.645195,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
660-4 - MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION,660-4,APR-DRG,,,,inpatient,,,999999999,,15009.14888,15009.14888,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15009.14888,case rate,999999999,,,,,,,,,,15009.14888,case rate,999999999,,,,,,,,,,15009.14888,case rate,999999999,,,,,,,,,,15009.14888,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
661-1 - COAGULATION AND PLATELET DISORDERS,661-1,APR-DRG,,,,inpatient,,,999999999,,4326.184648,4326.184648,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4326.184648,case rate,999999999,,,,,,,,,,4326.184648,case rate,999999999,,,,,,,,,,4326.184648,case rate,999999999,,,,,,,,,,4326.184648,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
661-2 - COAGULATION AND PLATELET DISORDERS,661-2,APR-DRG,,,,inpatient,,,999999999,,5761.411782,5761.411782,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5761.411782,case rate,999999999,,,,,,,,,,5761.411782,case rate,999999999,,,,,,,,,,5761.411782,case rate,999999999,,,,,,,,,,5761.411782,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
661-3 - COAGULATION AND PLATELET DISORDERS,661-3,APR-DRG,,,,inpatient,,,999999999,,7443.064707,7443.064707,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7443.064707,case rate,999999999,,,,,,,,,,7443.064707,case rate,999999999,,,,,,,,,,7443.064707,case rate,999999999,,,,,,,,,,7443.064707,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
661-4 - COAGULATION AND PLATELET DISORDERS,661-4,APR-DRG,,,,inpatient,,,999999999,,14178.18719,14178.18719,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14178.18719,case rate,999999999,,,,,,,,,,14178.18719,case rate,999999999,,,,,,,,,,14178.18719,case rate,999999999,,,,,,,,,,14178.18719,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
662-1 - SICKLE CELL ANEMIA CRISIS,662-1,APR-DRG,,,,inpatient,,,999999999,,3096.763668,3096.763668,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3096.763668,case rate,999999999,,,,,,,,,,3096.763668,case rate,999999999,,,,,,,,,,3096.763668,case rate,999999999,,,,,,,,,,3096.763668,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
662-2 - SICKLE CELL ANEMIA CRISIS,662-2,APR-DRG,,,,inpatient,,,999999999,,4246.49279,4246.49279,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4246.49279,case rate,999999999,,,,,,,,,,4246.49279,case rate,999999999,,,,,,,,,,4246.49279,case rate,999999999,,,,,,,,,,4246.49279,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
662-3 - SICKLE CELL ANEMIA CRISIS,662-3,APR-DRG,,,,inpatient,,,999999999,,6020.990598,6020.990598,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6020.990598,case rate,999999999,,,,,,,,,,6020.990598,case rate,999999999,,,,,,,,,,6020.990598,case rate,999999999,,,,,,,,,,6020.990598,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
662-4 - SICKLE CELL ANEMIA CRISIS,662-4,APR-DRG,,,,inpatient,,,999999999,,11320.49909,11320.49909,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11320.49909,case rate,999999999,,,,,,,,,,11320.49909,case rate,999999999,,,,,,,,,,11320.49909,case rate,999999999,,,,,,,,,,11320.49909,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
663-1 - OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS,663-1,APR-DRG,,,,inpatient,,,999999999,,2964.459712,2964.459712,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2964.459712,case rate,999999999,,,,,,,,,,2964.459712,case rate,999999999,,,,,,,,,,2964.459712,case rate,999999999,,,,,,,,,,2964.459712,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
663-2 - OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS,663-2,APR-DRG,,,,inpatient,,,999999999,,4193.106983,4193.106983,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4193.106983,case rate,999999999,,,,,,,,,,4193.106983,case rate,999999999,,,,,,,,,,4193.106983,case rate,999999999,,,,,,,,,,4193.106983,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
663-3 - OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS,663-3,APR-DRG,,,,inpatient,,,999999999,,5855.804078,5855.804078,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5855.804078,case rate,999999999,,,,,,,,,,5855.804078,case rate,999999999,,,,,,,,,,5855.804078,case rate,999999999,,,,,,,,,,5855.804078,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
663-4 - OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS,663-4,APR-DRG,,,,inpatient,,,999999999,,9680.23951,9680.23951,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9680.23951,case rate,999999999,,,,,,,,,,9680.23951,case rate,999999999,,,,,,,,,,9680.23951,case rate,999999999,,,,,,,,,,9680.23951,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"680-1 - MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS",680-1,APR-DRG,,,,inpatient,,,999999999,,9740.201829,9740.201829,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9740.201829,case rate,999999999,,,,,,,,,,9740.201829,case rate,999999999,,,,,,,,,,9740.201829,case rate,999999999,,,,,,,,,,9740.201829,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"680-2 - MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS",680-2,APR-DRG,,,,inpatient,,,999999999,,12851.27908,12851.27908,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12851.27908,case rate,999999999,,,,,,,,,,12851.27908,case rate,999999999,,,,,,,,,,12851.27908,case rate,999999999,,,,,,,,,,12851.27908,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"680-3 - MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS",680-3,APR-DRG,,,,inpatient,,,999999999,,21135.75053,21135.75053,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21135.75053,case rate,999999999,,,,,,,,,,21135.75053,case rate,999999999,,,,,,,,,,21135.75053,case rate,999999999,,,,,,,,,,21135.75053,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"680-4 - MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS",680-4,APR-DRG,,,,inpatient,,,999999999,,40491.20045,40491.20045,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,40491.20045,case rate,999999999,,,,,,,,,,40491.20045,case rate,999999999,,,,,,,,,,40491.20045,case rate,999999999,,,,,,,,,,40491.20045,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"681-1 - OTHER  O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS",681-1,APR-DRG,,,,inpatient,,,999999999,,7203.989136,7203.989136,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7203.989136,case rate,999999999,,,,,,,,,,7203.989136,case rate,999999999,,,,,,,,,,7203.989136,case rate,999999999,,,,,,,,,,7203.989136,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"681-2 - OTHER  O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS",681-2,APR-DRG,,,,inpatient,,,999999999,,9454.316963,9454.316963,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9454.316963,case rate,999999999,,,,,,,,,,9454.316963,case rate,999999999,,,,,,,,,,9454.316963,case rate,999999999,,,,,,,,,,9454.316963,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"681-3 - OTHER  O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS",681-3,APR-DRG,,,,inpatient,,,999999999,,16228.12481,16228.12481,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16228.12481,case rate,999999999,,,,,,,,,,16228.12481,case rate,999999999,,,,,,,,,,16228.12481,case rate,999999999,,,,,,,,,,16228.12481,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"681-4 - OTHER  O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS",681-4,APR-DRG,,,,inpatient,,,999999999,,34527.4642,34527.4642,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,34527.4642,case rate,999999999,,,,,,,,,,34527.4642,case rate,999999999,,,,,,,,,,34527.4642,case rate,999999999,,,,,,,,,,34527.4642,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
690-1 - ACUTE LEUKEMIA,690-1,APR-DRG,,,,inpatient,,,999999999,,5262.757395,5262.757395,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5262.757395,case rate,999999999,,,,,,,,,,5262.757395,case rate,999999999,,,,,,,,,,5262.757395,case rate,3991.41,,,,,,,,,,5262.757395,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
690-2 - ACUTE LEUKEMIA,690-2,APR-DRG,,,,inpatient,,,999999999,,10190.49951,10190.49951,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10190.49951,case rate,999999999,,,,,,,,,,10190.49951,case rate,999999999,,,,,,,,,,10190.49951,case rate,999999999,,,,,,,,,,10190.49951,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
690-3 - ACUTE LEUKEMIA,690-3,APR-DRG,,,,inpatient,,,999999999,,18982.13612,18982.13612,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18982.13612,case rate,999999999,,,,,,,,,,18982.13612,case rate,999999999,,,,,,,,,,18982.13612,case rate,999999999,,,,,,,,,,18982.13612,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
690-4 - ACUTE LEUKEMIA,690-4,APR-DRG,,,,inpatient,,,999999999,,33050.07002,33050.07002,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,33050.07002,case rate,999999999,,,,,,,,,,33050.07002,case rate,999999999,,,,,,,,,,33050.07002,case rate,999999999,,,,,,,,,,33050.07002,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"691-1 - LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA",691-1,APR-DRG,,,,inpatient,,,999999999,,5376.492375,5376.492375,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5376.492375,case rate,999999999,,,,,,,,,,5376.492375,case rate,999999999,,,,,,,,,,5376.492375,case rate,999999999,,,,,,,,,,5376.492375,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"691-2 - LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA",691-2,APR-DRG,,,,inpatient,,,999999999,,6968.395248,6968.395248,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6968.395248,case rate,999999999,,,,,,,,,,6968.395248,case rate,999999999,,,,,,,,,,6968.395248,case rate,999999999,,,,,,,,,,6968.395248,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"691-3 - LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA",691-3,APR-DRG,,,,inpatient,,,999999999,,10438.85957,10438.85957,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10438.85957,case rate,999999999,,,,,,,,,,10438.85957,case rate,999999999,,,,,,,,,,10438.85957,case rate,999999999,,,,,,,,,,10438.85957,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"691-4 - LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA",691-4,APR-DRG,,,,inpatient,,,999999999,,19421.6019,19421.6019,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19421.6019,case rate,999999999,,,,,,,,,,19421.6019,case rate,999999999,,,,,,,,,,19421.6019,case rate,999999999,,,,,,,,,,19421.6019,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
692-1 - RADIOTHERAPY,692-1,APR-DRG,,,,inpatient,,,999999999,,3772.597039,3772.597039,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3772.597039,case rate,999999999,,,,,,,,,,3772.597039,case rate,999999999,,,,,,,,,,3772.597039,case rate,999999999,,,,,,,,,,3772.597039,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
692-2 - RADIOTHERAPY,692-2,APR-DRG,,,,inpatient,,,999999999,,6397.01237,6397.01237,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6397.01237,case rate,999999999,,,,,,,,,,6397.01237,case rate,999999999,,,,,,,,,,6397.01237,case rate,999999999,,,,,,,,,,6397.01237,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
692-3 - RADIOTHERAPY,692-3,APR-DRG,,,,inpatient,,,999999999,,11604.44969,11604.44969,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11604.44969,case rate,999999999,,,,,,,,,,11604.44969,case rate,999999999,,,,,,,,,,11604.44969,case rate,999999999,,,,,,,,,,11604.44969,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
692-4 - RADIOTHERAPY,692-4,APR-DRG,,,,inpatient,,,999999999,,20624.32998,20624.32998,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20624.32998,case rate,999999999,,,,,,,,,,20624.32998,case rate,999999999,,,,,,,,,,20624.32998,case rate,999999999,,,,,,,,,,20624.32998,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
694-1 - LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR,694-1,APR-DRG,,,,inpatient,,,999999999,,3793.487137,3793.487137,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3793.487137,case rate,999999999,,,,,,,,,,3793.487137,case rate,999999999,,,,,,,,,,3793.487137,case rate,999999999,,,,,,,,,,3793.487137,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
694-2 - LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR,694-2,APR-DRG,,,,inpatient,,,999999999,,4747.081446,4747.081446,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4747.081446,case rate,999999999,,,,,,,,,,4747.081446,case rate,999999999,,,,,,,,,,4747.081446,case rate,999999999,,,,,,,,,,4747.081446,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
694-3 - LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR,694-3,APR-DRG,,,,inpatient,,,999999999,,6976.906029,6976.906029,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6976.906029,case rate,999999999,,,,,,,,,,6976.906029,case rate,999999999,,,,,,,,,,6976.906029,case rate,999999999,,,,,,,,,,6976.906029,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
694-4 - LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR,694-4,APR-DRG,,,,inpatient,,,999999999,,12051.65254,12051.65254,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12051.65254,case rate,999999999,,,,,,,,,,12051.65254,case rate,999999999,,,,,,,,,,12051.65254,case rate,999999999,,,,,,,,,,12051.65254,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
695-1 - CHEMOTHERAPY FOR ACUTE LEUKEMIA,695-1,APR-DRG,,,,inpatient,,,999999999,,3461.17983,3461.17983,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3461.17983,case rate,999999999,,,,,,,,,,3461.17983,case rate,999999999,,,,,,,,,,3461.17983,case rate,999999999,,,,,,,,,,3461.17983,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
695-2 - CHEMOTHERAPY FOR ACUTE LEUKEMIA,695-2,APR-DRG,,,,inpatient,,,999999999,,4794.277594,4794.277594,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4794.277594,case rate,999999999,,,,,,,,,,4794.277594,case rate,999999999,,,,,,,,,,4794.277594,case rate,999999999,,,,,,,,,,4794.277594,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
695-3 - CHEMOTHERAPY FOR ACUTE LEUKEMIA,695-3,APR-DRG,,,,inpatient,,,999999999,,10024.53928,10024.53928,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10024.53928,case rate,999999999,,,,,,,,,,10024.53928,case rate,999999999,,,,,,,,,,10024.53928,case rate,999999999,,,,,,,,,,10024.53928,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
695-4 - CHEMOTHERAPY FOR ACUTE LEUKEMIA,695-4,APR-DRG,,,,inpatient,,,999999999,,31104.96974,31104.96974,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,31104.96974,case rate,999999999,,,,,,,,,,31104.96974,case rate,999999999,,,,,,,,,,31104.96974,case rate,999999999,,,,,,,,,,31104.96974,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
696-1 - OTHER CHEMOTHERAPY,696-1,APR-DRG,,,,inpatient,,,999999999,,4018.249122,4018.249122,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4018.249122,case rate,999999999,,,,,,,,,,4018.249122,case rate,999999999,,,,,,,,,,4018.249122,case rate,999999999,,,,,,,,,,4018.249122,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
696-2 - OTHER CHEMOTHERAPY,696-2,APR-DRG,,,,inpatient,,,999999999,,5116.913559,5116.913559,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5116.913559,case rate,999999999,,,,,,,,,,5116.913559,case rate,999999999,,,,,,,,,,5116.913559,case rate,999999999,,,,,,,,,,5116.913559,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
696-3 - OTHER CHEMOTHERAPY,696-3,APR-DRG,,,,inpatient,,,999999999,,7617.535714,7617.535714,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7617.535714,case rate,999999999,,,,,,,,,,7617.535714,case rate,999999999,,,,,,,,,,7617.535714,case rate,999999999,,,,,,,,,,7617.535714,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
696-4 - OTHER CHEMOTHERAPY,696-4,APR-DRG,,,,inpatient,,,999999999,,15140.67913,15140.67913,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15140.67913,case rate,999999999,,,,,,,,,,15140.67913,case rate,999999999,,,,,,,,,,15140.67913,case rate,999999999,,,,,,,,,,15140.67913,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
710-1 - INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE,710-1,APR-DRG,,,,inpatient,,,999999999,,6358.327002,6358.327002,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6358.327002,case rate,999999999,,,,,,,,,,6358.327002,case rate,999999999,,,,,,,,,,6358.327002,case rate,999999999,,,,,,,,,,6358.327002,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
710-2 - INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE,710-2,APR-DRG,,,,inpatient,,,999999999,,9198.606684,9198.606684,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9198.606684,case rate,999999999,,,,,,,,,,9198.606684,case rate,999999999,,,,,,,,,,9198.606684,case rate,999999999,,,,,,,,,,9198.606684,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
710-3 - INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE,710-3,APR-DRG,,,,inpatient,,,999999999,,15070.65862,15070.65862,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15070.65862,case rate,999999999,,,,,,,,,,15070.65862,case rate,999999999,,,,,,,,,,15070.65862,case rate,999999999,,,,,,,,,,15070.65862,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
710-4 - INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE,710-4,APR-DRG,,,,inpatient,,,999999999,,27793.88913,27793.88913,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,27793.88913,case rate,999999999,,,,,,,,,,27793.88913,case rate,999999999,,,,,,,,,,27793.88913,case rate,999999999,,,,,,,,,,27793.88913,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"711-1 - POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE",711-1,APR-DRG,,,,inpatient,,,999999999,,6461.23008,6461.23008,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6461.23008,case rate,999999999,,,,,,,,,,6461.23008,case rate,999999999,,,,,,,,,,6461.23008,case rate,999999999,,,,,,,,,,6461.23008,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"711-2 - POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE",711-2,APR-DRG,,,,inpatient,,,999999999,,8449.271116,8449.271116,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8449.271116,case rate,999999999,,,,,,,,,,8449.271116,case rate,999999999,,,,,,,,,,8449.271116,case rate,999999999,,,,,,,,,,8449.271116,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"711-3 - POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE",711-3,APR-DRG,,,,inpatient,,,999999999,,13961.93598,13961.93598,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13961.93598,case rate,999999999,,,,,,,,,,13961.93598,case rate,999999999,,,,,,,,,,13961.93598,case rate,999999999,,,,,,,,,,13961.93598,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"711-4 - POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE",711-4,APR-DRG,,,,inpatient,,,999999999,,26218.23412,26218.23412,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,26218.23412,case rate,999999999,,,,,,,,,,26218.23412,case rate,999999999,,,,,,,,,,26218.23412,case rate,999999999,,,,,,,,,,26218.23412,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
720-1 - SEPTICEMIA AND DISSEMINATED INFECTIONS,720-1,APR-DRG,,,,inpatient,,,999999999,,3552.477298,3552.477298,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3552.477298,case rate,999999999,,,,,,,,,,3552.477298,case rate,999999999,,,,,,,,,,3552.477298,case rate,999999999,,,,,,,,,,3552.477298,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
720-2 - SEPTICEMIA AND DISSEMINATED INFECTIONS,720-2,APR-DRG,,,,inpatient,,,999999999,,4568.355048,4568.355048,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4568.355048,case rate,999999999,,,,,,,,,,4568.355048,case rate,999999999,,,,,,,,,,4568.355048,case rate,999999999,,,,,,,,,,4568.355048,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
720-3 - SEPTICEMIA AND DISSEMINATED INFECTIONS,720-3,APR-DRG,,,,inpatient,,,999999999,,6715.392944,6715.392944,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6715.392944,case rate,999999999,,,,,,,,,,6715.392944,case rate,999999999,,,,,,,,,,6715.392944,case rate,999999999,,,,,,,,,,6715.392944,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
720-4 - SEPTICEMIA AND DISSEMINATED INFECTIONS,720-4,APR-DRG,,,,inpatient,,,999999999,,11714.31613,11714.31613,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11714.31613,case rate,999999999,,,,,,,,,,11714.31613,case rate,999999999,,,,,,,,,,11714.31613,case rate,999999999,,,,,,,,,,11714.31613,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"721-1 - POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS",721-1,APR-DRG,,,,inpatient,,,999999999,,3442.997708,3442.997708,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3442.997708,case rate,999999999,,,,,,,,,,3442.997708,case rate,999999999,,,,,,,,,,3442.997708,case rate,999999999,,,,,,,,,,3442.997708,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"721-2 - POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS",721-2,APR-DRG,,,,inpatient,,,999999999,,4537.793608,4537.793608,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4537.793608,case rate,999999999,,,,,,,,,,4537.793608,case rate,999999999,,,,,,,,,,4537.793608,case rate,999999999,,,,,,,,,,4537.793608,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"721-3 - POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS",721-3,APR-DRG,,,,inpatient,,,999999999,,7156.01928,7156.01928,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7156.01928,case rate,999999999,,,,,,,,,,7156.01928,case rate,999999999,,,,,,,,,,7156.01928,case rate,999999999,,,,,,,,,,7156.01928,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"721-4 - POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS",721-4,APR-DRG,,,,inpatient,,,999999999,,12822.26506,12822.26506,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12822.26506,case rate,999999999,,,,,,,,,,12822.26506,case rate,999999999,,,,,,,,,,12822.26506,case rate,999999999,,,,,,,,,,12822.26506,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
722-1 - FEVER AND INFLAMMATORY CONDITIONS,722-1,APR-DRG,,,,inpatient,,,999999999,,2348.588661,2348.588661,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2348.588661,case rate,999999999,,,,,,,,,,2348.588661,case rate,999999999,,,,,,,,,,2348.588661,case rate,999999999,,,,,,,,,,2348.588661,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
722-2 - FEVER AND INFLAMMATORY CONDITIONS,722-2,APR-DRG,,,,inpatient,,,999999999,,3523.850126,3523.850126,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3523.850126,case rate,999999999,,,,,,,,,,3523.850126,case rate,999999999,,,,,,,,,,3523.850126,case rate,999999999,,,,,,,,,,3523.850126,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
722-3 - FEVER AND INFLAMMATORY CONDITIONS,722-3,APR-DRG,,,,inpatient,,,999999999,,4802.401521,4802.401521,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4802.401521,case rate,999999999,,,,,,,,,,4802.401521,case rate,999999999,,,,,,,,,,4802.401521,case rate,999999999,,,,,,,,,,4802.401521,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
722-4 - FEVER AND INFLAMMATORY CONDITIONS,722-4,APR-DRG,,,,inpatient,,,999999999,,6970.329516,6970.329516,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6970.329516,case rate,999999999,,,,,,,,,,6970.329516,case rate,999999999,,,,,,,,,,6970.329516,case rate,999999999,,,,,,,,,,6970.329516,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
723-1 - VIRAL ILLNESS,723-1,APR-DRG,,,,inpatient,,,999999999,,2253.035803,2253.035803,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2253.035803,case rate,999999999,,,,,,,,,,2253.035803,case rate,999999999,,,,,,,,,,2253.035803,case rate,999999999,,,,,,,,,,2253.035803,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
723-2 - VIRAL ILLNESS,723-2,APR-DRG,,,,inpatient,,,999999999,,3214.367186,3214.367186,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3214.367186,case rate,999999999,,,,,,,,,,3214.367186,case rate,999999999,,,,,,,,,,3214.367186,case rate,999999999,,,,,,,,,,3214.367186,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
723-3 - VIRAL ILLNESS,723-3,APR-DRG,,,,inpatient,,,999999999,,4823.678474,4823.678474,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4823.678474,case rate,999999999,,,,,,,,,,4823.678474,case rate,999999999,,,,,,,,,,4823.678474,case rate,999999999,,,,,,,,,,4823.678474,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
723-4 - VIRAL ILLNESS,723-4,APR-DRG,,,,inpatient,,,999999999,,9528.206015,9528.206015,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9528.206015,case rate,999999999,,,,,,,,,,9528.206015,case rate,999999999,,,,,,,,,,9528.206015,case rate,999999999,,,,,,,,,,9528.206015,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
724-1 - OTHER INFECTIOUS AND PARASITIC DISEASES,724-1,APR-DRG,,,,inpatient,,,999999999,,3463.114099,3463.114099,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3463.114099,case rate,999999999,,,,,,,,,,3463.114099,case rate,999999999,,,,,,,,,,3463.114099,case rate,999999999,,,,,,,,,,3463.114099,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
724-2 - OTHER INFECTIOUS AND PARASITIC DISEASES,724-2,APR-DRG,,,,inpatient,,,999999999,,4149.005664,4149.005664,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4149.005664,case rate,999999999,,,,,,,,,,4149.005664,case rate,999999999,,,,,,,,,,4149.005664,case rate,999999999,,,,,,,,,,4149.005664,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
724-3 - OTHER INFECTIOUS AND PARASITIC DISEASES,724-3,APR-DRG,,,,inpatient,,,999999999,,6922.746514,6922.746514,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6922.746514,case rate,999999999,,,,,,,,,,6922.746514,case rate,999999999,,,,,,,,,,6922.746514,case rate,999999999,,,,,,,,,,6922.746514,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
724-4 - OTHER INFECTIOUS AND PARASITIC DISEASES,724-4,APR-DRG,,,,inpatient,,,999999999,,13948.39611,13948.39611,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13948.39611,case rate,999999999,,,,,,,,,,13948.39611,case rate,999999999,,,,,,,,,,13948.39611,case rate,999999999,,,,,,,,,,13948.39611,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
740-1 - MENTAL ILLNESS DIAGNOSIS WITH O.R. PROCEDURE,740-1,APR-DRG,,,,inpatient,,,999999999,,7108.436278,7108.436278,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7108.436278,case rate,999999999,,,,,,,,,,7108.436278,case rate,999999999,,,,,,,,,,7108.436278,case rate,999999999,,,,,,,,,,7108.436278,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
740-2 - MENTAL ILLNESS DIAGNOSIS WITH O.R. PROCEDURE,740-2,APR-DRG,,,,inpatient,,,999999999,,10935.19283,10935.19283,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10935.19283,case rate,999999999,,,,,,,,,,10935.19283,case rate,999999999,,,,,,,,,,10935.19283,case rate,999999999,,,,,,,,,,10935.19283,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
740-3 - MENTAL ILLNESS DIAGNOSIS WITH O.R. PROCEDURE,740-3,APR-DRG,,,,inpatient,,,999999999,,14762.33624,14762.33624,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14762.33624,case rate,999999999,,,,,,,,,,14762.33624,case rate,999999999,,,,,,,,,,14762.33624,case rate,999999999,,,,,,,,,,14762.33624,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
740-4 - MENTAL ILLNESS DIAGNOSIS WITH O.R. PROCEDURE,740-4,APR-DRG,,,,inpatient,,,999999999,,35255.90967,35255.90967,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,35255.90967,case rate,999999999,,,,,,,,,,35255.90967,case rate,999999999,,,,,,,,,,35255.90967,case rate,999999999,,,,,,,,,,35255.90967,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
750-1 - SCHIZOPHRENIA,750-1,APR-DRG,,,,inpatient,,,999999999,,3281.292871,3281.292871,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3281.292871,case rate,999999999,,,,,,,,,,3281.292871,case rate,999999999,,,,,,,,,,3281.292871,case rate,999999999,,,,,,,,,,3281.292871,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
750-2 - SCHIZOPHRENIA,750-2,APR-DRG,,,,inpatient,,,999999999,,4089.817052,4089.817052,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4089.817052,case rate,999999999,,,,,,,,,,4089.817052,case rate,999999999,,,,,,,,,,4089.817052,case rate,999999999,,,,,,,,,,4089.817052,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
750-3 - SCHIZOPHRENIA,750-3,APR-DRG,,,,inpatient,,,999999999,,6846.149486,6846.149486,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6846.149486,case rate,999999999,,,,,,,,,,6846.149486,case rate,999999999,,,,,,,,,,6846.149486,case rate,999999999,,,,,,,,,,6846.149486,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
750-4 - SCHIZOPHRENIA,750-4,APR-DRG,,,,inpatient,,,999999999,,15481.88407,15481.88407,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15481.88407,case rate,999999999,,,,,,,,,,15481.88407,case rate,999999999,,,,,,,,,,15481.88407,case rate,999999999,,,,,,,,,,15481.88407,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
751-1 - MAJOR DEPRESSIVE DISORDERS AND OTHER OR UNSPECIFIED PSYCHOSES,751-1,APR-DRG,,,,inpatient,,,999999999,,2258.064901,2258.064901,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2258.064901,case rate,999999999,,,,,,,,,,2258.064901,case rate,999999999,,,,,,,,,,2258.064901,case rate,999999999,,,,,,,,,,2258.064901,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
751-2 - MAJOR DEPRESSIVE DISORDERS AND OTHER OR UNSPECIFIED PSYCHOSES,751-2,APR-DRG,,,,inpatient,,,999999999,,3040.669886,3040.669886,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3040.669886,case rate,999999999,,,,,,,,,,3040.669886,case rate,999999999,,,,,,,,,,3040.669886,case rate,999999999,,,,,,,,,,3040.669886,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
751-3 - MAJOR DEPRESSIVE DISORDERS AND OTHER OR UNSPECIFIED PSYCHOSES,751-3,APR-DRG,,,,inpatient,,,999999999,,5592.356726,5592.356726,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5592.356726,case rate,999999999,,,,,,,,,,5592.356726,case rate,999999999,,,,,,,,,,5592.356726,case rate,999999999,,,,,,,,,,5592.356726,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
751-4 - MAJOR DEPRESSIVE DISORDERS AND OTHER OR UNSPECIFIED PSYCHOSES,751-4,APR-DRG,,,,inpatient,,,999999999,,11373.8849,11373.8849,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11373.8849,case rate,999999999,,,,,,,,,,11373.8849,case rate,999999999,,,,,,,,,,11373.8849,case rate,999999999,,,,,,,,,,11373.8849,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
752-1 - DISORDERS OF PERSONALITY AND IMPULSE CONTROL,752-1,APR-DRG,,,,inpatient,,,999999999,,1808.154077,1808.154077,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1808.154077,case rate,999999999,,,,,,,,,,1808.154077,case rate,999999999,,,,,,,,,,1808.154077,case rate,999999999,,,,,,,,,,1808.154077,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
752-2 - DISORDERS OF PERSONALITY AND IMPULSE CONTROL,752-2,APR-DRG,,,,inpatient,,,999999999,,2547.818304,2547.818304,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2547.818304,case rate,999999999,,,,,,,,,,2547.818304,case rate,999999999,,,,,,,,,,2547.818304,case rate,999999999,,,,,,,,,,2547.818304,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
752-3 - DISORDERS OF PERSONALITY AND IMPULSE CONTROL,752-3,APR-DRG,,,,inpatient,,,999999999,,5839.556224,5839.556224,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5839.556224,case rate,999999999,,,,,,,,,,5839.556224,case rate,999999999,,,,,,,,,,5839.556224,case rate,999999999,,,,,,,,,,5839.556224,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
752-4 - DISORDERS OF PERSONALITY AND IMPULSE CONTROL,752-4,APR-DRG,,,,inpatient,,,999999999,,23119.53618,23119.53618,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23119.53618,case rate,999999999,,,,,,,,,,23119.53618,case rate,999999999,,,,,,,,,,23119.53618,case rate,999999999,,,,,,,,,,23119.53618,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
753-1 - BIPOLAR DISORDERS,753-1,APR-DRG,,,,inpatient,,,999999999,,2467.352739,2467.352739,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2467.352739,case rate,999999999,,,,,,,,,,2467.352739,case rate,999999999,,,,,,,,,,2467.352739,case rate,999999999,,,,,,,,,,2467.352739,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
753-2 - BIPOLAR DISORDERS,753-2,APR-DRG,,,,inpatient,,,999999999,,3332.74441,3332.74441,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3332.74441,case rate,999999999,,,,,,,,,,3332.74441,case rate,999999999,,,,,,,,,,3332.74441,case rate,999999999,,,,,,,,,,3332.74441,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
753-3 - BIPOLAR DISORDERS,753-3,APR-DRG,,,,inpatient,,,999999999,,5903.387081,5903.387081,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5903.387081,case rate,999999999,,,,,,,,,,5903.387081,case rate,999999999,,,,,,,,,,5903.387081,case rate,999999999,,,,,,,,,,5903.387081,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
753-4 - BIPOLAR DISORDERS,753-4,APR-DRG,,,,inpatient,,,999999999,,11200.96131,11200.96131,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11200.96131,case rate,999999999,,,,,,,,,,11200.96131,case rate,999999999,,,,,,,,,,11200.96131,case rate,999999999,,,,,,,,,,11200.96131,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
754-1 - DEPRESSION EXCEPT MAJOR DEPRESSIVE DISORDER,754-1,APR-DRG,,,,inpatient,,,999999999,,2005.449451,2005.449451,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2005.449451,case rate,999999999,,,,,,,,,,2005.449451,case rate,999999999,,,,,,,,,,2005.449451,case rate,999999999,,,,,,,,,,2005.449451,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
754-2 - DEPRESSION EXCEPT MAJOR DEPRESSIVE DISORDER,754-2,APR-DRG,,,,inpatient,,,999999999,,2683.21709,2683.21709,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2683.21709,case rate,999999999,,,,,,,,,,2683.21709,case rate,999999999,,,,,,,,,,2683.21709,case rate,999999999,,,,,,,,,,2683.21709,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
754-3 - DEPRESSION EXCEPT MAJOR DEPRESSIVE DISORDER,754-3,APR-DRG,,,,inpatient,,,999999999,,4256.550986,4256.550986,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4256.550986,case rate,999999999,,,,,,,,,,4256.550986,case rate,999999999,,,,,,,,,,4256.550986,case rate,999999999,,,,,,,,,,4256.550986,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
754-4 - DEPRESSION EXCEPT MAJOR DEPRESSIVE DISORDER,754-4,APR-DRG,,,,inpatient,,,999999999,,9002.085017,9002.085017,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9002.085017,case rate,999999999,,,,,,,,,,9002.085017,case rate,999999999,,,,,,,,,,9002.085017,case rate,999999999,,,,,,,,,,9002.085017,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
755-1 - ADJUSTMENT DISORDERS AND NEUROSES EXCEPT DEPRESSIVE DIAGNOSES,755-1,APR-DRG,,,,inpatient,,,999999999,,1824.015078,1824.015078,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1824.015078,case rate,999999999,,,,,,,,,,1824.015078,case rate,999999999,,,,,,,,,,1824.015078,case rate,999999999,,,,,,,,,,1824.015078,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
755-2 - ADJUSTMENT DISORDERS AND NEUROSES EXCEPT DEPRESSIVE DIAGNOSES,755-2,APR-DRG,,,,inpatient,,,999999999,,2674.319455,2674.319455,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2674.319455,case rate,999999999,,,,,,,,,,2674.319455,case rate,999999999,,,,,,,,,,2674.319455,case rate,999999999,,,,,,,,,,2674.319455,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
755-3 - ADJUSTMENT DISORDERS AND NEUROSES EXCEPT DEPRESSIVE DIAGNOSES,755-3,APR-DRG,,,,inpatient,,,999999999,,4192.333276,4192.333276,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4192.333276,case rate,999999999,,,,,,,,,,4192.333276,case rate,999999999,,,,,,,,,,4192.333276,case rate,999999999,,,,,,,,,,4192.333276,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
755-4 - ADJUSTMENT DISORDERS AND NEUROSES EXCEPT DEPRESSIVE DIAGNOSES,755-4,APR-DRG,,,,inpatient,,,999999999,,7226.813503,7226.813503,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7226.813503,case rate,999999999,,,,,,,,,,7226.813503,case rate,999999999,,,,,,,,,,7226.813503,case rate,999999999,,,,,,,,,,7226.813503,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
756-1 - ACUTE ANXIETY AND DELIRIUM STATES,756-1,APR-DRG,,,,inpatient,,,999999999,,2714.165384,2714.165384,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2714.165384,case rate,999999999,,,,,,,,,,2714.165384,case rate,999999999,,,,,,,,,,2714.165384,case rate,999999999,,,,,,,,,,2714.165384,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
756-2 - ACUTE ANXIETY AND DELIRIUM STATES,756-2,APR-DRG,,,,inpatient,,,999999999,,3549.769322,3549.769322,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3549.769322,case rate,999999999,,,,,,,,,,3549.769322,case rate,999999999,,,,,,,,,,3549.769322,case rate,999999999,,,,,,,,,,3549.769322,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
756-3 - ACUTE ANXIETY AND DELIRIUM STATES,756-3,APR-DRG,,,,inpatient,,,999999999,,3679.752157,3679.752157,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3679.752157,case rate,999999999,,,,,,,,,,3679.752157,case rate,999999999,,,,,,,,,,3679.752157,case rate,999999999,,,,,,,,,,3679.752157,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
756-4 - ACUTE ANXIETY AND DELIRIUM STATES,756-4,APR-DRG,,,,inpatient,,,999999999,,7603.995836,7603.995836,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7603.995836,case rate,999999999,,,,,,,,,,7603.995836,case rate,999999999,,,,,,,,,,7603.995836,case rate,999999999,,,,,,,,,,7603.995836,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
757-1 - ORGANIC MENTAL HEALTH DISTURBANCES,757-1,APR-DRG,,,,inpatient,,,999999999,,2776.061972,2776.061972,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2776.061972,case rate,999999999,,,,,,,,,,2776.061972,case rate,999999999,,,,,,,,,,2776.061972,case rate,999999999,,,,,,,,,,2776.061972,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
757-2 - ORGANIC MENTAL HEALTH DISTURBANCES,757-2,APR-DRG,,,,inpatient,,,999999999,,3760.991428,3760.991428,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3760.991428,case rate,999999999,,,,,,,,,,3760.991428,case rate,999999999,,,,,,,,,,3760.991428,case rate,999999999,,,,,,,,,,3760.991428,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
757-3 - ORGANIC MENTAL HEALTH DISTURBANCES,757-3,APR-DRG,,,,inpatient,,,999999999,,5742.842805,5742.842805,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5742.842805,case rate,999999999,,,,,,,,,,5742.842805,case rate,999999999,,,,,,,,,,5742.842805,case rate,999999999,,,,,,,,,,5742.842805,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
757-4 - ORGANIC MENTAL HEALTH DISTURBANCES,757-4,APR-DRG,,,,inpatient,,,999999999,,13252.44634,13252.44634,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13252.44634,case rate,999999999,,,,,,,,,,13252.44634,case rate,999999999,,,,,,,,,,13252.44634,case rate,999999999,,,,,,,,,,13252.44634,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
758-1 - BEHAVIORAL DISORDERS,758-1,APR-DRG,,,,inpatient,,,999999999,,2311.063854,2311.063854,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2311.063854,case rate,999999999,,,,,,,,,,2311.063854,case rate,999999999,,,,,,,,,,2311.063854,case rate,999999999,,,,,,,,,,2311.063854,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
758-2 - BEHAVIORAL DISORDERS,758-2,APR-DRG,,,,inpatient,,,999999999,,2858.074951,2858.074951,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2858.074951,case rate,999999999,,,,,,,,,,2858.074951,case rate,999999999,,,,,,,,,,2858.074951,case rate,999999999,,,,,,,,,,2858.074951,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
758-3 - BEHAVIORAL DISORDERS,758-3,APR-DRG,,,,inpatient,,,999999999,,4984.609602,4984.609602,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4984.609602,case rate,999999999,,,,,,,,,,4984.609602,case rate,999999999,,,,,,,,,,4984.609602,case rate,999999999,,,,,,,,,,4984.609602,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
758-4 - BEHAVIORAL DISORDERS,758-4,APR-DRG,,,,inpatient,,,999999999,,6578.446743,6578.446743,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6578.446743,case rate,999999999,,,,,,,,,,6578.446743,case rate,999999999,,,,,,,,,,6578.446743,case rate,999999999,,,,,,,,,,6578.446743,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
759-1 - EATING DISORDERS,759-1,APR-DRG,,,,inpatient,,,999999999,,3688.649791,3688.649791,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3688.649791,case rate,999999999,,,,,,,,,,3688.649791,case rate,999999999,,,,,,,,,,3688.649791,case rate,999999999,,,,,,,,,,3688.649791,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
759-2 - EATING DISORDERS,759-2,APR-DRG,,,,inpatient,,,999999999,,5772.243685,5772.243685,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5772.243685,case rate,999999999,,,,,,,,,,5772.243685,case rate,999999999,,,,,,,,,,5772.243685,case rate,999999999,,,,,,,,,,5772.243685,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
759-3 - EATING DISORDERS,759-3,APR-DRG,,,,inpatient,,,999999999,,7985.820413,7985.820413,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7985.820413,case rate,999999999,,,,,,,,,,7985.820413,case rate,999999999,,,,,,,,,,7985.820413,case rate,999999999,,,,,,,,,,7985.820413,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
759-4 - EATING DISORDERS,759-4,APR-DRG,,,,inpatient,,,999999999,,32990.8814,32990.8814,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,32990.8814,case rate,999999999,,,,,,,,,,32990.8814,case rate,999999999,,,,,,,,,,32990.8814,case rate,999999999,,,,,,,,,,32990.8814,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
760-1 - OTHER MENTAL HEALTH DISORDERS,760-1,APR-DRG,,,,inpatient,,,999999999,,3207.403819,3207.403819,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3207.403819,case rate,999999999,,,,,,,,,,3207.403819,case rate,999999999,,,,,,,,,,3207.403819,case rate,999999999,,,,,,,,,,3207.403819,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
760-2 - OTHER MENTAL HEALTH DISORDERS,760-2,APR-DRG,,,,inpatient,,,999999999,,3941.652095,3941.652095,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3941.652095,case rate,999999999,,,,,,,,,,3941.652095,case rate,999999999,,,,,,,,,,3941.652095,case rate,999999999,,,,,,,,,,3941.652095,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
760-3 - OTHER MENTAL HEALTH DISORDERS,760-3,APR-DRG,,,,inpatient,,,999999999,,5515.759698,5515.759698,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5515.759698,case rate,999999999,,,,,,,,,,5515.759698,case rate,999999999,,,,,,,,,,5515.759698,case rate,999999999,,,,,,,,,,5515.759698,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
760-4 - OTHER MENTAL HEALTH DISORDERS,760-4,APR-DRG,,,,inpatient,,,999999999,,9250.83193,9250.83193,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9250.83193,case rate,999999999,,,,,,,,,,9250.83193,case rate,999999999,,,,,,,,,,9250.83193,case rate,999999999,,,,,,,,,,9250.83193,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"770-1 - DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE",770-1,APR-DRG,,,,inpatient,,,999999999,,1567.144237,1567.144237,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1567.144237,case rate,999999999,,,,,,,,,,1567.144237,case rate,999999999,,,,,,,,,,1567.144237,case rate,999999999,,,,,,,,,,1567.144237,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"770-2 - DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE",770-2,APR-DRG,,,,inpatient,,,999999999,,2397.332224,2397.332224,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2397.332224,case rate,999999999,,,,,,,,,,2397.332224,case rate,999999999,,,,,,,,,,2397.332224,case rate,999999999,,,,,,,,,,2397.332224,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"770-3 - DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE",770-3,APR-DRG,,,,inpatient,,,999999999,,3797.742527,3797.742527,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3797.742527,case rate,999999999,,,,,,,,,,3797.742527,case rate,999999999,,,,,,,,,,3797.742527,case rate,999999999,,,,,,,,,,3797.742527,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"770-4 - DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE",770-4,APR-DRG,,,,inpatient,,,999999999,,7732.81811,7732.81811,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7732.81811,case rate,999999999,,,,,,,,,,7732.81811,case rate,999999999,,,,,,,,,,7732.81811,case rate,999999999,,,,,,,,,,7732.81811,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
772-1 - ALCOHOL AND DRUG DEPENDENCE WITH REHABILITATION AND/OR DETOXIFICATION THERAPY,772-1,APR-DRG,,,,inpatient,,,999999999,,2851.111585,2851.111585,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2851.111585,case rate,999999999,,,,,,,,,,2851.111585,case rate,999999999,,,,,,,,,,2851.111585,case rate,999999999,,,,,,,,,,2851.111585,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
772-2 - ALCOHOL AND DRUG DEPENDENCE WITH REHABILITATION AND/OR DETOXIFICATION THERAPY,772-2,APR-DRG,,,,inpatient,,,999999999,,3506.054857,3506.054857,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3506.054857,case rate,999999999,,,,,,,,,,3506.054857,case rate,999999999,,,,,,,,,,3506.054857,case rate,999999999,,,,,,,,,,3506.054857,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
772-3 - ALCOHOL AND DRUG DEPENDENCE WITH REHABILITATION AND/OR DETOXIFICATION THERAPY,772-3,APR-DRG,,,,inpatient,,,999999999,,4292.915231,4292.915231,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4292.915231,case rate,999999999,,,,,,,,,,4292.915231,case rate,999999999,,,,,,,,,,4292.915231,case rate,999999999,,,,,,,,,,4292.915231,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
772-4 - ALCOHOL AND DRUG DEPENDENCE WITH REHABILITATION AND/OR DETOXIFICATION THERAPY,772-4,APR-DRG,,,,inpatient,,,999999999,,11334.42582,11334.42582,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11334.42582,case rate,999999999,,,,,,,,,,11334.42582,case rate,999999999,,,,,,,,,,11334.42582,case rate,999999999,,,,,,,,,,11334.42582,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
773-1 - OPIOID ABUSE AND DEPENDENCE,773-1,APR-DRG,,,,inpatient,,,999999999,,1774.497807,1774.497807,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1774.497807,case rate,999999999,,,,,,,,,,1774.497807,case rate,999999999,,,,,,,,,,1774.497807,case rate,999999999,,,,,,,,,,1774.497807,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
773-2 - OPIOID ABUSE AND DEPENDENCE,773-2,APR-DRG,,,,inpatient,,,999999999,,2533.504718,2533.504718,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2533.504718,case rate,999999999,,,,,,,,,,2533.504718,case rate,999999999,,,,,,,,,,2533.504718,case rate,999999999,,,,,,,,,,2533.504718,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
773-3 - OPIOID ABUSE AND DEPENDENCE,773-3,APR-DRG,,,,inpatient,,,999999999,,4701.432712,4701.432712,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4701.432712,case rate,999999999,,,,,,,,,,4701.432712,case rate,999999999,,,,,,,,,,4701.432712,case rate,999999999,,,,,,,,,,4701.432712,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
773-4 - OPIOID ABUSE AND DEPENDENCE,773-4,APR-DRG,,,,inpatient,,,999999999,,10384.70005,10384.70005,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10384.70005,case rate,999999999,,,,,,,,,,10384.70005,case rate,999999999,,,,,,,,,,10384.70005,case rate,999999999,,,,,,,,,,10384.70005,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
774-1 - COCAINE ABUSE AND DEPENDENCE,774-1,APR-DRG,,,,inpatient,,,999999999,,2002.354622,2002.354622,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2002.354622,case rate,999999999,,,,,,,,,,2002.354622,case rate,999999999,,,,,,,,,,2002.354622,case rate,999999999,,,,,,,,,,2002.354622,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
774-2 - COCAINE ABUSE AND DEPENDENCE,774-2,APR-DRG,,,,inpatient,,,999999999,,2426.733103,2426.733103,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2426.733103,case rate,999999999,,,,,,,,,,2426.733103,case rate,999999999,,,,,,,,,,2426.733103,case rate,999999999,,,,,,,,,,2426.733103,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
774-3 - COCAINE ABUSE AND DEPENDENCE,774-3,APR-DRG,,,,inpatient,,,999999999,,4415.547846,4415.547846,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4415.547846,case rate,999999999,,,,,,,,,,4415.547846,case rate,999999999,,,,,,,,,,4415.547846,case rate,999999999,,,,,,,,,,4415.547846,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
774-4 - COCAINE ABUSE AND DEPENDENCE,774-4,APR-DRG,,,,inpatient,,,999999999,,10343.30671,10343.30671,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10343.30671,case rate,999999999,,,,,,,,,,10343.30671,case rate,999999999,,,,,,,,,,10343.30671,case rate,999999999,,,,,,,,,,10343.30671,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
775-1 - ALCOHOL ABUSE AND DEPENDENCE,775-1,APR-DRG,,,,inpatient,,,999999999,,2341.625295,2341.625295,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2341.625295,case rate,999999999,,,,,,,,,,2341.625295,case rate,999999999,,,,,,,,,,2341.625295,case rate,999999999,,,,,,,,,,2341.625295,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
775-2 - ALCOHOL ABUSE AND DEPENDENCE,775-2,APR-DRG,,,,inpatient,,,999999999,,3207.403819,3207.403819,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3207.403819,case rate,999999999,,,,,,,,,,3207.403819,case rate,999999999,,,,,,,,,,3207.403819,case rate,999999999,,,,,,,,,,3207.403819,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
775-3 - ALCOHOL ABUSE AND DEPENDENCE,775-3,APR-DRG,,,,inpatient,,,999999999,,5458.118501,5458.118501,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5458.118501,case rate,999999999,,,,,,,,,,5458.118501,case rate,999999999,,,,,,,,,,5458.118501,case rate,999999999,,,,,,,,,,5458.118501,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
775-4 - ALCOHOL ABUSE AND DEPENDENCE,775-4,APR-DRG,,,,inpatient,,,999999999,,12091.11161,12091.11161,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12091.11161,case rate,999999999,,,,,,,,,,12091.11161,case rate,999999999,,,,,,,,,,12091.11161,case rate,999999999,,,,,,,,,,12091.11161,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
776-1 - OTHER DRUG ABUSE AND DEPENDENCE,776-1,APR-DRG,,,,inpatient,,,999999999,,2454.586568,2454.586568,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2454.586568,case rate,999999999,,,,,,,,,,2454.586568,case rate,999999999,,,,,,,,,,2454.586568,case rate,999999999,,,,,,,,,,2454.586568,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
776-2 - OTHER DRUG ABUSE AND DEPENDENCE,776-2,APR-DRG,,,,inpatient,,,999999999,,2690.180456,2690.180456,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2690.180456,case rate,999999999,,,,,,,,,,2690.180456,case rate,999999999,,,,,,,,,,2690.180456,case rate,999999999,,,,,,,,,,2690.180456,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
776-3 - OTHER DRUG ABUSE AND DEPENDENCE,776-3,APR-DRG,,,,inpatient,,,999999999,,4704.140688,4704.140688,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4704.140688,case rate,999999999,,,,,,,,,,4704.140688,case rate,999999999,,,,,,,,,,4704.140688,case rate,999999999,,,,,,,,,,4704.140688,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
776-4 - OTHER DRUG ABUSE AND DEPENDENCE,776-4,APR-DRG,,,,inpatient,,,999999999,,8133.985371,8133.985371,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8133.985371,case rate,999999999,,,,,,,,,,8133.985371,case rate,999999999,,,,,,,,,,8133.985371,case rate,999999999,,,,,,,,,,8133.985371,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
792-1 - EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,792-1,APR-DRG,,,,inpatient,,,999999999,,8518.904777,8518.904777,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8518.904777,case rate,999999999,,,,,,,,,,8518.904777,case rate,999999999,,,,,,,,,,8518.904777,case rate,999999999,,,,,,,,,,8518.904777,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
792-2 - EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,792-2,APR-DRG,,,,inpatient,,,999999999,,10775.80912,10775.80912,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10775.80912,case rate,999999999,,,,,,,,,,10775.80912,case rate,999999999,,,,,,,,,,10775.80912,case rate,999999999,,,,,,,,,,10775.80912,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
792-3 - EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,792-3,APR-DRG,,,,inpatient,,,999999999,,16055.20122,16055.20122,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16055.20122,case rate,999999999,,,,,,,,,,16055.20122,case rate,999999999,,,,,,,,,,16055.20122,case rate,999999999,,,,,,,,,,16055.20122,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
792-4 - EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,792-4,APR-DRG,,,,inpatient,,,999999999,,30138.2224,30138.2224,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,30138.2224,case rate,999999999,,,,,,,,,,30138.2224,case rate,999999999,,,,,,,,,,30138.2224,case rate,999999999,,,,,,,,,,30138.2224,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
793-1 - MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,793-1,APR-DRG,,,,inpatient,,,999999999,,6187.724532,6187.724532,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6187.724532,case rate,999999999,,,,,,,,,,6187.724532,case rate,999999999,,,,,,,,,,6187.724532,case rate,999999999,,,,,,,,,,6187.724532,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
793-2 - MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,793-2,APR-DRG,,,,inpatient,,,999999999,,8207.487569,8207.487569,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8207.487569,case rate,999999999,,,,,,,,,,8207.487569,case rate,999999999,,,,,,,,,,8207.487569,case rate,999999999,,,,,,,,,,8207.487569,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
793-3 - MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,793-3,APR-DRG,,,,inpatient,,,999999999,,12162.29269,12162.29269,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12162.29269,case rate,999999999,,,,,,,,,,12162.29269,case rate,999999999,,,,,,,,,,12162.29269,case rate,999999999,,,,,,,,,,12162.29269,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
793-4 - MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,793-4,APR-DRG,,,,inpatient,,,999999999,,23731.15184,23731.15184,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23731.15184,case rate,999999999,,,,,,,,,,23731.15184,case rate,999999999,,,,,,,,,,23731.15184,case rate,999999999,,,,,,,,,,23731.15184,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
794-1 - NON-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,794-1,APR-DRG,,,,inpatient,,,999999999,,5286.742323,5286.742323,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5286.742323,case rate,999999999,,,,,,,,,,5286.742323,case rate,999999999,,,,,,,,,,5286.742323,case rate,999999999,,,,,,,,,,5286.742323,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
794-2 - NON-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,794-2,APR-DRG,,,,inpatient,,,999999999,,6795.471655,6795.471655,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6795.471655,case rate,999999999,,,,,,,,,,6795.471655,case rate,999999999,,,,,,,,,,6795.471655,case rate,999999999,,,,,,,,,,6795.471655,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
794-3 - NON-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,794-3,APR-DRG,,,,inpatient,,,999999999,,9887.206226,9887.206226,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9887.206226,case rate,999999999,,,,,,,,,,9887.206226,case rate,999999999,,,,,,,,,,9887.206226,case rate,999999999,,,,,,,,,,9887.206226,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
794-4 - NON-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,794-4,APR-DRG,,,,inpatient,,,999999999,,17695.4608,17695.4608,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17695.4608,case rate,999999999,,,,,,,,,,17695.4608,case rate,999999999,,,,,,,,,,17695.4608,case rate,999999999,,,,,,,,,,17695.4608,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
810-1 - HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION,810-1,APR-DRG,,,,inpatient,,,999999999,,2812.813071,2812.813071,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2812.813071,case rate,999999999,,,,,,,,,,2812.813071,case rate,999999999,,,,,,,,,,2812.813071,case rate,999999999,,,,,,,,,,2812.813071,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
810-2 - HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION,810-2,APR-DRG,,,,inpatient,,,999999999,,3925.017387,3925.017387,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3925.017387,case rate,999999999,,,,,,,,,,3925.017387,case rate,999999999,,,,,,,,,,3925.017387,case rate,999999999,,,,,,,,,,3925.017387,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
810-3 - HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION,810-3,APR-DRG,,,,inpatient,,,999999999,,6168.768702,6168.768702,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6168.768702,case rate,999999999,,,,,,,,,,6168.768702,case rate,999999999,,,,,,,,,,6168.768702,case rate,999999999,,,,,,,,,,6168.768702,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
810-4 - HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION,810-4,APR-DRG,,,,inpatient,,,999999999,,12693.05593,12693.05593,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12693.05593,case rate,999999999,,,,,,,,,,12693.05593,case rate,999999999,,,,,,,,,,12693.05593,case rate,999999999,,,,,,,,,,12693.05593,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
811-1 - ALLERGIC REACTIONS,811-1,APR-DRG,,,,inpatient,,,999999999,,1988.814743,1988.814743,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1988.814743,case rate,999999999,,,,,,,,,,1988.814743,case rate,999999999,,,,,,,,,,1988.814743,case rate,999999999,,,,,,,,,,1988.814743,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
811-2 - ALLERGIC REACTIONS,811-2,APR-DRG,,,,inpatient,,,999999999,,2958.656906,2958.656906,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2958.656906,case rate,999999999,,,,,,,,,,2958.656906,case rate,999999999,,,,,,,,,,2958.656906,case rate,999999999,,,,,,,,,,2958.656906,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
811-3 - ALLERGIC REACTIONS,811-3,APR-DRG,,,,inpatient,,,999999999,,5689.456998,5689.456998,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5689.456998,case rate,999999999,,,,,,,,,,5689.456998,case rate,999999999,,,,,,,,,,5689.456998,case rate,999999999,,,,,,,,,,5689.456998,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
811-4 - ALLERGIC REACTIONS,811-4,APR-DRG,,,,inpatient,,,999999999,,11117.78777,11117.78777,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11117.78777,case rate,999999999,,,,,,,,,,11117.78777,case rate,999999999,,,,,,,,,,11117.78777,case rate,999999999,,,,,,,,,,11117.78777,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
812-1 - POISONING OF MEDICINAL AGENTS,812-1,APR-DRG,,,,inpatient,,,999999999,,2195.781459,2195.781459,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2195.781459,case rate,999999999,,,,,,,,,,2195.781459,case rate,999999999,,,,,,,,,,2195.781459,case rate,999999999,,,,,,,,,,2195.781459,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
812-2 - POISONING OF MEDICINAL AGENTS,812-2,APR-DRG,,,,inpatient,,,999999999,,3133.127914,3133.127914,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3133.127914,case rate,999999999,,,,,,,,,,3133.127914,case rate,999999999,,,,,,,,,,3133.127914,case rate,999999999,,,,,,,,,,3133.127914,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
812-3 - POISONING OF MEDICINAL AGENTS,812-3,APR-DRG,,,,inpatient,,,999999999,,4590.018854,4590.018854,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4590.018854,case rate,999999999,,,,,,,,,,4590.018854,case rate,999999999,,,,,,,,,,4590.018854,case rate,999999999,,,,,,,,,,4590.018854,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
812-4 - POISONING OF MEDICINAL AGENTS,812-4,APR-DRG,,,,inpatient,,,999999999,,8165.320518,8165.320518,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8165.320518,case rate,999999999,,,,,,,,,,8165.320518,case rate,999999999,,,,,,,,,,8165.320518,case rate,999999999,,,,,,,,,,8165.320518,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
813-1 - OTHER COMPLICATIONS OF TREATMENT,813-1,APR-DRG,,,,inpatient,,,999999999,,3414.370536,3414.370536,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3414.370536,case rate,999999999,,,,,,,,,,3414.370536,case rate,999999999,,,,,,,,,,3414.370536,case rate,999999999,,,,,,,,,,3414.370536,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
813-2 - OTHER COMPLICATIONS OF TREATMENT,813-2,APR-DRG,,,,inpatient,,,999999999,,4205.873155,4205.873155,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4205.873155,case rate,999999999,,,,,,,,,,4205.873155,case rate,999999999,,,,,,,,,,4205.873155,case rate,999999999,,,,,,,,,,4205.873155,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
813-3 - OTHER COMPLICATIONS OF TREATMENT,813-3,APR-DRG,,,,inpatient,,,999999999,,6099.13504,6099.13504,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6099.13504,case rate,999999999,,,,,,,,,,6099.13504,case rate,999999999,,,,,,,,,,6099.13504,case rate,999999999,,,,,,,,,,6099.13504,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
813-4 - OTHER COMPLICATIONS OF TREATMENT,813-4,APR-DRG,,,,inpatient,,,999999999,,10932.48486,10932.48486,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10932.48486,case rate,999999999,,,,,,,,,,10932.48486,case rate,999999999,,,,,,,,,,10932.48486,case rate,999999999,,,,,,,,,,10932.48486,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"815-1 - OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES",815-1,APR-DRG,,,,inpatient,,,999999999,,2387.274028,2387.274028,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2387.274028,case rate,999999999,,,,,,,,,,2387.274028,case rate,999999999,,,,,,,,,,2387.274028,case rate,999999999,,,,,,,,,,2387.274028,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"815-2 - OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES",815-2,APR-DRG,,,,inpatient,,,999999999,,3398.896389,3398.896389,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3398.896389,case rate,999999999,,,,,,,,,,3398.896389,case rate,999999999,,,,,,,,,,3398.896389,case rate,999999999,,,,,,,,,,3398.896389,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"815-3 - OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES",815-3,APR-DRG,,,,inpatient,,,999999999,,5569.145505,5569.145505,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5569.145505,case rate,999999999,,,,,,,,,,5569.145505,case rate,999999999,,,,,,,,,,5569.145505,case rate,999999999,,,,,,,,,,5569.145505,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"815-4 - OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES",815-4,APR-DRG,,,,inpatient,,,999999999,,11696.13401,11696.13401,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11696.13401,case rate,999999999,,,,,,,,,,11696.13401,case rate,999999999,,,,,,,,,,11696.13401,case rate,999999999,,,,,,,,,,11696.13401,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
816-1 - TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES,816-1,APR-DRG,,,,inpatient,,,999999999,,3229.067625,3229.067625,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3229.067625,case rate,999999999,,,,,,,,,,3229.067625,case rate,999999999,,,,,,,,,,3229.067625,case rate,999999999,,,,,,,,,,3229.067625,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
816-2 - TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES,816-2,APR-DRG,,,,inpatient,,,999999999,,3418.625926,3418.625926,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3418.625926,case rate,999999999,,,,,,,,,,3418.625926,case rate,999999999,,,,,,,,,,3418.625926,case rate,999999999,,,,,,,,,,3418.625926,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
816-3 - TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES,816-3,APR-DRG,,,,inpatient,,,999999999,,4518.06407,4518.06407,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4518.06407,case rate,999999999,,,,,,,,,,4518.06407,case rate,999999999,,,,,,,,,,4518.06407,case rate,999999999,,,,,,,,,,4518.06407,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
816-4 - TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES,816-4,APR-DRG,,,,inpatient,,,999999999,,8154.488615,8154.488615,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8154.488615,case rate,999999999,,,,,,,,,,8154.488615,case rate,999999999,,,,,,,,,,8154.488615,case rate,999999999,,,,,,,,,,8154.488615,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
817-1 - INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE,817-1,APR-DRG,,,,inpatient,,,999999999,,2389.208297,2389.208297,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2389.208297,case rate,999999999,,,,,,,,,,2389.208297,case rate,999999999,,,,,,,,,,2389.208297,case rate,999999999,,,,,,,,,,2389.208297,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
817-2 - INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE,817-2,APR-DRG,,,,inpatient,,,999999999,,3012.042714,3012.042714,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3012.042714,case rate,999999999,,,,,,,,,,3012.042714,case rate,999999999,,,,,,,,,,3012.042714,case rate,999999999,,,,,,,,,,3012.042714,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
817-3 - INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE,817-3,APR-DRG,,,,inpatient,,,999999999,,4894.085842,4894.085842,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4894.085842,case rate,999999999,,,,,,,,,,4894.085842,case rate,999999999,,,,,,,,,,4894.085842,case rate,999999999,,,,,,,,,,4894.085842,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
817-4 - INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE,817-4,APR-DRG,,,,inpatient,,,999999999,,8884.868354,8884.868354,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8884.868354,case rate,999999999,,,,,,,,,,8884.868354,case rate,999999999,,,,,,,,,,8884.868354,case rate,999999999,,,,,,,,,,8884.868354,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
841-1 - EXTENSIVE THIRD DEGREE BURNS WITH SKIN GRAFT,841-1,APR-DRG,,,,inpatient,,,999999999,,9853.93681,9853.93681,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9853.93681,case rate,999999999,,,,,,,,,,9853.93681,case rate,999999999,,,,,,,,,,9853.93681,case rate,999999999,,,,,,,,,,9853.93681,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
841-2 - EXTENSIVE THIRD DEGREE BURNS WITH SKIN GRAFT,841-2,APR-DRG,,,,inpatient,,,999999999,,11216.82231,11216.82231,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11216.82231,case rate,999999999,,,,,,,,,,11216.82231,case rate,999999999,,,,,,,,,,11216.82231,case rate,999999999,,,,,,,,,,11216.82231,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
841-3 - EXTENSIVE THIRD DEGREE BURNS WITH SKIN GRAFT,841-3,APR-DRG,,,,inpatient,,,999999999,,38315.14853,38315.14853,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,38315.14853,case rate,999999999,,,,,,,,,,38315.14853,case rate,999999999,,,,,,,,,,38315.14853,case rate,999999999,,,,,,,,,,38315.14853,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
841-4 - EXTENSIVE THIRD DEGREE BURNS WITH SKIN GRAFT,841-4,APR-DRG,,,,inpatient,,,999999999,,104404.0698,104404.0698,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,104404.0698,case rate,999999999,,,,,,,,,,104404.0698,case rate,999999999,,,,,,,,,,104404.0698,case rate,999999999,,,,,,,,,,104404.0698,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
842-1 - BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE THIRD DEGREE BURNS,842-1,APR-DRG,,,,inpatient,,,999999999,,7436.875048,7436.875048,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7436.875048,case rate,999999999,,,,,,,,,,7436.875048,case rate,999999999,,,,,,,,,,7436.875048,case rate,999999999,,,,,,,,,,7436.875048,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
842-2 - BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE THIRD DEGREE BURNS,842-2,APR-DRG,,,,inpatient,,,999999999,,11534.81603,11534.81603,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11534.81603,case rate,999999999,,,,,,,,,,11534.81603,case rate,999999999,,,,,,,,,,11534.81603,case rate,999999999,,,,,,,,,,11534.81603,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
842-3 - BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE THIRD DEGREE BURNS,842-3,APR-DRG,,,,inpatient,,,999999999,,21759.35866,21759.35866,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21759.35866,case rate,999999999,,,,,,,,,,21759.35866,case rate,999999999,,,,,,,,,,21759.35866,case rate,999999999,,,,,,,,,,21759.35866,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
842-4 - BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE THIRD DEGREE BURNS,842-4,APR-DRG,,,,inpatient,,,999999999,,52762.97273,52762.97273,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,52762.97273,case rate,999999999,,,,,,,,,,52762.97273,case rate,999999999,,,,,,,,,,52762.97273,case rate,999999999,,,,,,,,,,52762.97273,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
843-1 - EXTENSIVE THIRD DEGREE BURNS WITHOUT SKIN GRAFT,843-1,APR-DRG,,,,inpatient,,,999999999,,2864.651463,2864.651463,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2864.651463,case rate,999999999,,,,,,,,,,2864.651463,case rate,999999999,,,,,,,,,,2864.651463,case rate,999999999,,,,,,,,,,2864.651463,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
843-2 - EXTENSIVE THIRD DEGREE BURNS WITHOUT SKIN GRAFT,843-2,APR-DRG,,,,inpatient,,,999999999,,4396.205163,4396.205163,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4396.205163,case rate,999999999,,,,,,,,,,4396.205163,case rate,999999999,,,,,,,,,,4396.205163,case rate,999999999,,,,,,,,,,4396.205163,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
843-3 - EXTENSIVE THIRD DEGREE BURNS WITHOUT SKIN GRAFT,843-3,APR-DRG,,,,inpatient,,,999999999,,5956.772888,5956.772888,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5956.772888,case rate,999999999,,,,,,,,,,5956.772888,case rate,999999999,,,,,,,,,,5956.772888,case rate,999999999,,,,,,,,,,5956.772888,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
843-4 - EXTENSIVE THIRD DEGREE BURNS WITHOUT SKIN GRAFT,843-4,APR-DRG,,,,inpatient,,,999999999,,12266.74318,12266.74318,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12266.74318,case rate,999999999,,,,,,,,,,12266.74318,case rate,999999999,,,,,,,,,,12266.74318,case rate,999999999,,,,,,,,,,12266.74318,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
844-1 - PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT,844-1,APR-DRG,,,,inpatient,,,999999999,,2253.035803,2253.035803,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2253.035803,case rate,999999999,,,,,,,,,,2253.035803,case rate,999999999,,,,,,,,,,2253.035803,case rate,999999999,,,,,,,,,,2253.035803,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
844-2 - PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT,844-2,APR-DRG,,,,inpatient,,,999999999,,3651.124985,3651.124985,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3651.124985,case rate,999999999,,,,,,,,,,3651.124985,case rate,999999999,,,,,,,,,,3651.124985,case rate,999999999,,,,,,,,,,3651.124985,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
844-3 - PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT,844-3,APR-DRG,,,,inpatient,,,999999999,,6274.766609,6274.766609,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6274.766609,case rate,999999999,,,,,,,,,,6274.766609,case rate,999999999,,,,,,,,,,6274.766609,case rate,999999999,,,,,,,,,,6274.766609,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
844-4 - PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT,844-4,APR-DRG,,,,inpatient,,,999999999,,14490.3781,14490.3781,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14490.3781,case rate,999999999,,,,,,,,,,14490.3781,case rate,999999999,,,,,,,,,,14490.3781,case rate,999999999,,,,,,,,,,14490.3781,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"850-1 - PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEALTH SERVICES",850-1,APR-DRG,,,,inpatient,,,999999999,,10409.45869,10409.45869,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10409.45869,case rate,999999999,,,,,,,,,,10409.45869,case rate,999999999,,,,,,,,,,10409.45869,case rate,999999999,,,,,,,,,,10409.45869,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"850-2 - PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEALTH SERVICES",850-2,APR-DRG,,,,inpatient,,,999999999,,14118.22487,14118.22487,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14118.22487,case rate,999999999,,,,,,,,,,14118.22487,case rate,999999999,,,,,,,,,,14118.22487,case rate,999999999,,,,,,,,,,14118.22487,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"850-3 - PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEALTH SERVICES",850-3,APR-DRG,,,,inpatient,,,999999999,,17307.44657,17307.44657,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17307.44657,case rate,999999999,,,,,,,,,,17307.44657,case rate,999999999,,,,,,,,,,17307.44657,case rate,999999999,,,,,,,,,,17307.44657,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"850-4 - PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEALTH SERVICES",850-4,APR-DRG,,,,inpatient,,,999999999,,36770.44181,36770.44181,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,36770.44181,case rate,999999999,,,,,,,,,,36770.44181,case rate,999999999,,,,,,,,,,36770.44181,case rate,999999999,,,,,,,,,,36770.44181,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
860-1 - REHABILITATION,860-1,APR-DRG,,,,inpatient,,,999999999,,6060.449673,6060.449673,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6060.449673,case rate,999999999,,,,,,,,,,6060.449673,case rate,999999999,,,,,,,,,,6060.449673,case rate,999999999,,,,,,,,,,6060.449673,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
860-2 - REHABILITATION,860-2,APR-DRG,,,,inpatient,,,999999999,,7429.137975,7429.137975,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7429.137975,case rate,999999999,,,,,,,,,,7429.137975,case rate,999999999,,,,,,,,,,7429.137975,case rate,999999999,,,,,,,,,,7429.137975,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
860-3 - REHABILITATION,860-3,APR-DRG,,,,inpatient,,,999999999,,9462.054037,9462.054037,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9462.054037,case rate,999999999,,,,,,,,,,9462.054037,case rate,999999999,,,,,,,,,,9462.054037,case rate,999999999,,,,,,,,,,9462.054037,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
860-4 - REHABILITATION,860-4,APR-DRG,,,,inpatient,,,999999999,,11590.90981,11590.90981,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11590.90981,case rate,999999999,,,,,,,,,,11590.90981,case rate,999999999,,,,,,,,,,11590.90981,case rate,999999999,,,,,,,,,,11590.90981,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"861-1 - SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS",861-1,APR-DRG,,,,inpatient,,,999999999,,2155.548677,2155.548677,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2155.548677,case rate,999999999,,,,,,,,,,2155.548677,case rate,999999999,,,,,,,,,,2155.548677,case rate,999999999,,,,,,,,,,2155.548677,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"861-2 - SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS",861-2,APR-DRG,,,,inpatient,,,999999999,,3736.232793,3736.232793,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3736.232793,case rate,999999999,,,,,,,,,,3736.232793,case rate,999999999,,,,,,,,,,3736.232793,case rate,999999999,,,,,,,,,,3736.232793,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"861-3 - SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS",861-3,APR-DRG,,,,inpatient,,,999999999,,5227.166857,5227.166857,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5227.166857,case rate,999999999,,,,,,,,,,5227.166857,case rate,999999999,,,,,,,,,,5227.166857,case rate,999999999,,,,,,,,,,5227.166857,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"861-4 - SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS",861-4,APR-DRG,,,,inpatient,,,999999999,,5645.742533,5645.742533,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5645.742533,case rate,999999999,,,,,,,,,,5645.742533,case rate,999999999,,,,,,,,,,5645.742533,case rate,999999999,,,,,,,,,,5645.742533,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
862-1 - OTHER AFTERCARE AND CONVALESCENCE,862-1,APR-DRG,,,,inpatient,,,999999999,,2921.1321,2921.1321,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2921.1321,case rate,999999999,,,,,,,,,,2921.1321,case rate,999999999,,,,,,,,,,2921.1321,case rate,999999999,,,,,,,,,,2921.1321,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
862-2 - OTHER AFTERCARE AND CONVALESCENCE,862-2,APR-DRG,,,,inpatient,,,999999999,,4256.550986,4256.550986,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4256.550986,case rate,999999999,,,,,,,,,,4256.550986,case rate,999999999,,,,,,,,,,4256.550986,case rate,999999999,,,,,,,,,,4256.550986,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
862-3 - OTHER AFTERCARE AND CONVALESCENCE,862-3,APR-DRG,,,,inpatient,,,999999999,,4755.97908,4755.97908,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4755.97908,case rate,999999999,,,,,,,,,,4755.97908,case rate,999999999,,,,,,,,,,4755.97908,case rate,999999999,,,,,,,,,,4755.97908,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
862-4 - OTHER AFTERCARE AND CONVALESCENCE,862-4,APR-DRG,,,,inpatient,,,999999999,,4994.280944,4994.280944,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4994.280944,case rate,999999999,,,,,,,,,,4994.280944,case rate,999999999,,,,,,,,,,4994.280944,case rate,999999999,,,,,,,,,,4994.280944,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
863-1 - NEONATAL AFTERCARE,863-1,APR-DRG,,,,inpatient,,,999999999,,5360.631374,5360.631374,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5360.631374,case rate,999999999,,,,,,,,,,5360.631374,case rate,999999999,,,,,,,,,,5360.631374,case rate,2168.87,,,,,,,,,,5360.631374,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
863-2 - NEONATAL AFTERCARE,863-2,APR-DRG,,,,inpatient,,,999999999,,13636.59204,13636.59204,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13636.59204,case rate,999999999,,,,,,,,,,13636.59204,case rate,999999999,,,,,,,,,,13636.59204,case rate,999999999,,,,,,,,,,13636.59204,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
863-3 - NEONATAL AFTERCARE,863-3,APR-DRG,,,,inpatient,,,999999999,,26577.62118,26577.62118,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,26577.62118,case rate,999999999,,,,,,,,,,26577.62118,case rate,999999999,,,,,,,,,,26577.62118,case rate,999999999,,,,,,,,,,26577.62118,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
863-4 - NEONATAL AFTERCARE,863-4,APR-DRG,,,,inpatient,,,999999999,,41421.9704,41421.9704,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,41421.9704,case rate,999999999,,,,,,,,,,41421.9704,case rate,999999999,,,,,,,,,,41421.9704,case rate,999999999,,,,,,,,,,41421.9704,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
890-1 - HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS,890-1,APR-DRG,,,,inpatient,,,999999999,,5089.446948,5089.446948,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5089.446948,case rate,999999999,,,,,,,,,,5089.446948,case rate,999999999,,,,,,,,,,5089.446948,case rate,999999999,,,,,,,,,,5089.446948,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
890-2 - HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS,890-2,APR-DRG,,,,inpatient,,,999999999,,5357.536545,5357.536545,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5357.536545,case rate,999999999,,,,,,,,,,5357.536545,case rate,999999999,,,,,,,,,,5357.536545,case rate,999999999,,,,,,,,,,5357.536545,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
890-3 - HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS,890-3,APR-DRG,,,,inpatient,,,999999999,,7992.396926,7992.396926,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7992.396926,case rate,999999999,,,,,,,,,,7992.396926,case rate,999999999,,,,,,,,,,7992.396926,case rate,999999999,,,,,,,,,,7992.396926,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
890-4 - HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS,890-4,APR-DRG,,,,inpatient,,,999999999,,15271.82253,15271.82253,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15271.82253,case rate,999999999,,,,,,,,,,15271.82253,case rate,999999999,,,,,,,,,,15271.82253,case rate,999999999,,,,,,,,,,15271.82253,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
892-1 - HIV WITH MAJOR HIV RELATED CONDITION,892-1,APR-DRG,,,,inpatient,,,999999999,,4268.930304,4268.930304,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4268.930304,case rate,999999999,,,,,,,,,,4268.930304,case rate,999999999,,,,,,,,,,4268.930304,case rate,999999999,,,,,,,,,,4268.930304,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
892-2 - HIV WITH MAJOR HIV RELATED CONDITION,892-2,APR-DRG,,,,inpatient,,,999999999,,4534.698778,4534.698778,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4534.698778,case rate,999999999,,,,,,,,,,4534.698778,case rate,999999999,,,,,,,,,,4534.698778,case rate,999999999,,,,,,,,,,4534.698778,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
892-3 - HIV WITH MAJOR HIV RELATED CONDITION,892-3,APR-DRG,,,,inpatient,,,999999999,,6282.503682,6282.503682,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6282.503682,case rate,999999999,,,,,,,,,,6282.503682,case rate,999999999,,,,,,,,,,6282.503682,case rate,999999999,,,,,,,,,,6282.503682,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
892-4 - HIV WITH MAJOR HIV RELATED CONDITION,892-4,APR-DRG,,,,inpatient,,,999999999,,9771.923831,9771.923831,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9771.923831,case rate,999999999,,,,,,,,,,9771.923831,case rate,999999999,,,,,,,,,,9771.923831,case rate,999999999,,,,,,,,,,9771.923831,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
893-1 - HIV WITH MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS,893-1,APR-DRG,,,,inpatient,,,999999999,,4702.20642,4702.20642,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4702.20642,case rate,999999999,,,,,,,,,,4702.20642,case rate,999999999,,,,,,,,,,4702.20642,case rate,999999999,,,,,,,,,,4702.20642,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
893-2 - HIV WITH MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS,893-2,APR-DRG,,,,inpatient,,,999999999,,5093.315485,5093.315485,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5093.315485,case rate,999999999,,,,,,,,,,5093.315485,case rate,999999999,,,,,,,,,,5093.315485,case rate,999999999,,,,,,,,,,5093.315485,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
893-3 - HIV WITH MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS,893-3,APR-DRG,,,,inpatient,,,999999999,,7109.209985,7109.209985,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7109.209985,case rate,999999999,,,,,,,,,,7109.209985,case rate,999999999,,,,,,,,,,7109.209985,case rate,999999999,,,,,,,,,,7109.209985,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
893-4 - HIV WITH MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS,893-4,APR-DRG,,,,inpatient,,,999999999,,10852.793,10852.793,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10852.793,case rate,999999999,,,,,,,,,,10852.793,case rate,999999999,,,,,,,,,,10852.793,case rate,999999999,,,,,,,,,,10852.793,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
894-1 - HIV WITH ONE SIGNIFICANT HIV CONDITION OR WITHOUT SIGNIFICANT RELATED CONDITIONS,894-1,APR-DRG,,,,inpatient,,,999999999,,3466.595782,3466.595782,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3466.595782,case rate,999999999,,,,,,,,,,3466.595782,case rate,999999999,,,,,,,,,,3466.595782,case rate,999999999,,,,,,,,,,3466.595782,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
894-2 - HIV WITH ONE SIGNIFICANT HIV CONDITION OR WITHOUT SIGNIFICANT RELATED CONDITIONS,894-2,APR-DRG,,,,inpatient,,,999999999,,4338.177111,4338.177111,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4338.177111,case rate,999999999,,,,,,,,,,4338.177111,case rate,999999999,,,,,,,,,,4338.177111,case rate,999999999,,,,,,,,,,4338.177111,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
894-3 - HIV WITH ONE SIGNIFICANT HIV CONDITION OR WITHOUT SIGNIFICANT RELATED CONDITIONS,894-3,APR-DRG,,,,inpatient,,,999999999,,6276.314023,6276.314023,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6276.314023,case rate,999999999,,,,,,,,,,6276.314023,case rate,999999999,,,,,,,,,,6276.314023,case rate,999999999,,,,,,,,,,6276.314023,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
894-4 - HIV WITH ONE SIGNIFICANT HIV CONDITION OR WITHOUT SIGNIFICANT RELATED CONDITIONS,894-4,APR-DRG,,,,inpatient,,,999999999,,9700.742754,9700.742754,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9700.742754,case rate,999999999,,,,,,,,,,9700.742754,case rate,999999999,,,,,,,,,,9700.742754,case rate,999999999,,,,,,,,,,9700.742754,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
910-1 - CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA,910-1,APR-DRG,,,,inpatient,,,999999999,,18929.13717,18929.13717,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18929.13717,case rate,999999999,,,,,,,,,,18929.13717,case rate,999999999,,,,,,,,,,18929.13717,case rate,999999999,,,,,,,,,,18929.13717,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
910-2 - CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA,910-2,APR-DRG,,,,inpatient,,,999999999,,21653.7476,21653.7476,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21653.7476,case rate,999999999,,,,,,,,,,21653.7476,case rate,999999999,,,,,,,,,,21653.7476,case rate,999999999,,,,,,,,,,21653.7476,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
910-3 - CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA,910-3,APR-DRG,,,,inpatient,,,999999999,,24378.35804,24378.35804,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,24378.35804,case rate,999999999,,,,,,,,,,24378.35804,case rate,999999999,,,,,,,,,,24378.35804,case rate,999999999,,,,,,,,,,24378.35804,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
910-4 - CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA,910-4,APR-DRG,,,,inpatient,,,999999999,,40913.64467,40913.64467,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,40913.64467,case rate,999999999,,,,,,,,,,40913.64467,case rate,999999999,,,,,,,,,,40913.64467,case rate,999999999,,,,,,,,,,40913.64467,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
911-1 - EXTENSIVE ABDOMINAL OR THORACIC PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA,911-1,APR-DRG,,,,inpatient,,,999999999,,9857.031639,9857.031639,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9857.031639,case rate,999999999,,,,,,,,,,9857.031639,case rate,999999999,,,,,,,,,,9857.031639,case rate,999999999,,,,,,,,,,9857.031639,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
911-2 - EXTENSIVE ABDOMINAL OR THORACIC PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA,911-2,APR-DRG,,,,inpatient,,,999999999,,13353.41515,13353.41515,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13353.41515,case rate,999999999,,,,,,,,,,13353.41515,case rate,999999999,,,,,,,,,,13353.41515,case rate,999999999,,,,,,,,,,13353.41515,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
911-3 - EXTENSIVE ABDOMINAL OR THORACIC PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA,911-3,APR-DRG,,,,inpatient,,,999999999,,18190.24665,18190.24665,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18190.24665,case rate,999999999,,,,,,,,,,18190.24665,case rate,999999999,,,,,,,,,,18190.24665,case rate,999999999,,,,,,,,,,18190.24665,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
911-4 - EXTENSIVE ABDOMINAL OR THORACIC PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA,911-4,APR-DRG,,,,inpatient,,,999999999,,38652.87179,38652.87179,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,38652.87179,case rate,999999999,,,,,,,,,,38652.87179,case rate,999999999,,,,,,,,,,38652.87179,case rate,999999999,,,,,,,,,,38652.87179,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
912-1 - MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA,912-1,APR-DRG,,,,inpatient,,,999999999,,13151.86439,13151.86439,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13151.86439,case rate,999999999,,,,,,,,,,13151.86439,case rate,999999999,,,,,,,,,,13151.86439,case rate,999999999,,,,,,,,,,13151.86439,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
912-2 - MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA,912-2,APR-DRG,,,,inpatient,,,999999999,,13338.32786,13338.32786,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13338.32786,case rate,999999999,,,,,,,,,,13338.32786,case rate,999999999,,,,,,,,,,13338.32786,case rate,999999999,,,,,,,,,,13338.32786,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
912-3 - MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA,912-3,APR-DRG,,,,inpatient,,,999999999,,21150.83783,21150.83783,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21150.83783,case rate,999999999,,,,,,,,,,21150.83783,case rate,999999999,,,,,,,,,,21150.83783,case rate,999999999,,,,,,,,,,21150.83783,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
912-4 - MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA,912-4,APR-DRG,,,,inpatient,,,999999999,,37554.59421,37554.59421,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,37554.59421,case rate,999999999,,,,,,,,,,37554.59421,case rate,999999999,,,,,,,,,,37554.59421,case rate,999999999,,,,,,,,,,37554.59421,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
930-1 - MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE,930-1,APR-DRG,,,,inpatient,,,999999999,,4758.687056,4758.687056,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4758.687056,case rate,999999999,,,,,,,,,,4758.687056,case rate,999999999,,,,,,,,,,4758.687056,case rate,999999999,,,,,,,,,,4758.687056,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
930-2 - MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE,930-2,APR-DRG,,,,inpatient,,,999999999,,5728.916073,5728.916073,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5728.916073,case rate,999999999,,,,,,,,,,5728.916073,case rate,999999999,,,,,,,,,,5728.916073,case rate,999999999,,,,,,,,,,5728.916073,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
930-3 - MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE,930-3,APR-DRG,,,,inpatient,,,999999999,,9016.01175,9016.01175,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9016.01175,case rate,999999999,,,,,,,,,,9016.01175,case rate,999999999,,,,,,,,,,9016.01175,case rate,999999999,,,,,,,,,,9016.01175,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
930-4 - MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE,930-4,APR-DRG,,,,inpatient,,,999999999,,17360.05867,17360.05867,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17360.05867,case rate,999999999,,,,,,,,,,17360.05867,case rate,999999999,,,,,,,,,,17360.05867,case rate,999999999,,,,,,,,,,17360.05867,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
950-1 - EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,950-1,APR-DRG,,,,inpatient,,,999999999,,8973.844699,8973.844699,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8973.844699,case rate,999999999,,,,,,,,,,8973.844699,case rate,999999999,,,,,,,,,,8973.844699,case rate,999999999,,,,,,,,,,8973.844699,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
950-2 - EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,950-2,APR-DRG,,,,inpatient,,,999999999,,12197.88323,12197.88323,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12197.88323,case rate,999999999,,,,,,,,,,12197.88323,case rate,999999999,,,,,,,,,,12197.88323,case rate,999999999,,,,,,,,,,12197.88323,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
950-3 - EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,950-3,APR-DRG,,,,inpatient,,,999999999,,18469.16815,18469.16815,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18469.16815,case rate,999999999,,,,,,,,,,18469.16815,case rate,999999999,,,,,,,,,,18469.16815,case rate,999999999,,,,,,,,,,18469.16815,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
950-4 - EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,950-4,APR-DRG,,,,inpatient,,,999999999,,33696.50251,33696.50251,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,33696.50251,case rate,999999999,,,,,,,,,,33696.50251,case rate,999999999,,,,,,,,,,33696.50251,case rate,999999999,,,,,,,,,,33696.50251,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
951-1 - MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,951-1,APR-DRG,,,,inpatient,,,999999999,,6831.062193,6831.062193,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6831.062193,case rate,999999999,,,,,,,,,,6831.062193,case rate,999999999,,,,,,,,,,6831.062193,case rate,999999999,,,,,,,,,,6831.062193,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
951-2 - MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,951-2,APR-DRG,,,,inpatient,,,999999999,,9294.546396,9294.546396,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9294.546396,case rate,999999999,,,,,,,,,,9294.546396,case rate,999999999,,,,,,,,,,9294.546396,case rate,999999999,,,,,,,,,,9294.546396,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
951-3 - MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,951-3,APR-DRG,,,,inpatient,,,999999999,,13971.22047,13971.22047,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13971.22047,case rate,999999999,,,,,,,,,,13971.22047,case rate,999999999,,,,,,,,,,13971.22047,case rate,999999999,,,,,,,,,,13971.22047,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
951-4 - MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,951-4,APR-DRG,,,,inpatient,,,999999999,,25044.90692,25044.90692,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,25044.90692,case rate,999999999,,,,,,,,,,25044.90692,case rate,999999999,,,,,,,,,,25044.90692,case rate,999999999,,,,,,,,,,25044.90692,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
952-1 - NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,952-1,APR-DRG,,,,inpatient,,,999999999,,5579.590555,5579.590555,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5579.590555,case rate,999999999,,,,,,,,,,5579.590555,case rate,999999999,,,,,,,,,,5579.590555,case rate,999999999,,,,,,,,,,5579.590555,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
952-2 - NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,952-2,APR-DRG,,,,inpatient,,,999999999,,7684.4614,7684.4614,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7684.4614,case rate,999999999,,,,,,,,,,7684.4614,case rate,999999999,,,,,,,,,,7684.4614,case rate,999999999,,,,,,,,,,7684.4614,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
952-3 - NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,952-3,APR-DRG,,,,inpatient,,,999999999,,12241.98455,12241.98455,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12241.98455,case rate,999999999,,,,,,,,,,12241.98455,case rate,999999999,,,,,,,,,,12241.98455,case rate,999999999,,,,,,,,,,12241.98455,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
952-4 - NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,952-4,APR-DRG,,,,inpatient,,,999999999,,21532.6624,21532.6624,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21532.6624,case rate,999999999,,,,,,,,,,21532.6624,case rate,999999999,,,,,,,,,,21532.6624,case rate,999999999,,,,,,,,,,21532.6624,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
955 - PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS,955,APR-DRG,,,,inpatient,,,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
956 - UNGROUPABLE,956,APR-DRG,,,,inpatient,,,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
001 - HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC,1,MS-DRG,,,,inpatient,,,999999999,,469080.1035,608704.0704,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,608704.0704,case rate,999999999,,,,,,,,,,608704.0704,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,493768.53,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,469080.1035,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
002 - HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC,2,MS-DRG,,,,inpatient,,,999999999,,238146.7367,254855.08,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,238146.7367,case rate,999999999,,,,,,,,,,238146.7367,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,254855.08,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,242112.326,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"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,,,999999999,,277734.913,463128.0522,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,463128.0522,case rate,999999999,,,,,,,,,,463128.0522,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,292352.54,case rate,999999999,,,,290153.23,case rate,999999999,,,,,,,,,,277734.913,case rate,999999999,,,,275645.5685,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"004 - TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES",4,MS-DRG,,,,inpatient,,,999999999,,202847.04,305343.9801,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,305343.9801,case rate,999999999,,,,,,,,,,305343.9801,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,213523.2,case rate,999999999,,,,166145.19,case rate,999999999,,,,,,,,,,202847.04,case rate,999999999,,,,157837.9305,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
005 - LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT,5,MS-DRG,,,,inpatient,,,999999999,,230126.8946,295512.61,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,230126.8946,case rate,999999999,,,,,,,,,,230126.8946,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,295512.61,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,280736.9795,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
006 - LIVER TRANSPLANT WITHOUT MCC,6,MS-DRG,,,,inpatient,,,999999999,,104789.5779,223199.94,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,104789.5779,case rate,999999999,,,,,,,,,,104789.5779,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,223199.94,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,212039.943,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
007 - LUNG TRANSPLANT,7,MS-DRG,,,,inpatient,,,999999999,,137325.369,282410.3869,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,282410.3869,case rate,999999999,,,,,,,,,,282410.3869,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,144553.02,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,137325.369,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
008 - SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT,8,MS-DRG,,,,inpatient,,,999999999,,117581.1288,180713.42,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,117581.1288,case rate,999999999,,,,,,,,,,117581.1288,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,180713.42,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,171677.749,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
010 - PANCREAS TRANSPLANT,10,MS-DRG,,,,inpatient,,,999999999,,137464.772,172295.8586,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,172295.8586,case rate,999999999,,,,,,,,,,172295.8586,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,144699.76,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,137464.772,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"011 - TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC",11,MS-DRG,,,,inpatient,,,999999999,,73392.4685,116604.3116,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,116604.3116,case rate,999999999,,,,,,,,,,116604.3116,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,77255.23,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,73392.4685,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"012 - TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC",12,MS-DRG,,,,inpatient,,,999999999,,58581.4745,88678.5774,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,88678.5774,case rate,999999999,,,,,,,,,,88678.5774,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,61664.71,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,58581.4745,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"013 - TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC",13,MS-DRG,,,,inpatient,,,999999999,,31034.239,57264.8278,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,57264.8278,case rate,999999999,,,,,,,,,,57264.8278,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,32667.62,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,31034.239,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
014 - ALLOGENEIC BONE MARROW TRANSPLANT,14,MS-DRG,,,,inpatient,,,999999999,,283123.5499,283123.5499,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,283123.5499,case rate,999999999,,,,,,,,,,283123.5499,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
016 - AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC,16,MS-DRG,,,,inpatient,,,999999999,,130433.1905,130433.1905,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,130433.1905,case rate,999999999,,,,,,,,,,130433.1905,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
017 - AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC,17,MS-DRG,,,,inpatient,,,999999999,,130433.1905,130433.1905,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,130433.1905,case rate,999999999,,,,,,,,,,130433.1905,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
018 - CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES,18,MS-DRG,,,,inpatient,,,999999999,,814955.1322,814955.1322,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,814955.1322,case rate,999999999,,,,,,,,,,814955.1322,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
019 - SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS,19,MS-DRG,,,,inpatient,,,999999999,,171303.9137,171303.9137,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,171303.9137,case rate,999999999,,,,,,,,,,171303.9137,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
020 - INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC,20,MS-DRG,,,,inpatient,,,999999999,,155763.748,174195.4655,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,174195.4655,case rate,999999999,,,,,,,,,,174195.4655,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,163961.84,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,155763.748,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
021 - INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC,21,MS-DRG,,,,inpatient,,,999999999,,119450.4803,132813.22,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,119450.4803,case rate,999999999,,,,,,,,,,119450.4803,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,132813.22,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,126172.559,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
022 - INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC,22,MS-DRG,,,,inpatient,,,999999999,,69376.163,76295.4744,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,76295.4744,case rate,999999999,,,,,,,,,,76295.4744,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,73027.54,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,69376.163,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
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,,,999999999,,94980.639,123284.2717,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,123284.2717,case rate,999999999,,,,,,,,,,123284.2717,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,99979.62,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,94980.639,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
024 - CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC,24,MS-DRG,,,,inpatient,,,999999999,,56680.4485,82152.0554,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,82152.0554,case rate,999999999,,,,,,,,,,82152.0554,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,59663.63,case rate,999999999,,,,78344.68,case rate,999999999,,,,,,,,,,56680.4485,case rate,999999999,,,,74427.446,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
025 - CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC,25,MS-DRG,,,,inpatient,,,999999999,,86244.724,96644.392,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,96644.392,case rate,999999999,,,,,,,,,,96644.392,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,90783.92,case rate,999999999,,,,80495.49,case rate,999999999,,,,,,,,,,86244.724,case rate,999999999,,,,76470.7155,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
026 - CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC,26,MS-DRG,,,,inpatient,,,999999999,,45716.9735,66095.0824,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,66095.0824,case rate,999999999,,,,,,,,,,66095.0824,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,48123.13,case rate,999999999,,,,80786.8,case rate,999999999,,,,,,,,,,45716.9735,case rate,999999999,,,,76747.46,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
027 - CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC,27,MS-DRG,,,,inpatient,,,999999999,,30031.932,53327.3036,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53327.3036,case rate,999999999,,,,,,,,,,53327.3036,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,31612.56,case rate,999999999,,,,48445,case rate,999999999,,,,,,,,,,30031.932,case rate,999999999,,,,46022.75,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
028 - SPINAL PROCEDURES WITH MCC,28,MS-DRG,,,,inpatient,,,999999999,,82280.203,131375.4301,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,131375.4301,case rate,999999999,,,,,,,,,,131375.4301,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,86610.74,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,82280.203,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
029 - SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS,29,MS-DRG,,,,inpatient,,,999999999,,42569.766,72537.3215,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,72537.3215,case rate,999999999,,,,,,,,,,72537.3215,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,44810.28,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,42569.766,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
030 - SPINAL PROCEDURES WITHOUT CC/MCC,30,MS-DRG,,,,inpatient,,,999999999,,20315.7595,48088.7972,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,48088.7972,case rate,999999999,,,,,,,,,,48088.7972,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21385.01,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,20315.7595,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
031 - VENTRICULAR SHUNT PROCEDURES WITH MCC,31,MS-DRG,,,,inpatient,,,999999999,,90556.5733,146543.08,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,90556.5733,case rate,999999999,,,,,,,,,,90556.5733,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,146543.08,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,139215.926,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
032 - VENTRICULAR SHUNT PROCEDURES WITH CC,32,MS-DRG,,,,inpatient,,,999999999,,34228.8515,46150.2905,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,46150.2905,case rate,999999999,,,,,,,,,,46150.2905,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,36030.37,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,34228.8515,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
033 - VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC,33,MS-DRG,,,,inpatient,,,999999999,,22008.6975,34478.1894,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,34478.1894,case rate,999999999,,,,,,,,,,34478.1894,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23167.05,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,22008.6975,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
034 - CAROTID ARTERY STENT PROCEDURES WITH MCC,34,MS-DRG,,,,inpatient,,,999999999,,84034.3735,84034.3735,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,84034.3735,case rate,999999999,,,,,,,,,,84034.3735,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
035 - CAROTID ARTERY STENT PROCEDURES WITH CC,35,MS-DRG,,,,inpatient,,,999999999,,49156.3806,49156.3806,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,49156.3806,case rate,999999999,,,,,,,,,,49156.3806,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
036 - CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC,36,MS-DRG,,,,inpatient,,,999999999,,39612.963,39612.963,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,39612.963,case rate,999999999,,,,,,,,,,39612.963,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
037 - EXTRACRANIAL PROCEDURES WITH MCC,37,MS-DRG,,,,inpatient,,,999999999,,71763.6477,163961.84,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,71763.6477,case rate,999999999,,,,,,,,,,71763.6477,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,163961.84,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,155763.748,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
038 - EXTRACRANIAL PROCEDURES WITH CC,38,MS-DRG,,,,inpatient,,,999999999,,34817.4821,132813.22,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,34817.4821,case rate,999999999,,,,,,,,,,34817.4821,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,132813.22,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,126172.559,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
039 - EXTRACRANIAL PROCEDURES WITHOUT CC/MCC,39,MS-DRG,,,,inpatient,,,999999999,,24597.6402,73027.54,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,24597.6402,case rate,999999999,,,,,,,,,,24597.6402,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,73027.54,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,69376.163,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"040 - PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC",40,MS-DRG,,,,inpatient,,,999999999,,81512.3698,99979.62,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,81512.3698,case rate,999999999,,,,,,,,,,81512.3698,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,99979.62,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,94980.639,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"041 - PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR",41,MS-DRG,,,,inpatient,,,999999999,,48810.6046,59663.63,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,48810.6046,case rate,999999999,,,,,,,,,,48810.6046,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,59663.63,case rate,999999999,,,,48895.3,case rate,999999999,,,,,,,,,,56680.4485,case rate,999999999,,,,46450.535,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"042 - PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC",42,MS-DRG,,,,inpatient,,,999999999,,37981.3325,90783.92,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,37981.3325,case rate,999999999,,,,,,,,,,37981.3325,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,90783.92,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,86244.724,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
052 - SPINAL DISORDERS AND INJURIES WITH CC/MCC,52,MS-DRG,,,,inpatient,,,999999999,,43489.9764,48123.13,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,43489.9764,case rate,999999999,,,,,,,,,,43489.9764,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,48123.13,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,45716.9735,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
053 - SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC,53,MS-DRG,,,,inpatient,,,999999999,,19910.2143,31612.56,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19910.2143,case rate,999999999,,,,,,,,,,19910.2143,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,31612.56,case rate,999999999,,,,19949.75,case rate,999999999,,,,,,,,,,30031.932,case rate,999999999,,,,18952.2625,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
054 - NERVOUS SYSTEM NEOPLASMS WITH MCC,54,MS-DRG,,,,inpatient,,,999999999,,32397.0501,86610.74,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,32397.0501,case rate,999999999,,,,,,,,,,32397.0501,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,86610.74,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,82280.203,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
055 - NERVOUS SYSTEM NEOPLASMS WITHOUT MCC,55,MS-DRG,,,,inpatient,,,999999999,,23575.4399,44810.28,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23575.4399,case rate,999999999,,,,,,,,,,23575.4399,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,44810.28,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,42569.766,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
056 - DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC,56,MS-DRG,,,,inpatient,,,999999999,,20315.7595,54113.944,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,54113.944,case rate,999999999,,,,,,,,,,54113.944,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21385.01,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,20315.7595,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
057 - DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC,57,MS-DRG,,,,inpatient,,,999999999,,28844.2017,146543.08,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,28844.2017,case rate,999999999,,,,,,,,,,28844.2017,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,146543.08,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,139215.926,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
058 - MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC,58,MS-DRG,,,,inpatient,,,999999999,,34228.8515,39887.4227,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,39887.4227,case rate,999999999,,,,,,,,,,39887.4227,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,36030.37,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,34228.8515,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
059 - MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC,59,MS-DRG,,,,inpatient,,,999999999,,22008.6975,26441.0585,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,26441.0585,case rate,999999999,,,,,,,,,,26441.0585,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23167.05,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,22008.6975,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
060 - MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC,60,MS-DRG,,,,inpatient,,,999999999,,19285.6564,19285.6564,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19285.6564,case rate,999999999,,,,,,,,,,19285.6564,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"061 - ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC",61,MS-DRG,,,,inpatient,,,999999999,,58418.8552,58418.8552,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,58418.8552,case rate,999999999,,,,,,,,,,58418.8552,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"062 - ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC",62,MS-DRG,,,,inpatient,,,999999999,,38484.8688,38484.8688,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,38484.8688,case rate,999999999,,,,,,,,,,38484.8688,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"063 - ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC",63,MS-DRG,,,,inpatient,,,999999999,,30356.9717,163961.84,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,30356.9717,case rate,999999999,,,,,,,,,,30356.9717,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,163961.84,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,155763.748,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
064 - INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC,64,MS-DRG,,,,inpatient,,,999999999,,42986.4401,132813.22,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,42986.4401,case rate,999999999,,,,,,,,,,42986.4401,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,132813.22,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,126172.559,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
065 - INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS,65,MS-DRG,,,,inpatient,,,999999999,,21978.387,73027.54,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21978.387,case rate,999999999,,,,,,,,,,21978.387,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,73027.54,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,69376.163,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
066 - INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC,66,MS-DRG,,,,inpatient,,,999999999,,14874.8513,99979.62,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14874.8513,case rate,999999999,,,,,,,,,,14874.8513,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,99979.62,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,94980.639,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
067 - NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC,67,MS-DRG,,,,inpatient,,,999999999,,31461.2938,59663.63,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,31461.2938,case rate,999999999,,,,,,,,,,31461.2938,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,59663.63,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,56680.4485,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
068 - NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC,68,MS-DRG,,,,inpatient,,,999999999,,19052.2576,90783.92,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19052.2576,case rate,999999999,,,,,,,,,,19052.2576,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,90783.92,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,86244.724,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
069 - TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC,69,MS-DRG,,,,inpatient,,,999999999,,17293.1222,48123.13,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17293.1222,case rate,999999999,,,,,,,,,,17293.1222,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,48123.13,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,45716.9735,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
070 - NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC,70,MS-DRG,,,,inpatient,,,999999999,,30031.932,37575.0457,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,37575.0457,case rate,999999999,,,,,,,,,,37575.0457,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,31612.56,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,30031.932,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
071 - NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC,71,MS-DRG,,,,inpatient,,,999999999,,22773.6718,86610.74,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,22773.6718,case rate,999999999,,,,,,,,,,22773.6718,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,86610.74,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,82280.203,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
072 - NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC,72,MS-DRG,,,,inpatient,,,999999999,,16210.4111,44810.28,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16210.4111,case rate,999999999,,,,,,,,,,16210.4111,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,44810.28,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,42569.766,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
073 - CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC,73,MS-DRG,,,,inpatient,,,999999999,,20315.7595,33399.8005,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,33399.8005,case rate,999999999,,,,,,,,,,33399.8005,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21385.01,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,20315.7595,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
074 - CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC,74,MS-DRG,,,,inpatient,,,999999999,,22527.3064,146543.08,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,22527.3064,case rate,999999999,,,,,,,,,,22527.3064,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,146543.08,case rate,999999999,,,,17412.36,case rate,999999999,,,,,,,,,,139215.926,case rate,999999999,,,,16541.742,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
075 - VIRAL MENINGITIS WITH CC/MCC,75,MS-DRG,,,,inpatient,,,999999999,,34228.8515,37222.7864,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,37222.7864,case rate,999999999,,,,,,,,,,37222.7864,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,36030.37,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,34228.8515,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
076 - VIRAL MENINGITIS WITHOUT CC/MCC,76,MS-DRG,,,,inpatient,,,999999999,,19815.1259,23167.05,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19815.1259,case rate,999999999,,,,,,,,,,19815.1259,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23167.05,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,22008.6975,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
077 - HYPERTENSIVE ENCEPHALOPATHY WITH MCC,77,MS-DRG,,,,inpatient,,,999999999,,33414.9282,33414.9282,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,33414.9282,case rate,999999999,,,,,,,,,,33414.9282,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
078 - HYPERTENSIVE ENCEPHALOPATHY WITH CC,78,MS-DRG,,,,inpatient,,,999999999,,21563.4558,21563.4558,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21563.4558,case rate,999999999,,,,,,,,,,21563.4558,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
079 - HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC,79,MS-DRG,,,,inpatient,,,999999999,,14408.0537,14408.0537,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14408.0537,case rate,999999999,,,,,,,,,,14408.0537,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
080 - NONTRAUMATIC STUPOR AND COMA WITH MCC,80,MS-DRG,,,,inpatient,,,999999999,,42958.3458,163961.84,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,42958.3458,case rate,999999999,,,,,,,,,,42958.3458,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,163961.84,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,155763.748,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
081 - NONTRAUMATIC STUPOR AND COMA WITHOUT MCC,81,MS-DRG,,,,inpatient,,,999999999,,19553.6328,132813.22,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19553.6328,case rate,999999999,,,,,,,,,,19553.6328,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,132813.22,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,126172.559,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
082 - TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC,82,MS-DRG,,,,inpatient,,,999999999,,50139.6811,73027.54,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,50139.6811,case rate,999999999,,,,,,,,,,50139.6811,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,73027.54,case rate,999999999,,,,43132.24,case rate,999999999,,,,,,,,,,69376.163,case rate,999999999,,,,40975.628,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
083 - TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC,83,MS-DRG,,,,inpatient,,,999999999,,30045.7733,99979.62,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,30045.7733,case rate,999999999,,,,,,,,,,30045.7733,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,99979.62,case rate,999999999,,,,28722.08,case rate,999999999,,,,,,,,,,94980.639,case rate,999999999,,,,27285.976,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
084 - TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC,84,MS-DRG,,,,inpatient,,,999999999,,20660.116,59663.63,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20660.116,case rate,999999999,,,,,,,,,,20660.116,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,59663.63,case rate,999999999,,,,20247.47,case rate,999999999,,,,,,,,,,56680.4485,case rate,999999999,,,,19235.0965,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
085 - TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC,85,MS-DRG,,,,inpatient,,,999999999,,48968.3649,90783.92,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,48968.3649,case rate,999999999,,,,,,,,,,48968.3649,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,90783.92,case rate,999999999,,,,46732.63,case rate,999999999,,,,,,,,,,86244.724,case rate,999999999,,,,44395.9985,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
086 - TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC,86,MS-DRG,,,,inpatient,,,999999999,,28344.9876,48123.13,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,28344.9876,case rate,999999999,,,,,,,,,,28344.9876,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,48123.13,case rate,999999999,,,,21762.54,case rate,999999999,,,,,,,,,,45716.9735,case rate,999999999,,,,20674.413,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
087 - TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC,87,MS-DRG,,,,inpatient,,,999999999,,19104.124,31612.56,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19104.124,case rate,999999999,,,,,,,,,,19104.124,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,31612.56,case rate,999999999,,,,15513.54,case rate,999999999,,,,,,,,,,30031.932,case rate,999999999,,,,14737.863,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
088 - CONCUSSION WITH MCC,88,MS-DRG,,,,inpatient,,,999999999,,30484.4766,86610.74,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,30484.4766,case rate,999999999,,,,,,,,,,30484.4766,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,86610.74,case rate,999999999,,,,30200.81,case rate,999999999,,,,,,,,,,82280.203,case rate,999999999,,,,28690.7695,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
089 - CONCUSSION WITH CC,89,MS-DRG,,,,inpatient,,,999999999,,23169.1531,44810.28,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23169.1531,case rate,999999999,,,,,,,,,,23169.1531,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,44810.28,case rate,999999999,,,,19714.38,case rate,999999999,,,,,,,,,,42569.766,case rate,999999999,,,,18728.661,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
090 - CONCUSSION WITHOUT CC/MCC,90,MS-DRG,,,,inpatient,,,999999999,,18524.9492,21385.01,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18524.9492,case rate,999999999,,,,,,,,,,18524.9492,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21385.01,case rate,999999999,,,,11562.18,case rate,999999999,,,,,,,,,,20315.7595,case rate,999999999,,,,10984.071,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
091 - OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC,91,MS-DRG,,,,inpatient,,,999999999,,39392.5308,146543.08,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,39392.5308,case rate,999999999,,,,,,,,,,39392.5308,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,146543.08,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,139215.926,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
092 - OTHER DISORDERS OF NERVOUS SYSTEM WITH CC,92,MS-DRG,,,,inpatient,,,999999999,,22881.7268,36030.37,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,22881.7268,case rate,999999999,,,,,,,,,,22881.7268,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,36030.37,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,34228.8515,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
093 - OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC,93,MS-DRG,,,,inpatient,,,999999999,,17057.5623,23167.05,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17057.5623,case rate,999999999,,,,,,,,,,17057.5623,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23167.05,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,22008.6975,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
094 - BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC,94,MS-DRG,,,,inpatient,,,999999999,,78845.5724,78845.5724,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,78845.5724,case rate,999999999,,,,,,,,,,78845.5724,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
095 - BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC,95,MS-DRG,,,,inpatient,,,999999999,,51801.567,51801.567,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,51801.567,case rate,999999999,,,,,,,,,,51801.567,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
096 - BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC,96,MS-DRG,,,,inpatient,,,999999999,,51801.567,51801.567,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,51801.567,case rate,999999999,,,,,,,,,,51801.567,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
097 - NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC,97,MS-DRG,,,,inpatient,,,999999999,,77471.1128,163961.84,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,77471.1128,case rate,999999999,,,,,,,,,,77471.1128,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,163961.84,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,155763.748,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
098 - NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC,98,MS-DRG,,,,inpatient,,,999999999,,46876.4201,132813.22,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,46876.4201,case rate,999999999,,,,,,,,,,46876.4201,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,132813.22,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,126172.559,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
099 - NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC,99,MS-DRG,,,,inpatient,,,999999999,,30108.4452,73027.54,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,30108.4452,case rate,999999999,,,,,,,,,,30108.4452,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,73027.54,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,69376.163,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
100 - SEIZURES WITH MCC,100,MS-DRG,,,,inpatient,,,999999999,,42902.1572,99979.62,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,42902.1572,case rate,999999999,,,,,,,,,,42902.1572,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,99979.62,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,94980.639,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
101 - SEIZURES WITHOUT MCC,101,MS-DRG,,,,inpatient,,,999999999,,19916.6976,59663.63,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19916.6976,case rate,999999999,,,,,,,,,,19916.6976,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,59663.63,case rate,999999999,,,,18124.58,case rate,999999999,,,,,,,,,,56680.4485,case rate,999999999,,,,17218.351,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
102 - HEADACHES WITH MCC,102,MS-DRG,,,,inpatient,,,999999999,,25055.7934,90783.92,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,25055.7934,case rate,999999999,,,,,,,,,,25055.7934,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,90783.92,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,86244.724,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
103 - HEADACHES WITHOUT MCC,103,MS-DRG,,,,inpatient,,,999999999,,18373.6722,48123.13,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18373.6722,case rate,999999999,,,,,,,,,,18373.6722,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,48123.13,case rate,999999999,,,,13795.46,case rate,999999999,,,,,,,,,,45716.9735,case rate,999999999,,,,13105.687,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
113 - ORBITAL PROCEDURES WITH CC/MCC,113,MS-DRG,,,,inpatient,,,999999999,,30031.932,48767.3826,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,48767.3826,case rate,999999999,,,,,,,,,,48767.3826,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,31612.56,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,30031.932,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
114 - ORBITAL PROCEDURES WITHOUT CC/MCC,114,MS-DRG,,,,inpatient,,,999999999,,25546.3631,86610.74,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,25546.3631,case rate,999999999,,,,,,,,,,25546.3631,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,86610.74,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,82280.203,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
115 - EXTRAOCULAR PROCEDURES EXCEPT ORBIT,115,MS-DRG,,,,inpatient,,,999999999,,33084.2799,44810.28,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,33084.2799,case rate,999999999,,,,,,,,,,33084.2799,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,44810.28,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,42569.766,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
116 - INTRAOCULAR PROCEDURES WITH CC/MCC,116,MS-DRG,,,,inpatient,,,999999999,,20315.7595,36057.9535,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,36057.9535,case rate,999999999,,,,,,,,,,36057.9535,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21385.01,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,20315.7595,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
117 - INTRAOCULAR PROCEDURES WITHOUT CC/MCC,117,MS-DRG,,,,inpatient,,,999999999,,23309.6246,146543.08,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23309.6246,case rate,999999999,,,,,,,,,,23309.6246,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,146543.08,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,139215.926,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
121 - ACUTE MAJOR EYE INFECTIONS WITH CC/MCC,121,MS-DRG,,,,inpatient,,,999999999,,25135.7541,36030.37,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,25135.7541,case rate,999999999,,,,,,,,,,25135.7541,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,36030.37,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,34228.8515,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
122 - ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC,122,MS-DRG,,,,inpatient,,,999999999,,14658.7413,23167.05,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14658.7413,case rate,999999999,,,,,,,,,,14658.7413,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23167.05,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,22008.6975,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
123 - NEUROLOGICAL EYE DISORDERS,123,MS-DRG,,,,inpatient,,,999999999,,17357.9552,17357.9552,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17357.9552,case rate,999999999,,,,,,,,,,17357.9552,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
124 - OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT,124,MS-DRG,,,,inpatient,,,999999999,,28176.4218,28176.4218,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,28176.4218,case rate,999999999,,,,,,,,,,28176.4218,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
125 - OTHER DISORDERS OF THE EYE WITHOUT MCC,125,MS-DRG,,,,inpatient,,,999999999,,17844.2027,17844.2027,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17844.2027,case rate,999999999,,,,,,,,,,17844.2027,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,14941.84,case rate,999999999,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,14194.748,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
135 - SINUS AND MASTOID PROCEDURES WITH CC/MCC,135,MS-DRG,,,,inpatient,,,999999999,,52101.9599,163961.84,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,52101.9599,case rate,999999999,,,,,,,,,,52101.9599,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,163961.84,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,155763.748,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
136 - SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC,136,MS-DRG,,,,inpatient,,,999999999,,21139.8802,132813.22,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21139.8802,case rate,999999999,,,,,,,,,,21139.8802,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,132813.22,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,126172.559,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
137 - MOUTH PROCEDURES WITH CC/MCC,137,MS-DRG,,,,inpatient,,,999999999,,30222.9835,73027.54,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,30222.9835,case rate,999999999,,,,,,,,,,30222.9835,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,73027.54,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,69376.163,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
138 - MOUTH PROCEDURES WITHOUT CC/MCC,138,MS-DRG,,,,inpatient,,,999999999,,17580.5485,99979.62,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17580.5485,case rate,999999999,,,,,,,,,,17580.5485,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,99979.62,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,94980.639,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
139 - SALIVARY GLAND PROCEDURES,139,MS-DRG,,,,inpatient,,,999999999,,29669.7419,59663.63,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,29669.7419,case rate,999999999,,,,,,,,,,29669.7419,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,59663.63,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,56680.4485,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
140 - MAJOR HEAD AND NECK PROCEDURES WITH MCC,140,MS-DRG,,,,inpatient,,,999999999,,86244.724,91392.919,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,91392.919,case rate,999999999,,,,,,,,,,91392.919,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,90783.92,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,86244.724,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
141 - MAJOR HEAD AND NECK PROCEDURES WITH CC,141,MS-DRG,,,,inpatient,,,999999999,,45716.9735,48123.13,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,46426.9113,case rate,999999999,,,,,,,,,,46426.9113,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,48123.13,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,45716.9735,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
142 - MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC,142,MS-DRG,,,,inpatient,,,999999999,,30031.932,33978.9753,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,33978.9753,case rate,999999999,,,,,,,,,,33978.9753,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,31612.56,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,30031.932,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"143 - OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC",143,MS-DRG,,,,inpatient,,,999999999,,71353.0387,86610.74,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,71353.0387,case rate,999999999,,,,,,,,,,71353.0387,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,86610.74,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,82280.203,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"144 - OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC",144,MS-DRG,,,,inpatient,,,999999999,,37961.8826,44810.28,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,37961.8826,case rate,999999999,,,,,,,,,,37961.8826,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,44810.28,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,42569.766,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"145 - OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC",145,MS-DRG,,,,inpatient,,,999999999,,20315.7595,25602.5517,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,25602.5517,case rate,999999999,,,,,,,,,,25602.5517,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21385.01,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,20315.7595,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"146 - EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC",146,MS-DRG,,,,inpatient,,,999999999,,49573.4729,146543.08,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,49573.4729,case rate,999999999,,,,,,,,,,49573.4729,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,146543.08,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,139215.926,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"147 - EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC",147,MS-DRG,,,,inpatient,,,999999999,,26899.2117,36030.37,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,26899.2117,case rate,999999999,,,,,,,,,,26899.2117,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,36030.37,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,34228.8515,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"148 - EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC",148,MS-DRG,,,,inpatient,,,999999999,,17303.9277,23167.05,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17303.9277,case rate,999999999,,,,,,,,,,17303.9277,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23167.05,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,22008.6975,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
149 - DYSEQUILIBRIUM,149,MS-DRG,,,,inpatient,,,999999999,,16154.2225,16154.2225,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16154.2225,case rate,999999999,,,,,,,,,,16154.2225,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
150 - EPISTAXIS WITH MCC,150,MS-DRG,,,,inpatient,,,999999999,,29868.5631,29868.5631,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,29868.5631,case rate,999999999,,,,,,,,,,29868.5631,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
151 - EPISTAXIS WITHOUT MCC,151,MS-DRG,,,,inpatient,,,999999999,,16381.138,16381.138,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16381.138,case rate,999999999,,,,,,,,,,16381.138,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
152 - OTITIS MEDIA AND URI WITH MCC,152,MS-DRG,,,,inpatient,,,999999999,,24522.0017,163961.84,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,24522.0017,case rate,999999999,,,,,,,,,,24522.0017,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,163961.84,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,155763.748,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
153 - OTITIS MEDIA AND URI WITHOUT MCC,153,MS-DRG,,,,inpatient,,,999999999,,15380.5487,132813.22,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15380.5487,case rate,999999999,,,,,,,,,,15380.5487,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,132813.22,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,126172.559,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"154 - OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC",154,MS-DRG,,,,inpatient,,,999999999,,35143.8082,73027.54,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,35143.8082,case rate,999999999,,,,,,,,,,35143.8082,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,73027.54,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,69376.163,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"155 - OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC",155,MS-DRG,,,,inpatient,,,999999999,,20176.0296,99979.62,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20176.0296,case rate,999999999,,,,,,,,,,20176.0296,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,99979.62,case rate,999999999,,,,21320.59,case rate,999999999,,,,,,,,,,94980.639,case rate,999999999,,,,20254.5605,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"156 - OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC",156,MS-DRG,,,,inpatient,,,999999999,,14531.2364,59663.63,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14531.2364,case rate,999999999,,,,,,,,,,14531.2364,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,59663.63,case rate,999999999,,,,13223.77,case rate,999999999,,,,,,,,,,56680.4485,case rate,999999999,,,,12562.5815,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
157 - DENTAL AND ORAL DISEASES WITH MCC,157,MS-DRG,,,,inpatient,,,999999999,,35385.8514,90783.92,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,35385.8514,case rate,999999999,,,,,,,,,,35385.8514,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,90783.92,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,86244.724,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
158 - DENTAL AND ORAL DISEASES WITH CC,158,MS-DRG,,,,inpatient,,,999999999,,20325.1455,48123.13,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20325.1455,case rate,999999999,,,,,,,,,,20325.1455,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,48123.13,case rate,999999999,,,,14933.56,case rate,999999999,,,,,,,,,,45716.9735,case rate,999999999,,,,14186.882,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
159 - DENTAL AND ORAL DISEASES WITHOUT CC/MCC,159,MS-DRG,,,,inpatient,,,999999999,,14254.6156,31612.56,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14254.6156,case rate,999999999,,,,,,,,,,14254.6156,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,31612.56,case rate,999999999,,,,20944.47,case rate,999999999,,,,,,,,,,30031.932,case rate,999999999,,,,19897.2465,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
163 - MAJOR CHEST PROCEDURES WITH MCC,163,MS-DRG,,,,inpatient,,,999999999,,82280.203,99602.9379,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,99602.9379,case rate,999999999,,,,,,,,,,99602.9379,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,86610.74,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,82280.203,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
164 - MAJOR CHEST PROCEDURES WITH CC,164,MS-DRG,,,,inpatient,,,999999999,,42569.766,54390.5648,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,54390.5648,case rate,999999999,,,,,,,,,,54390.5648,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,44810.28,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,42569.766,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
165 - MAJOR CHEST PROCEDURES WITHOUT CC/MCC,165,MS-DRG,,,,inpatient,,,999999999,,20315.7595,40280.7429,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,40280.7429,case rate,999999999,,,,,,,,,,40280.7429,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21385.01,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,20315.7595,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
166 - OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC,166,MS-DRG,,,,inpatient,,,999999999,,83223.961,146543.08,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,83223.961,case rate,999999999,,,,,,,,,,83223.961,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,146543.08,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,139215.926,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
167 - OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC,167,MS-DRG,,,,inpatient,,,999999999,,34228.8515,39485.4581,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,39485.4581,case rate,999999999,,,,,,,,,,39485.4581,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,36030.37,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,34228.8515,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
168 - OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC,168,MS-DRG,,,,inpatient,,,999999999,,22008.6975,29256.9718,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,29256.9718,case rate,999999999,,,,,,,,,,29256.9718,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23167.05,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,22008.6975,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
173 - ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM,173,MS-DRG,,,,inpatient,,,999999999,,66311.1924,66311.1924,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,66311.1924,case rate,999999999,,,,,,,,,,66311.1924,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
175 - PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE,175,MS-DRG,,,,inpatient,,,999999999,,30452.0601,30452.0601,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,30452.0601,case rate,999999999,,,,,,,,,,30452.0601,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
176 - PULMONARY EMBOLISM WITHOUT MCC,176,MS-DRG,,,,inpatient,,,999999999,,17602.1595,17602.1595,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17602.1595,case rate,999999999,,,,,,,,,,17602.1595,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
177 - RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC,177,MS-DRG,,,,inpatient,,,999999999,,34934.1815,34934.1815,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,34934.1815,case rate,999999999,,,,,,,,,,34934.1815,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
178 - RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC,178,MS-DRG,,,,inpatient,,,999999999,,21440.2731,163961.84,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21440.2731,case rate,999999999,,,,,,,,,,21440.2731,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,163961.84,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,155763.748,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
179 - RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC,179,MS-DRG,,,,inpatient,,,999999999,,16633.9867,132813.22,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16633.9867,case rate,999999999,,,,,,,,,,16633.9867,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,132813.22,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,126172.559,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
180 - RESPIRATORY NEOPLASMS WITH MCC,180,MS-DRG,,,,inpatient,,,999999999,,37769.5447,73027.54,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,37769.5447,case rate,999999999,,,,,,,,,,37769.5447,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,73027.54,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,69376.163,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
181 - RESPIRATORY NEOPLASMS WITH CC,181,MS-DRG,,,,inpatient,,,999999999,,23992.5322,99979.62,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23992.5322,case rate,999999999,,,,,,,,,,23992.5322,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,99979.62,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,94980.639,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
182 - RESPIRATORY NEOPLASMS WITHOUT CC/MCC,182,MS-DRG,,,,inpatient,,,999999999,,18099.2125,59663.63,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18099.2125,case rate,999999999,,,,,,,,,,18099.2125,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,59663.63,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,56680.4485,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
183 - MAJOR CHEST TRAUMA WITH MCC,183,MS-DRG,,,,inpatient,,,999999999,,34300.9792,90783.92,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,34300.9792,case rate,999999999,,,,,,,,,,34300.9792,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,90783.92,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,86244.724,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
184 - MAJOR CHEST TRAUMA WITH CC,184,MS-DRG,,,,inpatient,,,999999999,,23080.548,48123.13,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23080.548,case rate,999999999,,,,,,,,,,23080.548,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,48123.13,case rate,999999999,,,,25798.24,case rate,999999999,,,,,,,,,,45716.9735,case rate,999999999,,,,24508.328,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
185 - MAJOR CHEST TRAUMA WITHOUT CC/MCC,185,MS-DRG,,,,inpatient,,,999999999,,16804.7136,31612.56,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16804.7136,case rate,999999999,,,,,,,,,,16804.7136,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,31612.56,case rate,999999999,,,,20301.96,case rate,999999999,,,,,,,,,,30031.932,case rate,999999999,,,,19286.862,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
186 - PLEURAL EFFUSION WITH MCC,186,MS-DRG,,,,inpatient,,,999999999,,34145.38,86610.74,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,34145.38,case rate,999999999,,,,,,,,,,34145.38,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,86610.74,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,82280.203,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
187 - PLEURAL EFFUSION WITH CC,187,MS-DRG,,,,inpatient,,,999999999,,21695.2829,44810.28,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21695.2829,case rate,999999999,,,,,,,,,,21695.2829,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,44810.28,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,42569.766,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
188 - PLEURAL EFFUSION WITHOUT CC/MCC,188,MS-DRG,,,,inpatient,,,999999999,,15864.6351,21385.01,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15864.6351,case rate,999999999,,,,,,,,,,15864.6351,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21385.01,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,20315.7595,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
189 - PULMONARY EDEMA AND RESPIRATORY FAILURE,189,MS-DRG,,,,inpatient,,,999999999,,26743.6125,146543.08,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,26743.6125,case rate,999999999,,,,,,,,,,26743.6125,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,146543.08,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,139215.926,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
190 - CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC,190,MS-DRG,,,,inpatient,,,999999999,,24275.6363,36030.37,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,24275.6363,case rate,999999999,,,,,,,,,,24275.6363,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,36030.37,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,34228.8515,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
191 - CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC,191,MS-DRG,,,,inpatient,,,999999999,,18566.0101,23167.05,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18566.0101,case rate,999999999,,,,,,,,,,18566.0101,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23167.05,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,22008.6975,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
192 - CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC,192,MS-DRG,,,,inpatient,,,999999999,,13986.6392,13986.6392,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13986.6392,case rate,999999999,,,,,,,,,,13986.6392,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
193 - SIMPLE PNEUMONIA AND PLEURISY WITH MCC,193,MS-DRG,,,,inpatient,,,,,28478.9758,28478.9758,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,28478.9758,case rate,24139.99,,,,,,,,,,28478.9758,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
194 - SIMPLE PNEUMONIA AND PLEURISY WITH CC,194,MS-DRG,,,,inpatient,,,999999999,,17721.02,17721.02,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17721.02,case rate,999999999,,,,,,,,,,17721.02,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
195 - SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC,195,MS-DRG,,,,inpatient,,,999999999,,13459.3308,163961.84,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13459.3308,case rate,999999999,,,,,,,,,,13459.3308,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,163961.84,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,155763.748,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
196 - INTERSTITIAL LUNG DISEASE WITH MCC,196,MS-DRG,,,,inpatient,,,999999999,,40719.4462,132813.22,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,40719.4462,case rate,999999999,,,,,,,,,,40719.4462,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,132813.22,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,126172.559,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
197 - INTERSTITIAL LUNG DISEASE WITH CC,197,MS-DRG,,,,inpatient,,,999999999,,21392.7289,73027.54,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21392.7289,case rate,999999999,,,,,,,,,,21392.7289,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,73027.54,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,69376.163,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
198 - INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC,198,MS-DRG,,,,inpatient,,,999999999,,15136.3444,99979.62,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15136.3444,case rate,999999999,,,,,,,,,,15136.3444,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,99979.62,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,94980.639,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
199 - PNEUMOTHORAX WITH MCC,199,MS-DRG,,,,inpatient,,,999999999,,38147.7372,59663.63,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,38147.7372,case rate,999999999,,,,,,,,,,38147.7372,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,59663.63,case rate,999999999,,,,26958.78,case rate,999999999,,,,,,,,,,56680.4485,case rate,999999999,,,,25610.841,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
200 - PNEUMOTHORAX WITH CC,200,MS-DRG,,,,inpatient,,,999999999,,23932.0214,90783.92,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23932.0214,case rate,999999999,,,,,,,,,,23932.0214,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,90783.92,case rate,999999999,,,,22323.47,case rate,999999999,,,,,,,,,,86244.724,case rate,999999999,,,,21207.2965,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
201 - PNEUMOTHORAX WITHOUT CC/MCC,201,MS-DRG,,,,inpatient,,,999999999,,14628.4859,48123.13,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14628.4859,case rate,999999999,,,,,,,,,,14628.4859,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,48123.13,case rate,999999999,,,,16900.1,case rate,999999999,,,,,,,,,,45716.9735,case rate,999999999,,,,16055.095,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
202 - BRONCHITIS AND ASTHMA WITH CC/MCC,202,MS-DRG,,,,inpatient,,,999999999,,20891.3537,31612.56,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20891.3537,case rate,999999999,,,,,,,,,,20891.3537,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,31612.56,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,30031.932,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
203 - BRONCHITIS AND ASTHMA WITHOUT CC/MCC,203,MS-DRG,,,,inpatient,,,999999999,,15047.7393,86610.74,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15047.7393,case rate,999999999,,,,,,,,,,15047.7393,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,86610.74,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,82280.203,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
204 - RESPIRATORY SIGNS AND SYMPTOMS,204,MS-DRG,,,,inpatient,,,999999999,,17524.3599,44810.28,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17524.3599,case rate,999999999,,,,,,,,,,17524.3599,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,44810.28,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,42569.766,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
205 - OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC,205,MS-DRG,,,,inpatient,,,999999999,,20315.7595,40795.0847,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,40795.0847,case rate,999999999,,,,,,,,,,40795.0847,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21385.01,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,20315.7595,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
206 - OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC,206,MS-DRG,,,,inpatient,,,999999999,,19575.2438,146543.08,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19575.2438,case rate,999999999,,,,,,,,,,19575.2438,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,146543.08,case rate,999999999,,,,20000.47,case rate,999999999,,,,,,,,,,139215.926,case rate,999999999,,,,19000.4465,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
207 - RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS,207,MS-DRG,,,,inpatient,,,999999999,,34228.8515,139773.4647,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,139773.4647,case rate,999999999,,,,,,,,,,139773.4647,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,36030.37,case rate,999999999,,,,90533.88,case rate,999999999,,,,,,,,,,34228.8515,case rate,999999999,,,,86007.186,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
208 - RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS,208,MS-DRG,,,,inpatient,,,999999999,,22008.6975,58006.0851,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,58006.0851,case rate,999999999,,,,,,,,,,58006.0851,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23167.05,case rate,999999999,,,,46666.97,case rate,999999999,,,,,,,,,,22008.6975,case rate,999999999,,,,44333.6215,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
212 - CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES,212,MS-DRG,,,,inpatient,,,999999999,,235410.7841,235410.7841,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,235410.7841,case rate,999999999,,,,,,,,,,235410.7841,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
215 - OTHER HEART ASSIST SYSTEM IMPLANT,215,MS-DRG,,,,inpatient,,,999999999,,228951.2562,228951.2562,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,228951.2562,case rate,999999999,,,,,,,,,,228951.2562,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
216 - CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC,216,MS-DRG,,,,inpatient,,,999999999,,208554.7944,208554.7944,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,208554.7944,case rate,999999999,,,,,,,,,,208554.7944,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
217 - CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC,217,MS-DRG,,,,inpatient,,,999999999,,139550.8714,139550.8714,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,139550.8714,case rate,999999999,,,,,,,,,,139550.8714,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
218 - CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC,218,MS-DRG,,,,inpatient,,,999999999,,128566.0001,163961.84,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,128566.0001,case rate,999999999,,,,,,,,,,128566.0001,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,163961.84,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,155763.748,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
219 - CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC,219,MS-DRG,,,,inpatient,,,999999999,,126172.559,167204.307,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,167204.307,case rate,999999999,,,,,,,,,,167204.307,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,132813.22,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,126172.559,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
220 - CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC,220,MS-DRG,,,,inpatient,,,999999999,,69376.163,114458.3393,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,114458.3393,case rate,999999999,,,,,,,,,,114458.3393,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,73027.54,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,69376.163,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
221 - CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC,221,MS-DRG,,,,inpatient,,,999999999,,94980.639,99979.62,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,99244.1953,case rate,999999999,,,,,,,,,,99244.1953,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,99979.62,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,94980.639,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
228 - OTHER CARDIOTHORACIC PROCEDURES WITH MCC,228,MS-DRG,,,,inpatient,,,999999999,,20315.7595,107685.4519,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,107685.4519,case rate,999999999,,,,,,,,,,107685.4519,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21385.01,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,20315.7595,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
229 - OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC,229,MS-DRG,,,,inpatient,,,999999999,,67125.9271,146543.08,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,67125.9271,case rate,999999999,,,,,,,,,,67125.9271,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,146543.08,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,139215.926,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
231 - CORONARY BYPASS WITH PTCA WITH MCC,231,MS-DRG,,,,inpatient,,,999999999,,34228.8515,183118.6474,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,183118.6474,case rate,999999999,,,,,,,,,,183118.6474,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,36030.37,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,34228.8515,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
232 - CORONARY BYPASS WITH PTCA WITHOUT MCC,232,MS-DRG,,,,inpatient,,,999999999,,22008.6975,132006.4713,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,132006.4713,case rate,999999999,,,,,,,,,,132006.4713,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23167.05,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,22008.6975,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
233 - CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC,233,MS-DRG,,,,inpatient,,,999999999,,168907.2538,168907.2538,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,168907.2538,case rate,999999999,,,,,,,,,,168907.2538,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
234 - CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC,234,MS-DRG,,,,inpatient,,,999999999,,114968.3589,114968.3589,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,114968.3589,case rate,999999999,,,,,,,,,,114968.3589,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
235 - CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC,235,MS-DRG,,,,inpatient,,,999999999,,127154.8018,127154.8018,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,127154.8018,case rate,999999999,,,,,,,,,,127154.8018,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
236 - CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC,236,MS-DRG,,,,inpatient,,,999999999,,88860.1098,163961.84,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,88860.1098,case rate,999999999,,,,,,,,,,88860.1098,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,163961.84,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,155763.748,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
239 - AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC,239,MS-DRG,,,,inpatient,,,999999999,,108843.8015,132813.22,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,108843.8015,case rate,999999999,,,,,,,,,,108843.8015,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,132813.22,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,126172.559,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
240 - AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC,240,MS-DRG,,,,inpatient,,,999999999,,62931.232,73027.54,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,62931.232,case rate,999999999,,,,,,,,,,62931.232,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,73027.54,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,69376.163,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
241 - AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC,241,MS-DRG,,,,inpatient,,,999999999,,32628.2878,99979.62,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,32628.2878,case rate,999999999,,,,,,,,,,32628.2878,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,99979.62,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,94980.639,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
242 - PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC,242,MS-DRG,,,,inpatient,,,999999999,,56680.4485,73304.512,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,73304.512,case rate,999999999,,,,,,,,,,73304.512,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,59663.63,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,56680.4485,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
243 - PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC,243,MS-DRG,,,,inpatient,,,999999999,,48683.0997,90783.92,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,48683.0997,case rate,999999999,,,,,,,,,,48683.0997,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,90783.92,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,86244.724,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
244 - PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC,244,MS-DRG,,,,inpatient,,,999999999,,39001.3717,48123.13,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,39001.3717,case rate,999999999,,,,,,,,,,39001.3717,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,48123.13,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,45716.9735,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
245 - AICD GENERATOR PROCEDURES,245,MS-DRG,,,,inpatient,,,999999999,,30031.932,105602.1515,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,105602.1515,case rate,999999999,,,,,,,,,,105602.1515,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,31612.56,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,30031.932,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
250 - PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC,250,MS-DRG,,,,inpatient,,,999999999,,34228.8515,49979.7597,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,49979.7597,case rate,999999999,,,,,,,,,,49979.7597,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,36030.37,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,34228.8515,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
251 - PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC,251,MS-DRG,,,,inpatient,,,999999999,,22008.6975,33767.1875,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,33767.1875,case rate,999999999,,,,,,,,,,33767.1875,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23167.05,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,22008.6975,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
252 - OTHER VASCULAR PROCEDURES WITH MCC,252,MS-DRG,,,,inpatient,,,999999999,,74130.0522,74130.0522,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,74130.0522,case rate,999999999,,,,,,,,,,74130.0522,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
253 - OTHER VASCULAR PROCEDURES WITH CC,253,MS-DRG,,,,inpatient,,,999999999,,55170.7219,55170.7219,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,55170.7219,case rate,999999999,,,,,,,,,,55170.7219,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
254 - OTHER VASCULAR PROCEDURES WITHOUT CC/MCC,254,MS-DRG,,,,inpatient,,,999999999,,37804.1223,37804.1223,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,37804.1223,case rate,999999999,,,,,,,,,,37804.1223,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
255 - UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC,255,MS-DRG,,,,inpatient,,,999999999,,56540.8593,163961.84,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,56540.8593,case rate,999999999,,,,,,,,,,56540.8593,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,163961.84,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,155763.748,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
256 - UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC,256,MS-DRG,,,,inpatient,,,999999999,,36600.3896,132813.22,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,36600.3896,case rate,999999999,,,,,,,,,,36600.3896,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,132813.22,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,126172.559,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
257 - UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC,257,MS-DRG,,,,inpatient,,,999999999,,19274.8509,73027.54,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19274.8509,case rate,999999999,,,,,,,,,,19274.8509,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,73027.54,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,69376.163,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
258 - CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC,258,MS-DRG,,,,inpatient,,,999999999,,60627.4994,99979.62,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,60627.4994,case rate,999999999,,,,,,,,,,60627.4994,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,99979.62,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,94980.639,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
259 - CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC,259,MS-DRG,,,,inpatient,,,999999999,,37983.4936,59663.63,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,37983.4936,case rate,999999999,,,,,,,,,,37983.4936,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,59663.63,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,56680.4485,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
260 - CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC,260,MS-DRG,,,,inpatient,,,999999999,,73624.3548,90783.92,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,73624.3548,case rate,999999999,,,,,,,,,,73624.3548,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,90783.92,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,86244.724,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
261 - CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC,261,MS-DRG,,,,inpatient,,,999999999,,41004.7114,48123.13,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,41004.7114,case rate,999999999,,,,,,,,,,41004.7114,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,48123.13,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,45716.9735,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
262 - CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC,262,MS-DRG,,,,inpatient,,,999999999,,30031.932,32799.0147,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,32799.0147,case rate,999999999,,,,,,,,,,32799.0147,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,31612.56,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,30031.932,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
263 - VEIN LIGATION AND STRIPPING,263,MS-DRG,,,,inpatient,,,999999999,,57958.5409,86610.74,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,57958.5409,case rate,999999999,,,,,,,,,,57958.5409,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,86610.74,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,82280.203,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
264 - OTHER CIRCULATORY SYSTEM O.R. PROCEDURES,264,MS-DRG,,,,inpatient,,,999999999,,42569.766,75528.2839,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,75528.2839,case rate,999999999,,,,,,,,,,75528.2839,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,44810.28,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,42569.766,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
265 - AICD LEAD PROCEDURES,265,MS-DRG,,,,inpatient,,,999999999,,20315.7595,77084.2759,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,77084.2759,case rate,999999999,,,,,,,,,,77084.2759,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21385.01,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,20315.7595,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
266 - ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC,266,MS-DRG,,,,inpatient,,,999999999,,129458.5344,146543.08,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,129458.5344,case rate,999999999,,,,,,,,,,129458.5344,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,146543.08,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,139215.926,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
267 - ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC,267,MS-DRG,,,,inpatient,,,999999999,,34228.8515,101666.7884,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,101666.7884,case rate,999999999,,,,,,,,,,101666.7884,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,36030.37,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,34228.8515,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
268 - AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC,268,MS-DRG,,,,inpatient,,,999999999,,22008.6975,144084.8592,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,144084.8592,case rate,999999999,,,,,,,,,,144084.8592,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23167.05,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,22008.6975,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
269 - AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC,269,MS-DRG,,,,inpatient,,,999999999,,89910.4044,89910.4044,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,89910.4044,case rate,999999999,,,,,,,,,,89910.4044,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
270 - OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC,270,MS-DRG,,,,inpatient,,,999999999,,110924.9408,110924.9408,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,110924.9408,case rate,999999999,,,,,,,,,,110924.9408,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
271 - OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC,271,MS-DRG,,,,inpatient,,,999999999,,74436.9284,74436.9284,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,74436.9284,case rate,999999999,,,,,,,,,,74436.9284,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
272 - OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC,272,MS-DRG,,,,inpatient,,,999999999,,54070.722,163961.84,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,54070.722,case rate,999999999,,,,,,,,,,54070.722,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,163961.84,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,155763.748,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
273 - PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC,273,MS-DRG,,,,inpatient,,,999999999,,84499.01,132813.22,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,84499.01,case rate,999999999,,,,,,,,,,84499.01,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,132813.22,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,126172.559,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
274 - PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC,274,MS-DRG,,,,inpatient,,,999999999,,67443.6088,73027.54,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,67443.6088,case rate,999999999,,,,,,,,,,67443.6088,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,73027.54,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,69376.163,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
275 - CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC,275,MS-DRG,,,,inpatient,,,999999999,,152714.1315,152714.1315,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,152714.1315,case rate,999999999,,,,,,,,,,152714.1315,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
276 - CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR,276,MS-DRG,,,,inpatient,,,999999999,,133858.534,133858.534,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,133858.534,case rate,999999999,,,,,,,,,,133858.534,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
277 - CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC,277,MS-DRG,,,,inpatient,,,999999999,,100538.6942,100538.6942,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,100538.6942,case rate,999999999,,,,,,,,,,100538.6942,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
278 - ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC,278,MS-DRG,,,,inpatient,,,999999999,,108117.6719,108117.6719,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,108117.6719,case rate,999999999,,,,,,,,,,108117.6719,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
279 - ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC,279,MS-DRG,,,,inpatient,,,999999999,,69245.9662,69245.9662,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,69245.9662,case rate,999999999,,,,,,,,,,69245.9662,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"280 - ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC",280,MS-DRG,,,,inpatient,,,999999999,,35474.4565,99979.62,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,35474.4565,case rate,999999999,,,,,,,,,,35474.4565,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,99979.62,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,94980.639,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"281 - ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC",281,MS-DRG,,,,inpatient,,,999999999,,19921.0198,59663.63,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19921.0198,case rate,999999999,,,,,,,,,,19921.0198,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,59663.63,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,56680.4485,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"282 - ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC",282,MS-DRG,,,,inpatient,,,999999999,,15670.1361,90783.92,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15670.1361,case rate,999999999,,,,,,,,,,15670.1361,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,90783.92,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,86244.724,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"283 - ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC",283,MS-DRG,,,,inpatient,,,999999999,,42258.1494,48123.13,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,42258.1494,case rate,999999999,,,,,,,,,,42258.1494,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,48123.13,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,45716.9735,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"284 - ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC",284,MS-DRG,,,,inpatient,,,999999999,,16011.5899,31612.56,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16011.5899,case rate,999999999,,,,,,,,,,16011.5899,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,31612.56,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,30031.932,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"285 - ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC",285,MS-DRG,,,,inpatient,,,999999999,,12130.2543,86610.74,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12130.2543,case rate,999999999,,,,,,,,,,12130.2543,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,86610.74,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,82280.203,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"286 - CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC",286,MS-DRG,,,,inpatient,,,999999999,,42569.766,47831.6263,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,47831.6263,case rate,999999999,,,,,,,,,,47831.6263,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,44810.28,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,42569.766,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"287 - CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC",287,MS-DRG,,,,inpatient,,,999999999,,20315.7595,23547.3456,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23547.3456,case rate,999999999,,,,,,,,,,23547.3456,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21385.01,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,20315.7595,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
288 - ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC,288,MS-DRG,,,,inpatient,,,999999999,,59026.1243,146543.08,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,59026.1243,case rate,999999999,,,,,,,,,,59026.1243,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,146543.08,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,139215.926,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
289 - ACUTE AND SUBACUTE ENDOCARDITIS WITH CC,289,MS-DRG,,,,inpatient,,,999999999,,34071.9026,36030.37,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,34071.9026,case rate,999999999,,,,,,,,,,34071.9026,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,36030.37,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,34228.8515,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
290 - ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC,290,MS-DRG,,,,inpatient,,,999999999,,21157.169,23167.05,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21157.169,case rate,999999999,,,,,,,,,,21157.169,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23167.05,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,22008.6975,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
291 - HEART FAILURE AND SHOCK WITH MCC,291,MS-DRG,,,,inpatient,,,999999999,,28200.1939,28200.1939,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,28200.1939,case rate,999999999,,,,,,,,,,28200.1939,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
292 - HEART FAILURE AND SHOCK WITH CC,292,MS-DRG,,,,inpatient,,,999999999,,18613.5543,18613.5543,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18613.5543,case rate,999999999,,,,,,,,,,18613.5543,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
293 - HEART FAILURE AND SHOCK WITHOUT CC/MCC,293,MS-DRG,,,,inpatient,,,999999999,,11864.439,11864.439,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11864.439,case rate,999999999,,,,,,,,,,11864.439,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
294 - DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC,294,MS-DRG,,,,inpatient,,,999999999,,26536.1469,163961.84,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,26536.1469,case rate,999999999,,,,,,,,,,26536.1469,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,163961.84,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,155763.748,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
295 - DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC,295,MS-DRG,,,,inpatient,,,999999999,,17068.3678,132813.22,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17068.3678,case rate,999999999,,,,,,,,,,17068.3678,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,132813.22,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,126172.559,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"296 - CARDIAC ARREST, UNEXPLAINED WITH MCC",296,MS-DRG,,,,inpatient,,,999999999,,35405.3013,73027.54,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,35405.3013,case rate,999999999,,,,,,,,,,35405.3013,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,73027.54,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,69376.163,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"297 - CARDIAC ARREST, UNEXPLAINED WITH CC",297,MS-DRG,,,,inpatient,,,999999999,,15222.7884,99979.62,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15222.7884,case rate,999999999,,,,,,,,,,15222.7884,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,99979.62,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,94980.639,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"298 - CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC",298,MS-DRG,,,,inpatient,,,999999999,,9543.4176,59663.63,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9543.4176,case rate,999999999,,,,,,,,,,9543.4176,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,59663.63,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,56680.4485,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
299 - PERIPHERAL VASCULAR DISORDERS WITH MCC,299,MS-DRG,,,,inpatient,,,999999999,,34960.1147,90783.92,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,34960.1147,case rate,999999999,,,,,,,,,,34960.1147,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,90783.92,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,86244.724,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
300 - PERIPHERAL VASCULAR DISORDERS WITH CC,300,MS-DRG,,,,inpatient,,,999999999,,23134.5755,48123.13,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23134.5755,case rate,999999999,,,,,,,,,,23134.5755,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,48123.13,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,45716.9735,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
301 - PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC,301,MS-DRG,,,,inpatient,,,999999999,,15415.1263,31612.56,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15415.1263,case rate,999999999,,,,,,,,,,15415.1263,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,31612.56,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,30031.932,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
302 - ATHEROSCLEROSIS WITH MCC,302,MS-DRG,,,,inpatient,,,999999999,,25137.9152,86610.74,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,25137.9152,case rate,999999999,,,,,,,,,,25137.9152,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,86610.74,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,82280.203,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
303 - ATHEROSCLEROSIS WITHOUT MCC,303,MS-DRG,,,,inpatient,,,999999999,,14531.2364,44810.28,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14531.2364,case rate,999999999,,,,,,,,,,14531.2364,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,44810.28,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,42569.766,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
304 - HYPERTENSION WITH MCC,304,MS-DRG,,,,inpatient,,,999999999,,20315.7595,25388.6028,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,25388.6028,case rate,999999999,,,,,,,,,,25388.6028,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21385.01,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,20315.7595,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
305 - HYPERTENSION WITHOUT MCC,305,MS-DRG,,,,inpatient,,,999999999,,16223.3777,146543.08,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16223.3777,case rate,999999999,,,,,,,,,,16223.3777,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,146543.08,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,139215.926,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
306 - CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC,306,MS-DRG,,,,inpatient,,,999999999,,32360.3114,36030.37,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,32360.3114,case rate,999999999,,,,,,,,,,32360.3114,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,36030.37,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,34228.8515,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
307 - CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC,307,MS-DRG,,,,inpatient,,,999999999,,20018.2693,23167.05,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20018.2693,case rate,999999999,,,,,,,,,,20018.2693,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23167.05,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,22008.6975,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
308 - CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC,308,MS-DRG,,,,inpatient,,,999999999,,26062.866,26062.866,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,26062.866,case rate,999999999,,,,,,,,,,26062.866,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
309 - CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC,309,MS-DRG,,,,inpatient,,,999999999,,15977.0123,15977.0123,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15977.0123,case rate,999999999,,,,,,,,,,15977.0123,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
310 - CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC,310,MS-DRG,,,,inpatient,,,999999999,,12091.3545,12091.3545,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12091.3545,case rate,999999999,,,,,,,,,,12091.3545,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
311 - ANGINA PECTORIS,311,MS-DRG,,,,inpatient,,,999999999,,15095.2835,163961.84,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15095.2835,case rate,999999999,,,,,,,,,,15095.2835,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,163961.84,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,155763.748,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
312 - SYNCOPE AND COLLAPSE,312,MS-DRG,,,,inpatient,,,999999999,,18829.6643,132813.22,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18829.6643,case rate,999999999,,,,,,,,,,18829.6643,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,132813.22,case rate,999999999,,,,18849.01,case rate,999999999,,,,,,,,,,126172.559,case rate,999999999,,,,17906.5595,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
313 - CHEST PAIN,313,MS-DRG,,,,inpatient,,,999999999,,15415.1263,73027.54,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15415.1263,case rate,999999999,,,,,,,,,,15415.1263,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,73027.54,case rate,999999999,,,,17784.1,case rate,999999999,,,,,,,,,,69376.163,case rate,999999999,,,,16894.895,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
314 - OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC,314,MS-DRG,,,,inpatient,,,999999999,,46537.1274,99979.62,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,46537.1274,case rate,999999999,,,,,,,,,,46537.1274,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,99979.62,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,94980.639,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
315 - OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC,315,MS-DRG,,,,inpatient,,,999999999,,20796.2653,59663.63,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20796.2653,case rate,999999999,,,,,,,,,,20796.2653,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,59663.63,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,56680.4485,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
316 - OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC,316,MS-DRG,,,,inpatient,,,999999999,,14751.6686,90783.92,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14751.6686,case rate,999999999,,,,,,,,,,14751.6686,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,90783.92,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,86244.724,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
317 - CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION,317,MS-DRG,,,,inpatient,,,999999999,,133685.646,133685.646,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,133685.646,case rate,999999999,,,,,,,,,,133685.646,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
319 - OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC,319,MS-DRG,,,,inpatient,,,999999999,,45716.9735,94926.3175,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,94926.3175,case rate,999999999,,,,,,,,,,94926.3175,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,48123.13,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,45716.9735,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
320 - OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC,320,MS-DRG,,,,inpatient,,,999999999,,30031.932,50020.8206,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,50020.8206,case rate,999999999,,,,,,,,,,50020.8206,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,31612.56,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,30031.932,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
321 - PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES,321,MS-DRG,,,,inpatient,,,999999999,,61520.0337,61520.0337,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,61520.0337,case rate,999999999,,,,,,,,,,61520.0337,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
322 - PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC,322,MS-DRG,,,,inpatient,,,999999999,,39096.4601,39096.4601,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,39096.4601,case rate,999999999,,,,,,,,,,39096.4601,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
323 - CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC,323,MS-DRG,,,,inpatient,,,999999999,,92045.5712,92045.5712,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,92045.5712,case rate,999999999,,,,,,,,,,92045.5712,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
324 - CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC,324,MS-DRG,,,,inpatient,,,999999999,,69047.145,69047.145,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,69047.145,case rate,999999999,,,,,,,,,,69047.145,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
325 - CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE,325,MS-DRG,,,,inpatient,,,999999999,,61850.682,61850.682,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,61850.682,case rate,999999999,,,,,,,,,,61850.682,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"326 - STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC",326,MS-DRG,,,,inpatient,,,999999999,,82280.203,109755.7857,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,109755.7857,case rate,999999999,,,,,,,,,,109755.7857,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,86610.74,case rate,999999999,,,,35914.96,case rate,999999999,,,,,,,,,,82280.203,case rate,999999999,,,,34119.212,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"327 - STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC",327,MS-DRG,,,,inpatient,,,999999999,,42569.766,52473.6691,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,52473.6691,case rate,999999999,,,,,,,,,,52473.6691,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,44810.28,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,42569.766,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"328 - STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC",328,MS-DRG,,,,inpatient,,,999999999,,20315.7595,34434.9674,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,34434.9674,case rate,999999999,,,,,,,,,,34434.9674,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21385.01,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,20315.7595,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
329 - MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC,329,MS-DRG,,,,inpatient,,,999999999,,99231.2287,146543.08,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,99231.2287,case rate,999999999,,,,,,,,,,99231.2287,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,146543.08,case rate,999999999,,,,36146.01,case rate,999999999,,,,,,,,,,139215.926,case rate,999999999,,,,34338.7095,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
330 - MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC,330,MS-DRG,,,,inpatient,,,999999999,,34228.8515,51081.9207,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,51081.9207,case rate,999999999,,,,,,,,,,51081.9207,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,36030.37,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,34228.8515,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
331 - MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC,331,MS-DRG,,,,inpatient,,,999999999,,22008.6975,35679.761,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,35679.761,case rate,999999999,,,,,,,,,,35679.761,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23167.05,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,22008.6975,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
332 - RECTAL RESECTION WITH MCC,332,MS-DRG,,,,inpatient,,,999999999,,74957.7535,74957.7535,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,74957.7535,case rate,999999999,,,,,,,,,,74957.7535,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
333 - RECTAL RESECTION WITH CC,333,MS-DRG,,,,inpatient,,,999999999,,45925.5361,45925.5361,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45925.5361,case rate,999999999,,,,,,,,,,45925.5361,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
334 - RECTAL RESECTION WITHOUT CC/MCC,334,MS-DRG,,,,inpatient,,,999999999,,35839.6824,35839.6824,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,35839.6824,case rate,999999999,,,,,,,,,,35839.6824,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
335 - PERITONEAL ADHESIOLYSIS WITH MCC,335,MS-DRG,,,,inpatient,,,999999999,,78316.1029,163961.84,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,78316.1029,case rate,999999999,,,,,,,,,,78316.1029,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,163961.84,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,155763.748,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
336 - PERITONEAL ADHESIOLYSIS WITH CC,336,MS-DRG,,,,inpatient,,,999999999,,45651.0764,132813.22,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45651.0764,case rate,999999999,,,,,,,,,,45651.0764,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,132813.22,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,126172.559,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
337 - PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC,337,MS-DRG,,,,inpatient,,,999999999,,33172.885,73027.54,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,33172.885,case rate,999999999,,,,,,,,,,33172.885,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,73027.54,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,69376.163,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
344 - MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC,344,MS-DRG,,,,inpatient,,,999999999,,42569.766,58228.6784,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,58228.6784,case rate,999999999,,,,,,,,,,58228.6784,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,44810.28,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,42569.766,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
345 - MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC,345,MS-DRG,,,,inpatient,,,999999999,,20315.7595,32183.1012,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,32183.1012,case rate,999999999,,,,,,,,,,32183.1012,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21385.01,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,20315.7595,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
346 - MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC,346,MS-DRG,,,,inpatient,,,999999999,,26910.0172,146543.08,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,26910.0172,case rate,999999999,,,,,,,,,,26910.0172,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,146543.08,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,139215.926,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
347 - ANAL AND STOMAL PROCEDURES WITH MCC,347,MS-DRG,,,,inpatient,,,999999999,,34228.8515,51144.5926,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,51144.5926,case rate,999999999,,,,,,,,,,51144.5926,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,36030.37,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,34228.8515,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
348 - ANAL AND STOMAL PROCEDURES WITH CC,348,MS-DRG,,,,inpatient,,,999999999,,22008.6975,27203.9268,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,27203.9268,case rate,999999999,,,,,,,,,,27203.9268,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23167.05,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,22008.6975,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
349 - ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC,349,MS-DRG,,,,inpatient,,,999999999,,19037.1299,19037.1299,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19037.1299,case rate,999999999,,,,,,,,,,19037.1299,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
350 - INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC,350,MS-DRG,,,,inpatient,,,999999999,,52294.2978,52294.2978,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,52294.2978,case rate,999999999,,,,,,,,,,52294.2978,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
351 - INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC,351,MS-DRG,,,,inpatient,,,999999999,,32518.0717,32518.0717,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,32518.0717,case rate,999999999,,,,,,,,,,32518.0717,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
352 - INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC,352,MS-DRG,,,,inpatient,,,999999999,,23826.1275,163961.84,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23826.1275,case rate,999999999,,,,,,,,,,23826.1275,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,163961.84,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,155763.748,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
353 - HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC,353,MS-DRG,,,,inpatient,,,999999999,,63380.7408,132813.22,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,63380.7408,case rate,999999999,,,,,,,,,,63380.7408,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,132813.22,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,126172.559,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
354 - HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC,354,MS-DRG,,,,inpatient,,,999999999,,36762.4721,73027.54,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,36762.4721,case rate,999999999,,,,,,,,,,36762.4721,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,73027.54,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,69376.163,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
355 - HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC,355,MS-DRG,,,,inpatient,,,999999999,,28809.6241,99979.62,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,28809.6241,case rate,999999999,,,,,,,,,,28809.6241,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,99979.62,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,94980.639,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
356 - OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC,356,MS-DRG,,,,inpatient,,,999999999,,56680.4485,92179.5594,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,92179.5594,case rate,999999999,,,,,,,,,,92179.5594,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,59663.63,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,56680.4485,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
357 - OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC,357,MS-DRG,,,,inpatient,,,999999999,,48665.8109,90783.92,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,48665.8109,case rate,999999999,,,,,,,,,,48665.8109,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,90783.92,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,86244.724,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
358 - OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC,358,MS-DRG,,,,inpatient,,,999999999,,29282.905,48123.13,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,29282.905,case rate,999999999,,,,,,,,,,29282.905,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,48123.13,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,45716.9735,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
368 - MAJOR ESOPHAGEAL DISORDERS WITH MCC,368,MS-DRG,,,,inpatient,,,999999999,,30031.932,36088.2089,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,36088.2089,case rate,999999999,,,,,,,,,,36088.2089,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,31612.56,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,30031.932,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
369 - MAJOR ESOPHAGEAL DISORDERS WITH CC,369,MS-DRG,,,,inpatient,,,999999999,,21991.3536,86610.74,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21991.3536,case rate,999999999,,,,,,,,,,21991.3536,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,86610.74,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,82280.203,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
370 - MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC,370,MS-DRG,,,,inpatient,,,999999999,,15082.3169,44810.28,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15082.3169,case rate,999999999,,,,,,,,,,15082.3169,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,44810.28,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,42569.766,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
371 - MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC,371,MS-DRG,,,,inpatient,,,999999999,,20315.7595,37782.5113,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,37782.5113,case rate,999999999,,,,,,,,,,37782.5113,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21385.01,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,20315.7595,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
372 - MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC,372,MS-DRG,,,,inpatient,,,999999999,,22244.2023,146543.08,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,22244.2023,case rate,999999999,,,,,,,,,,22244.2023,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,146543.08,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,139215.926,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
373 - MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC,373,MS-DRG,,,,inpatient,,,999999999,,15674.4583,36030.37,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15674.4583,case rate,999999999,,,,,,,,,,15674.4583,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,36030.37,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,34228.8515,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
374 - DIGESTIVE MALIGNANCY WITH MCC,374,MS-DRG,,,,inpatient,,,999999999,,22008.6975,45631.6265,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45631.6265,case rate,999999999,,,,,,,,,,45631.6265,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23167.05,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,22008.6975,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
375 - DIGESTIVE MALIGNANCY WITH CC,375,MS-DRG,,,,inpatient,,,999999999,,26553.4357,26553.4357,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,26553.4357,case rate,999999999,,,,,,,,,,26553.4357,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
376 - DIGESTIVE MALIGNANCY WITHOUT CC/MCC,376,MS-DRG,,,,inpatient,,,999999999,,19080.3519,19080.3519,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19080.3519,case rate,999999999,,,,,,,,,,19080.3519,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
377 - GASTROINTESTINAL HEMORRHAGE WITH MCC,377,MS-DRG,,,,inpatient,,,999999999,,39290.9591,39290.9591,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,39290.9591,case rate,999999999,,,,,,,,,,39290.9591,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
378 - GASTROINTESTINAL HEMORRHAGE WITH CC,378,MS-DRG,,,,inpatient,,,999999999,,21306.2849,163961.84,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21306.2849,case rate,999999999,,,,,,,,,,21306.2849,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,163961.84,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,155763.748,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
379 - GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC,379,MS-DRG,,,,inpatient,,,999999999,,13757.5626,132813.22,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13757.5626,case rate,999999999,,,,,,,,,,13757.5626,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,132813.22,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,126172.559,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
380 - COMPLICATED PEPTIC ULCER WITH MCC,380,MS-DRG,,,,inpatient,,,999999999,,41586.0473,73027.54,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,41586.0473,case rate,999999999,,,,,,,,,,41586.0473,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,73027.54,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,69376.163,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
381 - COMPLICATED PEPTIC ULCER WITH CC,381,MS-DRG,,,,inpatient,,,999999999,,23536.5401,99979.62,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23536.5401,case rate,999999999,,,,,,,,,,23536.5401,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,99979.62,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,94980.639,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
382 - COMPLICATED PEPTIC ULCER WITHOUT CC/MCC,382,MS-DRG,,,,inpatient,,,999999999,,16193.1223,59663.63,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16193.1223,case rate,999999999,,,,,,,,,,16193.1223,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,59663.63,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,56680.4485,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
383 - UNCOMPLICATED PEPTIC ULCER WITH MCC,383,MS-DRG,,,,inpatient,,,999999999,,27320.6262,90783.92,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,27320.6262,case rate,999999999,,,,,,,,,,27320.6262,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,90783.92,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,86244.724,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
384 - UNCOMPLICATED PEPTIC ULCER WITHOUT MCC,384,MS-DRG,,,,inpatient,,,999999999,,18792.9256,48123.13,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18792.9256,case rate,999999999,,,,,,,,,,18792.9256,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,48123.13,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,45716.9735,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
385 - INFLAMMATORY BOWEL DISEASE WITH MCC,385,MS-DRG,,,,inpatient,,,999999999,,30031.932,35111.3917,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,35111.3917,case rate,999999999,,,,,,,,,,35111.3917,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,31612.56,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,30031.932,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
386 - INFLAMMATORY BOWEL DISEASE WITH CC,386,MS-DRG,,,,inpatient,,,999999999,,21446.7564,86610.74,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21446.7564,case rate,999999999,,,,,,,,,,21446.7564,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,86610.74,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,82280.203,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
387 - INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC,387,MS-DRG,,,,inpatient,,,999999999,,14485.8533,44810.28,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14485.8533,case rate,999999999,,,,,,,,,,14485.8533,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,44810.28,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,42569.766,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
388 - GASTROINTESTINAL OBSTRUCTION WITH MCC,388,MS-DRG,,,,inpatient,,,999999999,,20315.7595,31768.17,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,31768.17,case rate,999999999,,,,,,,,,,31768.17,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21385.01,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,20315.7595,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
389 - GASTROINTESTINAL OBSTRUCTION WITH CC,389,MS-DRG,,,,inpatient,,,999999999,,17325.5387,146543.08,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17325.5387,case rate,999999999,,,,,,,,,,17325.5387,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,146543.08,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,139215.926,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
390 - GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC,390,MS-DRG,,,,inpatient,,,999999999,,11823.3781,36030.37,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11823.3781,case rate,999999999,,,,,,,,,,11823.3781,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,36030.37,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,34228.8515,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"391 - ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC",391,MS-DRG,,,,inpatient,,,999999999,,22008.6975,27767.9739,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,27767.9739,case rate,999999999,,,,,,,,,,27767.9739,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23167.05,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,22008.6975,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"392 - ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC",392,MS-DRG,,,,inpatient,,,999999999,,16863.0633,16863.0633,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16863.0633,case rate,999999999,,,,,,,,,,16863.0633,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,21991.67,case rate,999999999,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,20892.0865,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
393 - OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC,393,MS-DRG,,,,inpatient,,,999999999,,35785.6549,35785.6549,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,35785.6549,case rate,999999999,,,,,,,,,,35785.6549,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
394 - OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC,394,MS-DRG,,,,inpatient,,,999999999,,20342.4343,20342.4343,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20342.4343,case rate,999999999,,,,,,,,,,20342.4343,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
395 - OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC,395,MS-DRG,,,,inpatient,,,999999999,,13753.2404,163961.84,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13753.2404,case rate,999999999,,,,,,,,,,13753.2404,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,163961.84,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,155763.748,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
397 - APPENDIX PROCEDURES WITH MCC,397,MS-DRG,,,,inpatient,,,999999999,,53543.4136,53543.4136,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53543.4136,case rate,999999999,,,,,,,,,,53543.4136,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
398 - APPENDIX PROCEDURES WITH CC,398,MS-DRG,,,,inpatient,,,999999999,,32703.9263,32703.9263,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,32703.9263,case rate,999999999,,,,,,,,,,32703.9263,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
399 - APPENDIX PROCEDURES WITHOUT CC/MCC,399,MS-DRG,,,,inpatient,,,999999999,,24292.9251,24292.9251,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,24292.9251,case rate,999999999,,,,,,,,,,24292.9251,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
402 - SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL,402,MS-DRG,,,,inpatient,,,999999999,,84913.9412,84913.9412,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,84913.9412,case rate,999999999,,,,,,,,,,84913.9412,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"405 - PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC",405,MS-DRG,,,,inpatient,,,999999999,,117313.1524,132813.22,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,117313.1524,case rate,999999999,,,,,,,,,,117313.1524,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,132813.22,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,126172.559,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"406 - PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC",406,MS-DRG,,,,inpatient,,,999999999,,60688.0102,73027.54,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,60688.0102,case rate,999999999,,,,,,,,,,60688.0102,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,73027.54,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,69376.163,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"407 - PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC",407,MS-DRG,,,,inpatient,,,999999999,,46152.4516,99979.62,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,46152.4516,case rate,999999999,,,,,,,,,,46152.4516,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,99979.62,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,94980.639,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
408 - BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC,408,MS-DRG,,,,inpatient,,,999999999,,56680.4485,75662.2721,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,75662.2721,case rate,999999999,,,,,,,,,,75662.2721,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,59663.63,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,56680.4485,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
409 - BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC,409,MS-DRG,,,,inpatient,,,999999999,,45303.1393,90783.92,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45303.1393,case rate,999999999,,,,,,,,,,45303.1393,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,90783.92,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,86244.724,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
410 - BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC,410,MS-DRG,,,,inpatient,,,999999999,,33518.661,48123.13,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,33518.661,case rate,999999999,,,,,,,,,,33518.661,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,48123.13,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,45716.9735,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
411 - CHOLECYSTECTOMY WITH C.D.E. WITH MCC,411,MS-DRG,,,,inpatient,,,999999999,,30031.932,59136.3404,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,59136.3404,case rate,999999999,,,,,,,,,,59136.3404,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,31612.56,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,30031.932,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
412 - CHOLECYSTECTOMY WITH C.D.E. WITH CC,412,MS-DRG,,,,inpatient,,,999999999,,46063.8465,86610.74,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,46063.8465,case rate,999999999,,,,,,,,,,46063.8465,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,86610.74,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,82280.203,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
413 - CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC,413,MS-DRG,,,,inpatient,,,999999999,,35926.1264,44810.28,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,35926.1264,case rate,999999999,,,,,,,,,,35926.1264,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,44810.28,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,42569.766,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
414 - CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC,414,MS-DRG,,,,inpatient,,,999999999,,20315.7595,75716.2996,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,75716.2996,case rate,999999999,,,,,,,,,,75716.2996,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21385.01,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,20315.7595,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
415 - CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC,415,MS-DRG,,,,inpatient,,,999999999,,42746.558,146543.08,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,42746.558,case rate,999999999,,,,,,,,,,42746.558,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,146543.08,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,139215.926,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
416 - CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC,416,MS-DRG,,,,inpatient,,,999999999,,29611.3922,36030.37,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,29611.3922,case rate,999999999,,,,,,,,,,29611.3922,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,36030.37,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,34228.8515,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
417 - LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC,417,MS-DRG,,,,inpatient,,,999999999,,22008.6975,51358.5415,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,51358.5415,case rate,999999999,,,,,,,,,,51358.5415,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23167.05,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,22008.6975,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
418 - LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC,418,MS-DRG,,,,inpatient,,,999999999,,35841.8435,35841.8435,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,35841.8435,case rate,999999999,,,,,,,,,,35841.8435,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
419 - LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC,419,MS-DRG,,,,inpatient,,,999999999,,28474.6536,28474.6536,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,28474.6536,case rate,999999999,,,,,,,,,,28474.6536,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
420 - HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC,420,MS-DRG,,,,inpatient,,,999999999,,76269.5412,76269.5412,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,76269.5412,case rate,999999999,,,,,,,,,,76269.5412,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
421 - HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC,421,MS-DRG,,,,inpatient,,,999999999,,35388.0125,163961.84,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,35388.0125,case rate,999999999,,,,,,,,,,35388.0125,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,163961.84,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,155763.748,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
422 - HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC,422,MS-DRG,,,,inpatient,,,999999999,,31753.0423,132813.22,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,31753.0423,case rate,999999999,,,,,,,,,,31753.0423,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,132813.22,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,126172.559,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
423 - OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC,423,MS-DRG,,,,inpatient,,,999999999,,69376.163,87894.0981,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,87894.0981,case rate,999999999,,,,,,,,,,87894.0981,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,73027.54,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,69376.163,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
424 - OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC,424,MS-DRG,,,,inpatient,,,999999999,,49340.0741,99979.62,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,49340.0741,case rate,999999999,,,,,,,,,,49340.0741,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,99979.62,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,94980.639,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
425 - OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC,425,MS-DRG,,,,inpatient,,,999999999,,33404.1227,59663.63,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,33404.1227,case rate,999999999,,,,,,,,,,33404.1227,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,59663.63,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,56680.4485,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
426 - MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE,426,MS-DRG,,,,inpatient,,,999999999,,226517.8576,226517.8576,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,226517.8576,case rate,999999999,,,,,,,,,,226517.8576,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
427 - MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC,427,MS-DRG,,,,inpatient,,,999999999,,153410.0057,153410.0057,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,153410.0057,case rate,999999999,,,,,,,,,,153410.0057,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
428 - MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC,428,MS-DRG,,,,inpatient,,,999999999,,118972.8772,118972.8772,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,118972.8772,case rate,999999999,,,,,,,,,,118972.8772,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
429 - COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC,429,MS-DRG,,,,inpatient,,,999999999,,180235.74,180235.74,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,180235.74,case rate,999999999,,,,,,,,,,180235.74,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
430 - COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC,430,MS-DRG,,,,inpatient,,,999999999,,118214.3311,118214.3311,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,118214.3311,case rate,999999999,,,,,,,,,,118214.3311,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
432 - CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC,432,MS-DRG,,,,inpatient,,,999999999,,42338.1101,90783.92,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,42338.1101,case rate,999999999,,,,,,,,,,42338.1101,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,90783.92,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,86244.724,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
433 - CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC,433,MS-DRG,,,,inpatient,,,999999999,,23117.2867,48123.13,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23117.2867,case rate,999999999,,,,,,,,,,23117.2867,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,48123.13,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,45716.9735,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
434 - CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC,434,MS-DRG,,,,inpatient,,,999999999,,15049.9004,31612.56,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15049.9004,case rate,999999999,,,,,,,,,,15049.9004,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,31612.56,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,30031.932,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
435 - MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC,435,MS-DRG,,,,inpatient,,,999999999,,39429.2695,86610.74,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,39429.2695,case rate,999999999,,,,,,,,,,39429.2695,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,86610.74,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,82280.203,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
436 - MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC,436,MS-DRG,,,,inpatient,,,999999999,,24368.5636,44810.28,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,24368.5636,case rate,999999999,,,,,,,,,,24368.5636,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,44810.28,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,42569.766,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
437 - MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC,437,MS-DRG,,,,inpatient,,,999999999,,16966.7961,21385.01,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16966.7961,case rate,999999999,,,,,,,,,,16966.7961,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21385.01,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,20315.7595,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
438 - DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC,438,MS-DRG,,,,inpatient,,,999999999,,35956.3818,146543.08,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,35956.3818,case rate,999999999,,,,,,,,,,35956.3818,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,146543.08,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,139215.926,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
439 - DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC,439,MS-DRG,,,,inpatient,,,999999999,,18589.7822,36030.37,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18589.7822,case rate,999999999,,,,,,,,,,18589.7822,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,36030.37,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,34228.8515,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
440 - DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC,440,MS-DRG,,,,inpatient,,,999999999,,13292.9261,23167.05,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13292.9261,case rate,999999999,,,,,,,,,,13292.9261,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23167.05,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,22008.6975,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"441 - DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC",441,MS-DRG,,,,inpatient,,,999999999,,40851.2733,40851.2733,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,40851.2733,case rate,999999999,,,,,,,,,,40851.2733,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"442 - DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC",442,MS-DRG,,,,inpatient,,,999999999,,20880.5482,20880.5482,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20880.5482,case rate,999999999,,,,,,,,,,20880.5482,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,30554.79,case rate,999999999,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,29027.0505,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"443 - DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC",443,MS-DRG,,,,inpatient,,,999999999,,15183.8886,15183.8886,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15183.8886,case rate,999999999,,,,,,,,,,15183.8886,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,14830.27,case rate,999999999,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,14088.7565,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
444 - DISORDERS OF THE BILIARY TRACT WITH MCC,444,MS-DRG,,,,inpatient,,,999999999,,36403.7295,163961.84,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,36403.7295,case rate,999999999,,,,,,,,,,36403.7295,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,163961.84,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,155763.748,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
445 - DISORDERS OF THE BILIARY TRACT WITH CC,445,MS-DRG,,,,inpatient,,,999999999,,23434.9684,132813.22,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23434.9684,case rate,999999999,,,,,,,,,,23434.9684,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,132813.22,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,126172.559,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
446 - DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC,446,MS-DRG,,,,inpatient,,,999999999,,17228.2892,73027.54,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17228.2892,case rate,999999999,,,,,,,,,,17228.2892,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,73027.54,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,69376.163,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
447 - MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE,447,MS-DRG,,,,inpatient,,,999999999,,144884.4662,144884.4662,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,144884.4662,case rate,999999999,,,,,,,,,,144884.4662,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
448 - MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC,448,MS-DRG,,,,inpatient,,,999999999,,88242.0352,88242.0352,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,88242.0352,case rate,999999999,,,,,,,,,,88242.0352,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
450 - SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE,450,MS-DRG,,,,inpatient,,,999999999,,111290.1667,111290.1667,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,111290.1667,case rate,999999999,,,,,,,,,,111290.1667,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
451 - SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC,451,MS-DRG,,,,inpatient,,,999999999,,66687.2238,66687.2238,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,66687.2238,case rate,999999999,,,,,,,,,,66687.2238,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"456 - SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC",456,MS-DRG,,,,inpatient,,,999999999,,45716.9735,183014.9146,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,183014.9146,case rate,999999999,,,,,,,,,,183014.9146,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,48123.13,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,45716.9735,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"457 - SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC",457,MS-DRG,,,,inpatient,,,999999999,,30031.932,124025.529,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,124025.529,case rate,999999999,,,,,,,,,,124025.529,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,31612.56,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,30031.932,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"458 - SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC",458,MS-DRG,,,,inpatient,,,999999999,,82280.203,93309.8147,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,93309.8147,case rate,999999999,,,,,,,,,,93309.8147,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,86610.74,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,82280.203,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
461 - BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC,461,MS-DRG,,,,inpatient,,,999999999,,132620.2237,146543.08,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,132620.2237,case rate,999999999,,,,,,,,,,132620.2237,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,146543.08,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,139215.926,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
462 - BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC,462,MS-DRG,,,,inpatient,,,999999999,,34228.8515,61885.2596,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,61885.2596,case rate,999999999,,,,,,,,,,61885.2596,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,36030.37,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,34228.8515,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
463 - WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC,463,MS-DRG,,,,inpatient,,,999999999,,22008.6975,116714.5277,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,116714.5277,case rate,999999999,,,,,,,,,,116714.5277,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23167.05,case rate,999999999,,,,116723.5,case rate,999999999,,,,,,,,,,22008.6975,case rate,999999999,,,,110887.325,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
464 - WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC,464,MS-DRG,,,,inpatient,,,999999999,,63722.1946,63722.1946,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,63722.1946,case rate,999999999,,,,,,,,,,63722.1946,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,72265.83,case rate,999999999,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,68652.5385,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
465 - WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC,465,MS-DRG,,,,inpatient,,,999999999,,37514.5349,37514.5349,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,37514.5349,case rate,999999999,,,,,,,,,,37514.5349,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,38851.57,case rate,999999999,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,36908.9915,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
466 - REVISION OF HIP OR KNEE REPLACEMENT WITH MCC,466,MS-DRG,,,,inpatient,,,999999999,,110092.9173,110092.9173,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,110092.9173,case rate,999999999,,,,,,,,,,110092.9173,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
467 - REVISION OF HIP OR KNEE REPLACEMENT WITH CC,467,MS-DRG,,,,inpatient,,,999999999,,74015.5139,163961.84,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,74015.5139,case rate,999999999,,,,,,,,,,74015.5139,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,163961.84,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,155763.748,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
468 - REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC,468,MS-DRG,,,,inpatient,,,999999999,,56689.9752,132813.22,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,56689.9752,case rate,999999999,,,,,,,,,,56689.9752,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,132813.22,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,126172.559,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
469 - MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT,469,MS-DRG,,,,inpatient,,,999999999,,69376.163,73027.54,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,70635.5535,case rate,999999999,,,,,,,,,,70635.5535,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,73027.54,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,69376.163,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
470 - MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC,470,MS-DRG,,,,inpatient,,,999999999,,40747.5405,99979.62,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,40747.5405,case rate,999999999,,,,,,,,,,40747.5405,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,99979.62,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,94980.639,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
471 - CERVICAL SPINAL FUSION WITH MCC,471,MS-DRG,,,,inpatient,,,999999999,,56680.4485,104964.627,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,104964.627,case rate,999999999,,,,,,,,,,104964.627,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,59663.63,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,56680.4485,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
472 - CERVICAL SPINAL FUSION WITH CC,472,MS-DRG,,,,inpatient,,,999999999,,62607.067,90783.92,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,62607.067,case rate,999999999,,,,,,,,,,62607.067,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,90783.92,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,86244.724,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
473 - CERVICAL SPINAL FUSION WITHOUT CC/MCC,473,MS-DRG,,,,inpatient,,,999999999,,45716.9735,51157.5592,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,51157.5592,case rate,999999999,,,,,,,,,,51157.5592,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,48123.13,case rate,999999999,,,,55910.47,case rate,999999999,,,,,,,,,,45716.9735,case rate,999999999,,,,53114.9465,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
474 - AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC,474,MS-DRG,,,,inpatient,,,999999999,,30031.932,96912.3684,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,96912.3684,case rate,999999999,,,,,,,,,,96912.3684,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,31612.56,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,30031.932,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
475 - AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC,475,MS-DRG,,,,inpatient,,,999999999,,46617.0881,86610.74,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,46617.0881,case rate,999999999,,,,,,,,,,46617.0881,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,86610.74,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,82280.203,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
476 - AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC,476,MS-DRG,,,,inpatient,,,999999999,,25133.593,44810.28,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,25133.593,case rate,999999999,,,,,,,,,,25133.593,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,44810.28,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,42569.766,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
477 - BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC,477,MS-DRG,,,,inpatient,,,999999999,,20315.7595,74315.9068,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,74315.9068,case rate,999999999,,,,,,,,,,74315.9068,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21385.01,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,20315.7595,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
478 - BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC,478,MS-DRG,,,,inpatient,,,999999999,,50535.1624,146543.08,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,50535.1624,case rate,999999999,,,,,,,,,,50535.1624,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,146543.08,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,139215.926,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
479 - BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC,479,MS-DRG,,,,inpatient,,,999999999,,34228.8515,38374.6527,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,38374.6527,case rate,999999999,,,,,,,,,,38374.6527,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,36030.37,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,34228.8515,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
480 - HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC,480,MS-DRG,,,,inpatient,,,999999999,,22008.6975,63557.951,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,63557.951,case rate,999999999,,,,,,,,,,63557.951,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23167.05,case rate,999999999,,,,52487.62,case rate,999999999,,,,,,,,,,22008.6975,case rate,999999999,,,,49863.239,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
481 - HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC,481,MS-DRG,,,,inpatient,,,999999999,,44840.6639,44840.6639,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,44840.6639,case rate,999999999,,,,,,,,,,44840.6639,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,46059.99,case rate,999999999,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,43756.9905,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
482 - HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC,482,MS-DRG,,,,inpatient,,,999999999,,34283.6904,34283.6904,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,34283.6904,case rate,999999999,,,,,,,,,,34283.6904,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,24293.49,case rate,999999999,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,23078.8155,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
483 - MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES,483,MS-DRG,,,,inpatient,,,999999999,,55066.9891,55066.9891,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,55066.9891,case rate,999999999,,,,,,,,,,55066.9891,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
485 - KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC,485,MS-DRG,,,,inpatient,,,999999999,,69665.2196,163961.84,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,69665.2196,case rate,999999999,,,,,,,,,,69665.2196,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,163961.84,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,155763.748,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
486 - KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC,486,MS-DRG,,,,inpatient,,,999999999,,45830.4477,132813.22,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45830.4477,case rate,999999999,,,,,,,,,,45830.4477,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,132813.22,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,126172.559,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
487 - KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC,487,MS-DRG,,,,inpatient,,,999999999,,34147.5411,73027.54,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,34147.5411,case rate,999999999,,,,,,,,,,34147.5411,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,73027.54,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,69376.163,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
488 - KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC,488,MS-DRG,,,,inpatient,,,999999999,,42472.0983,99979.62,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,42472.0983,case rate,999999999,,,,,,,,,,42472.0983,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,99979.62,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,94980.639,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
489 - KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC,489,MS-DRG,,,,inpatient,,,999999999,,26767.3846,59663.63,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,26767.3846,case rate,999999999,,,,,,,,,,26767.3846,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,59663.63,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,56680.4485,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"492 - LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC",492,MS-DRG,,,,inpatient,,,999999999,,76740.661,90783.92,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,76740.661,case rate,999999999,,,,,,,,,,76740.661,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,90783.92,case rate,999999999,,,,54626.47,case rate,999999999,,,,,,,,,,86244.724,case rate,999999999,,,,51895.1465,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"493 - LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC",493,MS-DRG,,,,inpatient,,,999999999,,45716.9735,51888.011,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,51888.011,case rate,999999999,,,,,,,,,,51888.011,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,48123.13,case rate,999999999,,,,42611.01,case rate,999999999,,,,,,,,,,45716.9735,case rate,999999999,,,,40480.4595,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"494 - LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC",494,MS-DRG,,,,inpatient,,,999999999,,30031.932,40747.5405,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,40747.5405,case rate,999999999,,,,,,,,,,40747.5405,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,31612.56,case rate,999999999,,,,24192.88,case rate,999999999,,,,,,,,,,30031.932,case rate,999999999,,,,22983.236,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
495 - LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC,495,MS-DRG,,,,inpatient,,,999999999,,76077.2033,86610.74,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,76077.2033,case rate,999999999,,,,,,,,,,76077.2033,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,86610.74,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,82280.203,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
496 - LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC,496,MS-DRG,,,,inpatient,,,999999999,,42569.766,44810.28,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,42636.3419,case rate,999999999,,,,,,,,,,42636.3419,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,44810.28,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,42569.766,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
497 - LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC,497,MS-DRG,,,,inpatient,,,999999999,,20315.7595,29023.573,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,29023.573,case rate,999999999,,,,,,,,,,29023.573,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21385.01,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,20315.7595,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
498 - LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC,498,MS-DRG,,,,inpatient,,,999999999,,54561.2917,146543.08,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,54561.2917,case rate,999999999,,,,,,,,,,54561.2917,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,146543.08,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,139215.926,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
499 - LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC,499,MS-DRG,,,,inpatient,,,999999999,,25086.0488,36030.37,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,25086.0488,case rate,999999999,,,,,,,,,,25086.0488,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,36030.37,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,34228.8515,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
500 - SOFT TISSUE PROCEDURES WITH MCC,500,MS-DRG,,,,inpatient,,,999999999,,22008.6975,68474.4535,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,68474.4535,case rate,999999999,,,,,,,,,,68474.4535,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23167.05,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,22008.6975,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
501 - SOFT TISSUE PROCEDURES WITH CC,501,MS-DRG,,,,inpatient,,,999999999,,38573.4739,38573.4739,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,38573.4739,case rate,999999999,,,,,,,,,,38573.4739,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
502 - SOFT TISSUE PROCEDURES WITHOUT CC/MCC,502,MS-DRG,,,,inpatient,,,999999999,,30192.7281,30192.7281,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,30192.7281,case rate,999999999,,,,,,,,,,30192.7281,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
503 - FOOT PROCEDURES WITH MCC,503,MS-DRG,,,,inpatient,,,999999999,,57193.5115,57193.5115,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,57193.5115,case rate,999999999,,,,,,,,,,57193.5115,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
504 - FOOT PROCEDURES WITH CC,504,MS-DRG,,,,inpatient,,,999999999,,37940.2716,163961.84,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,37940.2716,case rate,999999999,,,,,,,,,,37940.2716,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,163961.84,case rate,999999999,,,,40825.44,case rate,999999999,,,,,,,,,,155763.748,case rate,999999999,,,,38784.168,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
505 - FOOT PROCEDURES WITHOUT CC/MCC,505,MS-DRG,,,,inpatient,,,999999999,,37940.2716,132813.22,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,37940.2716,case rate,999999999,,,,,,,,,,37940.2716,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,132813.22,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,126172.559,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
506 - MAJOR THUMB OR JOINT PROCEDURES,506,MS-DRG,,,,inpatient,,,999999999,,32394.889,73027.54,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,32394.889,case rate,999999999,,,,,,,,,,32394.889,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,73027.54,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,69376.163,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
507 - MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC,507,MS-DRG,,,,inpatient,,,999999999,,41884.2791,99979.62,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,41884.2791,case rate,999999999,,,,,,,,,,41884.2791,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,99979.62,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,94980.639,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
508 - MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC,508,MS-DRG,,,,inpatient,,,999999999,,27891.1566,59663.63,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,27891.1566,case rate,999999999,,,,,,,,,,27891.1566,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,59663.63,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,56680.4485,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
509 - ARTHROSCOPY,509,MS-DRG,,,,inpatient,,,999999999,,37959.7215,90783.92,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,37959.7215,case rate,999999999,,,,,,,,,,37959.7215,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,90783.92,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,86244.724,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"510 - SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC",510,MS-DRG,,,,inpatient,,,999999999,,45716.9735,61764.238,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,61764.238,case rate,999999999,,,,,,,,,,61764.238,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,48123.13,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,45716.9735,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"511 - SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC",511,MS-DRG,,,,inpatient,,,999999999,,30031.932,42387.8154,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,42387.8154,case rate,999999999,,,,,,,,,,42387.8154,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,31612.56,case rate,999999999,,,,40703.73,case rate,999999999,,,,,,,,,,30031.932,case rate,999999999,,,,38668.5435,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"512 - SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC",512,MS-DRG,,,,inpatient,,,999999999,,34744.0047,86610.74,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,34744.0047,case rate,999999999,,,,,,,,,,34744.0047,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,86610.74,case rate,999999999,,,,22510.87,case rate,999999999,,,,,,,,,,82280.203,case rate,999999999,,,,21385.3265,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"513 - HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC",513,MS-DRG,,,,inpatient,,,999999999,,32535.3605,44810.28,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,32535.3605,case rate,999999999,,,,,,,,,,32535.3605,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,44810.28,case rate,999999999,,,,41074.13,case rate,999999999,,,,,,,,,,42569.766,case rate,999999999,,,,39020.4235,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"514 - HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC",514,MS-DRG,,,,inpatient,,,999999999,,20315.7595,22034.5756,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,22034.5756,case rate,999999999,,,,,,,,,,22034.5756,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21385.01,case rate,999999999,,,,16995.15,case rate,999999999,,,,,,,,,,20315.7595,case rate,999999999,,,,16145.3925,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
515 - OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC,515,MS-DRG,,,,inpatient,,,999999999,,66825.5342,146543.08,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,66825.5342,case rate,999999999,,,,,,,,,,66825.5342,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,146543.08,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,139215.926,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
516 - OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC,516,MS-DRG,,,,inpatient,,,999999999,,34228.8515,43472.6876,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,43472.6876,case rate,999999999,,,,,,,,,,43472.6876,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,36030.37,case rate,999999999,,,,51915.78,case rate,999999999,,,,,,,,,,34228.8515,case rate,999999999,,,,49319.991,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
517 - OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC,517,MS-DRG,,,,inpatient,,,999999999,,22008.6975,32256.5786,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,32256.5786,case rate,999999999,,,,,,,,,,32256.5786,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23167.05,case rate,999999999,,,,27819.6,case rate,999999999,,,,,,,,,,22008.6975,case rate,999999999,,,,26428.62,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
518 - BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR,518,MS-DRG,,,,inpatient,,,999999999,,77449.5018,77449.5018,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,77449.5018,case rate,999999999,,,,,,,,,,77449.5018,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
519 - BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC,519,MS-DRG,,,,inpatient,,,999999999,,42610.4087,42610.4087,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,42610.4087,case rate,999999999,,,,,,,,,,42610.4087,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
520 - BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC,520,MS-DRG,,,,inpatient,,,999999999,,30970.7241,30970.7241,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,30970.7241,case rate,999999999,,,,,,,,,,30970.7241,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
521 - HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC,521,MS-DRG,,,,inpatient,,,999999999,,62987.4206,163961.84,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,62987.4206,case rate,999999999,,,,,,,,,,62987.4206,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,163961.84,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,155763.748,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
522 - HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC,522,MS-DRG,,,,inpatient,,,999999999,,45560.3102,132813.22,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45560.3102,case rate,999999999,,,,,,,,,,45560.3102,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,132813.22,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,126172.559,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
533 - FRACTURES OF FEMUR WITH MCC,533,MS-DRG,,,,inpatient,,,999999999,,32952.4528,73027.54,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,32952.4528,case rate,999999999,,,,,,,,,,32952.4528,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,73027.54,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,69376.163,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
534 - FRACTURES OF FEMUR WITHOUT MCC,534,MS-DRG,,,,inpatient,,,999999999,,17589.1929,99979.62,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17589.1929,case rate,999999999,,,,,,,,,,17589.1929,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,99979.62,case rate,999999999,,,,18884.23,case rate,999999999,,,,,,,,,,94980.639,case rate,999999999,,,,17940.0185,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
535 - FRACTURES OF HIP AND PELVIS WITH MCC,535,MS-DRG,,,,inpatient,,,999999999,,28740.4689,59663.63,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,28740.4689,case rate,999999999,,,,,,,,,,28740.4689,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,59663.63,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,56680.4485,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
536 - FRACTURES OF HIP AND PELVIS WITHOUT MCC,536,MS-DRG,,,,inpatient,,,999999999,,17524.3599,90783.92,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17524.3599,case rate,999999999,,,,,,,,,,17524.3599,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,90783.92,case rate,999999999,,,,14656.6,case rate,999999999,,,,,,,,,,86244.724,case rate,999999999,,,,13923.77,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"537 - SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC",537,MS-DRG,,,,inpatient,,,999999999,,19858.3479,48123.13,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19858.3479,case rate,999999999,,,,,,,,,,19858.3479,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,48123.13,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,45716.9735,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"538 - SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC",538,MS-DRG,,,,inpatient,,,999999999,,14511.7865,31612.56,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14511.7865,case rate,999999999,,,,,,,,,,14511.7865,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,31612.56,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,30031.932,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
539 - OSTEOMYELITIS WITH MCC,539,MS-DRG,,,,inpatient,,,999999999,,43712.5697,86610.74,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,43712.5697,case rate,999999999,,,,,,,,,,43712.5697,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,86610.74,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,82280.203,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
540 - OSTEOMYELITIS WITH CC,540,MS-DRG,,,,inpatient,,,999999999,,27973.2784,44810.28,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,27973.2784,case rate,999999999,,,,,,,,,,27973.2784,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,44810.28,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,42569.766,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
541 - OSTEOMYELITIS WITHOUT CC/MCC,541,MS-DRG,,,,inpatient,,,999999999,,18905.3028,21385.01,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18905.3028,case rate,999999999,,,,,,,,,,18905.3028,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21385.01,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,20315.7595,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
542 - PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC,542,MS-DRG,,,,inpatient,,,999999999,,40302.3539,146543.08,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,40302.3539,case rate,999999999,,,,,,,,,,40302.3539,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,146543.08,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,139215.926,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
543 - PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC,543,MS-DRG,,,,inpatient,,,999999999,,22924.9488,36030.37,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,22924.9488,case rate,999999999,,,,,,,,,,22924.9488,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,36030.37,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,34228.8515,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
544 - PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC,544,MS-DRG,,,,inpatient,,,999999999,,16331.4327,23167.05,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16331.4327,case rate,999999999,,,,,,,,,,16331.4327,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23167.05,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,22008.6975,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
545 - CONNECTIVE TISSUE DISORDERS WITH MCC,545,MS-DRG,,,,inpatient,,,999999999,,54604.5137,54604.5137,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,54604.5137,case rate,999999999,,,,,,,,,,54604.5137,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
546 - CONNECTIVE TISSUE DISORDERS WITH CC,546,MS-DRG,,,,inpatient,,,999999999,,25019.0547,25019.0547,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,25019.0547,case rate,999999999,,,,,,,,,,25019.0547,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
547 - CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC,547,MS-DRG,,,,inpatient,,,999999999,,16126.1282,16126.1282,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16126.1282,case rate,999999999,,,,,,,,,,16126.1282,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
548 - SEPTIC ARTHRITIS WITH MCC,548,MS-DRG,,,,inpatient,,,999999999,,43535.3595,163961.84,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,43535.3595,case rate,999999999,,,,,,,,,,43535.3595,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,163961.84,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,155763.748,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
549 - SEPTIC ARTHRITIS WITH CC,549,MS-DRG,,,,inpatient,,,999999999,,26041.255,132813.22,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,26041.255,case rate,999999999,,,,,,,,,,26041.255,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,132813.22,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,126172.559,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
550 - SEPTIC ARTHRITIS WITHOUT CC/MCC,550,MS-DRG,,,,inpatient,,,999999999,,18630.8431,73027.54,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18630.8431,case rate,999999999,,,,,,,,,,18630.8431,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,73027.54,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,69376.163,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
551 - MEDICAL BACK PROBLEMS WITH MCC,551,MS-DRG,,,,inpatient,,,999999999,,36874.8493,99979.62,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,36874.8493,case rate,999999999,,,,,,,,,,36874.8493,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,99979.62,case rate,999999999,,,,28319.51,case rate,999999999,,,,,,,,,,94980.639,case rate,999999999,,,,26903.5345,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
552 - MEDICAL BACK PROBLEMS WITHOUT MCC,552,MS-DRG,,,,inpatient,,,999999999,,20828.6818,59663.63,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20828.6818,case rate,999999999,,,,,,,,,,20828.6818,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,59663.63,case rate,999999999,,,,14710.53,case rate,999999999,,,,,,,,,,56680.4485,case rate,999999999,,,,13975.0035,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
553 - BONE DISEASES AND ARTHROPATHIES WITH MCC,553,MS-DRG,,,,inpatient,,,999999999,,28230.4493,90783.92,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,28230.4493,case rate,999999999,,,,,,,,,,28230.4493,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,90783.92,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,86244.724,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
554 - BONE DISEASES AND ARTHROPATHIES WITHOUT MCC,554,MS-DRG,,,,inpatient,,,999999999,,18036.5406,48123.13,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18036.5406,case rate,999999999,,,,,,,,,,18036.5406,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,48123.13,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,45716.9735,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
555 - SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC,555,MS-DRG,,,,inpatient,,,999999999,,29099.2115,31612.56,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,29099.2115,case rate,999999999,,,,,,,,,,29099.2115,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,31612.56,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,30031.932,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
556 - SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC,556,MS-DRG,,,,inpatient,,,999999999,,17645.3815,86610.74,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17645.3815,case rate,999999999,,,,,,,,,,17645.3815,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,86610.74,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,82280.203,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"557 - TENDONITIS, MYOSITIS AND BURSITIS WITH MCC",557,MS-DRG,,,,inpatient,,,999999999,,33490.5667,44810.28,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,33490.5667,case rate,999999999,,,,,,,,,,33490.5667,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,44810.28,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,42569.766,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"558 - TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC",558,MS-DRG,,,,inpatient,,,999999999,,18667.5818,21385.01,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18667.5818,case rate,999999999,,,,,,,,,,18667.5818,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21385.01,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,20315.7595,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"559 - AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC",559,MS-DRG,,,,inpatient,,,999999999,,40112.1771,146543.08,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,40112.1771,case rate,999999999,,,,,,,,,,40112.1771,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,146543.08,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,139215.926,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"560 - AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC",560,MS-DRG,,,,inpatient,,,999999999,,24610.6068,36030.37,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,24610.6068,case rate,999999999,,,,,,,,,,24610.6068,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,36030.37,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,34228.8515,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"561 - AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC",561,MS-DRG,,,,inpatient,,,999999999,,17669.1536,23167.05,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17669.1536,case rate,999999999,,,,,,,,,,17669.1536,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23167.05,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,22008.6975,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"562 - FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC",562,MS-DRG,,,,inpatient,,,999999999,,31632.0207,31632.0207,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,31632.0207,case rate,999999999,,,,,,,,,,31632.0207,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"563 - FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC",563,MS-DRG,,,,inpatient,,,999999999,,19313.7507,19313.7507,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19313.7507,case rate,999999999,,,,,,,,,,19313.7507,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,14643.78,case rate,999999999,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,13911.591,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
564 - OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC,564,MS-DRG,,,,inpatient,,,999999999,,33911.9812,33911.9812,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,33911.9812,case rate,999999999,,,,,,,,,,33911.9812,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
565 - OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC,565,MS-DRG,,,,inpatient,,,999999999,,22034.5756,163961.84,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,22034.5756,case rate,999999999,,,,,,,,,,22034.5756,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,163961.84,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,155763.748,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
566 - OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC,566,MS-DRG,,,,inpatient,,,999999999,,16165.028,132813.22,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16165.028,case rate,999999999,,,,,,,,,,16165.028,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,132813.22,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,126172.559,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
570 - SKIN DEBRIDEMENT WITH MCC,570,MS-DRG,,,,inpatient,,,999999999,,65057.7544,73027.54,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,65057.7544,case rate,999999999,,,,,,,,,,65057.7544,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,73027.54,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,69376.163,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
571 - SKIN DEBRIDEMENT WITH CC,571,MS-DRG,,,,inpatient,,,999999999,,36194.1028,99979.62,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,36194.1028,case rate,999999999,,,,,,,,,,36194.1028,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,99979.62,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,94980.639,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
572 - SKIN DEBRIDEMENT WITHOUT CC/MCC,572,MS-DRG,,,,inpatient,,,999999999,,24688.4064,59663.63,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,24688.4064,case rate,999999999,,,,,,,,,,24688.4064,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,59663.63,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,56680.4485,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
573 - SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC,573,MS-DRG,,,,inpatient,,,999999999,,86244.724,133076.2158,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,133076.2158,case rate,999999999,,,,,,,,,,133076.2158,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,90783.92,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,86244.724,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
574 - SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC,574,MS-DRG,,,,inpatient,,,999999999,,45716.9735,74875.6317,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,74875.6317,case rate,999999999,,,,,,,,,,74875.6317,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,48123.13,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,45716.9735,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
575 - SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC,575,MS-DRG,,,,inpatient,,,999999999,,30031.932,43146.3615,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,43146.3615,case rate,999999999,,,,,,,,,,43146.3615,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,31612.56,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,30031.932,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
576 - SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC,576,MS-DRG,,,,inpatient,,,999999999,,82280.203,116589.1839,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,116589.1839,case rate,999999999,,,,,,,,,,116589.1839,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,86610.74,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,82280.203,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
577 - SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC,577,MS-DRG,,,,inpatient,,,999999999,,42569.766,57541.4486,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,57541.4486,case rate,999999999,,,,,,,,,,57541.4486,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,44810.28,case rate,999999999,,,,22714.51,case rate,999999999,,,,,,,,,,42569.766,case rate,999999999,,,,21578.7845,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
578 - SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC,578,MS-DRG,,,,inpatient,,,999999999,,20315.7595,36529.0733,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,36529.0733,case rate,999999999,,,,,,,,,,36529.0733,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21385.01,case rate,999999999,,,,19201.75,case rate,999999999,,,,,,,,,,20315.7595,case rate,999999999,,,,18241.6625,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"579 - OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC",579,MS-DRG,,,,inpatient,,,999999999,,70432.4101,146543.08,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,70432.4101,case rate,999999999,,,,,,,,,,70432.4101,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,146543.08,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,139215.926,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"580 - OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC",580,MS-DRG,,,,inpatient,,,999999999,,34228.8515,38314.1419,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,38314.1419,case rate,999999999,,,,,,,,,,38314.1419,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,36030.37,case rate,999999999,,,,19389.17,case rate,999999999,,,,,,,,,,34228.8515,case rate,999999999,,,,18419.7115,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"581 - OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC",581,MS-DRG,,,,inpatient,,,999999999,,22008.6975,31100.3901,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,31100.3901,case rate,999999999,,,,,,,,,,31100.3901,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23167.05,case rate,999999999,,,,20869.85,case rate,999999999,,,,,,,,,,22008.6975,case rate,999999999,,,,19826.3575,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
582 - MASTECTOMY FOR MALIGNANCY WITH CC/MCC,582,MS-DRG,,,,inpatient,,,999999999,,37843.0221,37843.0221,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,37843.0221,case rate,999999999,,,,,,,,,,37843.0221,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
583 - MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC,583,MS-DRG,,,,inpatient,,,999999999,,35496.0675,35496.0675,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,35496.0675,case rate,999999999,,,,,,,,,,35496.0675,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"584 - BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC",584,MS-DRG,,,,inpatient,,,999999999,,44244.2003,44244.2003,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,44244.2003,case rate,999999999,,,,,,,,,,44244.2003,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"585 - BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC",585,MS-DRG,,,,inpatient,,,999999999,,42897.835,163961.84,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,42897.835,case rate,999999999,,,,,,,,,,42897.835,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,163961.84,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,155763.748,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
592 - SKIN ULCERS WITH MCC,592,MS-DRG,,,,inpatient,,,999999999,,44436.5382,132813.22,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,44436.5382,case rate,999999999,,,,,,,,,,44436.5382,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,132813.22,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,126172.559,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
593 - SKIN ULCERS WITH CC,593,MS-DRG,,,,inpatient,,,999999999,,26421.6086,73027.54,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,26421.6086,case rate,999999999,,,,,,,,,,26421.6086,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,73027.54,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,69376.163,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
594 - SKIN ULCERS WITHOUT CC/MCC,594,MS-DRG,,,,inpatient,,,999999999,,18339.0946,99979.62,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18339.0946,case rate,999999999,,,,,,,,,,18339.0946,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,99979.62,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,94980.639,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
595 - MAJOR SKIN DISORDERS WITH MCC,595,MS-DRG,,,,inpatient,,,999999999,,45707.265,59663.63,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45707.265,case rate,999999999,,,,,,,,,,45707.265,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,59663.63,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,56680.4485,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
596 - MAJOR SKIN DISORDERS WITHOUT MCC,596,MS-DRG,,,,inpatient,,,999999999,,23361.491,90783.92,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23361.491,case rate,999999999,,,,,,,,,,23361.491,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,90783.92,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,86244.724,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
597 - MALIGNANT BREAST DISORDERS WITH MCC,597,MS-DRG,,,,inpatient,,,999999999,,37959.7215,48123.13,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,37959.7215,case rate,999999999,,,,,,,,,,37959.7215,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,48123.13,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,45716.9735,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
598 - MALIGNANT BREAST DISORDERS WITH CC,598,MS-DRG,,,,inpatient,,,999999999,,23316.1079,31612.56,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23316.1079,case rate,999999999,,,,,,,,,,23316.1079,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,31612.56,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,30031.932,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
599 - MALIGNANT BREAST DISORDERS WITHOUT CC/MCC,599,MS-DRG,,,,inpatient,,,999999999,,18475.2439,86610.74,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18475.2439,case rate,999999999,,,,,,,,,,18475.2439,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,86610.74,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,82280.203,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
600 - NON-MALIGNANT BREAST DISORDERS WITH CC/MCC,600,MS-DRG,,,,inpatient,,,999999999,,20686.0492,44810.28,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20686.0492,case rate,999999999,,,,,,,,,,20686.0492,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,44810.28,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,42569.766,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
601 - NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC,601,MS-DRG,,,,inpatient,,,999999999,,12955.7945,21385.01,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12955.7945,case rate,999999999,,,,,,,,,,12955.7945,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21385.01,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,20315.7595,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
602 - CELLULITIS WITH MCC,602,MS-DRG,,,,inpatient,,,999999999,,31755.2034,146543.08,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,31755.2034,case rate,999999999,,,,,,,,,,31755.2034,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,146543.08,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,139215.926,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
603 - CELLULITIS WITHOUT MCC,603,MS-DRG,,,,inpatient,,,999999999,,19037.1299,36030.37,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19037.1299,case rate,999999999,,,,,,,,,,19037.1299,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,36030.37,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,34228.8515,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"604 - TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC",604,MS-DRG,,,,inpatient,,,999999999,,22008.6975,32107.4627,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,32107.4627,case rate,999999999,,,,,,,,,,32107.4627,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23167.05,case rate,999999999,,,,30943.27,case rate,999999999,,,,,,,,,,22008.6975,case rate,999999999,,,,29396.1065,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"605 - TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC",605,MS-DRG,,,,inpatient,,,999999999,,19962.0807,19962.0807,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19962.0807,case rate,999999999,,,,,,,,,,19962.0807,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,13678.49,case rate,999999999,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,12994.5655,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
606 - MINOR SKIN DISORDERS WITH MCC,606,MS-DRG,,,,inpatient,,,999999999,,34795.8711,34795.8711,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,34795.8711,case rate,999999999,,,,,,,,,,34795.8711,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
607 - MINOR SKIN DISORDERS WITHOUT MCC,607,MS-DRG,,,,inpatient,,,999999999,,18678.3873,18678.3873,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18678.3873,case rate,999999999,,,,,,,,,,18678.3873,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
614 - ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC,614,MS-DRG,,,,inpatient,,,999999999,,49247.1468,163961.84,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,49247.1468,case rate,999999999,,,,,,,,,,49247.1468,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,163961.84,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,155763.748,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
615 - ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC,615,MS-DRG,,,,inpatient,,,999999999,,30966.4019,132813.22,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,30966.4019,case rate,999999999,,,,,,,,,,30966.4019,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,132813.22,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,126172.559,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"616 - AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC",616,MS-DRG,,,,inpatient,,,999999999,,69376.163,83524.3539,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,83524.3539,case rate,999999999,,,,,,,,,,83524.3539,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,73027.54,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,69376.163,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"617 - AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC",617,MS-DRG,,,,inpatient,,,999999999,,41756.7742,99979.62,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,41756.7742,case rate,999999999,,,,,,,,,,41756.7742,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,99979.62,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,94980.639,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"618 - AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC",618,MS-DRG,,,,inpatient,,,999999999,,26905.695,59663.63,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,26905.695,case rate,999999999,,,,,,,,,,26905.695,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,59663.63,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,56680.4485,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
619 - O.R. PROCEDURES FOR OBESITY WITH MCC,619,MS-DRG,,,,inpatient,,,999999999,,58920.2304,90783.92,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,58920.2304,case rate,999999999,,,,,,,,,,58920.2304,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,90783.92,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,86244.724,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
620 - O.R. PROCEDURES FOR OBESITY WITH CC,620,MS-DRG,,,,inpatient,,,999999999,,34510.6059,48123.13,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,34510.6059,case rate,999999999,,,,,,,,,,34510.6059,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,48123.13,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,45716.9735,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
621 - O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC,621,MS-DRG,,,,inpatient,,,999999999,,30031.932,31612.56,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,31588.7987,case rate,999999999,,,,,,,,,,31588.7987,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,31612.56,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,30031.932,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"622 - SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC",622,MS-DRG,,,,inpatient,,,999999999,,80911.584,86610.74,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,80911.584,case rate,999999999,,,,,,,,,,80911.584,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,86610.74,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,82280.203,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"623 - SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC",623,MS-DRG,,,,inpatient,,,999999999,,41363.454,44810.28,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,41363.454,case rate,999999999,,,,,,,,,,41363.454,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,44810.28,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,42569.766,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"624 - SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC",624,MS-DRG,,,,inpatient,,,999999999,,20315.7595,21677.9941,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21677.9941,case rate,999999999,,,,,,,,,,21677.9941,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21385.01,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,20315.7595,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"625 - THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC",625,MS-DRG,,,,inpatient,,,999999999,,61956.5759,146543.08,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,61956.5759,case rate,999999999,,,,,,,,,,61956.5759,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,146543.08,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,139215.926,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"626 - THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC",626,MS-DRG,,,,inpatient,,,999999999,,32615.3212,36030.37,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,32615.3212,case rate,999999999,,,,,,,,,,32615.3212,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,36030.37,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,34228.8515,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"627 - THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC",627,MS-DRG,,,,inpatient,,,999999999,,22008.6975,27376.8148,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,27376.8148,case rate,999999999,,,,,,,,,,27376.8148,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23167.05,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,22008.6975,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"628 - OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC",628,MS-DRG,,,,inpatient,,,999999999,,85283.4893,85283.4893,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,85283.4893,case rate,999999999,,,,,,,,,,85283.4893,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"629 - OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC",629,MS-DRG,,,,inpatient,,,999999999,,48626.9111,48626.9111,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,48626.9111,case rate,999999999,,,,,,,,,,48626.9111,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"630 - OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC",630,MS-DRG,,,,inpatient,,,999999999,,30281.3332,30281.3332,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,30281.3332,case rate,999999999,,,,,,,,,,30281.3332,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
637 - DIABETES WITH MCC,637,MS-DRG,,,,inpatient,,,999999999,,31472.0993,163961.84,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,31472.0993,case rate,999999999,,,,,,,,,,31472.0993,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,163961.84,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,155763.748,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
638 - DIABETES WITH CC,638,MS-DRG,,,,inpatient,,,999999999,,19821.6092,132813.22,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19821.6092,case rate,999999999,,,,,,,,,,19821.6092,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,132813.22,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,126172.559,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
639 - DIABETES WITHOUT CC/MCC,639,MS-DRG,,,,inpatient,,,999999999,,13541.4526,73027.54,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13541.4526,case rate,999999999,,,,,,,,,,13541.4526,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,73027.54,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,69376.163,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"640 - MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC",640,MS-DRG,,,,inpatient,,,999999999,,28701.5691,99979.62,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,28701.5691,case rate,999999999,,,,,,,,,,28701.5691,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,99979.62,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,94980.639,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"641 - MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC",641,MS-DRG,,,,inpatient,,,999999999,,16888.9965,59663.63,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16888.9965,case rate,999999999,,,,,,,,,,16888.9965,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,59663.63,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,56680.4485,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
642 - INBORN AND OTHER DISORDERS OF METABOLISM,642,MS-DRG,,,,inpatient,,,999999999,,26821.4121,90783.92,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,26821.4121,case rate,999999999,,,,,,,,,,26821.4121,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,90783.92,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,86244.724,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
643 - ENDOCRINE DISORDERS WITH MCC,643,MS-DRG,,,,inpatient,,,999999999,,35815.9103,48123.13,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,35815.9103,case rate,999999999,,,,,,,,,,35815.9103,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,48123.13,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,45716.9735,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
644 - ENDOCRINE DISORDERS WITH CC,644,MS-DRG,,,,inpatient,,,999999999,,22334.9685,31612.56,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,22334.9685,case rate,999999999,,,,,,,,,,22334.9685,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,31612.56,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,30031.932,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
645 - ENDOCRINE DISORDERS WITHOUT CC/MCC,645,MS-DRG,,,,inpatient,,,999999999,,16834.969,86610.74,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16834.969,case rate,999999999,,,,,,,,,,16834.969,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,86610.74,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,82280.203,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
650 - KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC,650,MS-DRG,,,,inpatient,,,999999999,,42569.766,99561.877,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,99561.877,case rate,999999999,,,,,,,,,,99561.877,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,44810.28,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,42569.766,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
651 - KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC,651,MS-DRG,,,,inpatient,,,999999999,,20315.7595,75037.7142,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,75037.7142,case rate,999999999,,,,,,,,,,75037.7142,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21385.01,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,20315.7595,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
652 - KIDNEY TRANSPLANT,652,MS-DRG,,,,inpatient,,,999999999,,66371.7032,146543.08,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,66371.7032,case rate,999999999,,,,,,,,,,66371.7032,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,146543.08,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,139215.926,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
653 - MAJOR BLADDER PROCEDURES WITH MCC,653,MS-DRG,,,,inpatient,,,999999999,,34228.8515,120464.0362,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,120464.0362,case rate,999999999,,,,,,,,,,120464.0362,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,36030.37,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,34228.8515,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
654 - MAJOR BLADDER PROCEDURES WITH CC,654,MS-DRG,,,,inpatient,,,999999999,,22008.6975,60984.0809,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,60984.0809,case rate,999999999,,,,,,,,,,60984.0809,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23167.05,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,22008.6975,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
655 - MAJOR BLADDER PROCEDURES WITHOUT CC/MCC,655,MS-DRG,,,,inpatient,,,999999999,,44890.3692,44890.3692,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,44890.3692,case rate,999999999,,,,,,,,,,44890.3692,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
656 - KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC,656,MS-DRG,,,,inpatient,,,999999999,,70402.1547,70402.1547,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,70402.1547,case rate,999999999,,,,,,,,,,70402.1547,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
657 - KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC,657,MS-DRG,,,,inpatient,,,999999999,,39504.908,39504.908,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,39504.908,case rate,999999999,,,,,,,,,,39504.908,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
658 - KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC,658,MS-DRG,,,,inpatient,,,999999999,,32500.7829,163961.84,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,32500.7829,case rate,999999999,,,,,,,,,,32500.7829,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,163961.84,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,155763.748,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
659 - KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC,659,MS-DRG,,,,inpatient,,,999999999,,55847.1462,132813.22,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,55847.1462,case rate,999999999,,,,,,,,,,55847.1462,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,132813.22,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,126172.559,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
660 - KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC,660,MS-DRG,,,,inpatient,,,999999999,,28956.5789,73027.54,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,28956.5789,case rate,999999999,,,,,,,,,,28956.5789,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,73027.54,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,69376.163,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
661 - KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC,661,MS-DRG,,,,inpatient,,,999999999,,22185.8526,99979.62,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,22185.8526,case rate,999999999,,,,,,,,,,22185.8526,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,99979.62,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,94980.639,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
662 - MINOR BLADDER PROCEDURES WITH MCC,662,MS-DRG,,,,inpatient,,,999999999,,56680.4485,67413.3534,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,67413.3534,case rate,999999999,,,,,,,,,,67413.3534,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,59663.63,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,56680.4485,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
663 - MINOR BLADDER PROCEDURES WITH CC,663,MS-DRG,,,,inpatient,,,999999999,,33006.4803,90783.92,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,33006.4803,case rate,999999999,,,,,,,,,,33006.4803,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,90783.92,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,86244.724,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
664 - MINOR BLADDER PROCEDURES WITHOUT CC/MCC,664,MS-DRG,,,,inpatient,,,999999999,,23335.5578,48123.13,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23335.5578,case rate,999999999,,,,,,,,,,23335.5578,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,48123.13,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,45716.9735,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
665 - PROSTATECTOMY WITH MCC,665,MS-DRG,,,,inpatient,,,999999999,,30031.932,74199.2074,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,74199.2074,case rate,999999999,,,,,,,,,,74199.2074,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,31612.56,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,30031.932,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
666 - PROSTATECTOMY WITH CC,666,MS-DRG,,,,inpatient,,,999999999,,35597.6392,86610.74,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,35597.6392,case rate,999999999,,,,,,,,,,35597.6392,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,86610.74,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,82280.203,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
667 - PROSTATECTOMY WITHOUT CC/MCC,667,MS-DRG,,,,inpatient,,,999999999,,22209.6247,44810.28,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,22209.6247,case rate,999999999,,,,,,,,,,22209.6247,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,44810.28,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,42569.766,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
668 - TRANSURETHRAL PROCEDURES WITH MCC,668,MS-DRG,,,,inpatient,,,999999999,,20315.7595,63019.8371,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,63019.8371,case rate,999999999,,,,,,,,,,63019.8371,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21385.01,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,20315.7595,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
669 - TRANSURETHRAL PROCEDURES WITH CC,669,MS-DRG,,,,inpatient,,,999999999,,33443.0225,146543.08,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,33443.0225,case rate,999999999,,,,,,,,,,33443.0225,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,146543.08,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,139215.926,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
670 - TRANSURETHRAL PROCEDURES WITHOUT CC/MCC,670,MS-DRG,,,,inpatient,,,999999999,,20651.4716,36030.37,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20651.4716,case rate,999999999,,,,,,,,,,20651.4716,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,36030.37,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,34228.8515,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
671 - URETHRAL PROCEDURES WITH CC/MCC,671,MS-DRG,,,,inpatient,,,999999999,,22008.6975,37248.7196,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,37248.7196,case rate,999999999,,,,,,,,,,37248.7196,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23167.05,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,22008.6975,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
672 - URETHRAL PROCEDURES WITHOUT CC/MCC,672,MS-DRG,,,,inpatient,,,999999999,,23648.9173,23648.9173,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23648.9173,case rate,999999999,,,,,,,,,,23648.9173,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
673 - OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC,673,MS-DRG,,,,inpatient,,,999999999,,90550.09,90550.09,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,90550.09,case rate,999999999,,,,,,,,,,90550.09,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
674 - OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC,674,MS-DRG,,,,inpatient,,,999999999,,49884.6713,49884.6713,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,49884.6713,case rate,999999999,,,,,,,,,,49884.6713,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
675 - OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC,675,MS-DRG,,,,inpatient,,,999999999,,33825.5372,163961.84,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,33825.5372,case rate,999999999,,,,,,,,,,33825.5372,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,163961.84,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,155763.748,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
682 - RENAL FAILURE WITH MCC,682,MS-DRG,,,,inpatient,,,999999999,,32459.722,132813.22,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,32459.722,case rate,999999999,,,,,,,,,,32459.722,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,132813.22,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,126172.559,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
683 - RENAL FAILURE WITH CC,683,MS-DRG,,,,inpatient,,,999999999,,19210.0179,73027.54,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19210.0179,case rate,999999999,,,,,,,,,,19210.0179,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,73027.54,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,69376.163,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
684 - RENAL FAILURE WITHOUT CC/MCC,684,MS-DRG,,,,inpatient,,,999999999,,13128.6825,99979.62,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13128.6825,case rate,999999999,,,,,,,,,,13128.6825,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,99979.62,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,94980.639,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
686 - KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC,686,MS-DRG,,,,inpatient,,,999999999,,40749.7016,59663.63,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,40749.7016,case rate,999999999,,,,,,,,,,40749.7016,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,59663.63,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,56680.4485,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
687 - KIDNEY AND URINARY TRACT NEOPLASMS WITH CC,687,MS-DRG,,,,inpatient,,,999999999,,22747.7386,90783.92,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,22747.7386,case rate,999999999,,,,,,,,,,22747.7386,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,90783.92,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,86244.724,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
688 - KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC,688,MS-DRG,,,,inpatient,,,999999999,,15650.6862,48123.13,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15650.6862,case rate,999999999,,,,,,,,,,15650.6862,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,48123.13,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,45716.9735,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
689 - KIDNEY AND URINARY TRACT INFECTIONS WITH MCC,689,MS-DRG,,,,inpatient,,,999999999,,25293.5144,31612.56,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,25293.5144,case rate,999999999,,,,,,,,,,25293.5144,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,31612.56,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,30031.932,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
690 - KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC,690,MS-DRG,,,,inpatient,,,999999999,,17344.9886,86610.74,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17344.9886,case rate,999999999,,,,,,,,,,17344.9886,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,86610.74,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,82280.203,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
693 - URINARY STONES WITH MCC,693,MS-DRG,,,,inpatient,,,999999999,,31774.6533,44810.28,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,31774.6533,case rate,999999999,,,,,,,,,,31774.6533,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,44810.28,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,42569.766,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
694 - URINARY STONES WITHOUT MCC,694,MS-DRG,,,,inpatient,,,999999999,,16886.8354,21385.01,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16886.8354,case rate,999999999,,,,,,,,,,16886.8354,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21385.01,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,20315.7595,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
695 - KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC,695,MS-DRG,,,,inpatient,,,999999999,,24370.7247,146543.08,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,24370.7247,case rate,999999999,,,,,,,,,,24370.7247,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,146543.08,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,139215.926,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
696 - KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC,696,MS-DRG,,,,inpatient,,,999999999,,14948.3287,36030.37,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14948.3287,case rate,999999999,,,,,,,,,,14948.3287,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,36030.37,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,34228.8515,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
697 - URETHRAL STRICTURE,697,MS-DRG,,,,inpatient,,,999999999,,21649.8998,23167.05,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21649.8998,case rate,999999999,,,,,,,,,,21649.8998,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23167.05,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,22008.6975,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
698 - OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC,698,MS-DRG,,,,inpatient,,,999999999,,36325.9299,36325.9299,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,36325.9299,case rate,999999999,,,,,,,,,,36325.9299,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
699 - OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC,699,MS-DRG,,,,inpatient,,,999999999,,22038.8978,22038.8978,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,22038.8978,case rate,999999999,,,,,,,,,,22038.8978,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
700 - OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC,700,MS-DRG,,,,inpatient,,,999999999,,15000.1951,15000.1951,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15000.1951,case rate,999999999,,,,,,,,,,15000.1951,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,12438.62,case rate,999999999,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,11816.689,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
707 - MAJOR MALE PELVIC PROCEDURES WITH CC/MCC,707,MS-DRG,,,,inpatient,,,999999999,,41936.1455,163961.84,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,41936.1455,case rate,999999999,,,,,,,,,,41936.1455,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,163961.84,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,155763.748,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
708 - MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC,708,MS-DRG,,,,inpatient,,,999999999,,32036.1464,132813.22,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,32036.1464,case rate,999999999,,,,,,,,,,32036.1464,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,132813.22,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,126172.559,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
709 - PENIS PROCEDURES WITH CC/MCC,709,MS-DRG,,,,inpatient,,,999999999,,48559.917,73027.54,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,48559.917,case rate,999999999,,,,,,,,,,48559.917,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,73027.54,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,69376.163,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
710 - PENIS PROCEDURES WITHOUT CC/MCC,710,MS-DRG,,,,inpatient,,,999999999,,32444.5943,99979.62,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,32444.5943,case rate,999999999,,,,,,,,,,32444.5943,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,99979.62,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,94980.639,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
711 - TESTES PROCEDURES WITH CC/MCC,711,MS-DRG,,,,inpatient,,,999999999,,41289.9766,59663.63,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,41289.9766,case rate,999999999,,,,,,,,,,41289.9766,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,59663.63,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,56680.4485,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
712 - TESTES PROCEDURES WITHOUT CC/MCC,712,MS-DRG,,,,inpatient,,,999999999,,23115.1256,90783.92,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23115.1256,case rate,999999999,,,,,,,,,,23115.1256,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,90783.92,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,86244.724,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
713 - TRANSURETHRAL PROSTATECTOMY WITH CC/MCC,713,MS-DRG,,,,inpatient,,,999999999,,31247.3449,48123.13,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,31247.3449,case rate,999999999,,,,,,,,,,31247.3449,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,48123.13,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,45716.9735,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
714 - TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC,714,MS-DRG,,,,inpatient,,,999999999,,20305.6956,31612.56,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20305.6956,case rate,999999999,,,,,,,,,,20305.6956,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,31612.56,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,30031.932,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
715 - OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC,715,MS-DRG,,,,inpatient,,,999999999,,48801.9602,86610.74,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,48801.9602,case rate,999999999,,,,,,,,,,48801.9602,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,86610.74,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,82280.203,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
716 - OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC,716,MS-DRG,,,,inpatient,,,999999999,,30670.3312,44810.28,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,30670.3312,case rate,999999999,,,,,,,,,,30670.3312,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,44810.28,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,42569.766,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
717 - OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC,717,MS-DRG,,,,inpatient,,,999999999,,20315.7595,40097.0494,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,40097.0494,case rate,999999999,,,,,,,,,,40097.0494,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21385.01,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,20315.7595,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
718 - OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC,718,MS-DRG,,,,inpatient,,,999999999,,26620.4298,146543.08,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,26620.4298,case rate,999999999,,,,,,,,,,26620.4298,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,146543.08,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,139215.926,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"722 - MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC",722,MS-DRG,,,,inpatient,,,999999999,,34228.8515,37361.0968,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,37361.0968,case rate,999999999,,,,,,,,,,37361.0968,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,36030.37,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,34228.8515,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"723 - MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC",723,MS-DRG,,,,inpatient,,,999999999,,22008.6975,24266.9919,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,24266.9919,case rate,999999999,,,,,,,,,,24266.9919,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23167.05,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,22008.6975,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"724 - MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC",724,MS-DRG,,,,inpatient,,,999999999,,15745.7746,15745.7746,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15745.7746,case rate,999999999,,,,,,,,,,15745.7746,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
725 - BENIGN PROSTATIC HYPERTROPHY WITH MCC,725,MS-DRG,,,,inpatient,,,999999999,,27296.8541,27296.8541,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,27296.8541,case rate,999999999,,,,,,,,,,27296.8541,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
726 - BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC,726,MS-DRG,,,,inpatient,,,999999999,,16085.0673,16085.0673,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16085.0673,case rate,999999999,,,,,,,,,,16085.0673,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
727 - INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC,727,MS-DRG,,,,inpatient,,,999999999,,31753.0423,163961.84,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,31753.0423,case rate,999999999,,,,,,,,,,31753.0423,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,163961.84,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,155763.748,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
728 - INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC,728,MS-DRG,,,,inpatient,,,999999999,,17658.3481,132813.22,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17658.3481,case rate,999999999,,,,,,,,,,17658.3481,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,132813.22,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,126172.559,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
729 - OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC,729,MS-DRG,,,,inpatient,,,999999999,,23789.3888,73027.54,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23789.3888,case rate,999999999,,,,,,,,,,23789.3888,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,73027.54,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,69376.163,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
730 - OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC,730,MS-DRG,,,,inpatient,,,999999999,,13115.7159,99979.62,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13115.7159,case rate,999999999,,,,,,,,,,13115.7159,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,99979.62,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,94980.639,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"734 - PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC",734,MS-DRG,,,,inpatient,,,999999999,,45441.4497,59663.63,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45441.4497,case rate,999999999,,,,,,,,,,45441.4497,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,59663.63,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,56680.4485,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"735 - PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC",735,MS-DRG,,,,inpatient,,,999999999,,26231.4318,90783.92,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,26231.4318,case rate,999999999,,,,,,,,,,26231.4318,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,90783.92,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,86244.724,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
736 - UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC,736,MS-DRG,,,,inpatient,,,999999999,,45716.9735,85088.9903,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,85088.9903,case rate,999999999,,,,,,,,,,85088.9903,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,48123.13,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,45716.9735,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
737 - UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC,737,MS-DRG,,,,inpatient,,,999999999,,30031.932,43185.2613,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,43185.2613,case rate,999999999,,,,,,,,,,43185.2613,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,31612.56,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,30031.932,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
738 - UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC,738,MS-DRG,,,,inpatient,,,999999999,,32779.5648,86610.74,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,32779.5648,case rate,999999999,,,,,,,,,,32779.5648,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,86610.74,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,82280.203,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
739 - UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC,739,MS-DRG,,,,inpatient,,,999999999,,42569.766,86026.9077,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,86026.9077,case rate,999999999,,,,,,,,,,86026.9077,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,44810.28,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,42569.766,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
740 - UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC,740,MS-DRG,,,,inpatient,,,999999999,,20315.7595,39293.1202,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,39293.1202,case rate,999999999,,,,,,,,,,39293.1202,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21385.01,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,20315.7595,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
741 - UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC,741,MS-DRG,,,,inpatient,,,999999999,,29682.7085,146543.08,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,29682.7085,case rate,999999999,,,,,,,,,,29682.7085,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,146543.08,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,139215.926,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
742 - UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC,742,MS-DRG,,,,inpatient,,,999999999,,34228.8515,39474.6526,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,39474.6526,case rate,999999999,,,,,,,,,,39474.6526,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,36030.37,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,34228.8515,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
743 - UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC,743,MS-DRG,,,,inpatient,,,999999999,,22008.6975,25902.9446,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,25902.9446,case rate,999999999,,,,,,,,,,25902.9446,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23167.05,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,22008.6975,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"744 - D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC",744,MS-DRG,,,,inpatient,,,999999999,,42225.7329,42225.7329,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,42225.7329,case rate,999999999,,,,,,,,,,42225.7329,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"745 - D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC",745,MS-DRG,,,,inpatient,,,999999999,,22146.9528,22146.9528,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,22146.9528,case rate,999999999,,,,,,,,,,22146.9528,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"746 - VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC",746,MS-DRG,,,,inpatient,,,999999999,,36187.6195,36187.6195,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,36187.6195,case rate,999999999,,,,,,,,,,36187.6195,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"747 - VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC",747,MS-DRG,,,,inpatient,,,999999999,,20640.6661,163961.84,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20640.6661,case rate,999999999,,,,,,,,,,20640.6661,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,163961.84,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,155763.748,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
748 - FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES,748,MS-DRG,,,,inpatient,,,999999999,,29438.5042,132813.22,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,29438.5042,case rate,999999999,,,,,,,,,,29438.5042,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,132813.22,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,126172.559,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
749 - OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC,749,MS-DRG,,,,inpatient,,,999999999,,55937.9124,73027.54,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,55937.9124,case rate,999999999,,,,,,,,,,55937.9124,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,73027.54,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,69376.163,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
750 - OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC,750,MS-DRG,,,,inpatient,,,999999999,,27867.3845,99979.62,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,27867.3845,case rate,999999999,,,,,,,,,,27867.3845,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,99979.62,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,94980.639,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"754 - MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC",754,MS-DRG,,,,inpatient,,,999999999,,39098.6212,59663.63,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,39098.6212,case rate,999999999,,,,,,,,,,39098.6212,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,59663.63,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,56680.4485,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"755 - MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC",755,MS-DRG,,,,inpatient,,,999999999,,23990.3711,90783.92,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23990.3711,case rate,999999999,,,,,,,,,,23990.3711,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,90783.92,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,86244.724,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"756 - MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC",756,MS-DRG,,,,inpatient,,,999999999,,20636.3439,48123.13,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20636.3439,case rate,999999999,,,,,,,,,,20636.3439,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,48123.13,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,45716.9735,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"757 - INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC",757,MS-DRG,,,,inpatient,,,999999999,,30031.932,31612.56,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,30583.8872,case rate,999999999,,,,,,,,,,30583.8872,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,31612.56,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,30031.932,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"758 - INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC",758,MS-DRG,,,,inpatient,,,999999999,,22028.0923,86610.74,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,22028.0923,case rate,999999999,,,,,,,,,,22028.0923,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,86610.74,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,82280.203,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"759 - INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC",759,MS-DRG,,,,inpatient,,,999999999,,13828.8789,44810.28,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13828.8789,case rate,999999999,,,,,,,,,,13828.8789,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,44810.28,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,42569.766,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
760 - MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC,760,MS-DRG,,,,inpatient,,,999999999,,20315.7595,21385.01,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21297.6405,case rate,999999999,,,,,,,,,,21297.6405,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21385.01,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,20315.7595,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
761 - MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC,761,MS-DRG,,,,inpatient,,,999999999,,13699.2129,146543.08,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13699.2129,case rate,999999999,,,,,,,,,,13699.2129,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,146543.08,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,139215.926,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
768 - VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C,768,MS-DRG,,,,inpatient,,,999999999,,7280,36030.37,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7280,case rate,999999999,,,,,,,,,,7280,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,36030.37,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,34228.8515,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
769 - POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES,769,MS-DRG,,,,inpatient,,,999999999,,22008.6975,30028.4845,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,30028.4845,case rate,999999999,,,,,,,,,,30028.4845,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23167.05,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,22008.6975,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"770 - ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY",770,MS-DRG,,,,inpatient,,,999999999,,23251.2749,23251.2749,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23251.2749,case rate,999999999,,,,,,,,,,23251.2749,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
776 - POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES,776,MS-DRG,,,,inpatient,,,999999999,,15417.2874,15417.2874,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15417.2874,case rate,999999999,,,,,,,,,,15417.2874,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
779 - ABORTION WITHOUT D&C,779,MS-DRG,,,,inpatient,,,999999999,,20199.8017,20199.8017,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20199.8017,case rate,999999999,,,,,,,,,,20199.8017,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
783 - CESAREAN SECTION WITH STERILIZATION WITH MCC,783,MS-DRG,,,,inpatient,,,999999999,,12456,163961.84,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12456,case rate,999999999,,,,,,,,,,12456,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,163961.84,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,155763.748,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
784 - CESAREAN SECTION WITH STERILIZATION WITH CC,784,MS-DRG,,,,inpatient,,,999999999,,12456,132813.22,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12456,case rate,999999999,,,,,,,,,,12456,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,132813.22,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,126172.559,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
785 - CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC,785,MS-DRG,,,,inpatient,,,999999999,,12456,73027.54,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12456,case rate,999999999,,,,,,,,,,12456,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,73027.54,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,69376.163,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
786 - CESAREAN SECTION WITHOUT STERILIZATION WITH MCC,786,MS-DRG,,,,inpatient,,,999999999,,12456,99979.62,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12456,case rate,999999999,,,,,,,,,,12456,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,99979.62,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,94980.639,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
787 - CESAREAN SECTION WITHOUT STERILIZATION WITH CC,787,MS-DRG,,,,inpatient,,,999999999,,12456,59663.63,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12456,case rate,999999999,,,,,,,,,,12456,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,59663.63,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,56680.4485,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
788 - CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC,788,MS-DRG,,,,inpatient,,,999999999,,12456,90783.92,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12456,case rate,999999999,,,,,,,,,,12456,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,90783.92,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,86244.724,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"789 - NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY",789,MS-DRG,,,,inpatient,,,999999999,,38958.1497,48123.13,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,38958.1497,case rate,999999999,,,,,,,,,,38958.1497,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,48123.13,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,45716.9735,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"790 - EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE",790,MS-DRG,,,,inpatient,,,999999999,,30031.932,128477.395,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,128477.395,case rate,999999999,,,,,,,,,,128477.395,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,31612.56,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,30031.932,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
791 - PREMATURITY WITH MAJOR PROBLEMS,791,MS-DRG,,,,inpatient,,,999999999,,82280.203,87742.8211,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,87742.8211,case rate,999999999,,,,,,,,,,87742.8211,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,86610.74,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,82280.203,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
792 - PREMATURITY WITHOUT MAJOR PROBLEMS,792,MS-DRG,,,,inpatient,,,999999999,,42569.766,52942.6278,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,52942.6278,case rate,999999999,,,,,,,,,,52942.6278,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,44810.28,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,42569.766,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
793 - FULL TERM NEONATE WITH MAJOR PROBLEMS,793,MS-DRG,,,,inpatient,,,999999999,,20315.7595,90130.8366,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,90130.8366,case rate,999999999,,,,,,,,,,90130.8366,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21385.01,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,20315.7595,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
794 - NEONATE WITH OTHER SIGNIFICANT PROBLEMS,794,MS-DRG,,,,inpatient,,,999999999,,31902.1582,146543.08,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,31902.1582,case rate,999999999,,,,,,,,,,31902.1582,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,146543.08,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,139215.926,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
795 - NORMAL NEWBORN,795,MS-DRG,,,,inpatient,,,999999999,,4317.8778,36030.37,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4317.8778,case rate,999999999,,,,,,,,,,4317.8778,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,36030.37,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,34228.8515,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
796 - VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC,796,MS-DRG,,,,inpatient,,,999999999,,7280,23167.05,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7280,case rate,999999999,,,,,,,,,,7280,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23167.05,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,22008.6975,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
797 - VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC,797,MS-DRG,,,,inpatient,,,999999999,,7280,7280,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7280,case rate,999999999,,,,,,,,,,7280,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
798 - VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC,798,MS-DRG,,,,inpatient,,,999999999,,7280,7280,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7280,case rate,999999999,,,,,,,,,,7280,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
799 - SPLENIC PROCEDURES WITH MCC,799,MS-DRG,,,,inpatient,,,999999999,,102749.4995,102749.4995,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,102749.4995,case rate,999999999,,,,,,,,,,102749.4995,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
800 - SPLENIC PROCEDURES WITH CC,800,MS-DRG,,,,inpatient,,,999999999,,62965.8096,163961.84,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,62965.8096,case rate,999999999,,,,,,,,,,62965.8096,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,163961.84,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,155763.748,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
801 - SPLENIC PROCEDURES WITHOUT CC/MCC,801,MS-DRG,,,,inpatient,,,999999999,,35478.7787,132813.22,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,35478.7787,case rate,999999999,,,,,,,,,,35478.7787,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,132813.22,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,126172.559,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
802 - OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC,802,MS-DRG,,,,inpatient,,,999999999,,69376.163,77466.7906,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,77466.7906,case rate,999999999,,,,,,,,,,77466.7906,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,73027.54,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,69376.163,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
803 - OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC,803,MS-DRG,,,,inpatient,,,999999999,,38465.4189,99979.62,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,38465.4189,case rate,999999999,,,,,,,,,,38465.4189,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,99979.62,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,94980.639,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
804 - OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC,804,MS-DRG,,,,inpatient,,,999999999,,23890.9605,59663.63,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23890.9605,case rate,999999999,,,,,,,,,,23890.9605,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,59663.63,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,56680.4485,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
805 - VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC,805,MS-DRG,,,,inpatient,,,999999999,,7280,90783.92,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7280,case rate,999999999,,,,,,,,,,7280,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,90783.92,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,86244.724,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
806 - VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC,806,MS-DRG,,,,inpatient,,,999999999,,7280,48123.13,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7280,case rate,999999999,,,,,,,,,,7280,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,48123.13,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,45716.9735,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
807 - VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC,807,MS-DRG,,,,inpatient,,,999999999,,7280,31612.56,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7280,case rate,999999999,,,,,,,,,,7280,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,31612.56,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,30031.932,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
808 - MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC,808,MS-DRG,,,,inpatient,,,999999999,,49497.8344,86610.74,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,49497.8344,case rate,999999999,,,,,,,,,,49497.8344,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,86610.74,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,82280.203,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
809 - MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC,809,MS-DRG,,,,inpatient,,,999999999,,26765.2235,44810.28,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,26765.2235,case rate,999999999,,,,,,,,,,26765.2235,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,44810.28,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,42569.766,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
810 - MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC,810,MS-DRG,,,,inpatient,,,999999999,,20315.7595,21385.01,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20567.1887,case rate,999999999,,,,,,,,,,20567.1887,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21385.01,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,20315.7595,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
811 - RED BLOOD CELL DISORDERS WITH MCC,811,MS-DRG,,,,inpatient,,,999999999,,30402.3548,146543.08,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,30402.3548,case rate,999999999,,,,,,,,,,30402.3548,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,146543.08,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,139215.926,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
812 - RED BLOOD CELL DISORDERS WITHOUT MCC,812,MS-DRG,,,,inpatient,,,999999999,,19944.7919,36030.37,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19944.7919,case rate,999999999,,,,,,,,,,19944.7919,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,36030.37,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,34228.8515,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
813 - COAGULATION DISORDERS,813,MS-DRG,,,,inpatient,,,999999999,,22008.6975,33451.6669,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,33451.6669,case rate,999999999,,,,,,,,,,33451.6669,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23167.05,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,22008.6975,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
814 - RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC,814,MS-DRG,,,,inpatient,,,999999999,,45173.4733,45173.4733,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45173.4733,case rate,999999999,,,,,,,,,,45173.4733,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
815 - RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC,815,MS-DRG,,,,inpatient,,,999999999,,21958.9371,21958.9371,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21958.9371,case rate,999999999,,,,,,,,,,21958.9371,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,25011.49,case rate,999999999,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,23760.9155,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
816 - RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC,816,MS-DRG,,,,inpatient,,,999999999,,14250.2934,14250.2934,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14250.2934,case rate,999999999,,,,,,,,,,14250.2934,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,15023.88,case rate,999999999,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,14272.686,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
817 - OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC,817,MS-DRG,,,,inpatient,,,999999999,,54786.0461,163961.84,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,54786.0461,case rate,999999999,,,,,,,,,,54786.0461,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,163961.84,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,155763.748,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
818 - OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC,818,MS-DRG,,,,inpatient,,,999999999,,27834.968,132813.22,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,27834.968,case rate,999999999,,,,,,,,,,27834.968,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,132813.22,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,126172.559,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
819 - OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC,819,MS-DRG,,,,inpatient,,,999999999,,17645.3815,73027.54,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17645.3815,case rate,999999999,,,,,,,,,,17645.3815,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,73027.54,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,69376.163,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
820 - LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC,820,MS-DRG,,,,inpatient,,,999999999,,94980.639,125817.0809,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,125817.0809,case rate,999999999,,,,,,,,,,125817.0809,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,99979.62,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,94980.639,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
821 - LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC,821,MS-DRG,,,,inpatient,,,999999999,,48240.0742,59663.63,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,48240.0742,case rate,999999999,,,,,,,,,,48240.0742,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,59663.63,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,56680.4485,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
822 - LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC,822,MS-DRG,,,,inpatient,,,999999999,,24714.3396,90783.92,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,24714.3396,case rate,999999999,,,,,,,,,,24714.3396,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,90783.92,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,86244.724,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
823 - LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC,823,MS-DRG,,,,inpatient,,,999999999,,45716.9735,101122.1912,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,101122.1912,case rate,999999999,,,,,,,,,,101122.1912,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,48123.13,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,45716.9735,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
824 - LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC,824,MS-DRG,,,,inpatient,,,999999999,,30031.932,47529.0723,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,47529.0723,case rate,999999999,,,,,,,,,,47529.0723,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,31612.56,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,30031.932,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
825 - LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC,825,MS-DRG,,,,inpatient,,,999999999,,26596.6577,86610.74,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,26596.6577,case rate,999999999,,,,,,,,,,26596.6577,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,86610.74,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,82280.203,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
826 - MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC,826,MS-DRG,,,,inpatient,,,999999999,,42569.766,103196.8472,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,103196.8472,case rate,999999999,,,,,,,,,,103196.8472,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,44810.28,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,42569.766,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
827 - MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC,827,MS-DRG,,,,inpatient,,,999999999,,20315.7595,50995.4767,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,50995.4767,case rate,999999999,,,,,,,,,,50995.4767,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21385.01,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,20315.7595,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
828 - MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC,828,MS-DRG,,,,inpatient,,,999999999,,34638.1108,146543.08,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,34638.1108,case rate,999999999,,,,,,,,,,34638.1108,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,146543.08,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,139215.926,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
829 - MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC,829,MS-DRG,,,,inpatient,,,999999999,,34228.8515,66639.6796,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,66639.6796,case rate,999999999,,,,,,,,,,66639.6796,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,36030.37,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,34228.8515,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
830 - MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC,830,MS-DRG,,,,inpatient,,,999999999,,22008.6975,31603.9264,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,31603.9264,case rate,999999999,,,,,,,,,,31603.9264,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23167.05,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,22008.6975,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
831 - OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC,831,MS-DRG,,,,inpatient,,,999999999,,24872.0999,24872.0999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,24872.0999,case rate,999999999,,,,,,,,,,24872.0999,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
832 - OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC,832,MS-DRG,,,,inpatient,,,999999999,,16149.9003,16149.9003,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16149.9003,case rate,999999999,,,,,,,,,,16149.9003,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
833 - OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC,833,MS-DRG,,,,inpatient,,,999999999,,11233.3978,11233.3978,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11233.3978,case rate,999999999,,,,,,,,,,11233.3978,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
834 - ACUTE LEUKEMIA WITH MCC,834,MS-DRG,,,,inpatient,,,999999999,,119441.8359,163961.84,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,119441.8359,case rate,999999999,,,,,,,,,,119441.8359,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,163961.84,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,155763.748,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
835 - ACUTE LEUKEMIA WITH CC,835,MS-DRG,,,,inpatient,,,999999999,,46156.7738,132813.22,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,46156.7738,case rate,999999999,,,,,,,,,,46156.7738,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,132813.22,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,126172.559,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
836 - ACUTE LEUKEMIA WITHOUT CC/MCC,836,MS-DRG,,,,inpatient,,,999999999,,27461.0977,73027.54,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,27461.0977,case rate,999999999,,,,,,,,,,27461.0977,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,73027.54,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,69376.163,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
837 - CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC,837,MS-DRG,,,,inpatient,,,999999999,,94980.639,108201.9548,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,108201.9548,case rate,999999999,,,,,,,,,,108201.9548,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,99979.62,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,94980.639,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
838 - CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT,838,MS-DRG,,,,inpatient,,,999999999,,43829.2691,59663.63,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,43829.2691,case rate,999999999,,,,,,,,,,43829.2691,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,59663.63,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,56680.4485,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
839 - CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC,839,MS-DRG,,,,inpatient,,,999999999,,29613.5533,90783.92,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,29613.5533,case rate,999999999,,,,,,,,,,29613.5533,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,90783.92,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,86244.724,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
840 - LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC,840,MS-DRG,,,,inpatient,,,999999999,,45716.9735,68926.1234,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,68926.1234,case rate,999999999,,,,,,,,,,68926.1234,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,48123.13,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,45716.9735,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
841 - LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC,841,MS-DRG,,,,inpatient,,,999999999,,30031.932,33883.8869,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,33883.8869,case rate,999999999,,,,,,,,,,33883.8869,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,31612.56,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,30031.932,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
842 - LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC,842,MS-DRG,,,,inpatient,,,999999999,,22730.4498,86610.74,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,22730.4498,case rate,999999999,,,,,,,,,,22730.4498,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,86610.74,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,82280.203,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
843 - OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC,843,MS-DRG,,,,inpatient,,,999999999,,40911.7841,44810.28,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,40911.7841,case rate,999999999,,,,,,,,,,40911.7841,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,44810.28,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,42569.766,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
844 - OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC,844,MS-DRG,,,,inpatient,,,999999999,,20315.7595,25827.3061,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,25827.3061,case rate,999999999,,,,,,,,,,25827.3061,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21385.01,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,20315.7595,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
845 - OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC,845,MS-DRG,,,,inpatient,,,999999999,,18081.9237,146543.08,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18081.9237,case rate,999999999,,,,,,,,,,18081.9237,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,146543.08,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,139215.926,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
846 - CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC,846,MS-DRG,,,,inpatient,,,999999999,,34228.8515,55185.8496,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,55185.8496,case rate,999999999,,,,,,,,,,55185.8496,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,36030.37,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,34228.8515,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
847 - CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC,847,MS-DRG,,,,inpatient,,,999999999,,22008.6975,27458.9366,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,27458.9366,case rate,999999999,,,,,,,,,,27458.9366,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23167.05,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,22008.6975,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
848 - CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC,848,MS-DRG,,,,inpatient,,,999999999,,17697.2479,17697.2479,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17697.2479,case rate,999999999,,,,,,,,,,17697.2479,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
849 - RADIOTHERAPY,849,MS-DRG,,,,inpatient,,,999999999,,57720.8199,57720.8199,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,57720.8199,case rate,999999999,,,,,,,,,,57720.8199,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
850 - ACUTE LEUKEMIA WITH OTHER PROCEDURES,850,MS-DRG,,,,inpatient,,,999999999,,199065.4043,199065.4043,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,199065.4043,case rate,999999999,,,,,,,,,,199065.4043,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
853 - INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC,853,MS-DRG,,,,inpatient,,,999999999,,108087.4165,108087.4165,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,108087.4165,case rate,999999999,,,,,,,,,,108087.4165,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
854 - INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC,854,MS-DRG,,,,inpatient,,,999999999,,43183.1002,163961.84,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,43183.1002,case rate,999999999,,,,,,,,,,43183.1002,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,163961.84,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,155763.748,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
855 - INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC,855,MS-DRG,,,,inpatient,,,999999999,,35128.6805,132813.22,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,35128.6805,case rate,999999999,,,,,,,,,,35128.6805,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,132813.22,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,126172.559,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
856 - POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC,856,MS-DRG,,,,inpatient,,,999999999,,69376.163,97493.7043,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,97493.7043,case rate,999999999,,,,,,,,,,97493.7043,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,73027.54,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,69376.163,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
857 - POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC,857,MS-DRG,,,,inpatient,,,999999999,,47088.2079,99979.62,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,47088.2079,case rate,999999999,,,,,,,,,,47088.2079,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,99979.62,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,94980.639,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
858 - POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC,858,MS-DRG,,,,inpatient,,,999999999,,27843.6124,59663.63,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,27843.6124,case rate,999999999,,,,,,,,,,27843.6124,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,59663.63,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,56680.4485,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
862 - POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC,862,MS-DRG,,,,inpatient,,,999999999,,39733.9846,90783.92,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,39733.9846,case rate,999999999,,,,,,,,,,39733.9846,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,90783.92,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,86244.724,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
863 - POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC,863,MS-DRG,,,,inpatient,,,999999999,,21608.8389,48123.13,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21608.8389,case rate,999999999,,,,,,,,,,21608.8389,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,48123.13,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,45716.9735,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
864 - FEVER AND INFLAMMATORY CONDITIONS,864,MS-DRG,,,,inpatient,,,999999999,,19404.5169,31612.56,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19404.5169,case rate,999999999,,,,,,,,,,19404.5169,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,31612.56,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,30031.932,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
865 - VIRAL ILLNESS WITH MCC,865,MS-DRG,,,,inpatient,,,999999999,,31895.6749,86610.74,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,31895.6749,case rate,999999999,,,,,,,,,,31895.6749,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,86610.74,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,82280.203,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
866 - VIRAL ILLNESS WITHOUT MCC,866,MS-DRG,,,,inpatient,,,999999999,,19119.2517,44810.28,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19119.2517,case rate,999999999,,,,,,,,,,19119.2517,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,44810.28,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,42569.766,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
867 - OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC,867,MS-DRG,,,,inpatient,,,999999999,,20315.7595,46338.3062,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,46338.3062,case rate,999999999,,,,,,,,,,46338.3062,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21385.01,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,20315.7595,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
868 - OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC,868,MS-DRG,,,,inpatient,,,999999999,,22691.55,146543.08,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,22691.55,case rate,999999999,,,,,,,,,,22691.55,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,146543.08,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,139215.926,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
869 - OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC,869,MS-DRG,,,,inpatient,,,999999999,,15549.1145,36030.37,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15549.1145,case rate,999999999,,,,,,,,,,15549.1145,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,36030.37,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,34228.8515,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
870 - SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS,870,MS-DRG,,,,inpatient,,,999999999,,22008.6975,150336.9215,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,150336.9215,case rate,999999999,,,,,,,,,,150336.9215,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23167.05,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,22008.6975,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
871 - SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC,871,MS-DRG,,,,inpatient,,,999999999,,42407.2653,42407.2653,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,42407.2653,case rate,999999999,,,,,,,,,,42407.2653,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
872 - SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC,872,MS-DRG,,,,inpatient,,,999999999,,22280.941,22280.941,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,22280.941,case rate,999999999,,,,,,,,,,22280.941,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
876 - O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS,876,MS-DRG,,,,inpatient,,,999999999,,84918.2634,84918.2634,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,84918.2634,case rate,999999999,,,,,,,,,,84918.2634,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
880 - ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION,880,MS-DRG,,,,inpatient,,,999999999,,20716.3046,163961.84,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20716.3046,case rate,999999999,,,,,,,,,,20716.3046,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,163961.84,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,155763.748,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
881 - DEPRESSIVE NEUROSES,881,MS-DRG,,,,inpatient,,,999999999,,19754.6151,132813.22,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19754.6151,case rate,999999999,,,,,,,,,,19754.6151,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,132813.22,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,126172.559,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
882 - NEUROSES EXCEPT DEPRESSIVE,882,MS-DRG,,,,inpatient,,,999999999,,20787.6209,73027.54,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20787.6209,case rate,999999999,,,,,,,,,,20787.6209,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,73027.54,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,69376.163,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
883 - DISORDERS OF PERSONALITY AND IMPULSE CONTROL,883,MS-DRG,,,,inpatient,,,999999999,,40118.6604,99979.62,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,40118.6604,case rate,999999999,,,,,,,,,,40118.6604,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,99979.62,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,94980.639,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
884 - ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY,884,MS-DRG,,,,inpatient,,,999999999,,36092.5311,59663.63,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,36092.5311,case rate,999999999,,,,,,,,,,36092.5311,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,59663.63,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,56680.4485,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
885 - PSYCHOSES,885,MS-DRG,,,,inpatient,,,999999999,,30460.7045,90783.92,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,30460.7045,case rate,999999999,,,,,,,,,,30460.7045,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,90783.92,case rate,999999999,,,,24160.26,case rate,999999999,,,,,,,,,,86244.724,case rate,999999999,,,,22952.247,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
886 - BEHAVIORAL AND DEVELOPMENTAL DISORDERS,886,MS-DRG,,,,inpatient,,,999999999,,38822.0004,48123.13,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,38822.0004,case rate,999999999,,,,,,,,,,38822.0004,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,48123.13,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,45716.9735,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
887 - OTHER MENTAL DISORDER DIAGNOSES,887,MS-DRG,,,,inpatient,,,999999999,,25701.9623,31612.56,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,25701.9623,case rate,999999999,,,,,,,,,,25701.9623,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,31612.56,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,30031.932,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"894 - ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA",894,MS-DRG,,,,inpatient,,,999999999,,13487.4251,86610.74,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13487.4251,case rate,999999999,,,,,,,,,,13487.4251,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,86610.74,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,82280.203,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"895 - ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY",895,MS-DRG,,,,inpatient,,,999999999,,31290.5669,44810.28,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,31290.5669,case rate,999999999,,,,,,,,,,31290.5669,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,44810.28,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,42569.766,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"896 - ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC",896,MS-DRG,,,,inpatient,,,999999999,,20315.7595,38484.8688,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,38484.8688,case rate,999999999,,,,,,,,,,38484.8688,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21385.01,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,20315.7595,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"897 - ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC",897,MS-DRG,,,,inpatient,,,999999999,,19065.2242,146543.08,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19065.2242,case rate,999999999,,,,,,,,,,19065.2242,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,146543.08,case rate,999999999,,,,12668.53,case rate,999999999,,,,,,,,,,139215.926,case rate,999999999,,,,12035.1035,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
901 - WOUND DEBRIDEMENTS FOR INJURIES WITH MCC,901,MS-DRG,,,,inpatient,,,999999999,,34228.8515,95741.0522,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,95741.0522,case rate,999999999,,,,,,,,,,95741.0522,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,36030.37,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,34228.8515,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
902 - WOUND DEBRIDEMENTS FOR INJURIES WITH CC,902,MS-DRG,,,,inpatient,,,999999999,,22008.6975,41004.7114,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,41004.7114,case rate,999999999,,,,,,,,,,41004.7114,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23167.05,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,22008.6975,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
903 - WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC,903,MS-DRG,,,,inpatient,,,999999999,,26343.809,26343.809,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,26343.809,case rate,999999999,,,,,,,,,,26343.809,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
904 - SKIN GRAFTS FOR INJURIES WITH CC/MCC,904,MS-DRG,,,,inpatient,,,999999999,,83437.9099,83437.9099,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,83437.9099,case rate,999999999,,,,,,,,,,83437.9099,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
905 - SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC,905,MS-DRG,,,,inpatient,,,999999999,,35617.0891,35617.0891,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,35617.0891,case rate,999999999,,,,,,,,,,35617.0891,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
906 - HAND PROCEDURES FOR INJURIES,906,MS-DRG,,,,inpatient,,,999999999,,47163.8464,163961.84,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,47163.8464,case rate,999999999,,,,,,,,,,47163.8464,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,163961.84,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,155763.748,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
907 - OTHER O.R. PROCEDURES FOR INJURIES WITH MCC,907,MS-DRG,,,,inpatient,,,999999999,,86087.4185,132813.22,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,86087.4185,case rate,999999999,,,,,,,,,,86087.4185,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,132813.22,case rate,999999999,,,,79056.44,case rate,999999999,,,,,,,,,,126172.559,case rate,999999999,,,,75103.618,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
908 - OTHER O.R. PROCEDURES FOR INJURIES WITH CC,908,MS-DRG,,,,inpatient,,,999999999,,43589.387,73027.54,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,43589.387,case rate,999999999,,,,,,,,,,43589.387,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,73027.54,case rate,999999999,,,,31575.2,case rate,999999999,,,,,,,,,,69376.163,case rate,999999999,,,,29996.44,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
909 - OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC,909,MS-DRG,,,,inpatient,,,999999999,,27407.0702,99979.62,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,27407.0702,case rate,999999999,,,,,,,,,,27407.0702,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,99979.62,case rate,999999999,,,,29906.36,case rate,999999999,,,,,,,,,,94980.639,case rate,999999999,,,,28411.042,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
913 - TRAUMATIC INJURY WITH MCC,913,MS-DRG,,,,inpatient,,,999999999,,34970.9202,59663.63,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,34970.9202,case rate,999999999,,,,,,,,,,34970.9202,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,59663.63,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,56680.4485,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
914 - TRAUMATIC INJURY WITHOUT MCC,914,MS-DRG,,,,inpatient,,,999999999,,19802.1593,90783.92,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19802.1593,case rate,999999999,,,,,,,,,,19802.1593,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,90783.92,case rate,999999999,,,,17757.55,case rate,999999999,,,,,,,,,,86244.724,case rate,999999999,,,,16869.6725,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
915 - ALLERGIC REACTIONS WITH MCC,915,MS-DRG,,,,inpatient,,,999999999,,37555.5958,48123.13,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,37555.5958,case rate,999999999,,,,,,,,,,37555.5958,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,48123.13,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,45716.9735,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
916 - ALLERGIC REACTIONS WITHOUT MCC,916,MS-DRG,,,,inpatient,,,999999999,,14349.704,31612.56,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14349.704,case rate,999999999,,,,,,,,,,14349.704,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,31612.56,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,30031.932,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
917 - POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC,917,MS-DRG,,,,inpatient,,,999999999,,35433.3956,86610.74,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,35433.3956,case rate,999999999,,,,,,,,,,35433.3956,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,86610.74,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,82280.203,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
918 - POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC,918,MS-DRG,,,,inpatient,,,999999999,,19112.7684,44810.28,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19112.7684,case rate,999999999,,,,,,,,,,19112.7684,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,44810.28,case rate,999999999,,,,5509.66,case rate,999999999,,,,,,,,,,42569.766,case rate,999999999,,,,5234.177,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
919 - COMPLICATIONS OF TREATMENT WITH MCC,919,MS-DRG,,,,inpatient,,,999999999,,20315.7595,39405.4974,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,39405.4974,case rate,999999999,,,,,,,,,,39405.4974,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21385.01,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,20315.7595,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
920 - COMPLICATIONS OF TREATMENT WITH CC,920,MS-DRG,,,,inpatient,,,999999999,,21952.4538,146543.08,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21952.4538,case rate,999999999,,,,,,,,,,21952.4538,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,146543.08,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,139215.926,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
921 - COMPLICATIONS OF TREATMENT WITHOUT CC/MCC,921,MS-DRG,,,,inpatient,,,999999999,,14859.7236,36030.37,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14859.7236,case rate,999999999,,,,,,,,,,14859.7236,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,36030.37,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,34228.8515,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"922 - OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC",922,MS-DRG,,,,inpatient,,,999999999,,22008.6975,36505.3012,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,36505.3012,case rate,999999999,,,,,,,,,,36505.3012,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23167.05,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,22008.6975,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"923 - OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC",923,MS-DRG,,,,inpatient,,,999999999,,22038.8978,22038.8978,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,22038.8978,case rate,999999999,,,,,,,,,,22038.8978,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,17332.11,case rate,999999999,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,16465.5045,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
927 - EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT,927,MS-DRG,,,,inpatient,,,999999999,,512673.4308,512673.4308,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,512673.4308,case rate,999999999,,,,,,,,,,512673.4308,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
928 - FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC,928,MS-DRG,,,,inpatient,,,999999999,,144329.0635,144329.0635,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,144329.0635,case rate,999999999,,,,,,,,,,144329.0635,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
929 - FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC,929,MS-DRG,,,,inpatient,,,999999999,,68727.3022,163961.84,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,68727.3022,case rate,999999999,,,,,,,,,,68727.3022,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,163961.84,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,155763.748,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
933 - EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT,933,MS-DRG,,,,inpatient,,,999999999,,93504.3137,132813.22,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,93504.3137,case rate,999999999,,,,,,,,,,93504.3137,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,132813.22,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,126172.559,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
934 - FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY,934,MS-DRG,,,,inpatient,,,999999999,,46370.7227,73027.54,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,46370.7227,case rate,999999999,,,,,,,,,,46370.7227,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,73027.54,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,69376.163,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
935 - NON-EXTENSIVE BURNS,935,MS-DRG,,,,inpatient,,,999999999,,47464.2393,99979.62,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,47464.2393,case rate,999999999,,,,,,,,,,47464.2393,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,99979.62,case rate,999999999,,,,22557.94,case rate,999999999,,,,,,,,,,94980.639,case rate,999999999,,,,21430.043,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
939 - O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC,939,MS-DRG,,,,inpatient,,,999999999,,56680.4485,68588.9918,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,68588.9918,case rate,999999999,,,,,,,,,,68588.9918,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,59663.63,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,56680.4485,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
940 - O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC,940,MS-DRG,,,,inpatient,,,999999999,,45627.3043,90783.92,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45627.3043,case rate,999999999,,,,,,,,,,45627.3043,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,90783.92,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,86244.724,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
941 - O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC,941,MS-DRG,,,,inpatient,,,999999999,,42232.2162,48123.13,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,42232.2162,case rate,999999999,,,,,,,,,,42232.2162,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,48123.13,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,45716.9735,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
945 - REHABILITATION WITH CC/MCC,945,MS-DRG,,,,inpatient,,,999999999,,30031.932,32987.0304,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,32987.0304,case rate,999999999,,,,,,,,,,32987.0304,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,31612.56,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,30031.932,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
946 - REHABILITATION WITHOUT CC/MCC,946,MS-DRG,,,,inpatient,,,999999999,,24126.5204,86610.74,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,24126.5204,case rate,999999999,,,,,,,,,,24126.5204,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,86610.74,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,82280.203,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
947 - SIGNS AND SYMPTOMS WITH MCC,947,MS-DRG,,,,inpatient,,,999999999,,27793.9071,44810.28,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,27793.9071,case rate,999999999,,,,,,,,,,27793.9071,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,44810.28,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,42569.766,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
948 - SIGNS AND SYMPTOMS WITHOUT MCC,948,MS-DRG,,,,inpatient,,,999999999,,17169.9395,21385.01,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,17169.9395,case rate,999999999,,,,,,,,,,17169.9395,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21385.01,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,20315.7595,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
949 - AFTERCARE WITH CC/MCC,949,MS-DRG,,,,inpatient,,,999999999,,23316.1079,146543.08,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23316.1079,case rate,999999999,,,,,,,,,,23316.1079,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,146543.08,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,139215.926,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
950 - AFTERCARE WITHOUT CC/MCC,950,MS-DRG,,,,inpatient,,,999999999,,12666.2071,36030.37,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12666.2071,case rate,999999999,,,,,,,,,,12666.2071,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,36030.37,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,34228.8515,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
951 - OTHER FACTORS INFLUENCING HEALTH STATUS,951,MS-DRG,,,,inpatient,,,999999999,,12251.2759,23167.05,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12251.2759,case rate,999999999,,,,,,,,,,12251.2759,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23167.05,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,22008.6975,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
955 - CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA,955,MS-DRG,,,,inpatient,,,999999999,,147557.7469,147557.7469,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,147557.7469,case rate,999999999,,,,,,,,,,147557.7469,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,153539.72,case rate,999999999,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,145862.734,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"956 - LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA",956,MS-DRG,,,,inpatient,,,999999999,,82601.5642,82601.5642,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,82601.5642,case rate,999999999,,,,,,,,,,82601.5642,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,94705.26,case rate,999999999,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,89969.997,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
957 - OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC,957,MS-DRG,,,,inpatient,,,999999999,,161298.0207,161298.0207,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,161298.0207,case rate,999999999,,,,,,,,,,161298.0207,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,136593.1,case rate,999999999,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,129763.445,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
958 - OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC,958,MS-DRG,,,,inpatient,,,999999999,,88810.4045,163961.84,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,88810.4045,case rate,999999999,,,,,,,,,,88810.4045,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,163961.84,case rate,999999999,,,,78651.13,case rate,999999999,,,,,,,,,,155763.748,case rate,999999999,,,,74718.5735,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
959 - OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC,959,MS-DRG,,,,inpatient,,,999999999,,57133.0007,132813.22,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,57133.0007,case rate,999999999,,,,,,,,,,57133.0007,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,132813.22,case rate,999999999,,,,49828.77,case rate,999999999,,,,,,,,,,126172.559,case rate,999999999,,,,47337.3315,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
963 - OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC,963,MS-DRG,,,,inpatient,,,999999999,,58708.4426,73027.54,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,58708.4426,case rate,999999999,,,,,,,,,,58708.4426,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,73027.54,case rate,999999999,,,,83652.68,case rate,999999999,,,,,,,,,,69376.163,case rate,999999999,,,,79470.046,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
964 - OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC,964,MS-DRG,,,,inpatient,,,999999999,,32420.8222,99979.62,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,32420.8222,case rate,999999999,,,,,,,,,,32420.8222,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,99979.62,case rate,999999999,,,,33087.53,case rate,999999999,,,,,,,,,,94980.639,case rate,999999999,,,,31433.1535,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
965 - OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC,965,MS-DRG,,,,inpatient,,,999999999,,19720.0375,59663.63,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19720.0375,case rate,999999999,,,,,,,,,,19720.0375,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,59663.63,case rate,999999999,,,,21451.37,case rate,999999999,,,,,,,,,,56680.4485,case rate,999999999,,,,20378.8015,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
969 - HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC,969,MS-DRG,,,,inpatient,,,999999999,,86244.724,136665.8029,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,136665.8029,case rate,999999999,,,,,,,,,,136665.8029,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,90783.92,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,86244.724,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
970 - HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC,970,MS-DRG,,,,inpatient,,,999999999,,45716.9735,57338.3052,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,57338.3052,case rate,999999999,,,,,,,,,,57338.3052,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,48123.13,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,45716.9735,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
974 - HIV WITH MAJOR RELATED CONDITION WITH MCC,974,MS-DRG,,,,inpatient,,,999999999,,30031.932,64530.446,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,64530.446,case rate,999999999,,,,,,,,,,64530.446,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,31612.56,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,30031.932,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
975 - HIV WITH MAJOR RELATED CONDITION WITH CC,975,MS-DRG,,,,inpatient,,,999999999,,30715.7143,86610.74,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,30715.7143,case rate,999999999,,,,,,,,,,30715.7143,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,86610.74,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,82280.203,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
976 - HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC,976,MS-DRG,,,,inpatient,,,999999999,,21673.6719,44810.28,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21673.6719,case rate,999999999,,,,,,,,,,21673.6719,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,44810.28,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,42569.766,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
977 - HIV WITH OR WITHOUT OTHER RELATED CONDITION,977,MS-DRG,,,,inpatient,,,999999999,,20315.7595,31158.7398,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,31158.7398,case rate,999999999,,,,,,,,,,31158.7398,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21385.01,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,20315.7595,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
981 - EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC,981,MS-DRG,,,,inpatient,,,999999999,,102745.1773,146543.08,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,102745.1773,case rate,999999999,,,,,,,,,,102745.1773,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,146543.08,case rate,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,139215.926,case rate,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
982 - EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC,982,MS-DRG,,,,inpatient,,,999999999,,34228.8515,52914.5335,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,52914.5335,case rate,999999999,,,,,,,,,,52914.5335,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,36030.37,case rate,999999999,,,,58985.82,case rate,999999999,,,,,,,,,,34228.8515,case rate,999999999,,,,56036.529,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
983 - EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC,983,MS-DRG,,,,inpatient,,,999999999,,22008.6975,36049.3091,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,36049.3091,case rate,999999999,,,,,,,,,,36049.3091,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23167.05,case rate,999999999,,,,48061.33,case rate,999999999,,,,,,,,,,22008.6975,case rate,999999999,,,,45658.2635,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
987 - NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC,987,MS-DRG,,,,inpatient,,,999999999,,75703.333,75703.333,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,75703.333,case rate,999999999,,,,,,,,,,75703.333,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
988 - NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC,988,MS-DRG,,,,inpatient,,,999999999,,37084.476,37084.476,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,37084.476,case rate,999999999,,,,,,,,,,37084.476,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
989 - NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC,989,MS-DRG,,,,inpatient,,,999999999,,24969.3494,24969.3494,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,24969.3494,case rate,999999999,,,,,,,,,,24969.3494,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,999999999,,,,53.2,percent of total billed charges,999999999,,,,,,,,,,50.5,percent of total billed charges,999999999,,,,50.5,percent of total billed charges,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
998 - PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS,998,MS-DRG,,,,inpatient,,,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
999 - UNGROUPABLE,999,MS-DRG,,,,inpatient,,,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
2 - SUPERFICIAL NEEDLE BIOPSY AND ASPIRATION,2,EAPG,,,,outpatient ,,,999999999,,1151.3811,1151.3811,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1151.3811,case rate,999999999,,,,,,,,,,1151.3811,case rate,999999999,,,,,,,,,,1151.3811,case rate,999999999,,,,,,,,,,1151.3811,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"3 - LEVEL I SKIN INCISION AND DRAINAGE, DEBRIDEMENT, DESTRUCTION, OTHER RELATED PX",3,EAPG,,,,outpatient ,,,999999999,,278.3705067,278.3705067,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,278.3705067,case rate,999999999,,,,,,,,,,278.3705067,case rate,999999999,,,,,,,,,,278.3705067,case rate,999999999,,,,,,,,,,278.3705067,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"4 - LEVEL II SKIN INCISION AND DRAINAGE, DEBRIDEMENT, DESTRUCTION, OTHER RELATED PX",4,EAPG,,,,outpatient ,,,999999999,,1808.742335,1808.742335,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1808.742335,case rate,999999999,,,,,,,,,,1808.742335,case rate,999999999,,,,,,,,,,1808.742335,case rate,999999999,,,,,,,,,,1808.742335,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
5 - NAIL PROCEDURES,5,EAPG,,,,outpatient ,,,999999999,,112.0020525,112.0020525,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,112.0020525,case rate,999999999,,,,,,,,,,112.0020525,case rate,999999999,,,,,,,,,,112.0020525,case rate,999999999,,,,,,,,,,112.0020525,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"9 - LEVEL I SKIN EXCISIONS, BIOPSIES, AND REPAIRS",9,EAPG,,,,outpatient ,,,999999999,,708.9427215,708.9427215,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,708.9427215,case rate,999999999,,,,,,,,,,708.9427215,case rate,999999999,,,,,,,,,,708.9427215,case rate,999999999,,,,,,,,,,708.9427215,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"10 - LEVEL II SKIN EXCISIONS, BIOPSIES, AND REPAIRS",10,EAPG,,,,outpatient ,,,999999999,,2039.163855,2039.163855,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2039.163855,case rate,999999999,,,,,,,,,,2039.163855,case rate,999999999,,,,,,,,,,2039.163855,case rate,999999999,,,,,,,,,,2039.163855,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"11 - LEVEL III SKIN EXCISIONS, BIOPSIES, AND REPAIRS",11,EAPG,,,,outpatient ,,,999999999,,3014.126587,3014.126587,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3014.126587,case rate,999999999,,,,,,,,,,3014.126587,case rate,999999999,,,,,,,,,,3014.126587,case rate,999999999,,,,,,,,,,3014.126587,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
16 - SIMPLE WOUND REPAIR AND TREATMENT,16,EAPG,,,,outpatient ,,,999999999,,307.3094154,307.3094154,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,307.3094154,case rate,999999999,,,,,,,,,,307.3094154,case rate,999999999,,,,,,,,,,307.3094154,case rate,999999999,,,,,,,,,,307.3094154,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
17 - INTERMEDIATE WOUND REPAIR AND TREATMENT,17,EAPG,,,,outpatient ,,,999999999,,643.6788228,643.6788228,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,643.6788228,case rate,999999999,,,,,,,,,,643.6788228,case rate,999999999,,,,,,,,,,643.6788228,case rate,999999999,,,,,,,,,,643.6788228,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
18 - COMPLEX WOUND REPAIR AND TREATMENT,18,EAPG,,,,outpatient ,,,999999999,,1712.360029,1712.360029,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1712.360029,case rate,999999999,,,,,,,,,,1712.360029,case rate,999999999,,,,,,,,,,1712.360029,case rate,999999999,,,,,,,,,,1712.360029,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
19 - MOHS MICROGRAPHIC SURGERY,19,EAPG,,,,outpatient ,,,999999999,,1590.792395,1590.792395,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1590.792395,case rate,999999999,,,,,,,,,,1590.792395,case rate,999999999,,,,,,,,,,1590.792395,case rate,999999999,,,,,,,,,,1590.792395,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"20 - BREAST BIOPSIES, EXCISIONS, AND OTHER RELATED PROCEDURES",20,EAPG,,,,outpatient ,,,999999999,,2243.068133,2243.068133,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2243.068133,case rate,999999999,,,,,,,,,,2243.068133,case rate,999999999,,,,,,,,,,2243.068133,case rate,999999999,,,,,,,,,,2243.068133,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
21 - LEVEL I MASTECTOMY AND RECONSTRUCTIVE BREAST PROCEDURES,21,EAPG,,,,outpatient ,,,999999999,,5484.952407,5484.952407,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5484.952407,case rate,999999999,,,,,,,,,,5484.952407,case rate,999999999,,,,,,,,,,5484.952407,case rate,999999999,,,,,,,,,,5484.952407,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
22 - LEVEL II MASTECTOMY AND RECONSTRUCTIVE BREAST PROCEDURES,22,EAPG,,,,outpatient ,,,999999999,,12178.55831,12178.55831,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12178.55831,case rate,999999999,,,,,,,,,,12178.55831,case rate,999999999,,,,,,,,,,12178.55831,case rate,999999999,,,,,,,,,,12178.55831,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
23 - LEVEL I FOREARM AND WRIST PROCEDURES,23,EAPG,,,,outpatient ,,,999999999,,2864.709795,2864.709795,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2864.709795,case rate,999999999,,,,,,,,,,2864.709795,case rate,999999999,,,,,,,,,,2864.709795,case rate,999999999,,,,,,,,,,2864.709795,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
24 - LEVEL II FOREARM AND WRIST PROCEDURES,24,EAPG,,,,outpatient ,,,999999999,,9240.350956,9240.350956,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9240.350956,case rate,999999999,,,,,,,,,,9240.350956,case rate,999999999,,,,,,,,,,9240.350956,case rate,999999999,,,,,,,,,,9240.350956,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
25 - LEVEL I SHOULDER AND UPPER ARM PROCEDURES,25,EAPG,,,,outpatient ,,,999999999,,7915.215321,7915.215321,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7915.215321,case rate,999999999,,,,,,,,,,7915.215321,case rate,999999999,,,,,,,,,,7915.215321,case rate,999999999,,,,,,,,,,7915.215321,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
26 - LEVEL I KNEE AND LOWER LEG PROCEDURES,26,EAPG,,,,outpatient ,,,999999999,,5274.509631,5274.509631,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5274.509631,case rate,999999999,,,,,,,,,,5274.509631,case rate,999999999,,,,,,,,,,5274.509631,case rate,999999999,,,,,,,,,,5274.509631,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
27 - LEVEL I HIP AND FEMUR PROCEDURES,27,EAPG,,,,outpatient ,,,999999999,,7009.27007,7009.27007,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7009.27007,case rate,999999999,,,,,,,,,,7009.27007,case rate,999999999,,,,,,,,,,7009.27007,case rate,999999999,,,,,,,,,,7009.27007,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
28 - LEVEL I SPINE PROCEDURES,28,EAPG,,,,outpatient ,,,999999999,,8320.23896,8320.23896,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8320.23896,case rate,999999999,,,,,,,,,,8320.23896,case rate,999999999,,,,,,,,,,8320.23896,case rate,999999999,,,,,,,,,,8320.23896,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
29 - LEVEL II SPINE PROCEDURES,29,EAPG,,,,outpatient ,,,999999999,,19374.0545,19374.0545,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19374.0545,case rate,999999999,,,,,,,,,,19374.0545,case rate,999999999,,,,,,,,,,19374.0545,case rate,999999999,,,,,,,,,,19374.0545,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
33 - LEVEL I HAND PROCEDURES,33,EAPG,,,,outpatient ,,,999999999,,2199.720311,2199.720311,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2199.720311,case rate,999999999,,,,,,,,,,2199.720311,case rate,999999999,,,,,,,,,,2199.720311,case rate,999999999,,,,,,,,,,2199.720311,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
34 - LEVEL II HAND PROCEDURES,34,EAPG,,,,outpatient ,,,999999999,,3627.534585,3627.534585,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3627.534585,case rate,999999999,,,,,,,,,,3627.534585,case rate,999999999,,,,,,,,,,3627.534585,case rate,999999999,,,,,,,,,,3627.534585,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
35 - LEVEL I FOOT PROCEDURES,35,EAPG,,,,outpatient ,,,999999999,,3603.439008,3603.439008,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3603.439008,case rate,999999999,,,,,,,,,,3603.439008,case rate,999999999,,,,,,,,,,3603.439008,case rate,999999999,,,,,,,,,,3603.439008,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
36 - LEVEL II FOOT PROCEDURES,36,EAPG,,,,outpatient ,,,999999999,,9188.042971,9188.042971,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9188.042971,case rate,999999999,,,,,,,,,,9188.042971,case rate,999999999,,,,,,,,,,9188.042971,case rate,999999999,,,,,,,,,,9188.042971,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
37 - LEVEL I ARTHROSCOPY,37,EAPG,,,,outpatient ,,,999999999,,3606.587174,3606.587174,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3606.587174,case rate,999999999,,,,,,,,,,3606.587174,case rate,999999999,,,,,,,,,,3606.587174,case rate,999999999,,,,,,,,,,3606.587174,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
38 - LEVEL II ARTHROSCOPY,38,EAPG,,,,outpatient ,,,999999999,,9095.898579,9095.898579,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9095.898579,case rate,999999999,,,,,,,,,,9095.898579,case rate,999999999,,,,,,,,,,9095.898579,case rate,999999999,,,,,,,,,,9095.898579,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
39 - CAST APPLICATION OR REPLACEMENT,39,EAPG,,,,outpatient ,,,999999999,,303.1925832,303.1925832,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,303.1925832,case rate,999999999,,,,,,,,,,303.1925832,case rate,999999999,,,,,,,,,,303.1925832,case rate,999999999,,,,,,,,,,303.1925832,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
40 - MINOR SPLINT AND STRAPPING APPLICATION,40,EAPG,,,,outpatient ,,,999999999,,127.6217982,127.6217982,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,127.6217982,case rate,999999999,,,,,,,,,,127.6217982,case rate,999999999,,,,,,,,,,127.6217982,case rate,999999999,,,,,,,,,,127.6217982,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
41 - CLOSED TREATMENT FX AND DISLOCATION,41,EAPG,,,,outpatient ,,,999999999,,775.5385365,775.5385365,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,775.5385365,case rate,999999999,,,,,,,,,,775.5385365,case rate,999999999,,,,,,,,,,775.5385365,case rate,999999999,,,,,,,,,,775.5385365,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
43 - OPEN OR PERCUTANEOUS TREATMENT OF FRACTURES,43,EAPG,,,,outpatient ,,,999999999,,8894.415968,8894.415968,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8894.415968,case rate,999999999,,,,,,,,,,8894.415968,case rate,999999999,,,,,,,,,,8894.415968,case rate,999999999,,,,,,,,,,8894.415968,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
44 - BONE OR JOINT MANIPULATION UNDER ANESTHESIA,44,EAPG,,,,outpatient ,,,999999999,,1627.359552,1627.359552,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1627.359552,case rate,999999999,,,,,,,,,,1627.359552,case rate,999999999,,,,,,,,,,1627.359552,case rate,999999999,,,,,,,,,,1627.359552,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
46 - LEVEL I ARTHROPLASTY,46,EAPG,,,,outpatient ,,,999999999,,5710.167345,5710.167345,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5710.167345,case rate,999999999,,,,,,,,,,5710.167345,case rate,999999999,,,,,,,,,,5710.167345,case rate,999999999,,,,,,,,,,5710.167345,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
47 - LEVEL II ARTHROPLASTY,47,EAPG,,,,outpatient ,,,999999999,,15997.04126,15997.04126,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15997.04126,case rate,999999999,,,,,,,,,,15997.04126,case rate,999999999,,,,,,,,,,15997.04126,case rate,999999999,,,,,,,,,,15997.04126,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"49 - LEVEL I JOINT, TENDON, OR LIGAMENT INJECTION PROCEDURES",49,EAPG,,,,outpatient ,,,999999999,,415.0735524,415.0735524,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,415.0735524,case rate,999999999,,,,,,,,,,415.0735524,case rate,999999999,,,,,,,,,,415.0735524,case rate,999999999,,,,,,,,,,415.0735524,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"50 - LEVEL II JOINT, TENDON, OR LIGAMENT INJECTION PROCEDURES",50,EAPG,,,,outpatient ,,,999999999,,773.6012037,773.6012037,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,773.6012037,case rate,999999999,,,,,,,,,,773.6012037,case rate,999999999,,,,,,,,,,773.6012037,case rate,999999999,,,,,,,,,,773.6012037,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"51 - MUSCULOSKELETAL EXCISIONS, BIOPSIES, AND DRAINAGE PROCEDURES",51,EAPG,,,,outpatient ,,,999999999,,3017.274753,3017.274753,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3017.274753,case rate,999999999,,,,,,,,,,3017.274753,case rate,999999999,,,,,,,,,,3017.274753,case rate,999999999,,,,,,,,,,3017.274753,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
52 - LEVEL II KNEE AND LOWER LEG PROCEDURES,52,EAPG,,,,outpatient ,,,999999999,,12360.18326,12360.18326,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12360.18326,case rate,999999999,,,,,,,,,,12360.18326,case rate,999999999,,,,,,,,,,12360.18326,case rate,999999999,,,,,,,,,,12360.18326,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
53 - SPINE INJECTIONS AND OTHER RELATED PROCEDURES,53,EAPG,,,,outpatient ,,,999999999,,1288.084145,1288.084145,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1288.084145,case rate,999999999,,,,,,,,,,1288.084145,case rate,999999999,,,,,,,,,,1288.084145,case rate,999999999,,,,,,,,,,1288.084145,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
54 - FIXATION DEVICE INSERTION OR REPLACEMENT PROCEDURES,54,EAPG,,,,outpatient ,,,999999999,,3903.241259,3903.241259,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3903.241259,case rate,999999999,,,,,,,,,,3903.241259,case rate,999999999,,,,,,,,,,3903.241259,case rate,999999999,,,,,,,,,,3903.241259,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
55 - LEVEL II HIP AND FEMUR PROCEDURES,55,EAPG,,,,outpatient ,,,999999999,,19734.51948,19734.51948,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19734.51948,case rate,999999999,,,,,,,,,,19734.51948,case rate,999999999,,,,,,,,,,19734.51948,case rate,999999999,,,,,,,,,,19734.51948,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
56 - SKIN AND CONNECTIVE TISSUE GRAFTING AND FLAP PROCEDURES,56,EAPG,,,,outpatient ,,,999999999,,3273.850265,3273.850265,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3273.850265,case rate,999999999,,,,,,,,,,3273.850265,case rate,999999999,,,,,,,,,,3273.850265,case rate,999999999,,,,,,,,,,3273.850265,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
57 - LEVEL III SPINE PROCEDURES,57,EAPG,,,,outpatient ,,,999999999,,28065.17161,28065.17161,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,28065.17161,case rate,999999999,,,,,,,,,,28065.17161,case rate,999999999,,,,,,,,,,28065.17161,case rate,999999999,,,,,,,,,,28065.17161,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
58 - LEVEL II SHOULDER AND UPPER ARM PROCEDURES,58,EAPG,,,,outpatient ,,,999999999,,15070.39077,15070.39077,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15070.39077,case rate,999999999,,,,,,,,,,15070.39077,case rate,999999999,,,,,,,,,,15070.39077,case rate,999999999,,,,,,,,,,15070.39077,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
59 - ARTERIOVENOUS FISTULA CREATION OR REVISION FOR HEMODIALYSIS,59,EAPG,,,,outpatient ,,,999999999,,5932.597367,5932.597367,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5932.597367,case rate,999999999,,,,,,,,,,5932.597367,case rate,999999999,,,,,,,,,,5932.597367,case rate,999999999,,,,,,,,,,5932.597367,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
60 - PULMONARY FUNCTION TESTS,60,EAPG,,,,outpatient ,,,999999999,,173.9967021,173.9967021,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,173.9967021,case rate,999999999,,,,,,,,,,173.9967021,case rate,999999999,,,,,,,,,,173.9967021,case rate,999999999,,,,,,,,,,173.9967021,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
62 - LEVEL I ENDOSCOPY OF THE UPPER AIRWAY,62,EAPG,,,,outpatient ,,,999999999,,1017.947303,1017.947303,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1017.947303,case rate,999999999,,,,,,,,,,1017.947303,case rate,999999999,,,,,,,,,,1017.947303,case rate,999999999,,,,,,,,,,1017.947303,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
63 - LEVEL II ENDOSCOPY OF THE UPPER AIRWAY,63,EAPG,,,,outpatient ,,,999999999,,3173.47221,3173.47221,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3173.47221,case rate,999999999,,,,,,,,,,3173.47221,case rate,999999999,,,,,,,,,,3173.47221,case rate,999999999,,,,,,,,,,3173.47221,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
64 - LEVEL I LOWER AIRWAY ENDOSCOPY,64,EAPG,,,,outpatient ,,,999999999,,3021.754835,3021.754835,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3021.754835,case rate,999999999,,,,,,,,,,3021.754835,case rate,999999999,,,,,,,,,,3021.754835,case rate,999999999,,,,,,,,,,3021.754835,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
66 - PULMONARY REHABILITATIVE SERVICES,66,EAPG,,,,outpatient ,,,999999999,,57.6356508,57.6356508,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,57.6356508,case rate,999999999,,,,,,,,,,57.6356508,case rate,999999999,,,,,,,,,,57.6356508,case rate,999999999,,,,,,,,,,57.6356508,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
67 - VENTILATION ASSISTANCE AND MANAGEMENT,67,EAPG,,,,outpatient ,,,999999999,,1782.951593,1782.951593,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1782.951593,case rate,999999999,,,,,,,,,,1782.951593,case rate,999999999,,,,,,,,,,1782.951593,case rate,999999999,,,,,,,,,,1782.951593,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"68 - THORACENTESIS, RELATED BIOPSY AND PLEURAL DRAINAGE PROCEDURES",68,EAPG,,,,outpatient ,,,999999999,,1679.788621,1679.788621,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1679.788621,case rate,999999999,,,,,,,,,,1679.788621,case rate,999999999,,,,,,,,,,1679.788621,case rate,999999999,,,,,,,,,,1679.788621,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
69 - LEVEL I THORACIC AND CHEST PROCEDURES,69,EAPG,,,,outpatient ,,,999999999,,3903.967759,3903.967759,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3903.967759,case rate,999999999,,,,,,,,,,3903.967759,case rate,999999999,,,,,,,,,,3903.967759,case rate,999999999,,,,,,,,,,3903.967759,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
70 - LEVEL II THORACIC AND CHEST PROCEDURES,70,EAPG,,,,outpatient ,,,999999999,,8514.456573,8514.456573,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8514.456573,case rate,999999999,,,,,,,,,,8514.456573,case rate,999999999,,,,,,,,,,8514.456573,case rate,999999999,,,,,,,,,,8514.456573,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
71 - LEVEL II LOWER AIRWAY ENDOSCOPY,71,EAPG,,,,outpatient ,,,999999999,,6156.601472,6156.601472,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6156.601472,case rate,999999999,,,,,,,,,,6156.601472,case rate,999999999,,,,,,,,,,6156.601472,case rate,999999999,,,,,,,,,,6156.601472,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
72 - TRACHEOSTOMY AND RELATED TRACHEAL PROCEDURES,72,EAPG,,,,outpatient ,,,999999999,,3466.372712,3466.372712,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3466.372712,case rate,999999999,,,,,,,,,,3466.372712,case rate,999999999,,,,,,,,,,3466.372712,case rate,999999999,,,,,,,,,,3466.372712,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
73 - DIAPHRAGMATIC PROCEDURES AND RELATED HERNIA REPAIR,73,EAPG,,,,outpatient ,,,999999999,,10818.30852,10818.30852,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10818.30852,case rate,999999999,,,,,,,,,,10818.30852,case rate,999999999,,,,,,,,,,10818.30852,case rate,999999999,,,,,,,,,,10818.30852,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"74 - REVISION, REPLACEMENT OR REMOVAL OF CARDIAC DEVICE COMPONENT",74,EAPG,,,,outpatient ,,,999999999,,2644.701439,2644.701439,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2644.701439,case rate,999999999,,,,,,,,,,2644.701439,case rate,999999999,,,,,,,,,,2644.701439,case rate,999999999,,,,,,,,,,2644.701439,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
75 - LEVEL I CENTRAL VENOUS ACCESS PROCEDURES,75,EAPG,,,,outpatient ,,,999999999,,1850.031741,1850.031741,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1850.031741,case rate,999999999,,,,,,,,,,1850.031741,case rate,999999999,,,,,,,,,,1850.031741,case rate,999999999,,,,,,,,,,1850.031741,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"76 - REVISION, REPAIR OR REMOVAL OF CENTRAL VENOUS ACCESS DEVICE",76,EAPG,,,,outpatient ,,,999999999,,1242.798991,1242.798991,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1242.798991,case rate,999999999,,,,,,,,,,1242.798991,case rate,999999999,,,,,,,,,,1242.798991,case rate,999999999,,,,,,,,,,1242.798991,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
77 - LEVEL I PERIPHERAL ENDOVASCULAR AND TRANSCATHETER PROCEDURES,77,EAPG,,,,outpatient ,,,999999999,,6212.057623,6212.057623,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6212.057623,case rate,999999999,,,,,,,,,,6212.057623,case rate,999999999,,,,,,,,,,6212.057623,case rate,999999999,,,,,,,,,,6212.057623,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"78 - LEVEL I PERIPHERAL VASCULAR REPAIR, LIGATION OR RECONSTRUCTION",78,EAPG,,,,outpatient ,,,999999999,,3531.636611,3531.636611,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3531.636611,case rate,999999999,,,,,,,,,,3531.636611,case rate,999999999,,,,,,,,,,3531.636611,case rate,999999999,,,,,,,,,,3531.636611,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
79 - LEVEL II PERIPHERAL ENDOVASCULAR AND TRANSCATHETER PROCEDURES,79,EAPG,,,,outpatient ,,,999999999,,10417.03847,10417.03847,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10417.03847,case rate,999999999,,,,,,,,,,10417.03847,case rate,999999999,,,,,,,,,,10417.03847,case rate,999999999,,,,,,,,,,10417.03847,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
80 - EXERCISE TOLERANCE TESTS,80,EAPG,,,,outpatient ,,,999999999,,279.4602564,279.4602564,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,279.4602564,case rate,999999999,,,,,,,,,,279.4602564,case rate,999999999,,,,,,,,,,279.4602564,case rate,999999999,,,,,,,,,,279.4602564,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
81 - ECHOCARDIOGRAPHY,81,EAPG,,,,outpatient ,,,999999999,,730.132299,730.132299,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,730.132299,case rate,999999999,,,,,,,,,,730.132299,case rate,999999999,,,,,,,,,,730.132299,case rate,999999999,,,,,,,,,,730.132299,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
82 - COMPREHENSIVE CARDIAC ELECTROPHYSIOLOGIC PROCEDURES WITH ABLATION,82,EAPG,,,,outpatient ,,,999999999,,29468.52705,29468.52705,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,29468.52705,case rate,999999999,,,,,,,,,,29468.52705,case rate,999999999,,,,,,,,,,29468.52705,case rate,999999999,,,,,,,,,,29468.52705,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
83 - LEVEL II CENTRAL VENOUS ACCESS PROCEDURES,83,EAPG,,,,outpatient ,,,999999999,,3572.804933,3572.804933,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3572.804933,case rate,999999999,,,,,,,,,,3572.804933,case rate,999999999,,,,,,,,,,3572.804933,case rate,999999999,,,,,,,,,,3572.804933,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
84 - CARDIAC CATHETERIZATION PROCEDURES,84,EAPG,,,,outpatient ,,,999999999,,4067.551297,4067.551297,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4067.551297,case rate,999999999,,,,,,,,,,4067.551297,case rate,999999999,,,,,,,,,,4067.551297,case rate,999999999,,,,,,,,,,4067.551297,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
85 - LEVEL III PERIPHERAL ENDOVASCULAR AND TRANSCATHETER PROCEDURES,85,EAPG,,,,outpatient ,,,999999999,,18035.72078,18035.72078,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18035.72078,case rate,999999999,,,,,,,,,,18035.72078,case rate,999999999,,,,,,,,,,18035.72078,case rate,999999999,,,,,,,,,,18035.72078,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
86 - PACEMAKER AND OTHER CARDIOVASCULAR DEVICE INSERTION AND REPLACEMENT,86,EAPG,,,,outpatient ,,,999999999,,13266.9761,13266.9761,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13266.9761,case rate,999999999,,,,,,,,,,13266.9761,case rate,999999999,,,,,,,,,,13266.9761,case rate,999999999,,,,,,,,,,13266.9761,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
87 - REMOVAL OR REVISION OF PACEMAKERS AND OTHER CARDIOVASCULAR DEVICES,87,EAPG,,,,outpatient ,,,999999999,,12182.55406,12182.55406,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12182.55406,case rate,999999999,,,,,,,,,,12182.55406,case rate,999999999,,,,,,,,,,12182.55406,case rate,999999999,,,,,,,,,,12182.55406,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
90 - LEVEL I VARICOSE VEIN AND RELATED PROCEDURES,90,EAPG,,,,outpatient ,,,999999999,,1070.739622,1070.739622,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1070.739622,case rate,999999999,,,,,,,,,,1070.739622,case rate,999999999,,,,,,,,,,1070.739622,case rate,999999999,,,,,,,,,,1070.739622,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"91 - LEVEL II PERIPHERAL VASCULAR REPAIR, LIGATION OR RECONSTRUCTION",91,EAPG,,,,outpatient ,,,999999999,,6737.438062,6737.438062,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6737.438062,case rate,999999999,,,,,,,,,,6737.438062,case rate,999999999,,,,,,,,,,6737.438062,case rate,999999999,,,,,,,,,,6737.438062,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
92 - RESUSCITATION,92,EAPG,,,,outpatient ,,,999999999,,1185.042257,1185.042257,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1185.042257,case rate,999999999,,,,,,,,,,1185.042257,case rate,999999999,,,,,,,,,,1185.042257,case rate,999999999,,,,,,,,,,1185.042257,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
93 - CARDIOVERSION,93,EAPG,,,,outpatient ,,,999999999,,1044.827796,1044.827796,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1044.827796,case rate,999999999,,,,,,,,,,1044.827796,case rate,999999999,,,,,,,,,,1044.827796,case rate,999999999,,,,,,,,,,1044.827796,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
94 - CARDIAC REHABILITATION,94,EAPG,,,,outpatient ,,,999999999,,263.1140109,263.1140109,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,263.1140109,case rate,999999999,,,,,,,,,,263.1140109,case rate,999999999,,,,,,,,,,263.1140109,case rate,999999999,,,,,,,,,,263.1140109,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
96 - CARDIAC ELECTROPHYSIOLOGIC PROCEDURES INCLUDING PACING AND RECORDING,96,EAPG,,,,outpatient ,,,999999999,,10742.02604,10742.02604,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10742.02604,case rate,999999999,,,,,,,,,,10742.02604,case rate,999999999,,,,,,,,,,10742.02604,case rate,999999999,,,,,,,,,,10742.02604,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
97 - AICD AND RELATED CARDIAC DEVICE INSERTION OR REPLACEMENT,97,EAPG,,,,outpatient ,,,999999999,,37370.78646,37370.78646,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,37370.78646,case rate,999999999,,,,,,,,,,37370.78646,case rate,999999999,,,,,,,,,,37370.78646,case rate,999999999,,,,,,,,,,37370.78646,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
99 - LEVEL I PERCUTANEOUS CORONARY AND INTRACARDIAC INTERVENTIONAL PROCEDURES,99,EAPG,,,,outpatient ,,,999999999,,13826.74419,13826.74419,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13826.74419,case rate,999999999,,,,,,,,,,13826.74419,case rate,999999999,,,,,,,,,,13826.74419,case rate,999999999,,,,,,,,,,13826.74419,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
102 - CONSULTATIVE TELEHEALTH ASSESSMENTS MEDICAL VISIT INDICATOR,102,EAPG,,,,outpatient ,,,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
103 - LEVEL II VARICOSE VEIN AND RELATED PROCEDURES,103,EAPG,,,,outpatient ,,,999999999,,4586.029988,4586.029988,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4586.029988,case rate,999999999,,,,,,,,,,4586.029988,case rate,999999999,,,,,,,,,,4586.029988,case rate,999999999,,,,,,,,,,4586.029988,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
104 - MAJOR OPEN CORONARY ARTERY PROCEDURES INCLUDING CABG,104,EAPG,,,,outpatient ,,,999999999,,29413.43415,29413.43415,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,29413.43415,case rate,999999999,,,,,,,,,,29413.43415,case rate,999999999,,,,,,,,,,29413.43415,case rate,999999999,,,,,,,,,,29413.43415,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
105 - MAJOR OPEN CARDIAC AND CARDIAC VALVE PROCEDURES,105,EAPG,,,,outpatient ,,,999999999,,18300.04563,18300.04563,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18300.04563,case rate,999999999,,,,,,,,,,18300.04563,case rate,999999999,,,,,,,,,,18300.04563,case rate,999999999,,,,,,,,,,18300.04563,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
106 - MAJOR OPEN ABDOMINAL AND THORACIC VASCULAR PROCEDURES,106,EAPG,,,,outpatient ,,,999999999,,16064.36358,16064.36358,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16064.36358,case rate,999999999,,,,,,,,,,16064.36358,case rate,999999999,,,,,,,,,,16064.36358,case rate,999999999,,,,,,,,,,16064.36358,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
107 - CHOLECYSTECTOMY AND RELATED BILIARY PROCEDURES,107,EAPG,,,,outpatient ,,,999999999,,5789.113656,5789.113656,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5789.113656,case rate,999999999,,,,,,,,,,5789.113656,case rate,999999999,,,,,,,,,,5789.113656,case rate,999999999,,,,,,,,,,5789.113656,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
108 - OTHER INTRA-ABDOMINAL AND INTRAPERITONEAL SURGICAL PROCEDURES,108,EAPG,,,,outpatient ,,,999999999,,6163.018887,6163.018887,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6163.018887,case rate,999999999,,,,,,,,,,6163.018887,case rate,999999999,,,,,,,,,,6163.018887,case rate,999999999,,,,,,,,,,6163.018887,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
109 - ANCILLARY DRUG ADMINISTRATION,109,EAPG,,,,outpatient ,,,999999999,,78.0987285,78.0987285,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,78.0987285,case rate,999999999,,,,,,,,,,78.0987285,case rate,999999999,,,,,,,,,,78.0987285,case rate,999999999,,,,,,,,,,78.0987285,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
110 - PHARMACOTHERAPY BY EXTENDED INFUSION,110,EAPG,,,,outpatient ,,,999999999,,778.0812858,778.0812858,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,778.0812858,case rate,999999999,,,,,,,,,,778.0812858,case rate,999999999,,,,,,,,,,778.0812858,case rate,999999999,,,,,,,,,,778.0812858,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
111 - PHARMACOTHERAPY EXCEPT BY EXTENDED INFUSION,111,EAPG,,,,outpatient ,,,999999999,,496.6836966,496.6836966,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,496.6836966,case rate,999999999,,,,,,,,,,496.6836966,case rate,999999999,,,,,,,,,,496.6836966,case rate,999999999,,,,,,,,,,496.6836966,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
113 - LEVEL I BLOOD PRODUCT EXCHANGE SERVICES,113,EAPG,,,,outpatient ,,,999999999,,680.8513959,680.8513959,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,680.8513959,case rate,999999999,,,,,,,,,,680.8513959,case rate,999999999,,,,,,,,,,680.8513959,case rate,999999999,,,,,,,,,,680.8513959,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
114 - LEVEL II BLOOD PRODUCT EXCHANGE SERVICES,114,EAPG,,,,outpatient ,,,999999999,,2757.429991,2757.429991,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2757.429991,case rate,999999999,,,,,,,,,,2757.429991,case rate,999999999,,,,,,,,,,2757.429991,case rate,999999999,,,,,,,,,,2757.429991,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
115 - DEEP LYMPH STRUCTURE PROCEDURES,115,EAPG,,,,outpatient ,,,999999999,,5358.299275,5358.299275,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5358.299275,case rate,999999999,,,,,,,,,,5358.299275,case rate,999999999,,,,,,,,,,5358.299275,case rate,999999999,,,,,,,,,,5358.299275,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
116 - LEVEL I ALLERGY TESTS,116,EAPG,,,,outpatient ,,,999999999,,58.7254005,58.7254005,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,58.7254005,case rate,999999999,,,,,,,,,,58.7254005,case rate,999999999,,,,,,,,,,58.7254005,case rate,999999999,,,,,,,,,,58.7254005,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
117 - HOME INFUSION,117,EAPG,,,,outpatient ,,,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
118 - NUTRITION THERAPY,118,EAPG,,,,outpatient ,,,999999999,,279.9445896,279.9445896,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,279.9445896,case rate,999999999,,,,,,,,,,279.9445896,case rate,999999999,,,,,,,,,,279.9445896,case rate,999999999,,,,,,,,,,279.9445896,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
119 - CAR T-CELL IMMUNOTHERAPY PREPARATION SERVICES,119,EAPG,,,,outpatient ,,,999999999,,1010.076889,1010.076889,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1010.076889,case rate,999999999,,,,,,,,,,1010.076889,case rate,999999999,,,,,,,,,,1010.076889,case rate,999999999,,,,,,,,,,1010.076889,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
120 - CAR T-CELL IMMUNOTHERAPY,120,EAPG,,,,outpatient ,,,999999999,,75609.01369,75609.01369,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,75609.01369,case rate,999999999,,,,,,,,,,75609.01369,case rate,999999999,,,,,,,,,,75609.01369,case rate,999999999,,,,,,,,,,75609.01369,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
121 - LEVEL II PERCUTANEOUS CORONARY AND INTRACARDIAC INTERVENTIONAL PROCEDURES,121,EAPG,,,,outpatient ,,,999999999,,24326.36147,24326.36147,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,24326.36147,case rate,999999999,,,,,,,,,,24326.36147,case rate,999999999,,,,,,,,,,24326.36147,case rate,999999999,,,,,,,,,,24326.36147,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
122 - PERCUTANEOUS INTRA-ABDOMINAL OR INTRATHORACIC VASCULAR PROCEDURES,122,EAPG,,,,outpatient ,,,999999999,,27678.18938,27678.18938,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,27678.18938,case rate,999999999,,,,,,,,,,27678.18938,case rate,999999999,,,,,,,,,,27678.18938,case rate,999999999,,,,,,,,,,27678.18938,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
123 - PERIPHERAL VASCULAR BYPASS PROCEDURES,123,EAPG,,,,outpatient ,,,999999999,,9327.894182,9327.894182,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9327.894182,case rate,999999999,,,,,,,,,,9327.894182,case rate,999999999,,,,,,,,,,9327.894182,case rate,999999999,,,,,,,,,,9327.894182,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
124 - BONE MARROW BIOPSIES,124,EAPG,,,,outpatient ,,,999999999,,2793.270648,2793.270648,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2793.270648,case rate,999999999,,,,,,,,,,2793.270648,case rate,999999999,,,,,,,,,,2793.270648,case rate,999999999,,,,,,,,,,2793.270648,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
125 - LEVEL I ESOPHAGEAL AND GASTRIC SURGICAL PROCEDURES,125,EAPG,,,,outpatient ,,,999999999,,5477.081992,5477.081992,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5477.081992,case rate,999999999,,,,,,,,,,5477.081992,case rate,999999999,,,,,,,,,,5477.081992,case rate,999999999,,,,,,,,,,5477.081992,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
126 - LEVEL II ESOPHAGEAL AND GASTRIC SURGICAL PROCEDURES,126,EAPG,,,,outpatient ,,,999999999,,5974.734355,5974.734355,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5974.734355,case rate,999999999,,,,,,,,,,5974.734355,case rate,999999999,,,,,,,,,,5974.734355,case rate,999999999,,,,,,,,,,5974.734355,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
127 - LEVEL I SMALL AND LARGE INTESTINE SURGICAL PROCEDURES,127,EAPG,,,,outpatient ,,,999999999,,3475.45396,3475.45396,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3475.45396,case rate,999999999,,,,,,,,,,3475.45396,case rate,999999999,,,,,,,,,,3475.45396,case rate,999999999,,,,,,,,,,3475.45396,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
128 - LEVEL II SMALL AND LARGE INTESTINE SURGICAL PROCEDURES,128,EAPG,,,,outpatient ,,,999999999,,6435.819562,6435.819562,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6435.819562,case rate,999999999,,,,,,,,,,6435.819562,case rate,999999999,,,,,,,,,,6435.819562,case rate,999999999,,,,,,,,,,6435.819562,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
129 - ESOPHAGOGASTRIC RESTRICTIVE PROCEDURES AND GASTRIC FUNDOPLICATION,129,EAPG,,,,outpatient ,,,999999999,,8475.831,8475.831,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8475.831,case rate,999999999,,,,,,,,,,8475.831,case rate,999999999,,,,,,,,,,8475.831,case rate,999999999,,,,,,,,,,8475.831,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
130 - MINOR GASTROINTESTINAL PROCEDURES INCLUDING TUBE INSERTION OR PLACEMENT,130,EAPG,,,,outpatient ,,,999999999,,655.9082361,655.9082361,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,655.9082361,case rate,999999999,,,,,,,,,,655.9082361,case rate,999999999,,,,,,,,,,655.9082361,case rate,999999999,,,,,,,,,,655.9082361,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
134 - LEVEL I UPPER GI ENDOSCOPY,134,EAPG,,,,outpatient ,,,999999999,,1626.148719,1626.148719,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1626.148719,case rate,999999999,,,,,,,,,,1626.148719,case rate,999999999,,,,,,,,,,1626.148719,case rate,999999999,,,,,,,,,,1626.148719,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
135 - LEVEL II UPPER GI ENDOSCOPY,135,EAPG,,,,outpatient ,,,999999999,,3381.008986,3381.008986,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3381.008986,case rate,999999999,,,,,,,,,,3381.008986,case rate,999999999,,,,,,,,,,3381.008986,case rate,999999999,,,,,,,,,,3381.008986,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
136 - LEVEL I LOWER GI ENDOSCOPY,136,EAPG,,,,outpatient ,,,999999999,,1661.626126,1661.626126,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1661.626126,case rate,999999999,,,,,,,,,,1661.626126,case rate,999999999,,,,,,,,,,1661.626126,case rate,999999999,,,,,,,,,,1661.626126,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
137 - LEVEL II LOWER GI ENDOSCOPY,137,EAPG,,,,outpatient ,,,999999999,,3416.00206,3416.00206,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3416.00206,case rate,999999999,,,,,,,,,,3416.00206,case rate,999999999,,,,,,,,,,3416.00206,case rate,999999999,,,,,,,,,,3416.00206,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
138 - LEVEL I ERCP AND RELATED ENDOSCOPIC PROCEDURES,138,EAPG,,,,outpatient ,,,999999999,,4318.193728,4318.193728,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4318.193728,case rate,999999999,,,,,,,,,,4318.193728,case rate,999999999,,,,,,,,,,4318.193728,case rate,999999999,,,,,,,,,,4318.193728,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
141 - LEVEL I ANAL AND RECTAL PROCEDURES,141,EAPG,,,,outpatient ,,,999999999,,2424.935249,2424.935249,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2424.935249,case rate,999999999,,,,,,,,,,2424.935249,case rate,999999999,,,,,,,,,,2424.935249,case rate,999999999,,,,,,,,,,2424.935249,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
142 - LEVEL II ANAL AND RECTAL PROCEDURES,142,EAPG,,,,outpatient ,,,999999999,,3792.934373,3792.934373,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3792.934373,case rate,999999999,,,,,,,,,,3792.934373,case rate,999999999,,,,,,,,,,3792.934373,case rate,999999999,,,,,,,,,,3792.934373,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
150 - ABDOMINAL PARACENTESIS AND RELATED PERITONEAL DRAINAGE PROCEDURES,150,EAPG,,,,outpatient ,,,999999999,,1216.523915,1216.523915,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1216.523915,case rate,999999999,,,,,,,,,,1216.523915,case rate,999999999,,,,,,,,,,1216.523915,case rate,999999999,,,,,,,,,,1216.523915,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
151 - LEVEL I HEPATOBILIARY AND PANCREAS PROCEDURES,151,EAPG,,,,outpatient ,,,999999999,,3734.814389,3734.814389,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3734.814389,case rate,999999999,,,,,,,,,,3734.814389,case rate,999999999,,,,,,,,,,3734.814389,case rate,999999999,,,,,,,,,,3734.814389,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
152 - LEVEL II HEPATOBILIARY AND PANCREAS PROCEDURES,152,EAPG,,,,outpatient ,,,999999999,,9141.668067,9141.668067,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9141.668067,case rate,999999999,,,,,,,,,,9141.668067,case rate,999999999,,,,,,,,,,9141.668067,case rate,999999999,,,,,,,,,,9141.668067,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
153 - LEVEL II ERCP AND RELATED ENDOSCOPIC PROCEDURES,153,EAPG,,,,outpatient ,,,999999999,,7183.266773,7183.266773,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7183.266773,case rate,999999999,,,,,,,,,,7183.266773,case rate,999999999,,,,,,,,,,7183.266773,case rate,999999999,,,,,,,,,,7183.266773,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
154 - LEVEL III UPPER GI ENDOSCOPY,154,EAPG,,,,outpatient ,,,999999999,,6327.207842,6327.207842,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6327.207842,case rate,999999999,,,,,,,,,,6327.207842,case rate,999999999,,,,,,,,,,6327.207842,case rate,999999999,,,,,,,,,,6327.207842,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
155 - LEVEL III BLOOD PRODUCT EXCHANGE SERVICES,155,EAPG,,,,outpatient ,,,999999999,,7481.252774,7481.252774,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7481.252774,case rate,999999999,,,,,,,,,,7481.252774,case rate,999999999,,,,,,,,,,7481.252774,case rate,999999999,,,,,,,,,,7481.252774,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
156 - OCULAR IMAGING AND RELATED SERVICES,156,EAPG,,,,outpatient ,,,999999999,,94.3238907,94.3238907,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,94.3238907,case rate,999999999,,,,,,,,,,94.3238907,case rate,999999999,,,,,,,,,,94.3238907,case rate,999999999,,,,,,,,,,94.3238907,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
157 - REPRODUCTIVE PATHOLOGY TESTS,157,EAPG,,,,outpatient ,,,999999999,,164.1889548,164.1889548,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,164.1889548,case rate,999999999,,,,,,,,,,164.1889548,case rate,999999999,,,,,,,,,,164.1889548,case rate,999999999,,,,,,,,,,164.1889548,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
158 - PATHOLOGY CONSULTATION AND INTERPRETATION,158,EAPG,,,,outpatient ,,,999999999,,140.8198779,140.8198779,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,140.8198779,case rate,999999999,,,,,,,,,,140.8198779,case rate,999999999,,,,,,,,,,140.8198779,case rate,999999999,,,,,,,,,,140.8198779,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
159 - MINOR UROLOGY SERVICES,159,EAPG,,,,outpatient ,,,999999999,,145.29996,145.29996,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,145.29996,case rate,999999999,,,,,,,,,,145.29996,case rate,999999999,,,,,,,,,,145.29996,case rate,999999999,,,,,,,,,,145.29996,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
161 - URINARY STUDIES AND PROCEDURES,161,EAPG,,,,outpatient ,,,999999999,,680.3670627,680.3670627,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,680.3670627,case rate,999999999,,,,,,,,,,680.3670627,case rate,999999999,,,,,,,,,,680.3670627,case rate,999999999,,,,,,,,,,680.3670627,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
166 - LEVEL I URETHRAL PROCEDURES,166,EAPG,,,,outpatient ,,,999999999,,4830.618254,4830.618254,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4830.618254,case rate,999999999,,,,,,,,,,4830.618254,case rate,999999999,,,,,,,,,,4830.618254,case rate,999999999,,,,,,,,,,4830.618254,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
167 - LEVEL II URETHRAL PROCEDURES,167,EAPG,,,,outpatient ,,,999999999,,9639.68368,9639.68368,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9639.68368,case rate,999999999,,,,,,,,,,9639.68368,case rate,999999999,,,,,,,,,,9639.68368,case rate,999999999,,,,,,,,,,9639.68368,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
168 - DIALYSIS PROCEDURES,168,EAPG,,,,outpatient ,,,999999999,,1310.242389,1310.242389,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1310.242389,case rate,999999999,,,,,,,,,,1310.242389,case rate,999999999,,,,,,,,,,1310.242389,case rate,999999999,,,,,,,,,,1310.242389,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
170 - LEVEL I KIDNEY AND URETERAL PROCEDURES,170,EAPG,,,,outpatient ,,,999999999,,2468.767404,2468.767404,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2468.767404,case rate,999999999,,,,,,,,,,2468.767404,case rate,999999999,,,,,,,,,,2468.767404,case rate,999999999,,,,,,,,,,2468.767404,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
171 - LEVEL II KIDNEY AND URETERAL PROCEDURES,171,EAPG,,,,outpatient ,,,999999999,,4881.352156,4881.352156,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4881.352156,case rate,999999999,,,,,,,,,,4881.352156,case rate,999999999,,,,,,,,,,4881.352156,case rate,999999999,,,,,,,,,,4881.352156,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
172 - LEVEL III KIDNEY AND URETERAL PROCEDURES,172,EAPG,,,,outpatient ,,,999999999,,11488.86784,11488.86784,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11488.86784,case rate,999999999,,,,,,,,,,11488.86784,case rate,999999999,,,,,,,,,,11488.86784,case rate,999999999,,,,,,,,,,11488.86784,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
173 - LEVEL I BLADDER AND URETERAL PROCEDURES,173,EAPG,,,,outpatient ,,,999999999,,2625.328111,2625.328111,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2625.328111,case rate,999999999,,,,,,,,,,2625.328111,case rate,999999999,,,,,,,,,,2625.328111,case rate,999999999,,,,,,,,,,2625.328111,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
174 - LEVEL II BLADDER AND URETERAL PROCEDURES,174,EAPG,,,,outpatient ,,,999999999,,6836.242035,6836.242035,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6836.242035,case rate,999999999,,,,,,,,,,6836.242035,case rate,999999999,,,,,,,,,,6836.242035,case rate,999999999,,,,,,,,,,6836.242035,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
175 - LEVEL III BLADDER AND URETERAL PROCEDURES,175,EAPG,,,,outpatient ,,,999999999,,8242.987814,8242.987814,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8242.987814,case rate,999999999,,,,,,,,,,8242.987814,case rate,999999999,,,,,,,,,,8242.987814,case rate,999999999,,,,,,,,,,8242.987814,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
176 - LEVEL I PROSTATE PROCEDURES,176,EAPG,,,,outpatient ,,,999999999,,2870.40071,2870.40071,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2870.40071,case rate,999999999,,,,,,,,,,2870.40071,case rate,999999999,,,,,,,,,,2870.40071,case rate,999999999,,,,,,,,,,2870.40071,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
177 - MINOR DERMATOLOGY SERVICES,177,EAPG,,,,outpatient ,,,999999999,,47.4646536,47.4646536,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,47.4646536,case rate,999999999,,,,,,,,,,47.4646536,case rate,999999999,,,,,,,,,,47.4646536,case rate,999999999,,,,,,,,,,47.4646536,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
178 - ANTEPARTUM PROCEDURES,178,EAPG,,,,outpatient ,,,999999999,,972.7832322,972.7832322,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,972.7832322,case rate,999999999,,,,,,,,,,972.7832322,case rate,999999999,,,,,,,,,,972.7832322,case rate,999999999,,,,,,,,,,972.7832322,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
179 - ECTOPIC PREGNANCY PROCEDURES,179,EAPG,,,,outpatient ,,,999999999,,6080.076826,6080.076826,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6080.076826,case rate,999999999,,,,,,,,,,6080.076826,case rate,999999999,,,,,,,,,,6080.076826,case rate,999999999,,,,,,,,,,6080.076826,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
180 - TESTICULAR AND EPIDIDYMAL PROCEDURES,180,EAPG,,,,outpatient ,,,999999999,,3989.694735,3989.694735,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3989.694735,case rate,999999999,,,,,,,,,,3989.694735,case rate,999999999,,,,,,,,,,3989.694735,case rate,999999999,,,,,,,,,,3989.694735,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
182 - INSERTION OF PENILE PROSTHESIS,182,EAPG,,,,outpatient ,,,999999999,,22297.85294,22297.85294,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,22297.85294,case rate,999999999,,,,,,,,,,22297.85294,case rate,999999999,,,,,,,,,,22297.85294,case rate,999999999,,,,,,,,,,22297.85294,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
183 - LEVEL I PENILE PROCEDURES,183,EAPG,,,,outpatient ,,,999999999,,3323.010085,3323.010085,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3323.010085,case rate,999999999,,,,,,,,,,3323.010085,case rate,999999999,,,,,,,,,,3323.010085,case rate,999999999,,,,,,,,,,3323.010085,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
184 - LEVEL II PROSTATE PROCEDURES,184,EAPG,,,,outpatient ,,,999999999,,7419.984624,7419.984624,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7419.984624,case rate,999999999,,,,,,,,,,7419.984624,case rate,999999999,,,,,,,,,,7419.984624,case rate,999999999,,,,,,,,,,7419.984624,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
187 - LEVEL II PENILE PROCEDURES,187,EAPG,,,,outpatient ,,,999999999,,5146.4035,5146.4035,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5146.4035,case rate,999999999,,,,,,,,,,5146.4035,case rate,999999999,,,,,,,,,,5146.4035,case rate,999999999,,,,,,,,,,5146.4035,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
188 - LEVEL I PERINEAL AND VAGINAL GYNECOLOGICAL PROCEDURES,188,EAPG,,,,outpatient ,,,999999999,,4107.387703,4107.387703,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4107.387703,case rate,999999999,,,,,,,,,,4107.387703,case rate,999999999,,,,,,,,,,4107.387703,case rate,999999999,,,,,,,,,,4107.387703,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
189 - LEVEL II PERINEAL AND VAGINAL GYNECOLOGICAL PROCEDURES,189,EAPG,,,,outpatient ,,,999999999,,9341.697678,9341.697678,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9341.697678,case rate,999999999,,,,,,,,,,9341.697678,case rate,999999999,,,,,,,,,,9341.697678,case rate,999999999,,,,,,,,,,9341.697678,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
190 - ARTIFICIAL FERTILIZATION,190,EAPG,,,,outpatient ,,,999999999,,688.7218104,688.7218104,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,688.7218104,case rate,999999999,,,,,,,,,,688.7218104,case rate,999999999,,,,,,,,,,688.7218104,case rate,999999999,,,,,,,,,,688.7218104,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
191 - LEVEL I FETAL PROCEDURES,191,EAPG,,,,outpatient ,,,999999999,,326.3194935,326.3194935,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,326.3194935,case rate,999999999,,,,,,,,,,326.3194935,case rate,999999999,,,,,,,,,,326.3194935,case rate,999999999,,,,,,,,,,326.3194935,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
192 - LEVEL II FETAL PROCEDURES,192,EAPG,,,,outpatient ,,,999999999,,1680.878371,1680.878371,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1680.878371,case rate,999999999,,,,,,,,,,1680.878371,case rate,999999999,,,,,,,,,,1680.878371,case rate,999999999,,,,,,,,,,1680.878371,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
194 - ABORTION AND MISCARRIAGE TREATMENT AND PROCEDURES,194,EAPG,,,,outpatient ,,,999999999,,2915.564781,2915.564781,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2915.564781,case rate,999999999,,,,,,,,,,2915.564781,case rate,999999999,,,,,,,,,,2915.564781,case rate,999999999,,,,,,,,,,2915.564781,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
195 - VAGINAL DELIVERY PROCEDURES,195,EAPG,,,,outpatient ,,,999999999,,3631.40925,3631.40925,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3631.40925,case rate,999999999,,,,,,,,,,3631.40925,case rate,999999999,,,,,,,,,,3631.40925,case rate,999999999,,,,,,,,,,3631.40925,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
202 - CESAREAN DELIVERY PROCEDURES,202,EAPG,,,,outpatient ,,,999999999,,4361.541549,4361.541549,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4361.541549,case rate,999999999,,,,,,,,,,4361.541549,case rate,999999999,,,,,,,,,,4361.541549,case rate,999999999,,,,,,,,,,4361.541549,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
203 - GLOBAL ANTEPARTUM AND POSTPARTUM VISITS,203,EAPG,,,,outpatient ,,,999999999,,412.2886365,412.2886365,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,412.2886365,case rate,999999999,,,,,,,,,,412.2886365,case rate,999999999,,,,,,,,,,412.2886365,case rate,999999999,,,,,,,,,,412.2886365,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
204 - LEVEL I HYSTERECTOMY AND MYOMECTOMY PROCEDURES,204,EAPG,,,,outpatient ,,,999999999,,6939.88934,6939.88934,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6939.88934,case rate,999999999,,,,,,,,,,6939.88934,case rate,999999999,,,,,,,,,,6939.88934,case rate,999999999,,,,,,,,,,6939.88934,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
205 - OBSTETRICAL PROCEDURES,205,EAPG,,,,outpatient ,,,999999999,,2855.749631,2855.749631,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2855.749631,case rate,999999999,,,,,,,,,,2855.749631,case rate,999999999,,,,,,,,,,2855.749631,case rate,999999999,,,,,,,,,,2855.749631,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
206 - LEVEL II HYSTERECTOMY AND MYOMECTOMY PROCEDURES,206,EAPG,,,,outpatient ,,,999999999,,9812.106299,9812.106299,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9812.106299,case rate,999999999,,,,,,,,,,9812.106299,case rate,999999999,,,,,,,,,,9812.106299,case rate,999999999,,,,,,,,,,9812.106299,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
207 - LEVEL I OTHER UTERINE AND ADNEXA GYNECOLOGICAL PROCEDURES,207,EAPG,,,,outpatient ,,,999999999,,3918.739921,3918.739921,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3918.739921,case rate,999999999,,,,,,,,,,3918.739921,case rate,999999999,,,,,,,,,,3918.739921,case rate,999999999,,,,,,,,,,3918.739921,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
208 - LEVEL II OTHER UTERINE AND ADNEXA GYNECOLOGICAL PROCEDURES,208,EAPG,,,,outpatient ,,,999999999,,7142.82495,7142.82495,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7142.82495,case rate,999999999,,,,,,,,,,7142.82495,case rate,999999999,,,,,,,,,,7142.82495,case rate,999999999,,,,,,,,,,7142.82495,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
209 - OTHER GYNECOLOGICAL PROCEDURES,209,EAPG,,,,outpatient ,,,999999999,,896.6218365,896.6218365,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,896.6218365,case rate,999999999,,,,,,,,,,896.6218365,case rate,999999999,,,,,,,,,,896.6218365,case rate,999999999,,,,,,,,,,896.6218365,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
210 - EXTENDED EEG STUDIES,210,EAPG,,,,outpatient ,,,999999999,,755.6808753,755.6808753,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,755.6808753,case rate,999999999,,,,,,,,,,755.6808753,case rate,999999999,,,,,,,,,,755.6808753,case rate,999999999,,,,,,,,,,755.6808753,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
211 - ELECTROENCEPHALOGRAM,211,EAPG,,,,outpatient ,,,999999999,,558.6783462,558.6783462,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,558.6783462,case rate,999999999,,,,,,,,,,558.6783462,case rate,999999999,,,,,,,,,,558.6783462,case rate,999999999,,,,,,,,,,558.6783462,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
212 - ELECTROCONVULSIVE THERAPY,212,EAPG,,,,outpatient ,,,999999999,,826.6356891,826.6356891,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,826.6356891,case rate,999999999,,,,,,,,,,826.6356891,case rate,999999999,,,,,,,,,,826.6356891,case rate,999999999,,,,,,,,,,826.6356891,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
213 - NERVE AND MUSCLE TESTS,213,EAPG,,,,outpatient ,,,999999999,,223.5197718,223.5197718,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,223.5197718,case rate,999999999,,,,,,,,,,223.5197718,case rate,999999999,,,,,,,,,,223.5197718,case rate,999999999,,,,,,,,,,223.5197718,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
214 - LEVEL I NERVOUS SYSTEM INJECTIONS INCLUDING CRANIAL TAP,214,EAPG,,,,outpatient ,,,999999999,,672.6177315,672.6177315,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,672.6177315,case rate,999999999,,,,,,,,,,672.6177315,case rate,999999999,,,,,,,,,,672.6177315,case rate,999999999,,,,,,,,,,672.6177315,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
217 - LEVEL I PERIPHERAL NERVE PROCEDURES,217,EAPG,,,,outpatient ,,,999999999,,2270.190792,2270.190792,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2270.190792,case rate,999999999,,,,,,,,,,2270.190792,case rate,999999999,,,,,,,,,,2270.190792,case rate,999999999,,,,,,,,,,2270.190792,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
218 - LEVEL II PERIPHERAL NERVE PROCEDURES,218,EAPG,,,,outpatient ,,,999999999,,8053.8557,8053.8557,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8053.8557,case rate,999999999,,,,,,,,,,8053.8557,case rate,999999999,,,,,,,,,,8053.8557,case rate,999999999,,,,,,,,,,8053.8557,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
220 - LEVEL II NERVOUS SYSTEM INJECTIONS INCLUDING CRANIAL TAP,220,EAPG,,,,outpatient ,,,999999999,,2157.462239,2157.462239,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2157.462239,case rate,999999999,,,,,,,,,,2157.462239,case rate,999999999,,,,,,,,,,2157.462239,case rate,999999999,,,,,,,,,,2157.462239,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
222 - SLEEP STUDIES ATTENDED,222,EAPG,,,,outpatient ,,,999999999,,1332.763883,1332.763883,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1332.763883,case rate,999999999,,,,,,,,,,1332.763883,case rate,999999999,,,,,,,,,,1332.763883,case rate,999999999,,,,,,,,,,1332.763883,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
223 - LEVEL I NEUROSTIMULATOR AND RELATED DEVICE IMPLANTATION,223,EAPG,,,,outpatient ,,,999999999,,10309.87975,10309.87975,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,10309.87975,case rate,999999999,,,,,,,,,,10309.87975,case rate,999999999,,,,,,,,,,10309.87975,case rate,999999999,,,,,,,,,,10309.87975,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
224 - LEVEL II NEUROSTIMULATOR AND RELATED DEVICE IMPLANTATION,224,EAPG,,,,outpatient ,,,999999999,,31815.84791,31815.84791,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,31815.84791,case rate,999999999,,,,,,,,,,31815.84791,case rate,999999999,,,,,,,,,,31815.84791,case rate,999999999,,,,,,,,,,31815.84791,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
225 - OTHER INTRACRANIAL NEUROSURGERY PROCEDURES,225,EAPG,,,,outpatient ,,,999999999,,6386.054325,6386.054325,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6386.054325,case rate,999999999,,,,,,,,,,6386.054325,case rate,999999999,,,,,,,,,,6386.054325,case rate,999999999,,,,,,,,,,6386.054325,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
226 - SLEEP STUDIES UNATTENDED,226,EAPG,,,,outpatient ,,,999999999,,255.9700962,255.9700962,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,255.9700962,case rate,999999999,,,,,,,,,,255.9700962,case rate,999999999,,,,,,,,,,255.9700962,case rate,999999999,,,,,,,,,,255.9700962,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
227 - LEVEL I CRANIOFACIAL BONE PROCEDURES,227,EAPG,,,,outpatient ,,,999999999,,4408.15862,4408.15862,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4408.15862,case rate,999999999,,,,,,,,,,4408.15862,case rate,999999999,,,,,,,,,,4408.15862,case rate,999999999,,,,,,,,,,4408.15862,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
228 - LEVEL II CRANIOFACIAL BONE PROCEDURES,228,EAPG,,,,outpatient ,,,999999999,,8407.418936,8407.418936,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8407.418936,case rate,999999999,,,,,,,,,,8407.418936,case rate,999999999,,,,,,,,,,8407.418936,case rate,999999999,,,,,,,,,,8407.418936,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
229 - MINOR AUDIOMETRY TESTS AND AUDIOLOGY SCREENING SERVICES,229,EAPG,,,,outpatient ,,,999999999,,51.4604025,51.4604025,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,51.4604025,case rate,999999999,,,,,,,,,,51.4604025,case rate,999999999,,,,,,,,,,51.4604025,case rate,999999999,,,,,,,,,,51.4604025,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
230 - MINOR OPHTHALMOLOGICAL PROCEDURES AND DIAGNOSTIC SERVICES,230,EAPG,,,,outpatient ,,,999999999,,487.1181159,487.1181159,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,487.1181159,case rate,999999999,,,,,,,,,,487.1181159,case rate,999999999,,,,,,,,,,487.1181159,case rate,999999999,,,,,,,,,,487.1181159,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
233 - CATARACT AND OTHER INTRAOCULAR LENS PROCEDURES,233,EAPG,,,,outpatient ,,,999999999,,2877.786791,2877.786791,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2877.786791,case rate,999999999,,,,,,,,,,2877.786791,case rate,999999999,,,,,,,,,,2877.786791,case rate,999999999,,,,,,,,,,2877.786791,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
234 - LEVEL I ANTERIOR CHAMBER EYE PROCEDURES,234,EAPG,,,,outpatient ,,,999999999,,1699.161949,1699.161949,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1699.161949,case rate,999999999,,,,,,,,,,1699.161949,case rate,999999999,,,,,,,,,,1699.161949,case rate,999999999,,,,,,,,,,1699.161949,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
235 - LEVEL II ANTERIOR CHAMBER EYE PROCEDURES,235,EAPG,,,,outpatient ,,,999999999,,5606.762207,5606.762207,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5606.762207,case rate,999999999,,,,,,,,,,5606.762207,case rate,999999999,,,,,,,,,,5606.762207,case rate,999999999,,,,,,,,,,5606.762207,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"237 - LEVEL I INTRAVITREAL, RETINAL AND OTHER POSTERIOR CHAMBER EYE PROCEDURES",237,EAPG,,,,outpatient ,,,999999999,,1729.553857,1729.553857,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1729.553857,case rate,999999999,,,,,,,,,,1729.553857,case rate,999999999,,,,,,,,,,1729.553857,case rate,999999999,,,,,,,,,,1729.553857,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"238 - LEVEL II INTRAVITREAL, RETINAL AND OTHER POSTERIOR CHAMBER EYE PROCEDURES",238,EAPG,,,,outpatient ,,,999999999,,5267.365717,5267.365717,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5267.365717,case rate,999999999,,,,,,,,,,5267.365717,case rate,999999999,,,,,,,,,,5267.365717,case rate,999999999,,,,,,,,,,5267.365717,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
239 - EXTRAOCULAR MUSCLE PROCEDURES,239,EAPG,,,,outpatient ,,,999999999,,3570.50435,3570.50435,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3570.50435,case rate,999999999,,,,,,,,,,3570.50435,case rate,999999999,,,,,,,,,,3570.50435,case rate,999999999,,,,,,,,,,3570.50435,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
241 - OCULAR RECONSTRUCTIVE PROCEDURES W OR W/O OCULAR DEVICE,241,EAPG,,,,outpatient ,,,999999999,,4747.55511,4747.55511,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4747.55511,case rate,999999999,,,,,,,,,,4747.55511,case rate,999999999,,,,,,,,,,4747.55511,case rate,999999999,,,,,,,,,,4747.55511,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
243 - CLASS I THERAPEUTIC RADIOPHARMACEUTICALS,243,EAPG,,,,outpatient ,,,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
244 - CLASS II THERAPEUTIC RADIOPHARMACEUTICALS,244,EAPG,,,,outpatient ,,,999999999,,673.4653146,673.4653146,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,673.4653146,case rate,999999999,,,,,,,,,,673.4653146,case rate,999999999,,,,,,,,,,673.4653146,case rate,999999999,,,,,,,,,,673.4653146,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
245 - CLASS III THERAPEUTIC RADIOPHARMACEUTICALS,245,EAPG,,,,outpatient ,,,999999999,,20796.90436,20796.90436,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20796.90436,case rate,999999999,,,,,,,,,,20796.90436,case rate,999999999,,,,,,,,,,20796.90436,case rate,999999999,,,,,,,,,,20796.90436,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
246 - CLASS IV THERAPEUTIC RADIOPHARMACEUTICALS,246,EAPG,,,,outpatient ,,,999999999,,60662.85438,60662.85438,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,60662.85438,case rate,999999999,,,,,,,,,,60662.85438,case rate,999999999,,,,,,,,,,60662.85438,case rate,999999999,,,,,,,,,,60662.85438,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
247 - LEVEL I CORNEAL AND OTHER ANTERIOR SURFACE EYE PROCEDURES,247,EAPG,,,,outpatient ,,,999999999,,959.4640692,959.4640692,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,959.4640692,case rate,999999999,,,,,,,,,,959.4640692,case rate,999999999,,,,,,,,,,959.4640692,case rate,999999999,,,,,,,,,,959.4640692,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
248 - LEVEL II CORNEAL AND OTHER ANTERIOR SURFACE EYE PROCEDURES,248,EAPG,,,,outpatient ,,,999999999,,5354.908943,5354.908943,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5354.908943,case rate,999999999,,,,,,,,,,5354.908943,case rate,999999999,,,,,,,,,,5354.908943,case rate,999999999,,,,,,,,,,5354.908943,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"249 - MINOR EAR, NOSE, MOUTH AND THROAT PROCEDURES",249,EAPG,,,,outpatient ,,,999999999,,285.6355047,285.6355047,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,285.6355047,case rate,999999999,,,,,,,,,,285.6355047,case rate,999999999,,,,,,,,,,285.6355047,case rate,999999999,,,,,,,,,,285.6355047,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
250 - COCHLEAR DEVICE IMPLANTATION,250,EAPG,,,,outpatient ,,,999999999,,40111.02262,40111.02262,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,40111.02262,case rate,999999999,,,,,,,,,,40111.02262,case rate,999999999,,,,,,,,,,40111.02262,case rate,999999999,,,,,,,,,,40111.02262,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
251 - OTORHINOLARYNGOLOGIC FUNCTION TESTS,251,EAPG,,,,outpatient ,,,999999999,,232.1166861,232.1166861,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,232.1166861,case rate,999999999,,,,,,,,,,232.1166861,case rate,999999999,,,,,,,,,,232.1166861,case rate,999999999,,,,,,,,,,232.1166861,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"252 - LEVEL I EAR, NOSE, MOUTH AND THROAT PROCEDURES",252,EAPG,,,,outpatient ,,,999999999,,2358.460517,2358.460517,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2358.460517,case rate,999999999,,,,,,,,,,2358.460517,case rate,999999999,,,,,,,,,,2358.460517,case rate,999999999,,,,,,,,,,2358.460517,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"253 - LEVEL II EAR, NOSE, MOUTH AND THROAT PROCEDURES",253,EAPG,,,,outpatient ,,,999999999,,4272.060991,4272.060991,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4272.060991,case rate,999999999,,,,,,,,,,4272.060991,case rate,999999999,,,,,,,,,,4272.060991,case rate,999999999,,,,,,,,,,4272.060991,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"254 - LEVEL III EAR, NOSE, MOUTH AND THROAT PROCEDURES",254,EAPG,,,,outpatient ,,,999999999,,5584.361796,5584.361796,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5584.361796,case rate,999999999,,,,,,,,,,5584.361796,case rate,999999999,,,,,,,,,,5584.361796,case rate,999999999,,,,,,,,,,5584.361796,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"255 - LEVEL IV EAR, NOSE, MOUTH AND THROAT PROCEDURES",255,EAPG,,,,outpatient ,,,999999999,,7404.485962,7404.485962,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7404.485962,case rate,999999999,,,,,,,,,,7404.485962,case rate,999999999,,,,,,,,,,7404.485962,case rate,999999999,,,,,,,,,,7404.485962,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
256 - TONSIL AND ADENOID PROCEDURES,256,EAPG,,,,outpatient ,,,999999999,,3346.500245,3346.500245,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3346.500245,case rate,999999999,,,,,,,,,,3346.500245,case rate,999999999,,,,,,,,,,3346.500245,case rate,999999999,,,,,,,,,,3346.500245,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
257 - AUDIOMETRY,257,EAPG,,,,outpatient ,,,999999999,,134.6446296,134.6446296,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,134.6446296,case rate,999999999,,,,,,,,,,134.6446296,case rate,999999999,,,,,,,,,,134.6446296,case rate,999999999,,,,,,,,,,134.6446296,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"258 - LEVEL I EYELID, LACRIMAL AND CONJUNCTIVAL PROCEDURES",258,EAPG,,,,outpatient ,,,999999999,,2229.991136,2229.991136,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2229.991136,case rate,999999999,,,,,,,,,,2229.991136,case rate,999999999,,,,,,,,,,2229.991136,case rate,999999999,,,,,,,,,,2229.991136,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"259 - LEVEL II EYELID, LACRIMAL AND CONJUNCTIVAL PROCEDURES",259,EAPG,,,,outpatient ,,,999999999,,2889.774038,2889.774038,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2889.774038,case rate,999999999,,,,,,,,,,2889.774038,case rate,999999999,,,,,,,,,,2889.774038,case rate,999999999,,,,,,,,,,2889.774038,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
260 - CASE MANAGEMENT AND CARE PLANNING SERVICES,260,EAPG,,,,outpatient ,,,999999999,,183.3201162,183.3201162,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,183.3201162,case rate,999999999,,,,,,,,,,183.3201162,case rate,999999999,,,,,,,,,,183.3201162,case rate,999999999,,,,,,,,,,183.3201162,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
261 - ESRD MONTHLY CASE MANAGEMENT,261,EAPG,,,,outpatient ,,,999999999,,1004.749223,1004.749223,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1004.749223,case rate,999999999,,,,,,,,,,1004.749223,case rate,999999999,,,,,,,,,,1004.749223,case rate,999999999,,,,,,,,,,1004.749223,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
262 - CLEFT LIP AND PALATE REPAIR,262,EAPG,,,,outpatient ,,,999999999,,4499.334345,4499.334345,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4499.334345,case rate,999999999,,,,,,,,,,4499.334345,case rate,999999999,,,,,,,,,,4499.334345,case rate,999999999,,,,,,,,,,4499.334345,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
263 - THYROID AND PARATHYROID PROCEDURES,263,EAPG,,,,outpatient ,,,999999999,,7281.828579,7281.828579,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7281.828579,case rate,999999999,,,,,,,,,,7281.828579,case rate,999999999,,,,,,,,,,7281.828579,case rate,999999999,,,,,,,,,,7281.828579,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
264 - MAJOR CRANIOTOMY AND CRANIECTOMY SURGICAL PROCEDURES,264,EAPG,,,,outpatient ,,,999999999,,6308.07668,6308.07668,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6308.07668,case rate,999999999,,,,,,,,,,6308.07668,case rate,999999999,,,,,,,,,,6308.07668,case rate,999999999,,,,,,,,,,6308.07668,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
265 - PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES,265,EAPG,,,,outpatient ,,,999999999,,23705.32522,23705.32522,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23705.32522,case rate,999999999,,,,,,,,,,23705.32522,case rate,999999999,,,,,,,,,,23705.32522,case rate,999999999,,,,,,,,,,23705.32522,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
266 - OPEN INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES,266,EAPG,,,,outpatient ,,,999999999,,7006.121905,7006.121905,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7006.121905,case rate,999999999,,,,,,,,,,7006.121905,case rate,999999999,,,,,,,,,,7006.121905,case rate,999999999,,,,,,,,,,7006.121905,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
267 - OTHER CRANIOTOMY PROCEDURES INCLUDING CRANIOPLASTY,267,EAPG,,,,outpatient ,,,999999999,,8992.614524,8992.614524,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8992.614524,case rate,999999999,,,,,,,,,,8992.614524,case rate,999999999,,,,,,,,,,8992.614524,case rate,999999999,,,,,,,,,,8992.614524,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
268 - CRANIAL AND SPINAL SHUNT PROCEDURES,268,EAPG,,,,outpatient ,,,999999999,,9703.373495,9703.373495,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9703.373495,case rate,999999999,,,,,,,,,,9703.373495,case rate,999999999,,,,,,,,,,9703.373495,case rate,999999999,,,,,,,,,,9703.373495,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
269 - LEVEL II ANCILLARY THERAPEUTIC SERVICES,269,EAPG,,,,outpatient ,,,999999999,,60.7838166,60.7838166,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,60.7838166,case rate,999999999,,,,,,,,,,60.7838166,case rate,999999999,,,,,,,,,,60.7838166,case rate,999999999,,,,,,,,,,60.7838166,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
270 - OCCUPATIONAL THERAPY,270,EAPG,,,,outpatient ,,,999999999,,350.0518203,350.0518203,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,350.0518203,case rate,999999999,,,,,,,,,,350.0518203,case rate,999999999,,,,,,,,,,350.0518203,case rate,999999999,,,,,,,,,,350.0518203,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
271 - PHYSICAL THERAPY,271,EAPG,,,,outpatient ,,,999999999,,319.5388287,319.5388287,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,319.5388287,case rate,999999999,,,,,,,,,,319.5388287,case rate,999999999,,,,,,,,,,319.5388287,case rate,999999999,,,,,,,,,,319.5388287,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
272 - SPEECH THERAPY AND EVALUATION,272,EAPG,,,,outpatient ,,,999999999,,384.0762276,384.0762276,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,384.0762276,case rate,999999999,,,,,,,,,,384.0762276,case rate,999999999,,,,,,,,,,384.0762276,case rate,999999999,,,,,,,,,,384.0762276,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
276 - PROCEDURES FOR REVISION OR REMOVAL OF NEUROSTIMULATOR DEVICES,276,EAPG,,,,outpatient ,,,999999999,,5626.619868,5626.619868,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5626.619868,case rate,999999999,,,,,,,,,,5626.619868,case rate,999999999,,,,,,,,,,5626.619868,case rate,999999999,,,,,,,,,,5626.619868,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
277 - LEVEL I VASCULAR RADIOLOGICAL PROCEDURES,277,EAPG,,,,outpatient ,,,999999999,,1811.042918,1811.042918,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1811.042918,case rate,999999999,,,,,,,,,,1811.042918,case rate,999999999,,,,,,,,,,1811.042918,case rate,999999999,,,,,,,,,,1811.042918,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
278 - INJECTION(S) FOR RADIOLOGICAL IMAGING,278,EAPG,,,,outpatient ,,,999999999,,552.2609313,552.2609313,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,552.2609313,case rate,999999999,,,,,,,,,,552.2609313,case rate,999999999,,,,,,,,,,552.2609313,case rate,999999999,,,,,,,,,,552.2609313,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
279 - LEVEL II VASCULAR RADIOLOGICAL PROCEDURES,279,EAPG,,,,outpatient ,,,999999999,,2854.175548,2854.175548,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2854.175548,case rate,999999999,,,,,,,,,,2854.175548,case rate,999999999,,,,,,,,,,2854.175548,case rate,999999999,,,,,,,,,,2854.175548,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
280 - LEVEL III VASCULAR RADIOLOGICAL PROCEDURES,280,EAPG,,,,outpatient ,,,999999999,,7452.556032,7452.556032,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7452.556032,case rate,999999999,,,,,,,,,,7452.556032,case rate,999999999,,,,,,,,,,7452.556032,case rate,999999999,,,,,,,,,,7452.556032,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
282 - MAGNETIC RESONANCE ANGIOGRAPHY,282,EAPG,,,,outpatient ,,,999999999,,829.0573551,829.0573551,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,829.0573551,case rate,999999999,,,,,,,,,,829.0573551,case rate,999999999,,,,,,,,,,829.0573551,case rate,999999999,,,,,,,,,,829.0573551,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
284 - MYELOGRAPHY AND DISCOGRAPHY IMAGING PROCEDURES,284,EAPG,,,,outpatient ,,,999999999,,942.7545738,942.7545738,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,942.7545738,case rate,999999999,,,,,,,,,,942.7545738,case rate,999999999,,,,,,,,,,942.7545738,case rate,999999999,,,,,,,,,,942.7545738,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
286 - MAMMOGRAPHY AND OTHER RELATED PROCEDURES,286,EAPG,,,,outpatient ,,,999999999,,80.5203945,80.5203945,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,80.5203945,case rate,999999999,,,,,,,,,,80.5203945,case rate,999999999,,,,,,,,,,80.5203945,case rate,999999999,,,,,,,,,,80.5203945,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
288 - LEVEL I DIAGNOSTIC ULTRASOUND,288,EAPG,,,,outpatient ,,,999999999,,184.2887826,184.2887826,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,184.2887826,case rate,999999999,,,,,,,,,,184.2887826,case rate,999999999,,,,,,,,,,184.2887826,case rate,999999999,,,,,,,,,,184.2887826,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
289 - LEVEL II DIAGNOSTIC ULTRASOUND,289,EAPG,,,,outpatient ,,,999999999,,283.9403385,283.9403385,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,283.9403385,case rate,999999999,,,,,,,,,,283.9403385,case rate,999999999,,,,,,,,,,283.9403385,case rate,999999999,,,,,,,,,,283.9403385,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
290 - PET SCANS,290,EAPG,,,,outpatient ,,,999999999,,2249.606631,2249.606631,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2249.606631,case rate,999999999,,,,,,,,,,2249.606631,case rate,999999999,,,,,,,,,,2249.606631,case rate,999999999,,,,,,,,,,2249.606631,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
291 - BONE DENSITY AND RELATED PROCEDURES,291,EAPG,,,,outpatient ,,,999999999,,132.9494634,132.9494634,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,132.9494634,case rate,999999999,,,,,,,,,,132.9494634,case rate,999999999,,,,,,,,,,132.9494634,case rate,999999999,,,,,,,,,,132.9494634,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
293 - MAGNETIC RESONANCE IMAGING WITHOUT CONTRAST,293,EAPG,,,,outpatient ,,,999999999,,406.839888,406.839888,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,406.839888,case rate,999999999,,,,,,,,,,406.839888,case rate,999999999,,,,,,,,,,406.839888,case rate,999999999,,,,,,,,,,406.839888,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
295 - MAGNETIC RESONANCE IMAGING WITH CONTRAST,295,EAPG,,,,outpatient ,,,999999999,,686.4212277,686.4212277,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,686.4212277,case rate,999999999,,,,,,,,,,686.4212277,case rate,999999999,,,,,,,,,,686.4212277,case rate,999999999,,,,,,,,,,686.4212277,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
297 - MAGNETOCEPHALOGRAPHY,297,EAPG,,,,outpatient ,,,999999999,,3922.73567,3922.73567,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3922.73567,case rate,999999999,,,,,,,,,,3922.73567,case rate,999999999,,,,,,,,,,3922.73567,case rate,999999999,,,,,,,,,,3922.73567,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
299 - LEVEL I COMPUTED TOMOGRAPHY,299,EAPG,,,,outpatient ,,,999999999,,179.9297838,179.9297838,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,179.9297838,case rate,999999999,,,,,,,,,,179.9297838,case rate,999999999,,,,,,,,,,179.9297838,case rate,999999999,,,,,,,,,,179.9297838,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
300 - LEVEL II COMPUTED TOMOGRAPHY,300,EAPG,,,,outpatient ,,,999999999,,512.5456089,512.5456089,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,512.5456089,case rate,999999999,,,,,,,,,,512.5456089,case rate,999999999,,,,,,,,,,512.5456089,case rate,999999999,,,,,,,,,,512.5456089,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
301 - COMPUTED TOMOGRAPHY- OTHER,301,EAPG,,,,outpatient ,,,999999999,,435.2944635,435.2944635,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,435.2944635,case rate,999999999,,,,,,,,,,435.2944635,case rate,999999999,,,,,,,,,,435.2944635,case rate,999999999,,,,,,,,,,435.2944635,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
302 - COMPUTED TOMOGRAPHIC ANGIOGRAPHY,302,EAPG,,,,outpatient ,,,999999999,,626.2428276,626.2428276,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,626.2428276,case rate,999999999,,,,,,,,,,626.2428276,case rate,999999999,,,,,,,,,,626.2428276,case rate,999999999,,,,,,,,,,626.2428276,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
304 - MINOR SPECIMEN COLLECTION SERVICES,304,EAPG,,,,outpatient ,,,999999999,,4.6011654,4.6011654,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4.6011654,case rate,999999999,,,,,,,,,,4.6011654,case rate,999999999,,,,,,,,,,4.6011654,case rate,999999999,,,,,,,,,,4.6011654,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
305 - LEVEL I SURGICAL PATHOLOGY TESTS,305,EAPG,,,,outpatient ,,,999999999,,54.3664017,54.3664017,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,54.3664017,case rate,999999999,,,,,,,,,,54.3664017,case rate,999999999,,,,,,,,,,54.3664017,case rate,999999999,,,,,,,,,,54.3664017,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
306 - LEVEL II SURGICAL PATHOLOGY TESTS,306,EAPG,,,,outpatient ,,,999999999,,221.8246056,221.8246056,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,221.8246056,case rate,999999999,,,,,,,,,,221.8246056,case rate,999999999,,,,,,,,,,221.8246056,case rate,999999999,,,,,,,,,,221.8246056,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
307 - INSERTION OR REMOVAL OF DRUG DELIVERY DEVICE,307,EAPG,,,,outpatient ,,,999999999,,539.7893514,539.7893514,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,539.7893514,case rate,999999999,,,,,,,,,,539.7893514,case rate,999999999,,,,,,,,,,539.7893514,case rate,999999999,,,,,,,,,,539.7893514,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
308 - LEVEL III PATHOLOGY TESTS,308,EAPG,,,,outpatient ,,,999999999,,249.1894314,249.1894314,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,249.1894314,case rate,999999999,,,,,,,,,,249.1894314,case rate,999999999,,,,,,,,,,249.1894314,case rate,999999999,,,,,,,,,,249.1894314,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
309 - ADAPTIVE BEHAVIORAL HEALTH TREATMENT SERVICES,309,EAPG,,,,outpatient ,,,999999999,,73.2553965,73.2553965,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,73.2553965,case rate,999999999,,,,,,,,,,73.2553965,case rate,999999999,,,,,,,,,,73.2553965,case rate,999999999,,,,,,,,,,73.2553965,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
310 - DEVELOPMENTAL AND NEUROPSYCHOLOGICAL TESTING,310,EAPG,,,,outpatient ,,,999999999,,984.5283123,984.5283123,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,984.5283123,case rate,999999999,,,,,,,,,,984.5283123,case rate,999999999,,,,,,,,,,984.5283123,case rate,999999999,,,,,,,,,,984.5283123,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
312 - BEHAVIORAL AND SUBSTANCE ABUSE PARTIAL HOSPITALIZATION PROGRAM,312,EAPG,,,,outpatient ,,,999999999,,599.4834183,599.4834183,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,599.4834183,case rate,999999999,,,,,,,,,,599.4834183,case rate,999999999,,,,,,,,,,599.4834183,case rate,999999999,,,,,,,,,,599.4834183,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
315 - COUNSELLING OR INDIVIDUAL BRIEF PSYCHOTHERAPY,315,EAPG,,,,outpatient ,,,999999999,,218.0710233,218.0710233,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,218.0710233,case rate,999999999,,,,,,,,,,218.0710233,case rate,999999999,,,,,,,,,,218.0710233,case rate,999999999,,,,,,,,,,218.0710233,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
316 - INDIVIDUAL COMPREHENSIVE PSYCHOTHERAPY,316,EAPG,,,,outpatient ,,,999999999,,260.5712616,260.5712616,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,260.5712616,case rate,999999999,,,,,,,,,,260.5712616,case rate,999999999,,,,,,,,,,260.5712616,case rate,999999999,,,,,,,,,,260.5712616,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
317 - FAMILY PSYCHOTHERAPY,317,EAPG,,,,outpatient ,,,999999999,,284.1825051,284.1825051,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,284.1825051,case rate,999999999,,,,,,,,,,284.1825051,case rate,999999999,,,,,,,,,,284.1825051,case rate,999999999,,,,,,,,,,284.1825051,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
318 - GROUP PSYCHOTHERAPY,318,EAPG,,,,outpatient ,,,999999999,,397.153224,397.153224,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,397.153224,case rate,999999999,,,,,,,,,,397.153224,case rate,999999999,,,,,,,,,,397.153224,case rate,999999999,,,,,,,,,,397.153224,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
319 - ACTIVITY THERAPY,319,EAPG,,,,outpatient ,,,999999999,,259.8447618,259.8447618,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,259.8447618,case rate,999999999,,,,,,,,,,259.8447618,case rate,999999999,,,,,,,,,,259.8447618,case rate,999999999,,,,,,,,,,259.8447618,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
320 - BEHAVIORAL HEALTH - CASE MANAGEMENT AND TREATMENT PLAN DEVELOPMENT,320,EAPG,,,,outpatient ,,,999999999,,166.9738707,166.9738707,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,166.9738707,case rate,999999999,,,,,,,,,,166.9738707,case rate,999999999,,,,,,,,,,166.9738707,case rate,999999999,,,,,,,,,,166.9738707,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
321 - CRISIS INTERVENTION,321,EAPG,,,,outpatient ,,,999999999,,310.6997478,310.6997478,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,310.6997478,case rate,999999999,,,,,,,,,,310.6997478,case rate,999999999,,,,,,,,,,310.6997478,case rate,999999999,,,,,,,,,,310.6997478,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
322 - MEDICATION ADMINISTRATION AND OBSERVATION,322,EAPG,,,,outpatient ,,,999999999,,73.1343132,73.1343132,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,73.1343132,case rate,999999999,,,,,,,,,,73.1343132,case rate,999999999,,,,,,,,,,73.1343132,case rate,999999999,,,,,,,,,,73.1343132,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
323 - BEHAVIORAL HEALTH ASSESSMENT,323,EAPG,,,,outpatient ,,,999999999,,418.7060514,418.7060514,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,418.7060514,case rate,999999999,,,,,,,,,,418.7060514,case rate,999999999,,,,,,,,,,418.7060514,case rate,999999999,,,,,,,,,,418.7060514,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
324 - SCREENING FOR BEHAVIORAL CHANGE OR RISK ASSESSMENT,324,EAPG,,,,outpatient ,,,999999999,,38.8677393,38.8677393,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,38.8677393,case rate,999999999,,,,,,,,,,38.8677393,case rate,999999999,,,,,,,,,,38.8677393,case rate,999999999,,,,,,,,,,38.8677393,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
325 - PREVENTION COUNSELING,325,EAPG,,,,outpatient ,,,999999999,,121.8097998,121.8097998,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,121.8097998,case rate,999999999,,,,,,,,,,121.8097998,case rate,999999999,,,,,,,,,,121.8097998,case rate,999999999,,,,,,,,,,121.8097998,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
327 - INTENSIVE OUTPATIENT PSYCHIATRIC TREATMENT,327,EAPG,,,,outpatient ,,,999999999,,584.7112557,584.7112557,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,584.7112557,case rate,999999999,,,,,,,,,,584.7112557,case rate,999999999,,,,,,,,,,584.7112557,case rate,999999999,,,,,,,,,,584.7112557,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"328 - DAY REHABILITATION, HALF DAY",328,EAPG,,,,outpatient ,,,999999999,,529.134021,529.134021,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,529.134021,case rate,999999999,,,,,,,,,,529.134021,case rate,999999999,,,,,,,,,,529.134021,case rate,999999999,,,,,,,,,,529.134021,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"329 - DAY REHABILITATION, FULL DAY",329,EAPG,,,,outpatient ,,,999999999,,788.3733663,788.3733663,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,788.3733663,case rate,999999999,,,,,,,,,,788.3733663,case rate,999999999,,,,,,,,,,788.3733663,case rate,999999999,,,,,,,,,,788.3733663,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
331 - LEVEL I DIAGNOSTIC NUCLEAR MEDICINE,331,EAPG,,,,outpatient ,,,999999999,,619.5832461,619.5832461,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,619.5832461,case rate,999999999,,,,,,,,,,619.5832461,case rate,999999999,,,,,,,,,,619.5832461,case rate,999999999,,,,,,,,,,619.5832461,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
332 - LEVEL II DIAGNOSTIC NUCLEAR MEDICINE,332,EAPG,,,,outpatient ,,,999999999,,1483.996925,1483.996925,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1483.996925,case rate,999999999,,,,,,,,,,1483.996925,case rate,999999999,,,,,,,,,,1483.996925,case rate,999999999,,,,,,,,,,1483.996925,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
333 - BEHAVIORAL HEALTH RESIDENTIAL TREATMENT,333,EAPG,,,,outpatient ,,,999999999,,875.9165922,875.9165922,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,875.9165922,case rate,999999999,,,,,,,,,,875.9165922,case rate,999999999,,,,,,,,,,875.9165922,case rate,999999999,,,,,,,,,,875.9165922,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
335 - CLASS I BRACHYTHERAPY SOURCES,335,EAPG,,,,outpatient ,,,999999999,,431.2987146,431.2987146,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,431.2987146,case rate,999999999,,,,,,,,,,431.2987146,case rate,999999999,,,,,,,,,,431.2987146,case rate,999999999,,,,,,,,,,431.2987146,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
336 - CLASS II BRACHYTHERAPY SOURCES,336,EAPG,,,,outpatient ,,,999999999,,5690.430767,5690.430767,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5690.430767,case rate,999999999,,,,,,,,,,5690.430767,case rate,999999999,,,,,,,,,,5690.430767,case rate,999999999,,,,,,,,,,5690.430767,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
337 - CLASS III BRACHYTHERAPY SOURCES,337,EAPG,,,,outpatient ,,,999999999,,18890.20563,18890.20563,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18890.20563,case rate,999999999,,,,,,,,,,18890.20563,case rate,999999999,,,,,,,,,,18890.20563,case rate,999999999,,,,,,,,,,18890.20563,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
340 - THERAPEUTIC NUCLEAR MEDICINE,340,EAPG,,,,outpatient ,,,999999999,,458.3002905,458.3002905,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,458.3002905,case rate,999999999,,,,,,,,,,458.3002905,case rate,999999999,,,,,,,,,,458.3002905,case rate,999999999,,,,,,,,,,458.3002905,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
343 - LEVEL I RADIATION THERAPY,343,EAPG,,,,outpatient ,,,999999999,,303.1925832,303.1925832,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,303.1925832,case rate,999999999,,,,,,,,,,303.1925832,case rate,999999999,,,,,,,,,,303.1925832,case rate,999999999,,,,,,,,,,303.1925832,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
346 - RADIOSURGERY,346,EAPG,,,,outpatient ,,,999999999,,9164.673894,9164.673894,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9164.673894,case rate,999999999,,,,,,,,,,9164.673894,case rate,999999999,,,,,,,,,,9164.673894,case rate,999999999,,,,,,,,,,9164.673894,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
347 - LEVEL II RADIATION THERAPY,347,EAPG,,,,outpatient ,,,999999999,,797.0913639,797.0913639,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,797.0913639,case rate,999999999,,,,,,,,,,797.0913639,case rate,999999999,,,,,,,,,,797.0913639,case rate,999999999,,,,,,,,,,797.0913639,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
348 - LEVEL III RADIATION THERAPY,348,EAPG,,,,outpatient ,,,999999999,,2399.023423,2399.023423,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2399.023423,case rate,999999999,,,,,,,,,,2399.023423,case rate,999999999,,,,,,,,,,2399.023423,case rate,999999999,,,,,,,,,,2399.023423,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
350 - ADJUNCTIVE DENTAL SERVICES,350,EAPG,,,,outpatient ,,,999999999,,390.6147258,390.6147258,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,390.6147258,case rate,999999999,,,,,,,,,,390.6147258,case rate,999999999,,,,,,,,,,390.6147258,case rate,999999999,,,,,,,,,,390.6147258,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
352 - LEVEL I PERIODONTICS,352,EAPG,,,,outpatient ,,,999999999,,1781.135343,1781.135343,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1781.135343,case rate,999999999,,,,,,,,,,1781.135343,case rate,999999999,,,,,,,,,,1781.135343,case rate,999999999,,,,,,,,,,1781.135343,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"353 - LEVEL I PROSTHODONTICS, FIXED",353,EAPG,,,,outpatient ,,,999999999,,172.3015359,172.3015359,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,172.3015359,case rate,999999999,,,,,,,,,,172.3015359,case rate,999999999,,,,,,,,,,172.3015359,case rate,999999999,,,,,,,,,,172.3015359,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"354 - LEVEL II PROSTHODONTICS, FIXED",354,EAPG,,,,outpatient ,,,999999999,,644.6474892,644.6474892,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,644.6474892,case rate,999999999,,,,,,,,,,644.6474892,case rate,999999999,,,,,,,,,,644.6474892,case rate,999999999,,,,,,,,,,644.6474892,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"355 - LEVEL III PROSTHODONTICS, FIXED",355,EAPG,,,,outpatient ,,,999999999,,797.5756971,797.5756971,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,797.5756971,case rate,999999999,,,,,,,,,,797.5756971,case rate,999999999,,,,,,,,,,797.5756971,case rate,999999999,,,,,,,,,,797.5756971,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"356 - LEVEL I PROSTHODONTICS, REMOVABLE",356,EAPG,,,,outpatient ,,,999999999,,349.3253205,349.3253205,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,349.3253205,case rate,999999999,,,,,,,,,,349.3253205,case rate,999999999,,,,,,,,,,349.3253205,case rate,999999999,,,,,,,,,,349.3253205,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"357 - LEVEL II PROSTHODONTICS, REMOVABLE",357,EAPG,,,,outpatient ,,,999999999,,431.9041311,431.9041311,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,431.9041311,case rate,999999999,,,,,,,,,,431.9041311,case rate,999999999,,,,,,,,,,431.9041311,case rate,999999999,,,,,,,,,,431.9041311,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"358 - LEVEL III PROSTHODONTICS, REMOVABLE",358,EAPG,,,,outpatient ,,,999999999,,514.3618584,514.3618584,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,514.3618584,case rate,999999999,,,,,,,,,,514.3618584,case rate,999999999,,,,,,,,,,514.3618584,case rate,999999999,,,,,,,,,,514.3618584,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
359 - LEVEL I MAXILLOFACIAL PROSTHETICS,359,EAPG,,,,outpatient ,,,999999999,,2571.567125,2571.567125,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2571.567125,case rate,999999999,,,,,,,,,,2571.567125,case rate,999999999,,,,,,,,,,2571.567125,case rate,999999999,,,,,,,,,,2571.567125,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
360 - LEVEL II MAXILLOFACIAL PROSTHETICS,360,EAPG,,,,outpatient ,,,999999999,,5787.176324,5787.176324,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5787.176324,case rate,999999999,,,,,,,,,,5787.176324,case rate,999999999,,,,,,,,,,5787.176324,case rate,999999999,,,,,,,,,,5787.176324,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
361 - LEVEL I DENTAL RESTORATIONS,361,EAPG,,,,outpatient ,,,999999999,,3380.524653,3380.524653,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3380.524653,case rate,999999999,,,,,,,,,,3380.524653,case rate,999999999,,,,,,,,,,3380.524653,case rate,999999999,,,,,,,,,,3380.524653,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
362 - LEVEL II DENTAL RESTORATIONS,362,EAPG,,,,outpatient ,,,999999999,,4184.154515,4184.154515,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4184.154515,case rate,999999999,,,,,,,,,,4184.154515,case rate,999999999,,,,,,,,,,4184.154515,case rate,999999999,,,,,,,,,,4184.154515,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
363 - LEVEL III DENTAL RESTORATIONS,363,EAPG,,,,outpatient ,,,999999999,,4602.6184,4602.6184,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4602.6184,case rate,999999999,,,,,,,,,,4602.6184,case rate,999999999,,,,,,,,,,4602.6184,case rate,999999999,,,,,,,,,,4602.6184,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
364 - LEVEL I ENDODONTICS,364,EAPG,,,,outpatient ,,,999999999,,236.7178515,236.7178515,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,236.7178515,case rate,999999999,,,,,,,,,,236.7178515,case rate,999999999,,,,,,,,,,236.7178515,case rate,999999999,,,,,,,,,,236.7178515,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
365 - LEVEL II ENDODONTICS,365,EAPG,,,,outpatient ,,,999999999,,425.7288828,425.7288828,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,425.7288828,case rate,999999999,,,,,,,,,,425.7288828,case rate,999999999,,,,,,,,,,425.7288828,case rate,999999999,,,,,,,,,,425.7288828,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
366 - LEVEL III ENDODONTICS,366,EAPG,,,,outpatient ,,,999999999,,507.2179437,507.2179437,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,507.2179437,case rate,999999999,,,,,,,,,,507.2179437,case rate,999999999,,,,,,,,,,507.2179437,case rate,999999999,,,,,,,,,,507.2179437,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
367 - LEVEL I ORAL SURGERY PROCEDURES,367,EAPG,,,,outpatient ,,,999999999,,2017.368861,2017.368861,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2017.368861,case rate,999999999,,,,,,,,,,2017.368861,case rate,999999999,,,,,,,,,,2017.368861,case rate,999999999,,,,,,,,,,2017.368861,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
368 - LEVEL II ORAL SURGERY PROCEDURES,368,EAPG,,,,outpatient ,,,999999999,,3064.618323,3064.618323,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3064.618323,case rate,999999999,,,,,,,,,,3064.618323,case rate,999999999,,,,,,,,,,3064.618323,case rate,999999999,,,,,,,,,,3064.618323,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
369 - LEVEL III ORAL SURGERY PROCEDURES,369,EAPG,,,,outpatient ,,,999999999,,4762.327272,4762.327272,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4762.327272,case rate,999999999,,,,,,,,,,4762.327272,case rate,999999999,,,,,,,,,,4762.327272,case rate,999999999,,,,,,,,,,4762.327272,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
371 - LEVEL I ORTHODONTICS,371,EAPG,,,,outpatient ,,,999999999,,2274.791957,2274.791957,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2274.791957,case rate,999999999,,,,,,,,,,2274.791957,case rate,999999999,,,,,,,,,,2274.791957,case rate,999999999,,,,,,,,,,2274.791957,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
372 - SEALANT,372,EAPG,,,,outpatient ,,,999999999,,69.8650641,69.8650641,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,69.8650641,case rate,999999999,,,,,,,,,,69.8650641,case rate,999999999,,,,,,,,,,69.8650641,case rate,999999999,,,,,,,,,,69.8650641,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
373 - LEVEL I DENTAL IMAGING,373,EAPG,,,,outpatient ,,,999999999,,51.8236524,51.8236524,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,51.8236524,case rate,999999999,,,,,,,,,,51.8236524,case rate,999999999,,,,,,,,,,51.8236524,case rate,999999999,,,,,,,,,,51.8236524,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
374 - LEVEL II DENTAL IMAGING,374,EAPG,,,,outpatient ,,,999999999,,197.9711955,197.9711955,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,197.9711955,case rate,999999999,,,,,,,,,,197.9711955,case rate,999999999,,,,,,,,,,197.9711955,case rate,999999999,,,,,,,,,,197.9711955,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
375 - DENTAL ANESTHESIA,375,EAPG,,,,outpatient ,,,999999999,,59.0886504,59.0886504,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,59.0886504,case rate,999999999,,,,,,,,,,59.0886504,case rate,999999999,,,,,,,,,,59.0886504,case rate,999999999,,,,,,,,,,59.0886504,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
376 - DIAGNOSTIC DENTAL PROCEDURES,376,EAPG,,,,outpatient ,,,999999999,,177.3870345,177.3870345,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,177.3870345,case rate,999999999,,,,,,,,,,177.3870345,case rate,999999999,,,,,,,,,,177.3870345,case rate,999999999,,,,,,,,,,177.3870345,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
377 - PREVENTIVE DENTAL PROCEDURES,377,EAPG,,,,outpatient ,,,999999999,,186.3471987,186.3471987,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,186.3471987,case rate,999999999,,,,,,,,,,186.3471987,case rate,999999999,,,,,,,,,,186.3471987,case rate,999999999,,,,,,,,,,186.3471987,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
378 - LEVEL II PERIODONTICS,378,EAPG,,,,outpatient ,,,999999999,,1889.98923,1889.98923,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1889.98923,case rate,999999999,,,,,,,,,,1889.98923,case rate,999999999,,,,,,,,,,1889.98923,case rate,999999999,,,,,,,,,,1889.98923,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
379 - LEVEL II ORTHODONTICS,379,EAPG,,,,outpatient ,,,999999999,,2502.307478,2502.307478,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2502.307478,case rate,999999999,,,,,,,,,,2502.307478,case rate,999999999,,,,,,,,,,2502.307478,case rate,999999999,,,,,,,,,,2502.307478,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
380 - ANESTHESIA,380,EAPG,,,,outpatient ,,,999999999,,38.3834061,38.3834061,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,38.3834061,case rate,999999999,,,,,,,,,,38.3834061,case rate,999999999,,,,,,,,,,38.3834061,case rate,999999999,,,,,,,,,,38.3834061,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
381 - LEVEL I DENTAL IMPLANTS,381,EAPG,,,,outpatient ,,,999999999,,2183.131899,2183.131899,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2183.131899,case rate,999999999,,,,,,,,,,2183.131899,case rate,999999999,,,,,,,,,,2183.131899,case rate,999999999,,,,,,,,,,2183.131899,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
382 - LEVEL II DENTAL IMPLANTS,382,EAPG,,,,outpatient ,,,999999999,,2401.445089,2401.445089,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2401.445089,case rate,999999999,,,,,,,,,,2401.445089,case rate,999999999,,,,,,,,,,2401.445089,case rate,999999999,,,,,,,,,,2401.445089,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
384 - LEVEL III CHEMISTRY TESTS,384,EAPG,,,,outpatient ,,,999999999,,93.1130577,93.1130577,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,93.1130577,case rate,999999999,,,,,,,,,,93.1130577,case rate,999999999,,,,,,,,,,93.1130577,case rate,999999999,,,,,,,,,,93.1130577,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"385 - LEVEL I COMPLEX LABORATORY, MOLECULAR PATHOLOGY AND GENETIC TESTS",385,EAPG,,,,outpatient ,,,999999999,,63.6898158,63.6898158,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,63.6898158,case rate,999999999,,,,,,,,,,63.6898158,case rate,999999999,,,,,,,,,,63.6898158,case rate,999999999,,,,,,,,,,63.6898158,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"386 - LEVEL II COMPLEX LABORATORY, MOLECULAR PATHOLOGY AND GENETIC TESTS",386,EAPG,,,,outpatient ,,,999999999,,225.214938,225.214938,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,225.214938,case rate,999999999,,,,,,,,,,225.214938,case rate,999999999,,,,,,,,,,225.214938,case rate,999999999,,,,,,,,,,225.214938,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"387 - LEVEL III COMPLEX LABORATORY, MOLECULAR PATHOLOGY AND GENETIC TESTS",387,EAPG,,,,outpatient ,,,999999999,,491.3560314,491.3560314,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,491.3560314,case rate,999999999,,,,,,,,,,491.3560314,case rate,999999999,,,,,,,,,,491.3560314,case rate,999999999,,,,,,,,,,491.3560314,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
388 - LEVEL III MICROBIOLOGY TESTS,388,EAPG,,,,outpatient ,,,999999999,,278.8548399,278.8548399,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,278.8548399,case rate,999999999,,,,,,,,,,278.8548399,case rate,999999999,,,,,,,,,,278.8548399,case rate,999999999,,,,,,,,,,278.8548399,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
389 - LEVEL II CONVENTIONAL RADIOLOGY,389,EAPG,,,,outpatient ,,,999999999,,199.5452784,199.5452784,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,199.5452784,case rate,999999999,,,,,,,,,,199.5452784,case rate,999999999,,,,,,,,,,199.5452784,case rate,999999999,,,,,,,,,,199.5452784,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
390 - LEVEL I PATHOLOGY TESTS,390,EAPG,,,,outpatient ,,,999999999,,6.7806648,6.7806648,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6.7806648,case rate,999999999,,,,,,,,,,6.7806648,case rate,999999999,,,,,,,,,,6.7806648,case rate,999999999,,,,,,,,,,6.7806648,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
391 - LEVEL II PATHOLOGY TESTS,391,EAPG,,,,outpatient ,,,999999999,,44.9219043,44.9219043,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,44.9219043,case rate,999999999,,,,,,,,,,44.9219043,case rate,999999999,,,,,,,,,,44.9219043,case rate,999999999,,,,,,,,,,44.9219043,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
392 - PAP SMEARS,392,EAPG,,,,outpatient ,,,999999999,,27.9702423,27.9702423,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,27.9702423,case rate,999999999,,,,,,,,,,27.9702423,case rate,999999999,,,,,,,,,,27.9702423,case rate,999999999,,,,,,,,,,27.9702423,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
393 - LEVEL II BLOOD AND TISSUE TYPING TESTS,393,EAPG,,,,outpatient ,,,999999999,,85.3637265,85.3637265,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,85.3637265,case rate,999999999,,,,,,,,,,85.3637265,case rate,999999999,,,,,,,,,,85.3637265,case rate,999999999,,,,,,,,,,85.3637265,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
394 - LEVEL I IMMUNOLOGY TESTS,394,EAPG,,,,outpatient ,,,999999999,,15.740829,15.740829,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15.740829,case rate,999999999,,,,,,,,,,15.740829,case rate,999999999,,,,,,,,,,15.740829,case rate,999999999,,,,,,,,,,15.740829,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
395 - LEVEL II IMMUNOLOGY TESTS,395,EAPG,,,,outpatient ,,,999999999,,55.8194013,55.8194013,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,55.8194013,case rate,999999999,,,,,,,,,,55.8194013,case rate,999999999,,,,,,,,,,55.8194013,case rate,999999999,,,,,,,,,,55.8194013,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
396 - LEVEL I MICROBIOLOGY TESTS,396,EAPG,,,,outpatient ,,,999999999,,14.4089127,14.4089127,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14.4089127,case rate,999999999,,,,,,,,,,14.4089127,case rate,999999999,,,,,,,,,,14.4089127,case rate,999999999,,,,,,,,,,14.4089127,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
397 - LEVEL II MICROBIOLOGY TESTS,397,EAPG,,,,outpatient ,,,999999999,,58.6043172,58.6043172,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,58.6043172,case rate,999999999,,,,,,,,,,58.6043172,case rate,999999999,,,,,,,,,,58.6043172,case rate,999999999,,,,,,,,,,58.6043172,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
398 - LEVEL I ENDOCRINOLOGY TESTS,398,EAPG,,,,outpatient ,,,999999999,,18.0414117,18.0414117,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18.0414117,case rate,999999999,,,,,,,,,,18.0414117,case rate,999999999,,,,,,,,,,18.0414117,case rate,999999999,,,,,,,,,,18.0414117,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
399 - LEVEL II ENDOCRINOLOGY TESTS,399,EAPG,,,,outpatient ,,,999999999,,47.8279035,47.8279035,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,47.8279035,case rate,999999999,,,,,,,,,,47.8279035,case rate,999999999,,,,,,,,,,47.8279035,case rate,999999999,,,,,,,,,,47.8279035,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
400 - LEVEL I CHEMISTRY TESTS,400,EAPG,,,,outpatient ,,,999999999,,16.3462455,16.3462455,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16.3462455,case rate,999999999,,,,,,,,,,16.3462455,case rate,999999999,,,,,,,,,,16.3462455,case rate,999999999,,,,,,,,,,16.3462455,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
401 - LEVEL II CHEMISTRY TESTS,401,EAPG,,,,outpatient ,,,999999999,,38.5044894,38.5044894,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,38.5044894,case rate,999999999,,,,,,,,,,38.5044894,case rate,999999999,,,,,,,,,,38.5044894,case rate,999999999,,,,,,,,,,38.5044894,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
402 - BASIC CHEMISTRY TESTS,402,EAPG,,,,outpatient ,,,999999999,,7.3860813,7.3860813,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7.3860813,case rate,999999999,,,,,,,,,,7.3860813,case rate,999999999,,,,,,,,,,7.3860813,case rate,999999999,,,,,,,,,,7.3860813,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
403 - ORGAN OR DISEASE ORIENTED PANELS,403,EAPG,,,,outpatient ,,,999999999,,12.3504966,12.3504966,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,12.3504966,case rate,999999999,,,,,,,,,,12.3504966,case rate,999999999,,,,,,,,,,12.3504966,case rate,999999999,,,,,,,,,,12.3504966,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
404 - TOXICOLOGY TESTS,404,EAPG,,,,outpatient ,,,999999999,,16.8305787,16.8305787,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16.8305787,case rate,999999999,,,,,,,,,,16.8305787,case rate,999999999,,,,,,,,,,16.8305787,case rate,999999999,,,,,,,,,,16.8305787,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
405 - THERAPEUTIC DRUG MONITORING,405,EAPG,,,,outpatient ,,,999999999,,16.5884121,16.5884121,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16.5884121,case rate,999999999,,,,,,,,,,16.5884121,case rate,999999999,,,,,,,,,,16.5884121,case rate,999999999,,,,,,,,,,16.5884121,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
406 - LEVEL I CLOTTING TESTS,406,EAPG,,,,outpatient ,,,999999999,,6.054165,6.054165,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6.054165,case rate,999999999,,,,,,,,,,6.054165,case rate,999999999,,,,,,,,,,6.054165,case rate,999999999,,,,,,,,,,6.054165,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
407 - LEVEL II CLOTTING TESTS,407,EAPG,,,,outpatient ,,,999999999,,34.6298238,34.6298238,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,34.6298238,case rate,999999999,,,,,,,,,,34.6298238,case rate,999999999,,,,,,,,,,34.6298238,case rate,999999999,,,,,,,,,,34.6298238,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
408 - LEVEL I HEMATOLOGY TESTS,408,EAPG,,,,outpatient ,,,999999999,,8.1125811,8.1125811,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8.1125811,case rate,999999999,,,,,,,,,,8.1125811,case rate,999999999,,,,,,,,,,8.1125811,case rate,999999999,,,,,,,,,,8.1125811,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
409 - LEVEL II HEMATOLOGY TESTS,409,EAPG,,,,outpatient ,,,999999999,,20.3419944,20.3419944,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20.3419944,case rate,999999999,,,,,,,,,,20.3419944,case rate,999999999,,,,,,,,,,20.3419944,case rate,999999999,,,,,,,,,,20.3419944,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
410 - URINALYSIS,410,EAPG,,,,outpatient ,,,999999999,,4.1168322,4.1168322,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4.1168322,case rate,999999999,,,,,,,,,,4.1168322,case rate,999999999,,,,,,,,,,4.1168322,case rate,999999999,,,,,,,,,,4.1168322,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
412 - ANCILLARY RESPIRATORY THERAPY AND OTHER PULMONARY TESTS AND SERVICES,412,EAPG,,,,outpatient ,,,999999999,,97.1088066,97.1088066,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,97.1088066,case rate,999999999,,,,,,,,,,97.1088066,case rate,999999999,,,,,,,,,,97.1088066,case rate,999999999,,,,,,,,,,97.1088066,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
413 - CARDIOGRAM,413,EAPG,,,,outpatient ,,,999999999,,43.3478214,43.3478214,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,43.3478214,case rate,999999999,,,,,,,,,,43.3478214,case rate,999999999,,,,,,,,,,43.3478214,case rate,999999999,,,,,,,,,,43.3478214,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
414 - LEVEL I IMMUNIZATION,414,EAPG,,,,outpatient ,,,999999999,,35.8406568,35.8406568,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,35.8406568,case rate,999999999,,,,,,,,,,35.8406568,case rate,999999999,,,,,,,,,,35.8406568,case rate,999999999,,,,,,,,,,35.8406568,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
415 - LEVEL II IMMUNIZATION,415,EAPG,,,,outpatient ,,,999999999,,189.7375311,189.7375311,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,189.7375311,case rate,999999999,,,,,,,,,,189.7375311,case rate,999999999,,,,,,,,,,189.7375311,case rate,999999999,,,,,,,,,,189.7375311,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
417 - MINOR FEMALE REPRODUCTIVE PROCEDURES,417,EAPG,,,,outpatient ,,,999999999,,356.2270686,356.2270686,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,356.2270686,case rate,999999999,,,,,,,,,,356.2270686,case rate,999999999,,,,,,,,,,356.2270686,case rate,999999999,,,,,,,,,,356.2270686,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
418 - AMBULATORY PATIENT MONITORING AND RELATED ASSESSMENTS,418,EAPG,,,,outpatient ,,,999999999,,104.131638,104.131638,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,104.131638,case rate,999999999,,,,,,,,,,104.131638,case rate,999999999,,,,,,,,,,104.131638,case rate,999999999,,,,,,,,,,104.131638,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
419 - ANCILLARY OPHTHALMOLOGY OR OPTOMETRY SERVICES,419,EAPG,,,,outpatient ,,,999999999,,127.0163817,127.0163817,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,127.0163817,case rate,999999999,,,,,,,,,,127.0163817,case rate,999999999,,,,,,,,,,127.0163817,case rate,999999999,,,,,,,,,,127.0163817,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"420 - ELECTRONIC ANALYSIS FOR CARDIAC, NEUROLOGICAL AND OTHER DEVICES",420,EAPG,,,,outpatient ,,,999999999,,240.1081839,240.1081839,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,240.1081839,case rate,999999999,,,,,,,,,,240.1081839,case rate,999999999,,,,,,,,,,240.1081839,case rate,999999999,,,,,,,,,,240.1081839,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
423 - VASCULAR ACCESS BY NEEDLE OR CATHETER,423,EAPG,,,,outpatient ,,,999999999,,1152.955183,1152.955183,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1152.955183,case rate,999999999,,,,,,,,,,1152.955183,case rate,999999999,,,,,,,,,,1152.955183,case rate,999999999,,,,,,,,,,1152.955183,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
427 - BIOFEEDBACK AND OTHER TRAINING,427,EAPG,,,,outpatient ,,,999999999,,148.5692091,148.5692091,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,148.5692091,case rate,999999999,,,,,,,,,,148.5692091,case rate,999999999,,,,,,,,,,148.5692091,case rate,999999999,,,,,,,,,,148.5692091,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"428 - PATIENT EDUCATION, INDIVIDUAL",428,EAPG,,,,outpatient ,,,999999999,,121.2043833,121.2043833,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,121.2043833,case rate,999999999,,,,,,,,,,121.2043833,case rate,999999999,,,,,,,,,,121.2043833,case rate,999999999,,,,,,,,,,121.2043833,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"429 - PATIENT EDUCATION, GROUP",429,EAPG,,,,outpatient ,,,999999999,,63.5687325,63.5687325,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,63.5687325,case rate,999999999,,,,,,,,,,63.5687325,case rate,999999999,,,,,,,,,,63.5687325,case rate,999999999,,,,,,,,,,63.5687325,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
430 - CLASS I CHEMOTHERAPY DRUGS,430,EAPG,,,,outpatient ,,,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
431 - CLASS II CHEMOTHERAPY DRUGS,431,EAPG,,,,outpatient ,,,999999999,,60.4205667,60.4205667,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,60.4205667,case rate,999999999,,,,,,,,,,60.4205667,case rate,999999999,,,,,,,,,,60.4205667,case rate,999999999,,,,,,,,,,60.4205667,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
432 - CLASS III CHEMOTHERAPY DRUGS,432,EAPG,,,,outpatient ,,,999999999,,209.474109,209.474109,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,209.474109,case rate,999999999,,,,,,,,,,209.474109,case rate,999999999,,,,,,,,,,209.474109,case rate,999999999,,,,,,,,,,209.474109,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
433 - CLASS IV CHEMOTHERAPY DRUGS,433,EAPG,,,,outpatient ,,,999999999,,494.019864,494.019864,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,494.019864,case rate,999999999,,,,,,,,,,494.019864,case rate,999999999,,,,,,,,,,494.019864,case rate,999999999,,,,,,,,,,494.019864,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
434 - CLASS V CHEMOTHERAPY DRUGS,434,EAPG,,,,outpatient ,,,999999999,,537.3676854,537.3676854,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,537.3676854,case rate,999999999,,,,,,,,,,537.3676854,case rate,999999999,,,,,,,,,,537.3676854,case rate,999999999,,,,,,,,,,537.3676854,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
435 - CLASS I PHARMACOTHERAPY,435,EAPG,,,,outpatient ,,,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
436 - CLASS II PHARMACOTHERAPY,436,EAPG,,,,outpatient ,,,999999999,,163.462455,163.462455,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,163.462455,case rate,999999999,,,,,,,,,,163.462455,case rate,999999999,,,,,,,,,,163.462455,case rate,999999999,,,,,,,,,,163.462455,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
437 - CLASS III PHARMACOTHERAPY,437,EAPG,,,,outpatient ,,,999999999,,195.3073629,195.3073629,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,195.3073629,case rate,999999999,,,,,,,,,,195.3073629,case rate,999999999,,,,,,,,,,195.3073629,case rate,999999999,,,,,,,,,,195.3073629,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
438 - CLASS IV PHARMACOTHERAPY,438,EAPG,,,,outpatient ,,,999999999,,317.3593293,317.3593293,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,317.3593293,case rate,999999999,,,,,,,,,,317.3593293,case rate,999999999,,,,,,,,,,317.3593293,case rate,999999999,,,,,,,,,,317.3593293,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
439 - CLASS V PHARMACOTHERAPY,439,EAPG,,,,outpatient ,,,999999999,,766.0940391,766.0940391,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,766.0940391,case rate,999999999,,,,,,,,,,766.0940391,case rate,999999999,,,,,,,,,,766.0940391,case rate,999999999,,,,,,,,,,766.0940391,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
440 - CLASS VI PHARMACOTHERAPY,440,EAPG,,,,outpatient ,,,999999999,,933.3100764,933.3100764,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,933.3100764,case rate,999999999,,,,,,,,,,933.3100764,case rate,999999999,,,,,,,,,,933.3100764,case rate,999999999,,,,,,,,,,933.3100764,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
441 - CLASS VI CHEMOTHERAPY DRUGS,441,EAPG,,,,outpatient ,,,999999999,,979.9271469,979.9271469,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,979.9271469,case rate,999999999,,,,,,,,,,979.9271469,case rate,999999999,,,,,,,,,,979.9271469,case rate,999999999,,,,,,,,,,979.9271469,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
443 - CLASS VII CHEMOTHERAPY DRUGS,443,EAPG,,,,outpatient ,,,999999999,,1557.131238,1557.131238,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1557.131238,case rate,999999999,,,,,,,,,,1557.131238,case rate,999999999,,,,,,,,,,1557.131238,case rate,999999999,,,,,,,,,,1557.131238,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
444 - CLASS VII PHARMACOTHERAPY,444,EAPG,,,,outpatient ,,,999999999,,1630.628801,1630.628801,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1630.628801,case rate,999999999,,,,,,,,,,1630.628801,case rate,999999999,,,,,,,,,,1630.628801,case rate,999999999,,,,,,,,,,1630.628801,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
448 - EXPANDED HOURS ACCESS,448,EAPG,,,,outpatient ,,,999999999,,47.3435703,47.3435703,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,47.3435703,case rate,999999999,,,,,,,,,,47.3435703,case rate,999999999,,,,,,,,,,47.3435703,case rate,999999999,,,,,,,,,,47.3435703,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
449 - ADDITIONAL UNDIFFERENTIATED MEDICAL VISITS/SERVICES,449,EAPG,,,,outpatient ,,,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
450 - OBSERVATION,450,EAPG,,,,outpatient ,,,999999999,,1179.956759,1179.956759,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1179.956759,case rate,999999999,,,,,,,,,,1179.956759,case rate,999999999,,,,,,,,,,1179.956759,case rate,999999999,,,,,,,,,,1179.956759,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
452 - DIABETES SUPPLIES,452,EAPG,,,,outpatient ,,,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
453 - MOTORIZED WHEELCHAIR,453,EAPG,,,,outpatient ,,,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
454 - TPN FORMULAE,454,EAPG,,,,outpatient ,,,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
455 - INCIDENTAL BIOLOGICAL AND SYNTHETIC APPLICATION PRODUCTS,455,EAPG,,,,outpatient ,,,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
456 - MOTORIZED WHEELCHAIR ACCESSORIES,456,EAPG,,,,outpatient ,,,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
458 - ALLERGY THERAPY,458,EAPG,,,,outpatient ,,,999999999,,42.2580717,42.2580717,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,42.2580717,case rate,999999999,,,,,,,,,,42.2580717,case rate,999999999,,,,,,,,,,42.2580717,case rate,999999999,,,,,,,,,,42.2580717,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
459 - VACCINE ADMINISTRATION,459,EAPG,,,,outpatient ,,,999999999,,65.5060653,65.5060653,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,65.5060653,case rate,999999999,,,,,,,,,,65.5060653,case rate,999999999,,,,,,,,,,65.5060653,case rate,999999999,,,,,,,,,,65.5060653,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
460 - CLASS VIII COMBINED CHEMOTHERAPY AND PHARMACOTHERAPY,460,EAPG,,,,outpatient ,,,999999999,,2126.101665,2126.101665,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,2126.101665,case rate,999999999,,,,,,,,,,2126.101665,case rate,999999999,,,,,,,,,,2126.101665,case rate,999999999,,,,,,,,,,2126.101665,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
461 - CLASS IX COMBINED CHEMOTHERAPY AND PHARMACOTHERAPY,461,EAPG,,,,outpatient ,,,999999999,,3019.091002,3019.091002,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3019.091002,case rate,999999999,,,,,,,,,,3019.091002,case rate,999999999,,,,,,,,,,3019.091002,case rate,999999999,,,,,,,,,,3019.091002,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
462 - CLASS X COMBINED CHEMOTHERAPY AND PHARMACOTHERAPY,462,EAPG,,,,outpatient ,,,999999999,,6003.552181,6003.552181,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6003.552181,case rate,999999999,,,,,,,,,,6003.552181,case rate,999999999,,,,,,,,,,6003.552181,case rate,999999999,,,,,,,,,,6003.552181,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
463 - CLASS XI COMBINED CHEMOTHERAPY AND PHARMACOTHERAPY,463,EAPG,,,,outpatient ,,,999999999,,7474.593192,7474.593192,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7474.593192,case rate,999999999,,,,,,,,,,7474.593192,case rate,999999999,,,,,,,,,,7474.593192,case rate,999999999,,,,,,,,,,7474.593192,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
464 - CLASS XII COMBINED CHEMOTHERAPY AND PHARMACOTHERAPY,464,EAPG,,,,outpatient ,,,999999999,,11915.4443,11915.4443,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11915.4443,case rate,999999999,,,,,,,,,,11915.4443,case rate,999999999,,,,,,,,,,11915.4443,case rate,999999999,,,,,,,,,,11915.4443,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
465 - CLASS XIII COMBINED CHEMOTHERAPY AND PHARMACOTHERAPY,465,EAPG,,,,outpatient ,,,999999999,,26587.71318,26587.71318,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,26587.71318,case rate,999999999,,,,,,,,,,26587.71318,case rate,999999999,,,,,,,,,,26587.71318,case rate,999999999,,,,,,,,,,26587.71318,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
466 - CLASS XIV COMBINED CHEMOTHERAPY AND PHARMACOTHERAPY,466,EAPG,,,,outpatient ,,,999999999,,36206.44945,36206.44945,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,36206.44945,case rate,999999999,,,,,,,,,,36206.44945,case rate,999999999,,,,,,,,,,36206.44945,case rate,999999999,,,,,,,,,,36206.44945,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
470 - OBSTETRICAL ULTRASOUND,470,EAPG,,,,outpatient ,,,999999999,,169.7587866,169.7587866,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,169.7587866,case rate,999999999,,,,,,,,,,169.7587866,case rate,999999999,,,,,,,,,,169.7587866,case rate,999999999,,,,,,,,,,169.7587866,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
471 - LEVEL I CONVENTIONAL RADIOLOGY,471,EAPG,,,,outpatient ,,,999999999,,94.6871406,94.6871406,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,94.6871406,case rate,999999999,,,,,,,,,,94.6871406,case rate,999999999,,,,,,,,,,94.6871406,case rate,999999999,,,,,,,,,,94.6871406,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
472 - ULTRASOUND GUIDANCE,472,EAPG,,,,outpatient ,,,999999999,,189.4953645,189.4953645,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,189.4953645,case rate,999999999,,,,,,,,,,189.4953645,case rate,999999999,,,,,,,,,,189.4953645,case rate,999999999,,,,,,,,,,189.4953645,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
473 - CT GUIDANCE,473,EAPG,,,,outpatient ,,,999999999,,138.8825451,138.8825451,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,138.8825451,case rate,999999999,,,,,,,,,,138.8825451,case rate,999999999,,,,,,,,,,138.8825451,case rate,999999999,,,,,,,,,,138.8825451,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
474 - RADIOLOGICAL GUIDANCE FOR THERAPEUTIC OR DIAGNOSTIC PROCEDURES,474,EAPG,,,,outpatient ,,,999999999,,340.8494895,340.8494895,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,340.8494895,case rate,999999999,,,,,,,,,,340.8494895,case rate,999999999,,,,,,,,,,340.8494895,case rate,999999999,,,,,,,,,,340.8494895,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
475 - MRI GUIDANCE,475,EAPG,,,,outpatient ,,,999999999,,367.7299821,367.7299821,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,367.7299821,case rate,999999999,,,,,,,,,,367.7299821,case rate,999999999,,,,,,,,,,367.7299821,case rate,999999999,,,,,,,,,,367.7299821,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
476 - LEVEL I RADIATION TREATMENT PREPARATION AND PLANNING,476,EAPG,,,,outpatient ,,,999999999,,202.5723609,202.5723609,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,202.5723609,case rate,999999999,,,,,,,,,,202.5723609,case rate,999999999,,,,,,,,,,202.5723609,case rate,999999999,,,,,,,,,,202.5723609,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
477 - LEVEL II RADIATION TREATMENT PREPARATION AND PLANNING,477,EAPG,,,,outpatient ,,,999999999,,314.4533301,314.4533301,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,314.4533301,case rate,999999999,,,,,,,,,,314.4533301,case rate,999999999,,,,,,,,,,314.4533301,case rate,999999999,,,,,,,,,,314.4533301,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
478 - LEVEL III RADIATION TREATMENT PREPARATION AND PLANNING,478,EAPG,,,,outpatient ,,,999999999,,1794.575589,1794.575589,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1794.575589,case rate,999999999,,,,,,,,,,1794.575589,case rate,999999999,,,,,,,,,,1794.575589,case rate,999999999,,,,,,,,,,1794.575589,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
483 - RADIATION THERAPY MANAGEMENT,483,EAPG,,,,outpatient ,,,999999999,,678.1875633,678.1875633,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,678.1875633,case rate,999999999,,,,,,,,,,678.1875633,case rate,999999999,,,,,,,,,,678.1875633,case rate,999999999,,,,,,,,,,678.1875633,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
485 - CORNEAL TISSUE PROCESSING,485,EAPG,,,,outpatient ,,,999999999,,4164.660104,4164.660104,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4164.660104,case rate,999999999,,,,,,,,,,4164.660104,case rate,999999999,,,,,,,,,,4164.660104,case rate,999999999,,,,,,,,,,4164.660104,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
486 - LEVEL I BLOOD AND TISSUE TYPING TESTS,486,EAPG,,,,outpatient ,,,999999999,,6.054165,6.054165,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6.054165,case rate,999999999,,,,,,,,,,6.054165,case rate,999999999,,,,,,,,,,6.054165,case rate,999999999,,,,,,,,,,6.054165,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
488 - MINOR DEVICE EVALUATION AND INTERROGATION,488,EAPG,,,,outpatient ,,,999999999,,61.0259832,61.0259832,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,61.0259832,case rate,999999999,,,,,,,,,,61.0259832,case rate,999999999,,,,,,,,,,61.0259832,case rate,999999999,,,,,,,,,,61.0259832,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
490 - INCIDENTAL SERVICES FOR QUALITY OR PERFORMANCE MEASUREMENT,490,EAPG,,,,outpatient ,,,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
491 - MEDICAL VISIT INDICATOR,491,EAPG,,,,outpatient ,,,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
493 - LEVEL I ANCILLARY THERAPEUTIC SERVICES,493,EAPG,,,,outpatient ,,,999999999,,51.0971526,51.0971526,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,51.0971526,case rate,999999999,,,,,,,,,,51.0971526,case rate,999999999,,,,,,,,,,51.0971526,case rate,999999999,,,,,,,,,,51.0971526,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
494 - COMPLEX BLOOD COLLECTION SERVICES,494,EAPG,,,,outpatient ,,,999999999,,126.6531318,126.6531318,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,126.6531318,case rate,999999999,,,,,,,,,,126.6531318,case rate,999999999,,,,,,,,,,126.6531318,case rate,999999999,,,,,,,,,,126.6531318,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
495 - MINOR CHEMOTHERAPY DRUGS,495,EAPG,,,,outpatient ,,,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
496 - MINOR PHARMACOTHERAPY,496,EAPG,,,,outpatient ,,,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
497 - TELEHEALTH FACILITATION,497,EAPG,,,,outpatient ,,,999999999,,23.7323268,23.7323268,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,23.7323268,case rate,999999999,,,,,,,,,,23.7323268,case rate,999999999,,,,,,,,,,23.7323268,case rate,999999999,,,,,,,,,,23.7323268,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
498 - PEN FORMULAE,498,EAPG,,,,outpatient ,,,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"499 - BLOOD PROCESSING, STORAGE AND RELATED SERVICES",499,EAPG,,,,outpatient ,,,999999999,,142.878294,142.878294,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,142.878294,case rate,999999999,,,,,,,,,,142.878294,case rate,999999999,,,,,,,,,,142.878294,case rate,999999999,,,,,,,,,,142.878294,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
518 - BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM,518,EAPG,,,,outpatient ,,,999999999,,310.8208311,310.8208311,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,310.8208311,case rate,999999999,,,,,,,,,,310.8208311,case rate,999999999,,,,,,,,,,310.8208311,case rate,999999999,,,,,,,,,,310.8208311,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
519 - NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM,519,EAPG,,,,outpatient ,,,999999999,,220.8559392,220.8559392,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,220.8559392,case rate,999999999,,,,,,,,,,220.8559392,case rate,999999999,,,,,,,,,,220.8559392,case rate,999999999,,,,,,,,,,220.8559392,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
520 - SPINAL DIAGNOSES AND INJURIES,520,EAPG,,,,outpatient ,,,999999999,,270.015759,270.015759,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,270.015759,case rate,999999999,,,,,,,,,,270.015759,case rate,999999999,,,,,,,,,,270.015759,case rate,999999999,,,,,,,,,,270.015759,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
521 - NERVOUS SYSTEM MALIGNANCY,521,EAPG,,,,outpatient ,,,999999999,,241.4401002,241.4401002,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,241.4401002,case rate,999999999,,,,,,,,,,241.4401002,case rate,999999999,,,,,,,,,,241.4401002,case rate,999999999,,,,,,,,,,241.4401002,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
522 - DEGENERATIVE NERVOUS SYSTEM DIAGNOSES EXC MULT SCLEROSIS,522,EAPG,,,,outpatient ,,,999999999,,223.3986885,223.3986885,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,223.3986885,case rate,999999999,,,,,,,,,,223.3986885,case rate,999999999,,,,,,,,,,223.3986885,case rate,999999999,,,,,,,,,,223.3986885,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
523 - MULTIPLE SCLEROSIS AND OTHER DEMYELINATING DISEASES,523,EAPG,,,,outpatient ,,,999999999,,200.1506949,200.1506949,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,200.1506949,case rate,999999999,,,,,,,,,,200.1506949,case rate,999999999,,,,,,,,,,200.1506949,case rate,999999999,,,,,,,,,,200.1506949,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
524 - OTHER CENTRAL NERVOUS SYSTEM DIAGNOSES,524,EAPG,,,,outpatient ,,,999999999,,268.1995095,268.1995095,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,268.1995095,case rate,999999999,,,,,,,,,,268.1995095,case rate,999999999,,,,,,,,,,268.1995095,case rate,999999999,,,,,,,,,,268.1995095,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
526 - TRANSIENT ISCHEMIA,526,EAPG,,,,outpatient ,,,999999999,,417.6163017,417.6163017,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,417.6163017,case rate,999999999,,,,,,,,,,417.6163017,case rate,999999999,,,,,,,,,,417.6163017,case rate,999999999,,,,,,,,,,417.6163017,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"527 - PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DIAGNOSES",527,EAPG,,,,outpatient ,,,999999999,,227.8787706,227.8787706,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,227.8787706,case rate,999999999,,,,,,,,,,227.8787706,case rate,999999999,,,,,,,,,,227.8787706,case rate,999999999,,,,,,,,,,227.8787706,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
528 - ANOXIC AND OTHER SEVERE BRAIN DAMAGE OR COMA,528,EAPG,,,,outpatient ,,,999999999,,350.7783201,350.7783201,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,350.7783201,case rate,999999999,,,,,,,,,,350.7783201,case rate,999999999,,,,,,,,,,350.7783201,case rate,999999999,,,,,,,,,,350.7783201,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
529 - SEIZURE,529,EAPG,,,,outpatient ,,,999999999,,327.2881599,327.2881599,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,327.2881599,case rate,999999999,,,,,,,,,,327.2881599,case rate,999999999,,,,,,,,,,327.2881599,case rate,999999999,,,,,,,,,,327.2881599,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
530 - HEADACHES OTHER THAN MIGRAINE,530,EAPG,,,,outpatient ,,,999999999,,296.0486685,296.0486685,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,296.0486685,case rate,999999999,,,,,,,,,,296.0486685,case rate,999999999,,,,,,,,,,296.0486685,case rate,999999999,,,,,,,,,,296.0486685,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
531 - MIGRAINE,531,EAPG,,,,outpatient ,,,999999999,,218.0710233,218.0710233,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,218.0710233,case rate,999999999,,,,,,,,,,218.0710233,case rate,999999999,,,,,,,,,,218.0710233,case rate,999999999,,,,,,,,,,218.0710233,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
532 - HEAD TRAUMA WITH OR WITHOUT LOC/COMA LESS THAN 1 HR,532,EAPG,,,,outpatient ,,,999999999,,394.0050582,394.0050582,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,394.0050582,case rate,999999999,,,,,,,,,,394.0050582,case rate,999999999,,,,,,,,,,394.0050582,case rate,999999999,,,,,,,,,,394.0050582,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
533 - AFTEREFFECTS OF CEREBROVASCULAR ACCIDENT,533,EAPG,,,,outpatient ,,,999999999,,269.1681759,269.1681759,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,269.1681759,case rate,999999999,,,,,,,,,,269.1681759,case rate,999999999,,,,,,,,,,269.1681759,case rate,999999999,,,,,,,,,,269.1681759,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
534 - NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION W/O INFARC,534,EAPG,,,,outpatient ,,,999999999,,209.5951923,209.5951923,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,209.5951923,case rate,999999999,,,,,,,,,,209.5951923,case rate,999999999,,,,,,,,,,209.5951923,case rate,999999999,,,,,,,,,,209.5951923,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
535 - CVA AND PRECEREBRAL OCCLUSION W INFARCT,535,EAPG,,,,outpatient ,,,999999999,,393.6418083,393.6418083,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,393.6418083,case rate,999999999,,,,,,,,,,393.6418083,case rate,999999999,,,,,,,,,,393.6418083,case rate,999999999,,,,,,,,,,393.6418083,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
536 - CEREBRAL PALSY,536,EAPG,,,,outpatient ,,,999999999,,271.8320085,271.8320085,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,271.8320085,case rate,999999999,,,,,,,,,,271.8320085,case rate,999999999,,,,,,,,,,271.8320085,case rate,999999999,,,,,,,,,,271.8320085,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"537 - MALFUNCTION, REACTION, COMPLICATION OF NEUROLOGICAL DEVICE OR PROC",537,EAPG,,,,outpatient ,,,999999999,,340.7284062,340.7284062,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,340.7284062,case rate,999999999,,,,,,,,,,340.7284062,case rate,999999999,,,,,,,,,,340.7284062,case rate,999999999,,,,,,,,,,340.7284062,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
538 - HEAD TRAUMA WITH LOC/COMA MORE THEN 1 HR,538,EAPG,,,,outpatient ,,,999999999,,920.4752466,920.4752466,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,920.4752466,case rate,999999999,,,,,,,,,,920.4752466,case rate,999999999,,,,,,,,,,920.4752466,case rate,999999999,,,,,,,,,,920.4752466,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
539 - INTRACRANIAL HEMORRHAGE,539,EAPG,,,,outpatient ,,,999999999,,508.1866101,508.1866101,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,508.1866101,case rate,999999999,,,,,,,,,,508.1866101,case rate,999999999,,,,,,,,,,508.1866101,case rate,999999999,,,,,,,,,,508.1866101,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"545 - PERIPHERAL, CRANIAL, AND AUTONOMIC NERVE INJURIES",545,EAPG,,,,outpatient ,,,999999999,,304.6455828,304.6455828,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,304.6455828,case rate,999999999,,,,,,,,,,304.6455828,case rate,999999999,,,,,,,,,,304.6455828,case rate,999999999,,,,,,,,,,304.6455828,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
548 - PERIPHERAL AND OTHER VASCULAR RELATED INJURIES,548,EAPG,,,,outpatient ,,,999999999,,363.6131499,363.6131499,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,363.6131499,case rate,999999999,,,,,,,,,,363.6131499,case rate,999999999,,,,,,,,,,363.6131499,case rate,999999999,,,,,,,,,,363.6131499,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
550 - ACUTE MAJOR EYE INFECTIONS,550,EAPG,,,,outpatient ,,,999999999,,235.0226853,235.0226853,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,235.0226853,case rate,999999999,,,,,,,,,,235.0226853,case rate,999999999,,,,,,,,,,235.0226853,case rate,999999999,,,,,,,,,,235.0226853,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
551 - CATARACTS,551,EAPG,,,,outpatient ,,,999999999,,189.4953645,189.4953645,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,189.4953645,case rate,999999999,,,,,,,,,,189.4953645,case rate,999999999,,,,,,,,,,189.4953645,case rate,999999999,,,,,,,,,,189.4953645,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
552 - GLAUCOMA,552,EAPG,,,,outpatient ,,,999999999,,226.6679376,226.6679376,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,226.6679376,case rate,999999999,,,,,,,,,,226.6679376,case rate,999999999,,,,,,,,,,226.6679376,case rate,999999999,,,,,,,,,,226.6679376,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
553 - OTHER OPHTHALMIC SYSTEM DIAGNOSES,553,EAPG,,,,outpatient ,,,999999999,,256.8176793,256.8176793,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,256.8176793,case rate,999999999,,,,,,,,,,256.8176793,case rate,999999999,,,,,,,,,,256.8176793,case rate,999999999,,,,,,,,,,256.8176793,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
555 - CONJUNCTIVITIS,555,EAPG,,,,outpatient ,,,999999999,,200.3928615,200.3928615,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,200.3928615,case rate,999999999,,,,,,,,,,200.3928615,case rate,999999999,,,,,,,,,,200.3928615,case rate,999999999,,,,,,,,,,200.3928615,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
556 - OCULAR AND PERIOCULAR MALIGNANCY,556,EAPG,,,,outpatient ,,,999999999,,274.9801743,274.9801743,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,274.9801743,case rate,999999999,,,,,,,,,,274.9801743,case rate,999999999,,,,,,,,,,274.9801743,case rate,999999999,,,,,,,,,,274.9801743,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
557 - OTHER EYE INFECTION DIAGNOSES,557,EAPG,,,,outpatient ,,,999999999,,174.4810353,174.4810353,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,174.4810353,case rate,999999999,,,,,,,,,,174.4810353,case rate,999999999,,,,,,,,,,174.4810353,case rate,999999999,,,,,,,,,,174.4810353,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"558 - MALFUNCTION, REACTION, OR COMPLICATION OF OCULAR DEVICE OR PROCEDURE",558,EAPG,,,,outpatient ,,,999999999,,226.6679376,226.6679376,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,226.6679376,case rate,999999999,,,,,,,,,,226.6679376,case rate,999999999,,,,,,,,,,226.6679376,case rate,999999999,,,,,,,,,,226.6679376,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"560 - EAR, NOSE, MOUTH, THROAT, CRANIAL AND FACIAL MALIGNANCIES",560,EAPG,,,,outpatient ,,,999999999,,283.4560053,283.4560053,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,283.4560053,case rate,999999999,,,,,,,,,,283.4560053,case rate,999999999,,,,,,,,,,283.4560053,case rate,999999999,,,,,,,,,,283.4560053,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
561 - VERTIGO AND OTHER LABYRINTH DISORDERS,561,EAPG,,,,outpatient ,,,999999999,,384.9238107,384.9238107,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,384.9238107,case rate,999999999,,,,,,,,,,384.9238107,case rate,999999999,,,,,,,,,,384.9238107,case rate,999999999,,,,,,,,,,384.9238107,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
562 - INFECTIONS OF UPPER RESPIRATORY TRACT AND OTITIS MEDIA,562,EAPG,,,,outpatient ,,,999999999,,266.6254266,266.6254266,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,266.6254266,case rate,999999999,,,,,,,,,,266.6254266,case rate,999999999,,,,,,,,,,266.6254266,case rate,999999999,,,,,,,,,,266.6254266,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
563 - DENTAL AND ORAL DIAGNOSES AND INJURIES,563,EAPG,,,,outpatient ,,,999999999,,216.8601903,216.8601903,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,216.8601903,case rate,999999999,,,,,,,,,,216.8601903,case rate,999999999,,,,,,,,,,216.8601903,case rate,999999999,,,,,,,,,,216.8601903,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"564 - OTHER EAR, NOSE, MOUTH, THROAT AND CRANIOFACIAL DIAGNOSES",564,EAPG,,,,outpatient ,,,999999999,,262.6296777,262.6296777,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,262.6296777,case rate,999999999,,,,,,,,,,262.6296777,case rate,999999999,,,,,,,,,,262.6296777,case rate,999999999,,,,,,,,,,262.6296777,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"566 - MALFUNCTION, REACTION, OR COMPLICATION OF OTOLARYNGOLOGIC DEVICE OR PROCEDURE",566,EAPG,,,,outpatient ,,,999999999,,243.8617662,243.8617662,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,243.8617662,case rate,999999999,,,,,,,,,,243.8617662,case rate,999999999,,,,,,,,,,243.8617662,case rate,999999999,,,,,,,,,,243.8617662,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
570 - CYSTIC FIBROSIS - PULMONARY DISEASE,570,EAPG,,,,outpatient ,,,999999999,,496.3204467,496.3204467,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,496.3204467,case rate,999999999,,,,,,,,,,496.3204467,case rate,999999999,,,,,,,,,,496.3204467,case rate,999999999,,,,,,,,,,496.3204467,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
571 - RESPIRATORY MALIGNANCY,571,EAPG,,,,outpatient ,,,999999999,,256.9387626,256.9387626,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,256.9387626,case rate,999999999,,,,,,,,,,256.9387626,case rate,999999999,,,,,,,,,,256.9387626,case rate,999999999,,,,,,,,,,256.9387626,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
572 - BRONCHIOLITIS AND RSV PNEUMONIA,572,EAPG,,,,outpatient ,,,999999999,,555.772347,555.772347,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,555.772347,case rate,999999999,,,,,,,,,,555.772347,case rate,999999999,,,,,,,,,,555.772347,case rate,999999999,,,,,,,,,,555.772347,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
574 - CHRONIC OBSTRUCTIVE PULMONARY DISEASE,574,EAPG,,,,outpatient ,,,999999999,,414.7103025,414.7103025,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,414.7103025,case rate,999999999,,,,,,,,,,414.7103025,case rate,999999999,,,,,,,,,,414.7103025,case rate,999999999,,,,,,,,,,414.7103025,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
575 - ASTHMA,575,EAPG,,,,outpatient ,,,999999999,,349.930737,349.930737,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,349.930737,case rate,999999999,,,,,,,,,,349.930737,case rate,999999999,,,,,,,,,,349.930737,case rate,999999999,,,,,,,,,,349.930737,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
576 - OTHER RESPIRATORY SYSTEM DIAGNOSES,576,EAPG,,,,outpatient ,,,999999999,,339.5175732,339.5175732,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,339.5175732,case rate,999999999,,,,,,,,,,339.5175732,case rate,999999999,,,,,,,,,,339.5175732,case rate,999999999,,,,,,,,,,339.5175732,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
579 - STATUS ASTHMATICUS,579,EAPG,,,,outpatient ,,,999999999,,526.712355,526.712355,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,526.712355,case rate,999999999,,,,,,,,,,526.712355,case rate,999999999,,,,,,,,,,526.712355,case rate,999999999,,,,,,,,,,526.712355,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
580 - MAJOR CHEST AND RESPIRATORY TRAUMA,580,EAPG,,,,outpatient ,,,999999999,,651.9124872,651.9124872,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,651.9124872,case rate,999999999,,,,,,,,,,651.9124872,case rate,999999999,,,,,,,,,,651.9124872,case rate,999999999,,,,,,,,,,651.9124872,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
581 - PULMONARY INFECTION DIAGNOSES INCLUDING PNEUMONIA,581,EAPG,,,,outpatient ,,,999999999,,514.4829417,514.4829417,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,514.4829417,case rate,999999999,,,,,,,,,,514.4829417,case rate,999999999,,,,,,,,,,514.4829417,case rate,999999999,,,,,,,,,,514.4829417,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
582 - INTERSTITIAL AND ALVEOLAR LUNG DIAGNOSES,582,EAPG,,,,outpatient ,,,999999999,,334.4320746,334.4320746,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,334.4320746,case rate,999999999,,,,,,,,,,334.4320746,case rate,999999999,,,,,,,,,,334.4320746,case rate,999999999,,,,,,,,,,334.4320746,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"583 - MALFUNCTION, REACTION, OR COMPLICATION OF PULMONARY DEVICE OR PROCEDURE",583,EAPG,,,,outpatient ,,,999999999,,502.2535284,502.2535284,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,502.2535284,case rate,999999999,,,,,,,,,,502.2535284,case rate,999999999,,,,,,,,,,502.2535284,case rate,999999999,,,,,,,,,,502.2535284,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
584 - ACUTE BRONCHITIS,584,EAPG,,,,outpatient ,,,999999999,,446.1919605,446.1919605,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,446.1919605,case rate,999999999,,,,,,,,,,446.1919605,case rate,999999999,,,,,,,,,,446.1919605,case rate,999999999,,,,,,,,,,446.1919605,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"585 - AFTERCARE, OPEN WOUNDS AND OTHER TRAUMATIC INJURIES",585,EAPG,,,,outpatient ,,,999999999,,202.8145275,202.8145275,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,202.8145275,case rate,999999999,,,,,,,,,,202.8145275,case rate,999999999,,,,,,,,,,202.8145275,case rate,999999999,,,,,,,,,,202.8145275,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
586 - PULMONARY EMBOLISM,586,EAPG,,,,outpatient ,,,999999999,,308.8834983,308.8834983,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,308.8834983,case rate,999999999,,,,,,,,,,308.8834983,case rate,999999999,,,,,,,,,,308.8834983,case rate,999999999,,,,,,,,,,308.8834983,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
587 - RESPIRATORY FAILURE,587,EAPG,,,,outpatient ,,,999999999,,683.6363118,683.6363118,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,683.6363118,case rate,999999999,,,,,,,,,,683.6363118,case rate,999999999,,,,,,,,,,683.6363118,case rate,999999999,,,,,,,,,,683.6363118,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"589 - MALFUNCTION, REACTION, OR COMPLICATION OF CARDIOVASCULAR DEVICE OR PROC",589,EAPG,,,,outpatient ,,,999999999,,417.6163017,417.6163017,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,417.6163017,case rate,999999999,,,,,,,,,,417.6163017,case rate,999999999,,,,,,,,,,417.6163017,case rate,999999999,,,,,,,,,,417.6163017,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
591 - ACUTE MYOCARDIAL INFARCTION,591,EAPG,,,,outpatient ,,,999999999,,730.132299,730.132299,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,730.132299,case rate,999999999,,,,,,,,,,730.132299,case rate,999999999,,,,,,,,,,730.132299,case rate,999999999,,,,,,,,,,730.132299,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
592 - OTHER CARDIOVASCULAR SYSTEM DIAGNOSES,592,EAPG,,,,outpatient ,,,999999999,,320.870745,320.870745,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,320.870745,case rate,999999999,,,,,,,,,,320.870745,case rate,999999999,,,,,,,,,,320.870745,case rate,999999999,,,,,,,,,,320.870745,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
594 - HEART FAILURE,594,EAPG,,,,outpatient ,,,999999999,,348.8409873,348.8409873,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,348.8409873,case rate,999999999,,,,,,,,,,348.8409873,case rate,999999999,,,,,,,,,,348.8409873,case rate,999999999,,,,,,,,,,348.8409873,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
595 - CARDIAC ARREST OR OTHER CAUSES OF MORTALITY,595,EAPG,,,,outpatient ,,,999999999,,353.3210694,353.3210694,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,353.3210694,case rate,999999999,,,,,,,,,,353.3210694,case rate,999999999,,,,,,,,,,353.3210694,case rate,999999999,,,,,,,,,,353.3210694,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
596 - PERIPHERAL AND OTHER VASCULAR DIAGNOSES,596,EAPG,,,,outpatient ,,,999999999,,255.8490129,255.8490129,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,255.8490129,case rate,999999999,,,,,,,,,,255.8490129,case rate,999999999,,,,,,,,,,255.8490129,case rate,999999999,,,,,,,,,,255.8490129,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
597 - PHLEBITIS,597,EAPG,,,,outpatient ,,,999999999,,361.4336505,361.4336505,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,361.4336505,case rate,999999999,,,,,,,,,,361.4336505,case rate,999999999,,,,,,,,,,361.4336505,case rate,999999999,,,,,,,,,,361.4336505,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
598 - ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS,598,EAPG,,,,outpatient ,,,999999999,,223.1565219,223.1565219,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,223.1565219,case rate,999999999,,,,,,,,,,223.1565219,case rate,999999999,,,,,,,,,,223.1565219,case rate,999999999,,,,,,,,,,223.1565219,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
599 - HYPERTENSION,599,EAPG,,,,outpatient ,,,999999999,,233.0853525,233.0853525,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,233.0853525,case rate,999999999,,,,,,,,,,233.0853525,case rate,999999999,,,,,,,,,,233.0853525,case rate,999999999,,,,,,,,,,233.0853525,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
600 - CARDIAC STRUCTURAL AND VALVULAR DIAGNOSES,600,EAPG,,,,outpatient ,,,999999999,,225.9414378,225.9414378,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,225.9414378,case rate,999999999,,,,,,,,,,225.9414378,case rate,999999999,,,,,,,,,,225.9414378,case rate,999999999,,,,,,,,,,225.9414378,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
601 - CARDIAC ARRHYTHMIA AND CONDUCTION DIAGNOSES,601,EAPG,,,,outpatient ,,,999999999,,323.8978275,323.8978275,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,323.8978275,case rate,999999999,,,,,,,,,,323.8978275,case rate,999999999,,,,,,,,,,323.8978275,case rate,999999999,,,,,,,,,,323.8978275,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
602 - ATRIAL FIBRILLATION,602,EAPG,,,,outpatient ,,,999999999,,244.4671827,244.4671827,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,244.4671827,case rate,999999999,,,,,,,,,,244.4671827,case rate,999999999,,,,,,,,,,244.4671827,case rate,999999999,,,,,,,,,,244.4671827,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
604 - CHEST PAIN,604,EAPG,,,,outpatient ,,,999999999,,640.530657,640.530657,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,640.530657,case rate,999999999,,,,,,,,,,640.530657,case rate,999999999,,,,,,,,,,640.530657,case rate,999999999,,,,,,,,,,640.530657,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
605 - SYNCOPE AND COLLAPSE,605,EAPG,,,,outpatient ,,,999999999,,483.4856169,483.4856169,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,483.4856169,case rate,999999999,,,,,,,,,,483.4856169,case rate,999999999,,,,,,,,,,483.4856169,case rate,999999999,,,,,,,,,,483.4856169,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
607 - CARDIOMYOPATHY DIAGNOSES,607,EAPG,,,,outpatient ,,,999999999,,221.582439,221.582439,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,221.582439,case rate,999999999,,,,,,,,,,221.582439,case rate,999999999,,,,,,,,,,221.582439,case rate,999999999,,,,,,,,,,221.582439,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
608 - ACUTE AND SUBACUTE ENDOCARDITIS,608,EAPG,,,,outpatient ,,,999999999,,212.6222748,212.6222748,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,212.6222748,case rate,999999999,,,,,,,,,,212.6222748,case rate,999999999,,,,,,,,,,212.6222748,case rate,999999999,,,,,,,,,,212.6222748,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
610 - CONTUSIONS TO EXTERNAL ORGANS OTHER THAN HEAD TRAUMA,610,EAPG,,,,outpatient ,,,999999999,,436.1420466,436.1420466,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,436.1420466,case rate,999999999,,,,,,,,,,436.1420466,case rate,999999999,,,,,,,,,,436.1420466,case rate,999999999,,,,,,,,,,436.1420466,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
616 - DIVERTICULITIS AND DIVERTICULOSIS,616,EAPG,,,,outpatient ,,,999999999,,364.7028996,364.7028996,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,364.7028996,case rate,999999999,,,,,,,,,,364.7028996,case rate,999999999,,,,,,,,,,364.7028996,case rate,999999999,,,,,,,,,,364.7028996,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
617 - GASTROINTESTINAL HEMORRHAGE AND RELATED POSTPROCEDURAL HEMORRHAGE DIAGNOSES,617,EAPG,,,,outpatient ,,,999999999,,477.068202,477.068202,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,477.068202,case rate,999999999,,,,,,,,,,477.068202,case rate,999999999,,,,,,,,,,477.068202,case rate,999999999,,,,,,,,,,477.068202,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
618 - INTESTINAL OBSTRUCTION DIAGNOSES,618,EAPG,,,,outpatient ,,,999999999,,475.9784523,475.9784523,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,475.9784523,case rate,999999999,,,,,,,,,,475.9784523,case rate,999999999,,,,,,,,,,475.9784523,case rate,999999999,,,,,,,,,,475.9784523,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
619 - GASTROINTESTINAL AND PERITONEAL INFECTION DIAGNOSES,619,EAPG,,,,outpatient ,,,999999999,,358.5276513,358.5276513,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,358.5276513,case rate,999999999,,,,,,,,,,358.5276513,case rate,999999999,,,,,,,,,,358.5276513,case rate,999999999,,,,,,,,,,358.5276513,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
620 - DIGESTIVE MALIGNANCY,620,EAPG,,,,outpatient ,,,999999999,,303.6769164,303.6769164,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,303.6769164,case rate,999999999,,,,,,,,,,303.6769164,case rate,999999999,,,,,,,,,,303.6769164,case rate,999999999,,,,,,,,,,303.6769164,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
621 - PEPTIC ULCER AND GASTRITIS,621,EAPG,,,,outpatient ,,,999999999,,469.0767042,469.0767042,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,469.0767042,case rate,999999999,,,,,,,,,,469.0767042,case rate,999999999,,,,,,,,,,469.0767042,case rate,999999999,,,,,,,,,,469.0767042,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
623 - ESOPHAGITIS AND OTHER ESOPHAGEAL DIAGNOSES,623,EAPG,,,,outpatient ,,,999999999,,266.8675932,266.8675932,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,266.8675932,case rate,999999999,,,,,,,,,,266.8675932,case rate,999999999,,,,,,,,,,266.8675932,case rate,999999999,,,,,,,,,,266.8675932,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
624 - OTHER GASTROINTESTINAL SYSTEM DIAGNOSES,624,EAPG,,,,outpatient ,,,999999999,,304.8877494,304.8877494,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,304.8877494,case rate,999999999,,,,,,,,,,304.8877494,case rate,999999999,,,,,,,,,,304.8877494,case rate,999999999,,,,,,,,,,304.8877494,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
626 - INFLAMMATORY BOWEL DISEASE,626,EAPG,,,,outpatient ,,,999999999,,222.9143553,222.9143553,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,222.9143553,case rate,999999999,,,,,,,,,,222.9143553,case rate,999999999,,,,,,,,,,222.9143553,case rate,999999999,,,,,,,,,,222.9143553,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"627 - NON-BACTERIAL GASTROENTERITIS, NAUSEA AND VOMITING",627,EAPG,,,,outpatient ,,,999999999,,362.8866501,362.8866501,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,362.8866501,case rate,999999999,,,,,,,,,,362.8866501,case rate,999999999,,,,,,,,,,362.8866501,case rate,999999999,,,,,,,,,,362.8866501,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
628 - ABDOMINAL PAIN,628,EAPG,,,,outpatient ,,,999999999,,422.4596337,422.4596337,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,422.4596337,case rate,999999999,,,,,,,,,,422.4596337,case rate,999999999,,,,,,,,,,422.4596337,case rate,999999999,,,,,,,,,,422.4596337,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"629 - MALFUNCTION, REACTION AND COMPLICATION OF GI DEVICE OR PROCEDURE",629,EAPG,,,,outpatient ,,,999999999,,500.8005288,500.8005288,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,500.8005288,case rate,999999999,,,,,,,,,,500.8005288,case rate,999999999,,,,,,,,,,500.8005288,case rate,999999999,,,,,,,,,,500.8005288,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
630 - CONSTIPATION,630,EAPG,,,,outpatient ,,,999999999,,344.9663217,344.9663217,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,344.9663217,case rate,999999999,,,,,,,,,,344.9663217,case rate,999999999,,,,,,,,,,344.9663217,case rate,999999999,,,,,,,,,,344.9663217,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
631 - HERNIA,631,EAPG,,,,outpatient ,,,999999999,,266.1410934,266.1410934,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,266.1410934,case rate,999999999,,,,,,,,,,266.1410934,case rate,999999999,,,,,,,,,,266.1410934,case rate,999999999,,,,,,,,,,266.1410934,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
632 - IRRITABLE BOWEL SYNDROME,632,EAPG,,,,outpatient ,,,999999999,,193.9754466,193.9754466,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,193.9754466,case rate,999999999,,,,,,,,,,193.9754466,case rate,999999999,,,,,,,,,,193.9754466,case rate,999999999,,,,,,,,,,193.9754466,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
633 - ALCOHOLIC LIVER DISEASE,633,EAPG,,,,outpatient ,,,999999999,,306.340749,306.340749,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,306.340749,case rate,999999999,,,,,,,,,,306.340749,case rate,999999999,,,,,,,,,,306.340749,case rate,999999999,,,,,,,,,,306.340749,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
634 - MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS,634,EAPG,,,,outpatient ,,,999999999,,366.0348159,366.0348159,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,366.0348159,case rate,999999999,,,,,,,,,,366.0348159,case rate,999999999,,,,,,,,,,366.0348159,case rate,999999999,,,,,,,,,,366.0348159,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
635 - PANCREAS DIAGNOSES EXCEPT MALIGNANCY,635,EAPG,,,,outpatient ,,,999999999,,349.4464038,349.4464038,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,349.4464038,case rate,999999999,,,,,,,,,,349.4464038,case rate,999999999,,,,,,,,,,349.4464038,case rate,999999999,,,,,,,,,,349.4464038,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
636 - HEPATITIS WITHOUT COMA,636,EAPG,,,,outpatient ,,,999999999,,291.810753,291.810753,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,291.810753,case rate,999999999,,,,,,,,,,291.810753,case rate,999999999,,,,,,,,,,291.810753,case rate,999999999,,,,,,,,,,291.810753,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
637 - GALLBLADDER AND BILIARY TRACT DIAGNOSES,637,EAPG,,,,outpatient ,,,999999999,,357.4379016,357.4379016,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,357.4379016,case rate,999999999,,,,,,,,,,357.4379016,case rate,999999999,,,,,,,,,,357.4379016,case rate,999999999,,,,,,,,,,357.4379016,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
638 - CHOLECYSTITIS,638,EAPG,,,,outpatient ,,,999999999,,511.6980258,511.6980258,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,511.6980258,case rate,999999999,,,,,,,,,,511.6980258,case rate,999999999,,,,,,,,,,511.6980258,case rate,999999999,,,,,,,,,,511.6980258,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
639 - OTHER HEPATOBILIARY SYSTEM DIAGNOSES,639,EAPG,,,,outpatient ,,,999999999,,298.4703345,298.4703345,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,298.4703345,case rate,999999999,,,,,,,,,,298.4703345,case rate,999999999,,,,,,,,,,298.4703345,case rate,999999999,,,,,,,,,,298.4703345,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
641 - HEPATIC COMA AND MAJOR ACUTE LIVER DIAGNOSES,641,EAPG,,,,outpatient ,,,999999999,,280.0656729,280.0656729,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,280.0656729,case rate,999999999,,,,,,,,,,280.0656729,case rate,999999999,,,,,,,,,,280.0656729,case rate,999999999,,,,,,,,,,280.0656729,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
642 - GASTROINTESTINAL VASCULAR INSUFFICIENCY,642,EAPG,,,,outpatient ,,,999999999,,374.8738968,374.8738968,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,374.8738968,case rate,999999999,,,,,,,,,,374.8738968,case rate,999999999,,,,,,,,,,374.8738968,case rate,999999999,,,,,,,,,,374.8738968,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"647 - FRACTURES, DISLOCATIONS, OTHER INJURIES - UPPER EXTREMITY INCLUDING SHOULDER",647,EAPG,,,,outpatient ,,,999999999,,471.9827034,471.9827034,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,471.9827034,case rate,999999999,,,,,,,,,,471.9827034,case rate,999999999,,,,,,,,,,471.9827034,case rate,999999999,,,,,,,,,,471.9827034,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"648 - FRACTURES, DISLOCATIONS AND SPRAINS OF THE SKULL, CRANIUM AND FACE",648,EAPG,,,,outpatient ,,,999999999,,540.6369345,540.6369345,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,540.6369345,case rate,999999999,,,,,,,,,,540.6369345,case rate,999999999,,,,,,,,,,540.6369345,case rate,999999999,,,,,,,,,,540.6369345,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
649 - OTHER PATHOLOGICAL FRACTURES W/O MUSCULOSKELETAL MALIGNANCY,649,EAPG,,,,outpatient ,,,999999999,,452.851542,452.851542,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,452.851542,case rate,999999999,,,,,,,,,,452.851542,case rate,999999999,,,,,,,,,,452.851542,case rate,999999999,,,,,,,,,,452.851542,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"650 - FRACTURES, DISLOCATIONS, OTHER INJURIES - LOWER EXTREMITY INCLUDING FEMUR",650,EAPG,,,,outpatient ,,,999999999,,465.8074551,465.8074551,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,465.8074551,case rate,999999999,,,,,,,,,,465.8074551,case rate,999999999,,,,,,,,,,465.8074551,case rate,999999999,,,,,,,,,,465.8074551,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"651 - FRACTURES, DISLOCATIONS, SPRAINS AND OTHER INJURIES OF THE PELVIS AND HIP",651,EAPG,,,,outpatient ,,,999999999,,590.2810875,590.2810875,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,590.2810875,case rate,999999999,,,,,,,,,,590.2810875,case rate,999999999,,,,,,,,,,590.2810875,case rate,999999999,,,,,,,,,,590.2810875,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
652 - OTHER INJURIES AND DISORDERS OF THE MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE,652,EAPG,,,,outpatient ,,,999999999,,243.8617662,243.8617662,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,243.8617662,case rate,999999999,,,,,,,,,,243.8617662,case rate,999999999,,,,,,,,,,243.8617662,case rate,999999999,,,,,,,,,,243.8617662,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
653 - MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FX DUE TO MALIGNANCY,653,EAPG,,,,outpatient ,,,999999999,,329.8309092,329.8309092,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,329.8309092,case rate,999999999,,,,,,,,,,329.8309092,case rate,999999999,,,,,,,,,,329.8309092,case rate,999999999,,,,,,,,,,329.8309092,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"654 - OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS",654,EAPG,,,,outpatient ,,,999999999,,257.0598459,257.0598459,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,257.0598459,case rate,999999999,,,,,,,,,,257.0598459,case rate,999999999,,,,,,,,,,257.0598459,case rate,999999999,,,,,,,,,,257.0598459,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
655 - CONNECTIVE TISSUE DIAGNOSES,655,EAPG,,,,outpatient ,,,999999999,,213.2276913,213.2276913,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,213.2276913,case rate,999999999,,,,,,,,,,213.2276913,case rate,999999999,,,,,,,,,,213.2276913,case rate,999999999,,,,,,,,,,213.2276913,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"656 - FRACTURES, DISLOCATIONS, OTHER INJURIES OF THE NECK, UPPER BACK AND CHEST",656,EAPG,,,,outpatient ,,,999999999,,517.3889409,517.3889409,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,517.3889409,case rate,999999999,,,,,,,,,,517.3889409,case rate,999999999,,,,,,,,,,517.3889409,case rate,999999999,,,,,,,,,,517.3889409,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"657 - FRACTURES, DISLOCATIONS, SPRAINS AND OTHER INJURIES OF THE LOWER BACK",657,EAPG,,,,outpatient ,,,999999999,,287.6939208,287.6939208,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,287.6939208,case rate,999999999,,,,,,,,,,287.6939208,case rate,999999999,,,,,,,,,,287.6939208,case rate,999999999,,,,,,,,,,287.6939208,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
658 - SCIATICA AND LOW BACK PAIN,658,EAPG,,,,outpatient ,,,999999999,,280.0656729,280.0656729,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,280.0656729,case rate,999999999,,,,,,,,,,280.0656729,case rate,999999999,,,,,,,,,,280.0656729,case rate,999999999,,,,,,,,,,280.0656729,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"659 - MALFUNCTION, REACTION, COMPLIC OF ORTHOPEDIC DEVICE OR PROCEDURE",659,EAPG,,,,outpatient ,,,999999999,,323.5345776,323.5345776,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,323.5345776,case rate,999999999,,,,,,,,,,323.5345776,case rate,999999999,,,,,,,,,,323.5345776,case rate,999999999,,,,,,,,,,323.5345776,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
660 - OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES,660,EAPG,,,,outpatient ,,,999999999,,287.8150041,287.8150041,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,287.8150041,case rate,999999999,,,,,,,,,,287.8150041,case rate,999999999,,,,,,,,,,287.8150041,case rate,999999999,,,,,,,,,,287.8150041,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
662 - OSTEOPOROSIS,662,EAPG,,,,outpatient ,,,999999999,,229.5739368,229.5739368,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,229.5739368,case rate,999999999,,,,,,,,,,229.5739368,case rate,999999999,,,,,,,,,,229.5739368,case rate,999999999,,,,,,,,,,229.5739368,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
663 - PAIN RELATED DIAGNOSES,663,EAPG,,,,outpatient ,,,999999999,,239.744934,239.744934,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,239.744934,case rate,999999999,,,,,,,,,,239.744934,case rate,999999999,,,,,,,,,,239.744934,case rate,999999999,,,,,,,,,,239.744934,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
670 - NON-PRESSURE CHRONIC SKIN ULCERS,670,EAPG,,,,outpatient ,,,999999999,,243.0141831,243.0141831,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,243.0141831,case rate,999999999,,,,,,,,,,243.0141831,case rate,999999999,,,,,,,,,,243.0141831,case rate,999999999,,,,,,,,,,243.0141831,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
671 - MAJOR SKIN DIAGNOSES,671,EAPG,,,,outpatient ,,,999999999,,213.2276913,213.2276913,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,213.2276913,case rate,999999999,,,,,,,,,,213.2276913,case rate,999999999,,,,,,,,,,213.2276913,case rate,999999999,,,,,,,,,,213.2276913,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
672 - MALIGNANT BREAST DIAGNOSES,672,EAPG,,,,outpatient ,,,999999999,,228.7263537,228.7263537,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,228.7263537,case rate,999999999,,,,,,,,,,228.7263537,case rate,999999999,,,,,,,,,,228.7263537,case rate,999999999,,,,,,,,,,228.7263537,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
673 - CELLULITIS AND OTHER BACTERIAL SKIN INFECTIONS,673,EAPG,,,,outpatient ,,,999999999,,313.9689969,313.9689969,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,313.9689969,case rate,999999999,,,,,,,,,,313.9689969,case rate,999999999,,,,,,,,,,313.9689969,case rate,999999999,,,,,,,,,,313.9689969,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"674 - OPEN WOUNDS, PUNCTURES AND OTHER OPEN TRAUMATIC INJURIES",674,EAPG,,,,outpatient ,,,999999999,,286.967421,286.967421,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,286.967421,case rate,999999999,,,,,,,,,,286.967421,case rate,999999999,,,,,,,,,,286.967421,case rate,999999999,,,,,,,,,,286.967421,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"675 - OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DIAGNOSES",675,EAPG,,,,outpatient ,,,999999999,,181.3827834,181.3827834,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,181.3827834,case rate,999999999,,,,,,,,,,181.3827834,case rate,999999999,,,,,,,,,,181.3827834,case rate,999999999,,,,,,,,,,181.3827834,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
676 - PRESSURE ULCERS,676,EAPG,,,,outpatient ,,,999999999,,249.1894314,249.1894314,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,249.1894314,case rate,999999999,,,,,,,,,,249.1894314,case rate,999999999,,,,,,,,,,249.1894314,case rate,999999999,,,,,,,,,,249.1894314,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"690 - MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DIAGNOSES",690,EAPG,,,,outpatient ,,,999999999,,273.648258,273.648258,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,273.648258,case rate,999999999,,,,,,,,,,273.648258,case rate,999999999,,,,,,,,,,273.648258,case rate,999999999,,,,,,,,,,273.648258,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
691 - INBORN ERRORS OF METABOLISM,691,EAPG,,,,outpatient ,,,999999999,,197.4868623,197.4868623,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,197.4868623,case rate,999999999,,,,,,,,,,197.4868623,case rate,999999999,,,,,,,,,,197.4868623,case rate,999999999,,,,,,,,,,197.4868623,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
692 - OTHER ENDOCRINE SYSTEM DIAGNOSES,692,EAPG,,,,outpatient ,,,999999999,,240.7136004,240.7136004,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,240.7136004,case rate,999999999,,,,,,,,,,240.7136004,case rate,999999999,,,,,,,,,,240.7136004,case rate,999999999,,,,,,,,,,240.7136004,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
694 - ELECTROLYTE DISORDERS,694,EAPG,,,,outpatient ,,,999999999,,406.7188047,406.7188047,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,406.7188047,case rate,999999999,,,,,,,,,,406.7188047,case rate,999999999,,,,,,,,,,406.7188047,case rate,999999999,,,,,,,,,,406.7188047,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
695 - OBESITY,695,EAPG,,,,outpatient ,,,999999999,,191.7959472,191.7959472,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,191.7959472,case rate,999999999,,,,,,,,,,191.7959472,case rate,999999999,,,,,,,,,,191.7959472,case rate,999999999,,,,,,,,,,191.7959472,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
696 - THYROID AND PARATHYROID DIAGNOSES,696,EAPG,,,,outpatient ,,,999999999,,221.4613557,221.4613557,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,221.4613557,case rate,999999999,,,,,,,,,,221.4613557,case rate,999999999,,,,,,,,,,221.4613557,case rate,999999999,,,,,,,,,,221.4613557,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
710 - DIABETES WITH OPHTHALMIC MANIFESTATIONS,710,EAPG,,,,outpatient ,,,999999999,,312.6370806,312.6370806,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,312.6370806,case rate,999999999,,,,,,,,,,312.6370806,case rate,999999999,,,,,,,,,,312.6370806,case rate,999999999,,,,,,,,,,312.6370806,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
711 - DIABETES WITH OTHER MANIFESTATIONS AND COMPLICATIONS,711,EAPG,,,,outpatient ,,,999999999,,271.1055087,271.1055087,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,271.1055087,case rate,999999999,,,,,,,,,,271.1055087,case rate,999999999,,,,,,,,,,271.1055087,case rate,999999999,,,,,,,,,,271.1055087,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
712 - DIABETES WITH NEUROLOGIC MANIFESTATIONS,712,EAPG,,,,outpatient ,,,999999999,,215.2861074,215.2861074,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,215.2861074,case rate,999999999,,,,,,,,,,215.2861074,case rate,999999999,,,,,,,,,,215.2861074,case rate,999999999,,,,,,,,,,215.2861074,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
713 - DIABETES WITHOUT COMPLICATIONS,713,EAPG,,,,outpatient ,,,999999999,,200.2717782,200.2717782,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,200.2717782,case rate,999999999,,,,,,,,,,200.2717782,case rate,999999999,,,,,,,,,,200.2717782,case rate,999999999,,,,,,,,,,200.2717782,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
714 - DIABETES WITH RENAL MANIFESTATIONS,714,EAPG,,,,outpatient ,,,999999999,,225.9414378,225.9414378,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,225.9414378,case rate,999999999,,,,,,,,,,225.9414378,case rate,999999999,,,,,,,,,,225.9414378,case rate,999999999,,,,,,,,,,225.9414378,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
715 - DIABETES WITH VASCULAR COMPLICATIONS INCLUDING FOOT AND OTHER SKIN ULCERS,715,EAPG,,,,outpatient ,,,999999999,,228.9685203,228.9685203,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,228.9685203,case rate,999999999,,,,,,,,,,228.9685203,case rate,999999999,,,,,,,,,,228.9685203,case rate,999999999,,,,,,,,,,228.9685203,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
720 - CHRONIC KIDNEY DISEASE,720,EAPG,,,,outpatient ,,,999999999,,248.220765,248.220765,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,248.220765,case rate,999999999,,,,,,,,,,248.220765,case rate,999999999,,,,,,,,,,248.220765,case rate,999999999,,,,,,,,,,248.220765,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
721 - KIDNEY AND URINARY TRACT MALIGNANCY,721,EAPG,,,,outpatient ,,,999999999,,232.479936,232.479936,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,232.479936,case rate,999999999,,,,,,,,,,232.479936,case rate,999999999,,,,,,,,,,232.479936,case rate,999999999,,,,,,,,,,232.479936,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
722 - NEPHRITIS AND NEPHROSIS,722,EAPG,,,,outpatient ,,,999999999,,281.0343393,281.0343393,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,281.0343393,case rate,999999999,,,,,,,,,,281.0343393,case rate,999999999,,,,,,,,,,281.0343393,case rate,999999999,,,,,,,,,,281.0343393,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
723 - COMPLEX KIDNEY AND URINARY TRACT INFECTIONS,723,EAPG,,,,outpatient ,,,999999999,,422.580717,422.580717,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,422.580717,case rate,999999999,,,,,,,,,,422.580717,case rate,999999999,,,,,,,,,,422.580717,case rate,999999999,,,,,,,,,,422.580717,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
724 - URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION,724,EAPG,,,,outpatient ,,,999999999,,285.1511715,285.1511715,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,285.1511715,case rate,999999999,,,,,,,,,,285.1511715,case rate,999999999,,,,,,,,,,285.1511715,case rate,999999999,,,,,,,,,,285.1511715,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"725 - MALFUNCTION, REACTION, COMPLIC OF GENITOURINARY DEVICE OR PROC",725,EAPG,,,,outpatient ,,,999999999,,408.5350542,408.5350542,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,408.5350542,case rate,999999999,,,,,,,,,,408.5350542,case rate,999999999,,,,,,,,,,408.5350542,case rate,999999999,,,,,,,,,,408.5350542,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"726 - OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS",726,EAPG,,,,outpatient ,,,999999999,,277.7650902,277.7650902,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,277.7650902,case rate,999999999,,,,,,,,,,277.7650902,case rate,999999999,,,,,,,,,,277.7650902,case rate,999999999,,,,,,,,,,277.7650902,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
727 - ACUTE LOWER URINARY TRACT INFECTIONS,727,EAPG,,,,outpatient ,,,999999999,,393.520725,393.520725,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,393.520725,case rate,999999999,,,,,,,,,,393.520725,case rate,999999999,,,,,,,,,,393.520725,case rate,999999999,,,,,,,,,,393.520725,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
729 - ACUTE KIDNEY INJURY,729,EAPG,,,,outpatient ,,,999999999,,458.905707,458.905707,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,458.905707,case rate,999999999,,,,,,,,,,458.905707,case rate,999999999,,,,,,,,,,458.905707,case rate,999999999,,,,,,,,,,458.905707,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
740 - MALE REPRODUCTIVE SYSTEM MALIGNANCY,740,EAPG,,,,outpatient ,,,999999999,,238.0497678,238.0497678,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,238.0497678,case rate,999999999,,,,,,,,,,238.0497678,case rate,999999999,,,,,,,,,,238.0497678,case rate,999999999,,,,,,,,,,238.0497678,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
741 - OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES,741,EAPG,,,,outpatient ,,,999999999,,261.9031779,261.9031779,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,261.9031779,case rate,999999999,,,,,,,,,,261.9031779,case rate,999999999,,,,,,,,,,261.9031779,case rate,999999999,,,,,,,,,,261.9031779,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
743 - PROSTATITIS,743,EAPG,,,,outpatient ,,,999999999,,215.2861074,215.2861074,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,215.2861074,case rate,999999999,,,,,,,,,,215.2861074,case rate,999999999,,,,,,,,,,215.2861074,case rate,999999999,,,,,,,,,,215.2861074,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
744 - MALE REPRODUCTIVE SYSTEM INFECTIONS,744,EAPG,,,,outpatient ,,,999999999,,258.8760954,258.8760954,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,258.8760954,case rate,999999999,,,,,,,,,,258.8760954,case rate,999999999,,,,,,,,,,258.8760954,case rate,999999999,,,,,,,,,,258.8760954,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
750 - FEMALE REPRODUCTIVE SYSTEM MALIGNANCY,750,EAPG,,,,outpatient ,,,999999999,,271.4687586,271.4687586,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,271.4687586,case rate,999999999,,,,,,,,,,271.4687586,case rate,999999999,,,,,,,,,,271.4687586,case rate,999999999,,,,,,,,,,271.4687586,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
751 - FEMALE REPRODUCTIVE SYSTEM INFECTIONS,751,EAPG,,,,outpatient ,,,999999999,,296.8962516,296.8962516,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,296.8962516,case rate,999999999,,,,,,,,,,296.8962516,case rate,999999999,,,,,,,,,,296.8962516,case rate,999999999,,,,,,,,,,296.8962516,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
752 - OTHER FEMALE REPRODUCTIVE SYSTEM AND MENSTRUAL DIAGNOSES,752,EAPG,,,,outpatient ,,,999999999,,240.955767,240.955767,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,240.955767,case rate,999999999,,,,,,,,,,240.955767,case rate,999999999,,,,,,,,,,240.955767,case rate,999999999,,,,,,,,,,240.955767,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
760 - LABOR AND DELIVERY RELATED DIAGNOSES,760,EAPG,,,,outpatient ,,,999999999,,414.8313858,414.8313858,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,414.8313858,case rate,999999999,,,,,,,,,,414.8313858,case rate,999999999,,,,,,,,,,414.8313858,case rate,999999999,,,,,,,,,,414.8313858,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
761 - POSTPARTUM AND POST ABORTION DIAGNOSES,761,EAPG,,,,outpatient ,,,999999999,,359.4963177,359.4963177,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,359.4963177,case rate,999999999,,,,,,,,,,359.4963177,case rate,999999999,,,,,,,,,,359.4963177,case rate,999999999,,,,,,,,,,359.4963177,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
762 - PRETERM LABOR DIAGNOSES,762,EAPG,,,,outpatient ,,,999999999,,613.5290811,613.5290811,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,613.5290811,case rate,999999999,,,,,,,,,,613.5290811,case rate,999999999,,,,,,,,,,613.5290811,case rate,999999999,,,,,,,,,,613.5290811,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
763 - ABORTION RELATED DIAGNOSES,763,EAPG,,,,outpatient ,,,999999999,,573.4505088,573.4505088,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,573.4505088,case rate,999999999,,,,,,,,,,573.4505088,case rate,999999999,,,,,,,,,,573.4505088,case rate,999999999,,,,,,,,,,573.4505088,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
764 - FALSE LABOR,764,EAPG,,,,outpatient ,,,999999999,,362.4023169,362.4023169,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,362.4023169,case rate,999999999,,,,,,,,,,362.4023169,case rate,999999999,,,,,,,,,,362.4023169,case rate,999999999,,,,,,,,,,362.4023169,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
765 - OTHER ANTEPARTUM COMPLICATION DIAGNOSES,765,EAPG,,,,outpatient ,,,999999999,,435.2944635,435.2944635,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,435.2944635,case rate,999999999,,,,,,,,,,435.2944635,case rate,999999999,,,,,,,,,,435.2944635,case rate,999999999,,,,,,,,,,435.2944635,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
766 - ROUTINE PRENATAL CARE,766,EAPG,,,,outpatient ,,,999999999,,317.8436625,317.8436625,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,317.8436625,case rate,999999999,,,,,,,,,,317.8436625,case rate,999999999,,,,,,,,,,317.8436625,case rate,999999999,,,,,,,,,,317.8436625,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
767 - COMPLICATIONS OF TREATMENT AFFECTING PREGNANCY,767,EAPG,,,,outpatient ,,,999999999,,647.4324051,647.4324051,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,647.4324051,case rate,999999999,,,,,,,,,,647.4324051,case rate,999999999,,,,,,,,,,647.4324051,case rate,999999999,,,,,,,,,,647.4324051,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
768 - ANTEPARTUM ENCOUNTERS FOR NON-ROUTINE AND ABNORMAL FINDINGS,768,EAPG,,,,outpatient ,,,999999999,,404.7814719,404.7814719,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,404.7814719,case rate,999999999,,,,,,,,,,404.7814719,case rate,999999999,,,,,,,,,,404.7814719,case rate,999999999,,,,,,,,,,404.7814719,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
770 - NORMAL NEONATE,770,EAPG,,,,outpatient ,,,999999999,,232.7221026,232.7221026,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,232.7221026,case rate,999999999,,,,,,,,,,232.7221026,case rate,999999999,,,,,,,,,,232.7221026,case rate,999999999,,,,,,,,,,232.7221026,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
771 - NEONATAL DIAGNOSES,771,EAPG,,,,outpatient ,,,999999999,,395.942391,395.942391,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,395.942391,case rate,999999999,,,,,,,,,,395.942391,case rate,999999999,,,,,,,,,,395.942391,case rate,999999999,,,,,,,,,,395.942391,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
777 - SUPERFICIAL INJURY TO SKIN AND SUBCUTANEOUS TISSUE,777,EAPG,,,,outpatient ,,,999999999,,329.7098259,329.7098259,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,329.7098259,case rate,999999999,,,,,,,,,,329.7098259,case rate,999999999,,,,,,,,,,329.7098259,case rate,999999999,,,,,,,,,,329.7098259,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
780 - OTHER HEMATOLOGICAL DIAGNOSES,780,EAPG,,,,outpatient ,,,999999999,,393.7628916,393.7628916,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,393.7628916,case rate,999999999,,,,,,,,,,393.7628916,case rate,999999999,,,,,,,,,,393.7628916,case rate,999999999,,,,,,,,,,393.7628916,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
781 - COAGULATION AND PLATELET DISORDERS AND CONGENITAL FACTOR DEFICIENCIES,781,EAPG,,,,outpatient ,,,999999999,,243.7406829,243.7406829,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,243.7406829,case rate,999999999,,,,,,,,,,243.7406829,case rate,999999999,,,,,,,,,,243.7406829,case rate,999999999,,,,,,,,,,243.7406829,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
783 - SICKLE CELL ANEMIA CRISIS,783,EAPG,,,,outpatient ,,,999999999,,475.857369,475.857369,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,475.857369,case rate,999999999,,,,,,,,,,475.857369,case rate,999999999,,,,,,,,,,475.857369,case rate,999999999,,,,,,,,,,475.857369,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"785 - ANEMIA, BLOOD AND BLOOD-FORMING ORGAN DISORDERS",785,EAPG,,,,outpatient ,,,999999999,,294.3535023,294.3535023,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,294.3535023,case rate,999999999,,,,,,,,,,294.3535023,case rate,999999999,,,,,,,,,,294.3535023,case rate,999999999,,,,,,,,,,294.3535023,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"787 - AFTERCARE, BURNS, CORROSIONS, OTHER INJURIES RELATED TO THE SKIN AND SUB TIS",787,EAPG,,,,outpatient ,,,999999999,,216.4969404,216.4969404,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,216.4969404,case rate,999999999,,,,,,,,,,216.4969404,case rate,999999999,,,,,,,,,,216.4969404,case rate,999999999,,,,,,,,,,216.4969404,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
800 - ACUTE LEUKEMIA,800,EAPG,,,,outpatient ,,,999999999,,441.1064619,441.1064619,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,441.1064619,case rate,999999999,,,,,,,,,,441.1064619,case rate,999999999,,,,,,,,,,441.1064619,case rate,999999999,,,,,,,,,,441.1064619,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"801 - LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA",801,EAPG,,,,outpatient ,,,999999999,,323.0502444,323.0502444,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,323.0502444,case rate,999999999,,,,,,,,,,323.0502444,case rate,999999999,,,,,,,,,,323.0502444,case rate,999999999,,,,,,,,,,323.0502444,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
802 - RADIOTHERAPY,802,EAPG,,,,outpatient ,,,999999999,,224.4884382,224.4884382,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,224.4884382,case rate,999999999,,,,,,,,,,224.4884382,case rate,999999999,,,,,,,,,,224.4884382,case rate,999999999,,,,,,,,,,224.4884382,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
803 - CHEMOTHERAPY,803,EAPG,,,,outpatient ,,,999999999,,361.9179837,361.9179837,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,361.9179837,case rate,999999999,,,,,,,,,,361.9179837,case rate,999999999,,,,,,,,,,361.9179837,case rate,999999999,,,,,,,,,,361.9179837,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
804 - LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR,804,EAPG,,,,outpatient ,,,999999999,,287.5728375,287.5728375,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,287.5728375,case rate,999999999,,,,,,,,,,287.5728375,case rate,999999999,,,,,,,,,,287.5728375,case rate,999999999,,,,,,,,,,287.5728375,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
805 - SEPTICEMIA AND DISSEMINATED INFECTIONS,805,EAPG,,,,outpatient ,,,999999999,,980.5325634,980.5325634,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,980.5325634,case rate,999999999,,,,,,,,,,980.5325634,case rate,999999999,,,,,,,,,,980.5325634,case rate,999999999,,,,,,,,,,980.5325634,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"806 - INTRAOPERATIVE, POST-OPERATIVE OR POST-TRAUMATIC INFECTIONS AND COMPLICATIONS",806,EAPG,,,,outpatient ,,,999999999,,341.3338227,341.3338227,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,341.3338227,case rate,999999999,,,,,,,,,,341.3338227,case rate,999999999,,,,,,,,,,341.3338227,case rate,999999999,,,,,,,,,,341.3338227,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
807 - FEVER AND OTHER INFLAMMATORY CONDITIONS,807,EAPG,,,,outpatient ,,,999999999,,576.9619245,576.9619245,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,576.9619245,case rate,999999999,,,,,,,,,,576.9619245,case rate,999999999,,,,,,,,,,576.9619245,case rate,999999999,,,,,,,,,,576.9619245,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
808 - VIRAL ILLNESS,808,EAPG,,,,outpatient ,,,999999999,,510.6082761,510.6082761,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,510.6082761,case rate,999999999,,,,,,,,,,510.6082761,case rate,999999999,,,,,,,,,,510.6082761,case rate,999999999,,,,,,,,,,510.6082761,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
809 - OTHER INFECTIOUS AND PARASITIC DISEASES,809,EAPG,,,,outpatient ,,,999999999,,258.8760954,258.8760954,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,258.8760954,case rate,999999999,,,,,,,,,,258.8760954,case rate,999999999,,,,,,,,,,258.8760954,case rate,999999999,,,,,,,,,,258.8760954,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
810 - H. PYLORI INFECTION,810,EAPG,,,,outpatient ,,,999999999,,205.4783601,205.4783601,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,205.4783601,case rate,999999999,,,,,,,,,,205.4783601,case rate,999999999,,,,,,,,,,205.4783601,case rate,999999999,,,,,,,,,,205.4783601,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
812 - VIRAL MENINGITIS,812,EAPG,,,,outpatient ,,,999999999,,341.3338227,341.3338227,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,341.3338227,case rate,999999999,,,,,,,,,,341.3338227,case rate,999999999,,,,,,,,,,341.3338227,case rate,999999999,,,,,,,,,,341.3338227,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
820 - SCHIZOPHRENIA,820,EAPG,,,,outpatient ,,,999999999,,366.5191491,366.5191491,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,366.5191491,case rate,999999999,,,,,,,,,,366.5191491,case rate,999999999,,,,,,,,,,366.5191491,case rate,999999999,,,,,,,,,,366.5191491,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
821 - MAJOR DEPRESSIVE DIAGNOSES AND  OTHER OR UNSPECIFIED PSYCHOSES,821,EAPG,,,,outpatient ,,,999999999,,272.3163417,272.3163417,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,272.3163417,case rate,999999999,,,,,,,,,,272.3163417,case rate,999999999,,,,,,,,,,272.3163417,case rate,999999999,,,,,,,,,,272.3163417,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
822 - PERSONALITY AND IMPULSE CONTROL DIAGNOSES,822,EAPG,,,,outpatient ,,,999999999,,367.7299821,367.7299821,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,367.7299821,case rate,999999999,,,,,,,,,,367.7299821,case rate,999999999,,,,,,,,,,367.7299821,case rate,999999999,,,,,,,,,,367.7299821,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
823 - BIPOLAR DISORDERS,823,EAPG,,,,outpatient ,,,999999999,,283.5770886,283.5770886,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,283.5770886,case rate,999999999,,,,,,,,,,283.5770886,case rate,999999999,,,,,,,,,,283.5770886,case rate,999999999,,,,,,,,,,283.5770886,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
824 - DEPRESSION EXCEPT MAJOR DEPRESSIVE DIAGNOSES,824,EAPG,,,,outpatient ,,,999999999,,266.8675932,266.8675932,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,266.8675932,case rate,999999999,,,,,,,,,,266.8675932,case rate,999999999,,,,,,,,,,266.8675932,case rate,999999999,,,,,,,,,,266.8675932,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
825 - ADJUSTMENT DISORDERS AND NEUROSES EXCEPT DEPRESSIVE DIAGNOSES,825,EAPG,,,,outpatient ,,,999999999,,266.9886765,266.9886765,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,266.9886765,case rate,999999999,,,,,,,,,,266.9886765,case rate,999999999,,,,,,,,,,266.9886765,case rate,999999999,,,,,,,,,,266.9886765,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
826 - ACUTE ANXIETY AND DELIRIUM STATES,826,EAPG,,,,outpatient ,,,999999999,,352.8367362,352.8367362,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,352.8367362,case rate,999999999,,,,,,,,,,352.8367362,case rate,999999999,,,,,,,,,,352.8367362,case rate,999999999,,,,,,,,,,352.8367362,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
827 - ORGANIC BEHAVIORAL HEALTH DISTURBANCES,827,EAPG,,,,outpatient ,,,999999999,,243.377433,243.377433,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,243.377433,case rate,999999999,,,,,,,,,,243.377433,case rate,999999999,,,,,,,,,,243.377433,case rate,999999999,,,,,,,,,,243.377433,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
828 - INTELLECTUAL DISABILITY,828,EAPG,,,,outpatient ,,,999999999,,247.3731819,247.3731819,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,247.3731819,case rate,999999999,,,,,,,,,,247.3731819,case rate,999999999,,,,,,,,,,247.3731819,case rate,999999999,,,,,,,,,,247.3731819,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
829 - CHILDHOOD BEHAVIORAL DIAGNOSES,829,EAPG,,,,outpatient ,,,999999999,,262.3875111,262.3875111,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,262.3875111,case rate,999999999,,,,,,,,,,262.3875111,case rate,999999999,,,,,,,,,,262.3875111,case rate,999999999,,,,,,,,,,262.3875111,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
830 - EATING DISORDERS,830,EAPG,,,,outpatient ,,,999999999,,307.0672488,307.0672488,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,307.0672488,case rate,999999999,,,,,,,,,,307.0672488,case rate,999999999,,,,,,,,,,307.0672488,case rate,999999999,,,,,,,,,,307.0672488,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
831 - OTHER BEHAVIORAL HEALTH DIAGNOSES,831,EAPG,,,,outpatient ,,,999999999,,344.4819885,344.4819885,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,344.4819885,case rate,999999999,,,,,,,,,,344.4819885,case rate,999999999,,,,,,,,,,344.4819885,case rate,999999999,,,,,,,,,,344.4819885,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
832 - INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE,832,EAPG,,,,outpatient ,,,999999999,,752.0483763,752.0483763,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,752.0483763,case rate,999999999,,,,,,,,,,752.0483763,case rate,999999999,,,,,,,,,,752.0483763,case rate,999999999,,,,,,,,,,752.0483763,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
840 - OPIOID ABUSE AND DEPENDENCE,840,EAPG,,,,outpatient ,,,999999999,,261.0555948,261.0555948,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,261.0555948,case rate,999999999,,,,,,,,,,261.0555948,case rate,999999999,,,,,,,,,,261.0555948,case rate,999999999,,,,,,,,,,261.0555948,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
841 - COCAINE ABUSE AND DEPENDENCE,841,EAPG,,,,outpatient ,,,999999999,,504.6751944,504.6751944,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,504.6751944,case rate,999999999,,,,,,,,,,504.6751944,case rate,999999999,,,,,,,,,,504.6751944,case rate,999999999,,,,,,,,,,504.6751944,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
842 - ALCOHOL ABUSE AND DEPENDENCE,842,EAPG,,,,outpatient ,,,999999999,,474.8887026,474.8887026,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,474.8887026,case rate,999999999,,,,,,,,,,474.8887026,case rate,999999999,,,,,,,,,,474.8887026,case rate,999999999,,,,,,,,,,474.8887026,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
843 - OTHER DRUG ABUSE AND DEPENDENCE,843,EAPG,,,,outpatient ,,,999999999,,452.6093754,452.6093754,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,452.6093754,case rate,999999999,,,,,,,,,,452.6093754,case rate,999999999,,,,,,,,,,452.6093754,case rate,999999999,,,,,,,,,,452.6093754,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
850 - ALLERGIC REACTIONS,850,EAPG,,,,outpatient ,,,999999999,,426.213216,426.213216,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,426.213216,case rate,999999999,,,,,,,,,,426.213216,case rate,999999999,,,,,,,,,,426.213216,case rate,999999999,,,,,,,,,,426.213216,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
851 - POISONING OR TOXIC EFFECTS OF MEDICINAL AGENTS,851,EAPG,,,,outpatient ,,,999999999,,461.4484563,461.4484563,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,461.4484563,case rate,999999999,,,,,,,,,,461.4484563,case rate,999999999,,,,,,,,,,461.4484563,case rate,999999999,,,,,,,,,,461.4484563,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
852 - OTHER COMPLICATIONS OF TREATMENT,852,EAPG,,,,outpatient ,,,999999999,,294.9589188,294.9589188,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,294.9589188,case rate,999999999,,,,,,,,,,294.9589188,case rate,999999999,,,,,,,,,,294.9589188,case rate,999999999,,,,,,,,,,294.9589188,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"853 - OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES",853,EAPG,,,,outpatient ,,,999999999,,286.3620045,286.3620045,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,286.3620045,case rate,999999999,,,,,,,,,,286.3620045,case rate,999999999,,,,,,,,,,286.3620045,case rate,999999999,,,,,,,,,,286.3620045,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
854 - TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES,854,EAPG,,,,outpatient ,,,999999999,,339.6386565,339.6386565,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,339.6386565,case rate,999999999,,,,,,,,,,339.6386565,case rate,999999999,,,,,,,,,,339.6386565,case rate,999999999,,,,,,,,,,339.6386565,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
860 - EXTENSIVE 3RD DEGREE OR FULL THICKNESS BURNS,860,EAPG,,,,outpatient ,,,999999999,,334.9164078,334.9164078,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,334.9164078,case rate,999999999,,,,,,,,,,334.9164078,case rate,999999999,,,,,,,,,,334.9164078,case rate,999999999,,,,,,,,,,334.9164078,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
861 - PARTIAL THICKNESS BURNS,861,EAPG,,,,outpatient ,,,999999999,,288.0571707,288.0571707,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,288.0571707,case rate,999999999,,,,,,,,,,288.0571707,case rate,999999999,,,,,,,,,,288.0571707,case rate,999999999,,,,,,,,,,288.0571707,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
867 - ENCOUNTERS FOR CONTACT WITH HEALTH SERVICES,867,EAPG,,,,outpatient ,,,999999999,,211.895775,211.895775,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,211.895775,case rate,999999999,,,,,,,,,,211.895775,case rate,999999999,,,,,,,,,,211.895775,case rate,999999999,,,,,,,,,,211.895775,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"869 - AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE INJURIES",869,EAPG,,,,outpatient ,,,999999999,,221.8246056,221.8246056,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,221.8246056,case rate,999999999,,,,,,,,,,221.8246056,case rate,999999999,,,,,,,,,,221.8246056,case rate,999999999,,,,,,,,,,221.8246056,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
870 - REHABILITATION,870,EAPG,,,,outpatient ,,,999999999,,231.9956028,231.9956028,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,231.9956028,case rate,999999999,,,,,,,,,,231.9956028,case rate,999999999,,,,,,,,,,231.9956028,case rate,999999999,,,,,,,,,,231.9956028,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"871 - SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS",871,EAPG,,,,outpatient ,,,999999999,,289.389087,289.389087,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,289.389087,case rate,999999999,,,,,,,,,,289.389087,case rate,999999999,,,,,,,,,,289.389087,case rate,999999999,,,,,,,,,,289.389087,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
872 - OTHER AFTERCARE AND CONVALESCENCE,872,EAPG,,,,outpatient ,,,999999999,,277.0385904,277.0385904,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,277.0385904,case rate,999999999,,,,,,,,,,277.0385904,case rate,999999999,,,,,,,,,,277.0385904,case rate,999999999,,,,,,,,,,277.0385904,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
873 - NEONATAL AFTERCARE,873,EAPG,,,,outpatient ,,,999999999,,186.5893653,186.5893653,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,186.5893653,case rate,999999999,,,,,,,,,,186.5893653,case rate,999999999,,,,,,,,,,186.5893653,case rate,999999999,,,,,,,,,,186.5893653,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
874 - AFTERCARE FOR JOINT REPLACEMENT,874,EAPG,,,,outpatient ,,,999999999,,207.5367762,207.5367762,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,207.5367762,case rate,999999999,,,,,,,,,,207.5367762,case rate,999999999,,,,,,,,,,207.5367762,case rate,999999999,,,,,,,,,,207.5367762,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
875 - CONTRACEPTIVE MANAGEMENT,875,EAPG,,,,outpatient ,,,999999999,,279.9445896,279.9445896,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,279.9445896,case rate,999999999,,,,,,,,,,279.9445896,case rate,999999999,,,,,,,,,,279.9445896,case rate,999999999,,,,,,,,,,279.9445896,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
876 - ADULT PREVENTIVE MEDICINE,876,EAPG,,,,outpatient ,,,999999999,,253.5484302,253.5484302,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,253.5484302,case rate,999999999,,,,,,,,,,253.5484302,case rate,999999999,,,,,,,,,,253.5484302,case rate,999999999,,,,,,,,,,253.5484302,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
877 - CHILD PREVENTIVE MEDICINE,877,EAPG,,,,outpatient ,,,999999999,,220.2505227,220.2505227,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,220.2505227,case rate,999999999,,,,,,,,,,220.2505227,case rate,999999999,,,,,,,,,,220.2505227,case rate,999999999,,,,,,,,,,220.2505227,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
878 - GYNECOLOGIC PREVENTIVE MEDICINE,878,EAPG,,,,outpatient ,,,999999999,,187.9212816,187.9212816,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,187.9212816,case rate,999999999,,,,,,,,,,187.9212816,case rate,999999999,,,,,,,,,,187.9212816,case rate,999999999,,,,,,,,,,187.9212816,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
879 - PREVENTIVE OR SCREENING ENCOUNTER,879,EAPG,,,,outpatient ,,,999999999,,257.907429,257.907429,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,257.907429,case rate,999999999,,,,,,,,,,257.907429,case rate,999999999,,,,,,,,,,257.907429,case rate,999999999,,,,,,,,,,257.907429,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
880 - HIV INFECTION,880,EAPG,,,,outpatient ,,,999999999,,399.8170566,399.8170566,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,399.8170566,case rate,999999999,,,,,,,,,,399.8170566,case rate,999999999,,,,,,,,,,399.8170566,case rate,999999999,,,,,,,,,,399.8170566,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
881 - AIDS,881,EAPG,,,,outpatient ,,,999999999,,409.6248039,409.6248039,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,409.6248039,case rate,999999999,,,,,,,,,,409.6248039,case rate,999999999,,,,,,,,,,409.6248039,case rate,999999999,,,,,,,,,,409.6248039,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
882 - GENETIC COUNSELING,882,EAPG,,,,outpatient ,,,999999999,,266.6254266,266.6254266,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,266.6254266,case rate,999999999,,,,,,,,,,266.6254266,case rate,999999999,,,,,,,,,,266.6254266,case rate,999999999,,,,,,,,,,266.6254266,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
883 - ALTERATION IN CONSCIOUSNESS,883,EAPG,,,,outpatient ,,,999999999,,537.7309353,537.7309353,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,537.7309353,case rate,999999999,,,,,,,,,,537.7309353,case rate,999999999,,,,,,,,,,537.7309353,case rate,999999999,,,,,,,,,,537.7309353,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
900 - AUTOPSY AND POST-MORTEM EXAMINATION SERVICES,900,EAPG,,,,outpatient ,,,999999999,,197.2446957,197.2446957,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,197.2446957,case rate,999999999,,,,,,,,,,197.2446957,case rate,999999999,,,,,,,,,,197.2446957,case rate,999999999,,,,,,,,,,197.2446957,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
993 - USER-DEFINED INPATIENT ONLY PROCEDURES,993,EAPG,,,,outpatient ,,,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
994 - USER-DEFINED ALTERNATE PAYMENT METHOD PROCEDURES,994,EAPG,,,,outpatient ,,,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
999 - UNASSIGNED,999,EAPG,,,,outpatient ,,,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
1001 - DURABLE MEDICAL EQUIPMENT AND SUPPLIES - LEVEL 1,1001,EAPG,,,,outpatient ,,,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
1002 - DURABLE MEDICAL EQUIPMENT AND SUPPLIES - LEVEL 2,1002,EAPG,,,,outpatient ,,,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
1003 - DURABLE MEDICAL EQUIPMENT AND SUPPLIES - LEVEL 3,1003,EAPG,,,,outpatient ,,,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
1004 - DURABLE MEDICAL EQUIPMENT - LEVEL 4,1004,EAPG,,,,outpatient ,,,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
1005 - DURABLE MEDICAL EQUIPMENT - LEVEL 5,1005,EAPG,,,,outpatient ,,,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
1006 - DURABLE MEDICAL EQUIPMENT - LEVEL 6,1006,EAPG,,,,outpatient ,,,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
1007 - DURABLE MEDICAL EQUIPMENT - LEVEL 7,1007,EAPG,,,,outpatient ,,,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
1008 - DURABLE MEDICAL EQUIPMENT - LEVEL 8,1008,EAPG,,,,outpatient ,,,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
1009 - DURABLE MEDICAL EQUIPMENT - LEVEL 9,1009,EAPG,,,,outpatient ,,,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
1010 - DURABLE MEDICAL EQUIPMENT - LEVEL 10,1010,EAPG,,,,outpatient ,,,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
1011 - DURABLE MEDICAL EQUIPMENT - LEVEL 11,1011,EAPG,,,,outpatient ,,,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
1012 - DURABLE MEDICAL EQUIPMENT - LEVEL 12,1012,EAPG,,,,outpatient ,,,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
1013 - DURABLE MEDICAL EQUIPMENT - LEVEL 13,1013,EAPG,,,,outpatient ,,,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
1014 - DURABLE MEDICAL EQUIPMENT - LEVEL 14,1014,EAPG,,,,outpatient ,,,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
1015 - DURABLE MEDICAL EQUIPMENT - LEVEL 15,1015,EAPG,,,,outpatient ,,,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
1016 - DURABLE MEDICAL EQUIPMENT - LEVEL 16,1016,EAPG,,,,outpatient ,,,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
1017 - DURABLE MEDICAL EQUIPMENT - LEVEL 17,1017,EAPG,,,,outpatient ,,,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
1018 - DURABLE MEDICAL EQUIPMENT - LEVEL 18,1018,EAPG,,,,outpatient ,,,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
1019 - DURABLE MEDICAL EQUIPMENT - LEVEL 19,1019,EAPG,,,,outpatient ,,,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
1020 - DURABLE MEDICAL EQUIPMENT - LEVEL 20,1020,EAPG,,,,outpatient ,,,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
1021 - DURABLE MEDICAL EQUIPMENT - OXYGEN AND RELATED EQUIPMENT,1021,EAPG,,,,outpatient ,,,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
1030 - AMBULANCE SERVICES,1030,EAPG,,,,outpatient ,,,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
1090 - USER DEFINED 340B DRUGS,1090,EAPG,,,,outpatient ,,,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
2000 - DIAGNOSTIC RADIOPHARMACEUTICAL,2000,EAPG,,,,outpatient ,,,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
2001 - DIAGNOSTIC CONTRAST MEDIA,2001,EAPG,,,,outpatient ,,,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
2002 - INCIDENTAL IMAGING SERVICES,2002,EAPG,,,,outpatient ,,,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
2003 - INCIDENTAL PHYSICIAN REPORT OR TECHNICAL SERVICES,2003,EAPG,,,,outpatient ,,,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
2004 - INCIDENTAL MINOR DIAGNOSTIC TESTS,2004,EAPG,,,,outpatient ,,,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
2005 - INCIDENTAL MEDICAL VISIT SERVICES,2005,EAPG,,,,outpatient ,,,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
2006 - INCIDENTAL IMPLANTABLE OR OTHER RELATED DEVICES,2006,EAPG,,,,outpatient ,,,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
2007 - INCIDENTAL BEHAVIORAL HEALTH SERVICES,2007,EAPG,,,,outpatient ,,,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
2008 - INCIDENTAL INTRAOPERATIVE PROCEDURES,2008,EAPG,,,,outpatient ,,,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"2009 - INCIDENTAL HOME HEALTH, RESIDENTIAL AND OTHER RELATED SUPPORTIVE SERVICES",2009,EAPG,,,,outpatient ,,,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
2010 - INCIDENTAL SKIN SUBSTITUTES,2010,EAPG,,,,outpatient ,,,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
2016 - LEVEL II ALLERGY TESTS,2016,EAPG,,,,outpatient ,,,999999999,,78.2198118,78.2198118,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,78.2198118,case rate,999999999,,,,,,,,,,78.2198118,case rate,999999999,,,,,,,,,,78.2198118,case rate,999999999,,,,,,,,,,78.2198118,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
2020 - NONINVASIVE VENTILATION SUPPORT,2020,EAPG,,,,outpatient ,,,999999999,,224.2462716,224.2462716,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,224.2462716,case rate,999999999,,,,,,,,,,224.2462716,case rate,999999999,,,,,,,,,,224.2462716,case rate,999999999,,,,,,,,,,224.2462716,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
2030 - MINOR MUSCULOSKELETAL PROCEDURES,2030,EAPG,,,,outpatient ,,,999999999,,310.2154146,310.2154146,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,310.2154146,case rate,999999999,,,,,,,,,,310.2154146,case rate,999999999,,,,,,,,,,310.2154146,case rate,999999999,,,,,,,,,,310.2154146,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
2040 - LEVEL I DRUG SCREENING AND DEFINITIVE TESTS,2040,EAPG,,,,outpatient ,,,999999999,,19.1311614,19.1311614,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19.1311614,case rate,999999999,,,,,,,,,,19.1311614,case rate,999999999,,,,,,,,,,19.1311614,case rate,999999999,,,,,,,,,,19.1311614,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
2041 - LEVEL II DRUG SCREENING AND DEFINITIVE TESTS,2041,EAPG,,,,outpatient ,,,999999999,,95.4136404,95.4136404,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,95.4136404,case rate,999999999,,,,,,,,,,95.4136404,case rate,999999999,,,,,,,,,,95.4136404,case rate,999999999,,,,,,,,,,95.4136404,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
2042 - LEVEL III DRUG SCREENING AND DEFINITIVE TESTS,2042,EAPG,,,,outpatient ,,,999999999,,222.0667722,222.0667722,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,222.0667722,case rate,999999999,,,,,,,,,,222.0667722,case rate,999999999,,,,,,,,,,222.0667722,case rate,999999999,,,,,,,,,,222.0667722,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
2043 - LEVEL III BLOOD AND TISSUE TYPING TESTS,2043,EAPG,,,,outpatient ,,,999999999,,221.582439,221.582439,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,221.582439,case rate,999999999,,,,,,,,,,221.582439,case rate,999999999,,,,,,,,,,221.582439,case rate,999999999,,,,,,,,,,221.582439,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"2044 - LEVEL IV COMPLEX LABORATORY, MOLECULAR PATHOLOGY AND GENETIC TESTS",2044,EAPG,,,,outpatient ,,,999999999,,896.6218365,896.6218365,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,896.6218365,case rate,999999999,,,,,,,,,,896.6218365,case rate,999999999,,,,,,,,,,896.6218365,case rate,999999999,,,,,,,,,,896.6218365,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
2045 - ADVANCED MOLECULAR PATHOLOGY AND GENETIC TESTS,2045,EAPG,,,,outpatient ,,,999999999,,3185.58054,3185.58054,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3185.58054,case rate,999999999,,,,,,,,,,3185.58054,case rate,999999999,,,,,,,,,,3185.58054,case rate,999999999,,,,,,,,,,3185.58054,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
2050 - HEALTH CARE PROFESSIONAL HOME HEALTH SERVICES,2050,EAPG,,,,outpatient ,,,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
2051 - OTHER ANCILLARY HOME HEALTH SERVICES,2051,EAPG,,,,outpatient ,,,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
2061 - CLASS I BLOOD PRODUCTS,2061,EAPG,,,,outpatient ,,,999999999,,211.1692752,211.1692752,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,211.1692752,case rate,999999999,,,,,,,,,,211.1692752,case rate,999999999,,,,,,,,,,211.1692752,case rate,999999999,,,,,,,,,,211.1692752,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
2062 - CLASS II BLOOD PRODUCTS,2062,EAPG,,,,outpatient ,,,999999999,,465.6863718,465.6863718,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,465.6863718,case rate,999999999,,,,,,,,,,465.6863718,case rate,999999999,,,,,,,,,,465.6863718,case rate,999999999,,,,,,,,,,465.6863718,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
2070 - MONTHLY CARE AND CASE MANAGEMENT SERVICES,2070,EAPG,,,,outpatient ,,,999999999,,83.0631438,83.0631438,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,83.0631438,case rate,999999999,,,,,,,,,,83.0631438,case rate,999999999,,,,,,,,,,83.0631438,case rate,999999999,,,,,,,,,,83.0631438,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
2071 - MONTHLY BEHAVIORAL HEALTH CARE AND CASE MANAGEMENT SERVICES,2071,EAPG,,,,outpatient ,,,999999999,,142.9993773,142.9993773,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,142.9993773,case rate,999999999,,,,,,,,,,142.9993773,case rate,999999999,,,,,,,,,,142.9993773,case rate,999999999,,,,,,,,,,142.9993773,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
2072 - MONTHLY TREATMENT MANAGEMENT SERVICES,2072,EAPG,,,,outpatient ,,,999999999,,70.3493973,70.3493973,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,70.3493973,case rate,999999999,,,,,,,,,,70.3493973,case rate,999999999,,,,,,,,,,70.3493973,case rate,999999999,,,,,,,,,,70.3493973,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
3011 - BONE CONDUCTION HEARING DEVICE IMPLANTATION,3011,EAPG,,,,outpatient ,,,999999999,,14110.07912,14110.07912,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14110.07912,case rate,999999999,,,,,,,,,,14110.07912,case rate,999999999,,,,,,,,,,14110.07912,case rate,999999999,,,,,,,,,,14110.07912,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
3030 - SPINAL IMPLANTATION OF DRUG INFUSION DEVICE,3030,EAPG,,,,outpatient ,,,999999999,,20123.92338,20123.92338,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,20123.92338,case rate,999999999,,,,,,,,,,20123.92338,case rate,999999999,,,,,,,,,,20123.92338,case rate,999999999,,,,,,,,,,20123.92338,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"3033 - INGUINAL, FEMORAL AND UMBILICAL HERNIA REPAIR",3033,EAPG,,,,outpatient ,,,999999999,,5941.315364,5941.315364,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5941.315364,case rate,999999999,,,,,,,,,,5941.315364,case rate,999999999,,,,,,,,,,5941.315364,case rate,999999999,,,,,,,,,,5941.315364,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
3035 - ABDOMINAL HERNIA REPAIR,3035,EAPG,,,,outpatient ,,,999999999,,7274.563581,7274.563581,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7274.563581,case rate,999999999,,,,,,,,,,7274.563581,case rate,999999999,,,,,,,,,,7274.563581,case rate,999999999,,,,,,,,,,7274.563581,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
3050 - OTHER TRANSPLANT PROCEDURES,3050,EAPG,,,,outpatient ,,,999999999,,8219.376571,8219.376571,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,8219.376571,case rate,999999999,,,,,,,,,,8219.376571,case rate,999999999,,,,,,,,,,8219.376571,case rate,999999999,,,,,,,,,,8219.376571,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
3051 - HEART AND/OR LUNG TRANSPLANT,3051,EAPG,,,,outpatient ,,,999999999,,21226.14466,21226.14466,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,21226.14466,case rate,999999999,,,,,,,,,,21226.14466,case rate,999999999,,,,,,,,,,21226.14466,case rate,999999999,,,,,,,,,,21226.14466,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
3052 - KIDNEY TRANSPLANT,3052,EAPG,,,,outpatient ,,,999999999,,14555.06024,14555.06024,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14555.06024,case rate,999999999,,,,,,,,,,14555.06024,case rate,999999999,,,,,,,,,,14555.06024,case rate,999999999,,,,,,,,,,14555.06024,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
3060 - VENTRICULAR ASSIST DEVICE PROCEDURES,3060,EAPG,,,,outpatient ,,,999999999,,49748.5268,49748.5268,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,49748.5268,case rate,999999999,,,,,,,,,,49748.5268,case rate,999999999,,,,,,,,,,49748.5268,case rate,999999999,,,,,,,,,,49748.5268,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
3070 - EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO) PROCEDURES,3070,EAPG,,,,outpatient ,,,999999999,,11705.24369,11705.24369,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11705.24369,case rate,999999999,,,,,,,,,,11705.24369,case rate,999999999,,,,,,,,,,11705.24369,case rate,999999999,,,,,,,,,,11705.24369,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
4001 - EMERGING TECHNOLOGY PROCEDURES,4001,EAPG,,,,outpatient ,,,999999999,,1154.771432,1154.771432,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1154.771432,case rate,999999999,,,,,,,,,,1154.771432,case rate,999999999,,,,,,,,,,1154.771432,case rate,999999999,,,,,,,,,,1154.771432,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
4010 - LEVEL I OPIOID TREATMENT PROGRAM SERVICES,4010,EAPG,,,,outpatient ,,,999999999,,284.0614218,284.0614218,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,284.0614218,case rate,999999999,,,,,,,,,,284.0614218,case rate,999999999,,,,,,,,,,284.0614218,case rate,999999999,,,,,,,,,,284.0614218,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
4011 - LEVEL II OPIOID TREATMENT PROGRAM SERVICES,4011,EAPG,,,,outpatient ,,,999999999,,629.1488268,629.1488268,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,629.1488268,case rate,999999999,,,,,,,,,,629.1488268,case rate,999999999,,,,,,,,,,629.1488268,case rate,999999999,,,,,,,,,,629.1488268,case rate,999999999,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,